Free Surgery Equipment Checklist

Prepared By: [YOUR NAME]
Prepared On: February 15, 2050
Section 1: General Preparation
Sterilization unit is operational.
OR lighting systems are functional and cleaned.
Waste disposal system is checked and emptied.
Anesthetic equipment is calibrated and stocked.
Section 2: Surgical Instruments
Instrument Name | Quantity | Condition | Last Maintenance Check |
|---|---|---|---|
Scalpels | 10 | Sterile | January 20, 2050 |
Forceps | 15 | Sterile | January 15, 2050 |
Sutures | 20 packs | Sterile | February 1, 2050 |
Surgical scissors | 5 pairs | Good Condition | February 10, 2050 |
Section 3: Emergency Readiness
Defibrillator is operational and charged.
Backup power supply tested.
Blood supply matches patient type requirements.
Emergency crash cart is stocked and accessible.
Section 4: Documentation and Contacts
Task | Responsible Person | Contact Details |
|---|---|---|
Checklist Approval | [YOUR NAME] | [YOUR EMAIL] |
Equipment Supplier Contact | Vendor Rep. | maxwell@you.mail |
Maintenance Follow-Up | Tech Support Lead | orval@you.mail |
For inquiries or updates, contact [YOUR COMPANY EMAIL] or call [YOUR COMPANY NUMBER]. Keep this checklist updated regularly to maintain the highest surgical standards and patient safety!
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The Surgery Equipment Checklist Template from Template.net offers a customizable and editable solution for medical professionals. With our easy-to-use AI Editor Tool, you can quickly modify the checklist to fit your specific surgical needs. Ensure all necessary equipment is accounted for with this professional template, designed to improve efficiency and accuracy in the operating room.
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