Ill. Admin. Code tit. 77, pt. 515, subpt. K, app P
All of the following equipment/supplies/medications shall be immediately available within the PICU and pediatric unit:
AIRWAY
Cricothyrotomy capabilities (i.e., 10 g needle and 3.5 mm ET tube adapter or 14 g needle and 3.0 mm ET tube adapter)
Endotracheal tubes:
Uncuffed or Cuffed (sizes 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5)
Stylets for endotracheal tubes (pediatric and adult)
Laryngoscope handle (pediatric and adult)
Laryngoscope blades (Curved 1, 2, 3; Straight or Miller 00, 0, 1, 2, 3)
Local anesthetic (i.e., lidocaine gel, cetacaine spray)
Magill forceps (pediatric and adult)
Oral airways (sizes 0, 1, 2, 3, 4, 5)
Tracheostomy collar
Tracheostomy tubes (pediatric sizes 3.0, 3.5, 4.0, 4.5, 5.0, 5.5 or ET may be substituted);
BREATHING
Bag-valve-mask device, self-inflating infant/child and adult with O2 reservoir and clear masks (neonatal through large adult sizes), and PEEP
C-PAP or BiPAP device
End-tidal PCO2 monitor and/or pediatric CO2 detector (disposable units may be substituted)
Flow meter
Heated, humidified high flow oxygen
Masks, clear (neonatal, toddler, infant, child, medium adult)
Nasogastric tubes (sizes 6, 8, 10, 12, 14 Fr). NOTE: Cannot use feeding tubes as a substitute.
Nasopharyngeal airways (sizes 14, 16, 20, 24, 28, 30 Fr)
O2 Tank
O2 Blender
O2 connectors and spare O2 tubing
Partial non-rebreather O2 masks (neonatal, pediatric, adult)
PEEP valves
Pulse oximeter with child, infant and neonatal probes
Stethoscope
Suction supplies (bulb syringe, suction catheters sizes 6, 8, 10, 12, 14 Fr and Yankauer-tip catheter)
Tube thoracostomy tray and water seal drainage capacity with chest tubes (sizes 8-40 Fr)
Ventilator-respirator, pediatric
CIRCULATION
Arterial line monitoring capabilities (range of pediatric arterial catheter sizes; and transducers)
Blood collection tubes, culture bottles, arterial blood gas syringe
Butterfly needles (sizes 19, 21, 23, 25 g)
Cardiac resuscitation board
Catheter over needle IV access (sizes 16, 18, 20, 22, 24 g)
Central venous catheters (sizes 3 - 7 Fr)*
CVP monitoring capabilities
Doppler device
ECG monitor-defibrillator/cardioverter with pediatric and adult sized paddles (and/or pads), with pediatric dosage settings and pediatric/adult pacing electrodes
Intraosseous needles or bone-marrow aspiration needles (one large and one small bore) or IO device (pediatric and adult sizes)
IV fluid/blood warmer
IV tubing and extension tubing
Infusion pumps, syringe pumps, or devices with microinfusion capability utilizing appropriate tubing and connectors
Needles (sizes 16, 18, 20, 22/23, 25; intracardiac needle 21 g, 1½ inch; filter needle)
Non-invasive blood pressure device (neonatal through adult cuffs)
Rapid infusion pumps
Sphygmomanometer with cuffs (newborn, infant, child, small adult, adult)
Stopcocks and medication transfer devices, i.e. T-connectors
Syringes (TB, insulin U100, 1 mL-20 mL and catheter tip)
Warming devices, age appropriate
MEDICATIONS
Access to the Illinois Poison Center 1-800-222-1222 through posting of the phone number at the nursing station or pre-programmed on unit phones
List of resuscitation medication dosages at patient bedside (based on child's kilogram weight)
Reference guide for appropriate sizing of equipment/supplies
Activated Charcoal
Adenosine
Albumin 5% and 25%
Amiodarone
AquaMEPHYTON
Atropine
Beta-agonist for inhalation
Beta Blockers, e.g. propanolol
Benzodiazepines, e.g., Lorazepam, Midazolam, Diazepam
Calcium Chloride 10%
Calcium Gluconate 10%
Dextrose 10%, 25% and 50%
Digitalis antibody
Digoxin
Diphenhydramine
Dobutamine
Dopamine
Epinephrine (1 mg/mL and 0.1 mg/mL)
Factor VIII, IX concentrate (pharmacy or blood bank)
Flumazenil
Furosemide
Glucagon
Insulin
IV solutions, standard crystalloid (D5W, D10W, D5/0.2 NS, D5/0.45 NS and 0.9 NS)
Kayexalate
Ketamine
Lidocaine
Magnesium sulfate
Mannitol or 3% Hypertonic Saline
Methylene blue
N-acetyl cysteine
Naloxone
Narcotics
Norepinephrine
Neuromuscular blocking agents (i.e., succinylcholine, pancuronium, vecuronium)
Oral rehydrating solution
Phenobarbital
Phenytoin and/or fosphenytoin
Potassium
Prostaglandin E1
Sodium Bicarbonate, 8.4% and 4.2%
Steroids - parenteral, e.g., Dexamethasone, Hydrocortisone, Methylprednisolone
Topical anesthetic agent
Vasopressin (DDAVP)
Whole bowel irrigation solution
MISCELLANEOUS
Lumbar puncture tray, including a selection of needles (size 18-22 g, 1½-3 inch needle)
Feeding tubes (8-14)
Foley catheters (sizes 6, 8, 10, 12 Fr)
Hypothermia thermometer with rectal probe (28°-42° C)
Otoscope/ophthalmoscope
Weighing scales (in kilograms only) for infants and children
Ill. Admin. Code tit. 77, pt. 515, subpt. K, app P