GE CARESCAPE B850 - Page 185

Maintenance check form
B - 3 (4)
2106778-001
InSite RSvP The patient monitor is active on InSite
RSvP back office.
Recorder The header line contains the correct
information. The grid is clear. The
waveforms labels appear in the
printout as configured.
Test completion
Notes
Used service parts
Signature Date
Functional check
Observed result Acceptance criteria PASS N.A. FAIL