Sample_Log_Pharmacy_IV_Room_Agar_Plate.docx
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- 36C25919Q0105
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36C25919Q0105 Sample Log Pharmacy IV Room Agar Plate.docx
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Pharmacy IV Room Agar Plate Sample Log:
Sample collection (30 samples) for the following areas in Pharmacy on a Semi-annual basis.
Additional 5 samples for re-testing for any positive test results.
Pharmacy (119) IV Room Agar Plate Sample Log
| Attn: Matt Clark | Date/Time: ______________ |
| Sample | |
| Date Prepared | |
| Date of Results | |
| Negative for Growth | |
| Positive for Growth | |
| CFU per Plate | |
| Comments |
Agar Contact Plates
ISO-5 Environment
IV Hood #1 (left)
IV Hood #1 (right)
IV Hood #2 (left)
IV Hood #2 (right)
IV Hood #3 (Chemo) (left)
IV Hood #3 (Chemo) (right)
IV Hood #4 (Chemo) (left)
IV Hood #4 (Chemo) (right)
Chemo Barrier Isolator (left)
Chemo Barrier Isolator (right)
Non-Hazardous Barrier Isolator (left)
Non-Hazardous Barrier Isolator (right)
ISO-7 Environment
IV room Counter-top
IV room clean-cart
IV room Storage cart
IV room Supply cart
IV room floor
IV room wall
Chemo room counter-top
Chemo room supply cart
Chemo room chemo storage cart
Chemo room floor
Chemo room wall
Chemo ante-room cart
Chemo ante-room supply cart
Chemo ante-room wall
Chemo ante-room floor
ISO-8 Environment
IV Ante-room cart
IV Ante-room wall
IV Ante-room floor
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