CRITICAL MEDICAL SUPPLIES PROCUREMENT FORM

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Surgical/Procedure Masks	Meeting ASTM Levels 1-3 FDA Approved Preferred. *Please enter available types and any other information in the Additional Information field below
1Quantity Available
1Price Per Unit (US $)
1Date Available
1Product Country of Origin
N95/N99 Form Fitting Respirators	NIOSH Approved Preferred KN95 Acceptable Alternative if it meets NIOSH standards. *Please enter available types and any other information in the Additional Information field below
2Quantity Available
2Price Per Unit (US $)
2Date Available
2Product Country of Origin
Face masks with integrated shield	Minimum 7.5 (long) x 13 (wide) inches Impenetrable foam barrier
3Quantity Available
3Price Per Unit (US $)
3Date Available
3Product Country of Origin
Powered Air Purifying Respirator, PAPRs	NIOSH Approved Includes batteries, tubing, and facepieces or hoods
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4Price Per Unit (US $)
4Date Available
4Product Country of Origin
Alcohol Based Hand Rub	70% Ethyl Alcohol, minimum * Please enter unit of measures (ounces, barrels, etc.) in the Additional Information field below
5Quantity Available
5Price Per Unit (US $)
5Date Available
5Product Country of Origin
Ventilators with PEEP Functionality	Including compatible circuits
6Quantity Available
6Price Per Unit (US $)
6Date Available
6Product Country of Origin
Ventilator Circuits	Compatible with Impact, ZVent, or Ventec Ventilators
7Quantity Available
7Price Per Unit (US $)
7Date Available
7Product Country of Origin
Endotracheal Tubes	Adult and Pediatric Sizes, 5.0 – 8.5 mm Latex Free. *Please enter available sizes and any other information in the Additional Information field below
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8Price Per Unit (US $)
8Date Available
8Product Country of Origin
Hospital Gowns	Fluid resistant Size M to XL. *Please enter available sizes and any other information in the Additional Information field below
9Quantity Available
9Price Per Unit (US $)
9Date Available
9Product Country of Origin
UVT 3mL with flocked flex minitip
10Quantity Available
10Price Per Unit (US $)
10Date Available
10Product Country of Origin
Nasopharyngeal (NP) flocked swabs and viral transport media tubes (1-3 mL)
11Quantity Available
11Price Per Unit (US $)
11Date Available
11Product Country of Origin
Roche MagNA Pure 96 DNA and Viral NA Small Volume Kits
12Quantity Available
12Price Per Unit (US $)
12Date Available
12Product Country of Origin
Roche MagNA Pure 96 System Fluid and Tips
13Quantity Available
13Price Per Unit (US $)
13Date Available
13Product Country of Origin
Roche MagNA Pure 96 External Lysis Buffer
14Quantity Available
14Price Per Unit (US $)
14Date Available
14Product Country of Origin
Biomerieux NuciSENS EasyMAG extraction system and supplies
15Quantity Available
15Price Per Unit (US $)
15Date Available
15Product Country of Origin
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CRITICAL MEDICAL SUPPLIES PROCUREMENT FORM

CRITICAL MEDICAL SUPPLIES PROCUREMENT FORM