Medical Equipment Checklist
Medical Equipment Checklist
Prepared by: [Your Name]
Date: October 10, 2050
I. Equipment Identification
|
Equipment Name: |
Defibrillator |
|
Model Number: |
Lifepak 15 |
|
Manufacturer: |
Physio-Control |
|
Serial Number: |
123456789 |
|
Location: |
Emergency Room |
II. Condition Assessment
Functional Status:
-
Functional
-
Needs Repair
-
Out of Service
-
Last Maintenance Date: April 15, 2050
-
Next Maintenance Due October 15, 2050
III. Quantity Verification
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Required Quantity: 2
-
Available Quantity: 2
-
Shortage:
-
Yes
-
No
IV. Preparation Notes
Setup Instructions:
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Clean and sterilize
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Calibrate if necessary
-
Test functionality
Special Considerations:
-
Ensure batteries are charged
-
Verify attachments and accessories
V. Sign-off Section
Prepared By:
[Your Name]
Reviewed By:
Johann Harvey
