Medical gas pipeline systems

1 Medical gaspipeline systemsOperational managementHealth Technical Memorandum 2022 London: The Stationery Office Crown copyright 1997. Published with permission of NHSE states, an Executive Agency of the Department of Health, on behalf of the Controller of Her Majesty s Stationery for reproduction should be made in writing to The Copyright Unit, Her Majesty s Stationery Office, St Clements House, 2 16 Colegate, Norwich NR3 published 1997 ISBN 0-11-322068-5 Standing order serviceAre you making full use of The Stationery Office sStanding Order Service?The Standing Order Service is a free monitoring of thepublications of your choice from over 4000 classificationsin 30 major subject areas.

2 We send you your books as theyare published, along with an a standing order for class you can besupplied automatically with further titles in this series asthey are benefits to you are: automatic supply of your choice of classification onpublication; no need for time-consuming and costly research,telephone calls and scanning of daily publicationlists; saving on the need and the costs of placingindividual can supply a wide range of publications on standingorder, from individual annual publications to allpublications on a selected subject. If you do not alreadyuse this free service, or think you are not using it to its full capacity, why not contact us and discuss yourrequirements?

3 You can contact us at:The Stationery OfficeStanding Order DepartmentPOBox 276 London SW8 5 DTTel: 0171-873 8466; fax 0171-873 8222We look forward to hearing from Technical Memoranda (HTMs)give comprehensive advice andguidance on the design, installation andoperation of specialised building andengineering technology used in thedelivery of healthcareThey are applicable to new and existingsites, and are for use at various stagesduring the inception, design,construction, refurbishment andmaintenance of a this seriesThis volume of Health Technical Memorandum (HTM)2022 looks at issues of operational management.

4 It coverssuch issues as statutory requirements, functionalresponsibilities, operational policy, operational procedures,training and communications, cylinder management,general safety, maintenance and risk assessment controlof exposure to anaesthetic agents, giving definitions andworking practices volume is intended for use by operational managers,engineers, quality controllers, technicians, finance officersand other professionals involved in the day-to-day runningof an primary objective of this volume is to ensure theprovision of safe and reliable MGPSs and their efficientoperation and use.

5 This objective will only be achieved ifthe Medical and nursing users, and estates staffparticipate in the introduction of an operational policydesigned to minimise the hazards likely to arise frommisuse of the MGPS is installed to provide a safe, convenient and costeffective system for the provision of Medical gases to theclinical and nursing staff at the point of use. It reduces theproblems associated with the use of gas cylinders such assafety, porterage, storage and guidance given in this HTM should be followed for allnew installations and refurbishment or upgrading ofexisting is not necessary to apply the guidance retrospectivelyunless patient or staff safety would be compromised.

6 Inthis case, the guidance given in this HTM should installations should be assessed for compliancewith this HTM. A plan for upgrading the existing systemshould be prepared taking account of the priority forpatient safety. Managers will need to liaise with medicalcolleagues and take account of other guidance publishedby the Department of Health in order to assess the systemfor technical summaryContentsAbout this publicationExecutive page overview page description of an requirements page and Safety at Work etc Act of Health and Safety at Work Regulations Place (Health, Safety and Welfare)

7 Regulations and Use of Work Equipment Regulations of Injuries, Diseases and Dangerous Occurrences Regulations Handling Operation Regulations Protective Equipment at Work Regulations Compatibility Regulations systems and transportable Gas Flammable Liquids and Liquid Petroleum responsibilities page person (MGPS) person (MGPS) controller (QC) Medical or nursing policy page supply of valves and plantrooms for of the operational equipment procedures page after work on the for cleaning contaminated vacuum and communications page management page storage and for Medical gas and construction of cylinder of for use with Medical gas against leakage of against fire.

8 Heat and involved in of cylinders in manifold of cylinders in ready-to-use control and receipt of cylinders into from to from of cylinders to of cylinders into of on use of storage to manifold rooms and liquid oxygen storage detection of hazardous areas for the selection of electrical equipment based on BS5345: Part 1: safety and fire precautions page statement for users of oxygen clothing for handling cryogenic Medical page of a maintenance work of contractor s call-out of the trust to monitor the of a PPM maintenance vacuum systems .

9 Bacterial filters standard operating procedure for filter of maintenance assessment control of exposure toanaesthetic agents page of 69 Appendix I General safety requirementspage 73 Medical compressed air and surgical air plantMedical gas manifoldsMedical vacuum plantPipeline distribution systemWarning and alarm systemsAnaesthetic gas scavenging systemsYearly tasks in addition to quarterly tasksMedical compressed air plant including surgical air plantAppendix II Procedure for breaking into an existingsystempage 83 Referencespage 85 Other publications in this series page 87 About NHS Estates page volume of Health Technical Memorandum (HTM) 2022 covers theoperational management and maintenance of systems for the supply bypipeline oxygen, oxide, oxide/oxygen mixture (50% v/v), oxide (currently 1000 vpm in nitrogen), compressed air for both respirable applications and surgicaltools (at 400 kPa and 700 kPa respectively), dioxide mixture (5% CO2), vacuum; anaesthetic gas scavenging systems (AGSS).

10 This volume, the phrase Medical Gas pipeline systems (MGPS) will be used as a generic term to describe these The guidance in this volume applies to all MGPS installed in MGPS is intended to be a safe, convenient and cost-effectivealternative to the use of portable cylinders, portable compressors andportable suction units, providing gas or vacuum for clinical needs without theassociated problems of porterage, noise and space guidance given in this volume should be followed for all newinstallations and refurbishment or upgrading of existing is not necessary to apply the guidance retrospectively unless patientor staff safety would be compromised.