Pediatric Community

  • 1.  Evidence or Articles Supporting Pediatric Code Carts Organized by Delivery Module

    Posted 07-16-2025 09:26 PM

    Hi everyone,

    I'm working on proposing a change to our pediatric code cart setup at my current facility and would love your input. At a previous hospital, our pediatric code carts were organized by delivery module (e.g., IV, oxygen, IO, airway, miscellaneous.), with each drawer containing delivery module bags/packs and they were stocked accordingly. This layout significantly improved efficiency and team coordination during high-stress situations.

    I'm looking for evidence-based practice (EBP), research articles, or even published guidelines or toolkits that support this type of organization for pediatric code carts. Have any of your facilities adopted this method? If so, what benefits or outcomes have you observed?

    Any resources, feedback, or implementation tips would be greatly appreciated.

    Thank you!



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    Heather McKean MSN; BSN; RN
    Clinical Operations Manager - ED
    The Queen's Medical Center West Oahu
    Honolulu HI
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  • 2.  RE: Evidence or Articles Supporting Pediatric Code Carts Organized by Delivery Module

    Posted 07-18-2025 01:17 PM
      |   view attached

    Aloha Heather

    Over the years, I, like you, have seen "color coded crash carts" of various varieties out there, however, I haven't come across a whole lot published on this topic - As such, I e-mailed Armstrong Medical for their thoughts & they sent the attached research summary from a 2015 study - I know it's 2015, but honestly, it's the only one I've come across

    Hope this helps

    Mahalo

    Scott



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    Scott DeBoer RN,MSN,CPEN,EMT-P
    Pediatric emergency/transport nurse educator
    Co-Founder
    Pedi-Ed-Trics Emergency Medical Solutions
    Reunion, Florida
    888-280-PEDS (7337)
    Scott@PediEd.com
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    Attachment(s)

    pdf
    carts 2015 research hopkins.pdf   777 KB 1 version


  • 3.  RE: Evidence or Articles Supporting Pediatric Code Carts Organized by Delivery Module

    Posted 07-19-2025 09:04 AM

    Hi, Heather,

    As Scott De Boer noted, there is not much EBR out there on this topic. Our facility currently has a poster entered in a national conference this week in San Diego relating to color-coded weight-based systems. It took quite a bit of digging for us to find current, relatable research. In answer to one of your questions, our hospital system (2 Level I Trauma centers, 2 with pediatric facilities, 6 total EDs and 3 off campus EDs) does use the delivery module method on our pediatric code carts. We have found it saves time and ensures needed equipment is not only readily available, but less likely to be missed when replenishing the carts after use. I teach an annual mandatory course to our pediatric nursing staff on pediatric code response, and we cover the contents of the delivery modules as well as the reason why they are bundled. Feedback from live codes is the bundles save time and decrease anxiety. Two of our facilities purchase the delivery systems premade. The rest are special order through our materials department with clear sealed plastic bags of supplies with color-coded paper inside listing the contents of each bag. 



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    Penny Blake, MSN Ed, RN, CEN
    CCRN Alumnus
    Florida ENA Press Secretary/EMSC Liaison
    Clinical Educator NICU and Pediatric Services
    PBHN
    North Palm Beach FL
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    Original Message


  • 4.  RE: Evidence or Articles Supporting Pediatric Code Carts Organized by Delivery Module

    Posted 07-23-2025 07:05 PM

    Penelope, 

    I would love to see your poster if you don't mind sharing. We are looking for anything to help plead our case with the code cart committee, they are giving me some pushback. 

    Thank you for your response,

    Heather 



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    Heather McKean MSN;BSN;RN
    Clinical Operations Manager - ED
    Queens Medical Center West Oahu
    Honolulu HI
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    Original Message


  • 5.  RE: Evidence or Articles Supporting Pediatric Code Carts Organized by Delivery Module

    Posted 07-19-2025 09:45 PM

    Thank you so much Scott for your response and shared information. After using this method myself, I truly believe it should be the gold standard of pediatric code carts. 

    Heather 



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    Heather McKean MSN;BSN;RN
    Clinical Operations Manager - ED
    Queens Medical Center West Oahu
    Honolulu HI
    ------------------------------

    Original Message