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    Crash Cart Management CAHO

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    lijo work
    The document provides information on crash cart management including: - A crash cart contains emergency medications, a defibrillator, and monitor to treat critical patients. - Crash carts are checked regularly and stocked to ensure needed supplies are available immediately during emergencies. - Hospitals have policies outlining crash cart contents, locations, and maintenance to standardize emergency response.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Crash Cart Management CAHO

    Uploaded by

    lijo work
    221 views26 pages
    The document provides information on crash cart management including: - A crash cart contains emergency medications, a defibrillator, and monitor to treat critical patients. - Crash carts are checked regularly and stocked to ensure needed supplies are available immediately during emergencies. - Hospitals have policies outlining crash cart contents, locations, and maintenance to standardize emergency response.

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    crash cart management CAHO

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    The document provides information on crash cart management including: - A crash cart contains emergency medications, a defibrillator, and monitor to treat critical patients. - Crash carts are checked regularly and stocked to ensure needed supplies are available immediately during emergencies. - Hospitals have policies outlining crash cart contents, locations, and maintenance to standardize emergency response.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    221 views26 pages

    Crash Cart Management CAHO

    Uploaded by

    lijo work
    The document provides information on crash cart management including: - A crash cart contains emergency medications, a defibrillator, and monitor to treat critical patients. - Crash carts are checked regularly and stocked to ensure needed supplies are available immediately during emergencies. - Hospitals have policies outlining crash cart contents, locations, and maintenance to standardize emergency response.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 26

    CRASH CART MANAGEMENT

    Prepared By :
    Dr. Prabhakaran Arivazhagan

    Ms. V. Sathya
    Reviewed By :
    Mr. Mahadevan Subramaniyan
    Dr.Lalllu Joseph
    Mrs. Vijayalakshmi
    Dr.Anuradha Pichumani
    Mr. Thirumal Murgan
    Ms.Sudha Srinivasan
    Ms. Muthumari
    Dr. Waseem
    Dr Joseph Fidelis
    Crash cart
     Crash cart is a cabinet contains,

     High risk medications / Emergency


    medicines

     Defibrillator & Monitor

     Easily movable/ accessible

     Used during critical situations

     The size, shape and contents of a crash


    cart may be different between hospital
    to hospital.

     An adult crash cart is set up differently


    than a paediatric crash cart.
    Usage of crash cart

     To avoid sentinel events

     To start the treatment immediately

     To provide immediate access to supplies and medications

     To facilitate coordination of emergency equipment

     To ensure a properly stocked crash carts will be readily available

     To ensures a properly functioning defibrillator will be readily


    available

     To save the valuable time at the time of emergency

     It can be mobilized which allows the treatment to come to the


    patient when needed.
    Objectives of Crash Cart

     To identify what is the crash cart consists of

     To identify how to arrange crash cart contents according to policy of


    the organisation.

     To determine the role of nurse during checking crash cart

     To know the maintenance of crash cart

     To maintain the crash cart stock for one day according to the area

     To ensure crash cart is well maintained and cleaned as per the


    hospital policy.
    Policies of the crash cart
     Crash cart must be checked by Assigned Nurse on monthly basis for expiry
    checking and condition of the equipment. The crash cart is also checked and
    replaced immediately after its use.

     Standardization must be maintained across the hospital.

     Same list of medicines

     Stored in same order.

     Look alike and sound alike medicines should be stored separately as per
    policy

     Defibrillator, equipment maintained by Biomedical Engineer checked by the


    ward nurse on daily basis.

     Crash carts are located in a place which is free of obstacles and can be easily
    pulled to the location where needed.
    Procedures for checking crash
    cart
    After the emergency call, the nurse incharge shall tally the
    medications/drugs/ items used with the patients case sheet.

     The incharge nurse shall raise an indent for the items used after
    validation by the clinical pharmacist or replace from pharmacy /
    store.

     The assigned pharmacist shall note the indent and coordinate for
    replacement of the used items.

     Check as per the check list.


    Areas of the crash cart
    1. Emergency department

    2. Intensive Care Unit

    3. Post Operative ward

    4. Operation theatre

    5. Paediatric ward

    6. Maternity ward

    7. All Medical & Surgical ward

    8. Outpatient department

    9. CT Scan area/ Echo/ Treadmill

    10. Dialysis unit

    11. Cathlab

    12. Other areas should be easily accessible with near by crash cart
    Contents of Crash Cart

    Life Support Education Lab- The university of Texas


    Life Support Education Lab- The university of Texas
    Life Support Education Lab- The university of Texas
    Life Support Education Lab- The university of Texas
    Drawer 1 – Medication Drawer

    Crash Cart Top (2) Amiodorone


    (1) Atropine 1 mg
    (2) Vasopressin
    Defibrillator with leads (2) Calcium gluconate
    Disposable gloves (1) Dextrose 50% 5ml
    Sharps container (2) Isuprel
    (1) package of defibrillator pads (4) Epinephrine 1 mg
    (3) Lidocaine 100mg
    Side (2) Sodium Bacarbonate 50 meq
    02 tank (3) Dopamine
    Backboard (2) Lasix
    (2) Dobutamine
    (2) Tridil (nitroglycerin)
    (2) Pronestyl
    (2) Nipride
    (2) Verapamil
    (1) Magnesium sulfate
    Drawer 2 – Airway Management Drawer Drawer 3 Venipuncture tubes and equipment
    (1) 20 ml syringe
    Airways, oral, assorted sizes (4) 3 ml syringes
    Airways, nasal trumpet, assorted sizes (1) TB syringe
    Intubation tray – laryngoscopes, non-disposable and IV Start Equipment (4) 18 gauge angiocaths
    disposable with blades (4) 20 gauge angiocaths
    K-Y jelly (2), viscous xylocaine (1) (1) 22 gauge angiocath
    (2) 10 cc syringes Tourniquet
    Stylet Assorted butterflies
    Tape
    (1) batteries 3 way stopcock
    ET tubes – sizes 3.0, 6.5, 7.0, 7.5 Assorted needles
    Yankauer suction Bandaids
    Suction tubing Betadine swabs
    Suction catheter tray Alcohol swabs
    02 mask with tubing Saline locks
    Nasal cannula Lidocaine topical solution
    (2) ABG kits Radial artery catheterization set
    Tape
    Drawer 5
    Drawer 4 IV solutions: 1000 ml each of D5W, RL, NS
    500 ml each D5W, NS
    Electrodes (2) 100 ml NS
    B/P cuff with stethoscope (2) 500 ml Lidocaine 2 grams
    Assorted sterile gloves (1) Dobutamine
    •Dopamine
    (2) Packages of defibrillator pads
    •Amiodarone IVPB
    NG tube Tubing (2) microdrips (60 drops/ml)
    (1) 60 ml syringe (2) macrodrips (15 drops/ml)
    Locks (2) extension sets
    Medication additive labels

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