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Crash Cart Audit Findings

Crash Cart Files

  • Crash cart folder available, complete and updated with files arranged in accordance to the KFMC Crash Cart policy.

  • Specimen signature log of all staff in the unit allocated to check the crash cart is complete and up-to-date.

  • Completed checklists and test strips are kept in the folder for a period of one week – old checklists (3 months) are kept in the unit manager’s office

  • Crash cart equipment checked once per shift using the appropriate trolley checklist - documentation of crash cart checking complete and kept in crash cart folder (once per day for areas that do not operate 24 hours/day) – per shift for outside contents and per month of all crash cart items

  • For items in the checklist marked as (x), the staff’s ID, signature and the date is documented together with the corrective action to be taken on the crash cart report

  • Crash cart deficiencies are entered in the Crash cart deficiency report – all deficiencies not resolved within 24 hours should be reported through datix

General Crash Cart Inspection

  • Crash cart is in place and accessible.

  • Crash cart is locked with the number of the lock recorded on the checklist per checking – integrity of lock checked

  • Drawers are properly labeled (airway, drugs, breathing, circulation)

  • Crash cart is clean and functional – PPM up-to-date.

Crash Cart Equipment Checking

  • Defibrillator available, clean and disinfected - functionality checked in accordance with the operator’s manual – PPM up-to-date

  • Defibrillator plugged into an emergency power source.

  • Defibrillator cables are connected to the paddles

  • Portable suction machine available, functionality checked – plugged into emergency power source – PPM up-to-date

  • Oxygen cylinders checked – have at least 1000 psi

  • Resuscitation bag connected to oxygen cylinder’s flow meter using clean oxygen tubing – resuscitation bag connected to a mask

Crash Cart Content Checking

  • All crash cart items are checked for the integrity of their packaging and expiration date

  • No expiring items within the next month

  • All crash cart items are placed in their correct drawer

  • Laryngoscope (functionality) is checked once per month – with spare battery – expiration date of battery checked

  • Medication tray checked by pharmacist once a month – documented in crash cart checklist

  • Crash cart locks are locked in a cupboard separate to the crash cart

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