Contact Greg Raleigh, National Accounts Mgr: TF: 800-298-5433 F: 413-674-0141 P: 860-391-2518 Customizable IV Certification Nursing Kit graleigh@medicalkitsupply.com Quote Request Form Base Kit Contents: To customize this kit, adjust the quantities of items below, and/or refer to our Kit Item List for additional items with which to customize this kit. Add any additional items to the table below. QTY PRODUCT General Supply 1 RL ½" Transpore Tape 1 EA Isagel No-Rinse Instant Hand Sanitizing Gel, 4 oz Bottle 50 EA Alcohol Prep Pads, Curity Sterile, Medium, 2 Ply IV Insertion 10 PK Versalon Nonwoven All-Purpose Sponge, Sterile 2's in Peel-Back Package, 2" x 2", 4 ply 1 EA Tourniquet, Disposable, 1" x 18", Blue, Latex-Free, CE Mark on Outer Pkg 10 EA Tegaderm transparent dressing, 2-3/8" x 2-3/4" 2 EA Durasorb Underpad, 23" x 24" 4 EA LifeShield™ Macrobore Extension Set — with CLAVE™ and Option-Lok™. Non-DEHP. Latex-Free. Sterile Pack, 7.25 inch 10 EA Chlorascrub Swab, 1.0 ml, 3-1/8" x 1-1/8" 10 mL fill in 10 mL diameter BD PosiFlush™ Normal Saline Filled Syringe with Standard Plunger 10 EA Rod, Latex Free, Preservative Free 12 EA Protectiv IV Catheter 20g x 1.25" 5 EA Protectiv-W Safety IV Catheter, Winged, 22g x 1" IV Piggy Back 3 EA Primary IV Plum Set 3 EA LifeShield Secondary IV Piggyback Set, Latex-free, non-DEHP, Includes plastic hanger 6 EA IV Bag, 0.9% Sodium Chloride, 50 ml 3 EA LifeShield™ Primary Piggyback I.V. Set — with convertible piercing pin, filter vent cover, drip chamber, inline backcheck valve, 3 CLAVE™ Y-sites, 2 slide clamps, CAIR™ clamp and Option-Lok™ with male adapter. Non-DEHP. Latex-Free 3 EA BD Blunt Fill Needle, 18g x 1-1/2" 3 EA 3cc Luer Lock Syringe Only 4 EA IV Bag, 0.9% Sodium Chloride, 500 ml 10 EA 10 mL fill in 10 mL diameter BD PosiFlush™ Normal Saline Filled Syringe with Standard Plunger Rod, Latex Free, Preservative Free Central Line 6 PK Versalon Nonwoven All-Purpose Sponge, Sterile 2's in Peel-Back Package, 2" x 2", 4 ply 2 EA Chloraprep 3ml Swab Stick 4 EA Tegaderm Transparent Dressing 4" x 4-3/4" 2 EA Blue Tie-On Procedure Mask 1 EA Backpack, 15 1/2", Black School/Facility: Primary Contact: Phone: Title: Fax: Email: Qty Needed (min. 20 kits): All products are for demonstration purposes only. Fax Quote Request Form to 413-674-0141 or email form to graleigh@medicalkitsupply.com for a custom kit quote. Lead Time Standard lead time is 4-6 weeks from date purchase order is received. Please contact us if you’re on a tight schedule. We will always do our best to accommodate your timeline. Minimum Order: 20 Kits Freight is not included in kit quote. Payment Please contact us to establish credit terms. Net 30 billing with established accounts is available. We also accept MasterCard, VISA, Discover, and American Express. Return Policy Unopened kits can be returned within 30 days of invoice date. All items must be included, unopened, and in resalable condition. A Return Authorization code from Medical Kit Supply is required before returning products to us. Returned products must be received within 30 days of issuance of RA code. Kit Changes After final approval of kit contents and receipt of purchase order, we are not able to accept any changes to the kit contents or quantity of kits ordered. About Medical Kit Supply Medicalkitsupply.com is a division of Unimed, Inc., dedicated to providing custom medical kits and supplies to nursing institutions. We offer a large range of products at affordable prices, and with high levels of personal service. Unimed, Inc., our parent company, has served the nurse education industry for more than 20 years by offering a full range of custom nursing kits, including CNA, Nursing Skills, Med Pack and more. Medicalkitsupply.com continues Unimed's tradition of excellence in product and service. Looking for Miscellaneous Supplies? Visit our website at www.medicalkitsupply.com and browse our vast array of additional healthcare and infection control supplies and find out more information about our nursing kits. Want an item included in your kit that is not listed here? Call Greg Raleigh, National Accounts Manager, at 800-298-5433 or email graleigh@medicalkitsupply.com to inquire about adding additional special order items to your kit.