The Emergency Department Cork University Hospital. Pre-hospital Care Standard Operating Procedure Medical Equipment Bag & Drug s Bag Contents

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1 The Emergency Department Cork University Hospital Pre-hospital Care Standard Operating Procedure Medical Equipment Bag & Drug s Bag Contents APPROVED: Dr. Stephen Cusack, Medical Director, Emergency Department, CUH AUTHOR: Dr. Adrian Murphy, Registrar, Emergency Medicine, CUH REVIEW DATE: January 009 DISTRIBUTION: CUH ED Doctors CUH ED Nursing Staff Ambulance Service Headquarters Aims: To ensure that all staff understand the contents of the equipment and drugs bags To provide a check list for ensuring readiness of kit bags To provide a structure for the introduction of new equipment Background: The equipment bags at the Emergency Department of the Cork University Hospital have evolved greatly over the last number of years. The introduction of the rapid response vehicle (RRV) has allowed us to modify and improve the kit we carry based on experience and practicality. The Medical Equipment and Drug s bags carried on the RRV are identical to those stored at the Major Incident room of the CUH ED and thus this document should serve as a checklist to that kit carried on the RRV in addition to that retained in the Major Incident Store. It is hoped that the pre-hospital equipment stored in the emergency departments of all acute hospitals across the southern region will be standardised shortly. The introduction of new equipment should be done in a controlled way and subject to clinical governance. Policy: There is one PAX Medical Equipment Bag and one PAX drugs bag on board the RRV. This kit must be checked before the commencement of each shift and tagged at the end of each shift as being re-stocked and in operational order. It is the responsibility of the attending Immediate Care Practitioner to complete this. The readiness of kit in the Major Incident Store is the responsibility of the E.D. Clinical Nurse Manager (or designate). There are three PAX Medical Equipment Bag s and three complementing PAX drug s bags. These should be checked monthly, and sealed with a red tag confirming the stock corresponds with this check-list. Particular attention must be given to the expiry date of drugs. All bags should be fully stocked and tagged at all times PAX Medical Equipment Bag Contents Dr. Adrian Murphy October 008 Page of 7

2 PAX Medical Equipment Bag Contents Main Section Left Side Adult BVM Child BVM Infant BVM Facemasks: Size Size Size 3 Size Size 5 0ml Syringe C-Circuit Right Side Adult Non Re-breather Mask Adult Nebuliser Mask Paediatric Non Re-breather Mask Paediatric Nebuliser Mask Salbutamol Nebules (.5mg) 5 Middle Surgical Airway Pouch: G Cannula 0ml Syringe Oxygen Tubing + 3-way tap Bethidine Spray Minor Procedures Set Scalpal (5 Blade) 7/0 Minitrach Set Gauze cm Divider Sleeve Oropharyngeal Airways: Size Size Size 3 Size Size 5 Nasopharyngeal Airways: Size Size 7 Size 8 Dr. Adrian Murphy October 008 Page of 7

3 PAX Medical Equipment Bag Contents Advanced Airway Sleeve Laryngoscope Handle Mackintosh Blade Size Mackintosh Blade Size Mackintosh Blade Size 3 Mackintosh Blade Size McCoy Blade Size 3 McCoy Blade Size Magill Forceps Gum Elastic Bougie Intubation Stylet 0ml Syringe Catheter Mount KY Jelly EasiCap CO Detector Tube Ties Sleek Tape Spare Laryngoscope Batteries Transparent Compartment Left Side Endotracheal Tube Size.5mm Size 3mm Size 3.5mm Size mm Size.5mm Size 5mm Size 5.5mm Size mm Size.5mm Size 7mm Size 7.5mm Size 8mm Size 8.5mm Size 9mm Right Side LMA Size.5 Size Size 3 Size Size5 Dr. Adrian Murphy October 008 Page 3 of 7

4 PAX Medical Equipment Bag Contents Front Top Pouch Wound Care Dressings (Gauze / Wound Pads) Elastocrepe / Conforming Bandaging Watergel Kit Triangular Bandages Asherman Chest Seal 0 Front Bottom Pouch Diagnostic Kit Thermometer Glucometer Adult and Paediatric BP Cuff Maternity Pack Pelvic Splint Left Side Pouch Surgical Kit Scalpel (5 & Blade) Tissue Scissors Needle Driver Large Forceps Sterile Shears 0 Ethilon /0 Prolene Sterile Gloves (S,M,L) Bethidine Spray Gauze 0 0cm Large Tegaderm Portex Chest Drain Set (8 Fr and 3 Fr) Right Side (Top) Pouch Regional Anaesthesia Kit % Lignocaine 0.5% Marcaine 0ml Syringe 0ml Syringe 0G Needle G Needle Right Side (Bottom) Pouch Emergency Haemorrhage Control Stapling Gun Foley Catheter Hand-held Suture (/0 Ethylon ) Rear Sleeve Adult (adjustable) Cervical Collar Paediatric (adjustable) Cervical Collar Dr. Adrian Murphy October 008 Page of 7

5 PAX Drug s Bag Contents Cannulation Sleeve ( ) Intravenous Access Cannulae G G 8G 0G G G Butterfly Arrow Emergency Infusion Device Fr Twin port Trauma extension Tegaderm / Alcowipes / Gauze swabs Cook IO Needles Paediatric Arm Splint 50ml Syringe 3-way tap Conforming Bandage 0ml Syringe 0ml Syringe 5ml Syringe.5ml Sryinge Hypodermic Needles (8G,G,5G) Water for Injection (0ml) 0 3 Full set of Blood bottles (Adult & Paed) Cardiac Drugs Cardiac Arrest Drugs Adrenaline MiniJet Atropine MiniJet Naloxone MiniJet Amiodarone MiniJet Lignocaine MiniJet Calcium Chloride MiniJet Calcium Gluconate MiniJet 3 Dr. Adrian Murphy October 008 Page 5 of 7

6 PAX Drug s Bag Contents Cardiac Drugs Metoprolol (5mg Vial) Adenosine (mg Vial) Aspirin (300mg PO) + Clopidogrel (300mg PO) GTN S/L Spray Frusemide (0mg Vial) LMWH (Clexane) / (00mg dose) Call out dependent Thrombolytic Agent (Metaplase) Call out dependent Anaesthetic Drugs (REFRIDGERATED & STORED IN SEPARATE POUCH) Induction Agents Thiopentone (500mg Vial) Ketamine (0mg/ml Vial) Propofol (00mg vial) Muscle Relaxants Suxamethonium (00mg Vial) Rocuronium (50mg Vial) Vecuronium (5mg Vial) Atracurium (50mg Vial) Vasopressor / Anticholinergic Ephedrine (30mg Vial) Atropine (00mcg Vial) Analgesic Drugs (CONTROLLED DRUGS ADDED TO BAG AT TIME OF CALL ACTIVATION) Morphine Sulphate (0mg) Fentanyl (00mcg) Paracetomol (g Bottle) Paralink (80mg) Paediatric Paracetomol Suspension (Calpol) Neurofen Suspension Oromorph (0mg) 3 Benzodiazepines ( & Reversal) Diazepam (0mg Vial) Midazolam (0mg Vial) Lorazepam (8mg Vial) Stesolid (5mg & 0mg dose) Flumazenil (500mcg Vial) Dr. Adrian Murphy October 008 Page of 7

7 PAX Drug s Bag Contents Antiemetic Drugs Metoclopramide (0mg Vial) Cyclizine (50mg Vial) Ondansetron (mg Vial) Antihistamine Chlorphenamine (0mg Vial) Steroid Hydrocortisone (00mg Vial) 3 Antibiotic Ceftriaxone (g Vial) Benzylpenicillin (00mg Vial) Diabetic Drugs Glucagon (mg kit) Dextrose (50% - 50ml Vial) Intravenous Fluids Ringer s Lactate L Giving Set Dr. Adrian Murphy October 008 Page 7 of 7

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