Title Page
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Site conducted
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Conducted on
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Prepared by
IV START - RED KIT
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14 Gauge IV Catheter (1 or 2)
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16 Gauge IV Catheter (1 or 2)
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18 Gauge IV Catheter (4)
- Yes
- No
- N/A
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20 Gauge IV Catheter (4)
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22 Gauge IV Catheter (1or 2)
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24 Gauge IV Catheter (1 or 2)
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25 Gauge 5/8 Needle (3)
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25 Gauge 1 Needle (3)
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Blunt Fill Needle Filtered (X3)
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Blunt Fill Needle No Filter (x4)
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Normal Saline Preloads (X2)
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Saline Locks (2)
- Yes
- No
- N/A
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Tourniquet (3)
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I.V. Tape x1
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Band-aids (Lots)
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Alcohol Swabs (Lots)
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Non Sterile 4x4 (Lots)
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Tegaderm x5
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Syringe 1mL x3
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Syringe 3ml x4
IO
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Drill
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Stabilizer x2
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3 way stop cock x1
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Needle 3-39 kg x1
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Needle 3kg or over x1
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Needle 40kg or over
MEDICATION - Plastic Kit
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EPI 1:1000 1mg/mL 1mL Ampule x3
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Narcan .4mg x8
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Nitro (x1)
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ASA
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Atrovent MDI x1
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Salbutamol MDI x 1
MAIN COMPARTMENT
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AeroChamber
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Saline Locks (2)
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1000ml nacl.9% (4)
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10 Drop IV Set (4)
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Normal Saline Preloads (5)
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Oral Glucose (1)
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50% Dextrose 25g/50mL (1)
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Glucagon (1)
- Yes
- No
- N/A
SIDE COMPARTMENT
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Sharps Container