CHAPTER 11 EMERGENCY AND MEDICAL SERVICES( UNITS AND EQUIPMENT) Appendix 6 – Race Medical Centre
1. General 1.1. The circuit Medical Committee should ensure that the Medical Centre is properly equipped and maintained.
1.2. It is essential that proper patient records are kept and that procedures for the safe disposal of potentially hazardous waste material, including dressings, contaminated clothing, syringes, needles and sharps, are in place.
1.3. The risk of cross-infection must be addressed( e. g. by wearing gloves, aprons and goggles). Disposable equipment should be used where possible and sterility ensured at all times.
1.4. Records must be kept of the use of all drugs and fluids( including quantities and expiry dates) and equipment maintained according to appropriate service schedules. All equipment is at all times to be of appropriate specification and kept serviceable, clean, tidy and in a hygienic condition.
1.4.1 Where appropriate and as required by the manufacturer, test certificates and consumables are to be‘ in date’. When required, tests and servicing must be undertaken either by the manufacturer or a manufacturer approved agent. Good quality copies of current certificates must be available within the Medical Centre.
1.5. The following list of equipment, fluids, drugs, dressings etc. is considered to be the minimum requirement for a Medical Centre. However, it is essential that individual doctors equip themselves with the drugs and equipment they judge necessary.
1.5.1 All equipment must be checked, serviced and stored according to the manufacturer’ s recommendations. There should be sufficient equipment and drugs for the immediate resuscitation of a minimum of two patients.
2. Equipment and Drugs 2.1. Resuscitation
• Oropharyngeal airways( eight assorted sizes 2, 3 and 4)
• Suction apparatus mains, battery or hand operated capable of 300mm Hg suction with reservoir not less than 350ml or overflow system with catheters and wide bore suction
• Self-inflating manual resuscitator with facemask and O2 reservoir
• O2 supply( min size F1360 litres) and spare with reducing valves, flowmeters as necessary
• O2 tubing and masks
• Laryngoscopes x 2 with spare batteries and bulbs
• Endotracheal tubes cuffed x 6( sizes 6.0mm to 9.0mm)
• Nasopharyngeal tubes x 3( assorted sizes)
• Entonox with appropriate on demand delivery system( NB storage regulations)
• IV cannulae( six assorted sizes 1.0 to 2.0mm)
• IV administration sets x 6
• Pressure infusor
• Assorted syringes and needles.
• IV cannulae 14G, 16G 18G 20G at least 12 of each and appropriate Paediatric sizes to ensure sufficient numbers are available for the event
• Saline 0.9 %( or equivalent)( 1000ml x 8): under the direction of a Medical Officer
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Chapter 11 Appendix 6- Race Medical Centre 378