NEONATAL RESUSCITATION CART STOCKING LIST

Month:________________ Year:___________
Cart Location:______________

Date Cart Checked/Restocked

Store # Description of Item QNTY
#00003669 Sharp disposal (at the side of the cart) 1
Drawer 1 - Cardiorespiratory Supplies
LDR # 00 Laryngoscope blade (fiberoptic) 1
LDR # 0 Laryngoscope blade (fiberoptic) 1
LDR # 1 Laryngoscope blade (fiberoptic) 1
LDR Laryngoscope handle (with 2 AA batteries inside) 1
#00031433 Flow inflating bag, O2 tubing & manometer 1
LDR AA batteries for laryngoscope handle 2
#00076322 Masimo SpO2 sensor <1kg adhesive (grey connector) 1
Masimo SpO2 sensor <1kg nonadhesive (grey connector) 1
#00083626 Masimo SpO2 sensor <3 kg or term (grey connector) 1
#00003676 ECG leads 1
#00011574 SpO2 posey 1
Direct Purchase #1 LMA 1
Respiratory NICU Respiratory Stat Pack 2
#00055490 Blood gas whole blood chemistry requisition 2
#00051979 Hematology/chemistry requisition 2
#00055491 Blood release request form 2
#00052249 Labels, blank 6
Drawer 2 - Intravascular Access
#00020323 IV Catheter extension set 8" (Baxter Interlink) 2
#00074259 IV minibore extension 60" 2
#00001251 3-way stopcock 4
#00074227 Blunt Fill Needle 18G (BD) 4
#00015707 Needle Free Valve Port (Smart Site) 4
#00070669 Chlorhexidine 2%/alcohol 70% swab 10
#00008850 Clear Tape (3M Transpore) ½" 1
#00019566 Syringe 60 mL (luer lock tip) 4
#00019564 Syringe 30 mL (luer lock tip) 4

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 NEONATAL RESUSCITATION CART STOCKING LIST

Month:________________ Year:___________
Cart Location:______________
#00003742 0.9% NaCl 10mL pre-filled syringe 6
#00019548 Syringe 1mL 4
#00011656 Blood transfusion extension set lot #58690 1
#00006750 Blood transfusion filter (PALL) lot #823501 1
#00019544 Syringe 3 mL (luer lock tip) 4
#00008872 Transparent dressing 4.4cm x 4.4cm (Tegaderm) 4
#00074036 IV catheter 24G 0.56" (Insyte) 2
#00000548 IV Catheter 24G x ⅝" (Jelco) 2
#00011593 Scissors 1
Drawer - 3 - Drugs, Sterile Gloves & Diagnostic Supplies
Pharmacy NICU Emergency Drug Box 2
#00070731 Arterial blood sampler (Gaslyte green) 4
#00020209 Aerobic blood culture bottle (BD BACTEC pink) 1
Lab Microcontainer blood tube purple 4
#00070726 Sterile gloves size 6 2
#00070727 Sterile gloves size 6.5 2
#00070728 Sterile gloves size 7 2
#00070729 Sterile gloves size 7.5 2
#00070730 Sterile gloves size 8 2
Kit 1 Umbilical Catheterization Kit (in one bag): 1
SPD Sterile single drape small 2
SPD Needle driver 1
SPD Straight mosquito (total 2 mosquitos) 1
#00008850 Clear Tape (3M Transpore) ½" 1
#00000291 Sterile gauze 2"x2" 2
SPD Sterile umbilical tape ⅛"x⅛" 1
#00000384 Suture 3.0 silk black braided reverse cutting 1
#00001486 Disposable scalpel #11 1
#00032216 "Hockey Stick" (BD REF406999) 1
#00003859 3.5Fr Polyurethane umbilical vessel cath. (Argyle) 2
#00003860 5.0Fr Polyurethane umbilical vessel cath. (Argyle) 2
#00001251 3-way stopcock 2

Fetal Maternal Newborn and Family Health Policy Manual

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 NEONATAL RESUSCITATION CART STOCKING LIST

Month:________________ Year:___________
Cart Location:______________
#00003742 0.9% NaCl 10mL pre-filled syringe 2
#00070208 2% Chlorhexidine swabstick 2
Kit 2 Pneumo Kit (in one bag): 1
#00000291 Sterile gauze 2" x 2" 2
#00020323 IV Catheter extension set 8" (Baxter Interlink) 2
#00003208 23G x ¾" long "Butterfly" (Winged infusion set blue) 2
#00029675 IV catheter 20G 1.16" (Insyte pink) 2
#00019677 IV catheter 18G 1.16" (Insyte green) 2
#00070208 2% Chlorhexidine swabstick 2
#00001251 3-way stopcock 2
#00019568 Syringe 20mL (luer lock tip) 2
#00008872 Transparent dressing 4.4cm x 4.4cm (Tegederm) 2
Kit 3 Abdominal Wall Defect Kit (in a bag): 1
Direct Purchase Bowel bag 1
Direct Purchase Replogle tube 8 Fr 1
#00003866 Replogle tube 10 Fr 1
#00009914 Blue catheter adapter 1
#00001251 3-way stopcock 1
#00019568 Syringe 20mL (luer lock tip) 1
#00008872 Transparent dressing 4.4cm x 4.4cm (Tegederm) 2
Kit 4 Hydrops Kit (in a bag): 1
IV Catheter 16Ga 1.77” Insyte (grey) 2
#00019680 IV Catheter 18Ga 11/4" Intracath (green) 2
#00029675 IV Catheter 20Ga 1.16" Intracath (pink) 2
#00003205 21 Ga x 3/4" long "Butterfly" (Winged infusion set green) 2
#00003208 23Ga x ¾" long "Butterfly" (Winged infusion set blue) 2
#00070208 2% Chlorhexidine swabstick 4
#00019569 Syringe 30mL (luer lock tip) 4
#00001251 3-way stopcock 4
#00008431 Sterile container 4
#00020323 IV Catheter extension set 8" (Baxter Interlink) 4
#00052249 Labels: R chest, L chest, Abdomen (pre-made) 2 of each

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 NEONATAL RESUSCITATION CART STOCKING LIST

Month:________________ Year:___________
Cart Location:______________
not in bag
SPD Sterile gown 1
SPD Sterile bowl 2
SPD Sterile single drape small 8
Birthing Program RN Initial
NICU Resuscitation RN Initial
Revised Sept 2015. DO NOT PUT ELASTIC BAND ON SUPPLIES AND EQUIPMENT. DO NOT OVERSTOCK.
: Check Expiry Date

Fetal Maternal Newborn and Family Health Policy Manual

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