And, to add to the above excellent ideas:
Be certain all
in your clinic are BLS
certified. Many state health agencies require this of all physician clinics. Even the ancillary personnel. Check with the laws of your health entities.
The idea of ACLS
certification for all licensed
personnel is a great idea. This will carry the initial BLS a step further. If you have no plans of utilizing the drugs in the ACLS protocol, I agree with Nurse Ratched, it will be more of a liability to have them and not utilize them if indicated. So, be certain your physicians plan to actually use these drugs and if not, get rid of them.
You need to have the ACLS protocols attached or inside the crash case. Never should the individual be required to recall the procedure/s and/or drugs and their dosages required, in an emergency.
If you plan to conduct an emergency using the ACLS protocols including drugs, your crash case must include (you can refer to an ACLS text for additional information):
Protocols (laminated for water/body fluid protection)
Drugs per each protocol
Oxygen tubing and delivery unit
Intubation supplies (ped and adult) including appropriate sized ambu bags/masks/ET tubes
B/P cuff (ped and adult)
IV start kit
Pocket mask (these also should be placed at each HCP area for immediate use, including the front office), various syringes w/wo various sized needles, IV tubings, prep pads, razor, tape, extra defib pads, gloves ..........
Be certain you also assign someone to check the defibrillator daily. And, keep a log of said daily check. This same person should check the crash case daily as well (document on the crash case log) to ensure it is readily available and contains all the necessary items. One should not have to open this case and sift through all the items in order to verify all is there. You can obtain the "break-away keys" from the Pharmacy at the hospital. Use one to "lock" the case. When checking the case daily, one need only verify the case is "locked" and ready for use. The remainder of these "keys" should be locked in the controlled substances case/cabinet to ensure security.
Develop an intraoffice protocol that outlines how and when the appropriate personnel are kept updated. (ACLS is re-cert every two years and the office personnel must have updates/practice codes more often).
And, write a policy/procedure for all of the above. Have the physician/s approve and keep in your records. Update as needed.