BOC ENTONOX EX Istruzioni per l'uso - Pagina 2

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Cylinder instructions

Instructions for use.

1. Initial safety checks

Before handling cylinders ensure your hands are clean. If you have

been using alcohol based gel or liquids to decontaminate your hands

make sure the alcohol has totally evaporated.

2. Preparing a new cylinder for use

2.1

Ensure you have the correct

2.2

Check the expiry date on the

medical gas by checking the

batch label.

Use cylinders with

cylinder label.

the nearest expiry date.

If the cylinder has been used before make sure you have suﬃ cient gas for treatment by inspecting the

contents gauge. If the needle is in the red zone there is limited capacity and you may need to change

the cylinder (see nominal duration chart overleaf).

2.5

Open the valve outlet cover.

2.6

Place the cylinder in a

The hinged grey cover is pulled

safe location, preferably in an

down.

Do not remove the grey

appropriately designed cylinder

cover and reﬁ t after use.

holder ﬁ tted to the patient's bed.

3. Connecting a demand valve to the Schrader outlet

3.1

Ensure the demand valve

3.2

Fit a new microbial ﬁ lter to the

is clean and ready for use. You

demand valve.

Fit a new ﬁ lter/

will need a single patient use

mouthpiece for each patient to

mouthpiece or face mask.

prevent cross contamination.

When selecting the cylinder for use, check that the cylinder is free from

oil and grease, particularly around the Schrader outlet. Check that the

cylinder is not damaged in any way, if it is contact BOC.

2.3

Make sure the contents gauge

2.4

Remove the tamper evident

is in the green zone. This indicates

handwheel cover by pulling the

that the cylinder is FULL.

tear ring.

Discard the cover into

the recycle bin. If the cylinder

has been used before this cover

will not be present.

Note:

Ideally the cylinder should not be placed on the bed next to the patient.

If there is no alternative; before placing on the patient's bed make

sure that:

• the equipment is connected

• the cylinder is turned on and not leaking (see 3.1 to 3.6)

• check there is a gas ﬂ ow by pressing the test button.

3.3

Insert the probe on the hose

3.4

Slowly turn on the

connected to the demand valve

cylinder by rotating the hand

into the Schrader outlet.

Push

wheel anti-clockwise until it

ﬁ rmly to ensure the probe clicks

comes to a stop.

Do not use

securely into place.

excessive force.

3.5

Check the demand valve is

3.6

Check for leaks which maybe

operating by pushing the "test

indicated by a hissing sound.

button". Ensure you can hear the

gas ﬂ owing.

4. Monitoring during use

4.1

Instruct the patient on how to

4.2

Use scavenging equipment

use the demand valve correctly

whenever possible, to avoid a

before commencing therapy.

build up of nitrous oxide in the

The gas should be inhaled for

environment.

If scavenging is

at least 2 minutes prior to

not possible, use in a well

starting any procedure for

ventilated area.

optimum pain relief.

5. After use

5.1

Remove the demand valve

5.2

Turn oﬀ the cylinder by

from the patient.

If the treatment

rotating the hand wheel clockwise

is ﬁ nished safely dispose of the

until it comes to a stop.

ﬁ lter and mouthpiece or mask.

use excessive force.

5.5

Replace the outlet cover by

5.6

Check the cylinder gauge, for

pulling up the hinged grey cover.

content level (refer to nominal

duration chart).

Return the

cylinder to a designated 'in use'

or empty storage area.

Cylinder instructions

Note:

(1)

If you suspect that you have a leak, turn oﬀ the cylinder and check

the equipment is properly connected. Turn on the cylinder and re-check

for leaks. If the leak continues, turn oﬀ and quarantine the cylinder and

contact BOC Healthcare.

(1)

4.3

Ensure the clinical condition

4.4

Check the contents gauge at

of the patient remains satisfactory

regular intervals (as described

throughout the therapy.

in 2.3), to make sure there is

If the patient experiences

enough gas to continue the

complications ask them to stop

therapy.

inhaling the gas.

5.3

Vent any residual gas in the

5.4

Disconnect the probe from

hose by pressing test button on

the cylinder outlet.

Do not

the demand valve.

Wait for the

probe twist the capstan and

gas to stop venting.

withdraw it from the outlet.

In the event of an emergency,

or if you suspect your cylinder

is leaking, contact BOC

Healthcare on 0800 111 333.

Holding the