/depts/,/depts/uwhealth/,/depts/uwhealth/ambulatory-education/,/depts/uwhealth/ambulatory-education/ambulatory-emergency/,/depts/uwhealth/ambulatory-education/ambulatory-emergency/resources/,

/depts/uwhealth/ambulatory-education/ambulatory-emergency/resources/Emergency-Crash-Cart-Supply-List-12.01.17.pdf

201712348

page

100

UWHC,UWMF,

Learning and Development,

Departments & Programs,UW Health,Ambulatory Education,Ambulatory Emergency,Resources

UW Health Ambulatory Crash Cart Supply List

UW Health Ambulatory Crash Cart Supply List - Departments & Programs, UW Health, Ambulatory Education, Ambulatory Emergency, Resources


1

UW HEALTH AMBULATORY CRASH CART SUPPLY LIST

CART AND ACCESSORIES
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER

1 each Armstrong Crash Cart 12534
10 Sealing Security Ties Red/Numbered
(Should be kept with Manager/Designee)
6600 4016547

1 each Tubular Railing C651
1 each IV Pole w/Brackets C652
1 each Non-Sterile Glove Box Holder, Beige C650
1 box Non-Sterile Gloves- Medium Stock
1 each Wire Basket Holder Special Order
1 each Wire Basket Panel Special Order
1 each Premier Cardiac Board w/Brackets C653
1 each Oxygen Tank Holder C654
1 each Oxygen Tank w/ Integrated Valve Order through Badger
Welding (608-257-5606)
Follow clinic process
1 each Drug Tray 3” AC 670S C670
5 each Drug Tray Short Dividers 3” AC 675S C675
1 each Drug Tray Long Dividers 3” AC 680S C680
1 each Drug Tray 5” AC 672S C672
1 each Drug Tray Short Dividers 5” AC 685S C685
1 each S-Scort Duet Suction Machine C6975
AED/Defibrillator
QUANTITY ITEM
Only Order Appropriate Pads for Your Area
UWMF ORDERING NUMBER UWHC ORDERING NUMBER

1 each AED or Defibrillator Special Order
2 each AED or Defibrillator Pads (Adult &
Pediatric)
Special Order
2 pkgs Quik Combo electrodes Lifepak 20’s 2070 4006404
1 pkg HeartStart FR/FR2 Defib pads (DP2) 14214 Special Order
1 pkg HeartStart Smart Pads II FRx Defib Pads 11692 Special Order
1 pkg Infant/Child Key for HeartStart FRx Defib 13317 Special Order
1 roll Paper for Lifepak 20’s 2330 2200445
TOP OF CART
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER

1 each Clipboard for Emergency Response Form Office Max-# 775
5 each Emergency Response Forms Print From: U-Connect/Ambulatory Education
Page/Ambulatory Emergency/Resources


2
FIRST DRAWER
(NOTE: MEDICATIONS ON SEPARATE LIST )
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER
1 each Trauma Scissors 10927 NA
1 each Bandage Scissors 4002435
3 each Syringes
1 mL
3 mL
10 mL

1 mL- 4415A
3 mL- 4395B
10 mL- 4370A

1 mL- 4014429
3 mL- 1219876
10 mL- 1219991
2 each

Needles
22 gauge
23 gauge
25 gauge
Clinic Stock/or:
22G x 1.5”- 10496A
23G x 1”- 4103
25G x 1”- 4151A
Clinic Stock/or:
22G x 1.5”- 1214014
23G x 1”- 1214013
25G x 1”- 1214015
5 each Alcohol Prep Pads Clinic Stock
1 roll Transpore Tape 1” 1201139
1 each Broselow tape Special Order
SECOND DRAWER
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER
1 each Resuscitation Masks



Adult Large- 1104550
Adult Medium- 1104540
Adult Small- 1213034
Pediatric- 1213032
Infant- 1213031
1 each Neonate Single Use Face Mask 53507 1213030
1 each Valve, Non-Rebreathing Venteasy 1241 2226013
2 each Emesis Bags 4011651
5 each Tongue Depressor Clinic Stock
1 each Oral Airway Size 00mm- 1209
Size 50mm- 4001
Size 60 mm- 4003
Size 70mm- 6530
Size 80mm- 6525
Size 90mm- 4004
Size 100mm- 6520
Size 00mm- 1209161
Size 50mm- 4001200
Size 60mm- 4001201
Size 70mm- 4001202
Size 80mm- 4001203
Size 90mm- 4001204
Size 100mm- 4001205
1 each Nasopharyngeal Airway 12 fr- 1252
14 fr- 1253
16 fr- 1254
26 fr- 6490
28 fr- 6495
30 fr- 6505
12 fr- 1209151
14 fr- 1209152
16 fr- 1209153
26 fr- 2200194
28 fr- 2200195
30 fr- 2200196
5 each Surgilube Lubricating Jelly Packet Clinic Stock Clinic Stock
1 each Bulb Syringe 3oz. 1219888
2 each Yankauer Suction Tube 1220380




3
THIRD DRAWER
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER
2 each 0.9 Normal Saline 500 mL Bag 1242 9912107
4 each IV Start Kit 6375 4005138
2 each IV Catheter Needles 18G- 120400
20G- 1857
22G- 9856
24G- 9861
18G- 1204000
20G- 1204001
22G- 1204002
24G- 1204005
2 each Winged Infusion Set
23G ¾ x 12”
25G ¾ x 12”

3760A
3761

9996105
9996102
2 each IV Extension Set with MicroClave 7” 1217 2203480
2 each IV Selectable Drop Chamber 1243 4015034
FOURTH DRAWER
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER
1 each Adult Ambu Bag (Resuscitator Adult
Disposable #2K8000- No Mask)
845011

4013792
1 each Pediatric Ambu Bag (The Bag II Manual
Disposable Resuscitator)
845021 4013793
2 each Adult Nasal Cannula 4013779
2 each Pediatric Mask 2446 4013788
2 each Adult OxyMask 2545A 4013786
2 each Oxygen Tubing Connector 2547 3330769
2 each Oxygen Extension Tubing 4013791
FIFTH DRAWER
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER
2 pkgs Quik Combo Electrodes Lifepak 20’s 2070 4006404
1 pkg HeartStart FR/FR2 Defib pads (DP2) 14214 Special Order

Special Order
1 pkg HeartStart Smart Pads II FRx Defib Pads 11692 Special Order

Special Order
1 pkg Infant/Child Key for HeartStart FRx Defib 13317 Special Order Special Order
1 roll Paper for Lifepak 20 2330 2200445
1 each Cuff Blood Pressure GE Adult 31-40CM
#SEN-A3-2A
GE1046 4014160
1 each Cuff Blood Pressure GE Adult 23-33CM
#SEN-A2-2AL
GE1047 4014159
1 each Cuff Blood Pressure GE Adult 17-25CM
#SEN-A1-2A
GE1048 4014158
1 each Cuff Blood Pressure GE Peds 12-19CM
#SEN-P2-2A
GE1049 4014157
1 each Kit Blood Pressure Manual
w/Stethoscope #240
Contact Ambulatory Education
1 each GE Connector Piece Contact Ambulatory Education

4
FIFTH DRAWER CONTINUED
QUANTITY ITEM UWMF ORDERING NUMBER UWHC ORDERING NUMBER
1 each Stethoscope (Nurses) 1231 1219168
2 each Face Shields
Safety Glasses
3685
3686
2201776
2201671
2 each Impervious Gowns- Disposable Clinic Stock
1 box Masks – Disposable 2555 1213019
1 each SafeLiner Outer Shell Canister
1000 mL 71-1000T
4017718
3 liners Canister Liner Wall Vac Suction
1000 mL 71-6510
4013468
2 each Suction Tubing 3906 1220224
1 each Red Sharps Container-1 Quart 3907 1201210
1 box Gloves- Large 1260A 1205743
1 each Flashlight 9485 8218181
4 each D Batteries 9315 8212202
1 each Equipment Manual(s)





1 each Bags Poly Zip Lock Gusseted 12”X15”
100/RL #S-12304
4010029
1 each Bags Poly Zip Lock 6”X9” 100/RL #Z2.0609 2200325
1 each Sticker “Clean but not sterile” 500/RL 4012116
1 Binder
Emergency Procedure Manual
All Forms Can Be Found on U-Connect: Ambulatory Education/Ambulatory Emergency/Resources
Front Pocket
UW Health Ambulatory Emergency Response Checklist
Tab 1

Emergency Response Teams (Adults and Pediatrics) & Ambulatory Clinic (On-site & Off-site) Code Blue and Medical
Response Processes
Tab 2
Medical Emergency Care- Adult/Pediatric-Ambulatory Delegation Protocol
Tab 3
Suicide Evaluation and Intervention for Ambulatory Patients Policy & Algorithms
Tab 4
Maintaining and Securing the Emergency Response Carts and AED Policy
Tab 5
Refusal of Transport/Leaving Against Medical Advice Policy and Form
Tab 6
Crash Cart Set-Up Pictures
Tab 7
UW Health Ambulatory Crash Cart Supply List & Medications
Tab 8
Ambulatory Emergency Medications Chart
Tab 9
UW Health Ambulatory Debriefing Summary
Tab 10
UW Health Emergency Response Cart Audit (BLS)