nfpa 99 - 2010 edition

NFPA 99 - 2010 Edition

Healthcare Facility Management Society Of New

JerseyJune 18, 2009

2008 WSC&E on NFPA 99

History

•1979 - Committee decided to combine all documents under its jurisdiction– NFPA 56F, 76A, 76B-T, etc.

•1984 - First issuance of NFPA 99•1987 - Integrated all of the individual

documents into chapters•2005 - Complete evaluation and rewrite of

current document.


Scope

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

•Facilities providing services to human beings.


Purpose

•To provide minimum requirements for the:–Performance,–Maintenance,–Testing, and–Safe practices for …


Application

•Applies to all health care facilities•Construction and equipment requirements for new only

•Only altered or renovated or modernized portion of the building

•If above modifies the performance of a system it must be modified


So What is Going On?

•NFPA Standards Administration has extended the cycle to 5 years for the rewrite.

•Technical Committee members have been charged with stretching to modify chapters for the year 2020


Global Goals and Changes

•Modernize the document•Clear and consistent set of criteria•Establish three risk levels of patient care

•All chapters will have the same look•Establish a section for existing system requirements

Categories of Patient Risk

Category 1

Facility systems in which failure of such equipment or system is likely to cause major injury or death of patients or caregivers shall be designed to meet system category 1 as defined in this standard.Annex Material

Systems are expected to work or be available at all times to support patient needs.

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Category 2Facility systems in which failure of such

equipment is likely to cause minor injury to patients or caregivers shall be designed to meet system category 2 as defined in this standard.

Annex MaterialSystems are expected to provide a high level of

reliability; however, limited short durations of equipment downtime can be tolerated without significant impact on patient care. Category 2 systems support patient needs, but are not critical for life support.

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equipment is not likely to cause injury to the patients or caregivers, but may cause patient discomfort shall be designed to meet system category 3 as defined in this standard.

Annex MaterialNormal building system reliabilities are expected.

Such systems support patient’s needs but failure of such equipment would not immediately effect patient care. Such equipment is not critical for life support.

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equipment would have no impact on patient care shall be designed to meet system category 4 as defined in this standard.

Annex Material

Such systems have no impact on patient care and would not be noticeable to patients in the event of failure. There are no minimum requirements for such equipment.

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TC on Fundamentals

•Definitions–Anesthetizing locations–Wet locations

•New chapter on fire protection features

•Revised section on flammable germicides and antiseptic (TIA)


TC – Piped Gas Systems

•Working with NFPA 55 on bulk oxygen requirements

•Testing requirements for cryogenic liquid systems and all other systems

Testing - Cryogenic Systems


•Tested for proper function•For purity, alarm sensors•Operation of the control sensors

Maintenance Requirement

•Rejected an annual requirement for system testing by an ASSE 6030 verifier

•Rejected annual outlet/inlet testing•Rejected requiring ASSE 6040 (certification of maintenance workers) but recommended it in the annex

•Added testing of medical booms in OR2008 WSC&E on NFPA 99

Medical Gas Maintenance

•Facility shall develop and document periodic maintenance

•Program shall include an inventory of:–All source subsystems, control valves, alarms, manufactured assemblies, and outlets


Medical Gas Maintenance

•Inspection schedule shall be established through a risk assessment

•Inspection procedure established by the organization

•Maintenance schedule established through a risk assessment


Med Air Use Restriction

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


Level 3 – Med Gas Systems

•Completely revised the Level 3 section–Easier to read–Removed redundancies


TC - Electrical Systems

•Definition of Wet Location–Including all operating rooms–Annex language on spillage of liquids



•Eliminated emergency system heading•Changed equipment system to

equipment branch•Overcurrent protection devices

–Accessible to authorized personnel–Not permitted in public access spaces

•Receptacles–Critical care - 14 outlets/seven duplex–Operating rooms- 36 outlets/eighteen duplex 2008 WSC&E on NFPA 99


•Rejected receptacle testing of 3 year maximum interval

•Permit a single or multiple feeder between EES grouped distribution

•Fuel transfer pumps, receptacles, ventilation fans, louvers and cooling systems added to the life safety or critical branch – deleted from equipment


Selective Coordination

•Added text to permit a 0.1 second delay



•Generator Testing–10 seconds is not required during monthly testing – annual confirmation



•New chapter on low voltage systems being recommended

•New section on campus electrical systems being added



TC – Mechanical Systems

•Ventilation is addressed on a minimal basis

•Need to consolidate all the references to various systems and requirements

•Looking to be a resource by referencing other documents


•New Chapter on Plumbing–Water

•Potable•Temperature•Waste•Special use

–Set up in categories of patient risk



•New Chapter on Heating–Set up in patient risk categories–References other standards for ventilation and humidity

–All references for ventilation are contained in this chapter•Transfilling of liquid oxygen•Medical gas storage rooms



TC – Medical Equipment

•Patient Care Vicinity–Rejected expanding the patient vicinity


•Use of piped O2 for ozone sterilizers



•Reduced medical equipment testing–Patient care – removed testing frequencies

–Non-patient care

–Be careful as the requirements for current leakage have been relocated.



•Emergency cylinders in anesthetizing locations - Rejected



TC- Emergency Management

•Emergency management - completely rewritten and expanded for 2010–Two categories of risk

•In-patient facility is expected to be operable•In-patient and outpatient areas that augment the critical mission but not receive in-patients

–Uses The Joint Commission standards as a basis for plan evaluation

•New Chapter on Security–Based on the foundations of NFPA 730, Guide for Premises Security

–Facility shall conduct a Security Vulnerability Assessment (SVA)

–Defines responsible person




•Security sensitive areas per SVA–Emergency Department–Pediatric and infant care area–Medication storage and work areas–Clinical and research laboratories–Dementia or behavioral health units–Forensic patient treatment area–Communications, data infrastructure, and medical records storage areas



•Other subjects covered–Media control–Crowd control–Security equipment – follow NFPA 731–Employee practices–Security operations


I leave you with this last thought on NFPA

99 -NFPA Annual Meeting

June 8-11, 2009

Chicago, IL

nfpa 99 - 2010 edition

Documents

patient needs

facility systems

patient discomfort

system category

equipment requirements

issuance of nfpa

system reliabilities

nfpa 99history1979 committee