Response 174 Inventory Check Sheet - Wintergreen Fire & Rescue printable pdf download

Wintergreen Fire & Rescue – Response 174 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

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)

___ 25 Triage Tags

___ 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

___ Cardiac Box (Locked/In-date)

___ Tool Bag, Contents:

____ 1 Adjustable Wrench, 10”

___ 1 Standard Screwdriver

___ 1 Phillips Screwdriver

____ 1 Center Punch

___ 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

Oxygen Duffle “aka: Green Bag”

____ 1 “D” Size O

Tank w/regulator

____ 1 Glucometer Kit

____ 1 GUM Bougie

____ 2 Adult NRBs

____ 2 Adult Nasal Cannulas

____ 1 Pocket Mask

____ 2 Peds NRBs

____ 2 Child Nasal Cannulas

____

____ 1 Trauma Shears

____ NPAs w/ Lube (20-36 Fr)

____ 1 OPA kit (0-6)

____ 2 Tubes Oral Glutose

Outside Rear Long Pocket*

____ 1 Adult BVM

____ 1 Infant BVM

____ Disposable Face Masks

(Lg. Adult/Adult/Child)

Outside End Pocket:

____ 1 Adult BP Cuff & Stethoscope

____ 1 Peds BP Cuff & Stethoscope

Outside Front Long Pocket*

____ 1 6.5 Surgical Cric. Kit

____ 1ea King Airway 2/3/4/5

____ 1 Hupp Trach Hook

____ 1 Illinois Bone Marrow Needle “aka Jamshidi”

____ EZ IO Kit

____ 1 LD Needle

____ 2 IO Start Sets

____ 1 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

____ 1 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

Trauma Bag

____ 1 BP Cuff & Stethoscope

____ 1 Trauma Scissors

____ 1 Ring Cutter

____ 1 Hand Sanitizer

____ 1 Pocket Mask

____ 1 Set OPAs (0-6)

____ Assorted Large Gloves

____ 2 Cold Pack

____ 2 Hot Pack

____ 10 Triangular Bandages (Cravats)

____ 12 Assorted Roller Gauze

____ Assorted Band-Aids

____ 1 Commercial Tourniquet

____ 24 Assorted 4x4’s/5x9’s

____ 2 500ml Saline for Irrig.

____ 1 Sterile Burn Sheet

____ 4 Large Trauma Dressing

____ 2 Isothermal Blanket

____ 1 Oral Glucose

____ 4 Tape 1” and 2” rolls

____ 4 Vaseline Gauze

____ NPAs w/ lube (20-36 Fr)

____ 2 Emesis Bags

____ 1 SAM Splint

____ 1 Safety Glasses

____ 2 Surgical Masks

____ 2 Hemostats

____ 4 ACS Chest Seal or Occlusive

____ 1 Penlight

____ 12 Alcohol Preps

____ OB Kit

Response 174 Inventory Check Sheet - Wintergreen Fire & Rescue

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