SciELO - Scientific Electronic Library Online

vol.17 número1Foreign nursing students: Their profile and perceptions of nursing care in NamibiaA complicated grief intervention model índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados



Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google


Health SA Gesondheid (Online)

versão On-line ISSN 2071-9736
versão impressa ISSN 1025-9848

Health SA Gesondheid (Online) vol.17 no.1 Cape Town  2012




Audits of emergency trolleys' contents in selected hospitals in Botswana



Lakshmi RajeswaranI, II; Valerie J. EhlersI

Department of Health Studies, University of South Africa, South Africa
Department of Nursing, University of Botswana, Botswana





Cardiac arrest is a life-threatening emergency situation. The outcome depends on timely and effective cardio-pulmonary resuscitation (CPR). Successful CPR attempts in hospitals require well-equipped emergency trolleys and properly functioning equipment, as well as staff members skilled in performing CPR. The study aimed to determine whether the emergency trolleys in Botswana's hospitals' wards or units met the expected standards. The contents of the emergency trolleys in 20 wards or units of two referral government hospitals in Botswana were audited by using a standardised checklist. No hospital ward or unit had all the expected equipment or drugs on its emergency trolley, some units failed to check their emergency trolleys' contents daily. All 20 hospital wards or units that participated in this study, needed to improve the contents and maintenance of their emergency trolleys, otherwise in-hospital CPR efforts in Botswana might be doomed to failure, losing lives that could have been saved if emergency trolleys' equipment and supplies had been up to standard.


Hartarres is 'n lewensbedreigende noodsituasie. Die uitkoms word bepaal deur tydige en effektiewe kardio-pulmonale resussitasie (KPR). Suksesvolle KPR pogings in hospitale vereis goed toegeruste noodtrollies en toerusting wat behoorlik funksioneer, asook personeellede wat bedrewe is in die uitvoering van KPR. Die studie het gepoog om te bepaal of die noodtrollies in Botswana se hospitaalsale of eenhede aan die verwagte standaarde voldoen. Die inhoud van die noodtrollies in 20 sale of enhede van twee van Botswana se hospitale is ge-ouditeer deur 'n gestandardiseerde kontrolelys te benut. Geen hospitaalsaal of eenheid het al die verwagte toerusting of drogerye op sy noodtrollie gehad nie, sommige eenhede het nie hulle noodtrollies se inhoud gereeld gekontroleer nie. Al 20 hospitaalsale of eenhede wat aan die studie deelgeneem het, moet die inhoud en instandhouding van hulle noodtrollies verbeter, anders kan in-hospitaal KPR pogings in Botswana tot mislukkings gedoem wees, waardeur lewens verloor word wat gered kon gewees het, indien die noodtrollies se inhoud op standaard was.



“Full text available only in PDF format”




Colquhoun, M., Gabbot, D & Mitchell, S., 2001, 'Cardiopulmonary resuscitation guidance for clinical practice and training in primary care', Resuscitation Council (UK) viewed 21 February 2012, from        [ Links ]

Desalu, L., Kushimo, O. & Akinlaja, O., 2006, 'Adherence to CPR guidelines during peri- operative cardiac arrest in a developing country', Resuscitation 69(3), 517-520., PMid:16563595        [ Links ]

Donchin,Y., 2002, 'Resuscitation trolleys: human factors engineering', Quality and Safety in Health Care 11(4), 393., PMid:12468708, PMCid:1758015        [ Links ]

Dyson, E. & Smith, G.B., 2002, 'Common faults in resuscitation equipment-guidelines for checking equipment and drugs used in adult CPR'. Resuscitation 55(2), 137-149.        [ Links ]

Finn, J.C. & Jacobs, I.G., 2003, 'Cardiac arrest resuscitation policies and practices. A survey of Australian hospitals', Medical Journal of Australia 179(9), 470-474. PMid:14583077        [ Links ]

Gabbot, D., Smith, G., Mitchell, S., Colquhoun, M., Nolan, J., Soar, J., Pitcher, D., Perkins, G., Phillips, B., King, B. & Spearpoint, K., 2005, 'Cardiopulmonary resucitation standards for clinical practice and training in the United Kingdom', Accident and Emergency Nursing 13(3), 171-179., PMid:16005631        [ Links ]

Gnanalingham, M.G., Harris, G. & Didcock, E., 2006, 'The availability and accessibility of basic paediatric resuscitation equipment in primary healthcare centres: cause for concern?' Acta Paediatrica 95(12), 1677-1679.         [ Links ]

Handley, I.J., Koster, R., Monseieur, K., Perkins, G.D., Davies, S. & Bossaert, L., 2005, 'European resuscitation Council guidelines for resusictation. Adult basic life support and use of automated external defibrillators', Resuscitation 67S1, S7-S23.         [ Links ]

Hogh, L., Kane, L., Bhalla, A. & Ward, M.C., 2005, 'Variations in the provision of resuscitation equipment: survey of acute hospitals'. Postgraduate Medical Journal 81(1956), 409-U0., PMid:15937210, PMCid:1743295        [ Links ]

Jacobs, I.G. & Nadkarni, V., 2004, 'Cardiac arrest and cardiopulmonary resuscitation outcome reports'. Circulation 110, 3385-3397, viewed 10 February 2007, from        [ Links ]

Jevon, P., 2004, 'Standards for clinical practice and staff training in CPR', Nursing Times 100(47), 28-29.         [ Links ]

National Patient Safety Agency of the UK (NPSA), 2008, 'Treatment for safety: why we need it. How do we do it', viewed 15 May 2009, from        [ Links ]

Madden, C., 2006, 'Undergraduate nursing students' acquisition and retention of CPR knowledge and skills', Nurse Education Today 26(3), 218-227., PMid:16314002        [ Links ]

Nolan, T.W., 2000, 'System changes to improve patient safety', British Medical Journal 320(7237), 771-773., PMid:10720364 PMCid:1117771        [ Links ]

Ranse, J. & Arbon, P., 2008, 'Graduate nurses' lived experiences of in-hospital resuscitation: a hermeneutic phenomenological approach'. Australian Critical Care 21(1), 38-47., PMid:18206382        [ Links ]

Remote Health Atlas, 2007, 'Resuscitation trolley' viewed 16 February 2012 from        [ Links ]

Resuscitation Council of the United Kingdom, 2004, 'Recommended equipment for in-hospital resuscitation', viewed 17 January 2007, from        [ Links ]

Shuster, M. 2006, 'Emergency cardiovascular care guidelines', Canadian Journal of Emergency Medicine 8(1), 37-42.         [ Links ]

Smith, A., Kinross, J., Bailey, M., Aggarwal, R., Toresen, D. & Vincent, C., 2008, 'Restocking the resuscitation trolley: how good is compliance with checking procedures'? Clinical Risk 14(1), 4-7.        [ Links ]

Spearpoint, K., 2008, 'Resuscitating patients who have a cardiac arrest in hospital', Nursing Standard 23(14), 48-57.         [ Links ]

Strzyzewski, N., 2006, 'Common erros made in resuscitation of respiratory and cardiac arrest', Plastic Surgical Nursing 26(1), 10-16. PMid:16543851        [ Links ]

Suraseranivongse, S., Chawarechai, T., Saengsung, P. & Komoitri, C., 2006, 'Outcome of cardiopulmonary ressucitation in a 2300 bed hospital in a developing country', Resuscitation 71(2), 188-193.         [ Links ]



Valerie Ehlers
PO Box 65075
Pretoria 0165
South Africa

Received: 17 Sept. 2011
Accepted: 25 Apr. 2012
Published: 17 July 2012

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons