Poc Quality Control Log

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Zuckerberg San Francisco General Hospital
POC Quality Control Log
®
CoaguChek
XS Plus (INR)
Liquid Quality Control must be performed:
1. With every New lot or New Shipping of Test Strips,
2. With every New or New Shipping lot of Quality Control,
3. When temperature is out of range, and
4. After troubleshooting or preventive maintenance is performed on the meter.
Lot Number
Exp. Date
Range
Test Strip
N/A
Control 1
Control 2
Control 1
Control 2
Corrective Action if
Date
Time
Meter Name
Operator ID
Result
Result
Unacceptable/Comments
Reviewed by: ____________________________

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