Philips HeartStart MRx - HeartStart MRx Shift Checklist

19 Maintenance Shift Checklist
220
HeartStart MRx Shift Checklist
Inspect the MRx, accessories, and supplies at the change of every shift, per AHA guidelines. Place a check mark in the
box as you check each item in the list below or place a dash (-) or N/A if not applicable. Then, initial the list to indicate
the check was performed for that shift.
Device Name or Serial Number:__________________________Unit or Department: ________________________
Date:
Shift: 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
RFU Indicator - Hourglass
If blinking X - Plug into AC/
DC power or insert charged
battery
If solid X - Insert charged
battery or AC/DC power. If
condition persists, call for
service
Cables/connectors - present
and inspected
Paddles/Therapy cable -
present and inspected
Pads Present, sufficient
supply ___________
Compression Sensor and
Adhesive Pads_________
Monitoring Electrodes -
present, sufficient supply
___________
Charged Batteries - one in
device, spares __________
AC/DC Power Cord -
plugged in, green light on
Printer Paper - present,
sufficient supply________
Data Card present,
sufficient supply ________
SpO
2
Sensors - present,
sufficient supply________
NBP cuffs/tubing - present,
sufficient supply
___________
CO
2
FilterLine - present,
sufficient supply________
Invasive Pressure
Tranducers - present and
inspected
Temperature Sensors -
present and inspected
Initials