Fda Anesthesia Machine Check (Narkomed.)

Front 1

1. Verify backup ventilation equipment

Back 1

check in blue bag and alternate oxygen source

Front 2

what steps are included with the high pressure system check?

Back 2

2. Check oxygen cylinder supply

3. Check central pipeline supply

Front 3

2. Check oxygen cylinder supply

Back 3

you open the oxygen cylinder and verify that it is at least half full (about 1000 psi.)

Front 4

3. Check central pipeline supply

Back 4

you check that the hoses are connected and that the pipeline gages read about 50 PSI

Front 5

which steps are included in the low pressure system check?

Back 5

4. Check an initial status of low pressure system

5. Perform leak check of machine low pressure system

6. Turn on machine master switch and all other necessary electrical equipment

7. Test flowmeters

Front 6

4. Check initial status of low pressure system

Back 6

you close flow control valves and turn the vaporizer is off.

check the fill level of the vaporizer and make sure that the filler Is tight

Front 7

5. Perform leak check of the machine low pressure system

Back 7

turn the machine and flowmeters off.

attach the suction bald to the Common gas outlet and pump it until it is fully collapsed

make sure it stays collapsed for 10 seconds, and then open each vaporizer one at a time, pumping and waiting 10 seconds for each 1

when finished, just remove lowballed and reconnect the fresh gas hose

Front 8

6. Turn on the machine master switch and all other necessary electrical equipment

Back 8

just do it

Front 9

7. Test flowmeters

Back 9

adjust all of the gases through their full range, making sure operation is smooth.

attempt to create a hypoxic oxygen/nitrous oxide mixture and verify correct changes in the flow, or the sounding of an alarm

Front 10

which steps are included in checking the scavenging system?

Back 10

step eight

Front 11

8. Adjust and check the scavenging system

Back 11

make sure connections between scavenging system, APL and ventilator relief valves are okay

adjust the waste gas vacuum

fully open the APL valves and a clue the Y piece. With minimal oxygen flow, allow the scavenger reservoir bag to collapse completely and verify that absorber pressure gauge reads about zero (with our machine, we cannot do this.)

Front 12

which steps are included in checking the breathing system?

Back 12

9. Calibrate oxygen Monitor

10. Check an initial status of breathing system

11. Perform leak check of the breathing system

Front 13

9. Calibrate oxygen Monitor

Back 13

Pop off the cap. Allow to drift down to 21%. Verify that the low oxygen alarm goes off. Then, recalibrate.

once you do this, reinstall the sensor (cap) and flush the breathing system with oxygen, verifying that the monitor comes up to greater than 90%.

Front 14

10. Check initial status of breathing system

Back 14

switch selector to bag mode

check the circuit and make sure everything is okay

check your CO2 absorbent

install accessory equipment, if needed

Front 15

11. Perform leak check of the breathing system

Back 15

set all gas flows to 0

closed APL valve and occlude y piece

pressurized the breathing system to about 30 cm of H2O with oxygen flush

ensure that pressure remains fixed for at least 10 seconds, then open the APL valves and ensure that pressure decreases

Front 16

which steps are included in checking the manual and automated ventilation systems?

Back 16

12. Test ventilation systems and unidirectional valves

Front 17

12. Test ventilation systems and unidirectional valves

Back 17

placed a second breathing bag on the y piece. Set the appropriate ventilator settings for the next patient. Switch to ventilator mode. Turn on the ventilator and fill the bellows and breathing bag with oxygen flush.

set the oxygen flow to minimum, and other gas flows to zero.

verify that during inspiration, bellows delivers appropriate tidal volume and that expiration fills bellows completely.

set fresh gas flows to about 5 L per minute. Verify that the ventilator bellows and simulated lungs fill and empty appropriately without sustained pressure at and expiration.

check for proper functioning of unidirectional valves

exercise breathing circuit accessories to ensure proper function

turn ventilator off and switch to manual ventilation (bag/APL mode.)

ventilate manually and assure inflation and deflation of artificial lungs and appropriate feel of system resistance and compliance. Then remove second breathing bag from y piece.

Front 18

Which steps involved checking monitors?

Back 18

13. Check, calibrate and/or set alarm limits of all monitors

Front 19

which monitors do we calibrate or set alarm limits for?

Back 19

capnometer

oxygen analyzer

pressure Monitor with high and low airway pressure alarms

pulse oximeter

respiratory volume monitor (spirometer)

Front 20

which steps are involved in the final position check?

Back 20

14. Check final status of machine

Front 21

what are the six criteria for final status of the machine as described in step 14?

Back 21

vaporizes are off

APL valve is open

selector switch is to "bag."

all fully does are to 0

patient suction level adequate

breathing system is ready to use