Our Central Line Sterile Procedure Cart

1. Our Central Line � Sterile Procedure Cart Cushing Regional Hospital

2. How We Got There The cart was our 2nd quarter project for the MRSA collaborative. It was assemble by the ER manager, the Med-Surg/ICU manager, and the Infection Control nurse with input from our general surgeon.

3. Finding the Right Cart The drawer configuration was the most difficult part. The cart we used was purchased from Health Care Logistics � www.HealthCareLogistics.com It is a Punch Card Medication Cart � B 5119.

4. The Supplies Attached you will find a drawer by drawer supply list. The supply list was reviewed and approved by our general surgeon�..and there the list grew. What started as a central line cart became the sterile procedure cart. The 3-ring binder on top contains consent forms, central line order sets, and a supply restock sheet.

5. How It Works for Us The cart is used by the ER, ICU, and Med-Surg floors. It is kept in the ER due to volume of use and a place for storage out of the hall. Keys to the cart are kept on the ICU and ER narcotic keys as well as the house supervisor keys.

6. How It Works for Us Cont. It is the responsibility of the nurse using the cart to ensure supplies are restocked. Our nurses love it. They have everything at the door to the room. They are no longer running to grab that one thing they forgot while the surgeon waits. Our nurses know the cart supply list is flexible. If they have an idea we will add it if possible.

7. Problems We�ve Encountered By increasing the cart to the sterile procedure cart, there is not enough room for the chest tube drainage unit. Restocking the cart is sometimes an issue, but not as big as we predicted. Open multi-dose vials are disposed of every two weeks per hospital policy. This is now a new place that must be checked by the ER nurses.

8. What Do Our Surgeon�s Think? We have one full time general surgeon. He had a lot of input on the cart and loves having everything available just outside the patient room. He calls ahead to have staff go retrieve the cart from ER, or he goes by and picks it up on his way to the floor. We have one courtesy staff surgeon who has not used the cart that we know of.

13.