Title Page
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State/ Site
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Date Performed
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Check Performed By
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NON-CONFORMING, EXPIRED, DEMO/NOT FOR HUMAN USE STOCK >>> CARDIOVASCULAR (indicate specific OU in the Notes, when possible; e.g. CAS, CS, CRM + CDS, CRDN, SH, APVH) Randomly select minimum of 5 units (if qty available) from each shelf. Products inside travel cases, bags or boxes may be randomly included. Visually check if any is Non-conforming, Expired, or Demo/Not for Human use stock If any, they should be segregated and stored in a separate, lockable and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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NON-CONFORMING, EXPIRED, DEMO/NOT FOR HUMAN USE STOCK >>> NEUROSCIENCE (indicate specific OU in the Notes, when possible; e.g. Neuromodulation & Pelvic Health, CST, ENT, NV) Randomly select minimum of 5 units (if qty available) from each shelf. Products inside travel cases, bags or boxes may be randomly included. Visually check if any is Non-conforming, Expired, or Demo/Not for Human use stock If any, they should be segregated and stored in a separate, lockable and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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NON-CONFORMING, EXPIRED, DEMO/NOT FOR HUMAN USE STOCK >>> MEDICAL SURGICAL (indicate specific OU in the Notes, when possible; e.g. GI, PM & RI, SI, SR) Randomly select minimum of 5 units (if qty available) from each shelf. Products inside travel cases, bags or boxes may be randomly included. Visually check if any is Non-conforming, Expired, or Demo/Not for Human use stock If any, they should be segregated and stored in a separate, lockable and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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NON-CONFORMING, EXPIRED, DEMO/NOT FOR HUMAN USE STOCK >>> DIABETES Randomly select minimum of 5 units (if qty available) from each shelf. Products inside travel cases, bags or boxes may be randomly included. Visually check if any is Non-conforming, Expired, or Demo/Not for Human use stock If any, they should be segregated and stored in a separate, lockable and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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STORAGE ON THE FLOOR >>> CARDIOVASCULAR (indicate specific OU in the Notes, when possible; e.g. CAS, CS, CRM + CDS, CRDN, SH, APVH) Visually check if products are stored directly on the floor. Putting products on pallets or inside shipping boxes is allowed (this is not ‘directly’ on the floor). If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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STORAGE ON THE FLOOR >>> NEUROSCIENCE (indicate specific OU in the Notes, when possible; e.g. Neuromodulation & Pelvic Health, CST, ENT, NV) Visually check if products are stored directly on the floor. Putting products on pallets or inside shipping boxes is allowed (this is not ‘directly’ on the floor). If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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STORAGE ON THE FLOOR >>> MEDICAL SURGICAL (indicate specific OU in the Notes, when possible; e.g. GI, PM & RI, SI, SR) Visually check if products are stored directly on the floor. Putting products on pallets or inside shipping boxes is allowed (this is not ‘directly’ on the floor). If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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STORAGE ON THE FLOOR >>> DIABETES Visually check if products are stored directly on the floor. Putting products on pallets or inside shipping boxes is allowed (this is not ‘directly’ on the floor). If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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TEMPERATURE-CONTROLLED PRODUCTS (e.g. heart valves) >>> CARDIOVASCULAR (indicate specific OU in the Notes, when possible; e.g. CAS, CS, CRM + CDS, CRDN, SH, APVH) Randomly select 2 units from each shelf and check the packaging/ label for indication of storage temperature requirements. If Upper Limit is above +25 degC, this is compliant. If Lower Limit is +15 degC or above, or Upper Limit is +25 degC or below, this is NON-compliant If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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TEMPERATURE-CONTROLLED PRODUCTS (e.g. heart valves) >>> NEUROSCIENCE (indicate specific OU in the Notes, when possible; e.g. Neuromodulation & Pelvic Health, CST, ENT, NV) Randomly select 2 units from each shelf and check the packaging/ label for indication of storage temperature requirements. If Upper Limit is above +25 degC, this is compliant. If Lower Limit is +15 degC or above, or Upper Limit is +25 degC or below, this is NON-compliant If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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TEMPERATURE-CONTROLLED PRODUCTS (e.g. heart valves) >>> MEDICAL SURGICAL (indicate specific OU in the Notes, when possible; e.g. GI, PM & RI, SI, SR) Randomly select 2 units from each shelf and check the packaging/ label for indication of storage temperature requirements. If Upper Limit is above +25 degC, this is compliant. If Lower Limit is +15 degC or above, or Upper Limit is +25 degC or below, this is NON-compliant If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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TEMPERATURE-CONTROLLED PRODUCTS (e.g. heart valves) >>> DIABETES Randomly select 2 units from each shelf and check the packaging/ label for indication of storage temperature requirements. If Upper Limit is above +25 degC, this is compliant. If Lower Limit is +15 degC or above, or Upper Limit is +25 degC or below, this is NON-compliant If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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CLINICAL BIOHAZARD PRODUCTS/ PACKAGING MATERIALS AND EXPLANTED DEVICES >>> CARDIOVASCULAR (indicate specific OU in the Notes, when possible; e.g. CAS, CS, CRM + CDS, CRDN, SH, APVH) Visually check for Clinical biohazard products/ packaging materials and Explanted Devices If any, they should be segregated and stored in a separate, lockable and labeled container If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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CLINICAL BIOHAZARD PRODUCTS/ PACKAGING MATERIALS AND EXPLANTED DEVICES >>> NEUROSCIENCE (indicate specific OU in the Notes, when possible; e.g. Neuromodulation & Pelvic Health, CST, ENT, NV) Visually check for Clinical biohazard products/ packaging materials and Explanted Devices If any, they should be segregated and stored in a separate, lockable and labeled container If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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CLINICAL BIOHAZARD PRODUCTS/ PACKAGING MATERIALS AND EXPLANTED DEVICES >>> MEDICAL SURGICAL (indicate specific OU in the Notes, when possible; e.g. GI, PM & RI, SI, SR) Visually check for Clinical biohazard products/ packaging materials and Explanted Devices If any, they should be segregated and stored in a separate, lockable and labeled container If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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CLINICAL BIOHAZARD PRODUCTS/ PACKAGING MATERIALS AND EXPLANTED DEVICES >>> DIABETES Visually check for Clinical biohazard products/ packaging materials and Explanted Devices If any, they should be segregated and stored in a separate, lockable and labeled container If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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MARKETING MATERIALS >>> CARDIOVASCULAR (indicate specific OU in the Notes, when possible; e.g. CAS, CS, CRM + CDS, CRDN, SH, APVH) Visually check for presence If any, they should be segregated and stored in a separate and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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MARKETING MATERIALS >>> NEUROSCIENCE (indicate specific OU in the Notes, when possible; e.g. Neuromodulation & Pelvic Health, CST, ENT, NV) Visually check for presence If any, they should be segregated and stored in a separate and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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MARKETING MATERIALS >>> MEDICAL SURGICAL (indicate specific OU in the Notes, when possible; e.g. GI, PM & RI, SI, SR) Visually check for presence If any, they should be segregated and stored in a separate and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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MARKETING MATERIALS >>> DIABETES Visually check for presence If any, they should be segregated and stored in a separate and labeled container. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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GENERAL HOUSEKEEPING AND SAFETY Visually check for presence of (a) unnecessary items, (b) non-Medtronic products, and/or (c) cases, boxes, crates, transport bags, etc blocking the walkways or obstructing fire sprinkler or extinguisher. If Fail, list non-compliant OU/s in the Notes
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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TEMPERATURE LOGGER MONITORING Visually check the two temperature monitors for any alarm, marked by "X" icon
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A
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PEST CONTROL (last month of each quarter only - July, October, January, April) Sight the pest control inspection/ service report for the quarter to ensure that pest control was executed
- Pass
- Fail - but corrected on the spot
- Fail - further action required
- N/A