The Official Unofficial Website of the Jefferson Emergency Medicine Residency
Class of 2016 Airway Box Project
Where are the boxes?
What’s in the boxes?
By whom will the boxes be maintained?
ED Techs will assist in restocking boxes after use and making sure that blades/handles are sent for sterile processing and ED residents will check and prepare equipment for intubation EACH DAY.
ED Resident Duties
A side pgy3 resident (8am) checks boxes in 11 and near side of resus bay
B side pgy2 resident (7am) checks boxes outside rm 42 and far side of resus bay
Ensure there are two boxes in each location
There should be one box with a red tag (ready box) and one with a purple tag (backup box)
If both are purple tags – you will prepare one to be the ready box
If there is one red and one purple – open the red tagged box and check as explained below
If there are tag-less or improperly stocked boxes, bring the box to the charge nurse for restocking
If you use a ready box – you must give it to the charge nurse for restocking by an ED tech and then you must prepare your backup box to be the new ready box
Preparing the ready box
Open the box
Open a mac-3 or mac-4 blade
Attach blade to handle and make sure that the light-source and batteries are working
Place the laryngoscope blade and handle into the ziplock bag (extras in top drawer)
Open a 7.5 ETT package just enough to place a stylet in the tube
Place a style into the tube
Open the 10cc syringe from the bottom compartment of the box
Attach the syringe to the tube
Place the tube back into the bottom compartment
Close the box
Put a piece of tape across the box and write on said tape your initials and the date
And that’s the way you do it.
There is an extra handle in all 4 locations found in the top drawer of the red airway carts and the top drawer of the trauma bay airway drawers
There are miller 0 to 4 blades in the top drawers as well, with the exception of rm 11 and B side outside rm 42 – where there are only miller 2-4 due to miller 0 and 1 being on short supply – this should be rectified by the end of the month. However, pediatric intubation equipment including blades and handles are stocked as usual in the grey airway boxes that are maintained as part of the Broslow carts – ours are just icing.
Purple and Red tags, as well as extra ziplock bags and marking pens for writing your initials and the date can be found in the top drawer as well
Extra tape is found in the top drawers
LMAs are currently not stocked in the department – we are working on this. For the time being, there are 5 extra LMAs in the 2nd drawer of the red airway cart on A side in rm 11
Extra Mac and Miller blades of all sizes are found in Curcio’s closet at the back of B side in the grey cabinet – ask B side PSR for the key