Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS › Appendix P - Pediatric Critical Care Center (PCCC) Pediatric Equipment/Supplies/Medications Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
All of the following equipment/supplies/medications shall be
				  immediately available within the PICU and pediatric unit:
AIRWAY
Cricothyrotomy capabilities (i.e., 10 g needle and 3
							 mm ET tube adapter or 14 g needle and 3.5 mm ET tube adapter)
Endotracheal tubes:
Uncuffed or Cuffed (sizes 2.5, 3.0, 3.5,
							 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5)
Stylets for endotracheal tubes (pediatric
							 and adult)
Laryngoscope handle (pediatric and adult); bulbs
							 (small and large); extra batteries
Laryngoscope blades (Curved 1, 2, 3; Straight or
							 Miller 00, 0, 1, 2, 3)
Local anesthetic (i.e., lidocaine gel, cetacaine
							 spray)
Magill forceps (pediatric and adult)
Oral airways (sizes 0, 1, 2, 3, 4, 5)
Stylets (pediatric and adult)
Tongue blades
Tracheostomy collar
Tracheostomy tubes (sizes PED 3.0, 3.5, 4.0, 4.5,
							 5.0, 5.5 or ET may be substituted); trach ties; surgilube
BREATHING
Bag-valve-mask device, self-inflating infant/child
							 and adult with O2 reservoir and clear masks (neonatal
							 through large adult sizes), and PEEP
C-PAP
End-tidal PCO2 monitor and/or
							 pediatric CO2 detector (disposable units may be
							 substituted)
Flow meter
Masks, clear (neonatal, toddler, infant, child,
							 medium adult)
Nasogastric tubes (sizes 6, 8, 10, 12, 14 Fr). NOTE:
							 Cannot use feeding tubes as a substitute.
Nasopharyngeal airways (sizes 14, 16, 20, 24, 28, 30
							 Fr)
O2 Tank
O2 Blender
O2 connectors and spare
							 O2 tubing
Partial non-rebreather O2
							 masks (neonatal, pediatric, adult)
PEEP valves
Pulse oximeter with child, infant and neonatal
							 probes
Stethoscope
Suction supplies (bulb syringe, suction catheters
							 sizes 6, 8, 10, 12, 14 Fr and Yankauer-tip catheter)
Tube thoracostomy tray and water seal drainage
							 capacity with chest tubes (sizes 8-40 Fr)
Ventilator-respirator, pediatric
CIRCULATION
Blood collection tubes, culture bottles, arterial
							 blood gas syringe
Butterfly needles (19, 21, 23, 25 g)
Cardiac resuscitation board
Catheter over needle IV access (sizes 16, 18, 20, 22,
							 24 g)
CVP and arterial monitors
Doppler device
ECG monitor-defibrillator/cardioverter with pediatric
							 and adult sized paddles (and/or pads), with pediatric dosage settings and
							 pediatric/adult pacing electrodes
Intraosseous needles or bone-marrow aspiration
							 needles (one large and one small bore) or IO device (pediatric and adult
							 sizes)
IV fluid/blood warmer
IV tubing and extension tubing
Infusion pumps, syringe pumps, or devices with
							 microinfusion capability utilizing appropriate tubing and connectors
Needles (sizes 16, 18, 20, 22/23, 25; intracardiac
							 needle 21 g, 11/2 inch; filter needle)
Non-invasive blood pressure device (neonatal through
							 adult cuffs)
Rapid infusion pumps
Sphygmomanometer with cuffs (newborn, infant, child,
							 small adult, adult)
Stopcocks
Syringes (TB, insulin U100, 1 ml-20 ml and catheter
							 tip)
T-connectors
Tourniquets, arm boards, tape, alcohol wipes, skin
							 prep, razor
Vascular access supplies using the Seldinger
							 technique (3-8 Fr)
Warming devices, age appropriate
MEDICATIONS
Activated Charcoal
Adenosine
Albumin 5% and 25%
Amiodarone
AquaMEPHYTON
Atropine
Bacteriostatic Water, 30 ml
Beta-agonist for inhalation
Benzodiazepines, e.g., Lorazepam, Midazolam,
							 Diazepam
Calcium Chloride 10%
Calcium Gluconate 10%
Dextrose 10%, 25% and 50%
Digitalis antibody
Digoxin
Diphenhydramine
Dobutamine
Dopamine
Dosing device - length or weight based system for
							 dosing and equipment/supplies
Epinephrine (1:1000 and 1:10,000)
Factor VIII, IX concentrate (pharmacy or blood
							 bank)
Flumazenil
Furosemide
Glucagon
Insulin
IV solutions (D5W and 0.9 NS)
IV solutions, standard crystalloid (D10W, D5/0.2 NS,
							 D5/0.45 NS and 0.9 NS)
Kayexalate
Ketamine
Lidocaine 1% and 2%
List of resuscitation drug dosages at patient bedside
							 (based on child's weight)
Magnesium sulfate
Mannitol
Methylene blue
N-acetyl cysteine
Naloxone
Narcotics
Norepinephrine
Neuromuscular blocking agents (i.e., succinylcholine,
							 pancuronium, vecuronium) (NOTE: May be refrigerated)
Oral rehydrating solution
Phenobarbital
Phenytoin and/or fosphenytoin
Potassium
Propranolol
Prostaglandin E1
Sodium Bicarbonate, 8.4 % and 4.2 %
Sodium Chloride 10 ml (multiple)
Steroids - parenteral, e.g., Dexamethasone,
							 Hydrocortisone, Methylprednisolone
Topical anesthetic agent
Vasopressin (DDAVP)
Whole bowel irrigation solution
MISCELLANEOUS
Lumbar puncture tray, including a selection of
							 needles (size 18-22 g, 11/2-3 inch needle)
Feeding tubes (8-14)
Foley catheters (sizes 6, 8, 10, 12 Fr)
Hypothermia thermometer with rectal probe
							 (28°-42° C)
Otoscope/ophthalmoscope
Weighing scales (in kilograms only) for infants and
							 children