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Ensuring Patient Safety with Oxygen: Understanding Gas Cylinders and Regulators

This module explores critical patient safety issues related to oxygen use in medical settings. It discusses the contents of gas cylinders, the purpose of regulators, and the importance of clear labeling to prevent confusion during emergencies. Through practical exercises like the Stroop Test, participants will learn to recognize the differences between gas types and how conflicting labels and colors can lead to errors. Emphasis is placed on reading labels carefully and trusting them over color cues to ensure the safe administration of oxygen and other gases.

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Ensuring Patient Safety with Oxygen: Understanding Gas Cylinders and Regulators

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Presentation Transcript

    1. Oxygen Patient Safety Issues (Modulette G1) John Gosbee, MD, MS VA National Center for Patient Safety John.Gosbee@med.va.gov www.patientsafety.gov

    2. What is the content of these gas cylinders? Write your answer down on paper.

    3. What is the content of this gas cylinder? Write your answer down on paper

    4. What is the content of these gas cylinders? Write your answer down on paper

    5. What is this regulator used for? Write your answer down on paper

    6. What is this regulator used for? Write your answer down on paper

    7. Demonstration: Stroop Test

    8. Now, State the Color of the Text as Fast as You Can

    9. Again, State the Color of the Text as Fast as You Can

    10. Oxygen?

    11. Ans: ????

    12. 95% CO2 OR 95% O2?

    13. And the answer is? A CO2 B O2 C O2

    14. Ans: Oxygen

    15. Ans: Air

    16. Quotes from Adverse Events Quickly, have the transport person to [SIC] get the green tank and hook it up to the patient! Conflicting inputs (label and color) cause confusion. Conflicting inputs (label and color) cause confusion.

    17. Lets seethe green tank is

    18. Quotes from Adverse Events Tell the nursing student to attach the oxygen mask and tubing to the green spigot Conflicting inputs (label and color) cause confusion. Conflicting inputs (label and color) cause confusion.

    19. Quotes from Adverse Events Get the green and gray tank and put it in the endoscopy cabinet & attach it to the insufflator valve Conflicting inputs (label and color) cause confusion. Conflicting inputs (label and color) cause confusion.

    20. Can you really ignore the color? Ignore the color in some cases, focus on the label Summary from an ECRI Alert Color is not fool-proof, only read and trust the label Guideline from the Compressed Gas Association

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