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HCA FLORIDA PASADENA HOSPITAL
Gas Equipment - Cylinder and Container Storag
Tag No.: K0923
Based on observation and interview with the Director of Facilities Management (DFM) and the Vice President of Quality and Patient Safety (VPQPS), the facility failed to properly manage compressed medical gas cylinders (oxygen) in accordance with NFPA 99, standard for Health Care Facilities. Improper management of medical gas cylinders could result in the rupture of the cylinders and subsequent accelerated development of fire, smoke and fire gasses in a fire situation.
Findings included:
During the facility tour with the DFM and the VPQPS on 07/13/2020 between 11:45 a.m. and 12:45 p.m., it was revealed that there were seventeen e-size oxygen cylinders stored with combustible materials (plastics, paper) adjacent to them in the 3 west respiratory oxygen storage room located on the third floor. The volume of the compressed oxygen in the room exceeded 300 cubic feet. An interview was conducted with the DFM and the VPQPS concurrent with the observations and confirmed the findings.
per NFPA 99 (2012 Edition) 11.3.2.3