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Run: Nurse Call System Daily Test

Daily nurse call system test template for checking station activation, annunciator alerts, and staff response times. Use it to document failures before they ...

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Inspection Details

Inspection date and time recorded critical (required)

Record the date and time the daily test was performed.

Inspector name and role documented critical (required)

Identify the person performing the inspection and their job title or role.

Facility area or unit identified critical (required)

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 critical (required)

Verify that each patient station or call point initiates a call when activated.

Yes No N/A

Call cancellation or reset functions operate correctly critical (required)

Confirm the call can be cleared or reset from the appropriate location per facility procedure.

Yes No N/A

Call is received at the correct annunciator or nurse station critical (required)

Verify the activation appears at the intended monitoring point or central station.

Yes No N/A

All stations scheduled for daily test were checked critical (required)

Enter the number of stations tested during this inspection.

Audio and Visual Indicators

Audible alarm or tone is present and clearly heard critical (required)

Confirm the system produces the expected audible signal at the monitoring location.

Yes No N/A

Visual indicator illuminates or displays correctly critical (required)

Verify lights, display panels, or other visual annunciation activate as intended.

Yes No N/A

Station identification or room number displays correctly

Confirm the displayed location matches the activated station.

Yes No N/A

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 critical (required)

Verify staff response occurred within the facility's expected timeframe.

Yes No N/A

Responding staff member identified

Document the name or role of the staff member who responded to the call.

Response time measured critical (required)

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.

Yes No N/A

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