✅ ASA Summary of Anesthesia Machine Checkout Recommendations
🔄 To Be Completed Daily
1. Verify that auxiliary oxygen cylinder and self-inflating manual ventilation device are available and functioning
👥 Provider and Technician
2. Verify that patient suction is adequate to clear the airway
👥 Provider and Technician
3. Turn on anesthesia delivery system and confirm that AC power is available
👤 Provider or Technician
4. Verify availability of required monitors, including alarms
👤 Provider or Technician
5. Verify that pressure is adequate on the spare oxygen cylinder mounted on the anesthesia machine
👥 Provider and Technician
6. Verify that the piped gas pressures are ≥ 50 psig
👥 Provider and Technician
7. Verify that vaporizers are filled and, if applicable, filler ports are tightly closed
👤 Provider or Technician
8. Verify that there are no leaks in gas supply lines between flowmeters and common gas outlet
👤 Provider or Technician
9. Test scavenging system function
👤 Provider or Technician
10. Calibrate or verify calibration of the oxygen monitor, and check the low oxygen alarm
👤 Provider or Technician
11. Verify that carbon dioxide absorbent is not exhausted
👤 Provider or Technician
12. Perform breathing system pressure and leak testing
👥 Provider and Technician
13. Verify that gas flows properly through the breathing circuit during both inspiration and exhalation
👥 Provider and Technician
14. Document completion of checkout procedures
👥 Provider and Technician
15. Confirm ventilator settings and evaluate readiness to deliver anesthesia care (anesthesia time out)
👤 Provider
🕒 To Be Completed Prior to Each Procedure
2. Verify that patient suction is adequate to clear the airway
👥 Provider and Technician
4. Verify availability of required monitors, including alarms
👤 Provider or Technician
7. Verify that vaporizers are filled and filler ports are closed
👤 Provider
11. Verify that carbon dioxide absorbent is not exhausted
👤 Provider or Technician
12. Perform breathing system pressure and leak testing
👥 Provider and Technician
13. Verify gas flows properly through breathing circuit (inspiration and exhalation)
👥 Provider and Technician
14. Document completion of checkout procedures
👥 Provider and Technician
15. Confirm ventilator settings and evaluate readiness to deliver anesthesia care (anesthesia time out)
👤 Provider
Legend:
👥 = Provider and Technician
👤 = Provider or Technician / Provider only
