Form: Burn Resource CHECKLIST.html,Burn Resource CHECKLIST Viewer.html
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Subject:BURN RESOURCE CENTER CHECKLIST LIST,
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DEPARTMENT OF HEALTH SERVICES COUNTY OF LOS ANGELES
REFERENCE NO. 1138.1
SUBJECT: BURN RESOURCE CENTER REQUIRED
EQUIPMENT/SUPPLIES/PHARMACEUTICALS
FACILITY:
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** EQUIPMENT [REQUIRED MINIMUM QUANTITY*]
ACTUAL QUANTITY
Video equipment for bronchoscope [1 each]
Fluid Infusion Warmer [3 each]
IV Pumps (dual channel) [12 each]
Thermal Mylar Blanket [24]
Thermal Blanket Forced Air Warming Blanket (Bair HuggarTM) [2 each]
Video laryngoscope (Glidescope) with Pediatric & Adult blades [2 each]
Cauterizer (Bovie) [1]
Cautery Disposable Tips [12]
Cautery Grounding Pads [24]
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** PHARMACEUTICALS [REQUIRED MINIMUM QUANTITY*]
ACTUAL QUANTITY
Silver Sulfadiazine 1% Any Size [14,400grams]
Bacitracin (28.4 gm tube) [36 each]
Cyanide Antidote Kit or CyanoKit [5 kits]
Midazolam 5mg/ml [360 vials/ampules]
Naloxone 0.4mg/ml [360 vials/ampules]
Morphine Sulfate 10mg/ml [720 vials/ampules]
Lactated Ringers Solution 1 liter bags [250 bags]
D5 Lactated Ringers Solution 500 cc bags [100 bags]
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** BURN WOUND CARE SUPPLIES
SUPPLIES [REQUIRED MINIMUM QUANTITY*]
Burn Debridement/ Escharotomy Tray [24 trays]
Dry Burn Dressing (32X36) [600 each]
Gauze Bandage Rolls (Kerlix) 4" [400 each]
Tubular Elastic Net Bandage (Burn Net) (Size #1, 5, 6, 7, 10, 22) [36 each size]
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