Crash Cart-New

CRASH CART CHECK LIST
S NO ITEMS QTY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

TOP SHELF MN MN MN MN MN MN MN MN MN MN MN MN MN MN MN MN MN MN
1 GLOVES NO 6-8(each) 5
2 DISPOSIBLE GLOVES 1PKT
MIDDLE TRAY
3 E C G LEADS 10
4 3 WAY EXTENSION 3
5 TEGADERM 2
6 XYLOCAINE JELLY 1
7 BANDAGE 10CM 1
8 DISTILLED WATER 10ML 5
9 HME FILTER 1
10 ET TUBE FIXATOR 1
MIDDLE TOP TRAY

11 AMBU BAG 1
LARYNGOSCOPE WITH BLADES
12 AND BATTERY (A&P) 1
13 AIRWAY NO (1-4) 1
14 TORCH 1
15 VACCUM SUCTION SET 1
16 MAGELLES FORCEPS 1
17 TONGUE DEPRESSOR 1
18 STILLETTE (S,M,L) 1
19 ET TUBE NO.(6-8.5) 1
20 XYLOCAINE JELLY 1
21 SYRINGE 10ML 1
LEFT SIDE
22 SUCTION CATH NO 8-16 5each
23 BUGGIE 1
RIGHT SIDE
24 OXYGEN CYLINDE WITH MASK 1
DRAWER-1
25 INJ.ATROPINE 10
26 INJ.DOPAMINE 2
27 INJ.HYDROCORTISONE 3
28 INJ.ISOPRENALINE 5
29 INJ.DERIPHYLINE 2
30 INJ.DYTOR 2
31 INJ.KCL 2
32 INJ.ADINOSINE 2
33 INJ.CARDARONE 6
34 INJ.MIDAZ 2
35 INJ.XYLOCARD 2 % 1
DRAWER -2
36 INJ.ADRENALINE 20
37 INJ.DOBUTAMINE 2
38 INJ.PAN 40MG 2
39 INJ.METOLAR 2
40 INJ.LASIX 10
41 INJ.NORAD 5
42 INJ.CA.GLUCONATE 5
43 INJ.AVIL 2
44 INJ.NITROGLYCERINE 2
45 INJ.AMINOPHYLLINE 2
46 INJ.SODA BICARB 5
DRAWER=3
47 B.T SET 2
48 I V SET 5
49 PEDIA SET 1
50 I V CANNULA NO-16 G 2
51 I V CANNULA NO-18G 2
52 I V CANULA NO-20 G 2
54 I V CANULA NO-22G 2
56 I V CANULA NO -26 G 2
57 ET TUBE NO (2.5-5.5) 2
58 RYLES TUBE NO (12-18) 2 each
59 NASAL PRONGS ADULT 1
60 NEB. MASK ADULT 1
DRAWER - 4
61 D/S SYRINGE 50ML 5
66 P M O LINE (M-F) 200CM 2
67 10CM EXTENSION 2
68 D/S NEEDLE NO-16 2
DRAWER-5
73 FOLEYS NO (12-18) 1
74 UROBAG 1
BOTTOM SHELF
75 NS 500ML 2
76 DNS 500ML 2
77 RL 500ML 2
78 5%DEXTROSE 2
79 VOLUVEN 1
80 HEMACCEL 1
81 25% DEXTROSE 2
82 50% DEXTROSE 2
83 BAIN CIRCUIT (A&P) 1
FRIDGE
84 INJ.VASOPRESSIN 2
85 INJ.SUCCNYL COLINE 1
SIGNATURE :-
19 20 21 22 23 24 25 26 27 28 29 30 31
MN MN MN MN MN MN MN MN MN MN MN MN MN
S NO ITEMS QTY 19 20 21 22 23 24 25 26 27 28 29 30 31
TOP SHELF MN MN MN MN MN MN MN MN MN MN MN MN MN
1 GLOVES NO 6-8(each) 5
2 DISPOSIBLE GLOVES 1PKT
MIDDLE TRAY
3 E C G LEADS 10
4 3 WAY EXTENSION 3
5 TEGADERM 2
6 XYLOCAINE JELLY 1
7 BANDAGE 10CM 1
8 DISTILLED WATER 10ML 5
9 HME FILTER 1
10 ET TUBE FIXATOR 1
MIDDLE TOP TRAY

11 AMBU BAG 1
LARYNGOSCOPE WITH BLADES
12 AND BATTERY (A&P) 1
13 AIRWAY NO (1-4) 1
14 TORCH 1
15 VACCUM SUCTION SET 1
16 MAGELLES FORCEPS 1
17 TONGUE DEPRESSOR 1
18 STILLETTE (S,M,L) 1
19 ET TUBE NO.(6-8.5) 1
20 XYLOCAINE JELLY 1
21 SYRINGE 10ML 1
LEFT SIDE
22 SUCTION CATH NO 8-16 5each
23 BUGGIE 1
RIGHT SIDE
24 OXYGEN CYLINDE WITH MASK 1
DRAWER-1
25 INJ.ATROPINE 10
26 INJ.DOPAMINE 2
27 INJ.HYDROCORTISONE 3
28 INJ.ISOPRENALINE 5
29 INJ.DERIPHYLINE 2
30 INJ.DYTOR 2
31 INJ.KCL 2
32 INJ.ADINOSINE 2
33 INJ.CARDARONE 6
34 INJ.MIDAZ 2
35 INJ.XYLOCARD 2 % 1
DRAWER -2
37 INJ.DOBUTAMINE 2
38 INJ.PAN 40MG 2
39 INJ.METOLAR 2
40 INJ.LASIX 10
41 INJ.NORAD 5
42 INJ.CA.GLUCONATE 5
43 INJ.AVIL 2
44 INJ.NITROGLYCERINE 2
45 INJ.AMINOPHYLLINE 2
46 INJ.SODA BICARB 5
DRAWER=3
47 B.T SET 2
48 I V SET 5
49 PEDIA SET 1
50 I V CANNULA NO-16 G 2
51 I V CANNULA NO-18G 2
56 I V CANULA NO -26 G 2
57 ET TUBE NO (2.5-5.5) 2
58 RYLES TUBE NO (12-18) 2 each
59 NASAL PRONGS ADULT 1
60 NEB. MASK ADULT 1
DRAWER - 4
66 P M O LINE (M-F) 200CM 2
67 10CM EXTENSION 2
DRAWER-5
73 FOLEYS NO (12-18) 1
74 UROBAG 1
BOTTOM SHELF
75 NS 500ML 2
76 DNS 500ML 2
77 RL 500ML 2
78 5%DEXTROSE 2
79 VOLUVEN 1
80 HEMACCEL 1
81 25% DEXTROSE 2
82 50% DEXTROSE 2
83 BAIN CIRCUIT (A&P) 1
FRIDGE
84 INJ.VASOPRESSIN 2
85 INJ.SUCCNYL COLINE 1
SIGNATURE :-
Sanjivani Hospital
SHS/CL06/CC Crash Cart Checklist Sirsa, Haryana
EXP.
Sr. ITEMS QTY DATE
M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N M
TOP SHELF
1 AMBU BAG 1
OXYGEN HIGH
2 FLOW MASK 1
3 OXYGEN TUBING 1
4 FACE MASK 1
5 VEIN CIRCUIT 1
SMALL OPEN CONTAINERS
7 INJ.ATROPINE 10
8 INJ.EFFCORLIN 5
9 INJ.AVIL 5
INJ 25%
11 DEXTROSE 2
INJ SODA
12 BICARBONATE 10
13 INJ EPSOLIN 10
14 FRONT SHELF
15 DEFIBRILATOR 1
16 E C G MACHIENE 1
17 E C G CABLE 1
18 E C G JELLY 1
DRAWERS
A- Intubation aids
19 Laryngoscope+Blades 1
Sanjivani Hospital
EXP.
Sr. ITEMS QTY DATE
20 Laryngoscope bulbs
21 Torch 1
22 Lox jelly 1
23 Dynaplast 1
24 Magles forceps 1
25 Stillet 2
26 10cc Syringe 2
B- E T Tube/Airway
E T Tube cuffed (all
27 sizes) 2E
28 Airway no 2,3,4 1E
C-Oxygen Therapy
30 Venti mask 1
31 Face Mask 1
32 T- Piece 1
33 Nebulization kit 1
MEDICINES
INJ. Calcium
Gluconate / INJ.
34 Perinorm 5/5
35 INJ. Norad 5
INJ. Dopamine / Inj
36 Lasix 5/5
INJ. Nitro Glycrine /
37 INJ.Dytor 5/5
INJ.Dobutamine /
38 INJ.Vit K 5/5
Sanjivani Hospital
EXP.
Sr. ITEMS QTY DATE
39 INJ.Midazolam 2
40 INJ.Gardinal 5
INJ.Trenexa /
41 INJ.Propofol 5/2
42 INJ. Scolin /
INJ.Emeset 1/5
INJ.Tramadol /
43 INJ.Deriphyllin 5/5
INJ.Diclofenac/
44 INJ.Digoxin 5/2
INJ.Aminophyllin /
45 INJ.Cardarone 5
46 INJ.Xylocard 1
NEB.Duolin /
47 INJ.Diazepam 5/2
NEB.Budecort /
48 INJ.Lorazepam 5/2
INJ.Lobet / INJ.
49 Levera 5/2
INJ .Solumetrol /
50 NEB.mucomet 1/5
INJ.Magnisium
51 Sulphate 5
INJ.Sodium
Valporate /
52 NEB.Asthalin 2/5
INJ.Dilzem /
53 INJ.Adinosine 2/2
Sanjivani Hospital
EXP.
Sr. ITEMS QTY DATE
E- Syringes//IV cannula/Needles
70 10cc Syringe 5
71 5cc Syringe 5
72 I V Set 5
73 P M O Line 5
74 B T Set 5
75 Ryles tube(all sizes) 5
76 I V cannula(all sizes) 2
77 3-Way 5
78 I V Fixer 5
F- Suction
Catheter
Suction catheters (all
79 sizes) 5E
Foleys catheter (all
80 sizes) 2E
81 Uro Bag 2
82 Uro Meter 2
83 Xylocaine Jelly 1
Bottom Shelf
84 Surgical gloves no.6 2
85 Surgical gloves no.6.5 2


Sanjivani Hospital
EXP.
Sr. ITEMS QTY DATE
89 Vaccum Suction 1
90 D/S Cap 1P
91 D/S Mask 1P
92 D/S Gloves 1P
93 IVF NS 500ml 2
94 IVF NS 1000ml 2
95 IVF RL 2
96 IVF 5% DEXTROSE 2
IVF 10%
97 DEXTROSE 2
98 INJ Haemaccel
Signature of Staff
emp code
Signature of
Incharge
emp code
Signature of HOD
Sanjivani Hospital
EXP.
Sr. ITEMS QTY DATE
Sanjivani Hospital
N
Sanjivani Hospital
N
Sanjivani Hospital
N
Sanjivani Hospital
N
Sanjivani Hospital
N
CRASH CART CHECK
ITEMS EXP.D
QTY ATE 1 2 3 4 5 6 7
TOP SHELF
1 AMBU BAG 1
2 OXYGEN RESERVOIR 1
OXYGEN TUBING 1
FACE MASK 1
3 BAINE CIRCUIT 2
Small open container

4 INJ ATROPINE 10
5 INJ ADRENALINE 10
6 INJ AVIL 5
7 INJ EFFCORLIN 5
8 INJ 25% DEXTROSE 2
9 INJ SODA BICARB 10
10 INJ EPSOLIN 10
FRONT SLAB
DEFIBRILLATOR 1
11 E C G MACHIENE 1
12 E C G CABLE 1
13 E C G JELLY 1
14 DRAWERS
A-Intubation Aids
LARYNGOSCOPE+BLADES 1
LARYNGOSCOPE BULBS 2
TORCH 1
LOX JELLY 1
DYNAPLAST
MAGLES FORCEPS 1
STILLETS 2
10 CC SYRINGE 2
B-ET Tube and Airways

ET TUBE CUFFED 2
AIRWAY NO.2,3,4 2E
NASOPHARYNGEAL AIRWAY NO.6,6.5,7 2E
LMA NO.3,4 1E
C-O2 THERAPY
POLY MASK 2
VENTI MASK 2
FACE MASK 2
T-PIECE+NEB KIT 1
D-MEDICINE
INJ CALCIUM GLUCONATE 5 5
INJ MgSO4 5
INJ KCL 5
INJ NORAD 5
INJ DOPAMINE 5
INJ LASIX 5
INJ DOBUTAMINE 5
INJ DYTOR 5
INJ NTG 5
INJ LOBET 5
INJ VIT-K 5
INJ MIDAZOLAM 2
INJ CARDINAL 5
INJPROPOFOL 2
INJ SUCCOL 2
INJ REGLAN 5
INJ DERIPHYLLINE 5
INJ EMESET 5
INJ TRAMADOL 5
INJ DICLOFENAC 5
INJ DILZEM 5
INJ AMINOPHYLLINE 5
INJ ADENOSINE 2
INJ CARDARONE 5
INJ XYLOCARD 2% 1
INJ DIAZEPAM 2
INJ DIGOXIN 2
INJ LORZEPAM 2
NEB.DUOLIN 5
NEB.BUDECORT 5
NEB FORACORT 5
NEB MUCOMET 5
NEB ASTHALIN 1
NEB SALBUTAMOL 1
INJ TRENEXA 5
INJ ENCORATE 2
INJ VALPORATE 2
E-Syringe/IV Cannula/Needle
10cc SYRINGE 5
5ccSYRINGE 5
I V SET 5 5
PO LINE 5 PMO LINE
B T SET 5
RYLES TUBE(ALL SIZES) 5
I V CANNULA(ALL SIZE) 2
3 WAY 5
I V FIXER 5
F-SUCTION CATH
SUCTION CATHETER (all sizes) 5 E
FOLEYS CATHETER (all size) 2E

URO BAG 2
URO METER 2
ECG ELECTRODES 5
BOTTOM SHELF
SURGICAL GLOVES NO.6 1PKT
SURGICAL GLOVES NO 6.5 1PKT
SURGICAL GLOVES NO.7 1PKT
SURGICAL GLOVES NO 7.5 1PKT
VACCUM SUCTION 1
D/S CAP 1PKT
D/S MASK 1PKT1PKT
EXAMINATION GLOVES 1PKT
NS 5OO ML 2
NS 1000 ML 2
RL 500 ML 2
INJ HAEMACCEL 2
INJ 5% DEXTROSE 2
INJ 25% DEXTROSE 2
INJ 10% DEXTROSE 2
SIGNATURE :-
RT CHECK LIST
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
NARCOTICS
INJ MIDAZOLAM
INJ PROPOFOL
INJ PHENERGAN
INJ LORAZEPAM
INJ MORPHINE
IINJ BUTROPHENOL
INJ TRAMADOL
INJ PHENOBARBITONE
INJ HALOPERIDOLE
INJ FORTWIN
INJ DYNAPAR
LASASOUND ALIKE
INJJ ATROPINE/INJ ADRENALINE
INJ DOPAMINE/INJ DOBUTAMINE
INJ METROGYL/INJ MANNITOL
INJ KCL/ INJ CALCIUM
LASALOOK ALIKE
INJ NEOPRATE/INJ EPICETAM
INJ DEXONA/INJ EPSOLIN
INJ 25% DEXTROSE/INJ 3% NS
ITEMS EXP.D
QTY ATE
M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N
TOP SHELF
1 AMBU BAG 1
2 OXYGEN RESERVOIR 1
3 OXYGEN TUBING 1
4 FACE MASK 1
5 BAIN CIRCUIT 1
6 SMALL OPEN CONTAINERS
7 INJ.ATROPINE 10
8 INJ.ADRENALINE 10
9 INJ.AVIL 5
10 INJ.EFFCORLIN 5
11 INJ 25% DEXTROSE 2
12 INJ SODA BICARBONATE 10
13 INJ EPSOLIN 10
14 FRONT SHELF
15 DEFIBRILATOR 1
16 E C G MACHIENE 1
17 E C G CABLE 1
18 E C G JELLY 1
DRAWERS :-SIDE
Intubation aids
19 Laryngoscope+Blades
20 Laryngoscope bulbs
21 Torch 1
22 Lox jelly 1
EXP.D
ATE
23 Dynaplast 1
24 Magles forceps 1
25 Stillet 2
26 10cc Syringe 2
E T Tube/Airway
27 E T Tube cuffed (all sizes) 2E
28 Airway no 2,3,4 1E
29 L M A no. 3,4 1E
Oxygen Therapy
30 Venti mask 1
31 Face Mask 1
32 T- Piece 1
33 Nebulization kit 1
A-MEDICINES :-
34 INJ. Calcium Gluconate 5
35 INJ.Magnisium Sulphate 5
36 INJ.Pottassium 5
37 INJ. Norad 5
38 INJ. Dopamine 5
39 INJ.Lasix 5
40 INJ.Dobutamine 5
41 INJ.Dytor 5
42 INJ.NTG 5
43 INJ.Lobet 5
EXP.D
ATE
44 INJ.Vit K 5
45 INJ.Midazolam 2
46 INJ.Cardinal 5
47 INJ.Propofol 2
48 INJ.Scolin 2
49 INJ.Reglan 5
50 INJ.Deriphyllin 5
51 INJ.Emeset 5
52 INJ.Tramadol 5
53 INJ.Diclofenac 5
54 INJ.Dilzem 5
55 INJ.Aminophyllin 5
56 INJ.Adinosine 2
57 INJ.Cardarone 4
58 INJ.Xylocard 1
59 INJ.Diazepam 2
60 INJ.Digoxin 2
61 INJ.Lorazepam 2
62 NEB.Duolin 5
63 NEB.Budecort 5
64 NEB.mucomet 5
65 NEB.Asthalin 1
66 NEB.Solumetrol 1
67 INJ.Trenexa 5
68 INJ.Encorate 2
EXP.D
ATE
69 INJ.Sodium Valporate 2
B
70 INJ.Xylocaine 2
71 INJ.Xylocard 1
72 INJ.25% Dextrose 2
73 PMO LINE 5
74 3-Air way N0:2,3,4 2E
75 I V Cannula (all sizes) 2E
76 I V Fixer 5
C-
77 B T Set
78 I V set
79 Suction catheters (all sizes) 5E
80 Foleys catheter (all sizes) 2E
81 Uro Bag 2
82 Uro Meter 2
83 Xylocaine Jelly 1
89 Vaccum Suction 1
EXP.D
ATE
D M N M N M N M N M N M N M N M N M N M N M N M N M N M N M N
90 D/S Cap 1P
91 D/S Mask 1P
92 D/S Gloves 1P
93 IVF NS 500ml 2
94 IVF NS 1000ml 2
95 IVF RL 2
98 INJ Haemaccel
Signature of Staff
emp code
Signature of Incharge
emp code
Signature of HOD

Crash Cart-New

Загружено:

Сведения о документе

Исходное описание:

Оригинальное название

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

Crash Cart-New

Загружено:

Авторское право:

Доступные форматы

CRASH CART CHECK LIST

S NO ITEMS QTY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

MIDDLE TOP TRAY

MIDDLE TOP TRAY

85 Surgical gloves no.6.5 2

87 Surgical gloves no.7.5 2

Small open container

8 INJ 25% DEXTROSE 2

9 INJ SODA BICARB 10

B-ET Tube and Airways

NASOPHARYNGEAL AIRWAY NO.6,6.5,7 2E

RYLES TUBE(ALL SIZES) 5

FOLEYS CATHETER (all size) 2E

SURGICAL GLOVES NO 6.5 1PKT

SURGICAL GLOVES NO.7 1PKT

SURGICAL GLOVES NO 7.5 1PKT

D/S CAP 1PKT

D/S MASK 1PKT1PKT

EXAMINATION GLOVES 1PKT

INJ 25% DEXTROSE 2

INJ 10% DEXTROSE 2

Вам также может понравиться