Recalibrate, Change Flow, O2 Sensors – Center Reprimands “Bad” Fan States | India News
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NEW DELHI: Days after Punjab and Maharashtra raised concerns about the operation of fans supplied by the Center, the Union The government has now responded and highlighted the mismanagement of the medical team by the states.
It has directed states to ensure the smooth operation of these delicate devices, asking states to recalibrate machine settings according to geographic location, check O2 pressure in pipes, and fix electrical settings. States have also been asked to routinely change key consumables like flow sensors and oxygen sensors on time, which he said many states were not doing, resulting in the abandonment of fans for lack of use.
The response from health officials came after Punjab registered complaints, whose doctors claimed that 237 out of 320 ventilators were defective and not working in Amritsar, Faridkot and Patiala.
A letter (in TOI’s possession) written by the Union Health Secretary, Rajesh Bhushan, dated May 13, read: “It has been observed that in several hospitals in the states, the sites are not ready to fan installation. This includes the unavailability of a piped oxygen supply system or the lack of optimal oxygen pressure in the plumbing system or even proper electrical connections. ”It was dispatched to all senior secretaries of state.
The Center has said that 60,000 ventilators were ordered in April 2020 and that more than 49,960 have been assigned to states, including 12,000 shipped during the second wave. Approximately 50,000 of this was sent from the PM-CARES Fund. About 4,854 fans are unused. Bharat Electronics Limited (BEL) produced 30,000 ventilators, Agva healthcare made 10,000, Andhra Med-Tech Zone 13,500 and Jyoti CNC 5,000.
TOI spoke with BEL about the issue of not using fans. “There are flow sensors connected to the patient’s ICU and then there are the oxygen sensors. When our team went to Faridkot, we saw that the consumables were not replaced. It is mandatory to change the flow sensor every time a new patient arrives at the ICU. Second, some fans were not calibrated along the Faridkot latitude-longitude during installation. Whenever a ventilator changes location, the oxygen pressure must be changed according to that location. Third, oxygen sensors have a lifespan. If you use it with a dozen patients on 100% oxygen, it will deteriorate, it will not work. The oxygen sensors need to be changed, which did not happen at Faridkot, ”said MV Gowtham, CMD, BEL.
Another letter, on May 9, read: “Lack of installation may be due to various reasons, such as lack of skilled and trained workforce to use them, improper handling of devices … Make sure the workforce submitted to use ventilators is sensitized and undertakes required training. “The letter was sent by the Deputy Secretary, Dr. Mandeep K Bhandari, of the Ministry of Health and Family Welfare. In the same letter it was noted that 50 ventilators were not used in eight states (Punjab, AP, Assam, Uttarakhand, Karnataka, UP and Odisha) for the past five months.
In the letter, the officials also told Punjab Chief Secretary Vini Mahajan, “The ministry provided fans in view of (the) urgency. Not putting them into service frustrates the very purpose of the exercise. ”