V A Whistleblowers – Long Beach VA “aka” Tibor Rubin Medical Center

 

The ventilation system is one of the most important aspects of HOSPITAL safety and, at the same time, is likely to be the highest consumer of energy FOR A building. The Leadership in Energy and Environmental Design (LEED) Green Building Rating System of the U.S. Green Building Council uses a model as a consideration in its certification system for rating buildings.

Did you know there are four main aspects of a ventilation system management program: design criteria, training personnel, system maintenance, and performance measurement?

         Design Criteria

The institution should determine the criteria to ventilation systems. This might include

>testing criteria as installed all, including the hoods passing ANSI/ASHRAE 110-1995 containment testing.

> at specific sash height and sash design

> Magnehelic gauge

>preference for VAV systems (designing one extra fan into each system

         Training Program

No matter how well a system is designed or maintained, no matter what lengths an institution has gone to for the sake of safety and energy conservation, if the personnel do not use the equipment properly, individual users can defeat these efforts with their own behaviors.

Engineering personnel who insist on working at the edges, and do not move an elephant trunk close to the source, clog the ductwork, leave the sash open when not working at the chemical hood, fail to report that a filter needs to be changed reduce safety and sustainability efforts. Sometimes, these actions are due to lack of consideration; sometimes personnel may simply not understand the implications.

All Engineering, Administration Officer of Day, and Nurse Officer of Day personnel should receive training that includes

  • how to use the ventilation equipment,
  • consequences of improper use,
  • what to do in the event of system failure,
  • what to do in the event of a power outage,
  • special considerations or rules for the equipment,
  • Significance of signage and postings.

Inspection and Maintenance

Maintenance is key to a ventilation system management program. The program should describe the elements of the inspection and maintenance program, including

  • designation of who conducts inspections and how often;
  • how inspections are recorded;
  • equipment used, history,
  • how recorded
  • what’s the maximum sash height be marked and how;

From: Bonaparte, Marie Sylvia Sent: Friday, May 26, 2017 12:58 PM To: Quesenberry, Ely; Bonaparte, Marie Sylvia Subject: Copied documents

Greetings,                           [Long Beach “aka” Tibor Rubin Medical Center] =muted/ no answer

  • Ely, does this facility engineering staff, even know how to compile a report.
  • We are still waiting for the Vent Report , not the Work Order with text notification sent over by J. Arcaro, HAS, and other by way of pulling.
  • You said the doctor would need to provide better information in which to detail into West Los Angeles campus.
  • Why are department on all levels delaying.
  • If I can alert you in the be low’s email sent out to DMO, J. Arcaro, HAS Assistant
  • Sylvia Bonaparte

Roof:

  • criteria for working on roofs and around stacks; [LB’s have cracks, duck tapes, and loose screws]
  • fan maintenance schedule;
  • VAV system maintenance schedule;
  • alarms and controls maintenance schedule
  • When was the Long Beach VA “aka” Tibor Rubin Medical Centers recommissioning ventilation system, completed
  • From: Bonaparte, Marie Sylvia Sent: Monday, May 08, 2017 7:30 AM To: Thompson, Dustin T; Scott, William; Payne, Gisele A (Long Beach) Cc: Bonaparte, Marie Sylvia Subject: RE: 5/8/17 + 4/28/17+ 4/6/2017 + 4/4/2017+ 3/16/17 @ 12:17hr+ 3/13/17 + 3/3/17 + Document from Dr. Judson Schoendorf office
  1. Payne response – No Evidence, from an Acting Occupational Safety & Health [ issues still at hand]
  • Ms. G. Payne was you able to have the conversation with Mr. Scott, Acting Chief of Occupational Safety & Health Service.
  • In our conversation (5/2/17), during which I had shown you the picture, you said you would speak to him, about the Report Needed.
  • Like I said we ALL have the Air Report, I just need the one on the Venting.
  • 2nd floor Outpatient Areas & Air Handling Unit S-19
  • Fresh Air intake for Air Handling Unit S-19
  • Fresh Air intake shaft to S-19
  • Air Return shaft and Air Mixing Vents in S-19
  • Air Mixing Plenum For Air Return and Fresh Air in S-19
  • Front side of Pre-Filter Bank in S-19
  • General Overview of S-19
  • Outside Air Controls Near Intake.
  • Thanks For your Assistant with this matter.
  • Sylvia Bonaparte

RE: 5/8/17 +4/28/17 = 4/6/17 +4/4/2017 +3/16/17 @12:17 hr + 3/13/17 +3/3/17 + Document from Dr. Judson Schoendorf office

     Scott, William         [Muted No Response]

Sent:   Tue 5/23/2017 8:15 AM

To:         Payne, Gisele A (Long Beach); Bonaparte, Marie Sylvia: Thompson, Dustin T; Bachman, James M (Long Beach); Toy, Nelson; Mann, Tracy; Bernabe ,Julio D

The Acting Chief, Safety Occupational Safety & Health – Responded [Again “Muted” No Answer]

 

Hello Gisele, et al,

I have included key personnel in this enquiry.  Engineering, M&O present any reporting produced for the venting (ducting) the HVAC supervisor can provide to support the ducting inspection, is greatly appreciated. Please direct any findings to the Safety Office, Industrial Hygienist, Jim Bachman, for review.

Thank you

William Scott, MPH, CDPH

Acting Chief, Safety Service

 

           Performance Measurement

The old adage that “you can’t manage what you don’t measure” rings true too with the ventilation management program. At least annually, evaluate the effectiveness of the program, including the following:

  • energy use and savings,[ Not with Duck tapping, and loose screw on covers- May 2017]
  • emission issues,
  • trends in chemical hood performance
  • Review of the life cycle of the ventilation system.

This boiled down to, the facilities Engineering department with the most safety task, didn’t do well.

4/25/17 Jill Dietrich, Associate Director – detailed to Washington D. C, therefore it doesn’t give the doctors a chance in which to complete any reporting need for the Long Beach VA “aka” Tibor Rubin Medical Center.

Then Chief to Staff sends out his letter

May 2017 Dustin Thompson, set to Cover Associate Director (as Acting) until 7/28/17

I don’t know about how these Acting position are chosen, but I am assuming they must have some sort of degree’s in the field at hand in which covering.

V S E Simulations up….for staff to practice, and get a use too.

JUNE                               2017

June           Health Administration Service ( HAS) liquidate it’s title into different avenues.

Eiram55, journey to 125

 

 

 

 

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