Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vehicle

  • Emergency and scene lights tested

  • Tire pressures checked

  • Brake line drained

  • Fuel above 1/2 tank

  • Fluid levels full Oil, transmission, and Radiator

Cab

  • 2 Box lights with chargers

  • ERG Book

  • 2 Safety vests

  • Mobile Computer in bracket

  • 2 Portable radios in chargers

  • Knox box key in Place

  • Monroe and Butler County Map Books

  • Pre-Plans

  • Gloves Small, Medium, Large and XL

  • Garage Door Opener

Drivers Side Front

  • Main 02 above 500psi

  • O2 wrench

Drivers Side Middle

  • Mega Mover Tarp

  • Stair Chair

  • Vacuum Splint Set

  • Fire Extinguisher

  • 2 Spare O2 cylinders

  • CO Monitor

  • Rope Bag

  • Triangle road Markers

Drivers Side Rear

  • 2-SCBA'S

  • SCBA Tested and above 4000psi

  • 2 SCBA Masks

  • Masks tested

Passenger Side Front

  • Portable Suction

  • Tested

  • Tubing and Catheter

  • Clipboard

  • Cot and Monitor Battery Charging

  • Airway Bag

  • CID Bags

Passenger Side Rear

  • Reeves Stretcher

  • 3-Backboards

  • KED/XP1

  • Pedi Immobilizer

  • Pedi Backboard

Inside Left Rear Compartment

  • Adult Quick Combo Pad

  • Expiration date checked

  • Pediatric Quick Combo Pad

  • Expiration date checked

  • LP Paper Roll

  • Trauma shears

  • Ring cutter

  • Defib Simulator

  • 10- 4" rolled Gauze

  • 20- 4x4 dressings

  • 5- Non-adhering Dressings

  • 4- Cravets

  • 6- 5x9 Combine dressings

  • Box of Band Aids

  • 3 Hot and 3 Cold Packs

  • Pressure Infuser

  • 20+ electrodes

  • Extra BP Cuffs Child, Infant and XL Adult

  • 2- Disposable Restraints

Under CPR Seat

  • Garbage Bags

  • Pillow

  • 6-towels

  • Can of Dissinfectant

Inside Left Front

  • 4-Bio Hoop bags

  • 2-suction canisters

  • Box of Procedure Masks

  • 2-Animal Oxygen Masks

  • King Vision

  • 4-Adult NRB

  • 4-Adult NC

  • 4-Pedi NRB

  • 4 Pedi NC

  • 4- Nebulizers

  • 2-Trach T

  • 2 Blue T adapter s

  • Medium CPAP Mask with tubing

  • Small CPAP Mask

  • Large CPAP Mask

  • Set of Oral airways

  • Nasal Airway Kit 20fr-36fr

  • 2 FR suction Catheter kits

  • 2- Yankauer Suction catheter

  • 2- suction Tubing

  • 2-V-Vac Suction Cartridge

  • Adult BVM

  • ETCO2

  • KY Jelly

  • 2-BAM

  • 2-Bite Blocks

  • 2-14fr Stylet

  • 2-6fr stylet

  • Bougie

  • ET Tubes 5.0mm-9.5mm

  • EMS Wipes

Action Area

  • Stethescope

  • BP Cuff

  • 2 O2 Regulators

  • Glucometer test solution

  • Cell Phone

  • Toughbook Laptop

  • WIFI Modem

  • Trauma Shears

  • Suction Unit

  • Tested

  • Tubing and Catheter

Bench Seat

  • Sharps Container

Under Bench

  • 4 Blankets

  • Adult Traction Splint

  • Pedi Traction Splint

  • 4-Sheets

Inside Right Upper

  • Gloves Small, Medium, Large and XL

  • 4-250ml Sterile Water Bottles

  • 2-Trauma Dressings

  • 2-Burn sheets

  • 2-OB Kits

Monitor

  • 2-BVM Capnography

  • BP Cuffs(Adult, Adult Large and Child)

  • Pulse Oximetry Cable

  • Massimo Pedi Pulse Ox

  • Massimo Adult Pulse Ox

  • Working Properly

  • Batteries

  • 20-Electrodes

  • 4 Lead Cable

  • 12 Lead Cable

  • Defib cable

  • Spare LP Paper Roll

  • 2-razors

  • Quick Combo Adult and Pedi

  • Expiration dates Checked

  • 4-Packs Pedi Electrodes

  • 2-NC Capnography

Top Pass Through Compartment

  • 4-Bio Hazard Protection Kits

  • 4-Bio Hazard Bags

Bottom Pass Through Compartment

  • Stuffed Animals

  • Spare Paperwork

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