MEDSTAR CLINIC WEEKLY
Emergency Crash Cart CHECKLIST
No. Item/ Medication Quantity EXP DATE 1 2 3 4 5 REMARKS
On Top
1 Defibrillator 1
2 Defibrillator / pacer cable 1
3 ECG cable and leads 1
4 ECG electrodes
5 Oxygen tubing
6 Oxygen cylinder with gauge 1
7 Stethoscope 1
8 Sphygmomanometer 1
9 Foot pump with suction catheter 1
10 Stop clock 1
11 IV pole 1
12 CPR board 1
13 Sharp container 1
First Drawer
SNO Drug Name WITHOUT OT FOR PRIVATE Quantity Exp Date
1 Atropine 0.5 mg / ml 5
2 Adenosine 3mg mg/ml 2
3 Amiodarone 150 mg/ml 2
4 Inj. Calcium Gluconate 10ml 2
5 Dextrose 5 ml (D50) 2
6 Epinephrine 1:100 vials 1mg/ ml 5
7 Inj. Lidocaine 2 % 20 mg/ml 2
8 Inj. Magnesium Sulphate 50% 1
9 Naloxone 0.4 mg/ml 2
No. Item/ Medication Quantity EXP DATE 1 2 3 4 5 REMARKS
10 Inj. Sodium Bicarbonate 50 ml 8.4% 1
11 Inj. Dopamine 40 mg / ml 2
Second Drawer (Airway)
1 Oropharyngeal Airways (sizes 2,3,4) 1 each size
2 Nasopharyngeal airways (sizes 6,7,8 mm) 1 each size
3 Laryngeal Mak Airways (sizes 3,4,5) 1 each size
4 Laryngoscope 1
5 Macintosh Laryngoscope blades (sizes 2,3,4) 1 each size
6 Miller Laryngoscope blades (sizes 2,3,4) 1 each size
7 Endotracheal tubes (sizes 6 - 8.5 mm ) 2 each size
8 Intubating stylets 1
9 Bougie catheter (Coude Tip) 1
10 Magill forceps 1
11 Oxygen non - rebreather mask 1
12 Nasal cannula 1
13 Oxygen mask 1
14 Suction tubing 1
15 Suction catheter (sizes 10,12,14F) 1
16 Yankauer suction tip 1
17 20 cc syringe 2
18 Lubricant gel 2
Third Drawer
1 Tourniquet 2
2 2 cc syringe 5
3 5 cc syringe 3
No. Item/ Medication Quantity EXP DATE 1 2 3 4 5 REMARKS
4 10 cc syringe 2
5 14 G IV cannula 4
6 16 G IV cannula 4
7 18 G IV cannula 4
8 20 G IV cannula 5
9 22 G IV cannula 5
10 18 G 1' needle 6
11 20 G 1' needle 6
12 22 G 1' needle 6
13 Butterfly needles 4
14 Intraosseous needle (adult size) 1
15 Razor 1
16 3 way stopclock 2
17 Alchohol swabs 15
18 Sterile gauze 5
19 Adhesive tape 5
20 Scalpel 1
21 NaCl 5 ml flush 6
22 Scissors 1
Fourth Drawer / Bottom Shelf
1 Bag - Mask - Vlave device with reservoir (mask1 each
2 Pressure infusion bag 1
3 Sodium Chloride 0.9%, 500 ml 2
4 Lactated Ringers, 500 ml 2
5 IV administation tubing 2
NURSE SIGN