Weekly
Inspection

Item
Inspect Due Date
Date Completed
Signature
Urgent Care Box -
Check Inventory List (on box lid)
 
 
 
Clean IV Pole with disinfect spray or wipe with alcohol sponge
 
 
 
Laerdal Bag
 
 
 
O2 tank (schedule to refill when less than 1/2 full & document)
 
 
 
Record temps (on sheets located on front of refrigerator)
 
 
 
Lab Refrigerator
 
 
 
Pharmacy Refrigerator
 
 
 
Thermometers--wipe plastic case with alcohol sponge