Monthly Kit Check

Monthly Kit Check
Monthly Kit Check
Welcome to your monthly kit check!

As you go through the list, please note any items that need restocking—you’ll be prompted to add them at the end.

Also, make sure to record the earliest expiry date and the corresponding item.
Staff Member:

First NameLast Name
Date

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option

Kit Bag Number:
eg ILS 2 or FORUM
Existing Seal Number:

Observations Kit

Sp02 MeterBM MachineManual BP CuffStethoscopeThermometerPen Torch

Oxygen Delivery Kit

2x Adult Non-Rebreather Mask2 x Child Non-Rebreather Mask2 x Nasel Cannula1 x Adult Neb1 x Child Neb

Airway Kit

OP Airways (Sizes 0-5)NP Airways (Sixes 6-8)iGel Airways (Sizes 3, 4 & 5)1 x Adult & 1 x Child BVMLubeFlexi TubeFilter

Bleed Kit

2 x Tourniquets1 x Blast Dressing1 x Israeli Dressing2 x Chest SealsGlovesMarker PenEmergency Dressing

Ambulance Dressings Pouch

2 x Small Dressings2 x Medium Dressings2 x Large DressingsType option 4

First Aid

Assorted Plasters2 x Triangular BandagesTapeSailine Pods 20mlWipesGauze2 x Wound Packs

Burns Kit

Burns Dressings (assorted)Burn GelCling Film RollNon-asherent dressings

Infection Control

4 x Vomit BagsSharps Box6 x Face Masks2 x Eye ProtectionClinical Waste Bag

Naloxone (Nasal) 1
Batch Number
Expiry Date

DayMonthYear
Naloxone (Nasal) 2
Batch Number
Expiry Date

DayMonthYear

If the oxygen compartment is sealed, the Oxygen will be full
Oxygen Level

FullHalfLow

New Seal Number:
Items Needed
Signature

Clear
Should be Empty: