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JAIPUR NATIONAL UNIVERSITY
INSTITUTE FOR MEDICAL SCIENCE & RESEARCH CENTRE
JAGATPURA-302017,JAIPUR (RAJ.)
PRESENTED BY
MR. KUSHAL SHARMA
BSN, MSN (Paediatric), MA(Psychiatric)
Nursing Educator (ADNS) JNU
CRASH CART
DEFINATION
It is means of storing and
transport vital equipment and drugs
which may be required during a
CODE BLUE to the location of the
emergency
HISTORY
History in the United States
The first cardiac crash cart was created in
1962 at Bethany Medical Center in Kansas City,
Kansas, home to the first Cardiac Care Unit in
the country. The first crash cart was designed
by a nurse and fabricated by the father of one
of the doctors.
OBJECTIVES
1. To identify what is the crash cart consist of.
2. To identify how to arrange crash cart contents according to
policy listed from MoHFW (Ministry of Health and Family
Welfare).
3. To determine the role of nurse during checking crash cart.
4. To know the maintenance of crash cart.
The crash cart should be kept in an easy accessible
position which is central to the patient care areas.
I. As medical caretakers nurses play a major role in the
provision of health care services.
II. They must refill the crash cart after every shift.
III. They are responsible to verify the presence and expiry
date of every item in the crash cart.
IV. Nurses should maintain their consistency ménage of
crash carts in a proper way.
NURSE RESPONSIBILITY
FUNCTION
The function of a crash cart is to provide a
mobile station with in the hospital that contains
everything needed to treat a life-threatening
situation. The advantage of mobility is that it
allows the treatment to come to the patient when
needed.
ARANGEMENT CRASH CART
The arrangement of the equipment in the crash
cart should be standardized throughout the
Jaipur National University.
➢ 6 Parts Is There In Crash Cart
I. UPPER SELF
II. RIGHT SIDE
III. EMERGENCY DRUGS IN BOXES UPPER PART
IV. FRONT SIDE
V. DROWER’S
1. First Drawer (High Risk Drug)
2. Second Drawer ( Airway/Breathing)
3. Third Drawer (Circulation)
4. Fourth Drawer
5. Fifth Drawer
6. Sixth Drawer
VI. LOWER SELF
I. UPPER SELF
S.NO. NAME OF EQUIPMENT'S QUANTITY
1 AMBU BAG ADULT+PEDIA 1+1
2 VACCUM SUCTION SET 1
3 SUCTION CATHETER ALL SIZES 2 EACH
4 ET. STYLET SMALL, MEDIUM
LARGE
1 EACH
5 BOUGIE 1
6 BAIN CIRCUIT WITH MASK 1
BAINS CIRCUIT WITH MASK
II. RIGHT SIDE
S.NO NAME OF EQUIPMENT'S QUANTITY
1. CHECK LIST 1
2. PRESSURE BAG 1
3. OXYGEN CYLENDER 1
O2 CYLINDER
III. EMERGENCY DRUGS IN BOXES UPPER PART
S.N. NAME OF MEDICINE QUANTITY
1 INJ ATROPINE 10
2 INJ. ADRENALINE 10
3 INJ. NORADREALINE 10
4 INJ. DOPAMINE 5
5 INJ. DOBUTAMINE 5
6 INJ. AMIODARONE 5
7 INJ. DEXONA/AVIL 5+5
8 INJ. HYDROCORTISONE 5
9 INJ. DERIPHYLLINE 5
10 INJ. LASIX 10
11 INJ. SODA BI CARB 10
IV. FRONT SIDE
S.NO. NAME OF MEDICINE QUANTITY
1 Crash Cart Register 1
2 Dynaplast/Micropore 1+1
3 Magill's Forceps 1
4 Tongue Depressor 1
5 Scissor 1
6 Laryngoscope With Blades
(Adult/Pedia)
1+1
Dynaplast /Crepe bandage etc
SCISSOR Tounge depressor
LARYNGOSCOPE
1. FIRST DRAWER (HIGH RISK DRUG)
S.NO. NAME OF MEDICINE QUANTITY
1 Inj. Propofol 2
2 Inj. Midazolam 2
3 Inj. Lignocaine 2
4 Inj. Potassium Chloride 5
5 Inj. Calcium Gluconate 5
6 Inj. Nitro-glycerine (NTG) 2
7 Inj. Lopez 2
S.NO. NAME OF MEDICINE QUANTITY
8 Inj. Succinylcholine (Scoline) 2
9 Inj. Insulin 2
10 Inj. Magnesium Sulphate 2
11 Inj. Heparin 2
12 Inj. Phenergan 2
13 Inj. Serenase 2
14 Inj. Phenytoin 10
2. SECOND DRAWER ( AIRWAY/BREATHING)
S.NO. NAME OF EQUIPMENT'S QUANTITY
1 Oxygen Mask (Pedia/Adult) 2+2
2 Nasal Cannula/Cath 2 EACH
3 Oropharyngeal Airway All Sizes 2+2
4 Nasopharyngeal Airway Tube
No.7.5, 8, 8.5
1 EACH
5 Nebulization Kit (Adult/Pedia 1 EACH
6 Dynaplast Small Pieces 0
7 I-GEL 3, 4 1+1
8 NRM Mask With Reservoir
(High Flow Mask)
1
Simple oxygen mask / Nasal prop
Regular O2 Mask low flow O2 mask
(2 ltr/min to 6ltr/min)
Airway
NEBULISATION
I-gel
High flow Oxygen mask
3. THIRD DRAWER (CIRCULATION)
S.NO NAME OF EQUIPMENT'S QUANTITY
1 I.V. Set 5
2 I.V. Cannula ( All Sizes) 2 EACH
3 3 Way Stopcock 5
4 Cannula Fixer 5
5 P.M.O. Line 5
6 B.T. Set 2
7 Spinal Needle (All Size) 1 EACH
TWO WAY CANNULA /EXTENSION
INTRACATH/CANNULA/MED CATH
BT SET
SPINAL NIDDLE
4. FOURTH DRAWER
S.NO NAME OF MEDICINE QUANTITY
1. Inj. Tranexa 5
2. Inj. Digoxin 5
3. Inj. Vit. K 5
4. Inj. Naloxone 5
5. Inj. Paracetamol 5
6. Inj. Dynapar 5
7. Inj. Dicyclomine 5
8. Inj. Labetalol 5
9. ECG Gel 1
10. ECG Electrodes (Adult & Pedia) 10+5
S.NO NAME OF MEDICINE QUANTITY
11. Tab. Aspirin 10
12. Tab. Clopitab 5
13. Tab. Atorva 5
14. Tab. Nicardia 10
15. Tab. Amlodipine 10
16. Tab. Isordil-10 Mg 10
5. FIFTH DRAWER
S.NO NAME OF EQUIPMENT'S QUANTITY
1. SYRINGES ALL SIZES 5 EACH
2. TOURNIQUET 1
TOURNIQUITE
6. SIXTH DROWER
S.NO. NAME OF EQUIPMENT'S QUANTITY
1 Surgical gloves no. 7, 7.5, 6.5 2 EACH
2 Foley’s catheter (all size) 1 EACH
3 URO bag/URO meter Suction catheter
all sizes
1+1
4 Xylocaine jelly 2% 2 EACH
5 K- 90 2
6 Ryle's tube all sizes 5
7 Suction catheter all sizes 1 EACH
8 Merocele (nasal pack) 3
Merocele (nasal pack)
VI. LOWER SIDE
S.NO. NAME OF MEDICINE QUANTITY
1. NS 500ML 2
2. DSW 500ML 2
3. RL 500ML 2
4. DNS 500ML 2
5. 25% DEXTROSE 100ML 2
6. INJ. MANNITOL 1000ML 3
7. HAES STERIL 6% (HYDROXYETHYL STARCH) 1
8. ISOLYTE- P 1
9. ISOLYTE-M 1
10. INJ. 3% NS (10ML) 2
11. INJ. 0.9% NS (100ML) 2
CRASH CART.pdf

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CRASH CART.pdf

  • 1. JAIPUR NATIONAL UNIVERSITY INSTITUTE FOR MEDICAL SCIENCE & RESEARCH CENTRE JAGATPURA-302017,JAIPUR (RAJ.) PRESENTED BY MR. KUSHAL SHARMA BSN, MSN (Paediatric), MA(Psychiatric) Nursing Educator (ADNS) JNU CRASH CART
  • 2. DEFINATION It is means of storing and transport vital equipment and drugs which may be required during a CODE BLUE to the location of the emergency
  • 3. HISTORY History in the United States The first cardiac crash cart was created in 1962 at Bethany Medical Center in Kansas City, Kansas, home to the first Cardiac Care Unit in the country. The first crash cart was designed by a nurse and fabricated by the father of one of the doctors.
  • 4. OBJECTIVES 1. To identify what is the crash cart consist of. 2. To identify how to arrange crash cart contents according to policy listed from MoHFW (Ministry of Health and Family Welfare). 3. To determine the role of nurse during checking crash cart. 4. To know the maintenance of crash cart.
  • 5. The crash cart should be kept in an easy accessible position which is central to the patient care areas. I. As medical caretakers nurses play a major role in the provision of health care services. II. They must refill the crash cart after every shift. III. They are responsible to verify the presence and expiry date of every item in the crash cart. IV. Nurses should maintain their consistency ménage of crash carts in a proper way. NURSE RESPONSIBILITY
  • 6. FUNCTION The function of a crash cart is to provide a mobile station with in the hospital that contains everything needed to treat a life-threatening situation. The advantage of mobility is that it allows the treatment to come to the patient when needed.
  • 7. ARANGEMENT CRASH CART The arrangement of the equipment in the crash cart should be standardized throughout the Jaipur National University. ➢ 6 Parts Is There In Crash Cart
  • 8. I. UPPER SELF II. RIGHT SIDE III. EMERGENCY DRUGS IN BOXES UPPER PART IV. FRONT SIDE V. DROWER’S 1. First Drawer (High Risk Drug) 2. Second Drawer ( Airway/Breathing) 3. Third Drawer (Circulation) 4. Fourth Drawer 5. Fifth Drawer 6. Sixth Drawer VI. LOWER SELF
  • 9. I. UPPER SELF S.NO. NAME OF EQUIPMENT'S QUANTITY 1 AMBU BAG ADULT+PEDIA 1+1 2 VACCUM SUCTION SET 1 3 SUCTION CATHETER ALL SIZES 2 EACH 4 ET. STYLET SMALL, MEDIUM LARGE 1 EACH 5 BOUGIE 1 6 BAIN CIRCUIT WITH MASK 1
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 16. II. RIGHT SIDE S.NO NAME OF EQUIPMENT'S QUANTITY 1. CHECK LIST 1 2. PRESSURE BAG 1 3. OXYGEN CYLENDER 1
  • 17.
  • 19. III. EMERGENCY DRUGS IN BOXES UPPER PART S.N. NAME OF MEDICINE QUANTITY 1 INJ ATROPINE 10 2 INJ. ADRENALINE 10 3 INJ. NORADREALINE 10 4 INJ. DOPAMINE 5 5 INJ. DOBUTAMINE 5 6 INJ. AMIODARONE 5 7 INJ. DEXONA/AVIL 5+5 8 INJ. HYDROCORTISONE 5 9 INJ. DERIPHYLLINE 5 10 INJ. LASIX 10 11 INJ. SODA BI CARB 10
  • 20. IV. FRONT SIDE S.NO. NAME OF MEDICINE QUANTITY 1 Crash Cart Register 1 2 Dynaplast/Micropore 1+1 3 Magill's Forceps 1 4 Tongue Depressor 1 5 Scissor 1 6 Laryngoscope With Blades (Adult/Pedia) 1+1
  • 22.
  • 25.
  • 26. 1. FIRST DRAWER (HIGH RISK DRUG) S.NO. NAME OF MEDICINE QUANTITY 1 Inj. Propofol 2 2 Inj. Midazolam 2 3 Inj. Lignocaine 2 4 Inj. Potassium Chloride 5 5 Inj. Calcium Gluconate 5 6 Inj. Nitro-glycerine (NTG) 2 7 Inj. Lopez 2
  • 27. S.NO. NAME OF MEDICINE QUANTITY 8 Inj. Succinylcholine (Scoline) 2 9 Inj. Insulin 2 10 Inj. Magnesium Sulphate 2 11 Inj. Heparin 2 12 Inj. Phenergan 2 13 Inj. Serenase 2 14 Inj. Phenytoin 10
  • 28. 2. SECOND DRAWER ( AIRWAY/BREATHING) S.NO. NAME OF EQUIPMENT'S QUANTITY 1 Oxygen Mask (Pedia/Adult) 2+2 2 Nasal Cannula/Cath 2 EACH 3 Oropharyngeal Airway All Sizes 2+2 4 Nasopharyngeal Airway Tube No.7.5, 8, 8.5 1 EACH 5 Nebulization Kit (Adult/Pedia 1 EACH 6 Dynaplast Small Pieces 0 7 I-GEL 3, 4 1+1 8 NRM Mask With Reservoir (High Flow Mask) 1
  • 29. Simple oxygen mask / Nasal prop Regular O2 Mask low flow O2 mask (2 ltr/min to 6ltr/min)
  • 31.
  • 33. I-gel
  • 35. 3. THIRD DRAWER (CIRCULATION) S.NO NAME OF EQUIPMENT'S QUANTITY 1 I.V. Set 5 2 I.V. Cannula ( All Sizes) 2 EACH 3 3 Way Stopcock 5 4 Cannula Fixer 5 5 P.M.O. Line 5 6 B.T. Set 2 7 Spinal Needle (All Size) 1 EACH
  • 36. TWO WAY CANNULA /EXTENSION
  • 38.
  • 41. 4. FOURTH DRAWER S.NO NAME OF MEDICINE QUANTITY 1. Inj. Tranexa 5 2. Inj. Digoxin 5 3. Inj. Vit. K 5 4. Inj. Naloxone 5 5. Inj. Paracetamol 5 6. Inj. Dynapar 5 7. Inj. Dicyclomine 5 8. Inj. Labetalol 5 9. ECG Gel 1 10. ECG Electrodes (Adult & Pedia) 10+5
  • 42. S.NO NAME OF MEDICINE QUANTITY 11. Tab. Aspirin 10 12. Tab. Clopitab 5 13. Tab. Atorva 5 14. Tab. Nicardia 10 15. Tab. Amlodipine 10 16. Tab. Isordil-10 Mg 10
  • 43. 5. FIFTH DRAWER S.NO NAME OF EQUIPMENT'S QUANTITY 1. SYRINGES ALL SIZES 5 EACH 2. TOURNIQUET 1
  • 45. 6. SIXTH DROWER S.NO. NAME OF EQUIPMENT'S QUANTITY 1 Surgical gloves no. 7, 7.5, 6.5 2 EACH 2 Foley’s catheter (all size) 1 EACH 3 URO bag/URO meter Suction catheter all sizes 1+1 4 Xylocaine jelly 2% 2 EACH 5 K- 90 2 6 Ryle's tube all sizes 5 7 Suction catheter all sizes 1 EACH 8 Merocele (nasal pack) 3
  • 46.
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  • 48.
  • 50. VI. LOWER SIDE S.NO. NAME OF MEDICINE QUANTITY 1. NS 500ML 2 2. DSW 500ML 2 3. RL 500ML 2 4. DNS 500ML 2 5. 25% DEXTROSE 100ML 2 6. INJ. MANNITOL 1000ML 3 7. HAES STERIL 6% (HYDROXYETHYL STARCH) 1 8. ISOLYTE- P 1 9. ISOLYTE-M 1 10. INJ. 3% NS (10ML) 2 11. INJ. 0.9% NS (100ML) 2