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UWHC,

Policies,Administrative,UWHC,Department Specific,Surgical Services,Administrative

Daily Audit of Emergency Carts - Surgical Services (1.05)

Daily Audit of Emergency Carts - Surgical Services (1.05) - Policies, Administrative, UWHC, Department Specific, Surgical Services, Administrative

1.05

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

MAY 1987
ORIGINAL
 REVISION

December 2016
PAGE 1
OF 2
POLICY #

1.05
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER Operating Room
Surgical Services
TITLE
AUDIT OF CRASH CARTS &
DEFIBRILLATORS - SURGICAL SERVICES




I. PURPOSE

The defibrillators will be checked daily, or during operational hours, by designated personnel. Outdates of
medication trays and cloth-wrapped items will be checked the first operational day, or first Monday, of each month.

II. PROCEDURE

ZOLL R-Series Biphasic Defibrillator

A. The Crash Carts and Defibrillator Carts will be checked on a daily basis by Nursing/NA staff. Date and
initials/signature must be documented. If unit is not operational, write “closed” on the log sheet.
1. Charge nurse, or designee, is responsible for assuring that daily checks are completed.
2. Audit checklist is provided on each Crash Cart and Travelling Defibrillator Cart.

B. Confirm that the battery is charged and the unit is plugged into AC power by checking for green
illuminated icons on the front of the unit.
1. When the device is NOT plugged in the green lights will remain extinguished.
2. Yellow light will illuminate when the device is turned OFF and the battery is charging.
3. To test battery life, press finger on spot indicated on battery. Yellow or red light indicates battery
needs to be replaced.
4. A green checkmark in the upper right side of the device indicates “Code Readiness”. If a red “X”
is present, do a 30Joule manual check. Green check mark should appear in window.

C. Each defibrillator will be TEST FIRED, as described in Policy 6.35 Maintenance of the Automated
External Defibrillators (AED): Heartstream F-2, Philips Heartstart, LifePak 12, and Zoll R Series,
while plugged in - daily or during operational hours.
e. Panel will display TEST OK
D. Drawers of the Crash Carts are secured with numbered plastic locks. Plastic locks are kept in the O. R.
Pharmacy at AFCH, the Outpatient Surgery Center, and Inpatient OR.
1. If cart is opened, or found open, all contents need to be verified and lock replaced. b. If the lock is broken on the Crash Cart, all supplies must be checked. Place new lock and document lock number on Daily Audit Record.
2. Verify presence and condition of external equipment on audit checklist.

E. Supplies are to be restocked and drug tray replaced after each use.
1. It is the responsibility of the nurse who used the emergency cart to ensure that it is cleaned, restocked
and re-locked. Exchange the medication tray with the OR Pharmacy Technician.
2. Document the new lock number on the Daily Audit Record.

F. Once a month the carts are cleaned and expiration dates checked on all items, including the medication
tray in the Crash Carts.
1. Replace all expired items with non-expired items.


UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

MAY 1987
ORIGINAL
 REVISION

December 2016
PAGE 2
OF 2
POLICY #

1.05
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER Operating Room
Surgical Services
TITLE
AUDIT OF CRASH CARTS &
DEFIBRILLATORS - SURGICAL SERVICES







REVIEWED BY

Surgical Services Policy and Procedure Committee 10/2016
Ann White, Manager, Surgical Services Education & Informatics 10/2016
Lisa Koeppel, Surgical Services Supervisor, PACU 10/2016
Jennifer Paquette, CNS, PACU
Trisca Parrell, Surgical Services Supervisor, IP-OR 20/2016
Megan Donovan, Pharmacy 10/2016
Sandy Schoenmann, Assistant Director, Surgical Services 10/2016

SIGNED BY

Sandy Schoenmann , BSN, RN
Interim Director, Surgical Services Department