subject_line
CRASH CART CHECKLIST
Select Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Select Year
*
2016
2017
2018
2019
2020
Facial Breathing Barrier Present
02 Tanks Full
NC and Non-Rebreather Present on O2 Tanks
Ambu-Bag Present
ASA in Date
Nitro in Date
Glucose Paste in Date
Epi in Date
Ativan in Date
Benadryl in Date
Dexamethasone in Date
Promethazine in Date
3ml Syringes Present
1ml Syringes Present
21g 1/2" Needles Present
Band-Aids Present
Alcohol Swabs Present
Stethoscope Present
Pulse Ox Monitor
Manual BP Cuff Present
Glucometer w/Lancets, Test Strips and Cotton Balls Present
Note Pad and Ink Pen Present
Notes
*
+
Signature of Nurse Completing Check
*
clear