Ask the nursing home to provide the toolkit
Fam Pract Manag. 2013 Jan-Feb;20(1):10-9.
I work full time in a nursing home with patients who need both skilled and nonskilled care. Asking the nursing home to provide some of the medical equipment suggested in the article “A Toolkit for Clinicians Rounding in Long-Term Care Facilities” [November/December 2012] would decrease the physician's cost of assembling the toolkit. The following items can be found in any nursing home and can be kept at the nursing station for physicians' visits: gastric and fecal occult blood tests, flashlight, oximeter, sphygmomanometer, toenail and fingernail cutters, all types of bandages, several sizes of syringes, straight needles, collection tubes for pathology (they come free from the labs), cultures, alcohol swabs, antibiotic ointment, Betadine swabs, lubricating jelly, tape measure, and tongue blades. I have convinced three facilities to purchase otoscopes, and one facility purchased a microscope for me. Also, some pharmacies will provide lidocaine and epinephrine injections and bill the patient for you. Save your money for the expensive items you might want, such as an external hearing aid, Doppler, cautery device, Dremel, etc.
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