Oxygen Patient Safety Issues Modulette G1

1. Oxygen Patient Safety Issues(Modulette G1) John Gosbee, MD, MS VA National Center for Patient Safety John.Gosbee@med.va.gov www.patientsafety.gov

2. What is the content of these gas cylinders? Write your answer down on paper.

3. What is the content of this  gas cylinder? Write your answer down on paper

4. What is the content of these  gas cylinders? Write your answer down on paper

5. What is this regulator used for? Write your answer down on paper

6. What is this regulator used for? Write your answer down on paper

7. Demonstration: Stroop Test

8. Now, State the Color of the Text as Fast as You Can�

9. Again, State the Color of the Text as Fast as You Can�

10. Oxygen?

11. Ans: ????

12. 95% CO2 OR 95% O2?

13. And the answer is? A � CO2 B � O2 C � O2

14. Ans: Oxygen

15. Ans: Air

16. �Quotes� from Adverse Events �Quickly, have the transport person to [SIC] get the green tank and hook it up to the patient!� Conflicting inputs (label and color) cause confusion. Conflicting inputs (label and color) cause confusion.

17. Let�s see�the green tank is�

18. �Quotes� from Adverse Events �Tell the nursing student to attach the oxygen mask and tubing to the green spigot� Conflicting inputs (label and color) cause confusion. Conflicting inputs (label and color) cause confusion.

19. �Quotes� from Adverse Events �Get the green and gray tank and put it in the endoscopy cabinet & attach it to the insufflator valve� Conflicting inputs (label and color) cause confusion. Conflicting inputs (label and color) cause confusion.

20. Can you really ignore the color? �Ignore the color in some cases, focus on the label�� Summary from an ECRI Alert �Color is not fool-proof, only read and trust the label� Guideline from the Compressed Gas Association