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Ambulance check list by regular shift:

1. O2 cylinder check
2. Cleanliness of ambulance
3. Stretcher check
4. Wheel chair check
5. Portable pulse oximeter
6. Bed sheet(2)
7. Pillow cover (2)
8. Ambulance bag with equipment FOLLOWING BOX
MEDICATIONS: OTHERS
i. NORMAL SALINE 1 LITER
i. INJ. COTSON ii. 3 WAY EXTENSION 1
ii. INJ. SERGEL iii. INFUSION SET : 2
iii. INJ. BUDICORT iv. OXYGEN MASK ADULT: 1
iv. WINDEL PLUS v. OXYGEN MASK CHILD: 1
v. INJ. SODIP vi. NEBULIZER MASK: 1
vi. INJ. ATROPIN vii. NASAL CANNULA: 1
vii. INJ. HALOPID viii. BP CALF: 1
viii. INJ. PERKINIL ix. STETHOSCOPE: 1
ix. INJ. ADECARD x. NG TUBE:
x. INJ. NEUSAXA xi. BUTTERFLY NEEDLE: 5
xi. INJ. HYPNOFAST xii. NUTRIDEX 50 ML: 1
xii. INJ. ADRINOR xiii. AMBU BAG: 1
xiii. INJ. LASIX xiv. AMBU MASK: 1
xiv. INJ. NORQ xv. INJ. PANTONIX: 1
xv. INJ. EMISTAT xvi. SYRINGE 10 ML: 5
xvi. INJ. CALCIUM GLUCONATE xvii. ALCOHOL PAD: 1 BOX
xviii. COTTON : 1 BOX
xix. IV CANNULA: 18/20/22: 3
xx. TEGADERM: 4

CHECKED BY:

Date & time:

Shift:

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