Title Page
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Conducted on
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Prepared by
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Where are you swapping?
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Which truck are you swapping out of?
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Which truck are you swapping into?
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Equipment that needs to be swapped.
- EPCR cable
- INO Delivery System
- Spare RT bag
- Black Ambulance Code Bag
- Neo Immobilizer (green)
- Ped Immobilizer (blue)
- Philips Defib
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***You do not ever need to swap the BLS bag*** All the ACH trucks have one and the SS Unit already has BLS Equipment.
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Did you take the jump drive movies up to the office?
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Did you make sure all refrigerators and the blanket warmer are turned off?
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Did you turn off the O2 and the Medical Air Tanks?
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If you're swapping into SS Unit, which one?
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Added equipment that needs to be swapped into Sunstar Unit:
- Tank Bag (green)
- Sunstar Unit Bag
- ACH Fuel Card and Receipt Pouch
- N/A
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Are the E-cylinders (medical air) in the tank bag full?
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Is the Sunstar Unit bag sealed? (Except front pouch)
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Signature of preparer.
