ZOLL M2 Operator's Manual page 169

Date: ________________
Mfr/Model No.: ____________________________ Serial No. or Facility ID No.: _________________
At the beginning of each shift, inspect the unit. Indicate whether all requirements have been met.
1. Monitor/Defibrillator Unit
Clean, no spills, and casing undamaged
2. Cables/Connectors
a. Inspect for damaged insulation, frayed/broken wires, or bent
connector pins
b. Connectors engage securely
4. Paddles
a. Clean, not pitted, or damaged.
b. Switches operate freely
c. Cables and connectors free of damage and engage securely
5. Supplies and Accessories
a. Therapy pads in sealed pouches (2 sets, not expired)
b. Defib gel or gel pads (or Dura-padz gel)
c. ECG monitoring electrodes
d. Alcohol wipes
e. Razors/scissors
f. Recorder paper
6. Batteries
a. Fully charged battery installed in unit
b. Fully charged spare battery available
7. Operational Checks
A. Power Up Sequence
a. Battery charge and AC indicators illuminate with AC power
b. Audio beeps heard and Visual Alarm indicators briefly illuminate
c. Self Test passed
B. Hands Free Defibrillation (Test with only battery power)
a. CHECK PADS and PADS SHORTED messages display
b. Charge time < 7 seconds
c. 30J TEST PASSED
C. Pacer Test (Test with only battery power)
a. Printer prints Pace markers every 25 mm at 60 ppm
b. PACER: CHECK PADS - PADS SHORTED message displays and
"Clear" alarm is active at 100 mA
c. PACER: ATTACH PADS message displays and "Clear" alarm is
active
D. Paddles (Test with only battery power)
a. APPLY PADDLES TO PATIENT message displays when paddles
are connected to MFC
b. Paddle switches functional (Recorder, Energy Select, Charge, Shock)
c. 30J TEST PASSED
E. Reconnect Unit to AC Power
____________ Major problem(s) identified
Signature
Signature ________________________________
9650-000860-01 Rev. C
ZOLL M2 OPERATOR'S SHIFT CHECKLIST
Shift: _______________
Note any corrective actions taken. Sign the form.
(OUT OF SERVICE)
_______________________________________________
ZOLL M2 Operator's Guide
Location: _______________
Okay as found Corrective Action/Remarks
Troubleshooting
13-15