Resuscitation Equipment Information and Checklists. 6 th September In addition to this document, please also refer to the Trust Policy called:

Transcription

1 Resuscitation Equipment Information and Checklists 6 th September 2016 In addition to this document, please also refer to the Trust Policy called: Medical Emergencies & Resuscitation Policy in the Clinical Policies Group/Section), (Reference No: SH CP 30) via Trust intranet policies section: me=/sh_cp_30_-_medical_emergencies_and_resuscitation_policy_v2.pdf Key Contacts Simon Johnson Head of Essential Training & Resuscitation Officer Mobile: simon.johnson@southernhealth.nhs.uk Resuscitation Officers Hayley Stockford Resuscitation Officer Mobile: hayley.stockford@southernhealth.nhs.uk Tim Matthews Resuscitation Trainer Mobile : timothy.matthews@southernhealth.nhs.uk Helen Collins Resuscitation Trainer Mobile: helen.collins2@southernhealth.nhs.uk BCAS Biomed faulty equipment Tel: or info@bcasbiomed.co.uk 6 th September 2016 Page 1 of 18

2 Contents Page Item Page Process for the storage and checking of resuscitation equipment 4 key points from the medical emergency and resuscitation policy 3 Resuscitation Equipment Order codes 4/5 Your nearest resuscitation equipment is located 6 Resuscitation equipment checking document 7/8 Defibrillator Checking Guidance Phillips FR2 Lifepak 500 Lifepak CR Plus Phillips HS1 Phillips FRx Lifepak 1000 MRX XL th September 2016 Page 2 of 18

3 Process for storage and checking of resuscitation equipment 1. Ensure the location of resuscitation equipment is clearly marked and staff know where the resuscitation equipment is stored and how to access it. a. Please use page 6 of this document as required, this page shows the international sign for a defibrillator and has space to write where equipment is stored. 2. Resuscitation equipment will need a DOCUMENTED DAILY CHECK please check sheet on page 7 & 8 3. If equipment is missing, opened or out of date please reorder the most common resuscitation equipment codes are on page 4 & 5 of this document 4. Ensure an incident report is completed if resuscitation equipment has been used on a person and ensure the equipment is replaced in a timely manner. 4 key points from the medical emergency and resuscitation policy with particular reference to resuscitation equipment (Reference No: SH CP 30) via trust intranet policies section: me=/sh_cp_30_-_medical_emergencies_and_resuscitation_policy_v2.pdf 1. The Trust will take all reasonable steps to provide the initial first aid response for medical emergencies and in all instances refer for subsequent specialist treatment and care 2. All resuscitation equipment must be maintained in a state of readiness at all times and allow speedy access. 3. The team manager of each in-patient unit will delegate a registered nurse or mental health practitioner to be responsible for checking and recording the resuscitation equipment by a member of staff who is deemed competent to do so on a daily basis and immediately following conclusion of a resuscitation event. 4. Individual staff working in a clinical area s duties and responsibilities are: Reading the policy and being familiar with the procedure for initiation of resuscitation or emergency treatment and the location of relevant equipment, including medical emergency drugs, within their working area. Accessing agreed training as required ensuring their competence is current. 6 th September 2016 Page 3 of 18

4 Supply Chain Code FDD1014 Resuscitation Equipment - order codes (updated August 2016) Base description Secondary description Brand Resuscitation mask (pocket mask) CPR (Cardiopulmonary resuscitation) mask Rescue mask without Oxport in soft case FDJ312 Defibrillation device battery Defibrillation device battery FR2 Philips FDJ609 Defibrillation lifepak Automated defibrillation Lifepak defibrillation/pacing electrode preconnect Medtronic FDJ183 Defibrillator Pad Automated defibrillation defibrillator pad FR2 Fiab Spa RE/444 Manual Vacuum Pump Ezyvac Manual Vacuum Pump single Ezyvac FDB118 Suction Tubing Suction Tubing 3m with maxi tip Yankauer sucker with control FPA Medical FDR147 Replacement liners for suction canisters Suction Liner Canisters 1 litre Blue lid for use with Laerdal Suction Unit Serres liners FDD2841 Supraglottic airway I-GEL Size 4 airway standard size for all Intrasurgical Ltd FDB316 Oropharyngeal Airway Guedel disposable one piece size 2 ISO 8.0 GREEN Intrasurgical Ltd FDB317 Oropharyngeal Airway Guedel disposable One piece size 3 ISO 9.0 ORANGE Intrasurgical Ltd FDB318 Oropharyngeal Airway Guedel disposable One piece size 4 ISO 10.0 RED Intrasurgical Ltd FDB341 Nasopharyngeal Airway Nasosafe nasopharyngeal airway with green swivel grip size 6 Flexicare Medical FDB342 Nasopharyngeal Airway Nasosafe nasopharyngeal airway with orange swivel grip size 7 Flexicare Medical FDE379 Bag Valve Mask BVM Resuscitator manual (bag-valve-mask) disposable Adult PVC large volume with size 5 air cushion mask FDD111 Non re-breathing mask High Concentration Oxygen mask & Tubing/non re-breathing mask Intersurgical Ltd FDE035 Nebuliser Mask 2.1m tubing with nebulising canister and mask Respironics FDE504 Spacer device for Inhaler Metered dose inhaler spacer Nspire FTM266 Lubricant Gel Lubricating gel 5g sachet x 100 Ecolab FSM1179 Magill s Forceps Magill s forceps adult Marshall Products FA/022Y Padlock seals Plastic Padlock Seals red to seal Emergency bags - FFE066 Pen Torch Torch examination pen with battery Williams Medical FSL045 (Small) Sharps Box 1 litre rectangular, orange lid Daniels Healthcare FIC15955 Wire Cutter Reusable Universal with tungsten carbide jaws for ligature and wire cutting 115mm angled Phoenix Surgical FIC11918 Dressing Scissors For cutting gauze & tape Decree Thermo 6 th September 2016 Page 4 of 18 Ambu Marshal

5 FIC8823 Tough Cut Scissors For cutting clothing & ligatures heavy duty scissors Decree Thermo FKA199 IV Giving Set IV administration set Carefusion UK FSP803 IV Cannula 14g Safety cannula Dickinson Becton FSP798 IV Cannula 16g Safety cannula Dickinson Becton FSP797 IV Cannula 18g Safety cannula Dickinson Becton FFE9947 Blood Pressure Monitor Auscultory hand-held model, adult cuff in a zipped case Welch Allyn FTM054 Blood Lancets Safety lancets to use with BM machines Owen Mumford Ltd Tympanic Thermometer Welsh Allen Braun Thermometer Thermo Scan Pro 4000 order via Medisave.com use code Welch Allyn FWH040 Tympanic Thermometer Covers Disposable covers for Thermo Scan Pro 4000 Welch Allyn FWH043 Tempa-DOT Thermometer phase change, dot matrix single use Medical Indicators Europe FFE179 Stethoscope Adult Stethoscope Timesco FBC323 Saturation Probe Pulse oximetry finger device Timesco FWJ013 Disposable Tourniquet Single use, stretch, latex free band type Greiner Bio-one Ltd 6 th September 2016 Page 5 of 18

6 Your nearest resuscitation equipment is located: (Please laminate this sheet and write the location in the box below) 6 th September 2016 Page 6 of 18

7 ADULT RESUSCITATION EQUIPMENT DAILY CHECKING LIST MON TUES WED THURS FRI SAT SUN Date: SIGNATURE OF PERSON CHECKING NAME OF PERSON CHECKING (BLOCK CAPITALS) DESIGNATION OF PERSON CHECKING Pocket Mask with oxygen port Defibrillator (AED or MANUAL): - 2 sets pads, sealed and in date - Self test passed - Tuff Kut Shears - Razor Oxygen source: piped or CD cylinder at ¾ full Wall service with pressure reduction valve and flow meter High Concentration Oxygen mask (inc. reservoir bag) with tubing Oropharyngeal (OP) airways sizes 2,3,4 one of each Nasopharyngeal (NP)airways sizes 6,7 one of each Bag-Valve-Mask with oxygen reservoir and tubing Suction device with appropriate suction catheters Magill Forceps x 1 igel size 4 x 1 5g sachet of aqua gel/ky Jelly or similar MH, LD and OPMH Services Only: Ligature Pack as per Trust guidelines 6 th September 2016 Page 7 of 18

8 ADULT MEDICAL EMERGENCY DRUGS AND ASSOCIATED EQUIPMENT CHECKLIST Date: MON TUES WED THURS FRI SAT SUN SIGNATURE OF PERSON CHECKING NAME OF PERSON CHECKING (BLOCK CAPITALS) DESIGNATION OF PERSON CHECKING Adrenaline 1mg (=10ml 1:10000) IV as prefilled syringe x 4 Amiodarone 300mg as prefilled x1 Emerade Auto Injector IM (0.5mg) x 2 Chlorphenamine 10mg IV/ IM x 2 Hydrocortisone 100mg IM/ IV x 2 Aspirin 300mg Furosemide 50mg IV x 2 Flumazenil 0.5mg IV x 2 Naloxone 400mcg x 5 IM/ IV Midazolam 10mg in 2ml (prefilled oral syringe) Glucagon 1mg IM/ IV x 1 Glucose gel (box of 3) x1 GTN Spray Ipratropium bromide 500 mcg nebules x 2 Salbutamol 5mg nebuliser solution x 2 (and nebuliser mask) 0.9% sodium chloride (1000ml) 0.9% sodium chloride or water for injection (10mls) x 5 Sharps box Cannulas : 14G/16G/18G x 2 each inc. IV dressings and single use tourniquet Intravenous infusion set x 1 Needles (5 x each of 21G, 23G, 25G and drawing up) and Syringes (5 x each of 10ml, 5ml, 2ml and 1 ml) 6 th September 2016 Page 8 of 18

9 Checking the AED Automated External Defibrillator (AED) AED (with battery inserted) 2 Sets of sealed in date Adult defibrillator pads Phillips FR2 - Checking guidelines The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but you may check this more frequently to suit your local needs (i.e. daily, weekly). Problem solving Status Indicator Light Recommended action Flashing light (Top right hand corner) Flashing RED X accompanied by a chirping sound Solid RED X Showing alternating hourglass/square; self test passed A self test error has occurred or the battery is low or depleted The battery is completely depleted or a self test failure occurred. install before date Please check expiry date 6 th September 2016 Page 9 of 18

10 Automated External Defibrillator (AED) Lifepak Checking guidelines The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but you may check this more frequently to suit your local needs (i.e. daily, weekly). Checking the AED AED (with battery inserted) 2 Sets of sealed in date Adult defibrillator pads Problem solving Status Indicator Recommended action Should read OK If there is a picture of a spanner in the status Device has passed its self-test Requires service please contact indicator bar If there is a picture of a battery in the status Battery needs replacing indicator bar install before date Please check expiry date, which is on the back of the packet 6 th September 2016 Page 10 of 18

11 Automated External Defibrillator (AED) Lifepak CR Plus - Checking guidelines The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but you may check this more frequently to suit your local needs (i.e. daily, weekly). Checking the AED AED (with battery inserted) 2 Sets of sealed in date Adult defibrillator pads Problem solving Status Indicator Recommended action Should read OK If there is a picture of a spanner in the status Device has passed its self-test Requires service please contact indicator bar If there is a picture of a battery in the status Battery needs replacing indicator bar expiry date Please check expiry date, which is on the back of the packet 6 th September 2016 Page 11 of 18

12 Automated External Defibrillator (AED) Phillips HS1 Checking guidelines The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but you may check this more frequently to suit your local needs (i.e. daily, weekly). Checking the AED AED (with battery inserted) 2 Sets of sealed in date Adult defibrillator pads Problem solving Status Indicator Recommended action Should Flash Green If flashing red either battery needs replacing or devices requires service Device has passed its self-test Requires service please contact expiry date Please check install before date 6 th September 2016 Page 12 of 18

13 Automated External Defibrillator (AED) Phillips FRx Checking guidelines The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but you may check this more frequently to suit your local needs (i.e. daily, weekly). Checking the AED AED (with battery inserted) 2 Sets of sealed in date Adult defibrillator pads Problem solving Status Indicator Recommended action Should Flash Green If flashing red either battery needs replacing or devices requires service Device has passed its self-test Requires service please contact expiry date Please check install before date 6 th September 2016 Page 13 of 18

14 Automated External Defibrillator (AED) Lifepak 1000 Checking guidelines The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but you may check this more frequently to suit your local needs (i.e. daily, weekly). Checking the AED AED (with battery inserted) 2 Sets of sealed in date Adult defibrillator pads 1 - Check status indicator OK displayed in top right hand corner 2 Check expiry date of quick combo defibrillation pads and that they are unopened 3 Check Pads are plugged in 4 Check ECG cable and ECG electrodes are present and unopened 6 Check expiry date of ECG electrodes ONLY open quick combo pads when needed for patient care. If the packaging is opened the pads will dry out and then they will not stick to the patient s chest. The Medical Emergencies & Resuscitation Policy (see under Clinical Policies within the Trust Intranet) expects you to check your emergency resuscitation equipment at least monthly, but locally you may check this more frequently to suit your local needs (i.e. daily, weekly). 6 th September 2016 Page 14 of 18

15 HeartStart MRx Guidance sheet PLEASE USE THIS GUIDANCE PACK TO ASSIST IN THE ROUTINE CHECKING OF YOUR DEVICE To perform the System Check: 1. Disconnect HeartStart MRx from the mains. 2. Switch energy select to Press 4. Press down arrow to Other then 5. Select Operational check Press 6. Acknowledge Press 7. Connect and attach Test load 6 th September 2016 Page 15 of 18

16 8. Follow on screen instructions Whilst it does it s check (this may take a minute) 9. Press charge button when prompted 10. Deliver Shock when prompted (Device will inform you that shock has been delivered via audible warning) 11. Device will prompt Did you hear it? Acknowledge yes (or no) with 12. Wait for print out (Tear off and store in folder) 13. Exit op (bottom left hand corner) Press the button below. 14. Turn dial to off position 15. Disconnect test load and store 16. Turn mains supply back on. 17. Confirm top right hand corner is displaying Black hourglass 6 th September 2016 Page 16 of 18

17 HeartStart XL Guidance sheet PLEASE USE THIS GUIDANCE PACK TO ASSIST IN THE ROUTINE CHECKING OF YOUR DEVICE Using Pads To perform the System Check using multifunction defib electrode pads: 18. Turn the HeartStart XL off. 19. Connect a 50 ohm test load (see pictures below) to the pads patient cable (instead of pads). 3. If a Data Card is routinely used, insert a Data Card into the HeartStart XL. 4. Unplug the AC power cord. 5. Insert a charged battery. (Battery needs to be in date and already in place). Pic 1. Battery compartment Pic 2. Battery eject button Pic 3. Battery 6. While pressing STRIP BUTTON (see picture below), turn the Energy Select knob to either Manual On or AED On to start the test. 7. Follow the prompts on the display to proceed with the test. If the message Service Unit appears, do not use the device, and call for service. 6 th September 2016 Page 17 of 18

18 8. Reconnect the HeartStart XL to AC power. The test takes less than a minute to complete. When it is done, a report is printed, as shown below. 6 th September 2016 Page 18 of 18