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EMERGENCY TROLLEY CHECKLIST

EMERGENCY DEPARTMENT
1st DRAWER (MEDICATION) Standard Exp /Date
Quantity
Water for Injection 5
Adrenaline 1mg /mls 10
Atropine 1mg/mls 5
Naloxone 0.4mg/mls 1
Normal Saline 0.9% in 10mls 2
Calcium Gluconate 10mls 2
Dextrose 50% in 20 mls 2
Sodium Bicarbonate 8.4% 50mls 2
Verapamil 2.5mg 2
Amiodarone 150mg/3mls 5
Lignocaine 2% 5
Aminophylline 250MG/10 mls 1
Digoxin 0.5mg 2
Frusemide 20mg/ 2MLS 10
Hydrocortisone 100mg 2
Syringe 50cc 2
Syringe 20cc 2
Syringe 10cc 3
Syringe 5cc 5
Syringe 3cc 5
Needle 19G 5
Needle 21G 5
Needle 23G 5
Needle 25G 5
Alcohol Swab 10

Drawer 2 (CIRCULATION) Standard Exp /Date


Quantity
Sterile Gause 10cm 10cmSterile Gause 10cm
2 pack10cm
IV Branula 22G 3
IV Branula 20G 3
IV Branula 18G 3
IV Branula 24G 3
IV Giving Set Plain 2
Sangofix 2
IV Tegaderm 5
Tournique 1
Micropore 1 inch & 1/2 inch 1/1
Perfuser TubIng 1
IV Stopper 3
Alcohol Swab 10
T - Connector for IV 3
3 Way Stopcock 2
Angio Cath16 (long) 1
Angio Cath16 (short) 2
ABG Syringe 2
Drawer 3 (AIRWAY) Standard Exp /Date
Items Quantity
Resuscitator Facemask Size 0 1
Resuscitator Facemask Size 1 1
Resuscitator Facemask Size 2 1
Resuscitator Facemask Size 3 1
Resuscitator Facemask Size 4 1
Airway Size 4/5/6/7/8/9 1/1/1/1/1
Oxygen Nasal Cannula Adult/Paeds 1/1
Oxygen Face Mask Adult/Paeds 1/1
High flow Adult/Paeds 1/1
ETT size 2.0 1
ETT size 2.5 1
ETT size 3.0 1
ETT size 3.5 1
ETT size 4.0 1
ETT size 4.5 1
ETT size 5.0 1
ETT size 5.5 1
ETT size 6.0 1
ETT size 6.5 1
ETT size 7.0 1
ETT size 7.5 1
ETT size 8.0 1
ETT size 8.5 1
Stylet Adult/Paeds 1/1
Magil Forcep Adult/Paeds/Neonate 01/01/2001
Yaunker Sucker Adult 1
Yaunker Sucker Peads 1
Laryngosccope Handle 1
Miller 00,0,1 / / /
Macintosh 0/1/2 / / /
Macintosh 2/ 3/4 / / /
KY Jelly 1
Scissors 1
Syringe 20cc 1
Suction Catheter size 6 1
Suction Catheter size 8 1
Suction Catheter size 10 1
Suction Catheter size12 1
Suction Catheter size 14 1
Transpore 1/2 inch 1
Batteries 1 Pair
Oxygen Flowmeter 1
Nipple and Nuts 1
Drawer 4 (FLUIDS & MISC.ITEMS) Standard Exp /Date
Items Quantity
Suction Connection Tubing 1
Suction Liner 1
Sterile Glove Size 6.5 2
Sterile Glove Size 7.0 2
Sterile Glove Size 8.0 2
IV Normal Saline 500mls 3
IV Gelafundin 4
Surgical Mask 1 box
Latex Glove 1 box
Apron 4
Kidney Dish 1
ECG Paper 1 roll
ECG Electrodes 1 packet
Incopad (L) 1
Urine Bag 1
Dressing set 1
Nasogastric Tube 6 1
Nasogastric Tube 8 1
Nasogastric Tube 10 1
Nasogastric Tube 12 1
Nasogastric Tube 14 1
Nasogastric Tube 16 1
Foleys catheter size 12 1
Foleys catheter size 14 1
DATE SEAL
LOCK NO
DATE OPEN
REASON
Checked By: Name :
:
Signature :
:
1
Drawer 2 (CIRCULATION)

Items Standard
Quantity
Sterile Gause 10cm 10cmSterile Gause
2 pack
10cm 10cm
IV Branula 22G 3
IV Branula 20G 3
IV Branula 18G 3
IV Branula 24G 3
IV Giving Set Plain 2
Sangofix 2
IV Tegaderm 5
Tournique 1
Micropore 1 inch 1
Micropore 1/2 inch 1
IV Stopper 3
Alcohol Swab 10
T - Connector for IV 3
3 Way Stopcock 2
Angio Cath16 (long) 1
Angio Cath16 (short) 1
ABG Syringe 2
Drawer 3 (BREATHING)

Items Standard
Quantity
ETT size 2.0 1
ETT size 2.5 1
ETT size 3.0 1
ETT size 3.5 1
ETT size 4.0 1
ETT size 4.5 1
ETT size 5.0 1
ETT size 5.5 1
ETT size 6.0 1
ETT size 6.5 1
ETT size 7.0 1
ETT size 7.5 1
ETT size 8.0 1
ETT size 8.5 1
Stylet Adult 1
Stylet Peads 1
Magil Forcep Adult 1
Magil Forcep Peads 1
Yaunker Sucker Adult 1
Yaunker Sucker Peads 1
Laryngosccope Handle 1
Miller 00,0,1 1
Macintosh 2 1
Macintosh 3 1
KY Jelly 1
Scissors 1
Syringe 50cc with catheter tip 1
Syringe 20cc 1
Suction Catheter size 6 1
Suction Catheter size 8 1
Suction Catheter size 10 1
Suction Catheter size12 1
Suction Catheter size 14 1
Suction Catheter size 16 1
Transpore 1/2 inch 1
Extra Batteries 1 Pair
Torch Light 1

Drawer 3 (AIRWAY)
Items Standart
Quantity
Resuscitator Facemask Size 0 1
Resuscitator Facemask Size 1 1
Resuscitator Facemask Size 2 1
Resuscitator Facemask Size 3 1
Resuscitator Facemask Size 4 1
Airway Size 4 1
Airway Size 5 1
Airway Size 6 1
Airway Size 7 1
Airway Size 8 1
Airway Size 9 1
Nasogastric Tube 6 1
Nasogastric Tube 8 1
Nasogastric Tube 10 1
Nasogastric Tube 12 1
Nasogastric Tube 14 1
Nasogastric Tube 16 1
Drawer 3 (FLUIDS & MISC.ITEMS)

Items Standard
Quantity
Oxygen Nasal Cannula Adult 1
Oxygen Nasal Cannula Peads 1
Oxygen Face Mask Adult 1
Oxygen Face Mask Peads 1
Oxygen Rebreathing Mask Adult 1
Oxygen Rebreathing Mask Peads 1
AED Defibrillator Cable with pads 1
Suction Connection Tubing 1
Suction Liner 1
Sterile Glove Size 6.5 2
Sterile Glove Size 7.0 2
Sterile Glove Size 8.0 2
Oxygen Flowmeter 1
Nipple and Nuts 1
CBD size 12 1
CBD size 14 1
IV Normal Saline 500mls 3
IV Gelafundin 4
Surgical Mask 1
Latex Glove 1
Apron 4
Kidney Dish 1
ECG Paper 1 roll
ECG gel 1 bottle
ECG Electrodes 1 packet
Incopad (L)
EMERGENCY TROLLEY CHECKLIST

ITEM QYT/DATE
Defibrillator 1 (FUNCTION)
- Electrodes 3
- Gel 1
- Paddles (adult& paeds) 1set/1set
- AED cable & Pad 1
Oxygen Cylinder with flow meter 1 (Reading)
Cardiac Board (behind of the trolly) 1
Sharp Bin 1
Bag valve mask A/P/N / / /
Stethoscope 1
Code Blue Record 1

CHECCKED BY:NAME:

ITEM QYT/DATE
Defibrillator 1 (FUNCTION)
- Electrodes 3
- Gel 1
- Paddles (adult& paeds) 1set/1set
- AED cable & Pad 1
Oxygen Cylinder with flow meter 1 (Reading)
Cardiac Board (behind of the trolly) 1
Sharp Bin 1
Bag valve mask A/P/N / / /
Stethoscope 1
Code Blue Record 1

CHECCKED BY:NAME:
Drawer 4 (FLUIDS & MISC.ITEMS) Standard Exp /Date
Items Quantity
Suction Connection Tubing 1
Suction Liner 1
Sterile Glove Size 6.5 2
Sterile Glove Size 7.0 2
Sterile Glove Size 8.0 2
IV Normal Saline 500mls 3
IV Gelafundin 4
Surgical Mask 1 box
Latex Glove 1 box
Apron 4
Kidney Dish 1
ECG Paper 1 roll
ECG Electrodes 1 packet
Incopad (L) 1
Urine Bag 1
Dressing set 1
Nasogastric Tube 6 1
Nasogastric Tube 8 1
Nasogastric Tube 10 1
Nasogastric Tube 12 1
Nasogastric Tube 14 1
Nasogastric Tube 16 1
Foleys catheter size 12 1
Foleys catheter size 14 1

DATE SEAL
LOCK NO
DATE OPEN
REASON
Checked By: Name :
:
Signature :
:

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