King Edward Memorial Hospital

Obstetrics & Gynaecology

CLINICAL PRACTICE GUIDELINE

Resuscitation trolley checking and

equipment (adult & neonatal)
This document should be read in conjunction with this Disclaimer

Contents

Resuscitation trolley (adult) .................................................................2

Key points ............................................................................................................... 2
ASCU, Clinics (EWC, WWC, Centenary), Labour and Birth Suite, MFAU, DSU,
FBC, MRI, Ward 3, 4, 5, Ultrasound ....................................................................... 3
Ward 6 and PACU .................................................................................................. 5
Emergency Centre .................................................................................................. 5
Theatre trolley ......................................................................................................... 5
Resuscitation trolley (neonatal) ...........................................................6
Key points ............................................................................................................... 6
Neonatal trolley contents list ................................................................................... 7
References and resources ...................................................................9

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 Resuscitation Trolley Checking & Equipment

Resuscitation trolley (adult)

Aim
To ensure that all minimum requirements for adult resuscitation equipment are met
in line with the Australian Resuscitation Council (2014).

Key points
1. The resuscitation trolley and defibrillator should be checked weekly (or sooner
if the seal is broken) by a Registered Nurse / Midwife, Enrolled Nurse or
Anaesthetic Technician. The person who carried out the check should record
and sign this in the record on the trolley.
2. All nurses and midwives should be orientated to checking the resuscitation
trolley in their work area.
3. All defibrillators should be checked according to the manufacturer’s directions.
4. The oxygen cylinder must be at least ¾ full.
5. A checklist should be attached to the trolley at all times.
6. The trolley should not have additional unnecessary equipment.
7. Trolley contents should be rechecked after each use.

The following tables list the contents that must be on all adult resuscitation trolleys in
the Obstetrics, Gynaecology and Imaging Directorate.

Critical areas e.g. ASCU, operating theatre, PACU and Emergency Centre may have
extra equipment and supplies but should have the contents listed in this document
as a minimum.

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 Resuscitation Trolley Checking & Equipment

ASCU, Clinics (EWC, WWC, Centenary), Labour and Birth

Suite, MFAU, DSU, FBC, MRI, Ward 3, 4, 5, Ultrasound

Trolley details
 All drawers clearly labelled
 Laminated resuscitation guidelines and inventory chained to side of trolley
 Small disposable sharps container fixed to side of trolley (not to be used
outside of emergencies)
 1x 1 litre pressure bag and 1x 500mL pressure bag hanging from IV pole
 1x Adult stethoscope hanging from IV pole
 Oxygen cylinder with suction/regulator on right hand side of trolley, turned off
when not in use (suction tubing and Yankaur sucker attached)
 Adult Ambu bag hanging from IV pole with size 3 and 4 facemask secured to
right hand side of the trolley (Ambu bag connected to O2 cylinder)
 Bougie (Frova Intubating Catheter) attached to right hand side of trolley
 Clipboard, pen and MR 302 on trolley surface or attached to side
 AED kept on top of or attached to side of trolley. AED not to be stored in drawers.

First drawer – airway

 Fibre-optic Laryngoscope (green handle) and two size 3 blades
 ET tubes sizes 6, 7 and 8
 Size 4 LMA
 Size 3 IGel x 1
 Size 4 IGel x1
 Sealed 20mL and 10mL syringe for cuff inflation
 KY lubricant x 4 packets
 Naso-pharyngeal airways (safety pin in packet) size 6 and 7
 Oro-pharyngeal airways sizes 3 (Green) 4 (yellow) and 5 (Red) x1 each
 Yankaur suckers x 2
 ET suction catheters sizes 12fg and 14 fg x2 each
 Half inch leukosilk tape and 1 transpore tape
 Scissors (loose, no chain)
 Disposable catheter mount in packet

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 Resuscitation Trolley Checking & Equipment

Second drawer – IV access

 Ported IV safety cannulae 14g,16g, 20g, 22g x 6 of each
 Needles – 30g x 5, 21g x 5, 19g x 5, 18g blunt x 5 (can be safety needles)
 Syringes – 20mL x 4, 10mL x 10, 5mL x 10
 Smart site needle free IV bungs x 6
 Red IV bungs x 6
 Tourniquets (disposable) x 2
 Tegaderm IV dressings x 6
 Toilet seat dressings x 6
 Triple v sets x 3
 Alcohol wipes
 Sterile gauze x 6 packs

Third drawer – medications

 Sealed resus container supplied by pharmacy
 Sealed eclamptic container supplied by pharmacy
 One Sodium bicarbonate 8.4% (100mmol) with air inlet (or 19g) needle
 Glucose 5% non PVC bag 250ml x 1 (OR if unavailable, use 100ml non-PVC
bag) - Supplied by pharmacy
 Glucose 5% (500ml) x 1
 Glucose 10% (1000ml) x1
 Lidocaine (Lignocaine) 1% in 5mL x 5 amps
 Saline 0.9% 10mL x 10amps
 Laminated Adult Resuscitation Drug Protocols, zip tied together:
Adenosine Glucose 50%
Adrenaline Lignocaine
Amiodarone Magnesium Sulphate
Atropine Sulphate Metaraminol
Calcium Chloride Midazolam
Calcium Gluconate Naloxone
Ephedrine Sulphate Salbutamol
Flumazenil Sodium Bicarbonate

Fourth drawer – IV fluids

 Saline 0.9% (1 litre) x1
 Hartman’s solution (1 litre) x1
 Giving sets x2 pump sets, x1 plain giving set, x1 primary plum set

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 Resuscitation Trolley Checking & Equipment

Fifth drawer – miscellaneous

 Blood tubes (x2 of each type)
 Blood gas syringes x 3
 Pathology request forms
 Gloves, 1 packet each of small medium and large
 Peri-mortem C/S Pack
 Size 6,7, and 8 sterile gloves (latex free)
 Hudson masks and tubing x 2
 Spare ambubag
 2 pairs protective eyewear

Ward 6 and PACU

As per full list above except does not require:

Third drawer – medications

 Sealed eclamptic container

Fifth drawer – miscellaneous

 Perimortem C/S pack
 Size 6,7, and 8 sterile gloves (latex free)

Note- PACU trolley also does not require AED

Emergency Centre
Fourth drawer
 Add EZ-IO – Yellow case containing Intra-Osseous Gun

Theatre trolley
Fourth drawer
 Add EZ-IO – Yellow case containing Intra-Osseous Gun

Bottom drawer
 Add extra adult defib pads
 Add LED torch

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 Resuscitation Trolley Checking & Equipment

Resuscitation trolley (neonatal)

Aim
To ensure that all minimum requirements for neonatal resuscitation equipment are
met in line with the Australian Resuscitation Council (2014).

Key points
1. The resuscitation trolley should be checked each shift by a Registered Nurse
/ Midwife or Enrolled Nurse and the status of checking should be
communicated at handover of each shift [RCA recommendation Feb 2019].
The person who carried out the check should record and sign this in the
record on the trolley.
2. When checking the equipment, expiry dates must also be checked.
3. All equipment that has expired or is close to its expiry date must be replaced
immediately.
4. All nurses / midwives should be orientated to checking the neonatal
resuscitation trolley in their work area.
5. In areas that are closed over weekends e.g. clinics, trolleys should be
checked at the start of the next day it re-opens for patient care.
6. All defibrillators should be checked according to the manufacturer’s directions.
7. The oxygen cylinder must be at least ¾ full. They should be replaced at
10,000kpa.
8. A checklist should be attached to the trolley at all times.
9. The trolley should not have additional unnecessary equipment.
10. Trolley contents should be rechecked after each use.
11. Note:
 check cot daily and wipe with hospital grade disinfectant
 areas without blenders do not require air cylinder

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 Resuscitation Trolley Checking & Equipment

Neonatal trolley contents list

Contents Number
Neopuff with neopuff circuit and mask 1
Oxygen Cylinder -size C with twin-o-vac suction unit 1
High Flow oxygen meter 1
Suction tubing with fg10 suction catheter 1
Blender 1
Air Cylinder – size C 1
Stethoscope - paediatric 1
Alcohol gel 1
Sharps container 1
Neonatal Basic Resus kit 2
 Laryngoscope handle (1 on shelf
 Laryngoscope Blade size 0 + 1 1 in drawer 2)
 Ett size2.0, 2.5, 3.0, 3.5 + 4.0
 Introducer size 2.0
 Cord clamp
 Meconium aspirator
 Feeding tube size fg 8
 Feeding tube size fg 6 (to replace oxygen catheter)
 10ml enteral syringe
 Pedicap
 Adrenaline 1:10000 (1mgin 10mL)
 3mL syringe
 10mL syringe
 drawing up needle
 Ett strapping kit -
Leukoplast cut to size: >30wk and term
Silk tie (size2 silk)
Comfeel x 2
Skin prep swabs x1
Chlorhexidine 1% wipes 5
Laerdal Facial masks - size:00, 0/1 and 2 1 ea
Laryngoscope globes 2
Meconium Aspirators 2
Introducers size 2.0 2
Batteries size AA 2
Disposable sterile scissors 2
Sealed box from pharmacy:
 Naloxone 400microgram.mL 2
 Adrenaline 1:10 000 in 10mL 2
 Sodium Bicarbonate 840mg in 10mL – 100mL bottle 1
Normal saline 0.9% 10mL 6
Magill’s forceps 1ea
 small
 medium
Syringes 3ea
 2ml
 10mL

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 Resuscitation Trolley Checking & Equipment

 20mL
Blood gas syringes 6
Contents Number
Pulse oximeter (including probe & cable) 1
Fixation device for O2 sensor 3
Suction catheter fg10 2
Yellow top sterile container 1
Safety goggles 2
Self inflating bag + mask with Peep attachment with oxygen tubing 1
Spare Neopuff circuit 1
Pneumothorax kit (supplied by each area) 1
 10ml syringe x 2
 3 way tap x 2
 21g butterfly x 2
 20g x 30mm cannula x 2
 Chlorhexidine 1% wipe x 2
 pen light torch x 1
 Short extension tube
UVC kit (supplied by SCN) 1
 Umbilical catheter 3.5fg + 5.0fg x 2
 3 way tap x 2
 3.0 suture x 2
 2ml syringe x 2
 Chlorhexidine 1% swab sticks x 2
 Providine-iodine swabs x 2
 Pre-filled Normal Saline 0.9% Syringe 10mL x 4
 Disposable Instrument set x 1
 Umbilical tape
 Gauze x 1
Neonatal Resuscitation Extras box Number
Airways 1ea
 000
 00
 0
Blood culture bottles - paediatric 2
Paediatric blood tubes 2ea
 Purple
 Green
 Chromosomes
Yellow top sterile container 2
Intravenous cannula – 20g 3

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 Resuscitation Trolley Checking & Equipment

References and resources

Related legislation and policies

Department of Health MP 0086/18: Recognising and Responding to Acute Deterioration Policy

Related WNHS policies, procedures and guidelines

WNHS Policy: Recognising and Responding to Acute Physiological (Clinical) Deterioration
Obstetrics & Gynaecology guideline: Acute Deterioration: Resuscitation and Life Support

Keywords: resuscitation trolley, checking, defibrillator, adult, neonatal, resuscitation,

checking, resusc, equipment,
Document owner: Obstetrics, Gynaecology and Imaging Directorate
Author / Reviewer: Anaesthetics; SCN Equipment Nurse; Resuscitation Sub-committee
Date first issued: Nov 2018 Version: 1.4
Reviewed dates: Feb 2019 (amendment- check neonatal Next review date: Nov 2022
trolley each shift);
March 2019- Minor amendments
Nov 2019 – PACU trolley contents amended
Supersedes: Supersedes:
1. Version 1.3 dated as reviewed Mar 2019
2. Version 1.2 dated Feb 2019
3. Version 1.0 dated Nov 2018

History: In Nov 2018 amalgamated two individual guidelines on resuscitation

trolley equipment checking dating from Sept 2016.
4. Resuscitation Trolley(Adult) Equipment and Checking (dated Nov 2016)
5. Resuscitation Trolley(Neonatal) Equipment and Checking (dated Sept 2016)
Endorsed by: GSMSC (v1.0) Date: 22/11/2018
MSMSC (v1.0) Date: 27/11/2018
Neonatal amendment (v1.2 RCA rec p.6) Feb Date: 04/02/2019
2019 approved OOS by Obstetric Midwife Co-
director & Obstetric Medical Co-director
Obstetrics & Gynaecology Directorate
Date: 25.11.2019
Management Committee (v1.4 approved OOS
by Medical & Midwifery Co-directors)
PSMSC (v1.4 approved) Date: 28.11.2019

NSQHS Standards 1 Governance, 4 Medication Safety, 8 Recognising & Responding to

(v2) applicable: Acute Deterioration
Printed or personally saved electronic copies of this document are considered uncontrolled.
Access the current version from the WNHS website.

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