Spring 2016 Cohort
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California Nursing Students’ Association
California State University, Sacramento Chapter
7667 Folsom Boulevard, Sacramento, CA 95826
EQUIPMENT INFORMATION AND ORDER FORM
Congratulations, and welcome to the School of Nursing! Sacramento State Nursing Students are
required to have the following necessary uniform and equipment for clinical:
Required uniform is made up of:
Required equipment includes:
• green scrub pants
• stethoscope
• green scrub top
• pair of bandage scissors
• white lab coat
• hemostat (kelly forceps)
• closed-toe and heel white or black
• blood pressure cuff
shoes
• name badge
• penlight
EQUIPMENT ORDERING
Attached is the order form to purchase name badges and other required equipment from CNSA. THE
NAME BADGE MUST BE ORDERED FROM CNSA, purchase of other required items from CNSA
is optional. 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 Wednesday, December 30, 2015.
Alternatively, order forms may be dropped off in person at the School of Nursing in Folsom Hall no
later than Tuesday, January 5, 2016 by 12 pm (noon) (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.
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. Please help
us fund the events and opportunities for you in this upcoming semester through your support. 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 $40.
Enclose proof of your membership with your order so that we may apply the appropriate discount
(Photocopy of receipt for membership or photocopy of CNSA membership card). CNSA membership looks
great on a nursing resume and will open many doors for you within our program! Other Sac State
Nursing items (t-shirts, sweatshirts, etc.) will be available for purchase at orientation.
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CNSA EQUIPMENT INVENTORY INFORMATION
− Required Equipment, must purchase through CNSA−
Name Tag Badge and Holder: Four different colored badge holders are included, color coded for
each semester (Red for 1st, Yellow for 2nd, Green for 3rd, Blue for 4th). Purchase also includes your
name and photo on a Sac State School of Nursing ID Badge to use in clinical experiences. Photos
will be taken at orientation. Must be purchased through CNSA.
− Required Equipment, offered to purchase through CNSA−
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. (Includes extra set of eartips
and a name tag.)
3M Littmann Classic III Stethoscope (newest model): This is the newest version of the Littmann
Classic II Stethoscope. Has a dual-frequency, "tunable" diaphragm for listening to both low and
high frequency sounds by alternating pressure on the chest piece. It also has a second turnable
diaphragm that is smaller and can be used for pediatric patients, smaller patients, or to pinpoint a
particular sound of interest. This second turnable diaphragm includes a non-chill sleeve that allows
it to be converted to a traditional open bell. The new tubing is more resistant to the constant
cleaning in a clinical environment. (Includes extra set of eartips and a name tag.)
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.
(Includes extra set of eartips and a name tag.)
Classic II SE:
Classic III (include image)
Master Classic II:
NOTE: Stethoscope does not have to be purchased through CNSA but doing so will allow us to
fund Sac State Nursing events and opportunities for you to learn and participate in the community
in order to grow and boost that resume! ONLY ONE STETHOSCOPE IS REQUIRED.
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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.
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.
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− Optional Equipment, offered to purchase through CNSA−
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.
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. Includes a storage compartment for
papers, pencils, and more.
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CPR Keychain Mouthpiece: (NOT mandatory equipment, but a nursing student favorite!) Inside
contains a plastic barrier (as seen on the right) that allows you to perform mouth-to-mouth in the
field, without swapping saliva! (actual size)
Tumblers: (NOT required, but nursing student favorite!) reusable mug with a screw-on lid and
straw, so you can show your Sac State Nursing pride while staying hydrated!
CSUS Nursing School Patch: (NOT required, but a fun favorite!) Sew-on Sac State patch!
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CSUS Nursing T-Shirt: (NOT required, but a fun favorite!) Limited stock in Adult unisex S- 3XL
sizes. 65% Polyester and 35% Cotton, does not shrink! If you pay for a t-shirt after we run out of
stock, a full cash refund will be granted during First Semester Orientation.
Note: There will be an opportunity during the semester to order CSUS School of Nursing
Sweatshirts and T-shirts. Stay tuned! Items will also be sold at orientation – cash or check only.
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FAQ
Q: “What happens if I miss the deadline?”
A: Please submit your order by the deadline! If you miss the deadline, please send an email to
[email protected] ASAP (as soon as possible)!
Q: “What am I required to purchase through CNSA?”
A: You are required to purchase an ID card and Badge Holder from CNSA.
Q: “When will photos for the ID card be taken?”
A: Photos will be taken at First Semester Orientation.
Q: “How will I receive the items I ordered?”
A: Orders will be ready for pick up at First Semester Orientation.
Q: “Who should I make the check out to?”
A: Please make checks payable to “CNSA”.
Q: “How do I join CNSA?”
A: To join CNSA, visit www.nsna.org. NSNA is the National Student Nursing Association,
CNSA’s parent organization which we pay dues to. In order to receive a discount on your order,
please provide proof of membership. Either a photocopy of the receipt from paying dues or a
photocopy of the CNSA membership card is acceptable.
Q: “When is the equipment order form and payment due?”
A: You have the option of dropping off the order form in person (in an envelope labeled
“ATTN: CNSA FUNDRAISING CHAIR”) or mailing the order form.
DEADLINE FOR MAILING:
Must be postmarked by Wednesday, December 30th
DEADLINE FOR DROP OFF AT FOLSOM HALL:
Tuesday, January 5th by 12 pm
Q: “What if my question isn’t answered here?”
A: Contact the CNSA Fundraising Chair at [email protected]
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EQUIPMENT ORDER FORM
Name ______________________________________________ Phone # _______________________________
E-mail Address _______________________________________________________________
Item Description and Color Selection (if applicable) Quantity Unit Price (Write legibly, please!)
CNSA Member Price Total Required Item, must purchase through CNSA
ID Card with Badge Holders
$18.00
$15.00
Required Items, optional to purchase through CNSA
3M Littmann Classic II S.E. Stethoscope *
(circle color) Black, Navy Blue, Ceil Blue, Raspberry,
Pearl Pink, Peach
$87.00
$80.00
3M Littmann Classic III *
(circle color) Black, Navy, Ceil Blue, Raspberry, Emerald,
Burgundy, Caribbean Blue, Orange, Plum, Pearl Pink, Gray,
Hunter Green, Lime Green, Lemon Lime, Lavender, Turquoise
$95.00
$88.00
3M Littmann Master Classic II Stethoscope *
(circle color) Black, Burgundy, Navy Blue, Hunter Green,
Pine Green, Ceil Blue, Purple, Caribbean Blue
$112.00
$105.00
Blood Pressure Cuff
$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
$5.00
$4.00
Optional Items, Nursing Student Favorites!
Nurse’s Clipboard w/ Case and built-in Calculator
$25.00
$20.00
Nursing ProPack
(circle color) Black, White, Wine, Dark Green, Teal , Red, Neon
Green, Neon Pink, Neon Yellow, Purple, Red, Smoke (Gray) ,
Royal Blue, Navy Blue
$22.00
$20.00
Tumblers
$10.00
$8.00
CSUS Nursing T-Shirt
$20.00
$18.00
CPR Keychain
$3.00
$3.00
Sacramento State Nursing Patch
$2.00
$2.00
CA Sales Tax (8.5%)
Subtotal ($) x 0.085 = Sales Tax // Round to the hundredth (cents)
*If purchasing a stethoscope, please only purchase one stethoscope.
Note: Stethoscope colors shown at the end of this document.
TOTAL AMOUNT
ENCLOSED
$
Please be sure to circle your desired color on stethoscopes and nursing propacks. If you do not, you will receive
black as the default color.
Note: Stethoscope colors shown at the end of this document.
Please include a check (payable to CNSA) in the envelope with your order form. Include proof of NSNA membership
if applying for a discount (photocopy of receipt for membership or of CNSA membership card). Orders must be
postmarked no later than Wednesday, December 30th, 2015. Order forms may also be dropped off in person at the
School of Nursing in Folsom Hall no later than Tuesday, January 5th, 2016 by 12 pm (noon).
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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
Stethoscope Colors Options:
Congratulations again on getting into the nursing program! J