Planning Shutdown

Time, management spends on coordination and scheduling

NONE

Respiratory Staff

Depends on area of SHUTDOWN

NONE

Nursing Staff

Depends on area of SHUTDOWN

NONE

Maintenance Staff

Extra staff to monitor shut down areas, and closed valves

NONE

Contractor costs

Contractor Cost depends on size of shutdown. Usually 4 to 6 people

2 to 3 people

Certification

The entire area that was shutdown, which may include entire hospital

Just within the area of piping where the SMART Tap Procedure was performed

Outside Company or hospital supplied back up high pressure cylinders and rental of regulators, hoses, carts, stands, and demurrage on cylinders

As High as $100 per room

Included in cost. Only low pressure backup with safeties installed or hospital main medical gas system used. Calculated for demand usage.

Liability of removing patients from wall outlets and connecting them to cylinders

Insurance Policy Deductible

NONE

Liability of high pressure cylinder regulator failing and destroying gas piping and patients connected to them

Insurance Policy Deductible

NONE

Disruption of normal work routine at hospital

Worry about running out of back up gas, nursing and respiratory departments are not doing their normal patient care duties

NONE

Missed Opportunities

During shutdown of an area, the area is not available for patients or procedures

NONE