Anaesthetic Machine/Medication & Equipment Checklist
Anaesthetic Machine
Yes
No
Not Applicable
PRIMARY OXYGEN source checked
BACK-UP OXYGEN available
OXYGEN ALARM working
(if present)
FLOWMETERS working
VAPORISER attached and full
Anaesthetic machine passes
LEAK TEST
SCAVENGING checked
Available MONITORING equipment functioning
Sufficient Halothane & Isoflurane available
Medications/Equipment
Yes
No
Not Applicable
EMERGENCY equipment
and medications checked
Endotracheal tubes (cuffs checked)
Airway aids (e.g. laryngoscope,
urinary catheter, lidocaine spray,
suction, guide-wire/stylet)
Self-inflating bag (or demand valve
for equine anaesthetics)
Intravenous cannulae
Fluid administration set
Isotonic crystalloid solution ie. normal saline
Epinephrine/adrenaline
Atropine
Antagonists (e.g. atipamezole,
naloxone/butorphanol)
Submit
Should be Empty: