Adult Cardiac Arrest Trolley/Grab Bag/Defibrillator Checklist

Form Template

An intact coded seal must be in place and used to lock either the cardiac arrest trolley or the grab bag.

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Staff must check the code against the previous record and indicate findings in the spaces provided below as appropriate. If a defibrillator is present in your area, ensure that it is tested and working correctly on a shift-by-shift basis. All defibrillator test strips must be attached to the back of this document. Any loose equipment on top of the trolley (e.g.) gloves, must be checked each shift to ensure equipment is not missing. If the cardiac arrest trolley/grab bag seal is broken, missing, the codes do not correspond, or the trolley has been used then a full cardiac arrest trolley/grab bag and pump bag check must be completed and documented in the Adult Cardiac Arrest Trolley/Grab Bag/Defibrillator Checklist mobile apps checklist. A full trolley check must be completed and documented at the end of each month during one of the highlighted dates. During this check the blue emergency drugs box, red emergency drugs box, adrenaline 1: 1,000, intravenous fluids and any other equipment governed by an expiry date must be checked to ensure that it will remain in date up until the next monthly check is carried out. No additional equipment must be stored in/on the cardiac arrest trolley/grab bag without prior agreement with the Resuscitation Committee.

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