(a) List the defibrillation energy in the "control-setting" column.
(b) Record the energy output indicated on the defibrillator and record
"energy indicated" and "energy delivered" measured at each control setting in the
(c) Record the "previous value" measured from a prior performance
test and record the change in output.
(d) If no action is required, place an "X" or "√" in the "ok" column.
(e) If action is required, annotate the action needed in the "action-
(f) When the action has been taken, enter the date and your initials in
the "action-taken" column.
Block 12, charging time to maximum energy setting. Refer to figure 2-9.
Figure 2-9. DA Form 5624-R, blocks 12 through 17.
(a) Measure and record the charging time to the maximum energy
(b) Record the previous delivered value from the prior performance