Scan this QR code to use this paper checklist on your smartphone or tablet or
visit
https://safetyculture.com/
Information
Department Audited
Type of Department
Frequency of Audit
Conducted on
Prepared by
Personnel
MEDICAL EQUIPMENT MANAGEMENT – Ed Lopez, Biomedical Engineering Manager
All medical equipment provided with hospital grade plugs or equivalent.
Electrical cords in good conditions.
Electrical cords do not cause trip hazard or block door closure.
All Biomed inspection tags are up-to-date.
All electrical equipment has been approved.
Medical equipment with current PM.
Equipment is clean and in proper working order.
No outdated supplies (blood tubes, dressing kits, tubing, etc.).
Alarms on clinical equipment activated and audible to staff.
Staff Knowledge: Proper procedure and documentation for defibrillator testing. Demonstrate how to perform daily defibrillator test? The person who is responsible for the daily testing must properly demonstrate procedure, including while plugged and unplugged.
Signature upon completion of Audit
Calvin Fakkema
AHMC Anaheim Regional Medical Center Environment of Care Rounds
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
