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6.7.2 Preventative Maintenance - Provider Checklist and Record
Perform the maintenance tasks in the table at each patient visit.
Check the box and enter data/notes for each maintenance task performed.
Enter the Date (DD/MM/YY): _____ /______ /______
Check/replace humidifier bottle (if prescribed)
Check that the fire break (if installed) is installed between the cannula and extension tubing
Check/replace humidifier bottle tubing and connector (if prescribed)
Check/replace cannula/mask and tubing
Check/clean or replace cabinet filter(s)
Inspect cabinet for damage
Check/replace compressor inlet filter
Check/replace patient outlet HEPA filter
Record run time hours (total and per user)
Check oxygen concentration (Green light)
Check error code
Check audible/LED indicators
Ask patient for flow rate (L/min)
Ask patient for use time (h/day)
Check concentrator location
Check concentrator environment
Invacare® Platinum® 5NXG Oxygen Concentrator
