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Standard Vehicle Equipment Policy

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									                 Standard Vehicle
                      Equipment
                           Policy



Version:                         2.0
Ratified by:                     Quality and Governance Committee
Date ratified:                   09/09/2010
Name of originator/author:       James Wenman
Name of responsible              Clinical Effectiveness Group
committee/individual:
Date issued:                     10/09/2010
 Review date:                    09/09/2011
CONTENTS                                                        Page

                             1
Introduction                                              2
Scope                                                     2
Duties and Responsibilities                               2
Governance                                                3
Procedure                                                 5
Monitoring                                                5
Appendix 1 – Ambulance Standard Equipment Matrix          7
Appendix 2 – Emergency Ambulance Consumables              8
Appendix 3 – Rapid Response Vehicle Consumables           9
Appendix 4 – Patient Transport Consumables                10
Appendix 5 – Response Bag                                 11
Appendix 6 – Emergency Care Practitioner Bag              12
Appendix 7 – Community Responder Response Bag             13
Appendix 8 – Airway Bag                                   14
Appendix 9 – Oxygen Bag                                   15
Appendix 10 – Oxygen Bag (Responder)                      16
Appendix 11 – Ambulance Standard Drug Bag                 17
Appendix 12 – Urgent Care Service Doctors Drug Box        18
Appendix 13 – Emergency Care Practitioner Drug Bag        21
Appendix 14 – Paediatric Bag                              23
Appendix 15 – Paediatric Bag (Responder)                  24
Appendix 16 – Asthma Bag                                  25
Appendix 17 – Infection Control Bag                       26
Appendix 18 – Infection Control and Spare Equipment Bag   27
Appendix 19 – Burns Bag                                   28
Appendix 20 – Maternity Bag                               29
Appendix 21 – Entonox Bag                                 30
Appendix 22 – Vacuum Splint Bag                           31
Appendix 23 – Thrombolysis Kit                            32
Appendix 24 – Suction Kit                                 33
Appendix 25 – Forms                                       34


1.      Introduction


                                      2
1.1   South Western Ambulance NHS Trust (the Trust) is committed to ensuring
      that every patient receives the highest standards of quality patient care.
      Within the pre-hospital environment, a wide range of medical devices,
      equipment and consumables are utilised by clinicians on a daily basis. With
      the Trust operating a significant number of vehicles of different types, it is
      essential that all vehicles are equipped to one common standard.

1.2   In the case of time critical patients, the absence   of one single item has the
      potential to adversely affect the quality of care    delivered. Conversely, the
      overstocking of vehicles negatively impacts           on the clinical working
      environment, leads to unnecessarily wasteful use     of Trust resources and can
      result in poor infection prevention control.

2.    Scope

2.1   The scope of the policy is to specify the range and quantity of all medical
      devices and consumables carried on all Trust vehicles. The policy covers the
      following vehicle types:

           •   Front Line Vehicles (FLV)
           •   Rapid Response Vehicles (RRV)
           •   Helicopters
           •   Officers’ Cars
           •   Urgent Care Service (UCS) Cars
           •   Patient Transport Service Ambulances


3.    Duties and Responsibilities

3.1   Chief Executive

3.1.1 The Chief Executive holds overall responsibility for the management of all
      medical devices and consumables, to ensure that all Trust vehicles are
      equipped to the agreed specification.

3.2   Director of Delivery

3.2.1 The Director of Delivery is responsible for ensuring that the policy is applied
      fully across all areas of the Trust, and that monitoring procedures are in place
      to identify and rectify any vehicles who fail to meet the agreed specification.

3.3   Head of Operations

3.3.1 The Head of Operations are responsible for ensuring that the policy is applied
      fully within their geographical area and that local monitoring procedures are in
      place to identify and rectify any vehicles who fail to meet the agreed
      specification. They are responsible for providing written reports as requested
      by the Director of Delivery to provide assurance against the policy.



                                          3
3.4   Deputy Clinical Director/Clinical Development Managers

3.4.1 The Medical Directorate are responsible for the maintaining and authorising
      any changes to the policy, to ensure that it continues to reflect the latest
      clinical evidence.

3.5   Fleet Operations Manager

3.5.1 The Fleet Operations Manager is responsible for ensuring that all vehicles
      carry the appropriate serviceable medical devices to ensure compliance with
      this policy.

3.6   Operational Locality Managers/UCS Field Managers

3.6.1 Operational Locality Managers are responsible for ensuring that the policy is
      applied fully within their geographical area and that local monitoring
      procedures are in place to identify and rectify any vehicles who fail to meet
      the agreed specification.

3.7   Clinical Support Officers

3.7.1 Clinical Support Officers are responsible for ensuring that the policy is applied
      fully at their station/s and that local monitoring procedures are in place to
      identify and rectify in conjunction with their OLM any vehicles who fail to meet
      the agreed specification. CSOs are responsible for ensuring that all staff are
      aware of and practicing according to this policy.

3.8   Clinicians

3.8.1 Clinicians are responsible for ensuring that all vehicles on which they work are
      thoroughly checked, and any deficiencies which prevent compliance with the
      agreed specification are reported to their CSO.

4.    Governance

4.1   Vehicle, Uniform and Equipment Working Group

4.1.1 The Vehicle, Uniform and Equipment Working Group are accountable for the
      approval of any revisions to the policy.

4.2   Head of Operations Group

4.2.1 The Head of Operations Group are responsible for endorsing the policy
      following approval at the Vehicle, Uniform and Equipment Working Group to
      ensure continue support to achievement of the agreed specification across
      the Trust.

5.    Procedure


                                          4
5.1   Staff are required to ensure that any vehicle on which they work meets the
      agreed specification detailed within this policy. At the commencement of each
      shift, or at the earliest opportunity, staff must conduct a Vehicle Daily
      Inspection (VDI), which must include medical devices, the vehicle based
      morphine drugs safe and consumables.

5.2   The VDI should be prioritised, with the defibrillator, BVM, oxygen bag and
      suction unit being checked first in case of an early emergency call. If an
      emergency call is received before a full VDI has been conducted, this must be
      completed at the earliest available opportunity. The vehicle log book must be
      signed to confirm that the VDI has been completed and no deficiencies have
      been identified. Any deficiencies identified must be noted in the log book; a
      blank entry will be interpreted as meaning that the vehicle fully meets the
      requirements of this policy.

5.3   Appendix 1 details the medical devices, equipment bags and consumables
      that must be carried out each type of Trust vehicle. The subsequent tables
      detail the exact contents list of each individual bag or item, together with the
      required consumables. This list can also be found on the Trusts intranet at:
      http://hqweb/SWAST/policies/current.htm.

5.4   If any discrepancies are identified during the VDI, the senior clinician on the
      vehicle is responsible for trying to rectify the issue during the shift.
      Consumable are available from all Trust stations, and medical devices are
      available from the Medical Devices Exchange Store, which are available 24/7
      on selected stations. If the deficiency affects the ability of the resource to
      respond and provide a safe level of care, then the Clinical Hub must be
      informed and an incident report submitted. The absence of following items will
      prevent a vehicle from responding: defibrillator (except PTS), oxygen, bag-
      valve-mask.

5.5   If it is not possible to rectify the issue by the end of the shift, it must be
      reported to the appropriate CSO at the earliest opportunity, entered into the
      vehicle log book and the station log book.

5.6   Clinical Support Officers and OLM should then work to ensure that any
      deficiencies are rectified in a timely manner.




6.    Monitoring


                                         5
6.1   Operational Locality Managers are responsible for providing written assurance
      to their Head of Operations each quarter that all vehicles within their areas of
      responsibility continue to comply fully with this policy.

6.2   The Head of Operations are responsible for collating the written assurance
      provided by their Operational Locality Managers each quarter. An assurance
      report will be presented to the Head of Operations Group on a quarterly basis.

6.3   The Vehicle, Equipment and Uniform Working Group (VEUWG) will monitor
      compliance with the policy through routine monitoring of the incident reporting
      system.

6.4   Temporary changes to the policy due to short term supplier shortages or the
      issue of new items may be authorised by the Deputy Clinical Director, as
      Chair of the VEUWG. Any changes to the policy must be ratified at the next
      VEUWG meeting.

6.5   The policy will be reviewed annually by the Vehicle, Equipment and Uniform
      Working Group (VEUWG).




                                         6
 Appendix 1 - Ambulance Standard Equipment Matrix


Equipment                                             Responder                     PTS                UCS Car                  Officer        RRV                 FLV                Helicopter
Response Bag - Inc Airway Bag
Response Bag (Tardis)
Oxygen Bag
Oxygen Bag (Responder)
Defibrillator                                                                                                                                                                                          1
12 Lead ECG                                                                                                                                                                                            2
Pulse Oximeter
Drug Bag/UCS Drug Box
Paediatric Bag
Paediatric Bag (Responder)
Asthma Bag
Infection Control Bag
Infection Control and Spare Equipment Bag
Burns Bag                                                                                                                                                                                              2
Maternity Bag
Entonox Bag
Resuscitator
Vacuum Splint Bag
Thrombolysis Kit
Cervical Collar(s)
Rescue Helmet
Suction Unit (Electric)                                                                                                                                                                                2
Mangar Lifting Cushion                                                                                                                                                                                2, 4
Bannana Board
Turntable
Blue Moving and Handling Straps
Slide Sheet
Pelvic Splint
Scoop + 3 Straps
Rescue Board + 4 Straps + Head Blocks
Vacuum Mattress
KED (RED/TED)
Traction Splint (Donway/Sagar/Kendrick)
1. The Trust is currently reviewing the placement of defibrillators on PTS vehicles. Where already in place, units should remain on vehicle.         PTS – Patient Transport Service
2. Officers attending a high number of emergency calls may be authorised to carry additional equipment by their line manager.                        UCS – Urgent Care Service
3. Limited burns dressings may be carried within the Responder Tardis Bag                                                                            RRV – Rapid Response Vehicle
4. The Trust is working towards the availability of a Mangar lifting cushion on all vehicles.                                                        FLV – Front Line Vehicle (Emergency Ambulance)


                                                                                                               7
Appendix 2 - Emergency Ambulance Consumables

  Front Line Vehicle Consumables            Qty                                             Qty
  Medical Gases                                   Syringes
  Oxygen Cylinder, F Size                   2     1ml Syringe                               2
  Oxygen Regulator                          2     2ml Syringe                               2
  Cylinder Key                              1     10ml Syringe                              4
  Oxygen Cylinder, CD Size                  1     20ml Syringe                              2
  Entonox Cylinder, D Size                  1     50ml Syringe                              2
  Oxygen Therapy                                  Infusion and Accessories
  Adult Mask, Non-rebreather                4     10ml Pre-filled saline syringe            4
  Adult Mask, Medium Flow                   4     500ml Saline                              2
  Adult Mask, Nebuliser                     4     500ml Glucose 10%                         1
  Paediatric Mask, Non-rebreather           4     Infusion Set                              2
  Paediatric Mask, Nebuliser                4     Dressings and Bandages
  Tracheotomy Mask                          1     Low Adherent                              4
  Nasal Cannula                             2     Dressing Pad (all sizes) Each             2
  Air Cushion Masks                               Gauze Swabs                               4
  (Neonate, infant, toddler, small adult,   2
  medium adult, large adult)                      Bandage (5, 7, 10, 15cm) Each             2
  Airway Management Spares                        Tape 2.5cm                                2
  ET Tubes (Size 3-9)                       1     Immobilisation Tape                       1
  OP Airways (Size 2,3,4)                   2     Triangular Bandage                        3
  OP Airways (Size 00,0,1)                  1     Immobilisation Spares
  NP Airways (Size 6,7,8,9)                 1     Adjustable Cervical Collar - Adult        1
  LMAs (Size 3-5)                           1     Adjustable Cervical Collar - Paediatric   1
  Laryngoscope Blades (all sizes)           1     Infection Prevention and Control
  Bougie                                    1     Detergent Wipes (pack)                    1
  T-piece                                   1     Paper Towel (roll)                        1
                                                  Contaminated Waste Bag roll, Small
  Catheter Mount                            2                                               1
                                                  (Orange)
  Spare disposable canister                 1     Domestic Waste Bag roll, Small (Black)    1
  Defibrillation Spares                           Absorbent Gel Sachets                     4
  Pads                                      2     Body Bag                                  1
  ECG Electrode Dots (Pack)                 1     Male Urinal                               2
  Razor                                     2     Bedpan Base                               1
  Spare Battery                             1     Bedpan Liner                              2
  Personal Protective Equipment                   Vomit Bowel                               4
  Gloves, Nitrile Box (S,M,L)               1     Incontinence Sheet                        4
  Disposable Suits (S,M,L)                  1     Safety
  Laundry                                         Rescue Hammer                             1
  Blanket                                   4     Rescue Helmet                             1
  Canvas/Sheet                              1     Torch                                     1
  Pillow                                    1     Fire Extinguisher                         2
  Pillow Case                               2
  Space Blanket                             2
  Invasive Procedures
  Cannulae 14g, 16g, 22g                    2
  Cannulae 18g, 20g                         4
  Needle 23g                                4
  Needle 25g                                4
  Pre-Injection Swab                        10
  Small Sharps Bin                          1




                                                  8
Appendix 3 - Rapid Response Vehicle Consumables

  Rapid Response Vehicle Consumables        Qty                                             Qty
  Medical Gases                                   Syringes
  Oxygen Cylinder, CD Size                  1     1ml Syringe                               2
  Entonox Cylinder, D Size                  1     2ml Syringe                               2
  Oxygen Therapy                                  10ml Syringe                              4
  Adult Mask, Non-rebreather                2     20ml Syringe                              2
  Adult Mask, Medium Flow                   2     50ml Syringe                              2
  Adult Mask, Nebuliser                     2     Infusion and Accessories
  Paediatric Mask, Non-rebreather           2     10ml Flush (Pre-Filled)                   4
  Paediatric Mask, Nebuliser                2     500ml Saline                              2
  Tracheotomy Mask                          1     500ml Glucose 10%                         1
  Nasal Cannula                             1     Infusion Set                              2
  Air Cushion Masks                               Dressings and Bandages
  (Neonate, infant, toddler, small adult,   1
  medium adult, large adult)                      Low Adherent                              4
  Airway Management Spares                        Absorbent (all sizes) Each                2
  ET Tubes (Size 3-9)                       1     Gauze Swabs                               6
  OP Airways (Size 2,3,4)                   1     Bandage (5, 7, 10, 15cm) Each             2
  OP Airways (Size 00,0,1)                  1     Ambulance Dressing (all sizes) Each       2
  NP Airways (Size 6,7,8,9)                 1     Tape 2.5cm                                2
  LMAs (Size 3-5)                           1     Triangular Bandage                        3
  Laryngoscope Blades (all sizes)           1     Immobilisation Spares
  Bougie                                    1     Adjustable Cervical Collar - Adult        1
  T-piece                                   1     Adjustable Cervical Collar - Paediatric   1
  Catheter Mount                            1     Infection Prevention and Control
  Spare disposable canister                 1     Detergent Wipes (pack)                    1
  Defibrillation Spares                           Paper Towel (roll)                        1
                                                  Contaminated Waste Bag roll, Small
  Pads                                      1                                               1
                                                  (Orange)
  ECG Electrode Dots (Pack)                 1     Domestic Waste Bag roll, Small (Black)    1
  Razor                                     1     Absorbent Gel Sachets                     4
  Spare Battery                             1     Body Bag                                  1
  Personal Protective Equipment                   Vomit Bowel                               4
  Gloves, Nitrile Box (S,M,L)               1     Incontinence Sheet                        4
  Disposable Suits (S,M,L)                  1     Sterile Urine Containers                  4
  Laundry                                         Safety
  Blanket                                   2     Rescue Hammer                             1
  Canvas/Sheet                              1     Rescue Helmet                             1
  Space Blanket                             2     Torch                                     1
  Invasive Procedures                             Fire Extinguisher                         1
  Cannulae 14g, 16g, 22g (each)             2     ECP Items (If car used by ECPS)
  Cannulae 18g, 20g (each)                  2     Catheterisation Pack                      1
  Needle 23g x 1.25"                        4     Catheter Drainage Night Bag               2
  Needle 25g x 1.25"                        4     Catheter Drainage Leg Bag and Straps      2
  Pre-Injection Swab                        10    Catheter 12ch                             2
  Small Sharps Bin                          1     Catheter 14ch                             2
                                                  Catheter 16ch Male                        2
                                                  Catheter 16ch Female                      2
                                                  Tissue Adhesive                           8




                                                  9
Appendix 4 - Patient Transport Consumables
  Patient Transport Vehicle Consumables   Qty                                            Qty
  Oxygen Therapy                                Infection Prevention and Control
  Adult Mask, Non-rebreather              1     Detergent Wipes (pack)                   1
  Adult Mask, Medium Flow                 1     Paper Towel (roll)                       1
                                                Contaminated Waste Bag roll, Small
  Paediatric Mask, Non-rebreather         1                                              1
                                                (Orange)
  Tracheotomy                             1     Domestic Waste Bag roll, Small (Black)   1
  PPE                                           Absorbent Gel Sachets                    4
  Gloves, Nitrile Box (S,M,L)              1    Male Urinal                              2
  Disposable Suits (S,M,L)                1     Bedpan Base                              1
  Laundry                                       Bedpan Liner                             2
  Blanket                                 2     Vomit Bowel                              4
  Canvas/Sheet                            2     Incontinence Sheet                       4
  Space Blanket                           1     Safety
  Pillow                                  1     Rescue Hammer                            1
  Pillow Case                             2     Torch                                    1
                                                Fire Extinguisher                        1




                                                10
Appendix 5 - Response Bag

   Response Bag                    Qty                             Qty
   Adult Bag-valve-mask            1     14g Cannula               1
   Air Cushion Mask Large Adult    1     16g Cannula               1
   Air Cushion Mask Medium Adult   1     18g Cannula               2
   Air Cushion Mask Small Adult    1     20g Cannula               2
   10ml Syringe                    2     22g Cannula               2
   10ml Prefilled Saline Syringe   2     24g Cannula               1
   Pre-Injection Swabs             4     IV Dressing               2
   Infusion Giving Set             1     Blunt drawing up needle   2
   Sphygmomanometer                1     Small Sharps Bin          1
   Glucometer                      1     500ml Saline              1
   Glucometer lancets              4     Thermometer Tympanic      1
   Glucometer Test Strips (Tub)    1     Thermometer Digital       1
   Ambulance dressing (Ex Large)   1     Hand held suction unit    1
   Ambulance dressing (Large)      2     Airway Bag                1
   Ambulance dressing (Medium)     2
   Non Adherent Dressing (7x5cm)   2
   Gauze pack                      3
   Triangular Bandage              2
   Open Weave Bandage 5/7cm        2
   Plasters                        4
   Tape 2.5cm                      1
   Pulse Oximeter & Adult Probe    1
   Shears                          1
   Space Blanket                   1




                                         11
Appendix 6 - Emergency Care Practitioner Bag

    Emergency Care Practitioner Bag      Qty                                                         Qty
    Stethoscope                           1          Instillagel                                      2
    Ring Cutters                          1          Tubinet Finger dressing (2 sizes)            1 each size
    Oroscope                              1          Premier Absorbent Dressings                      2
    Ottoscope                             1          Gauze Swabs                                      4
    Long Nosed Pliers                     1          Micropore Tape                                   1
    Patella Hammer                        1          K-Band Bandage (assorted sizes)              2 each size
    Finger Dressing Applicator            1          Crepe Bandage (assorted sizes)                   1
    Bendford Splints                      1          Separate pack for wool padding (splinting)       1
    Blue Light Pen Torch                  1          Mefix Tape (assorted sizes)                      1
    Urine Analysis Dip Sticks             1          Steristrips 13.5mm, 6.4mm, 4mm                   3
    Wooden Bud Applicators                1          Mepore Dressings 9x15, 9x10,6x7cm                2
    Drawing Up Needles                    1          Tegaderm Dressings                               4
    Subcutaneous Hypodermic Needles       4          Kaltostat Dressings 7.5x12, 5x5cm                2
    Urine Specimen Containers             2          Opsite Dressings (assorted sizes)                2
    Urine Cardboard Containers            5          Jelonet (assorted sizes)                         2
    1 Litre Sharps Box                    1          Inadine Dressings (assorted sizes)               2
    Head Torch                            1          Triangular Bandages                              2
    Disposable Thermometers               8          Saline irripods (20Mls)                          4
    Suture Cutters                        5          Eye Pads (Dressings)                             2
    Disposable Scissors (Sterile)         4          Mepital Dressings                                4
    Nursing Scissors                      1          Lidocaine ampoules                               4
    Disposable Forceps                    2
    5ml Syringes                          2
    10ml Syringes                         2
    Nasal Packs                           4
    Sterile Gloves                    2 each size
    Suture Packs x2 Standard              2
    Wound care dressing packs             2
    Sutures, 3.0, 4.0, 5.0, 6.0mm     3 each size
    Liquiband Tissue adhesive             4




                                                12
Appendix 7 - Response Bag (Responder)

   Response Bag (Tardis)                                                Qty
   AED (defibrillator)                                                   1
   Spare defibrillator pads                                              1
   Shears                                                                1
   Razor                                                                 1
   Adult Bag-Valve-Mask                                                  1
   Air Cushion Mask Large Adult                                          1
   Air Cushion Mask Medium Adult                                         1
   Air Cushion Mask Small Adult                                          1
   Suction Unit (Hand held)                                              1
   Torch                                                                 1
   Alcohol Handrub Tottle                                                1
   Reflective tabard with ‘Ambulance First Responder’ inserts            1
   Dressings                                                           1 Each
   Gloves                                                            As Required
   Space blanket                                                         1
   Patient Clinical Record Pad                                           1




                                                                13
Appendix 8 - Airway Bag
   Airway Bag                                                     Qty
   Laryngoscope Blade (disposable) - Mackintosh - Size 4           1
   Laryngoscope Blade (disposable) - Mackintosh - Size 3           1
   Laryngoscope Blade (disposable) - Mackintosh - Size 2           1
   Adult Laryngoscope Handle (BS Compatible)                       1
   ET Tube - Size 9 (Uncut)                                        1
   ET Tube - Size 8 (Uncut)                                        1
   ET Tube - Size 7 (Uncut)                                        1
   ET Tube - Size 6 (Uncut)                                        1
   LMA Size 5                                                      1
   LMA Size 4                                                      1
   LMA Size 3                                                      1
   Positube                                                        1
   Spare batteries                                                 2
   ET Tube Securing Ribbon                                         1
   NP Airway 9mm                                                   1
   NP Airway 8mm                                                   1
   NP Airway 7mm                                                   1
   NP Airway 6mm                                                   1
   OP Airway - size 4                                              4
   OP Airway - size 3                                              1
   OP Airway - size 2                                              2
   20 ml syringe                                                   1
   Lubricating Jelly                                            2 Sachets
   Magill’s Forceps (Adult)                                        1
   Bougie                                                          1




                                                           14
Appendix 9 - Oxygen Bag

  Oxygen Bag (Standard)                                                      Qty
  Oxygen cylinder, D Size                                                     1
  Adult Mask, Non-rebreather                                                  1
  Adult Mask, Medium Flow                                                     1
  Paediatric Mask, Non-rebreather                                             1
  Other equipment (including nebuliser masks) should not be carried in this bag.




                                                         15
Appendix 10 - Oxygen Bag (Responder)

   Oxygen Bag (Responder)                 Qty
   Oxygen cylinder, CD Size               1
   Adult Mask, Non-rebreather             2
   Paediatric Mask, Non-rebreather        1
   OP Airways (sizes 1–4)                 1




                                     16
Appendix 11- Ambulance Standard Drug Bag

    Ambulance Standard Equipment Drug Bag
    Drug                                    Presentation                        Dose         Qty
    Adrenaline (Epinephrine) 1:10,000       Min-I-Jet / Pre-Filled Syringe       1mg          8
    Adrenaline (Epinephrine) 1:1,000        Min-I-Jet / Pre-Filled Syringe       1mg          4
    Amiodarone                              Min-I-Jet / Pre-Filled Syringe      300mg         1
    Aspirin                                 Blister Pack                        300mg         1
    Atropine Sulphate                       Min-I-Jet / Pre-Filled Syringe       3mg          1
    Atropine Sulphate                       Min-I-Jet / Pre-Filled Syringe       1mg          2
    Benzylpenicillin                        Vial with Powder                    600mg         2
    Cefotaxime                              Ampoule                             500mg         2
    Chlorphenamine                          Ampoule                             10mg          1
    Cyclizine                               Ampoule                             50mg          2
    Diazemuls for Injection                 Ampoule                             10mg          2
    Diazepam (Stesolid)                     Rectal Tube                         10mg          2
    Diazepam (Stesolid)                     Rectal Tube                          5mg          2
    Furosemide                              Ampoule                            40/50mg        2
    Glucagon                                Injection Kit                        1mg          1
    Glucogel                                Tube                                 23g          2
    Glucose 5%                              Infusion Bag                        250ml         1
    Glucose 10%                             Infusion Bag                        500ml         1
    GTN                                     Spray                              400mcg         1
    Heparin Sodium                          Ampoule                          1ml/5000units    1
    Hydrocortisone                          Ampoule                             100mg         2
    Morphine Solution (Oralmorph)           Steripoule                          10mg          4
    Naloxone Hyrochloride                   Min-I-Jet / Pre-Filled Syringe     400mcg         4
    Partacetamol Tablets                    Blister Pack                        500mg        1 Box
    Paracetamol Suspension                  Sachet                            250mg/5ml       3
    Paracetamol Suspension                  Sachet                            120mg/5ml       3
    Prochorperazine Buccal tablets          Blister pack                         3mg         1 Box
    Saline for Injection                    Steripoule                           5ml          4
    Water for Injection                     Steripoule                           5ml          2
    Tenecteplase                            Injection Kit                     10000units      1
    Syringe                                                                      10ml         2
    Syringe                                                                      10ml         2
    Syringe                                                                      2ml          2
    Syringe                                                                      1ml          2
    Needle                                                                       25g          2
    Needle                                                                       Blunt        4
    Pre Injection Swab                                                                        6




                                                     17
Appendix 12 - Urgent Care Service Doctors Drug Box

   Urgent Care Service - Doctors Drug Boxes

   Drug                                           Presentation            Dose             QTY
   Aciclovir tablets Overlabelled Pack            Blister Pack           800mg              1
                                                  Pre-filled
   Adrenaline 1 in 10,000                                              1 in 10,000
                                                  Syringe                                   6
   Adrenaline 1 in 1000                           Ampoules             1 in 1,000           1
   Aerochamber Plus Adult (Blue)                                        Individual          1
   Aerochamber Plus Child (with mask) (Yellow)                          Individual          1
   Aerochamber Plus Infant (with mask) (Orange)                         Individual          1
   Amoxicillin Suspension                         Suspension         125mg in 5ml           3
   Amoxicillin Overlabelled Pack                  Blister Pack           250mg              4
   Amoxicillin Suspension Overlabelled Pack       Suspension         250mg in 5ml           2
   Amoxicillin Overlabelled Pack                  Blister Pack           500mg              5
   Aspirin                                        Blister Pack        300mg (32s)           2
                                                  Pre-filled
   Atropine sulphate 1mg                                               1mg in 5ml
                                                  Syringe                                   6
                                                  Pre-filled
   Atropine sulphate 3mg                                              3mg in 10ml
                                                  Syringe                                   6
   Benzylpenicillin Sodium Injection 600mg        Injection              600mg              5
   Cefalexin Overlabelled Pack                    Blister Pack           250mg              3
   Cefotaxime Injection                           Ampoules               500mg              2
   Cetirizine tablets                             Blister Pack         10mg (7s)            2
   Cetirizine oral solution (200ml)               Oral Solution         5mg/5ml             1
   Chloramphenicol 1% eye ointment Overlabelled
                                                  Ointment                 1%
   Pack                                                                                     4
   Chlorphenamine injection                       Injection           10mg in 1ml           1
   Chlorphenamine oral liquid                     Oral Solution        2mg in 5ml           1
   Chlorphenamine tablets                         Blister Pack         4mg (28s)            2
   Ciprofloxacin Tablets Overlabelled Pack        Blister Pack           250mg              4
   Ciprofloxacin Tablets Overlabelled Pack        Blister Pack           500mg              4
   Clarithromycin Suspension Overlabelled Pack    Suspension         125mg in 5ml           2
   Clarithromycin Tablets Overlabelled Pack       Blister Pack           250mg              4
   Clearview HCG pregnancy test                                     Individual test kit     4
   Co-amoxiclav Suspension Overlabelled Pack      Suspension             125/31             1
   Co-amoxiclav Tablets Overlabelled Pack         Blister Pack        250/125 mg            1
   Co-amoxiclav Suspension Overlabelled Pack      Suspension             250/62             1
   Co-amoxiclav Tablets Overlabelled Pack         Blister Pack        500/125 mg            1
   Codeine phosphate tablets                      Blister Pack     15mg tablets (28s)       6
   Cyclizine Injection                            Injection        50mg in 1ml (5s)         1
   Dexamethasone oral solution (150ml)            Oral Solution   2mg in 5ml (150ml)        1
   Diazepam (Diazemuls)                           Injection        10mg in 2ml (10s)        1
   Diazepam tablets                               Blister Pack      2mg tablets (6s)        6
   Diazepam rectal tube                                                10mg (5s)            1
   Diazepam rectal tube                                                2.5mg (5s)           1
   Diazepam rectal tube                                                 5mg (5s)            1
   Diclofenac injection (10s)                     Injection        75mg in 3ml (10s)        1
   Diclofenac suppositories                       Suppositories        50mg (10s)           1
   Dioralyte natural (6s)                         Sachet          Dioralyte natural (6s)    2
   Domperidone tablets (30s)                                          10mg (30s)            2
   Doxycycline Capsules Overlabelled Pack         Blister Pack           100mg              4


                                                           18
Flucloxacillin Suspension Overlabelled Pack    Suspension                      125mg in 5ml                    2
Flucloxacillin Capsules Overlabelled Pack      Blister Pack                        250mg                       2
Flucloxacillin Suspension Overlabelled Pack    Suspension                      250mg in 5ml                    2
Flucloxacillin Capsules Overlabelled Pack      Blister Pack                        500mg                       2
Flumazenil injection                           Injection                 500microgram in 5ml (5s)              1
Fluorescein ophthalmic strips                                           Fluorescein ophthalmic strips          2
Furosemide tablets (7s)                        Blister Pack                      40mg (7s)                     3
Furosemide injection (10s)                     Injection                        50mg (10s)                     1
Fusidic Acid 1% eye drops Overlabelled Pack    Ointment                  Fusidic Acid 1% eye drops             2
Gaviscon 500 peppermint tablets (24s)          Blister Pack                     tablets (24s)                  4
Glucagel                                                                          3 x 23g                      2
                                               Pre-filled
Glucagon                                                                            1mg
                                               Syringe                                                         1
Glycerin suppositories (12s)                   Suppositories                  4g adult (12s)                   1
                                                               400mcg per metered dose spray (75 dose or 200
Glyceryl trinitrate
                                                                                  dose)                        3
Haloperidol injection (10s)                    Injection                     5mg in 1ml (10s)                  1
Hydrocortisone sodium phosphate                Injection                     100mg in 1ml (5s)                 1
Hyoscine hydrobromide                          Injection                    400mcg in 1ml (10s)                1
Hyoscine-N-butylbromide injection              Injection                        20mg in 1ml                    1
Ibuprofen suspension (150ml)                   Suspension                   100mg in 5ml150ml)                 2
Ibuprofen tablets (24s)                        Blister Pack                 200mg tablets (24s)                3
Instillagel                                                                    2% (11ml) gel                   1
Ipratropium bromide                            Nebules                      250mcg in 1ml (20s)                1
Levomepromazine injection                      Injection                     25mg in 1ml (10s)                 1
Levonelle 1500 tablet (1s)                     Blister Pack                 Levonelle 1500 (1s)                2
Locorten-Vioform ear drops Overlabelled Pack   Ointment                            7.5ml                       2
Loperamide capsules (8s)                       Blister Pack                       2mg (8s)                     3
Metoclopramide                                 Injection                     10mg in 2ml (10)                  1
Metoclopramide tablets (28s)                   Blister Pack                     10mg (28s)                     3
Metronidazole Tablets Overlabelled Pack        Blister Pack                        200mg                       2
Metronidazole Tablets Overlabelled Pack        Blister Pack                        400mg                       4
Midazolam injection (10s)                      Injection                      10mg in 2ml (5s)                 1
Morphine sulphate injection                    Ampoules          10mg is available in Poole and Yeovil LTCs.   0
Morphine sulphate oral solution                Ampoules                     10mg in 5ml (100ml)                3
Multistix 8SG test strips                                                        test strips                   1
Naloxone ampoules (10s)                        Ampoules                     400mcg in 1ml (10s)                1
                                               Pre-filled
Naloxone HCl Pre-filled syringe                                                  2mg in 2ml
                                               Syringe                                                         1
Naproxen EC tablets (28s)                      Blister Pack                   250mg EC (28s)                   2
Nitrofurantoin Capsule Overlabelled Pack       Blister Pack                        50mg                        4
Nystatin Suspension Overlabelled Pack          Suspension                   100,000 units per ml               3
Omeprazole capsules (28s)                      Blister Pack                     20mg (28s)                     6
Oral syringes                                                                   Oral syringes                  6
Paracetamol suspension (100ml)                 Suspension                  120mg in 5ml (100ml)                2
Paracetamol suspension (100ml)                 Suspension                  250mg in 5ml (100ml)                1
Paracetamol caplets (32s)                      Blister Pack                 500mg caplets (32s)                2
Paracetamol suppositories                      Suppositories                    120mg (10s)                    1
Paracetamol suppositories                      Suppositories                    240mg (10s)                    1
Penicillin V Suspension Overlabelled Pack      Suspension                      125mg in 5ml                    2
Penicillin V Suspension Overlabelled Pack      Suspension                      250mg in 5ml                    2



                                                      19
Penicillin V Tablets Overlabelled Pack         Blister Pack              250mg                2
Prednisolone soluble (18s)                     Blister Pack         5mg soluble (18s)         3
Prednisolone soluble (30s)                     Blister Pack         5mg soluble (30s)         3
Prednisolone soluble (40s)                     Blister Pack         5mg soluble (40s)         3
Prochlorperazine injection (10s)               Injection           12.5mg in 1ml (10s)        1
Prochlorperazine buccal tablets (8s)           Blister Pack          3mg buccal (8s)          6
Procyclidine injection (5s)                    Injection            10mg in 2ml (5s)          1
reagent strips                                                        reagent strips          1
Salbutamol CFC free inhaler                    Inhaler          100mcg per metered dose       2
Salbutamol                                     Inhaler         2.5mg in 2.5ml nebules (20s)   1
Sodium chloride 0.9% injection                 Ampoules                10ml (50s)             10
Sodium citrate micro enema                     Suppositories   450mcg in 5ml micro enema      2
Tramadol injection                             Injection          50mg in 1ml (5 x 2ml)       2
Trimethoprim Tablets Overlabelled Pack (14s)   Blister Pack           200mg (14s)             3
Trimethoprim Tablets Overlabelled Pack (6s)    Blister Pack            200mg (6s)             3
Trimethoprim Suspension Overlabelled Pack      Suspension              50mg in 5ml            2
Water for injection                            Ampoules                   10ml                10




                                                         20
Appendix 13 - Emergency Care Practitioner Drug Bag

    Emergency Care Practitioner Drug Bag          Presentation                     Dose             Qty
    Amethocaine Gel (Ametop) Tetracaine 4%        Gel                                      1.5g       2
    Amethocaine Tetracaine 0.5% Minims            Min-I-Jet / Pre-Filled Syringe           1mg        4
    Amoxicillin 125mg in 5ml Suspension           Suspension                              125mg       1
    Amoxicillin                                   Blister Pack                            250mg       1
    Amoxicillin                                   Suspension                          250mg/5ml       1
    Amoxicillin 500mg Capsules                    Blister Pack                            500mg       1
    Cefalexin                                     Blister Pack                            250mg       1
    Cetirizine                                    Blister Pack                             10mg       1
    Cetirizine                                    Oral Solution                           5mg/5ml     1
    Chloramphenicol 1% Eye Ointment               Ointment                                  1%        2
    Chloramphenicol Eye drops 0.5%                Ointment                                0.50%       2
    Chlorphenamine 2mg in 5ml Oral Liquid         Oral Solution                           2mg/5ml     1
    Chlorphenamine                                Blister Pack                             4mg        1
    Ciprofloxacin Tablets                         Blister Pack                            250mg       1
    Ciprofloxacin Tablets                         Blister Pack                            500mg       1
    Clarithromycin                                Suspension                          125mg/5ml       1
    Clarithromycin                                Blister Pack                            250mg       1
    Co-amoxiclav                                  Suspension                              125/31      1
    Co-amoxiclav                                  Suspension                              250/62      1
    Co-amoxiclav                                  Blister Pack                            375mg       1
    Codeine Phosphate                             Blister Pack                             15mg       1
    Diazepam                                      Blister Pack                             2mg        1
    Diclofenac Suppositories                      Blister Pack                             50mg       1
    Diclofenac                                    Injection                                75mg       1
    Dioralyte                                     Sachet
    Domperidone Tablets                           Blister pack                             10mg       1
    Doxycycline                                   Blister Pack                            100mg       4
    Erythromycin                                  Suspension                          125mg/5ml       1
    Erythromycin                                  Suspension                          250mg/5ml       1
    Erythromycin                                  Blister Pack                            250mg       1
    Flucloxacillin                                Suspension                          125mg/5ml       1
    Flucloxacillin                                Blister Pack                        250mg/5ml       1
    Flucloxacillin                                Suspension                          250mg/5ml       1
    Flucloxacillin                                Blister Pack                            500mg       1
    Fluorescein 2% Minims                         Ointment                                  2%        1
    Fusidic Acid Eye Drops 1%                     Ointment                                  1%        1
    Gaviscon                                      Blister Pack                            500mg       1
    Ibuprofen                                     Blister Pack                            200mg       1
    Ibuprofen                                     Suspension                          100mg/5ml       1
    Instillagel 11ml                              Prefilled Syringe                        11ml       2
    Levonorgestrel                                Blister Pack                            1.5mg       1
    Lidocaine                                     Injection                                 2%        4
    Loperamide 2mg Capsules                       Blister Pack                             2mg        1
    Metoclopramide                                Injection                           10mg/2ml        1
    Metoclopramide                                Blister Pack                             10mg       1
    Metronidazole                                 Blister Pack                            200mg       1



                                             21
Metronidazole                                 Blister Pack    400mg      1
Naproxen                                      Blister Pack    250mg      1
Nitrofurantoin                                Blister Pack     50mg      1
Nystatin                                      Suspension      100,000    1
Paracetamol 120mg in 5ml Suspension           Suspension     120mg/5ml   1
Paracetamol 250mg in 5ml Suspension           Suspension     250mg/5ml   1
Paracetamol Suppositories                     Blister Pack    120mg      1
Paracetamol Suppositories                     Blister Pack    240mg      1
Phenoxymethylpenicillin                       Suspension     125mg/5ml   1
Phenoxymethylpenicillin                       Suspension     250mg/5ml   1
Phenoxymethylpenicillin (Penicillin V)        Blister Pack    250mg      1
Prednisolone                                  Blister Pack     5mg       1
Prochlorperazine 12.5mg Injection             Injection       12.5mg     1
Prochlorperazine                              Blister Pack     3mg       1
Salbutamol                                    Inhaler        100mg/2ml   1
Tramadol Injection                            Injection      100mg/2ml   1
Trimethoprim                                  Blister Pack    200mg      1
Trimethoprim                                  Suspension     50mg/5ml    1
Syringe                                                        50ml      1
Syringe                                                        10ml      3
Syringe                                                         2ml      2
Needle                                                          1ml      2
Needle                                                         Blunt     4
Needle                                                          23g      2
Pre Injection Swab                                              25g      2
Water for Injection                           Steripoule        5ml      2




                                         22
Appendix 14 - Paediatric Bag

  Paediatric Bag                             QTY
  Paediatric Bag Valve Mask                   1
  OP Airway Size 1                            1
  OP Airway Size 0                            1
  OP Airway Size 00                           1
  Air Cushion Mask - Neonate                  1
  Air Cushion Mask - Infant                   1
  Air Cushion Mask - Toddler                  1
  SPO2 Paediatric Finger Probe                1
  Laryngoscope Handle (Inc Batteries)         1
  Miller Blade Size 1                         1
  Miller Blade Size 0                         1
  1ml Syringe                                 2
  Three Way Tap                               1
  IO Needle                                   1
  24g Cannula                                 2
  22g Cannula                                 2
  20g Cannula                                 2
  50ml Syringe                                1




                                        23
Appendix 15 - Paediatric Bag (Responder)

   Paediatric Bag (Responder)              QTY
   Paediatric Bag-valve-mask                1
   Air Cushion Mask - Neonate               1
   Air Cushion Mask - Infant                1
   Air Cushion Mask - Toddler               1
   Paediatric aide memoir                   1




                                  24
Appendix 16 - Asthma Bag

  Asthma Bag                                  QTY
  Nebuliser Mask Adult                          1
  Nebuliser Mask Child                          1
  Peak Flow Meter High Range                    1
  Peak Flow Meter Low Range                     1
  Peak Flow Mouthpieces                         2
  Peak Flow Wheel                               1
  "T" Piece                                     1
  Salbutamol Nebules 5mg                      1 Pack
  Ipratropium Bromide (Atrovent) 250mg        1 Pack
  Ipratropium Bromide (Atrovent) 500mg        1 Pack




                                         25
Appendix 17 - Infection Control Bag
 Infection Control Bag                QTY
 Clinical Waste Bag - Large            1
 Disposable Aprons                     3
 Theatre Masks with Visor              3
 FFP3 Masks                            3
 Goggles - Indirect Vented             2
 Single Use Spill Kit                  1
 Staff Uniform Laundry Bag             1
 Red Alginate Bag                      1
 Absorbent Gel Sachets                 2




                                 26
Appendix 18 - Infection Control and Spare Consumables Bag
              (Responders Only)


   Infection Control and Spare Consumables Bag                           QTY
   Nitrile Gloves (Selection of required sizes)                        1 of each
   FFP3 Masks                                                             2
   Theatre Masks with Visor                                               2
   Disposable Aprons                                                      2
   Detergent Wipes (Individually wrapped)                                 10
   Alcohol Hand Rub Tottle                                                1
   Spare Adult Bag-Valve-Mask                                             1
   Spare Canister for Suction Unit (Where required for type carried)      1
   Spare defibrillator pads                                               1
   Spare razor                                                            1




                                                               27
Appendix 19 - Burns Bag

   Burns Bag                         QTY
   Burns dressing large               2
   Burns dressing medium              2
   Burns dressing small               2
   Burns dressing - face mask         1
   Open weave bandages                4
   Cling film (Roll)                  1




                                28
Appendix 20 - Maternity Bag
 Maternity Bag                     QTY
 Sterile maternity pack             1
 Clinical waste bag (small)         1
 Polythene neonate bag              1




                              29
Appendix 21 - Entonox Bag
  Entonox Bag                       QTY
  Entonox Cylinder                   1
  Regulator and Demand Valve         1
  Cylinder Key                       1
  Bacterial Filter                   2
  Bodok Seal                         1
  Entonox Mouthpieces                2




                               30
Appendix 22 - Vacuum Splint Bag
  Vacuum Splint Bag                    QTY
  Vacuum splint (small)                 1
  Vacuum splint (medium)                1
  Vacuum splint (large)                 1
  Vacuum pump                           1




                                  31
Appendix 23 - Thrombolysis Kit

  Thrombolysis Kit                                                                QTY
  Tenectaplase 10,000 Units                                                        1           1
  Heparin 1ml/5000 Units                                                           2           1
  Thrombolysis Checklist (latest version)                                        1 pad         2
  Wrist Bands                                                                      2


  1. TNK/Heparin may be omitted in areas with 24/7 primary angioplasty at the discretion of the OLM
  2. May be stored separately with Dorset red bag




                                                             32
Appendix 24 - Suction Kit

   Suction Unit                                         QTY
   In vehicle charging unit/bracket                      1
   Suction catheter 6fg x 45cm                           2
   Suction catheter 10fg x 45cm                          2
   Suction catheter - Yankeur, with vacuum break         2




                                                   33
Appendix 25 - Forms

  Forms                                   QTY
  Clinical Record - CR1                    1
  Clinical Record - Daily Log              1
  ROLE                                     1
  Cardiac Arrest                           1
  Child Protection                         1
  Vulnerable Adult                         1
  Refusal of Treatment / Transport         1
  Vehicle Defect Book                      1
  Vehicle Daily Log Book                   1
  Local maps                               1




                                     34

								
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