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Medical Gas System Component Inventory (Medical Gas/Vacuum Outlets)


           Facility   Florida Hospital Orlando-Med Plaza      Inspector  Anthony Voight

          City/State  Orlando, FL                             Date       11-30-17        Page       4 of 4

         Medical Gas Outlet/Inlet Location/Zone      Manufacturer & Model      O     A    V   N2O   N2   WAG   CO2

          rd
         3 -Consult Rms 2-4, Procedure Rms 1-2/Holding
         (Ste. 331)                                              CWD5, CWC5     9          9         5
          rd
         3 -Pre-Adm. Ex Rms 1-6 (Ste. 330)                             CWC5     6          6
          rd
         3 -X-Ray Rms 1-2, 6-7, (3 offices not labeled),
         Radiologist Office, Pain Med Rm 4                       CWC5, CWD5     9          9         1
          rd
         3 -Conference Room                                            CWC5     1    1     1
          th
         4 -Observation Rms 31-36 and MOD A-D                          CWC5    26    22   52
          th
         4 -Observation Rms. MOD E-F                                   CWC5    10    10   20
          th
         4 -OR 1                                       BCCBB, BCCDB, MEDAES     2    1     4    1    3    1     1
          th
         4 -OR 2                                       BCCBB, BCCDB, MEDAES     2    1     4    1    3    1     1
         4 -OR 4                                       BCCBB, BCCDB, MEDAES     2    1     4    1    3    1     1
          th
         4 -OR 5                                       BCCBB, BCCDB, MEDAES     2    1     4    1    3    1     1
          th
          th
         4 -OR 6                                       BCCBB, BCCDB, MEDAES     2    1     4    1    3    1     1
          th
         4 -OR 7                                         BBDB, BBCB, MEDAES     2    1     4    1    3    1     1
          th
         4 -OR 8                                       BCCBB, BCCDB, MEDAES     2    1     4    1    3    1     1
          th
         4  Stage 1 Recovery                                           CWC5    20    10   30
          th
         4 -Stage 2-3 Recovery and Pre-OP                              CWC5    21    9    39
         5 -Children’s Center for Cancer and Blood
          th
         Diseases, Exam Rms 1-3, 7-8, Pediatric Cellular
         Therapy, Exam Rms 1-5, Adler Family Coordinated
         Care for Kids Room 3                                    CWC5, AWCB    11    6     7
          th
         6 -Sutie 683 Cancer Institute of Florida Exam 1-4             CWC5     4    3     4

                                                     Total Outlet Count

                                     Oxygen                                         225
                                   Medical air                                      136
                                     Vacuum                                         301
                                  Nitrous Oxide                                     17
                                    Nitrogen                                        37
                                     WAGD                                           17
                                 Carbon Dioxide                                      7
                                      Total                                         740


              Corporate Office ∙ 4518 Clements Rd. Lakeland Florida 33811 Phone: 863-646-7555 ∙ Fax 863-646-2999
                                 “Medical Gas Pipeline Equipment Service, Sales & Verifications”
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