Why is it critical that the paramedic complete an equipment checklist at the beginning of each shift?

Completion of an equipment/supply checklist enables the paramedic to determine the overall preparedness of the ambulance for patient care. Checklists allow the paramedic to ascertain whether all necessary supplies and equipment are present and working as well as the expiration dates on medications carried on the ambulance. This decreases liability associated with providing prehospital emergency medical services by ensuring that everything needed to properly care for a patient is present and in good working order. Missing supplies, malfunctioning equipment, and expired drugs represent sources of liability, especially if they result in improper patient care. The Occupational Safety and Health Administration and US Department of Health and Human Services do not require EMS services to complete an equipment/supply checklist. Finally, insurance agencies do not require the submission of the equipment/supply checklists in order to provide ongoing liability coverage for the service.