Daily check off 120513.xls

Davidson County Emergency Services
Date: ____/____/____ Unit Number________ Personnel Numbers______ / ______ Shift: ____________
LEFT FRONT
AIRWAY KIT
1-BP CUFF
1- ADULT BVM
LARYNGOSCOPE HANDLE
1-STETHOSCOPE
2-SURGICAL MASKS
1- MILLER #3
2ea-N95 MASKS (KC/Moldex)
1- MILLER #4
RIGHT FRONT
1-MACINTOSH #3
5-4x4 GAUZE
1-MACINTOSH #4
1-VASELINE GAUZE
1- GLUCOMETER
1- ASPIRIN bottle
1- 10-cc SYRINGE (luer-lock)
1- GLUCOSE TEST STRIPS
2- ATROPINE
1- 4.0 KING AIRWAY
6- LANCETS
1- ET HOLDER
BAND-AIDS
2- EPI-1:10,000 mg
1- BITE STICK
ALCOHOL PREPS
1- AMIODARONE
2- SPARE BATTERIES
1- PULSE OXIMETER
1- NARCAN
1- PENLIGHT
1- NASAL SPRAY
1-ORAL GLUCOSE
MAGILL FORCEPS, adult
TOP OUTSIDE, SM COMP
2- TONGUE DEPRESSORS
2- CAT TOURNIQUET
OUTER FLAP
1-ea ET TUBE 6.5
2-3cc SYRINGES
1-ea ET TUBE 7.5
TOP OUTSIDE, MID COMP
1- ADULT STYLET
3- TRIANGULAR BANDAGES
3-IM NEEDLES
1- OPA 90mm
2-4", 1-6" ROLLS KLING
1- OPA 100mm
1-ROLL 2" TAPE
1- OPA 110mm
1- NPA #26
TOP OUTSIDE, LG COMP
1- NPA #30
1-PARAMEDIC SHEARS
INNER FLAP
1- PACK LUBRICATING GEL
2-8X10 PADS
1-ATOMIZER
1-BOUGIE
2-5X9 PADS
1-SALINE FLUSH
1- CAPNO FILTER LINE
1- BURN SHEET
1-TRAUMA DRESSING
COMPARTMENT TWO
2-FACESHIELDS
2- SUCT CANISTER, 1ea 800/1200
1-CHEST SEAL KIT
1- ea. SUCTION CATHS
2- PNEUMO KITS
1- ALBUTEROL
1- HEMOSTATIC AGENT
4- AMMONIA BULBS
1- EPI-1:1000 mg
INNER LID FLAP
1- GLUCAGON
1- SHARPS SHUTTLE
1- IPRATROPIUM
1- NITRO TABLETS
1-ONDANSETRON ODT
1- ea NG TUBE
INNER LID POUCH
1-ONDANSETRON IV
BAND-AIDS
1-PHENERGAN
ALCOHOL PREPS
1-BENADRYL INJECTION
1-ea IV CATH #14
1-ea IV CATH #16
1- 60cc SYRINGE (slip tip)
1-ea IV CATH #18
1- 1000cc N/S
1- PACK LUBRICATING GEL
1-ea IV CATH # 20
1- SET-UP, 10/15gtt
2- SUCTION TUBING
2- TOURNIQUETS
1- SUCTION CONNECTOR
2- SALINE LOCKS
2- YANKAUER SUCTION
2- SALINE FLUSHES
1- DCEMS PROTOCOLS
2- TEGADERM
1- 1" TAPE
LEFT FOLD-OUT FLAP
1- BIOHOOP
2-SETS OF GLOVES
1- RED HAZ-MAT BAG
RIGHT FOLD-OUT FLAP
1- NEBULIZER
1- ADULT NASAL CANNULA
1- ADULT NON-REBREATHER
2- ADULT AEROSOL MASKS
COMPARTMENT FOUR
2- PED AEROSOL MASKS
COMPARTMENT EIGHT-BOTTOM
1- ea ARM BOARD- adult/ped
1- ea ET TUBE
1- BURETROL SET
COMPARTMENT SIX (BOTTOM)
1- BOX ALCOHOL PREPS
DRUG BOX
1- BOX BAND-AIDS
3- IPRATROPIUM
1- BOX LANCETS
3- ALBUTEROL
4- IV SET-UPS, 10gtt
1-METERED DOSE INHALER
1- IV SET-UP, 60gtt
1- MDI SPACER
1- DIAL-A-FLOW
1-BOX TEGADERM
COMPARTMENT TEN
4- RED HAZ-MAT BAGS
2- 1000cc LR
1- URINAL
BURN RESOURCES CHART
1- BED PAN
1- OXYGEN HUMIDIFIER
1- BODY BAG
1- EMERGENCY BLANKET
1- EZ-IO DRILL
1- ADULT STYLET
COMPARTMENT EIGHT (TOP)
2- ea IO NEEDLES
1- PED STYLET
6- 1000-cc N/S
PED (pink)
2-PRESSURE INFUSORS
ADULT (blue)
1- ea. KING AIRWAY
LG ADULT (yellow)
2- IO NEEDLE STABILIZERS
UNIT SUCTION OPERATIONAL
1- YANKAUER SUCTION
1- LIDOCAINE
SURGICAL CLIPPERS
4- ALCOHOL PREPS
1- CLIPPER BLADE
2- SALINE FLUSHES
1- ET TUBE HOLDER
1- KLEENEX
1- ROLL 1" TAPE
1- PACK LUBRICATING GEL
1- BP CUFF
1- STETHOSCOPE
#40, 50, 60, 70, 80 90, 100, 110
COMPARTMENT TWELVE
1- MILLER #3
8-ea SHOE COVERS
1- MILLER #4
2- ea N95 MASKS, S/M, (KC/Moldex)
1-MACINTOSH #3
COMPARTMENT EIGHT (BOTTOM)
4- ea ISOLATION GOWNS
1-MACINTOSH #4
IV BOX
4- ea SURGICAL MASKS
4- ea ANGIOCATHS
COMPARTMENT FOURTEEN (TOP)
1- BOX ZIPLOC BAGS
1- THIGH BP CUFF
1- PED SILVER THERMAL BLANKET
4- HOT PACKS
4- IV TOURNIQUETS
6- COLD PACKS
1- NITRO TABS
2- PAIR PATIENT RESTRAINTS
4- NITRO OINTMENT w/ruler
1- BOTTLE ASPIRIN
COMPARTMENT FOURTEEN (BOTTOM)
1- O2 CHRISTMAS TREE
1- ROLL TAPE 1”
1- O2 WRENCH
1- ea BUTTERFLY NEEDLE
1- 10cc SYRINGE (luer-lock)
1- 10cc SYRINGE (slip-tip)
2-FACESHIELDS
BANDAIDS
1-CRICH KIT
ALCOHOL PREPS
COMPARTMENT SIXTEEN (TOP)
1- PROTECTIVE EYE WEAR
4- SALINE LOCKS
1- BAG KLING 4”, 6”
4-SALINE FLUSHES
1- BOX 4x4
4- TEGADERM
1- PACK VASELINE GAUZE
COMPARTMENT SIX (TOP)
1- PARAMEDIC SHEARS
1- BVM infant
COMPARTMENT EIGHT-BOTTOM
1- HEMOSTATS
1- BVM child
NEEDLE BOX
2- TRAUMA DRESSINGS
1- BVM adult
SYRINGES
2- BURN SHEETS
1- ea MASKS- neo, inf, child, adult
4- TRIANGULAR BANDAGES
COMPARTMENT SIX (BOTTOM)
2- 10cc (luer-lock & slip-tip)
4- ADULT NASAL CANNULA
1-RING CUTTER
4- ADULT NON-REBREATHER
1-1" TAPE
2- PED NASAL CANNULA
1-2" TAPE
2- PED MASKS
1- PACK IM NEEDLES
4- ELASTIC WRAPS
2- O2 SUPPLY TUBING
2-STROKE KITS
4- NEBULIZERS
COMPARTMENT SIXTEEN (BOTTOM)
COMPARTMENT ONE
SIDE COMPARTMENT
PEDIATRIC BAG
1- PED NASAL CANNULA
DATE SEALED:________ BY:____________
1- PED NON-REBREATHER
6- ACETAMINOPHEN
5-ADENOSINE
LARYNGYOSCOPE HANDLE
2- ATROPINE
1- MILLER #0
1- PORTABLE SUCTION UNIT
3- BENADRYL INJ.
1- MILLER #1
DOES IT WORK?__________
2- BENADRYL, 25mg oral
1- MILLER #2
1- YANKAUER SUCTION
1- CALCIUM CHLORIDE
1- ea SUCTION CATH
1- NASAL SPRAY
PED. MEASURING TAPE
1- STETHOSCOPE
1- PED. B/P CUFF
1ea- BVM infant, child
1- BULB SUCTION
1- SUCTION CONNECTOR
1- MICRO SET-UP, 60gtt
1- RINSING BOTTLE
1- CHARCOAL
1- SALINE FLUSH
1- CHARGER
1- NS 1000cc
x / EPI DRIP PACKAGE 1:1000
x / 250cc NS
1- 1:10,000 EPI
2- BARIATRIC TARPS (REG/DISP)
1- EPI. 1:1000 1mg
1- ATROPINE
CHILD SEAT/RESTRAINT
8- EPI. 1:10,000
1-AMIODARONE
x / 1- GEODON
x / w/sterile water
1-D10W, 250cc
2-CPAP SYSTEMS w/LG ADULT
1- GLUCAGON
1-PED ET STYLET
2- MEDIUM MASKS
6- IBUPROFEN
1- MECONIUM ASPIRATOR
1-CHILD MASK
4-AMIODARONE
MAGILL FORCEPS, ped
2-SPARE SETUPS (gauge/tubing)
1- 100cc D5W
1- COLOR CAPNO (ped)
1- 250cc D5W
1- 19 ga BUTTERFLY
3- LIDOCAINE
1- 21 ga BUTTERFLY
1- LIDOCAINE DRIP 4:1
1- 23 ga BUTTERFLY
2- MAG SULFATE 1g or 1- 10g
COMPARTMENT ONE
1- MOTRIN (liquid)
1- 2.5 ET TUBE
NARCOTIC BOX
3- NARCAN
1- 3.0 ET TUBE
3-ONDANSETRON ODT
1- 3.5 ET TUBE
MORPHINE SULFATE
3-ONDANSETRON IV
1- 4.0 ET TUBE
DIAZEPAM
2-PHENERGAN
1- 4.5 ET TUBE
MIDAZOLAM
2- SALINE FLUSHES
1- 5.0 ET TUBE
FENTANYL
3- SODIUM BICARBONATE
1- 5.5 ET TUBE
KETAMINE
2- SOLU-MEDROL
1- 6.0 ET TUBE
1- LUBRICATING GEL
2- ATOMIZERS
1- 6.5 ET TUBE
1- ATOMIZER
1- CARPUJECT
1- #8 SUCTION CATH
1- 1cc SYRINGE W/NEEDLE
1- #10 SUCTION CATH
NCEMS AIRWAY EVAL FORM
2- ETOMIDATE
1- #14 SUCTION CATH
1- 30cc SYRINGE w/needles
1- 10cc SYRINGE w/needles
1- IV CATH 16 ga
1- IV CATH, 18ga
1- IV CATH 20ga
2- SUCCINYLCHOLINE
1- IV CATH 22ga
2- ROCURONIUM
1- IV CATH 24ga
1- CARDIZEM
1- 1000cc NORMAL SALINE
1- 40mm ORAL AIRWAY
1- 50mm ORAL AIRWAY
1- BOTTLED WATER
1- 60mm ORAL AIRWAY
1- 70mm ORAL AIRWAY
1- 80mm ORAL AIRWAY
WALL COMPARTMENT
BENCH SEAT
DRIVER BAG
RIGID SPLINTS, AD, 2 arm/ 2 leg
BAG VALVE MASK
1- BOX ea SIZE GLOVES S,M,L,XL
RIGID SPLINTS, PED, 2 arm/ 2 leg
1-#4 KING AIRWAY
2- LADDER SPLINT
2-PNEUMO NEEDLES
THERMOMETER
2- SPARE O2 CYLINDERS
CHEST SEAL
CAT TOURNIQUET
COMPARTMENT THREE
4-PACKS ELECTRODES, adult
STRETCHER
1ea- 90 AND 110 OPA
5-PACKS ELECTRODES, ped
O2 TANK LEVEL:______________
1ea-26 AND 30 NPA
1-SPARE BATTERY
TRAUMA DRESSING
2- EKG PAPER
MONITOR (LEFT POCKET)
1- ADULT DEFIB PADS
PULSE OX CABLE (adult)
1- PED DEFIB PADS
1- ADULT NIBP CUFF
HEMOSTATIC AGENT
1- MONITOR CHARGING CABLE
1- PACK NAIL POLISH REMOVER
PULSE OX CABLE (ped)
STETHOSCOPE
PULSE OX CABLE (infant)
1-250 NORMAL SALINE
DISPOSABLE CUFFS, AD/PED/INF
1-15 gtt SETUP
2- CAPNO FILTER LINE FOR ET
MONITOR (BACK POCKET)
BAG OF S,M,L,XL GLOVES
2- adult CAPNOLINE CANNULA
3- LEAD CABLE
SHARPS SHUTTLE
1- PED CAPNOLINE CANNULA
12- LEAD CABLE
2ea-ANGIOCATHS 14-20
50 OHM TEST LOAD
1- EKG PAPER
2-SALINE FLUSH
2-SALINE LOCKS
10- THERMO COVERS
1- ADULT ELECTRODES
TUBE HOLDER
2 - BOUGIE
2- PED ELECTRODES
PENLIGHT
5- CLIPPER BLADES
1ea- 4”, 6” KLING
4- 4X4s
COMPARTMENT FIVE
MONITOR (RIGHT POCKET)
ELASTIC WRAP
3- BIO-HOOPS
ADULT DEFIB PADS
PARAMEDIC SHEARS
2- STUFFED ANIMALS
PED DEFIB PADS
BAG W/ ALCOHOL PREPS,
TEGADERMS, BAND AIDS
1- DISINFECTANT SPRAY
NIBP CUFFS, LG ADULT & PED
1" TAPE, TOURNIQUET
1- DISINFECTANT HAND WIPES
5- TOWELS
1-ADULT COLOR CAPNO METER
1- BOTTLE HAND SANITIZER
20- Q TIPS
**** ON THE 1st, 2nd, 3rd OF EACH MONTH: ****
RUN MONITOR DIAGNOSTIC CHECK W/50ohm LOAD AND ATTACH PRINTOUT TO THIS SHEET.
On 1st ONLY, ROTATE MONITOR BATTERY WITH THE ONE IN CABINET.
RECORD EXPIRATION DATES FOR ALL EXPIRABLES, INCLUDING PEDS BAG.
ROTATE MEDS IN CABINET AND BAGS SO THAT EARLIEST EXPIRING MEDS ARE USED FIRST
CLEAN THERMOMETER LENS
NOTES OR MISSING ITEMS WHICH YOU WERE UNABLE TO REPLACE:
DRIVER SIGNATURE:_______________________________________________
ATTENDANT SIGNATURE:___________________________________________

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