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Placenta Process Record – Simple dehydration

For a hard copy to print and fill out, click here – Placenta Process Record – simple dehydration (step 1)

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Placenta Process Record - simple dehydration (step 1)

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

Client's name *

Any allergies noted on Booking Form? *

No

Yes, please noteYes, please note

Meconium present (double check on Placenta Release Form) *

No

Yes - DO NOT PROCEED WITH SIMPLE CAPSULES

Any other physical contaminants present? *

No

Yes, complete 'corrective action taken' box below

Date of processing placenta *

Time of processing placenta *

:

Temperature of placenta prior to processing (if not under 8°c then note in corrective actions taken box below) *

Location placenta 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?

Dehydrator pre-heated to 70°c or slightly over *

Yes

No, why?No, why?

Simple placenta capsules process (P3) followed *

Yes

No, why?No, why?

Placenta sliced thinly (5mm max) and placed in dehydrator *

Yes

No, why?No, why?

Loaded dehydrator temperature checked (should be 70°c or over for a minimum of 2 minutes) *

Yes

No, why?No, why?

Temperature of dehydrator reduced (should be 55°c or over) *

Yes

No, why?No, why?

Dehydrator placed in safe place, clean down & disinfect completed (7.1) *

Yes

No, why?No, why?

Waste management steps followed (7.11/A6) *

Yes

No, why?No, why?

Corrective action taken

Notes

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