INVENTORY OF EQUIPMENT

Name of Hospital: _________________________________

Inventory as of ___________________________________
Equipment/Instrument Requirement
Standard)

(Based on DOH

ADMINISTRATIVE
Computer with Internet Access
without Internet Access
Ambulance (Available 24 Hours, 7 days a week and physically present)
Standby Generator with Automatic Transfer Switch (ATS) (KVA may depend on the load)
Emergency Light
Fire Extinguisher
Overhead Projector/LCD
DIETARY
Oven
Refrigerator/Freezer
Osterizer/Blender
Food Conveyor
Food Scale
Exhaust Fan
Utility Cart
Garbage Receptacle with Cover
CLINICAL EMERGENCY ROOM
Ambu Bag
-Adult
-Pedia
Clinical Weighing Scale
Defibrillator
ECG Machine
EENT Diagnostic Set
Emergency Cart (Complete with ER Medicines)
Examining Table
Examining Table with Stirrup
Gooseneck Lamp/Examining Light
Instrument Table
Laryngoscope with Different sizes of Blades
Medicine Cabinet
Minor Surgery Instrument Set
Nebulizer
Neurological Hammer
Oxygen Unit (Anchored)
Pulse Oximeter
Sphygmomanometer (non-mecurial)

EXISTING (Quantity)

-Adult Cuff
-Pediatric Cuff
Stethoscope
Suction Apparatus
Suturing Set
Thermometer (non-mecurial)
Tracheostomy Set
Vaginal Speculum Set
Wheelchair
Wheeled Stretchers with guard and wheel lock or Anchor
new checklist from DOH
Airway Adjuncts (oropharyngeal & nasopharyngeal airways)
Airway Intubation Kit
Alcohol Disinfectant
Arm Sling (or sling & swathe bandages)
Aseptic bulb Syringe
Biomedical Refrigerator for storage of biological and other heat sensitive drugs
Cardiac board
Cervical Collars at diferrent sizes
Close Tube Thoracostomy Set
Cutdown Set
Different Sets of Bins (to include a puncture-proof sharp container)
Elastic Bandages of Different Sizes
Fire Extinguishers
Foot Stool
Gloves (examination and sterile gloves)
Hydrogen Peroxide Solution
IV Stand
Mayo Table and Tray
Nasal Cannula
Nasogastric Tube
Oxygen Tubing
Penlight/Flashlights
Povidine Iodine Wound and Cleaning Solutions
Protective Face Shield or Mask
Pulmonary Function Test/Spirometer
Random Blood Sugar Meter
Spine Board with straps
Splinting/immobilization devices
Sutures
Surgical Airway
Syringes
Urethral Catheter
Urine Collection Bag
Water-proof Aprons
Xray Reading Lamp or Negatoscope

OUTPATIENT CARE
Clinical Weighing Scale
ECG Machine
EENT Diagnostic Set
Gooseneck Lamp/Examining Light

Examining Table with Wheel Lock or Anchor

Instrument Table
Minor Surgery Instrument Set
Neurological Hammer
Oxygen unit
Sphygmomanometer (non-mecurial)
Adult Cuff
Pediatric Cuff
Stethoscope
Suture Removal Set
Thermometer, non-mercurial
Vaginal Speculum Set
Wheelchair
OPERATING ROOM
Air Conditioning Unit
Anesthesia Machine
Cardiac Monitor with Pulse Oximeter
C/S Set
Instrument Table
Laparatomy Set
Laryngoscope with Blades
Major Surgical Instrument Set
OR Light
OR Table
Ortho Instrument Set
Oxygen Unit (anchored)
Sphygmomanometer (non-mercurial)
-Adult Cuff
-Pediatric Cuff
Spinal Set
Stethoscope
Suction Apparatus
Thermometer, non-mercurial
Wheeled Stretcher
New
Mayo Table

RECOVERY ROOM
Air-conditioning Unit
Bed with Guard Rail and Wheel Lock or Anchor
Oxygen Unit (anchored)
Sphygmomanometer (non-mercurial)
Adult Cuff
Pediatric Cuff
Pulse Oximeter
Stethoscope
Suction Apparatus

New
Emergency Light

LABOR ROOM
CTG Machine
Amniotome
Sphygmomanometer (non-mercurial)
Stethoscope
DELIVERY ROOM
Air-conditioning Unit
D/C Set
Delivery Set
DR Light
DR Table with Stirrup
Fetoscope (Doppler)
Instrument Table
Kelly Pad
Oxygen Unit, Anchored
Sphygmomanometer (non-mercurial)
Stethoscope
Suction Apparatus
Wheeled Stretcher
Bassinet
Infant Weighing Scale
New
Emergency Light

NURSING UNIT OR WARD (per Nursing Ward)

No. of Nursing Ward : _____
Ambu Bag
Adult (if Adult Ward)
Pediatric (if Pediatric Ward
Clinical Weighing Scale (per nursing unit)
ECG Machine
Emergency Cart or its equivalent (per nursing unit)
Mechanical Bed/Patient Bed with Side Rails (Patient Beds in ER, Labor Room and
Critical Areas are not included in the count)
Bedside Table should correspond to total beds
Laryngoscope with different Sizes of Blades
Nebulizer
Neurological Hammer
Oxygen Unit, Anchored (may increase depending on the need)
Sphygmomanometer (non-mercurial)
-Adult Cuff
-Pediatric Cuff
Stethoscope

Suction Apparatus
Thermometer (non-mercurial)
New
Defibrillator

CENTRAL STERILIZING & SUPPLY ROOM

Autoclave (may increase depending on the need)
Steam Sterilizer (may increase depending on the need)
New
Emergency Light
DENTAL CLINIC
Dental Chair
Air Compressor
Dental Xray
New
Complete Set of Equipment for oral exam/Prophylaxis/extraction
Equipment for Sterilization or equivalent
HIGH RISK PREGNANCY UNIT (not required in Level I)
Cardiac Monitor
Fetal Monitor (CTG Machine)
Suction Apparatus
Oxygen Unit, Anchored

ENGINEERING/MAINTENANCE
Stand0by Generator
Automatic Transfer Switch
NEONATAL INTENSIVE CARE UNIT (not required in Level I)
Bassinet
Bili Light
Cardiac Monitor
Emergency Cart
Umbilical Cannulation Set
Laryngoscope with Neonatal Blades
Examining Light
Incubator
Infant Ambubag
Infant Weighing Scale
Oxygen Unit
Respirator/Mechanical Ventilator
Radiant Warmer
Infusion Pump/Syringe Pump
Glucometer
Nebulizer
Pulse Oximeter
Neonatal Stethoscope
Suction Apparatus
INTENSIVE CARE UNIT (not required in Level I)
Airconditioning Unit
Ambu Bag
-Adult (in adult units)
-Pedicatric (in pediatric units)
Bed with Guard Rail
Cardiac Monitor
Defibrillator
ECG Machine
Emergency Cart with emergency Medicines (Refer to annex for medicines and supplies)
Laryngoscope with Blades
Endotracheal Tube
Oxygen Unit
Sphygmomanometer (non-mercurial)
-Adult Cuff (in adult units)
-Pediatric Cuff (in pediatric units)
Stethoscope
Suction Apparatus
Tracheostomy Set
Pulse Oximeter
Mechanical Ventilator
Infusion Pump

Other Equipment: (please include other equipment received not in the DOH standard
checklist)
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NT

COST

Remarks
(Condition & Source - HFEP/PLGUs)