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ATTACHMENT 2
SPECIFICATIONS:
COMPLETE 93-line item CMS kit (CM-000) consists of line items CM-001 through CM-093. To order complete kit use “CM-000”. The complete CMS kit contains 25 perishable line items (see attachment HIGHLIGHTED in yellow): CM-003, CM-014, CM-015, CM-017, CM-018, CM-023, CM-024,CM-025, CM-026, CM-032, CM-054, CM-055, CM- 058, CM-60, CM-61,CM-062, CM-067, CM-071, CM-075, CM-076,CM-078, CM080, CM-083, CM-090, and CM-091. All items should be brand name or equivalent.
| Consumable Medical Supplies |
| Description |
| Quantity |
| CM-001 |
| Antibacterial Cleansing Wipes |
| Travel pack of 15 |
| 100 each |
| CM-002 |
| Tall Kitchen Bags, Plastic |
| 13-gallon |
| 100 each |
| CM-003 |
| Nutritional Supplemental Drinks for Children (over 12 months of age), ready to drink (e.g.-Pediasure, Boost Kids Essentials) |
| 32 oz daily per infant |
for 2 infants 448 ounces per week Range: 2 - 8 ounces
| CM-004 |
| Magnifying Glass |
| Classic, 3" with 5X Magnification |
| 2 each |
| CM-005 |
| Lids with Holes for Straws |
| Plastic for 12 oz Paper Cups |
| 2,500 each |
| CM-006 |
| Flexible drinking straws |
| 100 per pack |
| 25 packs |
| CM-007 |
| Duct tape |
| 2" x 60 Yards per Roll |
| 12 rolls |
| CM-008 |
| CHUX pads |
| Standard Size, 17" x 24 " |
| 1 box of 25 each |
| CM-009 |
| Non-latex Gloves |
| Non-powder, Disposable, L |
| 1 box of 100 each |
| CM-010 |
| Bio-Hazard Waste Bags |
| 10 Gallon Regulated Medical Waste System |
| 2 cases of 100 each |
| CM-011 |
| Bleach |
| 1 Quart |
| 20 bottles |
| CM-012 |
| Bucket, plastic |
| 5 Gallon |
| 10 each |
| CM-013 |
| Paper Towels, 1 Ply (e.g.-Scott) |
| 11" x 8 3/4", 120 Sheets per Roll |
| 10 cases with 20 rolls each |
| CM-014 |
| Hand Sanitizer, Large |
| 8 oz ea with Pump |
| 1 case of 6 each |
| CM-015 |
| Hand Sanitizer, Small |
| 2 oz each |
| 100 each |
| CM-016 |
| Baggies, Clear Plastic, resealable |
| Quart and Gallon Size |
(Range in box size: 20-40 count) 100 each Quart 100 each Gallon
| CM-017 |
| Instant Ice |
| Self Contained, Break to Use |
| Package of 12 |
| CM-018 |
| Instant Heat |
| Self Contained, Break to Use |
| Package of 12 |
| CM-019 |
| Emesis Basin |
| Shallow, Plastic, 8.5" |
| 12 each |
| CM-020 |
| Bedpans |
| Disposable w/out Cover; 350 lbs |
| 2 each |
| CM-021 |
| Bedpans |
| Disposable w/out Cover; 250 lbs |
| 10 each |
| CM-022 |
| Urinals, Male |
| Plastic w/Cover; 14"L x 11"W x2.5"D |
| 8 each |
| CM-023 |
| Distilled Water (for Humidifiers) |
| 1 Gallon Size |
| 10 each |
| CM-024 |
| Nutrition Drink for Diabetics (e.g.-Glucerna) |
| Plastic Bottles, 8 ounces |
| 48 bottles |
| CM-025 |
| Nutrition Drink, High Protein (e.g.-Ensure) |
| Plastic Bottles, 8 ounces |
| 48 bottles |
| CM-026 |
| Tracheotomy Care Tray |
| Two Vinyl Gloves |
Water-resistant Drape Packet of 3% Hydrogen Peroxide Two Cotton-tipped Applicators Tracheotomy Brush Two Pipe Cleaners Four Gauze Pads, 4” x 4” Tracheotomy Dressing Twill Tape, 1/2” x 36” 2 each
| CM-027 |
| Scissors |
| Blunt End, 5” - 6 ½” |
| 2 each |
| CM-028 |
| Scissors |
| Sharp and curved, 4 ½” – 5 ½” |
| 2 each |
| CM-029 |
| Back Support |
| Universal size with lightweight belts worn around the lower back to provide support to the lumbar |
| 2 each |
| CM-030 |
| Cervical Collar, Universal |
| Supports cervical portion of spinal cord/head |
| 4 each |
| CM-031 |
| Blood Pressure Cuff |
| Automatic with Batteries |
| 2 each Standard Adult, 2 each XL Adult, 2 each Child's |
| CM-032 |
| Saline Solution |
| Sterile .9% Saline Solution to Wash Wounds, 7 oz size |
| 12 each of 7 oz size |
| CM-033 |
| Pill Crusher |
| Standard |
| 6 each |
| CM-034 |
| Pill Cutter |
| Standard |
| 6 each |
| CM-035 |
| Diapers, Adult |
| XL |
| 60 each |
| CM-036 |
| Diapers, Adult |
| Large |
| 60 each |
| CM-037 |
| Diapers, Adult |
| Med |
| 60 each |
| CM-038 |
| Diapers, Adult |
| Small |
| 60 each |
| CM-039 |
| Pull-Up Adult Diapers (e.g.-Prevail adjustable underwear) |
| Small |
| 20 each |
| CM-040 |
| Pre-moistened Wipes (e.g.-Wet-Nap) |
| Pre-moistened individually wrapped Towelettes; 100 wipes per bag |
| 1 bag of 100 |
| CM-041 |
| Sterile Gauze |
| 4" x 4", 100% cotton |
| 2 boxes of 100 |
| CM-042 |
| Sterile Gauze Sponges |
| 2" x 2", 100% cotton |
| 2 boxes of 50 |
| CM-043 |
| ABD Pads |
| Sterile Wound Pads, 8" x 10" |
| 1 case (approximately 200) |
| CM-044 |
| Ace Bandages (2") |
| 2" x 4.5 Yards per Box |
| 2 boxes |
CM
| Ace Bandages (3") |
| 3" x 4.5 Yards per Box |
| 2 boxes |
| CM-046 |
| Ace Bandages (4") |
| 4" x 4.5 Yards per Box |
| 2 boxes |
| CM-047 |
| Ace Bandages (6") |
| 6" x 4.5 Yards per Box |
| 2 boxes |
| CM-048 |
| Applicators, 6 " (i.e.-Q-tip) |
| Cotton, Tipped; 100 per Box |
| 2 boxes |
| CM-049 |
| Bandage Gauze Roll (2") |
| 2" x 10 Yard per Roll |
| 6 dozen |
| CM-050 |
| Bandage Gauze Roll (4") |
| 4" x 10 Yard per Roll |
| 6 dozen |
| CM-051 |
| Cotton Balls |
| 100% Cotton |
| 4 bags of 50 |
| CM-052 |
| Colostomy Appliance |
| Cut to Fit Stomahesive w/Tape Collar; w/1 Sided Comfort Panel, 12"; Tail Clip by Convatec |
| 2 each |
| CM-053 |
| Colostomy Wafers |
| Individually Wrapped, 4" x 4" |
| 2 boxes of 10 each |
| CM-054 |
| Colostomy Paste |
| Ostomy Paste, 2 oz Tubes |
| 4 tubes |
| CM-055 |
| Colostomy Skin Preps |
| Protective Barrier Wipes |
| 1 box of 50 wipes |
| CM-056 |
| Colostomy/Ileostomy Bags |
| 11" Drainable Bag, Cut to Fit |
| 1 box of 10 |
| CM-057 |
| Telfa Dressings, Sterile |
| 3" x 4" |
| 2 boxes |
| CM-058 |
| General antiseptic cleansers (e.g.-BZK Towelettes) |
| Non Alcohol, 5" x 7", Latex Free |
| 2 boxes of 100 |
| CM-059 |
| Alcohol Prep Pads, 2 ply |
| 100 per Box |
| 4 boxes of 100 |
| CM-060 |
| K-Y Jelly |
| 4 oz Size (Size range: 2 oz – 4 oz) |
| 4 tubes |
| CM-061 |
| Hydrogen Peroxide, Topical |
| 16 oz Size (Size range: 8 oz – 16 oz) |
| 4 bottles |
| CM-062 |
| Betadine scrub solution |
| 16 oz Size (Size range: 8 oz – 16 oz) |
| 4 bottles |
| CM-063 |
| Adhesive, non-allergic |
| 1" Paper Tape x 11 Yards |
| 6 each |
| CM-064 |
| Adhesive, non-allergic |
| 2" Paper Tape x 11 Yards |
| 6 each |
| CM-065 |
| Safety Pins, closed |
| Nickel Plated, 1.74" (Size 2) |
| 1 box of 1,440 |
| CM-066 |
| Medicine Cups |
| 1 oz Size |
| 2 packages of 100 each |
| CM-067 |
| Hand Asepsis Towelettes |
| Antimicrobial Hand Wipe; 160 per Pack |
| 4 packages of 160 each |
| CM-068 |
| Batteries - Assorted Sizes |
| AAA/AA/C/D/9 Volt |
| 24 each - AA & AAA; 8 each - C & D & 9 volt |
| CM-069 |
| Spray Bottle, Plastic |
| 6 ounce Size |
| 4 each |
| CM-070 |
| Blood Glucose Meter Kit |
| Includes Meter, Carrying Case, Lancing Device, 10 Lancets, Control Solution Normal, and Alternate Site Testing Cap |
| 4 each |
| CM-071 |
| Test Strips - Diabetic |
| 50 Strips per Box |
| 2 boxes of 50 |
| CM-072 |
| Velcro, Double Sided (Loop & Hook) |
| 1", 2", and 4" x 50 Yards |
| 2 rolls of each size |
| CM-073 |
| Nebulizer |
| 350 ml Capacity; FIO (2) Settings adjustable from 35-100% with Ports for a Feed Set and Immersion Type Heater |
| 2 each |
| CM074 |
| Isolation Mask |
| Basic with Ear Loops; Fluid resistant w/Polypropylene Outerfacing |
| 1 box of 50 |
| CM-075 |
| Foley Catheter |
| All Silicone, 12Fr 5Cc |
| 10 each |
| CM-076 |
| Intermittent Catheter, Male |
| Cath Intmt Rdrbr 8Fr 16In. With Funnel End and Round, Hollow Tip. Two Opposing Eyes. Sterile. SizeA~16"^SizeB~8 Fr^ |
| 25 each |
| CM-077 |
| Condom Catheters, Male |
| Cath Exterior Tex Ltx 2-Pc W-Fm. With 5(1/2)"L x 3/4"W Foam Strap |
| 25 each |
| CM-078 |
| Intermittent Catheter, Female |
| Intmt Pvc Pls Cath F 14 Fr 6.5. Sterile. Clear Polyvinyl Chloride w/Matte Finish, Smooth Rounded Tip, Funnel End. izeA~6 1/2"^SizeB~14 Fr^ |
| 25 each |
| CM-079 |
| External Catheter, Male |
| Cath Ext Tex Ltx 2-Pc W-Fm. With 5(1/2)"L x 3/4"W Foam Strap |
| 25 each |
| CM-080 |
| Spray, Medical Adhesive |
| 3.2 ounce |
| 5 cans |
| CM-081 |
| Adhesive Remover, Universal |
| Remover wipe |
| 1 box of 50 wipes |
| CM-082 |
| Leg Bags, Soft, Vinyl Bags w/Flutter Valve and Velcro Strap (Assorted sizes - sm/med/lg) |
| 500ml x 3 600ml x 3 950ml x 3 |
| 3 bags of each size |
| CM-083 |
| Canulas Nasal Oxygen Tubes (Disposable) |
| Extra Soft, Curved Tip w/7' Crush Resistant Tubing |
| 5 each |
| CM-084 |
| Regulators, Oxygen |
| Oxygen Regulator w/Overall Length Less Than 4"; Weight 6.9 Ounces. Downward Facing Outlet Port |
| 2 each |
| CM-085 |
| Bedside Drainage Collectors |
| 2000 cc Bag w/Drip Chamber, Sample Port and Universal Hanging Device |
| 3 each |
| CM-086 |
| Power Strips |
| 6' Length |
| 5 each |
| CM-087 |
| Battery Chargers |
| For Wheelchair Batteries (Cirrus Plus EC Power) |
| 2 each |
| CM-088 |
| Extension Cords |
| 50' Length |
| 3 each |
| CM-089 |
| T.E.D. Compression Stockings (Under Knee) |
| Medium, Large and Extra Large Sizes |
| 1 of each size |
| CM-090 |
| Shampoo & Body Wash |
| Hypoallergenic, Chemical Free, No Alcohol, Contains Aloe |
| 2 - 8 oz bottles |
| CM-091 |
| Wound Cleanser, Spray |
| No Rinse, Non-Irritating, w/Acemannan Hydrogel |
| 2 - 8 oz bottles |
| CM-092 |
| Air Pump |
| Pump for Bicycle Tires |
| 1 each |
| CM-093 |
| Paper Cups, 12 oz |
| 100 per sleeve (5 sleeves per case) |
| 5 cases |