Packaging Supplies: | QTY |
| ME Forms: | QTY |
| Evaluation Forms: | QTY |
Serology Boxes |
|
| Office of ME - Hospital Report of Death |
|
| DRAI – Donor > 12 yrs (English) |
|
Styrofoam 5-Tube Mailer |
|
| ME Operative Report (2 page set) |
|
| DRAI – Donor > 12 yrs (Spanish) |
|
White Box w/12-Tube Mailer |
|
| Suffolk County ME Form |
|
| DRAI - ≤ 12 yrs (English) |
|
Zip Loc Chart Bags (10) |
| |
|
|
| DRAI - ≤ 12 yrs (Spanish) |
|
Small Biohazard Bags (10) |
| |
OR Forms:
|
QTY
|
| DRAI – Birth Mother (English) |
|
Large Biohazard Bags (10)
|
|
|
Confidential Donor Form (4 Page Set) |
|
|
DRAI – Birth Mother (Spanish) |
|
Padded Envelopes |
|
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|
|
Blood Tubes: (pkgs) | QTY |
|
OP Notes:
|
QTY
|
|
Consent Forms:
|
QTY
|
Yellow Top Tubes (100) |
|
|
Cardiectomy
|
|
|
Authorization Form (English) |
|
Yellow Top Tubes (10) |
|
|
Pneumonectomy
|
|
|
Authorization Form (Spanish) |
|
Red Top Tubes (10) |
|
|
Hepatectomy
|
|
|
Authorization Form -DCD (English)
|
|
Lavender Top tubes (10) |
|
|
Hep / Pancreatecomy
|
|
|
Authorization Form -DCD (Spanish) |
|
Lt. Gray Top Tubes (5) |
|
|
Hep/ Nephrectomy
|
|
|
Notification Form (English) |
|
Gold Top Tubes (5) |
|
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Nephrectomy
|
|
|
Notification Form (Spanish) |
|
Bld Culture Bottles - Red/Blue (2 sets) |
|
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Notification Form - DCD (English)
|
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| | | |
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Notification Form - DCD (Spanish) |
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Miscellaneous Supplies:
|
QTY
|
|
Labels for Labs (6/Sheet) |
QTY
|
|
Requisition Forms:
|
QTY
|
AA Batteries
|
|
|
Columbia Presbyterian Medical Center |
|
|
Serology Requisition w/Bar Code Label
|
|
AAA Batteries
|
|
|
Westchester County Medical Center |
|
|
Quest Requisition |
|
Blank CDs
|
|
|
Montefiore Medical Center |
|
|
|
|
Manila Folders
|
|
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Jacobi Medical Center |
|
|
|
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Printer Label Tape |
|
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Labs Northeast |
|
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|
Stony Brook – SUNY Health Sciences Ctr |
|
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|
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Mount Sinai Medical Center |
|
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|
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Other: | QTY |
| Rogosin Institute (New York Hospital) |
|
| | |
|
|
| State University of NY Health Sciences Ctr |
|
| | |
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| Quest Diagnostics |
|
| | |
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