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 Compressor problems were known before breakdown 

Compressor problems were known before breakdown

16 Dec, 2009 09:06 AM
SHOALHAVEN Hospital’s ancient air compressor that broke down in November, resulting in intensive care patients being transferred to other hospitals while surgeries were postponed, also broke down four weeks earlier.

Documents obtained under the Freedom of Information Act show the need to replace the hospital’s ailing air compressors was pointed out several times during the months leading up to the breakdown on Sunday, November 8.

The most serious of these came following problems in the ventilation system on the weekend of October 10 and 11.

Briefing notes sent to South Eastern Sydney Illawarra Health’s Southern Hospital Network management said on the weekend there was “a moisture contamination identified in the ventilators in the ICU.

“This resulted in the requirement to stop ventilating patients over the weekend as a result of safety issues for the patients,” the report stated.

The contamination was linked to “a failure in the drying system in the compressors”.

While it was repaired “it is constantly unreliable and it cannot be determined whether the repairs will remain effective for any length of time”.

A further note pointing to the poor condition of the hospital’s air compressors was sent on November 3, stating, “It has been further reported that the current air compressors are now regularly alarming as a result of low pressure.

“The constant issues with these compressors leaves the site at risk of not being able to use compressed air, which will lead to a reliance on bottled air and the requirement to transfer out all intubated patients, or those at high risk of deterioration.”

That prediction proved correct, as the compressors suffered a major failure just days later on November 8, forcing the hospital to transfer five patients from intensive care and two from emergency, along with postponing 23 operations.

However, these were far from the only warnings about the poor state of the air compressors, with many prior alerts coming from Shoalhaven Hospital facility manager Wayne Farquhar.

Briefing notes prepared for health service management earlier in the year indicated the hospital’s compression system did not meet Australian or international hospital standards.

“The risks identified with the current system indicate that there is a possibility of water, oil or vapour contamination in the breathing air as there is no standby dryer, no coalescing filter and no carbon filter incorporated in the system,” the document stated.

“There is no electronic monitoring system in place with the existing compressor, meaning that there is a risk of an unrecognised breakdown.

“Finally, the risk assessment identified that the current compressor is noisy and emits dangerous fumes into the compressor room, which is in a confined space, resulting in the possibility of industrial deafness or asphyxiation.”

During August there were additional concerns raised about the compressors, and the amount of money spent “to keep this plant limping along”, with concerns further repairs resulted in “throwing good money after bad”.

Then in September a memo from Mr Farquhar complained, “I am getting daily reminders from the staff that the medical air compressors are showing signs of breaking down again”.

The memo pushed for new compressors to replace the ailing and faulty ones.

Pleas were ignored

REPEATED problems with Shoalhaven Hospital’s air compressor are in contrast with comments made by South Eastern Sydney Illawarra Health’s Southern Hospital Network general manager, Sue Browbank.

Following media coverage of the compressor breaking down in November, Ms Browbank wrote to the South Coast Register claiming, “As soon as the problem with the air compressor became evident, communication with clinical staff began immediately and was quickly followed by the activation of the agreed contingency plan which was developed by the hospital’s clinicians.”

However documents obtained under Freedom of Information reveal a history of problems and break-downs with the hospital’s compressors, even forcing patients to be transferred to other hospitals before November’s major failure.

While hospital staff repeatedly called for compressors to be replaced, a new compressor was not ordered until after the failure.

The documents show hospital staff were pressuring health service management back in August to replace the compressors, only to be told there was “once again negligible money available this year”.

In November the new air compressor was still before the area health service awaiting approval.

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