MMRI’S KAMALNAYAN BAJAJ NURSING COLLEGE, AURANGABAD

ASSIGN MENT

ON

EQUIPMENTS AND SUPPLIES REPORT

SUBMITTED TO: SUBMITTED BY:

Mr. Vikrant Kulthe Ms. Akshata Bansode
Assistant Professor 2 nd Year M.sc Nursing
K.B.N.C K.B.N.C
 PREPARATION OF EQUIPMENTS AND SUPPLIES FOR SPECIALTY UNITS

INTRODUCTION:
It is difficult to obtain from different hospitals comparable figures on the proportion of the
annual budget expended for supplies and equipment because institutions set up their budgets in
different ways. For example, some hospitals include the expenses of the school of nursing in
their total budget; others do not. It would appear however that hospitals spend from 15-20 per
cent of their annual budget on the supplies and equipment, exclusive of linen and food, which are
used in the wards of the ward of the hospital. Thus if the hospital budget were one hundred
thousand dollars for the year, fifteen to twenty thousand dollars would be spent as a result of
orders placed by the head nurse.

THE RESPONSIBILITIES OF THE HOSPITAL ADMINISTRATION:

A. Obtaining thebest value for the hospital dollar. Most hospitals are spending other people’s
money-taxpayers; community chest or church as well as the money paid by the patients for their
care. They are obligated to use that money to obtain the greatest return in value. Applying this
principle in relation to supplies and equipment it may be found that durable articles are less
expensive in the long run, even though they may call for a larger original outlay of money, than
materials which wear less well. A study of the causes of deterioration, the comparative length of
life and usefulness of materials of different grades and from different manufacturers helps
institutions to determine what the best investments are. For example, since hospital linen must
endure many types of washing its tensile strength is an important consideration when purchasing
sheets, pillow cases, and towels. Some cotton goods have a much longer life than others.
Stainless steel equipment costs two to three times as much as that made of enameled steel but its
life is indefinite while enamel ware chips easily, then rusts, perforates, and is rendered useless.

B. Maintaining an adequate supply. It is important that hospitals keep an adequate supply of

materials on hand at all times. Ordering in large quantities is cheaper as a rule because handling
charges are proportionately less. However, since materials on hand are subject to deterioration
and to obsolescence due to changed methods, overstocking is to be avoided. The most
economical quantities are those which strike a balance between carrying costs and handling
 costs. Frequency of ordering usually depends upon availability of supplies. When there is a
scarcity of certain items in the market, the hospital purchasing agent may plan to keep a six
months’ supply on hand. When goods are plentiful, perhaps one or two months’ supply is
adequate. Material is reordered when that on hand reaches a prescribed minimum.

C. Records of amounts on hand. In order to know the amounts in stock at all times, hospitals often
use a perpetual inventory. This is a record of supply on hand, additions to the stock, amounts
issued, and the departments to which dispensations are made. A physical inventory that is an
actual count is taken periodically to correct cumulative errors.

RELATIONSHIP OF SUPPLIES AND EQUIPMENT TO GOOD WARD

MANAGEMENT:
Definition: Supplies are expendable items or those articles which are used up and must be
reordered periodically such as soap, paper towels, stationery, food sterile goods. Equipment
includes more permanent articles and may be classified as fixed or movable. Fixed equipment is
not a part of the structure of the building but is attached to its walls or floor such as sterilizers
and sinks. Movable equipment includes furniture, instruments, syringes, dishes and the like.
These are items which have to be replaced infrequently.

IMPORTANCE TO GOOD WARDS MANAGEMENT:

 Supplies and equipment are highly important contributing factors to a smooth running
ward which in turn reflects directly on the quality of patient care some of the respects in
which this is true will be discussed.
 Materials may be inadequate in amount.
 An undersupply of materials in the ward results in the use of substitutes which may be
more costly than the proper item.
 If sheets substituted for a pillow case or gauze square for a cotton pledge the supply of
the substitute may be depleted and thus further shortages will occur.
 Unattractive, careless work frequently results from the lack of materials.
 When rubber protectors are not available, mattress, pillow or sheet may be soiled.
 If trays for giving treatments are hard to find nurses may lose the habit of using them.
RESPONSIBILITIES OF THE HEAD NURSE
The head nurse responsibilities in relation to supplies and equipment may be stated as follows.
1. To keep an adequate supply of materials on hand at all times in good condition, available
for use, and conveniently located.
2. To delegate to someone the responsibility for handling supplies and equipment.
3. To be observant of waste and misuse.
4. To educate nurses, doctors and other personnel in the economical use of materials.

AIDS IN KEEPING AN ADEQUATE SUPPLY ON HAND

There will be discussed under four separate headings:
a. Standards
b. Exchange system
c. Inventory
d. Requisitions.
A. STANDARDS:
These are establishment quantities which are required to meet the needs of a particular ward or
division. For example a ward may have a standard of six 2cc. lurestrings which is the number the
head nurse should keep in hand at all times. When one is broken the pieces are exchanged for a
new one if this is the system which exists in the institution. If one is lost, it should be replaced
but the total number should not exceed six which is the standard for her ward.
Standards are determined by:
1. The bed complement for equipment, the census for supplies.
2. Type of service
3. Age of patients
4. Sex
5. Degree and types of illness
6. Cost of items
7. Durability
8. The period of time between ordering.
B. EXCHANGE SYSTEM:
Many hospitals maintain an exchange system for equipment replacement in order to
prevent overstocking or the lowering of equipment standards. The system requires that a broken
or worn piece of equipment be returned to the storeroom before a new article will be issued. This
prevents an increase beyond the standard. It also assists the head nurse to know when
replacements are necessary and obviates the necessity for making weekly counts of all items of
equipment. The exchange system has the added advantage of permitting the hospital purchasing
agent to study the amount and type of breakage or deterioration with a view to determining
whether it was caused by inferior quality of material or by careless handling.

C. INVENTORY
An inventory is a detailed list of all articles on the ward, their specification, and standard
number or quantity. The specifications make it possible to identify the article by size, number or
description. The standard indicates the quantity that should be kept on the floor. Sometimes the
condition and cost of items are included.
We speak of taking inventory by which is meant making a count of the materials on hand.
When inventory is taken the count is checked against the standard and corrections made as
necessary. Not only does the taking of inventory given an opportunity to determine whether the
standard has been maintained but it provides a good chance to depose of excess and obsolete
materials, to recommend changes in standards, to determine the condition of articles of
equipment, and to order repair or replacement if necessary. It also is an ideal time to return
equipment to its proper place articles borrowed from a central supply room or another ward may
be located and returned.
By definition, Inventory is the term used to describe the assets of a company that are intended for
sale in the ordinary course of business, are in the process of being produced for sale, or are to be
used currently in producing goods to be sold.
INVENTORY
Sr.No. Name of the Article/Equipment Stock in nos.

EMERGENCY TROLLY
1. S.S.Pie dish 1
2. S.S.Instrument Trolley 1
3. S.S.ET Tray 2
4. Scissor 1
5. AMBU bag 2
6. AMBU Mask 6
7. Laryngoscope with blade 3/9
DRESSING TROLLY
8. Enamel tray 4
9. SS Tray 4
10. Chitalforceps 2
11. Scissors 1
12. SS Drum 5
PHILIPS MONITORS
13. ECG cable 10
14. SPO2 cable 3/4
15. ABP cable 9
16. BP cuff with cable 10/10
17. Rectal probe 2
18. Skin probe 2
CHINA MONITORS
19. ECG cable 4
20. SPO2 cable 4
21. ABP cable 4
22 BP cuff with cable 4
23 Rectal probe 1
24 Skin probe 1
25 Pediatric BP cuff 2
THERMOMETER TRAY
26. Enamel tray 1
27 Rectal thermometer 1
28 Clinical thermometer 1
PROCTOSCOPE TRAY
29 Adult/pediatric probe 1
BP Apparatus
30 Mannual/Amron BP Apparatus 2/2

31 Electronic BP Apparatus. 1
32 Sphygmomanometer 1
Sr. No. Name of the Article/Equipment Stock in nos.
DC Machine
31 Philips/life pack 2/2
Ventilator
32 Dragger 1
33 Versa med 2
34 T Bird 2
35 Port vent 1
ECG Machines
36 ECG Trolley 1
37 Mortera machine 1
38 Philips machine 1
Saturation probe
39 Adult/ Pediatric 1
CNS Tray
40 SS Tray 1
41 Torch 1
42 Tongue depressor 2
43 Knee hammer 2
44 Magill’sforceps -
45 Tuning fork 2
46 Measuring tape 2
47 Forceps 1
Extra Articles

48 O2 flow meter 14
49 Central suction 14
50 Ophthalmoscope 1
51 Lead Apron 6
52 I/V stand 16
53 Enamel tray 1
54 HP cylinder 2
55 Gas stove 1
56 Portable suction 3
57 Nebulizer 2
58 Glucometer 2
59 Fly killer 4
60 Alpha beds 4
61 Syringe cutter 1
62 Ice cap 1
63 Fridge 2
64 Syringe pump 35
Sr. No. Name of the Article/Equipment Stock in nos.
65 Magnet 1
66 ACT machine 1
67 Wheel Chair 3
68 Stillest 3
69 Portable oil-free suction 3
70 O2 cylinders 3
71 Sterilizer 1
72 Airway 1
73 Pressure bag 11
74 Scissors 1
Pacemakers
75 APC pacemaker 1
76 Medtronic pacemakers 3
Pediatric emergency bag
 77 AMBU bags 2
78 BP cuffs 3
79 AMBU masks 6
80 SS ‘Y’ Connection 1
81 SS ‘C’ Connection 1
82 Spirometry 1

LIST OF SUGGESTED EQUIPMENT’S AND FURNITURE IN THE

OPERATION THEATER

• Normal Delivery Kit

• Equipment for assisted vacuum delivery
• Equipment for assisted forceps delivery
• Standard Surgical Set (for minor procedures like episiotomies stitching)
• Equipment for Manual Vacuum Aspiration
• Equipment for New Born Care and Neonatal Resuscitation
• IUD insertion kit
• Equipment / reagents for essential laboratory investigations
• Refrigerator.
• ILR/Deep Freezer
• Ice box
• Computer with accessories including internet facility
• Baby warmer/incubator.
• Binocular microscope
• Equipment’s for Eye care and vision testing: Tonometer (Schmitz), direct ophthalmoscope,
illuminated vision testing drum, trial lens sets with trial frames, Snell’s and near vision charts,
 Battery operated torch
• Equipment’s under various National Program
• Radiant warmer for new borne baby
• Baby scale
• Table lamp with 200 watt bulb for new borne baby
• Phototherapy unit
• Self-inflating bag and mask-neonatal size
• Laryngoscope and Endotracheal intubation tubes (neonatal)
• Mucus extractor with suction tube and a foot operated suction machine
• Feeding tubes for baby
• Sponge holding forceps - 2
• Valsellum uterine forceps - 2
• Tenaculum uterine forceps – 2
• MVA syringe and cannula of sizes 4-8 (2 sets; one for backup in case of technical problems)
• Kidney tray for emptying contents of MVA syringe
• Trainer for tissues
• Torch without batteries – 2
• Battery dry cells 1.5 volt (large size) – 4
• Bowl for antiseptic solution for soaking cotton swabs
• Tray containing chlorine solution for keeping soiled instruments
• Residual chlorine in drinking water testing kits
• H2S Strip test bottles