Richmond Home

UREMS Duty and Bag Checklist

Complete at the beginning of each shift by 21:00.

* indicates required fields

Last Name:
Date:
Bag Number: Bag One Bag Two
Complete
Duty Phone On:
RADIO Battery Swapped:
Pocket Supply Checks
OUTERMOST POCKET Present
Gloves:
Pen:
Penlight:
Biohazard Bags:
N95s:
Note Paper:
Phone Charger:
Y-Lot Pass:
EMS Field Guide:
Campus Map:
AED Map:
GCS Scale/Pt. Update:
MIDDLE POCKET (Clear Trauma)
[SELECT ONE OF THE FOLLOWING OPTIONS]
Taped, signed and dated :
Not taped, signed or dated:
If not taped, signed or dated, complete following:
 
  Present
Band-Aids
Alcohol Prep Pads
4x4’s (6 minimum)
Roll Gauze (2 minimum)
3x9's (with Vaseline - 2 minimum)
Oval Eye Pads (2 minimum)
5x9's (3 minimum)
MIDDLE POCKET (Right Side)
  Present
Tape
Cravats (2 minimum)
Sterile Water
Ice Pack
CPR Mask
Trauma Sheers
Combat Tourniquet
OUTER POCKET (Clear Airway)
[SELECT ONE OF THE FOLLOWING OPTIONS]
Taped, signed and dated :
Not taped, signed or dated:
If not taped, signed or dated, complete following:
 
  Present
Oral Airways (full set)
Nasal Airways (22-32)
Lubricant
Oral Glucose (2 minimum; check date)
King Airway (size 4 and 5)
OUTER POCKET
  Present
BVM
Thermometer
BP Cuff
Stethoscope
Suction Unit & Attachments
Pulse Ox
Sharps Container
Glucometer  
Strips
Lancets
Alcohol Pads
Band-Aids
*Did you have to replace any items?
*Is any inventory running low?
*Please include any additional details or inventory needs.
 
Important Contacts

Campus Emergencies: 911 from a campus phone, or (804) 289-8911 from a cell phone.

Campus Non-Emergency: 804-289-8715

Student Health Center: (804) 289-8064

For emergency information, go to alert.richmond.edu