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Westside Room 1 and 2 Stock Checklist
Year
*
2016
2017
2018
2019
2020
2021
2022
2023
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Room Number
*
*
Cotton Balls
4x4 Gauze
Tongue Depressors
Band-aids
Spot Band-aids
Alcohol Pads
Alcohol Swabs
Scissors
Thermometer Probe Covers
Cotton Tipped Applicators
Wound Culture
Hemoccult Cards
Wound Measuring Device
Diabetic Foot Tool
2x3 Telfa
Tape
Lubricating Jelly
Antiseptic Towelettes
Gowns
Drapes
Pillow Cases
Table Paper
Ear Specs
Ear Curettes
Alcohol, Betadine Swabs, Sterile H2O and Peroxide
Aero/Anaero Culture Swabs
Paper Towels
Hand Soap
Lysol
Purple Top Wipes
Tissues
Medium Gloves
Large Gloves
Sharps
Tape Measurer
Blue Chux
Lancets
Triple Antibiotic Ointment
Bacitracin
*
Coban
Needles (2)
SST Tubes (3)
Lavender Tubes (3)
Tourniquet
Date Check Performed
*
+
Signature of Nurse Performing Check
*
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