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7-4-1 - Code Cart

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					UTMB RESPIRATORY CARE SERVICES                                    Policy 7.4.1
                                                                  Page 1 of 3
PROCEDURE - Code Cart
Code Cart                                                         Effective:             11/05/94
                                              Formulated: 10/78   Revised:                5/31/05
                                                                  Reviewed:               9/16/05


                                        Code Cart
Purpose       To assure a emergency supply cart containing appropriate drugs, supplies,
              and monitoring equipment used in the care and initial treatment of
              cardiopulmonary arrest victims, including emergency airway and
              defibrillator components are made available and ready for use in all areas of
              the hospital.

Purpose       To assure a emergency supply cart containing appropriate drugs, supplies,
              and monitoring equipment used in the care and initial treatment of
              cardiopulmonary arrest victims, including emergency airway and
              defibrillator components are made available and ready for use in all areas of
              the hospital.

Scope         Respiratory Care Services maintains and stocks all emergency supply carts
              that are available for the Code 99 system.
              Accountability
               Crash carts are the responsibility of Respiratory Care Service and all
                  trained qualified personnel.
               RCS staff involved with the use, restocking, or checking of the cart
                  must be checked out on a "Crash Cart" inservice.

Physician's   As determined and required by the UTMB Resuscitation Committee.
Order
Indications      The Cart is primarily used in "Code 99", situations called by an
                  attending physician, nurse or therapist.
                 The cart is used for called "Code 99", pre-code, or non-code situations.
                 See "Code 99" procedures.
                 A defibrillator/monitor will be utilized for transport.

Goals         To ensure a properly stocked and functioning emergency cart for use with
              initial treatment and correction of a called "Code 99" indicating a
              cardiopulmonary arrest.

Equipment     See attached cart stock list.

Procedure
                   Step                                  Action
                     1          External Check:
                                Visual checks are performed via the attached checklist on a
                                daily basis with signature indicating person doing



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UTMB RESPIRATORY CARE SERVICES                                    Policy 7.4.1
                                                                  Page 2 of 3
PROCEDURE - Code Cart
Code Cart                                                         Effective:             11/05/94
                                              Formulated: 10/78   Revised:                5/31/05
                                                                  Reviewed:               9/16/05


Procedure
Continued
                     Step                                Action
                  1 Continued    check. (Exception: Code carts in the UHC building will
                                 not be checked on holidays or weekend days. Anesthesia
                                 Staff and Nursing staff will check code carts in Rebecca
                                 Sealy and the Primary Care Pavilion.
                       2         Internal Check:
                                  The internal components are checked when restocking
                                     after use or every ninety (90) days. This is done on
                                     both the cart and the airway bag.
                                  Drawer #1 has drug tray supplied by Pharmacy. Check
                                     the expiration date provided by Pharmacy. Replace if
                                     necessary.
                                  Drawer #3, #4, bottom compartment, and airway bag
                                     are stocked according to the attached contents list.
                                  After the cart is checked and stocked, the security lock
                                     is attached.
                       3         Signature and status is required on restocking record. See
                                 attached copy.


Special            A charge is generated to the patient immediately when either security
Considera-          lock is broken and any contents are used for any form of patient care.
tions              Used carts are to be made functional as soon as they are released from
                    the arrest area.
                   Usage as a supply cart leading to replacement of any missing equipment
                    will be at the expense of the nursing unit when a cart is found unsecured
                    and no patient event has been called.

Safety             When answering a "Code 99" the backup cart is to be brought to the
Precautions         arrest site as quickly as possible from the department storage area. This
                    ensures a replacement cart for the arrest area.
                   Carts are to be pushed rapidly, but are not to be run with. This is to
                    prevent personnel, other patient, or visitor injury as well as equipment
                    damage.
                   Defibrillators/monitors assigned to a zone shall remain within the zone
                    where the local staff has been trained.
                   The back-up cart shall have a transport defibrillator for use if needed.



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UTMB RESPIRATORY CARE SERVICES                                 Policy 7.4.1
                                                               Page 3 of 3
PROCEDURE - Code Cart
Code Cart                                                      Effective:        11/05/94
                                           Formulated: 10/78   Revised:           5/31/05
                                                               Reviewed:          9/16/05


Attachments Code Cart Contents - 8 pages
Infection      Follow procedures outlined in Healthcare Epidemiology Policies and
Control        Procedures #2.24; Respiratory Care Services
               http://www.utmb.edu/policy/hcepidem/search/02-24.pdf

References     Resuscitation Committee Minutes
               Institutional Handbook of Operating Procedures, Policy #9.13.1:
               Cardiopulmonary Resuscitation-Calling a Code 99
               http://www.utmb.edu/policy/ihop/search/09-13-01.pdf