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The Level of Compliance with National Standards in Resuscitation Trolleys in Teaching Hospitals in Yazd in 2024: A cross-Sectional Study
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Jalal Salehinia    , Mohammad Reza Khajeaminian , Mohammad Zare Reshkouie , Khadijah Nasiriani * |
| Nursing Department, Research Center for Nursing and Midwifery Care, non-communicable diseases research institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , nasiriani@gmail.com |
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Abstract: (233 Views) |
Background & aim: Effective and safe management of cardiopulmonary arrest in hospitals relies on immediate access to emergency drugs, equipment, and supplies. A resuscitation trolley is a set of drawers and shelves on wheels that are intended for transporting and distributing drugs and equipment in emergency situations. Periodic inspection and completion of the resuscitation trolley to comply with the standard is very important to ensure that the trolley is ready in emergency situations. The present study was conducted to determine the compliance of the resuscitation trolley with national standards in Yazd teaching hospitals in 1403.
Methods: This study was a cross-sectional research. The study samples included 71 emergency trolleys in hospital wards. The researcher randomly visited all departments of university teaching hospitals in Yazd city in different shifts and evaluated the quality and quantity of medicines, consumables and equipment of the trolleys with a checklist compiled based on the latest standard guidelines for resuscitation trolleys.
Results: According to findings, in terms of compliance with the national guidelines, medicines were not available in the first drawer 11.27% and the second drawer 19.72%, and the equipment in the third drawer 14.09%, the fourth drawer 40.84% and the fifth drawer 37.62%. In terms of the number of medicines in the first drawer 52.11%, the second drawer 66.20% and the equipment in the third drawer 25.59%, the fourth drawer 20.32% and the fifth drawer 43.26% were insufficient. In terms of the expiration date of the drugs in the first drawer 11.27% and the second drawer 19.72% and the expiration date of the equipment and devices in the third drawer 14.56%, the fourth drawer 23.74% and the fifth drawer 39.83% were not valid. Also, in terms of the presence and readiness of the oxygen capsule or central oxygen system 12.7% and 29.8%, suction 29.6% and 45.1%, defibrillator 8.5% and 8.5%, external pad 47.9%, the response was negative. The quality of the trolley was examined with 24 items, and in most cases, structural or quality problems were not found in the resuscitation trolleys.
Conclusion: In comparing the resuscitation trolleys with the national standard, it can be concluded that the resuscitation trolleys are acceptable but are not maintained completely in accordance with the latest national guidelines. Therefore, in order to follow the latest resuscitation trolley guidelines, measures such as developing and reviewing the policy for periodic control of resuscitation trolleys and replacing drugs and devices, reviewing the resuscitation trolley standard based on the treatment department, and training staff on the latest resuscitation trolley guidelines are being implemented. |
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| Keywords: Resuscitation Trolley, Emergency Trolley, Emergency Drugs, Emergency Equipment, Airway Managemen |
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Full-Text [PDF 843 kb]
(188 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2025/04/14 | Accepted: 2025/07/19 | Published: 2025/07/22
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