Identification of critical illness The following items are required for a hospital to be ready for the identification of critically ill patients |
Category | Item |
1.1. Equipment | 1.1.1 Clock with secondhand 1.1.2 Pulse oximeter and probe 1.1.3 Blood pressure measuring equipment (eg, sphygmomanometer with a stethoscope) 1.1.4 Blood pressure cuffs of different paediatric and adult sizes 1.1.5 Light source (lamp or flashlight) 1.1.6 Thermometer
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1.2 Consumables | |
1.3 Drugs | None |
1.4 Human resources | |
1.5 Training | |
1.6 Routines | |
1.7 Guidelines | |
1.8 Infrastructure | |
Care of critical illness The following items are required for a hospital to be ready to provide the care of critically ill patients |
2.1 Equipment | 2.1.1 Suction machine (electric or manual) 2.1.3 Oxygen supply 24 hours/day (cylinder, concentrator (with electricity supply) or piped oxygen) 2.1.4 Flow meter (if using cylinder or piped oxygen) 2.1.5 Leak-free connectors from oxygen source to tubing 2.1.6 Bag valve mask (resuscitator)—neonatal, paediatric and adult sizes 2.1.7 Sharps disposal container 2.1.8 External heat source
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2.2 Consumables | 2.2.1 Suction catheters of paediatric and adult sizes 2.2.2 Guedel airways of paediatric and adult sizes 2.2.3 Pillows 2.2.4 Oxygen tubing 2.2.5 Oxygen nasal prongs 2.2.6 Oxygen face masks of paediatric and adult sizes 2.2.7 Oxygen face masks with reservoir bags of paediatric and adult sizes 2.2.8 Masks for bag valve mask (resuscitator)—neonatal, paediatric and adult sizes 2.2.9 Compression bandages 2.2.10 Plasters or tape 2.2.11 Gauze 2.2.12 Intravenous cannulas of paediatric and adult sizes 2.2.13 Intravenous giving sets 2.2.14 Skin disinfectant for cannulation 2.2.15 Syringes 2.2.16 Nutrition 2.2.17 Nasogastric tubes 2.2.18 Lubricant for nasogastric tube insertion 2.2.19 Intramuscular needles 2.2.20 Intraosseous cannulas of different sizes 2.2.21 Blankets 2.2.22 Facemasks for infection prevention and control 2.2.23 Aprons or gowns 2.2.24 Charts/notes for documentation 2.2.25 Pens
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2.3 Drugs | 2.3.1 Oral rehydration solution 2.3.2 Intravenous crystalloid fluids (eg, normal saline or Ringer’s Lactate) 2.3.3 Intravenous dextrose fluid (eg, 5%, 10% or 50%) 2.3.4 Oxytocin 2.3.5 Epinephrine 2.3.6 Appropriate antibiotics 2.3.7 Diazepam 2.3.8 Magnesium sulphate 2.3.9 Paracetamol 2.3.10 Local anaesthetic (eg, 2% lignocaine) (eg, for intraosseous cannulation)
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2.4 Human resources | |
2.5 Training | |
2.6 Routines | 2.6.1 Routines for managing critically ill patients 2.6.2 Routine for the provision of EECC without taking into account patients’ ability to pay 2.6.3 Routines for who and how to call to seek senior help 24 hours/day, 7 days/week 2.6.4 Routines for integrating EECC with other care including the definitive care of the underlying condition (eg, use of condition-specific guidelines)
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2.7 Guidelines | |
2.8 Infrastructure | 2.8.1 Designated space for the care of critically ill patients (eg, a bay, ward, high dependency unit) 2.8.2 Areas for separating and managing patients with a suspected or confirmed contagious disease from those without
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