Re-stocking the resuscitation trolley: how good is compliance with checking procedures?

Clin Risk 2008;14:4-7
doi:10.1258/cr.2007.070008
© 2008 Royal Society of Medicine Press

 

 

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Re-stocking the resuscitation trolley: how good is compliance with checking procedures?

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Andrea Smith,
James Kinross,
Martin Bailey,
Rajesh Aggarwal,
David Toresen and
Charles Vincent

Email: ajm.smith{at}imperial.ac.uk

This study retrospectively reviewed compliance with the checkingpolicy for resuscitation trolleys on medical, surgical and paediatricwards in a large UK city-based teaching hospital. Successfuladvanced life support (ALS) relies on the availability of aresuscitation trolley that provides the required equipment andrecommended drugs. Missing or faulty equipment can significantlycompromise ALS. Local policy stipulates periodic checking, andre-stocking as required, of resuscitation trolleys, and checklistsare provided for this purpose. The checklist forms located oneach trolley were examined between January and December 2005.The frequency of checking was compared with the arrest callsmade within that period. The medical, surgical and paediatricwards had a mean checking rate of 72.2%, 68.8% and 65.9%, respectively.In December one ward checked their trolley on 11/31 (35.5%)days of the month, during which there were two cardiac arrestcalls. In this hospital, basic trolley checking procedures arenot being followed, leaving the trolley unchecked, and possiblyunprepared, for an emergency cardiopulmonary arrest. Hospitalsshould regularly review compliance with policies and proceduresfor the checking of resuscitation equipment to ensure that appropriateand functioning equipment, and unexpired drugs are in placein all clinical areas.

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