FIRST AID ROOM CUPBOARD-1 MONTHLY CHECKLIST-2021

MONTH:-

SLNO DESCRIPTION QTY EXP DATE QTY END OF THE MONTH REMARKS

FIRST RACK
1 ARM SLING (L) 3
2 ARM SLING (M) 4
3 SOFT CERVICAL COLLER (M) 1
4 SOFT CERVICAL COLLER (L) 1
5 NECK SUPPORT ADJUSTABLE 1
6 SAM SPLINT ROLLER 4" 2
7 CHIN STRAP 1
8 WOODEN TONGUE DEPRESSOR 100'S 2 Jan-24
9 POVIDIDONE IODINE PAD 100'S 7 Oct-23
10 ALCOHOL PAD 100'S 1 Nov-23
SECOND RACK-MEDICATION CHECKLIST
THIRD RACK
11 BURN SHEILD 4'' 0
12 EMERGENCY BURNCARE 1" 2 Jan-23

13 BURN SHIELD 24" 4 Oct-22

14 BURN SHIELD 8" 4 Jul-23

15 RYLE'S TUBE 18FG 6 Dec-22

16 RYLE'S TUBE 16FG 6 Oct-22
17 EXAMINATION GLOVE 6
18 RAZZER 1

19 SURGICAL SPIRIT 0

20 TINCTURE SOLUTION 2 Nov-22

21 BETADINE OINTMENT 0

22 ADHESIVE PLASTER 2" 3

23 ADHESIVE PLASTER 3" 4

24 TEGADERM PAD 6X10 10'S 3 Apr-23

25 JELNET 10X10 15S 3 Apr-23

FOURTH-RACK
26 IVF RL 0

27 IVF NS 13 Aug-23

28 IVF DEXTROSE 5% IN NS 7 Feb-23

29 PAPER BAG 16

30 NEEDLE 25G 100S 1 Feb-24

31 GAUZE SWAB 10X10 50S 2 Nov-23

32 HI-CUT (SCALPAL) NO. 24 10S 1 Oct-23

33 YELLOW BAG ROLL 1

34 WOW GAUZE BANDAGE 10X3.6 12S ROLL 2 May-22

35 WOW GAUZE BANDAGE 5X3.6 12S ROLL 2 May-22

36 TUBULAR BANDAGE 8.75X10 1 Jan-23

37 TRIAGE TAG (S) 10

38 TRIAGE TAG (S) 10

FIFTH RACK
39 DISPO. KIDNEY TRAY 2

40 RUBBER GLOVES 2

41 BIOHAZARD SPILL KIT 0

42 BIOHAZARD YELLOW BAG 1

43 PE APRON 100'S 10

44 BODY BAG 7

45 PUNCTURE PROOF CONTAINER (M) 1

46 PUNCTURE PROOF CONTAINER (S) 1

47 DELTAPLUS APRON (XL) 5

48 BIO-HAZARD YELLOW PLASTIC 1

NAME
 DATE

SIGNATURE
 FIRST AID ROOM CUPBOARD-2 MONTHLY CHECKLIST-2021

QTY END OF
SL. NO. DESCRIPTION QTY EXP DATE REMARKS
THE MONTH

FIRST RACK
1 PLASTIC EMPTY BOTTLE 200
2 ARM SLING (M) 1
3 ABDOMINAL BELT (M) 1
4 PEADIATRIC AMBUBAG 1
5 ADULT AMBUBAG 1
6 PLASTIC CERVICAL COLLAR (S,M,L) 1 EACH
7 BLADDER WASH SYRINGE 50CC 1
8 EXAMINATION GLOVE 100S 2
9 LARYNGEAL MASK AIRWAY NO.5,4,3 2 EACH SEP-21,NOV-21,
DEC-23
10 SURGICAL DRAPE SHEET 3 Jul-22
11 E.T TUBE NO. 5 1 Sep-22
12 HOT /COLD PACK 1
13 SUCTION CATHETER NO. 10 2 Jan-23
14 SUCTION CATHETER NO. 12 2 Jan-23
15 SUCTION CATHETER NO. 14 2 Jul-22
16 SUCTION CATHETER NO. 18 2 Apr-22
17 IV CANNULA 22G 6 Dec-22
18 IV CANNULA 18G 1 Feb-24
SECOND RACK
19 NEEDLE NO 22G 100S 20 Dec-21
20 NEEDLE NO 23G 100S 10 Mar-22

21 WOODEN TONGUE DEPRESSOR 100S 3 Jan-24

22 INSULIN SYRINGE 1ML 100S 9 Nov-22
23 TEGADERM 1623W 6X7 100S 9 Oct-10
24 NEEDLE 25G 100S 1 Apr-23

25 STERILE TONGUE DEPRESSOR 100S 2

26 WOUND CLOSURE STRIP 6X7.5 100S 1 Jul-21

27 SURGICAL GLOVE 7.5 50S 1 Aug-23

28 MEDICINE CUP 16

29 TEMP ORAL 100S 2

30 OTOSCOPE 2

31 OPTHALMOSCOPE(GIMA-1) 2

32 SETHOSCOPE(GIMA-1) 1

33 VINYL GLOVE (L) 3

34 SELF SEALING STERILE POUCH 200S 1

THIRD RACK
35 ORTHOSTOCKINETE J-08 100MM 5

36 ORTHOSTOCKINETE J-06 50MM 4

37 TUBULAR SUPPORT BANDAGE 6.5X10 6

38 BANDAGE TUBULAR ELASTICATED 7.5X10 1

39 SYRINGE 5ML 100S 1 Apr-23

40 SYRINGE 3ML 100S 1 Apr-23
41 GAUZE SWAB 10X10 PLY X 8 50S 1

42 BIOHAZARD SPECIMAN POUCH 50S 1

43 DISPOSIBLE EYE PAD 50S 4 Aug-23

44 TONGUE DEPRESSOR 100S 50 Jan-24
45 DURACELL BATTARY TYPE-D 4
46 INSTANT ICE PACK 1

47 EMERGENCY BLANKET 1
 FOURTH-RACK
48 GAUZE BANDAGE 5X4 12S 6 Dec-23
49 GAUZE BANDAGE 7.5X4 12S 5 Jan-23
50 TRIANGULAR BANDAGE 16 Mar-23
51 KETHETER SET 2 Aug-21
52 CRAPE BANDAGE 3X4.5 11 Mar-23
53 CRAPE BANDAGE 2X4.5 12 Oct-22
54 CRAPE BANDAGE 4X4.5 3 Jan-23
55 CRAPE BANDAGE 15X4.5 10 Jan-24
56 CRAPE BANDAGE 10X4.5 10 Feb-23
57 CRAPE BANDAGE 5X4.5 12 Sep-22
58 CONFIRMING BANDAGE 4X4.5 6 Oct-22
59 PBT BANDAGE 15X4 7

60 GAUZE BANDAGE 10X4 7 Jul-22

61 PBT BANDAGE 10X4 6

62 SAM ROLLER SPLENT 8

63 EXAMINATION GLOVE 50S 1

FIFTH RACK
64 METALIC COMMODE 1

65 METALIC URINAL 2

66 METALIC SPUTAM CUP 1

67 METALIC MEASURING CUP 2

68 PLASTIC URINAL 1

69 PUNCTURE PROOF CONTINER (M) 2

70 SHOE COVER 100S 2

71 FLOW METER 1

72 COTTON ROLL 500GRAM 5

73 SYRINGE 50CC 9 Nov-22

74 SYRINGE 20CC 10 Jan-23
75 SYRINGE 10CC 8 Dec-23
76 SYRINGE 5CC 6 May-23
77 SYRINGE 20CC 8 Apr-23
78 WOODEN SPLINT (S) 4

79 WOODEN SPLINT (M) 14

80 WOODEN SPLINT (L) 2

NAME
DATE
SIGNATURE
 FIRST RACK
1 ARM SLING (L) 4
2 ARM SLING (M) 4
3 SOFT CERVICAL COLLER (M) 1
4 SOFT CERVICAL COLLER (L) 1
5 NECK SUPPORT ADJUSTABLE 1
6 SAM SPLINT ROLLER 4" 2
7 CHIN STRAP 1
8 WOODEN TONGUE DEPRESSOR 100'S 2 Jan-24

9 POVIDIDONE IODINE PAD 100'S 7 Oct-23

10 ALCOHOL PAD 100'S 1 Nov-23

THIRD RACK
11 BURN SHEILD 4'' 2 Aug-21

12 EMERGENCY BURNCARE 1" 2 Jan-23

13 BURN SHIELD 24" 4 Oct-22

14 BURN SHIELD 8" 4 Jul-23

15 RYLE'S TUBE 18FG 6 Dec-22

16 RYLE'S TUBE 16FG 6 Oct-22

17 EXAMINATION GLOVE 6
18 RAZZER 1
19 SURGICAL SPIRIT 1 Jun-21

20 TINCTURE SOLUTION 2 Nov-22

21 BETADINE OINTMENT 3 Jun-21

22 ADHESIVE PLASTER 2" 3

23 ADHESIVE PLASTER 3" 4
24 TEGADERM PAD 6X10 10'S 3 Apr-23

25 JELNET 10X10 15S 3 Apr-23

 FOURTH-RACK
26 IVF RL 1 Jun-21

27 IVF NS 13 Aug-23

28 IVF DEXTROSE 5% IN NS 7 Feb-23

29 PAPER BAG 16
30 NEEDLE 25G 100S 1 Feb-24

31 GAUZE SWAB 10X10 50S 2 Nov-23

32 HI-CUT (SCALPAL) NO. 24 10S 1 Oct-23

33 YELLOW BAG ROLL 1

34 WOW GAUZE BANDAGE 10X3.6 12S ROLL 2 May-22

35 WOW GAUZE BANDAGE 5X3.6 12S ROLL 2 May-22

36 TUBULAR BANDAGE 8.75X10 1 Jan-23

37 TRIAGE TAG (S) 10

38 TRIAGE TAG (S) 10

FIFTH RACK
39 DISPO. KIDNEY TRAY 2
40 RUBBER GLOVES 2
41 BIOHAZARD SPILL KIT 1 Jul-21
42 BIOHAZARD YELLOW BAG 1
43 PE APRON 100'S 10
44 BODY BAG 7
45 PUNCTURE PROOF CONTAINER (M) 1
46 PUNCTURE PROOF CONTAINER (S) 1
47 BIO-HAZARD YELLOW PLASTIC 1
 FIRST RACK
1 PLASTIC EMPTY BOTTLE 200
2 ARM SLING (M) 1
3 ABDOMINAL BELT (M) 1
4 PEADIATRIC AMBUBAG 1
5 ADULT AMBUBAG 1
6 PLASTIC CERVICAL COLLAR (S,M,L) 1 EACH
7 BLADDER WASH SYRINGE 50CC 1
8 EXAMINATION GLOVE 100S 2
SEP-21, NOV-
9 LARYNGEAL MASK AIRWAY NO.5,4,3 2 EACH 21,
DEC-23
10 SURGICAL DRAPE SHEET 3 Jul-22
11 E.T TUBE NO. 5 1 Sep-22
12 HOT /COLD PACK 1
13 SUCTION CATHETER NO. 10 2 Jan-23
14 SUCTION CATHETER NO. 12 2 Jan-23
15 SUCTION CATHETER NO. 14 2 Jul-22
16 SUCTION CATHETER NO. 18 2 Apr-22
17 IV CANNULA 22G 6 Dec-22
18 IV CANNULA 18G 1 Feb-24

SECOND RACK
19 NEEDLE NO 22G 100S 20 Dec-21
20 NEEDLE NO 23G 100S 10 Mar-22
21 WOODEN TONGUE DEPRESSOR 100S 3 Jan-24
22 INSULIN SYRINGE 1ML 100S 9 Nov-22
23 TEGADERM 1623W 6X7 100S 9 Oct-10
24 NEEDLE 25G 100S 1 Apr-23
25 STERILE TONGUE DEPRESSOR 100S 2
26 WOUND CLOSURE STRIP 6X7.5 100S 1 Jul-21
27 SURGICAL GLOVE 7.5 50S 1 Aug-23
28 MEDICINE CUP 16
29 TEMP ORAL 100S 2
30 OTOSCOPE 2
31 OPTHALMOSCOPE(GIMA-1) 2
32 SETHOSCOPE(GIMA-1) 1
33 VINYL GLOVE (L) 3
34 SELF SEALING STERILE POUCH 200S 1
 THIRD RACK
35 ORTHOSTOCKINETE J-08 100MM 5
36 ORTHOSTOCKINETE J-06 50MM 4
37 TUBULAR SUPPORT BANDAGE 6.5X10 6
38 BANDAGE TUBULAR ELASTICATED 7.5X10 1
39 SYRINGE 5ML 100S 1 Apr-23
40 SYRINGE 3ML 100S 1 Apr-23
41 GAUZE SWAB 10X10 PLY X 8 50S 1
42 BIOHAZARD SPECIMAN POUCH 50S 1
43 DISPOSIBLE EYE PAD 50S 4 Aug-23
44 TONGUE DEPRESSOR 100S 50 Jan-24
45 DURACELL BATTARY TYPE-D 4
46 INSTANT ICE PACK 1
47 EMERGENCY BLANKET 2

FOURTH-RACK
48 GAUZE BANDAGE 5X4 12S 6 Dec-23
49 GAUZE BANDAGE 7.5X4 12S 5 Jan-23
50 TRIANGULAR BANDAGE 16 Mar-23
51 KETHETER SET 2 Aug-21
52 CRAPE BANDAGE 3X4.5 11 Mar-23
53 CRAPE BANDAGE 2X4.5 12 Oct-22
54 CRAPE BANDAGE 4X4.5 3 Jan-23
55 CRAPE BANDAGE 15X4.5 10 Jan-24
56 CRAPE BANDAGE 10X4.5 10 Feb-23
57 CRAPE BANDAGE 5X4.5 12 Sep-22
58 CONFIRMING BANDAGE 4X4.5 6 Oct-22
59 PBT BANDAGE 15X4 7
60 GAUZE BANDAGE 10X4 7 Jul-22
61 PBT BANDAGE 10X4 6
62 SAM ROLLER SPLENT 8
63 EXAMINATION GLOVE 50S 1
 FIFTH RACK
64 METALIC COMMODE 1
65 METALIC URINAL 2
66 METALIC SPUTAM CUP 1
67 METALIC MEASURING CUP 2
68 PLASTIC URINAL 1
69 PUNCTURE PROOF CONTINER (M) 2
70 SHOE COVER 100S 2
71 FLOW METER 1
72 COTTON ROLL 500GRAM 5
73 SYRINGE 50CC 9 Nov-22
74 SYRINGE 20CC 10 Jan-23
75 SYRINGE 10CC 8 Dec-23
76 SYRINGE 5CC 6 May-23
77 SYRINGE 20CC 8 Apr-23
78 WOODEN SPLINT (S) 4
79 WOODEN SPLINT (M) 14
80 WOODEN SPLINT (L) 2