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UNITY MEDICAL CENTER
Gas and Vacuum Piped Systems - Categories
Tag No.: K0903
Based on document review and interview, the facility failed to maintain the proper category system for the use.
The medical air gas inspection from 10/14/2017 revealed the following:
1. Interview on 04/24/2019 with the chief nursing officer between 9:30 AM and 11:00 AM, revealed the medical air system has been made inoperable to staff due to a failed inspection.
NFPA 99, 5.1.3.6 (2012 Edition)
2. Document review on 04/24/2019 between 9:30 AM and 11:00 AM, revealed the facility does not have two fully functioning compressors that eliminates oil anywhere in the compressor or provide a separation of the oil containing section.
NFPA 99, 5.1.3.6.3.2 (2012 Edition)
3. Document review on 04/24/2019 between 9:30 AM and 11:00 AM, revealed the facility does not have two desiccant air dryers with filters and regulators for the medical air compressors.
NFPA 99, 5.1.3.6.3.3 (2012 Edition)
4. Document review on 04/24/2019 between 9:30 AM and 11:00 AM, revealed the facility does not have dew point monitors for the medical air gas system.
NFPA 99, 5.1.3.6.3.10 (2012 Edition)
5. Document review on 04/24/2019 between 9:30 AM and 11:00 AM, revealed the facility does not have carbon monoxide monitors for the medical air gas system.
NFPA 99, 5.1.3.6.3.10 (2012 Edition)
The chief nursing officer and chief operating officer was present for the findings which were acknowledged during the exit conference on 04/24/2019.
Gas and Vacuum Piped Systems - Inspection and
Tag No.: K0908
Based on document review and interview, the facility has failed to properly maintain the category 1 medical gas system.
The finding included:
Document review on 04/24/2019 at between 9:30 AM and 11:00 AM, revealed no medical air gas inspection was conducted in 2018.
NFPA 99, 5.1.14.2.3 (2012 Edition)
The chief nursing officer and chief operating officer was present for the findings which were acknowledged during the exit conference on 04/24/2019.
Electrical Systems - Other
Tag No.: K0911
Based on document review, the facility failed to maintain the emergency electrical system.
The finding included:
Document review on 04/24/2019 between 9:30 AM and 11:00 AM, revealed the engine control switch will not shut the emergency generator down and must be done manually. The maintenance staff on site stated they have to manually transfer the power back when local power is restored.
NFPA 99, 6.4.3.2.5 (2012 Edition)
The chief nursing officer and chief operating officer was present for the findings which were acknowledged during the exit conference on 04/24/2019.