Tuesday 8 June 2010

resuscitation room: Canberra Hospital. Australia.



By impactEDnurse • Feb 23rd, 2008 • Category: ectopics

Ok, here is my own entry in the Who has the most bitchin’ resus room? competition.
Remember, there is one million dollars* up for grabs. So get your pictures in.

This is our Resus Bed 2. We have 3 beds in our resuscitation room, the first 2 are set up primarily for adults, whilst bed 3 has all our paediatric gear included as well.
Let’s have a poke around…

A:

This is one of our IV trolleys, which are located on either side of each bed area. Just above the trolley you can see a white-board. Here we document a summary of the inbound patient using the MIST acronym so all the members of the team know what is about to arrive:
M = Mechanism.
I = Injuries.
S = Signs and symptoms.
T = Treatment (pre-hospital)

B:

We have plenty of yellow sharps bins located around the bed areas. Behind the sharps bin is a column supporting all the oxygen, suction, telephone, and power points. The idea is that all the oxygen and suction tubing as well as monitoring cables can be connected to the patient and you can still walk around behind the column to access the head of the bed without having to step (or trip) over the mess.

C:

We use Propaq CS monitors which are connected to a slave screen on the main column. This gives a nice big display for every one to see. The monitors simply detach from their holders to allow continued monitoring during adventures to scan land.
All our monitors are WiFi networked to a central monitoring system in the acute care area. So where-ever you go….Big Sister is watching.
To the right of the Propaq is an orange Oxylog 3000 which we use for ventilating our patients.
We hope to soon purchase a few Oxybuck 9000 ventilators, so we can raise a little extra funding for cake and suchlike.

D:

This is a bed.
It is rare to see an empty one.

E:

This is our AutoPulse manufactured by Zoll. It is an automated CPR machine consisting of a backboard and a chest strap that delivers circumferential chest compressions during cardiac arrest. We are trialling it at the moment, but it certainly seems to deliver increased perfusion and provide a strong palpable output compared to manual chest compressions.
On the shelving behind the AutoPulse are stocks of airway adjuncts, intubation equipment, naso-gastric tubes and Alaris IV pumps.

F:

This trolley holds our Zoll Defibrillator. All our defibrillation is carried out using adhesive pads now which is both safer and more efficient, but boy it sure takes the cool out of swooping in with a hot pair of paddles in your hands.
200 Joules! Everyone stand…Thwack!!…..Oh, never mind.”
The drawers of the trolley contain first line drugs, inotrope infusions and intubation drugs.

G:

We use a HotLine system to deliver warmed fluids to our patients. It basically consists of an IV line encapsulated by a warmed water-jacket. It is quick, simple and effective.
Out of shot is a big overhead X-Ray gantry that slides along the entire length of the resus room. I have only hit my head on this thing a bazillion times.

So, thats a snapshot of our resuscitation room.

*Entries will only be eligible for prize money if hand delivered by a NASA astronaut by 22nd June 2008.

impactEDnurse is also known as Ian Miller, a nurse with over 24 years experience working in a busy emergency department in Canberra, Australia.
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http://www.impactednurse.com/?p=464


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