BOC ZD Instructions For Use - Page 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 ﬁ tted to the cylinder.

cylinder label.

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 duration chart overleaf).

2.5

Prepare the cylinder for use

2.6

Remove the valve outlet cover.

before placing near the patient.

The hinged grey cover is pulled

Do not place the cylinder on the

down.

bed before you have set up the

Do not remove the grey cover

cylinder.

and reﬁ t after use.

Using the ﬁ rtree.

2.7

Attach tubing from mask or

2.8

Slowly turn on the cylinder

nasal cannula to the ﬁ rtree outlet.

by rotating the hand wheel

Ensure the tubing is pushed on

anticlockwise until it comes to

securely.

a complete stop.

Do not use excessive force.

When selecting the cylinder for use, check that the cylinder is clean and

free from any damage. Ensure the cylinder is free from oil and grease,

particularly around the Schrader and ﬁ rtree outlets.

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.

2.7

Ensure the ﬂ ow selector on

ii)

The red cover is removed by

top of the cylinder is set to zero

pulling towards you.

and the hand wheel is turned oﬀ

Retain the red cover to reﬁ t

before connecting equipment.

after use.

2.9

Set the prescribed ﬂ ow by

2.10

Ensure the cylinder is turned

rotating the dial ﬂ ow selector.

on and leak tested before placing

Ensure that the correct ﬂ ow rate

near the patient. Use a suitable

number is clearly visible in the

cylinder holder where possible.

ﬂ ow selector window. Check the

Do not place the cylinder on the

gas is ﬂ owing.

patient's bed unless there is no

alternative.

3. Using the Schrader outlet.

3.1

Insert the oxygen probe into

3.2

Slowly turn on the cylinder

the Schrader outlet.

by rotating the hand wheel anti-

Ensure the probe clicks securely

clockwise until it comes to a stop.

into place.

Do not use excessive force.

4. Monitoring during use.

4.1

Place a mask or nasal

4.2

Ensure the clinical condition

cannula onto patient.

of the patient remains satisfactory

If using a mask ensure a tight

throughout the therapy.

seal. Check the gas is ﬂ owing

and that there are no leaks

indicated by a hissing sound.

(1)

5. After use.

5.1

Remove the mask or nasal

5.2

Turn oﬀ the cylinder by

cannula from the patient.

rotating the hand wheel clockwise

until it comes to a stop.

Do not use excessive force.

5.4

Turn the ﬂ ow selector to zero.

5.5

Replace the outlet cover.

i) Pull up the hinged grey cover.

ii) Reﬁ t the red cover.

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

3.3

Check for leaks which

Healthcare.

maybe indicated by a

hissing sound.

(1)

4.3

Use pulse oximetry where

4.4

Check the contents gauge at

appropriate.

regular intervals, to ensure there

is suﬃ cient gas (as described in

2.3).

5.3

Disconnect equipment.

Remove the tubing by ﬁ rmly

ii)

Release the probe by twisting

pulling the tube whilst holding the

the capstan clockwise.

cylinder handle.

In the event of an emergency,

or if you suspect your cylinder

is leaking, contact BOC

Healthcare on 0800 111 333.

5.6

Check the cylinder gauge,

for content level (refer to duration

chart).

Return the cylinder to a

designated 'in use' or empty

storage area.