HERO Inventory Form

HERO Inventory Form

EMS Inventory Supply Chain Form Preview
Requisition Supplies/Materials Form
  • INVENTORY FORM

    www.HeroClientRescue.com
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  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. ADULT Quick Combo/ DEFIB/PED Pacing, Electrodes
    2. PEDIATRIC Quick Combo RTS/ DEFIB/PED Pacing, Electrodes
    3. EKG Paper Rolls
    4. ECG Electrodes
    5. Lifepack 12
    6. AED
    7. ECG cables 3-lead set
    8. ECG 12-lead adapror
    9. DeFib pads
    10. Lifepak spare battery
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Penlight
    2. Batteries
    3. Stehescope
    4. Pulse Oxomiter
    5. Thermometer
    6. Glucometer Machine
    7. Batteries
    8. Safety Lancets
    9. Glucometer Strips
    10. Thermometer covers
    11. BP cuff NICU
    12. BP cuff peds
    13. BP cuff medium
    14. BP cuff large
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Shielded IV Catheter 24 GA
    2. Shielded IV Catheter 22 GA
    3. Shielded IV Catheter 20 GA
    4. Shielded IV Catheter 18 GA
    5. Shielded IV Catheter 16 GA
    6. Shielded IV Catheter 14 GA
    7. Shielded IV Catheter 18 GA
    8. Needles 18 GA
    9. Needles 25 GA
    10. IV Start Kits
    11. Saline Lock
    12. Luer-Lock Syringe 10 mL
    13. Syringe w/needle 1cc 28 GA
    14. Syringe w/needle 3cc 25 GA
    15. IV Admin Set 20 drops/mL
    16. IV Admin Set 10 drops/mL
    17. Dial-a-Flow 20 drops/mL
    18. Y-type Set 15 drops/mL
    19. Tape
    20. Tourniquets
    21. Tegaderm
    22. EX-I0
    23. EZ -IO needle XS
    24. EZ-I0 needle S
    25. EZ-I0 needle M
    26. EZ-I0 needle L
    27. F.A.S.T
    28. Pressure Infuser
    29. Alcohol Prep-Pads
    30. Gauze
    31. Dextrose
    32. Saline / Sodium Choloride
    33. Lactated Ringers
    34. Threaded Lock Cannulas
    35. IV Pole
    36. SALINE Flush 10 mL Syringe
    37.SALINE Flush 5mL syringe
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Bandaid box
    2. Strip Bandage
    3. Multi-Trauma Dressing
    4. Quick Clot Sponge
    5. Quick Clot Gauze
    6. Quick Clot powder
    7. Needle Decompression
    8. COBAN Self Adherent Wrap
    9. Traingle Bandages
    10. Petroleum Gauze
    11. Bangade Roll
    12. Tubular Gauze
    13. Combine Abd Pads
    14. Large Trauma Dressings
    15. Sterile Gauze Pads
    16. Gauze Sponges
    17. Chest Seal with Valves
    18. Instant Cold Compress
    19. Burn Sheet
    20. Lubricating Jelly
    21. Sterile Water
    22. Emesis Basin
    23. Iodine Swab Sticks
    24. Iodine Prep Pads
    25. Trauma Shears
    26. Disposable Scalpel
    27. Burn Dressing
    28. Suture FULL Kit
    29. Clamps
    30. warming Packs
    31. Combat tourniquets
    32. OB Maternity Pads
    33. Foreceps
    34. Umbilical cord clamps
    35. Heating Pad (plug in)
    36. towels
    37. diapers
    38. baby knit cap
    39. baby blankets
    40. Assorted toys
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Stretcher/Gurney Straps with buckle
    2. Backboard straps
    3. C-Collar Adult
    4. C-Collar Pediatric
    5. Traction Splint Adult
    6. Traction Splint Pediatric
    7. Sam Splints
    8. Back Board
    9. Stretcher
    10. Stair Chair
    11. Cloth Litter
    12. Card Board Splints
    13. Large Zip Ties
    14. NICU carrier
    15. Pediatric Carrier/ Car Seat
    16. Scoop stretcher
    17. Head Blocks
    18. Stretcher/Gurney Pillow
    19. pillow case
    20. white sheets
    21. blanket
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Non-Rebrether O2 Mask ADULT
    2. Non-Rebreather O2 Mask CHILD
    3. Nasal O2 Cannula ADULT
    4. Nasal O2 Cannula CHILD
    4. Pedi-Neb Nasal Nebulizer CHILD
    5. Tracheostomy Mask ADULT
    6. INFANT O2 face mask
    7. INFANT O2 Nasal Cannula
    8. ADULT BVM
    9. CHILD BVM
    10. INFANT BVM
    11. King LT Airway Size 2
    12. King LT Airway Size 3
    13. King LT Airway Size 4
    14. King LT Airway Size 5
    15. Endotracheal Tube Uncuffed 3mm
    16. Endotracheal Tube Uncuffed 4mm
    17. Endotracheal Tube Uncuffed 5mm
    18. Endotracheal Tube Cuffed 6mm
    19. Endotracheal Tube Cuffed 7mm
    20. Endotracheal Tube Cuff 8mm
    21. Bugee - Flex Guide
    22. ETT Stylette 14fr Adult
    23. ETT Stylette 10fr CHILD
    24. ETT Stylette 6fr Pediatric
    25. ET Tube Holder
    26. Laryngoscope Handle w/Bulbs LARGE
    27. Laryngoscope Handle w/Bulb SMALL
    28. CPAP; 02-RESQ System ADULT
    29. CPAP T Piece
    30. Lubricating Jelly
    31.Oxometer Adult
    32. Oxometer Child
    33. Oxometer Infant
    34. Smart Capnoline Adult
    35. Smart Capnoline Pediatric
    36. Filterline Set
    37. Filterline H-Set Adult/Neonate
    38. Emergency Trach Set
    39. Co2 detector
    40. O2 Bottles
    41. O2 REGULATOR
    42. O2 Tubing
    43. Ventilator LVT 1200
    44. Vent Tubing ADULT
    45. Vent Tubing Peds
    46. Bag valve Adult
    47. Bag Valve Pediatric
    48. Bag Valve Neonate
    49. O2 Tree
    50. O2 Tank Key
    51. OPA 40
    52. OPA 50
    53. OPA 60
    54. OPA 70
    55. OPA 80
    56. OPA 90
    57. OPA 100
    58. OPA 110
    59. NPA Small (18-24)
    60. NPA Med (24-28
    61. NPA Large (28-32)
    62. Straight Blades (for intubation)
    63. Curved Blades (for intubation)
    64. Tongue Depressors
    65. Spare light bulbs for Laryngoscope
    66. Spare Batteries for Laryngoscope
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Hand Sanitizer
    2. N95 Respirator Large/Med
    3. N95 Respirator Small
    4. Gowns
    5. Gloves x-small
    6. Gloves small
    7. Gloves medium
    8. Gloves large
    9. Gloves x-large
    10. Red Bio bags
    11. Sharps container
    12. Portable small sharps container
    13. Sharps single use pin box
    14. Clear eye-protection
    15. Body Bags
    16. Bleach
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Suction Canister (inside ambulance)
    2. Portable suction Canister
    3. Tubing/Yankauer
    4. Big Stick - Suction Tip
    5. Hand Suction device
    6. Suction Cath 6FR
    7. 2cc blue suction bulb
    8. Suction cath 8FR
    9. Suction cath 10FR
    10. suction cath 12FR
    11. suction cath 14FR
    12. suction cath 16FR
    13. suction cath 18FR
    14. suction cath 1200cc
    15. Sani-liner bags
    16. Mucus trap
    17. Meconium Aspirator
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. wash basin
    2. washing machine
    3. mop
    4. broom
    5. bucket
    6. rags
    7. papertowels
    8. toilet paper
    9. bleach
    10. floor cleaning solution
    11. all purpose cleaner
    12. dish soap
    13. air freshener
    14. powder solidifier
    15. toilet brush
    16. plunger
    17. trash can
    18. trash bags
    19. Vaccum
    20. wet/dry shopvac
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. CPR DUMMY infant
    2. CPR dummy child
    3. CPR dummy adult
    4. training AED
    5. HERO protocols
    6. EMT text books
    7. EMS Field Guide
    8. TECC/TCCC Books
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
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  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Helmets
    2. life jackets
    3. rope
    4. bolt cutters
    5. crowbar
    6. fire extinguisher
    7. Leather Gloves
    8. Hard Hats
    9. fire proof blanket
    10. Reflectors / flares
    11. chains
    12. rain jackets
    13. shovel
    14. generator
    15. water purifying machine
    16. shelter
    17. cots
    18. floodlights
    19. extension cords
    20. power strips
    21. duct tape
    22. tarps
    23. electrical tape
    24. zip ties
    25. Axes
    26. Chain Saw
    27. Saw
    28. wrenched
    29. pliers
    30. tin snips
    31. hammer
    32. SAT Phone
    33. solar chargers
    34. MREs
    35. Fire Starter Blocks
    36. Air Pumo
    37. Water purification tabs
    38. lighters
    39. utility knives / gerber
    40. paracord
    41. ziploc bags
    42. water proof storage cases
    43. soft body armour
    44. pepper spray / hornet spray
    45. LZ lights (solar puff type)
    46. 2-way radios
    47. radio headsets
    48. radio chargers
    49. tents
    50. Large fuel contaiers GAS
    51. Large fuel containers Desiel
    52. Portable propane tanks
    53. Small fuel container GAS
    54. Small fuel container desiel
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Computers
    2. keyboards
    3. laptops
    4. tablets
    5. desk phones
    6. cell phones
    7. VHF radios
    8. VHF Base stations
    9. wifi router
    10. extention cords
    11. power strip
    12. HDMI cables
    13. phone chargers
    14. TVs
    15. TV remotes
    16. Batteries
    17. water cooler
    18. culligen bottles 5 gallon
    19. coffee maker
    20. microwave
    21. fridge
    22. desks
    23. regular chairs
    24. office roller chairs
    25. printer
    26. printer paper
    27. white board
    28. white board markers
    29. highlighter
    30. sharpie
    31. normal pens
    32. clip boards
    33. lined note paper
    34. filing cabinet
    35. cups
    36. plates
    37. spoons
    38. Credit Card Machine
    39. CC Machine Paper
    40. dispatch head sets
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Bunk Beds
    2. table
    3. chairs
    4. fan
    5. sofa
    6. rug
    7. microwave
    8. cooler
    9. TV
    10. nutv
    11. sheets
    12. blankets
    13. pillows
    14. wifi router
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Abciximab
    2. Acetaminophen
    3. Acetylcysteine
    4. Activated charcoal
    5. Adenosine
    6. Albumin
    7. Albuterol (nebulizer solution)
    8. Albuterol with ipratropium bromide (nebulizer solution)
    9. Amiodarone
    10. Anti-coagulants/Platelet Inhibitors
    11. Anticonvulsants
    12. Anti-emetics
    13. Anti-hypertensives
    14. Antimicrobials
    15. Antivenom, Rabies
    16. Aspirin
    17. Atenolol
    18. Atropine sulfate
    19. Barbiturates
    20. Benzocaine, topical
    21. Bivalirudin
    22. Blood products
    23. Bronchodilators
    24. Calcium chloride/calcium gluconate
    25. Captopril
    26. Clopidogrel
    27. Crystalloid solutions
    28. Crystalloid solution containing potassium
    29. Dexamethasone sodium phosphate
    30. Dextran
    31. Dextrose
    32. Diazepam
    33. Digoxin
    34. Diltiazem
    35. DiphenhydrAMINE HCl
    36. DOBUTamine
    37. DOPamine
    38. Enalapril
    39. EPINEPHrine HCl 1:1,000
    40. EPINEPHrine HCl autoinjector
    41. EPINEPHrine HCl, including racemic (by neb)
    42. Eptifibatide
    43. Esmolol
    44. Etomidate
    45. FentanNYL
    46. Fibrinolytics/thrombolytics
    47. Furosemide
    48. Flumazenil
    49. Glucagon
    50. Glucocorticoids/mineralcorticoids
    51. Glucose, oral
    52. Heparin
    53. Hespan
    54. Hydralazine
    55. Hydrocortisone sodium succinate
    56. HYRDROmorphone
    57. Hydroxocobalamin
    58. Insulin
    59. Isoproterenol HCl
    60. Ketamine
    61. Ketorolac
    62. Labetolol
    63. Levalbuterol
    64. Lidocaine HCl
    65. LORazepam
    66. Magnesium sulfate
    67. Mannitol
    68. Metaproterenol
    69. MethylPREDNISolone
    70. Metoprolol
    71. Midazolam
    72. Milrinone
    73. Morphine sulfate
    74. Naloxone
    75. Naloxone, intranasal or autoinjector.
    76. Nerve agent antidote kit, autoinjector only
    77. Nitroglycerin, intravenous
    78. Nitroglycerin topical
    79. Nitroglycerin, sublingual
    80. Nitrous oxide
    81. Norepinephrine
    82. Normal Saline Solution
    83. Ondansetron
    84. Oxygen
    85. Oxytocin
    86. Phenylephrine
    87. Potassium Cl
    88. Plasmanate
    89. Pralidoxime
    90. Procainamide
    91. Propofol
    92. Propranolol
    93. Prostaglandins
    94. Quinidine sulfate/quinidine gluconate
    95. Sodium bicarbonate
    96. Sodium thiosulfate
    97. Sterile water, for injection
    98. Succinylcholine
    99. Terbutaline
    100. Tetracaine
    101. Theophylline
    102. Tirofiban
    103. Tocolytics
    104. Verapamil
    105. F75
    106. Medika Mamba
    107. Holy Water
    108. Smelling salts
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Ambulance 03
    2. Ambulance 06
    3. Annex car tucson
    4. motorcycle red
    5. motorcycle black
    6. Box ambulance A
    7. Box ambulanec B
    8. Box ambulance C
    9. Sprinter ambulance
    10. Ambuance VAN
    11. Zodiac boat
    12. ATV
    13. TOTAL gas cards (10 count)
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Stand up banner with stand
    2. horizontal banners with eyelets to hang
    3. Brochures
    4. Membership Cards
    5. Sales surface pro
    6. sales iphone
    7. Sales booth decorations
    8. folding table
    9. chairs
    10. promotional give-aways
  •   COUNT PCS REMOVED PCS ADDED NEW COUNT COST EACH
    1. Black HERO Polos
    2. dark navy blue ems pants
    3. black boots
    4. black under armour pulll overs
    5. black long sleeve under shirts
    6. watch
    7. sunglasses
    8. clear safety glasses
    9. Black nylon 5-11 type belt
    10. Black cap
    11. blue HERO SEKOURIS t-shirts
    12. badge holders
    13. Pt shirt
    14. PT shorts
    15. PT sneakers
    16. PT reflective belt
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