<![CDATA[Emergency trolley readiness is essential for timely emergency care in inpatient settings; however, the availability of emergency trolleys does not necessarily ensure consistent compliance with management standards. This study aimed to describe emergency trolley management in the inpatient wards of UPTD RSD Dr. H. Soemarno Sosroatmodjo in Tanjung Selor, Indonesia. A quantitative descriptive observational design was employed, involving all 13 emergency trolleys through total sampling. Data were collected from August 26 to 28, 2026, using an observational checklist consisting of 18 indicators across five management domains. Descriptive analysis was performed to determine compliance frequencies and percentages. Overall compliance was 91.88%, with 215 compliant observations out of 234 assessments, and was categorized as good. The selection and planning domain, along with medication withdrawal, return, and expiration-based stock rotation, achieved 100% compliance. Procurement and replenishment, as well as documentation and monitoring, each achieved 84.6% compliance, while storage and security reached 89.2%. The lowest compliance rates were observed for timely medication replenishment after use (61.5%), availability of a seal-cutting tool (69.2%), and documentation of daily verification (76.9%). These findings indicated that high overall compliance could coexist with operational deficiencies that might compromise emergency preparedness. Although emergency trolley management generally met the assessed standards, targeted improvements in medication replenishment, access to seal-opening tools, and daily verification documentation remained necessary. Regular audits and coordinated oversight between pharmacy and nursing personnel were recommended to maintain compliance and address identified deficiencies across inpatient wards.]]>
