MEDICINE AND SUPPLIES
CHECKLIST DATE:___________________
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MEDICINES EMERGENCY ROOM DELIVERY ROOM OPERATING ROOM
QUANTITY EXPIRATION DATE QUANTITY EXPIRATION DATE QUANTITY EXPIRATION DATE
o Adenosine 5mg/2mL vial
o Amiodarone 50mg/3mL amp
o Aspirin USP grade 325mg tab
o Atropine 1mg/mL
o B-adrenergic agonist
(Salbutamol 2mg/mL)
o Benzodiazepine (Diazepam
10mg/mL, 2mL amp or
Midazolam) in (high alert box)
o Calcium (usually calcium
gluconate 10% solution in 10mL
amp)
o Clopidogrel 75mg tab
o D5W 250mL
o D50W 50mg vial
o Digoxin 0.5 mg/2mL amp
o Diphenhydramine 50mg/ml amp
o Dobutamine 250mg/5mL amp
o Dopamine 200mg/5mL amp/vial
o Epinephrine 1mg/mL amp
o Furosemide 20mg/2mL amp
o Haloperidol 50mg/mL amp
o Hydrocortisone 250mg/2mL vial
o Lidocaine 10% in 50mL spray
o Lidocaine 2% solution vial
1g/30mL amp
o Magnesium sulfate 1g/2mL amp
o Mannitol 20% solution 500mL
RT LIM FAMILY HOSPITAL CO., 2021 |
MEDICINE AND SUPPLIES
CHECKLIST DATE:___________________
_
o Methylprednisone 4mg tab
o Metoclopramide 10mg/2mL amp
o Morphine sulphate 10mg/mL
amp (high alert box)
o Nitroglycerin 10mg/mL amp /
Isosorbide dinitrate 5mg sl tab or
10mg/10mL amp
o Noradrenaline 2mg/2mL amp
o Paracetamol 300mg amp IV
preparation
o Phenobarbital 120mg/mL amp IV
or 30mg tab (high alert box)
o Phenytoin 10mg cap or
10mg/2mL amp
o Plain LR 1L
o Plain LR 500mL
o Plain NSS 1L (0.9% Sodium
Chloride)
o Plain NSS 500mL
o Potassium chloride 40mEq/20mL
vial (high alert dose)
o Sodium Bicarbonate
50mEq/50mL amp
o Verapamil 5mg/2mL amp
o Vitamin B1 B6 B12 vial (1g B1, 1g
B6, 0.01 B12 in 10mL vial)
RT LIM FAMILY HOSPITAL CO., 2021 |
MEDICINE AND SUPPLIES
CHECKLIST DATE:___________________
_
MEDICAL SUPPLIES EMERGENCY ROOM DELIVERY ROOM OPERATING ROOM
Airway Adjuncts
Airway/intubation kit (with stylet
and bag valve masks)
Alcohol disinfectant
Aseptic bulb syringe
Capillary Blood Glucose (CBG) Kit
Cardiac Board
Endotracheal Tubes ( all size )
Flashlight or Pen Light
Gloves, Sterile
Gloves, Non-Sterile
Laryngoscope with different sizes
of blades
Nasal Cannula
Protective Face shield or Mask or
Goggles
Standard Face Mask
Sterile Gauze (pre-folded and
individually packed)
Syringes ( different volumes )
Urethral Catheter
Urine Collection Bag
Waterproof Aprons
RT LIM FAMILY HOSPITAL CO., 2021 |