Salt Lake City Fire Department ALS Daily Checklist - Online 324 Completed Checklists

Expiration Checks (Wednesday Only)

NOTE: Medications expire on the *last* day of the month. For example a drug with an expiration date of 10/2017 expires on October 31, 2017.

Note: Use medications that are going to expire first and exchange medications that are 30 days from expiration.
Acetaminophen or Ibuprofen (Qty. 1)

MonthDayYear
Date
Adenosine (Qty. 5)

MonthDayYear
Date
Albuterol Bullet (Qty. 3)

MonthDayYear
Date
Albuterol Multi-Dose Vial (Qty. 1)

MonthDayYear
Date
Amiodarone (Qty. 3)

MonthDayYear
Date
Atropine Sulfate (Qty. 2)

MonthDayYear
Date
Aspirin Bottle (Qty. 1)

MonthDayYear
Date
Defibrillation Patch (Adult) (Qty. 2)

MonthDayYear
Date
Defibrillation Patch (Pediatric) (Qty. 1)

MonthDayYear
Date
Dextrose 10% (Qty. 2)

MonthDayYear
Date
Diphenhydramine (Qty. 2)

MonthDayYear
Date
DuoNeb (Qty.3)

MonthDayYear
Date
Endotracheal Tubes (all sizes)

MonthDayYear
Date
Epinephrine 1:10,000 (Qty. 4)

MonthDayYear
Date
Epinephrine 1:1,000 (Qty. 1)

MonthDayYear
Date
Esmolol (Qty. 1)

MonthDayYear
Date
Fentanyl Citrate** (Qty. 2)

MonthDayYear
Date
Glucagon (Qty. 1)

MonthDayYear
Date
Ketamine** (Qty. 1)

MonthDayYear
Date
Lidocaine 2% (Qty. 1)

MonthDayYear
Date
Midazolam** (Qty. 2)

MonthDayYear
Date
Morphine Sulfate** (Qty. 2)

MonthDayYear
Date
Naloxone (Qty. 4)

MonthDayYear
Date
Naloxone Kits (Qty. 3)

MonthDayYear
Date
Nitroglycerin Tablets (Qty. 1)

MonthDayYear
Date
Normal Saline 2000cc

MonthDayYear
Date
Normal Saline 100cc (TXA Admin)

MonthDayYear
Date
Sodium Bicarb 8.4% (Qty. 2)

MonthDayYear
Date
Sodium Bicarb 4.2% (Qty. 1)

MonthDayYear
Date
Oral Glucose (Qty. 1)

MonthDayYear
Date
TXA (Tranexamic Acid) (Qty. 1)

MonthDayYear
Date
Zofran Tablets (Qty. 2)

MonthDayYear
Date
Zofran Vial (Qty. 2)

MonthDayYear
Date

Med Box (Orange) Quantities*

OKUnacceptable
Airway Box (Yellow) Quantities*

OKUnacceptable
Trauma Box Quantities*

OKUnacceptable
Zoll Monitor, O2 Bag and C-collar Bag Quantities*

OKUnacceptable
Supplies needed? Click here for the MEDICAL SUPPLIES ORDER FORM.
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