OUR LADY OF LOURTDES HOSPITAL

EAST MANILA HOSPITAL MANAGERS CORPORATION

HEMODIALYSIS UNIT ACCEPTANCE CHECKLIST

ROOM REMARKS SIGNATURE

1. Reception Area

2. Electrical Room

3. Medical Records Room

4. Watchers Comfort
Room

5. Managers Office

6. Consultation Area

7. Nursing Staff Quarters

8. Treatment Area
9. 4 rooms behind nurses
station
a. Equipment Room

b. Linen Room

c. Medication Room

d. Supply room

10. Patients Comfort Room

11. Room 1

12. Room 2

13. Room 3

14. Stock Room

15. Utility Room

16. Pantry
 17. Water System

18. Reprocessing Area

Noted by: