Host Hospital Checklist for Sending and Receiving Provincial Ventilators (PDF)
2021 | Forms
Checklist for Sending/Receiving Ventilators (Form Two) is required to ensure that all associated equipment (including consumables) required to safely operate the ventilator(s) is accounted for, and to document the physical condition of the ventilator(s) prior to release. The Host Hospital must complete the checklist prior to shipping the ventilator(s) to the Requesting Hospital and upon receipt of the ventilators back from the Requesting Hospital. Both the Host Hospital and Requesting Hospital should retain copies of these completed checklists for their records, and to provide if requested by CCSO or MOH.