Information
-
1830 Weekly Check
-
Conducted on
-
Personnel checking vehicle
- Allen Badger
- Matt Cappelen
- John Gray
- Pat Watson
- Scott Birchall
- Jeff Sherwood
- Andy Shiner
- Steve Tarczynski
- Mike Baumgart
- Ben Rittenhouse
- Joe Long
- Cody Conway
- Matt Bracken
- Neil Werner
- Jim Logan
- Dave VanDusen
- Greg Olsen
- Adam Mackey
- Dan Moreno
- Mike Pagliara
- Scott Lyng
- Scott Miller
- Scott Sulak
- John Sengmany
- Dave Almeda
- Bobby Putman
- John Mahoney
- John Yanni
- Brian Phelps
- Dan Bartelt
- Tony Marcuccelli
- John Loesch
- Chris Wampner
- Derek Kameyer
- Andrew Shultz
- Kevin Schrader
- Paul Ursini
-
Vehicle Miles:
-
Vehicle Hours:
CAB
CAB
-
Portable Radios ( 2 )
-
Comments:
-
iPad Charged ( >75% )
-
Comments:
-
Gloves ( 1XL, 1L, 1M )
-
Comments:
-
Knox Box & Mabas Keys
-
Comments:
-
Safety Vests ( 2 )
-
Comments:
-
ERG Book
-
Comments:
-
Maps ( FRC, County, South Elgin )
-
Comments:
-
Garage Openers ( Station 3, Delnor, & St. Joes )
-
Comments:
CLIPBOARD
-
IF SHEETS ARE LOW PLEASE PRINT THEM OUT AND THEN HIT YES!
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10 Run Sheets
-
10 Hippa Forms
-
10 AMA/Refusal Forms
-
10 Multiple Release Forms
-
5 EMS Rehab Forms
-
5 School Bus Form
-
1 Involuntary Form
MISC.
-
Cab Vacuumed & Cleaned Out
-
Comments:
-
Additional Comments:
EXTERIOR CABINETS
Exterior Cabinet #1
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Pressurized Water Can
-
Comments:
-
6' Pike Pole
-
Comments:
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O2 Bottle
-
Comments:
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Peds Hare Traction
-
Comments:
-
Adult Hare Traction
-
Comments:
-
Air splints ( 1L, 1M, 1S, & Pump )
-
Comments:
-
KED
-
Comments:
-
Broom ( 1 )
-
Comments:
Exterior Cabinet #2
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Body Bag
-
Comments:
-
Wool Blanket
-
Comments:
-
Transfer Tarp
-
Comments:
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Safety Blanket
-
Comments:
-
Throw Bag
-
Comments:
-
Noodle
-
Comments:
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Water Fins
-
Comments:
-
Life Vest
-
Comments:
-
Spare Cot Straps
-
Comments:
-
Step Chocks
-
Comments:
Exterior Cabinet #3
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SCBA ( 2 ) :<br>Everything in working order. Bottle full w/ no leaks
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SCBA ( A ) P.S.I. :
-
SCBA ( B ) P.S.I. :
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SCBA A Pressure
-
SCBA B Pressure
-
Comments:
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Flashlights ( 2 ):<br>Both work
-
Comments:
-
Irons ( 1 halligan & 1 flat head axe )
-
Comments:
-
Bolt Cutters
-
Comments:
-
Passport Boards (Red & White)
-
Comments:
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3-Helmet Shields
-
Comments:
Exterior Cabinet #4
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Scoop Stretcher:<br>Clean and in working order
-
Comments:
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Backboards w/ Straps:<br>1 w/ spider straps, 1 w/ seat-belts, 1 blank. All clean
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Comments:
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Child Car Seat
-
Comments:
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C-Collar Bag
-
Adult Collars ( 2 )
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PEDS/Infant Collars ( 3 )
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Baby No Neck Collar
-
Adult Head Immobilizers ( 2 )
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PEDS/Infant Head Immobilizer ( 1 )
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Adult Head Immobilizers ( 2 )
-
Comments:
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Child Head Immobilizers ( 2 )
-
Comments:
-
Peds Backboard:<br>Clean w/ all straps
-
Comments:
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Stair Chair:<br>Chair in working order and clean
-
Comments:
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Extra Spider Straps
-
Comments:
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Additional Comments:
INTERIOR CABINETS
Interior Cabinet #1
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BVM
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Adult ( 1 )
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Comments:
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Adult CO2 Detector ( 1 )
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Comments:
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Exp. Date:
-
Exp. Date:
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Child ( 1 )
-
Comments:
-
PEDS CO2 Detector ( 1 )
-
Comments:
-
Exp. Date:
-
Exp. Date:
-
Infant ( 1 )
-
Comments:
-
Infant CO2 Detector ( 1 )
-
Comments:
-
Exp. Date:
-
Exp. Date:
-
500ml Sterile Water ( 2 )
-
Comments:
-
Exp. Dates:
-
Exp. Dates:
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1000ml Sodium Chloride ( 3 )
-
Comments:
-
Exp. Dates:
-
Exp. Dates:
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500ml Sodium Chloride ( 2 )
-
Comments:
-
Exp. Dates:
-
Exp. Dates:
Interior Cabinet #2
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1 Nebulizer tx w/ 1 Albuterol & 1 Atrovent
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Albuterol Dates:
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Atrovent Dates:
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Comments:
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Atrovent Dates:
-
Albuterol Dates:
-
1 Inline Nebulizer Kit w/ 1 Albuterol & 1 Atrovent
-
Albuterol Dates:
-
Atrovent Dates:
-
Comments:
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Albuterol Dates:
-
Atrovent Dates:
-
Oxygen Tubing
-
Comments:
-
Adult Nasal Cannula ( 3 )
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Comments:
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Adult NRB ( 3 )
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Comments:
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Peds NRB ( 3 )
-
Comments:
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Peds Nasal Cannula ( 3 )
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Comments:
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Infant NRB ( 3 )
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Comments:
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Infant Nasal Cannula ( 3 )
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Comments:
Interior Cabinet #3
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Triage Tags ( 1 set )
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Comments:
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Drug Tags ( 1 bag )
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Comments:
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Rubberbands ( 1 bag )
-
Comments:
Action Area
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Cell phone with charger
-
Comments:
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Stethoscope
-
Comments:
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Calculator
-
Comments:
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St Joes SMO Protocol book
-
Comments:
Captains Chair Compartment
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Safety Vest ( 1 )
-
Comments:
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Portable Radio
-
Comments:
Suction Drawer 1
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2- 8fr suction catheters
-
Comments:
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2- 10fr suction catheters
-
Comments:
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2- 12fr suction catheters
-
Comments:
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2- 16fr suction catheters
-
Comments:
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2- 18fr suction catheters
-
Comments:
Suction Drawer 2
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3- Suction Tubing
-
Comments:
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3- Yankauers
-
Comments:
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1- Manual Suction with canister and assorted tips
-
Comments:
Onboard Suction
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1- Suction Canister
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Comments:
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1- Suction Tubing
-
Comments:
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1- Yankauer
-
Comments:
SUCTION TESTED TO 300 mmhg
Interior Cabinet #4
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Stethoscope w/ Accessories ( 1 )
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Comments:
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Multi Cuff BP Bag
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1 Adult
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Comments:
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1 Large Adult
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Comments:
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1 Child
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Comments:
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1 Infant
-
Comments:
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1 Thigh
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Comments:
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Gauge ( 1 )
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Comments:
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Spare Child BP Cuffs ( 2 )
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Amount:
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1 Stethoscope
-
Amount:
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1 Bag of Extra Pieces For Stethoscope
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Amount:
Interior Cabinet #5
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Cavi Wipes ( 1 )
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Comments:
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Garbage Bags & Soil Linen Bags
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Comments:
Interior Cabinet #6
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N95 Masks ( 5 )
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Comments:
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Safety Glasses ( 3 )
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Comments:
Interior Cabinet #7
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Adult EtCO2 Cannulas ( 2 )
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Comments:
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Adult EtCO2 Tube Connectors ( 2 )
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Comments:
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Peds Electrodes minimum of 24
-
Comments:
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Adult Electrodes minimum of 24
-
Comments:
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EKG Paper ( 2 )
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Comments:
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Adult Defib Pads ( 1 )
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Expiration Date:
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Comments:
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Peds Defib Pads ( 1 )
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Expiration Date:
-
Comments:
Interior Cabinet #8
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Baby Bottle ( 1 )
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Comments:
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OB Kit ( 1 )
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Comments:
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Baby Bunting Foil ( 2 )
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Comments:
Interior Cabinet #9
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IV Pressure Infusion Bag ( 1 )
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Comments:
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10 or 15 Drip IV Tubing ( 5 )
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Comments:
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1000ml Sodium Chloride IV Bags ( 4 )
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Expiration Dates:
-
Comments:
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60 Drip IV tubing ( 2 )
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Comments:
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Blood Tubing ( 2 sets )
-
Comments:
Interior Cabinet #10
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Survival Wrap ( 2 )
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Comments:
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Soft Restraints ( 2 sets )
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Comments:
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Towels ( 3 )
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Comments:
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Hand Sanitizer
-
Comments:
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Red Biohazard Bag ( 5 )
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Comments:
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Pocket Mask ( 1 )
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Comments:
Interior Cabinet #11
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Adult Arm Slings
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1 Large
-
Comments:
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1 Medium
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Comments:
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1 Small
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Comments:
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Peds Slings ( 2 )
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Comments:
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SAM Splints ( 3 )
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Comments:
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Face Shields ( 5 )
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Comments:
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ACE Wraps ( 4 )
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Comments:
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4" Kling ( 2 )
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Comments:
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4 1/2" Kerlix ( 1 )
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Comments:
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Eye Pads ( 4 )
-
Comments:
-
Tape ( 4 )
-
Comments:
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Petrolatum/Vaseline
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( 2 ) 3x9
-
Comments:
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( 2 ) 3x18
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Comments:
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Arm Board ( 1 )
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Comments:
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Trauma Shears ( 1 )
-
Comments:
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Triangle Bandages ( 3 )
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Comments:
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ACS Chest Seal Pads ( 1 )
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Comments:
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4x4 Gauze ( 15 )
-
Comments:
Interior Cabinet #12
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Trauma Dressing ( 4 )
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Comments:
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Burn Sheet ( 2 )
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Comments:
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Aluminum Foil ( 1 )
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Comments:
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Isolation Kits ( 3 )
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Comments:
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Cold Packs ( 5 )
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Comments:
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Hot Packs ( 5 )
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Comments:
Bench
-
Mustang Suit w/ Ice Boots
-
Comments:
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150' Water Rescue Rope w/ Carabiners ( 1 )
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Comments:
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Wool Blanket ( 1 )
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Comments:
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Pillows ( 2 )
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Comments:
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Umbrella ( 1 )
-
Comments:
Spare Items
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Oxygen Bottle ( 2 )
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Comments:
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Emesis Basin ( 2 )
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Comments:
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Sheets ( 3 )
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Comments:
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Blankets ( 3 )
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Comments:
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Urinals ( 1 )
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Comments:
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ABC Extinguisher
-
Comments:
Interior Cabinet 13
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CPAP ( O2 Bottle, Tubing, Mask w/ Filter, and Regulator )
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Comments:
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O2 Pressure:
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Portable Suction ( Test Unit To 300)
-
Comments:
-
Additional Comments:
PEDS BAG
TOP POCKET PEDS BAG
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Pediatric NRB Mask ( 1 )
-
Comments:
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Pediatric Nasal Cannula
-
Comments:
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Infant Nasal Cannula
-
Comments:
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Pediatric Simple Mask
-
Comments:
LEFT SIDE POCKET PEDS BAG
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Bone Marrow Needle
-
Comments:
-
1000ml NS IV Bag
-
Exp. Date:
-
Comments:
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IV 10 Drip Tubing
-
Comments:
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IV Start Kit
-
Comments:
FRONT SIDE POCKET PEDS BAG
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BP Cuff and Stethoscope
-
Comments:
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Pen Light
-
Comments:
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Thermometer
-
Comments:
RIGHT SIDE POCKET PEDS BAG
-
10ml Syringe
-
Comments:
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Trauma Shears
-
Comments:
-
Lubricant ( 2 )
-
Comments:
-
Forceps
-
Comments:
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Laryngoscope Handle with spare batteries
-
Comments:
-
SAM Splint
-
Comments:
-
Saline Flushes ( 2 )
-
Exp. Dates:
-
Comments:
CENTER PEDS BAG
-
Pediatric BVM with ETCO2
-
Exp. Dates:
-
Comments
-
Infant BVM with ETCO2
-
Exp. Dates:
-
Comments:
-
Broselow Tape
-
Comments:
-
4X4 Gauze ( 2 )
-
Comments:
-
Gauze Rolls and Kling Wrap ( 4 )
-
Comments:
-
Tape
-
Comments
-
Meconium Aspirator
-
Comments:
-
Alcohol Preps ( 5 )
-
Comments
-
Bandaids ( 5 )
-
Comments:
-
ET Tube Holder ( 2 )
-
Comments:
-
Emisis Bag
-
Comments:
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RED
-
22-24g IV
-
Comments:
-
3 & 3..5 UC Tube
-
Comments:
-
14 French NPA
-
Comments:
-
0-1 Straight Blade
-
Comments:
-
40-50mm OPA
-
Comments:
-
PURPLE
-
20-24g IV
-
Comments:
-
4 UC Tube
-
Comments:
-
18 French NPA
-
Comments:
-
1 Straight Blade
-
Comments:
-
50-60mm OPA
-
Comments:
-
YELLOW
-
18-22g IV
-
Comments:
-
4.5 UC Tube
-
Comments:
-
20 French NPA
-
Comments:
-
1-2 Straight Blade
-
Comments:
-
50-60mm OPA
-
Comments:
-
WHITE
-
18-22g IV
-
Comments:
-
5 UC Tube
-
Comments:
-
22 French NPA
-
Comments:
-
1-2 Straight Blade
-
Comments:
-
50-60mm OPA
-
Comments:
-
BLUE
-
18-20g IV
-
Comments:
-
5.5 UC Tube
-
Comments:
-
24 French NPA
-
Comments:
-
2 Curved or Straight Blade
-
Comments:
-
60-70mm OPA
-
Comments:
-
ORANGE
-
18-20g IV
-
Comments:
-
6 C Tube
-
Comments:
-
26 French NPA
-
Comments:
-
2 Curved or Straight Blade
-
Comments:
-
70-80mm OPA
-
Comments:
-
GREEN
-
16-20g IV
-
Comments:
-
6.5 C Tube
-
Comments:
-
30 French NPA
-
Comments:
-
3 Curved or Straight Blade
-
Comments:
-
80mm OPA
-
Comments:
-
Additional Comments:
ALS DRUG EQUIPMENT
Narcotic Box
-
Old Tag Number
-
New Tag Number
-
80Mg Etomidate
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
Versed 5MG/5ML Total of 15MG
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
Versed 5MG/1ML Total of 10MG
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
Fentynal 200MCG Total
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
ALS Drug box
-
ALS Drugs: PLEASE MAKE SURE TO GET DRUGS EXCHANGED 30 DAYS BEFORE EXPIRATION DATE.
-
0.9% NaCL Solution 3ml ( 5 )
-
Exp. Dates:
-
Comments:
-
Exp. Dates:
-
Aspirin 12-81mg Tablets
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
2-Atrovent 0.5mg
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
2- Albuterol 2.5mg
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
2- Amiodarone 150mg Vials
-
Exp. Dates:
-
Comments:
-
Exp. Dates:
-
2- 6mg Adenosine Vials
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- Benadryl 50 mg
-
Comments:
-
Exp. Dates:
-
Expiration Dates:
-
3- Epinephrine 1:1000 1mg/1ml Ampules
-
Comments:
-
Exp. Dates:
-
Expiration Dates:
-
2- Glucagon complete dosages
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
2- Magnesium Sulfate 1Gm/2ml Vials
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- Nitroglycerine bottle 0.4mg >1/2 full
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- Tetracaine bottle
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
2- Vasopressin 20 Unit vial
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- Zofran 4mg Vial
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- Zofran 4mg Tablet
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
MAD Device ( 1 )
-
Comments:
ALS drugs box lower
-
1- Dopamine 400mg in 250ml IV bag with 60 Drip Tubing
-
Comments:
-
Exp. Dates:
-
Expiration Dates:
-
Filter Straws ( 2 )
-
Comments:
-
Filter Needle ( 2 )
-
Comments:
-
1ml Syringe ( 2 )
-
Comments:
-
3ml Syringe ( 5 )
-
Comments:
-
2- 5ML Syringes
-
Comments:
-
10mL Syringe ( 2 )
-
Comments:
-
20mL Syringe
-
Comments:
-
60mL Syringe
-
Comments:
-
Carpoject ( 1 )
-
Comments:
-
Needles
-
18g x 1 1/2"
-
Comments:
-
20g x 1"
-
Comments:
-
21g x 1"
-
Comments:
-
22g x 1 1/2"
-
Comments:
-
23g x 1"
-
Comments:
-
25g x 1 1/2"
-
Comments:
ALS drugs in drawer
-
5-Atropine 1mg Preload
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- Dextrose 50% 50ml/25 Gm
-
Comments:
-
Exp. Dates:
-
Expiration Dates:
-
7- Epinephrine 1:10,000 1mg Preload
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
5-Lidocaine 100mg/5ml Preload
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
2-Narcan 2mg/2ml
-
Expiration Dates:
-
Comments:
-
Exp. Dates:
-
1- 50mEq Sodium Bicarbonate w/ 60mL Syringe and Needle ( 1 )
-
Comments:
-
Exp. Dates:
-
Expiration Dates:
ALS Drug Drawer equipment
-
Alcohol Preps ( 1 box )
-
Comments:
-
0.9% NaCL Solution 10ml Flush
-
Exp. Date:
-
Comments:
-
Expiration Dates:
-
Spare Test Strips ( 1 box )
-
Comments:
-
Spare Lancets ( 5 )
-
Comments:
-
Additional Comments:
IV CABINET
IV Cabinet
-
Bandaids ( 10 )
-
Comments:
-
IV Start Kit ( 4 )
-
Comments:
-
10ml NS Flushes ( 2 )
-
Exp. Dates:
-
Comments:
-
18g x 1 1/2" Needle ( 2 )
-
Comments:
-
21g x 1" Needle ( 2 )
-
Comments:
-
22g x 1 1/2" Needle ( 2 )
-
Comments:
-
23g x 1" Needle ( 2 )
-
Comments:
-
25g x 1 1/2" Needle ( 2 )
-
Comments:
-
Filter Straws ( 2 )
-
Comments:
-
Filter Needle ( 2 )
-
Comments:
-
1ml Syringe ( 1 )
-
Comments:
-
3ml Syringe ( 1 )
-
Comments:
-
3ml Syringe with Smartip ( 1 )
-
Comments:
-
12ml Syringe ( 1 )
-
Comments:
-
Butterfly Needles ( 21g & 23g ): Total of 2
-
Comments:
-
Lancets ( 5 )
-
Comments:
-
MAD Device ( 2 )
-
Comments:
-
Alcohol Preps ( 5 )
-
Comments:
-
Tape ( 2 )
-
Comments:
-
IV Catheters
-
14g IV ( 2 )
-
Comments:
-
16g IV ( 2 )
-
Comments:
-
18g IV ( 5 )
-
Comments:
-
20g IV ( 5 )
-
Comments:
-
22g IV ( 3 )
-
Comments:
-
24g IV ( 3 )
-
Comments:
-
Additional Comments:
ZOLL MONITOR
ZOLL Monitor
-
Tested Monitor
-
Comments:
-
Adult Defib Pads ( 1 )
-
Expiration Date:
-
Comments:
-
Peds Defib Pads ( 1 )
-
Expiration Date:
-
Comments:
-
Defib Test Cord ( 1 )
-
Comments:
-
Adult Electrodes minimum of 12
-
Comments:
-
Peds Electrodes minimum of 12
-
Comments:
-
Spare Battery ( 1 ): Rotate battery
-
Comments:
-
4 Lead Cables ( 1 ): Cleaned & Wrapped Up
-
Comments:
-
12 Lead Cables ( 1 ): Cleaned & Wrapped Up
-
Comments:
-
Razor ( 1 )
-
Comments:
-
CO2 ET Tube Connecter ( 1 )
-
Comments:
-
CO2 Nasal Monitor ( 2 )
-
Comments:
-
SPO2 Sensor ( 1 )
-
Comments:
-
Infant SPO2 Sensor ( 2 )
-
Comments:
JUMP BAG
Top Pocket
-
NRB Mask ( 1 )
-
Comments:
-
Nasal Cannula ( 1 )
-
Comments:
-
Neb TX w/ 1 Albuterol & 1 Atrovent ( 1 kit )
-
Albuterol Exp. Date:
-
Atrovent Exp. Date:
-
Comments:
-
Albuterol Exp. Date:
-
Atrovent Exp. Date:
Left Side Pocket
-
Adult BVM w/ CO2 Monitor ( 1 )
-
Exp. Date:
-
Comments:
Right Side Pocket
-
Blood Pressure Cuff ( 1 adult )
-
Comments:
-
SPO2 Monitor
-
Comments:
-
Stethoscope ( 1 )
-
Comments:
-
Glucometer Case
-
Glucometer ( Make sure it is working )
-
Comments:
-
Test Strips ( 5 )
-
Comments:
-
Lancets ( 5 )
-
Comments:
-
Alcohol Preps ( 5 )
-
Comments:
-
Bandaids ( 5 )
-
Comments:
Front Pocket
-
Tape ( 3 total w/ 1 paper )
-
Comments:
-
Thermometer ( w/ covers )
-
Comments:
-
1- Trauma Dressing
-
Comments:
-
1- Burn Sheet
-
Comments:
-
1- SAM Splint
-
Comments:
-
1- Kerlex
-
Comments:
-
1- 6 Inch Kling
-
Comments:
-
1- 4 Inch Kling
-
Comments:
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1- 4 X 4 Tray <br>
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Comments:
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1- Ice Pack
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Comments:
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500mL Sterile Water ( 1 )
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Exp. Dates:
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Comments:
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Trauma Shears ( 1 )
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Comments:
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1- Pen Light
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Comments:
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Ring Cutter
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Comments:
Zipper Area in Front Pouch
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Large Gloves
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Comments:
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XL Gloves
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Comments:
CENTER OF JUMP BAG
Center Compartment Clear Flap
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King Tubes
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Size 3 ( 1 )
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Exp. Dates:
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Comments:
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Size 4 ( 1 )
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Exp. Dates:
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Comments:
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Size 5 ( 1 )
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Exp. Dates:
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Comments:
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1- Pressure Infuser
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Comments:
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Intubation Kit
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Miller Laryngoscope Blades ( 3 ): Put Blade on handle to make sure light works
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Comments:
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Mac Laryngoscope Blades ( 3 ): Put Blades on handle to make sure light works
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Comments:
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Lubricant Packets ( 2 )
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Comments:
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Tube Holders ( 2 )
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Comments:
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10ml Syringe ( 1 )
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Comments:
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Benzocaine ( 1 )
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Exp. Dates:
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Comments:
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Exp. Dates:
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Forceps ( 2 )
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Comments:
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Stylets ( 1s, 1m, 1L )
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Comments:
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Nasopharyngeal ( 1 each of sizes 12-34 )
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Comments:
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Oropharyngeal ( 5 )
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Comments:
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Tape ( 1 )
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Comments:
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Surgical Masks ( 2 )
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Comments:
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Spare Batteries ( 2 C )
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Comments:
Cric & Needle Decompression kit
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14g IV ( 2 )
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Comments:
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12g IV ( 2 )
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Comments:
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10g IV
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Comments:
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Alcohol Preps ( 5 )
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Comments:
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Scalpel
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Comments:
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3.0 ET Un-cuffed Tube
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Comments:
Check ET Tube expiration dates
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ET Tubes
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5.5 ( 1 )
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Comments:
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6.0 ( 1 )
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Comments:
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6.5 ( 1 )
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Comments:
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7.0 ( 1 )
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Comments:
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7.5 ( 2 )
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Comments:
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8.0 ( 2 )
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Comments:
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8.5 ( 1 )
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Comments:
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9.0 ( 1 )
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Comments:
IV Pouch
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IV Catheters
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14g IV
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Comments:
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16g IV ( 1 )
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Comments:
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18g IV ( 2 )
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Comments:
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20g IV ( 2 )
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Comments:
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22g IV ( 1 )
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Comments:
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24g IV ( 1 )
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Comments:
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1- Saline Bag
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Comments:
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1- 10 Drop Tubing
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Comments:
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2- IV Start Kit
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Comments:
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1-Sharps Shuttle
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Comments:
ALS Drug Box
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ALS Drug Box
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Old Drug Tag Number
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Comments:
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New Drug Tag Number
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Comments:
Center Zipper Compartment
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2 Adult EZ-IO Needles
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EXP:
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Comments:
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2 PEDS EZ-IO Needles
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EXP:
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Comments:
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EZ-IO Gun
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Comments:
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Alcohol Preps ( 3 )
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Comments:
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2- Saline Flushes
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EXP:
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Comments:
Medication Pull Out Flaps
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4- 81mg Aspirin Tablets
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Exp. Dates:
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Comments:
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Exp. Dates:
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2- 150mg Amiodarone Vials
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Exp. Dates:
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Comments:
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Exp. Dates:
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3- 6mg Adenosine vials
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Benadryl 50mg Vial
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Exp. Dates:
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Comments:
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Exp. Dates:
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3- Epinephrine 1:1000 1mg/1ml Ampules
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Glucagon 1mg powder & 1ml Sterile water
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Exp. Dates:
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Comments:
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Exp. Dates:
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2- Magnesium Sulfate 1Gm/2ml Vial
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Exp. Dates:
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Comments:
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Exp. Dates:
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1-Nitroglycerin 0.4mg
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Exp. Dates:
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Comments:
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Exp. Dates:
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2- Vasopressin 20 Unit Vials
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Exp. Dates:
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Comments:
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Exp. Dates:
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1-Verapamil 10mg/4ml vial
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Zofran 4mg Tablet
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Zofran 4mg Vial
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Exp. Dates:
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Comments:
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Exp. Dates:
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Etomidate 40 Mg
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Fentynal 100 mcg
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Versed 5mg/5ml
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Versed 5mg/1ml Total of 10MG
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Exp. Dates:
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Comments:
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Exp. Dates:
Boxed Medication Area
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1-1mg Atropine Preloads
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Dextrose 50% 25Gm/50ml Preload
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Exp. Dates:
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Comments:
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Exp. Dates:
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4- Epinephrine 1:10,000 1mg Preloads
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- 100mg/5ml Lidocaine Preload
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Exp. Dates:
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Comments:
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Exp. Dates:
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2- Narcan 2mg/2ml
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Exp. Dates:
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Comments:
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Exp. Dates:
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1- Sodium Bicarbonate 50 mEq
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Exp. Dates:
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Comments:
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Exp. Dates:
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2- 15Gm Oral Glucose tubes
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Comments:
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Exp. Date:
Syringe Area
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2- 1ML Syringe
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Comments:
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2- 3ML Syringe
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Comments:
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2- 10ML Syringe
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Comments:
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1- 20ML Syringe
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Comments:
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2- Filter Straws
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Comments:
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2- Filter Needles
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Comments:
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2- 18g Needles
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Comments:
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2- 21g Needles
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Comments:
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2- MAD Device
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Comments:
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Additional Comments:
MAINTENANCE
LIGHTS
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IF ANYTHING IS NOT WORKING PLEASE WRITE IT UP IN EMERGENCY REPORTING
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Emergency Lights
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Comments:
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Headlights ( High & Low Beam )
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Comments:
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Turn signals
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Comments:
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Brake Lights
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Comments:
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Scene Lights
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Comments:
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Running Lights
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Comments:
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Reverse Lights
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Comments:
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Interior and compartment lighting
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Comments:
FLUID LEVEL
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IF FLUIDS ARE LOW PLEASE ADD, IF WE HAVE HERE, THEN PUT IT IN EMERGENCY REPORTING
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Fuel ( > 3/4 )
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Comments:
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Oil
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Comments:
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Coolant
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Comments:
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Transmission
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Comments:
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Power steering
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Comments:
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Washer Fluid
-
Comments:
TIRE PRESSURE
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IF TIRES ARE LOW PLEASE ADD AIR AND THEN PUT IT IN EMERGENCY REPORTING
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Front Tires
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Front Left PSI:
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Front Right PSI:
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Comments:
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Rear Tires
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Left Inner PSI:
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Left Outer PSI:
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Right Inner PSI:
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Right Outer PSI:
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Comments:
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Additional Comments:
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Officers Signature:
