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 3.5 mm ET tube adapter or 14 g needle and 3.0 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) 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) Tracheostomy collar Tracheostomy tubes (pediatric sizes 3.0, 3.5, 4.0, 4.5, 5.0, 5.5 or ET may be substituted); 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 or BiPAP device End-tidal PCO2 monitor and/or pediatric CO2 detector (disposable units may be substituted) Flow meter Heated, humidified high flow oxygen 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 Arterial line monitoring capabilities (range of pediatric arterial catheter sizes; and transducers) Blood collection tubes, culture bottles, arterial blood gas syringe Butterfly needles (sizes 19, 21, 23, 25 g) Cardiac resuscitation board Catheter over needle IV access (sizes 16, 18, 20, 22, 24 g) Central venous catheters (sizes 3 – 7 Fr)* CVP monitoring capabilities 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, 1½ 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 and medication transfer devices, i.e. T-connectors Syringes (TB, insulin U100, 1 mL-20 mL and catheter tip) Warming devices, age appropriate MEDICATIONS Access to the Illinois Poison Center 1-800-222-1222 through posting of the phone number at the nursing station or pre-programmed on unit phones List of resuscitation medication dosages at patient bedside (based on child's kilogram weight) Reference guide for appropriate sizing of equipment/supplies Activated Charcoal Adenosine Albumin 5% and 25% Amiodarone AquaMEPHYTON Atropine Beta-agonist for inhalation Beta Blockers, e.g. propanolol Benzodiazepines, e.g., Lorazepam, Midazolam, Diazepam Calcium Chloride 10% Calcium Gluconate 10% Dextrose 10%, 25% and 50% Digitalis antibody Digoxin Diphenhydramine Dobutamine Dopamine Epinephrine (1 mg/mL and 0.1 mg/mL) Factor VIII, IX concentrate (pharmacy or blood bank) Flumazenil Furosemide Glucagon Insulin IV solutions, standard crystalloid (D5W, D10W, D5/0.2 NS, D5/0.45 NS and 0.9 NS) Kayexalate Ketamine Lidocaine Magnesium sulfate Mannitol or 3% Hypertonic Saline Methylene blue N-acetyl cysteine Naloxone Narcotics Norepinephrine Neuromuscular blocking agents (i.e., succinylcholine, pancuronium, vecuronium) Oral rehydrating solution Phenobarbital Phenytoin and/or fosphenytoin Potassium Prostaglandin E1 Sodium Bicarbonate, 8.4% and 4.2% 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, 1½-3 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

(Source: Amended at 48 Ill. Reg. 16159, effective November 1, 2024)