Study of compliance of crash carts to standards in the emergency of a tertiary care teaching hospital

Makkar, Namrata; Madaan, Nirupam

doi:10.18203/2320-6012.ijrms20162917

Cited by 10 publications

(8 citation statements)

References 8 publications

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“…The reasons for infrequent checking identified in a study conducted in India were work load, decreased accountability and inefficient monitoring. 16 According to Davies et al, reducing the complexity of the system, optimising information, wise automation, use of constraints and mitigating the unwanted side effects of change would enhance the adherence to checking procedures. 7 Although daily checking of resuscitation equipment is considered good practice and is in place at many institutions, its importance has been questioned.…”

Section: Discussionmentioning

confidence: 99%

“…Deficiencies in the availability and the maintenance of resuscitation equipment have been widely reported in the literature. 7,9 Studies conducted in various African countries (Botswana, 10 Ghana, 11 Kenya, 12 Namibia 13 and South Africa 14 ) as well as Asia (Thailand, 15 India 16 ), the United Kingdom 17 and the United States 18 indicate that the non-availability of equipment and drugs in the resuscitation trolley causes delay in initiating CPR.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of cardiopulmonary resuscitation equipment in resuscitation trolleys in district hospitals in Botswana: A cross-sectional study

Tsima

Rajeswaran

Cox

2019

African Journal of Primary Health Care & Family Medicine

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IntroductionSuccessful cardiopulmonary resuscitation (CPR) relies, in part, on the availability and the correct functioning of resuscitation equipment. These data are often lacking in resource-constrained African settings.AimTo assess the availability and the functional status of CPR equipment in resuscitation trolleys at district hospitals in Botswana.SettingThe study was conducted across four district hospitals in Botswana.MethodsA cross-sectional study was conducted using a checklist adopted following the Emergency Medical Services of South Africa (EMSSA) guidelines, modified and contextualised to Botswana.ResultsAll the four district hospitals had inadequate number of CPR equipment available in the resuscitation trolleys. The overall availability of drugs and equipment ranged from 19% to 31.1%. Availability of equipment needed for maintaining circulation and fluids ranged from 27% to 49%, while availability of items for airway and breathing ranged from 9.2% to 24.1%. The overall availability of essential drugs for resuscitation was only 20.4%, and in some wards expired drugs were kept in the trolley. Out of 40 wards that participated in the study, only 10 kept CPR algorithms in the resuscitation trolley. The resuscitation trolley was checked on a daily basis only in the critical care units.ConclusionThe resuscitation trolleys were not maintained as per standards. Failure to improve the existing situation could negatively impact the outcome of CPR. Evidence-based standard checklists for resuscitation trolleys need to be enforced to improve the quality of CPR provision in district hospitals in Botswana.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of cardiopulmonary resuscitation equipment in resuscitation trolleys in district hospitals in Botswana: A cross-sectional study

Tsima

Rajeswaran

Cox

2019

African Journal of Primary Health Care & Family Medicine

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“…The purpose of mobile cabinets, such as crash carts, is the easy access to equipment during the treatment by the staff in units. The excess of equipment and the lack of an identification for drawers and compartments hinder a quick and precise localization of the equipment to be employed (18) . Also, such excess reduces the space for organizing other equipment, which is often hard to identify within the drawer.…”

Section: Discussionmentioning

confidence: 99%

Analyzing the operational conditions of crash carts in clinical and surgical hospitalization units

Silva

Lazzari

Reisdorfer

et al. 2021

Rev. esc. enferm. USP

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Objective: To evaluate the operational conditions of crash carts in all clinical and surgical hospitalization units of public hospitals in a region in Southern Brazil. Method: Quantitative, cross-sectional study to evaluate crash carts in adult clinical and surgical hospitalization units. The data were collected through a checklist containing 16 continuous variables. Results: Nineteen crash carts in nineteen units were evaluated. Analysis shows that the most frequent problems were excess of equipment and its lack of organization, medication in incorrect compartments and/or with no identification, and inappropriate environment for transportation. Conclusion: The most relevant factors that possibly interfere with the operational conditions of crash carts are directly related to the organization and management of material resources, which may lead to the reduction of its functionality during patient care. Such problem may be solved by readjusting items and performing frequent verification.

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“…An observation practice checklist was developed by the investigator with 24 items to identify the practice of internship students on maintenance of emergency crash cart systems with maximum score of 24. [14][15][16][17] Practice score was graded as satisfactory, moderately satisfactory, and unsatisfactory. The practice of internship students on maintenance of emergency crash carts was observed by the investigator during each shift.…”

Section: Observation Practice Checklistmentioning

confidence: 99%

Knowledge and Practice of Internship Students on the Emergency Crash Cart System in a Selected Tertiary Care Hospital, Mangaluru, Karnataka, India

Nair

Joseph

Thomas

et al. 2022

Journal of Health and Allied Sciences NU

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Introduction: A crash cart is the trolley for storing lifesaving equipment and drugs in a hospital. During an emergency situation, nurses are left with confusion and hurry in getting the emergency medication and equipment. Typically, the crash cart system remains locked until a code blue triage is initiated by the hospital. This lack of exposure leads to poor competency and confident in performing essential tasks during a code blue. A well-organized crash cart system can save a lot of time and confusion during an emergency, which in turn can save a life. Aim The aim of this study was to identify the knowledge and practice of internship students on emergency crash cart system and to find the correlation between knowledge and practices of nursing internship students on maintenance of emergency crash cart system. Materials and Methods A descriptive correlative research study was conducted among 93 nursing internship students tertiary care hospital, Mangaluru, Karnataka, India. The samples were selected by using purposive sampling techniques. Demographic proforma, structured knowledge questionnaire on knowledge regarding emergency crash cart system with 32 items was used to determine the level of knowledge and observation practice checklist with 24 items was used to assess the practice of internship students on maintenances of emergency crash cart system. Descriptive and inferential statistics was used to analyze the collected data. Results Majority (89; 95.7%) of the internship students are in the age group of 20 to 25 years and most (59; 63.4%) of internship students are working in wards. Of that 79 (84.9%) internship students have average knowledge with mean 18.1, median 19, and standard deviation (SD) 3.2. Majority 90 (96.7%) of the internship students have satisfactory practice on emergency crash carts with mean 22.9, median 23, and SD 1. 11. There is a moderate positive linear relationship between knowledge and practice scores of the internship students on the emergency crash cart system (r = 0.38, df =92, p= 0.05). Conclusions The study concludes nursing internship students have average knowledge about emergency crash cart system. And the practice of internship students on maintenance of crash cart was satisfactory. The study thus implies the need for frequent reinforcement and training programs, which may help the internship students to improve knowledge on emergency crash cart systems. There should be clear instructions about the arrangement and use of a crash cart in each and every unit.

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Study of compliance of crash carts to standards in the emergency of a tertiary care teaching hospital

Cited by 10 publications

References 8 publications

Assessment of cardiopulmonary resuscitation equipment in resuscitation trolleys in district hospitals in Botswana: A cross-sectional study

Assessment of cardiopulmonary resuscitation equipment in resuscitation trolleys in district hospitals in Botswana: A cross-sectional study

Analyzing the operational conditions of crash carts in clinical and surgical hospitalization units

Knowledge and Practice of Internship Students on the Emergency Crash Cart System in a Selected Tertiary Care Hospital, Mangaluru, Karnataka, India

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