Policy
How often should the trolley be checked?
Every day - checks done on ND
When we are checking the defib, what are we looking for?
Pads attached & Green tick
What is in the first drawer
Drugs
What is in the second drawer?
IV Access
What is in the third Drawer?
IV Infusion equipment
Where would you find spare stock for the trolley?
Kiloh Treatment room
How often foes the defib battery need to be checked?
Once a week
What is the process for ordering medication required for the trolley
Imprest list
What is the benefit of using vial access cannulas?
Rubber stoppers help prevent needle stick injuries
What is in the fourth Drawer?
Airway access
True or False
You have done the ND checks, and notice an item is missing, it is not in Kiloh treatment room, you can close the trolley and inform the NIC to handover for AM shift.
FALSE
What am I
I am at the back of the trolley and can be placed under the person during CPR. I assist when they are on a soft surface such as a mattress or bed.
Acrylic backboard
What drug am I
I am clinically indicated for the partial or complete reversal of opioid depression. Evidence suggests i work by competing with the opioid for the same receptor sites.
Naloxone
True or False
Chlorhexadone wipes don’t expire
FALSE
True or False
Magill introducing forceps don’t expire
TURE as long as the sterile packaging is intact
There has been a code blue on the ward and there are now items missing from the trolley, you have checked the treatment room in Kiloh and cannot find said missing items and it’s out of hours what do you do?
ED or ICU
If it is for medication, access to the after hours drug room can be arranged through contacting the after hours nurse manager in the main hospital.
True or False
The suction catheter attached to the oxygen cylinder can remain uncovered
FALSE
Which drug am I
I am used to manage patients with bradycardia. I works on increasing the heart rate through blocking the effect of the vagus nerve (an overactive vagus nerve leads to bradycardia) on the heart.
Atropine
Who am I ?
I am used to provide emergency decompression for a tension pneumothorax during an emergency situation. A pneumothorax is defined as a collapsed lung that occurs when air leaks between the lungs and the wall of the chest. This air then pushes onto the lungs and causes it to collapse.
IV cannula 14 gauge
For a non rebreather mask to be effective what do we need to ensure
The bag is fully inflated
When you are checking the trolley what are we checking for each item?
In date
Correct quantity
Packaging intact
What is not on the checklist but should always be on the top of the trolley in a mental health setting, extra points if you can name how often we check this
Ligature cutter
Checked every day
Name is a medication on the trolley which only mental health wards stock, bonus points if you can describe what it is used for
Flumazenil
Used for the partial or complete reversal of acute benzodiazepine effects. This includes both overdose and therapeutic.