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NFPA 99 – Health Care Facilities Code, Risk Assessments

Presented by:

Chad Beebe

Dave Dagenais

Jonathan Hart

2017 NFPA Conference & Expo

• Application of Risk in NFPA 99

• Who is Responsible?

• Where Can the Risk Assessment be Applied

• Tools for Risk Assessments

• Chapter 4

• Systems & Equipment

• Chapter 1

• Wet Procedure Locations

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Chapter 4

• Chapter 4Category 1 Failure is likely to result in major injury or death

Category 2 Failure is likely to cause minor injury

Category 3 Failure is not likely to cause injury but may 

cause discomfort

Category 4 Failure has no impact on patient care

Chapter 4

• Categories determined by following a defined and documented risk assessment procedure

• CMS: “CMS does not require the submission of risk assessment methods to CMS. However, CMS, will confirm that facilities are using risk assessment methodologies when conducting onsite surveys…”

Chapter 1

• The governing body of the facility or its designee shall establish/designate…

• Patient care rooms/spaces

• Anesthetizing locations

• Wet procedure locations

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Gas and Vacuum Systems

• Category 1

• Category 2

• Category 3

Electrical Systems

• Category 1 spaces

• Type 1 EES

• Category 2 spaces

• Type 2 EES

• Category 3

• Not required to be served by EES

Electrical Systems

• Wet Procedure Locations

• All ORs are considered wet procedure locations unless risk assessment determines otherwise

• ORs defined as such required to be protected by IPS or GFCI

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• No specific Category requirements

Electrical and Gas Equipment

• Health Care Governing body or its designee

• 3.3.65 Governing Body (2012)

• 2018 Code Language Proposed

• Role of Owner/AHJ

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• 2018 Code Language (PROPOSED)

4.2.1

The health care facility’s governing shall establish the processes and operations that are planned for the health care facility.

4.2.1.1

The health care facility’s governing body shall conduct risk assessments and shall determine risk categories based on the character of the processes and operations conducted in the health care facility.

• 2018 Code Language (PROPOSED)

4.2.2

Risk categories shall be classified by the health care facility’s governing body by following and documenting a defined risk assessment procedure.

4.2.2.1

Where required by the authority having jurisdiction, the risk assessment shall be provided to the authority having jurisdiction for review based on the character of the processes and operations conducted in the health care facility.

• 2018 Code Language (PROPOSED)

A.4.2.2

Classification of risk categories requires a collaborative effort between the health care facility's governing body and the AHJ.

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Examples/Tools

• ASHE Risk Assessment Tool

• ASHE Wet Procedure Location Tool

OR 1Minor Procedure Room

OR 2 OR 3

OR 4

OR 5OR 6

OR Workroom

OR StorageSoiledStorage

1 2

Indicates Space in the room

DeconRoomTrauma 

1Trauma 

2Trauma 

3Trauma 

4ED Holding 

Room

Trauma X‐Ray

1

2

3

4

5

Indicates Space in the room

Nurse Station

ED 1

ED 2

ED 3ED 4ED 5

IsolationRoom

WaitingRoom

Reception

BH1

BH2

ED 6

GYN

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ICU 4

301302

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11.1 Applicability

11.1.1* This chapter shall apply to the use, at normal atmospheric pressure, of all of the following:

(1) Nonflammable medical gases

(2) Vapors and aerosols

(3) Equipment required for the administration of 11.1.1(1) and (2)

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CEUs: To receive CEUs for this session, scan yourbadge at the back of the room before leaving

Evaluation: Complete a session evaluation on the mobile app. (Search app store for ‘NFPA 2017 C&E.’)

Handouts: Handouts will be available via the mobile app and at nfpa.org/conference

Recordings: Audio recordings of all sessions will be available free of charge via NFPA Xchange.

2017 NFPA Conference & Expo