close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Home Care Medical Device Safety Template


Operating medical equipment safely and confidently is extremely important, especially if you are being treated from home. Whether you are using these devices yourself, or are being helped by family and friends, anybody who is handling the equipment needs to be properly trained and know the procedures that go into their daily use. With improper use, these devices could malfunction, breakdown, or not be treating the person effectively, which could lead to health risks and even hospitalization. In order to avoid any of these potential threats, use Lumiform's Home Care Medical Device Safety Template along with other resources provided for free by Lumiform, like our Medical History Form Template so that anyone helping you receiving healthcare treatment can be aware of any important medical history information they may need to better care for you.

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before
  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Register for free on lumiformapp.com and conduct inspections via our mobile app

  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 5/5 stars on Capterra

Home Care Medical Device Safety Template

Know Your Medical Device:

Read any education information you were provided with.

Keep any instructions close to your medical device, and follow them as given.

Stay vigilant to any alarms or error codes, and know what each one means for your specific device.

Ask your doctor any questions you may have about your device, and be sure to take notes if needed.

Ask your doctor or supplier what you may need to operate the device.

Caring For Your Device:

Make sure you are completing the proper upkeep for your device.

Check before bringing your device with you anywhere if it is able to be mobile with you.

If device needs replacing/is no longer required, ensure you are disposing of it properly and according to the provided instructions.

Plan B For Your Device:

Make sure you have an action plan if your device fails.

Ensure you have any emergency numbers that were provided to you readily available in case of an emergency (doctor, supplier, etc.)

If your device takes batteries, always have extras readily available.

Educate Your Family/Friends/Caregivers On Your Device:

Have them attend any device demonstrations, and keep them in the loop regarding hospital planning/meetings.

Have them do a demonstration so that you know they are able to safely operate your device.

Safety Measures For Your Device:

Keep children and pets away from your device.

Don't allow any tinkering with on/off switches, dials, settings, machinery, or electrical parts from anyone except those permitted.

Ask your provider if it is safe to turn off your device when it is not in use.

Share this template: