VASARS EMS Equipment Inspection

• VASARS EMS Equipment Inspection

• Conducted on

  Date

• Document No.

• Non Transport EMS Vehicle Supplies Checklist

  Select Helicopter NA544SA Support Unit Hummer Command Unit Chief's Unit

  • Helicopter NA544SA
  • Support Unit
  • Hummer
  • Command Unit
  • Chief's Unit

• Duty Crew

• Prepared by

• Medical Certification Level

  Paramedic

  Advanced EMT

  EMT

  First Responder

  N/A
• 10503 Wakeman Drive Manassas, VA 20110 866-246-9552
  Address

• Signature

  Sign

BLS Equipment

• AED w/Set of 2 Pads

  Yes

  No

• Infant/Child Key

  Yes

  No

• Pocket Masks (2)

  Yes

  No

• O/P Airways (6) Sizes 0-5

  Yes

  No

• N/P Airways (4) 1 each of various sizes

  Yes

  No

• Soluble Lube

  Yes

  No

• King LT (S) sizes 5-3

  Yes

  No

• Bag Valve Mask

• Adult BVM, Adult Mask

  Yes

  No

• Adult BVM, Child Mask

  Yes

  No

• Pediatric BVM

  Yes

  No

• Portable O2 Cylinder

  Yes

  No

• PSI

  Select Full 3/4 1/2 1/4 Empty

  • Full
  • 3/4
  • 1/2
  • 1/4
  • Empty

• Adult Non Rebreather Mask (2)

  Yes

  No

• Peds Non Rebreather Mask (2)

  Yes

  No

• Adult Nasal Cannulae (2)

  Yes

  No

• Child Nasal Cannulae (2)

  Yes

  No

Patient Assessment Equipment

• Pulse Odimetry

  Yes

  No

• Stethoscope, Adult

  Yes

  No

• Stethoscope, Pediatric

  Yes

  No

• Battery Powered Portable Suction

  Yes

  No

• Suction Catheter, FR18 (2)

  Yes

  No

• Suction Catheter, FR14 (2)

  Yes

  No

• Suction Catheter, FR8 (2)

  Yes

  No

• Suction Catheter, FR6 (2)

  Yes

  No

• Blood Pressure Cuff

  Yes

  No

• Adult Cuff

• Large Adult Cuff

• Child Cuff

Dressings/Supplies

• Trauma Scissors (1)

  Yes

  No

• Emesis Basins (2)

  Yes

  No

• Normal Saline, Irrigation (1L)

  Yes

  No

• Oral Glucose (1)

  Yes

  No

• Obstetrical Kit (1)

  Yes

  No

• Trauma Dressings 8x10 (4)

  Yes

  No

• Sterile 4x4's (24)

  Yes

  No

• Occlusive Dressings 3x8 (4)

  Yes

  No

• Assorted Roller Gauze (12)

  Yes

  No

• Cravats (10)

  Yes

  No

• Tape 1" and 2" (4 rolls)

  Yes

  No

• Pressure dressing (2)

  Yes

  No

• Tourniquet

  Yes

  No

• Chest Seal

  Yes

  No

• Quik Clot

  Yes

  No

Splinting

• Rigid Collars, Adjustable (3)

  Yes

  No

• SAM Splints (2)

  Yes

  No

PPE

• Waterless Antiseptic Hand Wash (1)

  Yes

  No

• Exam Gloves, 5 pair (each size)

  Yes

  No

• Disposable Gowns (2)

  Yes

  No

• Face Shield/Eyeware (2)

  Yes

  No

• Infectious Waste Bag (2)

  Yes

  No

Linen

• Towels (2)

  Yes

  No

• Blankets (2)

  Yes

  No

Misc.

• Vinyl Triage Tape

  Yes

  No

• Red

• Black

• Green

• Yellow

• Penlight

  Yes

  No

• Current Medical Protocols

  Yes

  No

• Survival Bag

  Yes

  No

• Sharps Container

  Yes

  No

Misc Notes/Comments