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Placenta Process Record – Steamed dehydration

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

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Placenta Process Record - steamed 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

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?

Separate equipment is used for raw and cooked placenta *

Yes

No, why?No, why?

Dehydrator pre-heated to 55°c or slightly over *

Yes

No, why?No, why?

Steamed placenta capsules process (P2) followed *

Yes

No, why?No, why?

Core temperature of steaming placenta recorded at 70°c or above for minimum 2 minutes *

Yes

No, why?No, why?

Umbilical cord dried separately on bottom tray of dehydrator *

Yes

No, why?No, why?

Steamed placenta sliced thinly (5mm max) and placed on dehydrator trays within 30 minutes of steaming *

Yes

No, why?No, why?

Loaded dehydrator temperature checked (should be minimum 55°c) *

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 actions taken

Notes

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