California Nursing Students Association California State University, Sacramento Chapter 7667 Folsom Boulevard, Sacramento, CA 95826

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Page 1 of 6 California Nursing Students Association California State University, Sacramento Chapter 7667 Folsom Boulevard, Sacramento, CA 95826 EQUIPMENT INFORMATION AND ORDER FORM Congratulations, and welcome to the School of Nursing! Sacramento State Nursing Students are required to have the following necessary uniform and equipment for clinical: Required equipment includes: stethoscope pair of bandage scissors hemostat (kelly forceps) blood pressure cuff penlight Required uniform is made up of: green scrub pants green scrub top white lab coat closed-toe and heel white shoes name badge UNIFORM ORDERING The Sac State Nursing uniform top, pants and white lab coat must be ordered from Dove Apparel. Orders need to be placed online with Dove at www.doveapparel.com. The school code is CSUSA. Dove cautions that their sizes may not be what you expect so it is highly recommended that you come to Folsom Hall and try on a sample to be sure you place your order for the appropriate size. Sample uniforms will be available and the dates and times will be posted on the orientation website. White, non-slip, closed-heel and toe shoes will need to be purchased from the retailer of your choice. Remember you will be on your feet for 8-12 hour shifts so purchase something comfortable. Also keep in mind that your shoes may be exposed to bodily fluids and other substances so a shoe that could easily wipe clean is ideal. EQUIPMENT ORDERING Attached is the order form to purchase name badges and other required equipment from CNSA. THE NAME BADGE MUST BE ORDERED FROM CNSA, purchase of other required items from CNSA is optional. Please fill out the order form and include a check (payable to CNSA) in the envelope with your order. Orders must be postmarked no later than Thursday, July 11, 2013. Alternatively, order forms may be dropped off in person at the School of Nursing in Folsom Hall no later than Monday, July 15, 2013 by 2 pm (please deposit in lobby mail slot). Please make a copy of your order form for your records. Orders will be ready for pick up on the day of the mandatory New Student Orientation. CNSA is happy to provide a one-stop shop for your required clinical items. All proceeds from CNSA equipment and uniform sales go directly to support our school s nursing student activities. CNSA members may participate in a special price offer on their order; please see the form for discounts. To receive a discount on your order, you will first need to join NSNA (membership in the national organization automatically provides membership in the state and local CNSA chapter). To join, visit the NSNA website (www.nsna.org) and follow the application process. A one-year membership is only $35. Enclose proof of your membership with your order so that we may apply the appropriate discount (Photocopy of receipt for membership or photocopy of CNSA membership card). Other Sac State Nursing paraphernalia (t-shirts, sweatshirts, etc.) will be available for purchase at orientation; CNSA members will receive approximately a 10% discount.

Page 2 of 6 CNSA EQUIPMENT INVENTORY INFORMATION Required Equipment, must purchase through CNSA: Name Tag Badge and Holder: Four different colored badge holders are included, color coded for each semester (Red for 1 st, Yellow for 2 nd, Green for 3 rd, Blue for 4 th ). Purchase also includes your name and photo on a Sac State School of Nursing ID Badge to use in clinical experiences. Photos will be taken at orientation. Must be purchased through CNSA. Required Equipment, offered to purchase through CNSA: 3M Littmann Classic II S.E. Stethoscope: Has a dual-frequency, "tunable" diaphragm for listening to both low and high frequency sounds by alternating pressure on the chest piece. Firm pressure allows you to listen to high frequency sounds. Ease off to light "skin contact" and the diaphragm instantly switches to let you hear low frequency sounds (previously heard using the traditional bell). The bell side can be used for low frequency sounds and special procedures such as bruits, intercostal spaces and auscultation of smaller and bony patients. 3M Littmann Master Classic II Stethoscope: Traditional bell and diaphragm modes are incorporated into the single-sided "Master" chest piece. To hear low frequency sounds typically heard with a traditional bell side of a chest piece, simply use light contact on the skin. To hear high frequency sounds typically heard with a diaphragm side, apply firm pressure. No longer will you need to remove the chest piece from the patient and mechanically switch from a bell side to diaphragm side. You can switch from low to high frequency response instantly without interruption. Classic II SE: Master Classic II: NOTE: If purchasing a stethoscope, please only purchase either the 3M Littmann Classic II S.E. Stethoscope OR the 3M Littmann Master Classic II Stethoscope. Both are not required! Blood Pressure Cuff: Black enamel 300mmHg no-pin stop manometer Navy blue nylon cuff with range markings to facilitate selection of correct cuff size; artery label, and gauge holder Latex inflation bladder and bulb Chrome-plated deflation valve Complete with leatherette zippered carrying case and operating instructions.

Bandage Scissors: 5.5 inch angled metal scissors with a blunt bottom tip for use in cutting bandages during clinical. Page 3 of 6 Hemostat (Kelly Forceps): A metal clamp resembling scissors for use in clinical; 5.5 inch straight tip with locking clamp. Disposable Pen Light w/ pupil gauge: White plastic; to examine pupils, etc. during clinical. Optional Equipment, offered to purchase through CNSA: Nursing ProPack: (NOT mandatory equipment, but a nursing student favorite!) This is not your average fanny pack! It s very useful to put all your required clinical equipment in, (plus ample room for non-required items, such as a PDA) rather than in your pockets. It also comes with a strap to hang an always-handy roll of tape on. They are machine washable. Accessories not included, but most are available through CNSA.

Page 4 of 6 Stethoscope Hip Clip: (NOT mandatory equipment, but a nursing student favorite!) A convenient way to carry your stethoscope. Rather than putting your stethoscope around your neck, you can easily clip it in and out of this holster. The Hip Clip works well on the belt of the ProPack. Nurse s Clipboard w/ built-in calculator: (NOT mandatory equipment, but a nursing student favorite!) Clipboard with helpful information on front and back, including: Useful abbreviations, lab and vital sign normal ranges, ruler, acid-base balance, conversion charts, IV flow rates calculations, common IV infusions, military clock time, etc. Includes a storage compartment for papers, pencils, and more. CPR Keychain Mouthpiece: (NOT mandatory equipment, but a nursing student favorite!) Inside contains a plastic barrier (as seen on the right) that allows you to perform mouth-to-mouth in the field, without swapping saliva!

Page 5 of 6 Uncalendar: (NOT mandatory equipment, but a nursing student favorite!) customizable calendar that will last you three whole semesters! Chose between full size (8.5 x11 ) or half size (8 x5.5 ). Fullsize - 8.5 x 11 Halfsize 5.5 x 8.5 School of Nursing Paraphernalia for purchase through CNSA: Tumblers: (NOT required, but nursing student favorite!) reusable mug with a screw-on lid and straw, so you can show your Sac State Nursing pride while staying hydrated! Note: There will be an opportunity during the semester to buy CSUS School of Nursing Sweatshirts. Stay tuned!

Page 6 of 6 EQUIPMENT ORDER FORM Name Phone # Alternate # E-mail Address (Write legibly, please!) Item Description and Color Selection (if applicable) Quantity Unit Price CNSA Member Price Name Badge with Photo - Required to buy through CNSA $15.00 $13.00 3M Littmann Classic II S.E. Stethoscope*** (circle color) Black, Burgundy, Navy Blue, Hunter Green, Caribbean Blue, Gray, Ceil Blue, Purple, Raspberry, Orange, Seafoam Green, Pine Green, Pink, Copper/Chocolate, Brass/Black, Ocean Blue, Peach 3M Littmann Master Classic II Stethoscope *** (circle color) Black, Burgundy, Navy Blue, Hunter Green, Caribbean Blue, Ceil Blue, Purple, Pine Green $80.00 $80.00 $105.00 $105.00 Blood Pressure Cuff $20.00 $16.00 Bandage Scissors (5.5 inch) $6.00 $5.00 Hemostat (Kelly Forceps; 5.5 inch) $6.00 $5.00 Disposable Pen Light w/ pupil gauge $4.00 $3.00 Stethoscope Hip Clip (circle color) Black, White $6.00 $5.00 Nurse s Clipboard w/ Case and built-in Calculator $25.00 $20.00 Nursing ProPack (circle color) Black, Green, White, Maroon, Navy, Olive, Pink, Purple, Red, Gray, Teal, Blue $21.00 $20.00 Tumblers $10.00 $10.00 Uncalendar - Full size, 8.5 x11 $16.00 $15.00 Uncalendar - Half size, 5.5 x 8.5 $12.00 $11.00 CPR Keychain $3.00 $3.00 ***STETHOSCOPE SHADES MAY VARY TOTAL AMOUNT ENCLOSED NOTE: If purchasing a stethoscope, please only purchase either the 3M Littmann Classic II S.E. Stethoscope OR the 3M Littmann Master Classic II Stethoscope. Both are not required! Please be sure to circle your desired color on stethoscopes and Nursing ProPacks. If you do not, you will receive black as the default color. Thank you! Please include a check (payable to CNSA) in the envelope with your order. Please include proof of NSNA membership if applying for a discount (photocopy of receipt for membership or photocopy of CNSA membership card) Orders must be postmarked no later than Thursday, July 11, 2013. Alternatively, order forms may be dropped off in person at the School of Nursing in Folsom Hall no later than Monday, July 15, 2013 by 2 pm. Mail this form with check payable to CNSA to (please use exact mailing address shown below): c/o CNSA Fundraising Chair Sacramento State School of Nursing Folsom Hall 6000 J Street Sacramento, CA 95819-6096 $ Total