PRESENTATION OUTLINE
1. OPERATIONAL PROTOCOL WAS NOT FOLLOWED
3. TECH. FAILED TO READ MANUAL
4. AGAIN FAILED TO FOLLOW PROCEDURAL PROTOCOL
5. TECH. SHOULD HAVE CALLED BIOMED BACK.
6. THE TECHNICIAN SHOULD HAVE SPOKE UP
7. THE DIRECTOR NEEDS TO TAKE RESPONSIBILTY
8. IMPROPER STORAGE PREPARATION
EVIDENCE OF NEGLECTFUL MAINTENANCE