ALS Ambulance Checklist

S. No. Name of Equipment Quantity

1 CARDIAC MONITOR 1
2 VENTILATOR MACHINE 1
3 SYRING PUMP 2
4 SUCTION APPRATUS 1
5 DEFIBRILLATOR /AED 1
6 OXYGEN FLOWMETER 3
7 PULSE OXYMETER 1
8 BP APPRATUS 1
9 GLUCOMETER $ STRIP 1
10 STETHO SCOPE ADU\ PED 1 EACH
11 LARYNGOSCOPE ADU\PED 1 SET EACH
12 THERMOMETER 1
13 TORCH LIGHT 1
14 TONGUE HOLDER 1
15 THOMAS SPLINT 1
16 BURN SHEET 2
17 CERVICAL COLLAR ,L M S EACH 1
18 RING CUTTER 1
19 O2 Cylinder jumbo (D type) 2
20 O2 Cylinder (B type) 1
AIR WAY
21 AMBU BAG ADU\PED\INFANT EACH 1
22 OPA EACH SIZE 1
23 NPA EACH SIZE EACH 1
24 ET TUBE 8.8,8,7.5,7,6.5,6,5.5,5,4;5 ,4 ,3 EACH SIZE 2
25 I GEL 2, 3, 4 EACH 1
26 LMA 2., 3, 4 EACH 1
27 SUPRAGLOTIC AIRWAY 2, 3,4 EACH 1
28 ALL TYPES OF O2 MASK EACH 2
29 SUCTION SET 1
30 SUCTION CATHATER EACH SIZE 2
31 VENTILATOR CIRCUIT 1
32 BAIN CIRCUIT 1
33 MAGIL FORCEPS 1
34 BOUGIE ADUL \PED EACH 1
35 STYLET ADULT\PED EACH 1
36 LARYNGOSCOPE MACINTOSH ADU 1SET
37 LARYNGOSCOPE MILLER PED 1 SET EACH
OXYGEN MASKS
38 NEB MASK ADU+ PED 1
39 O2 MASK\ HUDSON MASK 2
40 HIGH FLOW MASK 2
41 NASAL PRONGS 2
42 FACE MASKS 5
43 NIV MASK L ,M, S EACH 1
FLUIDS
44 NS 100 ML,500 ML, 1000ML EACH 5
45 RL 500 ML, 100 ML EACH 3
46 DNS 500ML AND 0.45 % NS 2
47 DEXTROSE 5 % 2
48 STARCH 6% 2
49 DEXTROSE 25 % 2
50 MANNITOL 100ML 2
51 STERILE WATER 10ML 1O
NEB RESPULSE
52 NEB ASTHALINE 5
53 NEB DUOLINE 5
54 NEB BUDECORT 5
55 CAN ADD AS PER DR. ADVICE
CARDIAC MEDICINE
55 TAB ASPIRIN 325 MG 5
56 TAB ATROVASTATIN 40, 80 MG 5
57 TAB CLOPITAB 75MG 5
58 TAB SORBITRATE 5MG,\ 10MG 5
59 TAB AMLONG 2.5 \5 MG 5
60 TAB NIFIDIPINE 10 MG 5
61 INJ HEPARIN 2
ALS EMERGENCY DRUGS
62 INJ AVIL 3
63 INJ DEXONA 4MG 3
64 INJ EPTOIN 100MG 10
65 INJ HYDROCORTISONE 100MG 5
66 INJ DERIPHYLLINE 3
67 INJ THIAMINE 100MG 3
68 INJ PARACETAMOL 2ML 3
69 INJ PARACETAMOL 100ML 2
70 INJ PAN 40 5
71 INJ ONDEM 4MG 5
72 INJ LEVIPILL 500 MG 4
73 INJ ADENOSINE 6MG 2
74 INJ ADRENALINE 1MG 10
75 INJ ATROPINE 10 AMP
76 INJ NORAD 4MG 4
77 INJ DOPAMINE 200MG 4
78 INJ DOBUTAMINE 250MG 4
79 INJ KCL 10ML 4
80 INJ SODABICARB 25ML 5
81 INJ CALCIUM GLUCONATE 10ML 3
82 INJ NTG 2
83 INJ LASIX 4
84 INJ MVI 2
85 INJ LABETLOL 2
86 INJ TRAMADOL 5
87 INJ DICLOFENAC 5
88 INJ RANTAC 5
89 INJ TRANAXMIC ACID 5
90 INL PERINORM 2
91 INJ AMIODARONE 4
92 INJ TT 5
93 INJ METRONIDAZOLE 2
94 INJ ISOPRENALINE 2
95 INJ GLYCOPYRUVATE 3
SEDATIVE DRUGS
96 INJ LORAZEPAM 2
97 INJ KETAMINE 1
98 INJ LIDOCAINE 1
99 INJ MIDAZOLAM 2
100 INJ PROPOFOL 2
101 INJ ATRACURIUM 1
103 INJ VECRONIUM 2
104 INJ FENTANYL 2
105 INJ SERECNAC 2
SURGICAL ITEM
106 RYLES TUBE 12,14,16,18 EACH 1
107 SYRINGE 3,5,10ML EACH 5
108 SYRINGE 20,50 ML EACH 2
109 PMO LINE 2
110 3WAY EXTENSIPON 2
111 SUCTION CATHATER EACH SIZE 2
112 LOOSE GLOVES 10 PAIR
113 STERILE GLOVES 6,6.5,7 7.5 , EACH 2
114 CAP 5
115 BANDAGE ROLL 5
116 COTTON ROLL 1
117 GAUZE PIECE 10
118 GAUZE PAD 10
119 MICRO PORE 2
120 SCISSOR 1
121 CERVIVAL COLLAR L,M, S EACH 1
122 DEFEBRILLATOR JELLY 1
123 LIGNOCAINE JELLY 1
124 KIDNEY TRAY 1
125 PILLOW COVER 2
126 BED SHEET 2
 127 BLANKET 1
128 SPRIT 1
129 BETADINE SOLUTION 1
130 DUSTBIN 1
132 EXTENSION BOARD 1
133 SCOOP STRETCHER 1
143 WHEEL CHAIR 1
144 O2 KEY 1
145 IV SET 2
146 BLOOD SET 2
147 PEDIATRIC DRIP SET 2
148 VENTILATOR CIRCUIT 1
149 NEEDLE CUTTER 1
150 AMPUL CUTTER 1
151 STERILE BLADE 3
152 VENFLAN ALL SIZES EACH 2
153 ECG LEADS 10
154 EASY FIX 3
155 DYNOPLASTER 1
156 STERLIUM 1
157 SPILLAGE KIT 1
158 ALL TYPES OF SPLINT FOR HAND 1
159 ADHESSIVES TAP ROLL 1
160 TRIANGLE BANDAGES 1
161 PPE KIT 1
162 STETHO SCOPE ADU\PED EACH 1
163 SURGICAL FOOT COVERAGE 5 PAIR
164 COLD PACK BOX 1
165 HIT PACKS BOX 1
166 BED PAN 1
167 URINE POT 1
168 TRIAGE TAGS ALL COLOUR
169 HAND CLEANER 1
170 ARM SILLING [ large and child] 1
171 Spin board 1
172 PRE HOSPITAL CONSENT
173 AMBULANCE HIGH RISK CONSENT

SIGN OF STAFF SIGN OF INCHARGE