How should items be stocked in delivery rooms?

vanilla bean · Feb 10, 2015

We have all of those supplies (and more) stocked in/on every warmer in every delivery room. It is the responsibility of either the NICU charge nurse or admission nurse to ensure appropriate supplies and restock after a delivery that utilizes any of those supplies.

pwilkins90 · Feb 10, 2015

How about emergency meds and do you keep the laryngoscopes in the warmers also? When you have to go to the ER or anywhere outside of L&D what do you carry your supplies in?

Thank you for your feedback. I appreciate it.

katierobin23 · Feb 10, 2015

We have a small tackle box with syringes and 18g needles for drawing up meds, epi, narcan, bicarb, lot of saline, tape, and a kit for needle aspiration. Respiratory has their own box that's a little bigger with ETTs, laryngoscopes, stylets, and tape.

Then we have a separate tray for UVCs that we usually keep underneath our box so we can grab them both and run.

The ORs all have fully stocked Neo code carts and there is one on L&D (as well as one on Mother/Baby) but most people find it easier to just grab our box and go.

The RRTs rely heavily on their box too within the unit (unplanned extubations and such), but for deliveries they tend to use what's stocked in the code carts, especially in the OR.

Elvish, BSN, DNP, RN, NP · Feb 10, 2015

We keep all the L&D warmers stocked - meaning 12 LDRs, 3 ORs, and 2 warmers in a resuscitation room - with the basic things. ET tubes sizes 2.5 - 4.0, laryngoscope & 0/1 blades, mec aspirators, suction catheters, bag/masks, and stylets for the NNPs who use those while intubating. Plus diapers/hats, bulb syringes, and delivery attendance progress notes.

The team that goes to deliveries carries a tackle box to each one. This is the box with crash cart meds and supplies to drop a UVC or needle a chest (though I've never seen either at a delivery, knock on wood) and is kept in a central place in NICU. Either the RN or the RT going to the delivery grabs that on the way out the door.

The L&D tech is responsible for stocking the warmers in each L&D room/OR. Since I am baby nurse at all deliveries - whether NICU is there or not - I check the warmer at the beginning of my shift to make sure I have everything I need and that all my equipment works. (Nothing worse than being caught with your pants down in that situation.) The NICU charge nurse is responsible for checking/stocking the equipment in the resus room at the beginning of each shift.

rnkaytee · Feb 12, 2015

We used to have the tackle box but now we use a "kangaroo" board - I think something should pop up under that search term. At first it was difficult to use but I really like them now - they have see-through packets so you're not rifling through everything like the tackle box. We take them to ED and have one in every delivery room.

NicuGal, MSN, RN · Feb 12, 2015

ER and L/D have code

and intubation boxes along with line kits. Our ER also has a warmer and isolette. Both stock their own boxes so we don't have to bring ours with us. In L/D, all warmers

are stocked just like ours, with all the stuff you need for admits.

prmenrs, RN · Feb 21, 2015

We had a "kangaroo board" made out of Lucite, and each cubby on it was clearly labeled w/what went there and how many. Resp brings its own stuff. I used to grab IV/lab stuff and put it in my pocket, and pick up warm blankets on my way into the DR. If we were getting a premie, I also grabbed a thermo mattress, and started popping it.

If we were getting a "train wreck", we'd bring the transporter w/all it's equipment. Babies had to be transported back to the nursery in a transporter or a crib if not that sick. Not allowed to carry them.