Entonox maintenance, transport and storage

Video 14 of 17
2 min 16 sec
English
English
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Now we are going to have a look at maintenance, transport and storage of Entonox. It should always be stored in a safe place in a vehicle, because we don't want it to become dislodged or become a missile inside the back of the vehicle in case there is any sudden movement, sudden turns or breaking. It should always be stored as well in its own appropriate bag, which should be marked blue, not mixed up with Oxygen banks. The case protects the bottle, keeps the bottle warm as well because, remember, it is a mixture of gases, 50% oxygen, 50% Nitrous and they have to be mixed. So when we take it out of the bag, even though it is been stored at a warm temperature, it should be inverted two or three times to mix the gas inside the cylinder itself.

Moving on to the actual safety checks, refer to your local trust or local service policies and procedures because they will all have their own setting stone. But what we need to look at is service dates. The actual giving set or the actual regulator has to be checked. It has to be checked on an annual basis, and you will notice there is a sticker with the date that it was serviced, passed, check on it, because it is a giving piece of equipment that gives a drug, so the drug has to be given at the right rate, the right flow rates and it has to work and be safe. So there will be a safety sticker on the head. The pipe itself also has to be tested because it is a cylinder under pressure and the pipe has to have no cracks, no leaks, no splits. And again, will always have a service date or a use-by date when this pipe becomes disposable.

The cylinders, the cylinders themselves contain the drug and that drug has to be checked. There is a batch date for the drug itself, that is so as we can track that drug if there are any issues with the drug, we know which batch the issue was with, so they can be withdrawn from service. There is also a filing date and an expiry date. So the date the bottle was filled and the date the bottle needs to be changed. The bottle should be changed when they are less than a quarter full. With the pressure still inside the bottle at a quarter full, it stops any infection or contamination getting inside the bottle and it means that we have always got enough on the vehicle in a time of need when we need to actually give it to a patient.