oxygen cylinder: conversion & storage. objectives provide a safe environment of work and care...
TRANSCRIPT
Oxygen Cylinder: Conversion & Storage
Objectives
• Provide a safe environment of work and care through proper use & storage of oxygen E-Cylinders in user areas.
• Notify users of E-Cylinder storage requirements for proper segregation of “Full, Partial and Empty” E-Cylinders.
Oxygen Cylinder Conversion-MBB
• Effective Nov. 1, 2015, BJC’s supplier of medical gas tank management and distribution will be Praxair Technology, Inc. This change in supplier provides BJC with an annual savings of $400,000, and significant contractual improvements in service level agreements and key performance metrics.
Oxygen Cylinder Comparison
Current State: Airgas• Separate Regulator and
Liter Flow Adjustment Knob.
• Black Liter Flow
Adjustment Knob.
• Small Bore Oxygen
Device Access located on back of Regulator.
• No oxygen delivered if Liter Flow Adjustment Knob is between settings.
• Portable Ventilator: Use
Portable Ventilator Access for hook-up AND set Liter Flow Adjustment Knob to desired flow rate.
• Closed carrying Handle.
• Full cylinders have 3 caps
(Red, Black and Clear).
Oxygen Cylinder Comparison
Future State: Praxair• Combined Regulator and
Liter Flow Adjustment Knob.
• White Liter Flow Adjustment
Knob.
• Small Bore Oxygen Device
Access located on side of Regulator.
• No oxygen delivered if Liter
Flow Adjustment Knob is between settings. Clicking noted when in proper position.
• Open carrying handle.
• DO NOT HANG FROM HANDLE.
• Full cylinders have 2 caps
(Black and Green).
• Portable Ventilator: Use AUX Access for hook-up AND set Liter Flow Adjustment knob to “AUX”.
• CAN NOT use AUX Liter Flow setting and Small
Bore Oxygen Device Access simultaneously. No Oxygen Flow will be delivered to Small Bore Access.
Small Bore AUX
Side View of Cylinder
Joint Commission Requirements for Storage• The Joint Commission
requires organizations to segregate full, partial and empty cylinders by physically separating and clearly labeling the cylinders
• Once a cylinder valve is opened, the cylinder is considered empty, even if gas remains in the cylinder.
• Opened cylinders must be physically separated from full (unopened) cylinders for storage
New Definitions for BJH
Implementing the Change
PARTIALGreater Than 500 psi
Missing Original Caps
Gauge Regulator is in Place
EMPTYLess Than 500 psi
Gauge Regulator Needle Near
or at Refill Area – Red Section
FULLoriginal caps intact
Original Caps (Praxair)
Small bore-Photo shown as Black Cap
AUX- Photo Shown as Green Cap
Roll Out
• 70% Complete– East Pav.– West/Central Pav.– Rand Johnson– Queeny
Remaining Areas• 6200• Peri-Operative Services• ED• CAM• North Campus• COH• CAM• PSQ• CPAP
Education
• Committees• Email • Staff Meetings• Huddle• Flyers
Take Aways-Usage
• 3L and 6L Flow Rate – Venti Mask
• 15L Flow Rate– Non Re-breather mask– Ambu Bag
• AUX Flow Rate– Portable Ventilator– No oxygen flow will be delivered to Small Bore Access
when in AUX mode
Take Aways-Storage• Notify all users of E-Cylinder storage rack changes for proper
segregation including:
– Obtain cylinders from Green or Yellow storage rack sections only
– Place used cylinders in Yellow or Red storage rack sections, based upon psi levels.
• <500 Red Section• >501 Yellow Section• Original Cap is Intact Green Section
Questions?
Emma HooksDirector Environmental Health and Services
Hans TrefnyManager Environmental Safety
Peggy WattsManager Respiratory Care