Home Oxygen Cylinders Equipment Guide Rev 2 Aug 2013

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Home Oxygen Cylinders Equipment Guide.

Contents. 3 The benefits and features of these cylinders are 4 Initial safety checks Preparing a new cylinder for use 6 Using the oxygen outlet 7 After use for integral regulators 8 Cylinder usage chart 10 Cylinder deliveries Troubleshooting 11 Do’s & Don’ts for all cylinder types

Home Oxygen Cylinders Equipment Guide.

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IMPORTANT: Please ensure you read all accompanying literature supplied prior to using your home oxygen equipment. In particular, pay attention to the section on not smoking or allowing others to smoke near your equipment. BOC Healthcare pioneers the medical gas products and services that will deliver tomorrow’s patient care today. Our unrivalled commitment to improving medical gas technology optimises patient treatment. All BOC Healthcare gas cylinders are designed to be robust, reliable, convenient to use and safe to handle. To provide the highest quality, all cylinders are tested at every fill to ensure patient safety.

The benefits and features of our cylinders. Convenient carry handle Easy on/off hand wheel

Flow selection “Live” content gauge

Clear product identity

Firtree outlet Batch label

Collar label Cylinder bar code

Capstan Schrader outlet

Protective cover (red or grey)

Flat base • Constantly live gauge indicates gas levels, even when the cylinder is not turned on. • Higher gas capacity for less cylinder changes. • Lightweight for less lifting effort, making it Ideal for ambulatory use. • Clear product labelling. • Improved manual handling, minimising the risk of injury.

• Easier to store and handle due to its flat stable base and carry handle. • Tamper-evident covers to ensure the gas is uncontaminated and safe for the patient. • Simple push fit connection to save time. With BOC Healthcare as your provider, you can be sure to benefit from leading edge technology.

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Home Oxygen Cylinders Equipment Guide.

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.

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 valve outlet.

Preparing a new cylinder for use. If the cylinder has been used before, make sure you have sufficient 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 on page 8).

1. Ensure you have the correct medical gas by checking the cylinder label.

2. Check the expiry date on the batch label fitted to the cylinder.

3. Make sure the contents gauge is in the green zone. This indicates that the cylinder is FULL.

Home Oxygen Cylinders Equipment Guide.

4. Remove the tamper evident handwheel cover by pulling the tear ring. Discard the cover into the recycle bin. If the cylinder has been used before this cover will not be present.

a

b

5. Remove the valve outlet cover. a) The hinged grey cover is pulled down. Do not remove the grey cover and refit after use.

b) The red cover is removed by pulling towards you. Retain the red cover to refit after use.

Important Note: Ensure cylinder is upright when preparing cylinder for use. When setting up or using your cylinder do not place it on the bed or soft furnishings as an oxygen leak could lead to oxygen enrichment of the materials making them vunerable to ignite. 6. Ensure the flow selector on top of the cylinder is set to zero and the hand wheel is turned off before connecting equipment.

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Home Oxygen Cylinders Equipment Guide.

Using the oxygen outlet.

1. Attach tubing from mask or nasal cannula to the valve outlet. Ensure the tubing is pushed on securely.

2. Slowly turn on the cylinder by rotating the hand wheel anticlockwise until it comes to a complete stop. Do not use excessive force.

4. Place a mask or nasal cannula onto yourself or user. If using a mask ensure a tight seal. Check the gas is flowing and that there are no leaks indicated by a hissing sound.(1)

5. Check the contents gauge at regular intervals, to ensure there is sufficient gas.

(1)

3. Set the prescribed flow by rotating the dial flow selector. Ensure that the correct flow rate number is clearly visible in the flow selector window.

Note: 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 outside the home and away from other cylinders. Contact BOC on 0800 136 603.

Home Oxygen Cylinders Equipment Guide.

After use for integral regulators.

1. Turn off the cylinder by rotating the hand wheel clockwise until it comes to a stop. Do not use excessive force.

2. Disconnect equipment. i) Remove the tubing by firmly pulling the tube whilst holding the cylinder handle.

3. Turn the flow selector to zero.

4. Replace the outlet cover. i) Pull up the hinged grey cover. ii) Refit the red cover.

5. Check the cylinder gauge, for content level (refer to duration chart). Return the cylinder to a designated ‘in use’ or empty storage area.

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Home Oxygen Cylinders Equipment Guide.

Safety information and precautions. • Oxygen is a non-flammable gas, but strongly supports combustion. • Do not store or use cylinders near naked flames, sources of ignition or combustible materials. • Ensure the oxygen cylinders are stored in a safe and secure area where they cannot fall over and cause injury. • Ensure separation of full and empty cylinders. • Store oxygen cylinders in a well-ventilated area that is clean and dry, preferably inside. • Smoking should not be permitted in the vicinity where cylinders are used or stored. • Ensure labels remain clearly visible at all times. Labels must not be removed or covered and unauthorised labels must not be fitted to cylinders.

• Do not refill the cylinder or attempt to tamper with the cylinder package. • Do not use oil or grease (or any-oil based products which include hand creams) in the vicinity of an oxygen cylinder. • Do not place the cylinder on your bed due to risk of oxygen enrichment of your bedding materials. • If you clean the cylinder do not use any materials which contain ammonium or chlorine compounds.

Cylinder usage chart. How long will your cylinder last? (in hours unless otherwise stated) • Note the duration is only approximate and for guidance only. • If you use a conserving device, the cylinder can last up to 3 times longer than the stated duration. • If you use different flowrates, please contact us for advice.

Home Oxygen Cylinders Equipment Guide.

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Oxygen Cylinder Duration Chart Nominal duration versus selected flowrate

Size ZA Dimensions: L390mm X D85mm Weight (full): 1.75 kg

CD Dimensions: L520mm X D100mm Weight (full): 3.5 kg (please note that the low flow rates are for when a secondary flowmeter is being used)

DD Dimensions: L520mm X D100mm Weight (full): 3.5 kg DF Dimensions: L690mm X D175mm Weight (full): 12 kg ZH Dimensions: L595mm X D175mm Weight (full): 14 kg

Flowrate* (lit/min) 15 12 10 8 6 4 2 1 0.5 0.1 15 12 10 9 8 7 6 5 4 3 2 1 0.5 0.1 4 2

Full (100%) Duration Duration (hours) (Mins) 0 hr 20 min 20 min 0 hr 25 min 25 min 0 hr 30 min 30 min 0 hr 37 min 37 min 0 hr 50 min 50 min 1 hr 15 min 75 min 2 hr 30 min 150 min 5 hr 300 min 10 hr 600 min 50 hr 3000 min 0 hr 30 min 30 min 0 hr 38 min 38 min 0 hr 46 min 46 min 0 hr 51 min 51 min 0 hr 57 min 57 min 1 hr 5 min 65 min 1 hr 16 min 76 min 1 hr 32 min 92 min 1 hr 55 min 115 min 2 hr 33 min 153 min 3 hr 50 min 230 min 7 hr 40 min 460 min 15 hr 20 min 920 min 76 hr 40 min 4600 min 1 hr 55 min 115 min 3 hr 50 min 230 min

Gauge contents* Half (50%) Duration Duration (hours) (Mins) 0 hr 10 min 10 min 0 hr 12 min 12 min 0 hr 15 min 15 min 0 hr 18 min 18 min 0 hr 25 min 25 min 0 hr 37 min 37 min 1 hr 15 min 75 min 2 hr 30 min 150 min 5 hr 300 min 25 hr 1500 min 0 hr 15 min 15 min 0 hr 19 min 19 min 0 hr 23 min 23 min 0 hr 25 min 25 min 0 hr 28 min 28 min 0 hr 32 min 32 min 0 hr 38 min 38 min 0 hr 46 min 46 min 0 hr 57 min 57 min 1 hr 16 min 76 min 1 hr 55 min 115 min 3 hr 50 min 230 min 7 hr 40 min 460 min 38 hr 20 min 2300 min 0 hr 57 min 57 min 1hr 55 min 115 min

Low (25%) Duration Duration (hours) (Mins) 0 hr 5 min 5 min 0 hr 6 min 6 min 0 hr 7 min 7 min 0 hr 9 min 9 min 0 hr 12 min 12 min 0 hr 18 min 18 min 0 hr 37 min 37 min 1hr 15 min 75 min 2 hr 30 min 150 min 12 hr 30 min 750 min 0 hr 7 min 7 min 0 hr 9 min 9 min 0 hr 11 min 11 min 0 hr 12 min 12 min 0 hr 14 min 14 min 0 hr 16 min 16 min 0 hr 19 min 19 min 0 hr 23 min 23 min 0 hr 28 min 28 min 0 hr 38 min 38 min 0 hr 57 min 57 min 1 hr 55 min 115 min 3 hr 50 min 230 min 19 hr 10 min 1150 min 0 hr 28 min 28 min 0 hr 57 min 57 min

4 2

5 hr 40 min 11 hr 20 min

340 min 680 min

2 hr 50 min 5 hr 40 min

170 min 340 min

1 hr 25 min 2 hr 50 min

85 min 170 min

15 12 10 8 7 6 5 4 3 2 1 0.5 0.1

2 hr 40 min 3 hr 20 min 4 hr 5 hr 5 hr 42 min 6 hr 40 min 8 hr 10 hr 13 hr 20 min 20 hr 40 hr 80 hr 400 hr

160 min 200 min 240 min 300 min 342 min 400 min 480 min 600 min 800 min 1200 min 2400 min 4800 min 24000 min

1 hr 20 min 1 hr 40 min 2 hr 0 hr 18 min 2 hr 51 min 3 hr 20 min 4 hr 5 hr 6 hr 40 min 10 hr 20 hr 40 hr 200 hr

80 min 100 min 120 min 18 min 171 min 200 min 240 min 300 min 400 min 600 min 1200 min 2400 min 12000 min

0 hr 40 min 0 hr 50 min 1 hr 1 hr 15 min 1 hr 25 min 1 hr 40 min 2 hr 2 hr 30 min 3 hr 20 min 5 hr 10 hr 20 hr 100 hr

40 min 50 min 60 min 75 min 85 min 100 min 120 min 150 min 200 min 300 min 600 min 1200 min 6000 min

The cylinder duration times are approximate and are to be used as guidance. The cylinder contents gauge should be checked prior to use to ensure that there is sufficient gas available. These flowrates are intended as a guide only. *Flowrate +/- 20& cylinder cantent +/-5% variance from nominal values.

If you are visually impaired and require a copy of the above table in larger print, please contact us and we will be happy to send one out to you.

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Home Oxygen Cylinders Equipment Guide.

Cylinder deliveries. We have a duty of care to ensure that we only deliver the level of oxygen required by your latest prescription. If you should exceed this, our Patient Service Advisor will mention this when you next order. If you only use oxygen cylinders occasionally, contact us to arrange for a delivery when you start your last cylinder. Please ensure that all your full cylinders are stored separately from your empty ones to avoid confusion. Cylinders can be ordered via telephone on 0800 136 603 or online on our website: www.bochomeoxygen.com

Troubleshooting. Symptom No flow.

Low flow.

Any other problem or if problem persists.

Possible cause 1. C ylinder valve not open, or clickstop control set to zero. 2. Kinked, blocked or split tubing. 3. Empty cylinder. 1. R  egulator set incorrectly. 2. Leaks from tubing connections. 3. Kinked, blocked or split tubing.

Solution 1. O  pen cylinder valve and set control to prescribed flow. 2. Remove obstruction if possible. If split tubing, contact us. 3. C hange the cylinder. 1. S et control to prescribed flow. 2. Refit tubing. 3. R  emove obstruction if possible. If split tubing, contact us. Contact us immediately on 0800 136 603.

Home Oxygen Cylinders Equipment Guide.

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Do’s & Don’ts for all cylinder types. General

Leaks

• Follow the advice we have given you about where to safely store and use your cylinders. • Make sure your cylinders are stored in an area where they will not be knocked over. ZA cylinders should be stored laying down all other cylinder types maybe stored upright. • Ensure your full cylinders are segregated from your empties. • Make sure you select a full cylinder from your cylinder stock. • As with any medication, do not leave children alone with the oxygen.

• If a hissing noise is heard, check for the presence of a leak at the connection between the tubing and the outlet. • Turn off the cylinder and notify us immediately. Isolate the cylinder.

Cylinder valves • Never use excessive force when opening or closing the cylinder valve. • Keep cylinder valves closed when not in use. • Empty cylinders must be stored with the valve closed.

Clear label • Never paint the cylinders. All labels and markings must remain clearly visible.

Back-up cylinder You will be supplied with a high capacity back-up cylinder for use in EMERGENCY ONLY (such as a power cut). To ensure you have sufficient oxygen in an emergency situation, please do not use this cylinder for any other use.

Faulty cylinders In the event you experience a fault with your cylinder, please segregate the cylinder immediately and call the Patient Service Centre (PSC) on 0800 136 603. If possible please provide the Patient Service Centre information about the fault so that it can be investigated further. They will arrange for a Patient Service Representative (PSR) to tag and collect your faulty cylinder, which will undergo a full investigation, and also deliver your replacement.

If you are visually impaired and require a large print copy, please contact us.

Contact us.

BOC Healthcare Patient Service Centre, Priestley Road, Worsley, Manchester M28 2UT, United Kingdom Tel 0800 136 603, Fax 0800 169 9989, healthcare.home-uk@boc.com, www.bochealthcare.co.uk The stripe symbol and the letters BOC are registered trade marks of The BOC Group Limited. Both BOC Limited and The BOC Group Limited are members of The Linde Group, the parent company of which is Linde AG. Reproduction without permission is strictly prohibited. © BOC Limited 2013

HLC/505265/UKS/0813

Our normal working hours are Monday to Friday 8am until 5.30 pm. We are open 24 hours for emergencies only.