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Malignant Hyperthermia Readiness Audit

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Audit of malignant hyperthermia crisis readiness in anesthetizing locations, including dantrolene stock, cooling supplies, and staff drills.

MHAUS GuidelinesAORN GuidelinesTJC PC.03.01.01

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Dantrolene & MH Cart

  • Is a full stock of dantrolene (sufficient for the MHAUS-recommended treatment dose) immediately available where triggering agents are used? *
  • Is sterile water for injection (preservative-free) stocked in the quantity needed to reconstitute the full dantrolene supply? *
  • Are dantrolene and MH cart contents checked for expiration and completeness on a defined schedule? *

Adjunct Supplies & Monitoring

  • Are cooling supplies (cold IV saline, ice) available for active patient cooling? *
  • Is continuous core temperature monitoring available in anesthetizing locations? *
  • Are supplies for treating hyperkalemia and arrhythmias readily available? *

Protocol & Preparedness

  • Is a written MH emergency treatment protocol posted with the MHAUS 24-hour hotline number? *
  • Are MH mock drills conducted at least annually for perioperative staff? *
  • Is a transfer plan defined for facilities that cannot provide ongoing critical care?

Documentation & Follow-up

  • Is an MH crisis event fully documented, including triggers, treatment, and patient response? *
  • Are patients and families counseled and referred for MH susceptibility evaluation after an event? *
  • Are MH-susceptible patients flagged in the record with triggering agents avoided? *

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