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Point of Care Testing Forms

The following forms are to be used with the Point of Care Testing program.  These forms are in pdf format and require Adobe Acrobat to print.

Submit any recommendations for improving these forms to the Pathology QI Coordinator.   

Multistix 10SG Patient Testing Log Multistix 10SG QC Log Urinalysis Patient & QC Log
Uro & Ketostix Patient Log Uro & Ketostix QC Log Clinitek 50 Maintenance Log
AccuData Patient & QC Log AccuData Maintenance Log Urine hCG Patient & QC Log
Occult Blood Patient & QC Log Sure-Vue Rapid Strep Patient & QC Log Wet Prep & KOH Patient & QC Log
Reflotron Levey-Jennings Log Reflotron Maintenance Log Reflotron QC Log
Microscope Maintenance Log QC Corrective Action Log

Sample Logs

  Click on this link to download the free Adobe Acrobat Reader needed to view these pdf files.

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