Policy Manual sample

MDT Home Health Care Agency, Inc. PATIENT INSTRUCTION SHEET OXYGEN CONCENTRATOR Room air is drawn in through the felt air inlet filter on the cabinet. The air passes through dust filters, then through a special bacterial filter that traps any impurities in the air. This clean oxygen is then filtered through a special material called "molecular sieve" which traps other gases such as nitrogen and carbon dioxide, but permits oxygen to pass through. The resulting high concentration oxygen is stored in a storage tank, which is then delivered through an adjustable flowmeter. FRONT PANEL CONTROLS AND INDICATORS: Main Power Switch: Press switch to turn unit "On" or "Off". Flowmeter: Regulates oxygen enriched air flow in liters per minute. Audible Alarm: Will alarm under the following conditions: power failure, low battery, high cabinet temperature or air inlet filters become excessively dirty. Visual Alarm Indicators: Your unit may have individual visual alarms for any of the following conditions: power failure, dirty filters, high temperature, low battery or low system pressure. Some units have only one visual alarm called a "service" alarm which may light if any of the above- mentioned conditions exist. Hour Indicator: Monitors total hours of usage. OPERATING INSTRUCTIONS: Press the main power switch to "On". While viewing the center of the flowmeter ball, adjust the flowmeter to the flow rate prescribed by your physician. Note: Use only the flow setting ordered by your physician. To turn your unit off, set the main power switch to the "Off" position. Note: A continuous, battery powered, audible alarm sounds if the power switch is on and an electrical power failure occurs. To shut the alarm off during power outages, press the main power switch to "Off" SAFETY PRECAUTIONS: No smoking. Do Not use within six (6) feet of a flame, glowing or burning materials. Do Not open the cabinet. Service is to be performed by qualified personnel only. Do Not pour or spill liquids on or into cabinet. Do Not use unit where it may be sprayed with liquids. Do Not apply oil, grease or any type of lubricating substance to your unit. Do Not kink or bend oxygen tubing. Do Not set anything on the tubing. Doing so may obstruct oxygen flow. Home Health Agency Nursing Manual J-61