Level 4 (PDF)

Site Tour Checklist
Hospital:
Reviewer:
Emergency Department
Equipment
Airway control & ventilation equipment
Pulse oximetry
Suction devices
Electrocardiograph/oscilloscope/defibrillator
Standard IV fluids and administration sets
Mechanism for IV fluid volume control
Large bore IV catheters
IO sets
Supplies for surgical airway
Arterial tourniquet
Supplies for thoracostomy
Drugs necessary for emergency care
Nasal & oral gastric tubes
Spine immobilization boards and c-collars
Pediatric length-based resuscitation tape
Thermal control for patients & fluids/blood
Rapid infuser system (e.g., pressure bag)
End-tidal CO 2 detector
*Ultrasound
*StO 2
*Video laryngoscopy
*PPE
*Decontamination supplies & equipment
Communication with EMS
Radiology
Yes
No
adult
child
infant
↓ Notes ↓
Equipment
Yes
No
Yes
No
*Computed tomography
*Airways
*Bag-valve-mask
*Suction
Laboratory Services
Equipment
Standard analysis of blood, urine and other
body fluids (including micro- sampling when
appropriate)
Comprehensive blood bank or access to
community blood bank
*Blood typing and cross matching
*Coagulation studies
*Blood gas and pH determination
*Microbiology
* Not required