Ems Unit Check sheet 1.1

• Shift checkout

• Conducted on

  Date

• Prepared by

• Who is the paramedic for the shift

  Select Mike Hopkins Curtis Brubaker Megan Koenig Jason Pittman Jason likens Charley Vetters Harrison Walter

  • Mike Hopkins
  • Curtis Brubaker
  • Megan Koenig
  • Jason Pittman
  • Jason likens
  • Charley Vetters
  • Harrison Walter

• Who is the EMT for the shift

  Select Christopher Hewett Andrew Olson Eric Berryman Ashley Shear Mike Rice Luke Koneig Travis Rosson

  • Christopher Hewett
  • Andrew Olson
  • Eric Berryman
  • Ashley Shear
  • Mike Rice
  • Luke Koneig
  • Travis Rosson

Truck checkout

• Oil level ( take picture of dipstick before engine has started or one minute after being turned off).

  Media

• Coolant level (take picture of coolant reservoir bottle)

  Media

• Transmission fluid level (take photo of trans fluid dipstick while engine is running on level ground)

  Media

• Brake fluid level (take photo of brake fluid reservoir)

  Media

• Truck starts and runs well with no check engine light and/or other malfunction indicators.

• If not please explain

• Front right Tire pressure before adjustments made

• Front left tire pressure before adjustments made

• Left rear inner tire pressure before adjustments made

• Left rear outer tire pressure before adjustments made

• Right rear inner tire pressure before adjustments made

• Right rear outer tire pressure before adjustments made

• Is there any new damage noticed on the ems unit? If so please photo document

  Media

• All lights functioning

• If not please explain.

Supply's inventory

• Truck wifi card and tablet present?

• If not please explain

• Monitor present, charged, and tested?

• Airway bag present and stocked?

• Thomas kit present, stocked, and checked for expired supplies.

• Portable oxygen bottle pressure

• Truck oxygen tank pressure

• 10 locks, flushes, and 10 start kits present?

• 10 saline bags present?

• All trauma bandages, Sam splints, gauze, and eye patch kits present?

• CPAP machine present?

• Ventilator present ?

• All intubation supplies, ET tubes, and king airway present.

• All BVM sizes present?

• Suction present truck, and portable.

• OB kit present.

Station checkout

• Station clean

• If not please explain.

• Truck bay clean and presentable

• If not please explain