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 CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. _____ WARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.5.409 / Virus Database: 270.13.113/2400 - Release Date: 09/28/09 05:51:00 WARNING: This message originated from outside the Northern/Melbourne/Western Health e-mail network. The sender cannot be validated. Caution is advised. Contact IT Services (+61 3 ) 9342 8888 for more information. To unsubscribe from the bmelist, send a blank email from the subscribed address to bmelist-unsubscr...@bme.asn.au