• nems logo     Ambulance (Demeres) Vehicle Audit       

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  •  
  •   Stocked Restocked Stock not available
    PILLOWCASES (4)
    TOWELS (4)
    BLANKETS (4)
    SHEETS (4)
    PILLOWS (1)

  •  

  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    ASSEMBLED CPAP CIRCUIT (1)
    BURN KIT (1)
    CAPNOGRAPHY LINES NASAL (1)
    CAPNOGRAPHY LINES ETT (1)
    DEFIB PADS (1 set)
    ELECTRODES (1 bag or 30)
    GLUCOMETER TEST STRIPS (1 bottle)
    LANCETS (5)
    CARDIAC MONITOR PAPER (1)
    RAZORS (3)
    BP CUFF: ADULT (1)
    BP CUFF: PAEDS (1)
    STETHOSCOPE (1)
    THERMOMETER PROBE COVERS (1 box)
    LARYNGOSCOPE BATTERIES (2)
    LARYNGOSCOPE HANDLE-(disposable) (1)
    SPARE MEDICATION KIT (1)
    SYMPTOM RELIEF KIT (1)

  •  

  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    2 X 2 GAUZE DRESSING (10)
    4 X 4 GAUZE DRESSING (10)
    4" GAUZE ROLL (3)
    6" GAUZE ROLL (3)
    ABDOMINAL PAD (4)
    COLD PACK (2)
    EMESIS BAG (4)
    EYE PAD (6)
    FOIL BLANKET (2)
    PRESSURE DRESSING: SMALL (2)
    PRESSURE DRESSING: LARGE (2)
    QUICK SPLINT (2)
    SCISSORS (1)
    TAPE: ADHESIVE (1)
    TAPE: HYPOALLERGENIC (1)
    TAPE: WATER PROOF (1)
    TRIANGULAR BANDAGE (6)
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    STERILE WATER (500 mL) (2)
    P2 SUCTION TUBING (2)
    SPARE VEHICLE SUCTION CANISTER (1)
    SPARE PORTABLE SUCTION CANISTER (1)
    WIDE BORE SUCTION TIP WITH TUBING (2 each)
    SUCTION CATHETER: 10 FR (2)
    SUCTION CATHETER: 14 FR (2)
    YANKAUER SUCTION TIP (2)
  •   Stocked Restocked Stock not available
    Aerosol Mask: Paed (nebulizer) (2)
    Simple Mask: Paed (1)
    Flow Max: Paed (1)
    Aerochamber Paed (1)
    BVM - adult with mask (1)
    BVM - paed with mask (1)
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    Aerosol Mask: adult (nebulizer) (2)
    Aerochamber adult (1)
    Flow Max: adult (1)
    Oxygen tubing (2)
    Simple Face Mask: adult (1)
    Nasal Cannula (2)
    Non-Rebreather Mask (3)
    Water Soluble Lubricant (4)
    Nasopharyngeal Airway: 26fr (2)
    Nasopharyngeal Airway: 30fr (2)
    Nasopharyngeal Airway: 34fr (2)
    Oropharyngeal Airway: 60mm (2)
    Oropharyngeal Airway: 70mm (2)
    Oropharyngeal Airway: 80mm (2)
    Oropharyngeal Airway: 90mm (2)
    Oropharyngeal Airway: 100mm (2)
    Oropharyngeal Airway: 110mm (2)
    King Lt Size 3 (1)
    King Lt Size 4 (1)
    King Lt Size 5 (1)
    Syringe 60ml (1)
    Thomas Tube Tie (1)
    Superset/Hygroboy (1)

  •  

  •   Stocked Restocked Stock not available
    SPARE SPINE BOARD STRAPS (1 set)
    HEAD BLOCKS (1)
    CANVAS STRETCHER (1)

  •  

  •   Stocked Restocked Stock not available
    OBSERVER HELMET (1)
    HEAVY DUTY GLOVES (Pair)(2)
    BED PAN (1)
    TOILET PAPER (1)
    URINAL (1)
  •   Stocked Restocked Stock not available
    MCI KIT **
    MANTA (1)
    PEDIMATE (1)
    RESCUE SEAT (1)

  •  

  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    PRESSURE INFUSER (1)
    ALCOHOL SWABS (10)
    DIAL-A-DRIP (1)
    MICRODRIP SET (1)
    IV CATHETERS: 14G (2)
    IV CATHETERS: 16G (2)
    IV CATHETERS: 18G (2)
    IV CATHETERS: 20G (2)
    IV CATHETERS: 22G (2)
    IV CATHETERS: 24G (2)
    IV EXTENSION (1)
    IV DRIP SET (MACRO15 gtt) (1)
    NEEDLES #18g (2)
    NEEDLES #22g (2)
    NEEDLES #25g (2)
    OPSITES (4)
    SALINE LOCKS (1)
    Y-CONNECTOR LOCK (1)
    SYRINGES: 1 mL (2)
    SYRINGES: 3 mL (2)
    SYRINGES: 10mL (2)
    TAPE: HYPOALLERGENIC (1)
    TOURNIQUET(1)
  •   Stocked Restocked Stock not available Expiration dates checked if applicable
    SUDECON WIPES (4)
    ANTI-BACTERIAL WIPES (1 tub)
    BIOHAZARD BAGS (6)
    DISPOSABLE FACE SHIELD (2)
    OPP BLANKETS (4)
    N95 MASK (PLEATS PLUS / 8210/ 1870/1730) (4 each)
    PATIENT MASKS (4)
    SAFTEY GLASSES (2)
    ISOLATION GOWN: L/XL (4)
    ISOLATION SUIT: XL/4XL (2)

  •  

  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    EMESIS BAG (1)
    HAND SANITIZER (PURELL) (1)
    NASAL CANNULA (1)
    NON-REBREATHER MASK (1)
  •   Stocked Restocked Stock not available
    C-COLLARS: TALL, REGULAR, SHORT, NO NECK, PAEDS, BABY (1 each)
    SPEED SPLINT (2)
    TRACTION SPLINT (SAGAR) (1)
    EXTRICATION DEVICE (KED) (1)
  •   Stocked Restocked Stock not available
    GLOVES: S, M, L, XL (1 box of each)
    TISSUE (1 box)

  •  

  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    GARBAGE BAG (1)
    HAND SANITIZER (1)
    EMESIS BAG (1)
    IV DRIP SET (Macro 15gtt) (1)
    ALCOHOL SWABS (10)
    BANDAIDS (10)
    OPSITE (6)
    IV CATHETERS (14/ 16/ 18/ 20/ 22/ 24 G) (2 each)
    SYRINGE (1ml, 3ml, 5ml) (2 each)
    SYRINGE 10ml (3)
    NEEDLES #18g, #22g, #25g (2 each)
    TOURNIQUET (2)
    TAPE: HYPOALLERGENIC (1)
    2x2 GAUZE DRESSING (4)
    SALINE LOCK / Y CONNECTOR (1 each)
    IV EXTENSION (1)
    PRESSURE INFUSER (1)
    DIAL-A-DRIP + MICRODRIP SET (1 each)
    SHARPS CONTAINER (1)
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    GARBAGE BAG (1)
    HAND SANITIZER (1)
    EMESIS BAG (1)
    B/P CUFF ADULT (1)
    STETHOSCOPE (1)
    SPARE PORTABLE SUCTION CANISTER (1)
    ETT ORAL 6, 7, 8 (1 each)
    ETT NASAL 6, 7, 8 (1 each)
    ETT THOMAS TUBE TIE (1)
    ETT TUBE TIE (1)
    ENDOTRACHEAL TUBE STYLLET (1)
    LARYNGOSCOPE BLADES (Mac 3, 4) (Miller 4) (1 each)
    LARYNGOSCOPE HANDLE (1)
    WATER SOLUBLE LUBRICANT (1)
    MAGILL FORCEPS (1)
    ETT MDI ADAPTER (1)
    SYRINGE 10ml (2)
    TAPE: WATERPROOF (1)
    FACE SHIELD (1)
    SUCTION CATHETER (10,14 FR) not kinked or bent (1 each)
    P2 SUCTION TUBING (1)
    SUCTION UNIT WITH CANISTER (1)
    SPARE SUCTION BATTERY (1)
    YANKER SUCTION TIP (1)
    KING - LT Size 3,4,5 (1 each)
    SYTRINGE 60 ml (1)
    Left Pocket - WATER SOLUBLE LUBRICANT (1)
    Left Pocket - ETT THOMAS TUBE TIE (1)
    CAPNOGRAPHY LINES: ETT/Nasal (1 each)
    ASHERMAN CHEST SEAL (2)
    2 x 2 GAUZE DRESSING (4)
    4 x 4 GAUZE DRESSING (4)
    4” GAUZE ROLL (2)
    6” GAUZE ROLL (2)
    TAPE: ADHESIVE (1)
    LARGE PRESSURE DRESSING (1)
    SMALL PRESSURE DRESSING (1)
    TRIANGULAR BANDAGE (3)
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    BVM (Adult) WITH MASK (1)
    AEROSOL MASK: ADULT (with nebulizer) (1)
    ADULT AEROCHAMBER (1)
    SUPERSET WITH ETT CAPNOGRAPHY LINE (1)
    OXYGEN TUBING (1)
    ADULT FLO MASK (1)
    O2 CYLINDER / REGULATOR (1)
    NON-REBREATHER (1)
    NASAL CANNULA (1)
    OROPHARYNGEAL AIRWAY (80/ 90/ 100/ 110) (1 each)
    NASOPHARYNGEAL AIRWAY (26/ 30/ 34 Fr with lubricant) (1 each)
    CAPNOGRAPHY LINE - Nasal (1 each)
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    4” Gauze Roll
    6” Gauze Roll
    Triangular Bandage
    C-Collars: Tall, Regular, Short, No Neck, Paeds, Baby
    Pressure Dressing Small
    Pressure Dressing Large
    Eye Pad
    2x2 Gauze Dressing
    4x4 Gauze Dressing
    Gloves (Pairs)
    Hand Sanitizer
    Irrigation Fluid (500 ml)
    Tape: Adhesive
    Tape: Hypoallergenic
    Cold Packs
    Head Blocks
    Spine Board Straps
    Abdominal Pads
    Sudecon
    Neomycin (Packets)
    V-Vac with Catheter and adapter
    Quick Splint
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    Electrodes
    Defib Pads
    NIBP Cuff (Lg Adult/ Med Adult/ Sm Adult/ Paeds)
    ECG Paper (1 in monitor; 1 spare)
    Razors
    Monitoring Cables with 12 Lead Extension
    Glucometer With Test Strips
    Lancets
    2x2 Gauze Dressing
    Bandaids
    Alcohol Swabs
    Spo2 Sensor (Adult/ Paeds)
    Thermometer With Probe Covers
    Capnography Line: Nasal
    Towel
  •   Stocked Restocked Stock not available Expiration dates checked If applicable)
    Obstetrical Kit
    BVM (Paed) with 3 masks
    Oropharyngeal Airway 60/ 70/ 80
    BP Cuff Paeds
    Simple Face Mask: Paeds
    Aerosol Mask Paeds (with nebulizer)
    IO Needles 16 & 18g
    Aerochamber Paeds
    ETT MDI Adapter
    Laryngoscope Blades (Mac 1, 2) (Miller 1, 2)
    Laryngoscope Handle
    Suction Catheter (5,8,FR) not kinked or bent
    ETT tubes (2.5, 3, 3.5, 4, 4.5, 5, 5.5)
    Pediatric Stylet
    Syringe 10ml
    Meconium Aspirator
    Magill Forceps
    Tape: Waterproof
    Flow Max: Paed
    Superset Complete with Capnography Line ETT
    Thomas Tube Tie
    ETT Tube Tie
    Pediatric Reference Sheet
  •   Stocked Restocked Stock not available Expiration dates checked (if applicable)
    Light sticks
    Markers Permanent Ink
    MCI Reference Card
    Site Coordinator Vest
    TC Emergency response Guide
    Triage Tags
    Multi Use Vest

  •  

  •   Stocked Restocked Stock not available
    Canvas Stretcher Poles
    Cell Phone (with charger)
    CPAP unit
    Fire Extinguisher
    Flares (Road)
    Flashlight
    Map Book
    Out of Service / First Response Sign
    Out of Service Tags
    Oxygen Tank (D-size / full)
    Paramedic PPE Kit (infection control)
    Personal Flotation Vest
    Portable Radio (MOH)
    Spill Kit (all hazard)
    Spinal Boards (with quick connect pins)
    Throw Bag (water rescue)
    Vehicle Resource Binder
    Vehicle Tool Kit **
  • PT CARE EQUIPMENT INSPECTIONS


     To view equipment manuals go to  http://collaboration.rmon.pri/EMS/ems/training/default.aspx

  •   Inspected
    Are all components present?
    Is the cot free of excessive wear?
    Are all screws, nuts, bolts, rivets, and roll pins in place?
    Do all moving parts operate smoothly and properly?
    Does the cot load an unload properly?
    Does the safety hook engage the safety bar during unloading?
    Does the cot roll smoothly?
    Do the wheel locks engage properly and stop wheel rotation?
    Is restraint webbing in good condition with no cuts or frayed edges?
    Are restraint buckles free of visible damage and do they operate properly?
    Is the ambulance properly prepared for the cot with a cot fastener installed?
  •   Inspected
    Are all components present?
    Is the chair free of excessive wear?
    Are all screws, nuts, bolts, rivets, and roll pins in place?
    Do all moving parts operate smoothly and properly?
    Do all locks on the chair operate properly?
    Does the chair roll smoothly?
    Are the restraints properly installed?
    Is restraint webbing in good condition with no cuts or frayed edges?
    Do installed accessories operate properly without interfering with cot operation?
    Are the track and belts free from lubricant, dirt and debris?
    Is there visible damage to the track or belts?
  •   Inspected
    Are all components present?
    Is the scoop free of excessive wear?
    Do all moving parts (couplings, levers, hinges and sliding frame) operate smoothly and properly?
    Are the coupling pins securely in place?
    Does the foot section lock properly into each position?
    Are all 8 speed-clip pins securely in place?
    Does the head and foot end couplings move freely?
    Is restraint webbing in good condition with no cuts or frayed edges?
    Are restraint buckles free of visible damage and do they operate properly?

  • By signing this audit, I hereby certify that I have inspected all items, expirary dates, all equipment identified and listed in the above audit.  I have  reported any deficiencies via Occurrence Report to the on duty Superintendent:

     

  • Should be Empty: