Sunday

Cardiac Monitor

• Adult Dfib Pads (Test)

  YES

  NO

• Comments:

• Pediatric Defibrillation Pads

  YES

  NO

• Comments:

• 4 Lead & 12 Lead Cables

  YES

  NO

• Comments:

• Adult/Peds Electrodes (12ea)

  YES

  NO

• Comments:

• CO2 Cable w/ BVM Adaptor

  YES

  NO

• Comments:

• CO2 Nasal Canula Adapter

  YES

  NO

• Comments:

• Pediatric SpO2

  YES

  NO

• Comments:

• Razor

  YES

  NO

• Comments:

• Spare Monitor Paper

  YES

  NO

• Comments:

• Rotate The Spare Battery

  YES

  NO

• Comments:

Oxygen Levels

• Onboard Main Oxygen >500psi

  YES

  NO

• Comments:

• Oxygen Level:

• Stretcher Oxygen Cylinder >300psi

  YES

  NO

• Comments:

• Oxygen Level:

• CPAP Oxygen Cylinder > 300psi

  YES

  NO

• Comments:

• Oxygen Level:

Jump Bag

• Glucometer

  YES

  NO

• Comments:

• Vitals Equipment

  YES

  NO

• Comments:

• Clipboard & Forms (10ea form)

  YES

  NO

• Comments:

• Drug Bag

  YES

  NO

• Comments:

• IV Roll Up Bag

  YES

  NO

• Comments:

• Pediatric Bag

  YES

  NO

• Comments:

Other Items

• Onboard/Portable Suction

  YES

  NO

• Comments:

• Interior Cabinets Stocked

  YES

  NO

• Comments:

• All Lights Working

  YES

  NO

• Comments:

• All Fluids Full (Fuel >3/4)

  YES

  NO

• Comments:

• Cab/Cot/Patient Areas Cleaned

  YES

  NO

• Comments:

• Radios and Phone Working

  YES

  NO

• Comments:

Driver's Side Outside Cabinet 1

• Pressurized Water Can

  YES

  NO

• Comments:

• Broom

  YES

  NO

• Comments:

• 6' Pike Pole

  YES

  NO

• Comments:

• Peds & Adult Hare Traction

  YES

  NO

• Comments:

• K.E.D.

  YES

  NO

• Comments:

• Vacuum Splints (1Sm, 1M, 1Lg & 1 Pump)

  YES

  NO

• Comments:

Driver's Side Outside Cabinet 2

• Body Bag

  YES

  NO

• Comments:

• Wool Blanket

  YES

  NO

• Comments:

• Transfer Tarp

  YES

  NO

• Comments:

• Safety Blanket

  YES

  NO

• Comments:

• Throw Bag 50' (2)

  YES

  NO

• Comments:

• Noodle

  YES

  NO

• Comments:

• Step Chocks (2)

  YES

  NO

• Comments:

• Caution Tape Roll

  YES

  NO

• Comments:

• Extension Cord

  YES

  NO

• Comments:

• P.F.D.

  YES

  NO

• Comments:

• Water Bottles (1 Case)

  YES

  NO

• Comments:

• Smoke Detctors (3)

  YES

  NO

• Comments:

• Bolt Cutters

  YES

  NO

• Comments:

• Ice Scrapper & Salt Can

  YES

  NO

• Comments:

• Fire Extinguisher

  YES

  NO

• Comments:

• Road Triangles

  YES

  NO

• Comments:

Driver's Side Outside Cabinet 3

• SCBA Bottle (A) >4000psi

  YES

  NO

• Comments:

• Psi Level:

• SCBA Bottle (B) >4000psi

  YES

  NO

• Comments:

• Psi Level:

• Flashlights (2)

  YES

  NO

• Comments:

• Set of Irons

  YES

  NO

• Comments:

• Passport Tag Holders (2)

  YES

  NO

• Comments:

• Helmet Shields (3)

  YES

  NO

• Comments:

Passenger's Side Outside Cabinet 4

• Scoop Stretcher

  YES

  NO

• Comments:

• Backboards with Straps (3)

  YES

  NO

• Comments:

• Peds Backboard

  YES

  NO

• Comments:

• Child Car Seat

  YES

  NO

• Comments:

• Stair Chair

  YES

  NO

• Comments:

• Adult/Peds/Infant Head Bed (2ea)

  YES

  NO

• Comments:

Cervical Collar Bag

• Infant Collar (2)

  YES

  NO

• Comments:

• Peds Collar (2)

  YES

  NO

• Comments:

• Adult Collar (2)

  YES

  NO

• Comments:

• Infant Head Bed

  YES

  NO

• Comments:

• Peds Head Bed

  YES

  NO

• Comments:

• Adult Head Bed

  YES

  NO

• Comments:

Officer's Signature

• Add signature

  Sign