✅ 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