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Truck Check-Off
Date
Truck #
Select Truck
Medical Check-Off
Installed 02
Fire Extinguisher (1)
Streamlight (1 or 2)
Traction Splint (1) Adult & (1) Pediatric KTD
K.E.D. (1)
Stair Chair (1)
Backboards & Straps (2 Minimum)
Pediatric Immobilizer (1)
Child Restraint System
Long Splints (2 each) S,M,L
Headblocks (4)
Portable O2
Portable O2 Bag Stocked (NC, NRB, Nebs)
Spare Portable Oxygen (1)
Bandaging Supplies ( Tape, Gauze Pads, Kling, Triangle Bandages, Elastic Bandages, SAM Splints, etc.)
Infection Control (Gowns, Masks, Hand Cleaner)
IV Supplies - Start Kits, Cathlons, Administration Sets, Fluids (4 each)
Airway (Oral, Nasal, NG/OG, BVM, Suction, BLS Airway, QuickTrach)
Thermometer & Ring Cutter (1 each)
Adult Nasal Cannula (4) Peds (2)
Adult NonRebreather (4) Peds (2)
Nebulizers (4)
Bed Pan & Urinal (1 each)
Portable Suction, Tubing, Big Stick - CHECK BATTERY
Intubation Kit - ET Tubes, BVM, ETCO2, Tube Holder, Stylets, Blades, Handle, CHECK LIGHT, Nasal Kit
Burn Sheets (2) Trauma Dressings (2)
Hot/Cold Packs (Shelf 3 Each, First Out Bag 1 Each)
First Out Bag
Glucometer
Nitroglycerin
Aspirin
Glucose
Zofran ODT
Adult BP Cuff
Ped BP Cuff
Stethoscope
Arterial Tourniquet (1)
Cardiac Monitor
Electrodes
Defib Pads
Sp02
Cables
BP Cuff
ETCO2
Spare Battery
Multicuff (1)
Installed Suction with Tubing & Big Stick
Gloves - S, M, L, XL
Sterile Water/Saline (Minimum 1,000ml)
Triage Bag with Tape & Tags
Arterial Tourniquet (shelf 1)
Body Bags (1 Lightweight, 1 Heavyweight)
Cot Made with Sheet, Pad, Pillow Blankets
Extra Linen Under Bench
Tag Numbers
Narcotic Box Tag #
Drug Bag Tag #
Verified on Log Sheet
EZ-IO KitTag #
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