XP-300 MAINTENANCE LOG

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Perform Shutdown

Verify Background

Verify Vacuum/Pressure

Check Trap Chamber

Perform Quality Control

Initials

Weekly

Clean SRV Tray

Monthly (or 1500 samples) Reagent Replacement

Clean RBC/WBC Transducer

Clean Waste Chamber

Initial / check mark indicates value within instrument limits: maintenance procedure performed as required

date / initials date / initials

Serial Number

date / initials date / initialsdate / initials date / initials

A7652 Month YearDaily Maintenance __________________

Name

Reviewed by Supervisor / Lab Director

Date

_______________

Clean Sample Rotor Valve (SRV)

Cellpack

Stromatolyser WH

lot # / date

Commentsdate / initials

date / initialsQuarterly (or every 4,500 samples)

date / initials lot # / date lot # / datedate / initials date / initials

YEAR: MONTH:Beckman Coulter Access 2 Maintenance Log

Serial #: 511240 System ID: 22574280

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*The

substrate:Washed

Ratio and the

Unwashed Check RLU

mean result are not

system specifications.

They are only

reference guidelines.

1.0 to -1.0

0 to 1.25

Unwashed RLU/%CV 4 to 10 million* / ≤ 2.00

0 to 1.40

Substrate RLU/%CV

Washed RLU/%CV

Expected Results

5,000 to 20,000 / ≤ 12.00

5,000 to 9,000 / ≤ 5.00

Tech Initials

Substrate: Washed Ratio

Substrate Ratio

Wash Efficiency PPM

Week 5

Date

SYSTEM CHECK RESULTS Week 1 Week 2 Week 3 Week 4

Enter the System Check Results in the boxes. Initial the Tech Initial box.

Tech Initials

(If Needed) Perform Special Clean

Run Daily Clean System

Tech Initials

Run System Check (See below) (See below) (See below) (See below) (See below)

Run Daily Maintenance

Replace/Clean Aspiration Probe

WEEKLY MAINTENANCE

Clean Instrument Exterior

Inspect Liquid Waste Bottle

Check Waste Filter Bottle

Inspect/Clean Primary Probe

Date

Week 1 Week 2 Week 3 Week 4 Week 5

DAILY MAINTENANCE

Perform the tasks on the left and draw a check (√) in the accompanying box on the right. Initial the Tech Initials box.

Perform the tasks on the left and draw a check (√) in the accompanying box on the right. Initial the Tech Initials box.

Clean Probe Exteriors

Prime Substrate

Inspect Fluidic Module

System Backup Successful?

Empty Liquid Waste Bottle

Check System Supplies

Check Zone Temperatures

Lab Director Review: ____________________________________

YEAR: MONTH:Afinion Operation Log

Afinion #: AS0035503

AFINION #AS0035503 Year: Month:

HbA1c QC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

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 ChamberClean Exterior(water/mild soap)

Reviewed: ________________________________________

YEAR: MONTH:Alfa Wasserman ACE Axcel Maintenance Log

AXCEL #15040224CALIBRATION

Reagent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Albumin

Bilirubin, Tot

BUN

Calcium

Cholesterol

CO2-LC

Creatinine

Glucose

HDL-C

Total Protein

Triglycerides

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Inspect ISE Electrodes

Tech Initials

Clean Reference Housing

Date

Tech Initials

Check Probe Alignment

Remove sample cups-seglets

DAILY MAINTENANCE

Remove Condensation

Check Fluid Levels

DateReplace ISE Pump Tubing

Perform the tasks on the left and draw a check ( √) in the accompanying box to the right when completed, then initial the "Tech Initials" box.

7 days

2 days

30 days

30 days

30 days

30 days

Clean & Condition ISE (q40 pts)

Calibration

Frequency30 days

30 days

7 days

30 days

30 days

Clean Exterior SurfacesClean ISE Sample PortTouch Plate cleaning Procedure

Tech Initials

Empty Cuvettes & liquid Waste

Clean Exterior Probe

Clean Touch Plate and Pathway

Perform System Backup

WEEKLY MAINTENANCE

Inspect Air Filters and clean

Load Reagents

START UP

SHUT DOWN

Week 1 Week 2 Week 3 Week 4 Week 5

Perform the tasks on the left and draw a check ( √) in the accompanying box to the right when completed, then initial the "Tech Initials" box.

MONTHLY MAINTENANCE BI-ANNUAL/ANNUAL MAINTENANCE

ANNUAL MAINTENANCEReplace All ISE Tubing

Tech Initials

Date

Remove & Store Creat and CO2

Fill Hopper

Tech Initials

Rinse Probe and Lines with 10% BleachClean Bottle Caps and Cap ConnectorsPerfom Sample Delay and Optics

Other: Reviewed: ________________________________

Northwest Primary Care

455 West McPherson Hwy

Clyde, OH 43410

Enviromental Log Year: ___________________Month: ___________________

Temp Temp Temp Humidity

F OK High F OK High F OK High % OK High

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Notes:

Freezer Refridgerator Lab Area

Date< -4° F < 46° F < 90° F < 80 %

Clean Initials

Reviewed: ________________________________Date: ________________________________

Outside-Reference Lab LogSpecimen Rejection Log

Month: ____________________

Year: ____________________

Urine Oral Y Reason

RejectedPhysDate Last Name First Name ID # Quest Order

Drug Screen