Information
-
Document No.
-
Audit Title
-
White Oak EMS
-
Conducted on
-
Personnel
-
DRUG BOX #
TOP SHELF
-
Sodium Bicarbonate =1
-
Expiration Date
-
Narcan = 2
-
Expiration Date
-
Expiration Date
-
Dextrose =1
-
Expiration Date
-
Epi 1:10,000 = 1
-
Expiration Date
-
Atropine = 1
-
Expiration Date
-
Lidocaine = 1
-
Expiration Date
-
1cc Syringe = 2
-
Expiration Date
-
Expiration Date
-
3 cc Syringe = 2
-
Expiration Date
-
Expiration Date
-
5 cc Syringe = 2
-
Expiration Date
-
Expiration Date
-
10 cc Syringe = 2
-
Expiration Date
-
Expiration Date
SECOND SHELF
IV CATH's (2 Each)
-
24 g
-
Expiration Date
-
Expiration Date
-
22 g
-
Expiration Date
-
Expiration Date
-
20 g
-
Expiration Date
-
Expiration Date
-
18 g
-
Expiration Date
-
Expiration Date
-
16 g
-
Expiration Date
-
Expiration Date
-
14 g
-
Expiration Date
-
Expiration Date
-
NSS Syringe 3 cc = 2
-
Expiration Date
-
Expiration Date
-
Syringe Needles (2 each) 18 25 22<br>
-
Expiration Date = 18
-
Expiration Date =18
-
Expiration Date =25
-
Expiration Date = 25
-
Expiration Date = 22
-
Expiration Date = 22
-
Tourniquet = 2
-
Penlight = 1
-
MAD Device
-
Expiration Date
-
Razor = 1
-
Blood Tube, Purple =2
-
Expiration Date
-
Expiration Date
-
Blood Tube, Red = 2
-
Expiration Date
-
Expiration Date
-
Tape 1" & 1/2" (1 each)
-
Hep locks = 2
-
Expiration Date
-
Expiration Date
-
Blood tube - vac container = 2
-
Expiration Date
-
Expiration Date
-
Blood draw needles (needle less ) =2
THIRD SHELF
-
Amiodarone = 2
-
Expiration Date
-
Expiration Date
-
Calcium = 2
-
Expiration Date
-
Expiration Date
-
Epi 1:1,000 = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Glucagon = 1
-
Expiration Date
-
Zofran = 2
-
Expiration Date
-
Expiration Date
-
Benadryl = 2
-
Expiration Date
-
Expiration Date
-
Albuterol (box) = 3
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Albuterol (O2 green bag) = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Ipratropium = 4
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Narcan = 2
-
Expiration Date
-
Expiration Date
-
Adenosine = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Solumedrol = 2
-
Expiration Date
-
Expiration Date
-
Lasix = 2
-
Expiration Date
-
Expiration Date
-
NTG Pills = 1 bottle
-
Expiration Date
-
Mag Sulfate = 4
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Alcohol prep pads = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Band aids = 5
-
Carpuject = 1
-
Tubex = 1
-
Filter needles = 2
-
Expiration Date
-
Expiration Date
-
Diltiazem 100mg / 0.9% ADD-Vantage NSS = 1
-
Expiration Date
-
60 drop = 1
-
Expiration Date
-
Enalaprilat = 2
-
Expiration Date
-
Expiration Date
-
Tetracaine Opthalmic = 1
-
Expiration Date
-
Nitro paste single use = 12
-
Expiration Date
-
Nitro paste papers = 12
-
Expiration Date
-
Verapamil = 2
-
Expiration Date
-
Expiration Date
BOTTOM OF BOX
-
Dopamine Drip (premix) 60 drop = 1 w/ dial drop
-
Expiration Date
-
Dobutamine / 60 drop = 1 w/ dial drop
-
Expiration Date
-
NSS 250mL= 1
-
Expiration Date
-
NSS 500mL= 1
-
Expiration Date
-
Lidocaine = 3
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Lidocaine Premix / 60 drop = 1 w/ dial drop
-
Expiration Date
-
Epi 1:10,000 = 3
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Atropine = 1
-
Expiration Date
-
IV Sets 10gtts = 2
-
Expiration Date
-
Expiration Date
-
Kling roll = 1
-
Expiration Date
-
IV Start Kits = 2
-
Expiration Date
-
Expiration Date
-
Nebulizer = 1
-
Expiration Date
-
IV extension sets = 2
-
Expiration Date
-
Expiration Date
-
Opsites = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Dressings 4x4 = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Dressings 2x2 = 5
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
-
Expiration Date
NARCOTICS
-
Valium
-
Lot #
-
Expiration Date
-
Control #
-
Valium
-
Lot #
-
Expiration Date
-
Control #
-
Versed
-
Lot #
-
Expiration Date
-
Control #
-
Versed
-
Lot #
-
Expiration Date
-
Control #
-
Morphine
-
Lot #
-
Expiration Date
-
Control #
-
Morphine
-
Lot #
-
Expiration Date
-
Control #
-
Fentanyl
-
Lot #
-
Expiration Date
-
Control #
-
Fentanyl
-
Lot #
-
Expiration Date
-
Control #
-
Drug box old seal #
-
Drug box new seal #
-
Narcotics old seal #
-
Narcotics new seal #
COMMENTS
EXPIRING DRUGS NEXT 2 MONTHS
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
-
Drug
-
Expiration Date
MEDIA (If needed)
-
Add media
CREW SIGNATURES
-
Add signature
-
Add signature
