Spreadsheet: 91852d1291557405-excel-check-sheet-help-daily-check-sheet
Sheet: Sheet1

Date:  _______________________________ |  | Oxygen Caddy |  | Pediatric Bag
Employees: ___________________________ |  |  | Portable O2 Level: ________________ |  | Pediatric Intubation Kit
Career Station |  |  | Adult Nasal & NRB Mask |  | Child BVM
 | Station Clean |  | Oral Airway Set |  | Infant BVM
 | Spare Pager / Radio Accounted For |  | [NAME] |  | Child - Nasal & NRB Mask
Vehicle |  |  | Stethoscope |  | Infant - Nasal & NRB Mask
Unit # _______________________________ |  |  | Glucometer |  | Child & Infant BP Cuffs
Call Sign:  ____________________________ |  |  | Strips Exp: ______________________ |  | Pediatric Stethoscope
Mileage: ____________________________ |  |  | [NAME] |  | Broselow Tape / Pedi Wheel
Fuel Level:  __________________________ |  | Major Medical Bag |  |  | IV / IO Supplies
Oil Change Due:  ______________________ |  |  | Intubation Kit | [NAME]
 | Unit Starts |  | [NAME] |  | 4 Large Trauma Dressings
 | Engine Fluids OK |  | PERTRACH [NAME] |  | 4 Abdominal Dressings
 | Belts / Hoses / Tires OK |  | [NAME] |  | 4 Occlusive Dressings
 | Unit Clean - Exterior |  | EZ-IO Kit |  | 24 - 4" x 4" Dressings
 | Unit Clean - Interior |  | Oral Airway Set |  | 2" x 2" Dressings
 | All Lights Functional |  | [NAME] Lubricant |  | Bandaids
Tools / Other Equipment |  |  | ETT Holders |  | 12 Alcohol Preps
 | 10" Adjustable Wrench |  | End Tidal CO2 Detectors |  | Burn Sheets
 | 10" Vice Grips |  | King Airways (1 Ea. 3, 4, 5) |  | 10 Cravats
 | Screwdrivers - Flat & Phillips |  | [NAME] |  | 12 Assorted Roll Gauze
 | 2lb Hammer |  | [NAME] |  | 4 Assorted Rolls of 1" & 2" Tape
 | Center Punch |  | CPAP Kit |  | 4000ml Saline/ Sterile Water
 | Halligan Bar & Axe |  | Hand Held Suction |  | Cold Packs / Hot Packs
 | 2 SCBA |  | Adult & Large Adult BP Cuffs |  | [NAME]
 | 2 Flashlights (D Cell or Larger) |  | Stethoscope |  | [NAME] w/ Assorted Supplies
 | Flares |  | Chest [NAME] | Patient Packaging & Movement
 | Traffic Safety Vests |  | MAT Tourniquet |  | 2 Adult C-Collars (Adjustable  or 2 Ea. SM, MED, LG)
 | 2 ABC Extinguishers |  | Quik-Clot Gauze
 | Water Rescue Throwbag |  | Assorted Syringes & Needles |  | 2 Pediatric C-Collars
 | DOT Guidebook | Cardiac Monitor |  |  | 2 Backboards
 | [NAME] |  | Monitor Test OK |  | 2 Spider Straps
 | GPS Unit |  | Batteries OK |  | 2 Headblock Sets
 | Digital Camera |  | Extra Batteries |  | KED
 | Map Books |  | [NAME]: __________________ |  | Pediatric Immobilization Device
 | Protocol Book |  | PEDs Pads Exp:  __________________ |  | Adult Traction Splint
 | Toughbook Computer w/ Charger |  | ECG Electrodes, Paper, Razor |  | Pediatric Traction Splint
 | [NAME] |  | 12 Lead Electrode Pack |  | Padded Board Splints Set
 | Triage Tags & Tape |  | CO2 Filter Lines (Nasal & ETT) |  | Stair Chair
Oxygen & Airway Supplies |  | IV Supplies |  |  | Mega Mover
 | Main O2 Level: ___________________ |  | IV Caths (14, 16, 18, 20, 22, 24) | PPE & Sanitary Supplies
 | 4 [NAME] |  | IV Start Kits |  | Gloves (SM, MED, LG, XL)
 | 4 Adult NRB Masks |  | Extensions / Claves |  | 4 Disposable Gowns
 | 2 Nebulizer Kits |  | 2 10-15 gtt IV Tubing |  | 4 Faceshields / Eyewear
 | 4 Child Nasal Cannulas |  | 2 1000ml Normal Saline |  | 4 Surgical Masks
 | 4 Child NRB Masks |  | Prefilled Saline Flushes |  | 4 N95 Masks
 | 4 Infant [NAME] |  | Blood Draw Kits |  | 2 OB Kits
 | 4 Infant NRB Masks |  | IV Warmer OK |  | Waterless Hand Cleaner
 | [NAME] |  | Cooler w/ 2 NS Fluids on Ice |  | Spray Cleaner
 | Child BVM | Drug Boxes |  |  | [NAME]
 | Infant BVM |  | Drug Box: _______________________ |  | Sharps Container
 | 2 Pocket Masks |  | Seal # __________________________ |  | Bed Pans w/ Toilet Paper
 | Onboard Suction OK |  | Expiration: ______________________ |  | Urinals
 | Portable Suction OK |  | Stat Box:  _______________________ |  | [NAME]
 | Suction Catheters (2 Ea. 6, 8, 14, 18) |  | Seal # __________________________ |  | Emesis Basins
 | 2 Rigid Suction Catheters |  | Expiration: ______________________ |  | [NAME]
 | 2 Suction Tubing Sets |  | Outside [NAME] |  | 2 Sheets
 | Extra Suction Canister |  | Expiration: ______________________ |  | 2 Blankets
 | Assorted NG Tubes w/ Cath Syringe |  | Assorted Syringes & Needles |  | 2 Pillows w/ Cases
 | Spare Portable O2 w/ Regulator |  | All Drugs Stored in Locked Cabinet |  | 2 Towels / Wash Cloths