Page 1 of 4
California Nursing Students’ Association
California State University, Sacramento Chapter
7667 Folsom Boulevard, Sacramento, CA 95826
Equipment Information and Order Form
Sacramento State Nursing Students are required to have the necessary uniform and equipment for clinical.
Required equipment includes a stethoscope, bandage scissors, hemostat (Kelly Forceps), blood pressure
cuff, and a penlight. The uniform is made up of green pants, green top, a white lab coat, closed-toe and
heel white shoes, and a name badge.
Attached is the order form to purchase name badges and other required equipment from CNSA. The name
badge must be ordered from CNSA. Please fill out the order form and include a check (payable to CNSA) in
the envelope with your order. Orders must be postmarked no later than Saturday, December 15, 2012.
Alternatively, order forms may be dropped off in person at the School of Nursing in Folsom Hall no later
than Thursday, December 20, 2012 by 2 pm (please deposit in lobby mail slot). Please make a copy of
your order form for your records. Orders will be ready for pick up on the day of the mandatory New Student
Orientation.
The Sac State Nursing uniform top, pants and white lab coat must be ordered from Dove Apparel. Orders
need to be placed online with Dove at www.doveapparel.com. The school code is CSUSA. Dove cautions
that their sizes may not be what you expect so it is highly recommended that you come to Folsom Hall and
try on a sample to be sure you place your order for the appropriate size. Sample uniforms will be available
and the dates and times will be posted on the orientation website.
White, non-slip, closed-heel and toe shoes will need to be purchased from the retailer of your choice.
Remember you will be on your feet for 8-12 hour shifts so purchase something comfortable. Also keep in
mind that your shoes may be exposed to bodily fluids and other substances so a shoe that could easily wipe
clean is ideal.
CNSA is happy to provide a one-stop shop for your required clinical items. All proceeds from CNSA
equipment and uniform sales go directly to support our school’s nursing student activities. CNSA members
may participate in a special price offer on their order; please see the form for discounts. To receive a discount
on your order, you will first need to join NSNA (membership in the national organization automatically
provides membership in the state and local CNSA chapter). To join, visit the NSNA website (www.nsna.org)
and follow the application process. A one-year membership is only $30. Enclose proof of your membership
with your order so that we may apply the appropriate discount.
Other Sac State Nursing paraphernalia (t-shirts, sweatshirts, etc.) will be available for purchase at orientation;
CNSA members will receive approximately a 10% discount.
Page 2 of 4
Equipment Information (**must be purchased through CNSA)
Uniform: Hunter green uniform top and pants with Sacramento State Nursing embroidered on front.
White lab coat embroidered with Sacramento State Nursing Logo. Available in a variety of sizes.
Purchased directly from Dove Apparel at www.doveapparel.com. The school code is CSUSA.
Name Tag Badge and Holder **: White with black lettering. Includes your name and photo. Clear
plastic sleeve to hold your Sac State Nursing ID badge will appropriate color coding based on
clinical experience. Included with the purchase of the name badge. Photos will be taken at
orientation.
3M Littmann Classic II S.E. Stethoscope: Has a dual-frequency, "tunable" diaphragm for listening
to both low and high frequency sounds by alternating pressure on the chest piece. Firm pressure
allows you to listen to high frequency sounds. Ease off to light "skin contact" and the diaphragm
instantly switches to let you hear low frequency sounds (previously heard using the traditional bell).
The bell side can be used for low frequency sounds and special procedures such as bruits,
intercostal spaces and auscultation of smaller and bony patients.
3M Littmann Master Classic II Stethoscope: Traditional bell and diaphragm modes are
incorporated into the single-sided "Master" chest piece. To hear low frequency sounds typically
heard with a traditional bell side of a chest piece, simply use light contact on the skin. To hear high
frequency sounds typically heard with a diaphragm side, apply firm pressure. No longer will you
need to remove the chest piece from the patient and mechanically switch from a bell side to
diaphragm side. You can switch from low to high frequency response instantly without interruption.
Classic II SE:
Master Classic II:
Blood Pressure Cuff: Black enamel 300mmHg no-pin stop manometer Navy blue nylon cuff with
range markings to facilitate selection of correct cuff size; artery label, and gauge holder Latex
inflation bladder and bulb Chrome-plated deflation valve Complete with leatherette zippered
carrying case and operating instructions.
Page 3 of 4
Nursing ProPack: (NOT mandatory equipment, but a nursing student favorite!) This is not your
average fanny pack! It’s very useful to put all your required clinical equipment in, (plus ample room
for non-required items, such as a PDA) rather than in your pockets. It also comes with a strap to
hang an always-handy roll of tape on. They are machine washable. Accessories not included, but
most are available through CNSA.
Stethoscope Hip Clip: (NOT mandatory equipment, but a nursing student favorite!) A convenient
way to carry your stethoscope. Rather than putting your stethoscope around your neck, you can
easily clip it in and out of this holster. The Hip Clip works well on the belt of the ProPack.
Nurse’s Clipboard w/ built-in calculator: (NOT mandatory equipment, but a nursing student
favorite!) Clipboard with helpful information on front and back, including: Useful abbreviations,
lab and vital sign normal ranges, ruler, acid-base balance, conversion charts, IV flow rates
calculations, common IV infusions, military clock time, etc.
Bandage Scissors: 5.5 inch angled metal scissors with a blunt bottom tip for use in cutting bandages
during clinical.
Hemostat (Kelly Forceps): A metal clamp resembling scissors for use in clinical; 5.5 inch straight
tip with locking clamp.
Disposable Pen Light w/ pupil gauge: White plastic; to examine pupils, etc. during clinical.
Page 4 of 4
Mail this form with check payable to CNSA to (please use exact mailing address shown below):
c/o CNSA Fundraising Chair
Sacramento State School of Nursing
Folsom Hall
6000 J Street
Sacramento, CA 95819-6096
Name ______________________________________________________________
Phone # _________________ Alternate # ________________ E-mail Address ______________________
(Write legibly, please!)
Item Description
Quantity
Price
Name Badge with Photo *
$15.00
CNSA Member
Price
$13.00
3M Littmann Classic II S.E. Stethoscope***
$80.00
$80.00
$105.00
$105.00
$21.00
$20.00
$6.00
$5.00
Nurse’s Clipboard w/ Case and built-in Calculator
$25.00
$20.00
Bandage Scissors (5.5 inch)
$6.00
$5.00
Hemostat (Kelly Forceps; 5.5 inch)
$6.00
$5.00
Disposable Pen Light w/ pupil gauge
$4.00
$3.00
Blood Pressure Cuff
$20.00
$16.00
Total Amount
(circle color) Black, Burgundy, Navy Blue, Hunter Green,
Caribbean Blue, Gray, Ceil Blue, Purple, Raspberry,
Orange, Seafoam Green, Pine Green, Pink, Copper/Chocolate,
Brass/Black, Ocean Blue, Peach
3M Littmann Master Classic II Stethoscope ***
(circle color) Black, Burgundy, Navy Blue, Hunter Green,
Caribbean Blue, Ceil Blue, Purple, Pine Green,
Nursing ProPack
(circle color) Black, Green, White, Maroon, Navy, Olive,
Pink, Purple, Red, Gray, Teal, Blue
Stethoscope Hip Clip
(circle color) Black, White
*must be purchased through CNSA
***STETHOSCOPE SHADES MAY VARY
TOTAL AMOUNT ENCLOSED
$__________________________
(Please make checks payable to CNSA; include proof
of NSNA membership if applying for a discount.)
If purchasing a stethoscope, please only purchase either the 3M Littmann Classic II S.E. Stethoscope OR the 3M
Littmann Master Classic II Stethoscope. Both are not required!
Please be sure to circle your desired color on stethoscopes etc. If you do not, you will receive black as the default
color. This is to ensure orders are processed and filled on time. Thank you!
Please include a check (payable to CNSA) in the envelope with your order. Orders must be postmarked no later than
Saturday, December 15, 2012. Alternatively, order forms may be dropped off in person at the School of Nursing in
Folsom Hall no later than Thursday, December 20, 2012 by 2 pm.