Alberta E-Vent User Manual Version 1.3 June 3, 2020
18
Chapter 6:
Operation
6.1.
Alberta E-Vent Pre-Use Check
The Pre-Use Check must be carried out before each use.
Any operation of the device requires thorough
knowledge of the Instructions for Use.
Model Name:
WARNING!
Pre-use Check must always be performed
off patient.
Serial Number:
Checking Ventilation Circuit connections
Confirm Checking Power On procedure
Confirm
1.
BVM connected to Y-adapter
☐
1.
Connected to UPS? (if used)
☐
2.
Y-adapter connected to PRV
☐
2.
Do the Mechanical Arms calibrate and
are they touching the bag?
☐
3.
Y-adapter connected to Manometer
☐
3.
Control display (left) shows the
following default settings:
☐
4.
Manometer connected to Aquesure Filter
☐
5.
Aquesure Filter attached to 22mm hose
☐
6.
Hose attached to Straight adapter
☐
7.
Straight adapter attached to Patient Valve
☐
4.
Alarm display (right) shows the
following default settings:
☐
8.
Patient Valve Pressure Port connected to
Pressure Line tubing
☐
9.
Patient Valve connected to PEEP Valve
☐
10.
Patient Valve connected to the HME filter
☐
Testing Alarms
Confirm
11.
HME filter connected to ETT; affix ETT to
bed pillow
☐
1.
Calibration Passed?
☐
2.
AC Power loss / off alarm sounds?
☐
12.
BVM secured with elastics in resuscitator
mechanism cradle
☐
3.
PRV relieves?
☐
4.
High PIP
☐
5.
Low PIP
☐
6.
High PEEP
☐
In the event of a deviation, refer to Troubleshooting in
Chapter 9:
7.
Low PEEP
☐
8.
High Respiratory Rate
☐
In signing this form, the clinician acknowledges that they have read the User Manual, performed and passed all start up verification tests, and are
following standard operating procedures. Standard operating procedures are to be used for connecting the Alberta E-Vent to the patient and
throughout the entire automated resuscitation process.
READ THE WARNING STATEMENTS (USER MANUAL) PAGES ii AND 2) BEFORE SWITCHING ON THE ALBERTA E-VENT AND PRIOR TO PATIENT USE.
CLINICIAN MUST SIGN ACKNOWLEDGEMENT BEFORE USE THAT THE ALBERTA E-VENT IS PROVIDED ON AN AS IS BASIS
–
USE AT YOUR OWN RISK.
Clinician Name:
Date:
Clinician Signature
Time:
NOTE:
Use a prepared, operable and disinfected
device to complete Pre-Use Check.
Chapter 3: Care
Chapter 5: Preparation
