Safe Storage, Handling, and Use
PDF Version of BQA 04-015 (PDF,
Date: November 22, 2004 -- DDES-BQA 04-015
Adult Family Homes
AFH - 06, Community Based Residential Facilities CBRF
- 08 - OBSOLETED by
Residential Care Apartment Complexes RCAC -
FROM: Kevin Coughlin, Chief, Assisted Living Section, Bureau of Quality Assurance
VIA: Cris Ros-Dukler, Director, Bureau of Quality Assurance
The purpose of this memorandum is to provide guidance to providers on the
safe storage, handling and use of oxygen in assisted living settings.
Through the assisted living on-site inspection process conducted by staff in
the Bureau of Quality Assurance (BQA), which include on-site reviews of
community-based residential facilities (CBRFs), adult family homes (AFHs),
and residential care apartment complexes (RCACs), the Bureau is discovering
that consumers in these facilities have health care needs that are much more
acute than they were three or four years ago. Assisted living facilities are
admitting consumers with higher care needs and facilities are retaining
residents whose care needs have increased as the residents have aged in
place. Of concern with increased care, BQA has noticed an increased oxygen
use for consumers in assisted living facilities.
NOTE: A facility’s failure to ensure a safe environment related to the
storage, handling and use of oxygen may result in the issuance of a
deficiency or notice of finding.
SAFE STORAGE, HANDLING AND USE OF OXYGEN
- According to Wis. Admin. Code §§ HFS 83.21(4)(w), HFS 88.05(3)(b),
and HFS 89.34(17), assisted living facilities are responsible for
ensuring that they provide a safe environment for their residents or
tenants. The use of oxygen equipment, its operation, maintenance, and
testing must comply with all federal, state, and local codes.
- Oxygen usage shall be in accordance with current industry standards.
For example, but not inclusive, the Compressed Gas Association (CGA) has
information available at www.cganet.com.
Safe usage shall follow the manufacturers’ recommendations,
instructions or operating manual. Individuals who assume the
responsibility for oxygen equipment and its use must be familiar with
the hazards of oxygen, the operational characteristics of the equipment,
and the precautions to be observed while using oxygen.
- Oxygen cylinders in use must be secured in an upright position.
- All oxygen cylinders not in use must be stored in an area that is
well-ventilated and safe from environmental hazards, tampering, or the
chance of accidental damage to the stem. If stored upright, cylinders
must be secured. If stored horizontally, cylinders must be on a level
surface where they will remain stationary.
- The local fire department shall be made aware of the facility’s use
of oxygen and associated equipment. Each facility should implement the
local fire department’s recommendations on safe handling of oxygen.
- Common hazards associated with oxygen are ignition or heating sources,
i.e., furnaces, stoves, space heaters, smoking, open flames or
If you have any questions regarding the safe storage, handling and use of
oxygen, please contact the Regional Field Operations Supervisor for your
Northeastern Regional Office
200 N. Jefferson St., Suite 211
Green Bay, WI 54301
Office: (920) 448-5240
Supervisor: (920) 448-5338
Fax: (920) 448-5254
Counties Covered: Brown, Calumet, Door, Fond du Lac, Green
Lake, Kewaunee, Manitowoc, Marquette, Outagamie, Ozaukee, Sheboygan,
Northern Regional Office
1853 N. Stevens, Suite B
Rhinelander, WI 54501
Office: (715) 365-2800
Supervisor: (715) 365-2816
Fax: (715) 365-2815
Counties Covered: Ashland, Bayfield, Florence, Forest,
Iron, Langlade, Lincoln, Marathon, Marinette, Menominee, Oconto,
Oneida, Portage, Price, Shawano, Taylor, Vilas, Waupaca, Wood
Southeastern Regional Office
819 N. 6th St., Room 609B
Milwaukee, WI 53203-1606
Office: (414) 227-2005
Supervisor: (414) 227-4565
Fax: (414) 227-3903
Counties Covered: Kenosha, Milwaukee, Racine, Walworth,
Southern Regional Office
2917 International Lane, Suite 210
Madison, WI 53704
Office: (608) 243-2370
Supervisor: (608) 243-3868
Fax: (608) 243-2389
Counties Covered: Adams, Columbia, Crawford, Dane, Dodge,
Grant, Green, Iowa, Jefferson, Juneau, Lafayette, Richland, Rock,
Sauk, Vernon, Washington
Western Regional Office
610 Gibson St., Suite 1
Eau Claire, WI 54701-3687
Office: (715) 836-4752
Supervisor: (715) 836-4029
Fax: (715) 836-2535
Counties Covered: Barron, Buffalo, Burnett, Chippewa,
Clark, Douglas, Dunn, Eau Claire, Jackson, La Crosse, Monroe, Pepin,
Pierce, Polk, Rusk, Sawyer, St. Croix, Trempealeau, Washburn
- Guide for the Safe Storage, Handling, and Use of Liquid Oxygen in
Health Care Facilities, 2nd Edition, Compressed Gas
Association (CGA), Pamphlet CGQ P-2.7-2000.
- Transfilling of Liquid Oxygen to be used for Respiration, Compressed
Gas Association (CGA), Pamphlet P-2.6-1983.
- NFPA 99 Health Care Facilities (1999 ed.) Chapter 8 – Gas Equipment.
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