1. CONDUCT PRE-SHIFT INSPECTION: Visually inspect all straps, buckles, and handles for fraying or damage and operate every zipper through its full range of motion. Confirm all modular cells are present and sealed, verify oxygen cylinder pressure is at or above your agency's minimum service level (e.g., greater than 1000 psi), and check side and top pocket contents against your agency inventory checklist.
2. APPROACH THE SCENE AND CARRY THE PACK: Exit the apparatus with the G3+ Clinician carried via shoulder straps for hands-free transport or the top grab handle for short carries. Adjust shoulder straps for a snug fit before departure to prevent load shifting during movement.
3. POSITION THE PACK USING THE STAND-STRONG BASE: At the patient's side, place the pack on the floor in the upright position. Allow the Stand-Strong fortified base to stabilize the pack on uneven or contaminated surfaces, minimizing footprint and preventing ground contamination of contents.
4. OPEN THE TOP-LID ACCESS PANEL FOR INITIAL AIRWAY INTERVENTION: Without opening the entire pack, unzip the top-lid access panel only. This is the primary access point for initial patient contact in confined spaces such as hallways or small rooms.
5. RETRIEVE AIRWAY EQUIPMENT AND INITIATE MANAGEMENT: Immediately retrieve the BVM and an appropriately sized OPA or NPA from the Airway cell or from the oxygen cylinder regulator staging area. Begin airway management and supplemental oxygen administration per your protocol.
6. TRANSITION TO FULL LAY-FLAT DEPLOYMENT WHEN THE SCENE ALLOWS: Once the scene is secured or the patient is moved to a less confined area, grasp the top handle and lay the pack flat on its back. Pull the front-panel main access zippers completely down to expose the main compartment.
7. GAIN FULL VISUAL ACCESS AND DEPLOY PER PROTOCOL: With the front panel open, you have simultaneous visual and physical access to the oxygen cylinder, Airway cell, IV cell, and Medicine cell. Deploy equipment from the appropriate modular cell as required, for example establishing IV access from the IV cell or drawing medications from the Medicine cell.
8. UTILIZE MONO-MESH POCKETS FOR IMMEDIATELY NEEDED ITEMS: Use the transparent mono-mesh pockets on the open front flap for items requiring continuous access such as tape and alcohol preps. This eliminates the need to search within modular cells during active patient care.
9. ACCOUNT FOR ALL EQUIPMENT POST-INCIDENT: Before closing the pack, account for all non-disposable equipment and secure all sharps in an appropriate container. Return all reusable equipment to its designated cell or pocket.
10. SECURE ALL COMPARTMENTS IN ORDER: Zip all compartments starting with the main front panel, then the side pockets, then the top exterior pocket. Do not force any zipper if snagged; clear the obstruction before closing to prevent track damage.
11. INSPECT FOR CONTAMINATION BEFORE RETURNING TO APPARATUS: Visually inspect the entire tarpaulin exterior for gross contamination. If present, perform on-scene gross decontamination with an approved disinfectant before returning the pack to the vehicle, paying specific attention to grab handles and zipper pulls.
12. RESTOCK AND RETURN TO SERVICE: At the vehicle, replace all disposable items used, apply new security tags or seals to restocked cells, and swap the oxygen cylinder with a full cylinder if it was used. Conduct periodic full inventory and expiration date checks on medications, IV fluids, batteries, and sterile supplies on a weekly or monthly cycle per your agency's protocol.
