21
MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICES AMBULANCE / MEDIC UNIT MONTHLY INVENTORY UNIT ________________ THE FOLLOWING ADDITIONAL ITEMS WILL BE ADDED FOR A MEDIC TRANSPORT UNIT WK1 WK2 WK3 WK4 WK5 MIN INVENTORY OF INTERIOR COMPARTMENTS COMPARTMENT B X Latex Free Kit - ALS Unit Version COMPARTMENT C 1 Cardiology Type Stethescope COMPARTMENT D 2 Constricting Bands 2 Prep Razors 4 EA. 14ga, 16ga, 18ga, 20ga, 22ga, 24ga Safety Type IV Caths 2 Twin Caths 18/20 ga or 20/22 ga 20 Alcohol Preps 20 Betadine Preps 5 Vacutainer Luer Adapters 2 Vacutainer Holders 2 EA. Blood Tubes - Plain Red, Purple, Marble, Green and Blue Top Tubes 1EA. Pediatric Blood Tubes - Plain Red, Purple, Marble, Green and Blue Top Tubes 5 Blood Tube Label Sets 5 Biohazard Specimen Bag 5 18 or 19ga. Safety Needle 5 21ga x 1 1/2" Safety Straight Needle 1 60cc Syringe - Luer Lock Type 1 20cc Syringe - Luer Lock Type 4 10cc Syringe - Luer Lock Type 4 5cc Syringe - Luer Lock Type 4 3cc Syringe - Luer Lock Type or 3cc Syringe w/Twin Pack 4 1cc Syringe - Luer Lock Type with 25ga. Safety Needle ALS Page 1 of 21

Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

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Page 1: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

THE FOLLOWING ADDITIONAL ITEMS WILL BE ADDED FOR A MEDIC TRANSPORT UNIT

WK1 WK2 WK3 WK4 WK5 MIN INVENTORY OF INTERIOR COMPARTMENTS

COMPARTMENT BX Latex Free Kit - ALS Unit Version

COMPARTMENT C1 Cardiology Type Stethescope

COMPARTMENT D 2 Constricting Bands2 Prep Razors

4 EA. 14ga, 16ga, 18ga, 20ga, 22ga, 24ga Safety Type IV Caths2 Twin Caths 18/20 ga or 20/22 ga20 Alcohol Preps20 Betadine Preps5 Vacutainer Luer Adapters2 Vacutainer Holders

2 EA. Blood Tubes - Plain Red, Purple, Marble, Green and Blue Top Tubes1EA. Pediatric Blood Tubes - Plain Red, Purple, Marble, Green and Blue Top Tubes

5 Blood Tube Label Sets5 Biohazard Specimen Bag5 18 or 19ga. Safety Needle5 21ga x 1 1/2" Safety Straight Needle1 60cc Syringe - Luer Lock Type1 20cc Syringe - Luer Lock Type4 10cc Syringe - Luer Lock Type4 5cc Syringe - Luer Lock Type4 3cc Syringe - Luer Lock Type or 3cc Syringe w/Twin Pack4 1cc Syringe - Luer Lock Type with 25ga. Safety Needle

ALS Page 1 of 21

Page 2: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN2 Nasal Atomization Device w/3cc Syringe2 Huber Type Non-Coring Needle - 20ga.2 Twin Pack Needleless System2 Lever Lock (Aligator Clip) or equivalent2 Needleless Injection Site2 Needleless Vial Access Cannula2 Interlink Type Vial Access Cannula1 Blood Glucose Tester - Precision Xtra or One Touch Ultra1 Blood glucose test strips (Box) - Precision Xtra or One Touch Ultra or Equivalent5 Single Use Safety Shielded Lancets10 Tegaderms, Veni-Gards or Comparable2 1" Hypo-Allergenic Tape2 Mini-Drip Administration Sets (60 gtts/cc)4 Macro Drip Administration Sets (10-20 gtts/cc)1 Buritrol / Soluset Administration Set2 Needleless Extension Sets (for Saline Lock) and/or Stopcocks w/Extension Set4 Lactated Ringers Solution 1000cc2 Short Armboards2 Long Armboards1 Pressure Infuser (Disposable preferred)2 30cc Saline4 Saline Bullets for Nebulizer1 Intraosseous Needle - 15ga1 Sealed Intraosseous Infusion Kit (To Include - 1 15ga Jamshidi I/O Needle, 1 - 20cc Syringe,

1 High-Flow 4 Way Stopcock with Extension Tubing, 1 Alcohol Prep, 1 Betadine Swab)2 Needle Thoracostomy Kit Cook Type or Equivalent

(To Include - 1 14ga X 3 1/4"Catherter or 1 - 8.5fr FEP Catheter, 1- 10cc Syringe, 1 Heimlich Valve with connecting tubing, 1 - Alcohol Prep, 1 - Betadine Prep, 1" Tape)

2 Asherman Seals

ALS Page 2 of 21

Page 3: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN1 Heating Pad or Equivalent for IV Warming or Hot Sack in Rear of Unit

COMPARTMENT EX Peak Flow Meter 2 Meconium Aspirator

1 Ea. Feeding Tube - 5, 8fr 1 Ea. Gastric Tubing (Salem Sump Type) (8, 10, 12, 14fr)

2 60 cc Satin Tip Piston Syringe 1 PEEP Valve 1 BVM Neb Connect Kit 1 Double Lumen Tube SA 1 Double Lumen Tube LA

1EA End Tidal CO2 Disposable Detector - Adult and Pediatric 1EA Melker Emergency Cricothyrotomy Tray - Adult 4.0mm and Child 2.0mm

X Manual Jet Ventilator with tubing1 Intubation Module or in Drug Drawer M

3 Disposable Curved Blades (sizes 2-4) 4 Disposable Straight Blades (sizes 0-3) 2 Adult Stylets 2 Pediatric Stylets1 Flex-Guide ET Tube Introducer (Boujie Introducer)1 Large Laryngoscope Handle1 Small Laryngoscope HandleX #4 Metal Miller BladeX Large Handle for Metal Blade if not compatible1 Large Magill Forceps1 Small Magill Forceps2 Each Endotracheal Tube - Uncuffed: 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.51 Each Endotracheal Tube - Cuffed: 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.01 Each Endotrol Tube (sizes 6.0, 7.0 & 8.0)

ALS Page 3 of 21

Page 4: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN3 BAAMs 2 Lidocaine Jelly1 Hurricaine (Lidocaine10%) Spray and tubes

1 Meconium Aspirator5 Sterile Lubricant1 10cc Syringe 1 Roll 1" Tape (Hypo-Allergenic Type)

1 CPAP replacement circuit with medium mask1 Ea. CPAP mask - small and large

1 CPAP filter

COMPARTMENT H

1 Physio Control 12 Lead Tester/Simulator or in station supply (ALS Only)1 Narcotics Log/Spare Forms (ALS Only)1 Camera - Polaroid or digital X Polaroid Film or digital docking printer1 PDR or Equivalent (current within 2 years)

COMPARTMENT I

1 Pediatric Remote Disposable Defibrillation Pad 25 Electrodes 1 Box of EKG Paper 1 Spare LP12 Main Trunk EKG Cable with Limb Leads 1 Spare LP12 Precordial Chest Leads 1 Spare LP12 Therapy Defib Cable

ALS Page 4 of 21

Page 5: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN COMPARTMENT L1 Airway Kit (see page #24) (ALS ONLY)1 ALS Trauma Kit (see page # 22) (ALS ONLY)1 Adult MAST trousers (ALS Only)

DRUG DRAWER M (ALS Only)

1 Aspirin 81mg (Bottle)5 Adenocard @6mg. Each4 Albuterol @ 2.5mg Each4 Atropine @ 1mg. Each1 Atropine 8 mg in 20cc Multi-Dose Vial3 Atrovent (Ipratropium) 500mcg (2.5ml) 2 Benadryl @50 mg. Each2 Calcium Chloride (1gm)2 Captopril - 25mg tabs2 Diltiazem 100mg/100cc saline Kits2 Dextrose 50% @ 25grams Each2 Dextrose 25%2 Dopamine 400mg or Pre-Mixed in 250cc Bag of D5W3 Epinephrine 1:1,000 1mg6 Epinephrine 1:10,000 1mg3 Glucagon 1mg4 Haldol (Haloperidol) 5mg

140mg Lasix6 Lidocaine @100 mg Each

4mg Naloxone2 Terbutaline @ 1 mg. Each1 Bottle or Spray Nitroglycerin gr 1/1502 Nitro Paste (packets)2 Sodium Bicarbonate @ 50 mEq Each1 Carputjet holder

ALS Page 5 of 21

Page 6: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN COMPARTMENT N1 Life Pak 12 (See page # 16) 1 ALS Pack (see page # 29) 1 State Portable Radio2 Mark I Bags

25 Triage Tags25ea. Triage Ribbons on Ring (Red, Yellow, Green, Black)20 Mark I Injectors3pr. Large Latex Free Gloves3pr. X-Large Latex Free Gloves5 Numbered Seals1 Pen3 Small Pencils1 Grease Pen1 Small memo book 1 Jane's Chem-Bio Handbook1 Sharps Box - Kendall #8303SA Type

LEFT FRONT CABINET (OUTSIDE)

1 CPAP (Continuous Positive Airway Pressure) Kit (ALS Only) (See Page 20a)

ALS Latex-Free Kit (optional if all disposable items are latex free)2pr Small Gloves2pr Medium Gloves2pr Large Gloves2pr X-Large Gloves2ea IV Catheter(24g,22g,20g,18g,16g,14g)2 Tourniquets12 Electrodes1 Macro-Drip Administration Set

ALS Page 6 of 21

Page 7: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN2 Veni-gard / Tegaderm or Comparable1 Stylet - Adult1 Stylet - Pediatric

1ea Endotracheal Cuffed Tubes (6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0)

1ea Endotracheal Uncuffed Tubes (2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 5.5)

LP12 COMPARTMENT INVENTORY1 Roll EKG Paper 1 Patient Cables

1 Main Cable/Limb Lead Attachment 1 Precordial Lead Attachment

24 Electrodes 1 Quick Combo Therapy Defib/Pace Cable 1 Life Pak Battery2 Adult Quick Combo Pads2 Pediatric Quick Combo Pads2 Benzoin Swabs (Or 1 Can of Aerozoin Spray)*1 12' Telephone Cable1 Spare Battery1 Electric Razor2 Disposable heads for razor1 Pulse Ox Cable and ExtensionX Disposable Pulse Ox Leads

1 Ea. EtCO2 Filter Line Set (Adult/Pediatric) (Units with CO2 Detector built in)1 Smart CapnoLine O2/CO2 Oral Nasal Cannula (Units with CO2 Detector built in)

*Benzoin compound is to be used to prep the skin for monitoring electrode placement ONLY.

DO NOT apply Benzoin compound to skin surfaces for remote defibrillation or transcutaneous pacing electrodes

.

ALS Page 7 of 21

Page 8: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

12 L e ad

T ra n sm it

C od eS u m m a ry

P rin t

M e d tro n ic

L IF E P A K 1 2

O NA D V IS O R Y

A N A L Y Z EC H A R G E

S H O C K

E N E R G YS E L E C T

S Y N CP A C E R

R A T E

C U R R E N T

P A U S E

L E A D S IZ E

N IB PA LA R M SO P T IO N S

E V E N T

H O M E

L E A DW IR E S

E L E C T R O D E S

P U L S E O XC A B L E

&E X T E N S IO N

W IR E

D E F IB /P A C E R

T H E R A P YC A B L E

S P A R EB A T T E R Y

P R E C O R D IA L C H E S T L E A D S E L E C T R IC M E D IC A L R A Z O R

2 - D IS P O S A B LE R A Z O R H E A D S 2 - B E N Z O IN S W A B S

D IS P O S A B L E P U L S E O X S E N S O R (o p tio na l)E tC O 2 F IL T E R L IN E S E T (A D U L T /P e d ia tr ic ) (op tio n a l)

E tC O 2 S M A R T C a p no lin e O 2 /C O 2 O R A L N A S A L C A N N U L A (o p tio n a l) L E A DW IR E S

E L E C T R O D E S

P U L S E O XC A B LE

&E X T E N S IO N

W IR E

D E F IB /P A C E R

T H E R A P YC A B L E

S P A R EB A T T E R Y

2 - A D U L T Q U IK -C O M B O D E F IB /P A C E R P A D S

2 - P E D IA T R IC Q U IC K C O M B O D E F IB /P A C E R P A D S

1 - R O L L L P 1 2 P A P E R

1 - A D U L T N IB P C U F F

B A C K B A C K

B A C K B A C K

T E L E P H O N EC A B L E

ALS Page 8 of 21

Page 9: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN TRAUMA KIT 6 3" Kling3 6" Kling8 Cravats2 Pair of Trauma Scissors2 Roll 2" Tape2 Roll 1" Tape1 Stethoscope3 BP Cuffs (1 Each Adult, Obese, Child)

24 4x4s2 Trauma Dressings4 8x10s (Or Similar Size)6 Oral Airways (0-5)

1Set Nasal Airways and Lubricant (18fr (4.0mm) to 36fr (8.0mm)) (1 Set is 5 sizes)1 Flashlight/Penlight4 Pairs of Exam Gloves1 Alcohol Based Hand Cleaner or (5) Antiseptic Towelettes2 Pairs of Eye Protection6 N-95 Masks - Unisize2 Adult Administration Sets2 Lactated Ringers 1000cc1 Small Sharps Container2 Standardized Sealed Needle Thoracostomy Kit: 1-14ga X 2" Catheters, 1-14ga X 3¼" Catheter,

1-10cc Syringe, 1 Heimlich Valve, 3-Alcohol Prep, 1-Betadine Prep

1 Standardized Sealed Intraosseous Infusion Kit: 1-Jamshidi 15ga X 1 " I/O Needle, 1-10cc Syringe,

1-High-Flow 3-Way Stopcock, 1-Lg - Bore Ext.Tubing, 1-Alcohol Prep, 1-Betadine Prep.

ALS Page 9 of 21

Page 10: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN IV START KIT2 14ga IV Safety Catheters2 16ga IV Safety Catheters2 18ga IV Safety Catheters2 20ga IV Safety Catheters2 22ga IV Safety Catheters2 24ga IV Safety Catheters2 Constricting Bands1 Constricting Bands - Non-latex1 Roll 1" Hypo-Allergenic Tape5 Betadine Preps5 Alcohol Preps2 Veni-Gard / Tegaderm or Comparable

A L S T R A U M A B A G

4 P a ir L a te x F re e G lo v e s4 - N 9 5 m a s k s

6 O ra l A irw a y s (0 - 5 )

6 - 3 K lin g

3 - 6 K lin g

1 - A lc o h o l H a n dC le a n e r o rT o w le tte s

8 - C ra v a ts2 - 1 0 0 0 R in g e rs

2 - A d u lt A d m in .S e t

IV S ta r t K it

N a s a l A irw a y (S e t)(1 8 fr to 3 4 fr )

I/O K it

C h e s t D e c o m p . K it

2 - E y e P ro te c tio n

2 4 - 4 X 4 s

4 - 8 X 1 0 s2 - T ra u m aD re s s in g s

2 - P e rs o n n e lP ro te c t io n K its

1 - A d u lt B /P C u ff

1 - S te th o s c o p e

1 - C h ild B /P C u ff

1 - O b e s e B /P C u ff

N e e d le D is p o s a l B o x

1 - P e n lig h t2 - T ra u m a S c is s o rs

2 - 1 T a p e2 - 2 T a p e

ALS Page 10 of 21

Page 11: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN AIRWAY KIT

3 Disposable Curved Blades (Sizes 2-4)4 Disposable Straight Blades (Sizes 0-3)X #4 Metal Straight Blade2 Adult Stylets2 Pediatric Stylets1 Flex-Guide ET Tube Introducer (Boujie Introducer)1 Large Laryngoscope Handle1 Small Laryngoscope HandleX Large Laryngoscope Handle for Metal Blade if not compatible 1 Small Magill Forceps1 Large Magill Forceps1 Each ET Tube (* = 2 Each of these tubes for Meconium)

Uncuffed *2.5, *3.0, 3.5, 4.0, 4.5, 5.0, 5.5 Cuffed 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0

1 Each Endotrol Tubes (6.0, 7.0, 8.0)2 BAAM Device 1 Double Lumen Tube (Adult & Small Adult)1 Each ETT to Nebulizer Adapters (15mm & 22mm)2 Meconium Aspirators2 10 cc Luer Lock Syringe1 60 cc Satin Tip Piston Syringe1 Can of Hurricaine Spray (Lidocaine 10% or Benzocaine Spray) 10 Disposable spray tubes (for Hurricaine Spray)1 Lidocaine 2% Jelly 1 Adult Bag Valve with #5 Mask (Single Use Only)1 Child Bag Valve with #2 Mask (Single Use Only)1 #0 Infant Cuffed Face Mask2 Spare C Batteries

ALS Page 11 of 21

Page 12: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN2 Spare Bulbs (One for Each Size Blade, Optional if using Disposable Fiber optics)1 Suction Unit with Suction Tubing and Yankauer Type Wand1 Bottle of Water1 Bulb Syringe (Ped)1 8fr Suction Catheter (Ped)1 10fr Suction Catheter1 14fr Suction Catheter1 18fr Suction Catheter

1 Ea. Feeding Tube - 5, 8fr 1 Ea. Gastric Tubing (Salem Sump Type) (8, 10, 12, 14fr)

2 Rolls of 1" Tape Hypo-allergenic1Set Nasal Airways (18fr (4.0mm) to 36fr (8.0mm)) (1 Set is 5 sizes)

6 Oral Airways (0-5)/Bite Blocks1 Bite Stick (Tongue Depressor)5 Lubricants2 Pairs of non Sterile Gloves2 Pairs of Sterile Gloves (May Be Provided with Suction Catheters)1 Each ET Tube Restraint (Adult & Pediatric)1 Each End Tidal CO2 Detector (Adult & Pediatric) or on LP121 Double Male Suction Adapter1 Stethoscope1 Eye Protection or Face Shields2 N-95 Masks

ALS Page 12 of 21

Page 13: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

1 ea. E T Tube C uffed (6.0 , 6 .5, 7 .0, 7 .5, 8 .0 , 8 .5, 9 .0)2 - A dult S ty lets

1 ea. E T Tube U ncuffed (*2.5, *3 .0, 3 .5 , 4 .0, 4 .5 , 5 .0, 5 .5)* = 2ea.

1 ea. E ndotro l Tube (6 .0, 7 .0 , 8 .0)3 - B A AM

2 - Pediatric S ty le tts

#4M ac

#3M ac

#2M ac

#0/1S tra ight

#2S tra ight

#3S tra ight

#4M eta l

S tra ight

S te thescope

10ccS yringe

10ccSyringe

W ater

S traw s forS pray

H urrica ineSpray

AdultM agill

Forcep

PedM agill

Forcep

1 Tape

1 Suction U nitw ith tubing and

Yankauer W and

Lg. Sm

Handles

1 - A dult BV M1 - P ed BV M1 - Adult C om bitube1 - S m . A dult C om bitube

1ea. N 95 M ask (sm ., M ed., Lg.) or 2 unis ize

2 - E ye P rotection or Face S hie ld

1 ea. - 8, 10, 14 , 18 fr Suction C atheter

1 ea. - G astric Tubing (Salem Sum p Type)(8, 10, 12, 14fr)

1 - 2oz. or 60cc C ath T ip Syringe

2pr. S terile G love or w ith Suction C atheter2pr. N on-S terile G loves

A dult C O2 D etectorP ed. C O 2 D etector

A dult and C hild Tube H olders1 set (6) N asal A irw ays (18fr to 34fr)

1 Set (6) O ral A irw ays (0 to 5)B ite B lock

B ulb S yringeE TT to N ebulizer Adapter

M ale to M ale adapter

L idocaineJelly

5 LubricatingJe lly

A IR W A Y B A G

D isposab le B lades O nly E xcept #4 M eta l

Suction unit m ay be in separate bag

1 ea. Feeding Tube 5, 8fr

Large V iew m ax

Large M axiview

Sm all M axiview

Sm all V iew m ax

ALS Page 13 of 21

Page 14: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN IV Administration Module2 14ga IV Safety Catheters2 16ga IV Safety Catheters2 18ga IV Safety Catheters2 20ga IV Safety Catheters2 22ga IV Safety Catheters2 Twin Caths (20/22ga) or (18/20ga)2 Veni-Gard / Tegaderm or comparable1 Prep razor1 Vacutainer holder4 Luer adapters1 Set of blood tubes (red, marble, purple, blue, green)4 Single Use Shielded Lancets4 Band-AidsX Chux 10 Alcohol preps5 Betadine preps2 Constricting bands1 Constricting bands - Latex Free4 4x4s1 Roll of 1" tape Hypo-allergenic2 Huber Type Non-coring Needle - 20ga.2 21ga Safety needles2 25ga Safety needles2 10cc syringes - Luer Lock Type2 5cc syringes - Luer Lock Type2 3cc syringes - Luer Lock Type or 3cc Twin Pak2 1cc syringes - Luer Lock Type

ALS Page 14 of 21

Page 15: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN2 Needleless Extension set for Saline Locks 2 30ml Saline2 Twin Pak safety needle2 Lever Lock type Cannula2 InterLink Type Vial Access CannulaX CalculatorX Bottle of Glucose test strips2 Biohazard Sample Bags

ALS Page 15 of 21

Page 16: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

IV Module in ALS Pack

2 - Venigards orTegaderm s

1" Tape

2 - Saline Ext. Sets

Vac Holder Luer Adapters

25ga 21ga

Safety Needles

Syringes

1cc 5cc3cc 10cc

14GA

16GA

18GA

20GA

22GA

24GA

IV Caths, 2 Ea

Blood T

ubes

Const.Bands

10AlcoholPreps

5Betadine

Preps

30ccSaline

Lancets

4 - 4 X 4 sor 2 X 2 s 2 - 20/22ga. Twin CathsIn Zipper Pouches

2 - Huber needles 2

Luer adapters

2 - Lever Locks (alligator clips ) 1 -Latex Constricting Band

1 - Prep Razor or in m ain section

4 - Bandaids

Tw

in Pak N

eedleless

3ccTwinPak

2 -LatexFree

ALS Page 16 of 21

Page 17: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN BACK POCKET1 Standard Sealed Intraosseous Infusion Kit -

(1-Jamshidi 15ga X 1" I/O Needle,1-10cc Syringe, 1-High-Flow 3-Way Stopcock, 1-Large-Bore Extension Set, 2-Alcohol Preps, 2-Betadine Preps)

2 Standard Sealed Needle Thoracostomy Kit (Cook Type)(1-14ga X 2" Catheters, 1-14ga X 3¼" Catheter, 1-10cc Syringe, 1-Heimlich Valve, 3-Alcohol Preps, 1-Betadine Prep)

X Arm Boards (1 Each, Short and Long)1 IV Administration Module1 Narcotics Lock Box Secured to Pack

LEFT SIDE POCKET1 Sharps Container (1 quart size minimum) or inside center section

FRONT POCKET3 BP Cuff (1Each Adult, Obese, Child)1 Stethoscope2 Instant Glucose (15 grams)1 Penlight1 Pair of Trauma Scissors1 Alcohol Based Hand Cleaner or 5 Antiseptic Towelettes4 Pairs of Exam Gloves4 N-95 Masks - Uni-size2 Eye Protection/Or Full Face Shields2 3" Kling2 6" Kling2 Cravats2 8x10s or Similar Size10 4x4s1 Roll 1" Tape (Hypo-Allergenic Type)1 Roll 2" Tape (Hypo-Allergenic Type)1 Tympanic Thermometer with Cover

ALS Page 17 of 21

Page 18: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN CENTER OF PACK1 Lactated Ringers 1000cc1 Stopcocks/Extension Sets2 Macro drip Administration Sets (10-20gtt)1 NebulizerX Portable Pulse Oximeter 1 Precision QID Glucometer with 10 detector strips1 Pediatric Tape (Broslow type)2 Diltiazem 100mg/100cc Saline Kits2 Calcium Chloride @ 1 gram each2 Captopril - 25mg1 Dopamine 400mg in 250 D5W (Premixed )1 Micro drip Administration Sets (60gtt) for use with Premixed Dopamine2 Dextrose 50% 1 Sodium Bicarbonate @ 50mEq6 Epinephrine 1:10,000 1mg3 Atropine 1mg6 Lidocaine 100mg1 Activated Charcoal 50 Grams1 60cc Syringe

ALS Page 18 of 21

Page 19: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

ALS PACK

Sharps

Container

Drug Lock

Box

1 - Penlight 1 - Insta Glucose 2 - 8 X 10 s 1 - Alcohol Hand Cleaner 1 - Cardiology Stethoscope

IV MODULE I/O Kit

2 - Thoracostomy Kits

1 - Short Arm Board 1 - Long Arm Board

MEDICATION MODULEon top

60ccSyr.

2 - AdultAdmin.

Set

stopcock PulseOximeter(Optional)and/or on

LP12

Pedi

Tap

G Ml ou nc io ts oe r

Calcium

Chloride 1G

EPI1:10,000

Lido100mg

Atropine1mg

Atropine1mg

Atropine1mg

Lido100mg

Lido100mg EPI

1:10,000

EPI1:10,000

EPI1:10,000

EPI1:10,000

EPI1:10,000

Calcium

Chloride 1G

D50

D50

BICARB

D25

D25

Charcoal

PremixDopamine

Mini DripAdmin. Set

Neb Set

1000cc

Ringers

Lactate

Lido100mgLido

100mgLido

100mg

Obese BP CuffAdult BP CuffChild BP Cuff

Trauma Scissors

Tympanic Thermometer

Ring Cutter

10 - 4 X 4 s2 - Cravats2 - 3 Kling2 - 6 Kling

1 - 1 Tape1 - 2 Tape2 - Eye Protection

(In Zipper Pouch) 4 - Pairs of Gloves

NitroPaste

Dilt

iaze

m

D iltiazem

e

ALS Page 19 of 21

Page 20: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

WK1 WK2 WK3 WK4 WK5 MIN MEDICATION MODULE2 Captopril 25mg - tabs2 Albuterol 2.5 mg (Proventil, Ventolin)1 Btl. Aspirin 81mg.2 Atrovent (Ipratropium) 500mcg2 Haldol (Haloperidol) 10mg 1 Furosemide 40mg1 Nitro 1/150 tablets 1 Nitro spray5 Adenosine 6mg3 Glucagon 1mg (2 vial kit) or in bottom of center section2 Benadryl 50mg1 Atropine 8mg in 20cc multi-dose2 Epinephrine 1:1,000 1mg2 Terbutaline 1mg

4mg Naloxone2 Saline Bullets (for Nebulizer)2 Medication Labels2 1cc Syringes with needles2 10cc Syringes with needles2 Intranasal medication delivery device5 Alcohol Preps1 Carputjet holder

ALS Page 20 of 21

Page 21: Ambulance Inventory 2007 monthly checkout - Montgomery County, Maryland · 2Pairs of Sterile Gloves (May Be Provided with Suction Catheters) 1Each ET Tube Restraint (Adult & Pediatric)

MONTH__________________________ MONTGOMERY COUNTY FIRE RESCUE SERVICESAMBULANCE / MEDIC UNIT MONTHLY INVENTORY

UNIT ________________

NitroSpray

NitroTabs

Aspirin81mg

Haldol

Haldol

Narcan

Narcan

Narcan

BrethIne

BrethIne

Atrovent

Atrovent

Albuterol

Albuterol

Lasix40mg

Glucagon

G l

H f u2 o cO r a

g o n

Epi

Epi

Adenocard

Adenocard

Benadryl

Benadryl

Epi30mg

1:1000

Atropine20ml

Cap

topr

il25

mg

Cap

topr

il25

mg

ALS Page 21 of 21