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Emergency and Resuscitation Equipment, Supplies and Medications

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Emergency and Resuscitation Equipment, Supplies and Medications Policies of the University of North Texas Health Science Center Chapter 14 14.308 Emergency and Resuscitation Equipment, Supplies and UNTHealth Medications Policy Statement. Certain UNT Health clinics are required to maintain specific emergency and resuscitation equipment, supplies and medications (collectively, “Crash Cart”) as approved by the Department Chair and the Quality, Patient Safety and Services Committee. UNT Health requires that all Crash Carts be adequately stocked, up-to-date and operational. Application of Policy. This policy applies to all UNT Health clinics. Definitions. None Procedures and Responsibilities. 1. All Crash Carts shall be stocked as outlined in Exhibit A. Responsible Party: Clinic Supervisor/Manager 2. Crash Carts shall be inventoried on a monthly basis and after each use to verify that all medications, supplies and equipment listed on Exhibit A are available, operational and up-to-date. The cardiac monitor and defibrillator shall be tested daily per the manufacturer’s instructions. If no discrepancies or deficiencies are noted, the Log sheets shall be completed and initialed by the staff person performing the inventory and tests. Responsible Party: Clinic Supervisor/Manager 3. Any discrepancies or deficiencies shall be noted on the Log sheets and corrected immediately. If immediate correction is not possible, alternative arrangements shall be made before patients are treated in the clinic. Responsible Party: Clinic Supervisor/Manager 4. After a Crash Cart has been used, it shall be cleaned as appropriate, inventoried and used items shall be replaced within two business days. Responsible Party: Clinic Supervisor/Manager References and Cross-references. Policy 14.303 – Cardiopulmonary Resuscitation (CPR) Training Policy 14.309 – Medical Emergencies in Clinical Areas Forms and Tools. Sample Inventory Log Sheet and Defibrillator Testing Log Sheet – Exhibit B Approved: November 29, 2012 Effective: November 29, 2012 Revised: Exhibit A At a minimum, the following medications, equipment and supplies must be available in a crash cart. Additional items may be stocked upon the approval of the Department Chair or his/her designee. Equipment and Supplies Medications Amiodarone 50mg/ml Oxygen cylinder(s) with tubing Atropine 0.1mg/ml Nasal cannulas and 100% non-rebreather masks Benadryl 50mg/ml for pediatric and adult patients Dextrose 50% 50ml 500mg/ml Ambu bags for pediatric and adult patients Diazepam 5mg/ml Airways, including oropharyngeal airways, and Epinephrine 1 mg ( 1:10,000) and 0.3mg endotracheal tubes for pediatric and adult (1:1,000) patients Lanoxin 0.25mg/ml Laryngoscopes w/ light – large and small Lidocaine 2% (100mg/5ml) McGill forceps - large and small Narcan 1mg Ampule Portable suction with tubing and catheters Solu-Cortef /SoluMedrol 250mg 125mg/ml Tongue blades Vasopressin 20 units Backboard Aspirin 325 mg tablets Defibrillator/Monitor w/ pads and electrodes Nitroglycerin 0.4mg tablets sublingual Intravenous (“IV”) fluids, (Normal Saline and D5W, 500 or 1,000 cc bags) IV tubing IV angiocatheters in different sizes Tourniquet Blood pressure cuffs – adult and pediatric Stethoscope Gloves Bandage scissors 4x4 sterile sponges Syringes in various sizes Tape Alcohol preps Exhibit B Monthly Inventory Log Drug Name 1/12 2/12 3/12 4/12 5/12 6/12 7/12 8/12 9/12 10/12 11/12 12/12 Amiodarone 50mg/ml Aspirin 325 mg tablets Atropine 0.1mg/ml Benadryl 50mg/ml Dextrose 50% 50ml 500mg/ml Diazepam 5mg/ml Epinephrine 1 mg (1:10,000) and 0.3mg (1:1,000) Lanoxin 0.25mg/ml Lidocaine 2% (100mg/5ml) Narcan 1mg Ampule Nitroglycerin 0.4mg tablets sublingual Solu-Cortef/SoluMedrol 250mg 125mg/ml Vasopressin 20 units Equipment and Supplies 4x4 sterile sponges Airways, including oropharyngeal airways, and endotracheal tubes for pediatric and adult patients Alcohol prep Ambu bags for pediatric and adult patients Backboard Bandage scissors Blood pressure cuffs - adult and pediatric Intravenous ("IV") fluids, (Normal Saline and D5W, 500 or 1,000 cc bags) IV angiocatheters in different sizes IV tubing Laryngoscopes w/ light - large and small - check battery McGill forceps - large and small Nasal cannulas and 100% non-rebreather masks for pediatric and adult patients Oxygen cylinder(s) with tubing and key Portable suction with tubing and catheters Stethoscope Syringes in various sizes Tape Tongue blades Tourniquet Initials: Exhibit B Defibrillator Testing Log Month/Year__________ Day Defibrillator Test Initials 1 pass fail 2 pass fail 3 pass fail 4 pass fail 5 pass fail 6 pass fail 7 pass fail 8 pass fail 9 pass fail 10 pass fail 11 pass fail 12 pass fail 13 pass fail 14 pass fail 15 pass fail 16 pass fail 17 pass fail 18 pass fail 19 pass fail 20 pass fail 21 pass fail 22 pass fail 23 pass fail 24 pass fail 25 pass fail 26 pass fail 27 pass fail 28 pass fail 29 pass fail 30 pass fail 31 pass fail .
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