Crash cart checklist

 Crash cart checklist

1.Crash cart medication drawers

The common set of first drawer medications might include:

> alcohol swabs

➤ amiodarone 150 mg/3ml vial

> atropine 1mg/10 ml syringe

➤ sodium bicarbonate 50m Eq/50 mL syringe

> calcium chloride 1gm/10 ml syringe > sodium chloride 0.9% 10 mL vial Inj. 20 ml vial

dextrose 50% 0.5 mg/ml 50 mL syringe

➤ dopamine 400 mg/250 mL IV bag

➤ epinephrine 1 mg/10 mL (1:10,000) syringe

➤ sterile water

> lidocaine 100 mg 5 ml syringes

> lidocaine 2 gm/250 mL IV bag iodine swab stick

➤ vasopressin 20 units/ml 1 mL vial

The common set of second drawer medications might include: 

➤ saline solution of various sizes such as

100 mL or 1L bags

> Ringer's lactate solution in a surgery department crash cart.

If the crash cart also contains pediatric medications, these may be contained in the second drawer and often include:

> atropine 0.5 mg/5 mL syringe

➤ sodium bicarbonate 10 mEq/10 mL syringe

➤ saline flush syringes

> sodium chloride 0.9% 10 ml flush syringe.

Crash cart intubation drawer

Many crash carts will also include most of the materials necessary to perform intubation. These may be contained in the third or fourth drawers depending on the setup of the cart. The adult intubation drawer may contain:

➤ endotracheal tubes of various sizes 

➤ nasopharyngeal and/or oropharyngeal airways

➤laryngoscope handle and blades of dif-

ferent sizes 

➤ flashlight and extra batteries

a syringe of sufficient size to inflate the cuff on its endotracheal tube

➤ stylets

> bite blocks and tongue depressors

Pediatric intubation materials may be in a separate cart, or if they are included in the adult crash cart, they may be in their own drawer and contain the following pediatric sized:

> 2.5 mm uncuffed endotracheal tube

➤ 3.0 mm -5.5 mm micro-cuff endotra. cheal tubes

> pediatric stylet (8 Fr)

➤ neonatal stylet (6 Fr)

➤ nasopharyngeal and/or oropharyngeal airways

➤ laryngoscope blades

➤ disposable Miller blades

➤ disposable Macintosh blades

➤ arm boards of various sizes

➤ vacutainers for blood collection ➤ spinal needles

suction catheters of various sizes

umbilical vessel catheter

disinfectants (swab sticks)

pediatric IV kits

> intravenous lines

Crash cart IV drawer

Usually, the equipment necessary to start an WV is in a separate drawer from the materials

needed to maintain an IV, such as the fluids and the tubing, The IV drawer(s) usually con-

tain the following ➤ IV start kit

angio catheters 14 Ga and/or 16 Ga

> disinfectants (Chloraprep, Betadine) ➤luer lock syringes of various sizes

> tourniquet tubing

> insyte auto guards of various sizes ➤ vacutainers

➤ blue, purple, green, and red tops

➤ spinal needles of various sizes

➤ regular needles of various sizes ➤ 3-way stopcock

➤ tape and arm boards

➤ ABG syringes and sampling kits > catheter tips

➤ tubing

➤ IV solutions

Procedure drawer/bottom drawer

The bottom drawer on crash carts is usually devoted to keeping prepackaged items avail. able for various urgent and emergent proce dures. The following items may be found in

the procedure drawer. ➤ ECG electrodes

➤ sterile gloves of various sizes

➤ sutures of various sizes and materials

suction supplies

-salem pump

cricothyroidotomy kit

adult and pediatric cutdown pack

➤ Yankauer suction

> drapes to create a sterile field

large bore needle and syringe (for ten- sion pneumothorax)

➤ suction cath kit 14 Fr & 18 Fr

lumbar puncture kit