ENGINE/TRUCK RED BAG CHECK
Crew Name Completing
*
Station
*
Please Select
Station #1
Station #2
Station #3
Unit Number
*
Please Select
29-15
19-08
33-21
16-06
Main Compartment
Front Compartment
*
Adult BP Cuff
BP Cuff Kit
Stethoscope
Trauma Shears
Bandage Scissors
Pen Light
Deficiency Noted In Comments
Front Compartment Warning
Comments
OB Kit
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
OB Kit Warning
Comments
1" Tape (2)
*
Present
Deficiency Noted In Comments
1" Tape Warning
Comments
2" Tape (2)
*
Present
Deficiency Noted In Comments
2" Tape Warning
Comments
Sterile Solution
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
Sterile Solution Warning
Comments
Accucheck
*
Present
Deficiency Noted In Comments
Accucheck Warning
Comments
Accucheck Strips (10 min)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
Accucheck Strips Warning
Comments
Alcohol Wipes
*
Present
Deficiency Noted In Comments
Alcohol Wipes Warning
Comments
Lancets
*
Present
Deficiency Noted In Comments
Lancets Warning
Comments
Bandaids
*
Present
Deficiency Noted In Comments
Bandaids Warning
Comments
Main Compartment IV Wrap
0.9 Normal Saline
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
0.9 Normal Saline Warning
Comments
IV Start Kit
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
IV Start Kit Warning
Comments
10 Drop Tubing
*
Present
Deficiency Noted In Comments
10 Drop Tubing Warning
Comments
10cc Syringe (1)
*
Present
Deficiency Noted In Comments
10cc Syringe Warning
Comments
Needleless Port Adapters (3)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
Needleless Warning
Comments
14g Angiocath (2)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
14g Warning
Comments
16g Angiocath (2)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
16g Warning
Comments
18g Angiocath (2)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
18g Warning
Comments
20g Angiocath (2)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
20g Warning
Comments
22g Angiocath (2)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
22g Warning
Comments
Left Compartment
Exam Gloves (5 Pair Min.)
*
Present
Deficiency Noted In Comments
Glove Warning
Comments
PAWS Handwipes (Good Supply)
*
Present
Deficiency Noted In Comments
PAWS Warning
Comments
Rear Compartment
Burn Sheets (2)
*
Present
Deficiency Noted In Comments
Burn Sheet Warning
Comments
Multi Trauma Sheets (2)
*
Present and Not Expiring in the Next 6 Months
Deficiency Noted In Comments
Multi Trauma Warning
Comments
C-Collar (Infant / Peds / Adult) 1 Each
*
Present
Deficiency Noted In Comments
Collar Warning
Comments
Large Armboard
Present
Deficiency Noted In Comments
Large Armboard Warning
*
Comments
Small Armboard
*
Present
Deficiency Noted In Comments
Small Armboard Warning
Comments
Right Compartment
Sharps Container (1)
*
Present
Deficiency Noted In Comments
Sharps Warning
Comments
Biohazard Bags (2)
*
Present
Deficiency Noted In Comments
Biohazard Warning
Comments
N-95 Masks (4)
*
Present
Deficiency Noted In Comments
Hepa Warning
Comments
Front Compartment
Kerlix (2)
*
Present
Deficiency Noted In Comments
Kerlix Warning
Comments
Flexall Splint (2)
*
Present
Deficiency Noted In Comments
Flexall Warning
Comments
4x4 Gauze (10 min.)
*
Present
Deficiency Noted In Comments
4x4 Warning
Comments
Ice Pack (2)
*
Present
Deficiency Noted In Comments
Ice Pack Warning
Comments
Triangular Bandage
*
Present
Deficiency Noted In Comments
Triangular Bandage Warning
Comments
Vasoline Dressings (5)
*
Present
Deficiency Noted In Comments
Vasoline Dressing Warning
Comments
Surgical Masks / Face Shields (4)
*
Present
Deficiency Noted In Comments
Face Shield Warning
Comments
Bandaids (10)
*
Present
Deficiency Noted In Comments
Bandaid Warning
Comments
Submit
All Deficient Items Were Corrected?
*
Yes
No (Explanation Required in Comments)
Comments
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