Hospital Pengajar Universiti Sultan Zainal Abidin |

University Sultan Zainal Abidin Teaching Hospital

TROLI KECEMASAN
EMERGENCY TROLLEY

WARD/ UNIT : ……………… YEAR :…………………

IT DATE (WEEKLY)
E
M
S
NO TOP SHELF Max Min Expir
ed
1 Defibrillator 1 -
2 ETT Tube Size: -
6. 1 -
5
7. 1 -
0
7. 1 -
5
8. 1 -
0
3 Introducer (Adult) 1 -
4 Adult Airway size: 3, 4, 5 1/1/1 -
5 Pead Airway size: 0, 00, 1,2 1/1/1/1 -
6 KY Jelly 1 -
7 Laryngoscope Blade:
8 Adult : 2, 3, 4. 1/1/1 -
1 KLGSH-NUR-C-03/ ISSUE NO.
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9 Pead : 0, 00, 1 1/1/1 -
10 Laryngoscope Handle 1/1 -
Adult/Pead
11 Wooden Spatulla 1 -
12 Cotton Tape/Plaster 1
13 Batteries (Small , Medium) 2/2 -
14 Mag gill Forcep (Adult & Pead) 1/1 -
15 Yaunker Suction( Adult) 2 1
16 ECG Electrodes: (Adult & Pead) 1Pack -
17 Defib Pad 1 Pack -
18 Torch Light 1 -
19 Scissors 1 -
20 Bougie 1 -
21 Dis. Glove 1 Box -
22 Electrode Jel 1 -
23 Oxygen Tank with Regulator 1 -
24 Sharp Container 1 -
25 Stethoscope 1 -
26 Chest Clamp 2 -
27 AED Cable 1 -

2 KLGSH-NUR-C-03/ ISSUE NO.

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 1st DATE (WEEKLY)
DRAWER
NO LIST OF DRUG / DATE Max Min Expired
1 IV Adrenaline 1mg/ml 15
2 IV Adenosine 3mg/ml 5
3 IV Aminophylline 25g/ml 5
4 IV Atropine 1mg/ml 5
5 IV Amiodarone 50mg/ml 5
6 IV Calcium Gluconate 10% 3
7 IV Clorpheniramine 10mg/ml 10
8 IV Dextrose 50% 10mls 5
9 IV Digoxin 250mcg/ml 5
10 IV Dobutamine 12.5mg/ml 4
11 IV Dopamine HCl 40mg/1ml 4
12 Iv Ephedrine 30mg/ml 2
13 IV Esmolol HCl 10mg/ml 2
14 IV Frusemide 10mg/ml 10
15 IV Flumazenil 0.1mg/ml 4
16 IV Glyceryl trinitrate 5mg/ml 4
17 IV Isosorbide dinitrate 1mg/ml 5
18 IV Hydrocortisone 100mg 5
19 Iv Labetolol HCl 5mg/ml 5
20 IV Lignocaine HCL 1% 100mg/5ml 2
21 IV magnesium sulphate 50% 5
22 IV naloxone HCl 0.4mg 2
23 Iv neostigmine methylsuphate 2.5mg/ml 2
24 Iv propranolol HCl 1mg/ml 2
25 IV Verapamil 2.5mg/ml 2
26 Iv noradreline 1mg/ml 5
27 IV. Phenylephrine 1mg/ml 1
28 IV Terbutaline Sulphate 0.5mg/ml 2
29 IV Vasopressin 20IU/ml 2
30 IV tranexamic acid 100mg/mls 5
31 Iv Sodium Bicarbornate 8.4% 0.5mmol/ml 10
33 Water for injection 10mls 10

3 KLGSH-NUR-C-03/ ISSUE NO.

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 2nd DRAWER DATE (WEEKLY)
NO ITEM /DATE Max Min Expired
1 Syringe 50cc 2 1
2 20cc Syringe 2 1
3 10cc syringe 4 2
4 5cc Syringe 4 2
5 3cc Syringe 4 2
6 1cc Syringe 2 1
7 Yellow Stoper 2 1
8 Vasofix/introcain Size:
14 2 1
16 2 1
18 2 1
20 2 1
22 2 1
24 2 1
9 3 Way Stop Cock 2 1
10 Angiocath Size :14, 16 2/2 1/1
11 3 Way Stopcoch 10cm 2 1
12 Micropore Plaster (1/2, 1") 1/1 -
13 Alcohol Swab 10 5
14 Perfusor Tubing 5 3
15 Intrafix Primline 2 1
16 Blood Administration Set 2 1
17 Mini Spike V Green 2 1
18 Needle Size:
18 5 2
21 5 2
23 5 2
25 5 2

4 KLGSH-NUR-C-03/ ISSUE NO.

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 3rd DRAWER DATE (WEEKLY)
NO ITEM / DATE Max Min Expired
1 NG Tube Size:
6 2 1
8 2 1
10 2 1
12 2 1
14 2 1
16 2 1
2 Suction Catheter Size:
6 2 1
8 2 1
10 2 1
12 2 1
14 2 1
16 2 1
3 Laryngeal Mask Size:
3 1 -
4 1 -
4 Strile Glove Size:
6.0 1 -
6.5 1 -
7.0 1 -
7.5 1 -
8.0 1 -
5 ET Tube Adult and Pead Size:
2.0 2 1
2.5 2 1
3.0 2 1
3.5 2 1
4.0 2 1
4.5 2 1
5.0 2 1
5.5 2 1
6.0 2 1
6 Tracheostomy Tube: Size 7.0 mm 2 1
5 KLGSH-NUR-C-03/ ISSUE NO.
7 Nasopharyngeal Airway size 6.0, 7.0 1/1 - 00
6 KLGSH-NUR-C-03/ ISSUE NO.
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NO
4rd DRAWER DATE (WEEKLY)
ITEM / DATE Max Min Expired
1 Adult Ambu Bag + Mask 1 -
2 Wall Oxygen Flowmeter +Humidifier 1 -
3 Receiving Tray 1 -
4 PPE (Goggles, Mask, Apron ) 1/1/1 -
5 Oxygen Mask and Nasal Cannula:

• Adult HFM, O2 Face Mask 1/1 -

•Adult Nasal Cannula 1 -

•Pead HFM, O2 Face Mask 1 -
•Pead Nasal cannula 1 -
6 Pead Ambu Bag + Mask 1 -
7 Neonate Ambu bag + Mask 1 -

SIDE COMPARTMENT

1 Sodium chloride 0.9% 500mls 3 -

2 Sodium chloride 0.9% 100mls (isotonic) 3 -
3 Sodium chloride 0.9% + D5% 2 -
500mls
5 Sodium chloride 0.45% + D5% 500mls 2 -
6 Dextrose 5% 500mls 1 -
7 Dextrose 10% 500mls 1 -
8 Hartman 500mls 1 -
9 Mannitol 20% 500mls 1 -
10 Gelafundin 500mls 1 -
11 Sterofundin 500mls 1 -

STAFF SIGNATURE

7 KLGSH-NUR-C-03/ ISSUE NO.

00
8 KLGSH-NUR-C-03/ ISSUE NO.
00