Emergency Ventilation Equipment
1 of 1
Verify Backup Ventilation Equipment is Available and Functioning
High Pressure System
1 of 5
Check O2Cylinder Supply
High Pressure System
2 of 5
OPEN O2 Cylinder and Verify at least HALF full (1,000psi)
High Pressure System
3 of 5
CLOSE cylinder
High Pressure System
4 of 5
Check Central PIPELINE Supplies
High Pressure System
5 of 5
Check that HOSES are CONNECTED and pipeline GAUGES read about 50psi
Low Pressure System
1 of 14
Check INITIAL STATUS of Low Pressure System
Low Pressure System
2 of 14
CLOSE FLOW CONTROL VALVES and turn VAPORIZERS OFF
Low Pressure System
3 of 14
Check FILL LEVEL and TIGHTEN vaporizers’ FILLER CAPS
Low Pressure System
4 of 14
Perform LEAK CHECK of Low Pressure System
Low Pressure System
5 of 14
Verify the machine MASTER SWITCH and FLOW CONTROL VALVES are OFF
Low Pressure System
6 of 14
ATTACH “SUCTION BULB” to Common Gas Outlet
Low Pressure System
7 of 14
SQUEEZE BULB repeatedly until FULLY COLLAPSED
Low Pressure System
8 of 14
Verify BULB stays FULLY COLLAPSED for at least 10 seconds
Low Pressure System
9 of 14
OPEN one VAPORIZER at a TIME and repeat “C” and “D”
Low Pressure System
10 of 14
REMOVE SUCTION BULB and RECONNECT FRESH GAS HOSE
Low Pressure System
11 of 14
TURN ON, machine MASTER SWITCH and all other necessary ELECTRICAL EQUIPMENT
Low Pressure System
12 of 14
TEST FLOWMETERS
Low Pressure System
13 of 14
Adjust FLOW of ALL GASES through their FULL RANGES, checking for SMOOTH OPERATION of FLOATS, and UNDAMAGED FLOW-TUBES
Low Pressure System
14 of 14
Attempt to CREATE a HYPOXIC MIXTURE and verify correct CHANGES in FLOW and/or ALARM
Scavenging System
1 of 6
ADJUST and CHECK Scavenging System
Scavenging System
2 of 6
ENSURE proper connections BETWEEN the Scavenging System and BOTH APL-VALVE and VENTILATOR RELIEF VALVE
Scavenging System
3 of 6
Adjust WASTE GAS VACUUM if possible
Scavenging System
4 of 6
Fully OPEN APL-VALVE and OCCLUDE Y-PIECE
Scavenging System
5 of 6
With MINIMUM O2 FLOW, allow SCAVENGER RESERVOIR BAG for COLLAPSE and verify ABSORBER PRESSURE GAUGE reads about ZERO
Scavenger System
6 of 6
With O2 FLUSH ACTIVATED, allow SCAVENGER RESERVOIR BAG to DISTEND FULLY, and verify ABSORBER PRESSURE GAUGE
Breathing System
1 of 16
CALIBRATE O2 Monitor
Breathing System
2 of 16
Ensure monitor READS 21% in ROOM AIR
Breathing System
3 of 16
Verify LOW O2 ALARM is enabled and functioning
Breathing System
4 of 16
REINSTALL sensor and FLUSH BREATHING SYTEM with O2
Breathing System
5 of 16
Verify monitor now reads >90%
Breathing System
6 of 16
Check INITIAL STATUS of Breathing System
Breathing System
7 of 16
Set selector switch to BAG MODE
Breathing System
8 of 16
Check that circuit is COMPLETE, UNDAMAGED, UNOBSTRUCTED
Breathing System
9 of 16
Verify CO2 Absorbent is adequate
Breathing System
10 of 16
INSTALL breathing circuit ACCESSORIES (humidifier, peep valve) to be used during case
Breathing System
11 of 16
Perform LEAK CHECK of Breathing System
Breathing System
12 of 16
Set ALL GAS FLOWS to ZERO (or minimum)
Breathing System
13 of 16
CLOSE APL-valve and OCCLUDE Y-PIECE
Breathing System
14 of 16
PRESSURIZE breathing system to 30cmH2O with O2 FLUSH
Breathing System
15 of 16
Ensure pressure remains FIXED for >10 seconds
Breathing System
16 of 16
OPEN APL-VALVE and ensure pressure decreases
Manual and Automatic Ventilation Systems
1 of 14
Test VENTILATION SYTEM and UNIDIRECTIONAL VALVES
Manual and Automatic Ventilation Systems
2 of 14
Place SECOND BREATHING BAG on Y-PIECE
Manual and Automatic Ventilation Systems
3 of 14
SET VENTILATOR PARAMETERS for next patient
Manual and Automatic Ventilation Systems
4 of 14
SWITCH to AUTOMATIC VENTILATION (Ventilator Mode)
Manual and Automatic Ventilation Systems
5 of 14
TURN Ventilator ON, and FILL BELLOWS and BREATHING BAG with O2 FLUSH
Manual and Automatic Ventilation Systems
6 of 14
Set O2 FLOW to MINIMUM, other gas flows to ZERO
Manual and Automatic Ventilation Systems
7 of 14
Verify the during INSPIRATION BELLOWS deliver appropriate TIDAL VOLUME, and that during EXPIRATION BELLOWS FILLS COMPLETELY
Manual and Automatic Ventilation Systems
8 of 14
Set FRESH GAS FLOW to 5L/min
Manual and Automatic Ventilation Systems
9 of 14
Verify ventilator BELLOWS and SIMULATED LUNGS FILL and EMPTY without SUSTAINED PRESSURE on END EXPIRATION
Manual and Automatic Ventilation Systems
10 of 14
CHECK for PROPER ACTION of UNIDIRECTIONAL VALVES
Manual and Automatic Ventilation Systems
11 of 14
EXERCISE breathing circuit ACCESSORIES to ensure PROPER FUNCTION
Manual and Automatic Ventilation Systems
12 of 14
TURN VENTILATOR OFF, SWITCH to MANUAL VENTILATION “BAG MODE”
Manual and Automatic Ventilation Systems
13 of 14
VENTILATE MANUALLY, to assure INFLATION and DEFLATION of ARTIFICIAL LUNGS and appropriate FEEL of RESISTANCE and COMPLIANCE
Manual and Automatic Ventilation Systems
14 of 14
REMOVE BREATHING BAG from Y-PIECE
Monitors
1 of 2
Check, CALIBRATE, SET ALARM LIMITS of all MONITORS
Monitors
2 of 2
Capnograph, Pulse Oximeter, O2 Analyzer, Respiratory Volume (Spirometer), Pressure Monitor with HIGH and LOW Pressure LIMITS
Final Position
1 of 7
Check FINAL STATUS of Machine
Final Position
2 of 7
VAPORIZERS OFF
Final Position
3 of 7
APL-VALVE OPEN
Final Position
4 of 7
Selector SWITCH to BAG MODE
Final Position
5 of 7
ALL FLOWMETERS to ZERO
Final Position
6 of 7
Patient Suction Level Adequate
Final Position
7 of 7
Breathing System Ready to Use