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STANDARDS:
* Maintenance of the ICU/CCU bed areas is to be attended by all Registered Nurses on a shift-by-shift basis.
* Each bed space is to have functioning wall oxygen and suction equipment at all times.
* Each bed is fitted with a "C" cell O2 cylinder (more than one-quarter full) filled to a Twin-O-Vac regulator, with O2 equipment (hudson mask, oxygen tubing) and suction equipment (suction tubing, Yankeur sucker, y-suction catheters).
* CCU beds 1-5 - a stackerbox in each room is to be stocked as follows (see sheet 1A).
* ICU beds 6-9 are to be stocked as follows (see sheet 2a, 3a).
* Full re-stocking at the bed space is required after patient discharge or transfer. Terminal cleaning of the bed space is to be attended as per protocol.
* Each bed space is to be kept tidy and clean as per infection control policy.
* Unused equipment is to be cleaned and returned to the appropriate storeroom.
* Sharps containers are to be replaced before overfilling occurs.
* Patient's belongings may be kept in a plastic bag under the bed or in the sailboard/lockers. Excess patient baggage should be taken home by next-of-kin.
* Patient valuables are to be stored in the Hospital safe as per valuables protocol, or at the patient's risk at the bedside.
* Completed observation charts and other documentation is to be filed in the patient's notes as appropriate.
* Nurses are able to provide nursing care to patients in an uncluttered, safe working environment with necessary equipment and documentation at hand.
R : 16.1
EQUIPMENT KEPT IN CCU
* Clean suction
* Yankeur sucker
* Guedels airways
* Clean air viva in plastic bag, with PEEP valve
* 1 Hudson mask & O2 tubing
* Vomit bowl
* 6 blud underpads
* 1 sharps bucket
* Black, Green, Red Pens and scissors
* 1 Black texta for marking chests for ECGs
* Gloves - small, medium, large
* Goggles
* Environmental wipes
* Methylated spirits
* Tissues
* Toilet paper
* Sphygmomanometer & cuff
* Stethoscope
* Red dots
* Glad hands (cool & dries)
* Torniquet
* Cotton balls or gauze squares
R : 16.2
BASIC EQUIPMENT ON COLUMN
* Laerdal Resuscitator with Green oxygen tubing attached, and mask ready to use but
enclosed in a plastic bag to indicate it is clean. PEEP valve. (Even if there has
been a patient in a particular bed bay if the resuscitator is in a plastic bag it
will be considered clean).
* Stethoscope for use with each individual patient, stethoscopes should not be taken
from patient to patient.
* Manual sphygmomanometer with cuff attached.
* Suction equipment, ie cannister and liner with 350cms and 2 metre tubing not unwrapped
(tubing left unwrapped to alert other staff that: (a) it is not connected and (b)
it is still clean.
* Unopened Yankeur sucker.
* 2 oxygen flow meters, 1 air flow meter and 1 patient call bell.
* Syringe and forceps
* Black dwell cath.
* 1 high flow O2 meter.
Sailboard Bedside Setup
Biochemistry flow chart Monitor: Modules left in situ
Observation flow chart
ECG with cable attached
Medication chart SaO2 with cable attached
Apache ECG dots
Dependencies
Blood Gas flow chart
R : 16.3
EQUIPMENT FOR ICU
Wire Baskets
Hexol Hand Cleaning Solution
Lubricant
Acetone
Friar's Balsam
Hibitane
Additive labels
Sharps container
Dimethicream
Talcum Powder
Soap
Oral Thermometer
Disposable Gloves - 1 box each small, medium, large
Emesis Bowl
Syringes - 5 x blood gas/5 x 1ml/10 x 2ml/10 x 5ml/10 x 10ml/
5 x 20ml
Needles - 19G/21G/23G/25G, 5 x Yellow I.V. Bungs
10 x Normal Saline for injection
10 x Water for injection
1 box Alcohol Injection Swabs + 5 Betadine Swabs
Assorted strapping e.g. 2.5cm Micropore, 2.5cm Leukoplast, 7.5cm Elastoplast
Tourniquet
Sterile Singles gloves + Sixe 12G "Y" Suction Catheters
Protective Goggles
10 x gauze swabs
5 x packs cotton wool swabs
2 x Tegaderm dressings
6 x Dressing pack
10 x blue underpads
1 box tissues
1 container alcohol environmental wipes
1 roll toilet paper
tongue depressors
R : 16.4
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It was originally posted on 6/5/98; 2:28:02 PM.
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