Standards for icu set up

[Divergirl]

I was wondering if anyone knows of standards of care for icu room set up? I was called to intubate a patient in the icu and when I got there, there wasn't any suction set up, no ambu bag was in the room and the intubation roll was missing several items. Is there a professional organization that sets the standards for what must be immediately available at the bedside?

thank you

[liberated847]

I was wondering if anyone knows of standards of care for icu room set up? I was called to intubate a patient in the icu and when I got there there wasn't any suction set up, no ambu bag was in the room and the intubation roll was missing several items. Is there a professional organization that sets the standards for what must be immediately available at the bedside? thank you[/quote']

Rather than asking here, go through the chain of command and safety officer at your facility. This is a serious event that could have resulted in a fatality.

[Nalon1 RN/EMT-P, BSN, RN]

Yes, their is a standard, and it is determined by your hospitals policy.

Our ICU policy is every room has suction set up (canister, suction tubing, yankur in room), BVM with mask and a crash cart in the unit (the crash cart has an intubation roll in it). We also have an intubation roll outside of the crash cart that is checked daily.

[Divergirl]

I realize this was a serious event and I am following the appropriate chain of command. My question was "Are there standards set by a professional organization?" I went to AACN website to see if they had any standard for what should be set up in the room. When I was an ICU nurse, there was always an ambu bag in the room and suction set up. I don't want to get an excuse of "Well, the ambu bag is available on the crash cart" I wanted a set of standards I could pull out to show risk management.

[Nalon1 RN/EMT-P, BSN, RN]

Never seen a national standard.

[RN Grey]

Our ICU cubicles are all stocked with necessary equipment as per our company policy. It however does not state it in any of our legislations. The only country I could find that outlines the set up in an ICU cubicle in their nursing legislation is India. Hope it helps a bit.

[Bossy Boss]

Critical care room should be stocked with a ambu-bag/mask/suction ,tubing and yank. Often somewhere by the head of the bed, unopened ready get to if and when needed. They don't get charged to the patient unless used , I called this the mini bar concept. They should also be replaced after discharged but before the next admission if used. I am unsure what an intubation roll is it might be called something else where I am at. It does sound a lot like an airway box. This has all the items needed to tube a patient without having to open the code cart for those resp distress patients that need to be tube prior to coding its more a planed intubation, also the airway box does not have RSI meds. Liberated847 brings up a good point on bringing this up to the chain of command. Improving a code or the next RRT is the only way to learn.

[Wile E Coyote, ASN, RN]

I'm thinking our CRNA OP is quite aware what SHOULD constitute a safely prepared intubation.

I too, looked for a national standard and thus far, it looks like it's going to be up to whatever internal facility remedies you can muster.

[nrsang97, BSN, RN]

Our standard rooms have a suction set up including canister, tubing , and yankauer. We also have an ambu bag, and intubation box ( has blades, ett, restraints). I am not sure what an inbutation roll is.

Being in RRT there are many med surg rooms that have no set up. I have opened crash carts that have no ambu bag in them.