Laboratory Downtime Manual Result Form
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Does anyone have Downtime Manual Result Forms they would be willing to send? We only have ours in paper format and desperately need a workable document.
Thanks, Jeremy
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LAB POINT OF CARE UNREGISTERED PATIENT TESTING INFORMATION
Use the following protocol whenever it is necessary to complete a POC test before a patient CSN number is available.
Place patient sticker here if available- there is no need to fill in last name, first name, DOB below if a sticker is available.
Step 1: At the Patient ID screen, scan the barcode below:
Step 2: Complete ALL of the information requested here:
Patient's Last Name:
Patient's First Name:
Patient's DOB:
Instrument Used (circle one)
Accu-chek iSTAT
Test Date
and Time:
Instrument
Serial Number:
Test
Performed:
Operator Name (print clearly):
Nursing Unit Location:
Step 3: I have reviewed the documentation and verified this is the correct patient and test information.
Operator Signature_______________________________________ Date______________
Step 4: Once complete, send to Lab Point of Care Department via the Pneumatic Tube Station
(Forms submitted without ALL requested data, including operator signature, will be returned.)
the barcode didn't copy but you would need to create one for your facility.