Rig Checklist
Today's Date
*
-
Month
-
Day
Year
Date
Rig #
*
Please Select
Rescue 1
Rescue 2
Rescue 3
Crew Member
*
Please Select
Bertrand, Jake
Blake, Jessica
Cahill, Dave
Coburn, Dillan
Cohen, Jeff
Dwy, Ken
Felion, Josh
Foote, Marissa
Gero, Derek
Herrick, Aimee
Kilpeck, Erin
Kilpeck, Tom
Letourneau, Alyssa
Li, Will
Lloyd, Hunter
Robideau, Cathy
Schmidt, Len
Shum, Coleman
Thurston, Grant
Young, Brent
Vehicle Preparedness
*
Rows
Ready For
Service
Not Ready
For Svc
Fuel level 3/4 or above
Standard Vehicle Lights/Back-Up Alarm
Emergency Lights/Signals/Siren
Tires/Pressure
Shoreline Connection w/light on
Overall Cleanliness/Appearance
Drivers Compartment
*
Rows
Stocked
No Stock
Door Opener Building/RRMC
Fuel Card
Safety Vests (2)
ERG
Maps
Gloves (S,M,L, XL)
Assorted Keys
Exterior Compartments
*
Rows
Stocked
No Stock
Amount/Tag#
Main Oxygen (>500 psi) - Amount:
Safety Equip. (LifeJackets, Helmets, Jump Cables)
Stair Chair
Vaccume Splint Kit (S,M,L,Pump) Sealed Tag #
Backboards, Scoop, Quick Clips, Megamover
Bleeding Control Bag - Tag #
Trauma Bag - Tag #
Monitor
*
Rows
Stocked
No Stock
Left Pouch: 4 Lead cable, Pulse ox, BP cuff/tubing, Pedi spo2
Right Pouch: 2 adult pads, 1 pedi pads, cord, Electrodes (20 min)
Top Pouch: 12 lead wires, Razor, Benzoin
Back Pouch: Battery, Mainstream, Sidestream, EKG paper
Cabinet A (top)
*
Rows
Stocked
No Stock
OB Kit/baby hat/stuffed animal
Meconium Aspirator
Bulb Syringe
Under Bench Seat
*
Rows
Stocked
No Stock
Pedi Mate
MCI Supplies
Cabinet A (bottom)
*
Rows
Stocked
No Stock
Hyfin Chest Seal and Cling Wrap
Tourniquet
Israeli Bandage (2)
Sam Splints (2)
Burn Sheets (2)
Truama Sheet(2)
Sterile Water (2)
Tape 1' and 2'
Kerlex(sm,med,lar),4x4,gauze pads
Cabinet B
*
Rows
Stocked
No Stock
Assorted BP Cuffs (Orange Pouch)
Manual Adult BP Cuffs (Normal, Large)
State Protocol Book
Clipboard: Refusals,Signature Sheets,P/T reports
Ring Cutter,Trauma Shears,Thermometer/Covers
Bandaids & Gauze
Restraints (2)
Cold/Hot Packs
Cabinet C
*
Rows
Stocked
No Stock
PPE (N95 masks, goggles, isolation suit)
Extra Cot Battery
Chucks
Goggles (3)
Gowns (3)
Ear Protection
Emesis Bags
Bed Pan & Urinal
Toilet Paper
Cabinet D
*
Rows
Stocked
No Stock
Pedi Pouch: Pedi & Infant NC/NRB
Adult Pouch: NC (2) & NRB (2)
Nebulizer Mouthpiece & Mask
Extension Tubing
NPAs Assorted
OPAs Assorted
Adult & Pedi BVM
Supraglottic Airway Sz 3-5
Tube Holder
CPAP: Med & Lg
Suction Canister/Tubing/Yankauer
Cabinet E
*
Rows
Stocked
No Stock
Catheters 4 each (16, 18, 20, 22, 24)
3 IV Start Kits
4 Saline Flushes
4 Claves
Normal Saline 1,000 Bag (3)
2 Admin Sets 15 gtt/ml
2 Blood Draw Kits
Stretcher
*
Rows
Yes
No
Tag #
Cot Battery Green
Sanitized/Clean/Stretcher Made
Extra Linens
Disinfectant Wipes
Suction Unit Assembled & Operational
Nitrous Oxide Sealed
Lucas
*
Rows
Stocked
No Stock
Battery above 1 bar (spare)
Suction Cup
Neck Strap, Back Plate
Charging Cable
First In Bag
Left Pouch: IV
*
Rows
Stocked
No Stock
Administration Set 15 gtts/min (1)
1,000 ml Bag of Normal Saline (1)
IV Catheters (1 Each)
Start Kits (2)
Flushes (2)
Saline Locks (2)
Sharps Shuttle
Top Pouch: Vitals
*
Rows
Stocked
No Stock
Glucometer: Lancets,Test Strips,Bandaids,Prep Pads
Stethoscope
Adult BP Cuff (Normal, Large)
Pulse Ox, Trauma Shears, Pen Light
Biohazard Bag and Emesis Bag
Right Pouch: Meds(skip if sealed)
Rows
Stocked &
In Date
No Stock
Cardiac Epi (2)
Nitro Spray
D 10
Asprin
Glucagon
Epi (1:1,000) (2)
(2ea) Narcan (IV and Nasal Atomizers)
Oral Glucose
Odansetron (ODT x2) (IV x2)
Ready Set Inject Kit
MAD (1)
Assorted Hypodermic Needles
Center Compartment Top
*
Rows
Stocked
No Stock
Tag #
EZ IO.
Center Compartment Bottom
*
Rows
Stocked
No Stock
Abdominal Pads (4)
Shooter Kit: Hyphen Chest seal, Israeli Bandage, Tourniquet, Shears, Rescue Blankets(2), Abd Pads(2), Sharpie
Tape 1 inch, and 2 inch
Trauma Dressing (2)
Triangular Bandages (3)
Burn Sheet (1)
Chux
Kerlix (4)
Assorted Gauze
Sam Splint (1)
Nose Clips (2)
500ml Saline Bottle
O2 Bag
Front Pouch
*
Rows
Stocked
No Stock
Amount
NRB (1)
NC (1)
Nebulizer set w/Mask (1)
Albuterol (2)
Duo-Neb (2)
Inner Top Compartment
*
Rows
Stocked
No Stock
Amount
BVM
Tubing
Tube Holder
Main Compartment
*
Rows
Stocked
No Stock
Amount
Oxygen Tank Aluminum Amount PSI
Supraglottic Airways Size 3-5
Adult BVM
1" Tape
Assorted OPAs/NPAs
Pedi Bag
*
Rows
Tag #
Pedi Bag
Front Pocket
*
Rows
Yes
No
Infant BVM
Pedi BVM
Pediatape
Front Inner Pocket
*
Rows
Yes
No
OPA's
Side Stream CO2
2 - Infant NC
2 - Pedi NC
1 Infant NRB
1 Pedi NRB
Middle Inner Section
*
Rows
Yes
No
Exp
Infant BP Cuff
Bulb Syringe
Emergency Blanket
Pedi BP Cuff
Pedi Stethoscope
Middle Inner Section
*
Rows
Yes
No
Exp
Supraglottic Airway 2.5
60 Drop ML Drip Set
2 Start Kits
4 Flushes
2 Claves
2 IV Cathedars 20g
2 IV Cathedars 22g
2 IV Cathedars 24g
Sharps Shuttle
1 Normal Saline 1,000 ml Bag
Submit
Should be Empty: