Policy Text
AUTOMATIC EXTERNAL DEFIBRILLATOR “READINESS” CHECKLIST (Monthly)
For AED Serial No. and Location :
Year :
“P” for Pass, “F” for Fail
MONTH : Example Jan. Feb. Mar. Apr. May. Jun. Jul. Aug. Sep. Oct. Nov. Dec.
SUPPLIES AVAILABLE
1. Two sets of defibrillation
cartridges, within expiration
date and undamaged P
2. One set of pediatric defibrillation
cartridges (for lobby sites) P
3. Ancillary supplies: towel, razor,
shears, barrier pack P
4. Batteries must be changed six
months before expiration
P
STATUS INDICATOR
1. Self test okay – green check
mark displayed
P
CONDITION OF UNIT
1. Clean, no dirt or contamination P
2. No damage present
P
INSPECTED BY: M. Heckle
REMARKS, PROBLEMS, CORRECTIVE ACTION:
USE: DURACELL BATTERY ONLY (11/2016, ZOLL)