You are on page 1of 43

AIRWAY BAG (MEDIC 1) Month : June 2014

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

1 Endotracheal Tube no 3.0 Cuffed 1


2 Endotracheal Tube no 3.5 Cuffed 1
3 Endotracheal Tube no 4.0 Cuffed 1
4 Endotracheal Tube no 4.5 Cuffed 1
5 Endotracheal Tube no 5.0 Cuffed 1
6 Endotracheal Tube no 5.5 Cuffed 1
7 Endotracheal Tube no 6.0 Cuffed 1
8 Endotracheal Tube no 6.5 Cuffed 1
9 Endotracheal Tube no 7.0 Cuffed 1
10 Endotracheal Tube no 7.5 Cuffed 1
11 Endotracheal Tube no 8.0 Cuffed 1
12 Endotracheal Tube no 8.5 Cuffed 1
13 Endotracheal Tube no 9.0Cuffed 1
14 Laryngeal Mask (Soft Seal) Size 2 1
15 Laryngeal Mask (Soft Seal) Size 2.5 1
16 Laryngeal Mask (Soft Seal) Size 3 1
17 Laryngeal Mask (Soft Seal) Size 4 1
18 Laryngeal Mask (Soft Seal) Size 5 1
19 Guedel Airway no: 0 1
20 Guedel Airway no: 1 1
21 Guedel Airway no: 2 1
22 Guedel Airway no: 3 1
23 Guedel Airway no: 4 1
24 Guedel Airway no: 5 1
25 Guedel Airway no: 6 1
26 Laryngoscope Blade Handle 1
27 Laryngoscope Blade Size 1(Stainles) 1
28 Laryngoscope Blade Size 2(Stainles) 1
29 Laryngoscope Blade Size 3(Stainles) 1
30 Laryngoscope Blade Size 4(Stainles) 1
31 Magill Forceps Adult 25 cm 1
32 Magill Forceps Child 20 cm 1
33 Nasopharyngel Airway 6.0 1
34 Nasopharyngel Airway 6.5 1
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

35 Nasopharyngel Airway 7.0 1


36 Nasopharyngel Airway 7.5 1
37 Nasopharyngel Airway 8.0 1
38 Nasopharyngel Airway 8.5 1
39 Nasopharyngel Airway 9.0 1
40 Battery Medium For Spare 2
41 Stylet Intubation Paediatric 1
42 Stylet Intubation Adult 1
43 Syringe Disposable 10ml w/o needle 1
44 KY Jelly 82 gr 1
45 Durapore 25 mm 1
46 Oxygen Cylinder 300 lt 1800 PSI 1
47 AmbuBag (Resuscitator) Adult 1
48 AmbuBag (Resuscitator) Child 1
49 Mask NRB Adult (Local) 1
50 Mask NRB Child (Local) 1
51 Mask Oxygen Adult 1
52 Mask Oxygen Child 1
53 Nasal Canula Adult 1
54 Nasal Canula Paediatric 1
Checked by
TRAUMA BAG (MEDIC 1)
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

1 Arm Sling Triangle 2


2 Dressing Pack 2
3 Scissor Bandage 1
4 Sterile Gauze Pack 5
5 Garamycin Skin Oinment 0.1% 15 gr 1
6 Durapore 25 mm 1
7 Durapore 50 mm 1
8 Leukocrepe 15cm 2
9 Leukocrepe 10cm 2
10 Leukocrepe 7.5cm 2
11 Conforming Bandage 10cm 2
12 Conforming Bandage 7.5cm 2
13 Conforming Bandage 5cm 2
14 Conforming Bandage 2. 5cm 2
15 Sharp Collector 1 L 1
16 Stiff Neck Collar Adjustable 1
17 Stiff Neck Collar Baby No Neck 1
18 Stiff Neck Collar Pediatric 1
19 Vomit Bag 3
20 Apron 4
21 Na Cl 0.9% Solution 500 ml 2
22 Face mask 6
Checked by
EMERGENCY BAG (MEDIC 1)
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

Altered Mental Status


1 Dextrose 40% 4
2 Narcan 0,4mg/ml 3
3 Thiamine 100mg/ml 1

Anaphylatic shock/
Acute Asthma Attack
4 Epinephrine 1mg/ml 1
5 Atrovent 0.025% (20ml) 1
6 Diphenhydramine 10 mg/ml 3
7 Solu Medrol 125mg 1
8 Ventolin nebule 2,5mg/2,5ml 3
9 Zantac 50mg/2ml 1
10 Nacl 0,9% 1

Acute Psycosis
11 Diphenhydramine 10 mg/ml 1
12 Serenace 5mg/ml 1

Hypertyroidism
13 Betaloc 5mg/5ml ACLS
14 Dexamethasone 5mg/ml 1

Hypertensive Emergencies
15 Nitrocine 10mg/10ml 1

Seizure
16 Phenytoin 100mg/2ml 10
17 Stesolid Rectal Tube 10mg 2
18 Stesolid Rectal Tube 5mg 2
19 Valium 10mg/2ml 6
20 Sedacum 5mg/5ml 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

Acute Pulmonary Edema,


Hypotension and Shock
21 Lasix 20mg/2ml 4
22 Morphine 10mg/ml 2
23 Nitrocine 10mg/ml 1
24 Dexamethason 1
Other Symptomatic Meds
25 Buscopan 20mg/ml 1
26 Cedantron 4mg/2ml 1
27 Dextrose 40% 4
28 Fentanyl 100mcg/ml 1
29 Mylanta suspension/ Polysilane suspension 1
30 Panadol 500mg tab 2
31 Dumin supp 250 mg 2
32 Pethidine 100mg/2ml 1
33 Primperan 10mg/2ml 1
34 Scelto 30mg/ml 1
35 Viscous Xylocaine 1
36 Acran 50mg/2ml 1
37 Na Cl 0,9% 25 ml 2

ACLS DRUGS
38 Epinephrine 1mg/ml 7
39 Ascardia 160mg tab 2
40 Atropine 0,25mg/ml 12
41 Betaloc 5mg/5ml (Fapresor 5mg/5ml) 3
42 Cordarone 150mg/3ml 3
43 Sedacum 5mg/5ml 1
44 Fentanyl 100mcg/ml 1
45 MgSO4 10g/25ml 1
46 Morphine 10mg/ml 2
47 Nitrospray 400ug/spray 1
48 Dopamin 40 mg/ml 1
49 Xylocard 500mg/5ml 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

Equipment
50 AED PRO + Stat Pedz 1
51 Manual Sphgmomanometer 1
52 Stethoscope Adult 1
53 Thermometer Digital 1
54 Thermometer Cover 10
55 Tongue Spatel 5
56 Scissor Bandage 1
57 Pulseoxymeter (lardeal) 1
58 Cardiac Electrode Patch 10
59 Cable For Defib 1
60 Emergency Protocol List 1
61 KY Gel 1
62 NaCl 0.9% 25 ml 4

IV SET
63 Glucometer Reading Set 1
64 NaCl 0.9% 500 ml 1
65 Ringer Lactate 500 ml 1
66 Dextrose 5% 500 ml 1
67 Infusion Set Adult 2
68 Infusion Set Child 2
69 Three way exstention 2
70 Blood Transfusion Set 2
71 IV Tegaderm Fixation 5
72 Tourniquet 1
73 Alcohol Swab Pastik 20
74 Hansaplast Standart 10
75 IV Cath 14 G 3
76 IV Cath 16 G 3
77 IV Cath 18 G 3
78 IV Cath 20 G 3
79 IV Cath 22 G 3
80 IV Cath 24 G 3

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

INJECTION SET
81 Syringe 1 ml 3
82 Syringe 3 ml 3
83 Syringe 5 ml 3
84 Syringe 10 ml 3
85 Syringe 20 ml 3
86 Needle 25 G 2
87 Needle 23 G 2
88 Needle 21 G 2
89 Wing Needle 25 G 2
90 Wing Needle 23 G 2
91 Wing Needle 21 G 2
92 Non Additive Blood Container (Red) 2
93 EDTA Blood Container (Purple) 2
94 EDTA Mini Collect Blood Container 2
95 Citras Blood Container (Blue) 2

OTHERS
96 Bolpoint 1
97 Pedi Wheel Emergency 1
Checked by
AMBULANCE CUPBOARD (MEDIC 1)
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

IV SET
1 Na Cl 0.9% Solution 500 ml 2
2 Ringer Lactate Infusion 500 ml 2
3 Dextros 5% Solution 500 ml 2
4 Dextros 10% Solution 500 ml 1
5 Tridex 27 B solution 500ml 2
6 Na Cl 0.9% Solution 25 ml 4
7 Water injection solution 25ml 4
8 Dextros 40% Solution 25 ml 2
9 Infusion Set Adult 2
10 Infusion Set Paediatric 2
11 Blood Administraton Set 2
12 Three way with exstention 3
13 IV Tape Adult (Tegaderm) 5
14 Torniquet OM 1
15 Alkohol Swab (Pastik) 20
16 Ok Plast 10
17 IV Catheter 14G 3
18 IV Catheter 16G 3
19 IV Catheter 18G 3
20 IV Catheter 20G 3
21 IV Catheter 22G 3
22 IV Catheter 24G 3
INJECTION SET
23 Syringe Disposable 1 ml 2
24 Syringe Disposable 3 ml 5
25 Syringe Disposable 5 ml 5
26 Syringe Disposable 10 ml 5
27 Syringe Disposable 20 ml 2
28 Syringe Disposable 50 ml 2
29 Needle Disposable 25G 3
30 Volumat line Fresenius Kabi 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

31 Needle Disposable 23G 3


32 Needle Disposable 21G 3
33 Wing Needle Disposable 25G 2
34 Wing Needle Disposable 23G 2
35 Wing Needle Disposable 21G 2
36 Non Additive Blood Container (Red) 2
37 EDTA Blood Container (Purple) 2
38 EDTA Mini Collect Blood Container 2
39 Citras Blood Container (Blue) 2
OTHERS
40 Oxygen Cylinder 6m3 2000 psi 1
41 Suction Unit LSU 1
42 Yankurt suction tube
43 Suction tube no 10, 12, 14, 16
44 Scoop Streatcher 1
45 Spine Board 1
46 Leg Traction Splint 1
47 Wood Splint Set 3
48 Carry Sheet 1
49 Air Splint Arm 2
50 Air Splint Leg 1
51 Arm Sling Triangle 2
52 Fluoresent Jacket 4
53 Google 4
54 Underpad Prevail 2
55 Spider Strap 1
56 Leukocrepe 15cm 2
57 Leukocrepe 10cm 2
58 Leukocrepe 7.5cm 2
59 Conforming Bandage 10cm 2
60 Conforming Bandage 5 cm 2
61 Conforming Bandage 2.5cm 2
62 Medical Waste 1
63 Stiff Neck Collar Adjustable 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

64 Stiff Neck Collar Baby No Neck 1


65 Stiff Neck Collar Pediatric 1
66 Vomit Bag 5
67 Stethoscope Adult 1
68 Unsterile Glove Size S 1
69 Unsterile Glove Size M 1
70 Unsterile Glove Size L 1
71 Dressing Pack 2
72 Sterile Gauze Pack 5
73 Apron 4
74 Face Mask 5
75 Sphygmomanometer Manual 1
76 Durapore 25 mm 1
77 Durapore 50 mm 1
78 Scissor Bandage 1
79 Mask NRB Adult (local) 1
80 Mask NRB Child (local) 1
81 Mask Oxygen Adult 1
82 Mask Oxygen Paediatric 1
83 Nasal Canula Adult 1
84 Nasal Canula Paediatric 1
85 Mask Nebulizer Adult 1
86 Mask Nebulizer Child 1
87 Head Immobilizer 1
88 Arm Sling Triangle 2
89 Arm Sling Size S 1
90 Arm Sling Size M 1
91 Arm Sling Size L 1
92 Bottle Water 3
93 Blanket 5
94 Pillow 2
95 Ambulance Sheet 2
96 Medical Waste 1
97 Sharp Collector 1 L 1
98 ECG Electrode (Local) 20

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

99 Bed Pan 1
100 Urinal Pot 1
101 Manual Suction 1
102 File Holder Set 1
Checked by
AIRWAY BAG (AMBULANCE .) Bulan : .. ,20..
Date/ ..
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

1 Endotracheal Tube no 3.0 Cuffed 1


2 Endotracheal Tube no 7.0 Cuffed 1
3 Endotracheal Tube no 7.5 Cuffed 1
4 Laryngeal Mask (Soft Seal) Size 3 1
5 Laryngeal Mask (Soft Seal) Size 4 1
6 Guedel Airway no: 1 1
7 Guedel Airway no: 2 1
8 Guedel Airway no: 4 1
9 Guedel Airway no: 5 1
10 Magill Forceps Adult 25 cm 1
11 Magill Forceps Child 20 cm 1
12 Battery Medium For Spare 2
13 Stylet Intubation Paediatric 1
14 Stylet Intubation Adult 1
15 Syringe Disposable 10ml w/o needle 1
16 KY Jelly 82 gr 1
17 Durapore 25 mm 1
18 Oxygen Cylinder 300 lt 1800 PSI 1
19 AmbuBag (Resuscitator) Adult 1
20 AmbuBag (Resuscitator) Child 1
21 Mask NRB Adult (Local) 1
22 Mask NRB Child (Local) 1
23 Mask Oxygen Adult 1
24 Mask Oxygen Child 1
25 Nasal Canula Adult 1
26 Nasal Canula Paediatric 1
Checked by
TRAUMA BAG (AMBULANCE...)
Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

1 Arm Sling Triangle 2


2 Dressing Pack 2
3 Sterile Gauze Pack 5
4 Garamycin Skin Oinment 0.1% 15 gr 1
5 Durapore 25 mm 1
6 Durapore 50 mm 1
7 Leukocrepe 15cm 2
8 Leukocrepe 10cm 2
9 Leukocrepe 7.5cm 2
16 Stiff Neck Collar Adjustable ( Adult) 1
17 Stiff Neck Collar Baby No Neck 1
18 Stiff Neck Collar Adjustable (Pediatric) 1
19 Vomit Bag 3
20 Apron 4
21 Na Cl 0.9% Solution 500 ml 2
22 Face mask 6
23 Transofix 1
Checked by
KOTAK EMERGENCY (AMBULANCE ..)
Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

Delirium
1 Dextrose 40% 4
2 Thiamine 100mg/ml 1

Anaphylatic shock/
Acute Asthma Attack
3 Epinephrine 1mg/ml 1
4 Diphenhydramine 10 mg/ml 3
5 Methylprednisolon 125mg 1
6 Ventolin nebule 2,5mg/2,5ml 3
7 Dexametason inj 2
8 Nacl 0,9% 1
Psikosis akut
11 Diphenhydramine 10 mg/ml 1
12 Haloperidol inj 1

Kejang
16 Phenytoin 100mg/2ml 5
17 Stesolid Rectal Tube 10mg 2
18 Stesolid Rectal Tube 5mg 2
19 Diazepam 10mg/2ml 3
20 Midazolam 5mg/5ml 1

Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

Acute Pulmonary Edema,


Hypotension and Shock
21 Lasix 20mg/2ml 4
22 Morphine 10mg/ml 2
Other Symptomatic Meds
25 Buscopan 20mg/ml 1
26 Ondansetron 4mg/2ml 1
27 Dextrose 40% 4
29 Mylanta suspension/ Polysilane suspension 1
30 Panadol 500mg tab 2
31 Dumin supp 250mg 2
32 Pethidine 100mg/2ml 1
33 Metoklorpramid 10mg/2ml 1
34 Ketorolac 30mg/ml 1
36 Ranitidin 50mg/2ml 1
37 Na Cl 0,9% 25 ml 2
ACLS DRUGS
38 Epinephrine 1mg/ml 5
39 Miniaspi tablet 5
40 Atropine 0,25mg/ml 12
42 Cordarone 150mg/3ml 3
43 Sedacum 5mg/5ml 1
45 MgSO4 10g/25ml 1
48 Dopamin 40 mg/ml 1

Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

Equipment
51 AED PRO + Stat Pedz 1
52 Manual Sphgmomanometer 1
53 Stethoscope Adult 1
54 Thermometer Digital 1
56 Tongue Spatel 5
58 Pulseoxymeter (lardeal) 1
59 Cardiac Electrode Patch 10
60 Cable For Defib 1
61 Emergency Protocol List 1
62 KY Gel 1
63 NaCl 0.9% 25 ml 4
64 Flash Light 1
IV SET
65 Glucometer Reading Set 1
66 NaCl 0.9% 500 ml 1
67 Ringer Lactate 500 ml 1
68 Dextrose 5% 500 ml 1
69 Infusion Set Adult 2
70 Infusion Set Child 2
72 Three way exstention 2
73 Blood Transfusion Set 2
74 IV Tegaderm Fixation ( Adult) 5
75 IV Tegaderm Fixation ( Pediatric) 2
76 Tourniquet 1
77 Alcohol Swab Pastik 20
78 Hansaplast Standart 10

Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

82 IV Cath 20 G 3
83 IV Cath 22 G 3
84 IV Cath 24 G 3

INJECTION SET
83 Syringe 1 ml 3
84 Syringe 3 ml 3
85 Syringe 5 ml 3
86 Syringe 10 ml 3
87 Syringe 20 ml 3
88 Needle 25 G 2
89 Needle 23 G 2
94 Non Additive Blood Container (Red) 2
95 EDTA Blood Container (Purple) 2
96 EDTA Mini Collect Blood Container 2
97 Citras Blood Container (Blue) 2

OTHERS
Checked by

AMBULANCE CUPBOARD (AMBULANCE.)


Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

IV SET
1 Na Cl 0.9% Solution 500 ml 2
2 Ringer Lactate Infusion 500 ml 2
3 Dextros 5% Solution 500 ml 2
4 Dextros 10% Solution 500 ml 1
5 Asering solution 500ml 2
6 Na Cl 0.9% Solution 25 ml 4
7 Water injection solution 25ml 4
8 Dextros 40% Solution 25 ml 2
9 Infusion Set Adult 2
10 Infusion Set Paediatric 2
11 Blood Administraton Set 2
12 Three way with exstention 3
13 IV Tape Adult (Tegaderm) 5
14 Torniquet OM 1
15 Alkohol Swab (Pastik) 20
16 Ok Plast 10
20 IV Catheter 20G 3
21 IV Catheter 22G 3
22 IV Catheter 24G 3
INJECTION SET
23 Syringe Disposable 1 ml 2
24 Syringe Disposable 3 ml 5
25 Syringe Disposable 5 ml 5
26 Syringe Disposable 10 ml 5
27 Syringe Disposable 20 ml 2
28 Syringe Disposable 50 ml 2
29 Needle Disposable 25G 3
31 Extention tube 1

Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

32 Needle Disposable 23G 3


37 Non Additive Blood Container (Red) 2
38 EDTA Blood Container (Purple) 2
39 EDTA Mini Collect Blood Container 2
40 Citras Blood Container (Blue) 2

OTHERS
41 Oxygen Cylinder 6m3 2000 psi 1
42 Suction Unit LSU 1
43 Yankurt suction tube
44 Suction tube no 10, 12, 14, 16
45 Scoop Streatcher 1
46 Spine Board 1
57 Leukocrepe 15cm 2
58 Leukocrepe 10cm 2
59 Leukocrepe 7.5cm 2
63 Medical Waste 1
64 Stiff Neck Collar Adjustable (Adult) 1

Date/
NO ITEM Shift M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N M A N
Exp. Date

65 Stiff Neck Collar Baby No Neck 1


66 Stiff Neck Collar Pediatric 1
67 Vomit Bag 5
68 Stethoscope Adult 1
69 Unsterile Glove Size S 1
70 Unsterile Glove Size M 1
71 Unsterile Glove Size L 1
72 Dressing Pack 2
73 Sterile Gauze Pack 5
74 Apron 4
75 Face Mask 5
76 Sphygmomanometer Manual 1
77 Durapore 25 mm 1
78 Durapore 50 mm 1
80 Mask NRB Adult (local) 1
81 Mask NRB Child (local) 1
82 Mask Oxygen Adult 1
83 Mask Oxygen Paediatric 1
84 Nasal Canula Adult 1
85 Nasal Canula Paediatric 1
88 Head Immobilizer 1
90 Arm Sling Size S 1
91 Arm Sling Size M 1
92 Arm Sling Size L 1
94 Blanket 5
95 Pillow 2
96 Ambulance Sheet 2
97 Medical Waste 1
99 ECG Electrode (Local) 20
AIRWAY BAG (MEDIC 3)
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A
1 Endotracheal Tube no 3.0 Cuffed 1
2 Endotracheal Tube no 3.5 Cuffed 1
3 Endotracheal Tube no 4.0 Cuffed 1
4 Endotracheal Tube no 4.5 Cuffed 1
5 Endotracheal Tube no 5.0 Cuffed 1
6 Endotracheal Tube no 5.5 Cuffed 1
7 Endotracheal Tube no 6.0 Cuffed 1
8 Endotracheal Tube no 6.5 Cuffed 1
9 Endotracheal Tube no 7.0 Cuffed 1
10 Endotracheal Tube no 7.5 Cuffed 1
11 Endotracheal Tube no 8.0 Cuffed 1
12 Endotracheal Tube no 8.5 Cuffed 1
13 Endotracheal Tube no 9.0Cuffed 1
14 Laryngeal Mask (Soft Seal) Size 2 1
15 Laryngeal Mask (Soft Seal) Size 2.5 1
16 Laryngeal Mask (Soft Seal) Size 3 1
17 Laryngeal Mask (Soft Seal) Size 4 1
18 Laryngeal Mask (Soft Seal) Size 5 1
19 Guedel Airway no: 0 1
20 Guedel Airway no: 1 1
21 Guedel Airway no: 2 1
22 Guedel Airway no: 3 1
23 Guedel Airway no: 4 1
24 Guedel Airway no: 5 1
25 Guedel Airway no: 6 1
26 Laryngoscope Blade Handle 1
27 Laryngoscope Blade Size 1(Stainles) 1
28 Laryngoscope Blade Size 2(Stainles) 1
29 Laryngoscope Blade Size 3(Stainles) 1
30 Laryngoscope Blade Size 4(Stainles) 1
31 Magill Forceps Adult 25 cm 1
32 Magill Forceps Child 20 cm 1
33 Nasopharyngel Airway 6.0 1
34 Nasopharyngel Airway 6.5 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
35 Nasopharyngel Airway 7.0 1
36 Nasopharyngel Airway 7.5 1
37 Nasopharyngel Airway 8.0 1
38 Nasopharyngel Airway 8.5 1
39 Nasopharyngel Airway 9.0 1
40 Battery Medium For Spare 2
41 Stylet Intubation Paediatric 1
42 Stylet Intubation Adult 1
43 Syringe Disposable 10ml w/o needle 1
44 KY Jelly 82 gr 1
45 Durapore 25 mm 1
46 Oxygen Cylinder 300 lt 1800 PSI 1
47 AmbuBag (Resuscitator) Adult 1
48 AmbuBag (Resuscitator) Child 1
49 Mask NRB Adult (Local) 1
50 Mask NRB Child (Local) 1
51 Mask Oxygen Adult 1
52 Mask Oxygen Child 1
53 Nasal Canula Adult 1
54 Nasal Canula Paediatric 1
Checked by

TRAUMA BAG (MEDIC 3)


1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A
1 Arm Sling Triangle 2
2 Dressing Pack 2
3 Scissor Bandage 1
4 Sterile Gauze Pack 5
5 Garamycin Skin Oinment 0.1% 15 gr 1
6 Durapore 25 mm 1
7 Durapore 50 mm 1
8 Leukocrepe 15cm 2
9 Leukocrepe 10cm 2
10 Leukocrepe 7.5cm 2
11 Conforming Bandage 10cm 2
12 Conforming Bandage 7.5cm 2
13 Conforming Bandage 5cm 2
14 Conforming Bandage 2. 5cm 2
15 Sharp Collector 1 L 1
16 Stiff Neck Collar Adjustable 1
17 Stiff Neck Collar Baby No Neck 1
18 Stiff Neck Collar Pediatric 1
19 Vomit Bag 3
20 Apron 4
21 Na Cl 0.9% Solution 500 ml 2
22 Face mask 6
Checked by
EMERGENCY BAG (MEDIC 3)
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A
Altered Mental Status
1 Dextrose 40% 4
2 Narcan 0,4mg/ml 3
3 Thiamine 100mg/ml 1

Anaphylatic shock/
Acute Asthma Attack
4 Epinephrine 1mg/ml 1
5 Atrovent 0.025% (20ml) 1
6 Diphenhydramine 10 mg/ml 3
7 Solu Medrol 125mg 1
8 Ventolin nebule 2,5mg/2,5ml 3
9 Zantac 50mg/2ml 1
10 Nacl 0,9% 1

Acute Psycosis
11 Diphenhydramine 10 mg/ml 1
12 Serenace 5mg/ml 1

Hypertyroidism
13 Betaloc 5mg/5ml ACLS
14 Dexamethasone 5mg/ml 1

Hypertensive Emergencies
15 Nitrocine 10mg/10ml 1

Seizure
16 Phenytoin 100mg/2ml 10
17 Stesolid Rectal Tube 10mg 2
18 Stesolid Rectal Tube 5mg 2
19 Valium 10mg/2ml 6
20 Sedacum 5mg/5ml 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
Acute Pulmonary Edema,
Hypotension and Shock
21 Lasix 20mg/2ml 4
22 Morphine 10mg/ml 2
23 Nitrocine 10mg/ml 1
24 Dexamethason 1
Other Symptomatic Meds
25 Buscopan 20mg/ml 1
26 Cedantron 4mg/2ml 1
27 Dextrose 40% 4
28 Fentanyl 100mcg/ml 1
29 Mylanta suspension/ Polysilane suspension 1
30 Panadol 500mg tab 2
31 Dumin supp 250 mg 2
32 Pethidine 100mg/2ml 1
33 Primperan 10mg/2ml 1
34 Scelto 30mg/ml 1
35 Viscous Xylocaine 1
36 Acran 50mg/2ml 1
37 Na Cl 0,9% 25 ml 2

ACLS DRUGS
38 Epinephrine 1mg/ml 7
39 Ascardia 160mg tab 2
40 Atropine 0,25mg/ml 12
41 Betaloc 5mg/5ml (Fapresor 5mg/5ml) 3
42 Cordarone 150mg/3ml 3
43 Sedacum 5mg/5ml 1
44 Fentanyl 100mcg/ml 1
45 MgSO4 10g/25ml 1
46 Morphine 10mg/ml 2
47 Nitrospray 400ug/spray 1
48 Dopamin 40 mg/ml 1
49 Xylocard 500mg/5ml 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
Equipment
50 AED PRO + Stat Pedz 1
51 Manual Sphgmomanometer 1
52 Stethoscope Adult 1
53 Thermometer Digital 1
54 Thermometer Cover 10
55 Tongue Spatel 5
56 Scissor Bandage 1
57 Pulseoxymeter (lardeal) 1
58 Cardiac Electrode Patch 10
59 Cable For Defib 1
60 Emergency Protocol List 1
61 KY Gel 1
62 NaCl 0.9% 25 ml 4

IV SET
63 Glucometer Reading Set 1
64 NaCl 0.9% 500 ml 1
65 Ringer Lactate 500 ml 1
66 Dextrose 5% 500 ml 1
67 Infusion Set Adult 2
68 Infusion Set Child 2
69 Three way exstention 2
70 Blood Transfusion Set 2
71 IV Tegaderm Fixation 5
72 Tourniquet 1
73 Alcohol Swab Pastik 20
74 Hansaplast Standart 10
75 IV Cath 14 G 3
76 IV Cath 16 G 3
77 IV Cath 18 G 3
78 IV Cath 20 G 3
79 IV Cath 22 G 3
80 IV Cath 24 G 3

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
INJECTION SET
81 Syringe 1 ml 3
82 Syringe 3 ml 3
83 Syringe 5 ml 3
84 Syringe 10 ml 3
85 Syringe 20 ml 3
86 Needle 25 G 2
87 Needle 23 G 2
88 Needle 21 G 2
89 Wing Needle 25 G 2
90 Wing Needle 23 G 2
91 Wing Needle 21 G 2
92 Non Additive Blood Container (Red) 2
93 EDTA Blood Container (Purple) 2
94 EDTA Mini Collect Blood Container 2
95 Citras Blood Container (Blue) 2

OTHERS
96 Bolpoint 1
97 Pedi Wheel Emergency 1
Checked by

AMBULANCE CUPBOARD(MED
1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14
NO ITEM AMT
M A N M A N M A N M A N M A N M A
IV SET
1 Na Cl 0.9% Solution 500 ml 2
2 Ringer Lactate Infusion 500 ml 2
3 Dextros 5% Solution 500 ml 2
4 Dextros 10% Solution 500 ml 1
5 Tridex 27 B solution 500ml 2
6 Na Cl 0.9% Solution 25 ml 4
7 Water injection solution 25ml 4
8 Dextros 40% Solution 25 ml 2
9 Infusion Set Adult 2
10 Infusion Set Paediatric 2
11 Blood Administraton Set 2
12 Three way with exstention 3
13 IV Tape Adult (Tegaderm) 5
14 Torniquet OM 1
15 Alkohol Swab (Pastik) 20
16 Ok Plast 10
17 IV Catheter 14G 3
18 IV Catheter 16G 3
19 IV Catheter 18G 3
20 IV Catheter 20G 3
21 IV Catheter 22G 3
22 IV Catheter 24G 3
INJECTION SET
23 Syringe Disposable 1 ml 2
24 Syringe Disposable 3 ml 5
25 Syringe Disposable 5 ml 5
26 Syringe Disposable 10 ml 5
27 Syringe Disposable 20 ml 2
28 Syringe Disposable 50 ml 2
29 Needle Disposable 25G 3
30 Volumat line Fresenius Kabi 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
31 Needle Disposable 23G 3
32 Needle Disposable 21G 3
33 Wing Needle Disposable 25G 2
34 Wing Needle Disposable 23G 2
35 Wing Needle Disposable 21G 2
36 Non Additive Blood Container (Red) 2
37 EDTA Blood Container (Purple) 2
38 EDTA Mini Collect Blood Container 2
39 Citras Blood Container (Blue) 2
OTHERS
40 Oxygen Cylinder 6m3 2000 psi 1
41 Suction Unit LSU 1
42 Yankurt suction tube
43 Suction tube no 10, 12, 14, 16
44 Scoop Streatcher 1
45 Spine Board 1
46 Leg Traction Splint 1
47 Wood Splint Set 3
48 Carry Sheet 1
49 Air Splint Arm 2
50 Air Splint Leg 1
51 Arm Sling Triangle 2
52 Fluoresent Jacket 4
53 Google 4
54 Underpad Prevail 2
55 Spider Strap 1
56 Leukocrepe 15cm 2
57 Leukocrepe 10cm 2
58 Leukocrepe 7.5cm 2
59 Conforming Bandage 10cm 2
60 Conforming Bandage 5 cm 2
61 Conforming Bandage 2.5cm 2
62 Medical Waste 1
63 Stiff Neck Collar Adjustable 1

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
64 Stiff Neck Collar Baby No Neck 1
65 Stiff Neck Collar Pediatric 1
66 Vomit Bag 5
67 Stethoscope Adult 1
68 Unsterile Glove Size S 1
69 Unsterile Glove Size M 1
70 Unsterile Glove Size L 1
71 Dressing Pack 2
72 Sterile Gauze Pack 5
73 Apron 4
74 Face Mask 5
75 Sphygmomanometer Manual 1
76 Durapore 25 mm 1
77 Durapore 50 mm 1
78 Scissor Bandage 1
79 Mask NRB Adult (local) 1
80 Mask NRB Child (local) 1
81 Mask Oxygen Adult 1
82 Mask Oxygen Paediatric 1
83 Nasal Canula Adult 1
84 Nasal Canula Paediatric 1
85 Mask Nebulizer Adult 1
86 Mask Nebulizer Child 1
87 Head Immobilizer 1
88 Arm Sling Triangle 2
89 Arm Sling Size S 1
90 Arm Sling Size M 1
91 Arm Sling Size L 1
92 Bottle Water 3
93 Blanket 5
94 Pillow 2
95 Ambulance Sheet 2
96 Medical Waste 1
97 Sharp Collector 1 L 1
98 ECG Electrode (Local) 20

1-Jun-14 2-Jun-14 3-Jun-14 4-Jun-14 5-Jun-14 6-Jun-14


NO ITEM AMT
M A N M A N M A N M A N M A N M A
99 Bed Pan 1
100 Urinal Pot 1
101 Manual Suction 1
102 File Holder Set 1
Checked by
Month : June 2014
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N

6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14


Exp. Date
N M A N M A N M A N M A N M A N
EDIC 3)
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N
(MEDIC 3)
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N

6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14


Exp. Date
N M A N M A N M A N M A N M A N
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N

ARD(MEDIC 3)
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N
6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14
Exp. Date
N M A N M A N M A N M A N M A N

6-Jun-14 7-Jun-14 8-Jun-14 9-Jun-14 10-Jun-14 11-Jun-14


Exp. Date
N M A N M A N M A N M A N M A N

You might also like