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 L PEDIATRIC EQUIPMENT REQUIREMENTS FOR EMERGENCY DEPARTMENTS



 

Section 515.APPENDIX L Pediatric Equipment Requirements for Emergency Departments

 

The following list identifies pediatric equipment items that are required for the two emergency department facility recognition levels. Equipment items are classified as "essential" (E) and "need to be stocked in the emergency department" (ED).

 

 

EDAP

SEDP

Monitoring Devices

 

 

 

 

 

Blood glucose measurement device (i.e., chemistry strip or glucometer)

E (ED)

E (ED)

 

 

 

Continuous end-tidal PCO2 monitor and pediatric CO2 colorimetric detector (disposable units may be substituted)

E (ED)

E (ED)

 

 

 

Doppler ultrasound blood pressure device (neonatal-adult thigh cuffs)

E (ED)

E (ED)

 

 

 

ECG monitor-defibrillator/cardioverter with pediatric and adult sized paddles, or pads, with pediatric dosage settings and pediatric and adult pacing electrodes

E (ED)

E (ED)

 

 

 

Hypothermia thermometer (Note: with a range of 28-42C)

E (ED)

E (ED)

 

 

Pediatric monitor electrodes

E (ED)

E (ED)

 

 

Otoscope/ophthalmoscope/stethoscope

E (ED)

E (ED)

 

 

Pulse oximeter with pediatric and adult probes

E (ED)

E (ED)

 

 

Sphygmomanometer with cuffs (neonatal-adult thigh)

E (ED)

E (ED)

 

 

Vascular Access Supplies and Equipment

 

 

 

 

 

Arm boards (sized infant through adult)

E (ED)

E (ED)

 

 

Blood gas kits

E (ED)

E (ED)

 

 

Butterfly-type needles (19-25 g)*

E (ED)

E (ED)

 

 

Catheter-over-needle devices (16-24 g)*

E (ED)

E (ED)

 

 

 

Central venous catheters (stock one small and one large size)

E (ED)

E (ED)

 

 

Infusion pumps, syringe pumps, or devices with microinfusion capability using appropriate tubing & connectors

E (ED)

E (ED)

 

 

Intraosseous needles or bone marrow needles (13-18 g size range; stock one large/one small bore) or IO device (pediatric and adult sizes)

E (ED)

E (ED)

 

 

IV extension tubing, stopcocks, and T-connectors

E (ED)

E (ED)

 

 

IV fluid/blood warmer

E (ED)

E (ED)

 

 

IV solutions: standard crystalloid solutions (D10W, D5/.2 NS, D5/.45 NS, D5/.9 NS and 0.9 NS)

E (ED)

E (ED)

 

 

Syringes (1 mL through 20 mL)

E (ED)

E (ED)

 

 

Tourniquets

E (ED)

E (ED)

 

 

Umbilical vein catheters (3.5 and 5 Fr; the same size feeding tube may be used for 5 Fr)*

E (ED)

E (ED)

 

 

Respiratory Equipment and Supplies

 

 

 

 

 

Bag-valve-mask device, self-inflating infant/child and adult (1000 ml) with O2 reservoir and clear masks (neonatal through large adult sizes)*; PEEP valve

E (ED)

E (ED)

 

 

 

Manometer

E (ED)

E (ED)

 

 

Bulb syringe

E (ED)

E (ED)

 

 

Endotracheal tubes:*

 

 

Cuffed or Uncuffed (sizes 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5 and 8.0)

 

E (ED)

E (ED)

Stylets for endotracheal tubes (pediatric and adult)

E (ED)

E (ED)

 

 

Laryngoscope handle (pediatric and adult)

E (ED)

E (ED)

 

 

Laryngoscope blades (curved 2, 3; straight or

Miller 0, 1, 2, 3)*

E (ED)

E (ED)

 

 

 

Magill forceps (pediatric and adult)

E (ED)

E (ED)

 

 

 

Meconium aspirator

E (ED)

E (ED)

 

 

 

Nasopharyngeal airways (sizes 14, 16, 20, 24, 28, 30 Fr)*

E (ED)

E (ED)

 

 

 

Nebulized medication, administration set with pediatric and adult masks

E (ED)

E (ED)

 

 

Oral airways (sizes 0, 1, 2, 3, 4, 5 or size 50 mm, 60 mm, 70 mm, 80 mm, 90 mm, 100 mm)*

E (ED)

E (ED)

 

 

 

Oxygen delivery device with flow meter and tubing

E (ED)

E (ED)

 

 

 

Oxygen delivery adjuncts:

 

 

Tracheostomy collar

E (ED)

E (ED)

Standard masks, clear (pediatric and adult sizes)

Partial-non-rebreather or non-rebreather masks, clear (pediatric and adult sizes)

E (ED)

 

E (ED)

E (ED)

 

E (ED)

Nasal cannula (infant, pediatric and adult)

E (ED)

E (ED)

 

 

 

Peak flow meter

E (ED)

E (ED)

 

 

 

Supplies/kit for patients with difficult air way conditions

(must have one of the following):

 

Supraglottic airway devices (sizes 1, 1.5, 2, 2.5, 3, 4 and 5; or sizes appropriate for a neonate through adult);

Cricothyrotomy kit (pediatric size); or

Cricothyrotomy capabilities (i.e., 10 g needle and 3.5 mm ET tube adapter or 14 g needle and 3.0 mm ET tube adapter)

 

E (ED)

E (ED)

Suction capability (wall)

E (ED)

E (ED)

 

 

Suction capability (portable)

E (ED)

E (ED)

 

 

Suction catheters (sizes 5/6, 8, 10, 12, 14, 16, 18 Fr and Yankauer-tip catheter)*

E (ED)

E (ED)

 

 

Tracheostomy tubes (sizes PED* 3.0, 3.5, 4.0, 4.5, 5.0, 5.5)* (correspond to PT 00, 0, 1, 2, 3, 4, in old schematization)

E (ED)

---

 

 

 

Tube thoracostomy tray and water seal drainage capacity with chest tubes (sizes 12-32 Fr)*

E (ED)

---

 

 

 

Medications (unit dose, prepackaged)

 

 

 

 

 

Access to the Illinois Poison Center 1-800-222-1222 through posting of phone number in ED

E (ED)

E (ED)

 

 

Activated charcoal (consider with and without Sorbitol)

E (ED)

E (ED)

 

 

Adenosine

E (ED)

E (ED)

 

 

Amiodarone

E (ED)

E (ED)

 

 

Antiemetics

E (ED)

E (ED)

 

 

 

Antimicrobial agents (parenteral and oral)

E (ED)

E (ED)

 

 

 

Antipyretics

E (ED)

E (ED)

 

 

Atropine

E (ED)

E (ED)

 

 

Barbiturates, e.g., Phenobarbital, Pentobarbital

E (ED)

E (ED)

 

 

Benzodiazepines, e.g., Lorazepam, Midazolam, Diazepam

E (ED)

E (ED)

 

 

Beta agonist for inhalation (Albuterol, Levalbuterol)

E (ED)

E (ED)

 

 

Beta blockers, e.g., Propranolol, Metoprolol

E (ED)

E (ED)

 

 

Calcium (chloride or gluconate)

E (ED)

E (ED)

 

 

Corticosteroids, e.g., Dexamethasone, Hydrocortisone, Methylprednisolone

E (ED)

E (ED)

 

 

Dextrose (25% and 50%)

E (ED)

E (ED)

 

 

Diphenhydramine

E (ED)

E (ED)

 

 

Dobutamine

E (ED)

---

 

 

Dopamine

E (ED)

---

 

 

Epinephrine (1 mg/mL and 0.1mg/mL)

E (ED)

E (ED)

 

 

Epinephrine (Racemic)

E (ED)

E (ED)

 

 

Fosphenytoin or Phenytoin

E (ED)

E (ED)

 

 

 

Furosemide

E (ED)

E (ED)

 

 

Glucagon or Glucose Paste

E (ED)

E (ED)

 

 

Insulin, regular

E (ED)

E (ED)

 

 

Lidocaine 1%

E (ED)

E (ED)

 

 

Magnesium Sulfate

E (ED)

E (ED)

 

 

Mannitol

E (ED)

E (ED)

 

 

Narcotics

E (ED)

E (ED)

 

 

Neuromuscular blocking agents (i.e., succinylcholine, rocuronium, vecuronium)

E (ED)

E (ED)

 

 

Ocular anesthetics

E (ED)

E (ED)

 

 

Poison Specific Antidotes

 

 

Acetylcysteine

E (ED)

E (ED)

Cyanide antidote (Sodium Thiosulfate with or without Sodium Nitrite therapy; or Hydroxocobalamin single agent therapy)

E (ED)

E (ED)

Flumazenil

E (ED)

E (ED)

Naloxone

E (ED)

E (ED)

 

 

Sodium bicarbonate 8.4% and 4.2%

E (ED)

E (ED)

 

 

Sedative/Hypnotic (e.g., Ketamine, Etomidate)

E (ED)

E (ED)

 

 

Tetanus Immune Globulin (Human)

E (ED)

E (ED)

 

 

Tetanus Vaccines (single or in combination with other vaccines)

E (ED)

E (ED)

 

 

 

Topical Anesthetics

E (ED)

E (ED)

 

 

Miscellaneous Equipment

 

 

 

 

 

Dosing device length or weight based system for dosing and equipment

E (ED)

E (ED)

 

 

 

 

 

Dosing/equipment chart by weight

E (ED)

E (ED)

 

 

 

EMS communication equipment (i.e., telemetry, MERCI, cellular or dedicated phone)

E (ED)

E (ED)

 

 

 

Examination gloves, disposable

E (ED)

E (ED)

 

 

Fluorescein (eye strips)

E (ED)

E (ED)

 

 

 

Infant formulas, dextrose in water with various nipple sizes

E (ED)

E (ED)

 

 

 

Lubricant, water soluble

E (ED)

E (ED)

 

 

Nasogastric tubes 8 through-18 Fr* (may substitute feeding tubes 5F and 8F)

E (ED)

E (ED)

 

 

Oral rehydrating solution

E (ED)

E (ED)

 

 

Pain scale assessment tools appropriate for age

E (ED)

E (ED)

 

 

 

Pediatric emergency/crash cart or bag with defined list of contents attached to bag/cart

E (ED)

E (ED)

 

 

Restraining device/methods (e.g., papoose, distraction devices, comfort hold, swaddling)

E (ED)

E (ED)

 

 

Resuscitation board

E (ED)

E (ED)

 

 

Urinary catheters (8-22 Fr)*

E (ED)

E (ED)

 

 

Warming devices, age appropriate

E (ED)

E (ED)

 

 

 

Weighing scales (in kilograms only) for infants and children

E (ED)

E (ED)

 

 

Woods lamp (blue light)

E (ED)

E (ED)

 

 

Specialized Pediatric Trays

 

 

 

 

 

Lumbar puncture tray, including a selection of needle sizes (size 18-22 g, 1-3 inch needle)

E (ED)

E (ED)

 

 

Minor surgical instruments and sutures

E (ED)

E (ED)

 

 

Newborn kit/OB kit (including umbilical clamp, bulb syringe, towel). Maintain newborn resuscitation equipment/supplies together for easy access (as outlined in this equipment list: warming device, feeding tubes, neonatal mask, meconium aspirator).

E (ED)

E (ED)

 

 

Fracture Management Devices

 

 

 

 

 

Extremity splints

E (ED)

E (ED)

 

 

Femur splint (child and adult)

E (ED)

E (ED)

 

 

Semi-rigid neck collars (child through adult) or cervical immobilization equipment suitable for children

E (ED)

E (ED)

 

 

Spinal immobilization board

E (ED)

E (ED)

 

* Shall minimally stock a range of each commonly available size noted or comparable sizes.

 

(Source: Amended at 44 Ill. Reg. 15619, effective September 4, 2020)