03Cylinder instructions
5.4 Turn the fl ow selector to zero.
5.1 Remove the mask or nasal
cannula from the patient.
4.2 Ensure the clinical condition
of the patient remains satisfactory
throughout the therapy.
4.1 Place a mask or nasal
cannula onto patient.
If using a mask ensure a tight
seal. Check the gas is fl owing
and that there are no leaks
indicated by a hissing sound.(1)
3.1 Insert the oxygen probe into
the Schrader outlet.
Ensure the probe clicks securely
into place.
5.6 Check the cylinder gauge,
for content level (refer to duration
chart).
Return the cylinder to a
designated ‘in use’ or empty
storage area.
5.3 Disconnect equipment.
i) Remove the tubing by fi rmly
pulling the tube whilst holding the
cylinder handle.
4.4 Check the contents gauge at
regular intervals, to ensure there
is suffi cient gas (as described in
2.3).
3.3 Check for leaks which
maybe indicated by a
hissing sound.(1)
5.5 Replace the outlet cover.
i) Pull up the hinged grey cover.
ii) Refi t the red cover.
5.2 Turn off the cylinder by
rotating the hand wheel clockwise
until it comes to a stop.
Do not use excessive force.
4.3 Use pulse oximetry where
appropriate.
3.2 Slowly turn on the cylinder
by rotating the hand wheel anti-
clockwise until it comes to a stop.
Do not use excessive force.
ii) Release the probe by twisting
the capstan clockwise.
5. After use.
4. Monitoring during use.
3. Using the Schrader outlet. Note:
(1) If you suspect that you have
a leak, turn off the cylinder and
check the equipment is properly
connected. Turn on the cylinder
and re-check for leaks. If the leak
continues, turn off and quarantine
the cylinder and contact BOC
Healthcare.
02 Cylinder instructions
Instructions for use.
1. Initial safety checks.
Before handling cylinders ensure your hands are clean. If you have
been using alcohol based gel or liquids to decontaminate your hands
make sure the alcohol has totally evaporated.
2.1 Ensure you have the correct
medical gas by checking the
cylinder label.
2.7 Attach tubing from mask or
nasal cannula to the fi rtree outlet.
Ensure the tubing is pushed on
securely.
2.6 Remove the valve outlet cover.
i) The hinged grey cover is pulled
down.
Do not remove the grey cover
and refi t after use.
2.5 Prepare the cylinder for use
before placing near the patient.
Do not place the cylinder on the
bed before you have set up the
cylinder.
When selecting the cylinder for use, check that the cylinder is clean and
free from any damage. Ensure the cylinder is free from oil and grease,
particularly around the Schrader and fi rtree outlets.
2.3 Make sure the contents gauge
is in the green zone. This indicates
that the cylinder is FULL.
2.9 Set the prescribed fl ow by
rotating the dial fl ow selector.
Ensure that the correct fl ow rate
number is clearly visible in the
fl ow selector window. Check the
gas is fl owing.
2.2 Check the expiry date on the
batch label fi tted to the cylinder.
2.8 Slowly turn on the cylinder
by rotating the hand wheel
anticlockwise until it comes to
a complete stop.
Do not use excessive force.
2.4 Remove the tamper evident
handwheel cover by pulling the
tear ring.
Discard the cover into the
recycle bin. If the cylinder has
been used before this cover
will not be present.
2.10 Ensure the cylinder is turned
on and leak tested before placing
near the patient. Use a suitable
cylinder holder where possible.
Do not place the cylinder on the
patient’s bed unless there is no
alternative.
2. Preparing a new cylinder for use.
Using the fi rtree.
If the cylinder has been used before make sure you have suffi cient gas for treatment by inspecting the
contents gauge. If the needle is in the red zone there is limited capacity and you may need to change
the cylinder (see duration chart overleaf).
ii) The red cover is removed by
pulling towards you.
Retain the red cover to refi t
after use.
2.7 Ensure the fl ow selector on
top of the cylinder is set to zero
and the hand wheel is turned off
before connecting equipment.
In the event of an emergency,
or if you suspect your cylinder
is leaking, contact BOC
Healthcare on 0800 111 333.
