Custom Kit Menu: Pain

Category	Product	Qty
Syringes	1 mL
	10 cc L/L
	20 cc L/L
	20 mL LOR
	3 mL
	5 cc L/L
	7 cc L/S
Antiseptics	Chloraprep 3 mL Clear
	Chloraprep 3 mL Orange
	Chloraprep 10.5 mL Clear
	Chloraprep 10.5 mL Orange
	Spongestick / Sticksponge?
	Povidone-Iodine 1.5 mL
Skin Markers	Fine Tip
Skin Markers	Standard Tip
Misc	Lidocaine 1% 10 mg/mL
	Sodium Chloride 20 mL
	IV Tubing
	4" x 4" Gauze
	C Arm Band Bag 22"
Dressings	Steri-Strip 1/4" x 5 per card
	Steri-Strip 1/2" x 4 per card
	2-3/8 x 3-1/4 Tegaderm
Med Labels 1" x 2" Write your custom label on a line to the right.	Label:
	Label:
	Label:
	Label:
Monthly usage:
Your Name:
Facility:
Phone:
Fax:
Email:

Category	Product	Qty
Trays	Half Tray 10" x 5" x 2"
	Molded Tray
	3-Compartment Tray
	Small Square Tray
Probe Covers w/ Gel and Bands	4" x 48"
	6" x 48"
	4" x 96"
	6" x 96"
Ultrasound Gel	HR Pharma 20 g sterile
Ultrasound Gel	HR Pharma 36 g sterile
Drapes	Utility Drape w/Adhesive Strip 14" x 26"
	Paper/Poly Fenestrated Drape 24" x 30"
	Clear poly fenestrated drape w/ adhesive
Towels	White Paper Absorbent Towel, 13" x 17"
Towels	Blue Cotton OR Towel
Gowns	Medium
	Large
	Extra Large
Needles	18 ga x 1.5"
	18 ga x 3.5" Tuohy
	18 ga x 5" Tuohy
	20 ga x 3.5" Tuohy
	20 ga x 5" Tuohy
	22 ga x 1.5"
	25 ga x 1.25"
	25 ga x 1.5"
	27 ga x 1.25"
	Filter straw needle
Walleted Gloves	Nitrile - Medium
	Nitrile - Large
	Surgeon - Size 7
	Surgeon - Size 7.5
Sharps Safety	Sharps Nest
Sharps Safety	Foam Block