XP-300 MAINTENANCE LOG

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1 XP-300 MAINTENANCE LOG Daily Maintenance Serial Number A7652 Month Year Perform Shutdown Verify Background Verify Vacuum/Pressure Check Trap Chamber Perform Quality Control Initials Weekly Comments Clean SRV Tray Monthly (or 1500 samples) Reagent Replacement lot # / date lot # / date lot # / date Clean RBC/WBC Transducer Cellpack Clean Waste Chamber Stromatolyser WH Quarterly (or every 4,500 samples) Clean Sample Rotor Valve (SRV) Reviewed by Supervisor / Lab Director Name Initial / check mark indicates value within instrument limits: maintenance procedure performed as required

2 YEAR: MONTH: Beckman Coulter Access 2 Maintenance Log Serial #: System ID: Perform the tasks on the left and draw a check ( ) in the accompanying box on the right. Initial the box. DAILY MAINTENANCE Check Zone Temperatures Check System Supplies Empty Liquid Waste Bottle System Backup Successful? Inspect Fluidic Module Clean Probe Exteriors Prime Substrate Run Daily Clean System (If Needed) Perform Special Clean Perform the tasks on the left and draw a check ( ) in the accompanying box on the right. Initial the box. WEEKLY MAINTENANCE Week 1 Week 2 Week 3 Week 4 Week 5 Clean Instrument Exterior Inspect Liquid Waste Bottle Check Waste Filter Bottle Inspect/Clean Primary Probe Replace/Clean Aspiration Probe Run Daily Maintenance Run System Check (See below) (See below) (See below) (See below) (See below) Enter the System Check Results in the boxes. Initial the Tech Initial box. SYSTEM CHECK RESULTS Week 1 Week 2 Week 3 Week 4 Week 5 Expected Results Washed RLU/%CV Substrate RLU/%CV 5,000 to 20,000 / ,000 to 9,000 / 5.00 Unwashed RLU/%CV Wash Efficiency PPM Substrate Ratio 4 to 10 million* / to to 1.40 Substrate: Washed Ratio 0 to 1.25 *The substrate:washed Ratio and the Unwashed Check RLU mean result are not system specifications. They are only reference guidelines. Lab Director Review:

3 YEAR: MONTH: Afinion Operation Log Afinion #: AS AFINION #AS Year: Month: HbA1c QC New lot New shipment New operator Unexpected result Software upgrade At least monthly ACR QC New lot New shipment New operator Unexpected result Software upgrade At least monthly DAILY MAINTENANCE Turn Analyzer On Turn Analyzer Off MONTHLY and PRN Clean Cartridge Chamber Clean Exterior(water/mild soap) Reviewed:

4 YEAR: Albumin Bilirubin, Tot BUN Calcium Cholesterol CO2-LC Creatinine Glucose HDL-C Total Protein Triglycerides 7 days 2 days MONTH: DAILY MAINTENANCE START UP Remove Condensation Check Fluid Levels Load Reagents SHUT DOWN Clean & Condition ISE (q40 pts) Remove sample cups-seglets Remove & Store Creat and CO2 Fill Hopper Empty Cuvettes & liquid Waste Clean Exterior Probe Clean Touch Plate and Pathway Check Probe Alignment Perform System Backup WEEKLY MAINTENANCE Alfa Wasserman ACE Axcel Maintenance Log AXCEL # CALIBRATION Perform the tasks on the left and draw a check ( ) in the accompanying box to the right when completed, then initial the "" box. Reagent Calibration Frequency days Inspect Air Filters and clean Clean Exterior Surfaces Clean ISE Sample Port Touch Plate cleaning Procedure Perform the tasks on the left and draw a check ( ) in the accompanying box to the right when completed, then initial the "" box. Week 1 Week 2 Week 3 Week 4 Week 5 MONTHLY MAINTENANCE Rinse Probe and Lines with 10% Bleach Clean Bottle Caps and Cap Connectors Perfom Sample Delay and Optics Clean Reference Housing Inspect ISE Electrodes BI-ANNUAL/ANNUAL MAINTENANCE Replace ISE Pump Tubing ANNUAL MAINTENANCE Replace All ISE Tubing Other: Reviewed:

5 Northwest Primary Care 455 West McPherson Hwy Clyde, OH Enviromental Log Year: Month: Freezer Refridgerator Lab Area < -4 F < 46 F < 90 F < 80 % Clean Initials Temp Temp Temp Humidity F OK High F OK High F OK High % OK High Notes: Reviewed: :

6 Outside-Reference Lab Log Specimen Rejection Log Month: Year: Last Name First Name ID # Quest Order Drug Screen Rejected Urine Oral Y Reason Phys

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