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Site conducted
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Conducted on
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Prepared by
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Location
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Date of Inspection:
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Inspected by:
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ETV/MTC Unit :
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Level 2 & 3 Jump Kit
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(100) Sterile adhesive bandages, assorted sizes, individually packaged. (Bandaids: standard, large fingertip, knuckle)
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(4) 10.2 cm x 10.2 cm Sterile pressure dressing with ties
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(48) 7.6 cm x 7.6 cm Sterile gauze dressings, individually packaged.
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(9) 10 cm x 10 cm Sterile pressure dressings with crepe ties.
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(4) 15 cm x 15 cm Sterile pressure dressings with ties.
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(24) 10.2 cm x 10.2 cm Sterile gauze pad, individually wrapped
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(16) 5.1 cm x 7.6 cm Sterile Non-adherent dressing individually wrapped
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(6)12.7 cm x 22.9 cm Sterile abdominal dressings, individually packaged.
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(6) 5.1 cm x 1.8 cm Conforming stretch bandage, relaxed length, individually wrapped
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(6) 7.6 cm x 1.8 cm Conforming stretch bandage, relaxed length, individually wrapped
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(1) #01 - 4.5 m Tubular finger bandage with applicator.
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(6) 7.6 cm Elastic support (tensor bandages)
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(16) Cotton triangular bandages with safety pins
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(4) Sterile eye pads, individually packaged.
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(3) 2.5 cm x 4.5 m Rolls of adhesive tape.
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(100) Antiseptic Wound cleaning towelettes, individually packaged.
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(48) Hand/skin cleansing towelette individually wrapped
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(1) Tourniquet
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(1) Penlight with batteries
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(2) Pairs of scissors.
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(2) Pairs of tweezers
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(1) Sphygmomanometer (blood pressure cuff) manual or automatic
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(1) Stethoscope
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(1) Blood glucose tester with 50 test strips (expiry date for strips)
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(6) Hot packs
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(6) Cold packs
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(1) Eye wash cup or bottle / eye wash spray
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(2) Pocket mask with a one-way valve and oxygen inlet.
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(32) Pairs of medical gloves (preferably non-latex).
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(2) Saline Bottles. (Enter quantity and expiry date)
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(2) Inventory of kit contents list.
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(3) Waterproof Biohazard waste bags
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Stretcher Kit (add photo)
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(2) Adjustable hard cervical collars
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(1) Spine board with handholds, 7 velcro straps or spider straps
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(1) Basket stretcher with minimum of 2 retainer straps
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(3) Blankets
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(1) Pillow
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(3) 35” Sam Splints
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(1) Set of splints (2 x short + 1 x long padded wood splints)
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O2 Kit ( You need enough oxygen to supply 15 LPM from the time of initial application to the arrival at medical treatment, plus 15 minutes. Check Hydrostatic date! )
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(1) Portable O2 kit including a full D tank
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(1) Bag-valve mask unit with oxygen reservoir bag
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(1) Oropharyngeal Airway Kit
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(1) Portable suction unit
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(1) Full E tank
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(1) Non-rebreather mask
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(1) Nasal cannula
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AED Kit
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(1) AED Kit with batteries and pads. (Ex: 12/2026 expiry of battery and pads)
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(1) Shaver
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(1) Towel
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Medications
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(1 bottle) Aspirin 81mg or 325 mg
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(20 tablets) Instant Glucose 4 grams
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(1) Eye drops
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(36) Antibiotics Ointment Single use
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First Aid Room / ETV (add photo)
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Lysol (spray/wipes) bleach spray (cleaning supplies)
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(6) Rolls of paper towels
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(3) Emergency blanket
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(1) Case Disposable cups / Bottled water
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(1) Flashlight with batteries
