Medium

Available on

Apple Android Windows

Home Medical Equipment Set-Up Checklist Mobile App

This is the Home Medical Equipment Set-Up Checklist app. In this app, the User will describe what kind of equipment is being used or set up and will answer questions or check boxes based on that equipment. These questions involve modifications, set up, demonstration, troubleshooting, etc. At the end is an assessment checklist of the home and a general assessment based on ability to use the equipment, knowledge of the equipment and the appearance of the patient on the day. at the end, the User will sign the form and then let the Patient/Caregiver sign as well in approval of the information.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Home Medical Equipment Set-Up Checklist Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date

  • Ico time

    Time

  • Ico textbox

    Name

  • Ico multiline

    Type(s) or Equipment

  • Ico textbox

    Make and Model

  • Ico statictext

  • Ico checkbox

    Identify and evaluate location for equipment placement.

  • Ico checkbox

    Determine suitability of home for the equipment prescribed

  • Ico dropdown

    Will it fit the area suggested

  • Ico dropdown

    Is electrical outlet properly grounded and risks explained?

  • Ico dropdown

    Can it be safely operated in the home without special modification?

  • Ico statictext

  • Ico multiline

    Describe modifications required

  • Ico statictext

  • Ico checkbox

    Set-up equipment and adjust for proper use.

  • Ico checkbox

    Demonstrate use of equipment.

  • Ico textbox

    Settings ordered

  • Ico checkbox

    Observe return demonstration of safe use of equipment.

  • Ico checkbox

    Explain troubleshooting of common problems.

  • Ico checkbox

    Cleaning and maintenance requirements

  • Ico textbox

    Cleaning and maintenance requirements

  • Ico statictext

  • Ico dropdown

    Written instructions provided?

  • Ico checkbox

    Review electrical and fire safety.

  • Ico checkbox

    Client rights and responsibilities discussed with client/caregiver.

  • Ico checkbox

    Inform client/caregiver of 24 - hour availability for maintenance and replacement of equipment

  • Ico textbox

    Company telephone number provided

  • Ico statictext

    Note: You have been instructed in the proper use oi this equipment.

  • ...and More!

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