Transcription
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedA PRESENTATION FORHAAHE – Houston Area Associationfor Healthcare EngineeringNFPA 99 – 2012 OverviewHealth Care Facilities CodeDavid Stymiest, CHFM, FASHE, CEM, GBE(Registered P.E. – but not in Texas)DStymiest@ssr-inc.com, cell 504.232.1113Copyright 2012, Smith Seckman Reid, Inc., Nashville, TNHealth Care Facilities CodeLearning objectives NFPA 99-2012 Major Changes Major Electrical Changes Major MedGas Changes ANSI-adopted HCF Code; can now beincorporated into law as stand-alone document. Navigating theNFPA 99-2012 HandbookDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com1
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA Disclaimer Although the speaker is Chairman of the NFPATechnical Committee on Emergency PowerSupplies, which is responsible for NFPA 110 and111, the views and opinions expressed in thispresentation are purely those of the speaker andshall not be considered the official position of NFPAor any of its Technical Committees and shall not beconsidered to be, nor be relied upon as, a FormalInterpretation. Readers are encouraged to refer tothe entire texts of all referenced documents. NFPA members can obtain staff interpretations ofNFPA standards at www.nfpa.org.www.nfpa.org/99will always take you thereDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com2
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedCMS and the 2012 editions CMS: Examining NFPA 99-2012 and NFPA 101-2012 CMS at NFPA Annual Conference: 30 months to changethe CoPs at least 20142014. CMS said in its 2012 final regulation to revise CoPs “Weappreciate commenters’ suggestions regarding the LSCregulations set out under our ‘Physical environment’ CoP at§482.41. Suggestions received were outside the scope ofthis final rule and will be considered through separate noticeand-comment rulemaking in a LSC omnibus rulerule, targeted forpublication in the near future.” Some rumors say as early as August 2013. TJC, DNV expected to follow CMS shortly after adoption Be aware of changes in the newer referenced publications.NFPA 101-201255 Referenced Publications, 1 of 2David Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com3
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 101-201255 Referenced Publications, 2 of 22.4 References for Extracts inNFPA 99-2012 Mandatory Sections NFPA 13, Standard for the Installation of Sprinkler Systems, 2010edition. NFPA 30, Flammable and Combustible Liquids Code, 2012 edition. NFPA 4545, StStandardd d on FiFire PProtectiont ti ffor LLaboratoriesb t i UUsingi ChChemicals,i l2011 edition. NFPA 55, Compressed Gases and Cryogenic Fluids Code, 2010 edition. NFPA 70 , National Electrical Code , 2011 edition. NFPA 90A, Standard for the Installation of Air-Conditioning andVentilating Systems, 2012 edition. NFPA 99B, Standard for Hypobaric Facilities, 2010 edition. NFPA 101 , Life Safety Code , 2012 edition. NFPA 110110, StStandardd d ffor EEmergency andd StStandbydb PPower SSystems,t2010edition. NFPA 1670, Standard on Operations and Training for Technical Searchand Rescue Incidents, 2009 edition. NFPA 5000 , Building Construction and Safety Code , 2012 edition. NFPA 99-2012 references over 80 newer publications.David Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com4
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedDuring a survey The details are going to get you NFPA 99-2012NFPA 110-2010NFPA 13-2010NFPA 72-2010NFPA 25-2011NFPA 8080-20102010NFPA 70-2011NFPA 45-2011NFPA 92-2012REMOVED from NFPA 99 All of the Occupancy Chapters “Requirements are based on the impact to thepatient, regardless of the type of occupancy.” Laboratory requirements (now refer to NFPA 45) Manufacturers' requirements on electricalequipment – now per IEC 60601-1, etc. Annexes B, D, & E were deleted. (They weretechnology no longer in use.) Annex B Nature of Hazards Annex D Safe Use of High-Frequency Electricity Annex E Flammable Anesthetizing LocationsDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com5
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 99-2012 Chapters –(No occupancy nistrationReferenced PublicationsD fi itiDefinitionsFundamentalsExtremely shortGas and Vacuum SystemsElectrical SystemsInformation Technology & Communications SystemsPlumbing: Added via TIAHeating, Ventilation and Air Conditioning (HVAC): Added via TIAElectrical EquipmentGas EquipmentEmergency ManagementSecurity ManagementHyperbaric FacilitiesFeatures of Fire ProtectionLayout of NFPA 99-2012 HandbookYou should have a copy.David Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com6
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 99-2012 Chapter Contents1. AdministrationScope,p , Purpose,p, Application,pp, Equivalency,qy, Units,, CodeAdoption Requirements2. Referenced PublicationsGeneral, NFPA, Other, References for Extracts inMandatory Sections3. DefinitionsGeneral, NFPA Official Definitions, General Definitions,BICSI (Building(B ilding IndIndustrystr ConsConsultinglting ServicesSer ices International)Definitions4. Fundamentals (less than ½ Pg)Building System Categories, Risk Assessment,ApplicationNFPA 99-2012 Chapter Contents5. Gas and Vacuum Systems (48 pgs)Category 11, Category 22, Category 36. Electrical Systems (14 pgs)Applicability, Nature of Hazards, Electrical System, Type1 EES, Type 2 EES, Type 3 EES7. IT & Communications Systems for HCF(4 pgs)Applicability Category 1,Applicability,1 Category 22, Category 38. Plumbing (1 pg)Applicability, System Category Criteria, GeneralRequirementsDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com7
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 99-2012 Chapter Contents9. HVAC (2 pgs)Applicability, System Category Criteria, General10. Electrical Equipment (6 pgs)Applicability, Performance Criteria and Testingfor Patient-Care Related ElectricalAppliancesppand Equipment,q pTestinggRequirements – Fixed and Portable,Nonpatient Electrical Appliances andEquipment, AdministrationNFPA 99-2012 Chapter Contents11. Gas Equipment (5 pgs)Applicability, CylinderApplicabilitC linder and Container StorageStorage,Cylinder and Container StorageRequirements, Performance Criteria andTesting, Administration, Operation andManagement of Cylinders, Liquid OxygenEntrapment12. Emergency Management (4 pgs)Scope, Responsibilities, Matrix Categories,General, Category 1 and Category 2RequirementsDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com8
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 99-2012 Chapter Contents13. Security Management (2 pgs)Scope, Security Vulnerability Assessment (SVA),Responsible Person, Security-SensitiveAreas, Access and Egress Security Measures,Media Control, Crowd Control, SecurityEquipment, Employment Practices, SecurityOperations Program EvaluationOperations,14. Hyperbaric Facilities (11 pgs)Scope, Construction and Equipment,Administration & MaintenanceNFPA 99-2012 Chapter Contents15. Features of Fire Protection (3 pgs)Applicability,Ali bilit CConstructiont ti anddCCompartmentation,tt tiSpecial Hazard Protection for FlammableLiquids and Gases, Laboratories, Utilities,Rubbish Chutes Incinerators and LaundryChutes, Fire Detection Alarm andCommunications Systems, Automatic Sprinklersand Other Extinguishing Equipment, ManualExtinguishing Equipment, Compact Storage,Compact Mobile Storage, Maintenance andTesting, Fire Loss Prevention in OR’sDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com9
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 99-2012 Chapter ContentsAnnex AAnnex BAnnex CAnnex DIndexExplanatory Material (50 pgs)Additional Explanatory Notes (17 pgs)Sample Ordinance Adopting NFPA 99Informational ReferencesNew risk-based framework“The risk to the patient does not change for agiven pgprocedure. If the pprocedure is pperformedin a doctor’s office versus a hospital, the riskremains the same. Therefore NFPA 99eliminated the occupancy chapters and hasgone to a risk-based approach. New Chapter 4outlines the pparameters of thisapproach. The Code now reflectsthe risk to the patient in definedcategories of risk.”- From the NFPA 99-2012 introductionDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com10
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedNFPA 99-2012 –Some of the major changes "Fundamentals" chapter - risk based on type of careprovided Category 1: equipment failure likely to cause majorinjury or death of patients or caregivers Category 2: equipment failure likely to cause minor injury(not serious or at risk of life) to patients or caregivers Category 3: equipment failure not likely to cause injury topatients or caregivers; can cause patient discomfort CategoryC t44: equipmentit failuref ilwouldld hhave no iimpactt onpatient care Categories “determined by following and documenting adefined risk assessment procedure.” Select systems or processes that are required for that riskcategory.Major injury examples from theCh.4 Annex (invokes Category 1) AmputationLoss of sight of an eye (even temporary)BBurntto eye or any penetratingt ti injuryi jtot eyeElectric shock / electric burns: unconsciousness requiringresuscitation or 24 hours hospitalizationHypothermia, heat induced illness: unconsciousnessrequiring resuscitation or 24 hours hospitalizationLoss of consciousness caused by asphyxia or lack of oxygenor exposurepto a biologicalgagentgor harmful substanceAbsorption of any substance by inhalation, skin, or ingestioncausing loss of consciousness or acute illness requiringmedical treatmentAcute illness requiring medical treatment where there isreason to believe the exposure was to biological agents, itstoxins, or infected materialsDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com11
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedSome system/equip. examples from theNFPA 99 Chapter 4 Annex Category 1 OR EP, ICU MedGas, Ventilator-assisted procedurei medicalindi l officeffi OR suite,it CCardiacdi cathth equipmentit Category 2 Pt room task or procedure lighting, Pt care areapotable water Category 3 Heatingg in the south; humidityy control in nonoperating areas, dental drills, motorized bedadjustments, cooling tower makeup water in NW Category 4 Gray water lawn sprinklers, seasonal lighting, PA,P-tube, vacuum system in research labApplication All HC facilities that treat humans otherth homethanhcare Construction & equipment requirementsfor new only Only altered or renovated or modernizedportion of building If above modifies performance of a systemit must be modifiedDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com12
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedHow NFPA 99-2012 will work Determine the worst case procedure Use a documented process to select risk category ISO/IEC 31010: Risk Management—Risk AssessmentTechniques NFPA 551: Guide for the Evaluation of Fire RiskAssessments SEMI S10‐0307E: Safety Guideline for Risk Assessmentand Risk Evaluation Process Other formal process Select the systems or procedures prescribed by thatlevel of risk Except for Hyperbaric Facilities where Ch. 14 applies(Hyperbaric Facility requirements are not Risk-Based) Additional FP specialties in Ch. 15Some electrical changes Overcurrent protective devices: accessible only toauthorized personnel; not public access areas Minimum # of receptacles: 8 in general care (Cat2); 14 in critical care (Cat 1); 36 in ORs Single or multiple feeder between EES groupeddistribution [6.4.2.2.2 Feeders from Alt. Source] 1 generator’s fuel transfer pumps, recepts, ventfans, louvers, controls, cooling system, otherneeded gen accessories added to LS or genoutput terminals with OCPDs [6.4.2.2.3.4] Selective coordination – added text to permit a0.1 second delayDavid Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.com13
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedSome electrical changes MedGas alarms may be on CB or LS Generator testing – 10 sec not required duringmonthly testing – annual confirmation 6.4.4.1.1.2 The 10-second criterion shall not applyduring the monthly testing of an essential electricalsystem. If the 10-second criterion is not met duringthe monthly test, a process shall be provided toannually confirm the capability of the life safety andcritical branches to comply with 6.4.3.1. 6.4.4.1.1.3 Maintenance shall be performed inaccordance with NFPA 110, Standard forEmergency and Standby Power Systems, Chapter 8.[2010 Edition]Changes toEssential Electrical System Branches“Previous editions of NFPA 99, aswell as NFPA 70, defined theessential electrical systemas a set of subsystems andbranches. This distinction led tosome confusion, particularlywith respect to the number andarrangement of transfer switches.This edition eliminates theconfusion by replacing thedefinition of the essentialdistribution systems with threesimple branches.”- NFPA 99-2012 Handbook p.311David Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr-inc.comOLDNEW14
NFPA 99-2012 Quick Overview. Copyright(c)2012 Smith Seckman Reid, Inc., All RightsReservedORs are Wet Procedure Locations unlessOR Risk Assessments state otherwiseWet ProcedureLocation OR?David Stymiest, PE CHFM FASHE504.232.1113, DStymiest@ssr
NFPA 101-2012 55 Referenced Publications, 2 of 2 2.4 References for Extracts in NFPA 99-2012 Mandatory Sections NFPA 13, Standard for the Installa tion of Sprinkler Systems, 2010 edition. NFPA 30, Flammable and Combustible Liquids Code, 2012 edition.
