Crash Cart Checklist

Rescue Supply · Emergency Response

Crash Cart Checklist

A code cart earns its keep in the first two minutes of an emergency, and only if everything on it is present, in date and working. This guide sets out the drawer-by-drawer contents, the monthly check routine that keeps the cart survey-ready, and how to choose the cart itself.

Drawer-by-drawer contentsMonthly check routineSeals & expiry controlSurvey readiness
Nurse opening a drawer of a red emergency crash cart beside a hospital bed

What belongs on a crash cart, drawer by drawer

Cart layouts vary by facility, but the logic is constant: the items needed first sit highest, and every drawer has one job. Use the layout below as the framework, then set your exact contents from your facility's approved list and your medical director's protocols.

On top of the cart

The defibrillator or monitor-defibrillator lives on top, with its pads or paddles, a mounted suction unit, an oxygen cylinder in its holder, and the cart's check log. A backboard or CPR board rides on the back or side of the cart, never buried under supplies.

Drawer 1: airway and breathing

Endotracheal tubes in the unit's size range, laryngoscope handles and blades with spare batteries and bulbs, oral and nasal airways, a bag-valve mask with reservoir, oxygen masks and cannulas, suction catheters and a Yankauer tip.

Drawer 2: IV access and fluids

IV catheters across gauge sizes, start kits and dressings, administration tubing, extension sets, IV fluids, tape and securement, syringes and needles for line placement, and labels for every line started during the code.

Drawer 3: cardiac and emergency medications

The resuscitation medications your protocol stocks, in the concentrations your team trains on, arranged in the same order on every cart in the building. Medication drawers are where consistency matters most: one layout, everywhere, no exceptions.

Drawer 4: circulation and procedures

Intraosseous access, central line and cutdown kits where your scope includes them, blood draw supplies, a tourniquet, dressing and splinting basics, and spare suction and oxygen consumables.

Documentation and the extras

Code record sheets, a timer or clock check, spare defibrillator pads and paper, batteries, and the unit's emergency phone list. Pediatric areas run a dedicated pediatric cart or a length-based tape system alongside the adult cart.

Stock to a written list, not to memory. The approved cart contents list, signed off by your medical director or pharmacy and therapeutics committee, is the document every check and restock is measured against.

The monthly check: the routine that keeps the cart ready

A sealed cart with a current check log is presumed stocked. That presumption only holds if the monthly full check actually happens, on schedule, with the drawers open. Run it in this order:

  • Seal first: confirm the breakaway seal is intact and its number matches the log before anything is opened. A mismatch means a full check, not a reseal.
  • Earliest expiry sets the date: work drawer by drawer and note the first item to expire anywhere on the cart. That date becomes the cart's own expiry, written on the log and the seal tag.
  • Defibrillator, every time: run the manufacturer's self-test and manual energy test on schedule, confirm pads are sealed and in date, and check the battery indicator.
  • Oxygen and suction: read the cylinder gauge, confirm the regulator and spare cylinder, and run the suction unit to confirm it pulls to the level your policy sets.
  • Restock after every use, immediately: a cart opened in a code is checked, restocked, resealed and logged before it returns to its station, not at the next monthly round.
  • Sign and file: the checker signs and dates the log, and the log stays with the cart or in the unit's survey file, per your policy.
Clinician completing a monthly crash cart check with a clipboard beside a stocked cart
The monthly full check: seal verified, every drawer opened, earliest expiry found and logged.

Seals, expiries and survey readiness

Surveyors read a crash cart the way an auditor reads a ledger. Three systems make the cart easy to defend:

Numbered breakaway seals

Each seal carries a unique number recorded on the check log. Daily rounds confirm the seal is unbroken and the number matches, which takes seconds and replaces opening the cart daily.

Expiry control

Date every item, stock new items behind old ones, and let the earliest expiry on the cart drive the check cycle. Carts checked monthly rarely surprise anyone; carts checked 'when someone remembers' do.

Logs that match the cart

The check log, the seal number and the cart's contents list must agree with each other and with the physical cart. Discrepancies between paper and cart are the finding surveyors write up most.

Placement and access

The cart lives in one signed, unobstructed location on each unit, close to the patients it serves. A perfectly stocked cart behind a locked door or a cluttered alcove fails the only test that matters.

The Joint Commission's medication management and provision of care standards expect emergency equipment and medications to be available, checked per facility policy and secured appropriately. A consistent check routine, documented as it happens, is what turns that expectation into a non-event at survey.

Choosing the cart itself

Contents get the attention, but the cart decides how the system runs day to day. Four decisions matter:

Size and drawer count

Full hospitals run five or six drawers; clinics, dental and outpatient surgical settings often run compact carts with fewer, deeper drawers. Count the drawers against your contents list, and leave one drawer of growth room.

Material

Steel and aluminum carts are the hospital standard. Healthcare-grade PVC carts, like the MJM range below, cannot rust, clean up easily and suit wet or corrosive environments and facilities that prefer a lighter cart to move.

Lock type

Breakaway seals for carts checked as a system, keyed locks where controlled medications need a second barrier, and electronic or badge access on high-value carts. The lock should match your medication storage policy, not the other way round.

Accessories that earn their place

An oxygen tank corral, a CPR board with its storage bag, an IV pole, a suction mount and a dust cover for carts stored in open corridors. Each accessory should map to a line in your check routine.

Shop crash carts and code cart gear

Healthcare-grade PVC crash carts from MJM International, active and stocked on the store, plus the CPR board that rides with them.

MJM PVC Emergency Crash Cart

MJM PVC Emergency Crash Cart

Healthcare-grade PVC emergency cart that cannot rust and wipes down clean between codes.

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MJM Healthcare-Grade PVC Emergency Crash Cart with oxygen corral and CPR board support

MJM Healthcare-Grade PVC Emergency Crash Cart

PVC crash cart with an integrated oxygen corral and CPR board support built in.

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MJM WT1010-3TW Woodtone Crash Cart

MJM WT1010-3TW Woodtone Crash Cart

Woodtone-finish crash cart for long-term care and behavioral settings where institutional red does not fit the room.

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MJM CPR Board with Bag for Emergency Crash Cart

MJM CPR Board with Bag

The rigid backboard every cart needs for effective compressions on a soft bed, with its storage bag.

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Crash cart in a bright hospital resuscitation bay 01

Crash Carts

The full cart range: emergency, specialty and storage carts for every unit type.

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First responder jump bag with emergency medical supplies 02

First Responder Bags

Jump bags and response kits that carry the same airway and IV basics out of the building.

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Portable medical kit laid out with organized supplies 03

Portable Medical Kits

Organised medical kits for clinics, schools and response teams.

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Medical carts and equipment in a bright institutional facility 04

Institutional Quotes

Outfitting several units or a whole facility? One quote covers carts, contents and accessories.

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Frequently asked questions

How often should a crash cart be checked?

Most facilities check the cart seal and defibrillator status daily, and run a full contents check monthly and after every use. The full check confirms every item on the cart list is present, in date and working, from airway supplies down to a charged defibrillator battery. Follow your facility policy and equipment manufacturer instructions, and keep the signed check log with the cart.

What is the difference between a crash cart and a code cart?

There is none in practice: crash cart, code cart and emergency cart are three names for the same stocked resuscitation trolley. What matters is that everyone on the unit knows where it is, what is in it, and that its contents match the approved list for the patients that unit serves.

What should be in the top drawer of a crash cart?

Airway and breathing supplies are usually kept in the top drawer because they are needed first: endotracheal tubes, laryngoscope handles and blades, oral and nasal airways, a bag-valve mask, suction catheters and oxygen delivery devices. Exact contents follow your facility's approved cart list and the protocols your medical director has adopted.

How do crash cart seals and breakaway locks work?

A numbered breakaway seal threads through the cart's latch so the cart stays closed but opens with one pull. If the seal number matches the check log and the seal is intact, the contents are known to be complete without opening every drawer. Any broken or mismatched seal triggers a full contents check and restock before the cart goes back into service.

What size crash cart does a small clinic or medical office need?

Match the cart to the emergencies your setting can actually treat and transfer. A compact multi-drawer cart with airway, IV access and cardiac medication drawers covers most outpatient settings, while hospitals and surgical centers usually run full-size carts with a defibrillator mounted on top. Pediatric settings need a dedicated pediatric cart or a length-based pediatric system, not a scaled-down adult cart.

Who restocks a crash cart after a code?

The rule in most facilities is simple: the team that used the cart starts the restock, and a named owner, often the charge nurse or a central supply technician, completes the check, reseals the cart and signs the log before it returns to its station. A cart with a broken seal and no completed check should never be treated as ready.

Hospitals & Clinics

Stocking carts for a whole unit?

Tell us the units, the cart count and your contents standard, and we will quote carts, boards, covers and accessories as one institutional order.

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