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AMBULANCE 951
AMBULANCE 951

AMBULANCE 951

WEEKLY

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Free AMBULANCE 951 Checklist

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Information

  • AMBULANCE 951 WEEKLY

  • Conducted on

  • Personnel:

CAB

  • Map Books

  • Comments:

  • Gloves

  • Comments:

  • Clipboard

  • Comments:

  • Gas Key

  • Comments:

  • Spotlight

  • Comments:

  • 4-Helmet Shields

  • Comments:

  • 2-Accountability Tags

  • Comments:

  • Garage Door Openers (Station & St Joes)

  • Comments:

  • MMC & NIMC Keycard

  • Comments:

  • Computer

  • Comments:

  • GPS

  • Comments:

Outside Compartments

DRIVER FRONT

  • 1-Backboard w/Spider Strap

  • Comments:

  • 1-Adult Hare traction

  • Comments:

  • 1-Pediatric Hare traction

  • Comments:

  • 1-Pediatric Immobilization board

  • Comments:

  • 1-Main Oxygen tank

  • Pressure:

  • Comments:

  • 1-Oxygen wrench

  • Comments:

  • 1-KED

  • Comments:

DRIVER MIDDLE

  • 3-Emergency blankets

  • Comments:

  • 3-Ladder splints

  • Comments:

  • 3-Padded splints

  • Comments:

  • Mast pants (adult & child)

  • Comments:

  • 1-ABC Fire extinguisher

  • Comments:

  • MASS CASUALTY BAG

  • START Triage Kit

  • Comments:

  • Current SMO regarding Mass Casualty

  • Comments:

  • Department SOG

  • Comments:

  • Triage Vest

  • Comments:

  • Clipboard w/ Rehab log & misc paperwork

  • Comments:

  • Office supplies (pens, paper, etc)

  • Comments:

  • WATER RESCUE BAG

  • 3-Personal Flotation Devices

  • Comments:

  • 1-Throw rope bag

  • Comments:

  • PROSPLINT KIT

  • 1- Each Full leg (Large & Small)

  • Comments:

  • 1- Each Full arm (Large & Small)

  • Comments:

  • 1-Combo

  • Comments:

DRIVER REAR

  • 3- Air Packs

  • Comments:

  • 1-Flashlight

  • Comments:

  • 1-Set of Irons

  • Comments:

  • 1-Rehab Chair

  • Comments:

PASSENGER REAR

  • 1-Stair Chair

  • Comments:

  • 2-Backboards (1 w/Spider straps)

  • Comments:

  • 2-Each Head Bed (Large & Small)

  • Comments:

  • 1-Short Backboard or CPR board

  • Comments:

  • C-COLLAR BAG

  • 4-Adjustable

  • Comments:

  • 2- Each Infant & Pediatric

  • Comments:

  • 1-Each Head Beds ( Large & Small)

  • Comments:

  • 1-Short Backboard or CPR board

  • Comments:

PASSENGER MIDDLE

  • 1-Triangle Reflector box

  • Comments:

  • 1-Tool Box

  • Comments:

  • 1- Mini Sledge & Bolt Cutters

  • Comments:

  • 1-Jumper Cables

  • Comments:

  • 5-Safety Cones

  • Comments:

INSIDE REAR COMPARTMENTS

FRONT HALL AREA

  • 1-ABC Fire Extinguisher

  • Comments:

  • 1-Garbage Can

  • Comments:

  • 1-Biohazard garbage can

  • Comments:

DRIVER FRONT UPPER CABINET

  • 2- Non Latex Glove boxes (Large & Medium)

  • Comments:

  • 2- Boxes of Trauma gloves ( Large & Medium)

  • Comments:

  • 4-Isolation Kits

  • Comments:

  • 2- Each HEPA masks (Large & Small)

  • Comments:

  • 2- Each Safety glasses & Goggles

  • Comments:

  • 4-Surgical Gloves

  • Comments:

  • 2- 500ml 0.9 Normal Saline irrigation bottles

  • Expiration Date:

  • Comments:

  • Expiration Date:

  • 2- 500ml Sterile water irrigation bottles

  • Expiration Date:

  • Comments:

  • Expiration Date:

  • 1-1000ml 0.9 Normal Saline irrigation bottles

  • Expiration Date:

  • Comments:

  • Expiration Date:

  • 1-1000ml Sterile Water irrigation bottles

  • Expiration Date:

  • Comments:

  • Expiration Date:

  • 6-Paper Cups

  • Comments:

  • 1-Morgan Medi flow lens

  • Comments:

  • Various eye washes

  • Comments:

  • 1- Suction container w/lid

  • Comments:

  • 1-Spare CPAP setup

  • Comments:

  • 1- Each BVM (Adult, Peds and Infant)

  • Comments:

  • 1-Each King Lt ( Size 3-5)

  • Comments:

  • 2- Each Adult NRB & NC

  • Comments:

  • 2- Each Pediatric NRB & NC

  • Comments:

  • 2- Each Infant SM & NC

  • Comments:

  • 2- Each CO2 Detectors (Adult & Peds)

  • Adult EXP:

  • Peds EXP:

  • Comments:

  • Adult EXP:

  • Peds EXP:

  • 1- Each Spare Pulse OX sensor (Adult, Peds & Infant)

  • Comments:

  • 2- Each Capnography sensors (in-line & NC)

  • Comments:

  • 2-Nebulizer Kits (1 In-line)

  • Comments:

  • 2-Oxygen supply lines

  • Comments:

  • 1- Each Nitronox face mask ( Large & Small)

  • Comments:

  • Misc mouthpieces & adapters

  • Comments:

INTUBATION KIT

  • Intubation Kit

  • Tag Number:

  • Initials:

  • Date:

  • Old Tag Number:

  • New Tag Number:

  • 1 Each Oral airways 40-110mm

  • Comments:

  • 1-Each Nasal Airways 14-36fr

  • Comments:

  • 1-Each ET Tubes Uncuffed 2.0-6.0

  • Comments:

  • 1- Each ET Tubes cuffed 5.0-9.0

  • Comments:

  • 1-Each Stylets ( Large & Small)

  • Comments:

  • ET Tube holders (Multiple sizes)

  • Comments:

  • 1- Positube

  • Comments:

  • KY Jelly (Individual packs)

  • Comments:

  • 1- Each Laryngoscope handles (Large & Small)

  • Comments:

  • 1- Each Miller Blades 0-4

  • Comments:

  • 1-Each Macintosh Blades 1-4

  • Comments:

  • Replacement bulbs ( Large & Small)

  • Comments:

  • Spare Batteries (2C & 2AA)

  • Comments:

  • 1- 10CC Syringe

  • Comments:

  • 1- 1" Tape

  • Comments:

  • 1-Each Magill forceps (Adult & Child)

  • Comments:

  • 2- Mosquito Foreceps

  • Comments:

  • 1-Hurricane Spray

  • EXP:

  • Comments:

  • EXP:

  • 1- Each Cric & Decompression Kit

  • Comments:

DRIVER FRONT LOWER CABINET

  • Misc manuals

  • Comments:

  • Medical Dictionary

  • Comments:

  • Pet Oxygen Kit

  • Comments:

DRIVER FRONT LOWER LARGE DRAWER

  • Misc Paperwork/Domestic Violence

  • Comments:

  • SMO Pocket book

  • Comments:

  • Policy book

  • Comments:

  • Calculator

  • Comments:

DRIVER FRONT TOP DRAWER: MONITOR SUPPLIES

  • Adult Defib Pads

  • EXP:

  • Comments:

  • EXP:

  • Peds Defib Pads

  • EXP:

  • Comments:

  • EXP:

  • Misc Electrodes (Adult & Peds)

  • Comments:

  • Zoll Pediatric Sp02 sensor

  • Comments:

  • 1-Spare Zoll roll printer paper

  • Comments:

  • 1- Conductive gel tube

  • Comments:

  • 2-Clipper Heads (1-may be on clipper)

  • Comments:

DRIVER FRONT BOTTOM DRAWER: SUCTION SUPPLIES

  • 1-Connective suction tubing

  • Comments:

  • 1- Each Suction catheters (6-18) 7 Total

  • Comments:

  • 2- Yankauers

  • Comments:

Suction Unit

  • 1- Suction canister with tubing

  • Comments:

  • 1-Yankauer

  • Comments:

SHELF

  • Surgical clippers w/charger

  • Comments:

  • Clipboard

  • Comments:

  • Cellular phone w/ charger

  • Comments:

  • SMO Book

  • Comments:

IV WARMER

  • 1-IV Warmer

  • Comments:

  • 2-1000cc Normal Saline bags

  • EXP:

  • Comments:

  • EXP:

  • 2-IV regular drip tubing

  • Comments:

  • 1- Marker

  • Comments:

  • 1- Thermometer

  • Comments:

DRIVER MIDDLE UPPER CABINET

  • 2- Sets of Restraints

  • Comments:

  • 2- Spit Hoods

  • Comments:

  • 2- Vomit Buckets ( May be under seat)

  • Comments:

  • 1- Child safety Seat (may be under seat)

  • Comments:

  • Spare Cot straps (may be under seat)

  • Comments:

  • Zoll Paddles

  • Comments:

DRIVER REAR UPPER CABINET

  • 1- Urinal

  • Comments:

  • 1-Bedpan

  • Comments:

  • 2-Emesis basins

  • Comments:

  • 4- Vomit Bags

  • Comments:

  • Remains Bags

  • Comments:

  • Lancets

  • Comments:

  • 2- Vaseline gauze pads 3X8

  • Comments:

  • 1- Each cloth tape (1/2", 1" & 2")

  • Comments:

  • 1- Each Transpore tape ( 1/2", 1" & 2")

  • Comments:

  • 2- First Response 5X5 Quick Clot

  • Comments:

  • 6- Quick Clot hemostatic dressing 2X2

  • Comments:

  • 10- Bandaids (Minimum)

  • Comments:

  • 10- Misc gauze rolls 2"-4"

  • Comments:

  • 20- 4X4s

  • Comments:

  • 4- Eye Pads

  • Comments:

  • 2- Eye shields (metal or plastic)

  • Comments:

  • 1- Porta warm mattress

  • Comments:

  • 3- Each Cold & Hot Packs

  • Comments:

  • 1- Air Splint kit

  • Comments:

  • 1- Each Slings (small, medium & large)

  • Comments:

  • 2- Triangle bandages

  • Comments:

  • 3- Each Padded splints (9" & 18")

  • Comments:

  • 6- Multi trauma dressings

  • Comments:

  • 2- Burn dressings

  • Comments:

  • 6- ABD pads

  • Comments:

  • 1- Aluminum foil

  • Comments:

DRIVER REAR DRAWER: IV START

  • 1- Each 10g-12g angiocath

  • Comments:

  • 2- Each 14g-24g angiocath

  • Comments:

  • 2-Tourniquets

  • Comments:

  • 4X4s, 2X2s & Bandaids

  • Comments:

  • 10- Alcohol preps

  • Comments:

  • 4- IV start kits

  • Comments:

  • 1- Each tape ( 1/2", 1" & 2")

  • Comments:

  • 1- Small Arm board

  • Comments:

  • 1- Trauma sheers

  • Comments:

  • Misc needless adapters

  • Comments:

DRIVER REAR LOWER CABINET: BIOHAZARD WASTE

  • Sharps containers Large & Small

  • Comments:

DRIVER REAR LOWER CABINET: CLEANING SUPPLIES

  • Baggies

  • Comments:

  • Saran Wrap

  • Comments:

  • Disinfectants

  • Comments:

  • Garbage bags

  • Comments:

  • Bio bags

  • Comments:

  • Toilet Paper

  • Comments:

  • Paper Towels

  • Comments:

PASSENGER REAR CABINETS

LINENS

  • 2- EACH Blankets, sheets & towels

  • Comments:

IV Supplies

  • 4- 1000cc Normal Saline bags

  • EXP:

  • Comments:

  • EXP:

  • 2- Blood Tubing

  • Comments:

  • 2- Regular drip tubing

  • Comments:

  • 2- Mini drip tubing

  • Comments:

  • 1- Pressure Infuser

  • Comments:

PASSENGER BENCH SEAT TOP

  • 2- BP cuffs (Adult & Thigh)

  • Comments:

  • 1- Stethoscope

  • Comments:

PASSENGER BENCH SEAT BOTTOM

  • Misc linens

  • Comments:

  • 2- Pillows with cases (1 may be on stretcher)

  • Comments:

  • 1- Nitrous oxide cylinder ( May be secured elsewhere)

  • Comments:

DRAWER: SHARPS

  • Sharps containers ( Large and Small)

  • Comments:

DOOR AREA

  • 2- Spare oxygen cylinders

  • Comments:

  • 1- Spare regulator with key

  • Comments:

PASSENGER UPPER FRONT CABINET

  • Misc Pub-Ed supplies

  • Comments:

  • Hand Warmers

  • Comments:

  • Bug spray & Sunscreen

  • Comments:

  • Booties

  • Comments:

NARCOTICS KNOX BOX

  • NARCOTIC BOX

  • Initials:

  • Tag Number:

  • Date:

  • Old Drug Tag Number:

  • New Drug tag number:

  • 5- Midazolam 5mg each

  • EXP:

  • Comments:

  • Comments:

  • EXP:

  • 2- Etomidate 20mg each

  • Comments:

  • EXP:

  • EXP:

  • 2- Fentanyl 100mcg each

  • EXP:

  • Comments:

  • EXP:

PASSENGER FRONT CABINET

  • 1- OB Kit

  • Comments:

  • 1- Sliver Swaddler

  • Comments:

  • 3- Teddy bears

  • Comments:

  • Tested Portable Suction

  • Comments:

  • 3- Yankauer suction tips

  • Comments:

  • 1- Each suction catheters (6-14 & 18) 6 total

  • Comments:

  • Meconium aspirator

  • Comments:

MEDICATION DRAWER

MEDICATION DRAWER

  • 36- Aspirin

  • EXP:

  • Comments:

  • EXP:

  • 4- Adenosine 6mg each

  • EXP:

  • Comments:

  • EXP:

  • 3-Albuterol (at least 1 w/kit)

  • EXP:

  • Comments:

  • EXP:

  • 2- Amiodarone 150mg each

  • EXP:

  • Comments:

  • EXP:

  • 4- Atropine 1mg pre-loads

  • EXP:

  • Comments:

  • EXP:

  • 4- Atrovent

  • EXP:

  • Comments:

  • EXP:

  • 1- 50% Dextrose 25g pre-load

  • EXP:

  • Comments:

  • EXP:

  • 1- Diphenhydramine 50mg

  • EXP:

  • Comments:

  • EXP:

  • 2- Dopamine premix bags 400mg with mini drip tubing

  • EXP:

  • Comments:

  • EXP:

  • 6- EPI 1:1,000 1mg each

  • EXP:

  • Comments:

  • EXP:

  • 9- EPI 1:10,000 1mg pre-loads

  • EXP:

  • Comments:

  • EXP:

  • 2- Glucagon injection kits

  • EXP:

  • Comments:

  • EXP:

  • 1- Glucose gel tube

  • EXP:

  • Comments:

  • EXP:

  • 4- Lidocaine 100mg pre-loads

  • EXP:

  • Comments:

  • EXP:

  • 4- Magnesium Sulfate 1g each

  • EXP:

  • Comments:

  • EXP:

  • 3- Narcan 2mg each

  • EXP:

  • Comments:

  • EXP:

  • 1- Nitro 0.4mg dose tabs or spray

  • EXP:

  • Comments:

  • EXP:

  • 5- 0.9 NS 3cc inhalation nebs

  • EXP:

  • Comments:

  • EXP:

  • 2- 8.4% Bicarb 50 mEq Pre-loads

  • EXP:

  • Comments:

  • EXP:

  • 1- Tetracaine 0.5% 15ml solution

  • EXP:

  • Comments:

  • EXP:

  • 2- Vasopressin 20 units each

  • EXP:

  • Comments:

  • EXP:

  • 1- Verapamil 5mg/2ml vial

  • EXP:

  • Comments:

  • EXP:

  • 2- Zofran (Ondansetron) 4mg vials

  • EXP:

  • Comments:

  • EXP:

  • 1- Zofran (Ondansetron) 4mg tab

  • EXP:

  • Comments:

  • EXP:

SYRINGE DRAWER

  • 3- Each Syringes (1,3,6,10-12,20-60cc)

  • Comments:

  • 2- Each Needles (18/19, 21/22, 25/27g)

  • Comments:

  • 1- Carpuject holder

  • Comments:

  • 1- Penlight

  • Comments:

  • 1- Trauma sheers

  • Comments:

  • 1- Scalpel

  • Comments:

  • 1- IO Needle

  • Comments:

  • 2- MAD/IN Device

  • Comments:

  • Glucometer strips

  • Comments:

  • Thermometer Shields

  • Comments:

  • Handcuff Key

  • Comments:

  • Miscellaneous IV/ Medication adapters

  • Comments:

  • 2- 10cc Saline flushes

  • EXP:

  • Comments:

  • EXP:

MONITOR

ZOLL MONITOR

  • 1- Adult defib/pacing pads

  • EXP:

  • Comments:

  • EXP:

  • 1- Pediatric defib/pacing pads

  • EXP:

  • Comments:

  • EXP:

  • 3- Adult electrode sets

  • Comments:

  • 2- Pediatric electrode sets

  • Comments:

  • EKG Transmitter (black Verizon hotspot)

  • Comments:

  • 1- Roll Zoll printer paper

  • Comments:

  • 1- Razor

  • Comments:

  • Spare battery

  • Comments:

  • Capnography (In-line & NC)

  • Comments:

  • BP Cuffs (thigh, large, regular, small adult)

  • Comments:

  • 4 lead and 12 lead cables

  • Comments:

  • Pulse OX probe

  • Comments:

STRETCHER

STRETCHER

  • 1-Oxygen Cylinder w/regulator and key

  • Comments:

  • 1-Each Adult NC & NRB

  • Comments:

  • 1-Each Pediatric NC & NRB

  • Comments:

  • 1-Each Infant NC & NRB

  • Comments:

  • 2-Vomit Bags

  • Comments:

  • Spare PPE Gloves

  • Comments:

  • 1-Large body surface tarp

  • Comments:

  • 1- Gait Belt

  • Comments:

CPAP KIT

CPAP KIT

  • 1- Each Adult NC & NRB

  • Comments:

  • Oxygen bottle w/regulator

  • Comments:

  • Oxygen Key

  • Comments:

  • Whisper Flow generator

  • Comments:

  • Mask setup attached to unit

  • Comments:

  • Oxygen supply quick connect

  • Comments:

NITRONOX KIT

NITRONOX KIT

  • Nitronox regulator

  • Comments:

  • Hoses & Oxygen quick connect

  • Comments:

  • Nitrous Oxide tank

  • Comments:

  • 1- Medium face mask

  • Comments:

  • 2- Mouthpieces

  • Comments:

PEDIATRIC BAG

PEDIATRIC BAG

  • Is Bag Tagged?

  • Tag Number:

  • Initials:

  • Date:

  • New Tag Number:

  • 1-Each BVM Pediatric & Infant

  • Comments:

  • 1-Pediatric trauma sheers

  • Comments:

  • 1- Penlight

  • Comments:

  • 1- 1000ml Normal Saline Bag

  • EXP:

  • Comments:

  • EXP:

  • 1- Each IV Tubing ( Regular & Mini)

  • Comments:

  • 2- IV Start kits

  • Comments:

  • 1-Sharps Shuttle

  • Comments:

  • 1- Each Cloth Tape (1/2" &1")

  • Comments:

  • 2- Short Arm boards

  • Comments:

  • Misc gauze rolls, 4X4s & trauma pads

  • Comments:

  • 1-Each BP Cuffs (Child & Infant)

  • Comments:

  • 1- Pediatric Stethoscope

  • Comments:

  • 1- Silver Swaddler

  • Comments:

  • 1- Baby bottle with nipple & pacifier

  • Comments:

  • 3- Pediatric SPO2 sensors

  • Comments:

  • 1- Pediatric dosing tape

  • Comments:

  • 1- Meconium aspirator

  • Comments:

  • 1- Small Laryngoscope handle

  • Comments:

  • 1- Each 0-3 Miller & Mac 0-3 blades

  • Comments:

  • 2-Spare small bulbs

  • Comments:

  • 2- AA Batteries

  • Comments:

  • 1- Small Magill Forceps

  • Comments:

  • KY lubricant

  • Comments:

  • PINK BAG

  • 40, 50mm oral airway

  • Comments:

  • 1-Infant NRB

  • Comments:

  • 1- Each 3-3.5 ET Tubes

  • Comments:

  • 1- Small Stylet

  • Comments:

  • 1- 8fr Suction catheter

  • Comments:

  • 1- Each 22-24g angiocath

  • Comments:

  • 1- Each 23-25g butterfly needle

  • RED BAG

  • 1-each 40, 50 mm Oral Airway

  • comments:

  • Infant NR

  • comments:

  • 3.5 ET tube

  • comments:

  • Stylet, small

  • comments:

  • 8 French Suction

  • comments:

  • 1-each 22-24 ga angio

  • comments:

  • 1 each 23-25 ga Butterfly

  • comments:

  • PURPLE BAG

  • 50 mm Oral Airway

  • Comments:

  • Pediatric NR

  • Comments:

  • 4.0 ET tube

  • Comments:

  • Stylet, Small

  • Comments:

  • 1-each 8, 10 French Suction

  • Comments:

  • 1- each 20, 22, 24 ga angio

  • Comments:

  • 1- each 23, 25 ga Butterfly

  • Comments:

  • YELLOW BAG

  • 1- 60mm Oral Airway

  • Comments:

  • 1- Pediatric NRB

  • Comments:

  • 1- 4.5 ET Tube

  • Comments:

  • 1- Small Stylet

  • Comments:

  • 1- 10fr Suction catheter

  • Comments:

  • 18-22ga Angio Catheters

  • Comments:

  • 21-23ga butterfly needles

  • Comments:

  • WHITE BAG

  • 60 mm Oral Airway

  • comments:

  • Pediatric NR

  • comments:

  • 5.0 ET tube, uncuffed

  • comments:

  • Stylet, Small

  • comments:

  • 10 French Suction

  • comments:

  • 1- each 18, 20, 22 ga Angio

  • comments:

  • 1- each 21, 23 ga Butterfly

  • comments:

  • BLUE BAG

  • 1- EACH 60, 70 mm Oral Airway

  • comments:

  • Pediatric NR

  • comments:

  • 5.5 ET Tube, uncuffed

  • comments:

  • Stylet, Large

  • comments:

  • 10 French Suction

  • comments:

  • 1- each 18, 20 ga Angio

  • comments:

  • 1- each 21, 23 ga Butterfly

  • comments:

  • ORANGE BAG

  • 1- each 60, 70 mm Oral Airway

  • comments:

  • Adult NR

  • comments:

  • 6.0 ET Tube, cuffed

  • comments:

  • Stylet, Large

  • comments:

  • 10 French Suction

  • comments:

  • 1- each 18, 20 ga Angio

  • comments:

  • 21ga Butterfly

  • comments:

  • GREEN BAG

  • 1- each 80, 90 mm Oral Airway

  • comments:

  • Adult NR

  • comments:

  • 6.5 ET tube, uncuffed

  • comments:

  • Stylet, Large

  • comments:

  • 12 French Suction

  • comments:

  • 1- each 16, 18, 20 ga Angio

  • comments:

  • 1- each 18, 21 ga Butterfly

  • comments:

RED BAG

RED BAG

  • CO Monitor ( may be in front seats)

  • Comments:

  • Thermometer

  • Comments:

  • Pulse Ox

  • Comments:

  • Glucometer and supplies

  • Comments:

  • Penlight

  • Comments:

  • Scissors

  • Comments:

  • Trauma sheers

  • Comments:

  • Ring cutter

  • Comments:

  • Stethoscope

  • Comments:

  • BP Cuffs (Adult & Thigh)

  • Comments:

  • Hand Sanitizer

  • Comments:

  • 2- Eye protection

  • Comments:

  • Gloves

  • Comments:

  • 2-N95 masks

  • Comments:

  • 1- Vomit bag

  • Comments:

  • Vaseline gauze

  • Comments:

  • 1- Hot Pack

  • Comments:

  • 1- Cold Pack

  • Comments:

  • Misc gauze and bandages

  • Comments:

  • Trauma and Abdominal pads

  • Comments:

  • Bandaids

  • Comments:

  • 2- Each Tape (1/2", 1", 2")

  • Comments:

  • 2- QuickClot Nose bleed or 2X2

  • Comments:

  • 2- QuickClot 1st response

  • Comments:

IV KIT

  • IS BAG TAGGED?

  • Tag Number:

  • Initials:

  • Date:

  • Old Tag Number:

  • New Tag Number:

  • 2- Each Angios (14-24ga)

  • Comments:

  • 1- IV Regular tubing

  • Comments:

  • 1- 0.9% NS 1000cc bag

  • Comments:

  • Alcohol preps

  • Comments:

  • Tourniquets

  • Comments:

  • 2- IV Start kits

  • Comments:

  • 2- Each Syringes (1,3,5-6,10-12)

  • Comments:

  • 2- Each Needles ( 18-25ga)

  • Comments:

  • 1-18 ga Intraosseous needle

  • Comments:

  • 2- MAD/IN Device

  • Comments:

  • 1- Carpujet holder

  • Comments:

  • Sharps Shuttle

  • Comments:

  • 2- Needleless adapters

  • Comments:

MEDICATIONS RED BAG

  • IS BAG TAGGED?

  • Tag Number:

  • Initials:

  • Date:

  • Old Tag Number:

  • New Tag Number:

  • 4- Aspirin

  • EXP:

  • EXP:

  • Comments:

  • 1- Adenosine 6mg

  • EXP:

  • EXP:

  • Comments:

  • 1-Albuterol & Atrovent Neb kit

  • EXP:

  • EXP:

  • Comments:

  • 2- Amiodarone 150mg Each

  • EXP:

  • EXP:

  • Comments:

  • 2- Atropine 1mg each

  • EXP:

  • EXP:

  • Comments:

  • 1- 50% Dextrose 25g

  • EXP:

  • EXP:

  • Comments:

  • 1- Benadryl 50mg

  • EXP:

  • EXP:

  • Comments:

  • 2- EPI 1:1,000 1mg each

  • EXP:

  • EXP:

  • Comments:

  • 2- EPI 1:10,000 1mg each

  • EXP:

  • EXP:

  • Comments:

  • 2- Etomidate 20mg each

  • EXP:

  • EXP:

  • Comments:

  • 1- Fentanyl 100mcg

  • EXP:

  • EXP:

  • Comments:

  • 1- Glucagon Injection

  • EXP:

  • EXP:

  • Comments:

  • 1- Glucose gel tube

  • EXP:

  • EXP:

  • Comments:

  • 1- Midazolam 5mg

  • EXP:

  • EXP:

  • Comments:

  • 1- Narcan 2mg

  • EXP:

  • EXP:

  • Comments:

  • 1- Nitro bottle (0.4mg)

  • EXP:

  • EXP:

  • Comments:

  • 2- Vasopressin 20 units each

  • EXP:

  • EXP:

  • Comments:

  • 1- Verapamil 5mg/2ml vial

  • EXP:

  • EXP:

  • Comments:

  • 2- Lidocaine 100mg each

  • EXP:

  • EXP:

  • Comments:

  • 1- Zofran (Ondansetron) tablet

  • EXP:

  • EXP:

  • Comments:

BLUE BAG

BLUE BAG

  • Adult BVM

  • Comments:

  • 1- CPR Mask

  • Comments:

  • 1- Each King LT (3-5)

  • Comments:

INTUBATION KIT

  • Is bag tagged?

  • Tag Number:

  • Initials:

  • Date:

  • Old Tag number:

  • New Tag number:

  • 1- Each Oral airways (40-110mm)

  • Comments:

  • 1- Each Nasal airways (14-36fr)

  • Comments:

  • 1- Each ET Tubes cuffed (5.0-9.0)

  • Comments:

  • 1- Each Stylet ( Small & Large)

  • Comments:

  • ET Tube holders assorted sizes

  • Comments:

  • Positube

  • Comments:

  • KY Jelly (Individual packs)

  • Comments:

  • Laryngoscope handle

  • Comments:

  • 1- Each Miller Blade (2-4)

  • Comments:

  • 1- Each Mac blades (2-4)

  • Comments:

  • Replacement bulbs ( Small & Large)

  • Comments:

  • 2- Spare C Batteries

  • Comments:

  • 1- 10cc Syringe

  • Comments:

  • 1- 1" Tape

  • Comments:

  • 1- Each Magill forceps (Child & Adult)

  • Comments:

  • 2- Each Mosquito forceps (Straight & Curved)

  • Comments:

  • Cetacaine (Hurricane) spray

  • EXP:

  • EXP:

  • Comments:

  • Cric & Decompression Kits

  • Comments:

  • ETCO2 detector

  • Comments:

IO DRILL KIT

  • Is bag tagged?

  • Tag Number:

  • Initials:

  • Date:

  • Old Tag Number:

  • New Tag Number:

  • Drill

  • Comments:

  • 2- Each Adult & Pediatric needles

  • Comments:

  • 1- Obese needle

  • Comments:

  • 2- Fluid transfer tubing sets

  • Comments:

  • 2- IO ID bands

  • Comments:

  • 1- Saline Flush

  • EXP:

  • Comments:

  • EXP:

  • Add signature

AMBULANCE 951

AMBULANCE 951

WEEKLY

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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