YEMS BLS Jump Kit Inventory List

• Conducted on

  Date

Large Front Pocket

• Trauma Dressing

  0

  1

• Abdominal Pads

  0

  1

  2

• 4X4 Bulk Gauze

  None

  1 Bag

• Kling

  0

  1

  2

  3

  4

• Vomit Bag

  0

  1

• Mask

  0

  1

• Spit Sock

  0

  1

• Penlight

  0

  1

• Super Shears

  0

  1

• Triangular Bandages

  0

  1

  2

  3

• IV Tape

  0

  1

• Trauma Tape

  0

  1

• Sam Splint

  0

  1

• Hot Pack

  0

  1

• Cold Pack

  0

  1

• Nose Clip

  0

  1

Large Rear Pocket

• Normal Saline 1000mL

  0

  1

• 10 gtts Set

  0

  1

IV Kit

• IV Cath: 2 each of 14, 16, 18, 20, 22 and 24g

• Occlusive dressings

  0

  1

  2

  3

  4

• IV tape

  0

  1

• Razor

  0

  1

• Blue Pad

  0

  1

• Sufficient 4x4 Gauze

  Yes

  No

• 10cc Saline Vials

  0

  1

  2

  3

  4

• Tourniquet

  0

  1

  2

• Syringe: 10cc

  0

  1

  2

  3

• Syringe: 3cc

  0

  1

• Syringe: 5cc

  0

  1

• Syringe: 1cc

  0

  1

  2

• Needles: 2 each of 18, 22 x 1.5", 22 x 1.0" and 25g.

• Lever lock cannula

  0

  1

  2

• Vial Access

  0

  1

  2

  3

  4

• Sufficent alcohol swabs?

  Yes

  No

• Bandaids

  2

  3

  4

  5

  6

• IID with extension (IV loop)

  0

  1

  2

• Medication Lables

  0

  1

  2

  3

  4

Small Right Pocket

• Sphygmomanometer

• Small BP cuff

• Medium BP cuff

• Large BP cuff

Small Left Pocket

• Sharps container

Main Compartment

• Adult BVM w/ O2 tubing

  0

  1

• BVM Masks

  0

  1

  2

• D50W with 50mL Saline

  0

  1

• Glucometer Kit

• Portable SpO2

• Adult High Concentration Mask (HCM)

  0

  1

• Paediatric High Concentration Mask (HCM)

  0

  1

• Nasal cannula (NC)

  0

  1

• Nebulizer

  0

  1

Airway Kit

• V-Vac Suction

• V-Vac Flexible Catheter/Adapter

• OPA's: complete set

• NPA's: complete set

• Muko gel lubricating jelly

  0

  1

  2

  3

  4

• King LT: size 3

  0

  1

• King LT: size 4

  0

  1

• King LT: size 5

  0

  1

• King airway card

• Syringe: 60cc

  0

  1

• CO2 detector

  0

  1

• French suction catheter

  0

  1

• Trauma tape

  0

  1

• Tube holder

  0

  1

Drug Insert

• ASA Tablets 80mg: 1 Bottle

• Nitrospray 0.4mg/spray

  0

  1

• Oral Glucose

  0

  1

  2

• Salbutamol 5mg/2.5mL

  0

  1

  2

  3

  4

• Salbutamol 2.5mg/2.5mL

  0

  1

  2

  3

  4

• Epinephrene 1mg/mL 1:1,000

  0

  1

  2

• Sterile Water

  0

  1

  2

• Glucagon 1 mg/mL with syringe

  0

  1

• Syringe 1cc

  0

  1

  2

• Needle: 25g

  0

  1

  2

• Sufficient Alcohol swabs?