Title Page
Daily
Cardiac Monitor
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Adult Dfib Pads (Test)
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Comments:
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Pediatric Defibrillation Pads
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Comments:
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4 Lead & 12 Lead Cables
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Adult/Peds Electrodes (12ea)
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CO2 Cable w/ BVM Adaptor
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CO2 Nasal Canula Adapter
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Pediatric SpO2
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Razor
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Spare Monitor Paper
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Rotate The Spare Battery
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Oxygen Levels
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Onboard Main Oxygen >500psi
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Oxygen Level:
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Stretcher Oxygen Cylinder >300psi
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Oxygen Level:
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CPAP Oxygen Cylinder > 300psi
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Oxygen Level:
Jump Bag
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Glucometer
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Vitals Equipment
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Clipboard & Forms (10ea form)
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Drug Bag
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IV Roll Up Bag
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Pediatric Bag
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Other Items
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Onboard/Portable Suction
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Interior Cabinets Stocked
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All Lights Working
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All Fluids Full (Fuel >3/4)
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Cab/Cot/Patient Areas Cleaned
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Radios and Phone Working
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Driver's Side Outside Cabinet 1
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Pressurized Water Can
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Broom
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6' Pike Pole
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Peds & Adult Hare Traction
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K.E.D.
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Vacuum Splints (1Sm, 1M, 1Lg & 1 Pump)
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Driver's Side Outside Cabinet 2
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Body Bag
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Wool Blanket
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Transfer Tarp
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Safety Blanket
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Throw Bag 50' (2)
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Noodle
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Step Chocks (2)
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Caution Tape Roll
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Extension Cord
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P.F.D.
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Water Bottles (1 Case)
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Smoke Detctors (3)
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Bolt Cutters
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Ice Scrapper & Salt Can
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Fire Extinguisher
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Road Triangles
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Driver's Side Outside Cabinet 3
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SCBA Bottle (A) >4000psi
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SCBA Bottle (B) >4000psi
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Flashlights (2)
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Set of Irons
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Passport Tag Holders (2)
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Helmet Shields (3)
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Passenger's Side Outside Cabinet 4
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Scoop Stretcher
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Backboards with Straps (3)
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Peds Backboard
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Child Car Seat
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Stair Chair
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Adult/Peds/Infant Head Bed (2ea)
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Cervical Collar Bag
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Infant Collar (2)
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Peds Collar (2)
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Adult Collar (2)
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Infant Head Bed
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Peds Head Bed
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Adult Head Bed
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Jump Bag Check Weekly
Top Compartment
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Adult NRB
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Adult Nasal Canula
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Nebulizer Treatment With Drugs
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Right Compartment
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Adult Blood Pressure Cuff
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Pulse Oximeter
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Stethoscope
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Glucometer
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Left Compartment
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Adult Bag Valve Mask
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Co2 Adapter
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Expiration Date:
Front Compartment
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Sharps Shuttle
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Trauma Dressing
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Burn Sheet
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Scissors
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Thermometer With Covers
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Sam Splint
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Kerlex/Kling (2)
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4x4 (20)
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Tape Roll (3)
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Ice Pack
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Sterile Water (500mL)
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Expiration Date:
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Ring Cutter
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Large, XL Gloves (2ea)
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Pen Light
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Intubation Bag
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Cuffed ET Tube Size 5.0
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Cuffed ET Tube Size 5.5
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Cuffed ET Tube Size 6.0
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Cuffed ET Tube Size 6.5
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Cuffed ET Tube Size 7.0
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Cuffed ET Tube Size 7.5 (2)
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Cuffed ET Tube Size 8.0 (2)
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Cuffed ET Tube Size 8.5
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Cuffed ET Tube Size 9.0
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Miller (Straight) Laryngoscope Blade (3)
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Macintosh (Curved) Laryngoscope Blade (3)
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Lubricant Packets (3)
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Tube Holder (2)
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10mL Syringe
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Forceps (2)
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Stylet (Sm, M & L)
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Nasopharyngeal Size 12Fr - 34Fr (1ea)
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Oropharyngeal (5)
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Tape Roll
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Surgical Mask (2)
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Spare "C" Battery (2)
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Laryngoscope Handle (Works)
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Medication Application Straws
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Needle Decompression & Cric Kit
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10g Iv Catheter (2)
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12g IV Catheter (2)
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14g IV Catheter (2)
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Alcohol Prep Pads (5)
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Scalpel
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Uncuffed ET Tube Size 3.0
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IV Roll Up Bag
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14g IV Catheter (2)
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16g IV Catheter (2)
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18g IV Catheter (3)
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20g IV Catheter (3)
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22g IV Catheter (2)
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24g IV Catheter (2)
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Saline Bag
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Expiration Date:
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10 Drip Tubing
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IV Start Kit
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Sharps Shuttle
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King Lt
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Pressure Infuser
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King LT (Size 3)
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Expiration Date:
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King LT (Size 4)
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Expiration Date:
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King LT (Size 5)
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Expiration Date:
Officer's Signature
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Officer's Signature
