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Medication / Surgical Order Sheet (revised 4/04)

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QUANTITY   
REORDER #  VERBAL DESCRIPTION COST EACH TOTAL

DYN #3503   ABDOMINAL PAD 8"X10" $1.69

MDI #26806

ALCOHOL PUMP SPRAY 120ML 

$2.97

MDI #22112   ALCOHOL WIPES #10 $0.98

PAC9-001 

AMMONIA INHALANTS

 $2.89

PAC12-007 

ANTIBIOTIC OINTMENT 

$2.85

SP #202 

ANTISEPTIC ANESTHETIC SWABS #24 

$1.97

MDI#P46217 

ANTISEPTIC PUMP SPRAY

 $3.89

MDI#P41117 

ANTISEPTIC SPRAY, 3 OZ

. $4.97

PAC12-018 

ANTISEPTIC TOWELETTES

 $1.99

ACS#8491 

ASHERMAN CHEST SEAL

 $17.49

DYN #3614  BANDAGE 2" X 4.5" XXL FABRIC #50  $7.97

PAC2-006 

BANDAGE COMPRESS 2" 

$4.49

PAC2-004  BANDAGE COMPRESS, 4"  $2.97

MDI #P45017 

BANDAGE SPRAY AEROSOL 3 OZ 

$5.95 

PAC4-001 

BANDAGE TRIANG. STER., 40" 

$2.96

CD #1005552 

BETADINE 10% SWABSTICK 

$0.49

MDI#22617 

BLOOD CLOTTING SPRAY, 3 OZ. 

$9.79

KR #269738 

BLOOD PRESSURE KIT 

$26.89

MDI #22517 

BURN PUMP SPRAY 

$5.39

MDI#P40417 

BURN SEPTIC SPRAY, 3 OZ. 

$4.89

KR #926501 

BURN SHEET 60" X 96" STERILE 

$11.69

DYN #3616 

BUTTERFLY CLOSURE #100 

$5.69

KR #221994 

CALLERGY CLEAR LOTION 6 OZ 

$5.29

CD #3016268 

COLD/HOT REUSABLE COMPRESS 

$2.93

CD #2825016 

CORTISONE MICRO 1% 120mL LOTION

 $7.97

CFT #LMFS 

CPR MASK 

$5.97

KR #921049 

CPR MASK WITH LATEX GLOVES 

$11.57 

PP DENTAL 

"DENTANURSE" DENTAL KIT 

$29.95

CD #2956985 

DENTEMP REPAIR KIT SMALL 

$4.89

HLM#41557 

DRESSING CHANGE TRAY

 $5.99

CD #1261635  EAR PLUGS MACKS  $2.59

MDI #65850 

ELASTIC 3"X3" 4 WING BDG #50 

$18.87

MDI#87801 

EMERGENCY BLANKET 

$9.97

HLM36895 

EMS RESPOND KIT BAG 

$197.79

NEEDI R089 

EMT INSTRUMENTS KIT #5 

$22.95

PAC7-002 

EYE CARE KIT 

$4.29

MDI #71069 

EYE CUPS - PLASTIC VIAL #6 

$3.29

DYN #3617 

FABRIC FINGERTIP 1 ¾"X2" BDGS#100 

$8.79

DYN #3619 

FABRIC KNUCKLE 1 ½"X3" BDGS #100 

$8.78

DYN #3612 

FLEXIBLE FABRIC BDGS 1"X3" #100 

$7.83 

HLM08555 

FORCEPS, CRILE CRV 5 ½" 

$9.98

HLM#08530 

FORCEPS, THUMB DRESS 5 ½" 

$4.79

HLM#08556 

FORCEPS, TISSUE TEETH 5 ½" 

$4.89

PP#101 

FULL SPECTRUM GEL, 2 OZ. 

$3.95

CPS #4299 

INSTANT COLD PACK 

$0.99 

HLM16601 

IV SOLUSET/NEEDLES 

$3.98

HLM41526 

IV START KIT STERILE

 $4.39

DYN #3352 

GAUZE PADS 2 X 2 #10

 $1.79

DYN #3353  GAUZE PADS 3 X 3 #10  $1.79

DYN #3354 

GAUZE PADS 4 X 4 #10 

$2.89

DYN #3103  GAUZE ROLL 3" X 5 YDS  $0.89

DYN #3116-1 

GAUZE ROLL 6" X 5 YDS 

$1.49

MDI #P49618 

HYDROGEN PEROXIDE SPRAY 120ML

 $2.97

SP #201  IODINE SWABS #24  $1.97

PAC1-009 

KNUCKLE BANDAGES #8/BOX 

$1.95

MDI#62301 

LASTOBAND 1" X 5YDS 

$3.95

PP #105 

LATEX GLOVES, LARGE 5 PAIRS

 $3.95

DYN # J0300  LACERATION CARE PACK  $16.24

MDI #63101 

MEDI-RIP 3" 

$4.49

MDI#83301 

OXYGEN EMERGENCY KIT S/M 

$129.85

PAC6-001 

PAD, NON-ADHESIVE 2" X 3" 

$1.99

MDI #P91133 

PAIN RELIEF (MIGRAINE) #100 TAB 

$8.97

HLM25647  PENLIGHT-DISPOSABLE  $3.19

CD#1220672 

POISON ANTIDOTE KIT 

$10.42

PAC10-004 

POVIDINE IODINE SWABS 

$2.89

KR #922070 

RESUSCITATOR MASK

 $37.90

PAC #17011 

RUBBER TOURNIQUET ¾" X 30" 

$2.29

KR #922062 

SAM SPLINT 

$19.97

MEDL #95380 

S/C MARINER OINTMENT 60GM 

$5.29

RX0002 

SCALPELS/GLOVE #10 DISPOSABLE 

$5.97

RX0003 

SCALPELS/GLOVE #11 DISPOSABLE 

$5.97

HLM27445 

SCISSORS - EMT

 $9.85

PAC #17005 

SCISSORS & FORCEPS KIT SET 

$3.79

KR #920066 

STAPLE MULTI SKIN PRECISE 

$13.49

KR #920132 

STAPLE REMOVER PRECISE 

$12.89

CS#SC91220 

STARLITE CASE 9.5X21X13.5 

$197.83

MDI#78401  STING EXTRACTOR  $6.97

PAC19-001 

STING RELIEF SWAB 

$3.69

MDI#23017 

SURFACE COOLANT SPRAY, 6 OZ 

$4.95

NEEDI R078 

SURGICAL INSTRUMENT FIELD KIT 

$29.97

HLM10442 

SURGICAL SCRUB 

$2.95

DYN #4521 

SUTURE REMOVAL KIT 

$7.49

SP #87766  SWAB-PLUS 3-STEP FIRST AID KIT  $6.95
HLM15444-10  TEMPA DOT #10  $1.95

CD #2850493 

THERMOMETER, LARGE VIEW 

$7.99

MDI#P73901 

TRAUMA KIT, STANDARD, PORT. 

$118.50

MDI#P74801 

TRAUMA KIT, LARGE, PORT. 

$159.90

PAC #3700 

TRAUMA DRESSING 10 X 30 

$4.95

PS #FCP-03  

TRAUMA PRESSURE BANDAGE 

$4.29

MDI#61101  

TRI-CUT TAPE/ROLL 

$3.69

MDI#72101 

TWEEZER, SPLINTER W/MAG 

$8.49

PAC6-337 

UNIT CASE PLASTIC #36 

$25.83

CD #1351592 

VASELINE BURN GAUZE 3" X 9" 

$2.29

MDI #67801 

WATERGEL 2 X 6 BURN DRESSING  

$6.97

MDI #68801 

WATERGEL 4 X 4 BURN DRESSING 

$10.97

MDI#44273 

WATER GEL 25 UNIT/BOX 

$22.97

PAC21-003 

WIRE SPLINT, SINGLE 

$2.95

DYN#J002 

WOUND CARE TRAY 

$8.89

CD #1197763 

XEROFORM DRESSING 5" X 9"

$2.79