TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER f: EMERGENCY SERVICES AND HIGHWAY SAFETY
PART 515 EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
SECTION 515.APPENDIX P PEDIATRIC CRITICAL CARE CENTER (PCCC) PEDIATRIC EQUIPMENT/SUPPLIES/MEDICATIONS REQUIREMENTS



 

Section 515.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, 1 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, 1-3 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

 

(Source: Amended at 40 Ill. Reg. 8274, effective June 3, 2016)