Drug Date Check Off
Drug Date Checked
Date
Unit
Select
Squad 1
Quint 1
Engine 2
Squad 2
Engine 4
Engine 3
Squad 3
Engine 5
Squad 1 Quint 1 Engine 2 Squad 2 Engine 4 Engine 3 Squad 3 Engine 5
FIB BAG
Accucheck Srtrips
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Adenosine 6mg
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Adenosine 12mg
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Adult Bicarb
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Adult BVM
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Albuterol
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Amiodorone
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Atropine
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Atrovent-Ipratropium Bromide
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Baby ASA
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Benadryl-Diphenhydramine
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Betadine Preps
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Dextrose 50%
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Epi 1:1000
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Epi 1:10,000
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Glucagon
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
L.R. 1000cc
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Lidocaine 100mg
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Narcan
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Nitro Tabs
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
N.S. 500cc
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Oral Glucose
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Pedi BVM
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Thiamine
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Vasopressin
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Combi Tube
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Zofran (Ondansetron)
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Blood Draw (Green)
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Blood Draw (Purple)
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Sodium Chloride (INT)
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
TRAUMA BAG I.V. WARMER LIFE PACK 10
Adult Electrode
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Pedi Electrode
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Defib Pads
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
Pacing Pads
In Date (>3)
In Date (<3)
Expires (<1)
Expired
Not on Unit
New Date for Expired Drug
Date
Quantity
AED Additional Info
link copied
Anonymous
Drug Date
Used to audit drug dates on units.
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