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What Hospital Fuel Polishers Should Know About Fuel Additives

Written by Erik Bjornstad | Jun 10 2025

Fuel polishers who count hospitals among their customer base occupy a unique position in the healthcare ecosystem. You're tasked with ensuring that emergency generators will start and run when lives depend on them. As part of your job, it often becomes necessary to use specific chemical treatments to resolve issues with the hospital's fuel and ensure it remains viable for the next inspection. So you're often caught between competing claims about fuel additives that promise everything from miraculous fuel restoration to complete contamination elimination. The reality is more nuanced than most additive manufacturers would have you believe.

The Stark Reality of Hospital Fuel Requirements

When Hurricane Sandy hit in 2012, NYU's Langone Medical Center and Bellevue Hospital had to evacuate critical care patients because their backup generator systems failed. The fuel wasn't necessarily "bad" by technical standards, but it wasn't ready to perform when needed. This scenario plays out more often than anyone wants to admit – according to industry data, fuel-related issues are the number one cause of emergency generator failures.

Hospital fuel systems face particular challenges that make additive selection critical. The fuel sits dormant for months or years, accumulating water through condensation cycles. The ultra-low sulfur diesel mandated since 2006 has virtually no resistance to microbial growth, unlike the higher-sulfur fuels that were more resistant for a number of reasons. Meanwhile, even small amounts of biodiesel blended into today's diesel fuel create additional nutrients for microbes while increasing the fuel's tendency to absorb water.

Understanding What Additives Can and Cannot Do

The fuel additive marketplace is crowded with products making bold claims, but for fuel polishers serving the hospital sector, they really need something that's commercial-grade. Separate the hype from the reality.

The right chemical treatments don't compete with mechanical polishing, they complement it. Each one has certain things it can and cannot do. The right chemistries introduced into the process can really help a fuel polisher provide max benefit for their hospital customers.

So, what chemistries represent the most value for hospitals and healthcare in stored backup fuel? What they need most are chemistries to combat the things that cause the most problems for the fuel's viability and reliability.

Biocides represent the most critical additive category for hospital applications. No amount of filtration or polishing can eliminate living microbes – only biocides can kill them. Bell Performance's Bellicide, for example, works in both the fuel and water phases of storage systems, providing comprehensive microbial kill. However, biocides don't prevent recontamination (nothing can prevent that; only deal with it after it happens), which is why they must be part of a broader maintenance strategy.

Fuel stabilizers like Dee-Zol Life prevent oxidative breakdown that leads to fuel degradation, but they must be added to fresh fuel before problems develop. Once fuel has formed sludge and heavy deposits, stabilizers won't reverse the damage – that's where mechanical polishing becomes essential.

Water controllers can absorb limited amounts of water and prevent phase separation in ethanol blends, but they're not designed to handle substantial water accumulation. Yet they are useful for helping fuel polishers scavenge the water left over after the largest portions of the free water phase have been removed. Bell Performance's DFS Plus can effectively manage trace water, but major water problems require mechanical removal followed by chemical treatment to prevent recurrence.

The Hybrid Approach That Actually Works

The most effective hospital fuel maintenance programs combine mechanical and chemical solutions strategically. Start with mechanical polishing to remove existing water, sediment, and microbial biomass. This creates a clean foundation that chemical treatments can then protect.

After polishing, apply a comprehensive chemical treatment program. Use biocides to kill any remaining microbes and prevent recontamination. Add fuel stabilizers to prevent oxidative breakdown during extended storage periods. Include water controllers to manage ongoing moisture accumulation. Finally, consider sludge dispersants like Tank Treatment SDF to maintain tank cleanliness and enhance biocide effectiveness.

This hybrid approach addresses the fundamental limitation of each method alone. Mechanical polishing removes current problems but doesn't prevent their return. Chemical treatments prevent future issues but can't reverse existing damage. Together, they provide comprehensive fuel system protection.

Navigating the Testing Maze

Hospital fuel polishers often face pressure to conduct extensive fuel testing, but not all tests provide actionable information. Focus on the essential tests that directly relate to emergency generator performance. We would call that kind of testing a "Mission Critical" slate.

The Mission Critical test slate covers the most important parameters: distillation curves that predict combustion quality, cetane index for engine starting performance, water and sediment content that indicate contamination levels, and sulfur content for regulatory compliance. These tests tell you whether the fuel will actually work when needed.

Microbial testing also deserves special attention in hospital settings. ATP testing provides quantitative microbe counts that guide treatment decisions. Don't rely on visual inspection alone – microbes can be present in clear-looking fuel, and a positive test result demands immediate biocide treatment.

Avoiding Common Pitfalls

One of the values of proper fuel testing is that it helps confirm whether the fuel needs anything done to it. It also provides evidence for decision making when, for example, generator service technicians blame the fuel for faulty system performance. Before accepting this diagnosis and spending thousands on fuel disposal, conduct proper testing. Many no-start conditions stem from clogged filters, fuel line obstructions, or microbial contamination – all solvable problems that don't require fuel replacement.

When sampling fuel for testing, avoid the tank bottom where sediment naturally accumulates. Sample from the same depth as your fuel pickup line, typically three to six inches from the bottom. Bottom samples often show failing test results that don't reflect the actual fuel quality reaching your generators.

Be wary of additive claims that seem too good to be true. No additive will double your fuel's storage life or eliminate all maintenance requirements. Effective products make specific, measurable improvements within realistic parameters.

Building Relationships That Matter

The most successful hospital fuel polishers work with partners who understand both mechanical and chemical solutions. Your additive supplier should provide technical support, help interpret test results, and recommend treatment protocols based on your specific conditions.

Look for suppliers with long industry experience and proven track records. Bell Performance has been solving fuel problems since 1909, developing products specifically for the challenges facing today's stored fuel systems. This experience matters when lives depend on your generators working perfectly.

Consider suppliers who offer comprehensive programs rather than just individual products. Bell's FTS program combines testing, mechanical services, and chemical treatments into integrated maintenance protocols designed for critical-use facilities like hospitals.

The Bottom Line for Hospital Fuel Polishers

Your role extends far beyond just cleaning fuel – you're protecting the last line of defense when everything else fails. Fuel additives are essential tools in this mission, but only when properly selected and applied as part of a comprehensive maintenance strategy.

The hybrid approach combining mechanical polishing with targeted chemical treatments provides the most reliable protection for hospital fuel systems. Focus on proven products with specific functions rather than miracle solutions that promise everything. Maintain relationships with suppliers who understand your unique challenges and can provide ongoing technical support.

Most importantly, remember that the cost of prevention is always less than the cost of failure. Whether it's a few hundred dollars for biocide treatment or a comprehensive fuel maintenance program, these investments pale in comparison to the consequences of generator failure during a medical emergency.

When you're responsible for fuel that might power life support systems, there's no room for shortcuts or unproven solutions. Stick with established science, proven products, and comprehensive maintenance strategies that have demonstrated real-world success in hospital environments.