How do I…
Apply for NRP
Rent a Facility
Apply for a Job
Vote
Pay
Vehicle Tags
Property Tax
Home
Departments
County Appraiser
County Attorney
County Clerk
County Commission
County Treasurer
District Court
Election Office
Emergency Departments
Fire
Landfill
Motor Vehicles
Health Department
Register of Deeds
Sheriff's Office
County Connections
Programs
Event Facilities
Directory
ALS Bag 2
Sherman County
>
Emergency Departments
>
Weekly Checks
> ALS Bag 2
Please enable JavaScript in your browser to complete this form.
Intubation Kit
10ml Syringe
*
YES
NO
Curved Handle
*
YES
NO
Straight Handle
*
YES
NO
Magill Forceps
*
YES
NO
Miller 3
*
YES
NO
Miller 4
*
YES
NO
Mac 3
*
YES
NO
Mac 4
*
YES
NO
Thomas Tube Holder
*
YES
NO
3 Tongue Depressor
*
YES
NO
Scalpel
*
YES
NO
Lube x2
*
YES
NO
Clamp
*
YES
NO
BAAM
*
YES
NO
Spare Battery
*
YES
NO
Suction catheter 14 French x2
*
YES
NO
Bougie
*
YES
NO
6.0 ET Tube
*
YES
NO
7.0 ET Tube x2
*
YES
NO
8.0 ET Tube
*
YES
NO
Left Side Pocket
King Tube Size 3 (Yellow)
*
YES
NO
King Tube Size 4 (Red)
*
YES
NO
King Tube Size 5 (Purple)
*
YES
NO
NG Tube 14 French
*
YES
NO
60CC Cath Tip Syringe
*
YES
NO
Right Side Pocket
Trauma Scissors
*
YES
NO
Clamps
*
YES
NO
Iodine Swabs x2
*
YES
NO
Flushes x2
*
YES
NO
Decompression Needles x4
*
YES
NO
Crickit
*
YES
NO
Top Pocket
1 IO needle 25mm 15 Gauge (Blue)
*
YES
NO
1 IO needle 15mm 15 Gauge (red)
*
YES
NO
1 IO needle 45mm 15 gauge (Yellow)
*
YES
NO
Drill
*
YES
NO
Iodine Swabs x2
*
YES
NO
Flushes x2
*
YES
NO
Alcohol Preps x5
*
YES
NO
Lidocaine
*
YES
NO
Top Flap Pocket
D10
*
YES
NO
100ml NS
*
YES
NO
10 GTT SET
*
YES
NO
Top Pocket (Narc Box)
3 Fentanyl
*
YES
NO
2 Midazolam
*
YES
NO
2 Dilaudid
*
YES
NO
1 Ketamine
*
YES
NO
Medication Bag
3 ML SYRINGE x2
*
YES
NO
10 ML SYRINGE x2
*
YES
NO
MULTIDOSE VIAL ACCESS SPIKE x2
*
YES
NO
3 WAY STOPCOCK
*
YES
NO
1 ML SYRINGE x2
*
YES
NO
18 GAUGE BLUNT NEEDLE x4
*
YES
NO
22 GAUGE NEEDLES x3
*
YES
NO
Alcohol Pads x5
*
YES
NO
10 ML FLUSHES x2
*
YES
NO
Lidocaine
*
YES
NO
EPINEPHRINE 1:10,000 x5
*
YES
NO
CALCIUM CHLORIDE 10% 1G/10ML x2
*
YES
NO
NALOXONE 2MG/2ML
*
YES
NO
ATROPINE SULFATE 0.1MG/ML
*
YES
NO
MAGNESIUM SULFATE 1G/2ML x2
*
YES
NO
SODIUM BICARBINATE 50mEq/50ML
*
YES
NO
ONDANSETRON 4MG/2ML
*
YES
NO
EPINEPHRINE 1:1,000 x2
*
YES
NO
DIPHENHYDRAMINE 50MG/ML
*
YES
NO
PROMETHAZINE 25MG/ML
*
YES
NO
AMIODARONE 150MG/5ML x3
*
YES
NO
SOLUMEDROL 125MG/ VIAL
*
YES
NO
ADENOSINE 6MG/2ML x3
*
YES
NO
TRANEXAMIC ACID 1,000MG/10ML
*
YES
NO
Middle Section
I-view
*
YES
NO
Suction
*
YES
NO
Abnormal findings
Name
*
First
Last
Date / Time
*
Date
Time
Comment
Submit
