Recommended Essential Steps in a Pre-Anesthesia Checkout Procedure

TO BE COMPLETED DAILY, OR AFTER A MACHINE IS MOVED OR VAPORIZERS

CHANGED ITEM TO BE COMPLETED RESPONSIBLE PARTY

Item #1: Verify Auxiliary Oxygen Cylinder and Manual Ventilation Device (Ambu Bag) are Available & Functioning.

Item #2: Verify patient suction is adequate to clear the airway.

Item #3: Turn on anesthesia delivery system and confirm that ac power is available

Item #4: Verify availability of required monitors, including alarms

Item #5: Verify that pressure is adequate on the spare oxygen cylinder mounted on the anesthesia machine

Item #6: Verify that the piped gas pressures are ≥ 50 psig.

Item #7: Verify that vaporizers are adequately filled and, if applicable, that the filler ports are tightly closed. Provider or Tech

Item #8: Verify that there are no leaks in the gas supply lines between the flowmeters and the common gas outlet.

Item #9: Test scavenging system function.

Item #10: Calibrate, or verify calibration of, the oxygen monitor and check the low oxygen alarm

Item #11: Verify carbon dioxide absorbent is fresh and not exhausted.

Item #12: Perform breathing system pressure and leak testing.

Item #13: Verify that gas flows properly through the breathing circuit during both inspiration and exhalation.

Item #14: Document completion of checkout procedures

Item #15: Confirm ventilator settings and evaluate readiness to deliver anesthesia care. (ANESTHESIA TIME OUT)

http://www.apsf.org/assets/Documents/summer2008.pdf