Blue Bag

• Conducted on

  Date

• Prepared by

• Inspection Completed by:

EXTERIOR FRONT COMPARTMENT

• C-Collar Adult x2

  Yes

  No

  N/A

• C-Collar Pediatric

  Yes

  No

  N/A

EXTERIOR RIGHT COMPARTMENT

• Thermometer

  Yes

  No

  N/A

• Stethoscope

  Yes

  No

  N/A

• Penlight

  Yes

  No

  N/A

• SPO2 Monitor

  Yes

  No

  N/A

• Blood Glucose Meter

  Yes

  No

  N/A

• Nail Polish Remover

  Yes

  No

  N/A

• Lancets (Lots)

  Yes

  No

  N/A

• Alcohol Swabs (Lots)

  Yes

  No

  N/A

• Band-Aids (Lots)

  Yes

  No

  N/A

• Test Strips (Lots)

  Yes

  No

  N/A

EXTERIOR LEFT COMPARTMENT

• Sharps Container

  Yes

  No

  N/A

• Saline - 500ml x2

  Yes

  No

  N/A

EXTERIOR REAR COMPARTMENT

YELLOW WOUND KIT

• Forceps

  Yes

  No

  N/A

• Sterile 4x4 (x10)

  Yes

  No

  N/A

• Non-Adherent Sterile 4x4 (X5)

  Yes

  No

  N/A

• Non-Adherent Sterile 8x10 (x2)

  Yes

  No

  N/A

• AB Pads x3

  Yes

  No

  N/A

• Triangular Bandages x2

  Yes

  No

  N/A

• Arm Sling x1

  Yes

  No

  N/A

• Cloth Tape x2

  Yes

  No

  N/A

• Sharpie x1

  Yes

  No

  N/A

• Hemostatic Powder x1

  Yes

  No

  N/A

• Pen x1

  Yes

  No

  N/A

• Note Pad

  Yes

  No

  N/A

• Trauma Shears x2

  Yes

  No

  N/A

• Israeli Bandage x1

  Yes

  No

  N/A

• Occlusive Dressing x1

  Yes

  No

  N/A

• Non-Sterile Roller Gauze (Lots)

  Yes

  No

  N/A

• Non-Sterlie 4x4 (Lots)

  Yes

  No

  N/A

INTERIOR CENTER COMPARTMENT

• Pelvic Splint

  Yes

  No

  N/A

• Multi Cuff Blood Pressure Kit

  Yes

  No

  N/A

• CAT Tourniquet x2

  Yes

  No

  N/A

INTERIOR FRONT COMPARTMENT

• Sam Splint (x1)

  Yes

  No

  N/A

• Comformable Splint (x2)

  Yes

  No

  N/A

• Tensor Bandage (x4)

  Yes

  No

  N/A

INTERIOR REAR COMPARTMENT

• Hot Packs (x2)

  Yes

  No

  N/A

• Cold Packs (x2)

  Yes

  No

  N/A

INTERIOR LEFT COMPARTMENT

• Spit Hood

  Yes

  No

  N/A

• Vomit Bag x2

  Yes

  No

  N/A

• Emergency Blanket x2

  Yes

  No

  N/A

• Surgical Mask x5

  Yes

  No

  N/A

INTERIOR Right COMPARTMENT

• ASA

  Yes

  No

  N/A

• Oral Glucose

  Yes

  No

  N/A

• Narcan Amp or Vial .4mg x4

  Yes

  No

  N/A

• 3ml syringe x4

  Yes

  No

  N/A

• Blunt fill x4

  Yes

  No

  N/A

• Safety Glide Needle x4

  Yes

  No

  N/A

• Alcohol Swab x4

  Yes

  No

  N/A