Checklist.doc (MsWord)
Checklist.pdf (Acrobat)
| FPatient q ID correct q Chart reviewed FSterility FHeart-lung machine q Start-up normal q Back-up power FHeater-Cooler q Water connections: flow verified q Water temperature: _______° C/F FGas Supply q Flow meter/blender in order q Vaporizer shut off q CO2 flush FPump q Flow meter: calibration & direction q Tubing holders secure q Occlusion set : ______ mmHg ______cmH20/min FTubing q Suckers functional and sucking q One-way valves: direction correct q Circuit shunts closed |
FID FMonitoring q Temperature probes positioned q Pressure transducers calibrated q In/On-line sensors calibrated FSafety & Alarms q Air detector engaged q Pressure alarm limits set q Temperature alarm limits set q Cardiotomy reservoir vented FOxygenator q Heat exchanger integrity inspected q Scavenger attached FDebubbling q Oxygenator q Cardioplegia q Arterial filter/Bubble trap FAccessories q Hand cranks q Backup circuit components FAnticoagulation q Patient properly anti-coagulated FReady to start bypass |
The EBCP promotes the use of pre-bypass checklists in the practice of clinical perfusion. The suggestions in this checklist are designed as the minimum requirements for cardiopulmonary bypass procedures and each institution should adapt this to suit its own requirements. The EBCP can accept no liability whatsoever for the adoption and practice of this suggested checklist.