Fetal Monitoring Device Checklist Form
Complete this checklist to verify the readiness and condition of the fetal monitoring device before each use.
Device Power Supply: Is the device plugged in and powering on correctly?
*
Yes
No
N/A
Cables and Leads: Are all cables and leads intact and securely connected?
*
Yes
No
N/A
Transducer/Sensors: Are sensors clean, undamaged, and functioning?
*
Yes
No
N/A
Display Screen: Is the screen clear and displaying data correctly?
*
Yes
No
N/A
Alarm Function: Are all alarms audible and working as intended?
*
Yes
No
N/A
Paper Supply: Is there sufficient paper loaded for printout?
*
Yes
No
N/A
Battery Status: Is the battery charged and holding charge?
*
Yes
No
N/A
Device Cleanliness: Has the device been cleaned and disinfected?
*
Yes
No
N/A
Calibration Check: Has the device calibration been verified?
*
Yes
No
N/A
Comments or Issues Noted
Submit Checklist
Should be Empty: