Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Name of Auditor
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ID Number
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Untitled Page
CRITERIA
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Crash cart is located in a suitable and accessible place. It is locked/sealed
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Crash cart is clean, not dusty
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All drawers in the crash cart are labeled according to the contents e.g. Airway
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Defibrillator is plugged into an electrical outlet at all times except during battery testing
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Defibrillator is checked in accordance with the operator’s manual. Cleaned and disinfected daily
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Defibrillator load test is done every shift
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Defibrillators test strips are kept in the crash cart folder for 1 week. Old checklist for at least 3 months are kept in the Unit Manager's office
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Medication tray is intact and sealed
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Oxygen cylinder must have at least 1000 PSI
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Portable suction machine is available, functioning and checked according to operator manual
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Availability and functionality of laryngoscope is checked once per month. Spare battery is available with expiry date checked
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Lock number and its integrity is checked and documented once per shift
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No expired medications and items
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The crash cart folder has sufficient Code Blue forms
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Crash cart is checked once per shift. Documentation of checklist is complete and kept in crash cart folder
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Crash cart items are arranged in accordance to KFMC Crash Cart File Content
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The policies and procedures for Code Blue, Crash Cart, Code Blue - Preparedness and Response, and Crash Cart Medication Use are updated with Read & Sign Record
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Deficient items or inoperative equipment is recorded in the Crash Cart Deficiency Report. Action is taken and documented. Unresolved issues within 24 hours should be reported through Datix
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The locks are secured in a locked cupboard separate from the crash cart by the Unit Manager
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The number of intact lock shall be recorded on the checklist and sent to the CPR Committee Coordinator in a quarterly basis
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Specimen signature of all nursing staff is updated
