Page 56 - Med Plaza and Cancer Center

ZONE VALVE/ AREA ALARM / OUTLET PERFORMANCE/GAS CONCENTRATION AND PURITY INSPECTION DOCUMENT

Facility Florida Hospital Orlando Med Plaza Inspector Steve Gourley
City/State Orlando, FL Date 11-30-17 Page 3 of 4

Treatment Units 1 thru 4, Oncology Patient Hold, Exam
Rooms 1 thru 6, 8 & 9 Virtual Simulation, Meg Suite, &
Area Served Soiled Utility Floor/Bldg 1 Floor Med Plaza
st
O2, MEDICAL AIR, N2O, CO2 Minimum Flow Requirement with 5 psig pressure drop = (3.5 SCFM/100 LPM Minimum)
O2 & MEDICAL AIR in Critical Care Areas shall have a Transient Flow of 6 SCFM/170 LPM for 3 Seconds
NITROGEN OUTLETS Minimum Flow Requirement with 5 psig pressure drop = (5 SCFM/142 LPM Minimum)
VACUUM AND EVAC/WAGD OUTLETS Minimum Flow Requirement without pressure drop below 12” on adjacent inlet = (3 SCFM/85 LPM)
All Outlets/Inlets are listed from Left to Right, Top to Bottom.
Outlet Type/Series Legend- 1 Digit=Manufacturer; A=Amico, B=Beacon/Medaes/Ohmeda/Ohio, C=Chemetron/Allied/NCG/Oxequip,
st
O=Ohio/Squire, G= Gentec, H=Hill-Rom, T= Tri-tech
nd
2 Digit=Type; W=Wall, C=Console, G= Gas Block, H= Hose Drop/Ceiling
3 Digit=Connection; O=Ohmeda, C=Chemetron, D=DISS, P=Puritan Bennett, X=Oxequip
rd
th
4 Digit=Series; B=Series B, 1= Diamond 1, 3= Diamond 3/Gemini, 4=Series 400, 5=Series 500, H= Horizon Gas Block, I=Integris Gas Block
D=Diamondcare, S= Schrader, P= Geometric Shape, O= Oxequip
5 Digit=Manufactured Assembly; B= Boom/Pendant, C=Ceiling Colum, F= Floor Pedestal, H= Headwall, I=ICU Column, P=Patient Console
th
Deficiencies Legend-
LWAI = Leaks with Adapter In LWOAI = Leaks without an Adapter In ADNL = Adapter Does Not Latch
LF = Low Flow ADND = Adapter Does Not Detach NLP = Not Labeled Properly
VAI=Visual and Audible Inspection CNT = Cannot Test (Due to Infection Control/no access)
Flow Adj Vac Transient Flow Outlet
Room Gas/Vac SCFM/LPM Pressure 6 SCFM O2 & AIR Type/Series Comments
Oncology O2 >3.5 >6 CWC5
Patient AIR >3.5 >6 CWC5
Hold VAC >3 >12” CWC5
O2 >3.5 >6 CWC5
AIR >3.5 >6 CWC5
VAC >3 >12” CWC5
O2 >3.5 >6 CWC5
AIR >3.5 >6 CWC5
VAC >3 >12” CWC5
Treat 1 O2 >3.5 >6 CHC5
AIR >3.5 >6 CHC5
VAC >3 >12” CHC5
2 O2 >3.5 >6 CHC5
AIR >3.5 >6 CHC5
VAC >3 >12” CHC5
3 O2 >3.5 >6 CWC5
AIR >3.5 >6 CWC5
VAC >3 >12” CWC5
4 O2 >3.5 >6 CHC5
AIR >3.5 >6 CHC5
VAC >3 >12” CHC5
Virtual CW/connect
simulation VAC 2-500
AIR “
O2 “
O2 >3.5 >6 CHC5
AIR >3.5 >6 CHC5
VAC >3 >12” CHC5

NOTES/DISCREPANCIES:
Office Area (2 doors down from virtual simulation room) has Oxy, Air, and Vac which need to be blanked.

Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
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