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DA I LY C H E C K L I S T

MONTH: Hospital Name EQUIPMENT CODE:


SURGICAL DIATHERMY
SYSTEM CHECK Passed, X Failed NA not applicable System Check Instructions
Date SELF TEST CABLES CONTROLS INDICATORS ACCESSORIES ALARMS CLEANLINESS SIGNATURE Daily
1 Physical Check
2 Equipment
3 Connectors
4 Patient return electrode
5 Cables
6 Foot switch
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11 Check the working before using for each case
12 Ensure the unit and all its accessories are kept clean
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17  Training
18  Safety
19  Improvement Performance
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 Infection Control
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22  Management
23  QA
24  Maintenance
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Eng/ Mohammed Wathab


Email: e.wathab@gmail.com
https://t.me/biomedicalll

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