Our Central Line Sterile Procedure Cart

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Our Central Line Sterile Procedure Cart

• Cushing Regional Hospital

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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.

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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.

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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.

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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.

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Problems Weve 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.

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What Do Our Surgeons 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.

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