Title Page
-
Was this probe picked up by a CRCST Technician?
-
Conducted on
-
Inspected by:
-
Pickup Location
-
Drop off Location
-
Probe Type
-
Probe Serial Number:
Probe Checklist
-
Is moisture/water present in the connector?
-
Are the metal prongs bent?
-
Are there any chips, cracks, or openings on the distal tip?
-
Are there tears or openings on the cord?
-
Is the bin damaged?
-
Is water present inside the bin?
-
Is the patient label present?
-
Is the patient label inside the peel pouch?
