Title Page
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Site conducted
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Client / Site
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Conducted on (Date and Time)
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Inspected by
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Location
Bleeding and Wounds
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Various size regular bandages
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Butterfly bandages
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Steri-strips
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Compound tincture of benzoin
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Liquid bandage (superglue)
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Finger / knuckle bandages
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Gauze Dressing Pads (2x2, 4x4)
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Trauma pads
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Triangular bandage
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Hemostatic agent
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Gauze roll bandages (2 in and 4 in)
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Nylon sutures (#3 - #5)
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Needle puller
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Surgical scissors
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Eyewash (for wound irrigation)
Burns
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Burn Jel
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Burn Dressing (4x4ish)
Fever / Pain
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Thermometer
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Aspirin, Ibuprofen, Tylenol, Excedrin
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Pain relieving spray
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Oral pain gel
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Icy Hot
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Cooling Towel
Other Creams / Sprays / Ointments
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Sting / bite relief
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Hydrocortisone
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Antibiotic ointment
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Povidone-iodine pads
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Antiseptic pads
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Antiseptic hand wipes
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Lip ointment
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Sunscreen
OTC Meds
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Allergy medicine
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Nausea / diarrhea meds
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Cold medicine
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Antacid
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Cough drops
Sprain / Break
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Flexible Splint
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Finger Splint
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Cold Packs
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Elastic bandages (3")
Dehydration
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Medi-Lyte
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Oral IV
Other
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Eye pad
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CM Shield
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Nitrile gloves
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EMT Shears
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Tweezers
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Waterproof tape
Completion
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Recommendations
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Inspector (Name and Signature)