Documentation & Medical Supply: Catalog

catalog
DOCUMENTATION & MEDICAL SUPPLY

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To Our Valued Customers, Let me take this opportunity to say thank you. Thank you for your business and for the trust you place in Briggs Healthcare every day by allowing us to help you in providing the highest quality care to those you serve. Todays healthcare market is extremely dynamic. The pace of change today is probably at the highest level we have seen during our 65 years in business. Whether its in technology, regulations or reimbursements, change is in the air. Briggs Healthcare is changing too. Weve combined all of our items and delivered them to you in a single catalog full of solutions to address the challenges and changes you are experiencing today. Weve also added a number of new products to help you and those you serve. And we are constantly looking for new ways to improve our documentation systems, charting products and educational tools. But theres one thing that hasnt changed. Thats our commitment to your 100% satisfaction on all of the items we provide. All of us at Briggs Healthcare look forward to serving you throughout 2013 and for many years to come. Sincerely,
Bruce Dan
Briggs Healthcare Chief Executive Officer
Bruce Dan | Chief Executive Officer Briggs Healthcare
Four Easy Ways to Order

Symbol Guide Long-Term Care Home Care Assisted Living Physicians, Hospitals & Clinics Hospice Updateable, Drop-Ship* Drop-Ship* Safety-Compliant Latex-Free Contains Latex For Prescription Only
Online
Order Online www.BriggsCorp.com 24 hours a day, 7 days a week
Phone
Phone Toll-Free
1.800.247.2343
Ofce hours: 7 a.m. to 6p.m. weekdays Central Time
U D
Mail
Mail your purchase order to:
Fax
Fax Toll-Free 1.800.222.1996 The Briggs Healthcare FAX line is available 24 hours a day, 7 days a week
* Drop-Ship items are exempt from the Briggs Healthcare freight free policy.
Briggs Healthcare P.O. Box 1698 Des Moines, IA 50306-1698
Visa, MasterCard and American Express Accepted Prices subject to change without notice on all products listed in this catalog.
Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com
Your 100% Satisfaction is Guaranteed!

Every order you receive should meet your 100% Satisfaction. If you are not completely satised, notify us within the terms of our Returned Goods Policy and we will replace your unsatisfactory merchandise, issue a full credit for that merchandise or refund your money in full.
Great Quantity Discounts and Group Purchasing Discounts!

Throughout this catalog youll nd opportunities to take advantage of our great quantity discounts that will let you achieve lower costs per unit. And if you belong to an ownership or voluntary group purchasing organization, you may be eligible to receive special net contract pricing and/or discounts on our products deducted automatically when you place your order. Call us at 1.800.247.2343 for more information and details on your group purchasing agreement with Briggs Healthcare.
Same-Day Shipping
At Briggs Healthcare, we dont keep you waiting! With our computerized distribution system, when you place an order by 4 p.m. Central Time, you can be sure it will ship that same day via UPS or other ground service. On the rare occasion when an item is not currently available, you can be assured that our Purchasing Department will secure and ship the new inventory as soon as possible.
Need to see a product up close? No problem.

Visit www.BriggsCorp.com, click on Order Products and simply search for the item youd like to preview. You can download sample form PDFs by clicking on View Content" or click on the photo to see a larger image of a product.
Well Pick Up the Shipping Charges

Thats right! Whenever you order $300 or more of Briggs in-stock items, your entire order ships FREIGHT FREE (continental USA only). Order your medical supplies, documentation solutions and any other Briggs product on the same order and if the total exceeds $300, your entire order ships FREIGHT FREE via UPS or other ground service. Not applicable to drop-ship items.
Need More Catalogs?

Call 1.800.247.2343 to request additional copies of the Briggs Healthcare 2013 Health Care Catalog for your Administrator, DON, Purchasing Director or Director of Clinical Services.
In todays healthcare environment, clinicians are charged with providing care to patients with increasing acuity levels, improving transitions of care across the continuum of care and reducing rehospitalizations a challenge for even the most seasoned professional. As clinicians, we understand the increasing demands placed on medical professionals today. We are here to help by bringing you a collection of best resources you need for care and treatment, prevention, policies and procedures, staff and patient/family education, documentation and more all from one trusted partner. In the next few pages of this catalog, we have assembled some of our solutions based product offering that can be found throughout this catalog. For almost any challenge you face, Briggs Healthcare is here to help. For more information or specific questions on the issues you are facing, please let us know.
Mary Crosby, RN 515.453.8874 | crosby.mary@briggscorp.com
Sharon Hamilton, RN, BA, MS, CRC, NLCPC, CFDS 515.327.6554 | hamilton.sharon@briggscorp.com
Introduction
Briggs Healthcare Solutions

Bringing you the Best in Wound Care Management for:
Care & Treatment
Documentation & Assessment
Prevention
Staff Training & Education
Clinical Practice Guidelines
These essential Wound Care items and more can be found throughout the 2013 Briggs Healthcare Catalog Documentation see pages 96-99 Labels see page 243 Education & Training see page 178-179 Medical Supplies see page 290-314
Introduction
The Resources You Need Implement an Effective Infection Control and Prevention Program:
Policies & Procedures
Precautions & Compliance Guidelines
Staff Training & Education
Documentation & Reporting
Cleaners & Disinfectants
Look inside your 2013 Briggs Healthcare Catalog for a wide variety of products to support your Infection Control and Prevention policies and procedures. Documentation see page 106 Labels & Signs see pages 248-250 Education & Training see page 170-173 Medical Supplies see page 273-280
Protective Apparel
Introduction
Briggs Healthcare Solutions

The Educational Tools and Resources you need to:
Reduce Rehospitalizations
Improve Compliance
Increase Patient & Family Satisfaction
Improve Outcomes
Educate Patients, Family & Caregivers
Reducing rehospitalizations is key to your success! Briggs Healthcare is here to help you minimize preventable hospitalizations with these must have products! Patient/Family Education see pages 162-163 Operational Resources see page 154 Home organizational tools see page 194
Introduction
Briggs Healthcare Custom Documentation Options Provide:
Cost-Effective Customization
Innovative Solutions
YOUR LOGO
Your Logo
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Professional Production
YOUR LOGO
High Quality Products
Increased Productivity
If you can imagine it, our Customs Department can help you turn your ideas into the perfect solution crafted just for your organization! Custom Documentation Custom Labels see pages 232-233 see pages 48-53 Custom File Folders see page 204 Custom Printed Ringbinders Custom SureFiles see page 204 see page 187 Custom Dividers see pages 205-207 Plus many more options call 800.247.2343 ext .4555 for details!
Quick Turn-Around
Introduction
Documentation
Resident
Professional Resources
Charting
CAAs =
TIME IN __/________/ Numbe at ained ______ r: (Locator as part start of care ______ _____ Identif #5) __ _ of the TIME OUT ication __ __ clinical and per organ (M0014) ______ __ __ record. Branch _____ izational __ Branch ID Numbe State: (M0030) policy. __ __ r: __ __ Start of (M0018) C. State Provider Number: __ __ Care Date: Nation __ __ who has al Provid (M0032) __ __ (Locator signed er Identif __ __ #2) __ Resum the plan __ /__ ption of __ __ of care: ier (NPI) for the __ /__ NA month __ __ Care Date: A0200. Type of Provider __ __ day Not Applic attending __ __ (M0040) __ __ __ physic year __ __ /__ Phone: able Patien __ __ Enter Code Type ian (Locator t Name: __ /__ UK month of provider __ __ #24) __ __ __ (Locator Unkno day __ __ __ __ __ wn or #6) 1. Nursing home Name: (Locator __ __ year __ __ Not Availab __ __ (SNF/NF) #24) __ __ - __ __ __ 2. Swing Bed __ __ (First) le __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ A0310. Type of Assessment __ __ __ __ __ __ __ __ __ __ __ (MI) __ __ Patient CAA (First) __ __ __ __ __ __ Enter Code Phone __ __ __ Addres __ __ (Last) A. : __ __ __ Federal OBRA Reason __ __ __ __ s: (Street/A (Last) Patient __ - __ __ __ __ __ for (MI) pt. No.) Addres __ __ __ __ __ __ 01. Admission assessment __ __ Assessment (Locator s: (Locator __ __ __ __ __ __ __ #24) __ __ by day (required __ __ __ __ __ __ #6) 02. Quarterly review (Suffix) __ __ 14 ) 11 __ __ City: (Suffix) __ __ assessment __ __ (Locator __ __ 03. Annual assessment __ __ #24) __ __ __ __ __ __ __ __ __ __ 1, 8 __ __ 04. Significant change __ __ __ __ (Street/A __ __ __ __ __ __ pt. No.) __ __ in __ status __ __ __ __ assessment __ __ 05. Significant correction __ __ __ __ State: __ __ (M0050) __ __1, 8 __ __ (Locator __ __ to prior __ Patien __ 06. Significant correction (City) __ __ #24)comprehensive__ __ __ t State __ __ __ __ 1, 8 (M0060 Zip Code: assessment to prior quarterly of Reside __ __ __ __ 99. None of the __ __ ) Patien assessment nce: (Locator (Locator __ above t Zip Code: Enter Code #24) (M0063) __ __ B. #6) __ PPS Assessment Second (Locator __ __ Medic __ #6) __ __ - __ are Numbe ary Referri PPS Scheduled Assessments __ __ __ __ __ __ r: __ __ __ __ __ Phone: for ng Physic Part NA - No __ __ __ __ 01. 5-day scheduled __ __ a Medicare ian I.D.#: A Stay __ __ __ __ Medic (M0064) assessment __ - __ __ __ __ __ are 02. 14-day scheduled Social __ __ Name: __ __ __ __ Securi __ __ __ __ __ __ (including assessment __ ty __ __ __ __ __ __ 03. 30-day scheduled __ __ Numbe suffix) __ __ __ __ __ __ r: UK __ __ __ __ assessment __ __ 04. 60-day scheduled - Unkno (M0065) __ __ __ __ (First) __ __ __ __ wn or __ __ Medic 05. 90-day scheduled assessment Not Availab __ __ aid Numbe __ __ __ __ __ le (MI) r: NA __ __ 06. Readmission/re assessment __ __ (Last) __ __ __ __ - No Medic (M002 turn assessment __ __ __ __ 0) Patien PPS Unscheduled (M0066) __ __ aid __ __ t for ID Numbe Birth Date: __ __ __ __ __ Assessments a Medicare 07. Unscheduled __ __ __ __ __ r: (Locator Part A Stay (Locator assessment __ __ used (Suffix) Patient #8) __ __ __for PPS (OMRA, #4) Not PPS Assessment Medica s HI Claim __ /__ __ __ l Record __ /__ __ __ significant or clinical change, or month No.: (Locator 99. None of the __ __ __ __ Numbe 1 - Same significant day correction assessment) __ above __ __ __ r if differen #1) __ __ year as M0063 __ __ __ __ t than __ __ 3 - Other __ __ M0020 2 - Same __ __ __ A0310 continued __ __ SHORT STAY QUALITY __ __ __ on (M0140) QUALITY __ __ MEASURES: next pageas M0065 __ __ (M0069) MEASURES __ (QM) 76 (#0676) Residents Race/E LONG __ __ Gende who self report moderate __ __ thnicit STAY QUALITY MEASURES __ __ __ __ r: (Locator 1to -severe __ __ y: (Mark Emerg 78 (#0678) Residents Americ __ __ pain #9) __ __ with pressure ulcers 74 (#0674) ency Triage an Indian all that Residents 1-Male that worsened experiencing __ __ are 2 or one or more falls with apply.) or - new major __ Alaska Code: Asian DNR injury 2-Fem 80 (#0680) Residents Order: ______ 83C (#0683C) Residents Native ale 77 (#0677) Residents who were assessed and (M0150) ______ who 3 did not receive, due to medical Obtain - Black given the seasonal Influenza who self-report moderate appropriately ______ Currencontraindication, the Pneumococcal ed or African __ to Vaccine 79 (#0679) High-risk severe pain t Payme Vaccine Reque 80A (#0680A) Residents 84 (#0684) residents with pressure -Ameri 4 - Hispan 0 - None; Residents nt Source sted who received the seasonal with a Urinary Tract Infection ulcers can 81 (#0681) Vaccine Residents assessed and Influenzaic or Latino 85no s for Home charge (#0685) 1Low 5 - Native Risk residents who appropriately given seasonal for 80B (#0680B) Residents lose control of current the Medicarebowel or bladder Care: their (Mark Hawaii 81A (#0681A) Influenza Vaccine who were offered service (traditio 2and an or Pacific Residents who seasonal Influenza Vaccine 6declined s all that nal fee-forthe 86 (#0686) Residents - White Medica received the seasonal who have/had Vaccine Islande apply.) re (HMO/ Influenza 80C (#0680C) Residents service a catheter inserted and in their 3 - Medica left bladder who did not receive, manag ) 81B (#0681B) Residents r contraindication, the due to medical ed 87 id (#0687) who were offered and (traditio seasonal Influenza Vaccine Residents who care /Advan seasonal Influenza Vaccine declined 4 were physically 82 (#0682) Residents - Medica nal fee-forthe tage restrained 88 accessed and appropriately (#0688) Residents plan) id (HMO/ 81C (0681C) Residents service 5Pneumococcal Vaccine given the who manag whose need for help ) with activities of Worker daily living contraindication, the did not receive, due to medical ed care) 82A (#0682A) Residents s compe has increased seasonal Influenza Vaccine 689 (#0689) nsation who received the Pneumococcal Residents who lose too 83 (#0683) Residents Title program 82B (#0682B) Residents much weight Vaccine assessed and appropriately 90 (#0690) who given Pneumococcal Vaccine Residents who have s (e.g., Certific and declined the 7 the Pneumococcal Vaccine were offered - Other depressive symptoms Title ation Period 83A (#0683A) 300 (#300) Prevalence govern V, or XX) 82C (#0682C) Residents Residents who received 8Falls ment (e.g., ofIII, : (Locator From ____/__ the Pneumococcal who did not receive, Private 400 (#400) Vaccine contraindication, the #3) due insuran PrevalenceTriCare of psychoactive 9Pneumococcal Vaccine to medical ___/___ 83B (#0683B) , VA, etc.) medication use, in the ce of psychotic absence Residents Private _____ who or related conditions Indicates responses that To ____/__ Vaccine were offered and HMO/m Pneumococcal 500 declined (#500) may impact the Prevalence of anxiety/hypnotic 10 anaged QM items identified by PATIENT __/____ Self-pa a number in a solid blue use care 600 (#600) Prevalence NAMEL ____ y oval 11 of behavior symptoms ast, First, Indicates responses that may Other (specif affecting others Middle for the QM identified by UK - impact covariate Initial 1 Delirium y)______ CARE AREA ASSESSMENT Unknow 5 ADL Function/Rehabilitatio ______ a number in an outline blue oval LEGEND 2 Cognitive Loss/Dementia n ______ Form n 7 Psychosocial Well-Being 3491P-1 ______ Potential Rev. 9/09 ______ 3 Visual Function 0 2007 11 Falls 6 Urinary Incontinence 8 Mood State ______ 15 Dental Care & Briggs Medical ______ 4 Communication 12 Nutritional Status is the Indwelling Catheter ______ Service intellectua 9 Behavioral 18 Physical Restraints Company Symptoms ______ 16 Pressure Ulcer l property 13 Feeding Tubes ______ of the Center (800) 247-2343 Form 1851P-12R 10 Activities 19 Pain _ 2012 BRIGGS, Des ID# 17 Psychotropic for 5/12 Moines, www.Brig 14
nsive (NC) Item Set Code - if information Follow unavailable or unknown M0 numb ers in REASON seque FOR nce unles Add new record Continue to A0100, ASSESSME s other Modify existing record Facility Provider wise direct INCLUDIN NT: Numbers Start This Continue to A0100, Facility Inactivate existing ed. of Care Provider Numbers WITH G SOC / ROC record Skip to Patient QI = Quality A0100. Facility Provider Track X0150, Type CMS 485 Resu ing Inform ELEM Indicato of Provider Numbers mption r INFORMAT ENTS ation must (M0010) A. of Care National Provider CMS Certifi It is to ION DATE______ Identifier (NPI): be maint be filled out cation
A0050. Type of Record
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Identification Informati on
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Identifier
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1. 2. 3.
COMPRE NURSIN HENSIVE ADU G ASS ESSMENLT T
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CMS Certification
Branch
(M001 Number (CCN): 6)
IA 50306 (800) 247-2343
www.BriggsCorp.com
Health
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COM of 40 PREH NURSING ENSIVE ADUL ASSESSME T with NT

OASIS ELEME NTS
Activities . . . . . . . . . . . . . . . . . . 124
Assessments & Care Plans . . . . 145 Billing & Coding . . . . . . . . . . . . 148 Clinical References . . . . . . . . . . 140 Dementia/Behavior. . . . . . . . . . 177 Dictionaries & Desk References . . . . . . . . . . . . 146 Dietary . . . . . . . . . . . . . . . . . . . . 178 Falls . . . . . . . . . . . . . . . . . . . . . . 176 Infection Control . . . . . . . . . . . . 170 MDS . . . . . . . . . . . . . . . . . . . . . . 158 Operational Resources Home Care/Hospice . . . . . . . . . 154 Operational Resources Senior Care . . . . . . . . . . . . . . . . 159 Pain/Pallative Care . . . . . . . . . . 180 Patient Education . . . . . . . . . . . 162 Safety. . . . . . . . . . . . . . . . . . . . . 174 Staff Education . . . . . . . . . . . . . 166 Staffing . . . . . . . . . . . . . . . . . . . 164 Wound Care. . . . . . . . . . . . . . . . 179 Allergies Labels . . . . . . . . . . . . . 244 Behavioral Labels . . . . . . . . . . . 245 Billing & Filing Labels . . . . . . . . 226 Business Office . . . . . . . . . . . . . 224 Cabinets & Carts . . . . . . . . . . . . 210 Charge Labels . . . . . . . . . . . . . . 228 Chart Dividers . . . . . . . . . . . . . . 195 Chart Flaggs. . . . . . . . . . . . . . . . 235 Chart Labels. . . . . . . . . . . . . . . . 236 Chart Racks . . . . . . . . . . . . . . . . 208 Clipboards . . . . . . . . . . . . . . . . . 221 Color-Coding Tapes & Labels . . . . . . . . . . . . . . 234 Computer Transport Stands . . . . . . . . . . . . 214 Computer Workstations . . . . . . 216 Custom Chart Dividers . . . . . . . 204 Custom Labels . . . . . . . . . . . . . . 232 Dietary Labels . . . . . . . . . . . . . . 242 Drawer-Store Charting System . . . . . . . . . . . . 194 File Folders & Accessories. . . . . 222 Infection Control Labels & Signs . . . . . . . . . . . . . . 248 Med/Treatment Record Systems . . . . . . . . . . . . . 192 Medication/IV labels . . . . . . . . . 246 Record Protectors/Pockets . . . . 188 Reinforcers . . . . . . . . . . . . . . . . 231 Ringbinders . . . . . . . . . . . . . . . . 182 Spine Identification. . . . . . . . . . 190 Transcription Labels . . . . . . . . . 230 Visible File Trays . . . . . . . . . . . . 220 Wall Desks . . . . . . . . . . . . . . . . . 212 Wound Care Labels . . . . . . . . . . 243
54 Assessments . . . . . . . . . . . . . . . . 68 Assisted Living Doc System . . . . 12 Bereavement . . . . . . . . . . . . . . . 121

Admissions . . . . . . . . . . . . . . . . . Business Office/ Billing & Coding . . . . . . . . . . . . 137
78 Central Supply. . . . . . . . . . . . . . 133 Custom Forms . . . . . . . . . . . . . . . 48 Dementia . . . . . . . . . . . . . . . . . . 122 Dietary . . . . . . . . . . . . . . . . . . . . 103 Environmental. . . . . . . . . . . . . . 138 EZ Pathways . . . . . . . . . . . . . . . . 22 HIPAA . . . . . . . . . . . . . . . . . . . . . 129 Home Care Doc System . . . . . . . 14 Hospice Doc System . . . . . . . . . . 16 Human Resources . . . . . . . . . . . 130 I & O/Weights/Vital Signs. . . . . 100 Infection Control . . . . . . . . . . . . 106 Lab/X-Ray . . . . . . . . . . . . . . . . . . 94 l TC Doc System. . . . . . . . . . . . . . 24
Care Plans . . . . . . . . . . . . . . . . . . Maternal/Newborn Record System. . . . . . . . . . . . . . .
32 MDS . . . . . . . . . . . . . . . . . . . . . . . 28 Medications/Treatments. . . . . . . 88
Milcom Medical Practice Systems . . . . . . . . . . . . . Nurse/Aide Notes . . . . . . . . . . . .
42 83 OASIS . . . . . . . . . . . . . . . . . . . . . . 18 Pharmacy . . . . . . . . . . . . . . . . . . . 91 Physician Services . . . . . . . . . . . . 62 Quality Improvement . . . . . . . . 107 Register Books. . . . . . . . . . . . . . . 92 Rehab/Therapy . . . . . . . . . . . . . 112 Restorative Nursing . . . . . . . . . 116 Social Services . . . . . . . . . . . . . . 127 Transfer/Discharge . . . . . . . . . . 118 Wound Care. . . . . . . . . . . . . . . . . 96 8
Introduction
Signage
Medical Supplies
ADL. . . . . . . . . . . . . . . . . . . . . . . 412 Bathroom Aids . . . . . . . . . . . . . 384 Blood Pressure. . . . . . . . . . . . . . 442 Diagnostics . . . . . . . . . . . . . . . . 434 Equipment . . . . . . . . . . . . . . . . . 402 Enteric Feeding . . . . . . . . . . . . . 368 Fall Prevention . . . . . . . . . . . . . 332
Common Room Signs . . . . . . . . 256 Directory/Directional Signs . . . 254 Door Hanger Signs . . . . . . . . . . 265 Evacuation Plans . . . . . . . . . . . . 259 Magnetic Care Signs . . . . . . . . . 265 Menu & Activities Signs . . . . . . 260 Message Frames . . . . . . . . . . . . 258 Nameplates . . . . . . . . . . . . . . . . 258 No Cell Phone Signs . . . . . . . . . 264 Regulatory Signs . . . . . . . . . . . . 263 Room Number Signs . . . . . . . . . 252 Room Signals. . . . . . . . . . . . . . . 264 Sliding Panel Signs . . . . . . . . . . 257 Traffic Control Signs . . . . . . . . . 266
First Aid . . . . . . . . . . . . . . . . . . . 380 Gloves . . . . . . . . . . . . . . . . . . . . 272 ID Bands. . . . . . . . . . . . . . . . . . . 268 Incontinence . . . . . . . . . . . . . . . 338 Infection Control . . . . . . . . . . . . 273 Irrigation . . . . . . . . . . . . . . . . . . 359 IV Supplies . . . . . . . . . . . . . . . . 364 Linens. . . . . . . . . . . . . . . . . . . . . 425 Medication Administration . . . 282 Mobility . . . . . . . . . . . . . . . . . . . 391 Nursing Instruments . . . . . . . . . 458 Orthopedics . . . . . . . . . . . . . . . . 411 Ostomy . . . . . . . . . . . . . . . . . . . 362 Personal Care. . . . . . . . . . . . . . . 370 Positioning. . . . . . . . . . . . . . . . . 328 Pressure Relief. . . . . . . . . . . . . . 315 Rehab Therapy . . . . . . . . . . . . . 421 Respiratory . . . . . . . . . . . . . . . . 429 Stethoscopes . . . . . . . . . . . . . . . 450 Thermometry. . . . . . . . . . . . . . . 437 Urology . . . . . . . . . . . . . . . . . . . 352 Wound Care. . . . . . . . . . . . . . . . 290
Preview your Custom Signs today at www.BriggsCorp.com/Signs!
Introduction
Shipping & Return Policy

SHIPPING POLICY Orders placed by 4:00 p.m. central time will ship same-day via UPS or other ground service. Most orders will arrive within 2-3 business days. Expedited and overnight shipping is available at an additional cost. Next Day Air orders must be placed before 3:00 CST. When your order reaches $300 or more, your entire order ships freight free via UPS or other ground service (excluding drop-ship and custom made items). Free freight policy applies only to orders shipped in the continental US. An additional $4.75 handling fee will be placed on any orders totaling less than the customers free freight amount. 2) A Return Authorization Number (RAN) is required for all returned merchandise. Goods received without prior authorization will be subject to review and credit may be denied. You may obtain a RAN by calling Briggs Healthcare Customer Service at 800-247-2343. Should you decide to keep your product after obtaining your RAN, please call and we will gladly cancel your authorization. If the merchandise has not been returned within 60 days, the RAN will be canceled and removed out of our system; 3) All return shipments must be shipped prepaid and clearly marked with the RAN issued by Briggs Healthcare Customer Service; 4) Items must be received in unopened cases with original packaging intact and unused. Upon receipt and inspection of the returned merchandise, Briggs Healthcare will either issue a refund or exchange on the merchandise as instructed, minus the original freight fees. Returns may be rejected due to the physical condition of the items received in Briggs Healthcare warehouse or vendors warehouse. Unless defective or shipped in error, authorized returns are subject to a 25% restocking fee. Parts are not returnable for credit. Briggs Healthcare reserves the right to make the final determination as to whether the specific warranty is applicable to the returned item. Briggs retains the right to use discretion as to whether the product under warranty will be replaced.
RETURN GOODS POLICY DROP-SHIP ITEMS Unless defective or shipped in error, drop-ship item returns are subject to a 25% restocking fee. In addition, the customer is also responsible for the original and return shipping fees. DEFECTIVE MERCHANDISE Briggs must be notified within 30 days of invoice to receive replacement or credit on damaged or defective items. Briggs will pay for shipping costs if merchandise needs to be returned.
RETURN GOODS POLICY STOCK ITEMS This Policy applies to all customers and transactions, unless superseded by a signed written agreement including specific returned goods terms and conditions. Briggs reserves the right to reject any return that does not comply with the terms of this Policy. Under this policy, excluding dropship items, the following terms and conditions apply for merchandise that is not damaged, defective or a Briggs Healthcare shipping error: 1) Original order may not be older than six (6) months;
DISCLAIMER FOR RETURNED GOODS POLICY This policy is not intended to supersede any specific agreement between Briggs Healthcare and its customers, but will supplement any areas not covered in a specific customer agreement. This policy does supersede, where inconsistent, all previous Return Goods Policies.
10
Documentation
124 Admissions . . . . . . . . . . . . . . . . . . . . . . . 54 Assessments . . . . . . . . . . . . . . . . . . . . . . 68 Assisted Living Doc System . . . . . . . . . . 12 Bereavement . . . . . . . . . . . . . . . . . . . . 121
Activites . . . . . . . . . . . . . . . . . . . . . . . . Business Office/ Billing & Coding . . . . . . . . . . . . . . . . .
137 Care Plans . . . . . . . . . . . . . . . . . . . . . . . . 78 Central Supply. . . . . . . . . . . . . . . . . . . 133 Custom Forms . . . . . . . . . . . . . . . . . . . . . 48 Dementia . . . . . . . . . . . . . . . . . . . . . . . 122 Dietary . . . . . . . . . . . . . . . . . . . . . . . . . 103 Environmental. . . . . . . . . . . . . . . . . . . 138 EZ Pathways . . . . . . . . . . . . . . . . . . . . . 22 HIPAA . . . . . . . . . . . . . . . . . . . . . . . . . . 129 Home Care Doc System . . . . . . . . . . . . . 14 Hospice Doc System . . . . . . . . . . . . . . . . 16 Human Resources . . . . . . . . . . . . . . . . 130 I & O/Weights/Vital Signs. . . . . . . . . . 100 Infection Control . . . . . . . . . . . . . . . . . 106 Lab/X-ray . . . . . . . . . . . . . . . . . . . . . . . . . 94 LTC Doc System . . . . . . . . . . . . . . . . . . . . 24
Maternal/Newborn Record System. . . . . . . . . . . . . . . . . . . . . 32 MDS 3.0 . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Medications/Treatments. . . . . . . . . . . . . 88
Resident
CAAs =
maintain _____/___ tion Nu out at TIME IN mber: start of _____/___ ed as Branch ______ (Locator part of _____ care an Identif ____ #5) __ TIME OU ication the cli __ __ (M0 Numbe T______ nical rec d per organ (M0014 r (CCN): __ __ 016) Bra _____ izationa ) Branch __ ord. nch ID State: l policy. (M0030 Number: __ __ ) Start __ __ C. of Care State Provider Numbe (M0018) Nation __ __ Date: __ __ r: who has al Provid (M0032 __ __ (Locator signed er Identif __ __ #2) __ ) Resum the ier (NP __ /__ ption of plan of __ __ __ /__ I) for the NA month care: __ __ A0200. Type of Provid __ __ day Not Ap Care Date: attendi __ __ (M0040 __ er __ __ ng phy plicabl year Phone: __ __ /__ ) Patien __ __ sician e Enter Code Type (Locator t Name __ /__ UK month of provider __ __ #24) __ : (Locator __ __ Unkno day __ __ __ __ __ wn or #6) 1. Nursing home Name: (Locator __ __ year __ __ Not Ava __ __ (SNF/NF) #24) __ __ - __ ilable __ __ 2. Swing Bed __ __ (First) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ A0310. Type of Assess __ __ __ __ __ __ __ __ __ __ __ ment CAA (MI) __ __ Patient (First) __ __ __ __ __ __ __ __ Enter Code Phone: __ Addres (Last) A. __ __ __ __ __ Federal OBRA Reason __ __ s: (Street/A __ __ (Last) __ __ Patient __ - __ for (MI) pt. No.) __ __ __ __ Addres __ __ 01. Admission assessm __ __ Assessment (Locator __ __ __ __ s: (Loc __ __ __ __ #24 __ __ __ ator #6) __ __ __ __ __ d by day 02. Quarterly review ent (require (Suffix) __ y 14 ) 11 ) __ __ City: (Loc ent __ __ __ (Suffix) __ __ __ __ 03. Annual assessm assessm ator #24 __ __ __ __ ) __ __ ent 1, 8 __ __ __ __ __ __ __ 04. Significant change __ __ __ __ __ __ (Stre __ __ __ __ __ et/Apt. __ __ __ __ in status No.) __ __ __ __ assessm __ __ ent 1, 8 __ __ 05. Significant correct State: __ __ __ (M0050 __ __ __ __ ion (Loc __ __ to ) __ __ prior Patien __ __ ator comprehensive 06. Significant correct (City) #24) hensiv __ __ __ ent t State __ __ __ __ 1, 8 (M0060 Zip Co e assessm __ __ of Resid __ 99. None of the __ __ion to prior quarte de: ) rly __ __ Pat assessm ence: (Loc __ ent ient Zip above ator #24 (Locator Enter Code Code: ) (M0063 __ __ B. #6) __ PPS Assessm Assessment (Locator __ __ ) Medic __ ent Second #6) __ __ - __ are Nu ary Ref PPS Scheduled Assessm __ __ __ __ __ __ mber: Assess __ __ __ ng Phy __ __ NA ents forerri Pho ments __ __ __ __ 01. 5-day an I.D. re Part No Me __ __ a Medicasici y scheduled ne: A#: __ __ __ __ Stay y (M0064 dicare assessm __ - __ __ __ __ ent __ __ ) Social 02. 14-day __ __ Name: __ __ y schedu __ __ Securit led assessm __ __ ent __ __ (includin __ __ __ __ y Numb g suffix) __ __ 03. 30-day __ __ __ y scheduled assessm__ __ __ __ er: __ __ __ - __ UK __ __ ent __ __ 04. 60-day __ __ (M0065 __ __ Unkno y schedu __ __ (First) led assessm __ __ __ wn or ) Medic __ ent __ 05. 90-day Not Ava __ __ aid Nu __ y scheduled assessm __ __ __ __ ilable mber: ent (MI) __ __ 06. Readmission/r __ __ NA (Las __ __ - No Me (M0eturn assessment t) __ __ __ __ __ __ dicaid PPS Unscheduled 020) Pat __ __ (M0066 ient ID __ __ __ __ ) Birth ents __ __ forNu __ Assessm __ __ mber: re Part a Medica Date: 07. Unscheduled __ __ __ (Locator (Locator A Stay assessm __ ent y (Suffix) __ used Patients #8) __ #4) __ __for PPS (OMRA, Not PPS Assessm Me __ /__ __ __ dical Rec HI Claim ent __ /__ __ __ significant or clinical change, or month ord Num No.: (Loc 99. None of the __ __ __ __ 1 signific day ant correct ber ator __ above Sam __ __ ion if differe assessment) #1) __ __ __ __ e as M0 year __ __ __ __ nt than 063 3 - Oth __ __ __ __ M0020 2 - Sam __ __ er __ __ A0310 contin SHORT e as M0 __ __ ORT STAY QUAL ued QUALITY AL __ on LIT (M0140 TY MEASURES: QUALIT __ __ next page 065 __ __ (M0069 Y MEASU ) Race/ RES (QM) __ 76 (#0676) Residents __ __ ) Gende Reside ent LONG ts who Eth wh self report moderate __ __ STAY QUALITY MEASUR __ __ __ __ nicity: r: (Locator 1to -severe __ __ Emerg 78 (#0678) Reside Americ __ __ ES (Mark pain Residents ents with #9) __ __ with pressure ulcers 74 (#0674) ency Tria an Indian all tha Residents 1-M that worsened experienci __ __ are 2 t app ng or ge Code: one or more falls with ale or - new major __ Asian Alainjury DNR Ord ly.) ska Nat 2-Fem 80 (#0680) Reside ______ 83C (#0683C) Residents er: Residents ive den ent ale nt ts who 77 who were assessed and (M0 ___ who (#0677) did 3 not ______ Residents who self-report 150 receive, due to medical - Black given the seasonal contraindication, the Ob appropriat tain seas ely son _____ na al Influenza moderate to severe pain) Current Influenza Vaccine ed or African Pneumoco 79 (#0679) High-risk ccal Vaccine Payme 0Reque 80A (#0680A) Residents 84 (#0684) residents with pressure -Americ Res Residents sid dents who received the 4 - Hispan nt Sou sted None; with a Urinary Tract Infection ulcers an seasonal Influenzaic or Lat 81 (#0681) rce Vaccine Residents 85no s for Ho charge (#0685) 1Low 5 - Nat Risk residents who ino seasonal Influenza assessed and appropriately given for me of 80B (#0680B) Residents lose control current the Medicarebowel or bladder ive Haw Ca Vaccine Res their sid dents who were offered re: (Ma service (traditiona 281or aiian A (#0681A) Residents and seasonal Influenza rk all tha 6declined s Infl flu the uenza Vaccine 86 (#0686) - White Medic who received the seasonal Pacific l fee Residents t -for who are Vaccine app have/had Isla Influenza -servica catheter inserted 80C (#0680C) Residents (HMO/m 3ly.) nde Re esid dents who did not receive, e) bladder and anaged Medicaid left in their 81B (#0681B) Residents r contraindic cation, atio 87 (#0687) on, the seasonal Influenza due to medical care /Ad who were offered and (traditiResidents seasonal Influenza Vaccine declined 4 Vaccine vantag onal feewho were 82 (#0682) Res - Medic 88 physically the restrained Residents sid dents accessed and appropriat e plan) -for-servic (#0688) Residents aid (HM 81C (0681C) Residents 5Pneumococ ely given the need for O/mana whose ccal cal Vaccine e) help with activities of Va who Workers daily living has increased ged car contraindication, the did not receive, due to medical 82A (#0682A) Residents seasonal Influenza Vaccine 6e) Residents who received 89 com (#0689) pen Residents 83 (#0683) Residents sation who lose too much the Pneumococcal Vaccine Title pro 82B (#0682B) #0682B) Residents assessed and appropriat weight Resid es dents who were offered gra 90 (#0690) ms (e.g Pneumococcal Vaccine ely given Residents Cer 7 the and Pneumoco declined - Other tific ., Titlewho have depressive symptoms oc ccal Vaccine ccal Vaccine ationthe 300 83 gov III, (#300) A (#0683A) Per Prevalence V, or XX) ernment 82C (#0682C) Residents who received 8iod: (Loc #0682C) Residents of Falls Resi esidents who did not From the Pneumococcal Private 400 (#400) (e.g., TriC Vaccine ator receive, due ___ contraindi #3) ontraind to _/_ insuran Prevalence medical dic c cation, at ati of psychoact tio on, the Pneumococcal are, VA, ____/____ 83B (#0683B) 9ive etc medication use, in the ce of psychotic absence Vaccine Residents who were Private ____ To .) or related conditions Indicates dicates r offered and HMO/m responses espon ponses that may impact Pneumoco 500 declined ____/_ (#500) ccal Vaccine the Prevalence 10 ana QM items identified by a of anxiety/hypnotic use PAT Self-pa ged car IEN number in a solid blue ___/________ T NAM 600 (#600) Prevalence y e oval 11 ELast, of behavior symptoms Indicates responses First, Mid that may Other (sp affecting others dle Initi ecif for the QM identified by UK - impact covariate 1 Delirium y)___ rium al AREA CARE a number in an outline ______ Unknow ASSESSMENT LEGEND 5 ADL Function/R blue oval ___ 2 Cognitive n ehabilitati ___ nitive Form e Loss/Dem on Loss/D ______ Dementia 7 Psychosocial Well-Being entia 3491PPotential Rev. 9/09 ______ 10 3 Visual 11 Falls al Function Fun ______ nctio nc 2007 Brig on 6 Urinary Incontinen 8 Mood State ______ gs Med 15 Dental Care ce & 4 Communic 12 Nutritional Status is the ______ mun Indwelling Catheter nication ation Service intellectu 9 ical n 18 Physical Restraints Behavioral ______ Com Symptoms al prop 16 Pressure Ulcer pany (800 13 Feeding ______ erty of the Cen Tubes Form 1851P-12 10 Activities ____ 19 Pain ) 247-2343 P-12R R 2012 BRIGGS, Des ID# 17 Psychotrop ter for 5/12 Moines, www 14
B. CMS Certification
IA 50306 (800) 247-2343 www.BriggsCorp.com
or unknown numbers COMPR REASON in seque Enter Code FOR nce un 1. Add new record NURS EHENSIVE less oth Continue to A0100, ASSESSME ADULT 2. Modify existin erwise Facility ProvideNT INCLUD ING ASSE g record Continu : rs r Numbe directed Th Start of IN 3. Inactivate existin eis to A0100, . Facility Provider Numbe tient g record Skip to Pa WITH G SOC / RO SSMENT Ca QI = Qua A0100. Facility Provid Tra re rs ck X0150, Type of C CMS 48 Resu lity Indi ing Inf er Numbers Provide cator r ormati mption 5 INFO ELEMENTS (M0010 on A. RMATIO of National Provide must be Care ) CMS It is to r Identifier (NPI): DATE___ N Certifica filled be
Section A
QMs =
PPS =
Identifica Follow tion M0Information
A SET (MDS) - Vers RESIDENT ASSESSME ion 3.0 Nursing Home Com NT AND CARE SCREENING prehensive (NC) Item Set
MINIMUM DAT
Identifier
Date
Code - if informa tion unavailable
Milcom Medical Practice Systems . . . . . . . . . . . . . . . . . . . 42 Nurse/Aide Notes . . . . . . . . . . . . . . . . . . 83 OASIS . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . 91 Physician Services . . . . . . . . . . . . . . . . . . 62
Health Dehydratio ic Drug Use n/Fluid 20 Return to Communit Services .Brig gsC Maintenance and Polic orp.com. The y Referral y Rese arch, DenOutcome and ASsessm MDS ver, 3.0 Nursing Colo ent Infor rado. It Home Page 1 Version 1.10.4 matiensive is used Compreh on Set (NC) with of 20 Effective permissio 04/01/20 12n. (OASIS) 1
107 Register Books. . . . . . . . . . . . . . . . . . . . . 92 Rehab/Therapy . . . . . . . . . . . . . . . . . . 112 Restorative Nursing . . . . . . . . . . . . . . 116 Social Services . . . . . . . . . . . . . . . . . . . 127 Transfer/Discharge . . . . . . . . . . . . . . . 118 Wound Care. . . . . . . . . . . . . . . . . . . . . . . 96
Quality Improvement . . . . . . . . . . . . .
CO of 40 MPREHE NSIVE NURSING ADUL AS with OA SESSME T NT SIS

ELEME NTS
Assisted Living Documentation System
DOCUMENTATION
Briggs Assisted Living Documentation System and Operational Guidelines are key to implementing a disciplined approach and providing quality care. The Assisted Living Documentation System will help you avoid potentially litigious situations by providing documentation to ensure your residents age successfully. The efcient and comprehensive approach found in our documentation system will help you increase your census and improve your protability. Plus, it will help you record and accommodate the changing needs of your residents. Included in this easy-to-implement documentation system are instructions on forms for risk/litigation management, lifestyle preferences and choices, medication and treatment records, move-in documents and more! The companion manual, the Assisted Living Operational Guidelines will streamline efciencies AND create an environment that encourages residents to age successfully (see page 159 for details). The structured and comprehensive approach found in our operational guidelines outlines each policy listing; addresses the purpose of the policy and references related step-by-step procedures.
UPDATED

Features of the Documentation System
The following information is provided for each form within the Assisted Living Documentation System: Purpose of the form Instructions and recommendations for use Benet of the form as a component of the system Common abbreviations Glossary to aid in consistent use of terminology

Assists in minimizing risk and managing potentially litigious issues Supports and sustains a superior quality of life and successful aging Provides an easy-to-use system of documentation specically designed for Assisted Living Aids in the collection of information; is transferable and can be applied by all health care providers in all care settings Identies the strengths, weaknesses and needs to establish the appropriate level of care and services
Item # Description Price Per Each
7220R
$149.50
The Forms listed are included in the Assisted Living Documentation System. Detailed information concerning each of the forms is included in the manual.
PRESCREEN
Item # Description Pkg
3678HH 3802P 3386 3382 MOVE-IN

Item #
Family Questionnaire (side punch) Geriatric Depression Scale Mental Status Questionnaire Pre-Screening Questionnaire
100/pk 100/pd 100/pd 100/pd
Description
Pkg
3683/2P CFS1-10/2PS 1773 3029/2P CFS1-12/2PS 3392P 1770 3388/2P 3390/2P 3340/2P
Need to see a form up close? No problem. Visit www.BriggsCorp.com, click on Order Products and simply search for the item youd like to preview. You can download a sample PDF by clicking on View Content. Its that easy!
Activity Interest Survey Adv Dir/Med Tx Acknowledge Receipt Auth. to Release Resident Information Consent to Photograph Inventory of Personal Effects Move-in/Annual Assessment Notice of Privacy/ Acknowledge Receipt Resident Consent/Acknowledgement Resident Data Sheet Resident Rights
100/pk 100/pk 100/pd 100/pk 100/pk 100/pd 100/pk 100/pk 100/pk 100/pk
12
DOCUMENTATION
MEDICAL HISTORY/EVALUATION
LIFESTYLE PREFERENCES AND CHOICES

1366P-12 1373P-12 1364P 1375P-12 1369P-12 CFS11-1HH CFS11-1HF 1374P 1367P-12 1371P 1372P 3391HH CFS10-3HH 1368P-12 1365P CFS10-2HH 1370P-12 CFS10-4HH
Alzheimers Disease Disclosure Cancer Disclosure CHF Disclosure Chronic Renal Failure Disclosure CVA Disclosure Oral/Dental Record (side-punch) Oral/Dental Record (top-punch) Depression Disclosure Diabetes Mellitus Disclosure Emphysema Disclosure Hypertension Disclosure Med HX/Physical/ Functional Assessment Occupational Therapy Eval. & Tx Plan Osteoporosis Disclosure Parkinsons Disease Disclosure Physical Therapy Eval. & Tx Plan Pressure Ulcer Disclosure Speech Lang. Eval. & Plan of Therapy
50/pk 50/pk 50/pk 50/pk 50/pk 100/pd 100/pd 50/pk 50/pk 50/pk 50/pk 100/pk 100/pd 50/pk 50/pk 100/pd 50/pk 100/pd
529 3080HH 3324P
Change of Diet Resident Lifestyle Prole (long form) Sign Out/Sign In Sheet
100/pk 100/pk 100/pd
TRANSFER, REFERRAL AND MOVE-OUT

CFS5-16HH CFS5-16HF 886/2 & 886/3 3392/2P
Physician D/C Summary (side-punch) Physician D/C Summary (top-punch) Resident Transfer Form Summary-Transfer, Referral, Move-out
100/pd 100/pd 125/pk 100/pk
RISK MANAGEMENT
PHYSICIAN ORDERS
3375P 3376/3TP 3376/3P CFS9-1HH CFS9-1HF
Physicians Orders Physicians Phone Orders (side-punch) Physicians Phone Orders (top-punch) Physicians Progress Notes (side-punch) Physicians Progress Notes (top-punch)
100/pd 100/bx 100/bx 100/pd 100/pd
3634HH 3326 CFS14-1 3381/2P CFS13-1 7123P-10 1289R 3205 3356 CFS6-4HH CFS6-4HF CFS3-11/2 3091 ENVIRONMENTAL
Fall Risk Assessment Grievance Complaint Report Grievance QA Log Incident/Accident Report Infection Report Inuenza/Pneumo Infor. Consent In-Service Training Report Medical Records Destruction Log Medication Error Report Pressure Sore Risk Assess. (side-punch) Pressure Sore Risk Assess. (top-punch) Resident Abuse Incident Report Resident Fall Tracking Log
100/pd 100/pd 100/pd 100/pk 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pk 100/pd
RESIDENT SERVICES
Item #
Description
Pkg
3679P 3680P 3682P 3711HH-10 3711HF-10 3393 3394 3692HH-10 3692HF-10 4750P RESIDENT CARE
Item #
Behavior Intervention Eval. Checklist Behavior Management Plan Behavior Symptoms Checklist Wander Data Collection (side punched) Wander Data Collection (top punched) Functional Assessment (side-punched) Functional Assessment (top-punched) Resident Summary (side-punched) Resident Summary (top-punched) Service Plan
100/pd 100/pd 100/pd 100/pd 100/pd 100/pk 100/pk 100/pk 100/pk 50/pk
CFS14-20 CFS14-5 CFS14-7 CFS14-8 CFS14-4 CFS14-3 CFS14-6 CFS14-9 DEMENTIA

Item #
Action Plan Deep Cleaning List Deep Cleaning Schedule Housekeeping Log Housekeeping QA Checklist Laundry QA Checklist Routine Cleaning Schedule Safety Infection Control List
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
Description
Pkg
Description
Pkg
2240 3389P 3378P 3671HH 3327P
24-Hour/Condition Report Resident Care Log, weekly Resident Notes Resident/Family Conference Notes Service Plan Conf. Summary
100/pd 100/pd 100/pd 100/pd 100/pd
MEDICATIONS AND TREATMENTS

3354P 2123P-12 3379HH 3358HH L-9030 2122
Controlled Drug Administration Record Immunization Record Medication Record Medication Self-Administration Assess. Medications Checklist label Monthly Schedule for TB Testing
100/pd 100/pd 100/pd 100/pd 25/pd 100/pd
3694/2 3662HH 3662HF 3650HH 3653P 3699 3690HH-10 3690HF-10 3676/2P 3674P
Diet Order & Communication Food Intake Record (side-punch) Food Intake Record (top-punch) Functional Assess. for Alzheimers Individual Participation Record Missing Resident Identication Pain Assessment (side-punch) Pain Assessment (top-punch) Special Care Unit Consent Special Care Unit Criteria Review
100/pk 100/pd 100/pd 100/pk 100/pd 50/pk 100/pd 100/pd 100/pk 100/pd
13
Home Care Documentation System
DOCUMENTATION
Standardized system to document the individual needs and goals of each patient. The sections in the Home Care Documentation System are organized in the order of a typical patient chart to help staff understand how the forms work together and to create a clear picture of the patient needs and goals.
UPDATED

The Briggs Home Care Clinical Documentation System is the rst and only integrated system of its kind. It will save time and eliminate duplication of documentation through the use of streamlined and standardized forms. Complete Medicare CoPs and Interpretive Guidelines Crosswalk of the CoPs to related forms Documentation tips to support standardization List of web sites for reference
Item #
Description
Price Per Each
7236
$149.50

The following information is provided for each form within the Home Care Documentation System: Applicable Medicare CoPs are referenced Purpose of the form Instructions and recommendations for use Benet of the form as a component of the system The appendices include references to help support accurate documentation: Complete Medicare CoPs and Interpretive Guidelines Crosswalk of the CoPs to related forms Documentation tips to support standardization Common abbreviations Glossary to aid in consistent use of terminology List of web sites for reference The Forms listed are included in the Home Care Documentation System. Detailed information concerning each of the forms is included in the manual.
ADMISSION/ADMINISTRATION
3401P 3529/2P 1773 1771 CMS-10124 CMS-R-296-1 CMS-R-296-2 CMS-R-296-3 CMS-R-296-S1 CMS-R-296-S2 CMS-R-296-S3 CMS-R-296-1D CMS-R-296-2D CMS-R-296-3D CMS-R-296-S1D CMS-R-296-S2D CMS-R-296-S3D 3531 3532P 3535P CMS-10123 1770 3567 1772
Face to Face Admission Service Agreement Authorization to Release Patient Info. Bus. Assoc. Privacy/ Cond. Agreement Detailed Explanation of Non-Coverage HHABN, English, option 1 HHABN, English, option 2 HHABN, English, option 3 HHABN, Spanish, option 1 HHABN, Spanish, option 2 HHABN, Spanish, option 3 HHABN, English, option 1, 2 part HHABN, English, option 2, 2 part HHABN, English, option 3, 2 part HHABN, Spanish, option 1, 2 part HHABN, Spanish, option 2, 2 part HHABN, Spanish, option 3, 2 part Home Care/Hospice Patient Rights Intake Referral Medicare Secondary Payer Worksheet Notice of Medicare Non-Coverage Notice of Privacy/Acknow. of Receipt OASIS Privacy Notices Request to Obtain Protected Health Info.
100/pk 100/pk 100/pd 100/pk 50/pk 50/pd 50/pd 50/pd 50/pd 50/pd 50/pd 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 100/pd 100/pd 100/pd 50/pk 100/pk 100/pd 100/pd
14
DOCUMENTATION
ASSESSMENTS/CARE PLANS
REHABILITATION AND THERAPY (contd)

3166P 3571RHH/HF 3583/2P 3546P 3599/2P EZ Pathways 3911P 3910P 3508P 3494P-10 3493P-10 3492P-10 3498P-10 3497P-10 3496P-10 3495P-10 3499P-10 3491P-10 3459/2P 3478P 3450P 3547RP 3428P 3427P 3466P
Braden Scale Risk Assessment Care Plan Care Summary Comprehensive Adult Assessment Dietary Assess./Consult/CP/ Revisit Note Fall Risk Assessment Falls Safety Checklist Hospitalization Risk Assessment OASIS Care Summary OASIS Discharge Assessment OASIS Recertication/Follow-up OASIS OT SOC/ROC Assessment OASIS Physical Therapy Discharge OASIS PT Recert./Follow-up OASIS PT SOC/ROC Assessment OASIS ST SOC/ROC Assessment OASIS SOC/ROC Assessment Pain Assessment Monitor Pain Monitor Flow Sheet Patient Assessment/Treatment Sheet Pediatric Nursing Assessment Recertication Comp. Adult Assessment Update Comp. Adult Assessment Wound Assessment w/Braden Scale
100/pd 100/pk 100/pk 100/pk 100/pk
3579/2P-11 3708/2P-11 3507P-11 3509P-11 3596/2P-11 3595P-11 3580P-11
Occupational Therapy Revisit Note Physical Therapy Care Plan Physical Therapy Evaluation Physical Therapy Revisit Note Speech Therapy Care Plan Speech Therapy Evaluation Speech Therapy Revisit Note
100/pk 100/pk 100/pd 100/pd 100/pk 100/pd 100/pd
100/pd 100/pd 100/pd 100/pd 100/bx 100/bx 50/cs 50/pk 50/bx 50/bx 50/cs 100/bx 100/pk 50/pd 100/pd 100/pk 100/pk 100/pk 100/pd
SOCIAL SERVICES AND PASTORAL SERVICES

3598/2P 3597P 3566P 3468P 3887P
Medical Social Services Care Plan Medical Social Services Evaluation Medical Social Services Revisit Note Spiritual Assessment Spiritual Coordinator Visit
100/pk 100/pd 100/pd 100/pd 100/pd
CARE COORDINATION
PHYSICIAN ORDERS
3453P 3577/2 3577P/2F 3505P 3549P 3503P 3544/3P 3585/2P 3605/2P 3582/2P 3540P
24 Hour Call Log Care Coordination Note, 1/2 page Care Coordination Note, full page Case Management Meeting Note Clinical Note Clinical Record Review Daily Activity Log Discharge Instructions Incident Report Interdisciplinary Referral Prescribed Visit Calendar
100/pd 100/pk 100/pk 100/pd 100/pd 100/pd 100/pk 100/pk 50/pk 100/pk 100/pd
MEDICATIONS AND TREATMENTS

3487/3P 3485R/4P 3523/3P 4187/3P 3543/3 NURSES NOTES

Item #
Addendum to Plan of Treat./ Med Update HH Certication and Plan of Treatment Physician Orders Physician Verbal Orders, full page Physician Verbal/Telephone Orders
100/pk 100/pk 100/pk 100/pk 500/bx
Description
Pkg
3570/2P 3569P 3533P CFS 6-21HH/HF 3895P 3489P HOME CARE AIDES
Item #
Skilled Nursing Visit Note Skilled Nursing Visit Note Telephone Visit Vital Signs and Weight Record Wound Treatment Sheet Nursing Visit Note
100/pk 100/pd 100/pd 100/pd 50/pd 100/pd
L-9030 3537/3P 3537/3TP 3892P 3482/2P 3481/2P 3483/2P 3480P CFS 6-28HH DIAGNOSTIC LABS
Item #
Daily Medication Reminders Drug Regimen Review Drug Regimen Review IV Flow Sheet Medication Flow Sheet Medication Prole Medication Prole Addendum Medication Side Effect/Instruction Parenteral Fluids Flow Sheet
25/pd 100/pk 100/pk 50/pd 100/pk 100/pk 100/pk 100/pk 100/pd
Description
Pkg
1117 1120 1118
Hematology Lab Mount Sheet Miscellaneous Lab Mount Sheet Urinalysis Lab Mount Sheet
250/pk 250/pk 250/pk
Description
Pkg
ADVANCE DIRECTIVES
3574/3P 3573D/P 3573W/P
Home Health Aide Care Plan Home Health Aide Daily Visit Record HH/HC Aide Weekly Visit Record
100/pk 100/pd 100/pd
3538/3P MISCELLANEOUS
Item #
Do Not Resuscitate
100/pk
REHABILITATION AND THERAPY

Description
Pkg
3594/2P-11 3593P-11 3579P-11
Occupational Therapy Care Plan Occupational Therapy Evaluation Occupational Therapy Revisit Note
100/pk 100/pd 100/pd
3030/2P 3555 3584 3545HH
Consent to Photograph Home Care Services Time Log Satisfaction Survey Visit Verication Calendar
100/pk 100/pd 100/pd 100/pd
15
Hospice Documentation System
DOCUMENTATION

The Briggs Hospice Documentation System is the rst of its kind. It will save valuable time and eliminate duplication of documentation through the use of streamlined and standardized forms. Designed to meet CMS Medicare Conditions of Participation and the intent of The Joint Commission and CHAP standards, this system provides consistent, regulatory-compliant documentation. Use of this system will efciently and effectively promote quality care and postive patient outcomes. Implemented in its entirety, the Briggs Hospice Documentation System will facilitate regulatory compliance, assist with care coordination, risk management and more. By helping you obtain positive outcomes through clinical excellence, risk management and regulatory compliance, you can be sure to achieve the quality care your patients need.

UPDATED
Item #
Description
Price Per Each
7236H
$149.50

The following information is provided for each form within the Hospice Documentation System: Applicable Medicare CoPs are referenced Purpose of the form Instructions and recommendations for use Benet of the form as a component of the system The appendices include references to help support accurate documentation: Complete Medicare CoPs and Interpretive Guidelines Crosswalk of the CoPs to related forms Documentation tips to support standardization Common abbreviations Glossary to aid in consistent use of terminology List of web sites for reference Signs and symptoms of approaching death Worksheets for determining prognosis QAPI Resource
The Forms listed are included in the Hospice Documentation System. Detailed information concerning each of the forms is included in the manual.
ADMISSION/ADMINISTRATION
3443/2P 3895/2P 3527/2P CMS-R-131 1773 CMS-10124 CMS-10124-S 3466/2P 3531 3463/2P 3456/3P 3532P CMS-10123 CMS-10123-S 1770 1771 1772
Hospice Face to Face/60 Day Recert. Patient Consent for Care & Service Agreement Admission Service Agreement Hospice Advance Beneciary Notice (ABN) Authorization to Release Patient Info Detailed Non-Coverage, English Detailed Non-Coverage, Spanish Election of Medicare Hospice Benet Home Care/Hospice Rights & Respons. Hospice Benet Certication Hospice Medicare Benet Revocation Hospice Intake Referral Form Notice of Non-Coverage, English Notice of Non-Coverage, Spanish Notice of Privacy/ Acknowledgement of Receipt Privacy and Condentiality Agreement Request to Obtain Protected Health Info
100/pk 100/pk 100/pk 50/pk 100/pd 50/pk 50/pk 100/pk 100/pd 100/pk 100/pk 100/pd 50/pk 50/pk 100/pk 100/pk 100/pd
ASSESSMENTS/CARE PLANS
3166P 3477P 3599/2P 3911P 3910P 3479P 3455P 3472P 3882/2P 3884P 3888P 3459/2P 3478P
Braden Scale Comfort Self-Assessment Dietary Assessment/Consult Fall Risk Assessment Falls Safety Checklist Hospice Care Plan Overview Hospice IDG Meeting Notes Hospice IDG Care Plan Hospice Inpt. Respite Assess/Coord. Hospice Inpatient Care Criteria Hospice Dietary Assess./Preferences Pain Assessment Monitor Pain Monitoring Flow Sheet
100/pd 100/pd 100/pk 100/pd 100/pd 100/pk 100/pd 100/pk 50/pk 50/pd 100/pd 100/pk 100/pd
16
DOCUMENTATION
ASSESSMENTS/CARE PLANS (contd)

CARE COORDINATION (contd)

3450P 3457P 3466P 3967-12
Patient Assessment/Treatment Sheet Psychosocial Assessment Wound Assess./Braden Scale Initial/Comprehensive Hospice Assess.
100/pd 100/pk 100/pd 100/pk
PHYSICIAN ORDERS
3475R/2P 3523/3P 4187/3P 3543/3P NURSES NOTES

Item #
Hospice IDG Care Plan/Phys. Orders Physician Orders Physician Verbal Orders (Full Page) Physician Verbal/Telephone Orders
100/pk 100/pk 100/pk 500/bx
3886P 3885/2P 3471 3901 3605/2P 4512/2P 3465/2P 4514P
Hospice IDG Team Meeting Hospice/Nursing Facility Collaboration Hospice Satisfaction Survey Hospice Live Discharge Incident Report Interdisciplinary Referral Nursing Home Facility Coordination Hospice IDG Visits Calendar Worksheet
100/pd 50/pk 100/pd 100/pd 50/pk 100/pk 100/pk 100/pd
MEDICATION AND TREATMENTS

Description
Pkg
3894P 3883/2P 3476P 3893D/P 3533P CFS6-21HH/HF 3895P HOME CARE AIDES
Item #
Hospice Clinical Note Hospice Level of Care Change Hospice Nursing Visit/Assessment Hospice Shift Assessment 1 shift Telephone Visit Vital Signs and Weight Record Wound Treatment Sheet
50/pd 50/pk 100/pk 100/pd 100/pd 100/pd 50/pd
L-9030 3537/3P 3898 3899 3892P 3482/2P 3481/2P 3483/2P 3480P CFS6-28HH/HF
Daily Medication Reminders Drug Regimen Review Hospice Medication Prole Hospice Medication Review IV Flow Sheet Medication Flow Sheet Medication Prole Medication Prole Addendum Medication Side Effects/Instruction Parenteral Fluids Flow Sheet
25/pd 100/pk 100/pd 100/pd 50/pd 100/pk 100/pk 100/pk 100/pk 100/pd
Description
Pkg
ADVANCE DIRECTIVES
3574/3P 3573D/P 3573W/P 3889P
Home Health Aide Care Plan Home Health Aide Daily Visit Home Health Aide Weekly Visit Hospice Nursing Asst. Assignment/Doc
100/pk 100/pd 100/pd 100/pd
3538/3P MISCELLANEOUS
Item #
Do Not Resuscitate
100/pk
Description
Pkg
REHABILITATION AND THERAPY

3031/2P VOLUNTEERS
Item #
Consent to Photograph Hospice
100/pk
3309P 3311/2P 3310P 3314/2P 3307P 3308P 3313/2P 3312P 3315P 3390P
Occupational Therapy Evaluation Occupational Therapy Care Plan Occupational Therapy Revisit Physical Therapy Care Plan Physical Therapy Evaluation Physical Therapy Revisit Speech Therapy Care Plan Speech Therapy Evaluation Speech Therapy Revisit Ancillary Therapy Evaluation
100/pd 100/pk 100/pd 100/pk 100/pd 100/pd 100/pk 100/pd 100/pd 100/pd
Description
Pkg
3469P 3464/2P 3470/3P BEREAVEMENT

Item #
Volunteer Activity Record Volunteer Agreement Volunteer Assignment/Care Plan
100/pd 100/pk 100/pk
Description
Pkg
SOCIAL SERVICES AND PASTORAL SERVICES

3451P 3452P 3454P 3473/2P 3896P QAPI

Item #
Bereavement Assessment Bereavement Follow-Up Bereavement Plan of Care Tracking Death Note Expiration Checklist
100/pd 100/pd 100/pd 100/pk 50/pd
3598/2P 3597P 3468P 3887P 3566P
Medical Social Worker Care Plan Medical Social Worker Evaluation Spiritual Assessment Spiritual Coordinator Visit Medical Social Services Revisit Note
100/pk 100/pd 100/pd 100/pd 100/pd
Description
Pkg
2843P 2840P 2847P 2848P 2844P 2849P 2842P 2841P 2846P 2845P
CARE COORDINATION
3453P 4515P 4513P 3544/3P 3890P 3474/2P 3891P
24 Hour Call Log Case Management Meeting Note Clinical Record Review Daily Activity Log Hospice Care Coordination Note Hospice Death Discharge Summary Hospice Facility Kardex
100/pd 100/pd 100/pd 100/pk 100/pd 100/pk 50/pk
Decline Supporting Terminal Prognosis Quarterly Review of Comfortable Dying Measure Heart Disease Amyothropic Lateral Sclerosis Stroke & Coma Dementia Due to Alzheimers Disease and Related Disorders Comfortable Dying Tracking for Quarter Patient Symptom Ratings Pulmonary Disease Renal Disease
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
17
OASIS
DOCUMENTATION
COMPREHENSIVE ADULT NURSING ASSESSMENT

INCLUDING SOC / ROC ELEMENTS WITH CMS 485 INFORMATION
Follow M0 numbers in sequence unless otherwise directed.
REASON FOR ASSESSMENT: Start of Care Resumption of Care
QI = Quality Indicator
DATE________/________/_______
TIME IN___________ TIME OUT___________
This Patient Tracking Information must be filled out at start of care and per organizational policy. It is to be maintained as part of the clinical record.
(M0010) CMS Certification Number: (Locator #5) __ __ __ __ __ __ Branch Identification (M0014) Branch State: __ __ (M0016) Branch ID Number: __ __ __ __ __ __ __ __ __ __ (M0018) National Provider Identifier (NPI) for the attending physician who has signed the plan of care: __ __ __ __ __ __ __ __ __ __ UK - Unknown or Not Available Phone: (Locator #24) __ __ __ - __ __ __ - __ __ __ __ Name: (Locator #24) __ __ __ __ __ __ __ __ __ __ __ __
(First)
(M0030) Start of Care Date: (Locator #2) __ __ /__ __ /__ __ __ __

month month day day year year
(M0032) Resumption of Care Date: NA - Not Applicable (M0040) Patient Name: (Locator #6) __ __ __ __ __ __ __ __ __ __ __ __
(First) (Last)
__ __ /__ __ /__ __ __ __
(MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Patient Phone: __ __ __ - __ __ __ - __ __ __ __
__ __ __
(Suffix)
__
Patient Address: (Locator #6) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

(Street/Apt. No.) (City)
(MI) (Suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(Last)
__ __ __
Address:
(Street/Apt. No.) (Locator #24)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0050) Patient State of Residence: (Locator #6) __ __
Briggs enhances your performance outcomes by including the most up-to-date regulatory parameters and assessment requirements in our OASIS forms. Whenever CMS regulations change, were ready with new form revisions, so youre always collecting the right data to support better patient outcomes and accurate payments. We support our OASIS Documentation Solutions with a variety of tools that keep your staff knowledgeable about current regulations. And our customer service representatives are here to answer your questions or direct you to the appropriate clinical consultant for a response.
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ City: (Locator #24) __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ State: (Locator #24) __ __ Zip Code: (Locator #24) __ __ __ __ __ - __ __ __ __
(M0060) Patient Zip Code: (Locator #6) __ __ __ __ __ - __ __ __ __

(M0063) Medicare Number: NA - No Medicare
(including suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ - __ __ - __ __ __ __
(M0064) Social Security Number: UK - Unknown or Not Available (M0065) Medicaid Number: NA - No Medicaid __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0066) Birth Date: (Locator #8) __ __ /__ __ /__ __ __ __ __ __ __
(Suffix) month day year
Secondary Referring Physician I.D.#: __ __ __ __ __ __ __ __ __ __ Phone: __ __ __ - __ __ __ - __ __ __ __ Name: __ __ __ __ __ __ __ __ __ __ __ __

(First) (Last) (MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0020) Patient ID Number: (Locator #4)
Patients HI Claim No.: (Locator #1) 1 - Same as M0063 2 - Same as M0065 1-Male 2-Female 3 - Other __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0069) Gender: (Locator #9) Emergency Triage Code:____________________ DNR Order: Obtained Requested
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Medical Record Number if different than M0020 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0140) Race/Ethnicity: (Mark all that apply.) 1 - American Indian or Alaska Native 2 - Asian 3 - Black or African-American 4 - Hispanic or Latino 5 - Native Hawaiian or Pacific Islander 6 - White
Certification Period: (Locator #3) From ____/_____/________ To ____/____/________

PATIENT NAMELast, First, Middle Initial
(M0150) Current Payment Sources for Home Care: (Mark all that apply.) 0 - None; no charge for current services 1 - Medicare (traditional fee-for-service) 2 - Medicare (HMO/managed care /Advantage plan) 3 - Medicaid (traditional fee-for-service) 4 - Medicaid (HMO/managed care) 5 - Workers compensation 6 - Title programs (e.g., Title III, V, or XX) 7 - Other government (e.g., TriCare, VA, etc.) 8 - Private insurance 9 - Private HMO/managed care 10 - Self-pay 11 - Other (specify)_____________________________________________________________ UK - Unknown
ID#
Your agency can feel condent about choosing Briggs OASIS Documentation Solutions. We help you achieve favorable outcomes and strong performances while reducing your bottom line costs.
Rev. 9/09
Form 3491P-10 2007 Briggs Medical Service Company (800) 247-2343 www.BriggsCorp.com. The Outcome and ASsessment Information Set (OASIS) is the intellectual property of the Center for Health Services and Policy Research, Denver, Colorado. It is used with permission.
Page 1 of 20
COMPREHENSIVE ADULT NURSING ASSESSMENT

with OASIS ELEMENTS
Patient Privacy Rights
3491P-10
Comprehensive Adult Nursing Assessment including OASIS SOC/ROC Elements with Plan of Care Information
All-in-1 handout dening rights of Home Care patients whether Medicare/Medicaid or private pay, as required by CMS Printed 2 sides different
Item # Description Price Per Pad (100/pd)
3567
Patient Privacy Rights
$11.80
Includes all OASIS Start of Care/Resumption of Care elements as well as Patient Tracking Sheet for use during SOC/ROC assessments 20-page booklet-style form Black and blue ink, printed 2 sides different 5-hole punched top and side
Item # Description Price Per Box (100/bx)
3491P-10 SOC/ROC Nursing Assessment
$67.75
Enhanced features included in all Briggs OASIS-C forms
1. OASIS Elements Printed in blue 2. 485 Locators Make completing the 485 Plan of Treatment faster and easier 3. Briggs Healthcares Value-Added Components Printed in black 4. Classic Perforations Punch-holes remain intact for placement in patients chart
3 2
18
OASIS
DOCUMENTATION
Patient Tracking Sheet Including OASIS Demographics

PATIENT TRACKING SHEET

REASON FOR ASSESSMENT: INCLUDING OASIS DEMOGRAPHICS
Start of Care Resumption of Care Recertification Other Follow-up Transfer Discharge
DATE______/______/______
TIME IN___________ TIME OUT___________
This patient tracking sheet must be filled out at start of care and subsequent visits per organizational policy. It is to be maintained as part of the clinical record.
(First)
Used to document changes in patient demographics after the start of care/resumption of care assessment is performed Black and blue ink, printed 1 side 5-hole punched top and side

month month day day year year
(First) (Last)
__ __ /__ __ /__ __ __ __
(MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Patient Phone: __ __ __ - __ __ __ - __ __ __ __
__ __ __
(Suffix)
__

(MI) (Suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(Last)
__ __ __
Address:

(M0063) Medicare Number:
NA - No Medicare
(including suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ - __ __ - __ __ __ __

(First) (Last) (MI)
__
3490P-10 Patient Tracking Sheet
$10.90
Person completing this form (signature/title) _____________________________________________________________________________________________

PATIENT NAMELast, First, Middle Initial ID#
Rev. 10/09
with OASIS DEMOGRAPHICS
PATIENT TRACKING SHEET
3490P-10
Recertication/Follow-Up Assessment including OASIS Elements with Plan of Care Information

RECERTIFICATION / FOLLOW-UP ASSESSMENT

INCLUDING OASIS ELEMENTS AND CMS 485 INFORMATION DATE________/________/_______

TIME IN___________ TIME OUT___________
(First)

month day year
Includes all OASIS elements required for recertication and follow-up and a detachable care summary for physician 13-page booklet-style form Black and blue ink, printed 2 sides different 5-hole punched top and side
(First) (Last)
__ __ /__ __ /__ __ __ __
month day year
(MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Patient Phone: __ __ __ - __ __ __ - __ __ __ __
__ __ __
(Suffix)
__

(MI) (Suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(Last)
__ __ __
Address:

NA - No Medicare
(including suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ - __ __ - __ __ __ __

(First) (Last) (MI)
__
(M0110) Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an early episode or a later episode in the patients current sequence of adjacent Medicare home health payment episodes? 1 - Early NA - Not Applicable: No Medicare case mix group to be defined 2 - Later by this assessment. UK - Unknown *Early Episode is first or second episode in a sequence of adjacent episodes. Later is the third episode and beyond in sequence of adjacent episodes. Adjacent episodes are separated by 60 days or fewer between episodes.
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Medical Record Number if different than M0020 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
CLINICAL RECORD ITEMS

(M0080) Discipline of Person Completing Assessment: 1-RN 2-PT 3-SLP/ST 4-OT
(M0090) Date Assessment Completed: ___ ___/___ ___/___ ___ ___ ___
month day year
3492P-10 Recertication Nursing Assessment
$53.80
(M0100) This Assessment is Currently Being Completed for the Following Reason: Follow-Up 4 - Recertification (follow-up) reassessment [Go to M0110] 5 - Other follow-up [Go to M0110]
Complete M0032 information

PATIENT NAMELast, First, Middle Initial ID#
Rev. 9/09
Page 1 of 14
RECERTIFICATION/ FOLLOW-UP ASSESSMENT
3492P-10
Discharge Assessment Including OASIS Elements

INCLUDING OASIS ELEMENTS

DISCHARGE ASSESSMENT
DATE________/________/_______
TIME IN___________ TIME OUT___________
Includes all OASIS elements required for discharge and a detachable care summary for physician 12-page booklet-style form Black and blue ink, printed 2 sides different 5-hole punched top and side
(M0010) CMS Certification Number: __ __ __ __ __ __ Branch Identification (M0014) Branch State: __ __ (M0016) Branch ID Number: __ __ __ __ __ __ __ __ __ __ (M0018) National Provider Identifier (NPI) for the attending physician who has signed the plan of care: __ __ __ __ __ __ __ __ __ __ UK - Unknown or Not Available Phone: __ __ __ - __ __ __ - __ __ __ __ Name: __ __ __ __ __ __ __ __ __ __ __ __
(First) (Last) (MI)
(M0030) Start of Care Date:
__ __ /__ __ /__ __ __ __
month day year
(M0032) Resumption of Care Date: NA - Not Applicable (M0040) Patients Name: __ __ __ __ __ __ __ __ __ __ __ __

(First) (Last)
__ __ /__ __ /__ __ __ __
month day year
(MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Patient Phone: __ __ __ - __ __ __ - __ __ __ __
__ __ __
(Suffix)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Address: City: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ State: __ __ Zip Code: __ __ __ __ __ - __ __ __ __

(Street/Apt. No.)
__ __ __
(Suffix)
Patient Address: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0050) Patient State of Residence: __ __

(M0060) Patient Zip Code: __ __ __ __ __ - __ __ __ __
NA - No Medicare
(including suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ - __ __ - __ __ __ __

(First) (Last) (MI)
(M0064) Social Security Number: UK - Unknown or Not Available (M0065) Medicaid Number: NA - No Medicaid
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0020) Patient ID Number:
__ __ __
(Suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0066) Birth Date: __ __ /__ __ /__ __ __ __

month day year
Patients HI Claim No.: 1 - Same as M0063 2 - Same as M0065 3 - Other __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0069) Gender: 1-Male 2-Female (M1045) Reason Influenza Vaccine not received: If the patient did not receive the influenza vaccine from your agency during this episode of care, state reason: 1 - Received from another health care provider (e.g., physician) 2 - Received from your agency previously during this years flu season 3 - Offered and declined 4 - Assessed and determined to have medical contraindication(s) 5 - Not indicated; patient does not meet age/condition guidelines for influenza vaccine 6 - Inability to obtain vaccine due to declared shortage 7 - None of the above
(M1050) Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)? 0 - No 1 - Yes [Go to M1230]
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Medical Record Number if different than M0020 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0080) Discipline of Person Completing Assessment: 1-RN 2-PT 3-SLP/ST 4-OT X (M0090) Date Assessment Completed: ___ ___/___ ___/___ ___ ___ ___
month day year
3493P-10 Discharge Assessment
$45.75
(M0100) This Assessment is Currently Being Completed for the Following Reason: Discharge from Agency Not to an Inpatient Facility 8 - Death at home [Go to M0903] 9 - Discharge from agency [Go to M1040]
(M1040) Influenza Vaccine: Did the patient receive the influenza vaccine from your agency for this years influenza season (October 1 through March 31) during this episode of care? 0 - No 1 - Yes [Go to M1050] NA - Does not apply because entire episode of care (SOC/ROC to Transfer/Discharge) is outside this influenza season. [Go to M1050]
ID#
Rev. 10/09
Page 1 of 12
with OASIS ELEMENTS
DISCHARGE ASSESSMENT
3493P-10
Face-To-Face Encounter for Home Care

Used to capture the information needed to meet CMS face-to-face visit requirements Qualifying encounter type Physician attestation including clinical ndings in the physicians own words 2-part form allows you to keep a temporary copy while the original is out for physican completion Printed 1 side 5-hole punched top and side
Item # Description Price Per Pack (100/pk)
3401P
Face-to-Face Encounter
$20.15
3401P
19
OASIS
DOCUMENTATION
CARE SUMMARY INCLUDING OASIS ELEMENTS FOR
TRANSFER TO INPATIENT FACILITY DEATH AT HOME DATE________/________/_______

TIME IN___________ TIME OUT___________
Care Summary Including OASIS Transfer/Death Elements

CARDIOPULMONARY
(M1500) Symptoms in Heart Failure Patients: If patient has been diagnosed with heart failure, did the patient exhibit symptoms indicated by clinical heart failure guidelines (including dyspnea, orthopnea, edema, or weight gain) at any point since the previous OASIS assessment? 0 - No [Go to M2004] 1 - Yes 2 - Not assessed [Go to M2004] NA - Patient does not have diagnosis of heart failure [Go to M2004]
(M1510) Heart Failure Follow-up: If patient has been diagnosed with heart failure and has exhibited symptoms indicative of heart failure since the previous OASIS assessment, what action(s) has (have) been taken to respond? (Mark all that apply.) 0 - No action taken 1 - Patients physician (or other primary care practitioner) contacted the same day 2 - Patient advised to get emergency treatment (e.g., call 911 or go to emergency room) 3 - Implemented physician-ordered patient-specific established parameters for treatment 4 - Patient education or other clinical interventions 5 - Obtained change in care plan orders (e.g., increased monitoring by agency, change in visit frequency, telehealth, etc.)
(M0080) Discipline of Person Completing Assessment: 1-RN 2-PT 3-SLP/ST 4-OT (M0090) Date Assessment Completed:
___ ___/___ ___/___ ___ ___ ___

month day year
(M0100) This Assessment is Currently Being Completed for the Following Reason: Transfer to an Inpatient Facility 6 - Transferred to an inpatient facilitypatient not discharged from agency [Go to M1040] 7 - Transferred to an inpatient facilitypatient discharged from agency [Go to M1040] 8 - Death at home [Go to M0906]
A care summary including all OASIS elements required for transfer and death at home 3-page booklet-style form Black and blue ink, printed 2 sides different 5-hole punched top and side
(M1045) Reason Influenza Vaccine not received: If the patient did not receive the influenza vaccine from your agency during this episode of care, state reason: 1 - Received from another health care provider (e.g., physician) 2 - Received from your agency previously during this years flu season 3 - Offered and declined 4 - Assessed and determined to have medical contraindication(s) 5 - Not indicated; patient does not meet age/condition guidelines for influenza vaccine 6 - Inability to obtain vaccine due to declared shortage 7 - None of the above
(M1050) Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)? 0 - No 1 - Yes [Go to M1500]
MEDICATIONS
(M2004) Medication Intervention: If there were any clinically significant medication issues since the previous OASIS assessment, was a physician or the physician-designee contacted within one calendar day of the assessment to resolve clinically significant medication issues, including reconciliation? 0 - No 1 - Yes NA - No clinically significant medication issues identified since the previous OASIS assessment (M2015) Patient/Caregiver Drug Education Intervention: Since the previous OASIS assessment, was the patient/caregiver instructed by agency staff or other health care provider to monitor the effectiveness of drug therapy, drug reactions, and side effects, and how and when to report problems that may occur? 0 - No 1 - Yes NA - Patient not taking any drugs
3494P-10 Care Summary
$22.00
(M1055) Reason PPV not received: If patient did not receive the pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge), state reason: 1 - Patient has received PPV in the past 2 - Offered and declined 3 - Assessed and determined to have medical contraindication(s) 4 - Not indicated; patient does not meet age/condition guidelines for PPV 5 - None of the above
EMERGENT CARE
(M2300) Emergent Care: Since the last time OASIS data were collected, has the patient utilized a hospital emergency department (includes holding/observation)? 0 - No [Go to M2400] 1 - Yes, used hospital emergency department WITHOUT hospital admission 2 - Yes, used hospital emergency department WITH hospital admission UK - Unknown [Go to M2400]
ID#
Rev. 10/09
Page 1 of 3
with OASIS ELEMENTS
CARE SUMMARY
3494P-10
PHYSICAL THERAPY COMPREHENSIVE ADULT ASSESSMENT

INCLUDING SOC / ROC/OASIS ELEMENTS WITH CMS 485 INFORMATION
DATE________/________/_______
TIME IN___________ TIME OUT___________
(First)

month day year
Comprehensive Adult PT Assessment Including OASIS SOC/ROC Elements with Plan of Care Information
(First) (Last)
__ __ /__ __ /__ __ __ __
month day year
(MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Patient Phone: __ __ __ - __ __ __ - __ __ __ __
__ __ __
(Suffix)
__

(MI) (Suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
(Last)
__ __ __
Address:

NA - No Medicare
(including suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ - __ __ - __ __ __ __
(M0064) Social Security Number: UK - Unknown or Not Available (M0065) Medicaid Number: NA - No Medicaid __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0066) Birth Date: (Locator #8) __ __ /__ __ /__ __ __ __
month day year

(First) (Last) (MI)
__
__ __ __
(Suffix)
Includes all OASIS Start of Care/Resumption of Care elements and an attached Patient Tracking Sheet for use during SOC/ROC assessments 19-page booklet-style form Black and blue ink, printed 2 sides different 5-hole punched top and side

ID#
3495P-10 Adult PT Assessment
$67.75
Rev. 10/09
Page 1 of 19
PHYSICAL THERAPY ASSESSMENT

with OASIS ELEMENTS
3495P-10
PHYSICAL THERAPY RECERTIFICATION / FOLLOW-UP ASSESSMENT
INCLUDING OASIS ELEMENTS AND CMS 485 INFORMATION DATE________/________/_______

TIME IN___________ TIME OUT___________
PATIENT TRACKING LINK
Record changes to any of the following (or as directed by organizational policy): Medicare Number M0063 Medicaid Number M0065 Referring Physician M0018 Current Payment Source M0150
Comprehensive Adult PT Assessment Including OASIS Recertication/Follow-Up Elements with Plan of Care Information


(M0080) Discipline of Person Completing Assessment: 1-RN X 2-PT 3-SLP/ST 4-OT
Type of Visit:
Skilled Skilled & Supervisory
Supervisory only Other ___________________

month day year
(M0090) Date Assessment Completed: ___ ___/___ ___/___ ___ ___ ___
(M0100) This Assessment is Currently Being Completed for the Following Reason: Follow-Up 4 - Recertification (follow-up) reassessment [Go to M0110] 5 - Other follow-up [Go to M0110] Certification Period: (Locator #3) From ____/____/____ To ____/____/____
(M0110) Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an early episode or a later episode in the patients current sequence of adjacent Medicare home health payment episodes? 1 - Early NA - Not Applicable: No Medicare case mix group to be defined 2 - Later by this assessment. UK - Unknown *Early Episode is first or second episode in a sequence of adjacent episodes. Later is the third episode and beyond in sequence of adjacent episodes. Adjacent episodes are separated by 60 days or fewer between episodes.
PATIENT HISTORY
(M1020 / M1022 / M1024) Diagnoses, Symptom Control, and Payment Diagnoses: List each diagnosis for which the patient is receiving home care (Column 1) and enter its ICD-9-CM code at the level of highest specificity (no surgical/procedure codes) (Column 2). Diagnoses are listed in the order that best reflect the seriousness of each condition and support the disciplines and services provided. Rate the degree of symptom control for each condition (Column 2). Choose one value that represents the degree of symptom control appropriate for each diagnosis: V-codes (for M1020 or M1022) or E-codes (for M1022 only) may be used. ICD-9-CM sequencing requirements must be followed if multiple coding is indicated for any diagnoses. If a V-code is reported in place of a case mix diagnosis, then optional item M1024 Payment Diagnoses (Columns 3 and 4) may be completed. A case mix diagnosis is a diagnosis that determines the Medicare PPS case mix group. Do not assign symptom control ratings for V- or E-codes.
Code each row according to the following directions for each column: Column 1: Enter the description of the diagnosis. Column 2: Enter the ICD-9-CM code for the diagnosis described in Column 1; Rate the degree of symptom control for the condition listed in Column 1 using the following scale: 0 - Asymptomatic, no treatment needed at this time 1 - Symptoms well controlled with current therapy 2 - Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring 3 - Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring 4 - Symptoms poorly controlled; history of re-hospitalizations Note that in Column 2 the rating for symptom control of each diagnosis should not be used to determine the sequencing of the diagnoses listed in Column 1. These are separate items and sequencing may not coincide. Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided.
Includes all OASIS elements required for recertication and follow-up and a detachable care summary for physician 12-page booklet-style form Black and blue ink, printed 2 sides different 5-hole punched top and side
Column 3: (OPTIONAL) If a V-code is assigned to any row in Column 2, in place of a case mix diagnosis, it may be necessary to complete optional item M1024 Payment Diagnoses (Columns 3 and 4). See OASIS-C Guidance Manual. Column 4: (OPTIONAL) If a V-code in Column 2 is reported in place of a case mix diagnosis that requires multiple diagnosis codes under ICD-9-CM coding guidelines, enter the diagnosis descriptions and the ICD-9-CM codes in the same row in Columns 3 and 4. For example, if the case mix diagnosis is a manifestation code, record the diagnosis description and ICD-9-CM code for the underlying condition in Column 3 of that row and the diagnosis description and ICD-9-CM code for the manifestation in Column 4 of that row. Otherwise, leave Column 4 blank in that row.
3496P-10 Adult PT Recertication
$67.75
ID#
Form 3496P-10 2007 Briggs Medical Service Company (800) 247-2343 www.BriggsCorp.com. The Outcome and ASsessment Information Set (OASIS) Rev. 10/09 is the intellectual property of the Center for Health Services and Policy Research, Denver, Colorado. It is used with permission.
Page 1 of 12
PHYSICAL THERAPY RECERTIFICATION/ FOLLOW-UP ASSESSMENT
3496P-10
INCLUDING OASIS ELEMENTS DATE________/________/_______

TIME IN___________ TIME OUT___________
PHYSICAL THERAPY DISCHARGE ASSESSMENT
Physical Therapy Discharge Assessment Including OASIS Elements

(M0010) CMS Certification Number: __ __ __ __ __ __ Branch Identification (M0014) Branch State: __ __ (M0016) Branch ID Number: __ __ __ __ __ __ __ __ __ __ (M0018) National Provider Identifier (NPI) for the attending physician who has signed the plan of care: __ __ __ __ __ __ __ __ __ __ UK - Unknown or Not Available Phone: __ __ __ - __ __ __ - __ __ __ __ Name: __ __ __ __ __ __ __ __ __ __ __ __
(First) (Last) (MI)
(M0030) Start of Care Date:
__ __ /__ __ /__ __ __ __
month day year
(M0032) Resumption of Care Date: NA - Not Applicable (M0040) Patients Name: __ __ __ __ __ __ __ __ __ __ __ __

(First) (Last)
__ __ /__ __ /__ __ __ __
month day year
(MI)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Patient Phone: __ __ __ - __ __ __ - __ __ __ __
__ __ __
(Suffix)
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Address: City: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ State: __ __ Zip Code: __ __ __ __ __ - __ __ __ __

(Street/Apt. No.)
__ __ __
(Suffix)
Patient Address: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0050) Patient State of Residence: __ __

(M0060) Patient Zip Code: __ __ __ __ __ - __ __ __ __
Includes all OASIS discharge elements 13-page booklet-style form Black and blue ink 5-hole punched top and side
NA - No Medicare
(including suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ - __ __ - __ __ __ __

(First) (Last) (MI)
(M0064) Social Security Number: UK - Unknown or Not Available (M0065) Medicaid Number: NA - No Medicaid
__
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0020) Patient ID Number:
__ __ __
(Suffix)
__ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0066) Birth Date: __ __ /__ __ /__ __ __ __

month day year
Patients HI Claim No.: 1 - Same as M0063 2 - Same as M0065 3 - Other __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (M0069) Gender: 1-Male 2-Female (M1045) Reason Influenza Vaccine not received: If the patient did not receive the influenza vaccine from your agency during this episode of care, state reason: 1 - Received from another health care provider (e.g., physician) 2 - Received from your agency previously during this years flu season 3 - Offered and declined 4 - Assessed and determined to have medical contraindication(s) 5 - Not indicated; patient does not meet age/condition guidelines for influenza vaccine 6 - Inability to obtain vaccine due to declared shortage 7 - None of the above
(M1050) Pneumococcal Vaccine: Did the patient receive pneumococcal polysaccharide vaccine (PPV) from your agency during this episode of care (SOC/ROC to Transfer/Discharge)? 0 - No 1 - Yes [Go to M1230 at DC]
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Medical Record Number if different than M0020 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

(M0080) Discipline of Person Completing Assessment: 1-RN X 2-PT 3-SLP/ST 4-OT (M0090) Date Assessment Completed: ___ ___/___ ___/___ ___ ___ ___
month day year
3497P-10 PT Discharge Assessment
$64.35
(M0100) This Assessment is Currently Being Completed for the Following Reason: Discharge from Agency Not to an Inpatient Facility 8 - Death at home [Go to M0903] 9 - Discharge from agency [Go to M1040]
ID#
Rev. 10/09
Page 1 of 13
PHYSICAL THERAPY DISCHARGE ASSESSMENT

with OASIS ELEMENTS
3497P-10
20
OASIS
DOCUMENTATION
Occupational Therapy and Speech Therapy Assessments Including OASIS Elements

3498P-10
Includes all OASIS Start of Care/Resumption of Care elements and a patient tracking sheet 20-page booklet-style form 5-hole punched top and 7-hole punched side
3498P-10 Occupational Therapy Assessment 3499P-10 Speech Therapy Assessment
$84.95 $84.95
Insert your agency logo/information label here
3499P-10
OASIS-C Guidance Manual: A Clinicians Pocket Guide A Must Have OASIS Tool for every clinician! Home Care Admission Packet

The information new home care clients and their families need in a single place Admission Folder: Provides staff contact information, statement of condentiality and a place to store information Customize folder with your agency logo and/or information (Briggs custom label H1908L) Guide to Health at Home Booklet: Using large fonts and simplied language, contains necessary and regulatory information regarding patient education, Medicare requirements and topics such as patient rights, condentiality, safety, infection control and emergency preparedness 3400B Booklet is also available separately Forms: Assembled in order of use, includes Admission Service Agreement, Medicare Secondary Payer Worksheet Patient Privacy Statement Do Not Resuscitate Request Medication Prole, Medication Prole Addendum, Medication Side Effects, HHA Care Plan
CMS provides guidance for completion of each MO element on the OASIS Assessment. Briggs recognizes the importance of getting that information in the hands of every staff member as they complete the OASIS. Providing each of your clinicians with a copy of our compact, spiral bound book is one of the most cost-effective and easy things you can do to increase OASIS assessment accuracy.
Sections in this book include: Chapter 3 OASIS Item Guidance: Item specic guidance for each OASIS item including the item intent, time points completed, response specic instructions and data sources/resources. Chapter 4 Illustrative clinical record form pages with OASIS-C item integrated Chapter 5 Resources/Links The compact size and information make this a necessary reference tool for each of your clinicians in the eld.
7739
OASIS Guidance Manual
$12.30
Item #
Description
Price Per Case (25/ca)
3400 3400B
Admission Packet Guide to Health at Home Booklet
$189.40 $56.85
21
EZ Pathways
DOCUMENTATION
Put Your Agencys Documentation Focus on Patient Outcomes with EZ Pathways
Developed specically for home health agencies operating under the Prospective Payment System, EZ Pathways are comprised of a family of 20 disease-state specic clinical pathways. Supporting both Skilled Nursing and Rehabilitation disciplines, EZ Pathways puts the focus on measuring patient outcomes of care, instead of documenting nursing interventions. EZ Pathways are available for the most common diseasestates found in home care and include the chronic diseases your agency sees most often.
Designed specifically for Home Health Agencies

EZ Pathways were developed by home health clinicians for home health clinicians who understand that home-based patient care is very different than in an acute-care setting.
Support the chronic disease states found in home health

There are 20 disease-state specic booklets that provide documentation for nursing, therapists, aides and medical social workers.
Easy and ready to use Pay as you gono capital expenditure Fixed cost per patient episode. Substantiate patients need for services utilizing diseasespecific documentation pathways Continue to care for your stable patients with unstable symptoms by clearly documenting their need for services with the Management and Evaluation pathway Deliver patient-centered care by focusing documentation on what the patient knows and is able to do
Clinically proven for documenting patient outcomes

EZ Pathways have been clinically proven in over ten years of use. Its the only pathway of its kind that allows you to measure the patients progress towards goals on each visit!
Quickly review and analyze care delivery and patient outcomes on every visit
EZ Pathways facilitate the quick review of practice standards and provide the ability to analyze outcomes using objective, specic and measurable data on every visit. You dont have to wait for your quarterly outcomes reports, EZ Pathways allows you to proactively address patient outcomes on each visit!
Acts as a nurses visit note and outcome measureall on one page

Users nd the one-page-per-visit format reduces paperwork, yet enhances their ability to assess and measure patient outcomes.
From staff training to a Managers Reference booklet, the EZ Pathways Success Kit helps you get started using clinical pathways. Providers using EZ Pathways are seeing positive patient outcomes and more accurate, timely payments. Theres never been an easier way to provide consistent and accurate documentation to support the need for services.
Reduce denials of payment originating from ADRs/488s

EZ Pathways provide quantiable, measurable evidence to support qualifying services and to substantiate those services are reasonable and necessary.
34100-EZ
EZ Pathways Success Kit
$199 .00
22
EZ Pathways
DOCUMENTATION
Success Kit & Field Guide

Pathway Pads
Item # Description Price Per Pad 1 or More 5 or More
34100-EZ Success Kit for EZ Pathways $199.00 Includes: Patient Education CD-ROM, Staff Training CD-ROM, Implementation Tips Booklet, Managers Reference Booklet and Pathway BookletPneumonia Field Guide
Price Per Pack (5/pk) 1 or More 5 or More
3417EZ
HH Aide Visit Note Pathway
$9.25
$8.30
Axials
Purchase 5 or more pads of 5 (any combination of axial titles) for $00.00 per pad.
Item # Description Price Per Pad
Item #
Description
3432EZ
Field Guide for EZ Pathways
$51.30
$46.15
Pathways
3416EZ 3403EZ 3409EZ 3401EZ 3404EZ 3402EZ 3406EZ 3410EZ 3411EZ 3405EZ 3407EZ 3413EZ 3415EZ 3400EZ 3408EZ 3412EZ 3414EZ 3424EZ 3418EZ 3422EZ
Wound Pathway COPD Pathway Hypertentsion Pathway Cancer Pathway CVA Pathway CHF Pathway Diabetes Pathway Management and Evaluation Pathway Neuromuscular Pathway CAD Pathway General Care Managment Pathway Post Surgical Pathway Urinary Pathway Arthritis Pathway AIDS/HIV Pathway Pneumonia Pathway Renal Disease Pathway OT Standard Pathway MSW Long Term Plan Pathway OT CVA Pathway
$30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80 $30.80
3416EZ-AX 3403EZ-AX 3409EZ-AX 3401EZ-AX 3402EZ-AX 3406EZ-AX 3410EZ-AX 3405EZ-AX 3407EZ-AX 3413EZ-AX 3415EZ-AX 3408EZ-AX 3412EZ-AX 3414EZ-AX 3424EZ-AX 3418EZ-AX 3422EZ-AX
Wound Axial COPD Axial Hypertension Axial Cancer Axial CHF Axial Diabetes Axial Management and Evaluation Axial CAD Axial General Care Management Axial Post Surgical Axial Urinary Axial AIDS/HIV Axial Pneumonia Axial Renal Disease Axial OT Standard Axial MSW Long Term Plan Axial OT CVA Axial
$7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20 $7.20
23
Long Term Care Documentation System
DOCUMENTATION
UPDATED
A Standardized System to Help You Ensure the Consistency and Accuracy of Resident Documentation Briggs Healthcare has been working with long-term care professionals since day one of the OBRA implementation and understands the challenges associated with compliance. With our strong experience and extensive clinical staff, we are able to provide you with the tools to cost effectively keep pace with the changing regulatory environment. The Briggs Comprehensive Documentation System will help you: Manage quality of care Comply with current regulations Eliminate redundancy saving nursing time Diminish liability Improve interdisciplinary communications Sustain policies and procedures during staff shortages and periods of high turnover Establish consistent and standardized documentation

Item #
Description
Price Per Each
7130R
LTC Comprehensive Documentation System
$149.50

The following information is provided for each form within the LTC Documentation System: Applicable F-Tags are referenced Purpose of the form Instructions and recommendations for use Benet of the form as a component of the system Common abbreviations Glossary to aid in consistent use of terminology The Forms listed are included in the LTC Documentation System. Detailed information concerning each of the forms is included in the manual.
PREADMISSION
3535P ADMISSIONS
Item #
Medicare Secondary Payer Worksheet
100/pd
Description
Pkg
1770 CFS5-1/3P CFS2-4/2P & TP CFS5-18HH CFS5-19HH 1141P CFS1-12/2PS CFS2-1/3P, CFS2-1/3TP CFS2-2/2P, CFS2-2/2TP CFS5-17HF, CFS5-17HH 3025P 3027 1364P-12 1365P 1366P-12 1367P-12 1368P-12 1369P-12 1370P-12 1371P 1372P 1373P-12 1374P 1375P-12
Notice of Privacy/ Acknowledgement of Receipt Record of Admission Resident Transfer Form PASARR Identication Screen Mental Retrd PASARR Identication Screen Mental Illness Accumulative Diagnosis Record Inventory of Personal Effects Notice of Transfer Or Discharge Post-Discharge Plan of Care Interdisciplinary Discharge Summary Release From Responsibility For Discharge Release of Responsibility For Leave of Absence Congestive Heart Failure Disclosure Parkinsons Disease Disclosure Alzheimers Disease Disclosure Diabetes Mellitus Disclosure Osteoporosis Disclosure Cerebrovascular Accident Disclosure Pressure Ulcer Disclosure Emphysema Disclosure Hypertension Disclosure Cancer Disclosure Depression Disclosure Chronic Renal Failure Disclosure
100/pk 100/pk 100/pk 100/pd 100/pd 100/pd 100/pk 100/pk 100/pk 100/pd 100/pd 100/pd 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk 50/pk
Need to see a form up close? No problem. Visit www.BriggsCorp.com, click on Order Products and simply search for the item youd like to preview. You can download a sample PDF by clicking on View Content. Its that easy!
24
DOCUMENTATION
ADVANCE DIRECTIVES/CONSENTS
ASSESSMENTS (contd)
CFS1-10/2PS
CFS1-3 CFS1-4HF, CFS1-4HH 1773, 1773/2 CFS3-4/2P, CFS3-4/2TP CFS3-8/2P
Advanced Directives/Medical Treatment Decisions Acknowledgement of Receipt Resident Rights Notication And Consent Authorization To Release Patient Info Physical Restraint Consent Psychoactive Medication Consent
100/pk
100/pk 100/pk 100/pd 100/pk 100/pk
HISTORY & PHYSICAL

633
History & Physical
100/pd
PHYSICIAN PROGRESS NOTES

3167P CFS6-4HF, CFS6-4HH CFS6-5HH-10 CFS6-6HH-10 3169HF, 3169HH 3168HF-10, 3168HH-10 3714HF-10, 3714HH-10 CFS3-1HF, CFS3-1HH CFS3-2HF, CFS3-2HH FLOW SHEETS
Item #
Norton Plus Pressure Ulcer Scale Pressure Ulcer Risk Assessment Wound/Skin Record Weekly Pressure Sore Progress Report Wound/Skin Healing Record Skin Condition Record Side Rail Assessment Pre Restraining Assessment Physical Restraint Elimination
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
CFS9-1HF, CFS9-1HH CONSULTS

Item #
Physicians Progress Notes
100/pd
Description
Pkg
Description
Pkg
63 CFS11-1HF, CFS11-1HH
Report of Consultation Oral/Dental Record
100/pd 100/pd
PHYSICIAN ORDERS
CFS6-21HF, CFS6-21HH CFS6-38HF, CFS6-38HH CFS6-19HF, CFS6-19HH CFS6-22HF, CFS6-22HH MDS CARE PLAN
Item #
Vital Signs And Weight Record Pain Management Flow Sheet Neurological Assessment Flowsheet Diabetic Monitoring Flowsheet
100/pd 100/pd 100/pd 100/pd
888-S 888/2 888/3 CFS5-2/4P, CFS5-2/4TP CFS9-3/3P & 4P CFS5-16HF, CFS5-16HH CFS3-9R/2P ASSESSMENTS
Item #
Certication & Recertication Certication & Recertication Certication & Recertication Admission Orders Physicians Telephone Orders Physician Discharge Summary Request For Gradual Dosage Reduction
100/pd 250/pk 250/bx 100/pk 125/bx 100/pd 100/pk
Description
Pkg
Description
Pkg
CFS5-3HF-10, CFS5-3HH-10 3687 3802P 3690HF-10, 3690HH-10 1821 CFS6-17HF, CFS6-17HH 3682P 3680P 3679P 3079HH 3711HF-10, 3711HH-10 3697HH CFS3-10HF, CFS3-10HH CFS6-8HF, CFS6-8HH CFS6-10HF, CFS6-10HH 3166P
Resident Data Collection Short Portable Mental Status Questionnaire Geriatric Depression Scale Pain Assessment Pain Rating Scale w/ Different Languages Fall Risk Assessment Behavior Symptoms Checklist Behavior Management Plan Behavior Intervention Eval. Checklist Behavior/Intervention Monitoring Wander Data Collection Pre-Psychoactive Medication Assessment Psychoactive Medications Quarterly Evaluation Bowel Retraining Assessment Bladder Incontinence Evaluation Braden Scale Pressure Sore RIsk
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
1851P-12R 1852P-12R 1854P-12R 1856P-12R 1858P-12R 1901P 1902P 1903P 1904P 1905P 1906P 1907P 1908P 1909P 1910P 1911P 1912P 1913P 1914P 1915P 1916P 1917P 1918P 1919P 1920P CFS5-10HH CFS5-14HF, CFS5-14HH 1177P 1178P 1176P CFS5-12HF, CFS5-12HH CFS5-13HF, CFS5-13HH
MDS 3.0 Nursing Home Comp. (NC) MDS 3.0 Nursing Home PPS/Quarterly MDS 3.0 Nursing Home Swing Bed OMRA MDS 3.0 Nursing Home/Swing Bed MDS 3.0 Nursing Home Discharge Delerium-CAA Cognitive Loss-CAA Visual Function-CAA Communication-CAA Activities of Daily Living-CAA Urinary Incontinence & Indwelling Catheter-CAA Psychosocial Well-Being-CAA Mood Status-CAA Behavioral Symptoms-CAA Activities-CAA Fall-CAA Nutritional Status-CAA Feeding Tube(s)-CAA Dehydration/Fluid Maintenance-CAA Dental Care-CAA Pressure Ulcer(s)-CAA Psychotropic Medication Use-CAA Physical Restraints-CAA Pain-CAA Return to Community Referral-CAA Overall Resident Prole Temporary Problem List Comprehensive Plan of Care Insert Page Interim Plan of Care Interdisciplinary Care Plan Care Plan Conference Summary
25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 25/pk 100/pd 100/pd 100/pk 100/pk 100/pk 100/pk 100/pd
25
DOCUMENTATION
NURSES NOTES
RESTORATIVE NURSING (contd)

3429P CFS6-32HF, CFS6-32HH CFS6-31HF, CFS6-31HH CFS5-20HF-10, CFS5-20HH-10 INTAKE & OUTPUT
Item #
Daily Skilled Nurses Notes Nurses Notes Interdisciplinary Progress Notes Nurses Progress Notes
100/pd 100/pd 100/pd 100/pd
3729HH 3725HH 3727 3720HH 3726 3717HH 3731HF, 3731HH 3728HH 3718HH 3740P 3732 THERAPY
Item #
Description
Pkg
1185HF, 1185HH 3662HF, 3662HH CFS6-11HF, CFS6-11HH CFS6-9HF, CFS6-9HH 3057HF, 3057HH
Comprehensive Intake-Output Food Intake Record Bladder Schedule Bowel Schedule Bowel Movement Elimination Record
100/pd 100/pd 100/pd 100/pd 100/pd
Urinary Incontinence/Indwelling Catheter Assessment Urinary Incontinence Management Evaluation CNA Care Plan Reference Sheet Restorative Nurse Care Plan/ Progress Notes Restorative Program Tracking Form Restorative Nursing Transfer Form Restorative Care Flow Record Urinary Incontinence Management Program Restorative Nurses Progress Notes Restorative Nurses Progress Notes Restorative Meeting Summary
Description
100/pd 100/pd 100/pd 100/pd 100/pk 100/pd 100/pd 100/pk 100/pd 100/pd 100/pd
Pkg
MEDICATION & TREATMENT

CFS6-27HF, CFS6-27HH CFS6-29HF, CFS6-29HH 1175HH CFS6-16HH CFS3-5HF-12, CFS3-5HH-12 3663HF-12, 3663HH-12 3664HF-12, 3664HH-12 3666HF-12, 3666HH-12 3668HF-12, 3668HH-12 CFS3-7HF, CFS3-7HH CFS1-14HF, CFS1-14HH CFS1-13P CFS12-3HF, CFS12-3HH
Medication Record Treatment Record IV Medication Sheet Enteral Nutrition Record Disruptive Behavior/ Intervention/Outcome Disruptive Behavior/Intervention/ Outcome Anti-Psychotic Medications Disruptive Behavior/Intervention/ Outcome Anti-Anxiety Medications Disruptive Behavior/Intervention/ Outcome Anti-Depressant Medications Disruptive Behavior/Intervention/ Outcome Hypnotic Sedative Medications AIMS Scale Abnormal Involuntary Movement Scale Assessment for Self Administration of Medications Self-Medication Administration Controlled Medication Administration Record
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
3799P 3791P 3792P 3793P 3794P 3795P 3796P 3797P 3748HH SOCIAL SERVICES
Item #
Certication Recertication Physical Therapy Progress Note Patient Daily Service Treatment Grid Occupation Therapy Progress Status OT Daily Service Treatment Grid Dysphagia Medical Work Up Speech Therapy Progress Status ST Daily Service & Treatment Grid Home Assessment Tool
Description
100/pd 100/pd 100/pk 100/pd 100/pk 100/pd 100/pd 100/pk 100/pk

Pkg
CFS4-10HF, CFS4-10HH CFS4-12HF, CFS4-12HH 1173HF, 1173HH 1187P 3076HF, 3076HH CFS4-13HF, CFS4-13HH CFS1-9R/2P, CFS1-9R/2TP CFS1-15R/2 CFS5-15HH 1775 1776 DIETARY
Item #
Initial Social Service History Social Service Assessment Initial Psychosocial Assessment History Resident Family Educational Assessment Patient/Family Education Social Service Progress Notes Notication of Room Change Notication of New Roommate Discharge Plan/Discharge Plan Review Req For Amendment of Information Denial of Amendment Letter
Description
100/pd 100/pd 100/pk 100/pd 100/pd 100/pd 100/pk 100/pk 100/pd 100/pd 100/pd
Pkg
LAB & SPECIAL REPORTS

2123P-12 2121HF, 2121HH
Immunization Record Tuberculosis Surveillance Summary Record
100/pd 100/pd
RESTORATIVE NURSING
CFS6-12HH CFS6-14HH CFS6-1HF, CFS6-1HH CFS6-13HF, CFS6-13HH 3719HF, 3719HH 3715HH 3716HH
Range of Motion Assessment Restorative Feeding Evaluation ADL Functional Restorative Assessment Progress Restorative Care Flow Record Restorative Care Flow Record Restorative Nursing Program Needs Identication Restorative Dining Screening Tool
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
CFS5-5HF, CFS5-5HH CFS6-20HH 1183HH CFS5-7HF, CFS5-7HH CFS5-8HF, CFS5-8HH CFS5-9HF, CFS5-9HH 1184P 1179P 3139P 3142P
Nutritional History Malnutrition Risk Assessment Nutritional Status Review Nutritional Progress Notes Nutritional Assessment Tube Fed Resident Dietary Enteral Assessment Diet History/Food Preference List Nutritional Care Recommendation Temperature/Sanitizer Log Refrigerator/Freezer Temperature Log
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pk 100/pd 100/pd 100/pd
26
DOCUMENTATION
ACTIVITIES
PHARMACY
3646HH CFS4-1/2P-10, CFS4-1/2TP-10 CFS4-2HH CFS4-4HH CFS4-5HH CFS4-6HF, CFS4-6HH CFS4-9HF, CFS4-9HH 1144P 1143P 1142P 1248 CNA RECORDS
Item #
Therapeutic Recreation/Activity Form Initial Activity Assessment Activity Assessment Overall Activity Plan One-to-One Program/Individual Job Assignment Plan Individual Participation Rec Activity Progress Notes Volunteer Application Group Volunteer Application Volunteer Hours Shared Activities Worksheet
100/pd 100/pk 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 50/pd
CFS12-1 CFS12-4 CFS12-5HH CFS12-7/3P
Medication Pass Evaluation Controlled Drugs Count Record Monthly Drug Regimen Review Physician Action Report
100/pd 100/pd 100/pd 100/pk
PHYSICAL ENVIRONMENT
CFS14-2 CFS14-3 CFS14-4 CFS14-5 CFS14-6 CFS14-7 CFS14-4 CFS14-14 ADMINISTRATION
Preadmission Room Inspection Laundry Quality Assurance Housekeeping QA Checklist Deep Cleaning List Routine Cleaning Schedule Deep Cleaning Schedule Housekeeping Log Preventative Log Res Room
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
Description
Pkg
Item #
Description
Pkg
CFS6-3AHH CFS6-3BHH CFS6-3CHH 1145P 1138P CFS6-7HH CFS3-3HH DEMENTIA

Item #
Nurse Assistant Care Records (A.M. Shift) Nurse Assistant Care Records (P.M. Shift) Nurse Assistant Care Records (Night Shift) Nurse Aides Information Sheet Plan of Care Kardex Turn/Reposition Record Sp Restraint Release Record
100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd
1771 1772 1779 CFS1-2 CFS2-3/4 1289R 2119
Privacy & Condentiality Agreement Request to Obtain Protected Information Disclosure Log Resident Council Minutes Census Report In-Service Training Report Employee In-Service/Educational Attendance Record
100/pk 100/pd 100/pd 100/pd 100/pk 100/pd 100/pd
QUALITY ASSURANCE
Description Pkg Item # Description Pkg
3678HH 3676/2P 3646/2P 3688 3692HF-10, 3692HH-10 3689HH-10 3650HH 3639HF, 3639HH 3660 3674P 3389P 3681/2P 3694/2 3683/2P 3700P 3699 3671HH
Family Questionnaire Special Care Unit Consent Physical Restraint Consent Cornell Scale Depression Dementia Resident Summary Interdisciplinary Admis Assessment Functional Assessment Alzheimers Physical Restraint Reduction Assessment Resident Status & Care Plan Special Care Unit Criteria Review Resident Weekly Care Log Psychoactive Medication Consent Diet Order & Communication Activity Interest Survey Safety Check Log Missing Resident Identication Resident/Family Conference Notes
100/pk 100/pk 100/pk 100/pd 100/pk 100/pk 100/pk 100/pd 100/pk 100/pd 100/pd 100/pk 100/pk 100/pk 100/pd 50/pk 100/pd
INFECTION CONTROL
CFS13-1 1163P CFS13-2 7123P-10 2117/3 2116 2115R 2122
Infection Report Monthly Infection Resident Analysis Infection Control Log Inuenza/Pneumonococcal Informed Consent Employee Incident Accident Report Source Individual Consent HBV Vaccination Consent/Declination Monthly Schedule For TB Testing
100/pd 100/pd 100/pd 100/pd 100/pk 100/pd 100/pd 100/pd
1136P 1137/2P CFS1-11 CFS14-1 CFS14-20 CFS14-21 CFS6-18/2 CFS3-11/2 1162P 3090 3092 1161P 3091 CFS6-30 3712HH 3081 3147P 3089 3087 3088 1160-10 1169P CFS14-9 CFS9-2 CFS8-1
Medical Record Audit Discharge Audit Grievance Complaint Report Grievance QA Log Action Plan Quality Assurance Log Incident Accident Report Resident Abuse Incident Report Incident Report QA & A Mo Sum Incident Report QA/CQI Log Investigation Follow Up Post-Fall Assessment Resident Fall Tracking Log Medication Error Report Elopement Risk Tracking Log Weekly Pressure Sore QI Log Skin/Wound QI Log Dehydration Risk Tracking Log Weekly Weight Variance QI Log Weight Variance QI Log MDS Accuracy Tool Hydration Investigative Protocol Safety Infection Control List Physicians Visit Log Food Temperature Record
100/pk 100/pk 100/pd 100/pd 100/pd 100/pd 100/pk 100/pk 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pk 100/pd 100/pd 100/pd 100/pd
27
MDS 3.0
DOCUMENTATION
Day after day, health care professionals everywhere count on Briggs MDS Solutions to help them navigate the changing regulations and compliance issues. We have clinicians on staff that regularly monitor the changes from CMS and immediately update our forms and manuals with those changes.
Despite the constant changes you face, Briggs commitment to providing excellent service and quality products is something you can count on.
Resident
Identifier
Date
Resident
Identifier
Date
CAAs =
QMs =
PPS =
RESIDENT ASSESSMENT AND CARE SCREENING Nursing Home Comprehensive (NC) Item Set
MINIMUM DATA SET (MDS) - Version 3.0
Code - if information unavailable or unknown

QMs = PPS =
RESIDENT ASSESSMENT AND CARE SCREENING

Nursing Home PPS (NP) Item Set Nursing Home Quarterly (NQ) Item Set
Section A
Enter Code
Identification Information
1. 2. 3. Add new record Continue to A0100, Facility Provider Numbers Modify existing record Continue to A0100, Facility Provider Numbers Inactivate existing record Skip to X0150, Type of Provider
Section A
Enter Code
A0100. Facility Provider Numbers

A. B. C. National Provider Identifier (NPI): CMS Certification Number (CCN): State Provider Number:

A0200. Type of Provider

Enter Code
Type of provider 1. Nursing home (SNF/NF) 2. Swing Bed

CAA

Enter Code
A0310. Type of Assessment

Enter Code
A.
Enter Code
B.
Federal OBRA Reason for Assessment 01. Admission assessment (required by day 14 ) 11 02. Quarterly review assessment 03. Annual assessment 1, 8 04. Significant change in status assessment 1, 8 05. Significant correction to prior comprehensive assessment 1, 8 06. Significant correction to prior quarterly assessment 99. None of the above PPS Assessment PPS Scheduled Assessments for a Medicare Part A Stay 01. 5-day scheduled assessment 02. 14-day scheduled assessment 03. 30-day scheduled assessment 04. 60-day scheduled assessment 05. 90-day scheduled assessment 06. Readmission/return assessment PPS Unscheduled Assessments for a Medicare Part A Stay 07. Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) Not PPS Assessment A0310 continued on next page 99. None of the above
QUALITY MEASURES (QM)
Type of provider 1. Nursing home (SNF/NF) 2. Swing Bed A. Federal OBRA Reason for Assessment 01. Admission assessment (required by day 14 ) 02. Quarterly review assessment 03. Annual assessment 04. Significant change in status assessment 05. Significant correction to prior comprehensive assessment 06. Significant correction to prior quarterly assessment 99. None of the above PPS Assessment PPS Scheduled Assessments for a Medicare Part A Stay 01. 5-day scheduled assessment 02. 14-day scheduled assessment 03. 30-day scheduled assessment 04. 60-day scheduled assessment 05. 90-day scheduled assessment 06. Readmission/return assessment PPS Unscheduled Assessments for a Medicare Part A Stay 07. Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) Not PPS Assessment 99. None of the above

Enter Code
Enter Code
B.
SHORT STAY QUALITY MEASURES: 76 (#0676) Residents who self report moderate to severe pain 78 (#0678) Residents with pressure ulcers that are new or worsened 80 (#0680) Residents who were assessed and appropriately given the seasonal Influenza Vaccine 80A (#0680A) Residents who received the seasonal Influenza Vaccine 80B (#0680B) Residents who were offered and declined the seasonal Influenza Vaccine 80C (#0680C) Residents who did not receive, due to medical contraindication, the seasonal Influenza Vaccine 82 (#0682) Residents accessed and appropriately given the Pneumococcal Vaccine 82A (#0682A) Residents who received the Pneumococcal Vaccine 82B (#0682B) Residents who were offered and declined the Pneumococcal Vaccine 82C (#0682C) Residents who did not receive, due to medical contraindication, the Pneumococcal Vaccine
LONG STAY QUALITY MEASURES 74 (#0674) Residents experiencing one or more falls with 83C (#0683C) Residents who did not receive, due to medical major injury contraindication, the Pneumococcal Vaccine 77 (#0677) Residents who self-report moderate to severe pain 84 (#0684) Residents with a Urinary Tract Infection 79 (#0679) High-risk residents with pressure ulcers 85 (#0685) Low Risk residents who lose control of their bowel or bladder 81 (#0681) Residents assessed and appropriately given the seasonal Influenza Vaccine 86 (#0686) Residents who have/had a catheter inserted and left in their bladder 81A (#0681A) Residents who received the seasonal Influenza Vaccine 87 (#0687) Residents who were physically restrained 81B (#0681B) Residents who were offered and declined the 88 (#0688) Residents whose need for help with activities of seasonal Influenza Vaccine daily living has increased 81C (0681C) Residents who did not receive, due to medical 89 (#0689) Residents who lose too much weight contraindication, the seasonal Influenza Vaccine 90 (#0690) Residents who have depressive symptoms 83 (#0683) Residents assessed and appropriately given the 300 (#300) Prevalence of Falls Pneumococcal Vaccine 400 (#400) Prevalence of psychoactive medication use, in the 83A (#0683A) Residents who received the Pneumococcal absence of psychotic or related conditions Vaccine 500 (#500) Prevalence of anxiety/hypnotic use 83B (#0683B) Residents who were offered and declined the 600 (#600) Prevalence of behavior symptoms affecting others Pneumococcal Vaccine Indicates responses that may impact QM items identified by a number in a solid blue oval Indicates responses that may impact covariate for the QM identified by a number in an outline blue oval
A0310 continued on next page

QUALITY MEASURES (QM)
SHORT STAY QUALITY MEASURES: 76 (#0676) Residents who self report moderate to severe pain 78 (#0678) Residents with pressure ulcers that are new or worsened 80 (#0680) Residents who were assessed and appropriately given the seasonal Influenza Vaccine 80A (#0680A) Residents who received the seasonal Influenza Vaccine 80B (#0680B) Residents who were offered and declined the seasonal Influenza Vaccine 80C (#0680C) Residents who did not receive, due to medical contraindication, the seasonal Influenza Vaccine 82 (#0682) Residents accessed and appropriately given the Pneumococcal Vaccine 82A (#0682A) Residents who received the Pneumococcal Vaccine 82B (#0682B) Residents who were offered and declined the Pneumococcal Vaccine 82C (#0682C) Residents who did not receive, due to medical contraindication, the Pneumococcal Vaccine LONG STAY QUALITY MEASURES 74 (#0674) Residents experiencing one or more falls with 83C (#0683C) Residents who did not receive, due to medical major injury contraindication, the Pneumococcal Vaccine 77 (#0677) Residents who self-report moderate to severe pain 84 (#0684) Residents with a Urinary Tract Infection 79 (#0679) High-risk residents with pressure ulcers 85 (#0685) Low Risk residents who lose control of their bowel or bladder 81 (#0681) Residents assessed and appropriately given the seasonal Influenza Vaccine 86 (#0686) Residents who have/had a catheter inserted and left in their bladder 81A (#0681A) Residents who received the seasonal Influenza Vaccine 87 (#0687) Residents who were physically restrained 81B (#0681B) Residents who were offered and declined the 88 (#0688) Residents whose need for help with activities of seasonal Influenza Vaccine daily living has increased 81C (0681C) Residents who did not receive, due to medical 89 (#0689) Residents who lose too much weight contraindication, the seasonal Influenza Vaccine 90 (#0690) Residents who have depressive symptoms 83 (#0683) Residents assessed and appropriately given the 300 (#300) Prevalence of Falls Pneumococcal Vaccine 400 (#400) Prevalence of psychoactive medication use, in the 83A (#0683A) Residents who received the Pneumococcal absence of psychotic or related conditions Vaccine 500 (#500) Prevalence of anxiety/hypnotic use 83B (#0683B) Residents who were offered and declined the 600 (#600) Prevalence of behavior symptoms affecting others Pneumococcal Vaccine Indicates responses that may impact QM items identified by a number in a solid blue oval Indicates responses that may impact covariate for the QM identified by a number in an outline blue oval
www.BriggsCorp.com
CARE AREA ASSESSMENT LEGEND

1 Delirium 2 Cognitive Loss/Dementia 3 Visual Function 4 Communication
5/12
5 ADL Function/Rehabilitation Potential 6 Urinary Incontinence & Indwelling Catheter

www.BriggsCorp.com
7 Psychosocial Well-Being 8 Mood State 9 Behavioral Symptoms 10 Activities
11 Falls 12 Nutritional Status 13 Feeding Tubes 14 Dehydration/Fluid Maintenance
15 Dental Care 16 Pressure Ulcer 17 Psychotropic Drug Use
18 Physical Restraints 19 Pain 20 Return to Community Referral
Form 1851P-12R 2012 BRIGGS, Des Moines, IA 50306 (800) 247-2343
MDS 3.0 Nursing Home Comprehensive (NC) Version 1.10.4 Effective 04/01/2012
1 of 40
5/12
MDS 3.0 Nursing Home PPS (NP) /Quarterly (NQ) Item Sets Version 1.10.4 Effective 04/01/2012 1 of 32
1851P-12R
1852P-12R
UPDATED

MDS 3.0 Nursing Home Comprehensive Assessment (NC)

UPDATED
MDS 3.0 Nursing Home PPS and Quarterly Assessment (PPS/NQ)
40 page booklet 4 colors Red/Black/Green/Blue inks 5 hole punched side
32 page booklet 3 colors Black/Blue/Green inks 5 hole punched side
Briggs Comprehensive Assessment is enhanced with Quality Measures easily identied in blue, PPS items identied in green and CAAs in red. A RUG IV calculator is provided on the back.
Item # Price Per Box (25/bx)
Briggs PPS and Quarterly MDS 3.0 Assessment has Quality Measures identied in blue ink and PPS items indicated in green ink.
Item # Price Per Box (25/bx)
1851P-12R
$16.00
1852P-12R
$14.50
MDS Cue Cards

Pocket sized laminated cards Printed front/back Black Ink
Interview Cue Cards and BIMS Written

Section B . . . . . page 2 Section D . . . . . page 3 Section F . . . . . page 4 Section J . . . . . . pages 5-7 BIMS . . . . . . . . . pages 8-18
MDS 3.0
Item #
Description
Price Per Pack
1870
MDS Cue Cards
$19.10
28
MDS 3.0
DOCUMENTATION
Nursing Home & Swing Bed Tracking (NT/ST)

Resident
Identifier
Date
RESIDENT ASSESSMENT AND CARE SCREENING Nursing Home and Swing Bed Tracking (NT/ST) Item Set
8-page booklet Black ink 5-hole punched side

Section A
Enter Code


Enter Code
Type of provider 1. Nursing home (SNF/NF) 2. Swing Bed A. Federal OBRA Reason for Assessment 01. Admission assessment (required by day 14 ) 02. Quarterly review assessment 03. Annual assessment 04. Significant change in status assessment 05. Significant correction to prior comprehensive assessment 06. Significant correction to prior quarterly assessment 99. None of the above PPS Assessment PPS Scheduled Assessments for a Medicare Part A Stay 01. 5-day scheduled assessment 02. 14-day scheduled assessment 03. 30-day scheduled assessment 04. 60-day scheduled assessment 05. 90-day scheduled assessment 06. Readmission/return assessment PPS Unscheduled Assessments for a Medicare Part A Stay 07. Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) Not PPS Assessment 99. None of the above PPS Other Medicare Required Assessment OMRA 0. No 1. Start of therapy assessment 2. End of therapy assessment 3. Both Start and End of therapy assessment 4. Change of therapy assessment Is this a Swing Bed clinical change assessment? Complete only if A0200 = 2 0. No 1. Yes
1856P-12R
Nursing Home Tracking
$7.95

Enter Code
Enter Code
B.
NEW! Nursing Home & Swing Bed

OMRA (NO/SO)

Enter Code
C.
Enter Code
D.
20-page booklet Black and green ink 5-hole punched side



5/12
www.BriggsCorp.com
MDS 3.0 Tracking (NT/ST) Version Version 1.10.4 Effective 04/01/2012
1 of 8
1856P-12R
1854P-12R
Nursing Home OMRA
$14.50
Resident Identifier Date
RESIDENT ASSESSMENT AND CARE SCREENING Nursing Home and Swing Bed OMRA (NO/SO) Item Set
Section A
Enter Code
Nursing Home Discharge (ND)


A. B. National Provider Identifier (NPI): CMS Certification Number (CCN): State Provider Number:
24-page booklet Black ink 5-hole punched side

C.

Enter Code
Type of provider 1. Nursing home (SNF/NF) 2. Swing Bed A. Federal OBRA Reason for Assessment 01. Admission assessment (required by day 14 ) 02. Quarterly review assessment 03. Annual assessment 04. Significant change in status assessment 05. Significant correction to prior comprehensive assessment 06. Significant correction to prior quarterly assessment 99. None of the above PPS Assessment PPS Scheduled Assessments for a Medicare Part A Stay 01. 5-day scheduled assessment 02. 14-day scheduled assessment 03. 30-day scheduled assessment 04. 60-day scheduled assessment 05. 90-day scheduled assessment 06. Readmission/return assessment PPS Unscheduled Assessments for a Medicare Part A Stay 07. Unscheduled assessment used for PPS (OMRA, significant or clinical change, or significant correction assessment) Not PPS Assessment 99. None of the above PPS Other Medicare Required Assessment OMRA 0. No 1. Start of therapy assessment 2. End of therapy assessment 3. Both Start and End of therapy assessment 4. Change of therapy assessment Is this a Swing Bed clinical change assessment? Complete only if A0200 = 2 0. No 1. Yes

Enter Code
Enter Code
B.
1858P-12R
Nursing Home Discharge
$14.50
Enter Code
C.
Enter Code
D.

UPDATED Daily Skilled Nurses Notes


7/12
www.BriggsCorp.com
MDS 3.0 OMRA (NO/SO) Version 1.10.4 Effective 04/01/2012
1 of 20
Check-off-style format makes this form easy to use Ruled lines provide space to record comments and notes Printed 2 sides different, head-to-head 5-hole punched top and side
1854P-12R
3429P
Daily Skilled Nurses Notes
$12.45
NEW! MDS Interview Forms

Black ink Padded in 25s 5-hole punched top and side

1873P 1870P 1871P 1872P
Section J Section C Section D Section F
$11.95 $11.95 $11.95 $11.95
3429P
29
MDS 3.0
DOCUMENTATION
MDS 3.0 Care Area Assessments

1. DELIRIUM CARE AREA ASSESSMENT (CAA)
Review of Indicators of Delirium
Supporting Documentation
Basis/reason for checking the item, including the location, date and source (if applicable) of that information
Changes in Vital Signs Compared to Baseline
Temperatures 2.4F higher than baseline or a temperature of 100.4F (38C) on admission prior to establishment of baseline (J1550A) Pulse rate less than 60 or greater than 100 beats per minute Respiratory rate over 25 breaths per minute or less than 16 per minute (J1100) Hypotension or a significant decrease in blood pressure: (I0800) Systolic blood pressure of less than 90 mm Hg, OR Decline of 20 mm Hg or greater in systolic blood pressure from persons usual baseline, OR Decline of 10 mm Hg or greater in diastolic blood pressure from persons usual baseline, OR Hypertension a systolic blood pressure above 160 mm Hg, OR a diastolic blood pressure above 95 mm Hg (I0700)
Establishes a logical ow for assessing multiple problems, complications and risk factors Provides the location of supporting documentation Directs the staff to appropriate care plans
1900P
Starter Package (Contains 1 Pack of 25 of Each Care Area Assessment)

Description
$120.85
Price Per Pack (25/pk)
Abnormal Laboratory Values (from clinical record)
Item #
CBC Electrolytes, such as sodium Kidney function Liver function Blood sugar Thyroid function Arterial blood gases Hypoxemia Other___________________________________________
1901P 1902P 1903P 1904P 1905P 1906P 1907P 1908P 1909P 1910P
Record No. Room/Bed
Delirium Cognitive Loss Visual Function Communication Activities of Daily Living Urinary Incontinence & Indwelling Catheter Psychosocial Well-Being Mood Stare Behavioral Symptoms Activities Fall Nutritional Status Feeding Tube(s) Dehydration/Fluid Maintenance Dental Care Pressure Ulcer(s) Psychotropic Medication Use Physical Restraints Pain Return to Community Referral
$6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55 $6.55
Pain
Pain CAA (J0100, J0200) triggered [review findings for relationship to delirium (C1300)] Pain frequency, intensity, and characteristics (time of onset, duration, quality) (J0400, J0600, J0800, J0850 and clinical record) indicate possible relationship to delirium (C1300) Adverse effect of pain on function (J0500A, J0500B) may be related to delirium (C1300)
Diseases & Conditions (diagnosis /signs /symptoms)
Circulatory/Heart Anemia (I0200) Cardiac dysrhythmias (I0300) Angina, Myocardial Infarction (MI) (I0400) Atheroschlerotic Heart Disease (ASHD) (I0400) Congestive Heart Failure (CHF), pulmonary edema (I0600) Cerebrovascular Accident (CVA) (I4500) Transient Ischemic Attack (TIA) (I4500)
NAMELast
First
Middle
Attending Physician
1911P 1912P 1913P

1901P
Form 1901P Rev. 5/12 BRIGGS, Des Moines, IA (800) 247-2343 Unauthorized copying or use violates copyright law. www.BriggsCorp.com
PRINTED IN U.S.A.
DELIRIUM CARE AREA ASSESSMENT
1914P 1915P 1916P 1917P 1918P 1919P 1920P
Did You Know?

Surveyors have said that seeing photocopied forms has triggered them to look deeper into charts because the copied forms may be out-dated and out of compliance.
Mood Collection Tool (PHQ-9)

Brief Interview Mental Status (BIMS)

Printed 1 side 5-hole punched top and side


1891P
PHQ-9 Resident Assessment
$12.45
1890P
Brief Interview Mental Status
$12.45
Mood 14-Day Collection Tool Staff (PHQ-9)

Cognative and Behavior (with CAM) Collection Tool

Printed 2 sides different, head-to-head 5-hole punched top and side

Printed 2 sides different, head-to-head 5-hole punched top and side

1892P
PHQ-9 Staff Assessment
$12.45
1893P
Mood/Behavior with CAM
$12.45
30
MDS 3.0
DOCUMENTATION
Nurses Summary 7-Day Look Back

NURSES SUMMARY: SEVEN DAY LOOK BACK
Date:_______________
1950P
Allows accurate assessment over all shifts of the data elements used with MDS 3.0 4-page booklet Printed 2 sides different, head-to-head 5-hole punched side
Check/circle appropriate responses and fill in the box. VITAL SIGNS: T_________ P_________ R_________ B/P____________ WT_________ HEARING, SPEECH AND VISION (Section B)
HEARING: Ability to hear (with hearing aid or hearing appliances if normally used) Adequate no difficulty in normal conversation, social interaction, listening to TV Minimal difficulty difficulty in some environments (e.g. when person speaks softly or setting is noisy) Moderate difficulty speaker has to increase volume and speak distinctly Highly impaired absence of useful hearing HEARING AID: Hearing aid or other hearing appliance used
COGNITIVE PATTERNS (Contd.) (Section C)

SHORT TERM MEMORY: Seems or appears to recall after 5 minutes Memory problem LONG TERM MEMORY: Seems or appears to recall long past Memory problem MEMORY/RECALL ABILITY: Current season Location of own room Staff names and faces That he or she is in a nursing home None of the above were recalled COGNITIVE SKILLS FOR DAILY DECISION MAKING: Independent decisions consistent/reasonable Modified independence some difficulty in new situations only Modified impaired decisions poor, cues/supervision required Severely impaired never/rarely made decisions Comments:__________________________________________ ___________________________________________________ DELIRIUM: Inattention Did the resident have difficulty focusing attention (easily distracted, out of touch or difficulty following what was said)? Disorganized thinking Was the residents thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)? Altered level of consciousness Did the resident have altered level of consciousness? (e.g., vigilant startled easily to any sound or touch; lethargic repeatedly dozed off when being asked questions, but responds to voice or touch; stuporous very difficult to arouse and keep aroused for the e interview; comatose could not be aroused) d) d) Psychomotor retardation Did the e re reside resid res r resident esid esi e sid s id dent ha h have a an unusually unusua un unu u nusu nusua nusually n nu usua u usuall usually su sually s ually u al ll ly decreased level of activity such ch c h as as slug sluggishness, gishness, gishnes gishness gishne gishn g ishn shness sh s hn ness ne es ss s staring taring t ta aring a r g in i into nt nto osition ositio os o sition sitio siti s i iti it tion t ion i , movin moving mov mo m ovin ving v ing v ery er ry r ys slowly? lowly? owl owly? o wly? y? space, staying in one positi position, very
No Yes: ___Rt ___Lt Present and not regularly used

SPEECH CLARITY: Select best description of speech pattern
Clear speech distinct intelligible words Unclear speech slurred or mumbled words No speech absence of spoken words
MAKES SELF UNDERSTOOD: Ability to express ideas and wants, consider both verbal and non-verbal expression Understood Usually understood difficulty communicating some words or finishing thoughts but is able if prompted or given time Sometimes understood ability is limited to making concrete requests Rarely/never understood ABILITY TO UNDERSTAND OTHERS: Understanding verbal content, however able (with hearing aid or device if used) Understands clear comprehension Usually understands misses some part/intent of message but comprehends most conversation Sometimes understands responds adequately to simple, direct communication only Rarely/never understands VISION: Ability to see in adequate light (with glasses or other visual appliances) Adequate sees fine detail, including regular print in newspapers/books Impaired sees large print, but not regular print in newspapers/books Moderately impaired limited vision; not able to see newspaper headlines but can identify objects Highly impaired object identification in question, but eyes appear to follow objects Severely impaired no vision or sees only light, colors s or shapes; eyes do not appear to follow objects CORRECTIVE LENSES: (Contacts, glasses, or magnifying ng glass used) No Yes Eye prosthesis: ___Rt ___Lt Present and not regularly used
1950P
Nursing Summary 7-Day
$29.05
MDS 3.0 Accuracy Tool

Used to validate the accuracy and timeliness of MDS 3.0 assessments 6 pages; 9-1/8 x 11 Printed 2 sides different, head-to-head 5-hole punched top and side
MOOD (Section D) )
COGNITIVE PATTERNS (Section C)
Alert and oriented x 3 Disoriented: Person, Place, Time Comatose: Persistent, vegetative state/no discernable
consciousness
NAMELast First Middle
NA A pleasure things Little interest est es e st s t or or p leasure le easur easure ea e asur a sur su ure u re r e in n do doin doing d oing oin o ing i in ng t th thi ngs down, depressed, hopeless Feeling do d own, n, depr depres dep de d epr sed, ep ed, ed d, d ,o or r ho h peles peless l falling staying asleep, sleeping Trouble le e fa lling ling ng g or or s ta ta tayin taying ayin ayi ay aying yi ying yi ing in ng n g as asl a eep, ep, , or sl leepin eeping ee eeping e ng ng t to much too Feeling tired having Feeli elin e ling lin l in ing i ng ti red ed e d or or hav ha av a vin ing ng n g little tt energy ergy er ergy erg rgy gy Poor appetite overeating Po oor o or appe a appet app pp p ppet pe p et e ite e or or o ove ov v re reating ating bad yourself Feeling F eeling el eling elin e ling lin li l in ing i ng ba ng b ad a about abou abo ab b bo o ou u yo urself or or that yo you y u are are ar re a fa failure ilure or rh have av a ve v yourself your down let et t yours y yo yourse your ou o ours our urs lf ur fo or ry our u family ily do d wn Troub Troubl Trou Trouble T Tr roub rouble r rou ouble o ou uble u ble b bl le le co c concentrating on ncentratin nc c centratin e g on thing thi things, ng gs, s, such s suc uch uc c a as s reading readin r eading eadi ading ding t ding d the he newspaper news ne ewspape e ewspaper wspaper wspap ws w spaper spape s ap a pe er r or watching watchin atching g television televisi televis televisio i ion on Moving Mo M oving ov ving ving ng go or r speaking king s so o slowly slo that that t ot other o people could have noticed. notice noticed n oticed oticed. ced ced. ed. e ed d. O d Or r the e opposite opposite te b te being bein be eing e ei ing in ng so so f fidgety idg idge idgety id dget dgety d gety ge g get ety ety ty or or r restles res restle re restless es estles estless e stl stles stless stle tl le l es e ess ss t ss that tha th hat h a at t been than you ou u have ha hav hav b een moving mov ving ar aroun a around aro r round roun ro rou ou oun ound o u und nd n d a lot lot ot more m mo mor ore o re re t han ha h an an usual u us usua usu s sua sual u ual ua al Thoughts hou houghts ou oug o ug u g that t hat t you w wo would uld db be e bet be b better et e tter te te er r off of o f ff f de d dead, ead ad, a d, d , or or of of h hurtin hurting urting urt urtin u ur rt rt ting ti tin i in ng ng in your yo yourself you yours y ours our ou o u ur urs rs r se i n some wa way Sho Short-temp Sh ho h o or r mpered ered, easi e ly a anno annoy annoyed annoye nnoyed nnoye nno nn n nnoy noye no no oy y yed ye ed e d Short-tempered, easily
Record No. N Room/Bed /B
Attending Atte At Attend Attendi Atten ttend tt t tendi t nding g Physician P Ph hysician n
Form 1950P Rev. 8/12 BRIGGS, Des Moines, IA (800) 247-2343 Unauthorized copying or use violates copyright law. www.BriggsCorp.com
PRINTED IN U.S.A.
NURS NU NURSES NURSES NURSE N U URSES URSES URSE RSES RS RSE RSES R SES SES S SE ES ES E S S SU S SUMMARY: UM MMARY: MMA MM MARY: MA M A SEV SEVEN EVEN DAY Y LO LOO LOOK K BA BACK ACK AC A CK C K
1160-10
MDS Accuracy Tool
$30.25
ARD Finder

Handheld Position calendar wheel to the date of admission for a simple and accurate method to determine PPS and OBRA timelines
Item # Description Price Per Each 1863
1898R
1898R
ARD Finder
$15.25
1766
MDS 3.0 Users Manual

Item-by-item instructions for completion of MDS Each manual is sized to t in a users lap Includes a CD and features red and white tabs for each section Briggs Healthcares on-staff clinicians monitor regulations to help you stay up-to-date Updates show the changes highlighted in red so they are easily identiable Flexible package options are available, including FutureSafe with auto-renewal updates every year
1862 1865 1862RNW

Item #
PremiumPlusOne Package PremiumPlusThree Package MDS 3.0 Yearly Renewal Package

Description
$96.85 $193.75 $50.95
Survey Guide for Long-Term Care

Price Per Each Ea Addl Yr
1862A
FutureSafe Package
$96.85
$50.95
Did You Know?

For over 65 years, Briggs has been a leader in providing documentation products that help health care organizations comply with government regulations. CMS changes and updates are monitored daily by our team of regulatory experts. These professionals work hand-in-hand with our product management department to keep your documentation forms up-to-date and in full compliance with your regulatory environment.
Updatable Updates show the changes highlighted in red so they are easily identiable Flexible package options are available, including FutureSafe with auto-renewal updates every year Electronic le on CD for portability and to quickly search content Updates sent out as they occur
1766 1767 1766RNW

Item #
PremiumPlusOne Package PlusThree Package Survey Guide Yearly Renewal Package

Description
$96.85 $193.75 $50.95
Price Per Each Ea Addl Yr
1766A
FutureSafe Package
$96.85
$50.95
31
Maternal/Newborn Record System
DOCUMENTATION
MNRSA Trusted Name in Obstetrics to Manage Risk From Prenatal to Home Care
This system extends beyond the management of patient care by simplifying the documentation process, providing information to determine compensation, and serving as the legal record.
Prenatal Records
5706N
The Prenatal Module of the Maternal/Newborn Record System includes 7 core records and 3 additional resources that provide comprehensive documentation of the patients initial and continuing health and risk status Forms capture the critical components of patient care necessary for good pregnancy outcomes, including the genetic history; use of street drugs, tobacco and alcohol; the need for education; and medical and psychosocial assessments
5700N 5701N 5702N 5703N 5704N 5706N 5723N

Item #
Health History Summary Initial Pregnancy Prole Initial Lifestyle Prole Prenatal Flow Record Prenatal Flow Record Continuation Prenatal Education and Counseling Progress Notes
Description
$47.20 $47.20 $30.45 $49.05 $49.05 $30.45 $12.90

5852N
Fetal Movement Record
$53.05
Recommended Additional Forms

5705N 5850N
Prenatal Laboratory Data Prenatal Health History Questionnaire
$30.45 $204.30
5722N
MNRS Delivers
As a leader in obstetric risk management, Briggs Healthcare offers the MNRS system as an integrated set of forms that simplify documentation, support compensation and provide a legal record in prenatal, newborn nursery, inpatient and homecare. Count on Briggs and MNRS to provide the obstetric forms needed to manage your risk.

Newborn Nursery Records
The Newborn Nursery Module of the Maternal/Newborn Record System includes 5 standard records that provide comprehensive documentation of the initial and continuing health and risk status of the newborn infant from birth through discharge
5718N 5720N 5721N 5722N 5723N
Newborn Identication Record Initial Newborn Prole Newborn Flow Record Newborn Discharge Summary Progress Notes
$32.70 $49.05 $12.90 $53.05 $12.90
32
DOCUMENTATION
Inpatient Obstetric Records
5842N
The Inpatient Obstetric Module of the Maternal/Newborn Record System includes 10 core records and 2 additional resources that provide documentation of patient care from triage, through admission, labor, delivery, recovery, postpartum and discharge
5709N 5710N 5711N 5711N-C 5712N 5713N 5715N 5716N 5717N 5723N
Obstetric Triage Record Obstetric Admitting Record Labor Progress Record Labor Progress Continuation Record Labor and Delivery Summary Recovery Flow Record Postpartum Flow Record Education and Discharge Planning Obstetric Discharge Summary Progress Notes
$47.20 $47.20 $53.05 $29.35 $53.05 $29.35 $12.90 $32.75 $47.20 $12.90
Recommended Additional Forms

5714N 5841N
Initial Postpartum Prole Postpartum Family Referral
$22.30 $29.35
Home Care Records
The Home Care Module of the Maternal/Newborn Record System includes 3 standard records that document family-centered nursing care in the home environment, focusing on the health, welfare, and adaptation of the newborn into the family setting Ideal risk management tools for use by institutions that have short-stay maternity programs The health care professionals in these institutions are responsible for the health and recovery of the mother and infant, even though these patients have been discharged from the hospital
1071
5842N 5844N 5845N
Maternal Assessment Newborn Assessment Family Assessment
$49.20 $49.20 $49.20
Growth Charts

Pediatric & Newborn Stethoscopes

Specically designed and sized to t the needs of children and newborns, with ha uniquely raised diaphragm for greater r sound amplication. See page 452 for details.
Developed by the CDC as an easy, convenient way to measure height, weight and head circumference Length-for-age and weight-for-age percentiles appear on the front, while head circumference-for-age and weight-for-length percentiles appear on the back BMI record and instructions for calculating are included on 2 to 20 years charts
1071 1072 1073 1074
BoysBirth to 36 Months, Blue Ink GirlsBirth to 36 Months, Red Ink Boys2 to 20 Years, Blue Ink Girls2 to 20 Years, Red Ink
$7.50 $7.50 $7.50 $7.50
33
DOCUMENTATION
Prenatal Health History Questionnaire
Comprehensive questionnaire completed by the patient in the ofce, clinic or at home; helps identify potential health problems 11 x 9-1/4 5-page unit-set booklet Green and black ink
5850N
English
$204.30
Prenatal Laboratory Data

5705N
Provides for a full range of laboratory tests that may be conducted during pregnancy 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5705N
Prenatal Laboratory Data
$30.45
Prenatal Flow Record

Provides documentation at each visit (includes Pregnancy Prole Card, 5855N) 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5703N
Prenatal Flow Record
$49.05
5703N
Prenatal Flow Record Continuation Sheet

Continuation form for 5703N 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5704N
Item #
Prenatal Flow Record Sheet

Description
$49.05
5873N
Prenatal Flow Record Sheet
$94.70
Prenatal Education and Counseling Record

Documents education and counseling given to the patient 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5704N
5706N
Prenatal Ed and Counseling Record
$30.45
34
DOCUMENTATION
Initial Lifestyle Prole

Documents the lifestyle of the mother including nutrition, sexual activity and psychosocial assessments 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5702N
Initial Lifestyle Prole
$30.45
Health History Summary
An assessment of the risk status of the patient in regard to the patients history, menstrual cycle, pregnancy, medical and genetic histories 2-part set Green and black ink 7-hole side punched and 5-hole top punched Includes 2-form set
5700N
5700N
$47.20

History of the patient including menstrual cycle, pregnancy, medical and genetic histories 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5870N
$94.70
Initial Pregnancy Prole

5701N
Form is completed in conjunction with the Health History Summary at the rst prenatal visit 2-part set Green and black ink 7-hole side punched and 5-hole top punched
5871N
Item #
Initial Pregnancy Prole (Check-Off Style)

Description
$94.70
5701N
Initial Pregnancy Prole (Comprehensive)
$47.20

Easy check-off-style form used by the patient to monitor fetal movement over time White heavy cardstock Green and black ink Printed 2 sides different
5852N
5852N
$53.05
35
DOCUMENTATION
Labor Progress Chart

Documents and records assessments of the mother and fetus as labor progresses 16-1/2 x 11 overall and folds to 8-1/2 x 11 White heavy cardstock Green and black ink Printed 2 sides different 7-hole side punched and 5-hole top punched
5711N 5711N-C
Labor Progress Chart Continuation Labor Progress Chart
$53.05 $29.35
Labor and Delivery Summary
5712N

Duplication of this form is strictly prohibited by law. Briggs Corporation. All rights reserved.
Obstetric Triage Record

To order call: 1.800.245.4080
Date ____/____/____ Time_____________ Stretcher Other ______________________________ Transfer From ___________________________________________
A L L M P E D D Age DOB
Re-order No. 5709N
Allergy/Sensitivity
None Latex Food Other _______________________________________________
Observation Evaluation Fetal Status Ultrasound Amniocentesis NST CST FAST Fetal Movement ___________________ ___________________ Medical Complications ___________________ ___________________ Obstetric Complications ___________________ ___________________
Important risk management tool documenting the standards of care given throughout the critical labor and delivery time and outcome of care given 3-part set White original and color-coded copies Green and black ink 7-hole side punched and 5-hole top punched Includes 2-form set
Patient Data
Ambulatory Wheelchair
G T Pt
Reason Patient is Presenting:

Possible Onset of Labor Time_____________ PROM SROM Vaginal Bleeding Preterm Labor Trauma ________________________________ Pain: 0-10____ Site:______________________ Type: Aching Nagging Dull Heavy Crushing Sharp Stabbing Throbbing Radiating Burning Tingling Cramping Other:_________ Preeclampsia Fetal Activity Hyperemesis ______________________________________
Gestation ____________ wks No Prenatal Care

MD/CNM
Prenatal Records Available
NO
YES
MD/PNP (Newborn)
Notified By__________________________________ Date ____/____/____ Time________ Prenatal Care Provider_______________________________________________________
5712N
Labor and Delivery Summary
$53.05
Physical Assessment
Height
Wt. Pregrav./Grav.
Vital Signs
TIME
TEMP
FHR/Contractions
EFM/STRIP # _____________ TIME FHR FREQ DURA INTEN Palpation
Cervical Exam
TIME DILAT EFF STAT
PRES
General Health Good Significant history______________________ _____________________________________________________________ Illness (less than or equal to 14 days prior) None _______________ Recent Exposure to Illness and Disease (Flu, Varicella, T.B., Hepatitis, HIV) None Type/Date__________________________ ____ /____/____ Nutritional Problems No Yes ________________________________ Last Oral Intake Fluids ____/____/____ Time_________ Solids____/____/____ Time_________ Medications Type / Dose Last Taken With Patient Disposition
No Yes
PULSE RESP
BP O2 Sat
Tocotransducer Exam by ____________________
None __________________ __________
________________
Notes /Interventions:____________________________________________
____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ _____________________________________ Initials Signature _____________________________________ _____________________________________ _____________________________________
Partner Involved Others Involved No No Yes Yes, Identify _________________________________ Amt /Day Last Used Time _______________ ____ /____ /____ ___________ _______________ ____ /____ /____ ___________ _______________ ____ /____ /____ ___________ _______________ ____ /____ /____ ___________
__________________ __________ ________________ Membranes Intact Bulging Ruptured (Date____/____/____ Time_________) Nitrazine Test ( pos neg) Sterile Speculum Exam Fern Test ( pos neg) (findings________________________) None Seen Clear Bloody Foul Odor Meconium Stained Fluid Vaginal Bleeding None Normal Show Bleeding (describe____________________)
Psychosocial Assessment
Communication Barriers None ___________________________________________ Yes No ________________________ Free From Apparent Physical /Emotional Abuse Self Care Needs Emotional Status None Happy Angry
_________________________________________________________________________
_________________________________________________ Ambivalent Concerned Depressed Other___________________________________________
Substance Use No Yes Tobacco Alcohol Drugs ___________ ___________
Diagnosis & Disposition

Diagnosis
Antepartum Bleeding False Labor - Undelivered Hyperemesis Gravidarum Placenta Previa Preeclampsia Premature Labor - Resolved PROM x _______ Hours Incompetent Cervix Active Labor UTI ________________________ ________________________
R1208 PRINTED IN U.S.A.
Disposition
Date____/____/____ Time_________________
Orders ______________________________________________
Transfer to ______________________________________ consent form signed (cobra) Admit to Intrapartum unit Admit to Antepartum unit Discharge to home accompanied by __________________ Activity Diet Medications Unrestricted (or)___________________ Routine (or) ______________________ None (or) ________________________ ________________________________ Instructions Follow up Routine (or) ______________________ Where _____________________________ When ______________________________ NO YES N/A
____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ MD Signature Date / Time ____________________________________________________ RN Signature Date / Time
Form 5709N BRIGGS, Des Moines, IA 50306 (800) 245-4080 www.BriggsCorp.com
OBSTETRIC TRIAGE RECORD
Documents pertinent information obtained from the patient, a physical assessment, observation of vitals, nursing notes, MD orders, etc. 2-part set Green and black ink Printed 2 sides different 7-hole side punched and 5-hole top punched
5709N
5709N
$47.20
Recovery Flow Record

Provides documentation of assessments of mother and baby on same form for the 2-hour time period following birth 2-part set Color-coded copies Green and black ink 7-hole side punched and 5-hole top punched
5713N
Recovery Flow Record
$29.35
5713N
36
DOCUMENTATION
Obstetric Admitting Record

Includes basic admission, patient care and a summary of signicant prenatal data upon admission to the hospital 2-part set White original, yellow copy Green and black ink Printed 2 sides different 7-hole side punched and 5-hole top punched Includes 2-form set
5710N
Obstetric Admitting Record
$47.20
Initial Postpartum Prole

An assessment of the mother before being admitted to the postpartum unit or before discharge White cardstock Green and black ink Printed 2 sides different 7-hole side punched and 5-hole top punched
5710N
Duplication of this form is strictly prohibited by law. Briggs Corporation. All rights reserved.
Initial Postpartum Profile

To order call: 1.800.245.4080 Re-order No. 5714N
Admit Data
Date____ /____ /____ Time __________________ Admitted From Recovery Care Home ______________ Via Wheelchair Stretcher ___________ Oriented to Unit Safety/Security Television Room Meals / Kitchen Call Light Visiting Hours Bed Control _____________ Telephone Planned LOS _____________________________ Signature ________________________________
Maternal Data
Allergy/Sensitivity
Food
Pt
Infant Data
Male
Female
5714N
Initial Postpartum Prole
$22.30
Del ___________________ Time______________ Vaginal Cesarean VBAC Tubal Incision (type) _____________________________ Anesthesia _______________________________ Blood Type /Rh ____________________________ Hepatitis Immune Yes No Rubella Immune Yes No Intrapartal Problems Identified None 1. ______________________________________ 2. ______________________________________
ID/Band No.____________ Name____________ None Latex Condition Live / Normal Other_________________________ Live /Compromised Fetal / Neonatal Death Feeding Breast Bottle Blood Type /Rh_________________ Location With Mother Nursery ___________________________
Intrapartal Problems Identified None 1. _____________________________________ 2. _____________________________________ 3. _____________________________________
Psychological Assessment
Mother Appears Happy Ambivalent Temp
Date____/____/____ Time_____________ Concerned No Pulse Resp Depressed BP Angry Other __________________________________________
Mother's General Comments (Feelings, Body Image, Self Concept): _____________________________________________________________________
Postpartum Flow Record

Review of Labor and Birth: Missing Pieces
Yes Identify ____________________________________________________________________ Elimination Pattern Urinary Tract Void No Bladder Distention Catheter
Physical Assessment
Date___ /___ /___ Time____________
Pain: 0-10____ Site: ____________________________________________
Easy and effective method of documenting the patients recovery status over time White cardstock Green and black ink Printed 2 sides different 7-hole side punched and 5-hole top punched
Type:
Aching Stabbing Cramping
Nagging Throbbing Good
Dull
Heavy
Crushing Burning
Sharp Tingling
Radiating
Other:____________________________________ Significant History _____________________
General Health
Yes (Time___________ Amount___________) No Yes No Yes Straight (Time_____ Amount _______) Foley Specimen Obtained None UA C+S
_____________________________________________________________ _____________________________________________________________
Nutritional Problems Functional Deficit Breath Sounds Breasts Discharge Support Bra Abdomen Diastasis Recti Incision None Nursing None No
No No Normal
Yes Yes
See Additional Nutrition Assessment
Abnormal Non-Nursing Colostrum Other_____________________ Tight Inverted Loose Flat Appropriate Fit
Gastrointestinal Tract Bowel Sounds Absent Present + _______________________ Hemorrhoids No Yes Pattern Normal Diarrhea Constipation (Laxative Use ___________________ ) Lower Extremities Varicosities Absent Present, location________________________ Signs of Thrombophlebitis No Yes Redness_________________________________________ Swelling _________________________________________ Warmth __________________________________________ Pain _____________________________________________ Positive Homans' Sign Edema DTRs (R) DTRs (L) Pain Headache Breasts Back Uterine Cramping Perineum Hemorrhoid Legs Other No 0 0 +1 +1 +2 +2 +3 +3 R +4 +4 L Clonus Clonus No No Yes______ Yes______ Yes _________________________________________
Yes
If Nursing, Nipple Type Absent
Everted
Present (width)______________________
Present (color, discharge, approximation) ________
____________________________________________________________
Reproductive Tract Fundus (consistency, height, position) ______________________________ Lochia Clots Odor Perineum Peri Pad in place_________Hrs Pad Saturation (amt)________________ No Fleshy Intact Yes Explain_____________________________ Foul Laceration Episiotomy
No Yes __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________
(type) _________________________________________ Condition: Redness ______________________________ Ecchymosis ___________________________ Edema _______________________________ Discharge _____________________________
5715N
Postpartum Flow Record
$12.90
Approximation _________________________
Form 5714N BRIGGS, Des Moines, IA 50306 (800) 245-4080 www.BriggsCorp.com
R106 PRINTED IN U.S.A.
INITIAL POSTPARTUM PROFILE
5714N
Obstetric Discharge Summary

Summarizes the condition and care of the mother throughout the pregnancy, as well as before and during hospital stay 2-part set Green and black ink Printed 2 sides different 7-hole side punched and 5-hole top punched
5717N
Item #

Description
$47.20
5878N
$94.70
5715N
37
DOCUMENTATION
Progress Notes

Provides plenty of highlighted ruled space for updating the clinical record Use with any Maternal/Newborn Record System 3-part set Green and black ink 7-hole side punched and 5-hole top punched
5723N
Progress Notes
$12.90
Education and Discharge Planning

5716N
Checklist indicates what teaching was done and that the mother demonstrated understanding 3-part set White original, color-coded copies Green and black ink 7-hole side punched and 5-hole top punched
5716N
Education and Discharge Planning
$32.75
Postpartum Family Referral
Communication tool between the hospital obstetric/ nursery nurse and home care nurse to provide demographic information on family and baseline clinical information 2-part set White original, yellow copy Green and black ink 7-hole side punched and 5-hole top punched
5841N
5841N
Postpartum Family Referral
$29.35
Initial Newborn Prole

Provides an assessment of the infant upon admission to the nursery and identies any problems that should be addressed 2-part set Green and black ink 7-hole side punched and 5-hole top punched 5720N meets the documentation requirements of the American Academy of Pediatrics (AAP) and the American College of Obstetricians Gynocologists (ACOG)
5720N

Item # Description
$49.05
5861N
$94.70
5720N
38
DOCUMENTATION
5718N
5721N
Newborn Identication Record

Secure a lasting impression At only pennies per form, this complete tracking record is an economical way to reduce your risk and save time and money This versatile, easy-to-use form ensures accurate mother and infant identication from birth to discharge The unique design makes it easier for staff to apply the infant footprints while the baby is in the warmer It is also designed to work with any footprint inking process At discharge, attaching the babys bracelet to the form provides a permanent record that you have veried mother/infant identity Green and black ink, printed 1 side 7-hole side punched and 5-hole top punched
5718N
Newborn Identication Record
$32.75
5722N
Newborn Flow Record Disposable FootPrinter

Some of the littlest impressions create the biggest memories Parents and grandparents alike will appreciate the cherished reminder of the tiny toe prints made at your hospital A babys footprints can provide a positive means of newborn identication, but only if the prints are clear and readable Over-inking is virtually impossible with our unique Ready-Rolled ink process 4-1/2 x 2-3/8 and less than 1/8 thick with stackable edges for easy, compact storage Non-toxic, 1 black ink thats easy to see and wash off baby 25 plastic footprinters per box
Provides for assessment of infant behavior and response over time Monitors progress of infant during hospital stay White heavy paper Green and black ink Printed 1 side 7-hole side punched and 5-hole top punched
5721N
Newborn Flow Record
$12.90
Newborn Discharge Summary

Summarizes care of infant prior to discharge and the health status when discharged 3-part set Green and black ink 7-hole side punched and 5-hole top punched
Item #
Description
Price Per Box (4 pk/bx)
5402
Disposable FootPrinter
$116.85
5722N
Newborn Discharge Summary
$53.05
39
DOCUMENTATION
Birth Certicates and Identication Records

Briggs Healthcare now offers birth certicates and new identication records Call for specications and pricing on these exciting products!
5730N
Fall/Nutritional/Skin Assessments
Front Options
Black and green inks Printed 2-sides different 5-hole punched top and side
5730N
Fall/Nutritional/Skin Assessment
$22.30
Briggs Tape Measure
Item #
Price Per Each
54-780-000
$2.15
See page 462 for more details.
Back
40
DOCUMENTATION
Maternal Assessment
Provides documentation of the physical and psychological assessments and activities of daily living regarding the mother 3-part set White original, color-coded copies Green and black ink 7-hole side punched and 5-hole top punched Includes 2-form set
5842N
Maternal Assessment
$49.20
Newborn Assessment

Provides for examination of the infant and teaching of adult caregivers in the home Documents physical, nutritional and behavioral assessments and PKU testing of infant 3-part set White original, color-coded copies Green and black ink 7-hole side punched and 5-hole top punched
5842N
5844N
Newborn Assessment
$49.20
Family Assessment
Used to assess family dynamics with the birth of a child and provides information necessary to make referrals to appropriate agencies 3-part set White original, color-coded copies Green and black ink 7-hole side punched and 5-hole top punched
5845N
Family Assessment
$49.20
5844N
MNRS Delivers
As a leader in obstetric risk management, Briggs Healthcare offers the MNRS system as an integrated set of forms that simplify documentation, support compensation and provide a legal record in prenatal, newborn nursery, inpatient and homecare. Count on Briggs and MNRS to provide the obstetric forms needed to manage your risk.

41
Milcom Medical Practice Systems
DOCUMENTATION
Milcom Medical Record Jackets

Intelligently designed so you can easily organize ze and see your patients s health history and an index of essential information in the medical record chart
Side-Tab Jackets Lateral Open-Shelf System

Printed bars 10 colors help you locate les quickly and minimizes misles Durable 15-pt. cardstock Format A: Areas for entering test results, problem descriptions, continuing medications, identication data, immunizations, consultations, hospitalizations, educational status and special notes Format B: More space than Format A for continuing medications and problem descriptions Doesnt include test results section
Item #
Description
Top-Tab Jackets File Drawer

2435 2465
Format A Format B
$94.80 $69.05
$89.60 $62.25
Printed bars in 10 colors help you locate les quickly and minimizes misles Durable 15-pt. cardstock Format A: Areas for entering test results, problem descriptions, continuing medications, identication data, immunizations, consultations, hospitalizations, educational status and special notes Format B: More space than Format A for continuing medications and problem descriptions Doesnt include test results section
Price Per Pack 1 or More 5 or More
File Folders Date Bar Only

Item # Description Price Per Pack (100/pk) 1 or More 5 or More
2540
File Folders Date Bar Only
$41.60
$39.35
Complete your Lateral Open-Shelf File System with Color-Coded Labels

Item #
Description
A exible and effective way to customize your ling system Reference the chart below for specic labels
See Below
Item #
Format A Individual Colors, 100/pk

Color Item #
$69.05
Color
$65.25
Item # Description
2421 2422 2423 2424 2425
Orange Light Green Brown Red Blue
2426 2427 2428 2429 2430
Black Pink Yellow Gray Dark Green
Alpha Labels 2610 250 Sets of 26 Letters, 6,500/pk See Below Single Box of 1 Letter, 250/pk
Item # Ltr. Item # Ltr.
$245.80 $11.05
Item #
$232.35 $10.45
Ltr.
Item #
Description
See Below
Item #
Format B Individual Colors, 100/pk

Color Item #
$69.05
Color
$65.25
2451 2452 2453 2454 2455
Orange Light Green Brown Red Blue
2456 2457 2458 2459 2460
Black Pink Yellow Gray Dark Green
2611 2612 2613 2614 2615 2616 2617 2618 2619
A B C D E F G H I
2620 2621 2622 2623 2637 2624 2625 2626 2627
J K L M Mc N O P Q
2628 2629 2630 2631 2632 2633 2634 2635 2636
R S T U V W X Y Z
42
DOCUMENTATION
Milcom Telephone Message System

Easy-to-follow forms take the guesswork out of complete patient record keeping and help establish call-back priority Designed and Endorsed by STFM Accurate Communication Accurate and complete medical records provide the best possible information from which to deliver appropriate care Effective Risk Management Milcom Telephone Messages collect information on the patients health and disposition to give complete documentation to the care team Record Permanence Each form features adhesive backing to become part of the permanent patient record
BEST SELLER Shingled Telephone Message Book Spiral-Bound

2-part set, Yellow duplicate Blue ink Tape on back, part 1 250 forms per book, 2-up per sheet
Price Per Pack (2 books/pk) 1 or More 5 or More
Item #
Size
2698
7-3/4 x 8 (perforates to 7-1/3 x 8)
$56.30
$53.25
Internal Medicine and Family Practice Telephone Record Book Spiral-Bound

7-3/4 x 8 (perforates to 7-1/3 x 8) 2-part set Yellow duplicate Blue ink Tape on back, part 1 250 forms per book, 2-up per sheet
2698 Item # Description
2695 2697
Internal Medicine Family Practice
$112.45 $112.45
$106.30 $106.30
Large Size Telephone Message Book Spiral-Bound

Perforates to 5-1/2 x 7-7/8 2-part set, pink duplicate Blue ink Tape on back, part 1 250 forms per book, 2-up per sheet
Item #
Size
2699
Perforates to 5-1/2 x 7-7/8
$112.45
$106.30
Telephone Message Form Loose-Leaf

4-up per sheet Blue ink Tape on back 3-hole side punched
2685 Item # Description
2685
Perforates to 2-3/4 x 6-1/8
$133.65
$127.00
Custom Imprinting Your Forms can save valuable time

Personalize your forms and save staff time by imprinting your name and address.
ount Call your Briggs Healthcare Account 3, Representative at 1.800.247.2343, ext. 4555, for more details.
2699
43
DOCUMENTATION
Registration and History Record
Completed by the patient to collect the patient's personal demographics, current medications, medical/hospitalization history, work/exposure history, current health care providers and family's medical history
Price Per Pack (100/pk) 1 Each 5 or More
Your Health Review Short-Form History/Physical Record

Item #
Description
2213R
Top Punched
$52.50
$49.60
Patient lls out a structured medical and family history section allowing quick review before the patient interview Includes a physical exam record and systems review Available in 2 versions: 2308 with a systems review checklist and 2307 without 8-1/2 x 14, perforates to 8-1/2 x 11 Heavy paper, printed 2 sides different with black and blue ink
Health History Update and Physical Examination

Item #
Description
Completed by the patient to collect their past and present health information, including psychosocial Client marks yes/no boxes to answer questions that describe their symptoms or history
2307R 2308R
Short Form, Without Checklist With Checklist
$96.25 $96.25
$90.95 $90.95
Item #
Description
2309R
Health History Update
$47.70
$45.05
Periodic History and Physical

Patient Visit Record

Completed by the physician, this form is appropriate for any age or gender User friendly for the collection of subjective data for the patients past and present health status in conjunction with the physical examination Allows for documentation of current medications, allergies, patient education, abnormal symptoms and a plan of care
Item #
Description
Link medical history data from 1 comprehensive exam to the next in 1 form 2301: Format C: doctor-administered systems review Comprehensive physical exam record 2-part carbon interleaf set Black and red ink 2303: Format D: patient-administered health history questionnaire Comprehensive physical exam record 9-1/4 x 11 6-part booklet-style form Black and blue ink 2-hole top punched
2274R
Patient Visit Record
$48.80
$46.35
Item # Description
Identication and Registration Records

Provides a permanent index of patient billing, insurance and demographic information A duplicate copy self-adheres in the medical record jacket; the original stays with your receptionist Allows for updating of patient information on the chart, eliminating the need to record information twice 8 x 5 2-part set White paper with blue ink
2301 2303
Format C Format D
$55.30 $164.00
$52.80 $155.05
Problems and Medications Lists

Item #
Description
2201
ID and Registration Records
$104.70
$99.00
Provide instant recall of all signicant data relating to a patients problem Records provide at-a-glance summary data initially gathered by other system components and indexes the data to more detailed information in the chart 2391R: White Index paper Black and blue ink, printed 2 sides same 2-hole punched top and side
Need to see a form up close?

Visit www.BriggsCorp.com, enter item number or keyword in the search box, click the form you want, go to the downloads tab and download the PDF le Adobe Acrobat Reader required. You can also call your Briggs Healthcare Representative at 1.800.247.2343 to have a sample faxed or mailed to you. Its that easy!

Item #
Description
2391R
Family Practice Record System Summary Problems & Medications
$47.70
$45.05
44
DOCUMENTATION
Milcom Ambulatory Gynocologic Record System
Developed in Cooperation with ACOG
Gynecology Health History

Designed to be administered by the physician or the patient, this records quick check format saves valuable time Heavy paper, printed 2 sides different
Item #
Description
2228 2230 2229
Standard Revised Revised, Flip-Up
$52.20 $52.20 $52.20
$49.60 $49.60 $49.60
Interval Gynecology History

2370
Give immediate updates on patients who havent been seen for 6 months or longer Completed by the patient, this form allows quick identication of potential problems before the patient interview Heavy paper, printed 2 sides same
Progress Notes
BEST SELLER
Item #
Description
2231
Head-To-Head, Regular
$112.20
$106.05
A problem-oriented, chronological record of your ndings and plans for treatments allowing you to summarize vital data in the patients medical record jacket Available in lined for handwritten notes, ip-up lined format with top hole-punch and unlined White heavy paper Blue ink, printed 2 sides same
OB/Gyn Screen

Item #
Description
Includes a patient-administered questionnaire plus a comprehensive physical exam record Provides an immediate summary of positive ndings before patient interview 5-part booklet-style set 9-1/4 x 11 White bond Black and purple ink
2370 2371 2372
Lined Unlined Lined Flip-Up Format
$100.00 $100.00 $100.00
$95.00 $95.00 $95.00
Internal Medicine Flowsheet

14-7/8 x 11 (overall), 8-1/2 x 11 (folded) Beige index paper Brown ink, printed 2 sides same 2-hole side punched

Item #
Description
2331
OB/Gyn Screen
$76.75
$72.90
Item #
Description
Chronic Disease Flow Record

2396
Internal Medicine Flowsheet
$50.00
$47.25
14-1/2 x 11 (overall), 8-1/2 x 11 (folded) Goldenrod index paper Printed 2 sides different 2-hole side punched
Gynecology Flow Record

White heavy paper Printed both sides same

Item #
Description
2410
Chronic Disease Flow Record
$48.80
$46.35
Item #
Description
2405 2406
Regular Format Flip-Up Format
$110.05 $110.05
$104.00 $104 00
45
DOCUMENTATION
Pediatric/Well-Child Record System

This system consists of Child Registration, History Records and 14 age-specic Well-Child Records, which document patient health history from infancy through adolescent and teenage years.
Growth Charts

Developed by the CDC as an easy, convenient way to measure height, weight and head circumference Length-for-age and weight-for-age percentiles on the front, head circumference-for-age and weight-for-length percentiles on the back BMI record and instructions for calculating included on 2 to 20 years charts Boy charts printed in blue ink Girl charts printed in red Lightweight cardstock Printed 2 sides different, head-to-head
1071 1072 1073 1074
Boys, Birth to 36 Months Girls, Birth to 36 Months Boys, 2 to 20 Years Girls, 2 to 20 Years
$7.50 $7.50 $7.50 $7.50
2276R
Child Registration and History Record

Completed on the initial visit Provides information on family history, development, behavioral issues, health and safety issues, hospitalization and serious illnesses, allergies and immunizations 17 x 11 (4-page booklet-style folded) Heavy paper, printed in black and blue ink Printed 2 sides different, head-to-head 5-hole punched top and side
Well-Child Record
Item #
Description
12 age-specic records provide information on interval history, nutrition, development, key family checks, physical examination, temperament, screening/immunizations, assessment and plan/anticipatory guidance A convenient set of all Well-Child Records (25 each) is available for physicians (2293R) Black and blue ink Printed 2 sides different, head-to-head 5-hole punched top and side
Price Per Pad Individual Records Price Per Pack (25/pk) 1 or More
2276R
Child Registration and History Record
$68.20
$64.45
Item # Description
2293R
Milcom Family Practice Record System

Track potentially important psychosocial elements, such as work environment, family relationships and social habits, as well as medicawl data.
Designed and Endorsed by STFM
Set of Well Child Forms

Item #
$41.55
Age
$153.00
Item #
Age
5 ways to protect yourself: 1. Fully document patients medical information and give your patient a written instructional handout 2. Use a systematic process to document all phone calls and the disposition of the calls 3. Use a comprehensive tracking system to document chronic problems, prescriptions and rell histories 4. Provide a fail-safe mechanism to document and verify that tests are performed and results reviewed 5. Document advice in clear, easy-to-read format
1-4 Weeks 2 Months 4 Months 6 Months 9 Months 12 Months 15 Months
2277R 2278R 2279R 2280R 2281R 2282R 2283R
3 Years 4-5 Years 6-8 Years 9-11 Years Adolescent
2286R 2287R 2289R 2290R 2291R
46
DOCUMENTATION
Patient Database System
BEST SELLER
Milcom General Medical History
Consists of 3 distinct, but interrelated parts: A general patient-administered health history questionnaire, which includes 141 carefully selected systems review questions A comprehensive 18-part physical exam, which includes a checklist and diagrammatic body chart A section for test results and summary 2295 (English Original): Color on the summary page to help facilitate your review 9-1/4 x 11 7-part booklet-style set Printed 2 sides different 2296 (English Revised): 9-1/8 x 11 5-part booklet-style set White bond Black and green ink 2320 (Spanish): 9-1/4 x 11 7-part booklet-style set
Item #
Description
2295 2296
English Original English Revised
$152.70 $152.70
$145.05 $145.05
Item #
Description
2320
Spanish
$152.70
$145.05
2240M
Core Database
BEST SELLER General Health History Questionnaires
Serves as the Problems and Medications List for the Practice Information System for internal medicine. Summarizes problems/diagnoses, medications and risk factors, and provides an index of tests, x-rays and special visits Yellow index paper Brown ink, printed 2 sides different 2-hole side punched
BEST SELLER
Revised version includes color on the summary page to help facilitate review original does not Original 2240M: 5-part booklet-style set Printed 2 sides different Revised 2241M: 4-part booklet-style set
Item #
Description
2395
Internal Medicine Core Database
$47.70
$45.05
Item #
Description
2240M 2241M
Original Revised
$132.20 $119.60
$124.95 $113.05
Pediatric Health History Questionnaire

Records the health of a child 212 years old and is completed by the parent 9-1/4 x 11 5-part booklet-style set
Item #
Description
2245
Pediatric Health History
$133.45
$126.15
47
Custom Forms
DOCUMENTATION
Custom Single-Sheet Forms in Only 5 Business Days!*

ou can professionally With the Briggs easy and affordable Custom-Quick program you cications. customize an existing form, or create a new form to your exact speci
ect form for Briggs Custom Forms Professionals can assist you in developing the perfect your facility, and because we print our forms in-house we can offer you an extremely competitive price and quick turn-around.
Custom-Quick options include: A choice of three standard sizes: 8-1/2 x 11; 8-1/2 x 5-1/2; and 5-1/2 x 4-1/2 (see examples below) A choice of seven colors of paper (shown below) Printing on one or two sides, same or different A choice of horizontal or vertical orientation Pads or loose-leaf sheets Punching available Specications: No minimum order quantity 20-lb. laser compatible bond paper Black ink
Call 1.800.247.2343, ext 4555, to speak directly to a Custom Forms Professional for a FREE price quote.
Choose from these three standard sizes:

11" x 8-1/2" or 8-1/2" x 11"
8-1/2" x 5-1/2"
5-1/2" x 4-1/2"
Choose from the following seven paper colors:

White Canary Pink Green Blue Buff Gold
Additional Custom Single-Sheet and Laser Compatible Forms*

If Briggs Custom-Quick Program doesnt quite t your needs, Briggs has many other options available including additional paper colors and weights; up to four standard ink colors; and punching, perforations and consecutive numbering. Call 1.800.247.2343, ext. 4555 for details. Custom products are non-returnable and subject to 10% over or under runs.

*On initial or revised orders, please allow ten business days before shipping in addition to proofing. Artwork: There is a one-time charge only. If your form is extremely complex, an additional charge may be required. We will contact you prior to setting artwork. Briggs reserves the right to require proofing on any form.
48
Custom Forms
DOCUMENTATION
Create Custom Multi-Part Forms in only 7 Business Days!*

Save time and money by eliminating expensive machine copies with Briggs custom multi-part formseasy, affordable, professional and created to your exact specications!
Briggs Custom Forms Professionals can assist you in developing the perfect form for your facility, and because we print all of our forms in-house we can offer you an extremely competitive price and quick turn-around.
Options include: Choice between a 2- and 3-part set Three sizes to choose from: 8-1/2 x 11; 8-1/2 x 5-1/2; and 5-1/2 x 4-1/2 Glued edges on top or side Punching available
Specications: Printed on standard, color-sequence carbonless paper (shown below) Printed in black ink only with black image transfer Forms printed one side, all parts same Minimum order quantity is 100 forms 2-part form colors
White Canary
3-part form colors

White Canary Pink
Call 1.800.247.2343, ext 4555, to speak directly to a Custom Forms Professional for a FREE price quote.
Most Commonly Customized Forms: ADL Flow Records Physicians Orders Progress Notes Assessments Care Plans Therapy Forms Monthly Summaries Nurses Notes Incident/Accident Reports Transfer/Discharge Forms Human Resource Forms
Create the Perfect Fit

1. You complete a rough draft of the desired form. Be sure to include quantity, paper and ink choices along with any additional options. 2. Mail, email customs@briggscorp.com, or fax your rough draft and complete order information to Briggs Customs Department, fax 1.877.234.9874. 3. Briggs will professionally type-set your form. A proof will be sent upon request or if Briggs feels it is necessary to ensure accuracy. Once your proof is approved, the form is printed within 10 business days.

Additional Custom Unit Sets*

Briggs can also produce custom multi-part and high-volume usage unit set forms tailored to t your specic needs. Choose up to 8 parts for the Unit Sets in the paper colors and weights you want (call for options). Choose up to four standard ink colors, with printing on one or two sides, same or different. Briggs has many other options available including: punching, perforations, marginal wording (to identify distribution of each part) and consecutive numbering. Call today at 1.800.247.2343, ext. 4555, for details or to receive a FREE quote. Custom products are non-returnable and subject to 10% over or under runs.

*On initial or revised orders, please allow ten business days before shipping in addition to proofing.
49
Custom Forms
DOCUMENTATION
Custom Imprinting is Cost-Effective and Saves Time!

Tailor Briggs stock forms to meet your needs! Save valuable time by imprinting the information your staff is writing time and time again. You can personalize Briggs stock forms by imprinting your name, address and other information.
Imprinting is an option on most Briggs stock c forms. ck You can bar code or consecutively number be er forms to aide in your record keeping. Laser forms s are also available for imprinting and numbering, including lu uding Payroll and Accounts Payable checks.
Simply ll out the order form at right, and fax ax x it to Briggs Customs Dept. at 1.877.234.9874 or call 1.800.247.2343, 8 800.247.2343, ext 4555, to speak directly to a Custom Forms rm ms Professional for a FREE quote.
Most Commonly Imprinted Stock Items

Telephone Orders Valuables Envelopes Purchase Orders Nursing Visit Notes Lab Reports Employment Applications Patient Cash Vouchers Condition Change Order Forms
Barcode samples
Imprint Normals here
NEW IMAGE TO COME
50
Custom Forms
DOCUMENTATION
Custom Imprinting Order Form

Mail or Fax Form and Rough Draft to: Briggs Healthcare ATTN: Customs Department 7855 University Blvd., Des Moines, IA 50325
Date Account # Purchase Order #
FAX 1.877.234.9874
Billing Address
Company/Facility Name Address City Attn Phone Contact E-mail Address Fax State Zip
Shipping Address (if different than billing address)

Company/Facility Name Address City Attn Phone Contact E-mail Address Fax State Zip
Dont have an account with Briggs?

Check here if you would like to open an account with Briggs . Fill out the above information or call your Briggs Healthcare Representative at 1.800.247.2343 and we will open one for you.

Is this a quote or an order?
Quote
Order
Print quantity: 500 1,000 Other (Minimum order is 500, 1,000 on pin-fed.) Proof desired? Yes No Briggs reserves the right to require proong on any form.
Custom Imprinting
Stock Form Ink Color Imprint Indicate the stock form you would like to order by Stock No. Choose the ink color for imprint. Black is standard Other (please specify)
Please enter the information you would like printed on the form. (4 lines of type) Upper case Upper and lower case Barcode (Must supply PDF)
Imprint Area
Check here if you want to add a company logo. Call a Briggs Customs Professional with specications.
Please indicate the area where you would like the imprint on the form. Fax sample required.
Numbering
If you want consecutive numbering printed on the form, please indicate the beginning number. Indicate where you would like the number to be printed on the form.
PLEASE NOTE: Custom-manufactured Merchandise may not be returned for reasons pertaining to errors in customer approved artwork or specifications. All custom orders are subject to 10% over or under runs.
51
Custom Forms
DOCUMENTATION
Custom Stationery Options

Business/Appointment Cards Letterhead #10 regular and window envelopes Notecards and envelopes Notepads and Prescription Pads
BRIGGS MEDICAL CENTER

7855 University Blvd. Des Moines, IA 50325 (515) 555-1234 (515) 555-4567
__________________________________________________
has an appt. with
Specications:

DR./P.A.___________________________________________ Sat. A.M. ____________________________ at ________________P.M. Mon.

We have reserved this time for you. Please give us 24 hrs. notice if you cannot keep this appt.
27 PMS colors to choose from 6 standard fonts to choose from Wide variety of clipart options for graphics Custom color and font options available
Tues.
Wed.
Thur.
Fri.
Appt. Card - 1 sided
Basic
Caring Hearts Hospice

1217 University Avenue Des Moines, Iowa 50265
7855 University St. Des Moines, IA 50265 Phone (515) 555-1234 Fax (515) 555-4567
Small Wonder Pediatics
Welcome
Misty Brook Senior Living
My How Youve Grown!

Name: Date: Age: Ht.: Wt.:
4-1/4 x 5-1/2
Floral - 2 color
Dr.:
Thank You
Shady Slope Retirement Community
4-1/4 x 5-1/2
Floral - 1 color
FREE PRICE QUOTE!
Standard PMS Colors: Colors reproduced as close to true color as possible. For non-standard special mix ink, call for pricing.
Black
Reflex Blue
Process Blue
Blue 300
Blue 314
Blue 308
Blue 540
Blue 548
Gray 429
Cool Gray 10
Warm Red
Red 185
Red 200
Red 485
Orange 21
Orange 165
Purple 70
Burgundy 208
Green 347
Green 349
Green 354
Green 569
Teal 320
Teal 322
Brown 463
Brown 471
Gold 117
52
Custom Forms
DOCUMENTATION
Tamper-free Prescription Pads

Deter prescription forgery by ensuring your prescriptions are printed on security paper. Security Features include: Void Pantographs are easily distinguishable in a blue screened background when copied the word VOID appears on the copy. Heat Sensitive Themochromatic Ink with red Rx Symbol is imprinted on the back. When the ink is Subjected to human touch or heat of a copier, the ink disappears. Articial watermark clearly reading Prescription Security is printed in white opaque ink on backside of paper. Coin Reactive Ink displays tampering with a simple scratch of a coin. Chemically reactive paper prevents attempts to use chemical solvents to dissolve print due to an obvious discoloration of the paper. Invisible ourescent bers are woven into the paper and will apear under a black light.
Call Our Customs Dept. Professionals

1.800.247.2343, ext. 4555 to place an order or receive a free price quote
Other Custom Options

We can customize more than just forms, labels and dividers. Briggs Custom Forms Professionals can assist you in developing a variety of other custom products and solutions to meet your needs. Call 1.800.247.2343. ext. 4555 to speak directly to a Custom Forms Professional for a FREE price quote.
Other Customized Products Include: Home Care Admission Packets Patient Education Books Register Books Birth Certicates and Identication Records
53
Admissions
DOCUMENTATION
Admission Orders

Allows the recording of an admission order while creating an immediate MAR The top copy is reserved for the physician to sign and becomes a permanent part of the clinical record 4-part set Part 4 (MAR) prints different from Parts 13 (Part 4 also prints front and back, Parts 1-3 print front only) White original and color-coded copies in black ink 5-hole punched top or side
CFS5-2/4P CFS5-2/4TP
Side Punched Top Punched
$44.20 $44.20
Record of Admission with Morticians Receipt

CFS5-2/4P
Conveniently record all pertinent resident information upon admission A morticians receipt is located on back side of the original copy 3-part set White original, color-coded copies Part 1 prints front and back, Parts 2 and 3 print front only 5-hole side punched
Pre-Screening Questionnaire
Determine the level of service needed regarding ADLs and IADLs prior to moving into the residence. Specs: 8-1/2 x 11, white paper, black ink, printed two sides different, 3-hole side punched, padded in 100s.
Item # Description Price Per Pack
CFS5-1/3P
Record of Admission w/ Morticians Receipt
$33.05
Admitting Record for Health Care Facilities

3382
$12.45
Move-In/Annual Assessment

Simply and concisely document residents health and functional status at move-in and on an annual basis Printed 1 side 5-hole punched top and side
4-part set records admission, nancial responsibility, release authorization and discharge Part 4 is an admitting le card Part 1 (white) and Part 2 (yellow) measure 8-1/2 x 11, Part 3 (pink) and Part 4 (white lightweight cardstock) measure 8-1/2 x 4-1/4 and include additional perforations to reduce to 6 x 4-1/4 if needed
3016
Admitting Record for Health Care Facilities
$71.85
3392P
$10.35
Record of Admission with Discharge Record

Resident Data Sheet

Record all pertinent information about the resident on one convenient form for easy access. Specs: 8-1/2 x 11 (detached), 2-part carbonless snap set, white original, white copy, black ink, 5-hole punched top and side, wrapped in 100s.
The reverse side includes a Discharge or Death Record Sturdy white cardstock Blue ink, printed 2 sides Head-to-foot
Item # Size Price Per Pack (100/pk)
1018
8 x 5
$21.05
3390/2P
Resident Data Sheet
$33.05
Admitting Evaluation Record of Inquiry

Use the Briggs Record of Inquiry to accumulate data on all prospective new residents. Specs: 8-1/2 x 5, White ledger stock, black ink, printed one side, packaged in 100s.
Includes patient history on front and a physical exam and treatment plan on reverse Yellow paper Head-to-foot
Item #
Description
Price Per Pack
3009
Record of Inquiry
$16.00
3131
Admitting Evaluation
$11.80
54
Admissions
DOCUMENTATION
Resident Status Sheet

Admission
Re-admission
RESIDENTDATA COLLECTION
Significant Change
Other_________________________
Provides an ongoing overview of the residents functional status and care needs 11 x 8-1/2 Lightweight cardstock Printed 1 side 3-hole top punched (11 edge)
Instructions: Check appropriate responses and fill in the blanks. Date of admission_____ /_____ /_____
ALLERGIES a.m. Time____________ p.m. Medications _____________________________ Transported by_________________________ Accompanied by_________________________ ________________________________________ Age_________ Sex_________ Weight_______________ Height: __________ Ft. _________ In. Food ___________________________________ ADMISSION NOTES
Vitals: T__________ P__________ ( Reg Irreg)
R__________ B/P_________ /______
________________________________________
Other ___________________________________
Attending physician notified? No Yes, date/time _____ /_____ /_____ ________ a.m. p.m. Diagnosis:__________________________ Date last chest x-ray or PPD_____ /_____ /_____
CFS5-4 3660
Resident Status Special Care
$11.80 $12.45
SKIN CONDITION Using the diagrams provided, indicate all Date of Influenza vaccine ____ / ____ / ____ Date of Pneumococcal vaccine ____ / ____ / ____ body marks such as old/recent scars (surgical and other), bruises, discolorations, PAIN Identify Site on Diagram Below abrasions, pressure ulcers, or questionable (As described by resident/representative) markings. Indicate size, depth (in cms), color and drainage. Frequency: Daily, but not constant COMMENTS: __________________________ No pain Less than daily Constant _______________________________________ Location: ___________________________ _______________________________________ Intensity: No pain Severe pain _______________________________________ Mild pain Horrible pain Distressing pain Excruciating SPECIAL TREATMENTS & PROCEDURES: pain Pain on admission: _______________________________________ No Yes, describe______________ _______________________________________ __________________________________ __________________________________ _______________________________________ See Pain Evaluation & Flow Sheet See Pressure Ulcer Record GENERAL SKIN CONDITION PHYSICAL STATUS (DESCRIBE IF APPLICABLE OTHERWISE INDICATE NA)
CURRENT STATUS
Nurses Admission Assessment
Prints front and back, head-to-foot

Check all that apply. Reddened Pale Jaundiced Cyanotic Ashen Dry Moist Oily Warm Cold Edema, site___________________________
TRANSFERS-ABLE TO TRANSFER Independently 1 person assist 2 person assist Total assist WEIGHT BEARING-ABLE TO BEAR Full weight Partial weight Non-weight bearing
Paralysis/paresis-site, degree ______________________________________________________ Contracture(s)-site, degree ________________________________________________________ Congenital anomalies_____________________________________________________________ Prosthesis _______________________________________________________________________ Other ___________________________________________________________________________
FUNCTIONAL STATUS AMBULATION-ABLE TO AMBULATE Independently 1 person assist 2 person assist With device Type___________________________ Wheelchair only Wheelchair/propels self Bedrest SUPPORTIVE DEVICES USED: Bed cradle Footboard Sheepskin Air/gel mattress Hand rolls Sling Trapeze Chair cushion Other _________________________ ______________________________ Other _________________________ ______________________________ DOSE/FREQUENCY
3250
$11.80
Family Questionnaire
Provides details of present routines, habits, behaviors, interests and abilities of the resident prior to admission. Specs: 5-page booklet-style form, 8-1/2 x 11, white paper, black ink, 5-hole punched top or side, wrapped in 100s.
DRUG THERAPY DRUG DOSE/FREQUENCY DRUG 1 6 2 7 3 8 4 9 5 10 See Medication Reconciliation Record.

NAMELast First Middle Attending Physician Record No.
Room/Bed
CFS 5-3HH-10 Rev. 11/12 1992 BRIGGS, Des Moines, IA (800) 247-2343
Unauthorized copying or use violates copyright law. www.BriggsCorp.com
PRINTED IN U.S.A.
RESIDENTDATA COLLECTION
Continued on Reverse
CFS5-3HH-10
3678HH
Side punched
$33.05
Nurses Admission Record Resident Data Collection
Record an overall assessment of the resident at the time of admission and provide information for the completion of the MDS Printed 2 sides different 5-hole punched top and side
Use Briggs Form 3006 for Admissions performed by a Nurse. Specs: 8-1/2 x 11, white paper, blue ink, printed one side, padded in 100s.
Item #
Description
Price Per Pad (100/pd)
3006
Nurses Admission Record
$9.65
CFS5-3HF-10 CFS5-3HH-10
Top Punched Side Punched
$14.15 $14.15

Use for Admissions when a Nurse is doing the assessment. Specs: 8-1/2 x 11, white paper, black ink, prints front and back, padded in 100s.
Long-Term Care Admission Checklist

Provides an easy check-off list format to aid the admission process Helps ensure documentation is complete Blank spaces allow the addition of facility-specic requirements Prints 2 sides different 5 hole top and left punch
3250
$11.80
Briggs Reinforcers
$12.20
3612P
LTC Admission Checklist
Residents Rights
Review with the new resident, at move-in, their rights while living in residence. 2 part-set.
What would happen if a critical piece of documentation was missing from your chart? Improper care provided, medication errors, nes, citations and lawsuits Reduce the risk and protect your forms! Visit us online at www.BriggsCorp.com or see page 186 for full details and pricing.
3340/2P
Residents Rights
$33.70
55
Admissions
DOCUMENTATION
Request Concerning Life-Prolonging Procedures

Resident Rights PosterEnglish/Spanish

Request to decline life-prolonging procedures 2-part set Yellow copy

Printed in both English and Spanish, this large-print poster will aide in supporting Tag Numbers F150 and F154 Uses language that conveys the rights in clear and understandable text Manila cardstock
3122/2
Life-Prolonging Procedures Request
$29.65
6705R
22-1/2 x 28-1/2
$25.50
Advanced Directives/Medical Treatment Decisions, Acknowledgement of Receipt

Resident RightsEasy-To-Read

Includes expanded Advance Directive/Treatment Decision List Part 1: 8-1/2 x 11, Part 2: 8-1/2 x 5 2-part set White original, pink copy 5-hole punched top and side
Easy-to-read format and language Used to inform each resident in writing of his/her rights prior to or upon admission 4-page book-style form 17 x 11 overall (8-1/2 x 11 folded)
CFS1-3 CFS1-16
English Spanish
$29.65 $29.65
CFS1-10/2PS
Advanced Directives
$30.90
Resident RightsMeets OBRA Regulations Acknowledgement of Receipt, Advanced Directives/Medical Treatment Decisions

Document that the resident has been informed in writing the understanding of rights, rules and regulations regarding Advance Directives and Medical Treatment Decisions 2-part or 3-part sets Printed blue ink 5-hole punched top or side
Provide each resident with a copy of his/her rights (in English) as stated in the OBRA regulations Printed in easy-to-read 12-pt. type 8-page booklet-style form
3126R
Resident Rights
$58.30
Side Punched 3128/2P 3128/3P Top Punched 3128/2TP 3128/3TP
Resident Consent/ Acknowledgement Form

On one convenient form, protect your organization from liability. Obtain resident consent for services and provide supporting evidence that staff has reviewed selected move-in requirements with the resident prior to move-in. Specs: 8-1/2 x 11 (detached), 2-part carbonless snap set, white original, white copy, black ink, 5-hole punched top and side, wrapped in 100s.
2-Part Set 3-Part Set 2-Part Set 3-Part Set
$35.35 $45.35 $35.35 $45.35
3388/2P
Resident Consent/Acknowledgement Form
$33.05
REVISED
Notication and Consent Physical Restraint Informed Consent
Protects the facility by providing the resident (or resident representative) notication and consent regarding: Resident Rights, Facility Rules & Regulations, Visitation Rights, Medicare & Medicaid Covered Services, Physician & Dental Services, Advance Directives, Self-Administration of Drugs, Bed Hold Policy, Mail, Ombudsman Examination of Records and Photograph/Name Release 4-page booklet-style form 17 x 11 overall (side punched version) or 8-1/2 x 22 overall (top punched version) Both versions fold to 8-1/2 x 11 5-hole punched top or side
Informs the resident of his/her right to be free from physical restraints imposed for purposes of discipline or staff convenience Allows the facility to obtain signature(s) upon admission dening the conditions of consent or lack of consent Back species benets and risks of restraint use 2-part set Pink copy Part 2 printed 2 sides different 5-hole punched top or side
CFS1-4HH CFS1-4HF
$29.05 $29.05
$33.05 $33.05
56
Admissions
DOCUMENTATION
Admission Service AgreementHospice
Obtain consent for hospice care services, to show evidence that staff reviewed selected required admission elements and HIPAA notice of privacy practices 2-part set Canary duplicate 5-hole punched top and side
3527/2P
Admission Service AgreementHospice
$33.05
Admission Service Agreement Home Care
Obtain consent for home care services and provide supporting evidence that staff have reviewed selected required elements prior to admission 2-part set Canary copy 5-hole punched top and side
Home Care Admission Packet

3529/2P
Admission Service AgreementHome Care
$33.05
Face-To-Face Encounter Forms

Used to capture the information needed to meet new CMS face-to-face visit requirements Qualifying encounter type Physician attestation including clinical ndings in the physicians own words 2-part form allows you to keep a temporary copy while the original is out for physican completion Printed 1 side 5-hole punched top and side
The information new home care clients and their families need in a single place Admission Folder: Provides staff contact information, statement of condentiality and a place to store information Customize folder with your agency logo and/or information (Briggs custom label H1908L) Guide to Health at Home Booklet: Using large fonts and simplied language, contains necessary and regulatory information regarding patient education, Medicare requirements and topics such as patient rights, condentiality, safety, infection control and emergency preparedness 3400B Booklet is also available separately Forms: Assembled in order of use, includes Admission Service Agreement, Medicare Secondary Payer Worksheet Patient Privacy Statement Do Not Resuscitate Request Medication Prole, Medication Prole Addendum, Medication Side Effects, HHA Care Plan
Item #
Description
3401P 3443/2P
Face-to-Face Encounter Form for Home Care

NEW! Hospice Face-to-Face/
$20.15 $20.15
3400 3400B
$189.40 $56.85
60 Day Recertication
Home Health Admission Checklist

NEW! Patient Consent for Care &

Service Agreement
Provides a check-off format for admission documentation Ensure all documents are completed and signed as required Blank spaces allow the addition of agency-specic forms Prints 1 side 5 hole top and left punch
Obtain written consent for care from the hospice patient/legal representative and acknowledge selected aspects of hospice care 2-part set White original, canary copy 5-hole punched top and side
3895/2P
8-1/2 x 11 (detached)
$30.55
3614P
HH Admission Checklist
$12.20
57
Admissions
DOCUMENTATION
Home Care/Hospice Patient Rights and Responsibilities
Release of Responsibility for Medication

Provide the patient and/or legal representative with written notice of rights and responsibilities in advance of providing care Printed 2 sides different Head-to-head
Releases the facility from responsibility for medication administration while the resident is away from the facility 2-part set Yellow copy 5-hole punched top and side
3531
Patient Rights and Responsibilities
$11.80
3077/2P
Release of Responsibility for Medication
$30.90
Home Environment Safety Evaluation

Release from Responsibility for Discharge

Assess/identify patient home safety needs and areas for education Document patient instruction, safety action plans, identication of needed items and discussion of an emergency preparedness plan 2-part set Yellow copy 5-hole punched top and side
Releases the facility from responsibility when resident has left the facility against physician and administrator advice Printed 1 side 5-hole punched top and side
3025P
$10.35
Release of Responsibility for Leave of Absence

3542/2P
Home Environment Safety Evaluation
$33.05
Allows up to 22 leaves of absence to be recorded 3046 has space for destination and phone number
Emergency Phone Number Instructions

Provide easy access to important emergency information for home care clients, caregiver(s) and staff 3-part set White original, color-coded copies 5-hole punched top or side
Individual Resident LOAs 3027 Black Ink 3046 Black Ink Multiple Individuals LOAs 3026 Blue Ink
$10.35 $10.35 $10.35
3536/3P
Emergency Phone Number Instructions
$38.05

This form contains information to release your facility from responsibility for a patient if he/she discharges themselves from your facility against a physicians and facility administrators advice. Specs: 8-1/2 x 5-1/2, white paper, blue ink, padded in 100s.
Family Guide for Home Care of Patient

Provide information on how to care for the patient Includes instruction on medications and name and number of doctor, including next appointment 2-part set Pink copy
3022R
$7.60
Release for Leave of Absence

This popular form contains all the necessary information to release your facility from responsibility for a patient while he/she is away from the facility. Specs: 8-1/2 x 5-1/2, white paper, blue ink, padded in 100s.
3528/2
Family Guide for Home Care of Patient
$33.70
Consent to Photograph
Multi-purpose form allows documentation of a patients consent/denial of permission to photograph him or her in a variety of situations or a single, specic situation 2-part set Pink copy, blue ink 5-hole punched top and side
3021
Release for Leave of Absence
$7.45
Release of Pass Medications

Use with a Doctors consent to release medications. Specs: 8-1/2 x 5-1/2, white paper, black ink, padded in 100s.
3029/2P 3030/2P 3031/2P
General Home Health NEW! Hospice
$29.65 $30.25 $30.25
3043
Release of Pass Medications
$7.45
58
Admissions
DOCUMENTATION
Diagnosis Disclosures
Briggs Diagnosis Disclosure Forms assist you in providing difcult medical information to residents and families. Specs: 8-1/2" x 11" (detached), 2 part booklet-style form, white original, color-coded copies, black ink, 5-hole punched top and side, wrapped in 50s.
Item #
Description
1364P-12 1365P 1366P-12 1367P-12 1368P-12 1369P-12 1370P-12 1371P 1372P 1373P-12 1374P 1375P-12
Congestive Heart Failure Disclosure Parkinsons Disease Disclosure Alzheimers Disease Disclosure Diabetes Mellitus Disclosure Osteoporosis Disclosure Cerebrovascular Accident (Stroke) Disclosure Pressure Ulcer Disclosure Emphysema Disclosure Hypertension Disclosure Cancer Disclosure Depression Disclosure Chronic Renal Failure Disclosure
$17.15 $17.15 $17.15 $17.15 $17.15 $17.15 $17.15 $17.15 $17.15 $17.15 $17.15 $17.15
Accumulative Diagnosis Record

Document ongoing diagnosis with Briggs Form 1141P that includes a column for ICD codes Printed 1 side 5-hole punched top and side
1364P
Disaster Tag

Item #
Description
1141P
Accumulative Diagnosis Record
$12.45
Patient Index Card

The back of Briggs Form 170 provides space for four additional admissions. Specs: 5 x 3, white ledger stock, black ink, printed two sides, head-to-head, packaged in 250s.
String is provided to securely attach to the patient upon arrival into the Emergency Room Identication, initial medical ndings and level of care required are documented on the front, treatment and disposition on the back Parts 1 and 2: 6-5/8 x 4-1/4; Part 3: 8-3/8 x 4-1/4 Pink original, yellow copy Buff lightweight cardstock
Item #
Description
170
Patient Index Card
$29.25
876
Disaster Tag
$66.45
Patient Index Cards with Change of Address

Admission Dividers
Column headings are continued on the reverse side, as well as a place to document change of address 5 x 3, heavy cardstock Printed 2 sides Head-to-foot
977 978
Green White
$38.05 $38.05
Provides easy reference to each admission Dividers separate re-admissions in serial-unit records Sturdy ledger paper with color-coded mylar reinforced tabs differentiate each admission Dual tab titles on front and back reduce inventories Side tab, 2-hole punch at top, side and bottom to t all open-shelf le systems Sold 25 sets per box*
Price Per Tab (25 tabs/bx)* 25 50 100 250
Did You Know?

Briggs has been printing forms for health care organizations for more than half a century. Our experience and understanding of health care documentation are second to none. Over the years, weve had our documentation programs held up by industry litigation experts as a facilitys best defense against ligitation and survey deciencies.
Item #
Description
1154 1155 1156 1157 1158
1st/10th Admission 2nd/9th Admission 3rd/8th Admission 4th/7th Admission 5th/6th Admission
$0.65 $0.65 $0.65 $0.65 $0.65
$0.60 $0.60 $0.60 $0.60 $0.60
$0.55 $0.55 $0.55 $0.55 $0.55
$0.50 $0.50 $0.50 $0.50 $0.50
59
Admissions
DOCUMENTATION
Inventory List

Record residents personal belongings at admission/ discharge 2-part set Part 1 serves as the facility record and Part 2 allows you to provide the resident with the lower portion upon admission and the top portion upon discharge Green copy
883/2
Inventory List
$35.35
Inventory of Personal Possessions

Provides a check-off-style list of items most often brought to the facility including prosthetic devices Check-off list does not include clothing Space provided for additional items as needed 2-part set Yellow copy 5-hole punched top and side
883-2
Patient Valuable Envelope w/Claim Ticket

3093/2P
Inventory of Personal Possessions
$30.90
Envelope has a convenient claim ticket attached to the ap of the envelope 5-1/2 x 10-1/2 (sealed) Printed on sturdy brown kraft paper
Patient Valuable Envelope

743
Patient Valuable Envelope
$28.85

Inventory of Personal Effects

3-part set Part 1 of this unique form is given to the patient; Part 2 is led in the facility; Part 3 is an envelope to securely seal in the residents valuables Parts 1 and 2: 8-1/2 x 10-3/4 Parts 1 and 3: white paper and Part 2: yellow paper Blue ink
Includes a listing of valuable items most often brought to the facility Convenient check-off-style format, plus plenty of blanks for belongings 2-part set Yellow copy 5-hole punched top and side
789
3-Part Patient Valuable Envelope
$39.55
Patient Clothes List

Convenient check off style to record any clothing a resident brings to your facility. 3014/2 specs: 8-1/2 x 11 (detached), 2-part carbon-interleaved snapset, black ink, white orginal with colored copies, packaged in 250s. 3014-S specs: 8-1/2 x 11, white paper, black ink, padded in 100s.
CFS1-12/2PS
Inventory of Personal Effects
$30.90
Theft/Loss Monitoring Report

Use Briggs Form 3321 to document any report of theft. An area is provided to document the item value and action taken along with follow-up information. Specs: 8-1/2 x 11, white paper, black ink, printed one side, padded in 100s.
3014/2
Item #

Description
$63.40
3014-S
$9.65
Item #
Description
3321
Theft/Loss Monitoring Report
$9.65
Need to see a form up close? Imprinting saves time

Personalize your forms and save staff time by imprinting your name and address. Contact our customs department at 1.800.247.2343, ext. 4555 so we can start creating your personalized forms today! Visit www.BriggsCorp.com, enter item number or keyword in the search box, click the form you want, go to the downloads tab and download the PDF le Adobe Acrobat Reader required. You can also call your Briggs Healthcare Representative at 1.800.247.2343 to have a sample faxed or mailed to you. Its that easy!

60
Admissions
DOCUMENTATION
REVISED
Notice of Medicare Provider Non-Coverage
Provide Medicare patients with notice of an expedited review process and notice their Medicare coverage is about to end (also referred to as the Generic Notice) 5-hole punched top and side
Completion of this form is a condition of the Medicare Program whereby the provider identies primary payers other than Medicare during admission process Black and red ink Printed 1 side 5-hole punched top and side
CMS-10123 CMS-10123-S
English Spanish
$37.75 $37.75
3535P
$11.80
REVISED
Detailed Explanation of Non-Coverage
REVISED
Hospice Benet Certication
Provide Medicare patients with detailed explanation upon notice from the Quality Improvement Organization (QIO) that the beneciary has appealed the termination of services (also referred to as the Detailed Notice) 5-hole punched top and side
Obtain certication of terminal illness and certication for the initial 90-day (Period I) authorization, as well as recertication for Periods IIVI, as necessary 2-part set Canary copy 5-hole punched top and side
CMS-10124 CMS-10124-S
English Spanish
$19.90 $19.90
3463/2P
Hospice Benet Certication
$33.05
HHABN
REVISED

Election of Medicare Hospice Benet
Provide any home health patient with a Medicare number with an advance notice of possible non-covered items/ services and to alert them that they may be liable for payment
Inform Medicare patients of the Medicare Hospice Benet Also serves as the related informed consent 2-part set Canary copy 5-hole punched top and side
Option 1 CMS-R-296-1 CMS-R-296-S1 CMS-R-296-S1D CMS-R-296-1D Option 2 CMS-R-296-2 CMS-R-296-S2 CMS-R-296-2D CMS-R-296-S2D Option 3 CMS-R-296-3 CMS-R-296-S3 CMS-R-296-3D CMS-R-296-S3D
English Spanish NCR Spanish NCR English English Spanish NCR English NCR Spanish English Spanish NCR English NCR Spanish
$10.15 $10.15 $19.90 $19.90 $10.15 $10.15 $19.90 $19.90 $10.15 $10.15 $19.90 $19.90
3466/2P
Election of Medicare Hospice Benet
$33.70
REVISED
Hospice Advance Beneciary Notice
Provide any patient with a Medicare number with advance notice of physician ordered non-covered care; or of reducing or terminating ongoing care when the physician does not concur 2-part set Canary copy
CMS-R-131
Hospice Advance Beneciary Notice
$23.90
REVISED
Intake/Referral

Hospice Medicare Benet Revocation
Collect initial intake/referral information and other baseline data to assist in the referral admission process Printed 2 sides different Head-to-head 5-hole punched top and side
Document formal acknowledgment and understanding of the revocation of the Medicare Hospice Benet 3-part set Color-coded copies 5-hole punched top and side
3456/3P
Hospice Medicare Benet Revocation
$36.25
3532P 3539P
Intake/Referral Home Care NEW! Hospice Intake/Referral
$15.10 $15.10
61
Physician Services
DOCUMENTATION
History and Physical Examination Forms

A variety of forms used to record the residents medical status History and Physical Printed 1 side 5-hole punched top and side Physical Examination Printed 2 sides different, blue ink Head-to-foot Annual Physical Examination Printed 1 side Green paper
633 208 1304
History & Physical Physical Examination Annual Physical Examination
$10.35 $11.80 $9.65
History and Physical Record

Record a complete medical history and physical exam Ruled lines on both sides Blue ink
633
2007
History & Physical Record
$11.80
REVISED
Oral/Dental Record
Medical History and Admission Examination

Aids in the accurate documentation of the MDS and provides the necessary information to ensure that appropriate and immediate care is provided with regard to daily mouth care and nutritional needs Record dental care-related progress notes on the back Printed 2 sides different 5-hole punched top or side
Outlines pertinent medical history and admission examination Blue ink Printed 1 side
3134
Printed Front Only
$9.65
CFS11-1HH CFS11-1HF
$12.45 $12.45
Physician Discharge Summary

Provides the required physician documentation supporting the discharge of a resident Printed 1 side 5-hole punched top or side
Action Labels

Each label is actually two labels in one! Record exactly when actions are due and when they are completed Top label peels off to reveal the bottom Removable adhesive
CFS5-16HH CFS5-16HF
$10.35 $10.35
L-1504 15/16 x 2-1/4 100/bx Peel-Off Top, Fl. Pink Bottom, Fl. Yellow
Cant nd what you are looking for?

Briggs Healthcare produces and distributes over 10,000 products, including: medical supplies, medical forms, charting and much more.
See page 238 for complete offering of Action Labels. Visit www.BriggsCorp.com today to view our complete product line.
62
Physician Services
DOCUMENTATION
General Progress Notes
Physicians Progress Notes

Progress Notes are comprehensive in nature and reect the pattern and continuity of the total program of care
Head-to-head 2 sides same

1-Sided A-166 Buff Paper 65 Buff Paper 665 Buff Paper 150 Blue Paper 2-Sided, Head-To-Head, 5-Hole Punch 485/2-RF White Paper, Reinforced, Black Ink 485/2 Buff Paper, Black Ink 646/2 Buff Paper, Black Ink 2-Sided, Head-To-Head, 2 Sides Same 185 Blue Ink, 2 Sides Same 185/2 Blue Ink, 2 Sides Same 679/2 Blue Ink, 2 Sides Same 2-Sided, Head-To-Foot A-167 Buff Paper; Identical to Form A-166, But Printed 2 Sides Same 666 Buff Paper, 2 Sides Same 65/2 Buff Paper; Identical to Form 65, But Printed 2 Sides Same 65/2P Buff Paper; 5-Hole Top Punched 3261 Buff Paper
$9.65 $9.65 $9.65 $10.35 $24.25 $12.45 $12.45 $9.65 $11.80 $12.45
603 647/2 CFS9-1HH CFS9-1HF
No Punch 5-Hole Side Punched Side Punched Top Punched
$11.80 $12.45 $12.45 $12.45
Stick-On Progress Notes

Assessments or notes can be written without the chart in hand and attached later Original copy is attached to the patients chart via peel-off transfer tape on back side of Part 1 8-1/2 x 5-1/2
3280/2 $11.80 $11.80 $11.80 $12.45 $12.05
2-Part Set
$44.05
Report of Consultation
The attending physician species in writing the nature of the services to be provided by the consulting physician, who then uses this same form to report the ndings 2- and 3-part sets; yellow paper (all parts)
Problem-Oriented Progress Notes

Specs: 8-1/2 x 11, pink paper, black ink, printed two sides same, 5-hole side punched, padded in 100s.
63
Item #
Single Sheet
Description
$10.35
653/2S
Problem-Oriented Progress Notes
$12.45
852/2 852/3
2-Part Set 3-Part Set
$62.20 $86.35
Doctors Progress Notes

Head-to-head 2 sides same Green paper Available with 5-hole top punch or without
Consultation Forms
Divided into sections to report ndings, diagnosis and recommendations

678/2 3221
No Hole Punch 5-Hole Top Punched
$12.45 $11.80
Consultation 263 Green Paper

Item # Description
$10.35
Progress Record
Specs: 8-1/2 x 11, blue paper, black ink, printed one side, padded in 100s.
Report of Consultation 851/2 Pink Paper; 2-Part Interleaved Sets
$62.20
Consultation Forms

A-170
Progress Record
$9.65
Divided into sections to report ndings, diagnosis and recommendations 2-part set, pink paper
Physicians Orders

Prints front only Blue Ink

19
Report of Consultation
$10.35
3375P
Physicians Orders
$10.35
63
Physician Services
DOCUMENTATION
Physicians Order Sheet and Progress Notes
Document physician orders and reect the pattern and continuity of the total program of care through the physicians knowledge of the residents needs and current situation
Printed 2 Sides Head-to-Foot 765 Blue Ink Printed 1 Side 764 Printed 1 Side; Blue Ink 622 Pink Paper 80 Printed 1 Side (Single Sheets); Pink Paper
Item # Description
$11.80 $10.35 $9.65 $9.65
Price Per Box (500/bx)
Printed 1 Side 867 2-Part Set; Pink Paper
$115.40
Doctors Orders and Progress Notes
765
Document physician orders and reect the pattern and continuity of the total program of care through the physicians knowledge of the residents needs and current situation 3097 3096 Printed both sides the same Printed 1 side 5-hole side punched No punch Green paper Green paper Black ink Black ink
Doctors Orders

For all orders given, the date/hour ordered and date/hour discontinued Prints head-to-foot Single sheet Blue ink
3096 3097
Side Punched No Punch
$12.45 $9.65
Request for Gradual Dosage Reduction

56
Doctors Orders
$10.35
REVISED
Physicians Orders Home Care & Hospice
Request instructions from the physician about dose reduction attempts per federal regulations 2-part set Yellow copy 5-hole punched side
Request a physician order or record the physicians verbal order(s) that revise the home care or hospice plan of care during a certication/recertication period Includes check box to conrm Verbal Order Read Back to assist in complying with National Safety Goals 3-part set Canary and pink copies Printed 1 side 5-hole punched top and side
CFS3-9R/2P
Side Punched
$30.90
Do Not Resuscitate/Request Order
Document a patients/clients decision regarding resuscitation and forward this to the physician to be included in the physician orders 3-part set Yellow original, color-coded copies 5-hole punched top or side
3523/3P
Physicians Orders Home Care/Hospice
$38.10
3538/3P
Do Not Resuscitate/Request Order
$38.05
Certication & Recertication

Provides for admitting certication, as well as all recertications for continuing services in your facility
Item # Qty Price
Hospice IDG Care Plan/Physicians Orders

Develop the hospice interdisciplinary plan of care with physicians orders for certication and recertication of the plan of care.
888-S 888/2 888/3
100/pd 250/pk 250/pk
$9.65 $62.20 $86.35
3475R/2P Hospice IDG Care Plan/Physicians Orders
$30.25
64
Physician Services
DOCUMENTATION
Physicians Verbal Orders

Physicians Orders with Tear Away Copies

Includes a Verbal Order Read Back check box to assist in complying with the JCAHO national Patient Safety Goals 3-part set Canary and pink copies Printed 1 side 5-hole punched top and side
The top sheet is always left in the chart as part of the patients permanent record Each time an order is written, the image is transferred only to the sheet directly under the original (this sheet is removed and sent to the pharmacy) 22 lines per page Yellow copies
4187/3P
Physicians Verbal Orders
$38.10
4-Part Form 1206/4 1206/4TP

Item #
No Punch Top Punched

Description
$126.15 $126.15
Physicians Orders

Allows for 3 series of orders Duplicates are spot-glued allowing them to be removed from the form as a set and later separated for distribution 8-1/2 x 11 (top sheet), 8-1/2 x 3 (copies) Blue original, yellow and white copies Bottom stubs
5-Part Form 1206/5 1206/5TP
$128.30 $128.30
Physicians Orders Diet and Diagnosis Area

1264
Physicians Orders
$62.20
Contains 29 lines for writing orders with special diet and diagnosis area Constructed so patient information at the top transfers to all parts of form, yet physicians orders transfer only to the sheet directly behind the top sheet 7-3/4 x 11 Yellow copies
Physicians Order Sheet

1207 features 3 separate medication orders, 1208 has 4 Both provide an 8-1/2 x 11 permanent copy for the patients chart Duplicates are perforated for easy removal Pink and yellow copies
1269/4 1269/5
4-Part Form 5-Part Form
$164.50 $190.00
Schedule III, IV and V Telephone Order

1207/2 1208/2
Item #

Description
$151.10 $151.10
Designed to use when the nurse is contracted to act as an agent of the physician 3-part form with mount sheet 5-hole punched top and side
1207/3 1208/3
$168.05 $168.05
986P
Telephone Order
$59.75
Physicians Orders/Telephone Order Physicians Orders Multi-Format

Yellow paper Prints 1 or 2 sides

26 626 683/2
Printed 1 Side Printed 1 Side Printed 2 Sides Head-To-Head; 5-Holes Side Punched
$9.65 $9.65 $12.45
3 orders printed on each form Can be used as Physicians Telephone Orders Addressograph space Remove all copies along the perforations Check the departments for copy distribution or use the blank spaces to indicate departments not listed Original stays as a permanent record in the patients le Blue ink 5-hole side punched
1279/5
Physicians/Telephone Orders
$135.90
65
Physician Services
DOCUMENTATION
Physicians Orders Remove Copies, Leave Original

Individual Telephone Orders

Remove copies without taking the form out of the chart Parts 2 and 3 are removed as a set, then separated for distribution to Nursing and Pharmacy Pharmacy and Nursing copies are cut allowing quick removal Top sheet stays in the chart A backing sheet (Part 4) holds all parts together 8-1/2 x 11 (top and back sheet) 8-1/2 x 3 (copies) White and yellow paper Blue ink
Individual orders to document physician orders given over the phone Mount sheets are available for attaching the orders in 1 location 3-3/8 x 8 Printed in blue and burgundy ink Color-coded copies
1392/3
Individual Telephone Orders
$59.75
1265 1265P
$62.20 $62.20
Physicians Verbal Telephone Orders JCAHO National Patient Safety Goals Compliant

Physicians Telephone Orders 3-Part

Combination telephone orders and mount sheet with audit checklist Part 3 serves as a mount sheet for single orders 3 perforated 8-1/2 x 3-1/4 orders per sheet 3-part set; white original Color-coded copies Blue and burgundy ink 5-hole punched top or side
Includes a Verbal Order Read Back check box to assist in complying with the JCAHO National Patient Safety Goals All parts of this order are printed with different headers, yellow original Color-coded copies Black and red ink 7 x 3-1/2
3543/3
3-Part Set
$56.05
Telephone Order Room for Personalization

3376/3P 3376/3TP
$54.35 $54.35
Includes a large, unruled block for imprinting or stamping your facility name and address 3-1/2 x 7-1/4 Pink and green copies in black and red ink
Physicians Telephone Orders/ Mount Sheet

1395/3
3-Part Set
$59.75
Document physician orders given over the phone Provides copies for the pharmacy and data entry Last part provides temporary chart copy and mount sheet 3- or 4-part set Color-coded copies Black and red ink (Form 987/3P: blue and burgundy ink) 5-hole punched top and side Individual orders measure 8-1/2 x 3-1/4
Telephone Order with Audit Checklist
CFS9-3/3P 982P 987/3P CFS9-3/4P 982/4P
3-Part Set 3-Part Set 3-Part Set 4-Part Set 4-Part Set
$56.05 $56.05 $56.05 $67.25 $67.25
Telephone orders with special audit section help ensure the appropriate information is communicated to all applicable areas Record the verbal orders, send the original to the doctor for signature, send the second part to the pharmacy and place the third copy in the clinical record as a temporary copy 3-3/8 x 8 Color-coded copies in black and red ink
1393/3 1394/3 1394/4
3-Part Set, 5-Day Version 3-Part Set, 48-Hour Version 4-Part Set, 48-Hour Version
$59.75 $59.75 $86.35
Telephone Orders Mount Blue Paper

Mount your telephone orders in your charts Blue paper 5-hole punched top and side
Imprinting saves time

Personalize your forms and save staff time by imprinting your name and address. Contact our customs department at 1.800.247.2343, ext. 4555 so we can start creating your personalized forms today!
601P
Telephone Orders Mount
$10.35
66
Physician Services
DOCUMENTATION
Telephone Orders
BEST SELLER
Complete system for documenting physicians orders taken over the phone Yellow original, color-coded copies in black and red ink Send original to the doctor for signature and place the duplicate in the clinical record the original can be positioned on a mount sheet in the chart once returned and the temporary copy is then destroyed 3-1/2 x 7
990 1204 1000/2 1000/3 1004/3
2-Part Set 3-Part Set 2-Part Set (48-Hour) 3-Part Set (48-Hour) 3-Part Set (Immediate)
$28.40 $44.20 $38.10 $59.75 $59.75
989
Physicians Telephone Orders with Mount Sheet

Telephone Orders With Reinforced Mount Sheet

Will keep valuable information from tearing and falling out of the residents chart Saves valuable time by eliminating the need to repair damaged hole punching Reinforced with polypropylene strip tape Printed 1 side 5-hole punched top and side
Copies are sent to the physician, pharmacy and billing Original is mounted on the chart control copy (Part 3 on the 3-part versions, Part 4 on the 4-part versions), which features pressure-sensitive tape Detachable parts are perforated between the 3 forms for easy individual removal 8-1/2 x 3-1/4; printed in black and red ink Color-coded copies and canary mount sheets
3245P-RF
Reinforced Mount Sheet
$54.35
3-Part Form 989 No Punch 989P Top and Side Punched 4-Part Form 989/4P Top and Side Punched
$56.05 $56.05 $67.25
Telephone Orders Mount Sheet

Mount your physicians telephone orders on 1 sheet for convenient ling in the patients chart Perforated adhesive mounting tape holds orders in place Designed to hold up to 3 forms in full view or 9 forms in shingled order Blue paper 5-hole punched top and side
Telephone Orders Mount Sheet Full View

Coordinating mount sheet holds up to 3 forms in full view or 9 forms in shingled order Perforated adhesive mounting tape attaches individual orders Blue and burgundy ink 5-hole punched top and side
3245P
$35.95
3247P
Full View Mount Sheet
$35.95
Telephone Orders Mount 5-Hole Punched, Top and Side

Telephone Orders Mount 5-Hole Punched, Top and Left

Mount your physicians telephone orders on 1 master sheet for convenient ling in the patients chart Blue paper
Designed to hold up to 3 forms in full view or 9 forms in shingled order Blue paper
3246P
$10.35
3271P
$10.35
67
Assessments
DOCUMENTATION
COMPREHENSIVE ADULT ASSESSMENT

DATE OF VISIT _______/_______/_______ TIME IN____________ OUT____________
Resident Data Collection
PATIENT HISTORY
Patient Name (Locator #6) __________________________________________________________ Patient Address _________________________________________________________________ Date of Birth (Locator #8) ______/______/______ Male Female
(Locator #9)
ALLERGIES
ALLERGIES: (Locator #17) None known Pollen Aspirin Penicillin Sulfa Eggs
MR Number (Locator #4) ___________________________________________________________ S.O.C. Date (Locator #2) ______/______/______ Certification Period (Locator #3) ____________________________________________________ Health Insurance Claim # (Locator #1) _______________________________________________ Primary Diagnosis (ICD Code) ______________________________________________________ Date ___________ O/E
Secondary Diagnosis (ICD Code) ___________________________________________________ Date ___________ O/E (Locator #13) ___________________________________________________ Date ___________ O/E ___________________________________________________ Date ___________ O/E Surgical Procedures (ICD Code) ___________________________________________________ Date ___________ O/E
(Locator #12) (Locator #11)
Milk products Insect bites Other_________________________________
______________________________________ ______________________________________
ADVANCE DIRECTIVES
Living will Do not resuscitate Organ donor Education needed Copies on file Funeral arrangements made Comments: _________________________ __________________________________ __________________________________
Record an overall assessment of the resident at the time of admission and provide information for the completion of the MDS Printed 2 sides different 5-hole punched top and side
___________________________________________________ Date ___________ O/E
PERTINENT BACKGROUND INFORMATION

PHYSICIAN: Date last contacted _______ /_______ /_______ Date last visited _______ /_______ /_______ PRESENT ILLNESS: _______________________________________________________________________ _________________________________________________________________________________________ PRIMARY REASON FOR HOME CARE: ______________________________________________________ ___________________________________________________________________________________________ RECENT HOSPITALIZATION? No Yes, dates ______ /______ /______ ______ /______ /______ Reason:_____________________________________________________________________________________ New diagnosis/condition? No Yes, specify ______________________________________________ PERTINENT HISTORY AND/OR PREVIOUS OUTCOMES Hypertension Cardiac Diabetes Respiratory Osteoporosis Fractures Cancer (site:__________________________) Infection Immunosuppressed Open Wound Surgeries:___________________________ Other:_____________________________________________ PRIOR HOSPITALIZATION(S)? No Yes, No. of times__________ Reason(s)/Date(s)______________________________________________________________________________ IMMUNIZATIONS Up-to-date Needs: Influenza Pneumonia Tetanus Other (specify)__________________________________
__________________________________ __________________________________ __________________________________ Teaching/Instructions: _________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________
PROGNOSIS (Locator #20) 1-Poor 2-Guarded 4-Good 5-Excellent Dysphagia THROAT 3-Fair
CFS5-3HF-10 CFS5-3HH-10
Top Punched Side Punched
$14.15 $14.15
REVISED

Comprehensive Adult Assessment Non-OASIS Form
LIVING ARRANGEMENTS/CAREGIVER INFORMATION

House Apartment New environment Family present Lives alone Lives w/others Primary caregiver (name)____________________________________________ Relationship/Health status _________________________________________ Assists with ADLs Provides physical care Other (specify) _________________________________________________ Secondary/Other caregivers (describe) ______________________________ _________________________________________________________________ Glasses Glaucoma Jaundice Contacts: R / L Blurred vision Ptosis Prosthesis: R / L Legally blind Infections __________________________________________________ Cataract surgery: Site__________________ Date_____/_____/_____ Other (specify including history) _______________________________ ___________________________________________ NO PROBLEM NOSE
NOSE /THROAT/MOUTH
Congestion Epistaxis Loss of smell Sinus prob. Other (specify, including history) __________________________ __________________________ _________ NO PROBLEM Hoarseness Lesions Sore throat Other (specify, including history) __________________________ __________________________ _________ NO PROBLEM
EYES /EARS
Dentures: Upper / Lower / Partial Masses / Tumors Gingivitis Ulcerations Toothache Other (specify, including history) ______________________________ ___________________________________________________________ ___________________________________________ NO PROBLEM
HEAD/NECK
Headache ( see Neuro/Emotional /Behavior status) Injuries/Wounds ( see Skin Condition /Wound section) Masses/Nodes: Site__________________ Size______________________ Alopecia_______________________________________________________ Other (specify, including history) __________________________________ ______________________________________________ NO PROBLEM
ID#
HOH: R / L Deaf: R / L Hearing aid: R / L Vertigo Tinnitus Other (specify including history) _______________________________ ___________________________________________ NO PROBLEM
PATIENT NAME Last, First, Middle Initial
Form 3546P Rev. 8/12 BRIGGS, Des Moines, IA (800) 247-2343

Unauthorized copying or use violates copyright law. www.BriggsCorp.com
PRINTED IN U.S.A.
COMPREHENSIVE ADULT ASSESSMENT

Page 1 of 8
3546P
Ideal for assessing Non-Medicare and Non-Medicaid patients Used during the initial admission visit and periodically on revisits as dened by organizational policy Ensures your agency meets: COP requirements for comprehensive assessments and updates Intent of JCAHO and CHAP standards Documentation requirements for reimbursement 8-page booklet-style form 5-hole punch top and side
EARS
EYES
MOUTH
3546P
Initial Hospice Assessment
$42.85
Nursing Assessment

Features a complete listing of characteristics including appearance, general physical and mental condition Check-off, 8-page booklet-style format Additional area for comments 5-hole side punched
Update/Comprehensive Adult Assessment

Used for Resumption of Care, Discharge or Other Follow-Up 11 x 17 (overall); 8-1/2 x 11 (folded) 5-hole punched top and side
657
Nursing Assessment
$32.35
3427P
Update/Comprehensive Adult Assessment
$29.05

Recertication/Comprehensive Adult Assessment

Simply and concisely document residents health and functional status at move-in and on an annual basis Printed 1 side 5-hole punched top and side
Designed for recertication assessments due between days 56-60 Also includes integrated 485 locators to assist in the development of the Plan of Treatment 17 x 11 (overall); 8-1/2 x 11 (folded) 5-hole punched top and side
3392P
$10.35
3428P
Recertication/Comprensive Adult Assessment
$29.05
Patient Assessment/Treatment Sheet

Track and summarize patient assessment and treatment information. This convenient ow sheet format facilitates the providers evaluation of the treatment and care by providing an at-a-glance summary of data and results. It is padded in 100s.
Nursing Assess & Evaluation

This data collection form assesses and evaluates the residents outward appearance and physical and mental status. Specs: 8-1/2 x 11, white paper, black ink, prints two sides different, padded in 100s.
3450P
Patient Assessment/Treatment
$12.45
3500
Nursing Assess & Evaluation
$11.80
68
Assessments
DOCUMENTATION
Range of Motion Assessment

Record the range of motion of joints in measurable degrees with an ongoing assessment Sequence of ROM exercises are indicated on the back, as well as basic instructions and clarifying illustrations Printed 2 sides different 5-hole punched top or side
CFS6-12HH
Side Punched
$12.45
ADL Functional/Restorative Assessment and Progress

Assess residents activities of daily living (ADL) skills Assessment areas on the reverse include: Bowel and Bladder Function, ROM/Contractures, Eating/Feeding Status, Restraints/Enablers, Dental Status and Pressure Ulcer/Fall Risk Printed 2 sides different 5-hole punched top or side
CFS6-1HH CFS6-1HF
$14.40 $14.40
CFS6-12HH
Determine the level of service needed regarding ADLs and IADLs prior to moving into the residence. Specs: 8-1/2 x 11, white paper, black ink, printed two sides different, 3-hole side punched, padded in 100s.
REVISED

Functional Assessment
3382
Side Punched
$12.45
Assesses and records the overall functional level of service for an applicants needs Folded, 4-page booklet-style form White paper, black ink
PASARR Identication Screen for Mental Illness & PASARR Identication for Mental Retardation
Used to screen each admission for proper placement according to the residents needs and diagnosis. Specs: 8-1/2 x 11, white paper, black ink, printed one side, 5-hole punched side, padded in 100s.
3393 3394
$29.25 $29.25
Medical History/Physical/ Functional Assessment

Document information concerning the residents medical history, as well as current functional and medical status. Can be used to fulll pre-move-in requirements and for ongoing assessments. Specs: 8-1/2 x 11 (folded), 4-page booklet-style form, white paper, black ink, 5-hole punched side, wrapped in 100s.
CFS5-19HH CFS5-18HH
Side Punched Side Punched
$10.35 $10.35
Initial Psychosocial Assessment

Psychosocial assessment which establishes a baseline for the patient and family/caregiver. Specs: 8-1/2 x 11, 4-page booklet-style form (folded), white paper, black ink, 5-hole punched top and side, wrapped in 100s.
3391HH
Medical History/Physical/Functional Assessment
$29.25
Mental Status Questionnaire

Collect information about an individuals level of mentation to determine appropriateness of placement. Can be used as a move-in tool as well as for ongoing assessments. Specs: 8-1/2 x 11, white paper, black ink, printed one side, 3-hole side punched, padded in 100s.
3457P
Initial Psychosocial Assessment
$26.80
3386
Side Punched
$10.35
69
Assessments
DOCUMENTATION
Pain Management Flowsheet

Form allows for easy monitoring of the residents pain 11 x 8-1/2, printed 2 sides same 5-hole punched top or side
CFS6-38HH CFS6-38HF
$12.45 $12.45
Pain Assessment Card

Uses the Wong-Baker FACES Scale For residents who are non-communicative Instructions on back Pocket-sized, laminated manila cardstock
Item # Size Price Per Each
1846
2-1/2 x 6
$5.15
Medication Self-Administration Assessment
3690HH
Assess the ability of the resident to self-administer medications Printed 1 side different 5-hole side punched
Pain Evaluation
3358HH
Self-Administration Assessment
$10.35
Collect in-depth information related to pain, including non-verbal pain indicators that assist with pain symptom management Printed 2 sides different 5-hole punched top or side
Assessment for Self-Administration of Medication
3690HH-10 3690HF-10
$14.15 $14.15
Used by interdisciplinary-care team to decide approval or disapproval for self-administration of medication by residents who have expressed the desire to do so Printed 1 side 5-hole punched top or side
Wong-Baker FACES Pain Rating Scale

8 different languages allow residents to communicate their pain level without the need for an interpreter Heavy white paper Printed 1 side
CFS1-14HH CFS1-14HF
$10.35 $10.35
Pain Monitoring Flow Sheet

Facilitate the evaluation of pain management for individual patients over a period of time. Specs: 8-1/2 x 11, white paper, black ink, printed two sides different, 5-hole punched top and side, padded in 100s.
1821
FACES Pain Rating Scale
$16.60
Pain Assessment Monitor

Facilitate the monitoring of pain assessment and pain management for individual patients 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
3478P
Top and Side Punched
$10.05
Comfort Self Assessment

Used to guide the patient/family in a self-assessment of pain and comfort that can be used to assist the clinician and/ or physician in the evaluation of pain and symptom control. Padded in 100s.
3459/2P
Pain Assessment Monitor
$33.05
3477P
Comfort Self Assessment
$12.45
70
Assessments
DOCUMENTATION
Abnormal Involuntary Movement Scale (AIMS)
Monitor the development of involuntary movement disorders from drug-induced, Parkinsonian-type symptoms to tardive dyskinesia Printed 2 sides different 5-hole punched top or side
CFS3-7HH CFS3-7HF
$12.45 $12.45
Neurological Assessment Flowsheet
Record and monitor data on specic neurological conditions following an injury resulting in actual or suspected head trauma Printed 1 side 5-hole punched top or side
CFS6-19HH CFS6-19HF
$10.35 $10.35
CFS6-12HH
Neurological Assessment

Assess possible neurological problems Room for notes on the reverse side 5-hole punched top or side
Informed Consent for Psychoactive Medication
3075HH 3075HF
$12.45 $12.45
Anticoagulant Therapy Flowsheet

Informs resident of their right to be free from medical interventions for purposes of discipline or staff convenience, and aids in identifying less restrictive, non-drug approaches and target behaviors for which drug usage is recommended 2-part set with white original and pink copy 5-hole punched top and side
Monitor lab values when your resident is on heparin or coumadin Printed 1 side 5-hole punched side
CFS3-8/2P
$30.90
2241
Anticoagulant Therapy Flowsheet
$10.35
NEW! Diabetic Foot Assessment

Edema Measurement Flowsheet
Record regular, measurements of bilateral ankle edema. Specs: 8-1/2 x 11, white paper, black ink, printed two sides same, 5-hole punched side, padded in 100s.

Provides early detection and may prevent diabetic complications Full diabetic screen to identify at-risk patients Prints 2 sides different
CFS6-23HH
Edema Measurement Flowsheet
$12.45
D 3484P
Diabetic Foot Assessment
$13.15
Physical Restraint Elimination


Provides an ongoing assessment of the resident in order to determine if he/she is a PRIORITY, GOOD or POOR candidate for restraint reduction, the use of less restrictive measures, or total elimination of restraints. 100/pd.
CFS3-2HH CFS3-2HF
$12.45 $12.45
71
Assessments
DOCUMENTATION
Monthly Behavior Monitoring Flowsheet

Pre-Psychoactive Med Assessment

Monitor 3 target behaviors over 3 shifts for 1 month, including episodes, interventions, outcomes and side effects Behavior, Side Effect Codes Room for comments on reverse 11 x 8-1/2, 2 sides different 5-hole punched top or side
Adequately assess all aspects of residents well-being prior to medicating, to identify the least restrictive intervention Printed 2 sides different 5-hole punched top
3697HH 3801HH 3801HF Side Punched Top Punched $12.45 $12.45
Pre-Psych Med Assessment
$12.45
Anti-Psychotic
Psychoactive Medication Quarterly Evaluation
MEDICATION _____________________ Observe the patient closely for significant side effects and report to the Physician.
Anti-Anxiety
MEDICATION ______________________ Observe the patient closely for significant side effects and report to the Physician.
Provides an evaluation summary for residents taking psychoactive medication with emphasis on monitoring for potential side effects Printed 2 sides different 5-hole punched top or side
SIDE EFFECTS: Common - Sedation, Drowsiness, Dry Mouth, Constipation, SIDE EFFECTS: Sedation, Drowsiness, Blurred Vision. EXTRAPYRAMIDAL Ataxia (drunk walk), Dizziness, Nausea, REACTION. Weight Gain, Edema. Vomiting, Confusion, Headache, Blurred POSTURAL HYPOTENSION. Sweating, Vision, Skin Rash. Loss of Appetite, Urinary Retention. NURSING ALERT: If given with other NURSING ALERT: Tardive Dyskinesia, sedatives or hypnotics, Alcohol. y Seizure Disorder, Chronic Constipation, nst tipation, Monitor on medication sheet. M i behavior beh ha havi h a Glaucoma, Diabetes, Skin Pigmentation, igm gm Jaundice. Monitor behavior on n sheet. Anti-Depressant MEDICATION___________________ Observe the patient closely for significant L-2990 L 2990 L-2991 L 2991 side effects and report to the physician.
Black Ink
SIDE EFFECTS: Common Sedation,

Drowsiness, Dry Mouth, Blurred Vision, Urinary Retention, Tachycardia, Muscle Tremor, Agitation, Headache, Skin Rash, Photosensitivity (skin), Excess Weight Gain.
Blue Ink
CFS3-10HH CFS3-10HF
$10.35 $10.35
SPECIAL ATTENTION FOR: Heart A

Disease, Glaucoma, Chronic Gl onic Consti-
Physical Restraint Elimination Assessment
pation, Seizure Seizu Disorder, Edema. dema. HYPNOTICS/BENZODIAZEPINES MEDICATION ________________________ Observe the patient closely for significant side effects and report to the physician. SIDE EFFECTS: Dry Mouth, Constipation, Blurred Vision, Retention of Urine, Headache, Vertigo, Nausea, Fall In Blood Pressure, Rapid Heart Beat, Weakness, Sedation, Lethargy, Confusion, Memory Loss, Allergic Reactions, and Dependence. NURSING ALERT: Observe for decrease in mental and physical functioning.
Sedative/Tranquilizer
Provides ongoing assessment of resident to determine if he/she is a PRIORITY, GOOD or POOR candidate for restraint reduction, less restrictive measures or total elimination of restraints Printed 2 sides different 5-hole punched top or side
L-2993 L Black Ink B
MEDICATION ___________________
Observe the patient closely for significant side effects.
SIDE EFFECTS: Common - Sedation, Drowsiness, Morning Hangover, Ataxia (drunk walk) NURSING ALERT: If given with other
sedatives or hypnotics, and alcohol. Monitor behavior on medication sheet.
CFS3-2HH CFS3-2HF
$12.45 $12.45
L-2994 Green Ink
L-2992 99 Red Ink
Behavior Intervention Monitoring Form

Monitors interventions, alternative treatments and resulting outcomes. This form will assist with justication of medication. Specs: 11 x 8-1/2, white paper, black ink, printed two sides same, 5-hole punched top or side, padded in 100s.
Chemical Restraint Psychotropic/ Psychoactive Drug Labels

Use on the care plan to alert your staff when a resident is receiving a specic type of medication Permanent adhesive
Price Per Box (250/bx) 2 4 10
Item #
Size
20
3079HH 3079HF
Side punched Top punched
$12.45 $12.45
See Above
2 x 1-15/16
$15.85 $14.60 $13.10 $12.10 $10.95
Behavior/ NEW! Disruptive Intervention/Outcome

Provide a quantitative, graphic method of charting behavior problems, interventions (including drug therapy) and intervention outcomes. This form may also be used to track behaviors BEFORE starting drug therapy to provide a baseline. Specs: 8-1/2 x 11, white paper, black ink, printed two sides same, 5-hole punched top or side, padded in 100s.
24 Hour/Condition Report
Used to list the residents with any condition changes within a 24-hour period. 100/pd.
2240
24 Hour/Condition Report
$12.45
CFS3-5HH-12 CFS3-5HF-12
$12.45 $12.45
72
Assessments
DOCUMENTATION
Side Rail Assessment

Fall Safety Checklist

Lists questions and answers in various areas to determine fall safety for patients in the home. 100/pd
Determine appropriateness of side rail use Printed 2 sides different 5-hole punched top or side
3910P
Fall Safety Checklist
$15.10
3714HH-10 3714HF-10
$14.15 $14.15
Fall Risk Assessment

Wander Data Collections

Assess 8 parameters of functional status to determine if the resident is at a high risk for falls Printed 2 sides same 5-hole punched top or side
Assists in determining whether resident presents a risk for elopement Includes intervention initiated and room for summary/ conclusions and/or recommendations Printed 2 sides different 5-hole punched top or side
CFS6-17HH CFS6-17HF
$12.45 $12.45
3711HH-10 3711HF-10
$14.15 $14.15
Fall Risk Assessment SC

Assess 8 parameters of functional status to determine if the resident is at a high risk for falls Printed 2 sides same 5-hole punched side
3634HH
Fall Risk Assessment SC
$12.45

This form provides an easy to use checklist assessment for the home care patient and their risk for falls at home. Specs: 8-1/2 x 11, white paper, black ink, printed one side, 5-hole punched top and side, padded in 100s.
3911P
$15.10
Restraint Release Record

Provide a record of the type and reason for the use of restraints. A simple method for documenting observations every 30 minutes with a release every 2 hours and the provision of 10 minutes of exercise. Specs: 8-1/2 x 11, white paper, black ink, printed two sides same, 5-hole punched top or side, padded in 100s.
Fall Prevention Program
CFS3-3HH
Side punched
$12.45
Pre-Restraining Assessment

A comprehensive assessment of the resident to identify the least restrictive intervention prior to the use of restraints Printed 1 side 5-hole punched top or side
The Falls Prevention Program manual links together all of the critical components of a falls program, including: Program Uses and Policy Essential Assessment and Reassessment Documentation Nursing/Therapy/Medical Social Worker and Aide Interventions and Patient Teaching Booklet Ongoing Agency Evaluation through aggregation and trending Skilled Discipline and Aide Education Programs Sales and Marketing Strategy and Tools In addition, the enclosed CD-ROM provides these electronic tools to facilitate implementation: staff education videos, fall outcomes trending worksheets, referral source presentations, community outreach presentations, marketing yers and fact sheets
CFS3-1HH CFS3-1HF
$10.35 $10.35
8500 8501
Fall Prevention Program Patient Teaching Booklets
$402.90 $4.05
73
Assessments
DOCUMENTATION
Bowel Retraining Assessment

Assess a residents potential for a bowel retraining program Printed 2 sides different 5-hole punched top or side
CFS6-8HH CFS6-8HF
$12.45 $12.45
Bladder Incontinence Evaluation

Assess and evaluate the residents potential as a candidate for a bladder retraining program Printed 2 sides different 5-hole punched top or side
CFS6-10HH CFS6-10HF
$12.45 $12.45
Bladder Schedule
CFS6-9HH
Record the results of uid intake and urine output for residents who are in a bladder retraining program Printed 2 sides same 5-hole punched top or side
Assessment for Bowel and Bladder Training

CFS6-11HH CFS6-11HF
$12.45 $12.45
Assess the resident to determine if they are a candidate for bowel and bladder retraining Printed 2 sides different, head to foot
Bowel Schedule

635
Assessment for Bowel/Bladder Training
$11.80
Record the results of laxatives administered to residents involved in a bowel retraining program Printed 2 sides same 5-hole punched top or side
CFS6-9HH CFS6-9HF
$12.45 $12.45
L-6116N 15/16 x 2-1/4
Fl. Red 500/bx


BOWEL & BLADDER PROGRAM START_____________

L 4501 L-4501 15/16 x 2 1/4 Fl 2-1/4 Fl. Yellow 500/bx
Size
Qty
20
15/16 x 2-1/4
500/bx
$18.60 $17.95 $16.95 $15.85 $14.65
74
Assessments
DOCUMENTATION
Bowel Movement Elimination Record

Easy-to-use format can assist with quality assurance programs for fecal impactions 11 x 8-1/2 Printed 2 sides same 5-hole punched top or side
3057HH 3057HF
$12.45 $12.45
Bowel and Bladder Training Schedule
Patient Physician Room No. Date

Record the results of laxatives administered to residents involved in a bowel retraining program Printed 2 sides same
Code: Condition Found Bowel Bladder W = Wet C = Clean S = Soiled D = Dry

Time
Condition Found
3057HH
Method T = Toilet C = Commode B = Bed Pan
Results Bladder V = Voided O = None

Bowel
Bowel L = Large M = Medium S = Small O = None

Intake
Results Amount
Bladder
Method Used Results Condition Found
Method Used
7 AM 8 AM 9 AM 10 AM
3239
$11.80
11 AM
12 Noon
1 PM 2 PM
Bowel & Bladder Retraining Program

Record the results of laxatives administered and uid intake and urine output for residents who are in a bowel and bladder retraining program. Specs: 8-1/2 x 11, white paper, black ink, printed two sides same, padded in 100s.
3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
12 Mid.
1 AM 2 AM 3 AM
609 661/2S
Head to foot, no punch Head to head, side punched
$11.80 $12.45
4 AM 5 AM 6 AM
Form 3239 Rev. 10/91 BRIGGS, Des Moines, IA (800) 247-2343 Unauthorized copying or use violates copyright law. www.BriggsCorp.com
PRINTED IN U.S.A.
Laxative & B.M. Record

Record use of laxatives and residents bowel movements for a period of at least one week. You may be able to document two weeks if your number of residents t to the front of the form. Specs: 8-1/2 x 11, white paper, blue ink, printed two sides same, padded in 100s.
3239
Techniques in Toileting & Incontinent Care DVD

Toileting is a very private, personal activity that can have some unpleasant aspects. The caregiver must be sensitive to the individuals needs and provide supportive care to lessen embarrassment and discomfort that can occur. To teach new nursing assistants these important skills, this program demonstrates the techniques for toileting. This program will demonstrate: Assisting with using the toilet Offering the bedpan or urinal Using a portable bedside commode Changing briefs Assisting with bowel and bladder training
1011 662/2S
Head-to-foot Head-to-head, side punched
$11.80 $12.45
Did You Know?

Briggs has been printing forms for health care organizations for more than half a century. Our experience and understanding of health care documentation are second to none. Over the years, weve had our documentation programs held up by undustry litigation experts as a facilitys best defense against litigation and survey deciencies.
In addition, this program has been updated to demonstrate the performance of nursing assistant skills as described by the National Nurse Aide Assessment Program (NNAAP).
Cant nd what you are looking for?

7168DV Techniques in Toileting & Incontinent Care DVD
$149.00
Visit www.BriggsCorp.com today to view our complete product line.
See page 166 for complete offering of Medcom New Nursing Assistant DVDs.
75
Assessments
DOCUMENTATION
Diabetic Monitoring Flowsheet

Diet Controlled sectionrecords result of glucoscan readings for diet-controlled diabetics Insulin Controlled Sliding Scale sectionrecord results of glucoscan readings and insulin administration for insulin-dependent diabetics Printed 2 sides 5-hole punched top or side
CFS6-22HH CFS6-22HF
$12.45 $12.45
Malnutrition Risk Assessment
Assess the various aspects of 11 parameters affecting the residents clinical status to determine if the resident is at a high risk for malnutrition Printed 2 sides same 5-hole punched side
CFS6-20HH
CFS6-22HH
$12.70
Dietary Enteral Assessment Initial Nutritional History/Assessment

Assists staff in determining the residents nutritional status by focusing on clinical conditions that may interfere with acceptable nutritional status Printed 2 sides different 5-hole punched top or side
Review the status of tube-fed residents on an ongoing basis Printed 2 sides same 5-hole punched top or side
CFS5-9HH CFS5-9HF
$12.70 $12.70
CFS5-5HH CFS5-5HF
$12.70 $12.70
Hospice Diet Assessment

Nutritional Assessment
Provides an ongoing review of the residents nutritional status in order to ensure he/she is provided the proper level of assistance and care Printed 2 sides same 5-hole punched top or side
Utilized in inpatient hospice setting to assist in identifying hospice patients preferences to dietary intake Printed 1 side 5-hole punched top and side
3888P
$11.30
CFS5-6HH CFS5-6HF
$12.70 $12.70
Did You Know?

REVISED
Nutritional Assessment of Tube Fed Resident
This form is used to calculate the nutritional needs and nutritional intake of tube-fed residents. It documents the reason(s) why a resident requires nutrition via tube feedings. Specs: 8-1/2 x 11, white paper, black ink, printed one side, 5-hole punched top or side, padded in 100s.
CFS5-8HH CFS5-8HF
$10.55 $10.55 Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com
76
Assessments
DOCUMENTATION
Hospice Inpatient Respite Assessment

Assists in documenting the need for respite care on hospice patients Identies the caregiver and why they were no longer able to provide care for the patient Facilitates the assessing and coordination of care including notication of the IDT members 2-part set Printed 1 side; 5-hole punched top and side
3882/2P
Hospice Inpatient Assessment
$16.30
Hospitalization Risk Assessment

Assists clinicians in identifying patients on admission who are at an increased risk for hospitalization or other problems Prints 2 sides different 5-hole punched top and side
3508P
Hospitalization Risk Assessment
$15.10
3882/2P
NEW! Initial Comprehensive

Hospice Assessment

Hospice Assessment 1-Shift
Thorough assessment of patient/family needs Used to conduct and document a comprehensive assessment of the hospice patient 14-page booklet-style form Printed 2 sides different 5-hole side punched
3967-12
Initial Comprehensive Hospice Assessment
$67.50
Facilitates the documentation of assessment on hospice patients that are receiving residential care includes assessment of vital signs, level of consciousness, skin integrity, cardiopulmonary, alteration in ADLs, safety, and more For 1 shift and allows ample space for documentation of comments Printed 2 sides different 5-hole punched top and side
3893D/P Hospice Assessment 1-Shift
$15.10


Comprehensive Pediatric Nursing Assessment

Document the pediatric home care patients initial comprehensive assessment ndings Form must be completed before Briggs Care Plan is initiated Features an updated pain assessment to allow for assessments of 3 pain sites Includes home environment safety check list and check list for instructions/materials given to the care giver 12-page booklet style form 5-hole punched top and side
Item #
Description
3547RP
Comprehensive Pediatric Nursing Assessment
$42.85
77
Care Plans
DOCUMENTATION
Care Plan

Evaluate care/progress toward outcomes and goals Easy-to-use, check-off-style format Review and revise up to 9 times 6-page booklet-style form 5-hole punched top or side
REVISED

Hospice Interdisciplinary Group (IDG) Meeting Notes
Document interdisciplinary group/team meeting results Designed to compliment Briggs Form 3472P (next page) Printed 1 side 5-hole punched top and side
3571RHH Side Punched 3571RHF Top Punched
$39.25 $39.25
3455P
IDG Meeting Notes
$10.35
REVISED

Hospice Level of Care Change
24-Hour Call Log

Easy-to-use checklist format Track level and rationale for changes in care 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
Document calls related to hospice patients/families after hoursup to 8 calls per page Also use to monitor and evaluate on call needs Printed 1 side 5-hole punched top and side
3453P
24-Hour Call Log
$10.35
3883/2P
Hospice Level of Care Change
$16.30
Hospice Facility Kardex
REVISED

Hospice Level of Care Criteria
Evaluate/document need for general inpatient hospice care Checklist prompts appropriate documentation Printed 1 side 5-hole punched top and side
White heavy cardstock Printed 2 sides 5-hole punched top and side
Item # Size Price Per Pad (100/pd)
3891P
11 x 8-1/2
$13.15
3884P
Hospice Level of Care Criteria
$10.05
REVISED
Hospice Interdisciplinary Group Meeting
REVISED
Hospice Care Plan Overview
Printed 2 sides different 5-hole punched top and side

Provides an ongoing overview to assist hospice interdisciplinary team (IDT) with coordination of care during stay White lightweight cardstock Printed 1 side 5-hole punched top and side
3886P
Hospice Interdisciplinary Group Meeting
$15.10
Hospice Care Coordination Notes

3479P
Hospice Care Plan Overview
$12.45

REVISED
Hospice Interdisciplinary Group Care Plan
3890P
Hospice Care Coordination Notes
$7.05
Develop a hospice interdisciplinary plan of care with outcomes and interventions and then evaluate attainment of outcomes 6-page booklet-style form Printed 2 sides different 5-hole punched top and side
Home Health Services Request

3-part set White original, color-coded copies

3472P
Hospice Interdisciplinary Group Plan
$39.25
3501/3
HH Service Request
$86.35
78
Care Plans
DOCUMENTATION
Care Coordination Notes

Document efforts to coordinate patient care Trend data by staff, patients and/or resolution/follow-up to maximize care coordination Used for on call/after hours calls 2-part set White original and canary copy
3577/2 3577P/2F
8 x 5-1/2 8-1/2 x 11
$20.15 $38.05
3577/2
Clinical Note

Use to document narrative information when additional supportive documentation is necessary May be used as a stand-alone clinical note for 1 episode or as a continuation sheet whenever additional documentation space is needed Printed 1 side 5-hole punched top and side
Resident Weekly Care Log

Ensure services requested by residents or their families are actually provided by tracking activities Printed 1 side 5-hole punched top and side
3389P
Weekly Care Log
$10.35
3549P
Clinical Note
$9.65
Resident/Family Conference Notes

REVISED

Home Health Service Request Hospice/Nursing Facility Collaboration
Record all contacts with the resident and family, and results of service plan conference Printed 2 sides same 5-hole side punched
2-part set White original, canary copy 5-hole punched top and side
3671HH
Conference Notes
$12.45
NEW! Service Plan

Develop an individualized service plan based on the residents needs as identied by the Functional Assessment (Forms 3393 or 3394) Printed 2 sides different 5-hole punched top
3885/2P
HH Service Request
$16.30
Care Coordination Mount

Firmly secure in the patient record 2 perforated adhesive strips hold up to 4 shingled Care Coordination Notes (above) Pink paper 5-hole punched top and side
4750P
Service Plan
$14.15
Case Management Meeting

3576P
Care Coordination Mount
$35.20
Accommodates 4 care/case conference meetings Prints both sides different 5-hole punched top and side
REVISED
Nursing Home/Facility Coordination
3505P 4515P
Case Management Meeting Home Care NEW! Case Management Meeting Hospice
$15.10 $15.10
Provide the nursing facility staff with information about the residents hospice team members and the hospice program. Specs: 8-1/2 x 11 (detached), 2-part carbonless, white original, canary copy, black ink, 5-hole punched top and side, wrapped in 50s.
Service Plan Conference Summary

Document and validate that the resident and/or resident representative participated in the decision-making process of the service plan. Specs: 8-1/2 x 11, white paper, black ink, printed two sides same, 5-hole side punched, padded in 100s.
3465/2P
Nursing Home/Facility Coordination
$17.15
3327P
Service Plan Conference Summary
$12.45
79
Care Plans
DOCUMENTATION
Interim Plan of Care

Provides an overview of the residents functional status and care needs White heavy cardstock Printed 2 sides different 5-hole punched top and side
1176P
11 x 8-1/2
$27.20
Comprehensive Plan of Care

Can be used in a residents chart or in a visible le panel White heavy cardstock Printed 2 sides different 5-hole punched top and side
1177P 1178P
17 x 11 (Overall), 8-1/2 x 11 (Folded) 11 x 8-1/2
$59.20 $27.20
Clinical Record Review

Used by Managers/Supervisors to audit the clinical record to ensure the record is complete or identify areas that require further documentation, once a nurse has admitted a patient to the home care agency or hospice. Both are padded in 100s.
1138P
Kardex Plan of Care

4 forms in 1: includes nursing assistant owsheet, a bowel and bladder record, meal intake and shower list Update Kardex monthly Both sides different 5-hole punched top and side
3503P 4513P
Clinical Record Review Home Care Clinical Record Review Hospice
$12.20 $12.20
Interdisciplinary Care Plan

1138P
Plan of Care Kardex
$12.45
Records detailed plan of care for each problem identied White lightweight cardstock Printed 2 sides different 5-hole punched top or side
REVISED
Care Plan Conference Summary
3279HH 3279HF
$16.60 $16.60
Document and validate resident and/or the residents representative participation in the care plan decisionmaking process Printed 2 sides same 5-hole punched top or side
Overall Resident Prole

CFS5-13HH CFS5-13HF
$12.45 $12.45
Use as an index or table of contents to the residents interdisciplinary plan of care Conveniently provides a history of care plan problems at a glance Printed 2 sides same 5-hole side punched
Change/Order Form

CFS5-10HH
Overall Resident Prole
$12.45
Allows you to write updates on condition and care plans and/or generate physicians orders 4-part set with white original and color-coded copies 5-hole side punched
Health Care Plan

Diagnostic orders and treatments are easily identied on the front of this care plan. Specs: 11 x 16 overall, 11 x 8-1/2 folded, white ledger paper, black ink, wrapped in 100s.
3060
Change/Order Form
$51.80
3256R
Health Care Plan
$44.05
80
Care Plans
DOCUMENTATION
Resident Summary

Assess residents functional/cognitive status monthly to ensure plan of care remains consistent with needs 4-page booklet-style form 5-hole punched top or side
3692HH-10 3692HF-10
$35.35 $35.35
Temporary Problem List

Provides permanent documentation of temporary problems experienced by the resident and the plan of care taken to resolve these problems. Specs: 8-1/2 x 11, white paper, black ink, printed two sides different, 5-hole punched top or side..
CFS5-14HH CFS5-14HF
$12.45 $12.45
3692HH-10
Health Care Plan Card

Features an easy-to-use, check-off-style format White lightweight cardstock

Nursing Care Plan

A check-off style format makes this easy to use. Provides plenty of ruled lines to record Nursing Problems and Needs, Plan of Approach and Medications. Specs: 8 x 9-1/2 overall, 8 x 5 folded, white ledger paper, black ink.
2062
8 x 9-1/2 (Overall), 8 x 5 (Folded)
$27.20
Resident Care Plan

Document ve specic resident problems (two problems on the front, three more on the back). Specs: 8-1/2 x 11, white ledger paper, black ink, printed two sides different, 5-hole punched top or side.
1003B
General
$27.20
Patient Care Plan

Column headings include Date, Problem/Need, Objective/Short Term Goal, Approach, Responsible Discipline and Date. Side two is a continuation of the columns on the front side. Specs: 8-1/2 x 11, white paper, black ink, head-to-foot.
3277HH 3276HH
Side punched Continuation Sheet
$16.60 $16.60
Prescribed Visit Calendar

8-1/2 x 11, white paper, black ink, printed one side, 5-hole punched top and side.
3266
Patient Care Plan
$11.80
3540P
Prescribed Visit Calendar
$10.35
Nursing Care Plan

Total Plan of Patient Care

Contains a comprehensive listing of various care levels in an easy check-off format For specic areas of Nursing, Dietary, Activities, Therapies and Social Services Discharge Planning and Updates on the back White lightweight cardstock
Plenty of ruled lines for problems/needs and approach White lightweight cardstock
3181
11 x 16 (Overall), 11 x 8-1/2 (Folded)
$44.05
3178
11 x 16 (Overall), 11 x 8-1/2 (Folded)
$44.05
Did You Know?

For over 65 years, Briggs has been a leader in providing documentation products that help health care organizations comply with government regulations. CMS changes and updates are monitored daily be our team of regulatory experts. These professionals work hand-in-hand with our product management department to keep your documentation forms up-to-date and in full compliance with your regulatory environment.
IDG Visits Calendar NEW! Hospice Worksheet

8-1/2 x 11, white paper, black ink, printed one side, 5-hole punched top and side
4514P
Hospice IDG Visits Calendar Worksheet
$11.95
81
Care Plans
DOCUMENTATION
Treatment Card/Care Plan

Document treatment and care plans for each resident White lightweight cardstock Slit and scored at fold line for use in visible les
3207 11 x 16-1/2 (Overall), 11 x 8-1/2 (Folded) 3208 11 x 16-1/2 (Overall), 11 x 8-1/2 (Folded) 3209 8 x 9-1/2 (Overall), 8 x 5 (Folded) 3210 8 x 9-1/2 (Overall), 8 x 5 (Folded)
$44.05 $44.05 $27.20 $27.20
Resident Care Plan and Continuation Sheet

Use in either the residents chart or a visible le panel Side 1 continues on the back White lightweight cardstock 5-hole punched top or side
3268HH
Care Plan Ringbinders

Durable 100-gauge teal poly cover Title is hot-foil stamped on spine and front cover 3-ring style with safety-booster triggers Large size has 2 rings Jumbo size has 2 1/2 rings Full 1-Year Warranty includes ring hardware
Side Punched 3268HH Care Plan 3269HH Continuation Sheet Top Punched 3268HF Care Plan 3269HF Continuation Sheet
$16.60 $16.60 $16.60 $16.60
Care Plan Postcard Invitations

Inform families and residents of care plan meetings with postcard invitations Mail completed postcard and keep stub as a mailing record 3 invitations printed per sheet Cardstock with perforated stub 3-hole side punched
Item # Size Price Per Pack (25 sheets/pk)
115512 115514
Care Plan2 rings, side open Care Plan2 1/2 rings, side open
$15.85 $17.20
830
8-1/2 x 3-3/8
$11.80
Interdisciplinary Referrals
Make appropriate internal patient referrals to other disciplines. May also be used to track timeliness of start of service(s) after referral, orient staff regarding interdisciplinary referral process, and use prompters to educate staff about potential need to refer to other disciplines, and document communication related to delays in start of service. 100/pk.
Care Plan
Columns for documenting each Problem/Need, Goal, Date (by which to attain goal), Approach, Responsible Discipline and Date Resolved are located inside this folded care plan. Specs: 11 x 16-1/4 overall, 11 x 8-1/2 folded, white ledger paper, black ink, wrapped in 100s.
3582/2P 4512/2P
Interdisciplinary Referral Home Care Interdisciplinary Referral Hospice
$33.05 $33.05
3258R
Care Plan
$44.05
Interdisciplinary Care Plan

Used to identify the actual interdisciplinary plan of care based on specic resident problems. 100/pk
Nursing Care Plan/Treatment Card

Provides a written nursing care plan, as well as a treatment card designed for visible le card holders White lightweight cardstock
CFS5-12HH CFS5-12HF
$16.60 $16.60
3200
8 x 9-1/2 (Overall), 8 x 5 (Folded)
$27.20
82
Nurse/Aide Notes
DOCUMENTATION
ADL Flow Record
Record resident ADL self performance and support provided, as well as mood, behaviors, verbalizations, concerns or complaints/pains over all 3 shifts Room for CNA notes/comments on page 4 4-page booklet-style form 11 x 8-1/2 5-hole punched top or side
Side Punched 3140HH-10 3141HH-10 Top Punched 3140HF-10 3141HF-10
Days 1-15 Days 16-31 Days 1-15 Days 16-31
$32.35 $32.35 $32.35 $32.35
3140HH
Late Loss ADL Flow Record

Easy-to-use grid format to record late-loss ADLs 1 form covers a full month, saving space in your record 2 pages; 11 x 8-1/2 Printed 2 sides different, head-to-foot 5-hole punched top and sides
3141HH
Nursing Assignment Sheet

Easy-to-use, check-off-style format Extra space is available for additional instructions

3145-10
Late Loss ADL
$14.15 3318 Nursing Assignment Sheet $9.65
Flow Sheet

Record notes on back 8-1/2 x 11 White paper, black ink Printed 2 sides different, head-to-foot
Assignment Sheet
Used to assign specic duties

3190
Flow Sheet
$11.80
3315
5-1/2 x 8-1/2
$7.45
Resident Care Record

Nurse Assistant Care Records

Record residents care for one month 8-1/2 x 11 White paper, blue ink Printed 2 sides same 5-hole punched side
Record the residents functional and behavioral status and direct services provided by nursing assistants for each shift Space on back to record signature, initials and notes 11 x 8-1/2 Printed 2 sides different 5-hole punched top and side
3194HH
Resident Care Record
$12.45
Patients Bath Record

CFS6-3AHH CFS6-3BHH CFS6-3CHH
AM PM Night
$12.45 $12.45 $12.45
Record type of bath and when it was given 8-1/2 x 11 Green paper, black ink Printed one side
Need to See a Form Up Close?

$9.65
3195
Patients Bath Record

83
Nurse/Aide Notes
DOCUMENTATION
Nurse Assistant Notes

Record nurse assistant notes and resident information by shift Printed 2 sides same
3199
Nurse Assistant Notes
$11.80
Interdisciplinary Progress Notes

Record progress notes from each disciplines perspective as they relate to the residents status toward goals Printed 2 sides same 5-hole punched top or side
CFS6-31HH CFS6-31HF
$12.45 $12.45
Nurses Notes
Plenty of ruled space for making observations and notes concerning a patient/resident
CFS5-20HH-10
Nurses Progress Notes
Assess the residents functional and cognitive status on an ongoing basis in order to ensure plan of care remains consistent with needs Printed 2 sides different 5-hole punched top or side
CFS5-20HH-10 CFS5-20HF-10
$13.15 $13.15
Form 625P Blue ink, printed 2 sides same Head-to-foot 5-hole top punched Form 624 Blue ink, printed 1 side Head-to-foot Not punched Form 625 Blue ink, printed 2 sides same Head-to-foot Not punched Form 484/2 Blue ink, printed 2 sides same Head-to-head 5-hole side punched Form 124 Blue ink, printed 1 side Not punched
Item # Price Per Pad (100/pd)
Form 124/2 Blue ink, printed 2 sides same Head-to-foot Not punched Form 124/2P Blue ink, printed 2 sides same Head-to-foot 5-hole top punched Form 484/2-RF Reinforced Printed 2 sides head-to-head 5-hole side punched Form CFS6-32 Black ink, printed 2 sides same 5-hole punched top (CFS6-32HF) or side (CFS6-32HH)
Resident Notes

Item #
Record general observations/notes in chronological order related to individual Printed 1 side 5-hole punched top and side
3378P
Resident Notes
$10.35
624 625 625P 94/2 124 124/2 124/2P
$10.35 $11.80 $12.45 $11.80 $9.65 $11.80 $12.45
A-133 A-135 691/2 484/2-RF 484/2 CFS6-32HH CFS6-32HF
$9.65 $11.80 $11.80 $24.25 $12.45 $12.45 $12.45
Licensed Nurses Progress Notes

To aid your licensed nurses, this form provides a list of items to include in the weekly progress notes Printed 2 sides same
REVISED
Hospice Nursing Assistant Assignment
This form allows the nursing assistant to check off items when complete, initial, and add comments as needed
634 651
Head-To-Head, White Paper Head-To-Foot, Pink Paper
$11.80 $11.80
3889P
Top Punched
$11.80
84
Nurse/Aide Notes
DOCUMENTATION
Skilled Nurse Visit Note

Used to assess and documenta nursing visit to a home care patient, including skilled and supervisory activities Printed 2 sides different 5-hole punched top and side
3569P
Skilled Nurse Visit Note
$10.35
Daily Skilled Nurses Notes

Check-off-style format makes this form easy to use Ruled lines provide space to record comments and notes Printed 2 sides different, head-to-head 5-hole punched top and side
3429P
Daily Skilled Nurses Notes for MDS 3.0
$12.45
3569P
Skilled Nursing Visit Note
Document a skilled nursing visit to a home care patient, as well as an aide supervisory visit when it is part of a skilled nursing visit 2-part set with white original, canary copy 5-hole punched top and side
3570/2P
Skilled Nursing Visit Note
$33.05
REVISED
Hospice Nursing Visit Note/ Assessment
Facilitate the assessment and documentation of a nursing visit to a hospice patient, including skilled and supervisory activities 4-page booklet-style form, printed 2 sides different 5-hole punched top and side
Item # Description Price Per Pack (100/pk) 3570/2P
3476P
Hospice Nursing Visit Note/Assessment
$29.05
Monthly Summary

Easy-to-use, check-off-style format summarizes resident status/health condition with notes on back Printed 2 sides same 5-hole punched top or side
1294HH 1294HF
$12.45 $12.45
3476P
85
Nurse/Aide Notes
DOCUMENTATION
REVISED

Home Health Aide Daily Visit Record
Facilitates daily documentation of aide visit to home care/ hospice patients Printed 1 side 5-hole punched top and side
3573D/P 3573D/2P
1 Part Set 2 Part Set
$10.35 $33.05
Home Health Aide Weekly Visit Record

Document each aide visit to the same patient for up to 7 days Printed 1 side 5-hole punched top and side
3573D/P
3573W/P
HH Aide Weekly Visit Record
$10.35
Nursing Visit Note
Document a skilled nursing visit to a home care patient, as well as an aide supervisory visit when it is a part of a skilled nursing visit Printed 2 sides different 5-hole punched top and side
3489P
Nursing Visit Note
$12.45
Weekly Nursing Summary

Easy-to-use with check-off-style format Printed 1 side 5-hole punched top and side
3489P
3059P
Weekly Nursing Summary
$10.35
REVISED
Telephone Visit
Allows on call and after hours staff to collect data assisting adult/pediatric patients with concerns, problems or medical needs 8-1/2 x 11 White paper, black ink Prints both sides different 5-hole punched top and side
3533P
Telephone Visit
$15.10
3533P
86
Nurse/Aide Notes
DOCUMENTATION
Clinical Note

Use to document narrative information when additional supportive documentation is necessary May be used as a stand-alone clinical note for 1 episode or as a continuation sheet whenever additional documentation space is needed Printed 1 side 5-hole punched top and side
3549P
Clinical Note
$9.65
Nurse Aides Information Sheet

Easy check-off-style sheet provides residents status and care needs to nurse aides Printed 1 side 5-hole punched top and side
1145P
Nurse Aides Info Sheet
$10.35
3549P
Supervisory Visits of Home Health Care Staff

Evaluate your staff on a supervised visit to a patient or client Part 1: 8-1/2 x 3 Part 2: 2-part set
3553/2
Supervisory Visits of HH Care Staff
$33.05
Nursing Progress Notes for Home Health Care
To record any home health nursing progress notes

3561/2S
Progress Notes
$11.80
1145P

Ensure services requested are actually provided by tracking activities provided by care aide staff on a weekly basis Printed 1 side 5-hole top and side punched
3389P
$10.35
REVISED
Aide Care Plan
Comprehensively document specic details of a home health/home care aides assignment to provide care for the patient
3574/3P
Aide Care Plan
$38.05
3389P
87
Medications/Treatments
DOCUMENTATION
Medication Record

Medication Record

Record all regular and PRN medications administered for an entire month Use back side for narrative notes, including response to medication and injection sites Printed 2 sides different 5-hole punched top or side
Record all regular and PRN medication administration for an entire month 8-1/2 x 11 White paper 5-hole side punched (3379HH only)
CFS6-27HH CFS6-27HF
$12.45 $12.45
Patient Medication Prole, 7-Day Billing Cycle

Pharmacy lists the drugs ordered then records quantities dispensed for the patient Charge copies are shingled Drug listings and price coding are written once 8-part form: Part 1: Parts 2-7: Part 8: 5-7/8 x 8-1/2 Progressively 11 x 8-1/2 Printed on smaller Printed on buffwhite paper Printed on white colored cardstock paper Continuation Sheet: For patients who exceed a 7-day stay Transfer tape on the stub attaches to the stub of the original patient medication prole Parts 17 are identical to 17 on Form 1262 Part 8 is printed on yellow paper and provides permanent copy Diagnosis and allergies are quickly and easily identied here
Differences include: Form 3379HH Medication Record for Assisted Living Room for notes on reverse 5-hole side punched Form 3100 Monthly Medication Sheet Records two months of medications Form 3106 Custodial Home Monthly Medication Sheet Printed one side
Item #
Description
3379HH 3100 3106
Medication Record for Assisted Living Monthly Medication Sheet Custodial Home Monthly Medication Sheet
$12.45 $14.15 $9.65
Assessment of Self Administration of Medications
Used by interdisciplinary-care team to decide approval or disapproval for self-administration of medication by residents who have expressed the desire to do so Printed 1 side 5-hole top or side punched
Item #
Description
CFS1-14HH CFS1-14HF
$10.35 $10.35
1262
Item #
Patient Medication Prole

Description
$247.45
1263
Continuation Sheet
$135.85
Controlled Drug Count Record

Treatment Record

Record all treatments provided for an entire month Printed 2 sides different 5-hole punched top or side
Ensures that nursing personnel carry out a change-of-shift count of all controlled drugs as required per facility policy Printed 1 side 3-hole side punched
CFS12-4
Controlled Drug Count Record
$10.35
CFS6-29HH CFS6-29HF
$12.45 $12.45
Drug Destruction Log

Medication and Treatment Record

Record both medications and treatments provided for an entire month Printed 2 sides same, blue ink
For controlled and non-controlled substances Printed 1 side 5-hole top punched
582
11 x 8-1/2
$10.35
3104 677/2
Non-Punched 5-Hole Side Punched
$11.80 $12.45
Drug Order Sheet

Medication Disposition Log

Use this form to record disposition of residents medication upon time of discharge 11 x 8-1/2 White paper, black ink Printed one side 5-hole punched top and side
Record information such as dosage, ordered by/date received for 20 residents on one form to place orders with 11 x 8-1/2 White paper Blue ink
3107
Single sheets
$9.65
3013P
Medication Record
$10.35
88
DOCUMENTATION
Individual Patients Narcotics Record
BEST SELLER
Briggs Shingled Narcotic Control Systems
Provides a detailed and accurate record of narcotics administered, including space to document the disposition of any unused portion Printed 1 side
3105
Narcotics Record
$9.65
Medication Administration Record

List up to 14 medications Nursing records the medication at the time it is administered 5-part set Part 1 is white, parts 24 are yellow and part 5 is buff
Shingled narcotic control systems save time and reduce charges Each set contains a Pharmacy receipt, control journal and shingled charge tickets with all parts consecutively numbered Form 1225R Includes 32 common, pre-listed drugs and their strengths Form 1228 Includes an original drug ledger on the front of the form Forms 1230/1231 With no pre-listed medications, these forms are ideal for low-usage drugs or ll-in applications Form 1233 Designed specically for Patient Controlled Analgesia (PCA) applications Contact your Briggs Healthcare Representative to nd out how to customize a Shingled Narcotic Control System.
Item #
Description
1275 1277
No Identication of Injection Site Identication of Injection Site
$206.40 $206.40
1225R 1228 1230 1231

Item #
25 Charge Tickets 25 Charge Tickets 25 Charge Tickets 10 Charge Tickets

Description
$95.20 $109.10 $95.20 $66.10

1233
PCA-5 Charge Tickets
$109.10
IV Medication Sheet

Record parenteral uid and medication administration Printed 2 sides same 11 x 8-1/2 5-hole side punched
Nurses PRN Notes

1175HH
IV Medication Sheet
$16.35
Injection site codes are listed at the top Patient information and documentation of nurses signature appears at the bottom Printed 2 sides same
3135
11 x 8-1/2
$11.80
Medicine Cards

Briggs Healthcare offers 3 different styles of medicine cards, each available in a rainbow of colors on sturdy 3-ply cardstock Actual size is 2 x 1-3/4
Medication Sheet

Item #
Description
Plain Style 1508 1510 1511 Clock Style 1541 1544 1548 1550 1551 Standard Style 1521 1524 1525 1527 1528 1530 1531
Red White Yellow Blue Green Red White Yellow Blue Green Orange Pink Red White Yellow
$11.80 $11.80 $11.80 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15
Features injection site codes on front Reverse side provides room for nurses notes and signatures Green ink, printed 2 sides different Head-to-foot 5-hole top punched
3152/2S
11 x 8-1/2
$14.85
PRN Medications

Front and inside sections allow for the recording of PRN and regular medications Back of both allows space for drug evaluation 11 x 16 (overall), 11 x 8-1/2 (folded) White lightweight cardstock Blue and red ink
3114 3143
Standard Form Includes Anatomical Illustration
$72.45 $60.55
89
DOCUMENTATION
Controlled Drug Administration Record

Medication Error Report

Record administration of controlled drugs per individual resident 5-hole punched top and side
3354P
Controlled Drug Administration Record
$10.35
REVISED

Controlled Medication Administration Record
Accurately record the receipt and disposition of any controlled drug needed for individual resident administration Printed 1 side 5-hole punched top or side
CFS12-3HH CFS12-3HF
$10.35 $10.35
Record detailed information regarding medication errors Allows for notation of the source of the error and the outcome to the resident Provides an acknowledgment of review by medical, nursing, pharmacy and administrative personnel Form CFS6-30 8-1/2 x 11 White paper Printed one side 3-hole side punched Form 3356 Specically for Assisted Living 8-1/2 x 11 White paper Printed one side 3-hole side punched Form 3118 8-1/2 x 11 3-part carbon-interleaved snap set White original, yellow and pink copy Black ink
Self-Medication Administration Record
Provides a method of recording for residents who self-administer any of their medication and a 1-week reconciliation of medication use with charting Allows nursing to assess the residents ability to self-administer medication 11 x 8-1/2 Printed 1 side 5-hole punched top and side
CFS6-30 3356
Item #
Medication Error Report Medication Error Report (for Assisted Living)

Description
$10.35 $10.35
3118
3-Part, Carbon Snap Set
$90.90
Medication Prole
CFS1-13P
Self-Medication Administration Record
$10.35
Hospice Medication Prole
Developed with space to record the start/stop date, payment responsibility, medication status and instructions with oxygen and infusion management 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
Record the initial and ongoing medication assessment information for purposes of care planning, medication monitoring and for patient/family education needs 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
3481/2P
Medication Prole
$33.05
Medication Prole Addendum

3898
Hospice Medication Prole
$39.30
Hospice Medication Review
2-part set White original, canary copy Printed 1 side 5-hole punched top and side
Provides an accurate recording of the medication review and revision with a patient/family and a section for recording the monitoring of scheduled narcotics 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
3483/2P
Medication Prole Addendum
$33.05
Medication Side Effects/Instruction Guide
3899
Hospice Medication Review
$39.30
REVISED
Medication Record
Assist the clinician with identication of medication(s) by category, classication, common side effects and general instructions for patient/family education needs Folded, 4-page booklet-style form Printed 2 sides different 5-hole punched top and side
Record all regular and PRN medication administration for an entire month
Item # Description Price Per Pack (100/pd)
3480P
Medication Side Effects/ Instruction Guide
$29.05
3379HH
Medication Record
$12.45
90
Pharmacy
DOCUMENTATION
Drug Regimen Review

Record and assess initial and ongoing drug/medication data for home care patients Information can be used as a patient educational tool 3-part set White original, color-coded copies 5-hole punched top or side
3537/3P 3537/3TP
$44.45 $44.45
Physician Action Report

Report irregularities in the drug regimen 3-part set White original, yellow and pink copies
CFS12-7/3P
Side Punched
$45.50
Medication Pass Evaluation

Used by the consultant pharmacist to evaluate nurses on administration of medications Printed 2 sides different
CFS12-1
CFS12-1
Medication Pass Evaluation
$11.80
Medication Flowsheet Monthly Drug Regimen Review

Consultant pharmacist uses to communicate and follow up on his/her ndings Printed 2 sides different 5-hole punched top or side
Document administration and/or assistance to patient/family over time with medication management 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
CFS12-5HH
Monthly Drug Regimen Review
$14.85
3482/2P
Medication Flowsheet
$36.75
IV Flow Sheet
Pharmacy Charge & Requisition

Provides areas for documentation of IV care including uids delivered, additives, tubing changed and ushes
3892P
IV Flow Sheet
$7.05
Document reason for requisitioning medications along with charges incurred 6 x 4-1/4 Green original, color-coded copies Blue ink
1428/2
2-Part Set
$39.35
Custom Imprinting Your Forms Can Save Valuable Time

Personalize your forms and save staff time by imprinting your name e and address.
Call your Briggs Healthcare Account Representative at 1.800.247.2343, ext. 4555, for more details.
Economical, Pre-Printed Drug Envelope

Includes space for writing instructions to the patient Gummed ap

Item # Size Price Per Box (500/bx)
386
2-1/4 x 3-1/2 (Flap Closed)
$25.00
91
Register Books
DOCUMENTATION
Outpatient Surgery Register

Emergency Room Register

Hard cover bound book with 100 pages (600 entries12 entries per every 2 pages) 14 x 9-1/2 Black ink on white ledger paper
Hard cover bound book 100 pages (2,500 entries) 12 x 9-1/2 Black ink on white ledger paper
566-B
Outpatient Surgery Register
$95.40
574-B
Emergency Room Register
$95.40
Home Health Care Client Register

X-Ray Register

Hard cover bound book with 200 pages (2,300 entries) 17 x 11 Black ink on white ledger paper
Hard cover bound book with 200 pages (2,500 entries) 12 x 9-1/2 Black ink on white paper
569-B
Home Health Care Client Register
$129.10
576-B
X-Ray Register
$95.40
Patients Register

Surgery Reservation Schedule

Hard cover bound book with 200 pages (3,600 entries) 9-1/2 x 12 Black ink on white ledger paper
Hard cover bound book with 200 pages (5,000 entries) 12x 9-1/2 Black ink on white ledger paper Printed 2 sides same
570-B
Patients Register
$95.40
577-B
Surgery Reservation Schedule
$95.40
Delivery Room Register

Hard cover bound book with 200 pages (2,500 entries) 12 x 9-1/2 Black ink on white ledger paper
Register of Operations

572-B
Delivery Room Register
$95.40
Record information regarding operations performed in your hospital 100 pages (1,250 entries) 12 x 9-1/2 Black ink on white ledger paper
578-B
$95.40

Document information pertaining to any operations performed in your hospital 200 pages (2,500 entries) 12 x 9-1/2 Black ink on white ledger paper
Anesthesia Register

573-B
$95.40
Several blank columns available for facility specic information tracking Hard cover bound book with 200 pages (2,500 entries) 17 x 11 Black ink on white ledger paper
586R-B
Anesthesia Register
$129.10
92
Register Books
DOCUMENTATION
Coronary Care Register

Hard cover bound book with 200 pages (2,500 entries) 12 x 9-1/2 Black ink on white ledger paper
588-B
Coronary Care Register
$95.40
All-Purpose Blank Register

Fill in the headings to best meet the needs of your facility Hard cover bound book with 200 pages (2,500 entries) 12 x 9-1/2 Black ink on white ledger paper
589-B
Register Book
$95.40
Intensive Care Register

699-B
592-B
Intensive Care Register
$129.10
Admission and Discharge Register Ambulance Register

Used to record all admissions and discharges to a facility Hard cover bound book with 100 pages (each 2-page spread provides for 12 admit and 12 discharge entries) 8-1/2 x 11 Printed in black ink on heavy white ledger paper
593-B
Ambulance Register
$129.10
595-B
Admission and Discharge Register
$64.40
Narcotic Record Book

Includes a convenient instruction page and 160 consecutively numbered pages 8-1/2 x 11 Black ink on white ledger paper
699-B
Narcotic Record Book
$95.40
Clearly Identify your Binders with Custom Printing

Imprint your facility name, logo, department names, manual titles, etc., on Briggs 1-1/2, 2 or 2-1/2 ringbinders. The imprint you choose can be hot-foil stamped on the recessed areas of the front cover and/or the spine. Imprint colors available: white, black and gold.
Call your Briggs Healthcare Representative for a quote today!
93
Lab/X-Ray
DOCUMENTATION
Horizontal-Style Lab Requisition, Charge and Report Forms

Forms are designed for all areas of the clinical lab and include a wide range of test categories All forms can be printed with normal values, facility name and address Lab copy is lightweight cardstock 7-7/8 x 3-4/10
2301/3
3-Part Sets 2300/3 2301/3

Item #
Urinalysis, Yellow Miscellaneous, Gray

Description
$95.45 $95.45
Price Per Pack (250/bx)
4-Part Sets 2301/4
Miscellaneous, Gray
$70.30
Universal Lab Mount Sheets

2300/3

Classify test results and charges for DRGs Tabbed at the bottom and printed in a different color of ink so specic test results can be located easily Holds 3 lab forms horizontally or 2 forms vertically Perforated adhesive tape is used to attach the report Top punched
1118 1120 1117
Urinalysis Misc. Lab Hematology
$87.60 $87.60 $87.60
Laboratory Reports Mount Sheet

Mounts 3 or 5 lab forms so that each is fully visible Adhesive strips hold lab forms in place White paper with red ink (1107P and 1111P) or yellow paper with black ink (1109P and 1110P) 5-hole punched top and side
For 3-Lab Forms 1107P Laboratory Reports Mount Sheet 1110P Laboratory Reports Mount Sheet For 5-Lab Forms 1109P Laboratory Reports Mount Sheet 1111P Laboratory Reports Mount Sheet
1110P
$80.95 $80.95 $80.95 $80.95
Blood Glucose Equipment Check Blood Administration

2-part, carbon-interleaved Blood Administration Tag 1-hole punched left (allows string to be attached string not included) 8-5/8 x 3-4/10 (overall), 7-1/4 x 3-4/10 (detached) White top sheet and heavy buff colored second copy Black ink with red color bars
Item # Description Price Per Pad (500/pk)
Use to record the time equipment was cleaned and the control range reading at that moment Area to record the action taken for readings outside of the control range Printed 1 side 5-hole punched top and side
1188P
Blood Glucose Equipment Check
$10.35
2304/2
Blood Administration
$120.00
94
Lab/X-Ray
DOCUMENTATION
Telephone Lab Mount Sheet

Collection Sheet

Features 2 adhesive strips to attach telephone orders 5-hole punched top and left 2 adhesive strips
1112P
Telephone Lab Mount Sheet
$80.95
No more buying separate mount sheets for every report From small 5-wide reports to large 8-1/2-wide reports, this economical, multi-purpose mount sheet holds all types of reports with adhesive strips Blue ink 5-hole punched top and side
1114P
Collection Sheet
$80.95
Lab Report Forms

Transfer tape on the back of part 1 for easy mounting Available as single sheets or 2-part set Back copy is lightweight cardstock 3 x 5
Lab Daily Accession Record Sheet

Urinalysis, Yellow Paper 350-DSN 2-Part Set

Item # Description
$66.40
Record lab procedure and name of patient May be used with Post Binder 583 17 x 11 White heavy paper Prints front and back Black ink 2-hole punch left
Urinalysis Lab Slip, Yellow Paper 903-S Single Sheet
$11.90
404
Lab Daily Accession Record Sheet
$67.85
Cant Find What You are Looking For?


UPDATED Mosbys Diagnostic and Laboratory Test Reference,
11th Edition
This handbook features concise test entries, arranged alphabetically, that reect the latest in research and diagnostic testing. Each test entry includes vital information such as alternate or abbreviated test names, type of test, normal and abnormal ndings, possible critical values, test explanation and related physiology, contraindications, potential complications, interfering factors and patient care before, during and after the test. To simplify lookup, related tests and studies are cross-referenced. A compact size, durable cover and A-to-Z thumb tabs make this book ideal for quick reference on the job. 2013, Softcover, Mosby
8114
Mosbys Diagnostic and Laboratory Test Reference, 11th Edition
$51.95
95
Wound Care
DOCUMENTATION
Wound/Skin Record

Provides standardized documentation of all identied pressure ulcer(s) or other skin condition(s) present on an individual Printed 2 sides different 5-hole punched side
CFS6-5HH-10
Wound/Skin Record
$14.15
Weekly Pressure Sore Progress Report

Record complete description, response to treatment and notication of family, doctor, dietary, etc. Assess nutritional and hydration status and applicable preventive measures provided Printed 2 sides same 5-hole punched side
CFS6-6HH-10
Weekly Pressure Sore Progress Report
$14.15
Wound/Skin Healing Record

Track the healing process for individual pressure ulcers Printed 2 sides same 5-hole punched top or side
CF56-5HH-10
Braden Scale
3169HH 3169HF
$12.45 $12.45
Clinically-proven assessment tool for predicting pressure ulcer risk, evaluated in diverse sites including medical-surgical units, intensive care units and nursing homes Printed 2 sides different 5-hole punched top and side
Skin/Wound Tracking Log

3166P
Braden Scale
$10.35
Used to identify and track all residents within a unit that have wounds and/or skin conditions Printed 1 side 5-hole punched top and side
Norton Plus Pressure Ulcer Scale

3147P
11 x 8-1/2
$9.65
Assessment tool based on the well-known, clinically-proven Norton Scale Conveniently allows for 6 assessments Printed 1 side 5-hole punched top and side
Pain Management Flow Sheet

Form allows for easy monitoring of the residents pain Printed 2 sides same 5-hole top or side punched
3167P
Norton Plus
$10.35
CFS3-38HH CFS3-38HF
$12.45 $12.45
Skin Care Alert Label

Fl. Yellow Removable adhesive
Briggs Foam Tipped Measuring Devices
Item #
Size
Price Per Box (250/bx) 1 2 4 10 20
Soft foam-tipped applicator with measurement scale printed on shaft Flexible to conform to wound shape Available in sterile and non-sterile
Item # Style Qty Price
L-2043 15/16 x 2-1/4
$11.25
$9.90 $9.45 $8.55 $7.90
BRG-920 BRG-921
Non-Sterile Sterile
50/pk 50/bx
$15.84 $30.75
96
Wound Care
DOCUMENTATION
Wound Care Measurement and Assessment

Accurately and consistently document wounds Includes Wong-Baker scale, measurement, assessment information and tape to hold the traced MediRule tool Printed 2 sides different 5-hole punched top and side
4188-10
Wound Care Measurement and Assessment
$61.60
Photographic Wound Documentation Mount Sheet

Holds 4 x 6 digital pictures Space to record the date, pertinent wound information, the name and signature of the person taking the photograph Blank lines allow room for additional notes Time-saving anatomical line drawings on 1121DP indicate location of the wound and help reduce freehand drawing errors
1121DP 1122DP
Wound-Specic Generic
$9.60 $9.60
4188-10
BEST SELLER
Patient Photo Record System
Simple and reliable wound nd documentation system that hat provides crisp, clear photos of any y wound while saving time and money oney System Includes*: Canon Powershot A495 Digital Camera, 2GB SD Memory Card, Canon Selphy ES40 Compact Photo Printer, uring Devices, Devices Quick Start Guide Briggs MediRule Measuring Provides a detailed and accurate record of narcotics administered, including spaceto document the disposition of any unused portion Printed 1 side

Item #
Color
Qty
Price
PPRS PPRS2GB PPRS1335A PPRS2463E PPRS2096B 1121DP 1122DP
Complete Photo Documentation System 2 GB SD Memory Card Canon Color Ink/Paper Pack, 4x 6 Canon Powershot A1200 Digital Camera Canon Selphy CP800 Photo Printer Photo Documentation Mount Sheets Wound Specic Photo Documentation Mount Sheets Generic
1 ea 1 ea 108/pk 1 ea 1 ea 20/pk 20/pk
$283.40 $14.99 $44.63 $130.50 $115.49 $9.60 $9.60

1121DP


97
Wound Care
DOCUMENTATION
Pressure Ulcer Risk Assessment

Assess 8 parameters of functional status to determine if resident is at high risk for pressure ulcer development Printed 2 sides same 5-hole punched top or side
CFS6-4HH CFS6-4HF
$12.45 $12.45
Wound Assessment and Care Tool with Braden Scale

Assess, stage and document woundsall on 1 form Supports consistent wound care from visit to visit Clinicians can assess pressure ulcer risk and determine appropriate interventions for all types of wounds Printed 2 sides different, head-to-side 5-hole punched top and side
3466P
3168HH-10
Wound Assessment and Care Tool
$9.65
Skin Condition Record

Document assessment and monitoring of non-pressure ulcer skin conditions and their treatment Printed 2 sides different 5-hole punched top or side
NEW EDITION!
Clinical Guide to Skin and Wound Care, 7th Edition

Quickly learn the pros and cons of hundreds of wound care products and expert nursing care throughout the entire healing process. NEW! Important new content on documentation regulations NEW! Chapter on lymphedema featuring best practices NEW! Checklists chapter Alphabetically proles of more than 300 products 2012, Spiral-Bound, Lippincott
3168HH-10 3168HF -10
$14.15 $14.15
Briggs MediRule, MediRule II and MediRule III Measuring Devices
BEST SELLER
Transparent plastic devices used to measure the size of pressure ulcers, wounds or skin conditions of any kind Eliminates the risk of cross-contamination Lightweight, pliable plastic sheet can be placed on top of the affected area with no discomfort After an accurate measurement is taken, just dispose of the contaminated MediRule Packaged in handy dispenser boxes MediRule III features a foldable clear protective sheet that can be removed to allow the wound tracing grid to be placed directly on the assessment form
Item # Description Size Qty Price
7979
$54.95
See page 179 for complete offering of Wound Care References.
6252 6255 6282
MediRule MediRule II MediRule III
4-1/2 x 6 8 x 10 4-1/2 x 12
250/bx 100/bx 250/bx
$8.07 $7.34 $27.81
98
Wound Care
DOCUMENTATION
Wound Treatment Sheet

Document up to 14 treatments of wound care and condition, and patients response to treatment Printed 2 sides 5-hole punched top and side
3895P
Wound Treatment Sheet
$10.05
Bed Patient Turn Record

Provides a 4-day turn record for bed-ridden patients Divided into 2-hour increments, giving time, position and space for aide identication after the patient has been turned 8-1/2 x 11 White paper, black ink Printed one side
1300
$11.80
Turn/Reposition Record

Record routine turning/positioning changes using proper supportive devices Printed 2 sides different 5-hole punched side
CFS6-7HH
$12.45
Non-Pressure Skin Condition Report

Identify, describe, monitor and document non-pressure skin conditions Printed 2 sides same 5-hole punched top or side
3895P
1174HH 1174HF
$11.80 $11.80
Turning Clock Label
Current guidelines suggest a change in position every 2 hours Highly visible and can be placed by the bedside or at the foot of the bed Every 2 hour interval on the clock is marked with either RIGHT, BACK or LEFT 3 colors: blue, red, yellow on white label Health care professional or caregiver can enter the residents room at any time and immediately know what position the resident should be in for pressure area prevention Removable adhesive
Item # Size Price Per Pack (25/pk) 1 5 10 20
Hypoallergenic Wound Ruler Label
BEST SELLERS
A hands-free measuring device Apply near wound prior to documentation Hypoallergenic label with very light adhesive assures no discomfort for the resident
Item # Size Price Per Pack (50/pk) 1 4 10 20
LS-8202
1 x 4-3/4
$10.95 $8.85
$8.50
$7.75
L-2355
4-1/2 x 4-1/2
$13.95 $12.12 $11.40 $10.45
99
I & O/Weights/Vital Signs
DOCUMENTATION
Total Intake and Output Record

Maintain record of residents uid balance Printed 2 sides different 5-hole punched top or side
CFS6-25HH CFS6-25HF
$12.45 $12.45
Intake and Output Record

Provides a 14-day intake/output record Form 3055 is formatted with an evaluation at the bottom of the page and is top or side punched Printed 2 sides same
658/2S 3055HH 3055HF 618
Side Punched Side Punched Top Punched Unpunched
$12.45 $12.45 $12.45 $11.80
CFS6-25HH
Comprehensive Intake and Output Record

24-Hour Intake and Output Record

Broken down into 3 shifts with a total for each 8-hour period Printed 1 side
Accurately records the residents uid balance Printed 2 sides different 5-hole punched top or side
1185HH 1185HF
$12.45 $12.45
3039
4-1/4 x 11
$8.00
Accurate Intake and Output Record Intake/Output

Provides exibility to record uid intake/output for any hour of the day Blue ink Printed 2 sides same Head-to-foot
Record intake and output 8-1/2 x 11 White paper, blue ink Printed front only
246
Accurate Intake and Output Record
9.65
1012
5-1/2 x 8-1/2
$8.00

Record uid intake and output 8-1/2 x 11 White paper, black ink Prints front and back
3048 3054/2S
Intake and Output Record Intake and Output Record
$11.80 $11.80
Dietary Label
Item # Size Qty 1 Price Per Box 2 4 10 20
L-611N
15/16 x 2-1/4 500/bx
$11.25 $9.90 $9.45 $8.55 $7.90
See page 242 for the complete line of Dietary Labels.
100
DOCUMENTATION
Vital Signs and Weight Record

Provide an ongoing record of the residents vital signs and weight Recording weight in this manner makes it easy to determine if weight loss or gain is signicant and therefore necessary to notify family, doctor and dietary Printed 2 sides 5-hole punched top or side
CFS6-21HH CFS6-21HF
$12.45 $12.45
Weight Flowsheet

Record residents weight and weight changes on this easy-to-use form An area is provided to mark when the family, doctor or dietary is notied of weight change Printed 1 side 5-hole punched top and side
3146P
Weight Flowsheet
$10.35
Vital Sign Flowsheet

Record residents vital signs for a full month on 1 convenient form Printed 1 side 5-hole punched top and side
CFS6-21HH
Fluid Intake and Output

Record the intake and output of uids for a complete 24-hour period using both sides 3 x 5 White ledger paper, black ink Printed two sides same, head-to-head
3094P
Vital Sign Flowsheet
$10.35
Vital Sign and Weight Flowsheet

Record a full month (31 entries) of residents vital signs and weight on 1 convenient form Printed 1 side 5-hole punched top and side
2061
Fluid Intake and Output
$38.05
Graphic Chart

3051
Vital Sign and Weight Flowsheet
$10.35
Easily identify specic trends in your patients conditions Blue ink Printed 1 side
Monthly Record of Vital Signs and Weights

Maintain a 2-year record of weight and vitals Printed 1 side

247
Graphic Chart
$9.65
3049
Monthly Record of V/S and Weights
$9.65

101
DOCUMENTATION
Food Intake Record

Record the daily meal intake, including snacks, in percentages Record an additional 31 days on the back Printed 2 sides 5-hole punched top or side
CFS6-24HH CFS6-24HF
$12.70 $12.70
Meal Intake Record

For recording daily meal/snack intake in percentages Printed 1 side 5-hole punched top and side
3662HH
1182P
11 x 8-1/2
$10.55
Assess the various aspects of 11 parameters affecting the residents clinical status to determine if the resident is at a high risk for malnutrition Printed 2 sides same 5-hole punched side
REVISED

Food Intake Record
CFS6-20HH
$12.70
Record residents intake of food and uids 24-hours a day for 1 month (31 days) Includes a Meal Consumption Percentage Guide for easy reference Printed 1 side 5-hole punched top or side
3662HH 3662HF
$10.55 $10.55
Oral Intake and Output Record


Maintain an accurate record of the residents uid balance Printed 2 sides 5-hole punched top or side
CFS6-26RHH CFS6-26RHF
$12.45 $12.45
T.P.R. Slip

Briggs Reinforcers
What would happen if a critical piece of documentation was missing from your chart? Improper care provided, medication errors, nes, citations and lawsuits Reduce the risk and protect your forms! Visit us online at www.BriggsCorp.com or see page 186 for full details and pricing.
Room for the temperature, pulse and respiration of up to 15 residents Blue ink Printed 1 side
773
4-1/8 x 5-3/8
$4.85
Diet Requisition

Record the residents diagnosis and diet order 6 x 4 Pink paper, black ink Printed one side
513
Diet Requisition
$5.05
102
Dietary
DOCUMENTATION
Dietary Enteral Assessment

Review the status of tube-fed residents on an ongoing basis Printed 2 sides same 5-hole punched top or side
CFS5-9HH CFS5-9HF
$12.70 $12.70
Enteral Nutritional Record
Document and track the actual care and uids provided via tube feedings
CFS6-16HH
Enteral Nutritional Record
$10.35
Nutritional Assessment
Provides an ongoing review of the residents nutritional status in order to ensure he/she is provided the proper level of assistance and care Printed 2 sides same 5-hole punched top or side
469
CFS5-6HH CFS5-6HF
$12.70 $12.70
Dietary Communication Spiral-Bound Book


Utilized in inpatient hospice setting to assist in identifying hospice patients preferences to dietary intake Printed 1 side 5-hole punched top and side
Provides a permanent record of dietary communications in a comb-bound book 3 individual communication forms (5 x 3-5/8) per page Pink original, yellow copies 50 duplicate pages per book (150 communication forms)
469-D
5-5/8 x 10-7/8 (Overall)
$12.05
Continuous Nutritional Status Review

3888P
$11.30
Ensure resident is provided the proper level of assistance and care Printed 2 sides different 5-hole side punched
Diet History/Food Preference List

Ensure residents receive food according to past habits and preferences 2-part edge-glued form White and canary paper 5-hole punched top and side
1183HH
Continuous Nutritional Status Review
$12.70
Dietary Communication Pad
1184P
Diet History/Food Preference List
$27.60
Serves the same purpose as form 469-D (previous page), but is produced in a convenient single pad Printed 1 side
Dietary Order and Communication

3249
4-1/4 x 5-1/2
$5.05
Provides communication from physicians orders or nursing to dietician 2-part set White original, yellow copy
Refrigerator/Freezer Temperature Log

3694/2
8-1/2 x 5-1/2
$19.35
Record refrigerator and freezer temperatures to ensure all foods are appropriately stored Printed 1 side 5-hole punched top and side
3142P
Refrigerator/Freezer Temperature Log
$10.55
103
Dietary
DOCUMENTATION
Temperature/Sanitizer Log
Comprehensive Dietary Order

Ensure proper sanitation and cleaning of service ware by monitoring and recording the temperature and test strip results for the dishwasher and/or the pots and pans sink Printed 1 side 5-hole punched top and side
Supplies a complete record of a residents dietary needs White heavy cardstock Printed 2 sides same Head-to-head
3139P
Temperature/Sanitizer Log
$10.55
1095
8 x 5
$20.00
Diet Preference List

Diet Order

Obtain a complete record of patients dietary likes and dislikes Blue ink Printed 1 side 3-hole side punched
Used to record the type of diet required by the resident and the signature of the person ordering this diet Blue ink Printed 1 side
129
5 x 3
$4.55
505
Diet Preference List
$9.85
Change of Diet

Dietary Progress Notes

Used to document your dietary progress notes Prints both sides 5-hole punched top and side
Maintain an accurate record of diet changes with this 2-part form Original white copy goes in the chart and yellow copy remains in the dietary department
529
6 x 4
$16.40
602HF 602HH
$12.70 $12.70
Nutritional/Dietary Progress Notes
Dietary Assessment/Consult
To be utilized by the dietitian to document multiple aspects of home care patient/client diet/nutrition therapy including assessment, care planning and interventions/instructions Form can be used for home visits, as well as phone consultations with the patient/client and/or staff
Analyze appropriateness of interventions and document residents involvement and response to nutritional status and interventions Printed 2 sides same
5-Hole Side Punched CFS5-7HF White paper 675/2 Yellow paper 5-Hole Top Punched CFS5-7HH White paper Unpunched 3262 Yellow paper
$12.70 $12.70 $12.70 $12.05
3599/2P
Dietary Assessment/Consult
$33.70
REVISED

Enteral Nutrition Record
Record and document actual care provided as it relates to tube feeding 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole side punched
Dietitians Note to Physician
Provides dietician with a permanent copy of all correspondence to the physician regarding a specic residents nutritional status 2-part form; white original, yellow copy Black ink
CFS6-16HH
$10.35
Parenteral Fluids Flowsheet

460/2
5-1/2 x 8-1/2
$19.35
Record parenteral uid administration 8-1/2 x 11 White paper, black ink Printed 2 sides different 5-hole punched side
5-Part Status Report

Alerts departments of changes affecting the status of a resident/patient Includes admission, discharge, diet, death or room transfer White original, color-coded copies
CFS6-28HH
Parenteral Fluids Flowsheet
$12.45
1285
8-1/2 x 5-3/8
$171.05
104
Dietary
DOCUMENTATION
Color Coded Diet Cards
Plastic Card Protectors

Sturdy cards help ensure that food placed on the tray corresponds to the diet ordered Choose from 7 different titles 3-1/4 x 2-1/2 Heavy color-coded card stock
Item # Description Color Price Per Pack (500/pk)
Designed to protect your diet cards from everyday wear and tear Fits diet cards 3-1/4 x 2-1/2
6101
Plastic Card Protectors
$25.45
1573 1575 1579 1584 1588 1589 1590 1594 1596
Blank (Write-In) Diabetic General Liquid Low Salt Low Sodium Regular Soft Special
White Red White Yellow Pink Lt Gray White Orange Blue
$21.55 $21.55 $21.55 $21.55 $21.55 $21.55 $21.55 $21.55 $21.55
Dietary Labels for Diet Cards

Brightly colored labels reduce the potential for tray line errors Made of sturdy vinyl to withstand repeated washings in warm sudsy water Available printed or plain (specify stock number)
Item # Description Color Price Per Roll (100/rl)
Diet Card Holder

Features a heavy 2 round base, which sets rmly on a tray or table Clip-style holder stands approximately 2 tall
L-1900 L-1901 L-1902 L-1903 L-1904 L-1906 L-1907 L-1909 L-1910 L-1911 L-1913 L-1914 L-1915 L-1921
Regular Special Diabetic Rest. Sodium Rest. Fat Soft Puree Plain (Blank) Plain (Blank) Plain (Blank) Plain (Blank) Plain (Blank) Plain (Blank) Mechanical Soft
Black Purple Red Green Brown Blue Orange Purple Red Green Dark Pink Blue Orange Lime Green
$4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35 $4.35
Item #
Description
Price Per Each
5100
Diet Card Holder
$1.50
Diet Card with Laminate Sheet

Protect permanent diet information with this diet card with laminate sheet already attached Contains the same information as Briggs Card 20R (previous page) Fill in permanent information, then adhere the laminate sheet Temporary information can be placed on the laminate sheet for removal with an alcohol wipe Warning: Diet Cards are not for use in dishwashers
Diet Card with Likes and Dislikes Section
21
5 x 3-1/2
$26.20
Plastic tray card with room for resident information, diet type and food preferences Space is also provided for 2 dietary labels to identify diet types Warning: Diet Cards are not for use in dishwashers
Tent Card

20R
5 x 3-1/2
$22.30
Designed for the dining room Provides space for diet type, 2 dietary labels and a special box for the table number
Diet Card

22
Folds to 3 x 2-1/2
$22.30
Identical to Diet Card 20R, but Likes and Dislikes are not specied Warning: Diet Cards are not for use in dishwashers
Dietary Information Card

15 lines to record dates and diet order changes Printed 1 side

30
5 x 3-1/2
$22.30
479
Dietary Information Card
$23.25
105
Infection Control
DOCUMENTATION
Infection Report

Establish an ongoing system to identify and report resident infections Printed 2 sides different 3-hole side punched
CFS13-1
Infection Report
$12.45
REVISED
Inuenza/Pneumococcal Immunization, HBV Vaccine Consent/Declination and Employee HBV Vaccination Record
Provides reliable proof the HBV vaccine was offered to employees by requiring a signature verifying consent or refusal Back side allows you to record vaccinations actually administered Printed 2 sides same
2115R
7123P-12
HBV Vaccine Consent/Declination Record
$12.20
Monthly Schedule for TB Testing

NEW! Immunization Record

See at a glance the complete record of all individual residents immunizations Includes Inuenza, Pneumonia, HBV and TB surveillance with room to add others Printed 1 side 5-hole punched top and side
Ensures all residents and employees receive their required TB testing in a timely manner (use 1 form per month) Printed 1 side 3-hole side punched
2122
Monthly TB Testing Schedule
$10.35
2123P-12
Immunization Record
$10.35
Tuberculosis Surveillance Summary Record

Employee Incident/Accident Report

Captures the data needed to evaluate accidents and incidents Parts 2 and 3 are designed to be the link between your facility/agency and the health care professional if medical help is needed 3-part set, color-coded copies Part 1 prints different from Parts 2 and 3 Red and black ink (all parts) and all information requested about an exposure incident is printed in red
Record dates/results of periodic TB tests Space for documenting type/result of test, recommended treatment (if any) and date of report to the Health Department (if required) Use back to document periodic x-ray screening and bacteriology testing Printed 2 sides different 5-hole punched top or side
2121HH 2121HF
$12.45 $12.45
2117/3
$51.65
Source Individual Consent
REVISED
Explains to the resident/patient in very simple terms that by consenting to HBV/HIV infection testing the facility/agency may protect and aid in the medical management of their employees Discusses the condentiality of the matter and explains that the resident/patient (source individual) will not be charged 8-1/2 x 11 White paper, black and red ink Printed 1 side
Item # Description Price Per Pack (100/pd)
Inuenza/Pneumococcal Immunization, Informed Consent
Obtain written permission for the administration of pneumococcal vaccination and/or annual inuenza vaccinations Printed 2 sides different 5-hole punched top and side
7123P-10
Flu/Pneumo Consent
$15.10
2116
Source Individual Consent
$11.80
106
Quality Improvement
DOCUMENTATION
Grievance QA Log

Document grievances and concerns voiced by residents/ interested parties, the resolution and follow-up Printed 1 side 5-hole top punched (11 edge)
CFS14-1
11 x 8-1/2
$10.35
Grievance/Complaint Report

Provides feedback and follow-up on actions taken to address complaints Printed 1 side 3-hole side punched
CFS1-11
$10.55
CFS14-1
Quality Assurance Action Plan/ Follow-Up Log

Used to document the action plans that have been identied by the QA committee Helps to monitor completion dates and follow-up frequency 11 x 8-1/2 White paper, black ink Printed 1 side 5-hole top punched (11 edge)
CFS14-21
QA Action Plan/Follow-Up Log
$10.65

Document residence involvement in the resolution of grievances/complaints 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole side punched
3326
$10.35
CFS1-11
Action Plan

QA form is the main tool behind the quality assurance documentation system Identies the plan of action the facility will take when quality related concerns arise or follow-up is needed and delegates responsibility for the follow-up 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole side punched
CFS14-20
Action Plan
$10.65
Elopement Risk Tracking Log
Tracks elopement occurrences for an individual resident including conditions, risk factors, medications, type of occurrence and care plans 8-1/2 x 11 White paper, black ink Printed 2 sides different 5-hole side punched
3712HH
Elopement Risk Tracking Log
$12.45
CFS14-20
107
Quality Improvement
DOCUMENTATION
Interdisciplinary Post-Fall Assessment

Used to assess residents who have fallen Printed 2 sides different 5-hole punched top and side
1161P
Interdisciplinary Post-Fall Assessment
$12.45
Resident Fall Tracking Log

Used to track falls of individual resident Printed 2 sides different 3-hole side punched
3091
Resident Fall Tracking Log
$12.45
Incident Report

Document safety-related incidents and accidents involving patients, employees, visitors and outsiders White original, color-coded copies
3092
875/2
Item #
2-Part Set
Description
$35.20
Preliminary Investigation Report

Equip your staff with the tools they need in order to perform a proper investigation 8-1/2 x 11 White paper, black ink Printed 1 side
2605/2P
Item #
2-Part Set
Description
$16.30
875/3
Item #
3-Part Set
Description
$35.20
775
Single Sheets
$9.65
3308
Preliminary Investigation Report
$7.45
Incident/Accident Report

Potential Resident Abuse Incident Form
Document verbal, mental, sexual or physical abuse including corporal punishment or involuntary seclusion in long-term care 8-1/2 x 11 2-part carbonless snap-set White original, yellow copy, black ink 3-hole side punched
Permanently document events of any incident/accident 2-part set White original, yellow copy 5-hole punched top and side
3381/2P
Incident/Accident Report
$33.05
Quality Assurance Incident/Accident Report
CFS3-11/2
Potential Resident Abuse Incident Form
$30.90
Investigation Follow-Up

Document incidents/accidents involving a resident, employee, visitor or other person to provide information for the Quality Assurance/Safety Committee and any litigation investigations White original, color-coded copies
Document follow-up activity and outcomes regarding any reported incident Printed 2 sides different 3-hole side punched
3322/2R
Item #
2-Part Set
Description
$35.20
3092
Investigation Follow-Up
$12.45
CFS6-18/2 3322/3R
Item #
2-Part Set, 3-Hole Side Punched 3-Part Set

Description
$30.90 $35.20
Incident Report QA/CQI Log

3332R
Single Sheets
$9.65
Log incidents/accidents monthly for continuous quality improvement Printed 1 side 3-hole top punched (11 edge)
Incident Report QA & A Monthly Summary

Track and trend resident falls on a monthly basis Printed 2 sides different 5-hole punched top and side
3090
11 x 8-1/2
$10.35
1162P
11 x 8-1/2
$15.10
108
Quality Improvement
DOCUMENTATION
24 Hour Report/Change of Condition Report

List any condition changes within a 24-hour period Printed 2 sides different 3-hole top punched (11 edge)
2240
11 x 8-1/2
$12.45
Weekly Pressure Sore QI Log

Allows you to monitor weekly healing progress or regression of pressure sores Printed 1 side 3-hole top punched (11 edge)
2240 Item # Size Price Per Pad (100/pd)
3081
11 x 8-1/2
$10.35
Medication/Treatment Sheet Audit Monthly Resident Infection Analysis

Identify patterns and trends of infections Printed 2 sides different 5-hole punched top and side
Review of residents MAR and TAR records for correctness, problems, follow-up Printed 1 side 5-hole top punched (11 side)
3202
11 x 8-1/2
$12.30
1163P
Monthly Resident Infection Analysis
$15.10
Physical Restraint Audit

Medical Records Destruction Log

Review the medical records of individuals with restraint White paper, blue ink Printed 1 side 3-hole top punched (11 edge)
Use to track destruction of resident medical records Printed 1 side 5-hole top punched (11 side)
3205
11 x 8-1/2
$10.35
3640
11 x 8-1/2
$10.35
Infection Control Log Psychoactive Drug Audit

Review the medical records of residents receiving psychoactive medications White paper, blue ink Printed 1 side 3-hole top punched (11 edge)
Establish an ongoing surveillance system for identifying and monitoring resident infections Printed 1 side 3-hole top punched (11 edge)
CFS13-2
11 x 8-1/2
$10.35
3641
11 x 8-1/2
$10.35
Lab Audit
Records review of residents ordered lab tests, frequency, MD notication, related chart copies and completion of any needed corrections White paper, black ink Printed 1 side 5-hole top punched (11 side), padded in 100s.
Did You Know?

3206
11 x 8-1/2
$12.30
109
Quality Improvement
DOCUMENTATION
Discharge Audit

Used as a medical records (HIM) department audit tool Proven to assist in maintaining compliance with discharge chart completion 2-part set 5-hole punched top and side
1137/2P
Discharge Audit
$34.00
Sign Out/Sign In Sheet

Tracks residents presence or absence in the building Printed 1 side 5-hole punched top and side
3324P
Sign Out/Sign In Sheet
$10.65
Dehydration Risk Tracking Log

Identies risk factors associated with dehydration Printed 2 sides different 5-hole side punched
CFS9-2
3089
Dehydration Risk Tracking Log
$12.45
Sign In/Sign Out Med Records

Used to track charts signed out Printed 1 side 5-hole punched top and side
Giant Chart Flaggs

Half removable adhesive, half dry extends beyond page Larger size arrow shapes available blank or with title Highly visible uorescent colors Made of durable plastic 9/16 x 2-1/4 in size Available in dispenser boxes or on sheets (see page 235)
Description Price Per Pack/Box 1 24 50
1189P
Sign In/Sign Out Med Records
$12.20
Physicians Visit Log

Ensures that required physician visits occur in a timely manner Printed 1 side 3-hole side punched
Box-Style Giant Chart Flaggs (100/bx)
$5.75 $5.35 $4.95
CFS9-2
Physicians Visit Log
$10.35
Medical Record Audit

SIGN HERE
L-3340 Fl. l Red d Actual l Size
The 72-hour, 21-day, quarterly and readmission audits on 1 form 4-page booklet-style form Printed 2 sides different 5-hole punched top and side
L-3346 Item # Description Price Per Pack (100/pk)
NURSE TO
Fl. Yellow
L-3350 Blue
1136P
Medical Record Audit
$29.90
L-3347
NEW ORDERS
Fl. Green L-3352 Fl. Red Write-on surface
New Physicians Orders Audit

Use to review medical records of all residents with new physician orders Blue ink Printed 1 side 3-hole top punched (11 edge)
7 solid color Box-Style Giant Chart Flaggs available:
Fl. Red
Fl. Yellow Fl. Green
Fl. Pink
Fl. Orange
Blue
Purple
L-3341 L-3342
L-3343
L-3344
L-3345
L-3350
L-3351
See page 235 for full line of Chart Flaggs .
3642
11 x 8-1/2
$10.35 Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com
110
Quality Improvement
DOCUMENTATION
Weekly Weight Variance QI Log

Monitors weekly weights for easy tracking in the QA process Printed 1 side 3-hole top punched (11 edge)
3087
11 x 8-1/2
$10.35
Monthly Weight Variance QI Log

Log residents weight from month to month indicating variance percentage Printed 1 side 3-hole top punched (11) edge)
3088
11 x 8-1/2
$10.35
Nutritional Care Recommendations

Communicate follow-up action necessary to improve nutritional care and services Printed 1 side 5-hole punched top and side
3089
Safety/Infection Control Quality Assurance Checklist

1179P
11 x 8-1/2
$12.70
Diabetic Audit
Q & A audit tool allows the facility to document issues relating to safety and infection control programs in one easy place Extra lines provided for facility specics White paper, black ink Printed 1 side 5-hole side punched
Monitors diabetic medication orders, lab orders, documentation of insulin administration, MD notication, care plans, diet orders, meal intake and completion of any medical follow-up White paper, black ink Printed 1 side 5-hole top punched (11 edge)
CFS14-9
8-1/2 x 11
$10.35
Release of Information Tracking Log

3203
11 x 8-1/2
$10.35
Hydration Investigative Protocol

Track release of resident medical information Includes method of request, requesting party, number of copies, portion of chart requested, date resident/POA notied and date provided White paper, black ink Printed 1 side 5-hole top punched (11 side)
Q & A tool to evaluate and ensure systems are in place and functioning for hydration White paper, black ink Printed 1 side 5-hole punched top and side

3204
11 x 8-1/2
$10.35
Food Temperature Record

Record food temperatures at the beginning of meal service to ensure proper food temperatures for residents Printed 1 side 3-hole top punched (11 edge)
1169P
8-1/2 x 11
$12.45
CFS8-1
11 x 8-1/2
$10.55
111
Rehab/Therapy
DOCUMENTATION
Rehabilitation Screen
Used to determine the appropriate level of care and whether rehabilitative services need to be provided by therapy staff (physical therapy, occupational therapy, speech therapy), nursing staff or rehabilitative nursing staff 8-1/2 x 11 White paper, black ink Printed 2 sides different 5-hole punched side
CFS10-1HH
Side Punched
$12.45

Record the range of motion of joints in measurable degrees with an ongoing assessment A sequence of ROM exercises are indicated on the back, as well as basic instructions and clarifying illustrations Printed 2 sides different 5-hole side punched
CFS6-12HH
CFS10-1HH
$12.45
Certication/Recertication
Rehabilitation Nursing Program Evaluation
Obtain physicians signature at specied time frames according to CMS regulations to certify/recertify that the skills of a therapist(s) are necessary Printed 1 side 5-hole punched top and side
Convenient check-off style evaluation assesses needs and identies adaptive equipment and assistance needed to provide proper care Printed 1 side
3626
3799P
Certication/Recertication
$10.35
Rehabilitation Nursing Program Evaluation
$10.95
Therapy Treatment Progress Notes

Action Labels
Document treatments given/not given on a monthly basis Progress notes continue on back Printed 2 sides different 5-hole punched top or side
CFS10-6HH
Side Punched
$14.40
Therapy Notes
Peel-Off Top
Fl. Pink
Record notes for PT, OT or ST via a pre-printed checklist Salmon paper Printed 2 sides same Head-to-foot
1045
L-1505 15/16 x 2-1/4 Fl. Orange Bottom, Removeable Adhesive 100/Disp. Box
Therapy Notes
$13.70
Home Assessment Tool
Record exactly when actions are due and when they are completed with Action Labels. Each label is actually two in one, the top peeling off to reveal the bottom one.
See page 238 for more Action Labels.
Provides the resident and family members or caregivers with recommendations for environmental modications for discharge home 8-1/2 x 11 4-page booklet-style form White paper, black ink Printed 2 sides different 5-hole punched side
3748HH
Home Assessment Tool
$29.05
112
Rehab/Therapy
DOCUMENTATION
Speech Therapy Revisit Note

Document each home care patient visit (other than an evaluation visit) and/or supervisory visits Printed 1 side 5-hole punched top and side
3580P-11 3315P
Speech Therapy Revisit Note, Home Care Speech Therapy Revisit Note, Hospice
$11.95 $11.95
Speech Therapy Care Plan

Document the home care patient care plan for speech therapy services May be reviewed/revised up to 3 times before rewriting the plan 2-part set White original, canary copy 5-hole punched top and side
3596/2P-11 3313/2P
Speech Therapy Care Plan, Home Care Speech Therapy Care Plan, Hospice
$35.65 $35.65
Dysphagia Medical Work-Up
Ensures documentation by the physician in collaboration with the Speech-Language Pathologist or Occupational Therapist of a proper medical diagnostic evaluation 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole punched top and side
3595P-11
Speech Therapy Evaluation
3795P
Dysphagia Medical Work-Up
$11.95
Utilized by the speech/language pathologist (SLP) or speech therapist (ST) to document home care patient evaluation visits Printed 2 sides different Standard 5-hole punched top and side
Speech Therapy Progress Status

Provides the status of the short-term goals, the disciplinespecic modalities and treatment tasks and revisions to the treatment modalities or tasks 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole punched top and side
3595P-11 3312P
Speech Therapy Evaluation, Home Care Speech Therapy Evaluation, Hospice
$14.05 $14.05
Speech Therapy Daily Service/Treatment Grid

Records daily clinical and billing interventions for Speech Therapy for individual residents for a calendar month 5-part set White original, color-coded copies 5-hole punched top and side
3796P
Speech Therapy Progress Status
$11.95 3797P Speech Therapy Daily Service/ Treatment Grid
Speech/Language Evaluation and Plan of Therapy

Use for speech evaluation and plan of therapy when warranted 8-1/2 x 11 White paper, black ink Printed 2 sides different 5-hole side punched
$54.70
CFS10-4HH
Speech/Language Evaluation and Plan of Therapy
$14.40
113
Rehab/Therapy
DOCUMENTATION
Tinetti Assessment Tool: Balance and Gait

Physical Therapy Care Plan

Assess and score a patients balance and gait while sitting, standing and walking Printed 1 side 5-hole punched top and side
Utilized by the physical therapist to document the home care patient care plan for physical therapy services 2-part set White original, color-coded copy Standard 5-hole punched top and side
3424P
Tinetti Assessment Tool
$11.95
Physical Therapy Evaluation

3708/2P-11 3314/2P
Physical Therapy Care Plan, Home Care Physical Therapy Care Plan, Hospice
$33.30 $35.65
Utilized by the physical therapist to document home care evaluation visits Printed 2 sides different Standard 5-hole punched top and side
Comprehensive Physical Therapy Care Plan
Comprehensive, time-saving care plan has been eld-tested by leading home care agencies Completed by the physical therapist to document the home care patient/client care plan for physical therapy May be reviewed and revised up to 3 times before rewriting 2-part set White original, canary copy 5-hole punched top and side
3507P-11 3307P
Physical Therapy Evaluation, Home Care Physical Therapy Evaluation , Hospice
$14.05 $14.70
Physical Therapy Revisit Note
Document each home care patients physical therapy visit, supervisory visit (where applicable) and/or to facilitate updates and changes to the Plan of Care 5-hole punched top and side

3506/2P
Physical Therapy Care Plan
$38.35
Physical Therapy Record

Easily record up to 14 months of treatment in a pre-printed monthly chart Back side offers a continuation of the Evaluation & Progress Notes section 8-1/2 x 11 White paper, blue ink Printed 2 sides different, head-to-foot
3509P-11 3308P
Physical Therapy Revisit Note, Home Care Physical Therapy Revisit Note, Hospice
$11.95 $11.95
Physical Therapy Evaluation and Treatment Plan

Used by physical therapists in assessing and planning Printed 2 sides different 5-hole side punched
1008
$13.70
CFS10-2HH
Treatment Plan
$14.40

Physical Therapy Progress Status
Provides the status of the short-term goals, the disciplinespecic modalities and treatment tasks and revisions to the treatment modalities or tasks 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole punched top and side
12-month, 31-day chart is featured Back contains ruled lines for progress notes 8 x 5 White ledger cardstock, black ink
960
$21.65
Physical Therapy Daily Service and Treatment Grid

3791P
Physical Therapy Progress Status
$11.95
Physical Therapy Progress Record

Printed on both sides to allow plenty of room to make notes concerning a patients physical therapy progress Blue ink Printed both sides same, head-to-foot
Record daily clinical and billing interventions for physical therapy for individual residents for a calendar month 5-part set White original, color-coded copies 5-hole punched top and side
3792P
Treatment Grid
$55.05
1009B
Physical Therapy Progress Record
$13.70
114
Rehab/Therapy
DOCUMENTATION
ADL Functional/Restorative Assessment and Progress

Assess residents activities of daily living (ADL) skills Assessment areas on the reverse include: Bowel and Bladder Function, ROM/Contractures, Eating/Feeding Status, Restraints/Enablers, Dental Status and Pressure Ulcer/Fall Risk Printed 2 sides different 5-hole punched top or side
CFS6-1HH CFS6-1HF
$14.40 $14.40
Occupational Therapy Evaluation

Utilized by occupational therapists to document home care visits 2 sides different Standard 5-hole punched top and side
3593P-11 3309P
Occupational Therapy Evaluation, Home Care Occupational Therapy Evaluation, Hospice
$19.15 $14.70
3593P-11
Occupational Therapy Care Plan

Occupational Therapy Revisit Note

Document and evaluate care and progress Revise up to 3 times before rewriting 2-part set White original, canary copy 5-hole punched top and side
Document home care therapy visits (other than evaluation visit) and/or supervisory visit White original 5-hole punched top and side Form 3579/2P: Form 3579P: Single sheet 2-part set Printed 1 side Canary copy
3594/2P-11 3311/2P
Occupational Therapy Care Plan, Home Care Occupational Therapy Care Plan, Hospice
$35.65 $35.65
3579P-11 3579/2P-11 3310P
1-Part Set, Home Care 2-Part Set, Home Care 2-Part Set, Hospice
$11.95 $36.65 $11.95
Occupational Therapy Evaluation and Treatment Plan

Used in assessment and planning Printed 2 sides different 5-hole punched side
OT Daily Service & Treatment Grid
CFS10-3HH
Treatment Plan
$14.40
Records daily clinical and billing interventions for Occupational Therapy for individual residents for a calendar month 8-1/2 x 11 (detached) 5-part carbonless snap set, white original, color-coded copies Black ink 5-hole punched top and side
Occupational Therapy Progress Status

Provide status of short-term and weekly goals and disciplinespecic, modalities/treatment tasks, as well as revisions Printed 1 side 5-hole punched top and side
3794P
OT Daily Service & Treatment Grid
$54.70
NEW! Ancillary Therapy Evaluation

Document other types of therapy used
3793P
Occupational Therapy Progress Status
$11.95
3990P
Ancillary Therapy Evaluation
$11.95
115
Restorative Nursing
DOCUMENTATION
Restorative Dining Screening Tool
Evaluates residents who may benet from a restorative dining program and includes approaches, adaptive device needs and diet changes White paper, black ink Printed 2 sides different 5-hole side punched
3716HH
8-1/2 x 11
$14.40
Restorative Nursing Program Needs Identication
Records restorative nursing program needs identied upon admission and identies additional needs determined during the observation period Tracks program implementation White paper, black ink Printed 2 sides different 5- hole side punched
3715HH
CFS6-14HH
8-1/2 x 11
$14.40
Restorative Program Tracking Restorative Care Flow Record

Records delivery of 1 program, including goals and approaches/prescription, for 5 weeks Includes weekly progress notes Printed 2 sides different 5-hole punched top or side
Track all residents in each unit, participating in any of 15 restorative programs, on 1 master list 3-page booklet-style form 5-hole side punched
3726 $14.40 $14.40
Restorative Program Tracking
$33.95
3731HH 3731HF
Restorative Nursing Care Plan and Progress Notes

Restorative Care Flow Record

Tracks all restorative prescriptions for an individual resident for 1 month 11 x 8-1/2 Printed 2 sides different 5-hole punched top or side
Keep all care plan goals, approaches and progress notes for an individual problem in one place White paper, black ink Printed 2 sides same 5-hole side punched
3720HH
11 x 8-1/2
$14.40
3719HH 3719HF
$14.40 $14.40
CNA Care Plan Reference Sheet

Restorative Feeding Evaluation

Gives complete picture of a residents abilities and restorative nursing program needs at a glance White lightweight cardstock Printed 2 sides different 5-hole punched (11 edge)
Record restorative feeding evaluation and recommendations Used to formulate, document and follow up on the actual plan developed 8-1/2 x 11 White paper, black ink Printed 2 sides different 5-hole side punched
3727
11 x 8-1/2
$12.45
Restorative Care Flow Record SC

CFS6-14HH
Restorative Feeding Evaluation
$14.40
Record restorative treatments on a regular basis including ambulation, range of motion and other restorative services Printed 2 sides different 5-hole punched, left
3632HH
Restorative Care Flow Record SC
$14.40
116
Restorative Nursing
DOCUMENTATION
Restorative Meeting Summary

Records members present, resident names and coordinating program review notes White paper, black ink Printed 1 side 5-hole punched (11 edge)
3732
11 x 8-1/2
$11.95
Restorative Aide Notes

To record any restorative Aides notes Green paper, black ink Printed 2 sides same
3241
Restorative Aide Notes
$13.70
Restorative Nursing Transfer Form

Records transfer of the resident between therapy, Level II (restorative nursing) and Level III (regular nursing) care Includes program prescription and specics with room for 4 transfers White paper, black ink Printed 2 sides same 5-hole side punched
3725HH
3717HH
Restorative Nursing Transfer Form
$14.40
Urinary Incontinence/Indwelling Catheter Assessment

Restorative Nurses Progress Notes

Record notes related to specic care plan problem numbers and their coordinating restorative nursing programs Form 3740P: Form 3718HH: Space provided for 11 x 8-1/2 program changes Printed front only 11 x 8-1/2 5-hole punched top Printed 2 sides same and side 5-hole top punched
Use when urinary incontinence triggers on the residents MDS Contains the information found in the Briggs original RAP module plus additional questions to determine the need for an incontinence restorative nursing program White paper, black ink Printed 2 sides different 5-hole side punched
3729HH
3718HH 3740P
Side Punched Top and Side Punched
$14.40 $11.95
$12.45
Restorative Care Flow Record

Urinary Incontinence Management Evaluation

Assess residents potential for bladder retraining, toileting program or other treatment modalities Printed 2 sides different 5-hole punched side
Record restorative treatments including ambulation, range of motion and other restorative services Printed 2 sides different 5-hole punched top or side
CFS6-13HH CFS6-13HF
$14.40 $14.40
3725HH
$12.45
Rehabilitation/Restorative Service Delivery Record

Urinary Incontinence Management Program
Assess a residents potential as a candidate for bladder retraining, toileting program or other treatment modalities
3728HH
Document time spent for 1 full month Progress notes/observations are recorded on the reverse Blue ink Printed 2 sides different 5-hole punched top or side
$29.25
CFS6-33HH CFS6-33HF
$14.40 $14.40
117
Transfer/Discharge
DOCUMENTATION
Notice of Transfer or Discharge
Provides documentation that a resident or the residents representative was provided adequate notice of a transfer or discharge Form CFS2-1/3: 3-part set White original, yellow and pink copies 5-hole punched top or side
$38.05 $38.05
Discharge Instructions

2-part carbon-interleaved form features sections for Patient Condition Upon Discharge and Patient Instructions Part 2, the patient copy, includes the patient instruction portion only 8-1/2 x 11 (original), 8-1/2 x 4-3/4 (yellow copy)
1255B
$75.20
Resident Transfer
CFS2-1/3P

Summary For Transfer, Referral or Move Out

Provides appropriate information to ensure a safe and orderly transfer to another facility Updated to include TB testing information 2-part feather-edge, carbon-interleaved set White original, yellow copy Both parts printed front and back 5-hole punched top or side
Use whenever a resident is transferred, referred or moved out Records reasons, condition and special needs 8-1/2 x 11 (detached) 2-part carbonless snap set, white original, yellow copy, black ink 5-hole top and side punched

$33.05 $33.05
Resident Transfer Form

Available as either a 2- or 3-part set Printing on both sides of each copy to give a very detailed account of the residents status at the time of transfer Back contains information regarding the residents ability to perform ADLs and his/her psychosocial disposition 8-1/2 x 11 (detached) White paper, yellow and pink copies
3392/2P
Summary For Transfer, Referral or Move Out
$33.05
Interdisciplinary Discharge Summary for Special Care

Provides a summary of residents stay in the facility Printed 2 sides different 5-hole punched side
886/2
Item #
2-Part Set
Description
$45.35
3658HH
Interdisciplinary Discharge Summary
$12.45
886/3
3-Part Set
$124.65
Interdisciplinary Discharge Summary

Provides a summary of residents stay in the facility Activities and Rehabilitation sections are formatted on back Printed 2 sides different 5-hole punched top or side
CFS5-17HH CFS5-17HF
$12.45 $12.45
118
Transfer/Discharge
DOCUMENTATION
Patient Transfer
Developed by the Associated Hospital Service of New York, Forms 880 and 879 provide adequate patient exchange data when transferring a patient to another facility Form 880 is available in 2- and 3-part sets The 3-part version provides an extra copy for your Medicare intermediary White original and color-coded copies
879/2
Item #
2-Part Set
Description
$40.10
880/2 880/3
$85.25 $109.10
Patient Transfer
Provides information necessary for proper patient care when transferring to another facility, including advance directives and vitals Printed 2 sides different
882
Item #
2-Part Set
Description
$45.35
991
3-Part Set
$124.65
880/2
Patient Care Referral

Communicate patient information for transfer from 1 facility to another 3-part set White original, yellow and pink copies Form 1203-A: Check-off format identies level of care required Form 1203-B: Check-off format identies disabilities, impairments, ability to communicate and behavioral traits Form 1203-C: Communicates social information and therapies Plenty of space is available for typewritten or handwritten report
Post-Discharge Plan of Care
1203-A 1203-B 1203-C
Identies Level of Care Identies Disabilities, Impairments, Ability to Communicate, Behavior Traits Communicates Social Information/Therapies
$118.95 $118.95 $118.95
Provides the resident or caregiver with a post-discharge plan of care and documents that the orientation and discharge preparation was completed The back of this form identies: Dietary/nutritional needs Activity/leisure pursuits Medication instructions Applicable wound care/treatment/therapy Physician/pharmacy names and phone numbers 2-part feather-edge, carbon-interleaved set White original, pink copy Both parts printed front and back 5-hole punched top or side
$33.05 $33.05

Releases the facility from responsibility when resident leaves the facility against physician and administrator advice Printed 1 side 5-hole punched top and side
Record of Death/Morticians Receipt
Document pertinent information at time of death, including coordination or care activities

296
Record of Death/Morticians Receipt
$9.65
3025P
$10.35
Physicians Discharge Summary
Enables the attending physician to record both the admission and discharge diagnoses along with a summary of care and prognosis
3225
Physicians Discharge Summary
$9.65
119
Transfer/Discharge
DOCUMENTATION
Patient Transfer and Referral Record
Instructions for Post Hospital Care

Use to convey all necessary administrative, medical, nursing and other pertinent information when transferring a patient to another facility 2-part carbon-interleaved White paper
Allows written instructions and a copy of the facilitys records to be given to the patient upon discharge A patient signature indicating that instructions were explained and understood offers protection to the facility White original and yellow copy 2-part set
3335/2R
8-1/2 x 11
$61.75
1253/2
Instructions for Post Hospital Care
$29.05
Interdisciplinary Communication Memo

Provides a mode for interdisciplinary communication, which can be initiated by any team member White original and pink copy

3769/2
8-1/2 x 5
$20.15
2-part set White original, green copy Blue ink 5-hole punched top or side
Instructions to the Patient After Emergency Care
3585/2P
$33.05
Provides instructions for wound care, head injuries, sprains, fractures, bruises, cast care and back and neck injury, plus a general instructions section 2-part set White original, yellow copy
Summary (Non-OASIS)

2030/2
Instructions After Emergency Care
$109.10
Capture patient information for transfer/referral and/or discharge summary for non-OASIS patient discharges 2-part set White original, canary copy 5-hole punched top and side
Hospice Live Discharge

3583/2P
Summary (Non-OASIS)
$38.05
Records patients disposition/plan of care at discharge Could include geographic relocation, stabilized condition, revocation, etc. Single sheet Printed 2 sides different
Do Not Resuscitate
3901
Hospice Live Discharge
$12.45
Document a patients/clients decision regarding resuscitation and to provide a vehicle to forward this information to the physician to be included in the physician orders
Discharge Summary

3538/3P
Do Not Resuscitate
$38.05
Provides your facility with a complete summary of a patients condition upon discharge 8-1/2 x 11 White paper, blue ink
Discharge Plan/Discharge Plan Review

3017
Discharge Summary
$9.65
Reects the facilitys expectations on the residents potential for discharge from the facility within the next 3 months 8-1/2 x 11 White paper, black ink Printed 2 sides different 5-hole punched top or side


CFS5-15HH CFS5-15HF
$12.45 $12.45
120
Bereavement
DOCUMENTATION
REVISED

Bereavement Assessment
Serves as an ongoing, working tool for bereavement needs and planning Printed 2 sides different 5-hole punched top and side
3451P
Bereavement Assessment
$10.55
REVISED

Spiritual Coordination Visits
To facilitate assessment, interventions and documentation of encounters for spiritual needs of the patient Printed 2 sides different 5-hole punched top and side
3887P
Spiritual Coordination Visits
$11.30
REVISED

Hospice Death Discharge Summary

3451P
Document discharge information for the attending physician and clinical record 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
Bereavement Follow-up

3474/2P
Hospice Death Discharge Summary
$33.05
Satisfaction Questionnaire

Document bereavement follow-up activities, whether by visit, phone, letter or other means Printed 1 side 5-hole punched top and side
Obtain feedback from families/signicant others to identify areas for improvement Printed 1 side
3452P
Bereavement Follow-up
$10.55
3471 3584
Hospice Satisfaction Questionnaire Home Care Satisfaction Questionnaire
$9.95 $9.85
Expiration Checklist

REVISED

Spiritual Assessment
Provides a checklist of areas to cover when patient expires Printed 1 side 5-hole punched top and side
Collect data regarding spiritual aspects of care Printed 1 side 5-hole punched top and side
3896P
Expiration Checklist
$10.05
3468P
Spiritual Assessment
$10.55
Death Note
Bereavement Plan of Care Tracking

Document the bereavement Plan of Care (POC) and facilitate implementation of the POC Printed 1 side 5-hole punched top and side
Document pertinent information at time of death, including coordination or care activities and disposal of controlled substances 8-1/2 x 11 (detached) 2-part set White original, canary copy Printed 1 side 5-hole punched top and side
3454P
Bereavement Plan of Care Tracking
$10.55
3473/2P
Death Note
$30.25
121
Dememtia
DOCUMENTATION
Physical Restraint Consent

Informs the resident of the right to be free from physical restraints 2-part set White original, canary copy Printed 2 sides different 5-hole side punched
3646/2P
Physical Restraint Consent
$33.05
Physical Restraint Reduction Assessment

For ongoing assessment of residents functioning for possible restraint reduction Printed 2 sides different 5-hole punched top or side
3639HH 3639HF
$12.45 $12.45
Safety Check Log

3650HH
Monitor the location and activity of individuals with dementia over 24 hours to ensure safety Printed 1 side 5-hole punched top and side
3700P
Safety Check Log
$10.35
Functional Assessment for Persons with Alzheimers Disease

Special Care Unit Admission Consent
Assess functional level of a resident over an entire year and quickly compare functional status from quarter to quarter 3-page booklet-style form 5-hole side punched
Provides written record of responsible party/legal representative permission for resident placement in Special Care Unit 2-part set White original, yellow copy 5-hole punched top and side
3650HH
Functional Assessment Alzheimers
$29.90
3676/2P
Special Care Unit Admission Consent
$30.90
NEW! Controlling Violence in Healthcare

Award Winner: International Communication Video and Film Festival, American Journal of Nursing Media Festival This award-winning program addresses the increasing problem of violence in healthcare by exploring and demonstrating techniques for preventing and containing violence. Examples include an angry accident victim in the ER and confused nursing home resident. Approaches to these situations are demonstrated within the framework of a facilitywide safety program. DVD: 32:55 min; Reviewed for accuracy in 2010, Medcom
Missing Resident Identication

Complements organization policies and procedures, meets some state requirements and includes critical information Features a nger-printing section and a place for a recent photo Blue ink, printed 2 sides different 50 forms 1 ngerprint pad
3699
Missing Resident Identication
$90.90
Did You Know?

Briggs has been printing forms for health care organizations for more than half a century. Our experience and understanding of health care documentation are second to none. Over the years, weve had our documentation programs held up by industry litigation experts as a facilitys best defense against litigation and survey deciencies.
4507DV
Controlling Violence in Healthcare
$315.00
122
Dementia
DOCUMENTATION
NEW! Disruptive/Behavior/Intervention/
Outcome Forms

Interdiciplinary Admission Assessment

Provide a quantitative, graphic method of charting behavior problems, interventions and outcomes Printed 2 sides different 5-hole punched top or side
3 part set White paper, black ink 5-hole punched side

3689HH-10
8-1/2 x 11
$35.35
Side Punched 3666HH-12 3667HH-12 3668HH-12 3664HH-12 3663HH-12 Top Punched 3666HF-12 3668HF-12 3664HF-12 3663HF-12
Antidepressant Medications PRN Medications or Establishing a Baseline Hypnotic/Sedative Medications Anti-Anxiety Medications Anti-Psychotic Medications Antidepressant Medications Hypnotic/Sedative Medications Anti-Anxiety Medications Anti-Psychotic Medications
$12.45 $12.45 $12.45 $12.45 $12.45 $12.45 $12.45 $12.45 $12.45
Psychoactive Medication Consult
Provides an evaluation of interventions related to a specic behavior for the purpose of developing a Behavior Management Plan or a CNA Care Plan White paper, black ink Printed 1 side 5-hole punched top and side
3681/2P
8-1/2 x 11
$33.05
Short Portable Mental Status Questionnaire

Provides a baseline for level of cognitive ability Printed 2 sides different 3-hole side punched
Behavior Intervention Evaluation Checklist
3687
Short Portable Mental Status Questionnaire
$12.45
Cornell Scale for Depression in Dementia

Provides an evaluation of interventions related to a specic behavior for the purpose of developing a Behavior Management Plan or a CNA Care Plan White paper, black ink Printed 1 side 5-hole punched top and side
Evaluates depression in a demented person Scoring guidelines printed on back Printed 1 side 3-hole side punched
3679P
Behavior Intervention Evaluation Checklist
$10.35
3688
Cornell Scale for Depression in Dementia
$10.35
Behavior Symptoms Checklist

Geriatric Depression Scale

Evaluates resident for indictors of depression Printed 1 side 5-hole punched top and side
Notes specic moods/behaviors and frequency of occurrence Helps focus staff efforts/interventions to reduce the behavior White paper, black ink Printed 1 side 5-hole punched top and side
3682P
Behavior Symptoms Checklist
$10.35
3802P
Geriatric Depression Scale
$12.45
Behavior Management Plan

Special Care Unit Criteria Review

Used to develop a specic intervention plan to address resident behavior(s) 8-1/2 x 11 White paper, black ink Printed one side 5-hole punched top and side
Used by the Evaluation Team to assist in determining a residents appropriateness for admission to the unit White paper, black ink Printed 1 side 5-hole punched top and side
3674P
Special Care Unit Criteria Review
$10.35
3680P
Behavior Management Plan
$10.35
123
Activities
DOCUMENTATION
Initial Activity Assessment

Gather information about how each resident prefers to spend his/her time CFS4-1/2: Printed 2 sides different 2-part form 5-hole punched top or side CFS4-1: Single-sheet Printed 2 sides different 5-hole punched top or side 3253HH: Single-sheet Printed 2 sides different 5-hole punched side
CFS4-1/2P-10 CFS4-1/2TP-10
Item #

Description
$37.10 $37.10
CFS4-1HH-10 CFS4-1HF-10 3253HH
Side Punched Top Punched Side Punched
$12.70 $12.70 $26.80
Activity Assessment
CFS4-1/2P-10
Allows the activity staff to identify a history of resident patterns, which may impact his/her overall plan of care Printed 2 sides different; 5-hole punched side
CFS4-2HH
Activity Assessment
$12.70
Daily Record of Participation Sheet

Allows the activity coordinator to track activity participation levels for up to 20 residents for an entire month White paper, black ink Printed 2 sides same
Therapeutic Recreation/Activity Assessment

Especially for use by Recreational Therapists to determine activity needs and resident preferences Printed 2 sides different 5-hole punched top or side
CFS4-8
11 x 8-1/2
$12.05 3646HH Therapeutic Rec/Activity Assessment $12.70
Resident Lifestyle Prole (Long Form)
Perfect tool to identify how each resident prefers to spend his/her time and plan activities which represent common, as well as individual interests 8-1/2 x 11 (4-page booklet-style) White paper, black ink 5-hole punched side
Shared Activities Worksheet

Helps the activity coordinator track each residents activity, time spent on that activity and how the resident responded Designed to be used by all employees and can be placed in multiple areas of your facility for easy access and immediate documentation
3080HH
Resident Lifestyle Prole (Long Form)
$29.90
1248
8-1/2 x 5-1/2
$8.20
1-To-1 Program/Individual Job Assignment Plan
Group Volunteer Application
Intended for residents who have very limited functional capabilities and are unwilling to plan and occupy their own leisure, or are very high-functioning, independent residents who prefer job tasks and/or independent activities Printed 2 sides different 5-hole side punched
Keep track of your volunteer groups hours and areas they wish to serve with this form Printed 1 side 5-hole punched top and side
1143P
Group Volunteer Application
$11.30
CFS4-5HH
Assignment Plan
124
Activities
DOCUMENTATION
Volunteer Application

Convenient form to track volunteer hours and preferred volunteer areas Printed 2 sides different 5-hole punched top and side
Happenings or Activities Giant Wall Calendars
1144P
Volunteer Application
$18.05
Volunteer Hours

A tool to keep track of volunteer hours worked by month Printed 1 side 5-hole punched top and side
Month and days are left blank to ll in as needed Pack includes 12 lined sheets, which are constructed of lightweight matte paper Each lined block measures 6 x 7 and folds easily for storing in les Shipped crease-free in a crush-resistant tube
1142P
Volunteer Hours
$12.70
6704 6706
Happenings Activities
$22.45 $22.45
Volunteer Activity Record

Track specic individual activities for 17 days Patient-related and/or organization/administrative activities are separated to facilitate information management needs Printed 1 side 5-hole punched top and side
Activities Phrase-of-the-Month Wall Calendar

Monthly phrases create fun themes to include in activity planning Each lined block measures 6 x 7 and folds easily for storing in les Shipped crease-free in a crush-resistant tube
3469P
Volunteer Activity Record
$10.55
6705
38 x 50
$25.50
Volunteer Assessment/Care Plan
Record specic information for the volunteer assigned to provide patient care activities and/or organization/ administrative volunteer activities 8-1/2 x 11 (detached) 3-part carbonless snap set, white original, white copies, black ink 5-hole punched top and side
Resident Council Minutes

Documents the concerns raised in resident council meetings Also facilitates a process for reviewing resident rights and changes in facility rules and regulations on an ongoing basis Printed 2 sides different 3-hole side punched
3470/3P
Volunteer Assessment/Care Plan
$38.80
CFS1-2
Resident Council Minutes
$12.70
Volunteer Agreement

Provides a written agreement regarding the volunteer service(s) and responsibilities Also provides documentation of the volunteers understanding of these services and responsibilities 8-1/2 x 11 (detached) 2-part carbonless snap set, white original, pink copy, black ink
Activity Interest Survey

Gathers information about a residents past and current interests, as well as leisure lifestyle 2-part set White original, yellow copy 5-hole punched top and side
3464/2
$33.70
3683/2P
Activity Interest Survey
$31.50
Overall Activity Plan
Record all education/training or conferences with the resident and/or responsible party, especially as they relate to the residents right to know about his/her health status and to accept or refuse care and services
3671HH
$12.45
Reects the residents desire to participate both in activities of choice and those that are therapeutic in nature, thereby helping him/her to maintain or improve his/her physical, mental and psychosocial well-being 8-1/2 x 11 White paper, black ink, printed 2 sides different 5-hole punched top or side
CFS4-4HH
Overall Activity Plan
$12.70
125
Activities
DOCUMENTATION
Activity Progress Notes
CFS4-9HH Summarize the residents program dealing primarily with activity-related problems, goals and approaches Printed 2 sides same 5-hole punched side CFS4-9HF Summarize the residents program dealing primarily with activity-related problems, goals and approaches Printed 2 sides same 5-hole punched top
Item # Description
3263 Summarize the outcome(s) of the residents program dealing with activity-related problems, goals and approaches Pink paper Printed 2 sides same 5-hole top punched 686/2 Used to record Activity Progress Notes Pink paper Printed 2 sides same 5-hole side punched
CFS4-9HH CFS4-9HF 3263 686/2
Side Punched Top Punched Top Punched Side Punched
$12.70 $12.70 $12.05 $12.70
1303HH
Activities Participation Records

Record an individual residents daily activities, as well as their level of participation Form 1303: Individual Resident Daily Activities Printed 2 sides same 5-hole punched top or side : Form 3653P Individual Participant Record Printed 1 side 5-hole punched top and side
Activity progress notes are written to summarize the outcome(s) of the residents program dealing primarily with acitivity-related problems, goals and approaches addressed in the overall plan of care 8-1/2 x 11 Salmon paper, black ink Prints both sides
3349
$12.05
1303HH 1303HF 3653P
Side Punched Top Punched Top and Side Punched
$12.70 $12.70 $10.55
The opposite side of the Activities Sign features a monthly calendar.
Individual Participation Record
5903DS
Assists the activity coordinator in tracking each residents activity level and assessing whether his/her activity involvement is increasing or decreasing over time Printed 2 sides same 5-hole punched top or side
Activities Signs

CFS4-6HH CFS4-6HF
$12.70 $12.70
Frame-like board protects information underneath from tampering or loss Includes a single, 2-sided cardone side shows a monthly calendar, the other shows a weekly calendar Visit www.BriggsCorp.com/Signs for color options Includes adhesive strips for easy installation
Description Size Price
Item #
5903DS Activities Sign
20-1/8 x 23-5/8
$122.50
See pages 260-261 for complete details
126
Social Services
DOCUMENTATION
REVISED

BereavemeResident/Family Educational Assessment
Record the assessment of resident and familys educational abilities and needs Printed 1 side 5-hole punched top and side
1187P
Resident/Family Educational Assessment
$12.70
Resident/Family Education Record

Record education provided to the resident and family Improves communication between the facility and family Printed 2 sides different 5-hole punched top or side
3076HH 3076HF
$12.45 $12.45
Initial Psychosocial Assessment and Social History

Gather psychosocial data about the resident and identify needs, concerns or behavioral interventions required 4-page booklet-style Printed 2 sides different 5-hole punched top or side
1173HF
1173HH 1173HF
$29.65 $29.65
Census Report
Social Service Assessment
Inform departments of changes that affect the census; includes Admission, Discharge, Transfer, Death and Room Transfers 8-1/2 x 5-1/4 4-part set White original, color-coded copies
Address the functional and cognitive status of the resident while ensuring that the documented condition is consistent with progress notes and the plan of care Printed 2 sides different 5-hole punched top or side

CFS2-3/4
Census Report
$30.90
Initial Social Service History

Discusses residents ability to deal with life, interpersonal relationships, goals and indicators of behavior and mood Form 3654HH is designed specically for Special Care units Printed 2 sides different 5-hole punched top or side
CFS4-12HH CFS4-12HF
$12.70 $12.70
Briggs Poly Divider Tabs
Locate your social services SOC section quickly and easily SERV IAL ICES Pre-punched tabs t side or top open ringbinders Sold individually Full 3-year warranty See pages 201-203 for complete offering of Individual Divider Tabs.
CFS4-10HH 3654HH CFS4-10HF
Side Punched Side Punched Top Punched
$12.70 $12.70 $12.70
127
Social Services
DOCUMENTATION
REVISED

Medical Social Services Evaluation
Utilized by the medical social worker (MSW) to document home care evaluation visits 2 sides printed different 5-hole punched top and side
3597P
Medical Social Services Evaluation
$12.70
REVISED
Medical Social Services Revisit Note
Document each medical social service visit (other than an evaluation visit) to a home care patient and to facilitate revisions to the MSW plan of care Printed 1 side 5-hole punched top and side
3566P
Medical Social Services Revisit Note
$11.95
REVISED
CFS1-9R/2

Medical Social Services Care Plan
Social Service Notes

Document ongoing information regarding residents progress Salmon-colored paper Prints both sides
For use by the Medical Social Worker (MSW) to document the home care medical social service plan of care 2-part set White original, canary copy 5-hole punched top and side
3598/2P
Medical Social Services Care Plan
$33.70
3350
Social Service Notes
$12.05
Social Service Progress Notes Notication of Room Change

Provide each resident with advance notice of a room change (as required) 2-part set White original, pink copy 5-hole punched top or side
Provide medically related social services to attain/maintain the highest practical physical, mental and psychosocial wellbeing of each resident Documents ongoing information regarding residents progress 5-hole side punched, top punched or unpunched
CFS1-9R/2P Side Punched CFS1-9R/2TP Top Punched
$31.50 $31.50
Side Punched 688/2 Printed 2 Sides Same, Blue Paper CFS4-13HH Printed 2 Sides Same Top Punched
$12.70 $12.70
New Roommate Notication

CFS4-13HF 3264 Unpunched 1015
Printed 2 Sides Same Printed 2 Sides Same, Blue Paper Printed 1 Side, Blue Ink
$12.70 $12.05 $9.85
Notify residents in advance (as required) of new roommate assignments 2-part set White original, pink copy
CFS1-15R/2
8 x 2-7/8
$12.70
128
HIPPA
DOCUMENTATION
Authorization to Release Patient Information

Residents written authorization to release protected health information 1773/2: 2-part set White original, canary copy 5-hole punched top and side 1773: Single sheet Printed 1 side only 5-hole punched top and side
Item # Qty Price Per Pad or Pack (100/pd or pk)
1773/2 1773
100/pk 100/pd
$33.05 $10.35
Notice of Privacy Practices/ Acknowledgement of Receipt of Providers Notice of Privacy Practices

Describes to residents how information about them may be used and disclosed, and who has access to that information Includes a 2-part Acknowledgement of Receipt (detachable) to quickly and easily obtain a signature and document receipt 4-page booklet-style form (white bond paper printed 2 sides different), plus an attached 2-part form (white original, yellow copy, printed 1 side) 5-hole punched top and side
1773
1770
9 x 11
$42.40
Denial of Amendment

Request to Review or Obtain Copies of Protected Information

Used by the resident to request a review or to obtain copies of protected health information Printed 1 side 5-hole punched top and side
Standardized denial of amendment letter to a resident/ requester 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole punched top and side
1776
Denial of Amendment
$10.65
1772
Request to Review or Obtain Copies of Protected Information
Condential Patient Sign-In Log

$10.35

Disclosure Log
Record each disclosure of protected health information, including date, receipt, purpose, type of information and name of employee disclosing Printed 1 side 5-hole punched top and side
HIPAA compliant sign-in sheet for registering and arranging patient appointments Complete accurate record keeping that maintains patients privacy with consecutively-numbered, shingled tickets 8-1/2 x 11 2-part carbonless form, white original, green ink 3-hole side punched
1791
Condential Patient Sign-In Log
$108.90
1779
Disclosure Log
$10.35
Request for Amendment of Information

Privacy & Condentiality Agreement
Resident/requesters written request for amending protected health information 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole punched top and side
Agreement between providers business associates that denes business associates duties and obligations of condentiality and compliance with relevant law 11 x 17 (overall), 8-1/2 x 11 (folded), 4-page booklet-style form White paper, black ink
1771
Privacy & Condentiality Agreement
$30.15
1775
Request for Amendment of Information
$10.35
129
Human Resources
DOCUMENTATION
Condential Reference Request

Application for Employment
Verify a job applicants former employers simply send one form for each reference listed Check-off style format 8-1/2 x 11 White paper, blue ink Printed 1 side
4-page booklet-style form that includes sections for interviewers comments, test administrators interpretation, reference checks and disposition Blue ink 11 x 17 (overall), 8-1/2 x 11 (folded)
704R
$38.40
706
Condential Reference Request
$10.65
Telephone Reference Request

Extended Application for Employment
Use while making telephone contact with a job applicants former employers Check-off style format 8-1/2 x 11 White paper, blue ink Printed 1 side
4-page application records personal information, educational background, employment history and availability, and includes an Employment Understanding Agreement Back contains sections for interviewers comments and reference checks 11 x 17 (overall), 8-1/2 x 11 (folded)
707
Telephone Reference Request
$9.95
Monthly Schedule Sheet

3294R 3285R 3286R
Application for Employment Long-Term Care Application General Health Care Application
$38.40 $25.45 $25.45
Used to maintain an accurate monthly schedule 17 x 11 Blue ink

794 794M
SundaySaturday MondaySunday
$25.45 $25.45
Back of this form documents educational background, employment history/references, original hire date and release of interview information Printed 2 sides
Monthly Schedule Sheet

Use on a monthly basis to schedule and document your facilitys nursing hours Blue ink
758R
$12.20
747
11 x 8-1/2
$9.95
Application for Employment with Employee Understanding Agreement
Employee Health Examination Record

Use to record an applicants initial health examination Reverse side provides space for subsequent examinations 8-1/2 x 11 White paper, black ink Printed 2 sides different
The front records personal and education information and the reverse documents references and work history, as well as an Employment Understanding Agreement, which contains an anti-discrimination policy statement Printed 2 sides different
3290R
Application for Employment with Employee Understanding Agreement
$12.20
398R
Employee Health Examination Record
$12.20
Employees Health Questionnaire

Sold individually! Order only as many as you need!
Break-Away Lanyards

Made of at woven nylon with a metal hook fastener Features a plastic safety breakaway snap that attaches and releases easily when tension is applied Available in two colors: black or blue
Front side features a check-off-style health questionnaire, reverse side provides space to document the actual health examination by the physician Blue ink Printed 2 sides different
709R
Employees Health Questionnaire
$12.20
BH700BL BH700BK
Blue Black
130
Human Resources
DOCUMENTATION
Employees Record Folder
Record employee information on the outside including a comprehensive list of performance reviews and a termination record Both ends of these folders are closed to form a secure pocket for storage 11-3/4 x 9-1/2, sturdy buff-colored cardstock
522 522E
Expandable Up to 1-1/2 Flat
$60.30 $45.25
Evaluation of Employee
Uses point system to objectively evaluate an employees performance; rated above average, average or below average 8-1/2 x 11 White paper, blue ink
522E
702 701
Point system Grid system
$9.95 $9.95
Record of Attendance Employee Job Performance Evaluation

Includes guidelines to help maintain continuity, relate ratings to essential job functions and provide a uniform evaluation process Also includes an area for comments and signatures 4-page booklet-style form 11 x 17 (overall), 8-1/2 x 11 (folded) Blue ink
Provides a year-long record of attendance Abbreviations for common attendance occurrences are listed at the bottom White lightweight cardstock Blue ink Printed 1 side
710
8 x 5
$16.15
703
Employee Job Performance Evaluation
$38.40
Daily Nursing Sign-In Sheet

Provides an easy-to-use sign-in sheet for all licensed and non-licensed personnel over all shifts in your facility
4-page booklet-style evaluation form, which offers a 5-point grading scale for job performance Inside covers Attitude, Dependability, Knowledge of Job, Appearance/Cleanliness and Safety Awareness and back side includes Participation in Continuing Education and Public Relations Folded
749
11 x 8-1/2
$9.95
3295
$38.40
Employee Evaluation

All categories evaluated allow the recording of employee strengths as well as areas that need improvement Back side details an implementation plan for areas that need improvement 8-1/2 x 11 White paper, black ink Printed 2 sides same

3297
Employee Evaluation
$12.20
131
Human Resources
DOCUMENTATION
Employee Counseling Form

Absence Report
Use to document specic employee related problems, action(s) taken and problem resolution 8-1/2 x 11 White paper, black ink
3287R
Employee Counseling Form
$9.95
519 Document and report reasons for employee absences, including illness, injury, vacation and other approved leave Ruled lines are provided for remarks Blue ink 554 Features sections to check the appropriate reason for absence and explain, if needed
Nurses Aide Checklist for Orientation

Conduct a complete orientation for new nurses aides Reverse side is a continuation of specic patient care procedures including Food and Fluids, Safety Devices, Observations, General Procedures, Care of Equipment, Admission, Discharge and Transfer 8-1/2 x 11 White paper, black ink
519 554
5-1/2 x 4-1/4 5-1/2 x 8-1/2
$4.85 $7.70
Personnel Change

3300
Nurses Aide Checklist for Orientation
$12.20
Separate sections to specify payroll additions, payroll changes, payroll deletions and personal employee information 2-part set Color-coded copies Blue ink
Warning Notice

Record all warnings given to an employee using a convenient check-off style format Blue ink

523/2
Personnel Change Form
$25.60
Termination of Service
Use to record the termination of an employee Pink paper, black ink
520
5-1/2 x 4-1/4
$4.85
Change of Position or Salary of Employee
Document changes in position or salary

332
5-3/8 x 4
$4.85
333
5-3/8 x 4
$4.85
Vacation Request

Payroll Authorization
Employee can ll in their rst, second and third choices for vacation time Blue ink
Provide your facilitys payroll department with information concerning employee pay adjustments using this authorization slip Pink paper
518
5-1/2 x 4-1/4
$4.85
177
5-1/2 x 4
$4.85
Leave Request

In-Service Training Report/ Attendance Record
Keep track of all types of leave requests Space available for both the employees and the supervisors signatures Blue ink
An attendance record is printed on the back

517
5-1/2 x 4-1/4
$4.85
1289R
Training Report/Attendance Record
$12.20
Employee In-Service/Educational Attendance Record


Document all in-service and training sessions attended by each employee Printed 1 side
2119
Educational Attendance Record
$9.95
132
Central Supply
DOCUMENTATION
Purchase Orders

372-S
Form 1251/3 features rules guidelines for recording purchases with other vendors Form 329: 8-1/2 x 7 Available in 2- and 3-part sets White top sheet, color-coded copies
329-D 329-T 1251/3
2-Part Set 3-Part Set 3-Part Set
$47.70 $51.65 $115.55
1435
Central Supply Requisition and Charge

2-part set Green original, yellow copy

1429/2 443/2
6 x 4-1/4 6 x 4-1/4
$33.25 $47.70
Central Supply Charge

Single-part form Green paper

372-S
6 x 4
$5.10
Maintenance Order
Allows a facility to keep accurate records of maintenance orders including date started, date completed, total man hours and materials used Available in 2- or 3-part sets Color-coded copies
1429/2
831/3
Item #
3-Part Set
Description
$89.00
Miscellaneous Requisition and Charge

831/2
2-Part Set
$85.00
2- or 3-part sets or as padded single sheets 6 x 4-1/4 Color-coded copies Blue ink
Stores Requisition

All Stores Requisitions can be requested and approved using Briggs Forms Available as a padded single sheet and 2- or 3-part sets 8-1/2 x 5-5/8 Color-coded copies
1435-S
Item #
Single
Description
$5.10
1435/2 1435/3
$33.10 $51.65
Item #
Description
784/2 784/3
Item #

Description
$51.65 $96.85
346-S
Single Sheet
$7.70


133
Central Supply
DOCUMENTATION
Daily Floor Census

Daily Census Report

The Summary For Day section recaps all totals for the categories included on the form Blue ink Printed 1 side
A complete summary is provided on lower half Blue ink Printed 1 side

3338
Daily Census Report
$9.95
64
Daily Floor Census
$9.95
Home Visit Verication Calendar
Patients Daily Census

Retrospectively verify that home visits were made and document each visit for a specic patient/client for up to 12 months Printed 2 sides 5-hole punched top or side
Allows for 37 patient entries Yellow paper Printed 1 side

3339 3545HH Home Visit Verication Calendar $12.80
11 x 8-1/2
$9.95
Out Card for End-Tab Filing System
Master Signature Log

Reference of nurse signatures to be put in residents chart Printed 1 side 5-hole punched top and side
Heavyweight manila cardstock Records the sign-out of les with name and date Printed identically on both sides in red ink Contains space for 84 entries
591
12-5/8 x 9
$63.30
3850P
Master Signature Log
$10.35
Daily Activity Log
Communication Forms

Record the daily activities of the home care eld staff to generate payroll, bill for visits and/or supplies and collect operational data 3-part set Color-coded copies Blue ink 5-hole punched top and side
Blank forms for interofce communication 8-1/2 x 5-1/2

901
Single Sheet
$8.25
3544/3P
Daily Activity Log
$39.20
Repli-Memos

3-part set Color-coded copies

Patient Filing Envelopes

12 x 9 Pre-printed for specifying pertinent patient information Form 2330 does not include the pre-printed information Made of heavy manila kraft paper
Item # Description Price Per Case (500/ca)
810
8-1/2 x 7
$50.70
Patient Cash Voucher

Verify cash withdrawals from a patients account 5 x 3

223 233 2330
Side Flap, Printed Top Flap, Printed Top Flap, Plain
$107.05 $107.05 $107.05
1284 906
Green Paper White Paper
$4.05 $4.05
Home Care Services Time Log
Track time of service for each patient. Includes space to note service interruptions. Allows easy calculation of actual service time
3555
Home Care Services Time Log
$10.45
134
Central Supply
DOCUMENTATION
Addendum to Plan of Treatment Medical Update

3-part set Color-coded copies 5-hole punched top and side

3487/3P
$40.00
Group Hospital Insurance

Clearly identies which section should be completed by the hospital and which by the policyholder 3-part set Color-coded copies
Item # Description Price Per Box (250/bx) 325-D
273/3
Group Hospital Insurance Form
$89.95
Certication and Plan of Treatment

Continuous Color-coded copies

906
Receipt Book

1485/4R
4-Part Set
$107.05

Maintain permanently bound, clean and organized copies of all receipts 4 per page, available in duplicates (200 receipts per book) or triplicates (160 receipts per book) 5 x 2-3/4 (receipts), 5-1/2 x 11 (book) Color-coded copies Perforated for easy removal
Item # Description Price Per Each`
4-part set Color-coded copies

325-D 325-T
Duplicate Triplicate
$19.35 $23.75
1487/4
$106.60
Home Health Certication and Plan of Care

4-part set Color-coded copies 5-hole punched top and side

Telephone Message Slips

3485R/4P
Home Health Certication and Plan of Care
$44.70
Record telephone messages Red ink

Item #
301301
Size
301
3-3/4 x 5-1/2
$5.10

135
Central Supply
DOCUMENTATION
Requisition and Charge Books

Blank departmental requisition/charge slips in a convenient comb-bound book 4 slips per page Each multi-part book includes carbon for inserting between multiple copies 5 x 2-3/4 Color-coded copies
324-D
Duplicates, 50 Pages
$19.65
Requisition and Charge Forms

7 x 4-1/4 2- or 3- part sets Color-coded copies

324-D
3041/2 3041/3
$47.70 $51.65
Repair Requisition

Provides ample space for describing the type of repair requested Available in 2- or 3-part sets and in padded single sheets 5-1/2 x 4-1/4 Yellow original, color-coded copies
433/2 433/3
Item #

Description
$51.65 $74.00
169
Single Sheets
$5.10
433/2
Charge Slip

Single sheets only Blue ink

172
5 x 3
$4.30
Requisition Slip

Blue paper
171-S
6 x 4
$5.10
136
Business Ofce/Billing & Coding
DOCUMENTATION
CMS 1500 Forms

Available in 1-, 2- and 3-part sets, continuous and laser styles Printed on white paper in scannable red ink, as mandated by CMS Sets contain a bar code and continuous styles are available with or without the bar code 2-part continuous forms are also available with part 2 printed on yellow paper
1240-S-R06
Item #
1-Part Set w/ Bar Code

Description
$11.20
1240/2-R06
Item #
2-Part Set
Description
$32.45
1240L-R06 3941-S-R06 3941/2-R06
Laser, 1 Sheet w/ Bar Code 1-Part Continuous Set 2-Part Continuous Set
$42.80 $34.80 $74.90
CMS UB-04 Forms

Available in 1-, 2- and 3-part sets, continuous and laser styles Printed on white paper in scannable red ink, as mandated by CMS
Item # Description Price Per Pack (250/pk) 1240L-R06
2203/2-R07
Item #
2-Part Set
Description
$31.65
SNF/URC Denial Letters Open Format
3926/4-R07
Item #
4-Part Continuous Set

Description
$66.30
3926-S-R07 3926/2-R07 3926/3-R07 3926L-R07
1-Part Continuous Set 2-Part ContinuousSet 3-Part Continuous Set 1-Part Laser Sheets
$18.40 $45.90 $91.80 $20.40
CMS 1500 Claim Filing Envelopes
Designed for those facilities whose Medicare intermediaries require that only information applicable to the specic situation appears on the denial notice Allows space for the appropriate denial reason to be handwritten or typed Applicable denial reasons are conveniently printed on the back of part 3 for easy reference and visibility while completing the form 8-1/2 x 14 (legal size) 3-part set Color-coded copies
No need to type envelopes or print mailing labels; window to reveal the mailing address
1492/3R 1494/3R
Determination on Admission Determination on Continued Stay
$22.65 $22.65
1500ENV
#10 Window Envelope
$53.00
SNF/URC Denial Check-Off Format Rehab Claim

For rehab claims that require the CMS 700 and CMS 701 3-part set Color-coded copies 5-hole punched top and side
Convenient check-off style formats to specify appropriate denial reasons 8-1/2 x 14 (legal size) 3-part set Color-coded copies
2700/3P 2701/3P
CMS 700 CMS 701
$40.00 $40.00

1497/3R 1499/3R
URC/SNF Determination on Admission URC/SNF Determination on Continued Stay
$22.65 $22.65
Planning Calendar
Keep track of monthly events Format is versatile enough to use for any month of the year, whether four or ve weeks White paper, black ink
750
11 x 8-1/2
$9.95
137
Environmental
DOCUMENTATION
Preadmission Room Inspection Checklist

Document room inspections before a resident is admitted Helps in the QA process and with preventative maintenance documentation Printed 1 side 5-hole side punched
CFS14-2
Preadmission Room Inspection Checklist
$10.65
Housekeeping Quality Assurance Checklist
Provides the facility with a log to document, per facility policy, the quality assurance process in the housekeeping department Printed 1 side 5-hole side punched
CFS14-4
Housekeeping Quality Assurance Checklist
$10.65
Laundry Quality Assurance Checklist

Provides the facility with a log to document the quality assurance process in the laundry department Printed 1 side 5-hole side punched
CFS14-2
Deep Cleaning Schedule

CFS14-3
Laundry Quality Assurance Checklist
$10.65
Assists the housekeeping department by organizing the workload to meet the facilitys budgeted housekeeping hours Quick-glance schedule allows for an easy rollover from month to month Printed 1 side 5-hole side punched
Deep Cleaning List

Provides the general elements for deep cleaning of individual rooms within the facility Printed 1 side 5-hole side punched

CFS14-7
Deep Cleaning Schedule
$10.65
Housekeeping Log
Allows the facility to easily track and log housekeeping duties that are done monthly or less often Easy format with lines available for the facility to add specics Printed 1 side 5-hole side punched
CFS14-5
Deep Cleaning List
$10.65
Routine Cleaning Schedule

Provides basic elements for routine housekeeping duties Printed 1 side 5-hole top punched
CFS14-8
Housekeeping Log
$10.65
CFS14-6
11 x 8-1/2
$10.65
Preventative Maintenance Log/ Resident Room

Assists the facility with preventative maintenance in a resident room Add to the facility preventative maintenance log Printed 1 side 5-hole side punched
CFS14-14
Resident Room PML
$10.65
138
Professional Resources
Assessments & Care Plans . . . . . . . Billing & Coding . . . . . . . . . . . . . . . Clinical References . . . . . . . . . . . . . Dementia/Behavior. . . . . . . . . . . . . Dictionaries & Desk References . . . Dietary . . . . . . . . . . . . . . . . . . . . . . . Falls . . . . . . . . . . . . . . . . . . . . . . . . . Infection Control . . . . . . . . . . . . . . . MDS . . . . . . . . . . . . . . . . . . . . . . . . . Operational Resources Home Care/Hospice . . . . . . . . . . . . Operational Resources Senior Care . . . . . . . . . . . . . . . . . . . Pain/Pallative Care . . . . . . . . . . . . . Patient Education . . . . . . . . . . . . . . Safety. . . . . . . . . . . . . . . . . . . . . . . . Staff Education . . . . . . . . . . . . . . . . Stafng . . . . . . . . . . . . . . . . . . . . . . Wound Care. . . . . . . . . . . . . . . . . . .
145 148 140 177 146 178 176 170 158 154 159 180 162 174 166 164 179
Clinical References
2013 Physicians Desk Reference

Physicians Desk Reference has been the authoritative source on prescription drugs for 67 years. Found in virtually every physicians ofce, pharmacy, clinic and library, no medical reference is more current, more recognized, or more respected. Now in its 67th edition, PDR contains full, FDA-approved drug label information, including warnings and precautions, drug interactions and hundreds of full-color pill images. Every label in PDR includes information on dosages, side effects and safety information, such as contraindications, pregnancy ratings and interactions with other drugs, food and alcohol. Data on clinical trials are also included.
PROFESSIONAL RESOURCES
8250-13
2013 Physicians Desk Reference
$97.95
Saunders Nursing Drug Handbook 2013

Saunders Nursing Drug Handbook includes nearly 900 generic name drugs (encompassing over 4,000 trade name drugs) and is an easy-to-use source of current drug information needed by the busy nurse. It includes comprehensive coverage of IV drug administration and also guides the user through clinical priorities in the practice setting to promote better patient care. Organized alphabetically by generic drug name, the books main objective is to provide essential information for thousands of medications in a user-friendly format. 2013, Hardcover, Saunders
8165-13
Saunders Nursing Drug Handbook 2013
$42.95
Delmars 2013 Nurses Drug Handbook

For over 20 years nursing students have relied on the Delmars 2012 Nurses Drug Handbook for trustworthy and accurate drug information to care for their patients. Delmars 2013 Nurses Drug Handbook clearly describes the uses, side effects, contraindications, actions and dosages for more than 770 FDA-approved drugs. Each entry also provides important nursing implications and client teaching information for effective drug administration and improved patient communication. 2013, Softcover, Delmar
8142-13
Delmars 2013 Nurses Drug Handbook
$34.95
Mosbys Handbook of Herbs & Natural Supplements, 4th Edition

Access the most reliable information on herbs and alternative medicines in Mosbys Handbook of Herbs and Natural Supplements. Reviewed by nurses and herbalists alike, this authoritative resource presents herb and supplement proles in a convenient, A-Z format for fast reference. Includes the latest uses, actions, dosages, contraindications, side effects/adverse reactions, interactions, pharmacology, alerts and references. 2010, Softcover, Mosby
8226
Mosbys Handbook of Herbs & Natural Supplements, 4th Edition
$47.95
140
Clinical References
Lippincotts Nursing2013 Drug Handbook with Online Toolkit, 33rd Edition

Find any drug fact in 15 seconds or less including 30 new drugs and important nursing considerations for everyone. Lippincotts Nursing2013 Drug Handbook the 33rd edition of the best-selling, original drug handbook for nurses provides complete monographs for more than 900 generic and 3,000 trade drugs. The monographs are consistently formatted and focus on the practical information that nurses need. Each monograph consists of generic and trade names, pronunciation key, pregnancy risk category, pharmacologic class, controlled substance schedule (if applicable), available forms, indications and dosages, administration (with drug incompatibilities for I.V. drugs), action (including tables showing route, onset, peak, duration and half-life), adverse reactions, interactions, effects on lab test results, contraindications, nursing considerations and patient teaching. 2013, Softcover, Lippincott
8248-13
Lippincotts Nursing2013 Drug Handbook with Online Toolkit, 33rd Edition
$44.99
Mosbys 2013 Nursing Drug Reference, 26th Edition

With a new full-color interior and A-Z organization, Mosbys Nursing Drug Reference offers the latest, most comprehensive coverage of over 5,000 generic and trade-name drugs. Drug monographs cover over 16 areas, including: uses, side effects, interactions and pharmacokinetics. Key nursing considerations, information on safe drug administration and a wealth of helpful online learning resources are also incorporated to fully equip you for clinicals and professional practice. 2013, Softbound, Mosby
8115-13
Mosbys 2013 Nursing Drug Reference, 26th Edition
$42.95
2013 Intravenous Medications, 29th Edition

The 2013 Intravenous Medications, 29th Edition provides the information you need to safely administer more than 350 intravenous drugs. This new edition offers alphabetical organization, a detailed appendix of generic and trade names, pharmacologic actions, hundreds of new drug facts and entries for new IV dugs recently approved by the FDA. New to this edition:

Larger page size makes content easier to navigate

NEW!
Printed thumb tabs
2013, Spiral-bound, Mosby

8026-13
2013 Intravenous Medications, 29th Edition
$49.95
For complete details on these must have drug references, visit www.BriggsCorp.com!
141
Clinical References
NEW EDITION!
Clinical Nursing Skills & Techniques, 8th Edition
Written by the author team you trust, this market-leading text is known for its comprehensive coverage of over 200 nursing skills. This reference features:

Hundreds of full-color illustrations A nursing process framework Clear step-by-step instructions with rationales for each step
Improved readability makes guidelines easier to follow and coverage of many new skills keeps you completely current with nursing practice today. 2013, Softcover, Mosby
8001
Clinical Nursing Skills & Techniques, 8th Edition
$104.00
Includes over 200 basic, intermediate and advanced nursing skills!
Pocket Guide to Basic Skills & Procedures, 7th Edition

Mosbys Pocket Guide to Nursing Skills & Procedures, 7th Edition presents 83 key skills in an easy-to-use A-to-Z format. Step-by-step instructions include full-color photos plus rationales explaining why to use specic techniques. With the latest in evidencebased practice, this book helps you perform basic nursing skills safely and effectively. Key features:
Portable RN, 4th Edition

A compact powerhouse of clinical information, Portable RN, 4th Edition, is an all-in-one pocket guide to every aspect of day-to-day patient care. Coverage includes assessment techniques and ndings, ECG and lab test interpretation, preoperative and postoperative care, nursing procedures, contagious disease precautions, drug administration, wound care, end-of-life care, drug administration, wound care, end-of-life care pain management, documenting care and more. Key features include:
Full-color design and illustrations help you follow step-by-step directions more easily
NEW!
Unexpected outcomes and related interventions help you troubleshoot potential problems and take appropriate actions to address them Alphabetical organization of skills A convenient pocket size and spiral binding allow the book to stay open on the page you want
Addition of more disease information including VRE infection, MRSA infection and metabolic syndrome Current AHA CPR and obstructed airway guidelines Incorporation of the current Infusion Nurses Society standards of practice and Joint Commission guidelines
2010, Softbound, Lippincott

2011, Spiral Bound, Mosby

8527
Portable RN, 4th Edition
$50.99
8523
Pocket Guide to Basic Skills & Procedures, 7th Edition
$44.95
142
Clinical References
Lippincott Manual of Nursing Practice, 9th Edition

This full-color, clinically focused guide covers all disorders and patient problems in medical-surgical, maternal-neonatal, pediatric and psychiatric nursing and includes over 150 step-by-step procedures. Each chapter incorporates ofcial guidelines that shape clinical practice, including those from the National Institutes of Health, American Diabetes Association, American Heart Association, American Nurses Association, Joint Commission, AWHONN and others. A companion Website includes medication tips, a dosage calculator, videos and animations on medication administration and safety, drug-related NCLEX -style questions, FDA updates and new clinical studies. 2009 Hardcover, Lippincott
7920
Lippincott Manual of Nursing Practice, 9th Edition
$99.99
UPDATED Mosbys Diagnostic and Laboratory Test Reference,
11th Edition
This handbook features concise test entries, arranged alphabetically that reect the latest in research and diagnostic testing. Each test entry includes vital information such as alternate or abbreviated test names, type of test, normal and abnormal ndings, possible critical values, test explanation and related physiology, contraindications, potential complications, interfering factors and patient care before, during and after the test. To simplify lookup, related tests and studies are cross-referenced. A compact size, durable cover and A-to-Z thumb tabs make this book ideal for quick reference on the job. 2013, Softcover, Mosby
8114
Mosbys Diagnostic and Laboratory Test Reference, 11th Edition
$51.95
Nurses 3-Minute Clinical Reference

The Nurses 3-Minute Clinical Reference is organized into four sections: disorders, treatments, procedures and diagnostic studies with entries listed alphabetically within each section.
Merck Manual of Diagnosis & Therapy, 19th Edition

For its 19th Edition, the Merck Manual of Diagnosis and Therapy now features more than 850 additional pages, 15 new chapters, over 300 new tables and 56 new gures. Packed with essential information on diagnosing and treating medical disorders, this handy, compact guide was written by a team of clinicians for everyday use by medical professionals for delivery of the best care to their patients. 2011, Hardcover, Wiley
Part I covers more than 300 acute and chronic health problems, including the newest conditions such as metabolic syndrome Part II covers more than 50 treatments Part III covers more than 75 procedures Part IV features more than 130 diagnostic tests
8771
Merck Manual of Diagnosis & Therapy, 19th Edition
$79.95
2007, Hardcover, Springhouse

8529
Nurses 3-Minute Clinical Reference
$62.99
143
Clinical References
Plumers Principles & Practice of Intravenous Therapy, 8th Edition

This text offers clear, practical guidance for providing quality infusion care to patients in every setting. It provides information on state-of-the-art procedures, techniques and equipment and current Infusion Nurses Society standards of practice. Major sections cover assessment and monitoring, principles of equipment selection and clinical applications, patient-specic therapies and special applications. Procedures are described in step-by-step detail, with emphasis on patient and health care worker safety. Coverage includes patient education and home care management guidelines. 2006, Softcover, Lippincott
8528
Plumers Principles & Practice of Intravenous Therapy, 8th Edition
$60.99
UPDATED
Clinical Competency Validation Program (CCVP) on CD-ROM, 3rd Edition

The Clinical Competency Validation Program (CCVP) is ideal for any clinician seeking to validate his or her infusion nursing skills in both acute care and alternate settings of the health care continuum. It is an accurate tool for evaluating infusion-related skills and for performance improvement processes. These tools can be used by nursing education, staff development and infusion teams to validate competencies upon completion of a course or annual updates. This is not a self-directed continuing education course. The updated CCVP is separated into six sections: (Vascular Access Device Site Selection and Placement, Site Care and Maintenance, Vascular Access Device Removal, InfusionRelated Complications, Infusion-Related Procedures, Nonvascular Access) containing 37 specic nursing competencies. The individual forms can be copied and taken to the bedside for procedural skill validation. For this revised edition, INS permits the reproduction of all material in the CCVP CD-ROM as many times as necessary to meet the needs of the staff in your facility. 2012, CD-ROM, INS
I.V. Therapy Made Incredibly Easy, 4th Edition

This practical reference provides comprehensive information on I.V. therapy in a clear, concise manner. It reviews the basics of I.V. therapy such as purpose, delivery methods, ow rates, legal issues, profession standards and documentation; discusses the necessary components of peripheral and central venous therapy, including access sites, equipment, preparation, maintenance and discontinuation of therapy; and describes administration of I.V. medications, including special considerations for the pediatric, elderly and home care patient. Coverage includes transfusion therapy, chemotherapy and parenteral nutrition. This edition includes new geriatrics and pediatrics chapters, new information on home care throughout and updated Infusion Nurses Society standards. 2009, Softcover, Springhouse
8526
I.V. Therapy Made Incredibly Easy, 4th Edition
$47.99
Visit www.BriggsCorp.com for our offering of Venipunture and IV Start Kits!
8093
Clinical Competency Validation Program (CCVP) on CD-ROM, 3rd Edition
$215.00
Venipuncture and Injection Demonstration Arm

An economical IV demonstration arm constructed of soft material with lifelike veins in the skin surface that are visible and palpable. No internal tubing exists, but the skin can be punctured repeatedly. May be used in venipuncture practice when uid return is not essential and is suitable for allied IV demonstrations and practice (exion, cleaning, taping). NOTE: We recommend that no uids be injected into this arm. One-year warranty. Lifeform
8910
Venipuncture and Injection Demonstration Arm
$180.00
144
Assessments & Care Plans
REVISED
MDS 3.0 Care Plan Cookbook for Preferences and Activities, 6th Edition
The new 6th edition has been substantially revised to include:
Over 150 care plans designed as template pages ready to photocopy, individualize with preferences and needs and place directly into resident charts! Faster, easier care plan individualization! Care plans have all been re-organized, composed for check box selections with room for additional content and coded for the MDS 3.0 sections and relevant CAAs. The exhibits have been updated with Care Area Trigger and Care Area Assessment resources, CMS terminology, acronyms, abbreviations and diagnoses.
7059R
MDS 3.0 Care Plan Cookbook for Preferences and Activities, 6th Edition
$48.00
REVISED
MDS 3.0 Psychosocial Care Plan Almanac, 2nd Edition
Now includes care plan templates for faster, easier care plan individualization. Social service staff can use the Almanac to select the best care plan for a Resident, make a copy and personalize using check boxes and individualized entries. Care plans have been developed and organized specically for the MDS 3.0 and Care Area Assessment (CAA) coordination. Includes extensive exhibits with glossaries and CMS CATs and CAAs.
7670
MDS 3.0 Psychosocial Care Plan Almanac, 2nd Edition
$48.00
Home Health Nursing Assessment & Care Planning, 4th Edition

Organized by body system, this reference offers instant advice on assessment and care planning for the disorders home health nurses are likely to encounter. It includes full care plans for over 50 illnesses and conditions most commonly encountered in the home and each plan lists nursing diagnoses, short- and longterm expected outcomes, nursing interventions and client caregiver interventions. 2003, Softbound, Mosby
REVISED
Assessment Made Incredibly Easy, 5th Edition

This text provides the know-how nurses need to obtain pertinent health histories, perform physical examinations and recognize normal and abnormal ndings. Abundant full-color illustrations, charts, memory joggers and other special features help nurses master assessment techniques and remember key information. 2012, Softbound, Lippincott
8531
Home Health Nursing Assessment & Care Planning, 4th Edition
7512
$48.95
Assessment Made Incredibly Easy, 5th Edition
$47.99
Nursing Care Plans & Documentation, 5th Edition

This resource provides nurses with a comprehensive guide to creating care plans and effectively documenting care. It presents the most likely diagnosis with step-by-step guidance on nursing action and rationales for interventions. It also includes over 70 care plans that translate theory into clinical practice. 2008, Softbound, Lippincott
3-Minute Assessment, 2nd Edition

This timesaving guide provides nurses with streamlined steps for rapidly assessing complaints that involve any area of the body. Designed for on-the-spot reference, the book helps the nurse zero in on the patients signs and symptoms, conduct a focused interview, examine the related body system and analyze the ndings. 2006, Spiral-bound, Lippincott
8987
Nursing Care Plans & Documentation, 5th Edition
8530 $67.99
3-Minute Assessment, 2nd Edition
$41.99
145
Dictionaries & Desk References
NEW EDITION!
Tabers Cyclopedic Medical Dictionary, 22nd Edition
The Tabers Cyclopedic Medical Dictionary is todays most comprehensive health science dictionary. In this new 22nd edition you will nd:
Over 8,000 brand new entries, over 65,000 in all Over 500 new, full-color illustrations, over 1,200 in all Over 1,500 new audio pronunciations, nearly 32,000 in all
2013, Thumb-Indexed, Hardcover

8675
Tabers Cyclopedic Medical Dictionary, 22nd Edition
$42.95
NEW EDITION!
Mosbys Dictionary of Medicine, Nursing & Health Professions, 9th Edition
Features over 56,000 authoritative denitions, 45 appendixes, a color atlas of the human body, online resources and more than 2,450 full-color illustrations. New to the 9th Edition:
Over 300 new and updated illustrations visually clarify key denitions and reect current health care practice and equipment Approximately 11,000 new and revised denitions reect the latest developments in health care, drugs and nursing terminology
2013, Hardcover, Mosby

7504
Mosbys Dictionary of Medicine, Nursing & Health Professions, 9th Edition
$42.95
NEW EDITION!
Mosbys Pocket Dictionary of Medicine, Nursing & Health Professions, 7th Edition
This updated reference provides condensed denitions to incorporate only the most essential information. Mosbys Pocket Dictionary includes all of the information you need, including content on diseases, procedures, equipment, drugs and so much more. Screened thumb tabs make it easy to locate denitions quickly and a list of common medical abbreviations printed in the front and back covers make this a perfect reference for clinical practice. 2013, Softcover, Mosby
7889
Mosbys Pocket Dictionary of Medicine, Nursing & Health Professions, 7th Edition
$39.95
Dorlands Illustrated Medical Dictionary, 32nd Edition

Thoroughly updated, this user-friendly reference allows you to grasp the meanings of all medical terms in current usage. Understand and correctly use all the latest terminology in todays ever-evolving medical eld with the 32nd Edition of the comprehensive, highly respected Dorlands Illustrated Medical Dictionary! Key Features:
NEW! Includes 500 new illustrations and more than 5,500 new entries drawn from current sources
Features more than 120,000 well-dened entries and 1500 clear illustrations
2011, Hardcover, Saunders

8546
Dorlands Illustrated Medical Dictionary, 32nd Edition
$52.95
146
Dictionaries & Desk References
2013 Coders Dictionary

Unlike other medical dictionaries, the Coders Dictionary helps you understand medical terminology from a coders perspective. This unique dictionary was developed to meet the specic needs of medical coders, admitting clerks, billers and adjudicators.
NEW! for 2013 Edition More than 1,200 new terms added for ICD-10. The ICD-10 icon marks key new ICD-10 terms, such as root operations and body part keys
In total, includes more than 9,500 alphabetic entries and 250 illustrations for terminology key to code selection so you can nd denitions for medical nomenclature, eponyms, new technology and acronyms
8197-13
2013 Coders Dictionary
$99.95
Health Insurance Directory 2013

This directory features a comprehensive introduction to health insurance, medical claims processing, detailed instructions for completion of all health insurance claim forms, an alphabetical listing of over 2,000 health insurers and regulatory agencies with the addresses, telephone numbers and FAX numbers, website URLs, plus special pages to add your own listings for local carriers, unions and employer plans.... everything you need for health insurance claim submission and follow-up.
2013 Insurance Directory

Many insurance companies have changed their addresses, phone or fax numbers, or websites in the past year. Ingenix veries the accuracy of the Insurance Directory by calling each insurance company listed to provide you with the information you need to process claims with condence.
Item #
Description
Price Per Each
8073-13
2013 Insurance Directory
$79.95
8858-13
Health Insurance Directory 2013
$69.95
Quick Reference Guides

Charts Provide Key Information When and Where You Need It!

Laminated for long wear and to resist spills Bold headings and color-coded boxes allow you to locate information quickly Detailed illustrations are clearly and concisely labeled
Item # Description Size Pages Price Per Each
8511 8602
8511 8602 8513 8510 8608 8542
Medical Abbreviations Spanish Vocabulary Wound Care Anatomy Anatomy Pocket Bedside Pain Manager (see page 180)
8-1/2 x 11 8-1/2 x 11 8-1/2 x 11 8-1/2 x 11 4 x 6 8-1/2 x 11
6 4 4 6 4 10
$5.95 $5.95 $5.95 $5.95 $4.95 $14.00
8513 8608
Visit www.BriggsCorp.com for complete product details!
147
Billing & Coding
2013 ICD-9-CM Expert for Home Health and Hospices, Volumes 1, 2 & 3
Stay in HIPAA compliance and turn to the most comprehensive resource that addresses the specic challenges of diagnosis coding for the Home Health Agency the ICD-9-CM Expert for Home Health. Now featuring an ofcial list of draft ICD-10-CM codes for HHAs released by the Centers for Medicare and Medicaid Services (CMS). Key Features: Color-coding for hospice non-cancer diagnosis codes AHAs Coding Clinic and ofcial coding guideline tips Unspecied and Other code alerts Color-coding and symbols specic to the home health PPS V-code symbols Medicare Home Health Manual Chapter 7 And much more!
Item #
Description
Price Per Each
8280HH-13
2013 ICD-9-CM Expert for Home Health and Hospices, Volumes 1, 2 & 3
$159.95
Visit www.BriggsCorp.com for complete offering of 2013 Billing and Coding resources.
2013 Complete Home Health ICD-9-CM Diagnosis Coding Manual

Created specically for home health coders this edition includes updated guidelines, codes, coding conventions, illustrations, tips and scenarios that explain how to code correctly and efciently. It offers a wide range of features to help ensure accurate coding and compliance, prevent denials and help your agency secure every reimbursement dollar earned. New and unique features include: NEW! Scenarios added in the V code chapter NEW! ICD-10 disease-specic crosswalks NEW! Color-coded Table of Drugs and Chemicals and E code Index More than 200 home health coding scenarios 1,200 tips specic to home health help you code correctly to stay in compliance and gain accurate reimbursement This manual gives you all 17,000+ ICD-9 codes including any FY2013 code changes with the standard brackets, italics and other coding conventions you expect.
8851-13
2013 Complete Home Health ICD-9-CM Diagnosis Coding Manual
$199.00
2013 ICD-9-CM Home Health & Hospice Edition, Volumes 1, 2 & 3

Features more Home Health specic features and benets than any other ICD-9-CM coding manual in a compact, space-saving, thumb-indexed and color-coded book, with a comprehensive diagnosis coding tutorial and full-color anatomical charts, plus: 1100+ coding alerts, 500+ denitions, Supply Code booster alerts, OASIS C instructions, non-cancer hospice alerts and much more. Color-coding and symbols include: Case-mix manifestation alert OASIS-C Diagnosis selection and assignment Primary Diagnosis Alert (V-code)
Item # Description
Appendices and supplements include: Case-mix Adjustment Variables and Scores Complete OASIS-C Set Home Health Agency Prospective Payment System
Price Per Each
8850-13 8850CD-13
2013 ICD-9-CM Home Health & Hospice Edition, Volumes 1, 2 & 3 eBook
$94.95 $69.95
148
Billing & Coding
BEST SELLER 2013 ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices, Volumes 1, 2 & 3
This comprehensive resource is designed specically to address the challenges of SNF, IRF and hospice services. Loaded with innovative features and content to address regulatory changes and challenges, this resource incorporates critical coding and reimbursement edit alerts designed specically for these types of facilities for increased coding precision and efciency. Exclusive Skilled Nursing Facility features:
Code of Federal Regulations 42CFR Parts; Resource Utilization Groups (RUGs). Strengthen reporting and reimbursement by understanding patient classication groups of the new skilled nursing facility (SNF) prospective payment system (PPS). Color-coding for RUG classication. Know the ICD-9-CM diagnosis and procedure codes that may qualify an SNF patient for assignment to a particular clinical category for accurate claim submission under the new reimbursement system. Ofcial coding guidelines specic to Long-Term Care facilities. Ensure compliance with detailed coding guidance.
Exclusive Hospice Services features:
Guidelines for Medicare non-cancer hospice coverage. Understand criteria for a non-cancer patient to be eligible for hospice care to reduce delays and denials of claim submissions. Color-coding for hospice non-cancer diagnosis codes. Know at a glance which diagnosis codes qualify a non-cancer patient for hospice care. Color-coding for CMG classication system. Ensure accurate claim submission by knowing the ICD-9-CM diagnosis that may qualify an IRF patient for assignment to a particular impairment group (RIC) under the reimbursement system. Symbol alerts for CC conditions. Identify when to report a CC when the condition will impact CMG payment. RIC exclusion alert. Know when certain comorbidity and complication diagnoses are excluded as qualifying secondary conditions for specic RICs.
Item # Description
Exclusive Inpatient Rehabilitation Facilities features:
Excerpts from the IRF Prospective Payment System Final Rule. Enhance revenue forecasting by understanding the prospective payment system and how it will affect overall reimbursement of home health services. Rehabilitation impairment group list. Get a quick reference to all RICs and the diagnosis code grouped to each. List of RIC comorbid conditions. Use as a quick reference for all diagnosis codes that qualify for payment adjustments along with any specic RIC exclusions.
Price Per Each
8280-13
2013 ICD-9-CM Expert for Skilled Nursing Facilities, Inpatient Rehabilitation Facilities and Hospices, Volumes 1, 2 & 3
$159.95
2013 ICD-9-CM and MDS/RUGs Manual for SNFs

This ICD-9-CM coding resource, specically dedicated to the unique needs of SNF providers, not only arms users with the ofcial codes and their descriptions, it sifts usage guidelines, warns of coding errors common to specic codes and makes use of key icons to ensure RUG assignment so full reimbursement can be achieved. Features include:
NEW! A guide to MDS billing & compliance including April 2012 changes. Train staff to understand and work with MDS 3.0, RUGs.
Icons for RUG IV assignment that indicate special care high diagnoses, special care low diagnoses and clinically complex diagnoses categories. More than 100 skilled nursing facility coding/MDS scenarios Special sections on how to bill for hospice services And more!
Visit www.BriggsCorp.com for complete offering of 2013 Billing and Coding resources.
8860-13
2013 ICD-9-CM and MDS/RUGs Manual for SNFs
$199.00
149
Billing & Coding
8961-13 8962-13
8963-13
8240-13 8966-13
8239-13
2013 ICD-9-CM Code Books for Physicians, Volumes 1 & 2

ICD-9-CM for Physicians provides accurate and comprehensive coverage for diagnosis coding and reimbursement. It is loaded with content to address regulatory changes and coding challenges and innovative features including color-coding symbols and alerts, age and sex edits and more!
2013 ICD-9-CM Code Books for Hospitals & Payers, Volumes 1, 2 & 3
Enhance your performance with ICD-9-CM for Hospitals and Payers. This resource provides accurate and up-to-date information in an easy-to-use, intuitive format, with key features including Hospital-acquired condition (HAC) alerts and Additional digit required symbols.
8961-13 8962-13 8963-13
Professional Standard, Compact Expert, Spiral
$86.95 $74.95 $99.95
8240-13 8966-13 8239-13
Professional Standard, Compact Expert, Spiral
$94.95 $84.95 $103.95
8244-13
8244S-13
8244CD-13
8857-13
8857S-13
8857CD-13
2013 ICD-9-CM Coders Choice Ofce Edition, Volume 1 & 2

The Coders Choice Ofce Edition of ICD-9-CM is loaded with great features to help you code faster and easier! It includes all ofcial ICD-9-CM Volume 1 & 2 diagnosis codes.
2013 ICD-9-CM Hospital/Payer Edition, Volumes 1, 2 & 3

The ICD-9-CM 2013 Hospital/Payer Edition is designed especially for hospital coders, hospital billers and insurance claim examiners. It includes ICD-9-CM Volumes 1 & 2 diagnosis codes and Volume 3 procedure codes.
8244-13 8244S-13 8244CD-13
Thumb-Indexed, Compact Spiral Bound eBook on CD
$84.95 $84.95 $62.95
8857-13 8857S-13 8857CD-13
Thumb-Indexed, Compact Spiral Bound eBook on CD
$94.95 $94.95 $69.95
2013 Coders Desk Reference for ICD-9-CM Procedures

With this comprehensive resource on all the ICD-9-CM procedure codes, you can improve coding condence by gaining a better understanding of the technical terminology and intricacies of procedures, along with essential coding tips, before selecting a code.
2013 ICD-9-CM Fast Finder

Each specialty 2013 ICD-9-CM Fast Finder is a double-sided, laminated sheet containing more than 300 of the top reported ICD-9-CM diagnosis codes. With shortened descriptions and coding instructional notes, these are convenient and reliable coding tools providing complete and valid codes at your nger tips. 33 Specialty titles available, visit www.Briggscorp.com for complete details.
8980-13
2013 Coders Desk Reference for ICD-9-CM Procedures
$139.95
150
Billing & Coding
Prepare for the Future of Coding! Proper Planning and Training Now Means BIG SAVINGS Down the Road!
2013 ICD-10-CM: The Complete Ofcial Draft Code Set

2013 ICD-10-CM: The Complete Ofcial Draft Code Set makes facing the challenge of learning a new code set easier with the latest and most comprehensive update to the code set. Available in softbound book or on CD.
Item # Description Price Per Each Item #
2013 ICD-10-PCS: The Complete Ofcial Draft Code Set

The 2013 ICD-10-PCS: The Complete Ofcial Draft Code Set Now features the Medicare Code Edits (MCE) for inpatient prospective payment system (IPPS). Available in softbound book or on CD.
Description Price Per Each
8221-13 8221CD-13
2013 ICD-10-CM: The Complete Ofcial Draft Code Set eBook on CD
8255-13 $99.95 $119.95 8255CD-13
2013 ICD-10-PCS: The Complete Ofcial Draft Code Set eBook on CD
$104.95 $119.95
ICD-10-CM and PCS Coding Readiness Assessment

Measure your staffs readiness for the transition to ICD-10. This set of tests and exam preparation guidance is designed to accurately report how well coders can perform with ICD-10-CM and ICD-10-PCS.
Item # Description Price Per Each Item #
ICD-10-PCS Quick Reference Cards

The move to the ICD-10 coding system includes the use of a very complex procedural coding system (PCS) by hospitals for claims submitted to Medicare and other payersthe ICD-10-PCS Quick Reference Cards are coding assistance at your nger tips.
8800-13
$79.95
8258-13
$39.95
ICD-10-CM CodingPro Cards (Home Health)

You wont nd a more engaging way to learn the most important aspects of the new ICD-10 code set. Weve taken the most relevant ICD-10 codes in home health and turned them into playing cards you and your colleagues can use to play games that will be familiar to coding professionals of all ages. And weve crafted the rules of these games so that not only are they fun, they will maximize your understanding and retention of the new ICD-10-CM codes as you and your coding colleagues play them. Set Includes: 5 full decks of 52 cards each, 25 scenario cards, 26 masking cards and 18 convention cards.
Item # Description Price Per Set
Complete Home Health ICD-10-CM Diagnosis Coding Manual, Preliminary Edition

With the ICD-10 transition expected to cost agencies thousands in training costs, lost productivity, and rejected claims, its imperative that you begin to map out an efcient transition. Dont waste your time learning about ICD-10 from a generic book thats cluttered with information for physician practices, hospitals and healthcare businesses of all stripes. Get your ICD-10 transition off to a strong, targeted start with the one ICD-10 draft book thats specic to home health coders!
8861-13
8862-13
ICD-10-CM CodingPro Cards
$199.00
Complete Home Health ICD-10-CM Diagnosis Coding Manual, Preliminary Edition
$209.00
For complete offering of our ICD-10 resources, visit www.BriggsCorp.com!

151
Billing & Coding
2013 Current Procedural Coding Expert

Equipped with the entire CPT code set, these easy-to-navigate resources arrange codes in a design known to speed coding, billing and the reimbursement process. Youll also nd clarication on the annual code changes, plus reimbursement information and mid-year changes not found in the American Medical Associations (AMA) CPT code books.

CPT 2013 Edition
Correctly interpreting and reporting medical procedures and services begins with CPT 2013 Edition. Straight from the American Medical Association (AMA), this is the only CPT codebook with the ofcial CPT coding rules and guidelines developed by the CPT Editorial Panel.

Item #
Description
Price Per Each
8240-13 8969-13
Standard Edition, Softbound Professional Edition, Spiral
$94.95 $109.95
Item #
Description
Price Per Each
8970-13 8219-13
Compact/Softbound Spiral
$89.95 $99.95
CPT Changes 2013: An Insiders View
2013 Coders Desk Reference for HCPCS Level II

Coders at all experience levels will have questions when 2013 HCPCS code changes go into effectand this is the book to keep at your side to nd the answers you need. You can improve coding condence and reduce coding errors and by referencing more than 2,000 HCPCS code lay descriptions, answers to frequently-asked questions and other helpful guidance before assigning a code.
Receive expert guidance on each change to the 2013 CPT code set direct from the American Medical Association (AMA). This reference serves as a tool to understanding each of the CPT code changes found in the CPT 2013 codebook. Organized in the same manner as the CPT codebook, it provides the ofcial AMA rationales for every new, revised and deleted CPT code and guideline.

Item #
Description
Price Per Each
8220-13
CPT Changes 2013: An Insiders View
$75.95
8955-13
2013 Coders Desk Reference for HCPCS Level II
$139.95
2013 HCPCS Fast Finder
2013 HCPCS Level II

Accurately report supplies and services for physician, hospital outpatient and ASC settings with HCPCS Level II resources. These comprehensive references for the HCPCS code set that focus on the management of reimbursement.
HCPCS Fast Finder sheets are double-sided, laminated cheat sheets to speed coding for oftenused supply codes. Each Fast Finder contains more than 300 HCPCS Level II codes with shortened descriptions based on actual frequencies for that specialty.
8247-13 8967-13 8965-13 8968
Professional Expert, Compact Expert, Spiral Expert, Updatable
$79.95 $92.95 $99.95 $154.95
8273-13 8274-13 8575-13 8275-13 8276-13 8277-13 8278-13 8279-13
NEW! Chemotherapy Drugs
Drug Codes (J Codes) Home Health Modiers Orthotics Physician Ofce Supplies Prosthetics Vision and Hearing
$24.95 $24.95 $24.95 $24.95 $24.95 $24.95 $24.95 $24.95
= Updateable, Drop Ship Item (exempt from the Briggs Healthcare freight free policy). Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com
152
Billing & Coding
Audits NEW! Regulatory Desk Reference

This new reference helps you successfully respond to regulatory auditors automated and complex claim reviews. Youll get expert coding and documentation guidance and learn documentation requirements for targeted inpatient medical necessity reviews. Ensure successful appeals for overpayment determinations with this resource.
Medicare Desk Reference for Hospitals U

Developed to simplify your day-to-day operations, the Medicare Desk Reference for Hospitals answers the most frequent and vital questions about the Medicare program and its impact on your revenue cycle. This all-in-one reference provides hospitals and hospital systems with quick access to information that will improve management of Medicare coverage, billing and payment policies for Medicare Part A and Part B services. Available in updatable manual or eBook.
U
8266-13
Regulatory Audits Desk Reference
$199.95
8287 8287CD
Medicare Desk Reference for Hospitals eBook on CD U
$299.95 $289.95
Complete Guide to Medicare Coverage Issues U

Easy-to-use and well-organized, the Complete Guide to Medicare Coverage Issues makes it easy for facilities and physicians to determine the coverage status of a service under national Medicare guidelines and to improve management of denials. This resource follows a simple layout to guide you through the extensive changes Medicare has made to its coverage manual and process for communicating coverage issues. Available in updatable manual or eBook.
Medicare Correct Coding Guide U

Up-to-date and easy to use, Medicare Correct Coding Guide is a comprehensive manual of Medicare rules, payment restrictions and claim submission edits providing medical practices with correct coding policies, CCI edits and the Medicare physician fee scheduleall-in-one resource. Available in updatable manual or eBook.
U
7199 7199CD
Complete Guide to Medicare Coverage Issues U eBook on CD U
$299.95 $299.95
8283 8283CD
Medicare Correct Coding Guide eBook on CD U
$259.95 $239.95
HIPAA Tool Kit
Uniform Billing Editor
Designed to educate providers on HIPAA rules and regulations, HIPAA Tool Kit is an ideal resource for performing ongoing compliance assessments or creating a new compliance program. With readymade templates and checklists covering hot spots of HIPAA, providers receive alerts to changes in rules and regulations as they happen and can audit their operations for compliance. Available in manual or eBook.
D
Facilities can use this reference tool daily to manage the constant changes to Medicare billing and reimbursement process. The Uniform Billing Editor provides detailed, accurate and timely information about Medicare and UB-04 billing rules and prepares the user for UB-04 and 837i requirements that will have to be met in the future. Now includes 5010 information. Available in updatable manual or eBook.
U
8372 8372CD
HIPAA Tool Kit eBook on CD D
$259.95 $259.95
7898 7898CD
Uniform Billing Editor eBook on CD U
$319.95 $319.95
For more Billing and Coding Resources, visit www.BriggsCorp.com! Additional resources include: Desk References, Coding Companions, Cross Coders, DRG References and much more!
= Updateable, Drop Ship Item (exempt from the Briggs Healthcare freight free policy).
D
= Drop Ship Item (exempt from the Briggs Healthcare freight free policy).
153
Operational Resources Home Care/Hospice
OASIS-C Guidance Manual: A Clinicians Pocket Guide

PROFESSIONAL RESOURCES A Must-Have OASIS Tool for every clinician!
CMS provides guidance for completion of each MO element on the OASIS Assessment. Briggs Healthcare recognizes the importance of getting that information in the hands of every staff member as they complete the OASIS. Providing each of your clinicians with a copy of our compact, spiral-bound book is one of the most cost-effective and easy things you can do to increase OASIS assessment accuracy.
Sections in this book include: Chapter 3 OASIS Item Guidance: Item specic guidance for each OASIS item including the item intent, time points completed, response specic instructions and data sources/resources Chapter 4 Illustrative clinical record form pages with OASIS-C item integrated Chapter 5 Resources/Links The compact size and information make this a necessary reference tool for each of your clinicians in the eld.
Home Care Admission Packet
The information new home care clients and their families need in a single place Admission Folder: Provides staff contact information, statement of condentiality and a place to store information Customize folder with your agency logo and/or information (Briggs custom label H1908L)
7739
OASIS Guidance Manual
$12.30
Guide to Health at Home Booklet: Using large fonts and simplied language, contains necessary and regulatory information regarding patient education, Medicare requirements and topics such as patient rights, condentiality, safety, infection control and emergency preparedness 3400B Booklet is also available separately
NEW! Ending
Hospital Readmissions: A Blueprint for Homecare Providers
This book delivers practical stragegies your agency can employ to combat unplanned readmissions. Using resource, you will also discover how to form partnerships with other providers across the continuum of care that will help sustain your business for years to come. The information in this book will help you develop a plan to:

Forms: in order of use, includes Admission Service Agreement, Medicare Secondary Payer Worksheet Patient Privacy Statement Do Not Resuscitate Request Medication Prole, Medication Prole Addendum, Medication Side Effects, HHA Care Plan 25 per case
Item # Description Price Per Case
3400 3400B
$189.40 $56.85
Improve your agencys quality outcomes Reduce the cost and frequency of unplanned rehospitalizations Increase staff and patient satisfaction Improve your referral base and maintain a competitive advantage
Visit www.BriggsCorp.Com for complete product details on Ending Hospital Readmissions
Reviewed for accuracy: 2011-05-20, Beacon Health

4509
Ending Hospital Readmissions
$129.00
154
Homecare Agency Reference Set, 2012 Edition

Includes the Beacon Guide to Medicare Service Delivery: 2012 Edition and The Home Health Conditions of Participation and Interpretive Guidelines. Both are indexed to help you nd exactly what you need, including guidance on the face-to-face physician encounter requirement and the 2011 changes to therapy assessment and documentation requirements, Medicare coverage criteria, OASIS-C, PPS, consolidated billing, Conditions of Participation, HHABN and documentation of Medicare skilled services. Reviewed for accuracy: 2012-01-12, Beacon Health
8540
Homecare Agency Reference Set, 2012 Edition
$199.00
Medicare Hospice Management, 3rd Edition

This comprehensive manual has been completely updated to include new payment rates, face-to-face physician encounter requirements, QAPI and an in-depth look at service delivery. A core resource for every Medicare-certied hospice provider, each chapter integrates Medicares regulatory requirements, clearly explaining the issues and requirements for compliance and payment. The manual contains valuable information on the daily operations of a hospice program. Hospice administrators, case managers, clinical directors and homecare agencies that provide hospice services will nd this to be an essential guide, reference and tool for applying the theories and practices of hospice care. Chapters include: History of Hospice Administration and Services The Medicare Hospice Benet The Care Delivery Process Contracted Facilities

Ethics in Hospice and Access to Care Data Collection and Quality Improvement Quality Assessment and Performance Improvement Billing
Reviewed for accuracy: 2011-01-07, Beacon Health

8596
Medicare Hospice Management, 3rd Edition
$169.00
Visit www.BriggsCorp.Com for complete product information on all featured Home Care resources!
REVISED
Handbook of Home Health Standards & Documentation Guidelines for Reimbursement, Revised 5th Edition
This handbook includes everything the home care nurse needs to provide quality care and effectively document care based on accepted professional standards. The revised reprint of the fth edition of this little red book has been updated to include:
The most current OASIS C Assessment and Consideration codes and data elements to ensure complete, accurate and timely completion of documentation for effective reimbursement Up-to-date forms and templates that illustrate accurate completion of the Point of Care (POC) and Outcome and Assessment Information Set (OASIS-C) Updated terminology, denitions and references that reect the current terminology and denitions and most recent resources useful to clinicians and managers in home care
2012, Spiral Bound, Mosby

7516
Handbook of Home Health Standards & Documentation Guidelines for Reimbursement, Revised 5th Edition
$52.95
155
Why Start from Scratch When You Can Turn to Briggs Healthcare?
Standardize operations for efciency and compliance with best practice resources from Briggs Healthcare.
Home Care Operational Policy Kit

Briggs Home Care and Hospice Start-up Kits will get you started on the right track to building a successful agency. Your basic kit includes these essential resources:
Clinical Procedures and Competencies Manual includes home care specic procedures and clinical competencies. (See page 157 for complete details.) Operational Policies Manual includes all required policies and procedures as well as policies that provide supportive documentation and direction for agency staff. (See page 157 for complete details.) Personnel Policies Manual goes beyond regulatory policies and job descriptions to provide practical guidance in hiring, orienting, training and more. (See page 164 for complete details.) Agency Reference Set Includes the Beacon Guide to Medicare Service Delivery: 2012 Edition and The Home Health Conditions of Participation and Interpretive Guidelines. (See page 155 for complete details.) Home Care Documentation System is a complete documentation system, taking your patients from admission to discharge. (See pages 14-15 for complete details.)
8169
Home Care Operational Policy Kit
$1,574.90
Hospice Operational Policy Kit

Your Hospice Operational Policy Kit includes these essential resources:
Home Care Operational Policy and OASIS Documentation Kit

Includes all of the essential resources found in the Home Care Operational Policy Kit (above) plus the following OASIS tools:
Patient Tracking Sheet including Oasis Demographics (100 forms) Comprehensive Adult Nursing Assessment including OASIS SOC/ROC Elements with Plan of Care Information (100 forms) Comprehensive Adult Nursing Assessment including OASIS Recertication/Follow-Up Elements with Plan of Care Information (100 forms) Comprehensive Adult Assessment including OASIS Discharge Elements (100 forms) Care Summary including OASIS Transfer/Death Elements (100 forms) OASIS in Detail (1 each). (See page 154 for complete details.)
Personnel Policies This manual goes beyond regulatory policies and job descriptions to provide practical guidance needed by staff involved in hiring, orienting, training and evaluating staff competencies and performance. (See page 164 for complete details.) Clinical Procedures & Competency Manual This manual is divided into two sections: Organizational Policies and Patient Service Policies. (See page 157 for complete details.) Hospice Documentation System This manual is a complete documentation system, taking your patients from admission to bereavement. (See pages 16-17 for complete details.)
8175
Hospice Operational Policy Kit
$1,110.00
8170
Home Care Operational Policy and OASIS Documentation Kit
Order Online! www.BriggsCorp.com

$1,785.00
156
Operational Guidelines for Home Care

Agency staff can spend endless hours on the critical task of ensuring that policies and procedures are reviewed and updated every time a regulation is released. Mefford, Knutson Associates and Briggs Healthcare offer a cost-effective solution for agencies trying to nd the perfect balance between the allocation of staff time to deliver great patient care and keeping operation aspects in compliance.
This manual is a single, comprehensive resource for Medicare and CDC requirements, as well as newly added ACHC and CHAP along with OSHA and revised JCAHO standards. Policies and procedures that provide supportive documentation and direction for agency staff are also included. Sections Include: Administration, Governing, Client Care and Personnel.
Features designed for easy implementation and to assist you in keeping your manual current.

Each policy is referenced to the relevant Medicare Condition of Participation G-tags and Joint Commission standards. You can indicate the date policies are added or changed in the crosswalk revision date column. Avoid confusion over terminology by referencing key terms in the glossary. Use of policy number instead of page number for ease of updating and customizing. An individual policy can be easily removed or updated without impacting any other pages in the manual. CD-ROM for customization of policies With a clear, consistent format of each policy, your agency can use these policies as a system for assuring uniformity of practice. Manual is reviewed and revised as needed to retain regulatory compliance
7418D
Operational Guidelines for Home Care
$504.90
Customize your manuals to meet the specic needs of your agency and state requirements! Each manual includes a FREE CD-ROM!
Clinical Procedures for Home Care and Hospice

This Clinical Procedure manual includes enhanced procedures as well as clinical competencies. Highlights over 160 procedures written specically for the Home Health and Hospice setting. As applicable, each section includes: purpose, procedure, documentation guidelines, related procedures, pediatric considerations and more. Content includes:

Wound care, infusion and medication administration General pediatric procedures PPS consideration, documentation and teaching aspects incorporated into procedures as appropriate CD-ROM for customization of policies Manual is reviewed and revised as needed to retain regulatory compliance
Also includes over 50 clinical competencies, templates and guidelines that offer a format for education and training.
7419D
Clinical Procedures for Home Care and Hospice
$402.90
157
MDS
MDS 3.0 Users Manual

Updateable Item-by-item instructions for completion of MDS Each manual is sized to t in a users lap Includes a CD and features red and white tabs for each section Briggs Healthcares on-staff clinicians monitor regulations to help you stay up-to-date Updates show the changes highlighted in red so they are easily identiable Flexible package options are available, including FutureSafe with auto-renewal updates every year
1862 1865 1862RNW

Item #
PremiumPlusOne Package PremiumPlusThree Package MDS 3.0 Yearly Renewal Package

$96.85 $193.75 $50.95

Ea Addl Yr
1862A
FutureSafe Package
$96.85
$50.95
Survey Guide for Long-Term Care

Updatable Updates show the changes highlighted in red so they are easily identiable Flexible package options are available, including FutureSafe with auto-renewal updates every year Electronic le on CD for portability and to quickly search content Updates sent out as they occur Complete replacement for existing survey guide
1766 1767 1766RNW

Item #
PremiumPlusOne Package PlusThree Package Survey Guide Yearly Renewal Package

$96.85 $193.75 $50.95

Ea Addl Yr
1766A
FutureSafe Package
$96.85
$50.95
ARD Finder

Handheld Position calendar wheel to the date of admission for a simple and accurate method to determine PPS and OBRA timelines
1898R
ARD Finder
$15.25
158
Operational Resources Senior Care
Resources for and Efcient, Compliant and Protable Facility

Long-Term Care Core Series Buy the Set and SAVE OVER $250!
REVISED
Long-Term Care Core Series Kit
Maximize your savings by taking advantage of special pricing when you purchase the Briggs Long-Term Care Core Series of manuals for set up and facilitation of your Long-Term Care Facility. The Long-Term Care Core Series consist of the following four manuals:

Operational Guidelines Comprehensive Documentation System Resident Care Procedures Personnel Guidelines
6900
Long-Term Care Core Series Kit
$615.00
Effective Risk Management for Assisted Living

This fully integrated system reects the most current practices and trends in the industry and provides a systematic approach to improved risk management, operational efciencies and quality of care.
Assisted Living Comprehensive Documentation System

This easy-to-implement documentation system includes instructions on forms for risk litigation managements, lifestyle preferences and choices, medication and treatment records, move-in documents and more. Includes crosswalk between Briggs Documentation and CARF Assisted Living Standards.
Item #
Description
Price Per Each
7220R
Assisted Living Comprehensive Documentation System
$149.50
REVISED
Operational Guidelines for Assisted Living
Streamline efciencies and create an environment that encourages successful aging. Includes free eBook which allows you to easily customize information to the needs of your program and state requirements.
7481
$254.00
159
REVISED
Long-Term Care Operational Guidelines
Navigating the complex Long-Term Care marketplace can be overwhelming. Developed by clinical experts, the Long-Term Care Operational Guidelines manual provides the information necessary to operate a successful nursing facility. Ensure your facility utilizes proper operational procedures with this easy to implement and maintain resource. Some of the benets of utilizing this manual include:

User-friendly format Easy and efcient implementation CD-ROM for customization of policies Manage risk through comprehensive policies Excellent staff training tool
7480
Long-Term Care Operational Guidelines
$254.00
REVISED
Long-Term Care Resident Care Procedures
This manual offers a simple and practical approach to nursing procedures and competencies for long-term nursing facilities. The general and straight-forward format will help your nursing department provide quality resident care in compliance with facility procedures, standards of care, and Federal regulations.
Each procedure is accompanied by information about its purpose as well as equipment needed Special call-outs clearly outline the steps which must be taken regarding: resident rights, assessment guidelines, infection control and documentation.
Over 250 nursing procedures are covered. The included CD-ROM allows you to easily customize information according to facility needs and state requirements.
7390
Long-Term Care Resident Care Procedures
$280.50
Long-Term Care Comprehensive Documentation System

A Standardized System to Help You Ensure the Consistency and Accuracy of Resident Documentation
Briggs Healthcare has been working with Long-Term Care professionals since day one of the OBRA implementation and understands the challenges associated with compliance.
With our strong experience and extensive clinical staff, we are able to provide you with the tools to cost effectively keep pace with the changing regulatory environment. The Briggs Comprehensive Documentation System will help you:
Manage quality of care Comply with current regulations Eliminate redundancy saving nursing time Diminish liability Improve interdisciplinary communications Sustain policies and procedures during staff shortages and periods of high turnover Establish consistent and standardized documentation
7130R
LTC Comprehensive Documentation System
$149.50
160
REVISED
An Exceptional Resource for Operating an Exceptional Residence!

Developed by practitioners in the senior living industry, this manual a true operations manual has grown from years of managing and operating assisted living programs. Staff and residents benet from the manuals focus on the Productivity Theory of Aging, which encourages residents to be as independent as possible in each task they carry out. Comprehensive Detailed Guidelines Each policy listing addresses the purpose of the policy and references related stepby-step procedures included in the manual. In addition to a section on developing a philosophy and mission statement unique to your program, it also includes sections on the following topics:

Administration Environmental Services Activity/Volunteer Program Health Services Food Services Resident Evaluation
Item # Description
Personal Care Emergency Care/Disaster/Safety Accounting/Bookkeeping Personnel Infection Control
Your FREE eBook allows you to easily customize information according to the needs of your program and state requirements.
Price Per Each
7481
$254.00
The Long-Term Care Nursing Desk Reference, Second Edition

Its vitally important that longterm care nurses have a resource by their side that addresses all of their unique and wide-ranging clinical and regulatory concerns. This reference features practical, need-to-know resident care information, essential policies and procedures, and vital regulatory and safety requirements specic to Long-Term Care. This comprehensive desk reference provides:
Handbook for Directors of Nursing in Long-Term Care

This book provides the theory, principles, methods and tools for the nurse manager or leader of a Long-Term Care facility. It is a complete source of information and instruction on every aspeet of nursing administration. The book contains more than 150 guidelines, ow sheets, communication, assessment and feedback procedures that can be implemented with little or no modication by the novice or experienced directors in every kind of Long-Term Care facility. Nursing management will rely on this book as a step-by-step how to on numerous subjects including:
Detailed information about common Long-Term Care clinical issues Valuable tools and practical information about hundreds of clinical conditions Timely and relevant updates that help you stay current and compliant One go-to resource for all your clinical needs Comprehensive, detailed sections that make it easy to nd what you need
Development of a mission statement Selection of a nursing theory Construction of a policy and procedure manual Hiring and interviews In-service education Selection of an information system
Item # Description
Conict resolution and decision making Performance evaluation Continuing quality assurance Strategic planning and marketing Analysis of effectiveness
2009, Softcover, HcPro

8562
The Long-Term Care Nursing Desk Reference, Second Edition
Price Per Each
$149.00
7623
Handbook for Directors of Nursing in Long-Term Care
$114.95
161
Patient Education
Disease Process Patient Education Booklets

Large print and simplied language enhance readability and comprehension for both staff and patients.
Easily understood by patients and caregivers Well organized for simplied, effective teaching Contain documentation tools for recording important patient information that can be utilized by the home care staff and/or the patients physician
Add your agency or facility name to the cover as well as photos or logos. You can even change the color of the booklet. Contact your Briggs Healthcare Custom Representative for more details.
Patient Education Booklet(s) are cost-effective and will:

Standardize the teaching process among staff Eliminate the need to copy numerous instruction forms Improve patient and caregiver understanding of the patients disease process and care requirements Serve as a resource tool to leave in the patients home during the episode of care and after discharge from the agency Decrease the number of visits required for disease process teaching for many of your patients
Heart Failure
Designed to help your patients, family and caregivers understand Heart Failure. Contents include:
Chronic Obstructive Pulmonary Disease (COPD)

Designed to help your patients, family and caregivers understand Chronic Obstructive Pulmonary Disease (COPD). Contents include:

Diabetes
Designed to help patients, family and caregivers understand Diabetes. Contents include:
Understanding Heart Failure The Disease Process Managing Heart Failure Daily Activities Lifestyle Changes Monitoring Your Progress Handling Emergencies Medical Intervention/Follow-up
Item # Description Price Per Each*
Understanding Diabetes The Disease Process Types of Diabetes Diabetes Medication Management Hyper/Hypoglycemia and Ketoacidosis Nutrition and Diabetes Sick Days Complications of Diabetes Preventive Care and Diabetes Exercise and Diabetes Sexual Health Diabetes Self Testing Standards of Diabetes Care Medical Identication Products Emergency Preparedness
Understanding COPD The Disease Process Managing COPD Respiratory Therapy Lifestyle Changes Indoor/Outdoor Pollution Infection Control Monitoring Your Progress Medical Intervention/Follow-up
8122
Heart Failure
$3.05
* Quantities of 100-250$2.95/ea; Quantities of 251-499$2.90/ea; Quantities of 500 or more$2.75/ea
8123
Chronic Obstructive Pulmonary Disease
$3.05
8124
Diabetes
$3.05
162
Patient Education
Stroke
Designed to help patients, family and caregivers understand strokes and their treatments. Contents include:
Wound Care
Designed to help patients, family and caregivers understand wounds, their care, prevention and complications. Contents include:

Arthritis
Designed to help your patient, family and caregivers understand arthritis. Contents include:
Understanding Stroke Incidence of Stroke Stroke Risk Factors The Effects of Stroke Treating Stroke Paralysis Aphasia Life At Home Family/Caregivers and Stroke Handling Emergencies Medical Intervention/Follow-up
Understanding Arthritis The Disease Process Osteoarthritis Rheumatoid Arthritis Arthritis Pain Myths, Misconceptions and Alternative Medicine Protecting Your Joints Living with Arthritis Exercise and Arthritis Medical Intervention/Follow Up Arthritis Information Resources
Your Wound Care Team Types of Wounds Skin Care Nutrition and Wounds Medications Wound Care Procedures Types of Dressings/Treatments Infections and Wounds Daily Activities Monitoring Your Progress Medical Intervention/Follow-up
8125
Stroke
$3.05
8127 $3.05
Arthritis
$3.05
* Quantities of 100-250$2.95/ea; Quantities of 251-499$2.90/ea; Quantities of 500 or more$2.75/ea
8126
Wound Care
Diabetic Injection Pad

This pad looks and feels like human skin; ideal for diabetic instruction and injection practice. May be worn on the body in specic locations to allow patients to inject uid into the pad to practice giving themselves injections. Pad is thick enough to accept all insulin needles. There is a hard plastic backing to prevent the needle from poking through the pad and into the wearers skin. 4-1/4 x 6-1/4 oval pad; hard plastic backing; 1 wide nylon strap with adjustable plastic buckle.
Grifths Instructions for Patients, 8th Edition

Over 430 patient instruction fact sheets help patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor. This resource provides descriptions of each illness, frequent signs and symptoms, possible causes, risks, preventive measures, expected outcomes, possible complications, and treatments. Also features printable instruction sheets in English and Spanish. 2010 , Softcover, Saunders
Diet Instructions
Great copy-ready materials for your clients! Liberalized diet instructions for older adults in large type for easy reading. Diet instructions include over 25 different diets. Also includes:

Sample Menu Plans High Calorie/Protein & Puree Recipes Tips on Dehydration Thickened Liquids CD-ROM
2008, Hardcover, Becky Dorner & Associates

8911
Diabetic Injection Pad
$55.25
8552
Grif ths Instructions for Patients
8538 $85.95
Diet Instructions
$149.95
163
Stafng
Home Care and Hospice Personnel Policies Manual

This manual provides a set of policies that assist in setting performance expectations and clarifying those expectations for agency staff.
It goes beyond regulatory policies and job descriptions to provide practical guidance needed by staff involved in hiring, orienting, training, and evaluating staff competencies and performance. Content includes:

Employment process samples and checklists Personnel Policies Position-specic competencies and job specications Competency orientation checklist Employee Counseling Report Independent contractor test and sample contract Sample Independent Contractor Contract The number and specic functions of positions as well as the state and federal regulations will vary with the size and location of an agency.
The design of this manual as well as the electronic Microsoft Word le on CD-ROM make it simple to customize the information to your current needs and expand as your agency grows.
7428
Home Care and Hospice Personnel Policies Manual
$382.50
NEW! A Toolkit for Validation and Assessment
Home Health Competency Management System:
Since staff education is only part of your role, Beacon Health has created the Home Health Competency Management System: A Toolkit for Validation and Assessment to save you the time and hassle of measuring and documenting the skills of your clinicians and aides. The system provides competency management program tips and detailed skill and performance assessments for nursing, therapy, and home health aides, as well as general skills that all clinicians should practice. Follow this blueprint of what competencies you need to assess and how best to assess them and you will ensure regulatory compliance and employ staff who demonstrate their professional aptitude and embody your high standards for patients and family members. Assess competencies throughout the year and use the contents to design an orientation program for your new hires. The kits consists of competencies in four areas: nursing, therapy, home health aide, and general and will help you:
Standardize the performance of clinicians throughout your agency by training and evaluating them on the same set of core competencies Measure clinician prociency both at orientation and throughout the year to validate each individuals competency or address skills that need improvement Train staff on peripheral procedures that are not related to their expertise but are just as important, such as infection control, HIPAA requirements, regulatory compliance, and OASIS assessments
Acknowledge the value of your clinicians work by setting expectations that validate their contributions to the success of your agency Incorporate the competencies included in this manual into the initial training! orientation of your RNs, LPNs, therapists, therapist assistants, and aides Avoid citations and comply with federal and state regulations by maintaining accurate documentation of clinician competencies Save time tracking each individuals competencies using the downloadable templates
2012, Beacon Health

4500
Home Health Competency Management System: A Toolkit for Validation and Assessment
$349.00
164
Stafng
REVISED
Long-Term Care Personnel Guidelines Manual
A manual for the development, analysis & revision of job descriptions. The Long-Term Care environment has changed considerably - and so have the responsibilities of many staff. To ensure that everyone understands, carries out and is evaluated upon the appropriate responsibilities; job descriptions and performance reviews must reect the shifting roles and new positions. An introductory page to each section that provides an overview of any MDS or QI issues specic to that department. F-tags related to job descriptions are Included in this manual for reference. The job description form includes the following information:

Supervisor Purpose of this position Qualications Delegation of Authority

Item # Description
Functions - each function can be designed as either essential, marginal or not performed Performance Competency Rating Comments
Price Per Each
Your FREE eBook allows you to easily customize information according to facility needs and state requirements. All information in the manuals is included on diskette in Microsoft Word.
7497R
Long-Term Care Personnel Guidelines Manual
$182.60
NEW! Competency Management in Long-Term Care

The perfect solution to your competency challenges! This practical, easy-to-use manual and CD-ROM set provides the logic behind competency validation and offers guidance to instructors about how to test staff competencies effectively and efciently. With this resource youll have everything you need to develop and test your nurses skill sets. The easy-to-use tools included pinpoint which steps are critical in order to accurately evaluate the competency of your staff. Staff educators and managers alike will be able to nd the competencies they need fast. You will even nd the competencies on the companion CD-ROM for quick, on the-go access.
This resource allows you to:
Heres just a sample of some of the tools included:

Train staff educators and managers on how to perform competency validation Save time by combining competency assessments and performance reviews Maintain consistency and keep up with new competencies List potential categories for new competencies and identify best practices for implementing new competencies Differentiate between orientation checklists and skills checklists
Competency-based program policy Successful Completion of Competency Assessment Training Form New Competency Assessment Checklist Skills Checklist Template Competency-based Orientation Checklist Nursing Assistant Orientation Checklist Competencies Tracking Sheet
2009 (Rev 03/2012), HcPro

4501
Competency Management in Long-Term Care
$149.00
165
Staff Education
The New Nursing Assistant Textbook & Workbook Series, 8th Edition
The 8th Edition of The New Nursing Assistant Textbook features the most current information, yet maintains the familiarity and ease of use appreciated by both instructors and nursing assistant students. Updates have been made throughout to statistics, measurements, practice techniques, regulations, professional guidelines, terminology, and new technologies. The information is presented in a clear and concise style, using simple language that is easy for students at all levels to comprehend. 2010, Medcom
7727 8783 8783KEY 7726 7726CA
Textbook Workbook Answer Key Instructor Guide Instructor Guide California Edition
$42.95 $19.95 $5.00 $149.00 $299.00
The New Nursing Assistant DVD Series

This comprehensive series builds skills and condence by accurately providing a clear picture of how to perform basic skills. Provides concise, simple and standardized training. Programs meet OBRA requirements and follow OSHA standards and CDC Standard Precautions guidelines. DVD, Medcom
Measuring Vital Signs: Temp., Pulse, Resp. & BP 7722DV Moving and Turning 7158DV Oral Care Techniques 7723DV Transfer and Ambulation 7724DV Infection Control 7725DV Personal Care Additional Nurse Assistant Skills Training DVDs 7162DV Range of Motion Exercises 7165DV Techniques in Bathing 7172DV Abnormal Signs & Symptoms 7168DV Tech. in Toileting and Incont. Care
7721DV
$149.00 $149.00 $149.00 $149.00 $149.00 $149.00 $149.00 $149.00 $149.00 $149.00
Item #
Description
Price Per Each
7167DV 7163DV 7170DV 7158DV 7166DV 7160DV
Elim., Spec. Col. & Urinary Care Positioning Techniques Feeding Oral Care Techniques in Bedmaking Measuring Weight
$149.00 $149.00 $149.00 $149.00 $149.00 $149.00
TM
Online Training

Say Goodbye to the Burden of In-service Training and Hello to Big Savings
Developing a training session and delivering it several times to ensure everyone attends, as well as testing and then tracking that information, is very time-consuming. t3 is more than a web-based course; it is a program that makes it easy to train, test and track staff education.
Flexibility of accessing courses from home or work, day or night, eliminates travel and scheduling issues Ensures course content is always up-to-date Eliminates excessive training costs associated with travel, Continuing Education (CE) fees and replacing outdated materials Consistent, standardized training with unlimited access to Joint Commission, OSHA and CDC compliant programs Self-paced learning completed at the students own rate helps increase comprehension Centralized record-keeping, printing of CE certicates and reporting mechanisms instantly track attendance and completion of required training
Visit www.BriggsCorp.com/t3 today for complete course listings!
166
Staff Education
UPDATED
Mosbys Textbook for Nursing Assistants, 8th Edition
Step-by-step instructions for over 100 nursing assistant procedures make it easy to master the skills you need to succeed as a nursing assistant. This text emphasizes the importance of teamwork and communication -- two elements critical to being an effective nursing assistant. This edition provides expanded content on the persons rights and pressure ulcers. The updated companion CD includes three new procedures, an updated audio glossary, and more. 2012, Softbound, Mosby
8060 8061
Item #
Textbook Workbook
Description
$66.95 $29.95
Price Per Set
BEST VALUE!
8065
Text/Workbook Set
$81.95
Visit www.BriggsCorp.com for complete product information for all featured Nursing Assistant resources!
Mosbys Textbook & Workbook for Long-Term Care Nursing Assistants, 6th Edition
This text provides a complete guide to the skills you need as a nursing assistant. More than 100 key procedures are described with clear, easy-to-learn instructions. This edition features new chapters and expanded content help you care for residents with acute and chronic conditions that previously may have required hospitalization. 2011, Softbound, Mosby
7286 7287
Item #
Textbook Workbook
Description
$59.95 $29.95
Price Per Set
BEST VALUE!
8811
Text/Workbook Set
$74.95
Nursing Assistant Care: Long-Term Care, 2nd Edition

This nursing assistant training textbook includes information for Long-Term Care and some material on subacute and acute care. It teaches all state, federal and safety requirements. Up-to-date material on infection prevention is covered. Residents Rights boxes placed throughout the book teach ways to promote independence and to prevent abuse and neglect. Chapter-eroding material develops critical thinking skills, as well as tests the chapter. 2010, Softcover, Hartman Publishing
Nursing Assistant Care: The Basics, 3rd Edition

This textbook teaches all state, federal and safety requirements. OBRA statutes, state regulations, and OSHA guidelines are explained in everyday language. Essential care skills, what to observe and report about common conditions, how to focus on material needed to pass certication exams, and how to work in Long-Term Care are included. Rationales are provided for important steps in each procedure to aid understanding. 2010, Softcover, Hartman Publishing
8773 8773W 8773IG
Textbook Workbook Instructor Guide
$38.75 $15.00 $39.90
8673 8673S 8673W 8673IG
Textbook Spanish Textbook Workbook Instructor Guide
$26.50 $26.50 $12.05 $39.90
167
Staff Education
Home Health Aide On-the-Go In-Services

Ensuring home health aides complete their required in-services can be a never-ending chore. Satisfy Medicares annual 12-hour aide in-service requirement without bringing your staff into the ofce for training with Home Health Aide On-the-Go In-services.
Each lesson provides one-hour of study on a homecare specic topic. Every 12-lesson volume fullls one year of Medicares annual requirement of 12 in-service hours. Beacon Health
Volume I includes lessons that cover:

Volume III includes lessons that cover:

MRSA HIPAA Aides and Surveys Patients in Pain Preventive Falls Observing/Reporting
Item #
Colostomy/Heostomy Elder Abuse Alzheimers Disease Diabetic Patients Cultural Diversity Skin Breakdown
Price Per Each
Aide Assignment Sheet Patients with Arthritis Personal Protective Equipment The Aides Role in Wound Care Patient Complaints Patients with Parkinsons Disease
Item #
Patients with Multiple Sclerosis Seizure Disorders Terminal Illness Fire Safety HIV Infection Renal Disease
8549
$360.00
Price Per Each
8560
$360.00
Volume II includes lessons that cover:

Volume IV includes lessons that cover:

Violence in the Workplace Urinary Tract Infections Bowel Continence Dyspnea Patients and ADLs Bladder Continence
Item #
Aphasia Behavior Problems Hip Surgery Depression Workplace Injury Patient Rights
Price Per Each
Patients with Feeding Tubes Spinal Surgery Compression Fractures Hypertension Hepatitis Infusion Therapy
Item #
Knee Surgery Quadriplegic Patients Peritoneal Dialysis Patients with Casts Sleep Apnea Adult Asthma
Price Per Each
8550
$360.00
8563
$360.00
In-Service Education Workbooks For Nursing Assistants & Home Health Aides
Do you have aides scrambling to complete their 12 hours of in-service education before the end of the year? These In-Service Education Workbooks are great, cost-effective programs for providing in-service training. Your staff receives invaluable learning experiences and will truly appreciate the exibility self-study allows. You assign the readings, utilize the included assessments to document the learning and provide the learners with the opportunity for questions and clarication with an RN, according to your states regulations. Each page is perforated so it can be returned to you for credit. Sold 10 per pack. Hartman Publishing Workbook I includes learning activities covering:

Workbook II includes learning activities covering:

Workbook III includes learning activities covering:

Establishing trust through communication with the elderly Back to the basics of nutrition The keys to correct documentation Preventing skin breakdown Differences in left- and right-sided strokes AIDS/OSHA update Domestic violence
Item # Price Per Pack
Infection Control: Your Role in Stopping Disease Transmission Protecting Yourself and Others from Tuberculosis Using Proper Body Mechanics Preventing Falls in the Elderly Preventing Accidents and Injuries Understanding and Promoting Residents and Clients Rights Maintaining Condentiality
Caring for the Person with Alzheimers Disease Promoting Dignity for People in your care Caring for the Person with Diabetes Understanding Restraints and Restraint Alternatives Preventing Abuse and Neglect Assisting with Death and Dying Managing Stress
8254
$49.95
8370
$49.95
8375
$49.95
168
Staff Education
Basic Skills for Home Care Aides DVD Series

Basic Skills for Home Care Aides DVD Series presents those procedures required by OBRA for home care aides in an easy-to-follow, step-by-step format.
Presents over 80 core skills covered on the National Association of Home Cares certication exam. Each step-by-step procedure includes a list of equipment and supplies needed to perform the procedure. Each procedure concludes with documentation specics to emphasize the importance of recording client care information. All procedures begin with handwashing to reinforce this critical step in infection control.
By allowing learners to observe the skills from start to nish, they will have a,better understanding of everything theyll need to know for each skill, including all of the equipment needed and a sense of how long each procedure takes from start to nish. By concentrating on the core skills required to pass the National Association of Home Cares certication exam, learners will be able to view all the steps needed to complete each skill on which they will be tested. 10 programs on a 5 DVD set. 2005, Cengage Learning
7681
Item #
Basic Skills for Home Care Aides DVD Series

Description
$2,575.95
Price Per Each
76811M
Instructor Manual
$35.95
The Home Health Aide Handbook, 3rd Edition

This full-color, third edition of The Home Health Aide Handbook contains information on: Care guidelines for specic diseases Federal requirements for home health Pain management aides Commonly-used abbreviations Expanded coverage on infection prevention Oxygen therapy Observing and reporting Tips for housekeeping and cooking HIPAA and how to protect a clients Disaster guidelines privacy Comprehensive glossary Proper nutrition and special diets 2010, Softcover, Hartman Publishing
8003
The Home Health Aide Handbook, 3rd Edition
$24.50
REVISED
Providing Home Care Series
Homemaker/Home Health AideSeries, 6th Edition

The Homemaker/Home Health Aide, Series is designed for use in initial training programs for home health aides, and as a reference in required continuing education courses. The practical applications of procedures required by OBRA are included in each unit. This series is designed to train new individuals entering the eld for the rst time, and practicing home health aides to be caring, dedicated, and skilled paraprofessionals. The role of the home health aide as a valuable member of the health care team is emphasized. FREE Practice CD-ROM in the back of the book provides additional study materials. 2005, Cengage Learning
The fourth edition of Providing Home Care meets and exceeds the federal and state educational requirements for home health aides. This text emphasizes the important roles aides play in observing and reporting changes in a clients condition, in caring for clients holistically, respectfully and professionally. Beyond mastering the basic skills, Providing Home Care offers a sense of the importance and special nature of relationships between aide and patient. This revised edition features:
Newly-released information about the USDAs MyPlate, as well as more information about special diets Updated material about Alzheimers disease and infection prevention An expanded section on death and dying
2013, Softcover, Hartman Publishing

7751 7458 7999
$43.75 $16.25 $39.90
7678 7680 7679
$168.95 $68.95 $37.95
Visit www.BriggsCorp.com for complete product details for all Home Care resources featured on this page!
169
Infection Control
NEW! Tools for Compliance

Hospice Infection Control Program:
The CMS Hospice Conditions of Participation requires Medicare-certied hospices to have an effective infection control program in place. This hospice-specic manual offers a step-by-step approach to creating a program that meets this requirement. This toolkit includes a section devoted to inpatient hospice units where special infection control measures must be considered. Real-world examples and case studies, as well as customizable, reproducible forms will help you establish a program that educates hospice staff, caregivers, patients, and family members on ways to prevent the transmission of infectious and communicable diseases. Each chapter includes reproducible and customizable forms (in binder and on CD-ROM) to verify staff competency on each topic:

With this program you will learn how to:
Infection control program purposes and objectives Personal protective equipment for patient care and contact Infection control competencies Patient teaching programs Patient infection report Patient infection report summary log

Implement important protocols and quality improvement measures to prevent infections related to infusion therapy, urinary tract and respiratory tract care, wound care, and bloodborne and airborne pathogens Apply important contact, droplet, and airborne precautions in hospice inpatient units, where possibility of infection transmission is high Train staff on policies and procedures, measure and ensure competency, and monitor compliance Educate patients and caregivers on ways to prevent the spread of disease and infection Determine which personal protective equipment to consider for patient care and contact
Price Per Each
2010, Beacon Health

Item # Description
4502
Hospice Infection Control Program: Tools for Compliance
$179.00
Infection Control Program for Homecare

The Medicare Conditions of Participation and other accreditation bodies require you to have an infection control program in place. This comprehensive manual and its handy forms are essential to developing a program that complies with these stringent procedures. Authoritative and comprehensive, the step-by-step manual covers:
Purposes and objectives of an infection control program Staff education and competency Patient/family education
Item # Description
Infection control policy and procedures Quality improvement and infection control Resources and references
Price Per Each
8422
Infection Control Program for Homecare
$135.00
Infection Control For Home Health: Winning The Battle, DVD

By following the basic infection control practices outlined in this vital program, your home care workers can protect themselves and their patients from the spread of infection. This program covers:
Visit www.BriggsCorp.com for our complete offering of hand sanitizers, cleaners and disinfectants.
Understanding infectious agents Methods of infection control
Infection control plan Reporting exposures
2009, Coastal Health Train

8229DV
Infection Control for Home Health
$295.00
170
Infection Control
REVISED
Infection Prevention Manual for Long-Term Care
An effective infection prevention (IP) program can positively impact all aspects of a Long-Term Care facility. The latest edition of the Infection Prevention Manual provides facilities with a comprehensive resource for policies and procedures reecting the most current standards for infection prevention. The policies are written for compliance with OBRA regulations, OSHA regulations, CDC recommendations, Joint Commission standards for Long-Term Care, and current national standards of practice. The newest revision of the manual includes new forms, policies, and updated references. Content includes:

The Infection Prevention program Surveillance of Infections Infection Control Education Isolation Occupational Health Resident Care Policies Department Policies
OSHA Exposure Control Plans for Bloodborne Pathogens and Tuberculosis New Section Infectious Diseases containing fact sheets on many common infectious conditions and organisms Performance Improvement Bioterrorism References
Updated Society for Healthcare Epidemiology of America (SHEA) denitions of infection included!
Key Features:
The new edition incorporates information on the CDC Catheter Associated UTI guidelines, the new Norovirus Guidelines, updates throughout the manual, a new section on Specic Infectious Diseases including methods to prevent transmission, and a new section on the Environment FREE eBook! Customers can customize the manual as needed to reect facility specic policies and procedures using the full text (Microsoft Word format) on the included CD.
2012, ICP Associates, Inc.

7887
Infection Prevention Manual for Long-Term Care
$199.00
Infection Control in the Long-Term Care Facility

This program discusses why Long-Term Care residents are very susceptible to infection and also examines common infections that occur in Long Term Care facilities.

Infection Control Skills for the Care Provider

Healthcare workers often come in contact with microorganisms that can cause infectious diseases. Therefore, it is your responsibility to protect the health and safety of all those you care for, as well as your coworkers and yourself by learning and practicing effective infection control skills to help prevent the spread of these microorganisms. This program teaches new nursing assistants the important skills necessary for controlling the spread of infectious disease and demonstrates the performance of nursing assistant skills as described by the National Nurse Aide Assessment Program (NNAAP). Includes the CDC Hand Hygiene Guideline! 2009, DVD, 17:05 min., Medcom
Learn why LTC residents are more susceptible to infection Examine specic actions to take to reduce infection Identify which of your residents may be candidates for infection
DVD, 27 minutes (2 contact hours), learning guide included, Nevco

7724DV
Infection Control Skills for the Care Provider, DVD
$149.00
8899DV
Infection Control in the Long-Term Care Facility, DVD
$250.00
Chart Labels
Ask about our FREE SHIPPING on orders $300 or more!

L-5661
Fl. Yellow 15/16" x 2-1/4" 500/bx

See page 249
171
Infection Control
Bloodborne Pathogens Safety in Long-Term and Acute Care

These three-part series provide visuals that emphasize and demonstrate the use of safer needle devices in Long-Term Care and acute care settings, statistics for prevalence rates for HIV/AIDS, HBV, and HCV, and the Bloodborne Pathogens Standard and Universal Precautions from OSHA, and Standard Precautions from the CDC are each carefully described, with the differences between them explained to help clarify confusion regarding these similar and related standards. 2007 (Reviewed for accuracy 2011), Medcom Part I: Bloodborne Pathogens Safety: Bloodborne Infections & Transmission of Bloodborne Infections After completing this course, the learner should be able to describe:

Part II: Bloodborne Pathogens Safety: Exposure Control & Personal Protective Equipment After completing this course, the learner should be able to describe:

The characteristics of HIV and AIDS The characteristics of hepatitis B and C The sources of transmission of bloodborne infections The modes of transmission of bloodborne infections both outside and at the workplace
Universal and Standard Precautions Post-exposure response and prophylaxis The use of gloves, eyeware, and gowns for protection against bloodborne infections
7190ADV Long-Term Care DVD, 15:00 min 7195ADV Acute Care DVD, 15:00 min
$149.00 $149.00
7190BDV 7195BDV
Long-Term Care DVD, 17:00 min Acute Care DVD, 17:23 min
$149.00 $149.00
Part III: Bloodborne Pathogens: Work Practices After completing this course, the learner should be able to describe:

The safe handling of sharps and using safer needle devices Decontamination and cleaning procedures The CDC hand hygiene guidelines
Each program includes 20 workbooks! Visit www.BriggsCorp.com for complete product details.
7190CDV Long-Term Care DVD, 15:00 min 7195CDV Acute Care DVD, 15:00 min
$149.00 $149.00
NEW! Preventing Needlestick Injuries

This course is designed to raise awareness about the importance of preventing needlestick injuries. It provides an overview of government regulations, a detailed look at safety devices and techniques and guidance on prevention. DVD runtime: 22 minutes; Workbook 32 pages 2005; Reviewed for accuracy in 2009, Medcom
4508DV
Preventing Needlestick Injuries
$229.00
2117/3
$51.65
172
Infection Control
Glo-Germ Handwashing Kit

The use of this product is an effective way to show your staff and residents/patients just how easy it is to overlook proper hand washing and cleaning. The germs in the Glo-Germ kit are tiny plastic particles that glow when exposed to ultraviolet light. Participants apply the Glo-Germ powder or oil to hands or other surfaces. After normal washing procedures, remaining germs can be viewed using an ultraviolet ashlight.
Handwashing Procedure Label
The Handwashing Procedure Label is a reminder of the proper steps when washing hands to prevent the spread of infection Repositionable adhesive makes these labels easy to remove from cabinets, mirrors and walls Suggestions and tips for use are printed on the back liner for caregivers 4 x 7 Black on uorescent yellow 25 labels per pad
Item # Description Price Per Pad
Kit includes:

1 - 8-oz. bottle of Glo-Germ Oil 1 - 1.9-oz. bottle of Glo-Germ Powder 1 - battery powered hand-held 9 LED Ultra-Violet Flashlight 3 - AAA Flashlight Batteries 1 Case
Item # Description Price Per Kit
L-9038
$9.95
7341
Glo-Germ Handwashing Kit
$73.95
Glo-Germ, Oil-based Liquid

Oil for the Glo-Germ handwashing kit (7341); one 8-oz. bottle of oil.
7342
Glo-Germ, Oil-based Liquid
$18.95
Glo-Germ, Powder
Powder for the Glo-Germ handwashing kit (7341); one 1.9-oz. bottle of powder
7343
Glo-Germ, Powder
$17.50
Briggs Healthcare offers an extensive line of infection control labels and signs. See pages 248-250 for complete offering.
Visit www.BriggsCorp.com for complete offering of Protective Apparel.
173
Safety
Basic Buddy and CPR Manikins
Baby Buddy
Basic CPARLENE Manikins
The Basic Buddy and Baby Buddy offers a realistic and affordable way to provide each student with their own CPR manikin. The one-piece, disposable lung/mouth protection system makes this manikin completely sanitarythere is no risk of cross contamination and no need to sanitize the manikins after use! Rugged carrying bags make transporting the lightweight and portable 5-Pack convenient (manikins t into bags fully assembled). 1-Year Warranty. Features include:

Requires no cleaning! Individual student face masks provide maximum protection against cross contamination. Each face mask is designed with a one-way non-rebreathing valve and is disposable or may be reused after proper disinfection. Molded hair requires no maintenance. Disposable tracheal airway and lower airway with lung bag eliminates time consuming disinfection procedures. Every CPARLENE manikin carries the Life/form full 3-year performance warranty. CPARLENE is exible and adaptable because it was designed with modular components that require no conversion kits. Every manikin and torso is completely upgradable and interchangeable. Quality Features:
Totally sanitary, one-piece lung/mouth protection system Realistic chest rise Unique airway system opens and closes with proper technique Anatomically correct with palpable landmarks
CPR Training Capabilities:
Palpable landmarks for hand placement Xiphoid, navel, nipples and rib cage landmarks Pliable abdomen for obstructed airway procedure
Fully articulated head, neck and jaw Simulated carotid pulse
Basic Buddy Fast Pack Includes one Basic Buddy , one Baby Buddy , two lung installation tools, 10 Basic Buddy lung bags, 10 Baby Buddy lung bags and one small carrying bag. Weighs 15 lbs.
8919
Basic Buddy Fast Pack
$175.00
Basic Buddy Convenience Pack Includes four Basic Buddies , two Baby Buddies, six lung installation tools, 40 Basic Buddy lung bags, 20 Baby Buddy lung bags and carrying bag. Weighs 28 lbs.
8920
Basic Buddy Convenience Pack
$505.00
Basic CPARLENE Full Manikin Includes hard carry case. Weighs 60 lbs.
8916
Basic CPARLENE Full Manikin
$1100.00
Basic CPARLENE Torsos Weighs 28.5 Ibs.

8917
8919
Basic CPARLENE Torsos
$595.00
For complete product offering visit www.BriggsCorp.com

8920
CPR: A Guide for Healthcare Workers

Based on the 2010 AHA Guidelines for CPR &ECC, this course provides instruction on how to administer cardiopulmonary resuscitation (CPR) to adults, children and infants, and how to clear an obstructed airway in adults, children and infants. This includes explanation of the important CPR sequence change from airway, breathing, compressions (ABC), to compressions, airway, breathing (CAB). It also covers how to use an automated external debrillator (AED) to aid victims who are in distress. 2011, DVD-27:25 min., Medcom
All Basic Buddy products are drop ship items and exempt from the Briggs Healthcare freight-free policy. Unless defective or shipped in error, returns are subject to a 25% restocking fee and the customer is responsible for the original and return freight fees.
7173DV
CPR: A Guide for Healthcare Workers
$315.00
174
Safety
Fire Safety In Home Health: 10 Burning Questions

This vital program emphasizes the basic facts about re, steps to take to assess re hazards in patients homes, and ways to teach families how to prevent, control and escape home res.

Fire Safety In LTC

Train your entire staff on the importance of re safety with this comprehensive program. The instructor manual provides objectives, activities, and a list of required equipment and procedures. It prepares staff members and facilities to handle a re should one occur. It also helps staff anticipate how residents of various conditions might respond so that the best care can be given and injuries can be prevented. Modules include:

Home re statistics Basic re safety tips PASS RACE for safety
Added features and benets of DVD training:
A customizable PowerPoint presentation makes training site-specic; excellent for training different personnel and departments Training Points outline key learning points of your training; reinforces important safety points to your employees Chapterized content provides video-enriched training that is organized by learning objectives that facilitates classroom discussion; ideal for refresher training, specic training points and navigating through the course The expanded Leaders Guide is an excellent resource to help plan and implement your presentation. A quiz is provided that can serve as a pre and/or post evaluative tool Provides portable convenience - perfect for those who train and travel! Includes ten employee handbooks English, Spanish and Portuguese translations
The need for re safety Fire behavior Human factors in re safety
Fire emergency planning Fire hazards Fire safety devices
Two DVDs also come with the kit, Flashover: Point of No Return and Human Behavior in Fires, and help reinforce the lessons by demonstrating re containment and emergency procedures and by examining how people react to a re emergency. Course pretests and posttests are also provided along with answer keys. This course has everything you need to make sure your facility is ready in case of a re emergency in your facility. 2002, binder - 120 pages, two DVDs run times 7:49 and 39:02 minutes, AHCA
2009, DVD, 23 min., Coastal Health Train

7598
Fire Safety In LTC
$74.95
8233DV
Fire Safety In Home Health DVD
$295.00
NEW! Oxygen Safety DVD

Many Long-Term Care residents require the use of oxygen. Everyone working with these residents must periodically review the basic safety principles involved in delivery of oxygen. Topic areas addressed include:

Components of a central oxygen supply system Safety guidelines for using a central oxygen supply system Safety precautions for using oxygen cylinders Preparing an oxygen cylinder for use Liquid oxygen Physician orders for oxygen therapy Common oxygen delivery systems, including use, oxygen concentrations, ow rates and humidication Ventilators Taking precautions to avoid potential re hazards
5764DS Price Per Each 6000 5765DS
DVD Runtime 10:48 min., Medcom

Item # Description
4506DV
Oxygen Safely DVD
$199.00
See page 265 for Safety/Warning Signs or visit www.BriggsCorp.Com/Signs for more information.
175
Falls
Fall Prevention Program

Evidence-Based Fall Prevention Program provides you with the tools that can result in reduced hospitalizations, improved fall outcomes and increased referrals. This unique program helps evaluate fall risk and target areas for improvement.
The Falls Prevention Program manual links together all of the critical components of a falls program, including:

Program Uses and Policy Essential Assessment and Reassessment Documentation Nursing/Therapy/Medical Social Worker and Aide Interventions and Patient Teaching Booklet
Ongoing Agency Evaluation through aggregation and trending Skilled Discipline and Aide Education Programs Sales and Marketing Strategy and Tools
In addition, the enclosed CD provides these electronic tools to facilitate implementation:

Staff Education Videos Fall Outcomes Trending Worksheet

Item # Description
Referral Source Presentations Marketing Flyers and Fact Sheets
Community Outreach Presentations
Price Per Each
8500 8501
$402.00 $4.05
Fall Prevention in Long-Term Care

Falls are associated with increased morbidity and mortality, especially for those over 65. The problem has become so serious that the Joint Commission has made reducing the risk of injury from falls one of their National Patient Safety Goals. This three-part series on fall prevention is designed to help you and your institution keep residents safe from falls and meet the Joint Commissions goal. 2008, Reviewed for accuracy 2011, Medcom Part I: Fall Prevention in Long-Term Care: Risk Assessment This program provides nurses an understanding of who is at risk for trips and falls in a Long-Term Care facility, and which elements in the environment put residents at increased risk for falls. DVD: 15:15 min; Workbook: 18 pages
Part II: Fall Prevention in Long-Term Care: Preventative Strategies and Products This program provides nurses with information about the wide variety of preventative strategies and products that can be used to reduce the risk of injury from falls. DVD: 14:28 min; Workbook: 18 pages
8056ADV Part I DVD with Workbook
$229.00
8056BDV
Part II DVD with Workbook
$229.00
Part III: Fall Prevention in Long-Term Care: A Comprehensive Fall Prevention Program This program provides nurses with a description of how to set up a comprehensive fall prevention program in their facility, including how to properly report a fall by creating a thorough post-fall assessment. DVD: 13:32 min; Workbook: 18 pages
Each program includes 20 workbooks! Visit www.BriggsCorp.com for complete product details.
8056CDV
Part III DVD with Workbook
$229.00
Falls in Older People: Prevention & Management, 4th Edition

Presenting evidence-based practice throughout, this is a comprehensive guide to preventing and managing falls in hospitals and Long-Term Care settings. It guide explores the internal and external causes of falls, analyzes their consequences, provides clinical assessments for actual falls as well as risks for falling, and promotes an interdisciplinary approach to falls management. 2012, Softbound, Health Professions Press
8943
Falls in Older People: Prevention & Management
$36.95
176
Dementia/Behavior
NEW! for Long-Term Care
Dementia Care: Inservice Training Modules
Dementia Care Inservice Training Modules for Long-Term Care is a complete collection of research material for specialized dementia care training in the Long-Term Care setting and includes everything necessary for an effective presentation. The curriculum covers all aspects of specialized dementia care, including anatomy and physiology, basic principles of care, daily care, eating challenges, recreation and activities, common medical problems, and more. Each module is concluded with summaries, scenarios and group activities to further the learning process. Dementia Care Inservice Training Modules for Long-Term Care will help prepare any member of the healthcare team for the daily ups and downs of dementia caregiving.
Set of 8 inservice modules on dementia care includes lecture material, objectives, PowerPoint slides, handouts, real-life scenarios, and suggestions for group activities and audience interaction Information presented in a format relevant to nursing assistants and other members of the health care team Comprehensive material for a complete specialized dementia care training program Adaptable format can be broken down into smaller segments for larger or smaller audiences
2007, Softcover, Cengage Learning

4504
Dementia Care: InService Training Modules for Long-Term Care
$97.95
Preventing Unsafe Wandering and Elopement DVD

1 Approved CE Hour Provides caregivers in long-term an overview of skills necessary to prevent residents from participating in behaviors leading to unsafe wandering Includes how to provide accurate assessment of residents in their care, intervene when unsafe wandering is recognized and what to do if a resident wanders away from his/her room or facility Includes: 20 guidebooks
Dementia and Alzheimers Caregiving: Through the Looking Glass DVD
Identify the 3 stages of Alzheimers Apply the person-centered approach to caregiving Obtain guidelines for activities of daily living Prevent instances of hitting, biting and wandering
20 minutes, Coastal Training

Item # Price Per Each Description Price Per Each
2004, 26 minutes, Medcom

Item # Description
8238DV
Dementia and Alzheimer's DVD
$295.00
8231DV
Preventing Unsafe Wandering DVD
$345.00
NEW! Controlling Violence in Healthcare

Award Winner: International Communication Video and Film Festival, American Journal of Nursing Media Festival This award-winning program addresses the increasing problem of violence in healthcare by exploring and demonstrating techniques for preventing and containing violence. Examples include an angry accident victim in the ER and confused nursing home resident. Approaches to these situations are demonstrated within the framework of a facility-wide safety program. DVD: 32:55 min; Reviewed for accuracy in 2010, Medcom
Wander Boundary Tape

Wander Boundary Tape can be strung across doors, hallways or anywhere you see t provide a safe, restraint-free boundary to discourage wandering. See page 245 for complete details.
4507DV
Controlling Violence in Healthcare
$315.00
177
Dietary
Complete Guide to Nutrition Care for Pressure NEW! The Ulcer Prevention and Treatment
This book includes 140 pages of detailed information on evidence based nutrition care for:
The prevention and treatment of pressure ulcers Copy ready diet instructions Information on fortied foods Recipes, and other appropriate nutrition interventions The CMS surveyor guidance for F314 pressure sores And sample policies, procedures, protocols, and forms
Youll also receive an 8 hour CPE self-study module with case study, plus a CD-ROM of an Educational In-service with slides, presenter notes, handouts, and pre/post-test for participants (60 pages). 2012, Hardcover, Becky Dorner & Associates
4503
The Complete Guide to Nutrition Care for Pressure Ulcer Prevention and Treatment
$144.95
Dining and Dietary Services Policy and Procedure

Excellent for nursing homes or hospitals. A great time saver, includes step by step guidelines to ensure that regulatory, nutritional, dietary needs are met for optimal health of individuals in your care. This best selling manual covers a wide range of topics including:

Menus and Special Diets Meal Service Food Production & Food Safety Sanitation & Infection Control
Cleaning Instructions Safety Personnel/Training Clinical Documentation Anthropometrics
Alternative Nutrition Interventions Quality Assurance Improvement Disaster Planning References & Resources
Includes a customizable CD-ROM!

8363
Dining and Dietary Services Policy and Procedure
$179.95
Dietary Disaster Plan

Includes Dietary Disaster Plan plus 8 CEUs! Analyze potential hazards and determine needs for any type of emergency or disaster that may cut off your water, gas, electricity and supplies.
Diet Instructions
Great copy-ready materials for your clients! Liberalized diet instructions for older adults in large type for easy reading. Diet instructions include over 25 different diets: Regular, Vegetarian, High Calorie/High Protein, Low Lactose, Dysphagia Advanced, Mechanically Altered, Puree, Full and Clear Liquid, Consistent Carbohydrate, Low Concentrated Sweets (LCS), LCS Puree, Calorie Restricted, Calorie Specic, No Added Salt, Reduced Sodium, Heart Healthy, Bland/Soft, High Fiber, Low Fiber and Residue, Modied Renal Diets. 2008, Hardcover, Becky Dorner & Associates
This best-seller includes: Recommendations from actual disaster survivors
Buying guides Training outlines Policies/procedures And more!
Emergency menus and recipes

8538
Diet Instructions
$149.95
8617
Dietary Disaster Plan
$74.95
178
Wound Care
NEW EDITION!
Quickly learn the pros and cons of hundreds of wound care products and expert nursing care throughout the entire healing process.
NEW! NEW! NEW!
Important new content on documentation regulations Chapter on lymphedema featuring best practices Checklists chapter
Alphabetically proles of more than 300 products
2012, Spiral-Bound, Lippincott

7979
$54.95
Wound Care Essentials: Practice Principles, 3rd Edition

This handbook covers all aspects of wound assessment, treatment, and care. It also covers topics that other text-references do not, including sickle cell wounds, atypical wounds, and an entire chapter devoted to special populations. The book is divided into two parts. The rst is Wound Care Concepts, which provides in-depth information on assessment, wound healing, treatment options, pain management, and more. The second section, Wound Classication and Management Strategies, covers the various types of wounds - including pressure ulcers, arterial ulcers, diabetic foot ulcers, surgical wounds, and many others - and provides the strategies for their successful care. 2011, Softcover, Lippincott
8746
$65.99
More color photos, case studies & end-of-chapter Patient Scenarios!
Wound Care Reference Booklet

This chart is designed to educate the patient or caregiver about various types of wounds, their prevention and care. Categories include, bedsores, wound healing and prevention, stages of wounds, incontinence, exercise, the diabetes-related wound, venous stasis ulcers, wound treatment, wound documentation, changing dressings, nutrition, supplies, a glossary of terms and a wound care diary. Laminated, 4-pages, 8-1/2 x 11 Booklet
Patient Education Guide, Wound Care

One out of every four Americans over the age of 65 suffer from extremity ulcers, a condition that is not only painful, but one that also involves expensive treatment. This booklet is designed to help you and your patient, as well as his or her family and caregiver better understand wounds, their care, prevention and complications. By using this booklet as an educational guide and progress record, it will help to ensure that your patient will receive appropriate and timely treatment and intervention, as well as decrease the likelihood of future complications. (See page 163 for complete product details.)
8513
$5.95
8126
$3.05
179
Pain/Pallative Care
NEW! Palliative Care, 2nd Edition

This resource addresses the clinical, physical, psychological, cultural, and spiritual dimensions that are integral to the care of the whole patient. It provides a broad understanding of the core clinical skills and competencies needed to effectively approach patient assessment, care of special populations, symptom control ethical issues and more. Key Features:
Chapters on Veterans, Special Populations, Prognostication, Delirium, Working with Families, Wound Care, Home Care, and Dealing with Economic Hardship. Improve your pain management and symptom management skills with a better understanding of best practices in palliative care. Quickly review specic treatment protocols for both malignant and nonmalignant Illnesses, including HIV/AIDS, heart failure, renal failure, pulmonary disease, and neurodegenerative disease.
Find out all you need to know about providing high-quality care to patients with serious illnesses.
2011, Hardcover, Saunders

4505
Palliative Care, 2nd Edition
$73.95
Bedside Pain Manager - 2011

Bedside Pain Manager is a quick-reference guide, 10 pages packed with the critical pain control guidelines and reference information that doctors, nurses, pharmacists and other healthcare professionals use on a daily basis to treat their patients pain and symptoms. This laminated guide puts a wealth of pain and symptom control information into one handy document (two 11 x 17 sheets, folded in half, plus an additional 8-1/2 x 11 sheet). This research-based information is meticulously integrated, eliminating the need for some of the calculations. The information is presented in a user-friendly format right at your ngertips, so you can carry it with you and access the info you need when you need it, quickly and reliably. The Bedside Pain Manager-2011 contains:

IV/PO Equianalgesic Chart Equation for Converting from One Opioid to Another Opioid Mu Agonist Opioid Analgesic Chart IV/IM and PO Duragesic Conversion Charts Transmucosal Fentanyl Chart and Cautions Controlled-release Analgesic Formulations Chart
Medication Data: Duration, Onset, Peak, Half-life, How Supplied Pros and Cons of the Different Analgesic Routes Naloxone (Narcan) Guidelines Meperidine and Methadone Data and Caution Adjuvant Med Charts NSAID Chart and topical formulations
Wong-Baker Faces Pain Rating scale Meds for Nausea, Agitation and Restlessness Drug Cost Guidelines 46 Pain Management Pearls plus notes and cautions Non-Drug Approaches to Consider Safety Precautions And More...
2011, Laminated, Finished Size 8-1/2 x 11, 10 pages, Pain Management Resources, LLC
8542
Bedside Pain Manager - 2011
$14.00
180
Charting
244 Behavioral Labels . . . . . . . . . . . . . . . . 245 Billing & Filing Labels . . . . . . . . . . . . . 226 Business Office . . . . . . . . . . . . . . . . . . 224 Cabinets & Carts . . . . . . . . . . . . . . . . . 210 Charge Labels . . . . . . . . . . . . . . . . . . . 228 Chart Dividers . . . . . . . . . . . . . . . . . . . 195 Chart Flaggs. . . . . . . . . . . . . . . . . . . . . 235 Chart Labels. . . . . . . . . . . . . . . . . . . . . 236 Chart Racks . . . . . . . . . . . . . . . . . . . . . 208 Clipboards . . . . . . . . . . . . . . . . . . . . . . 221 Color-Coding Tapes & Labels . . . . . . . 234 Computer Transport Stands . . . . . . . . 214 Computer Workstations . . . . . . . . . . . 216 Custom Chart Dividers . . . . . . . . . . . . 204 Custom Labels . . . . . . . . . . . . . . . . . . . 232 Dietary Labels . . . . . . . . . . . . . . . . . . . 242 Drawer-Store Charting System . . . . . 194 File Folders & Accessories. . . . . . . . . . 222 Infection Control Labels & Signs . . . . 248 Med/Treatment Record Systems . . . . 192 Medication/IV Labels . . . . . . . . . . . . . 246 Record Protectors/Pockets . . . . . . . . . 188 Reinforcers . . . . . . . . . . . . . . . . . . . . . 231 Ringbinders . . . . . . . . . . . . . . . . . . . . . 182 Spine Identification. . . . . . . . . . . . . . . 190 Transcription Labels . . . . . . . . . . . . . . 230 Visible File Trays . . . . . . . . . . . . . . . . . 220 Wall Desks . . . . . . . . . . . . . . . . . . . . . . 212 Wound Care Labels . . . . . . . . . . . . . . . 243
Allergies Labels . . . . . . . . . . . . . . . . . .
SIGN HERE
Ringbinders
Briggs Ringbinders
Briggs Premium Ringbinders are built to take a beating! They are made from a copolymer polypropylene and elastomer blend that is perfect when a balance of impact performance and exibility is required. And our rings are made from a tight-tting, heavy-gauge plated steel. So you get years of durable, functional performance no cracking, no breaking, no frustration guaranteed!
Jumbo Ringbinders (450-Page Capacity)

Top Open Side Open Ring Size: 2-1/2 Cover: 11-5/8H x 12-1/2W Spine: 3-1/2
Price Per Each 36-71
CHARTING
Ring Size: 2-1/2 Cover: 14-3/4H x 9-1/8W Spine: 3-1/2
Item #
1-35
72+
3"
2"
See Below
$16.40
$15.75
$14.95
Side Open 3-Ring
Color
Top Open 3-Ring
Burgundy Dark Blue Forest Grn Teal Mauve Mulberry Sage Terracotta
5130R3N 5230R3N 5330R3N 5830R3N 5930R3N 51130R3N 51230R3N
5135R3N 5235R3N 5335R3N 5835R3N 5935R3N 51135R3N 51235R3N 51335R3N 51435R3N
BRIGGS JUMBO RINGBINDERS HOLD 450 PAGES
Red
Colors are reproduced as close to true color as possible. Call 1.800.247.2343 to request FREE samples.
VS. "3-INCH" RINGBINDERS THAT HOLD 400 PAGES
Stores More. Costs Less.

Briggs Premium Ringbinders hold an average of 50 pages more than other brands. Compare that along with overall binder construction, hinge durability and product guaranteewith other ringbinders on the market today. Then choose the best product and value from Briggs .

ULTRAFlex
182
Ringbinders
Large Ringbinders (350-Page Capacity)

Top Open Ring Size: 2 Cover: 13-3/8H x 9-1/8W Spine: 2-3/4
BEST SELLER
Side Open Ring Size: 2 Cover: 11-5/8H x 11-1/8W Spine: 2-3/4

Price Per Each 36-71 72+
2"
2"
Item #
1-35
See Below
Top Open 3-Ring
$13.50
$12.85
$11.95
Color
2-Ring
5-Ring
Side Open 3-Ring 5-Ring
Burgundy 3130R2N 3130R3N 3130R5N Dark Blue Gray Plum Med Blue
3135R3N 3135R5N
3230R2N 3230R3N 3230R5N 3235R3N 3235R5N 3430R2N 3430R3N 3430R5N 3435R3N 3435R5N 3530R2N 3530R3N 3530R5N 3535R3N 3535R5N 3630R2N 3630R3N 3630R5N 3635R3N 3635R5N 3730R2N 3730R3N 3730R5N 3735R3N 3735R5N 3830R2N 3830R3N 3830R5N 3835R3N 3835R5N
Forest Grn 3330R2N 3330R3N 3330R5N 3335R3N 3335R5N
High volume and contract pricing available! Call me today for a quote!
Josh Miller Inside Sales Supervisor
Beige Teal Mauve Mulberry Sage Red
CHARTING
3930R2N 3930R3N 3930R5N 3935R3N 3935R5N 31130R2N 31130R3N 31130R5N 31135R3N 31135R5N 31230R2N 31230R3N 31230R5N 31235R3N 31235R5N 31430R2N 31430R3N 31430R5N 31435R3N 31435R5N
Terracotta 31330R2N 31330R3N 31330R5N 31335R3N 31338R5N
Our ringbinder charts take a lot of abuse, and they hold up really well. When I do need one replaced, I just call Briggs and they say, No problem. Briggs stands behind their products.

U LT RA Fl ex TWIN-HINGE
Dee Holland Health Care Capital/Park Manor Desoto, TX
The ULTRAFlex Twin-Hinge prevents cracks, breaks, or tears by distributing and minimizing stress.
Briggs Ringbinders
Other Similarly-Sized Ringbinders
Industry-Leading 5-Year Guarantee.

Were so condent in the quality and durability of our Briggs Premium Ringbinders and ULTRAFlex Twin-Hinge system that we will guarantee them against defects for a full 5-years. Return any defective product during the warranty term to receive full credit. Its that simple.
Folds Flat. Wont Tear.

The ULTRAFlex Twin-Hinge is an innovative design providing: Functionality folds back a full 360 for a solid, comfortable writing surface Durability resists splitting and tearing at the spine Value guaranteed to last 5 years or we will replace it!
ULTRAFlex
183
Ringbinders
Lower Pricing and the High Quality You Have Come to Depend On!
Briggs ringbinders have the exibility to withstand being ipped, twisted and turned during use, yet are strong enough to handle the daily hard knocks of being dropped, smashed or even run over by wheelchairs!
2"
1"
1"
1"
CHARTING
Medium Ringbinders (300-Page Capacity)

Top Open Ring Size: 1-1/2 Cover: 13-3/8H x 9-1/8W Spine: 2-1/8 Side Open Ring Size: 1-1/2 Cover: 11-5/8H x 11-1/8W Spine: 2-1/8
Small Ringbinders (175-Page Capacity)

Top Open Ring Size: 1 Cover: 13-3/8H x 9-1/8W Spine: 1-5/8 Side Open Ring Size: 1 Cover: 11-5/8H x 11-1/8W Spine: 1-5/8
Item #
1-35
72+
Item #
1-35
72+
See Below
Top Open 3-Ring
$12.60
$12.10
$11.40
See Below
$10.95
$10.75
$10.50
Side Open 3-Ring
Color
2-Ring
5-Ring
Side Open 3-Ring 5-Ring
Color
Top Open 3-Ring
Burgundy Dark Blue Gray Plum Med Blue Beige Teal Mauve Mulberry Sage
2130R2N 2130R3N 2230R2N 2230R3N 2430R2N 2430R3N 2530R2N 2530R3N 2630R2N 2630R3N 2730R2N 2730R3N 2830R2N 2830R3N 2930R2N 2930R3N
2130R5N
2135R3N 2135R5N
Burgundy Dark Blue Med Blue Mulberry Sage
6130R3N 6230R3N 6630R3N 61130R3N 61230R3N
6135R3N 6235R3N 6635R3N 61135R3N 61235R3N
2230R5N 2235R3N 2235R5N 2330R5N 2335R3N 2335R5N 2430R5N 2435R3N 2435R5N 2530R5N 2535R3N 2535R5N 2630R5N 2635R3N 2635R5N 2730R5N 2735R3N 2735R5N 2830R5N 2835R3N 2835R5N 2930R5N 2935R3N 2935R5N
Forest Grn 2330R2N 2330R3N
21130R2N 21130R3N 21130R5N 21135R3N 21135R5N 21230R2N 21230R3N 21230R5N 21235R3N 21235R5N
If you belong to an Ownership Group or Group Purchasing Organization, you may be eligible for special discounts. Call your Briggs Healthcare Representative today for details.
ULTRAFlex
184
Ringbinders
The BactiX Advantage

Disrupts the growth of harmful germs with the power of a unique blend of natural antimicrobials Continuous protection against odors, molds and stains, as well as gram-positive and gram-negative bacteria such as E. coli and Staph Blended into the composition of the product, not just a coating
Shields Against Odors, Molds, Stains and Other Bacteria
Including Staph and E.coli
Effective for lifetime of the product Part of a healthier workplace when used in conjunction with routine cleaning and education
with
B a c t i X p ro te c t i o n
aga i n
Without BactiX
st ge
rms
Harmful bacteria on binder surface
Jumbo Ringbinders (450-Page Capacity)

Top Open Ring Size: 2-1/2 Cover: 14-3/4H x 9-1/8W Spine: 3-1/2
Item # Description
with
Large Ringbinders (350-Page Capacity)

Top Open Ring Size: 2 Cover: 13-3/8H x 9-1/8W Spine: 2-3/4
Item # Description
with
CHARTING
Side Open Ring Size: 2-1/2 Cover: 11-5/8H x 12-1/2W Spine: 3-1/2
Price Per Each

Price Per Each
See Below
Jumbo Ringbinders
Top Open 3-Ring
$23.40
Side Open 3-Ring
See Below
Large Ringbinders
Top Open 3-Ring Top Open 5-Ring
$20.30
Side Open 3-Ring
Color
Color
Burgundy Dark Blue Forest Green Teal Mauve Mulberry Sage Black
5130R3B 5230R3B 5330R3B 5830R3B 5930R3B 51130R3B 51230R3B 51530R3B

with
Burgundy Dark Blue Forest Green Teal Mauve Mulberry Sage Black
3135R3B
with
3130R5B
Medium Ringbinders (300-Page Capacity)

Side Open Ring Size: 1-1/2 Cover: 11-5/8H x 11-1/8W Spine: 2-1/8
Item # Description
Small Ringbinders (175-Page Capacity)

Price Per Each Item # Description
Price Per Each
See Below
Medium Ringbinders
$19.30
Side Open 3-Ring
See Below
Small Ringbinders
$17.50
Side Open 3-Ring
Color
Color
Burgundy
ULTRAFlex
2135R3B
Burgundy
6135R3B
185
Ringbinders
Economy Poly Ringbinders

Full 1-Year Warranty Briggs most economical ringbinder Durable, 55-pt. polyethylene ringbinders 1 ring size stores approximately 125 pages Side-open style available with 3 rings Top-open style available with 2 rings or 3 rings
Side Open
Item # Description 1 Price Per Each 72 240+
Top Open
Ring Size: 1 Cover: 12-1/2H x 9-1/8W Spine: 1-1/2
5618 5619 5620 Top Open

Item #
Blue, 3-Ring Emerald Green, 3-Ring Mauve, 3-Ring
$8.95 $8.95 $8.95
$8.50 $8.50 $8.50
$7.95 $7.95 $7.95
1"
1"
Side Open
Ring Size: 1 Cover: 11-5/8H x 10-1/8W Spine: 1-1/2
Description
Price Per Each 72 240+
5603 5604 5605 5606 5607 5608
Blue, 2-Ring Emerald Green, 2-Ring Mauve, 2-Ring Blue, 3-Ring Emerald Green, 3-Ring Mauve, 3-Ring
$8.95 $8.95 $8.95 $8.95 $8.95 $8.95
$8.50 $8.50 $8.50 $8.50 $8.50 $8.50
$7.95 $7.95 $7.95 $7.95 $7.95 $7.95
CHARTING
Briggs Reinforcers are a Repair Kit in your Charts!
BEST SELLER
Roll and Sheet Reinforcers

Pre-cut Polypropylene strip tape helps prevent page tear-out and repairs damaged hole punching Works with standard hole punching sizes for multi-punched forms Available in sheets for insertion into ringbinder charts and rolls Available in top-punched (ts 8-1/2 page) and side-punched (ts 11 page)
Price Per Pack (100/pk) 6 12 48
Item #
Description
Sheets L-5202 11 Side Punch L-5203 8-1/2 Top Punch
$9.45 $7.80
$9.30 $7.50
$9.00 $7.15
$8.60 $6.80
Item #
Description
Price Per Box 6 12
48
I have been using Briggs Reinforcers for many years. They help keep our records intact and prevent them from falling out of the charts. At one point, we hadnt ordered enough and we had to ght for them. We would beg, borrow and steal for them!
Rolls L-5200 11 Side Punch (100/bx) $9.45 L-5201 8-1/2 Top Punch (100/bx) $7.80 L-5205 8-1/2 Top Punch, 2-Hole (250/bx) $10.80
$9.30 $9.00 $8.60 $7.50 $7.15 $6.80 $10.25 $10.00
Need a closer look? Call 1.800.247.2343 to request FREE samples.
Marie Otwoli Van Rensselaer Manor Nursing FacilityTroy, NY
186
Ringbinders
Clearly Identify your Binders with Custom Printing

Imprint your facility name, logo, department names, manual titles, etc., on Briggs 1-1/2, 2 or 2-1/2 ringbinders. The imprint you choose can be hot-foil stamped on the recessed areas of the front cover and/or the spine. Imprint colors available: white, black and gold. Call your Briggs Healthcare Representative for a quote today!
Pre-Printed Side-Open Ringbinders

Full 1-Year Warranty (includes ring hardware) Durable 100-gauge poly cover Title is hot-foil stamped on spine and front cover 3-ring style with safety-booster triggers
Item # Description Ring Size Price Per Each
CHARTING
115512N 115514N 115516N 115517N 115518N 115519N
Care Plan Care Plan MDS Assessment MDS Assessment MSDS MSDS
2 2-1/2 2 2-1/2 2 2-1/2
$15.85 $17.20 $15.85 $17.20 $15.85 $17.20

MDS Assessments: Dark Blue MSDS: Forest Green Care Plan: Teal
Ringbinder Sheet Lifters
Clean-Ease Chart Cover Cleaner

Helps to relieve stress on forms when turning or guiding the pages over the rings 2 white sheet lifters per set
Special spray and wipe, non-residue formula cleaner For ringbinders, spring-loaded charts, clipboards, poly chart dividers and record protectors
Item # Description
Price Per Pack (12 sets/pk) 3 6 12
20
Item #
Description
Price Per Each 1 12
5575 5576
11 x 5, For Side Open 8-1/2 x 5, For Top Open
$12.20 $11.70 $11.45 $10.35 $12.20 $11.70 $11.45 $10.35
$9.45 $9.45
7000
16-oz. Spray Bottle
$14.75
$13.40
187
Record Protectors/Pockets
Protects Important Records from Loss or Damage

Missing or damaged documentation can put your patients/residents and your organization at risk! Protect critical documents with Briggs Record Protectors!

Advance Directives Consent Forms Authorization & Release Forms Medication Administration Forms And more!
Briggs Record Protectors feature:

Universal hole punching ts 2-, 3- or 5-ring binders An array of colors to color-code key documents A variety of congurations for odd shaped records Heavy vinyl construction for long, dependable wear
For use with top-open ringbinders. Standard 5-hole top punch.
For Use with Top-Open Ringbinders

Item # Description 1 Price Per Pack (12/pk) 6 12 20
CHARTING
BEST SELLER
5432
5423
5422
5421
For use with side-open ringbinders. Standard 7-hole side punch.
Top-Open Pocket 5432 5432RD 5432BL 5432YW Side-Open Pocket 5423 5423RD 5423BL 5423YW
Clear Red Blue Yellow Clear Red Blue Yellow
$17.95 $19.75 $19.75 $19.75 $17.95 $19.75 $19.75 $19.75
$16.95 $18.55 $18.55 $18.55 $16.95 $18.55 $18.55 $18.55
$16.10 $17.40 $17.40 $17.40 $16.10 $17.40 $17.40 $17.40
$15.60 $16.85 $16.85 $16.85 $15.60 $16.85 $16.85 $16.85
BEST SELLER
For Use with Side-Open Ringbinders

Item # Description 1 Price Per Pack (12/pk) 6 12 20
5462
5426
5425
5424
Item #
Description
Price Per Pack (12/pk) 6 12
20
5432 5423 5422 5421 5462 5426 5425 5424
1-Pocket, Top Open 1-Pocket, 8-1/2 x 11 2-Pocket, 5-1/2 x 8-5/8 3-Pocket, 3-1/2 x 8-5/8 1-Pocket, Top Open 1-Pocket, 8-1/2 x 11 2-Pocket, 5-1/2 x 8-5/8 3-Pocket, 3-1/2 x 8-5/8
$17.95 $17.95 $18.70 $21.85 $17.95 $17.95 $18.70 $21.85
$16.95 $16.95 $17.45 $21.10 $16.95 $16.95 $17.45 $21.10
$16.10 $16.10 $16.65 $20.45 $16.10 $16.10 $16.65 $20.45
$15.60 $15.60 $15.95 $19.80 $15.60 $15.60 $15.95 $19.80
Top-Open Pocket 5462 Clear 5462RD Red 5462BL Blue 5462YW Yellow Side-Open Pocket Clear 5426 5426RD Red 5426BL Blue 5426YW Yellow
$17.95 $19.75 $19.75 $19.75 $17.95 $19.75 $19.75 $19.75
$16.95 $18.55 $18.55 $18.55 $16.95 $18.55 $18.55 $18.55
$16.10 $17.40 $17.40 $17.40 $16.10 $17.40 $17.40 $17.40
$15.60 $16.85 $16.85 $16.85 $15.60 $16.85 $16.85 $16.85
188
Record Protectors/Pockets
BEST SELLER
9-2/5"W x 4-7/10"L 3-7/10"W x 2-1/5"L
6"W x 4"L Ideal size for digital photos!
4-4/5"W x 4"L
4-3/10"W x 4-3/10"L
5417 8-4/5"W x 4-3/5"L
5415 5715 4267 5710
Self-Adhesive Photo Pockets

5419
Self-adhesive vinyl backing Clear front

CHARTING
Multi-Purpose Self-Adhesive Collection Pockets
Item #
Size (W x L)
20
4267
4-4/5 x 4
$16.95
$16.35
$15.85
$15.45
$14.90
Easy-to-apply pockets are ideal for storing odd-sized notes, pictures and documents that cannot be secured in the rings of a chart Reinforced, heat-sealed vinyl front with self-adhesive backing Clear, see through front, black back
Item #
Size (W x L)
5710 5715
4-3/10 x 4-3/10 6 x 4
$12.30 $13.70
$10.95 $11.45
Item #
Description
20
Collection Pockets 5417 For Side Open 5419 For Top Open Charge Card Pocket 5415 Charge Card Pocket
$24.20 $24.20 $16.40
$22.30 $22.30 $15.80
$21.75 $21.75 $15.25
$21.20 $21.20 $14.80
Ident-A-Pocket Record Protectors with Insert Cards

Provides identication and faster access to important documents Stores an 8-1/2 x 11 page and has a heat-sealed, 1 x 4 pocket for an identication card Each Ident-A-Pocket comes with additional insert cards Replacement blank insert cards are sold separately
Item #
Description
20
5450 5451
Item #
For Top Open For Side Open

Description
$19.95 $19.95
$19.20 $19.20
$18.35 $18.35
$17.85 $17.85
Price Per Pack (10 sheets/pk)
5452
Replacement Insert Cards, 10 cards/sheet
$5.95
189
Spine Identication
BEST SELLER
L-3560
5717
5717
Economy Room Number Clips and Labels

L-5073
Stainless-steel clip ts on spine of all Briggs ringbinders Use with blank or printed, white, removable, adhesive labels (listed below)
5641 Simplify changing identification on charts!
Item #
Description
20
5717
Clips
$15.70
$15.25
$14.90
$14.40
$13.65
Item #
Description
Self-Adhesive Spine ID Pockets

L-3560
Printed Room Number Label, 1-2/5W x 1-1/2L

Description
$9.50
$9.35
$9.30
CHARTING
Item #
Price Per Roll (1000/rl)
Allows for maximum exibility and color-coding options 5639 ts Briggs small ringbinders; 5640 and 5641 t Briggs small, medium, large and jumbo ringbinders All 3 styles feature black vinyl self-adhesive back

L-5073
Blank Room Number Label, 1-1/2W x 1L
$11.50
Item # Description 1 Price Per Each 6 12 20
Slide Signal Alerts

Full 1-Year Warranty Features 5 highly visible colors (red, yellow, blue, orange and green) Made from durable, high-impact black plastic Permanently attached to a stainless steel clip that ts over the spine of Briggs ringbinders Size: 1-1/2W x 2-1/4L
5639 5640 5641
4/5 x 5-1/2 1-2/5 x 3-1/2 1-3/10 x 5-2/5
$16.95 $15.50 $14.90 $16.95 $15.50 $14.90 $16.95 $15.50 $14.90
$14.45 $14.45 $14.45
Item #
Description
36
Price Per Each 72 144
Spine ID Insert Cards

240

5786
Clip-On
$6.95
$6.15
$5.80
$5.45
$4.95
Deluxe Room Number Clips & Plaques
Clips measure 1-1/4 x 1-1/4 and are mounted on stainless-steel spring clips Fits on spine of Briggs small, medium, large and jumbo ringbinders Self-adhesive plaques are available in 2 sizes: 1 x 2 and 1-1/4 x 1-1/4 Note: A listing of exact room numbers is required Minimum order quantity is 15
Designed to work with pockets 5639, 5640 and 5641 Cards are printed with Resident or Patient titles Cards for pockets 5640 and 5641 are designed to be folded to provide a secure t in the spine pocket Constructed of rigid card stock
See Below
Spine Identication Insert Cards
$10.95
Compatibility Chart
Compatible Description Gray White Pink Color Yellow Blue Green Red
5639
Item #
Description
15
5640
240
5716DS
Item #
Clips, 1-1/4W x 1-1/4L

Description
$4.20
$4.10
$3.85
$3.40
5641
Price Per Each
612300DS Plaque, 1W x 2L 612301DS Plaque, 1-1/4W x 1-1/4L
$4.50 $4.50
1/2W x 5-1/8L Patient Resident 2-1/2W x 3-1/2L Patient Resident 2W x 5L Patient 1473 Resident 1473NH Resident/ Allergies 1373NH
7484 7484NH 1464 1464NH
1466NH
1474 1475 1476 1477 1478 1479 1474NH 1475NH 1476NH 1477NH 1478NH 1479NH 1374NH 1375NH 1376NH 1377NH 1378NH 1379NH
190
Spine Identication
BEST SELLER
Roll Chart ID Labels

Patient, Resident and blank labels: 1-3/8 W x 5-3/8L on a 1 core with removable adhesive Blank labels for smaller charts: 3/4W x 5-3/8L on a 1 core with removable adhesive
Price Per Roll (200/rl) 12 36 72
Roll Chart ID Dispenser

L-2520
Chart ID Label Dispenser
$43.50
Description
144
All Patient Chart Labels All Resident Chart Labels All Blank Chart Labels 3/4 x 5-3/8 Blank Chart Labels
$9.95 $9.45 $9.95 $9.45 $9.95 $9.45 $8.30 $7.95
$9.15 $8.95 $9.15 $8.95 $9.15 $8.95 $7.65 $7.40
$8.40 $8.40 $8.40 $7.10
Color
Patient
Label Type Item # Resident Blank
Sm Blank
White Light Blue Red Yellow Green Pink Orange Tan Lavender Aqua Lime Gray Rose Blue Violet Silver Salmon
L-3500 L-3501 L-3502 L-3503 L-3504 L-3506 L-3507 L-3508 L-3509 L-3510 L-3511 L-3515 L-3516 L-3517 L-3521 L-3522 L-3523
L-3500NH L-3501NH L-3502NH L-3503NH L-3504NH L-3506NH L-3507NH L-3508NH L-3509NH L-3510NH L-3511NH L-3515NH L-3516NH L-3517NH L-3521NH L-3522NH L-3523NH
L-3505 L-3524 L-3526 L-3527 L-3528 L-3529 L-3536 L-3537 L-3538 L-3539 L-3540 L-3541 L-3542 L-3543 L-3546 L-3548 L-3550
L-3530 L-3531 L-3532 L-3533 L-3534
Computer Pinfeed Chart ID Labels

CHARTING

Print patient chart labels quickly using the Briggs Patient-titled pinfeed labels Label size: 1-3/8W x 5-3/8L with removable adhesive
Item #
Color
L-3575 L-3576 L-3577 L-3578 L-3579
White Light Blue Red Yellow Green
$30.50 $30.50 $30.50 $30.50 $30.50
$28.80 $28.80 $28.80 $28.80 $28.80
$27.80 $27.80 $27.80 $27.80 $27.80
$25.85 $25.85 $25.85 $25.85 $25.85
Colors are reproduced as close to true color as possible.
Blank Laser Chart ID Labels

Briggs Laser Chart ID Labels let you choose what information is printed, allowing you to customize the information to fall within the guidelines of your HIPAA compliance program. Label size: 1-3/8W x 5-1/8L Constructed of a standard laser/inkjet stock Laser compatible permanent adhesive Labels are packaged 10 labels per sheet
Item #
Color
Price Per Pack (50 sheets/pk) 5 10 20
L-3580 L-3581 L-3582 L-3583 L-3584
White Light Blue Red Yellow Green
$27.95 $27.95 $27.95 $27.95 $27.95
$26.50 $26.50 $26.50 $26.50 $26.50
$25.30 $25.30 $25.30 $25.30 $25.30
$24.75 $24.75 $24.75 $24.75 $24.75
191
Med/Treatment Record Systems
Med/Treatment Record Poly Ringbinders

Full 1-Year Warranty (includes ring hardware) 3-ring style with safety-booster triggers Available in side- and top-open styles Titles are hot-foil stamped on spine and front cover Large size has 2 rings Jumbo size has 2-1/2 rings
See Below See Below
Large (25 Resident Capacity) Jumbo (40 Resident Capacity)

Side Open 3-Ring
$15.85 $17.20
Top Open 3-Ring
Description
Color
Large, Med Record Large, Treatment Record Jumbo, Med Record Jumbo, Treatment Record
Mauve Burgundy Mauve Burgundy
115500N 115502N 115508N 115510N
115501N 115503N 115509N 115511N
Pre-Printed and Blank Pull-Flag Alerts

Pull-Flag Divider Sheets Without Index Tabs

CHARTING
Designed to be used with Med Record ringbinders Durable polyethylene alerts hook securely on dividers with alert slots
Pre-punched to accommodate 2-, 3- and 5-ring binders Pre-cut slots accommodate up to 5 Pull-Flag Alerts Available in top- and side-punch styles Constructed of durable white poly
Item #
Color
20
Item # Description
12
144
240
Blank 5468 Green 5470 Red 5472 Orange 5474 Gold 5469 Yellow 5471 Pink 5473 Light Blue Pre-Printed See Chart Below Pre-Printed Titles Available
Item # Description
5407 5406
Top Punch Side Punch
$1.35 $1.35
$1.30 $1.30
$1.25 $1.25
$1.20 $1.20
$1.15 $1.15
$1.10 $1.10
$6.30 $6.30 $6.30 $6.30 $6.30 $6.30 $6.30 $7.75
$6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $7.40
$5.75 $5.75 $5.75 $5.75 $5.75 $5.75 $5.75 $6.95
$5.45 $5.45 $5.45 $5.45 $5.45 $5.45 $5.45 $6.60
$5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $6.35
BEST SELLER Roll and Sheet Reinforcers
Protect vital med sheets with Briggs Reinforcers
Color
5509 5402B 5503 5403 5401 5404 115413 115410 5527 5408 5502 5504 5405 115412 5427 115414 115411 5500
Medication Orders Doctor Alert Doctors Orders Doctors Orders (Routine) Doctors Order (Stat) Doctor Please Sign Order Medication Order Missed Medication Missed Medication New Orders NPO/Hold Nurses Alert Nurse To P.R.N. Given Re-Order Medication Signature Needed Unusual Hour Drug Unusual Hour Administration
Gold Gold Red Green Red Orange Red Gold Red Red Pink Yellow Yellow Light Blue Orange Yellow Green Gold
Item # Description

See page 186 for complete offering.
$9.45 $7.80
$9.30 $7.50
$9.00 $7.15
$8.60 $6.80
We use the Briggs strips for ALL of our medical documents. Weve found that one of the best uses is for our medication and treatment sheets. The poly strip keeps these important documents from tearing. Whoever thought these up, we thank you."
Linda Bailey, Medical Purchasing Coordinator Evangelical Manor Philadelphia, PA
192
Med/Treatment Record Systems
Ideal size for digital photos! 5715 5710

Size: 6"W x 4"L
BEST SELLER
4267
Size: 4-3/10"W x 4-3/10"L Size: 4-4/5"W x 4"L


Item # Size (W x L) 1 Price Per Pack (12/pk) 3 6 12 20
Medication Distribution Cabinet

4267
4-4/5 x 4
$16.95 $16.35 $15.85 $15.45 $14.90

Durable, all-steel construction Double lock security makes cabinet suitable for the storage of Class II drugs Each lock is keyed differently and is supplied with 3 keys Cabinet includes 1 xed shelf and storage compartment for blister packs Door folds down manually providing a writing or medication preparation surface
Item # Color Size (H x W x D) Price Per Each
Item #
Size (W x L)
5710 5715
4-3/10 x 4-3/10 6 x 4
$12.30 $13.70
$10.95 $11.45
CHARTING
BEST SELLER
115421 115415 115451
5852
Beige
18 x 14 x 3-1/2
$215.95
5532 9-Tab Set
Med Record Poly Chart Dividers

5534 11-Tab Set
Blank Poly Chart Divider Sets

Full 3-Year Warranty Colors: white (not slotted), light blue, yellow, green, red, gold, orange, dark blue and gray (11th cut also pink and tan) Available in bottom tab with 5-hole punch at top, or side tab with 7-hole punch at side 9- or 11-tab sets of durable poly Sold in individual sets
Price Per Set 100 200
Full 3-Year Warranty All white, durable poly Available in side- or bottom-tab styles Both 5-tab and 9-tab divider sets have die-cut slots on each divider to accommodate Pull-Flag Alerts 5th-cut set has a small pocket on each tab to insert a card to identify with patient/resident name, room number or bed number (insert cards sold separately) Economical 9-tab set does not have insert pockets on the tabs Sold in individual sets
Item #
Description
50
350
500
5th-Cut Poly 115402 Side Tab 115421 Bottom Tab

Item # Description
$12.90 $12.90
9-Tab Set 5532 Bottom Tab 5533 Side Tab 11-Tab Set 5534 Bottom Tab 5535 Side Tab
$8.30 $8.30
$7.95 $7.95
$7.35 $6.85 $6.60 $5.95 $7.35 $6.85 $6.60 $5.95 $7.95 $7.95 $7.65 $6.85 $7.65 $6.85
115451
Insert Cards for Tab Pockets
$5.50
Price Per Set 6 12
$9.40 $8.95 $8.55 $9.40 $8.95 $8.55
Item #
Description
9th-Cut Poly 115415 Bottom Tab 115416 Side Tab
$15.35 $15.35
$14.30 $14.30
$12.55 $12.55
193
Drawer-Store Charting System
Briggs Drawer-Store Charting System For Use with Conventional Locking File Cabinets
Drawer-Store Ringbinders

Full 1-Year Warranty 250-page capacity Durable, 75-gauge, polyethylene, 3-ring, side-open style ringbinder Safety-trigger boosters for easy opening and closing Sheet lifters included These ringbinders are made to accommodate side-hole punched, bottom-tab dividers Measures 10-1/2W x 11-3/4H; 1-1/2 ring
1 1/2" Ring Item # Color 1
5602 5682 5599
Blue Red Green
$13.60 $13.60 $13.60
$12.85 $12.85 $12.85
$12.40 $12.40 $12.40
CHARTING
Drawer-Store Home Care Divider Sets

Side-hole punched, bottom-tab paper dividers made specically to t into the Briggs Drawer-Store ringbinders Each divider is made of sturdy 100 lb. ledger-stock paper with mylar reinforced tabs and holes for extra durability Sold 25 sets per box*
Item #
Description
25
Price Per Set (25 sets/bx)* 50 100 250
500
5659 5660
10-Tab Set 11-Tab Set
$3.45 $3.70
$3.00 $3.60
$2.95 $3.35
$2.70 $2.80
$2.30 $2.50
5659 10-Tab Set
5660 11-Tab Set
Magnetic File Holder

Full 1-Year Warranty Keeps home chart and patient education materials safe and secure on the refrigerator The 10 x 13-1/2 vinyl le easily holds a 9 x 12 folder Includes a small business card pocket and a larger card pocket with a pre-printed card to indicate emergency numbers, doctors name, etc. Full magnetic back secures to refrigerator or le cabinet
Item #
Description
240
5453
Item #
File Holder
Description
$11.50
$9.95
$9.80
$9.25
5453-1
Insert Card
$3.45
194
Chart Dividers
Home Care and Hospice Chart Divider Sets

Available in cost-effective 100-lb paper, space-saving Tyvek or durable poly First poly divider pre-slit to accommodate Pull-Flag Alerts Poly tab titles are hot-foil stamped for long wear and high visibility Paper and Tyvek tabs are color coded and mylar reinforced
Pre-punched to accommodate 2-, 3- and 5-ring binders Paper sets have mylar reinforced holes to prevent tearing Poly sets come with a Full 3-Year Warranty Poly sold in individual sets Paper and Tyvek are sold 25 sets per box*
Home Care/Hospice 14-Tab Divider Sets

Item # Description 25 Price Per Set (25 sets/bx)* 50 100 250 500
Home Care Divider Sets

10-Tab Divider Sets
$2.95 $2.95
470 471
Paper, bottom tab Paper, side tab
$4.60 $4.60
$4.45 $4.45
$4.15 $4.15
$3.50 $3.50
Hospice 14-Tab Divider Sets

457 458 459 460
Paper, bottom tab Paper, side tab Tyvek, bottom tab Tyvek, side tab
$3.45 $3.45 $7.25 $7.25
$3.15 $3.15 $7.10 $7.10
$2.95 $2.95 $6.70 $6.70
$2.70 $2.70 $5.95 $5.95
$2.30 $2.30 $5.15 $5.15
435 436 461 462
$4.60 $4.60 $9.75 $9.75
$4.45 $4.45 $9.60 $9.60
$4.15 $4.15 $9.40 $9.40
$3.50 $3.50 $7.95 $7.95
$2.95 $2.95 $6.90 $6.90
Full 3-Year Warranty Item # Description
50
350
500
5675 5676
Poly, bottom tab $10.45 Poly, side tab $10.45
$9.85 $9.85
$9.40 $9.40
$9.10 $9.10
$8.60 $8.60
$7.75 $7.75
14-Tab Divider Sets

Item # Description 25 Price Per Set (25 sets/bx)* 50 100 250
CHARTING
500
Need to customize a chart divider? Affordably priced solutions available in paper, Tyvek and poly. See pages 205-207 for details.
628 629 638 639
$4.60 $4.60 $9.75 $9.75
$4.45 $4.45 $9.60 $9.60
$4.15 $4.15 $9.40 $9.40
$3.50 $3.50 $7.95 $7.95
$2.95 $2.95 $6.90 $6.90
50
350
500
5429 5430
Poly, bottom tab $14.65 $14.30 $13.30 $12.50 $11.85 $10.85 Poly, side tab $14.65 $14.30 $13.30 $12.50 $11.85 $10.85
470 Paper 14-Tab Set
435 Paper 14-Tab Set & 461 Tyvek 14-Tab Set
5675 Poly 10-Tab Set
195
Chart Dividers
Briggs Dividers Keep Your Records Readily Accessible and Systematically Organized
Long-Term Care
20-Tab CDS Divider Sets
550 551
$6.80 $6.80
$6.60 $6.60
$6.15 $6.15
$5.20 $5.20
$4.45 $4.45
ag Federal T #F514
As noted in the Federal Tag #F514: The facility must maintain clinical records on each resident in accordance with accepted professional standards and practices that are (i) Complete; (ii)Accurately documented; (iii)Readily accessible; and (iv) Systematically organized.
12-Tab Divider Sets (2 Equal Rows of 6)

500 Item # Description 25 Price Per Set (25 sets/bx)* 50 100 250 500
CHARTING
Item # Description
25
600 601
$4.15 $4.15
$3.95 $3.95
$3.80 $3.80
$3.00 $3.00
$2.80 $2.80
507 508
$4.60 $4.60
$4.45 $4.45
$4.15 $4.15
$3.50 $3.50
$2.95 $2.95
50
350
500
50
350
500
5581 5582
Poly, bottom tab $12.55 $11.80 $11.35 $10.95 $10.00 Poly, side tab $12.55 $11.80 $11.35 $10.95 $10.00
$9.20 $9.20
5495 5496
Poly, bottom tab $14.65 $14.30 $13.30 $12.50 $11.85 $10.85 Poly, side tab $14.65 $14.30 $13.30 $12.50 $11.85 $10.85
5495 Poly 14-Tab Set
196
Chart Dividers
Long-Term Care Dividers In Convenient, Pre-Assembled Sets

Available in cost-effective 100-lb paper, space-saving Tyvek or durable poly First poly divider pre-slit to accommodate Pull-Flag Alerts Poly tab titles are hot-foil stamped for long wear and high visibility Paper and Tyvek tabs are color coded and mylar reinforced Pre-punched to accommodate 2-, 3- and 5-ring binders Paper sets have mylar reinforced holes to prevent tearing Poly sets come with a Full 3-Year Warranty Poly sold in individual sets Paper and Tyvek are sold 25 sets per box*
9-Tab Divider Sets

412 416 421 422
$3.00 $3.00 $6.50 $6.50
$2.90 $2.90 $5.95 $5.95
$2.70 $2.70 $5.40 $5.40
$2.30 $2.30 $4.75 $4.75
$2.00 $2.00 $4.35 $4.35
11-Tab Divider Sets

CHARTING
502 498 497 494
$3.70 $3.70 $8.10 $8.10
$3.60 $3.60 $7.35 $7.35
$3.35 $3.35 $6.95 $6.95
$2.80 $2.80 $5.95 $5.95
$2.50 $2.50 $5.45 $5.45
50
350
500
5413 5412
Poly, bottom tab Poly, side tab
$11.45 $11.45
$10.95 $10.95
$10.50 $10.50
$10.00 $10.00
$9.45 $9.45
$8.60 $8.60

477 478 443 444
$5.55 $5.55 $11.95 $11.95
$5.35 $5.35 $11.15 $11.15
$4.95 $4.95 $10.30 $10.30
$4.15 $4.15 $9.00 $9.00
$3.65 $3.65 $8.15 $8.15
50
350
500
5489 5490
$16.70 $16.70
$15.90 $15.90
$15.25 $15.25
$14.40 $14.40
$13.50 $13.50
$12.45 $12.45
BRIGGS SPECIALIZES IN CUSTOMIZED TABS AND TAB SETS All of Briggs custom dividers are available in paper, Tyvek and poly. Contact a Briggs Healthcare Custom Representative at 1.800.247.2343, ext. 4555, or see pages 205-207 for details.

YOU
R TE HERE XT
5412 Poly 11-Tab Set 494 Tyvek 11-Tab Set 412 Paper 9-Tab Set 477 Paper 16-Tab Set
197
Chart Dividers
Briggs Assisted Living Divider Sets
Available in cost-effective 100-lb paper, space-saving Tyvek or durable poly First poly divider pre-slit to accommodate Pull-Flag Alerts Poly tab titles are hot-foil stamped for long wear and high visibility Paper and Tyvek tabs are color coded and mylar reinforced Pre-punched to accommodate 2-, 3- and 5-ring binders Paper sets have mylar reinforced holes to prevent tearing Poly sets come with a Full 3-Year Warranty Poly sold in individual sets Paper and Tyvek are sold 25 sets per box*
Assisted Living
11-Tab Divider Sets
Item # Description

25
500
CHARTING
425 426 643 644
$4.15 $4.15 $8.85 $8.85
$3.95 $3.95 $8.30 $8.30
$3.80 $3.80 $7.55 $7.55
$3.15 $3.15 $6.95 $6.95
$2.80 $2.80 $6.00 $6.00
50
350
500
5436 5437
$12.55 $12.55
$12.10 $12.10
$11.40 $11.40
$10.95 $10.95
$10.25 $10.25
$9.55 $9.55
File of Life Magnetic Packet
Magnetic, red vinyl packet contains a medical information card providing vital information that EMTs need to know about an individuals condition and/or medication Lists the individuals name, emergency medical contact, insurance policy, Social Security number, health problems, medications, dosages, allergies, recent surgery, religion and a health care proxy Comes with 1 medical information card Replacement cards available
Item # Description
50
500
5458 5459
Magnetic Packet Replacement Card
$1.50 $0.45
$0.40
$1.45 $0.35
$1.30
$1.10
11-Tab Set 5437 Poly
11-Tab Set 425 Paper
198
Chart Dividers
Count on Briggs for All of Your Acute Care Chart Divider Needs!
Available in cost-effective 100-lb paper, space-saving Tyvek or durable poly First poly divider pre-slit to accommodate Pull-Flag Alerts Poly tab titles are hot-foil stamped for long wear and high visibility Paper and Tyvek tabs are color-coded and mylar reinforced Pre-punched to accommodate 2-, 3- and 5-ring binders Paper sets have mylar reinforced holes to prevent tearing Poly sold in individual setsFull 3-Year Warranty Paper and Tyvek are sold 25 sets per box*
Acute Care
9-Tab Divider Sets
411 415
$3.00 $3.00
$2.90 $2.90
$2.70 $2.70
$2.30 $2.30
$2.00 $2.00
11-Tab Divider Sets

CHARTING
501 499 496 495
$3.70 $3.70 $8.10 $8.10
$3.60 $3.60 $7.35 $7.35
$3.35 $3.35 $6.95 $6.95
$2.80 $2.80 $5.95 $5.95
$2.50 $2.50 $5.45 $5.45
50
350
500
5420 5418
$11.45 $11.45
$10.95 $10.95
$10.50 $10.50
$10.00 $10.00
$9.45 $9.45
$8.60 $8.60
A-Z Poly Divider Sets

Full 3-year warranty Durable, white poly with black letters, hot-foil stamped for long wear and high visibility 26 tabs (2 equal banks of 13 tabs) Available in bottom tab with 5-hole top punch; or side tab with 7-hole side punch Sold in individual sets
5416 5414
Bottom Tab Side Tab
$18.55 $18.55
9-Tab Set 415 Paper
11-Tab Set 5418 Poly
11-Tab Set 495 Tyvek 9-Tab Set 411Paper 11-Tab Set 496 Tyvek 11-Tab Set 5420 Poly
199
Chart Dividers
Physicians Chart Divider Set

BEST SELLER
7-Tab Divider Sets
7-tab set constructed of cost-effective 100-lb paper Color-coded tabs for higher visibility Mylar-reinforced tabs and holes for added durability Size: 8 1/2 x 11 with 1/2 tab extension Pre-punched to accommodate 2-, 3- and 5-ring binders Sold 25 sets per box*
922 Paper 7-Tab Set
922 900
$2.55 $2.55
$2.45 $2.45
$2.10 $2.10
$1.95 $1.95
$1.75 $1.75
SureFile-Style Physicians Chart Divider Set
1154
1155
1156
1157
1158
Admission Dividers
CHARTING

Provides easy reference to each admission Dividers separate re-admissions in serial-unit records Sturdy ledger paper with color-coded mylar reinforced tabs differentiate each admission Dual tab titles on front and back reduce inventories Side tab, 2-hole punch at top, side and bottom to t all open-shelf le systems Sold 25 sets per box*
Price Per Tab (25 tabs/bx)* 50 100 250
Mylar reinforcing on tabs and slots for added durability The same tab titles, colors and tab order as Briggs Physicians 7-tab Divider Set 922 7 tab set with top fastener and bottom tabs 2 fastener slots on scored ap top Overall size: 8-1/2W x 12-3/8L (includes 7/8 top ap and 3/8 bottom-tab extension) 110 lb. ivory stock 2 heat-bonded metal fasteners
Item #
Description
25
1154 1155 1156 1157 1158
1st/10th Admission 2nd/9th Admission 3rd/8th Admission 4th/7th Admission 5th/6th Admission
$0.65 $0.65 $0.65 $0.65 $0.65
$0.60 $0.60 $0.60 $0.60 $0.60
$0.55 $0.55 $0.55 $0.55 $0.55
$0.50 $0.50 $0.50 $0.50 $0.50
Item #
Description
25
500
922S
Phy SureFile
$3.35
$3.15
$3.00
$2.75
$2.50
Blank Paper Divider Sets

BEST SELLER
5-tab set of sturdy white, 100 lb. ledger paper Available in bottom or side tab with standard 5-hole punch; mylar-reinforced holes for longevity Tab titles can be indicated with ballpoint pen, pencil or marker Actual size: 8-1/2 x 11 with 1/2 tab extension
Price Per Set (25 sets/bx) 50 100 250
560
Item # Description
25
500
560 561 560R 561R
Bottom Tab Side Tab Reinforced, Bottom Tab Reinforced, Side Tab
$1.90 $1.90 $2.30 $2.30
$1.70 $1.70 $2.00 $2.00
$1.55 $1.55 $1.90 $1.90
$1.35 $1.35 $1.75 $1.75
$1.25 $1.25 $1.60 $1.60
560R
200
Chart Dividers
Enhance Your Charts with Briggs Individual Titles
Paper and Tyvek

Economical 100 lb. ledger paper stock with mylar reinforced holes for added durability. Space-saving, ber-based Tyvek is lightweight yet tough. Title printed on both sides of tab Each tab is color coded and mylar reinforced Pre-punched to accommodate 2-, 3- and 5-ring binders Paper sets have mylar reinforced holes to prevent tearing Sold 25 tabs per box*
Price Per Tab* 100 250
Poly
Durable poly with a Full 3-Year Warranty Tab title is hot-foil stamped for long wear and high visibility Pre-punched to accommodate 2-, 3- and 5-ring binders Sold individuallyorder only as many as you need!
Full 3-Year Warranty Description Price Per Tab* 100 250
50
500
Poly (See Item # Below)
$1.35
$1.30
$1.20
$1.15
$1.05
Description
25
50
500
Paper ( See Item # Below) Tyvek (See Item # Below)
$0.47 $1.20
$0.45 $1.15
$0.42 $1.10
$0.40 $1.05
$0.38 $0.95
Item # Tab Style Material
Tabs Per Set
Position/ Tab Color
Tabs Per Set
Position/ Tab Color
ACTI
VITIE
466 418 445 437 5486 5583 5584 416-A 412-A 421-A 497-A 5585 5586 491 490 451 450 5478 5477 483 414 448 440 5492 5491 5568 5569 5507 5508
Side Bottom Side Bottom Side Side Bottom Side Bottom Bottom Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
Paper Paper Tyvek Tyvek Poly Poly Poly Paper Paper Tyvek Tyvek Poly Poly Paper Paper Tyvek Tyvek Poly Poly Paper Paper Tyvek Tyvek Poly Poly Poly Poly Poly Poly
1/9 1/11 1/9 1/11 1/7 3/9 3/9 1/9 1/9 1/9 1/11 1/9 1/9 2/9 2/9 2/9 2/9 2/7 2/7 4/9 4/11 4/9 4/11 4/7 4/7 5/7 5/7 7/7 7/7
Pink Pink Pink Pink Pink Lavender Lavender Pink Pink Pink Pink Pink Pink Orange Orange Orange Orange Orange Orange Lt. Blue Lt. Blue Lt. Blue Lt. Blue Lt. Blue Lt. Blue White White Yellow Yellow
CON
SULT
498-I 501-I 727 497-I 5644 5653 482 419 447 438 5484 5483 5654 5657 672 673 5685 5688 683 684 685 686 5658 5645 5633 5634
Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
Paper Paper Tyvek Tyvek Poly Poly Paper Paper Tyvek Tyvek Poly Poly Poly Poly Tyvek Tyvek Poly Poly Paper Paper Tyvek Tyvek Poly Poly Poly Poly Paper Paper Tyvek Poly Poly
9/11 9/11 9/11 9/11 6/7 6/7 3/9 2/11 3/9 2/11 2/7 2/7 7/7 7/7 2/9 2/9 2/7 2/7 3/9 3/9 3/9 3/9 3/7 3/7 1/7 1/7 2/11 4/7 2/11 2/3 2/3
Amber Purple Amber Amber Mauve Mauve Yellow Yellow Yellow Yellow Yellow Yellow Gray Gray Lt. Green Lt. Green Lime Lime Yellow Yellow Yellow Yellow Yellow Yellow Gold Gold Lt. Green Dk. Green Lt. Green Red Red
CHARTING
ADL G KIN TRAC N ISSIO ADM ORDS REC
DIET
ARY
GE HAR DISC NING N A PL ATIO N
NCE ADVA TIVES C E DIR
EDUC
ASSE
ENTS SSM
FLOW
SHEE
TS
VIOR BEHA MENT G A E MAN
PHIC GRA TS A H C R ORY HIST X &P
498-B Side 507-D Bottom 497-B Bottom 5460 5461 Side Bottom
CON
SENT
HIPAA
201
Chart Dividers
Briggs Individual Title Chart Dividers (continued)

Item # Tab Style Material Tabs Per Set Position/ Tab Color Item # Tab Style Material Tabs Per Set Position/ Tab Color
HOS
PICE
585 586 595 596 5518 5517 5519 5520
Side Bottom Side Bottom Side Bottom Side Bottom
Paper Paper Tyvek Tyvek Poly Poly Poly Poly Paper Paper Tyvek Paper Paper Tyvek Tyvek Poly Paper Paper Tyvek Tyvek Poly Poly Paper Paper Paper Poly Poly Paper Paper Paper Paper Paper Paper Paper Paper Poly Poly Paper Paper Tyvek Tyvek Poly Poly
6/9 6/9 6/9 6/9 6/7 6/7 2/7 2/7 7/11 7/9 7/11 4/9 6/11 1/9 1/9 1/7 6/9 6/11 6/9 6/11 6/7 6/7 5/11 6/9 6/9 4/7 4/7 7/7 7/7 11/11 9/9 7/7 7/7 5/11 5/9 5/9 5/9 7/9 7/9 7/9 7/9 7/9 7/9
Lt. Green Lt. Green Lt. Green Lt. Green Lime Lime Tan Tan Brown Brown Brown Dk. Green Dk. Green Dk. Green Dk. Green Green Red Red Red Red Red Red Amber Dk. Blue Dk. Blue Mauve Mauve Lt. Green Lt. Green Gray Gray Orange Orange Red Red Red Red Pink Pink Pink Pink Pink Pink
501-K Bottom
OTHE RS
Paper Paper Paper Tyvek Tyvek Poly Poly Tyvek Tyvek Poly Poly Paper Paper Tyvek Tyvek Poly Poly Paper Paper Tyvek Paper Paper Poly Poly Poly Poly Tyvek Tyvek Poly Poly Paper Paper Tyvek Paper Paper Tyvek Tyvek Poly Poly Tyvek Tyvek Poly Poly
11/11 2/9 3/11 2/9 3/11 3/7 3/7 4/9 4/9 4/9 4/9 8/9 8/9 8/9 8/9 8/9 8/9 3/11 3/9 3/9 4/11 4/9 4/9 4/9 3/7 3/7 3/9 3/9 3/7 3/7 8/9 8/9 8/9 5/9 5/11 5/9 5/11 5/7 5/7 6/9 6/9 6/7 6/7
Red White White White White White White Purple Purple Lavender Lavender Dk. Blue Dk. Blue Dk. Blue Dk. Blue Dk. Blue Dk. Blue Lt. Blue Lt. Blue Lt. Blue Yellow Yellow Yellow Yellow Lavender Lavender Purple Purple Mauve Mauve Orange Orange Orange Gray Gray Gray Gray Gray Gray Purple Purple Lavender Lavender
ENT PATI LAN P E R CA
RINTE NARY I L P I DISC OTES N

L ECIA & SP LAB PORTS RE
481 417 446 439 5480 5479 692 693 5579 5580 662 661 664 663 5656 5655
Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
498-G Side 412-G Bottom 497-G Bottom 411-D Bottom 501-F Bottom 453 452 5476 489 454 449 456 5493 5494 Side Bottom Side Side Bottom Side Bottom Side Bottom
PHAR
MAC
RY RATO LABO ORTS REP L LEGA NTS ME U C DO
ICAL PHYS APY R E TH
CHARTING
MDS
S ICIAN PHYS ERS D OR
498-C Side 412-C Bottom 421-C Bottom 498-D 412-D 5591 5592 5521 5522 Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
501-E Bottom
MED ICAT IONS
S GRES PRO TES NO
ION & ICAT MED ATMENT TRE TAL MEN TH A E H L EOUS ELLAN MISC . MISC DS R RECO SE NUR ANT T S ASSI SES NUR ES NOT
416-F Side 412-F Bottom 5566 5567 Side Bottom
PSYC
508-N Side 507-N Bottom 498-K Side 412-I Bottom 508-G Side 507-G Bottom 498-E 412-E 5589 5590 642 641 646 645 5684 5683 Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
OPIC HOTR PSYC RUGS D
432 431 5512 5511
B& REHA APY R E TH
416-H Side 412-H Bottom 421-H Bottom 480 413 441 455 5482 5481 718 721 5635 5643 Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
DENT RESI PLAN E CAR
ONAL PATI OCCU ERAPY TH
ORY IRAT RESP ERAPY TH
202
Chart Dividers
Briggs Individual Title Chart Dividers (continued)

Item # Tab Style Material Tabs Per Set Position/ Tab Color Item # Tab Style Material Tabs Per Set Position/ Tab Color
REST
ORA
TIVE
674 675 676 677 5689 5690 5514 5513
Side Bottom Side Bottom Side Bottom Side Bottom
Paper Paper Tyvek Tyvek Poly Poly Poly Poly Paper Paper Poly Poly Paper Paper Tyvek Tyvek Poly Poly
4/9 4/9 4/9 4/9 4/7 4/7 4/7 4/7 10/11 10/11 5/7 5/7 9/9 9/9 9/9 9/9 9/9 9/9
Orange Orange Orange Orange Orange Orange Dk. Blue Dk. Blue Dk. Green Dk. Green Pink Pink Brown Brown Brown Brown Gold Gold
5541 5542
SUM MAR IES
Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom Side Bottom
Poly Poly Tyvek Tyvek Poly Poly Tyvek Tyvek Poly Poly Paper Paper Tyvek Tyvek Poly Poly Paper Poly Poly Paper
5/7 5/7 5/9 5/9 5/9 5/9 5/9 5/9 5/7 5/7 7/7 7/7 7/7 7/7 7/7 7/7 7/11 4/7 4/7 5/9
Dk. Green Dk. Green Lt. Green Lt. Green Lime Lime Red Red Red Red Brown Brown Brown Brown Tan Tan Pink Pink Pink Pink
NE PHO TELE ERS ORD
652 653 5577 5578 697 698 5636 5637 782 783 792 793 5564 5565
RAINT REST NTATION E M DOCU AL SOCI CE I V R E S AL SOCI ES IC V R SE CH SPEE PY A THER
498-J Side 502-J Bottom 5516 5515 656 655 648 649 5678 5679 Side Bottom Side Bottom Side Bottom Side Bottom
VITA
L SIG
NS
ND/ WOU N SKI
Y X-RA G & EK
501-G Bottom 5551 Side 5552 Bottom 411-E Bottom
CHARTING
Y X-RA TS R O P RE
BEST SELLER Condition Alert Dividers

Allows you to address the concern about condentiality by providing an area INSIDE the chart for label placement Made of heavy-duty paper stock with mylar-reinforced holes for added durability Available top or side punched Sold 25 tabs per box*
Price Per Tab (25 tabs/bx)* 50 100 250 500
Item # Description
25
540 541
Side Tab, Side Punched Bottom Tab, Top Punched
$0.55 $0.50 $0.46 $0.44 $0.42 $0.55 $0.50 $0.46 $0.44 $0.42
203
Custom Chart Dividers
Speed Up Record Processing With Briggs Custom Fileback Divider Sets And Folders
STYLE 1 Overall Size: 8-1/2W x 12-3/8L; 8-1/2W x 11-1/2L, plus 7/8 top flap and 3/8 tab extension
STYLE 2 Overall Size: 9-7/8W x 11L; 8-1/2W x 11L plus 7/8 side flap and 3/8 tab extension
STYLE 3 Overall Size: 8-7/8W x 12-3/8L; 8-1/2W x 11-1/8L, plus 7/8 top flap and 3/8 tab extension
CHARTING
Custom File Back Divider Sets

Provide immediate access to each section of the chart Each le back is extended in length and scored for folding Each le back has two-pronged fastener applied The le backs are attached in sequence and chart material is fastened to each divider Specications 110-lb ivory paper stock Tab length up to 2 longone row Clear or colored mylar coated tabs Tab title printed on 2 sides with black ink
Our Dedication To Our Customers Sets Briggs Apart From The Rest
Personal assistance can make all the difference when ordering custom products. Whether you need a newly designed ling system, want to match an existing system or are starting from scratch, well make sure you receive the best possible service at the best possible price. Give us a call, and see what a difference a little personal attention can make. Call 1.800.247.2343, ext. 4555, today to get more information or to request a price quote.
Clear mylar slot reinforcing Two fastener slots on scored top/side ap 2 embedded metal fastener Collated and boxed
Custom Fileback Divider orders are non-returnable and subject to a 10% over or under run.
Custom File Folders

Don't waste time assembling le folders Increase productivity and speed up record processing with folders customized the way you chooseREADY-TO-USE! Filebacks or dividers, fasteners or pockets pre-installed Custom printed Labels pre-applied and more!
Call for a Quote Today!
204
Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com i
Custom Tailor Your Chart Dividers From The Widest Variety Of Colors And Materials
Dont see what you need? Just give us a call. Trained Custom Charting Specialists are here to help you.
STYLES: Two tab styles, side or bottom, in varying sizes from single tab to 13 tabs per row (15 tabs per row on paper and Tyvek ).
COLORS: Choose your colors based on your divider material. (see color charts below)
XT R TE YOU RE HE
MATERIALS: 100 lb. tag Paper, tear-resistant Tyvek or durable Polyethylene.
Colors are reproduced as close to true color as possible. Call your Briggs Healthcare Customs Consultant at 1.800.247.2343, ext. 4555 for FREE color samples.
CHARTING
P A P E R & T Y V E K
19 Colors Available for Mylar Tab Extension on PAPER and TYVEK Custom Dividers:
19 Colors Available: Entire POLY Custom Divider sheet available in your choice of these 19 colors.
Lt Gray
Gray
Lt. Blue Med. Blue Dk. Blue
Purple
Pink
Coral
Yellow Goldenrod Amber
Orange
Brown
Lt. Green
P O L Y
White
Gray
Lt. Blue
Dk. Blue Lavender
Pink
Dark Mauve
Red
Yellow
Orange
Gold
Beige
Lime
Green
Med. Green
Dk. Green
Red
Warm Red
Clear
Med. Blue
Turquoise
Dusty Rose
Peach
Clear
Paper Custom Dividers

Poly Custom Dividers

BEST SELLER
8-1/2 x 11, plus 1/2 tab extension Heavy-duty white or manilla tag paper Colorful mylar coating available on tabs Tabs printed one or two sides with black ink Clear mylar hole reinforcing adds durability Option of 2, 3, 5 or 7 holes (seven holes available in side tab only) Collated and boxed
Tabs are printed in black on one side Print is slightly off-center to allow full visibility of tab titles when viewed in a set 8-1/2 x 11, plus 1/2 tab extension Pre-punched to t ringbinders: side tabs 7-holes left; Bottom tabs 5-holes top Varying tab sizes from a single tab to 13 tabs per row Collated and boxed Full 3-Year Warranty
Tyvek Custom Dividers

8-1/2 x 11, plus 1/2 tab extension Space-saving, white ber-based paper Colorful mylar coating available on tabs Tabs printed one or two sides with black ink Option of 2, 3, 5 or 7 holes (seven holes available in side tab only) Collated and boxed
Briggs Healthcare reserves the right to proof all divider orders if needed.
205
Chart Divider Easy Order Guide

Quantity Tab Print Material
CHART DIVIDER SIZE: 8-1/2 x 11 plus 1/2 Tab Extension
Tabs Per Set
Tabs Per Bank
Tabs Cut
One Side Paper Tyvek Poly Bottom None
Two Sides
No Printing
Body Copy (need sample)
Color: White Buff (Reinforced Holes standard) Color: White only Color: (see choices below*) Standard Flag Alert Slits Yes (White Poly only) Top Clear Right Side Left Side Collate: Gather into sets Bulk Pack (tabs individually boxed) Colored (see list below)
Tab Position Mylar Covered Tabs Hole Punching Paper & Tyvek Mylar Colors *Poly Colors
Paper No Yes # of holes Location Poly (pre-punched: 5 holes top or 7 holes side) 105 Clear 115 Gray 125 Light Grey Clear White Peach Beige 205 Red 225 Warm Red 305 Goldenrod Orange Yellow Gold Pink 315 Yellow 405 Dk. Blue 415 Lt. Blue Dusty Rose Red 425 Med. Blue 505 Orange 515 Lt. Amber Lt. Blue Med. Blue 525 Coral 605 Dk. Green 615 Lt. Green Dk. Blue Turquoise 625 Med. Green 705 Pink 805 Purple Lavender Dk. Mauve Gray 915 Brown
Lime Green
Bank 1
Tab Pos. Tab Title (up to 3 lines) Color Tab Pos.
Bank 1
Tab Title (up to 3 lines) Color
CHARTING
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
Billing Address
Organization Name Address City Attn Phone Contact Briggs Account # Fax E-mail Address Customer PO # State Zip
Shipping Address (if different than billing address)

Organization Name Address City Attn Phone Contact Briggs Account # Fax E-mail Address Customer PO # State Zip
R Check here if billing address and shipping address are the same.
R Check here if billing address and shipping address are the same.
206
Start Creating Your Custom Dividers TodayIt's Fast And Easy!

Side-Tab Style (actual size) Paper and Tyvek shown in black. Poly shown in red.
1. Select your material: paper, poly or Tyvek 2. Select your tab style: side or bottom tabs
13 characters9 pt. 13 characters9 pt.
5. Place your order however its most convenient for you its that easy! Phone: 1.800.247.2343, ext. 4555 Fax: Email: Mail: 1.877.234.9874 Customs@BriggsCorp.com Briggs Healthcare Attn: Customs Department 7855 University Blvd. Des Moines, IA 50325
5th CUT
11th CUT
4. Specify your tab size (cut), title(s) and colors, using the color and size charts. If you have any questions about these options, call a Briggs Custom Representative to assist you.
7th CUT
14th CUT
15th CUT
8th CUT
3. Specify your hole punching. Note: Poly is only available in 5- hole top or 7- hole side punching. See page 205 for options.
CHARTING
Orders ready to ship in just 8 business days!

Standard delivery on Briggs Custom Dividers is 8 business days, plus proong and shipping time. All Custom Chart Divider orders are non-returnable and subject to a 10% over or under run.
10th CUT
3rd CUT
6th CUT
Bottom-Tab Style (actual size) Paper and Tyvek shown in black. Poly shown in red.
4th CUT
9th CUT
4th CUT
5th CUT
6th CUT
7th CUT
8th CUT
9th CUT
10th CUT
11th CUT
12th CUT
13th CUT
14th CUT
11 characters8 pt.
15th CUT
11 characters8 pt.
12th CUT
3rd CUT
13th CUT
Call C ll 1 1.800.247.2343 800 247 2343 | F Fax 1 1.800.222.1996 800 222 1996 | www.BriggsCorp.com B i C
207
Chart Racks
Limit Access to Charts with Briggs Fully Enclosed Cabinet Racks and Locking Panels
All Briggs Chart Racks store both top-open and side-open ringbinders.
Full Warranties
Briggs is so condent in the quality and durability of our chart racks that they are backed with a Full 7-Year Warranty. No prorated schedules. No ne print. Return any defective product up until the END of the warranty termyou receive FULL CREDIT. Its that simple.
60030DS Shown with 644300 Caddy Carrier (see page 211)
Optional Security Locking Panels

80054DS Shown with 815DS Locking Panels and optional Rubber Casters
Protect privacy of health care information! Requires one per shelf. Must be factory installed.
CHARTING
Welded frames add strength
60020DS Shown with 610DS Locking Panels
610DS 615DS 810DS 815DS
For 8 10-capacity vertical chart rack For 12 15-capacity vertical chart rack For 53 high at chart rack For 72-1/2 high at chart rack
$170.00 $185.00 $125.00 $160.00
600 Series Cabinet-Style Vertical Chart Racks 800 Series Cabinet-Style Flat Chart Racks
Stores Briggs small, medium and large ringbinders.
Item #
Capacity
Size (H x W x D)
Price Per Each
Item #
Capacity
Size (H x W x D)
Price Per Each
80010DS 80015DS 80020DS 80030DS 80130DS 80040DS 80045DS 80060DS
10 15 20 30 30 40 45 60
(1x10) (1x15) (2x10) (2x15) (3x10) (4x10) (3x15) (4x15)
53 x 14-3/8 x 15 72-1/2 x 14-3/8 x 15 53 x 27-1/2 x 15 72-1/2 x 27-1/2 x 15 53 x 41 x 15 53 x 54-1/4 x 15 72-1/2 x 41 x 15 72-1/2 x 54-1/4 x 15
$590.00 $795.00 $810.00 $1,145.00 $1,000.00 $1,278.00 $1,286.00 $1,570.00
60020DS 60030DS 60130DS 60040DS 60045DS 60060DS
20 30 30 40 45 60
(2x10) (2x15) (3x10) (4x10) (3x15) (4x15)
43-3/4 x 34-3/4 x 17 43-3/4 x 49-3/4 x 17 55 x 34-3/4 x 17 70 x 34-3/4 x 17 55 x 49-3/4 x 17 70 x 49-3/4 x 17
$690.00 $795.00 $835.00 $1,145.00 $1,065.00 $1,500.00
625 Series Jumbo Cabinet-Style Vertical Chart Racks (Not Shown)

Stores Briggs jumbo ringbinders.
825 Series Jumbo Cabinet-Style Flat Chart Racks (Not Shown)

Item #
Capacity
Size (H x W x D)
Price Per Each
Item #
Capacity
Size (H x W x D)
Price Per Each
8 12 16 24 24 32 36 48
(1x8) (1x12) (2x8) (2x12) (3x8) (4x8) (3x12) (4x12)
$590.00 $795.00 $810.00 $1,145.00 $1,000.00 $1,278.00 $1,286.00 $1,570.00
62516DS 62624DS 62524DS 62532DS 62536DS 62548DS
16 24 24 32 36 48
(2x8) (2x12) (3x8) (4x8) (3x12) (4x12)
43-3/4 x 34-3/4 x 17 43-3/4 x 49-3/4 x 17 55 x 34-3/4 x 17 70 x 34-3/4 x 17 55 x 49-3/4 x 17 70 x 49-3/4 x 17
$690.00 $795.00 $835.00 $1,145.00 $1,065.00 $1,500.00
Wall Protector Rubber Bumpers

Fits all mobile racks. Designed to be installed just above caster at base of rack. Bumper protects wall from dents and chips by preventing rack from striking wall surfaces. Set of four.
Item # Price Per Set
All Chart Racks are custom made to order. They are subject to a 25% restocking fee and are exempt from our Freight-Free Policy. Please allow 3-5 weeks, plus shipping time for delivery. Dimensions may vary. Please call for exact measurements if space is critical.
604DS
$85.00
208
Chart Racks
BEST SELLER
95030DS
70020DS Shown in Wood Grain
92560DS
50060DS, 50020DS, 55024DS All Shown in Wood Grain
Repositional wire organizers allow you to expand or contract storage slots in rotary chart racks. CHARTING
500 Series Economy Vertical Chart Racks

700 Series Economy Flat Chart Racks

Item #
Capacity
Size (H x W x D)
Price Per Each
Item #
Capacity
Size (H x W x D)
Price Per Each
50020DS 50030DS 50130DS 50040DS 50045DS 50060DS
20 30 30 40 45 60
(2x10) (2x15) (3x10) (4x10) (3x15) (4x15)
43-3/4 x 34-3/4 x 17 43-3/4 x 49-3/4 x 17 55 x 34-3/4 x 17 70 x 34-3/4 x 17 50 x 49-3/4 x 17 70 x 49-3/4 x 17
$515.00 $630.00 $650.00 $800.00 $765.00 $955.00
550 Series Jumbo Economy Vertical Chart Racks

10 15 20 30 30 40 45 60
(1x10) (1x15) (2x10) (2x15) (3x10) (4x10) (3x15) (4x15)
$465.00 $550.00 $610.00 $786.00 $820.00 $1,036.00 $995.00 $1,358.00
750 Series Jumbo Economy Flat Chart Racks

Price Per Each
Item #
Capacity
Size (H x W x D)
Stores Briggs jumbo ringbinders. (Not Shown)
55016DS 55124DS 55024DS 55032DS 55036DS 55048DS
16 24 24 32 36 48
(2x8) (2x12) (3x8) (4x8) (3x12) (4x12)
43-3/4 x 34-3/4 x 17 43-3/4 x 49-3/4 x 17 55 x 34-3/4 x 17 70 x 34-3/4 x 17 55 x 49-3/4 x 17 70 x 49-3/4 x 17
$515.00 $630.00 $650.00 $800.00 $765.00 $955.00
Item #
Capacity
Size (H x W x D)
Price Per Each
All Cabinet and Economy Chart Racks featured will come in the standard Wood Grain nish. Beige and Grey nishes are also available.
Please visit www.BriggsCorp.com for item numbers and availability or call your Briggs Healthcare Representative for more information.
8 12 16 24 24 32 36 48
(1x8) (1x12) (2x8) (2x12) (3x8) (4x8) (3x12) (4x12)
$465.00 $550.00 $610.00 $786.00 $820.00 $1,036.00 $995.00 $1,358.00
Rotary Chart Racks

Item # Capacity Description Size (H x W x D) Price Per Each
92530DS 92560DS 92590DS 95030DS 95060DS 97530DS
30 60 90 30 60 30

Beige Gray Wood Grain
Floor Model, 1-Tier 49-1/2 x 36 x 36 Floor Model, 2-Tiers 49-1/2 x 36 x 36 Floor Model, 3-Tiers 65 x 36 x 36 Countertop Model, 1-Tier 17-7/8 x 36 x 36 Countertop Model, 2-Tiers 34 x 36 x 36 Add-A-Tier Option* 15 x 36 x 36
$1,117.00 $1,610.00 $2,295.00 $920.00 $1,640.00 $675.00
*Add-A-Tier is only compatible with the 92530DS Floor Model.
209
Cabinets & Carts
NEW! Designer Classic Wall Storage Cabinet

This unique cabinet provides secure storage for supplies and medications without the intuitional look and feel of traditional wall storage units. Heavy gauge steel and engineered wood construction Size: 24H x 18W x 4D 2 shelves for medications and other supplies Self locking combination lock Full 1-Year Warranty
Item # Price Per Each
NEW! Medcessity Wall Cabinet

This storage cabinet features the added convenience of a heavy duty fold down work surface which can be adjusted for self- or manual-close. Available in Beige or Light Grey must specify at time of order. Heavy gauge powder coated steel construction Surface can be adjusted to either self or manual close 4 shelves for supplies Self locking combination lock Size: 24-1/2H x 18W x 4D Full 5-Year Warranty
291630DS
$265.00
291675DS
$575.00
Shelf Utility Cart
Features include 3 heavy-duty wire shelves and 3 rubber casters for smooth, quiet transport over any surface Maximum recommended capacity is 200 lbs. Full 5-Year Warranty
Mini Chart Racks

CHARTING
Stores small, medium and large 3-ring binders Available in wood grain, beige and gray (must specify at time of order) Full 7-Year Warranty
Beige
Gray
Wood Grain
Item #
Size (H x W x D)
Price Per Each
649300DS
38 x 23 x 30
$225.00
Item #*
Capacity
Size (H x W x D)
Price Per Each
30010DS 30015DS
10 15
43-3/4 x 19 x 17 55-1/8 x 19 x 17
$466.50 $503.50
*Item numbers listed are for wood grain racks.
Wall Pocket Chart Holder

Beige vinyl-clad aluminum pocket is 14 x 7, tapering to 1 at the bottom. Perfect for le folders, ringbinders, clipboards, springloaded charts, computer printouts, magazines, etc. Can be mounted on walls, doors, bed ends or le cabinets. Easily attaches with presssure-sensitive tape (supplied) or screws (not supplied).
NEW!
Wire Utility Rack
The universal size and design of the Wire Utility Rack is ideal for wall mounting to hold ringbinders or other equipment. Powder coated steel Size: 13H x 6W x 6D Attach with screws (not included) Full 1-Year Warranty
6035
$29.75
303000DS
$30.00
Products featured are drop ship and exempt from Briggs Freight-Free Policy. Please allow up to 3-5 weeks, plus shipping time for delivery. Unless defective or shipped in error, returns are subject to a 25% restocking fee and the customer is responsible for the original and return freight fees.
210
Cabinets & Carts
Porta-Cart Transport Stand/Cart

BEST SELLER
644300
An all-purpose utility cart that easily collapses for storage Constructed of durable, double-plated steel with welded shelf brackets and poly-coated steel support frames Easily folds at for storage and shipping Casters are a 3 single-wheel design with non-marring rubber Two shelves to hold Briggs Caddy Carriers (top shelf only) or polycoated 6 or 12 wire baskets (Caddy Carriers and wire baskets sold separately see below) Full 5-Year Warranty
Item #
Price Per Each
646300
$220.00
COMPARE AND SAVE!

647300
646300
Would you pay over $100 more for a cart that does NOT collapse and only has a 2-year warranty? Thats what you will nd from other charting suppliers. As always you get the BEST VALUE from Briggs!
CHARTING
Porta-Cart Chart Caddy Carriers

Porta-Cart Wire Baskets

4 rubber feet for countertop and chart rack storage Also designed to t securely on the top shelf of Briggs Porta-Cart (Item # 646300 sold separately) 644300 will hold 8 Briggs 1, 1-1/2 or 2 ringbinders; top- or side-open styles 645300 will hold 6 Briggs 2-1/2 Jumbo ringbinders; top- or side-open styles Sold separately; not included with Porta-Cart

644300
Light gray poly-coated wire Designed to t securely on either the top or bottom shelf of the Porta-Cart Available in 6 and 12 depths Sold separately; not included with Porta-Cart
647300 6" basket
648300 12" basket 645300 Item # Description Size (H x L x W) Price Per Each
Item #
Description
Size (H x W x D)
Price Per Each
647300 648300
6 Deep 12 Deep
6 x 24-1/2 x 14-1/4 12 x 24-1/2 x 14-1/4
$44.95 $59.95
644300 8-Capacity (Holds Briggs 1, 1-1/2, or 2 Ringbinders) 645300 6-Capacity (Holds Briggs 2-1/2 Ringbinders)
8-1/2 x 26-3/4 x 15 8-1/2 x 26-3/4 x 15
$115.00 $115.00
NEW!
Cubbie Cart
Youll nd a use in just about every department for this versatile, compact, all-purpose, movable storage cart. Constructed of heavy gauge steel and backed with a Full 7-Year Warranty, this work-horse is designed to hold up and provide dependable service in the medical setting. Easy grab handles Size 32-3/8H x 26W x 14D Two heavy duty shelves Full 7-Year Warranty 3 smooth glide casters Color: Taupe Heavy gauge steel
260500DS
$285.75
211
Wall Desks
291501DS 291589DS 291586DS
291502DS
CHARTING
291588DS 291503DS
Wall Desks Standard

291587DS
NEW!
Magnetic Marker Boards
Easily attaches to all steel surfaces (i.e. Wall Desks and doors) and is ideal for messages between staff members. Full magnetic backing Write on, wipe off surface must use dry-erase markers 90-day warranty
Item # Size (H x W) Price Per Each
The perfect all purpose desk for physician ofces, exam rooms, nurse stations, ICUs, ERs, labs and more. Low prole work area Pull down writing surface Two large storage pockets Two mounting clips to organize memos and notes. Available in anodized aluminum, vinyl clad steel, or stainless steel Size: 15H x 20-3/4W x 3D Full 5-Year Warranty
291586DS
9-1/2 x 23-3/4
$16.50 291501DS 291502DS 291503DS Anodized Aluminum Vinyl Clad Steel Stainless Steel $195.00 $220.00 $255.00
Recommended for use with workstations 291440DS and 291445DS. Item # Size (H x W) Price Per Each
291587DS
18-1/2 x 15-3/4
$25.00
Recommended for use with wall desks 5872, 5836, 5837, 5838, 5839, 5857, 5858, and 5861. Item # Size (H x W) Price Per Each
291589DS
18-1/2 x 27-3/4
$37.00
Full Warranties Briggs Healthcare Promise To You

What do we mean by FULL warranty anyway? It means that from the beginning to the end of the warranty term, you get FULL credit for defective merchandise. Not so with many other suppliers. Take a closer look you will nd pro-rated warranties lurking in the ne print. Under a pro-rated warranty schedule - you may only get 1/2 the purchase back on a defective item - even if the item is still under warranty. Briggs Healthcare keeps it simple: No pro-rated schedules. No ne print. Return any defective product up until the end of the warranty term and YOU RECEIVE FULL CREDIT. GUARANTEED!
Recommended for use with wall desks 5868, 5868P, 5840, 5841, 5842, 5843, 5855, 5859, 5865, 5884, and workstation 291512DS. Item # Size (H x W) Price Per Each
291588DS
21-1/4 x 21-3/4
$30.00
Recommended for use with workstations 5869 and 5869P.
The products featured are drop ship and exempt from Briggs Freight-Free Policy. Please allow 2-3 weeks, plus shipping time for delivery. Unless defective or shipped in error, returns are subject to a 25% restocking fee and the customer is responsible for the original and return freight fees.
212
Wall Desks
Provide Security and Convenient Point-of-Care Access to Medical Records with Briggs Locking Wall Desks
Accent Series Wood Trim Locking Wall Desks

Full 5-Year Warranty (INCLUDES GAS CYLINDERS) Standard at-key system or push-button keyless entry lock provides endless combinations Available in self-close or manual-close models Steel construction with welded joints Available in Beige only (with natural oak or cherry trim, specify when ordering) Full size storestwo Briggs 1, 1-1/2, 2 or 2-1/2 ringbinders Single size storesone Briggs 1, 1-1/2, 2 or 2-1/2 ringbinder
Item #
Description
Size (H x W x D) Price Per Each
Removable guard is included.
Full Size 5840 Self Close Flat Key 5841 Manual Close Flat Key 5842 Self Close Push Button Lock 5843 Manual Close Push Button Lock Single Size 5836 Self Close Flat Key 5837 Manual Close Flat Key 5838 Self Close Push Button Lock 5839 Manual Close Push Button Lock
25 x 30 x 4 25 x 30 x 4 25 x 30 x 4 25 x 30 x 4 25 x 18 x 4 25 x 18 x 4 25 x 18 x 4 25 x 18 x 4
$470.00 $470.00 $550.00 $550.00 $460.00 $460.00 $545.00 $545.00
CHARTING
EFFICIENCY, CUSTOMER SATISFACTION AND SAVINGS...

Implementation of the Briggs Wall Desks has cut my overtime budget by 59% on one unit alone. They will have paid for themselves with the labor savings in one quarter.
Tamara Stepanek, RN, BSN Director of Clinical Services, The AmbassadorOmaha, NE
Standard-Style Locking Self-Close Wall Desks

Full 5-Year Warranty (INCLUDES GAS CYLINDERS) All standard styles of wall desks include: Steel construction with welded joints Self-close featuredesk stays open with the weight of a chart, and closes automatically when removed One at keylock and three keys for added security
Item # 5858 Description Color Size (H x W x D) Price Per Each
5855
3Deep Wall Desks

Capacity: Full sizetwo Briggs 1, 1-1/2 or 2 ringbinders; Single-sizeOne Briggs 1, 1-1/2 or 2 ringbinder

4Deep Wall Desks

Capacity: Full sizetwo Briggs 1, 1-1/2, 2 or 2-1/2 ringbinders; Single sizeone Briggs 1, 1-1/2, 2 or 2-1/2 ringbinder

Full Size 5855 5856 5859 5860 Single Size 5857 5858 5861 5862
4 4 3 3 4 4 3 3
Beige Lt. Gray Beige Lt. Gray Beige Lt. Gray Beige Lt. Gray
23-3/4 x 30 x 4 23-3/4 x 30 x 4 23-3/4 x 30 x 3 23-3/4 x 30 x 3 23-3/4 x 18 x 4 23-3/4 x 18 x 4 23-3/4 x 18 x 3 23-3/4 x 18 x 3
$420.00 $420.00 $400.00 $400.00 $395.00 $395.00 $385.00 $385.00
Dimensions may vary. Please call for exact measurements if space is critical. All Wall Desks are custom made to order. They are subject to a 25% restocking fee and are exempt from Briggs Freight-Free Policy. Please allow 3-5 weeks, plus shipping time for delivery. Lead time may be longer on larger orders. Call if delivery date is critical.
213
Computer Transport Stands
Computer Mobilization Increases Staff Efciency!
Our computer stands are designed to be an ergonomic, space saving tool that can be adapted for a multitude of tasks. Our line of Transport Carts are one of our most versatile and commonly customized products.Need to customize a cart? We have the expertise to design and produce transport carts to meet your specic requirements. Our experienced team will work to produce the best solution in a time frame that meets your needs.
Call us today to discuss your options!
Computer not included.
CHARTING
Security Laptop Transport Stand

Briggs Security Laptop Stand features two keyed security fasteners to protect your laptop from theft. Hand levers operate a gas spring lift for easy height adjustments, and the star leg base with rubber casters provide stable, smooth, quiet mobility. Star leg base 3 rubber casters Adjustable desk surface from 35 to 45 Writing surface measures 18W x 12D Gas spring lift Full 1-Year Warranty (Includes gas spring lift)
Item #
Price Per Each
5874
$490.00
Wheel Ring Handle

Simply slide the handle over columns 1-1/2 to 1-3/4 in diameter and adjust to the proper height. The Wheel Ring Handle will also hold up to four Poly Trays (5880). Great for conveniently storing small, odd shaped items.
Poly Storage Trays

Used in conjuction with the Wheel Ring Handle (5879), these trays provide convenient storage of small odd shaped items. Trays snap securely into place on the Wheel Ring Handle which will hold up to four trays.
5879
$50.00
5880
$16.00
All Computer Transport Stands and accessories are drop ship and exempt from Briggs Freight-Free Policy. Please allow 2-3 weeks, plus shipping time for delivery. Unless defective or shipped in error, returns are subject to a 25% restocking fee and the customer is responsible for the original and return freight fees.
214
Computer Transport Stands
Mobilize Your Medical Records!

Laptop Transport Stand/Cart
This unit features a telescoping column with pneumatic assist for easy lifting. The head assembly is equipped with a 120 back stop for laptop protection, laptop cover for theft deterrent and a compartment for power bricks and cable management. 46 fully extended and 36 compressed Accommodates all laptops up to 16 wide Heavy gauge steel and aluminum construction Easy rolling 4 casters Fully adjustable 19 x 7 keyboard tray Removable basket: 8H x 10W x 4D Full 2-Year Warranty
5888
$1,040.00
NEW!
Computer Security Cart with Cord Reel

CHARTING
The innovative design of this computer security cart is user friendly, durable and ergonomically efcient and features a telescoping column with pneumatic assist for easy lifting. The PC is protected using high security fasteners. Heavy gauge steel and aluminum construction Easy rolling 4 rubber casters 46 fully extended and 36 compressed Left to right sliding mouse tray Fully adjustable 19 x 7 keyboard tray Removable basket - 8H x 10W x 4D Hospital grade cord reel with 10 cable and 3 outlet receptacle Holds CPUs from 1-3/4W x 9-3/4D x 9H to 5-1/2W x 18D x 16-1/2H VESA compliant monitor mounting plate Cable management compartment under main work surface Full 1-Year Warranty
Computer not included. Item # Price Per Each
350718DS
$1,275.00
NEW!
Adjustable Laptop Transport Stand
Star leg base and 3rubber casters easily provide smooth transport of any laptop computer. Heavy-grade steel and aluminum construction Size: Adjusts from 30 to 40 height Dual tray handles for easy transport Foot pedal height adjustment for standing or seated use Full 1-Year Warranty
350305DS
$455.00
215
Computer Work Stations
Our line of Computer Work Stations are designed to be an answer to your changing and challenging information technology, storage and security needs. Cost-effective, efcient and ergonomically functional, our workstations will help you increase productivity and ensure employee safety.
CHARTING
Insight Work Centers

Contemporary work centers that accommodate a wide assortment of All-In-One, Thin Client and mini PCs. Cabinet has 4 depth when closed and 14-1/4 when openproviding safe hallway clearance Accommodates monitors up to 24-1/4W x 18H x 3-1/2D Variable height monitor mounting with 75mm/100mm VESA standards Programmable push button lock with automatic security mechanism for keyboard compartment 4-1/4x 4-1/4 rear cut out for power and data outlets Fold down tray with ample room for keyboard and mouse Keyboard tray compartment features gas cylinder with closure adjustment Multiple entry ports for power and network cables Full 5-Year Warranty Available in Beige or Light Gray; Premier Station includes an Oak or Cherry nish frame, must specify nish and frame (if applicable) at time of order
291445DS Premier Item # Description Price Per Each
291440DS Standard
Computers not included.
291440DS 291445DS
Beige Light Gray Natural Oak Cherry Wood
Standard Premier
$930.00 $1,060.00
All Computer Workstations and accessories are drop ship and exempt from Briggs Freight-Free Policy. Please allow 2-3 weeks, plus shipping time for delivery. Unless defective or shipped in error, returns are subject to a 25% restocking fee and the customer is responsible for the original and return freight fees.
216
Create a Warm and Professional Environment with the Designer Classic Computer Workstation
Designer Classic Computer Workstation

NEW!
This unique Computer Workstation provides secure storage for computer equipment without the intuitional look and feel of traditional workstations. It provides ample room to secure PC, monitor, keyboard and mouse. Size: 28H x 32W x 6-1/4D Multiple entry ports for power and network cabling Programmable push button lock Easily accommodates 19 monitors and various PC models 4-1/4 x 4-1/4 rear cutout for power and data outlets Ergonomic tilting keyboard tray, extra wide for ambidextrous mouse usage Side ventilation openings for proper heat dissipation Full 1-Year Warranty
291435DS
$815.00
CHARTING
Slim Workstations Provide for Safe Easements in Hallways and Corridors

Thin-Client Informatics Work Station
Ultra-Slim Informatics Work Station

3-1/2 deep unit meets rigid Michigan Fire Code regulations involving egress Flush-mounted electric lock Sliding keyboard tray Storage shelf can accommodate most Thin Clients Multiple access points 4-14 x 4-14 rear cut-out Side ventilation openings allow for proper heat dissipation Ventilation holes are congured so exhaust fans can be easily installed (Item 5882 see page 219) Smooth operating gas cylinders with closure adjustment Convenient mouse storage pocket Construction: heavy gauge steel Computer not included
Slim design 3 depth Slender locking unit easily houses a laptop or tablet computer and up to a 2 ringbinder chart Available in beige or light gray (must specify at time of order) Computer not included
Item # Size (W x H x D) Price Per Each
5865
30 x 23-3/4 x 3
$450.00
SPACE CONSTRAINTS?
We can work with you to design a custom work station that will address your specic needs.
5881
Beige
30 x 26 x 3-12
$995.00
217
Informatics Deluxe Computer Work Center
Informatics Computer Work Station
2 areas to store your CPU, monitor, keyboard and mouse 2-lock system provides extra security Heavy gauge steel construction Available in beige or light gray (must specify at time of order) Dual entry port for power and network cabling Flat key lockupper door Programmable electronic locklower door Keyboard slides for compact storage Convenient mouse storage pocket Side ventilation opening which allows for proper heat dissipation Holds monitors up to 19 Computer not included Full 5-Year Warranty
Full size work station provides a solution for your information technology storage and security needs and provides ample space for CPU, monitor, keyboard and mouse Heavy gauge steel construction Available in beige or light gray (must specify color at time of order) Dual entry port Programmable push-button lock Monitor mounting plate accepts 75mm/100mm VESA standards Large bottom storage area Easily accommodates 19 monitors and various CPU models Side ventilation openings allow for proper heat dissipation Computer not included Full 5-Year Warranty
5868
32 x 24-1/2 x 6
$795.00
CHARTING
5869
23-7/8 x 41-3/4 x 4
$960.00
Premier Informatics Computer Work Station
2-lock system provides extra security
Includes all the features of the Informatics Computer Work Station (Item # 5868 above) Available in natural oak or rich cherry wood nish (must specify nish at time of order) 18 CFM exhaust fan for unparalleled heat dissipation Computer not included Full 5-Year Warranty
Premier Informatics Computer Work Center

5868P
32 x 25-1/8 x 6
$975.00
Available in beige or light gray (must specify color at time of order) Includes brass xtures and a natural oak or rich cherry wood nish (must specify nish at time of order) Features an 18 CFM exhaust fan for unparalleled heat dissipation Computer not included Full 5-Year Warranty
Recessed Informatics Computer Work Station

5869P
23-7/8 x 41-3/4 x 4
$1,160.00

2 heavy gauge ange welded around the work station Includes features of the Informatics Computer Work Station (Item #5868 above) Only 2 of the work station protrudes from the wall 4 x 4 rear cut-out Computer not included Full 5-Year Warranty

Beige Light Gray Natural Oak Cherry Wood
5884
32 x 24-1/2 x 6
$1,110.00
218
Articulating Wall EVO IT Station

Prole Articulating Wall IT Station

Wall mount monitor and keyboard work center No buttons or levers 10 vertical range-of-motion Integrated cable management Tension hinged 18-wide keyboard tray for reverse articulation Recommend 18 keyboard with built-in mouse for use with this arm Mounting hardware and computer not included
5886-EVO
Wall EVO IT Station
$550.00
Arm extends 19 from wall Arm has 9 vertical rangeof-motion for ergonomic positioning Adjustable arm force for easy 1-hand operation Tension-hinged 18-wide keyboard tray for reverse articulation Recommend 18 keyboard with built-in mouse for use with this arm Locking security cabinets to store CPU with integral ventilation Security cabinet accommodates CPUs up to 14-1/8 x 12-1/4 x 3-7/8 Computer not included
5885
18-1/2 x 14 x 4
$825.00
EVO Articulating Arm for Informatics Work Stations
CHARTING
10 vertical range-of-motion, integrated cable management and tension 18-wide Shown in 5868 keyboard tray sold separately Recommend 18 keyboard with built-in mouse for use with this arm Compatible with items 5868 and 5868P; work stations sold separately Available in beige, light gray, natural oak or cherry wood nish (must specify color and wood nish at time of order) Computer not included
Laptop Wall Desk
5868-EVO
EVO Articulating Arm
$525.00
Lock your laptop safely away and keep it readily available for quick and easy access The laptop mounts securely to the folddown door using 3M Dual-Lock strips, offering both secure attachment and quick and easy removal Features 4 entry ports for power and network cabling, side ventilation holes, a storage pocket for les and a convenient clip for hanging notes Available in beige or light gray (must specify at time of order) Computer not included Full 5-Year Warranty
5872
18 x 23-3/4 x 4
$395.00
Exhaust Fan for IT Workstations

Optional 18 CFM exhaust fans for:
5883 5882
Informatics Compatible* Thin-Client (5881) Compatible
$71.75 $71.75
All Computer Workstations and accessories are drop ship and exempt from Briggs Freight-Free Policy. Please allow 2-3 weeks, plus shipping time for delivery. Unless defective or shipped in error, returns are subject to a 25% restocking fee and the customer is responsible for the original and return freight fees.
*Not compatible with 5881 or 5865
219
Visible File Trays
Plastic Visible File Trays

5455W
Full 1-Year Warranty On Tray Blow-molded construction A center core of air protects the plastic by absorbing the shock when the tray is dropped; makes the tray extremely lightweight Rounded corners make tray easy to carry Wider pockets for increased card capabilities and ease in handling multiple-part forms Hinged polypropylene pockets on looped wire. Center staple on back of 11 wide pockets only Tropic sand color
Item # Pocket Size (W x L) No. of Pockets Tray Length Price Per Each
5468C 5360P
CHARTING
5455W 5456W 5457W 5458W 5460W 5461W 5465W 5466W 5468W 5467W 5469W
8 x 5 8 x 5 8 x 5 8 x 5 8-1/2 x 11 8-1/2 x 11 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2
26 31 36 50 20 26 16 21 26 31 36
15 18 18 21-1/2 18 21-1/2 14-1/2 17 17 19-1/2 19-1/2
$91.35 $97.35 $103.90 $131.50 $103.90 $120.45 $99.35 $108.40 $121.50 $132.50 $143.55
Aluminum Visible File Trays

This hinged pocket tray is the lightest weight aluminum unit on the market Full 1-year warranty on tray Polypropylene pockets with center staple on back of 11 wide pockets only Each tray has two non-skid backing strips Tropic sand color
File Trays Pocket Size (W x L) No. of Pockets Tray Length Price Per Each
Wide Replacement Pockets for Plastic Trays

Item # Description Pocket Size (W x L) Price Per Each
5386W 5400W 5493W
Polypropylene Polypropylene Polypropylene
8 x 5 8-1/2 x 11 11 x 8-1/2
$1.70 $2.50 $2.50
5360P 5361P 5362P 5363P 5364P 5365P 5366P 5367P 5368P 5369P
8 x 5 8 x 5 8 x 5 8-1/2 x 11 8-1/2 x 11 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2
20 36 50 20 34 16 25 35 45 50
11-1/4 14-1/4 18-3/4 17-3/4 20-3/4 13-3/4 16 18-1/2 21 22-1/2
$75.75 $96.35 $120.45 $85.30 $112.40 $82.30 $97.35 $112.45 $141.50 $151.55
C-Series Plastic Visible File Trays and Pockets (Carstens Compatible)
Full 1-Year Warranty On Tray Blow-molded plastic trays with each pocket hinged on a single, straight rod (the same as Carstens style) Rounded corners make tray easy to carry Trays come complete with matte-transparent plastic pockets with no center staple Tropic sand color
5384 No. of Pockets Tray Length Price Per Each 5389
Visible File Trays

Item # Pocket Size (W x L)
Polypropylene Hinged Pocket

Made from long-lasting polypropylene material in a white opaque nish. Center staple on back of 11 wide pockets only.
Item # Pocket Size (W x L) Price Per Each
5474C 5477C 5470C 5480C 5468C 5469C 5481C 5472C
8 x 5 8-1/2 x 6 8-1/2 x 6 8-1/2 x 11 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2 11 x 8-1/2
26 26 36 34 16 21 26 36
15 15 18 21-1/2 14-1/2 17 17 19-1/2
$90.35 $99.90 $125.45 $139.50 $97.85 $108.40 $121.45 $144.55
5382 5383 5384
8 x 5 8-1/2 x 11 11 x 8-1/2
$1.70 $2.50 $2.50
Replacement Pockets
Item # Description Pocket Size (W x L) Price Per Each
Transparent Hinged Pocket

8 x 5 8-1/2 x 6 8-1/2 x 11 11 x 8-1/2 $1.75 $2.05 $3.30 $3.30
5505C 5504C 5510C 5503C
Matte Transparent Matte Transparent Matte Transparent Matte Transparent
Die-cut pockets for easy reference on both side of the pocket. Non-glare matte nish allows forms to be seen on both sides. Center staple on back of 11 wide pockets only.
Item # Pocket Size (W x L) Price Per Each
5387 5389
8 x 5 11 x 8-1/2
$1.70 $2.50
220
Clipboards
Poly Covered Clipboards

BEST SELLER
10 x 13 size Secure, reusable Chart-Lok fastener included Strong, low-prole clip Durable poly available in three colors Two styles available: covered and overbed/covered Strong lucite overbed lip is 1-3/4 Full 1-Year Warranty
Item #
Color
Price Per Each 12 24 36
6005 Overbed/ Covered Back 72
Blue
Burgundy
Forest Green
Covered 6009 Blue 6011 Burgundy 6018 Forest Green Overbed/Covered 6005 Blue 6014 Burgundy 6020 Forest Green
$13.95 $13.95 $13.95 $16.80 $16.80 $16.80
$13.70 $13.70 $13.70 $16.50 $16.50 $16.50
$13.55 $13.55 $13.55 $16.20 $16.20 $16.20
$13.25 $12.25 $13.25 $12.25 $13.25 $12.25 $15.95 $14.55 $15.95 $14.55 $15.95 $14.55
6005 Overbed/ Covered Front
CHARTING
Spring-Loaded Chartholders
Available with durable metal I.D. bracket Available in anodized aluminum Opens to 3/4 150+ page capacity (8-1/2 x 11) Chart-Loks sold separately Full 5-Year Warranty
Wall Pocket Chart Holder

Perfect for folders, clipboards and springloaded charts Beige vinyl-clad aluminum pocket is 14 x 7, tapering to 1 at the bottom. Can be mounted on walls, doors, bed ends or le cabinets. Easily attaches with pressure-sensitive tape (supplied) or screws (not supplied).
5398 Price Per Each 20 60
Item #
Color
Chartholders 5398 Aluminum
$48.50
$46.30 $44.95
Price Per Pack 1 10
6035
Item # Color
$29.75
Chart-Loks 6000 10 per pack
$40.20 $36.30
Patient ID Strips
Ideal for spring-loaded charts 500 rolls, 1/2 x 4-1/2, 1 core.
Price Per Roll 24 48
Item #
12
72
See Below
$8.50
$6.15
$5.85
$5.65
$5.30
Stat-Chek Alert
L-6244 Aqua
L-6248 Blue
L-6260 Green
L-6264 Gray
L-6268 Lavender
L-6272 Lime
L-6276 Orange
Ideal for use with spring-loaded chartholders Single-color alert signal for any size chart. Each alert measures 1-3/8 x 1/2 with a self-adhesive back. Full 1-Year Warranty.
Item # Color 1 Price Per Each 40 70
L-6280 Pink
L-6284 Red
L-6296 Tan
L-6300 Violet
L-6304 White
L-6308 Yellow
L-6309 Brown
5032
Red
$4.40
$3.95
$3.65
221
File Folders & Accessories
Magnetic File Holder

Pressboard Classication Folders
Vinyl le easily holds a standard 9 x 12 folder Full magnetic back secures to any metal surface 2 pockets accommodate 3-1/2 x 4 and 2-1/3 (business card size) inserts
Item #
Size
240
5453
10 x 13-1/2
$11.50
$9.95
$9.80
$9.25
See page 227 for Year Code And Alpha/Numeric End Tab Filing Labels!
Letter size measures 11-3/4 x 9-1/2 with either a 1/2 end-tab or top-tab extension End tab: Heavy 20-pt. pressboard covers 17-pt. kraft dividers with durable Tyvek gussets and 1 twin-prong fastener in position 6 Inside front and back covers have 2 capacity embedded fasteners in positions 2 and 6 full-cut end tab has 8 embossed score marks for easy label placement Top tab: Heavy-duty 25-pt. pressboard covers 17-pt. kraft dividers with durable Tyvek gussets and embedded 2-prong metal fastener Folder expands to a full 2 for maximum record storage
5261-1
5262-2
Item #
Description
CHARTING
End Tab 5260-1 5261-1 5260-2 5261-2
4-Section, 1 Divider, Brown 4-Section, 1 Divider, Blue 6-Section, 2 Dividers, Brown 6-Section, 2 Dividers, Blue
$66.70 $66.70 $93.20 $93.20
$62.95 $62.95 $86.90 $86.90
$59.95 $59.95 $78.95 $78.95
$54.25 $54.25 $70.00 $70.00
Top-Tab Manila File Folders

Letter size with 1/2 tab extension in the 1st, 2nd and 3rd positions Constructed of 11-pt. manila Dimensions when folded: 11-3/4W x 9-1/2H including tab extension Scored to allow for expansion up to 3/4 100 folders per box
Item #
Description
Top Tab 5262-2 6-Section, 2 Dividers, Brown $55.95 $52.45 $50.30 $44.75
BEST SELLER
5243
$18.50
$17.10
$13.60
5235
Combination Drawer/Shelf File Folders
End-Tab Manila File Folders

Letter size with 1/2 reinforced tab extension on top and 3/4 tab extension on the end Constructed of 11-pt. manila Scored to allow for expansion up to 3/4 Dimensions when folded: 12-1/4 x 9-1/2 including the tab extension
Constructed of 11-pt. manila Dimensions when folded: 12-1/4 x 9-1/2 including tab extension Letter size with reinforced 1/2 tab extension Heat-bonded twin prong fasteners on 5237 and 5238
5237
5238
Item #
Description
Item #
Description
5235
No Fasteners
$24.90
$22.45
$20.25
5250
Combination File Folders
$28.85
$25.20
$22.60
Item # Description Price Per Box (50/bx) 1 5 10
5237 5238
1 Fastener 2 Fastener
$24.90 $28.80
$22.45 $26.75
$20.25 $24.10
222
File Folders & Accessories
Handi-Clip
BEST SELLER
Designed to hold documents securely in folders, yet expands and bends for photocopies Unique 3-part fastener constructed of sturdy yet exible plastic for durability Replacement self-adhesive base pieces sold separately To use, just peel the liner from the self-adhesive base strip and stick to your folder in the position needed for your ling system; add your 2-hole punched records and secure with the other 2 pieces; when photocopies are needed, simply loosen the exible tubes; and the appropriate record can now be easily placed onto your copier without creasing or tearing your records
Price Per Case (100/ca) 1 3 6
Sup R Grip Self-Stick Fasteners

Ultra-thin design with long 2 prongs for 2-hole punched forms Holds bulky les without tearing Fasteners are heat bonded to base Self-adhesive 60 lb. manila paper base Printed alignment guides on each fastener strip 4 fasteners per sheet
Item # Size Price Per Pack (25 sheets/pk)
5210
8-1/2 x 1-1/2
$27.15
Self-Adhesive Fastener
Item # Description

5220
Handi-Clip
$57.60
$54.55
$46.50
Item #
Description
Price Per Case (1,000/ca) 1 2 3
5220-1
Replacement Base
$434.30 $363.60 $313.10
Bonds permanently to manila le folders Pressure-sensitive fasteners are easy to apply and protect materials in folders against loss Special foam material will not tear folders like conventional metal fasteners can Prongs are metal and have 1-1/2 capacity
CHARTING
Item #
Description
Price Per Pack (100/bx)
5208
Self-Adhesive Fastener
$22.35
Self-Adhesive Pocket

See-through, self-adhesive vinyl Adhere permanently to the inside of the manila folder 5mm thick 100 per box
Vinyl Out Guides

Angle-cut pockets make it easy to insert and remove data. Thumb notch on corner pocket aids in ling efciency. OUT printed on both sides of tab. Tab extends 1/2 beyond guide. Letter size measures 9-1/2 x 12-7/8.
Item #
Size
5253
4 x 6
$27.35
Afx-A-Tab

Item #
Description
Color code for instant identication Self-adhesive backing can be attached to any le to color code or repair the original tab Available in 7 different colors Tabs measure 1/2 x 2 100 per pack
End-tab 5610 Red 5611 Yellow 5612 Blue
$72.60 $72.60 $72.60
$54.60 $54.60 $54.60
$46.95 $46.95 $46.95
Briggs Two-Hole Reinforcer

Item #
Color
L-5570 L-5571 L-5572 L-5574 L-5575 L-5576 L-5579
White Yellow Green Red Orange Blue Lavender
$8.65 $8.65 $8.65 $8.65 $8.65 $8.65 $8.65
$7.65 $7.65 $7.65 $7.65 $7.65 $7.65 $7.65
$7.00 $7.00 $7.00 $7.00 $7.00 $7.00 $7.00
Prevents page tear-out Repair punch hole damage before important forms fall out of the les. Reinforcer Tape adheres directly on the form to strengthen the punch holes. 250 Reinforcer strips per roll.
Price Per Roll 12
Item #
48
L-5205
$10.80
$10.25
$10.00
223
Business Ofce
Whatever Sign

Use for quick staff identication Customize with removable Permanent Ink Marker or label Tough, scratch-resistant plastic; visit www.Briggscorp.com for colors available 2 backing styles available: adhesive or magnetic
Item # Description Size Price Per Each
Metal Name Bracket

Holds 7/8 name card (sold separately) White card, brass nails and plastic cover included
Item #
Description
5760DS 5761DS
Item #
Whatever Sign , Adhesive Whatever Sign , Magnetic

Description
2-5/8 x 4 2-5/8 x 4
$9.60 $9.60
5435
7/8 x 5 Nameplate
$27.30
$26.20
$25.10
Item # Price Per Pack (10/pk)
Description
5762DS
Blank Replacement Inserts
$28.90
5438 5439
7/8 Cards 1 Cards for 1 x 5 Nameplate
$5.50 $5.50
$4.40 $4.40
$3.75 $3.75
Undated Calendar
4206DS 1-3/4 x 7Window
Cost effective alternative to engraved signs
4202DS 1 x 8Windows
Each sheet is 22 x 26 and each individual block is 2-3/4 x 3-1/2. This large undated paper calendar is very economically priced so you can use several throughout your facility. Great for planning or as an activity schedule of upcoming events. 12 sheets per pad.
Price Per Pad 2
CHARTING
Message Center Insert Signs

Item #
12
Available in 2 window sizes: 1 x 8 and 1-3/4 x 7 Changeable inserts make the signs easy to update Use your laser printer or labeling machine to create inserts Made of durable, scratch-resistant plastic; visit www.Briggscorp.com for colors available Includes adhesive strips for easy installation
Item # Description Size (H x W) Price Per Each
6703
$10.95
$10.40
$8.95
1 x 8Window 4200DS 1 Window 4201DS 2 Windows 4202DS 3 Windows 4203DS 4 Windows 4204DS 5 Windows 4205DS 6 Windows 1-3/4 x 7Window 4206DS 1 Window 4207DS 2 Windows 4208DS 3 Windows 4209DS 6 Windows
2 x 9 4 x 9 6 x 9 8 x 9 10 x 9 12 x 9 2-3/4 x 8 5 x 8 7-1/4 x 8 14 x 8
$13.75 $17.55 $21.10 $26.85 $33.65 $38.70 $15.50 $20.10 $25.00 $41.75
REVERSIBLE!
Re-Markable Monthly Planner

Giant monthly planners are laminated for long life. Surface is very easy to write on with marker (included). Just wipe off with any moist towelette. Each day block is 3-3/4L x 4-1/4W. Overall size is 24 x 36. Reversible and lightweight, can be mounted anywhere.
5440
$21.60
224
Business Ofce
Stor/Drawer Steel Plus System
Paper Punch
BEST SELLER
Internal metal support frame allows les to stack 5 high with no other shelving Each drawer made of corrugated cardboard Designed exclusively for top-tab le folders
Fix Breaks 6
Punch heads are precisely gauged for awless punching Each paper punch comes with three heads for 3-hole punching, with optional heads for up to 5-hole punching
Item #
Size
12
5256
14 x 11-1/2 x 25-1/2
$24.70
$23.50
$20.95
6660 6661
Paper Punch (w/ 3 punch heads) Additional Punch Head
$140.15 $28.45
Econo/Stor 709

Condential Carriers
Easily accommodates bulky les Stores both end- or top-tab folders 1 2 oversized in both length and width Durable enough to stack 2 units high on steel shelving
Fix Breaks 6
Helps eliminate lost, damaged and misdelivered les, while maintaining the condentiality Expands up to 4 Nylon zipper Super-strong Armor Shell material is washable & waterproof
Price Per Each 5 10
Item # 12
Description
CHARTING
Item #
Size
5454
Carrier, 16-1/2 x 12-1/2
$12.95
$11.85
$11.00
5255
12-1/2 x 10 x 15-1/2
$9.20
$8.35
$6.70
Stapler, 70 Sheet Capacity Medical Records Secure Drop Box

Place anywhere les need to be collected and kept condential Secure, temporary medical record storage Durable powder-coated steel construction Mounts easily to at surfaces (mounting hardware not included) Each unit is supplied with 3 keys Full 5-Year Warranty
Optima 70 Desktop Stapler offers an ergonomic handheld design that takes less effort to operate. Staples lie at on the back of documents. Stapler will not jam when you use Swingline S.F. 4 or Optima Premium Staples. 210 staples can be loaded at the front of the stapler.
87875
70 Sheet Stapler
$36.00
Writing Instruments
Retractable Point Pen
$280.00
5849
26-3/4 x 16 x 12
1.4mm for super bold, extra-smooth writing. Black, 12/box

Item # Price Per Box
89465BLK
$10.95
Sold individually! Order only as many as you need!
Uni-ball Gel Retractable Roller Ball Pen

Contains specially formulated ink that helps prevent a common form of check fraud known as check washing, and is fadeand water-resistant. Black, 12/box
Item # Price Per Box
Break-Away Lanyards

Made of at woven nylon with a metal hook fastener Features a plastic safety breakaway snap that attaches and releases easily when tension is applied Available in two colors: black or blue
33950BLK
$19.45
Fine Point Permanent Marker

Sharpie pen-style permanent marker. Alcohol-based ink is quick-drying and certied AP nontoxic. Black, sold individually.
BH700BL BH700BK
Blue Black
$2.50 $2.50
30001BLK
$1.00
225
Billing & Filing Labels
EZ-Label Printer
Custom labels at your ngertips! Just type and printits that easy! You can label just about anything, including:

Name Badges Signs Files
Linens & Clothing Equipment And more!
Featuring: Built-in font: Sans-serif 3 character effects: Shading, Underline, and Box 3 character styles: Normal, Bold, Outline Built in symbols Text memory Layout printing Mirror-Image printing (for Iron-On labels) 5-language message switching (English/Spanish/French/ German/Italian)
Easy-to-use QWERTY keyboard Power supply: 6 x AA-size alkaline batteries (sold separately)
L-40
EZ-Label Printer
$34.30
Casio Compatible Label Cartridges Iron-On Labels

CHARTING
Perfect for the identication of patient/resident clothing. These labels can also be used to identify facility linens and staff apparel (scrubs, smocks, lab coats, etc). Cartridge contains 300 (25 feet) of label material Compatible with Casio KL-120 printer 18mm Label (3/4)
Price Per Pack (1 cartridge/pk) 1 3 7+
BEST SELLER
Each cartridge contains 300 (25-ft.) of label material

Label actual size 9mm
DO NOT REMOVE
Item # Description 1
Price Per Pack 3 7+
Item #
Color
L-550
Black Ink
$22.85
$21.65
$20.15
9mm Labels (3/8) 2 Cartridges/Pk L-500 Black on White L-501 Black on Clear L-502 Black on Yellow 18mm Labels (3/4) 2 Cartridges/Pk L-510 Black on White L-511 Black on Clear L-512 Black on Yellow
$30.95 $30.95 $30.95
$29.10 $27.25 $29.10 $27.25 $29.10 $27.25
$38.95 $36.90 $34.50 $38.95 $36.90 $34.50 $38.95 $36.90 $34.50
Addressograph/ Multi-Purpose Labels

Blank labels provide multipurpose use throughout your healthcare facility!

For use in addressograph or nameplate imprinters Reduce errors and saves time Removable adhesive sticks securely to nearly every surface, yet releases for easy removal LITHO paper stock with removable adhesive Round corners Perforated between labels Two styles available: Addressograph and Die-Cut
Item #
Description
Addressograph Style L-3400 Litho, 1x 3, 1 Core L-3408 Litho, 1-1/2 x 3, 1 Core L-3410 Litho, 1-1/2 x 3-1/2, 1 Core Die-Cut Style L-3464 2 x 3, 1 Core
$39.60 $33.90 $29.25 $45.20 $38.65 $33.30 $54.60 $47.10 $40.60 $47.35 $40.45 $34.95
226
Billing & Filing Labels
L-22000 Series

L-21000 Series
compatible 1 x 1-1/4 labels/side tab Made with Kimdura
TAB
A A
Item # Description
TAB compatible 1 x 1-1/4 labels/side tab Made with Kimdura
1 1
Item # Description
Item #
Description
L-22000 L-22001 L-22002 L-22003 L-22004 L-22005 L-22006 L-22007 L-22008 L-22009 L-22010 L-22011 L-22012 L-22013
A Red B Light Orange C Dark Orange D Light Green E Dark Green F Blue G Purple H Lilac I Pink J Red K Light Orange L Dark Orange M Light Green N Dark Green
L-22014 L-22015 L-22016 L-22017 L-22018 L-22019 L-22020 L-22021 L-22022 L-22023 L-22024 L-22025 L-22026
O Blue P Purple Q Lilac R Brown S Pink T Red U Light Orange V Dark Orange W Dark Green X Blue Y Purple Z Lilac MC Light Green
Item #
Description
L-21000 L-21001 L-21002 L-21003 L-21004
0 Pink 1 Red 2 Light Orange 3 Dark Orange 4 Light Green
L-21005 L-21006 L-21007 L-21008 L-21009 L-21000PK
5 Dark Green 6 Blue 7 Purple 8 Lilac 9 Brown 19
L-4600 Series

VRE/GBS compatible 1-5/16 x 1-1/2 vertical tab
End Tab Filing Labels

Item # 1 Price Per Box (500/bx) 2 4 10 20 Item # Description Item #
11
Description
CHARTING
Individual Labels L-21000 Series L-4600 Series L-22000 Series

Item # Description
$14.65 $13.85 $13.00 $12.10 $10.95 $19.95 $19.30 $18.20 $16.95 $15.75 $14.65 $13.85 $13.00 $12.10 $10.95
Price Per Pack
L-4600 L-4601 L-4602 L-4603 L-4604
0 Yellow 1 Blue 2 Pink 3 Purple 4 Orange
L-4605 L-4606 L-4607 L-4608 L-4609
5 Brown 6 Green 7 Gray 8 Red 9 Black
L-21000PK
Pack 19 Numeric Labels Only
$115.15
Pink
Red
Light Orange
Dark Orange
Light Green
Dark Green
Blue
Billing/Collection and Color-Coded Filing Labels

Purple
Lilac
Brown
Orange
Green
Gray
Black
Removable adhesive 3/4 x 1-1/2 500 per box
L-1088N Fl. Pink
Item #
Description
24
L-1088N Blank L-1094N L-1092N L-1096N L-1097N L-1095N L-1093N
Medicare, Fl. Pink Fl. Yellow Blue Fl. Pink Fl. Red Fl. Orange Fl. Green
Year Code Labels

$11.35 $11.35 $11.35 $11.35 $11.35 $11.35 $11.35 $11.20 $10.65 $11.20 $11.20 $11.20 $11.20 $11.20 $11.20 $10.65 $10.65 $10.65 $10.65 $10.65 $10.65 $9.30 $9.30 $9.30 $9.30 $9.30 $9.30 $9.30 $8.55 $8.55 $8.55 $8.55 $8.55 $8.55 $8.55

3/4 x 1-1/2 vertical labels 1000 per box

Price Per Box (1000/bx) 1 2 5 10
Item #
Color
L-45513 L-45514
2013, Green 2014, Gray
$26.45 $26.45
$23.10 $22.00 $20.70 $23.10 $22.00 $20.70
Blank color-coding labels also available in:
Fl. Yellow
Blue
Fl. Pink
Fl. Red
Fl. Orange Fl. Green
227
Charge Labels
Meto Labeling Gun

Photocopy Labeling System
Full 1-Year Warranty Format and print virtually everything you need for coding, dating and clearly identifying chargeable items Designed for health care institutions, with 3, 12-character, ds healthcare-specic bands Loads quickly and dispenses accurately Can be a versatile labeling tool in your central supply, laboratory, pharmacy and dietary operations Dating and coding are made easy Piggyback 1-1/10 x 1-1/15 labels with permanent adhesive sold separately Compatible with Patient/Resident Charge Card 3216
Piggyback charge labels are designed for use with photocopiers and Actual Label Size: made of smudge15/16 x 1-7/8 proof, exible stock 35 labels per 8-1/2 x 11 sheet Imprint up to 5 lines with a maximum of 22 characters per line Yellow Lt. Blue Orange Supplied with a typing Colors are reproduced as template compatible close to true color as possible. with Patient/Resident Charge Cards 3220, 3219 and 3218 (next page) 2030 labels per box
Green
Item #
Color
Price Per Box (2030 labels/bx) 1 5 10
L-5060 L-5067
Meto Labeling Gun Replacement Ink Cartridge for Meto Gun
$436.65 $49.59
L-6630 L-6631 L-6632 L-6633
Yellow Light Blue Orange Green
$92.30 $92.30 $92.30 $92.30
$75.00 $75.00 $75.00 $75.00
$70.80 $70.80 $70.80 $70.80
CHARTING
Item #
Color
Price Per Pack (5 rolls/pk) 2 5 10
30
Meto Piggyback Labels (400/rl) L-5062 Blue L-5063 Orange L-5064 Yellow L-5065 Pink L-5066 Green
Tabletop Imprinter Labeling System

$77.25 $77.25 $77.25 $77.25 $77.25 $68.55 $68.55 $68.55 $68.55 $68.55 $68.00 $68.00 $68.00 $68.00 $68.00 $65.40 $65.40 $65.40 $65.40 $65.40 $59.70 $59.70 $59.70 $59.70 $59.70
Contact Labeling Gun Labels

For use with Contact Label guns 5/8 x 1 Yellow, Piggyback style 500 per roll
Charge codes can be imprinted on these labels using a Monarch 1501 Actual Label Size or Hamilton iii tabletop 3/4 x 1-3/8 imprinter Features smudge-proof, piggyback paper stock and permanent adhesive Compatible with Patient/ Yellow Lt. Blue Orange Lt. Green Resident Charge Cards 3220, 3219 and 3218 (next page) 1000 per roll
Item #
Color
Item #
Color
L-2551
Yellow Piggyback Labels
$19.60
$18.15 $15.60 $14.20
L-6600 L-6602 L-6606 L-6607
Light Blue Light Green Orange Yellow
$22.95 $22.95 $22.95 $22.95
$20.25 $20.25 $20.25 $20.25
$18.15 $18.15 $18.15 $18.15
$16.95 $16.95 $16.95 $16.95
Wax Sheets
Patient/Resident Charge Label

Provides for temporary placement of ancillary charge labels before they are placed on charge cards 5-hole punched to allow for top or side ringbinder storage Put a sheet in each chart Label can be placed on the sheet and easily removed later
Price Per Pack (50/pk) 1 2 5 10
Size: 2 x 3-1/2 Permanent adhesive Bright-colored label enables staff to readily identify all chargeable items 1000 per pack
THIS IS A PATIENT CHARGE ITEM Detach and put in charge item box ITEM CODE
BRIGGS L-2310
#
THIS IS A PATIENT CHARGE ITEM
PATIENT NAME
Slit backing for easy removal
ROOM NUMBER
Item #
Size
L-3200
8-1/2 x 11
$31.95 $26.60
$27.15 $24.75
Item #
Color
Labels, signs or tapes shown may not be actual size.
L-2310
Fl. Red
$72.40 $60.80
$58.15 $55.10
228
Charge Labels
Resource Bar Code System Compatible Labels and Charge Cards

4-Across Laser Labels
L-6672
Charge Cards
Available in pinfeed and laser sheets Specically designed for use with either the pinfeed- or laser-style piggyback labels. 1,000 charge cards per case. 8-1/2 x 11 detached size. 3-hole side punched for ringbinder storage.
Item # Description Price Per Case
These piggyback labels are available in yellow and pink. 44 labels per sheet. Label size is 13/16 x 1-11/16. Sheet size is 8-1/2 x 11.
Item # Color Price Per Case (11,000/ca)
L-6661
L-6662 L-6672
4125
Yellow Pink
$151.95 $151.95
3-Across and 4-Across Pinfeed-Style Labels

These piggyback labels are available in yellow. Carrier width is 7. Label size is 13/16 x 1-11/16.
Item # Color Price Per Case (10,000/ca)
4140L 4125 4125L
Laser Pinfeed Laser
$108.75 $110.00 $108.75
4140L
L-6663 L-6661
Yellow 4-across Yellow 3-across
$158.95 $158.95
L-6649
Computer Piggyback Labels

A convenient supply tracking system for any department Billing: Patient/Resident Charge Central Supply/Inventory Control Pharmacy, Lab, Dietary and more
Premium-Grade 4-up and 5-up Pinfeed LabelsFlexible Stock

Labels have smudge-proof, exible paper stock for trouble-free printing and adhesion to regular or curved surfaces. Permanent adhesive, 10,000 labels per case.
CHARTING
L-6648
Laser Labels
These piggyback labels are made from a unique ultra-thin material. 44 labels per sheet, 11,000 labels per case. Label size is 3/4 x 1-3/4. Sheet size is 8-1/2 x 11.
Item # Color 1 Price Per Case 2 5 10
4-Up Label Format

Label size: 5/6 x 1-7/10 Carrier width: 9-1/2
L-6651
L-6615 Yellow $298.95 $255.45 $237.55 $221.70 L-6616 Orange $298.95 $255.45 $237.55 $221.70 L-6617 Blue $298.95 $255.45 $237.55 $221.70
L-6645 L-6646 L-6647 L-6648 L-6649 L-6651
Yellow Orange Blue White Green Pink
$265.30 $265.30 $265.30 $265.30 $265.30 $265.30
$229.95 $229.95 $229.95 $229.95 $229.95 $229.95
$210.65 $210.65 $210.65 $210.65 $210.65 $210.65
$197.80 $197.80 $197.80 $197.80 $197.80 $197.80
L-6647
L-6616
5-Up Label Format

Yellow Orange Blue White Green Pink
Label size: 3/4 x 1-3/4, Carrier width: 11

L-6615
Colors are reproduced as close to true color as possible. Need a closer look? Call 1.800.247.2343 to request a FREE sample.
L-6635 L-6636 L-6637 L-6638 L-6639 L-6641
Yellow Orange Blue Green White Pink
$265.30 $265.30 $265.30 $265.30 $265.30 $265.30
$229.95 $229.95 $229.95 $229.95 $229.95 $229.95
$210.65 $210.65 $210.65 $210.65 $210.65 $210.65
$197.80 $197.80 $197.80 $197.80 $197.80 $197.80
3220
Patient/Resident Charge Cards

Dispense supplies then apply the label to the card to create a permanent, accurate charge record for efcient billing and inventory control. Packaged in 100s.
Item # Descriptions 1 Price Per Pack 5 10
Compatible Label Systems 3216 Meto System 3217 CS-2 System 3218 Data Processing, Roll or Photocopy System 3219 Data Processing, Roll or Photocopy System 3220 Data Processing or Roll Systems
8 x 5 8 x 5 8 x 5 8-1/2 x 11 8 x 5
$13.75 $13.75 $13.75 $23.75 $13.75
$13.05 $13.05 $13.05 $22.55 $13.05
$12.65 $12.65 $12.65 $21.85 $12.65
229
Transcription Labels
Briggs Healthcare is Your Source For Transcription Labels

Need just one box? Purchase the low minimum quantity requirements you need. Reload your printer less often. Our bulk-packed computer pinfeed-style labels save you time. Hate to wait? Our continuous labels have no space between each label so they print faster. Fewer printing problems. Our laser labels are available in a lightweight style for those printers that wont accept a thicker label stock. Tired of managing your transcription label inventory? High-volume transcription label users can receive automatic shipments, when you want them.
CHARTING
Laser Transcription Labels
BEST SELLER
Typewriter-Style Transcription Labels

Item # Size Color Qty 1 Price Per Box 2 5 10
Available with perforations every 1, 2 or 3-1/2 or fullsheet styles with no perforations. The 1 style (L-6016) has 10 labels per sheet. The 2 style has a 1/2 perforation at the top and bottom of the sheet with 5 labels per sheet. The 3-1/2 style has a 1/4 perforation at the top and bottom of the sheet with 3 labels per sheet. All laser labels are packaged 250 sheets per box.
Price Per Box 2 5
L-6001 L-6002 L-6002BL L-6002YL L-6002PK
1 2 2 2 2
White 1,000/bx White 500/bx Blue 500/bx Yellow 500/bx Pink 500/bx
$23.65 $25.50 $31.45 $31.45 $31.45
$22.10 $23.00 $28.50 $28.50 $28.50
$21.65 $20.40 $26.90 $26.90 $26.90
$19.10 $19.40 $24.75 $24.75 $24.75
Item #
Size
Color
10
L-6015 L-6016 L-6017 L-6018
2 1 Full sheet 3-1/2
White White White White
$61.95 $61.95 $61.95 $61.95
$54.85 $54.85 $54.85 $54.85
$51.40 $51.40 $51.40 $51.40
$46.60 $46.60 $46.60 $46.60
Blue
Yellow
Pink
Lightweight Laser Transcription Labels

For laser printers that require lighter material
Item # Size Color 1 Price Per Box 2 5 10
Computer Pinfeed Transcription Labels

Briggs popular computer pinfeed transcription labels are available in regular or large quantity bulk packs. With bulk packs you can print ve times longer without having to change boxes and save time otherwise spent loading the printer.
L-6045 L-6047
2 Full sheet
White White
$61.95 $54.85 $51.40 $46.60 $61.95 $54.85 $51.40 $46.60
Item #
Size
Qty
Price Per Box 2 5
10
Roll Transcription Labels

Roll Transcription Labels provide you with a continuous feed into your typewriter or printer. Actual size of label is 7 wide on a 400' roll, with 1/2 pinfeeds on each side. Cores are 3 to maximize useable labels and minimize curl.
Price Per Roll 2
Regular Packs L-6005 1 L-6006 2 L-6003 4 L-6000 12 L-6007 11
2,000/bx 1,000/bx 500/bx 250/bx 250/bx
$47.90 $46.25 $49.40 $61.75 $56.55
$46.85 $41.25 $45.75 $53.10 $48.55
$43.35 $39.15 $40.85 $47.50 $43.65
$38.50 $35.95 $39.85 $43.20 $39.50
Item # Item # Description 1 5
Size
Qty
Price Per Box 2
L-6010
No perfs
$83.65
$77.95
$73.65
Bulk Packs L-6005B 1 L-6006B 2
10,000/cs 5,000/cs
$216.95 $206.15
$191.95 $195.45
$188.40 $179.55
230
Reinforcers
A Lifesaver For Your Medical Records

Briggs Reinforcers

BEST SELLER
Polypropylene strip tape for use on all forms to prevent page tear-out or to repair damaged hole punching. Pre-cut to proper length (8-1/2 and 11 lengths available) with standard hole punching for multi-punched forms. 100 strips per roll. Reinforcers are also available in sheets for insertion into ringbinder charts. This convenient feature allows for the repair of forms no matter where the chart is. Packages contain 100 strips. Both top- and side-punched versions are available.
Item #
Description
Price Per Pack 6 12
48
$9.45 $7.80
$9.30 $7.50
$9.00 $7.15
$8.60 $6.80
Item #
Description
Price Per Box 6 12
48
Rolls L-5200 11 Side Punch (100/bx) $9.45 L-5201 8-1/2 Top Punch (100/bx) $7.80 L-5205 8-1/2 Top Punch, 2-Hole (250/bx) $10.80
$9.30 $9.00 $8.60 $7.50 $7.15 $6.80 $10.25 $10.00
CHARTING
Need a closer look? Call 1.800.247.2343 to request FREE samples. At 10 or less per strip, Reinforcers are the best risk management investment you can make!
I have been using Briggs Reinforcers for many years. They help keep our records intact and prevent them from falling out of the charts. At one point, we hadnt ordered enough and we had to ght for them. We would beg, borrow and steal for them!
Van Rensselaer Manor Nursing FacilityTroy, NY
Briggs Punch Strips
Add reinforced punch holes to your forms without destroying critical information. With Punch Strips, you no longer have to punch through information printed on your forms. Punch Strips are pre-punched adhesive strips of durable clear plastic that apply directly to the top or side of any form. Form information remains clearly visible after application. Its easy. To apply, peel off the liner, apply the adhesive strip to the form and slide the punch holes over the binder rings. Punch Strips are packaged 50 per box in both top and side versions.
Price Per Box 1 12
Item #
Description
L-5210 L-5211
1 x 11 side punched 1 x 8-1/2 top punched
$10.40 $8.20
$9.30 $7.15
231
Custom Labels
Custom Labels!
1. Photocopy the sketch page, select the label size you want and sketch in your custom message. 2. Select from 14 label colors shown below. If you plan to write on the label you are ordering, choose a matte or uorescent color. You may write on any color of 11902T (tape). 3. Select an adhesive (if not specied, removable will be used). 4. Select your ink color. Black is standard. Dark blue, light blue, green, red or orange inks are available for an additional $00.00 added to the pricing listed below. 5. Send your purchase order along with your sketch to: Custom Fax: OR Mail: 1.877.234.9874 Briggs Healthcare Attn: Customs Department 7855 University Blvd. Des Moines, IA 50325
Creating a custom label that is tailored to meet your needs is quick, easy and affordable with Briggs . With our wide variety of label sizes and colors, you can design custom labels that are the perfect t for your organization.
BoldFace All Caps Centered
RE ME CA4 O H Z Y X 23 2) 555-1
1 Phone: (2 876 ) 555 -9 2 1 Fax: (2 Date: To: Attn: Fax # hart copy in c Dept: From: s: #of Page no yes
Smaller Font
Matte White
Gloss White
Gloss Yellow
Gloss Gold
Gloss Silver
Gloss Red
Gloss Green
Set of Boxes
CHARTING
Gloss Blue
Fl. Pink
Fl. Yellow
Fl. Red
Fl. Green
FL. Orange
Purple
If your design requires the label to be a different size, color or adhesive than is offered in our standard quick delivery program, we will be happy to provide you with a FREE special quote.
To order Briggs Healthcare Custom Charting products, call or fax the Custom Department. Phone 1.800.247.2343 ext. 4555 Fax 1.877.234.9874 (toll free)
BRIGGS HEALTHCARE RESERVES THE RIGHT TO PROOF ALL ORDERS

Custom manufactured merchandise is non-returnable.
ROLLS/BOXES
Item # Label Size Ink Color Labels Per Roll Min. Order 3 Price Per Roll/Box 6 12 24
H11901L H11902T
3/4 x 2-1/2 3/4 x 750
Black Black
300 300
3 rolls 3 boxes
$21.20 $20.55
$15.40 $15.60
$12.65 $11.40
$10.15 $8.95
BOXES
Item # Label Size Ink Color Labels Per Roll Min. Order 2 Price Per Box 4 8 12
H11900L H11903L H11904L H11905L H11907L
3/8 x 1-1/2 1 x 2 1 x 2-1/2 1 x 3-1/4 1 x 3-1/4
Black Black Black Black Black
250 250 250 250 250
2 boxes 2 boxes 2 boxes 2 boxes 2 boxes
$32.60 $36.95 $37.10 $38.65 $40.95
$22.30 $25.25 $26.40 $28.60 $33.55
$14.95 $18.40 $18.45 $18.95 $21.25
$12.25 $14.00 $14.05 $14.65 $16.85
ROLLS/BOXES
Item # Label Size Ink Color Labels Per Roll Min. Order 1 Price Per Roll/Box 2 4 8
H11908L 2-7/8 x 3-3/4 H11922L 1-3/4 x 2-3/4 H11923L 5/16 x 1-1/4 H11906L 1-1/2 x 2-7/8 H11921L 3/4 Circle
Black Black Black Black Black
500 500 500 500 500
1 roll 1 roll 1 roll 1 box 1 roll
$89.45 $72.80 $36.40 $63.70 $35.40
$67.60 $47.80 $20.80 $41.55 $25.50
$56.20 $36.25 $16.65 $33.30 $21.50
$48.90 $30.15 $13.75 $30.85 $21.40
Hi, Im Pat and my job is to make your life easier by giving you the best service and price possible when ordering Custom Charting products. I do that by making sure your order is done right the rst time and every time. Call me, I am waiting to help. Personal assistance can make all the difference when it comes to designing a new custom label.
Pat Jahnke Product Estimator/ Service Representative 1.800.247.2343 ext. 8793
Custom orders are non-returnable and subject to a 10% over or under run. All prices are subject to change without notice.
232
Custom Labels
Sketch your new labels here

Select Custom Label Specications: 1. Label color: Removable Permanent 2. Adhesive 3. Ink color Black (standard) Custom*
*Custom ink colors for an additional charge of $40.00. Choose from dark blue, light blue, green, red or orange. Special ink colors call for quote.
11901L (Identification Label)
3/4 x 2-1/2
TIP
If you plan to write on the label you are ordering, choose a matte or ourescent color. You may write on any color of 11902T (tape).
11902T (Identification Tape) 3/4 x 2-1/2
CHARTING
BEST SELLER
11900L 3/8 x 1-1/2
11923L 11904L 1 x 2-1/2
5/16 x 1-1/4
11922L
1-3/4 x 2-3/4
11905L
1 x 3-1/4
11907L
1 x 3-1/4
11908L
2-7/8 x 3-3/4
11903L
1 x 2
11921L 3/4 Circle
Custom orders are non-returnable and subject to a 10% over or under run. All prices are subject to change without notice.
233
Color Coding Tapes & Labels
Color-Coding Labels Aid with Condential Communication

Color-Coding Dots
Fluorescent Dot Colors 1/2Diameter 3/4Diameter 1Diameter L-2203 Yellow 1/2 Size 3/4 Size 1 Size Price Per Roll (1,000/rl) 1 12 24 L-2222 Green L-2702 Red
Fl. Red Fl. Pink Fl. Green Fl. Orange

Regular Dot Colors
L-2716 L-2717 L-2719 L-2720

1/2Diameter
L-2721 L-2722 L-2724 L-2725

3/4Diameter
L-2726 L-2727 L-2729 L-2730

1Diameter
Blue Red Yellow Green Orange Pink Lavender

11 Colors Available:
L-2201 L-2202 L-2203 L-2204 L-2205 L-2206 L-2213
L-2219 L-2220 L-2221 L-2222 L-2223 L-2224 L-2231
L-2701 L-2702 L-2703 L-2704 L-2705 L-2706 L-2711
Item #
Description
Size
See Left See Left See Left
Permanent Adhesive Permanent Adhesive Permanent Adhesive
1/2 3/4 1
$8.15 $10.15 $12.70
$7.60 $7.10 $9.65 $9.15 $11.80 $10.90
Green Orange Pink Lavender
Fl. Red
Fl. Pink
Fl. Green Fl. Orange
Blue
Red
Yellow
Tape Color
1/2
Fl. Yellow Fl Green Fl. Red Fl. Pink Fl. Orange Aqua Blue Green Gray Lavender Orange Pink Red Violet White Yellow
Tape Color
L-6565 L-6566 L-6567 L-6568 L-6569 L-6400N L-6401N L-6404N L-6405N L-6406N L-6408N L-6409N L-6410N L-6414N L-6415N L-6416N
1
CHARTING
L-2800
L-2801
L-2802
L-2803
Color-Coding Stars (Shown Actual Size 3/4)

Perfect for condentially communicating fall risk Can be used at the door, bedside or on the chart Four different colors allow you to identify those at low, medium, high and/or no risk for falls The use of color-codes maintains the condentiality of fall status
Item # Description Color Price Per Roll (1,000/rl) 1 12 24
Color-Coding Tapes
Pink White Yellow
L-6444N L-6449N L-6450N
L-2800 L-2801 L-2802 L-2803
Removable Adhesive Removable Adhesive Removable Adhesive Removable Adhesive
Blue Red Yellow Green
$10.95 $10.95 $10.95 $10.95
$10.40 $10.40 $10.40 $10.40
$9.85 $9.85 $9.85 $9.85
Briggs all-purpose Color-Coding Tape is oil- water- and acidresistant. In addition, it will withstand temperatures from 10F to +250F (-23C to +121.1C) with an application temperature as low as +32F (0C). Available in 1/2 and 1 widths. 500 per roll on a 1 core. Note: Not for use with autoclave machines.
Item # Size 1 Price Per Roll (500/rl) 12 24 48
Color-Coding Tape Rainbow Starter Pack

The Rainbow Starter Pack contains 24 assorted rolls of 1/2 x 500 colorcoding tape on 1 cores in one convenient package. Included are 5 rolls of white, 4 yellow, 3 blue, 3 green, 3 orange, 3 red and 3 pink.
Price Per Pack 5
See Above See Above
1/2 wide 1 wide
$5.30 $7.85
$3.60 $5.60
$3.45 $5.30
$2.95 $4.95
Item #
10
L-6560
16 Colors Available:
$56.45
$54.60
$53.35
Fl. Yellow Fl. Green Fl. Red
Fl. Pink Fl. Orange
Aqua
Blue
Green
Tape Dispenser
L-2525 1 core
Gray Lavender Orange Pink Red Violet White Yellow
$23.60
234
Chart Flaggs
Use in Charts to Alert Doctors and Staff

Chart Flaggs
BEST SELLER
Pre-punched to store in your ringbinder charts Half removable adhesive, half dry to extend beyond the page Punched sheets for convenient ringbinder storage Several styles to choose fromsolid, striped or printed Made of durable plastic 1/4 x 1, 250 per pack
Item #
250
See Below
$4.95
$4.55
$4.30
$4.00
$3.85
L-3000N
L-3000N Red L-3003N Orange L-3006N Fl. Pink L-3011N Brown
L-3001N
Blue
L-3004N
Yellow
L-3007N
Gold
L-3013N
Black
L-3332
Yellow
L-3330
Red
L-3002N
Green
L-3005N
Purple
L-3009N
Silver
CHARTING
L-3018N L 3018N
Blue Bl
L-3017N L 3017N
Red
L-3021N
Orange
L-3023N
Fl. Pink
L-3020N
Yellow
L-3019N
Green
Sheet-Style Giant Chart Flaggs

SIGN HERE
L-3354
SIGN & DATE

L-3355 L 3355 Fl. Green Fl Actual Size
Box-Style Giant Chart Flaggs

NURSE TO
L-3346
SIGN HERE
L-3340 Fl Fl. Red Actual Size
NURSE TO
L-3357 Fl. Yellow
Fl. Red
Fl. Yellow
L-3350
Blue
PLEASE SIGN & RETURN TO
NEW ORDERS
L-3359 Fl. Red L-3347 Fl. Green L-3352 Fl. Red Write-on surface
L-3356 Fl. Yellow Write-on surface
NEW ORDERS
L-3358 Fl. Green
Punched sheet stores in ringbinder charts.
Handy, easy-to-use dispenser boxes.
7 Colors Available
Giant Chart Flaggs

Fl. Red L-3341
Fl. Yellow Fl. Green L-3342 L-3343
Fl. Pink Fl. Orange Blue L-3344 L-3345 L-3350
Purple L-3351
Half removable adhesive, half dry to extend beyond the page Larger size arrow shapes available blank or with title Highly visible uorescent colors Made of durable plastic 9/16 x 2-1/4 in size Available on sheets or in dispenser boxes
Item #
Description
See Above Sheet-Style
$7.20
$6.50
$6.20
Item #
Description
See Above Box-Style
$5.75
$5.35
$4.95
235
Chart Labels
Separator lip removes label from liner for easy dispensing
Serrated lip cuts tape cleanly L-4537 1 x 3 Fl. Orange 250/bx
Suction cup design provides excellent stability
Multi-Purpose Dispenser
Briggs deluxe label dispenser allows you to dispense both tapes and labels with 1 or 3 cores. The specially designed roller arms lift up, allowing for placement of rolls without having to move the other tapes and labels.
Item # L-4526 1 x 3 Fl. Red 250/bx
Size
Price Per Each
L-2505
18
$159.95
MEDICARE LAST COVERED DAY ____/____/____

CHARTING
L-4562 15/16 x 2-1/4 Fl. Yellow 250/bx
MANAGED CARE
L-4502 15/16 x 2-1/4 / / Fl. Pink 500/bx /
Labels
Size Qty 1 2 Price Per Box 4 10 20
15/16 x 2-1/4 15/16 x 2-1/4 1 x 3 2-7/16 x 2-1/2
250/bx 500/bx 250/bx 250/bx
$11.25 $9.90 $9.45 $8.55 $7.90 $18.60 $17.95 $16.95 $15.85 $14.65 $12.70 $11.90 $10.75 $10.15 $9.15 $17.95 $15.55 $14.65 $13.95 $13.00
L-6144
1 x 2-1/4 Tape
Black on White
L-4525
2-7/16 x 2-1/2
Fl. Green
250/bx
L-4512
1 x 4 Tape
Black on Blue L-6092 1 x 2-3/4 Tape Black on Yellow
Tapes
Item # Description 1 Price Per Roll (500/rl) 12 24 48 72
L-6144 L-6064 L-6092 L-4512
1 core, Permanent Adhesive 1 core, Permanent Adhesive 1 core, Permanent Adhesive 1 core, Permanent Adhesive
$9.95 $9.95 $9.95 $9.95
$8.35 $8.35 $8.35 $8.35
$7.85 $7.85 $7.85 $7.85
$7.65 $7.65 $7.65 $7.65
$7.25 $7.25 $7.25 $7.25

L-6064 1 x 2-3/4 Tape Black on White
236
Chart Labels
BEST SELLER
Q-SHIFT CHARTING
L-4503 L 4503 15/16 x 2-1/4 2 1/4 Blue 500/bx
DAILY CHARTING
L 4909 L-4909 2 1/4 Fl. Fl Green 250/bx 15/16 x 2-1/4
72-HOUR CHARTING START _____________ END _______________

L-4500 15/16 x 2-1/4 Blue 500/bx
L-2060N 15/16 x 2-1/4 Fl. Green 500/bx
L-2143 L 2143
15/16 x 2-1/4 2 1/4
Fl. Fl Red
250/bx
L-2431
15/16 X 2-1/4 Fl. Orange 250/bx
CHART NEEDS DOCUMENTATION:
CHARTING
L-2240
15/16 x 2-1/4
Fl. Pink
250/bx
L-2239 15/16 x 2-1/4 Fl. Orange 250/bx
L-2290 L 2290 15/16 x 2-1/4 2 1/4
Fl. Fl Green
250/bx
L-2150
15/16 x 2-1/4
Fl. Red
250/bx
L-2044N 15/16 x 2-1/4 Fl. Green 500/bx
L 4560 L-4560
2 1/4 15/16 x 2-1/4
Fl Pink Fl.
250/bx
AUTHORIZED PERSONNEL ONLY!

This medical record contains protected health information as defined by HIPAA.
L-6188 L 6188 15/16 x 2-1/4 2 1/4 Fl. Fl Red 250/bx L-2077 L 2077 15/16 x 2 2-1/4 1/4 Fl Fl. Red 500/bx L L-2291 2291 15/16 x 2 2-1/4 1/4 Red on Clear 250/bx
Labels
These labels feature removable adhesive.
Size Qty 1 Price Per Box (250/bx) 2 4 10 20
Adhes-Away Label Remover

$7.90
15/16 x 2-1/4
250/bx
$11.25
$9.90
$9.45
$8.55
Size
Qty
20
Remove stubborn labels and tapes Adhes-Away is an effective way to remove labels and adhesive residue from your poly and aluminum charts. It is available in both 4-oz. and 8-oz. sizes.
15/16 x 2-1/4
500/bx
$18.60
$17.95 $16.95 $15.85 $14.65
Need to customize a label? See pages 232-233 for complete pricing and specications.
Item #
Size
L-8500 L-8501
4-oz. 8-oz.
$7.75 $7.25 $12.80 $12.40
$7.00 $11.60
237
Chart Labels
ASSESSMENT DUE ON:

Peel-Off Top Fl. Yellow
CHART AUDIT NEEDED

Peel-Off Top Fl. Orange
Action Labels
These labels feature removable adhesive Each label is actually two labels in one. The rst label peels off to reveal the second label below. 100 per box.
Item # 1 Price Per Box 2 5 10
ASSESSMENT COMPLETE ON:

L-1500 Bottom 15/16 x 2-1/4 Fl Fl. Red 100/bx
CHART AUDIT COMPLETE:

L-1503 Bottom 15/16 x 2-1/4 Fl Fl. Green 100/bx
See Left
$13.50
$13.10
$12.30
$11.35
RECERTIFICATION DUE:
Peel-Off Top Fl. Pink
YEARLY PHYSICAL DUE:

Peel-Off Top Fl. Pink
CHART REQUIRES THINNING

Peel-Off Top Fl. Green
CHARTING
RECERTIFICATION COMPLETE:
L-1505 Bottom 15/16 x 2-1/4 Orange 100/bx
YEARLY PHYSICAL COMPLETE
CHART THINNED ON:

L-1502 Bottom 15/16 x 2-1/4 Fl Fl. Orange 100/bx
L-1504 Bottom
15/16 x 2 2-1/4 1/4
Fl. Yellow Fl 100/bx
L-2081
15/16 x 2-1/4
Fl. Yellow 500/bx
L-2052
15/16 x 2-1/4
Fl. Red 500/bx
L-4532 L 4532
2 2-7/16 7/16 x 2 2-1/2 1/2
Fl Fl. Pink 250/bx
L-2066N
15/16 x 2-1/4
Fl. Red 500/bx
L-2046
15/16 x 2-1/4
Fl. Pink 250/bx
Labels
DISCHARGED
DATE ____/____/____
L-4910 L 4910 2-1/4 15/16 x 2 1/4 Fl. Red Fl R d 250/bx

2-7/16 x 2-1/2 15/16 x 2-1/4 15/16 x 2-1/4
250/bx 250/bx 500/bx
$17.95 $11.25 $18.60
$15.55 $9.90 $17.95
$14.65 $9.45 $16.95
$13.95 $8.55 $15.85
$13.00 $7.90 $14.65
238
Chart Labels
NAME ALERT
L-2344 15/16 x 2-1/4 Fl. Red 250/bx
WANDER RISK
L 2041 L-2041 15/16 x 2-1/4 2 1/4 Fl Red Fl. 250/bx L-6186
SKILLED
15/16 x 2-1/4 2 1/4
Fl. Fl Pink
250/bx
BOWEL & BLADDER PROGRAM START_____________

L-4501 L 4501 15/16 x 2-1/4 2 1/4 Fl. Fl Yellow 500/bx L-8615 15/16 x 2-1/4 Blue 250/bx L-6026N 15/16 x 2-1/4 Fl. Red 100/bx
BEST SELLER
L-8609
15/16 x 2-1/4 Fl. Yellow 250/bx
L-2101N 15/16 / x 2-1/4 / Fl. l Orange 500/bx /b L-2094N 15/16 x 2-1/4 Fl. Red 500/bx
CHARTING
L-2121N Fl. Red
5/16 x 1-1/4 500/bx
L-2109
15/16 x 2-1/4
Fl. Red
500/bx
ALERT! NEW ORDERS

L-4834 5/16 x 1-1/4 Fl. Orange 500/bx
Directions Changed Refer To Chart
L-2183 250/bx L 2183 15/16 x 2-1/4 2 1/4 Fl. Fl Orange O 250/b
L L-4807 4807 Fl. Red
5/16 x 1-1/4 1 1/4 500/bx
L-6129
2-7/16 X 2-1/2
250/bx
Iron-On Labels
Perfect for the identication of patient/resident clothing. These labels can also be used to identify facility linens and staff apparel (scrubs, smocks, lab coats, etc). Cartridge contains 300 (25 feet) of label material Compatible with Casio KL-120 printer (see page 226) 18mm Label (3/4)
BEST SELLER
L-2071
1-5/8 x 3
Fl. Yellow
250/bx
Labels
15/16 x 2-1/4 15/16 x 2-1/4 15/16 x 2-1/4 5/16 x 1-1/4 2-7/16 x 2-1/2 1-5/8 x 3
100/bx 250/bx 500/bx 500/bx 250/bx 250/bx
$6.80 $6.20 $5.70 $5.00 $11.25 $9.90 $9.45 $8.55 $7.90 $18.60 $17.95 $16.95 $15.85 $14.65 $13.75 $10.50 $10.10 $9.75 $9.35 $17.95 $15.55 $14.65 $13.95 $13.00 $15.70 $14.25 $12.85 $11.95 $11.25
Item #
Color
Price Per Pack (1 cartridge/pk) 1 3 7+
L-550
Black Ink
$22.85
$21.65
$20.15
239
Chart Labels

BEST SELLER
L-2266
15/16 x 2-1/4
Fl. Yellow
250/bx
L-2339
15/16 x 2-1/4
Fl. Yellow
250/bx
ADVANCE DIRECTIVES
___ DO NOT RESUSCITATE
L-2364 L 2364 15/16 x 2-1/4 2 1/4 Fl. Fl Yellow 250/bx L-2341 15/16 x 2-1/4 Fl. Yellow 250/bx
___ DURABLE POWER OF ATTORNEY FOR HEALTHCARE ___ LIVING WILL ___ HEALTHCARE PROXY
L-8780 15/16 x 2-1/4 Fl. Orange 250/bx L-2362 15/16 x 2-1/4 Fl. Orange 250/bx L-4555 2-7/16 x 2-1/2 Fl. Yellow 250/bx
CHARTING
Labels
15/16 x 2-1/4 2-7/16 x 2-1/2
250/bx 250/bx
$11.25 $17.95
$9.90 $15.55
$9.45 $14.65
$8.55 $13.95
$7.90 $13.00
Advance Directives Chart Dividers

Available in three materials, all pre-punched to t 2-, 3- and 5-ring top- or sideopen ringbinders. Paper and Tyvek sold 25 each per box*, poly sold individually.
E ANC ADV TIVES C E DIR
LOCATION OF ADVANCE DIRECTIVES

Resident Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Position/Tabs Per Set
Tab Color
The advance directives below are filed in: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Not Resuscitate Feeding restrictions Living Will Organ donation Autopsy request Medication restrictions Treatment restrictions Other (explain) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
491 490 451 450 5478 5477
Side Bottom Side Bottom Side Bottom
Paper Paper Tyvek Tyvek Poly Poly
2/9 2/9 2/9 2/9 2/7 2/7

Price Per Tab (25/bx)* 50 100 250
Orange Orange Orange Orange Orange Orange
Description
25
500
Paper Tyvek
3-Year Warranty Description
$0.47 $1.20
$0.45 $1.15
$0.42 $1.10
$0.40 $1.05
$0.38 $0.95
25
Price Per Tab 50 100 250
500
Poly
$1.35
$1.30
$1.20
$1.15
$1.05
Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ M.D. Date___/___/___
Item #
Qty
Price Per Pack 2 5
10
L-6198
50/pk
$15.65
$14.10
$13.10
$12.15
L-6198 4-1/8 x 4-1/2 Fl. Yellow 50/Pack
240
Chart Labels
L-6182 L 6182
15/16 x 2-1/4 2 1/4
Fl. Fl Red
250/bx
L-6183
15/16 x 2-1/4
Fl. Red
250/bx
L-6184
15/16 x 2-1/4
Fl. Fl Red
250/bx
L 2405 15/16 x 2 1/4 L-2405 2-1/4
Fl Green G Fl.
250/b 250/bx
L-6066N
15/16 x 2-1/4
Fl. Red 250/bx
L-6065N
15/16 x 2-1/4
Fl. Red 250/bx
BEST SELLER
L-6069 L 6069
15/16 x 2-1/4 2 1/4
Fl. Fl Green 250/bx
L-6073
15/16 x 2-1/4
Fl. Red
250/bx
CHARTING
Labels
L-6180N L 6180N
15/16 x 2 2-1/4 1/4
Fl. Fl Red 250/bx
15/16 x 2-1/4 5/16 x 1-1/4
250/bx 500/bx
$11.25 $13.75
$9.90 $10.50
$9.45 $10.10
$8.55 $9.75
$7.90 $9.35
L-6181 Fl. Red
5/16 x 1-1/4 500/bx
Identi-Code Dots
Identify code status at a glance DNR orders can quickly be identied using Briggs Identi-Code Dots. Identi-Code Dots are waterproof and have a permanent adhesive. The dots should be allowed to sit for several hours after application for maximum adhesion. The DNR information contained on the dot should always be veried with the information contained in the chart.
DNR
Item #
Qty
Price Per Box 12
24
L-7000
250/bx
$10.55
$10.15
$8.25
BEST SELLER Condition Alert Dividers

Satisfy condentiality requirements by keeping important labels inside your charts Condition Alert Dividers allow you to address the concern about condentiality by providing an area INSIDE the chart for label placement. Condition Alert Dividers are made of heavy-duty paper stock with mylar reinforced holes for added durability. Available top or side punched, sold 25 tabs per box.*
Item # Description 25 Price Per Tab (25 tabs/bx)* 50 100 250 500
540 541
Side tab (side punched) Bottom tab (top punched)
$0.55 $0.50 $0.46 $0.44 $0.42 $0.55 $0.50 $0.46 $0.44 $0.42
241
Dietary Labels
THICKENED LIQUIDS
L 4504 L-4504 2 1/4 15/16 x 2-1/4 Fl Pink Fl. 500/bx
TUBE FEEDING
L-6354N 15/16 x 2-1/4 Fl. Pink 500/bx
BEST SELLER
L 2058 L-2058
15/16 x 2-1/4 2 1/4
Fl Pink Fl.
500/bx
L-6116N 15/16 x 2-1/4
Fl. Red
500/bx L-1834 15/16 x 2-1/4 White 250/bx
SWALLOWING DIFFICULTIES
L-4831 15/16 x 2-1/4 Blue 500/bx L-1835 15/16 x 2-1/4 Fl. Orange 500/bx
Cold-temp adhesive sticks in refrigerator and freezer
CHARTING
Labels
15/16 x 2-1/4 15/16 x 2-1/4 1 x 3-1/2

L-1833 1 x 3-1/2 Fl. Orange 500/bx
250/bx 500/bx 500/bx
$11.25 $9.90 $9.45 $8.55 $7.90 $18.60 $17.95 $16.95 $15.85 $14.65 $30.85 $29.70 $28.25 $26.00 $22.65
Town Square Daily Menu Sign
Changing menu information has never been easier! Each panel features a magnetic backing. When you need to update menus, remove the panel, insert the new menu, and place the panel back in the frame. It is that simple. Key features: Three window panels with protective covers for posting of daily menus Magnetic backing on windows allows for easy removal and updating Window panels hold a standard 8-1/2 x 11 sheet of paper Optional custom 1/4 x 1-1/4 logo tile Key-hole wall mounting Size: 18-3/5 H x 28-1/5 W Life-of-The Building Guarantee Available in 52 colors with 5 back plate options; visit www.Briggscorp.com for details
Item #
Price Per Each
1828DS
$298.95
See pages 260261 for complete offering of Menu and Activities signage.
242
Wound Care Labels
BEST SELLER
Photo Pocket
Ideal for resident Polaroid ID photos Self-adhesive back mounts securely to charts or other surfaces. 4 x 4, vinyl. 10 pockets per pack. See page 189 for complete offering of collection pockets.
Item #
Price Per Pack 1 10
5710
$12.30
$10.95
Item #
Size
20
Turning Clock Label
BEST SELLER
LS-8202
1 x 4-3/4
$10.95
$8.85
$8.50
$7.75
Hypoallergenic Photo ID Label
Includes space for 2 signatures to improve photo validity Apply near wound prior to photo documentation Hypoallergenic label with very light adhesive assures no discomfort for the resident
Item #
Size
Current guidelines suggest a change in position every 2 hours Highly visible and can be placed by the bedside or at the foot of the bed Every 2 hour interval on the clock is marked with either RIGHT, BACK or LEFT 3 colors: blue, red, yellow on white label Health care professional or caregiver can enter the residents room at any time and immediately know what position the resident should be in for pressure area prevention Removable adhesive
CHARTING
LS-8201
1 x 4-3/4
$10.95
$8.85
$8.50
$7.75
Item #
Size
20
L-2355
4-1/2 x 4-1/2
$13.95
$12.10
$11.40 $10.45

This essential clinical reference in the specialty of wound care is divided into two parts: Care Concepts and Wound Classication and Management Strategies. The third edition offers these new features: NEW: Separate chapter on tubes, drains, stulas, and peristomal skin management NEW: More case studies: end-of-chapter Patient Scenarios NEW: Separate chapter on the pediatric patient 2011, Softbound, Lippincott
Anatomical Diagram Label

Black ink on white Permanent adhesive 100 per pack
Item #
Size
10
L-6491
3 x 4
$16.95
$15.00
$14.10
$13.65
8746
$65.99
L-2043 L 2043 15/16 x 2-1/4 2 1/4
Fl. Fl Yellow
250/bx Price Per Box 4 10
See page 179 for complete details and more wound management resources.
Item #
Description
20
L-2043 Removable Adhesive
$11.25
$9.90
$9.45
$8.55
$7.90
243
Allergies Labels
BEST SELLER
ALLERGIC:
ALLERGIC TO:
L-6012N 1 x 6-1/2 500 Roll Fl. Red on White Permanent Adhesive
ATTENTION :
1 x 6-1/2 500 Roll Permanent Adhesive Black on White
L-6365N L 6365N Permanent Adhesive e L-6020 Fl. Red 3/4 x 1-1/2 250/bx
NO ALLERGIES
L-2106N 15/16 x 2-1/4 Fl. Red 500/bx L-2064N 15/16 x 2-1/4 Fl. Red 500/bx L L-2340 2340 15/16 x 2 2-1/4 1/4 Fl. Fl Green 250/bx
Name _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
CHARTING
Doctor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Adm. Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ALLERGIC
___________________________________________ ___________________________________________ NAME __________________ ROOM ___________ DATE ____________________ TIME ___________
L-6142 100/Pack
2-1/4 x 3 Black on White
L-6070N 100/Pack
2-1/4 x 3 Fl. Red on White
Unless otherwise noted, these labels feature removable adhesive. L-2051 2-7/16 x 2-1/2 Fl. Red 250/bx
Tapes
Item # 1 Price Per Roll (500/rl) 12 24 48 72
L-6012N L-6020
$9.95 $9.95
$8.35 $8.35
$7.85 $7.85
$7.65 $7.65
$7.25 $7.25
L-6394 100/Pack
2-1/4 x 3 Orange and Black on White
BEST SELLER
Labels
Item # 1 Price Per Pack (100/pk) 5 10 20 50
DRUG SENSITIVITY
SPECIFY DRUG(S)
L-6142 L-6070N L-6394
$12.40 $12.40 $12.40
$11.75 $11.75 $11.75
$11.10 $11.10 $11.10
$10.15 $10.15 $10.15
$9.30 $9.30 $9.30
Size
Qty
Price Per Box 4 10
20
ATTACH TO FRONT OF CHART JACKET
15/16 x 2-1/4 15/16 x 2-1/4 2-7/16 x 2-1/2 3/4 x 1-1/2
250/bx 500/bx 250/bx 250/bx
$11.25 $9.90 $9.45 $8.55 $7.90 $18.60 $17.95 $16.95 $15.85 $14.65 $17.95 $15.55 $14.65 $13.95 $13.00 $12.35 $11.10 $9.90 $8.95 $8.75
L-6074N
2 2-1/4 1/4 x 4 4-1/2 1/2
Fl Fl. Red on White
100/Pack
Item #
L-6074N
$11.10
$9.55
$9.00
$7.80
244
Behavioral Labels
Stop Sign Label

Provides a safe, restraint-free boundary to discourage wandering for those with memory loss. Bright red STOP label provides a universally recognizable symbol 6 x 6 label is noticeable, but not obtrusive to the building environment Removable adhesive removes easily from walls and doors Non-shiny surface will not be distracting to those with memory loss Flexible vinyl material will conform around pillars or square corners 10 labels per pack
Price Per Pack 5 10
L-2990 Black Ink

Anti-Psychotic
L-2991 Blue Ink

Anti-Anxiety
MEDICATION _____________________ Observe the patient closely for significant t MEDICATION ______________________ side effects and report to the Physician. Observe the patient closely for significant SIDE EFFECTS: Common - Sedation, n, side effects and report to the Physician. Drowsiness, Dry Mouth, Constipation, n, SIDE EFFECTS: Sedation, Drowsiness, Blurred Vision. EXTRAPYRAMIAtaxia (drunk walk), Dizziness, Nausea, DAL REACTION. Weight Gain, Edema. a. Vomiting, Confusion, Headache, Blurred ViPOSTURAL HYPOTENSION. Sweating, sion, Skin Rash Rash. L-2992 Loss of Appetite, Urinary ary Retention. R Retention tention. NURSING ALERT Dyskinesia, T: Tardive T Red Ink NURSING ALERT: If given with other sedg Seizure Disorder, Chronic Constipation, r, C atives or hypnotics, Alcohol. lc Glaucoma, Diabetes, etes Skin Pigmentation, Sedative/Tranquilizer Monitor behavior on medication sheet. m Jaundice. Monitor r beh behavior h on sheet.
MEDICATION ___________________
Observe the patient closely for significant side effects.
SIDE EFFECTS: Common - Sedation,

Drowsiness, Morning Hangover, Ataxia (drunk walk)
L-2993 L-2994 ALERT: given other NURSING SING ALERT ALE RT: RT T: : If g give en with with o sedatives or hypnotics, cs c s, s , and d alcohol. alcoh alco l hol hol. l Black Ink Green Ink 20
Monitor behavior on m medication me edication sheet.
Item #
Anti-Depressant
MEDICATION___________________
Observe the patient closely for significant side effects and report to the physician.
HYPNOTICS/BENZODIAZEPINES
MEDICATION ________________________ Observe the patient closely for significant side effects and report to the physician. SIDE EFFECTS: Dry Mouth, Constipation, Blurred Vision, Retention of Urine, Headache, Vertigo, Nausea, Fall In Blood Pressure, Rapid Heart Beat, Weakness, Sedation, Lethargy, Confusion, Memory Loss, Allergic Reactions, and Dependence.
L-9931
$12.10
$10.10
$9.25
$8.85
SIDE EFFECTS: Common Sedation, n,

n, Drowsiness, Dry Mouth, Blurred Vision, Urinary Retention, Tachycardia, Muscle e Tremor, Agitation, Headache, Skin Rash, h, Photosensitivity (skin), Excess Weight Gain.
SPECIAL ATTENTION FOR:
rt Heart Disease, Glaucoma, Chronic Consti-paation, Seizure Disorder, Edema.
CHARTING
NURSING ALERT: Observe for decrease in mental and physical functioning.
Chemical Restraint Psychotropic/Psychoactive Drug Labels

Use on the care plan to alert your staff when a resident is receiving a specic type of medication. Label size is 2 x 1-15/16. 250 per dispenser box, permanent adhesive.
1 2 Price Per Box 4 10 20

Wander Boundary Tape can be strung across doors, hallways or anywhere you see t. The non-adhesive tape provides a safe, restraint-free boundary to discourage wandering. The repeated bright red stop signs on the white background provide a universally recognizable symbol. The 3 wide plastic tape (much like police line tape) is 100 feet long. Use it for any size openingeven outdoors.
Price Per Roll 5 10
L-2990 L-2991 L-2992 L-2993 L-2994
$15.85 $15.85 $15.85 $15.85 $15.85
$14.60 $14.60 $14.60 $14.60 $14.60
$13.10 $13.10 $13.10 $13.10 $13.10
$12.10 $12.10 $12.10 $12.10 $12.10
$10.95 $10.95 $10.95 $10.95 $10.95
Item #
L-9930
$29.40 $26.40 $24.70
WANDER RISK
L-2041 L 2041 15/16 x 2-1/4 2 1/4 Fl. Fl Red 250/bx Price Per Box 4 10 Item # 1 2 20

Informs resident of their right to be free from medical interventions for purposes of discipline or staff convenience, and aids in identifying less restrictive, non-drug approaches and target behaviors for which drug usage is recommended. *Specs: 2-part carbonless snap set; white original, pink copy; 5-hole punched top and side; wrapped in 100s.
L-2041
$11.25
$9.90
$9.45
$8.55
$7.90
CFS3-8/2P
$30.90
245
Medication/IV Labels
L 2304 L-2304
2 1/4 15/16 x 2-1/4
Fl Pink Fl.
250/bx
L 3024 L-3024
2 1/4 15/16 x 2-1/4
Fl Red Fl.
500/bx
L 4561 L-4561
15/16 x 2-1/4 2 1/4 Fl. Fl Orange 250/bx
L-6212N 15/16 x 2-1/4
Fl. Red
250/bx
L-2152
15/16 x 2-1/4 Fl. Yellow 250/bx
L 2092N 15/16 x 2-1/4 2 1/4 L-2092N
Fl Red Fl.
500/bx
ALERT! NEW ORDERS

L 2121N L-2121N 5/16 x 1-1/4 Fl. Fl Red 500/bx L 4834 L-4834 Fl. Fl Orange 5/16 x 1-1/4 500/bx
EXPIRED
L 2189 L-2189 5/16 x 1-1/4 Fl. Red Fl 500/bx L L-5730 5730 Fl Fl. Yellow 5/16 x 1-1/4 500/bx
L-4807 L 4807 5/16 x 1-1/4
Fl. Red Fl 500/bx
DATE OPENED ____/____/____
DATE EXPIRES ____/____/____

L-4920 L 4920 5/16 x 1-1/4 Fl. Red Fl 500/bx
DIRECTION CHANGE REFER TO MED SHEET

L 4924 L-4924 5/16 x 1-1/4 Fl Fl. Green 500/bx L-8063N 5/16 x 1-1/4 Fl. Red 500/bx
DATE VIAL OPENED __/__/__INITIAL____

L 4919 L-4919 5/16 x 1-1/4 Fl Fl. Green 500/bx
CHARTING
L 4918 L-4918 Fl. Fl Orange 5/16 x 1-1/4 500/bx
CRUSH MEDS
Fl. Orange L-4926 Fl 5/16 x 1-1/4 500/bx
DO NOT CRUSH
L-4921 5/16 x 1-1/4 Fl Fl. Pink 500/bx
Labels
15/16 x 2-1/4 15/16 x 2-1/4 5/16 x 1-1/4
250/bx 500/bx 500/bx
$11.25 $18.60 $13.75
$9.90 $17.95 $10.50
$9.45 $16.95 $10.10
$8.55 $15.85 $9.75
$7.90 $14.65 $9.35
MEDICATION ADDED
DRUG ADDITIVE AMOUNT
MEDICATION ADDED
DRUG ADDITIVE AMOUNT
MEDICATION ADDED
DRUG AMOUNT ADDED BY DATE TIME
THIS LABEL MUST BE AFFIXED TO ALL INFUSION FLUIDS CONTAINING ADDITIONAL MEDICATION.
ADDED BY DATE PATIENT ROOM NO. SPECIAL INFORMATION TIME
ADDED BY ________________________ DATE _____________ TIME ________

P.M.
L-6137
1-7/16 x 2-1/4
Fl. Red
500/bx
EXP.DATE _________________________ PATIENT __________________________ ROOM NO. ________________________ START TIME _______________________ START DATE _______________________ FLOW RATE _______________________ BASE SOLN _______________________
MEDICATION ADDED
PATIENT RM. DRUG AMOUNT ADDED BY BASE SOLN DATE TIME START TIME____ DATE____ FLOW RATE____ EXP. DATE THIS LABEL MUST BE AFFIXED TO ALL INFUSION FLUIDS CONTAINING ADDITIONAL MEDICATION.
L-6138
2 x 3
Fl. Red
500/bx
L L-2312 2312
2 x 3
Fl Fl. R Red d
500/R 500/Roll ll
Medication Added Labels

Item # Qty 1 Price Per Box or Roll 2 5 10
L-6137 L-6138 L-2312 L-2313
500/bx 500/bx 500/rl 1,000/rl
$41.35 $37.10 $33.75 $50.70
$35.95 $30.75 $29.60 $46.55
$33.25 $29.25 $27.15 $41.00
$29.70 $23.90 $21.20 $33.25
L-2313
1-3/4 x 2-1/2
Fl. Red
1,000/Roll
246
Medication/IV Labels
8 2 L-8552
2 1/2 x 4 2-1/2
l Orange O Fl.
00/ ll 500/Roll
L-8551
2-1/2 x 4
Yellow
500/Roll
L-8553
2-1/2 x 4
Fl. Pink
500/Roll
Item #
Price Per Roll 2 5
10
I.V. Set Labels

WRAP AROUND TUBING I.V. SET48 Hours Only
RN initial START - date/hr. DISCARD - date/hr.
All labels measure 1 x 3 and have permanent adhesive.

Item # 1 Price Per Roll 2 5 10
L-8552 L-8551 L-8553
$50.80 $41.60 $35.85 $32.50 $50.80 $41.60 $35.85 $32.50 $50.80 $41.60 $35.85 $32.50
L-2272N L 2272N 1 x 3
Fl Fl. Y Yellow ll
1 1,000/Roll 000/R ll
I.V. Set Labels $24.20 $21.25 $19.65 $16.35 L-6460 $14.10 $12.95 $12.35 $10.10
I.V. SET______ Hours Only
Tamper-Evident Label
Protect specimens, syringes and prescriptions
WRAP AROUND TUBING
START DATE______________ HR _______ DISCARD DATE ____________ HR ______ R.N. INITIAL _________________________
WRAP AROUND TUBING
I.V. SET CHANGE
CHARTING
L-6461 L 6461
1 x 3
Red on White 1 1,000/Roll 000/Roll
L 2275N L-2275N
1 x 3
FL FL. Green
1 000/Roll 1,000/Roll
WRAP AROUND TUBING
WRAP AROUND TUBING
I.V. SET72 Hours Only
I.V. SET24 Hours Only

L-2273 L 2273
1 x 3
Fl Fl. Orange
1 1,000/Roll 000/Roll
L-6454N
1 x 3
Fl Fl. Pink
1 1,000/Roll 000/Roll
WRAP AROUND TUBING
ENTERAL FEEDING 24 hr. TUBING CHANGE

DATE: _________________ TIME: ___________ NURSE: _____________________________ RN.
1 x 3 Fl. Orange 500/Roll
This label shown at actual size.
A cost-efcient means of security where tamper-evident seals are necessary. Ideal for unit dose packages, change on crash carts, various specimens, prescriptions, IV containers and syringes. Measures 6 in length with a 1/2 x 7/8 tab on each end and is transparent red acetate.
Item # Price Per Pad (500 labels/pd) 1 5 10
L-6460
L-8000
$32.35 $30.75 $29.20
I.V. TUBING CHANGED

DATE __ ________________________________ BY__ __ _________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
L-2084N Fl. Fl Orange 15/16 x 2-1/4 2 1/4 500/bx Removable Adhesive Price Per Box 4 10
CHANGE SUNDAY
DATE __________________ TIME __________________
CHANGE SUNDAY
DATE __________________ TIME __________________
This label shown at actual size.

L-2130 Sunday L-2131 Monday L-2132 Tuesday L-2133 Wednesday L-2134N Thursday L-2135N Friday L-2136 Saturday Fl. Pink Fl. Orange Fl. Green Fl. Yellow Lt. Blue Tan Fl. Red
L-2130
1 x 3
Fl. Pink
500/bx
Item #
20
Change Day Labels

Color coded for each day of the week. All change day labels measure 1 x 3 and have a removable adhesive. Packaged in dispenser boxes of 500.
Description 1 Price Per Box 2 4 10
L-2084N $18.60 $17.95 $16.95 $15.85 $14.65
Change Day Labels
$20.65
$19.40
$17.55
$14.00
247
Infection Control Labels & Signs
L-3036 L 3036
3-1/2 3 1/2 x 3
Fl. Fl Red
250/Roll
L-3034 Fl. Red
2 x 3 500/bx
L-3032
2 x 3
Fl. Red
500/bx
CHARTING
L-3033
1 x 3
Fl. Red
250/bx
L-3035
6-1/2 x 6-1/2
Fl. Red
100/Pack
L-8085 Item #
2 x 6
Fl. Red
Removable Adhesive 1
250/Pack 10
Price Per Pack 5
Item #
Price Per Pack 5 10
L-8085
20
$27.90
$23.85
$22.75
L-3035
$27.70
$23.25
$20.95
$20.10
Item #
Price Per Box 5 10
20
L-3032 L-3033 L-3034
$29.15 $12.70 $29.15
$24.35 $10.75 $24.35
$22.65 $10.15 $22.65
$20.90 $9.15 $20.90
ISOLATION
L-9104N Permanent Adhesive Item # 2 x 6 Tape 500 Roll 1 Fl. Fl Red on White 1 Core Price Per Pack 12 24 48
Item #
Price Per Roll 5 10
20
L-3036
$20.65
$13.95
$13.10
$12.65 L-9104N $12.95
$11.50
$10.95
$10.30
248
PNEUMOCOCCAL VACCINE GIVEN ____ /____ /____

L-5673 15/16 x 2-1/4 Fl. Red 250/bx L-5661 15/16 x 2-1/4 Fl. Yellow 500/bx L-9704 15/16 x 2-1/4 Fl. Pink 250/bx
INFLUENZA VACCINE GIVEN ____ /____ /____

L-2083N 15/16 x 2-1/4 Fl. Red 500/bx L-9700 15/16 x 2-1/4 Fl. Green 250/bx
MRSA
L-4809 15/16 x 2-1/4 Fl. Pink 500/bx
Labels
P.P.D. GIVEN
____ /____ /____
L-9702 15/16 x 2-1/4 Fl. Yellow 250/bx
15/16 x 2-1/4 15/16 x 2-1/4
250/bx 500/bx
$11.25 $18.60
$9.90 $17.95
$9.45 $16.95
$8.55 $15.85
$7.90 $14.65
CHARTING

Remind everyone of the proper steps when washing hands to prevent the spread of infection Repositionable adhesive makes these labels easy to remove from cabinets, mirrors and walls Suggestions and tips for use are printed on the back liner for caregivers 25 labels per pad
Item # Price Per Pad
L-9038
$9.95
Handwashing Labels and Signs

Help your organization comply with OBRAs handwashing regulations. Remind staff of the importance of handwashing and proper technique. Apply to doors and walls in and out of the lavatory areas.
Item # Qty 1 Price Per Pack 5 10 20
L-9209 Sign, 10/pk L-9026 Label, 25/pk
$11.95 $10.35
$9.20 $9.15
$8.85 $8.65 $8.40 $8.10
BEST SELLER
L-9038 4 x 7 Not shown actual size L-9209 8-1/2 x 8-1/2 Laminated Sign Black on Yellow
See Page 173 for the Glo-Germ Handwashing Kit
L-9026 L 9026 4-1/2 4 1/2 x 4-1/2 4 1/2 Removable Adhesive
Fl. Fl Yellow
249
L-9214 Red on White
8-1/2 x 8-1/2 10/Pack
L-9321 Yellow and Black on White
8-1/2 / x 8-1/2 / 10/Pack
Standard Precautions
1. Wash hands.
CHARTING
2. Gowns are indicated if soiling is likely. 3. Gloves are indicated, when touching body substances, mucous membranes, nonintact skin and contaminated items. Change frequently after contact with infective material. 4. Mask/faceshield is indicated if splashing of body substances is likely. 5. Place needles in Sharps container. Do not recap. 6. Wash hands.
L-9320 Yellow and Black on White
10 x 16 10/Pack
L-9323S 10/Pack
8 x 5
Fl. Pink
L-9324S 8 x 5 10/Pack
Fl. Yellow
L-9329S L-9327S 10/Pack 10 x 5 Fl. Pink L-9328S 10/Pack 10 x 5 Fl. Yellow
Front
10 x 5
Fl. Green
10/Pack
Contact Precautions
In addition to Standard Precautions
Droplet Precautions
In addition to Standard Precautions
VisitorsReport to Nurses' Station Before Entering Room

1. Wash hands.
VisitorsReport to Nurses' Station Before Entering Room

1. Wash hands.
2. Gowns are indicated if soiling is likely. 3. Gloves are indicated, when touching infective material. Change frequently after contact. 4. Bag linen to prevent contamination of self, environment or outside of bag. 5. Discard infectious trash to prevent contamination of self, environment or outside of bag. 6. Wash hands.
2. Mask/faceshield is indicated for those who come within 3 feet of patient/resident. 3. Bag linen to prevent contamination of self, environment or outside of bag. 4. Discard infectious trash to prevent contamination of self, environment or outside of bag. 5. Wash hands.
L-9326S 10/Pack
8 x 5
Fl. Orange
L-9325S 10/Pack
8 x 5
Fl. Green L-9329S Back 10 x 5 Fl. Green 10/Pack
Laminated Isolation Precaution Signs

All signs are laminated for added durability. Sold 10 signs/pack. Airborne, Contact and Droplet Precaution signs feature conditions warranting those precautions printed on the back.
Size L-9330S 10/Pack 10 x 5 Fl. Orange Qty 1 Price Per Pack 5 10 20
10 x 16 8-1/2 x 8-1/2 8 x 5 10 x 5
10/pk 10/pk 10/pk 10/pk
$23.95 $11.95 $10.95 $10.95
$18.75 $9.20 $8.15 $8.15
$18.10 $8.85 $7.40 $7.40
$17.45 $8.65 $6.70 $6.70
Signs not shown actual size.
250
Signage
Common Room Signs . . . . . . . . . . . . . Directory/Directional Signs . . . . . . . . Door Hanger Signs . . . . . . . . . . . . . . . Evacuation Plans . . . . . . . . . . . . . . . . . Magnetic Care Signs . . . . . . . . . . . . . . Menu & Activities Signs . . . . . . . . . . . Message Frames . . . . . . . . . . . . . . . . . Nameplates . . . . . . . . . . . . . . . . . . . . . No Cell Phone Signs . . . . . . . . . . . . . . Regulatory Signs . . . . . . . . . . . . . . . . . Room Number Signs . . . . . . . . . . . . . . Room Signals. . . . . . . . . . . . . . . . . . . . Sliding Panel Signs . . . . . . . . . . . . . . . Trafc Control Signs . . . . . . . . . . . . . .
256 254 265 259 265 260 258 258 264 263 252 264 257 266
Room Number Signs
Complement your decor and comply with ADA requirements with Briggs Room Number Signs
All Room Number Signs feature: ADA-compliant design Tough, scratch-resistant plastic construction Replacement inserts available, sold separately Adhesive strips for easy installation Custom color options for sign, text and backplate (if applicable). Visit BriggsCorp.com/Signs for options Unless otherwise noted, room numbers will be white A Life-of-the-Building warranty
4043DS 4357DS
Contour-Style Room Number Signs

1 tall, raised room numbers and Grade 2 Braille
Item # Description Max Max Size (H x W) Lines Char. Price
4040DS 4041DS 4042DS 4043DS 4044DS 4045DS 4046DS 4047DS 4048DS 4049DS 4050DS
SIGNAGE
Room Sign, No Name 3-3/4 x 4-3/4 Room Sign, 1 Name 6-1/8 x 4-3/4 Room Sign, 2 Names 6-1/8 x 4-3/4 Room Sign, 3 Names 8-1/8 x 4-3/4 Room Sign, 4 Names 8-1/8 x 4-3/4 Blank Replacement Inserts for 1 or 2 Names, 100 ea/pk 2-1/8 x 4-1/4 Blank Replacement Inserts for 3 or 4 Names, 100 ea/pk 4-1/8 x 4-1/4 Photo Room Sign, 1 Name 10-7/8 x 6-1/2 Photo Room Sign, 2 Names 17-3/4 x 6-1/2 Photo Replacement Inserts, 1 Name, 50 ea/pk 7 x 5-7/16 Photo Replacement Inserts, 2 Names, 50 ea/pk 15-1/8 x 5-7/16
1 1 1 1 1 1 1
5 5 5 5 5
$44.10/ea $55.25/ea $55.25/ea $62.75/ea $62.75/ea $29.95/pk
4355DS
$29.95/pk 5 $74.60/ea 5 $103.50/ea $35.65/pk $35.65/pk
See Page 262 for Standard Signage Color Chart

5877DS
Marquis-Style Room Signs

Large, easy-to-read 1-1/2 tall raised room number and Grade 2 Braille
Town-Square-Style Room Signs

1 raised room number with Grade 2 Braille
Item # Description Size (H x W) Max Char. Price
Room Sign, No Name 5-1/8 x 5-1/2 1 Room Sign, 1 Name 7 x 6 1 Room Sign, 2 Names 7 x 6 1 Room Sign, 3 Names 9 x 6 1 Room Sign, 4 Names 9 x 6 1 Blank Replacement Inserts, 1 or 2 Names, 100 ea/pk 2-1/8 x 5-1/2 Blank Replacement Inserts, 3 or 4 Names, 100 ea/pk 4-1/8 x 5-1/2 Photo Room Sign, 1 Name 12 x 6-1/2 1 Photo Room Sign, 2 Names 18-1/2 x 6-1/2 1 Photo Replacement Inserts, 1 Name, 50 ea/pk 8-7/8 x 4-7/8 Photo Replacement Inserts, 2 Names, 50 ea/pk 15-1/4 x 4-7/8
4 4 4 4 4 5 5
$31.95/ea $43.65/ea $43.65/ea $48.75/ea $48.75/ea $29.75/pk $29.75/pk $53.50/ea $71.55/ea $41.75/pk $41.75/pk
4354DS 4355DS 4356DS 4357DS 4358DS 4359DS 4360DS 4361DS 4363DS 4364DS 5777DS 5778DS
Room Sign, No Name Room Sign, No Name Room Sign, 1 Name Room Sign, 2 Names Room Sign, 3 Names Room Sign, 4 Names Replacement Insert, 1-2 Names, 100/pk Replacement Insert, 3 or 4 Names, 100/pk Photo Room Sign, 1 Name Photo Room Sign, 2 Names Photo Replacement Insert, 1 Name, 50/pk Photo Replacement Insert, 2 Names, 50/pk
4-1/4 x 5-1/2 5-1/2 x 5-1/2 8-1/2 x 6-1/2 8-1/2 x 6-1/2 10-1/4 x 6-1/2 10-1/4 x 6-1/2 3-1/4 x 5-1/2 5-5/8 x 5-1/2 12-1/2 x 7 19-5/8 x 7 8-7/8 x 4-7/8
3 3 4 4 4 4
$45.95/ea $49.50/ea $57.80/ea $57.80/ea $65.80/ea $65.80/ea $30.95/pk
$30.95/pk 5 $77.85/ea 5 $107.95/ea $41.75/pk $41.75/pk
15-1/4 x 4-7/8
All signs advertised are made-to-order merchandise; intended for interior use only.
252
Room Number Signs
BriggsCorp.com/Signs means Options, Options and More Options!

There are always signage design elements being added giving you more choices than ever! Dont want white text? Check out the new text colors offered! Want a different back plate color? Log in and see whats available! Your design possibilities are endless!
Visit BriggsCorp.com/Signs today and design your signs choosing from custom: Background colors Backplate options Text colors and fonts And more!
Once you have made your custom selection, click the PREVIEW button and your custom sign will display instantly. Change your options as many times as you like until you have the sign you want. Its That Easy!
5776DS 4000DS
Log in today and experience Signage Made Simple!
LTC-Style Room Signs

1 tall raised white room numbers with Grade 2 Braille
Item # Description Size (H x W) Max Max Lines Char. Price
5788DS
Backed by a Life-of-the-Building Warranty

4102DS
Traditional-Style Room Signs

Large, easy-to-read 1-1/2 tall raised white room numbers and Grade 2 Braille Wood trim in Natural nish only
Room Sign, No Name 4 x 4 Room Sign, 1 Name 5-1/2 x 5-1/2 Room Sign, 2 Names 5-1/2 x 5-1/2 Room Sign, 3 Names 7-3/4 x 5-1/2 Room Sign, 4 Names 7-3/4 x 5-1/2 Blank Replacement Inserts, 1 or 2 Names, 100 ea/pk 2-1/8 x 5-1/2 Blank Replacement Inserts, 3 or 4 Names, 100 ea/pk 4-1/8 x 5-1/2 Photo Room Sign, 1 Name 9-1/2 x 6 Photo Room Sign, 2 Names 16-1/4 x 6 Photo Repl. Inserts, 1 Name, 50 ea/pk 8-7/8 x 4-7/8 Photo Repl. Inserts, 2 Names, 50 ea/pk 15-1/4 x 4-7/8
1 1 1 1 1 1 1
4 4 4 4 4 5 5
$24.45/ea $38.45/ea $38.45/ea $47.40/ea $47.40/ea $29.75/pk $29.75/pk $50.20/ea $58.65/ea $41.75/pk $41.75/pk
SIGNAGE
Esquire-Style Room Signs

1-1/4 to 1-1/2 tall raised white room numbers and Grade 2 Braille
4100DS 4101DS 4102DS 4103DS 4104DS 5874DS
Room # Sign, No Name 4-5/8 x 5-1/2 Room Sign, 1 Name 7-1/8 x 5-1/2 Room Sign, 2 Names 7-1/8 x 5-1/2 Room Sign, 3 Names 9-3/8 x 5-1/2 Room Sign, 4 Names 9-3/8 x 5-1/2 Blank Replacement Inserts for 1 or 2 Names, 100 ea/pk 2-1/8 x 5-1/2 5876DS Blank Replacement Inserts for 3 or 4 Names, 100 ea/pk 4-1/8 x 5-1/2 4105DS Photo Room Sign, 1 Name 11-1/8 x 5-1/2 4106DS Photo Room Sign, 2 Names 17-7/8 x 5-1/2 5777DS Photo Replacement Inserts, 1 Name, 50 ea/pk 8-7/8 x 4-7/8 5778DS Photo Replacement Inserts, 2 Names, 50 ea/pk 15-1/4 x 4-7/8
1 1 1 1 1 1 1
4 4 4 4 4
$54.85/ea $62.40/ea $62.40/ea $67.50/ea $67.50/ea $29.75/pk
4000DS 4001DS 4002DS 4003DS 4004DS 4088DS 4005DS 4006DS 4007DS 4008DS
$29.75/pk 5 $80.10/ea 5 $89.30/ea $41.75/pk $41.75/pk
Room Sign, No Name 4-1/2 x 4-1/2 Room Sign, 1 Name 6-3/4 x 7 Room Sign, 2 Names 6-3/4 x 7 Room Sign, 3 Names 8-5/8 x 7 Room Sign, 4 Names 8-5/8 x 7 Blank Replacement Inserts for 1,2,3, or 4 Names,100 ea/pk 3/4 x 7 Photo Room Sign, 1 Name 7-7/8 x 4 Photo Room Sign, 2 Names 8-3/8 x 8 Photo Replacement Inserts, 1 Name, 50 ea/pk 4-1/2 x 4 Photo Replacement Inserts, 2 Names, 50 ea/pk 8-3/8 x 8
1 1 1 1 1 1 1
4 5 5 5 5
$29.00/ea $41.55/ea $41.55/ea $44.10/ea $44.10/ea
$29.95/pk 5 $48.55/ea 6 $59.15/ea $35.65/pk $41.95/pk
253
Directory/Directional Signs
Develop Safe and Effective Trafc Patterns in your Building

Place Briggs Directory signs at entrances and primary intersections and Directional signs at secondary intersections. Directory/Directional signs are used to provide directional information only; these signs are NOT required by the ADA to have Grade 2 Braille. All Directory/Directional Signs feature: Tough, scratch-resistant plastic construction Adhesive strips for easy installation Raised lettering on header and changeable inserts (Directory signs) Custom color options for sign, text and backplate (if applicable). Visit BriggsCorp.com/Signs for options Unless otherwise noted, raised letters will be white A Life-of-the-Building warranty
When ordering Directory Signs you must specify both the header and insert information.
Header: Raised letters. Specify exact wording. Maximum lines of copy is one with 10 characters. Inserts: Specify exact wording and arrow direction. Maximum lines of copy is one with 16-23 characters, depending on sign style.
LTC-Style 5920DS
LTC-Style Directory/Directional Signs

Directional signs feature 1 raised letters and arrows
Item # Description Size (H x W) Max Max Lines Char. Price LTC-Style 5907DS
5920DS 5921DS 5906DS 5907DS 5908DS 5909DS
Directory - 5 Panel Directory - 10 Panel Directional Sign Directional Sign Directional Sign Directional Sign
11-1/4 x 12-1/2 18-1/2 x 12-1/2 4 x 9 4 x 11 5-1/2 x 11 5-1/2 x 15
2 2 3 3
9 12 13 17
$113.55/ea $127.85/ea $43.95/ea $44.10/ea $47.95/ea $63.80/ea
Traditional-Style Directory/Directional Signs

Directional signs feature 3/4 raised letters and arrows Wood trim in Natural nish only
SIGNAGE
4113DS 4114DS 4115DS
Directory - 5 Panel Directory - 10 Panel Directional Sign
13-1/4 x 12-1/2 20-1/2 x 12-1/2 6-1/4 x 12-1/2 3
$144.65/ea $190.65/ea 16 $86.80/ea
Traditional-Style 4113DS
Contour-Style Directory/Directional Signs

Directional signs feature raised letters and arrows
Item # Description Size (H x W) Max Max Lines Char. Price Traditional-Style 4115DS
4056DS 4057DS 4059DS 4060DS
Directory - 5 Panel Directory - 10 Panel Directional Sign Directional Sign
12-1/2 x 12-1/2 20 x 12-1/2 4-3/4 x 11-3/4 5-3/4 x 11-3/4
2 3
$199.75/ea $220.65/ea 18 $66.95/ea 18 $81.70/ea
Contour-Style 4056DS
Contour-Style 4059DS
254
Directory/Directional Signs
Esquire-Style Directory/Directional Signs

Directional signs feature sub-surface letters and arrows
4013DS 4014DS 4016DS* 4017DS*
13-1/8 x 12-1/2 20-3/8 x 12-1/2 5-7/8 x 15 7-3/8 x 15
2 4
$110.30/ea $137.95/ea 18 $66.95/ea 18 $74.85/ea
*sub-surface
Marquis-Style Directory/Directional Signs

Directional signs feature raised letters and arrows
Item # Description Size (H x W) Max Max Lines Char. Price Esquire-Style 4013DS Esquire-Style 4016DS
5801DS 5802DS 5884DS 5885DS
10-3/8 x 11-1/2 17-1/4 x 11-1/2 5-1/4 x 11-1/2 6 x 11-1/2
2 3
$135.50/ea $156.00/ea 17 $52.10/ea 17 $57.50/ea
Town-Square-Style Directory/Directional Signs

Directional signs feature raised letters and arrows Directory signs 4330DS and 4331DS have a sub-surface header
4329DS 4330DS* 4331DS * 4332DS 4333DS 4334DS
Directory - 5 Panel Directory - 5 Panel Directory - 10 Panel Directional Directional Directional
15-1/2 x 13-1/2 15-1/2 x 13-1/2 23 x 13-1/2 5 x 11-3/4 5 x 11-3/4 5 x 11-3/4
1 2 3
13 14 13
$233.70/ea $229.75/ea $249.65/ea $69.85/ea $72.50/ea $75.10/ea
Marquis-Style 5801DS
*sub-surface Marquis-Style 5884DS
SIGNAGE
Briggs was one of our key partners in our companys rebranding project beginning in 2009, as it was necessary to change out our internal signage due to color and logo changes. They were collaborative in understanding our needs and presented professional products to meet the needs of more than 190 locations in a timely manner. They continue to be responsive to our nursing centers expense needs as we continue to upgrade and complete the rebranding.
Terri Kern, Senior Vice President, SunBridge Healthcare, LLC
Town-Square-Style 4329DS
255
Common Room Signs
Ensure ADA Compliance with Briggs Common Room Signs
All Common Room Signs feature: ADA-compliant raised lettering and Grade 2 Braille Tough, scratch-resistant plastic construction Adhesive strips for easy installation Custom color options for sign, text and backplate (if applicable). Visit BriggsCorp.com/Signs for options Unless otherwise noted, raised lettering will be in white A Life-of-the-Building warranty
Esquire-Style 4009DS
Traditional-Style 4107DS
Marquis-Style 5882DS Grade 2 Braille Town-Square-Style 4326DS

Contour-Style 4053DS LTC-Style 5780DS
LTC-Style Common Room Signs

Text and Braille are always ush left
Contour-Style Common Room Signs

Two styles available: square corners or decorative shape
Max Max Lines Char. Price Item # Description Size (H x W) Max Max Lines Char. Price
SIGNAGE
Item #
Description
Size (H x W)
5780DS 5781DS 5783DS 5782DS
Common Room Sign Common Room Sign Common Room Sign Common Room Sign
4 x 9 4 x 11 5-1/2 x 11 5-1/2 x 15
2 2 3 3
10 $49.10/ea 13 $52.90/ea 13 $62.35/ea 18 $69.35/ea
4051DS 4052DS 4054DS 4053DS
Common Room, square Common Room , square Common Room Sign Common Room Sign
3-1/2 x 9 4 x 11 4-3/4 x 11-3/4 4-3/4 x 8-3/4
2 2 2 2
14 17 18 13
$45.20/ea $59.85/ea $70.20/ea $55.35/ea
Traditional-Style Common Room Signs

Wood trim in Natural nish only
Marquis-Style Common Room Signs

Two styles available: square corners or decorative shape
4107DS 4108DS 4109DS 4110DS
Common Room Sign Common Room Sign Common Room Sign Common Room Sign
5-7/8 x 7 6-1/4 x 12-1/2 9 x 12-1/2 8-5/8 x 7
2 3 4 4
10 $61.90/ea 16 $86.80/ea 16 $103.95/ea 10 $71.95/ea
5880DS 5881DS 5882DS 5883DS
Common Room, square Common Room, square Common Room Sign Common Room Sign
3-3/4 x 9 3-3/4 x 11-1/2 5-1/4 x 9 5-1/4 x 11-1/2
2 2 2 2
12 17 12 17
$35.35/ea $42.25/ea $50.95/ea $56.65/ea
Esquire-Style Common Room Signs

Town-Square-Style Common Room Signs

4009DS Common Room Sign 4010DS Common Room Sign
5-1/8 x 7 6-3/8 x 11
2 3
11 17
$51.35/ea $65.10/ea
4326DS 4327DS 4328DS
Common Room Common Room Common Room
5-1/2 x 11-3/4 7-3/4 x 11-3/4 7-3/4 x 15-3/4
2 3 3
15 $85.80/ea 15 $99.35/ea 21 $109.90/ea
256
Sliding Panel Signs

All Sliding Panel Signs feature: Panel that slides one way to reveal IN USE and opposite way to reveal OPEN ADA-compliant raised lettering and Grade 2 Braille Tough, scratch-resistant plastic construction Adhesive strips for easy installation Custom color options for sign, text and backplate (if applicable). Visit BriggsCorp.com/Signs for options Unless otherwise noted, raised lettering will be in white A Life-of-the-Building warranty
Contour-Style 4069DS Esquire-Style 4026DS
Grade 2 Braille
Popular Custom Titles

Bath Conference Room Whirlpool Shower Tub Room
LTC-Style 5700DS Marquis-Style 5800DS Traditional-Style 4124DS
SIGNAGE
LTC-Style Sliding Panel Signs

Contour-Style Sliding Panel Signs

5700DS
Custom Title
7 x 7
10
$55.10/ea
4069DS
Custom Title
7-3/4 x 7-3/4
10
$82.65/ea
Traditional-Style Sliding Panel Signs

Wood trim in Natural nish only
Marquis-Style Sliding Panel Signs

5800DS
Custom Title
7-1/2 x 7-1/2
10
$77.95/ea
4124DS
Custom Title
8-5/8 x 7
10
$100.65/ea
Town-Square-Style Sliding Panel Signs Esquire-Style Sliding Panel Signs

Item # Description Size (H x W) Max Max Lines Char. Item # Price Description Size (H x W) Max Max Lines Char. Price
4370DS
Custom Title
9-1/4 x 7-5/8
10
$86.35/ea
4026DS
Custom Title
8-5/8 x 7
10
$62.65/ea
257
Nameplates Message Frames
Whatever Sign
Offers endless possibilities Use for quick staff identication Removable insert to customize with Permanent Ink Marker Tough, scratchresistant plastic construction Visit BriggsCorp.com/Signs for color options Two styles available: peel-and-stick adhesive or magnetic backing
Item # Description Size (H x W) Price
5787DS
4055DS
4011DS
5760DS Whatever Sign, Adhesive Backing 5761DS Whatever Sign, Magnetic Backing 5762DS Blank Replacement Inserts, 100 ea/pk
2-5/8 x 4 $9.60/ea 2-5/8 x 4 $9.60/ea 2-1/8 x 4 $28.90/pk
Nameplate Signs
Tough, scratch-resistant plastic construction Adhesive strips for easy installation One changeable insert Custom color options for sign and backplate (if applicable). Visit BriggsCorp.com/Signs for options A Life-of-the-Building warranty
4206DS
5787DS 4055DS 4011DS
LTC-Style Nameplate Contour-Style Nameplate Esquire-Style Nameplate
2-1/4 x 8-3/4 2-1/4 x 8-3/4 3-3/8 x 8-3/4
$28.50/ea $29.95/ea $29.00/ea

4207DS 4202DS
Message Center Insert Signs

Cost-effective alternative to engraved signs Use these signs for just about anything: policies, announcements, schedules, employee ID or instructions Available in two window sizes: 1 x 8 and 1-3/4 x 7 Changeable inserts make the signs easy to update Touch, scratch-resistant plastic construction Visit BriggsCorp.com/Signs for color options Includes adhesive strips for easy installation
SIGNAGE
Marquis-Style Nameplate Signs

Tough, scratch-resistant plastic construction Adhesive strips for easy installation One changeable insert Custom color options for sign, text and backplate (if applicable). Visit BriggsCorp.com/Signs for options Unless otherwise noted, raised lettering will be in white A Life-of-the-Building warranty
5887DS
Marquis Nameplates
5-1/4 x 11-1/2
17
$52.25/ea
1 x 8 Window 4200DS 1 Window 4201DS 2 Windows 4202DS 3 Windows 4203DS 4 Windows 4204DS 5 Windows 4205DS 6 Windows 1-3/4 x 7 Window 4206DS 1 Window 4207DS 2 Windows 4208DS 3 Windows 4209DS 6 Windows
2 x 9 4 x 9 6 x 9 8 x 9 10 x 9 12 x 9 2-3/4 x 8 5 x 8 7-1/4 x 8 14 x 8
$13.75/ea $17.55/ea $21.10/ea $26.85/ea $33.65/ea $38.70/ea $15.50/ea $20.10/ea $25.00/ea $41.75/ea
258
Message Frames Evacuation Plans
Message Frames
Tough, scratch-resistant plastic construction Adhesive strips for easy installation One changeable insert Two size options for letter or legal displays Custom color options for sign and backplate (if applicable). Visit BriggsCorp.com/Signs for options A Life-of-the-Building warranty
LTC-Style 5900DS Holds 8-1/2 x 11 5924DS Holds 8-1/2 x 14 Contour-Style 4061DS Holds 8-1/2 x 11 4062DS Holds 8-1/2 x 14 Esquire-Style 4018DS Holds 8-1/2 x 11 4019DS Holds 8-1/2 x 14 Marquis-Style 5810DS Holds 8-1/2 x 11 5811DS Holds 8-1/2 x 14 Traditional-Style 4116DS Holds 8-1/2 x 11 4117DS Holds 8-1/2 x 14 Town-Square-Style 4375DS Holds 8-1/2 x 11
10 x 12-1/2 10 x 15-1/2 10-1/2 x 13 10-1/2 x 16 11-7/8 x 12-1/2 11-7/8 x 15-1/2 10-1/2 x 13 10-1/2 x 16 12 x 12-1/2 12 x 15-1/2
$44.65/ea $51.10/ea $85.85/ea $98.95/ea $47.95/ea $60.25/ea $50.80/ea $64.15/ea $95.65/ea $105.30/ea
Evacuation Plan Drawings

Invest in safety and comply with re regulations by identifying key emergency information with your Evacuation Plan Drawings. Common/public area evacuation plans are: Available in two sizes: 8-1/2 x 11 or 8-1/2 x 14 Available with additional color copies of each original plan for posting in every wing/department of your facility
15-1/2 x 13-1/2 $131.60/ea
5900-1DS 5924-1DS 5900-2DS 5924-2DS
Evacuation Plan Drawing Evacuation Plan Drawing Additional Copies of the Same Floor Additional Copies of the Same Floor
8-1/2 x 11 8-1/2 x 14 8 -/2 x 11 8-1/2 x 14
$245.00/ea $245.00/ea $27.95/ea $27.95/ea
To order your custom Evacuation Plan Drawings, follow these ve easy steps: 1. Call Briggs Healthcare and place your order. 2. Send your detailed oor plans to: Briggs Evacuation Drawing Service 2310 Belle Arbor Avenue Chattanooga, TN 37406
Do not send an original evacuation plan; please make a copy.
LTC-Style 5900DS Contour-Style 4061DS
SIGNAGE
3. Within 10 working days, you will receive a proof for approval and a check list. 4. Once your review is complete, simply return the proof(s) to the address listed above. 5. Your map(s) will ship within 10 working days upon return of proof(s).
In Need of New Signage?

You can count on Briggs Healthcare and Intersign to provide the signage recommendations for your facility at no cost! Simply send a copy of your facilitys blueprints (no originals, please) to SignSpec for a FREE assessment of your facilitys signage needs and requirements Call 1.800.247.2343 for complete details
Esquire-Style 4018DS
You Supply the Plans. We Do the Rest.

Traditional-Style 4116DS Town-Square-Style 4375DS All signs advertised are made-to-order merchandise; intended for interior use only.
259
Menu & Activities Signs
5902DS
Menu and Activities Signs

Frame-like boards protect information underneath from tampering or loss Menu sign includes a single, two-sided insert card Activities sign includes a single, two-sided cardone side shows a monthly calendar, the other shows a weekly calendar Removable insert cards can be labeled with write-on/wipeoff board pens. Ordinary paper can also be attached to the insert cards for use underneath the frame Visit BriggsCorp.com/Signs for color options Includes adhesive strips for easy installation
5902DS 5903DS
Menu Sign Activities Sign
15 x 27-1/2 20-1/8 x 23-5/8
$185.10/ea $122.50/ea
5903DS Opposite side features monthly calendar
Reality Orientation Signs

Includes one set of inserts: 7 days, 12 months, 31 dates, 10 years, 10 weather conditions, 2 The Next Holiday Is and 18 holidays Replacement inserts sets available, sold separately Visit BriggsCorp.com for color options Town-Square Style: Key-hole mounting Optional 1-1/4 x 1-1/4 logo tile LTC-Style: Adhesive strips for easy installation
Item # Style Size (H x W) Price
SIGNAGE
2317DS 5917DS 5918DS
Town-Square LTC Replacement Insert Set Reality Sign, 90 ea/st
23-3/4 x 17-7/8 19-1/2" x 18
$322.00/ea $247.00/ea $95.70/set
Shop for Signs Online at BriggsCorp.com/Signs

Whether your project is a renovation new construction or you simply need replacement signs, our online sign store allows you to order signs with ease.
Top: 2317DS & Bottom: 5917DS Features removeable inserts for easy updating
260
Menu & Activity Signs
Town-Square Daily Menu Display

Features three windows with protective covers for posting your daily menus Windows hold 8-1/2 x 11 sheets of standard paper 1-1/4 x 1-1/4 custom logo tile (optional) Key-hole mounting
Town-Square Monthly Activity Display

Sign includes 35 individual insert windows for posting information for each day in an entire month Easy updating. Fold an 8-1/2 x 11" sheet of paper in half and insert it in the slot designated for that day Comes with extra large tote bag bearing the Town-Square logo for carrying inserts Made of tough, scratch resistant plastic
1828DS
Daily Menu Display
18-9/16 x 28-3/16
$298.95/ea
All signs on this page feature custom color choices for sign, text and back plates; visit BriggsCorp.com/Signs for more options. Unless otherwise noted, raised lettering will be in white.
4320DS 4322DS 4323DS 4324DS 4325DS 4321DS
Monthly Activity Display 47-5/8 x 66-1/4 Monthly Activity Display Component Monthly Activity Display Component (12/pk) Individual Insert Holder for Monthly Activity Display 6-1/8 x 8-1/2 Insert Holders for Monthly Activity Display (7/pk) 6-1/8 x 8-1/2 Header for Monthly Activity Display 1 Line, 30 Char. Limit 8-5/8 x 66-1/4
$1,701.35/ea $35.00/ea $141.75/pk $29.40/ea $123.35/pk $533.45/ea
SIGNAGE
Town-Square 2-Slot Message Display

Features 2 windows with protective covers for posting your custom messages Windows hold 8-1/2 x 11 sheets of standard paper Key-hole mounting
Town-Square 8-Slot Activity Display

Features eight windows with protective covers for posting your Activities schedule Windows hold 8-1/2 x 11 sheets of standard paper Features extra window to announce special events 2-1/2 x 2-1/2 custom logo tile (optional) Key-hole mounting
3137DS
8-Slot Activity Display
31-1/8 x 37-1/8
$634.95/ea
Item #
Description
Size (H x W)
Price
2313DS
2-Slot Message Display
23-7/16 x 13-3/8
$213.45/ea
261
Standard Signage Color Chart
Briggs Healthcare has made ordering custom signage easier than ever!
1. 2.
Create your account! Log in to get started at BriggsCorp.com/Signs. Start shopping! All the signs you need for your building are at your ngertips. Select your style! Determine and preview sign, frame colors, text styles and custom text. Submit your order when you nish designing your signs. Its that simple!
3. 4.
Log in today and experience Signage Made Simple!
Standard Colors
Not all signs available in all colors. Visit BriggsCorp.com/Signs for color availability for specific signs.
White
Eggshell
Dolphin Gray
Slate
Timberwolf
Black
Almond
Desert Sand
Cappuccino
Khaki
Tan
SIGNAGE
Earth
Spanish Leather
Terracotta
Chili
Cajun Spice
Brown
Dark Brown
Blush
Coral
Henna
Brick
Burgundy
Red
Sugarplum
Mulberry
Rouge Red
Eggplant
Rockwood
Blackberry
Country Stone
Rain
Brittany Blue
Colonial Blue
Indigo
Marine Blue
Green
Dusty Jade
Kabuki Teal
Meridian
Peacock
Delaware
Savannah
Seafoam
Many signs feature custom back plates. Visit BriggsCorp.com/Signs for options. Tanglewood Olive Forest Hunter Silver Copper Gold Bronze
262
Regulatory Signs
Regulatory Signs
Raised letters and symbols with Grade 2 Braille Tough, scratch resistant plastic construction Adhesive strips for easy installation Unless otherwise noted, raised lettering/symbols will be in white. Visit Briggscorp.com/Signs for custom color options A Life-of-the-Building warranty
Item # Style Size (H x W) Price
See Below See Below See Below See Below See Below See Below
LTC Marquis Esquire Contour Traditional Town Square
8 x 8 8-1/4 x 8 9-3/8 x 7 9-3/8 x 6-3/4 9-5/8 x 7 9-1/4 x 7-5/8
$43.20/ea $58.90/ea $50.20/ea $66.50/ea $75.95/ea $69.55/ea
Choose from these styles:
LTC
Marquis
LTC Marquis Esquire Contour Traditional Town Sq
5741DS 5841DS 4030DS 4073DS 4126DS 4336DS
5743DS 5843DS 4029DS 4072DS 4128DS 4338DS
5742DS 5842DS 4028DS 4071DS 4127DS 4337DS
Town Square
Contour
SIGNAGE
5740DS 5840DS 4027DS 4070DS 4125DS 4343DS
5745DS 5845DS 4031DS 4074DS 4130DS 4346DS
5746DS 5846DS 4032DS 4075DS 4131DS 4349DS Traditional Esquire
Sign layouts may vary depending on style; visit BriggsCorp.com/Signs to view actual layouts and color options.
5748DS 5848DS 4036DS 4079DS 4133DS 4347DS
5749DS 5849DS 4037DS 4080DS 4134DS 4339DS
5750DS 5850DS 4035DS 4078DS 4135DS 4340DS
263
Room Signals No Cell Phone Signs
Six-Flag Room Signal

Condentially signal the status of a patient/resident, outside the room. Durable aluminum construction is built to last Holes in base are designed for wall mounting (hardware not included) Standard signal includes six ags in red, blue, orange, green, yellow and gray Signals with more or less than six ags or custom colors are also available Available in two sizes: 4" ags and 8" ags Flags can be easily removed from the rod and repositioned as needed Full 1-year warranty
Item # Description Price
8" Flags 12 colors available: Colors are reproduced as close to true color as possible.
Turquoise
4" Flags
White
Black
Beige
Blue
Orange
5040 5041
4 Standard Color 6-Flag Signal 8 Standard Color 6-Flag Signal
$57.75/ea $57.75/ea
Yellow
Gray
Red
Mauve
Lavender
Green
Custom Room Signal Flag System

Customize your agging system to meet your specic needs Choose from 1-12 ags in twelve highly visible colors Specify color and position when ordering Tension and colors are preset, however, may be easily repositioned to meet your requirements
4 Flag 8 Flag Description Price
No Cellular Phone Signs

Features red and black graphics on a white background Standard no cellular phone symbol Made of durable plastic that is scratch and chemical resistant
Item # Description Size Price
SIGNAGE
5984DS 5985DS 5986DS
No Cellular Phone Symbol Only 5-1/2 x 5-1/2 No Cellular Phone Symbol Only 8 x 8 Use of Cellular Phones is Prohibited... 5 x 15
$24.95/ea $33.75/ea $36.75/ea
Custom 1-Flag System Custom 2-Flag System Custom 3-Flag System Custom 4-Flag System Custom 5-Flag System Custom 6-Flag System Custom 7-Flag System Custom 8-Flag System Custom 9-Flag System Custom 10-Flag System Custom 11-Flag System Custom 12-Flag System
$37.70/ea $39.75/ea $45.60/ea $51.45/ea $63.65/ea $69.40/ea $75.00/ea $83.10/ea $93.75/ea $100.50/ea $107.25/ea $107.70/ea
5984DS
5985DS
5986DS
264
Magnetic Care Signs Door Hanger Signs
BEST SELLER Magnetic Care Signs

Highly visible red and white plastic signs Magnetic backing adheres to metal door frames, cabinets and bedframes without sticky adhesive residue Most titles are available in 2 sizes: 5H x 3W and 9H x 2W Some signs have a blank area that can be customized with a water-based marker Minimum order of 5 signs (can be any combination)
3 x 5 Item # 2 x 9 Sign Title Price
5767DS
5765DS
View all sign layouts at www.BriggsCorp.com/Signs

5764DS
6502DS 6510DS 5752DS 5751DS 6506DS 6504DS 6508DS 6512DS 5763DS 5755DS 5754DS 5756DS 5767DS 5769DS 5765DS
6501DS 6509DS 5753DS 6500DS 6505DS 6503DS 6507DS 5764DS 5759DS 5758DS 5757DS 5768DS 5779DS 5766DS
Attention Hearing Impaired Attention High Fall Risk Attention Measure I & O Attention Attention Special Skin Care Attention Vision Impaired Attention Wander Precaution Attention Wander Prone Attention Weigh Daily No Smoking Oxygen In Use No Sticks Left Arm No Sticks Right Arm Restriction Dietary Restriction Fluids Restriction NPO Stop See Nurse for Instructions Treatment In Progress Warning Biohazard
$6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea $6.25/ea
Door Hanger Signs

Alert staff and visitors of temporary care needs Hangs conveniently on a door knob Tough, durable plastic can be reused 10 per pack
Item # Description Size (H x W) Price Per Pack
See below 5601DS 5602DS
Pre-Printed Blank 2-Sided
8-1/4 x 3-1/4 8-1/4 x 3-1/4 8-1/4 x 3-1/4
$34.70/pk $23.15/pk $40.50/pk
5990DS
5992DS
5998DS
5600DS
5603DS
SIGNAGE
5994DS
5993DS
5997DS
5996DS
5995DS
5999DS
5601DS (Blank)
5602DS (2/Sided)
5991DS
Oxygen In Use Sign (Non-ADA)

Versatile, white rigid plastic sign can be displayed 2 different ways 2 holes at the top for hanging the sign from walls or doors Can be adhered to any smooth surface by using the peel-and-stick adhesive strips for easy installation Silkscreened red copy on white surface
20 Item # Size (H x W) Price
8 x 5
Fl. Red
Permanent adhesive
No Smoking (Oxygen) Label

Item # 1 Price Per Pack of 25 5 10
L-2359
$12.95
$10.95
$10.65
$10.30
6600
10 x 8
$19.10/ea
265
Trafc Control Signs
Direct and Warn Drivers!

Trafc Control Signs
Protect people by directing and warning drivers in busy trafc areas, including entrances, exits, parking and non-parking areas These premium quality .080 aluminum signs feature standard Department of Transportation colors and graphics (check with state and local ofcials for additional guidelines that your facility may need to follow) Custom signs are available in 12 x 18 or 18 x 12, with black graphics on a white background Trafc posts are sold separately Full 7-year warranty
5973DS
5969DS Lt Arrow 5970DS Rt Arrow
4084DS 4081DS 5971DS Lt Arrow 5972DS Rt Arrow
See Right 5974DS 4083DS 5975DS 5976DS 4084DS
Traffic Control Signs Van Accessible Permit Required Custom Sign Custom Sign Stop Sign
18 x 12 6 x 12 6 x 12 18 x 12 12 x 18 24 x 24
$32.50/ea $24.20/ea $24.20/ea $46.75/ea $46.75/ea $76.10/ea
5950DS
5951DS
5952DS
5953DS
5954DS
Preview Your Custom Trafc Control Signs at BriggsCorp.com/Signs!

5955DS 5976DS 12 x 18 5975DS 18 x 12 5956DS 5957DS 5958DS 5959DS
5960DS
5961DS
5962DS
5963DS
5964DS
SIGNAGE
Steel Posts
Durable steel post features a green, baked enamel nish All posts are tapered on the end for easy installation (instructions, nuts and bolts included) Trafc Control Signs sold separately
Item # Size (H x W) Price 5965DS 5966DS 5968DS 4086DS 4087DS
5977DS 5978DS 5979DS
6 ft. 7 ft. 8 ft.
$28.90 $34.70 $46.35

5967DS 5974DS 4082DS 4083DS
266
Medical Supplies
ADL. . . . . . . . . . . . . . . . . . . . . . . . . . . Bathroom Aids. . . . . . . . . . . . . . . . . . Blood Pressure . . . . . . . . . . . . . . . . . . Diagnostics. . . . . . . . . . . . . . . . . . . . . Enteric Feeding . . . . . . . . . . . . . . . . . Equipment . . . . . . . . . . . . . . . . . . . . . Fall Prevention. . . . . . . . . . . . . . . . . . First Aid . . . . . . . . . . . . . . . . . . . . . . . Gloves. . . . . . . . . . . . . . . . . . . . . . . . . ID Bands . . . . . . . . . . . . . . . . . . . . . . . Incontinence . . . . . . . . . . . . . . . . . . . Infection Control . . . . . . . . . . . . . . . . Irrigation . . . . . . . . . . . . . . . . . . . . . . IV Supplies . . . . . . . . . . . . . . . . . . . . Linens . . . . . . . . . . . . . . . . . . . . . . . . . Medication Administration . . . . . . . Mobility . . . . . . . . . . . . . . . . . . . . . . . Nursing Instruments . . . . . . . . . . . . . Orthopedics . . . . . . . . . . . . . . . . . . . . Ostomy. . . . . . . . . . . . . . . . . . . . . . . . Personal Care. . . . . . . . . . . . . . . . . . . Positioning. . . . . . . . . . . . . . . . . . . . . Pressure Relief . . . . . . . . . . . . . . . . . . Rehab Therapy . . . . . . . . . . . . . . . . . Respiratory. . . . . . . . . . . . . . . . . . . . . Stethoscopes . . . . . . . . . . . . . . . . . . . Thermometry. . . . . . . . . . . . . . . . . . . Urology . . . . . . . . . . . . . . . . . . . . . . . Wound Care. . . . . . . . . . . . . . . . . . . .
412 384 442 435 368 402 332 380 271 268 338 273 359 364 426 282 391 458 411 362 370 328 315 421 430 450 437 352 290
ID Bands
Color-Coded Identication Bands Offer Patient Privacy

Are you looking for a simple way to maintain resident/patient identication while protecting their privacy?
Briggs offers a line of identication bands in several highly visible colors. These bands feature soft vinyl material and contoured designs for comfort. The bands are durable, with easy-to-use secure closures. Whether you work in a long-term care, hospital, assisted living or home care setting, a color-coded identication system is a simple step toward the HIPAA privacy rule compliance. Identication bands offer simple visual identication of behavior issues, fall risk or medical conditions. Your organization procedures can indicate the colorcode system, which is known only to the staff. Bands can also be used to identify equipment. Wheelchairs, walkers and pressure relief devices can be clearly linked to the resident/patient via the band. An identier known only to the staff can be documented on the band insert and attached to the equipment. This same identier should be written on the ID Band. In addition to protecting privacy, the fact that this system does not rely on written information eliminates staff language and literacy issues.
Briggs Soft, Comfortable ID Band
BEST SELLER
This ID Band is specically designed to meet the needs and challenges of the Long-Term Care environment. Its durability is unequalled by traditional plastic or vinyl bands, making it cost effective. And its easy to use. Just trim each 10 band to the required length and slip in an insert card. The male/female connectors protect resident information with a permanent, waterproof seal. Most importantly, the bands unique design makes it comfortable to wear and less likely to irritate and break down skin. These cost-effective, easy-to-use, comfortable and durable bands will satisfy all your resident identication needs. Packaged 50 bands per box. Each box also includes 64 white insert cards and 32 each of light pink, light blue and light green insert cards. (Additional insert cards are also available. See below.)
Item # Color Qty Price
ID Band 190 Insert Card 17-861041 17-861037 17-861039 17-861040 17-861042 17-861043
Clear Red White Light Blue Light Green Yellow Purple
50/bx 160/pk 160/pk 160/pk 160/pk 160/pk 160/pk
$37.90 $5.55 $5.55 $5.55 $5.55 $5.55 $5.55
How to use:
1. Type or write
MEDICAL SUPPLIES
Consider this example of colorcoding using identication bands in a long-term care facility:

resident information on insert, starting at the perforation. Tear card from sheet.
Clear Restorative Red DNR Green Diabetic Blue Fall Risk Nursing Yellow Pressure Ulcer Orange Wander Risk
2. Estimate proper length

by wrapping band around residents wrist leaving two ngers comfort space underneath band. Trim excess from band with scissors.
Additional insert cards sold separately
3. Trim insert (if necessary) to

t inside band. Slide card inside band and tear off perforated insert tab.
ID Bands
This color-code system can be easily modied to meet any organizations needs.
4. Wrap band around wrist with

patient information facing outward. Place connector into open end of band. Press rmly with a side to side motion until each end of band touches ridge in center of connector.
268
ID Bands
NAME ALERT
L-2344 15/16 x 2-1/4 Fl. Red 250/bx
Soft-Lock Colorguard Insert Card ID Bands with Adhesive Closure
SAFEGUARD Insert Card ID Bands with Adhesive Closure
See page 239 for Chart labels.
Insert pocket protects patients data Adhesive closure Type, imprint or write patient information on the insert card Large card size: 7/8 x 2-3/4 (5 line) Adult/pediatric
Insert pocket protects patients data Adhesive closure Insert card has space for up to 4 lines of patient information Adult/pediatric
05-010621C 05-010621W 05-010621B 05-010621G 05-010621Y 05-010621R
Clear White Blue Green Yellow Red
250/bx 250/bx 250/bx 250/bx 250/bx 250/bx
$60.10 $60.10 $60.10 $60.10 $60.10 $60.10
05-82111 05-82113 05-82114 05-82115 05-82116 05-82117
White Blue Yellow Green Red Orange
250/bx 250/bx 250/bx 250/bx 250/bx 250/bx
$66.35 $66.35 $66.35 $66.35 $66.35 $66.35
Securline ID Bracelets
Featuring an all-plastic locking snap fastener, these ID bracelets are safe for all areas of the hospital. Fits wrist sizes from 4-1/2 to 10-1/2, with a 3-1/4 x 5/8 insert card.
MEDICAL SUPPLIES
Briggs PrimeBand Sealident Insert ID Bands with Snap Closure

SAFEGUARD Imprinter Surface Style Bracelet
Water-resistant insert pocket protects patients data Snap closure Insert card has space for up to 4 lines of patient information Card size: 3/4 x 3 Adult/pediatric
This bracelet has a unique feature that allows you to imprint patient data directly on the bracelet. Also features an adhesive closure for superior security and patient comfort. The imprinter surface has space for up to ve lines of patient information.
With 300 Insert Cards 6206 Clear 6207 White 6208 Green
250 ea/bx $107.20 250 ea/bx $107.20 250 ea/bx $107.20
05-84511 05-84513 05-84514
White Blue Yellow
250/bx 250/bx 250/bx
$90.50 $90.50 $90.50
ID Bands
05-010715C 05-010715W 05-010715B 05-010715R 05-010715Y
Clear White Blue Red Yellow
250/bx 250/bx 250/bx 250/bx 250/bx
$85.35 $85.35 $85.35 $85.35 $85.35
Quantity breaks available on ID Bands. Call for details. 269
ID Bands
Splash Strap Colorguard ID Bracelets

Sentry Allergy Alert Wristband
Large card size 7/8 x 2-3/4 (ve lines) Soft vinyl to protect sensitive skin Plastic snap closure Popular neon colors with two-color graphic imprint Strong, stretch-resistant, three-layer construction
Each box includes 250 bracelets and Securline Hospital Marker.

05-507216
3-Line Band
Red
250/bx
$75.85
05-14627 05-14641 05-14630
Neon Pink Neon Green Neon Orange
250/bx 250/bx 250/bx
$92.25 $92.25 $92.25

4-Line Band
PDC Short Term Band

Provides an economical, secure alternative for patient identication. Smudge-resistant imprint surface with up to six lines of information Adjustable, adhesive closure Durable construction Lightweight, latex-free material Lower cost Imprint area 1 x 2-7/8

Ident-A-Band Insert ID Bands with Clip-Seal

MEDICAL SUPPLIES
Insert pocket to protect patient information Made of soft vinyl with smooth edges Tough, polylm lining reinforces each band, making it tamper-proof and durable Secure Clip-Seal closure can be sealed anywhere on the band
05-6500
White
500/bx
$70.30
3-Line 05-6752 05-6703 05-6822 4-Line 05-6748 05-6705 05-6706 05-6814 05-6824
Clear Red Yellow Clear Red Green Blue Yellow
400/bx $124.05 400/bx $124.05 400/bx $124.05 200/bx 200/bx 200/bx 200/bx 200/bx $66.25 $66.25 $66.25 $66.25 $66.25
ID Bands
Stat I.D. Interim ID Band
Identies patients quickly and economically. Surface accepts writing, typing or embossing. Resists tearing and smearing, even when wet. Reinforced for strength. Easy to apply. 3/4 wide. Packaged 250 to a dispenser box.
05-291301
White
250/bx
$30.10
270
Gloves
Adenna Latex Powder Free Textured Exam Gloves
Lightly chlorinated for easy donning Textured surface provides non-slip grip
Item # Size Qty Price
70-262 70-265 70-266 70-268
Small Medium Large X-Large
100/bx 100/bx 100/bx 100/bx
$6.49 $6.49 $6.49 $6.49
Briggs Synthetic and Latex Powder Free Exam Gloves
Adenna Latex Powder Free Exam Gloves
Synthetic gloves are formulated with a synthetic component and soft PVC vinyl material Latex gloves have low protein levels and no residual powder Soft and exible, yet strong and durable for maximum protection 100% powder free Manufactured at ISO 9001 quality certied facilities
Size Qty Price
Smooth, silky nish provides superb tactile sensitivity Ergonomically designed to t well for maximum comfort Beaded cuff guards against tearing
Powder Free 70-332 Small 70-335 Medium 70-336 Large
100/bx 100/bx 100/bx
$6.09 $6.09 $6.09
Adenna Synthetic Vinyl Powder Free Exam Gloves
100% latex-free eliminates the risk of latex protein related allergies

Item #
Synthetic BRG-001 BRG-002 BRG-003 BRG-004 BRG-021 BRG-022 BRG-023 BRG-024 Small Medium Large XLarge Small Medium Large XLarge 100/bx* 100/bx* 100/bx* 100/bx* 100/bx* 100/bx* 100/bx* 100/bx* $4.09 $4.09 $4.09 $4.09 $5.79 $5.79 $5.79 $5.79
Powder Free 70-232 Small 70-235 Medium 70-236 Large 70-238 X-Large
100/bx 100/bx 100/bx 100/bx
$5.19 $5.19 $5.19 $5.19
Adenna Synthetic Polyvinyl Powder Free Exam Gloves
Adenna Nitrile Powder Free Exam Gloves
Softer and more exible than regular vinyl with a snug t that stimulates latex gloves 100% latex-free
Size Qty Price
MEDICAL SUPPLIES
Softer and more elastic than other nitrile gloves without latex additives 100% latex-free eliminates potential allergic reaction to latex protein Textured surface provides strong grip Puncture, tear and chemical resistant
Item #
70-992 70-995 70-996 70-998
100/bx 100/bx 100/bx 100/bx
$5.09 $5.09 $5.09 $5.09
Adenna Miracle Nitrile Gloves

Powder free Contains no latex protein

Size Qty Price
70-882 70-885 70-886 70-888
100/bx 100/bx 100/bx 100/bx
$7.99 $7.99 $7.99 $7.99
Gloves
Item #
Synthetic BRG-011M Small BRG-012M Medium BRG-013M Large BRG-014M XLarge

*Measured by weight
200/bx* 200/bx* 200/bx* 150/bx*
$12.00 $12.00 $12.00 $11.50
271
Gloves
Briggs Healthcare
DermaLux Vinyl Powder Free Exam Gloves

Digitcare Latex Powdered and Powder Free Exam Gloves
Eliminates reactions to latex 9.25 length, 6.5ml ngertip Semi-clear color

Acrylic Glove Box Holders

Exceeds ASTM D3578-95 and FDA requirements Less than 100 micrograms of powder per glove Smooth nish and ambidextrous t 9.25 length, 8ml ngertip Natural latex color
Powder Free 70-DFLX1 Small 70-DFLX2 Medium 70-DFLX3 Large
100/bx 100/bx 100/bx
$8.19 $8.19 $8.19
Accommodates all brands and sizes Wall mount (screws not included) or place on counter
Size (W x D x H) Qty Price
Item #
Double 70-206 1 x 3-1/2 x 9-1/2 Triple 70-306 11 x 3-1/2 x 19-1/4
1 ea 1 ea
$24.09 $25.59
Powdered 70-201 Small 70-202 Medium 70-203 Large Powder Free 70-DF1 Small 70-DF2 Medium 70-DF3 Large 70-DF4 X-Large
100/bx 100/bx 100/bx 100/bx 100/bx 100/bx 100/bx
$6.62 $6.62 $6.62 $8.41 $8.41 $8.41 $8.41
FrontLine Nitrile Powder Free Textured Exam Gloves

9.25 length, 6ml ngertip Blue color

Glove Dispenser

MEDICAL SUPPLIES
70-FL91 70-FL92 70-FL93
Small Medium Large
100/bx 100/bx 100/bx
$11.80 $11.80 $11.80
Open design allows you to see what is being dispensed Steel construction with powder-coat nish Comes complete with mounting hardware
Size (L x D x H) Qty Price
Item #
70-305325 10-3/4 x 3 x 4 1 ea
$8.99
OptiGrip Plus Latex Powder Free Textured Exam Gloves
Gloves
Finish offers excellent tactile grip wet or dry Fully textured from nger to palm for maximum grip 9.25 length, 8ml ngertip, natural latex color
Infection Control Products pages 273281
Glove Dispenser
Boxes load directly into dispenser. Unique internal spring assures that any glove box size (from 25 to 100 count boxes) will always be placed neatly and securely in the dispenser.
Item # Qty Price
70-DFO2 70-DFO3
Medium Large
100/bx 100/bx
$10.26 $10.26
78-1500
1 ea
$12.99
272
Infection Control
In-Room Personnel Protection Storage Cabinet
Compact, efcient storage for a wide variety of supplies. Shelves are fully adjustable to accommodate your selection of supplies, such as personnel protection gowns and more Provides easy point-of-use access mounts anywhere (patient room, hallway, nursing station, etc.) for quick access in emergencieseliminates searching for or gathering supplies Size (W x D x H): 12-1/2 x 5-1/4 x 12-1/2
Item # Qty Price
79-3930
79-2203
79-2201
75-47117
Earloop Face Mask ISOSAFE Earloop Mask with Shield
Blue pleated procedure mask with glass-free lter. Average bacterial efciency 99%.
Item # Qty Price
68-8560
1 ea
$122.89
(other supplies not included)
Rely on ISOSAFE face masks for high ltration micro-ber lter media with a BFE rating exceeding AORN standards. Each mask features three layers, with the innermost layer soft and smooth for maximum comfort.
Item # Qty Price
79-2201
50/bx
$9.69
79-3930
50/box
$21.99
Isolation Mask

Molded Face Mask

Universal Precaution Strict Isolation Kit
Fiberglass free Average bacterial efciency 99% Fluid resistant Flared soft edges to t all facial contours Adjustable aluminum nose piece Dual head straps for tight seal
Item # Qty Price
Provides high-quality protection during isolation procedures Soft, lightweight fabric provides cool, comfortable breathability Pleat design ensures proper coverage Stretch earloop design allows for quick, easy removal and application of mask Nosepiece is enclosed to provide a secure, conforming t
Item # Qty Price
75-47117 79-2203 50/box $11.19
50/bx
$10.09
Contains: 1 perforated poly bag, 1 twist tie, 2 latex exam gloves, 1 barrier gown, 2 antimicrobial wipes, 1 ear loop mask with anti-fog eye cover, 2 shoe covers, 1 bouffant cap
Item # Qty Price
MEDICAL SUPPLIES
16-61526
1 ea
$8.19
Tie-On Surgical Mask
Earloop Procedure Face Mask
Over 99% bacterial ltration efciency against wearergenerated microorganisms Fluid resistant to reduce potential exposure to blood and body uids Lightweight construction for maximum comfort and breathability Earloop design allows easy donning and removal
Item # Qty Price
Over 99% bacterial ltration efciency against wearergenerated microorganisms Fluid-resistant to reduce risk of wearer exposure to blood and body uids Lightweight construction for comfort and breathability
Item # Qty Price
Aseptex Molded Surgical Mask
16-1818
50/bx
$16.09
Over 96% efcient in bacterial ltration efciency against wearer-generated particles Fluid-resistant to reduce risk of wearer exposure to blood and body uids Soft, lightweight, non-berglass construction for comfortable wear Slips on and off easily and quickly, yet ts securely
Item # Qty Price
Infection Control
79-1820
50/bx
$17.99
16-1800
50/bx
$19.29
273
Infection Control
N95 Particulate Respirator with Magic Arch and Positive Facial Lock

Coverall Face Shield

Inexpensive, lightweight and available in full or half face. Includes an anti-fog shield with a soft and wide non-slip comfort stretch band.
Item # Description Qty Price
Designed specically for use in a health care settingNIOSH-approved as a Type N95 respirator and meets CDC guidelines for TB Exposure One size ts allto help you reduce costs and inventory, the N95 respirator uses an exclusive Magic Arch/Positive Facial Lock one-size-ts-all design This design feature permits the respirator to be custom t to virtually any face, no matter what shape or size
Item # Qty Price
Anti-Fog Flexible Goggles

Soft, comfortable vinyl construction with specially treated lenses to protect your eyes and keep your vision clear. Indirect ventilation with adjustable headband allows the goggles to t directly over personal glasses. Meets ANSI Z87.1 Standards and OSHA requirements. Individually bagged.
Item # Qty Price
79-2807 79-2808
Full Face Half Face
25/bx 25/bx
$63.19 $56.29
75-88210
1 ea
$6.79
79-695
35/bx
$32.29
Respirator Fit Test Kit

Includes: One hood and one collar assembly Nebulizer #1 (sensitivity) Nebulizer #2 (t test) Two replacement nebulizer insert sets Fit test solution and sensitivity solution
Item # Qty Price
79-FT10
50/bx
$204.39
MEDICAL SUPPLIES
Splash Resistant Procedure Mask

Provides a protective layer of moisture resistance. Prevents penetration even when body uids strike it with impact, while still allowing cool, comfortable breathing. The exclusive orange outerfacing easily identies this as the surgical mask that helps protect against the contamination of body uids. Anti-fog, anti-glare splash guard visor and an ear-loop t.
Item # Qty Price
N95 Health Care Particulate Respirator

Fluid resistant and NIOSH approved. 3M 1860 Health Care Particulate Respirator, Type N95. Meets CDC guidelines for TB exposure control.
Item # Qty Price

79-1860
20/bx
$29.79
Infection Control
75-47080
25/bx
$41.09
2117/3
Employee Incident/ Accident Report
$49.40
274
Infection Control
Phoenix Textile Corporation Isolation Gown

Offers economical, comfortable and reliable protection. Fluid resistant Full length and full back for maximum coverage Elastic cuffs Sewn seams provide superior strength Extra length on waist ties allows gown to be easily secured in front Yellow
Personal Protection Gown

Protection, comfort and sensibility are all available in one quick, disposable gown. Exclusive stirrup cuff design protects the vulnerable wrist area and makes donning gloves easy Space saving dispenser box Embossed polyethylene material passes ASTM F1670-95 for blood strike-through Open back design for cool comfort slip-on style neck loop and perforated shoulder panel makes it easy to get on and off Universal size
Item # Qty Price
Isolation Gown
Double ply stockinet cuff, raglan sleeves, tie closure to secure overlap back, 50% cotton/50% polyester broadcloth. 47 length, 62 sweep, 23-3/4 in sleeve. Yellow.
Item # Qty Price
40-0311002
1 ea
$8.79
Item # Qty Price
All Barrier Precaution Gown

Entire gown made with uid resistant barrier fabric constructed from 99% high density continuous lament texturized polyester yarns and 1% conductive carbon yarn, two sets of tie closures, white knit cuffs, 48-1/2 length, 60-1/2 sweep. Yellow.
Item # Qty Price
40-2141
50/ca
$38.49
68-8576
15/bx
$18.89
40-8190524
1 ea
$30.79
Convertors Impervious Gown with Thumb Hooks
One-piece impervious polyethylene Slips over head for easy donning Individually wrapped In handy dispenser box for easy access
MEDICAL SUPPLIES
Shoe Covers

Item #
Qty
Price
Made of spun-bonded polypropylene Sewn seams, not glued, for greater strength Elastic opening provides a snug, comfortable t Non-skid for improved oor traction Universal size
68-4440
15/bx
$23.89
Plastic Apron
White, embossed polyethylene apron can be used just once or wiped clean and used again. Durable construction is waterproof. Saves laundering expense. 28 x 45 with looped neckband and long ties which fasten at waist. One-piece construction.
Item # Qty Price
Infection Control
60-2132
Non-Sterile
150 pr/ca
$24.44
73-0009
100/bx
$34.59
275
Infection Control
Briggs BioQwik Clean-Up Kits
4 different BioQwik Clean-Up Kits meet any facilitys protocols and make compliance simple Multi-purpose blood and body uid clean-up system Contains bleach with 1:10 dilution EPA registered disinfectant
Red Z Emergency Response Kit
Item #
Description
Qty
Price
BRG-720 BRG-721 BRG-722 BRG-723
Standard Select Advanced Premium
1 ea 1 ea 1 ea 1 ea
$2.89 $6.99 $10.79 $18.19
Contains: 1-pair of latex gloves, 2-oz bag of Red Z, 1 shovel, 1 towel, 1 white bag, 1 EPA approved HIV-rated germicidal towelette, 1 antiseptic hand wipe, 1 red bag with twist tie
Item # Qty Price
82-71356
1 ea
$7.49
Kit Contents
Stnd.
Select
Adv.
Prem.
Disposable Gloves Red Biohazard Bag w/ Twist Tie Clear Reclosable Bag All Purpose Reinforced Towels Liquid Bleach Packet Face Mask with Eye Shield Plastic Scoop and Scraper Absorbent Granules Packet 9 x 9 Bleach Wipe Antimicrobial Hand Wipe Disposable Protective Gown Dry Surface Wipe Disposable Shoe Covers Hair Cover
1 pr 1 ea 1 ea 2 ea 1 ea
1 pr 1 ea 1 ea 2 ea 1 ea 1 ea 1 ea 1 ea
2 prs 1 ea 1 ea 2 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
2 prs 1 ea 1 ea 2 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 pr 1 ea
Red Z Deluxe Emergency Response Kit

The safe solution for handling, transporting and disposing of high-risk medical waste. Contains: 2 vinyl gloves, 1 splash goggles with mask, 1disposable gown, 2-oz bag of Red Z, 1 shovel, 1 scraper, 1white plastic bag with tie, 1 germicidal towelette, 1absorbent towel, 1 red biohazard plastic bag with tie, 1antiseptic hand wipe
Item # Qty Price
MEDICAL SUPPLIES
Emergency Econo Spill Kit

82-2037
1 ea
$18.09
Complies with OSHA guidelines Contains: 1 Bio-Wipe Bag, 2-oz. Cavicide disinfectant spray, 2 Nitrile non-latex gloves, 1 heavy duty towelette, 1Isagel antimicrobial hand wipe, instruction sheet in English and Spanish
Red Z Chlorinated Absorbent Beads

The same Red Z component found in the Emergency and Deluxe Emergency Response Kits is also available in an 8-oz shaker can. Red Z is a safe solution for handling and disposing of high-risk medical waste.
Item # Qty Price
Infection Control
Item #
Qty
Price
82-BMW
1 ea
$13.19
82-2030
1 ea
$14.99
276
Infection Control
Ultra-Tuff Infectious Waste Disposal Bags

Designed specically for small waste collection. Constructed with low-density polyethylene resin, this bag has a fold-over security ap to provide more effective containment of contents. This bag is biohazard labeled to meet OSHA and state-suggested regulations.
Saf-T-Seal High-Density Infectious Waste Disposal Bag
Features the Saf-T-Seal 8-ply bottom seal as a protection against leakage. Fits in small trash cans, step-on cans and can be carried for infectious waste disposal in or outside your facility. Labeled in English and Spanish.
Biohazard Waste Disposal Bag

Bag measures 23 x 23. It is 1.5ml and has a 7- to 10-gl capacity. Red with black print reading Biohazard Waste.
61-5042
11 x 14
50/bx
$9.19
61-4400
24 x 24
1000/ca
$97.49
61-116
23 x 23
500/ca
$63.79
MEDICAL SUPPLIES
L-3036 L 3036
3-1/2 3 1/2 x 3
Fl. Fl Red
250/Roll
L-3034 Fl. Red
2 x 3 500/bx
L-3032 Item # 1 Price Per Box 5 10 20
2 x 3
Fl. Red
500/bx
L-3032 L-3033 L-3034
$29.15 $12.70 $29.15
$24.35 $10.75 $24.35
$22.65 $10.15 $22.65
$20.90 $9.15 $20.90
Infection Control
Item #
Price Per Roll 5 10
20
L-3036
$20.65
$13.95
$13.10
$12.65
See page 248 for more Biohazard Labels.
L-3033
1 x 3
Fl. Red
250/bx
277
Infection Control
Saf-T-Tuff Collection Bags

Color coded and labeled in English and Spanish for immediate recognition. Individually pre-folded for convenient storage and distribution. Size: 23 x 8 x 41
61-4709
Soiled Linen, 250/ca $108.49 blue with black print
DMI Exam Table and Headrest Paper
Dissolvable Laundry Bags

An excellent method for total linen isolation. Place entire sealed bag in washer. It dissolves at 140 F and will not clog drains or leave any residue on linens.
Provides gentle patient comfort and protection Protective paper helps prevent moisture and soil from soaking through Durable protection for most any size headrest and exam table Machine-glazed smooth paper, or soft crepe paper for quieter comfort
61-0166 61-550200 61-550300
26 x 33 28 x 39 36 x 39
25/pk 25/pk 25/pk
$18.69 $22.19 $27.09
Exam Table 539-5281-0000 18 x 225 ft. 12/ca $51.80 539-5282-0000 21 x 225 ft. 12/ca $60.70 Headrest 539-5284-0000 8 x 225 ft. 25/ca $51.80
Briggs Hand Sanitizer
Premier Step-On Covered Hamper Stand

Securely holds any bag (plastic, cloth or paper) 30 wide or wider. Bottom platform rack helps support heavy loads. Supplied with non-marking rubber wheels and double ball-bearing mechanisms.
MEDICAL SUPPLIES
Kills 99.99% of germs and bacteria Contains 62% ethyl alcohol Manufactured with 100% puried water Packaging made from 100% recycled materials
Bedside Disposal Bags

70-992
Blue
1 ea
$5.09
Chemically treated to increase ame resistance 6-1/2" x 3-1/8" x 11-3/8"

Item # Qty Price
BRG-812 CLOSE OUT 2-oz. BRG-814 8-oz.
1 ea 1 ea
$0.35 $1.95
60-0174
50/pk
$5.09
278
Infection Control
Infection Control
Sani-Cloth Germicidal Cloths
Use on hard, non-porous surfaces and equipment such as stainless steel, formica, glass, tables, carts, baskets, counters, cabinets, telephones Effective against gram positive and gram negative bacteria fungi and yeasts Kills viruses such as Inuenza, Tuberculosis and HIV-1 virus EPA registered
Size Qty Price
MainStreet Roll Towel

2-ply 9" x 11" White

Item # Qty Price
51-1990
84 sheets/rl
$1.39
Item #
Canister 82-77272 6 x 6-3/4 1 ea $9.80 Individually Wrapped Packets 82-87295 11-1/2 x 11-3/4 50/bx $41.60
CaviCide Surface Disinfectant/Decontaminate Cleaner
Effective against TB, HBV, viruses (hydrophilic and lipophilic) and bacteria (including MRSA and VRE). Non-abrasive safe for use on non-porous surfaces including plastics, stainless steel, chrome, glass, Plexiglass and painted surfaces. Perfect for cleaning and decontamination of environmental and medical device surfaces. Features: Broad spectrum of kill Non-toxic and non-irritating Ready to use Satises OSHAs Bloodborne Pathogen Standards Compatible with most medical device material
Item #
Style
Size
Qty
Price
51-1008 51-1000
Spray Bottle
8-oz. 1-gal.
1 ea 1 ea
$4.49 $23.69
Sani-Cloth HB
The rst wipe that kills the Hepatitis B virus. Effective against Methicillin Resistant Staphylococcus aureus (MRSA) and Escherichia coli (E. coli) Kills Vancomycin Resistant Enterococcus faecalis (VRE) Alcohol Free EPA registered
MEDICAL SUPPLIES
Beaumont Products, Inc. Citrus II Germicidal Deodorizing Cleaner
A highly effective, broad-spectrum germicidal deodorizing cleaner designed for everyday use in nursing homes and home care. Safe on surfaces, it is ideal for cleaning and disinfecting non-critical instruments, patient rooms, vinyl and naugahyde chairs, telephones, kitchen surfaces and appliances, toilets, bath and shower stalls and more. Pleasant citrus scent. Provides a rst line of defense against dangerous germs.
Item # Qty Price
Canister 82-Q08472 6 x 6-3/4 1 ea $10.84 Individually Wrapped Packets 82-H21083 5 x 8 50/bx $14.22
82-7754
1 ea
$5.69
279
Infection Control
Infection Control
Sharps Container
Accommodates small syringes, blood needle holders and other sharps waste Simple, 1-handed operation opens and closes the disposal opening Convenient size ts into carry bags for Nursing, EMS and Fire/ Rescue Temporarily closes between use and locks for nal disposal
Item # Color Size Qty Price
Monoject Sharps Containers
Phlebotomy Portable Sharps Disposal Containers

Safe! No cutting! Portable needle disposal for phlebotomy, oor nurses, IV nurses and housekeeping. Unit is made of polypropylenecan be ash autoclaved without melting Accommodates up to a 5cc syringe
Item # Color Size Price
68-8909
Red
1.5 qt
1 ea
4.19
Unassembled containers and lids nest in storage Handy needle notches for removal of needles from syringes or tube holders Snap-on lid locks in place; attached lid cap seals container when full
Item # Size Price
Transportable Sharps Container

Offers simple, one-handed operation to open and close the disposal opening and ts in most carry bags. The container accommodates small syringes, blood needle holders and other sharps waste.

68-676038
Approx. 4-qt.
$5.19
68-8900
Red
1-qt.
$3.09
Large-Volume Sharps Disposal Container
Sharps Collector with Locking Lid
Simple, one-handed operation opens and closes the disposal opening Convenient size ts into carry bags for Nursing, EMS and Fire/Rescue Container temporarily closes between use and locks for nal disposal
Item # Size Price
68-8303
1-qt.
$5.39
Containers offer both large and small openings for infectious waste of various types, including needle counters Snap-on lid locks for nal disposal Nestable containers are stored inside each other Red containers with a clear lid
Item # Size Price
Locks for nal disposal

Item # Qty Price
68-8990
2-gal.
$6.19
MEDICAL SUPPLIES
68-8901
1 ea
$2.99
Sharps-A-Gator Container
Infection Control
Horizontal loading non-mechanical opening Tortuous-path design Autoclavable

Item # Size Price
Sharps Containers

Large opening Locks for nal disposal

Item # Size Price
Sharps Container with Rotor Lid

68-3114010
5-qt.
$4.39
68-31143699 68-31143731
1-gal. 2-gal.
$2.99 $4.96
Locking rotor to secure lid Ideal for lancits, scalpels, slides, pipets and syringes
Item # Size Price
68-8979
2-gal.
$7.09
280
Infection Control
SharpStar In-Room Container
Horizontal Sharps Collectors

One-hand, one-step technique. Features a counter-balanced door. Provides security against tampering. Ideal for patient/exam room. Nested Autoclavable Security lock. Capacity: 5.4 qt
Automatically stops in the full position, indicating when the container reaches capacity
Item # Size Price
68-8509
5-qt.
$6.19
SharpStar In-Room Sharps Disposal System
Horizontal Drop Sharps Disposal Container

Safe, easy-touse disposal. Always-open top allows syringes to be dropped in quickly and safely. Opening easily accommodates large syringes. Secure snap-on lid locks for nal disposal. Clear top makes contents easy to see. Fill level can be easily monitored, allowing for maximum container volume.
Item # Size Price
SharpStar Disposal Container automatically stops in the full position, clearly indicating when the container reaches capacity Restricts access to container contents Provides safe closure for nal disposal Economical horizontal drop Saves valuable counter space Lock is integrated into door and all wall enclosures are keyed the same
Item # Qty Price
68-305517 68-305543
Red Pearl
1 ea 1 ea
$6.69 $6.69
68-8556H
1 ea
$76.59
68-89651
2-gal.
$6.29
One-Piece Sharps Collectors

MEDICAL SUPPLIES
Convenient, vertical point rst drop. These sharps collectors are pre-assembled with a one-way funnel valve.
Item #

Size
Qty
Price
Sharps Disposal by Mail System

Once the container is full, place it in the government-approved shipping box, and the disposal and compliance documentation is handled for you.
Compliant with federal, state and municipal regulations Reduces handling of medical waste Eliminates costly and/or unnecessary pick-ups by medical waste haulers No contract requirement Convenient Transportation of waste via the U.S. Postal Service
Item # Size Price
68-5487 68-5489
1.4-qt. 6.9-qt.
1 ea 1 ea
$4.09 $7.39
Infection Control
68-129018
1-gal.
$53.79
281
Medication Administration
Needlestick Prevention that Meets Your Needs
Retracted needle can be seen through clear plunger handle
Integra Syringes
Activated VanishPoint syringes require less disposal space than other syringes and prevent disposable-related injuries.
VanishPoint Syringes
Item #
Size
Qty
Price
Activation: Push plunger rod to activate the safety mechanism Depress until two clicks are sensed Activation can occur before or after the needle is withdrawn from the patient Needle Retraction: The needle will disappear into the syringe and the plunger will be recessed into the barrel when activation is complete
Virtually eliminates exposure Single-handed, passive activation Hands remain behind the sharp Integrated safety mechanism Prevents recapping the needle removal Remains safe through disposal Easy to use, requires minimal training Safe and effective for patients
1cc Tuberculin Syringe With Needle 68-10151 25 ga x 5/8 100/bx $50.53 68-10131 27 ga x 1/2 100/bx $57.51 1cc U-100 Insulin Syringe With Needle 68-10211 29-ga x 1/2 100/bx $46.89 3cc Syringe With Needle 68-10361 21 ga x 1-1/2 100/bx $59.69
3cc Syringe With Needle 68-305269 25 ga x 5/8 68-305270 25 ga x 1
100/bx 100/bx
$69.59 $69.59
MEDICAL SUPPLIES
Smiths Medical Hypodermic Needle-Pro Safety Syringes

Needle hubs and packaging color-coded to simplify storage and selection Safety feature engages with a single-handed technique Clinicians hands/ngers remain behind exposed sharp at all times Needle is securely locked inside safety device and remains protected through disposal Meets NIOSH/CDC recommendations for safety devices
Size Qty Price
Item #
3cc Syringe With Needle 68-10331 22 ga x 1 68-10341 22 ga x 1-1/2 68-10311 23 ga x 1 68-10301 25 ga x 5/8 68-10391 25 ga x 1
50/bx 50/bx 50/bx 50/bx 50/bx
$22.44 $22.44 $22.44 $22.44 $22.44
282
Safety-Lok Syringes

Just one simple push advances the shield over the needle An audible click tells you the shield is locked in place Eliminates the need for needle recapping after use
Size Qty Price
Syringes
Combine with individual needles to t most requirements. Completely disposable and sterile. Features Luer-Lock hubs and polypropylene barrels.
Item # Size Qty
Item #
3cc Syringe With Needle 68-9595 21 ga x 1-1/2 100/bx 68-9596 22 ga x 1 100/bx 68-9593 22 ga x 1-1/2 100/bx 68-9594 23 ga x 1 100/bx 1cc Tuberculin Syringe With Needle 68-305554 25 ga x 5/8 100/bx 68-305553 27 ga x 1/2 100/bx
$29.29 $29.29 $29.29 $29.29 $49.39 $49.39 1cc Insulin Syringe With Needle 68-329464 29 ga x 1/2 100/bx
Price
$46.69
SafetyGlide Syringes and Needles S

Helps prevent injuries by allowing easy and secure shielding of the needletip immediately after injection. Designed to be activated with a single nger stroke, using the same hand used to give the IM or SubQ injection. Stainless-steel latch securely shields needletip after activation. Luer-Lok connection securely attaches to any standard syringe.
68-1610 3cc 68-1640 5cc 68-1650 10cc 68-9661 20cc Cath Tip Syringe 68-309620 with 2-oz cath tip
100/bx 100/bx 100/bx 40/bx
$16.99 $26.79 $27.69 $32.69
40/bx
$49.09
Item #
Size
Qty
Price
3cc SubQ needle 11-305904 25 ga x 5/8 3cc IM needle 11-305905 23 ga x 1 11-305906 22 ga x 1-1/2 5cc IM needle 11-305907 22 ga x 1-1/2
50/bx 50/bx 50/bx 50/bx
$28.79 $28.79 $29.59 $39.39
1/2cc Insulin 68-305932 29 ga x 1/2 1cc Insulin 68-305930 29 ga x 1/2 1cc TB 68-305945 27 ga x 1/2
100/bx 100/bx 100/bx
$59.09 $62.89
Monoject Luer-Lock Syringe

MEDICAL SUPPLIES
$62.89
68-712023
12cc
80/bx
$34.89
Monoject Safety Syringes S
Item #
Size
Qty
Price
1cc Insulin Syringe (U100) With Needle 68-511110 29 ga x 1/2 100/bx $60.59 1cc Tuberculin Syringe (U100) With Needle 68-511201 28 ga x 1/2 100/bx $57.69
Hypodermic Syringe
68-J10L
10 cc, Luer-Lock 100/bx
$18.19
283
Luer-Lok Syringe Only, 1ml Tuberculin Syringes Insulin Syringes

The needle is permanently afxed to reduce the possibility of air bubbles and minimize insulin waste. Large, dark scale markings and a thin line stopper, which shows through the barrel as a single clear line, improves the accuracy of dosage measurement.
Item # Style Size Qty Price
1cc capacity with 1/100cc graduation (and 16 minims graduated in 1/2 minims). Guaranteed sterile, non-toxic and nonpyrogenic.
Item #
Qty
Price
68-309628
100/bx
$58.89
68-8461 1/2cc 28 ga x 1/2 100/bx $33.19
With Needle 68-1435 25 ga x 5/8 68-1436 26 ga x 3/8 68-309623 27 ga x 1/2 Without Needle 68-309602
100/bx 100/bx 100/bx 100/bx
$29.09 $29.09 $29.09 $40.98
Insulin Syringes
(Nursing Home Packs)
68-5658 1/2cc 27 ga x 1/2 10/pk $28.59 68-5659 1cc 27 ga x 1/2 10/pk $28.59
MEDICAL SUPPLIES
Monoject U-100 Insulin Syringe

Monoject U-100 Insulin Syringe has 1cc capacity and a thin, sharp 28-gauge x 1/2 needle. The single-unit scale provides accuracy. Permanent needle ensures no dead space.
Monoject 1/2cc and 1cc Insulin Syringe, Permanent Needle

Zip-Top Bags
Constructed of 2 mil thick, clear polyethylene so contents can be seen and identied without opening bag. Easy to open yet closes securely. Single-touch zipper.
Designed for use with U-100 insulin Permanently attached needle virtually eliminates dead spaceno insulin retention and no mixing errors Color-coded orange plunger identies syringe for use with U-100 insulin only 1/2cc for use with 50 units of insulin, 1cc for 50 units or more
6118 6128
4 x 6 9 x 12
100 bg/pk 100 bg/pk
$3.39 $7.39
68-601101
1cc
28 ga x 1/2 100/bx $28.49
68-700010 1/2cc 28 ga x 1/2 100/bx $24.79 68-701216 1cc 28 ga x 1/2 100/bx $18.49
284
5-oz Plastic Cups

These cups t all 5-oz cup dispensers.
Paper Portion Cups

Moisture-proof paper cups provide an economical method of distributing medication. Stiff, pleated sides and sturdy rim make this cup durable. Ideal for distribution of solid medication. Lightweight and easy to store.
Unbreakable Plastic Medicine Cups

79-1800 79-1801
White Blue
1000/ca 1000/ca
$29.49 $29.49
Features easy-to-read graduated markings for milliliters and tablespoons One ounce capacity Constructed of break-resistant polypropylene
Item # Qty Price
63-0050 63-2039 63-0100
1/2 oz 3/4 oz 1 oz
5000/ca 5000/ca 5000/ca
$58.19 $61.29 $70.59
539-5062-0500 539-5062-5000
500/pk 5000/ca
$7.79 $71.69
Sweetheart Plastic Cups

Item #
Description
Qty
Price
63-0349 63-0348 63-0350 63-0351
1-oz graduated cup Lids 3.5-oz cup 5-oz cup
200/pk 250/pk 100/pk 100/pk
$6.79 $2.09 $3.09 $3.69
MEDICAL SUPPLIES
Medication Tray
Same-Day Shipping
All orders placed by 4 p.m. Central Time are shipped that same day.
75-833153 20 cup 75-833154 30 cup
13-1/2 x 11 $41.89 14 x 16 $51.39
5-oz Paper Drinking Cup

Item # Qty Price
63-R53 Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com
100/pk
$5.79
285
Silent Knight Tablet Crushing System

Silent, will not disturb patients Cleanprevents crosscontamination, no clean up Safe and fast. Requires minimum force to crush tabletsreduces med-pass time Fine particle sizeprevents clogging of feeding tubes Lifetime warranty
Deluxe Pill Crusher

Made of heavy-duty chrome die-cast components with stainless-steel ttings. Two-year unconditional guarantee. Pills are placed between two 3/4 oz soufe cups in the pill crusher. The handles are then pulled together with only enough pressure to crush the pill.
Item # Qty Price
75-SK0100 Tablet crusher 50/pk $129.29 75-PC1000 Pouches only 50/pk $50.79
Pill Counter with Spatula

The Pill Counter makes counting and separating pills a breeze. The spatula makes handling very small pills even easier. This is a must have for those who count pills for consumption or distribution.
Item # Qty Price
75-0233
1 ea
$63.39
75-210
1 ea
$13.89
MEDICAL SUPPLIES
Cynch-Lok Disposable Closure

Ideal where a tight-tting seal is required. One-piece, tamper-proof plastic lock with control numbers imprinted in black.
Item # Qty Price
Safety Control Seals

Ideal for color-coding situations. Plastic closure system you simply pull to break.
699-B
See page 92 for complete Register Book offering.
5818
100/bx
$23.69
Same-Day Shipping
With Control Numbers 5811 Red Without Control Numbers 5814 Red
100/pk 100/pk
$27.49 $22.99
286
NEW!

7-Day Pill Holder

NEW!

Features easy-to-open daily compartments Complete with Braille and large type for easy identication Dishwasher safe; ideal for home or travel use Assorted colors: blue, red, white and yellow Size: 6-3/4 x 1
Item # Qty Price
Weekly Pill Organizer
640-8218-9606
1 ea
$1.39
Seven-day capacity with Braille identication Ideal for home, ofce or travel Transparent plastic allows medication dosage monitoring Hinged lids are labeled with four dosage times: morning, noon, evening and bedtime Release daily compartments with a push of a nger Easy to clean with soap and water Size: 9 x 5 x 1
Item # Qty Price
See pages 246-247 for complete offering of Medication/IV labels.
640-8221-9604
1 ea
$4.19
L-2304 L 2304
15/16 x 2-1/4 2 1/4
Fl. Fl Pink
250/bx
L-3024 L 3024
15/16 x 2-1/4 2 1/4
Fl. Fl Red
500/bx
L L-4561 4561
15/16 x 2-1/4 2 1/4 Fl. Fl Orange 250/bx
MEDICAL SUPPLIES
L-6212N 15/16 x 2-1/4
Fl. Red
250/bx
L-2152
15/16 x 2-1/4 Fl. Yellow 250/bx
L-2092N L 2092N 15/16 x 2-1/4 2 1/4
Fl. Fl Red
500/bx
ALERT! NEW ORDERS

L 2121N L-2121N 5/16 x 1-1/4 Fl. Fl Red 500/bx L 4834 L-4834 Fl. Fl Orange 5/16 x 1-1/4 500/bx
EXPIRED
L-2189 L 2189 5/16 x 1-1/4 Fl. Fl Red 500/bx L-5730 L 5730 Fl. Fl Yellow 5/16 x 1-1/4 500/bx
L 4807 L-4807 5/16 x 1-1/4
Fl Fl. Red 500/bx
DATE OPENED ____/____/____

L L-4918 4918 Fl. Fl Orange 5/16 x 1-1/4 500/bx
DATE EXPIRES ____/____/____

L 4920 L-4920 5/16 x 1-1/4 Fl Fl. Red 500/bx
DIRECTION CHANGE REFER TO MED SHEET

L 4924 L-4924 5/16 x 1-1/4 Fl Fl. Green 500/bx L-8063N 5/16 x 1-1/4 Fl. Red 500/bx
DATE VIAL OPENED __/__/__INITIAL____

L-4919 L 4919 5/16 x 1-1/4 Fl Fl. Green 500/bx
CRUSH MEDS
L-4926 Fl Fl. Orange 5/16 x 1-1/4 500/bx
DO NOT CRUSH
L-4921 5/16 x 1-1/4 Fl Fl. Pink 500/bx
Labels
15/16 x 2-1/4 15/16 x 2-1/4 5/16 x 1-1/4
250/bx 500/bx 500/bx
$11.25 $18.60 $13.75
$9.90 $17.95 $10.50
$9.45 $16.95 $10.10
$8.55 $15.85 $9.75
$7.90 $14.65 $9.35
287
Individual Patients Narcotics Record
BEST SELLER
Provides a detailed and accurate record of narcotics administered, including space to document the disposition of any unused portion Printed 1 side
3105
Narcotics Record
$9.65
Medication Administration Record

List up to 14 medications Nursing records the medication at the time it is administered 5-part set Part 1 is white, parts 24 are yellow and part 5 is buff
Medication Distribution Cabinet

Durable, all-steel construction Double lock security makes cabinet suitable for the storage of Class II drugs Each lock is keyed differently and is supplied with 3 keys Cabinet includes 1 xed shelf and storage compartment for blister packs Door folds down manually providing a writing or medication preparation surface
1275 1277
No Identication of Injection Site Identication of Injection Site
$206.40 $206.40
IV Medication Sheet

Record parenteral uid and medication administration Printed 2 sides same 11 x 8-1/2 5-hole side punched
5852
Beige
18 x 14 x 3-1/2
$215.95
1175HH
IV Medication Sheet
$16.35
Briggs Shingled Narcotic Control Systems
BEST SELLER Roll and Sheet Reinforcers
MEDICAL SUPPLIES
Shingled narcotic control systems save time and reduce charges Each set contains a Pharmacy receipt, control journal and shingled charge tickets with all parts consecutively numbered Form 1225R Includes 32 common, pre-listed drugs and their strengths Form 1228 Includes an original drug ledger on the front of the form Forms 1230/1231 With no pre-listed medications, these forms are ideal for lowusage drugs or ll-in applications Form 1233 Designed specically for Patient Controlled Analgesia (PCA) applications Contact your Briggs Healthcare Representative to nd out how to customize a Shingled Narcotic Control System.
Protect vital med sheets with Briggs Reinforcers
Item #
Description
Sheets L-5202 L-5203
11 Side Punch 8-1/2 Top Punch
$9.45 $7.80
$9.30 $7.50
$9.00 $7.15
$8.60 $6.80
See page 186 for complete offering.
Item #
Description
1225R 1228 1230 1231

Item #
25 Charge Tickets 25 Charge Tickets 25 Charge Tickets 10 Charge Tickets

Description
$95.20 $109.10 $95.20 $66.10

1233
PCA-5 Charge Tickets
$109.10
We use the Briggs strips for ALL of our medical documents. Weve found that one of the best uses is for our medication and treatment sheets. The poly strip keeps these important documents from tearing. Whoever thought these up, we thank you."
Linda Bailey, Medical Purchasing Coordinator Evangelical Manor Philadelphia, PA
288
Med Record Poly Ringbinders

Full 1-Year Warranty (includes ring hardware) 3-ring style with safety-booster triggers Available in side- and top-open styles Titles are hot-foil stamped on spine and front cover Large size has 2 rings Jumbo size has 2-1/2 rings
See Below See Below
Large (25 Resident Capacity) Jumbo (40 Resident Capacity)

Side Open 3-Ring
$15.85 $17.20
Top Open 3-Ring
Description
Color
Large, Med Record Jumbo, Med Record
Mauve Mauve
115500N 115508N
115501N 115509N
Pre-Printed and Blank Pull-Flag Alerts Medicine Cards

Briggs Healthcare offers 3 different styles of medicine cards, each available in a rainbow of colors on sturdy 3-ply cardstock Actual size is 2 x 1-3/4
Designed to be used with Med Record ringbinders Durable polyethylene alerts hook securely on dividers with alert slots
Plain Style 1508 1510 1511 Clock Style 1541 1544 1548 1550 1551 Standard Style 1521 1524 1525 1527 1528 1530 1531 Red White Yellow Blue Green Red White Yellow Blue Green Orange Pink Red White Yellow $11.80 $11.80 $11.80 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15 $18.15
Item #
Color
20
Blank 5468 Green 5470 Red 5472 Orange 5474 Gold 5469 Yellow 5471 Pink 5473 Light Blue Pre-Printed See Chart Below Pre-Printed Titles Available
Item # Description
$6.30 $6.30 $6.30 $6.30 $6.30 $6.30 $6.30 $7.75
$6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $7.40
$5.75 $5.75 $5.75 $5.75 $5.75 $5.75 $5.75 $6.95
$5.45 $5.45 $5.45 $5.45 $5.45 $5.45 $5.45 $6.60
$5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $5.00 $6.35
Color
MEDICAL SUPPLIES
REVISED

Controlled Medication Administration Record

5509 5402B 5503 5403 5401 5404 115413 115410 5527
Medication Orders Doctor Alert Doctors Orders Doctors Orders (Routine) Doctors Order (Stat) Doctor Please Sign Order Medication Order Missed Medication Missed Medication
Gold Gold Red Green Red Orange Red Gold Red
Accurately record the receipt and disposition of any controlled drug needed for individual resident administration Printed 1 side 5-hole punched top or side
Pull-Flag Divider Sheets Without Index Tabs

Pre-punched to accommodate 2-, 3- and 5-ring binders Pre-cut slots accommodate up to 5 Pull-Flag Alerts Available in top- and side-punch styles Constructed of durable white poly
CFS12-3HH CFS12-3HF
$10.35 $10.35
Item # Description
12
144
240
5407 5406
Top Punch Side Punch
$1.35 $1.35
$1.30 $1.30
$1.25 $1.25
$1.20 $1.20
$1.15 $1.15
$1.10 $1.10
289
Wound Care
BEST SELLER Patient Photo Record System

Simple and reliable wound documentation system that provides crisp, clear photos of any wound while saving time and money System Includes*: Canon Powershot A1200 Digital Camera, PNY 2GB SD Memory Card, Canon Selphy CP800 Compact Photo Printer, Canon Color Ink/Paper Pack, Briggs MediRule Measuring Devices, Quick Start Guide

Item #
Description
Qty
Price
PPRS PPRS2GB PPRS1335A PPRS2463E PPRS2096B 1121DP 1122DP
Complete Photo Documentation System SD Memory Card, 2 GB Canon Color Ink/Paper Pack, 4x 6 Canon Powershot A1200 Digital Camera Canon Selphy CP800 Photo Printer Photo Documentation Mount Sheets Wound Specific Photo Documentation Mount Sheets Generic
1 ea 1 ea 108/pk 1 ea 1 ea 20/pk 20/pk
$283.40 $14.99 $44.63 $130.50 $115.49 $9.60 $9.60
BEST SELLER Briggs MediRule , MediRule II and MediRule III Wound Measuring Devices

Briggs Foam Tipped Measuring Devices
MEDICAL SUPPLIES
Transparent plastic devices used to measure the size of wounds, pressure ulcers or skin conditions of any kind Eliminates the risk of cross-contamination Lightweight, pliable plastic sheet can be placed on top of the affected area with no discomfort After an accurate measurement is taken, just dispose of the contaminated MediRule Packaged in handy dispenser boxes MediRule III features a foldable clear protective sheet that can be removed to allow the wound tracing grid to be placed directly on the assessment form

Soft foam-tipped applicator with measurement scale printed on shaft Flexible to conform to wound shape Available in sterile and non-sterile
BRG-920 BRG-921
Non-Sterile Sterile
50/pk 50/bx
$15.84 $30.75
Wound Care
Item #
Description
Size
Qty
Price
6252 6255 6282
MediRule MediRule II MediRule III

4-1/2 x 6 8 x 10 4-1/2 x 12
250/bx 100/bx 250/bx
$8.07 $7.34 $27.81
*Components are subject to change without notice.
290
Wound Care
PolyMem Dressings
Ferris PolyMem , known worldwide as The Pink Dressing, provides a warm, moist healing environment that protects the wound and facilitates the bodys natural healing process. PolyMem promotes formulation of granulation tissue and re-epitheliazation and much more. These dressings facilitate the healing process by promoting the concentration of the bodys naturally produced growth factors, nutrients and regenerated cells in the wound bed. PolyMem dressings consist of a polyurethane membrane matrix on a semipermeable, thin-lm backing. This is the only dressing where the hydrophilic membrane contains a cleanser, a moisturizer and a super-absorbent starch copolymer. PolyMems unique design and patented formulation usually eliminates the need for manual debridement and wound bed cleansing during dressing changes. This in turn helps to reduce patient discomfort and reduces the time and cost of dressing changes and facilitates healing.

PolyMem Cloth-Backed Adhesive Strips
PolyMem Adhesive Film Dressings
Ideal for numerous wound care needs. The ultra-thin adhesive coated urethane lm, together with the PolyMem membrane, will provide a breathable yet tough, protective, waterproof dressing of unsurpassed versatility. No tape or secondary dressing is required. The exclusive, patented tab system on PolyMem urethane island dressings allows easy application while maintaining sterility of the membrane.

Deliver the advantages of PolyMem technology and the benets of a breathable, adhesive-coated cloth backing that is exceptionally comfortable for your patient. PolyMem cloth-backed adhesive dressings are ideal for resolving skin tears caused by friction and shear.
Price Per Each (2 strips/sheet, 1 sheet = 1 ea) Item # Size 1
16-7042
2 x 4
$4.19
Item #
Size
Price Per Box (15 ea/bx, 4 bx/ca) 1
16-405 4 x 5 adhesive border 2 x 3 membrane
$87.03
PolyMem Silver Non-Adhesive Pad Dressing
All the advantages of PolyMem dressings, plus the antimicrobial benets of silver. Continuous Silver Reservoir Reduces bioburden Wound exudate absorbed into the dressing liberates silver ions from the matrix Effective antimicrobial release for full wear-time Will not stain skin Kills 99.9% of all bacteria and fungi tested No need to wet or rewet No need for secondary dressing Absorbs at least 10 times the dressing weight in exudate Show-through back indicates when dressing is to be changed Non-adherent to wound bed Relieves pain
PolyWic Cavity Wound Filler

Formulated especially for cavity wounds exhibiting copious amounts of exudate, PolyWic will expand within the wound cavity to ll dead space, keeping the wound bed clean and moisturized while absorbing excess uid. Contains all the same wound healing agents as PolyMem ; however, the membrane is thicker and the semipermeable thin lm backing on PolyMem is not required on PolyWic. It easily folds or cuts into any conguration. PolyWic will not fragment or adhere to the wound bed and its extra absorbent capacity increases time between dressing changes, helping you manage moderately to heavily exudating wounds.

MEDICAL SUPPLIES
PolyMem Non-Adhesive Dressings
The optimal choice for applications where cutting to size and taping is your preferred method of application.
Item # Price Per Box (15 ea/bx, 4 bx/ca) Size 1
Item #
Price Per Each (15 ea/bx, 2 bx/ca) Size 1
16-5033 16-5044
3 x 3 4 x 4
$56.06 $75.48
Item #
Size
Wound Care
16-5733
3 x 3 extra-thick membrane pad
$64.46
16-1044
4-1/4 x 4-1/4
$9.86
Item #
Price Per Box (15 ea/bx, 2 bx/ca) Size 1
16-5055 16-5077
5 x 5 6-1/2 x 7-1/2
$114.23 $231.51
291
Wound Care
Mepilex Border
Mex Self-Adhesive Fabric Tape
Mepitel Transparent Dressing
Self-adherent absorbent soft silicone dressing. Designed for a wide range of exuding wounds, painful wounds and wounds with compromised or fragile surrounding skin, including pressure ulcers, lower extremity ulcers such as diabetic ulcers and traumatic wounds such as skin tears. All-in-one dressing The Safetac properties prevent Mepilex Border from sticking to the moist wound bed, yet adheres gently to the surrounding dry skin Minimizes pain to the patient and trauma to the wound during dressing changes Can remain in place for up to seven days, depending on condition of the wound Helps maintain a moist wound environment Highly absorbent pad along with the Safetac layer decreases the risk of peri-wound skin maceration Conforms well to body contours Comfortable during wear and removal Bacteria-proof lm backing provides protection for patient and caregiver Can be used as a primary or secondary dressing

Pre-measured for convenient cutting Air permeable

Item # Price Per Each (1 ea/pk, 20 pk/ca) Size 20
A porous net with Safetac technology Makes dressing changes less painful Protects delicate tissue from damage Use on newly granulating and fragile wounds
Item #
16-295290 16-295390 16-295490

Item #
3 x 3 4 x 4 6 x 6
$22.67 $30.96 $54.06
16-65220 16-65240
2 x 11 yds 4 x 11 yds
$6.50 $12.06
16-65503
2 x 3
$68.97
16-295690
6 x 8
$66.66
Alldress Film Dressing
Item #
MEDICAL SUPPLIES
Non-adherent, absorbent, wicking, semi-occlusive self-adhesive layer. Use on moderate to heavily exudating wounds
16-65504 16-65508
3 x 4 4 x 8
$94.49 $179.12
Mepilex Foam Dressing
Will not adhere to the wound bed Absorbent foam pad for a wide range of exudating wounds
16-65324
4 x 4
$25.08
Mesalt Sodium Chloride Impregnated Dressing
Effectively stimulates the cleansing of moist necrosis (slough), draining and infected wounds.
16-294100
Item #
4 x 4
$32.54
Melgisorb Alginate Dressing
Wound Care
Non-adherent to moist wound bed Maintains a moist environment Absorbs moderate to high amounts of exudate
Item #
16-294300
6 x 6
$70.97
16-65120
Item #
4 x 4
$42.09
16-65110 3/4 x 39 ribbon
$37.26
16-251100
4 x 4
$43.04
292
Wound Care
Medipore +Pad Soft Cloth Adhesive Wound Dressing

An all-in-one sterile dressing that features a breathable soft cloth tape backing with a unique non-adherent pad. Highly conformable dressing is easy to apply, conforms to body contours and exes with movement or swelling Dressing is porous and breathable for increased patient comfort, better exchange of moisture vapor and oxygen and reduced risk of skin maceration Unique non-adherent pad promotes normal wound healing with less pain and trauma Provides excellent adhesion, yet is gentle to the skin Convenient, all-in-one dressing reduces application time Absorbent pad protects wound and absorbs drainage
Item # Price Per Each (50 ea/bx, 4 bx/ca) Size 1
Micropore Tape
A hypoallergenic paper tape that is gentle to the skin yet adheres well and leaves minimal adhesive residue upon removal. Micropore tape is excellent for repeated applications on sensitive skin, fragile skin and elderly patients.
Item # Price Per Box (12 rl/bx, 10 bx/ca) Size 1
Transpore Tape
Transparent, perforated plastic tape with porous texture. Hypoallergenic.
16-9528
Item #
1 x 10 yds
$13.01
Price Per Box (6 rl/bx, 10 bx/ca) Size 1
16-9306
Item #
1 x 10 yds
$6.50
16-9529
Item #
2 x 10 yds
$13.01
16-9307
Item #
2 x 10 yds
$6.50
16-9530
3 x 10 yds
$13.01
Microfoam Elastic Tape

Stretchable, hypoallergenic, breathable elastic foam tape.
16-3562 16-3564
Item #
2 x 2-3/4 2-3/8 x 4
$0.30 $0.62
16-9308
3 x 10 yds
$6.50
Durapore Tape
Silk surgical tape with high strength and adhesion. Hypoallergenic.
16-3566
Item #
3-1/2 x 4
$0.83
16-1528
Item #
1 x 5-1/2 yds
$20.78
16-3571
3-1/2 x 10
$39.68
16-1539
Item #
1 x 10 yds
$10.28
16-1529
Item #
2 x 5-1/2 yds
$20.78
16-1504
2 x 10 yds
$10.28
16-15284
4 x 5-1/2 yds
$20.78
MEDICAL SUPPLIES
Medipore Soft Cloth Surgical Tape

Easy-tear perforated rolls make it simple to customize to the length you need without using scissors and wont curl or stick to itself. A porous and hypoallergenic tape that is highly comfortable with moderate stretch.
Item # Price Per Pack (2 rl/pk, 12 pk/bx) Size 1
Medipore Soft Cloth Dressing Cover

Pre-cut dressing covers require no scissors or searching for the end of the tape roll. Will not stick to or tear gloves when handled by the tab.
Item # Price Per Box (3 shts/pd, 25 pd/bx, 4 bx/ca) Size 1
Wound Care
Medipore H Soft Cloth High-Adhesion Surgical Tape

Item # Size Price Per Roll (12 rl/bx) 1
16-2961
Item #
1 x 10 yds
Size
$5.45
Price Per Roll (12 rl/bx) 1
16-2862
2 x 10 yds
$5.45
16-2962A 16-2963 16-2964
2 x 10 yds 3 x 10 yds 4 x 10 yds
$5.45 $8.18 $10.91
16-2954
3-7/8 x 4-5/8
$17.84
293
Wound Care
Tegaderm Hydrocolloid Dressing
Breathable outer lm layer provides a higher rate of moisture vapor transmission Transparent adhesive lets you monitor exudate absorption
Tegaderm +Pad Transparent Dressing with Absorbent Pad

This composite dressing is a sterile, waterproof bacterial barrier which consists of a non-adherent absorbent pad bonded to a larger thin lm transparent dressing.
Tegaderm Hydrocolloid Thin Dressing

Oval 16-90003
Item #
4 x 4-3/4
$27.71
Oval 16-90021
Item #
2-3/4 x 3-1/2
$31.59
Oval 16-90001 Square 16-90002

Item #
16-3582 2-3/4 x 3-1/2 4 x 4 $19.83

Item #
2 x 2-3/4
$26.34
$19.83
16-3586
Item #
3-1/2 x 4
$33.17
Oval 16-90023
Item #
4 x 4-3/4
$53.96
Square 16-90022
Oval 16-90004 Square 16-90005
5-1/2 x 6-3/4 6 x 6
$43.29 $32.54
16-3587 16-3588 16-3590
3-1/2 x 4-1/8 6 x 6 3-1/2 x 8
$34.01 $77.48 $75.27
4 x 4
$15.84
Tegaderm HP Transparent Film Dressing

Designed to stay on in places where dressings can be stressed by excessive perspiration or wound exudate.
Item # Size Price Per Box (50 ea/bx, 4 bx/ca) 1
Tegaderm
Hydrogel Wound Filler

3M Tegaderm Hydrogel Wound Filler is an amorphous hydrogel, formulated to provide a moist wound healing environment that has been shown to enhance wound healing. Features and benets: Conveniently sized for 40 single-patient use No preservatives Easy to apply Suggested applications: Dry to minimally draining dermal ulcers: pressure, arterial, venous, diabetic Wounds with eschar or slough requiring autolytic debridement Open surgical wounds Traumatic wounds and abrasions
16-9536HP
Item #
4 x 4-3/4
Size
$79.68
MEDICAL SUPPLIES
IV Frame 16-9534HP
2-3/8 x 2-3/4
$48.39
Tegaderm Transparent Film Dressing

Item # Price Per Box (20 ea/bx, 10 bx/ca) Size 1 Item # Price Per Box (10 ea/bx, 8 bx/ca) Size 1
16-9505W 2-3/8 x 2-3/4

Item #
$11.54
16-1629
Item #
8 x 12
$39.68
16-1626W
Item #
4 x 4-3/4
$66.87
16-9506W
Item #
4 x 4-3/4
$14.90
Wound Care
16-1627
Item #
4 x 10
$58.47
16-91110 16-91111
15gm 25gm
$4.29 $5.03
IV Frame 16-1622W
Item #
1-3/4 x 1-3/4
$43.35
16-1628
6 x 8
$32.01
IV Frame 16-1624W
2-3/8 x 2-3/4
$45.24
294
Wound Care
Cavilon No Sting Barrier Film

Sting- and alcohol-free liquid barrier lm dries quickly to form a breathable, transparent coating on the skin. Protect intact or damaged skin from urine, feces or other body uids, tape trauma and friction. Hypoallergenic. Completely alcohol-free formula will not sting even when applied to damaged or denuded skin for patient comfort Clinically proven to provide up to 72 hours of protection from irritation of urine and feces due to incontinence Sterile, non-cytotoxic; will not interfere with skin or wound healing Wont clog or reduce absorbency of diapers Provides protection for adhesive tape trauma and complications related to tape use
Tegaderm Foam Adhesive Dressing
Tegaderm Foam Dressing

Fast absorbency plus breathable lm barrier means total uid management. Reduced potential for skin maceration uid wicks quickly into the pad to prevent pooling and migration Easy to useblue grid and 3M logo show top of dressing assuring proper pad application Barrier to strike-throughtop lm is breathable yet provides a barrier to outside contamination and exudate strike-through Non-swellinghighly absorbent foam pad will not swell, reducing the potential for disruption of healing tissue
With our unique design there is no need for cutting, which saves you time and materials One-handed application Conforms to heels Goes on fast; nonadhesive tabs prevent sticking to gloves Through fast wicking, evaporation and high absorbency, this heel dressing gives you all the benets of total uid management so you can be more condent there wont be complications before the next scheduled change Unique foam pad helps cushion the heel for exceptional patient comfort
16-90601
4 x 4
$46.92
Oval 16-91121
Item #
5-1/2 x 6
$6.92
Foam Applicator 16-3350 1ml 60-3360 3ml

Item #
$1.25 $2.61
Heel 16-90619
5-1/2 x 5-1/2
$32.75
Wipe 60-3344
Item #
Hypoallergenic Photo ID Label

1ml $16.05
Price Per Each (12 ea/ca) Size 1
Spray 60-3346
28ml
$11.22

BEST SELLER
Includes space for 2 signatures to improve photo validity Apply near wound prior to photo documentation Hypoallergenic label with very light adhesive assures no discomfort for the resident
MEDICAL SUPPLIES
Item #
Size
LS-8201
1 x 4-3/4
$10.95
$8.85
$8.50
$7.75


Wound Care
6"W x 4"L Ideal size for digital photos!
4-4/5"W x 4"L
4-3/10"W x 4-3/10"L
Item #
Size (W x L)
20
4267
4-4/5 x 4
$16.95
$16.35
$15.85
$15.45
$14.90
Item #
Size (W x L)
5715
4267
5710
5710 5715
4-3/10 x 4-3/10 6 x 4
$12.30 $13.70
$10.95 $11.45
295
Wound Care
AQUACEL Ag Dressing
DuoDERM CGF Control Gel Formula Dressing
Item #
DuoDERM Extra-Thin CGF Control Gel Formula Dressing
16-187660
Item #
4 x 4
$7.44
Item #
16-187900
Item #
2 x 4
$4.29
16-187661
Item #
6 x 6
$16.05 16-187901
Item #
Indicated for use on acute and chronic wounds, including burns, surgical wounds, diabetic foot ulcers, pressure ulcers and leg ulcers. AQUACEL Ag is the rst antimicrobial dressing that: Provides immediate and sustained anti-microbial activity Offers the unique gelling properties of Hydrober technology to gel on contact with the wound uid creating a large uid-absorption capacity Locks bacteria within the gelled AQUACEL Ag bers away from the wound bed

3 x 3
$4.71
Item # Size
16-187662
8 x 8
$27.18 16-187955 16-187957
Price Per Each (10 ea/bx) 1
4 x 4 6 x 6
$5.66 $9.65
16-403706 16-403708
Item #
2 x 2 4 x 4-7/10
Size
$10.70 $22.25
Price Per Each (5 ea/bx) 1
16-403710
6 x 6
$52.49
MEDICAL SUPPLIES
DuoDERM CGF Control Gel Formula Adhesive Border Dressing
Item #
Square 16-187970 16-187971

Item #
2-1/2 x 2-1/2 4 x 4
$5.13 $9.02
DuoDERM Hydroactive Gel
Wound Care
Item #
DuoDERM Signal Hydrocolloid Dressing
Square 16-187972
Item #
16-187987 6 x 6 $29.39
30gm
$9.96
DuoDERM Signal Hydrocolloid Dressing with visual indicator is moisture retentive; it also adheres to slightly moist skin.
Triangle 16-187973
16-187726 4 x 5 $12.69
5-1/2 x 5-1/2
$12.48
296
Wound Care
KALTOSTAT Calcium Alginate Wound Dressing
Comfeel Ulcer Care Dressing
AQUACEL Hydrober Dressing

Item #
16-1682F8
Item #
10cm x 20cm
$19.44
Hydrocolloid dressing absorbs exudate and has balanced adhesive formula for maximum wear time, yet allows gentle removal. Sterile.
Item #
16-177901
Item #
2 x 2
$5.87
16-1681F1
2gm rope
$48.50
16-3213
4 x 4
$6.08
16-177902
Item #
4 x 4
$10.07
KALTOSTAT Fortex Wound Dressing

16-177903
6 x 6
$21.72
16-1683AX
10cm x 10cm
$18.89
CombiDERM ACD Absorbent Cover Dressing
Item #
16-651031
4 x 4
$7.34
SAF-Gel Hydrating Wound Gel with Alginate

Item #
Size
Price Per Each (12 ea/ca) 1
16-1457
3-oz
$19.20
MEDICAL SUPPLIES
Adhesive Remover Wipes

Item # Price Per Box (50 ea/bx, 12 bx/ca) 1 12
70-7760
$13.19 $12.95
Skin Gel Protective Wipes CarboFlex Odor Control Dressing
Item #
Price Per Box (50 ea/bx, 12 bx/ca) 1 12
Wound Care
Item #
70-7917
$11.09 $10.95
16-403202
Item #
4 x 4
$9.44
16-403204
6 x 8
$18.69
297
Wound Care
Allevyn Thin Dressing
Allevyn Thin is a sterile wound dressing made of polyurethane matrix and a polyurethane top-lm that provides a moist healing environment. Indicated for the management of surface wounds with low to moderate exudate such as minor burns and abrasions, second degree burns, pressure ulcers, leg ulcers, post-op wounds and donor sites.
Allevyn Hydrocellular Foam Dressing
Item #
16-47578
4 x 4
$25.82
Allevyn sheets have a perforated lm sack, an absorbing central foam layer and are covered with a waterproof and bacteriaproof outer lm layer.
Acticoat Antimicrobial Dressing

Item #
Rayon/polyester core helps manage moisture level and control silver release Silver-coated, high density polyethylene mesh facilitates the passage of silver Nanocyrstalline coating of pure silver delivers antimicrobial barrier activity that prevents contamination of the wound within 30 minutes Delivers fast-acting, long-lasting antimicrobial barrier control Laboratory studies show that the Acticoat dressing kills micro-organisms faster than conventional products, such as silver sulfadiazine (1% cream) or silver nitrate (0.5%) solution The versatile material ensures dressings can be cut to the desired shape and size The sustained release of silver also means fewer dressing changes, resulting in less exposure of the wound bed Cost-effectiveActicoat Burn can be left on wounds for up to three days and Acticoat 7 can remain on wounds up to seven days
16-7643
Item #
2 x 2
$5.76
16-7637
Item #
4 x 4
$8.81
16-66000093
Item #
6 x 6
$17.42
RepliCare Hydrocolloid Dressing
16-7638
8 x 8
$29.49
Allevyn Heel Dressing
Item #
Combines absorbency with all the advantages of a lm dressing. A balance of adhesion and elasticity promotes excellent adherence over joints while allowing the dressing to move more freely with the patient. Superior conformability provides greater durability and patient comfort.
Item # Size Price Per Each (30 ea/bx) 1
16-660007630
$18.57
16-4830
1-1/2 x 2-1/2
$3.14
Allevyn Sacrum Dressing
Item #
Price Per Each (5 ea/bx) Size 1
MEDICAL SUPPLIES
Item #
16-4831
4 x 4
$6.92
Acticoat Burn 70-20101 4 x 4 70-20201 4 x 8

Item #
16-66000700 $15.21 $22.80
$14.90
RepliCare Thin Hydrocolloid Dressing
Allevyn Adhesive Hydrocellular Dressing
Acticoat 7 70-20141 70-20241
4 x 5 6 x 6
$35.48 $63.72
Wound Care
Retains the same hydrocellular core and outer OpSite-type covering as Allevyn , but features a perforated, adhesive-coated wound contact layer. Indicated for the management of acute and chronic wound healing by secondary intention (i.e., pressure ulcers and leg ulcers).
Maintains a moist wound environment for lightly exuding wounds, such as skin tears and abrasions, as well as partial thickness wounds. A conformable, comfortable and cost-effective alternative for end-stage healing when the absorption of original RepliCare is no longer needed.
Item #
16-4000
2 x 2-3/4
$3.56
Item #
16-66000043 16-66000044 16-66000045
3 x 3 5 x 5 7 x 7
$6.50 $9.96 $17.89
298
Wound Care
Gelocast Medicated Unna Boot Bandage
Item #
Size
OpSite FLEXIGRID Transparent Wound Dressing

OpSite FLEXIFIX Transparent Film Dressing

16-1052 16-1053
3 x 10 yds 4 x 10 yds
$8.70 $9.75
A transparent polyurethane membrane which aids in the healing of wounds by creating a moist environment containing the wounds exudate. Permeable to gases and water vapor, allowing the skin to breathe, but is impermeable to bacteria and water.
This dressing is waterproof, providing excellent adherence.

Item # Size Price Per Roll (24 rl/ca) 1
16-6640
2 x 11 yds
$18.68
16-4630
Item #
4 x 4-3/4
$93.23
OpSite FLEXIGRID Transparent IV Dressing

16-4631
6 x 8
$49.65
The FLEXIGRID application system lets you apply OpSite with one hand, freeing your other hand to manage the patient.
Item # Size Price Per Box (100 ea/bx) 1
IODOSORB Gel and IODOFLEX Pad Cadexomer Iodine
16-4628
2-3/8 x 2-3/4
$58.50
Wound cleansing gel that absorbs exudate from wet ulcers and wounds. Reduces microbial load in wound environment. Sterile.
Item # Size Price Per Each (12 ea/ca) 1
OpSite IV 3000 High MVP Transparent Dressing
MEDICAL SUPPLIES
AlgiSite M Calcium Alginate Dressing
When exudate comes into contact with AlgiSite M, it forms a hydrophilic gel, helping to create and maintain a moist wound environment.
The patented REACTIC lm in IV 3000 is three to eight times more permeable to water vapor than conventional lm dressings. Its higher permeability reduces bacterial colonization and risk of infection, helps keep the skin dry, improving adherence and reducing the number of unscheduled dressing changes and improving patient comfort.
IODOSORB Gel 15-14000 1.4-oz tube

Item #
$101.31
IODOFLEX Pad 15-20010 10gm pads
$70.97
Item #
16-4007
Item #
2-3/8 x 2-3/4
$59.00
16-0200
Item #
4 x 4
$6.50
Wound Care
16-4973
4 x 5-1/2
$118.95
16-0400
12 rope
$87.24
299
Wound Care
EXU-DRY Wound Dressing
A unique one-piece wound dressing that is non-adherent and has an anti-shear layer which reduces pain and trauma to the patient and protects the wound bed. Highly absorbent and wicks away drainage from the wound and surrounding tissues which can prevent maceration.
SoloSite Wound Gel

Manages exudate without getting watery and running out of the wound. It will stay in the wound 24 hours.
Item # Price Per Each (12 ea/bx) Size 1
CovRSite Cover Dressing
16-99004
Item #
4 x 6
$3.03
16-4496
3-oz tube
$15.32
Indicated for the management of acute or chronic wounds. Designed as a secondary cover dressing for gels, gel sheets, alginates, wound llers and non-adhesive foams. The gentle adhesive is designed so that the dressing can be changed daily. Replaces traditional tape and gauze with a single-step dressing. Water resistant, extensible and conformable.
16-99006
6 x 9
$4.71
IntraSite Gel Wound Dressing
Indicated for all wound stages. Produces a moist wound environment to speed the formation of granulation tissue and epithelialization.
16-4100 16-4400
4 x 4 6 x 6
$35.79 $57.74
MEDICAL SUPPLIES
82-7308 82-7311
8gm applipak 15gm applipak
$6.60 $9.33
Hypax Tape
This low-allergy adhesive provides easy use. Conformable for easy application Stretches for improved patient comfort
Dermal Wound Cleanser

A pH-balanced, non-toxic, non-irritating, no-rinse skin/wound cleanser. Contains surfactants and moisturizers that gently help remove debris and dressing residue from the wound bed without harsh scrubbing. Dermal Wound Cleanser is not a soap and does not require rinsing.
Item # Size Price Per Each (12 ea/ca) 1 Item #
16-4215
Item #
2 x 2 yds
$5.97
Wound Care
16-4216
Item #
4 x 2 yds
$10.49
16-59449200 16-449000
8-oz spray 16-oz spray
$11.33 $18.26
16-4209 16-4210 16-4211
2 x 10 yds 4 x 10 yds 6 x 10 yds
$12.59 $21.62 $27.39
300
Wound Care
NEW EDITION!
Quickly learn the pros and cons of hundreds of wound care products and expert nursing care throughout the entire healing process. NEW! Important new content on documentation regulations NEW! Chapter on lymphedema featuring best practices NEW! Checklists chapter Alphabetically proles of more than 300 products 2012, Spiral-Bound, Lippincott
7979
$54.95

This handbook covers all aspects of wound assessment, treatment, and care. It also covers topics that other text-references do not, including sickle cell wounds, atypical wounds, and an entire chapter devoted to special populations. The book is divided into two parts. The rst is Wound Care Concepts, which provides indepth information on assessment, wound healing, treatment options, pain management, and more. The second section, Wound Classication and Management Strategies, covers the various types of wounds - including pressure ulcers, arterial ulcers, diabetic foot ulcers, surgical wounds, and many others - and provides the strategies for their successful care. 2011, Softcover, Lippincott
8746
$65.99
More color photos, case studies & end-of-chapter Patient Scenarios!

This chart is designed to educate the patient or caregiver about various types of wounds, their prevention and care. Categories include, bedsores, wound healing and prevention, stages of wounds, incontinence, exercise, the diabetesrelated wound, venous stasis ulcers, wound treatment, wound documentation, changing dressings, nutrition, supplies, a glossary of terms and a wound care diary. Laminated, 4-pages, 8-1/2 x 11 Booklet

One out of every four Americans over the age of 65 suffer from extremity ulcers, a condition that is not only painful, but one that also involves expensive treatment. This booklet is designed to help you and your patient, as well as his or her family and caregiver better understand wounds, their care, prevention and complications. By using this booklet as an educational guide and progress record, it will help to ensure that your patient will receive appropriate and timely treatment and intervention, as well as decrease the likelihood of future complications. (See page 163 for complete product details.)
MEDICAL SUPPLIES
8513
$5.95
Wound Care
8126
$3.05
301
Wound Care
SORB-IT IV Sponges
KERLIX Rolls
Price Per Box (2 ea/pk, 35 pk/bx, 20 bx/ca) Item # Size 1
13-6241
2 x 2
$8.60
Made of pre-washed, uff-dried woven gauze with crinkle-weave pattern for loft to cushion and protect Finished edges and 6-ply construction eliminates loose ends and threads
Item # Price Per Roll (1 rl/ty, 60 ty/ca) Size 1
EXCILON Drain Sponge

This drain sponge comes with a precut T-Slit that conforms snugly around drains, catheters, chest tubes, IVs and tracheotomies.
Item # Price Per Box (8-ply, 2 ea/pk, 50 pk/bx, 30 bx/ca) Item # Size 1 Price Per Box (6-ply, 50 ea/bx, 12 bx/ca) Size 1
CURITY All-Gauze Sponges
Sterile 15-6730
Item #
4-1/2 x 4-1/10 yds
$2.93
Price Per Roll (1 rl/pk, 100 rl/ca) Size 1
76-7086
4 x 4
$11.02
Sterile 15-6715
Item #
4-1/2 x 4-1/10 yds
$1.56
Sterile 09-1806
2 x 2
$2.82
CURITY Cover Sponges

Item # Price Per Box (2s ST, 50 ea/bx, 24 bx/ca) Size 1
Price Per Roll (1 rl/pk, 96 rl/ca) Size 1
Price Per Tray (8-ply, 2 ea/pk, 25 pk/ty, 24 ty/ca) Item # Size 1
Sterile 09-2187
09-2913 4 x 4 $2.93
4 x 4
$3.14
Sterile 15-6720 15-6725

Item #
2-1/4 x 3 yds 3-2/5 x 3-3/5 yds

Size
$0.93 $1.14
CONFORM Stretch Bandages

A superior secondary dressing designed with stretch to accommodate swelling, to allow movement and stay in place. Finished edges eliminate cut ends and loose threads. Soft, absorbent and strong. 4.1 yds stretched length.
Price Per Case (100 rl/ca) 1
Sterile 09-6412
4 x 4
$3.45
Non-Sterile 15-1892 Unwrapped, 4-1/2 x 4-1/10 yds
$160.53
Price Per Tray (12-ply, 10 ea/ty, 128 ty/ca) Item # Size 1
KERLIX Super Sponges
Sterile 09-6939
4 x 4
$1.25
Price Per Pack (12-ply, 200 ea/pk, 40 pk/ca) Item # Size 1
Non-Sterile Bulk 09-0212 2 x 2
$3.03
Sterile 17-2232 3 x 4-1/10 yds 17-2236 4 x 4-1/10 yds Non-Sterile 17-2244 3 x 4-1/10 yds
$8.39 $9.96 $5.13
A pre-washed, uff-dried woven gauze with a crinkle-weave pattern and diamondfold construction for superior loft, bulk and absorbency. All sponges are sterile, 6 x 6-3/4.
Item # Price Per Tray (2 ea/pk, 20 pk/ty, 12 ty/ca) 1
15-2585
Item #
$15.21
Price Per Tray (5 ea/pk, 10 pk/bx, 12 bx/ca) 1
$6.60
15-3085
$1.67
MEDICAL SUPPLIES
$9.54
VERSALON Non-Woven Sponges
Anatomical Diagram Label

Rayon/polyester blend construction.

Price Per Tray (2s, 4-ply, 50 ea/ty, 24 ty/ca) Item # Size 1
Black ink on white Permanent adhesive 100 per pack
Wound Care
Sterile 09-8044
4 x 4
$2.82
Item #
Size
10
L-6491 $2.09
3 x 4
$16.95
$15.00
$14.10
$13.65
302
Wound Care
CURAFIL Hydrogel Impregnated Gauze
TELFA Ouchless Non-Adherent Pads
Item #
Absorbent cotton pad, bonded on both sides with perforated, non-adherent lm.
09-9256
4 x 4
$2.30
CURITY Non-Adhering Dressing

TENDERSORB Wet Pruf ABD Pads
Will not disturb healing tissue by sticking to the wound Each sterile dressing is individually wrapped in a peel-open envelope
11-434302
3 x 3
$24.24
These economical abdominal pads are constructed of soft, absorbent padding and are designed for controlled capillary action. They retard strike-through and provide high uid retention.
Item # Price Per Tray (36 ea/ty, 12 ty/ca) Size 1
Item #
Sterile 1s 15-1050
Item #
3 x 4
$10.07
Sterile 15-9190
Item #
9 x 5
$9.97
Sterile 1s 15-1169
Item #
3 x 6
$11.64
Price Per Tray (18 ea/ty, 12 ty/ca) Size 1
Sterile 15-9192 15-9194
7-1/2 x 8 10 x 8
$5.66 $7.86
Sterile 1s 15-1238
Item #
3 x 8
$13.32
Xeroform Petrolatum Gauze
Item #
Price Per Case (880 ea/ca) Size 1
3% Bismuth Tribromophenate in a special petrolatum blend on ne-mesh gauze.

Non-Sterile 15-8190
Item #
Sterile 1s Perforated Dispenser Box 15-1961 2 x 3 $11.75

9 x 5
$159.69
11-4335
Item #
4 x 4
$36.95
Non-Sterile 15-8194
Sterile 1s Perforated Dispenser Box 15-2132 3 x 4, bulk $18.26

Item # Size Price Per Case (125 ea/bx, 4 bx/ca)
10 x 8
$0.30
MEDICAL SUPPLIES
11-433301 11-4336
1 x 8 5 x 9
$38.21 $60.99
Sterile 1s Perforated Dispenser Box 68-3279 8 x 10 $294.83

Item # Price Per Pack (200 ea/pk, 20 pk/ca) Size 1
TELFA Ouchless Adhesive Pads

Made of highly absorbent, non-woven cotton fabric bonded on both sides with perforated, non-adherent lm. Will not disrupt healing tissue by sticking to wound Adhesive strips keep dressing intact Sterile
Non-SterileMylar Film On Both Sides 15-12388 3 x 8 $33.06
Wound Care
Vaseline Petrolatum Gauze
15-6017
Item #
2 x 3
$15.00
Absorbent, ne-mesh gauze impregnated with white petrolatum.

15-7643
3 x 4
$23.61
11-0250
3 x 9
$42.62
303
Wound Care
Division of Ethicon, Inc.
SILVERCEL Antimicrobial Alginate Dressing
Combines the potent broad-spectrum antimicrobial action of silver with the enhanced exudate management properties of alginate technology. A sterile, non-woven pad composed of high tensile strength alginate, carboxymethylcellulose (CMC) and silver coated nylon bers. Contains elemental silver (8%) as a sustained release formulation. The sustained release of silver aids the dressing in creating an antimicrobial environment. Indications A primary dressing that is an effective barrier to bacterial penetration. The barrier functions of the dressing may help reduce infection in moderate to heavily exuding partial and full-thickness wounds, including pressure ulcers, venous ulcers, diabetic ulcers, donor sites, traumatic wounds and surgical wounds. Protects the healing environment with silver Demonstrates rapid in vitro (laboratory) antimicrobial efcacy Sustained release of silver ions combats bacterial and fungal growth and may help reduce infection in the wound Effectively inhibited the growth in vitro of more than 150 clinically-isolated microorganisms, including antibiotic-resistant strains In vitro sustained release of silver 3 days Does not stain the wound Provides superior tensile strength and is highly absorbent Alginate forms a gel for the absorption and management of moderate to large volumes of exudate Conformable when moist to t the shape and size of the wound Wet tensile strength allows for easy intact removal
Price Per Each (10 ea/bx, 5 bx/ca) Size 1 Price Per Each (5 ea/bx, 5 bx/ca) Size 1
PROMOGRAN PRISMA Matrix
Designed to provide protection and growth by addressing the continuous changes in the wound microenvironment. The unique formulation of 55% Collagen, 44% oxidized regenerated cellulose (ORC) and 1% silverORC absorbs destructive components of chronic wound uid and creates the optimal environment for cellular growth. Additionally, PRISMA Matrix kills clinically relevant bacteria in the dressing that helps lessen bacterial bioburden and thus may result in reduced risk of infection. PRISMA Matrix is a simple-to-use primary dressing and should be considered early as part of good ulcer care.

Item #
08-028 08-123
4.34 sq. in 19.1 sq. in
$15.11 $40.20
Item #
Item #
16-800202 2 x 2 16-800404 4-1/4 x 4-1/4
$3.77 $13.11
16-800112
1 x 12
$10.80
MEDICAL SUPPLIES
PROMOGRAN Matrix Wound Dressing
Wound Care
The rst and only matrix that combines ORC and collagena combination proven to promote an optimal environment for moist wound healing. The ORC/collagen matrix provides an environment which attracts cells, supports tissue growth factors and facilitates tissue granulation. Universal applicationappropriate for multiple types of wounds, particularly chronic wounds including diabetic foot ulcers, venous ulcers and pressure ulcers. Fast and easy to usea primary dressing which transforms into a soft, comfortable gel, allowing contact with the entire wound bed.
Item # Size Price Per Each (10 ea/bx, 4 bx/ca) 1
08-PG004 08-PG019
4.34 sq. in 19.1 sq. in
$13.01 $34.64
The Turning Clock Label allows the health care professional or caregiver to immediately know what position the resident should be in for pressure area prevention.
See page 243 for details.
304
Wound Care
UDL Laboratories, Inc.

Division of Ethicon, Inc.
ADAPTIC Non-Adhering Dressing
Made from a unique, conformable knitted fabric coated with a petrolatum emulsion to provide non-adherence without occlusion.
Hydrocol II Hydrocolloid Dressings
TIELLE Hydropolymer Wound Dressing
08-2012
Item #
3 x 3
$0.62
Provides an exudate handling system for low to moderate exudating wounds. Absorbent island gently expands as it absorbs exudate, maintaining a moist environment without the risk of maceration.
For dermal wounds (including full thickness), pressure ulcers (Stages I through IV), leg ulcers, supercial wounds and abrasions, trauma wounds and surgical wounds.
Item #
08-2015
3 x 8
$1.46
Hydrocol II 16-8616 4 x 4 Hydrocol II Thin 16-8716 4 x 4
$42.41 $32.64
08-2440
4-1/4 x 4-1/4
$7.97
Item #
Sacral 16-8675
6 x 7
$85.98

MEDICAL SUPPLIES
FIBRACOL PLUS Collagen Alginate Wound Dressing
Sorbsan Topical Dressing
Item #
08-2481 08-2494
Item #
2 x 2 4 x 4-3/8
$5.13 $12.17
A sterile, non-woven dressing of calcium alginate keeps wounds moist without maceration. Not intended for surgical implantation or for the treatment of third-degree burns.
Wound Care
08-2495 4 x 8-3/4 08-2496 3/8 x 3/8 x 15-3/4
$17.84 $13.85
16-9216
Item #
4 x 4
$58.45
16-9232 16-9302
4 x 8 Packing
$56.09 $37.68
305
Wound Care
Microfoam Elastic Tape

Stretchable, hypoallergenic, breathable elastic foam tape.
16-1528
Item #
1 x 5-1/2 yds
$20.78
16-1529
Item #
2 x 5-1/2 yds
$20.78
Micropore Tape
A hypoallergenic paper tape that is gentle to the skin yet adheres well and leaves minimal adhesive residue upon removal. It is excellent for repeated applications on sensitive skin, fragile skin and elderly patients.
16-1530
Item #
3 x 5-1/2 yds
$20.78
TENDERSKIN Hypoallergenic Paper Tape
16-15284
4 x 5-1/2 yds
$20.78
Lightweight paper tape is hypoallergenic to reduce chance of skin reaction, and the natural porosity allows the skin to breathe. Ideal for use where frequent taping and untaping is necessary.
16-9306
Item #
1 x 10 yds
$6.50
15-1914
Item #
1 wide
$10.70
16-9307
Item #
2 x 10 yds
$6.50
15-2419
2 wide
$9.86
16-9308
3 x 10 yds
$6.50
Transpore Tape
Transparent, perforated plastic tape with porous texture. Hypoallergenic.
16-9528
Item #
1 x 10 yds
$13.01
Paper Tape
16-9529
2 x 10 yds
$13.01
13-3552
Item #
$4.92
MEDICAL SUPPLIES
Item #
16-9530
3 x 10 yds
$13.01
13-3553
$4.92
Megazinc Pink Adhesive Tape

Zinc oxide-based adhesive is gentle to all skin types and will remain intact for prolonged periods of time, even when wet or washed. Its new, easy-tear edge makes application fast and efcient.
Durapore Tape
Silk surgical tape with high strength and adhesion. Hypoallergenic.
Transparent Tape
13-3572
Item #
$8.46
16-1539
Item #
1 x 10 yds
$10.28
Wound Care
13-3573
$8.46
17-M111 17-M222
1 x 5 yds 2 x 5 yds
$3.56 $7.02
16-1504
2 x 10 yds
$10.28
Cloth Tape
13-3562
Item #
$9.54
Same-Day Shipping
13-3563
$9.54
306
Wound Care
Packing Strips
Ideal for use as nasal packing, drainage wicks or for packing wounds. Will not ravel, lint or fray. Sterile. 12 ea/ca
Gauze Sponges, Non-Sterile

Gauze Sponges, Sterile

No exposed, raw edgescut edges folded in Cotton-lled sponges for maximum absorption
Item # Price Per Pack (8-ply, 200 ea/pk, 20 pk/ca) Size 1
Highly-absorbent, 100% cotton gauze Folded edges keep loose threads from wound site
Plain 13-3401 13-3402 13-3403 IODOFORM 13-3411 13-3412
1/4 x 5 yd 1/2 x 5 yd 1 x 5 yd 1/4 x 5 yd 1/2 x 5 yd
$2.82 $2.30 $2.82 $3.03 $2.61
Price Per Box (12-ply, 1 ea/pk, 100 pk/bx, 12 bx/ca) Item # Size 1
08-3354
4 x 4
$6.02
08-3242
Item #
4 x 4
$2.19
Price Per Pack (12-ply, 200 ea/pk, 10 pk/ca) Size 1
08-3342
4 x 4
$1.46
08-3243
4 x 4
$5.88
Non-Woven Sponges

08-3343
4 x 4
$1.77
For wound dressing, prepping and scrubbing Highly absorbent, less linting than standard gauze
Conforming Stretch Gauze Combine Pads

Designed for use as a secondary dressing over a primary dressing for moderate to heavy drainage. Sterile.
Item # Price Per Tray (20 ea/ty, 20 ty/ca) Size 1
Unique knit construction provides compression without constriction and is self-adheringstaying in place with minimal taping. Soft, non-linting, ravel-free gauze is highly absorbent. 4-1/10 yards, stretched.
Item # Size Price Per Pack (12 ea/pk, 8 pk/ca)
Sterile 08-3364
Item #
13-3501 4 x 4 $1.67
Price Per Pack (4-ply, 200/pk, 10 pk/ca) Size 1
5 x 9
$2.72
Sterile 13-3113 13-3114
3 4
$3.35 $3.66
Non-Sterile 08-3254
MEDICAL SUPPLIES
4 x 4
$3.02
Drain Sponge
Item # Price Per Box (2/pk, 25 pk/bx, 12 bx/ca) Size 1
13-4611
4 x 4, sterile
$4.78
L-2043 Fl. Yellow
15/16 x 2-1/4 250/bx
Krinkle Gauze Rolls, Sterile

Soft, highly-absorbent primary or secondary dressing Manufactured of pre-washed, uff-dried woven gauze Krinkle weave provides cushioning support and protection for sensitive wound areas
Item # Price Per Roll (6-ply, 100 rl/ca) Size 1
See page 243 for complete Wound Care Label offering.
Wound Care
BZK Antiseptic Towelettes

Individually wrapped.
Item # Price Per Box (100 ea/bx, 10 bx/ca) Size 1 10
60-1100
5-1/2 x 8
$3.39
$3.25
08-3161
4-1/2 x 4-1/10 yds
307
Wound Care
SalJet Single Dose Sterile Saline Topical Solution

For use in moistening and lubricating absorbent wound dressings for traumatic wounds, cuts, bruises and minor burns prior to removal from the wound area. SalJet is faster, safer and more economical than the practice of drawing multiple applications from a one-liter container of saline with syringes and needles. A strip of four SalJets can be carried in the pocket, reducing time-consuming trips to the nursing station or supply room Sterility is assured for each application and every patient. SalJet eliminates the potential for bacterial contamination from reused saline containers Reduces the use of needles Creates less waste volume. Its polymer bottle and cap can be recycled safely
Item # Price Per Box (40 ea/bx, 6 bx/ca) Description 1
Alcohol Preps
70% isopropyl alcohol impregnated in non-woven applicators contained in sealed, foil-laminated pouches. Sterile.
Item # Price Per Box (1-ply, 200 ea/bx, 10 bx/ca) Size 1 10
Povidone Iodine Solution

Long-acting and lm-forming, providing extended germicidal action without need for repeated application. Non-stinging.
Item # Size Price Per Each (24 ea/ca) 1 12
82-1103
Medium (1-1/4 x 13/16)
82-4442 $2.09 $2.05
16-oz
$5.15
$4.90
Item #
Price Per Box (2-ply, 100 ea/bx, 10 bx/ca) Size 1 10
Compound Benzoin Tincture USP Swabsticks

Saturated with a topical protectant, Benzoin Tincture, combined with aloe, storax, tolu balsam and alcohol, individually packaged in foil-laminated pouch.
82-1106
Large (1-3/4 x 1-9/16)
$2.29
$2.25
PVP Iodine Prep Pads & Swabs

Saturated with PVP iodine antiseptic solution and sealed in individual foil packets.
16-909
MEDICAL SUPPLIES
Item #
82-1231
$14.33 $14.06
Sodium Chloride 0.9%, 30 ml
$35.48
Prep Pads 82-40600

Item #
Cotton Balls
$5.39 $5.25 100% Cotton. Non-sterile.
Item # Price Per Pack (2000 ea/pk, 2 pk/ca) 1 2 Price Per Box (50 ea/bx, 10 bx/ca) Description 1 10
Prep Swabsticks 82-4135 Singles

Item #
13-3170 $8.29 $8.05
$8.99
$8.72
Price Per Box (3 ea/pk, 25 pk/bx, 10 bx/ca) Description 1 10
Wound Care
Prep Swabsticks 82-1291 Triples
$11.39 $10.85
AirLife Modudose Sterile Unit Dose Vials
Item #
Price Per Box (100 ea/bx, 10 bx/ca) Description 1 10
76-5251 76-5257
3ml saline solution (0.9% NaCl) $15.15 $14.80 5ml saline solution (0.9% NaCl) $16.90 $16.55
308
Wound Care
82-260400
82-260449
Profore Four-Layer Bandage System
LIQUISHIELD -S
ChloraPrep One-Step Antiseptic Skin Prep
Persistent at least 48 hours 1-step application requires only 60 seconds on dry skin sites Clear color allows for site visualization Precise single-dose applicators 2% Chlorhexidine Gluconate/ 70% Isopropyl Alcohol
A rapid drying liquid barrier lm Protects intact or damaged skin exposed to irritation from moisture, friction and shear Strengthens and supports natural skin integrity and helps prevent painful skin breakdown
Contains a wound contact layer and the four bandages required for application of the four-layer bandage system. Provides effective graduated or sustained compression.
Item # Price Per Pack (8 pk/ca) 1
16-6626
$26.76
82-109225 Wick Applicator 25/bx
$57.32
Applicator 82-260400
3mL
25/bx 200/bx
$48.92 $172.09
Sepp Applicator 82-260449 0.67mL
Profore Lite Bandage System
Saline Flush Syringe

Individually wrapped, these pre-lled syringes are preservative-free and latex-free. Sodium chloride 0.9%.
Item # Price Per Each (1,200/ca) Description 1 12
Sodium Chloride
An aseptic system for cleansing, moistening, diluting and soaking. Dispenses the solution where its needed, as its needed. Easy and convenient with less waste. Use the ALP Dual Topeasy opening twist and pull tab for a controlled pressure dispensing squeeze bottle. Use the snap-off top for pouring or tracheal catheter insertion/cleansing. 0.9% sodium chloride.
Item # Price Per Each (25 ea/ca) Description 1 25
A multi-layer compression bandage system that offers reduced compression compared to the original Profore Four-Layer Bandage System. Profore Lite has been specially developed for the management of mixed aetiology leg ulcers where assessment has identied that the patient has some degree of arterial impairment, which prevents the full use of compression. Contains everything necessary for the application of graduated compression therapy. Profore Lite may reduce preparation time, simplify stock control and ensure the correct components are always available.

MEDICAL SUPPLIES
Item #
Price Per Pack (8 pk/ca) 1
16-0415
$19.31
11-513576 10ml (in 12ml syringe)
$1.19
$1.15
Wound Care
16-AL4275 75ml pour bottle 16-AL4109 100ml dual top bottle
$0.99 $1.29
$0.95 $1.25
309
Wound Care
Flexible Fabric Adhesive Bandages Sheer Plastic Adhesive Bandages
Sheer Plastic Adhesive Bandages

A ready-to-use protective dressing for minor cuts and abrasions. Manufactured of strong, sheer, ventilated plastic, coated with a longlasting adhesive. Sterile. Non-stick pad for comfort and uid absorption Packaged in dispenser boxes for convenient handling
Item # Size Price Per Box (100 ea/bx, 24 bx/ca)
Manufactured of strong, sheer, ventilated plastic, coated with a long-lasting adhesive Non-stick pad for comfort and uid absorption Packaged in dispenser box Sterile
Item Size Qty Price
A sterile bandage to protect and aid in healing minor cuts and abrasions. Sterile. Non-stick pad is absorbent and helps to cushion wound Flexible fabric stretches and conforms to body contours for effective and comfortable protection
13-3611 13-3612
3/4 x 3 1 x 3
$1.98 $2.72
13-3601 13-3602
3/4 x 3 1 x 3
$1.56 $1.98
13-3634
2 x 4-1/2
50/bx
$3.53

Secure Strip Adhesive Wound Closures Steri-Strip Skin Closures

MEDICAL SUPPLIES
Thin, lightweight sterile skin closures made of microporous tape. Reinforced with rayon laments.
Item # Price Per Box (5 ea/env, 50 env/bx, 4 bx/ca) Size 1 Item # Price Per Box (3 ea/pk, 50 pk/bx, 4 bx/ca) Size 1
13-3523
1/4 x 3
$32.73
16-1540
Item #
1/8 x 3
$55.22
BEST SELLER
Price Per Box (3 ea/env, 50 env/bx, 4 bx/ca) Size 1
16-1541
1/4 x 3
$55.22
Price Per Box (6 ea/env, 50 env/bx, 4 bx/ca) Item # Size 1
Wound Care
16-R1547
1/2 x 4
$79.79
Price Per Box (10 ea/env, 50 env/bx, 4 bx/ca) Item # Size 1
16-R1546
1/4 x 4
$4.28
See page 243 for complete offering of Wound Care Labels.
Item #
Size
LS-8202
1 x 4-3/4
$10.95
$8.85
$8.50
$7.75
310
Wound Care
Coban 2 Layer Compression System

For treatment of edema associated with venous leg ulcers and related conditions. Low-prole, comfortable compression goes on in just two easy steps Soft, gentle foam layer provides patient comfort Cohesive outer layer delivers sustained compression Revolutionary interlocking materials help reduce slippage Thin, lightweight design allows patients to wear normal footwear Can be worn up to seven days Packaged with both rolls in a single, convenient box
Item # Price Per Box (8 bx/ca) 1
Sensi-Wrap Self-Adherent Wrap

A lightweight compression bandage that sticks to itself but not to other materials or skin. Easily torn without scissors Will not slip Individually poly-bagged Each rainbow pack contains the following colors: red, green, purple, dark blue, pink and light blue.
Item # Size Price Per Box (36 ea/bx)
Coban Self-Adherent Wrap

A self-adherent, non-adhesive elastic wrap to secure, protect, compress or support.
Item # Size Price Per Box (30 rl/bx)
16-15810 1 x 5 yds, 30 rl/bx

Item # Size
$26.34
Price Per Box (36 rl/bx)
16-15820
Item #
2 x 5 yds
Size
$57.55
Price Per Box (24 rl/bx)
16-15830
Item #
3 x 5 yds
Size
$48.18
16-3182
Item #
2 x 5 yds, 6 per color

Size
$28.86
Price Per Box (24 ea/bx)
Price Per Roll (18 rl/bx) 1
16-2094
$20.36
16-1584
Item #
4 x 5 yds
Description
$2.72
Price Per Box () (12 rl/bx)
16-3183
3 x 5 yds, 4 per color
$28.86
16-1583N Neon assortment, 2 rolls each: neon pink, neon green, neon orange, purple, black and white, 3 x 5 yds $24.14
Profore Lite Bandage System
MEDICAL SUPPLIES
SurePress HighCompression Bandage
Profore Four-Layer Bandage System
Rectangular indicators become squares when appropriate amount of graduated compression is reached Reusable Unstretched
Contains a wound contact layer and the four bandages required for application of the four-layer bandage system. Provides effective graduated or sustained compression.
Item # Price Per Pack (8 pk/ca) 1
A multi-layer compression bandage system that offers reduced compression compared to the original Profore Four-Layer Bandage System. Profore Lite has been specially developed for the management of mixed aetiology leg ulcers where assessment has identied that the patient has some degree of arterial impairment, which prevents the full use of compression. Contains everything necessary for the application of graduated compression therapy. Profore Lite may reduce preparation time, simplify stock control and ensure the correct components are always available.

Wound Care
Item #
16-650947 4 x 3-1/5 yds
1 bx
$20.67
16-6626
$26.76
16-0415
$19.31
311
Wound Care
Se Pro Net Elastic Net

One 25-yard stretched roll per box.
Tubigrip Elastic Tubular Support Bandage
Item #
Size
Price
Provides tissue support in the treatment of strains and sprains, soft tissue injuries, joint effusions, general edema, post-burn scarring and rib cage injuries. It can also be used for pressure dressings and arm xation. 33' per roll, 1 roll per box.
Item # Size Price Per Box 1
17-51437
3 large arms, medium ankles, small knees $67.08

Size Price Per Box 1
Arm, leg, foot, thigh, head, shoulders 17-53150 Size 5 $8.28 Axila, chest, abdomen, lower torso 17-53160 Size 6 $11.64 17-53170 Size 7 $14.69 Axila, chest, abdomen, lower/upper torso 17-53180 Size 8 $17.94 Chest, upper torso 17-53210 Size 10 $23.82 17-53220 Size 11 $27.50
539-6583-5500
Deluxe Bandage and Cast Protectors
Item #
Moisture protection for plaster and synthetic casts, bandages, rashes, prostheses, splints, burns and lacerations Watertight design allows protection when showering Durable abrasion-resistant vinyl Reusable, design provides quick, one-hand application
17-51434
3-1/2 large ankles, medium knees, small thighs $76.01

Size Price Per Box 1
Item #
Adult 539-6579-5500
17-51438
4 large knees, medium thighs
$76.01
Unna Boot
539-6580-5500 539-6581-5500 539-6582-5500 539-6583-5500 539-6584-5500 Pediatric 539-6585-5500
Contains soothing zinc oxide paste formula

17-UNNA3 17-UNNA4
3 x 10 yds 4 x 10 yds
1 ea 1 ea
$4.62 $5.34
Foot/Ankle Protector, 10 Hand Protector, 11 Short Arm Protector, 22 Long Arm Protector, 39 Short Leg Protector, 23 Long Leg Protector, 42 Medium Arm Protector, 18 Large Arm Protector, 22 Medium Leg Protector, 18 Large Leg Protector, 23
$18.78 $18.78 $19.94 $21.09 $19.94 $24.56
$19.94 $19.94 $19.94 $19.94
MEDICAL SUPPLIES
539-6586-5500 539-6587-5500 539-6588-5500
539-6581-5500
Bandage and Cast Protectors

Tubegauz Elastic Net

Wound Care
One 25-yard stretched roll per box.
Item # Size Price Per Box (1 rl/bx) 1
Convenient and easy to use Elastic opening and latex strap help ensure a tight seal Reusable and easy to clean with soap and water, hang to dry Offers durable and waterproof protection for casts, burns, bandages, poison ivy, skin abrasions, stitches and more Contains latex
17-680770 Flat width 1-1/4, size 5
$17.73
539-6559-0100 539-6560-0121 539-6560-0123 539-6561-0121 539-6561-0122
Foot/Ankle (Adult, one size ts most) 10 x 17-1/4 Small/Medium Arm (Half Arm Adult/Full Arm Child) 8 x 29 Large Arm (Full Arm Adult) 10 x 29 Small Leg (Half Leg Adult/Full Leg Child) 13 x 41 Medium/Large Leg (Full Leg Adult) 15 x 41
$4.82 $4.82 $4.82 $4.82 $4.82
312
Wound Care
Bordered Gauze Absorbent Island Dressing

Use to manage surgical incisions, supercial lacerations and abrasions, Stage I-IV pressure ulcers, partial and full thickness wounds, 1st and 2nd degree burns. Facilitates wicking of uids. Protects the wound surface Soft and exibleconforms to difcult wound sites Gentle on skin Non-adherent contact layer permeable Absortive pad Adhesive bordered non-woven cloth tape Consists of three layers
Item # Size Price Per Each (100 ea/pk) 1
StingFree Skin Prep/Protectant

Alcohol-free Uses include incontinence skin care, peritube irritations, adhesive trauma, protect skin from friction, fragile skin, periwound protection, general patient skin care, around venous stasis ulcers, peristoma care. No sting, alcohol-free protection Quick drying Forms a transparent protective lm between skin and urine or feces Moisture barrier protection Aids in the prevention of skin maceration 72-hour protection Will not clog diapers or interfere with absorbent pads
Item # Description Price Per Box (50 ea/bx, 10 bx/ca) 1
08-255
4 x 4
$0.51
DermaSyn Wound Dressing Spray Gel

For use on pressure ulcers (Stages I-IV), skin conditions associated with peristomal care, diabetic and foot ulcers, 1st and 2nd degree burns, stasis ulcers. Provides a moist wound environment Essential for tissue cell development Assists in autolytic debridement A non-oily hydrogel with Vitamin E extract Hydrogel wound dressing for maximum coverage where hands off application is needed Easy application and no waste Provides an optimal moist wound environment for wound healing
Item # Size Price Per Box (12 ea/ca) 1
08-237
Wipes
$7.86
See pages 96-99 for comprehensive offering of Wound Care Documentation Braden Scale Norton Plus Pressure Ulcer Scale Pain Management Flow Sheets Wound/Skin Healing Records And More!
MEDICAL SUPPLIES
3-N-1 Cleansing Foam

Perineal cleanser, body wash and shampooall in one. No rinse Contains Aloe Vera pH balanced Quick, gentle and easy to use Great for bed baths, ventilator patients, obese patients
Item # Size Price Per Box (12 ea/ca) 1 12
Wound Care
08-248
8-oz spray gel
$23.09
08-190
8-oz
$5.19
$5.15
313
Wound Care
Suture Removal Kit

Contains: 1 sterile gauze sponge 2-3/4 x 2-3/4, 1 plastic forceps 4, 1 plastic scissors 4-1/2
Staple Remover Kit

Contains: Staple remover, alcohol prep pad, 3 x 3 gauze sponge and PVP prep pad
Item # Price Per Each (50 ea/ca) 1 Item #
75-61401
$0.54
Plastic Cotton Tipped Applicators

75-8215
$1.67
Sterile 82-HW25806 6 x 1/12
$6.99
$6.75
Wood Cotton Tipped Applicators

Price Per Box (2 ea/pk, 100 pk/bx, 10 bx/ca) Item # Size 1 10
STERILE 82-25806
6 x 1/12
$4.69
$4.55
Precise Disposable Skin Staple Remover
Suture Removal Tray

Contains: 1 gauze sponge 4 x 3, 1 plastic thumb forceps 5, 1 sharp/sharp scissors 4-1/2
Item # Price Per Each (50 ea/ca) 1
For removal of all brands of skin staples.
Tongue Depressors
Item # Price Per Each (500 ea/bx, 10 bx/ca) Size 1 10
MEDICAL SUPPLIES
Item #
75-SR1
$48.29
75-61102
$1.04
Non-Sterile 82-704 6 x 11/16
$6.49
$6.35
Price Per Each (1 ea/pk, 100 pk/bx, 10 bx/ca) Item # Size 1 10
Sterile 82-25705
6 x 3/4
$4.19
$4.05
Sharp Debridement Tray

Contains: 2 gloves, 1 alcohol prep, 1 Acudyne prep, 1 gauze sponge 3 x 3, 1 Iris scissors, 1 #15 metal scalpel, 1 thumb forceps 5
Wound Care
Wooden Medical Spoon

16-61505
$4.61
82-625
$6.99
$6.85
314
Pressure Relief
Alternating Pressure Pump and Pad

Helps improve circulation and alleviates bed sores Quiet, safe and effective Virtually maintenance-free and easy to operate Allows user to control air ow for patients weighing up to 220 lbs. Distributing pressure points helps alleviate bed sores and other discomforts associated with constant pressure on skin
Pump Pump size: 3 x 3-3/4 x 7-1/4 110 volt A.C.; 60 Hz, U.L. listed 3-wire hospital-grade cord and plug Illuminated on/off switch Pad 21 body support tubes continually change pressure Embossed nish 16 gauge vinyl Deated: 93-3/4 x 39-1/4 Inated: 75-1/2 x 35 x 2-1/4 5-1/2 connector tube
Item # Description
552-1983-0000 Qty Price
552-1984-0000 552-1980-0000 552-1982-0000 552-1983-0000
Pressure Pump & Pad Pressure Pump Only Pressure Pad Only Converter Kit
1 ea 1 ea 1 ea 1 ea
$76.65 $61.70 $18.45 $2.80
552-1984-0000
Alpha Active Pressure Relieving Support System
Portable mattress replacement system used for the prevention, treatment and management of pressure ulcers Alternating cells continuously redistribute support and relieve pressure Ventilated cells provide ventilation in the thoracic/sacral region, reducing skin maceration Visual alarm system alerts caregivers to low-pressure conditions Adjustable pressure control enables customized support State-of-the-art compressor provides quiet, energy-efcient, vibration-free performance Mounting bracket suspends pump from the foot of the bed with easy-to-use snap-lock connectors Top cover reduces friction and shear and is removable for easy cleaning Mattress: 82-1/4 x 34-1/4 x 5 Pump: 13 x 8, 7.7 lbs., 120v/11 watts, 10-minute cycle Foam base: 82 x 35 x 3, covered with 8-oz. reinforced, ame-retardant vinyl. Includes: mattress, tubing, pump, base and 2-year warranty
TenderFLO II Water Overlay

MEDICAL SUPPLIES
This product will drop ship in approx. 2 weeks and is exempt from our Freight-Free Policy
Allows even movement of uid to reduce pressure and conform to the body Filling lines and foot placement printed on mattress for exact heel placement Double-sealed seams provide strength and durability Easy-to-clean, bacteria- and odorresistant 20-ga. vinyl cover Fill and air release valves are conveniently located for easy lling/release Reduces heat build-up between mattress and patient (thermometer is included to monitor temperature) 225-lb. maximum weight capacity Includes: eece cover (68 x 32) and 90-day limited warranty
Item # Qty Price
Pressure Relief
32-TF2035
1 ea
$41.20
32-AA450
Pressure Relieving System
1 ea
$2701.90
315
Pressure Relief
Bed Pad
Helps make any bed more comfortable by reducing pressure. Cotton/polyester on one side, waterproof sheeting on reverse side for incontinent situations. 78 x 36.
GEO-MATT Therapeutic Foam Overlay

Geo-Matt has been proven effective as an aid in the prevention and treatment of pressure ulcers. The top surface is cut using a patented Geo-Matt design, which creates over 800 individually responsive foam cells that allow the Geo-Matt to customize support to the bodys natural curvature, while minimizing the effects of pressure, shear and heat build-up. Zoned with different sized cells to provide different support under the head, torso and lower extremities. Complete with Soft Skin Cover.

This product will drop ship in approximately 2 weeks and is exempt from our Freight-Free Policy
Item # Qty Price
31-005DS
1 ea
$190.45
Item #
Size
Qty
Price
32-50960580
3-1/2 x 35 x 72
1 ea
$113.30
559-8060-1922
MEDICAL SUPPLIES
Deluxe Natural Sheepskin

Made of 100% natural sheepskin Helps prevent decubitus ulcers Approximate size: 8 to 9 sq. ft. (36 x 36) Machine washable
Item # Qty Price
559-8079-0000
1 ea
$79.95
559-8061-1900
100% Polyester Fabric Decubitus Pads

Pressure Relief

Helps to prevent decubitus ulcers Made of synthetic sheepskin, machine washable and hypoallergenic
559-8060-1922 559-8060-1923 559-8060-1924 559-8061-1900
24 x 30 30 x 40 30 x 60 36 x 80 (with straps)
1 ea 1 ea 1 ea 1 ea
$8.05 $10.50 $16.00 $41.95
316
Pressure Relief
Wafe Foam/ Gel Seat Cushion with Waterproof Cover
Convoluted Foam Chair Pads

Helps prevent and treat decubitus ulcers Convoluted surface helps with weight distribution and air circulation Provides comfort and support for long periods of time Made of medical-grade foam for long-lasting use
Designed for effective decubitus care while offering maximum weight distribution and stability Gel insert is laminated between layers of wafe and rigid foam Wafe-cut foam reduces heat retention and promotes better air circulation Washable, removable waterproof black oxford nylon cover with zipper and convenient carrying handle Weight: 8 lbs.
Waffle-Foam with Gel Center Item # Size Qty Price
Seat Only 552-8004-0000 16 x 18 x 4 Seat with Plaid Cover 552-8004-9910 16 x 18 x 4 Seat with Back 552-8005-0000 18 x 32 x 3
513-7637-0200
18 x 20
1 ea
$22.75
1 ea 1 ea 1 ea
$6.40 $9.50 $9.40
Your 100% Satisfaction is Guaranteed! Deluxe Seat-Lift Cushion
Firm 4 foam cushion provides lift and comfort while a hardboard insert provides extra support to eliminate hammock effect when used in wheelchairs Cover made of durable black leatherette with 5 strap handles Can be used in wheelchairs, conventional chairs or anywhere additional height is needed
MEDICAL SUPPLIES Pressure Relief
513-8884-0200
16 x 16 x 4
1 ea
$22.75
317
Pressure Relief
Gel/Foam Flotation Cushions
Duro-Gel II Deluxe GelFoam Wheelchair Cushions
Cushion is uniquely designed with a gellled chamber, which is encased in soft foam and covered with a heavyduty vinyl pouch Gel foam combination HEAVY DUTY VINYL POUCH helps prevent cushion from GEL CHAMBER attening, promotes seating stability for maximum comfort and conforms to body contours Convenient rear tie straps hold cushion securely in place Removable, machine-washable, black three-way stretch fabric cover with waterproof backing
Cushion offers maximum comfort, stability and therapeutic effectiveness Features a generous amount of gel between a combination of rm and soft foam Reversible for ultimate comfort Removable, washable covers feature convenient positioning straps Water resistant and ame retardant cover Also available in extra-wide (16 x 20 x 2)
Navy
Gray
Black
Fleece
Burgundy
513-8010-0221 513-8010-0223
16 x 16 x 2-1/2 16 x 18 x 2-1/2
1 ea 1 ea
$56.15 $63.75
Item #
Description
Qty
Price
16 x 18 x 2 513-7631-9911
Fleece, Cream Poly/Cotton, Navy Waterproof, Flame-Retardant Leatherette, Black Velour, Gray Waterproof Oxford Nylon, Black Nylon, Black
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$28.45 $28.05 $25.55 $20.40 $21.95 $21.95
Duro-Gel Flotation Cushions
513-7631-2400 513-7640-0200 513-7640-0300 513-7645-0200 16 x 20 x 2 513-7644-0200
MEDICAL SUPPLIES
The ultimate otation cushion for the prevention and treatment of decubitus symptoms and maximum seat comfort Features lowviscosity water-based gel enclosed in heat-sealed, heavy-gauge leak proof vinyl pouch Removable, washable covers Leatherette cover is water resistant and ame retardant Weight: 5 lbs. 16 x 18
513-7634-9911 513-7634-0300 513-7634-2400
Fleece, Cream Leatherette, Gray Poly/Cotton, Navy
1 ea 1 ea 1 ea
$31.30 $36.95 $31.30
Wedge Foam Pommel Cushions

Cushion rotates the hips back to help prevent forward sliding. Pommel promotes proper hip and knee alignment. Convex bottom for use in standard sling seat wheelchairs. Dark blue Sure-Grip vinyl cover provides slide resistance.
Pressure Relief
99-6820C
18 x 16 x 3-1/2 1-1/2
1 ea
$90.55
318
Pressure Relief
513-7608-9910 513-7608-2400
Comfort Pillow Cushions

Ideal for wheelchairs and other chairs in need of extra cushioning Overstuffed with soft, hypoallergenic polyester berll Molds to body contours, helping prevent painful pressure sores Machine washable Standard seat style features six ties to help secure cushion in place Highly absorbent incontinent seat style with waterproof barrier helps protect chair Seat size: 16 x 16; back size: 16 x 22; arm size: 16 x 14
Item #
Color
Qty
Price
Standard Style 513-7608-2400 513-7608-9910
Navy Plaid
1 ea 1 ea
$25.55 $25.55
Comfy-Seat
Helps prevent drafts and keeps skin from sticking to vinyl seats and backs Covers wheelchair openings to help prevent pinching Easily attaches to wheelchairs or geri-chairs with ties Reinforced openings allow use of positioning belt Machine washable
Item # Qty Price
Slant Seat Cushions

Helps improve posture and ease back pain by equally distributing weight Eliminates slipping forward and hammocking Includes: skid-resistant pad Removable, waterproof leatherette cover wipes clean and is ame retardant
MEDICAL SUPPLIES
513-8062-0321 513-8062-0323
16 x 16 x 2 4 16 x 18 x 2 4
1 ea 1 ea
$18.50 $22.25
99-6526G
1 ea
$113.20
Gel Foam Convex Cushion

Convex bottom reduces hammocking in sling seat wheelchairs. Dark blue Sure-Grip vinyl cover.
Sloping Back Seat Cushion

Pressure Relief
Item #
Size
Qty
Price
Designed to help prevent sliding forward in a chair Ideal lumbar support for the wheelchair, home, ofce or travel Constructed of highly resilient foam Removable, machine-washable navy polyester/cotton cover
99-7225C
18 x 16 x 3
1 ea
$78.20
513-7947-2400
16 x 18 x 4 to 2
1 ea
$13.40
319
Pressure Relief
Burgundy/Fleece Brown/Fleece
Plaid
Navy
Polyfoam Wheelchair Cushions

Offers soft, even support for maximum comfort and weight distribution Constructed of highly resilient polyurethane foam Removable, machine washable, polyester/cotton covers are available in a variety of colors Available in two styles: standard polyfoam or convoluted polyfoam Multiple sizes available
Natural Pincore Wheelchair Cushions
Standard 513-8020-2400 513-8021-9910 513-8021-2400 513-8076-0400 513-7602-2400 513-8076-0700 Convoluted 513-8025-2400 513-8025-9910
Navy, 16 x 18 x 2 Plaid, 16 x 18 x 3 Navy, 16 x 18 x 3 Brown/Fleece, 16 x 18 x 3 Navy, 16 x 18 x 4
1 ea 1 ea 1 ea 1 ea 1 ea
$8.05 $8.55 $8.55 $9.95 $14.00 $16.30 $9.90 $9.90
Offers maximum weight distribution and stability for comfort and support Foam is made of hypoallergenic, highly resilient pincore latex Removable, washable covers
Burgundy/Fleece, 16 x 18 x 4 1 ea Navy, 16 x 18 x 3 Plaid, 16 x 18 x 3 1 ea 1 ea
MEDICAL SUPPLIES
Nylon Oxford 513-7508-0200 513-7504-0200 513-7505-0200 513-7506-0200 Poly/Cotton 513-7504-2400 513-7505-2400 513-7505-9910 513-7506-2400 513-7506-9910 513-7503-2400 Leatherette 513-7514-0200
Black, 16 x 16 x 3 Black, 16 x 18 x 2 Black, 16 x 18 x 3 Black, 16 x 18 x 4 Navy, 16 x 18 x 2 Navy, 16 x 18 x 3 Plaid, 16 x 18 x 3 Navy, 16 x 18 x 4 Plaid, 16 x 18 x 4 Navy, 16 x 20 x 3 Black, 16 x 18 x 3
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$26.20 $21.95 $29.45 $35.85 $21.95 $26.70 $28.65 $31.75 $31.75 $28.95 $29.10
High-Density Foam Wheelchair Cushion

Pressure Relief
Made of resilient foam that will not crack or crumble Cushion conforms to natural body contours to enhance comfort 2.3 density foam, 50 lbs. compression Removable, machine-washable plaid polyester/cotton cover
513-7604-9910 513-7605-9910 513-7606-9910
16 x 18 x 2 16 x 18 x 3 16 x 18 x 4
1 ea 1 ea 1 ea
$11.55 $12.70 $17.65
320
Pressure Relief
Sloping Seat Mate Coccyx Cushion Sloping Coccyx Cushion

3 U-shaped opening provides pressure relief for the coccyx/ tailbone area to help relieve lower back pain Constructed of highly resilient polyurethane foam for maximum comfort and durability Features a machine-washable, zippered cover with built-in carry handle Covers available in navy polyester/cotton and camel velour
Ideal for prolonged periods of sitting 3 U-shaped opening helps provide pressure relief for the coccyx/ tailbone area to help relieve lower back pain Constructed of highly resilient polyurethane foam for maximum comfort and durability Removable, machine-washable navy cover with handle
513-7938-2400 513-7939-2400 Navy, 15 x 14 x 1-1/2 to 3 513-7939-3700 Camel, 15 x 14 x 1-1/2 to 3 1 ea 1 ea $12.10 $11.50
15 x 14 x 1-1/2 to 3
1 ea
$12.25
Seat Mate Coccyx Cushion

Coccyx Seat Cushion
6 V-shaped opening provides pressure relief for the coccyx/tailbone area to help relieve lower back pain Constructed of highly resilient polyurethane foam Available with or without hardboard insert for added support Removable, machine-washable, zippered, navy polyester/cotton cover 16 x 18 x 3
Helps relieve perineal area pressure Made with rm and medium density foam Provides added support and comfort Ideal for individuals who must sit for prolonged periods Removable, machinewashable navy polyester/cotton cover
513-8015-2448
513-7944-2400
16 x 18 x 3
1 ea
$15.15
513-8015-2400 Item # Style Qty Price
Contoured Coccyx Cushion

MEDICAL SUPPLIES
513-8015-2400 513-8015-2448
Without Insert With Insert
1 ea 1 ea
$12.70 $15.10
Finger Control Mitts

Hook and loop, and/or quickrelease buckle wrist closure Finger separators Fits either hand One size ts most adults Machine washable
Item # Price Per Pair 1
Anatomically contoured foam Designed for optimum positioning and comfort Skid-resistant bottom helps hold cushion securely in place Unique design enables cushion to be used as all-purpose or coccyx cushion Removable, waterproof black nylon oxford cover provides excellent incontinence protection on
Pressure Relief
Item #
Size
Qty
Price
99-4294
$28.35
513-7956-0200
16 x 18 x 2
1 ea
$18.55
321
Pressure Relief
Inatable Vinyl Ring

Inatable Rubber Ring

Features a special valve designed for easy ination Inate to desired level of rmness using a bicycle-style pump Helps relieve the pain and discomfort associated with hemorrhoids and other perineal conditions Conforms to body contours Reduces pressure point discomfort Made of durable rubber Weight capacity: 200 lbs. Contains latex
Conforms to body contours Offers a unique, easy ination Roberts-style valve Made of 20-gauge heavy-duty vinyl; easily wipes clean Inates/deates to desired comfort level Folds compactly for storage and travel Convenient built-in carrying handle Weight capacity: 200 lbs.
513-8019-0000
16 Diameter; 3-1/2 Center
1 ea
$4.70
513-8006-0022 513-8006-0023
16 Diameter; 3-1/2 Center 18 Diameter; 4-1/2 Center
1 ea 1 ea
$9.10 $11.35
Cushions include a machine-washable cover in a choice of three colors.
White
MEDICAL SUPPLIES
Contoured d and d Convoluted Foam Ring Cushions Twin Inatable Seat Cushion

Provides comfort and support Dual chambers individually inate, creating two levels of rmness Quickly deates to pocket size for easy travel Made of vinyl Includes removable, machine-washable navy polyester/cotton cover
Conforms to body contours, reducing pressure point discomfort High-density, puncture-resistant foam retains shape through repeated use Provides support when sitting for an extended period of time Removable, machine washable polyester/cotton cover Sizes available: 14, 16 and 18 Weight capacity: 250 lbs.
Item # Color Qty Price Item # Color
Navy
Plaid Qty Price
Pressure Relief
513-8065-2400 16 x 17 x 2 1 ea $14.75
Contoured, 14 513-8014-1900 513-8014-2400 513-8014-9910 Contoured, 16 513-8016-1900 513-8016-2400 513-8016-9910
White Navy Plaid White Navy Plaid
$7.60 $7.60 $7.50 $8.10 $8.10 $8.10
Contoured, 16 513-8018-1900 513-8018-2400 513-8018-9910 Convoluted 513-8008-2400 513-8008-9910 513-7614-2400 513-7614-9910
White Navy Plaid Navy Plaid Navy Plaid
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$8.90 $8.90 $8.90 $8.75 $8.75 $8.80 $8.80
322
Pressure Relief
Lumbar Cushions

Lumbar Support Rolls
Lumbar support helps ease lower back pain Orthopedic design helps keep spine in proper alignment Removable, machine washable polyester/cotton cover Size: 14 x 13
Firm foam construction for maximum support and comfort Elastic strap helps hold cushion in place Available in a half or full roll shape for desired comfort Removable, machine washable navy polyester/cotton cover
Item # Qty Price
555-7300-2400
Memory Foam Lumbar Cushion

Full Roll, 10-3/4 x 4-3/4 555-7912-2400 1 ea Half Roll, 10-3/4 x 2-3/8 555-7914-2400 1 ea
$8.80 $7.85
Standard and Bucket Seat Lumbar Cushions
Made of highly resilient contoured 555-7301-2400 foam Elastic strap helps hold cushion in place; bucket seat design is not available with an elastic strap
Highly resilient visco-elastic foam helps reduce pressure point sensitivity Memory foam reacts to the temperature of the body and forms naturally to body contours Elastic strap helps hold cushion in place
Contour Back Cushion with Strap

Black
Gray
Burgundy
Navy Black Gray Burgundy Item #
Tan Color Qty Price

Navy Item #
Tan Color
Fleece Qty Price
555-7921-0200 555-7921-0300 555-7921-0700 555-7921-2400
Black Gray Burgundy Navy
1 ea 1 ea 1 ea 1 ea
$26.65 $26.65 $26.65 $26.65
Provides effective lumbar support Removable, machinewashable gray velour cover Convenient strap helps hold cushion in place Made of durable, polyurethane foam 14-1/2 x 13
Item # Qty Price
555-7959-0300 CLOSE OUT
1 ea
$9.05
Standard with Strap 555-7300-0000 Deal Pack : 2/ea of Navy, Gray, Tan 1 set 555-7300-0200 Black 555-7300-0300 Gray 555-7300-0700 Burg 555-7300-3700 Tan Bucket Seat without Strap 555-7301-0200 Black 555-7301-0300 555-7301-2400 Gray Navy 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$69.60 $11.75 $11.75 $11.75 $11.75

555-7302-2400
Deluxe Adjustable Back Support
MEDICAL SUPPLIES
$10.50 $10.50 $10.50
555-7302-0700
RELAX-A-BAC Lumbar Cushion with Insert

Sturdy composite board insert provides increased support Made of highly resilient contoured foam Elastic strap helps hold cushion in place
555-7302-0200 555-7302-0300 555-7302-0700 555-7302-2400
Black Gray Burgundy Navy
1 ea 1 ea 1 ea 1 ea
$13.80 $13.80 $13.80 $13.80
Unique, contoured foam naturally conforms to the back Removable, 9 wide adjustable lumbar support with hook and loop adjustment Removable, machine washable gray polyester/cotton cover Elastic strap helps hold cushion in place 14 x 21
Item # Qty Price
Pressure Relief
555-8073-0355
1 ea
$29.85
323
Pressure Relief
Heel/Elbow Flotation Cushions

Cushions protect heels and elbows from painful pressure ulcers. Unique otation cushion is constructed of soft stretch fabric. Cushion is held in place in a separate pocket on outside of band. No bulky seams. Band is made of cotton, Orlon acrylic and Lycra spandex. Resident/patient use actually increases softness and promotes uid-like support. Light-blue cushion returns to original shape even after extreme compression. One size ts all adults. Band and cushion packaged as a pair.
Item # Qty Price
3168HH-10
See pages 96-99 for complete offering of Wound Care documentation.
99-4300
1 pr
$17.30
SkinSleeves
Indication: patients with fragile skin; to protect IV/wound sites and skin from tears and abrasions.
Adds a protective barrier to fragile skin. Made of soft cotton and Lycra for a comfortable t. Neutral esh tone blends discretely with skin and helps prevent the disruption of medical treatment by camouaging an IV site. Covers the leg or arm leaving ngers and thumb free. Easily adjusted for the amount of skin protection neededroll down to reveal hand or foot. Ideal for wheelchair-bound residents Helps prevent bruising and skin tears Adds warmth and comfort
555-8070-1900
Heel/Elbow Protector

MEDICAL SUPPLIES
Item #
Size
Qty
Price
Versatile contour designs t either heel or elbow Helps prevent decubitus ulcers and further injury Adjustable hook and loop straps for a custom t Soft 100% polyester fabric is hand washable One size ts most
Item # Qty Price
Pressure Relief
Arm 04-6000 04-6000S Leg 04-6001
Adult Small Adult One Size Fits All
1 pr $15.65 1 pr $15.65 1 pr $15.65
555-8075-1900
Heel (1 hook/loop strap) 555-8070-1900 1 pr Elbow (2 hook/loop straps) 555-8075-1900 1 pr
$5.05 $5.85
324
Pressure Relief
Bed Cradle and Foot Support

Holds the sheets and blankets up off feet. Sturdy steel frames clamp easily and securely to the mattress to prevent the device from moving but are easily removed to make the bed.
Comfort Heel Pillow

Heel Guard
Helps prevent the formation of pressure sores and helps protect against footdrop. Ventilation holes promote air circulation. Made of soft, lightweight foam. Secures with hook and loop. One size ts all.
Item #
Description
Qty
Price
Helps prevent and heal decubitus ulcers Resilient polyester berll helps provide greater support and comfort Adjustable hook and loop strap for a custom t Machine-washable, blue polyester/ cotton self-cover One size ts most
Item # Qty Price
99-4422 Foot Support, cover only, cotton 99-4425 Bed Cradle, frame only
1 ea $24.75 1 ea $52.95
99-6127
12L x 7-1/2H
1 pr
$20.90
555-8088-0100
1 pr
$16.45
Span+Aid Cradle Boot
Foot Elevator

Helps to eliminate pressure on the foot or ankle Provides air circulation for prevention of decubitus ulcers Easy-to-use, adjustable hook and loop closure Washable annelette cover
Sure Stay Heel Protectors

This heel protector is difcult for even the most active patient to kick off. Unique design helps prevent the heel protector from riding up on the patients leg. Ventilated at ankle and heel. Velcro fasteners provide quick and easy application. One size ts all.
Item # Qty Price
Lifts and cradles the limb Excellent weight distribution Cool and ventilated Preventive in nature; doesnt let decubitus, rotation or foot drop ever develop Maintains position, sticks to the bed Can be sterilized Special medical foam may be gas or steam autoclaved
Item # Qty Price
MEDICAL SUPPLIES
555-8072-0121 555-8072-0123
4 6
1 ea 1 ea
$16.45 $27.00
99-4260
1 pr
$14.55
31-50644
1 ea
$42.75
BEST SELLER
Pressure Relief
Heelbo Heel and Elbow Protectors
Soft elastic protectors help reduce shear and friction on sensitive heels and elbows Flexible stretch weave allows skin to breathe and retains shape after repeated use Sewn-in contoured foam pad eliminates rolling and binding Machine washable Color coded fabric for quick size identication
Item #
Color
Size/Circumference
Qty
Price
12037 12038 12039 12040 12041
Yellow Blue White Green Beige
Small , Up to 16 Medium, Up to 17 Large, Up to 19 X-Large, Up to 23 XX-Large, Up to 25
12 pr/bx 12 pr/bx 12 pr/bx 12 pr/bx 12 pr/bx
$98.30 $98.30 $98.30 $98.30 $98.30
325
Pressure Relief
Long Boot
Prevalon Pressure Relieving Heel Protector

Heel-Float
Suspends the heel over air cavity for zero pressure. Water-based gel insert relieves ankle pressure Soft, brushed fabric cover reduces skin shear and wicks away moisture Velcro strips are sewn to fabric bands to prevent skin abrasion Cushioned sides protect lateral and medial malleolus Foam and fabric meet California #117B ammability standards Reusable, launderable and guaranteed for six months
MEDICAL SUPPLIES
Minimizes pressure, friction and shear on feet, heels and ankles Open, oated-heel design elevates and separates heel from mattress and keeps heel visible for easy monitoring Helps prevent foot dropadjustable panel delivers maximum support to the bottom of the foot Stretch panels adjust in seconds for a secure, comfortable t that stays on the foot Reduces foot rotation inside the boot soft, comfort-grip interior minimizes friction and shear while keeping foot in proper position Low-friction exterior surfaces glide easily over bed linens Works with most deep vein thrombosis (DVT) compression devices. Adjustable stretch panels easily accommodate DVT compression device tubing Helps keep foot in an upright position with its pontoon bottom design Built-in pillow-style cushioning Ambidextrous, universal size Meets ammability standards
Item # Qty Price
Comfortable and resilient fur boot covers the patients heel, leg and ankle up to the mid-calf Provides comfort for patients with sensitive skin and supports the calf Features hook and loop fasteners for quick and easy application, helping ensure a secure t One size ts all Machine washable
Item # Qty Price
99-6112
1 pr
$31.35
99-503035
4 width
1 ea
$40.20
BEST SELLER HeelBoot Orthotic Boot
99-7300
1 ea
$90.75

Pressure Relief
Treats mild to moderate plantar exion contracture; eliminates pressure from heel Rotation bar and toe pad can prevent hip rotation Soft, washable eece liner with embedded antimicrobial solution; reusable laundry bag included Large, wide suspension well allows heel to oat Exterior shell made of durable Kydex plastic
Item #
Size
Qty
Price
12000 12001
Regular, Less than 16 Mid-Calf Circumference Large, 16 or More Mid-Calf Circumference
1 ea 1 ea
$73.65 $73.65
326
Pressure Relief
12055
HeelBoot Transfer Sole
Aids in patient mobility; 1 size ts all

Item # Qty Price
12002
12054 12056
6/bx
$21.45
Cushioned Tip Toe Caps
Heelbo Lifter Foot Elevator
Adjustable strap holds foot upright and helps prevent foot drop Polyurethane foam will not bottom out Hook and loop straps provide a secure, custom t Octagon base keeps foot in upright position Extended calf base supports the calf and the foot Anti-rotation base prevents the foot from turning 1 size ts all
Helps protect against friction and pressure-related injuries, such as blisters, corns and calluses Can also be used to protect a bruised, black or missing toe nail Constructed of soft, breathable foam Foam cushion inside tip of cap 4 caps per set
HeelBoot Replacement Liner
Soft, washable eece liner with embedded antimicrobial solution; reusable laundry bag included
710-8560-0021 Small, 1/2 1 st $8.55 710-8560-0022 Medium, 3/4 1 st $9.90 710-8560-0023 Large, 1 1 st $11.55
12054 12055 12056
Octagon Base Extended Calf Base Anti-Rotation Base
4/bx $89.30 4/bx $110.65 4/bx $94.90
12004
12005
Regular, Less than 16 Mid-Calf Circumference Large, 16 or More Mid-Calf Circumference
1 ea
$26.05
1 ea
$26.05
NEW!
MEDICAL SUPPLIES
Diabetic Foot Assessment

Provides early detection and may prevent diabetic complications Full diabetic screen to identify at-risk patients Prints 2 sides different
Tube Foam

D3484P Diabetic Foot Assessment
$13.15

Soft, breathable foam lined with seamless tubular fabric Protects, reduces friction and pressure Use as a bunion cushion, toe protector and for customized appliances 3-count
Pressure Relief
700-9726-0021 700-9726-0022 700-9726-0023 700-9729-0000
Sm, 5/8 x 36 1 ea $8.05 Med, 3/4 x 36 1 ea $9.40 Lg, 1 x 36 1 ea $11.55 Assorted Pack of 1 ea size 1 pk $9.70
327
Positioning
Convoluted Foam Bed Wedge

Ideal for head, foot or leg elevation Non-plasticized cover with a superior hospital quality ticking Hypoallergenic and water repellent Removable, zippered, machine washable white polyester/cotton cover
555-8099-1900
10 x 24 x 24, 4 ea/pk
1 pk
$25.55
Positioning Wedges
Designed to promote proper hip-spinal alignment, Skil-Care Positioning wedges also reduce sacral pressure to prevent decubitus or aid in the management and healing of existing sores. Sold in pairs.
Item # Price Description Price Per Pair 1 6
Ortho Bed Wedge

Ideal for leg or foot elevation Removable, zippered, machine washable blue polyester/cotton cover
Item # Size Qty
555-8071-0122 555-8071-0123 555-8071-0124
6 x 20 x 24 8 x 20 x 24 10 x 20 x 30-1/2
1 ea 1 ea 1 ea
$19.20 $22.75 $33.40
99-554020 Uncovered 8 x 8 x 17 $23.30
$22.85
MEDICAL SUPPLIES
Rest Mate Bed Wedge

Recommended by physicians for relief of hiatal hernias, respiratory problems and some circulation disorders.

Positioning
Curved shape is designed to support upper body Provides total comfort while lying on back or side Prevents body from shifting Designed to allow air circulation Made from soft polyurethane foam and hypoallergenic ber ll Zippered, removable, machine washable white polyester/cotton cover Can be used with or without a personal pillow
Body Positioner

Helps maintain a comfortable body position Ideal for lying on your side and as a trunk stabilizer Can be used under the knees for leg support, as a backrest, footrest or blanket support Made of durable polyurethane foam 24 x 10-1/2 x 8-1/2
555-7920-1900
36 x 24 x 7, 2 ea/pk
1/pk
$35.25
555-7930-1900
White
$13.90
328
Positioning
Elevating Leg Rest

Specially designed for knee elevation at a 30 angle Removable, machine washable blue polyester/cotton cover
Item # Size Price Per Each 1
White
Multi-Stripe
Contoured Neck Cushion Knee-Ease Pillow

555-8080-0121 555-8080-0123
17 x 10 x 7 28 x 10 x 7
$11.35 $16.00
Adjustable hook and loop strap offers a custom t and keeps pillow in place Removable, machine washable polyester/cotton cover
Item# Color/Size Qty Price
Removable, machine washable, white polyester/cotton cover Size: 14-1/4 x 6 x 3-3/4

Item # Color Price Per Each 1
555-8022-1900
White
$8.90
555-7980-1900 555-7981-9915
White 7 x 4 x 5 Multi-Stripe 6 x 10 x 8
1 ea 1 ea
$7.15 $9.60
Foam Rolls

Constructed of highly resilient polyurethane foam Use for neck, back or under knees 19 roll is available in 3 diameters Includes removable, zippered, machine washable, blue polyester/ cotton cover
Item # Size Price Per Each 1
MEDICAL SUPPLIES
Contour Pillow

554-8000-0121 554-8000-0122 554-8000-0123
3-1/2 x 19 5 x 19 7 x 19"
$6.75 $7.85 $9.30
Alternative uses include sacral or knee support 100% hypoallergenic polyester berll Available with blue satin or white polyester/cotton self-covers Machine washable 18 x 7
Price Per Each 1
Comfort Pillow

Made of durable, medium density urethane foam Removable, machine washable, blue polyester/cotton cover Size: 16 x 14 x 2 4
554-8023-0100
Blue
1 ea
$9.95
Positioning
Item #
Color
554-8024-1900 554-8024-1000
White Blue Satin
$7.60 $10.55
329
Positioning
Memory Foam Pillows 3-Zone Comfort Pillow

Inatable Neck Cushion

Ergonomic design supports head and neck while napping or relaxing Inates to desired comfort level Deates for compact storage Fits easily into pocket, purse or briefcase Made of soft brushed velour-like vinyl Includes storage case
Price Per Each 1
Unique contour design provides 3 different support levels: soft, medium and rm Hypoallergenic, polyurethane foam Removable, machine washable, white polyester/cotton cover Size: 16 x 22-3/4 x 3 4-1/2
Visco-elastic memory foam provides excellent support while helping reduce pressure point sensitivity Reacts to body temperature and forms to body contours Use behind the head, between the knees or against the back for both comfort and support Zippered, cream velour cover is removable and machine washable
554-8001-1900 554-8009-6400 554-8009-1900
White
1 ea 1 ea 1 ea
$19.20 $10.20 $10.20
554-7923-4321 554-7923-4350 554-7923-4323
Travel 12 x 9 x 4 1 ea $23.20 Standard 2 x 19 x 4 1 ea $40.80 Large 12 x 19 x 5 1 ea $47.40
Item #
Size
555-7910-0000
14 x 12
$3.95
Portable Headrest Pillow

MEDICAL SUPPLIES
Tension Pillow
Crescent Pillow Mate
Positioning
Contour shape gently cradles head and neck Helps relieve muscle tension Made of 100% hypoallergenic polyester berll Removable, machine washable covers
Ideal for lower back Made of medium density polyurethane foam Removable, machine washable white polyester/cotton cover Size: 10 x 12 x 1-1/4 3
555-8012-1900
White
1 ea
$7.50
High-quality foam conforms to the neck and head for ultimate comfort Adjustable hook and loop closures ts most chairs or seats Uniquely shaped to cradle the neck and head for superior support Perfect for the car, home or travel Inner mesh lining protects the foam Removable, machine washable terrycloth cover 3-year limited warranty
555-7933-1000 555-7933-1900
555-7933-9911
Blue Satin 14 x 12 x 3 White Poly/Cotton, 14 x 12 x 3 Fleece 14 x 12
554-9100-0000 $9.05
White
1 ea
$18.55
330
Positioning
Side Sleeper Pillow
Unique center indent provides better neck support for side sleeping Curved lobe guides the neck for superior comfort and support Use as a standard pillow by rotating lobe away from neck Also great for sleeping on the back Made of polyester 230 thread count, 100% cotton cover Size: 24 x 16 Made in the USA
Provides a 4-day turn record for bed-ridden patients Divided into 2-hour increments, giving time, position and space for aide identication after the patient has been turned 8-1/2 x 11 White paper, black ink Printed one side
1300
$11.80

Record routine turning/positioning changes using proper supportive devices Printed 2 sides different 5-hole punched side
554-9000-0000
White
1 ea
$46.35
CFS6-7HH
$12.45
Hugg-A-Pillow Bed Pillow

All-in-1 posture and comfort pillow Supports the head, neck, shoulders and upper chest Hypoallergenic and machine washable Made of quality polyester berll that holds its shape Removable, machine washable, white polyester/cotton cover Size: 17 x 22
Deluxe Swivel Seat Cushion

554-7915-1900
White
1 ea
$12.70
Standard Allergy-Control Bed Pillow

Soft, supple, quiet cover Extremely small fabric pore size (<10 microns) creates a barrier to lint, dust, dust mites and their by-products Protective fabric nish effectively controls bacteria, mold and mildew odors Breathable, lint-free, lightweight and no coatings to ake off or delaminate Fits most pillow cases Made of 100% polyester berll and machine washable Size: 19 x 27
Swivels 360 for smooth, easy movement in any direction while seated Portable and lightweight; swivel base is made of durable plastic with non-skid base Ideal for getting in and out of vehicles; great for use at home or ofce Comfortable polyfoam padded cushion Removable, machine washable cover Weight: 2-1/2 lbs Weight capacity: 300 lbs. 15 x 1-3/8
Price Per Each 1
MEDICAL SUPPLIES
Item #
Color
513-1994-0355 513-1994-0455 513-1994-3755 513-1994-9911
Gray Brown Camel Fleece
$15.35 $15.35 $15.35 $15.35
Positioning
554-7907-1950
White
1 ea
$16.80
Brown Camel Fleece
331
Fall Prevention
Gait/Transfer Belts Stars & Stripes Gait Belt

Ambulation Gait Belt

Strong 2 wide cotton webbing Reliable quality and construction Secure metal buckle 60L
Item # Qty Price
Made of 2 heavy-duty colorfast cotton webbing with a nickel-plated metal buckle. All belts are 54 long.
99-252015
1 ea
$8.85
99-4423 99-6531 99-6529
White Pastel With color ribbon
$11.25 $11.25 $12.15
Designed to help provide safe transfer, support and stability Adjustable for a custom t Cotton or eece hand holds offer a variety of holding positions Features secure, snap-to-close plastic buckle Made of heavy-duty 2 cotton webbing in two lengths: 50 and 65 Machine washable
Gait Belts

533-6027-0022 Cotton 533-6027-0024 Cotton 533-6028-0055 Fleece
50 65 50
1 ea 1 ea 1 ea
$9.10 $10.20 $12.70
Helps provide safe transfers Adjustable for a custom t

Item # Size Color Price Per Each 1
Gait Belts
Transfer or ambulate your residents/ patients with this durable, 2-wide belt.
Price Per Each 1 6
Fall Prevention n Program
Nickel-Plated Buckle 99-00309 2 x 54 White 99-00329 2 x 60 White Quick Release 99-0037 2 x 54 White
$6.00 $6.50 $7.55
Item #
Description
MEDICAL SUPPLIES
60 Standard Webbing 99-5090 Metal buckle, white 99-252070 Metal buckle, pastel stripe 99-5095 Delrin buckle, white 99-5096 Delrin buckle, pastel stripe 60 Heavy-Duty Webbing 99-252011 Metal buckle, white 99-252071 Metal buckle, pastel stripe 99-252061 Delrin buckle, pastel stripe
$8.65 $8.30 $8.65 $8.30 $9.60 $9.35 $9.60 $9.35
Heelbo Chair Belt
$8.75 $8.50 $8.75 $8.50 $10.10 $9.85
Fall Prevention
Hook and loop fastener in the front to allow the patient to self-release Prevents slumping and sliding forward while positioning the upper torso in a geri-chair or wheelchair 5 width; adjusts to 74-1/2 long Machine washable
The Falls Prevention Program manual links ks together all l of the critical components t of faf falls ll program, including: Program Uses and Policy Essential Assessment and Reassessment Documentation Nursing/Therapy/Medical Social Worker and Aide Interventions and Patient Teaching Booklet Ongoing Agency Evaluation through aggregation and trending Skilled Discipline and Aide Education Programs Sales and Marketing Strategy and Tools In addition, the enclosed CD-ROM provides these electronic tools to facilitate implementation: staff education videos, fall outcomes trending worksheets, referral source presentations, community outreach presentations, marketing yers and fact sheets
8500 8501
12129
Chair Belt
6/bx
$64.95
$402.00 $4.05
332
Fall Prevention
Heelbo Limbo Quilted Limb Holder
Heelbo Grait Gait Belt
Extra-strength webbing belt with easy on/off lock jaw buckle Ideal for ambulating patients Adjusts to 63 Machine washable
Item # Qty Price
12131
12/bx
$115.20
Soft, quilted material Quick release in emergenciesD-ring clasp lets go in 5 seconds or less Large enough to accommodate arm boards Straps adjust to 60 Small/Regular cuff: 11-1/2 x 3; Large/X-Large cuff: 12-1/2 x 3 Machine washable
12068 12069
Small/Regular Large/X-Large
6 pr/bx 6 pr/bx
$79.60 $79.60
Heelbo Johnny Grait Belt
Easily removable Use with gurneys, chair commodes, beds, chairs, wheelchairs and geri-chairs Quick-release snap buckle closure, straps and D-ring hook and loop fasteners Machine washable
Item # Qty Price
Heelbo INCH Quick Release Limb Holder
12134
12/bx
$168.50
Soft, quilted material Unique wrist adjustment provides perfect t without cinching or tourniquet effect Knotless clasps are simple to use and allow fast and easy access to patient Hook and loop fasteners and quick release loop accessory on present loop style eliminates untying or cutting off knots Large enough to accommodate arm boards Straps adjust to 60 Machine washable
Heelbo L-Bow Arm Holder System
Keeps patients hands away from face and IV tubing No rivets to abrade skin Soft material can be applied directly to skin Easy to apply with hook and loop closures Machine washable
Regular 12042 12044 Preset Loop 12046 12047
Small (11-1/2 x 3) Large (12-1/2 x 3) Small (11-1/2 x 3) Large (12-1/2 x 3)
6 pr/bx 6 pr/bx 6 pr/bx 6 pr/bx
$45.90 $45.90 $59.35 $59.35
MEDICAL SUPPLIES
Pediatric 12077 12078 12079 Adult 12080 12081
Heelbo Quilted Torso Restraint
Small (7 x 5) Medium (8 x 7) Large (10 x 8) Medium (11 x 10) Large (13 x 12)
12/bx 12/bx 12/bx 6 pr/bx 6 pr/bx
$121.00 $130.35 $140.90 $156.50 $159.75
Constructed of soft, quilted material Can be used for both the upper torso and lower extremities Durable lock jaw buckles for knotless release on both sides of restraint Each strap length adjusts to 40; quilted torso cover: 3-1/2 x 4-3/4 Machine washable
Item # Qty Price
Fall Prevention
12072
6/bx
$183.50
333
Fall Prevention
Heelbo Sleeved Blazer Jacket
Heelbo ICU Blazer
Soft breezewear fabric and adjustable side ties ensure comfortable t Each strap with durable lock jaw buckle adjusts to 60 in length Machine washable
12100 12101 12102 12103
Yellow Blue Green Beige
6/bx 6/bx 6/bx 6/bx
$183.50 $183.50 $183.50 $183.50
Full-length back zipper and 2 shoulder zippers unzip quickly Jacket may be crisscrossed in back for rolling patient 2 webbed waist belt helps prevent abdominal abrasions Double fabric backing and hook and loop closures Each strap with durable lock jaw buckle adjusts to 60 in length Machine washable
Econo-Alarm
Affordable alarm secures to just about any chair. Reliable, multi-directional magnetic pull-switch Adjustable-length cord clips to residents clothing Warns caregiver of chair exits Rugged design for long-lasting quality 9-volt battery and chair attachment included Guaranteed for six months
Item # Qty Price
12140 12141 12142 12143
Yellow Blue Green Beige
6/bx 6/bx 6/bx 6/bx
$211.30 $211.30 $211.30 $211.30
99-909208
3 ea/pk
$46.05
MEDICAL SUPPLIES
Heelbo Easy-On Poncho
Heelbo ER Restraint
ChairPro UnderSeat Alarm

Eliminates costly replacement sensor pads.

Guards against slumping or sliding forward for patients in beds or wheelchairs Each strap with durable lock jaw buckle adjusts to 52 in length Machine washable
Fall Prevention
12086 12087 12088
Yellow Small 6/bx $96.00 Blue Medium 6/bx $96.00 Green Large 6/bx $96.00
Combination of neoprene and nylon provides comfort for patient and allows for strong, durable restraint Quick release buckle provides easy patient access Color-coded neoprene helps easily identify proper restraint in an emergency 2 straps secure easily to bed frame through double D-rings Wrist: each strap adjusts to 16; Ankle: each strap adjusts to 9 Machine washable
12073 12076
Blue Red
Wrist Ankle
6 pr/bx 6 pr/bx
$165.25 $174.15
Under-seat sensor is protected against incontinence and wear Alarm activates when patient rises and automatically resets if patient returns to seat Sensor stays in place to reduce false alarms and is equally effective with or without seat cushion Under-seat placement deters tampering Fits all sling-seat wheelchairs up to 22 Operates on one 9-volt battery (included) Sensor and alarm guaranteed for one year
Item # Qty Price
99-909369
1 ea
$100.05
334
Fall Prevention
BedPro UnderMattress Alarm System

Eliminates electrical contact with patient. 10 x 30 sensor is under mattress and protected against incontinence Weight of mattress keeps sensor pad in place to reduce false alarms No sensor strip on mattress to compromise pressure relief and comfort All UnderMattress sensor pads guaranteed for 90 days BedPro Safety Alarm unit guaranteed for one full year
Wheelchair Safety Positioner

Secures user in a wheelchair and helps to improve posture Fits most standard width wheelchairs Made of black vinyl-covered polyfoam that is easy to wipe clean Includes hidden zipper Size: 26 x 3-1/4 x 10
Qty Price
Item #
513-7978-0200
1 ea
$17.40
Features: Auto-Resetputs alarm in stand-by mode, so theres no need to turn it on, and BedPro is always ready to protect your patients/residents Indicator Lighttells you that the system is on and monitoring your patient Allows choice of 90-decibel or 80-decibel in-room alarm signal (OSHA recommends that alarms not exceed 90db) In-Room Bypass Switchavoid waking roommate, this feature permits you to turn off alarm in patients room and have it ring only at the nurses station Nurse-Call Interfaceincludes interface cable that attaches alarm to nurse-call system while allowing independent use of regular nurse-call button
Operates on A/C or Battery Power comes with an A/C adapter so the alarm can operate using wall current. System may also be operated by a single 9-volt battery (included) Power Test Buttonveries the unit is operating, A/C adapter is properly connected, or battery has sufcient power Easy-Mount Bracketintegral mounting bracket secures BedPro Alarm to any headboard
Item # Qty Price
99-909320
1 ea
$177.50
MEDICAL SUPPLIES

Wander Boundary Tape can be strung across doors, hallways or anywhere you see t. The non-adhesive tape provides a safe, restraint-free boundary to discourage wandering. The repeated bright red stop signs on the white background provide a universally recognizable symbol. The 3 wide plastic tape (much like police line tape) is 100 feet long. Use it for any size openingeven outdoors.
Price Per Roll Item # 1 5 10
Removable Wheelchair Lap Tray

Serves as foundation on which residents/patients can lean on for support. Also provides activity and feeding surface and reminds occupants not to leave the wheelchair. SofTop Tray with a vinyl-covered cushioned surface is easy on sensitive arms and elbows. Easy-open Velcro closure.
Item # Price Per Each 1 6
Door Guard
Provides a clear, recognizable visual image to residents, reminding them not to exit or enter a restricted area. Attaches in seconds with adhesive hook and loop strips. Machine washable. Fits doors up to 53 wide.
Item # Price Per Each 1
Fall Prevention
L-9930
$29.40
$26.40
$24.70
99-705020
$61.50
$60.35 99-8210
$23.40
335
Fall Prevention
Steel Home Bed Rails

Cross brace adjusts from 26 to 46 Can be raised up to 19 or lowered easily 1 diameter tubing is coated with chip-resistant, baked enamel Cross bars made to t between box springs and mattress Size: 17-1/2 x 55-1/2 rails with steel cross bars
Vinyl Bed Rail Cushions

Helps prevent bed rail-related injuries Features resilient polyfoam for maximum cushioning protection Pads secure with hook and loop straps Durable vinyl cover is non-allergenic and ame-retardant Size: 60 x 15 x 1/2
Item # Qty Price
551-1961-1900 551-1965-1900
Steel bed rails, twin, 1 pair Extension bars, for full or queen, 53-1/2 to 74-1/2
1 pr 1 pr
$69.45 $14.95
551-1964-0100
1 pair
$34.75
MEDICAL SUPPLIES
Half-Length Steel Bed Rails

Roll Guard
An alternative to side rails, the Roll Guard allows easy bed entry and exit while protecting the patient from falling out of bed. Attaches easily to the bed frame with quick-release buckles and allows patients maximum sleeping surface. Also acts as a pressure relief positioning aid to increase patient comfort. The annel outer cover is machine washable, and the bacteriostatic vinyl inner pillows wipe clean with liquid disinfectant. Inner width between pillows 23, straps 33L x 4W
Roll-Control Bed Bolsters

Designed to reduce the tendency to roll off the bed when the side rails are in the lowered position. Also prevents hands and feet from being caught between the mattress and bed rail when rails are in the raised position. The distance between the bolsters is adjustable so that you may use the Roll-Control as a positioning device to keep your residents/patients comfortably propped on their sides. Cleaning is no problem just spray and wipe. Note: Roll-Control Bed Bolsters should not be considered as substitutes for metal side rails.
Item # Qty Price
Fall Prevention
Fits most hospital beds and offers maximum safety Rails can be raised up to 19 or lowered easily with spring-loaded knob Rail length: 37 All smooth-welded construction with 7/8 and 1 strong steel tubing Easy to install; no tools required
Item # Qty Price
551-1962-0600
1 pair
$66.15
99-5700
25L x 49W
1 ea
$99.90
99-556010
2/set
$100.95
336
Fall Prevention
641-6488-0000
Deluxe Wood Transfer Boards with or without Cut-Outs

Helping Handle
641-6488-0010
Bedside personal-aid device for persons with various back or muscular conditions Helps provide solid support for those who can pull themselves into an upright position with the assistance of a hand-hold device Made of heavy-duty laminate and vinyl-coated steel grab bar Can be adjusted and clamped quickly and easily to t most conventional beds that have a mattress and a box spring Disassembles easily for travel Base size: 12 x 15-1/2; Top: 6-3/4 x 15-1/2 with 44 strap Weight capacity: 250 lbs.
Item # Qty Price
Use to transfer from bed, wheelchair, chair or commode Cut-outs allow for easy carrying or gripping Sealed and coated for protection and friction-free transfer Constructed of 3/4 wood Weight capacity: 440 lbs.
518-1753-0400 518-1754-0400 518-1759-0400 518-1760-0400 518-1765-0400 518-1756-0400
Solid Solid 1 Cut-Out 1 Cut-Out 2 Cut-Outs 2 Cut-Outs
8 x 24 1 ea 8 x 30 1 ea 8 x 24 1 ea 8 x 30 1 ea 8 x 24 1 ea 8 x 30 1 ea
$21.55 $22.55 $25.10 $23.70 $23.70 $27.35
551-1990-1900
1 ea
$34.75
AbleRise Bed Assists

CLOSEOUT ITEM
Provides additional support for getting in and out of bed Heavy-duty contoured plastic is easy to grasp Can be used for repositioning or turning over in bed; double-style can be used for couples who may both need assistance Includes a convenient storage compartment Easy to install, bars slide between box spring and mattress Not for use on mechanical beds Size: 20 wide; height adjusts from 16-3/8 to 18-5/8
MEDICAL SUPPLIES
Plastic Transfer Board

Adjustable Blanket Support

641-6488-0000 Single, fits twin to king size bed 1 ea $98.05 641-6488-0010 Double, fits twin to queen size bed 1 ea $156.45
Use to transfer from bed, wheelchair, chair or commode Constructed of heavy-duty white plastic Lightweight Weight capacity: 220 lbs.
518-1761-0000
8 x 27-1/2
1 ea
$12.80
Protects sensitive skin areas Tubular frame base keeps blanket off the feet to help prevent foot cramping Inserts between the box spring and the mattress Rest on top of the mattress when not in use Height adjusts up to 19; frame is 20 long and 6 wide
Item # Qty Price
Fall Prevention
802-2028-0000
1 ea
$14.95
337
Incontinence
Prevail Protective Underwear
Designed for medium to heavy loss of bladder and bowel control.

Prevail Premium Extra Absorbency Undergarments
Breezers Adult Briefs

For moderate to heavy incontinence.
Breezers have the most performance and comfort enhancing features available in an adult brief. Softer, more gentle cloth-like outer fabric for additional wearer comfort and rustle-free discretion Easy-lock fasteners securely grip anywhere on the cloth-like outer fabric, and will attach over and over again without adhesives, reducing waste and promoting sizing reductions because there is no limit where the tab can go These features mean maximum leakage protection, skin dryness, improved t, and better performance at a lower cost.
Color-coded band designates back of underwear and size Soft, stretchable, cloth-like back sheet provides cool, secure and comfortable t Application is easyto put them on, just pull them up Super absorbent core contains the blue stay-dry strip inside the groin area where needed most Quickly draws uid away from skin Multiple leg gathers help to contain uid
Item # Description Price Per Pack 1
Designed for medium to heavy bladder control loss.

Soft, stay-dry top sheet for greater comfort and reduced skin irritation Moisture barrier prevents leaks and reduces noise Elastic belts provide a snug t Multi-strand elastic leg gathers to prevent leakage Reinforced button hole 30 eack per pack
Item # Price Per Pack (30 ea/pk, 4 pk/ca) Description 1
10-PV324 One size ts most
$14.27
MEDICAL SUPPLIES
10-PV511 Youth/Small (20 to 34 waist), 22 ea/pk, 4 pk/ca 10-PV512 Small/Medium (34 to 44 waist), 20 ea/pk, 4 pk/ca 10-PV513 Large (44 to 58 waist), 18 ea/pk, 4 pk/ca 10-PV514 X-Large (59 to 68 waist), 14 ea/pk, 4 pk/ca 10-PV517 2XL (68 to 80 waist), 12 ea/pk, 4 pk/ca
$15.11
10-PVB012 Medium (32 to 44) $15.11

Item #
$8.91
Price Per Pack (18 ea/pk, 4 pk/ca) Size 1
10-PVB013 Large (45 to 58) $15.11

Item #
$14.48
$15.11 $14.27
10-PVB014 X-Large (59 to 64)

Item #
$13.43
10-PVB016 Regular (40 to 48)
$11.65
StretchFit Briefs
Maximum protection.
Underwear for Men

Maximum protection.
Incontinence
Stretchy side panels are easy to grab, pull and attach for an adjustable t that is secure and comfortable Dual size system; 2 sizes t most Simple pricing; both sizes are the same price, reducing the nancial risk of incontience cost variability by size
10-SFA 10-SFB
Brief Lavender Stretch, Fit A Brief Beige Stretch, Fit B
$10.10 $10.10
Boxers and brief style, two types of underwear designed for Men Boxers for Men: Revolutionary NEW design that feels and looks like regular boxer underwear with maximum incontinence protection Underwear is designed to pull on and off easily, and the back label makes it easy to determine the front from the back
10-PBM512 Small/Medium 10-PBM513 Large/Extra-Large
$15.75 $15.75
338
Incontinence
PER-FIT Adult Briefs

Designed for moderate to heavy loss of bladder and bowel control.
Offers frontal tape, good overall absorbency and competitive price. Limited-mat, body-shaped design provides a better, more comfortable t and greater skin protection than standard briefs, reducing skin irritation Multi-strand leg elastic assures snug t, positioned away from pad for improved comfort and security Wetness indicator changes color when brief is wet for caregivers convenience
Prevail PM
Value Buy Adult Briefs

Designed for medium loss of bladder and bowel control.
Extended use absorbancy.

Breathable zones Clothlike outer fabric Easy lock fastener Quick Wick with MaxSoft Skin Smart Odor Guard Extended use
10-NTB012 Medium (32 to 44)

Item #
$11.25
Limited-mat, body-shaped design provides a better, more comfortable t Strategically placed super absorbent polymer improves odor control and provides protection where its needed most Wetness indicator changes color when brief is wet for convenience of caregiver Multi-strand leg elastic assures snug t, positioned away from pad for improved comfort and security
10-NTB013 Large (45 to 58)

Item #
$16.85
10-PF012 Medium (32 to 44)

Item #
$8.07
10-VB012 Medium (32 to 44)

Item #
$6.39
10-NTB014 X-Large (59 to 64)
$23.70
10-PF016 Regular (40 to 48)

Item #
$12.06
10-VB013 Large (45 to 58)

Item #
$9.65
10-PF013 Large (45 to 58)

Item #
$11.75
10-VB014 X-Large (59 to 64)
$9.65
10-PF014 X-Large (59 to 64)
$12.17
MEDICAL SUPPLIES
Prevail Premium Adult Briefs
Prevail Bariatric Briefs
Designed for heavy bladder control loss.

Full-tting absorbent briefs for maximum protection against heavy incontinence. The soft side leg elastic and uted waistband provide an excellent, comfortable t.
Breathable zones Clothlike outer fabric Easy lock fastener Quick Wick with MaxSoft Skin Smart Odor Guard
10-PV017 10-PV094
62 to 73 waist, 12 ea/pk, 4 pk/ca Up to 94 waist, 10 ea/pk, 4 pk/ca
$13.05 $18.15
Incontinence
10-PV012 10-PV013
Medium (32 to 44 waist), 22 ea/pk, 4 pk/ca Large (45 to 58 waist), 18 ea/pk, 4 pk/ca
$14.69 $14.69
339
Incontinence
WINGS Classic Adult Brief with Full-Fit Design
MaxiCare Contoured Adult Briefs
WINGS CHOICE Plus Adult Briefs
Cloth-like, stay-dry facing is extra soft and breathable Moisture-proof backing with repositionable tape tabs Wetness sensor indicates need for change Full mat
With a full-t design, this brief features a soft, breathable top sheet that allows uid to pass quickly to lower layers of super-absorbent polymer. The blue dryness strip promotes optimum skin care by keeping moisture in the brief and preventing it from coming back onto the skin. Extra uff in the wing area is an added assurance against leakage. These briefs also have an odor-reducing agent for superior odor control.
Item # Description Price Per Case 1
Multi-strand elastic leg gathers and wetness indicators Better t and extra comfort Helps to reduce odors
10-1086
Large CLOSEOUT ITEM (45 to 58 waist/hip)
$13.64
10-1070
Medium (32 to 44 waist/hip)
$7.34
Item #
Price Per Pack (12 ea/pk, 6 pk/ca) Description 1
10-60003 Medium (32 to 44), 12 ea/pk, 8 pk/ca 10-60004 Large (45 to 58), 12 ea/pk, 6 pk/ca
$81.99 $72.44
10-1080
Large (45 to 58 waist/hip)
$8.70
MEDICAL SUPPLIES
Prevail Bladder Control Pads
Guards for Men

Light to moderate protection.

Trusted for light bladder leakage.

Discreet pads designed for light bladder leakage protection. Individually wrapped and available in a variety of sizes and absorbencies. The right level of protection for everyone with light bladder leakage Designed for women Odor Guard Quick Wick with MaxSoft
Designed for men Odor Guard Quick Wick Pad length 13
340
Incontinence
10-BC012 10-BC013 10-PV916 10-PV915 10-PV923
Moderate (9.25) ;20 ea/bag, 9 bags/ca Moderate Long (11);16 ea/bag, 9 bags/ca Maximum (11); 52 ea/bag, 4 bags/ca Maximum Long (13); 42 ea/bag, 4 bags/ca Ultimate (16); 36 ea/bag, 4 bags/ca
$3.95 $3.95 $13.10 $12.70 $12.70
Item #
Quantity/Pack
Price Per Pack
10-PV811 10-PV812
14 52
$3.95 $14.80
Incontinence
Super-Absorbent Disposable Liners

Easy to position and reposition adhesive tape Helps reduce urine odor and skin irritations Can be used with reusable incontinent pant or regular underwear Features 500cc capacity polymer ller One size ts most, generously sized: 7 x 18
Item # Qty Price
560-7024-0000 560-7024-9712
25 ea/pk 25 ea/pk, 12 pk/ca
$5.87 $70.76
Stress Protectors Disposable Liners

Designed for use with regular underwear Provides a wide center adhesive strip to secure pad Made of soft non-woven fabric with noiseless backing Absorbent ller neutralizes odor 350 ml capacity Liner measures 4-1/2 x 14
Item # Qty Price
560-7040-0000 560-7040-9708
25 ea/pk 25 ea/pk, 8 pk/ca
$8.18 $61.83
Prevail Pant Liners
Designed for light to heavy loss of bladder and bowel control for men and women.

Bonded construction for greater overall durability Resists tearing and clumping when clean or soiled Disperses uid evenly, providing dry and comfortable protection Full length adhesive strip for secure anchoring in underwear, no sliding around Ultra-absorbent core system pulls uid away from skin and locks in core to promote better skin care and improved odor control Soft, skin-friendly top sheet reduces skin irritation; blue stay-dry strip provides an extra layer of separation between uid and skin Multi-strand leg gathers gently hug the wearer while providing added protection
MEDICAL SUPPLIES
Item #
Description
Simplicity Contoured Undergarment Liners
10-PL100 Small (light dribbler), 24 ea/pk 10-PL113 Medium , 12 x 38 16 ea/pk 10-PL115 Overnight (super) w/leg cuffs, 16 ea/pk
$7.44
$6.60
Contoured for superior comfort and t Multi-strand leg gathers for better containment Contains Poly-Fresh for dryness and odor control Adhesive patches adhere to special pants or underwear
Item # Size Price Per Case (96 ea/ca) 1
Incontinence
$12.69 10-1042
Heavy, 12 x 24
$53.43
341
Incontinence
Presence Super Absorbency Feminine Bladder Pads
TENA Pads
These bladder pads have the thickness of a pad with a high concentration of superabsorbent polymer to ensure dryness. Cloth-like facing for extra softness. Backing made of soft, noiseless material to ensure discretion.
Item # Size Price Per Case 1
10-1110B20
120 ea/ca
$34.44
Unique Air Dry Layer allows for all-around air circulation while locking uid into the absorbent core, helping to maintain a natural skin environment Dry-Fast Dual Core technology rapidly pulls uid away from the skin and traps it into the lower storage core where it is gelled by superabsorbent polymer for greater security and skin dryness Soft, nonwoven backsheet is gentle against the skin and less noisy, providing improved comfort and greater dignity Oval-shaped elastic hugs the body, creating a comfortable seal for improved leakage protection Contoured core promotes improved comfort and leakage protection upper core now in fresh white. Wetness indicator alerts caregivers that the pad has been soiled and needs to be changed
Curity Large Feminine Pads with Tabs
Large OB pads provide complete coverage and protection for patients who suffer from bleeding or drainage in the perineal area. Moisture-proof outer shield.
08-1164
11 x 4
$2.09
Feminine Maxi-Pads
Item # Size Price Per Box (12 bx/ca) 1
08-24310
24 ea/bx
$4.08
Day Regular
For
moderate bladder control protection.

Size Price Per Pack (2 pk/ca) 1
Item #
MEDICAL SUPPLIES
10-62412 46 ea/pk CLOSEOUT ITEM
$28.86
Serenity Ultimate Pad
Day Plus
Added
Serenity Ultimate is longer and wider to provide more protection and is preferred by consumers for protection, comfort and t. Serenity Ultimate pads are also conveniently folded and wrapped.
Item # Size Price Per Pack (3 pk/ca) 1
absorbency for bladder and/or bowel control protection.

Item # Size Price Per Pack (2 pk/ca) 1
10-62614
40 ea/pk
$32.75
Night/Super
Maximum
10-49800
36 ea/pk
$22.14
absorbency for nighttime or extended protection.

Item # Size Price Per pack (2 pk/ca) 1
Incontinence
10-62714
24 ea/pk
$24.14
342
Incontinence
Prevail Disposable Washcloths
Disposable Washcloths

Ideal for gentle and effective patient cleansing and personal care needs Made from soft, durable material for a soothing, gentle touch Premoistened washcloths are alcohol free and contain aloe and lanolin
Made with super strong fabric that is incredibly soft. Each washcloth gently cleanses the skin while protecting the caregiver from tear through. Single hand dispensing ensures a single, unfolded wipe dispenses each and every time for added convenience and less waste. An audible click reassures the caregiver the lid is completely closed, preventing washcloth dry-out.
Item # Price Per Box (48 ea/bx, 12 bx/ca) Size 1 Item # Price Per Box (48 ea/pk, 12 pk/ca) Description 1
10-9089520
7.9 x 12.4
$3.66
10-9089520R
Refill
$3.56
BRG-200D Premoistened, Tub, 9 x 13 BRG-201D Premoistened, Soft Pack Hard Lid, 8 x 12
46/bx
$2.48
Prevail Premium Disposable Washcloths
50/pk
$1.98
Made of soft cotton Super strong Clinically tested to be mild on the skin Contains Aloe to provide excellent skin care No rinsing or drying necessary Easy single hand dispensing eliminates cross contamination Alcohol free
Price Per Box (96 ea/pk, 6 pk/ca) Description 1
Item #
Item #
10-901
7.9 x 12.4
$8.39
10-902
Refill
$7.34
Prevail Soft Pack Washcloths with Press-Open Lid

Item # Price Per Box (48 ea/pk, 12 pk/ca) Size 1
MEDICAL SUPPLIES
10-710
12 x 8
$2.75
Item #
Price Per Box (96 ea/pk, 6 pk/ca) Description 1
WINGS Personal Cleansing Washcloths

10-720
12 x 8
$6.70
Pre-moistened with a gentle cleansing lotion Clinically tested for mildness Non-irritating, hypoallergenic formula is gentle to sensitive skin Alcohol free Contains aloe to soothe and soften skin Extra large cloths
Prevail Quilted Wipes with Press-Open Lid
Item #
Price Per Box (48 ea/pk, 12 pk/ca) Size 1 6
Incontinence
10-WW910
12 x 8
$0.00 $0.00
60-6599
9.5 x 13
$6.29
343
Incontinence
MaxiCare Underpads Prevail High-Performance Disposable Underpads

High-performance, super-absorbent underpads provide maximum protection for all surfaces. The thick, non-skid backing stays in place while the extra-thick absorbent pad provides superior dryness and comfort to the skin.
Super absorbent lining with polymer draws uid away from the facing and neutralizes odors Backing is moisture proof and extra strong Recommended for use in chairs as well as beds
Item # Price Per Case (10 ea/pk, 10 pk/ca) Size 1
QUICKABLES Disposable Personal Washcloths
Highly absorbent Airlay non-woven construction reduces the need for a variety of wiping products. Absorbs 8 to 10 times its own weight. Cloth-like feel is gentle on patients skin Airlay fabric reduces risk of skin irritation and promotes healthier skin Disposability reduces risk of cross-contamination and protects the caregiver Heat retention provides comfort for bathing purposes
10-948
Item #
30 x 30
$60.26
10-UP150 Premium 10-UP120
23 x 36 23 x 36
$3.66 $3.95
Price Per Case (10 ea/pk, 5 pk/ca) Size 1
10-958
28 x 36
$30.44
Item #
60-1310
10 x 13
$3.03
MEDICAL SUPPLIES
Dri Sleeper Wetness Alerting Device

Incontinence
Effective in successful treatment of bedwetting As urination begins, an alarm sounds waking the user before the bed or pajamas are wet Conditions the user to waken to urinate and later learn to suppress the need to urinate during the night Unit attaches to clothing with hook and loop attachment 26 wetness sensor cord connects unit to sensor pad in undergarment Includes complete instructions
Item # Qty Price
DURASORB Underpads
Spunbond nonwoven topsheet, diamond-embossed and polypropylene backsheet. Fluff core provides heavy incontinent protection.
DURASORB Plus Underpads with Polymer

Spunbond non-woven topsheet, diamond-embossed and polypropylene backsheet. Superabsorbent polymer and uff provide heavy incontinent protection.
10-1038
23 x 24
$49.86 10-7193 23 x 36
$34.22
560-7042-0000
1 ea
344
Incontinence
Extra Absorbent Disposable Underpads

Fluff-Filled Underpads
Sealed on all four sides. Constructed of highly absorbent cellulose uff tissue. Backed with blue embossed polypropylene.
Item # Price Per Case (150 ea/ca) Description 1
Soft, non-irritating, non-woven facing Diamond-quilted, embossed extra-thick uff cellulose Embossed, non-slip waterproof polyester backing Flame-retardant facing, sealed on all sides
560-7094-9700 560-7096-9700
17 x 24 40 ea/bg, 6 bg/ca 1 ea $54.48 23 x 36 20 ea/bg, 6 bg/ca 1 ea $54.48
Economy Fluff 10-0997 23 x 36, tissue facing

Item # Size
$41.04
Price Per Case (100 ea/ca) 1
Layer Filled Underpads

Backed with blue embossed polypropylene.
Item # Description Price Per Case (300 ea/ca) 1
Large Fluff 10-120327
30 x 30
$42.20
10-118
17 x 24, tissue facing
$36.44
Tuckables Underpads
Edge-to-edge protection and comfort
Patented Tuckables Wings t under the mattress keeping the pad securely in place. During removal and disposal, Tuckables wings act as a barrier between caregiver and contaminates Soft cloth-like surface increases patient comfort and contains no dyes, reducing risk of skin irritation Edge-to-edge construction with no rolled edges for patient to lie on, reduces heat retention and further lowers risk of skin irritation Hygard Super-Absorbent Polymer is evenly distributed throughout the pad. Hygard Polymers encapsulate uid preventing leakage and keeping skin drier and healthier. Prevents odor by stopping the growth of ammonia-producing organisms Peach polyethylene backing is waterproof, strong and durable, protecting linens and reducing leakage
Protective Seat and Bed Pads

MEDICAL SUPPLIES

100% polyester top surface Polyester/rayon layer provides maximum absorption Protective bottom layer is water resistant Machine washable
Seat Pad 560-7044-0400 Brown velour, 18 x 20 560-7050-6600 Tapestry, 18 x 20 Bed Pad 560-7048-6600 Tapestry, 28 x 36
1 ea 1 ea
$6.30 $6.30
Incontinence
1 ea
$11.13
10-3815P 70 x 36 overall, 36 x 36 contact area, 50 ea/ca
1 ea $78.95
345
Incontinence
Perma-Life 200 IBEX Cotton Underpad Sure-Stay Super Reusable Quilted Underpads
Moisture barrier outer surface is engineered to cling to the bedding beneath it to resist bunching up and sliding. The bottom layer has a specially formulated waterproof coating which protects linens from soiling. A thick, absorbent cushion traps and holds moisture away from the body. The top layer is a soft, 100% cotton birdseye. Its double stitched all around for durability.
Item # Price Per Each (36 ea/ca) Size 1
Designed for the most extreme laundry and institutional environments. Its IBEX weave face (80% cotton/20% poly) is tough and wicks like birdseye. Other features include a poly/rayon blended soaker for superior wetness control and a leak-proof, heavy-duty PVC barrier that is permanently treated with a hospital-grade antibacterial agent.
Dura-Wash Washable Underpads

This 100% synthetic pad lasts through hundreds of washings. A brushed polyester face treated for super absorbency keeps patients comfortable. Our poly/rayon blend soaker holds wetness and keeps it away from the skin.
59-6710
34 x 36
$9.86
59-7560
Item #
24 x 34
$6.92
59-7561
34 x 36
$9.02
59-6973
Item #
24 x 34
Size
$6.60
59-6974
34 x 36
$8.49
Suprema Ultrasorb Stay-Dry Underpad

MEDICAL SUPPLIES

Premair Extra Soft Underpad

This super soft underpad has an extra thick quilt design that provides extra cushioning and breathability to delicate skin. This special four layer underpad design allows air to circulate, keeping the skin cooler than ordinary polyester underpads.
Incontinence
Most absorbent underpad available todayhas a capacity of 2000cc Locks moisture away from the skin this pad will feel dry after 30 minutes Super heavy weight polyester face fabric makes it longer lasting than traditional pads Durability offers a lower cost per use than disposable pads or cotton underpads Stain resistant, rinses cleaner Allows moisture to pass through the surface fabric Softer against the skin than Ibex or cottonfeels like annel
4-Ply Quilted Reusable Underpad

Protects bedding from moisture Brushed nylon quilted top layer wicks away moisture from skin Waterproof bottom layer helps prevent leakage Three layers of absorbent material for maximum protection Machine washable
Bed Pad 560-7046-0000 560-7058-0000
59-6610
34 x 36
$12.59
28 x 36 with straps 28 x 36
1 ea 1 ea
$14.18 $12.06
59-6560
34 x 36
$15.11
$13.85
346
Incontinence
3-Ply Reusable Underpad

3-Ply Quilted Reusable Underpad

Maximum protection, absorbency and superior wicking effect Waterproof barrier with slip-resistant surface Birdseye cotton soaker Machine washable
Medi-Aire Odor Eliminator
Helps protect bedding, furniture and wheelchairs from moisture 100% brushed polyester top layer wicks moisture away from skin Waterproof bottom layer helps prevent leakage Oversized top layer prevents pad from rolling Machine washable
Item Size Qty Price
560-7052-0000
34 x 24
1 ea
$10.07
A concentrated formula which chemically eliminates odors associated with urine, feces, emesis and necrotic tissue.
Item # Price Per Each (48 ea/ca) Description 1
82-7000A
Item #
1-oz. Fresh Air
$4.40
Price Per Each (12 ea/ca) Description 1
82-7018A
8-oz. Fresh Air
$17.52
560-7053-0000
30 x 36
1 ea
$10.07
Beaumont Products, Inc.
Flannel/Rubber Waterproof Sheeting

Green Vinyl 4-Ply Reusable Incontinent Pad

Four layer quilted chair pad wicks away moisture Soft brushed polyester facing keeps user dry while sitting or sleeping Draw sheet features tuck-under aps to secure pad to bed Machine washable
Helps protect bedding from moisture Soft and comfortable against the skin Cotton annel is bonded to non-allergenic synthetic rubber Neutral white nish Autoclaveable and machine washable Available in two styles: annel/rubber and annel/rubber/annel
MEDICAL SUPPLIES
Flannel/Rubber Sheeting 560-8037-0021 36 x 36 560-8037-0022 36 x 54 560-8037-0023 36 x 72

Item # Size
1 ea 1 ea 1 ea
Qty
$12.65 $16.60 $20.30

Price
Citrus II Solid d Air Freshener
Drawsheet 560-7064-0000
36 x 40
1 ea
$24.85
Flannel/Rubber/Flannel Sheeting 560-8098-0021 36 x 36 1 ea 560-8098-0022 36 x 54 1 ea 560-8098-0023 36 x 72 1 ea
$12.70 $19.20 $24.20
Absorbs odors in the health care environment and freshens the air. Using a unique formula that utilizes s activated charcoal, Citrus II Solid Air Freshener quickly absorbs odors and freshens the air with a fresh lemon scent. Provides convenient, continuous odor control that lasts 6 to 8 weeks. Effective in areas up to 350 square feet.
Incontinence
82-7143
8-oz.
$4.92
347
Incontinence
ALOE VESTA Perineal/Skin Cleanser
ALOE VESTA Protective Ointment
For use as a no-rinse skin cleanser, or cleaning perineal skin soiled by urine or feces. Contains aloe vera and emollients to soothe irritated skin. Lemon scented.
Petroleum-based ointment containing aloe vera. Moisture barrier to minimize irritation due to feces, urine or excessive moisture in skin folds and around highly draining wounds. Used to prevent maceration or diaper rash.
SECURA Personal Cleanser

No-rinse, one-step cleansing for perineum and body saves time. Nonirritating, gentle surfactants aid in removal of urine, feces or other foreign material. Conditions and moisturizes skin and is pH balanced to protect the skins acid mantle. Contains an anti-microbial agent to reduce odor.
82-6985K6 82-698548
4-oz. 8-oz.
$3.35 $4.19
82-6984F4
Item #
2-oz.
$4.71
72-4480
8.1 fl. oz. spray, 24 ea/ca
1 ea
$3.45
82-698446
8-oz.
$15.00
SECURA Protective Ointment

Contains 98% petrolatum to help seal out wetness and treat/prevent rash associated with diaper use or exposure to urine and feces. Vitamins A and E soothe and condition sensitive skin, while clove oil helps mask odors. Removes easily with SECURA Personal Cleanser.
MEDICAL SUPPLIES
72-4482
2.47-oz. tube, 24 ea/ca
1 ea
$3.66
SECURA Extra Protective Cream ALOE VESTA Cleansing Foam
ALOE VESTA Antifungal Ointment
Incontinence
A high-foaming, non-aerosol, norinse skin cleanser for all over body cleansing. Gentle skin conditioner and emollients soothe and moisturize irritated skin.
Antifungal ointment containing 2% miconazole nitrate. For the treatment of supercial fungal infections such as Candida Albicans (yeast), Jock Itch, Ringworm and Athletes Foot.
82-628046
8-oz.
$9.96
82-6989AR
2-oz.
$8.60
Soothing, nonsensitizing cream contains Vitamin E and 30% zinc for treatment and prevention of rash associated with diaper use or exposure to urine and feces. Provides a high level of protection for patients with severe diarrhea by helping to seal out wetness. Contains karaya to absorb, moisturize and help the product adhere to weepy, macerated skin. Removes easily with SECURA Personal Cleanser, but will not wash away after repeated exposure to urine and feces. Helps maintain healthy skin.
72-4504
3.25-oz., 24 ea/ca
1 ea
$11.54
348
Incontinence
Calmoseptine Ointment
BAZA ANTIFUNGAL Moisture Barrier Cream
SWEEN CREAM with Natural Vitamins A & D
An effective, soothing preparation for use on red, sore, irritated skin.

Treats and relieves the pain and discomfort of supercial fungal infection associated with incontinence. Contains 2% miconazole nitrate. Aids in maintaining healthy skin and provides a barrier against moisture.
82-0216
6.5-oz. tube
$11.22
A multipurpose moisture barrier ointment which protects and helps skin irritations from: Incontinence of urine or feces Fecal or vaginal stula drainage Feeding tube site leakage and wound drainage Minor burns, scrapes and diaper rash Moisture, such as perspiration Temporarily relieves discomfort and itching
PERI-WASH II No-Rinse Incontinent Cleanser and Deodorizer

This antiseptic norinse spray cleanser is designed for incontinent care and is pH balanced to the acid mantle of the skin. Moisturizes and deodorizes. Contains no dyes or perfumes.
82-1611 82-1607
2-oz. tube 5-oz. tube
$8.81 $14.48
BAZA PROTECT Occlusive Skin Protectant Cream

Provides effective relief of inammation caused by diaper rash. All-purpose skin barrier for incontinence. Use on intact to slightly excoriated skin.
16-07991 16-07993 16-07994

Item #
2.5-oz. tube 2.5-oz. jar 4-oz. tube

Size
$6.29 $6.71 $7.97
Price Per Box (144 ea/bx) 1
16-0799
3.5-gr foil packets
$83.88
82-1453
Item #
8-oz. spray
Size
$5.66
82-1877 82-1880
2-oz. tube 5-oz. tube
$7.44 $13.53
82-1455
1 gallon
$45.56
MEDICAL SUPPLIES
Lantiseptic Skin Protectant
Made of 50% lanolin. It shows the emolliency, moisture barrier properties and tenacity of lanolin. No other product has this high lanolin content, and nothing else performs like Lantiseptic Skin Protectant.
TENA Skin-Caring Wash Cream

Cleans, moisturizes and protects in one easy step.
BAZA CLEAR Skin Protectant Ointment

Contains natural vitamins A & D for incontinent skin care that acts as a buffer in protecting the skin against damaging enzymes that are present in feces.
Incontinence
72-0309
Item #
2.5-oz.
Size
$4.71
Price Per Each (24 ea/ca) 1 Item # Size Price Per Each (16 ea/ca) 1
82-1002
8-oz.
$14.48
72-0310
4.5-oz.
$5.55
60-64300
Item #
8.5-oz. tube
Size
$6.29
60-64350
33.8-oz. pump
$21.51
349
Incontinence
3-N-1 Cleansing Foam

Perineal cleanser, body wash and shampoo all in one. No rinse Contains Aloe Vera pH balanced Quick, gentle and easy-to-use Great for bed baths, ventilator patients, obese patients
StingFree Skin Prep/ Protectant

Alcohol free
Uses include incontinence skin care, peritube irritations, adhesive trauma, protect skin from friction, fragile skin, periwound protection, general patient skin care, around venous stasis ulcers, peristoma care. No sting, alcohol free protection Quick drying Forms a transparent protective lm between skin and urine or feces Moisture barrier protection Aids in the prevention of skin maceration 72-hour protection Will not clog diapers or interfere with absorbent pads
Item # Price Per Box (50 ea/bx , 10 bx/ca) Description 1
AprilFresh Perineum Wash
08-190
8-oz.
$5.19
$5.15
A soothing and gentle spray wash for incontinent and stoma care. Pleasantly scented no-rinse formula. Its gentle, soothing formula quickly cleans, refreshes and eliminates odors. Rich in lanolin to replenish natural skin oils.
82-511
Item #
8-oz.
Size
$2.19
82-528
1 gallon
$11.01
08-237
Wipes
$7.86
Skin-Prep Protective Barrier Wipes
MEDICAL SUPPLIES
Form a exible, protective and waterproof coating over sensitive skin Suitable for protecting incontinent residents/patients from skin irritation
Item # Qty Price
LIQUISHIELD -S
Incontinence
A rapid drying liquid barrier lm, adhering to the contours of the skin to form a waterproof, transparent, exible lm. It is intended to protect intact or damaged skin exposed to irritation from moisture, friction and shear. Strengthens and supports natural skin integrity and helps prevent painful skin breakdown. Wick applicator.
82-1600
50/bx
$10.79
82-109225
25 ea/bx
1 ea
$57.32
350
Incontinence
Ointments
Item #
Size
Qty
Price
Triple-Antibiotic Ointment 82-001209D .9 gr. Foil Pack 82-001231D 1-oz. Tube Vitamin A & D Ointment 82-003545D 5 gr. Foil Pack 82-003516D 15-oz. Jar Hydrocortisone Cream USP 1% 82-015408D 1-oz. Tube Bacitracin Zinc Ointment USP 500 U/g 82-001109D .9 gr. Foil Pack 82-001131D 1-oz. Tube
144/bx 1 ea 144/bx 1 ea 1 ea 144/bx 1 ea
$32.59 $6.49 $30.19 $9.99

CFS6-14HH
$9.29 $24.19 $3.49
See pages 116-117 for complete offering of Restorative Nursing documentation.

Use when urinary incontinence triggers on the residents MDS Contains the information found in the Briggs original RAP module plus additional questions to determine the need for an incontinence restorative nursing program White paper, black ink Printed 2 sides different 5-hole side punched
Restorative Nurses Progress Notes

Record notes related to specic care plan problem numbers and their coordinating restorative nursing programs Form 3740P: Form 3718HH: Space provided for 11 x 8-1/2 program changes Printed front only 11 x 8-1/2 5-hole punched top Printed 2 sides same and side 5-hole top punched
MEDICAL SUPPLIES
3729HH
$12.45

3718HH 3740P
Side Punched Top and Side Punched
$14.40 $11.95
Assess residents potential for bladder retraining, toileting program or other treatment modalities Printed 2 sides different 5-hole punched side
Incontinence
3725HH
$12.45
Assess a residents potential as a candidate for bladder retraining, toileting program or other treatment modalities
3728HH
$29.25
351
Urology
Foley Catheters & Trays
Bardex Lubricath Latex Coud Catheters
This catheter has a lubricious coating (Tiemann Model), is medium length and has an olive coud tip with a single drainage eye. Red latex for added catheter stiffness and radiopacity. Sterile.
Bardia All-Silicone Foley Catheters

Feature ribbed balloon for strength. The inert qualities of all silicone minimizes infection and allows for longer indwelling time than blended catheters.
5cc Balloon 27-0102L14 27-0102L16 27-0102L18
14 Fr. 16 Fr. 18 Fr.
$42.49 $42.49 $42.49
$41.25 $41.25 $41.25
Uro-Prep Trays
Contains: CSR wrap, Uro-Prep Tray, underpad, drape, PVP solution, 30cc pre-lled ination syringe, specimen container and label, forceps, 5 rayon balls, 2 gloves, lubricant and a graduated collection container.
5cc Balloon 27-806516 27-806518
Catheters
16 Fr. 18 Fr. $5.59 $5.45 $5.59 $5.45
27-782102
30cc Syringe
$5.79 $5.55
Bardia Silicone-Coated Foley Catheters

Designed for long-term catheterization. Combines the inertness of silicone elastomer with the durability of latex.
MEDICAL SUPPLIES
5cc Balloon 27-123516 27-123518 30cc Balloon 27-123616 27-123618 27-123624
16 Fr. 18 Fr. 16 Fr. 18 Fr. 24 Fr.
$2.79 $2.65 $2.79 $2.65 $3.49 $3.25 $3.49 $3.25 $3.49 $3.25
Bardex Lubricath Latex Foley Catheters
Urology
A specially formulated hydrogel coating results in signicant reduction of friction.

Silicone Coated, 5cc 27-4932 12 Fr. 27-4934 14 Fr. 27-4936 16 Fr. 27-4938 18 Fr. 27-4940 20 Fr. 27-4942 22 Fr. 27-4944 24 Fr. 27-4946 28 Fr. Silicone Coated, 30cc 27-4952 12 Fr. 27-4954 14 Fr. 27-4956 16 Fr. 27-4958 18 Fr. 27-4960 20 Fr. 27-4962 22 Fr. 27-4964 24 Fr. 27-4966 26 Fr. Male Intermittent 27-4983 12 Fr. 27-4984 14 Fr. 27-4985 16 Fr. 27-4986 18 Fr. Female Intermittent 27-4991 8 Fr. 27-4992 10 Fr. 27-4993 12 Fr. 27-4994 14 Fr.
$1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $1.30 $0.60 $0.60 $0.60 $0.60 $0.60 $0.60 $0.60 $0.60
Bardia Universal Foley Trays

Contains: Waterproof underpad, fenestrated drape, 5gr lubricating jelly packet, 2 gloves, 3 povidone or 3 BZK swabsticks, peel-top package.
10cc Syringe 27-802010 PVP 30cc Syringe 27-8302 BZK 27-802030 PVP
$2.99 $2.85 $3.49 $3.35 $3.99 $3.85
5cc Balloon 27-0165L16 6 Fr. 27-0165L18 18 Fr. 30cc Balloon 27-0166L18 18 Fr.
$12.99 $12.65 $12.99 $12.65 $14.99 $14.55 Call 1.800.247.2343 | Fax 1.800.222.1996 | www.BriggsCorp.com
352
Urology
Foley Catheters & Trays
(continued)
Foley Catheterization Trays with Anti-Reux Lubricath Foley Trays

Pre-connected to a closed urinary drainage system with a tamper-evident seal. Contains: Bardex Lubricath hydrophiliccoated 5cc foley catheter, 2000mL (approx. vol.) capacity drainage bag with anti-reux chamber, sample port, attached hooks, outlet control device, Bard transport pouch, Uro-Prep Tray containing cath lubricating jelly, 2 latex gloves, waterproof underpad, forceps, drape, 5 prep balls, PVP solution, specimen container, cap and label, 10cc syringe (prelled with sterile water) for ination.
Add-A-Cath Tray
Contains: 2000mL (approx. vol.) capacity drainage bag with anti-reux chamber, sample port, durable hook hanger, lube jelly, PVP swab-sticks, 30cc prelled syringe containing sterile water for ination, wallet gloves, fenestrated drape, under-buttocks drape, specimen jar, cap and label.
Item # Price Per Each (10 ea/ca) 1 10
Trays have silicone elastomer-coated latex catheter and CSR wrap. Contains: Patient information booklet, waterproof absorbent underpad, 1 pair latex exam gloves, fenestrated drape, 1 pack povidone iodine solution, prepping balls, plastic forceps, 1 pack sterile lubricating jelly packet, prelled 10cc sterile water syringe, sterile specimen bottle, 2000mL drainage bag with Mono-Flo anti-reux device, 11/32 diameter tubing, SPLASH-GUARD II drain spout, bedsheet clamp.
27-802035
$8.19 $7.95
25-5976
16 Fr.
$13.90 $12.55
5cc 27-899616 27-899618
16 Fr. 18 Fr.
$17.90 $17.15 $17.90 $17.15
Add-A-Cath Tray
Contains: 2000mL (approx. vol.) capacity drainage bag with anti-reux chamber, sample port, attached hook, outlet control device, Bard transport pouch, Uro-Prep Tray with catheter, lubricating jelly syringe10cc, attached sheeting clip, 2 latex gloves, waterproof underpad, forceps, drape, 5 prep balls, povidone iodine solution, specimen container, cap and label, 10cc syringe (9cc sterile water) to inate foley catheter only.
MEDICAL SUPPLIES
Foley Catheter Trays Bardia Closed Foley Trays

Contains: 5cc silicone elastomer coated latex foley catheter pre-connected to a 2000mL urine drainage bag, waterproof underpad, fenestrated drape, 3 povidone iodine swabsticks, prelled 10cc ination syringe, 5gr lubricating jelly, 2 gloves, specimen container with label, CSR-wrap covered tray.
Contains: 2 gloves, 1 underpad, 1 fenestrated drape, 1 pack PVP swabsticks (3), 1 pack lubricating jelly, 10cc or 30cc pre-lled syringe, graduated tray, Tyvek Lid.
Urology
21-2524 21-2526
10cc 30cc
$2.19 $2.15 $2.59 $2.55
27-897600
$13.29 $12.85
5cc 27-802016 27-802018
16 Fr. 18 Fr.
$13.49 $13.05 $13.49 $13.05
353
Urology
Drainage Bags
Latex-Free Urinary Drainage Bag Center Entry Urinary Drainage Bag for Continuous Irrigation
Item #
Price Per Each (20 ea/ca) 1 20
27-154102
$7.69 $7.45
Standard Drainage Bag

Swivel hanger and exible hook facilitates placement on bed frame. 2000mL capacity with anti-reux chamber Urine sampling area Easy-to-drain outlet tube with clamp and tube holder Plastic bag, single-use, sterile uid path
Anti-reux chamber meets CDC Category 1 requirements for unobstructed ow of urine BARD Control-Fit Outlet Tube Device is designed for nursing protection. Provides total control during the bag emptying process, minimizes splash during drainage. Keeps the outlet tube secure in the housing.
27-153509
4000mL
$9.79 $9.55
27-802001
$4.29 $4.15
KenGuard Urinary Drainage Bag
This 2000cc urinary drainage bag provides an economical choice with the quality features of a more expensive product. It offers a plastic hanger, latex drain spout with one-hand operation, linen clip and a sample port.
MEDICAL SUPPLIES
25-3502
$3.39 $3.35
Urinary Drainage Bag with Anti-Reux Chamber

Provides the protection of an anti-reux chamber without mechanical devices that can result in compromised urinary drainage. Features the Control-Fit outlet tube device designed to reduce potential urine contamination and splashing. Sterile.
Center Entry Drainage Bag

Center entry closed system drainage bag has plastic-hinged hanger and string, sample port, anti-reux device.
Same-Day Shipping
Urology
27-154002
$6.99 $6.65
27-153504
2000mL
$8.99 $8.65
354
Urology
Drainage Bags
(continued)
Leg Bags
Urinary Drainage Bag with Anti-Reux Chamber and SPLASHGUARD II Drain Spout
This drainage bag offers a SPLASHGUARD II spout that makes drainage easy and helps protect you from contact with potentially hazardous body uids. The anti-reux chamber minimizes urine backow. Each bag includes a nylon hook-hanging device and string hanger that ts securely on bed rails and wheelchairs, urine sampling port and 11/32 tubing. Sterile bags are packaged individually.
Dispoz-a-Bag Leg Bag
Valve opens and closes with a simple ip, making drainage easy even for those with limited dexterity Flip-Flo valve will not fall off and become contaminated Wide inner diameter of the Flip-Flo valve assures draining in less than 20 seconds Contains: 1 pair fabric straps with 4 leg bags.
Urinary Leg Bag

Item #
Price Per Box (12 ea/bx, 4 bx/ca) Size 1 12
Made of soft, durable vinyl Pleated sides increase the volume but not the length Protects skin from pressure points by placing leg strap connectors and drain valve away from direct contact with leg Easy-to-open drain valve, closes securely even with limited dexterity
Item # Size Price Per Each (10 ea/bx) 1 10
25-5900
$4.99 $4.75
27-150419 27-150432
19-oz. 32-oz.
$25.99 $25.25 $25.99 $25.25
27-9805
32-oz.
$5.79 $5.75
MEDICAL SUPPLIES
Belly Bag
The undercover urine Belly Bag is worn on the abdomen: Easy concealment under clothing Eliminates leaks thanks to a high-quality half twist on/off drain valve Eliminates thigh constriction and blisters associated with standard leg bag straps Allows patient to empty the bag from a sitting position on the toilet No increase in bladder residual urine, compared with leg or bedside bags No increase in infection rate compared with leg or bedside bags
Item # Price Per Each (10 ea/bx, 4 bx/ca) 1 20
Disposable Leg Bag

Imperial Elastic Catheter Leg Strap

Quality surgical elastic combined with a soft, non-woven panel provides protection against slippage, yet is comfortable. The Velcro tube holder prevents tube movement. The leg strap is washable; drip or hang dry. One size ts most adult legs.
27-150107 27-150108
19-oz. 32-oz.
$3.39 $3.25 $3.39 $3.25
Urology
99-4008
$5.39 $5.15
24-B100
$23.59 $23.15
355
Urology
Intermittent Catheters
Coud Tip Latex Urethral Catheter

Complete Urethral Tray

Contains: 15 Fr. red rubber utility catheter, waterproof underpad, fenestrated drape, 3 BZK swabsticks, 5g lubricating jelly, 2 gloves, specimen container with label, peel-top tray.
Female Catheter Kit

Contains: 8 Fr. catheter, 1-pair gloves and 3 povidone iodine swab sticks.
Semi-rigid red rubber construction Raised indicator to identify direction of coud tip Single use Sterile
Item # Size Price Per Case (12 ea/ca) 1 12
26-0001
$8.29 $7.95
27-802115
Sterile
$3.49 $3.35
21-010114
14 Fr.
$74.79 $73.25
Accessories
Intermittent Catheter Trays
27-4A3053
Bardia Urethral Catheter Tray

Contains: Clear plastic catheter 14 Fr., BZK swabsticks, waterproof underpad, drape, specimen container and label, gloves, lubricant, graduated collection container, instructions for use.
27-4A2056 Item # Price Per Each (20 ea/ca) Description 1 20
UNI-CATH Specimen Collection Kit

Contains: Graduated specimen tube/ cap, 8 Fr. catheter, PVP swabstick packet (3), 2 gloves (wrapped), ID label, protective catheter sheath, surgical lubricants.
21-802214
Sterile
$3.99 $3.85
MEDICAL SUPPLIES
21-CKM100
$5.09 $4.95
Touchless Intermittent Catheter Kits

Male Kit Contains: 550cc collection chamber with alcohol wipe, dispenser pack, red rubber catheter, lubricant and povidone iodine swabs. Female Kit Contains: 1100cc collection chamber with specimen reservoir, glove, underpad, red rubber catheter, lubricant and povidone iodine swabs.
Urology
Specimen Container
27-4A3053 Male, 14 Fr. 27-4A2056 Female, 14 Fr.
$6.99 $6.65 $7.09 $6.95
26-4928
4-oz., Sterile
$26.89
356
Urology
Saline Flush Syringe

Individually wrapped, these pre-lled syringes are preservative-free and latex-free.
Item # Price Per Each (1,200/ca) Description 1 12
11-513576
Sodium Chloride 0.9%, 10mL (in 12mL syringe)
$1.19
$1.15
Sodium Chloride, 0.9%

An aseptic system for cleansing, moistening, diluting and soaking. Dispenses the solution where its needed, as its needed. Easy and convenient with less waste.
Item # Description
Use the ALP Dual Topeasy opening twist and pull tab for a controlled pressure dispensing squeeze bottle. Use the snapoff top for pouring or trachal catheter insertion/cleansing.
16-AL4275 16-AL4109
75mL Pour Bottle 100mL Dual Top Bottle
$0.99 $1.29
$0.95 $1.25
Sterile Pre-lled Saline Syringes

An innovative, highly portable and convenient way to carry sterile biological solutions.
16-511
60cc
$3.29 $3.25
MEDICAL SUPPLIES
Sterile Water and Saline Solution

For your suction kits without solution. Twelve rigid, stable cups with easy peelback foil lids containing 4 ounces (120mL) of sterile water or saline solution (0.9% sodium chloride).
Item # Price Per Case (48 ea/ca) Description 1 2
Sterile Water and Sterile Saline

Urology
16-30295 16-30296
Water, 100mL Saline, 100mL
$0.89 $0.85 $0.89 $0.85
16-4872 16-4873
Water Saline
$45.99 $44.65 $45.99 $44.65
357
Urology
Accessories
(continued)
Cath-Secure Dale Foley Catheter Holder
Multi-purpose medical tube holder.

Features hypoallergenic tape and tabs with a press-and-seal type closure that permits repeated access. For average-size cathethers.
Item # Price Per Each (50 ea/bx) 1 50
Commode Specimen Measurer

Features easy-to-read graduated markings in ccs and ounces Fits most commodes Constructed of high-impact plastic 32-oz. capacity Individually poly-bagged
Item # Qty Price
The legband, made entirely of new stretch material, distributes compression evenly around the thigh to reduce circumferential pressure. Very comfortable to wear and does not irritate the skin a problem often associated with adhesive tape.
Item # Size Price Per Box (10 ea/bx) 1 5
76-54452
$3.09 $2.95
76-0691
23 Long
$51.89
$50.85
541-5064-1900
1 ea
$2.19
UC Strip Catheter Tubing Fastener

Item # Price Per Box (10 ea/bx, 10 bx/ca) 1 10
76-UC20
$39.90 $38.75
Tube Control Plus with Hydrogel

Ideal for gastrostomy tubes, Foley and Hickman catheters.
MEDICAL SUPPLIES
Polypropylene Graduated Specimen Containers

Shatter-resistant, clear polypropylene containers. Graduated to 4-oz. and 120cc, 5-oz. capacity. Screw-on cap is leakproof.
60-0260
Sterile, w/ID Label $0.39 $0.25
Urology
Hydrogel adhesive: Will not tear or pull fragile skin/hair Repositionable without waste Stabilizes tube to body Holds tubing close to patients skin and is unlikely to snag on clothing or bedding Latex-free Tube holder strap: Adjusts to t many sizes (long enough for large tubes; can be double-wrapped for small tubes) Adjusts to securely wrap and hold tube; eliminates slipping Holds tube without requiring tape, which can cause skin irritation
Latex Tubing
Used to attach Foley or external catheters to night drainage bag or leg bag. 18 length.
Item #
27-4A4194 Sterile
$2.89 $2.75
75-43816
$103.99
$100.85
358
Irrigation
Irrigation Solutions SalJet Single Dose Sterile Saline Topical Solution

For use in moistening and lubricating absorbent wound dressings for traumatic wounds, cuts, bruises and minor burns prior to removal from the wound area. SalJet is faster, safer and more economical than the practice of drawing multiple applications from a one-liter container of saline with syringes and needles. A strip of four SalJets can be carried in the pocket, reducing time-consuming trips to the nursing station or supply room Sterility is assured for each application and every patientSalJet eliminates the potential for bacterial contamination from reused saline containers Reduces the use of needles Creates less waste volumeits polymer bottle and cap can be recycled safely
Item # Description Price Per Box (40 ea/bx, 6 bx/ca) 1
Irrigation solutions come in easy-to-use plastic pour bottles.

Sterile Water 16-2F7112 250mL

Item #
$3.59 $3.54
Price Per Each (24 ea/ca) Size 1 24
0.9% Sodium Chloride 16-2F7122 250mL

Item #
$3.49 $3.35
0.9% Sodium Chloride 16-2F7123P 500mL

Item #
$3.69 $3.55
16-909
Sodium Chloride 0.9%, 30 mL
$35.48
0.9% Sodium Chloride 16-2F7124 1000mL
$3.79 $3.65
Irrigation Solutions
Lightweight, break-resistant plastic containers are designed with easy-tohold molded nger grips for sure, safe handling.
Item # Price Per Each (16 ea/ca) Size 1 16

MEDICAL SUPPLIES
Sterile Water 16-5001 500cc 16-5100 1000cc 0.9% Sodium Chloride 16-5201 500cc 16-5000 1000cc
$3.19 $3.29 $3.19 $3.29
$3.05 $3.25 $3.05 $3.25
359
Irrigation
Irrigation
Nurses Notes
Plenty of ruled space for making observations and notes concerning a patient/resident
Form 625P
Blue ink, printed 2 sides same Head-to-foot 5-hole top punched
Form 124/2
Blue ink, printed 2 sides same Head-to-foot Not punched
Form 624
Blue ink, printed 1 side Head-to-foot Not punched
Form 124/2P
Blue ink, printed 2 sides same Head-to-foot 5-hole top punched
Form 625
Blue ink, printed 2 sides same Head-to-foot Not punched
Form 484/2-RF
Reinforced Printed 2 sides head-to-head 5-hole side punched
Piston Syringe with Resealable Bag

Item # Price Per Case (30 ea/ca) 1 30
Form 484/2
Blue ink, printed 2 sides same Head-to-head 5-hole side punched
Form CFS6-32
Black ink, printed 2 sides same 5-hole punched top (CFS6-32HF) or side (CFS6-32HH)
27-750379
$17.49
$16.95
Form 124
Blue ink, printed 1 side Not punched
Item # Price Per Pad (100/pd)
Item #
Triangular Disposable Graduate

A rigid-walled clear polystyrene container with a triangular-shaped body. It has large, easy-to-read graduations to 32 ounces/1000cc. Another side features a frosted, molded panel for patient information. The three-sided unit may be grasped from any side, and the rolled lip promotes drip-free pouring.
624 625 625P 94/2 124 124/2 124/2P
$10.35 $11.80 $12.45 $11.80 $9.65 $11.80 $12.45
A-133 A-135 691/2 484/2-RF 484/2 CFS6-32HH CFS6-32HF
$9.65 $11.80 $11.80 $24.25 $12.45 $12.45 $12.45
89-4739
$0.59 $0.45
MEDICAL SUPPLIES
Perineal Irrigation Bottles

These 8-oz (240cc) graduated clear bottles are made of soft and supple polyethylene plastic which requires little effort to discharge its uid contents. The easyopen-and-close cap is specially designed to project a single stream of solution onto the specied area of irrigation. Each bottle is graduated in both ounces and cubic centimeters.
Irrigation
Cath Tip Syringe

Item # Item # Size Price Per Each (40 ea/bx, 4 bx/ca) 1 4
60-456546
$1.09 $0.95
68-309620
2-oz.
$49.09
$48.15
360
Ostomy
Total Intake and Output Record

Maintain record of residents uid balance Printed 2 sides different 5-hole punched top or side
CFS6-25HH CFS6-25HF
$12.45 $12.45

Provides a 14-day intake/output record Form 3055 is formatted with an evaluation at the bottom of the page and is top or side punched Printed 2 sides same
658/2S 3055HH 3055HF 618
Side Punched Side Punched Top Punched Unpunched
$12.45 $12.45 $12.45 $11.80
Comprehensive Intake and Output Record
24-Hour Intake and Output Record

Broken down into 3 shifts with a total for each 8-hour period Printed 1 side
Accurately records the residents uid balance Printed 2 sides different 5-hole punched top or side
1185HH 1185HF
$12.45 $12.45
3039
4-1/4 x 11
$8.00
Accurate Intake and Output Record Intake/Output

Provides exibility to record uid intake/output for any hour of the day Blue ink Printed 2 sides same Head-to-foot
Record intake and output 8-1/2 x 11 White paper, blue ink Printed front only
MEDICAL SUPPLIES
246
Accurate Intake and Output Record
9.65
1012
5-1/2 x 8-1/2
$8.00

Record uid intake and output 8-1/2 x 11 White paper, black ink Prints front and back
3048 3054/2S
Intake and Output Record Intake and Output Record
$11.80 $11.80
Ostomy
Dietary Label
Item # Size Qty 1 Price Per Box 2 4 10 20
L-6116N 15/16 x 2-1/4 500/bx
$11.25 $9.90 $9.45 $8.55 $7.90
See page 242 for the complete line of Dietary Labels.
361
Ostomy
The New Image Difference

Low-prole ange Patented Floating Flange Cut-to-t convexity Resealable package Flextend and FlexWear tapered barriers
Beige ComfortWear pouch panels Audible clicks when pouch properly connects to barrier Single-step release lm
Flextend: A synthetic skin barrier which is designed to be the most resistant to discharge and is the barrier of choice for many urostomies and high-output ileostomies. FlexWear: A synthetic skin barrier which is designed to be the most resistant to discharge and is the barrier of choice for many urostomies and high-output ileostomies.
Floating Flange
Two-Piece Barriers with Floating Flange

Item # Description Price Per Box (5 ea/bx) 1 10
Drainable Pouches
Item # Price Per Each (10 ea/bx) 1 10
Cut-to-Fit Flexwear Skin Barrier 70-15204 Up to 2-1/4 Barrier Opening, 2-3/4 Floating Flange Cut-to-Fit Flextend Skin Barrier 70-15603 Up to 1-3/4 Barrier Opening, 2-1/4 Floating Flange
$28.09 $34.89
$27.55 $34.25
Transparent 70-18102 1-3/4 Flange 70-18104 2-3/4 Flange Beige Opaque 70-18124 2-3/4 Flange
$26.29 $25.75 $26.29 $25.75 $26.29 $25.75
MEDICAL SUPPLIES
Skin-Prep Protective Barrier Wipes Premier One-Piece Drainable Pouches

Item # Description Price Per Box (10 ea/bx) 1 10
Cut-to-Fit Drainable Pouch with Flextend Skin Barrier 70-8631 Up to 2-1/2 Barrier Opening Cut-to-Fit Drainable Pouch with Softflex Skin Barrier 70-88501 Up to 2-1/2 Barrier Opening
Form a exible, protective and waterproof coating over sensitive skin. Especially suitable for protecting incontinent residents/ patients from skin irritation.
Item # Price Per Box (50 ea/bx, 20 bx/ca) 1
Ostomy
$52.69 $47.29
$51.55 $45.55 82-1600
$11.33
362
Ostomy
Premier One-Piece Drainable Pouch with Flat Barrier

Premier drainable pouches have replaced clamps with Lock n Rollthe most secure, comfortable and easyto-use closure system Lock n Roll state of the art plastic fasteners lock in place. Simply roll it three times in the same direction, press from the middle out, and Feel the Seal Ultra-clear pouch allows for easy monitoring High tech protected lter provides superior odor control. It helps ballooning for a lower prole SoftFlex skin barrier features numerous indentations (dimples) where the skin barrier does not contact the skin. These air pockets provide enhanced exibility Cut-to-t Flextend skin barrier Contains: Drainable pouch with Lock n Roll closure systemultra-clear odor barrier rustle-free pouch with Flextend Extended Wear Skin Barrier with tape and body side ComfortWear panel.
SUR-FIT NATURA products from ConvaTec an exclusive combination of security and comfort.
Stomahesive Flexible 4 x 4 Wafer
Stomahesive Flexible 5 x 5 Wafer
Item #
Price Per Box (10 ea/bx) Description 1 5
Item #
Tan Collar 70-125264 1-3/4 Flange $64.69 $63.45
Tan Collar 70-125265 2-1/4 Flange $64.79 $63.55 70-125266 2-3/4 Flange $64.69 $63.45 White Collar 70-125261 2-3/4 Flange $64.69 $63.45
Item #
SUR-FIT Natura Drain Pouch, 12

Item # Price Per Box (10 ea/bx) Description 1 5
SUR-FIT Natura Urostomy Pouch with Accuseal Tap, Transparent, Standard
70-8531
Up to 2-1/2 Barrier Opening, 12 Pouch Length $56.99 $55.25
2 Accuseal adapters per box

Opaque 70-401504 2-3/4 Flange $34.79 $34.05
70-401544 1-3/4 Flange
$52.99 $51.35
Adapt Barrier Rings

SoftFlex skin barrier rings are exible, moldable and comfortable. SoftFlex Skin Barrier Rings protect skin surrounding Stomas and Fistulas. Provides optimal peristomal skin protection Durable and long lasting; may extend wear time for one-piece and twopiece products by preventing leakage Can be molded to conform to any shape stoma Ring can be used to build convexity as needed
MEDICAL SUPPLIES
Adhesive Remover Wipes

Item # Qty Price
70-7760
50 ea/bx, 12 bx/ca
$13.19
Skin Gel Protective Wipes

Ostomy
Item # Qty Price
M9 Odor Eliminator Drops

Destroys odor in ostomy pouches.
70-7917
50 ea/bx, 12 bx/ca
$11.09
Adapt Paste
70-7805 70-7806
2 (48mm) O.D. 4 (98mm) O.D.
$54.29 $53.25 $54.23 $53.25
70-7717
8-oz.
6 ea/ca
$19.29
70-7930
2-oz. Tube
1 ea
$12.09
363
I.V. Supplies
Tamper-Evident Label
Protect specimens, syringes and prescriptions
IV Catheter IV Start Kit with Tegaderm Dressing

Sterile, compact, 10-piece tray includes: 1 pair latex gloves 1 latex tourniquet 1 ACU-dyne ampule 1 alcohol prep pad 1 roll tape 2 gauze sponges, 2 x 2 1 Tegaderm dressing, 2 x 3 1 dressing change label
Item # Price Per Each (50 ea/ca) 1 50 Item # Price Per Each (50 ea/bx, 4 bx/ca) 1 50
11-C2225
22 ga x 1
$1.15
$1.10
A cost-efcient means of security where tamper-evident seals are necessary. Ideal for unit dose packages, change on crash carts, various specimens, prescriptions, IV containers and syringes. Measures 6 in length with a 1/2 x 7/8 tab on each end and is transparent red acetate.
Item # Price Per Pad (500 labels/pd) 1 5 10
L-8000
$32.35 $30.75 $29.20
11-61263
$3.05 $2.90
Insyte Autoguard Shielded IV Catheter
Designed to reduce needlestick injuries, this is the safety-engineered version of the popular BD Insyte IV catheter. The unique, patented push-button shielding mechanism releases the spring and allows the needle and ash chamber to quickly retract into the safety barrel. The clinician maintains control of the process by deciding when to activate the pushbutton shielding mechanism.
Item # Price Per Each (50 ea/bx, 4 bx/ca) Description 1 50
I.V. TUBING CHANGED

DATE _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BY
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
L-2084N Fl. Orange 15/16 x 2-1/4 500/bx Removable Adhesive Price Per Box 4 10
MEDICAL SUPPLIES
11-381233 20 ga x 1, Pink $2.95 $2.80 11-74221 22 ga x 1, Blue $2.85 $2.80 11-73241 24 ga x 3/4, Yellow $2.85 $2.80
Item #
20
L-2084N $18.60 $17.95 $16.95 $15.85 $14.65
SafeStart IV Start Kits with Persist IV Prep Swabs

Persist begins killing microorganisms immediately upon contact with the skin. Persist remains effective on the skin, maintaining a low bacteria colony count under a clear, moisture vapor permeable dressing.
Protectiv IV Catheter Safety System S

User-friendly design protects you naturally, covering the needle as the catheter is advanced. Designed to resist accidental activation so you stay in control.
Item # Price Per Each (50 ea/bx, 4 bx/ca) Description 1 50
I.V. Supplies
11-3811021 With Tegaderm
$1.95 $1.90
11-3057 11-3050 11-3053
20 ga x 1, Pink 22 ga x 1, Blue 24 ga x 3/4, Yellow
$3.15 $3.10 $3.15 $3.10 $3.15 $3.10
364
I.V. Supplies
Central Line Dressing Tray with Bioclusive Dressing
Central Line Dressing Tray with Tegaderm

3 Alcohol prep pad 1 Cotton-tip applicator, 3 1 Pre-slit dressing, 2 x 2 2 Gauze sponges, 4 x 4 1 PREP-site wipe 1 Bioclusive dressing 1 Roll of tape 1 Dressing change label
Contains: Refuse bag with tie 1 Overwrap 1 Pair gloves 1 Pack alcohol swabs (3) 1 Pack of ACU-dyne swab sticks (3) 1 Pack ACU-dyne ointment
Item #
Contains: 1 Mask 1 Pair latex gloves 1 Overwrap 1 Pack alcohol swabsticks (3) 1 Pack ACU-dyne swab sticks (3)
1 Pack ACU-dyne ointment, 1.2gm 1 Pre-slit dressing, 2 x 2 1 Gauze, 2 x 2 1 Prep-Site swabstick 1 Tegaderm dressing, 4 x 5 1 Roll of plastic tape, 1 x 18 1 Dressing change label
Item #
16-61249
$5.65
$5.55
16-61245
7.50
$7.35
82-260400
82-260499
ChloraPrep One-Step Antiseptic Skin Prep

MEDICAL SUPPLIES
Central Line Dressing Tray with Tegaderm

Contains: 1 Mask 1 Overwrap 1 ACU-dyne swabs (3) 1 Split sponge, 2 x 2 1 Prep-site swab 1 Roll plastic tape
Item #

Persistent at least 48 hours One-step application requires only 60 seconds on dry skin sites Clear color allows for site visualization Precise single-dose applicators 82-260449 2% Chlorhexidine Gluconate/70% Isopropyl Alcohol
1 Pair vinyl gloves 1 Alcohol swabs (3) 1 ACU-dyne ointment 3 Gauze sponges, 2 x 2 1 Tegaderm, 4 x 5 1 Dressing change label
Item #
82-260400 3mL Applicator

Item #
$48.92
I.V. Supplies
82-260449 0.67mL Sepp Applicator
$172.09
16-68202
$7.80
$7.55
365
I.V. Supplies
SORB-IT IV Sponges
Pre-cut notch conforms well around drains, catheters, chest tubes, IVs and racheostomies Eliminates the need for sterile scissors, conserves nursing time Virtually lint-free Sterile
Item # Price Per Box (2 ea/pk, 35 pk/bx, 20 bx/ca) Size 1 20
OpSite IV 3000 Film Dressing
Developed in response to the clinical concern of the inadequate permeability of conventional lm dressings. The patented REACTIC lm in IV 3000 is three to eight times more permeable to water vapor than conventional lm dressings.
SorbaView 2000 Window Dressing

Innovative design provides both absorbency and transparency in one superior dressing.

13-6241
2 x 2
$5.65 $5.55 16-4007

Item #
2-3/8 x 2-3/4
$59.00
16-4973
4 x 5-1/2
$118.95
Tegaderm Transparent Film Dressing

Item # Size Price Per Box (100 ea/bx, 4 bx/ca) 1
I.V. Frame 16-1622W 16-1624W

Item #
1-3/4 x 1-3/4 2-3/8 x 2-3/4

Size
$43.35 $45.24
Integrated pad wicks away moisture, keeping site dry Easy to apply Stays securely in place Transparent window allows continuous site visibility Provides strong occlusive barrier against bacteria and contaminants Hypoallergenic adhesive is non-irritating and non-sensitizing High moisture vapor transmission rate Fabric border conforms to body contours Universal designs compatible with most access devices
Transparent Dressing 16-9505W 2-3/8 x 2-3/4 16-9506W 4 x 4-3/4

Item # Size
$11.54 $14.90
16-SV40XT
3 x 5
$2.61
Price Per Box (50 ea/bx,4 bx/ca) 1
MEDICAL SUPPLIES
Transparent Dressing 16-1626W 4 x 4-3/4
$66.87
50 Foot Reel Latex Tubing (Non-Continuous Rolls)

Latex tubing is stretchy, exible and has great gripping power Maintains memory after repeated stretching and has tremendous holding strength Color: Amber
Item # I.D Wall Thickness Qty Price
539-5121-4200 539-5122-4200 539-5123-4200 539-5124-4200 539-5125-4200 539-5126-4200 Stethoscope Size 539-5128-4200 539-5129-4200
I.V. Supplies
1/8 1/4 1/4 1/4 3/16 3/16 5/16 5/16
1/16 1/16 1/8 3/32 1/16 3/32 3/32 1/16
1 rl 1 rl 1 rl 1 rl 1 rl 1 rl 1 rl 1 rl
$22.65 $26.80 $45.35 $34.55 $23.75 $30.30 $41.10 $30.30
Textured T dT Tourniquets i

Used to help restrict blood ow Easy-to-use, textured elastic strip Latex-free

47-870-000 3/4 x 18 250 ea/pk $25.25 47-874-000 1 x 18 250 ea/pk $25.25
366
I.V. Supplies
VACUTAINER Systems
This system offers a wide variety of additive and volume draws. Tubes come in 2 closure types conventional and Hemogard . The Hemogard closure is an engineering control device to minimize splash and splatter when opened.
VACUTAINER Safety-Lok S Blood Collection Set
For infusion and blood collection.
Chemistry Tubes Conventional Closure (Plastic)

Item # Price Per Box (100 ea/bx, 10 bx/ca) Description 1 10
Coagulation Tubes Hemogard Closure (Plastic)

Item #
Price Per Box (50 ea/bx, 4 bx/ca) Size 1 4
12 Tubing 11-52121 23 ga x 3/4 11-52111 25 ga x 3/4
$60.00 $58.25 $60.00 $58.25
Red/Gray Stopper 11-367988 Vol. Draw 8.5mL, clot activator and gel for serum separation $51.50 $49.95
Light Blue Stopper 11-363083 Vol. Draw 2.7mL, 3.2% Sodium Citrate $28.90 $28.35
Hematology Tubes Hemogard Closure (Plastic)

Lavender Stopper 11-367861 Vol. Draw 4mL, Additive: K2 EDTA $33.45 $32.50 11-367856 Vol. Draw 3mL, K2 EDTA $36.35 $35.30
VACUTAINER One Use Holder
Compatible with the entire Vacutainer System of blood collection products Helps customers to comply with OSHA regulations on the disposal of contaminated needles and blood tube holders used for phlebotomy
Item # Price Per Pack (250 ea/pk, 4 pk/ca) 1
VACUTAINER Safety-Lok Blood Collection Set with S Luer-Adapter
The Safety-Lok shield is designed to protect the user from accidental needlestick injury.
11-364815
$14.15
VACUTAINER Eclipse Blood Collection Needles

Item #
7 Tubing 11-367287 11-367292 11-367294 12 Tubing 11-367281 11-367283 11-367285
21 ga x 3/4 23 ga x 3/4 25 ga x 3/4 21 ga x 3/4 23 ga x 3/4 25 ga x 3/4
$78.60 $76.25 $78.60 $76.25 $78.60 $76.25
MEDICAL SUPPLIES
$78.60 $76.25 $78.60 $76.25 $78.60 $76.25
68-368607 21 ga x 1-1/4 68-368608 22 ga x 1-1/4
$35.65 $34.60 $35.65 $34.60
NEW! Preventing Needlestick Injuries

This course is designed to raise awareness about the importance of preventing needlestick injuries. It provides an overview of government regulations.
I.V. Supplies
Blood Transfer Device

DVD runtime: 22 minutes; Workbook 32 pages 2005; Reviewed for accuracy in 2009, Medcom
4508DV
Preventing Needlestick Injuries
$229.00
11-364880
$247.20
367
Enteric Feeding
L-1835 15/16 x 2-1/4 Fl. Orange 500/bx
See page 242 for complete offering of Dietary labels. Kangaroo Pump Set
Includes an enteral feeding bag with pre-attached administration set for use with any Kangaroo Enteral Feeding Pump. 1000mL bag features a roller clamp, ice pouch for temperature control and EZ cap closure. Will only work with 14-322408 (shown at left).
Kangaroo EZ Cap Closure Gravity Bag
Designed for gravity feeding. Features ice pouch for temperature control, roller clamp and pre-attached administration set.
14-7025
14-7736
$9.49
1000mL, Non-Sterile
$3.89 $3.75
Kangaroo Pump Sets are not compatible with standard IV connections, so they cannot accidentally be connected to IV lines.
Ensure
Diafoods Thick-It Instant Health Care Food Thickener, Regular Formula

MEDICAL SUPPLIES
An all-purpose, lowresidue liquid food providing complete, balanced nutritional support when used as a dietary supplement or as a total feeding, orally or by tube. Lactose-free and suitable for use in modied diets, including cholesterol- and sodium-restricted diets.
Item # Description Price Per Each (25 ea/ca) 1 5
14-50460
Vanilla, 8-oz. Cans (16 lbs./ca)
$45.19
$43.75
A starch-based thickener indicated for people with "dysphagia" or swallowing problems. Thickens hot or cold, thick or thin liquids and pureed foods to any desired consistency quickly, easily and controllably without changing taste or appearance. New advance "quick-mix" formula dissolves faster, wont lump and gives blender-smooth consistency with convenient hand-mixing to liquids and pureed foods. Ingredients: modied corn starch and maltodextrin. Prevents aspiration Wont bind liquids, hydrates Dissolves instantly Doesnt change appearance or taste Wont over-thicken Low in sodium Contributes calories
Item # Description Price Per Each (12 ea/ca) 1 12
Enteric Feeding
REVISED
Record and document actual care provided as it relates to tube feeding 8-1/2 x 11 White paper, black ink Printed 1 side 5-hole side punched
16-4075
8-oz. (51 Tbsp.)
$7.49
$7.25
CFS6-16HH
$10.35
368
Enteric Feeding
Kimberly-Clark Gastrostomy Feeding Tube
The unique design extends the balloon beyond the distal tip at recommended ll volumes, thereby decreasing the potential for gastric wall irritation or erosion. As well, the tip is tapered, easing catheter insertion and enhancing patient comfort, and a Luer-Lok balloon port connector makes it easier for one-handed operation. Additional features include: High clarity medical grade silicone construction for visibility and drapability Clearly marked feeding, medication and balloon ports for ease of identication Ventilated external retention ring designed to allow air to circulate around the stoma site and to reduce pressure 360 from the stoma Radiopaque stripe to aid in catheter visualization Graduated centimeter markings for tube position verication Luer-Lok balloon port to ensure secure syringe connection (also compatible with Luer-slip syringes) Color-coded balloon port according to French size for ease of identication
Tube Control Plus with Hydrogel

Ideal for gastrostomy tubes, Foley and Hickman catheters.
Hydrogel adhesive: Will not tear or pull fragile skin or hair Repositionable without waste Stabilizes tube to body Holds tubing close to patients skin and is unlikely to snag on clothing or bedding Tube holder strap: Adjusts to t many sizes (long enough for large tubes; can be doublewrapped for small tubes) Adjusts to securely wrap and hold tube; eliminates slipping Holds tube without requiring tape, which can cause skin irritation
14-011218 14-011220
18 Fr. 20 Fr.
1 ea 1 ea
$49.99 $49.99
75-43816
$103.99
$100.85
Flexio Y" Port Connector

TUBE FEEDING
L-6354N 15/16 x 2-1/4 Fl. Pink 500/bx
MEDICAL SUPPLIES
14-836
Fits Irrigation-Tip Syringe $10.09 $9.85
Declogger Enteral Tube

Safely and effectively dislodges dried enteral solutions and medications with ease.
Provides an inexpensive alternative to the traditional methods for maintaining patency of tubes. Clears obstructed feeding tubes safely, effectively and economically. Enteral patients experience less trauma and inconvenience when treated with the Declogger.
Piston Syringe with Resealable Bag
See page 242 for complete offering of Dietary labels.
Enteric Feeding
Item #
14-912 14-913
16-18 Fr. 20-22 Fr.
$7.79 $7.79
$7.65 $7.65
27-750379
$17.49 $16.95
369
Personal Care
Cleansing
Contains Triclosan
Comfort Bath Cleansing System

Unique ultrasoft cloths are gentle to the skin, yet durable enough to provide a thorough cleansing for all body surfaces. The rinse-free soap and lotion contain aloe vera and vitamin E for easy, one-step cleansing and moisturizing.
Item # Qty Price
Contains Triclosan
AprilFresh Antibacterial Liquid Soap Liquid Dial Antimicrobial Soap

Removes as much as 99.9% of contaminating bacteria and viruses helps prevent the regrowth of bacteria. Liquid Dial is mild to the skin even with frequent washings. Contains 0.2% Triclosan.
Contains the active ingredient Triclosan, an effective germ killer. Strong on bacteria, yet still mild on your hands. Saves you money over the leading brands and performs like a champ in tough health care and industrial environments.
82-7900
8 Cloths/pk, 44 pk/ca
$3.49
82-678
8-oz. Pump
$2.19
82-00761
7.5-oz. Pump
$2.69
MEDICAL SUPPLIES
No-Rinse Cleansing and Deodorizing Bathing Wipes HIBICLENS Dial Deodorant Bar Soap
Controls bacteria. Extremely mild.
Personal Care
90-910
3-1/2-oz.
$1.09
An antiseptic antimicrobial skin cleanser that can be used as a surgical scrub, as a health care personnel handwash, for patient pre-operative 493 showering and bathing and as a patient pre-operative skin preparation.
82-057504 4-oz.
Item #
$6.29
Soft, pre-moistened cloths provide a convenient bathing alternative. Aloe vera, vitamin E enriched, no alcohol Leaves skin clean, refreshed and odor free Eight (8 x 8) disposable wipes for one complete bath Warm cloths in a microwave prior to use Hypoallergenic Latex-free
Item # Qty Price
82-057508 8-oz.
$9.99
82-01000
8 Cloths/pk, 24 pk/ca
$2.29
370
Personal Care
Comfort Bath Cleansing System

Provide a thorough cleansing for all body surfaces Rinse-free soap and lotion contain aloe vera and vitamin E
Item # Qty Price
Plastic Molded Hair Rinser

82-7900
8 cloths/pk
$3.49
Inatable Bed Shampooer Kit

Comfortable and convenient Easy to inate and clean Kit includes plastic basin, inatable ring wash basin, plastic carrying bag and 28 drain tube Stores compactly Wash basin measures: 21W x 3D
Item # Qty Price
Lightweight and easy to use Offers comfort and manageability Convenient hair washing tool for those restricted to bed Features contoured neck rest for comfort Directs water ow away from bed and linens Size: 28 x 15
Item # Qty Price
Comfort Bath Rinse-Free Hair Care System

A complete, rinse-free hair care system in a convenient cap. Warms in just seconds. Rinse-free shampoo and conditioner cleans, detangles, deodorizes and conditions without water in one easy step Self-contained and delivers the right amount of rinse-free shampoo without the mess of a basin or wet bed sheets; unlike messy, bottled rinse-free cleansers, no additional supplies are needed Microwavable; ready in just seconds. Feels warm, soothing and comfortable Disposable; reduces laundry and linen replacement costs; easy clean up
Item # Qty Price
540-8084-0000
1 ea
$20.70
540-8082-0000 540-8083-0000
With Plastic Basin Without Plastic Basin
$8.79 $10.25
MEDICAL SUPPLIES
Deluxe Inatable Bed Shampooer

Hair Wash/Rinse Tray with Spray Nozzle

82-7909
40 ea/ca
$4.09
Ideal for bed-ridden patients or those with limited mobility Comfortable and convenient Extra deep basin is constructed of heavy-duty vinyl Easy to inate and clean Includes 40 drain tube Stores compactly Basin measures: 24W x 20L x 8D
Item # Qty Price
Features a spray attachment that easily attaches to most water faucets Unique contour design conforms to neck area while tray rests on sink Built-in drainage outlet Includes a strap to stabilize tray Constructed of durable, formed plastic with a slip-resistant, latex-free rubber base Size: 17-1/2 x 10-1/2 with 4-1/2 neck opening
Item # Qty Price
Personal Care
540-8085-0000
1 ea
$22.20
540-8087-0000
1 ea
$20.94
371
Personal Care
Dial Body and Hair Shampoo
Appropriate for use on entire body Formula allows for frequent washing Thoroughly cleans entire body while conditioning hair Reduces y-away hair pH balanced
Price Per Each (4 ea/ca) Description 1 4
Long Reach Brush and Comb

Ideal for people with limited reaching ability Extended design helps eliminate shoulder and arm stress Comfortable non-slip handle
Scented Aerosol Anti-Perspirant & Deodorant

Item #
Sprays on dry, protects against perspiration and odor all day Environmentally safe with hydrocarbon propellant
82-03986
1 Gallon
$12.99 $12.75
640-9013-0000 640-9014-0000
Brush Comb
1 ea 1 ea
$6.50 $4.65
82-886
6-oz.
12/ca
$55.89
Hair Care Tissue
Plastic Hair Brush

MEDICAL SUPPLIES
99-HB
White
$16.35 $17.19
Plastic Personal Belongings Bag
Vented Hairbrush with Plastic Bristles

10 snap-shut handle
99-BELB
250/ca
1 ea
$53.29
99-HBV
Ivory
.79
.65
Facial Tissue
Personal Care
13-C890
EcoSoft , 2-ply, White, 8.75 x 8,
$1.39 $1.25
Item #
13-200
Snifes , White, 5.7 x 6
.49
.45
372
Personal Care
Shaving
Nail Care
Massaging Foot Spa
Twin-Blade Razor
80-02
Blue
$11.99 $11.65
Manicure Sticks (Orange Sticks)

Smooth beveled wood, hoof shaped.
75-801780 144 ea/bx, 50 bx/ca
1 ea
$3.79
1 touchpad control for bubbles and heat 2 bubble strips create strong bubbling action Helps stimulate circulation and revive feet Includes: splash guard with massaging nodes and 3 interchangeable massaging attachments Slip-resistant feet Limited 1-year warranty
Item # Qty Price
Fingernail Clipper with File

542-3630-0000
1 ea
$34.75
75-FNC
.59
.45
Toenail Clipper with File Bic Shaver Twin-Select

Price Per Pack (10 ea/pk, 12 pk/bx, 6 bx/ca) Item # Description 1 12 Item # Price Per Each (6 ea/bx, 24 bx/ca) 1 6
75-TNC
$1.19
$1.15
80-1099
Sensitive skin
$3.09 $2.95
Touch and Tone Personal Massager with Magnet Attachment

MEDICAL SUPPLIES
Nail Nipper

Gillette Good News Razor

80-2514
Blue
$86.59
Ideal for trimming cuticles and nails Sharp-1/2 jaw ensures precise even trimming Easy-to-squeeze handle provides smooth clipping action Features a safety lock to keep jaw closed Stainless steel, heavy-duty construction with mirror polish nish 5 clipper is oversized for easier handling
Item # Qty Price
Soothes tired, achy muscles and relieves symptoms of stress Lightweight design with ergonomic handle 2 vibration speeds and 6 massage attachments: facial, muscle, allpurpose with magnet, scalp, soft touch and acupressure Instruction booklet included Limited 1-year warranty
Item # Qty Price
Personal Care
542-3600-0000
1 ea
$23.10
539-5406-0000
1 ea
$11.19
373
Personal Care
Freshmint Denture Cleanser Antibacterial Tablets
Denture Cup
Leakproof, 8-oz. polyethylene cup allows dentures to be totally submerged in solutions. Snap-on lid ts tightly. Space on lid for patients name and room number.
Dissolves away stains Kills bacteria that cause denture odor Reduces plaque buildup Keeps dentures fresh and clean
Price Per Box 1 24
60-0363
Denture Cup
.39
.35
Freshmint Fluoride Toothpaste
Item #
Description
99-DENT40
40 ea/bx, 24 bx/ca
Item #
$2.09 $2.05
99-TP6
Item #
0.6-oz.
$41.39 $39.35
99-TP150
Item #
1.5-oz.
.49
.35
99-TP275
2.75-oz.
.79
.65
Denture Marker Kit
Toothbrushes
Item # Price Per Dozen (12 dz/bx, 10 bx/ca) Description 1 12
MEDICAL SUPPLIES
Includes: cleaning pads, 2 marking pencils and a dispenser bottle of sealing liquid Kit will mark 60 dentures Deluxe Kit contains a reserve bottle of sealing liquid
99-TB37
37-Tuft, White
$1.39 $1.35
Lemon-Glycerine Swabs
Mouth freshener on a stick. Pre-moistened swabs. Lemon avor.
Item # Description Price Per Box 1 10
16-1900 Kit 16-2000 Deluxe Kit (with Extra Sealant)
1 ea 1 ea
$45.39 $66.09
18-6658
3 ea/pk, 25 pk/bx, 10 bx/ca)
$4.09 $3.95
Personal Care
374
Personal Care
Oral Care
Toothette Plus Swabs

Perpendicular ridges gently remove mucous, stimulate tender oral tissue and helps clean between teeth.
Item # Description Price Per Pack 1 100
Toothette Suction Toothbrush System

Provides the ultimate in brushing, swabbing and suctioning with the same all-in-one tool. Replacing separate toothbrushes, suction catheters and yankauers helps you standardize oral care in your facility. Soft bristles remove plaque from teeth and help reduce trauma to the compromised oral cavity and its unique swab head contains sodium bicarbonate to mechanically clean and refresh. The Suction Toothbrush also features an angled handle for more thorough cleansing in back of the oral cavity. Suction swab and suction oral brush systems attach to standard suction lines, and each has an easy-to-use thumb port for suction control. Single use. Contains: 1 suction toothbrush with sodium bicarbonate, .25 -oz. tube of Perox-A-Mint solution, .07-oz. pouch of Mouth Moisturizer and 1 applicator swab
Toothette Swabs
Ready-to-use, disposable tooth care. No water, toothpaste or mouth rinse required. Effective for denture wearers as well. Saves time and improves oral hygiene. Can be used in intensive care and intermediate care areas, or in the recovery room. Available with dentifrice or untreated.
Individually Wrapped
Item # Price Per Pack (250 ea/pk, 4 pk/ca) Description 1 4
82-6072 10 ea/pk, 100 pk/ca
$2.29 $2.15
99-0526 99-0531
Dentifrice Untreated
$27.59 $26.95 $27.09 $26.95
Perox-A-Mint Solution
A non-alcoholic, mint avored, 1.5% hydrogen peroxide solution for cleaning and debriding without causing dryness.
Item #
82-6065
1.5-oz.
$2.49 $2.35
99-6572
100 ea/ca
$4.19 $3.95
MEDICAL SUPPLIES
Toothette Suction Swab

Contains the necessary components for a standardized plan of oral care, eliminates the need to gather supplies and maintains product integrity Enables nursing to establish the necessary plan of care for optimum oral hygiene Contains: 2 suction swabs with sodium bicarbonate, .25 -oz. of Perox-A-Mint solution
Toothette Plus System
20 sodium bicarbonate impregnated Ora-Swab brushes Perox-A-Mint solution, 1-1/2-oz. Mouth Moisturizer, 5-oz. tube
Price Per Each 1 50
Toothette Mouth Moisturizer
Protects and moisturizes lips and oral tissue. Water soluble for safe use on patients receiving oxygen.
Personal Care
Item #
Description
99-6000S
50 ea/ca
$8.99 $8.75
82-6083
0.5-oz. Tube
$2.09 $2.05
Item #
Description
99-6512
100 ea/ca
$1.79 $1.75
375
Personal Care
SECURA Antifungal Extra Thick
Triple-Antibiotic Ointment
Bacitracin Zinc Ointment USP 500 U/g

82-001209
Item #
1/32-oz. Foilpac
$32.59 $31.55
Price Per Each (6 ea/pk, 24 pk/ca) Description 1 6
82-001109
Item #
1/32-oz. Foilpac
$24.19 $23.55
82-001231
1-oz. Tube
$6.49 $6.35
Price Per Each (6 ea/pk, 24 pk/ca) Description 1 6
Contains 2% Miconazole Nitrate For treatment of supercial fungal infections, including jock itch, ringworm and athletes foot Relieves burning, itching, scaling, cracking, chang and redness Contains vitamin E and skin conditioners Contains zinc oxide to protect the skin from exposure to urine and feces Contains karaya to control moisture and adhere to weepy, macerated skin Pediatrician tested for safety
82-001131
1-oz. Tube
$3.50 $3.45
Item #
Hydrocortisone Cream USP 1%

Vitamin A & D Ointment

Item # Price Per Box (144 ea/bx, 6 bx/ca) Description 1
72-0900
3.25-oz. Tube
$9.19 $9.05
82-015408 1.5gr Foilpac
$9.29 $9.05
82-003545 5gr Foilpac

Item #
$30.19
82-003516
1-lb Jar
$9.99
Hand Sanitizer

MEDICAL SUPPLIES
Surgilube Lubricating Jelly

Kills 99.0% of germs and bacteria Contains 63% ethyl alcohol Manufactured with 100% puried water Packaging made of 100% recycled materials
Item # Description
BRG-814 Price Per Each
Personal Care
4679FT 4670FT BRG-814
2-oz. Flip Top 4-oz. Flip Top 8-oz. Pump Top
$0.69 $0.89 $1.95
24-3627
3gm Packet
$15.19 $14.75
Petroleum Jelly USP

Item # Price Per Each (12 ea/bx, 4 bx/ca) Description 1 12 Item #
Price Per Each (12 ea/bx, 12 bx/ca) Description 1 12
24-020537 4-1/4-oz. Flip-Top
$2.89 $2.85
84-PJ8
8-oz.
$1.39 $1.35
376
Personal Care
Pitcher with Pour Spout

Built-in ice guard holds ice in pitcher.
93-H21210 Dusty Rose, 1 qt
$0.65
Wash Basin
Admission Kit
Contains: Rectangular wash basin with soap dish, emesis basin, carafe with jacket, 7-oz. tumbler, 0.6-oz. tube toothpaste, adult toothbrush, 6 -1/2 comb, 2 3/8 soap (wrapped), 4-oz. hand and body lotion and facial tissues.
Price Per Each 1 12
Designed to permit complete immersion of the forearm or foot 7-quart capacity Size: 14 x 10 -1/2 x 4-1/4
Item # Qty Price
541-5078-0000
1 ea
$2.39
Bedside Pitcher with Cup Cover

For reusable water service. Wide-base design helps prevent tipping and spilling. Comfortable closed handle. Autoclavable. 32-oz. pitcher, 9-oz. cup.
Item # Color Price Per Each (500 ea/ca) 1 12
Item #
Description
93-081
12 ea/ca
$6.89 $6.55
Emesis Basin

93-00110
Blue
$8.99 $8.75
Locks easily onto wash basin Can be boiled or autoclaved up to 275 F Visual measurement in ounces or ccs Size: 10 x 4-1/4 x 3
Item # Qty Price
541-5077-0000
1 ea
$2.09
MEDICAL SUPPLIES
Insulated Pitcher
Maintains beverage temperature even for extended periods of time. 34-oz. with lid and handle. Autoclavable. Dishwasher safe.
Item # Color Price Per Each (24 ea/ca) 1 24
Personal Care
93-K313 93-K303
Mauve Slate gray
$6.19 $5.95 $6.19 $5.95
Plastic Personal Belongings Bag

99-BELB 10 snap-shut handle,
250
$53.29
377
Personal Care
Pre-Filled Enema

Soft, exible Comfortip Ready-to-use saline laxative Phosphate
Female Urinal with Leak-Resistant Cover

Item #
Qty
Price
83-1201
1 ea
$1.56
Contoured handle Visual measurements in ounces or ccs Use lying down, seated or standing Pliable lid provides a leak-resistant seal Made of shatter-resistant, lightweight, molded plastic Cleans with standard household cleaners Size: 11-1/2 x 6 1-qt. capacity
541-5069-0000
Autoclavable up to 275F
1 ea
$11.19
Combination Douche and Enema System with Water Bottle

Male Urinal with Cover

Helps relieve pain and promotes healing More economical than disposable systems Large 1-1/2-qt. capacity Contains natural rubber latex
Item #
Qty
Price
42-842-000
1 ea
$6.20
Contoured handle for better control Attached, snap-on cap prevents spills and restricts odors Visual measurements in ounces or ccs Made of shatter-resistant, lightweight, molded plastic Cleans with standard household cleaners Size: 10-1/2 x 4
541-5075-0000 541-5076-9750
Autoclavable up to 275F Non-Autoclavable
1 ea 50/ca
$8.50 $50.59
MEDICAL SUPPLIES
Portable Bidet/Sitz Bath
Economy Cleaning Enema Set
Contains: 1500cc enema bag, Touch-N-Seal valve, pre-lubricated tip, lube cap, tubing clamp, moisture-proof drape, enema soap packet
Item # Qty Price
Wide, contoured edges Durable plastic basin Fits most standard toilets and commodes Position bag on toilet seat or top of toilet tank Includes: 2-qt. capacity water bag, 5 tubing and on/off ow control clip
Item # Qty Price
Personal Care
83-50750
1 ea
$1.56
540-8090-0000
1 ea
$5.80
378
Personal Care
541-5073-0000 541-5074-0000
Standard Bed Pan

Pontoon-style molded plastic bed pan Visual measurement in ounces or ccs Size: 14 3/8 x 11 5/8; back height, 2 7/8; front height, 4-1/4 Non-autoclavable
Item # Qty Price
Fracture Bed Pan

541-5067-0000
1 ea
$5.59
Deluxe Bed Pan

Contoured designed molded plastic for adults Can be boiled or autoclaved up to 275 F Visual measurement in ounces or ccs Size: 14 x 11-1/2; back height: 2-1/2; front height: 4 3/16
Item # Qty Price
Designed for immobile and fracture patients Ideal for use as a female urinal Visual measurement in ounces or ccs Autoclavable model can be boiled or autoclaved up to 275 F Measures 12-1/2 x 9-1/4; back height, 1; front height: 3 Weight capacity: 250 lbs
Item # Qty Price
541-5073-0000 541-5074-0000
Autoclavable Non-Autoclavable
$7.79 $5.59
541-5070-0000
1 ea
$20.29
Stackable Bed Pan with Grip Handles
Contoured stackable shape with specially designed grip handles Visual measurement in ounces or ccs Size: 14-1/4 x 12
Item # Qty Price
541-5072-0000
1 ea
$4.59
Bedside Disposal Bags

Chemically treated to increase ame resistance 6-1/2 x 3-1/8 x 11-3/8
MEDICAL SUPPLIES
Item #
Description
Price Per Pack 1 40
60-0174
50 ea/pk, 40 pk/ca
$5.09
$4.95
Comfortpan

Textured seat Non-stickno need to powder Large capacity, approximately 1500cc or six cups Autoclavable
Price Per Each 1 10
Personal Care
BedpanRacks
Fastens to wall or bedside cabinet. Securely holds all types of bedpans including stainless steel, porcelain, plastic or disposable.
Item # Qty Price
Item #
Description
93-12
10 ea/ca
$13.29
$12.75
35-303012 35-303026
Single Double
$47.49 $67.99
379
First Aid
Metal 25 Person First Aid Kit
Plastic 25 Person First Aid Kit
Great for large settings where a wide variety of rst aid items are required White waterproof metal case Mounts to a wall for convenience and quick access
Great for large settings where a wide variety of rst aid items are required White waterproof metal case Mounts to a wall for convenience and quick access
Item #
Size
Qty
Price
650-2500-1900
Kit Contents
10-1/2 x 7-1/4 x 2-1/2
1 ea
$25.35
Qty
Item #
Size
Qty
Price
650-2504-1900 3/4 x 3 Plastic Strips Assorted Woven Adhesive Bandages 1 x 2-1/2 Yd. Tape 2 Clean Wrap 5 x 9 ABD Pad Cotton Swifteez Eye Wash, 1/2-oz. Scissors 4-1/2 Plastic Handle Tweezers 3 Sharp Point First Aid Instruction Chart Cold Pack Triangular Bandage 36 x 36 x 52 Latex Gloves Large First Aid Cream 1.0Gr. Pkt. Antiseptic Wipes Eye Pads Standard Oval Sterile 3 x 3 Gauze Pads Non-Adherent Pad 2 x 3 Ammonia Inhalant Pads 50 20 1 1 1 1 1 1 1 1 1 1 1 pr 6 6 2 4 5 2
Kit Contents
9-3/16 x 6-1/2 x 2-3/4
1 ea
$20.30
Qty
3/4 x 3 Plastic Strips Assorted Woven Adhesive Bandages 1 x 2-1/2 Yd. Tape 2 Clean Wrap 5 x 9 ABD Pad Cotton Swifteez Eye Wash, 1/2-oz. Scissors 4-1/2 Plastic Handle Tweezers 3 Sharp Point First Aid Instruction Chart Cold Pack Triangular Bandage 36 x 36 x 52 Latex Gloves Large First Aid Cream 1.0 Gr. Pkt. Antiseptic Wipes Eye Pads Standard Oval Sterile 3 x 3 Gauze Pads Non-Adherent Pad 2 x 3 Ammonia Inhalant Pads
50 20 1 1 1 1 1 1 1 1 1 1 1 pr 6 6 2 4 5 2
MEDICAL SUPPLIES
Rell Your First Aid KIts!

See Wound Care section of the catalog, pages 290-314 for more details.
380
First Aid
First Aid
Hot/Cold Packs
Ice Kold Instant Ice Compress
Sol-R Heat Instant Compress
Reusable Hot/Kold Gel Paks

Squeeze to activate (keep at room temperature) Remains cold for 30 minutes Recommended for muscular pain relief and helps reduce swelling Remains exible when activated Disposableone time use only
Item # Size
Squeeze to activate Maintains therapeutic heat for up to 20 minutes Recommended for muscular pain relief, helps improve circulation Remains exible when activated Disposableone time use only
Qty Price
Microwave for heat, freeze for cold Recommended for muscular pain relief, promotes healing Remains exible when activated Reusable
Junior Instant Ice Compress (not shown) 612-0012-9850 Bulk (4-3/4 x 6-1/2), 50 ea/ca Standard Instant Ice Compress 612-0010-9824 Bulk (6 x 8-1/4), 24 ea/ca 612-0022-9724 Box (5-1/4 x 5 x 2-3/4), 2 ea/bx, 24 bx/ca Sol-R Instant Heat Compress 612-0003-9824 Bulk (6 x 8-1/4), 24 ea/ca 612-0032-9724 Box (5-1/4 x 5 x 2-3/4), 2 ea/bx, 24 bx/ca Reusable Hot/Kold Gel Compress 614-0060-9824 Small (5-1/4 x 7-1/4), 24 ea/ca 614-0070-9812 Neck (5 x 10-1/2), 12 ea/ca 614-0080-9812 Back (8 x 11), 12 ea/ca 614-0050-9812 Large (6 x 8-3/4), 12 ea/ca 614-0056-9724 1 Small and 1 Large per Box (5-1/4 x 5 x 2-1/4), 24 bx/ca
1 ca 1 ca 1 ca 1 ca 1 ca 1 ca 1 ca 1 ca 1 ca 1 ca
$20.70 $11.55 $48.55 $14.95 $48.55 $19.90 $17.15 $26.75 $17.15 $55.20
MEDICAL SUPPLIES
Reusable ColdHot Pack

The easy-to-use ColdHot Pack contains a unique gel that chills quickly at 5 F but does not solidify like ice. It crystallizes, allowing the cold pack to remain exible at all times. Extremely durable and can be reused many times. Easily cleaned with alcohol or soap and water and can be gas sterilized. To use as a cold pack, store in freezer for 2 hours, wrap in towel and apply. For use as hot pack, immerse in three quarts boiling hot water for 7 minutes, wrap in towel and apply.
Item # Size Price Per Each (2 ea/bx, 10 bx/ca) 1 10
Ice ce Bags
Helps speed healing by reducing pain and swelling Flocked latex contours to body surfaces and efciently transfers cold
First Aid
42-847-000 Medium, 9 1 ea 42-841-000 Large, 11 1 ea
$4.45 $5.05
16-1570
4-1/2 x 10
$14.75
$14.30
381
First Aid
70-150 70-155
CPR MICROKEY
Conveniently carry the CPRMICROSHIELD protective device with your keys. Ultra compact and easy to use.
CPR MICROSHIELD
CPR Rescue Breather
Unique one-way valve prevents uid back up from the patient or those suspected of carrying a communicable disease Helps protect rescuer from physical contact with the patient when giving mouth to mouth Includes combo mask, one-way valve, elastic head strap, one pair of gloves and convenient carrying case Intended for single use Fits both adult and child Instructions included
Item # Qty Price
The MICROSHIELD has been developed as a rst response protective device which provides a clear, exible barrier between the victim requiring CPR and the rescuer, thereby reducing the potential of biological contamination between victim and rescuer.
Item #
Color
70-190 Black 70-192 Orange
$10.30 $10.30
Tamper-Evident Pouch 70-155 Regular Pouch 70-150
$77.00 $72.40
CPR Shield
With 1-way valve and barrier filter.
A single-use physical barrier for mouth-to-mouth resuscitation.
650-7007-0000
1 ea
$6.90
MEDICAL SUPPLIES
76-4921
$3.00
$2.75
CPR
MICROSHIELD-plus
The tamper-evident pouch offers the assurance of a clean device in a resealable pouch. The pouch is a tough polyethelene bag with a zip-lock type closure allowing the rescuer to become familiar with the device, yet keep it in a clean reclosable pouch.
CPR MICROMASK
First Aid
Features a positive, one-way, non-rebreathing valve complete with 3M Filtrete lter. This valve has a large opening to allow less restrictive rescue breathing. Replaceable valve.
76-345
$7.20
Adult LIFESAVER Disposable Manual Resuscitator
Designed to meet or exceed ISO and ASTM standards. The unique right-angle oxygen tubing connector swivels 360 o. Includes mask and ow diverter.
Item # Qty Price
73-401
$13.20
76-5370
1 ea
$36.35
382
First Aid
Triangular Bandage

Non-sterile triangular bandage made from strong muslin Individually packaged with two safety pins
650-6018-9812
38 x 52
1 dz
$8.05
Philips HeartStart OnSite Defibrillator

Designed to enable you to help save a life in extraordinary circumstances. Lightweight: fully equipped at just 3.3 lbs Intuitive: clean design and clear voice instructions instill the condence thats needed when administering therapy to a person in cardiac arrest Ever-Ready: powered by a long-life (4 year) disposable battery Automated tests help ensure readiness Versatile: available for use on anyone of any age, including children and infants Effective: patented SMART Analysis heart rhythm assessment and SMART Biphasic debrillation therapy, clinically proven in nearly 10 years of useno other biphasic waveform is well documented Includes: Battery, 1 SMART Pads Cartridge, Quick Start Poster, Quick ReferenceGuide and Owners Manual. The HeartStart OnSite Debrillator device includes a 60-month manufacturers warranty. HS1 battery includes a 4-year warranty from time of installation. Smart Pads Cartridge warranty extends to the expiration date. Other accessories include a 12-month warranty.
Item # Qty Price
Space Emergency Rescue Blanket

Life saving warmth that ts in a pocket Ideal for ambulance, police and re units that must work outdoors in all types of weather Windproof and waterproof; evolved from an insulation material developed for space travel Warmer than wool and remains exible at temperatures below zero Silver colored for day or night reection Weighs less than two ounces
650-1113-0600
56 x 84
1 ea
$3.55
MEDICAL SUPPLIES
11-M5066A
Philips HeartStart OnSite Debrillator
1 ea
$1,445.30
*When purchasing Debrillator, customer must also purchase either carrying case below.
11-C01 11-C02 11-M5071A
Standard carry case Slim carry case Adult SMART Pads Cartridge
1 ea 1 ea 1 ea
$113.10 $42.65 $80.25
Econo-Blanket

Made of heavy yellow polyester with cellulose matting insulation Individually bagged
First Aid
650-1131-0000
54 x 80
1 ea
$3.95
383
Bath Aids
Shower Chair
Suitable for heavy or large patients Easy back replacement made of durable, easyto-clean vinyl-coated polyester mesh fabric Fits over toilet for use as a safety frame Four 3 swivel, zinc-plated casters (two with brakes) Dimensions: 38H x 22-1/2W x 24D Weight: 21 lbs. 6-ft safety belt strap Royal blue fabric Shipped via UPS
Item # Qty Price
Deluxe Wheeled Shower Commode Chair
Economy Shower Chair with Twin Wheels
32-200
1 ea
$197.05
Suitable for heavy or large patients Easy back replacement made of durable easy-to-clean, vinyl-coated polyester mesh fabric Fits easily over toilet to be used as a safety frame Four 3 swivel, zinc-plated casters with top-mounted brakes Easy snap-on retractable footrest Removable 7 1/2-qt plastic pail can be removed while patient remains in the seated position 6-ft safety belt strap Weight: 25 lbs. Weight capacity: 300 lbs. Royal blue fabric Shipped via UPS
Item # Qty Price
Removable back made of durable, vinyl-coated polyester mesh Design eliminates all sharp points for safe patient transfer Height: 38 Width: 21-1/2 Length: 22 Weight: 19 lbs. Mesh colors available: royal blue, white, beige, teal, yellow and wedgewood blue
Item # Qty Price
32-190
1 ea
$162.75
All Duralife products will drop ship from the manufacturer and are exempt from our Freight-Free Policy.
32-300
1 ea
$296.65
Shower Transport Chair

MEDICAL SUPPLIES
Helps provide safe and effective patient transfers Padded vinyl toilet seat, waterproof PVC seat back cover and plastic armrests for patient comfort Made from durable 1 rust and corrosion-resistant aluminum tubing 4 ball bearing casters and rear wheel locks are rustresistant Width between arms: 18; overall width: 21 Seat height: 21 xed Seat size: 16 x 16 Weight: 18 lbs. Weight capacity: 250 lbs.
Item # Qty Price
Heavy-Duty Sliding Transfer Bench with Cut-Out Seat
Seat effortlessly slides side-toside minimizing physical strain on user and caregiver
Bathroom Aids
522-1702-1900
1 ea
$104.15
Lifetime limited warranty on all DMI Bath Safety products
Blow-molded plastic seat and back with textured, non-slip surface on a durable, lightweight aluminum frame Cut-out is easily removed for perineal access Features adjustable legs with suction cup, slip-resistant tips Nylon strap locks and holds seat in place during transfers and bathing Hook and loop-style seat belt helps provide additional safety Seat height adjusts from 19 to 23 in 1 increments Seat width: 19; seat depth: 15 Weight: 14 1/2 lbs. Weight capacity: 400 lbs.
Item # Qty Price
522-1734-1900
1 ea
$140.55
384
Bath Aids
Folding Shower Seats

Folds conveniently and compactly for travel or storage Blow-molded plastic shower seat with molded handholds is designed for long lasting durability Constructed of 1 anodized aluminum tubing with angled front and rear legs for improved stability and safety Includes slip resistant rubber tips Seat height adjusts from 14 to 16 in 1 increments Seat size: 18 x 11 Weight: 6.6 lbs. Weight capacity: 250 lbs.
Hygienic Bath Seat with Backrest
802-1708-1900 With Backrest 522-1709-1900 Without Backrest
1 ea 1 ea
$40.50 $31.10
Features a comfortable, blowmolded, high-density plastic seat and removable backrest U-shaped opening for personal hygienic care Rust-resistant anodized aluminum frame Slip-resistant rubber tips for added stability and safety Seat height adjusts from 13 to 17 in 1 increments Seat size: 15-3/4 x 14-1/2 Easy to assemble with hardware and detailed instructions included Weight: 8 lbs. Weight capacity: 250 lbs.
Item # Qty Price
See page 390 for Grab Bars.
522-1712-1999
1 ea
$44.00
Deluxe Padded Transfer Bench

Vinyl covered padded seat and back for improved comfort over standard blow molded bath seats Tear-resistant padding Push-lock buttons and side rail provide for safe and stable transfers Slip-resistant suction cup rubber feet hold bench securely in place during transfers Seat back can be assembled for left or right hand applications Seat height adjusts from 16 to 22 in 1 increments Seat width: 27; seat depth: 16 Weight: 14 lbs. Weight capacity: 250 lbs.
Item # Qty Price
MEDICAL SUPPLIES
802-1726-1900
1 ea
$80.45
385
Bathroom Aids
Bath Aids
Deluxe Steel Commode
MEDICAL SUPPLIES
Commode can function as a free standing commode, as a toilet safety frame or as a raised toilet seat with arms Contoured plastic armrests for stability and comfort Constructed of 1 diameter welded steel frame tubing for long lasting durability and slip-resistant rubber tips Includes seat with lid, 7-qt capacity pail with lid and splash guard Removable backrest Width between arms: 17-1/2 Seat height adjusts from 16 to 22 in 1 increments Seat size: 14 x 15 Width between legs: 24; depth between legs: 18 No assembly required Weight: 15 lbs. Weight capacity: 250 lbs.
Item # Qty Price
Extra-Wide Heavy-Duty Steel Commode

Steel Commode with Platform Seat

Contoured plastic armrests for stability and comfort Constructed of 1 diameter steel frame tubing for superior weight support and slip-resistant rubber tips Includes seat with lid, 6-qt capacity pail with lid and splash guard Width between arms: 24 Seat height: 20 xed Seat size: 14 x 15 Width between legs: 28; depth outside legs: 20 Assembly required Weight: 22 lbs. Weight capacity: 500 lbs.
Item # Qty Price
802-1207-1900
1 ea
$55.10
802-1243-1900
1 ea
$37.50
Extra-wide platform seating maximizes stability Commode can function as a free-standing commode, as a toilet safety frame or as a raised toilet seat with arms Contoured plastic armrests for stability and comfort Gray powder-coated steel frame for long lasting durability, with slip-resistant rubber tips Includes seat, 7-qt capacity pail with lid and splash guard Removable backrest Width between arms: 23 Seat height adjusts from 16-1/2 to 23-1/2 in 1 increments Seat size: 23 x 18-1/2 Width between legs: 24; depth between legs: 17 Weight: 19 lbs. Weight capacity: 500 lbs.
Item # Qty Price
802-1208-0300
1 ea
$65.00
Extra-Wide Heavy-Duty Drop-Arm Steel Commode

Bathroom Aids
Extra-wide platform seating maximizes stability Easy to use with pull-pin release mechanism that drops the support arm below seat level for easy, unobstructed lateral transfers Constructed of 1 diameter gray, powder-coated steel frame tubing for superior weight support with slip-resistant rubber tips Includes 7-qt capacity pail with lid and splash guard Width between arms: 26 Seat height adjusts from 19 to 23 in 1 increments Width between legs: 26-1/2; depth between legs: 18-1/2 Seat size: 23 x 18-1/2 Weight: 19 lbs. Weight capacity: 500 lbs.
Item # Qty Price
802-1203-0300
1 ea
$98.05
386
Bath Aids
3-in-1 All Purpose Commode
Toilet Seat Riser with Arms

Drop-Arm Steel Commode
Easy to use with pull-pin release mechanism that drops the padded support arms below seat level for easy, unobstructed lateral transfers Constructed of 1 diameter, white powder-coated steel frame tubing for superior weight support with slipresistant rubber tips Includes plastic seat with chrome plated hinged lid, 8-qt capacity pail with lid and splash guard Width between arms: 16-1/2 Seat height adjusts from 19 to 23 in 1 increments Seat size: 14 x 15 Width between legs: 15-1/2; depth between legs: 14-1/2 Weight: 22 lbs. Weight capacity: 250 lbs.
Item # Qty Price
3-in-1 design is ideal for use as a free-standing commode, as a toilet safety frame or as a raised toilet seat with arms Constructed of 1 anodized aluminum frame and slip-resistant rubber tips Rust resistant and easy to clean Includes seat, 7-qt capacity pail, lid and splash guard Width between arms: 18 Seat height adjusts from 19 to 23 in 1 increments Seat size: 14 x 15 Width between legs: 19; depth between legs: 14 Assembly required Weight: 8 lbs. Weight capacity: 250 lbs.
Item # Qty Price
Large molded arms for security and support Raises toilet seat height by 3-1/2 Designed to be used with an existing toilet seat and lid Durable and easy to clean Mounting bolts and easy-to-follow instructions included Standard and elongated styles available Arm height: 7-1/4 from rim of bowl Width between arms: 19 Weight: less than 4 lbs. Weight capacity: 300 lbs.
522-1503-1900 Standard 522-1504-1900 Elongated
1 ea 1 ea
$45.15 $45.15
802-1250-0099
1 ea
$42.45
Universal Replacement Parts
Can be used with most free standing commodes
520-1213-1900
1 ea
$87.05
519-1373-1900 520-1251-1900
MEDICAL SUPPLIES
Universal Plastic Raised Toilet Seat
Seat height adjusts from 3 to 6 for patient comfort Complete onepiece design with full plastic splash guard Features four Duro-Coat bracket guards to help protect bowl and keep seat securely in place Fits most standard and elongated bowls Weight capacity: 250 lbs.
Item # Qty Price
520-1209-1900 Item #
520-1210-1900 Qty Price
Description
CFS6-25HH
519-1373-9504 1 Gray #20 Tips 4/bx 802-1209-1900 7-qt. Pail with Lid 1 ea 802-1210-1900 12-qt. Pail with Lid 1 ea 520-1251-1900 Splash Guard 1 ea
$3.00 $3.95
Bathroom Aids
$4.75 $4.15
522-1507-1900
1 ea
$28.95
See page 100 for complete offering of Intake and Output forms.
387
Bath Aids
Close lid for security
Vinyl Cushion Toilet Seat Locking Raised Toilet Seat with Arms Hinged Elevated Toilet Seat

Ideal for those Raise seat for easy cleaning having difculty lowering to and raising from a standard height toilet seat Elevates the seat by 4 Unique hinged design allows it to be raised and lowered like a regular toilet seat Installs easily using the existing toilet seat and lid and does not appreciably change the appearance of the toilet Easy to clean Complete hardware kit included Weight capacity: 300 lbs.
Easily attaches to toilet bowl with three hand-tightening devices Lightweight, polyurethane seat is specially molded for maximum comfort Features padded, rust-resistant aluminum armrests for extra security Raises toilet seat by 5 Width between arms: 17-1/2 Seat size: 15 x 16-1/2 Weight: 5 lbs. Weight capacity: 250 lbs.
Item # Qty Price
Easily ts most standard size toilet seats Raises the toilet seat height by 2 to 4 Comfortable foam padding helps minimize pressure points Easily attaches to seat with hook and loop straps Constructed of foam padding upholstered in vinyl
520-1246-1900 520-1247-1900
2 4
1 ea 1 ea
$12.70 $19.10
522-1566-1900
1 ea
$42.95
641-2571-0000 Standard 641-2571-0005 Elongated
1 ea 1 ea
$51.80 $51.80
MEDICAL SUPPLIES
Deluxe Plastic Toilet Seat Riser

Hi-Riser Locking Raised Toilet Seat with Arms

Bathroom Aids
Raises toilet seat height by 5 Unique contour design ts most standard size toilet bowls Made of molded, unbreakable polyethylene Includes four slip-resistant pads that adhere to underside of toilet seat Completely portable with no assembly required Easy to clean Size: 14 1/2 x 15 x 5 Weight capacity: 250 lbs.
Front locking bracket safely secures seat to most toilet bowls Lightweight, plastic contoured seat can be used with or without arms for lateral transfers Features padded, rust-resistant aluminum armrests for extra security Raises toilet seat by 5 Width between arms: 18 Seat size: 17 x 16 Weight: 6 lbs. Weight capacity: 250 lbs.
Item # Qty Price
Heavy-Duty Safety Tub Bar

Unique hi-lo design ensures patient support and stability Chrome-plated bar and vinyl sleeves help prevent marring Size: 21-3/16 to 15-3/8 Bracket adjusts from 3 to 6-1/2 Weight capacity: 250 lbs.
Item # Qty Price
521-1614-0600
1 ea
$34.40
522-1508-0100
Blue
1 ea
$12.70
802-1511-1900
1 ea
$34.75
388
Bath Aids
No-Skid Bath Mat

Fold-Away Bath Seat

Reduces the risk of falling or sliding in tub Slip-resistant suction cups anchor mat to tub surface Drainage holes White vinyl resists dirt, mildew, fading and peeling 120-day warranty
Mounts to wall in shower or tub Conveniently folds away for added space 1 powder-coated steel frames with stainless-steel screws Blow-molded seat Seat size: 16-1/4 x 16-1/4
523-1740-1900
16 x 40
1 ea
$16.10
Item #
Weight Capacity
Qty
Price
No-Skid Shower Mat

522-3700-1900
250 lbs.
1 ea
$53.60
Reduces the risk of falling or sliding in tub Slip-resistant suction cups anchor mat to tub surface Drainage holes White vinyl resists dirt, mildew, fading and peeling 120-day warranty
Fold-Away Grab Bar

523-1742-1900
21 sq. in.
1 ea
$15.35
Mounts to the wall Conveniently folds away for added space Ideal welding 1 powder-coated steel frames with stainless-steel screws Features a toilet paper roll holder Size: 7 x 4 x 30
Premium Tub Grab Bar

Ergonomically designed, multi-grip handle Attaches to tub walls 2-1/2 6-1/4 thick with mar-resistant clamps Not recommended for use with berglass tubs Height: 16-1/2
Item #
Weight Capacity
Qty
Price
522-3700-1700
250 lbs.
1 ea
$46.35
MEDICAL SUPPLIES
Item #
Weight Capacity
Qty
Price
521-1607-1900
250 lbs.
1 ea
$22.65

389
Bathroom Aids
Bath Aids
BEST SELLER White Powder-Coated Grab Bars Deluxe Hand-Held Body Shower Massager

Heavy-duty steel construction Mounting screws and gaskets included 3-1/2 distance from wall Not to be used to support body weight
Item # Size Bar Diameter Qty Price
Use as a stationary or handheld shower 3-speed, massaging action Flexible 5 hose Fits standard 1/2 threaded shower arm
521-1550-1912 521-1550-1916 521-1550-1918
12 16 18
1 1 1
1 ea 1 ea 1 ea
$8.05 $9.10 $10.20
Item #
Description
Qty
Price
523-1580-0600 523-1581-0000
Shower Massager On/Off Switch
1 ea 1 ea
$14.95 $4.45
Steel Knurled Grab Bars
Adjustable Height Sliding Shower Head

Chrome-plated knurled steel helps prevent rust Mounting screws and gaskets included 3-1/2 distance from wall Not to be used to support body weight
Use as a stationary or handheld shower Sliding bar allows usage at various heights 3-speed shower selection Flexible 5 hose Fits standard 1/2 threaded shower arm Includes: clear plastic soap dish Installation required
HealthSmart 521-1570-0612HS 521-1570-0616HS DMI 521-1570-0618 521-1570-0624 521-1570-0632
12 16 18 24 32
1 1 1 1 1
$9.55 $10.70 $11.35 $12.35 $13.80
523-1584-0600 523-1581-0000
Shower Head On/Off Switch
1 ea 1 ea
$19.60 $4.45
Hand-Held Body Shower Institutional Knurled Grab Bars

MEDICAL SUPPLIES

Soothes tired muscles Integrated on/off switch Over 6 of white vinyl tubing Fits standard 1/2 threaded shower pipe
Item # Qty Price
Complies with most government requirements Chrome-plated knurled steel helps prevent rust Mounting screws and gaskets included 1-1/2 distance from wall Not to be used to support body weight
523-1583-1900HS
1 ea
$13.80
Inatable Bath Pillow

Bathroom Aids
521-1530-0612 521-1530-0616 521-1530-0618 521-1530-0624 521-1530-0632
12 16 18 24 32
1-1/4 1-1/4 1-1/4 1-1/4 1-1/4
$12.25 $11.95 $13.95 $15.25 $17.35
Supports head and neck while in tub Inates to desired comfort level 4 suction cups hold pillow securely in place Made of heavy-duty vinyl Dual-valve system
523-1582-0100HS
22 x 14-1/2
1 ea
$5.80
390
Mobility
18 Standard Wheelchairs
Our wheelchairs are designed Folds for with both economy and quality easy transport and storage! in mind. Chip-resistant, chrome-plated, carbon-steel frame construction is durable and easy to clean. All wheelchairs feature single axle, 24 rear mag-style composite wheels, urethane tires and dual-sealed precision bearings for years of maintenance-free durability. Front wheels feature 8 mag-style composite caster wheels. Easy to reach push-to-lock brakes provide added safety and security. Chrome-plated handrails, padded armrests and embossed vinyl upholstered seat and seat back contribute to improved user comfort. Standard wheelchairs come equipped with convenient swing-away leg riggings. All front riggings come with lightweight foot plates and are interchangeable with most major wheelchair lines. Features: 8 front mag-style wheels; 24 rear magstyle rear wheels; snap-on tires and maintenance-free dual sealed precision bearings; padded vinyl armrests; comfortable, black vinyl upholstered seat and seat back; chrome plate steel hand-rims; xed or removable armrests and swing away leg riggings; composite foot plates for added comfort and security.
Swing-away foot rests
8 front mag-style wheel
18 Wheelchair with Fixed Armrests

24 rear mag-style wheels with snap-on tires

Fixed armrests Removable, swing-away footrests Weight capacity: 250 lbs.

Item # Qty Price
503-0658-0200
1 ea
$156.45
18 Wheelchair with Removable Armrests

Removable armrests Removable, swing-away footrests Weight capacity: 250 lbs.

Item # Qty Price

MEDICAL SUPPLIES
503-0664-0200
1ea
$170.90
Wheelchair Product Specications

Overall Open Width Overall Closed Width Seat to Floor Height Overall Height Back Height Seat Depth Seat Width Length with Riggings Unit Weight Shipping Weight Weight Capacity
Mobility
Item #
503-0658-0200 503-0664-0200
26 26
9-1/2 9-1/2
19 19
36 36
18 18
16 16
18 18
43 43
41 lbs. 41 lbs.
50 lbs. 50 lbs.
250 lbs. 250 lbs.
All unit weights are without front leg/foot riggings.
391
Mobility
5' Telescoping Adjustable Wheelchair Ramps

Ramps easily extend for use with steps, curbs or vehicles Completely adjustable with pushbutton locking mechanism Strong, rust-resistant aluminum construction Features durable, non-skid treads U-shaped tracks for added safety Three section design contracts easily for storage in a convenient carry bag, which hangs over wheelchair handles Size: 7 wide, adjusts from 3' up to 5' long Unit weight: 6 lbs. per ramp Weight capacity: 660 lbs. (330 lbs. per ramp)
Item # Qty
Fleece Armrests with Pouch
Convenient carry bag Price
517-4094-0000
1 Pair
$109.70
Easily attaches to wheelchair arms with hook and loop adjustment Fleece covered armrests for exceptional comfort Features large storage compartment for added convenience Durable navy denim fabric Machine washable Size: 10 x 9 with 4-1/2 pocket
Item # Qty Price
517-1076-9911
1 Pair
$11.55
Wheelchair Safety Strap

MEDICAL SUPPLIES
Safety strap helps secure person in chair Made of durable, 2 poly-pro webbing Push-button buckle design for easy release Includes 48 black strap with grommets
Item # Qty Price
517-5013-0200
1 ea
$13.80
Oxygen Tank Holder for Wheelchairs

Heelbo Chair Belt
Hook and loop fastener in the front to allow the patient to self-release Prevents slumping and sliding forward while positioning the upper torso in a geri-chair or wheelchair 5 width; adjusts to 74-1/2 long Machine washable
Item # Qty Price
Mobility
Lightweight Easy to attach and remove Fits D and E size oxygen tanks with minimum lifting and positioning Tank can be positioned off-center behind the wheelchair back to avoid interference with the wheelchair users head or back Made of heavy duty, waterproof black nylon
Item # Qty Price
Wheelchair Back Pack

Easily attaches to wheelchair with slip-on straps Large storage compartment with hook and loop closure Constructed of water resistant black nylon fabric Machine washable Size: 14 x 19
Item # Qty Price
641-0620-1000
1 ea
$14.65
517-1072-0200
1ea
$9.95
12129
6/bx
$64.95
392
Mobility
Wheelchair Trays Urinary Drainage Bag Holder

Restores the dignity of your catheterized residents/patients by concealing urinary drainage bags from public view. Designed to hang under wheelchairs, geri-chairs and from bed rails. Medicalgrade vinyl is bacteriostatic and cleans easily with soap and water.

Ideal for eating, writing and reading Hardwood tray features raised T-molding edges to contain spills and to prevent items from rolling off Acrylic tray features a smooth, at surface with raised area at top of tray to help hold items in place Trays feature a semi-circle cut-out for added comfort Easy to clean and includes hook and loop straps to help hold tray securely in place Trays t most standard wheelchairs
99-102010
$9.10
$8.95
505-5000-5500 505-4016-0400
Acrylic, 23 x 19 x 1/4 Hardwood, 24 x 20 x 1/2
1 ea 1 ea
$36.35 $17.95
MEDICAL SUPPLIES
Wheelchair Safety Positioner

Wheelchair Transport Bags Canvas Drain Bag Holder

Removes the unsightly urine drainage bag from public view. Adds dignity to the resident/patient who is catheterized. Sized for any urine bag and designed to hang over side rails or under wheelchair or geriatric chair.

Heavyweight, clear plastic bags for storage or transport Designed to keep contents clean and protected Large perforated rolls can hang for easy use Size: 42 x 14 x 35
Item # Qty Price
Secures user in a wheelchair and helps to improve posture Fits most standard width wheelchairs Made of black vinyl-covered polyfoam that is easy to wipe clean Includes hidden zipper Size: 26 x 3 1/4 x 10
Item # Qty Price
Mobility
513-7978-0200
1 ea
$17.40
99-8215
$11.95 $10.95
517-1218-0000
100 ea/rl
$57.30
393
Mobility
BEST SELLER Ultra Lightweight Aluminum Transport Chair

Lightweight Aluminum Transport Chair

Black padded seat, back and armrests Dual push-to-lock rear brakes Wheel size: 8 Width open: 23; width closed: 9-1/2 Seat size: 19 x 16 Seat height: 19; back height: 18 Weight: 20 lbs. Weight capacity: 250 lbs.
Black padded seat and back Bicycle-style, loop-lock handbrakes 8 front wheels, 12 rear wheels Width open: 24; width closed: 9-1/2 Seat size: 19 x 18 Seat height: 22; back height: 19 Weight: 25 lbs. Weight capacity: 250 lbs.
Item #
Frame Color
Qty
Price
Item #
Frame Color
Qty
Price
501-1051-2178 501-1051-4178
Royal Blue Titanium
1 ea 1 ea
$151.00 $151.00
501-1052-2100 501-1052-4100
Royal Blue Titanium
1 ea 1 ea
$137.85 $137.85
Folding Steel Transport Chair

Folding Lightweight Transport Chair

Black padded seat and back Available with or without bicycle-style, loop-lock handbrakes Wheel size: 8 Width open: 26; width closed: 10 Seat size: 19 x 20 Seat height: 19; back height: 18 Weight: 37 lbs. Weight capacity: 250 lbs.
Unique design allows chair to fold down compactly Gray nylon seat and back Height adjustable footrests Zippered nylon carrying case Wheel size: 7-1/2 Width open: 22-1/2; width closed: 10 Seat size: 17-1/2 x 18 Seat height: 19; back height: 16 Weight: 20-1/2 lbs. Weight capacity: 250 lbs.
MEDICAL SUPPLIES
Item #
Frame Color
Hand Brakes
Qty
Price
501-1037-0600 501-1037-0678 501-1037-0778
Chrome Chrome Burgundy
1 ea 1 ea 1 ea
$121.25 $126.80 $126.80
Item #
Frame Color
Qty
Price
501-1058-0200
Black
1 ea
$143.30
394
Mobility
Mobility
BEST SELLER Two-Button Release Folding Walker with Wheels

Single Release Aluminum Folding Walkers
5 front non-swivel wheels Steel crossbrace for additional rigidity Molded soft foam handgrips Folds to 4 width easily for storage or lateral access Slip-resistant rubber tips on rear legs Constructed of lightweight 1 anodized aluminum tubing Accommodates additional accessories Distance between handles: 17 Adjustable height: 32 38 Overall width: 24 Weight: 5-1/2 lbs. Weight capacity: 250 lbs.
Item # Color (Base/Crossbar) Qty Price
One-button release for easy folding, compact storage and lateral access Comfortable soft foam handgrips Slip-resistant rubber tips with 3 or 5 front non-swivel wheels Steel cross brace provides additional rigidity Constructed of strong, lightweight 1 anodized aluminum tubing Height adjusts from 32 to 38 in 1 increments Width between handles is 16-1/2; overall width 21-1/2; folded 4-1/2 Weight: 7 lbs. Weight capacity: 250 lbs.
802-1017-0645 802-1015-0600
Silver, 5 Non-Swivel Wheels Silver, Without Wheels
1 ea 1 ea
$38.45 $27.00
802-1045-0100 802-1045-0200 802-1045-0600 802-1045-0900 802-1045-1200
Blue/Blue Ice Black/Copper Swirl Silver/Gray Pink/Floral Green/Green Ice
$53.90 $53.90 $53.90 $53.90 $53.90
Freedom Series Deluxe Walker

Two-Button Release Folding Walker

Steel crossbrace for additional rigidity Molded soft foam handgrips Folds to 4 width easily for storage or lateral access Slip-resistant rubber tips Constructed of lightweight 1 anodized aluminum tubing Accommodates additional accessories Distance between handles: 17 Adjustable height: 32 38 Overall width: 23 Weight: 5-1/2 lbs. Weight capacity: 250 lbs.
Item # Color (Base/Crossbar) Qty Price
1-button release for easy folding to 4 width Removable 3-panel pocket system with 2, 12 x 10 nylon cargo pockets and identication holder Molded handgrips Slip-resistant rubber tips Distance between handles: 17 Constructed of lightweight 1 anodized aluminum tubing Adjustable height: 30 37 Overall width: 20 Weight: 6 lbs. Weight capacity: 300 lbs.
MEDICAL SUPPLIES
500-1018-2100
Blue
1 ea
$49.65
802-1044-0100 802-1044-0200 802-1044-0600 802-1044-0900 802-1044-1200
Blue/Blue Ice Black/Copper Swirl Silver/Gray Pink/Floral Green/Green Ice
$42.45 $42.45 $42.45 $42.45 $42.45

395
Mobility
Mobility
510-1085-1900
No-Wire Walker Basket

Firmly attaches to the horizontal and vertical bars of the walker Flexible, retractable stabilizing arms lock onto the legs of the walker, eliminating excess swinging Basket features a slot for an identication card, built-in cup holder, a small compartment for coins or medications and a trough for utensils, pens, straws or eyeglasses Made of polypropylene Assembly required Ships and stores at Size: 16-1/4 x 8-3/4 x 8-1/4
Item # Qty Price
Walker Basket with Plastic Insert

510-1087-5500
Ideal for carrying lightweight items Includes removable plastic liner to help hold small items and features a molded cup holder Attaches easily with hook and loop straps Rust-resistant white plastic coating Basket size: 16 x 5-1/2 x 7 Universal plastic insert ts items 510-1085-1900 and 510-1086-1900
Fold Away Walker Tray
641-0317-0000
1 ea
$12.70
510-1085-1900 Basket with Plastic Insert 510-1087-5500 Universal Plastic Insert
1 ea 1 ea
$11.90 $1.85
Designed with two recessed beverage holders and foursided elevated edge to help prevent items from rolling off Folds out of the way when not in use Tray mounts with adjustable clips that snap on to most walkers Constructed of lightweight, durable gray plastic Tool-free assembly Tray size: 16 x 11-3/4 Weight capacity: 5 lbs.
Item # Qty Price
510-1068-2400
510-1084-0300
1 ea
$22.15
510-1069-2400
MEDICAL SUPPLIES
Clip-on Walker Basket

Ideal for carrying lightweight items Easily attaches with snap-style hooks Rust-resistant white plastic coating Plastic insert tray available separately Size: 16 x 5-1/2 x 7
Item # Qty Price
Walker Platform Attachment
Universal Walker Pouches

510-1086-1900
1 ea
$10.05
Mobility
Easily attaches to most walkers or wheelchairs with hook and loop closure Features one large or multiple compartments for convenient storage Durable navy denim fabric Machine washable
Multiple Compartments 510-1068-2400 9-1/2 x 13 1 ea One Large Compartment 510-1069-2400 12-1/2 x 15 1 ea
$12.25 $7.85
Attaches easily and quickly to most single or two-button release walkers Designed with an adjustable, side opening padded cuff for a secure, comfortable t Helps provide a secure platform for balance and support by using the individuals forearm and shoulder strength rather than grip strength Handle platform can be rotated forward or back, and the grip handle can be adjusted side-to-side for optimum user comfort and support
Item # Qty Price
510-1008-0000
1 ea
$48.80
396
Mobility
Walker Coasters

Glides over doorways, sidewalks and carpets Bright, easy-to-see color Large, washable surface area Will not drag dirt or mud Fits standard 1 walker legs Securely attaches to walker with O-ring design Tool-free assembly Made in the USA
Item # Qty Price 510-1030-0000
510-1032-0000
1 Pair
$9.75
510-1031-0000
Walker Glide Attachments
Walkerballs

Pre-cut and ready to use For use on rear legs of walkers with front wheels Protects oors against scuff marks Designed to glide smoothly across most surfaces
510-1035-0300 510-1035-0800 510-1035-9907 510-1035-2000
Gray Red Patriotic Purple
1 pr 1 pr 1 pr 1 pr
$4.15 $4.15 $4.15 $4.15
Helps walker users glide more smoothly across uneven surfaces and thresh holds Increases walker maneuverability Installs easily into walker leg tubing Ideal for those with limited strength, eliminating the need to lift the walker Reduces friction that rubber tips create Constructed of long-lasting, high-density plastic Glides t most 7/8 or 1 I.D. (Inside Diameter) walker tubing Weight capacity: 250 lbs.
510-1030-0000 510-1031-0000
Ski, ts 1 I.D. only Universal, Fits 1 and 7/8
1 pr 1 pr
$4.05 $12.90
Walker Wheels with Glide Cap Kits
Color coordinating kit matches 802-1044 series and 802-1045 series walkers on page 395 Includes: 2 non-swivel 5 durable nylon wheels and 2 plastic glide caps Height adjustable legs t 1 inside diameter tubing Weight capacity: 250 lbs.
MEDICAL SUPPLIES
Universal Beverage Holder
Wheels Kit 510-1005-0145 510-1005-0245 510-1005-0645 510-1005-0945 510-1005-1245 Glide Caps 510-1036-0200
Blue Black Silver Pink Green Black
1 pr 1 pr 1 pr 1 pr 1 pr 1 pr
$17.40 $17.40 $17.40 $17.40 $17.40 $4.35
Holds beverage containers or mugs ranging in size from 10-oz. to 32-oz. Can be mounted horizontally, vertically, at or swing mountable Ideal for walkers or wheelchairs
Item # Qty Price
Mobility
640-8188-0200
1 ea
$14.10
397
Mobility
StrongArm Canes
Adjustable Quad Cane

Provides maximum support and stability Unisex design Soft foam grip on offset handle Slip-resistant rubber tips Can be easily reversed for right or left hand use 3/4 anodized aluminum tubing with steel base Height adjusts from 29 38 in 1 increments Small base weight: 2-1/2 lbs.; large base weight: 3 lbs. Weight capacity: 250 lbs.
The cushioned forearm-bracing cradle stabilizes the wrist Dual surfaces provide stand assist function when rising from chair or bed Ergonomic handgrip for reduced fatigue Offset bend centers the grip over the tip for maximum stability when cane is at users side Large lugs on the positive locking ring are easier to grasp Hexagonal oor tips angled sides atten to form larger footprint for improved traction on all surfaces Height adjusts to adults up to 61 Weight capacity: 250 lbs. Cradle opening: 3-1/8
Small Base 6 x 8 802-1333-0200 802-1333-0600 802-1333-5400 802-1333-9906 802-1333-9912 802-1333-9913 802-1333-9914 Large Base 7 x 11 802-1334-0200 802-1334-0600 802-1334-5400
Item #
Style
Color
Qty
Price
Black Silver Bronze Beige Floral Green Ice Blue Ice Copper Swirl Black Silver Bronze
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$13.50 $13.50 $13.50 $17.10 $17.10 $17.10 $17.10 $14.15 $14.15 $14.15
502-3001-0600
Slim
Silver
1 ea
$61.80
Acrylic Canes

Unisex design Attractive clear style Slip-resistant rubber tips Can be cut to desired user height Length: 37 Weight capacity: 150 lbs.
Item # Handle
Derby-Top Qty
Standard Price
Falls in Older People: Prevention & Management, 4th Edition

MEDICAL SUPPLIES
Presenting evidence-based practice throughout, this is a comprehensive guide to preventing and managing falls in hospitals and Long-Term Care settings. It guide explores the internal and external causes of falls, analyzes their consequences, provides clinical assessments for actual falls as well as risks for falling, and promotes an interdisciplinary approach to falls management. 2012, Softbound, Health Professions Press
502-1342-5500 502-1357-5500
Derby-Top Standard
1 ea 1 ea
$14.70 $13.20
CaneStay
8943
Mobility
Falls in Older People: Prevention & Management
$36.95

Use anywhere to keep cane in an upright position without worrying about it falling Simply squeeze the CaneStay to easily attach to any cane with a 3/4 diameter or more Rest on top of tables, wedge below tables or lean against the wall for use virtually anywhere Great for use in the bathroom for sanitation purposes Made of durable, pliable plastic Made in the USA
Item # Qty Price
512-1367-0400
1 ea
$7.10
398
Mobility
Comfort Grip Cane

Features a gel-top offset handle to reduce hand stress and fatigue Unique design provides center of gravity support Updated, sleek appearance Adjustable height from 31 to 40 for a proper t Sturdy aluminum construction Weight capacity: 250 lbs.
Adjustable Aluminum Canes

Unisex design Constructed of strong, yet lightweight anodized 7/8 aluminum tubing with slip-resistant rubber tips Features a positive locking ring for added safety and security Adjustable height in 1 increments Weight capacity: 250 lbs.
Item #
Color
Qty
Price
Vinyl Offset
Vinyl Standard
Foam Standard Foam Offset
502-1310-0255
Black
1 ea
$21.55
Item # Color Adj. Handle Height.
Qty
Price
Lightweight Adjustable Cane

Unisex design Slip-resistant rubber tip Positive locking ring 7/8 anodized aluminum tubing Wood Derby-Top Offset Foam Grip Height adjusts from 31 41 in 1 increments Weight capacity: 250 lbs. Offset foam handle cane includes security strap
Vinyl Offset Handgrip 502-1305-0600 Vinyl Standard Handgrip 502-1301-0600 502-1302-0600 Foam Offset Handgrip 502-1300-5455 502-1304-0255 Foam Standard Handgrip 502-1303-5400 502-1309-0255
Silver Silver Silver Bronze Black Bronze Black
31 40 35-1/2 41-1/2 28-1/2 40-1/2 31 39 31 40 30 39 30 39
$9.10 $10.20 $11.55 $9.10 $9.10 $9.10 $9.10
Traditional Wood Cane

Wood Derby-Top 502-1351-0100 502-1351-1200 502-1351-9907 502-1351-9908 502-1351-9909 502-1351-9912 502-1351-9913 502-1351-9914 Offset Foam Grip 502-1300-9901 502-1300-9903 502-1300-9904 502-1300-9905 502-1300-9914
Cyclone Blue Cyclone Green Patriotic Splash Floral Green Ice Blue Ice Copper Swirl Nautical Tiny Flowers Purple Flowers Spotted Copper Swirl
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$11.05 $11.05 $11.05 $11.05 $11.05 $11.05 $11.05 $11.05 $11.55 $11.55 $11.55 $11.55 $11.55
Strong, stained and sealed wood Can be cut to desired user height Standard handle style Reinforced metal slip-resistant rubber tip Weight capacity: 250 lbs. Lengths: Ladies and Mens: 36 Deluxe: 42
MEDICAL SUPPLIES Mobility
Item #
Style
Color
Qty
Price
502-1350-6100 502-1354-6100 502-1356-6000 502-1364-6100
7/8 Ladies 1 Mens 1 Mens 7/8 Deluxe
Walnut Walnut Mahogany Walnut
1 ea 1 ea 1 ea 1 ea
$8.05 $8.85 $8.85 $13.20
399
Mobility
Ultra Lightweight Aluminum Rollator

BEST SELLER Lightweight Extra-Wide Heavy-Duty Aluminum Rollator

Straight padded backrest Adjustable handle height: 32 36 in 1 increments Secure bicycle-style, loop-lock handbrakes with ergonomic handgrips Folds for storage and transportation 2-position storage basket Wire basket size: 16 x 8-3/4 x 5-3/4 Distance between handles: 16 Wheel size: 6 Overall width: 25 Flip-up cushion seat size: 14 x 13; seat height: 22 Weight: 15 lbs. Weight capacity: 300 lbs.
Item # Frame Color
Qty
Price
HealthSmart
501-1012-2100HS 501-1012-0700 501-1012-1200 501-1012-4100
Royal Blue Burgundy Green Titanium
1 ea 1 ea 1 ea 1 ea
$81.40

$87.05 $87.05 $87.05
Stronger and wider than most rollators Curved padded backrest and cushioned seat Folds for storage and transportation Adjustable handle height: 34 38 in 1 increments Secure bicycle-style, loop-lock handbrakes with ergonomic handgrips 2-position storage basket under ip-up padded seat Wire basket size: 20 x 8-3/4 x 5-3/4 Over 20% Wider Wheel size: 8 Overall width: 29-1/2 Distance between handles: 21-1/2 Flip-up cushion seat size: 18 x 13-3/4; seat height: 23-3/4 Weight: 19-1/2 lbs. Weight capacity: 375 lbs.
Item # Frame Color Qty Price
501-1029-0700 501-1029-2100 501-1029-4100
Burgundy Royal Blue Titanium
1 ea 1 ea 1 ea
$120.10 $120.10 $120.10
Ultra Lightweight Hemi Aluminum Rollator

Freedom Series Deluxe Aluminum Rollator

Mobility
Curved padded backrest Adjustable handle height: 31-1/2 34-1/2 in 1 increments Secure bicycle-style, loop-lock handbrakes with ergonomic handgrips Folds for storage and transportation Wire basket size: 16 x 10-1/2 x 4-3/4 Distance between handles: 17 Over 20% Wheel size: 6 Lower Seat Height Overall width: 24 Flip-up cushion seat size: 14-3/4 x 14; seat height: 17 Weight: 15 lbs. Weight capacity: 300 lbs.
Curved padded backrest and cushioned seat Adjustable handle height: 33 36-1/2 in 1 increments Folds for storage and transportation Secure bicycle-style handbrakes with ergonomic handgrips Pouch size: 15 x 10 x 7 Distance between handles: 16-3/4 Wheel size: 8 Overall width: 24 Large Wheels for Smooth Ride Seat size: 14 x 13; seat height: 22-3/4 Weight: 17-1/2 lbs. Weight capacity: 300 lbs.
MEDICAL SUPPLIES
501-3012-2100 501-3012-4100
Royal Blue Titanium
1 ea 1 ea
$91.50 $91.50
501-1026-2100 501-1026-4100
Royal Blue Titanium
1 ea 1 ea
$120.10 $120.10
CLOSEOUT ITEMS
400
Mobility
Push-Button Aluminum Crutches

Split or Closed Crutch Handgrips and Underarm Pads
Includes: pads, handgrips and tips Lightweight, high-quality anodized aluminum Weight capacity: 250 lbs. Adjustable height: Youth: 37 45 Adult: 44 52 Tall Adult: 52 60

Closed Handgrips
Split Handgrips
Underarm Pads
Item #
Style
Qty
Price
Protects against soreness and friction Suitable for aluminum and wood crutches Slip-resistant design
802-1435-0010 802-1435-0001 802-1435-0024
Youth (47 52) Adult (52 510) Tall Adult (510 66)
1 pr 1 pr 1 pr
$17.10 $17.10 $19.05
512-1426-9502 512-1425-9502 512-1423-9524 512-1425-9524
Split Handgrips Underarm Pad Closed Handgrips Underarm Pad
1 pr 1 pr 12 pr 12 pr
$2.40 $2.70 $28.90 $36.20
Feel Good Crutch Accessory Kit
Fleece underarm and hand grip covers help protect against soreness, rashes and blisters Comfortable 2-ply cushioning for added comfort Removable and machine washable
Item # Qty Price
Replacement Crutch Tips
512-1410-0000
1 pr
$9.10

#50
#40
Crutch Accessory Kits
Provides added stability Reinforced with metal inserts Shock absorbing Suitable for aluminum or wood crutches Sizes: #50: 3/4 x 2-7/8 #40: 3/4 x 3
MEDICAL SUPPLIES
Split

Closed
512-1431-9502 512-1432-9502 512-1431-9824 512-1432-9824
#50 Large #40 Jumbo #50 Large #40 Jumbo
1 pr 1 pr 12 pr 12 pr
$2.05 $2.40 $18.10 $23.50
Kits easily t most aluminum or wood crutches Provides cushioning for increased comfort Helps protect against soreness, rashes and blisters Includes: foam underarm pads, handgrips and #50 large tips Slip-resistant tips feature metal inserts for added stability Includes 1 pair each per kit
Mobility
512-1424-0000 512-1430-0000
Split Closed
1 pr 1 pr
$5.60 $5.60
401
Equipment
Plastic Stor-A-Lot Sundry Jars

Available in a set of ve Constructed of unbreakable white opaque or clear polystyrene All jars include clear lids for easy viewing and are available with content identications imprinted in blue Also available as single units without imprints Jars measure 6-1/2 high; opening measures 4-1/4 wide
With Imprints In Sets 39-802-000 Clear, Set of 5 Without Imprints In Single Units 39-803-000 Clear
1 ea 1 ea
$18.25 $3.60
Glass Stor-A-Lot Sundry Jars

Available in a set of ve with content identications imprinted in blue All jars include durable aluminum lid for secure closure Also available as single units without imprints Jars measure 7 high; opening measures 4 wide
Item # Qty Price
With Imprints In Sets 39-812-000 1 Set of 5 Without Imprints In Single Units 39-813-000 1 ea
$43.80 $9.70
MEDICAL SUPPLIES
5845
5803
5804
5805 Stainless-steel all welded construction
Complies with Department of Justice Drug Enforcement and the Joint Commission on Accreditation of Health Care Organizations requirements. Check your state codes.
Narcotic Control Cabinets

Equipment
A controlled system for storing and dispensing narcotics Two key/two person safety system; three keys per lock provided. Can be keyed alike Cabinet is stainless steel; aluminum shelves are adjustable and removable Both doors have piano-hinge suspension; outer door has triple-bolt lock; inner door has single-bolt lock Top can be placed on either end for left- or right-opening front door Pre-drilled holes for wall mounting 10-year warranty against defects in materials and workmanship 90-day warranty on lock and key
Item # Description Size
These products will drop ship from the manufacturer and are exempt from our FreightFree Policy. Please allow 2-3 weeks delivery time.
Qty
Price
5845 5803 5804 5805
No shelves 2 shelves 2 shelves 4 shelves
9 x 8 x 5-5/8 15 x 11 x 4 15 x 11 x 8 24 x 16 x 8
1 ea 1 ea 1 ea 1 ea
$319.30 $442.90 $545.90 $623.15
402
Equipment
I.V. Poles

MABIS DMI Healthcares I.V. Poles are rugged, yet economical Available with either two prongs and four casters or four prongs and ve casters These units are the most widely-accepted stands by health care professionals Casters feature two-wheel design for easy mobility Height can easily be adjusted from 47 to 82 Durable chrome pole and prongs will provide many years of reliable service

Item #
Description
Qty
Price
45-624-060 45-645-060
Four-Caster, Two-Prong Five-Caster, Four-Prong
1 ea 1 ea
$32.55 $69.45
Mayo StandSingle Post

U-shaped heavy chrome base, 18 x 22 Two ball bearing, rubber casters Removable stainless steel tray, 19 x 12-1/2 x 3/4 Chrome plated base Height range: 31 to 50
Item # Qty Price
31-M21
1 ea
$115.55
Mayo StandDouble Post

MEDICAL SUPPLIES
Foot Stools

Chrome-plated steel frame Available with raised support handrail and foam grip Non-slip textured matting on stool surface Features reinforced slip-resistant rubber tips for added stability Approximate stool platform dimensions: 10 x 14; height, 9-1/2; base of legs, 18-3/4 x 13-1/2; handrail height, 34 Weight capacity: 250 lbs.
Heavy, rectangular base, 21 x 20 Two ball bearing, rubber casters Removable stainless steel tray, 19 x 12-1/2 x 3/4 Chrome plated poles and base Height range: 34 to 54
Item # Qty Price
31-M22
1 ea
$111.30
Adjustable Stool
Discover new mobility with this adjustable stool. Features include: Black vinyl seat that is 14 wide with 4 thick padding Steel mounting plate for strength Rubber wheels (not carpet casters) Quiet ball bearing casters
Item # Qty Price
Equipment
802-1901-0000 539-1902-0099
Without Handle With Handle
1 ea 1 ea
$23.10 $32.25
These products will drop ship from the manufacturer and are exempt from our Freight-Free Policy.
97-2102
1 ea
$110.35
403
Equipment
Smith & Davis Universal Bed Packages

Split Spring Universal Beds have a heavy-duty head section cross bar, zinc coated spring deck, vinyl clad bed ends and self-wrenching nuts at all pivot points. Minimum height 15, maximum height 24. UL73 listed. Lifetime warranty on frame and welds. Two-year warranty on all other components. The Manual Bed is fully adjustable by operating the hand cranks at the foot of the bed. All crank handles fold down out of the way to prevent injury.
Deluxe Over Bed Tilt-Top Table


32-0100
Manual Bed Package
1 ea
$762.30
Contact your sales representative for additional specifications.
These products will drop ship from the manufacturer and are exempt from our Freight-Free Policy.
Laminate top, powder coated steel frame Features a protective lip around the edge to prevent items from sliding off Tilt-top table can adjust to angles of 15, 30 and 45 degrees to the left or right Smooth casters with wheel locks No assembly required Adjustable height: 25-1/2 38-1/2 Table top size: 15 x 23
Item #
Weight Capacity
Qty
Price
Bedside Cabinet
553-4056-0400
55 lbs.
1 ea $77.25
MEDICAL SUPPLIES
Top, bottom, sides, shelves, door and drawer fronts are constructed of 5/8 thick industrial-grade particle board with a minimum density of 45 lbs. per cubic foot. Both sides of the core are surfaced with Gunstock Walnut melamine laminate Drawers: miter fold drawer system using 45 lbs. per cubic foot particle board. Drawer bottom is 1/8 thick hard board. Drawer sides and bottom are PVC coated. Drawer sides are metal side suspension with ball-bearingcentered nylon rollers and built-in safety stops Dimensions: 17-1/4W x 16D x 29-1/2H Weight: 62 lbs. 3-drawer cabinet also available by special order Shipped via UPS
Item # Qty Price
Deluxe Heavy-Duty Over Bed Tilt-Top Table

This product will drop ship from the manufacturer and is exempt from our Freight-Free Policy.
32-7000KD
1 ea
$148.90
Equipment
Laminate top, chrome-plated steel column and base Tilts either direction, forward or backward Table top: 15 x 30, adjusts from 25-3/4 to 39 Adjustable height: 34 to 46 2 hooded ball-bearing locking casters Easy to assemble
Item #
Qty
Price
553-4054-0400
1 ea
$76.05
404
Equipment
BEST SELLER
Flex Ease Mattress

Rigid Plastic Bed Tray

Provides a stable surface for eating, writing or reading Features two convenient side compartments Easy to clean with soap and water Constructed of durable, heavy-duty rigid plastic Assorted colors Tray surface: 13-1/2 x 10-1/2; overall 23 x 11-3/4 x 8 Tray height: 8
Item # Qty Price
Firm support The innerspring is a Sureex Bonnell .312 coil-spring unit designed to gatch in all positions of a hospital bed The insulator pad is a heavy-duty resonated pad with a specialized mesh-woven back for added rmness and support Multi-layered with 1 high-density, rm, combustion-modied foam toppers Cover fabric is beige 8.5-oz. Masongard Comes with two screened brass vents at the head of the mattress
Deluxe Innerspring Mattress

Features the high-quality .312 innerspring design. Its premium-grade cotton felt and high-density urethane foam are intertufted to eliminate component shifting and increase mattress life. The durable 11-ounce vinyl cover is antibacterial, anti-static, acidresistant and waterproof for easy use and care. Equipped with two screened brass vents. 1-year warranty.
99-5085
36 x 80 x 6
1 ea
$159.25
32-36372FE
36 x 80 x 6
1 ea $104.55
Mattresses will drop ship from the manufacturer and are exempt from our Freight-Free Policy.
553-4072-0000
1 ea
$10.20
Folding Bed Boards

Mattress Transport Bags

MEDICAL SUPPLIES
Hardboard design provides maximum support Convenient and easy to use Folds down to four 15 sections, a total of 5' long; 3/4 thick
552-1950-0000 552-1952-0000
Twin 30 x 60 Double 48 x 60
1 ea $34.75 1 ea $40.50
Heavyweight, clear plastic to store and transport hospital mattresses Designed to keep contents clean and protected during transportation or storage Easily removes at the time of delivery for a fresh, new appearance Perforated rolls can hang for easy use Size: 36 x 7 x 95
Item # Qty Price
Equipment
517-1216-000
100/roll
$121.25
405
Equipment
Deluxe 3-Position Recliner

Deluxe three-position recliner loaded with features and designed with ergonomics in mind. The back and seat are formed for comfort and support. Articulating headrest supports the head and neck. The full-recline, leg-ottoman elevated and full upright positions provide maximum comfort. Three easy-to-attain positions: sitting, elevated leg or full recline Blow-molded table can either slide on and off or can be locked in one of ve positions Ergonomically designed seat, back and articulating headrest maximize individual comfort requirements Zinc-plated caster horns for improved rust resistance Special woven padding on back and seat reduces the risk of bottoming out Weight capacity: 250 lbs. Dimensions: 28W x 37D x 47H Tray: 25.5 x 15
Item # Qty Price
Linen and Personal Laundry Transport Cart

37-6065Rose
1 ea
$727.70
Convalescent Recliner

Blow-molded side panels with convenient recessed grip areas Round powder coated steel frame Vinyl covered side panels with personal storage pocket Elastic open seat base provides the ultimate in comfort and support Built-in ergonomic headrest Heavy duty total lock 5 steel casters 275-lb. weight capacity
Item # Qty Price
Removable shelves for easy cleaning Mildew resistant Snap-on cover made of durable vinyl-coated polyester mesh Easy loading and unloading from either side Four 5 swivel, zinc-plated casters, two with brakes Height: 40 Length: 38-1/2 Width: 20 Shelf spacing: 14 Weight capacity: 175 lbs. Total weight: 32 lbs.
32-550RB 32-550DB
Royal Blue Dusty Blue
1 ea 1 ea
$384.10 $384.10
37-525 *Specify vinyl color when ordering
1 ea
$544.90
MEDICAL SUPPLIES
Royal Blue
Taupe
Moss Green
Hunter Green
Gray
Burgundy
Mauve
Blueridge
Recliners will drop ship from the manufacturer and are exempt from our Freight-Free Policy.
Premier Step-On Covered Hamper Stand

Securely holds any bag (plastic, cloth or paper) 30 wide or wider. Bottom platform rack helps support heavy loads. Supplied with non-marking rubber wheels and double ball-bearing mechanisms.
Item # Qty Price
Dissolvable Laundry Bags

Equipment
An excellent method for total linen isolation. Place entire sealed bag in washer. It dissolves at 140 F and will not clog drains or leave any residue on linens.
61-0166 61-550200 61-550300
26 x 33 28 x 39 36 x 39
$18.69 $22.19 $27.09
61-159100
1 ea
$199.30
406
Equipment
Lakeside Stainless-Steel Utility Cart

Dimensions: 16-1/4D x 27-1/2 W x 31-7/8H Clearance between shelves: 11-3/4 3-1/2 swivel casters Stainless-steel top is 22-gauge with reinforced front Stainless-steel legs are 20-gauge Standard bumper equipment includes legs and handle Weight capacity: 200 lbs. Shipping weight: 30 lbs.
Item # Qty Price
Unit Dose Medication Cart

Convenient lockable side cabinet lets you store cups, wipes and general medical supplies Built-in waste container in side cabinet is at your ngertips Includes locking Narcotic Box for 12 drawer Includes waste receptacle and side mount storage cabinet Security coded dimple key and lock 220 lbs. 1 3 drawer, 1 6 drawer, 1 12 drawer 43H x 32W x 22D Standard Features: Heavy duty steel construction with electronically welded seams Premium 5 donut-shaped casters make these carts easy to maneuver (2 locking, 2 swivel) Redesigned caster system makes caster installation easy Double-wall construction for added stability and strength Removable ABS plastic top allows for thorough cleaning Two-thirds bumper system for extra protection Built-in push handle maximizes cart mobility Built-in side shelf slides in and out for quick access Built-in stabilizing base prevents accidents from happening Full length drawer pulls provide quick and easy access Pre-drilled holes allow for easy accessory installation Hybrid powder coat nish provides durable and color fast integrity through many years of use Easy Turn gang locking mechanism for quick locking Roller bearing glides make drawers easy to open
35-311
1 ea
$201.05
Modalities Cart
This three-shelf modalities cart is the last cart you will ever need. With its strong high-density polyethylene construction, it wont stain, scratch, rust or dent. It comes with quiet, easyrolling casters and locking brakes. Some assembly is required. Features include: 12-inch clearance between shelves Lifetime warranty Dimensions: 24W x 18D x 34H
Item # Qty Price
97-HE34
1 ea
$144.00
Ice Cart

MEDICAL SUPPLIES
Removable shelves for easy cleaning Shelves supported on all four sides, for strength and greater usable shelf space Snap-on, vinyl-coated polyester mesh cover Comes with skirt, ice scoop, scoop holder, 25-qt. removable ice chest and large work area 4 twin wheel casters Height: 33 Width: 29-1/2 Depth: 23-1/2 Weight: 32 lbs. Shipped via UPS Mesh colors available: royal blue, white, beige, teal, yellow and wedgewood blue
Item # Qty Price
Equipment
Item #
Qty
Price
75-575
1 ea
$326.95
35-23970
1 ea
$2,176.00
407
Equipment
Portable Mechanical Baby Scale with Built-In Tray

Digital Pediatric Scale

High performance digital pediatric scale with motion-sensing technology to capture the weights of even the most active babies. Easy-to-read 1 LCD display Large, stable weighing tray with raised edges for babys comfort and safety Weighs in kilograms and pounds/ounces Waterproof On/Off, Zero/Clear (tare), Hold/Release and Kg/lb. buttons Features include auto-off, auto-zero and low battery indicator Tare memory Measuring tape included (24 x 1/8) Powered by 6 AA batteries (included) or AC adapter (not included) 25 x 12-3/4 platform Capacity: 44 lbs./20kg Increment: 1/2-oz./10g
Item # Qty Price
Mobile Digital Baby Scale

Although the weighing tray has a more generous and comfortable design than many other models, this scale is easy to transportweighing only seven lbs. and requires surprisingly little space. With the large, clear LCD display and the practical carrying handle, which can also be used to hang the scale, this batteryoperated scale for babies and infants makes daily weighing very easy. Capacity: 44 lbs./15kg Graduation: 0.2-oz.<22 lbs.> 0.4-oz./5g <10kg>10g Functions: Tare, auto-HOLD, lbs./kg switchover
Item # Qty Price
Easy-to-read dial with weight lock-in feature 19-1/4 x 12-3/4 x 2 sanitary plastic tray includes measuring tape Protected zero adjust knob to prevent breakage Carry handle 1-year limited warranty Capacity: 50 lbs. x 1/4 lb.
Item # Qty Price
35-386
1 ea
$138.65
35-334
1 ea
$355.23
Scale Liners

35-550KL
1 ea
$355.05
2-ply econoback scale liners 19 x 13 Fits most pediatric scales 500 each per case
Transport Case
The Seca baby scale (#35-334) can be transported safely and compactly in this practical carrying case of water-repellent material. Comes complete with shoulder strap and tailor-made pads.
Item # Qty Price
60-BLUE
Blue
1 ca
$29.49
MEDICAL SUPPLIES
35-428
1 ea
$173.16
Large Raised Dial Floor Scale

Professional heavy duty steel oor scale with raised, easy-to-read 8 dial. Non-slip textured mat on 18-1/2 x 11-1/2 platform 1-year limited warranty Capacity: 400 lbs. x 1 lb./181kg x 1kg
Item # Qty Price
Equipment
Mechanical Floor Scale

With its pure, light design, this scale will make a good impression. Complete with a stable, powder-coated steel casing, a circular display and easy-to-clean tread area of black imitation leather. Capacity: 330 lbs./150kg Graduation: 2 lbs./1000g
Item # Qty Price
32-160KL
1 ea
$99.90
Health o meter scales will drop ship from the manufacturer and ship Freight-Free.
35-750
1 ea
408
Equipment
Digital Column Scale with BMI Function

The Seca 769 has the BMI function where the height of the patient is compared with the weight, thus providing valuable information. This versatile scale is battery operated, no wall outlet connection is necessary. Easy to move around this scale is tted with smooth running transport castors on which it can be wheeled to wherever its needed. The minimum power consumption of this low maintenance column scale ensures that a large number of weighings are possible with just one set of batteries. The automatic switch-off function is another reason for the low energy consumption. Capacity: 440 lbs./200 kg Graduation: 0.2 lbs./100g Power supply: batteries, A/C adapter (optional) Functions: Tare, Hold, BMI, lbs./kg switchover Includes measuring rod
Item # Qty Price
Physician Balance Beam Scale

Maximum strength, steel base and lever system, rotating easy-read poise bars with engraved, long lasting readings in pounds and kilograms. Non-slip textured cover on 10-5/8 x 14 platform Includes Silent Slide height rod (24 to 84 x 1/8) Includes two counterweights to increase capacity to 500 lbs./200kg 2-year limited warranty Capacity: 500 lbs. x 1/4 lbs. /200kg x 100g
Item #
Qty
Price
32-402 K
1 ea
$236.20
Physicians Mechanical Scale with Height Measuring Rod

Functional and sophisticatedwith this robust, durable scale one can determine weight in a classical way with smooth running sliding weights. The integrated measuring rod means that height can be measured at the same time. This additional time-saving function eases daily routine for caregivers, nurses and patients.
Scale:

35-769
1 ea
$456.26
Capacity: 400 lbs./160kg Graduation: 0.2 lbs./100g
Measuring Rod:

MEDICAL SUPPLIES
Measuring range: 36 to 83/89 to 210cm Graduation: 1/4/5mm

Item # Qty Price
Scales will drop ship from the manufacturer and are exempt from the Freight-Free policy.
$302.64
35-700
1 ea
Digital Chair Scale

Digital chair scale with added comfort from sanitary cushioned seat. Industrial strength construction for long lasting reliability. Moveable arms and folding footrest for easier patient access and comfort during weighing Larger wheels for easier mobility 1 LCD display 6 C-cell batteries (not included) and 120V AC adapter (included) 1-year limited warranty Capacity: 600 lbs. x 0.2 lb. / 270kg x 0.1kg
Item # Qty Price
Mechanical Chair Scale

Easy-to-read mechanical beam on steel frame. Heavy duty steel construction. Sanitary ABS plastic seat Folding side arms Heavy-duty wheels for portability Capacity: 440 lbs./200kg Increment: 1/4 lb./100g Two-year limited warranty
Item # Qty Price
Equipment
32-445
1 ea
$1,082.05
32-595K
1 ea
$1,443.25
409
Equipment
See page 100 for offering of Weight and Vital Signs forms.
CFS6-21HH
Pro Plus Digital Folding Wheelchair Scale
High capacity scale with ramp for easy access. Ramp attaches to either side. 270 patient memory Updateable rmware Customizable 1 backlight LCD displays in fractions, lb./oz. and decimals Oversized 32 x 37 platform with wheels for mobility accommodates geriatric (recliner) chairs and extra wide wheel chairs Includes 1 USB and 2 serial ports Keypad entry, BMI, manual tare 6 D-cell batteries (not included), 120V AC adapter (included) 180 swivel head for side read 1-year limited warranty Capacity: 1000 lbs. x 0.2 lb./454kg x 0.1kg
Hoyer Adjustable Base Chrome Lifter

The adjustable base and mast may be unlocked and separated for easy storage. The low base has a 6-1/2 clearance to easily roll under beds and cars. 5 casters are offset to provide greater stability and smooth operation. Includes foot-operated locking brakes on two of the casters. Maximum capacity is 400 lbs.
35-HLA112N
With Polydura Sling, 1-pc. Seat/Back, Chains
1 ea
$1,312.25
This item will drop ship from the manufacturer and is exempt from our Freight-Free Policy.
MEDICAL SUPPLIES
Item #
Qty
Price
32-2600
1 ea
$2,542.45
ProPlus Digital Stretcher Scale

Stretcher scale with motion detection system to read actual weight. Industrial strength construction for long lasting reliability. 1 backlit LED displays in fractions and decimals 6 D-cell batteries (not included) or 120V AC adapter (included) Hoyer lift 1-year limited warranty Capacity: 400 lbs. x 0.2 lb./181kg x 0.1kg
Item # Qty Price

Equipment
35-2000KL
1 ea
$3,416.85
410
Orthopedics
Posture Corrector
Reinforced, unisex design effectively helps restore posture and reduce back strain Excellent aid for those postural conditions Made with reinforced, crisscross foam bands for back support Easy to wear under clothing Comfortable cotton and stretchable blend fabric Hook and loop adjustment for a custom t Machine washable
Posture Perfect for Men and Women

1 elastic bands with reinforced crisscross design Helps restore posture Excellent aid for those with postural conditions Hook and eye adjustment for a custom t Comfortable to wear under clothing One size ts most Machine washable
Item # Qty Price
Item #
Size
Qty
Price
632-6223-1900
1 ea
$7.50
632-6224-1921 632-6224-1922 632-6224-1936 632-6224-1923 632-6224-1924
Small (30 to 32) Medium (34 to 36) Medium/Large (38 to 40) Large (42 to 44) X-Large (46 to 48)
$11.55 $11.55 $11.55 $11.55 $11.55
Soft Foam Cervical Collar
Universal Firm Foam Cervical Collar
Offers comfortable support while reducing head and cervical vertebrae movement Made of rm, polyurethane foam Ribbed stockinet cover promotes air circulation and helps prevent heat buildup and perspiration Hook and loop adjustment provides a custom t Hand washable One size ts most: 21 long and available in four widths
Offers comfortable support while reducing head and cervical vertebrae movement Made of soft, polyurethane foam Ribbed stockinet cover promotes air circulation and helps prevent heat buildup and perspiration Hook and loop adjustment provides a custom t Collars are available in 2-1/2 and 3 widths Hand washable Select size based on neck circumference
631-6057-0042 631-6057-0043 631-6057-0040 631-6057-0044
2-1/2 wide 3 wide 3-1/2 wide 4 wide
1 ea 1 ea 1 ea 1 ea
$5.25 $5.25 $5.25 $5.25
2-1/2 Wide 631-6040-0021 631-6040-0022 631-6040-0023 631-6040-0024 3 Wide 631-6043-0021 631-6043-0022 631-6043-0023 631-6043-0024
MEDICAL SUPPLIES
Small (12 to 13-1/2) Medium (13-1/2 to 15-1/2) Large (15-1/2 to 17-1/2) X-Large (17-1/2 to 21-1/2) Small (12 to 13-1/2) Medium (13-1/2 to 15-1/2) Large (15-1/2 to 17-1/2) X-Large (17-1/2 to 21-1/2)
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$4.75 $4.75 $4.75 $4.75 $4.75 $4.75 $4.75 $4.75
Rocker Bottom Cast Shoe

Ideal for wear after soft tissue procedures or post-op care.Provides protection for casts. Heavy-duty, blue canvas upper with hook and loop adjustment for a custom t. Open toe and heel provide air circulation. Cushioned insole and non-skid synthetic sole. Fits either foot. Unisex styling. Hand washable. Sizing by length and width of cast.
Orthopedics
Item #
Size
Qty
Price
530-6044-0121 530-6044-0122 530-6044-0123
Small (8 x 3-3/4) Medium (9-1/2 x 4) Large (11-1/2 x 4-1/2)
1 ea 1 ea 1 ea
$9.10 $9.10 $9.10
411
Daily Essentials
BEST SELLERS
Long-Handled Bath Sponges

Deluxe Hand-Held Body Shower Massager

Plastic handle with soft sponge Helps wash hard-to-reach places 640-8132-0000 has soap holder in sponge
Use as a stationary or handheld shower 3-speed, massaging action Flexible 5 hose Fits standard 1/2 threaded shower arm
Hand-Held Body Shower

Soothes tired muscles Integrated on/off switch Over 6 of white vinyl tubing Fits standard 1/2 threaded shower pipe
Item # Qty Price
640-8132-0000 640-8172-0000
16-1/2 14-1/2
1 ea $5.00 1 ea $4.40
523-1580-0600 Massager 1 ea $14.95 523-1581-0000 On/Off Switch 1 ea $4.45
523-1583-1900HS
1 ea
$13.80
Adjustable Length Reacher
Inatable Bath Pillow

Adjustable Height Sliding Shower Head

MEDICAL SUPPLIES

Use as a stationary or handheld shower Sliding bar allows usage at various heights 3-speed shower selection Flexible 5 hose Fits standard 1/2 threaded shower arm Includes: clear plastic soap dish Installation required
Supports head and neck while in tub Inates to desired comfort level 4 suction cups hold pillow securely in place Made of heavy-duty vinyl Dual-valve system
Innovative adjustable length design from 30 44 with locking ring Jaw rotates for horizontal and vertical use Ergonomic, contour grip handle 5-1/2 jaw opening Plastic frame
640-1800-0000
30 44
1 ea $17.20
523-1582-0100HS 22 x 14-1/2 1 ea
$5.80
Reach Extender with Magnetic Tip
Daily Essentials
523-1584-0600 Shower Head 523-1581-0000 On/Off Switch
1 ea $19.60 1 ea $4.45
Non-slip rubber-tipped jaw Magnetic tip picks up light metal objects 5-1/2 jaw opening Metal frame
640-1762-0000HS
32
1 ea
$7.65
412
Daily Essentials
BEST SELLER Folding and Non-Folding Aluminum Reachers with Magnetic Tip
Wide Opening Reachers with Rotating Jaw
Magnetic tip picks up light metal objects 2-1/2 jaw opening Aluminum frame
Jaw rotates for versatility 4-1/2 jaw opening Plastic frame

640-1764-0623 640-1768-0621HS 640-1764-0621 640-1768-0623
Non-Folding Folding Non-Folding Folding
32 26 26 32
1 ea 1 ea 1 ea 1 ea
$9.55 $8.90 $10.10 $9.10
640-1771-0321 640-1771-0323
20 32
1 ea 1 ea
$19.60 $20.90
Suction Cup Reachers Duro-Tek Plus Reachers
Folds down for storage Jaw rotates for horizontal and vertical use Magnetic tip picks up light metal objects 3 jaw opening Aluminum frame
Slip resistant suction cup jaw Durable, lightweight design 3-1/2 jaw opening Aluminum frame
640-1774-0621 640-1774-0623
22 33
1 ea 1 ea
$8.55 $11.40
640-1773-0621 640-1773-0623
26 32
1 ea 1 ea
$12.80 $13.90
MEDICAL SUPPLIES
Ergonomic Reachers with Rotating Jaw No Bend Shoe Remover

Easily slip off shoes without having to bend over Features raised ridges on supporting foot rest
Jaw rotates for versatility Magnet on handle to pick up light metal objects 3-1/2 jaw opening Plastic frame
Item # Size Qty Price Item # Qty Price
Daily Essentials
640-1777-0221 640-1777-0223
18 27
1 ea 1 ea
$8.05 $9.10
640-9003-0000
1 ea
$15.45
413
Daily Essentials
Maddak Shoe Horn/Dressing Aid Stick Telescopic Shoe Horn
Adjustable length design can be used while sitting or standing Guides feet into shoes without bending Durable and lightweight construction with hanging storage hook hole Length easily adjusts 21-7/8 32-3/8
Item # Qty Price
Makes it easier to slide foot into shoe Angled large hook assists with daily dressing Made of lightweight, durable plastic Ideal for those with limited range of motion
Item # Length Qty Price
641-8110-1900
24
1 ea
$4.95
640-9005-0000
1 ea
$14.45
Dressing Aid Stick Steel Shoe Horn
Slip into shoes without bending, bruising heels or crushing backs of shoes Hanger hole for storage White, epoxy-coated steel construction
2 hooks for retrieving items White, vinyl-coated hook helps with clothing Small metal hook assists with zippers Durable, wood construction
Item # Item # Length Qty Price
Length
Qty
Price
640-8110-0000
27
1 ea
$7.25
640-8174-1900HS
24
1 ea
$6.55
Long Handle Shoe Horn with Flexible Head BEST SELLER Dressing Aid Kits

MEDICAL SUPPLIES
Deluxe Sock Aid 27 Dressing Aid Stick 24 Raptor Reacher 19-1/2 Shoe Horn 22-1/2 Scrubbies Long Handled Bath Sponge Elastic shoelaces: 1 pair each of 30 white, 24 black, 24 brown (Deluxe Kit only)
Slip-resistant and ergonomic handle Flexible contoured head Handle strap allows shoe horn to hang for storage Chrome-plated metal shaft
Item #
Length
Qty
Price
640-8112-0000
24
1 ea
$6.60
Daily Essentials
641-8177-0000 641-8173-0000
Deluxe Standard
1 ea 1 ea
$26.80 $25.85
414
Daily Essentials
Leg Lifter
Long Reach Brush and Comb

Ideal for people with limited reaching ability Extended design helps eliminate shoulder and arm stress Comfortable non-slip handle
For moving legs to get out of a chair, wheelchair, bed or car Large open loops at each end help pull and lift leg or cast into position Aluminum rod covered by 1 nylon webbing
Item #
Style
Qty
Price
Item #
Length
Qty
Price
640-9013-0000 640-9014-0000
Brush Comb
1 ea 1 ea
$6.50 $4.65
640-8222-0000
32
1 ea
$9.05
Coiler Shoe Laces
Stretchable Shoe Laces

Allows shoes to easily slip on or off 27 long; ts shoes with 3 to 5 eyelets Includes: 6 pairs of laces
Converts any shoe to a slip on for people who have difculty tying shoes Never need tying and can be loosened or tightened easily Fits shoes with up to 8 pairs of eyelets No pressure points and allows natural movement 1 pair included
640-9004-0001
640-8123-0200
Black
1 ea
$6.25
640-9004-0002 640-9004-0003 640-9004-0004
White Black Brown Gray
1 ea 1 ea 1 ea 1 ea
$3.10 $3.10 $3.10 $3.10
Button Aid/Zipper Pull

MEDICAL SUPPLIES
Zipper Ring Pulls
Assists people with arthritis or limited hand dexterity to hold on to zippers Ideal for clothing, purses and jackets Includes: 3 ring pulls Rings measure 1 in diameter
Pass loop through button hole, over button and pull button through loop Wood handle with button hole loop and small metal hook on opposite end for zippers Works with standard size buttons
Daily Essentials
Item #
Length
Qty
Price
640-8104-0021
Item # Qty Price
9-1/4
1 ea
$4.45
640-9002-0000
1 ea
$8.25
415
Daily Essentials
Maddak Deluxe Molded Flexible Sock Aid

3-nger design conforms to the contours of heel and foot Nylon material reduces friction Terry cloth cover holds sock in place Long loop handles reduce bending Hand washable
Deluxe Sock Aid
29 straps with loop handles reduce bending Terry cloth cover holds sock in place Nylon lining reduces friction
Item # Item # Qty Price
Qty
Price
640-8140-0055
1 ea
$7.60
641-3852-0000
1 ea
$10.50
Maddak Heel Guide Compression Sock Aid

REVISED

Functional Assessment
17 high handles reduce the need to bend or stretch Extra-wide design for people with edema or larger feet Easy to assemble and disassemble
Assesses and records the overall functional level of service for an applicants needs Folded, 4-page booklet-style form White paper, black ink
Price Per Pack (100/pk) 1 or More
Item #
Description
3393 3394
$29.25 $29.25
Item #
Qty
Price
641-3855-0000
1 ea
$29.80
Maddak with Ridges

MBoss
Sock Aid
Telemergency Alert Device
BEST SELLER
MEDICAL SUPPLIES
Molded exible plastic 3-nger design conforms to the contours of heel and foot Outer embossed ridges hold socks in place Loop strap can be adjusted with 1 hand
Item #
Qty
Price
641-3850-0000
1 ea
$8.05
Wireless pendant button will automatically call 911 and up to 5 individuals in the order of preference until response Optional daily alarm feature Wireless phone answering with pendant will automatically activate speakerphone 9-volt battery backup powers unit during power outage Simple programming 45-day warranty
Item # Qty Price
640-6195-0750
1 ea
$104.75
Daily Essentials
Long Handle Call Bell

Steel call bell delivers a loud, clear ring Black wooden handle is easy to grasp

Item # Height Qty Price
640-5401-0000
1 ea
$3.95
416
Daily Essentials
Maddak Redware Dinnerware Set Foot Stool

Chrome-plated steel frame Non-slip textured matting stool surface Reinforced slip-resistant rubber tips for added stability Approximate stool platform dimensions: 10 x 14 Height: 9-1/2 Base of legs: 18-3/4 x 13-1/2 Handrail height: 34 Weight capacity: 250 lbs.
Standard Set includes: scooper dish, cup, fork and spoon Deluxe Set includes: partitioned dish with lid, inner-lip plate, drinking cup, fork and spoon Fork and spoon have extra-large handles for gripping Plastic cup includes cc markings for measuring liquids Dishwasher and microwave safe
Standard
Deluxe
539-1901-0000 539-1902-0099
With Handle, Assembled With Handle, Non-Assembled
2/ca 1 ea
$30.85 $32.25
641-4538-0000 641-4538-0001
Standard Deluxe
1 ea 1 ea
$21.75 $25.65
Maddak Comfort Grip Cutlery
Nosey Cups
Ideal for people with limited range of motion of the head, neck or upper body Cut-out design provides space for the nose and eyeglasses to drink easily without tipping the head 8-oz. capacity Package contains 1 each: green, yellow and blue
Item # Qty Price
Contoured stainless steel utensils Handles designed to help those with limited grasping ability Dishwasher safe
Item #
Description
Qty
Price
641-4640-0101 641-4640-0102 641-4640-0103
Fork Teaspoon Soup Spoon
1 ea 1 ea 1 ea
$16.35 $16.35 $16.35
640-9016-0000
1 set of 3
$7.25
Ring Can Pull Opener

Maddak Closed-Cell Foam Tubing
Suitable for users with arthritis or with weak hand grip Durable design for opening ring pull cans
Item #
Qty
Price
640-9000-0000
1 ea
$4.15
Builds up tool handles and increases utensil softness for an improved grip Tubing has a slip-resistant skin and is dishwasher safe Supplied in 12 pieces that can be cut to length Package contains 2 each: Tan (1/4 inner diameter x 1 outer diameter); Red (3/8 inner diameter x 1-1/8 outer diameter); Blue (13/16 inner diameter x 1-1/8 outer diameter)
Item # Qty Price
MEDICAL SUPPLIES
Food Plate Guard

641-6690-0182
1 ea
$10.20
Creates a side wall to prevent spills and push food onto fork Especially useful for a person with use of only 1 hand Fits most circular plate sizes 6 10 diameter Made of durable, polypropylene plastic Dishwasher and microwave safe
Item # Qty Price
Daily Essentials
640-9012-0000
1 ea
$5.70
417
Daily Essentials
AllerTech Cold Weather Mask
Grip Write Pen
Takes the risk out of breathing cold air Effective in sub-zero temperatures, this Arctic Fleece mask enhanced with a particle ltering lining, warms the air inhaled no matter how cold or dry Adjustable latex ear loops Rolls up, washable and long lasting
Item # Qty Price
Provides a comfortable grip when writing for individuals with arthritis Soft, lightweight ball accommodates all size hands Includes: blue ink pen Size: 2-3/4 ball diameter
Item # Qty Price
640-9007-0000
1 ea
$7.00
559-5252-0001
1 ea
$20.05
Hands-Free Magnier
Eye Drop Delivery Kit

Ideal for users with limited hand movement Makes bottle squeezing easier and ensures proper delivery of drop to the eye Includes: Eye Drop Guide and Eye Drop Squeeze Assist
Lightweight acrylic magnier is designed for tasks done close to the body Built in neck cord for reading without using hands to hold magnier 3x magnication
Item #
Qty
Price
640-9008-0000
Item # Qty Price
1 ea
$15.45
640-9015-0000
1 ea
$7.20
Seat Assist
Illuminated Bifocal Magnier
MEDICAL SUPPLIES
Hydro-pneumatic lift actuator safely lifts up to 80% of body weight, 10 high Folds at Relieves pressure of stressed joints in the hip, leg and knee Fits most chairs or seating areas Slip-resistant pad helps keep seat secure Removable, machine washable polyester cover Seat size: 18 x 17 Weight: 8 lbs. 6 different adjustment levels
Item # Weight Capacity Qty Price
3 acrylic lens with 3x magnication and bifocal insert with 5x magnication On/off sliding switch Requires 2 AA batteries (not included)
Item # Qty Price
599-8149-0200
1 ea
$8.05
Deluxe Framed Page Magnier

Daily Essentials
513-1993-0000 513-1995-0000
95 220 lbs. 200 340 lbs.
1 ea 1 ea
$110.10 $112.40
Magnies a standard sized page Offers up to 2x magnication Size: 7-1/2 x 11-3/4

Item # Qty Price
599-8193-0255
1 ea
$4.45
418
Daily Essentials
Large Print Playing Cards

Ideal
for those with poor vision Extra-large numbers and letters
3-in-1 Shopping Cart

Item #
Qty
Price
640-9009-0000
1 ea
$4.15
Fan Table Playing Card Holders

Designed to be free standing on a table top or held in hand Cards can be easily added or removed Durable plastic construction
Item # Qty Price
Shopping cart, folding chair and removable bag all in 1 Great for outdoor events Lightweight design Zippered storage area quickly converts to removable backpack Nylon fabric easily wipes clean and repels water Large 8 mag-style wheels Folds at to only 4 Size: 23 x 19 x 39 Weight: less than 10 lbs.
640-8211-2100
250 lbs.
1 ea
$40.80
Doorknob Extender

640-9010-0000
2/pk
$11.35
Wood Table Playing Card Holder

Perfect for people who can only use 1 hand Arc design stabilizes card holder on table
Item # Qty Price
For left or right hand use 5 extension handle converts a doorknob into a door lever Complete access to locks and keyholes Insert a cord or string through handle slot to make doorknobs easier to access Fits round shaped doorknobs with 2-1/8 2-3/8 diameter Installation required
Item # Qty Price
641-5416-1002
2/ca
$14.65
640-9011-0000
1 ea
$13.40
Maddak Hole-in-One Key Holder
Expandable Door Hinge
Adds 2 to any doorway opening to grant barrier-free access for most wheelchairs Install using existing screws and holes 3-hole side measures 2 x 3-1/2
Provides several grasping positions and excellent leverage 1 or 2 keys t into the slots and are held by a single screw Fits house keys and most car keys without plastic covers Keys fold back toward the inner curved side of the holder Includes: loop for a wrist strap, key chain, key ring or for hanging on a hook
Item # Length Qty Price
MEDICAL SUPPLIES
641-5412-1000
1 ea
$6.10
Item #
Color
Qty
Price
640-2006-1000 640-2006-2000 640-2006-0000
Black Satin Nickel Brass
1 pr 1 pr 1 pr
$19.60 $19.60 $12.80
Your 100% Satisfaction is Guaranteed! Every order you receive should meet your 100% Satisfaction. If you are not completely satised, notify us within the terms of our Returned Goods Policy and we will replace your unsatisfactory merchandise, issue a full credit for that merchandise or refund your money in full.
419
Daily Essentials
Daily Essentials
Folding Shopping Cart

SafeStep Ceiling Motion Sensor Light

Folds compactly Textured handgrip Hooks on to most retail shopping carts 6 rear and 3 front tires Basket size: 12 x 20 x 10 Overall size: 15 x 36 x 17 Weight: 7-1/2 lbs. Weight capacity: 90 lbs. Single folding cart: black; bulk folding carts 1 each: red, black, blue, white
Add safety and security to any room or hallway Warm white LED light activates instantly at the detection of motion up to 15 feet Weatherproof design for indoor or outdoor use 260 square feet coverage Automatically shuts off after 30 seconds Includes: instructions, all necessary hardware and 1 year limited warranty Requires 4 C batteries (not included)
Item # Qty Price
640-8213-0200 640-8213-9604
Single Bulk
1 ea 4/ca
$25.95 $102.25
599-7000-0000
1 ea
$24.75
SafeStep Motion Sensor Lights Folding Shopping Bag with Wheels

Folds to pocketbook size of 12 x 7 with carrying case Adjustable handle straps Hook and loop closure at top of bag Made of heavy gauge, water-repellent vinyl 2 folding wheels with standing supports Size: 12 x 22-1/2 x 7
Add safety and security to any stairway, hallway or pathway Automatically shuts off after 30 seconds Bright white LED light activates instantly at the detection of motion up to 10 feet 10 square feet coverage Automatically shuts off after 30 seconds Includes: instructions, all necessary hardware and 1 year limited warranty Requires 4 AA batteries (not included)
640-8215-0000
25 lbs.
1 ea
$18.45
Item #
Qty
Price
599-7001-0000
2/pk
$24.75
Food Trolley
MEDICAL SUPPLIES

Daily Essentials
Use as a serving tray, utility cart or portable table 2 dark oak wood trays with raised edges Smooth-rolling wheels for use in most household/ institutional surfaces Frame made of durable black steel and 3 caster swivel wheels Adjustable height from 30-1/2 35-1/2 Tray size: 15-3/4 x 11-3/4 Overall size: 17 x 18-1/2 x 35-1/2 Weight: 21 lbs.
SafeStep Multi-Purpose Motion Sensor Light

Add safety and security to any stairway, hallway or pathway Bright white LED light activates instantly at the detection of motion up to 12 feet 120 square feet coverage Automatically shuts off after 20 or 60 seconds Use alternatively as a nightlight with all-night glow option Includes: instructions, all necessary hardware and 1 year limited warranty Requires 3 C batteries (not included)
Item # Qty Price
553-4058-0200
250 lbs.
1 ea
$76.05
599-7002-0000
1 ea
$17.50
420
Rehab
The Pedal Exerciser

Enjoy bicycle-type exercise from your chair or place the unit on a table to exercise arms Helps improve circulation and muscle strength Made of heavy-duty steel with large knob to adjust for variable resistance Features comfortable pedal straps to help hold feet in place while in use KD version assembles easily Instructions included
Exercise Pulley Set

Designed to exercise upper body extremities easily and safety Helps increase range of motion in arms while stimulating muscles Easily ts over most standard doors
Item # Qty Price
802-2008-0000 802-2008-0099
Assembled KD
1 ea 1 ea
$27.60 $23.70
660-2030-0000
1 ea
$11.35
Mini Stepper Exerciser

Compact design is great for the home, ofce or travel Ideal for toning the waist, calves, hips and thighs while burning calories Features a unique adjustable resistance system for low impact exercise Dual-hydraulic cylinders work independently, replicating stair climbing Constructed of heavy gauge steel with high-impact plastic footrests Non-skid base helps prevent unit from slipping Built-in digital computer calculates elapsed time and number of steps Includes instructions and two AA batteries No assembly required Weight capacity: 250 lbs.
Item # Qty Price
Door Pulley Exercise Set

660-2005-0000
1 ea
$57.90
Built-in digital computer calculates elapsed time and number of steps
A simple, yet effective home/ofce pulley system Helps increase range of motion in arms while stimulating muscles Applicable for arthritis, tendonitis, frozen shoulder syndrome, rotator cuff injury, capsulitis and bursitis Works bilaterally for symmetrical results Hangs easily over standard doors
Item # Qty Price
MEDICAL SUPPLIES
660-2035-0000
1 ea
$8.50
See pages 112-115 for Rehab/Therapy Documentation. Rehab Exercise Ball

Rehab
Vinyl ball with nger loop for easy use Available in both soft or rm densities
CFS10-1HH
640-8176-0800 640-8178-0800
Soft Firm
1 ea 1 ea
$5.80 $6.40
421
Rehab
Mattress Clamp
Provides traction when patient is in a horizontal position Steel pulley support adjusts easily for height Easy to assemble on home or hospital beds Slides between mattress and box spring Includes: head halter, notched spreader bar, rope, 20-lb. vinyl bag, mattress clamp
Item # Qty Price
534-2018-0000
534-2025-0000
1 ea
$24.10
534-2020-1900
534-2014-0000
Overdoor Traction Set

Universal Pelvic Traction Belt Set

Provides easy-to-use cervical traction therapy One size foam padded head halter with hook and loop adjustment ts most adults Set includes: pulleys, traction rope, notched adjustable spreader bar, head halter, S-hook and vinyl water bag with graduated scale up to 20 lbs.
Features a comfortable annel lining Adjusts easily with pull straps Machine-washable Set includes: mattress clamp, spreader bar, rope, 20-lb. vinyl water bag
Item # Qty Price
534-2014-0000 534-2018-0000 534-2020-1900
Set 20-lb. Vinyl Water Bag Head Halter (one-size-ts-most)
1 ea 1 ea 1 ea
$12.70 $3.00 $4.45
534-2034-0000
1 ea
$34.75
MEDICAL SUPPLIES
Therapeutic Electric Heating Pads

Rehab
Heat therapy brings comforting relief to sore/aching joints and muscles Moist heat pads automatically produce moist heat for deeper penetration without adding water Non-moist heat pads produce therapeutic dry heat Excellent for sports-related injuries or strains resulting from overexertion Features three automatically controlled heat settings Hand-held on/off switch helps to maintain desired temperature Includes removable, machine-washable cover
Moist Heat
619-5131-1900
619-5131-1900 619-5133-1900 Non-Moist Heat

Item #
14-1/2 x 12 24-1/2 x 11-1/2

Size
1 ea 1 ea
Qty
$22.05 $30.90
Price
619-5132-1900 619-5134-1900
14-1/2 x 12 24-1/2 x 11-1/2
1 ea 1 ea
$20.90 $30.90
619-5134-1900
422
Rehab
KOOLpress Reusable Gel Compresses
802-3016-0100
Designed to deliver therapeutic, pain-relieving cold therapy from your refrigerator or freezer Recommended treatment for pain and swelling associated with sprains, bruises and post-operative treatment Durable vinyl shell and non-toxic proprietary gel remains soft and pliable while frozen Available in four different sizes or congurations to t most body contours
802-3016-0100 802-3017-0100 802-3018-0100 802-3020-0100
Standard, 14 x 11 Oversized, 21 x 11 Neck Contour, 23 x 7 Half-Size, 7-1/2 x 11
1 ea 1 ea 1 ea 1 ea
$12.80 $17.30 $12.15 $8.65
802-3020-0100
802-3018-0100
Ice Kold Instant Ice Compress
BEST SELLER
Squeeze to activate Remains cold for 30 minutes Recommended for muscular pain relief and to reduce swelling Remains exible when activated 1 time use only
MEDICAL SUPPLIES
612-0012-9850 612-0010-9824 612-0022-9724
Junior Standard Standard (2/Box)
4-3/4 x 6-1/2 6 x 8-1/4 6 x 8-1/4
50/ca 24/ca 24 bx/ca
$20.70 $11.55 $48.55
Water Bottle

Sol-R Heat Instant Heat Compress
Large 2-quart capacity Ribbed surface helps retain warm or cold temperatures
Item # Qty Price
42-840-000
1 ea
$3.85
Squeeze to activate Maintains therapeutic heat for up to 15 minutes Recommended for muscular pain relief; helps improve circulation Remains exible when activated 1 time use only
Rehab
612-0003-9824
6 x 8-1/4
24/ca
$14.95
423
Rehab
MICROWAVEABLE MOIST HEAT THERAPY SYSTEM
616-7103-9710
616-7104-9705
616-7105-9710
Professional Packs

Designed for use in professional practices, hospitals and clinics Extra long life, durable fabric includes a temperature monitor Monitor features bold, color-coded zones to indicate at a glance when packs temperature falls within the therapeutic temperature range Ensures the patient receives prescribed treatment accurately and consistently
616-7103-9710 616-7104-9705 616-7105-9710 616-7106-9705
Standard Pro Pack, 12 x 12, 10/ca Oversized Pro Pack, 15 x 22-1/2, 5/ca Cervical Pro Pack, 9 x 24, 10/ca Orthoversal Pro Pack, 15 x 19, 5/ca
1 ea 1 ea 1 ea 1 ea
$154.30 $160.90 $196.25 $160.90
616-7106-9705
MEDICAL SUPPLIES
TheraBeads Professional Packs are designed for the demands of the professional market. The reflective heat barrier allows moist heat to be emitted through one side only, maximizing moist heat therapy.
424
Rehab
Rehab
Joint Pain Relief

Sinus Pain Relief
Ideal for treating smaller areas Includes cover Size: 5 x 12
Helps provide fast, safe and effective relief from sinus pressure and headache pain Includes cover Size: 6 x 9
616-4504-0000 616-4509-0000
Neck Pain Relief

Neck Rest

Specially contoured for the neck and shoulder area Fully adjustable with hook and loop to help prevent slippage Includes cover Size: 6-1/2 x 22
Contour design cradles the neck and shoulder area Includes cover Size: 13 x 10
616-4512-0000 616-4505-0000
King Size Pack

Wrap System

Ideal for upper and lower back and shoulder area Easily covers large areas for maximum coverage Includes cover Size: 12 x 16
616-4507-0000
Convenient elastic wrap system adjusts from 38 to 55 Adjustable hook and loop belt with pouch includes a 5 x 12 moist heat pack Ideal for use on lumbar area Size: 6 x 38 to 55
616-4511-0000
Moist Heat Mitt

Helps relieve pain and stiffness Fits left or right hand Size: 8 x 12
616-4508-0000
MEDICAL SUPPLIES
Item #
Description
Qty

Price
616-4503-9710 616-4504-0000 616-4504-9710 616-4505-0000 616-4507-9710 616-4507-0000 616-4508-0000 616-4509-0000 616-4511-0000 616-4512-0000 616-4512-9710
Institutional* TheraBeads Standard, 9 x 12, 10/ca TheraBeads Joint Pain Relief, 5 x 12 Institutional* TheraBeads Joint Pain Relief, 5 x 12, 10/ca TheraBeads Neck Pain Relief, 6-1/2 x 22 Institutional* TheraBeads King Size, 12 x 16, 10/ca TheraBeads King Size, 12 x 16 TheraBeads Moist Heat Mitt, 8 x 12 TheraBeads Sinus Pain Relief, 6 x 9 TheraBeads Wrap System (5 x 12 pad plus wrap), 6 x 38 to 55 (wrap) TheraBeads Neck Rest, 13 x 10 Institutional* TheraBeads Neck Rest, 13 x 10, 10/ca

1 ca 1 ea 1 ca 1 ea 1 ca 1 ea 1 ea 1 ea 1 ea 1 ea 1 ca
$109.10 $10.90 $67.80 $18.10 $126.80 $25.95 $17.40 $9.95 $17.40 $16.60 $132.25
Rehab
* Institutional TheraBeads Packs are packed in a poly-bag with a generic insert.
425
Linens
Easy Access Snap Gown Convalescent Gowns with Back and Side Tape Ties

Long, durable tape ties are easy to secure on the side or in the back of the gown Large raglan sleeves allow movement of arms and help prevent fabric from gathering Made of durable polyester/cotton blend fabric Machine washable 1 size ts most adults
Designed for easy dressing and undressing Snaps on shoulders allow for breast feeding or IV application Made of durable polyester/cotton blend fabric Machine washable 1 size ts most adults
532-8032-0139
Blue
1 ea
$11.19
Side Tape Ties 532-8029-6800 Back Tape Ties 532-8030-0100 532-8030-6800 532-8030-7000 532-8030-7200 532-8030-7500 532-8035-0100 532-8035-6800
Diamond Print Blue Print Rose Print Pink Print Pink Floral Blue Print
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 12/pk 12/pk
$7.97 $8.60 $8.60 $8.60 $8.60 $8.60 $66.19 $66.19
Pillow Paws Terries
Made of soft, comfortable terry cloth. The slip-resistant tread is designed to offer patient protection. Color-coded sizes. Washable.
Item # Description Price Per Pair (48 pr/ca) 1 48
Convalescent Gowns with Snaps

43-1094 43-1096 43-1097 43-1098
Youth, light blue Adult, teal X-Large Adult, tan XX-Large Adult, gray
$1.79 $1.79 $1.79 $1.79
$1.75 $1.75 $1.75 $1.75
Snaps running the length of the gown ensure a secure t Large raglan sleeves allow movement of arms and help prevent fabric from gathering Made of durable polyester/cotton blend fabric Machine washable 1 size ts most adults
Pillow Paws Hard Soles

Made of soft terry cloth uppers and durable, slip-resistant, waterproof, exible soles. Shoelike heels provide extra cushioning. Color-coded sizes. Ideal for long-term use. Washable.
1 ea $8.60
Item # Description Price Per Pair (48 pr/ca) 1 48
532-8030-0139
Blue
MEDICAL SUPPLIES
Iron-On Labels
Perfect for the identication of patient/resident clothing. These labels can also be used to identify facility linens and staff apparel (scrubs, smocks, lab coats, etc). Cartridge contains 300 (25 feet) of label material Compatible with Casio KL-120 printer 18mm Label (3/4)
BEST SELLER
43-5084 43-5085 43-5086 43-5087
Small, 5-7, lemon Medium, 7-1/2-8, azure Large, 8-1/2-10, emerald X-Large, 10-1/2-11-1/2, sand
$4.09 $4.09 $4.09 $4.09
$3.95 $3.95 $3.95 $3.95
Pillow Paws Foam Slippers

Made of high quality, lightweight, non-skid foam with a smiley face on top of each slipper. Color-coded sizes. Ideal for short-term use.
Linens
Item #
Description
Price Per Pair (96 pr/ca) 1 96
43-1005
Price Per Pack (1 cartridge/pk) 1 3 7+ Item #
Size 6-1/2-8, azure

Description
$1.19
$1.05
Item #
Color
Price Per Pair (72 pr/ca) 1 72
L-550
Black Ink
$22.85
$21.65
$20.15
43-1006 43-1007
Size 8-1/2-10, emerald Size 10-1/2-12, sand
$1.29 $1.29
$1.15 $1.15
= Latex-Free Product
426
Linens
Mealtime Protectors

Chest to lap protection Hook and loop closure at neck Made of polyester/cotton cover with water resistant barrier Size: 17-3/4 x 36
Disposable Tissue Clothing Protector

Qty Price
Item #
Color
532-6029-7000 532-6029-7100 532-6029-7300
Fancy Rose Fancy Green Fancy Navy
1 ea 1 ea 1 ea
$8.49 $8.49 $8.49
Economical tissue clothing protector, complete with ties. 16 x 33.
Item #
Description
Price Per Case 1 5
Patient Protectors

8-920861
300 ea/ca
$30.99
$30.05
Easy on/off with 2 back closure options Made of absorbent, durable, white terry cloth face Crumb catcher style features a front pouch and water resistant vinyl backing Machine washable Size: 17-3/4 x 26-1/2
Disposable Plastic Clothing Protector

Embossed plastic clothing protector with a pocket across the bottom to catch food or liquid drippings to protect garments during feeding. Complete with attached ties for convenience. 15-3/4 x 21-1/4.
Item # Description Price Per Case 1 5
Hook & Loop Closure 532-6012-1900 Crumb Catcher with Ties 532-6012-9812
White White
1 ea 12/pk
$4.59 $49.99
48-443
200 ea/ca
$43.79
$42.85
Bulk Patient Protectors

Easy on/off with hook and loop closure at neck Made of absorbent, durable terry cloth Machine washable Size: 17-1/2 x 33-1/2
MEDICAL SUPPLIES
Smokers Apron
532-6013-1900 532-6013-2400
White Blue
12/pk 12/pk
$28.89 $28.89
Clothing Protector

Hook and loop closure at neck Made of absorbent, durable navy terry cloth Water-resistant backing Machine washable Size: 17-1/4 x 32-1/2
When residents/patients smoke, there is a danger. That is why Skil-Care offers the re-proof Smokers Apron. It cannot be ignited by a cigarette or cigar not even by a burning match. The apron covers the residents/ patients lap and chest. A special design prevents cigarettes from being dropped between the resident/patient and the wheelchair. May also be used by residents/patients not in wheelchairs.
Item # Qty Price
Linens
99-6095
1 ea
$38.09
532-6014-2400
Navy
1 ea
$6.69
427
Linens
Domestic Terry Cloth Towels and Washcloths

Designed specically for institutional use. Weight listed is lbs per dozen.
Item # Description Price Per Dozen 1 5
No-Iron Sheets and Pillow Cases

Supreme Percale is a 50% combed cotton/50% polyester material. Combines the comfort of cotton with the durability and light weight of poly. Dual nish, 1 hem top and bottom. Thread count minimum 180 threads per square inch. Never needs ironing. White.
Item # Description Price Per Each 1 12
Vinyl Mattress Cover with Zipper

58-300 6 Gauge 36 x 80 x 6 $16.80
$16.25
52-1376 Towel, 20 x 40, 6 lbs. 52-1619 Hand towel, 16 x 27, 3.1 lbs. 52-3602 Washcloth, heavyweight, 12 x 12, 1 lbs.
$37.39 $24.49 $6.79
$36.25 $23.75 $6.65
50-6684 50-3680 50-4236
Flat sheet 66 x 104 Fitted sheet 36 x 80 x 6 Pillowcase 42 x 34
$12.15 $11.05 $2.70
$11.50 $10.50 $2.55
Bath Blanket
A lighter weight 100% cotton blanket; hemmed and unbleached.
54-0104
70 x 90, 1.4 lbs.
$8.19
$8.05
Flannel/Rubber Waterproof Sheeting

MEDICAL SUPPLIES

Helps protect bedding from moisture Soft and comfortable against the skin Cotton annel is bonded to non-allergenic synthetic rubber Neutral white nish Autoclaveable and machine washable Available in two styles: annel/rubber and annel/rubber/annel
Flannel/Rubber drawsheet
Airweave Knit Hospital Bed Sheet
Flannel/Rubber Sheeting 560-8037-0021 36 x 36 1 ea 560-8037-0022 36 x 54 1 ea 560-8037-0023 36 x 72 1 ea Flannel/Rubber/Flannel Sheeting 560-8098-0021 36 x 36 1 ea 560-8098-0022 36 x 54 1 ea 560-8098-0023 36 x 72 1 ea
Linens
$12.65 $16.60 $20.30 $12.70 $19.20 $24.20
Soft and comfortable, white airweave polyester/cotton knit allows for improved air circulation One-size ts most hospital beds Ideal for use with convoluted foam pad Resistant to tears and snags; underpad stays in place Size: 36 x 80 x 6
Item # Qty Price
MicroTech Pillow
Filled with 18-oz berll, microvented cover, non-allergenic, ame retardant, anti-bacterial. Wipes clean.
554-7071-1954
1 ea
$15.45
58-6612005
21 x 27
$7.55 $7.40
428
Linens
Radial Cut Memory Foam Pillow

554-8041-1900

Supports head and neck Constructed of pressure relieving, high-density, visco-elastic foam Ribbed surface promotes better air circulation and comfort while helping to reduce heat retention Unique contour design supports all sleeping positions Temperature sensitive foam conforms to body contours Zippered, cream terry-cloth cover is removable and machine-washable 19 x 12 x 3 to 4-1/2
Item # Qty Price
554-8011-4300
1 ea
$20.10
554-8042-1900
Pillow Protectors

Waterproof and hypoallergenic Soft, cool and breathable Extends the life of pillows Machine-washable with rust-resistant zipper Fits standard size pillow 21 x 27
554-8041-1900 Plastic Vinyl 554-8042-1900 Plasticized Polyester
1 ea 1 ea
$2.50 $7.15
Duro-Rest Water Pillow

Buoyancy provides maximum support to the head and neck Hypoallergenic berll cushioning surrounds the removable, leakresistant vinyl water bag with drain plug White polyester/cotton self-cover pillow is machine-washable
Adjust water to desired comfort level from soft to rm Water stays at room temperature Fits most standard pillow cases 24 x 19
Item # Qty Price
554-7918-1900
1 ea
$17.40
MEDICAL SUPPLIES
Stress-Ease Support Pillow
Offers total support in most sleeping positions Multi-size lobes support the head and neck providing proper alignment during rest 100% hypoallergenic polyester berll holds its shape and lasts twice as long as average foam pillows Available with polyester/cotton self-cover Fits most standard pillow cases 17 x 22
Linens
554-7905-0100 554-7905-1900 554-7904-1900
Blue White White, Allergy Free
1 ea 1 ea 1 ea
$13.95 $13.95 $21.75
CONCAVE CENTER SUPPORTS HEAD
USE ON EITHER SIDE
RAISED OUTER EDGE FOR NECK SUPPORT
429
Respiratory
Disposable Inner Cannula AirLife Cushion Nasal Cannula

Soft, clear design provides optimum patient comfort. Oxygen supply tubing is crush-resistant to prevent occlusion and kinking.
Disposable Inner Cannula with integral 15mm snap-lock connector for quick and safe disposal after a single use. 10 each per box.
Trach Care Tray

Contains: 1 waterproof drape, 4 x 4 gauze sponges (4), 2 cotton-tip applicators, 36 twill tape (1), 1 cleaning brush, 1 trach dressing, 4 pipe cleaners
76-6DIC 76-8DIC
Size 6 Size 8
1 ea 1 ea
$69.75 $69.75
76-002600 Adult cannula with 7 oxygen supply tubing
$1.05
1.00
Shiley Tube Disposable Cannula Tracheostomy Tubes

Provides the convenience of a disposable inner cannula. Cufess.
76-8001
20 ea/ca
$2.70
Trach Care Tray with Gloves

Same as #76-8001 (above), plus 1-pair of vinyl gloves.
76-8DCFS Size 8, 12.2mm OD, 7.6mm ID, 79mm long
1 ea
$73.65
76-8003
20 ea/ca
$2.50
AirLife Nasal Cannula

Angulated, exible lip plate provides comfort at the tip of the nasal region, with beveled tips to provide a softer edge.
AirLife Adult Tracheostomy Mask

Neckband is made from a comfortable, nonbiting material and the swivel tubing connector permits access from either side of the patient. The special strap clips allow the mask to be removed with minimal disturbance to the patient.
76-001310
MEDICAL SUPPLIES
Flared tip with 7 Smooth-Bor Lumen tubing
CURITY Tracheostomy Care Tray

Contains: Removable basin, 2 vinyl gloves, 1 trach brush, 1 drape, 1 twill tape (36), 1 trach dressing, 2 cotton tipped applicators, 2 pipe cleaners and 4 gauze (4 x 4)
$1.25 $1.20 76-1225 50 ea/ca
$2.20 $2.15
26-4780
20 ea/ca
$3.20 $3.15
Tracheostomy Tube Holder

Respiratory Same-Day Shipping
Two-piece neckband of cotton pile and special stretch material attaches to tracheostomy tube anges with Velcro tabs. One size ts most adults. Reusable.
Suction Catheter Kit with Sterile Inner Wrap

Contains: Suction catheter with SAFE-T-VAC valve, 2 vinyl gloves, pop-up solution cup
76-240
10 ea/bx
$3.60
$3.50 26-3740 14 Fr., 50 ea/ca
$1.15
$1.10
430
Respiratory
Fingertip Pulse Oximeter

Standard 40-810-000
Select 40-811-000
Easy and accurate way to monitor blood oxygen saturation levels and heart pulse rate Ideal for any situation in which a fast measurement of vital signs is needed Fits adults and children Auto power off Includes: 2 AAA batteries, case and lanyard 2-year limited warranty Digital LCD display Small and lightweight 1-button operation
Standard:
Select
Deluxe 40-812-000
Premium 40-813-000
Anti-motion technology takes readings even with slight movement Bright, 1-color digital OLED display Automatically takes readings when nger is inserted Read from 2 directions Plethysogram display Switchable to perfusion index percentage display
Deluxe
Anti-motion technology takes readings even with slight movement Bright, 2-color digital OLED display Automatically takes readings when nger is inserted Read from 2 directions Plethysogram display Switchable to perfusion index percentage display
Premium
Anti-gravity sensor rotates reading to any direction Anti-motion technology takes readings even with slight movement Bright, full-color digital OLED display Automatically takes readings when nger is inserted Plethysogram display Switchable to perfusion index percentage display
40-810-000 40-811-000 40-812-000 40-813-000
Standard Select Deluxe Premium
1 ea 1 ea 1 ea 1 ea
$72.10 $82.40 $92.70 $103.00
MEDICAL SUPPLIES
Schuco -Vac Model 130 Aspirator
Graco NasalClear Nasal Aspirator
This durable unit has an ultra-strong, lightweight casing and controlled vacuum regulation from 0 to 22 Hg. Applications include EENT drainage and tracheal sectioning. 3-year warranty.
34-130 34-1160
Aspirator, 1/10 hp, 115V 60Hz, 0-22hg vacuum range, 18 lbs 1200cc plastic replacement canister
1 ea 1 ea
$333.95 $13.00
Gently, safely and quickly clears nasal congestion Plays music to comfort during use Parts are dishwasher safe; comes apart for easy cleaning Includes: 2 different-shaped silicone tips, storage bag and instruction manual Requires 2 AA batteries (not included)
Item # Limited Warranty Qty Price
Respiratory
1750335
1-Year
1 ea
$21.55
431
Respiratory
Margo Moo Compressor Nebulizer
MiniBreeze Ultrasonic Nebulizer

Small, quiet unit Produces a ne mist for advanced medication therapy Mini size ts perfectly in your hand Treatment time within 6 minutes for most medications Particle size range: 1 to 10 microns Automatic shut-off after 10 minutes Unit size: 2-3/8 x 4-5/8 x 6-1/2 Includes: mouthpiece, extension tube, connector, nasal piece, adult mask, child mask, medication cups, air lters, nebulizer stand, rechargeable battery pack, AC adapter, DC adapter and tote bag
Item # Unit Weight Limited Warranty Qty Price
Offers a friendly face during aerosol medication treatments Includes Storybook NEW Storybook starring Margo Moo teaches kids about nebulizer treatments to ease nerves Canvas barn safely totes Margo Moo and accessories Lightweight and portable, with built-in handle Particle size range: 0.5 to 10 microns Maximum pressure: 36 psi Compressor ow: 6 8 lpm Unit size: 7 x 7-3/4 x 4-1/2 Includes: barn tote bag, child face mask, 7-ft. air tubing, angled mouthpiece, nebulizer and 5 air lters
40-269-000 1 ea $98.05
3.6 lbs.
5-Year
1 ea
$44.60
40-370-000
0.46 lbs.
5-Year
Digger Dog Compressor Nebulizer
NebPak UltraSonic Nebulizer
Medication delivery in a fun way from a faithful dog NEW Storybook starring Digger Dog teaches kids about nebulizer treatments to ease nerves Canvas dog house safely totes Digger Dog and accessories Lightweight and portable Particle size range: 0.5 to 10 microns Maximum pressure: 43 psi Compressor ow: 6 8 lpm Includes Storybook Unit size: 8-3/4 x 5-1/2 x 9 Includes: dog house tote bag, child face mask, 7-ft. air tubing, angled mouthpiece, nebulizer and 5 air lters
40-365-000
40-366-000
MEDICAL SUPPLIES
Respiratory
Matching unit and backpack are designed to appeal to children, teens and young adults Small, quiet unit Produces a ne mist for advanced medication therapy Mini size ts perfectly in your hand Treatment time within 6 minutes for most medications Particle size range: 1 to 10 microns Automatic shut-off after 10 minutes Unit weight: 0.46 lbs. Unit size: 2-3/8 x 4-5/8 x 6-1/2 Includes: mouthpiece, extension tube, connector, nasal piece, adult mask, child mask, medication cups, air lters, nebulizer stand, rechargeable battery pack, AC adapter, DC adapter and camouage backpack
Item # Color Limited Warranty Qty Price
40-369-000
3.5 lbs.
5-Year
1 ea
$44.10
CompXP Portable Compressor Nebulizer

40-365-000 40-366-000
Green Pink
5-Year 5-Year
1 ea 1 ea
$111.25 $111.25
Portable, handheld compressor Compact, rechargeable compressor system Particle size range: 0.5 to 10 microns Maximum pressure: 29 psi Compressor ow: 4 8 lpm Unit size: 8-3/4 x 4-1/4 x 2-1/2 Includes: 7-ft. air tubing, nebulizer, angled mouthpiece, connector, rubber base, rechargeable battery pack, AC adapter, DC adapter, canvas tote bag, nebulizer and 5 air lters
40-136-000
1.54 lbs.
5-Year
1 ea
$107.90
432
Respiratory
Digger Dog and Margo Moo Steam Inhaler

MiniComp Compressor Nebulizer

Built in carrying handle for easy portability Particle size range: 0.5 to 10 microns Maximum pressure: 36 psi Compressor ow: 6 8 lpm Unit weight: 3.29 lbs. Unit size: 7-1/4 x 7 x 4-3/4 Includes: 7-ft. air tubing, nebulizer, angled mouthpiece and 5 air lters
Item # Bag Limited Warranty Qty Price
40-750-000

40-751-000
First steam inhalers created just for kids Helps relieve symptoms due to allergies, bronchitis, colds, u, laryngitis, rhinitis, sinusitis and more Soothing, steady vapor with variable steam adjustment Fast 6 9 minute therapy Includes: soft, exible mask; drain and aromatherapy tank; indicator light; measuring cup and 5-ft. cord
Item # Description Limited Warranty
40-125-000 40-126-000
5-Year 5-Year
1 ea 1 ea
$38.65 $44.60
Qty
Price
40-750-000 40-751-000
Margo Moo Digger Dog
1-Year 1-Year
1 ea 1 ea
$33.20 $33.20
CompMist Compressor Nebulizer
Steam Inhaler and Facial Mask
Helps relieve symptoms due to allergies, bronchitis, colds, u, laryngitis, rhinitis, sinusitis and more Soothing, steady vapor with variable steam adjustment Fast 6 9 minute therapy Includes: soft, exible mask; drain and aromatherapy tank; indicator light; measuring cup and 5-ft. cord
Durable unit stores all its own parts and cords Particle size range: 0.5 to 10 microns Maximum pressure: 36 psi Compressor ow: 6 8 lpm Unit size: 11-7/8 x 7-1/8 x 4-1/2 Includes: storage case, 7-ft. air tubing, nebulizer, angled mouthpiece and 5 air lters
40-105-000
4.6 lbs
5-Year
1 ea
$41.95
CosmoComp Compressor

MEDICAL SUPPLIES
Item #
Description
Limited Warranty
Qty
Price
40-741-000 40-745-000
Steam Inhaler Facial Mask
1-year 1-year
1 ea 1 ea
$38.65 $5.60
Peak Flow Meter

Sturdy construction Simple 1-button operation Particle size range: 0.5 to 10 microns Maximum pressure: 29 psi Compressor ow: 6 8 lpm Unit size: 7-3/4 x 6-3/8 x 3-3/4 Includes: 3-ft. air tubing, nebulizer, angled mouthpiece and 5 air lters
Monitors asthma by measuring lung performance Non-slip zone markers Built-in handle Pocket size design Single patient use Suitable for children and adults Includes: daily record chart and 6 zone markers
Item # Qty Price
Item #
Unit Weight
Limited Warranty
Qty
Price
Respiratory
40-390-000
2.6 lbs.
5-Year
1 ea
$24.75
40-900-000
1 ea
$18.55
433
Respiratory
40-062-001
40-101-000
40-102-000
40-106-000
40-107-006
40-107-007
40-107-008
40-108-003
40-109-000
40-112-000
40-111-000
40-170-000
40-276-000
40-374-000
40-187-312
Item #
Description
Qty
Price
Item #
Description
Qty
Price
434
Respiratory
Universal Compatibility 40-062-001 Adult Mask 40-062-005 Child Mask* 40-101-000 Nebulizer 40-102-000 Air Tubing, 7 40-106-000 Angled Mouthpiece 40-107-006 Dog Mask Kit 40-107-007 Elephant Mask Kit 40-107-008 Reusable Kit 40-108-003 Baby Pacifier Kit 40-109-000 Tee Adapter Kit 40-112-000 Angled Mouthpiece Kit 40-390-000 CosmoComp Compatibility 40-111-000 Air Filters 40-105-000 CompMist Compatibility 40-111-000 Air Filters 40-110-000 Air Filter Cover* 40-125-000 & 40-126-000 MiniComp Compatibility 40-111-000 Air Filters 40-114-000 Air Filter Cover* 40-063-000 Light Gray Canvas Zippered*
MEDICAL SUPPLIES
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 10/pk 10/pk 1 ea 10/pk 1 ea 1 ea
$2.05 $2.05 $1.65 $1.30 $0.60 $7.75 $7.75 $15.45 $9.10 $5.45 $3.65 $1.35 $1.35 $0.60 $1.35 $1.85 $10.45
40-136-000 NebXP Compatibility 40-170-000 Air Tubing Connector 1 ea $0.85 40-158-012 12V AC Adapter* 1 ea $15.35 40-159-012 12V Auto DC Adapter* 1 ea $10.90 40-177-012 Rechargeable Battery* 1 ea $57.85 40-160-000 Gray Canvas Zippered* 1 ea $9.05 40-178-000 Air Filters* 10/pk $2.45 40-269-000 Margo Moo Compatibility 40-111-000 Air Filters 10/pk $1.35 40-260-000 Barn-Style Canvas* 1 ea $12.70 40-369-000 Digger Dog Compatibility 40-111-000 Air Filters 10/pk $1.35 40-370-000 MiniBreeze, 40-365-000, 40-366-000 NebPak Compatibility 40-275-000 Extension Tube* 1 ea $1.45 40-276-000 Nasal Piece 1 ea $0.60 40-374-000 Medication Cups 10/pk $1.65 40-311-000 Air Filters* 10/pk $1.65 40-306-000 Mouthpiece* 1 ea $7.75 40-187-312 Rechargeable Battery 1 ea $40.80
Diagnostics
2.5v PocketScope Otoscope/ Throat Illuminator
KaWe PICCOLIGHT F.O. Otoscope with XENON Illumination
Features ber optics illumination with 2.5V xenon lamp and 3x magnication Broad, unhindered line of sight 20 disposable ear specula, 10 each 2.5mm and 4.0mm Requires 2 AA batteries (not included) Black carrying case with hook and loop closure
Halogen light for true tissue color and consistent, long-lasting illumination Fiber optics for cool light with no reections and no obstruction Wide-angle viewing lens for instrumentation under magnication Sealed system for pneumatic otoscopy Built-in throat illuminator/penlight for added versatility Uses specula on page 436
Item # Qty Price
20-860-010 20-860-020 20-860-120

Item #
Blue Black Green

Description
1 ea 1 ea 1 ea
Color Qty
$80.95 $80.95 $80.95

Price
75-22820
1 ea
$188.60
Accessories & Replacement Parts 20-910-000 2.5mm Disposable Ear Specula, 20-911-000 4.0mm Disposable Ear Specula, 23-933-000 Otoscope Replacement Halogen Lamp 2.5V
Black Black
100 ea/pk 100 ea/pk 1 ea
$7.15 $7.15 $13.15
767 Wall Transformer
KaWe EUROLIGHT C10 Otoscope
Features standard illumination with 2.5V vacuum bulb, 3x magnication and rotating lens Dimmable rheostat 20 disposable ear specula, 10 each 2.5mm and 4.0mm Requires 2 C batteries (not included) or KaWe rechargeable battery Matching zippered bag
Item # Qty Price
Handle-based rheostats for quick adjustments to light intensity Comfortable, contoured handles that are easy to hold and maneuver Modular coiled cords, guaranteed for 10 years High-impact ABS housing is durable and easy to clean Improved cradle design featuring OptiSense, a reliable optical sensor that automatically turns handles on when they are removed from the cradle Does not include instrument heads
MEDICAL SUPPLIES
20-810-000
1 ea
$81.60
Contains: 3.4v, without clock (any 3.5v otoscope or ophthalmoscope head will t)
Item # Qty Price
Item #
Description
Color
Qty
Price
Accessories & Replacement Parts 20-846-000 Reusable Ear Speculum 20-912-000 20-913-000 23-943-000 2.5mm Disposable Ear Specula 4.0mm Disposable Ear Specula Otoscope (Incandescent) 2.5V Replacement Bulb
75-76710 Black Black 3/pk (1/ea of 2.5, 3.5 and 4.5mm 100 ea/pk 100 ea/tube 1 ea $13.80 $9.40 $9.40 $8.05
1 ea
$451.35
435
Diagnostics
Diagnostics
3.5v MacroView Otoscope/Throat Illuminator with Specula 3.5v Coaxial Ophthalmoscope
23 lenses illuminated lens dial for accuracy and versatility Soft brow rest steadies instrument and protects spectacles 5 aperture selections for all diagnostic applications Polarizing lter/dust cover minimizes interference from corneal reection and protects optics from dust Coaxial optical system for shadow-free spot and easier entry into undiluted pupil Crossed-liner polarizing lter to reduce corneal reection Red-free lter for use with any aperture 15 possible aperture combinations for greater versatility Sealed optics for better dust protection Use with handle #75-71000
Item # Qty Price
Bigger, better, sharper view for faster and more efficient ear examinations.
Twice the eld of view 30% greater magnication than a traditional otoscope Ability to adjust focus ne tune view Tip grip for secure fastening of ear specula along with ejection feature for disposal Fiber optics produce cool light with no reections, no obstruction Simply detach the head for high-intensity throat illumination or penlight Contains: Instrument head and 4 reusable polypropylene specula (2.5, 3, 4 and 5mm)

3.5v Desk Charger

Contains: Charger base and two 3.5v rechargeable handles
Item # Qty Price
Item # 75-71630
1 ea
$485.45
Rechargeable Batteries
Item #
Qty
Price
Item # 75-23820
1 ea
$261.65
For Use With 75-71630 75-72200 3.5v (with clip) 1 ea $39.00 For Use With 75-97120, 75-71000, 75-97150 75-72300 3.5v 1 ea $40.05
75-11720
1 ea
$253.80
MEDICAL SUPPLIES
3.5v Halogen Diagnostic Set

Contains: Standard ophthalmoscope MacroView otoscope and direct plug-in handle in hard case.
Item # Qty Price
KleenSpec Disposable Specula

The following instrument heads use these disposable specula: 75-23820 and 75-22820, 75-25020, 75-97150.
Hard Case Diagnostic Kit

Contains: 3.5v ophthalmoscope, 3.5v otoscope and 3.5v rechargeable handle (offered above right). Uses speculas below.
Item # Qty Price
75-97150
1 ea
$621.10
Diagnostics
75-97120
1 ea
$588.85
75-52432 2.75mm, Pediatric 75-52434 4.25mm, Regular
850/bx 850/bx
$35.35 $35.35
436
Thermometry
Exclusive Products
Digital Thermometer
The Briggs Digital Thermometer with large digital display features a quick 60-second readout, peak temperature beeper and memory recall of last temperature reading. The automatic shut-off feature turns the unit off after approximately ten minutes to preserve battery life. Includes protective storage case, instructions and ve probe covers to prevent cross contamination.
Disposable Probe Covers

One size fits Briggs Digital Thermometer and most other digital thermometers.
Briggs Disposable Probe Covers feature a closed system to prevent cross contamination.
Item #
Price Per Each 1
Item #
Price Per Box (100 ea/bx) 1
54-610-000
$3.20
54-618-000
$2.65
60-Second Jumbo Easy-to-Read Display 60-Second Flexible Tip

Soft, exible tip for added comfort Rubber side grips for easy handling Automatic shut-off F temperature display 99.5F fever alarm Peak temperature tone Memory recall of last reading Includes: storage case, 5 probe covers and replaceable LR41 long-life battery
Large LCD display F temperature display Peak temperature tone Memory recall of last reading Includes: storage case, 5 probe covers and replaceable LR41 long-life battery
Item #
Limited Warranty
Qty
Price
15-720-000 1 ea $3.90
1-Year
1 ea
$4.90
15-605-000
1-Year
MEDICAL SUPPLIES
60-Second Deluxe

9-Second Rigid Tip

Automatic shut-off Peak temperature tone Memory recall of last reading Water resistant Includes: storage case, 5 probe covers and replaceable 1.55V (AG3) long-life battery
Item # Style Limited Warranty Qty Price
Large, easy-to-read display Automatic shut-off F temperature display Peak temperature tone Memory recall of last reading Water resistant Includes: storage case, 5 probe covers and replaceable 1.55V (AG3) long-life battery
Thermometry
15-600-000 15-604-000
Fahrenheit Celsius
1-Year 1-Year
1 ea 1 ea
$4.30 $4.30
15-732-000
Lifetime
1 ea
$4.90
437
Thermometry
60-Second Basal Display Digital Therm

30-Second Slim Thermometer

A tool for natural family planning Readings are displayed to a 100th of a degree 12-month supply of ovulation charts Peak temperature tone Memory recall of last reading Water resistant Includes: storage case, 5 probe covers and replaceable LR41 long-life battery
Item # Style Limited Warranty Qty Price
Unique design ts comfortably in mouth F/C switchable 100F fever alarm Peak temperature tone Water resistant Memory recall of last reading Includes: 5 probe covers, battery and storage case
15-639-000
Fahrenheit
1-Year
1 ea
$5.20
15-930-000
1-Year
1 ea
$6.15
60-Second TinyTemp

30-Second Slim Thermometer Family Pack
1-piece solid plastic construction Automatic shut-off F temperature display Includes: half storage case and non-replaceable battery
Item #
Limited Warranty
Qty
Price
15-698-000
1-Year
1 ea
$2.45
Color-coded so each family member can have their own designated thermometer Unique design ts comfortably in mouth F/C switchable 100F fever alarm Peak temperature tone Water resistant Memory recall of last reading Includes: 5 probe covers, battery and storage case
9-Second Flex Tip

Flexible tip Large, easy-to-read display Automatic shut-off F temperature display Peak temperature tone Memory recall of last reading Water resistant Includes: storage case, 5 probe covers and replaceable 1.55V (AG3) long-life battery
15-930-004
1-Year
1 ea
$18.35
10-Second FeverVue Thermometer
MEDICAL SUPPLIES
15-736-000
Lifetime
1 ea
$6.05
FeverVue technology displays a sad face when a fever is detected F/C switchable 100F fever alarm Peak temperature tone Water resistant Memory recall of last 10 readings Includes: 5 probe covers, battery and storage case
8-Second Ultra Premium

Thermometry
Supersized display with Nite-Glo Soft, exible tip Automatic shut-off F \C switchable 100F fever alarm Peak temperature tone Memory recall of last reading Water resistant Includes: storage case, 5 probe covers and replaceable LR1130 (AG10) long-life battery
15-905-000
1-Year
1 ea
$9.20
Probe covers available. See page 437 for more details.
Item #
Limited Warranty
Qty
Price
15-878-000
Lifetime
1 ea
$6.55
438
Thermometry
Geratherm Mercury-Free Glass Thermometers
Digital Pacier Thermometer with Musical Fever Alarm

Fast 90-second readout Orthodontic nipple Soothing Twinkle, Twinkle, Little Star lullaby fever alarm Memory recall of last reading Waterproof Automatic shut-off Non-replaceable battery sealed for safety Conforms to safety requirements of the US Consumer Products Safety Commission for paciers One-year limited warranty Automatic shut-off
Non-toxic and mercury-free F \C switchable Includes: protective sheath
Item #
Style
Qty
Price
86-20010 86-20051
Oral Rectal
1 ea 1 ea
$5.20 $5.20
Animal Sounds Thermometers
Margo moos, Digger barks and Danny quacks when peak temperature is reached Fast, 30-second readout Moooo oooo! Large, easy-to-read display Memory recall of last reading F/C switchable Low battery indicator Automatic shut-off Extra moos, barks or quacks indicate temperatures above 100F Includes: half storage case, 5 probe covers and 2 replaceable LR1130 batteries
Item # Style Limited Warranty
Woof! Woof!
Item #
Price Per Each 1
15-690-000
Quack! Quack!
$5.40
ZooTemps Digital 20-Second Thermometers
Qty
Price
15-901-000 15-902-000 15-903-000
Margo Moo Digger Dog Danny Duck
5-Year 5-Year 5-Year
1 ea 1 ea 1 ea
$5.50 $5.50 $5.50
Set includes 1 each: Daniela Duck, Carlos Cow, Frieda Frog, Bella Bunny, Pedro Puppy Soft, exible tip Large display Low battery indicator Automatic shut-off F \C switchable 99.5F fever alarm Peak temperature tone Memory recall of last reading Water resistant Includes: protective half storage case, replaceable LR41 battery and 5 probe covers
MEDICAL SUPPLIES
15-705-000
5-Year
1 ea
$27.75
Animal Thermometer

Fast, 30-second readout Large, easy-to-read display Memory recall of last reading Tone signals peak temperature Special tone indicates temperatures above 100F F/C switchable Low battery indicator Automatic shut-off Includes: half storage case, 5 probe covers and 1 replaceable LR41 battery
Item # Style Limited Warranty
Thermometry
Qty
Price
15-801-000 15-802-000
Margo Moo Digger Dog
5-Year 5-Year
1 ea 1 ea
$5.00 $5.00
439
Thermometry
Feverscan Disposable Forehead Thermometers
Uses adhesive to remain in place for constant monitoring of temperature changes Reads 94.6F 104.6F
Item # Qty Price
TenderTYKES Instant Ear Thermometer
86-430
100/bx
$59.95
60-Second Tempa-Dot Single-Use Thermometer
Features Nite-Glo , a backlit digital display that glows soft green Probe tip ts comfortably into the smallest ears Automatic shut-off Does not require probe covers F \C switchable Peak temperature tone Memory recall of last 10 readings Includes: zippered canvas storage case, 1 lithium battery (CR2032) and 5-year limited warranty
Single-use Individually sealed in a sterile paper wrap
Item #
Fever Alarm
Qty
Price
18-107-000
100.4F
1 ea
$27.35
Item #
Qty
Price
91-1117D
100/bx
$12.70
TenderTEMP One-Second Ear Thermometer
RediScan Infrared Thermometer
MEDICAL SUPPLIES
Take temperatures of childrens foreheads without contact Use to detect the temperature of an object Wide-range readout; 50F 122F person, 32F 221F object/liquid Nite-Glo display Automatic shut-off F \C switchable Peak temperature tone Memory recall of last reading Includes: 2 AAA batteries, drawstring storage pouch and 5-year limited warranty
Automatic shut-off Probe covers are required F \C switchable Peak temperature tone Memory recall of last reading Includes: 40 probe covers, storage case, probe cover dispenser, 1 lithium battery (CR2032) and 2-year limited warranty
Item # Fever Alarm Qty Price
18-200-000
99.5F
1 ea
$27.35
Deluxe Instant Ear Thermometer
Item #
Fever Alarm
Qty
Price
18-535-000
100.4F
1 ea
$52.45
FeverVue Technology changes color according to the temperature No probe covers required Automatic shut-off F \C switchable Peak temperature tone Memory recall of last 10 readings Includes: storage case, long-life CR2032 battery and 5-year limited warranty
Item # Fever Alarm Qty Price
Braun ThermoScan PRO 4000
Thermometry
Provides an active user feedback light, guiding proper probe positioning Preheated probe tip Probe cover detection system Automatic probe cover eject button Requires 2 AA batteries (included) 3-year limited warranty
18-607-000
100.4F
1 ea
$30.10

1 ea 10 bx/sl $220.40 $18.50
91-3000 91-PC800
Thermometer Probe Covers
440
Thermometry
SureTemp Plus 690 Electronic Thermometer
Accurate 4-second oral, pediatric 10-second axillary (for children 17 and younger), 10-second rectal and 15 second adult axillary temps (for 18 and older) Last temperature recall Ergonomic and sturdy design Warranty: 2-year limited instrument, 1-year limited probe, 90-day limited probe well Handheld Thermometer includes: includes 4 cord, oral probe, batteries, 25 probe covers Wall mount thermometer includes: 4 cord, oral probe, batteries, 25 probe covers Oral probe includes: 4 cord
Price Per Carton (25 ea/bx, 10 bx/ct, 4 ct/ca) Item # Description 1
FILAC FasTemp Thermometer
Probe Covers 75-05031 For oral and rectal probes

Item # Description Qty
$13.95
Price
Thermometers 75-690 Hand Held 75-690W Wall Mount
1 ea $326.30 1 ea $361.50
Accessories 75-02893 Oral Probe
1 ea
$96.85
4-second oral readings and 10-second axillary and rectal readings F \C switchable Memory recall of last reading 30-second pulse timer Push bottom probe cover removal 1-year warranty
Vital Signs and Weight Record

91-202000 91-202020
Provide an ongoing record of the residents vital signs and weight Recording weight in this manner makes it easy to determine if weight loss or gain is signicant and therefore necessary to notify family, doctor and dietary Printed 2 sides 5-hole punched top or side
Thermometer with Oral Probe 1 ea $327.25 Probe Covers 25 pk/bx $22.90
CFS6-21HH CFS6-21HF
$12.45 $12.45
MEDICAL SUPPLIES
Bath Thermometer
Thermometry
Flat bath thermometer of smooth, natural-nish hard wood. Records water temperature in 25 seconds. Easy-to-read red spirit in glass tube. Scale: 20 to 150 F.
86-0332
$13.65
441
Blood Pressure
Exclusive Products
Adjustable Aneroid Manometer

Fits Briggs and most other blood pressure units.
Latex-Free Deluxe Adjustable Aneroid Sphygmomanometer

The Briggs Deluxe Adjustable Sphygmomanometer is specially designed to allow the user to easily zero the gauge. The user inserts the mini screwdriver into the stem of the gauge and turns the mechanism until the needle returns to zero. The Briggs Deluxe Adjustable Aneroid Sphygmomanometer is covered by a 20-year mechanical/ calibration warranty. The calibrated nylon cuff will provide many years of service under the most demanding conditions. The latex-free ination system, made of the nest neoprene available, includes a 5-year warranty. The unit comes complete with a mini screwdriver and zippered carrying case.
54-233-010 09-285-040
Adjustable Aneroid Manometer Bulb and Valve Assembly
1 ea 1 ea
$9.00 $3.35
Latex-Free Two-Tube Cuff and Bladder

Fits Briggs and most other blood pressure units.
54-133-011
$21.65
54-261-011 54-261-016
Blue Nylon Cuff Large Adult, Blue Nylon Cuff
1 ea 1 ea
$8.15 $10.20
LEGACY Aneroid Sphygmomanometer

High quality, performance and reliability that health care professionals depend on. Each unit features a comfortable-tting, calibrated nylon cuff and 300mmHg nostop pin manometer. Also available in latex-free. Calibrated, black nylon cuff Lifetime calibration warranty on gauge Latex-free models include a ve-year ination system warranty Deluxe air release valve Zippered carrying case
Item # Size 01-110-021
Signature Series Aneroid Sphygmomanometer

Offers superior performance and unsurpassed quality. The MABIS deluxe air release valve delivers a precise deation rate. Heavyduty vulcanized bladder and thickwalled ination bulb combined with a deluxe calibrated nylon cuff assures many years of service. Range markings on the cuff assist the practitioner in proper cuff placement and size selection. Calibrated, blue nylon cuff Lifetime calibration warranty on gauge Three-year unconditional component part warranty Deluxe air release valve and ination bulb Deluxe zippered carrying case Lifetime calibration warranty and 3-year component warranty
MEDICAL SUPPLIES
09-111-021 Qty Price
Regular 01-110-023 01-110-025 01-110-021 01-110-026 01-110-027 Latex-Free 09-111-023 09-111-025 09-111-021 09-111-026 09-111-027
Blood Pressure
Infant Child Adult Large Adult Thigh Infant Child Adult Large Adult Thigh
$28.70 $28.70 $28.70 $31.95 $36.35 $33.45 $33.55 $33.45 $37.05 $40.30
Item #
Size
Qty
Price
01-100-011 01-100-015 01-100-016
Adult Child Large Adult
1 ea 1 ea 1 ea
$33.25 $33.25 $37.65
442
Blood Pressure
Precision Series Aneroid Sphygmomanometer CALIBER Series Aneroid Sphygmomanometer

Offers proven reliability at an affordable price. Designed for many years of demanding service in the hospital, nursing home or EMT elds. Features a blue aneroid gauge and matching calibrated blue nylon cuff. Unit includes a deluxe air release valve. Outstanding value Calibrated, blue nylon cuff Twenty-year calibration warranty Deluxe air release valve Zippered carrying case Contains latex
01-130-011 01-130-013 01-130-015 01-130-016 01-130-017
Adult Infant Child Large Adult Thigh
$24.65 $24.65 $23.50 $28.55 $31.00
Ideal for the cost-conscious 01-140-011 health care provider who is looking for quality and affordability. Features a durable cuff with hook and loop closure, 300mmHg no-stop pin manometer and comes complete with nylon cuff, standard air release valve and zippered vinyl case. The Precision Series is available in three styles: (1) standard with calibrated blue nylon cuff, (2) standard with gray cotton cuff and (3) latexfree with calibrated blue nylon cuff. Latex-free models include a ve-year ination system warranty. Economically priced Comfortable tting cuff in nylon or cotton Ten-year calibration warranty on gauge Standard air release valve Zippered carrying case
Item # Size Qty
09-141-011
Price
CALIBER Series Adjustable Aneroid Sphygmomanometer

The same great features of the Caliber Series Aneroid Sphygmomanometer, plus it is specially designed so the user can easily set the gauge to zero if needed. Simply insert a mini screwdriver (included) into the stem of the gauge and turn until the needle returns to zero. Adjustable gauge can be set to zero with included screwdriver Calibrated, blue nylon cuff Twenty-year calibration warranty Gauge Adjust gauge Gauge out of by turning adjusted Deluxe air release valve adjustment screwdriver Zippered carrying case in the Contains latex appropriate
direction Item # Size Qty Price
With Calibrated, Blue Nylon Cuff 01-140-011 Adult 01-140-013 Infant 01-140-015 Child 01-140-016 Large Adult 01-140-017 Thigh 09-141-011 Adult 09-141-013 Infant 09-141-015 Child 09-141-016 Large Adult 09-141-017 Thigh
$17.10 $17.10 $17.10 $22.20 $24.60 $20.80 $20.80 $20.80 $25.70 $30.00
MEDICAL SUPPLIES

01-133-011 01-133-015 01-133-016
Adult Child Large Adult
1 ea 1 ea 1 ea
$24.00 $24.00 $28.35
Blood Pressure
NOTE: Although the gauge can be set to zero, it is highly recommended that all gauges be periodically checked and calibrated against a certified mercurial column.
443
Blood Pressure
Single-Patient Use Aneroid Gauge Single-Patient Use Blood Pressure Cuffs

Interchangeable with most single patient use cuffs Sold individually
Item #
Color
Qty
Price
06-236-130
White/Yellow
1 ea
$8.05
Single-Tube Adult
Two-Tube Adult
Single-Patient Use Bulb and Valve Assembly

Interchangeable with most single patient use cuffs Sold individually

06-284-020
Black
1 ea
$2.45
Single-Tube Neonatal

Two-Tube Neonatal
Designed to reduce the spread of infection through cross-contamination All cuffs are manufactured from a soft, yet durable vinyl material that wipes clean quickly The patient side has an extra soft lining Quality hook and loop closures Standard luer and universal connectors allow MABIS SinglePatient Use Blood Pressure Cuffs to be adapted to a wide range of manual and automatic blood pressure apparatuses All cuffs have dual-seam construction and are inspected and tested to be leak-free for consistent and reliable performance
Item # Style Range (cm) Color Qty Price
Single-Patient Use Sphygmomanometer

Designed to reduce the spread of infection Economical aneroid gauge Disposable bulb and valve assembly MABIS Single-Patient Use Blood Pressure Cuff Packed 5 per box
444
Blood Pressure
Single-Tube Adult 06-280-191 Adult Two-Tube Adult/Pediatric 06-270-195 Child 06-270-191 Adult 06-270-131 Adult 06-270-196 Large Adult Single-Tube Neonatal 06-281-192 #1 06-282-192 #2 06-283-192 #3 06-284-192 #4 06-285-192 #5 Two-Tube Neonatal 06-271-192 #1 06-272-192 #2 06-273-192 #3 06-274-192 #4 06-275-192 #5
23 33 12 19 22 33 22 33 31 40 36 48 6 11 7 13 8 15 36 48 6 11 7 13 8 15
White White White Yellow White White White White White White White White White White White
5/bx 5/bx 5/bx 5/bx 5/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx 10/bx
$26.25 $22.95 $26.25 $26.25 $34.90 $26.25 $26.25 $26.25 $26.25 $26.25 $26.25 $26.25 $26.25 $26.25 $26.25
06-148-195 06-148-131 06-148-191 06-148-196
Child Adult Adult Large Adult
12 19 22 33 22 33 31 40
White Yellow White White
1 ea 1 ea 1 ea 1 ea
$75.30 $79.15 $79.15 $88.45
MEDICAL SUPPLIES
Single-Patient Use Ination Systems

For use with all manual blood pressure monitoring devices Ideal for patient admission kits Complete ination system is disposable Packed 5 cuffs per box
06-214-191
Adult
23 33
White
1 ea
$38.25
Blood Pressure
Signature Series Palm Aneroid

Ambidextrous styling Deluxe calibrated blue nylon cuff Lifetime calibration warranty Heavy-duty latex bladder Zippered carrying case 3-year unconditional warranty
01-150-011
Adult
1 ea
$61.90
All-in-One EMT Kit with Dual Head Stethoscope

Designed for the demands of EMTs and paramedics Rugged bright orange case with matching accessories and individual pockets 5 matching calibrated cuffs with quick release connector: adult, infant, child, large adult and thigh Ambidextrous chrome-plated palm aneroid gauge Kit also includes: dual head stethoscope with I.D. tag, Taylor percussion hammer, shears, penlight, 6 latex-free tourniquets and tape measure
CALIBER Series Palm Aneroid

01-650-058
Orange
1 ea
$61.10
Ambidextrous styling Extra large gauge face Calibrated, blue nylon cuff Twenty-year calibration warranty Deluxe air release valve Zippered carrying case
01-155-011
Adult
1 ea
$38.25
MEDICAL SUPPLIES
Medic-Kit EMT Kits

Designed with the EMT/paramedic in mind. The easy access, fold-open carrying case is made of heavy-duty nylon for many years of rugged service. The Medic-Kit5 features a chrome-plated, German-crafted palm aneroid gauge, backed by a lifetime calibration warranty, and includes adult, infant, child, large adult and thigh cuffs. The Medic-Kit3 has all the features of the Medic-Kit5, but includes three cuffs (adult, child and large adult). The MedicKit3 has additional pockets for infant and thigh cuffs. Palm aneroid gauge Lifetime calibration warranty Calibrated nylon cuffs Heavy-duty nylon carrying case
Blood Pressure
Medic-Kit3 01-350-018 01-350-058 Medic-Kit5 01-550-018 01-550-058
Blue Orange Blue Orange
1 ea 1 ea 1 ea 1 ea
$95.50 $95.50 $118.95 $118.95
445
Blood Pressure
LEGACY Adjustable Clock Aneroid Sphygmomanometers

Quality and precision Adjustable gauge Deluxe calibrated blue nylon cuff Deluxe air release valve Latex-free Five-year neoprene ination system warranty Ten-year calibration warranty
Out of calibration
Make adjustment
Wall-Mounted Aneroid Sphygomanometers

The MABIS Legacy Clock Aneroid Sphygmomanometer has a special mounting bracket that allows the unit to swivel or to be removed completely while providing a built-in cuff storage area. The gauge is adjustable, so it can easily set to zero with use of the mini screwdriver. Includes: 8 coiled neoprene tubing, deluxe calibrated, nylon cuff and bulb with deluxe air release valve, wall mounting xture and hardware and one mini screwdriver.
Calibrated
Item #
Description
Qty
Price
09-166-011 09-166-021
Adult, blue Adult, black
1 ea 1 ea
$87.35 $87.35
Mounting onto wall bracket
MEDICAL SUPPLIES
Combination Mobile/ Wall-Mounted Aneroid Sphygomanometers

This unit provides the option of either mounting the gauge on the wall or attaching it to a sturdy mobile stand. Includes all necessary assembly hardware, 8' coiled neoprene tubing, deluxe calibrated, nylon cuff and bulb with deluxe air release valve, ve-caster dual wheel stand with height adjustable range of 43 to 55, a 7 lb weight (black model only 09-169-021) and one mini screwdriver.
Blood Pressure
09-168-011 09-169-021
Adult, blue Adult, black, (includes 7 lb weight for stand)
1 ea 1 ea
$141.90 $141.90
446
Blood Pressure
Sphygmomanometer Replacement Parts
54-261-011
05-285-000
05-288-020
09-285-040
09-286-040
05-290-060
05-291-060
07-308-060
07-309-060
07-310-060
07-315-060
07-322-020
07-324-060
07-325-060
07-326-060
07-329-020
07-330-190
07-340-060
05-297-020
09-297-040
05-294-021
05-315-020
05-315-210
05-298-030
Item #
Description
Qty
Price
Item #
Description
Qty
Price
09-215-026 54-261-011 54-261-016 05-285-000 05-286-000 05-288-020 09-285-040 09-286-040 05-290-060 05-291-060 07-308-060 07-309-060 07-310-060 07-315-060 07-322-020 07-324-060
Black Ination System, Lg. Adult* Briggs 2-Tube Cuff & Bladder, Adult, Blue Nylon Cuff Briggs 2-Tube Cuff & Bladder, Large Adult, Blue Nylon Cuff* Standard Bulb & Valve Assembly Deluxe Bulb & Valve Assembly* Bulb with End Valve Standard Bulb & Valve Assembly Deluxe Bulb & Valve Assembly Standard Air Release Valve Deluxe Air Release Valve Metal Luer Lock Connector Male Part Metal Luer Lock Connector Female Part Metal Luer Lock Connector Set Metal Luer Connector Set Plastic Double End Male Connector Metal Screw Connector Male Part
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$20.70 $8.15 $10.20 $3.70 $5.60 $2.05 $3.35 $6.40 $2.60 $4.35 $2.05 $2.05 $3.95 $4.75 $0.65 $2.70
07-325-060 07-326-060 07-329-020 07-330-190 07-340-060 05-297-020 09-297-040 05-294-021 05-305-020 05-305-210 05-315-020 05-315-210 05-298-030
Metal Screw Connector FemalePart Metal Screw Connector Set Screw Connector with Washing Cap for 2-Tube Adult/Pediatric Cuffs Female Luer Lock Connector for 1-Tube Adult/Pediatric Cuffs HP Type Connector for 1-Tube Nylon Cuffs Coiled Tubing, 8-ft. Coiled Tubing with Connector , 8-ft. Sphygmomanometer Zipper Case, Adult, Black MatchMates Nylon Zipper Case, Black* MatchMates Nylon Zipper Case, Royal Blue* MatchMates Nylon Zipper Fanny Pack, Black MatchMates Nylon Zipper Fanny Pack, Royal Blue Sphygmomanometer Wall Basket
$2.70 $5.05 $0.95 $0.95 $1.75 $7.65 $7.65 $2.05 $4.15 $4.15 $6.90
MEDICAL SUPPLIES Blood Pressure
$6.90 $8.75
*Not Shown
447
Blood Pressure
Sphygmomanometer Replacement Parts (continued)
05-230-010
09-230-020
05-232-010
05-233-010
05-234-010
54-233-010
05-240-000
05-244-000
05-021-000
05-269-011
05-260-011
05-260-021
05-274-011
05-281-021
05-283-021
09-261-021
09-270-011
09-215-021
Item #
Description
Qty
Price
Item #
Description
Qty
Price
Blood Pressure
05-226-060 Signature Chrome Palm Aneroid Manometer* 05-230-010 LEGACY Blue Aneroid Manometer 05-230-020 LEGACY Black Aneroid Manometer* 09-230-020 MABIS Black Aneroid Manometer 05-232-010 CALIBER Blue Aneroid Manometer 05-233-010 CALIBER Adjustable Aneroid Manometer with Screwdriver 05-333-000 Screwdriver Only* 05-234-010 Precision Blue Aneroid Manometer 05-235-010 Economy Blue Aneroid Manometer* 54-233-010 Briggs Adjustable Aneroid Manometer 05-240-000 Aneroid Manometer Crystal, Standard 05-242-000 Signature Palm Aneroid Manometer Crystal* 05-244-000 Aneroid Manometer Retaining Ring, Standard 05-021-000 Calibration Tool 05-269-011 1-Tube Cuff & Bladder, Adult, Blue Nylon 05-269-013 1-Tube Cuff & Bladder, Infant, Blue Nylon* 05-269-015 1-Tube Cuff & Bladder, Child, Blue Nylon* 05-269-016 1-Tube Cuff & Bladder, Lg. Adult, Blue Nylon* 05-269-017 1-Tube Cuff & Bladder, Thigh, Blue Nylon* 05-260-011 2-Tube Cuff & Bladder, Adult, Blue Nylon 05-260-013 2-Tube Cuff & Bladder, Infant, Blue Nylon* 05-260-015 2-Tube Cuff & Bladder, Child, Blue Nylon* 05-260-016 2-Tube Cuff & Bladder, Lg. Adult, Blue Nylon* 05-260-017 2-Tube Cuff & Bladder, Thigh, Blue Nylon* 05-260-021 2-Tube Cuff & Bladder, Adult, Black Nylon 05-260-023 2-Tube Cuff & Bladder, Infant, Black Nylon*
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$56.75 $12.70 $12.70 $12.70 $11.55 $13.80 $1.75 $10.50 $6.60 $9.00 $1.10 $3.20
1 ea $1.65 1 ea $23.20 1 ea $9.30 1 ea $9.30 1 ea $9.30 1 ea $12.90 1 ea $17.40 1 ea $9.20 1 ea $9.20 1 ea $9.20 1 ea $12.55 1 ea $17.25 1 ea $9.30 1 ea $9.30
05-260-025 05-260-026 05-260-027 05-274-011 05-274-013 05-274-015 05-274-016 05-274-017 05-281-021 05-281-023 05-281-025 05-281-026 05-281-027 05-283-021 05-283-025 05-283-026 05-283-027 09-261-021 09-261-023 09-261-025 09-261-026 09-261-027 09-270-011 09-270-013 09-270-015 09-270-016 09-270-017 09-215-021
2-Tube Cuff & Bladder, Child, Black Nylon* 1 ea $9.30 2-Tube Cuff & Bladder, Lg. Adult, Black Nylon* 1 ea $12.70 2-Tube Cuff & Bladder, Thigh, Black Nylon* 1 ea $17.40 Replacement Cuff, Adult, Blue 1 ea $5.80 Replacement Cuff, Infant, Blue* 1 ea $5.80 Replacement Cuff, Child, Blue* 1 ea $5.80 Replacement Cuff, Lg. Adult, Blue* 1 ea $7.55 Replacement Cuff, Thigh, Blue* 1 ea $10.50 1-Tube Bladder, Adult 1 ea $4.15 1-Tube Bladder, Infant* 1 ea $4.15 1-Tube Bladder, Child* 1 ea $4.15 1-Tube Bladder, Lg. Adult* 1 ea $6.40 1-Tube Bladder, Thigh* 1 ea $9.30 2-Tube Bladder, Adult 1 ea $4.15 2-Tube Bladder, Child* 1 ea $4.15 2-Tube Bladder, Lg. Adult* 1 ea $6.40 2-Tube Bladder, Thigh* 1 ea $9.30 2-Tube Cuff & Bladder, Adult, Black 1 ea $10.50 2-Tube Cuff & Bladder, Infant, Black* 1 ea $9.40 2-Tube Cuff & Bladder, Child, Black* 1 ea $9.85 2-Tube Cuff & Bladder, Lg. Adult, Black* 1 ea $15.45 2-Tube Cuff & Bladder, Thigh, Black* 1 ea $20.90 1-Tube Cuff & Bladder, Adult, Blue 1 ea $10.50 1-Tube Cuff & Bladder, Infant, Blue* 1 ea $9.40 1-Tube Cuff & Bladder, Child, Blue* 1 ea $9.90 1-Tube Cuff & Bladder, Lg. Adult, Blue* 1 ea $15.45 1-Tube Cuff & Bladder, Thigh, Blue* 1 ea $20.90 Black Ination System, Adult 1 ea $16.30
MEDICAL SUPPLIES
*Not Shown
448
Blood Pressure
MatchMates Dual Head Combination Kit
Nurses and students alike choose this combination kit for the reliability of the MatchMates Aneroid Sphygmomanometer and the exibility of the Dual Head Stethoscope. Each stethoscope features a chrome-plated brass binaural, lightweight anodized aluminum chest piece, 22 vinyl Y-tubing, spare diaphragm and a pair of mushroom ear tips. Stethoscope, accessories and quality MatchMates sphygmomanometer with calibrated nylon cuff come neatly stored in the matching carrying case.
Item #
Color
Qty
Price
01-260-021 01-260-071 01-260-081 01-260-151 01-260-161 01-260-201 01-260-211 01-260-241 01-260-251
Black Burgundy Red Magenta Teal Purple Royal Blue Navy Green
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$23.45 $23.45 $23.45 $23.45 $23.45 $23.45 $23.45 $23.45 $23.45
MatchMates Aneroid Sphygmomanometer Kit
Looking to match your stethoscope? Or, maybe just looking to add a little color? Look no further than our MatchMates Aneroid Sphygmomanometers kit.
MatchMates Fanny Pack Combination Kit
01-160-021 01-160-071 01-160-081 01-160-151 01-160-161 01-160-201 01-160-211 01-160-241 01-160-251
Black Burgundy Red Magenta Teal Purple Royal Blue Navy Hunter Green
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$22.50 $22.50 $22.50 $22.50 $22.50 $22.50 $22.50 $22.50 $22.50
The sprague rappaport-type stethoscope includes ve interchangeable chestpieces three bells (adult, medium and infant), and two diaphragms (small and large) for custom user design; and three different types of eartips for maximum comfort. The matching fanny pack features an adjustable belt, an outside zipper pocket with mesh interior pocket and a roomy pocket inside the main storage compartment. Ideal for nurses, EMTs and students. The aneroid sphygmomanometer with calibrated nylon cuff is backed by a lifetime calibration warranty.
MEDICAL SUPPLIES
01-365-021 01-365-211
Black Royal Blue
1 ea 1 ea
$30.90 $30.90
Blood Pressure
Black
Burgundy
Red
Magenta
Teal
Purple
Royal Blue
Navy
Hunter Green
449
Stethoscopes
Excellent Product For Home Care Staff
12-265-071
Black
Burgundy
Purple
Navy Blue
Hunter Green
12-260-201
MatchMates Combination Kit with a 3M Littmann Classic II S.E. Stethoscope

MEDICAL SUPPLIES
Features a MABIS brand specially designed professional aneroid sphygmomanometer plus a color-coordinated Littmann Classic II S.E. stethoscope with matching full-sized carrying case Adult size cuff is made of comfortable nylon Precision gauge includes a Lifetime Calibration Warranty

Item #
Color
Price Per Each
12-260-021 12-260-071 12-260-201 12-260-241 12-260-251
Black Burgundy Purple Navy Blue Hunter Green
$100.45 $100.45 $100.45 $100.45 $100.45
MatchMates Combination Kit with a 3M Littmann Lightweight II S.E. Stethoscope

Features a specially designed MABIS sphygmomanometer with calibrated nylon cuff Easy-to-read gauge with a Lifetime Calibration Warranty Each kit also includes a color-coordinated nylon carrying case plus coordinated Littmann Lightweight II S.E.

Item #
Color
Price Per Each
Stethoscopes
12-265-021 12-265-071
Black Burgundy
$70.05 $70.05
450
Stethoscopes
BEST SELLER
Item #
Color
Style
Qty
Price
MABIS LEGACY Sprague Rappaport-Type Stethoscopes
Includes: 5 interchangeable chestpieces 3 bells (adult, medium and infant) and 2 diaphragms (small and large) for a custom examination; plus 3 different sized eartips Length: 30 Heavy-walled 22 vinyl tubing Lifetime Limited Warranty
10-414-010 10-414-020 10-414-030 10-414-050 10-414-070 10-414-080 10-414-110 10-414-120 10-414-130 10-414-150 10-414-160 10-414-200 10-414-240 10-414-250 10-419-0620 10-419-3601 10-419-3612 10-419-3613 10-419-3615 10-419-3620
Blue Black Gray Orange Burgundy Red Lavender Green Yellow Magenta Teal Purple Navy Hunter Green Purple Blue Green Yellow Magenta Purple
Solid Solid Solid Solid Solid Solid Solid Solid Solid Solid Solid Solid Solid Solid Glitter Frosted Frosted Frosted Frosted Frosted
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60 $9.60
MEDICAL SUPPLIES
Item #
Color
Qty
Price
MABIS Spectrum Dual Head Stethoscopes

Wide variety of colors makes departmental coding easy Includes: binaural, lightweight anodized aluminum chestpiece, 22 vinyl Y-tubing, spare diaphragm and a pair of mushroom eartips Length: 30 Lifetime Limited Warranty
10-426-010 10-426-020 10-426-030 10-426-050 10-426-070 10-426-080 10-426-110 10-426-120 10-426-150 10-426-160 10-426-200 10-426-240 10-426-250
Blue Black Gray Orange Burgundy Red Lavender Green Magenta Teal Purple Navy Hunter Green
$4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80 $4.80
451
Stethoscopes
Stethoscopes
BEST SELLER
MABIS CALIBER Nurse Stethoscopes
For intake and general examination Length: 30 Lifetime Limited Warranty
Item #
Color
Qty
Price
10-424-010 10-424-020
Blue Black
1 ea 1 ea
$4.70 $4.70
MABIS Spectrum Nurse Stethoscopes

Wide variety of colors makes departmental coding easy Includes: binaural, lightweight anodized aluminum chestpiece, 22 vinyl Y-tubing, spare diaphragm and a pair of mushroom eartips Length: 30 Lifetime Limited Warranty
MABIS CALIBER Pediatric/Newborn Stethoscopes
10-428-010 10-428-020 10-428-030 10-428-050 10-428-070 10-428-080 10-428-130 10-428-180 10-428-220 10-428-240 10-428-250
Blue Black Gray Orange Burgundy Red Yellow Aqua Orchid Navy Hunter Green
$3.70 $3.70 $3.70 $3.70 $3.70 $3.70 $3.70 $3.70 $3.70 $3.70 $3.70
Raised diaphragm for greater sound amplication Color coordinated snap-on diaphragm retaining ring and nonchill ring Pediatric: bell 1-3/16, diaphragm 1-3/4; Newborn: bell 13/16, diaphragm 13/16 Lifetime Limited Warranty
Item # Color Length Qty Price
Pediatric 10-432-035 10-432-095 10-432-105 Newborn 10-434-032 10-434-092 10-434-102
Gray Pink Light Blue Gray Pink Light Blue
30 30 30 31 31 31
$6.85 $6.85 $6.85 $9.00 $9.00 $9.00
MEDICAL SUPPLIES
MABIS Nurse Mates TimeScope

MABIS CALIBER Dual Head Stethoscopes
For intake and general examination Length: 30 Lifetime Limited Warranty
LCA quartz watch with second hand is positioned directly on top of the high-density stethoscope head Includes: lightweight aluminum chestpiece, binaural and 22 vinyl Y-tubing Color-coordinated eartips, tubing and watch dial Packaged in a slider pack 1-Year Limited Warranty
Stethoscopes
Item #
Color
Qty
Price
10-422-010 10-422-020
Blue Black
1 ea 1 ea
$6.85 $6.85
10-450-010 10-450-020 10-450-150 10-450-160 10-450-200 10-450-250
Blue Black Magenta Teal Purple Hunter Green
30 30 30 30 30 30
$19.00 $19.00 $19.70 $19.70 $19.70 $19.70
452
Stethoscopes
MABIS CrystalSCOPE
Offers up to 2x the amplication of conventional stethoscopes Acrylic crystal chestpiece can be personalized with pictures, logos or even stickers Stainless steel inner spring binaurals, heavy-walled 22 vinyl tubing and metal diaphragm retaining ring Includes: comfortable small rubber threaded eartips and ID tag Packaged in a slider pack Lifetime Limited Warranty
Littmann Master Cardiology Stethoscope
Adult and pediatric applications Features a handcrafted, solid polished, stainless steel chestpiece 2-tubes-in-1 design helps eliminate tube rubbing noise Special procedures adapter for difcult site and pediatric auscultation Includes: nonchill rim, doubleleaf binaural spring and 3M Littmann Snap Tight Soft-Sealing eartips Length: 27; 12-217-020 length: 22 7-Year Littmann Warranty
10-460-290 10-460-310
Blue Topaz Amethyst
30 30
1 ea 1 ea
$22.15 $22.15
Item #
Color
Littmann #
Qty
Price
Littmann Select Stethoscope
Anatomically correct headset with rm eartips Single-lumen tubing Length: 28 2-Year Littmann Warranty
12-217-020 12-216-020 12-216-070 12-216-240 12-216-250 12-216-450 12-218-020
Black Black Burgundy Navy Blue Hunter Green Plum Black
2159 2160 2163 2164 2165 2167 2161
$204.65 $204.65 $204.65 $204.65 $204.65 $204.65 $222.45
Model features black coated chestpiece and binaurals
Item #
Color
Littmann #
Qty
Price
12-229-020 12-229-070 12-229-200 12-229-210 12-229-260 12-229-270 12-229-280 12-229-290 12-229-380 12-229-390 12-229-460
Black Burgundy Purple Royal Blue Caribbean Blue Raspberry Ocean Blue Peach Lilac Ceil Blue Pine Green
2290 2293 2294 2298 2291 2296 2306 2310 2303 2301 2305
$47.45 $47.45 $47.45 $47.45 $47.45 $47.45 $47.45 $47.45 $47.45 $47.45 $47.45
Littmann Cardiology III Stethoscope
2 tunable diaphragms (adult and pediatric) 2-tubes-in-1 design helps eliminate tube rubbing noise Pediatric side of the chestpiece easily converts to a traditional bell by replacing the diaphragm with the nonchill bell sleeve Length: 27; 12-311-020 length: 22 5-Year Littmann Warranty
MEDICAL SUPPLIES
Item #
Color
Littmann #
Qty
Price
Littmann Lightweight II S.E.
Chestpiece designed to t around blood pressure cuffs and body contours Includes: single-tube design with rimmed nonchill, tunable diaphragm and bell Anatomically correct headset with rm eartips Length: 28 2-Year Littmann Warranty
Item #
Color
Littmann #
Qty
Price
12-245-020 12-245-070 12-245-260 12-245-380 12-245-390 12-245-400
Black Burgundy Caribbean Blue Lilac Ceil Blue Seafoam Green
2450 2451 2452 2453 2454 2455
$47.45 $47.45 $47.45 $47.45 $47.45 $47.45
12-311-020 12-312-020 12-312-030 12-312-070 12-312-085 12-312-240 12-312-250 12-312-263 12-312-275 12-312-390 12-312-395 12-312-450 12-312-470 12-312-471 12-312-480
Black Black Gray Burgundy Red Navy Blue Hunter Green Caribbean Blue Raspberry Ceil Blue Coral Pink Plum Choc. Brown Choc. Brown Black*
3127 3128 3136 3129 3140 3130 3134 3138 3148 3146 3149 3135 3137 3137CPR 3128BRS
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55 $169.55
Stethoscopes
Model features copper chestpiece and binaurals *Model features brass chestpiece and binaurals
453
Stethoscopes
MABIS Signature Electronic Stethoscope
Captures sounds typically difcult to identify Eliminates aphonic and resonance effects for enhanced audibility Audio frequency can be divided into 3 selective modes: Standard Bell, Diaphragm and Extended Diaphragm Electronic amplifying system offers 8 different volume levels 3-Year Limited Warranty
Littmann Electronic Stethoscope with Bluetooth Technology 3200 Model

10-400-020
Black
25
1 ea
$212.90
Proprietary Ambient Noise Reduction (ANR) technology reduces on average 85% of unwanted background noise Capture a sound for later playback with 12 recording tracks Bluetooth technology lets you transmit sounds real-time to your PC Up to 24x sound amplication Power on/off, bell/diaphragm/ extended range frequency, and (+) and (-) buttons to adjust sound level up or down LCD Interface advises you of current sound level, and if you are in bell, diaphragm, or extended range frequency mode
MABIS Bowles Stethoscope
Item #
Color
Littmann #
Qty
Price
Raised metal stem chestpiece Includes: binaural and chrome-plated, raised metal, stem chestpiece Length: 30 22 Y-tubing Lifetime Limited Warranty
12-320-020 12-320-070 12-320-240
Black Burgundy Navy Blue
3200BK27 3200BU 3200NB
1 ea 1 ea 1 ea
$420.00 $420.00 $420.00
Item #
Color
Qty
Price
MABIS Dispos-A-Scope Nurse Stethoscopes
10-440-020
Black
1 ea
$4.00
MABIS Fetal Stethoscope
MEDICAL SUPPLIES
Designed for superior sound sensitivity to listen to the fetal heartbeat Includes: binaural and vinyl-coated headrest Length: 29 22 Y-tubing Lifetime Limited Warranty
Prevents cross-contamination Designed for single-patient use to prevent cross contamination in infectious situations Remarkable acoustic performance 10-448 models features wide tubing 10-448-130 features a plastic binaural; 10-449-130 features a chrome binaural Ultra sensitive plastic chestpiece
10-458-130 10-448-010 10-448-130 10-449-130
10-445-020
Black
1 ea
$14.20
Yellow Blue Yellow Yellow
30 30 30 30
1 ea 1 ea 1 ea 50/pk
$2.35 $1.75 $1.75 $117.95
BEST SELLER MABIS Teaching/Training Stethoscope
Stethoscopes
Dual head design offers exibility to use in clinical and educational conditions 24 tubing for comfortable 2-person use Includes: 2 binaurals, 2 pieces of Y-tubing, a Y-connector and an extension tube Lifetime Limited Warranty
10-446-020
Black
1 ea
$11.45
454
Stethoscopes
Stethoscope Replacement Parts
11-564-060
11-536-060
11-565-020
11-582-060
11-543-060
11-585-035
11-588-032
11-557-000
11-576-000
11-516-000
11-505-020
11-507-000
11-560-020
11-526-000
11-528-020
11-569-000
Item #
Description
Compatibility
Qty
Price
11-564-060 11-536-060 11-565-010 11-565-020 11-582-060 11-543-060 11-585-035 11-588-032 11-557-000 11-576-000 11-516-000 11-518-000 11-505-020 11-506-020 11-507-000 11-560-020 11-569-000 11-524-020 11-526-000 11-528-020
Chrome-Plated Binaurals Standard Binaural with Eartips 22 PVC Y-Tubing, Blue* 22 PVC Y-Tubing, Black Complete Chestpiece Complete Chestpiece Complete Chestpiece - CLOSE OUT Complete Chestpiece Diaphragm - CLOSE OUT Diaphragm - CLOSE OUT Diaphragm, Large Diaphragm, Small* Small Eartips: Soft Rotating PVC with Metal Insert, Black Large Eartips: Soft Rotating PVC with Metal Insert, Black* Hard Plastic Eartips, White Soft Rubber Mushroom Eartips, Black Plastic Eartips, White Soft Rubber Mushroom Eartips, Black* Silicone Eartips, Clear Plastic Eartips, Black
TimeScope Series, Spectrum Nurse, Dual-Head, CALIBER Series, Bowles Sprague Rappaport-Type Series TimeScope Series, CALIBER Nurse & Dual Head, Spectrum Nurse & Dual-Head TimeScope Series, Spectrum Nurse & Dual-Head, CALIBER Nurse &Dual Head, Bowles Spectrum Nurse Sprague Rappaport-Type Series CALIBER Pediatric CALIBER Newborn Signature Stainless Steel Adult, CALIBER Nurse & Dual Head Spectrum Nurse & Dual Head, CrystalScope Sprague Rappaport-Type Series Sprague Rappaport-Type Series

1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 pr 1 pr 1 pr 1 pr 1 pr 1 pr 1 pr 1 pr
$2.05 $2.40 $1.15 $1.15 $2.05 $6.50 $4.95 $6.10 $1.15 $0.65 $0.65 $0.65 $2.40
MEDICAL SUPPLIES
Signature Series Signature Series Signature Series Spectrum Nurse & Dual Head, CALIBER Series, Bowles Spectrum Nurse & Dual Head, CALIBER Series, Bowles Sprague Rappaport-Type Series Sprague Rappaport-Type Series Sprague Rappaport-Type Series

Stethoscopes
$2.40 $1.25 $0.65 $0.65 $0.65 $0.65 $0.65

*Not shown
455
Stethoscopes
Stethoscope Replacement Parts (continued)
13-540-020
13-540-030
13-542-030
13-550-020
13-548-030
13-556-020
13-546-020
13-559-000
Item #
Description
Compatibility
Littmann #
Qty
Price
13-541-020 13-541-030 13-543-030 13-540-020 13-540-030 13-542-030 13-560-000 13-550-020 13-550-030 13-554-020 13-554-030 13-544-020 13-544-030 13-548-020
Eartips, Soft-Sealing, Snap-Tight, Black, Large* Eartips, Soft-Sealing, Snap-Tight, Gray, Large* Eartips, Firm Snap-Tight, Black, Large* Eartips, Soft-Sealing, Snap-Tight, Black, Small Eartips, Soft-Sealing, Snap-Tight, Gray, Small Eartips, Firm Snap-Tight, Black, Small Diaphragm with Littmann Logo* Snap-on Rims, Black, Small
Snap-on Rims, Gray, Small* Tunable Diaphragm and Rim Assembly, Black* Tunable Diaphragm and Rim Assembly, Gray* Nonchill Bell Sleeve, Black* Nonchill Bell Sleeve, Gray* Snap-on Rims, Black, Large* Snap-on Rims, Gray, Large Tunable Diaphragm and Rim Assembly, Black, Large Tunable Diaphragm and Rim Assembly, Gray, Large* Tunable Diaphragm and Rim Assembly, Black, Small* Tunable Diaphragm and Rim Assembly, Black, Small* Nonchill Bell Sleeve, Black* Nonchill Bell Sleeve, Gray* Nonchill Bell Sleeve, Black Nonchill Bell Sleeve, Gray* Nonchill Bell Sleeve, Black* Snap-on Rims, Black, Infant* Snap-on Rims, Gray, Infant* Diaphragm with Littmann Logo* Diaphragm with Littmann Logo

MEDICAL SUPPLIES
13-548-030 13-556-020 13-556-030 13-558-020 13-558-030 13-545-020 13-545-030 13-546-020 13-546-030 13-547-020 13-552-020 13-552-030 13-561-000 13-559-000
Stethoscopes
Littmann Littmann Littmann Littmann Littmann Littmann Littmann Electronic and Classic II Pediatric Littmann Electronic, Cardiology III, Classic II Pediatric Littmann Electronic, Cardiology III, Classic II Pediatric Littmann Master Cardiology Littmann Master Cardiology Littmann Cardiology III Littmann Cardiology III Littmann Cardiology III, Master Classic II, Classic II S.E., Select, Lightweight Littmann Cardiology III, Master Classic II, Classic II S.E., Select, Lightweight Littmann Cardiology III, Master Classic II, Classic II S.E. Littmann Cardiology III, Master Classic II, Classic II S.E. Littmann Cardiology III Littmann Cardiology III Littmann Classic II S.E., Lightweight Littmann Classic II S.E., Lightweight Littmann Classic II Pediatric Littmann Classic II Pediatric Littmann Classic II Infant Littmann Classic II Infant Littmann Classic II Infant Littmann Classic II Infant Littmann Lightweight

37811 37812 37808 37809 37810 38742 36560 36550 36551 36554 36555 36570 36571 36548
1 pr 1 pr 1 pr 1 pr 1 pr 1 pr 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$7.85 $7.85 $5.25 $7.85 $7.85 $5.25 $2.80 $3.95 $3.95 $7.45 $7.45 $4.15 $4.15 $3.95 $3.95 $6.60 $6.60 $6.60 $6.60 $3.30 $3.30 $3.30 $3.30 $3.30 $3.95 $3.95 $2.80 $2.80
36549 36556 36557 36572 36573 36544 36545 36546 36568 36547 36552 36553 36561 36559
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
*Not shown
456
Stethoscopes
3M Littmann Stethoscope Identication Tags
High quality Durable and attractive Offers the option to afx either an engraved or handwritten nameplate
13-217-020
13-217-020 13-217-030
Black Gray
1 ea 1 ea
$3.90 $3.90
MABIS Stethoscope Identication Tags
Helps prevent stethoscopes from being lost or misplaced during critical situations Also great to identify stethoscopes by oor, unit or department Easily attaches to the stethoscope without interfering with sound quality Available in two styles: H-type and Straight-type Features a writing surface on both sides for easy identication
Item # Description Price Per Each 1 35-770-020 35-772-020
35-770-020 35-772-020
H-type Straight-type
$2.25 $2.15

MEDICAL SUPPLIES
Breakaway Lanyard

Breakaway Lanyards are made of at woven nylon with a metal hook fastener Features a plastic safety breakaway snap that attaches and releases easily when tension is applied
Stethoscopes
BH700BK BH700BL
Black Blue
1 ea 1 ea
$2.50 $2.50
457
Nursing Instruments
One-Step PLUS Safety Lancets S

Safety made simple. A better safety lancet. Improvedpatented new design makes the One-Step PLUS a better safety lancet than ever before The improved delivery system makes blood sampling quicker, easier and more comfortable for the patient Simpleno arming is required Lancets are color-coded for easy recognition Safethe One-Step PLUS safety needle is safely concealed before and after use Innovativethe One-Step PLUS safety lancet patented design makes blood sampling the easiest and safest method Once the lancet is used, its is rendered inoperable providing added safety for patient and clinician Efcientthe improved high-speed delivery and penetration method minimizes patient pain and clinician error
Item # Size Price Per Box (100 ea/bx, 15 bx/ca) 1 5
Haemolance Plus Lockout Safety Lancets S
Provides a fast, safe and reliable tool for health care professionals. Designed to help facilities meet OSHA requirements for needlestick safety Helps prevent accidental needlesticks and cross-contamination Needle permanently retracts after use for extra safety Reduces fear of needlestick before use Quick spring action increases comfort Ergonomic and easy to handle Smooth tri-bevel needle
75-200100N 75-240100N
1.8mm x 21-ga. 2.2mm x 21-ga.
$21.85 $21.85
$21.30 $21.30
Needle 75-9902 28-ga Micro Flow 75-9909 25-ga Low Flow Blade 75-9904 1.2 mm Pediatric Flow
$36.25 $35.60 $36.25 $35.60
$45.75 $44.35
ACCU-CHEK Saf-T-Pro Plus Lancet S
MEDICAL SUPPLIES
A single-use lancet with three depth settingssafely get enough blood the rst time. Superior comfort Thin-gauge, silicone-coated needle maximizes comfort Three depth settings for different skin types (low depth 1.3mm, medium depth 1.8mm, high depth 2.3mm) Minimizes repeated ngersticks Superior cost savings Stocking one lancet decreases cost and simplies inventory management Safety features minimize workers compensation claims and/or litigation Lancet standardization minimizes staff training
Vitalet Lancets

Nursing Instruments
Plastic protective shield ensures a sterile sampling Comfortable grip Lancet ts virtually any major sampling device Ensures a consistent needle depth
Superior safety Meets OSHA safe-needle requirements Lancet automatically retracts, reducing accidental needlesticks and cross-contamination Ensures optimal infection control
Item # Qty Price Per Box
75-3448
200 ea/bx
$71.80
75-P0351
23-ga.
$4.05
458
Nursing Instruments
BEST SELLER
Haemolance Safety Lancets S

Make obtaining a blood sample quick, simple and safe. Simply remove the protective cap, press the button to activate the needle and release the pressure to retract the needle point.
Rapid Pregnancy Test

Rapid test for the detection of human chorionic gonadotropin (hCG) in urine or serum. Provides a visual, quantitative result and is intended for professional and laboratory use. Test results in minutes One-step; requires no reagents Sensitive to 20 mIU/ml Room temperature storage
Item # Price Per Each (40 tests/bx) 1 40
75-990400 75-990500
21-ga 25-ga
$30.20 $29.65 $30.20 $29.65
75-PF52A250
$1.89
$1.85
Mini DOPPLEX
ColoScreen Occult Blood Test Lab Pack
Low cost. High performance. Huntleighs nondirectional Mini DOPPLEX (D900) is the ideal instrument for low-cost, highly effective noninvasive vascular assessment. This audio-only model offers all the standard features of a traditional Doppler and, while intended primarily for vascular use, can also be employed for fetal applications. The D900 offers six interchangeable probe options: 4, 5, 8 and 10 MHz for vascular assessments and 2 and 3 MHz for fetal heart detection. Applications include: ankle pressure index, leg ulcer management, segmental pressure studies, arterial ow screening, venous ow screening, blood ow wave form recording.
For those preferring classic guaiac paper slides, ColoScreen has proven itself to be reliable and effective. Each ColoScreen slide has two sample sites to allow testing from two different sites of the specimen, increasing accuracy. ColoCheck Monitors are impregnated into the guaiac paper of every slide to ensure proper performance of the slide and developer. Simply add a drop of developer to each ColoCheck Monitor and watch for a reaction. Each box contains: 100 Single ColoScreen slides with on-slide ColoCheck monitors, 2 x 15 mL ColoScreen developer, 100 specimen applicators

MEDICAL SUPPLIES Nursing Instruments
Item #
Qty
Price Per Case
75-5072
2 bx/ca
$82.79
Item #
Description
Price Per Each
This item will drop ship from the manufacturer and is exempt from our freight-free policy.
32-D900
Mini DOPPLEX with 8 MHz Probe
$787.09
This product will drop ship from the manufacturer and is exempt from our freight-free policy.
459
Nursing Instruments
Chemstrip Urinalysis Strips
Quality, accuracy and reliability. Enhanced leukocyte color indicator improves readability of reactions Maximum number of tests on one strip provides superior accuracy and convenience Primed for awless performance: Ascorbic acid-resistant blood and glucose pads minimize interference All test zones may be read at one time (between 1 and 2 minutes) for convenience The packaging could not be easier: Vial opens with one hand for easier handling Strip and vial charts are vertically positioned to prevent specimen from running onto ngers Vial color chart is truer and to-scale with test strip zones for unquestioned readability Up to two years unopened shelf life
Item # Qty Price Per Box
175-204-0000
175-232-0000
175-229-0000
Customizable Tote Bags

Variety of sizes to hold all your necessities Available in canvas, nylon or vinyl Heavy-duty zippers and seams for long-lasting use Wide array of colors available Customize with your facilitys logo, department information and more* Minimum order: Standard (no customization) 1 case, 24 bags/cs; Custom bag quote* 10 cases, 24 bags/cs
75-417145
100 ea/bx
$79.99
Canvas Tote Bag with Side Pocket (Standard) 175-227-0000 Blue 20-1/2 x 15 x 7-3/4 (Lg) 175-209-0000 Green 20-1/2 x 15 x 7-3/4 (Lg) 175-228-0000 Khaki 20-1/2 x 15 x 7-3/4 (Lg) 175-204-0000 Blue 18-1/2 x 10 x 4-3/4 (Sm) 175-229-0000 Green 18-1/2 x 10 x 4-3/4 (Sm) Tall Canvas Tote Bag with Short Strap (Standard) 175-212-0000 Blue 17-1/4 x 17 x 4-3/4 175-232-0000 Khaki 17-1/4 x 17 x 4-3/4 Nylon Organizer Bag (Standard) 175-226-0000 Navy 9 x 5 x 1-1/2 Vinyl Tote Bag 175-202-0000 Teal 21-3/4 x 3-3/4 x 13
24/ca 24/ca 24/ca 24/ca 24/ca 24/ca 24/ca 24/ca 24/ca
$132.59 $132.59 $132.59 $97.99 $97.99 $94.59 $94.59 $63.19 $101.99
MEDICAL SUPPLIES
Heavy-Duty Medical Bag

Extra heavily padded, heavy-duty nylon bag and adjustable shoulder strap with safety buckles. Exterior rear pocket, front pouch pocket with extra zipper compartment. Several large and small compartments inside with Velcro-close straps. Two interior puff pockets on top cover. Water resistant, 11 x 10 x 5-1/2, black.
Specimen Transport Zip Closure Bags

Item # Price Per Case (1000 ea/ca) Size 1 5
Nursing Instruments
61-1490 61-1493
6 x 6 6 x 9
$74.09 $71.95 $79.39 $77.05
80-753
$34.09
460
Nursing Instruments
Digit Finger Pulse Oximeter
Standard 40-810-000
Select 40-811-000
Deluxe 40-812-000
Premium 40-813-000
HealthSmart Fingertip Pulse Oximeter
Easy and accurate way to monitor blood oxygen saturation levels and heart pulse rate Ideal for any situation in which a fast measurement of vital signs is needed Fits adults and children Auto power off Includes: 2 AAA batteries, case and lanyard 2-year limited warranty
A pulse oximeter and sensor in one unit providing fast, reliable SpO2, pulse rate and pulse strength measurements on patients from pediatric to adult. Portable, lightweight pocket-size monitor for clinical convenience One-button keypad for ease of operation Large LED display for use in a wide range of light or dark environments Pulse-strength display bar indicates relative perfusion at the measurement site Auto power shutdown after 8 seconds when not in use conserves batteries Low battery indicator ashes when 30 minutes of battery time remains 2-year warranty
Standard: Digital LCD display Small and lightweight 1-button operation Select Anti-motion technology takes readings even with slight movement Bright, 1-color digital OLED display Automatically takes readings when nger is inserted Read from 2 directions Plethysogram display Switchable to perfusion index percentage display Deluxe Anti-motion technology takes readings even with slight movement Bright, 2-color digital OLED display Automatically takes readings when nger is inserted Read from 2 directions Plethysogram display Switchable to perfusion index percentage display Premium Anti-gravity sensor rotates reading to any direction Anti-motion technology takes readings even with slight movement Bright, full-color digital OLED display Automatically takes readings when nger is inserted Plethysogram display Switchable to perfusion index percentage display
75-3420
$432.20
MABIS Penlights
Disposable
High intensity exam lights For physicians, nurses and EMTs Batteries included
Reusable
MEDICAL SUPPLIES
LED
Item #
Style
Qty
Price
32-760-000 32-765-000 32-766-000 32-769-000
Disposable Reusable Reusable (bulk) LED, Silver
6/pk 6/pk 100/pk 1 ea
$8.79 $11.99 $187.29 $4.89
Bulb Syringe Aspirator
Nursing Instruments
40-810-000 40-811-000 40-812-000 40-813-000
Standard Select Deluxe Premium
1 ea 1 ea 1 ea 1 ea
$72.10 $82.40 $92.70 $103.00
Sterile manual aspirator is ideal for use with newborns and infants Can also be used as an ear syringe
Price Per Each 1
Item #
Size
650-4004-0121
2-oz.
$1.39
461
Nursing Instruments
MABIS Precision Cut Shears
Hardened stainless steel and serrated edges provide unsurpassed performance under the most demanding conditions Autoclavable
Item #
Color
Size
Qty
Price
Briggs Tape Measure
Item #
Price Per Each 1
54-780-000
$1.99
27-757-010 27-757-020 27-757-080 27-757-150 27-757-160 27-757-200 27-757-240 27-755-010 27-755-020 27-755-080 27-755-050 27-759-020
Blue Black Red Magenta Teal Purple Navy Blue Black Red Orange Black, German-Crafted
5-1/2 5-1/2 5-1/2 5-1/2 5-1/2 5-1/2 5-1/2 7-1/2 7-1/2 7-1/2 7-1/2 7-1/2
1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea 1 ea
$3.44 $3.44 $3.44 $3.44 $2.69 $2.69 $3.44 $3.44 $3.44 $3.44 $3.44 $4.79
Tape Measures

Tape is graduated in inches on one side and centimeters on the other Housed in a high-impact plastic case with pushbutton retractor mechanism Tape made of berglass for durability and long life Size: 1/4 wide by 60
Kelly Forceps
Thumb Dressing Forceps
Bandage Scissors
MABIS Precision Forceps and Scissors

35-780-000 35-780-010
White Blue
$2.29 $2.29
Designed for superior performance Meets the needs of nurses, EMTs and students
Item # Description Size Qty Price
MEDICAL SUPPLIES
25-724-000 25-725-000 25-736-000 25-702-000 25-703-000 25-704-000
Kelly Forceps, Box Lock Kelly Forceps, Box Lock Thumb Dressing Forceps Bandage Scissors Bandage Scissors Bandage Scissors
5-1/2, Straight 5-1/2, Curved 5-1/2, Serrated 5-1/2 4-1/2 7-1/4
$2.20 $2.20 $1.39 $2.15 $2.10 $3.70
Precision ECG Caliper

Nursing Instruments
Chrome-plated for quality assurance Large handle design allows the user to easily manipulate the instrument Replaceable tips provide years of unsurpassed service Protective cover includes a molded ruler for easy reference
Futura Safety Scalpel

The Futura Safety Scalpel features an automated retraction design to minimize the risk of accidental cuts. One-handed activation allows clinicians to focus on the surgical site while the retractable design and nger-operated locking inset keeps the blade in the desired position. This disposable scalpel is color-coded by blade size for easy identication.
Item # Size Price Per Each (20 ea/bx, 5 bx/ca) 1 20
25-779-000
$5.59
73-680215
#15 blade
$2.89
$2.75
462
Product Name Index
#
1-to-1 Program/Individual Job Assignment Plan . . . . . 124 24-Hour Call Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 24-Hour Intake and Output Record . . . . . . . . . . . . . . . . .100 24-Hour Report/Change of Condition Report . . . . . . . .109
Aerosol Antiperspirant & Deodorant . . . . . . . . . . . . . . .372 Afx-A-Tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Aide Care Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 AIDS/HIV Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 AIDS/HIV Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Air Freshener. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347
A
A-Z Poly Chart Dividers . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Abnormal Involuntary Movement Scale (AIMS) . . . . . . 71 Absence Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Accumulative Diagnosis Disclosure . . . . . . . . . . . . . . . . .59 Accurate Intake and Output Record . . . . . . . . . . . . . . . .100 Acknowledgement of Receipt, Advanced Directives, Medical Treatment Decisions. . . . . . . . . . . . .56 Action Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238 Action Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Activities Participation Record. . . . . . . . . . . . . . . . . . . . .126 Activities Phrase of the Month Calendar . . . . . . . . . . . . 125 Activities Wall Calendar. . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Activity Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Activity Interest Survey. . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Activity Progress Notes. . . . . . . . . . . . . . . . . . . . . . . . . . .126 Activity Signs . . . . . . . . . . . . . . . . . . . . . . . . . . .126, 260-261 Acute Care Chart Dividers. . . . . . . . . . . . . . . . . . . . . . . . .199 ADA Compliant Signs . . . . . . . . . . . . . . . . . . . . . . . . 252-263 Adapt Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .363 Add-A-Cath Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .353 Addendum to Plan of Treatment Medical Update . . . .135 Addressograph Labels . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Adhes-Away Label Remover . . . . . . . . . . . . . . . . . . . . . .237 Adhesive Pads, Wound Care . . . . . . . . . . . . . . . . . . . . . .303 Adhesive Strips, Wound Care . . . . . . . . . . . . . . . . . . . . .291 ADL Flow Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 ADL Functional/Restorative Assessment and Progress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69, 115 Admission and Discharge Record Book. . . . . . . . . . . . . .93 Admission Chart Dividers. . . . . . . . . . . . . . . . . . . . . . . . .200 Admission Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Admission Nursing Assessment . . . . . . . . . . . . . . . . . . .123 Admission Orders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Admission Service Agreement Home Care . . . . . . . . .57 Admission Service Agreement Hospice . . . . . . . . . . . .57 Admitting Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Admitting Record for Health Care Facilities . . . . . . . . . .54 Adult Briefs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338, 340 Advance Directives Labels . . . . . . . . . . . . . . . . . . . .240, 241 Advance Directives/Medical Treatment Decisions/ Acknowledgement of Receipt . . . . . . . . . . . . . . . . . . . . . .56
Alarm, Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .335 Alarm, Chair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334 Alcohol Preps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Alert, Stat-Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Alert, Telemergency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416 Alerts, Chart Flaggs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .235 Alerts, Pull Flag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192, 289 Alerts, Slide Signal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Alzheimers Disease Disclosure. . . . . . . . . . . . . . . . . . . . .59 All Barrier Precaution Gown. . . . . . . . . . . . . . . . . . . . . . .275 All Purpose Blank Register Book . . . . . . . . . . . . . . . . . . . .93 All Silicone Foley Catheters . . . . . . . . . . . . . . . . . . . . . . .352 Allergies Tapes & Labels. . . . . . . . . . . . . . . . . . . . . . . . . .244 Alpha Labels A-Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Alpha/Numeric Filing Labels . . . . . . . . . . . . . . . . . . . . . .227 Ambulance Register Book . . . . . . . . . . . . . . . . . . . . . . . . .93 Ancillary Therapy Evaluation . . . . . . . . . . . . . . . . . . . . . . 115 Aneroid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .445 Aneroid Gauge, Single Patient Use. . . . . . . . . . . . . . . . .444 Anesthesia Register Book. . . . . . . . . . . . . . . . . . . . . . . . . .92 Antiseptic Skin Prep. . . . . . . . . . . . . . . . . . . . . . . . . 309, 365 Annual Physical Examination. . . . . . . . . . . . . . . . . . . . . . .62 Anticoagulant Therapy Flowsheet . . . . . . . . . . . . . . . . . . 71 Antifungal Extra Thick . . . . . . . . . . . . . . . . . . . . . . . . . . . .376 Antifungal Moisture Barrier Cream . . . . . . . . . . . . . . . .349 Antifungal Ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348 Antimicrobial Soap, Liquid . . . . . . . . . . . . . . . . . . . . . . . .370 Antiperspirant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372 Application for Employment . . . . . . . . . . . . . . . . . . . . . .130 Applicators, Cotton Tipped . . . . . . . . . . . . . . . . . . . . . . . 314 ARD Finder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Arm Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .333 Arthritis Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Aspirator, Bulb Syringe . . . . . . . . . . . . . . . . . . . . . . . . . . .461 Aspirator, Nasal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .431 Aspirator, Schuco-Vac . . . . . . . . . . . . . . . . . . . . . . . . . . . .431 Aspirator, Schuco-Vac Replacement Canister . . . . . . .431 Assessment for Bowel and Bladder Training . . . . . . . . . 74 Assessment for Self Administration of Medication. . . .70 Assessment of Self Administration of Medications . . .88
463
Product Name Index

Assessment References . . . . . . . . . . . . . . . . . . . . . . . . . .145 Assignment Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Assisted Living Chart Dividers. . . . . . . . . . . . . . . . . . . . .198 Assisted Living Documentation System . . . . . . . . . . . . . 12 Authorization to Release Patient Information . . . . . . . .129 Bereavement Follow Up . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Bereavement Plan of Care Tracking . . . . . . . . . . . . . . . . 121 Billing and Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . 148-153 Biohazard Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . .248-249 Biohazard Waste Disposal Bags . . . . . . . . . . . . . . . . . . .277 Bioqwick Clean Up Kit, Advanced. . . . . . . . . . . . . . . . . .276
B
Bacitracin Zinc Ointment. . . . . . . . . . . . . . . . . . . . . . . . . .376 BactiX Ringbinders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Bag, Zip Top. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .284 Bags, Ice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .381 Bandage & Cast Protectors. . . . . . . . . . . . . . . . . . . . . . . . 312 Bandage Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312 Bandage, Boot. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .299 Bandage, Compression. . . . . . . . . . . . . . . . . . . . . . . . . . . 311 Bandage, Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312 Bandage, Triangular. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .383 Bandages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .302, 309-311 Bankers Boxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Bariatric Adult Briefs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .339 Barrier Cream . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Barrier Film, Wound Care . . . . . . . . . . . . . . . . . . . . . . . . .295 Barrier Rings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .363 Baskets, Porta-Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Bath Mat, No-Skid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .389 Bath Seats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 385, 389 Bed Assists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .337 Bed Boards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .405 Bed Bolsters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .336 Bed Cradle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .325 Bed Pad. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .345 Bed Pan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .379 Bed Patient Turn Record . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Bed Rails. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .336 Bed Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .405 Bedside Disposal Bags . . . . . . . . . . . . . . . . . . . . . . 278, 379 Behavior Intervention Monitoring Checklist . . . . . . . . .123 Behavior Intervention Monitoring Form . . . . . . . . . . . . .72 Behavior Management Plan . . . . . . . . . . . . . . . . . . . . . . .123 Behavior Symptoms Checklist. . . . . . . . . . . . . . . . . . . . .123 Behavioral Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245 Bell, Call, Long Handle. . . . . . . . . . . . . . . . . . . . . . . . . . . . 416 Belly Bag. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355 Belt, Chair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332, 392 Belts, Gait. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .332-333 Bereavement Assessment . . . . . . . . . . . . . . . . . . . . . . . . 121
Bioqwick Clean Up Kit, Premium. . . . . . . . . . . . . . . . . . .276 Bioqwick Clean Up Kit, Select . . . . . . . . . . . . . . . . . . . . .276 Bioqwick Clean Up Kit, Standard. . . . . . . . . . . . . . . . . . .276 Bladder Control Pads . . . . . . . . . . . . . . . . . . . . . . . . . . . . .340 Bladder Incontinence Evaluation. . . . . . . . . . . . . . . . . . . . 74 Bladder Pads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .342 Bladder Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Blank Chart Dividers. . . . . . . . . . . . . . . . . . . . . . . . . 193, 200 Blank Wall Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224 Blanket Support, Adjustable. . . . . . . . . . . . . . . . . . . . . . .337 Blanket, Bath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Blanket, Econo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .383 Blanket, Emergency Rescue . . . . . . . . . . . . . . . . . . . . . . .383 Blood Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Blood Glucose Equipment Check . . . . . . . . . . . . . . . . . . .94 Blood Pressure Cuffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .444 Body and Hair Shampoo. . . . . . . . . . . . . . . . . . . . . . . . . .372 Boot Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .299 Boot, Long . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326 Boot, Orthotic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326 Bowel and Bladder Retraining Program. . . . . . . . . . . . . .75 Bowel and Bladder Training Schedule . . . . . . . . . . . . . . .75 Bowel Movement Elimination Record . . . . . . . . . . . . . . .75 Bowel Retraining Assessment. . . . . . . . . . . . . . . . . . . . . . 74 Bowel Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Boxes, Filing/Bankers. . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Bracket, Name. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224 Braden Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Break-Away Lanyards . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Breakaway Lanyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .457 Briefs, Adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338, 340 Briefs, Adult Bariatric. . . . . . . . . . . . . . . . . . . . . . . . . . . . .339 Briefs, Contoured Adult . . . . . . . . . . . . . . . . . . . . . . . . . .340 Briefs, PM Extended Use . . . . . . . . . . . . . . . . . . . . . . . . .339 Briefs, Premium Adult . . . . . . . . . . . . . . . . . . . . . . . . . . .339 Briefs, Stretch Fit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .338 Brush, Long Reach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Bulb & Valve Assembly, Single Patient Use . . . . . . . . .444 Bumpers, Chart Racks . . . . . . . . . . . . . . . . . . . . . . . . . . . .208
464
Product Name Index
C
C-Fold Towels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .279 CAA Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Activities of Daily Living . . . . . . . . . . . . . . . . . . . . .30 CAA Behavioral Symptoms. . . . . . . . . . . . . . . . . . . . . . .30 CAA Cognitive Loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Communication . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Dehydration/Fluid Maintenance . . . . . . . . . . . . . .30 CAA Delirium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Dental Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Falls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Feeding Tube(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Mood Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Nutritional Status . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Physical Restraints. . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Pressure Ulcer(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .30 CAA Psychosocial Well-Being. . . . . . . . . . . . . . . . . . . . .30 CAA Psychotropic Medication Use . . . . . . . . . . . . . . . .30 CAA Return to Community Referral. . . . . . . . . . . . . . . .30 CAA Urinary Incontinence & Indwelling Catheter. . . .30 CAA Visual Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Cabinet, Bedside. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .404 Cabinet, Medication Distribution. . . . . . . . . . . . . . 193, 288 Cabinets, Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210 CAD Axial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 CAD Pathway. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Caddy Carriers, Porta-Cart . . . . . . . . . . . . . . . . . . . . . . . . 211 Calendar, Blank, Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224 Care Plan Reference Sheet . . . . . . . . . . . . . . . . . . . . . . . . 116 Can Opener, Ring Pull . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 Cancer Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Cancer Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Cancer Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Canes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .398-399 Canestay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .398 Cannula, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430 Cannula, Nasal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430 Cards, File of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Cards, Ident-A-Pocket . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Cards, Magnetic File Holder . . . . . . . . . . . . . . . . . . . . . . .194 Cards, Med/TX Record Dividers . . . . . . . . . . . . . . . . . . .193 Cards, Patient/Resident Charge. . . . . . . . . . . . . . . . . . . .229 Cards, Quick Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Cards, Spine ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190
Care Coordination Mount . . . . . . . . . . . . . . . . . . . . . . . . . .79 Care Coordination Note. . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78, 82 Care Plan Conference Summary . . . . . . . . . . . . . . . . . . . .80 Care Plan Postcard Invitations . . . . . . . . . . . . . . . . . . . . . .82 Care Plan References. . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Care Plan Ringbinders . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Cart, Food Trolley . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .420 Cart, Shopping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419-420 Cartridges, Casio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Carts, Ice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .407 Carts, Medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .407 Carts, Modalities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .407 Carts, Utility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210-211, 407 Case Management Meeting Home Care . . . . . . . . . . . .79 Case Management Meeting Hospice. . . . . . . . . . . . . . .79 Casio Labels/Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Cast Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312 Cast Shoe, Rocker Bottom . . . . . . . . . . . . . . . . . . . . . . . . 411 Cath-Secure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .358 Catheter Kit, Female. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .356 Catheter Kit, Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430 Catheter Kits, Touchless Intermittent, Female . . . . . . .356 Catheter Kits, Touchless Intermittent, Male . . . . . . . . .356 Catheter Kits, Touchless Intermittent, Unisex. . . . . . . .356 Catheter Silicone Coated. . . . . . . . . . . . . . . . . . . . . . . . . .352 Catheter Tray, Urethral . . . . . . . . . . . . . . . . . . . . . . . . . . .357 Catheter Trays, Foley . . . . . . . . . . . . . . . . . . . . . . . . . . . . .353 Catheter Tubing Fastener . . . . . . . . . . . . . . . . . . . . . . . . .358 Catheter, Coud Tip Latex Urethral. . . . . . . . . . . . . . . . .356 Catheters, Lubricath Latex Coud. . . . . . . . . . . . . . . . . .352 Catheters, Silicone Coated Foley. . . . . . . . . . . . . . . . . . .352 Cavity Filler, Wound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291 Census Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 Central Supply Charge. . . . . . . . . . . . . . . . . . . . . . . . . . . .133 Central Supply Requisition and Charge . . . . . . . . . . . . .133 Cerebrovascular Accident (Stroke) Disclosure . . . . . . . .59 Certication and Plan of Treatment . . . . . . . . . . . . . . . .135 Certication and Recertication . . . . . . . . . . . . . . . .64, 112 Cervical Collar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411 Chair Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334 Change Day Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247 Change in Position or Salary of Employee . . . . . . . . . .132 Change of Diet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Change/Order Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
465
Product Name Index

Charge Cards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .229 Charge Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228-229 Charge Slip. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Chart Caddy Carriers, Porta-Cart. . . . . . . . . . . . . . . . . . . 211 Chart Cover Cleaner, Clean-Ease. . . . . . . . . . . . . . . . . . .187 Chart Divider Tabs, Individual . . . . . . . . . . . . . . . . . 201-203 Chart Dividers, A-Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Chart Dividers, Acute Care . . . . . . . . . . . . . . . . . . . . . . . .199 Chart Dividers, Admission . . . . . . . . . . . . . . . . . . . . . . . .200 Chart Dividers, Assisted Living . . . . . . . . . . . . . . . . . . . .198 Chart Dividers, Blank . . . . . . . . . . . . . . . . . . . . . . . . 193, 200 Chart Dividers, Condition Alert . . . . . . . . . . . . . . . .203, 241 Chart Dividers, Custom . . . . . . . . . . . . . . . . . . . . . . .205-207 Chart Dividers, Home Care . . . . . . . . . . . . . . . . . . . . 194-195 Chart Dividers, Hospice. . . . . . . . . . . . . . . . . . . . . . . . . . .195 Chart Dividers, Hospital . . . . . . . . . . . . . . . . . . . . . . . . . .199 Chart Dividers, LTC. . . . . . . . . . . . . . . . . . . . . . . . . . . 196-197 Chart Dividers, Med Record . . . . . . . . . . . . . . . . . . . . . . .193 Chart Dividers, Paper. . . . . . . . . . . . . . . . .194-203, 205-207 Chart Dividers, Physicians . . . . . . . . . . . . . . . . . . . . . . . .200 Chart Dividers, Poly . . . . . .193, 195-199, 201-203, 205-207 Chart Dividers, Surele . . . . . . . . . . . . . . . . . . . . . . 200, 204 Chart Dividers, Treatment Record. . . . . . . . . . . . . . . . . .193 Chart Dividers, Tyvek. . . . . . . . . 195-199, 201-203, 205-207 Chart Flagg Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .235 Chart ID Label Dispenser. . . . . . . . . . . . . . . . . . . . . . . . . .191 Chart ID Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Chart Label Dispenser . . . . . . . . . . . . . . . . . . . . . . . . . . . .236 Chart Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . .236-247, 249 Chart Racks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208-210 Chemical Restraint Labels . . . . . . . . . . . . . . . . . . . . . . . .245 CHF Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 CHF Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Child Registration and History Record . . . . . . . . . . . . . . .46 Chlorinated Absorbent Beads . . . . . . . . . . . . . . . . . . . . .276 Chronic Disease Flow Record. . . . . . . . . . . . . . . . . . . . . . .45 Chronic Renal Failure Disclosure. . . . . . . . . . . . . . . . . . . .59 Clean-Ease Chart Cover Cleaner . . . . . . . . . . . . . . . . . . .187 Cleaner, Chart Cover, Clean-Ease . . . . . . . . . . . . . . . . . .187 Cleanser, Wound. . . . . . . . . . . . . . . . . . . . . . . . . . . . .300, 313 Cleansing and Deodorizing Bathing Wipes . . . . . . . . . .370 Cleansing Foam . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348-349 Clinical Note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79, 87 Clinical Record Review . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Clinical References . . . . . . . . . . . . . . . . . . . . . . . . . . . 140-144 Clipboards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Clips, Room Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Closed Foley Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .353 Clothing Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 CMS 1500 Claim Filing Envelope . . . . . . . . . . . . . . . . . . .137 CMS 1500 Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 CMS UB-04 Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Code Status Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . 240-241 Coding and Billing . . . . . . . . . . . . . . . . . . . . . . . . . . . 148-153 Coding Dictionaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Collection Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .278 Collection Pockets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Collection Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 Collection Sheet, Patient/Resident Charge . . . . . . . . . .228 Color-Coding Tapes & Labels. . . . . . . . . . . . . . . . . . . . . .234 Coloscreen Occult Blood Test . . . . . . . . . . . . . . . . . . . . .459 Comb, Long Reach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Comfort Bath Cleansing System . . . . . . . . . . . . . . . . . . .370 Comfortpan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .379 Commode Specimen Measurer. . . . . . . . . . . . . . . . . . . .358 Commode, All Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . .387 Commode, Steel . . . . . . . . . . . . . . . . . . . . . . . . . . . . .386-387 Common Room Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . .256 Communication Form . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Complete Urethral Tray . . . . . . . . . . . . . . . . . . . . . . . . . . .356 Comprehensive Adult Assessment Non Oasis . . . . . .68 Comprehensive Dietary Order. . . . . . . . . . . . . . . . . . . . .104 Comprehensive Intake and Output Record . . . . . 100, 361 Comprehensive Pediatric Nursing Assessment. . . . . . .77 Comprehensive Physical Therapy Care Plan . . . . . . . . 114 Comprehensive Plan of Care . . . . . . . . . . . . . . . . . . . . . . .80 Compress, Hot/Cold Pack, Reusable. . . . . . . . . . . . . . . .381 Compress, Instant, Cold . . . . . . . . . . . . . . . . . . . . . . . . . .381 Compress, Instant, Heat . . . . . . . . . . . . . . . . . . . . . .381, 423 Compress, Reusable, Cold . . . . . . . . . . . . . . . . . . . . . . . .423 Compress, Reusable, Gel, Hot/Kold . . . . . . . . . . . . . . . .381 Compressor, Cosmocomp . . . . . . . . . . . . . . . . . . . . . . . .433 Computer Transport Stands. . . . . . . . . . . . . . . . . . .214, 215 Computer Workstations . . . . . . . . . . . . . . . . . . . . . . 216-219 Condition Alert Chart Dividers. . . . . . . . . . . . . . . . .203, 241 Condential Carrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Condential Patient Sign-In Log . . . . . . . . . . . . . . . . . . .129 Condential Reference Request . . . . . . . . . . . . . . . . . . .130 Congestive Heart Failure Disclosure. . . . . . . . . . . . . . . . .59 Consent to Photograph . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Consultation Forms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Contact Labeling Gun Labels . . . . . . . . . . . . . . . . . . . . . .228
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Continuous Nutritional Status Review . . . . . . . . . . . . . .103 Contoured Adult Briefs . . . . . . . . . . . . . . . . . . . . . . . . . . .340 Controlled Drug Administration Record . . . . . . . . . . . . .90 Controlled Drug Count Record. . . . . . . . . . . . . . . . . . . . . .88 Controlled Medication Administration Record. . . 90, 289 COPD Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 COPD Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Core Data Base Internal Medicine . . . . . . . . . . . . . . . . .47 Cornell Scale for Depression in Dementia. . . . . . . . . . .123 Coronary Care Register Book. . . . . . . . . . . . . . . . . . . . . . .93 Cotton Balls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Cotton Underpad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 CPR Manikins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174 CPR Microkey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382 CPR Micromask. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382 CPR Microshield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382 CPR Rescue Breather . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382 CPR Shield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .382 CPT Code Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Cradle Boot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .325 Crusher, Tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286 Crutches & Accessories . . . . . . . . . . . . . . . . . . . . . . . . . .401 Cubbie Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Cups, Medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285 Cups, Nosey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 Cushions, Back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .323 Cushions, Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317, 319 Cushions, Coccyx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .321 Cushions, Flotation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .318 Cushions, Heel/Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . . .324 Cushions, Lumbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .323 Cushions, Neck, Contoured . . . . . . . . . . . . . . . . . . . . . . .329 Cushions, Neck, Inatable . . . . . . . . . . . . . . . . . . . . . . . .330 Cushions, Pommel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .318 Cushions, Ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .322 Cushions, Swivel Seat . . . . . . . . . . . . . . . . . . . . . . . . . . . .331 Cushions, Wheelchair . . . . . . . . . . . . . . . . . . . . . . . .318, 320 Custom Birth Certicates and Identication Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Custom Chart Dividers . . . . . . . . . . . . . . . . . . . . . . .205-207 Custom File Folders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 Custom Forms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Custom Surele Chart Dividers . . . . . . . . . . . . . . . . . . . .204 Custom Tapes & Labels. . . . . . . . . . . . . . . . . . . . . . . 232-233 Cutlery, Comfort Grip, Maddak . . . . . . . . . . . . . . . . . . . . 417 CVA Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
D
Daily Activity Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Daily Census Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Daily Floor Census . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Daily Nursing Sign-In Sheet . . . . . . . . . . . . . . . . . . . . . . . 131 Daily Record of Participation Sheet . . . . . . . . . . . . . . . . 124 Daily Skilled Nursing Notes . . . . . . . . . . . . . . . . . . . . . . . .29 Death Note. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Debridement Tray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314 Deep Cleaning List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Deep Cleaning Schedule . . . . . . . . . . . . . . . . . . . . . . . . . .138 Dehydration Risk Tracking Log . . . . . . . . . . . . . . . . . . . . 110 Delivery Room Register Book . . . . . . . . . . . . . . . . . . . . . .92 Deluxe Emergency Response Kit . . . . . . . . . . . . . . . . . .276 Demential & Behavior Training . . . . . . . . . . . . . . . . . . . .177 Demonstration Arm, Venipuncture & Injection . . . . . .144 Denial of Amendment . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Denture Cleanser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374 Denture Cup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374 Denture Marker Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374 Deodorant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372 Deodorant Bar Soap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .370 Depression Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Depressors, Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314 Desk Charger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436 Desk References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Desks, Wall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212-213 Detailed Explanation of Non-Coverage . . . . . . . . . . . . . .61 Diabetes Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Diabetes Mellitus Disclosure . . . . . . . . . . . . . . . . . . . . . . .59 Diabetes Pathway. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Diabetic Audit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Diabetic Foot Assessment . . . . . . . . . . . . . . . . . . . . . . . . . 71 Diabetic Monitoring Flowsheet . . . . . . . . . . . . . . . . . . . . . 76 Diafoods Thick-It. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .368 Diagnostic Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436 Diagnostic Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436 Dictionaries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146-147 Diet Card Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Diet Card with Laminate Sheet . . . . . . . . . . . . . . . . . . . .105 Diet Cards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Diet History/Food Preference List . . . . . . . . . . . . . . . . . .103 Diet Order. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Diet Preference List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Diet Requisition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Dietary Assessment/Consult . . . . . . . . . . . . . . . . . . . . . .104
467
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Dietary Communication Pad . . . . . . . . . . . . . . . . . . . . . .103 Dietary Communication Spiral Bound Book . . . . . . . . .103 Dietary Enteral Assessment . . . . . . . . . . . . . . . . . . . .76, 103 Dietary Information Card . . . . . . . . . . . . . . . . . . . . . . . . .105 Dietary Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242 Dietary Order and Communication. . . . . . . . . . . . . . . . .103 Dietary Progress Notes . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Dietary References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Dietitians Note to Physician. . . . . . . . . . . . . . . . . . . . . . .104 Dinnerware Set, Maddak Redware . . . . . . . . . . . . . . . . . 417 Directory/Directional Signs. . . . . . . . . . . . . . . . . . . .254-255 Disaster Tag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Discharge Audit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Discharge Instructions. . . . . . . . . . . . . . . . . . . . . . . .118, 120 Discharge Plan/Discharge Plan Review . . . . . . . . . . . . .120 Discharge Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Disclosure Log. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Disinfectant/Decontaminante Cleaner, Surface . . . . . .279 Dispenser, Chart ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Dispenser, Chart Labels. . . . . . . . . . . . . . . . . . . . . . . . . . .236 Dispenser, Tape. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Disposable Bags, Bedside. . . . . . . . . . . . . . . . . . . . . . . . .278 Disposable Laundry Bags . . . . . . . . . . . . . . . . . . . . . . . . .278 Disposable Liners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .341 Disposable Personal Wash Cloths. . . . . . . . . . . . . . . . . .344 Disposable Underpads . . . . . . . . . . . . . . . . . . . . . . 344-345 Disposable Wash Cloths . . . . . . . . . . . . . . . . . . . . . . . . . .343 Disruptive Behavior/Intervention/Outcome . . . . . . . . . .72 Disruptive Behavior/Intervention/Outcome Anti-Anxiety Medications . . . . . . . . . . . . . . . . . . . . . . . . .123 Disruptive Behavior/Intervention/Outcome Anti-Psychotic Medications . . . . . . . . . . . . . . . . . . . . . . .123 Disruptive Behavior/Intervention/Outcome Antidepressant Medications . . . . . . . . . . . . . . . . . . . . . .123 Disruptive Behavior/Intervention/Outcome Hypnotic/Sedative Medications. . . . . . . . . . . . . . . . . . . .123 Disruptive Behavior/Intervention/Outcome PRN Medications or Establishing a Baseline. . . . . . . . .123 Divider Tabs, Individual. . . . . . . . . . . . . . . . . . . . . . . 201-203 Dividers, A-Z . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Dividers, Acute Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Dividers, Admission. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 Dividers, Assisted Living. . . . . . . . . . . . . . . . . . . . . . . . . .198 Dividers, Blank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193, 200 Dividers, Condition Alert. . . . . . . . . . . . . . . . . . . . . .203, 241 Dividers, Custom . . . . . . . . . . . . . . . . . . . . . . . . . . . .205-207 Dividers, Home Care . . . . . . . . . . . . . . . . . . . . . . . . . 194-195 Dividers, Hospice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Dividers, Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Dividers, LTC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 196-197 Dividers, Med Record . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Dividers, Paper . . . . . . . . . . . . . . . . . . . . . .194-203, 205-207 Dividers, Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 Dividers, Poly. . . . . . . . . . . .193, 195-199, 201-203, 205-207 Dividers, Surele . . . . . . . . . . . . . . . . . . . . . . . . . . . 200, 204 Dividers, Treatment Record . . . . . . . . . . . . . . . . . . . . . . .193 Dividers, Tyvek . . . . . . . . . . . . . . 195-199, 201-203, 205-207 Divider Sheets, Pull Flag . . . . . . . . . . . . . . . . . . . . . 192, 289 Do Not Resuscitate/Request Order . . . . . . . . . . . . . . . . . .64 Doctors Orders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 Doctors Orders and Progress Notes . . . . . . . . . . . . . . . .64 Doctors Progress Notes . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Door Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .335 Door Hanger Patient Care Signs . . . . . . . . . . . . . . . . . . .265 Door Hinge, Expandable . . . . . . . . . . . . . . . . . . . . . . . . . . 419 Doorknob Extender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419 Dots, Color-Coding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Douche/Enema System w/ Water Bottle . . . . . . . . . . . .378 Drainage Bag. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .354 Drainage Bag, Continuous . . . . . . . . . . . . . . . . . . . . . . . .354 Drainage Bag, Latex Free . . . . . . . . . . . . . . . . . . . . . . . . .354 Drainage Bag, w/ Anti-Reux Chamber . . . . . . . . . . . . .354 Drainage Bag, w/ Anti-Reux Chamber, Splash Guard. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355 Drawer-Store Charting System . . . . . . . . . . . . . . . . . . . .194 Dressing Aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414 Dressing Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293 Dressing Tray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .365 Dressing, Film . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366 Dressing, Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366 Dressings, Wound Care. . . . . . . . . . 291-300, 303-305, 313 Drop Box, Medical Records . . . . . . . . . . . . . . . . . . . . . . .225 Drug Destruction Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Drug Handbooks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140-141 Drug Order Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Drug Regimen Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Drug Sensitivity Label . . . . . . . . . . . . . . . . . . . . . . . . . . . .244 Dysphagia Medical Work Up . . . . . . . . . . . . . . . . . . . . . . 113
E
ECG Calipers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462 Economy Ringbinders . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Edema Measurement Flowsheet. . . . . . . . . . . . . . . . . . . . 71 Education, Patient & Family . . . . . . . . . . . . . . . . . . . 162-163 Education, Staff. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166-169
468
Product Name Index

Elastic Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312 Elbow/Heel, Cushions & Pads . . . . . . . . . . . . . . . . . . . . .324 Election of Medicare Hospice Benet. . . . . . . . . . . . . . . .61 Elopement Risk Tracking Log . . . . . . . . . . . . . . . . . . . . . .107 Emergency Econo Spill Kit . . . . . . . . . . . . . . . . . . . . . . . .276 Emergency Phone Number Instruction . . . . . . . . . . . . . .58 Emergency Response Kit . . . . . . . . . . . . . . . . . . . . . . . . .276 Emergency Room Register Book. . . . . . . . . . . . . . . . . . . .92 Emesis Basin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Emphysema Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Employee Counseling Form . . . . . . . . . . . . . . . . . . . . . . .132 Employee Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Employee Health Examination Record. . . . . . . . . . . . . .130 Employee In-Service/Educational Attendance Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Employee Incident/Accident Report . . . . . . . . . . . . . . . .106 Employee Job Performance Evaluation. . . . . . . . . . . . . 131 Employee Record Folder. . . . . . . . . . . . . . . . . . . . . . . . . . 131 Employees Health Questionnaire . . . . . . . . . . . . . . . . . .130 EMT Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .445 End Tab File Folders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 End Tab Filing Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Enema Cleaning Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .378 Enema, Prelled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .378 Ensure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .368 Enteral Feeding Record . . . . . . . . . . . . . . . . . . . . . . .103, 104 Enteral Tube Declogger . . . . . . . . . . . . . . . . . . . . . . . . . . .369 Evacuation Plan Drawings . . . . . . . . . . . . . . . . . . . . . . . .259 Evaluation of Employee. . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Exam Table and Headrest Paper . . . . . . . . . . . . . . . . . . .278 Exercise Ball, Rehab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .421 Exercise Pulley Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .421 Exerciser, Mini Stepper . . . . . . . . . . . . . . . . . . . . . . . . . . .421 Exerciser, Pedal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .421 Exhaust Fan, Computer Workstations . . . . . . . . . . . . . . 219 Expiration Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Extra Protective Cream . . . . . . . . . . . . . . . . . . . . . . . . . . .348 Eye Drop Delivery Kit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418 Eye Pads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .302 EZ Pathways Success Kit . . . . . . . . . . . . . . . . . . . . . . .22, 23 Face-To-Face Encounter for Home Care. . . . . . . . . . .19, 57 Facial Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372 Fall Prevention Program . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Fall Prevention Training. . . . . . . . . . . . . . . . . . . . . . .176, 332 Fall Risk Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Falls Safety Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Family & Patient Education. . . . . . . . . . . . . . . . . . . . 162-163 Family Guide for Home Care of Patient . . . . . . . . . . . . . .58 Family Practice Telephone Record Book. . . . . . . . . . . .43 Family Questionnaire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Fan, Exhaust, Computer Workstations. . . . . . . . . . . . . . 219 Fasteners, File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Feeding Tube. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .369 Feeding Tube, Gastrostomy . . . . . . . . . . . . . . . . . . . . . . .369 Female Catheter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .356 Female Urinal w/ Leak Resistant Cover . . . . . . . . . . . . .378 Female Urinal w/Out Cover. . . . . . . . . . . . . . . . . . . . . . . .378 Field Guide for EZ Pathways. . . . . . . . . . . . . . . . . . . . . . . .23 File Fasteners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 File Folders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 File Folders, Custom . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 File Holder, Magnetic . . . . . . . . . . . . . . . . . . . . . . . . 194, 221 File of Life Pockets & Cards . . . . . . . . . . . . . . . . . . . . . . .198 File Pocket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Filing Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Filing Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Fingernail Clipper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 First Aid Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .380 Flaggs, Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .235 Flow Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Fluid Intake and Output . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Fluoride Toothpaste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374 Foam Overlay, Therapeutic. . . . . . . . . . . . . . . . . . . . . . . . 316 Foam Rolls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329 Foam Tipped Wound Measuring Devices . . . . . . . . . . .290 Folders, File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Foley Catheter Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . .358 Foley Catheter Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . .353 Foley Catheterization Trays with Anti-Reux . . . . . . . .353 Foley Trays. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .353 Foley Trays, Universal . . . . . . . . . . . . . . . . . . . . . . . . . . . .352 Food Intake Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Food Plate Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 417 Food Temperature Record . . . . . . . . . . . . . . . . . . . . . . . . 111 Foot Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325, 327 Foot Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .325
F
Face Mask, Earloop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Face Mask, Molded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Face Shield, Full . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .274 Face Shield, Half . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .274 Face-To-Face/60 Day Recertication Hospice . . . . . . .57
469
Product Name Index

Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462 Fracture Bed Pan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .379 Functional Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Functional Assessment for Persons with Alzheimers Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Growth Charts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33, 46 Guide to Health at Home Booklet . . . . . . . . . . . . . . . .21, 57 Gynecology Flow Record . . . . . . . . . . . . . . . . . . . . . . . . . .45 Gynecology Health History . . . . . . . . . . . . . . . . . . . . . . . .45
G
Gauze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302-303, 307 Gel, Wound Care. . . . . . . . . . . . . . . . . . . . . . . . .299-300, 313 General Care Management Axial . . . . . . . . . . . . . . . . . . .23 General Care Management Pathway . . . . . . . . . . . . . . . .23 General Health Care Application for Employment. . . .130 General Health History Questionnaire . . . . . . . . . . . . . .47 Geriatric Depression Scale . . . . . . . . . . . . . . . . . . . . . . . .123 Germicidal Cloths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .279 Germicidal Deodorizing Cleaner . . . . . . . . . . . . . . . . . . .279 Glove Box Holder, Double. . . . . . . . . . . . . . . . . . . . . . . . .272 Glove Box Holder, Triple . . . . . . . . . . . . . . . . . . . . . . . . . .272 Glove Dispenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .272 Gloves Synthetic, Powder Free . . . . . . . . . . . . . . . . . . . .271 Gloves, Latex. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271 Gloves, Latex, Powdered . . . . . . . . . . . . . . . . . . . . . . . . .272 Gloves, Latex, Textured Powder Free. . . . . . . . . . . . . . .272 Gloves, Nitrile Powder Free Textured. . . . . . . . . . . . . . .272 Gloves, Powder Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271 Gloves, Powder Free, Textured . . . . . . . . . . . . . . . . . . . .271 Gloves, Powdered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271 Gloves, Synthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271 Gloves, Synthetic Polyvinyl Powder Free . . . . . . . . . . .271 Gloves, Synthetic, Powdered . . . . . . . . . . . . . . . . . . . . . .271 Gloves, Vinyl Powder Free . . . . . . . . . . . . . . . . . . . . . . . .272 Gloves, Vinyl Powdered . . . . . . . . . . . . . . . . . . . . . . . . . .272 Goggles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .274 Gown, Impervious . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275 Gown, Isolation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275 Gown, Personal Protection. . . . . . . . . . . . . . . . . . . . . . . .275 Gowns, Convalescent . . . . . . . . . . . . . . . . . . . . . . . . . . . .426 Gowns, Easy Access/Snap . . . . . . . . . . . . . . . . . . . . . . . .426 Grab Bar, Tub. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .389 Grab Bar, Tub, Adjustable . . . . . . . . . . . . . . . . . . . . . . . . .389 Grab Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .389-390 Graduate, Disposable, Triangular . . . . . . . . . . . . . . . . . .360 Graphic Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Grievance QA Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Grievance/Complaint Report . . . . . . . . . . . . . . . . . . . . . .107 Group Hospital Insurance . . . . . . . . . . . . . . . . . . . . . . . . .135 Group Volunteer Application . . . . . . . . . . . . . . . . . . . . . . 124
H
Hair Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372 Hair Rinser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .371 Hair Wash/Rinse Tray w/ Spray Nozzle. . . . . . . . . . . . . .371 Hamper Stand, Covered . . . . . . . . . . . . . . . . . . . . . . . . . .278 Hand Sanitizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 278, 376 Handi-Clip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Handwashing Labels & Signs . . . . . . . . . . . . . . . . . . . . .249 Happenings Wall Calendar . . . . . . . . . . . . . . . . . . . . . . . . 125 HCPCS Code Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Health Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80, 81 Health History Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Heating Pads, Electric/Therapeutic . . . . . . . . . . . . . . . . .422 Heel Float . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326 Heel Protector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .326 Heel/Elbow Protectors. . . . . . . . . . . . . . . . . . . . . . . . . . . .324 Heel/Elbow, Cushions & Pads . . . . . . . . . . . . . . . . . . . . .324 Heelbo ER Restraint . . . . . . . . . . . . . . . . . . . . . . . . . . . .334 Heelbo Easy-On Poncho . . . . . . . . . . . . . . . . . . . . . . . . . .334 Heelbo ICU Blazer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .334 Heelbo Sleeved Blazer. . . . . . . . . . . . . . . . . . . . . . . . . . . .334 Helping Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .337 HH Aide Visit Note Pathway . . . . . . . . . . . . . . . . . . . . . . . .23 HHABN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 HIBICLENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .370 History and Physical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Home Assessment Tool . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Home Care Admission Packet . . . . . . . . . . . . . . . . . . .21, 57 Home Care Admission Packs . . . . . . . . . . . . . . . . . . . . . .154 Home Care Chart Dividers . . . . . . . . . . . . . . . . . . . . 194-195 Home Care Documentation System . . . . . . . . . . . . . . . . . 14 Home Care Policy and Procedure Manuals . . . . . . 156-157 Home Care Services Time Log . . . . . . . . . . . . . . . . . . . .134 Home Care Stafng Resources . . . . . . . . . . . . . . . . . . . .164 Home Care/Hospice Patient Rights and Responsibilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Home Environment Safety Evaluation . . . . . . . . . . . . . . .58 Home Health Admission Checklist . . . . . . . . . . . . . . . . . .57 Home Health Aide Daily Visit Record . . . . . . . . . . . . . . . .86 Home Health Aide Weekly Visit Record . . . . . . . . . . . . . .86 Home Health Care Client Register Book. . . . . . . . . . . . . .92 Home Health Certication and Plan of Care . . . . . . . . .135
470
Product Name Index

Home Health Service Request Hospice/ Nursing Facility Collaboration . . . . . . . . . . . . . . . . . . . . . .79 Home Health Services Request . . . . . . . . . . . . . . . . . . . . .78 Home Visit Verication Calendar. . . . . . . . . . . . . . . . . . .134 Home Care/Hospice, Operational Resources . . . . 154-157 Hospice Advance Beneciary Notice . . . . . . . . . . . . . . . .61 Hospice Assessment 1 Shift . . . . . . . . . . . . . . . . . . . . . .77 Hospice Benet Certication . . . . . . . . . . . . . . . . . . . . . . .61 Hospice Care Coordination Notes. . . . . . . . . . . . . . . . . . .78 Hospice Care Plan Overview . . . . . . . . . . . . . . . . . . . . . . .78 Hospice Chart Dividers . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Hospice Death Discharge Summary. . . . . . . . . . . . . . . . 121 Hospice Diet Assessment . . . . . . . . . . . . . . . . . . . . . .76, 103 Hospice Documentation System. . . . . . . . . . . . . . . . . . . . 16 Hospice Facility Kardex . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Hospice IDG Care Plan/Physician Orders. . . . . . . . . . . . .64 Hospice IDG Visits Calendar Worksheet . . . . . . . . . . . . .81 Hospice Inpatient Respite Assessment . . . . . . . . . . . . . .77 Hospice Interdisciplinary Group Care Plan . . . . . . . . . . .78 Hospice Interdisciplinary Group Meeting . . . . . . . . . . . .78 Hospice Level of Care Change . . . . . . . . . . . . . . . . . . . . . .78 Hospice Level of Care Criteria . . . . . . . . . . . . . . . . . . . . . .78 Hospice Live Discharge . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Hospice Medicare Benet Revocation . . . . . . . . . . . . . . .61 Hospice Medication Prole. . . . . . . . . . . . . . . . . . . . . . . . .90 Hospice Nursing Assistant Assignment . . . . . . . . . . . . .84 Hospice Nursing Visit Note Assessment . . . . . . . . . . . . .85 Hospital Chart Dividers . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Hospitalization Risk Assessment. . . . . . . . . . . . . . . . . . . .77 Housekeeping Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Housekeeping Quality Assurance Checklist . . . . . . . . .138 Hoyer Lifter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410 Hydrogel Wound Filler. . . . . . . . . . . . . . . . . . . . . . . . . . . .294 Hydration Investigative Protocol . . . . . . . . . . . . . . . . . . . 111 Hypertension Axial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Hypertension Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . . .59 Hypertension Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Hypoallergenic Wound Labels. . . . . . . . . . . . . . . . . . . . .243 Impervious Gown. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275 In-Service Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 In-Service Education, Dementia Care. . . . . . . . . . . . . . .177 Incident Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Incident Report QA & A Monthly Summary . . . . . . . . .108 Incident Report QA/CQI Log. . . . . . . . . . . . . . . . . . . . . . .108 Incident/Accident Report . . . . . . . . . . . . . . . . . . . . . . . . .108 Individual Chart Divider Tabs . . . . . . . . . . . . . . . . . . 201-203 Individual Participation Record . . . . . . . . . . . . . . . . . . . .126 Individual Patients Narcotics Record. . . . . . . . . . . . . . . .89 Individual Telephone Orders . . . . . . . . . . . . . . . . . . . . . . .66 Infection Control Labels & Signs . . . . . . . . . . . . . . .248-250 Infection Control Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Infection Control References . . . . . . . . . . . . . . . . . . . . . . 170 Infection Control References & Training . . . . . . . . . . . . 171 Infection Control Staff Education . . . . . . . . . . . . . . 171-173 Infection Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Infectious Waste Disposal Bags. . . . . . . . . . . . . . . . . . . .277 Infectious Waste Disposal Bags, High Density . . . . . . .277 Inatable Bed Shampooer Kit . . . . . . . . . . . . . . . . . . . . .371 Ination System, Single Patient Use. . . . . . . . . . . . . . . .444 Inuenza/Pneumococcal Immunization and Informed Consent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Inuenza/Pneumococcal Immunization, HBV Vaccine Consent/Declination and Employee HBV Vaccination Record. . . . . . . . . . . . . . . . .106 Informed Consent for Psychoactive Medication . . . . . . 71 Initial Activity Assessment . . . . . . . . . . . . . . . . . . . . . . . . 124 Initial Comprehensive Hospice Assessment. . . . . . . . . .77 Initial Hospice Assessment. . . . . . . . . . . . . . . . . . . . . . . . .77 Initial Nutritional History/Assessment . . . . . . . . . . . . . . . 76 Initial Psychosocial Assessment . . . . . . . . . . . . . . . . . . . .69 Initial Psychosocial Assessment and Social History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 Initial Social Service History. . . . . . . . . . . . . . . . . . . . . . .127 Insert Cards, File of Life. . . . . . . . . . . . . . . . . . . . . . . . . . .198 Insert Cards, Ident-A-Pocket. . . . . . . . . . . . . . . . . . . . . . .189 Insert Cards, Magnetic File Holder . . . . . . . . . . . . . . . . .194 Insert Cards, Med/TX Record Dividers. . . . . . . . . . . . . .193 Insert Cards, Spine ID . . . . . . . . . . . . . . . . . . . . . . . . . . . .190
I
ICD-10 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 ICD-9 Code Books. . . . . . . . . . . . . . . . . . . . . . . . . . . . 148-150 Ice Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .381 ID Bands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .268-270 Ident-A-Pocket Record Protectors . . . . . . . . . . . . . . . . . .189 Identication and Registration Record. . . . . . . . . . . . . . .44 Immunization Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . .106
In-Service Training Report/Attendance Record . . . . . .132 Instructions for Post Hospital Care . . . . . . . . . . . . . . . . .120 Instructions to the Patient after Emergency Care. . . . .120 Insulated Pitcher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Insulating Liner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Intake and Output Label . . . . . . . . . . . . . . . . . . . . . . . . . .361 Intake and Output Record . . . . . . . . . . . . . . . . . . . . 100, 361 Intake/Output. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100
471
Product Name Index

Intake/Referral Home Care. . . . . . . . . . . . . . . . . . . . . . . .61 Intake/Referral Hospice . . . . . . . . . . . . . . . . . . . . . . . . . .61 Intensive Care Register Book . . . . . . . . . . . . . . . . . . . . . . .93 Interdisciplinary Admission Assessment . . . . . . . . . . .123 Interdisciplinary Care Plan . . . . . . . . . . . . . . . . . . . . . . . . .80 Interdisciplinary Communication Memo . . . . . . . . . . . .120 Interdisciplinary Discharge Summary . . . . . . . . . . . . . . 118 Interdisciplinary Discharge Summary for Special Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Interdisciplinary Post-Fall Assessment . . . . . . . . . . . . .108 Interdisciplinary Progress Notes . . . . . . . . . . . . . . . . . . . .84 Interdisciplinary Referral Home Care. . . . . . . . . . . . . . .82 Interdisciplinary Referral Hospice . . . . . . . . . . . . . . . . .82 Interdisciplinary Referral LTC . . . . . . . . . . . . . . . . . . . . .82 Interim Plan of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Intermittent Cath Female . . . . . . . . . . . . . . . . . . . . . . . . .352 Intermittent Cath Male. . . . . . . . . . . . . . . . . . . . . . . . . . . .352 Internal Medicine Telephone Record Book . . . . . . . . .43 Internal Medicine Flowsheet . . . . . . . . . . . . . . . . . . . . . . .45 Interval Gynecology History. . . . . . . . . . . . . . . . . . . . . . . .45 Inventory List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Inventory of Personal Effects . . . . . . . . . . . . . . . . . . . . . . .60 Inventory of Personal Possessions . . . . . . . . . . . . . . . . . .60 Investigation Follow Up. . . . . . . . . . . . . . . . . . . . . . . . . . .108 Iodine Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Iron-On Labels. . . . . . . . . . . . . . . . . . . . . . . . . . 226, 239, 426 Irrigation Bottles, Perineal . . . . . . . . . . . . . . . . . . . . . . . .360 Irrigation Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .359 Isolation Gown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275 Isolation Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Isolation Mask . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Isolation Precaution Signs . . . . . . . . . . . . . . . . . . . . . . . .250 Isolation Tape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248 IV Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .364 IV Flow Sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 IV Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366 IV Medication Sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 IV Poles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403 IV Set Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247 IV Start Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .364
L
Lab Audit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Lab Daily Accession Record Sheet . . . . . . . . . . . . . . . . . .95 Lab Report Forms Urinalysis. . . . . . . . . . . . . . . . . . . . . .95 Lab Report Slip Urinalysis . . . . . . . . . . . . . . . . . . . . . . . .95 Label Dispenser, Chart ID . . . . . . . . . . . . . . . . . . . . . . . . .191 Label Printers, Casio . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Label Remover, Adhes-Away . . . . . . . . . . . . . . . . . . . . . .237 Label, Drug Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . .244 Label, Stop Sign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245 Label, Wound Photo ID . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Label, Wound Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Labels, Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238 Labels, Addressograph . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Labels, Advance Directives. . . . . . . . . . . . . . . . . . . . 240-241 Labels, Allergies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244 Labels, Alpha/Numeric . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Labels, Behavioral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245 Labels, Biohazard . . . . . . . . . . . . . . . . . . . . . . . . . . . .248-249 Labels, Casio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226 Labels, Change Day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247 Labels, Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . .236-247, 249 Labels, Chart ID. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Labels, Chemical Restraint . . . . . . . . . . . . . . . . . . . . . . . .245 Labels, Code Status . . . . . . . . . . . . . . . . . . . . . . . . . . 240-241 Labels, Color-Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Labels, Contact Labeling Gun . . . . . . . . . . . . . . . . . . . . .228 Labels, Custom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232-233 Labels, Dietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105, 242 Labels, End Tab Filing . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Labels, Filing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Labels, Handwashing . . . . . . . . . . . . . . . . . . . . . . . . . . . .249 Labels, Hypoallergenic, Wound. . . . . . . . . . . . . . . . . . . .243 Labels, Infection Control . . . . . . . . . . . . . . . . . . . . . .248-249 Labels, Iron-On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 226, 239 Labels, IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246-247 Labels, IV Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247 Labels, Laser, Piggyback . . . . . . . . . . . . . . . . . . . . . . . . . .229 Labels, Laser, Transcription . . . . . . . . . . . . . . . . . . . . . . .230 Labels, Medication . . . . . . . . . . . . . . . . . . . . . . 246, 247, 287
K
Kangaroo EZ Cap Closure. . . . . . . . . . . . . . . . . . . . . . . . .368 Kangaroo Pump Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .368 Kardex Plan of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Key Holder, Maddak Hole-in-One . . . . . . . . . . . . . . . . . . 419
Labels, Medication Added . . . . . . . . . . . . . . . . . . . . . . . .246 Labels, Meto Piggyback . . . . . . . . . . . . . . . . . . . . . . . . . .228 Labels, No Smoking, Oxygen in Use . . . . . . . . . . . . . . .265 Labels, Patient/Resident Charge . . . . . . . . . . . . . . .228-229 Labels, Photocopy, Piggyback . . . . . . . . . . . . . . . . . . . . .228 Labels, Piggyback. . . . . . . . . . . . . . . . . . . . . . . . . . . .228-229
472
Product Name Index

Labels, Pinfeed, Piggyback . . . . . . . . . . . . . . . . . . . . . . . .229 Labels, Pinfeed, Transcription . . . . . . . . . . . . . . . . . . . . .230 Labels, Psychoactive Drug . . . . . . . . . . . . . . . . . . . . . . . .245 Labels, Psychotropic Drug . . . . . . . . . . . . . . . . . . . . . . . .245 Labels, Resource Bar Code System . . . . . . . . . . . . . . . .229 Labels, Roll Transcription . . . . . . . . . . . . . . . . . . . . . . . . .230 Labels, Room Number. . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Labels, Spine ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Labels, Tabletop Imprinter . . . . . . . . . . . . . . . . . . . . . . . .228 Labels, Tamper Evident . . . . . . . . . . . . . . . . . . . . . . . . . . .247 Labels, Transcription . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230 Labels, Typewriter, Transcription . . . . . . . . . . . . . . . . . .230 Labels, Vaccination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249 Labels, Wound Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Labels, Year Code. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Laboratory Reports Mount Sheets . . . . . . . . . . . . . . . . . .94 Lancets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 458-459 Lanyard, Breakaway. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .457 Lanyards, Break-Away. . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Laptop Transport Stands . . . . . . . . . . . . . . . . . . . . . 214-215 Large Size Telephone Message Book Spiral Bound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Laser Chart ID Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Laser Piggyback Labels. . . . . . . . . . . . . . . . . . . . . . . . . . .229 Laser Transcription Labels . . . . . . . . . . . . . . . . . . . . . . . .230 Late Loss ADL Flow Record . . . . . . . . . . . . . . . . . . . . . . . .83 Latex Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .358 Laundry Bags, Disolvable . . . . . . . . . . . . . . . . . . . . . . . . .406 Laundry Bags, Disposable . . . . . . . . . . . . . . . . . . . . . . . .278 Laundry Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .406 Laundry Hamper Stand. . . . . . . . . . . . . . . . . . . . . . . . . . .406 Laundry Quality Assurance Checklist. . . . . . . . . . . . . . .138 Laxative and BM Record . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Leave Request. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Leg Bag. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355 Leg Bag, Disposable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355 Leg Lifter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Leg Rest, Elevating. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329 Leg Strap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .355 Lemon-Glycerine Swabs. . . . . . . . . . . . . . . . . . . . . . . . . .374 Licensed Nurses Progress Notes . . . . . . . . . . . . . . . . . . .84 Limb Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .333 Liner, Replacement, Heelboot . . . . . . . . . . . . . . . . . . . . .327 Liners, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .341 Liquishield . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309, 349 Locking Panels, Chart Racks. . . . . . . . . . . . . . . . . . . . . . .208 Locks, Safety Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . .286 Long Reach Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372 Long Reach Comb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .372 Long Term Care Admission Checklist. . . . . . . . . . . . . . . .55 Long Term Care Application for Employment . . . . . . .130 Long-Term Care Stafng Resources. . . . . . . . . . . . . . . .165 LTC Chart Dividers . . . . . . . . . . . . . . . . . . . . . . . . . . . 196-197 LTC Documentation System. . . . . . . . . . . . . . . . . . . . . . . .24 Lubricath Latex Coud Catheters . . . . . . . . . . . . . . . . . .352 Lubricating Jelly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .376
M
Magnetic File Holder . . . . . . . . . . . . . . . . . . . . . . . . 194, 222 Magnetic Marker Boards. . . . . . . . . . . . . . . . . . . . . . . . . . 212 Magnetic Signs . . . . . . . . . . . . . . . . . . . . . . . . . 224, 258, 265 Magnier, Hands Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418 Magnier, Illuminated Bifocal . . . . . . . . . . . . . . . . . . . . . 418 Magnier, Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418 Maintenance Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133 Male Urinal w/ Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . .378 Malnutrition Risk Assessment . . . . . . . . . . . . . . . . . . . . . . 76 Management and Evaluation Axial. . . . . . . . . . . . . . . . . .23 Management and Evaluation Pathway. . . . . . . . . . . . . . .23 Manicure Sticks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Manila File Folders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Manual Resuscitator, Disposable . . . . . . . . . . . . . . . . . .382 Marker Boards, Magnetic . . . . . . . . . . . . . . . . . . . . . . . . . 212 Markers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Mask, Cold Weather. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418 Massage Frame Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . .259 Massaging Foot Spa . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Master Signature Log . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Mattress . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .405 Mattress Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Mattress Transport Bag. . . . . . . . . . . . . . . . . . . . . . . . . . .405 Maxi Pads. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .342 Mayo Stands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403 MDS 3.0 Accuracy Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 MDS 3.0 Nursing Home and Swing Bed OMRA. . . . . . .29 MDS 3.0 Nursing Home and Swing Bed Tracking . . . . .29 MDS 3.0 Nursing Home Comprehensive Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 MDS 3.0 Nursing Home Discharge . . . . . . . . . . . . . . . . . .29 MDS 3.0 Nursing Home PPS and Quarterly Assessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 MDS 3.0 Users Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 MDS Assessments Ringbinders . . . . . . . . . . . . . . . . . . .187
473
Product Name Index

MDS Cue Cards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 MDS References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 MDS Section C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 MDS Section D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 MDS Section F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 MDS Section J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Meal Intake Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Med Record Chart Dividers . . . . . . . . . . . . . . . . . . . . . . .193 Med Record Ringbinders . . . . . . . . . . . . . . . . . . . . 192, 289 Med/Treatment Record Systems. . . . . . . . . . . . . . . 192-193 Medical Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460 Medical History and Admission Examination. . . . . . . . .62 Medical History/Physical/Functional Assessment . . . . .69 Medical Record Audit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Medical Record Jacket Date Bar Only . . . . . . . . . . . . . .42 Medical Record Jacket Format A . . . . . . . . . . . . . . . . . .42 Medical Record Jacket Format B . . . . . . . . . . . . . . . . . .42 Medical Record Jacket Side Tab Format A . . . . . . . .42 Medical Record Jacket Side Tab Format B. . . . . . . . .42 Medical Records Destruction Log . . . . . . . . . . . . . . . . . .109 Medical Records Drop Box . . . . . . . . . . . . . . . . . . . . . . . .225 Medical Social Services Care Plan . . . . . . . . . . . . . . . . .128 Medical Social Services Evaluation . . . . . . . . . . . . . . . .128 Medical Social Services Revisit Note . . . . . . . . . . . . . . .128 Medical Update and Patient Information. . . . . . . . . . . .135 Medicare Secondary Payer Worksheet . . . . . . . . . . . . . .61 Medication Added Labels . . . . . . . . . . . . . . . . . . . . . . . . .246 Medication Administration Forms . . . . . . . . . . . . . . . . .288 Medication Administration Record. . . . . . . . . . . . . . . . . .89 Medication and Treatment Record . . . . . . . . . . . . . . . . . .88 Medication Disposition Log . . . . . . . . . . . . . . . . . . . . . . . .88 Medication Distribution Cabinet . . . . . . . . . . . . . . 193, 288 Medication Error Report . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Medication Flowsheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Medication Pass Evaluation . . . . . . . . . . . . . . . . . . . . . . . .91 Medication Planner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 Medication Prole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Medication Prole Addendum. . . . . . . . . . . . . . . . . . . . . .90 Medication Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Medication Self Administration Assessment . . . . . . . . .70 Medication Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Medication Side Effects/Instruction Guide . . . . . . . . . . .90 Medication Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285 Medication/IV Labels . . . . . . . . . . . . . . . . . . . . . . . . . 246-247 Medication/Treatment Sheet Audit. . . . . . . . . . . . . . . . .109 Medicine Cards Clock Style . . . . . . . . . . . . . . . . . . 89, 289 Medicine Cards Plain . . . . . . . . . . . . . . . . . . . . . . . 89, 289 Medicine Cards Standard Style . . . . . . . . . . . . . . 89, 289 Medicine Cups. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285 MediRule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290 Mental Status Questionnaire . . . . . . . . . . . . . . . . . . . . . . .69 Menu & Activity Signs. . . . . . . . . . . . . . . . . . . . . . . .260-261 Menu Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242, 260-261 Merck Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 Message Center Signs. . . . . . . . . . . . . . . . . . . . . . . 224, 258 Meto Piggyback Labels . . . . . . . . . . . . . . . . . . . . . . . . . . .228 Mini Dopplex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .459 Miscellaneous Lab Slip . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Miscellaneous Requisition and Charge . . . . . . . . . . . . .133 Missing Resident Identication . . . . . . . . . . . . . . . . . . . .122 Mitts, Finger Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . .331 MNRS Education and Discharge Planning . . . . . . .33, 38 MNRS Fall/Nutritional/Skin Assessments . . . . . . . . . .40 MNRS Family Assessment . . . . . . . . . . . . . . . . . . . .33, 41 MNRS Fetal Movement Record . . . . . . . . . . . . . . . .32, 35 MNRS Health History Summary. . . . . . . . . . . . . . . .32, 35 MNRS Initial Lifestyle Prole. . . . . . . . . . . . . . . . . . .32, 35 MNRS Initial Newborn Prole . . . . . . . . . . . . . . . . . .32, 38 MNRS Initial Postpartum Prole. . . . . . . . . . . . . . . .33, 37 MNRS Initial Pregnancy Prole. . . . . . . . . . . . . . . . .32, 35 MNRS Labor and Delivery Summary . . . . . . . . . . .33, 36 MNRS Labor Progress Continuation Record . . . . .33, 36 MNRS Labor Progress Record . . . . . . . . . . . . . . . . .33, 36 MNRS Maternal Assessment . . . . . . . . . . . . . . . . . .33, 41 MNRS Newborn Assessment . . . . . . . . . . . . . . . . . .33, 41 MNRS Newborn Discharge Summary . . . . . . . . . .32, 39 MNRS Newborn Flow Record . . . . . . . . . . . . . . . . . .32, 39 MNRS Newborn Identication Record . . . . . . . . . .32, 39 MNRS Obstetric Admitting Record . . . . . . . . . . . . .33, 37 MNRS Obstetric Discharge Summary. . . . . . . . . . .33, 37 MNRS Obstetric Triage Record . . . . . . . . . . . . . . . . .33, 36 MNRS Postpartum Family Referral . . . . . . . . . . . . .33, 38 MNRS Postpartum Flow Record. . . . . . . . . . . . . . . .33, 37 MNRS Prenatal Education and Counseling . . . . . .32, 34 MNRS Prenatal Flow Record . . . . . . . . . . . . . . . . . . .32, 34 MNRS Prenatal Health History Questionnaire . . . .32, 34 MNRS Prenatal Laboratory Data . . . . . . . . . . . . . . .32, 34 MNRS Progress Notes . . . . . . . . . . . . . . . . . . . . . . . .32, 38 MNRS Recovery Flow Record . . . . . . . . . . . . . . . . . .33, 36 Moisture Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Molded Surgical Mask. . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Monoject Sharps Containers . . . . . . . . . . . . . . . . . . . . . .280
474
Product Name Index

Monthly Behavior Monitoring Flowsheet . . . . . . . . . . . .72 Monthly Planner, Remarkable . . . . . . . . . . . . . . . . . . . . .224 Monthly Record of Vital Signs and Weights . . . . . . . . .101 Monthly Resident Infection Analysis . . . . . . . . . . . . . . .109 Monthly Schedule Sheet. . . . . . . . . . . . . . . . . . . . . . . . . .130 Monthly Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Monthly Drug Regimen Review. . . . . . . . . . . . . . . . . . . . .91 Monthly Schedule for TB Testing . . . . . . . . . . . . . . . . . .106 Monthly Weight Variance QI Log. . . . . . . . . . . . . . . . . . . 111 Mood 14 Day Collection Tool Staff (PHQ-9) . . . . . . . . .30 Mood Collection Tool (PHQ-9) . . . . . . . . . . . . . . . . . . . . . .30 Motion Sensor Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . .420 Mouth Moisturizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .375 Move-In/Annual Assessment. . . . . . . . . . . . . . . . . . . 54, 68 MSDS Ringbinders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 MSW Long Term Plan Axial . . . . . . . . . . . . . . . . . . . . . . . .23 MSW Long Term Plan Pathway . . . . . . . . . . . . . . . . . . . . .23 Nurse Aide Training Inventory . . . . . . . . . . . . . . . . . . . . . 131 Nurse Aides Information Sheet . . . . . . . . . . . . . . . . . . . . .87 Nurse Assistant Care Records . . . . . . . . . . . . . . . . . . . . .83 Nurse Assistant Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Nurses Admission Assessment . . . . . . . . . . . . . . . . . . . .55 Nurses Admission Record . . . . . . . . . . . . . . . . . . . . . . . . .55 Nurses Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Nurses Progress Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Nurses Aide Check List for Orientation . . . . . . . . . . . . .132 Nurses Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .360 Nurses PRN Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Nurses Summary 7 Day Look Back . . . . . . . . . . . . . . . . 31 Nursing Assess and Evaluation . . . . . . . . . . . . . . . . . . . . .68 Nursing Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Nursing Assignment Sheet . . . . . . . . . . . . . . . . . . . . . . . .83 Nursing Care Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Nursing Care Plan/Treatment Card . . . . . . . . . . . . . . . . . .82 Nursing Home/Facility Coordination . . . . . . . . . . . . . . . .79
N
Nail Nipper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Name Bracket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224 Nameplate Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .258 Narcotic Control Cabinets. . . . . . . . . . . . . . . . . . . . . . . . .402 Narcotic Control Systems, Shingled. . . . . . . . . . . . . . . .288 Narcotic Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .288 Narcotic Record Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Nebulizer Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . .434 Nebulizers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .432-433 Neurological Assessment. . . . . . . . . . . . . . . . . . . . . . . . . . 71 Neurological Assessment Flowsheet. . . . . . . . . . . . . . . . 71 Neuromuscular Pathway. . . . . . . . . . . . . . . . . . . . . . . . . . .23 New Physicians Orders Audit . . . . . . . . . . . . . . . . . . . . . 110 New Roommate Notication . . . . . . . . . . . . . . . . . . . . . .128 No Cellular Phone Signs . . . . . . . . . . . . . . . . . . . . . . . . . .264 No Smoking, Oxygen In Use Signs & Labels . . . . . . . .265 Non-Pressure Skin Condition Report . . . . . . . . . . . . . . . .99 Norton Plus Pressure Ulcer Scale . . . . . . . . . . . . . . . . . . .96 Notice of Medicare Provider Non-Coverage . . . . . . . . . .61 Notice of Privacy Practices/Acknowledgment of Receipt of Providers Notice of Privacy Practices . . . . .129 Notice of Transfer or Discharge . . . . . . . . . . . . . . . . . . . . 118 Notication and Consent . . . . . . . . . . . . . . . . . . . . . . . . . .56 Notication of Room Change. . . . . . . . . . . . . . . . . . . . . .128 Numeric/Alpha Filing Labels . . . . . . . . . . . . . . . . . . . . . .227 Nursing Drug Handbooks . . . . . . . . . . . . . . . . . . . . . 140-141 Nurse Aide In-Service/Educational Attendance Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
Nursing Progress Notes for Home Health Care . . . . . . .87 Nursing Visit Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Nutritional Assessment. . . . . . . . . . . . . . . . . . . . . . . .76, 103 Nutritional Assessment of Tube Fed Resident . . . . . . . . 76 Nutritional Care Recommendations . . . . . . . . . . . . . . . . 111 Nutritional/Dietary Progress Notes. . . . . . . . . . . . . . . . .104
O
Oasis Care Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Oasis Discharge Assessment. . . . . . . . . . . . . . . . . . . . . . . 19 Oasis OT SOC/ROC Assessment . . . . . . . . . . . . . . . . . . . . 21 Oasis Patient Tracking Sheet . . . . . . . . . . . . . . . . . . . . . . . 19 Oasis PT Recert/Follow Up Assessment . . . . . . . . . . . . .20 Oasis PT Discharge Assessment. . . . . . . . . . . . . . . . . . . .20 Oasis PT SOC/ROC Assessment . . . . . . . . . . . . . . . . . . . .20 Oasis Recert/Follow Up Assessment . . . . . . . . . . . . . . . . 19 Oasis SOC/ROC Assessment . . . . . . . . . . . . . . . . . . . . . . . 18 Oasis ST SOC/ROC Assessment . . . . . . . . . . . . . . . . . . . . 21 Oasis-C Guidance Manual . . . . . . . . . . . . . . . . . . . . .21, 154 OB/Gyn Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Occupational Therapy Care Plan Home Care. . . . . . . 115 Occupational Therapy Care Plan Hospice. . . . . . . . . . 115 Occupational Therapy Evaluation Home Care. . . . . . 115 Occupational Therapy Evaluation Hospice. . . . . . . . . 115 Occupational Therapy Evaluation and Treatment Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115 Occupational Therapy Progress Status . . . . . . . . . . . . . 115 Occupational Therapy Revisit Note Home Care . . . . 115 Occupational Therapy Revisit Note Hospice . . . . . . . 115
475
Product Name Index

Odor Eliminator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347, 363 Ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Ointment, Protective . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348 OnSite Debrillator, Philips HeartStart. . . . . . . . . . . . . .383 Operational Resources, Home Care/Hospice . . . . 154-157 Operational Resources, Senior Care. . . . . . . . . . . . 159-161 Ophthalmoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436 Oral Intake and Output Record. . . . . . . . . . . . . . . . . . . . .102 Oral/Dental Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Osteoporosis Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . . .59 OT CVA Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 OT CVA Pathway. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 OT Daily Service and Treatment Grid. . . . . . . . . . . . . . . 115 OT Standard Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 OT Standard Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Otoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 435-436 Otoscopes Wall Transformer . . . . . . . . . . . . . . . . . . . . . .435 Out Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Out Guides. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Outpatient Surgery Register Book . . . . . . . . . . . . . . . . . .92 Over-Bed Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .404 Overall Activity Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Overall Resident Prole. . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Parking Signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .266 Parkinsons Disease Disclosure . . . . . . . . . . . . . . . . . . . . .59 Particulate Respirator . . . . . . . . . . . . . . . . . . . . . . . . . . . .274 PASARR Identication for Mental Retardation . . . . . . . .69 PASARR Identication Screen for Mental Illness . . . . . .69 Patient & Family Education. . . . . . . . . . . . . . . . . . . . 162-163 Patient Care Magnetic Signs . . . . . . . . . . . . . . . . . . . . . .265 Patient Care Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Patient Care Referral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Patient Care Signs/Door Hangers . . . . . . . . . . . . . . . . . .265 Patient Cash Voucher. . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Patient Clothes List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Patient Consent for Care & Service Agreement . . . . . . .58 Patient Data Base System . . . . . . . . . . . . . . . . . . . . . . . . .47 Patient Filing Envelopes . . . . . . . . . . . . . . . . . . . . . . . . . .134 Patient ID Strips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Patient Index Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Patient Index Card With Change of Address . . . . . . . . . .59 Patient Medication Prole . . . . . . . . . . . . . . . . . . . . . . . . .88 Patient Photo Record System . . . . . . . . . . . . . . . . . . . . .290 Patient Privacy Rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Patient Teaching Booklets. . . . . . . . . . . . . . . . . . . . . . . . . .73 Patient Transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Patient Transfer and Referral Record . . . . . . . . . . . . . . .120
P
Packing Strips, Wound Care . . . . . . . . . . . . . . . . . . . . . . .307 Pad, Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316 Pad, Decubitus, Polyester Fabric . . . . . . . . . . . . . . . . . . . 316 Pad, Pressure Relief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315 Pads. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .342 Pads, Alcohol Prep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Pads, Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317 Pads, Heel/Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .324 Pads, Wound Care . . . . . . . . . . . . . . . . . . . . . . . . . . 303, 307 Page Turners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Pain Assessment Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Pain Assessment Monitor. . . . . . . . . . . . . . . . . . . . . . . . . .70 Pain Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Pain Management Flowsheet. . . . . . . . . . . . . . . . . . . .70, 96 Pain Monitoring Flow Sheet . . . . . . . . . . . . . . . . . . . . . . . .70 Pain/Palliative References. . . . . . . . . . . . . . . . . . . . . . . . .179 Pant Liners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .341 Paper Chart Dividers . . . . . . . . . . . . . . . . .194-203, 205-207 Paper Cup, Drinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285 Paper Punch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Parenteral Fluids Flowsheet . . . . . . . . . . . . . . . . . . . . . . .104
Patient Valuable Envelope. . . . . . . . . . . . . . . . . . . . . . . . . .60 Patient Valuable Envelope w/ Claim Ticket . . . . . . . . . . .60 Patient Visit Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Patients Bath Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Patients Register Book . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Patient/Resident Charge Cards . . . . . . . . . . . . . . . . . . . .229 Patient/Resident Charge Labels. . . . . . . . . . . . . . . .228-229 Patients Daily Census . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Payroll Authorization . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 PDR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Peak Flow Meter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .433 Pediatric Health History Questionnaire . . . . . . . . . . . . . .47 Pen Grip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418 Penlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .461 Pens. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Peri-Wash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Perineal/Skin Cleanser. . . . . . . . . . . . . . . . . . . . . . . . . . . .348 Perineum Wash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Periodic History and Physical . . . . . . . . . . . . . . . . . . . . . .44 Perox-A-Mint Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . .375 Personal Cleanser. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348 Personal Cleansing Washcloths. . . . . . . . . . . . . . . . . . . .343
476
Product Name Index

Personal Massager. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Personal Ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348 Personal Protection Gown . . . . . . . . . . . . . . . . . . . . . . . .275 Personnel Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Petroleum Jelly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .376 Pharmacy Charge and Requisition . . . . . . . . . . . . . . . . . .91 Phlebotomy Portable Sharps Containers . . . . . . . . . . .280 Photo Pockets . . . . . . . . . . . . . . . . . . . . . . . . . . 189, 193, 243 Photocopy Piggyback Labels . . . . . . . . . . . . . . . . . . . . . .228 Photographic Wound Documentation Mount Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Physical Examination. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Physical Restraint Audit . . . . . . . . . . . . . . . . . . . . . . . . . .109 Physical Restraint Consent . . . . . . . . . . . . . . . . . . . . . . . .122 Physical Restraint Elimination . . . . . . . . . . . . . . . . . . .71, 72 Physical Restraint Informed Consent . . . . . . . . . . . . . . . .56 Physical Restraint Reduction Assessment . . . . . . . . . .122 Physical Therapy Care Plan Home Care . . . . . . . . . . . 114 Physical Therapy Care Plan Hospice . . . . . . . . . . . . . . 114 Physical Therapy Daily Service and Treatment Grid . . 114 Physical Therapy Evaluation Home Care . . . . . . . . . . 114 Physical Therapy Evaluation Hospice . . . . . . . . . . . . . 114 Physical Therapy Evaluation and Treatment Plan . . . . 114 Physical Therapy Progress Record . . . . . . . . . . . . . . . . . 114 Physical Therapy Progress Status. . . . . . . . . . . . . . . . . . 114 Physical Therapy Record. . . . . . . . . . . . . . . . . . . . . . . . . . 114 Physical Therapy Revisit Note Home Care . . . . . . . . . 114 Physical Therapy Revisit Note Hospice. . . . . . . . . . . . 114 Physician Action Report . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Physician Discharge Summary . . . . . . . . . . . . . . . . . . . . .62 Physician Orders. . . . . . . . . . . . . . . . . . . . . . . . . . . 63, 65, 66 Physician Orders Home Care & Hospice. . . . . . . . . . . .64 Physician Orders and Progress Notes . . . . . . . . . . . . . . .64 Physician Orders Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Physician Orders/Telephone Order. . . . . . . . . . . . . . . . . .65 Physician Progress Notes . . . . . . . . . . . . . . . . . . . . . . . . . .63 Physician Telephone Orders. . . . . . . . . . . . . . . . . . . . . . . .66 Physician Telephone Orders/Mount Sheet . . . . . . . .66, 67 Physician Verbal Orders . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Physician Verbal Telephone Orders JCAHO. . . . . . . . .66 Physician Visit Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Physicians Chart Dividers . . . . . . . . . . . . . . . . . . . . . . . . .200 Physicians Desk Reference. . . . . . . . . . . . . . . . . . . . . . . .140 Physicians Discharge Summary . . . . . . . . . . . . . . . . . . . 119 Picture Pockets . . . . . . . . . . . . . . . . . . . . . . . . . 189, 193, 243 Piggyback Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . .228-229 Pill Counter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286 Pill Crusher. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286 Pill Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 Pill Holder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 Pill Organizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .287 Pillow Cases, No Iron . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Pillow Paws, Hard Soles . . . . . . . . . . . . . . . . . . . . . . . . . .426 Pillow Paws, Slippers, Foam . . . . . . . . . . . . . . . . . . . . . .426 Pillow Paws, Terries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .426 Pillow Protectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .429 Pillow, Bath, Inatable . . . . . . . . . . . . . . . . . . . . . . . .390, 412 Pillow, Bed, Allergy-Control . . . . . . . . . . . . . . . . . . . . . . .331 Pillow, Bed, Hugg-A-Pillow . . . . . . . . . . . . . . . . . . . . . . . .331 Pillow, Comfort . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329-330 Pillow, Contour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329 Pillow, Crescent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .330 Pillow, Duro-Rest Water . . . . . . . . . . . . . . . . . . . . . . . . . .429 Pillow, Headrest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .330 Pillow, Heel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .325 Pillow, Knee-Ease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .329 Pillow, Memory Foam . . . . . . . . . . . . . . . . . . . . . . . 330, 429 Pillow, Microtech . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Pillow, Side Sleeper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .331 Pillow, Stress-Ease Support . . . . . . . . . . . . . . . . . . . . . . .429 Pillow, Tension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .330 Pinfeed Chart ID Labels . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Pinfeed Piggyback Labels . . . . . . . . . . . . . . . . . . . . . . . . .229 Pinfeed Transcription Labels . . . . . . . . . . . . . . . . . . . . . .230 Pitcher w/ Cup Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Pitcher w/ Pour Spout . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Planning Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Plaques, Room Number . . . . . . . . . . . . . . . . . . . . . . . . . .190 Plastic Apron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275 Plastic Card Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Plastic Personal Belongings Bag . . . . . . . . . . . . . . . . . . .377 Playing Cards, Holders . . . . . . . . . . . . . . . . . . . . . . . . . . . 419 Playing Cards, Large Print. . . . . . . . . . . . . . . . . . . . . . . . . 419 PM Extended Use Briefs . . . . . . . . . . . . . . . . . . . . . . . . . .339 Pneumonia Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Pneumonia Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Pocket, File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Pocket, Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210, 221 Pockets, Collection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Pockets, Photo/Picture. . . . . . . . . . . . . . . . . . . 189, 193, 243 Pockets, Spine ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Pockets, Visible File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220
477
Product Name Index

Pockets, Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210 Policy & Procedure Manuals, Home Care . . . . . . . 156-157 Policy & Procedure Manuals, Senior Care. . . . . . . 159-160 Poly Chart Dividers. . . . . . .193, 195-199, 201-203, 205-207 Poly Ringbinders. . . . . . . . . . . . . . . . . . . . . 182-187, 192, 194 Poly Storage Tray for Transport Stand . . . . . . . . . . . . . . 214 Porta-Cart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 Portable Bidet/Sitz Bath . . . . . . . . . . . . . . . . . . . . . . . . . .378 Post Discharge Plan of Care . . . . . . . . . . . . . . . . . . . . . . . 119 Post Surgical Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Post Surgical Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Posts, Trafc Control Signs . . . . . . . . . . . . . . . . . . . . . . .266 Posture Corrector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 411 Potential Resident Abuse Incident Form . . . . . . . . . . . .108 Pouch, Urostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .363 Pouches, Drainable . . . . . . . . . . . . . . . . . . . . . . . . . 362, 363 Pre-Printed Drug Envelope . . . . . . . . . . . . . . . . . . . . . . . . .91 Pre-Printed Ringbinders . . . . . . . . . . . . . . . . . . . . . .187, 192 Pre-Psychoactive Med Assessment . . . . . . . . . . . . . . . . .72 Pre-Restraining Assessment . . . . . . . . . . . . . . . . . . . . . . .73 Pre-Screening Questionnaire. . . . . . . . . . . . . . . . . . . 54, 69 Preadmission Room Inspection Checklist . . . . . . . . . . .138 Pre-Filled Enema. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .378 Pre-lled Saline Syringes, Sterile . . . . . . . . . . . . . . . . . .357 Pregnancy Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .459 Preliminary Investigation Report. . . . . . . . . . . . . . . . . . .108 Premium Adult Briefs . . . . . . . . . . . . . . . . . . . . . . . . . . . .339 Premium Extra Absorbency Undergarments . . . . . . . .338 Prescribed Visit Calendar . . . . . . . . . . . . . . . . . . . . . . . . . .81 Pressboard File Folders. . . . . . . . . . . . . . . . . . . . . . . . . . .221 Pressure Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315 Pressure Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315 Pressure Pump & Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315 Pressure Pump & Pad Converter Kit. . . . . . . . . . . . . . . . 315 Pressure Relief System . . . . . . . . . . . . . . . . . . . . . . . . . . . 315 Pressure Ulcer Disclosure. . . . . . . . . . . . . . . . . . . . . . . . . .59 Pressure Ulcer Risk Assessment . . . . . . . . . . . . . . . . . . . .98 Preventative Maintenance Log/Resident Room . . . . . .138 Privacy and Condentiality Agreement . . . . . . . . . . . . .129 PRN Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Probe Covers, Thermometers . . . . . . . . . . . . . . . . .440-441 Problem Oriented Progress Notes . . . . . . . . . . . . . . . . . .63 Problems and Medications Lists . . . . . . . . . . . . . . . . . . . .44 Progress Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45, 63 Progress Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Protective Ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .348 Protective Underwear . . . . . . . . . . . . . . . . . . . . . . . . . . . .338 Protectors, Bandage & Cast . . . . . . . . . . . . . . . . . . . . . . . 312 Protectors, Heel/Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . .324 Psychoactive Drug Audit. . . . . . . . . . . . . . . . . . . . . . . . . .109 Psychoactive Medication Consult . . . . . . . . . . . . . . . . . .123 Psychoactive Medication Quarterly Evaluation . . . . . . .72 Psychotropic/Psychoactive Drug Labels . . . . . . . . . . . .245 Pull Flag Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 192, 289 Pull Flag Divider Sheets. . . . . . . . . . . . . . . . . . . . . . 192, 289 Pulse Oximeters . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431, 461 Punch Heads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Punch Hole Reinforcers. . . . . . . . . . 186, 192, 223, 231, 288 Punch Strips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .231 Purchase Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133
Q
Quality Assurance Action Plan/Follow-Up Log . . . . . .107 Quality Assurance Incident/Accident Report . . . . . . . .108 Quick Reference Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Quilted Disposable Wash Cloth . . . . . . . . . . . . . . . . . . . .343
R
Racks, Chart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208-210 Range of Motion Assessment . . . . . . . . . . . . . . . . . . . . . .69 Razor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Reachers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412-413 Reality Orientation Signs . . . . . . . . . . . . . . . . . . . . . . . . .260 Receipt Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Recertication/Comprehensive Adult Assessment. . . .68 Recliner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .406 Record of Admission with Discharge Record . . . . . . . . .54 Record of Admission with Morticians Receipt. . . . . . . .54 Record of Attendance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131 Record of Death/Morticians Receipt . . . . . . . . . . . . . . . 119 Record of Inquiry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Record Protectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . 188-189 References, Assessment. . . . . . . . . . . . . . . . . . . . . . . . . .145 References, Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 References, Clinical . . . . . . . . . . . . . . . . . . . . . . . . . . 140-144 References, Desk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 References, Dietary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 References, MDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 References, Pain/Palliative . . . . . . . . . . . . . . . . . . . . . . . .179 References, Wound Care. . . . . . . . . . . . . . 98, 179, 243, 301 References, Infection Control. . . . . . . . . . . . . . . . . . 170-171 Refrigerator/Freezer Temperature Log. . . . . . . . . . . . . .103
478
Product Name Index

Register of Operations Book . . . . . . . . . . . . . . . . . . . . . . .92 Registration and History Record . . . . . . . . . . . . . . . . . . . .44 Rehab Claim. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Rehabilitation Nursing Program Evaluation . . . . . . . . . 112 Rehabilitation Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Rehabilitation/Restorative Service Delivery Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Reinforcers. . . . . . . . . . . . . . . . . . . . . 186, 192, 223, 231, 288 Release for Leave of Absence . . . . . . . . . . . . . . . . . . . . . .58 Release of Information Tracking Log . . . . . . . . . . . . . . . 111 Release of Pass Medications . . . . . . . . . . . . . . . . . . . . . . .58 Release of Responsibility for Leave of Absence. . . . . . .58 Release of Responsibility for Discharge. . . . . . . . . .58, 119 Release of Responsibility for Medication . . . . . . . . . . . .58 Remarkable Monthly Planner. . . . . . . . . . . . . . . . . . . . . .224 Renal Disease Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Renal Disease Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Repair Requisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Repli-Memos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Report of Consultation . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Request Concerning Life-Prolonging Procedures . . . . .56 Request for Amendment of Information . . . . . . . . . . . .129 Request for Gradual Dosage Reduction. . . . . . . . . . . . . .64 Request to Review or Obtain Copies of Protected Information . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Requisition and Charge Books. . . . . . . . . . . . . . . . . . . . .136 Requisition and Charge Forms. . . . . . . . . . . . . . . . . . . . .136 Requisition Slip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Resident Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81, 82 Resident Care Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Resident Consent/Acknowledgment Form . . . . . . . . . . .56 Resident Council Minutes . . . . . . . . . . . . . . . . . . . . . . . . . 125 Resident Data Collection. . . . . . . . . . . . . . . . . . . . . . . .55, 68 Resident Data Sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Resident Fall Tracking Log . . . . . . . . . . . . . . . . . . . . . . . .108 Resident Lifestyle Prole (Long Form) . . . . . . . . . . . . . . 124 Resident Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Resident Rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Resident Rights Poster English/Spanish . . . . . . . . . . . .56 Resident Status Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Resident Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Resident Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Resident Transfer Form . . . . . . . . . . . . . . . . . . . . . . . . . . 118 Resident Weekly Care Log . . . . . . . . . . . . . . . . . . . . . .79, 87 Resident/Family Conference Notes . . . . . . . . . . . . . . . . .79 Resident/Family Education Record. . . . . . . . . . . . . . . . .127 Resident/Family Educational Assessment . . . . . . . . . .127 Resource Bar Code System Labels . . . . . . . . . . . . . . . . .229 Respirator Fit Test Kit. . . . . . . . . . . . . . . . . . . . . . . . . . . . .274 Restorative Aide Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Restorative Care Flow Record . . . . . . . . . . . . . . . . . 116, 117 Restorative Dining Screening. . . . . . . . . . . . . . . . . . . . . . 116 Restorative Feeding Evaluation . . . . . . . . . . . . . . . . . . . . 116 Restorative Meeting Summary . . . . . . . . . . . . . . . . . . . . 117 Restorative Nurse Progress Notes . . . . . . . . . . . . . . . . . 117 Restorative Nursing Care Plan and Progress Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Restorative Nursing Program Needs Identication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116 Restorative Nursing Transfer Form. . . . . . . . . . . . . . . . . 117 Restorative Program Tracking . . . . . . . . . . . . . . . . . . . . . 116 Restraint Release Record . . . . . . . . . . . . . . . . . . . . . . . . . .73 Restroom Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263 Reusable Incontinent Pad . . . . . . . . . . . . . . . . . . . . . . . . .347 Reusable Underpad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347 Reusable Underpads, Bed Pad. . . . . . . . . . . . . . . . . . . . .346 Reusable Underpads, Chair Pad . . . . . . . . . . . . . . . . . . .346 Ringbinder Storage . . . . . . . . . . . . . . . . . . . . . . . . . . 208-210 Ringbinder, Med Record . . . . . . . . . . . . . . . . . . . . . 192, 289 Ringbinder, Treatment Record . . . . . . . . . . . . . . . . . . . . .192 Ringbinders, BactiX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Ringbinders, Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Ringbinders, Drawer-Store. . . . . . . . . . . . . . . . . . . . . . . .194 Ringbinders, Economy . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Ringbinders, MDS Assessments. . . . . . . . . . . . . . . . . . .187 Ringbinders, Med Record . . . . . . . . . . . . . . . . . . . . . . . . .289 Ringbinders, MSDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Ringbinders, Poly . . . . . . . . . . . . . . . . . . . . 182-187, 192, 194 Ringbinders, Pre-Printed. . . . . . . . . . . . . . . . . . . . . .187, 192 Rinse Free Hair Care System . . . . . . . . . . . . . . . . . . . . . .371 Roll Chart ID Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Roll Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .336 Roll Towels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .279 Roll Transcription Labels. . . . . . . . . . . . . . . . . . . . . . . . . .230 Rollators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .400 Room Number Clips/Plaques/Labels . . . . . . . . . . . . . . .190 Room Number Signs . . . . . . . . . . . . . . . . . . . . . . . . . 252-253 Room Signal Signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264 Routine Cleaning Schedule . . . . . . . . . . . . . . . . . . . . . . .138 Rubber Bumpers, Chart Racks . . . . . . . . . . . . . . . . . . . . .208
S
Safety Check Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Safety Control, Locks & Seals . . . . . . . . . . . . . . . . . . . . .286
479
Product Name Index

Safety Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 174-175 Safety/Infection Control Quality Assurance Checklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Saline Flush Syringe . . . . . . . . . . . . . . . . . . . . . . . . . . . . .357 Saline Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Saline, Wound Wash . . . . . . . . . . . . . . . . . . . . . . . . . . . . .359 Sani-Cloth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .279 Satisfaction Survey Home Care . . . . . . . . . . . . . . . . . . 121 Satisfaction Survey Hospice . . . . . . . . . . . . . . . . . . . . . 121 Scale, Baby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .408 Scale, BMI Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .409 Scale, Chair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .409 Scale, Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .408 Scale, Pediatric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .408 Scale, Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .409 Scale, Stretcher. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410 Scale, Transport Case . . . . . . . . . . . . . . . . . . . . . . . . . . . .408 Scale, Wheelchair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410 Scalpel, Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462 Schedule III, IV and V Telephone Orders . . . . . . . . . . . . .65 Scissors, Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462 Seals, Safety Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286 Seat Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 418 Seat Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .345 Security Locking Panels, Chart Racks. . . . . . . . . . . . . . .208 Self-Medication Administration Record. . . . . . . . . . . . . .90 Self-Stick Fasteners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223 Senior Care Policy and Procedure Manuals . . . . . 159-160 Senior Care, Operational Resources. . . . . . . . . . . . 159-161 Service Plan. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Service Plan Conference Summary . . . . . . . . . . . . . . . . .79 Shared Activities Worksheet . . . . . . . . . . . . . . . . . . . . . . 124 Sharp Star in Room Container . . . . . . . . . . . . . . . . . . . . .281 Sharps-A-Gator Container . . . . . . . . . . . . . . . . . . . . . . . .280 Sharps Collectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .281 Sharps Container . . . . . . . . . . . . . . . . . . . . . . . . . . . .280-281 Sharps Containers, Phlebotomy Portable . . . . . . . . . . .280 Sharps Disposal by Mail System. . . . . . . . . . . . . . . . . . .281 SharpStar Sharp Disposal System . . . . . . . . . . . . . . . . .281 Shears. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462 Sheepskin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 316 Sheet Lifters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Sheet Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188-189 Sheets, Airweave Knit . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Sheets, No Iron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Sheets, Waterproof/Flannel/Rubber . . . . . . . . . . . . . . . .428 Shingled Narcotic Control Systems . . . . . . . . . . . . 89, 288 Shingled Telephone Record Book Spiral Bound . . . . .43 Shoe Horn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414 Shoe Laces, Coiler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Shoe Laces, Stretchable . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Shoe Remover, No Bend. . . . . . . . . . . . . . . . . . . . . . . . . . 413 Short Portable Mental Status Questionnaire . . . . . . . .123 Shower Chair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .384-385 Shower Head, Adjustable . . . . . . . . . . . . . . . . . . . . .390, 412 Shower Head, Adjustable, On/Off Switch . . . . . . .390, 412 Shower Massager, Hand-Held . . . . . . . . . . . . . . . . .390, 412 Shower Massager, On/Off Switch. . . . . . . . . . . . . .390, 412 Shower Mat, No-Skid. . . . . . . . . . . . . . . . . . . . . . . . . . . . .389 Shower, Body, Hand-Held. . . . . . . . . . . . . . . . . . . . .390, 412 Side Rail Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Sign In/Sign Out Med Records. . . . . . . . . . . . . . . . . . . . . 110 Sign In/Sign Out Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 Signs, Activity . . . . . . . . . . . . . . . . . . . . . . . . . . .126, 260-261 Signs, ADA Compliant . . . . . . . . . . . . . . . . . . . . . . . . 252-263 Signs, Common Room . . . . . . . . . . . . . . . . . . . . . . . . . . .256 Signs, Directory/Directional . . . . . . . . . . . . . . . . . . .254-255 Signs, Door Hanger Patient Care. . . . . . . . . . . . . . . . . . .265 Signs, Handwashing . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249 Signs, Infection Control. . . . . . . . . . . . . . . . . . . . . . .248-250 Signs, Isolation Precaution . . . . . . . . . . . . . . . . . . . . . . . .250 Signs, Magnetic . . . . . . . . . . . . . . . . . . . . . . . . 224, 258, 265 Signs, Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . .242, 260-261 Signs, Message Center . . . . . . . . . . . . . . . . . . . . . . 224, 258 Signs, Message Frames . . . . . . . . . . . . . . . . . . . . . . . . . .259 Signs, Nameplate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .258 Signs, No Cellular Phone. . . . . . . . . . . . . . . . . . . . . . . . . .264 Signs, No Smoking, Oxygen In Use . . . . . . . . . . . . . . . .265 Signs, Parking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .266 Signs, Patient Care, Magnetic . . . . . . . . . . . . . . . . . . . . .265 Signs, Reality Orientation . . . . . . . . . . . . . . . . . . . . . . . . .260 Signs, Restroom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263 Signs, Room Number . . . . . . . . . . . . . . . . . . . . . . . . 252-253 Signs, Room Signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264 Signs, Sliding Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257 Signs, Trafc Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . .266 Signs, Waynding . . . . . . . . . . . . . . . . . . . . . . . . . . .254-255 Silicone Coated Foley Catheters . . . . . . . . . . . . . . . . . . .352 Sings, Whatever . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224, 258 Six-Flag Room Signal Signs . . . . . . . . . . . . . . . . . . . . . . .264 Skilled Nursing Visit Notes . . . . . . . . . . . . . . . . . . . . . . . . .85 Skin Condition Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . .98
480
Product Name Index

Skin Prep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313 Skin Prep/Protectant . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Skin Protectant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Skin Protectant Cream. . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Skin Protectant Ointment . . . . . . . . . . . . . . . . . . . . . . . . .349 Skin Wash Cream . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Skin/Wound Tracking Log. . . . . . . . . . . . . . . . . . . . . . . . . .96 Skinsleeves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .324 Slide Signal Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Sliding Panel Signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257 Smokers Apron . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 SNF/URC Denial Letters Determination on Continued Stay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 SNF/URC Denial Letters Determination on Admission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Social Service Assessment . . . . . . . . . . . . . . . . . . . . . . .127 Social Service Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Social Service Progress Note. . . . . . . . . . . . . . . . . . . . . .128 Sock Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416 Sodium Chloride. . . . . . . . . . . . . . . . . . . . . . . . . . . . 309, 357 Source Individual Consent . . . . . . . . . . . . . . . . . . . . . . . .106 Special Care Unit Admission Consent . . . . . . . . . . . . . .122 Special Care Unit Criteria Review . . . . . . . . . . . . . . . . . .123 Specimen Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460 Specimen Collection Kit . . . . . . . . . . . . . . . . . . . . . . . . . .356 Specimen Containers, Graduated. . . . . . . . . . . . . . . . . .358 Speciment Container . . . . . . . . . . . . . . . . . . . . . . . . . . . . .356 Specula, Disposable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436 Speech Therapy Care Plan Home Care . . . . . . . . . . . . 113 Speech Therapy Care Plan Hospice . . . . . . . . . . . . . . . 113 Speech Therapy Daily Service/Treatment Grid . . . . . . 113 Speech Therapy Evaluation Home Care . . . . . . . . . . . 113 Speech Therapy Evaluation Hospice . . . . . . . . . . . . . . 113 Speech Therapy Progress Status . . . . . . . . . . . . . . . . . . 113 Speech Therapy Revisit Note Home Care. . . . . . . . . . 113 Speech Therapy Revisit Note Hospice . . . . . . . . . . . . 113 Speech/Language Evaluation and Plan of Therapy . . . 113 Sphygmomanometers . . . . . . . . . . . . . . 442-443, 446-449 Sphygmomanometers, Single Patient Use . . . . . . . . . .444 Spine ID Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190, 191 Spine ID Pockets & Cards . . . . . . . . . . . . . . . . . . . . . . . . .190 Spiritual Assessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121 Spiritual Coordination Visits. . . . . . . . . . . . . . . . . . . . . . . 121 Splash Resistant Procedure Mask. . . . . . . . . . . . . . . . . .274 Sponges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 302, 307 Sponges, Bath. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 412 Sponges, IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366
Spoon, Medical, Wooden . . . . . . . . . . . . . . . . . . . . . . . . . 314 Springload Clipboard. . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Staff Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166-169 Staff Education, Dementia & Behavior. . . . . . . . . . . . . .177 Staff Education, Fall Prevention. . . . . . . . . . . . . . . . . . . . 176 Staff Education, Infection Control . . . . . . . . . . . . . . 171-173 Staff Education, Safety . . . . . . . . . . . . . . . . . . . . . . . 174-175 Stafng Resources, Home Care. . . . . . . . . . . . . . . . . . . .164 Stafng Resources, Long-Term Care . . . . . . . . . . . . . . .165 Staple Remover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314 Stapler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 Stars, Color-Coding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Starter Pack Care Area Assessments . . . . . . . . . . . . . .30 Stat-Chek Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Status Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Stay Dry Underpad. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 Steam Inhalers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .433 Sterile Saline Solution . . . . . . . . . . . . . . . . . . . . . . . . . . . .357 Sterile Water . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .357 Stethoscopes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .450-457 Stick On Progress Notes . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Stool, Adjustable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403 Stool, Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .403, 417 Stop Sign Label. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245 Storage Cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Storage, Ringbinder . . . . . . . . . . . . . . . . . . . . . . . . . . 208-210 Stores Requisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133 Stretch Fit Briefs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .338 Summary (Non Oasis) . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Summary for Transfer, Referral or Move Out . . . . . . . . 118 Sundry Jars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402 Supervisory Visits of Home Health Care Staff . . . . . . . .87 Surele Chart Dividers . . . . . . . . . . . . . . . . . . . . . . 200, 204 Surface Disinfectant/Decontaminante Cleaner . . . . . .279 Surgery Reservation Schedule Book . . . . . . . . . . . . . . . .92 Surgical Mask, Molded . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Surgical Tape. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293 Survey Guide Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Suture Removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314 Swabs, Alcohol Prep . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Sween Cream . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .349 Syringe, Cath Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .360 Syringe, Piston . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360, 369 Syringe, Saline Flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309 Syringes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 282-284
481
Product Name Index
T
T.P.R. Slip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Tablet Crusher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286 Tabletop Imprinter Labels. . . . . . . . . . . . . . . . . . . . . . . . .228 Tamper-Evident Labels . . . . . . . . . . . . . . . . . . . . . . . . . . .247 Tape Dispenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Tape Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .462 Tape, Isolation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248 Tape, Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Tape, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293 Tape, Wander Boundary . . . . . . . . . . . . . . . . . . . . . 245, 335 Tape, Wound Care . . . . . . . . . . . . . . . . . . . . . . 292, 300, 306 Tapes, Allergies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244 Tapes, Color-Coding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234 Tapes, Custom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232-233 Telephone Lab Mount Sheet . . . . . . . . . . . . . . . . . . . . . . .95 Telephone Message Form Loose Leaf. . . . . . . . . . . . . .43 Telephone Message Slips . . . . . . . . . . . . . . . . . . . . . . . . .135 Telephone Order with Audit Checklist . . . . . . . . . . . . . . .66 Telephone Orders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66, 67 Telephone Orders Mount . . . . . . . . . . . . . . . . . . . . . . .66, 67 Telephone Orders with Reinforced Mount Sheet. . . . . .67 Telephone Reference Request . . . . . . . . . . . . . . . . . . . . .130 Telephone Visit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Temperature/Sanitizer Log . . . . . . . . . . . . . . . . . . . . . . . .104 Temporary Problem List . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Tent Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Termination of Service . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Theft/Loss Monitoring Report . . . . . . . . . . . . . . . . . . . . . .60 Therabeads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .424-425 Therapeutic Recreation/Activity Assessment. . . . . . . . 124 Therapy Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 Therapy Treatment Progress Notes . . . . . . . . . . . . . . . . 112 Thermometers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .437-441 Thermometers, Probe Covers . . . . . . . . . . . . . . . . .437, 441 Tie On Surgical Mask. . . . . . . . . . . . . . . . . . . . . . . . . . . . .273 Tinetti Assessment Tool: Balance and Gait. . . . . . . . . . 114 Toe Caps, Cushioned Tip. . . . . . . . . . . . . . . . . . . . . . . . . .327 Toe Nail Clipper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Toilet Seat Riser . . . . . . . . . . . . . . . . . . . . . . . . . . . . .387-389 Toilet Seat, Raised . . . . . . . . . . . . . . . . . . . . . . . . . . .387-388 Toilet Seat, Raised Cushion . . . . . . . . . . . . . . . . . . . . . . .388 Tongue Depressors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314 Toothbrushes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374 Toothette Plus Swabs . . . . . . . . . . . . . . . . . . . . . . . . . . . .375 Toothette Plus System. . . . . . . . . . . . . . . . . . . . . . . . . . . .375
Toothette Suction Swab . . . . . . . . . . . . . . . . . . . . . . . . . .375 Toothette Suction Toothbrush System . . . . . . . . . . . . .375 Toothette Swabs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .375 Toothpaste, Fluoride . . . . . . . . . . . . . . . . . . . . . . . . . . . . .374 Top Protector, Tube Foam. . . . . . . . . . . . . . . . . . . . . . . . .327 Torso Restraint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .333 Total Intake and Output Record . . . . . . . . . . . . . . . 100, 361 Total Plan of Patient Care . . . . . . . . . . . . . . . . . . . . . . . . . .81 Tote Bags, Customizable. . . . . . . . . . . . . . . . . . . . . . . . . .460 Touchless Intermittent Catheter Kits, Female. . . . . . . .356 Touchless Intermittent Catheter Kits, Male . . . . . . . . . .356 Touchless Intermittent Catheter Kits, Unisex . . . . . . . .356 Tourniquets, Textured . . . . . . . . . . . . . . . . . . . . . . . . . . . .366 Towelettes, Antiseptic . . . . . . . . . . . . . . . . . . . . . . . . . . . .307 Towels/Washcloths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428 Tracheostomy Care Trays . . . . . . . . . . . . . . . . . . . . . . . . .430 Tracheostomy Mask. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430 Tracheostomy Tube Holder . . . . . . . . . . . . . . . . . . . . . . .430 Traction, Mattress Clamp . . . . . . . . . . . . . . . . . . . . . . . . .422 Traction, Overdoor Set . . . . . . . . . . . . . . . . . . . . . . . . . . .422 Traction, Pelvic Belt Set. . . . . . . . . . . . . . . . . . . . . . . . . . .422 Trafc Control Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .266 Transcription Labels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230 Transfer Bench . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .384-385 Transfer Boards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .337 Transfer Sole, Heelboot. . . . . . . . . . . . . . . . . . . . . . . . . . .327 Transport Chairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .394 Transport Stands, Computer/Laptop . . . . . . . . . . . 214-215 Tray, Medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285 Trays, Visible File . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220 Treatment Card/Care Plan. . . . . . . . . . . . . . . . . . . . . . . . . .82 Treatment Record. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Treatment Record Chart Dividers . . . . . . . . . . . . . . . . . .193 Treatment Record Ringbinders . . . . . . . . . . . . . . . . . . . .192 Triple Antibiotic Ointment. . . . . . . . . . . . . . . . . . . . . . . . .376 Tub Bar, Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .388 Tube Control Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .358 Tuberculosis Surveillance Summary Record . . . . . . . .106 Tubing, Latex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .366 Turn/Position Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Two-Piece Barriers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .362 Twin Blade Razor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .373 Twocal HN High Nitrogen Liquid. . . . . . . . . . . . . . . . . . .368 Typewriter Transcription Labels . . . . . . . . . . . . . . . . . . .230 Tyvek Chart Dividers . . . . . . . . . 195-199, 201-203, 205-207
482
Product Name Index
U
Undergarment Liners. . . . . . . . . . . . . . . . . . . . . . . . . . . . .341 Undergarments, Premium Extra Absorbency . . . . . . .338 Underpad, Cotton. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 Underpad, Reusable . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347 Underpad, Soft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 Underpad, Stay Dry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 Underpad, Washable . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 Underpads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344-345 Underpads, Disposable . . . . . . . . . . . . . . . . . . . . . 344- 345 Underpads, Reusable, Bed Pad . . . . . . . . . . . . . . . . . . . .346 Underpads, Reusable, Chair Pad . . . . . . . . . . . . . . . . . . .346 Underwear, Boxers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .338 Underwear, Protective . . . . . . . . . . . . . . . . . . . . . . . . . . .338 Universal Bed Package . . . . . . . . . . . . . . . . . . . . . . . . . . .404 Universal Foley Trays. . . . . . . . . . . . . . . . . . . . . . . . . . . . .352 Universal Lab Mount Sheet Hematology . . . . . . . . . . .94 Universal Lab Mount Sheet Misc. Lab. . . . . . . . . . . . . .94 Universal Lab Mount Sheet Urinalysis . . . . . . . . . . . . .94 Unna Boot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312 Update/Comprehensive Adult Assessment . . . . . . . . . .68 Urethral Catheter Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . .356 Urinal w/ Cover, Male. . . . . . . . . . . . . . . . . . . . . . . . . . . . .378 Urinal, Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .378 Urinalysis Lab Slip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Urinalysis Strips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460 Urinary Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Urinary Incontinence Management Evaluation . . . . . . 117 Urinary Incontinence Management Program . . . . . . . . 117 Urinary Incontinence/Indwelling Catheter Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Urinary Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Uro-Prep Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .352 USP Swabsticks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308 Utensil Foam Tubing, Maddak . . . . . . . . . . . . . . . . . . . . . 417 Utility Carts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210-211 Utility Rack, Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210
Vital Signs and Weight Record . . . . . . . . . . . . . . . . . . . .101 Vital Signs Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .441 Vitamin A & D Ointment . . . . . . . . . . . . . . . . . . . . . . . . . .376 Volunteer Activity Record . . . . . . . . . . . . . . . . . . . . . . . . .125 Volunteer Agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Volunteer Application . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Volunteer Assessment/Care Plan . . . . . . . . . . . . . . . . . .125 Volunteer Hours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125
W
Wafer, 5x5, Flexible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .363 Walker Baskets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .396 Walker Beverage Holder . . . . . . . . . . . . . . . . . . . . . . . . . .397 Walker Coasters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .397 Walker Glide Attachments . . . . . . . . . . . . . . . . . . . . . . . .397 Walker Glide Caps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .397 Walker Platform Attachment . . . . . . . . . . . . . . . . . . . . . .396 Walker Pouches. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .396 Walker Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .396 Walker Wheels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .397 Walkerballs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .397 Walkers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .395 Wall Cabinets/Pockets . . . . . . . . . . . . . . . . . . . . . . . .210, 221 Wall Calendar, Blank . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224 Wall Desks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212-213 Wall Mounted Computer Workstations . . . . . . . . . 216-219 Wall Pocket. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Wander Boundary Tape. . . . . . . . . . . . . . . . . . . . . . 245, 345 Wander Data Collection. . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Warning Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Wash Basin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377 Wash Cloths, Disposable . . . . . . . . . . . . . . . . . . . . . . . . .343 Washable Underpad . . . . . . . . . . . . . . . . . . . . . . . . . . . . .346 Washcloths, Personal Cleansing . . . . . . . . . . . . . . . . . . .343 Waste Disposal Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277 Waste Disposal Bags, Infectious . . . . . . . . . . . . . . . . . . .277 Water Bottle. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .423 Waterproof Sheeting . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347
V
Vacation Request . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Vaccination Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249 Vacutainer Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .367 Venipuncture & Injection Demonstration Arm . . . . . . .144 Visible File Trays & Pockets . . . . . . . . . . . . . . . . . . . . . . .220 Vital Sign and Weight Flowsheet. . . . . . . . . . . . . . . . . . .101 Vital Sign Flowsheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Waynding Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . .254-255 Wedge, Bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .328 Wedge, Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .328 Weekly Nursing Summary . . . . . . . . . . . . . . . . . . . . . . . . .86 Weekly Pressure Sore Progress Report . . . . . . . . . . . . . .96 Weekly Pressure Sore QI Log. . . . . . . . . . . . . . . . . . . . . .109 Weekly Weight Variance QI Log. . . . . . . . . . . . . . . . . . . . 111 Weight Flowsheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
483
Product Name Index

Well Child 1-4 Weeks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 2 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 4 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 6 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 9 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 12 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 15 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 3 Years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 4-5 Years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 6-8 Years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child 9-11 Years . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child Adolescent . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Well Child Record Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Wetness Alerting Device. . . . . . . . . . . . . . . . . . . . . . . . . .344 Whatever Signs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224, 258 Wheel Ring Handle for Transport Stand . . . . . . . . . . . . 214 Wheelchair Armrests. . . . . . . . . . . . . . . . . . . . . . . . . . . . .392 Wheelchair Back Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . .392 Wheelchair Drain Bag Holder. . . . . . . . . . . . . . . . . . . . . .393 Wheelchair Lap Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . .335 Wheelchair Oxygen Tank Holder. . . . . . . . . . . . . . . . . . .392 Wheelchair Positioner . . . . . . . . . . . . . . . . . . . . . . . . . . . .335 Wheelchair Ramps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .392 Wheelchair Safety Positioner. . . . . . . . . . . . . . . . . . . . . .393 Wheelchair Safety Strap . . . . . . . . . . . . . . . . . . . . . . . . . .392 Wheelchair Transport Bags . . . . . . . . . . . . . . . . . . . . . . .393 Wheelchair Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .393 Wheelchairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .391 Wipes, Adhesive Remover . . . . . . . . . . . . . . . . . . . .297, 363 Wipes, Skin Barrier. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .362 Wipes, Skin Protective Gel . . . . . . . . . . . . . . . . . . . . . . . .363 Wire Baskets, Porta-Cart. . . . . . . . . . . . . . . . . . . . . . . . . . 211 Wire Utility Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210 Wong-Baker FACES Pain Rating Scale . . . . . . . . . . . . . . .70 Workstations, Computer . . . . . . . . . . . . . . . . . . . . . . 216-219 Wound Assessment and Care Tool with Braden Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Wound Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Wound Care Adhesive Pads . . . . . . . . . . . . . . . . . . . . . . .303 Wound Care Barrier Film. . . . . . . . . . . . . . . . . . . . . . . . . .295 Wound Care Dressings . . . . . . . . . . 291, 293-300, 304-305 Wound Care Essentials . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Wound Care Gel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .299 Wound Care Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Wound Care Measurement and Assessment . . . . . . . . .97 Wound Care References . . . . . . . . . . . . . . 98, 179, 243, 301 Wound Care Tape . . . . . . . . . . . . . . . . . . . 292-293, 300, 306 Wound Care Wrap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311 Wound Cleanser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .300 Wound Closure, Adhesive . . . . . . . . . . . . . . . . . . . . . . . .310 Wound Filler, Hydrogel . . . . . . . . . . . . . . . . . . . . . . . . . . .294 Wound Gel, Hydrating . . . . . . . . . . . . . . . . . . . . . . . . . . . .297 Wound Gel, Hydroactive . . . . . . . . . . . . . . . . . . . . . . . . . .296 Wound Gel, Wipes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .297 Wound Measuring Devices, Foam Tipped . . . . . . . . . .290 Wound Pathway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Wound Photo ID Label. . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Wound Ruler Label. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .243 Wound Treatment Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Wound/Skin Healing Record . . . . . . . . . . . . . . . . . . . . . . .96 Wound/Skin Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Writing Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
X
X-Ray Register Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Y
Y Port Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .369 Year-Code Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227 Your Health History Review . . . . . . . . . . . . . . . . . . . . . . . .44
Z
Zip Top Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .284 Zipper Pull Rings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415 Zipper Pull/Button Aid . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415
484
Numeric Index
01-100-011 . . . . . . . . .442 01-100-015 . . . . . . . . .442 01-100-0156 . . . . . . . .442 01-110-021 . . . . . . . . .442 01-110-023 . . . . . . . . .442 01-110-025 . . . . . . . . .442 01-110-026 . . . . . . . . .442 01-110-027 . . . . . . . . .442 01-130-011 . . . . . . . . .443 01-130-013 . . . . . . . . .443 01-130-015 . . . . . . . . .443 01-130-016 . . . . . . . . .443 01-130-017 . . . . . . . . .443 01-133-011 . . . . . . . . .443 01-133-015 . . . . . . . . .443 01-133-016 . . . . . . . . .443 01-140-011 . . . . . . . . .443 01-140-013 . . . . . . . . .443 01-140-015 . . . . . . . . .443 01-140-016 . . . . . . . . .443 01-140-017 . . . . . . . . .443 01-150-011 . . . . . . . . .445 01-155-011 . . . . . . . . .445 01-160-021 . . . . . . . . .449 01-160-071 . . . . . . . . .449 01-160-081 . . . . . . . . .449 01-160-151 . . . . . . . . .449 01-160-161 . . . . . . . . .449 01-160-201 . . . . . . . . .449 01-160-211 . . . . . . . . .449 01-160-241 . . . . . . . . .449 01-160-251 . . . . . . . . .449 01-260-021 . . . . . . . . .449 01-260-071 . . . . . . . . .449 01-260-081 . . . . . . . . .449 01-260-151 . . . . . . . . .449 01-260-161 . . . . . . . . .449 01-260-201 . . . . . . . . .449 01-260-211 . . . . . . . . .449 01-260-241 . . . . . . . . .449 01-260-251 . . . . . . . . .449 01-350-018 . . . . . . . . .445 01-350-058. . . . . . . . .445 01-365-021 . . . . . . . . .449 01-365-211 . . . . . . . . .449 01-550-018 . . . . . . . . .445 01-550-058. . . . . . . . .445 01-650-058. . . . . . . . .445 04-6000 . . . . . . . . . . .324 04-6000S . . . . . . . . . .324 04-6001 . . . . . . . . . . .324 05-010621B . . . . . . . .269 05-010621C . . . . . . . .269 05-010621G . . . . . . . .269 05-010621R . . . . . . . .269 05-010621W . . . . . . .269 05-010621Y . . . . . . . .269 05-010715B . . . . . . . .269 05-010715C . . . . . . . .269 05-010715R . . . . . . . .269 05-010715W. . . . . . . .269 05-010715Y . . . . . . . .269 05-021-000. . . . . . . . .448 05-14627. . . . . . . . . . .270 05-14630 . . . . . . . . . .270 05-14641. . . . . . . . . . .270 05-226-060 . . . . . . . .448 05-230-010 . . . . . . . . .448 05-230-020. . . . . . . . .448 05-232-010 . . . . . . . . .448 05-233-010 . . . . . . . . .448 05-234-010. . . . . . . . .448 05-235-010 . . . . . . . . .448 05-240-000 . . . . . . . .448 05-242-000. . . . . . . . .448 05-244-000 . . . . . . . .448 05-260-011 . . . . . . . . .448 05-260-013 . . . . . . . . .448 05-260-015 . . . . . . . . .448 05-260-016 . . . . . . . . .448 05-260-017 . . . . . . . . .448 05-260-021. . . . . . . . .448 05-260-023. . . . . . . . .448 05-260-025. . . . . . . . .448 05-260-026. . . . . . . . .448 05-260-027. . . . . . . . .448 05-269-011 . . . . . . . . .448 05-269-013 . . . . . . . . .448 05-269-015 . . . . . . . . .448 05-269-016 . . . . . . . . .448 05-269-017 . . . . . . . . .448 05-274-011 . . . . . . . . .448 05-274-013 . . . . . . . . .448 05-274-015 . . . . . . . . .448 05-274-016 . . . . . . . . .448 05-274-017 . . . . . . . . .448 05-281-021 . . . . . . . . .448 05-281-023 . . . . . . . . .448 05-281-025 . . . . . . . . .448 05-281-026 . . . . . . . . .448 05-281-027 . . . . . . . . .448 05-283-021. . . . . . . . .448 05-283-025. . . . . . . . .448 05-283-026. . . . . . . . .448 05-283-027. . . . . . . . .448 05-285-000 . . . . . . . .447 05-286-000 . . . . . . . .447 05-288-020. . . . . . . . .447 05-290-060 . . . . . . . .447 05-291-060 . . . . . . . . .447 05-291301 . . . . . . . . .270 05-294-021. . . . . . . . .447 05-297-020 . . . . . . . . .447 05-298-030 . . . . . . . .447 05-305-020 . . . . . . . .447 05-305-210 . . . . . . . . .447 05-315-020. . . . . . . . .447 05-315-210 . . . . . . . . .447 05-333-000 . . . . . . . .448 05-507216 . . . . . . . . .270 05-6100 . . . . . . . . . . .270 05-6101 . . . . . . . . . . .270 05-6102 . . . . . . . . . . .270 05-6103 . . . . . . . . . . .270 05-6104 . . . . . . . . . . .270 05-6500 . . . . . . . . . . .270 05-6703 . . . . . . . . . . .270 05-6705 . . . . . . . . . . .270 05-6706 . . . . . . . . . . .270 05-6748 . . . . . . . . . . .270 05-6752 . . . . . . . . . . .270 05-6812 . . . . . . . . . . .270 05-6814 . . . . . . . . . . .270 05-6822 . . . . . . . . . . .270 05-6824 . . . . . . . . . . .270 05-82111 . . . . . . . . . . .269 05-82113. . . . . . . . . . .269 05-82114. . . . . . . . . . .269 05-82115. . . . . . . . . . .269 05-82116. . . . . . . . . . .269 05-82117. . . . . . . . . . .269 05-84511 . . . . . . . . . .269 05-84513 . . . . . . . . . .269 05-84514 . . . . . . . . . .269 06-148-131 . . . . . . . . .444 06-148-191 . . . . . . . . .444 06-148-195 . . . . . . . . .444 06-148-196 . . . . . . . . .444 06-214-191 . . . . . . . . .444 06-236-130 . . . . . . . . .444 06-270-131 . . . . . . . . .444 06-270-191 . . . . . . . . .444 06-270-195 . . . . . . . . .444 06-270-196 . . . . . . . . .444 06-271-192 . . . . . . . . .444 06-272-192 . . . . . . . . .444 06-273-192 . . . . . . . . .444 06-274-192 . . . . . . . . .444 06-275-192 . . . . . . . . .444 06-280-191 . . . . . . . . .444 06-281-192 . . . . . . . . .444 06-282-192 . . . . . . . . .444 06-283-192 . . . . . . . . .444 06-284-020 . . . . . . . .444 06-284-192 . . . . . . . . .444 06-285-192 . . . . . . . . .444 07-308-060. . . . . . . . .447 07-309-060. . . . . . . . .447 07-310-060 . . . . . . . . .447 07-315-060 . . . . . . . . .447 07-322-020 . . . . . . . . .447 07-324-060 . . . . . . . . .447 07-325-060. . . . . . . . .447 07-326-060. . . . . . . . .447 07-329-020 . . . . . . . . .447 07-330-190 . . . . . . . . .447 07-340-060. . . . . . . . .447 08-028 . . . . . . . . . . . .304 08-1164 . . . . . . . . . . . .342 08-123 . . . . . . . . . . . . .304 08-190 . . . . . . . . .313, 349 08-2012. . . . . . . . . . . .305 08-2015. . . . . . . . . . . .305 08-237. . . . . . . . . . . . .349
485
Numeric Index
08-24310 . . . . . . . . . .342 08-2440 . . . . . . . . . . .305 08-248. . . . . . . . . . . . . 313 08-2481 . . . . . . . . . . .305 08-2494 . . . . . . . . . . .305 08-2495 . . . . . . . . . . .305 08-2496 . . . . . . . . . . .305 08-255. . . . . . . . . . . . . 313 08-3161. . . . . . . . . . . .307 08-3242 . . . . . . . . . . .307 08-3243 . . . . . . . . . . .307 08-3254 . . . . . . . . . . .307 08-327 . . . . . . . . . . . . 313 08-3342 . . . . . . . . . . .307 08-3343 . . . . . . . . . . .307 08-3354 . . . . . . . . . . .307 08-3364 . . . . . . . . . . .307 08-PG004 . . . . . . . . . .304 08-PG019 . . . . . . . . . .304 09-0212 . . . . . . . . . . .302 09-0408 . . . . . . . . . . .302 09-0412. . . . . . . . . . . .302 09-111-021 . . . . . . . . .442 09-111-023 . . . . . . . . .442 09-111-025 . . . . . . . . .442 09-111-026 . . . . . . . . .442 09-111-027 . . . . . . . . .442 09-141-011 . . . . . . . . .443 09-141-013 . . . . . . . . .443 09-141-015 . . . . . . . . .443 09-141-016 . . . . . . . . .443 09-141-017 . . . . . . . . .443 09-166-011 . . . . . . . . .446 09-166-021 . . . . . . . . .446 09-168-011 . . . . . . . . .446 09-169-021 . . . . . . . . .446 09-1806. . . . . . . . . . . .302 09-215-021 . . . . . . . . .448 09-215-026 . . . . . . . . .447 09-2187. . . . . . . . . . . .302 09-230-020. . . . . . . . .448 09-261-021 . . . . . . . . .448 09-261-023 . . . . . . . . .448 09-261-025 . . . . . . . . .448 09-261-026 . . . . . . . . .448 09-261-027 . . . . . . . . .448 09-270-011 . . . . . . . . .448 09-270-013 . . . . . . . . .448 09-270-015 . . . . . . . . .448 09-270-016 . . . . . . . . .448 09-270-017 . . . . . . . . .448 09-285-040 . . . . . . . .447 09-286-040 . . . . . . . .447 09-2913. . . . . . . . . . . .302 09-297-040. . . . . . . . .447 09-6412 . . . . . . . . . . .302 09-6969 . . . . . . . . . . .302 09-8044 . . . . . . . . . . .302 09-9022 . . . . . . . . . . .302 09-9024 . . . . . . . . . . .302 09-9256 . . . . . . . . . . .303 1000/2 . . . . . . . . . . . . . .67 1000/3 . . . . . . . . . . . . . .67 1003B . . . . . . . . . . . . . . 81 1004/3. . . . . . . . . . . . . .67 1008 . . . . . . . . . . . . . . 114 10-0997 . . . . . . . . . . .345 1009B . . . . . . . . . . . . . 114 10-1042 . . . . . . . . . . . .341 10-1070 . . . . . . . . . . . .340 10-1080 . . . . . . . . . . . .340 1011. . . . . . . . . . . . . . . . 75 10-1110B20. . . . . . . . .342 10-118 . . . . . . . . . . . . .345 1012 . . . . . . . . . .100, 361 10-120327. . . . . . . . . .345 1015 . . . . . . . . . . . . . . 128 10-177-012 . . . . . . . . .434 1018 . . . . . . . . . . . . . . .54 10-3815P . . . . . . . . . .345 10-400-020 . . . . . . . .454 10-414-010 . . . . . . . . .451 10-414-020 . . . . . . . . .451 10-414-030 . . . . . . . . .451 10-414-050 . . . . . . . . .451 10-414-070 . . . . . . . . .451 10-414-080 . . . . . . . . .451 10-414-110 . . . . . . . . .451 10-414-120 . . . . . . . . .451 10-414-130 . . . . . . . . .451 10-414-150 . . . . . . . . .451 10-414-160 . . . . . . . . .451 10-414-200 . . . . . . . . .451 10-414-240 . . . . . . . . .451 10-414-250 . . . . . . . . .451 10-419-0620. . . . . . . .451 10-419-3601 . . . . . . . .451 10-419-3612 . . . . . . . .451 10-419-3613 . . . . . . . .451 10-419-3615 . . . . . . . .451 10-419-3620 . . . . . . . .451 10-422-010 . . . . . . . . .452 10-422-020. . . . . . . . .452 10-424-020. . . . . . . . .452 10-424-101 . . . . . . . . .452 10-426-010 . . . . . . . . .451 10-426-020. . . . . . . . .451 10-426-030 . . . . . . . .451 10-426-050 . . . . . . . .451 10-426-070. . . . . . . . .451 10-426-080 . . . . . . . .451 10-426-110 . . . . . . . . .451 10-426-120 . . . . . . . . .451 10-426-150 . . . . . . . . .451 10-426-160 . . . . . . . . .451 10-426-200. . . . . . . . .451 10-426-240. . . . . . . . .451 10-426-250 . . . . . . . . .451 10-428-010 . . . . . . . . .452 10-428-020. . . . . . . . .452 10-428-030 . . . . . . . .452 10-428-050 . . . . . . . .452 10-428-070. . . . . . . . .452 10-428-080 . . . . . . . .452 10-428-130 . . . . . . . . .452 10-428-180 . . . . . . . . .452 10-428-220 . . . . . . . . .452 10-428-240 . . . . . . . . .452 10-428-250 . . . . . . . . .452 10-432-035. . . . . . . . .452 10-432-095. . . . . . . . .452 10-432-105 . . . . . . . . .452 10-434-032 . . . . . . . .452 10-434-092 . . . . . . . .452 10-434-102 . . . . . . . . .452 10-440-020 . . . . . . . .454 10-445-020 . . . . . . . .454 10-446-020 . . . . . . . .454 10-448-101 . . . . . . . . .454 10-448-130 . . . . . . . . .454 10-449-130 . . . . . . . . .454 1045 . . . . . . . . . . . . . . 112 10-450-010. . . . . . . . .452 10-450-020 . . . . . . . .452 10-450-150 . . . . . . . . .452 10-450-160 . . . . . . . . .452 10-450-200. . . . . . . . .452 10-450-250. . . . . . . . .452 10-458-130 . . . . . . . . .454 10-460-290. . . . . . . . .453 10-460-310. . . . . . . . .453 10-49800 . . . . . . . . . .342 10-60003 . . . . . . . . . .340 10-60004 . . . . . . . . . .340 10-62614 . . . . . . . . . .342 10-62714. . . . . . . . . . .342 1071 . . . . . . . . . . . .33, 46 10-7193 . . . . . . . . . . . .344 1072 . . . . . . . . . . . .33, 46 1073 . . . . . . . . . . . .33, 46 1074 . . . . . . . . . . . .33, 46 10-901. . . . . . . . . . . . .343 10-902. . . . . . . . . . . . .343 10-9089520 . . . . . . . .343 10-9089520R . . . . . . .343 10-948 . . . . . . . . . . . .344 1095 . . . . . . . . . . . . . .104 10-958 . . . . . . . . . . . .344 10-BC012 . . . . . . . . . .340 10-BC013 . . . . . . . . . .340 10-NTB012 . . . . . . . . .339 10-NTB013 . . . . . . . . .339 10-NTB014 . . . . . . . . .339 10-PBM512 . . . . . . . .338 10-PBM513 . . . . . . . .338 10-PF012 . . . . . . . . . .339 10-PF013 . . . . . . . . . .339 10-PF014 . . . . . . . . . .339 10-PF016 . . . . . . . . . .339 10-PL100 . . . . . . . . . .341 10-PL113 . . . . . . . . . . .341 10-PL115 . . . . . . . . . . .341 10-PV012 . . . . . . . . . .339 10-PV013 . . . . . . . . . .339
486
Numeric Index
10-PV017 . . . . . . . . . .339 10-PV094 . . . . . . . . . .339 10-PV120 . . . . . . . . . .344 10-PV324 . . . . . . . . . .338 10-PV418 . . . . . . . . . .344 10-PV511 . . . . . . . . . .338 10-PV512 . . . . . . . . . .338 10-PV513 . . . . . . . . . .338 10-PV514 . . . . . . . . . .338 10-PV517 . . . . . . . . . .338 10-PV914 . . . . . . . . . .340 10-PV915 . . . . . . . . . .340 10-PV916 . . . . . . . . . .340 10-PV923 . . . . . . . . . .340 10-PVB012 . . . . . . . . .338 10-PVB013 . . . . . . . . .338 10-PVB016 . . . . . . . . .338 10-PVB104 . . . . . . . . .338 10-SFA . . . . . . . . . . . .338 10-SFB . . . . . . . . . . . .338 10-UP150 . . . . . . . . . .344 10-VB012 . . . . . . . . . .339 10-VB013 . . . . . . . . . .339 10-VB014 . . . . . . . . . .339 10-WW710 . . . . . . . . .343 10-WW720. . . . . . . . .343 10-WW910 . . . . . . . . .343 11-0250 . . . . . . . . . . . .303 1107P . . . . . . . . . . . . . .94 1109P . . . . . . . . . . . . . .94 1110P . . . . . . . . . . . . . .94 1111P . . . . . . . . . . . . . . .94 1112P. . . . . . . . . . . . . . .95 1114P. . . . . . . . . . . . . . .95 1117 . . . . . . . . . . . . . . . .94 1118 . . . . . . . . . . . . . . . .94 1120. . . . . . . . . . . . . . . .94 1121DP . . . . . . . . .97, 290 1122DP . . . . . . . . .97, 290 11-3050 . . . . . . . . . . . .364 11-3053 . . . . . . . . . . . .364 11-3057 . . . . . . . . . . . .364 11-305904 . . . . . . . . .283 11-305905 . . . . . . . . .283 11-305906 . . . . . . . . .283 11-305907 . . . . . . . . .283 11-363083 . . . . . . . . .367 11-364815. . . . . . . . . .367 11-364880 . . . . . . . . .367 11-367281. . . . . . . . . .367 11-367283. . . . . . . . . .367 11-367285. . . . . . . . . .367 11-367287. . . . . . . . . .367 11-367292. . . . . . . . . .367 11-367294. . . . . . . . . .367 11-367856 . . . . . . . . .367 11-367861. . . . . . . . . .367 11-367988 . . . . . . . . .367 1136P . . . . . . . . . . . . . 110 1137/2P . . . . . . . . . . . . 110 11-3811021 . . . . . . . . .364 11-381233 . . . . . . . . . .364 1138P . . . . . . . . . . . . . .80 1141P. . . . . . . . . . . . . . .59 1142P . . . . . . . . . . . . . 125 11-433301 . . . . . . . . .303 11-4335. . . . . . . . . . . .303 11-4336. . . . . . . . . . . .303 11-434302 . . . . . . . . .303 1143P . . . . . . . . . . . . . 124 1144P . . . . . . . . . . . . . 125 1145P . . . . . . . . . . . . . .87 11-505-020 . . . . . . . . .455 11-506-020 . . . . . . . . .455 11-507-000 . . . . . . . . .455 11-513576 . . . . . 309, 357 11-516-000 . . . . . . . . .455 11-518-000 . . . . . . . . .455 11-52111 . . . . . . . . . . .367 11-52121 . . . . . . . . . . .367 11-524-020 . . . . . . . . .455 11-526-000 . . . . . . . . .455 11-528-020 . . . . . . . . .455 11-536-060 . . . . . . . . .455 1154 . . . . . . . . . . .59, 200 115402 . . . . . . . . . . . .193 115410. . . . . . . . .192, 289 115411. . . . . . . . .192, 289 115412. . . . . . . . .192, 289 115413. . . . . . . . .192, 289 115414. . . . . . . . .192, 289 115415. . . . . . . . . . . . .193 115416. . . . . . . . . . . . .193 115421 . . . . . . . . . . . .193 11-543-060 . . . . . . . . .455 115451 . . . . . . . . . . . .193 1155. . . . . . . . . . . .59, 200 115500N . . . . . . .192, 289 115501N . . . . . . .192, 289 115502N . . . . . . . . . . . 192 115503N . . . . . . . . . . . 192 115508N . . . . . . .192, 289 115509N . . . . . . .192, 289 115510N . . . . . . . . . . . 192 115511N . . . . . . . . . . . 192 115512N . . . . . . . .82, 187 115514N . . . . . . . .82, 187 115516N . . . . . . . . . . .187 115517N . . . . . . . . . . .187 115518N . . . . . . . . . . .187 115519N . . . . . . . . . . .187 11-557-000 . . . . . . . . .455 1156. . . . . . . . . . . .59, 200 11-560-020 . . . . . . . . .455 11-564-060 . . . . . . . . .455 11-565-010 . . . . . . . . .455 11-565-020 . . . . . . . . .455 11-569-000 . . . . . . . . .455 1157. . . . . . . . . . . .59, 200 1158 . . . . . . . . . . .59, 200 11-582-060 . . . . . . . . .455 1160-10 . . . . . . . . . . . . . 31 11-61263 . . . . . . . . . . .364 1161P . . . . . . . . . . . . .108 1162P . . . . . . . . . . . . .108 1163P . . . . . . . . . . . . .109 1169P . . . . . . . . . . . . . 111 11-73241 . . . . . . . . . . .364 1173HF . . . . . . . . . . . . 127 1173HH . . . . . . . . . . . . 127 11-74221 . . . . . . . . . . .364 1174HF . . . . . . . . . . . . .99 1174HH . . . . . . . . . . . . .99 1175HH . . . . . . . . .89, 288 1176P . . . . . . . . . . . . . .80 1177P . . . . . . . . . . . . . .80 1178P . . . . . . . . . . . . . .80 1179P . . . . . . . . . . . . . 111 1182P . . . . . . . . . . . . . 102 1183HH . . . . . . . . . . . .103 1184P . . . . . . . . . . . . .103 1185HF . . . . . . . .100, 361 1185HH . . . . . . . .100, 361 1187P . . . . . . . . . . . . . 127 1188P . . . . . . . . . . . . . .94 1189P . . . . . . . . . . . . . 110 11-C01. . . . . . . . . . . . .383 11-C02. . . . . . . . . . . . .383 11-C2225 . . . . . . . . . .364 11-M5066A . . . . . . . .383 11-M5071A. . . . . . . . .383 12000 . . . . . . . . . . . . .326 12001 . . . . . . . . . . . . .326 12002 . . . . . . . . . . . . .327 12004 . . . . . . . . . . . . .327 12005 . . . . . . . . . . . . .327 12037 . . . . . . . . . . . . .325 12038 . . . . . . . . . . . . .325 12039 . . . . . . . . . . . . .325 1203-A . . . . . . . . . . . . 119 1203-B . . . . . . . . . . . . 119 1203-C . . . . . . . . . . . . 119 1204 . . . . . . . . . . . . . . .67 12040 . . . . . . . . . . . . .325 12041 . . . . . . . . . . . . .325 12042 . . . . . . . . . . . . .333 12044 . . . . . . . . . . . . .333 12046 . . . . . . . . . . . . .333 12047 . . . . . . . . . . . . .333 12054 . . . . . . . . . . . . .327 12055 . . . . . . . . . . . . .327 12056 . . . . . . . . . . . . .327 1206/4 . . . . . . . . . . . . . .65 1206/4TP . . . . . . . . . . .65 1206/5 . . . . . . . . . . . . . .65 1206/5TP . . . . . . . . . . .65 12068 . . . . . . . . . . . . .333 1207/2 . . . . . . . . . . . . . .65 1207/3 . . . . . . . . . . . . . .65 12072 . . . . . . . . . . . . .333 12073 . . . . . . . . . . . . .334 12076 . . . . . . . . . . . . .334 12077 . . . . . . . . . . . . .333 12078 . . . . . . . . . . . . .333
487
Numeric Index
12079 . . . . . . . . . . . . .333 1208/2 . . . . . . . . . . . . . .65 1208/3 . . . . . . . . . . . . . .65 12080 . . . . . . . . . . . . .333 12081 . . . . . . . . . . . . .333 12086 . . . . . . . . . . . . .334 12087 . . . . . . . . . . . . .334 12088 . . . . . . . . . . . . .334 12100 . . . . . . . . . . . . .334 12101 . . . . . . . . . . . . .334 12102 . . . . . . . . . . . . .334 12103 . . . . . . . . . . . . .334 12129 . . . . . . . . 332, 392 12131 . . . . . . . . . . . . .333 12134 . . . . . . . . . . . . .333 12140 . . . . . . . . . . . . .334 12141. . . . . . . . . . . . . .334 12142 . . . . . . . . . . . . .334 12143 . . . . . . . . . . . . .334 12-216-020 . . . . . . . . .453 12-216-070 . . . . . . . . .453 12-216-240 . . . . . . . . .453 12-216-250 . . . . . . . . .453 12-216-450 . . . . . . . . .453 12-217-020 . . . . . . . . .453 12-218-020 . . . . . . . . .453 12-218-540 . . . . . . . . .453 12-218-840 . . . . . . . . .453 12-229-020 . . . . . . . . .453 12-229-070 . . . . . . . . .453 12-229-200 . . . . . . . . .453 12-229-210 . . . . . . . . .453 12-229-260 . . . . . . . . .453 12-229-270 . . . . . . . . .453 12-229-280 . . . . . . . . .453 12-229-290 . . . . . . . . .453 12-229-380 . . . . . . . . .453 12-229-390 . . . . . . . . .453 12-229-460 . . . . . . . . .453 12-245-020 . . . . . . . . .453 12-245-070 . . . . . . . . .453 12-245-260 . . . . . . . . .453 12-245-380 . . . . . . . . .453 12-245-390 . . . . . . . . .453 12-245-400 . . . . . . . . .453 1225R . . . . . . . . . .89, 288 12-260-021 . . . . . . . . .450 12-260-071 . . . . . . . . .450 12-260-201 . . . . . . . . .450 12-260-241 . . . . . . . . .450 12-260-251 . . . . . . . . .450 12-265-021 . . . . . . . . .450 12-265-071 . . . . . . . . .450 1228 . . . . . . . . . . .89, 288 1230 . . . . . . . . . . .89, 288 1231 . . . . . . . . . . .89, 288 12-311-020 . . . . . . . . .453 12-312-020 . . . . . . . . .453 12-312-030 . . . . . . . . .453 12-312-070 . . . . . . . . .453 12-312-085 . . . . . . . . .453 12-312-240 . . . . . . . . .453 12-312-250 . . . . . . . . .453 12-312-263 . . . . . . . . .453 12-312-275 . . . . . . . . .453 12-312-390 . . . . . . . . .453 12-312-395 . . . . . . . . .453 12-312-450 . . . . . . . . .453 12-312-470 . . . . . . . . .453 12-312-471 . . . . . . . . .453 12-312-480 . . . . . . . . .453 12-313-020 . . . . . . . . .453 12-320-020 . . . . . . . . .454 12-320-070 . . . . . . . . .454 12-320-240 . . . . . . . . .454 1233 . . . . . . . . . . .89, 288 124 . . . . . . . . . . . 84, 360 124/2 . . . . . . . . . . 84, 360 124/2P . . . . . . . . . 84, 360 1240/2-R06 . . . . . . . . . 137 1240L-R06 . . . . . . . . . 137 1240-S-R06 . . . . . . . . 137 1248 . . . . . . . . . . . . . . 124 1251/3 . . . . . . . . . . . . .133 1253/2 . . . . . . . . . . . . . 120 1255B . . . . . . . . . . . . . 118 1262 . . . . . . . . . . . . . . .88 1263 . . . . . . . . . . . . . . .88 1264 . . . . . . . . . . . . . . .65 1265 . . . . . . . . . . . . . . .66 1265P . . . . . . . . . . . . . .66 1269/4 . . . . . . . . . . . . . .65 1269/5 . . . . . . . . . . . . . .65 1275 . . . . . . . . . . .89, 288 1277 . . . . . . . . . . .89, 288 1279/5 . . . . . . . . . . . . . .65 1284 . . . . . . . . . . . . . .134 1285 . . . . . . . . . . . . . .104 1289R . . . . . . . . . . . . . 132 129 . . . . . . . . . . . . . . .104 1294HF . . . . . . . . . . . . .85 1294HH. . . . . . . . . . . . .85 1300 . . . . . . . . . . . . . . .99 1303HF . . . . . . . . . . . . 126 1303HH. . . . . . . . . . . . 126 1304 . . . . . . . . . . . . . . .62 1305R . . . . . . . . . . . . . 131 1306 . . . . . . . . . . . . . . 131 13-200. . . . . . . . . . . . .372 13-217-020 . . . . . . . . .457 13-217-030 . . . . . . . . .457 13-3113 . . . . . . . . . . . .307 13-3114 . . . . . . . . . . . .307 13-3170 . . . . . . . . . . . .308 13-3401 . . . . . . . . . . .307 13-3402 . . . . . . . . . . .307 13-3403 . . . . . . . . . . .307 13-3411 . . . . . . . . . . . .307 13-3412 . . . . . . . . . . . .307 13-3501. . . . . . . . . . . .307 133523 . . . . . . . . . . . . 310 13-3552 . . . . . . . . . . .306 13-3553 . . . . . . . . . . .306 13-3562 . . . . . . . . . . .306 13-3563 . . . . . . . . . . .306 13-3572. . . . . . . . . . . .306 13-3573. . . . . . . . . . . .306 13-3634 . . . . . . . . . . . 310 13-4611 . . . . . . . . . . . .307 13-540-020. . . . . . . . .456 13-540-030 . . . . . . . .456 13-541-020 . . . . . . . . .456 13-541-030 . . . . . . . . .456 13-542-030. . . . . . . . .456 13-543-030 . . . . . . . .456 13-544-020 . . . . . . . .456 13-544-030 . . . . . . . .456 13-545-020. . . . . . . . .456 13-545-030 . . . . . . . .456 13-546-020 . . . . . . . .456 13-546-030 . . . . . . . .456 13-547-020 . . . . . . . . .456 13-548-020. . . . . . . . .456 13-548-030 . . . . . . . .456 13-550-020. . . . . . . . .456 13-550-030. . . . . . . . .456 13-552-020 . . . . . . . . .456 13-552-030 . . . . . . . . .456 13-554-020. . . . . . . . .456 13-554-030 . . . . . . . .456 13-556-020. . . . . . . . .456 13-556-0360 . . . . . . .456 13-558-020. . . . . . . . .456 13-558-030. . . . . . . . .456 13-559-000 . . . . . . . .456 13-560-000 . . . . . . . .456 13-561-000 . . . . . . . . .456 13-6241. . . . . . . 302, 366 1364P-12. . . . . . . . . . . .59 1365P . . . . . . . . . . . . . .59 1366P-12. . . . . . . . . . . .59 1367P-12 . . . . . . . . . . . .59 1368-12P. . . . . . . . . . . .59 1369P-12. . . . . . . . . . . .59 1370P-12 . . . . . . . . . . . .59 1371P . . . . . . . . . . . . . .59 1372P . . . . . . . . . . . . . .59 1373NH . . . . . . . . . . .190 1373P-12 . . . . . . . . . . . .59 1374NH. . . . . . . . . . . .190 1374P . . . . . . . . . . . . . .59 1375NH. . . . . . . . . . . .190 1375P-12 . . . . . . . . . . . .59 1376NH. . . . . . . . . . . .190 1377NH . . . . . . . . . . .190 1378NH . . . . . . . . . . .190 1379NH . . . . . . . . . . .190 1392/3 . . . . . . . . . . . . . .66 1393/3 . . . . . . . . . . . . . .66 1394/3. . . . . . . . . . . . . .66 1394/4 . . . . . . . . . . . . . .66 1395/3 . . . . . . . . . . . . . .66 13-C890 . . . . . . . . . . .372 14-011218 . . . . . . . . . .369
488
Numeric Index
14-011220 . . . . . . . . . .369 1428/2 . . . . . . . . . . . . . . 91 1429/2 . . . . . . . . . . . . .133 1435/2 . . . . . . . . . . . . .133 1435/3 . . . . . . . . . . . . .133 1435-S . . . . . . . . . . . .133 14-50460 . . . . . . . . . .368 1464 . . . . . . . . . . . . . .190 1464NH . . . . . . . . . . .190 1466NH . . . . . . . . . . .190 14-7025 . . . . . . . . . . . .368 1473 . . . . . . . . . . . . . .190 1473NH. . . . . . . . . . . .190 1474 . . . . . . . . . . . . . .190 1474NH. . . . . . . . . . . .190 1475 . . . . . . . . . . . . . .190 1475NH. . . . . . . . . . . .190 1476 . . . . . . . . . . . . . .190 1476NH. . . . . . . . . . . .190 1477 . . . . . . . . . . . . . .190 14-7736. . . . . . . . . . . .368 1477NH. . . . . . . . . . . .190 1478 . . . . . . . . . . . . . .190 1478NH. . . . . . . . . . . .190 1479 . . . . . . . . . . . . . .190 1479NH. . . . . . . . . . . .190 14-836 . . . . . . . . . . . .369 1485/4R . . . . . . . . . . . 135 1485LR . . . . . . . . . . . . 135 1487/4 . . . . . . . . . . . . . 135 14-912 . . . . . . . . . . . . .369 14-913 . . . . . . . . . . . . .369 1492/3R . . . . . . . . . . . 137 1494/3R . . . . . . . . . . . 137 1497/3R . . . . . . . . . . . 137 1499/3R . . . . . . . . . . . 137 150 . . . . . . . . . . . . . . . .63 1500ENV . . . . . . . . . . 137 1508 . . . . . . . . . . .89, 289 1510. . . . . . . . . . . .89, 289 15-1050 . . . . . . . . . . . .303 1511. . . . . . . . . . . .89, 289 15-1169 . . . . . . . . . . . .303 15-1238 . . . . . . . . . . . .303 15-12388. . . . . . . . . . .303 15-14000. . . . . . . . . . .299 15-1892 . . . . . . . . . . . .302 15-1914 . . . . . . . . . . . .306 15-1961 . . . . . . . . . . . .303 15-20010. . . . . . . . . . .299 1521 . . . . . . . . . . .89, 289 15-2132 . . . . . . . . . . . .303 1524 . . . . . . . . . . .89, 289 15-2419 . . . . . . . . . . . .306 1525 . . . . . . . . . . .89, 289 15-2585. . . . . . . . . . . .302 1527 . . . . . . . . . . .89, 289 1528 . . . . . . . . . . .89, 289 1530 . . . . . . . . . . .89, 289 15-3085 . . . . . . . . . . .302 1531 . . . . . . . . . . .89, 289 1541 . . . . . . . . . . .89, 289 1544 . . . . . . . . . . .89, 289 1548 . . . . . . . . . . .89, 289 1550 . . . . . . . . . . .89, 289 1551 . . . . . . . . . . .89, 289 15-600-000 . . . . . . . .437 15-6017. . . . . . . . . . . .303 15-604-000 . . . . . . . .437 15-605-000 . . . . . . . .437 15-639-000 . . . . . . . .438 15-6715. . . . . . . . . . . .302 15-6720 . . . . . . . . . . .302 15-6725 . . . . . . . . . . .302 15-6730 . . . . . . . . . . .302 15-690-000 . . . . . . . .439 15-698-000 . . . . . . . .438 15-705-000 . . . . . . . . .439 15-720-000 . . . . . . . . .437 1573 . . . . . . . . . . . . . .105 15-732-000 . . . . . . . . .437 15-736-000. . . . . . . . .438 1575 . . . . . . . . . . . . . .105 15-7643. . . . . . . . . . . .303 1579 . . . . . . . . . . . . . .105 15-801-000. . . . . . . . .439 15-802-000. . . . . . . . .439 15-8190. . . . . . . . . . . .303 15-8194. . . . . . . . . . . .303 1584 . . . . . . . . . . . . . .105 15-878-000 . . . . . . . .438 1588 . . . . . . . . . . . . . .105 1589 . . . . . . . . . . . . . .105 1590 . . . . . . . . . . . . . .105 15-901-000 . . . . . . . . .439 15-902-000. . . . . . . . .439 15-903-000 . . . . . . . .439 15-905-000 . . . . . . . .438 15-9190. . . . . . . . . . . .303 15-9192. . . . . . . . . . . .303 15-9194. . . . . . . . . . . .303 15-930-000 . . . . . . . .438 15-930-004 . . . . . . . .438 1594 . . . . . . . . . . . . . .105 1596 . . . . . . . . . . . . . .105 16-0200 . . . . . . . . . . .299 16-0400 . . . . . . . . . . .299 16-0415. . . . . . . .309, 311 16-0799 . . . . . . . . . . .349 16-07991 . . . . . . . . . .349 16-07993 . . . . . . . . . .349 16-07994 . . . . . . . . . .349 16-1044. . . . . . . . . . . .291 16-1052 . . . . . . . . . . . .299 16-1053 . . . . . . . . . . . .299 16-1457 . . . . . . . . . . . .297 16-1504 . . . . . . . 293, 306 16-1528 . . . . . . . 293, 306 16-15284. . . . . . . . . . .306 16-15287 . . . . . . . . . . .293 16-1529 . . . . . . . . . . . .293 16-1539 . . . . . . . 293, 306 16-1540 . . . . . . . . . . . . 310 16-1541 . . . . . . . . . . . . 310 16-1570 . . . . . . . . . . . .381 16-15810 . . . . . . . . . . . 311 16-15820. . . . . . . . . . . 311 16-15830. . . . . . . . . . . 311 16-1583N . . . . . . . . . . 311 16-1584 . . . . . . . . . . . . 311 16-1622W . . . . . 294, 366 16-1624W . . . . . 294, 366 16-1626W . . . . . 294, 366 16-1627 . . . . . . . . . . . .294 16-1628 . . . . . . . . . . . .294 16-1629 . . . . . . . . . . . .294 16-16505. . . . . . . . . . . 314 16-1681F1 . . . . . . . . . .297 16-1682F8. . . . . . . . . .297 16-1683AX . . . . . . . . .297 16-177901. . . . . . . . . .297 16-177902. . . . . . . . . .297 16-177903. . . . . . . . . .297 16-1800 . . . . . . . . . . . .273 16-1818 . . . . . . . . . . . .273 16-187660. . . . . . . . . .296 16-187661. . . . . . . . . .296 16-187662. . . . . . . . . .296 16-187726. . . . . . . . . .296 16-187900 . . . . . . . . .296 16-187901. . . . . . . . . .296 16-187955. . . . . . . . . .296 16-187957. . . . . . . . . .296 16-187970. . . . . . . . . .296 16-187971. . . . . . . . . .296 16-187972. . . . . . . . . .296 16-187973. . . . . . . . . .296 16-187987. . . . . . . . . .296 16-1900 . . . . . . . . . . . . 374 16-2000 . . . . . . . . . . . 374 16-2094 . . . . . . . . . . . 311 16-251100 . . . . . . . . . .292 16-2694 . . . . . . . . . . .293 16-2862. . . . . . . . . . . .293 16-294100 . . . . . . . . .292 16-294300 . . . . . . . . .292 16-295290 . . . . . . . . .292 16-295390 . . . . . . . . .292 16-2954 . . . . . . . . . . .293 16-295490 . . . . . . . . .292 16-295690 . . . . . . . . .292 16-2961. . . . . . . . . . . .293 16-2962A . . . . . . . . . .293 16-2963 . . . . . . . . . . .293 16-2F7112 . . . . . . . . . .359 16-2F7122. . . . . . . . . .359 16-2F7123P . . . . . . . .359 16-2F7124. . . . . . . . . .359 16-30295 . . . . . . . . . .357 16-30296 . . . . . . . . . .357 16-3182. . . . . . . . . . . . 311 16-3183. . . . . . . . . . . . 311 16-3213 . . . . . . . . . . . .297 16-3350 . . . . . . . . . . .295
489
Numeric Index
16-3562 . . . . . . . . . . .293 16-3564 . . . . . . . . . . .293 16-3566 . . . . . . . . . . .293 16-3571. . . . . . . . . . . .293 16-3582 . . . . . . . . . . .294 16-3586 . . . . . . . . . . .294 16-3587 . . . . . . . . . . .294 16-3588 . . . . . . . . . . .294 16-3590 . . . . . . . . . . .294 16-4000 . . . . . . . . . . .298 16-4007 . . . . . . 299, 366 16-403202 . . . . . . . . .297 16-403204 . . . . . . . . .297 16-403706 . . . . . . . . .296 16-403708 . . . . . . . . .296 16-403710 . . . . . . . . .296 16-405 . . . . . . . . . . . .291 16-4075 . . . . . . . . . . .368 16-4100. . . . . . . . . . . .300 16-4209 . . . . . . . . . . .300 16-4210. . . . . . . . . . . .300 16-4211 . . . . . . . . . . . .300 16-4215. . . . . . . . . . . .300 16-4216. . . . . . . . . . . .300 16-4400 . . . . . . . . . . .300 16-449000 . . . . . . . . .300 16-4496 . . . . . . . . . . .300 16-4628 . . . . . . . . . . .299 16-4630 . . . . . . . . . . .299 16-4631 . . . . . . . . . . .299 16-47578 . . . . . . . . . .298 16-4830 . . . . . . . . . . .298 16-4831 . . . . . . . . . . .298 16-4872 . . . . . . . . . . .357 16-4873 . . . . . . . . . . .357 16-4973 . . . . . . 299, 366 16-5000 . . . . . . . . . . .359 16-5001 . . . . . . . . . . .359 16-5033 . . . . . . . . . . .291 16-5044 . . . . . . . . . . .291 16-5055 . . . . . . . . . . .291 16-5077 . . . . . . . . . . .291 16-5100. . . . . . . . . . . .359 16-511 . . . . . . . . . . . . .357 16-5201. . . . . . . . . . . .359 16-5733 . . . . . . . . . . .291 16-59449200 . . . . . . .300 16-61245. . . . . . . . . . .365 16-61249 . . . . . . . . . .365 16-61526. . . . . . . . . . .273 16-650947 . . . . . . . . . 311 16-651031 . . . . . . . . .297 16-65110 . . . . . . . . . . .292 16-65120. . . . . . . . . . .292 16-65220 . . . . . . . . . .292 16-65240 . . . . . . . . . .292 16-65324 . . . . . . . . . .292 16-65503 . . . . . . . . . .292 16-65504 . . . . . . . . . .292 16-65508 . . . . . . . . . .292 16-66000043 . . . . . . .298 16-66000044 . . . . . . .298 16-66000045 . . . . . . .298 16-66000093 . . . . . . .298 16-66000700 . . . . . . .298 16-660007630 . . . . . .298 16-6626 . . . . . . .309, 311 16-6640 . . . . . . . . . . .299 16-668282 . . . . . . . . .365 16-7042. . . . . . . . . . . .291 16-7637. . . . . . . . . . . .298 16-7638. . . . . . . . . . . .298 16-7643. . . . . . . . . . . .298 16-800112. . . . . . . . . .304 16-800202 . . . . . . . . .304 16-800404 . . . . . . . . .304 16-8616. . . . . . . . . . . .305 16-8675 . . . . . . . . . . .305 16-8716. . . . . . . . . . . .305 169 . . . . . . . . . . . . . . . 136 16-90001 . . . . . . . . . .294 16-90002 . . . . . . . . . .294 16-90003 . . . . . . . . . .294 16-90004 . . . . . . . . . .294 16-90005 . . . . . . . . . .294 16-90021 . . . . . . . . . .294 16-90022 . . . . . . . . . .294 16-90023 . . . . . . . . . .294 16-90601 . . . . . . . . . .295 16-90619 . . . . . . . . . .295 16-909 . . . . . . . 308, 359 16-91110 . . . . . . . . . . .294 16-91111 . . . . . . . . . . .294 16-91121 . . . . . . . . . . .295 16-9216. . . . . . . . . . . .305 16-9232 . . . . . . . . . . .305 16-9302 . . . . . . . . . . .305 16-9306 . . . . . . 293, 306 16-9307 . . . . . . 293, 306 16-9308 . . . . . . 293, 306 16-9505W . . . . 294, 366 16-9506W . . . . 294, 366 16-9528 . . . . . . 293, 366 16-9529 . . . . . . 293, 306 16-9530 . . . . . . 293, 306 16-9534HP . . . . . . . . .294 16-9536HP . . . . . . . . .294 16-99004 . . . . . . . . . .300 16-99006 . . . . . . . . . .300 16-AL4109 . . . . 309, 357 16-AL4275 . . . . 309, 357 16-R1547 . . . . . . . . . . 310 16-SV40XT. . . . . . . . .366 170 . . . . . . . . . . . . . . . .59 171-S. . . . . . . . . . . . . . 136 172 . . . . . . . . . . . . . . . 136 17-2232 . . . . . . . . . . . .302 17-2236 . . . . . . . . . . . .302 17-2244 . . . . . . . . . . . .302 1750335 . . . . . . . . . . .431 17-51434 . . . . . . . . . . . 312 17-51437 . . . . . . . . . . . 312 17-51438 . . . . . . . . . . . 312 175-202-0000. . . . . . .460 175-204-0000 . . . . . .460 175-209-0000 . . . . . .460 175-226-0000 . . . . . .460 175-227-0000. . . . . . .460 175-228-0000 . . . . . .460 175-229-0000 . . . . . .460 175-232-0000. . . . . . .460 17-53150 . . . . . . . . . . . 312 17-53160. . . . . . . . . . . 312 17-53170 . . . . . . . . . . . 312 17-53180. . . . . . . . . . . 312 17-53210 . . . . . . . . . . . 312 17-53220. . . . . . . . . . . 312 1766 . . . . . . . . . . .31, 158 1766A . . . . . . . . . .31, 158 1766RNW . . . . . . .31, 158 1767 . . . . . . . . . . .31, 158 17-680770 . . . . . . . . . 312 177 . . . . . . . . . . . . . . . 132 1770 . . . . . . . . . . . . . . 129 1771 . . . . . . . . . . . . . . 129 1772 . . . . . . . . . . . . . . 129 1773 . . . . . . . . . . . . . . 129 1773/2 . . . . . . . . . . . . . 129 1775 . . . . . . . . . . . . . . 129 1776 . . . . . . . . . . . . . . 129 1779 . . . . . . . . . . . . . . 129 17-861037. . . . . . . . . .268 17-861039. . . . . . . . . .268 17-861040 . . . . . . . . .268 17-861041 . . . . . . . . . .268 17-861042. . . . . . . . . .268 17-861043 . . . . . . . . .268 1791 . . . . . . . . . . . . . . 129 17-M111 . . . . . . . . . . .306 17-M222 . . . . . . . . . . .306 17-UNNA3 . . . . . . . . . 312 17-UNNA4 . . . . . . . . . 312 18-107-000 . . . . . . . . .440 18-200-000. . . . . . . . .440 1821 . . . . . . . . . . . . . . . 70 1828DS . . . . . . . . . . . .242 1828DS . . . . . . . . . . . .261 1846 . . . . . . . . . . . . . . . 70 185 . . . . . . . . . . . . . . . .63 185/2 . . . . . . . . . . . . . . .63 1851P-12R. . . . . . . . . . . 28 1852P-12R . . . . . . . . . . 28 18-535-000 . . . . . . . .440 1854P-12R . . . . . . . . . .29 1856P-12R . . . . . . . . . .29 1858P-12R . . . . . . . . . .29 18-607-000. . . . . . . . .440 1862 . . . . . . . . . . .31, 158 1862A . . . . . . . . . .31, 158 1862RNW. . . . . . .31, 158 1865 . . . . . . . . . . .31, 158 18-6658 . . . . . . . . . . . 374 1870 . . . . . . . . . . . . . . . 28 1870P . . . . . . . . . . . . . .29
490
Numeric Index
1871P . . . . . . . . . . . . . . 29 1872P . . . . . . . . . . . . . .29 1873P . . . . . . . . . . . . . . 29 1891P . . . . . . . . . . . . . .30 1892P . . . . . . . . . . . . . .30 1898R . . . . . . . . . .31, 158 19 . . . . . . . . . . . . . . . . .63 190 . . . . . . . . . . . . . . .268 1900P . . . . . . . . . . . . . .30 1901P . . . . . . . . . . . . . .30 1902P . . . . . . . . . . . . . .30 1903P . . . . . . . . . . . . . .30 1904P . . . . . . . . . . . . . .30 1905P . . . . . . . . . . . . . .30 1906P . . . . . . . . . . . . . .30 1907P . . . . . . . . . . . . . .30 1908P . . . . . . . . . . . . . .30 1909P . . . . . . . . . . . . . .30 1910P . . . . . . . . . . . . . .30 1911P . . . . . . . . . . . . . .30 1912P . . . . . . . . . . . . . .30 1913P . . . . . . . . . . . . . .30 1914P . . . . . . . . . . . . . .30 1915P . . . . . . . . . . . . . .30 1916P . . . . . . . . . . . . . .30 1917P . . . . . . . . . . . . . .30 1918P . . . . . . . . . . . . . .30 1919P . . . . . . . . . . . . . .30 1920P . . . . . . . . . . . . . .30 1950P . . . . . . . . . . . . . . 31 2007 . . . . . . . . . . . . . . . 62 2030/2. . . . . . . . . . . . . 120 2061 . . . . . . . . . . . . . . 101 2062 . . . . . . . . . . . . . . . 81 208 . . . . . . . . . . . . . . . . 62 20-810-000. . . . . . . . .435 20-846-000 . . . . . . . .435 20-860-010. . . . . . . . .435 20-860-020 . . . . . . . .435 20-860-120 . . . . . . . . .435 20-910-000. . . . . . . . .435 20-911-000 . . . . . . . . .435 20-912-000 . . . . . . . . .435 20-933-000 . . . . . . . .435 20-943-000 . . . . . . . .435 20R . . . . . . . . . . . . . . .105 21 . . . . . . . . . . . . . . . .105 21-010114 . . . . . . . . . .356 21030R2N . . . . . . . . .184 21030R3N . . . . . . . . .184 21030R5N . . . . . . . . .184 21035R3N . . . . . . . . .184 21035R5N . . . . . . . . .184 21130R2N . . . . . . . . . .184 21130R3N. . . . . . . . . .184 21130R5N . . . . . . . . . .184 21135R3N . . . . . . . . . .184 21135R5N . . . . . . . . . .184 2115R . . . . . . . . . . . . .106 2116. . . . . . . . . . . . . . .106 2117/3 . . . . . . . . .106, 172 2119. . . . . . . . . . . . . . . 132 2121HF . . . . . . . . . . . .106 2121HH . . . . . . . . . . . .106 2122 . . . . . . . . . . . . . .106 21230R2N . . . . . . . . .184 21230R3N . . . . . . . . .184 21230R5N . . . . . . . . .184 21235R3N . . . . . . . . .184 21235R5N . . . . . . . . .184 2123P-12 . . . . . . . . . . .106 21-2524 . . . . . . . . . . . .353 21-2526 . . . . . . . . . . . .353 2130R2N. . . . . . . . . . .184 2130R3N. . . . . . . . . . .184 2130R5N. . . . . . . . . . .184 2135R3B . . . . . . . . . . .185 2135R3N. . . . . . . . . . .184 2135R5N. . . . . . . . . . .184 21-802214. . . . . . . . . .356 21-CKM100 . . . . . . . .356 22 . . . . . . . . . . . . . . . .105 2201 . . . . . . . . . . . . . . .44 2203/2-R07. . . . . . . . . 137 2213R . . . . . . . . . . . . . .44 2228 . . . . . . . . . . . . . . .45 2229 . . . . . . . . . . . . . . .45 223 . . . . . . . . . . . . . . .134 2230 . . . . . . . . . . . . . . .45 2230R2N . . . . . . . . . .184 2230R3N . . . . . . . . . .184 2230R5N . . . . . . . . . .184 2231 . . . . . . . . . . . . . . .45 2235R3N . . . . . . . . . .184 2235R5N . . . . . . . . . .184 2240 . . . . . . . . . . . . . .109 2240M . . . . . . . . . . . . . 47 2241 . . . . . . . . . . . . . . . 71 2241M . . . . . . . . . . . . . . 47 2245 . . . . . . . . . . . . . . . 47 2274R . . . . . . . . . . . . . .44 2276R . . . . . . . . . . . . . .46 2277R . . . . . . . . . . . . . .46 2278R . . . . . . . . . . . . . .46 2279R . . . . . . . . . . . . . .46 2280R . . . . . . . . . . . . . .46 2281R . . . . . . . . . . . . . .46 2282R . . . . . . . . . . . . . .46 2283R . . . . . . . . . . . . . .46 2286R . . . . . . . . . . . . . .46 2287R . . . . . . . . . . . . . .46 2289R . . . . . . . . . . . . . .46 2290R . . . . . . . . . . . . . .46 2291R . . . . . . . . . . . . . .46 2293R . . . . . . . . . . . . . .46 2295 . . . . . . . . . . . . . . . 47 2296 . . . . . . . . . . . . . . . 47 2300/3. . . . . . . . . . . . . .94 2301 . . . . . . . . . . . . . . .44 2301/3 . . . . . . . . . . . . . .94 2301/4 . . . . . . . . . . . . . .94 2303 . . . . . . . . . . . . . . .44 2304/2. . . . . . . . . . . . . .94 2307R . . . . . . . . . . . . . .44 2308R . . . . . . . . . . . . . .44 2309R . . . . . . . . . . . . . .44 2313DS . . . . . . . . . . . .261 2317DS . . . . . . . . . . . .260 2320 . . . . . . . . . . . . . . . 47 233 . . . . . . . . . . . . . . .134 2330 . . . . . . . . . . . . . .134 2330R2N . . . . . . . . . .184 2330R3N . . . . . . . . . .184 2330R5N . . . . . . . . . .184 2331 . . . . . . . . . . . . . . .45 2335R3N . . . . . . . . . .184 2335R5N . . . . . . . . . .184 2370 . . . . . . . . . . . . . . .45 2371 . . . . . . . . . . . . . . .45 2372 . . . . . . . . . . . . . . .45 2391R . . . . . . . . . . . . . .44 2395 . . . . . . . . . . . . . . . 47 2396 . . . . . . . . . . . . . . .45 24-020537 . . . . . . . . .376 2405 . . . . . . . . . . . . . . .45 2406 . . . . . . . . . . . . . . .45 2410 . . . . . . . . . . . . . . .45 24113. . . . . . . . . . . . . .222 2421 . . . . . . . . . . . . . . . 42 2422 . . . . . . . . . . . . . . . 42 2423 . . . . . . . . . . . . . . . 42 2424 . . . . . . . . . . . . . . . 42 2425 . . . . . . . . . . . . . . . 42 2426 . . . . . . . . . . . . . . . 42 2427 . . . . . . . . . . . . . . . 42 2428 . . . . . . . . . . . . . . . 42 2429 . . . . . . . . . . . . . . . 42 2430 . . . . . . . . . . . . . . . 42 2430R2N . . . . . . . . . .184 2430R3N . . . . . . . . . .184 2430R5N . . . . . . . . . .184 2435 . . . . . . . . . . . . . . . 42 2435R3N . . . . . . . . . .184 2435R5N . . . . . . . . . .184 24-3627 . . . . . . . . . . .376 2451 . . . . . . . . . . . . . . . 42 2452 . . . . . . . . . . . . . . . 42 2453 . . . . . . . . . . . . . . . 42 2454 . . . . . . . . . . . . . . . 42 2455 . . . . . . . . . . . . . . . 42 2456 . . . . . . . . . . . . . . . 42 2457 . . . . . . . . . . . . . . . 42 2458 . . . . . . . . . . . . . . . 42 2459 . . . . . . . . . . . . . . . 42 246 . . . . . . . . . . .100, 361 2460 . . . . . . . . . . . . . . . 42 2465 . . . . . . . . . . . . . . . 42 247 . . . . . . . . . . . . . . . 101 24-B100 . . . . . . . . . . .355 2530R2N . . . . . . . . . .184 2530R3N . . . . . . . . . .184 2530R5N . . . . . . . . . .184 25-3502 . . . . . . . . . . .354 2535R3N . . . . . . . . . .184
491
Numeric Index
2535R5N . . . . . . . . . .184 2540 . . . . . . . . . . . . . . . 42 25-5900 . . . . . . . . . . .355 25-5976 . . . . . . . . . . .353 25-702-000 . . . . . . . . .462 25-703-000. . . . . . . . .462 25-704-000. . . . . . . . .462 25-724-000 . . . . . . . . .462 25-725-000. . . . . . . . .462 25-736-000. . . . . . . . .462 25-779-000. . . . . . . . .462 26 . . . . . . . . . . . . . . . . .65 26-0001 . . . . . . . . . . .356 2605/2P . . . . . . . . . . .108 260500DS . . . . . . . . . 211 2610 . . . . . . . . . . . . . . . 42 2611 . . . . . . . . . . . . . . . 42 2612 . . . . . . . . . . . . . . . 42 2613 . . . . . . . . . . . . . . . 42 2614 . . . . . . . . . . . . . . . 42 2615 . . . . . . . . . . . . . . . 42 2616 . . . . . . . . . . . . . . . 42 2617 . . . . . . . . . . . . . . . 42 2618 . . . . . . . . . . . . . . . 42 2619 . . . . . . . . . . . . . . . 42 2620 . . . . . . . . . . . . . . . 42 2621 . . . . . . . . . . . . . . . 42 2622 . . . . . . . . . . . . . . . 42 2623 . . . . . . . . . . . . . . . 42 2624 . . . . . . . . . . . . . . . 42 2625 . . . . . . . . . . . . . . . 42 2626 . . . . . . . . . . . . . . . 42 2627 . . . . . . . . . . . . . . . 42 2628 . . . . . . . . . . . . . . . 42 2629 . . . . . . . . . . . . . . . 42 263 . . . . . . . . . . . . . . . .63 2630 . . . . . . . . . . . . . . . 42 2630R2N . . . . . . . . . .184 2630R3N . . . . . . . . . .184 2630R5N . . . . . . . . . .184 2631 . . . . . . . . . . . . . . . 42 2632 . . . . . . . . . . . . . . . 42 2633 . . . . . . . . . . . . . . . 42 2634 . . . . . . . . . . . . . . . 42 2635 . . . . . . . . . . . . . . . 42 2635R3N . . . . . . . . . .184 2635R5N . . . . . . . . . .184 2636 . . . . . . . . . . . . . . . 42 2637 . . . . . . . . . . . . . . . 42 26-3740 . . . . . . . . . . .430 26-4780 . . . . . . . . . . .430 26-4928 . . . . . . . . . . .356 2685 . . . . . . . . . . . . . . .43 2695 . . . . . . . . . . . . . . .43 2697 . . . . . . . . . . . . . . .43 2698 . . . . . . . . . . . . . . .43 2699 . . . . . . . . . . . . . . .43 2700/3P . . . . . . . . . . . 137 2701/3P. . . . . . . . . . . . 137 27-0102L14 . . . . . . . . .352 27-0102L16 . . . . . . . . .352 27-0102L18 . . . . . . . . .352 27-0165L16 . . . . . . . . .352 27-0165L18 . . . . . . . . .352 27-0166L18. . . . . . . . .352 27-123516 . . . . . . . . . .352 27-123518 . . . . . . . . . .352 27-123616 . . . . . . . . . .352 27-123618 . . . . . . . . . .352 27-123624 . . . . . . . . . .352 27-150107 . . . . . . . . . .355 27-150108 . . . . . . . . . .355 27-150419 . . . . . . . . . .355 27-150432. . . . . . . . . .355 27-153504. . . . . . . . . .354 27-153509. . . . . . . . . .354 27-154002. . . . . . . . . .354 27-154102 . . . . . . . . . .354 273/3 . . . . . . . . . . . . . . 135 2730R2N . . . . . . . . . .184 2730R3N . . . . . . . . . .184 2730R5N . . . . . . . . . .184 2735R3N . . . . . . . . . .184 2735R5N . . . . . . . . . .184 27-4932 . . . . . . . . . . .352 27-4934 . . . . . . . . . . .352 27-4936 . . . . . . . . . . .352 27-4938 . . . . . . . . . . .352 27-4940 . . . . . . . . . . .352 27-4942 . . . . . . . . . . .352 27-4944 . . . . . . . . . . .352 27-4946 . . . . . . . . . . .352 27-4952 . . . . . . . . . . .352 27-4954 . . . . . . . . . . .352 27-4956 . . . . . . . . . . .352 27-4958 . . . . . . . . . . .352 27-4960 . . . . . . . . . . .352 27-4962 . . . . . . . . . . .352 27-4964 . . . . . . . . . . .352 27-4966 . . . . . . . . . . .352 27-4983 . . . . . . . . . . .352 27-4984 . . . . . . . . . . .352 27-4985 . . . . . . . . . . .352 27-4986 . . . . . . . . . . .352 27-4991 . . . . . . . . . . .352 27-4992 . . . . . . . . . . .352 27-4993 . . . . . . . . . . .352 27-4994 . . . . . . . . . . .352 27-4A2056 . . . . . . . . .356 27-4A3053 . . . . . . . . .356 27-4A4194 . . . . . . . . .358 27-750379. . . . . 360, 369 27-755-010 . . . . . . . . .462 27-755-020 . . . . . . . . .462 27-755-050 . . . . . . . . .462 27-755-080 . . . . . . . . .462 27-757-010 . . . . . . . . .462 27-757-020 . . . . . . . . .462 27-757-080 . . . . . . . . .462 27-757-150 . . . . . . . . .462 27-757-160 . . . . . . . . .462 27-757-200 . . . . . . . . .462 27-757-240 . . . . . . . . .462 27-759-020 . . . . . . . . .462 27-782102 . . . . . . . . . .352 27-802001 . . . . . . . . .354 27-802010 . . . . . . . . .352 27-802016 . . . . . . . . .353 27-802018 . . . . . . . . .353 27-802030 . . . . . . . . .352 27-802035 . . . . . . . . .353 27-802115 . . . . . . . . . .356 27-806516 . . . . . . . . .352 27-806518 . . . . . . . . .352 27-8302 . . . . . . . . . . .352 27-897600 . . . . . . . . .353 27-899616 . . . . . . . . .353 27-899618 . . . . . . . . .353 27-9805 . . . . . . . . . . .355 2830R2N . . . . . . . . . .184 2830R3N . . . . . . . . . .184 2830R5N . . . . . . . . . .184 2835R3N . . . . . . . . . .184 2835R5N . . . . . . . . . .184 291435DS. . . . . . . . . . 217 291440DS . . . . . . . . . 216 291445DS . . . . . . . . . 216 291501DS . . . . . . . . . . 121 291502DS. . . . . . . . . . 212 291503DS. . . . . . . . . . 212 291586DS . . . . . . . . . 212 291587DS. . . . . . . . . . 212 291588DS . . . . . . . . . 212 291589DS . . . . . . . . . 212 291630DS . . . . . . . . . 210 291675DS. . . . . . . . . . 210 2930R2N . . . . . . . . . .184 2930R3N . . . . . . . . . .184 2930R5N . . . . . . . . . .184 2935R3N . . . . . . . . . .184 2935R5N . . . . . . . . . .184 296 . . . . . . . . . . . . . . . 119 30 . . . . . . . . . . . . . . . .105 30001BLK. . . . . . . . . .225 30010DS. . . . . . . . . . . 210 30015DS. . . . . . . . . . . 210 3006 . . . . . . . . . . . . . . .55 3009 . . . . . . . . . . . . . . .54 301 . . . . . . . . . . . . . . . 135 3013P . . . . . . . . . . . . . .88 3014/2 . . . . . . . . . . . . . .60 3014-S . . . . . . . . . . . . .60 3016 . . . . . . . . . . . . . . .54 3017 . . . . . . . . . . . . . . 120 3021 . . . . . . . . . . . . . . .58 3022R . . . . . . . . . . . . . .58 3025P . . . . . . . . . . 58, 119 3026 . . . . . . . . . . . . . . .58 3027 . . . . . . . . . . . . . . .58 3029/2P . . . . . . . . . . . .58 3030/2P . . . . . . . . . . . .58 303000DS . . . . . . . . . 210 3031/2P. . . . . . . . . . . . .58 3039 . . . . . . . . . .100, 361
492
Numeric Index
3041/2 . . . . . . . . . . . . . 136 3041/3 . . . . . . . . . . . . . 136 3043 . . . . . . . . . . . . . . .58 3046 . . . . . . . . . . . . . . .58 3048 . . . . . . . . . .100, 361 3049 . . . . . . . . . . . . . . 101 3051 . . . . . . . . . . . . . . 101 3054/2S . . . . . . . . . . .100 3055HF . . . . . . . .100, 361 3055HH . . . . . . .100, 361 3057HF . . . . . . . . . . . . . 75 3057HH . . . . . . . . . . . . 75 3059P . . . . . . . . . . . . . .86 3060 . . . . . . . . . . . . . . .80 3075HF . . . . . . . . . . . . . 71 3075HH. . . . . . . . . . . . . 71 3076HF . . . . . . . . . . . . 127 3076HH. . . . . . . . . . . . 127 3077/2P. . . . . . . . . . . . .58 3079HF . . . . . . . . . . . . . 72 3079HH . . . . . . . . . . . . 72 3080HH . . . . . . . . . . . 124 3081 . . . . . . . . . . . . . .109 3087 . . . . . . . . . . . . . . 111 3088 . . . . . . . . . . . . . . 111 3089 . . . . . . . . . . . . . . 110 3090 . . . . . . . . . . . . . .108 3091 . . . . . . . . . . . . . .108 3092 . . . . . . . . . . . . . .108 3093/2P . . . . . . . . . . . .60 3094P . . . . . . . . . . . . . 101 3096 . . . . . . . . . . . . . . .64 3097 . . . . . . . . . . . . . . .64 3100 . . . . . . . . . . . . . . .88 31-005DS . . . . . . . . . . 316 31030R2N . . . . . . . . .183 31030R3N . . . . . . . . .183 31030R5N . . . . . . . . .183 31035R3N . . . . . . . . .183 31035R5N . . . . . . . . .183 3104 . . . . . . . . . . . . . . .88 3105 . . . . . . . . . . .89, 288 3106 . . . . . . . . . . . . . . .88 3107 . . . . . . . . . . . . . . .88 31130R2N . . . . . . . . . .183 31130R3N. . . . . . . . . .183 31130R5N. . . . . . . . . .183 31135R3B . . . . . . . . . .185 31135R3N . . . . . . . . . .183 31135R5N . . . . . . . . . .183 3114. . . . . . . . . . . . . . . .89 3118. . . . . . . . . . . . . . . .90 3122/2 . . . . . . . . . . . . . .56 31230R2N . . . . . . . . .183 31230R3N . . . . . . . . .183 31230R5N . . . . . . . . .183 31235R3B . . . . . . . . . .185 31235R3N . . . . . . . . .183 31235R5N . . . . . . . . .183 3126R . . . . . . . . . . . . . .56 3128/2P. . . . . . . . . . . . .56 3128/2TP . . . . . . . . . . .56 3128/3P. . . . . . . . . . . . .56 3128/3TP . . . . . . . . . . .56 3130R2N. . . . . . . . . . .183 3130R3B . . . . . . . . . . .185 3130R3N. . . . . . . . . . .183 3130R5B . . . . . . . . . . .185 3130R5N. . . . . . . . . . .183 3131 . . . . . . . . . . . . . . .54 31330R2N . . . . . . . . .183 31330R3N . . . . . . . . .183 31330R5N . . . . . . . . .183 31335R3N . . . . . . . . .183 31335R5N . . . . . . . . .183 3134 . . . . . . . . . . . . . . .62 3135 . . . . . . . . . . . . . . .89 3135R3B . . . . . . . . . . .185 3135R3N. . . . . . . . . . .183 3135R5N. . . . . . . . . . .183 3137DS . . . . . . . . . . . .261 3139P . . . . . . . . . . . . .104 3140HF-10 . . . . . . . . . .83 3140HH-10 . . . . . . . . . .83 3141HF-10. . . . . . . . . . .83 3141HH-10 . . . . . . . . . .83 3142P . . . . . . . . . . . . .103 3143 . . . . . . . . . . . . . . .89 31430R2N . . . . . . . . .183 31430R3N . . . . . . . . .183 31430R5N . . . . . . . . .183 31435R3N . . . . . . . . .183 31435R5N . . . . . . . . .183 3145-10 . . . . . . . . . . . . .83 3146P . . . . . . . . . . . . . 101 3147P . . . . . . . . . . . . . .96 31-50644 . . . . . . . . . .325 3152/2S . . . . . . . . . . . .89 31535R3B . . . . . . . . . .185 3166P . . . . . . . . . . . . . .96 3167P . . . . . . . . . . . . . .96 3168HF-10 . . . . . . . . . .98 3168HH-10 . . . . . . . . . .98 3169HF . . . . . . . . . . . . .96 3169HH. . . . . . . . . . . . .96 3178 . . . . . . . . . . . . . . . 81 3181 . . . . . . . . . . . . . . . 81 3190 . . . . . . . . . . . . . . .83 3194HH. . . . . . . . . . . . .83 3195 . . . . . . . . . . . . . . .83 3199 . . . . . . . . . . . . . . .84 31-M21 . . . . . . . . . . . .403 31-M22 . . . . . . . . . . . .403 3200 . . . . . . . . . . . . . . . 82 32-0100. . . . . . . . . . . .404 3202 . . . . . . . . . . . . . .109 3203 . . . . . . . . . . . . . . 111 3204 . . . . . . . . . . . . . . 111 3205 . . . . . . . . . . . . . .109 3206 . . . . . . . . . . . . . .109 3207 . . . . . . . . . . . . . . . 82 3209 . . . . . . . . . . . . . . . 82 3210 . . . . . . . . . . . . . . . 82 3216 . . . . . . . . . . . . . .229 32-160KL . . . . . . . . . .408 3217 . . . . . . . . . . . . . .229 3218 . . . . . . . . . . . . . .229 3219 . . . . . . . . . . . . . .229 32-190 . . . . . . . . . . . . .384 3220 . . . . . . . . . . . . . .229 32-200. . . . . . . . . . . . .384 32-2000KL . . . . . . . . . 410 3221 . . . . . . . . . . . . . . .63 3225 . . . . . . . . . . . . . . 119 32-2600. . . . . . . . . . . . 410 32-300. . . . . . . . . . . . .384 3230R2N . . . . . . . . . .183 3230R3N . . . . . . . . . .183 3230R5N . . . . . . . . . .183 3235R3B. . . . . . . . . . .185 3235R3N . . . . . . . . . .183 3235R5N . . . . . . . . . .183 32-36372FE . . . . . . . .405 3239 . . . . . . . . . . . . . . . 75 32-402K . . . . . . . . . . .409 3241 . . . . . . . . . . . . . . 117 32-445 . . . . . . . . . . . .409 3245P-RF . . . . . . . . . . .67 3246P . . . . . . . . . . . . . .67 3247P . . . . . . . . . . . . . .67 3249 . . . . . . . . . . . . . .103 324-D . . . . . . . . . . . . . 136 324-S . . . . . . . . . . . . . 136 3250 . . . . . . . . . . . . . . .55 32-50960580 . . . . . . . 316 3253 . . . . . . . . . . . . . . 124 32-550DB . . . . . . . . . .406 32-550RB . . . . . . . . . .406 3256R . . . . . . . . . . . . . .80 3258R . . . . . . . . . . . . . . 82 32-595K . . . . . . . . . . .409 325-D . . . . . . . . . . . . . 135 325-T. . . . . . . . . . . . . . 135 3261 . . . . . . . . . . . . . . .63 3262 . . . . . . . . . . . . . .104 3263 . . . . . . . . . . . . . . 126 3264 . . . . . . . . . . . . . . 128 3266 . . . . . . . . . . . . . . . 81 3268HF . . . . . . . . . . . . . 82 3268HH . . . . . . . . . . . . 82 3269HF . . . . . . . . . . . . . 82 3269HH . . . . . . . . . . . . 82 32-7000KD . . . . . . . . .404 3271P . . . . . . . . . . . . . .67 32-760-000 . . . . . . . . .461 32-765-000 . . . . . . . . .461 32-766-000 . . . . . . . . .461 32-769-000 . . . . . . . . .461 3277HH. . . . . . . . . . . . . 81 3279HF . . . . . . . . . . . . .80 3279HH . . . . . . . . . . . .80 3280/2. . . . . . . . . . . . . .63 3285R . . . . . . . . . . . . . 130 3286R . . . . . . . . . . . . . 130
493
Numeric Index
3287R . . . . . . . . . . . . . 132 3290R . . . . . . . . . . . . . 130 3294R . . . . . . . . . . . . . 130 3295 . . . . . . . . . . . . . . 131 3297 . . . . . . . . . . . . . . 131 329-D . . . . . . . . . . . . .133 329-T. . . . . . . . . . . . . .133 32-AA450 . . . . . . . . . . 315 32-D900 . . . . . . . . . . .459 32-TF2035 . . . . . . . . . 315 3300 . . . . . . . . . . . . . . 132 3307P . . . . . . . . . . . . . 114 3308 . . . . . . . . . . . . . .108 3308P . . . . . . . . . . . . . 114 3309P . . . . . . . . . . . . . 115 3310P . . . . . . . . . . . . . 115 3311/2P . . . . . . . . . . . . 115 3312P . . . . . . . . . . . . . 113 3313/2P. . . . . . . . . . . . 113 3314/2P. . . . . . . . . . . . 114 3315 . . . . . . . . . . . . . . .83 3315P . . . . . . . . . . . . . 113 3318 . . . . . . . . . . . . . . .83 332 . . . . . . . . . . . . . . . 132 3321 . . . . . . . . . . . . . . .60 3322/2R . . . . . . . . . . .108 3322/3R . . . . . . . . . . .108 3324P . . . . . . . . . . . . . 110 3326 . . . . . . . . . . . . . . 107 3327P . . . . . . . . . . . . . . 79 333 . . . . . . . . . . . . . . . 132 3330/2. . . . . . . . . . . . . 120 3330R2N . . . . . . . . . .183 3330R3N . . . . . . . . . .183 3330R5N . . . . . . . . . .183 3332R . . . . . . . . . . . . .108 3335/2R . . . . . . . . . . . 120 3335R3B. . . . . . . . . . .185 3335R3N . . . . . . . . . .183 3335R5N . . . . . . . . . .183 3338 . . . . . . . . . . . . . .134 3339 . . . . . . . . . . . . . .134 3349 . . . . . . . . . . . . . . 126 3350 . . . . . . . . . . . . . . 128 3354P . . . . . . . . . . . . . .90 3356 . . . . . . . . . . . . . . .90 3358HH . . . . . . . . . . . . 70 3375P . . . . . . . . . . . . . .63 3376/3P . . . . . . . . . . . .66 3376/3TP . . . . . . . . . . .66 3378P . . . . . . . . . . . . . .84 3379HH . . . . . . . . .88, 90 3381/2P. . . . . . . . . . . .108 3382 . . . . . . . . . . . .54, 69 3386 . . . . . . . . . . . . . . .69 3388/2P . . . . . . . . . . . .56 3389P . . . . . . . . . . .79, 87 3390/2P . . . . . . . . . . . .54 3391HH. . . . . . . . . . . . .69 3392/2P . . . . . . . . . . . 118 3392P . . . . . . . . . . .54, 68 3393 . . . . . . . . . . .69, 416 3394 . . . . . . . . . . .69, 416 33950BLK . . . . . . . . .225 3400 . . . . . . . . 21, 57, 154 3400B . . . . . . . 21, 57, 154 3400EZ . . . . . . . . . . . . . 23 3401EZ . . . . . . . . . . . . . 23 3401EZ-AX. . . . . . . . . . 23 3401P . . . . . . . . . . .19, 57 3402EZ . . . . . . . . . . . . . 23 3402EZ-AX . . . . . . . . . 23 3403EZ . . . . . . . . . . . . . 23 3403EZ-AX . . . . . . . . . 23 3404EZ . . . . . . . . . . . . . 23 3405EZ . . . . . . . . . . . . . 23 3405EZ-AX . . . . . . . . . 23 3406EZ . . . . . . . . . . . . . 23 3406EZ-AX . . . . . . . . . 23 3407EZ . . . . . . . . . . . . . 23 3407EZ-AX . . . . . . . . . 23 3408EZ . . . . . . . . . . . . . 23 3408EZ-AX . . . . . . . . . 23 3409EZ . . . . . . . . . . . . . 23 3409EZ-AX . . . . . . . . . 23 34100-EZ . . . . . . . .22, 23 3410EZ . . . . . . . . . . . . . 23 3410EZ-AX . . . . . . . . . . 23 34-1160 . . . . . . . . . . . .431 3411EZ . . . . . . . . . . . . . 23 3412EZ . . . . . . . . . . . . . 23 3412EZ-AX . . . . . . . . . . 23 34-130 . . . . . . . . . . . . .431 3413EZ . . . . . . . . . . . . . 23 3413EZ-AX . . . . . . . . . . 23 3414EZ . . . . . . . . . . . . . 23 3414EZ-AX . . . . . . . . . . 23 3415EZ . . . . . . . . . . . . . 23 3415EZ-AX . . . . . . . . . . 23 3416EZ . . . . . . . . . . . . . 23 3416EZ-AX . . . . . . . . . . 23 3417EZ . . . . . . . . . . . . . 23 3418EZ . . . . . . . . . . . . . 23 3418EZ-AX . . . . . . . . . . 23 3422EZ . . . . . . . . . . . . . 23 3422EZ-AX . . . . . . . . . 23 3424EZ . . . . . . . . . . . . . 23 3424EZ-AX . . . . . . . . . 23 3424P . . . . . . . . . . . . . 114 3427P . . . . . . . . . . . . . .68 3428P . . . . . . . . . . . . . .68 3429P . . . . . . . . . . . . . . 29 3430R2N . . . . . . . . . .183 3430R3N . . . . . . . . . .183 3430R5N . . . . . . . . . .183 3432EZ . . . . . . . . . . . . . 23 3435R3N . . . . . . . . . .183 3435R5N . . . . . . . . . .183 3443/2P . . . . . . . . . . . . 57 3451P . . . . . . . . . . . . . 121 3452P . . . . . . . . . . . . . 121 3453P . . . . . . . . . . . . . . 78 3454P . . . . . . . . . . . . . 121 3455P . . . . . . . . . . . . . . 78 3456/3P . . . . . . . . . . . . 61 3457P . . . . . . . . . . . . . .69 3459/2P . . . . . . . . . . . . 70 3463/2P . . . . . . . . . . . . 61 3464/2 . . . . . . . . . . . . 125 3465/2P . . . . . . . . . . . . 79 3466/2P . . . . . . . . . . . . 61 3466P . . . . . . . . . . . . . .98 3468P . . . . . . . . . . . . . 121 3469P . . . . . . . . . . . . . 125 346-S . . . . . . . . . . . . .133 3470/3P . . . . . . . . . . . 125 3471 . . . . . . . . . . . . . . 121 3472P . . . . . . . . . . . . . . 78 3473/2P . . . . . . . . . . . 121 3474/2P. . . . . . . . . . . . 121 3475R/2P . . . . . . . . . . .64 3476P . . . . . . . . . . . . . .85 3478P . . . . . . . . . . . . . . 70 3479P . . . . . . . . . . . . . . 78 3480P . . . . . . . . . . . . . .90 3481/2P. . . . . . . . . . . . .90 3482/2P . . . . . . . . . . . . 91 3483/2P . . . . . . . . . . . .90 3484P . . . . . . . . . . . . . . 71 3485R/4P . . . . . . . . . . 135 3486R/3P . . . . . . . . . . 135 3487/3P . . . . . . . . . . . 135 3489P . . . . . . . . . . . . . .86 3490P-10 . . . . . . . . . . . 19 3491/2-R06. . . . . . . . . 137 3491P-10. . . . . . . . . . . . 18 3491-S-R06 . . . . . . . . 137 3492P-10 . . . . . . . . . . . 19 3493P-10 . . . . . . . . . . . 19 3494P-10 . . . . . . . . . . . 20 3495P-10 . . . . . . . . . . . 20 3496P-10 . . . . . . . . . . . 20 3497P-10 . . . . . . . . . . . 20 3498P-10 . . . . . . . . . . . 21 3499P-10 . . . . . . . . . . . 21 3500 . . . . . . . . . . . . . . .68 3501/3 . . . . . . . . . . . . . . 78 350305DS . . . . . . . . . 215 3503P . . . . . . . . . . . . . .80 3505P . . . . . . . . . . . . . . 79 3506/2P . . . . . . . . . . . 114 350718DS. . . . . . . . . . 215 3507P-11. . . . . . . . . . . 114 3508P . . . . . . . . . . . . . .77 3509P-11. . . . . . . . . . . 114 350-DSN . . . . . . . . . . .95 3523/3P . . . . . . . . . . . .64 35-23970 . . . . . . . . . .407 3527/2P. . . . . . . . . . . . . 57 3528/2. . . . . . . . . . . . . .58 3529/2P . . . . . . . . . . . . 57 3530R2N . . . . . . . . . .183 3530R3N . . . . . . . . . .183 3530R5N . . . . . . . . . .183
494
Numeric Index
3531 . . . . . . . . . . . . . . .58 3532P . . . . . . . . . . . . . . 61 35-334 . . . . . . . . . . . .408 3533P . . . . . . . . . . . . . .86 3535P . . . . . . . . . . . . . . 61 3535R3N . . . . . . . . . .183 3535R5N . . . . . . . . . .183 3536/3P . . . . . . . . . . . .58 3537/3P . . . . . . . . . . . .90 3537/3TP . . . . . . . . . . . 91 3538/3P . . . . . . . . . . . .64 35-386 . . . . . . . . . . . .408 3539P . . . . . . . . . . . . . . 61 3540P . . . . . . . . . . . . . . 81 3542/2P . . . . . . . . . . . .58 35-428 . . . . . . . . . . . .408 3543/3 . . . . . . . . . . . . .66 3544/3P . . . . . . . . . . .134 3545HH . . . . . . . . . . .134 3546P . . . . . . . . . . . . . .68 3547RP . . . . . . . . . . . . .77 3549P . . . . . . . . . . .79, 87 3553/2. . . . . . . . . . . . . .87 3555 . . . . . . . . . . . . . .134 35-550KL . . . . . . . . . .408 3561/2S . . . . . . . . . . . .87 3566P . . . . . . . . . . . . . 128 3567 . . . . . . . . . . . . . . . 18 3569P . . . . . . . . . . . . . .85 3570/2P. . . . . . . . . . . . .85 35-700. . . . . . . . . . . . .409 3571RHF . . . . . . . . . . . . 78 3571RHH . . . . . . . . . . . 78 3573D/2P . . . . . . . . . . .86 3573D/P . . . . . . . . . . . .86 3573W/P. . . . . . . . . . . .86 3574/3P . . . . . . . . . . . .87 35-750. . . . . . . . . . . . .408 35-769. . . . . . . . . . . . .409 3576P . . . . . . . . . . . . . . 79 3577/2 . . . . . . . . . . . . . . 79 3577/2F . . . . . . . . . . . . . 79 35-770-020 . . . . . . . . .457 35-772-020 . . . . . . . . .457 35-780-000. . . . . . . . .462 35-780-010 . . . . . . . . .462 3579/2P-11 . . . . . . . . . 115 3579P-11. . . . . . . . . . . 115 3580P-11. . . . . . . . . . . 113 3582/2P . . . . . . . . . . . . 82 3583/2P . . . . . . . . . . . 120 3584 . . . . . . . . . . . . . . 121 3585/2P . . . . . . . . . . . 120 3593P-11. . . . . . . . . . . 115 3594/2P-11 . . . . . . . . . 115 3595P-11. . . . . . . . . . . 113 3596/2P-11 . . . . . . . . . 113 3597R . . . . . . . . . . . . . 128 3598/2P . . . . . . . . . . . 128 3599/2P . . . . . . . . . . .104 35-HLA112N . . . . . . . 410 3612P . . . . . . . . . . . . . .55 3614P . . . . . . . . . . . . . . 57 3626 . . . . . . . . . . . . . . 112 3630R2N . . . . . . . . . .183 3630R3N . . . . . . . . . .183 3630R5N . . . . . . . . . .183 36-311 . . . . . . . . . . . . .407 3632HH . . . . . . . . . . . 116 3634HH . . . . . . . . . . . . 73 3635R3N . . . . . . . . . .183 3635R5N . . . . . . . . . .183 3639HH . . . . . . . . . . . 122 3640 . . . . . . . . . . . . . .109 3641 . . . . . . . . . . . . . .109 3642 . . . . . . . . . . . . . . 110 3646/2P . . . . . . . . . . . 122 3646HH . . . . . . . . . . . 124 3650HH . . . . . . . . . . . 122 3653P . . . . . . . . . . . . . 126 3654HH . . . . . . . . . . . 127 3656HF . . . . . . . . . . . . 123 3656HH . . . . . . . . . . . 123 3658HH . . . . . . . . . . . 118 3660 . . . . . . . . . . . . . . .55 3662HF . . . . . . . . . . . . 102 3662HH . . . . . . . . . . . 102 3663HF-12 . . . . . . . . . 123 3663HH-12 . . . . . . . . . 123 3664HF-12 . . . . . . . . . 123 3664HH-12 . . . . . . . . . 123 3666HF-12 . . . . . . . . . 123 3666HH-12 . . . . . . . . . 123 3667HH-12 . . . . . . . . . 123 3668HF-12 . . . . . . . . . 123 3668HH-12 . . . . . . . . . 123 3671HH. . . . . . . . . . . . . 79 3674P . . . . . . . . . . . . . 123 3676/2P . . . . . . . . . . . 122 3678HH . . . . . . . . . . . .55 3679P . . . . . . . . . . . . . 123 3680P . . . . . . . . . . . . . 123 3681/2P. . . . . . . . . . . . 123 3682P . . . . . . . . . . . . . 123 3683/2P . . . . . . . . . . . 125 3687 . . . . . . . . . . . . . . 123 3688 . . . . . . . . . . . . . . 123 3689HH-10 . . . . . . . . . 123 3690HF-10 . . . . . . . . . . 70 3690HH-10 . . . . . . . . . . 70 3692HF-10 . . . . . . . . . . 81 3692HH-10 . . . . . . . . . . 81 3694/2. . . . . . . . . . . . .103 3697HH . . . . . . . . . . . . 72 3699 . . . . . . . . . . . . . . 122 3700P . . . . . . . . . . . . . 122 3708/2P-11 . . . . . . . . . 114 3711HF-10. . . . . . . . . . . 73 3711HH-10 . . . . . . . . . . 73 3712HH . . . . . . . . . . . . 107 3714HF-10 . . . . . . . . . . 73 3714HH-10 . . . . . . . . . . 73 3715HH . . . . . . . . . . . . 116 3716HH. . . . . . . . . . . . 116 3717HH . . . . . . . . . . . . 117 3718HH. . . . . . . . . . . . 117 3719HF . . . . . . . . . . . . 116 3719HH. . . . . . . . . . . . 116 3720HH . . . . . . . . . . . 116 3725HH. . . . . . . . . . . . 117 3726 . . . . . . . . . . . . . . 116 3727 . . . . . . . . . . . . . . 116 3728HH . . . . . . . . . . . 117 3729HH . . . . . . . . . . . 117 372-S . . . . . . . . . . . . .133 3730R2N . . . . . . . . . .183 3730R3N . . . . . . . . . .183 3730R5N . . . . . . . . . .183 3731HF . . . . . . . . . . . . 116 3731HH . . . . . . . . . . . . 116 3732 . . . . . . . . . . . . . . 117 3735R3N . . . . . . . . . .183 3735R5N . . . . . . . . . .183 3740P . . . . . . . . . . . . . 117 3748HH. . . . . . . . . . . . 112 37-525. . . . . . . . . . . . .406 37-6065R0SE. . . . . . .406 3769/2 . . . . . . . . . . . . . 120 3791P . . . . . . . . . . . . . 114 3792P . . . . . . . . . . . . . 114 3793P . . . . . . . . . . . . . 115 3794P . . . . . . . . . . . . . 115 3795P . . . . . . . . . . . . . 113 3796P . . . . . . . . . . . . . 113 3797P . . . . . . . . . . . . . 113 3799P . . . . . . . . . . . . . 112 3801HF . . . . . . . . . . . . . 72 3801HH. . . . . . . . . . . . . 72 3802P . . . . . . . . . . . . . 123 3830R2N . . . . . . . . . .183 3830R3N . . . . . . . . . .183 3830R5N . . . . . . . . . .183 3835R3B. . . . . . . . . . .185 3835R3N . . . . . . . . . .183 3835R5N . . . . . . . . . .183 3850P . . . . . . . . . . . . .134 386 . . . . . . . . . . . . . . . . 91 3882/2P . . . . . . . . . . . .77 3883/2P . . . . . . . . . . . . 78 3884P . . . . . . . . . . . . . . 78 3885/2P . . . . . . . . . . . . 79 3886P . . . . . . . . . . . . . . 78 3887P . . . . . . . . . . . . . 121 3888P . . . . . . . . . .76, 103 3889P . . . . . . . . . . . . . .84 3890P . . . . . . . . . . . . . . 78 3891P . . . . . . . . . . . . . . 78 3892P . . . . . . . . . . . . . . 91 3893D/P . . . . . . . . . . . .77 3895/2P . . . . . . . . . . . .58 3895P . . . . . . . . . . . . . .99 3896P . . . . . . . . . . . . . 121 3898 . . . . . . . . . . . . . . .90 3899 . . . . . . . . . . . . . . .90
495
Numeric Index
3900 . . . . . . . . . . . . . . .77 3901 . . . . . . . . . . . . . . 120 3910 . . . . . . . . . . . . . . . 73 3911P . . . . . . . . . . . . . . 73 3926/2-R07. . . . . . . . . 137 3926/3-R07 . . . . . . . . 137 3926/4-R07. . . . . . . . . 137 3926L-R07 . . . . . . . . . 137 3926-S-R07 . . . . . . . . 137 3930R2N . . . . . . . . . .183 3930R3N . . . . . . . . . .183 3930R5N . . . . . . . . . .183 3935R3B. . . . . . . . . . .185 3935R3N . . . . . . . . . .183 3935R5N . . . . . . . . . .183 3939HF . . . . . . . . . . . . 122 3967-12 . . . . . . . . . . . . .77 39-802-000 . . . . . . . .402 39-803-000 . . . . . . . .402 39-812-000. . . . . . . . .402 39-813-000. . . . . . . . .402 398R . . . . . . . . . . . . . . 130 3990P . . . . . . . . . . . . . 115 4000DS . . . . . . . . . . .253 4001DS . . . . . . . . . . . .253 4002DS. . . . . . . . . . . .253 40-03111002 . . . . . . .275 4003DS . . . . . . . . . . .253 4004DS . . . . . . . . . . .253 4005DS . . . . . . . . . . .253 40-062-001 . . . . . . . .434 40-062-005 . . . . . . . .434 40-063000 . . . . . . . . .434 4006DS . . . . . . . . . . .253 4007DS. . . . . . . . . . . .253 4008DS . . . . . . . . . . .253 4009DS . . . . . . . . . . .256 40-101-000 . . . . . . . . .434 40-102-000 . . . . . . . . .434 40-104-006. . . . . . . . .434 40-105-000. . . . . . . . .433 40-106-000. . . . . . . . .434 40-107-007 . . . . . . . . .434 40-107-008 . . . . . . . . .434 40-108-003. . . . . . . . .434 40-109-000. . . . . . . . .434 4010DS . . . . . . . . . . . .256 40-110-000 . . . . . . . . .434 40-111-000 . . . . . . . . .434 40-112-000 . . . . . . . . .434 40-114-000 . . . . . . . . .434 4011DS . . . . . . . . . . . .258 40-125-000 . . . . . . . . .433 40-126-000 . . . . . . . . .433 40-136-000. . . . . . . . .432 4013DS . . . . . . . . . . . .255 4014DS . . . . . . . . . . . .255 40-158-012 . . . . . . . . .434 40-159-012 . . . . . . . . .434 40-160-000. . . . . . . . .434 4016DS . . . . . . . . . . . .255 40-170-000 . . . . . . . . .434 40-178-000 . . . . . . . . .434 4017DS . . . . . . . . . . . .255 40-187-312 . . . . . . . . .434 4018DS . . . . . . . . . . . .259 4019DS . . . . . . . . . . . .259 40-2141 . . . . . . . . . . . .275 40-260-000 . . . . . . . .434 40-269-000 . . . . . . . .432 4026DS. . . . . . . . . . . .257 40-275-000 . . . . . . . .434 40-276-000 . . . . . . . .434 4027DS. . . . . . . . . . . .263 4028DS. . . . . . . . . . . .263 4029DS. . . . . . . . . . . .263 40-306-000 . . . . . . . .434 40-307-000. . . . . . . . .434 4030DS . . . . . . . . . . .263 40-311-000 . . . . . . . . .434 4031DS . . . . . . . . . . . .263 4032DS. . . . . . . . . . . .263 4035DS. . . . . . . . . . . .263 40-365-000 . . . . . . . .432 40-366-000 . . . . . . . .432 40-369-000 . . . . . . . .432 4036DS . . . . . . . . . . .263 40-370-000 . . . . . . . .432 40-374-000 . . . . . . . .434 4037DS. . . . . . . . . . . .263 40-390-000 . . . . . . . .433 404 . . . . . . . . . . . . . . . .95 4040DS . . . . . . . . . . .252 4041DS . . . . . . . . . . . .252 4042DS. . . . . . . . . . . .252 4043DS . . . . . . . . . . .252 4044DS . . . . . . . . . . .252 4045DS . . . . . . . . . . .252 4046DS . . . . . . . . . . .252 4047DS. . . . . . . . . . . .252 4048DS . . . . . . . . . . .252 4049DS . . . . . . . . . . .252 4050DS . . . . . . . . . . .252 4051DS . . . . . . . . . . . .256 4052DS. . . . . . . . . . . .256 4053DS . . . . . . . . . . .256 4054DS . . . . . . . . . . .256 4055DS. . . . . . . . . . . .258 4056DS . . . . . . . . . . .254 4057DS. . . . . . . . . . . .254 4059DS . . . . . . . . . . .254 4060DS . . . . . . . . . . .254 4061DS . . . . . . . . . . . .259 4062DS. . . . . . . . . . . .259 4069DS . . . . . . . . . . .257 4070DS. . . . . . . . . . . .263 4071DS . . . . . . . . . . . .263 4072DS. . . . . . . . . . . .263 4073DS. . . . . . . . . . . .263 40-741-000 . . . . . . . . .433 40-745-000. . . . . . . . .433 4074DS . . . . . . . . . . . .263 40-750-000. . . . . . . . .433 40-751-000 . . . . . . . . .433 4075DS. . . . . . . . . . . .263 4078DS. . . . . . . . . . . .263 4079DS. . . . . . . . . . . .263 4080DS . . . . . . . . . . .263 40-810-000 . . . .431, 461 40-811-000 . . . . .431, 461 40-812-000. . . . .431, 461 40-813-000 . . . .431, 461 40-8190524 . . . . . . . .275 4081DS . . . . . . . . . . . .266 4082DS. . . . . . . . . . . .266 4083DS . . . . . . . . . . .266 4084DS . . . . . . . . . . .266 4085DS . . . . . . . . . . .266 4086DS . . . . . . . . . . .266 4087DS. . . . . . . . . . . .266 4088DS . . . . . . . . . . .253 40-900-000 . . . . . . . .433 4100DS . . . . . . . . . . . .253 4101DS . . . . . . . . . . . .253 4102DS . . . . . . . . . . . .253 4103DS . . . . . . . . . . . .253 4104DS . . . . . . . . . . . .253 4105DS . . . . . . . . . . . .253 4106DS . . . . . . . . . . . .253 4107DS . . . . . . . . . . . .256 4108DS . . . . . . . . . . . .256 4109DS . . . . . . . . . . . .256 411. . . . . . . . . . . . . . . .199 4110DS . . . . . . . . . . . .256 4113DS . . . . . . . . . . . .254 4114DS . . . . . . . . . . . .254 4115DS . . . . . . . . . . . .254 4116DS . . . . . . . . . . . .259 4117DS . . . . . . . . . . . .259 411-D. . . . . . . . . . . . . .202 411-E . . . . . . . . . . . . . .203 412. . . . . . . . . . . . . . . . 197 4124DS . . . . . . . . . . . .257 4125DS . . . . . . . . . . . .263 4126DS . . . . . . . . . . . .263 4127DS . . . . . . . . . . . .263 4128DS . . . . . . . . . . . .263 412-A. . . . . . . . . . . . . .201 412-C. . . . . . . . . . . . . .202 412-D. . . . . . . . . . . . . .202 412-E . . . . . . . . . . . . . .202 412-F . . . . . . . . . . . . . .202 412-G . . . . . . . . . . . . .202 412-H. . . . . . . . . . . . . .202 412-I . . . . . . . . . . . . . .202 413. . . . . . . . . . . . . . . .202 4130DS . . . . . . . . . . . .263 4131DS . . . . . . . . . . . .263 4133DS . . . . . . . . . . . .263 4134DS . . . . . . . . . . . .263 4135DS . . . . . . . . . . . .263 414. . . . . . . . . . . . . . . .201 415. . . . . . . . . . . . . . . .199 416. . . . . . . . . . . . . . . . 197
496
Numeric Index
416-A . . . . . . . . . . . . .201 416-F . . . . . . . . . . . . . .202 416-H . . . . . . . . . . . . .202 417. . . . . . . . . . . . . . . .202 418. . . . . . . . . . . . . . . .201 4187/3P . . . . . . . . . . . . .65 4188-10 . . . . . . . . . . . . . 97 419. . . . . . . . . . . . . . . .201 4200DS. . . . . . . .224, 258 4201DS . . . . . . . .224, 258 4202DS. . . . . . . .224, 258 4203DS. . . . . . . .224, 258 4204DS. . . . . . . .224, 258 4205DS. . . . . . . .224, 258 4206DS. . . . . . . .224, 258 4207DS . . . . . . . .224, 258 4208DS. . . . . . . .224, 258 4209DS. . . . . . . .224, 258 421 . . . . . . . . . . . . . . . 197 421-A . . . . . . . . . . . . .201 421-C . . . . . . . . . . . . .202 421-H . . . . . . . . . . . . .202 422 . . . . . . . . . . . . . . . 197 425 . . . . . . . . . . . . . . .198 426 . . . . . . . . . . . . . . .198 4267 . . . . . . . . . .189, 193 42-840-000 . . . . . . . .423 42-841-000 . . . . . . . . .381 42-842-000. . . . . . . . .378 42-847-000. . . . . . . . .381 431 . . . . . . . . . . . . . . .202 43-1005. . . . . . . . . . . .426 43-1006. . . . . . . . . . . .426 43-1007. . . . . . . . . . . .426 43-1094. . . . . . . . . . . .426 43-1096. . . . . . . . . . . .426 43-1097. . . . . . . . . . . .426 43-1098. . . . . . . . . . . .426 432 . . . . . . . . . . . . . . .202 4320DS. . . . . . . . . . . .261 4321DS . . . . . . . . . . . .261 4322DS. . . . . . . . . . . .261 4323DS. . . . . . . . . . . .261 4324DS. . . . . . . . . . . .261 4325DS. . . . . . . . . . . .261 4326DS. . . . . . . . . . . .256 4327DS. . . . . . . . . . . .256 4328DS. . . . . . . . . . . .256 4329DS. . . . . . . . . . . .255 433/2. . . . . . . . . . . . . . 136 433/3. . . . . . . . . . . . . . 136 4330DS . . . . . . . . . . .255 4331DS . . . . . . . . . . . .255 4332DS. . . . . . . . . . . .255 4333DS . . . . . . . . . . .255 4334DS . . . . . . . . . . .255 4336DS . . . . . . . . . . .263 4337DS. . . . . . . . . . . .263 4338DS . . . . . . . . . . .263 4339DS . . . . . . . . . . .263 4340DS . . . . . . . . . . .263 4343DS . . . . . . . . . . .263 4346DS . . . . . . . . . . .263 4347DS. . . . . . . . . . . .263 4349DS . . . . . . . . . . .263 435 . . . . . . . . . . . . . . .195 43-5084 . . . . . . . . . . .426 43-5085 . . . . . . . . . . .426 43-5086 . . . . . . . . . . .426 43-5087 . . . . . . . . . . .426 4354DS . . . . . . . . . . .252 4355DS. . . . . . . . . . . .252 4356DS . . . . . . . . . . .252 4357DS. . . . . . . . . . . .252 4358DS . . . . . . . . . . .252 4359DS . . . . . . . . . . .252 436 . . . . . . . . . . . . . . .195 4360DS . . . . . . . . . . .252 4361DS . . . . . . . . . . . .252 4362DS. . . . . . . . . . . .252 4363DS . . . . . . . . . . .252 4364DS . . . . . . . . . . .252 437 . . . . . . . . . . . . . . .201 4370DS. . . . . . . . . . . .257 4375DS. . . . . . . . . . . .259 438 . . . . . . . . . . . . . . .201 439 . . . . . . . . . . . . . . .202 440 . . . . . . . . . . . . . . .201 441 . . . . . . . . . . . . . . .202 443 . . . . . . . . . . . . . . . 197 443/2. . . . . . . . . . . . . .133 444 . . . . . . . . . . . . . . . 197 445 . . . . . . . . . . . . . . .201 446 . . . . . . . . . . . . . . .202 447 . . . . . . . . . . . . . . .201 448 . . . . . . . . . . . . . . .201 449 . . . . . . . . . . . . . . .202 450 . . . . . . . . . . .201, 240 4500 . . . . . . . . . . . . . .164 4501 . . . . . . . . . . . . . .165 4502 . . . . . . . . . . . . . . 170 4503 . . . . . . . . . . . . . . 178 4504 . . . . . . . . . . . . . . 177 4505 . . . . . . . . . . . . . .180 4506DV. . . . . . . . . . . . 175 4507DV. . . . . . . . . . . . 177 4508DV. . . . . . . .172, 367 4509 . . . . . . . . . . . . . .154 451 . . . . . . . . . . .201, 240 4512/2P. . . . . . . . . . . . . 82 4513P . . . . . . . . . . . . . .80 4514P . . . . . . . . . . . . . . 81 4515P . . . . . . . . . . . . . . 79 452 . . . . . . . . . . . . . . .202 453 . . . . . . . . . . . . . . .202 454 . . . . . . . . . . . . . . .202 455 . . . . . . . . . . . . . . .202 456 . . . . . . . . . . . . . . .202 45-624-060 . . . . . . . .403 45-645-060 . . . . . . . .403 457 . . . . . . . . . . . . . . .195 458 . . . . . . . . . . . . . . .195 459 . . . . . . . . . . . . . . .195 460 . . . . . . . . . . . . . . .195 460/2 . . . . . . . . . . . . . .104 461 . . . . . . . . . . . . . . .195 462 . . . . . . . . . . . . . . .195 466 . . . . . . . . . . . . . . .201 4670-FT . . . . . . . . . . .376 4679-FT . . . . . . . . . . .376 469-D . . . . . . . . . . . . .103 470 . . . . . . . . . . . . . . .195 471 . . . . . . . . . . . . . . .195 4750P . . . . . . . . . . . . . . 79 477 . . . . . . . . . . . . . . . 197 478 . . . . . . . . . . . . . . . 197 47-870-000. . . . . . . . .366 47-874-000 . . . . . . . . .366 479 . . . . . . . . . . . . . . .105 480 . . . . . . . . . . . . . . .202 481 . . . . . . . . . . . . . . .202 482 . . . . . . . . . . . . . . .201 483 . . . . . . . . . . . . . . .201 484/2. . . . . . . . . . 84, 360 484/2-RF. . . . . . . 84, 360 48-443 . . . . . . . . . . . .427 485/2 . . . . . . . . . . . . . . .63 485/2-RF . . . . . . . . . . . .63 489 . . . . . . . . . . . . . . .202 490 . . . . . . . . . . .201, 240 491 . . . . . . . . . . .201, 240 494 . . . . . . . . . . . . . . . 197 495 . . . . . . . . . . . . . . .199 496 . . . . . . . . . . . . . . .199 497 . . . . . . . . . . . . . . . 197 497-A . . . . . . . . . . . . .201 497-B . . . . . . . . . . . . .201 497-G . . . . . . . . . . . . .202 497-I . . . . . . . . . . . . . .201 498 . . . . . . . . . . . . . . . 197 498-B . . . . . . . . . . . . .201 498-C . . . . . . . . . . . . .202 498-D . . . . . . . . . . . . .202 498-E . . . . . . . . . . . . .202 498-G . . . . . . . . . . . . .202 498-I . . . . . . . . . . . . . .201 498-J . . . . . . . . . . . . .203 498-K . . . . . . . . . . . . .202 499 . . . . . . . . . . . . . . .199 500-1018-2100 . . . . . .395 50020DS . . . . . . . . . .209 50030DS . . . . . . . . . .209 50040DS . . . . . . . . . .209 50045DS . . . . . . . . . .209 50060DS . . . . . . . . . .209 501 . . . . . . . . . . . . . . .199 501-1012-0700 . . . . . .400 501-1012-1200 . . . . . .400 501-1012-4100 . . . . . .400 501-1029-0700 . . . . . .400 501-1029-2100 . . . . . .400 501-1029-4100 . . . . . .400 501-1037-0600 . . . . . .394 501-1037-0678 . . . . . .394
497
Numeric Index
501-1037-0778 . . . . . .394 501-1051-2178 . . . . . .394 501-1051-4178 . . . . . .394 501-1052-2100 . . . . . .394 501-1052-4100 . . . . . .394 501-1058-0200. . . . . .394 501-3012-2100 . . . . . .400 501-3012-4100 . . . . . .400 50130DS. . . . . . . . . . .209 501-E. . . . . . . . . . . . . .202 501-F . . . . . . . . . . . . . .202 501-G . . . . . . . . . . . . .203 501-I . . . . . . . . . . . . . .201 501-K . . . . . . . . . . . . .202 502 . . . . . . . . . . . . . . . 197 502-1300-5455 . . . . .399 502-1300-9901. . . . . .399 502-1300-9903 . . . . .399 502-1300-9904 . . . . .399 502-1300-9905 . . . . .399 502-1300-9914 . . . . . .399 502-1301-0600 . . . . . .399 502-1302-0600. . . . . .399 502-1303-5400 . . . . .399 502-1304-0255. . . . . .399 502-1305-0600 . . . . .399 502-1309-0255. . . . . .399 502-1310-0255 . . . . . .399 502-1342-5500. . . . . .398 502-1350-6100 . . . . . .399 502-1351-0100 . . . . . .399 502-1351-1200 . . . . . .399 502-1351-9907 . . . . . .399 502-1351-9908 . . . . . .399 502-1351-9909 . . . . . .399 502-1351-9912 . . . . . .399 502-1351-9913 . . . . . .399 502-1351-9914 . . . . . .399 502-1354-6100. . . . . .399 502-1356-6000 . . . . .399 502-1357-5500 . . . . . .398 502-1364-6100. . . . . .399 502-3001-0600 . . . . .398 502-J. . . . . . . . . . . . . .203 503-0658-0200 . . . . .391 503-0664-0200 . . . . .391 5030DS. . . . . . . . . . . .264 5031DS . . . . . . . . . . . .264 5032 . . . . . . . . . . . . . .221 5032DS. . . . . . . . . . . .264 5033DS. . . . . . . . . . . .264 5034DS. . . . . . . . . . . .264 5035DS. . . . . . . . . . . .264 50-3680 . . . . . . . . . . .428 5036DS. . . . . . . . . . . .264 5037DS. . . . . . . . . . . .264 5038DS. . . . . . . . . . . .264 5039DS. . . . . . . . . . . .264 5040 . . . . . . . . . . . . . .264 5040DS . . . . . . . . . . .264 5041 . . . . . . . . . . . . . .264 5041DS . . . . . . . . . . . .264 50-4236 . . . . . . . . . . .428 5042DS. . . . . . . . . . . .264 5043DS . . . . . . . . . . .264 5044DS . . . . . . . . . . .264 5045DS. . . . . . . . . . . .264 5046DS . . . . . . . . . . .264 5047DS. . . . . . . . . . . .264 5048DS . . . . . . . . . . .264 5049DS . . . . . . . . . . .264 505 . . . . . . . . . . . . . . .104 5050DS. . . . . . . . . . . .264 5051DS . . . . . . . . . . . .264 5052DS. . . . . . . . . . . .264 5053DS. . . . . . . . . . . .264 505-4016-0400 . . . . .393 505-5000-5500 . . . . .393 50-6684 . . . . . . . . . . .428 507 . . . . . . . . . . . . . . .196 507-D . . . . . . . . . . . . .201 507-G . . . . . . . . . . . . .202 507-N . . . . . . . . . . . . .202 508 . . . . . . . . . . . . . . .196 508-G . . . . . . . . . . . . .202 508-N . . . . . . . . . . . . .202 5100 . . . . . . . . . . . . . .105 510-1005-0145 . . . . . .397 510-1005-0245. . . . . .397 510-1005-0945 . . . . .397 510-1005-1245 . . . . . .397 510-1008-0000 . . . . .396 510-1030-0000. . . . . .397 510-1031-0000 . . . . . .397 510-1032-0000 . . . . . .397 510-1035-0300. . . . . .397 510-1035-0800. . . . . .397 510-1035-2000 . . . . . .397 510-1035-9907. . . . . .397 510-1068-2400 . . . . . .396 510-1069-2400 . . . . . .396 510-1084-0300. . . . . .396 510-1085-1900 . . . . . .396 510-1086-1900 . . . . . .396 510-1087-5500 . . . . . .396 510-136-0200 . . . . . . .397 51-1000 . . . . . . . . . . . .279 51-1008 . . . . . . . . . . . .279 51130R3B . . . . . . . . . .185 51130R3N . . . . . . . . . . 182 51135R3B . . . . . . . . . .185 51135R3N . . . . . . . . . . 182 51-1990 . . . . . . . . . . . .279 512-1367-0400 . . . . . .398 512-1410-0000 . . . . . .401 512-1423-9524 . . . . . .401 512-1424-0000 . . . . . .401 512-1425-9502 . . . . . .401 512-1425-9524 . . . . . .401 512-1426-9502 . . . . . .401 512-1430-0000. . . . . .401 512-1431-9502 . . . . . .401 512-1431-9824 . . . . . .401 512-1432-9502 . . . . . .401 512-1432-9824 . . . . . .401 51230R3B . . . . . . . . . .185 51230R3N . . . . . . . . . 182 51235R3B . . . . . . . . . .185 51235R3N. . . . . . . . . . 182 513. . . . . . . . . . . . . . . . 102 5130R3B . . . . . . . . . . .185 5130R3N. . . . . . . . . . . 182 513-1993-0000. . . . . . 418 513-1994-0355. . . . . .331 513-1994-0455. . . . . .331 513-1994-3755 . . . . . .331 513-1994-9911 . . . . . .331 513-1995-0000. . . . . . 418 51335R3N . . . . . . . . . 182 5135R3B . . . . . . . . . . .185 5135R3N. . . . . . . . . . . 182 513-7503-2400 . . . . . . . 320 513-7504-0200. . . . . . . 320 513-7504-2400 . . . . . . . 320 513-7505-0200. . . . . . . 320 513-7505-2400 . . . . . . . 320 513-7505-9910 . . . . . . . 320 513-7506-0200. . . . . . . 320 513-7506-2400 . . . . . . . 320 513-7506-9910 . . . . . . . 320 513-7508-0200 . . . . . . . 320 513-7514-0200 . . . . . . . 320 513-7602-2400 . . . . . . . 320 513-7604-9910 . . . . . . . 320 513-7605-9910 . . . . . . . 320 513-7606-9910 . . . . . . . 320 513-7608-2400 . . . . . . . 319 513-7608-9910 . . . . . . . 319 513-7614-2400 . . . . . . . 322 513-7614-9910 . . . . . . . 322 513-7631-2400 . . . . . . . 318 513-7631-9911 . . . . . . . 318 513-7634-0300. . . . . . . 318 513-7634-2400 . . . . . . . 318 513-7634-9911 . . . . . . . 318 513-7637-0200 . . . . . . . 317 513-7640-0200. . . . . . . 318 513-7640-0300. . . . . . . 318 513-7645-0200. . . . . . . 318 513-7938-2400 . . . . . . . 321 513-7939-2400 . . . . . . . 321 513-7939-3700 . . . . . . . 321 513-7944-2400 . . . . . . . 321 513-7947-2400 . . . . . . . 319 513-7978-0200 . . .335, 393 513-7986-0200. . . . . . . 321 513-8006-0022 . . . . . . 322 513-8006-0023 . . . . . . 322 513-8008-2400. . . . . . . 322 513-8008-9910. . . . . . . 322 513-8010-0221 . . . . . . . 318 513-8010-0223. . . . . . . 318 513-8014-1900 . . . . . . . 322 513-8014-2400 . . . . . . . 322
498
Numeric Index
513-8014-9910 . . . . . .322 513-8015-2400. . . . . .321 513-8015-2448. . . . . .321 513-8016-1900 . . . . . .322 513-8016-2400. . . . . .322 513-8016-9910 . . . . . .322 513-8018-1900 . . . . . .322 513-8018-2400. . . . . .322 513-8018-9910 . . . . . .322 513-8019-0000 . . . . .322 513-8020-2400 . . . . .320 513-8021-2400 . . . . . .320 513-8021-9910 . . . . . .320 513-8025-2400. . . . . .320 513-8025-9910. . . . . .320 513-8062-0321. . . . . . 319 513-8062-0323 . . . . . 319 513-8065-2400 . . . . .322 513-8076-0400 . . . . .320 513-8076-0700 . . . . .320 513-8884-0200 . . . . . 317 51435R3N . . . . . . . . . 182 51530R3B . . . . . . . . . .185 51535R3B . . . . . . . . . .185 517. . . . . . . . . . . . . . . . 132 517-10725-0200 . . . . .392 517-1076-9911 . . . . . .392 517-126-000 . . . . . . . .405 517-128-0000 . . . . . . .393 517-4094-000 . . . . . .392 517-5013-0200 . . . . . .392 518. . . . . . . . . . . . . . . . 132 518-1753-0400. . . . . .337 518-1754-0400. . . . . .337 518-1756-0400. . . . . .337 518-1759-0400. . . . . .337 518-1760-0400. . . . . .337 518-1761-0000 . . . . . .337 518-1765-0400. . . . . .337 519. . . . . . . . . . . . . . . . 132 519-1373-9504 . . . . . .387 520 . . . . . . . . . . . . . . . 132 520-1213-1900 . . . . . .387 520-1246-1900 . . . . . .388 520-1247-1900 . . . . . .388 520-1251-1900 . . . . . .387 5208 . . . . . . . . . . . . . .223 5210 . . . . . . . . . . . . . .223 521-1530-0612 . . . . . .390 521-1530-0616 . . . . . .390 521-1530-0618 . . . . . .390 521-1530-0624 . . . . . .390 521-1530-0632. . . . . .390 521-1550-1912 . . . . . .390 521-1550-1916 . . . . . .390 521-1550-1918 . . . . . .390 521-1570-0612HS . . .390 521-1570-0616HS . . .390 521-1570-0618 . . . . . .390 521-1570-0624 . . . . . .390 521-1570-0632 . . . . . .390 521-1607-1900 . . . . . .389 521-1614-0600 . . . . . .388 52-1376 . . . . . . . . . . . .428 52-1619 . . . . . . . . . . . .428 522 . . . . . . . . . . . . . . . 131 5220 . . . . . . . . . . . . . .223 5220-1 . . . . . . . . . . . . .223 522-1503-1900 . .387, 389 522-1504-1900 . . . . . .387 522-1507-1900 . . . . . .387 522-1508-0100 . . . . . .388 522-1566-1900 . . . . . .388 522-1702-1900 . . . . . .384 522-1709-1900 . . . . . .385 522-1712-1999 . . . . . .385 522-1734-1900 . . . . . .384 522-1980-0000 . . . . . 315 522-1984-0000 . . . . . 315 522-3700-1700 . . . . . .389 522-3700-1900. . . . . .389 522E . . . . . . . . . . . . . . 131 523/2 . . . . . . . . . . . . . . 132 5230R3B. . . . . . . . . . .185 5230R3N . . . . . . . . . . 182 523-1580-0600. . . 390, 412 523-1581-0000 . . . 390, 412 523-1582-0100HS . . . . . . . . . . . . . . .390, 412 523-1583-1900HS . . . . . . . . . . . . . . .390, 412 523-1584-0600 . . 390, 412 523-1740-1900 . . . . . .389 523-1742-1900 . . . . . .389 5235 . . . . . . . . . . . . . .222 5235R3B. . . . . . . . . . .185 5235R3N . . . . . . . . . . 182 52-3602 . . . . . . . . . . .428 5237 . . . . . . . . . . . . . .222 5238 . . . . . . . . . . . . . .222 5243 . . . . . . . . . . . . . .222 5250 . . . . . . . . . . . . . .222 5253 . . . . . . . . . . . . . .223 5255 . . . . . . . . . . . . . .225 5256 . . . . . . . . . . . . . .225 5260-1. . . . . . . . . . . . .222 5260-2. . . . . . . . . . . . .222 5261-1 . . . . . . . . . . . . .222 5261-2 . . . . . . . . . . . . .222 5262-2 . . . . . . . . . . . . .222 529 . . . . . . . . . . . . . . .104 530-6044-0121 . . . . . 411 530-6044-0122 . . . . . 411 530-6044-0123 . . . . . 411 531-2014-0000. . . . . .422 532-6012-1900 . . . . . .427 532-6012-9812 . . . . . .427 532-6013-1900 . . . . . .427 532-6013-2400 . . . . .427 532-6014-2400 . . . . .427 532-6029-7000 . . . . .427 532-6029-7100. . . . . .427 532-6029-7300 . . . . .427 532-8029-6800 . . . . .426 532-8030-0100 . . . . .426 532-8030-6800 . . . . .426 532-8030-7000 . . . . .426 532-8030-7200 . . . . .426 532-8030-7500 . . . . .426 532-8032-0139 . . . . .426 532-8035-0100 . . . . .426 532-8035-6800 . . . . .426 532-8078-0124. . . . . .426 5330R3B. . . . . . . . . . .185 5330R3N . . . . . . . . . . 182 5335R3B. . . . . . . . . . .185 5335R3N . . . . . . . . . . 182 533-6027-0022 . . . . .332 533-6027-0024 . . . . .332 533-6028-0055 . . . . .332 534-2018-0000 . . . . .422 534-2020-1900 . . . . .422 534-2025-0000 . . . . .422 534-2034-0000 . . . . .422 5360P . . . . . . . . . . . . .220 5361P . . . . . . . . . . . . .220 5362P . . . . . . . . . . . . .220 5363P . . . . . . . . . . . . .220 5364P . . . . . . . . . . . . .220 5365P . . . . . . . . . . . . .220 5366P . . . . . . . . . . . . .220 5367P . . . . . . . . . . . . .220 5368P . . . . . . . . . . . . .220 5369P . . . . . . . . . . . . .220 5370 . . . . . . . . . . . . . .168 5382 . . . . . . . . . . . . . .220 5383 . . . . . . . . . . . . . .220 5384 . . . . . . . . . . . . . .220 5386W . . . . . . . . . . . .220 5387 . . . . . . . . . . . . . .220 5389 . . . . . . . . . . . . . .220 539-1901-0000. . . . . . . .417 539-1902-0099. . . 403, 417 539-5062-0500 . . . . . . 285 539-5062-5000 . . . . . . 285 539-5121-4200. . . . . . . 366 539-5122-4200. . . . . . . 366 539-5124-4200. . . . . . . 366 539-5125-4200. . . . . . . 366 539-5126-4200 . . . . . . 366 539-5128-4200 . . . . . . 366 539-5129-4200 . . . . . . 366 539-5281-0000 . . . . . . 278 539-5282-0000 . . . . . . 278 539-5284-0000 . . . . . . 278 539-5406-0000 . . . . . . 373 539-6559-0100 . . . . . . 312 539-6560-0121 . . . . . . 312 539-6560-0123 . . . . . . 312 539-6561-0121. . . . . . . 312 539-6561-0122. . . . . . . 312 539-6579-5500 . . . . . . 312 539-6580-5500 . . . . . . 312 539-6581-5500 . . . . . . 312 539-6582-5500 . . . . . . 312
499
Numeric Index
539-6583-5500 . . . . . . 312 539-6584-5500 . . . . . 312 539-6585-5500 . . . . . 312 539-6586-5500 . . . . . 312 539-6587-5500 . . . . . 312 539-6588-5500 . . . . . 312 5398 . . . . . . . . . . . . . .221 540 . . . . . . . . . . .203, 241 5400W . . . . . . . . . . . .220 5401 . . . . . . . . . .192, 289 54-0104 . . . . . . . . . . .428 5402B . . . . . . . . .192, 289 5403 . . . . . . . . . .192, 289 5404 . . . . . . . . . .192, 289 5405 . . . . . . . . . .192, 289 5406 . . . . . . . . . .192, 289 5407 . . . . . . . . . .192, 289 5408 . . . . . . . . . .192, 289 540-8082-0000 . . . . .371 540-8083-0000 . . . . .371 540-8084-0000 . . . . .371 540-8085-0000 . . . . .371 540-8087-0000 . . . . .371 540-8090-0000 . . . . .378 541 . . . . . . . . . . .203, 241 5412 . . . . . . . . . . . . . . 197 5413 . . . . . . . . . . . . . . 197 54-133-011 . . . . . . . . .442 5414 . . . . . . . . . . . . . .199 5415 . . . . . . . . . . . . . .189 541-5064-1900. . . . . .358 541-5067-0000 . . . . .379 541-5069-0000 . . . . .378 541-5070-0000 . . . . .379 541-5072-0000 . . . . .379 541-5073-0000 . . . . .379 541-5074-0000 . . . . .379 541-5075-0000 . . . . .378 541-5076-9750. . . . . .378 541-5077-0000 . . . . .377 541-5078-0000 . . . . .377 5416 . . . . . . . . . . . . . .199 5417 . . . . . . . . . . . . . .189 5418 . . . . . . . . . . . . . .199 5419 . . . . . . . . . . . . . .189 5420 . . . . . . . . . . . . . .199 5421 . . . . . . . . . . . . . .188 5422 . . . . . . . . . . . . . .188 5423 . . . . . . . . . . . . . .188 54-233-010 . . . . . . . . .448 542-3600-0000 . . . . .373 542-3630-0000 . . . . .373 5423BL . . . . . . . . . . . .188 5423RD. . . . . . . . . . . .188 5423YW . . . . . . . . . . .188 5424 . . . . . . . . . . . . . .188 5425 . . . . . . . . . . . . . .188 5426 . . . . . . . . . . . . . .188 54-261-011 . . . . 442, 447 54-261-016 . . . . 442, 447 5426BL . . . . . . . . . . . .188 5426RD. . . . . . . . . . . .188 5426YW . . . . . . . . . . .188 5427 . . . . . . . . . .192, 289 5429 . . . . . . . . . . . . . .195 5430 . . . . . . . . . . . . . .195 5432 . . . . . . . . . . . . . .188 5432BL . . . . . . . . . . . .188 5432RD. . . . . . . . . . . .188 5432YW . . . . . . . . . . .188 5435 . . . . . . . . . . . . . .224 5436 . . . . . . . . . . . . . .198 5437 . . . . . . . . . . . . . .198 5438 . . . . . . . . . . . . . .224 5439 . . . . . . . . . . . . . .224 5440 . . . . . . . . . . . . . .224 5450 . . . . . . . . . . . . . .189 5451 . . . . . . . . . . . . . .189 5452 . . . . . . . . . . . . . .189 5453 . . . . . . . . . .194, 222 5453-1. . . . . . . . . . . . .194 5454 . . . . . . . . . . . . . .225 5455W . . . . . . . . . . . .220 5456W . . . . . . . . . . . .220 5457W . . . . . . . . . . . .220 5458 . . . . . . . . . . . . . .198 5458W . . . . . . . . . . . .220 5459 . . . . . . . . . . . . . .198 5460 . . . . . . . . . . . . . .201 5460W . . . . . . . . . . . .220 5461 . . . . . . . . . . . . . .201 54-610-000 . . . . . . . .437 54-618-000 . . . . . . . .437 5461W . . . . . . . . . . . .220 5462 . . . . . . . . . . . . . .188 5462BL . . . . . . . . . . . .188 5462RD. . . . . . . . . . . .188 5462YW . . . . . . . . . . .188 5463W . . . . . . . . . . . .220 5465W . . . . . . . . . . . .220 5466W . . . . . . . . . . . .220 5467W . . . . . . . . . . . .220 5468 . . . . . . . . . .192, 289 5468C . . . . . . . . . . . . .220 5468W . . . . . . . . . . . .220 5469 . . . . . . . . . .192, 289 5469C . . . . . . . . . . . . .220 5469W . . . . . . . . . . . .220 5470 . . . . . . . . . .192, 289 5470C . . . . . . . . . . . . .220 5471 . . . . . . . . . .192, 289 5472 . . . . . . . . . .192, 289 5472C . . . . . . . . . . . . .220 5473 . . . . . . . . . .192, 289 5474 . . . . . . . . . .192, 289 5474C . . . . . . . . . . . . .220 5475 . . . . . . . . . . . . . .202 5476 . . . . . . . . . . . . . .202 5477 . . . . . . . . . .201, 240 5477C . . . . . . . . . . . . .220 5478 . . . . . . . . . .201, 240 54-780-000 . . . . . . . .462 5479 . . . . . . . . . . . . . .202 5480 . . . . . . . . . . . . . .202 5480C . . . . . . . . . . . . .220 5481 . . . . . . . . . . . . . .202 5481C . . . . . . . . . . . . .220 5482 . . . . . . . . . . . . . .202 5483 . . . . . . . . . . . . . .201 5484 . . . . . . . . . . . . . .201 5485 . . . . . . . . . . . . . .201 5486 . . . . . . . . . . . . . .201 5489 . . . . . . . . . . . . . . 197 5490 . . . . . . . . . . . . . . 197 5491 . . . . . . . . . . . . . .201 5492 . . . . . . . . . . . . . .201 5493 . . . . . . . . . . . . . .202 5493W . . . . . . . . . . . .220 5494 . . . . . . . . . . . . . .202 5495 . . . . . . . . . . . . . .196 5496 . . . . . . . . . . . . . .196 5497 . . . . . . . . . . . . . .202 5498 . . . . . . . . . . . . . .202 550 . . . . . . . . . . . . . . .196 5500 . . . . . . . . . .192, 289 5500C . . . . . . . . . . . . .220 55016DS. . . . . . . . . . .209 5502 . . . . . . . . . .192, 289 55024DS. . . . . . . . . . .209 5503 . . . . . . . . . .192, 289 55032DS . . . . . . . . . .209 55036DS . . . . . . . . . .209 5503C . . . . . . . . . . . . .220 5504 . . . . . . . . . .192, 289 55048DS . . . . . . . . . .209 5504C . . . . . . . . . . . . .220 5505C . . . . . . . . . . . . .220 5507 . . . . . . . . . . . . . .201 5508 . . . . . . . . . . . . . .201 5509 . . . . . . . . . .192, 289 551 . . . . . . . . . . . . . . .196 5510C . . . . . . . . . . . . .220 5511. . . . . . . . . . . . . . .202 551-1961-1900 . . . . . .336 551-1962-0600 . . . . . .336 551-1964-0100 . . . . . .336 551-1965-1900 . . . . . .336 5512 . . . . . . . . . . . . . .202 55124DS . . . . . . . . . . .209 5513 . . . . . . . . . . . . . .203 5514 . . . . . . . . . . . . . .203 5515 . . . . . . . . . . . . . .203 5516 . . . . . . . . . . . . . .203 5517 . . . . . . . . . . . . . .202 5518 . . . . . . . . . . . . . .202 5519 . . . . . . . . . . . . . .202 5520 . . . . . . . . . . . . . .202 5521 . . . . . . . . . . . . . .202 552-1950-0000 . . . . .405 552-1952-0000. . . . . .405 552-1982-0000. . . . . . 315 552-1983-0000 . . . . . 315 5522 . . . . . . . . . . . . . .202 5527 . . . . . . . . . .192, 289
500
Numeric Index
552-8004-0000 . . . . . 317 552-8004-9910 . . . . . 317 552-8005-0000 . . . . . 317 5532 . . . . . . . . . . . . . .193 5533 . . . . . . . . . . . . . .193 5534 . . . . . . . . . . . . . .193 553-4054-0400 . . . . .404 553-4056-0400 . . . . .404 553-4058-0200 . . . . .420 553-4072-000 . . . . . .405 5535 . . . . . . . . . . . . . .193 554 . . . . . . . . . . . . . . . 132 5541 . . . . . . . . . . . . . .203 5542 . . . . . . . . . . . . . .203 554-7071-1954 . . . . . .428 554-7904-1900 . . . . .429 554-7905-0100 . . . . .429 554-7905-1900. . . . . .429 554-7907-1950 . . . . . .331 554-7915-1900 . . . . . .331 554-7918-1900 . . . . . .429 554-7923-4321 . . . . .330 554-7923-4323 . . . . .330 554-7923-4350 . . . . .330 554-8000-0121 . . . . .329 554-8000-0122 . . . . .329 554-8000-0123 . . . . .329 554-8001-1900 . . . . .330 554-8011-4300 . . . . .429 554-8023-0100 . . . . .329 554-8024-1000 . . . . .329 554-8024-1900 . . . . .329 554-8041-1900. . . . . .429 554-8042-1900 . . . . .429 554-9000-0000 . . . . .331 554-9100-0000 . . . . .330 555-0872-0123 . . . . .325 5551 . . . . . . . . . . . . . .203 5552 . . . . . . . . . . . . . .203 555-7300-0200 . . . . .323 555-7300-0300 . . . . .323 555-7300-0700 . . . . .323 555-7300-3700 . . . . .323 555-7301-0200. . . . . .323 555-7301-0300 . . . . .323 555-7301-2400. . . . . .323 555-7302-0200 . . . . .323 555-7302-0300 . . . . .323 555-7302-0700 . . . . .323 555-7302-2400. . . . . .323 555-7910-000. . . . . . .330 555-7914-2400. . . . . .323 555-791-9915 . . . . . . .329 555-7920-1900. . . . . .328 555-7921-0200. . . . . .323 555-7921-0300. . . . . .323 555-7921-0700. . . . . .323 555-7921-2400 . . . . . .323 555-7930-1900. . . . . .328 555-7933-1000. . . . . .330 555-7933-1900. . . . . .330 555-7933-9911. . . . . .330 555-7980-1900. . . . . .329 555-8009-1900 . . . . .330 555-8009-6400 . . . . .330 555-8012-1900 . . . . . .330 555-8022-1900 . . . . .329 555-806-1922. . . . . . .324 555-806-1923. . . . . . .324 555-8070-1900 . . . . .324 555-8071-0122. . . . . .328 555-8071-0123. . . . . .328 555-8071-0124. . . . . .328 555-8072-0121. . . . . .325 555-8073-0355 . . . . .323 555-8075-1900 . . . . .324 555-8080-0121 . . . . .329 555-8080-0123 . . . . .329 555-8088-0100 . . . . .325 555-8099-1900 . . . . .328 5564 . . . . . . . . . . . . . .203 5565 . . . . . . . . . . . . . .203 5566 . . . . . . . . . . . . . .202 5567 . . . . . . . . . . . . . .202 5568 . . . . . . . . . . . . . .201 5569 . . . . . . . . . . . . . .201 5575 . . . . . . . . . . . . . .187 5576 . . . . . . . . . . . . . .187 5577 . . . . . . . . . . . . . .203 5578 . . . . . . . . . . . . . .203 5579 . . . . . . . . . . . . . .202 5580 . . . . . . . . . . . . . .202 5581 . . . . . . . . . . . . . .196 5582 . . . . . . . . . . . . . .196 5583 . . . . . . . . . . . . . .201 5584 . . . . . . . . . . . . . .201 5585 . . . . . . . . . . . . . .201 5586 . . . . . . . . . . . . . .201 5589 . . . . . . . . . . . . . .202 5590 . . . . . . . . . . . . . .202 5591 . . . . . . . . . . . . . .202 5592 . . . . . . . . . . . . . .202 559-5252-0001 . . . . . 418 559-8060-1922 . . . . . 316 559-8060-1923 . . . . . 316 559-8060-1924 . . . . . 316 559-8061-1900. . . . . . 316 559-8079-0000 . . . . . 316 5599 . . . . . . . . . . . . . .194 56 . . . . . . . . . . . . . . . . .64 560 . . . . . . . . . . . . . . .200 5600DS . . . . . . . . . . .265 5601DS . . . . . . . . . . . .265 5602 . . . . . . . . . . . . . .194 5602DS. . . . . . . . . . . .265 5603 . . . . . . . . . . . . . .186 5603DS. . . . . . . . . . . .265 5604 . . . . . . . . . . . . . .186 5605 . . . . . . . . . . . . . .186 5606 . . . . . . . . . . . . . .186 5607 . . . . . . . . . . . . . .186 560-7024-0000 . . . . .341 560-7024-9712 . . . . . . 341 560-7040-0000 . . . . .341 560-7040-9708 . . . . . 341 560-7042-0000 . . . . .344 560-7044-0400 . . . . .345 560-7046-0000 . . . . .346 560-7048-6600 . . . . .345 560-7050-6600 . . . . .345 560-7052-0000 . . . . .347 560-7053-0000 . . . . .347 560-7058-0000 . . . . .346 560-7064-0000 . . . . .347 560-7094-9700 . . . . .345 560-7096-9700 . . . . .345 5608 . . . . . . . . . . . . . .186 560-8037-0021 . . 347, 428 560-8037-0022 . . 347, 428 560-8037-0023 . . 347, 428 560-8098-0021 . . 347, 428 560-8098-0022 . . 347, 428 560-8098-0023 . . 347, 428 560R . . . . . . . . . . . . . .200 560RS . . . . . . . . . . . . .200 561 . . . . . . . . . . . . . . .200 5610 . . . . . . . . . . . . . .223 5611 . . . . . . . . . . . . . .223 5612 . . . . . . . . . . . . . .223 5618 . . . . . . . . . . . . . .186 5619 . . . . . . . . . . . . . .186 561R . . . . . . . . . . . . . .200 5620 . . . . . . . . . . . . . .186 5633 . . . . . . . . . . . . . .201 5634 . . . . . . . . . . . . . .201 5635 . . . . . . . . . . . . . .202 5636 . . . . . . . . . . . . . .203 5637 . . . . . . . . . . . . . .203 5639 . . . . . . . . . . . . . .190 5640 . . . . . . . . . . . . . .190 5641 . . . . . . . . . . . . . .190 5643 . . . . . . . . . . . . . .202 5644 . . . . . . . . . . . . . .201 5645 . . . . . . . . . . . . . .201 5653 . . . . . . . . . . . . . .201 5654 . . . . . . . . . . . . . .201 5655 . . . . . . . . . . . . . .202 5656 . . . . . . . . . . . . . .202 5657 . . . . . . . . . . . . . .201 5658 . . . . . . . . . . . . . .201 5659 . . . . . . . . . . . . . .194 5660 . . . . . . . . . . . . . .194 566-B . . . . . . . . . . . . . . 92 5671DS . . . . . . . . . . . .253 5672DS. . . . . . . . . . . .253 5673DS. . . . . . . . . . . .253 5674DS . . . . . . . . . . . .253 5675 . . . . . . . . . . . . . .195 5676 . . . . . . . . . . . . . .195 5678 . . . . . . . . . . . . . .203 5679 . . . . . . . . . . . . . .203 5682 . . . . . . . . . . . . . .194 5683 . . . . . . . . . . . . . .202 5684 . . . . . . . . . . . . . .202
501
Numeric Index
5685 . . . . . . . . . . . . . .201 5688 . . . . . . . . . . . . . .201 5689 . . . . . . . . . . . . . .203 5690 . . . . . . . . . . . . . .203 569-B . . . . . . . . . . . . . . 92 5700DS. . . . . . . . . . . .257 5700N . . . . . . . . . . .32, 35 5701N . . . . . . . . . . .32, 35 5702N . . . . . . . . . . .32, 35 5703N . . . . . . . . . . .32, 34 5704N . . . . . . . . . . .32, 34 5705N . . . . . . . . . . .32, 34 5706N . . . . . . . . . . .32, 34 5709N . . . . . . . . . . .33, 36 570-B . . . . . . . . . . . . . . 92 5710 . . . . . 189, 193, 243 5710N . . . . . . . . . . .33, 37 5711N . . . . . . . . . . .33, 36 5711N-C . . . . . . . . .33, 36 5712N . . . . . . . . . . .33, 36 5713N . . . . . . . . . . .33, 36 5714N . . . . . . . . . . .33, 37 5715 . . . . . . . . . .189, 193 5715N . . . . . . . . . . .33, 37 5716DS . . . . . . . . . . . .190 5716N . . . . . . . . . . .33, 38 5717 . . . . . . . . . . . . . .190 5717N . . . . . . . . . . .33, 37 5718N . . . . . . . . . . .32, 39 5720N . . . . . . . . . . .32, 38 5721N . . . . . . . . . . .32, 39 5722N . . . . . . . . . . .32, 39 5723N . . . . . . . . . . .32, 38 572-B . . . . . . . . . . . . . . 92 5730N . . . . . . . . . . . . . .40 573-B . . . . . . . . . . . . . . 92 5740DS . . . . . . . . . . . .263 5741DS . . . . . . . . . . . .263 5742DS . . . . . . . . . . . .263 5743DS . . . . . . . . . . . .263 5745DS . . . . . . . . . . . .263 5746DS . . . . . . . . . . . .263 5748DS . . . . . . . . . . . .263 5749DS . . . . . . . . . . . .263 574-B . . . . . . . . . . . . . . 92 5750DS. . . . . . . . . . . .263 5751DS . . . . . . . . . . . .265 5752DS . . . . . . . . . . . .265 5753DS. . . . . . . . . . . .265 5754DS. . . . . . . . . . . .265 5755DS. . . . . . . . . . . .265 5756DS. . . . . . . . . . . .265 5757DS . . . . . . . . . . . .265 5758DS. . . . . . . . . . . .265 5759DS. . . . . . . . . . . .265 5760DS. . . . . . . .224, 258 5761DS . . . . . . . .224, 258 5762DS . . . . . . . .224, 258 5763DS. . . . . . . . . . . .265 5764DS. . . . . . . . . . . .265 5765DS. . . . . . . . . . . .265 5766DS. . . . . . . . . . . .265 5767DS . . . . . . . . . . . .265 5768DS. . . . . . . . . . . .265 5769DS. . . . . . . . . . . .265 576-B . . . . . . . . . . . . . . 92 5775DS. . . . . . . . . . . .253 5776DS. . . . . . . . . . . .253 5777DS. . . . . . . .252, 253 5778DS. . . . . . . .252, 253 5779DS. . . . . . . . . . . .265 577-B . . . . . . . . . . . . . . 92 5780DS. . . . . . . . . . . .256 5781DS . . . . . . . . . . . .256 5782DS. . . . . . . . . . . .256 5783DS. . . . . . . . . . . .256 5786 . . . . . . . . . . . . . .190 5787DS . . . . . . . . . . . .258 5788DS. . . . . . . . . . . .253 578-B . . . . . . . . . . . . . . 92 5800DS . . . . . . . . . . .257 5801DS . . . . . . . . . . . .255 5802DS. . . . . . . . . . . .255 5803 . . . . . . . . . . . . . .402 5804 . . . . . . . . . . . . . .402 5805 . . . . . . . . . . . . . .402 5810DS . . . . . . . . . . . .259 5811 . . . . . . . . . . . . . .286 5811DS . . . . . . . . . . . .259 5814 . . . . . . . . . . . . . .286 5818 . . . . . . . . . . . . . .286 582 . . . . . . . . . . . . . . . .88 58-300 . . . . . . . . . . . .428 5830R3B. . . . . . . . . . .185 5830R3N . . . . . . . . . . 182 5835R3B. . . . . . . . . . .185 5835R3N . . . . . . . . . . 182 5836 . . . . . . . . . . . . . . 213 5837 . . . . . . . . . . . . . . 213 5838 . . . . . . . . . . . . . . 213 5839 . . . . . . . . . . . . . . 213 5840 . . . . . . . . . . . . . . 213 5840DS . . . . . . . . . . .263 5841 . . . . . . . . . . . . . . 213 5841DS . . . . . . . . . . . .263 5841N . . . . . . . . . . .33, 38 5842 . . . . . . . . . . . . . . 213 5842DS. . . . . . . . . . . .263 5842N . . . . . . . . . . .33, 41 5843 . . . . . . . . . . . . . . 213 5843DS . . . . . . . . . . .263 5844N . . . . . . . . . . .33, 41 5845 . . . . . . . . . . . . . .402 5845DS . . . . . . . . . . .263 5845N . . . . . . . . . . .33, 41 5846DS . . . . . . . . . . .263 5848DS . . . . . . . . . . .263 5849 . . . . . . . . . . . . . .225 5849DS . . . . . . . . . . .263 585 . . . . . . . . . . . . . . .202 5850DS . . . . . . . . . . .263 5850N . . . . . . . . . . .32, 34 5852 . . . . . . . . . .193, 288 5852N . . . . . . . . . . .32, 35 5855 . . . . . . . . . . . . . . 213 5856 . . . . . . . . . . . . . . 213 5857 . . . . . . . . . . . . . . 213 5858 . . . . . . . . . . . . . . 213 5859 . . . . . . . . . . . . . . 213 586 . . . . . . . . . . . . . . .202 5860 . . . . . . . . . . . . . . 213 5861 . . . . . . . . . . . . . . 213 5861N . . . . . . . . . . . . . .38 5862 . . . . . . . . . . . . . . 213 5865 . . . . . . . . . . . . . . 217 58-6612005 . . . . . . . .428 5868 . . . . . . . . . . . . . . 218 5868-EVO. . . . . . . . . . 219 5868P . . . . . . . . . . . . . 218 5869 . . . . . . . . . . . . . . 218 5869DS . . . . . . . . . . .252 5869P . . . . . . . . . . . . . 218 586R-B . . . . . . . . . . . . . 92 5870DS. . . . . . . . . . . .252 5870N . . . . . . . . . . . . . .35 5871DS . . . . . . . . . . . .252 5871N . . . . . . . . . . . . . .35 5872 . . . . . . . . . . . . . . 219 5872DS. . . . . . . . . . . .252 5873DS. . . . . . . . . . . .252 5873N . . . . . . . . . . . . . .34 5874 . . . . . . . . . . . . . . 214 5874DS . . . . . . . .252, 253 5875DS. . . . . . . .252, 253 5877DS. . . . . . . . . . . .252 5878DS. . . . . . . . . . . .252 5878N . . . . . . . . . . . . . .37 5879 . . . . . . . . . . . . . . 214 5880 . . . . . . . . . . . . . . 214 5880DS . . . . . . . . . . .256 5881 . . . . . . . . . . . . . . 217 5881DS . . . . . . . . . . . .256 5882 . . . . . . . . . . . . . . 219 5882DS. . . . . . . . . . . .256 5883 . . . . . . . . . . . . . . 219 5883DS . . . . . . . . . . .256 5884 . . . . . . . . . . . . . . 218 5884DS . . . . . . . . . . .255 5885 . . . . . . . . . . . . . . 217 5885DS. . . . . . . . . . . .255 5886-EVO . . . . . . . . . 219 5887DS. . . . . . . . . . . .258 5888 . . . . . . . . . . . . . . 215 588-B . . . . . . . . . . . . . .93 589-B . . . . . . . . . . . . . .93 5900-1DS . . . . . . . . . .259 5900-2DS . . . . . . . . . .259 5900DS . . . . . . . . . . .259 5902DS. . . . . . . . . . . .260 5903DS. . . . . . . .126, 260 5906DS . . . . . . . . . . .254 5907DS. . . . . . . . . . . .254 5908DS . . . . . . . . . . .254 5909DS . . . . . . . . . . .254
502
Numeric Index
591 . . . . . . . . . . . . . . .134 5917DS . . . . . . . . . . . .260 5918DS . . . . . . . . . . . .260 5920DS. . . . . . . . . . . .254 5921DS . . . . . . . . . . . .254 5924-1DS . . . . . . . . . .259 5924-2DS . . . . . . . . . .259 5924DS. . . . . . . . . . . .259 592-B . . . . . . . . . . . . . .93 5930R3B. . . . . . . . . . .185 5930R3N . . . . . . . . . . 182 5935R3B. . . . . . . . . . .185 5935R3N . . . . . . . . . . 182 593-B . . . . . . . . . . . . . .93 595 . . . . . . . . . . . . . . .202 5950DS. . . . . . . . . . . .266 5951DS . . . . . . . . . . . .266 5952DS. . . . . . . . . . . .266 5953DS. . . . . . . . . . . .266 5954DS. . . . . . . . . . . .266 5955DS. . . . . . . . . . . .266 5956DS. . . . . . . . . . . .266 5957DS. . . . . . . . . . . .266 5958DS . . . . . . . . . . .266 5959DS. . . . . . . . . . . .266 595-B . . . . . . . . . . . . . .93 596 . . . . . . . . . . . . . . .202 5960DS . . . . . . . . . . .266 5961DS . . . . . . . . . . . .266 5962DS. . . . . . . . . . . .266 5963DS . . . . . . . . . . .266 5964DS . . . . . . . . . . .266 59-6560 . . . . . . . . . . .346 5965DS. . . . . . . . . . . .266 59-6610 . . . . . . . . . . .346 5966DS . . . . . . . . . . .266 59-6710 . . . . . . . . . . .346 5967DS. . . . . . . . . . . .266 5968DS . . . . . . . . . . .266 59-6973 . . . . . . . . . . .346 59-6974 . . . . . . . . . . .346 5969DS . . . . . . . . . . .266 5970DS. . . . . . . . . . . .266 5971DS . . . . . . . . . . . .266 5972DS . . . . . . . . . . . .266 5973DS. . . . . . . . . . . .266 5974DS . . . . . . . . . . . .266 59-7560 . . . . . . . . . . .346 59-7561. . . . . . . . . . . .346 5975DS. . . . . . . . . . . .266 5976DS. . . . . . . . . . . .266 5977DS. . . . . . . . . . . .266 5978DS. . . . . . . . . . . .266 5979DS. . . . . . . . . . . .266 5984DS . . . . . . . . . . .264 5985DS. . . . . . . . . . . .264 5986DS . . . . . . . . . . .264 5990DS . . . . . . . . . . .265 5991DS . . . . . . . . . . . .265 5992DS. . . . . . . . . . . .265 5993DS. . . . . . . . . . . .265 5994DS . . . . . . . . . . .265 5995DS. . . . . . . . . . . .265 5996DS . . . . . . . . . . .265 599-7000-0000 . . . . .420 599-7001-0000 . . . . .420 599-7002-0000 . . . . .420 5997DS. . . . . . . . . . . .265 599-8149-0200 . . . . . 418 599-8193-0255 . . . . . 418 5998DS . . . . . . . . . . .265 5999DS . . . . . . . . . . .265 600 . . . . . . . . . . . . . . .196 6000 . . . . . . . . . . . . . .221 60-0174. . . . . . . . . . . .278 60-0174 . . . . . . . . . . .379 60020DS . . . . . . . . . .208 60030DS . . . . . . . . . .208 60-0363 . . . . . . . . . . . 374 60040DS . . . . . . . . . .208 60045DS . . . . . . . . . .208 6005 . . . . . . . . . . . . . .221 60060DS . . . . . . . . . .208 6009 . . . . . . . . . . . . . .221 601 . . . . . . . . . . . .66, 196 6011 . . . . . . . . . . . . . .221 60-1100 . . . . . . . . . . . .307 60130DS. . . . . . . . . . .208 60-1310 . . . . . . . . . . . .344 6014 . . . . . . . . . . . . . .221 6018 . . . . . . . . . . . . . .221 6020 . . . . . . . . . . . . . .221 60-2060 . . . . . . . . . . .358 602HF . . . . . . . . . . . . .104 602HH. . . . . . . . . . . . .104 603 . . . . . . . . . . . . . . . .63 60-3344 . . . . . . . . . . .295 60-3346 . . . . . . . . . . .295 6035 . . . . . . . . . .210, 221 60-45646 . . . . . . . . . .360 604DS. . . . . . . . . . . . .208 60-64300 . . . . . . . . . .349 60-64350 . . . . . . . . . .349 60-6599 . . . . . . . . . . .343 609 . . . . . . . . . . . . . . . . 75 6101 . . . . . . . . . . . . . .105 61-0166. . . . . . . 278, 406 610DS . . . . . . . . . . . . .208 61-116 . . . . . . . . . . . . .277 61130R3N. . . . . . . . . .184 61135R3N. . . . . . . . . .184 61-1490 . . . . . . . . . . . .460 61-1493 . . . . . . . . . . . .460 61-159100 . . . . . . . . . .406 6118. . . . . . . . . . . . . . .284 612-0003-9824. . . 381, 423 612-0012-9850 . . . 381, 423 612-0022-9724 . . . 381, 423 612-0032-9724 . . . . . . . 381 612-1101-9824 . . . . . . . 381 612300DS. . . . . . . . . .190 612301DS . . . . . . . . . .190 61230R3N . . . . . . . . .184 61235R3N . . . . . . . . .184 6128 . . . . . . . . . . . . . .284 6130R3N . . . . . . . . . .184 6135R3B . . . . . . . . . . .185 6135R3N. . . . . . . . . . .184 614-0050-9812 . . . . .381 614-0056-9724 . . . . .381 614-0060-9824 . . . . .381 614-0070-9812. . . . . .381 614-0080-9812 . . . . .381 61-4400 . . . . . . . . . . .277 61-4709. . . . . . . . . . . .278 61-5042 . . . . . . . . . . .277 61-550200 . . . . 278, 406 61-550300 . . . . 278, 406 615DS . . . . . . . . . . . . .208 616-4503-9710 . . . . .425 616-4504-0000 . . . . .425 616-4504-9710 . . . . .425 616-4505-0000 . . . . .425 616-4505-9710 . . . . .425 616-4507-0000 . . . . .425 616-4508-0000 . . . . .425 616-4509-0000 . . . . .425 616-4511-0000. . . . . .425 616-4512-0000 . . . . .425 616-4512-9710 . . . . . .425 616-7103-9710 . . . . . .424 616-7104-9705 . . . . . .424 616-7105-9710 . . . . . .424 616-7106-9705 . . . . . .424 618 . . . . . . . . . . .100, 361 619-5131-1900 . . . . . .422 619-5132-1900 . . . . . .422 619-5133-1900 . . . . . .422 619-5134-1900 . . . . . .422 6206 . . . . . . . . . . . . . .269 6207 . . . . . . . . . . . . . .269 6208 . . . . . . . . . . . . . .269 622 . . . . . . . . . . . . . . . .64 6230R3N . . . . . . . . . .184 6235R3N . . . . . . . . . .184 624 . . . . . . . . . . . 84, 360 625 . . . . . . . . . . . 84, 360 62516DS . . . . . . . . . . .208 6252 . . . . . . . . . . 98, 290 62524DS. . . . . . . . . . .208 62532DS. . . . . . . . . . .208 62536DS . . . . . . . . . .208 62548DS . . . . . . . . . .208 6255 . . . . . . . . . . 98, 290 625P . . . . . . . . . . 84, 360 626 . . . . . . . . . . . . . . . .65 62624DS. . . . . . . . . . .208 628 . . . . . . . . . . . . . . .195 6282 . . . . . . . . . . 98, 290 629 . . . . . . . . . . . . . . .195 63 . . . . . . . . . . . . . . . . .63 63-0050 . . . . . . . . . . .285 63-0100 . . . . . . . . . . .285 63-0348 . . . . . . . . . . .285
503
Numeric Index
63-0349 . . . . . . . . . . .285 63-0350 . . . . . . . . . . .285 63-0351 . . . . . . . . . . .285 631-6057-0021 . . . . . 411 631-6057-0022 . . . . . 411 631-6057-0023 . . . . . 411 631-6057-0024 . . . . . 411 631-6057-0040 . . . . . 411 631-6057-0042 . . . . . 411 631-6057-0043 . . . . . 411 631-6057-0044 . . . . . 411 63-2039 . . . . . . . . . . .285 632-6223-1900. . . . . . 411 632-6224-1921 . . . . . . 411 632-6224-1922. . . . . . 411 632-6224-1923. . . . . . 411 632-6224-1924 . . . . . . 411 632-6224-1936. . . . . . 411 633 . . . . . . . . . . . . . . . . 62 634 . . . . . . . . . . . . . . . .84 635 . . . . . . . . . . . . . . . . 74 638 . . . . . . . . . . . . . . .195 639 . . . . . . . . . . . . . . .195 63-R53 . . . . . . . . . . . .285 64 . . . . . . . . . . . . . . . .134 640-1762-0000HS . . . 412 640-1764-0621 . . . . . 413 640-1764-0623 . . . . . 413 640-1768-0621HS . . . 413 640-1768-0623 . . . . . 413 640-1771-0321 . . . . . . 413 640-1771-0323. . . . . . 413 640-1773-0621 . . . . . 413 640-1773-0623 . . . . . 413 640-1774-0621. . . . . . 413 640-1774-0623 . . . . . 413 640-1777-0221. . . . . . 413 640-1777-0223. . . . . . 413 640-1800-0000 . . . . . 412 640-2006-0000 . . . . . 419 640-2006-1000 . . . . . 419 640-2006-2000 . . . . . 419 640-5401-0000 . . . . . 416 640-6195-0750 . . . . . 416 640-8104-0021 . . . . . 415 640-8112-0000 . . . . . 414 640-8123-0200 . . . . . . 415 640-8132-0000 . . . . . . .412 640-8140-0055 . . . . . . 416 640-8172-0000 . . . . . . .412 640-8176-0800 . . . . . . 421 640-8178-0800 . . . . . . 421 640-8188-0200 . . . . . . 397 640-8211-2100 . . . . . . . 419 640-8213-0200 . . . . . . 420 640-8213-9604 . . . . . . 420 640-8218-9606 . . . . . . 287 640-8221-9604 . . . . . . 287 640-8222-0000 . . . . . . 415 640-9000-0000 . . . . . . .417 640-9002-0000 . . . . . . 415 640-9003-0000 . . . . . . 413 640-9004-0001 . . . . . . 415 640-9004-0002 . . . . . . 415 640-9004-0003 . . . . . . 415 640-9004-0004 . . . . . . 415 640-9005-0000 . . . . . . .414 640-9007-0000 . . . . . . 418 640-9008-0000 . . . . . . 418 640-9009-0000 . . . . . . 419 640-9010-0000 . . . . . . 419 640-9011-0000 . . . . . . 419 640-9012-0000 . . . . . . .417 640-9013-0000 . . 372, 415 640-9014-0000 . . 372, 415 640-9015-0000 . . . . . . 418 640-9016-0000 . . . . . . .417 640-9174-1900HS . . . 414 641 . . . . . . . . . . . . . . .202 641-0317-0000. . . . . .396 641-0620-1000. . . . . .392 641-2571-0000. . . . . .388 641-2571-0005 . . . . . .388 641-3850-0000 . . . . . 416 641-3852-0000 . . . . . 416 641-3855-0000 . . . . . 416 641-4538-0000 . . . . . 417 641-4538-0001 . . . . . 417 641-4640-0101 . . . . . 417 641-4640-0102 . . . . . 417 641-4640-0103 . . . . . 417 641-5412-1000 . . . . . . 419 641-5416-1002 . . . . . . 419 641-6488-0000 . . . . .337 641-6488-0010 . . . . .337 641-6690-0182 . . . . . 417 641-8110-1900 . . . . . . 414 641-8117-0000 . . . . . . 414 641-8173-0000 . . . . . 414 642 . . . . . . . . . . . . . . .202 643 . . . . . . . . . . . . . . .198 644 . . . . . . . . . . . . . . .198 644300 . . . . . . . . . . . . 211 645 . . . . . . . . . . . . . . .202 645300 . . . . . . . . . . . . 211 646 . . . . . . . . . . . . . . .202 646/2. . . . . . . . . . . . . . .63 646300 . . . . . . . . . . . . 211 647/2 . . . . . . . . . . . . . . .63 647300 . . . . . . . . . . . . 211 648 . . . . . . . . . . . . . . .203 648300 . . . . . . . . . . . . 211 649 . . . . . . . . . . . . . . .203 649300DS . . . . . . . . . 210 65 . . . . . . . . . . . . . . . . .63 65/2 . . . . . . . . . . . . . . . .63 65/2P. . . . . . . . . . . . . . .63 6500DS . . . . . . . . . . .265 650-1113-0600 . . . . . .383 650-1131-0000 . . . . . .383 6501DS . . . . . . . . . . . .265 650-2500-1900 . . . . .380 650-2504-1900 . . . . .380 6502DS. . . . . . . . . . . .265 6503DS. . . . . . . . . . . .265 650-4004-0121 . . . . .461 6504DS . . . . . . . . . . .265 6505DS. . . . . . . . . . . .265 650-6018-9812 . . . . .383 6506DS . . . . . . . . . . .265 650-7007-0000 . . . . .382 6507DS. . . . . . . . . . . .265 6508DS . . . . . . . . . . .265 6509DS . . . . . . . . . . .265 651 . . . . . . . . . . . . . . . .84 6510DS . . . . . . . . . . . .265 6511DS . . . . . . . . . . . .265 6512DS . . . . . . . . . . . .265 652 . . . . . . . . . . . . . . .203 653 . . . . . . . . . . . . . . .203 653/2S . . . . . . . . . . . . .63 655 . . . . . . . . . . . . . . .203 656 . . . . . . . . . . . . . . .203 657 . . . . . . . . . . . . . . . .68 658/2S . . . . . . . .100, 361 6600 . . . . . . . . . . . . . .265 660-2030-0000 . . . . .421 660-2035-0000 . . . . .421 661 . . . . . . . . . . . . . . .202 661/2S. . . . . . . . . . . . . . 75 662 . . . . . . . . . . . . . . .202 662/2S . . . . . . . . . . . . . 75 66-2005-0000 . . . . . .421 663 . . . . . . . . . . . . . . .202 6630R3N . . . . . . . . . .184 6635R3N . . . . . . . . . .184 664 . . . . . . . . . . . . . . .202 665 . . . . . . . . . . . . . . . .63 666 . . . . . . . . . . . . . . . .63 6660 . . . . . . . . . . . . . .225 6661 . . . . . . . . . . . . . .225 6703 . . . . . . . . . . . . . .224 6704 . . . . . . . . . . . . . . 125 6705 . . . . . . . . . . . . . . 125 6705R . . . . . . . . . . . . . .56 6706 . . . . . . . . . . . . . . 125 672 . . . . . . . . . . . . . . .201 672/2 . . . . . . . . . . . . . .104 673 . . . . . . . . . . . . . . .201 674 . . . . . . . . . . . . . . .203 675 . . . . . . . . . . . . . . .203 676 . . . . . . . . . . . . . . .203 677 . . . . . . . . . . . . . . .203 677/2 . . . . . . . . . . . . . . .88 678/2 . . . . . . . . . . . . . . .63 679/2 . . . . . . . . . . . . . . .63 68-129018. . . . . . . . . .281 68-1435. . . . . . . . . . . .284 68-1436. . . . . . . . . . . .284 68-1610 . . . . . . . . . . . .283 68-1640. . . . . . . . . . . .283 68-1650. . . . . . . . . . . .283 683 . . . . . . . . . . . . . . .201 683/2 . . . . . . . . . . . . . . .65
504
Numeric Index
68-305269 . . . . . . . . .282 68-305270 . . . . . . . . .282 68-305517 . . . . . . . . .281 68-305543 . . . . . . . . .281 68-305553 . . . . . . . . .283 68-305554 . . . . . . . . .283 68-305930 . . . . . . . . .283 68-305932 . . . . . . . . .283 68-305945 . . . . . . . . .283 68-309602 . . . . . . . . .284 68-309620 . . . . 283, 360 68-309623 . . . . . . . . .284 68-309628 . . . . . . . . .284 68-3114010. . . . . . . . .280 68-31143699 . . . . . . .280 68-31143731 . . . . . . .280 68-3279 . . . . . . . . . . .303 68-329464 . . . . . . . . .283 68-368607 . . . . . . . . .367 68-368608 . . . . . . . . .367 684 . . . . . . . . . . . . . . .201 68-4440 . . . . . . . . . . .275 685 . . . . . . . . . . . . . . .201 68-511110 . . . . . . . . . .283 68-511201. . . . . . . . . .283 68-5487 . . . . . . . . . . .281 68-5489 . . . . . . . . . . .281 68-5658 . . . . . . . . . . .284 686 . . . . . . . . . . . . . . .201 686/2 . . . . . . . . . . . . . . 126 68-601101 . . . . . . . . .284 68-676038 . . . . . . . . .280 68-700010 . . . . . . . . .284 68-701216 . . . . . . . . . .284 68-712023. . . . . . . . . .283 688/2. . . . . . . . . . . . . . 128 68-8303 . . . . . . . . . . .280 68-8461 . . . . . . . . . . .284 68-8509 . . . . . . . . . . .281 68-8556H . . . . . . . . . .281 68-8560 . . . . . . . . . . .273 68-8576 . . . . . . . . . . .275 68-8900 . . . . . . . . . . .280 68-8901 . . . . . . . . . . .280 68-8909 . . . . . . . . . . .280 68-89651 . . . . . . . . . .281 68-8979 . . . . . . . . . . .280 68-8990 . . . . . . . . . . .280 68-9593 . . . . . . . . . . .283 68-9594 . . . . . . . . . . .283 68-9595 . . . . . . . . . . .283 68-9596 . . . . . . . . . . .283 68-9661 . . . . . . . . . . .283 68-J10L. . . . . . . . . . . .283 6900 . . . . . . . . . . . . . .159 691/2 . . . . . . . . . . 84, 360 692 . . . . . . . . . . . . . . .202 693 . . . . . . . . . . . . . . .202 697 . . . . . . . . . . . . . . .203 698 . . . . . . . . . . . . . . .203 699-B . . . . . . . . . . . . . .93 7000 . . . . . . . . . . . . . .187 70010DS . . . . . . . . . . .209 70015DS . . . . . . . . . . .209 70020DS. . . . . . . . . . .209 70030DS . . . . . . . . . .209 70040DS . . . . . . . . . .209 70045DS . . . . . . . . . .209 70060DS . . . . . . . . . .209 700-9726-0021 . . . . .327 700-9726-0022 . . . . .327 700-9726-0023 . . . . .327 700-9729-0000 . . . . .327 701 . . . . . . . . . . . . . . . 131 70-125261. . . . . . . . . .363 70-125264. . . . . . . . . .363 70-125265. . . . . . . . . .363 70-125266. . . . . . . . . .363 70130DS . . . . . . . . . . .209 70-150 . . . . . . . . . . . . .382 70-15204. . . . . . . . . . .362 70-155 . . . . . . . . . . . . .382 70-15603. . . . . . . . . . .362 70-18102 . . . . . . . . . . .362 70-18104 . . . . . . . . . . .362 70-18124 . . . . . . . . . . .362 70-190 . . . . . . . . . . . . .382 70-192 . . . . . . . . . . . . .382 702 . . . . . . . . . . . . . . . 131 70-201 . . . . . . . . . . . . .272 70-20101. . . . . . . . . . .298 70-20141 . . . . . . . . . . .298 70-202. . . . . . . . . . . . .272 70-20201 . . . . . . . . . .298 70-20241. . . . . . . . . . .298 70-203. . . . . . . . . . . . .272 70-206. . . . . . . . . . . . .272 70-212 . . . . . . . . . . . . .271 70-215 . . . . . . . . . . . . .271 70-216 . . . . . . . . . . . . .271 70-222. . . . . . . . . . . . .271 70-225. . . . . . . . . . . . .271 70-226. . . . . . . . . . . . .271 70-228. . . . . . . . . . . . .271 70-232. . . . . . . . . . . . .271 70-235. . . . . . . . . . . . .271 70-236. . . . . . . . . . . . .271 70-238. . . . . . . . . . . . .271 70-262. . . . . . . . . . . . .271 70-265. . . . . . . . . . . . .271 70-266. . . . . . . . . . . . .271 70-268. . . . . . . . . . . . .271 703 . . . . . . . . . . . . . . . 131 70-305325 . . . . . . . . .272 70-306 . . . . . . . . . . . .272 70-332 . . . . . . . . . . . .271 70-335 . . . . . . . . . . . .271 70-336 . . . . . . . . . . . .271 70-401504 . . . . . . . . .363 70-401544 . . . . . . . . .363 704R . . . . . . . . . . . . . . 130 7059R . . . . . . . . . . . . .145 706 . . . . . . . . . . . . . . . 130 707 . . . . . . . . . . . . . . . 130 70-7717 . . . . . . . . . . . .363 70-7760. . . . . . . .297, 363 70-7805. . . . . . . . . . . .363 70-7806. . . . . . . . . . . .363 70-7917 . . . . . . . .297, 363 70-7930. . . . . . . . . . . .363 70-8531 . . . . . . . . . . .363 70-8631 . . . . . . . . . . .362 70-882 . . . . . . . . . . . .271 70-885 . . . . . . . . . . . .271 70-88501 . . . . . . . . . .362 70-886 . . . . . . . . . . . .271 70-888 . . . . . . . . . . . .271 70-992 . . . . . . . .271, 278 70-995 . . . . . . . . . . . .271 70-996 . . . . . . . . . . . .271 70-998 . . . . . . . . . . . .271 709R . . . . . . . . . . . . . . 130 70-DF02 . . . . . . . . . . .272 70-DF-03 . . . . . . . . . .272 70-DF1 . . . . . . . . . . . .272 70-DF2 . . . . . . . . . . . .272 70-DF3 . . . . . . . . . . . .272 70-DF4 . . . . . . . . . . . .272 70-DFLX2. . . . . . . . . .272 70-DFLX3 . . . . . . . . . .272 70-DLFX1 . . . . . . . . . .272 70-DLX2 . . . . . . . . . . .272 70-DLX3 . . . . . . . . . . .272 70-FL91 . . . . . . . . . . .272 70-FL92 . . . . . . . . . . .272 70-FL93 . . . . . . . . . . .272 710 . . . . . . . . . . . . . . . 131 710-8560-0021 . . . . .327 710-8560-0022 . . . . .327 710-8560-0023 . . . . .327 7123P-10 . . . . . . . . . . .106 7130R . . . . . . . . . .24, 160 7158DV . . . . . . . . . . . .166 7160DV . . . . . . . . . . . .166 7162DV . . . . . . . . . . . .166 7163DV . . . . . . . . . . . .166 7165DV . . . . . . . . . . . .166 7166DV . . . . . . . . . . . .166 7167DV . . . . . . . . . . . .166 7168DV . . . . . . . . . . . .166 7170DV . . . . . . . . . . . .166 7172DV . . . . . . . . . . . .166 7173DV . . . . . . . . . . . . 174 718 . . . . . . . . . . . . . . .202 7190ADV . . . . . . . . . . 172 7190BDV . . . . . . . . . . 172 7190CDV . . . . . . . . . . 172 7195ADV . . . . . . . . . . 172 7195BDV . . . . . . . . . . 172 7195CDV . . . . . . . . . . 172 7199 . . . . . . . . . . . . . .153 7199CD . . . . . . . . . . . .153 72-0090 . . . . . . . . . . .376 72-0309 . . . . . . . . . . .349
505
Numeric Index
72-0310. . . . . . . . . . . .349 721 . . . . . . . . . . . . . . .202 7220R . . . . . . . . . .12, 159 7236 . . . . . . . . . . . . . . . 14 7236H . . . . . . . . . . . . . . 16 72-4480 . . . . . . . . . . .348 72-4482 . . . . . . . . . . .348 72-4504 . . . . . . . . . . .348 727 . . . . . . . . . . . . . . .201 7286 . . . . . . . . . . . . . .167 7287 . . . . . . . . . . . . . .167 73-0009 . . . . . . . . . . .275 73-401 . . . . . . . . . . . .382 7341 . . . . . . . . . . . . . . 173 7342 . . . . . . . . . . . . . . 173 7343 . . . . . . . . . . . . . . 173 73-6800215 . . . . . . . .462 7390 . . . . . . . . . . . . . .160 7418D . . . . . . . . . . . . . 157 7419D . . . . . . . . . . . . . 157 7428 . . . . . . . . . . . . . .164 743 . . . . . . . . . . . . . . . .60 7458 . . . . . . . . . . . . . .169 747 . . . . . . . . . . . . . . . 130 7480 . . . . . . . . . . . . . .160 7481 . . . . . . . . . .159, 161 7484 . . . . . . . . . . . . . .190 7484NH . . . . . . . . . . .190 749 . . . . . . . . . . . . . . . 131 7497R . . . . . . . . . . . . .165 750 . . . . . . . . . . . . . . . 137 75008DS . . . . . . . . . .209 75012DS . . . . . . . . . . .209 75016DS . . . . . . . . . . .209 75-0233 . . . . . . . . . . .286 75024DS. . . . . . . . . . .209 75-02893 . . . . . . . . . .441 75032DS. . . . . . . . . . .209 75036DS . . . . . . . . . .209 7504 . . . . . . . . . . . . . .146 75048DS . . . . . . . . . .209 75-05031 . . . . . . . . . .441 75-11720 . . . . . . . . . . .436 7512 . . . . . . . . . . . . . .145 75124DS . . . . . . . . . . .209 7516 . . . . . . . . . . . . . . 155 75-1630. . . . . . . . . . . .436 75-200100N . . . . . . . .458 75-210 . . . . . . . . . . . . .286 75-22820 . . . . . . . . . .435 75-23820 . . . . . . . . . .436 75-240100N . . . . . . . .458 75-3420 . . . . . . . . . . .461 75-3448 . . . . . . . . . . .458 75-417145. . . . . . . . . .460 75-43816 . . . . . 358, 369 75-47080 . . . . . . . . . . 274 75-47117 . . . . . . . . . . .273 75-5072 . . . . . . . . . . .459 75-52432 . . . . . . . . . .436 75-52434 . . . . . . . . . .436 75-575. . . . . . . . . . . . .407 75-61102. . . . . . . . . . . 314 75-61401 . . . . . . . . . . 314 75-690 . . . . . . . . . . . .441 75-690W . . . . . . . . . .441 75-7220. . . . . . . . . . . .436 75-72300 . . . . . . . . . .436 75-76710 . . . . . . . . . . .435 75-801780 . . . . . . . . .373 75-8215. . . . . . . . . . . . 314 75-833153 . . . . . . . . .285 75-833154 . . . . . . . . .285 75-88210 . . . . . . . . . . 274 758R . . . . . . . . . . . . . . 130 75-97120. . . . . . . . . . .436 75-97150 . . . . . . . . . .436 7598 . . . . . . . . . . . . . . 175 75-9900500 . . . . . . . .459 75-9902 . . . . . . . . . . .458 75-990400 . . . . . . . . .459 75-9909 . . . . . . . . . . .458 75-FNC . . . . . . . . . . . .373 75-PC1000 . . . . . . . . .286 75-PF52A250 . . . . . . .459 75-PO351 . . . . . . . . . .458 75-SK0100 . . . . . . . . .286 75-SR1 . . . . . . . . . . . . 314 75-TNC . . . . . . . . . . . .373 76-001310 . . . . . . . . .430 76-002600 . . . . . . . . .430 76-0691 . . . . . . . . . . .358 76-1225 . . . . . . . . . . . .430 7616 . . . . . . . . . . . . . . 155 7623 . . . . . . . . . . . . . . 161 76-240. . . . . . . . . . . . .430 76-345 . . . . . . . . . . . .382 764 . . . . . . . . . . . . . . . .64 76-492 . . . . . . . . . . . .382 765 . . . . . . . . . . . . . . . .64 76-5251. . . . . . . . . . . .308 76-5257 . . . . . . . . . . .308 76-5370 . . . . . . . . . . .382 76-54452 . . . . . . . . . .358 76-6DIC . . . . . . . . . . .430 7670 . . . . . . . . . . . . . .145 76-7086. . . . . . . . . . . .302 7678 . . . . . . . . . . . . . .169 7679 . . . . . . . . . . . . . .169 7680 . . . . . . . . . . . . . .169 76-8001 . . . . . . . . . . .430 76-8003 . . . . . . . . . . .430 7681 . . . . . . . . . . . . . .169 7681IM . . . . . . . . . . . .169 76-8DCFS. . . . . . . . . .430 76-8DIC . . . . . . . . . . .430 76-B85552 . . . . . . . . .359 76-UC20 . . . . . . . . . . .358 7721DV . . . . . . . . . . . .166 7722DV . . . . . . . . . . . .166 7723DV. . . . . . . . . . . .166 7724DV . . . . . . . .166, 171 7725DV . . . . . . . . . . . .166 7726 . . . . . . . . . . . . . .166 7726CA. . . . . . . . . . . .166 7727 . . . . . . . . . . . . . .166 773 . . . . . . . . . . . . . . . 102 7739 . . . . . . . . . . .21, 154 775 . . . . . . . . . . . . . . .108 7751 . . . . . . . . . . . . . .169 78-1500. . . . . . . . . . . .272 782 . . . . . . . . . . . . . . .203 783 . . . . . . . . . . . . . . .203 784/2 . . . . . . . . . . . . . .133 784/3 . . . . . . . . . . . . . .133 7887 . . . . . . . . . . . . . . 171 7889 . . . . . . . . . . . . . .146 789 . . . . . . . . . . . . . . . .60 7898 . . . . . . . . . . . . . .153 7898CD. . . . . . . . . . . .153 79-1800. . . . . . . . . . . .285 79-1801 . . . . . . . . . . . .285 79-1820 . . . . . . . . . . . .273 79-1860. . . . . . . . . . . . 274 792 . . . . . . . . . . . . . . .203 7920 . . . . . . . . . . . . . .143 79-2201. . . . . . . . . . . .273 79-2203 . . . . . . . . . . .273 79-2807 . . . . . . . . . . . 274 79-2808 . . . . . . . . . . . 274 793 . . . . . . . . . . . . . . .203 79-3930 . . . . . . . . . . .273 794 . . . . . . . . . . . . . . . 130 794M . . . . . . . . . . . . . 130 79-695 . . . . . . . . . . . . 274 7979 . . . . . . 98, 179, 301 7999 . . . . . . . . . . . . . .169 79-FT10 . . . . . . . . . . . 274 80 . . . . . . . . . . . . . . . . .64 8001 . . . . . . . . . . . . . . 142 80010DS. . . . . . . . . . .208 80015DS. . . . . . . . . . .208 80-02 . . . . . . . . . . . . .373 80020DS . . . . . . . . . .208 8003 . . . . . . . . . . . . . .169 80030DS . . . . . . . . . .208 80040DS . . . . . . . . . .208 80045DS . . . . . . . . . .208 80060DS . . . . . . . . . .208 80060GDS . . . . . . . . .208 80-1099. . . . . . . . . . . .373 80130DS. . . . . . . . . . .208 802-1015-0600. . . . . .395 802-1017-0645 . . . . . .395 802-1044-0100. . . . . .395 802-1044-0200 . . . . .395 802-1044-0600 . . . . .395 802-1044-0900 . . . . .395 802-1044-1200 . . . . . .395 802-1045-0100. . . . . .395 802-1045-0200 . . . . .395 802-1045-0600 . . . . .395 802-1045-0900 . . . . .395 802-1045-1200 . . . . . .395
506
Numeric Index
802-1203-0300. . . . . .386 802-1207-1900 . . . . . .386 802-1208-0300. . . . . .386 802-1209-1900 . . . . . .387 802-1210-1900 . . . . . .387 802-1243-1900 . . . . . .386 802-1250-0099. . . . . .387 802-1333-0200. . . . . .398 802-1333-0600 . . . . .398 802-1333-5400 . . . . .398 802-1333-9906 . . . . .398 802-1333-9912 . . . . . .398 802-1333-9913 . . . . . .398 802-1333-9914 . . . . . .398 802-1334-0200 . . . . .398 802-1334-0600 . . . . .398 802-1334-5400 . . . . .398 802-1435-0001 . . . . .401 802-1435-0010. . . . . .401 802-1435-0024. . . . . .401 802-1511-1900 . . . . . .388 802-1708-1900 . . . . . .385 802-1726-1900 . . . . . .385 802-1901-0000. . . . . .403 802-2008-0000 . . . . .421 802-2008-0099 . . . . .421 802-2028-0000 . . . . .337 802-3016-0100. . . . . .423 802-3017-0100 . . . . . .423 802-3018-0100. . . . . .423 802-3020-0100 . . . . .423 80-2514 . . . . . . . . . . . .373 8026-13. . . . . . . . . . . . 141 8056ADV . . . . . . . . . . 176 8056BDV . . . . . . . . . . 176 8056CDV . . . . . . . . . . 176 8060 . . . . . . . . . . . . . .167 8061 . . . . . . . . . . . . . .167 8065 . . . . . . . . . . . . . .167 8073-13 . . . . . . . . . . . . 147 80-753. . . . . . . . . . . . .460 8093 . . . . . . . . . . . . . .144 810 . . . . . . . . . . . . . . .134 810DS . . . . . . . . . . . . .208 8114. . . . . . . . . . . .95, 143 8115-13 . . . . . . . . . . . . 141 8122 . . . . . . . . . . . . . . 162 8123 . . . . . . . . . . . . . . 162 8124 . . . . . . . . . . . . . . 162 8125 . . . . . . . . . . . . . .163 8126 . . . . . 163, 179, 301 8127 . . . . . . . . . . . . . .163 813-7644-0200 . . . . . 318 8142-13 . . . . . . . . . . . .140 815DS . . . . . . . . . . . . .208 8165-13 . . . . . . . . . . . .140 8169 . . . . . . . . . . . . . . 156 8170 . . . . . . . . . . . . . . 156 8175 . . . . . . . . . . . . . . 156 8197-13 . . . . . . . . . . . . 147 82-001109. . . . . . . . . .376 82-001131. . . . . . . . . .376 82-001231 . . . . . . . . .376 82-002109 . . . . . . . . .376 82-003516 . . . . . . . . .376 82-003545 . . . . . . . . .376 82-00761 . . . . . . . . . .370 82-01000 . . . . . . . . . .370 82-0216. . . . . . . . . . . .349 82-03986 . . . . . . . . . .372 82-057504 . . . . . . . . .370 82-057508 . . . . . . . . .370 82-1002 . . . . . . . . . . . .349 82-109225. . . . . 309, 349 82-1103 . . . . . . . . . . . .308 82-1106 . . . . . . . . . . . .308 82-1231 . . . . . . . . . . . .308 82-1291 . . . . . . . . . . . .308 82-1453 . . . . . . . . . . . .349 82-1455 . . . . . . . . . . . .349 82-1600 . . . . . . . . . . . .362 82-1607 . . . . . . . . . . . .349 82-1611 . . . . . . . . . . . .349 82-1877 . . . . . . . . . . . .349 82-1880 . . . . . . . . . . . .349 8219-13 . . . . . . . . . . . . 152 8220-13 . . . . . . . . . . . . 152 82-2030. . . . . . . . . . . .276 82-2037. . . . . . . . . . . .276 8221-13 . . . . . . . . . . . . 151 8221CD-13 . . . . . . . . . 151 82-25705. . . . . . . . . . . 314 82-25806 . . . . . . . . . . 314 8226 . . . . . . . . . . . . . .140 82-260400 . . . . 309, 365 82-260449 . . . . 309, 365 8229DV. . . . . . . . . . . . 170 8231DV . . . . . . . . . . . . 177 8233DV. . . . . . . . . . . . 175 8238DV. . . . . . . . . . . . 177 8239-13. . . . . . . . . . . .150 8240-13 . . . . . . . . . . . .150 82-40600 . . . . . . . . . .308 82-4135. . . . . . . . . . . .308 8244-13. . . . . . . . . . . .150 82-4442 . . . . . . . . . . .308 8244CD-13 . . . . . . . . .150 8244S-13 . . . . . . . . . .150 8246-13. . . . . . . . . . . . 152 8247-13 . . . . . . . . . . . . 152 8248-13 . . . . . . . . . . . . 141 8250-13 . . . . . . . . . . . .140 82508DS . . . . . . . . . .208 82-511 . . . . . . . . . . . . .349 82512DS . . . . . . . . . . .208 82516DS . . . . . . . . . . .208 82524DS. . . . . . . . . . .208 82-528. . . . . . . . . . . . .349 82532DS. . . . . . . . . . .208 82536DS . . . . . . . . . .208 8254 . . . . . . . . . . . . . .168 82548DS . . . . . . . . . .208 8255-13 . . . . . . . . . . . . 151 8255CD-13 . . . . . . . . . 151 8258-13 . . . . . . . . . . . . 151 82-6065 . . . . . . . . . . .375 82-6072 . . . . . . . . . . .375 82-6083 . . . . . . . . . . .375 82624DS. . . . . . . . . . .208 82-625. . . . . . . . . . . . . 314 82-628046 . . . . . . . . .348 8266-13. . . . . . . . . . . .153 82-678. . . . . . . . . . . . .370 82-698446 . . . . . . . . .348 82-6984F4 . . . . . . . . .348 82-698548 . . . . . . . . .348 82-6985K6 . . . . . . . . .348 82-6989AR . . . . . . . . .348 82-7000A . . . . . . . . . .347 82-7018A . . . . . . . . . .347 82-704 . . . . . . . . . . . . . 314 82-71356 . . . . . . . . . . .276 82-7143 . . . . . . . . . . . .347 82-7308. . . . . . . . . . . .300 82-7311 . . . . . . . . . . . .300 8273-13 . . . . . . . . . . . . 152 8274-13 . . . . . . . . . . . . 152 8275-13 . . . . . . . . . . . . 152 8276-13 . . . . . . . . . . . . 152 8277-13 . . . . . . . . . . . . 152 82-77272. . . . . . . . . . .279 82-7754. . . . . . . . . . . .279 8278-13 . . . . . . . . . . . . 152 82-7900. . . . . . . . . . . .370 82-7909. . . . . . . . . . . .371 8279-13 . . . . . . . . . . . . 152 8280-13. . . . . . . . . . . .149 8280HH-13 . . . . . . . . .148 8283 . . . . . . . . . . . . . .153 8283CD. . . . . . . . . . . .153 8287 . . . . . . . . . . . . . .153 82-87295 . . . . . . . . . .279 8287CD. . . . . . . . . . . .153 82-886 . . . . . . . . . . . .372 82-BMW . . . . . . . . . . .276 82-H21083 . . . . . . . . .279 82-HW25806 . . . . . . . 314 82-O08472 . . . . . . . . .279 830 . . . . . . . . . . . . . . . . 82 831/2 . . . . . . . . . . . . . .133 831/3 . . . . . . . . . . . . . .133 83-1201 . . . . . . . . . . . .378 83-50750 . . . . . . . . . .378 8363 . . . . . . . . . . . . . . 178 8372 . . . . . . . . . . . . . .153 8372CD. . . . . . . . . . . .153 8375 . . . . . . . . . . . . . .168 8422 . . . . . . . . . . . . . . 170 84-PJ8 . . . . . . . . . . . .376 8500 . . . . . . 73, 176, 332 8501 . . . . . . 73, 176, 332 851/2 . . . . . . . . . . . . . . .63 8510 . . . . . . . . . . . . . . 147 8511 . . . . . . . . . . . . . . 147
507
Numeric Index
8513 . . . . . .147, 179, 301 852/2 . . . . . . . . . . . . . . .63 852/3 . . . . . . . . . . . . . . .63 8523 . . . . . . . . . . . . . . 142 8526 . . . . . . . . . . . . . .144 8527 . . . . . . . . . . . . . . 142 8528 . . . . . . . . . . . . . .144 8529 . . . . . . . . . . . . . .143 8530 . . . . . . . . . . . . . .145 8531 . . . . . . . . . . . . . .145 8538 . . . . . . . . . .163, 178 8540 . . . . . . . . . . . . . . 155 8542 . . . . . . . . . . 147, 180 8546 . . . . . . . . . . . . . .146 8549 . . . . . . . . . . . . . .168 8550 . . . . . . . . . . . . . .168 8552 . . . . . . . . . . . . . .163 8560 . . . . . . . . . . . . . .168 8562 . . . . . . . . . . . . . . 161 8563 . . . . . . . . . . . . . .168 8575-13 . . . . . . . . . . . . 152 8596 . . . . . . . . . . . . . . 155 8602 . . . . . . . . . . . . . . 147 86-0332 . . . . . . . . . . .441 8608 . . . . . . . . . . . . . . 147 8617 . . . . . . . . . . . . . . 178 86-20010 . . . . . . . . . .439 86-20051 . . . . . . . . . .439 86-430 . . . . . . . . . . . .440 867 . . . . . . . . . . . . . . . .64 8673 . . . . . . . . . . . . . .167 8673IG . . . . . . . . . . . .167 8673S . . . . . . . . . . . . .167 8673W . . . . . . . . . . . .167 8675 . . . . . . . . . . . . . .146 8746 . . . . . 179, 243, 301 875/2 . . . . . . . . . . . . . .108 875/3 . . . . . . . . . . . . . .108 876 . . . . . . . . . . . . . . . .59 8771 . . . . . . . . . . . . . .143 8773 . . . . . . . . . . . . . .167 8773IG . . . . . . . . . . . .167 8773W . . . . . . . . . . . .167 8783 . . . . . . . . . . . . . .166 8783KEY . . . . . . . . . .166 87875 . . . . . . . . . . . . .225 879/2 . . . . . . . . . . . . . . 119 880/2 . . . . . . . . . . . . . . 119 880/3 . . . . . . . . . . . . . . 119 8800-13. . . . . . . . . . . . 151 8811 . . . . . . . . . . . . . .167 882 . . . . . . . . . . . . . . . 119 883/2 . . . . . . . . . . . . . . .60 8850-13. . . . . . . . . . . .148 8850CD-13 . . . . . . . . .148 8851-13 . . . . . . . . . . . .148 8857-13 . . . . . . . . . . . .150 8857CD-13 . . . . . . . . .150 8857S-13 . . . . . . . . . .150 8858-13. . . . . . . . . . . . 147 886/2 . . . . . . . . . . . . . . 118 886/3 . . . . . . . . . . . . . . 118 8860-13. . . . . . . . . . . .149 8861-13 . . . . . . . . . . . . 151 8862-13 . . . . . . . . . . . . 151 888/2 . . . . . . . . . . . . . . .64 888/3. . . . . . . . . . . . . . .64 888-S . . . . . . . . . . . . . .64 8899DV. . . . . . . . . . . . 171 8910 . . . . . . . . . . . . . .144 8911 . . . . . . . . . . . . . .163 8916 . . . . . . . . . . . . . . 174 8917 . . . . . . . . . . . . . . 174 8919 . . . . . . . . . . . . . . 174 8920 . . . . . . . . . . . . . . 174 8-920861 . . . . . . . . . .427 8943 . . . . . . . . . .176, 398 89465BLK . . . . . . . . .225 89-4739 . . . . . . . . . . .360 8955-13. . . . . . . . . . . . 152 8961-13 . . . . . . . . . . . .150 8962-13 . . . . . . . . . . . .150 8963-13. . . . . . . . . . . .150 8965-13. . . . . . . . . . . . 152 8966-13. . . . . . . . . . . .150 8967-13 . . . . . . . . . . . . 152 8968 . . . . . . . . . . . . . . 152 8969-13. . . . . . . . . . . . 152 8970-13 . . . . . . . . . . . . 152 8980-13. . . . . . . . . . . .150 8987 . . . . . . . . . . . . . .145 900 . . . . . . . . . . . . . . .200 901 . . . . . . . . . . . . . . .134 902 . . . . . . . . . . . . . . .134 903-S . . . . . . . . . . . . . .95 906 . . . . . . . . . . . . . . .134 90-910. . . . . . . . . . . . .370 91-1117D . . . . . . . . . . .440 912-0010-9824. . . . . .423 91-202000 . . . . . . . . .441 91-202020. . . . . . . . . .441 91-3000 . . . . . . . . . . .440 91-PC800 . . . . . . . . . .440 922 . . . . . . . . . . . . . . .200 922S . . . . . . . . . . . . . .200 92-4422 . . . . . . . . . . .325 92530DS . . . . . . . . . .209 92560DS . . . . . . . . . .209 92590DS . . . . . . . . . .209 93-00110. . . . . . . . . . .377 93-081 . . . . . . . . . . . .377 93-12 . . . . . . . . . . . . . .379 93-H21210 . . . . . . . . .377 93-K303 . . . . . . . . . . .377 93-K313 . . . . . . . . . . .377 94/2 . . . . . . . . . . . 84, 360 95030DS . . . . . . . . . .209 95060DS . . . . . . . . . .209 960 . . . . . . . . . . . . . . . 114 97-2102 . . . . . . . . . . . .403 97530DS . . . . . . . . . .209 977 . . . . . . . . . . . . . . . .59 978 . . . . . . . . . . . . . . . .59 97-HE34 . . . . . . . . . . .407 982/4P . . . . . . . . . . . . .66 982P . . . . . . . . . . . . . . .66 986P . . . . . . . . . . . . . . .65 987/3P. . . . . . . . . . . . . .66 989 . . . . . . . . . . . . . . . .67 989/4P. . . . . . . . . . . . . .67 989P . . . . . . . . . . . . . . .67 990 . . . . . . . . . . . . . . . .67 99-00309 . . . . . . . . . .332 99-00329 . . . . . . . . . .332 99-0037 . . . . . . . . . . .332 99-0526 . . . . . . . . . . .375 99-0531 . . . . . . . . . . .375 991 . . . . . . . . . . . . . . . 119 99-102010. . . . . . . . . .393 99-252011. . . . . . . . . .332 99-252015 . . . . . . . . .332 99-252061 . . . . . . . . .332 99-252071 . . . . . . . . .332 99-4008 . . . . . . . . . . .355 99-4260 . . . . . . . . . . .325 99-4300 . . . . . . . . . . .324 99-4423 . . . . . . . . . . .332 99-4425 . . . . . . . . . . .325 99-503035 . . . . . . . . .326 99-5085 . . . . . . . . . . .405 99-5090 . . . . . . . . . . .332 99-5095 . . . . . . . . . . .332 99-5096 . . . . . . . . . . .332 99-554020 . . . . . . . . .328 99-5569010 . . . . . . . .336 99-5700 . . . . . . . . . . .336 99-6000S . . . . . . . . . .375 99-6095 . . . . . . . . . . .427 99-6112 . . . . . . . . . . . .326 99-6127 . . . . . . . . . . .325 99-6512 . . . . . . . . . . .375 99-6526G . . . . . . . . . . 319 99-6529 . . . . . . . . . . .332 99-6531 . . . . . . . . . . .332 99-6572 . . . . . . . . . . .375 99-6820C . . . . . . . . . . 318 99-705020 . . . . . . . . .335 99-7225C . . . . . . . . . . 319 99-7300 . . . . . . . . . . .326 99-8210 . . . . . . . . . . .335 99-8215 . . . . . . . . . . .393 99-90208 . . . . . . . . . .334 99-909320 . . . . . . . . .335 99-909369 . . . . . . . . .334 99-BELB . . . . . . . . . . .377 99-DENT40 . . . . . . . . 374 99-HB . . . . . . . . . . . . .372 99-HBV . . . . . . . . . . . .372 99-TB37 . . . . . . . . . . . 374 99-TP150 . . . . . . . . . . 374 99-TP275 . . . . . . . . . . 374 99-TP6 . . . . . . . . . . . . 374 A-133 . . . . . . . . . . . . . .84 A-135 . . . . . . . . . 84, 360
508
Numeric Index
A-166 . . . . . . . . . . . . . .63 A-167 . . . . . . . . . . . . . .63 A-170. . . . . . . . . . . . . . .63 BFGR-911 . . . . . . . . . . 310 BH700BK . . .130, 225, 457 BH700BL. . . .130, 225, 457 BRG-001. . . . . . . . . . .271 BRG-002. . . . . . . . . . .271 BRG-003. . . . . . . . . . .271 BRG-004 . . . . . . . . . .271 BRG-011M . . . . . . . . .271 BRG-012M . . . . . . . . .271 BRG-013M . . . . . . . . .271 BRG-014M . . . . . . . . .271 BRG-021. . . . . . . . . . .271 BRG-022. . . . . . . . . . .271 BRG-023. . . . . . . . . . .271 BRG-024. . . . . . . . . . .271 BRG-200 . . . . . . . . . . .343 BRG-201 . . . . . . . . . . .343 BRG-720 . . . . . . . . . . .276 BRG-721 . . . . . . . . . . .276 BRG-722 . . . . . . . . . . .276 BRG-723 . . . . . . . . . . .276 BRG-814 . . . . . . .278, 376 BRG-910 . . . . . . . . . . . 310 BRG-920. . . . . . . 96, 290 BRG-921 . . . . . . . 96, 290 CFS10-1HF . . . . . . . . . 112 CFS10-1HH. . . . . . . . . 112 CFS10-2HH . . . . . . . . 114 CFS10-3HH . . . . . . . . 115 CFS10-4HH . . . . . . . . 113 CFS10-6HH . . . . . . . . 112 CFS1-10/2PS . . . . . . . .56 CFS1-11 . . . . . . . . . . . 107 CFS11-1HF . . . . . . . . . . 62 CFS11-1HH . . . . . . . . . . 62 CFS1-12/2PS . . . . . . . .60 CFS1-13P . . . . . . . . . . .90 CFS1-14HF . . . . . . .70, 88 CFS1-14HH. . . . . . .70, 88 CFS1-15R/2 . . . . . . . . 128 CFS1-16 . . . . . . . . . . . .56 CFS1-2 . . . . . . . . . . . . 125 CFS12-1 . . . . . . . . . . . . 91 CFS12-3HF . . . . . .90, 289 CFS12-3HH . . . . .90, 289 CFS12-4 . . . . . . . . . . . .88 CFS12-5HH . . . . . . . . . 91 CFS12-7/3P . . . . . . . . . . 91 CFS1-3 . . . . . . . . . . . . .56 CFS13-1 . . . . . . . . . . .106 CFS13-2 . . . . . . . . . . . 110 CFS14-1 . . . . . . . . . . . 107 CFS14-14 . . . . . . . . . .138 CFS14-2 . . . . . . . . . . .138 CFS14-20 . . . . . . . . . . 107 CFS14-21 . . . . . . . . . . 107 CFS14-3 . . . . . . . . . . .138 CFS14-4 . . . . . . . . . . .138 CFS14-5 . . . . . . . . . . .138 CFS14-6 . . . . . . . . . . .138 CFS14-7 . . . . . . . . . . .138 CFS14-8 . . . . . . . . . . .138 CFS14-9 . . . . . . . . . . . 111 CFS1-4HH . . . . . . . . . .56 CFS1-9R/2P . . . . . . . . 128 CFS1-9R/2TP . . . . . . . 128 CFS2-1/3P. . . . . . . . . . 118 CFS2-1/3TP . . . . . . . . 118 CFS2-2/2P . . . . . . . . . 119 CFS2-2/2TP . . . . . . . . 119 CFS2-3/4. . . . . . . . . . . 127 CFS2-4/2P . . . . . . . . . 118 CFS2-4/2TP . . . . . . . . 118 CFS3-10HF . . . . . . . . . . 72 CFS3-10HH . . . . . . . . . 72 CFS3-11/2 . . . . . . . . . .108 CFS3-1HF . . . . . . . . . . . 73 CFS3-1HH. . . . . . . . . . . 73 CFS3-2HF . . . . . . . . . . . 71 CFS3-2HH . . . . . . . 71, 72 CFS3-3HF. . . . . . . . . . . 73 CFS3-3HH . . . . . . . . . . 73 CFS3-4/2P . . . . . . . . . .56 CFS3-4/2TP . . . . . . . . .56 CFS3-5HF-12 . . . . . . . . 72 CFS3-5HH-12 . . . . . . . . 72 CFS3-7HF . . . . . . . . . . . 71 CFS3-7HH . . . . . . . . . . 71 CFS3-8/2P . . . . . .71, 245 CFS3-9R/2P . . . . . . . . .64 CFS4-1/2P-10 . . . . . . . 124 CFS4-1/2TP-10 . . . . . . 124 CFS4-10HF . . . . . . . . . 127 CFS4-10HH . . . . . . . . 127 CFS4-12HF . . . . . . . . . 127 CFS4-12HH . . . . . . . . 127 CFS4-13HF . . . . . . . . . 128 CFS4-13HH . . . . . . . . 128 CFS4-1HH-10 . . . . . . . 124 CFS4-2HH . . . . . . . . . 124 CFS4-4HH . . . . . . . . . 125 CFS4-5HH . . . . . . . . . 124 CFS4-6HF. . . . . . . . . . 126 CFS4-6HH . . . . . . . . . 126 CFS4-8 . . . . . . . . . . . . 124 CFS4-9HF. . . . . . . . . . 126 CFS4-9HH . . . . . . . . . 126 CFS5-1/3P . . . . . . . . . .54 CFS5-10HH . . . . . . . . .80 CFS5-12HF . . . . . . . . . . 82 CFS5-12HH . . . . . . . . . 82 CFS5-13HF . . . . . . . . . .80 CFS5-13HH . . . . . . . . .80 CFS5-14HF . . . . . . . . . . 81 CFS5-14HH . . . . . . . . . 81 CFS5-15HF . . . . . . . . . 120 CFS5-15HH . . . . . . . . 120 CFS5-16HF . . . . . . . . . .62 CFS5-16HH . . . . . . . . .62 CFS5-17HF . . . . . . . . . 118 CFS5-17HH . . . . . . . . 118 CFS5-18HH . . . . . . . . .69 CFS5-19HH . . . . . . . . .69 CFS5-2/4P . . . . . . . . . .54 CFS5-2/4TP . . . . . . . . .54 CFS5-20HF-10 . . . . . . .84 CFS5-20HH-10 . . . . . . .84 CFS5-3HF-10 . . . . .55, 68 CFS5-3HH-10 . . . . .55, 68 CFS5-4 . . . . . . . . . . . . .55 CFS5-5HF. . . . . . . . . . . 76 CFS5-5HH . . . . . . . . . . 76 CFS5-6HF. . . . . . .76, 103 CFS5-6HH . . . . . .76, 103 CFS5-7HF . . . . . . . . . .104 CFS5-7HH . . . . . . . . .104 CFS5-8HF. . . . . . . . . . . 76 CFS5-8HH . . . . . . . . . . 76 CFS5-9HF. . . . . . .76, 103 CFS5-9HH . . . . . .76, 103 CFS6-10HF . . . . . . . . . . 74 CFS6-10HH . . . . . . . . . 74 CFS6-11HF . . . . . . . . . . 74 CFS6-11HH. . . . . . . . . . 74 CFS6-12HH . . . . . . . . .69 CFS6-13HF . . . . . . . . . 117 CFS6-13HH . . . . . . . . 117 CFS6-14HH . . . . . . . . 116 CFS6-16HH . . . 104, 368 CFS6-17HF . . . . . . . . . . 73 CFS6-17HH . . . . . . . . . 73 CFS6-18/2. . . . . . . . . .108 CFS6-19HF . . . . . . . . . . 71 CFS6-19HH . . . . . . . . . 71 CFS6-1HF . . . . . . . 69, 115 CFS6-1HH . . . . . . 69, 115 CFS6-20HHH . . . . . . . . 76 CFS6-21HF . . . . .101, 441 CFS6-21HH . . . .101, 441 CFS6-22HF. . . . . . . . . . 76 CFS6-22HH . . . . . . . . . 76 CFS6-23HH . . . . . . . . . 71 CFS6-24HF. . . . . . . . . 102 CFS6-24HH . . . . . . . . 102 CFS6-25HF. . . . .100, 361 CFS6-25HH . . . .100, 361 CFS6-26RHF . . . . . . . 102 CFS6-26RHH . . . . . . . 102 CFS6-27HF. . . . . . . . . .88 CFS6-27HH . . . . . . . . .88 CFS6-28HH . . . . . . . .104 CFS6-29HF. . . . . . . . . .88 CFS6-29HH . . . . . . . . .88 CFS6-30 . . . . . . . . . . . .90 CFS6-31HF . . . . . . . . . .84 CFS6-31HH . . . . . . . . .84 CFS6-32HF. . . . . 84, 360 CFS6-32HH . . . . 84, 360 CFS6-33HF . . . . . . . . 117 CFS6-33HH . . . . . . . . 117 CFS6-38HF . . . . . .70, 96
509
Numeric Index
CFS6-38HH . . . . . .70, 96 CFS6-3AHH . . . . . . . . .83 CFS6-3BHH . . . . . . . . .83 CFS6-3CHH . . . . . . . . .83 CFS6-4HF. . . . . . . . . . .98 CFS6-4HH . . . . . . . . . .98 CFS6-5HH-10 . . . . . . . .96 CFS6-6HH-10. . . . . . . .96 CFS6-7HH . . . . . . . . . .99 CFS6-8HF. . . . . . . . . . . 74 CFS6-8HH . . . . . . . . . . 74 CFS6-9HF. . . . . . . . . . . 74 CFS6-9HH . . . . . . . . . . 74 CFS8-1 . . . . . . . . . . . . 111 CFS9-1HF . . . . . . . . . . .63 CFS91-HH . . . . . . . . . .63 CFS9-2 . . . . . . . . . . . . 110 CFS9-3/3P . . . . . . . . . .66 CFS9-3/4P . . . . . . . . . .66 CMS-10123 . . . . . . . . . 61 CMS-10123-S . . . . . . . 61 CMS-10124. . . . . . . . . . 61 CMS-10124-S. . . . . . . . 61 CMS-R-131. . . . . . . . . . 61 CMS-R-296-1 . . . . . . . . 61 CMS-R-296-2. . . . . . . . 61 CMS-R-296-2D . . . . . . 61 CMS-R-296-3. . . . . . . . 61 CMS-R-296-3D . . . . . . 61 CMS-R-296-S1 . . . . . . 61 CMS-R-296-S1D . . . . . 61 CMS-R-296-S2 . . . . . . 61 CMS-R-296-S2D . . . . . 61 CMS-R-296-S3 . . . . . . 61 CMS-R-296-S3D . . . . . 61 H11900L . . . . . . . . . . .232 H11901L . . . . . . . . . . .232 H11902T . . . . . . . . . . .232 H11903L . . . . . . . . . . .232 H11904L . . . . . . . . . . .232 H11906L . . . . . . . . . . .232 H11907L . . . . . . . . . . .232 H11908L . . . . . . . . . . .232 H11921L . . . . . . . . . . .232 H11922L . . . . . . . . . . .232 H11923L . . . . . . . . . . .232 L-1088N . . . . . . . . . . .227 L-1092N . . . . . . . . . . .227 L-1093N . . . . . . . . . . .227 L-1094N . . . . . . . . . . .227 L-1095N . . . . . . . . . . .227 L-1096N . . . . . . . . . . .227 L-1097N . . . . . . . . . . .227 L-1500 . . . . . . . . . . . . .238 L-1502 . . . . . . . . . . . . .238 L-1503 . . . . . . . . . . . . .238 L-1504 . . . . . . . . . . . . .238 L-1505 . . . . . . . . . . . . .238 L-1833 . . . . . . . . . . . . .242 L-1834 . . . . . . . . . . . . .242 L-1835 . . . . . . . . 242, 368 L-1900 . . . . . . . . . . . . .105 L-1901 . . . . . . . . . . . . .105 L-1902 . . . . . . . . . . . . .105 L-1903 . . . . . . . . . . . . .105 L-1904 . . . . . . . . . . . . .105 L-1906 . . . . . . . . . . . . .105 L-1907 . . . . . . . . . . . . .105 L-1909 . . . . . . . . . . . . .105 L-1910 . . . . . . . . . . . . .105 L-1911 . . . . . . . . . . . . .105 L-1913 . . . . . . . . . . . . .105 L-1915 . . . . . . . . . . . . .105 L-1921 . . . . . . . . . . . . .105 L-2041 . . . . . . . . 239, 245 L-2043 . . . . . . . . . .96, 243 L-2044N . . . . . . . . . . .237 L-2046 . . . . . . . . . . . . .238 L-2051 . . . . . . . . . . . . .244 L-2052 . . . . . . . . . . . . .238 L-2058 . . . . . . . . . . . . .242 L-2060N . . . . . . . . . . .237 L-2064N . . . . . . . . . . .244 L-2066N . . . . . . . . . . .238 L-2071 . . . . . . . . . . . . .239 L-2077 . . . . . . . . . . . . .237 L-2081 . . . . . . . . . . . . .238 L-2083N . . . . . . . . . . .249 L-2084N . . . . . . .247, 364 L-2092N . . . . . . 246, 287 L-2094N . . . . . . . . . . .239 L-21000 . . . . . . . . . . . .227 L-21000PK . . . . . . . . .227 L-21001 . . . . . . . . . . . .227 L-21002 . . . . . . . . . . . .227 L-21003 . . . . . . . . . . . .227 L-21004 . . . . . . . . . . . .227 L-21005 . . . . . . . . . . . .227 L-21006 . . . . . . . . . . . .227 L-21007 . . . . . . . . . . . .227 L-21008 . . . . . . . . . . . .227 L-21009 . . . . . . . . . . . .227 L-2101N. . . . . . . . . . . .239 L-2106N . . . . . . . . . . .244 L-2109 . . . . . . . . . . . . .239 L-2121N. . . 239, 246, 287 L-2130 . . . . . . . . . . . . . 247 L-2131 . . . . . . . . . . . . . 247 L-2132 . . . . . . . . . . . . . 247 L-2133 . . . . . . . . . . . . . 247 L-2134N . . . . . . . . . . . 247 L-2135N . . . . . . . . . . . 247 L-2136 . . . . . . . . . . . . . 247 L-2143 . . . . . . . . . . . . .237 L-2150 . . . . . . . . . . . . .237 L-2152 . . . . . . . . 246, 287 L-2183 . . . . . . . . . . . . .239 L-2189 . . . . . . . . 246, 287 L-22000. . . . . . . . . . . .227 L-22001 . . . . . . . . . . . .227 L-22002 . . . . . . . . . . . .227 L-22003 . . . . . . . . . . . .227 L-22004. . . . . . . . . . . .227 L-22005. . . . . . . . . . . .227 L-22006. . . . . . . . . . . .227 L-22007 . . . . . . . . . . . .227 L-22008. . . . . . . . . . . .227 L-22009. . . . . . . . . . . .227 L-2201 . . . . . . . . . . . . .234 L-22010 . . . . . . . . . . . .227 L-22011 . . . . . . . . . . . .227 L-22012 . . . . . . . . . . . .227 L-22013 . . . . . . . . . . . .227 L-22014 . . . . . . . . . . . .227 L-22015 . . . . . . . . . . . .227 L-22016 . . . . . . . . . . . .227 L-22017 . . . . . . . . . . . .227 L-22018 . . . . . . . . . . . .227 L-22019 . . . . . . . . . . . .227 L-2202 . . . . . . . . . . . . .234 L-22020 . . . . . . . . . . . .227 L-22021 . . . . . . . . . . . .227 L-22022 . . . . . . . . . . . .227 L-22023 . . . . . . . . . . . .227 L-22024 . . . . . . . . . . . .227 L-22025 . . . . . . . . . . . .227 L-22026 . . . . . . . . . . . .227 L-2203 . . . . . . . . . . . . .234 L-2204 . . . . . . . . . . . . .234 L-2205 . . . . . . . . . . . . .234 L-2206 . . . . . . . . . . . . .234 L-2213 . . . . . . . . . . . . .234 L-2219 . . . . . . . . . . . . .234 L-2220 . . . . . . . . . . . . .234 L-2221 . . . . . . . . . . . . .234 L-2222 . . . . . . . . . . . . .234 L-2223 . . . . . . . . . . . . .234 L-2224 . . . . . . . . . . . . .234 L-2231 . . . . . . . . . . . . .234 L-2239 . . . . . . . . . . . . .237 L-2240 . . . . . . . . . . . . .237 L-2266 . . . . . . . . . . . . .240 L-2272N . . . . . . . . . . . 247 L-2273 . . . . . . . . . . . . . 247 L-2275N . . . . . . . . . . . 247 L-2290 . . . . . . . . . . . . .237 L-2291 . . . . . . . . . . . . .237 L-2304 . . . . . . . . 246, 287 L-2310 . . . . . . . . . . . . .228 L-2312 . . . . . . . . . . . . .246 L-2313 . . . . . . . . . . . . .246 L-2339 . . . . . . . . . . . . .240 L-2340 . . . . . . . . . . . . .244 L-2341 . . . . . . . . . . . . .240 L-2344 . . . . . . . . 239, 269 L-2355 . . . . . . . . . .99, 243 L-2362 . . . . . . . . . . . . .240 L-2364 . . . . . . . . . . . . .240 L-2405 . . . . . . . . . . . . . 241 L-2431 . . . . . . . . . . . . .237 L-2505 . . . . . . . . . . . . .236 L-2520 . . . . . . . . . . . . . 191 L-2525 . . . . . . . . . . . . .234 L-2551 . . . . . . . . . . . . .228
510
Numeric Index
L-2701 . . . . . . . . . . . . .234 L-2702 . . . . . . . . . . . . .234 L-2703 . . . . . . . . . . . . .234 L-2704 . . . . . . . . . . . . .234 L-2705 . . . . . . . . . . . . .234 L-2706 . . . . . . . . . . . . .234 L-2711 . . . . . . . . . . . . .234 L-2716 . . . . . . . . . . . . .234 L-2717 . . . . . . . . . . . . .234 L-2719 . . . . . . . . . . . . .234 L-2720 . . . . . . . . . . . . .234 L-2721 . . . . . . . . . . . . .234 L-2722 . . . . . . . . . . . . .234 L-2724 . . . . . . . . . . . . .234 L-2725 . . . . . . . . . . . . .234 L-2726 . . . . . . . . . . . . .234 L-2727 . . . . . . . . . . . . .234 L-2729 . . . . . . . . . . . . .234 L-2730 . . . . . . . . . . . . .234 L-2800 . . . . . . . . . . . . .234 L-2801 . . . . . . . . . . . . .234 L-2802 . . . . . . . . . . . . .234 L-2803 . . . . . . . . . . . . .234 L-2990 . . . . . . . . . .72, 245 L-2991 . . . . . . . . . .72, 245 L-2992 . . . . . . . . . .72, 245 L-2993 . . . . . . . . . .72, 245 L-2994 . . . . . . . . . .72, 245 L-3000N . . . . . . . . . . .235 L-3001N . . . . . . . . . . .235 L-3002N . . . . . . . . . . .235 L-3003N . . . . . . . . . . .235 L-3004N . . . . . . . . . . .235 L-3005N . . . . . . . . . . .235 L-3006N . . . . . . . . . . .235 L-3007N . . . . . . . . . . .235 L-3009N . . . . . . . . . . .235 L-3011N . . . . . . . . . . .235 L-3013N . . . . . . . . . . .235 L-3017N . . . . . . . . . . .235 L-3018N . . . . . . . . . . .235 L-3019N . . . . . . . . . . .235 L-3020N . . . . . . . . . . .235 L-3021N . . . . . . . . . . .235 L-3023N . . . . . . . . . . .235 L-3024 . . . . . . . . 246, 287 L-3032 . . . . . . . . 248, 277 L-3033 . . . . . . . . 248, 277 L-3034. . . . . . . . 248, 277 L-3035 . . . . . . . . . . . . .248 L-3036 . . . . . . . . 248, 277 L-3200 . . . . . . . . . . . . .228 L-3330. . . . . . . . . . . . .235 L-3332 . . . . . . . . . . . . .235 L-3340. . . . . . . . . . . . .235 L-3341 . . . . . . . . . . . . .235 L-3342 . . . . . . . . . . . . .235 L-3343. . . . . . . . . . . . .235 L-3344. . . . . . . . . . . . .235 L-3345. . . . . . . . . . . . .235 L-3346. . . . . . . . . . . . .235 L-3347 . . . . . . . . . . . . .235 L-3350. . . . . . . . . . . . .235 L-3351 . . . . . . . . . . . . .235 L-3352 . . . . . . . . . . . . .235 L-3354. . . . . . . . . . . . .235 L-3355 . . . . . . . . . . . . .235 L-3356 . . . . . . . . . . . . .235 L-3357 . . . . . . . . . . . . .235 L-3358. . . . . . . . . . . . .235 L-3359. . . . . . . . . . . . .235 L-3400. . . . . . . . . . . . .226 L-3408. . . . . . . . . . . . .226 L-3410 . . . . . . . . . . . . .226 L-3464. . . . . . . . . . . . .226 L-3500. . . . . . . . . . . . . 191 L-3500NH . . . . . . . . . . 191 L-3501 . . . . . . . . . . . . . 191 L-3501NH . . . . . . . . . . 191 L-3502 . . . . . . . . . . . . . 191 L-3502NH . . . . . . . . . . 191 L-3503 . . . . . . . . . . . . . 191 L-3503NH . . . . . . . . . . 191 L-3504. . . . . . . . . . . . . 191 L-3504NH . . . . . . . . . . 191 L-3505 . . . . . . . . . . . . . 191 L-3506 . . . . . . . . . . . . . 191 L-3506NH . . . . . . . . . . 191 L-3507 . . . . . . . . . . . . . 191 L-3507NH . . . . . . . . . . 191 L-3508 . . . . . . . . . . . . . 191 L-3508NH . . . . . . . . . . 191 L-3509. . . . . . . . . . . . . 191 L-3509NH . . . . . . . . . . 191 L-3510 . . . . . . . . . . . . . 191 L-3510NH . . . . . . . . . . 191 L-3511 . . . . . . . . . . . . . 191 L-3511NH . . . . . . . . . . 191 L-3515 . . . . . . . . . . . . . 191 L-3515NH . . . . . . . . . . 191 L-3516 . . . . . . . . . . . . . 191 L-3516NH . . . . . . . . . . 191 L-3517 . . . . . . . . . . . . . 191 L-3517NH . . . . . . . . . . 191 L-3521 . . . . . . . . . . . . . 191 L-3521NH . . . . . . . . . . 191 L-3522 . . . . . . . . . . . . . 191 L-3522NH . . . . . . . . . . 191 L-3523 . . . . . . . . . . . . . 191 L-3523NH . . . . . . . . . . 191 L-3524 . . . . . . . . . . . . . 191 L-3526 . . . . . . . . . . . . . 191 L-3527 . . . . . . . . . . . . . 191 L-3528 . . . . . . . . . . . . . 191 L-3529 . . . . . . . . . . . . . 191 L-3530. . . . . . . . . . . . . 191 L-3531 . . . . . . . . . . . . . 191 L-3532 . . . . . . . . . . . . . 191 L-3533. . . . . . . . . . . . . 191 L-3534. . . . . . . . . . . . . 191 L-3536 . . . . . . . . . . . . . 191 L-3537 . . . . . . . . . . . . . 191 L-3538. . . . . . . . . . . . . 191 L-3539. . . . . . . . . . . . . 191 L-3540. . . . . . . . . . . . . 191 L-3541 . . . . . . . . . . . . . 191 L-3542 . . . . . . . . . . . . . 191 L-3543. . . . . . . . . . . . . 191 L-3546. . . . . . . . . . . . . 191 L-3548. . . . . . . . . . . . . 191 L-3550 . . . . . . . . . . . . . 191 L-3560. . . . . . . . . . . . .190 L-3575 . . . . . . . . . . . . . 191 L-3576 . . . . . . . . . . . . . 191 L-3577 . . . . . . . . . . . . . 191 L-3578 . . . . . . . . . . . . . 191 L-3579 . . . . . . . . . . . . . 191 L-3580. . . . . . . . . . . . . 191 L-3581 . . . . . . . . . . . . . 191 L-3582 . . . . . . . . . . . . . 191 L-3583. . . . . . . . . . . . . 191 L-3584. . . . . . . . . . . . . 191 L-3600. . . . . . . . . . . . . 191 L-40 . . . . . . . . . . . . . .226 L-4500. . . . . . . . . . . . .237 L-4501. . . . . . . . . .74, 239 L-4502. . . . . . . . . . . . .236 L-4503. . . . . . . . . . . . .237 L-4504. . . . . . . . . . . . .242 L-4512 . . . . . . . . . . . . .236 L-4525. . . . . . . . . . . . .236 L-4526. . . . . . . . . . . . .236 L-4532. . . . . . . . . . . . .238 L-4537. . . . . . . . . . . . .236 L-45512 . . . . . . . . . . . .227 L-45513 . . . . . . . . . . . .227 L-45514 . . . . . . . . . . . .227 L-4555. . . . . . . . . . . . .240 L-4560. . . . . . . . . . . . .237 L-4561. . . . . . . . 246, 287 L-4562. . . . . . . . . . . . .236 L-4600. . . . . . . . . . . . .227 L-4601. . . . . . . . . . . . .227 L-4602. . . . . . . . . . . . .227 L-4603. . . . . . . . . . . . .227 L-4604. . . . . . . . . . . . .227 L-4605. . . . . . . . . . . . .227 L-4606. . . . . . . . . . . . .227 L-4607. . . . . . . . . . . . .227 L-4608. . . . . . . . . . . . .227 L-4609. . . . . . . . . . . . .227 L-4807. . . . 239, 246, 287 L-4809. . . . . . . . . . . . .249 L-4831. . . . . . . . . . . . .242 L-4834 . . . 239, 246, 287 L-4909. . . . . . . . . . . . .237 L-4910 . . . . . . . . . . . . .238 L-4918 . . . . . . . . 246, 287 L-4919 . . . . . . . . 246, 287 L-4920. . . . . . . . 246, 287 L-4921 . . . . . . . . 246, 287 L-4924. . . . . . . . 246, 287 L-4926. . . . . . . . 246, 287 L-500 . . . . . . . . . . . . . .226
511
Numeric Index
L-501 . . . . . . . . . . . . . .226 L-502 . . . . . . . . . . . . . .226 L-5060. . . . . . . . . . . . .228 L-5062. . . . . . . . . . . . .228 L-5063. . . . . . . . . . . . .228 L-5064. . . . . . . . . . . . .228 L-5065. . . . . . . . . . . . .228 L-5066. . . . . . . . . . . . .228 L-5067. . . . . . . . . . . . .228 L-5073 . . . . . . . . . . . . .190 L-510 . . . . . . . . . . . . . .226 L-511 . . . . . . . . . . . . . .226 L-512 . . . . . . . . . . . . . .226 L-5200 . . . . . . . . .186, 231 L-5201 . . . . . . . . .186, 231 L-5202 . . . . . . 186, 192, 231, 288 L-5203 . . . . . . 186, 192, 231, 288 L-5205 . . . . 186, 223, 231 L-5210 . . . . . . . . . . . . .231 L-5211 . . . . . . . . . . . . .231 L-550 . . . . . 226, 239, 426 L-5570 . . . . . . . . . . . . .223 L-5571 . . . . . . . . . . . . .223 L-5572 . . . . . . . . . . . . .223 L-5574 . . . . . . . . . . . . .223 L-5575 . . . . . . . . . . . . .223 L-5576 . . . . . . . . . . . . .223 L-5579 . . . . . . . . . . . . .223 L-5661 . . . . . . . . . . . . .249 L-5673 . . . . . . . . . . . . .249 L-5730 . . . . . . . . 246, 287 L-6000. . . . . . . . . . . . .230 L-6001. . . . . . . . . . . . .230 L-6002. . . . . . . . . . . . .230 L-6002BL . . . . . . . . . .230 L-6002PK . . . . . . . . . .230 L-6002YL . . . . . . . . . .230 L-6003. . . . . . . . . . . . .230 L-6005. . . . . . . . . . . . .230 L-6005B . . . . . . . . . . .230 L-6006. . . . . . . . . . . . .230 L-6006B . . . . . . . . . . .230 L-6007. . . . . . . . . . . . .230 L-6010 . . . . . . . . . . . . .230 L-6011 . . . . . . . . . . . . .230 L-6012N . . . . . . . . . . .244 L-6015 . . . . . . . . . . . . .230 L-6016 . . . . . . . . . . . . .230 L-6017 . . . . . . . . . . . . .230 L-6018 . . . . . . . . . . . . .230 L-6020. . . . . . . . . . . . .244 L-6026N . . . . . . . . . . .239 L-6045. . . . . . . . . . . . .230 L-6047. . . . . . . . . . . . .230 L-6064. . . . . . . . . . . . .236 L-6065N . . . . . . . . . . . 241 L-6066N . . . . . . . . . . . 241 L-6069. . . . . . . . . . . . . 241 L-6070N . . . . . . . . . . .244 L-6073 . . . . . . . . . . . . . 241 L-6074N . . . . . . . . . . .244 L-6092. . . . . . . . . . . . .236 L-6116N . . . .74, 242, 361 L-6129 . . . . . . . . . . . . .239 L-6137 . . . . . . . . . . . . .246 L-6138 . . . . . . . . . . . . .246 L-6142 . . . . . . . . . . . . .244 L-6144 . . . . . . . . . . . . .236 L-6180N . . . . . . . . . . . 241 L-6181 . . . . . . . . . . . . . 241 L-6182 . . . . . . . . . . . . . 241 L-6183 . . . . . . . . . . . . . 241 L-6184 . . . . . . . . . . . . . 241 L-6186 . . . . . . . . . . . . .239 L-6188 . . . . . . . . . . . . .237 L-6198 . . . . . . . . . . . . .240 L-6212N . . . . . . 246, 287 L-6244. . . . . . . . . . . . .221 L-6248. . . . . . . . . . . . .221 L-6260. . . . . . . . . . . . .221 L-6264. . . . . . . . . . . . .221 L-6268. . . . . . . . . . . . .221 L-6272 . . . . . . . . . . . . .221 L-6276 . . . . . . . . . . . . .221 L-6280. . . . . . . . . . . . .221 L-6284. . . . . . . . . . . . .221 L-6296. . . . . . . . . . . . .221 L-6300. . . . . . . . . . . . .221 L-6304. . . . . . . . . . . . .221 L-6308. . . . . . . . . . . . .221 L-6309. . . . . . . . . . . . .221 L-6354N . . . . . . 242, 369 L-6365N . . . . . . . . . . .244 L-6394. . . . . . . . . . . . .244 L-6400N . . . . . . . . . . .234 L-6401N . . . . . . . . . . .234 L-6404N . . . . . . . . . . .234 L-6405N . . . . . . . . . . .234 L-6406N . . . . . . . . . . .234 L-6408N . . . . . . . . . . .234 L-6409N . . . . . . . . . . .234 L-6410N . . . . . . . . . . .234 L-6414N . . . . . . . . . . .234 L-6415N . . . . . . . . . . .234 L-6416N . . . . . . . . . . .234 L-6444N . . . . . . . . . . .234 L-6449N . . . . . . . . . . .234 L-6450N . . . . . . . . . . .234 L-6454N . . . . . . . . . . . 247 L-6460. . . . . . . . . . . . . 247 L-6461. . . . . . . . . . . . . 247 L-6491. . . . . . . . . . . . .243 L-6560. . . . . . . . . . . . .234 L-6565. . . . . . . . . . . . .234 L-6566. . . . . . . . . . . . .234 L-6567. . . . . . . . . . . . .234 L-6568. . . . . . . . . . . . .234 L-6569. . . . . . . . . . . . .234 L-6600. . . . . . . . . . . . .228 L-6602. . . . . . . . . . . . .228 L-6606. . . . . . . . . . . . .228 L-6607. . . . . . . . . . . . .228 L-6615 . . . . . . . . . . . . .229 L-6616 . . . . . . . . . . . . .229 L-6617 . . . . . . . . . . . . .229 L-6630. . . . . . . . . . . . .228 L-6631 . . . . . . . . . . . . .228 L-6632. . . . . . . . . . . . .228 L-6633. . . . . . . . . . . . .228 L-6635. . . . . . . . . . . . .229 L-6636. . . . . . . . . . . . .229 L-6637. . . . . . . . . . . . .229 L-6638. . . . . . . . . . . . .229 L-6639. . . . . . . . . . . . .229 L-6641 . . . . . . . . . . . . .229 L-6645. . . . . . . . . . . . .229 L-6646. . . . . . . . . . . . .229 L-6647. . . . . . . . . . . . .229 L-6648. . . . . . . . . . . . .229 L-6649. . . . . . . . . . . . .229 L-6651 . . . . . . . . . . . . .229 L-6661 . . . . . . . . . . . . .229 L-6662. . . . . . . . . . . . .229 L-6663. . . . . . . . . . . . .229 L-6671 . . . . . . . . . . . . .229 L-6672. . . . . . . . . . . . .229 L-6673. . . . . . . . . . . . .229 L-7000 . . . . . . . . . . . . . 241 L-8000. . . . . . . . .247, 364 L-8063N . . . . . . 246, 287 L-8085. . . . . . . . . . . . .248 L-8500. . . . . . . . . . . . .237 L-8501 . . . . . . . . . . . . .237 L-8551 . . . . . . . . . . . . . 247 L-8552 . . . . . . . . . . . . . 247 L-8553. . . . . . . . . . . . . 247 L-8609. . . . . . . . . . . . .239 L-8615 . . . . . . . . . . . . .239 L-8780. . . . . . . . . . . . .240 L-9026 . . . . . . . . . . . . .249 L-9038. . . . . . . . .173, 249 L-9104N . . . . . . . . . . .248 L-9209 . . . . . . . . . . . . .249 L-9214 . . . . . . . . . . . . .250 L-9320 . . . . . . . . . . . . .250 L-9321 . . . . . . . . . . . . .250 L-9323S . . . . . . . . . . .250 L-9324S . . . . . . . . . . .250 L-9325S . . . . . . . . . . .250 L-9326S . . . . . . . . . . .250 L-9327S . . . . . . . . . . .250 L-9328S . . . . . . . . . . .250 L-9329S . . . . . . . . . . .250 L-9330S . . . . . . . . . . .250 L-9700 . . . . . . . . . . . . .249 L-9702 . . . . . . . . . . . . .249 L-9704 . . . . . . . . . . . . .249 L-9930. . . . . . . . 245, 335 L-9931 . . . . . . . . . . . . .245 LS-8201 . . . . . . . . . . .243 LS-8202 . . . . . . . .99, 243 PPRS . . . . . . . . . . .97, 290 PPRS1355A . . . . .97, 290 PPRS2096B . . . . .97, 290 PPRS2463E . . . . .97, 290 PPRS2GB . . . . . . .97, 290
512
The Most Trusted Brands in Obstetrics

Accept No Substitutes
Briggs Obstetrics products consist of industry leading trusted brands: Amnihook, PlastBell, Double-Grip Cord Clamp, Cord-Clamp Clipper, Seca Baby Scales, and Newborn Identcaton forms. Briggs also oers a variety of other labor and delivery products including U-Bag Specimen Collectors, Mother/Child ID bands, pediatric stethoscopes, growth charts, lancets, bulb syringes and more.
Cord Clamp Clipper
Cord Clamps
Seca Mobile Digital Baby Scales
Newborn Identication Forms
Footprinter
Plastibell
The AmniHook safely snags the membrane, eliminatng the need to poke or puncture.
For our complete oering of Labor and Delivery products, please visit www.BriggsCorp.com or contact a Briggs Sales Consultant at 1.800.247.2343.
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People You Count On. Products You Trust.

Todays healthcare environment is full of changes. New technology, new regulations and new demands on your time. With all that change, its nice to know something has stayed the same. Briggs Healthcare has served the needs of healthcare providers with documentation solutions, medical supplies, charting products and training tools for over 65 years.
There are two reasons weve been around so long. Our people and our collective commitment to get you what you need, when you need it.
Whether its manufacturing products, placing your order or getting it to your door, were focused on meeting your needs so you can focus on delivering the best care possible. Were ready to help you meet the needs of tomorrows healthcare landscape. Give us a call and let us show you.
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ye for 65
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Bruce Dan | Chief Executive Officer Briggs Healthcare

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Briggs Healthcare P.O. Box 1698 Des Moines, IA 50306-1698

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Briggs Healthcare Solutions

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Briggs Healthcare Custom Documentation Options Provide:

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COMPRE NURSIN HENSIVE ADU G ASS ESSMENLT T

(M001 Number (CCN): 6)

IA 50306 (800) 247-2343

COM of 40 PREH NURSING ENSIVE ADUL ASSESSME T with NT

54 Assessments . . . . . . . . . . . . . . . . 68 Assisted Living Doc System . . . . 12 Bereavement . . . . . . . . . . . . . . . 121

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Shipping & Return Policy

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A0050. Type of Record

Identifica Follow tion M0Information

Code - if informa tion unavailable

CO of 40 MPREHE NSIVE NURSING ADUL AS with OA SESSME T NT SIS

Assisted Living Documentation System

Assisted Living Documentation System

Assisted Living Documentation System

3678HH 3802P 3386 3382 MOVE-IN

100/pk 100/pd 100/pd 100/pd

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Assisted Living Documentation System

LIFESTYLE PREFERENCES AND CHOICES

529 3080HH 3324P

100/pk 100/pk 100/pd

TRANSFER, REFERRAL AND MOVE-OUT

CFS5-16HH CFS5-16HF 886/2 & 886/3 3392/2P

100/pd 100/pd 125/pk 100/pk

3375P 3376/3TP 3376/3P CFS9-1HH CFS9-1HF

100/pd 100/bx 100/bx 100/pd 100/pd

CFS14-20 CFS14-5 CFS14-7 CFS14-8 CFS14-4 CFS14-3 CFS14-6 CFS14-9 DEMENTIA

100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd 100/pd

(M0030) Start of Care Date: (Locator #2) / /