NFPA 99 - شرکت همیار انرژیhamyarenergy.com/static/fckimages/files/NFPA/Hamyar... · Copyright NFPA NFPA 99 Standard for Health Care Facilities 2005 Edition Copyright

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NFPA99Standardfor

HealthCareFacilities

2005Edition

Copyright2005,NationalFireProtectionAssociation,AllRightsReserved

ThiseditionofNFPA99,StandardforHealthCareFacilities,waspreparedbytheTechnicalCommitteesonAdministration,ElectricalEquipment,ElectricalSystems,GasDeliveryEquipment,HealthCareEmergencyManagement,HyperbaricandHypobaricFacilities,Laboratories,andPipingSystems,releasedbytheTechnicalCorrelatingCommitteeonHealthCareFacilities,andactedonbyNFPAatitsNovemberAssociationTechnicalMeetingheldNovember1317,2004,inMiamiBeach,FL.ItwasissuedbytheStandardsCouncilonJanuary14,2005,withaneffectivedateofFebruary7,2005,andsupersedesallpreviouseditions.

Atentativeinterimamendment(TIA)tosubsection5.1.5.16wasissuedonJanuary14,2005.ForfurtherinformationontentativeinterimamendmentsseeSection5oftheNFPARegulationsGoverningCommitteeProjectsavailableat.

ThiseditionofNFPA99wasapprovedasanAmericanNationalStandardonFebruary7,2005.

OriginandDevelopmentofNFPA99

TheideaforthisdocumentgrewasthenumberofdocumentsundertheoriginalNFPACommitteeonHospitalsgrew.Bytheendof1980,thereexisted12documentsonavarietyofsubjects,11directlyaddressingfirerelatedproblemsinandabouthealthcarefacilities.Thesedocumentscoveredhealthcareemergencypreparedness,inhalationanesthetics,respiratorytherapy,laboratoriesinhealthrelatedinstitutions,hyperbaricfacilities,hypobaricfacilities,inhalationanestheticsinambulatorycarefacilities,homeuseofrespiratorytherapy,medicalsurgicalvacuumsystemsinhospitals,essentialelectricalsystemsforhealthcarefacilities,safeuseofelectricityinpatientcareareasofhealthcarefacilities,andsafeuseofhighfrequencyelectricity inhealthcarefacilities.

AhistoryonthedocumentsthatcoveredthesetopicscanbefoundintheOriginandDevelopmentofNFPA99inthe1984editionofNFPA99.

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WhatwasthentheHealthCareFacilitiesCorrelatingCommitteereviewedthematterbeginninginlate1979andconcludedthatcombiningallthedocumentsunderitsjurisdictionwouldbebeneficialtothosewhousedthosedocuments,forthefollowingreasons:

(1) Thereferenceddocumentswerebeingrevisedindependentlyofeachother.Combiningalltheindividualdocumentsintoonedocumentwouldplaceallofthemonthesamerevisioncycle.

(2) Itwouldplaceinoneunitmanydocumentsthatreferencedeachother.

(3) Itwouldbeaneasierandmorecompletereferenceforthevarioususersofthedocument(e.g.,hospitalengineers,medicalpersonnel,designersandarchitects,andthevarioustypesofenforcingauthorities).

Tolearnifthisproposalwasdesiredordesirabletousersoftheindividualdocuments,theCommitteeissuedarequestforpubliccommentsinthespringof1981,askingwhetherpurchasersoftheindividualdocumentsutilizedmorethanonedocumentinthecourseoftheiractivitiesandwhethercombiningtheseindividualdocumentswouldbebeneficial.Seventyfivepercentofresponsessupportedsuchaproposal,with90percentofhealthcarefacilitiesandorganizationssupportiveofit.Basedonthissupport,theCorrelatingCommitteeproceededwithplanstocombineallthedocumentsunderitsjurisdictionintoonedocument.

InJanuary,1982,acompilationofthelatesteditionofeachofthe12individualdocumentsunderthejurisdictionoftheCorrelatingCommitteewaspublished.ItwasdesignatedNFPA99,HealthCareFacilitiesCode.TheCorrelatingCommitteealsoenteredthedocumentintotherevisioncyclereportingtothe1983FallMeetingforthepurposeofformallyadoptingthedocument.

Forthe1984editionofNFPA99,inadditiontotechnicalchanges,administrativeandorganizationalchangesweremade.

Forthe1987editionofNFPA99,thethirdandfinalstepintheprocessofcombiningthepreviousindividualdocumentstookplacethatofintegratingthecontentoftheseindividualdocumentsintoacohesivedocument.Inaddition,therewereagaintechnicalchangesmade.The1987editionalsosawtheincorporationofNFPA56F,StandardonNonflammableMedicalPipedGasSystems,intoNFPA99.

Forthe1990editionofNFPA99,somestructuralchangesweremadeandsomemodifierswereaddedtomakeiteasiertodeterminewhererequirementsareapplicable.Technicalchangesmadeincludedthefollowing:correlationwithNFPA 101,LifeSafetyCodechangesforcompressedmedicalairsystemsontheuseofgaspoweredmedicaldevicesoperatingatagaugepressureof200psi,andpipedgassystemsingeneralchangesinleakagecurrentlimitsforpatientcareelectricalappliancesclarificationthatpatientcareareasandwetlocationsaremutuallyexclusiveandfurtherguidanceontheeffectsofadisasteronstaff.

Forthe1993editionofNFPA99therewerefurthereffortstomakethedocumentmoreuserfriendly(e.g.,placingallrecommendedguidanceeitherinnotesorintheappendix).Significanttechnicalchangesincludedthefollowing:addingrequirementsand

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recommendationstofurtherpreventorminimizefiresinoperatingroomsmakingmajorchangestorequirementsinChapter4forinstalling,testing,inspecting,verifying,andmaintainingnonflammablemedicalpipedgassystemsaddingnewsectionsondentalcompressedairanddentalvacuumrequirementsinChapter4changingleakagecurrentlimitsofpatientcarerelatedelectricalappliancestocorrelatemorecloselywithaninternationaldocumentonthesubjectrevisinglaboratoryrequirementstocorrelatemorecloselywithNFPA45,StandardforLaboratoriesUsingChemicalschangingessentialelectricalsystemrequirementsinambulatoryhealthcareclinicsandmedical/dentalofficesandextensivelyrevisinghyperbaricchamberrequirements(Chapter19).

Forthe1996editionofNFPA99,furtherchangestomakethedocumentmoreuserfriendlyweremade.TheseincludedrestructuringChapters3and4sothatallrequirementsforaType1,2,or3essentialelectricalsystem,oraLevel1,2,3,or4pipedgasorvacuumsystem,werecontainedinonesection.

Othertechnicalchangesincludedthefollowing:

(1) MovingrequirementsonflammableanesthetizinglocationsandtheuseofflammableinhalationanestheticstoanewAppendix2

(2) Upgradingthesubjectofemergencypreparednessfromguidancetoanewchaptercontainingrequirements

(3) Addinganewchapter(Chapter18)onhomehealthcare

(4) RevisingSection11toreflecttheintentthatNFPA99appliesonlytofacilitiestreatinghumanbeings

(5) InChapter3,revisingloadtestingrequirementsforemergencygeneratorstoreferenceNFPA110,StandardforEmergencyandStandbyPowerSystems,andrevisingemergencylightingcriteriaforoperatingrooms

(6) InChapter4,revisingrequirementsformedicalcompressedairsystems,dentalcompressedairsystems,wasteanestheticgasdisposalsystems,anddentalpipedgas/vacuumsystemsaddinganewsectiononheadwallunits(manufacturedassemblies)andclarifyingandmovingrequirementsfortransfillingcontainersofliquidoxygentoChapter8

(7) InChapter8,addingrequirementsforstorageroomscontainingcylindersandcontainerstotalinglessthan3000ft3

(8) InChapters12to17,revisingcriteriaforgasandvacuumsystems

(9) InChapter19,inadditiontomanytechnicalchanges,addingcriteriaformobilehyperbaricfacilities

Forthe1999edition,significanttechnicalandstructuralchangesincludedthefollowing:

(1) Chapters13,14,and15(onambulatoryhealthcarecenters,clinics,andmedical/dentaloffices,respectively)werereplacedcompletelybynewChapter13coveringhealthcarefacilitiesotherthanhospitals,nursinghomes,andlimitedcarefacilitiesasdefinedinChapter2.

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(2) RequirementsforLevel2gasandvacuumsystemsweredeveloped(Section4.4inChapter4).

(3) Subsections12.3.4,16.3.4,and7.3.4wererevisedtocorrelatewiththetwosignificantchangesin(1)and(2).

(4) InChapter3,loadtestingrequirementsforemergencypowersuppliesoftheessentialelectricalsystemwerechangedthroughreference,andthetestinginterval(monthly)wasrewordedtobemoreresponsivetoneedsofhealthcarefacilities.

(5) Clarificationoftransferswitchesandbranchesoftheemergencysystemwasmade.

(6) Clarificationontheuseofemergencypowersuppliesotherthanforemergencypowerwasmadein3.4.1.1.5.

(7) Paragraph4.3.1.2,DistributionRequirementsforLevel1GasSystems,wascompletelyrevisedandrestructured.

(8) Chapter4wasmademoreuserfriendlybyreducingthenumberofinternalcrossreferencesbetweenSections4.3and4.5.

(9) Theorderofinstallationandtestingrequirementsforpipedgasandvacuumsystemswasrevised.

(10) EmphasisonemergencypreparednesswasmadeinChapter11anditsappendixmaterial.

(11) Chapter19,HyperbaricFacilities,wasextensivelyrevisedintheareasofelectricalwiring,airquality,ventilationlighting,equipment,communication,andsafetymanagement.

(12) Anewchapter(Chapter20)onfreestandingbirthingcenterswasadded.

The2002editionincludedformatandtechnicalrevisions.TheManualofStyleforNFPATechnicalCommitteeDocuments,April2000edition,wasappliedtothisdocument,resultinginchangestoitsstructureandformat.IntroductorymaterialinChapter1wasformattedforconsistencyamongallNFPAdocuments.ReferencedpublicationsthatapplytothedocumentwererelocatedfromthelastchaptertoChapter2,resultingintherenumberingofchapters.Informationalreferencesremainedinthelastannex.Appendicesweredesignatedasannexes.DefinitionsinChapter3werereviewedforconsistencywithdefinitionsinotherNFPAdocuments,weresystematicallyaligned,andwereindividuallynumbered.Paragraphstructuringwasrevisedwiththeintentofonemandatoryrequirementpersection,subsection,orparagraph.InformationthatoftenaccompaniedmanyoftherequirementswasmovedtoAnnexA,ExplanatoryMaterial.Exceptionsweredeletedorrephrasedinmandatorytext,unlesstheexceptionrepresentedanallowanceorrequiredalternateproceduretoageneralrulewhenlimitedspecifiedconditionsexist.ThereformattedappearanceandstructureprovidedcontinuityamongNFPAdocuments,clarityofmandatorytext,andgreatereaseinlocatingspecificmandatorytext.

ThedocumentscopeandindividualchapterscopesdefiningtheintentofeachchapteranddocumentasawholewerelocatedinChapter1.

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TheoccupancyChapters1321statedwhatisrequired,whileChapters412prescribedhowthoserequirementsareachieved.Eachchapterbeganwithasectionexplainingapplicability.InformationconcerningthenatureofhazardswasmovedtoAnnexB.AnnexesAandCretainedexplanatoryinformation,andAnnexes1and2becameAnnexesDandE.InformationalreferenceswereinAnnexF.

ThechangesinChapter4,ElectricalSystems,addressedelectricalwiring,transferswitches,inspection,andapplication.

Chapter5onPipingSystemswasrealignedsothatLevel1requirementswerefoundinSection5.1,andconcurrentlyLevel2inSection5.2andLevel3inSection5.3.Level4associatedwithlaboratorieswasdeleted,withrequirementsrealignedinChapter11onlaboratories.DefinitionsweredevelopedforvacuumsystemsandLevels1,2,and3gassystemsinChapter3.Revisionsweremadetocompressedgascylinderidentificationandrestraintvalveventingventilationofstorageroomsalarmsconnectionoftheelectricalsupplyforcentralsupplysystemswiththeessentialelectricalsystemallowanceofathreewayfullportballvalvetoisolateonebranchorcomponentprovisionsforamonitoredandaudiblelowcontentalarmonthesurgegaswhilebrazingtheallowanceofmedicalairsystemsforapplicationwithhumanrespirationanddeletionof20yearoldappendixinformation.

GasDelivery,Chapter8,includedanewsectiononthestorageofcompressedgascylindersinpatientcareareas.

Chapter11,Laboratories,clarifiedthestructuralprotectionofexits,andintentofportablefireextinguishers.Revisionsweremadeconcerningflammableandcombustibleliquidshandlingrequirements.

Anincreasedfocusonthetotalprocessofmaintainingservicesduringadisaster,mitigatingdamagefromadisaster,andrecoveryfromadisasterwasreflectedinChapter12,EmergencyManagement.Annexedsecurityprograminformationwasexpanded.

Chapter20,HyperbaricFacilities,containedrevisedemergencydepressurizationrequirements,safetydirectorresponsibilities,andemergencyprocedureperformance.

Thechangesmadetothe2005editionaremainlyforclarity,andareeditorialinnature.InChapter3,thedefinitionsformedicalgas,patientmedicalgas,andmedicalsupportgashavebeenmodifiedtodifferentiatebetweenthedifferenttypesofgases.

InChapter4,therequirementsforswitchesandreceptaclesinanesthetizinglocationshavebeenmovedtoChapter13,HospitalRequirements.TheextractedmaterialfromNFPA110,StandardforEmergencyandStandbyPowerSystems,hasbeenupdated.

InChapter5,therequirementsforconstructionmaterialsforfilters,dryers,regulators,vacuumpumps,andaftercoolershavebeenchangedtoallowthemanufacturerstochoosethematerials.

Acentralizedcomputerisnowallowedtobeusedinlieuofoneofthemasteralarms.Cylindersareallowedtobefittedwithameanstoslowtheinitialopeningpressure.Therequirementtoindividuallysecurethecylindershasbeenchangedtonolongerrequirethe

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cylinderstobesecuredindividually.Twonewmethodsformakingjointshavebeenaddedtotherequirements.Stainlesssteeltubinghasbeenaddedasanapprovedmaterialforvacuumsystems.Therequirementtobrazeajointwithin1houraftercleaninghasbeenchangedto8hours.Vacuumjointsmustbeleaktested,andoperationalpressuretestingcannowbeconductedwiththesourcegas.

Chapters6,7,8,9,10,and11haveundergoneminorchangesforclarityorforeditorialreasons.

Chapter12hasbeenrevisedtoupdatethetechniquesusedinemergencymanagementinhealthcarefacilities.

InChapters13,14,15,16,17,18,and19editorialcorrectionshavebeenmade.

Chapter20hasbeenrevisedtoheatingandventilationchangesinthechamber.Additionalrestrictionstothetypesofmaterialsthatareallowedinthechamberhavebeenadded.

TechnicalCorrelatingCommitteeonHealthCareFacilities(HEAAAC)

DouglasS.Erickson,ChairAmericanSocietyforHealthcareEngineering,VI[U]Rep.AmericanSocietyforHealthcareEngineering

ConstanceBobik,B&EFireSafetyEquipmentInc.,FL[IM]

WayneL.Brannan, MedicalUniversityofSouthCarolina,SC[U]Rep.AmericanSocietyofSafetyEngineers

MichaelA.Crowley, TheRJAGroup,Inc.,TX[U]Rep.NFPAHealthCareSection

RichardE.Cutts, U.S.AirForce,TX[E]

JoshuaW.Elvove, U.S.DepartmentofVeteransAffairs,CO[U]Rep.U.S.DepartmentofVeteransAffairs

MarvinJ.Fischer,MonroeTownship,NJ[U]

ThomasW.Gardner,SchirmerEngineeringCorporation,GA[I]

JamesR.Grimm, CDiEngineers,WA[SE]

WilliamE.Koffel,KoffelAssociates,Inc.,MD[SE]

GeorgeF.Stevens, U.S.DepartmentofHealthandHumanServices,AZ[E]Rep.U.S.DepartmentofHealthandHumanServices/IHS

MayerD.Zimmerman,U.S.DepartmentofHealthandHumanServices,MD[E]

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Rep.U.S.DepartmentofHealth&HumanServices/HCFA

Alternates

EugenePhillips, RiskManagementResources,AZ[SE](Alt.toW.L.Brannan)

W.ThomasSchipper, KaiserFoundationHealthPlan,CA[U](Alt.toD.S.Erickson)

SharonStoneGilyeat, KoffelAssociates,Inc.,MD[SE](Alt.toW.E.Koffel)

RichardP.Bielen, NFPAStaffLiaison

ThislistrepresentsthemembershipatthetimetheCommitteewasballotedonthefinaltextofthisedition.Sincethattime,changesinthemembershipmayhaveoccurred.Akeytoclassificationsisfoundatthebackofthedocument.

NOTE:MembershiponacommitteeshallnotinandofitselfconstituteanendorsementoftheAssociationoranydocumentdevelopedbythecommitteeonwhichthememberserves.

CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsthatcontaincriteriaforsafeguardingpatientsandhealthcarepersonnelinthedeliveryofhealthcareserviceswithinhealthcarefacilities,asfollows:

(1) Fromfire,explosion,electrical,andrelatedhazardsresultingeitherfromtheuseofanestheticagents,medicalgasequipment,electricalapparatus,andhighfrequencyelectricity,orfrominternalorexternalincidentsthatdisruptnormalpatientcare

(2) Fromfireandexplosionhazardsassociatedwithlaboratorypractices

(3) Inconnectionwiththeuseofhyperbaricandhypobaricfacilities(NFPA99B)formedicalpurposes

(4) Throughperformance,maintenance,andtestingcriteriaforelectricalsystems,bothnormalandessential

(5) Throughperformance,maintenanceandtesting,andinstallationcriteria,asfollows:

(a) Forvacuumsystemsformedicalorsurgicalpurposes

(b) Formedicalgassystems

TechnicalCommitteeonAdministration(HEAADM)(Chapters1,2,3,and7,andrelatedparagraphsinChapters414and1721)

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MichaelA.Crowley,ChairTheRJAGroup,Inc.,TX[SE]

JamesS.Davidson,Jr.,DavidsonAssociates,DE[SE]

AugustF.DiManno,Jr.,FiremansFundInsuranceCompany,NY[I]

WilliamC.McPeck,StateofMaineEmployeeHealthandSafety,ME[E]

MarkA.Trudzinski, U.S.ArmyMedicalCommand,TX[U]

Alternates

WilliamM.Dorfler, TheRJAGroup,Inc.,IL[SE](Alt.toM.A.Crowley)




CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentsonthescope,application,andintendeduseofdocumentsundertheHealthCareFacilitiesProject,aswellasdefinitionsnotassignedtoothercommitteesintheHealthCareFacilitiesProject.

TechnicalCommitteeonElectricalEquipment(HEAELE)(Chapters8,10,andrelatedparagraphsinChapters13,14,17,18,19,21,andAnnex

D)

LawrenceS.Sandler,ChairV.A.MedicalCenter,CA[U]

SaulAronow,Waban,MA[SE]

YadinDavid,TexasChildrensHospital,TX[U]

AlbertG.Garlatti,IntertekTestingServicesNAInc.,MN[RT]

AlanLipschultz,ChristianaCareHealthServices,DE[SE]Rep.AssociationfortheAdvancementofMedicalInstrumentation

JamesA.Meyer,PettisMemorialVAHospital,CA[C]

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Rep.AmericanSocietyofAnesthesiologists

JosephP.Murnane,UnderwritersLaboratoriesInc.,NY[RT]

LawrenceS.Sandler,U.S.DepartmentofVeteransAffairs,CA[U]

GeorgeF.Stevens,U.S.DepartmentofHealthandHumanServices,AZ[E]

MichaelVelvikis,HighVoltageMaintenanceCorporation,WI[IM]Rep.InterNationalElectricalTestingAssociationInc.

RobertF.Willey,III,SiemensMedicalSystems,Inc.,NJ[M]Rep.HealthIndustryManufacturersAssociation

Alternates

RalphE.Patterson,SETAACTesting,NC[IM](Alt.toM.Velvikis)

DaleWoodin,AmericanSocietyforHealthcareEngineering,IL[U](Alt.toASHERep.)




CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentscoveringthemaintenance,performance,andtestingofequipmentforthepurposeofsafeguardingpatientsandstaffwithinpatientcareareasofhealth carefacilitiesfromthehazardsoffire,explosion,electricity,nonionizingradiation,heat,andelectricalinterference.

TechnicalCommitteeonElectricalSystems(HEAELS)(Chapter4andrelatedparagraphsinChapters13,14,17,18,and21)

HughO.Nash,Jr.,ChairNashLipseyBurch,LLC,TN[SE]

ScottC.Brockman,PostGloverLifeLink,KY[M]

DanChisholm,HealthcareEngineeringNetwork,FL[IM]

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JamesH.Costley,Jr.,Newcomb&Boyd,GA[SE]Rep.NFPAHealthCareSection


HerbertDaugherty,ElectricGeneratingSystemsAssociation,NJ[U]Rep.ElectricalGeneratingSystemsAssociation

JamesR.Iverson,OnanCorporation,MN[M]

LarryLau, U.S.DepartmentofVeteransAffairs,DC[U]Rep.U.S.DepartmentofVeteransAffairs

EdwardA.Lobnitz,TLCEngineeringforArchitecture,FL[SE]

JamesE.Meade, U.S.ArmyCorpsofEngineers,MD[U]

JosephP.Murnane,UnderwritersLaboratoriesInc.,NY[RT]

RonaldM.Smidt,CarolinasHealthCareSystem,NC[U]Rep.AmericanSocietyforHealthcareEngineering

MichaelVelvikis,HighVoltageMaintenanceCorporation,WI[IM]Rep.InterNationalElectricalTestingAssociationInc.

WalterN.Vernon,IV, Mazzetti&AssociatesInc.,CA[SE]

Alternates

LawrenceA.Bey,CumminsWestHawaiiDivision,HI[M](Alt.toJ.R.Iverson)

DouglasS.Erickson,AmericanSocietyforHealthcareEngineering,VI[U](Alt.toR.M.Smidt)

DonaldR.Morelli, TLCEngineeringforArchitecture,FL[SE](Alt.toE.A.Lobnitz)

JeffreyL.Steplowski,U.S.DepartmentofVeteransAffairs,DC[E](Alt.toL.Lau)

HowardStickley, U.S.ArmyCorpsofEngineers,DC[U](Alt.toJ.E.Meade)

HerbertV.Whittall, ElectricalGeneratingSystemsAssociation,FL[U](Alt.toH.Daugherty)

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CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentscoveringperformance,maintenance,andtestingofelectricalsystemsforthepurposeofsafeguardingpatients,staff,andvisitorswithinhealthcarefacilities.

TechnicalCommitteeonGasDeliveryEquipment(HEAGAS)(Chapter9andrelatedparagraphsinChapters6,13,14,17,18,19,21,andAnnexE)

YadinDavid, ChairTexasChildrensHospital,TX[U]

JayCrowley,U.S.DepartmentofHealthandHumanServices,MD[E]

RichardE.Hoffman,Hoffman&Associates,Inc.,KS[M]Rep.AlliedHealthcareProducts,Inc.

AlanLipschultz,ChristianaCareHealthServices,DE[SE]Rep.AssociationfortheAdvancementofMedicalInstrumentation

GeorgeMills,MMEC,Ltd.,IL[U]Rep.AmericanSocietyforHealthcareEngineering

DwightR.(DAK)Quarles,InstituteofExerciseandEnvironmentalMedicine,TX[U]

JayR.Sommers,KimberlyClarkCorporation,GA[M]

RobertM.Sutter, BOCGases,NJ[M]Rep.CompressedGasAssociation

GeraldL.Wolf, SUNY/HSCB,Brooklyn,NY[C]Rep.AmericanSocietyofAnesthesiologists




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CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentsontheperformanceandmaintenancecriteriaforsafeguardingpatientsandhealthcarepersonnelfromfire,explosion,electrical,andrelatedhazardsinanesthetizinglocationsinvolvingtheadministrationofbothflammableandnonflammableanesthetics,includingequipmentandfacilitiesancillarytheretoandtheperformance,maintenance,andtestingofpatientrelatedgasequipmentforthepurposeofsafeguardingpatientsandstaffwithinhealthcarefacilities.

TechnicalCommitteeonHealthCareEmergencyManagement(HEAHCE)(Chapter12andrelatedparagraphsinChapters13,14,17,and18)

RussellPhillips,ChairRussellPhillips&Associates,Inc.,NY[SE]

PeteBrewster,U.S.DeptartmentofVeteransAffairs,IN[U]Rep.U.S.DepartmentofVeteransAffairs

SteveEnnis,TheReciprocalGroup,VA[I]

CurtFogel,NorthDakotaDepartmentofHealth,ND[I]

JamesC.Kendig,Jr., HealthFirst,FL[U]

DavidJ.Kitchin,Milcare,AZ[M]

WilliamC.McPeck,StateofMaineEmployeeHealthandSafety,ME[E]

ThomasA.Salamone,HealthCare&LifeSafetyConcepts,NY[SE]

W.ThomasSchipper,KaiserFoundationHealthPlan,CA[U]Rep.AmericanSocietyforHealthcareEngineering

MichaelL.Sinsigalli,WindsorLocksFireDepartment,CT[E]

GregoryE.Spahr,LossPreventionServices,Inc.,CA[SE]

StevenVargo,RaritanBayMedicalCenter,NJ[U]

RonaldW.Woodfin,TetraTek,Inc.FireSafetyTechnologies,TX[SE]

Alternates

MonteEngel, NorthDakotaDepartmentofHealth,ND[E](Alt.toC.Fogel)

A.RichardFasano,RussellPhillips&Associates,Inc.,CA[SE]

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(Alt.toR.Phillips)

DavidM.Hope, TetraTekInc.FireSafetyTechnologies,TN[SE](Alt.toR.W.Woodfin)

RobertL.Hutchinson,Jr. U.S.DepartmentofVeteransAffairs,NY[U](Alt.toP.Brewster)

SusanB.McLaughlin,SBMConsultingLimited,IL[U](Alt.toW.T.Schipper)




CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentscoveringtheperformanceofhealthcarefacilitiesunderdiasterconditions.

TechnicalCommitteeonHyperbaricandHypobaricFacilities(HEAHYP)(Chapter20andNFPA99B)

WilburT.Workman,ChairUndersea&HyperbaricMedicalSociety,TX[U]Rep.Undersea&HyperbaricMedicalSociety

PeterAtkinson,HyperbaricTechnical&NursesAssociationInc.,Australia[U]

RichardC.Barry, DiversifiedTherapy,FL[SE]

HaroldD.Beeson,U.S.NationalAeronauticsandSpaceAdministration,NM[RT]

WilliamH.L.Dornette,Kensington,MD[SE]

ChristyForeman,U.S.DepartmentofHealthandHumanServices,MD[E]

W.T.Gurne,OxyHealHealthGroup,CA[M]

RobertW.Hamilton,HamiltonResearchLtd.,NY[M]

EricP.Kindwall,MedicalCollegeofWisconsin,WI[U]

MichaelD.Martin,FordMotorCompany,MI[U]

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BarryNewton,WandellHull&Associates,NM[SE]

RussellE.Peterson, EnvironmentalTectonicsCorporation,PA[M]

StephenD.Reimers,ReimersSystems,Inc.,VA[M]

EricA.Schinazi, DukeUniversityMedicalCenter,NC[U]

RobertF.Schumacher,NthSystemsIncorporated,NC[M]

J.RonaldSechrist,SechristIndustries,CA[M]

PaulJ.Sheffield,InternationalATMO,Inc.,TX[U]

HarryG.Vincent, TotalWoundTreatmentCenter,TX[C]Rep.BaromedicalNursesAssociation

Alternates

MichaelW.Allen, EnvironmentalTectonicsCorporation,PA[M](Alt.toR.E.Peterson)

GlennJ.Butler, LifeSupportTechnologies,Inc.,NY[M](Alt.toR.W.Hamilton)

RubenD.Campuzano, Undersea&HyperbaricMedicalSociety,CA[U](Alt.toW.T.Workman)

GregGodfrey,SechristIndustries,Inc.,CA[M](Alt.toJ.R.Sechrist)

RobertB.Sheffield,InternationalATMO,Inc.,TX[U](Alt.toP.J.Sheffield)

EllenC.Smithline,BaystateMedicalCenter,MA[C](Alt.toH.G.Vincent)

JoannaH.Weitershausen,U.S.DepartmentofHealthandHumanServices,MD[E](Alt.toC.Foreman)

HarryT.Whelan,MedicalCollegeofWisconsin,WI[U](Alt.toE.P.Kindwall)

LarryL.Wischhoefer,ReimersSystems,Inc.,WA[M](Alt.toS.D.Reimers)

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CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentscoveringtheconstruction,installation,testing,performance,andmaintenanceofhyperbaricandhypobaricfacilitiesforsafeguardingstaffandoccupantsofchambers.

TechnicalCommitteeonLaboratories(HEALAB)(Chapter11andrelatedparagraphsinChapters6,13,14,17,and18)

SusanB.McLaughlin,ChairSBMConsulting,Ltd.,IL[U]

Rep.AmericanSocietyforHealthcareEngineering

JamesF.Barth,FIREPRO,Incorporated,MA[SE]

JohnFrancisCapron,III,TheClevelandClinicFoundation,OH[U]

JohnP.McCabe,U.S.NationalInstitutesofHealth,MD[E]

JosephineSimmons,U.S.DepartmentofHealthandHumanServices,MD[E]

JamesO.Wear,U.S.DepartmentofVeteransAffairs,AR[U]Rep.NFPAHealthCareSection

Alternates

CarolJacobson,OhioStateUniversityMedicalCenter,OH[U](Alt.toS.B.McLaughlin)

JudithA.Yost,U.S.DepartmentofHealthandHumanServices,MD[E](Alt.toJ.Simmons)



NOTE:Membershiponacommitteeshallnotinandofitselfconstituteanendorsementof

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theAssociationoranydocumentdevelopedbythecommitteeonwhichthememberserves.

CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentscoveringthemaintenanceofequipmentandenvironmentforthepurposeofsafeguardingpatients,visitors,andstaffwithinlaboratoriesinhealthcarefacilities.

TechnicalCommitteeonPipingSystems(HEAPIP)(Chapter5andrelatedparagraphsinChapters13,14,17,18,and21)(SectionsinChapter5coveringgassystemsaresubmittedtotheTechnicalCommitteeon

IndustrialandMedicalGasesforconcurrencebeforesubmittaltotheAssociationforaction)

DavidB.Mohile, ChairMedicalEngineeringServices,Inc.,VA[SE]

MarkW.Allen,BeaconMedical,NC[M]

ChristopherBernecker, H.T.Lyons,Incorporated,PA[IM]

DavidL.Brittain,PROVAC,OH[M]


JamesS.Davidson,Jr.,DavidsonAssociates,DE[SE]

DouglasS.Erickson, AmericanSocietyforHealthcareEngineering,VI[U]Rep.AmericanSocietyforHealthcareEngineering

PeterEsherick,PatientInstrumentationCorporation,PA[SE]

P.L.Fan,AmericanDentalAssociation,IL[U]

MichaelFrankel,UtilitySystemsConsultants,NJ[SE]Rep.AmericanSocietyofPlumbingEngineers

EdwardD.Golla TRI/Airtesting,TX[RT]

BurtonR.Klein, BurtonKleinAssociates,MA[SE]

DavidEricLees,GeorgetownUniversityMedicalCenter,DC[C]Rep.AmericanSocietyofAnesthesiologists

MichaelT.Massey, NationalITCCorporation,CA[L]

RichardL.Miller,MedicalGasTechnologyInc.,NC[SE]

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ThomasJ.Mraulak,MetroDetroitPlumbingIndustryTrainingCenter,MI[L]Rep.AmericanSocietyofSanitaryEngineering

FredC.Quarnstrom,Seattle,WA[U]Rep.AmericanDentalAssociation

E.DanielShoemaker,Matrx,AZ[M]

RonaldM.Smidt,CarolinasHealthCareSystem,NC[U]Rep.NFPAHealthCareSection

EdwardK.Stevenson,LibertyMutualPropertyInsuranceCompany,MA[I]Rep.AllianceofAmericanInsurers

RobertM.Sutter, BOCGases,NJ[M]Rep.CompressedGasAssociation

J.RichardWagner,Poole&KentCompany,MD[IM]Rep.MechanicalContractorsAssociationofAmerica,Inc.

CraigB.Williams,LifeMedicalNetworksInc.,GA[SE]

Alternates

DavidD.Eastman,MetroDetroitPlumbingIndustryTrainingCenter,MI[L](Alt.toT.J.Mraulak)

DavidEsherick,PatientInstrumentationCorporation,PA[SE](Alt.toP.Esherick)

KeithFerrari, Praxair,NC[M](Alt.toR.M.Sutter)

JamesA.Meyer,PettisMemorialVAHospital,CA[C](Alt.toD.E.Lees)

CurtisL.Mezzic, NationalITCCorporation,LA[L](Alt.toM.T.Massey)

DanielN.Miller, MedicalGasTechnologyInc.,NC[SE](Alt.toR.L.Miller)

KennethJ.Muzal, LibertyMutualInsuranceCompany,MA[I](Alt.toE.K.Stevenson)

SharonStanford,AmericanDentalAssociation,IL[U]

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(Alt.toP.L.Fan)

ChristopherSwayze,TheShermanEngineeringCompany,PA[M](Alt.toM.W.Allen)

DaleWoodin,AmericanSocietyforHealthcareEngineering,IL[U](Alt.toD.S.Erickson)




CommitteeScope:ThisCommitteeshallhaveprimaryresponsibilityfordocumentsorportionsofdocumentscoveringtheperformance,maintenance,installation,andtestingofmedicalanddentalrelatedgaspipingsystemsandmedicalanddentalrelatedvacuum pipingsystems.

NFPA99Standardfor

HealthCareFacilities2005Edition

IMPORTANTNOTE:ThisNFPAdocumentismadeavailableforusesubjecttoimportantnoticesandlegaldisclaimers.ThesenoticesanddisclaimersappearinallpublicationscontainingthisdocumentandmaybefoundundertheheadingImportantNoticesandDisclaimersConcerningNFPADocuments.TheycanalsobeobtainedonrequestfromNFPAorviewedatwww.nfpa.org/disclaimers.

NOTICE:Anasterisk(*)followingthenumberorletterdesignatingaparagraphindicatesthatexplanatorymaterialontheparagraphcanbefoundinAnnexA.

Changesotherthaneditorialareindicatedbyaverticalrulebesidetheparagraph,table,orfigureinwhichthechangeoccurred.Theserulesareincludedasanaidtotheuserinidentifyingchangesfromthepreviousedition.Whereoneormorecompleteparagraphshavebeendeleted,thedeletionisindicatedbyabullet()betweentheparagraphsthatremain.

Areferenceinbrackets[]followingasectionorparagraphindicatesmaterialthathasbeenextractedfromanotherNFPAdocument.Asanaidtotheuser,thecompletetitleandeditionofthesourcedocumentsformandatoryextractsaregiveninChapter2andthosefornonmandatoryextractsaregiveninAnnexG.Editorialchangestoextractedmaterialconsistofrevisingreferencestoanappropriatedivisioninthisdocumentortheinclusionofthedocumentnumberwiththedivisionnumberwhenthereferenceistotheoriginaldocument.Requestsforinterpretationsorrevisionsofextractedtextshallbesenttothetechnical

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committeeresponsibleforthesourcedocument.

InformationonreferencedpublicationscanbefoundinChapter2andAnnexG.

FurtherexplanatoryinformationonChapters1through20canbefoundinAnnexC.

Chapter1Administration

1.1Scope.

1.1.1 Thescopeofthisdocumentistoestablishcriteriatominimizethehazardsoffire,explosion,andelectricityinhealthcarefacilitiesprovidingservicestohumanbeings.

1.1.2 Annex Dcoversprinciplesofdesignanduseofelectricalandelectronicappliancesgeneratinghighfrequencycurrentsformedicaltreatmentinhospitals,clinics,ambulatorycarefacilities,anddentaloffices,whetherfixedormobile.

1.1.2.1AreasNotAddressed.Thefollowingareasarenotaddressed:

(1) Communicationequipment,resuscitationequipment(e.g.,defibrillators),orphysiologicalstimulators(e.g.,usedforanesthesia,acupuncture)

(2) Experimentalorresearchapparatusbuilttoorder,orunderdevelopment,providedsuchapparatusisusedunderqualifiedsupervisionandprovidedthebuilderdemonstratestotheauthorityhavingjurisdictionthattheapparatushasadegreeofsafetyequivalenttothatdescribedinAnnex D

1.1.3 Annex Eretainstheestablishedrequirementsthatwouldbenecessaryforthesafeuseofflammableinhalationanestheticsshouldtheuseofthistypeofanestheticbereinstituted.

1.1.4 Chapter4,ElectricalSystems,coverstheperformance,maintenance,andtestingofelectricalsystems(bothnormalandessential)usedwithinhealthcarefacilities.

1.1.4.1AreasNotAddressedinChapter4.ThefollowingareasarenotaddressedinNFPA99,butareaddressedinotherNFPAdocuments:

(1) Specificrequirementsforwiringandinstallationonequipmentarecoveredin NFPA70,NationalElectricalCode.

(2) Requirementsforilluminationandidentificationofmeansofegressinhealthcarefacilitiesarecoveredin NFPA 101,LifeSafetyCode.

(3) Requirementsforfireprotectionsignalingsystems.

(4) Requirementsforfirepumpsarecoveredin NFPA20,StandardfortheInstallationofStationaryPumpsforFireProtection,exceptthatthealternatesourceofpowershallbepermittedtobetheessentialelectricalsystem.

(5) RequirementsfortheinstallationofstationaryenginesandgasturbinesarecoveredinNFPA37,StandardfortheInstallationandUseofStationaryCombustionEnginesandGasTurbines.

1.1.5 Chapter5,GasandVacuumSystems,coverstheperformance,maintenance,

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installation,andtestingofthefollowing:

(1) Nonflammablemedicalgassystemswithoperatingpressuresbelowagaugepressureof2068kPa(300psi)

(2) Vacuumsystemsusedwithinhealthcarefacilities

(3) Wasteanestheticgasdisposal(WAGD)systems,alsoreferredtoasscavenging

(4) Manufacturedassembliesthatareintendedforconnectiontothemedicalgas,vacuum,orWAGDsystems(alsoreferredtoasscavenging)

1.1.5.1AreasNotAddressedinChapter5.RequirementsforportablecompressedgassystemsarecoveredinChapter9,GasEquipment.

1.1.6 Chapter6,EnvironmentalSystems,coverstheperformance,maintenance,andtestingoftheenvironmentalsystemsusedwithinhealthcarefacilities.

1.1.7 Chapter7,Materials,coversthehazardsassociatedwiththeuseofflammableandcombustiblematerialsusedwithinhealthcarefacilities.

1.1.8 Chapter8,ElectricalEquipment,coverstheperformance,maintenance,andtestingofelectricalequipmentusedwithinhealthcarefacilities.

1.1.9 Chapter9,GasEquipment,coverstheperformance,maintenance,andtestingofgasequipmentusedwithinhealthcarefacilities.

1.1.10 Chapter10,ManufacturerRequirements,coverstheperformance,maintenance,andtesting,withregardtosafety,requiredofmanufacturersofequipmentusedwithinhealthcarefacilities.

1.1.11 Chapter11,Laboratories,establishescriteriatominimizethehazardsoffireandexplosionsinlaboratories,asdefinedinChapter3.

1.1.11.1AreasNotAddressedinChapter11.Subsection 1.1.11isnotintendedtocoverhazardsresultingfromanyofthefollowing:

(1) Chemicals

(2) Radioactivematerials

(3)* Biologicalmaterialsthatwillnotresultinfiresorexplosions

1.1.12* Chapter12,HealthCareEmergencyManagement,establishesminimumcriteriaforhealthcarefacilityemergencymanagementinthedevelopmentofaprogramforeffectivedisasterpreparedness,response,mitigation,andrecovery.

1.1.13 Chapter13,HospitalRequirements,addressessafetyrequirementsofhospitals.

1.1.14 Chapter14,OtherHealthCareFacilities,addressessafetyrequirementsforfacilities,orportionsthereof,thatprovidediagnosticandtreatmentservicestopatientsinhealthcarefacilities.Requirementsforspecifichealthcarefacilitiesareaddressedinthefollowingchapters:

(1) HospitalsChapter13

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(2) NursinghomesChapter17

(3) LimitedcarefacilitiesChapter18

1.1.15 Reserved.

1.1.16 Reserved.

1.1.17 Chapter17,NursingHomeRequirements,addressessafetyrequirementsofnursinghomes.

1.1.18 Chapter18,LimitedCareFacilityRequirements,coverssafetyrequirementsoflimitedcarefacilities.

1.1.19 Chapter19,ElectricalandGasEquipmentforHomeCare,addressestherequirementsforthesafeuseofelectricalandgasequipmentusedforhomecaremedicaltreatment.

1.1.20* Chapter20,HyperbaricFacilities,coverstherecognitionofandprotectionagainsthazardsofanelectrical,explosive,orimplosivenature,aswellasfirehazardsassociatedwithhyperbaricchambersandassociatedfacilitiesthatareused,orintendedtobeused,formedicalapplicationsandexperimentalproceduresatgaugepressuresfrom0to690kPa(0to100psi).Chapter20appliestobothsingleandmultipleoccupancyhyperbaricchamberstoanimalchambers,thesizeofwhichprecludeshumanoccupancyandtothoseinwhichthechamberatmospherecontainsanoxygenpartialpressuregreaterthananabsolutepressureof21.3kPa(3.09psi)(0.21atmospheres).

1.1.21 Chapter21,FreestandingBirthingCenters,addressestherequirementsforthesafeuseofelectricalandgasequipment,andforelectrical,gas,andvacuumsystemsusedforthedeliveryandcareofinfantsinfreestandingbirthingcenters.

1.2Purpose.

1.2.1 Thepurposeofthisstandardistoprovideminimumrequirementsfortheperformance,maintenance,testing,andsafepracticesforfacilities,material,equipment,andappliances,includingotherhazardsassociatedwiththeprimaryhazards.

1.3Application.

1.3.1 Thisdocumentshallapplytoallhealthcarefacilities.

1.3.2 Constructionandequipmentrequirementsshallbeappliedonlytonewconstructionandnewequipment,exceptasmodifiedinindividualchapters.Onlythealtered,renovated,ormodernizedportionofanexistingsystemorindividualcomponentshallberequiredtomeettheinstallationandequipmentrequirementsstatedinthisstandard.Ifthealteration,renovation,ormodernizationadverselyimpactsexistingperformancerequirementsofasystemorcomponent,additionalupgradingshallberequired.

1.3.3 Chapters13through 19specifytheconditionsunderwhichtherequirementsofChapters4through 12shallapplyinChapters13through 19.

1.3.4 Thisdocumentisintendedforusebythosepersonsinvolvedinthedesign,

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construction,inspection,andoperationofhealthcarefacilitiesandinthedesign,manufacture,andtestingofappliancesandequipmentusedinpatientcareareasofhealthcarefacilities.Nonflammablepipedmedicalgasescoveredbythisdocumentinclude,butarenotlimitedto,oxygen,nitrogen,nitrousoxide,medicalair,carbondioxide,andhelium.

1.4Equivalency.

1.4.1 Theauthorityhavingjurisdictionfortheenforcementofthisdocumentshallbepermittedtograntexceptionstoitsrequirements.

1.4.2 Nothinginthisstandardisintendedtopreventtheuseofsystems,methods,ordevicesofequivalentorsuperiorquality,strength,fireresistance,effectiveness,durability,andsafetytothoseprescribedbythisstandard.Technicaldocumentation shallbesubmittedtotheauthorityhavingjurisdictiontodemonstrateequivalency.Thesystem,method,ordeviceshallbeapprovedfortheintendedpurposebytheauthorityhavingjurisdiction.

1.5UnitsandFormulas.

1.5.1* Primaryunitswillbetradeunits,secondarywillbetheconversion.Althoughitiscommonpracticeformedicalappliancestohavemetricunitsontheirdials,gauges,andcontrols,manycomponentsofsystemswithinthescopeofthisdocument,whicharemanufacturedandusedintheUnitedStates,employnonmetricdimensions.Sincethesedimensions(suchasnominalpipesizes)arenotestablishedbytheNationalFireProtectionAssociation,theTechnicalCorrelatingCommitteeonHealthCareFacilitiescannotindependentlychangethem.Accordingly,thisdocumentusesdimensionsthatarepresentlyincommonusebythebuildingtradesintheUnitedStates.

1.6StandardAdoptionRequirements.

1.6.1 TheeffectivedateofapplicationofanyprovisionofthisdocumentisnotdeterminedbytheNationalFireProtectionAssociation.Allquestionsrelatedtoapplicabilityshallbedirectedtotheauthorityhavingjurisdiction.

1.6.2Enforcement.Thisstandardshallbeadministeredandenforcedbytheauthorityhavingjurisdictiondesignatedbythegoverningauthority.(SeeAnnexF forasamplewordingforenablinglegislation.)

Chapter2ReferencedPublications

2.1General.

Thedocumentsorportionsthereoflistedinthischapterarereferencedwithinthisstandardandshallbeconsideredpartoftherequirementsofthisdocument.

2.2NFPAPublications.

NationalFireProtectionAssociation,1BatterymarchPark,Quincy,MA021697471.

NFPA10,StandardforPortableFireExtinguishers,2002edition.

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NFPA13,StandardfortheInstallationofSprinklerSystems,2002edition.

NFPA30,FlammableandCombustibleLiquidsCode,2003edition.

NFPA37,StandardfortheInstallationandUseofStationaryCombustionEnginesandGasTurbines,2002edition.

NFPA45,StandardonFireProtectionforLaboratoriesUsingChemicals,2004edition.

NFPA51,StandardfortheDesignandInstallationofOxygenFuelGasSystemsforWelding,Cutting,andAlliedProcesses,2002edition.

NFPA54,NationalFuelGasCode,2002edition.

NFPA55,StandardfortheStorage,Use,andHandlingofCompressedGasesandCryogenicFluidsinPortableandStationaryContainers,Cylinders,andTanks,2005edition.

NFPA58,LiquefiedPetroleumGasCode,2004edition.

NFPA70,NationalElectricalCode,2005edition.

NFPA72,NationalFireAlarmCode,2002edition.

NFPA99B,StandardforHypobaricFacilities,2005edition.

NFPA 101,LifeSafetyCode,2003edition.

NFPA110,StandardforEmergencyandStandbyPowerSystems,2005edition.

NFPA111,StandardonStoredElectricalEnergyEmergencyandStandbyPowerSystems,2005edition.

NFPA220,StandardonTypesofBuildingConstruction,1999edition.

NFPA255,StandardMethodofTestofSurfaceBurningCharacteristicsofBuildingMaterials,2000edition.

NFPA326,StandardfortheSafeguardingofTanksandContainersforEntry,Cleaning,orRepair,2005edition.

NFPA701,StandardMethodsofFireTestsforFlamePropagationofTextilesandFilms,2004edition.

NFPA704,StandardSystemfortheIdentificationoftheHazardsofMaterialsforEmergencyResponse,2001edition.

NFPA1600,StandardonDisaster/EmergencyManagementandBusinessContinuityPrograms,2004edition.

2.3OtherPublications.

2.3.1ANSIPublication.

AmericanNationalStandardsInstitute,Inc.,22West43rdStreet,4thfloor,NewYork,NY10036.

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ANSIC84.1,ElectricPowerSystemsandEquipmentVoltageRatings,1995.

ANSIZ66.1,SpecificationsforPaintsandCoatingsAccessibletoChildrentoMinimizeDryFilmToxicity,1964.

ANSI/NEMAWD6,WiringDevicesDimensionalRequirements,2002.

2.3.2ASMEPublications.

AmericanSocietyofMechanicalEngineers,ThreeParkAvenue,NewYork,NY100165990.

ANSI/ASMEPVHO11990,SafetyStandardforPressureVesselsforHumanOccupancy.

ASMEBoilerandPressureVesselCode,SectionsVIIIandIX,2001.

ASMEB1.20.1,PipeThreads,GeneralPurpose,2001.

ANSI/ASMEB16.50,WroughtCopperandCopperAlloyBrazeJointPressureFittings,2001.

ASMEB31.3,PressureProcessPiping,2002.

ASMEB40.100,PressureGaugesandGaugeAttachments,1998.

ASMEB16.22,WroughtCopperandCopperAlloySolderJointPressureFittings,2001.

2.3.3ASSEPublications.

AmericanSocietyofSanitaryEngineering,28901ClemensRoad,Suite100,Westlake,OH44145.

ASSE6010,ProfessionalQualificationsStandardforMedicalGasSystemsInstallers,2001.

ASSE6030,ProfessionalQualificationsStandardforMedicalGasSystemsVerifiers,2001.

2.3.4ASTMPublications.

AmericanSocietyforTestingandMaterials,100BarrHarborDrive,WestConshohocken,PA194282959.

ASTMA53,StandardSpecificationforPipe,Steel,BlackandHotDipped,ZincCoated,WeldedandSeamless,1994.

ASTMB32,StandardSpecificationforSolderMetal,1996.

ASTMB88,StandardSpecificationforSeamlessCopperWaterTube,2002.

ASTMB280,StandardSpecificationforSeamlessCopperTubingforAirConditioningandRefrigerationFieldService,2002.

ASTMB819,StandardSpecificationforSeamlessCopperTubeforMedicalGasSystems,2000.

ASTMB828,StandardPracticeforMakingCapillaryJointsbySolderingofCopperandCopperAlloyTubeandFittings,2002.

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ASTMD5,StandardTestMethodforPenetrationofBituminousMaterials,1997.

ASTMD2855,StandardPracticeforMakingSolventCementedJointswithPoly(VinylChloride)(PVC)PipeandFittings,1996(2002).

ASTMD2863,StandardTestMethodforMeasuringtheMinimumOxygenConcentrationtoSupportCandlelikeCombustionofPlastics(OxygenIndex)(ANSID2863),1997.

ASTME136,StandardTestMethodforBehaviorofMaterialsinaVerticalTubeFurnaceat750C,1998.

2.3.5AWSPublications.

AmericanWeldingSociety,550N.W.LeJeuneRoad,Miami,FL33126.

ANSI/AWSA5.8,SpecificationforFillerMetalsforBrazingandBrazeWelding,1992.

AWSB2.2,StandardforBrazingProcedureandPerformanceQualification,1991.

2.3.6CDAPublication.

CopperDevelopmentAssociationInc.,260MadisonAvenue,NewYork,NY10016.

CopperTubeHandbook.

2.3.7CGAPublications.

CompressedGasAssociation,4221WalneyRoad,5thFloor,Chantilly,VA201512923.

GCAC7,GuidetothePreparationofPrecautionaryLabelingandMarkingofCompressedGasContainers,2004.

CGAG4,Oxygen,1996.

CGAG4.1,CleaningEquipmentforOxygenService,2004.

CGAG6.1,StandardforInsulatedCarbonDioxideSystemsatConsumerSites,2002.

CGAG6.5,StandardforSmall,StationaryInsulatedCarbonDioxideSupplySystems,2001.

CGAG8.1,StandardforNitrousOxideSystemsatConsumerSites,1990.

CGAM1,GuideforMedicalGasInstallationsatConsumerSites,2003.

CGAO2DIR,DirectoryofCleaningAgentsforOxygenService,Edition4.

CGAP2.5,TransfillingofHighPressureGaseousOxygentobeUsedforRespiration,2000.

CGAP2.6,TransfillingofLiquidOxygentobeUsedforRespiration,1995.

CGAP2.7,GuidefortheSafeStorage,Handling,andUseofPortableLiquidOxygenSystemsinHealthcareFacilities,2000.

CGAV1,CompressedGasAssociationStandardforCompressedGasCylinderValveOutletandInletConnections(ANSIB57.1),2003.

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CGAV5,DiameterIndexSafetySystem(NoninterchangeableLowPressureConnectionsforMedicalGasApplications),2000.

CGAV6,StandardCryogenicLiquidTransferConnection,2000.

2.3.8IECPublication.

ElectrotechnicalCommission,3ruedeVaremb,P.O.Box131,CH1211Geneva20,Switzerland.

IEC6060112,MedicalElectricalEquipmentPart12:GeneralRequirementsforSafetyCollateralStandard:ElectromagneticCompatibilityRequirementsandTests,2004.

2.3.9ISAPublications.

TheInstrumentation,Systems,andAutomationSociety(ISA),67AlexanderDrive,ResearchTrianglePark,NC27709.

ANSI/ISAS7.0.01,QuailityStandardforInstrumentAir,1996.

RP12.6,InstallationofIntrinsicallySafeSystemsinHazardousLocations,1995.

2.3.10MSSPublications.

ManufacturersStandardizationSocietyoftheValveandFittingsIndustry,Inc.,127ParkStreetNE,Vienna,VA22180.

SP58,PipeHangersandSupportsMaterials,Design,andManufacture,2002.

SP69,PipeHangersandSupportsSelectionandApplication,2002.

2.3.11ULPublication.

UnderwritersLaboratoriesInc.,333PfingstenRoad,Northbrook,IL600622096.

UL94,TestforFlammabilityofPlasticMaterialsforPartsinDevicesandAppliances,2001.

2.3.12U.S.GovernmentPublications.

DocumentAutomationandProductionService(DAPS),Building4D,700RobbinsAvenue,Philadelphia,PA191115094,www.dodssp.daps.mil.

MILStandard104C,LimitforElectricalInsulationColor.

U.S.GovernmentCommercialStandard22359,Casters,Wheels,andGlidesforHospitalEquipment.

Chapter3Definitions

3.1General.

Thedefinitionscontainedinthischaptershallapplytothetermsusedinthisstandard.Where

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termsarenotdefinedinthischapterorwithinanotherchapter,theyshallbedefinedusingtheirordinarilyacceptedmeaningswithinthecontextinwhichthey areused.MerriamWebstersCollegiateDictionary,11thedition,shallbethesourcefortheordinarilyacceptedmeaning.

3.2NFPAOfficialDefinitions.

3.2.1*Approved.Acceptabletotheauthorityhavingjurisdiction.

3.2.2*AuthorityHavingJurisdiction(AHJ).Anorganization,office,orindividualresponsibleforenforcingtherequirementsofacodeorstandard,orforapprovingequipment,materials,aninstallation,oraprocedure.

3.2.3*Code.Astandardthatisanextensivecompilationofprovisionscoveringbroadsubjectmatterorthatissuitableforadoptionintolawindependentlyofothercodesandstandards.

3.2.4Guide.Adocumentthatisadvisoryorinformativeinnatureandthatcontainsonlynonmandatoryprovisions.Aguidemaycontainmandatorystatementssuchaswhenaguidecanbeused,butthedocumentasawholeisnotsuitableforadoptionintolaw.

3.2.5Labeled.Equipmentormaterialstowhichhasbeenattachedalabel,symbol,orotheridentifyingmarkofanorganizationthatisacceptabletotheauthorityhavingjurisdictionandconcernedwithproductevaluation,thatmaintainsperiodicinspection ofproductionoflabeledequipmentormaterials,andbywhoselabelingthemanufacturerindicatescompliancewithappropriatestandardsorperformanceinaspecifiedmanner.

3.2.6*Listed.Equipment,materials,orservicesincludedinalistpublishedbyanorganizationthatisacceptabletotheauthorityhavingjurisdictionandconcernedwithevaluationofproductsorservices,thatmaintainsperiodicinspectionofproduction oflistedequipmentormaterialsorperiodicevaluationofservices,andwhoselistingstatesthateithertheequipment,material,orservicemeetsappropriatedesignatedstandardsorhasbeentestedandfoundsuitableforaspecifiedpurpose.

3.2.7Shall.Indicatesamandatoryrequirement.

3.2.8Should.Indicatesarecommendationorthatwhichisadvisedbutnotrequired.

3.2.9Standard.Adocument,themaintextofwhichcontainsonlymandatoryprovisionsusingthewordshalltoindicaterequirementsandwhichisinaformgenerallysuitableformandatoryreferencebyanotherstandardorcodeorforadoptionintolaw.Nonmandatoryprovisionsshallbelocatedinanappendixorannex,footnote,orfineprintnoteandarenottobeconsideredapartoftherequirementsofastandard.

3.3GeneralDefinitions.

3.3.1ACFM.Actualcubicfeetperminute.(PIP)

3.3.2AdiabaticHeating.Theheatingofagascausedbyitscompression.(HYP)

3.3.3Aerosol.Anintimatemixtureofaliquidorasolidinagastheliquidorsolid,calledthedispersedphase,isuniformlydistributedinafinelydividedstatethroughoutthegas,

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whichisthecontinuousphaseordispersingmedium.(GAS)

3.3.4AlarmSystems.

3.3.4.1AreaAlarmSystem.AwarningsystemwithinanareaofusethatprovidescontinuousvisibleandaudiblesurveillanceofLevel1andLevel2medicalgasandvacuumsystems.(PIP)

3.3.4.2Level3AlarmSystem.AwarningsystemwithinanareaofusethatprovidescontinuousvisibleandaudiblesurveillanceofLevel3medicalgassystems.(PIP)

3.3.4.3LocalAlarmSystem.Awarningsystemthatprovidescontinuousvisibleandaudiblesurveillanceofmedicalgasandvacuumsystemsourceequipmentattheequipmentsite.(PIP)

3.3.4.4MasterAlarmSystem.Awarningsystemthatmonitorstheoperationandconditionofthesourceofsupply,thereservesource(ifany),andthepressureinthemainlinesofeachmedicalgasandvacuumpipingsystem.(PIP)

3.3.5AlternatePowerSource.Oneormoregeneratorsets,orbatterysystemswherepermitted,intendedtoprovidepowerduringtheinterruptionofthenormalelectricalserviceorthepublicutilityelectricalserviceintendedtoprovidepowerduringinterruptionofservicenormallyprovidedbythegeneratingfacilitiesonthepremises.(ELS)

3.3.6AmbulatoryHealthCareCenter.Abuildingorportionthereofusedtoprovideservicesortreatmentsimultaneouslytofourormorepatientsthat(1)provides,onanoutpatientbasis,treatmentforpatientsthatrendersthepatientsincapableoftakingactionforselfpreservationunderemergencyconditionswithouttheassistanceofothersor(2)provides,onanoutpatientbasis,anesthesiathatrendersthepatientsincapableoftakingactionforselfpreservationunderemergencyconditionswithouttheassistanceofothers.(ADM)

3.3.7Ampacity.Thecurrent,inamperes,thataconductorcancarrycontinuouslyundertheconditionsofusewithoutexceedingitstemperaturerating.(ELS)

3.3.8Anesthetic.Asusedinthisstandard,appliestoanyinhalationagentusedtoproducerelativeanalgesiaorgeneralanesthesia.(GAS)

3.3.9*AnesthetizingLocation.Anyareaofafacilitythathasbeendesignatedtobeusedfortheadministrationofnonflammableinhalationanestheticagentsinthecourseofexaminationortreatment,includingtheuseofsuchagentsforrelativeanalgesia.(Seealso3.3.158,RelativeAnalgesia.)(GAS)

3.3.10Anoxia.Astateofmarkedlyinadequateoxygenationofthetissuesandblood,ofmoremarkeddegreethanhypoxia.(HYP)

3.3.11Appliance.Utilizationequipment,generallyotherthanindustrial,normallybuiltinstandardizedsizesortypes,thatisinstalledorconnectedasaunittoperformoneormorefunctions.(ELE)

3.3.12*Applicator.Ameansofapplyinghighfrequencyenergytoapatientotherthanbyanelectricallyconductiveconnection.(ELE)

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3.3.13AreaofAdministration.Anypointwithinaroomwithin4.3m(15ft)ofoxygenequipmentoranenclosurecontainingorintendedtocontainanoxygenenrichedatmosphere.(GAS)

3.3.14*Atmosphere.Thepressureexertedby,andgaseouscompositionof,anenvironment.(HYP)

3.3.14.1AmbientAtmosphere.Thepressureandcompositionoftheenvironmentsurroundingachamber.(HYP)

3.3.14.2 AtmosphereAbsolute(ATA).Thepressureoftheearth'satmosphere,760.0mmHg,101.325kPa,or14.7psia.TwoATA=twoatmospheres.(Seealso3.3.14,Atmosphere.)(HYP)

3.3.14.3*AtmosphereofIncreasedBurningRate.Anyatmospherecontainingapercentageofoxygenoroxygenandnitrousoxidegreaterthanthequotientof23.45dividedbythesquarerootofthetotalpressureinatmospheres.(HYP)

3.3.14.4ChamberAtmosphere.Theenvironmentinsideachamber.(HYP)

3.3.15Automatic.Providingafunctionwithoutthenecessityofhumanintervention.(ELS)

3.3.16*Bends.Decompressionsicknesscaissonworkersdisease.(HYP)

3.3.17BranchCircuit.Thecircuitconductorsbetweenthefinalovercurrentdeviceprotectingthecircuitandtheoutlet(s).[70,2005](ELS)

3.3.18BranchLine.See3.3.145,Piping.

3.3.19BulkSystem.Anassemblyofequipment,suchasstoragecontainers,pressureregulators,pressurereliefdevices,vaporizers,manifolds,andinterconnectingpiping,thatterminatesatthesourcevalveofoxygenor1452kg(3200lb)ofnitrousoxideincludingunconnectedreservesonthesite.(PIP)

3.3.19.1BulkNitrousOxideSystem. Anassemblyofequipmentasdescribedinthedefinitionofbulkoxygensystemthathasastoragecapacityofmorethan3200lb(1452kg)[approximately28,000ft3(793m3)(atnormaltemperatureandpressure)]ofnitrousoxide.(PIP)

3.3.19.2*BulkOxygenSystem. Anassemblyofequipmentsuchasoxygenstoragecontainers,pressureregulators,pressurereliefdevices,vaporizers,manifolds,andinterconnectingpipingthathasastoragecapacityofmorethan566m3(20,000ft3)ofoxygen(atnormaltemperatureandpressure)includingunconnectedreservesonhandatthesite.(PIP)

3.3.20ColdRoom.Arefrigeratedarealargeenoughforpersonneltoenter.(LAB)

3.3.21Combustible.Capableofundergoingcombustion.(GAS)

3.3.22*CombustibleLiquid.Aliquidhavingaflashpointatorabove37.8C(100F).Combustibleliquidsshallbesubdividedasfollows:(a)ClassIIliquidsshallincludethosehavingflashpointsatorabove37.8C(100F)andbelow60C(140F)(b)ClassIIIAliquidsshallincludethosehavingflashpointsatorabove60C(140F)andbelow93C

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(200F)(c)ClassIIIBliquidsshallincludethosehavingflashpointsatorabove93C(200F).(LAB)

3.3.23*Combustion.Achemicalprocess(suchasoxidation)accompaniedbytherapidevolutionofheatandlight.(GAS)

3.3.24CombustionProducts.Thegases,volatilizedliquidsandsolids,particulatematter,andashgeneratedbycombustion.(GAS)

3.3.25Container.Alowpressure,vacuuminsulatedvesselcontaininggasesinliquidform.(GAS)

3.3.26CriticalBranch.Asubsystemoftheemergencysystemconsistingoffeedersandbranchcircuitssupplyingenergytotaskillumination,specialpowercircuits,andselectedreceptaclesservingareasandfunctionsrelatedtopatientcareandthatareconnectedtoalternatepowersourcesbyoneormoretransferswitchesduringinterruptionofnormalpowersource.(ELS)

3.3.27CriticalCareArea.See3.3.138,PatientCareArea.

3.3.28CriticalEquipment.Thatequipmentessentialtothesafetyoftheoccupantsofthefacility.(HYP)

3.3.29CriticalSystem.Asystemoffeedersandbranchcircuitsinnursinghomesandcustodialcarefacilitiesarrangedforconnectiontothealternatepowersourcetorestoreservicetocertaincriticalreceptacles,taskillumination,andequipment.(ELS)

3.3.30Cylinder.Asupplytankcontaininghighpressuregasesorgasmixturesatpressuresthatcanbeinexcessof2000psigauge(13.8kPagauge).(GAS)

3.3.31DecompressionSickness.Asyndromeduetoevolvedgasinthetissuesresultingfromareductioninambientpressure.(HYP)

3.3.32Detonation.Anexothermicreactionwhereinthereactionpropagatesthroughtheunreactedmaterialatarateexceedingthevelocityofsound,hencetheexplosivenoise.(GAS)

3.3.33*DirectElectricalPathwaytotheHeart.Anexternalizedconductivepathway,insulatedexceptatitsends,oneendofwhichisindirectcontactwithheartmusclewhiletheotherisoutsidethebodyandisaccessibleforinadvertentorintentionalcontactwithgroundedobjectsorenergized,groundreferencedsources.(ELE)

3.3.34*Disaster.Withinthecontextofthisdocument,adisasterisdefinedasanyunusualoccurrenceorunforeseensituationthatseriouslyovertaxesorthreatenstoseriouslyovertaxtheroutinecapabilitiesofahealthcarefacility.(HCE)

3.3.35D.I.S.S.Connector.AsystemofnoninterchangeablemedicalgasandvacuumconnectorscomplyingwithCGAV5,DiameterIndexSafetySystem(NoninterchangeableLowPressureConnectionsforMedicalGasApplications).(PIP)

3.3.36*DoubleInsulatedAppliances.Applianceswheretheprimarymeansofprotectionagainstelectricalshockisnotgrounding.Theprimarymeansisbytheuseofcombinationsof

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insulationandseparationspacingsinaccordancewithanapprovedstandard.(ELE)

3.3.37ElectricalLifeSupportEquipment.Electricallypoweredequipmentwhosecontinuousoperationisnecessarytomaintainapatientslife.(ELS)

3.3.38Electrode.Anelectricallyconductiveconnectiontoapatient.(ELE)

3.3.38.1ActiveElectrode. Anelectrodeintendedtogenerateasurgicalorphysiologicaleffectatitspointofapplicationtothepatient.(ELE)

3.3.38.2BipolarElectrode.Anelectrodeconsistingofadjacentcontacts(e.g.,thetwolegsofaforceps)suchthatthecurrentpassesbetweenthepairofcontactsgeneratingtheintendedeffect.(ELE)

3.3.38.3*DispersiveElectrode. Anelectrode,intendedtocompletetheelectricalpathbetweenpatientandapplianceandatwhichnosurgicaleffectisintended.(ELE)

3.3.39EmergencyManagement.Theactofdevelopingproceduresandplanstocreateeffectivepreparedness,mitigation,response,andrecoveryduringadisasteraffectingahealthcarefacility.(HCE)

3.3.40EmergencyOxygenSupplyConnection.Anassemblyofequipmentwhichpermitsagassuppliertomakeatemporaryconnectiontosupplyoxygentoabuildingwhichhashaditsnormalsourceofoxygendisconnected.(PIP)

3.3.41EmergencySystem.Asystemofcircuitsandequipmentintendedtosupplyalternatepowertoalimitednumberofprescribedfunctionsvitaltotheprotectionoflifeandsafety.(ELS)

3.3.42EquipmentGroundingBus.Agroundingterminalbusinthefeedercircuitofthebranchcircuitdistributionpanelthatservesaparticulararea.(ELE)

3.3.43EquipmentSystem.Asystemoffeedersandbranchcircuitsarrangedfordelayed,automatic,ormanualconnectionthealternatepowersourceandthatservesprimarily3phasepowerequipment.(ELS)

3.3.44EssentialElectricalSystem.Asystemcomprisedofalternatesourcesofpowerandallconnecteddistributionsystemsandancillaryequipment,designedtoensurecontinuityofelectricalpowertodesignatedareasandfunctionsofahealthcarefacilityduringdisruptionofnormalpowersources,andalsotominimizedisruptionwithintheinternalwiringsystem.(ELS)

3.3.45EvacuationWasteGas.See3.3.184,WasteAnestheticGasDisposal.

3.3.46ExposedConductiveSurfaces.Thosesurfacesthatarecapableofcarryingelectriccurrentandthatareunprotected,uninsulated,unenclosed,orunguarded,permittingpersonalcontact.(ELE)

3.3.47*Failure.Anincidentthatincreasesthehazardtopersonnelorpatientsorthataffectsthesafefunctioningofelectricappliancesordevices.(ELE)

3.3.48FaultCurrent.Acurrentinanaccidentalconnectionbetweenanenergizedandagroundedorotherconductiveelementresultingfromafailureofinsulation,spacing,or

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containmentofconductors.(ELS)

3.3.49Feeder.Allcircuitconductorsbetweentheserviceequipment,thesourceofaseparatelyderivedsystem,orotherpowersupplysourceandthefinalbranchcircuitovercurrentdevice.(ELS)

3.3.50*FlameResistant.ThepropertyofamaterialthatpassesthesmallscaletestinNFPA701,StandardMethodsofFireTestsforFlamePropagationofTextilesandFilms.(HYP)

3.3.51*Flammable.Acombustiblethatiscapableofeasilybeingignitedandrapidlyconsumedbyfire.(LAB)

3.3.52FlammableGas.Anysubstancethatexistsinthegaseousstateatnormalatmospherictemperatureandpressureandiscapableofbeingignitedandburnedwhenmixedwithproperproportionofair,oxygen,orotheroxidizers.(HYP)

3.3.53FlammableLiquid.Aliquidthathasaclosedcupflashpointthatisbelow37.8C(100F)andamaximumvaporpressureof2068mmHg(40psiabsolute)at37.8C(100F).(LAB)

3.3.54*FlashPoint.Theminimumtemperatureatwhichaliquidgivesoffvaporinsufficientconcentrationtoformanignitablemixturewithairnearthesurfaceoftheliquidwithinthevessel,asspecifiedbyappropriatetestproceduresandapparatus.(LAB)

3.3.55FlowControlValve.Avalve,usuallyaneedlevalve,thatpreciselycontrolsflowofgas.(GAS)

3.3.56Flowmeter.Adeviceformeasuringvolumetricflowratesofgasesandliquids.(GAS)

3.3.56.1PressureCompensatedFlowmeter.Aflowmeterindicatingaccurateflowofgaswhetherthegasisdischargedintoambientpressureorintoasystematnonambientpressure.(GAS)

3.3.57FreestandingBirthingCenter.Afacilityinwhichlowriskbirthsareexpectedfollowingnormal,uncomplicatedpregnancies,andinwhichprofessionalmidwiferycareisprovidedtowomenduringpregnancy,birth,andpostpartum.(ADM)

3.3.58*Frequency.Thenumberofoscillations,perunittime,ofaparticularcurrentorvoltagewaveform.Theunitoffrequencyisthehertz.(ELE)

3.3.59*FumeHood.Anenclosuredesignedtodrawairinwardbymeansofmechanicalventilation.(LAB)

3.3.60GasPoweredSystem.ALevel3gasdistributionsystemcomprisedofcomponentpartsincludingbutnotlimitedtocylinders,manifolds,aircompressor,motor,receivers,controls,filters,dryers,valves,andpipingthatdeliverscompressedairornitrogenatpressureslessthan1100kPa(lessthan160psi)gaugetopowerdevices(e.g.,handpieces,syringes,cleaningdevices)asapowersource.(PIP)

3.3.61GeneralCareArea.See3.3.138,PatientCareArea.

3.3.62GoverningBody.Thepersonorpersonswhohavetheoveralllegalresponsibilityfor

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theoperationofahealthcarefacility.(ADM)

3.3.63GroundFaultCircuitInterrupter(GFCI).Adeviceintendedfortheprotectionofpersonnelthatfunctionstodeenergizeacircuitorportionthereofwithinanestablishedperiodoftimewhenacurrenttogroundexceedssomepredeterminedvaluethatislessthanthatrequiredtooperatetheovercurrentprotectivedeviceofthesupplycircuit.(ELS)

3.3.64Grounding.See3.3.65,GroundingSystem.

3.3.65*GroundingSystem.Asystemofconductorsthatprovidesalowimpedancereturnpathforleakageandfaultcurrents.(ELS)

3.3.66HazardCurrent.Foragivensetofconnectionsinanisolatedpowersystem,thetotalcurrentthatwouldflowthroughalowimpedanceifitwereconnectedbetweeneitherisolatedconductorandground.(ELS)

3.3.66.1FaultHazardCurrent.Thehazardcurrentofagivenisolatedpowersystemwithalldevicesconnectedexceptthelineisolationmonitor.(ELS)

3.3.66.2MonitorHazardCurrent. Thehazardcurrentofthelineisolationmonitoralone.(ELS)

3.3.66.3TotalHazardCurrent.Thehazardcurrentofagivenisolatedsystemwithalldevices,includingthelineisolationmonitor,connected.(ELS)

3.3.67*HazardousChemical.Achemicalwithoneormoreofthefollowinghazardratingsasdefinedin NFPA704,StandardSystemfortheIdentificationoftheHazardsofMaterialsforEmergencyResponse:Health2,3,or4Flammability2,3,or4Reactivity2,3,or4.(LAB)

3.3.68*HealthCareFacilities.Buildingsorportionsofbuildingsinwhichmedical,dental,psychiatric,nursing,obstetrical,orsurgicalcareisprovided.(ADM)

3.3.69HomeCare.Medicalservices(equipment)providedinresidentialoccupancies.(ADM)

3.3.70Hospital.Abuildingorportionthereofusedona24hourbasisforthemedical,psychiatric,obstetrical,orsurgicalcareoffourormoreinpatients.[101,2003](ADM)

3.3.71HospitalBased.Intheinterpretationandapplicationofthisdocument,physicallyconnectedtoahospital.(GAS)

3.3.72Humidifier.Adeviceusedforaddingwatervaportoinspiredgas.(GAS)

3.3.73Hyperbaric.Facility,building,orstructureusedtohousechambersandallauxiliaryserviceequipmentformedicalapplicationsandproceduresatpressuresabovenormalatmosphericpressures.(HYP)

3.3.74HyperbaricOxygenation.Theapplicationofpureoxygenoranoxygenenrichedgaseousmixturetoasubjectatelevatedpressure.(HYP)

3.3.75Hypobaric.Facility,building,orstructureusedtohousechambersandallauxiliaryserviceequipmentformedicalapplicationsandproceduresatpressuresbelowatmospheric

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pressures.(HYP)

3.3.76Hypoxia.Astateofinadequateoxygenationofthebloodandtissuesufficienttocauseimpairmentoffunction.[99B,2005](HYP)

3.3.77ImmediateRestorationofService.Automaticrestorationofoperationwithaninterruptionofnotmorethan10seconds.(ELS)

3.3.78*Impedance.Impedanceistheratioofthevoltagedropacrossacircuitelementtothecurrentflowingthroughthesamecircuitelement.Theunitofimpedanceistheohm.(ELE)

3.3.79IncidentCommandSystem(ICS).Thecombinationoffacilities,equipment,personnel,procedures,andcommunicationsoperatingwithinacommonorganizationalstructurethathasresponsibilityforthemanagementofassignedresourcestoeffectivelyaccomplishstatedobjectivespertainingtoanincidentortrainingexercise.[1670,2004](HCE)

3.3.80InstrumentAir.Forthepurposesofthisstandard,instrumentairisairintendedforthepoweringofmedicaldevicesunrelatedtohumanrespiration(e.g.,surgicaltools,ceilingarms).Medicalairandinstrumentairaredistinctsystemsformutuallyexclusiveapplications.Instrumentairisamedicalsupportgasthatfallsunderthegeneralrequirementsformedicalgases.(PIP)

3.3.81IntermittentPositivePressureBreathing(IPPB).Ventilationofthelungsbyapplicationofintermittentpositivepressuretotheairway.(GAS)

3.3.82*IntrinsicallySafe.Asappliedtoequipmentandwiring,equipmentandwiringthatareincapableofreleasingsufficientelectricalenergyundernormalorabnormalconditionstocauseignitionofaspecifichazardousatmosphericmixture.(HYP)

3.3.83InvasiveProcedure.Anyprocedurethatpenetratestheprotectivesurfacesofapatientsbody(i.e.,skin,mucousmembrane,cornea)andthatisperformedwithanasepticfield(proceduralsite).[Notincludedinthiscategoryareplacementofperipheralintravenousneedlesorcathetersusedtoadministerfluidsand/ormedications,gastrointestinalendoscopies(i.e.,sigmoidoscopies),insertionofurethralcatheters,andothersimilarprocedures.](ELS)

3.3.84IsolatedPatientLead.Apatientleadwhoseimpedancetogroundortoapowerlineissufficientlyhighthatconnectingtheleadtoground,ortoeitherconductorofthepowerline,resultsincurrentflowbelowahazardouslimitinthelead.(ELE)

3.3.85*IsolatedPowerSystem.Asystemcomprisinganisolatingtransformeroritsequivalent,alineisolationmonitor,anditsungroundedcircuitconductors.(ELS)

3.3.86IsolationTransformer.Atransformerofthemultiplewindingtype,withtheprimaryandsecondarywindingsphysicallyseparated,thatinductivelycouplesitsungroundedsecondarywindingtothegroundedfeedersystemthatenergizesitsprimarywinding.(ELS)

3.3.87*Laboratory.Abuilding,space,room,orgroupofroomsintendedtoserveactivitiesinvolvingproceduresforinvestigation,diagnosis,ortreatmentinwhichflammable,

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combustible,oroxidizingmaterialsaretobeused.(LAB)

3.3.88*LaboratoryWorkArea.Aroomorspacefortesting,analysis,research,instruction,orsimilaractivitiesthatinvolvetheuseofchemicals.Thisworkareamayormaynotbeenclosed.(LAB)

3.3.89LeakageCurrent.Anycurrent,includingcapacitivelycoupledcurrent,notintendedtobeappliedtoapatient,thatisconveyedfromexposedconductivepartsofanappliancetogroundortootheraccessiblepartsofanappliance.(ELE)

3.3.90Level1MedicalPipedGasandVacuumSystems.Systemsservingoccupancieswhereinterruptionofthepipedmedicalgasandvacuumsystemwouldplacepatientsinimminentdangerofmorbidityormortality.(PIP)

3.3.91Level1VacuumSystem.Asystemconsistingofcentralvacuumproducingequipmentwithpressureandoperatingcontrols,shutoffvalves,alarmwarningsystems,gauges,andanetworkofpipingextendingtoandterminatingwithsuitablestationinletsatlocationswherepatientsuctioncouldberequired.(PIP)

3.3.92Level2MedicalPipedGasandVacuumSystems.Systemsservingoccupancieswhereinterruptionofthepipedmedicalgasandvacuumsystemwouldplacepatientsatmanageableriskofmorbidityormortality.(PIP)

3.3.93*Level3CompressedAirSystem.Asystemofcomponentparts,including,butnotlimitedto,aircompressor,motor,receiver,controls,filters,dryers,valves,andpiping,thatdeliverscompressedair

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kJ/kg(3500Btu/lb)andcomplieswithoneofthefollowing:(a)materialshavingastructuralbaseofnoncombustiblematerial,withasurfacingnotexceedingathicknessof3.2mm(in.)andhavingaflamespreadratingnotgreaterthan50or(b)materials,intheformandthicknessused,otherthanasdescribedin(a),havingneitheraflamespreadratinggreaterthan25norevidenceofcontinuedprogressivecombustionandofsuchcompositionthatsurfacesthatwouldbeexposedbycuttingthrough thematerialonanyplanewouldhaveneitheraflamespreadratinggreaterthan25norevidenceofcontinuedprogressivecombustion.(PIP)

3.3.99LineIsolationMonitor.Atestinstrumentdesignedtocontinuallycheckthebalancedandunbalancedimpedancefromeachlineofanisolatedcircuittogroundandequippedwithabuiltintestcircuittoexercisethealarmwithoutaddingtotheleakagecurrenthazard.(ELS)

3.3.100*Liquid.Anymaterialthathasafluiditygreaterthanthatof300penetrationasphaltwhentestedinaccordancewithASTMD5,StandardTestMethodforPenetrationofBituminousMaterials.[30,2003](LAB)

3.3.101*LocalSignal.Avisibleindicationoftheoperatingstatusofequipment.(PIP)

3.3.102mA.Milliampere.

3.3.103Manifold.Adeviceforconnectingtheoutletsofoneormoregascylinderstothecentralpipingsystemforthatspecificgas.(PIP)

3.3.104*ManufacturedAssembly.Afactoryassembledproductdesignedforaestheticsorconveniencethatcontainsmedicalgasorvacuumoutlets,piping,orotherdevicesrelatedtomedicalgases.(PIP)

3.3.105Mask.Adevicethatfitsoverthemouthandnose(oronasal)ornose(nasal),usedtoadministergasestoapatient.(GAS)

3.3.106*MedicalAir.Forpurposesofthisstandard,medicalairisairsuppliedfromcylinders,bulkcontainers,medicalaircompressors,orhasbeenreconstitutedfromoxygenUSPandoilfree,drynitrogenNF.

3.3.107MedicalAirCompressor.Acompressorthatisdesignedtoexcludeoilfromtheairstreamandcompressionchamberandthatdoesnotundernormaloperatingconditionsoranysinglefaultaddanytoxicorflammablecontaminantstothecompressedair.(PIP)

3.3.108*Medical/DentalOffice.Abuildingorpartthereofinwhichthefollowingoccur:(1)Examinationsandminortreatments/proceduresareperformedunderthecontinuoussupervisionofamedical/dentalprofessional(2)Onlysedationorlocalanesthesiaisinvolvedandtreatmentorproceduresdonotrenderthepatientincapableofselfpreservationunderemergencyconditions(3)Overnightstaysforpatientsor24houroperationarenotprovided.(ADM)

3.3.109MedicalGas.Apatientmedicalgasormedicalsupportgas.(Seealso3.3.143,PatientMedicalGasand3.3.111,MedicalSupportGas.)(PIP)

3.3.110MedicalGasSystem.Anassemblyofequipmentandpipingforthedistributionof

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nonflammablemedicalgasessuchasoxygen,nitrousoxide,compressedair,carbondioxide,andhelium.(PIP)

3.3.111MedicalSupportGas.Pipedgasessuchasnitrogenandinstrumentairthatareusedtosupportmedicalproceduresbyoperatingmedicalsurgicaltools,equipmentbooms,pendants,andsimilarmedicalsupportapplications.

3.3.112MedicalSurgicalVacuum.Amethodusedtoprovideasourceofdrainage,aspiration,andsuctioninordertoremovebodyfluidsfrompatients.(PIP)

3.3.113MedicalSurgicalVacuumSystem.Anassemblyofcentralvacuumproducingequipmentandanetworkofpipingforpatientsuctioninmedical,medicalsurgical,andwasteanestheticgasdisposal(WAGD)applications.(PIP)

3.3.114MultipleTreatmentFacility.Adiagnosticortreatmentcomplexunderasinglemanagementcomprisinganumberofsingletreatmentfacilities,whichcanbeaccessedonefromtheotherwithoutexitingthefacility(i.e.,doesnotinvolvewidelyseparatedlocationsorseparatedistinctpractices).(ADM)

3.3.115mV.Millivolt.

3.3.116NasalCannula.Deviceconsistingoftwoshorttubestobeinsertedintothenostrilstoadministeroxygenorothertherapeuticgases.(GAS)

3.3.117NasalCatheter.Aflexibletubeforinsertionthroughthenoseintothenasopharynxtoadministeroxygenorothertherapeuticgases.(GAS)

3.3.118Nebulizer.Adeviceusedforproducinganaerosolofwaterand/ormedicationwithininspiredgassupply.(GAS)

3.3.119NegativePressure.Pressurelessthanatmospheric.(GAS)

3.3.120Nitrogen.Anelementthat,atatmospherictemperaturesandpressures,existsasaclear,colorless,andtastelessgasitcomprisesapproximatelyfourfifthsoftheearthsatmosphere.(GAS)

3.3.120.1NitrogenNF(OilFree,Dry).Nitrogencomplyingasaminimumwithoilfree,drynitrogenNF.(PIP)

3.3.121*NitrogenNarcosis.Aconditionresemblingalcoholicinebriation,whichresultsfrombreathingnitrogenintheairundersignificantpressure.(HYP)

3.3.122NitrousOxide.Aninorganiccompound,oneoftheoxidesofnitrogen.Itexistsasagasatatmosphericpressureandtemperature,possessesasweetishsmell,andisusedforinducinganesthesiawheninhaled.Theoxygeninthecompoundwillbereleasedunderconditionsofcombustion,creatinganoxygenenrichedatmosphere.(GAS)

3.3.123Noncombustible(Hyperbaric).Anadjectivedescribingasubstancethatwillnotburnin955percentoxygenatpressuresupto3ATA(44.1psia).(HYP)

3.3.124Noncombustible(Hypobaric).Anadjectivedescribingasubstancethatwillnotburnin95percent,plusorminus5percentoxygenatpressuresof101.325kPa(760mmHg).(HYP)

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3.3.125*NoncombustibleMaterial.Amaterial(asdefinedin NFPA220,StandardonTypesofBuildingConstruction)that,intheforminwhichitisusedandundertheconditionsanticipated,willnotignite,burn,supportcombustion,orreleaseflammablevaporswhensubjectedtofireorheat.(PIP)

3.3.126Nonflammable.Anadjectivedescribingasubstancethatwillnotburnundertheconditionssetforthinthedefinitionofflameresistant.(HYP)

3.3.127*NonflammableAnestheticAgent.Referstothoseinhalationagentsthat,becauseoftheirvaporpressureat37C(98.6F)andatatmosphericpressure,cannotattainflammableconcentrationswhenmixedwithair,oxygen,ormixturesofoxygenandnitrousoxide.(GAS)

3.3.128*NonflammableMedicalGasSystem.See3.3.110,MedicalGasSystem.

3.3.129NursingHome.Abuildingorportionofabuildingusedona24hourbasisforthehousingandnursingcareoffourormorepersonswho,becauseofmentalorphysicalincapacity,mightbeunabletoprovidefortheirownneedsandsafetywithouttheassistanceofanotherperson.(ADM)

3.3.130*OxidizingGas.Agasthatsupportscombustion.(HYP)

3.3.131*Oxygen.Anelementthat,atatmospherictemperaturesandpressures,existsasacolorless,odorless,tastelessgas.(GAS)

3.3.131.1GaseousOxygen.Acolorless,odorless,andtastelessgasalso,thephysicalstateoftheelementatatmospherictemperatureandpressure.(GAS)

3.3.131.2*LiquidOxygen.Existsatcryogenictemperature,approximately184.4C(300F)atatmosphericpressure.Itretainsallofthepropertiesofgaseousoxygen,but,inaddition,whenallowedtowarmtoroomtemperatureatatmosphericpressure,itwillevaporateandexpandtofillavolume860timesitsliquidvolume.(GAS)

3.3.132*OxygenDeliveryEquipment.Anydeviceusedtotransportanddeliveranoxygenenrichedatmospheretoapatient.(GAS)

3.3.133OxygenEnrichedAtmosphere.Forthepurposeofthisstandard,andonlyforthepurposeofthisstandard,anatmosphereinwhichtheconcentrationofoxygenexceeds23.5percentbyvolume.(HYP)

3.3.134OxygenHood.Adeviceencapsulatingapatientsheadandusedforapurposesimilartothatofamask.(Seealso3.3.105,Mask.)(HYP)

3.3.135OxygenIndex.Theminimumconcentrationofoxygen,expressedaspercentbyvolume,inamixtureofoxygenandnitrogenthatwilljustsupportcombustionofamaterialunderconditionsofASTMD2863,StandardTestMethodforMeasuringtheMinimumOxygenConcentrationtoSupportCandleLikeCombustionofPlastics(OxygenIndex).(HYP)

3.3.136*OxygenToxicity(Hyperbaric).Physicalimpairmentresultingfrombreathinggaseousmixturescontainingoxygenenrichedatmospheresatelevatedpartialpressuresfor

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extendedperiodsoftime.(HYP)

3.3.137PatientBedLocation.Thelocationofapatientsleepingbed,orthebedorproceduretableofacriticalcarearea.(ELS)

3.3.138*PatientCareArea.Anyportionofahealthcarefacilitywhereinpatientsareintendedtobeexaminedortreated.(ELE)

3.3.138.1*CriticalCareAreas.Thosespecialcareunits,intensivecareunits,coronarycareunits,angiographylaboratories,cardiaccatheterizationlaboratories,deliveryrooms,operatingrooms,postanesthesiarecoveryrooms,emergencydepartments,andsimilarareasinwhichpatientsareintendedtobesubjectedtoinvasiveproceduresandconnectedtolineoperated,patientcarerelatedelectricalappliances.

3.3.138.2*GeneralCareAreas.Patientbedrooms,examiningrooms,treatmentrooms,clinics,andsimilarareasinwhichitisintendedthatthepatientwillcomeincontactwithordinaryappliancessuchasanursecallsystem,electricbeds,examininglamps,telephones,andentertainmentdevices.(ELE)

3.3.139PatientCareRelatedElectricalAppliance.Anelectricalappliancethatisintendedtobeusedfordiagnostic,therapeutic,ormonitoringpurposesinapatientcarevicinity.(ELE)

3.3.140PatientCareVicinity.Aspace,withinalocationintendedfortheexaminationandtreatmentofpatients,extending1.8m(6ft)beyondthenormallocationofthebed,chair,table,treadmill,orotherdevicethatsupportsthepatientduringexaminationandtreatmentandextendingverticallyto2.3m(7ft6in.)abovethefloor.(ELE)

3.3.141PatientEquipmentGroundingPoint.Ajackorterminalthatservesasthecollectionpointforredundantgroundingofelectricappliancesservingapatientcarevicinityorforgroundingotheritemsinordertoeliminateelectromagneticinterferenceproblems.(ELE)

3.3.142*PatientLead.Anydeliberateelectricalconnectionthatcancarrycurrentbetweenanapplianceandapatient.(ELE)

3.3.143PatientMedicalGas.Pipedgasessuchasoxygen,nitrousoxide,helium,carbondioxide,andmedicalairthatareusedintheapplicationofhumanrespirationandthecalibrationofmedicaldevicesusedforhumanrespiration.(PIP)

3.3.144PipedDistributionSystem.Apipelinenetworkassemblyofequipmentthatstartsatandincludesthesourcevalve,warningsystems(master,area,localalarms),bulkgassystemsignalactuatingswitchwiring,interconnectingpiping,andallothercomponentsuptoandincludingthestationoutlets/inlets.(PIP)

3.3.145Piping.Thetubingorconduitofthesystem.Thethreegeneralclassesofpipingaremainlines,risers.andbranch(lateral)lines.(PIP)

3.3.145.1Branch(Lateral)Lines.Thosesectionsorportionsofthepipingsystemthatservearoomorgroupofroomsonthesamestoryofthefacility.(PIP)

3.3.145.2MainLines.Thepipingthatconnectsthesource(pumps,receivers,etc.)tothe

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risersorbranches,orboth.(PIP)

3.3.145.3Risers.Theverticalpipesconnectingthesystemmainline(s)withthebranchlinesonthevariouslevelsofthefacility.(PIP)

3.3.146Plug(AttachmentPlug,Cap).Adevicethat,byinsertioninareceptacle,establishesconnectionbetweentheconductorsoftheattachedflexiblecordandtheconductorsconnectedpermanentlytothereceptacle.(ELE)

3.3.147PositiveNegativePressureBreathing.Ventilationofthelungsbytheapplicationofintermittentpositivenegativepressuretotheairway.(GAS)

3.3.148Pressure.

3.3.148.1AbsolutePressure.Thetotalpressureinasystemwithreferencetozeropressure.(HYP)

3.3.148.2AmbientPressure.Referstototalpressureoftheenvironmentreferenced.(HYP)

3.3.148.3GaugePressure.Referstototalpressureabove(orbelow)atmospheric.(HYP)

3.3.148.4HighPressure.Apressureexceeding200psig(1.38kPagauge)(215psia).(GAS)

3.3.148.5*PartialPressure.Thepressure,inabsoluteunits,exertedbyaparticulargasinagasmixture.(HYP)

3.3.148.6PositivePressure.Pressuregreaterthanambientatmospheric.(GAS)

3.3.148.7*WorkingPressure.Apressurenotexceeding11.6kg/cm2(200psig).(GAS)

3.3.149*PressureReducingRegulator.Adevicethatautomaticallyreducesgasunderhighpressuretoausablelowerworkingpressure.(GAS)

3.3.150ProcedureRoom.Wheretheproceduralistisusinginstrumentationthatrequiresconstantobservationandcontrol.

3.3.151psia.Poundspersquareinchabsolute,aunitofpressuremeasurementwithzeropressureasthebaseorreferencepressure.(HYP)

3.3.152*psig.Poundspersquareinchgauge,aunitofpressuremeasurementwithatmosphericpressureasthebaseorreferencepressure.(HYP)

3.3.153QuietGround.Asystemofgroundingconductors,insulatedfromportionsoftheconventionalgroundingofthepowersystem,thatinterconnectsthegroundsofelectricappliancesforthepurposeofimprovingimmunitytoelectromagneticnoise.(ELS)

3.3.154Reactance.Thecomponentofimpedancecontributedbyinductanceorcapacitance.Theunitofreactanceistheohm.(ELE)

3.3.155*ReactiveMaterial.Amaterialthat,byitself,isreadilycapableofdetonation,explosivedecomposition,orexplosivereactionatnormalorelevatedtemperaturesandpressures.[45,2004](LAB)

3.3.156ReferenceGroundingPoint.Thegroundbusofthepanelboardorisolatedpower

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systempanelsupplyingthepatientcarearea.(ELE)

3.3.157*RefrigeratingEquipment.Anymechanicallyoperatedequipmentusedforstoring,belownormalambienttemperature,hazardousmaterialshavingflammabilityratingsof3or4.(LAB)

3.3.158RelativeAnalgesia.Astateofsedationandpartialblockofpainperceptionproducedinapatientbytheinhalationofconcentrationsofnitrousoxideinsufficienttoproducelossofconsciousness(conscioussedation).(GAS)

3.3.159*Remote.ALevel3sourceofsupplythatisaccessedbyexitingthesingleormultipletreatmentfacility.(PIP)

3.3.160ReserveSupply.Whereexisting,thatportionofthesupplyequipmentthatautomaticallysuppliesthesystemintheeventoffailureoftheoperatingsupply.Thereservesupplyonlyfunctionsinanemergencyandnotasanormaloperatingprocedure.(PIP)

3.3.161SafetyCan.Anapprovedcontainer,ofnotmorethan18.9L(5gal)capacity,havingaspringclosinglidandspoutcoverandsodesignedthatitwillsafelyrelieveinternalpressurewhensubjectedtofireexposure.(LAB)

3.3.162Scavenging.AnalternatetermforWAGDoftenappliedinLevel3.(PIP)

3.3.163SCFM.Standardcubicfeetperminute.(PIP)

3.3.164SelectedReceptacles.Aminimalnumberofreceptaclesselectedbythegoverningbodyofafacilityasnecessarytoprovideessentialpatientcareandfacilityservicesduringlossofnormalpower.(ELS)

3.3.165SelfExtinguishing.Acharacteristicofamaterialsuchthat,oncethesourceofignitionisremoved,theflameisquicklyextinguishedwithoutthefueloroxidizerbeingexhausted.(HYP)

3.3.166SemipermanentConnection.Anoninterchangeableconnection,usuallyaD.I.S.S.connector,whichistheterminationofthepipelineandthatisintendedtobedetachedonlyforservice.Itisnotthepointatwhichtheusermakesconnectionsordisconnections.(PIP)

3.3.167ServiceInlet.ThepneumaticterminusofaLevel3pipedvacuumsystem.(PIP)

3.3.168ServiceOutlet.Thepneumaticterminusofapipedgassystemforotherthancritical,continuousduty,nonflammablemedicallifesupporttypegasessuchasoxygen,nitrousoxide,ormedicalair.(PIP)

3.3.169*SingleTreatmentFacility.Adiagnosticortreatmentcomplexunderasinglemanagementcomprisinganumberofusepoints,butconfinedtoasinglecontiguousgroupofusepoints(i.e.,doesnotinvolvewidelyseparatedlocationsorseparatedistinctpractices).(PIP)

3.3.170*SiteofIntentionalExpulsion.Allpointswithin0.3m(1ft)ofapointatwhichanoxygenenrichedatmosphereisintentionallyventedtotheatmosphere.(GAS)

3.3.171StationInlet.Aninletpointinapipedmedical/surgicalvacuumdistributionsystematwhichtheusermakesconnectionsanddisconnections.(PIP)

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3.3.172StationOutlet.Anoutletpointinapipedmedicalgasdistributionsystematwhichtheusermakesconnectionsanddisconnections.(PIP)

3.3.173SupplySource.

3.3.173.1OperatingSupply.Theportionofthesupplysystemthatnormallysuppliesthepipingsystems.Theoperatingsupplyconsistsofaprimarysupplyoraprimaryandsecondarysupply.(PIP)

3.3.173.2PrimarySupply.Thatportionofthesourceequipmentthatactuallysuppliesthesystem.(PIP)

3.3.173.3ReserveSupply.Whereprovided,thatportionofthesourceequipmentthatautomaticallysuppliesthesystemintheeventoffailureoftheprimaryandsecondaryoperatingsupply.(PIP)

3.3.173.4SecondarySupply.Whereprovided,thatportionofthesourceequipmentthatautomaticallysuppliesthesystemwhentheprimarysupplybecomesexhausted.(PIP)

3.3.174SupportGas.Nitrogenorinstrumentairthatisusedtosupportmedicalproceduresbyoperatingmedicalsurgicaltools,equipmentbooms,pendants,andsimilardevices,andarenotrespiredaspartofanytreatment.(PIP)

3.3.175*SurfaceMountedMedicalGasRailSystems.Asurfacemountedgasdeliverysystemintendedtoprovidereadyaccessfortwoormoregasesthroughacommondeliverysystemtoprovidemultiplegasstationoutletlocationswithinasinglepatientroomorcriticalcarearea.(PIP)

3.3.176TaskIllumination.ProvisionsfortheminimumlightingrequiredtocarryoutnecessarytasksintheareasdescribedinChapter4,includingsafeaccesstosuppliesandequipmentandaccesstoexits.(ELS)

3.3.177Terminal.Theendofaflexiblehoseortubingusedinamanufacturedassemblywheretheuserisintendedtomakeconnectionanddisconnection.(PIP)

3.3.178Tube.

3.3.178.1*EndotrachealTube.Atubeforinsertionthroughthemouthornoseintotheupperportionofthetrachea(windpipe).(GAS)

3.3.178.2*TracheotomyTube.Acurvedtubeforinsertionintothetrachea(windpipe)belowthelarynx(voicebox)duringtheperformanceofanappropriateoperativeprocedure(tracheotomy).(GAS)

3.3.179*UnattendedLaboratoryOperation.Alaboratoryprocedureoroperationatwhichthereisnopersonpresentwhoisknowledgeableregardingtheoperationandemergencyshutdownprocedures.[45,2004](LAB)

3.3.180UsePoint.Alocationwithanynumberofstationoutletsandinletsarrangedforaccessbyapractitionerduringtreatmentofapatient.(PIP)

3.3.181*UtilityCenter(Jbox).Atypeofterminalenclosureforutilities(e.g.,gaspower,

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vacuum,water,electricalpower)usedinofficebasedoccupancies.(PIP)

3.3.182Vaporizer.Aheatexchangeunitdesignedtoconvertcryogenicliquidintothegaseousstate.(PIP)

3.3.183*WAGDInterface.AdeviceprovidedontheanesthesiagasmachinethatconnectstheWAGDnetworktothepatientbreathingcircuit.(PIP)

3.3.184WasteAnestheticGasDisposal(WAGD).Theprocessofcapturingandcarryingawaygasesventedfromthepatientbreathingcircuitduringthenormaloperationofgasanesthesiaoranalgesiaequipment.(PIP)

3.3.185*WetLocations.Theareainapatientcareareawhereaprocedureisperformedthatisnormallysubjecttowetconditionswhilepatientsarepresentincludingstandingfluidsonthefloorordrenchingoftheworkarea,eitherofwhichconditionisintimatetothepatientorstaff.(ADM)

Chapter4ElectricalSystems

4.1*Applicability.

Thischapterappliestohealthcarefacilitiesasreferencedinotherchapters.

4.2NatureofHazards.

SeeSection B.1.

4.2.1*FireandExplosions.

4.2.2Shock.

4.2.2.1General.

4.2.2.2Control.SeeB.1.2.2.2.

4.2.3Thermal.(Reserved)

4.2.4InterruptionofPower.SeeB.1.4.1.

4.3ElectricalSystemRequirements.

4.3.1Sources.Eachapplianceofahospitalrequiringelectricallinepowerforoperationshallbesupportedbypowersourcesanddistributionsystemsthatprovidepoweradequateforeachservice.

4.3.1.1Power/UtilityCompany.(Reserved)

4.3.1.2OnSiteGeneratorSet.(Reserved)

4.3.2Distribution.

4.3.2.1ElectricalInstallation.Installationshallbeinaccordancewith NFPA70,National

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ElectricalCode.

4.3.2.2*AllPatientCareAreas.

4.3.2.2.1* Regularvoltagewiringshallcomplywiththerequirementsin 4.3.2.2.1.1through4.3.2.2.1.3.

4.3.2.2.1.1* Circuits.Branchcircuitsservingagivenpatientbedlocationshallbefedfromnotmorethanonenormalbranchcircuitdistributionpanel.Whenrequired,branchcircuitsservingagivenpatientbedlocationshallbepermittedtobefedfrom morethanoneemergencybranchcircuitdistributionpanel.

4.3.2.2.1.2 CriticalCareAreas.Theseareasshallbeservedbycircuitsfromcriticalbranchpanel(s)servedfromasingleautomatictransferswitchandaminimumofonecircuitservedbythenormalpowerdistributionsystemorbyasystemoriginatingfromasecondcriticalbranchtransferswitch.

4.3.2.2.1.3 SpecialPurposeOutlets.Branchcircuitsservingonlyspecialpurposeoutletsorreceptacles(e.g.,portableXrayreceptacles)shallnotberequiredtoconformtotherequirementsof 4.3.2.2.1.2.

4.3.2.2.2 Groundingrequirementsshallcomplywiththerequirementsin 4.3.2.2.2.1through4.3.2.2.2.4.

4.3.2.2.2.1 GroundingCircuitryIntegrity.Groundingcircuitsandconductorsinpatientcareareasshallbeinstalledinsuchawaythatthecontinuityofotherpartsofthosecircuitscannotbeinterruptednortheresistanceraisedaboveanacceptablelevelbytheinstallation,removal,andreplacementofanyinstalle