Shift Checklist 19 Maintenance
219
Shift Checklist
In order to ensure defibrillators are ready when needed, the American Heart Association (AHA)
recommends that users complete a checklist, often referred to as a shift check, at the beginning of each
change in personnel. The activities on this check list include verifying that the appropriate supplies and
accessories are present, the device is plugged in and has sufficient battery power, and the device is ready
for use. Philips Medical Systems supports the AHA checklist recommendations and has provided a
Shift Checklist document with the device and published a copy in this book. See the “HeartStart MRx
Shift Checklist” on page 220.
Weekly Shock Test
In addition to the shift check, you must verify the ability to deliver defibrillation therapy once a week
by performing one of the following
:
•Operational Check
• Weekly Shock Test (See following instructions.)
NOTE Test reusable sterilizable paddles (internal or external) prior to each use. See the Sterilizable
Defibrillator Paddles Instructions for Use for more information.
To perform the Weekly Shock test:
1 If you are using paddles, make sure the paddles are secure in their pockets and that the Patient
Contact Indicator (PCI) LEDs located on the sternum paddle are not lit. If the LEDs light, adjust
the paddles in their pockets. If the LEDs continue to light, clean both the adult and pediatric
paddle electrode surfaces.
or
If you are using multifunction electrode pads, attach a test load to the end of the patient Therapy
cable.
2 Turn the Therapy knob to 150J.
3 Press the Charge button.
NOTE If it becomes necessary to disarm the defibrillator, press [Disarm].
4 The strip prints if configured to do so. If the strip does not print immediately, press the Print
button.
5 If using:
– Pads, press the Shock button on the MRx to deliver a shock into the test load.
– External paddles, simultaneously press the shock buttons located on the paddles to deliver a shock
into the pockets.
6 Confirm on the printed strip that the energy delivered to the test load is 150J + 23J (127J to 173J).
If not, take the device out of use and begin troubleshooting.
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