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Get Example Form Equipment Performance Evaluation (epe) - Dshs State Tx 2020-2025
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How to use or fill out the Example Form Equipment Performance Evaluation (epe) - Dshs State Tx online
This guide provides a straightforward approach to completing the Example Form Equipment Performance Evaluation (epe) for Dshs State Tx online. By following these detailed steps, you will ensure accurate and thorough documentation of equipment performance evaluations.
Follow the steps to successfully complete the form.
- Click the ‘Get Form’ button to obtain the form and open it in an editor.
- Begin by entering the facility name, registration number, and the date at the top of the form. Ensure that this information is accurate and corresponds to the specific equipment being evaluated.
- Select the survey instrument used for the evaluation and fill in the calibration date. This section is important for compliance with the established regulations.
- For the X-ray unit identification, fill out the manufacturer, location/room, model number, and serial number of the equipment. This identifies the specific unit undergoing evaluation.
- Proceed to the timer accuracy section. Indicate whether you are using manufacturer specifications or a ±10% tolerance for testing. Record the time used for testing in milliseconds or pulses, and perform four measurements as instructed.
- Next, for exposure reproducibility, list the technique factors, perform four measurements of exposure, and calculate the coefficient of variation to ensure it does not exceed 0.05.
- In the linearity section, select the mA station and perform tests as required. Calculate the average ratios and confirm they meet the specified limits.
- For kVp testing, select the testing method and record the indicated and measured kVp values. Calculate the percentage of deviation and ensure it meets the established criteria.
- In the entrance exposure limits section, test various exams in accordance with the established exposure limits, recording the results accurately for each test.
- Assess tube stability and report whether the tube remained stable during exposure and if the alignment meets the regulatory requirements.
- Complete the collimation section by testing all modes that are functional and recording measurements of selected and measured field sizes.
- At the bottom of the form, indicate the service company, technician signature, and licensed medical physicist’s signature along with their registration numbers. Ensure all signatures are obtained for validation.
- Finally, save your changes, and consider downloading, printing, or sharing the completed form based on your needs.
Complete your forms online to ensure compliance and efficiency in equipment performance evaluations.
To fill in an evaluation form, start by reading the instructions carefully and identify the criteria being assessed. Gather any necessary data or feedback before proceeding. When using the Example Form Equipment Performance Evaluation (epe) - Dshs State Tx, make sure to provide thoughtful feedback and metrics that accurately reflect the performance you’re evaluating.
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