YEMS Vehicle Checklist

Vehicle Checklist

• Document No.

• Conducted on

  Date

• Shift

  Night

  Day

  Swing

  Extra

• Medic

  Medic 1

  Medic 2

  Medic 3

  Medic 4

Vehicle

• Mileage of unit?

• Due for scheduled maintenance?

  No

  Yes

• Fuel Level %

• I'm seeing a trip to the gas station in your future. While you're out, get your dispatcher some coffee.

• Mirrors/Windshield Inspection

  Safe

  At Risk

  N/A

• Oil, transmission and wiper fluid?

  Safe

  At Risk

  N/A

• Noticeable damage to vehicle?

  No

  Yes

• Take a picture.

  Media

• Comms-Radio Check Front

• Comms-Pager Check

• Visual Tire Check and Air Pressure

• Exterior Lights and Emergency Flashers

• Backup Alarm

• Parking Brake engages high idle

• Unit Clean - inside and out

  Yes

  No

• Flares

• Fire Extinguisher

Cab

• iPad?

• Sufficient PCR's?

• PPE kit present in Driver and passenger door of unit?

• On car cellphone

• Charger

• 2 Fuel Cards?

• Key Ring?

• Map Book

• Helmets with visor

• Binoculars

Medical equipment

Outer Cabinet

• 2 Spineboards

• Scoop strecher

• Collar Kit

• Bag of clips

• Spider Straps

• Headblocks

Inside Cabinet

• Spider Straps

• Headblocks

Box

• Guidelines binder

• Inventory binder

• ZOLL check

• Day shift take picture of test strip

  Media

• Main Stretcher/Bracket

• Sharps full?

  No

  Yes

• New sharps container placed and full container disposed of properly?

  Yes

  No

• #9

• Stair Chair

• Tray stocked

• Adult BVM

• Paediatric BVM

• Neonatal BVM

• Cabinet/Overhead Lighting

• Manta Lift Sheet

• Extra Linen

• Onboard suction functioning?

  Yes

  No

• Portable suction functioning?

  Yes

  No

  ?

• How to test portable suction:
  1.) Unplug the unit from the AC power.
  2.) Turn the suction dial to max (500).
  3.) Within 1 second, press and hold the “test button” to activate test mode.

• PPE-Back shelf-min 5 small and regular masks and gowns

• BLS Jump Bag

• Jump Bag

• IV Kit

• Airway Kit

• Vital acquisition equipment

• BVM & Masks

• Sharps full?

  No

  Yes

• New sharps container placed and full container disposed of properly?

  Yes

  No

Under Bench

• Vacuum Splint Set, present and complete?

  Yes

  No

• KED

• Sager Splint

• Pedi-Pac

• Pedi-Mate

• Tool Kit, present and complete?

  Yes

  No

Medical Gas Levels

• M Tank

• Replace O2 Tank

• Awesome! Go do a call or something!

• I need to sit down, your awesomeness is just so overwhelming!

• E Tank

• Replace O2 Tank

• Awesome! I see food in someone's future!

• You deserve a treat, go buy yourself something nice and say it's from me!

• D Tank

• Replace O2 Tank

• Awesome! If you were anymore ready we'd have to strap you to a chair!

• Man, you are a model employee! Tell that to your next patient.

• Entonox Tank

• Replace Entonox Tank

• Awesome! Someone's pain is ready to be gone!

• It's time for a party! Wash the rig, that's always fun!

• Day of week

  Select Night crew Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Night crew
  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Sit back, relax, no deep cleans for you today!

• Deep Clean Unit 164

• Deep Clean Unit 163

Full check

• All medications within expiration dates?

  Yes

  No

• Glucometer test - Tray

• Glucometer test - Bag

• Deep Clean Unit 162

• Deep Clean Unit 160

• Deep Clean Unit 161

Crew info

• Name, Certification Level (i.e. PCP, ACP, Student, Ride Along, etc.)

Crew Member

• Ground Supervisor

  Sign