CRASH CART CHECK LIST FOR NICU

MONTH OF _________________________

PARTICULARS QTY EXPIRY M E N M E N M E N M E N M E N M E N M E N M E N M E N M E N

NORMAL SALINE 0.9 % 1

NORMAL SALINE 0.45 % 1
RINGER LACTATE 2
DEXTROSE 5% 500 ML 2
DEXTREOSE 10 % 500 ML 2
ECG JELLY 1
OPEN CONTAINERS
PEDIATRIC ECG ELECTRODES 6
MICROPORE2" 1
CUT DYNAPLAST 5
BANDAGES 4" , 6" 1 EACH
LOWER SHELF
O2 CYLINDER WITH FLOW METER 1
O2 KEY AVAILABLE 1
CYLINDER KNOB OPENED Yes/No
CYLINDER PRESSUREMORE THAN50 Yes/No
ANY LEAKAGE CHECKED Yes/No
B.PCUFF ADULT,PEAD 1 EACH
FIRST DRAWER(LEFT) SHELF-D1
INJ.ATROPINE 0.6MG 5
INJ.ADRENALINE 1ML 5 EACH
INJ.NORADRENALINE 4MG 2
INJ.AVIL 2MG 1
INJ.DOPAMINE 200MG 1
INJ.BETALOC 5ML NA
INJ.CORDARONE 150MG NA
INJ.MAGNESIUM SULPHATE 50% 1
INJ.ADENOSINE 6MG 1
INJ.SODA BICARBONATE 10 ML 1
SECOND DRAWER(RIGHT)-D2
INJ.CALCIUM GLUCONATE 10 ML 2
INJ.MIDAZOLAM 10 ML 1
INJ.EPSOLINE 100 MG 2
INJ.HYDROCORTISONE 100 MG 2
INJ.25%DEXTROSE 25% 100ML 1
INJ.LASIX 20 MG 1
INJ.XYLOCARD 2% 50 ML 1
INJ.HEPARIN 5000 IU 1
INJ.LEVIPRIL 500 MG 1
THIRD DRAWER (LEFT) D3
SYRINGES 1ML,20ML,50ML 2 EACH
SYRINGES 2ML,5ML,10ML 5 EACH
INSULIN SYRINGE 2 EACH
NEEDLES 18",21",22"24 1 EACH
EASY FIX 2 EACH
THREE WAY STOPCOCK 2
TOURNIQUET 1
SURGICAL BLADE11 2
FOURTH DRAWER (RIGHT) D4
E.T.TUBE 2,2.5,3,3.5,4,4.5 1 EACH
XYLOCAIN JELLY 1
SUCTION CATH6,8,10 2 EACH
LARGNGOSCOPE WITH BLADES PAED 1 EACH
WITH EXTRA BATTERIES
ORAL AIRWAY0,1 1 EACH
E.T.STYLLET NEO FR 6 1 EACH
MAGILS FORCEPS NEO 1 EACH
FIFTH DRAWER (LEFT) D5
TORCH WITH EXTRA BATTERIES 1
PRESSURE LINES200 1 EACH
INFANT FEEDING TUBES5,6,7,8 1 EACH
I/V SET 1 EACH
B/T SET 1
PEDIA DRIP SET 1
SIXTH DRAWER (RIGHT) D6
SURGICAL GLOVES 6.5,7,7.5 2 EACH
DIS-APRON 2
DIS-MASK 5
CLEAN GLOVES 5 PAIR
O2 MASK PAED 1 EACH
NASAL PRONGS PAED 1 EACH
BOTTOM SHELF E
AMBU-BAG NEO 1 EACH
OTHERS
SCISSORS(TIED NEAR THE POLE) 1
STETHOSCOPE PAED(ON I/V POLE) 1 EACH
AMPULE CUTTER 1
CODE BLUE RUNNING SHEET
HARD BOARD 1
FRIDGE ITEMS
INJ.VASOPRESSIN (FRIDGE) 2
TIME OF REPLENISHING
NAME OF STAFF
NAME OF SUPERVISOR
APPROVED BY M.S
APPROVED BY DIRECTOR