Equipment Management System
Ticket Search
Maintenance Request
Facility
Bacon County Hospital
Select a Department *
ABC Daycare
Administration
Admissions
bcccc
Emergency Department
Environmental Services
Financial Services
Health Information Management
ICU
Information Technology
Labor & Delivery
Laboratory
Long Term Care
Materials Management
Medical/Surgical Unit
Nursing Administration / Medical Staff Office
Nutrition Services
Pharmacy
Physician Services
Plant Services
Public Relations
Pulmonary Rehab
Quality Management
Radiology
Rehabilitation Services
Respiratory Therapy
Security
Surgical Services
Subject *
Ticket Type *
Plumbing
Biomed
HVAC
Electrical
Wheelchair
Bed
Paint
Nurse Call
Vehicle
Miscellaneous
Fire System
Name *
Phone *
Asset Tag Number
(Search)
Equipment is down
Location *
Requested Service Start
Requested Service Start Time (optional)
Requested Service End (optional)
Requested Service End Time (optional)
Priority
Immediate
High
Normal
Low
Reason for Ticket*
Document
Allowed format:doc, docx, xls, xlsx, pdf, png, jpg, jpeg, gif, txt, mov, mp4
Notification Emails (comma separated)