LRC Lab Request Form

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LRC Lab Request

This form is currently undergoing maintenance.

Please submit requests by email to Laura Newman (lnewman@mcg.edu).

Name: Email:

Phone: Pager:

Course Supported: Date(s) & Time(s) needed:

Will the services of the Nurse Educator be needed? Yes No

Please specify other supporting faculty attending, if any:

Which room(s) is/are needed?

Room

Description

Maximum Capacity

Permanent Equipment

EC 5200

Large Lab

30

8 hospital beds with overbed tables, 4 oto/ophthalmascopes which are wall mounted between the beds, medical gases, 5 large tables, 36 chairs

EC 5303

“Germ Cave”

6

1 hospital bed with overbed table, 1 oto/ophthalmascope which is wall mounted, isolation cart with personal protective equipment

EC 5307

“Think Tank”

6

1 large table, 12 chairs, !V simulator, 1 oto/ophthalmascope which is wall mounted
30 “TV and VCR, medical gases

EC 5309, 5311, 5313

3 bay room

15

2 exam tables, 2 oto/ophthalmascopes which are wall mounted, 2 hospital beds, anesthesia cart

EC 5306, 5308

2 bay room

15

4 hospital beds with 2 overbed tables, medical gases

Number of students attending lab:

Student Roster (if available):

Do you need a video? Yes No Video Listing

If so, please specify title:

Please specify which equipment, if any, is needed for this learning activity:

Indicate number needed

Item

Augusta
Number Available

LRC

Simulation Lab
Off Site

Assessment Equipment That Can Be Used Outside Of LRC and Simulation Center

Audiometers

3

Audiometers, manual

4

Bath scales

28

Blood Pressure Cuff - large

15

Blood Pressure Cuff – pediatric

9

Blood Pressure Cuff - regular

54

Blood Pressure Cuff - Wrist

1

Fetoscope

1

Glucose monitoring device

30

Stethoscope

20

Stethoscope, dual head

48

Thermometer, electronic

10

Thermometer, Thermoscan

16

Vision Screener – adult/school age

4

Vision Screener – preschool/school age

2

Kits That Can Be Used Outside Of LRC and Simulation Center

Blue Bag

23

Oto/Opthalmoscope Kit

18

Denver Kit

8

Neuro Assessment Kit

16

Models That Can Be Used Outside Of LRC and Simulation Center

Airway

1

BSE - breast vest

1

BSE – ABC cup model

1

BSE – model (Laerdal)

3

BSE – model (Health Edco)

2

BSE – illuminator

1

Cross-section - Upper Body

1

Cross-section - Brain

1

Cross-section – Lung

1

Cross-section – Skin layers

1

Ear

2

Eye

1

Heart-lungs (detachable)

1

Testicular exam

5

Prostate exam

4

Condom Training

1

Skin pathology

2

Equipment That Can Be Used Outside Of LRC and Simulation Center

Cane, aluminum

1

Cane, wooden

1

Crutches, wooden

4 pr.

Walker

1

Wheelchair

1

Models That Can Only Be Used in LRC or Simulation Center

Tracheostomy Care

2

Colostomy Care

1

Wound Care Arm

1

Catheterization Models

Female, Skeletal Birth Model

1

Female, Pelvic Exam

2

Female, Eva pelvic teaching

1

Female, Cross-section GU

1

Female, GU

1

Female, GU, hard plastic

1

Male/Female Catheterization

2

Male, GU

1

Male, GU, hard plastic

1

Manikins

Manikin, adult

8

Manikin, CPR, adult

2

Manikin, CPR, child

1

Manikin, CPR, infant

2

Manikin, newborn infant

4

Manikin, Mike/Michelle toddler

2

Manikin, Gatesville child w/ cardiopulmonary sounds

1

Medication and IV Administration

Injection pad

9

Intradermal injection arm

2

Intramuscular injection model

4

Hip Injection

3

Vascular access teaching aide – adult arm

10

Vascular access teaching aide – Chester Chest

1

Vascular access teaching aide – Infant

1

Vascular access teaching aide – Port-a-Cath trainer

1

Vascular access teaching aide – table top

1

Equipment That Can Only Be Used in LRC or Simulation Center

Bassinet

1

Bedside Commode

1

Cardiopulmonary Sound Simulator

2

Feeding Pump, EZ

1

Feeding Pump, FlexiFlo 3

1

Goniometers

1

Impaired vision simulation Kit

5

IV pole, rolling

13

IV simulator, computer

1

Suction Unit, portable, compact

1

Privacy Screen, mobile

1

Privacy Screen, stationary

3

Pulse oximetery, Nellcor

1

Regulator, oxygen

5

Regulator, suction

3

Vision Chart – Snellen Chart

4

Standing scale with height bar

1

Vital sign monitor

2

Cart – nursing practitioner rolling clinic

1

Cart – isolation care

1

Cart – emergency cart

1

Please specify any other equipment and/or supplies needed for this lab: