nfpa 99 2012 edition overview and discussion presented by dave dagenais, bs, sashe, chfm, chsp...

NFPA 99 2012 EDITION OVERVIEW AND DISCUSSION

Presented by

Dave Dagenais, BS, SASHE, CHFM, CHSP

Tuesday, October 5, 2010

Not Speaking on Behalf of NFPA

New England Healthcare Engineers’ Society

NFPA Process Overview(Document Cycle)

Proposal period NFPA generates a Report On Proposal

Comment period NFPA generates a Report on Comments

Notice of Intent to Make A Motion NFPA publishes the NITMAMs

Annual meeting with Technical Session Membership Votes


NFPA 99 (2nd cycle)Specific Opportunities to Influence Code

Anyone can submit proposals naProposal Closing Date was – naTechnical Committees met December, 2009 (previous

proposals)(Report on Proposals posted – 6/25/2010)Anyone can submit comments Comment Closing Date – 9/3/2010 (over 330 comments)Technical Committees meet next week

(Report on Comments posted – 2/25/2011Notice of Intent to Make A Motion

NITMAM closing date – 4/8/2011NFPA Conference with Technical Session June 2011

BOSTON

Opportunity


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


Scope

• Establish criteria to minimize:•The hazards of fire,•Explosion, and•Electricity

• Applies to facilities providing services to human beings only


Purpose

• To provide minimum requirements for the:•Performance•Maintenance, Testing and

Inspection•Safe practices based on risk


Application

Applies to all health care facilities 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


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


Categories

Category 1 - System Failure that would probably cause patients or caregivers major injury or death.

Category 2 - System Failure that would most likely cause minor injury to patients or caregivers.


Categories

Category 3 - System Failure that would most likely cause discomfort to patients or caregivers.

Category 4 - System failure has no impact on patients or caregivers.


Definition of Healthcare Facility 3.3.68

Buildings or portions of building in which medical, dental psychiatric, nursing, obstetrical, or surgical care is provided. (ADM)

(Non-residential) Buildings or portions of building in which medical, dental psychiatric, nursing, obstetrical, or surgical care is provided. (ADM)


Gas and Vacuum Systems(Chapter 5)

New Section on Cryogenic Systems Working with NFPA 55 on

bulk oxygen requirements Tested for proper function For purity, alarm sensors Operation of the control

sensors Installers need 6015

qualification



Technical Committee rejected annual outlet/inlet testing requirement



Rejected requiring ASSE 6040 (certification of maintenance workers) but recommended it in the annex



Continue to prohibit the use of medical air for any other purpose• Scope cleaning• Decontamination• Laser plume, etc.

Med gasses may only be used for human consumption and calibration



Adding testing and inspection requirements on existing non-stationary medical booms (annually)


Electrical Systems(Chapter 6)

Definition of “Wet Location” changes to “Wet Procedure Located” throughout the entire document



Requires all operating rooms to be wet procedure locations (unless risk assessment is done)


Electrical Receptacle Testing Revise 4.3.4.1.2 to read: “ Additional

testing of receptacles in patient care areas shall be performed at intervals defined by documented performance data, but not exceeding 5 years.”



Permits isolated power or ground fault protection within operating rooms



Requires that overcurrent protection devices only be accessible to authorized personnel and not permitted in public access spaces



Increases number of receptacles General Care – From 4 to 8 Critical Care – From 6 to 14 Operating Rooms – New requirement of 36



Eliminates emergency system heading and equipment system heading and utilizes branches• Life Safety• Critical • EquipmentThis should exempt us from the 700

chapter in the NEC



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)



Added text to permit a 0.1 second delay for selective coordination



Monthly Generator Testing - 10 second transfer not required (Annual Confirmation)



In existing facilities with no separate grounding conductor – annual test requirement Voltage readings Impedance measurements with

conductive surfaces in the areas



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



New section on campus electrical systems being added

Clears up conflicts with NEC


IT and Communication (Chapter 7)

New chapter covers IT rooms Fire protection Nurse call Emergency call Staff emergency assistance


Plumbing(Chapter 8)

New chapter based on categories Potable water Non-potable water Heating water Water conditioning Black waste water Grey waste water Clear waste water


Heating(Chapter 9)

New chapter addresses Heating, cooling and ventilation Humidity control Ventilation system requirements Airborne contaminant controls Ventilation for waste anesthetic gases

disposal system


Medical Equipment(Chapter 10)

Patient Care Vicinity The Technical Committee

rejected expanded definition of the patient vicinity

Proposal stated: an electrical appliance that is intended to be used for diagnostic, therapeutic or monitoring purposes


Gas Equipment(Chapter 11)

New standard allows use of piped 02 for ozone sterilizers

Equipment using medical grade oxygen from the piped distribution system shall meet the following requirements

Not permanently attached Connected using wall outlet or flexible hose Medical device listed by FDA

The TCC will have to address the conflict with Med Gas


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



Requires procedures for Hostage Bomb Threat Workplace Violence Disorderly Conduct Restraining Orders



Identifies known security sensitive areas

Emergency Departments Pediatric and Infant Care units Medication Storage Clinical Labs Forensic Patient Treatment Areas Dementia or Behavior Health Units Communications, data infrastructure and

medical records



Other subjects covered Media control Crowd control Security equipment – follow NFPA

731 Employee practices Security operations


Features of Fire Protection(Chapter 15)

Fire alarm and detection Protection of gas cylinder storage HVAC detection requirements

Comments on sprinklers in closets Comments on defend in place concepts Comments on mobile storage units


Next Steps

Technical committees meet next week

NFPA 99 Goes to annual NFPA meeting

in 2011 for adoption in BOSTON

I predict that 30 items or more will go to a floor vote.


It’s Time for All of Us to Get Involved

1.Become an NFPA member by December 14, 2010

2.Go to Boston for the vote on June 14 and 15, 2011

3.Support Healthcare on the floor


Your Vote Can Make a Difference Last year we removed the 5-year

requirement for an obstruction inspection from NFPA 25; the vote was 43 to 35

Weekly fire pump test was eliminated with a vote of 40 to 40

Last year NFPA 99 got set back to committee with a vote of 73 to 50

This Membership alone could blow those votes out of the water

THANK YOU FOR YOUR TIME.

QUESTIONS?

Dave Dagenais, BS, SASHE, CHFM, CHSP

[email protected]

nfpa 99 2012 edition overview and discussion presented by dave dagenais, bs, sashe, chfm, chsp...

Documents

risk slide

new section

new construction

existing slide

adm slide

qualification slide

calibration slide

annex slide