SANTA CLARA COUNTY PUBLIC HEALTH/EMS UTILITY TRAILER - 155
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1 Assignment / Location / Contact Identification Inventory Color Legend Assignment Gilroy Fire Department Location (Address) Gilroy Fire Station Sunrise Drive Gilroy, CA Location (Specific) In the lot behind the fire station Make/Model Wells Cargo / Cargo Wagon Year 2006 Length 16 Foot License Plate / VIN / 1WC200G County Vehicle # / EMS Vehicle # R / UTL-155 Red = Tactical / Command Focus Orange = Operations Focus Blue = Patient Care / Medical Focus Green = Patient Care / Trauma Focus Large Container (MCI Kit) - Command Post Casualty Incident Management Kit 1 Medical Group Supervisor Blue Triage Yellow Front Closure Type Vests Treatment Red Patient Transport Green Ambulance Coordinator Orange One each 5 Job Action Sheets Medical Group Supervisor One each Job descriptions Triage and forms for managing the Treatment responsibilities for each Patient Transportation assignment Ambulance Coordinator 5 Red Command Post Tape Belts Yellow Green Black One each 4 Medium Container (MCI Vests) - Command Post Vests 1 Incident Commander Command Post Vests Public Information Officer Safety Officer Operations One each 4 Poster Tube Erasable tactical Command Post command sheet 1 1
2 Medium Container ( Barricade Tape Rolls) Barricade Tape 1 Orange Command Post Blue 1 st Priority 3 x1000 Barricade Tape Yellow 2 nd Priority Green 3 rd Priority White Triage Area One each roll 5 Medium Container (MCI Tarps) Multi-Casualty Incident Tarps 1 Red (Immediate) MCI Tarps Yellow (Delayed) Green (Minor) One each 4 Black (Morgue) Treatment Area Flags 1 Command Post Nylon Flags Red Yellow Green Black Treatment Area Entrance One each 1 Triage Area Telescoping Flag Pole stands 6 Trauma Kits (Water Resistant Trauma Bag) 10 Note: List below indicates quantity for every (1) one completely assembled trauma bag 5 x9 ABD pads Individually Packaged Sterile 10 4 x4 gauze pads 12 ply Individually packaged Sterile 50 3 x15 rolled gauze bandages Individually Packaged Sterile 10 3 x15 elastic bandage Individually Packaged 1 Medical Tape 1 x10 yards Plastic/Cloth 2 40 x40 x54 Triangular Bandages Individually Packaged 4 3 x9 occlusive/petroleum gauze Individually Packaged Sterile 2 10 x30 Muti-trauma dressing Individually Packaged Sterile 1 5 x9 Compress Bandages Individually Packaged Sterile ready to apply without field assembly 5 60 x96 Burn Sheet Individually Packaged Sterile 1 4 fl oz Isotonic Eye Irrigation Solution Sterile 1 Adult CPR Pocket Mask One way valve crush resistant case 1 Number 3 oral airways 90 mm 2 2
3 Trauma Kits (Water Resistant Trauma Bag) continued from above 10 Note: List below indicates quantity for every (1) one completely assembled trauma bag Number 4 oral airways 100 mm 2 Number 5 oral airways 110 mm 2 Mylar Emergency Blankets 6 Medical Penlight Disposable 1 Trauma Shears Stainless steel 19cm 1 24 x48 Red Biohazard bags Plastic / 1.2 mm thick 2 Germicidal hand wipes Individually Packaged - 40% alcohol Effective against gram positive and gram negative 10 bacteria, fungi, and yeasts Surgical Masks 1 Safety Goggles Meets ANSI Z specs 1 Large Container (Adult Airway Equipment) adult airway supply module 3 Note: List below indicates quantity for every (1) one completely assembled adult airway module 24 French Nasal Airways Non-latex French Nasal Airways Non-latex 10 Lubricant (Water Based) 2.7 gm individual packages 20 Number 3 oral airways 90mm 10 Number 4 oral airways 100 mm 10 Number 5 oral airways 110 mm 10 Stethoscope (single tube) Combination diaphragm/bell assembly 1 300ml collection container Manual Suction Pumps 14 French Adult Catheter 500 mmhg suction capability 2 8 French Pediatric Catheter Bag Valve Mask (BVM) Disposable 750ml capacity with adult face mask, oxygen reservoir, and 7 oxygen supply tubing 6 Large Container (Pediatric Airway Equipment) pediatric airway supply module 1 Number 2 oral airways 80mm 20 Number 3 oral airways 90mm 20 Number 4 oral airways 100mm 20 Stethoscope (single tube) Combination diaphragm/bell assembly 1 300ml collection container Manual Suction Pumps 14 French Adult Catheter 8 French Pediatric Catheter 500 mmhg suction capability 2 3
4 Large Container (Pediatric Airway Equipment) pediatric airway supply module Continued Disposable with pediatric face mask, Bag Valve Mask (BVM) oxygen reservoir bag, and oxygen supply tubing 6 Large Container (Trauma Supplies) trauma supply modules 3 Note: List below indicates quantity for every (1) one completely assembled trauma supply module 5 x9 ABD pads Individually Packaged Sterile 25 4 x4 gauze pads 12 ply Individually packaged Sterile x15 rolled gauze bandages Individually Packaged Sterile 24 3 x15 elastic bandage Individually Packaged 4 Medical Tape 1 x10 yards Plastic/Cloth 4 40 x40 x54 Triangular Bandages Individually Packaged 12 3 x9 occlusive/petroleum gauze Individually Packaged Sterile x30 Muti-trauma dressing Individually Packaged Sterile 8 5 x9 Compress Bandages Individually Packaged Sterile ready to apply without field assembly 20 1 x3 Adhesive Bandages Individually Packaged Sterile x96 Burn Sheet Individually Packaged Sterile 5 4 fl oz Isotonic Eye Irrigation Solution Sterile 5 Trauma Shears Stainless steel 19cm 5 24 x24 Red Biohazard bags Plastic / 1.2 mm thick 4 Splinting and Spinal Immobilization Equipment N/A Adult Cervical Collars (Red Bags) 5 bags / 10 collars per bag 50 Pediatric Cervical Collars (Blue Bags) 3 bags / 10 collars per bag 30 Spine Boards x16 Waxed Corrugated fiberboard splints Perforated / Disposable Orange color x12 corrugated cardboard splints Closed cell padding 20 Small Container (CID s) Cervical Immobilization Devices 2 Cervical Immob. Devices 25 / container 25 Small Container (Backboard Straps) 2 Back Board Straps 75 / container 75 4
5 Medium Container (Splinting Equipment) splinting supply module 3 Note: List below indicates quantity for every (1) one completely assembled splinting supply module 40 x40 x54 Triangular Bandages Individually Packaged 24 Medical Tape 1 x10 yards Plastic/Cloth 4 3 x15 rolled gauze bandages Individually Packaged Sterile 12 3 x15 elastic bandage Individually Packaged SAM Splints, folded x9 corrugated cardboard splints Closed cell foam padding 12 Small Container (Diagnostic Equipment) 1 Single tube stethoscope Combination diaphragm/bell chest piece 8 Adult Blood Pressure Cuff Average size adult 4 Large Adult Blood Pressure Cuff Large adult 4 Pediatric Blood Pressure Cuff Children and small adult 1 Medium Container (Exam Gloves) 1 Medium Latex Gloves 50 / box 2 Large Latex Gloves 50 / box 3 Extra-Large Latex Gloves 50 / box 3 Small Container (Mylar Blankets) 1 Mylar Emergency Blankets 200 Medium Container (Safety glasses, Sharps Containers, Bio-Hazard Bags, etc) 1 Surgical Masks 20 (1) one quart sharps container 4 Red/Plastic Biohazard bags 30 Safety Glasses ANSI Z compliant 10 Ear plugs (pair) Rated at 33 decibels noise reduction 50 Alcohol-free germicidal Pre-saturated with a pre-measured equipment wipes germicidal solution 60 Germicidal hand cleaning wipes Individually Packaged Pre-saturated x60 Duct Tape roll 4 Small Container (Rain Ponchos) 1 Rain Ponchos (Waterproof) Clear vinyl with PVC snap button 30 Large Container (Contamination Coveralls) 1 Medium Coveralls ASTM F1670 and F1671 compliant 10 Large Coveralls ASTM F1670 and F1671 compliant 10 5
6 Large Container (Contamination Coveralls) 1 Extra-Large Coveralls ASTM F1670 and F1671 compliant 10 Medium Container (Rain Suits) 1 Rainwear sets (parka and pants) ASTM F1670 compliant 12 Medium Container (Megaphone) 1 Megaphone w/ batteries 1 Miscellaneous / Operational Equipment N/A Helmet Flashlight w/ batteries pc. Tool Set 1 Megaphone 1 Clipboard 9 20 floor an 1 4 Folding table 2 Folding Chair 8 Cyalume Light Sticks power extension cord 3 Surge pro electrical expansion cord 3 Flashlight 2-D cell w/ batteries 12 D-cell batteries 4 pack 7 C-cell batteries 4 pack 7 AAA-cell batteries 8 pack 5 Germicidal hand wipes Container 1 N-95 Respirator 40 Lifepak 500 Automated External Defibrillator (AED) 1 Rescue Express patient transfer litter 2 Disaster wool blankets 2 Miscellaneous Tactical / Command Equipment N/A Dry Erase Board 1 Triage Tags Sequentially numbered with barcode 1,000 Field Operations Guide (FOG) 6 Miscellaneous Patient Care Equipment N/A Adult Blood Pressure Cuffs 8 Ice Packs 24 Cutting Shears 10 6
7 Miscellaneous Patient Care Equipment (Continued) N/A Medium Latex-Free Gloves 50 / box 1 Small Latex-Free Gloves 50 / box 3 Extra-Small Latex-Free Gloves 50 / box ml Normal Saline IV Solution Exp. 01/ Macrodrip (10 gtt/ml) IV tubing Interlink System / Male Luer Lock 48 Throat Lozenges Exp. 07/ box 7
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