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Health Authority-Abu Dhabi Ambulance Inspection Checklist

This document outlines the equipment and supplies that should be available in an ambulance according to the Health Authority- Abu Dhabi's inspection checklist. It includes requirements for ventilation and airway equipment, monitoring and defibrillation devices, immobilization equipment, dressings and bandages, communication devices, obstetrical supplies, compartments, miscellaneous medical equipment, medications, infection control materials, and certifications for operating personnel. The checklist contains over 100 individual items that must be present and in working order for the ambulance to pass inspection.

Uploaded by

Christian Simatupang
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© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
174 views

Health Authority-Abu Dhabi Ambulance Inspection Checklist

This document outlines the equipment and supplies that should be available in an ambulance according to the Health Authority- Abu Dhabi's inspection checklist. It includes requirements for ventilation and airway equipment, monitoring and defibrillation devices, immobilization equipment, dressings and bandages, communication devices, obstetrical supplies, compartments, miscellaneous medical equipment, medications, infection control materials, and certifications for operating personnel. The checklist contains over 100 individual items that must be present and in working order for the ambulance to pass inspection.

Uploaded by

Christian Simatupang
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Health Authority- Abu Dhabi

Ambulance inspection checklist


A- Ventilation and Airway Equipment
1- Suction Apparatus and accessories:
a- Portable Suction
b- Installed suction
c- Wide bore tubing
e- Rigid Pharyngeal curved suction tip
f- Tonsilar suction tips/ catheters 5F-14F
g- Flexible suction catheters 5F -14F

Min Qty Yes

2- Portable oxygen equipment


a- Portable Min300L capacity/D tank
b- Constant flow regulator with adjustable flow rate
(2-15 lpm)
3- Installed fixed oxygen equipment (Min 2 patients)
a- Fixed Min 3L capacity/ M tank
b- Remaining tank- pressure gauge
c- Liter flow meter with adjustable flow rate and
quick disconnect
e- Wall mounted standard oxygen port with quick
disconnect
4- Oxygen administration equipment
a- Nasal cannula
i- adult
ii- Pediatric
iii- Infant
b- Transparent non-breathing and valve-less mask
i- adult
ii- Pediatric
iii- Infant
c- Oxygen tubing (adequate length)
e- Pocket mask with one way valve
i- adult
ii- Pediatric
5- Bag valve mask resuscitators
a- hand operated
b- self re-expanding bag with O2 reservoir/ accumulator
i- adult Min 800ml tidal volume
ii- Infant Max 400ml tidal volume
c- clear mask
i- adult
ii- Pediatric
iii- Infant
e- Clear disposable valves

No

1
1
2
2
4
2 each

2
1

2
2

2
2
2
4

4
3
2
4
3
2
6
1
1

6- Airways
a- Nasopharyngeal sizes 20F- 34F
b- Oropharyngeal sizes 55mm- 115mm
B- Monitoring and Defibrillation (licensed trained team)
1- Automatic external defibrillator
2- Defibrillator pads
C- Immobilization Devices
1-Rigid cervical collars
a- adult
b- Pediatric
c- Infant
2- Firm padding or commercial head immobilization
device (not sandbags) .
a- adult
b- Pediatric
c- Infant
3- Lower extremity traction devices
a- supporting slings/ padding / traction strap
4- Upper and lower extremity immobilization devices
a- joint above and joint below fracture
b- rigid support appropriate material (cardboard, metal,
pneumatic, vacuum, wood or plastic)
c- resistant straps or cravats
5- Radiolucent backboards (long, short) and extraction
device used for head immobilization ,spine
immobilization ,head to feet immobilization,.
D- Dressings and Bandages
1- Sterile burn sheets
2- Triangular bandages
3- Sterile Dressings
a- 10x30 or larger
b- ABDs, 10x12 or larger
c- 4x4 gauze sponges
4- Sterile gauze rolls (various sizes)
5- Non sterile Elastic bandages (various sizes)
6- Sterile occlusive dressing 3x8 or larger
7- Adhesive tape
a- Various sizes of 2 or 3 hypo-allergic
b- Various sizes of 2 or 3 adhesive
E- Communication
1- Installed two-way radio communication
2- Cellular phone

1
2

1
2 sets

2
2
1

2
2
1

2 packs

2 sets
2 sets

2 packs

2
2

20
20
50
10 each
10 each
10 each

20 each
20 each

1
1

F- Obstetrical
1- Individual sterile kit containing at least : a bulb suction
syringe, towels, blanket, surgical gloves, sterile
disposable scalpel, cord clamps, and plastic bag for
placenta disposal.
2- Heat reflective or insulating blanket for new born.
G- Compartment
1- Clean
2- A/C and humidity control
3- Electric (internal/ external) supply bulbs
4- Spacious
5- Secure
6- Fridge or ice container for refrigerated medications
7- Fire extinguisher (rating 2A10BC)
8- Flash lights with extra batters and bulbs.
9- Triage tags
10- Stair chair or equivalent seated transport device.
11- Ambulance wheeled cot with mounted cot fastening
system
12- Folding stretcher
H- Miscellaneous
1- Sphygmomanometer (infant, pediatric, adult)
2- Stethoscope (pediatric/adult)
3- Length/weight based chart for pediatric equipment sizing
4- Thermometer
5- Heavy bandage or paramedic scissors for cutting
clothing, belts and boots.
6- Cold packs
7- I.V administration set.
8- Blankets, sheets, linen, or paper, pillows pillowcase, and
towels
9- Disposable standard sharps containers
10- Disposable emesis bags or basins
11- Disposable bedpan
12- Disposable urinal
13- Patient care charts/ forms
14- Syringes (50ml x1, 30ml x1 ,10ml x5, 3ml x5,1ml x5)
15- Nebulizer
16- Gauge needles (various sizes).
I- Infection Control (all equipments should be latex-free)
1- Eye protection (full peripheral glasses or goggles, or face
Shield
2- Masks and or HEPA masks
3- Gloves non sterile/ sterile, Jumpsuits or gowns , Shoe
Covers.
4- Disinfectant hand wash

2 kits
2

1
1
2
Each
1

1
1

2
2
1
2

2
2
5
2 pack/
each
1
5
1/each
5
1/each

2
3

1
10 each

5- Disinfectant solution for cleaning equipments


6- Disposable trash bags and biohazard bags
J- Medication
1- Activated charcoal
2- oral / IV glucose
3- Burn cream
4- I.V fluids (various dissolution, sizes and concentrations)
5- Antibacterial lubricating jelly
6- Aromatic Ammonia box
7- Alcohol swabs x 20
8- Blank labels x 20
9- Ventolin Neb
10- Sealed Code Box opened under a physician supervision
regularly checked for expired items by a pharmacist
arranged inside as per attached chart mainly including
the following :
10.1- Atropine Sulfate 1mg/ml
10.2- Isoproterenol 1mg/5ml
10.3- Epinephrine 1mg/10ml tubexes (Intracardial &
I.V)
10.4- Normal saline Inj
10.5- Sterile water for Inj 10ml
10.6- Phynetoin Amp/ vial (50mg/ml)
10.7- Adenosine 6mg/2ml
10.8- Methyl prednisolone 500mg
10.9- Dobutamine 250mg
10.10- Norepinephrine 1mg/ml
10.11- Epinephrine 1mg/ml 30ml vial
10.12- hydrocortisone 250mg/2ml
10.13- Bretylium 500mg/10ml
10.14- Procainamide 1000mg/10ml
10.15- Dopamine 400mg/5ml
10.16- Lidocaine 1gm/25ml
10.17- Lidocaine 5ml
10.18- human Regular Insulin 100mg/ml
10.19- Aminophylline 500mg/20mg
10.20- calcium gluconate 10% 1mg/10ml
10.21- Potassium chloride 20mg/10ml
10.22- furosemide 100mg/10ml x2 amp / 20mg/2ml
10.23- Diazoxide 300mg/20ml
10.24- Labetalol 100mg/20ml
10.25- Magnesium SO4 50% 1gm/2ml
10.26- Phentolamine 10mg/vial
10.27- Digoxin 0.1mg/ml x2 amp 0.5mg/2ml
10.28- Verapamil 5mg/2ml
10.29- Naloxone 0.4mg/ml x2amp

2
5

2 bottles
50ml
2
2 each
2
1 box
20
20
1 vial

3 vials
2 amp

2 each
2
2
3 vials
3 vials
2 vials
2 vials
2 amp
2 vials
2 vials
2 vials
1 vial
2 vials
1 vial
4 syr
1 vial
2 vial
2 amp
1 vial
2 amp/
1 amp
1 vial
1 vial
2 amp
2 amp
4 amp
2 amp

10.30- Propranolol 1mg/ml x3amp


10.31- Diphenhydramine 50mg/ml x2vial
10.32- Vercuronium 10mg x 2vial
10.33- Epinephrine 1mg/ml x4amp
10.34- Sodium bicarbonate 10ml Ped syringe
10.35- Dextrose 50ml syringe
10.36- calcium chloride 10%
10.37- sodium bicarbonate 50ml syringe
10.38- Nitroglycerin Spray/ Sublingual
K- Operating personnel (Rescuer, E.R physician, and Driver)
a- Certified
b- Well trained (BLS,)

L- Facility Name:

3 amp
2 vials
2 vials
4 amp
1
1
2
4
1
3

Ambulance Tag #:

M- Comments:...

N- Inspectors Name/ Signature:


1- Name:

Sig:

Date:

2- Name:

Sig:

Date:

O- Team leader Opinion/Conclusion:

Name:

Sig:

Date:

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