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CDI @ M.O.C.C.

Evacuation Bag Inventory

ITEM AMOUNT EXPIRATION


Tourniquet 1
A/V Fistula Arm Band 1
Face Mask 4
Povidone Iodine Prep 10 08/2012
Pads
Alcohol Prep Pads 10
2 X 2’s 10
4 X 4’s 10
Transpore Tape 1
Micropore Tape 1
Digital Thermometer 1
Thermometer Sleeves 10
NotePad 1
Pens 2
Bandaids 10
Cath-end Caps 4 09/2011
Op-Site 1
Island Dressing 2
Iodine Swabsticks 2 10/2010
Sterile Water 1 09/01/2011
Heparin 5000 units 1 11/2010
10 mL Syringe 5
3 mL Syringe w/ 5
Needle
18 gauge Needle 5 05/2013
IV DropSet (10/mL) 2
0.9% Sodium Chloride 3 03/2010
Examination Gloves 1 box

Monthly Expiration Date Check-Off

Jan Feb Marc Apri Ma Jun Jul Au Sep Oct No Dec


h l y e y g t v
Initials/Signature: ____________________________________________________________

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