Emergency trolley checklist

Checklist

Checklist completed monthly/PRN

Top of Trolley

Defibrillator (green tick visible)

Defibrillator pads within date (1 attached (Expiry 17/01/26) + 1 spare both adult (Expiry 15/08/22)and paediatric (Expiry 06/03/23)

Box of medium sized gloves (1)

PPE pack (gown, face shield , N95 mask,extra gloves)

Side of trolley

Sharps container

Drawer - IV access

Green cannula 18g (1)

Yellow cannula 14g (1)

Blue cannula 22g (1)

Grey cannula 16g (1)

Pink cannula 20g (1)

Needles 19g, 23g, 25g, 25g 5/8 ‘ (5 each)

1ml syringe (5)

2ml syringe (5)

5ml syringe (5)

10ml syringe (5)

IV bungs (2)

Three way tap with extension (1)

Red cap stoppers (2)

Extension tubes (2)

IV giving set (1)

Alcohol swabs (20)

Disposable razor (1)

Tourniquet (1)

Hyporfilm transparent dressings (10)

Micropore tape (1)

Pressure dots (3)

Drawer - medication

Adrenaline 1:1000 box (1) Expiry 02/22

Aspirin 300mg box (1) Expiry 08/22

Atropine 600mcg/1ml box (1) Expiry 03/22

Nitro-lingual spray 400mcg (1) Expiry 11/23

Penthrax & inhaler (1) Expiry 05/22

Hydrocortisone 100mg ampoules (1) Expiry 10/22

Glucogen hypokit (1) Expiry 11/23

Promethazine 50mg/2ml ampoule (2) Expiry 08/22

Normal saline 9% 500ml bag (1) expiry 12/23

Water for injection ampoules 10mls (2) Expiry 04/23

Normal saline 9% 10ml ampoules (5) Expiry 01/24

Bottom Shelf - Airway

Paediatric Airway circuit (1)

Adult Airway Circuit (1)

Guedels Airway kit (1)

Adult oxygen mask (1) + 1 attached to O2 cylinder

Paediatric oxygen mask (2) + 1 attached to O2 cylinder

Oxygen nasal prongs (1)

Yankauer sucker (1) + 1 attached to O2 cylinder)

Y suction catheter 12FR (1)

Signatures
Staff Signature

Chadstone Road Clinic

Emergency Trolley Checklist

2021

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.