UTILA COMMUNITY CLINIC SUPPLY LISTING This Listing last updated November 2005 Items marked with a “” are urgent needs The latest version of this document is available at our web site www.aboututila.com/ShopsInfo/Utila-Community-Clinic/Supply-Needs.doc CARDIOLOGY 3 Lead Cardiac Monitor - with continuous pulse oximetery, EKG capability, pacing and defibrillator capability, rhythm strip capability, (EKG, pacing, defibrillator cables), recording paper, electrodes, pacing/defibrillator electrodes, defibrillator/pacing gel. Defibrillator We have a Physio-Control LIFEPAK 10, which was donated to us, but we need the following parts: LP5-FP Batteries Life Patch electrodes #800139 Pacing cable #802905-3 Quick Pace electrodes #803377 Recorder paper #804700 Derma gel #9-10236-000 Fast Patch defibrillator electrodes #804545-001 Pediatric paddles #800418-00 Pacing booklet #805074-00 Defibrillator Pads We would need for both models: Physio-Control LIFEPAK 10 & Heartstream® ForeRunner. ECG We have a Burdick® EK10 which is pretty shaky at best. If a unit is available we would need a source for these * supplies. ECG Papers* ECG Accessories* ECG Electrodes* Electrode Gel* These next 2 are definitely “only dream of” items! Holter System Stress System Automated External Defibrillator We have the Heartstream® ForeRunner but Utila should probably have 3 or 4 more AED’s based on her population. Automated External Defibrillator Batteries and electrodes for Heartstream® ForeRunner Vital Signs Monitor - Blood Pressure, Pulse, SP02, Temperature, Respiration DIAGNOSTIC Welch Allyn Diagnostic Set - Otoscope & Opthalmoscope (with batteries & replacement bulbs) Welch Allyn Halogen Operating Otoscope Welch Allyn Halogen Operating Otoscope Replacement Lamp Welch Allyn Disposable Specula & Dispenser – Pediatric / Regular Welch Allyn Replacement Batteries WA 72200 Welch Allyn Rechargable Handle with Charger Welch Allyn Pocketscope with throat illuminator Anoscope – Disposable Cobalt Blue Penlight – AA Batteries Cobalt Blue Penlight – Disposable Welch Allyn Headlight Disposable Vaginal Speculum – Small / Medium / Large Binocular Loupe Welch Allyn Lamps – Penlight Utila Clinic Page November 2005 1 Welch Allyn Lamps – Headlight #02500 Welch Allyn Lamps – Otoscope / Transluminator #03100 Welch Allyn – Ophthalmoscope Lamp #03000, #04900 Pulse Oximeter For pediatric patients it would be nice to have some semi-disposable self-adhesive probes for our Nellcor Puritan Bennett NPB-40 oximeter 1. Nelcor Puritan Bennet NPB-40 Handheld Pulse Oximeter Serial Number G03833755 2003 with DS-100A Durasensor Oximax Adult Oxygen Sensor 2. Nelcor Puritan Bennet NPB-40 Handheld Pulse Oximeter Serial Number G99809229 with DS-100A Durasensor Oximax Adult Oxygen Sensor 3. OxyMaxAdult Oxygen Sensor Max A Nellcor 4. Oxisensor II D-20 Pediatric Oxygen Sensor Nellcor Puritan Bennett Companion 590 Oxygen Concentrator with OCI Serial No’s 0997G202662 & 0595A119167 we need supplies/service parts – Intake Filter – Inlet pre-Filter – Bacteria Filter Zeolite sieve canisters (with appropriate tools) EMERGENCY & OSHA SUPPLIES Cloth or Disposable Gowns Banyan Stat Kit We have a Model 600 Stat Kit at the clinic; one is needed for the clinic at the Cays. Banyan Stat Kit – Auto – Update Program Once the drugs expire it is impossible to get the same format (Abboject®) replacement drugs. This is why I prefer well-stocked first aid kits (medium size tool chests) that can be stocked locally. The * items are urgent needs for the Cays. Resuscitation Devices – Pediatric* Resuscitation Devices – Adult* Resuscitator Mask – Ambu* Papoose Board* OSHA Information Oral Airway Infant / Child / Adult – Small / Adult – Medium / Adult – Large* Laryngoscope – Disposable* Or Laryngoscope – Disposable & Illuminator* Sharps Containers Biohazard Bags Spill Kits Bone Densitometer FURNITURE & EQUIPMENT Doppler – Fetal / Artery / Vein For equipment of this type, new to the clinic, we would need operating instructions, testing and maintenance guidelines, all accessories and a stock of replacement items. Cautery & Desiccator For example a ‘Banton-Bovie’ unit. Also see comments Item 1. Welch Allyn Audioscope Welch Allyn Tympanometry Welch Allyn Tympanometry Tips Exam Lights Of the 2 ceiling-mounted surgical procedure lights that we have one is not usable, the other is a single bulb antique. Utila Clinic Page November 2005 2 Growth Charts Digital Floor Scale Adult Scale Pediatric Scale The basket-style scale that we have for babies will soon be a museum piece! Sigmoidoscope – Disposable Spirometer There are many simple electronic spirometers available; to be clinically useful it should measure Vital Capacity (VC), Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 second (FEV1), Forced Expiratory Flow 25 to 75% (FEF25-75%) and Maximal Voluntary Ventilation (MVV). Of greater diagnostic value would be a Flow-Volume Loop Generator. Also see comments Item 1. Mayo Stand IV Stand with 4 Wheel Base Autoclave The model we have is 8” x 14” (64 cubic inches), too small for the volume of items that we sterilize. To help waste management we try to avoid disposable items. Autoclave Supplies We need self-sealing sterilization pouches in sizes 5.25” x 10” and 7.25” x 13”. Examination Table Ultrasound I saw a portable system in La Ceiba, manufactured by SonoSite®. Perhaps there are now obsolete cart-based systems available. Also see comments Item 1. Step-On Waste Cans Infusion Systems Commonly called Infusion Pumps, they generally require IV sets that are unique to each model; IVAC is a wellknown brand. Also see comments Item 1. Hospital Grade Stretcher The most useful type is Recovery (Post-OP) Room with 8” to 10” wheels, dual guardrails; adjustable height, back and legs. Ambulance Stretcher - Collapsible Basket Stretcher This is very badly needed to transport patients to the mainland on the ferry. Please try your best to get us this item. Hospital Bed Need not be electric but should have the same characteristics as the stretcher. Audiometry Unit See comments Item 1. Ophthalmic Burr Corneal rust ring remover, for example Ophtho-Burr®. Suction Unit The ideal unit would operate on internal battery and 110 volt. Also see comments Item 1. Re-Chargeable Cordless Electrocautery Unit With Puncture Point, Ring Cutter, Straight Cutter, Coagulation Ball & Cold Point See comments Item 1. Uni-Polar Diathermy (Hyfrecator) With Fine Wire Electrode Needle, Regular Electrode And Double Electrode See comments Item 1. Disposable electrocautery pens Adjustable Shelving Kits Wood or metal shelving for supplies, books, etc. Adjustable Stools Office Desk We need 2 small desks. Computer Workstation We have 2 donated computers that need desks on casters. Printer for Personal Computer A Laser or Ink-Jet printer would be very useful at reception. Equipment Trolley or Crash Cart VHF Radios – Base and Mobile Units Utila Clinic Page November 2005 3 One of our most pressing issues is reaching staff when there are emergencies! We would need 1 base unit and 3 or 4 portables with re-chargeable batteries. Perhaps it would be possible to re-program ‘Pocket Pagers’ for use here; there must be units around now that cellular phones are so popular. Cordless Telephone Stationary Telephone Fax Machine IV IV Solutions (Bags) o D5W (5% Dextrose Injection) 250 / 500 / 1000 ML o NS (.9% Sodium Chloride Injection) 250 / 500 / 1000 ML o D5W/NS (5 % Dextrose and .9% Sodium Chloride Injection) 1000 ML o LR (Lactated Ringers) 500/1000 ML o D5W in LR (5% Dextrose in Lactated Ringer’s Injection) 500/1000 ML Solutions for Irrigation (Plastic Container) o NS for Irrigation (.9% Sodium Chloride for Irrigation) 500 / 1000 / 2000 ML IV Administration Sets o 10 Drops / ML, Roller Clamp, Slide Clamp, Male Lock o 15 Drops / ML, Roller Clamp, Slide Clamp, Injection Site o 60 Drops / ML, Roller Clamp, Slide Clamp, Injection Site Longer lengths are preferred for ease when transporting patients; other characteristics: injection site distance from distal end, priming volume, # of injection sites, check valves, control clamps, vented vs. non vented- in general more is better. IV Extension Sets The minimum useful length is 21 inches with one injection site. IV Catheters 14, 16, (18), (20), (22), (24), 27 Gauge (1¼) (1¼) (1) (⅝) Inch The larger (14 & 16 G) catheters are often too long to thread easily, Becton Dickinson makes them in lengths under 2 inches. Winged Infusion Sets – 19, 21, 22, 23, 25G x ¾ Inch with 3½ & 12 Inch Tubing Heparin Lock – Mini-Volume Extension Set or Injection Site Male Luer-LocTM Adapter For intermittent administration of intravenous medications. LABORATORY Lancets Centrifuge We have a very old 4-tube centrifuge that uses 15.0 ml plastic tubes (120mm x 20mm) of which we have a good supply. Sedi-Stain Concentrated stain for urine microscopy. Multistix® 10SG or Chemstrip 10SG Urine Reagent Test Strips Chemstrip 2 GP Urine Culture System Bullseye and Difco EZ Streak are two brands. Specimen Container – Sterile Specimen Container – Non-Sterile Tourniquet – Disposable or Reusable Blood Draw Set For blood sample collection – Sets contain Vacutainer® tube needle holders, various sizes of needles are available. 24 Hour Specimen Container Transfer Pipettes Centrifuge Tube Blood Chemistry Analyzer Utila Clinic Page November 2005 4 One manufacturer is Careside of California. Diabetes Tests – Glucometer Test Strips The 2 models that we use are the Elite XL from Bayer and the Accu-Chek Active from Roche. Batteries for the Elite XL from Bayer and the Accu-Chek Active from Roche Both use 2 type CR2032 batteries. Diabetes Tests – Glucometer Test Strips and Batteries for the Prestige Smart System Blood Glucose Monitor from Home Diagnostics Inc. Diabetes Tests – Microalbumin One model is the NycoCard Reader II from Primus Diagnostics. Diabetes Tests – HgA1c There are a disproportionate number of diabetics and this prognostic indicator for would be ideal for monitoring/management of diabetes mellitus. Diagnostic Test Kits For – H. Pylori Diagnostic Test Kits For – Streptococcus A Diagnostic Test Kits For – Urine Pregnancy Diagnostic Test Kits For – HIV Diagnostic Test Kits For – Erythrocyte Sedimentation Rate Diagnostic Test Kits For – Mononucleosis Diagnostic Test Kits For –Chlamydia Diagnostic Test Kits For – Rheumatoid Factor Diagnostic Test Kits For – Flu Hemocult Test Cards Hemocult Developer Hematology – Complete Blood Count with Differential One brand is the Abbott Cell-Dyn 1700 Hematology Analyzer. Hematology – Hematocrit Hematology – Hemoglobin The Hgb Pro Professional Hemoglobin Testing System™ from ITC is one unit. Coagulation – Prothrombin Time One brand is the ProTime® Microcoagulation System. Microbiology Test – Urine Culture One brand is Consumers Choice Systems. Microbiology Test – Gonorrhea Culture A cassette style kit is available from IND Diagnostic Inc. Microbiology Test – Streptococci Culture Kit Microscope Slide Microscope Cover Slips Potassium Hydroxide Solution Blood Smear – Malaria Cassette style kits are now available. Blood Smear – Parasite Cassette style kits are now available, for example for Chagas’ Disease. Entamoeba Histolytica – Stool Antigen Test The TechLab E. histolytica antigen detection test is an accurate and rapid system. NURSING We have many of the items listed below but in limited quantities, those underlined are the items used most often. Non-sterile Gloves Small / Medium / Large Sterile Gloves 7, 7 ½, 8, 8 ½, 9 Masks / Caps / Shoe Covers Hot / Cold Packs Needles – 14 Gauge to 30 Gauge, ⅜ to 1 ½ Inch Spinal Needles – 22G x 3.0”, 18G x 3.5” Syringes – 1 ML TB, 3.0, 5.0, 10.0 to 60 ML Syringes – 60 CC Luer-LocTM (For Ear Irrigation) Utila Clinic Page November 2005 5 Syringes – Insulin 50 & 100 Units Soft Bulb Syringe Isopropyl Alcohol – 70% -- Pt. / Qt. / Gal. Isopropyl Alcohol – Prep Pads Betadine (Povidine Iodine) – Pt. / Qt. / Ga. Betadine (Povidine Iodine) – Swabstick Betadine (Povidine Iodine) – Prep Pads Hydrogen Peroxide – Pt. / Qt. / Gal. Tincture of Benzoin – Bottle Tincture of Benzoin – Swabstick Ammonia Ampoules Nail Polish Remover TED – Knee-Length Anti Embolism Stockings TED – Thigh-Length Anti Embolism Stockings FleetTM Disposable Enema Kits Enema Administration Kit Razor – Disposable BP Cuff – Aneroid – Infant / Child / Adult / Lg. Adult / Extra Lg. / Thigh BP Cuff – Mercury – Infant / Child / Adult / Lg. Adult / Extra Lg. / Thigh BP Replacement Parts – Bladder / Bulb / Valve / Cuff / Tubing / Tubing Connectors / Gauge Heat, humidity and salt air quickly deteriorate these rubber goods. Cotton Tipped Applicator – Sterile Tongue Blade – Sterile Tongue Blade – Non-Sterile Silver Nitrate Applicators Anti-Microbial Soap Wall Mounted Anti-Microbial Soap Dispensers KY Lubricating Jelly Glass Thermometer – Oral, Calibrated In Celsius & Fahrenheit Glass Thermometer – Rectal, Calibrated In Celsius & Fahrenheit Sterile Thermometer Sheath – Oral Sterile Thermometer Sheath – Rectal Digital Instant Ear Thermometer The Exa-Med unit has a high scan rate for increased accuracy. Temperature Monitor With Assortment Of Probes YSI is one manufacturer of battery operated (standard D-cells) units with a good selection of autoclavable probes for adult and pediatric use. Snellen Eye Chart Eye Chart – Illiterate Eye Chart – K Pocket Size Eye Chart & Ishihara Color Definition Test Book Eye Occluder Stethoscope – Littman Classic II Stethoscope – Ear Tips Nasogastric Tubes [8 to 18 French] or (Salem Sump®) [12 to 18 French] Orogastric 42 French Ewald Tube This large tube is used in the management of ingested toxins. Treatment and Medication Patient Information Hand-Outs English and Spanish are needed. ORTHOPEDICS We have some of the items listed below but in limited quantities, those underlined are the items most needed. Air-Stirrup® Ankle Brace – Right / Left Available in large, medium, small and pediatric. Air-Stirrup® Leg Brace With Anterior Panel – Right / Left Utila Clinic Page November 2005 6 Available in regular and small. Tennis Elbow Strap Arm Sling – Small / Medium / Large Wrist Splint – Small / Medium / Large – Right / Left ProLite® and SoftForm® are two brands. Cervical Collar – 2 / 3 / 4 Inch Clavicle Splint – Extra Small / Small / Medium / Large Colles’ Splint – Small / Medium / Large – Right / Left Finger Protectors – Metal or Plastic Foam/Aluminum Finger Splints ½ / ¾ / 1 Inch Heel Cup Rib Belt – Male/Female: Small / Medium / Large / Extra Large or Universal Cast Boot – Extra Small / Small / Medium / Large Post-Op Shoe – Male and Female: Small / Medium / Large Knee Immobilizer – 12 / 16 / 20 / 24 Inch Shoulder Immobilizer – Universal Aluminum/Foam Wrist and Forearm Splint – Small / Medium / Large – Right / Left or Universal Cotton Tubular Stockinette® – 2 / 3 / 4 / 6 Inch Casting Material – Plaster & Fiberglass – 2 / 3 / 4 Inch Splint Material – Plaster & Fiberglass – 2 / 3 / 4 Inch Cast Padding – 2 / 3 / 4 / 6 Inch Cast Cutter Cast Cutter Blades Cast Spreader Webril II 100% Cotton Undercast Padding by Kendall – 2 / 3 / 4 / 6 Inch Wheelchair Crutches – Small / Youth / Medium / Adult / Extra Large Adult Canes Adjustable aluminum would be best. OTHER We have none of the items underlined. Otic Wicks One source is Pope Otic Wicks (1-800-722-7713, 1-800-874-5797) Skin Hooks / Small Retractors Goldman Tonometer Tube Gauze X-Ray Spot Illuminator/Hot Light X-Ray Machine, Developer, View Box X-Ray Film Cassettes – 10 x 12 / 11 x 14 / 18 x 24 / 14 x 36 Inch Epistat™ Epistaxis Balloon Intravenous Fluid Warmer Intravenous Fluid Warmer Tubing Sets Portable 3 Channel Monitor With ECG, Pressure and SpO2 waveforms (and often temperature display) these rechargeable, light weight (ie. Datascope Inc. 3000 Series) monitors are essential for the transport of the critically ill. Typical accessories (* disposable) include: Patient ECG cable Pressure transducer Pressure transducer dome and tubing set* SpO2 sensor Temperature probe High pressure fluid infuser Washout cannula* Thermostat Controlled Heated Humidifier Utila Clinic Page November 2005 7 For rapid re-warming of near-drowning victims the Cascade Humidifier from Puritan-Bennett is an excellent allpurpose unit. Warming Blankets Water (conductive) and air (convective) blankets both have use in the near-drowning victim. Heat and Moisture Exchangers Gibeck and Hudson [14412] are both manufacturers. Emergency Cricothyrotomy Set Esophageal Obturator For tracheal intubation by BCLS trained staff these devices secure the airway and allow for ventilation. Disposable End-Tidal CO2 Sensors Flexible Fiber Optic Laryngoscope Esophageal Stethoscope with Temperature Sensor Connects to an YSI monitor and enables monitoring of cardiac sounds and core temperature; some have a 3rd lumen for gastric drainage. Plastic Bins for Storage Cole-Palmer sells corrugated plastic bins that would be much better than the cardboard boxes (cockroach and mouse hotels) we now use. Cryotherapy Unit and supplies Either a Wallach LL50X nitrous oxide cryothermal unit with probes or liquid nitrogen, eg: Fern cyroprobe, Cyro-jet, Wallach liquid nitrogen ultra-freeze or equivalent. What is needed is a cryo-surgical unit with probes and supplies. This is very badly needed because actinic kerotose is epidemic in the Utila Cay fisherman. RESPIRATORY Most respiratory items are sold as disposable however we re-use (after cleaning) them; the heat and ultraviolet light shortens the life of these plastic items. Items underlined are those used most often, boldface for items that are urgent [Hudson catalog number for reference]. Compressor For Aerosol Therapy We have 2 DeVilbiss 110 volt compressors; we could use 2 more for loaners, also one with internal battery and 12 volt adapter. Aerosol Therapy Kits [1733] [1707] To save space, kits are available without tubing- for adults with a mouthpiece, for children with a small or medium mask. Typical components include: Connecting Tubing [1115] Nebulizer (Cup & Cover) [1730] Aerosol Tee Piece [1639] 6”Aerosol Reservoir Tubing [1410] Mouthpiece [1565] Or Aerosol Mask – Pediatric [1085] / Adult [1083] Aerosol Face Tent [1095] Tracheostomy Mask [1075] Connectors Oxygen Supply Tubing [1420] Aerosol Tubing [1409] [1421] [1422] Nut & Nipple (Flow Meter Outlet to Tubing) [2555] Cylinder Valve to CGA 870 Washer [2540] Nasal Cannulas – Adult [1100] [1821] & Pediatric [1101] [1837] Infant Nasal Prong CPAP System [1687] CPAP System [5-16000] Portable O2 Unit [5000] [5013] We have 1 D-size portable oxygen tank with regulator. We would need 3 more kits (Jumbo D or E size) to handle transports on Utila and to the mainland. O2 Regulator Demand Valve Oxygen pressure hose, 6ft, with DISS connector Utila Clinic Page November 2005 8 We need 2 CGA 540 (0 to 15 lpm) [2600] and 3 CGA 870 (0.5 to 5 lpm [2652], 0 to 8 lpm [2650], 0 to 15 lpm [2615]) regulators. Oxygen Conserving Regulator [2661] Oxygen Conserving Cannula [1850] [1851] O2 Tank Jumbo D [5071] or E [5073] size; aluminum is lighter, alloy-steel more durable. Cylinder Valve Wrenches – Small [5080] & Large [5082] Adult O2 Mask – Medium Concentration [1041] Child O2 Mask – Medium Concentration [1042] Adult O2 Mask – Non-Rebreathing [1060] [1059] Child O2 Mask – Non-Rebreathing [1058] Fixed Percentage O2 Mask – Adult [1088] [1098] Mask Harness – Adult [15910] / Child [15911] Air Cushion Mask – Small [1279] / Medium [1281] / Large [1282] Oral Airways – #6 [1170] / #8 [1168] / #10 [1167] / #12 [1165] Or Emergency Lifesaver® Airways Kit [1173] Emergency Mask Kit [1187] Or Lifesaver® Isolation Kit [1186] Manual Resuscitator – Adult [5345] / Child [5346] / Infant [5347] Adjustable PEEP Valve [5383] [5385] O2 Humidifier [3230] [3100] Peak Flow Meter Available in standard and low-range, the Mini-Wright from AirMed is an accurate unit. Laryngoscope – Handle / Blade / Bulb / Battery Cuffed Endotracheal Tubes – 5 / 6 / 6.5 / 7 / 7.5 / 8 / 8.5 / 9 Millimeters Un-Cuffed Endotracheal Tubes – 2.5 / 3 / 3.5 / 4 / 4.5 / 5 / 6 Millimeters Ventilator Adaptor [1078] Unidirectional Valved Tee [1666] SAFETY Needle Destruction Unit To destroy needles, blades, and IV stylets after use. Sharps Containers SURGERY The only sutures sold here are silk and catgut. Vicryl™ – (Polyglycolic Acid – Undyed Braided) Suture 3-O Vicryl™ – (Polyglycolic Acid – Undyed Braided) Suture 4-O Vicryl™ – (Polyglycolic Acid – Undyed Braided) Suture 5-O Vicryl™ – (Polyglycolic Acid – Undyed Braided) Suture 6-O Ethilon™ – (Nylon – Black Mono) Suture 2-O Ethilon™ – (Nylon – Black Mono) Suture 3-O Ethilon™ – (Nylon – Black Mono) Suture 4-O Ethilon™ – (Nylon – Black Mono) Suture 5-O Ethilon™ – (Nylon – Black Mono) Suture 6-O Prolene™ – (Polypropylene – Blue Mono.) Suture 3-O Prolene™ – (Polypropylene – Blue Mono.) Suture 4-O Prolene™ – (Polypropylene – Blue Mono.) Suture 5-O Prolene™ – (Polypropylene – Blue Mono.) Suture 6-O PDS™ – (Polydioxanone) Suture 2-O PDS™ – (Polydioxanone) Suture 3-O PDS™ – (Polydioxanone) Suture 4-O PDS™ – (Polydioxanone) Suture 5-O Utila Clinic Page November 2005 9 PDS™ – (Polydioxanone) Suture 6-O 3M™ Steri-Strips – Suture Strips ⅛ / ¼ / ½ Dermabond Tissue Adhesive To help waste management we try to avoid disposable items, therefore non-disposable items in good condition are most welcome. Metal instruments from disposable (ie. suture) sets do not survive in this environment. Bard-Parked Scalpel – Sterile Disposable # 11 / # 15 Surgical Preparation Razors Vaginal Speculum – Small / Medium / Large / Virgin Nasal Speculum Bandage Scissors Operating Scissors – Straight Metzenbaum Scissors – Curved Iris Scissors – Straight Iris Scissors – Curved Spencer Stitch Scissors Lucae Ear Forceps – Bayonet Halsted Mosquito Forceps – Straight Halsted Mosquito Forceps – Curved Kelly Forceps – Straight Kelly Forceps – Curved Adson Dressing Forceps – Serrated Adson Tissue Forceps – Teeth Splinter Forceps - Straight & Curved Foerster Sponge Forceps Hartman-Noyes Alligator Forceps Needle Holder Towel Clamp Percussion Hammer Tuning Fork – 512 CPS Metal Ear Syringe Ring Cutter Ear Curettes – Round / Loop / Spoon – Disposable Ear Curettes – Stainless Steel – Round / Loop Biopsy Punches – Disposable High Temperature Cautery – Fine Tip / Loop Tip Surgical Scrub Brush – Betadine / Hibiclens / Dry Laceration Tray – Needle Holder – Baumgartner (Serrated) – Webster (Smooth) o Hemostat Forceps – Kelly (Curved) or Mosquito (Curved) o Scissors – Operating (Sharp or Blunt) o Tissue Forceps – Adson (Teeth) o Scissors – Iris (Straight) o Sterile Drape (Cloth) o Gauze – 2 x 2 Inch x 5 / 4 x 4 Inch x 10 o Bowl / Tray (Metal) o Cups (2 oz) x 2 (Metal) o 10 cc (Luer-Loc Syringe) o 18 Gauge 1½ Inch Needle o 27 Gauge 1½ Inch Needle o 25 Gauge ⅝ Inch Needle Suture Removal Kit – Scissors – Iris (Straight) or Littaver (Stitch) Suture Removal Kit – Dressing Forceps – Adson (Serrated) Skin Staple Remover Sterile Drapes – Cloth or Disposable Penrose Drains – ¼ / ½ Inch Autoclave – Self-Seal Pouches -- 3½ x 9 / 5¼ x 10 / 7½ x 13 Inch Autoclave Supplies – Tape 1 Inch Utila Clinic Page November 2005 10 Autoclave Supplies – Wrap 15 x 15 / 20 x 20/ 24 x 24 / 30 x 30 / 36 x 36 / 48 x 48 Inch Nail Chisel Thwaites Nail Nipper Reusable Punch Biopsy (Hayes-Martin) Volkmann Double Ended Sharp Spoon Currette Liquid Nitrogen for Cryosurgery – Cryospray® / CryoProbe™ (Individual Probe or Cotton Wool Applicator) Phenol (Carbolic Acid) Monochloroacetic Acid SUNDRIES Infection Control – Disinfectant / Germicidal Emesis Basin – Plastic / Metal Bed Pan – Plastic Urinal Medicine Cup Ear Basins – Plastic Alcohol Dispenser Sponge Bowl Labeled Sundry Jars or Examination Room Containers Exam Table Paper Pillowcase – Cloth or Disposable Exam Gowns – Cloth or Disposable Exam Drapes Lens Paper Pill Envelopes Under Pads “Egg Crate” Mattress(es) UROLOGY Catheter Bags Catheters – 8 to 24 French/ 5 French Infant/ 8 French Pediatric Catheter Kit – Infant/Pediatric Catheter Collection Specimen Catheter Tray / Foley Tray Urine Collectors Calculi Strainer WOUND CARE Items underlined are those most often used or needed. Paper Tape – ½ / 1 / 2 / 3 Inch Cloth Tape – ½ / 1 / 2 / 3 Inch Transparent Tape – ½ / 1 / 2 / 3 Inch Adhesive Bandages – 1 Inch / X-Large / Sheer Strips Coverlet™ Fabric Dressing – 1 Inch Strip / 2 x 3 Inch Patch Ace™ Elastic Bandage – 2 / 3 / 4 / 6 Inch Bandaid™ Flexible Fabric – 1 Inch Strip / Fingertip / Knuckle Bandaid™ Sheer – 1 Inch Strip / X-Large 2 x 4½ Inch Bandaid™ Butterfly Closure -- 1¾ x ⅜ Inch Stretch Gauze – Non Sterile – 1 / 2 / 3 / 4 / 6 Inch Stretch Gauze – Sterile – 1 / 2 / 3 / 4 / 6 Inch Gauze Sponge – Non Sterile – 2 x 2 / 3 x 3 / 4 x 4 Inch Gauze Sponge – Sterile x 2 – 2 x 2 / 3 x 3 / 4 x 4 Inch Kling™ Fluff Rolls – 4½ Inch Kling™ Conforming Gauze Bandage – Non Sterile – 1 / 2 / 3 / 4 / 6 Inch Utila Clinic Page November 2005 11 Kling™ Conforming Gauze Bandage – Sterile – 1 / 2 / 3 / 4 / 6 Inch Sof-Kling™ Conforming Bandage – Non Sterile – 1 / 2 / 3 / 4 / 6 Inch Sof-Kling™ Conforming Bandage – Sterile – 1 / 2 / 3 / 4 / 6 Inch Steri-Pad™ Gauze Pad – Sterile – 2 x 2 / 3 x 3 / 4 x 4 Inch Vaseline™ Petrolatum Gauze – 3 x 9 Inch Vaseline™ Non-Adhering Sterile Petrolatum Gauze ½ X 72 Inch Xeroform™ Petrolatum Gauze 1 x 8 / 2 x 2 / 4 x 4 / 5 x 9 Inch Unna Boot Tegaderm™ Transparent Dressing – Various Sizes Telfa™ Non-Adherent Dressings – 2 x 3 / 3 x 4 / 3 x 6 / 3 x 8 Inch Curity™ Eye Pads or J & J™ Eye Pads Curity™ or NuGauze Packing Strips – Plain – ¼ / ½ Inch Curity™ or NuGauze Packing Strips – Iodoform – ¼ / ½ Inch Sof-Wick™ Sponges – Dressing & Drain 4 x 4 Inch & IV 2 x 2 Inch J & J™ Gauze Sponges – Sterile – 2 x 2 / 4 x 4 Inch Topper™ Dressing Sponges – Sterile 4 x 3 / 4 x 4 Inch Topper™ Dressing Sponges – Non Sterile – 4 x 4 Inch Curity™ Gauze Sponges – Non Sterile – 2 x 2 / 3 x 3 /4 x 4 Inch Curity™ Gauze Sponges – Sterile – 2 x 2 / 3 x 3 / 4 x 4 Inch Kerlix Super Sponge Utila Clinic Page November 2005 12