Placenta Process Record – Placenta Tincture (step 2)

PRN Member email address (your form will be sent to this address) *

Client's name *

Date of processing tincture *

Time of processing tincture *

Location remedy is being processed at *

Hands washed & Personal Protection Equipment worn (7.5) *

Yes

No, why?No, why?

Work space set up correctly (cleaned, disinfected, protected & supplies prepared) (7.1/7.12) *

Yes

No, why?No, why?

Equipment is clean, disinfected and in good working order prior to use (7.1) *

Yes

No, why?No, why?

Placenta tincture process (P6) followed *

Yes

No, why?No, why?

Alcohol used is minimum 40% ABV *

Yes

No, corrective action taken?No, corrective action taken?

Clean down & disinfect completed (7.1) *

Yes

No, why?No, why?

Waste management steps followed (7.11/A6) *

Yes

No, why?No, why?

To confirm the following statements please tick those that apply *

Bottles used to hold tincture have been checked for damage, cleaned and dried thoroughly

Storage bag used to hold tincture is clean

Labels are added to bottles

Storage information is included on labels

Dosage information are included on labels

Remedies are hand delivered

Remedies are posted for next day, signed for delivery to client

OtherOther

Corrective action taken

Notes