presented by david dagenais, sashe, chfm, chsp tuesday september 27 th, 2011
TRANSCRIPT
NFPA 99 2012 EDITION
OVERVIEW AND DISCUSSION
Presented by
David Dagenais, SASHE, CHFM, CHSP
Tuesday September 27th, 2011
TUESDAY, SEPTEMBER 27TH, 2011 Please silence all pagers and cell
phones.
Not Speaking on behalf of NFPAor NFPA Technical Committees
Document is final and the NFPA Standards Council has approved
Available now, will ship in November
ITEMS DELETED-OVERVIEW
Laboratory requirements Manufacturers’ requirements on
electrical equipment Annexes B, D, & E are deleted. They
are technology not used any longer. All of the Occupancy Chapters
NEW ITEMS-OVERVIEW Standard becomes a Code Fundamentals Chapter on Risk Information Technology and Communication
Systems Plumbing Heating Emergency Management (new requirements) Security Fire Protection unique to Health Care Facilities
HOW THE CODE WORKS Determine the worst case
procedure. Select the Risk Category. Select the systems or procedures in
the Code that are prescribed by that level of risk Category
ADMINISTRATION(CHAPTER 1)• Scope:
• The scope of this code is to establish criteria to minimize the hazards of fire, explosion, and electricity in healthcare facilities providing services to human beings.
ADMINISTRATION(CHAPTER 1)• To provide minimum requirements for
the:• Performance• Maintenance, Testing and Inspection
• Safe practices based on risk
ADMINISTRATION(CHAPTER 1) Applies to all health care facilities
(other than home health) Applies to NEW construction and
equipment only• altered or renovated or modernized
Some testing and maintenance requirements apply to existing
Emergency Management and Security apply to existing
REFERENCED PUBLICATIONS (CHAPTER 2) All Referenced publication material
has been updated to most current version
DEFINITIONS(CHAPTER 3) 3.3.9 Anesthetizing location – General
anesthesia 3.3.17 Battery powered lighting units
– NFPA 70 3.3.63 General anesthesia and levels
of sedationDeep sedationGeneral anesthesiaMinimal sedationModerate sedation
3.3.109 Medical support gas
FUNDAMENTALS(CHAPTER 4) Category 1 - Facility systems in which
failure of such equipment or system is likely to cause major injury or death of patients or caregivers shall be designed to meet system Category 1 requirements as defined in this code.
FUNDAMENTALS(CHAPTER 4) Category 2 - Facility systems in which
failure of such equipment is likely to cause minor injury to patients or caregivers shall be designed to meet system Category 2 requirements as defined in this code.
FUNDAMENTALS(CHAPTER 4) Category 3 - Facility systems in which
failure of such equipment is not likely to cause injury to the patients or caregivers, but can cause patient discomfort shall be designed to meet system Category 3 requirements as defined in this code.
FUNDAMENTALS(CHAPTER 4) Category 4 -Facility systems in which
failure of such equipment would have no impact on patient care shall be designed to meet system Category 4 requirements as defined in this code.
FUNDAMENTALS(CHAPTER 4)
4.2* Risk Assessment. Categories shall be determined by following and documenting a defined risk assessment procedure.
A.4.2 Risk assessment should follow procedures such as those outlined in ISO 31010, NFPA 551, SEMI S10-0307 or other formal process. The results of the assessment procedure should be documented and records retained.
GAS AND VACUUM SYSTEMS(CHAPTER 5)
Working with NFPA 55 on bulk oxygen requirements
Tested for proper functionFor purity, alarm sensorsOperation of the control
sensors
• New Section on Cryogenic Systems
GAS AND VACUUM SYSTEMS(CHAPTER 5) Adding testing and inspection
requirements on existing non-stationary medical booms
Testing per manufacturers recommendations, every 18 months or based on risk assessment.
GAS AND VACUUM SYSTEMS(CHAPTER 5) 5.1.3.8* Instrument Air Supply
Systems.
5.1.3.8* Optional Instrument Air Supply Systems. FAILED ROP
FAILED ROCPASSED FLOOR
FAILED BALLOT
GAS AND VACUUM SYSTEMS(CHAPTER 5) 5.1.4.8 Zone Valves. All station outlets/inlets
shall be supplied through a zone valve as follows: (1) The zone valve shall be placed such that
a wall intervenes between the valve and outlets/inlets that it controls.
(2) The zone valve shall be placed such that a wall intervenes between the valve and outlets/inlets that it controls. The intervening wall shall be arranged such that it interrupts the line of site between the outlet/inlet and the zone valve.
MOTION 99-17
FAILED
GAS AND VACUUM SYSTEMS(CHAPTER 5)
ELECTRICAL SYSTEMS(CHAPTER 6) “Wet Location” changes to “Wet
Procedure Location” throughout the entire document
ELECTRICAL SYSTEMS(CHAPTER 6) Permits isolated power or ground fault
protection within operating rooms
ELECTRICAL SYSTEMS(CHAPTER 6) Requires that overcurrent
protection devices only be accessible to authorized personnel and not permitted in public access spaces
ELECTRICAL SYSTEMS(CHAPTER 6) Increases minimum number of receptacles
General Care – From 4 to 8Critical Care – From 6 to 14Operating Rooms – New requirement of 36
ELECTRICAL SYSTEMS(CHAPTER 6) Permits fuel transfer
pumps, receptacles, ventilation fans, louvers and cooling systems related to generators to be added to the life safety or critical branch (deleted from equipment branch)
ELECTRICAL SYSTEMS(CHAPTER 6)
Monthly Generator Testing - 10 second transfer not required (Annual Confirmation)
ELECTRICAL SYSTEMS(CHAPTER 6) New section which
permits switches in lighting circuits connected to Life Safety and critical branch as long as they don’t serve as illumination of egress as required by NFPA 101
ELECTRICAL SYSTEMS(CHAPTER 6) New section on campus
electrical systems being added
Attempts to clear up conflicts
with NEC
ELECTRICAL SYSTEMS(CHAPTER 6)
Requires all operating rooms to be wet procedure locations (unless risk assessment is done)
ELECTRICAL SYSTEMS(CHAPTER 6) Eliminates emergency system heading and
equipment system heading and utilizes branches
• Life Safety• Critical • Equipment
MOTIONS 99-6 AND 99-7
Submitters are attempting to retain the emergency system language
ELECTRICAL SYSTEMS(CHAPTER 6) Added text to permit a 0.1 second delay for
selective coordination
IT AND COMMUNICATION
(CHAPTER 7) New chapter covers
IT roomsFire protectionNurse callEmergency callStaff emergency assistance
PLUMBING(CHAPTER 8) TIA will cover plumbing requirements Essentially will refer to other
model codes or standards
HEATING, VENTILATION AND AIR CONDITIONING(CHAPTER 9)
New TIA will cover oxygen transfilling room requirements
Waste Anesthesia Gas Disposal (WAGD)
ELECTRICAL EQUIPMENT(CHAPTER 10) Chapter reorganized Testing requirements have been
updated Leakage requirements have been
updated
GAS EQUIPMENT(CHAPTER 11)• 11.3.2.5 Temperature limitations to
storage of cylinders must comply with 5.1.3.3.1.7 (temperatures not to exceed 54o C or 130o F.
• 11.4.3.1.1 Specifies the requirements for carts and hand trucks that transport cylinders (must be self supporting and have appropriate chains.)
GAS EQUIPMENT(CHAPTER 11) 9.5.2.4* Medical devices not for patient care
and requiring oxygen USP shall meet the following:(1) Be listed for the intended purpose by the United
States Food & Drug Administration(2) Be under the direction of a licensed medical
professional, if connected to the piped distribution system
(3) Be connected using a wall outlet and a flexible hose, if connected to the piped distribution system
(4) Not be permanently attached to the piped distribution system
(5) Be installed and used per the manufacturer's instructions
(6) Be equipped with a backflow prevention device
EMERGENCY MANAGEMENT(CHAPTER 12)• Completely rewritten and expanded for
2012▫ Two categories of risk
In-patient facility is expected to be operable
In-patient and out-patient areas that augment the critical mission but not receive in-patients
• Requires a Hazard Vulnerability Analysis (HVA)▫ Natural Hazards▫ Human-caused Events▫ Technological Events
EMERGENCY MANAGEMENT(CHAPTER 12) Requires plans to manage resources
and assets Requires Exercises Requires Evaluation of Exercises
Special Care was taken to avoid conflicts with the Joint Commission and CMS
SECURITY MANAGEMENT(CHAPTER 13) Planning for protection of the Staff
and Facility beyond disasters Requires a Security Vulnerability
Assessment (SVA) Requires a responsible person Education requirements of security
staff Customer Service Emergency Procedures Use of Force De-escalation Use of Restraints
SECURITY MANAGEMENT(CHAPTER 13)
Requires procedures for HostageBomb ThreatWorkplace ViolenceDisorderly ConductRestraining Orders
SECURITY MANAGEMENT(CHAPTER 13) Identifies known security sensitive
areas Emergency DepartmentsPediatric and Infant Care unitsMedication StorageClinical LabsForensic Patient Treatment AreasDementia or Behavior Health UnitsCommunications, data infrastructure and
medical records
SECURITY MANAGEMENT(CHAPTER 13) Other subjects covered
Media control Crowd control Security equipment – follow
NFPA 731 Employee practices Security operations
HYPERBARIC FACILITIES(CHAPTER 14) Piping requirements have been
updated New requirements for location of
shutoff valve Updated requirements for reserve to
central supply system New requirements for hyperbaric
medical air system
FEATURES OF FIRE PROTECTION(CHAPTER 15)
Chapter applies to new and existing Pulls most of text from NFPA 101 Fire alarm and detection Protection of gas cylinder storage HVAC detection requirements Defend in place requirements Closets sprinkler exception (less
than 6 sq. ft.) Orientation and training
requirements
