RACA Journal February 2020 | Page 28

Feature THE BACKBONE OF HEALTHCARE FACILITIES By Devon Marks, business development manager, Draeger A medical gas system is the backbone of any healthcare facility. Without this life support system there would be no hospital. F ailure of this system would have catastrophic consequences hence the requirement for high quality standards and safety features. A medical gas management system is supposed to deliver all required medical gases continually and securely at the required flow, pressure and quality. The areas in which medical gases are most commonly found in a healthcare facility are operating theatres, recovery areas, intensive care units, high care areas, ward areas. Medical gas can be found in almost every space where patients are present in the hospital. STANDARDS A functional medical gas system is essential for any healthcare facility. 26 INSTALLATION The medical gas system is a complex network made up of hundreds to thousands of metres of copper pipes, alarms cables as well as plant equipment such as compressors, vacuum pumps and manifolds. While installing these during construction phase or even during an expansion to existing facilities there are many challenges faced. Some of these include extremely tight deadlines, leakages in almost impossible to access spaces, routing issues and cross connections of gases if care is not taken. IMPLEMENTATION IN SOUTH AFRICA South Africa’s medical gas division is a very grey area as there is little to no regulation over how installations are performed as well as minimal information available to assist with a proper design. Essentially what must happen is the design should be South African standards relating to medical gas are found in SANS 7396-1 and 2 as well as Pressure Equipment Regulations of 2009. These are the only standards for South Africa. This standard is derived from the ISO 7396-1 and 2 and South Africa is a member body of International Organization for Standardization (ISO). Guidelines such as the R158 and IUSS exist which define minimum requirements, but these make reference to SANS 7396. There are other South African Standards which deal with specific aspects of the entire system for example SANS 1409 and 1453. RACA Journal I February 2020 www.hvacronline.co.za