N.J. Admin. Code § 8:43A-12.10

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43A-12.10 - Anesthesia supplies and equipment; safety systems

(a) Diameter index safety systems or equivalent systems shall be used on all large cylinders of medical gases and wall and ceiling outlets of medical gases.

(b) Pin index safety systems with a single washer shall be used on all small cylinders to prevent interchangeability of medical gas cylinders.

(c) All medical gas hoses and adapters shall be color-coded with clear labeling according to current national standards, that is, the Compressed Gas Association , Standard Color Marking of Compressed Gas Containers for Medical Use , Publication C-9 ( Edition 6), September 2019, incorporated herein by reference, as amended and supplemented. That publication may be obtained from the Compressed Gas Association at 8484 Westpark Drive, Suite 220, McLean, VA 22102 (703) 788-2700, http://www.cganet.com .

(d) An oxygen failure-protection device ("fail-safe" system) shall be used on all anesthesia machines to announce a reduction in oxygen pressure and, at lower levels of oxygen pressure, to discontinue other gases when the pressure of the supply of oxygen is reduced.

(e) A vaporizer exclusion ("interlock") system shall be used to assure that only one vaporizer, and therefore only a single agent, can be actuated on any anesthesia machine at one time.

(f) To prevent delivery of excess anesthesia during an oxygen flush, no vaporizer shall be placed in the circuit downstream of the oxygen flush valve.

(g) All anesthesia vaporizers shall be pressure-compensated in order to administer a constant non-pulsatile output.

(h) Accurate flow meters and controllers shall be used to prevent the delivery to a patient of an inadequate concentration of oxygen relative to the amount of nitrous oxide or other medical gas.

(i) Alarm systems shall be in place for high (disconnect), low (subatmospheric), and minimum ventilatory pressures in the breathing circuit for each patient under general anesthesia.

(j) There shall be a written protocol to assure that surgery does not proceed when there are disabled alarms, depleted batteries and inactive sensors in oxygen monitors or carbon dioxide monitors, improperly positioned breathing-circuit sensors, or other insufficiencies.

N.J. Admin. Code § 8:43A-12.10

Recodified from N.J.A.C. 8:43A-12.7 and amended by R.2003 d.56, effective 2/3/2003.
See: 34 New Jersey Register 224(a), 35 New Jersey Register 857(a).
Former N.J.A.C. 8:43A-12.10, Anesthesia staff education and training, recodified to N.J.A.C. 8:43A-12.13. Rewrote (c); in (j), substituted "protocol" for "policy" and "assure" for "ensure" and inserted "or carbon dioxide monitors" following "oxygen monitors".
Notice of readoption with technical change, effective 1/3/2022.
See: 54 N.J.R. 60(a).