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دليل السياسات والإجراءات في غرفة العمليات
→ F-OT-24
🏠 البوابة
الرئيسية
📋 جدول المحتويات
📚 الأقسام
🏠 البوابة
الرئيسية
📋 محتويات
📚 الأقسام
→ F-OT-24
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General Hospital • Operating Theatre
Equipment Failure Report & Tag
F-OT-25
DO NOT USE
Removed From Service
Equipment Name / Description
Asset Tag / Biomed #
Date & Time Removed
Brief Reason for Removal
Removed By (Name)
Signature
Attach this tag securely to the broken device
Failure Report Slip
1. Equipment Identification
Manufacturer & Model
Serial Number (If Asset # unreadable)
Location When Failed
Current Stored Location
2. Description of Malfunction
3. Patient Safety Impact & Actions
Was the device in use on a patient?
Yes
No (caught during setup/test)
Did this cause harm or delay to the patient?
No
Yes (Delay/Harm)
Immediate Actions Taken:
Sequestered device & accessories
Replaced with backup device
Work order / Biomed ticket created
Reporting Staff Member
Charge Nurse Acknowledgment
Biomedical / Engineering Clearance (For Return to Service)
Actions Taken to Resolve
Cleared By (Technician)
Signature
Date Cleared