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Rooms 7, 8, 9: Exam Room Stock Checklist - DO NOT USE
Year
*
2016
2017
2018
2019
2020
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Exam Room
*
7
8
9
*
Cotton Balls
4x4 Gauze
Tongue Depressors
Band-aids
Spot Band-aids
Alcohol Pads
Scissors
Rectal and Oral Thermometer
Thermometer Probe Covers
Cotton Tipped Applicators
Hemoccult Cards and Buffer
Wound Measuring Device
Diabetic Foot Tool
2x3 Telfa
Tape
Pap Test Tubes
Small Vaginal Specs
Medium Vaginal Specs
Large Vaginal Specs
Lubricating Jelly
Pap Brushes
Antiseptic Towelettes
Gowns
Drapes
Pillow Cases
Table Paper
Ear Specs
Ear Curettes
Alcohol, Betadine, Sterile H2O and Peroxide
Hemoccult Kits
Aero/Anaero Culture Swabs
Betadine Swabs
Alcohol Swabs
Glove (Sm,Med,Lg Wall Mount)
Chux Pads
PS-2 4.0 Suture
7.5 Sterile Glove
Suture Kit
Tweezers
Hemostats
Scissors
Cold Spray
Fill Ear Specs (Wall Mount)
Kleenex
Sani-Cloths and Lysol Spray
Change Pillow Cases
Wipe Down Everything
Change Red Bag Trash
Change Sharps
Paper Towels
Hand Soap
*
DM Refill Forms
BG Log
BP Log
Sliding Scale
BMI Education
Informed Consents for All Invasive Procedures
Informed Consents for Stimulants, Opioids, Bzo's, Gabapentin and Lyrica
Soap and COMM
Imaging Orders
Date Check Performed
*
+
Signature of Nurse Performing Check
*
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