Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

ERNA Crash Cart


  • Crash Cart in place and accessible

  • Crash Cart is locked/sealed

  • Drawers labelled- Airway, Respiratory, medications and Circulation

  • All items in date (No expired items)

  • All items in correct placement

  • Crash Cart and paddles clean

  • All documents complete per crash cart index inside the folder-not kept on top of cart

  • Current record of outside contents checked for each shift with initials, date & Lock Number

  • Current record of internal contents checked monthly with signature and date

  • Per Shift for the Unlock content/Monthly for all the Crash Cart Items OR if the seal is broken, missing, tampered with or after resuscitation the crash cart are to be checked according to the Checklist

  • For daily and monthly check – Contents all present or If missing explanationaction noted in deficiency form. (Datix number to be mentioned for the reference)

  • Deficiency for outside content to be recorded on daily basis and inside content to be mentioned on monthly basis

  • Defibrillator and suction machine plug in to emergency power

  • Oxygen gauge (at minimum of 1000 PSI) or above mid green

  • Oxygen tubing attached to flow meter

  • Resuscitation bag connected to face mask

  • Medication list clear copy (With receiving staff name, date and signature recorded)

  • Pharmacy check record within last month, expiry dates & that drug box is intact

  • All Laryngoscope blades fit/match handle

  • All Laryngoscope batteries/bulbs checked by connection

  • Spare bulbs and batteries available in cart (if applicable)


  • Defibrillator user test I cable and paddles test done on daily basis

  • Policies (CPP: Crash Cart, Code Blue, DPP: Code blue preparedness and response, IPP: pharmacy crash cart)

  • Updated Read and signs for policy present In crash cart

  • Adult or Pediatric Algorithms/medication layouts available (Inside the folder)

  • Code Blue forms x 5 (blanks)

  • Crash Cart checklists x 5 (blanks)

  • Crash cart Deficiency Form x 5 (blanks)

  • Defibrillator operator's check list x 5 (blanks)

  • Defibrillator Test strip Form x 5 (blanks)

  • Record of ECG test strips (Last week in the crash cart folder)

  • Specimen signatures available containing staff name, initials/signature and Emp. Number (updated if applicable)

  • Records of completed crash cart checklists (2 weeks)


  • Record of staff BCLS/ACLS/PALS expiry list

  • Daily allocation for checking and cleaning - shift and weekly

  • Record of defibrillator training, crash cart training, code blue form training and which will be maintained by the Head Nurse/Designee

  • Emergency numbers & instructions on station phones

  • All staff have completed crash cart competency

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