4729-21-04 Requirements for a cryogenic medical gases safety program.

(A) A medical gases safety program developed pursuant to section 4729.70 of the Revised Code shall meet at least the following requirements:

(1) The instructors shall have the appropriate education and experience to teach a program in medical gases safety.

(2) The program shall be presented to all individuals who fill, install, connect, or disconnect medical gases contained in cryogenic vessels that are portable and intended for use in administering direct treatment to one or more individuals.

(3) Successful participation and demonstrated competency in a program must be completed prior to an individual filling, installing, connecting, or disconnecting a medical gas contained within a cryogenic vessel.

(4) The program must include at least the following:

(a) The description of a cryogenic vessel including at least the following:

(i) Valve inlet and outlet connections.

(ii) Safety systems associated with each outlet.

(iii) Proper labeling.

(iv) Color coding.

(v) Gas identification.

(b) A review of each medical gas listed in division (C)(2) of section 4729.70 of the Revised Code that may be contained in a cryogenic vessel including at least the following:

(i) A description of the properties of the gas and liquid.

(ii) The precautions and warnings associated with the gas and liquid.

(iii) What to do when there is an exposure to the gas or liquid.

(iv) What to do in an emergency hazardous material situation with the gas or liquid.

(c) The proper installation of cryogenic vessels including at least the following:

(i) Connecting and disconnecting supply lines.

(ii) Recognizing silver-brazed fittings or other acceptable mechanical means that make the connection a permanent and integral part of the valve.

(iii) Recognizing that changing or adapting the fittings for another gas service is strictly prohibited unless pursuant to rule 4729-21-05 of the Administrative Code.

(iv) Recognizing the appropriate devices through which medical gases are delivered from cryogenic vessels.

(v) Detecting and reporting leaks.

(vi) Transporting cryogenic vessels appropriately within a facility.

(vii) Appropriate storage of cryogenic vessels.

(B) The program instructor must document the participation of an individual in a medical gases safety program. The documentation must be maintained by the individual's employer for a period of at least three years and made available, upon request, to those business entities receiving service and to the state board of pharmacy.

(C) Individuals who install, connect, or disconnect medical gases from cryogenic vessels must attend a medical gases safety program at least once every two years.

Effective: 5/24/2015
Five Year Review (FYR) Dates: 03/04/2015 and 05/24/2020
Promulgated Under: 119.03
Statutory Authority: 4729.26
Rule Amplifies: 4729.70
Prior Effective Dates: 08/16/94(Emer), 11/25/94, 6/10/02