DRAFT: BLH DAILY CRASH CART CHECKLIST
Appendix 1: Daily Crash Cart Checklist
Unit Name: Year:
RESUSCITATION TROLLEY CHECKLIST
1. Check twice daily and following each resuscitation. 3. The quantity of each item must be recorded.
2. No adult items should be on the Paediatric trolley. 4. Out of stock items must be obtained within 24hrs
DATE:
ITEM Qty
TOP OF TROLLEY
AED/defibrillator
AED/Defibrillator pads
Conductive gel (N/A if the facility uses a AED)
Pulse oximeter
Pulse oximeter probe Neonatal
Paediatric
Adult
NIBP device with appropriate cuffs
SIDE OF TROLLEY
Cardiac board
Oxygen cylinder
Sharps container
DRAWER 1- Medications
Activated Charcoal
Adrenaline 1mg/ml (Epinephrine) 1 ml ampoule
Adenosine 6mg OR 12 mg vial
Aminophylline 250mg/10ml
Amiodarone 50mg/ml OR 150mg/3ml
Aspirin 75mg OR 300mg tablets
Atropine 0.5mg OR 1mg ampoule
Calcium gluconate 10% 10ml ampoule
Diazepam 10mg/ml ampoule
Furosemide 20mg OR 10 mg/2 ml ampoule
Glyceryl trinitrate spray 400mcg/dose spray SL
Hydralazine 20mg/ml
Hydrocortisone 100mg/ml OR 200mg/2 ml vial
Intralipid 20% vial
Isosorbide dinitrate sublingual 5mg tablets
Ipratropium 0.25 mg/2ml OR 0.5mg/2ml
Labetalol 5mg/ml IV vial
Lidocaine IV 1% OR 2% vial
Magnesium sulphate 50%, 1 g/2 ml ampoule
Mannitol 20% 100ml
Midazolam 5mg/ml ampoule
Naloxone 0.4mg/ml OR 1mg/ml ampoule
Nifedipine 5 mg/10 mg capsules
Phenobarbital 200mg/ml IV
Prednisone 5mg tablets
Promethazine 25mg/1ml ampoule
Salbutamol 2.5mg/2.5 ml OR 5 mg/2.5 ml
Sodium Bicarbonate 8.4% 10ml
Sodium Chloride 30% concentrate
Thiamine 100mg/ml vial
Water for injection (sterile water amps 10ml)
Xylocaine spray
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DRAFT: BLH DAILY CRASH CART CHECKLIST
DATE:
ITEM Qty
DRAWER 1- Medications Continued
Syringes 3 - part 1 ml 3
2 ml
5 ml 3
10 ml OR 20 ml 3
50 ml 3
Syringes: Insulin
Needles: 18 (pink) OR 20 (yellow) 5
21 (green) 5
23 (blue) OR 22 (black) 5
Suture chromic 0/0 OR 1/0 1/2 X 75 cm
Suture nylon 2/0 OR 3/0 3/8 X 45 cm
Suture nylon 4/0 OR 3/8 X 45 cm
Medication/vacolitre stickers
DRAWER 2- Airway/Breathing
Water-soluble lubricant/lubricating jelly
Oropharyngeal Airways
000 clear
00 blue
0 grey
1 white
2 green
3 yellow
4 pink
5 orange
6 red
Magills forceps Neonatal
Paediatric
Adult
Manual bag valve mask
Neonatal (250 ml)
Paediatric (500 ml)
Adult (1600 ml)
Simple face masks for oxygen 00
0
1
2
3
4
Adult
Reservoir mask for oxygen Neonatal
Paediatric
Adult
Nasal cannula (prongs) Neonatal
DATE:
ITEM Qty
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DRAFT: BLH DAILY CRASH CART CHECKLIST
DRAWER 2- Airway/Breathing Continued
Paediatric
Adult
Face mask with nebulizer chamber
Neonatal
Paediatric
Adult
Adult curved blades for laryngoscope - sizes 2
3
4
Paediatric laryngoscope handle
Paediatric straight blades for laryngoscope 00
0
1
Spare bulbs for laryngoscope
Spare batteries for laryngoscope handle
Endotrachael tubes Uncuffed size 2.0 mm
2.5 mm
3.0 mm
3.5 mm
4.0 mm
4.5 mm
Endotrachael tubes Cuffed size 3.0mm
4.0 mm
5.0 mm
6.0 mm
7.0 mm
8.0 mm
Airway exchange catheter
Intubating stylet
Bougie
Laryngeal Mask Airways
1.0
1.5
2.0
2.5
3.0
4.0
5.0
Oxygen tubing
Suction tubing
Suction catheters – sizes 8 Fr
10 Fr
12 Fr
14 Fr
Zinc oxide strapping 75 mm
DATE:
ITEM Qty
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DRAFT: BLH DAILY CRASH CART CHECKLIST
DRAWER 3- IV Access
Intravenous cannula
26G purple
24G yellow
22G blue
20G pink
18G green
16G grey
14G orange
Short line –clot-less connector
Admin set 20 drops/ml 1.8 /pack
Admin set paeds 60 drops/ml 1.8 m /pack
Small clear IV dressing
Sterile swabs
Antiseptic solution
Examination gloves
Central Venous Catheters
3.0 Fr
4.0 Fr
5.0 Fr
6.0 Fr
7.0 Fr
7.5 Fr
DRAWER 4 - Fluids/Drains
½ Darrows dextrose 5% 200 ml
4.5% sodium chloride 200ml/1000ml
Sodium Bicarbonate 4%/8.4%
50% dextrose (20 ml ampoule or 50 ml bag)
10% dextrose 1L/200ml solution
½ strength Darrows 200 ml or 500 ml solution
Neonatalyte 200 ml solution
Ringer’s Lactate 200ml, 500ml or 1L solution
Sodium Chloride 0.9% solution 1L solution
IBP/CVP Transducer (selected carts)
Pressure infuser bags
3-way stop cocks
Urethral catheters + BAGS (6-26Fr)
Percutaneous supra-pubic catheters
Nasogastric tubes:
400 mm - 600 mm 8Fr
800 mm - 1200 mm 10 or 12Fr
Chest tubes
12-14Fr
18-22Fr
26-36Fr
28-40Fr
Pig-tail drainage catheters (8-12Fr)
Under water seal drain system
DATE:
ITEM Qty
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DRAFT: BLH DAILY CRASH CART CHECKLIST
DRAWER 5 – Miscellaneous
Oxygen flow meter
Humidifier (Aqua pack)
Stethoscope
Glucometer
Short line –clot-less connector
Rescue scissors (to cut clothing)
Paediatric Broselow tape OR Pawper tape
Clinical thermometer (in 0C, non-mercury)
Wound care sundries
Surgical gloves
Sign
Time
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