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    GNU DOH Compliance Monitoring Sheet 1

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    Sherilyn Rodriguez
    This document provides a checklist for the contents of a general nursing unit and emergency cart to ensure compliance with department of health monitoring. It lists the required minimum quantities of medical equipment, supplies, and drugs that should be available including a bed, clinical scale, defibrillator, emergency cart, oxygen tank, blood pressure cuff, stethoscope, thermometers, and other basic diagnostic and emergency response equipment. It also outlines the drugs that should be in the emergency cart along with additional equipment and supplies needed to properly respond to medical emergencies. Compliance is checked on a monthly basis with remarks noted for any deficiencies.

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    GNU DOH Compliance Monitoring Sheet 1

    Uploaded by

    Sherilyn Rodriguez
    34 views2 pages
    This document provides a checklist for the contents of a general nursing unit and emergency cart to ensure compliance with department of health monitoring. It lists the required minimum quantities of medical equipment, supplies, and drugs that should be available including a bed, clinical scale, defibrillator, emergency cart, oxygen tank, blood pressure cuff, stethoscope, thermometers, and other basic diagnostic and emergency response equipment. It also outlines the drugs that should be in the emergency cart along with additional equipment and supplies needed to properly respond to medical emergencies. Compliance is checked on a monthly basis with remarks noted for any deficiencies.

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    This document provides a checklist for the contents of a general nursing unit and emergency cart to ensure compliance with department of health monitoring. It lists the required minimum quantities of medical equipment, supplies, and drugs that should be available including a bed, clinical scale, defibrillator, emergency cart, oxygen tank, blood pressure cuff, stethoscope, thermometers, and other basic diagnostic and emergency response equipment. It also outlines the drugs that should be in the emergency cart along with additional equipment and supplies needed to properly respond to medical emergencies. Compliance is checked on a monthly basis with remarks noted for any deficiencies.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    34 views2 pages

    GNU DOH Compliance Monitoring Sheet 1

    Uploaded by

    Sherilyn Rodriguez
    This document provides a checklist for the contents of a general nursing unit and emergency cart to ensure compliance with department of health monitoring. It lists the required minimum quantities of medical equipment, supplies, and drugs that should be available including a bed, clinical scale, defibrillator, emergency cart, oxygen tank, blood pressure cuff, stethoscope, thermometers, and other basic diagnostic and emergency response equipment. It also outlines the drugs that should be in the emergency cart along with additional equipment and supplies needed to properly respond to medical emergencies. Compliance is checked on a monthly basis with remarks noted for any deficiencies.

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    © All Rights Reserved
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    GENERAL NURSING UNIT

    DOH COMPLIANCE MONITORING SHEET

    Month/Year _____________________

    Machine/Equipment/Supplies Quantity Complied Remarks


    Bag-valve-mask Unit
    - Adult 1
    - Pediatric
    Clinical Height and Weight Scale 1
    Defibrillator with paddles 1
    Emergency Cart 2
    EENT Diagnostic Set with
    1
    Ophthalmoscope and Otoscope
    Laryngoscope with blades of different
    sizes
    Mechanical Bed 1
    Bedside Table 1
    Nebulizer 1
    Neurologic Hammer 1
    Oxygen Tank
    Tank is anchored/chained/ strapped or 1
    with tank holder if not pipeline
    Sphygmomanometer, Non-mercurial
    - Adult cuff for adult unit 1
    - Pediatric cuff for pediatric unit
    Stethoscope 1
    Suction apparatus 1
    Thermometer, non-mercurial
    - Oral 1
    - Rectal

    EMERGENCY CART CONTENTS


    DRUGS COMPLIED REMARKS
    Adenosine 6 mg/2mL vial
    Amiodarone 150mg/3mL ampule
    Anti-tetanus serum (either equine-based antiserum or
    human antiserum)
    Aspirin UP grade (325 mg/tablet)
    Atropine 1mg/ml ampule
    B-adrenergic agonists (i.e. Salbutamol 2mg/ml)
    Benzodiazipine (Diazepam 10mg/2ml ampule and/or
    Midazolam) (in high alert box)
    Calcium (usually calcium gluconate 10%solution in 10 mL
    ampule)
    Clopidogrel 75 mg tablet
    D5W 250 mL
    D50W 50mg/vial
    Digoxin 0.5mg/2mL ampule
    Diphenhydramine 50mg/mL ampule
    Dobutamine 250mg/5mL ampule
    Dopamine 200 mg/5mL ampule/vial
    Epinephrine 1mg/ml ampule
    Furosemide 20mg/2ml ampule
    Haloperidol 50mg/mL ampule
    Hydrocortisone 250mg/2mL vial
    Lidocaine 10% in 50mL spray
    Lidocaine 2% solution vial 1g/50ml
    Magnesium sulfate 1g/2mL ampule
    Mannitol 20% solution in 500ml/bottle
    Methylprednisolone4mg/tablet
    Metoclopramide 10mg/2mL ampule
    Morphine sulfate 10mg/mL ampule (in high alert box)
    Nitroglycerin inj. 10 mg/10mL ampule or Isosorbide
    dinitrate 5mg SL tablet or 10 mg/10mL ampule
    Noradrenaline 2mg/2mL ampule
    Paracetamol 300mg/ampule (IV preparation)
    Phenobarbital 120mg/ml ampule IV or 30mg tablet (in high
    alert box)
    Phenytoin 100mg/capsule or 100 mg/2Ml ampule
    Plain NSS 1L/bottle - 0.9% Sodium Chloride
    Potassium Chloride 40mEq/20mL vial (in high
    alert box)
    Vitamin B1/6/12 vial (1g B1, 1g B6, 0.01gB12
    in 10 mL vial)
    Sodium bicarbonate 50mEq/50mL ampule
    Verapamil 5 mg/2 ml ampule

    EQUIPMENTS/SUPPLIES
    Airway adjuncts
    Airwav / Intubation Kit (with stylet and bag valve masks)
    Alcohol disinfectant
    Aseptic bulb syringe
    Calculator
    Capillary Blood Glucose (CBG) Kit
    Cardiac Board
    Endotracheal Tubes, all sizes
    Flashlights or Pen lights
    Gloves, sterile
    Gloves non-sterile
    Laryngoscope with different sizes of blades
    Nasal cannula
    Protective face shield or mask or goggles
    Standard face mask
    Sterile gauze (pre-folded and individually packed)
    Syringes (different volumes)
    Urethral catheter
    Urine collection bag
    Waterproof aprons

    Date: Checked by:


    ___________________________
    Signature over Printed Name

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