Volunteer Checklist Form

Note that all checkboxes below must be filled before the form can be submitted.

From Chapter 7 - Recommended Competencies

Base requirements:

Cultural competencies

Teaching competencies:

From Chapter 7 - Checklist

  • Stethoscope
  • Sterile and non-sterile gloves
  • OR masks and hats
  • Eye protection
  • Scrubs to last a rotation
  • Lab coat
  • Dedicated OR shoes
  • Books, iPad, reading material
  • Flashlight

  • Appropriate malaria prophylaxis: Start taking as directed before the trip and continue as prescribed after the trip.
  • Mosquito repellent
  • Tylenol, ibuprofen, sunscreen
  • Chronic medications that you may be on
  • Water filter

  • Medical insurance printouts
  • CMPA printout
  • Medical license printout
  • Yellow fever passport and immunization record
  • Passport and several photocopies
  • Travel health clinic recommendations and precautions
  • Several new US 50$ bill notes in case of emergency and other money
  • Emergency contacts in wallet and photocopied

  • If rainy season, bring rain gear
  • All other necessary clothes
  • Daypack for side trips
  • Camera (not for the OR and patients)
  • Spare batteries

Note that all checkboxes above must be filled before the form can be submitted.