Page 57 - 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 4 of 4

Treatment Units 1 thru 4, Oncology Patient Hold, Exam
Rooms 1 thru 6, 8 & 9 Virtual Simulation, Meg Suite, & Soiled
Area Served 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.
st
Outlet Type/Series Legend- 1 Digit=Manufacturer; A=Amico, B=Beacon/Medaes/Ohmeda/Ohio, C=Chemetron/Allied/NCG/Oxequip,
O=Ohio/Squire, G= Gentec, H=Hill-Rom, T= Tri-tech
2 Digit=Type; W=Wall, C=Console, G= Gas Block, H= Hose Drop/Ceiling
nd
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/Deficiencies
MEG
LAB VAC OWCB CNT MEG LAB
VAC OWCB
VAC OWCB
O2 OWCB
O2 OWCB
AIR OWCB
AIR OWCB
VAC OWCB
VAC OWCB
VAC OWCB
O2 OWCB
O2 OWCB
AIR OWCB
AIR OWCB

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
“Medical Gas Pipeline Equipment Service, Sales & Verifications”
©Daniel Voight 2009