LSMFR Medic / Rescue 35 Checklist

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Zoll Monitor

If the READY-FOR-USE (RFU) indicator is flashing or displaying the Do Not Use symbol, then either an equipment fault has been detected or the unit's battery is low or not properly installed. Install a fully charged battery in the unit and check the RFU indicator again. If the RFU indicator continues to flash or display the Do Not Use symbol, remove the unit from service and contact the appropriate technical personnel or the ZOLL Technical Service Department.

Zoll Supplies

ECG Patches
Left Side, Open Pouch (2 Packs)
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Adult Defib / Pacing Pad
Right Side Pouch, Minimum 1
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Pediatric Defib / Pacing Pad
Right Side Pouch, Minimum 1
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Curbside Drawer (Upper)


ECG Patches

Enter the number of unopened ECG patches and the nearest expiration date

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IV Catheters

For each size IV catheter size, enter quantity and expiration date.

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There should be a minimum of two catheters of each size.

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Supplies

Ensure the listed supplies are present in the correct quantities.


IV Start Kits

Minimum two start kits with blood draw tubes. Check expiration dates of all items in kit if needed. List nearest expiration date.

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IV Fluids

500 ml 0.9% Normal Saline, minimum quantity 1 bag.

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15 gtts / ml primary IV set, minimum quantity 1. May not have expiration date.

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Curbside Drawer (Lower)


Spare Glucometer

Minimum 1 spare drum for glucometer

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End-Tidal CO2 Supplies

Minimum (2) nasal cannula type and (2) in-line adapaters.


Zoll StatPadz

Minimum (1) Adult and (1) Pediatric Set

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Front Wall (Upper)


Portable Suction
EZ-IO Kit (Yellow Bag)

10 ml Normal Saline Flush (Min 1)

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Extension Sets (Min 1)

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IO Needle plus Stabilizer (Min 1)
Pink 15 mm x 1.8 15 Gauge

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IO Needle plus Stabilizer (Min 1)
Blue 25 mm x 1.8 15 Gauge

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IO Needle plus Stabilizer (Min 1)
Yellow 45 mm x 1.8 15 Gauge

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Front Wall (Lower)


Spare Oxygen

Minimum 2 Spare Cylinders

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Fire Extinguisher

Confirm the extinguisher is visible, unobstructed, and in its designated location.
Verify the locking pin is intact and the tamper seal is unbroken.
Examine the extinguisher for obvious physical damage, corrosion, leakage, or clogged nozzle.
Confirm the pressure gauge or indicator is in the operable range or position.
Lift the extinguisher to ensure it is still full. Invert/shake to ensure contents aren't caked.
Make sure the operating instructions on the nameplate are legible and facing outward.
Check the last professional service date on the tag.
Initial and date the back of the tag. Use MO/YR on date.

Drug Cabinet

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Ancillary Drugs

Narcan (Naloxone) Nasal Spray, 4mg
Minimum 1 Box of 2 Doses

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EpiPen (Epinephrine) Adult, .3mg unit dose
YELLOW, Minimum One Dose

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EpiPen (Epinephrine) Pediatric, .15mg unit dose
GREEN, Minimum One Dose

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Cabinet 1 (Upper Shelf)

Loose Items
Tray 1: Miscellaneous / Batteries
Tray 2: Airway Adjuncts
Front Section
Middle Section
Nasopharyngeal Airways(NPA)

Nasopharyngeal Airway, 24 FR
Minimum (1) Required

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Nasopharyngeal Airway, 26 FR
Minimum (1) Required

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Nasopharyngeal Airway, 28 FR
Minimum (1) Required

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Nasopharyngeal Airway, 30 FR
Minimum (1) Required

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Lubricating Jelly
Water-soluble
Minimum (5) Packets

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Rear Section

Adult ETCO2 Detector
Minimum (2) Required

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Pediatric ETCO2 Detector
Minimum (2) Required

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Tray 3: ET Tube Holders

Cabinet 1 (Lower Shelf)

Loose Items
Tray 1: Suction Catheters

Yankauer Suction Catheters
(with or without control vent)
Minimum (2) Required

Suction Catheter (6 FR)
Minimum (2)

Suction Catheter (8 FR)
Minimum (2)

Suction Catheter (10 FR)
Minimum (2)

Suction Catheter (12 FR)
Minimum (2)

Suction Catheter (14 FR)
Minimum (2)

Suction Catheter (16 FR)
Minimum (2)

Suction Catheter (18 FR)
Minimum (2)

Lubricating Jelly
Water Soluble
Minimum 5 Packets

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Tray 2: Nebulizers & Humidifiers

Nebulizer Kit
Minimum (2)

Humidifier Kit
Minimum (2)

Tray 3: Adult Cannulae

Adult Nasal Cannulae
Minimum (2)

Tray 4: Adult Non-Rebreathers

Adult Non-Rebreathing Face Masks
Minimum (2)

Tray 5: Pediatric Oxygen

Pediatric Nasal Cannula
Minimum (2)

Pediatric Non-Rebreathing Face Masks
Minimum (2)

Tray 6: Infant Oxygen

Infant Nasal Cannula
Minimum (2)

Infant High-Concentration Face Masks
Minimum (2)

Cabinet 2

Upper Shelf
Lower Shelf
HALO Chest Seals
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LSMFR Chest Decompression Kit (Ziploc Bag Back of Cabinet) Note 1st expiring item.
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Cabinet 3

AIRWAY ROLL

Ready for UseBulb Checked
Miller 0
Miller 1
Miller 2
Miller 3
Mac 3
Mac 4
Wisconsin 2

ENDOTRACHEAL TUBES & SUPPLIES

1 Set 2.5mm - 10mm in Airway Roll 1 Set 2.5mm - 10mm in Cabinet

2.5 mm Uncuffed ET Tube

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3.0 mm Uncuffed ET Tube

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3.5 mm Uncuffed ET Tube

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4.0 mm ET Tube

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4.5 mm ET Tube

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5.0 mm ET Tube

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5.5 mm ET Tube

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6.0 mm ET Tube

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6.5 mm ET Tube

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7.0 mm ET Tube

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7.5 mm ET Tube

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8.0 mm ET Tube

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9.0 mm ET Tube

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10.0 mm ET Tube

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Adult Bougies, Minimum (2)

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Adult Stylettes, Minimum (2)

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Lubricating Jelly, Minimum (5) Packs

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Cabinet 4

Infant Bag-Valve Mask
Minimum (1)

Child Bag-Valve Mask
Minimum (1)

Adult CPAP Kit
Minimum (1)

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Cabinet 5

Cabinet 6

Obstetrical Kits
Minimum (2), Sealed
Instant Hot Packs
Minimum (3)
Instant Cold Packs
Minimum (3)
Trauma Dressings
10" x 30" or larger, Minimum (4)
WaterJel Burn Kit
Kit, Complete Minimum 1
Normal Saline for Irrigation
500 ml or 1 L Sealed Containers Minimum 4 Liters Total
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Cabinet 7

LUCAS2 Chest Compression System

Cabinet 8

Linen Cabinet

Sharps & Waste Drawers

Sharps and waste drawers are located under the streetside drawer stack and the curbside attendant seat.