Machine Check Flashcards

1
Q

Emergency Ventilation Equipment

1 of 1

A

Verify Backup Ventilation Equipment is Available and Functioning

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2
Q

High Pressure System

1 of 5

A

Check O2Cylinder Supply

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3
Q

High Pressure System

2 of 5

A

OPEN O2 Cylinder and Verify at least HALF full (1,000psi)

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4
Q

High Pressure System

3 of 5

A

CLOSE cylinder

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5
Q

High Pressure System

4 of 5

A

Check Central PIPELINE Supplies

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6
Q

High Pressure System

5 of 5

A

Check that HOSES are CONNECTED and pipeline GAUGES read about 50psi

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7
Q

Low Pressure System

1 of 14

A

Check INITIAL STATUS of Low Pressure System

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8
Q

Low Pressure System

2 of 14

A

CLOSE FLOW CONTROL VALVES and turn VAPORIZERS OFF

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9
Q

Low Pressure System

3 of 14

A

Check FILL LEVEL and TIGHTEN vaporizers’ FILLER CAPS

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10
Q

Low Pressure System

4 of 14

A

Perform LEAK CHECK of Low Pressure System

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11
Q

Low Pressure System

5 of 14

A

Verify the machine MASTER SWITCH and FLOW CONTROL VALVES are OFF

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12
Q

Low Pressure System

6 of 14

A

ATTACH “SUCTION BULB” to Common Gas Outlet

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13
Q

Low Pressure System

7 of 14

A

SQUEEZE BULB repeatedly until FULLY COLLAPSED

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14
Q

Low Pressure System

8 of 14

A

Verify BULB stays FULLY COLLAPSED for at least 10 seconds

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15
Q

Low Pressure System

9 of 14

A

OPEN one VAPORIZER at a TIME and repeat “C” and “D”

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16
Q

Low Pressure System

10 of 14

A

REMOVE SUCTION BULB and RECONNECT FRESH GAS HOSE

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17
Q

Low Pressure System

11 of 14

A

TURN ON, machine MASTER SWITCH and all other necessary ELECTRICAL EQUIPMENT

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18
Q

Low Pressure System

12 of 14

A

TEST FLOWMETERS

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19
Q

Low Pressure System

13 of 14

A

Adjust FLOW of ALL GASES through their FULL RANGES, checking for SMOOTH OPERATION of FLOATS, and UNDAMAGED FLOW-TUBES

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20
Q

Low Pressure System

14 of 14

A

Attempt to CREATE a HYPOXIC MIXTURE and verify correct CHANGES in FLOW and/or ALARM

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21
Q

Scavenging System

1 of 6

A

ADJUST and CHECK Scavenging System

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22
Q

Scavenging System

2 of 6

A

ENSURE proper connections BETWEEN the Scavenging System and BOTH APL-VALVE and VENTILATOR RELIEF VALVE

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23
Q

Scavenging System

3 of 6

A

Adjust WASTE GAS VACUUM if possible

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24
Q

Scavenging System

4 of 6

A

Fully OPEN APL-VALVE and OCCLUDE Y-PIECE

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25
Scavenging System | 5 of 6
With MINIMUM O2 FLOW, allow SCAVENGER RESERVOIR BAG for COLLAPSE and verify ABSORBER PRESSURE GAUGE reads about ZERO
26
Scavenger System | 6 of 6
With O2 FLUSH ACTIVATED, allow SCAVENGER RESERVOIR BAG to DISTEND FULLY, and verify ABSORBER PRESSURE GAUGE
27
Breathing System | 1 of 16
CALIBRATE O2 Monitor
28
Breathing System | 2 of 16
Ensure monitor READS 21% in ROOM AIR
29
Breathing System | 3 of 16
Verify LOW O2 ALARM is enabled and functioning
30
Breathing System | 4 of 16
REINSTALL sensor and FLUSH BREATHING SYTEM with O2
31
Breathing System | 5 of 16
Verify monitor now reads >90%
32
Breathing System | 6 of 16
Check INITIAL STATUS of Breathing System
33
Breathing System | 7 of 16
Set selector switch to BAG MODE
34
Breathing System | 8 of 16
Check that circuit is COMPLETE, UNDAMAGED, UNOBSTRUCTED
35
Breathing System | 9 of 16
Verify CO2 Absorbent is adequate
36
Breathing System | 10 of 16
INSTALL breathing circuit ACCESSORIES (humidifier, peep valve) to be used during case
37
Breathing System | 11 of 16
Perform LEAK CHECK of Breathing System
38
Breathing System | 12 of 16
Set ALL GAS FLOWS to ZERO (or minimum)
39
Breathing System | 13 of 16
CLOSE APL-valve and OCCLUDE Y-PIECE
40
Breathing System | 14 of 16
PRESSURIZE breathing system to 30cmH2O with O2 FLUSH
41
Breathing System | 15 of 16
Ensure pressure remains FIXED for >10 seconds
42
Breathing System | 16 of 16
OPEN APL-VALVE and ensure pressure decreases
43
Manual and Automatic Ventilation Systems | 1 of 14
Test VENTILATION SYTEM and UNIDIRECTIONAL VALVES
44
Manual and Automatic Ventilation Systems | 2 of 14
Place SECOND BREATHING BAG on Y-PIECE
45
Manual and Automatic Ventilation Systems | 3 of 14
SET VENTILATOR PARAMETERS for next patient
46
Manual and Automatic Ventilation Systems | 4 of 14
SWITCH to AUTOMATIC VENTILATION (Ventilator Mode)
47
Manual and Automatic Ventilation Systems | 5 of 14
TURN Ventilator ON, and FILL BELLOWS and BREATHING BAG with O2 FLUSH
48
Manual and Automatic Ventilation Systems | 6 of 14
Set O2 FLOW to MINIMUM, other gas flows to ZERO
49
Manual and Automatic Ventilation Systems | 7 of 14
Verify the during INSPIRATION BELLOWS deliver appropriate TIDAL VOLUME, and that during EXPIRATION BELLOWS FILLS COMPLETELY
50
Manual and Automatic Ventilation Systems | 8 of 14
Set FRESH GAS FLOW to 5L/min
51
Manual and Automatic Ventilation Systems | 9 of 14
Verify ventilator BELLOWS and SIMULATED LUNGS FILL and EMPTY without SUSTAINED PRESSURE on END EXPIRATION
52
Manual and Automatic Ventilation Systems | 10 of 14
CHECK for PROPER ACTION of UNIDIRECTIONAL VALVES
53
Manual and Automatic Ventilation Systems | 11 of 14
EXERCISE breathing circuit ACCESSORIES to ensure PROPER FUNCTION
54
Manual and Automatic Ventilation Systems | 12 of 14
TURN VENTILATOR OFF, SWITCH to MANUAL VENTILATION "BAG MODE"
55
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
56
Manual and Automatic Ventilation Systems | 14 of 14
REMOVE BREATHING BAG from Y-PIECE
57
Monitors | 1 of 2
Check, CALIBRATE, SET ALARM LIMITS of all MONITORS
58
Monitors | 2 of 2
Capnograph, Pulse Oximeter, O2 Analyzer, Respiratory Volume (Spirometer), Pressure Monitor with HIGH and LOW Pressure LIMITS
59
Final Position | 1 of 7
Check FINAL STATUS of Machine
60
Final Position | 2 of 7
VAPORIZERS OFF
61
Final Position | 3 of 7
APL-VALVE OPEN
62
Final Position | 4 of 7
Selector SWITCH to BAG MODE
63
Final Position | 5 of 7
ALL FLOWMETERS to ZERO
64
Final Position | 6 of 7
Patient Suction Level Adequate
65
Final Position | 7 of 7
Breathing System Ready to Use