Main 02 (>500 psi)bestcareambulance.org/images/Truck_Check_Back.pdf · jump seat, action seat,...

of 85

D:\My Documents\Ambulance Procedures\Shop\Truck Checks\Truck Check Back.htm

Main 02 (>500 psi) Main on board Oxygen, (O2) level is greater than 500 p.s.i. The Main Oxygen tank is located behind the rear facing captain chair, (also called the jump seat, action seat, airway seat) in the patient compartment. On the outboard wall.

Rear facing captain chair

Access Door to Main Oxygen Tank Slide the Door to the right to expose the top of the main oxygen tank and the regulator.

of 85


Turn the regulator Slowly counter clock wise to open the valve of the main tank.

The pressure gauge will rise to indicate the available oxygen in the main tank.

of 85


The gauge below shows the level of the main is over 1000 p.s.i and therefore is serviceable and does not need to be changed.

This poor quality picture shows the gauge indicates the main O2 tank is under 500 p.s.i. and therefore needs to be changed. In fact this gauge indicates the tank is completely empty.

BELOW 500 PSI, CHANGE TANK !! If the Gauge is below 500 p.s.i. The main oxygen tank for this vehicle must be changed. Please refer to the procedure for changing the main oxygen tank. Hyperlink to procedure Once the tank has been changed and the oxygen supply level has been again verified using the procedure outlined above, the truck check sheet may be marked indicating the main tank has been checked and determined to have greater than 500 p.s.i.

of 85


If the Gauge indicates a serviceable oxygen supply of over 500 p.s.i. then this item should be checked on the truck check form. The valve on the main O2 should be closed down securely to prevent leakage. Turn the valve clockwise until tight.

The Thorpe tube oxygen regulators are located on the wall to the left of the rear facing captains chair when viewed from the right side of the ambulance. This is called the action area.

Open the Thorpe tube oxygen regulators located on the wall in the action area by turning the black knob counter clockwise. You will hear the oxygen hissing out of the system.

of 85


Once the hissing stops, verify the system has been completely depressurized, by checking the main oxygen tank pressure gauge. This gauge should now read empty.

Close the access door to the main oxygen compartment by sliding it to the left.

of 85


Close the Thorpe tube regulator to prevent a sudden burst of oxygen escaping when the main system is charged.

Turn the knob on the Thorpe tube regulator clockwise until tight. No Dirt Sand or debris on the Floor Remove the cot from the ambulance. Be sure to disconnect all cables and power chords first. Hyper Link to Unloading empty cot policy. There should be no dirt, sand or debris of any kind on the floor of the ambulance. The floor should look shiny and clean. It should look virtually brand new.

of 85


If the floor is clean and shiny and has no dirt sand or other grime or debris, then this item may be checked off as completed. Replace the cot in the ambulance and plug in cords as appropriate. Move onto the next step. If the floor is not meticulously spotless, then the entire floor must be cleaned.

of 85


(Actual Floor marked as clean by crew)

(Actual Floor marked as clean by crew) The floors in the above pictures have sand, dirt or mud smudged into it. They are not spotless. They are not shiny. This is unacceptable. This floor must be cleaned.

of 85


Cleaning the floor. Obtain the broom for the ambulance.

This broom is found in the lower left corner of the “star chair compartment”

of 85


The “Stair Chair” compartment is the first compartment on the left side of the ambulance interior when looking up into the ambulance from the rear doors.

of 85


Remove the waste paper basket and any other movable items on the floor.

Begin sweeping at the front of the ambulance. Continue thoroughly sweeping the floor from the front towards the back..

of 85


Obtain the Mop and Bucket. Hyper Link to Mop and Bucket Procedure

Place the green Garden Hose in the bucket.

of 85


Turn on the hot water and fill the bucket with approximately 4 inches of water.

Obtain a pair of gloves from the ambulance and put them on. The CDC 10 is highly caustic. Please read and thoroughly understand the Hazardous materials safety data sheet on this product before use. This document is not intended as a replacement for the material data safety sheet for this product or the manufacturers directions for use. In the event, there is any disagreement between this policy and the use of the product as indicated by the MSDS or the manufacturers instructions and directions, this policy shall be deemed incorrect. Follow the manufacturers directions and MSDS instructions.

of 85


Obtain the CDC Disinfectant from the “stair Chair” compartment in the ambulance.

of 85


The “Stair Chair” compartment is the first compartment on the left side of the ambulance interior when looking up into the ambulance from the rear doors.

of 85


Remove the cap and add approximately 1 ounce of the “CDC -10” disinfectant cleaner to the four inches of hot water in the mop bucket.

Mix the soapy CDC-10 disinfectant soap, in with the water by using the mop in a churning fashion.

of 85


Ring the mop to a damp condition.

of 85


Starting at the front, Begin to thoroughly mop the floor towards the back of the ambulance.

Rinse the mop in the soapy water to remove dirt and ring to a damp condition.

Continue to mop the floor towards the back of the ambulance.

of 85


Rinse the mop in the soapy water to remove dirt and ring to a damp condition.

Finish the mopping process from out side of the ambulance as shown below.

of 85


Obtain 6 white towels from the maintenance supply closet. Start at the front and carefully wipe down and dry the entire floor starting at the front and working towards the back.

of 85


Take special care to clean and dry around the antlers and other fixtures in the floors, including the trim pieces where the flooring meets the Formica.

Be sure to wipe any mop splatter and water which may have sprayed up on the Formica.

of 85


Finally work your way back out of the ambulance, leaving a clean shiny dirt free, spotless floor behind.

of 85


of 85


Proceed to the side door located on the right side of the ambulance.

Open the door and clean the diamond plate step well. Wipe to a shiny clean finish.

of 85


be sure to wipe any splatter or mess which may have got on the formica, cabinets or door.

At this point the if the floor is clean, check off the box which says the floor is clean. Replace the cot. NEED HYPERLINK Proceed to the next procedure in the truck check. If the floor is still not spotless, then repeat the cleaning procedure again and again until it is clean, or do it right the first time. Rear Doorway Spotless Shiny The rear door is the first point where most of the public gets a look into a BestCare Ambulance. This is the second “first opinion” they get of our equipment. If this area does not match the clean exterior, it is possible they customer, our competitors and the general public will assume the cleanliness we display on the outside of our vehicles ends there. They may assume that inside, BestCare is no different frm any one of our competitors. The rear doorway is often the first part of the ambulance seen by nurses and other hospital staff which occasionally accompany us on a transfer. It is important that this area be in tip top shape as often as possible. The rear stainless steel step should be shiny and spot free.

of 85


Spots and dirt are unacceptable.

It is very easy to clean this area using the CDC-10 and a towel.

Follow manufacturers directions and MSDS precautions when using any chemical in the work place. Check the over head area of the doorway and be sure it too is clean and spotless.

of 85


Once the doorway is cleansed and spotless, mark this task as completed on the truck check sheet and move on to the next item on the sheet. Rear Door Hinges clean and greased. The rear door hinges are to be kept clean and greased, not only for a professional appearance but to insure proper operation and longevity from the parts. As anyone who has been through a winter can attest, the sale gets into these hinges and makes an audible sound as the salt destroys the hinges. The result is the doors close hard and simply don’t work well. Visually examine the doorway for grease on both the outside and inside of the hinge. The hinge should be shiny and free of dirt and greasy build up.

of 85


The above pictures show grease and dirt build up in the hinges.

of 85


. The above pictures show a properly clean and shiny hinge.. Do not take a hose or CDC-10 to clean the hinges. As tempting as that may be, it makes an incredible mess of the inside of the ambulance. The exception to this is during the winter months when, during truck washing the hinge is sprayed down to remove salt build up. Obtain WD-40 from the maintenance supply shelves. Place a small amount of WD-40 on a towel and meticulously clear around each nut and down each hinge.

There will be a temptation to spray the entire hinge, abd then clean it up with a towel. DON’T !. Since it will make a huge greasy mess which you will have to clean up later. This greasy mess is reserved for the monthly truck check. Use the towel with the WD-40 sprayed onto it to go around each bold head on the hinge and remove any grease, dirt or residue.

of 85


As you can see this is a tedious and time consuming process when let go for a l0ng time. Daily touch up will keep this from becoming a major project.

of 85


If the hinges do not look like the hinge on the right, follow the cleaning procedure outlined above. If they are clean and dirt free, proceed onto the next item of the truck check. Spare Pillow for Tech. A Spare Pillow to provide back support for the Technician is kept in the “Stair Chair Compartment”. This pillow may also be called into service for the comfort of the patient as well. The “Stair Chair” compartment is the first compartment on the left side of the ambulance interior when looking up into the ambulance from the rear doors.

of 85


If the Pillow is present in the stair chair compartment, mark the item as present on the truck check sheet and move on to the next item.

If the item is not present, go to the linen supply closet and obtain a pillow and pillow case and place it in the compartment. Once completed mark the item as present on the truck check sheet and move on to the next item. CDC-10 in Stair Chair Compartment CDC-10 is the disinfectant for non transparent surfaces at BestCare Ambulance. Do not use CDC-10 on Lexan surfaces as it will fog them.

of 85


Please refer to the manufacturer’s instructions and the MSDS for proper use and storage of this product.

CDC-10 is stored in the stair chair compartment. The “Stair Chair” compartment is the first compartment on the left side of the ambulance interior when looking up into the ambulance from the rear doors.

of 85


The CDC-10 bottle is hung by it’s nozzle over the wall of the compartment as shown.

Remove the bottle from it’s storage spot. The bottle should be at least 25% full.

of 85


If the bottle is more than 25% full, replace the bottle to it’s storage area with the nozzle hanging on over the wall. Mark the truck check list as completed and move on to the next item on the list. If the Bottle is less than 25% full, add CDC-10, which should be found in the maintenance supply area. Be sure to use all Manufacturer’s and MSDS safety recommendations for this procedure. Replace the bottle to it’s storage area with the nozzle hanging on over the wall. Mark the truck check list as completed and move on to the next item on the list. Cot secure Make sure the cot is secure. The cot has two attachment points and the cot should be properly attached to assure safety.

The cot should not be able to move is a sideways direction when properly secured in the ambulance.

of 85


Test the security of the cot in the ambulance involves two steps. First is physically checking that the cot is physically secure in the ambulance by applying lateral (side to side) movement to the cot as shown below.

The second step in verifying that the cot is secure is to visually inspect the connection between the cot and the locking mechanism. The locking mechanism and the post should be firmly in contact. No sheets, towels or other obstructions should be present to interfere with the device.

of 85


The lock should be visualized to insure it is closed completely around the cot post. If the cot is secure in the ambulance, mark this step as completed on the truck check sheet and move on to the next project. If the cot is not secure, remove and replace the cot in the ambulance. Check for obstructions between the locking mechanism and the post. Check for obstructions between the cot and the antler. If no solvable reason can be determined, Immediately take the ambulance out of service and immediately notify management by phone and email of the issue. Cot properly made Determine of the cot is properly made. In the summer mode, the cot requires four pieces of linen and one pillow to be properly made. 1 flat sheet 1 pillow case 2 bath blankets 1 pillow 1 towel

of 85


The sheet should be on the cot, smooth and wrinkle free.

The corners of the sheet should be crisp and made with hospital folds.

of 85


It is difficult to make hospital corners on the rounded corner mattresses. On these mattresses, the sheets should be as smooth and neat as possible. The next item on the cot should be a “bath blanket” which is in good condition, folded in Operating room style. Remember this blanket is used for the movement of patients off of our cot, it is imperative that this blanket be able to move the patient without tearing. The next item on the cot is the loading blanket. This should be in good condition, clean and folded into quarters and placed at the head of the cot.

The next item is the pillow. The pillow should have a clean pillow case installed. The pillow should be at the head of the cot, with it’s lengthwise orientation the same as the cot.

of 85


In winter mode. As above… The winter blanket is properly folded and neat. The sleeping bag is free of stains and biohazard.

of 85


If this is done, please check this item off the daily truck list and move on to the next item If the cot is not properly made, remake the cot pursuant to the cot making policy. Once completed, please check this item off the daily truck list and move on to the next item Please see the policy on making the cot. Cardiac Monitor strapped to cot. The cardiac monitor is place on the cot so that the propaq vital sign Monitoring device is facing the front of the ambulance. This is to reduce the chances of the cardiac monitor and the tray slipping under the seatbelt and becoming a giant projectile in a sudden stop.

of 85


Visually check to see that the strap is connected and taught.

Physically confirm the strap is secure and taught by giving the monitor a gentle rock back and forth, the device should not move without moderate resistance.

3 charged batteries in the cardiac monitor (CM) There needs to be three charged batteries in the cardiac monitor at all times.

of 85


This test is inconclusive, since it is possible that a battery may be five minutes away from being “Low Power” and not trigger the low battery alarm, thus the reason why we have 6 batteries on each ambulance. Turn on the cardiac monitor using the green switch.

Three red lights should be visible as the machine goes through it’s boot up phase. In the event there are less than three lights in this initial start up, this means that a battery is missing or several batteries are missing from the device. Corrective action must be taken immediately to replace the batteries. After the initial boot up, the three lights will go off. The fact that the machine is on will be indicated by the LED/LCD displays on the front of the device.

Visualize the LED/LCD screen to determine that the device is operating properly. The next step in confirming the battery is satisfactory is:

of 85


Place the standard paddles on the Battery Support System test load plates. A battery support system is located on board each BestCare Ambulance. Make sure the paddles surfaces do not contact your body or any other surface on the battery support system

Rotate the ENERGY dial to 360 Joules on the paddles.

Look at the clock and press CHARGE and start timing.

Confirm a tone is heard within 12 seconds or less. It’s usually closer to 4 seconds. If a tone is not heard within twelve seconds, replace the battery with a fully charged battery and repeat the test. If for some reason the device can no meet this criteria, remove the device from service and notify Carol immediately via phone and e.mail. Press the APEX discharge button and confirm the defibrillator does not discharge. Release the APEX discharge button.

of 85


Press the STERNUM discharge button and confirm the defibrillator does not discharge. Release the STERNUM discharge button.

Apply firm pressure with both paddles on the battery support system test load plates and press both APEX and STERNUM discharge buttons simultaneously.

The Battery Support system will indicate the energy delivered.

of 85


Return the ENERGY dial to 200 Joules

If the above tests indicate the battery is charged and serviceable proceed to the next step. If the above tests indicate the battery is charged and serviceable mark this step as completed on the truck check form and proceed to the next item on that list. If the battery is deemed low or discharged, proceed to the procedure on changing batteries outlined below. Turn the selector switch to battery 2

of 85


Visualize the LED/LCD screen to determine that the device is operating properly. Place the standard paddles on the Battery Support System test load plates. A battery support system is located on board each BestCare Ambulance. Make sure the paddles surfaces do not contact your body or any other surface on the battery support system




of 85





of 85



If the above tests indicate the battery is charged and serviceable proceed to the next step. If the above tests indicate the battery is charged and serviceable mark this step as completed on the truck check form and proceed to the next item on that list. If the battery is deemed low or discharged, proceed to the procedure on changing batteries outlined below. If the above tests indicate the battery is charged and serviceable proceed to the next step If the battery is deemed low or discharged, proceed to the procedure on changing batteries outlined below. Turn the selector switch to battery 3 Confirm that no red light or beeping is heard to indicate that the battery is low. Visualize the LED/LCD screen to determine that the device is operating properly.

of 85


Place the standard paddles on the Battery Support System test load plates. A battery support system is located on board each BestCare Ambulance. Make sure the paddles surfaces do not contact your body or any other surface on the battery support system



of 85





of 85




If the above tests indicate the battery is charged and serviceable proceed to the next step. If the above tests indicate the battery is charged and serviceable mark this step as completed on the truck check form and proceed to the next item on that list. If the battery is deemed low or discharged, proceed to the procedure on changing batteries outlined below.

of 85


Changing Batteries There are 3 batteries in the LP 10. Starting from the left, they correspond to the dial selector switch

The first battery to be used will be battery one. The next battery to be used is battery two and the last battery to be used is battery 3. The battery which is presumed to be the lowest in available energy is battery number one. Therefore when changing batteries, we always rotate the batteries down. This assures us that battery two and three are fully charged, giving us two back ups in an emergency. Remove battery 1 by squeezing the plastic lock at the back of the battery. Lift battery 1 out of the defibrillator.

of 85


Remove battery 2 by squeezing the plastic lock at the back of the battery.

Lift battery 2 out of the defibrillator and place it into battery one’s slot. Battery 2 now becomes battery 1.

Remove battery 3 by squeezing the plastic lock at the back of the battery.

Lift battery 3 out of the defibrillator and place it into battery one’s slot. Battery 3 now becomes battery 2.

of 85


Insert a “New” or fully charged battery into the third slot.

Recheck the batteries as described above. Close the flap to cover the battery compartments on the cardiac monitor.

Zip the Left size zipper on the cover.

of 85


Zip the right side zipper on the cover

Feed the lengthwise straps up from the tray in between the pouches on either end

of 85


Connect the straps tightly across the top of the cardiac monitor

Connect the top strap tightly

Connect the bottom Strap tightly

of 85


Both straps should hold the cardiac monitor to the cot tray.

Place the Vital signs monitor on the top of the cardiac monitor so that it is in the upper right corner. The upper right corner is where the battery compartment is above the defibrillator paddles.

of 85


The face of the Vital signs monitor should face the left when viewed from the front of the cardiac monitor.

The vital signs monitor (VSM) is connected to the cardiac monitor and cot tray using a crisscross attachment with the Velcro straps. Feed the front straps up and behind the hook on the front end of the VSM, Making a sort of upside down “U” shape. Do not tighten the straps at this time.

of 85


of 85


Repeat the process on the other side of the Vital sign Monitor. Remember, do not tighten these straps at this time.

Check to be sure that the straps are not crushing or interfering with cables or hoses. This damages the cables and hoses.

of 85


As we can see in the pictures above, the cable is being crushed by the straps. Make sure the straps are clear of the hose, wires and leads. Now begin tightening up the straps to hold the vital signs monitor to the cot tray and cardiac monitor. Accomplish this by tightening one side then the other. Making sure the Vital sign Monitor sits straight and squarely on the cardiac Monitor and doesn’t interfere with the paddles and access to the paddles.

Remove the 2 velcro straps holding the Propaq vital signs monitor to the Cardiac Monitor/Cot tray.

of 85


Place the propaq in a safe location where it will not fall down or be accidentally kicked or damaged Remove the two long straps which go from left to right across the top of the monitor

of 85


Unzip the long zipper on the left side of the cardiac monitor.

of 85


unzip the short zipper on the right size of the cardiac monitor

Open the flap to expose the battery compartments.

CM Batteries removed from Charger Charged batteries should be removed from the charger as soon as possible after being fully charged.

of 85


Charging batteries while underway should not be done unless absolutely necessary. This is because turning on and off of the ambulance interrupts the charging process and results in destroying the battery’s ability to hold a charge. The charger is located on a shelf behind the “Jump Seat”

Remove the Charged battery from the charger by… Place the charged battery in the back of the “charged battery Bin” The “charged battery Bin” is located to the left of the jump seat in the action area

Wall Clock within 2 minutes of cell phone Providing accurate times is essential. Cellular Phones have very accurate clocks since they are constantly updated by the cell towers which are themselves kept accurate by atomic clocks. Compare the time readout on the cellular phone with the time on the wall clock.

of 85


If there is a difference of more than two minutes, adjust the wall clock to correspond with the cellular phone.

of 85


Empty All Trash Cans in Patient Compartment. The trash can is located at the end of the bench seat, just before the side door in the patient compartment. Open the cover and visually inspect the trash can.

If no trash is present, mark this item as complete on the daily truck check list and proceed to the next item on that list. If there is trash present as the picture below demonstrates,

remove the trashcan from the compartment and empty it into a shop trash can.

of 85


If there is residue or dirt still remaining, clean the trash can with CDC-10 and a towel. Be sure to follow manufacturers instructions and MSDS Warnings when using CDC-10 or any other chemical. Thoroughly clean the trash can and return it to the ambulance and close the lid.

Items in the cardiac Monitor left pouch. BestCare stocks a variety of commonly used items in the left hand pouch on the cardiac monitor. These supplies make it possible to quickly correct minor, but common problems which crop up on a regular basis.

of 85


The above picture shows the materials kept in the left side of cardiac monitor pouch. 3 Prefilled NS Syringes 10 ML 3 Prefilled Normal Saline Syringes 10 ML are most commonly used to flush “hep Locks” and to push through medications when the concentration is such that only a small volume is injected.

If 3 Prefilled Normal Saline Syringes 10 ML are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, (Yuck !!) or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. 1 hemostat

of 85


If 1 hemostat is present, mark this item as complete on the daily truck check sheet and move to the next item. If it is missing, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. 3 “Y” Connectors/Extensions

If 3 “Y” Connectors/Extensions are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, (Yuck !!) or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. 5 needless Claves

If 5 needless Claves are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item.

of 85


If there is one or more of these missing, or if they have been used, (Yuck !!) or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. 5 needled Claves

If 5 needled Claves are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, (Yuck !!) or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. 10 Alcohol wipes

If 10 Alcohol wipes are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item.

of 85


5 needle Adapters

If 5 needle Adapters are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. LP 10 Paper (1 Roll)

If there is one roll of LP-10 Paper present, mark this item as complete on the daily truck check sheet and move to the next item. If it is missing, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. VSM Paper (1Roll)

of 85


If there is one roll of vital signs monitor paper present, mark this item as complete on the daily truck check sheet and move to the next item. If it is missing, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. 1 inch tape (1 Roll)

If there is one roll, over 25% full, of 1 inch medical tape present, with the end folded over properly, mark this item as complete on the daily truck check sheet and move to the next item. If it is missing, replace with a new one from the medical supply cabinet, Properly fold the end, then mark this item as complete on the daily truck check sheet and move to the next item. Cardiac Monitor Right Pouch. The Cardiac Monitor right pouch contains the materials and accessories necessary for the use of the cardiac monitor and defibrillator.

of 85


3 sets of 3electrodes (Min) Our electrodes come in a 3 pack to aid in efficiency. There should be a minimum of 3 sets in the right pouch.

Confirm the packages are in good shape, and that the dates are still in. If 3 sets of 3electrodes are present, unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. Zapping Gel We carry one tube of zapping gel, (welding flux, goo, etc.) as a back up measure should the defibrillator/pacing pads suffer catastrophic failure.

of 85


If there is one tube of Zapping Gel present, mark this item as complete on the daily truck check sheet and move to the next item. If it is missing, replace with a new one from the medical supply cabinet, Properly fold the end, then mark this item as complete on the daily truck check sheet and move to the next item. 2 sets of defibrillator pacer electrodes. 2 sets of defibrillator pacer electrodes are found in the front pouch of the propaq vital sign monitor.

The expiration dates are written in large friendly letters on the front for ease of reference i

of 85


If 2 sets of defibrillator pacer electrodes are present, the date is good, they are unused and with the packaging in tact, mark this item as complete on the daily truck check sheet and move to the next item. If there is one or more of these missing, or if they have been used, or if they are out of date, the package is ripped and so on, replace with a new one from the medical supply cabinet, then mark this item as complete on the daily truck check sheet and move to the next item. Cardiac Monitor turn on and Check Cardiac Monitor Check Strip & Post with Date & Time To obtain a cardiac monitor test strip turn on the cardiac monitor by moving the battery selector dial from the off position to battery 1 Press and release the record button

of 85


Print approximately 6 to 8 inches of the strip.

The strip will extrude from the top of the cardiac monitor

Tear the strip off from the monitor Record enough of the strip to allow the device to record the date and time of the activation. This is our documentation that the device was checked and when it was checked. Cut the strip as necessary to fit onto the daily truck check where it says “Post Cardiac Monitor strip here” Obtain a glue stick from the ambulance’s clipboard. Thoroughly glue around the exterior edges on the back of the strip as this form will be fed through a document feeder as it is scanned into a computer for archiving. Confirm Cardiac Monitor Time Date w/Cell phone is within 2 minutes. Vital sign Monitor secure

of 85


Check to be sure the Vital sign Monitor is securely attached to the cot tray and the Cardiac Monitor and that it doesn’t interfere with the defibrillation paddles. First visually inspect the straps on both sides of the device to assure they are properly placed. The straps should form an upside down U as they thread their way from the cot tray, through the handle and back down to the cot tray.

Next Visually Confirm the straps do not interfere with any cables or hoses.

Gently rock the Vital sign monitor from side to side to assure it is indeed firmly attached to the cardiac monitor and cot tray.

of 85


If the vital sign monitor has been visually inspected to assure the straps are on correctly, that the straps are not interfering with any of the hoses or cables and that it has been rocked gently to assure it is tightly attached to the cardiac monitor and cot tray, then you may mark this task as complete on the daily truck check and move on to the next item. If the vital sign monitor has not been visually inspected to assure the straps are on correctly, or not checked to assure that the straps are not interfering with any of the hoses or cables and that it has not been rocked gently to assure it is tightly attached to the cardiac monitor and cot tray, then you must refer to the procedure for attaching the Vital sign monitor to the cot tray. Properly follow that procedure. Then check again to determine if the vital sign monitor is secure according to this policy. Vital sign Monitor Plugged In Check to be sure the vital sign monitor is plugged in to the ambulance to assure batteries are charged and ready to go.

of 85


Confirm the device is being charged by visualizing the charge indicator light. If the vital sign monitor is plugged in on both ends and the green indicator light confirms that the device is being charged, mark this item as complete on the daily truck check list, and move onto the next item. f the vital sign monitor is plugged in on both ends, check to see if the ambulance is plugged into shore power, and that the shore power line is also plugged into a working outlet. If the truck is not plugged in, plug it in and check to see if the green charge indicator light is on. If the light fails to turn on and all power sources are properly connected, notify management via email, take the truck out of primary service if the battery is still charged. (these batteries can last for five trips or more.) Confirm Vital sign Monitor is within 2 minutes of cell Phone. Standard Cuff Attached to VSM The Standard Cuff is the most commonly used of the four cuffs available at BestCare. Occasionally a Large or pediatric cuff will be left on inadvertently, this creates delays and difficulty at the next load.

Confirm that the Cuff is in good condition and free of blood or any other bio hazard. If the cuff is attached to the VSM, The cuff is clean and free of biohazard materials and dirt, please mark this item as complete on the daily truck check and move on to the next item on that list. If the cuff is not attached to the VSM attach the proper cuff , confirm the cuff works and is clean and free of biohazard materials and dirt. If the cuff is not clean, clean the cuff with CDC 10 and replace this cuff with a spare from the medical supply closet while the contaminated one drys. Once completed, please mark this item as complete on the daily truck check and move on to the next item on that list.

of 85


Small Cuff in VSM Check to see that a Small Cuff in VSM. The spare cuffs are stored in the zippered pouch at the back of the vital sign monitor.

If the cuff is present, clean and free of biohazard materials and dirt, please mark this item as complete on the daily truck check and move on to the next item on that list. If the cuff is not present obtain a proper replacement from the medical supply cabinet. Notify management via email that the cuff is missing. Recheck per this policy. If the cuff is not clean, clean the cuff with CDC 10 and replace this cuff with a spare from the medical supply closet while the contaminated one dries. Once completed, please mark this item as complete on the daily truck check and move on to the next item on that list. Large Cuff in VSM Check to see that a Large Cuff in VSM.The spare cuffs are stored in the zippered pouch at the back of the vital sign monitor.

of 85


If the cuff is present, clean and free of biohazard materials and dirt, please mark this item as complete on the daily truck check and move on to the next item on that list. If the cuff is not present obtain a proper replacement from the medical supply cabinet. Notify management via email that the cuff is missing. Recheck per this policy. If the cuff is not clean, clean the cuff with CDC 10 and replace this cuff with a spare from the medical supply closet while the contaminated one dries. Once completed, please mark this item as complete on the daily truck check and move on to the next item on that list. Check your Blood Pressure Check your Blood Pressure, this not only gives you an idea of your blood pressure, but it also confirms the Vital sign monitor was working when it was checked. Place the cuff on your arm, being sure to align the artery mark with your artery.

of 85


Relax the arm being squeezed by the machine.

Once the machine completes taking your blood pressure, the cuff will relax and the reading will be displayed on the machine. Once this task is completed, please mark this item as done on the daily truck check form and move on to the next item. Check your O2 Saturation With the VSM still on and running from taking your blood pressure, place the o2 saturation sensor onto your finger and obtain a sat reading. This will display as so from the machine. Once this task is completed, please mark this item as done on the daily truck check form and move on to the next item. Post VSM Strip.

of 85


To record that both your blood pressure, O2 Sat, and that the machine has had it’s daily testing it is necessary to print a strip. Press the button on the far right of the face plate, under the word main menu. The screen will change to this. Press the middle button. Press the button to the left of the middle button Press the left most button The strip should begin to print from the left hand side of the VSM. If Ink is noted on the paper, this is the low paper warning. Change the paper. Check the printout to make sure the readings reflect your blood pressure, O2 saturation and the correct time. Cut the strip as necessary to fit onto the daily truck check where it says “Post Vital Sign Monitor Strip” Obtain a glue stick from the ambulance’s clipboard. Thoroughly glue around the exterior edges on the back of the strip as this form will be fed through a document feeder as it is scanned into a computer for archiving. Mark this item as completed on the daily truck check form and proceed to the next item on that list. Return to Index © BestCare Ambulance Services, Inc. 2000-2005. All rights reserved.

../../Table%20of%20Contents.htm

Main 02 (>500 psi)bestcareambulance.org/images/Truck_Check_Back.pdf · jump seat, action seat,...

Documents

Transcript of Main 02 (>500 psi)bestcareambulance.org/images/Truck_Check_Back.pdf · jump seat, action seat,...