Specifications

3
Nurse's Name Date Field
Sample
Number
Start
Time
Stop Time Length of shift (show
length of breaks)
# deliveries
in shift
# N2O
deliveries in
shift
Badge
problems?
Yes/no
Results
(ppm)
Comments
Nurse 16 8/1/01 BP27 19:44 7:00 12 0 0 no BDL
Nurse 1 8/1/01 BP28 N/A N/A N/A N/A N/A N/A BDL
Blank 8/2/01 BP29 N/A N/A N/A N/A N/A N/A BDL
Nurse 19 8/2/01 BP30 7:52 19:32 12 1 1 yes 2.1
Delivery 9
Patient used N2O for a short
period of time - badge fell out
of holder and hit floor (didn't
break)
Nurse 20 8/2/01 BP31 7:51 19:27 12 0 0 yes 1.2
badge fell out of holder and hit
floor (didn't break)
* Assay Technology N2O Badges; Lot # 2D01-4; Exp. 2/28/02; Item # N575AT