Anaesthetic Machine (INCOMPLETE)

Safety Features and Machine Check

Why would pipelines fail?

NIST/Schrader Probe Fault
Terminal Outlet Fault
Flexible Hose Fault/Kink
VIE Fault
Cylinder Manifold Fault

Medical Gas Cylinder Tests

Flattening Test
Bending Test
Impact Test
Tensile Strength Test
Internal Inspection
Pressurisation (Hydraulic) Test

Cylinder Storage Requirements

Cool, dry, ventilated clean and fire resistant environment
Good access for delivery on flat floor
Segregation of full and empty cylinders
Sort by expiry date
No direct sunlight
Warning sigs - no smoking, no open flames/sparks, no oil/grease etc
No dampness, vapour or corrosive chemicals present
Temperature not below 10C

Define "Tare Weight"

Weight when empty

Level 2 Airway Equipment

Syringe
2 Laryngoscopes
ETTs
LMAs
Oropharyngeal Airways
Bougies
Stylets
Magill's Forceps
CICO Kit

Emergency Drugs

Suxamethonium (in date)
Adrenaline
Amiodarone
Atropine
(Metaraminol)

Level 2 Ancillary Equipment

IV Cannulation and Infusion Equipment
2 Infusion Pumps (in date)
Warming Equipment (in date)

Possible Faults of a Leaking Gas Cylinder

Auxiliary Oxygen Open
Proper Yoke Connection
Bodok Seal (present and not damaged)
Check for Cylinder Damage

Oxygen Pin Index

2, 5

Medical Air Pin Index

1, 5

Heliox Pin Index

21% O2 - 2, 4
28% O2 - Integrated Valve

Entonox Pin Index

Single Centred Pin (7)

Ultramarine Blue Pipeline/Cylinder

Nitrous Oxide

Ultramarine Blue and White Cylinder

Entonox

White Pipeline/Cylinder

100% Oxygen

Black and White Pipeline/Cylinder

Medical Air

CO2 Cylinder Colour

Green-Grey

Level 2 Monitoring Equipment

Pulse Ox (light on)
ECG
NIBP
Temperature Probe and Cable
Stethoscope
Nerve Stimulator
Invasive Pressure Cable

Name Sections of the Level 3 Machine Check

Circuit Checks
Electronic Leak Checks
Suction Tests
Monitoring
Airway Equipment
Drugs
Ambubag present

Ventilator Test Parameters

Volume Control
Tidal Volume - 500ml
Respiratory Rate - 12/min
I:E Ratio - 1:2
P limit - 40cmH2O
PEEP - Off

Level 2 Prelim Checks

Bulk Gas Alarm
Machine On
Uninterrupted Power Supply
Scavenging Bobbin
Sample Line and Circuit
Water Traps
Machine Moves Freely
Service Dates
DIVAs Levels, Agent, Sealed
Ambubag Valve Test

Service Dates (for Level 2 Machine Check)

Prelims:
Screens
Machine
M540
DIVAs

Ancillary:
Pumps
Fluid Warmers
Patient Warmers

What is ANZCA PS54?

Minimum Safety Requirements of Anaesthetic Machine