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Truck #

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House Bag Checklist
Main Compartment
Intubation Roll

1- Stethoscope

1- 60cc Syringe

King LTD (1 each)

#2

#3

#4

#5

ET Tubes

(2) 6.0

(2) 6.5

(2) 7.0

(2) 7.5

(2) 8.0

8.5

9.0

2- Adult Stylettes

1- Magill Foreceps

5- Surgi Lube

4- Spare Bulbs

1- Roll 1" Tape

MAC 3

MAC 4

MIL 2

MIL 3

Mil 4

1- Laryngoscope Handle

2- 10cc Syringes

1- ETCO2 Detector

2- Adult Tube Holders

1- Tube (Bulb) Checker

4- Oral Airways

1- Biohazard Bag

2- Spare C Batteries

EZ IO Drill w/case
1 Adult Needle
2 Pediatric Needles

Adult Bag Valve Mask

Oxygen Cylinder PSI

Medication Pouch

Old Tag #

6- Epi 1:10,000

Epi 1 exp date

Epi 2 exp date

Epi 3 exp date

Epi 4 exp date

Epi 5 exp date

Epi 6 exp date

2- Atropine

Atropine 1 exp date

Atropine 2 exp date

D50 exp date

Narcan 1 exp date

Narcan 2 exp date

Lidocaine 1 exp date

Lidocaine 2 exp date

GlucaGen 1 exp date

Albuterol 1 exp date

Albuterol 2 exp date

Ipratropium Bromide 1 exp date

Ipratropium Bromide 2 exp date

Epi 1:1,000 exp date

1- Solu-medrol Exp Date

1- Zofran exp date

1- Benadryl exp date

Adenosine Exp Date

Amiodarone Exp Date

Amiodarone Exp Date

1- Bottle Baby Aspirin exp date

1- Nitro Spray exp date

1- Oral Glucose exp date

IV Pouch

Old Tag #

1- Roll 1" Tape

5- Opsites

2- Extension Sets

2- Flushes

5- Alcohol Wipes

2 Each IV Catheters

14ga

16ga

18ga

20ga

22ga

24ga

2- IV Start Kits

1- Tourniquet

2 Each Syringes

(2) 1cc

(2) 3cc

(2) 5cc

(2) 10cc

2 Each Needles

(2) 18ga

(2) 22ga

(2) 25ga

1- MADD Device

Inside Mesh Compartment

10 Small Bandaids
10 Large Bandaids
2 Kling (1 Large, 1 Small)
4 Abdominal Pads
5 2x2
5 4x4
4 Petroleum Dressings
2 Ice Packs
Pen Light
1 Inch Tape

Equipment Missing?

Top Mesh Compartment

1 Burn Sheet 2 Trauma Dressings Trauma Sheers Bandage Sheers 1 Commercial Tourniquet with Marker

Left Side Pouch

500 mL bag nSS Exp Date:

Macrodrip Set

Pressure Infuser

Right Side Pouch

1 Small Sharp Container

1 Large Adult BP Cuff

CO Detector (TEST)

Front Pouch

1 Nasal Cannula

1 Non-Rebreather

1 Nebulizer

1 Stethoscope

Adult BP Cuff

Glucometer with Strips and Lancets

Pulse Oximeter

Pedi Bag Checklist

5 Pedi Blades Needed

Mac 0

Mac 1

Mac 2

Mil 0

Mil 1

Mil 2

1- Racemic Epi exp date

1- 10cc syringe

Laryngoscope Handle

Spare Bulbs (4)

Spare AA Batteries (2)

Pen Light

Surgi Lube(5)

Oral Airways (4) Misc

Magill Forceps

ALL BULBS WORKING?

ET Tubes

King LT Size 2

2.5 (2)

3.0 (2)

3.5 (2)

4.0 (2)

4.5 (2)

5.0 (2)

5.5 (2)

6.0 (2)

Minimum 2 Pedi Stylettes

1- Large Stylette

2- Pedi Tube Holders

1- Pedi ETCO2 Detector

IV Needles

2-20ga

2-22ga

2-24ga

2- Saline Flushes

1- 20 Drip

1- 60 Drip

500 NSS and exp date

Pedi Wheel

Broselow Tape

Pedi/Infant O2 Sensor (1 ea)

1- Infant Non-Rebreather

2- Pedi Non-Rebreathers

2- Pedi Nasal Cannulas

1- Pedi Trach Mask

Meconium Aspirator

1- Pedi B/P Cuff

1- Pedi Stethoscope

2- Pedi BVM's

1- Pedi Quick Combo Pads

12 Pedi Electrodes

5- 4x4's

5- 2x2's

5- Opsites

2- IV Start Kits

10- Alcohol Wipes

2- Extension Sets

1- 1/2" Tape

1- 1" Tape

Arm Board

NEW TAG(s)#

Trauma Bag Checklist

8- Combine Dressings

1- T-POD pelvic stabilization device

1- Commercial Grade Tourniquet

5- Non-Adhering Dressings

2- Trauma Dressing

1- Burn Sheet

1- 1000 NSS exp date

2- 20 Drip Sets

2- Non-Latex Tourniquets

IV Catheters

2- 14ga

2- 16ga

2- 18ga

1- Pen Light

1- Sharps Container

1- Bottle Sterile Water exp date

5- Large Kling

1- Pair Crash Shears

1- Pair Bandage Shears

10- 2x2's

10- 4x4's

1- Box Band Aids

1- Roll 1"Tape

1- Roll 2"Tape

2- Saline Flushes

1- 10cc Syringe

1- Stethoscope

2- IV Start Kits

5- OpSites

2- Extension Kits

1- Pressure Infuser

OLD TRAUMA BAG TAG#'s

NEW TRAUMA BAG TAG#'s

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