Medical Supplies Checklist
Facility Name:
______________________________
Facility Type: ☐
Clinic ☐ Health Center ☐ Hospital
Department/Unit: ____________________________
Date: __________________
Checked By: ________________________________
1.
Personal Protective Equipment (PPE
|
Item
|
Unit
|
Required
Qty.
|
Available
Qty.
|
Reorder
Qty.
|
Expiry/Condition
|
|
Examination gloves – S
|
Box
|
|
Examination gloves – M
|
Box
|
|
Examination gloves – L
|
Box
|
|
Sterile surgical gloves
|
Pair/Box
|
|
Surgical masks
|
Box
|
|
N95/respirator masks
|
Box
|
|
Face shields
|
Each
|
|
Protective goggles
|
Each
|
|
Disposable gowns
|
Each
|
|
Surgical caps
|
Pack
|
|
Shoe covers
|
Pack
|
|
Plastic aprons
|
Pack
|
|
|
|
2.
Wound Care and Dressings
|
Sterile gauze pads
|
Pack
|
|
Non-sterile gauze
|
Pack
|
|
Gauze rolls
|
Roll
|
|
Adhesive bandages
|
Box
|
|
Adhesive tape
|
Roll
|
|
Elastic bandages
|
Roll
|
|
Cotton wool
|
Pack
|
|
Sterile wound dressings
|
Pack
|
|
Absorbent dressings
|
Pack
|
|
Burn dressings
|
Pack
|
|
Tourniquets
|
Each
|
3.
Injection and IV Supplies
|
Disposable syringes – 1 mL
|
Box
|
|
Disposable syringes – 2/3 mL
|
Box
|
|
Disposable syringes – 5 mL
|
Box
|
|
Disposable syringes – 10 mL
|
Box
|
|
Disposable syringes – 20 mL
|
Box
|
|
Needles – assorted sizes
|
Box
|
|
IV cannulas – assorted sizes
|
Box
|
|
IV administration sets
|
Each
|
|
IV extension sets
|
Each
|
|
Three-way stopcocks
|
Each
|
|
IV fluid stands
|
Each
|
|
Alcohol swabs
|
Box
|
|
Sharps containers
|
Each
|
4.
Examination and Diagnostic Supplies
|
Disposable examination sheets
|
Pack
|
|
Tongue depressors
|
Box
|
|
Examination lights
|
Each
|
|
Disposable speculums
|
Pack
|
|
Urine specimen containers
|
Pack
|
|
Stool specimen containers
|
Pack
|
|
Blood collection tubes
|
Box
|
|
Lancets
|
Box
|
|
Glucose test strips
|
Box
|
|
Pregnancy test kits
|
Box
|
|
Urinalysis test strips
|
Box
|
|
Rapid diagnostic test kits
|
Box
|
5.
Basic Medical Equipment
|
Digital thermometers
|
|
Blood pressure monitors
|
|
Stethoscopes
|
|
Pulse oximeters
|
|
Weighing scales
|
|
Height measuring equipment
|
|
Glucometers
|
|
Examination couches
|
|
Wheelchairs
|
|
Patient stretchers
|
|
Walking aids/crutches
|
|
Examination lamps
|
6.
Emergency and Resuscitation Supplies
|
Emergency/crash cart
|
Each
|
|
Bag-valve-mask (adult)
|
Each
|
|
Bag-valve-mask (pediatric)
|
Each
|
|
Oxygen masks
|
Pack
|
|
Oxygen tubing
|
Pack
|
|
Suction catheters
|
Pack
|
|
Suction equipment
|
Each
|
|
Airway equipment
|
Set
|
|
Cervical collars
|
Each
|
|
Emergency blankets
|
Each
|
|
CPR barrier devices
|
Each
|
|
Defibrillator/AED
|
Each
|
|
Emergency lighting
|
Each
|
7.
Infection Prevention and Control
|
Hand sanitizer
|
Bottle
|
|
Liquid hand soap
|
Bottle
|
|
Antiseptic solution
|
Bottle
|
|
Surface disinfectant
|
Bottle
|
|
Cleaning cloths
|
Pack
|
|
Disposable cleaning wipes
|
Pack
|
|
Biohazard bags
|
Pack
|
|
General waste bags
|
Pack
|
|
Sharps containers
|
Each
|
|
Spill kits
|
Kit
|
8.
Sterilization Supplies
|
Sterilization pouches
|
Pack
|
|
Sterilization wraps
|
Pack
|
|
Autoclave indicator tape
|
Roll
|
|
Sterilization indicators
|
Pack
|
|
Instrument trays
|
Each
|
|
Kidney dishes
|
Each
|
|
Stainless-steel bowls
|
Each
|
|
9.
Laboratory Supplies
Sterile instrument sets
|
Set
|
|
Microscope slides
|
Box
|
|
Cover slips
|
Box
|
|
Sample collection tubes
|
Box
|
|
Sample containers
|
Pack
|
|
Pipettes/tips
|
Pack
|
|
Laboratory gloves
|
Box
|
|
Laboratory coats
|
Each
|
|
Specimen labels
|
Pack
|
|
Laboratory disinfectant
|
Bottle
|
|
Sharps containers
|
Each
|
10.
Maternal, Newborn, and Pediatric Supplies
|
Delivery kits
|
Set
|
|
Sterile delivery drapes
|
Pack
|
|
Umbilical cord clamps
|
Pack
|
|
Newborn identification bands
|
Pack
|
|
Infant weighing scale
|
Each
|
|
Infant thermometers
|
Each
|
|
Pediatric BP cuffs
|
Set
|
|
Pediatric oxygen masks
|
Pack
|
|
Pediatric examination supplies
|
Set
|
11.
Hospital Ward Supplies
|
Bed sheets
|
Each
|
|
Patient gowns
|
Each
|
|
Blankets
|
Each
|
|
Disposable underpads
|
Pack
|
|
Bedside trays
|
Each
|
|
Emesis basins
|
Each
|
|
Urinals
|
Each
|
|
Bedpans
|
Each
|
|
Disposable diapers
|
Pack
|
|
Patient identification bands
|
Pack
|
12.
Pharmacy and Medication-Related Supplies
|
Medication cups
|
Pack
|
|
Oral syringes
|
Box
|
|
Medicine spoons
|
Pack
|
|
Tablet counting trays
|
Each
|
|
Prescription bags
|
Pack
|
|
Medication labels
|
Pack
|
|
Refrigerator temperature log
|
Pack
|
|
Medication storage bins
|
Each
|
|
Lockable medication storage
|
Each
|
13.
Dental Supplies — If Applicable
|
Dental examination kits
|
Set
|
|
Dental mirrors
|
Each
|
|
Dental probes
|
Each
|
|
Disposable dental bibs
|
Pack
|
|
Saliva ejectors
|
Pack
|
|
Dental suction tips
|
Pack
|
|
Dental gloves
|
Box
|
|
Sterilization pouches
|
Pack
|
14.
General Office and Patient-Record Supplies
|
Patient files
|
Pack
|
|
Examination forms
|
Pack
|
|
Prescription forms
|
Pack
|
|
Referral forms
|
Pack
|
|
Consent forms
|
Pack
|
|
Patient labels
|
Pack
|
|
Pens/markers
|
Pack
|
|
Printer paper
|
Ream
|
|
Filing folders
|
Pack
|
|
|
|
|
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