PPE NEEDS SURVEY

Since the start of the Covid-19 outbreak, several members have contacted the Chicago Medical Society asking us to help them obtain personal protective equipment (PPE). CMS is pleased to announce that we are partnering with a medical supply company that will be offering products at competitive pricing. As such, we ask that you participate in our PPE Needs Survey to help us identify your specific needs.

Question Title

* 1. What PPE does your practice/clinic/hospital need?

Hand Sanitizer Alcohol Gel 2oz & 4oz, smaller bottles for employee specific use

Hand Sanitizer Alcohol Gel, w/pump table top for work areas (12oz, 16oz or 64oz)

Surface Disinfectant Wipes 6.75 x 6.75 w/bleach w/kill claims including Coronovirius

Procedural Masks, 3ply pleated w/ear-loop

Surgical Mask, 3ply pleated w/ear-loop ASTM certified

N95 Masks, NIOSH certified

Face Shields

Gloves

Gowns: Class I – standard isolation gowns / non surgical (protect the wearer from the transfer of microorganisms and body fluids in low or minimal risk patient isolation situations)

Gowns: Class II – surgical isolation gowns AAMI certified (all areas of the surgical isolation gown except bindings, cuffs, and hems are considered critical zones of protection and must meet the highest liquid barrier protection level)

Thermometer, infrared no touch 1 second test time

Pulse Oximeter, fingertip style

Thermometer Covers

Other (please specify)

Question Title

* 2. The Chicago Medical Society has formed a partnership with a medical supply company to purchase PPE at a discount. Would you consider purchasing your PPE through this partnership?

Yes

Question Title

* 3. How many cases of the following would you initially need?

Hand Sanitizer Alcohol Gel 2/4oz (case of 24)

Hand Sanitizer Alcohol Gel Table Top (case of 12)

Surface Disin Wipes, bleach (160/tb 12tb/cs)

Procedural Masks, 3ply (boxes of 50)

Surgical Masks, 3ply ASTM certified (boxes of 50)

N95 Masks (boxes 20)

Face Shields

Gown Class I (case of 50)

Gown Class II (case of 50)

Thermometers, Infrared (EA)

Pulse Oximeter, fingertip (EA)

Thermometer Covers

Gloves

Question Title

* 4. If you’d like more information, please include your name and contact information:

Name:

Email:

Phone #: