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Ecart Checklist NEW

This document is an e-cart monitoring checklist that is used to track medical supplies and medications on a cart. It lists over 70 different supplies and medications and includes columns to record quantities on different dates throughout the month. Staff members are expected to check and verify the quantities on the cart regularly using this checklist.

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anon_140774008
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1K views4 pages

Ecart Checklist NEW

This document is an e-cart monitoring checklist that is used to track medical supplies and medications on a cart. It lists over 70 different supplies and medications and includes columns to record quantities on different dates throughout the month. Staff members are expected to check and verify the quantities on the cart regularly using this checklist.

Uploaded by

anon_140774008
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

E – CART MONITORING CHECKLIST

MONTH/YEAR: ________________________
DATE
MEDICATIONS/SUPPLIES QTY. 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 REMARKS
4x4 OS 10
Alcohol Pad 10
Ambu Bag Adult 1
Asepto Syringe 1
Autoclave Gloves Medium 1
Betadine Swab 10
B.T Set 3
ECG Electrodes 10
Elastic Bandage 3” 1
Elastic Bandage 4” 1
Elastic Bandage 6” 1
Endo Tube Fr. 7.0 1
Endo Tube Fr. 7.5 2
Endo Tube Fr. 8.0 1
Euro Water for Irrigation 1
Extension Set 3
Face Mask/Box 1
Foley Catheter Fr. 14 2
Foley Catheter Fr. 16 2
Gloves Clean Medium/Box 1
Guidell Airway Size 3 2
Guidell Airway ISO 10 2
Heplock 4
IV Cannula G. 18 2
IV Cannula G. 20 2
IV Cannula G. 22 2
IV Cannula G. 24 5
IV Macroset 3
IV Microset 3
IV Start Pack 3
KY Sachet 2
Checked by:
Verified by:
E – CART MONITORING CHECKLIST
MONTH/YEAR: ________________________
DATE
MEDICATIONS/SUPPLIES QTY. 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 REMARKS
Leukoplast ½” 1
Leukoplast 2” 1
Micropore 1” 4
NGT Fr. 16 1
NGT Silicon 1
Oxygen Cannula - Adult 2
Oxygen Mask – Adult 2
Stopcock w/o Tubing 3 way 5
Suction Catheter Fr. 12 2
Suction Catheter Fr. 14 2
Suction Catheter Fr. 16 2
Suction Tubing (Intraplast) 2
Soluset 2
Stylette (Adult) 1
Syringe Insulin 5
Syringe Tuberculin 1 cc 10
Syringe 3 cc 10
Syringe 5 cc 10
Syringe 10 cc 10
Syringe 60 cc 1
Surgical Gloves 7 1
Surgical Gloves 7.5 1
Tegaderm 6x7 (Adult) 2
Tongue Depressor 5
Urine Bag 2
Checked by:
Verified by:
E – CART MONITORING CHECKLIST
MONTH/YEAR: ________________________________

DATE
MEDICATIONS/SUPPLIES QTY. 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 REMARKS
0.9 NaCl 50mL/vial 4
Amiodarone 150mg/ampule 2
Atrophine Sulfate 1mg/mL 10
Aspirin 80mg/tablet 6
Calcium Gluconate 10mg/amp 2
Catapres 75 mcg/tablet 10
Diazepam 10mg/2mL 3
Diphenhydramine 50mg/amp 10
Dobutamine 250mg/20mL vial 2
Dopamine 200mg/vial 2
D50W 50mL/vial 5
D5 0.3 NaCl 500mL/bottle 2
D5 LR 1L/bottle 2
D5 NM 1L/bottle 2
D5 NSS 1L/bottle 2
D5 Water 250mL/bottle 3
Epinephrine 1mg/mL ampule 10
Hydrocortisone 100mg/2mL vial 2
Hydrocortisone 250mg/2mL vial 4
Isordil 5mg/tablet 10
Isoket 1mg/mL (10mg/10mL) 2
Lanoxin 0.5mg/apule 2
Lidocaine (Xylocaine 20mg/mL) 2
Mefenamic Acid 500mg/capsule 4
Nicardipine 1mg/mL (10mg/mL) 2
Norepinephrine (Levophed 4
2mg/amp)
Norepinephrine (Levophed 4
4mg/amp)
Paracetamol 300mg/ampule 4
Phenobarbital 130mg/mL 4
Checked by:
Verified by:
E – CART MONITORING CHECKLIST
MONTH/YEAR: ________________________________

DATE
MEDICATIONS/SUPPLIES QTY. 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 6-2 10-6 2-10 REMARKS
PLR 1 L/bottle 2
PNSS 1 L/bottle 2
Salbutamol 2mg/mL 3
Sodium Bicarbonate 1 4
mEq/mL
Terbutaline 0.5mg/ampule 2
Tramadol 50mg/capsule 5
Checked by:
Verified by:

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