Information
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OR Room #
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Conducted on
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Manager Conducting validation
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EVS Staff Member Assigned
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OR Table
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Back Table
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Mayo Table
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Arm Board
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Bed Control
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Room Light Switch****
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Door Push Plate****
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Warmer Handle
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Front OR Room Handle****
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Rear OR Room Handle****
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Stainless Steel on OR Spotlight
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Metal Band on Anesthesia Circuit
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Handle on Drug Cart
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Spotlight Controller****
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IV Pole
