vPad-IV OPERATORS MANUAL
APPENDIX A. Sample Test Record
This appendix provides an example of a vPad-IV Test Record, illustrating the data representation for flow,
volume, pressure and time. This Test Record was obtained by running the "IV Pump PM Inspection"
AutoSequence, which includes visual inspection steps, a flow test, and an occlusion pressure test.
Biomedical Engineering Dept.
St. Joseph's Hospital
1234 Main Street
MyTown MyState 98765
Phone: 123-456-7890 Ext. 123
File: CN1234_20200910_144147_P.txt
Date: 2020 Sep 10
Time: 14:41:47
vPad-IV ID: My vPad-IV
Module SN: IVM2020070138 Cal Date: 2020-07-23
Equipment Information...
Control No./ID: CN1234
Description: INFUSION PUMP
Manufacturer: ABBOTT
Model: PLUM XL
Serial Number: 78560-45221
Location: ICU
Facility: St Josephs Hospital
Work Order: WO1234
Work Order Type: PM Preventive Maintenance
Completion Code: PMP Pm complete-Pass
Technician: ZRS
Labor Type: RT Regular Time
Tech Time (hrs): 2.00
(min): 120
Overall Result: PASS
Next Test Due: 2021 Sep 10
Signature:__________________________________ Date:________________
Appendix A
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Содержание vPad-IV
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