Fillable Prnc0003-basicnursingskills Fee Justification - Basic Nursing Skills

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Prnc0003-basicnursingskills Fee Justification - Basic Nursing Skills

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Fee Justification
Fee justification forms should be submitted for every course change that has an associated fee. In general, all science
and technology courses and some language and mathematics courses are included in this category.
Fee: Ch
eck only one
New Change Delete No Chang
e
Effective Te
rm/Year:
Title:
Course Number:
Recommended Fee Amount:
ost per student mut not eceed utcton; show a breakdown of cost per student to justify fee:
Current Fee Amount:
ust a Review
Status:
Denied
Approved
uuu at s 
at   ut
u ndo od o utee:
Rev 5/2018
(Fee changes must be approved by the EFSC Board of Trustees prior to implementation)
201940
Basic Nursing Skills
PRNC 0003
176.50
210.00
Trajecsys Reporting System $100.00 Program Lab kit $110 (includes below)
Procedure kits: [2 Wound/dsg change kits w/4x4’s, ABD, sterile field, forceps, 1” tape, 2 Foley kits (with
foley), Trach care kit (w/q-tips, pipe cleaners, brush, drape, 4x4”s, trach dressing, twill tape, gloves), 1
Central line drsg change kit (w/mask, gloves, chloroprep swab, Tegaderm, 1” tape, alcohol swabs,
2x2’s, 4x4’s), 1 Trach suction kit (w/12 Fr. Catheter, cup, gloves)
Assoc equipment: 1 Irrig. tray (with piston syringe), 4 non-sterile gloves, 2 isolation gowns, 2 surgical
masks w/ eyeshield and ties, 2 plain surgical masks w/ ties, 5 Tegaderm dsgs (10cm x 12cm), 5 4x4
sterile dsgs (packages of 2 each), 1 Sterile ABD dsg, 2” cloth tape roll, 1” transpore tape roll, Pressure
sore measuring sheet, 5 pkgs of sterile cotton tipped applicators (2 per package), 12 alcohol prep pads,
sterile gloves, Nasogastric tube, Feeding tube with Toomey syringe
Medication related equipment: 2 3cc LL syringes, 10cc LL syringe, 2 3cc syringes (22g x 1.5”), 2 3cc
syrs (23g x 1”), 3cc syr (25g x 5/8”), Insulin syr (0.5cc U 100), Insulin syr (1cc U 100), 2 TB syrs (1cc
25g x 5/8”), Needles (22g x 1.5”), 2 (23g x 1”), 2 Filter (18g x 1.5”), 2cc vial 0.9% NaCl, 30cc vial 0.9%
NaCl, 2 Amps “Practi-Lanox” for injection (2cc), Vial “Practi-Insulin” (Reg Insulin), Vial
“Practi-Insulin” (NPH), 2 vials “Practi-powder”, 2 10cc “Practi-vials” 0.9% NaCl, demi-dose tablets,
capsules. Unit doses
IV equipment: IV admin set clave with 1 site (15gtts/cc; Lifeshield), IV admin secondary Plumset with
convertible pin (18”, 15gtts), IV 0.9% NaCl (500cc), IV 0.9% NaCl (50cc), IV Plumset w/converter pin,
second port Clave-Y (15 gtts), Blood tubing
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Completed 29 February 2020

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