Contact Greg Raleigh, National Accounts Mgr: TF: 800-298-5433 F: 413-674-0141 P: 860-391-2518 graleigh@medicalkitsupply.com Customizable Jr. Nurse Skills Kit 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 1 EA Nasogastric Feeding Tube, 10 FR 1 EA Toothette 1 EA 6 1/2" Extension Set (Clearlink) 1 EA Universal Drug Vial Adapter, Clearlink 1 EA Clearlink Injection Site 1 EA Contents List 4 EA Ziplock Bag, 5" x 7" 1 EA Ziplock Bag, 6" x 9" 1 EA Ziplock Bag, 9" x 12" 1 EA Name Tag 1 EA Duffel Style Canvas Bag, Black w/Blue Stripe 1 EA IDS Box (Storage) 1 RL 1" Micropore Tape 1 EA IV Safety Catheter, 22ga x 1" 6 PR Sterile Gloves, Nitrile, P.F., Medium 1 EA 5" x 9" ABD Pad, Sterile 6 PKG 1 EA Sterile Culturette 2 EA Blue Chux, 17" x 24" 2 EA Plastic Med Cups, 30cc 4 EA 22g x 1 1/2" Needle 1 EA Penlight, Disposable 2 EA Suction Cath-N-Glove Set, 14 FR 2 EA 30cc Vial NaCl 3 EA Primary IV Set, Clearlink 2 EA Secondary IV Set, Clearlink 2 EA 6cc Syringe w/Luer Lock Tip 3 EA 3cc Syringe w/Luer Lock Tip 3 EA 3cc Syringe, 22ga x 1" 1 EA 3cc Prefilled Normal Saline Syringe 2" x 2" Sterile Gauze Pads, 2 ea/pkg 2 EA Foley Cath Set 1 EA Irrigation Tray w/60cc Piston Syringe 1 EA Lister Bandage Scissors, 5 1/2" 1 EA Kelly Forceps, 5 1/2" Straight 3 EA 250ml IV Bag NaCl 2 EA 50ml IV Bag NaCl 1 EA Toothbrush, Adult 2 EA Trach Care Kit 2 EA Surgical Molded Mask 1 EA Tegaderm 2-3/8 x 2-3/4 1 RL Transpore Tape, 1" 1 EA Rescue Mask/Case 1 EA 1cc Insulin Syringe, 28g x 1/2" 3 EA 1cc TB Syringe, 27g x 1/2" (50 U Size) 4 PKG 1 EA Practi-Insulin Regular, 100U 1 EA Practi-Insulin NPH, 100U 2 EA Practi-Powder Vial 2 EA Practi-Amp 2ml 1 EA Salem Sump Tube 10 FR 1 EA Calipers 4" x 4" Sterile Gauze 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 formal 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 graleigh sales@medicalkitsupply.com to inquire about adding additional special order items to your kit.