Equipment Direct Requests (for non-emergencies)

General Maintenance

For immediate General Maintenance issues, contact the Admin on Duty. For non-emergencies, feel free to submit the form directly below (or add to the Team Lead's DSR). Examples of General Maintenance requests include: refrigerator problems, a hole in the wall, broken chair, etc.

Your Name

First Name

Last Name

Date

YYYY

Location

General Maintenance

Include a) which item requires repair (be specific), b) who was notified of the needed repair, and c) the anticipated solution. Example: "The chair in Room 3 is scratched, but it wasn't emergent so I moved it to the laundry room and filled out this form."

Rounding

About 80% of any rounding door/sensor problems occur when someone opens and closes the door within a half second. Simply open and close door for 3 seconds each to reset.

Your Name

First Name

Last Name

Location

Room #(s)

Rounding

First attempt to open and close the door for 3 seconds each. Most of the problems occur when someone opens and closes the door within a half second. Simply opening and closing the door for a couple seconds usually fixes the issue. If not, please use this form.

IT Help Desk

For immediate IT issues, call ext. 7940 for the IT team.

For non-emergencies, submit a ticket to the IT Help Desk via one of the following methods:

Email - please email HelpDesk@urgentcaregroup.com; you will receive an automated response with your ticket #.
Self-Submit - from your system tray in the bottom right corner (click on ^ to show more if necessary), click on the red cross to start a ticket.

Lab Equipment or BAT Machines

For immediate Lab Equipment issues, contact the Admin on Duty. For non-emergencies, feel free to submit the form directly below. Examples of Lab Equipment requests include: ID NOW machine is giving an error code, BAT machine is not printing, Liver Panel Level 2 control is out of range, etc.

Name

First Name

Last Name

Location

Lab Machine/Equipment

Select the specific lab machine which is malfunctioning.

Machine/Equipment Serial Number

Provide the machine serial number for future troubleshooting and tracking.

Details of the malfunction or machine error code which was received

Include a) include the specific error code which was received or information regarding what malfunction occurred b) who was notified of the needed repair and what troubleshooting was completed, and c) the anticipated solution. Example: "We did have a problem with the BAT Machine not printing. we attempted to change the paper and clean the roller. We called Admin on Duty and texted Elizabeth."