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Medical Bike Checklist
Tire pressure is within 5psi of the max pressure but not over
OK
Unacceptable
Wheels and Tires are in good condition
OK
Unacceptable
Brakes: "rule of thumbs"
OK
Unacceptable
Brakes: Levers pull equally and smoothly
OK
Unacceptable
Brakes: Disk brake pads are at least 1mm thick
OK
Unacceptable
Brakes: V-brake pads are not worn past grooves
OK
Unacceptable
Brakes: Roll test front brake
OK
Unacceptable
Brakes: Roll test rear brake
OK
Unacceptable
Crank arm check: both tight (if both loose, contact Community Health Captain 801-209-4933)
OK
Unacceptable
Crank arm check: one loose (if both loose, contact Community Health Captain 801-209-4933)
OK
Unacceptable
Quick: Quick releases are secure (indent in palm of hand)
OK
Unacceptable
Quick: Quick releases on hubs are in an up or back direction only
OK
Unacceptable
Check: Bounce test (no excessive noise or rattles)
OK
Unacceptable
Check: kickstand tight?
OK
Unacceptable
Check: kickstand in proper position?
OK
Unacceptable
Check: (slow ride) bike shifts properly
OK
Unacceptable
Check: (slow ride) brakes work properly
OK
Unacceptable
Check: Spare tubes
OK
Unacceptable
Check: Air pump
OK
Unacceptable
Medical Bag Checklist
1 Adult BP Cuff
OK
Unacceptable
1 Extra Large BP Cuff
OK
Unacceptable
1 Pediatric BP Cuff
OK
Unacceptable
2 Stethoscopes; 1 Adult, 1 Pediatric, or combination
OK
Unacceptable
2 Shears
OK
Unacceptable
1 Glucometer
OK
Unacceptable
1 Sat Monitor
OK
Unacceptable
2 Pen Lights
OK
Unacceptable
1 Broslow Tape
OK
Unacceptable
1 Box Ammonia Amps
OK
Unacceptable
1 12x30 Trauma Dressing
OK
Unacceptable
2 9x5 Trauma Dressing
OK
Unacceptable
1 10x8 Trauma Dressing
OK
Unacceptable
6 4x4 Trauma Dressing
OK
Unacceptable
4 Kerlix
OK
Unacceptable
2 Rolls Tape; 1 cloth and 1 transparent
OK
Unacceptable
2 Triangle Bandages
OK
Unacceptable
1 Tourniquet
OK
Unacceptable
2 Occlusive Dressing
OK
Unacceptable
1 Functional AED
OK
Unacceptable
2 Ice Packs
OK
Unacceptable
2 Vomit Bags
OK
Unacceptable
1 500cc Sterile Water
OK
Unacceptable
2 Albuterol
OK
Unacceptable
2 Narcan and MAD
OK
Unacceptable
1 Bottle of Aspirin
OK
Unacceptable
2 EPI Injectors; 1 adult and 1 pediatric
OK
Unacceptable
2 Oral Glucose
OK
Unacceptable
2 Biohazard Bags
OK
Unacceptable
4 N95 Mask
OK
Unacceptable
1 Pair Safety Glasses
OK
Unacceptable
1 Hand Sanitizer
OK
Unacceptable
Assorted Gloves
OK
Unacceptable
1 Sharp Shuttle
OK
Unacceptable
Airway Bag Checklist
1 Functional iPad
OK
Unacceptable
1 Functional Cellphone
OK
Unacceptable
1 Manual Suction
OK
Unacceptable
2 BVM; 1 Adult and 1 Pediatric
OK
Unacceptable
1 Bulb Syringe
OK
Unacceptable
3 OPA's; 1 Adult, 1 Pediatric, and 1 infant
OK
Unacceptable
3 NPS's; 1 Adult, 1 Pediatric and 1 infant
OK
Unacceptable
2 Adult NRB
OK
Unacceptable
2 Pediatric NRB
OK
Unacceptable
2 Adult Nasal Cannula
OK
Unacceptable
1 O2 Bottle and Regulator
OK
Unacceptable
2 Packets Lube
OK
Unacceptable
1 Nebulizer
OK
Unacceptable
4 N95 Masks
OK
Unacceptable
4 Surgical Masks
OK
Unacceptable
1 Safety Glasses
OK
Unacceptable
1 Hand Sanitizer
OK
Unacceptable
Assorted Gloves
OK
Unacceptable
1 10x8 Trauma Dressing
OK
Unacceptable
6 4x4 Trauma Dressing
OK
Unacceptable
4 Kerlix
OK
Unacceptable
1 Sam Splint
OK
Unacceptable
1 OB Kit
OK
Unacceptable
Additional Notes
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