EMS Operations Report

LEVEL ZERO: Y N TIME PERIOD

MA GIVEN/REC: Y N WHO/WHERE

HOSPITAL DIVERSIONS: Y N

NAME TIME PERIOD

NATURE # OF PTS EFFECTED

EXPOSURES: Y N INCIDENT REPORT: Y N

SENTINEL EVENTS: Y N

STANDBY: Y N NATURE

SPECIAL EVENT(S): Y N

LOCATION UNIT(S)#

# OF PT TRANSPORTS NATURE

STA. SUPPLIES - ORDERED RECEIVED END OF MONTH EXPIRATIONS: Y N

STA. SAFE NARCOTICS: Y N #1 #2

STA. CLEAN DAILY: Y N SAT DEEP CLEAN: Y N SUN BAY CLEAN: Y N

MONDAY BK UP TRUCK CLEAN: Y N WEDNESDAY PRIMARY TRUCK CLEAN: Y N