Form JGC-1
Empowering Dreams for the Future
CLINIC SUPPLIES AND EQUIPMENT CHECKLIST
Clinic personnel must be provided access to emergency information on all students.
The following supplies and equipment are recommended for each school clinic. Questions should be directed to
the Nurse Supervisor.
Furniture and Durable Equipment:
Biohazard container (Sharps)
Blood pressure cuffs (various sizes)
Bookcase or shelf
Call button or walkie-talkie
Chairs
Clock with a second hand
Computer
Cooler, small
Cot or Recovery couch
Desk with chair
Face mask, eye goggles or face shield
File cabinet(s), locking
Flashlight
Desk with chair
File cabinet(s), locking
Flashlight
Medication cabinet(s), locking
Refrigerator, small
Restroom, handicapped (Accessible to clinic)
Scissors, bandage
Sink with hot and cold water
Soap dispenser
Stethoscope
Supply cabinet(s), locking
Telephone (separate line preferred)
Thermometer with disposable covers
Trash can
Tweezers
Clinic Supplies:
Alcohol, rubbing
Hydrogen peroxide
Applicators, cotton tip
Applicators, wooden sticks
Bags, plastic (for ice)
Band-aids (small and large)
Bleach
Cotton balls
Crackers, saltine
Cups, paper
Cups, plastic medicine
Dental floss
Dental wax
Disinfectant, school approved
Eye pads
First Aid Kit, emergency (stocked)
Gauze pads, non-sterile
Gauze pads, sterile
Gauze, Rolled non-sterile
Gloves, disposable/assorted sizes
Mask, CPR with one-way valve
Office supplies, general
Paper rolls, table
Paper towels
Pediculosis sticks
Pillow
Saline eyewash
Sanitary napkins
Scissors, Trauma
Slings
Splints, arm
Syrup of Ipecac
Tape, non-latex (1/2”x1/4”)
Tissues, facial
Tongue depressors
Trash can liners, disposable
Vaseline or hand lotion
Optional Equipment:
Audiometer
Blanket
Peakflow meter
9/29/05: School Health Services
Scale
Stadiometer
Vision testing equipment (Snellen Wall Chart/Titmus machine)
Privacy screen
*JGC-1*
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