Crash Cart Checklist

Month *

Year *

*

	Expiration Date
Ammonia Inhalant	Expiration Date

*

	Expiration Date
Aspirin	Expiration Date

*

	Expiration Date
Ativan	Expiration Date

*

	Expiration Date
Auvi-Q 0.3mg Auto-Injector Pen	Expiration Date

*

	Expiration Date
Benadryl	Expiration Date

*

	Expiration Date
Dexamethasone	Expiration Date

*

	Expiration Date
Epi Vial	Expiration Date

*

	Expiration Date
Glucose Paste	Expiration Date

*

	Expiration Date
Nitroglycerin	Expiration Date

*

	Expiration Date
Narcan	Expiration Date

*

	Expiration Date
Promethazine	Expiration Date

*

	Expiration Date
Test Strips	Expiration Date

Signature of Nurse Completing Check *

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