Doctor’s Bag Checklist

DATE ___________ DATE ___________ DATE ___________ DATE ___________

NAME OF MEDICINE STRENGTH EXPIRY DATE
CHECKED BY________ CHECKED BY________ CHECKED BY________ CHECKED BY________
Adrenaline

Benztropine mesylate

Benzylpenicillin

Diazepam

Furosemide
Glucose 50% and/or
Glucagon
Ergotamine maleate
Haloperidol or
Chlorpromazine
Hydrocortisone sodium
succinate or
dexamethasone
Metoclopramide
hydrochloride
Morphine sulphate or
appropriate analgesic
agent

Document title: Doctors Bag Checklist

Reviewed by: Chirag Sheth, PM and Fritz Mendoza, RN
Version: 1 Effective Date: 06/05/2022 6
Next Review Date: 06/05/2023
Doctor’s Bag Checklist

DATE___________ DATE___________ DATE___________ DATE___________

NAME OF MEDICINE STRENGTH EXPIRY DATE
CHECKED BY________ CHECKED BY________ CHECKED BY________ CHECKED BY________
Naloxone hydrochloride

Prednisone
Promethazine
hydrochloride
Aspirin soluble (oral)

Atropine sulphate
Glyceryl trinitrate spray
or tablets
Salbutamol inhaler

Document title: Doctors Bag Checklist

Reviewed by: Chirag Sheth, PM and Fritz Mendoza, RN
Version: 1 Effective Date: 06/05/2022 6
Next Review Date: 06/05/2023
Doctor’s Bag Checklist

EXPIRY DATE DATE ___________ DATE ___________ DATE ___________ DATE ___________
EQUIPMENT
(where applicable) CHECKED BY________ CHECKED BY________ CHECKED BY________ CHECKED BY________

Auriscope

Disposable gloves
Equipment for
maintaining an
airway in adults and
children e.g. Guedel
Practice letterhead

Script pads

Sharps container

Sphygmomanometer

Stethoscope
Syringes in a range of
sizes
Needles in a range of
sizes
Thermometer

Tongue depressors

Document title: Doctors Bag Checklist

Reviewed by: Chirag Sheth, PM and Fritz Mendoza, RN
Version: 1 Effective Date: 06/05/2022 6
Next Review Date: 06/05/2023
Doctor’s Bag Checklist

EXPIRY DATE DATE___________ DATE___________ DATE___________ DATE___________

EQUIPMENT
(where applicable) CHECKED BY________ CHECKED BY________ CHECKED BY________ CHECKED BY________

Torch

Ophthalmoscope

Cannulas

IV bungs

Tourniquet

Butterfly needles

Alcohol swabs

Urinalysis sticks

Specimen containers
IV fluids (including
giving set)
Peak flow meter
Bandages, tape and
other dressings
MIMS

Document title: Doctors Bag Checklist

Reviewed by: Chirag Sheth, PM and Fritz Mendoza, RN
Version: 1 Effective Date: 06/05/2022 6
Next Review Date: 06/05/2023
Doctor’s Bag Checklist

EXPIRY DATE DATE___________ DATE___________ DATE___________ DATE___________

EQUIPMENT
(where applicable) CHECKED BY________ CHECKED BY________ CHECKED BY________ CHECKED BY________
Pathology and
radiology request
forms

Medical certificates
Useful telephone
numbers – hospitals,
health hotlines

Other medicines
such as starter packs
for antibiotics and
analgesics

S8 record book
(required if S8s are
stored/carried)

Document title: Doctors Bag Checklist

Reviewed by: Chirag Sheth, PM and Fritz Mendoza, RN
Version: 1 Effective Date: 06/05/2022 6
Next Review Date: 06/05/2023
Doctor’s Bag Checklist

Document title: Doctors Bag Checklist

Reviewed by: Chirag Sheth, PM and Fritz Mendoza, RN
Version: 1 Effective Date: 06/05/2022 6
Next Review Date: 06/05/2023