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Focus Area: Good Homecare Practice

The provision of Homecare respiratory services by EIGA members is an important area where EIGA members serve the community.

As there are no specific regulations to cover the provision of respiratory Homecare services, EIGA has developed a set of publications to cover "Good Homecare Practice".

These campaign materials include a Training Package presentation (including presenters' notes), an introductory leaflet and the Homecare documents produced by EIGA. The Training Package presentation covers Good Homecare Practices in detail, and the leaflet summarises the activities. They cover good practices that should be followed by all those who are involved in Homecare activities.

The campaign materials are intended to be used by EIGA member companies who are engaged in the Homecare activity and those who select Homecare providers. They will enable them to identifying good practices in the safe provision of Homecare services by, for example, the use of dedicated transport for homecare gases  and the supply, use and reprocessing of medical devices.

Design and Operation of Vehicles Used in Medical Oxygen Homecare Deliveries - Doc 128

This document describes the basic design principles and safe operation of purpose designed vehicles, recommended for Homecare Service Providers for delivering all modes of supply of medical oxygen and associated therapy equipment. It has been prepared by industry experts building on best practices used by EIGA member companies. As well as being adopted by EIGA members, the document is already used by a number of national authorities for guidance.

The document is intended for those who are designing or specifying vehicles for this use or those managing the operation of these vehicles and activities.

This revision of document 128 includes more detailed requirements for drivers checks to reduce risk of build-up of oxygen in the vehicle. References have been moved to a new section to align with the EIGA Style manual.

Planning Oxygen Supplies for Respiratory Patients when Travelling - Doc 141

This document provides advice to the Homecare Service Provider about the minimum safety precautions to be given to a patient when they require to use medical oxygen supply systems outside the home environment and whilst travelling.  The advice can also be provided to the travel companies, such as airlines, train and bus operators and public services providers as a guideline for the safe use of medical oxygen supply system for domiciliary patients.

The document details the actions and roles in providing a suitable medical oxygen supply system for the:

- patient when travelling with equipment;

- patient’s normal Homecare Service Provider to provide support to the patient when travelling; and

- Homecare Service Provider at the destination.

It also includes specific guidelines for homecare respiratory patients for using oxygen when, in transit, at locations outside the home and when travelling away from home for longer periods.

Templates are included for leaflets to be provided to the patient, advising the minimum safety requirements for the use of medical oxygen supply systems in transit, and for the travel service provider, for the safe use of medical oxygen equipment in transit.

Also provided is information covering carrying and/or using medical oxygen systems on different forms of transport and in different public environments. Advice is provided on the permissions required when using medical oxygen supply equipment on public transport and in public areas.

The document may be used by anyone involved in planning oxygen supplies for respiratory patients when travelling as well as by patients and those travelling with them.

Safe practices guide for cryogenic air separation plants - Doc 147

This document provides guidance on the safe operation of cryogenic air separation plants. It is based on the experience of EIGA member companies that operate cryogenic air separation units (ASUs).

Emphasis is placed on equipment and operational and maintenance features that are peculiar to cryogenic air separation processes. Limited coverage is given to plant equipment such as air compressors, which are used in other industrial applications and for which safe practices in design, installation, and use have already been established elsewhere. Further, as this document is not intended as a universal safe practices manual for specific design and safety features, it is also important to refer to the operating manuals of the equipment suppliers.

The publication is part of the programme to develop globally harmonised publications amongst Regional Gas Associations and is a revision of the previous edition of EIGA Document 147, published in 2008.

This guide is intended for those associated or concerned with air separation plant operations and applies to safety in the design, location, construction, installation, operation, and maintenance of cryogenic air separation plants. The intent of this guide is to ensure that a minimum, uniform level of safety is provided throughout the industrial gas industry for the protection of the public and industry employees.

Good Homecare Practice - Doc 158

The purpose of the document is to provide a baseline requirement for a management system for all Home Oxygen Service Providers to supply the products, devices and services to the patient at home in accordance with the oxygen therapy prescription and contractual agreements. It is also intended to enable Health Authorities to regulate and inspect homecare services in a consistent manner.

Medical Oxygen Systems for Homecare Supply - Doc 89

This publication covers the supply of medical oxygen to homecare patients by the various delivery routes available, these include oxygen delivered in compressed gas cylinders, oxygen delivered as a cryogenic liquid, oxygen produced via a concentrator and for this revision oxygen self-fill systems where oxygen is compressed into a gas cylinder at the patients home using a concentrator and a small compressor.

This revision includes additional information on replacement batteries, description of the different types of concentrators, a reference section as well as editorial changes.

This publication is intended for those who are responsible for the management and operation of medical oxygen homecare supply such that the provision of this service will follow best operating practices to ensure continuity of supply.

Safe Supply of Transportable Medical Liquid Oxygen Systems by Healthcare Service Providers - Doc 98

Medical liquid oxygen is a well-established method of supplying patients with supplementary oxygen either in their homes or in healthcare facilities. Liquid oxygen for medical oxygen therapy is supplied in a transportable liquid oxygen System (TLOS), which comprises a base unit and its associated portable unit.

This publication provides a guide for the homecare service provider to give to the patient, carer or healthcare facility staff to emphasise the safe use and storage requirements for medical liquid oxygen supplies, both in the home and in healthcare facilities. It includes the operational specification of the TLOS to provide the patient with the prescribed flowrate but excludes its basic design requirements.

It is intended for use by all those involved in the supply and use of transportable medical liquid oxygen systems.

Good Homecare Practice - SL 05

Part of the EIGA Focus Area 'Good Homecare Practice'.