Supply Checklist for Common ICU Procedures

 

Compiled by Zohra Prasla, MD (PCCM Fellow)

General                                                     

  • Ultrasound machine

  • Ultrasound probe covers (2, 1 each for central line and arterial line placement)

  • Ultrasound jelly

 

Intubation

  • PPE (N95, goggles or face shield, gowns, gloves for MD, RN, RT)

  • Suction with Yankauer

  • Nonrebreather mask for preoxygenation and apneic oxygenation

  • Towel rolls

  • Bag-valve mask with HME/Viral filter and PEEP valve (not to be used for preoxygenation due to aerosolization risk but just in case for emergent situation)

  • Portable Glidescope with 2 disposable laryngoscopes (size 4 and size 3)

  • MAC blade and handle

  • ET tube (2 – 7.5 and 8.0 or other size based on MD preference)

  • Stylets (2 – 1 rigid for Glidescope and 1 regular)

  • EtCO2 monitor (set up prior to start of intubation)

  • 10 cc Syringe

  • Disposable bronchoscope (second-line for difficult airway)

  • LMA size 4 and 5 (third-line for difficult airway)

  • ​Oral airway (1, standard size)

  • Medications (confirm doses with MD)

    • Induction Agent: Etomidate 30 mg (administer 20-25 mg for 70-80 kg normotensive adult, 0.3 mg/kg IV), OR Propofol 200 mg (administer 140-160 mg for 70-80 kg adult, 2 mg/kg IV)

    • Paralytic Agent: Succinylcholine 200 mg (administer 140-160 mg for 70-80 kg adult, 2 mg/kg IV), OR 120 mg (administer 80-100 mg for 70-80 kg adult, 1.2 mg/kg IV)

    • Sedative Agent: Propofol or Versed for post-intubation sedation while Rocuronium still onboard

    • Post-Intubation: 1L Lactated Ringers hanging, Norepinephrine at beside (or Phenylephrine, based on MD preference)

 

Central Venous Line

  • Triple lumen CVC or HD catheter (Vascath) kit

  • Free-standing kink-resistant guidewire

  • Sterile patient drape (if not included in central line kit)

  • PPE (Sterile gown, bouffant, face mask w/shield if not included in central line kit)

  • Sterile gloves

  • ChloraPrep (2)

  • Sterile saline flushes (3)

  • Leur lock caps (3)

  • Biopatch (1)

  • Sterile gauze

  • Sterile Tegaderm (1)

  • Lidocaine 2% without epinephrine

  • RN to remain outside door at all times for assistance

 

Arterial Line

  • PPE (Sterile gown, bouffant, face mask w/shield, sterile gloves)

  • Arterial catheterization kit (1) and arterial catheterization darts (2)

  • Sterile towels

  • ChloraPrep (2)

  • Tape or other restraining agent

  • Towel roll

  • Sterile gauze

  • Sterile Tegaderm (1)

  • Suture (2.0 silk)​

  • Lidocaine 2% without epinephrine

  • Pressure IV tubing with transducer set up

Information presented on this website does not reflect the views or positions of the US Veterans Health Administration, Emory Healthcare, or its affiliated institutions. This is a rapidly evolving field. As such. the content on this site is being updated daily and protocols will be updated in real time.  The purpose of this site is to provide a centralized resource for ICU topics and protocols to promote the well-being of hospitalized or critically ill patients suffering from COVID-19.  Defer to your institutional guidelines for all clinical practice decisions.

 

© 2020  Victor Tseng, MD