Transcript NFPA 99 - 2010 Edition - Welcome to the Healthcare

NFPA 99 - 2010 Edition
Healthcare Facility Management
Society Of New Jersey
June 18, 2009
History
• 1979 - Committee decided to combine all
documents under its jurisdiction
– NFPA 56F, 76A, 76B-T, etc.
• 1984 - First issuance of NFPA 99
• 1987 - Integrated all of the individual
documents into chapters
• 2005 - Complete evaluation and rewrite of
current document.
2008 WSC&E on NFPA 99
Scope
•Establish criteria to minimize:
– The hazards of fire,
– Explosion, and
– Electricity
•Facilities providing services to human
beings.
2008 WSC&E on NFPA 99
Purpose
•To provide minimum requirements for
the:
– Performance,
– Maintenance,
– Testing, and
– Safe practices for …
2008 WSC&E on NFPA 99
Application
•Applies to all health care facilities
•Construction and equipment
requirements for new only
•Only altered or renovated or modernized
portion of the building
•If above modifies the performance of a
system it must be modified
2008 WSC&E on NFPA 99
So What is Going On?
•NFPA Standards Administration has
extended the cycle to 5 years for the
rewrite.
•Technical Committee members have
been charged with stretching to modify
chapters for the year 2020
2008 WSC&E on NFPA 99
Global Goals and Changes
•Modernize the document
•Clear and consistent set of criteria
•Establish three risk levels of patient care
•All chapters will have the same look
•Establish a section for existing system
requirements
2008 WSC&E on NFPA 99
Categories of Patient Risk
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 as
defined in this standard.
Annex Material
Systems are expected to work or be available at all
times to support patient needs.
8
Categories of Patient Risk
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 as defined in this standard.
Annex Material
Systems are expected to provide a high level of reliability;
however, limited short durations of equipment downtime
can be tolerated without significant impact on patient
care. Category 2 systems support patient needs, but are
not critical for life support.
9
Categories of Patient Risk
Category 3
Facility systems in which failure of such equipment
is not likely to cause injury to the patients or
caregivers, but may cause patient discomfort shall
be designed to meet system category 3 as defined
in this standard.
Annex Material
Normal building system reliabilities are expected. Such
systems support patient’s needs but failure of such
equipment would not immediately effect patient care.
Such equipment is not critical for life support.
10
Categories of Patient Risk
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 as defined in
this standard.
Annex Material
Such systems have no impact on patient care and
would not be noticeable to patients in the event
of failure. There are no minimum requirements for
such equipment.
11
TC on Fundamentals
•Definitions
– Anesthetizing locations
– Wet locations
•New chapter on fire protection features
•Revised section on flammable germicides
and antiseptic (TIA)
2008 WSC&E on NFPA 99
TC – Piped Gas Systems
•Working with NFPA 55 on bulk oxygen
requirements
•Testing requirements for cryogenic liquid
systems and all other systems
2008 WSC&E on NFPA 99
Testing - Cryogenic Systems
•Tested for proper function
•For purity, alarm sensors
•Operation of the control sensors
2008 WSC&E on NFPA 99
Maintenance Requirement
•Rejected an annual requirement for
system testing by an ASSE 6030 verifier
•Rejected annual outlet/inlet testing
•Rejected requiring ASSE 6040
(certification of maintenance workers)
but recommended it in the annex
•Added testing of medical booms in OR
2008 WSC&E on NFPA 99
Medical Gas Maintenance
•Facility shall develop and document
periodic maintenance
•Program shall include an inventory of:
– All source subsystems, control valves, alarms,
manufactured assemblies, and outlets
2008 WSC&E on NFPA 99
Medical Gas Maintenance
•Inspection schedule shall be established
through a risk assessment
•Inspection procedure established by the
organization
•Maintenance schedule established
through a risk assessment
2008 WSC&E on NFPA 99
Med Air Use Restriction
•Continue to prohibit the use of medical
air for any other purpose:
– Scope cleaning
– Decontamination
– Laser plume, etc.
2008 WSC&E on NFPA 99
Level 3 – Med Gas Systems
•Completely revised the Level 3 section
– Easier to read
– Removed redundancies
2008 WSC&E on NFPA 99
TC - Electrical Systems
•Definition of Wet Location
– Including all operating rooms
– Annex language on spillage of liquids
2008 WSC&E on NFPA 99
TC - Electrical Systems
• Eliminated emergency system heading
• Changed equipment system to equipment
branch
• Overcurrent protection devices
– Accessible to authorized personnel
– Not permitted in public access spaces
• Receptacles
– Critical care - 14 outlets/seven duplex
– Operating rooms- 36 outlets/eighteen duplex
2008 WSC&E on NFPA 99
TC - Electrical Systems
• Rejected receptacle testing of 3 year
maximum interval
• Permit a single or multiple feeder between
EES grouped distribution
• Fuel transfer pumps, receptacles,
ventilation fans, louvers and cooling
systems added to the life safety or critical
branch – deleted from equipment
2008 WSC&E on NFPA 99
Selective Coordination
•Added text to permit a 0.1 second delay
2008 WSC&E on NFPA 99
TC - Electrical Systems
•Generator Testing
– 10 seconds is not required during monthly
testing – annual confirmation
2008 WSC&E on NFPA 99
TC - Electrical Systems
•New chapter on low voltage systems
being recommended
•New section on campus electrical
systems being added
2008 WSC&E on NFPA 99
TC – Mechanical Systems
•Ventilation is addressed on a minimal
basis
•Need to consolidate all the references to
various systems and requirements
•Looking to be a resource by referencing
other documents
2008 WSC&E on NFPA 99
TC – Mechanical Systems
•New Chapter on Plumbing
– Water
•Potable
•Temperature
•Waste
•Special use
– Set up in categories of patient risk
2008 WSC&E on NFPA 99
TC – Mechanical Systems
•New Chapter on Heating
– Set up in patient risk categories
– References other standards for ventilation
and humidity
– All references for ventilation are contained in
this chapter
•Transfilling of liquid oxygen
•Medical gas storage rooms
2008 WSC&E on NFPA 99
2008 WSC&E on NFPA 99
TC – Medical Equipment
•Patient Care Vicinity
– Rejected expanding the patient vicinity
2008 WSC&E on NFPA 99
TC – Medical Equipment
•Use of piped O2 for ozone sterilizers
2008 WSC&E on NFPA 99
TC – Medical Equipment
•Reduced medical equipment testing
– Patient care – removed testing frequencies
– Non-patient care
– Be careful as the requirements for current
leakage have been relocated.
2008 WSC&E on NFPA 99
TC – Medical Equipment
•Emergency cylinders in anesthetizing
locations - Rejected
2008 WSC&E on NFPA 99
TC- Emergency Management
•Emergency management - completely
rewritten and expanded for 2010
– Two categories of risk
•In-patient facility is expected to be operable
•In-patient and outpatient areas that augment the
critical mission but not receive in-patients
– Uses The Joint Commission standards as a
basis for plan evaluation
2008 WSC&E on NFPA 99
TC- Emergency Management
•New Chapter on Security
– Based on the foundations of NFPA 730, Guide
for Premises Security
– Facility shall conduct a Security Vulnerability
Assessment (SVA)
– Defines responsible person
2008 WSC&E on NFPA 99
TC- Emergency Management
• Security sensitive areas per SVA
– Emergency Department
– Pediatric and infant care area
– Medication storage and work areas
– Clinical and research laboratories
– Dementia or behavioral health units
– Forensic patient treatment area
– Communications, data infrastructure, and
medical records storage areas
2008 WSC&E on NFPA 99
TC- Emergency Management
•Other subjects covered
– Media control
– Crowd control
– Security equipment – follow NFPA 731
– Employee practices
– Security operations
2008 WSC&E on NFPA 99
I leave you with this last
thought on NFPA 99 NFPA Annual Meeting
June 8-11, 2009
Chicago, IL