Inventory List

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zircushio

zircushio

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Does anyone have a proper inventory list of 1) bare essentials for clinic and 2) best equipped with wants/needs factored in? Currently building up a list, but want to see if I'm missing anything. Would also be helpful for others starting their own practice. Searching SDN didn't provide me with any threads, but if there are and I missed it, I apologize.
 
Some of the podiatry specific supply companies used to have basic lists of suggested inventory for starting a new practice. I would suggest starting there.
 
Both Henry Schein and McKesson have a pod office supply list.
 
Pronation said:
Both Henry Schein and McKesson have a pod office supply list.
Click to expand...
We use both of these too, probably most pod offices. Our inventory list is on an excel spreadsheet which has slowly built up as we find ourselves needing certain items. We just recently noticed a big difference in our bill on office supply expenditures but can't figure out where the money's going. Its hard to keep inventory because we just grab items and use them, and it would be very hard to make staff start to keep a log everytime they use items, so our MAs just re-stock and re-order based on a visual inspection of office supplies when they're low. Anyone have a good way to track their inventory? Would these companies generate a list of items purchased? It'll be nice to have this information so we can target certain items to reduce overhead
 
AttackNME said:
We use both of these too, probably most pod offices. Our inventory list is on an excel spreadsheet which has slowly built up as we find ourselves needing certain items. We just recently noticed a big difference in our bill on office supply expenditures but can't figure out where the money's going. Its hard to keep inventory because we just grab items and use them, and it would be very hard to make staff start to keep a log everytime they use items, so our MAs just re-stock and re-order based on a visual inspection of office supplies when they're low. Anyone have a good way to track their inventory? Would these companies generate a list of items purchased? It'll be nice to have this information so we can target certain items to reduce overhead
Click to expand...

Also used McKesson at my prior job. The MAs did the same as above - ordered when visually low or back room was low. We found out the McKesson lady that comes around tried to overcharge certain items until we caught it and threatened to switch companies. She quickly stopped the shenanigans.
 
Different offices often pay different prices for medical supplies.

They have a lower tier pricing for Henry Schein they will probably not admit exists to a solo doctor.

Mckesson is good for service if you need that with ordering supplies and will match prices, but anything out of the ordinary (like instruments) will be over priced.
 
Check out Gill Podiatry based out in OH. That should also give you a nice potential list of things you may need.
 
1 of each. Just don’t let patient see you taking it out of the pencil tray soaking the germicide. Instant boost to cost benefit ratio already.
 
What’s the best way to resharpen a #15 blade for multiple uses?
 
Pronation said:
What’s the best way to resharpen a #15 blade for multiple uses?
Click to expand...
I believe the solution in the little bins keeps it sharp. Has anyone ever seen in another doctor's office a container containing a solution where the equipment is placed to return to over and over again. The only answer I have. Barber shop.
 
Last edited:
AttackNME said:
We use both of these too, probably most pod offices. Our inventory list is on an excel spreadsheet which has slowly built up as we find ourselves needing certain items. We just recently noticed a big difference in our bill on office supply expenditures but can't figure out where the money's going. Its hard to keep inventory because we just grab items and use them, and it would be very hard to make staff start to keep a log everytime they use items, so our MAs just re-stock and re-order based on a visual inspection of office supplies when they're low. Anyone have a good way to track their inventory? Would these companies generate a list of items purchased? It'll be nice to have this information so we can target certain items to reduce overhead
Click to expand...
We had a similar experience and then realized our staff was handing out product. I would change a dressing and wrap a roll of Coban/Coflex over the dressing (keeps it neat and clean). I would leave the room and the patents would ask the MA for an extra roll and she would hand the patient 4-5 rolls. She would do the same with Unna’s boots and some of these items are 3-5 bucks a pop. Add that and gauze and other items and it adds up quickly.

The staff wasn’t doing it to be malicious, but they didn’t realize how much money they were costing the office.

So we sat them down and showed them pricing and they were horrified. They thought our cost of goods were a fraction of the actual cost.

We used to put stickers on items like they used to do in hospital supply closets. You’d peel the sticker off the product and stick it in the hospital chart.

We simply had a large poster board and they would peel off the sticker and put it on the board and at the end of the week we knew what to reorder.
 
Just like EMR stuff, I think it's best to make your own list. I use a stock list similar to below with HSI numbers (to make re-order easier).

Some people like different things. I have had former colleagues who love stick spray for taping, Unna (I barely do any... huge time waste), 11 blades (I use 15 for I&D), etc. Some people need a lot of instruments, I am very minimal with 4 in-room instruments (scalpel, curette, hemostat, nipper in room trays)... all others in supply room, ingrown kits, individual packed, etc. Ingrown packs are just 4pc also: Anvil, hemostat, beaver handle and blade, spatula. I take out suture with 15 blade and hemostat or adson forceps. Instruments kept in rooms or left in rooms do go missing in a lot of clinics... and they're not cheap.

If you're in PP, using ShopMedVet will save you on many things... usually much cheaper than most big companies.

Anyways, for a basic clinic:

~13x18in paper drop cloths
~24x36 chux plastic back pads

Germicide trays
Benz-All conc or some disenfectant for trays
Autoclave
Mayo Stand 34-53"
label maker

alcohol pads
betadine iodine pads or swabs or bottles
basic cleaners (all purp, glass, wipes, mop, air freshener, hand soap, hand sanit, masks, etc)
PPE basic ear loop masks, cheap clear sport glasses, gowns for some proc
exam gloves

Bacitracin
Clotrimazole
Hydrocortisone
Emollient crm (any large generic dry skin crm)
Tolnaftate spray
Silvadene

4x4s non-sterile
2x2s non-sterile
4x4s sterile
2" kling soft roll
4" Kerlix
4" color or brown coban **
1" color coban **

4" cast padding (webril)
Cast tape 4" rolls **
Stockingette 3"
Stockingette 4"
Cast stand adjustable to 21"
Cast cutter **
Cast spreader **

1" fabric band aids
2" fabric band aids
4" xerform non-adher (cut pieces and re-use) **
4" Unna boot roll **

1" paper tape
1" silk tape
2" silk tape
1" cloth tape (just tear to make 1/2" for PDS and stuff)

bunion and hammertoe pads OTC**
arch supports OTC **
other OTC stuff
'treasure box' of little stickers for kids

1/4" and 1/8" Felt met pads
CHEAP bunion and toe pads (tube foam or etc... they can buy better if they want)

monofilament (i think I've been using same one or two since residency?) **
disposable paper tape measure books

cold spray
lido 2% vials
lido w epi vials
bupi 0.5% vials
dex 4mg/ml vials
betameth 6mg/ml vials

18ga needles
27ga 1.5in needles
3cc syringes
5cc syringes
30cc syringes

Cotton tip applicators
Tongue depressors
Saline vials or spray or bottles

Scissor plastic handle utility
Scissor iris
Double end dental curette
Mosquito hemostat
forceps 1-2 type
Scalpel handle #3
scalpel 10 blades
scalpel 15 blades
Beaver blade mini handle for 6200 blades
6200 blades
English Anvil **
Spatula/packer
Nail nippers 5.5in double spring **
Tissue nipper 4in **
Volkman bone curette **
Penrose drain 1/4in

Dremel lithium cordless **
bud burr 229 fine
bud burr 218 coarse

Phenol bottle or EZ swabs
Salicylic acid crm
Cantharidin prep soln **

Punch biopsy 2mm disposable
suture 3-0 nylon
4-0 nylon
5-0 nylon
4-0 vicryl **
forms and mail labels for biopsy, etc

paper slippers (xray)
lead apron

That - and obviously office supplies and machines - is all you need to do basically everything from all common derm stuff to fairly complex post-op and wound care. KISS

...ExpDPM is right that some stuff is stupid expensive. I have MAs make little brown bag kits for ingrown (alc, band aids) and wounds (4x4s, rolls, alc, tape) that I give away... those things are dirt cheap. The stuff I put (**) on will add up fast, though. Make manager or staff aware, and manager can do orders and figure out if something is disappearing too fast - esp the costly stuff. Keep that stuff out of rooms and discourage the staff on passing that stuff out as best you can.
 
Last edited:
ExperiencedDPM said:
We had a similar experience and then realized our staff was handing out product. I would change a dressing and wrap a roll of Coban/Coflex over the dressing (keeps it neat and clean). I would leave the room and the patents would ask the MA for an extra roll and she would hand the patient 4-5 rolls. She would do the same with Unna’s boots and some of these items are 3-5 bucks a pop. Add that and gauze and other items and it adds up quickly.

The staff wasn’t doing it to be malicious, but they didn’t realize how much money they were costing the office.

So we sat them down and showed them pricing and they were horrified. They thought our cost of goods were a fraction of the actual cost.

We used to put stickers on items like they used to do in hospital supply closets. You’d peel the sticker off the product and stick it in the hospital chart.

We simply had a large poster board and they would peel off the sticker and put it on the board and at the end of the week we knew what to reorder.
Click to expand...
Thanks for the reply, that makes a lot of sense. I was trying to figure out a spreadsheet to take tally of items bought but seems like it’s gonna be a waste of mine and the MA’s time to do that
 
Feli said:
Just like EMR stuff, I think it's best to make your own list. I use a stock list similar to below with HSI numbers (to make re-order easier).

Some people like different things. I have had former colleagues who love stick spray for taping, Unna (I barely do any... huge time waste), 11 blades (I use 15 for I&D), etc. Some people need a lot of instruments, I am very minimal with 4 in-room instruments (scalpel, curette, hemostat, nipper in room trays)... all others in supply room, ingrown kits, individual packed, etc. Ingrown packs are just 4pc also: Anvil, hemostat, beaver handle and blade, spatula. I take out suture with 15 blade and hemostat or adson forceps. Instruments kept in rooms or left in rooms do go missing in a lot of clinics... and they're not cheap.

If you're in PP, using ShopMedVet will save you on many things... usually much cheaper than most big companies.

Anyways, for a basic clinic:

~13x18in paper drop cloths
~24x36 chux plastic back pads

Germicide trays
Benz-All conc or some disenfectant for trays
Autoclave
Mayo Stand 34-53"
label maker

alcohol pads
betadine iodine pads or swabs or bottles
basic cleaners (all purp, glass, wipes, mop, air freshener, hand soap, hand sanit, masks, etc)
PPE basic ear loop masks, cheap clear sport glasses, gowns for some proc
exam gloves

Bacitracin
Clotrimazole
Hydrocortisone
Emollient crm (any large generic dry skin crm)
Tolnaftate spray
Silvadene

4x4s non-sterile
2x2s non-sterile
4x4s sterile
2" kling soft roll
4" Kerlix
4" color or brown coban **
1" color coban **

4" cast padding (webril)
Cast tape 4" rolls **
Stockingette 3"
Stockingette 4"
Cast stand adjustable to 21"
Cast cutter **
Cast spreader **

1" fabric band aids
2" fabric band aids
4" xerform non-adher (cut pieces and re-use) **
4" Unna boot roll **

1" paper tape
1" silk tape
2" silk tape
1" cloth tape (just tear to make 1/2" for PDS and stuff)

bunion and hammertoe pads OTC**
arch supports OTC **
other OTC stuff
'treasure box' of little stickers for kids

1/4" and 1/8" Felt met pads
CHEAP bunion and toe pads (tube foam or etc... they can buy better if they want)

monofilament (i think I've been using same one or two since residency?) **
disposable paper tape measure books

cold spray
lido 2% vials
lido w epi vials
bupi 0.5% vials
dex 4mg/ml vials
betameth 6mg/ml vials

18ga needles
27ga 1.5in needles
3cc syringes
5cc syringes
30cc syringes

Cotton tip applicators
Tongue depressors
Saline vials or spray or bottles

Scissor plastic handle utility
Scissor iris
Double end dental curette
Mosquito hemostat
forceps 1-2 type
Scalpel handle #3
scalpel 10 blades
scalpel 15 blades
Beaver blade mini handle for 6200 blades
6200 blades
English Anvil **
Spatula/packer
Nail nippers 5.5in double spring **
Tissue nipper 4in **
Volkman bone curette **
Penrose drain 1/4in

Dremel lithium cordless **
bud burr 229 fine
bud burr 218 coarse

Phenol bottle or EZ swabs
Salicylic acid crm
Cantharidin prep soln **

Punch biopsy 2mm disposable
suture 3-0 nylon
4-0 nylon
5-0 nylon
4-0 vicryl **
forms and mail labels for biopsy, etc

paper slippers (xray)
lead apron

That - and obviously office supplies and machines - is all you need to do basically everything from all common derm stuff to fairly complex post-op and wound care. KISS

...ExpDPM is right that some stuff is stupid expensive. I have MAs make little brown bag kits for ingrown (alc, band aids) and wounds (4x4s, rolls, alc, tape) that I give away... those things are dirt cheap. The stuff I put (**) on will add up fast, though. Make manager or staff aware, and manager can do orders and figure out if something is disappearing too fast - esp the costly stuff. Keep that stuff out of rooms and discourage the staff on passing that stuff out as best you can.
Click to expand...
Excellent list and exactly what I was looking for to give me some idea of what I can add/remove from my own personal list. As always, thank you for your contributions to the forum Feli.
 
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