Attachment 1 - Ward Stock and last 12 months of orders.pdf

(Last Annual Review by VISN 2 North Chiefs: Aug 2017) local sites may modify ward stock list based on input/ approval from local P&T Committee (V2N chiefs 8-2017)

Ward stock list Par level based on individual CBOC need Albuterol Sulphate 0.083% inhal 3ml Ammonia, Aromatic 0.3 ml AMP INHL Aspirin 325 mg tab Ceftriaxone 1G/VI inj 14 Clonidine 0.1 mg Dextrose 15G/37.5G squeeze tube Diphenhydramine HCL 50 mg/ml inj Epi-Pen Glucagon Emergency Kit Lidocaine inj 2% 2 Methylprednisolone acetate 40 mg/ml, 1ml 11 Nitroglycerin 0.4 ng SL tab btl 25 Sodium Chloride injection 0.9% inj 10 ml Sodium Chloride irrigation soln 500 ml Unna Boot, without calamine 4in X 10 yds

Refrigerated Diphth 2UNT/TETNUS TOX 5UNT/0.5 ml inj 20 Hepatitis A Vaccine Inact 1440 ELI UN/ML Hepatitis A/Hepatitus B Vaccine 1ml 20 Hepatitis B Vaccine (ENGERIX-B) 20MCG/ML inj Influence High Dose 400 Influenze Vaccine quad 180 Insulin Regular Human 100 UNIT/ML NOVOLIN R

MEASLES/MUMPS/RUBELLA VACCINE, LIVE INJ 10

Menomune A/C/Y/W-135 inj Papillomavirus Human Vaccine 0.5 ml inj Pneumococcal vac Polyvalent 0.5 ml vial 130 Tetanus/Diphtheria/Pertussis vaccine 160 Tuberculin PPD 5 unit/0.1 ml inj 10 Zoster Vaccine Live (OKA/Merck) inj 646

CBOC List