Nurse Call System Daily Test

Daily inspection template for testing nurse call system functionality from each station, including audio, visual indicators, and staff response verification.

Inspection Details

• Inspection date and time recorded
  Record the date and time the daily test was performed.
• Inspector name and role documented
  Identify the person performing the inspection and their job title or role.
• Facility area or unit identified
  Specify the unit, wing, floor, or department where the nurse call system was tested.

Station Activation

• Each tested station activates the nurse call system when pressed
  Verify that each patient station or call point initiates a call when activated.
• Call cancellation or reset functions operate correctly
  Confirm the call can be cleared or reset from the appropriate location per facility procedure.
• Call is received at the correct annunciator or nurse station
  Verify the activation appears at the intended monitoring point or central station.
• All stations scheduled for daily test were checked
  Enter the number of stations tested during this inspection.

Audio and Visual Indicators

• Audible alarm or tone is present and clearly heard
  Confirm the system produces the expected audible signal at the monitoring location.
• Visual indicator illuminates or displays correctly
  Verify lights, display panels, or other visual annunciation activate as intended.
• Station identification or room number displays correctly
  Confirm the displayed location matches the activated station.
• System volume and visibility are adequate for staff to notice the call
  Rate whether the audio and visual alerting is sufficient for normal staff awareness.

Staff Response Verification

• Staff acknowledged the call within the required response time
  Verify staff response occurred within the facility's expected timeframe.
• Responding staff member identified
  Document the name or role of the staff member who responded to the call.
• Response time measured
  Record the elapsed time from activation to staff response.

Issues and Follow-Up

• Any deficiencies or non-conformances identified
  Select all deficiencies observed during the daily test.
• Corrective action documented
  Document the corrective action, work order number, or escalation taken for any deficiency.
• Supervisor or maintenance notified if needed
  Confirm escalation occurred when a deficiency required follow-up.