Resuscitation Equipment Standard: Monitoring Tool

Appendix 5a

Resuscitation Equipment Standard: Monitoring Tool

Ward / Location

All equipment for resuscitation will be in a fit condition for clinical use. The equipment will be stored using the grab bag system in a designated and identified area. Qualified member of the nursing team will check this equipment on a weekly basis and identify any remedial action that is required and this will be recorded on the action sheet.

Day /

Date

Resuscitation Grab bag checked/secure/ location identified

(Sealed if required)

(Yes/No) / Ambu bag
(Yes/No) / Face masks size
Small, Medium
and Large / High concentration Non-breathe Oxygen Mask
(Yes/No)
Expiry date / Guedel Airway
Size: 2,3 and 4
(Yes/No)
Expiry date / Emergency Cd Oxygen cylinders X3
(1 in Grab bag plus 2 spare)
(Yes/No)
Expiry date / Tough cut Plastic handled Scissors
(Yes/No) / Adrenaline Auto-Injector
and/or
Orange box
As Applicable to service provision
Expiry dates / Actions Identified
(see attached action sheet)
(Yes/No) / Signature/
Designation

1

/ / / / / /

2

/ / / / / /

3

/ / / / / /

5

/ / / / / /

7

/ / / / / /

8

/ / / / / /

9

/ / / / / /

10

/ / / / / /

11

/ / / / / /

12

/ / / / / /

NOTE: All resuscitation equipment must be located at a designated point for immediate access. In the event of medical emergency it is the responsibility of managers in each area to inform staff of location, access (including door entry / key access) and response procedure

Northumberland, Tyne and Wear NHS Foundation Trust

Appendix 5a – Resuscitation Equipment Standard – Monitoring Tool – V04 – Issue 2- Aug15

Part of NTW(C)01 – Resuscitation Policy