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Volume 2, Issue 4

© 2001 Medical Gas Management, LLC
Main Index

IN THIS ISSUE

Pipe Dreams – Stepping Up To The Pad
Medical Gases – A Commodity or A Drug?
Medical Gas Installer's School
ISO Meets at MGM Offices
New Faces at MGM
MGPHO NOTES
Beyond the Walls…


PIPE DREAMS – Stepping Up To The Pad

BOC Gases Fabrication Trailer
A BOC Gases temporary Medical Oxygen Supply System.
Fred Evans, CEO
Medical Gas Management, LLC

If you have not seen activity at your Oxygen bulk site or your source of supply has not been inspected for compliance to NFPA 50, you may want to read on and take note.

We have been inspecting Oxygen supply systems for over ten years and found them in various states of disrepair and non-compliance to any Standard. It appears that if the supplier was not forced to comply with the Standard, very little attention was given to the detail of insuring the system was working properly and met the minimum Standard.

Common problems with Bulk Oxygen supply include leaks, liquid level gauges that did not report to master alarm, vessels not bolted to the pad, main line regulators not duplexed, reserve supply being emptied before the main tank, pressure relief valve not working or incorrectly rated, improperly sized tanks, vaporizers and regulators. Other problems encountered are distances from liquid tank to various hazardous fuel, electrical lines, and little or no protection for the bulk site from moving vehicles.

It was not hard to understand that the hospital considers this condition someone else’s problem and for years we all waited for someone to take charge. Then as a result of several safety related incidents, the FDA started to review the Standard policy and procedures for suppliers.

As we watched from our vantage point, we saw activity of different degrees but one company stood out with a posture of not just complying with the minimum Standard, but rather taking liquid Oxygen bulk sites to a new and higher level. BOC Gases of Murray Hill, New Jersey has managed to set a Standard, make a substantial financial commitment, and gather the highest technically qualified installation teams in the country. Additionally, equipping regional branches with mobile trailers for temporary oxygen supply, and state-of-the-art, mobile, self-contained fabrication shop trailers has pushed BOC Gases to the top level in their industry.

One look at this organization’s leadership in healthcare gives me confidence that medical facilities are in good, capable hands. Congratulations BOC Gases!

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Medical Gases–A Commodity or A Drug?

Jan Szijarto

In the healthcare industry, when someone says the word “drug” we generally think of a capsule or a pill, a liquid medication or an injection. In other words, a dose of a prescribed substance intended to restore health to the body.

What about Medical Gases? Certainly when you see a bulk oxygen site or gas container at a hospital, the term “drug” doesn’t usually come to mind. Perhaps it is the volume at which gases are stored that causes us to think of them as commodities instead of drugs.

In fact, Medical Gases such as oxygen, carbon dioxide, nitrogen, nitrous oxide and medical grade compressed air are defined as “pharmaceutical drugs” when used for therapeutic treatment of a patient. The most prescribed drug in the world is oxygen!

Likewise, the storage tank, source equipment, medical piping and outlets make up the drug delivery system. The integrity of this equipment is vital. It is important that gas suppliers, equipment manufacturers and those who design, install and maintain medical gas systems recognize that their products and delivery mechanisms have a profound impact on the treatment of patients.

Organizations like the U. S. Food and Drug Administration, National Fire Protection Association and Joint Commission on Accreditation of Healthcare Organizations are perhaps the most well-known regulatory agencies establishing standards for the medical gas
industry. Other organizations are interested as well.

To provide the products and systems necessary to support life, professionals in the medical gas industry must continue to educate themselves to changes in regulations and standards.

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Medical Gas Installer's School

Our next medical gas Installer’s school is scheduled for May 16 – 18, 2001 at the MGM Education Center in Bethany, OK. For information call: (800) 732-9035 or register online at www.mgmusa.com.
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ISO Meets at MGM Offices

Delegates to the International Standards Organization for Anesthesia and Respiratory Equipment, Medical Gas Systems met at the MGM offices the week of February 19, 2001. Representatives from Canada, England, France, Germany, Italy, Japan and the United States participated in the conference. The delegates met the Honorable Frank Keating (3rd from left), Governor of Oklahoma during their visit.

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New Faces at MGM

Two new employees who joined our technical staff in recent months are:

Terry Harris
MGM
Technician
8/21/00
Bethany, OK

Richard Littleton
MGM
Technician
11/27/00
Beavercreek, OH

If you looking for a challenging and exciting career in the field of medical gas systems, check our employment listing on the web: www.mgmusa.com/Pages/employment.html

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MGPHO NOTES

From time to time the Medical Gas Professional Healthcare Organization is mentioned in this publication. For those readers who may not be familiar with the group, we present a brief history of the organization, its goals and membership.

In December 1997, thirty-eight individuals met to discuss the merits of a professional organization with a common goal of establishing standards for materials, installation and testing to assure safety and reliability of medical gas and vacuum systems. Because of the positive interest generated, the group met again in May 1998 to formalize their plans for the organization. The group selected September 28, 1998 as the date, and Oklahoma City as the site of the first official meeting of the Medical Gas Professional Healthcare Organization.

The group meets semi-annually at various locations across the U.S. to evaluate the needs of the medical gas industry and to consider areas in which they can take the industry to a higher level of professionalism.

Membership includes professional technicians, manufacturers, equipment suppliers, medical gas suppliers, and others interested in the integrity of medical gas systems. Annual dues are assessed at $150.00 for individuals and $300.00 for Associate and Corporate members.

A significant accomplishment of the organization is the establishment of the MGPHO Credentialed Verifier. Members, who meet certain pre-requisite qualifications, complete an examination to assess their ability to properly inspect, test and thereby certify a medical gas system following new construction, additions or remodeling of healthcare facilities.

Medical Gas Professional Healthcare Organization is a non-profit organization incorporated in the State of Kansas.

For more information on MGPHO and Verifier Examination, visit their website at www.mgpho.org.

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Beyond The Walls…

How Does Your Garden Grow?

Aaahhhhh Spring! The birds are singing, the grass is starting to green, and flowers push their little heads through the earth to greet the sun. In this garden, the facility appears to be growing an Oxygen and a Nitrogen line as well.

These lines started at the bulk site, and were properly encased in PCV pipe before being buried. However, the piping was unprotected as it came from the ground and entered the facility. Rainwater and surface debris collected in the exposed encasement. MGM was called in when a gardener, using a metal bladed weed-eater, accidentally cut the Oxygen line.

To protect the lines, an elbow
was installed from the surface PVC encasement to the building wall in accordance with NFPA 99, 1999 4-3.1.2.9 Piping Installation.

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