Oxygen Patient Safety Issues Modulette G1

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Oxygen Patient Safety Issues(Modulette G1)

• John Gosbee, MD, MS
• VA National Center for Patient Safety
• John.Gosbee_at_med.va.gov www.patientsafety.gov

Adapted from John Gosbee, MD, MS VA National
Center for Patient Safety John.Gosbee_at_med.va.gov
www.patientsafety.gov
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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
Row 1
Row 2
Row 3
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Now, State the Color of the Text as Fast as You
Can
Yellow
Green
Red
Blue
Row 1
Green
Red
Blue
Yellow
Row 2
Red
Blue
Yellow
Green
Row 3
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Again, State the Color of the Text as Fast as
You Can
Red
Blue
Green
Yellow
Row 1
Yellow
Green
Red
Blue
Row 2
Blue
Yellow
Green
Red
Row 3
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Oxygen?
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Ans ????
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95 CO2 OR 95 O2?
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And the answer is?

• A CO2
• B O2
• C O2

A
B
C
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Ans Oxygen
15
Ans Air
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Quotes from Adverse Events

• Quickly, have the transport person to SIC get
  the green tank and hook it up to the patient!

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Lets seethe green tank is

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Quotes from Adverse Events

• Tell the nursing student to attach the oxygen
  mask and tubing to the green spigot

Remember, this is air.
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Quotes from Adverse Events

• Get the green and gray tank and put it in the
  endoscopy cabinet attach it to the insufflator
  valve

Green tank and Gray tank? Green and Gray tank.?
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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