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Transport Oxygen (2.20)

Transport Oxygen (2.20) - Policies, Clinical, UWHC Clinical, Department Specific, Respiratory Care Services, Oxygen Therapy

2.20

2.20 Transport Oxygen
Category: UWHC Clinical Policy
Effective Date: June 1, 2017
Version: Revision
Section: Respiratory Care Services

I. PURPOSE
Transport oxygen will be provided in two forms, cylinders with built in regulators (Walk-O2-Bouts) and cylinders
with quick connect regulators for ventilators (stemmed cylinders). Cylinders contain gaseous oxygen at high
pressures. They directly deliver O
2
to the patient via a regulator that reduces pressure and regulates flow.

II. COMPLICATIONS AND PRECAUTIONS
A. Since oxygen supports combustion, precautions against fire and electrical hazards must be enforced.
B. Inappropriate storage can cause leakage or potentially harmful situation.

III. POLICY
A. Respiratory Therapy will ensure delivery of portable O
2
to the appropriate designated areas.
B. Oxygen will not be placed in a bed or cart with a patient. Oxygen must be adequately secured to the bed
or cart, wheelchair or IV pole. If none of these options are available, a pull cart must be used.
C. The oxygen content level will be checked prior to use assuring an adequate supply of oxygen is available.
D. Cylinders will be returned to their designated area when not in use.
E. Cylinders are not allowed in MRI.
F. Ventilated patients requiring transport oxygen will be provided E sized gas cylinders with a flow regulator.
G. Outpatients, guests and patients being discharged will be provided UWHC transport oxygen if their vendor
is unable to provide an adequate supply of oxygen.

IV. EQUIPMENT
Walk-O2-Bouts
A. D cylinder with back pack
B. E cylinder
C. Holder device: pull cart, IV pole holder, bed/cart holder
D. Duration of Flow Charts

V. PROCEDURE
A. Respiratory Care will maintain appropriate level of transport oxygen in the designated areas.
1. Duration of flow can be estimated by the following formula:
Duration of flow in minutes = PSIG x .28 / flow rate, e.g., 1000 PSIG x .28 / 4 LPM = 70 minutes.
2. A full E-cylinder contains 622 liters of oxygen.
B. UW Homecare will provide a stock of cylinders for discharging patients. These cylinders are stocked in
C5/115b.

VI. REFERENCE
A. Egan’s Fundamentals of Respiratory Care 11
th
Edition, Mosby 884-892
B. "Standard for Health Care Facilities" (NFPA 99), National Fire Protection Association, Inc.
C. Hospital Policy #12.25: "Hazardous Materials, Gases, and Radioactive Materials".


Approved by Director and Medical Director of Respiratory Care