I wanted to post on this before and think I started a thread on this a while ago?
Not many LTC nurses are ACLS certified, nor should they need to be. Yes it would be nice, but look around...
Years ago (almost 10!) I put together a "crash" cart for my building. I am the only person who checks it or stocks it. I only work every other weekend, so you do the math. I also dust it off when checking it :uhoh21:
What I included is..suction machine with supplies (often times this is borrowed), O2 tank with nrb mask, nasal canual, ambu bag, back board for cpr, masks, oral and nasal airways, basic dressing supplies, saline, gloves, gowns, blood spill kit, note book for recording info.
Meds (what little we have) are kept in the E Box. IV supplies are next to meds in the med room. (of course its locked...err sometimes proped open :uhoh21: ) We only have one pulse ox machine for the building, but its always availble.
This seems to be enough for our facility. An AED will never happen..aren't they like 3-5,ooo? Ha...your lucky if we have basic supplies. Out of 50 pts maybe only 8 are full codes. We also have a great response time with EMS..3 to 5 minutes and the medics are in and getting to business.
One more thing to consider...What is the response time of EMS in your area? I'm not sure what the acceptable time is, I'm sure some other posters might be able to chime in on this? We have a local service that does the bulk of our transports, but sometimes they are busy so I will call 911. Pretty much we as nurses are responsible for BLS until the medics arrive...our supplies are enough for that. When you get into drugs, etc then you need protocols and policies....LTC doesn't allow for may standing orders either. By the time I would get ahold of a doc, EMS is in and doing thier thing.