Davidson County Emergency Services
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- Blaise Higgins
- 5 years ago
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1 Davidson County Emergency Services Date: / / Unit Number Personnel Numbers / Shift: FRONT OUTSIDE POCKET INSIDE LOWER ZIPPER POCKET IO BAG 1-BP CUFF x / 8- EPI-1:10,000 mg 1- EZ-IO DRILL 1-STETHOSCOPE x / 1- D ea IO NEEDLES 1- GLUCOMETER x / 1- NARCAN x / ADULT/CHILD (blue) x / 1- GLUCOSE TEST STRIPS x / 2- ATROPINE x / LG ADULT (yellow) x / 6- LANCETS x / 2- SODIUM BICARB x / 2- IO STABILIZERS x / BAND-AIDS x / 1- CALCIUM x / 1-PRESSURE INFUSOR x / ALCOHOL PREPS BLACK MEDICATION PACK x / 1- LIDOCAINE 1- PULSE OXIMETER x / 1- ASPIRIN bottle x / 4- ALCOHOL PREPS x / 1- AMMONIA INHALANTS x / 1- AMIODARONE x / 2- SALINE FLUSHES 1- SHARPS SHUTTLE x / 1-ATOMIZER 1- ROLL 1" TAPE 1- PENLIGHT x / 1- NASAL SPRAY AIRWAY KIT LEFT OUTSIDE BLACK POCKET x / 1- NITRO TABLETS 1- ADULT BVM (INSIDE MAIN BAG) 2-SURGICAL MASKS x / 1-BENADRYL INJECTION 1- CPAP LG MASK (INSIDE MAIN BAG) 2ea-N95 MASKS (KC/Moldex) x / 1-ONDANSETRON ODT 1- CPAP TUBING (INSIDE MAIN BAG) 1- RED BAG x / 1-ONDANSETRON IV LARYNGOSCOPE HANDLE 2sets GLOVES (M/L) x / 1-PHENERGAN x / 1- MILLER #3 1- BIOHOOP x / 1- IPRATROPIUM x / 1- MILLER #4 RIGHT OUTSIDE POCKET x / 1- ALBUTEROL x / 1-MACINTOSH #3 5-4x4 GAUZE x / 1- EPI-1:1000 mg x / 1-MACINTOSH #4 x / 1-VASELINE GAUZE x / 1-ORAL GLUCOSE x / 1-10-cc SYRINGE (luer-lock) 2- CAT TOURNIQUET x / 1- GLUCAGEN x / KING AIRWAY 2- TRIANGULAR BANDAGES x / 1-SALINE FLUSH x / 1- ET HOLDER 2-4", 2-6" ROLLS KLING x / 3-IM NEEDLES 1- BITE STICK 1-ROLL 2" TAPE 1-1cc SYRINGE 2- SPARE BATTERIES LEFT REAR OUTSIDE POCKET 2-3cc SYRINGES MAGILL FORCEPS, adult x / 1- NEBULIZER 1-10cc SYRINGE 2- TONGUE DEPRESSORS x / 1- ADULT NASAL CANNULA RED IV BAG x / 1-ea ET TUBE 6.5 x / 1- ADULT NON-REBREATHER x / BAND-AIDS x / 1-ea ET TUBE 7.5 x / 1- ADULT AEROSOL MASK x / ALCOHOL PREPS x / 1- ADULT STYLET INSIDE TOP ZIPPER POCKET x / 1-ea IV CATH #14 1- OPA 90mm 1-PARAMEDIC SHEARS x / 1-ea IV CATH #16 1- OPA 100mm 2-8X10 PADS x / 2-ea IV CATH #18 1- OPA 110mm 2-5X9 PADS x / 2-ea IV CATH # 20 x / 1- PACK LUBRICATING GEL x / 1- BURN SHEET x / 1-ea IV CATH # 22 x / 1-BOUGIE x / 1-TRAUMA DRESSING 2- TOURNIQUETS x / 1- CAPNO FILTER LINE (adult) 2-FACESHIELDS x / 2- SALINE LOCKS x / 1-CHEST SEAL KIT x / 2- SALINE FLUSHES x / 2- PNEUMO NEEDLES x / 2- TEGADERM x / 1- HEMOSTATIC AGENT 1-1" TAPE 1- ROLL 1/2" TAPE x / 1- SET-UP, 10/15gtt x / 1-250cc N/S x / cc N/S (center section) Page 1 REV
2 COMPARTMENT TWO 1- ea NPA 2- SUCTION CANISTER, 1ea 800/1200 x / #26, 28, 30, 32 IV BOX 1- ea. SUCTION CATHS x / 1- MILLER #3 4- ea ANGIOCATHS x / # 8 x / 1- MILLER #4 x / #14 x / #10 x / 1-MACINTOSH #3 x / #16 x / #14 x / 1-MACINTOSH #4 x / #18 x / #16 1- O2 CHRISTMAS TREE x / #20 1- ea NG TUBE 1- O2 WRENCH x / #22 x / #10 x / 1-10cc SYRINGE (luer-lock) x / #24 x / #16 x / 1-10cc SYRINGE (slip-tip) 4- IV TOURNIQUETS 1-60cc SYRINGE (slip tip) 2-FACESHIELDS x / 1- NITRO TABS x / 1- PACK LUBRICATING GEL x / 1-CRICH KIT x / 4- NITRO OINTMENT w/ruler x / 2- SUCTION TUBING 1- PROTECTIVE EYE WEAR x / 1- BOTTLE ASPIRIN 1- SUCTION CONNECTOR COMPARTMENT SIX (TOP) 1- ROLL TAPE 1 x / 2- YANKAUER SUCTION x / 1- BVM infant 1- ea BUTTERFLY NEEDLE 1- DCEMS PROTOCOLS x / 1- BVM child x / #21 COMPARTMENT FOUR x / 1- BVM adult x / #23 1- ea ET TUBE 1- ea MASKS x / BANDAIDS x / #2.5 x / neonate #0 x / ALCOHOL PREPS x / #3.0 x / infant #1 x / 4- SALINE LOCKS x / #3.5 x / pediatric #2 x / 4-SALINE FLUSHES x / #4.0 x / small #3 x / 4- TEGADERM x / #4.5 x / medium #4 x / #5.0 x / large #5 x / 2-1cc SYRINGE x / #5.5 COMPARTMENT SIX (BOTTOM) x / 4-3cc SYRINGE x / #6.0 x / 4- ADULT NASAL CANNULA x / 1-10cc (luer-lock) SYRINGE x / #6.5 x / 4- ADULT NON-REBREATHER x / 1-10cc (slip-tip) SYRINGE x / #7.0 x / 2- PED NASAL CANNULA x / 2-30cc SYRINGE x / #7.5 x / 2- PED MASKS x / 5- IM NEEDLES x / #8.0 x / 2- O2 SUPPLY TUBING x / 2-STROKE KITS x / #8.5 x / 4- NEBULIZERS x / #9.0 x / 2- ADULT AEROSOL MASKS 1- ea ARM BOARD- adult/ped x / #9.5 x / 2- PED AEROSOL MASKS x / 1- BURETROL SET x / 1- ADULT STYLET x / 3- IPRATROPIUM x / 1- BOX ALCOHOL PREPS x / 1- PED STYLET x / 3- ALBUTEROL x / 1- BOX BAND-AIDS 1- ea. KING AIRWAY CPR SEAT x / 1- BOX LANCETS x / #2 4- RED HAZ-MAT BAGS x / 4- IV SET-UPS, 10gtt x / # URINAL x / 1- IV SET-UP, 60gtt x / #3 1- BED PAN x / 1- DIAL-A-FLOW x / #4 1- BODY BAG x / 1-BOX TEGADERM x / #5 1- EMERGENCY BLANKET x / 1- ET TUBE HOLDER 1- ADULT FOIL BLANKET x / cc LR x / 1- PACK LUBRICATING GEL COMPARTMENT EIGHT (TOP) BURN RESOURCES CHART 1- ea OPA x / cc N/S x / 1- OXYGEN HUMIDIFIER #40, 50, 60, 70, 80 90, 100, 110 x / cc N/S x / 1-PRESSURE INFUSOR COMPARTMENT TEN Page 2 REV
3 ACTION AREA SHELF x / 3- D50% UNIT SUCTION OPERATIONAL x / 1- EPI. 1:1000 1mg 1- CARRYING CASE x / 1- YANKAUER SUCTION x / 8- EPI. 1:10, ADULT COLLARS SURGICAL CLIPPERS x / 1- GEODON 4- PED COLLARS x / 1- CLIPPER BLADE x / w/sterile water 4- ADULT IMMOBILIZERS 1- BOX KLEENEX x / 1- GLUCAGEN 4- PED IMMOBILIZERS 1- BP CUFF x / 6- IBUPROFEN 2- INFANT IMMOBILIZERS 1- STETHOSCOPE x / 1-AMIODARONE COMPARTMENT TWELVE x / 1-100cc D5W 8-ea SHOE COVERS x / 1-250cc D5W LARYNGYOSCOPE HANDLE 2- ea N95 MASKS, S/M x / 3- LIDOCAINE x / 1- MILLER #0 4- ea ISOLATION GOWNS x / 1- LIDOCAINE DRIP 4:1 x / 1- MILLER #1 4- ea SURGICAL MASKS x / 2- MAG SULFATE 5g x / 1- MILLER #2 COMPARTMENT FOURTEEN (TOP) x / 1- MOTRIN (liquid w/syringe) x / 1- MAC #2 1- BOX ZIPLOC BAGS x / 3- NARCAN PED. MEASURING TAPE 1- THIGH BP CUFF x / 3-ONDANSETRON ODT 1- STETHOSCOPE 1- OB KIT x / 3-ONDANSETRON IV 1- PED B/P CUFF x / 1- PED SILVER THERMAL BLANKET x / 2-PHENERGAN x / 1- BVM infant x / 4- HOT PACKS x / 2- SALINE FLUSHES x / 1- BVM child x / 6- COLD PACKS x / 3- SODIUM BICARBONATE 1- BULB SUCTION 2- PAIR PATIENT RESTRAINTS x / 3- SOLU-MEDROL x / 1- MICRO SET-UP, 60gtt COMPARTMENT SIXTEEN (TOP) x / 2- ATOMIZERS x / 1- SALINE FLUSH 1- BAG KLING 4 1- MEDICATION ADDED LABELS x / 1- NS 1000cc 1- BAG KLING 6 1- BOTTLED WATER x / 1-1:10,000 EPINEPHRINE 1- BOX 4x4s AMIODARONE DRIP x / 1- ATROPINE x / 1- PACK VASELINE GAUZE x / 1 - AMIODARONE x / 1-AMIODARONE 1- PARAMEDIC SHEARS x / 100cc D5W x / 1-D10W, 250cc 1- HEMOSTATS x / 1-3cc SYRINGE x / 1-PED ET STYLET x / 2- TRAUMA DRESSINGS x / 1-10gtt DRIP SET 1- MECONIUM ASPIRATOR x / 2- BURN SHEETS 2- MED ADDED LABELS MAGILL FORCEPS (ped) 4- TRIANGULAR BANDAGES x / 250cc D5W x / 1- COLOR CAPNO (ped) 4-5x9 DRESSING x / 1-10cc SYRINGE x / 1- CAPNO FILTER LINE (ped) 4-8x10 DRESSING x / 1-60gtt DRIP SET x / 1-19 ga BUTTERFLY 1-RING CUTTER x / 1- IM NEEDLE x / 1-21 ga BUTTERFLY 1-1" TAPE EPINEPHRINE DRIP x / 1-23 ga BUTTERFLY 1-2" TAPE x / 1-1:1000 EPINEPHRINE x / ET TUBE 4- ELASTIC WRAPS x / 1-1cc SYRINGE w/needle x / ET TUBE COMPARTMENT SIXTEEN (BOTTOM) x / 250cc NS x / ET TUBE x / 1-60gtt DRIP SET x / ET TUBE x / 6- ACETAMINOPHEN 1- MED ADDED LABEL x / ET TUBE x / 5-ADENOSINE x / ET TUBE x / 2- ATROPINE x / ET TUBE x / 3- BENADRYL INJ. x / ET TUBE x / 2- BENADRYL, 25mg oral x / ET TUBE x / 2- CALCIUM CHLORIDE x / 1- PED ET TUBE HOLDER x / 1- NASAL SPRAY C-SPINE PEDIATRIC BAG Page 3 REV
4 PEDIATRIC BAG NARCOTIC BOX COMPARTMENT THREE x / 1- #8 SUCTION CATH x / MORPHINE SULFATE x / 4-PACKS ELECTRODES, adult x / 1- #10 SUCTION CATH x / DIAZEPAM x / 5-PACKS ELECTRODES, ped x / 1- #14 SUCTION CATH x / MIDAZOLAM 1-SPARE BATTERY x / 1- IV CATH 16 ga x / FENTANYL 2- EKG PAPER x / 1- IV CATH, 18ga x / KETAMINE x / 1- ADULT/CHILD DEFIB PADS x / 1- IV CATH 20ga x / 1- LUBRICATING GEL x / 1- INFANT DEFIB PADS x / 1- IV CATH 22ga x / 1- ATOMIZER 1- MONITOR CHARGING CABLE x / 1- IV CATH 24ga 1- CARPUJECT PULSE OX CABLE (ped) 1-40mm ORAL AIRWAY 1-1cc LUER LOCK SYRINGE PULSE OX CABLE (infant) 1-50mm ORAL AIRWAY 1-3cc SYRINGE x / 2- CAPNO FILTER LINES (adult) 1-60mm ORAL AIRWAY 1-10cc LUER LOCK SYRINGE x / 2- adult CAPNO CANNULA 1-70mm ORAL AIRWAY x / 1- IM NEEDLE x / 1- ped CAPNO CANNULA 1-80mm ORAL AIRWAY NCEMS AIRWAY EVAL FORM 50 OHM TEST LOAD x / 1- PED NASAL CANNULA 10- THERMOMETER COVERS x / 1- PED NON-REBREATHER RSI KIT x / 2 - BOUGIE 1- ea NPA x / 2- ETOMIDATE 5- CLIPPER BLADES x / # cc SYRINGE w/needles MONITOR PAIRING INSTRUCTIONS x / # cc SYRINGE w/needles DISPOSABLE CUFFS x / #20 COOLER ADULT BP CUFF x / #22 x / 2- SUCCINYLCHOLINE ADULT X-LONG BP CUFF x / #24 x / 2- ROCURONIUM CHILD BP CUFF x / #26 x / 2- CARDIZEM INFANT BP CUFF x / cc NORMAL SALINE SIDE COMPARTMENT 1- PORTABLE SUCTION UNIT WALL COMPARTMENT MONITOR (LEFT POCKET) OPERATIONAL 1- BOX ea SIZE GLOVES S,M,L,XL PULSE OX CABLE (adult) 1- CHARGER THERMOMETER w/covers 1- ADULT NIBP CUFF x / 1- YANKAUER SUCTION BENCH SEAT x / 1- PACK NAIL POLISH REMOVER 1- ea SUCTION CATH 2- RIGID SPLINTS, ped arm #1 x / #8 2- RIGID SPLINTS, adult arm #2 MONITOR (BACK POCKET) x / #10 2- RIGID SPLINTS, ped leg #3 3- LEAD CABLE x / #14 2- RIGID SPLINTS, adult leg #4 12- LEAD CABLE x / #16 2- LADDER SPLINT 1- EKG PAPER 1- SUCTION CONNECTOR 2- SPARE O2 CYLINDERS x / 1- PACK ADULT ELECTRODES 1- RINSING BOTTLE x / 2- PACKS PED ELECTRODES 2- BARIATRIC TARPS (REG/DISP) CHILD SEAT/RESTRAINT STRETCHER O2 TANK LEVEL: MONITOR (RIGHT POCKET) COMPARTMENT FIVE x / ADULT/CHILD DEFIB PADS CPAP BAG x / 3- BIO-HOOPS x / INFANT DEFIB PADS x / 2-CPAP TUBING w/neb 2- STUFFED ANIMALS NIBP CUFFS, LG ADULT & PED x / 2- LARGE ADULT MASK 1- DISINFECTANT SPRAY x / 1-ADULT COLOR CAPNO METER x / 2-MEDIUM MASKS 1- DISINFECTANT HAND WIPES x / 1-SMALL MASK 5- TOWELS x / 1- BOTTLE HAND SANITIZER 20- Q TIPS Page 4 REV
5 BAG VALVE MASK BAG OF S,M,L,XL GLOVES SHARPS SHUTTLE x / 1-#4 KING AIRWAY 2- ea ANGIOCATHS x / 2-PNEUMO NEEDLES x / #14 x / CHEST SEAL x / #16 CAT TOURNIQUET x / #18 x / 1- NRB x / # mm OPA x / 2-SALINE FLUSH 1-110mm OPA x / 2-SALINE LOCKS 1- #26 NPA x / ET TUBE HOLDER 1- #30 NPA PENLIGHT x / TRAUMA DRESSING 1ea- 4, 6 KLING 2-5X9s 2-8X10s 4-4x4s ELASTIC WRAP x / HEMOSTATIC AGENT PARAMEDIC SHEARS BP CUFF STETHOSCOPE x / 1-250cc NORMAL SALINE x / 1-15 gtt SETUP DRIVER BAG BAG TEGADERMS, W/ ALCOHOL BAND PREPS, AIDS 1" TAPE, TOURNIQUET **** ON THE 1st, 2nd, 3rd OF EACH MONTH: **** RUN MONITOR DIAGNOSTIC CHECK w/50ohm LOAD AND ATTACH PRINTOUT TO THIS SHEET. RECORD EXPIRATION DATES FOR ALL EXPIRABLES, INCLUDING PEDS BAG. **** ON THE 1st ONLY**** ROTATE MEDS IN CABINET AND BAGS SO THAT EARLIEST EXPIRING MEDS ARE USED FIRST CLEAN THERMOMETER LENS w/alcohol PREP & Q-TIP ROTATE MONITOR BATTERY WITH THE ONE IN CABINET. CHECK IO DRILL-- short handle drill: pull trigger, confirm green LED; long handle drill: pull trigger only **IF ANY ITEM REQUIRES REPAIR/REPLACEMENT, AFFIX REPAIR TAG w/description AND SEND TO LOGISTICS** COMMENTS OR MISSING ITEMS WHICH YOU WERE UNABLE TO REPLACE: DRIVER SIGNATURE: ATTENDANT SIGNATURE: Page 5 REV
Davidson County Emergency Services
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