Please enable JavaScript in your browser to complete this form.Date / TimeDateTimeDropdownZoll X-Series (34)Zoll X-Series (35)Checked off by (all that assisted): *Steve ShelorWayne AkersBecky ShelorMike HaubnerLee WatsonRick LearyJennifer BarnettAmber SheppardAnnalyse BedwellAshley LewisBreana AkersChris ShelorChristian VanceJames Allbee Perform each action in the left column and document using the check boxes on the right.ACTIONRESPONSE OK / Success?Connect the external AC adapter to a working AC outlet and to the X Series rear panel.Verify that the green Auxiliary Power LED illuminates on the X Series front panel.OK / Success?YesNo Insert a battery into the unit (if a battery is not already in the slot). Verify that the Battery Charge LED on the X Series front panel illuminates yellow. When the battery pack has been fully charged, the battery status indicator light is green.3RYesNoPress the unit's power on switch. Verify the unit issues two audio beeps and that the red, yellow, and green Visual Alarm indicators illuminate for 2 to 3 seconds. Note: The yellow LED may remain lit after the unit powers on. The X Series unit performs a number of power-on self tests. Verify that the unit displays SELF TEST PASSED.4RYesNoDisconnect the external AC adapter from the X Series rear panel. Verify that the unit continues to operate without interruption on battery power and that the displayed battery icon indicates that a fully charged battery is installed. Verify that no error messages are displayed.5RYesNoWith no ECG cables attached to the unit, select Lead I, II, or III as the waveform display source. Verify that a LEAD FAULT message displays in the waveform window.6RYesNoSelect Pads as the waveform display source and connect the multifunction cable to the unit. Do not connect the test connector to the MFC. Verify that a CHECK THERAPY ELECTRODES message displays in the waveform window.7RYesNoConnect the multi-function cable (MFC) to the test connector. Verify that the CHECK THERAPY ELECTRODES message is replaced by a SHORT DETECTED message.8RYesNoPress the Select Energy arrow (up or down). Verify that the defibrillation window displays and the following message appears: PADS SHORT DETECTED SELECT 30J TO TEST9RYesNoPress the Select Energy arrow (up or down) to select 30 Joules on the X Series unit. Verify that the defibrillator window shows 30 J as the selected energy.10RYesNoPress the CHARGE button on the front panel. Verify that a periodic tone sounds while the defibrillator is charging. At the completion of the charge cycle, the tone is continuous. The charge time should be less than 7 seconds. Verify that the SHOCK button on the front panel illuminates when the defibrillator is charged.11RYesNoPress and hold the SHOCK button on the front panel until the unit discharges. Verify that the defibrillator discharges and that a DEFIB SHORT TEST PASSED message displays. If the message DEFIB SHORT TEST FAILED displays, REMOVE THE UNIT FROM SERVICE12RPASSFAILAfter the defibrillator display panel closes, press the PACER button on the front panel to display the Pacer Settings dialog box. Verify that the Pacer Settings dialog displays with the pacer status bar behind it.13RYesNoPerform the following steps: • Set the Pacer mode to Fixed. • Set the Pacer Rate to 60 ppm. • Set the Output to 100 mA. • Select the Start Pacer button Verify that the green pace indicator on the pacer status bar flashes once each second. Verify that pace markers are printed every 25 mm on the chart recorder printout. Note: If a printout does not automatically begin after starting the pacer, select the Print quick access key to start a continuous printout. Press the Print quick access key again to stop the printout.14RYesNoPress the PACER button on the front panel button again to close the Pacer Settings dialog box. Verify that the pacer status bar indicates PACING: SHORT DETECTED. Verify that the green pace indicator continues to flash once each second. Verify that no pacer-related error messages display.15RYesNoDisconnect the test connector from the MFC. Verify that the pacer status bar displays: PACING: CHECK THERAPY ELECTRODES16RYesNoPress the PACER button on the front panel to display the Pacer Settings dialog. Select Turn Pacer Off to turn off the pacer. Verify that the Pacer Settings dialog is closed and that the pacer status bar is removed from the display.17RYesNoReconnect the external AC Adapter to the X Series rear panel. Verify that the green Auxiliary Power indicator light on the X Series front panel is illuminated.18RYesNoTURN MONITOR OFF AND STORE ALL CABLES AND SUPPLIESOVERALL TEST RESULT: *PASSFAILCommentsSignature *Clear SignatureCommentSubmit