GasMedix News Archives


Environmental Pollutants in Medical Air

Posted on Mar 01, 2015

My Canadian friend asked, “are local air pollutants being piped bedside to the patients seeking healthcare in a poluted area”?

http://www.huffingtonpost.ca/ecojustice/unpolluted-air_b_6746698.html

My response was:

In the USA, from a medical gas perspective, there are protective protocols for addressing the issue of contaminants in medical air. These have been in the NFPA 99 for some time but a more specific protocol is called out in the 2012 edition of NFPA 99. In section  5.14.2.2 on Maintenance Programs the frequency for testing is established by risk assessment. So a highly industrial location may have a higher frequency of testing than a rural setting. Also called out  in 5.1.14.2.3 (h, i) is CO and air purity testing as the type of testing. For purity of medical air we can reference section 5.1.3.6.1. This section calls out excursion limits for hydrocarbons, gaseous hydrocarbons, particulates and it references USP requirements for medical air. Some of the compounds listed by USP for medical air are nitric oxide, sulfur dioxide and CO2.
This is a step in the right direction. A couple of questions might be are these enough contaminants for testing and is the testing being done. Regarding compliance, I expect that when CMMS adopts life safety code 2012 which will include NFPA 99, 2012 , compliance will get better.

Jim Quirk

BSEE CMGV

6040 and 6010 Class Scheduled for January 2015

Posted on Dec 10, 2014

Class is provided by GasMedix LLC in Indianapolis IN

 

January 12 – 15, 2015 – ASSE 6010
8:00 a.m. – 5:00 p.m.
January 12 – 14 – ASSE 6040
8:00 a.m. – 5:00 p.m.
(No brazing)

Carbon Monoxide Monitors Maintenance

Posted on Dec 10, 2014

Note that in the NFPA 99, 2012  5.1.14.4.7 there  is a requirement that the CO monitor be calibrated at least annually and maintained according to the manufacturer recommendations. There is a very good reason for this. It is typical of many CO monitor sensors to fail to the ZERO PPM reading. Therefore, if it is simply observed and the reading is always Zero, you don’t know if the ppm is truly zero or if the monitor is not working. Also note that the manufacturer does have a replacement frequency recommendation for the sensor. It is typically two years, but varies by manufacturer.

CMS Memorandum Dec 20, 2013 Hospital Equipment Maintenance Requirements

Posted on Jan 23, 2014

Memorandum Summary

• S&C 12-07-Hospital Superceded: We are updating previously provided guidance to
clarify:
o Hospital facilities, supplies and equipment must be maintained to ensure an acceptable
level of safety and quality.
o A hospital may adjust its maintenance, inspection, and testing frequency and activities
for facility and medical equipment from what is recommended by the manufacturer,
based on a risk-based assessment by qualified personnel, unless:
• Other Federal or state law; or hospital Conditions of Participation (CoPs) require
adherence to manufacturer’s recommendations and/or set specific requirements.
For example, all imaging/radiologic equipment must be maintained per
manufacturer’s recommendations; or
• The equipment is a medical laser device; or
• New equipment without a sufficient amount of maintenance history has been
acquired.
• Hospitals electing to adjust facility or medical equipment maintenance must develop
policies and procedures and maintain documentation supporting their Alternate Equipment
Management (AEM) program. They must adhere strictly to the AEM activities and/or
frequencies they establish.

See how you can use Risk-Based Assessment to reduce cost and improve reliability of your medical gas system http://www.gasmedix.com/q/

 

Clean Room Air Hoses

Posted on Jan 08, 2014

Instrument Air can be used as an NFPA 99 compliant air source for drying and blowing out equipment. GasMedix can provide high quality coiled hose with pistol type blow guns. Scope cleaning often requires instrument air for cleaning of scopes in a scope clean room. These hoses are high quality cleaned for instrument air.  We specialize in designing scope cleaning systems for endoscopy and sterile processing. Build a complete air system including the source, wall or ceiling outlets and  properly sized pipelines.Call 812-477-2150  or email jim.quirk@gasmedix.com

Instrument Air scope cleaning hoseInstrument Air clean room hoseInstrument Air Hose with nozzle

ASSE 6040 Medical Gas Training Class, Indianapolis

Posted on Dec 20, 2013

GasMedix is now offering Medical Gas Training classes in Indianapolis. The 6040 credential is issued to those who successfully complete the eight week program convening weekly on Thursday evenings from 5-9. This credential meets the requirements of NFPA 99, 2012 for hospital staff working on medical gas systems. For information call 812-477-2150.

NFPA Newsletter

Posted on Dec 09, 2013

http://www.nfpa.org/nfpanews

NFPA News is a free newsletter that provides detailed information on NFPA codes and standards activities, including Public Input and Public Comment closing dates, the issuance of Formal Interpretations (FIs), Tentative Interim Amendments (TIAs), and Errata, agendas and minutes of Standards Council meetings, and other ways to get involved with NFPA’s standards development process.

 

NFPA 99 2012 Medical Gas Testing

Posted on Dec 08, 2013

The NFPA 99, 2012 has defined the scope for medical gas system testing. It has long been a question of what should be tested and how often. The scope and frequency is defined in chapter 5 and the annex. NFPA 99, 2012 is now a code and is expected to be adopted by CMS in the near future. The new software http://www.gasmedix.com/q/ will assure compliance.

Medical Gas School

Posted on Nov 24, 2013

GasMedix is offering medical gas training classes for brazing 6010 and hospital maintenance staff for ASSE 6040. These classes are now available in Indianapolis as evening classes.

Med Gas Testing Has Changed

Posted on Jul 15, 2013

The CMS, TJC, and NFPA 99, 2012 move toward risk based, predictive and reliability centered maintenance is in full swing. The goal is to design maintenance programs that increase reliability and cost effectiveness. Medical gas outlets/inlets testing frequency is the part of med gas testing that is most affected by this methodology. It can be the most costly and if not performed with proper frequencies can lead to poor performance in high use, critical care areas.

On December 2, 2011 CMS issued a memo to its surveyors that in certain situations hospitals can perform preventive maintenance on non-critical equipment less often than recommended by the manufacturer based on a risk assessment. Critical equipment is not included in this memo.

CMS then released its interpretive guide 482.41.(c)(2) … if the hospital is adjusting maintenance activity frequencies below those that are recommended by the manufacturer, such adjustments must be based upon a systematic evidence-based assessment, the hospital must document this assessment
procedure for all equipment with less frequent maintenance activities than the manufacturer recommends, as well as the actual maintenance strategy and frequency, and the supporting evidence, evidence must provide support that the frequency adjustment will not adversely affect patient or staff health and safety.

January 2012, NFPA 99, 2012 was published. NFPA 99 2012 is now a code and states in section 5.1.14.2.2.2 Scheduled inspections for equipment and procedures shall be established through the risk assessment of the facility and developed with consideration of the original equipment manufacturer recommendations and other recommendations as required by the authority having jurisdiction.

GasMedix has done the work for the hospital by developing a risk based testing program that meets all of the above requirements as well as previous versions of NFPA 99. This method provides greater reliability and reduced cost. Savings of 25% can be achieved immediately while improving reliability in high use areas.

The CMS letter can be found at:

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/downloads/SCLetter12_07.pdf

The CMS Interpretive Guide for the revision 12-2-11 can be found:

http://www.ashe.org/resources/pdfs/cms-pm.pdf

William Koffel video

GasMedix introduces “Q”

Posted on Jul 12, 2013

“Q” is the only medical gas testing program that meets the current CMS and NFPA99, 1999-2012 requirements. “Q” is web based with PC and mobile device data entry and reporting. Testing and PM methods use risk analysis, as required in NFPA 99, 2012 section 5.14 and reliability based maintenance, as prescribed by CMS in 482.41(c)(2).

“Q” increase reliability and decreases cost while guaranteeing review compliance.

Now medical gas testing can be brought in house with code compliant professionalism.

“Q” is web based software but it is also a new method of testing based on new recommendations by NFPA 99, 2012 and current recommendations of CMS. The implementation of the risk assessment algorithm built into “Q” will result in a 20% annual cost reduction as a result of decreasing the number of outlets/inlets tested if the facility is currently testing all outlets/inlets annually.

Additional savings can be achieved with the new and improved testing methods employed in “Q”. Further savings can be achieved by using the “Q” program and having GasMedix train the facility maintenance staff to do the testing. Staff training by GasMedix can be limited to the use of “Q” with the staff member receiving a certificate of training on the testing of specific med gas equipment. Or the training can be comprehensive and an ASSE 6040 credential can be attained.

To find out more, visit GasMedix.com/Q

GasMedix Launches New Web Site

Posted on Jan 04, 2013

Today GasMedix launched a new website that focuses on medical gas systems and med gas products.

Krytox

Posted on Oct 13, 2012 and tagged:

Krytox Fluorinated Oils & Greases

Originally developed for the U.S. Space Program, Krytox® Performance Lubricants are a family of fluorinated synthetic oils and PTFE thickened greases that perform where conventional lubricants fail. Krytox® Lubricants exhibit superior lubricity, high load carrying ability and extra wear protection. Excellent for high temperature applications and chemically aggressive environments. Available in general purpose, mil-spec grade and food grades. Some lubricants also have a National Stock Number.

Advantages:

  • High Temperature Stability, up to 800°F / 426°C
  • Wide Operating Range, from -103°F (-75°C) to greater than 800°F (426°C), compared with hydrocarbon lubricants with an operating range of 0°F (-18°C) to 210°F (98°C).
  • Oxygen Compatibility, safe for oxygen service.
  • Chemical Inertness. Insoluble in hydrocarbons, petroleum distillates, water, steam, chemical solvents and acids/bases. Provides extra protection against aggressive chemicals that degrade conventional lubricants.
  • Ionizing Radiation Resistance, more stable than most hydrocarbon and synthetic materials.
  • Compatible with plastics, elastomers, metals and ceramics.
  • Extends Service Life of critical components. Reduces down time and maintenance costs.
  • Low Vapor Pressure
  • Low Outgassing
  • Nonflammable
  • Nontoxic
  • No Migration, contains no silicones.
  • Food Grades (H1 & H2)
  • Aerospace Grades
  • Mil-spec Grades

Facilities Levels NFPA 99, 2005

Posted on Aug 16, 2011 and tagged:

This is how we interpret these sections. In NFPA 99, 2005

Level 1:  Anesthesia is provided.  If ANY mechanical ventilation is to be expected, the facility clearly falls within this category.

Level 2:  No mechanical ventilation.  A common application would be a nursing home, or a hyperbaric chamber.

Level 3:  Medical gas is not required to sustain life, such as the gasses in a dental office.

Cut and Cap Certification Requirements

Posted on Aug 16, 2011 and tagged:

Opinon based on NFPA 99, 2005

NFPA 99, 2005  states that all pipeline down stream of a break in the pipeline must be verified. What if the break is a cut and cap?  NFPA also states that any time the system is remodeled or repaired it should be verified to confirm that it meet the NFPA standards.