Appendix 1 - Efficia DFM100 Shift Checklist
220
Shift Checklist (Page 2) Efficia DFM100 Weekly Shock Test
Do one of the following checks at least once a week to verify the ability to deliver defibrillation
therapy:
Operational Check (See the Efficia DFM100 Instructions for Use for details.)
Deliver a 150J shock into a test plug/load (if using multifunction electrode pads) or the paddle
tray (if using paddles).
Weekly Shock test is not applicable for this Shift Check.
Check off which option you selected and sign/date below.
NOTE: Test reusable sterilizable paddles (internal or external) prior to each use. See the Sterilizable
Defibrillator Paddles Instructions for Use.
To perform the Weekly Shock Test:
Signature: Date:
If you are using
pads with a test
load:
If you are using
pads with a test
plug:
If you are using paddles:
1 Turn the device on by turning the Therapy knob to 150J.
2 Connect the Therapy cable to
the defibrillator and test load
to the end of the Therapy
cable.
Connect the Therapy cable to
the defibrillator and test plug to
the end of the Therapy cable.
Make sure the paddles and the paddle tray are
thoroughly clean and there is no debris or residue
(including all conductive material) on the
electrode surfaces of the paddles and tray. Secure
paddles in tray and confirm Patient Contact
Indicator (PCI) LEDs are not lit. If the LEDs are
lit, adjust paddles in tray. If the LEDs continue to
light, clean both the adult and infant paddle
electrode surfaces.
3 Press the Charge button on the front panel.
Confirm you hear
the charging tone.
If it becomes necessary to disarm the
defibrillator, press
.
Press the Charge button on the paddles sitting in
the tray.
Confirm you hear the charging tone. If
it becomes necessary to disarm the defibrillator,
press
.
4 A strip prints, if configured to do so. If the strip does not print
immediately, press the Print button.
A strip prints, if configured to do so. If the strip
does not print immediately, press the Print
button.
5 Press the Shock button on the Efficia DFM100. Simultaneously press the Shock buttons located
on the paddles.
6 Confirm the printed strip
indicates
and the
energy delivered is150J, ±15J
(135J to 165J). If not, confirm
you did the test properly
before taking the device out of
use and calling for service.
Confirm that you hear a “
Shock Cancelled” audio message, see a alarm
on the display and the printed strip indicates
. If not, confirm you did
the test properly before taking the device out of use and calling for service.
NOTE: It is normal behavior that a shock is not delivered in this instance.
7 Detach test load/plug from the Therapy cable so your device is
ready for use when needed. Do not leave the test load/plug
attached to the Therapy cable. Test complete.
Tes t c om p l e t e .
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