CVA Item Request Forms
Use this portal to request new clinical supplies, equipment, or procedural technology for review. Please choose the form that best reflects how the item will be used (nursing/patient care or surgical/procedural) and include enough detail to help us evaluate clinical need, workflow impact, and overall value.
Ask yourself: Is this item used during a surgical or invasive procedure?
- Yes → Surgical/Procedural Form
- No → Nursing & Patient Care Form
| 🩺 Nursing & Patient Care CVA Request Form | 🔪 Procedural & Surgical CVA Request Form |
| Supplies used in daily nursing or patient care activities | Supplies or devices used in OR, Cath Lab, IR, Endoscopy, or procedural suites |
| Items used outside of a surgical or invasive procedural setting | Physician preference items or specialty procedural technology |
| Floor stock, unit supplies, or general care equipment | Items that impact surgical technique, procedural steps, or case workflow |
| Wound care, IV therapy, monitoring, patient comfort, mobility, hygiene, etc. | Implants, instrumentation, or procedure-specific disposable kits |
| Equipment used across multiple units or general patient populations | Requests that may require vendor presence, training, or new trays/instruments |
| Requests that do not require procedural technique changes or physician preference | Technology tied to specific procedures or specialty service lines |
| Items that do not significantly alter a surgical workflow | Items requiring procedure card updates or clinical champion review |
| 👉 Examples: dressings, IV supplies, patient positioning aids, bedside monitoring tools, nursing equipment | 👉 Examples: implants, fixation devices, surgical kits, specialty instruments, procedural systems |