Title Page
-
Hospital Visited
-
Unit/Ward
-
Conducted on
-
Auditor
-
Location
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 checklist and test strips are kept in the folder for a period of one week- old checklist (3 months) are kept in the Unit Manager's office
-
Crash cart or 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 cupboard separate to the crash cart
undefined
-
Add signature
