Purchase Order Anaphylaxis Kit - Excel

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Purchase Order Anaphylaxis Kit - Excel Powered By Docstoc
					                    Virginia Garcia - Tigard SBHC:

                                            Question
OFFICE EQUIPMENT:                           about item                   Will use no need to order
                   Descripti     Stock in
                   on               exam
Item                               room? Vendor           Item Number    Unit                 Unit cost
Adult Diapers                        YES    McKesson            374088   12/bg                     8.67
Apple Juice        5.5oz             NO     Costco                       24/bx
Baby Wipes                           YES    Costco
Battery            AA                NO     McKesson            278485   24/bx                    4.97
Battery            AAA               NO     McKesson            278487   24/bx                    4.97
Battery            9V                NO     McKesson            278486   12/bx                   10.21
Computer with
patient education
handouts with
devoted printer                             Talk to Juan
Diaper             Sz1               YES    McKesson            465756   40/pk                    4.44
Diaper             Sz 2              YES    McKesson            462123   34/pk                    5.54
Diaper             Sz 3              YES    McKesson            462123   28/pk                    5.07
Diaper             Sz 4              YES    McKesson            462124   24/pk                    6.28
Drinking Cups      Paper 5oz         YES    Costco                       450/pk
Envelopes w/logo Virginia Garcia - Tigard SBHC
Fire escape maps               Will be hand/comp made after we move in
Forms              Include ROI
                   Plastic fit
                   under
Garbage can        counter           YES    OHSU
Hand Lotion        Cetaphil          NO     Costco                       3/pack
Hand Soap          Cetaphil          NO     Costco                       2/pack
Head rest cover                      NO
                   10"x13" for ice bag      McKesson            303421   500/cs                  41.81
High lighters      12 assort colors  NO     Office Depot        708586   12/pack                  3.79
Ice Maker                            NO     Standard Appliance    No #   1 each               $699.00
Infected person
protocol
Lables             Property of VGT
Lice Bed Spray                       NO     Costco                       1 bt
Phone books        One set per area
Pillows            for exam tables   YES    McKesson                     VGB has for tigard
                   With
Plastic Bags       Zipper                   Lab Corp
                                     NO see lab supplies under 1st tab
Plastic box's      as Trays          NO     Costco                   ?   3/pack
Recycle bins       Cardboard                      Phone # state
                                            We get though503-526-2460
Refrigerator       Lunch
                   Room
Refrigerator       Lab
Refrigerator       Vaccines
Rolling Step stool                   NO     McKesson                     1 each
                   4 different
Stethoscopes       colors                   McKesson            01-660   1 each                  $1.86
Temp tracks          For
                     refrigerato
                     r                                  Will get from VGB
Thermometer          Small
                                    NO       McKesson              499744 1 each               $4.48
Thermometer          Plastic
Cover                Cover          NO       McKesson       Need to ask JJ
Thermometers for
refrigerator and
freezer
Tracing Paper        For fridge and freezer Dickson
Trash Bags                                            School will Provide
Wheelchair                                   VGB
Xerox machine        "Big"                                              ?
                     "small" for
                     clinical
                     area
Xerox machine                                Would above scanner work?


Accordion File FolderA-Z             NO      Office Depot         969215     21/box           $10.99
                     Blue
Accordion hanging Folder             NO      Office Depot         673275     20/box           $17.09
Bags plastic         Small           NO      Office Depot         400151     100/bx            $8.79
Bathroom Sign        Male and Fe NO          Office Depot         528646     1 each              4.57
Big permanent markers                NO      Office Depot         158864     4/pack            $2.98
Big Post it Notes    25"x30"         NO      Office Depot         507935     40sheets/pack    $52.79
Binder               1 1/2"          NO      Office Depot         396251     1 each            $0.53
Binder               2"              NO      Office Depot         396241     1 each            $0.60
Binder               3"              NO      Office Depot         396201     1 each            $0.95
Binder Clips                         NO
                     Assort Colors and sz    Office Depot         582416     30/pack           $3.51
Blue "To be shred" bins
                     Plastic Blue    NO      Office Depot         373860     1 each             $5.62
Bond Paper           2 1/4'x 150'    NO      Office Depot         840215     1 each            $0.31
                     Margaret        NO
Buisiness Card collection file 8 1/2"x11"    Office Depot         930339     10/pack           $7.56
Buisiness Card HolderSmall Clear     NO      Office Depot         850127     1 each              0.87
Bulletin board       48"x36"         NO      Office Depot         836645     1 each          $146.00
Calculator           Small           NO      Office Depot         OD-220     1 each              4.99
Cardboard Display 36"x48" white NO           Office Depot         434415     1 each            $7.38
Cash Box             Metal w/lock NO         Office Depot          366651    1 each             17.24
Chair Mat            36"x46"         NO      Office Depot          475676    1 each           $29.03
Circle reinforcements                holes
                     white for paper NO      Office Depot          613211    200/pack          $0.33
Clip Board           blue           YES      Office Depot          678631    1 each            $1.36
                      expo eraser NO
Dry Erase markers &4 markers starter kit     Office Depot          553800    1 kit               7.65
Dry-Erase Board      3'x4'           NO      Office Depot          489674    1 each           $46.63
Dry-Erase Board      2'x3'           NO      Office Depot          489633    1 each           $28.15
Envelopes 6"x9"      Yellow          NO      Office Depot          330744    100/pack          $6.68
Envelopes 9"x12" Yellow              NO      Office Depot          330808    100/pack          $1.84
Envolopes            white           NO      Office Depot          348201                      $4.40
Envolopes            w/window        NO      Office Depot          634000    500/bx           $14.07
Erasers              Pink pearl      NO      Office Depot          485177    3 each/pack         1.49
Fax,Copy,Scanner/ machinePixma NO
                     Canon                   Office Depot          453210    1 each           $129.99
Fingertip Mosteners 0.63oz           NO      Office Depot          458547    3/pack            $1.16
                     Sign Holder
Fire escape map Plastic Holder       NO      Office Depot          274411    1 each               5.1
Labeler Machine                   NO     Office Depot
                    Pro-Touch 80 hand held                        596342 1 each               26.39
Lables                            NO
                    Patient Name/mailing Office Depot             612011 3,000/pack            1.88
                    Pad
Large desplay note pad
Letter Opener       Black         NO     Office Depot             438761     2/pack           $2.81
Magnets             round         NO     Office Depot             566564     50/pack         $15.83
Manila Folders                    NO     Office Depot             810838     1 each           $1.82
Monitor Stand       Gray          NO     Office Depot             554215     1 each          $13.19
New pt forms File Black
Odorizers for       Fresh         NO     Office Depot             850372     1 each           $8.79
bathrooms            Sent             NO     Office Depot          422469    1 each            $4.76
Paper                White            NO     Office Depot          348037    10 reams          24.89
Paper Clips          Jumbo            NO     Office Depot          429175    100/pack         $0.08
Paper Clips          Regular          NO     Office Depot          808881    100/pack         $2.54
Paper Napkins        Roll             NO     Office Depot          507519    15rolls/case    $15.83
Paper shredder       Machine          NO     Office Depot          590322    1 each            39.99
Paper towels         Folded                  Office Depot
                                      YES 508590 (If school won't provide)   8packs/case     $28.15
Pen Counterfit money /coil
                     w                NO     Office Depot          299320    1 each             3.69
Pencil Sharpender small               NO     Office Depot          501833    1 each              0.7
Pencils                               NO     Office Depot          733601    72/pack            2.68
Pens                 Black plastic YES       Office Depot          655266    12/pack            1.41
PerminanentMarkerssharpie             NO     Office Depot          203349    12/pack            1.36
                     1
Phone Message Book 1"x5 1/2           NO     Office Depot          848861    1 each           $4.13
                                      NO     Office Depot
Portable Display#1 30"x60" Three panel White/black trim            491882    1 each         $177.75
                     fabric table top NO
Portable Panel display board                 Office Depot         459-381    1 each         $251.00
Pre-Ink refill       black            NO     Office Depot          603293    2/pack           $5.27
Printer for labels   For dispensary
Projecter Cart                        NO     Office
                     rolls and will carry computer Depot           409931    1 each         $149.59
Purchase Order Book                   NO     Office Depot          193706    50/book          $3.86
                     Assort
Pushpins             Colors           YES    Office Depot          825273    200/pack          $1.75
"Ring's" Loose       1"               NO     Office Depot          937580    100/pack        $13.72
Roladex              Reception AreaNO        Office Depot          198960    1 each             6.15
                                      NO
Roladex/desk organizerstore business cardsOffice Depot
                     to                                            455519    1 each            14.07
Rubber Bands         Assort           NO     Office Depot          855910    54/pack          $3.95
Rulers                                YES    Office Depot          692025    1 each           $0.70
Scale Cart           baby scale cartNO       Office Depot rub-450088bg       1 each           157.87
Scissors             for paper        NO     Office Depot          323790    2 each             7.32
Self stick notes     Yellow           NO     Office Depot          420994    18packs/pack       1.77
Sheet protectors     to place in binders     Office Depot          498831    50/pack            1.38
Stacking Desk Tray Black for paperNO         Office Depot          886100    6/pack           $7.38
Stapler              Black            NO     Office Depot          275714    1 each             6.42
Staples              1/4"             NO     Office Depot          320960    5,000/bx           0.45
                     26               NO
Storage Cart 3 drawers 1/5"x 12" 3/10"D      Office Depot          551312    1 each          $29.91
Tab Dividers         insertables      NO     Office Depot          574789    5each/pack       $1.05
Table 29"Hx48"Wx24"D folding          NO     Office Depot          471391    1 each          $32.55
Tape                                  NO     Office Depot          473576    16ea/pack          3.58
Tape holder          Black            NO     Office Depot          173336    1 each             1.46
Three hole punch Black                NO     Office Depot          427151    1 each             3.71
                     10 1/4 Gal
Waste Basket         Gray "Big"       NO     Office Depot          313098    1 each           $7.03
                     Black
                     plastic
Waste Baskets        7gal             YES    Office Depot          221481    1 each           $2.18
White Bags     Paper    YES   Office Depot   240896 100/pack   $11.17
White Out               NO    Office Depot   987172 1 each       0.55
Writing Pads   Yellow   NO    Office Depot   942384 1 each     $4.39
NEED TO ORDER

            Total Order                      Comment
Number      Cost date     Ship date Received s
     1       8.67
     1

     1      4.97
     1      4.97
     1     10.21



     1     $0.00
     1      4.44
     1      5.54
     1      5.07
     1      6.28
     1

           $0.00




     3
     2
     1      41.81
     2       7.58
     1   $699.00

           $0.00

     1
           $0.00



     1
     1     $0.00




     1

     2     $3.72
   2     $44.14

   2      $8.96

1 box


   2      $0.00


   0




          $0.00


   2     $20.98
   1     $17.09
   1      $8.79
   2        9.14
   1      $2.98
   1     $52.79
   2      $1.06
   2      $1.20
   2      $1.90
   1      $3.51
   3      $16.86
   2      $0.62
   1      $7.56
   3        0.87
   1    $146.00
   3       14.97
   1      $7.38
   1       17.24
   1     $29.03
   1      $0.33
  10     $13.60
   1        7.65
   1     $46.63
   1     $28.15
   1      $6.68
   1      $1.84
   1      $4.40
   1     $14.07
   1        1.49
   1     $129.99
   1      $1.16
   6      $30.60
1     $26.39
4       7.52

1      $2.81
1     $15.83
1      $1.82
1     $13.19
1      $8.79
2       $9.52
2       49.78
4      $0.32
1      $2.54
1     $15.83
1       39.99
1     $28.15
1        3.69
3         2.1
1        2.68
4        5.64
1        1.36
1      $4.13
1    $177.75
1    $251.00
1      $5.27
        $0.00
1    $149.59
1      $3.86

1      $1.75
1    $13.75
1       6.15
2      28.14
1     $3.95
5     $0.70
1    $157.87
2     $14.64
1      $1.77
2       2.76
2    $14.76
3      19.26
1       0.45
1    $29.91
4     $4.20
1    $32.55
1       3.58
3       4.38
3      11.13

1      $7.03


10    $21.80
1    $11.17
3      1.65
4   $17.56
                  Virginia Garcia - Tigard SBHC: Medical Equipment List


                  Question
       KEY:       about item           Will use Need OTHER
                                                no need to order
                                    ORDER THROUGHto order SOURCE

                  Descripti Stock in
                     on        exam                                                             Total
          Item                room?    Vendortem Number
                                              I                     Unit Unit cost   Number     Cost
       AIR SUPPLIES:
       Cannula CRVD         NO
                 NON-FLAIR TIP        McKesson     226891        1 each     $0.39         5     $0.39
                 Ped 7'TB NO
       Mask Oxy Hi Conc N/Reber       McKesson     543539        1 each     $1.39         3
       Mask Oxy Med Conc NO
                 Adult 7'TB           McKesson     543522        1 each     $1.39         3
       Mask Oxy non-rebreath
                 w/7' TB    NO        McKesson       43321       1 each     $2.14         3
       Mask Oxy w/7'TB
                 Ped        NO        McKesson     226877        1 each     $0.83         3     $0.83
                            NO
       Neb Mask Aer w/7' crush resist McKesson
                 Ped                               506918         50/cs    $58.73         1    $58.73
                 piece
       Neb Mouth Adult      NO        McKesson     543795         50/cs    $80.50         1    $80.50
       Nebulizer Pulmo-
                 Aide, with
                 3 prong
                 plug,
                 includes 1
                 dispenser
                                      McKesson
                            NO 315181 JJ is going to order       1 each    $79.45         1    $79.45
       O2 tank              NO        Polar                      1 each    $14.85         1    $14.85
       Oxygen    and regulator        Cryogenic
       cart                 NO        Polar Cryogenics inc.      1 each         $         1        $

CAPILLARY BLOOD DRAW:
       Alcohol Prep Pad
                  Med      YES     McKesson           127569      200/bx    $1.23         4     $4.92
                    round
       Bandage 1""spot"    YES     McKesson           466877      100/bx    $1.80         2     $3.60
       Bandage 1"x3"
                  regular  YES     McKesson            97285      100/bx    $2.32        12    $27.84
       Cotton Balls        YES     McKesson           482984     48bx/cs    $1.61         2     $3.22
       Gauze 2x2 N/S       YES     McKesson           446029      200/pk    $1.27         6     $7.62
       Glove Med N/S       YES     McKesson           414700       50/bx    $4.14         1     $4.14
       Glove Sm N/S        YES     McKesson           414699       50/bx    $4.14        25   $103.50
       Lancet Adult        YES 2.2mm
                  SFTY 2.2mm BLD   McKesson           475431     100/BX    $14.69         1    $14.69
                           YES     McKesson
       Lancet PedSFTY 1.5mm BLD 1.8mm                 475432      100/bx   $15.55         1    $15.55

       EXAM
       ROOMS
       NEED:
       Anoscope                                        vgb has
                            YES         McKesson for tigard      1 each      $0.00       10     $0.00
       Blue Bulp 2oz        YES         McKesson       130285    1 each      $0.70       15
       BP cuffs Pediatric set
                            Yes          JJ will order
                                        McKesson (item#?)        1 each                   1     $0.00
       BP cuffs - Small/Med/Large
       Wall Unit            No          McKesson (item#?)
                                         JJ will order           1 each                   1    $19.07
BP hand     Hand-
unit        held,
LATEX       medium,
            portable
            w/large
      0241-01-860X JJ WAS GOING TO GET US SOME
            cuff               McKesson                  1 each      19.07       1     $19.07
Cotton tip N/S 6"                           508716
applicator               YES   McKesson          100/bg 10bg/bx      $4.64       1      $4.64
Ear         Variety Pack                    483038
Curette
w/light                  YES   McKesson                   50/bx     $74.13       1     $74.13
Ear                2.75                     487036
Specula                  YES   McKesson                  25sl/bg    $22.07       2     $22.07
Ear                4.25                     487037
Specula                  YES   McKesson                  25sl/bg   $22.07        2    $22.07
Emesis      Rose color                      370196
Basin 10"                YES   McKesson                  1 each      $0.12      20
Exam tables              Yes   Legacy Supply                                            $0.00
Facial      Kleenex                           60594
Tissue                   YES   McKesson                  1 each      $0.64      25
            Plastic, fit
Garbage under
can         counter      yes                                                           $17.17
Hazardou Metal with
s           lid. How
materials is it
garbage different
can         from
            infectious
            waste?
            How
            many?
Head
lamps                    yes                                                            $0.00
Infectious Each
waste       room, lab,
disposal triage          yes                                                           #REF!
Mayo
stand                                0985-81-11100
                               McKesson                  1 each      91.17How many?    $66.67
Measuring
board for
babies                         McKesson 5758-210         1 each     $66.67       1
Opthalmo With Wall
scope       Unit
halogen
light bulb               Yes   McKesson
                             6783-11710 JJ will order    1 each    $181.76            $181.76
Otoscope With Wall
throat      Unit
illuminator
                         Yes     481822
                               McKessonJJ will order     1 each     $40.00              $0.00
Pillow     Blue                                  175262
Case
Cover                 YES           McKesson                100/cs    $18.72   1    $18.72
Probe
Cover      Sure-Temp YES            McKesson      331924    250/sl    $11.67   5    $58.33
                                    McKesson
Reflex Hammer         YES                          487457   1 each     $2.53   3     $7.59
Sanicloth Disinfect YES             McKesson       349037   1 each     $5.04   6    $30.24
Scale                                JJ will order
                                    McKesson (item#?)       1 each             2
Scale,
baby                                 JJ will order
                                    McKesson (item#?)       1 each             1
Sharps    5Qt                                      168059
container             YES           McKesson                1 each     $3.59   10
Sharps
container
holder                Yes                                                           #REF!
Table     Paper rolls 21"x125'                   206476
Rolls                 YES           McKesson                 12/cs    $17.72   1    $17.72
Thermom With Wall Unit
eters -
Welch
Allyn                 YES            JJ will order
                                    McKesson (item#?)       1 each                     $?
Tongue    Jr Sterile                                36734
depressor             YES           McKesson                100/bx     $3.78   1     $3.78
Tongue    Adult Sterile                            508714
depressor             YES           McKesson                100/bx     $2.41   1     $2.41
Tongue    Adult N/Sterile                           40096
depressor             YES           McKesson                500/bx     $4.30   1     $4.30

GYN LIST:
Chuck's Pad7"x23.5 YES
            1                       McKesson     408163      10/bg     $1.37   2
Cotton tip applicator YES
            6" sterile              McKesson      36737     100/bx     $3.32   1     $3.32
Cover Glass 1 22mmx22mm
            #            YES        McKesson     483349     1oz/pk     $2.60   1     $2.60
Exam Cape30"x 21" YES               McKesson     201063     100/bx    $14.01   1    $14.01
Exam Drape 0" x 48" YES
            4                       McKesson      40421     100/bx    $12.24   1    $12.24
            System       Vag
Illuminationw/switch for YES Spec   McKesson     464284     1 each   $157.19   2
            Jelly
Lubricating 4oz          YES        McKesson     504774     1 each     $0.89   4
Maxi Pad                 YES        McKesson     144114      12/px     $1.08   3
            13"x18" 2ply ES
Poly back Towel          Y          McKesson     151896     500/cs    $14.55   1    $14.55
Slide Plain 3x1x1        YES        McKesson     464497      72/bx     $2.28   1     $2.28
Swab 8" GYN              YES        McKesson      51723      50/bx     $3.20   2     $6.40
Towelette Clean/C        YES        McKesson     225943     100/bx     $1.37   1     $1.37
            One SM YES
Vaginal Specula time use            McKesson     584269      24/bx    $39.92   1    $39.92


ITEMS NEEDED FOR A PROCEDURE:
Antibiotic Ointment Foilpacs®
            1/32 oz.    YES    McKesson          294100     144/bx    $17.45   1    $17.45
Double Antibioticoz. Foilpacs®
            1/32        YES    McKesson          328784     144/bx    $27.63   1    $27.63
            Sterile CGF
Dressing Duoderm4"x4" O N      McKesson          197304     1 each     $3.69   1     $3.69
            2 3/8" Flexigrid
Dressing Post-Opx 2 3/4"NO     McKesson          387039     100/bx    $23.31   1    $23.31
            Sterile 2"x3" ES
Dressing Telfa          Y      McKesson            9962     100/bx     $8.83   1     $8.83
            Sterile 4"x3" ES
Dressing Telfa          Y      McKesson            9908      50/bx     $7.32   1     $7.32
Dressing Xeroform5"x9" O
             Sterile    N         McKesson     163166       50/bx    $47.82   1      $47.82
Ear Wick 1sz            NO        McKesson     158250        5/pk     $3.16   5
                        NO
Face Sheildone time use Clear        I am waiting for #
                                  McKesson                                    1
Mask high filtration    NO
             Procedure Mask       McKesson     233680       50/bx     $6.14   1       $6.14
Packing Strip x 5yd NO
             1/2"                 McKesson     632342        1/bt     $2.27   3
Packing Strip x 5yd NO
             1/4"                 McKesson     470436        1/bt     $1.81   3
Particulate
respirator Surgical Mask          McKesson   285691 box of 20         19.73   1      $19.73
PVP Prep 1's            NO        McKesson   188681    50/bx          $4.34   1       $4.34
PVP Prep 3's            NO        McKesson   188680    25/bx          $4.34   1       $4.43
Silver Nitrate stix     NO           vgb has
                                  McKesson for tigard >25/bx          $0.00   1       $0.00
Sterile Field18" x 26" NO         McKesson   303378    50/bx          $1.22   1       $1.22
Surg Gloves .5
             6          NO        McKesson   453598    40/bx         $94.99   1      $94.99
                        YES
Triple Antibiotic Ointment
             1/32 oz. Foilpacs®   McKesson   592499   144/bx         $20.36   1      $20.36
Yellow Surg Gown        NO        McKesson   237339    50/bx         $25.68   1      $25.68

LAB :
KOH 10% 30ml
                        NO  McKesson     254859            1 each     10.04   1       10.04
Microscop
e                                5754-SXSZ814
                            McKesson                       1 each   $633.33        #VALUE!
Ped Urine collecter
             bag        YES McKesson      43414             30/bx      18.1   1        18.1
Slides &
covers
Located
under
GYN
Supplies                    McKesson
Dropper for saline NO       McKesson
                                 # on order
LAB CORP WILL PROVIDE THE FOLOWING : form
                        NO
Blue 2.7ml Sodium Citrate   Lab Corp     363083            1 each        0    10         0
Clean        w/lid 4oz
catch
Cups                    YES Lab Corp        No #           1 each        0    50          0
GC&CT        male       YES Lab Corp        No #           1 each        0    10          0
GC&CT        female     YES Lab Corp        No #           1 each        0    25          0
Genie Lancet            N
             2.25mm/23g O   Lab Corp      36583            1 each        0    10      $0.00
Genie Lancet 2mm/1.5mm  NO  Lab Corp     366582            1 each        0    10      $0.00
Genie Lancet 1.5mm/1.5mmNO  Lab Corp     366581            1 each        0    10          0
Herpies                 NO
             Genprobe M&F   Lab Corp        No #           1 each        0    10          0
             Blood work YES
Lab Request Form            Lab Corp         812           1 pack        0     2          0
Lab Request Form BxYES
             Pap and        Lab Corp          ?#           1 pack        0     1          0
Lavender 3ml EDTA       NO  Lab Corp     367856            1 each        0    20          0
LCA logo
plastic
bag                     NO  Lab Corp        No #          25/pack     $0.00    2      $0.00
Multiviral Transport
             tube       NO  Lab Corp          M4           1 each     $0.00    2          0
Needle 21x1 afety
             S          NO  Lab Corp     368607             1 box         0    1          0
Needle 22x1 afety
             S          NO  Lab Corp     368608             1 box         0    1          0
Needle Hubplastic       NO  Lab Corp     368871            1 each         0    4          0
Pap Brush               YES Lab Corp        No #          25 each         0    1          0
Red 3ml plain tube NO       Lab Corp     366381            1 each         0   20          0
Specimen
zip lock
bag                   NO             Lab Corp         No #     50/pack    $0.00    2    $0.00
SST 8.5ml tube        NO             Lab Corp       367988      1 each        0   20        0
Stool C&S test
           container NO              Lab Corp       900612      1 each    $0.00   6     $0.00
                      NO
Stool O&P test container             Lab Corp       301012      1 each    $0.00   6         0
Sure Path Pap vials YES              Lab Corp         No #     25 each        0   1         0
Tissue Bottle
           Small      NO             Lab Corp         No #      1 each        0   5         0
Tournique
ts                    NO             Lab Corp        B3060      1 each       0    25       0
Transfer 8ml
Tube UAP
                      NO             Lab Corp       364992      1 each       0    10       0
Urine      5ml
culture
tube                  NO             Lab Corp       363976      1 each       0    10       0

LIGHT BULB REPLACEMENT:
3.5v light bulb ear lightNO
             for            McKesson                 14225        6/bx   100.56   1    100.56
3.5v light bulb eye lightNO
             for            McKesson                520001      1 each    15.53   6     93.18
6v light bulb pap lightNO
             for            McKesson                520006      1 each    11.85   6     71.12

NEEDLES AND SYRINGES:
Batterfly Needle x 3/4" NO
            23G                      McKesson       234464       50/bx   $41.42   1    $41.42
Insulin Syringe .5cc
            Safety      NO           McKesson       477417      100/bx   $35.19   1    $35.19
            N/S
Needle 18G x 1"         NO           McKesson       626566      100/bx    $3.51   1     $3.51
Needle 25G x 1 1/2" NO
            Safety                   McKesson       461820      100/bx   $18.95   1    $18.95
Needle 25G x 1"
            Safety      NO           McKesson       446872      100/bx   $18.95   1    $18.95
Syringe 20ccN/S         NO           McKesson       167111       40/bx   $11.15   1    $11.15
Syringe 30ccN/S         NO           McKesson       629841       25/bx    $7.84   1     $7.84
Syringe 3ccN/S          NO           McKesson          466      100/bx    $5.82   3
             & 25G
Syringe 3ccSafety 5/8"NO needle      McKesson       448668       50/bx   $11.65   1    $11.65
Syringe 5ccN/S          NO           McKesson       123957      100/bx   $10.28   1    $10.28
             1cc
TB Syringe Safety       NO           McKesson       403522      100/bx   $35.19   1    $35.19

Orthopedic Supplies:
Arm Sling LgT & RT NO
           L                         McKesson         410178    1 each    $2.59   4    $10.36
Arm Sling Med& RT NO
           LT                        McKesson         380620    1 each    $2.91   6    $17.46
Arm Sling Sm & RT NO
           LT                        McKesson         302580    1 each    $2.91   1     $2.91
Arm Sling XSm RT NO
           LT &                      McKesson         251576    1 each    $2.91   1     $2.91
Bandage 2"x5yd
           Elastic   NO              McKesson         282911     10/bx   $10.44   1    $10.44
Bandage 3"x5yd
           Elastic   NO              McKesson         282912     10/bx   $10.88   1    $10.88
Bandage 4"x5yd
           Elastic   NO              McKesson         282913     10/bx   $11.81   1    $11.81
Bandage 6"x5yd
           Elastic   NO              McKesson         282914     10/bx   $23.90   1    $23.90
            Med
Knee BraceHinged     NO              McKesson         370166    1 each   $39.22   1    $39.22
Knee Support Lg
           Hinged    NO              McKesson         302505    1 each   $22.32   1    $22.32
Splints    3x12      NO                   these
                                     McKessonsplints don’t                        3
Splints    3x30      NO                come in
                                     McKessonby the each                          3
Splints    4x15      NO                  so JJ our
                                     McKesson Rep can                             3
Splints    4x30      NO              McKesson
                                  order in the ea if we need                      3
            Lg
Wrist BraceLT only   NO              McKesson         381015    1 each    $4.49   2     $8.98
            Lg
Wrist BraceRT only   NO          McKesson        381021      1 each      $4.49       2      $8.98
            Med
Wrist BraceLT & RT   NO          McKesson        251619      1 each      $4.49       4     $17.96
            Sm
Wrist BraceLT & RT   NO          McKesson        251657      1 each      $5.31       4     $21.24
            XLG
Wrist BraceLT & RT   NO          McKesson        215660      1 each      $5.31       4     $21.24

TESTS SUPPLIES:
Adult
Mouth
piece                  NO        McKesson        259618      100/cs     $17.16       1     $17.16
Alcohol    Isopropyl
70%                    NO        McKesson        546267      1 each       $3.85      1       $3.85
Check stix U/A controllNO        McKesson        278920        1/pk     $41.45       1     $41.45
Clinitek   Urine dip
           machine No            McKesson 0337-9912          1 each    $661.30       0      #REF!
Eye chart Illiterate   yes             2867-13-1241
                                 McKesson                    1 each     $17.83       1      #REF!
Glucomet
ers                                                                                  1       $4.64
HCG test dip stick NO            McKesson        564265        50/kt    $53.92       1     $53.92
Hemoccult kit          NO        McKesson          49048     100/bx     $27.97       1     $27.97
HemoCue Red box NO               McKesson
                             JJ will provide # or order it   1 each                  1
Microcuvette gb Machine
           H           NO        McKesson        551559      200/bx    $320.51       1    $320.51
MultiStix 10 tests     NO        McKesson        150677      1 each     $41.50       1     $41.50
Peak flow Adult
meter                  NO        McKesson        212866      1 each     $18.82       1     $18.82
Peak flow Pediatric
meter                  NO        McKesson        212866      1 each      $20.00      1     $20.00
Ped Mouth piece        NO        McKesson        259619      100/bx     $17.17       1     $17.17
Pulse ox Pediatric
sensor     (extra
           probe,
           non
           disposabl
           e)                    McKesson
                             JJ will provide # or order it                                 $41.81
Pulse      Adult and
oximeter pediatric
           probes                McKesson4710-PPP2           1 each    $833.33       1      $72.94
Strep A                YES       McKesson   565564             50/kt   $72.94        1     $72.94
Tuning forkC-128                        4
                                 McKesson484-19-102          1 each       9.01       1       $8.95
Tuning forks -256
           C                            4
                                 McKesson484-19-104          1 each       8.95       1      #REF!
Woods lamp V bulb
           U                     McKesson   288949           1 each     $33.92       1      $33.92

WOUND MANAGEMENT SUPPLIES:
           Band-aid Yes
Bandage 2"x4"                   McKesson         511333       50/bx      $3.40        1     $3.40
Bandage Coflex
           2"x5yd     NO        McKesson         463058       36/cs   $27.84          1    $27.84
Bandage Kerlix Roll NO
           2 1/4"x3yd           McKesson         331314       12/bx      $8.10        1     $8.10
Bandage Kerlix Roll NO
           4 1/2"x4.1yd         McKesson          10057       12/bx   $20.20          1    $20.20
           5/8"x50yd flesh
Bandage surgitube gzeNO         McKesson         256131      1 each      $9.28        1     $9.28
                      NO
Gauze Vaseline Petrolatum 1"x8" McKesson
           Sterile                               167694       50/bx   $32.03          1    $32.03
Medirip Bandage
           2"x5yd     NO        McKesson         443866      1 each will $1.82 from vgb
                                                                  we     take 10            $0.00
Medirip Bandage
           3"x5yd     NO        McKesson         454619      1 each will $0.59 from vgb
                                                                  we     take 10            $0.00
Medirip Bandage
           4"x5yd     NO        McKesson         454620      1 each will $0.60 from vgb
                                                                  we     take 10            $0.00
                      solution
Sodium Chloride 0.9% NO
           1000ml               McKesson         161734      1 each      $1.22        4
Sodium Chloride 0.9% Yes
            3ml         solution   McKesson      278861   100/bx       $8.46      1     $8.46
Sponge Gauze 4x4
            N/S         NO         McKesson      446042 200/pack       $5.41      1
Sponge Gauze 4x4
            Sterile     NO         McKesson      446047    25/bx       $2.45      2
Steri-strip 1/2"x2"     NO         McKesson      237687    50/bx      $49.39      1    $49.39
Steri-strip 1/4"x1 1/2" NO         McKesson        5781    50/bx      $39.56      1    $39.56
Steri-strip 1/4"x3"     NO         McKesson        5780    50/bx      $40.38      1    $40.38
Tape Durapore
            1"x10yd     NO         McKesson        5775    12/bx       $7.65      1     $7.65
Tape Durapore
            2"x10yd     NO         McKesson        5776     6/bx       $7.65      1     $7.65
Tape Paper3"x10yd       NO         McKesson        5769     4/bx       $4.88      1     $4.88
Tape Transpore
            1"x10yd     NO         McKesson      445278    12/bx       $9.91      1     $9.91
Tincture Benzoin        NO
            Use w/steri-strip      McKesson      135754    40/bx      $24.75      1    $24.75
                        NO
Tube guaze metal applicator        McKesson      478541   1 each      $17.71      1    $17.71

Vaccine    Info page
VIS &      & Form
VAR:                   YES         State form in a binder
                                   Order Imm Program        100/pk     $0.00   Diff#    $0.00


COPY OF MACHINES THAT WE WELL BE USING:
Clinitek  Urine dip
          machine.
          Needs to
          have
          microalbu
          min
          software
          in it. Do
          not
          purchase
          for now    No     McKesson 0337-9912              1 each   $661.30      0     $0.00
Glucomet
ers                         VGB                                                   1     $0.00
HemoCue Red box NO          McKesson
                        JJ will provide # or order it       1 each                1
Nebulizer Pulmo-
          Aide, with
          3 prong
          plug,
          includes 1
          dispenser
                     No     McKesson        315181          1 each    $79.45      1    $79.45
Pulse ox Pediatric
sensor    (extra
          probe,
          non
          disposabl
          e)                                                                            $0.00
Pulse     Adult and
oximeter pediatric
          probes            McKesson4710-PPP2               1 each   $833.33      1    #REF!
Woods lamp V bulb
          U                 McKesson        288949          1 each    $33.92      1    $33.92
Centerfug
e Lab                NO     Lab Corp                                   $0.00      1        0
Order                      Comment
date    Ship date Received s
              need to order
                         Question
Will use no Needs to be ordered
               Descripti Stock in
                  on        exam                                                     Total
   Item                   room?      Vendortem Number
                                          I                 Unit   Unit cost Number Cost
              "Sporox" NO
Detergent for Instruments 1 gal     McKesson    484481   1 each      $14.56        1   $14.56
Forceps smooth           NO         McKesson    487592   1 each        $3.89       2     $7.78
Forceps toothed          NO         McKesson    487432   1 each        $7.39       2   $14.78
Forceps, KellyStraight   NO         McKesson    487541   1 each        $5.84       2    $11.68
Forceps, Splinter
              Plain      NO         McKesson    487594   1 each        $2.16       2     $4.32
IV pole                  NO              0985-81-45403
                                    McKesson             1 each       $54.48             $0.00
Mayo
stand                    NO              0985-81-11100
                                    McKesson             1 each         91.17             $66.67
Nail splitter remover NO            McKesson    250089   1 each       $18.34       1      $18.34
Nasal speculum           NO         McKesson 4484-20-4   1 each    $89.13     1        $119.50
Needle holdersCurved     NO         McKesson    543317   1 each       $59.75       2     $119.50
Needle holdersStraight   NO         McKesson    252973   1 each       $19.87       2      $39.74
              single use NO
Punch Biopsy 3mm item               McKesson    221548   1 each        $1.23       5      $6.15
              single use NO
Punch Biopsy 4mm item               McKesson    221549   1 each        $1.23       5      $6.15
              single use NO
Punch Biopsy 5mm item               McKesson    222869   1 each        $1.23       5      $6.15
              single use NO
Punch Biopsy 6mm item               McKesson    221550   1 each        $1.23       5      $6.15
              single use NO
Punch Biopsy 8mm item               McKesson    222870   1 each        $1.23       5      $6.15
              single
Scalpel size 10 use item NO         McKesson    410892   10ea/bx       $5.67       1      $5.67
              single
Scalpel size 11 use item NO         McKesson    410893   10ea/bx       $5.67       1      $5.67
              single
Scalpel size 12 use item NO         McKesson    540955   10ea/bx     $11.04        1     $11.04
              single
Scalpel size 15 use item NO         McKesson    410894   10ea/bx       $5.67       1      $5.67
Scissors Iris            NO         McKesson    487465   1 each         $4.39      2       $8.78
Scissors Operating, bluntNO         McKesson    487514   1 each         $5.73      2      $11.46
              Operating,
Scissors blunt/point NO             McKesson   252908 1 each            $12.86     2      $25.72
            Operating,
Scissors point/point NO             McKesson   487493    1 each           $3.63    2       $7.26
            S/B
Scissors Bandage       NO           McKesson   487480    1 each          $4.44     2      $8.88
            single use NO
Stable Removal Kit?? item           McKesson   209119    48ea/1 case    $65.12     1     $65.12
Stich remover scissor NO
            remover                 McKesson             1 each           $4.65    2       $9.30
Suture 3-0 Ethlon      NO           McKesson     2991    12ea/bx        $85.36     1     $85.36
Suture 4-0 Prolene     NO           McKesson     3264    12ea/bx       $103.22     1    $103.22
Suture 5-0 Vicryl      NO           McKesson   108735    12ea/bx        $94.56     1     $94.56
Toenail clipper file
            w/o        NO           McKesson   635689    1 each           $1.01    1       $1.01
Toe nail Elevator      NO               ?Need
                                    McKesson to ask JJ   1 each
Tubex holder cc
            1&2        NO                  9065-T0801
                                    McKesson             1 each          $6.27     2    #REF!
Order                      Comment
date    Ship date Received s
Virginia Garcia - Tigard SBHC: Emergency Equipment
                     Don’t need to order
          Need to order

                    Stock in
          Descripti exam                                                                Total
Item      on        room?       Vendor Item Number Unit         Unit cost Number        Cost

EMERGE
NCY
EQUIPME
NT

Ambulanc Sticker for
e phone each
number    phone                                                                             $0.00
Anaphylaxis kit:                More info under Pharmacy list                               $0.00
Emergency I.V.Kit:              Tigard Clinic won't do I.V.'s                               $0.00
          Include
          narcan,
          glucagon,
          diphenhed
          ryl,
Emergen epinephrin
cy        e,
Medicine: albuterol             More info under Pharmacy Tab                                $0.00
Eye Kit:                        More info under Pharmacy Tab                                $0.00
Pad eye Oval         NO         McKesson     467977 50ea/bx       $5.65             1       $5.65
Woods lamp V bulb
          U                     McKesson     288949 1 each       $33.92             1      $33.92
Oxygen Kit:                     More info under Equipment Tab
Cannula CRVD         NO
          NON-FLAIR TIP         McKesson     226891 1 each    $0.39      5              $0.39
CPR       Mask, childNO         McKesson     533885 1 each          9.91
CPR       Mask, adultNO         McKesson     533718 1 each          9.91
          Ped 7'TB NO
Mask Oxy Hi Conc N/Reber        McKesson     543539 1 each    $1.39      3
                                Polar
O2 tank               NO        Cryogenic           1 each                          1      $18.95
Oxygen     and regulator
cart                  NO        Polar Cryogenics inc. 1 each    $______             1$
Other
Emergen
cy kit
supplies:                       ONLY ORDER THE RED
Alcohol Prep Pad
           Med        YES       McKesson  127569 200/bx         $1.23          4        $4.92
             round
Bandage 1""spot"      YES       McKesson  466877 100/bx         $1.80          2        $3.60
Bandage 1"x3"
           regular    YES       McKesson   97285 100/bx         $2.32          12       $27.84
Cotton Balls          YES       McKesson  482984 48bx/cs        $1.61          2        $3.22
Gauze 2x2 N/S         YES       McKesson  446029 200/pk         $1.27          6        $7.62
           Size
           100mm
Guedel Airway         NO        McKesson     236148 10/bx               4.97        1           4.97
Guedel     Size
Airway     90mm       NO        McKesson     236147 10/bx               4.97        1           4.97
           Size
Guedel Airway         NO        McKesson     236145 10/bx               4.97        1           4.97
Insulin Syringe .5cc
            Safety    NO        McKesson   477417   100/bx   $35.19   1   $35.19
Needle 18G x 1"
            N/S       NO        McKesson   626566   100/bx   $3.51    1   $3.51
Needle 25G x 1 1/2" NO
            Safety              McKesson   461820   100/bx   $18.95   1   $18.95
Needle 25G x 1"
            Safety    NO        McKesson   446872   100/bx   $18.95   1   $18.95
Syringe 3ccN/S        NO        McKesson      466   100/bx   $5.82    3
             & 25G     needle
Syringe 3ccSafety 5/8"NO        McKesson   448668   50/bx    $11.65   1   $11.65
             1cc
TB Syringe Safety     NO        McKesson   403522   100/bx   $35.19   1   $35.19
Order                      Comment
date    Ship date Received s
                                Virginia Garcia - Tigard SBHC: Pharmacy Supplies

ORDER THE FOLLOWING
                     Stock in
           Descripti exam                                                           Total
Item       on        room?      Vendor   Item Number
                                                   Unit      Unit cost       Number Cost
           1oz
Medication cup       NO         McKesson 188670 vgb100/bg tigard $0.64
                                                    has for                       1     $0.00

             non-sterile pads
2nd Skin 1"200/jar               VGMHC                                          2 jars
            50pk of 2/box
Acetominophen 325mg              VGMHC                                       4 boxes
            MDI
Albuterol HFA 90mcg              VGMHC                                          6 MDI
            25/box
Albuterol sulfate 2.5/3ml        VGMHC                                          1 box
            12/box
Ammonia Inhalent                 VGMHC                                          1 box
            30 tablets
Amoxicillin 500 mg - 10 day      VGMHC                                               2
            21 tablets
Amoxicillin 500 mg - 7 day       VGMHC                                               2
            144/box
Antibiotic Ointment              VGMHC                                       2 boxes
            144/box
Anti-fungal cream 1/32 oz        VGMHC                                       2 boxes
            4 250 mg
Azithromycin tablets - STI dose VGMHC                                                2
            6 250 mg
Azithromycin tablets - Stnd dose VGMHC                                               2
Bactrim DS20 tablets - 10 day    VGMHC                                               2
Bactrim DS28 tablets - 14 day    VGMHC                                               2
            2ml
Benadryl 25mg vial      NO       VGMHC                                           4 vial
            500/box
Blistex Packs .5 gm              VGMHC                                          1 box
            25pks/box
Burn Jel 1/8 oz packs            VGMHC                                       2 boxes
             500 mg
Cephalexin 21 tablets - 7 day    VGMHC                                               2
             500 mg
Cephalexin 30 tablets - 10 day   VGMHC                                               2
            1 oz bottle
Clove Oil/Euganol                VGMHC                                       2 bottles
            50 units/box
Diphenhydramine 25 mg.           VGMHC                                          1 box
            20 tablets
Doxycycline 100 mg - 10 day      VGMHC                                               2
            28 tablets
Doxycycline 100 mg - 14 day      VGMHC                                               2
            40 tablets
Erythromycin 500 mg - 10 day     VGMHC                                               2
            3.5 gm tube
Erythromycin Ophth Ointment5% VGMHC                                           6 tubes
Eye drops Single use dose        VGMHC                                       4 boxes
            30/bag
Hall's Cherry Cough Drops        VGMHC                                         2 bags
            30/bag
Hall's Honey Lemon Cough Drops VGMHC                                           2 bags
            30/bag
Hall's Menthol Cough Drops       VGMHC                                         2 bags
Hibiclens 8 oz bottle            VGMHC                                       6 bottles
            25 pkt/box
Hydrocortisone 1 %               VGMHC                                       2 boxes
            50pk of
Ibuprofen 200 mg. 2/box          VGMHC                                       4 boxes
             Swab
Insect Sting10/box               VGMHC                                       2 boxes
            1
Insect wipes 0/box               VGMHC                                       2 boxes
KOH 10% 30ml bottle NO           Mckesson    254859 1 each         $10.04      1 each     $10.04
Lidocaine 2%10ml/vial            VGMHC                                           1 vial
            10ml/vial
Lidocaine HCl 1%                 VGMHC                                           1 vial
            100 ml Bottle        VGMHC
Lidocaine Hydrochloride 2% Oral/Topical                                       1 bottle
            50 units/box
Loratidine 10 mg                 VGMHC                                       2 boxes
             Strength
Midol Extra 24 units/box         VGMHC                                       2 boxes
            22 gm
Mupirocin 2% ointment            VGMHC                                        6 tubes
            21 tablets- 7 day
PenVeeK 500 mg                   VGMHC                                               4
            30 tablets - 10 day
PenVeeK 500 mg                   VGMHC                                               2
            Unit dose/pack
Pepto Bismol Tabs                VGMHC                                       2 boxes
             25mg
Phenergran2ml vial      NO       VGMHC                                           4 vial
             20 mg
Prednisone10 tablets- 5 days     VGMHC                                        2
             Unit dose/pack
Ranitidine 150 mg                VGMHC                                 2 boxes
Rocephin 1 gram                  VGMHC                                    1 vial
Rocephin 250 mg                  VGMHC                                    1 vial
Rocephin 500 mg                  VGMHC                                    1 vial
             6/box
Silvadene Cream 1%               VGMHC                                 2 boxes
Silver Nitrate Applicator        VGMHC                                        0        0
Toradol 15mg _vials/box NO       VGMHC                                   1 box
             10 ml vial
Xylocaine 2% w/Epi               VGMHC


         (Other items found
EMERGENCY MEDICATION : under Emergency equipment)
ALBUTEROL SULFATE O N       VGMHC          1 each                         1 each
AMONIA INHALANT NO          VGMHC          1 each                         1 each
ATROPHRINE SULFATE  NO      VGMHC          1 each                         1 each
BENEDRYL INJ        NO      VGMHC          1 each                         1 each
CHEWABLE ASA “CHILDRENS” VGMHC
                    NO                     1 each                         1 each
DEXTROSE 50%        NO      VGMHC          1 each                         1 each
DIPHENHYDR AMINE NO INJ     VGMHC          1 each                         1 each
EPINEPHRINE ADULTNO  PEN    VGMHC          1 each                         1 each
EPINEPHRINE INJ     NO      VGMHC          1 each                         1 each
EPINEPHRINE JR PEN  NO      VGMHC          1 each                         1 each
INSTAGLUCOSE        NO      VGMHC          1 each                         1 each
IPECAC              NO      VGMHC          1 each                         1 each
                    NO
NALOXONE HYDROCHLORIDE INJ  VGMHC          1 each                         1 each
                    NO
NITRO QUICK SUBLINGUAL      VGMHC          1 each                         1 each
TERBUTALINE         NO      VGMHC          1 each                         1 each


           (Other
Eye Tray Drops: items found under Emergancy equipment)
           Anes
Americane Topical      NO        VGMHC           1 each                       1
           Eye
Eye Wash STR Tray NO             McKesson 552029 1 each        $2.20          1    $2.20
            Sodium NO            McKesson
FluoresceinEye Tray Ophthalmic strips     570769 100ea/bx      $3.89          1    $3.89
           Eye Sodium Chloride Sol
Modudose 0.9%Tray NO             McKesson 278861 100ea/bx      $8.46          1    $8.46
           Opthalmic sol
                       NO
Phenylephrine Hydrochlorde       VGMHC                                        1
           Opthalmic sol
                       NO
Tetracaine Hydrochloride         VGMHC                                        1
           Antibiotic ointment
                       NO
Tobrex, erythromycinDrops        VGMHC                                        1


OTHER       STUFF:
ITEM NAME             #
            DISCRIPTION          QTY       COST              TOTAL COST
                                                    QTY NEEDED
            Tube
Blistex 0.35oz          540693   1 each       $2.01        2    $4.02
Antifungal Cream        545368   144/bx      $14.67        1   $14.67
Saftey PinsAssorted      61559   50/pack      $1.09        1    $1.09
            w
Dental Floss axed 55'   474506   1 each       $1.15        1    $1.15
            m
Dental Floss int 55yd   568983   1 each       $2.84        1    $2.84
Toothbrush46 tuft green 203020   12/bx        $0.84        5    $4.45
Oral swab mint          188534   20/bag       $2.90        1    $2.90
Orajel      0.18oz      490876   1 each       $5.32       10   $53.20
Laryngeal Mirror        472074   1 each       $7.74        2   $15.48
Burn Gel water gel 1/8oz527538   1 each      $12.20        1   $12.20
Sting Relief            535623   10/bx        $1.00        1    $1.00
           1x1
2nd Skin pad     562138 200/jar   $23.22   1   $23.22
Order                      Comment
date    Ship date Received s
Bvrtn

				
DOCUMENT INFO
Description: Purchase Order Anaphylaxis Kit document sample