Hi John,
I wish to imply once again that sound judgement is required in the planning of 
patient treatment areas in hospitals, based on the clear information in AS/NZS 
3003 and AS/NZS 2500. Our recently built Emergency Department has 
Cardiac-Protected toilets, which is one example of very poor understanding of 
the Australian Standards during the design phase.

Regards


Simon Cowley
Biomedical Engineer
Clinical Engineering Department
The Royal Melbourne Hospital - City Campus
Grattan Street
PARKVILLE VIC 3050
Ph: (03) 9342 7680
Fax: (03) 9342 7526
Email: simon.cow...@mh.org.au 


-----Original Message-----
From: Bruce Morrison [mailto:bruce.morri...@mysoul.com.au]
Sent: Wed 9/30/2009 5:07 PM
To: Ruff, Megan; 'Porter, John R'; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring
 
Hi John

 

I agree with Megan and have been fighting this battle for a long time
usually with hospital planners who seem to be nearly always nurses. This is
particularly problematic in EDs where they always want to put CF everywhere
and it's not necessary.

 

Bruce.

 

From: Ruff, Megan [mailto:megan.r...@mh.org.au] 
Sent: Wednesday, 30 September, 2009 10:12 AM
To: Porter, John R; bmelist@bme.asn.au
Subject: RE: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

 

Hi John,

 

We specify Body Protection.  The flowchart contained in AS/NZS 2500 (section
and figure 4.5 in the 2004 edition) requires cardiac protection 'if the
applied part makes contact with the LV or RV of the heart'.  As the fluid
lines are completely electrically isolated from the machine I'm not sure if
they are even considered an Applied Part.  However, if you consider them an
Applied Part on the basis that because they contain conductive fluid they
are a potential conductor, dialysis falls into the category of a Body
procedure under the above criteria even if you're dialysing a patient with a
permacath that has been placed very close to the atrium.  The machines
themselves are Type B equipment (Gambros are, anyway, I haven't got anything
else handy to check), and if you have a look at the requirements for home
dialysis installations in 2500 and 3003, Body Protection is specified, not
cardiac.  

 

I hope that helps.

 

Regards,

 

Megan Ruff

Dialysis Service Technician

Melbourne Health/North West Dialysis Service

ph) 0437 009 708

 

 

  _____  

From: Porter, John R [mailto:john.por...@dhhs.tas.gov.au] 
Sent: Wednesday, 30 September 2009 8:48 AM
To: bmelist@bme.asn.au
Subject: [bmelist] Renal Unit Body Protect or Cardiac Protect Wiring

We are establishing a new Satellite Renal Unit and my recommendation is that
it only needs to be wired as Body Protected, outlined in AS/NZS 3003. Other
individuals believe that is should be Cardiac Protected which I believe is
unnecessary.

 

What are the views of others on this issue and what level of protection are
most Renal Units wired? 

 

John Porter

Team Leader Electrical/Mechanical

Building & Engineering

Launceston General Hospital

 

Ph: 03 6348 7433

Fx: 03 6348 7430

 

Email: john.por...@dhhs.tas.gov.au

 

 

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