Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS
Appendix P - Pediatric Critical Care Center (PCCC) Pediatric Equipment/Supplies/Medications Requirements
All of the following equipment/supplies/medications shall be immediately available within the PICU and pediatric unit:
AIRWAY |
Cricothyrotomy capabilities (i.e., 10 g needle and 3 mm ET tube adapter or 14 g needle and 3.5 mm ET tube adapter) |
Endotracheal tubes: Uncuffed or Cuffed (sizes 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5) Stylets for endotracheal tubes (pediatric and adult) |
Laryngoscope handle (pediatric and adult); bulbs (small and large); extra batteries |
Laryngoscope blades (Curved 1, 2, 3; Straight or Miller 00, 0, 1, 2, 3) |
Local anesthetic (i.e., lidocaine gel, cetacaine spray) |
Magill forceps (pediatric and adult) |
Oral airways (sizes 0, 1, 2, 3, 4, 5) |
Stylets (pediatric and adult) |
Tongue blades |
Tracheostomy collar |
Tracheostomy tubes (sizes PED 3.0, 3.5, 4.0, 4.5, 5.0, 5.5 or ET may be substituted); trach ties; surgilube |
BREATHING |
Bag-valve-mask device, self-inflating infant/child and adult with O2 reservoir and clear masks (neonatal through large adult sizes), and PEEP |
C-PAP |
End-tidal PCO2 monitor and/or pediatric CO2 detector (disposable units may be substituted) |
Flow meter |
Masks, clear (neonatal, toddler, infant, child, medium adult) |
Nasogastric tubes (sizes 6, 8, 10, 12, 14 Fr). NOTE: Cannot use feeding tubes as a substitute. |
Nasopharyngeal airways (sizes 14, 16, 20, 24, 28, 30 Fr) |
O2 Tank |
O2 Blender |
O2 connectors and spare O2 tubing |
Partial non-rebreather O2 masks (neonatal, pediatric, adult) |
PEEP valves |
Pulse oximeter with child, infant and neonatal probes |
Stethoscope |
Suction supplies (bulb syringe, suction catheters sizes 6, 8, 10, 12, 14 Fr and Yankauer-tip catheter) |
Tube thoracostomy tray and water seal drainage capacity with chest tubes (sizes 8-40 Fr) |
Ventilator-respirator, pediatric |
CIRCULATION |
Blood collection tubes, culture bottles, arterial blood gas syringe |
Butterfly needles (19, 21, 23, 25 g) |
Cardiac resuscitation board |
Catheter over needle IV access (sizes 16, 18, 20, 22, 24 g) |
CVP and arterial monitors |
Doppler device |
ECG monitor-defibrillator/cardioverter with pediatric and adult sized paddles (and/or pads), with pediatric dosage settings and pediatric/adult pacing electrodes |
Intraosseous needles or bone-marrow aspiration needles (one large and one small bore) or IO device (pediatric and adult sizes) |
IV fluid/blood warmer |
IV tubing and extension tubing |
Infusion pumps, syringe pumps, or devices with microinfusion capability utilizing appropriate tubing and connectors |
Needles (sizes 16, 18, 20, 22/23, 25; intracardiac needle 21 g, 11/2 inch; filter needle) |
Non-invasive blood pressure device (neonatal through adult cuffs) |
Rapid infusion pumps |
Sphygmomanometer with cuffs (newborn, infant, child, small adult, adult) |
Stopcocks |
Syringes (TB, insulin U100, 1 ml-20 ml and catheter tip) |
T-connectors |
Tourniquets, arm boards, tape, alcohol wipes, skin prep, razor |
Vascular access supplies using the Seldinger technique (3-8 Fr) |
Warming devices, age appropriate |
MEDICATIONS |
Activated Charcoal |
Adenosine |
Albumin 5% and 25% |
Amiodarone |
AquaMEPHYTON |
Atropine |
Bacteriostatic Water, 30 ml |
Beta-agonist for inhalation |
Benzodiazepines, e.g., Lorazepam, Midazolam, Diazepam |
Calcium Chloride 10% |
Calcium Gluconate 10% |
Dextrose 10%, 25% and 50% |
Digitalis antibody |
Digoxin |
Diphenhydramine |
Dobutamine |
Dopamine |
Dosing device - length or weight based system for dosing and equipment/supplies |
Epinephrine (1:1000 and 1:10,000) |
Factor VIII, IX concentrate (pharmacy or blood bank) |
Flumazenil |
Furosemide |
Glucagon |
Insulin |
IV solutions (D5W and 0.9 NS) |
IV solutions, standard crystalloid (D10W, D5/0.2 NS, D5/0.45 NS and 0.9 NS) |
Kayexalate |
Ketamine |
Lidocaine 1% and 2% |
List of resuscitation drug dosages at patient bedside (based on child's weight) |
Magnesium sulfate |
Mannitol |
Methylene blue |
N-acetyl cysteine |
Naloxone |
Narcotics |
Norepinephrine |
Neuromuscular blocking agents (i.e., succinylcholine, pancuronium, vecuronium) (NOTE: May be refrigerated) |
Oral rehydrating solution |
Phenobarbital |
Phenytoin and/or fosphenytoin |
Potassium |
Propranolol |
Prostaglandin E1 |
Sodium Bicarbonate, 8.4 % and 4.2 % |
Sodium Chloride 10 ml (multiple) |
Steroids - parenteral, e.g., Dexamethasone, Hydrocortisone, Methylprednisolone |
Topical anesthetic agent |
Vasopressin (DDAVP) |
Whole bowel irrigation solution |
MISCELLANEOUS |
Lumbar puncture tray, including a selection of needles (size 18-22 g, 11/2-3 inch needle) |
Feeding tubes (8-14) |
Foley catheters (sizes 6, 8, 10, 12 Fr) |
Hypothermia thermometer with rectal probe (28°-42° C) |
Otoscope/ophthalmoscope |
Weighing scales (in kilograms only) for infants and children |