Several years ago, startup NESA Solutions presented CHV with an opportunity to invest in a solution for "financial waste experienced by the mismanagement of a hospital asset." NESA proposed building a module that would automate
crash cart inventory, providing both
crash cart locations and supplies-expiration information.
Healthcare changed when RN Anita Dorr created the
crash cart and founded the Emergency Nurses Association (Jezierski, 1996).
It is interesting that despite the logarithmic increase in office-based procedures, there are few safety-related guidelines regarding patient selection, vital sign monitoring, (2,5) and equipment requirements, such as the presence of a
crash cart. Risks are often specialty-specific.
Continued development of the surgical assistant to be cognizant of basic sciences, anatomy/physiology, patient evaluation, medical concerns encompassing cardiac, metabolic, nervous, immune, and pulmonary systems, drug administration,
crash cart organization, emergency drills, sedation levels, airway management, equipment monitoring, algorithm recognition, and emergency treatment protocols all warrant attention.
The device is a required part of resuscitation kits for trained professionals in out-of-hospital settings (such as ambulance crews) and is also frequently used in hospitals as part of standard equipment found on a
crash cart, in emergency rooms or other critical care settings.
The American Board of
Crash Carts (ABCC) released updated Maintenance of
Crash Cart (MOCC) guidelines for 2016 as follows:
If you do a lot of surgery you may want to get the ACLS training and buy the
crash cart drug kit, but many of the drugs have become ferociously expensive, despite being generic.
The most pronounced finding for a particular variable was on CCCD,
Crash Cart and Chart Documentation, where the mean score jumped two points from time one to time two, t (74) = 18.05, p <.001.
No
crash cart is needed, but obtaining vital signs and calling the provider would be the next steps after a fall.
Synopsis: Machines beeping, the blur of medical staff running, a
crash cart whizzing into an ICU room, was there any hope?