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DIFFERENCE BETWEEN TRADITIONAL MEDICAL GAS DELIVERY SYTEM AND CENTRAL MEDICAL SUPPLY
Introduction
Gases administered to the patients are called as
Medical Gases Centralized medical gas system provides as efficient, economical and dependable medical life support network that supplies : a. Medical gases (oxygen and nitrous oxide) b. Vacuum (suction) c. Compressed air for operating rooms and ICUs
Introduction
Centralized gas and vacuum supply service is a
modern system of piped supply of medical gases from a central storage area called manifold room to all delivery points in hospital It provides a very efficient, economical and highly dependable life support service Makes better patient care in all the areas of hospital
Functions
Supply of right medical gases at right pressure
including distribution network Optimum level of cleanliness and pollution free environment Prevention of hazards such as fire, explosion or contamination of gases supplied
Components
Source of supply: Central supply room with
control equipments and panels Distribution system: piping Point of use delivery connections: Suitable station outlet valves and pendants Monitoring and control equipment and alarms
Manifold Room
Consists of a cylinder manifold and a control
panel Manifold can be of 2 banks of 2 cylinders each or 2 banks of 20 cylinders each Control panel: primary and secondary pressure regulators; warning lamp Pressure gauges
Manifold Room
Vacuum Unit
Vacuum pump with an electric motor Cylindrical reservoir tank: stabilizes the pressure of
the pipeline system at all outlet points Motor has switch for automatic start and stop Vacuum pumps are duplexed
Manifold Room
Compressed air unit
Compressor with electric motor, after cooler, air
receiver and air dryer Instantly provides compressed air Compressor are duplexed
Manifold Room
Primary supply
exhausted Primary and secondary provides normal operating supply When operating supply fails, a reserve supply takes over
Manifold Room
In case of breakdown of control panel of oxygen
and nitrous oxide, an emergency kit ensures supply of gas through the pipes Emergency kit comprises a regulator and high pressure tubing to a bulk cylinder and the gas is fed directly to the pipeline through a service outlet In case the vacuum and air supply system fails, a standby motor-cum-pump is used to provide uninterrupted supply
Manifold Room
Half of the total daily consumption of oxygen and
nitrous oxide is kept in the manifold room as reserve Oxygen and nitrous oxide should be stored seperately from flammable gases and liquids Storage location should be free of combustible materials If exceeding 2,000 cubic feet storage should be outside the building Must have generator backup, adequate ventilation, lighting and telephone communication
bedside Elimination of irritating noise from movement of cylinders Protection of contamination due to movement of cylinders Uninterrupted and clean supply at desired location
cylinders
favourable terms Economy on purchase of cylinders Fewer breakages Rationalization in ordering, storing and transporting a wide variety and size of gas cylinders Minimum damage to building due to handling of cylinders
Oxygen
Increased demand of oxygen
cylinders Can be stored as gas or liquid Oxygen containers may be stationary or movable
such as oxygen containers, pressure regulators, safety devices, vaporizer, manifolds and interconnecting piping with a storage capacity of more than 20,000 cu ft of oxygen including reserves The system terminates at the point where oxygen first enters the supply line at service pressure
Vacuum
Used for patient draining, aspiration and suction
equipments, an alarm and piping The piping terminates with outlet valves at user points
Vacuum
Central vacuum consists of two (or more) vacuum
pumps that operate either simultaneously or alternately Each pump should be capable of maintaining 75% of calculated demand during peak time The pumps should alternate automatically Pumps should be equipped with a motor starting device and overload protection Failure of one vacuum should not affect other
Compressed Air
Compressed air is used for both medical and non-
medical puposes Medical use Laboratory work, inhalation therapy equipment and powering of surgical tools Non-medical use maintain tools and equipments and in engineering department
Compressed Air
Should be free of dust and moisture
seperator and the dryer at equipment level Separate dryer for air compressor system If compressed air not used properly, it can damage equipment and contaminate chemicals, food and drugs
Pipes
Should be seamless type, non-ferrous, non-
arsenic, of high quality copper tubing Should be protected against physical damage and corrosion Exposed oxygen pipelines should not be installed in areas like kitchen, laundry and rooms where combustible materials are stored Colour coded as per the gas content
Pipes
Before pipes are erected, all pipes, tubes and
fittings should be cleaned thoroughly and washed with tetrachloride Pipes should be blown clear using oil-free air or nitrogen When whole system is in place, it should be subjected to a test pressure of 150 psi or 1 times the working pressure for 24 hours to check, if it can withstand the pressure as well as leakages This test, called pressure lock is done section by section
Terminal units
Gas outlets / vacuum inlet units
distribution system Located at actual usage point Outlets should be gas specific and noninterchangeable Fitted with locking system and non-return valves
Alarm system
Audio-visual
Monitoring of pressure
Meant to warn maintenance dept
cylinders, compressed air, vacuum supply No fire hazard Compresor unit in sound proof area Liquid oxygen area shall be cordoned off
Staffing
No specific norms
Quality Indicators
Number of complaints of malfunctioning, from the
users Correctness of pressure level in the oxygen, nitrous oxide and compressed air pipeline Correctness of negative pressure in the vacuum line Bacteriological culture of the gases and the air delivered Leakage at the outlet points Functioning of audio-visual alarm system
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