Cardiac Monitoring Unit Checklist Form
Complete this checklist to ensure all essential equipment and procedures in the cardiac monitoring unit are ready and functional.
Date of Checklist
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staff Member Name
*
First Name
Last Name
Monitor Power and Functionality Checked
*
Monitor is powered on and functioning
Electrodes and Lead Placement Verified
*
Electrodes are available and applied correctly
Leads are connected and secure
Alarms Set and Audible
*
Alarm parameters are set appropriately
Alarms are audible and functioning
Emergency Equipment Readiness
*
Defibrillator present and tested
Emergency medications available
Cables and Accessories Checked
*
All cables are intact and untangled
Spare accessories are available
Patient Identification and Documentation Ready
*
Patient identification system is operational
Documentation materials available
Additional Comments
Submit Checklist
Should be Empty: