Point of Care QC Log | Pediatric People

Quality Control Entry Type*

Control Date*

Clean / Maintenance Date*

Was a sterilizer monitoring spore strip sent for testing?*

Lot Number*

Calibration Number*

Expiration Date*

Calibrated Date*

Low Control Pass*

Normal Control Pass*

Abnormal Control Pass*

High Control Pass*

Neg(-) Control Pass*

Pos(+) Control Pass*

Was the equipment allowed to air dry for 15 minutes.*

Run By Signature*

Run By*

Verified By Signature*

Verified By*

CLIA WAIVED POINT OF CARE QUALITY CONTROL LOG