4766-4-23 Equipment for Neonatal MoICU.

Mobile Intensive Care Units licensed at the neonatal level must carry pediatric, & neonatal equipment and supplies listed in rules 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;

(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, pediatric and neonatal;

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

(3) Complete intubation kit, pediatric and neonatal:

(a) Extra batteries and bulbs;

(b) Syringes, assorted sizes;

(d) Neonatal stylet;

(e) Pediatric magill forceps;

(f) Booted hemostat;

(g) Pediatric endotracheal tubes set;

(h) Neonatal endotracheal tubes set;

(i) Water soluble lubricant;

(j) Laryngoscope handle;

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

(l) End-tidal CO2 detector;

(4) Two Ventilator circuits.

(1) Approved medications, per protocol;

(2) ECG monitor/defibrillator and appropriate pads:

(a) One set pediatric paddles;

(3) Hemodynamic monitoring equipment;

(4) Pulse oximeter;

(5) Two I.V. pumps;

(6) Ventilator with minimum of PEEP;

(7) Generator and 110 power source;

(8) hest 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) 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, pediatric & neonatal 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 pediatric;

(b) Two neonatal;

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

(a) Two pediatric;

(b) Two neonatal;

(8) Nasal cannulas:

(a) Two pediatric;

(b) 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, pediatric and infant;

(3) B/P cuffs:

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

(b) Pediatric;

(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) Four assorted tape;

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

(12) Two emesis basins or equivalent;

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

(14) Nasogastric tubes, assorted;

(15) Two each of hot & cold packs;

(16) Two pillows & cases;

(17) Six sheets;

(18) 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) Needles, assorted sizes;

(6) Two IV solutions, per protocol;

(7) Associated adjunct equipment:

(a) Two invasive line set-up;

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