TWAREAT MEDICAL CENTER REMOTE AREA CLINIC CLINIC MEDICAL EQUIPMENT AND SUPPLIES Project Name & Location: Date: NO. ITEMS / CONTENTS / DESCRIPTION UNIT OF MEASURE MEDICAL EQUIPMENT 1 Bag Mask Valve (BMV) with built-in CO2 detection device (e.g., AMBU) adult, disposable 2 Backboard, long with straps 3 Backboard, short with straps 4 Dressing cart, stainless steel Emergency Cart 5 Drug cupboard, lockable 6 Automated External Defibrillator (AED), portable with monitoring capabilities 7 Electrocardiogram 8 Emergency response bag. 9 Exam / emergency stretcher with or without lockable wheels 10 Entonox/nitronox, portable 11 Examination light, wall mounted 12 Bed observation 13 Refrigerator for staff (small, medium or large) Refrigerator for chilled items/drugs (small, medium or 14 large) 15 Hare traction 16 Infusion pump 17 Intravenous (IV) stand, mobile. Ophthalmoscope/otoscope, desk top and/or wall 18 mounted. 19 Oxygen cylinders, D size, wall secured or cart. 20 Oxygen cylinders, E size, wall secured or cart. Oxygen resuscitator (e.g., Robert Shaw or Oxy-Viva 21 resuscitator). 22 Portable emergency eye irrigation 23 Pulse Oximeter (If not part of AED) 24 Ring cutter 25 Scissors bandage 26 Sharps contaminated disposable box. Sphygmomanometer, aneroid type, desk top or wall 27 mounted. 28 Stethoscope (Littman) QTY. ON HAND INITIAL INSPECTION CROSS INSPECTION Pass Fail Pass Fail REMARKS 29 Suction: Laerdal portable with rechargeable batteries. 30 Thermometer, electronic. 31 Visual acuity chart. 32 Stretcher: Scoop stretcher with straps. 33 Glucometer machine, calibration safe. 34 Pocket mask with oxygen nipple/inlet. 35 Wheel Chair (Not applicable for single room facilities) 36 Weight/Height scale. Stretcher emergency, disposable (e.g., Life lite 37 emergency), 5 per box. Stretcher Basket. (At single room facility, to be part of 38 operation emergency response supplies) 1 of 5
MEDICAL SUPPLIES 1 Abdominal pads 2 Adhesive tapes, size ½ inch 3 Adhesive tapes, size 1 inch 4 Adhesive tapes, size 2 inch 5 Automated External Defibrillator (AED) electrodes and other accessories 6 Alcohol preps box 7 Aluminum foil, roll roll 8 Ambu bag and mask with CO2 indicator, adult, disposable 9 Anal scope, disposable 10 Applicators, sterile, 6 inch box 11 Applicators, non-sterile, 3 inch box 12 Apron plastic pack 13 Bag: paper bag, preferable waxed 14 Band aids box 15 Bandages: Stockinet bandages, size 2 inch box 16 Bandages: Stockinet bandages, size 4 inch box 17 Bandages: Ace bandages, size 2 inch 18 Bandages: Ace bandages, size 3 inch 19 Bandages: Ace bandages, size 4 inch 20 Bandages: Ace bandages, size 6 inch 21 Bandages: triangular bandages 22 Basin, kidney, disposable 23 Batteries, size: 1.5 volts (D cell) 24 Batteries, size: 1.5 volts (AA) 25 Batteries, size: 1.5 volts (AAA) 26 Battery: Chargeable battery for EKG machine, spare 27 Bandage scissor 28 Betadine swabs and/or solution sticks box 29 Bedsheet (white) 30 Blood spill kit 31 Body bags 32 Burn dressing: Sterile burn sheet 60 x 90 cm 33 Burn pad 55 x 75 cm 34 Butterfly cannula, size 19 gauge 35 Butterfly cannula, size 21 gauge 36 Butterfly cannula, size 23 gauge. 37 Catheter: Nasal catheter, size 16 french 38 Catheter: Nasal catheter, size 18 french 39 Catheter: Suction catheter, size 14 french 40 Catheter: Suction catheter, size 16 french Catheterization : urethral catheterization, #14 41 french, disposable Cervical collars, hard, stiff neck brand only, size No 42 neck adult Cervical collars, hard, stiff neck brand only, size small 43 adult Cervical collars, hard, stiff neck brand only, size regular 44 adult 45 Cold packs 46 Cotton balls, sterile, 10 packs packs 47 Cardiopulmonary resuscitation (CPR) board 48 Glue, derma bond 49 Drain: Penrose drain, sizes: ½ inch/ 1 inch box 50 Dressing-release, non-adhering dressing box 51 Dressing pack, disposable 52 Dressing: Tegaderm, 6 cm x 7 cm 53 Dressing: multi-trauma dressing, sterile 54 EAR speculum, dispenser 55 EAR speculum, box of 100 box 56 Electrocardiogram (ECG), recording paper 57 ECG adaptor clips/pads and/or suction bulbs 58 ECG electrodes, disposable pack 2 of 5
59 Elastoplasts, size ½ inch 60 Elastoplasts, size 1 inch 61 Elastoplasts, size 3 inch Emergency blanket, aluminum polymer fire-retarded, 62 body heat retainer 63 Emergency blanket, 58 inch x 90 inch, disposable 64 Emergency eye wash solution, 16 ounce bottle bot 65 Eye pads, sterile 66 Filter, pocket mask 67 Flash light, heavy duty 68 Forceps splinter, fine tip, disposable 69 Gauze: Roller gauze, non-sterile, size 1 inch pack 70 Gauze: Roller gauze, non-sterile, size 2 inch pack 71 Gauze: Roller gauze, non-sterile, size 3 inch pack 72 Gauze: Roller gauze, non-sterile, size 4 inch pack 73 Gauze: Roller gauze, sterile, size 1 inch pack 74 Gauze: Roller gauze, sterile, size 2 inch pack 75 Gauze: Roller gauze, sterile, size 3 inch pack 76 Gauze: Roller gauze, sterile, size 4 inch pack 77 Gauze: Sponge gauze, non-sterile, size 2 x 2 pack 78 Gauze: Sponge gauze, non-sterile, size 3 x 3 pack 79 Gauze: Sponge gauze, non-sterile, size 4 x 4 pack 80 Gauze: Sponge gauze, sterile, size 2 x 2 pack 81 Gauze: Sponge gauze, sterile, size 3 x 3 pack 82 Gauze: Sponge gauze, sterile, size 4 x 4 pack 83 Gloves: exam gloves, non-sterile, latex box Gloves: exam gloves, sterile, latex, size 7 pairs Gloves: exam gloves, sterile, latex, size 7½ pairs 84 Gloves: exam gloves, sterile, latex, size 8 pairs 85 Glucometer control solutions, as applicable. 86 Goggles: safety goggles. 87 Head immobilizer Humidifier, disposable with adapter, Aquapak 500 88 ml. 89 Intravenous (IV): Jelco IV catheter, sizes: 14 gauge 90 Intravenous (IV): Jelco IV catheter, sizes: 16 gauge 91 Intravenous (IV): Jelco IV catheter, sizes: 18 gauge 92 Intravenous (IV): Jelco IV catheter, sizes: 20 gauge 93 Intravenous (IV): Jelco IV catheter, sizes: 22 gauge 94 IV, primary piggy back pump for pump type 95 IV tubing, nitroglycerin for IV pump 96 IV tubing, 15 drop 97 IV tubing, 60 drops 98 IV tubing, metri 99 Kerlix rolls 100 Kleenex tissue box 101 Lancets for glucometer 102 Laryngeal mask airway (LMA), disposable, size 3 103 Laryngeal mask airway (LMA), disposable, size 4 104 Laryngeal mask airway (LMA), disposable, size 5 105 Laryngeal mask airway holder 106 Mask face, disposable box 107 Medicine cups pack 108 Micropore tape, size ½ inch 109 Micropore tape, size 1 inch 110 Micropore tape, size 2 inch 111 Nebulizer s 112 Needles, size 18 gauge, 1-1½ inch 113 Needles, size 20 gauge, 1 inch 114 Needles, size 22 gauge, 1-½ inch 115 Optivisor 116 Oral airways, guedal, disposable, size Small 117 Oral airways, guedal, disposable, size Medium 118 Oral airways, guedal, disposable, size Large 3 of 5
119 Ophthalmoscope with accessories and consumables 120 Oxygen connecting tubes 121 Oxygen flow meter, to fit various size cylinders 122 Oxygen masks adult, simple 123 Oxygen masks, non-breathing, adult 124 Oxygen nasal cannulas, adult 125 Paper cups pack 126 Paper roll, vanco roll 127 Paramedic scissor (shear) 128 Penlight (torch/flashlight) 129 Percussion hammer 130 Pleur-evac chest drainage 131 Pocket masks with oxygen nipple 132 Probe cover for thermometer box 133 Red dots (monitoring electrodes) pack 134 Safety pins, large 135 Safety goggles, disposable 136 Safety hard hat, size to fit 137 Scalpel handle, disposable with blade number 11 138 Scalpel handle, disposable with blade number 20 139 Shroud kit 140 Sharps box with wall brackets, large 141 Sharps box with large brackets, small 142 Sharps box, small ambulance 143 Shave prep kits 144 Spandages, sizes 1 to 7 each 145 Splint: cardboard Sam splint: Leg splint 24 inch 146 Splint: cardboard Sam splint: Leg splint 12 inch 147 Splint: cardboard Sam splint: Arm splint 18 inch 148 Splint: cardboard Sam splint: Arm splint 12 inch 149 Stretcher straps 150 Saline for irrigation, 1,000 cc, sterile 151 Steri-strip, size ¼ inch box 152 Steri-strip, size 1/8 inch box 153 Suction machine with accessories and consumables 154 Suture: Ethilon 4/0 W 1612T NDL box 155 Suture: Ethilon 5/0 W 1616T NDL box 156 Suture: Mersilk 4/0 W329 NDL box 157 Suture: Vicryl 5/0 W9106 NDL box 158 Suture tray, disposable Syringes with needles, disposable, size 2½ cc 20 gauge 159 1" Syringes with needles, disposable, size 2½ cc 22 gauge, 160 1½ inch 161 Insulin, 50 /cc box 162 Syringes, disposable, size 5 cc box 163 Syringes, disposable, sizes 10 cc box 164 Syringes, disposable, size20 cc box 165 Syringes, disposable, size 50 cc box 166 Tape measure 167 Test strips for glucose in blood, 25 s (Hemoglucotest) box 168 Test strips for glucose in urine, 25 s (Ketodiabur-test) box 169 Thermometer: temperature gauge for refrigerator 170 Tongue blades, non-sterile box 171 Towel sterile 172 Towel: Polyethylene, disposable 173 Urinals 174 Urinary drainage bag 175 Vaseline gauze, size ½ inch x 72 inch 176 Vaseline gauze, size 3 inch x 18 inch 177 Water: Sterile irrigation water, 2,000 cc 4 of 5
Wrench, adjustable metal type to open all cylinder 178 sizes 179 Adhesive remover (e.g., Whisk) 180 Yankauer suction 181 Multistix, urine test strips box COMMENT/S: Name: Signature: Al Fanar Mall 2nd floor Al-Khobar, KSA. Reg. No. 2051054263 Telephone #: +966 013 858 7000 E-mail: info@twareat.com; Website: www.twareat.com RAC FORM 1623 CLINIC MEDICAL EQUIPMENT AND SUPPLIES CHECKLIST Revision 000 5 of 5