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Medical Gas Tank Supply for Operating Room and Anesthesia (4.03)

Medical Gas Tank Supply for Operating Room and Anesthesia (4.03) - Policies, Clinical, UWHC Clinical, Department Specific, Surgical Services, Equipment and Supplies

4.03

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

June 1987
ORIGINAL
 REVISION

SEPTEMBER 2017
PAGE 1
OF 3
POLICY #

4.03
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER Operating Room
Surgical Services
TITLE
MEDICAL GAS TANK SUPPLY FOR
OPERATING ROOM AND ANESTHESIA


I. PURPOSE

A. To maintain an adequate supply of medical gas tanks for use in O.R. and Anesthesia.
B. To assure the efficient and cost-effective provision of oxygen therapy to the patient.

II. POLICY

A. Gases needed by Nursing and Anesthesia will be kept in the Supply Core Gas Storage (E7/370).
Standard inventory list includes O2, N2O, N2 sizes (E and H), CO2, heliox, and Medical compressed
air.
B. A maximum inventory of twelve O2 tanks and regulators for use in patient transport will be
maintained in the O.R. patient/staff corridor. This will be checked and restocked by O.R. NA's.
C. Order is issued as follows: N2O, O2, Medical compressed air and heliox to Department #51010
(Anesth); N2, (E and H tanks), CO2, Argon (C tank) to Department #52020 (O.R.); and cardiac liquid
nitrogen to Department #52510 (Cardiac).
D. Empty "E" cylinders are returned to tank cart in the supply core gas storage room.
E. Regulators in need of repair will be given to the O.R. Materials Coordinator for return to the
company or for in-house repair.
F. Stored gas tanks will be labeled appropriately, i.e. "Empty" or "Full". Empty "H" cylinders will be
placed in the tank room for replacement by CS staff. These are replaced one-for-one, getting new
cylinder from CS gas storage room.
G. Empty Argon C or Puritan cylinders are replaced one-for-one by Supply Core staff, or Central Supply
staff.
H. Each anesthesia machine will have one O2 cylinder with >1000 PSI. Anesthesia care providers are
responsible for checking these each day. They are replaced if necessary by Anesthesia Material
Specialists or Anesthesia care providers.
I. The liquid Nitrogen for cardiac will be ordered and maintained by the cardiac inventory control
specialist. The liquid Nitrogen tank is now at the blood bank.
J. Expired tanks are removed from service.
K. Description and Color of Tanks Size
(Note! Tank color does not assure tank contents. All tanks must have a text table that is the primary
indicator of tank contents.)
1. OXYGEN (Green) E
2. NITROUS OXIDE (Blue) E
3. NITROGEN (Black) E
4. CARBON DIOXIDE (Gray) E

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

June 1987
ORIGINAL
 REVISION

SEPTEMBER 2017
PAGE 2
OF 3
POLICY #

4.03
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER Operating Room
Surgical Services
TITLE
MEDICAL GAS TANK SUPPLY FOR
OPERATING ROOM AND ANESTHESIA


5. HELIOX (Brown/Green) E
6. MEDICAL COMPRESSED AIR (Yellow) E and H
7. NITROGEN, Large (Black) E and H
8. ARGON 99.99% Shorty's (Blue Green)
9. HELIUM (BROWN) E
10. LIQUID NITROGEN H
11. NEW TANK for CV #NSUSP20
NITROUS OXIDE TANK 20# WITH AN “F” SIZE VALVE
STANDARD: 2 EACH


L. O2 Tank Protocol
Includes the responsibilities, inventories, and process listed below:
1. Nursing Assistant Responsibilities
a. Each shift is responsible for assuring appropriate supplies of O2 tank availability in each
hallway. This includes:
i. The timely handling and exchange of empty tanks.
ii. Nursing unit floor rounds to collect tanks and equipment.
b. During the “Day Shift”:
i. Each nursing assistant is responsible for the O2 tank exchange and maintenance of
appropriate inventories in the assigned hallway.
ii. Nursing assistants will check PACU (D6/320) cart and remove/re-distribute excess
tanks on rolling cart.
c. The Central Services (CS) Sterile Core teams will assure the timely exchange/delivery of O2
tanks to the inpatient OR.
2. Inventories
a. Main OR Hall
i. One (1) CS “small” cart designated for empty tanks (< 500 psi of O2). Cart should be
labeled “empty cylinders”.
ii. One (1) “small” O2 cart must be stocked with a maximum of six “full tanks” (2000 psi
of O2).
b. OR Room Halls
i. Each individual hallway must have a full supply of O2 tanks (12 each) containing more
than 500 psi of O2. c. PACU
i. Two (2) full oxygen tanks will be kept in tank rack in bay #9.
3. Process

UNIVERSITY OF WISCONSIN

POLICY & PROCEDURE

EFFECTIVE DATE

June 1987
ORIGINAL
 REVISION

SEPTEMBER 2017
PAGE 3
OF 3
POLICY #

4.03
ADMINISTRATIVE MANUAL
NURSING MANUAL
OTHER Operating Room
Surgical Services
TITLE
MEDICAL GAS TANK SUPPLY FOR
OPERATING ROOM AND ANESTHESIA


a. During each shift, Nursing Assistant team members will assess the O2 tanks for:
i. Fullness.
ii. Appropriate number available in each designated area.
iii. Appropriate set-up of the tanks with working gauges.
b. During each shift, nursing assistants will facilitate the exchange of O2 tanks by:
i. Placing empty tanks on the appropriate tank cart.
ii. Taking the cart to the Sterile Core elevator area for transport to CS.
iii. Communicating with the CS Sterile Core team the need, as well as any special
requirements, for the exchange of the O2 carts.
M. For CO2 pipeline failure (only insufflators or booms) go to tank room (E7/370) and use E tank of
CO2 in vertical position taped or secured to table leg or use tank rack. Use regulator to reduce tank
pressure to 50 PSF (just like line CO2). Use gray hose to extend regulator output to hose presently
out of rear insufflators on booms. Disconnect hose at boom connection jack. Report failure to
Facilities and Engineering Services and Charge Nurse.

REVIEWED BY

Joyce Williams, Anesthesia Biomedical Engineer 6/2017
Russ Ward, Anesthesia Biomedical Engineer 6/2017
Jason Pearson, Materials Coordinator 6/2017
Marissa Bartlett, Director of Safety 6/2017
Cathy Madsen, Director Surgical Services, AFCH 6/2017
Surgical Services Policy and Procedure Committee 6/2017
Candida Piazza, Inventory Control Specialist 6/2017
Michelle Severson, Materials Management 6/2017

SIGNED BY

Anne Mork, MHCDS, MS, RN
Director, Surgical Services Department