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A CCRE DI TA TI ON STANDARD S

Patient Safety

EMERGENCY CART MEDICATION


AND EQUIPMENT

Class 1 Facility: General Anesthesia


Top of Cart: Defibrillator/Lead II Monitoring Equipment

ACLS algorithms and drug information (binder or laminated cards for easy reference)
Clipboard with arrest forms (triplicate copy) and pen
CPR backboard
Defibrillator/monitor which includes ECG, cardioversion, external pacing and pulse oximetry
capabilities
Lead II monitoring cable (1)
Electrodes
Combo (defibrillator/ECG/pacing) pads (2 sets)
Defibrillator gel pads (2)
Monitor paper in printer, as appropriate
Self-inflating bag-valve-mask
Emergency oxygen tanks (2) with regulator and nipple attached
Portable battery operated suction with Yankauer attached
Stethoscope
Gloves

Airway Equipment

Stylettes (2)
Laryngoscope handles (2)
Laryngoscope blades #3 curved and #4 curved

February 2015
ACCREDITATION STANDARDS
Patient Safety
EMERGENCY CART MEDICATION AND EQUIPMENT CLASS 1 FACILITY

Laryngoscope bulb (1) (as appropriate)


Extra batteries for laryngoscope handle
ET tubes sizes 6, 6.5, 7, 7.5, 8, 8.5
Rescue airways (e.g. supraglottic airway - King Systems sizes 3, 4 and 5 or classic LMA sizes
3, 4 and 5)
Oral airways sizes 8 cm, 9 cm, 10 cm (1 each)
Lidocaine spray with nozzle (1)
Lidocaine jelly 2%
ETT ties or tape
Syringe 10 cc (1)
Magill forceps
Easy Cap CO2 detector
Yankauer suction (2)
Deep suction catheters (2)

Medications
(Unless quantity specified, medications are in sufficient quantities to provide emergency care as
outlined in the ACLS algorithms)
Adenosine
Amiodarone
Antihypertensive (hydralazine or nifedipine)
ASA non-enteric coated
Atropine
Beta blocker (one of metoprolol, propranolol, esmolol)
Dextrose 50%
Diphenhydramine
Ephedrine
Epinephrine
Flumazenil
Furosemide
Hydrocortisone
Labetalol
Lidocaine

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February 2015
ACCREDITATION STANDARDS
Patient Safety
EMERGENCY CART MEDICATION AND EQUIPMENT CLASS 1 FACILITY

Midazolam
Lipid emulsion (if using bupivacaine or ropivacaine)
Morphine
Naloxone
Nitroglycerine spray
Phenylephrine
Salbutamol puffer with spacer
Sodium bicarbonate
Sodium dantrolene (36 vials)
Succinylcholine
Vasopressin
Verapamil

IV and Medication Preparation Equipment

IV tubing (2 sets)
Normal saline 500 ml (2) and 1,000 ml (1)
D5W 250 ml (1)
Minibags 50 cc and 100 cc
Artificial colloid (1 bag)
Tourniquet
Alcohol swabs
IV cannula sizes 18-22G (2 of each size)
Small transparent dressings
2x2 gauze
Tape
Razors (2)
Medication labels
NS 10 ml vials (5)
Syringes 10 ml (4)
Syringes 3 ml with needle (3)
Needles (various sizes)

NHMSFP College of Physicians and Surgeons of British Columbia Page 3 of 5


February 2015
ACCREDITATION STANDARDS
Patient Safety
EMERGENCY CART MEDICATION AND EQUIPMENT CLASS 1 FACILITY

Gastric Tube Supplies

Gastric tubes sizes 14F and 16F


Lubricant
Catheter tip syringe 60 ml (1)
Suction tubing (1)
Anti-reflux valve (1)

Additional Supplies

Glucometer (readily available in the facility)


Sterile gloves
Scissors
Pen light
Sharps container
Emergency cuffed cricothyrotomy set in a size appropriate to the facilitys patient
population (1)
Pressure bag (1)
Non-rebreather oxygen mask (2)
Simple oxygen mask (2)

Pediatric Supplies (as appropriate)

PALS algorithms and drug information


Pediatric length-based resuscitation tape
Pediatric defibrillator/monitor which includes ECG, cardioversion, external pacing and pulse
oximetry capabilities
Lead II monitoring cable (1)
Pediatric electrodes
Pediatric combo (defibrillator/ECG/pacing) pads (2 sets)
Pediatric defibrillator gel pads (2)
Pediatric self-inflating bag-valve-mask
Pediatric stylettes (2)

NHMSFP College of Physicians and Surgeons of British Columbia Page 4 of 5


February 2015
ACCREDITATION STANDARDS
Patient Safety
EMERGENCY CART MEDICATION AND EQUIPMENT CLASS 1 FACILITY

Pediatric laryngoscope handle (2)


Pediatric laryngoscope blades Mac size 1 and 2
Laryngoscope bulb (1) (as appropriate)
Extra batteries for laryngoscope handle
ET tubes sizes 4.0, 4.5, 5.0, 5.5, cuffed and uncuffed
Rescue airways classic LMA sizes 1.5, 2.0, 2.5
Oral airways sizes 60 mm, 70 mm and 80 mm
Pediatric Magill forceps
Pediatric non-rebreather oxygen masks (in sizes appropriate to expected range of patient
size and age) or Jackson-Reese T-Piece device
Pediatric simple oxygen masks (in sizes appropriate to expected range of patient size and
age)
Intraosseous needles sizes 16G and 18G
Intravenous infusion pump
Intravenous infusion pump tubing (2)
IV cannula sizes 24G (2) and 22G (2)
Butterfly needles sizes 19-25G
Arm boards
Gastric tubes sizes 10F and 12F
BP apparatus and cuffs (in sizes appropriate to expected patient size and age)

NHMSFP College of Physicians and Surgeons of British Columbia Page 5 of 5


February 2015

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