4766-4-22 Equipment for Pediatric MoICU.

Mobile Intensive Care Units licensed at the pediatric level must carry adult, pediatric, & neonatal equipment and supplies listed in rules 4766-4-21, 4766-4-22, and 4766-4-23 of the Administrative Code.

(A) Isolation equipment

(1) Four packaged kits or

(a) Four isolation goggles & masks or mask/shield combination;

(b) Four isolation gowns;

(c) Four isolation gloves;

(2) Four isolation high particulate (HEPA)-assorted sizes;

(3) Four containers (bags) for infectious medical waste;

(4) Sharps container;

(5) Disinfectant/germicidal;

(6) Waterless hand cleaner.

(B) Airway equipment

(1) Complete oropharyngeal airway kit-adult, pediatric, and neonatal;

(2) Complete nasopharyngeal airway kit-adult, pediatric, and neonatal;

(3) Complete intubation kit-adult, pediatric, and neonatal:

(a) Extra batteries and bulbs;

(b) Syringes, assorted sizes;

(c) Adult stylet;

(d) Pediatric stylet;

(e) Neonatal stylet;

(f) Adult magill forceps;

(g) Pediatric magill forceps;

(h) Booted hemostat;

(i) Adult endotracheal tube set;

(j) Pediatric endotracheal tube set;

(k) Water soluble lubricant;

(l) Laryngoscope handle;

(m) Laryngoscope blades, curved and straight, sizes 0-1-2-3;

(n) End-tidal CO2 detector;

(4) Invasive airway kit, per protocol, (i.e. cricothyrotomy set, pertrach set);

(5) Two ventilator circuits;

(6) Advanced airway-(i.e. laryngeal mask airway) pediatric and adult.

(C) Definitive equipment

(1) Approved medications, per protocol;

(2) ECG monitor/defibrillator and appropriate pads, adult/pediatric:

(a) One set pediatric paddles;

(3) Hemodynamic monitoring equipment;

(4) Pulse oximeter;

(5) Doppler & gel;

(6) Two I.V. pumps;

(7) Ventilator with minimum of PEEP;

(8) Generator and 110 power source;

(9) Chest tube draining system.

(D) Bleeding/burns equipment

(1) Ten adhesive dressing strips;

(2) Twenty gauze pads, assorted sizes;

(3) Four surgi pads/sterile sponge pads;

(4) Four assorted standard kling/kerlix;

(5) Two universal trauma dressings, size 10” by 36”;

(6) Two sterile burn sheets or two burn packs;

(7) Four sterile water and/or .9% n.s. for irrigation.

(E) Suction equipment

(1) Wall mounted suction unit;

(2) Portable suction unit, battery operated;

(3) Two hard tip suction (Yankauer);

(4) Soft tip suction catheters set, adult & pediatric sizes;

(5) Two suction tubing;

(6) Suction bags (package) or equivalent;

(7) Two pairs sterile gloves.

(F) Oxygen equipment

(1) Main oxygen (M tank or greater);

(2) Wall mounted oxygen gauge 0-15 L/min. minimum;

(3) Compress air as appropriate;

(4) Two portable oxygen unit – minimum “D” tanks;

(5) Portable variable flow regulator 0-15 L/min. minimum;

(6) Bag-valve-mask with reservoir 100% oxygen flow:

(a) Two adult;

(b) Two pediatric;

(c) Two neonatal;

(7) Transparent oxygen masks, simple and non rebreather:

(a) Two adult;

(b) Two pediatric;

(c) Two neonatal or head hoods;

(8) Nasal cannulas:

(a) Two adult;

(b) Two pediatric;

(c) Two neonatal;

(9) Oxygen connective tubing and appropriate adapters;

(10) Two oxygen humidifier/nebulizer and appropriate connecting tubing.

(G) Adjunct equipment

(1) Scissors;

(2) Stethoscope-adult, pediatric, and infant;

(3) B/P cuffs:

(a) Neonatal, sizes 1,2,3,4;

(b) Infant;

(c) Pediatric;

(d) Adult;

(e) Large adult;

(4) Thermometer;

(5) Penlight;

(6) Flashlight;

(7) Two tongue blades;

(8) Two bite sticks;

(9) Patient cot with three straps/isolette with two straps;

(10) Two eye shields or eye protector pads;

(11) Four assorted tape;

(12) Exam gloves, one box each of small-medium-large or one box of uni-size;

(13) Two emesis basins or equivalent;

(14) Obstetrical kit;

(15) Urinal or equivalent;

(16) Bed pan or equivalent;

(17) Two ABC fire extinguisher, 5 lb. minimum, front and back;

(18) Nasogastric tubes, adult & pediatric sizes;

(19) Four patient restraints;

(20) Two each of hot & cold packs;

(21) Two pillows & cases;

(22) Six sheets;

(23) Two blankets.

(H) Intravenous equipment

(1) Ten alcohol or betadine preps;

(2) Two short arm boards;

(3) Four IV administration sets:

(a) Four IV infusion pump tubing;

(4) IV catheters and butterfly needles, assorted sizes;

(5) Two intraosseous needles;

(6) Needles, assorted sizes;

(7) Two IV solutions, per protocol;

(8) Associated adjunct equipment:

(a) Two invasive line set-up;

(b) Two pressure bags.

Effective: 04/18/2005

R.C. 119.032 review dates: 04/18/2010

Promulgated Under: 119.03

Statutory Authority: 4766.03

Rule Amplifies: 4766.04, 4766.07