Wintergreen Fire & Rescue – Response 173 Inventory Check Sheet
Date: ___/___/___ Mileage: __________ Checked By: __________________________
Please remove items indicated with ____ when vehicle is taken out-of-service.
Cab
___ TJEMS Protocol Book
___ DOT Emergency Response Guide
___ 2 Safety Vests
___ Terrorism Response Book
___ Toughbook w/charger
___ Clipboard
___ Nelson County Map Book
___ 25 Triage Tags
___ Hand Sanitizer
___ Wintergreen Emergency Response Plan
___ GPS
___ Trailer Plug Adapter
___ Flashlight
___ Camera
Area #1: (Back Hatch)
___ Oxygen Duffle (Refer to list below)
___ Trauma Bag (Refer to list below)
___ Portable Suction
___ 1 VHF Walkie
___ Zoll Monitor (Refer to list below)
___ CPAP Kit
___ 1 UHF Walkie
___ AT Trail Map (laminated)
___ Cardiac Box (locked/in-date)
___ 5 Flares w/case
___ Triage Tape Kit
___ Tow Hitch w/2” ball
___ 2 Blankets
___ Flash Light (Alt. loc. In Cab)
___ Ceramic Heater
___ 1 Sharps Container
___ 5# Fire Extinguisher
___ Multi-cuff Kit
___ Gloves (S-M-L-XL)
___ Spare O2 Bottle
___ 5 Flares w/case
___ 2 Towels
___ 25 Triage Tags
___ 1 Helmet
___ Tool Bag, Contents:
____ 1 Adjustable Wrench, 10”
___ 1 Standard Screwdriver
___ 1 Phillips Screwdriver
____ 1 Center Punch
___ 1 Hammer
___ 1 Pair Vise Grips
____ 1 Pair Work Gloves
___ C-Collar Kit, Contents:
____ 1 Roll 2” Tape
____ 2 Head Blocks (or Towel Rolls)
___1 set Spider Straps
____ 1 Each Size C-Collar (Infant/Pediatric/Regular/No-Neck/Short/Tall) or 2 Adjustable
___ 1 USAR Fanny Pack-Contents:
____ 1 Trauma Shears
____ 1Whistle
____ 1 Penlight
____ 2 Vaseline Gauze
____ 4 ea 4x4s
____ 2 ea 5x9s
____ 1 Isothermal Blanket
____ 1 SAM Splint
____ 1 Roll 2” Tape
____ 1 BP Cuff/Stethoscope
____ 1 Micro Shield Mask
____ Assorted Bandaids
____ Assorted Sting Swabs
____ 2 Rolls 4” Roller Gauze
____ 1 Carabineer
____ 50’ rope
____ 2 Ice Packs
____ 1 Hand Sanitizer
____ 2 Cravats
____ Large Latex Gloves
____ 1 Oral Glucose
____ 1 Hiking Trail Map
____ 1 Roll-Surveyor’s Tape
____ 1 Trauma Dressing
____ 1 Set of OPA's
____ 1 Bite Stick
Oxygen Duffle “aka: Green Bag”
____ 1 “D” Size O
Tank w/regulator
____ 1 Glucometer Kit
____ 1 GUM Bougie
2
____ 2 Adult NRBs
____ 2 Adult Nasal Cannulas
____ 1 Pocket Mask
____ 1 Trauma Shears
____ NPAs w/ Lube (20-36 Fr)
____ 1 OPA kit (0-6)
____ 2 Tubes Oral Glucose
____ 2 Convenience Bags
Outside Rear Long Pocket*
____ 1 Adult BVM
____ Disposable Face Masks (Lg. Adult/Adult/Child)
Outside End Pocket:
____ 1 Adult BP Cuff & Stethoscope
Outside Front Long Pocket*
____ 1 6.5 Surgical Cric. Kit
____ 1ea King Airway 2/2.5/3/4/5
____ 1 Hupp Trach Hook
____ 1 Illinois Bone Marrow Needle “aka Jamshidi”
____ EZ IO Kit
____ 1 LD Needle
____ 2 IO Start Sets
____ 1 Gum Bougie
____ 1 Forceps
____ 1 Intubation Kit – Contents:
____ 1 60 cc Irrigation Syringe
____ 1 Magill’s Forceps
____ 2 Extra “C” Cell Batteries
____ Lubricant Packets
____ 1 Adult CO2 Detector
____ OPAs (0-6)
____ 2ea 10cc Syringes
____ 1 Laryngoscope Handle
____ 1 Roll Tape
____ 2 NG/OG Tubing
____ 1 ea Miller Blades 1/2/3/4
____ 1 ea Macintosh Blades 1/2/3/4
____ 1 Tube Holder
____ 1 ea Cuffed ET Tubes 5.0/5.5/6.0/6.5 ____ 2 14FR Stylettes
____ 1 Muconium Aspirator
7.0/7.5/8.0/8.5/9.0
____ 1 set of Nasal Airways
____ 1 ETCO2 Pediatric
____ 1 Pair Safety Glasses