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Black Bag 5
Sherman County
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Emergency Departments
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> Black Bag 5
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TOP ZIPPER FLAP
Narc Box
*
Blunt Needle
Fentanyl Vial
Ketamine
Midazolam
Zofran
Mad Device
*
Yes
No
LEFT OUTSIDE POCKET
RIGHT OUTSIDE POCKET
Convenience Bag x3
*
Yes
No
Large Biohazard Bag
*
Yes
No
MEDICATION POCKET
Chewable Aspirin 81Mg/Tab
*
Yes
No
1 Bottle Minimum of 4
Naloxone Hydrochloride 2mg x2
*
Yes
No
EPINEPHRINE 1:1,000 1MG/ML x2
*
Yes
No
NITRO TABS
*
Yes
No
1 Bottle Minimum of 3
DIPHENHYDRAMINE 50MG/ML
*
Yes
No
ORAL ONDANSETRON
*
Yes
No
STERILE WATER
*
Yes
No
GLUCAGONE
*
Yes
No
KETOROLAC
*
Yes
No
ONDANSETRON
*
Yes
No
BLUNT NEEDLE X2
*
Yes
No
GREEN ZIPPER BAG
BVM NEBULIZER KIT
*
Yes
No
ALBUTEROL SULFATE 2.5MG/3ML x4
*
Yes
No
IPRATROPIUM BROMIDE 0.02% 0.5MG/2.5ML
*
Yes
No
BLUE ZIPPER BAG
GLUCOMITER KIT
*
GLUCOMETER
5 LANCETS
5 TEST STRIPS
5 2X2
5 BAND AIDS
5 PREP PADS
2 BATTERIES
1 TUBE OF ORAL GLUECOSE
STETHOSCOPE
*
Yes
No
THERMOMETER
*
Yes
No
FLASHLIGHT
*
Yes
No
PENLIGHT
*
Yes
No
PULSE OXIMETER
*
Yes
No
YELLOW ZIPPER BAG
TRAUMA SCISSORS
*
Yes
No
TRIANGLE BANDAGE x2
*
Yes
No
HYFEN VENT- CHEST SEAL x2
*
Yes
No
TRAUMA WOUND DRESSING 6"
*
Yes
No
QUIK CLOT ROLLED GAUZE
*
Yes
No
Z-PAK DRESSING
*
Yes
No
4x4 DRESSING x2
*
Yes
No
ACE WRAP 3" x2
*
Yes
No
CAT TOURNIQUET
*
Yes
No
TRANSPORE TAPE
*
Yes
No
1"
DURAPORE TAPE
*
Yes
No
2"
RED ZIPPER BAG
SHARPS CONTAINER
*
Yes
No
10 ML FLUSH x5
*
Yes
No
3ML SYRINGE x4
*
Yes
No
1.0 ML SYRINGE
*
Yes
No
BLUNT NEEDLES x3
*
Yes
No
22 GAUGE NEEDLES x3
*
Yes
No
ALCOHOL PREP PADS x5
*
Yes
No
3 WAY STOPCOCK
*
Yes
No
MULTIDOSE VIAL ACCESS SPIKE x2
*
Yes
No
IV KIT
IV NEEDLES
*
16g IV CATHETER x2
18g IV CATHETER x2
20g IV CATHETER x2
22g IV CATHETER x2
24g IV CATHETER x2
I.V. START KIT x2
*
Yes
No
10 ML FLUSH x2
*
Yes
No
10 GTT SET
*
Yes
No
500ML LR in pressure bag
*
Yes
No
MISCELLANEOUS IN BAG
BLOOD PRESSURE KIT with all cuff sizes
*
Yes
No
INSIDE LEFT POCKET
INSIDE RIGHT POCKET
D10
*
Yes
No
10GTT SET
*
Yes
No
TRIAGE TAGS x10
*
Yes
No
BEHIND LEFT INSIDE ZIPPER POCKET
BEHIND RIGHT ZIPPER POCKET
Trauma Dressing
*
Yes
No
SAM SPLINT
*
Yes
No
Comments
*
Date / Time
*
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Time
Name
*
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