slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
New England Medical Center Respiratory Care Programs Changing Compressed Gas Cylinders Training Module PowerPoint Presentation
Download Presentation
New England Medical Center Respiratory Care Programs Changing Compressed Gas Cylinders Training Module

Loading in 2 Seconds...

play fullscreen
1 / 34

New England Medical Center Respiratory Care Programs Changing Compressed Gas Cylinders Training Module - PowerPoint PPT Presentation


  • 339 Views
  • Uploaded on

New England Medical Center Respiratory Care Programs Changing Compressed Gas Cylinders Training Module. Prepared by William R. Howard, MBA, RRT Director, Respiratory Care. Cylinder Changing: Training Module. This module is intended to:

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'New England Medical Center Respiratory Care Programs Changing Compressed Gas Cylinders Training Module' - decima


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

New England Medical CenterRespiratory Care ProgramsChanging Compressed Gas Cylinders

Training Module

Prepared by William R. Howard, MBA, RRT

Director, Respiratory Care

slide2

Cylinder Changing:

Training Module

This module is intended to:

Provide background information in the changing of compressed gas cylinders

Identify the steps to be demonstrated in the changing of compressed gas cylinders

slide3

Cylinder Changing:

A gas cylinder should be changed when the contents, as identified by it’s pressure, decreases to about 500 psig.

slide4

Cylinder Changing:

Empty Cylinders

Cylinders are never truly "empty."

Empty cylinders shall be handled in the same manner as full and partially full cylinders. 

slide5

Cylinder Changing:

Empty Cylinders

Full and empty cylinders are not to be connected or in the same manifold together, (or stored together).

slide6

Cylinder Changing:

Empty Cylinders

Empty cylinders are to be labeled:

"Empty"

slide7

Cylinder Changing:

Empty Cylinders

Valves are closed on empty cylinders, leaving a positive pressure inside of them.

Valve protective caps, (received with full cylinders), are replaced on empty cylinders.

slide8

Cylinder Changing:

Specific Procedures:

Identify from your supply room, a full cylinder of gas for your specific needs.

slide9

Cylinder Changing:

Specific Procedures:

YOKE STEM

Remove protective cap and/or valve covering material from yoke stem.

slide10

Cylinder Changing:

Specific Procedures:

With E-Cylinders and smaller, be sure that a NEW sealing grommet is installed between the yoke stem and the receiving end of the regulator. The OLD grommet must be removed and discarded.

slide11

Cylinder Changing:

Specific Procedures:

Grommet installed on regulator:

slide12

Cylinder Changing:

Specific Procedures:

There is no sealing grommet with larger cylinder or threaded ‘nut’-style regulators.

slide13

Cylinder Changing:

Specific Procedures:

The cylinder valve is opened momentarily and then closed to blow dirt from the outlet.

slide14

Cylinder Changing:

Specific Procedures:

If the gas you are selecting is toxic/poisonous, crack in the safety of an exhaust hood or in a place of adequate ventilation.

slide15

Cylinder Changing -

Specific Procedures:

The outlet of an oxygen cylinder valve is never wiped or touched.

This avoids leaving organic residues that might be ignited by exposure to high oxygen pressure, for example.

slide16

Cylinder Changing -

Specific Procedures:

Oil or grease must be avoided on the high-pressure side of oxygen cylinders or other cylinders containing oxidizing material.

(Otherwise a fire or explosion could result.)

slide17

Cylinder Changing -

Specific Procedures:

Cylinders are only to be used with a regulator.

A regulator lowers the cylinder pressure to safe level.

slide18

Cylinder Changing:

Specific Procedures:

A regulator and gauge shall be installed at the point of use to show:

The outlet pressure when the source cylinder is used.

slide19

Cylinder Changing:

Specific Procedures:

A regulator and gauge shall be installed at the point of use to show:

The remaining contents of the cylinder

slide20

Cylinder Changing:

Specific Procedures :

Cylinder valves are closed when not in use.

They are never tampered with, forced, lubricated, or modified.

slide21

Cylinder Changing:

Specific Procedures:

Cylinders are used only with fittings, valves, regulators, and tubing designated by the manufacturer for the gas being used

slide22

Cylinder Changing -

Specific Procedures:

Connections are not forced or made from homemade adapters.

slide23

Cylinder Changing:

Specific Procedures:

Wear appropriate eye protection

“Crack” cylinder to remove dust.

slide24

Cylinder Changing:

Specific Procedures:

Attach the closed regulator to the cylinder.

Never open the cylinder valve unless the regulator is completely closed and tight.

slide25

Cylinder Changing:

Specific Procedures:

T-or Yoke-style regulators are to be hand tightened only

Large-tank or nut-threaded regulators, (those without sealing grommets), are to be wrench tightened.

slide26

Cylinder Changing:

Specific Procedures:

If using a ‘yoke’ style regulator, common to E-size cylinders, do not use the wrench to tighten the regulator onto the cylinder.

slide27

Cylinder Changing:

Specific Procedures:

Face the pressure gauge away from you when opening cylinder valve.

slide28

Cylinder Changing:

Specific Procedures:

Identify that the pressure gauge reads full :

Full for most non-liquid cylinders is 2,000-2,200 psig.

Turn the cylinder valve off.

slide29

Cylinder Changing:

Specific Procedures:

  • If the contents gauge does not decline, then the connection is ‘tight’.
slide30

Cylinder Changing:

Specific Procedures:

Open the administration flowmeter to release pressure.

Close the flowmeter.

slide31

Cylinder Changing:

Specific Procedures:

The full cylinder is now ready for use.

Follow your Department procedure for appropriate leak-free connection to your equipment.

slide32

Cylinder Changing:

Specific Procedures:

The full cylinder is now ready for use.

To deliver therapeutic gas to a patient, the clinician will need to connect to a flow-meter that is specific to the cylinder gas.

slide33

Cylinder Changing:

Specific Procedures:

Only licensed personnel under physician authority may dispense or administer therapeutic gases to a patient.