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 L - Pediatric Equipment Requirements for Emergency Departments

Current through Register Vol. 48, No. 28, July 12, 2024
The following list identifies pediatric equipment items that
				  are required for the two emergency department facility recognition levels.
				  Equipment items are classified as "essential" (E) and "need to be stocked in
				  the emergency department" (ED).
EDAP
SEDP
Monitoring Devices
Blood glucose measurement device (i.e.,
							 chemistry strip or glucometer)
E (ED)
E (ED)
Continuous end-tidal
							 PCO2 monitor and pediatric CO2
							 colorimetric detector (disposable units may be substituted)
E (ED)
E (ED)
Doppler ultrasound blood pressure device
							 (neonatal-adult thigh cuffs)
E (ED)
E (ED)
ECG monitor-defibrillator/cardioverter
							 with pediatric and adult sized paddles, or pads, with pediatric dosage settings
							 and pediatric and adult pacing electrodes
E (ED)
E (ED)
Hypothermia thermometer (Note: with a
							 range of 28-42°C)
E (ED)
E (ED)
Pediatric monitor electrodes
E (ED)
E (ED)
Otoscope/ophthalmoscope/stethoscope
E (ED)
E (ED)
Pulse oximeter with pediatric and adult
							 probes
E (ED)
E (ED)
Sphygmomanometer with cuffs
							 (neonatal-adult thigh)
E (ED)
E (ED)
Vascular Access Supplies and Equipment
Arm boards (sized infant through
							 adult)
E (ED)
E (ED)
Blood gas kits
E (ED)
E (ED)
Butterfly-type needles (19-25 g)*
E (ED)
E (ED)
Catheter-over-needle devices (16-24
							 g)*
E (ED)
E (ED)
Central venous catheters (stock one small
							 and one large size)
E (ED)
E (ED)
Infusion pumps, syringe pumps, or devices
							 with microinfusion capability using appropriate tubing & connectors
E (ED)
E (ED)
Intraosseous needles or bone marrow
							 needles (13-18 g size range; stock one large/one small bore) or IO device
							 (pediatric and adult sizes)
E (ED)
E (ED)
IV extension tubing, stopcocks, and
							 T-connectors
E (ED)
E (ED)
IV fluid/blood warmer
E (ED)
E (ED)
IV solutions: standard crystalloid
							 solutions (D10W, D5/.2 NS, D5/.45 NS, D5/.9 NS and 0.9 NS)
E (ED)
E (ED)
Syringes (1 mL through 20 mL)
E (ED)
E (ED)
Tourniquets
E (ED)
E (ED)
Umbilical vein catheters (3.5 and 5 Fr;
							 the same size feeding tube may be used for 5 Fr)*
E (ED)
E (ED)
Respiratory Equipment and Supplies
Bag-valve-mask device, self-inflating
							 infant/child and adult (1000 ml) with O2 reservoir and
							 clear masks (neonatal through large adult sizes)*; PEEP valve
E (ED)
E (ED)
Manometer
E (ED)
E (ED)
Bulb syringe
E (ED)
E (ED)
Endotracheal tubes:*
Cuffed or Uncuffed (sizes 2.5, 3.0, 3.5,
							 4.0, 4.5, 5.0, 5.5, 6.0, 6.5, 7.0, 7.5 and 8.0)
E (ED)
E (ED)
Stylets for endotracheal tubes (pediatric
							 and adult)
E (ED)
E (ED)
Laryngoscope handle (pediatric and
							 adult)
E (ED)
E (ED)
Laryngoscope blades (curved 2, 3; straight
							 or Miller 0, 1, 2, 3)*
E (ED)
E (ED)
Magill forceps (pediatric and
							 adult)
E (ED)
E (ED)
Meconium aspirator
E (ED)
E (ED)
Nasopharyngeal airways (sizes 14, 16, 20,
							 24, 28, 30 Fr)*
E (ED)
E (ED)
Nebulized medication, administration set
							 with pediatric and adult masks
E (ED)
E (ED)
Oral airways (sizes 0, 1, 2, 3, 4, 5 or
							 size 50 mm, 60 mm, 70 mm, 80 mm, 90 mm, 100 mm)*
E (ED)
E (ED)
Oxygen delivery device with flow meter and
							 tubing
E (ED)
E (ED)
Oxygen delivery adjuncts:
Tracheostomy collar
E (ED)
E (ED)
Standard masks, clear (pediatric and adult
							 sizes)
Partial-non-rebreather or non-rebreather
							 masks, clear (pediatric and adult sizes)
E (ED)
E (ED)
E (ED)
E (ED)
Nasal cannula (infant, pediatric and
							 adult)
E (ED)
E (ED)
Peak flow meter
E (ED)
E (ED)
Supplies/kit for patients with difficult
							 air way conditions (must have one of the following):
* Supraglottic airway devices (sizes 1,
							 1.5, 2, 2.5, 3, 4 and 5;
							 or sizes appropriate for a neonate through adult);
* Cricothyrotomy kit (pediatric size);
							 or
* Cricothyrotomy capabilities (i.e., 10 g
							 needle and 3.5 mm ET tube adapter or 14 g needle and 3.0 mm ET tube
							 adapter)
E (ED)
E (ED)
Suction capability (wall)
E (ED)
E (ED)
Suction capability (portable)
E (ED)
E (ED)
Suction catheters (sizes 5/6, 8, 10, 12,
							 14, 16, 18 Fr and Yankauer-tip catheter)*
E (ED)
E (ED)
Tracheostomy tubes (sizes PED* 3.0, 3.5,
							 4.0, 4.5, 5.0, 5.5)* (correspond to PT 00, 0, 1, 2, 3, 4, in old
							 schematization)
E (ED)
---
Tube thoracostomy tray and water seal
							 drainage capacity with chest tubes (sizes 12-32 Fr)*
E (ED)
---
Medications (unit dose, prepackaged)
Access to the Illinois Poison Center
							 1-800-222-1222 through posting of phone number in ED
E (ED)
E (ED)
Activated charcoal (consider with and
							 without Sorbitol)
E (ED)
E (ED)
Adenosine
E (ED)
E (ED)
Amiodarone
E (ED)
E (ED)
Antiemetics
E (ED)
E (ED)
Antimicrobial agents (parenteral and
							 oral)
E (ED)
E (ED)
Antipyretics
E (ED)
E (ED)
Atropine
E (ED)
E (ED)
Barbiturates, e.g., Phenobarbital,
							 Pentobarbital
E (ED)
E (ED)
Benzodiazepines, e.g., Lorazepam,
							 Midazolam, Diazepam
E (ED)
E (ED)
Beta agonist for inhalation (Albuterol,
							 Levalbuterol)
E (ED)
E (ED)
Beta blockers, e.g., Propranolol,
							 Metoprolol
E (ED)
E (ED)
Calcium (chloride or gluconate)
E (ED)
E (ED)
Corticosteroids, e.g., Dexamethasone,
							 Hydrocortisone, Methylprednisolone
E (ED)
E (ED)
Dextrose (25% and 50%)
E (ED)
E (ED)
Diphenhydramine
E (ED)
E (ED)
Dobutamine
E (ED)
---
Dopamine
E (ED)
---
Epinephrine (1 mg/mL and 0.1 mg/mL)
E (ED)
E (ED)
Epinephrine (Racemic)
E (ED)
E (ED)
Fosphenytoin or Phenytoin
E (ED)
E (ED)
Furosemide
E (ED)
E (ED)
Glucagon or Glucose Paste
E (ED)
E (ED)
Insulin, regular
E (ED)
E (ED)
Lidocaine 1%
E (ED)
E (ED)
Magnesium Sulfate
E (ED)
E (ED)
Mannitol
E (ED)
E (ED)
Narcotics
E (ED)
E (ED)
Neuromuscular blocking agents (i.e.,
							 succinylcholine, rocuronium, vecuronium)
E (ED)
E (ED)
Ocular anesthetics
E (ED)
E (ED)
Poison Specific Antidotes
Acetylcysteine
E (ED)
E (ED)
Cyanide antidote (Sodium Thiosulfate with
							 or without Sodium Nitrite therapy; or Hydroxocobalamin single agent
							 therapy)
E (ED)
E (ED)
Flumazenil
E (ED)
E (ED)
Naloxone
E (ED)
E (ED)
Sodium bicarbonate - 8.4 % and 4.2
							 %
E (ED)
E (ED)
Sedative/Hypnotic (e.g., Ketamine,
							 Etomidate)
E (ED)
E (ED)
Tetanus Immune Globulin (Human)
E (ED)
E (ED)
Tetanus Vaccines (single or in combination
							 with other vaccines)
E (ED)
E (ED)
Topical Anesthetics
E (ED)
E (ED)
Miscellaneous Equipment
Dosing device - length or weight based
							 system for dosing and equipment
E (ED)
E (ED)
Dosing/equipment chart by weight
E (ED)
E (ED)
EMS communication equipment (i.e.,
							 telemetry, MERCI, cellular or dedicated phone)
E (ED)
E (ED)
Examination gloves, disposable
E (ED)
E (ED)
Fluorescein (eye strips)
E (ED)
E (ED)
Infant formulas, dextrose in water with
							 various nipple sizes
E (ED)
E (ED)
Lubricant, water soluble
E (ED)
E (ED)
Nasogastric tubes 8 through-18 Fr* (may
							 substitute feeding tubes 5F and 8F)
E (ED)
E (ED)
Oral rehydrating solution
E (ED)
E (ED)
Pain scale assessment tools appropriate
							 for age
E (ED)
E (ED)
Pediatric emergency/crash cart or bag with
							 defined list of contents attached to bag/cart
E (ED)
E (ED)
Restraining device/methods (e.g., papoose,
							 distraction devices, comfort hold, swaddling)
E (ED)
E (ED)
Resuscitation board
E (ED)
E (ED)
Urinary catheters (8-22 Fr)*
E (ED)
E (ED)
Warming devices, age appropriate
E (ED)
E (ED)
Weighing scales (in kilograms only) for
							 infants and children
E (ED)
E (ED)
Woods lamp (blue light)
E (ED)
E (ED)
Specialized Pediatric Trays
Lumbar puncture tray, including a
							 selection of needle sizes (size 18-22 g, 11/2-3 inch needle)
E (ED)
E (ED)
Minor surgical instruments and
							 sutures
E (ED)
E (ED)
Newborn kit/OB kit (including umbilical
							 clamp, bulb syringe, towel). Maintain newborn resuscitation equipment/supplies
							 together for easy access (as outlined in this equipment list: warming device,
							 feeding tubes, neonatal mask, meconium aspirator).
E (ED)
E (ED)
Fracture Management Devices
Extremity splints
E (ED)
E (ED)
Femur splint (child and adult)
E (ED)
E (ED)
Semi-rigid neck collars (child through
							 adult) or cervical immobilization equipment suitable for children
E (ED)
E (ED)
Spinal immobilization board
E (ED)
E (ED)
* Shall minimally stock a range of each commonly available
				  size noted or comparable sizes.