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NFPA 99 2012 EDITION OVERVIEW AND DISCUSSION . Presented by Dave Dagenais, BS, SASHE, CHFM, CHSP Thursday, February 17, 2011 Not Speaking on Behalf of NFPA. NFPA Process Overview (Document Cycle). Proposal period NFPA generates a Report On Proposal Comment period

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nfpa 99 2012 edition overview and discussion

NFPA 99 2012 EDITION OVERVIEW AND DISCUSSION

Presented by

Dave Dagenais, BS, SASHE, CHFM, CHSP

Thursday, February 17, 2011

Not Speaking on Behalf of NFPA

nfpa process overview document cycle
NFPA Process Overview(Document Cycle)
  • Proposal period
    • NFPA generates a Report On Proposal
  • Comment period
    • NFPA generates a Report on Comments
  • Notice of Intent to Make A Motion
    • NFPA publishes the NITMAMs
  • Annual meeting with Technical Session
    • Membership Votes
nfpa 99 history
NFPA 99 History
  • NFPA Standards Council allowed a complete rewrite of NFPA 99 following the 2005 edition
  • ASHE set up task forces to submit proposals
  • Committees met on proposals
  • Comments were submitted by public
  • Committees met on comments
  • Sent back to Committee at NFPA 2009 annual meeting
nfpa 99 2 nd cycle specific opportunities to influence code
NFPA 99 (2nd cycle)Specific Opportunities to Influence Code

Anyone can submit proposals na

Proposal Closing Date was – na

Technical Committees met December, 2009 (previous proposals)

(Report on Proposals posted – 6/25/2010)

Anyone can submit comments

Comment Closing Date – 9/3/2010 (over 330 comments)

Technical Committees met Fall 2010

(Report on Comments posted – 2/25/2011

Notice of Intent to Make A Motion

NITMAM closing date – 4/8/2011

NFPA Conference with Technical Session June 2011 BOSTON

Opportunity

new items overview
New Items Overview
  • Standard becomes a Code
  • Fundamentals Chapter on Risk
  • Information Technology and Communication Systems
  • Plumbing
  • Heating
  • Emergency Management (new requirements)
  • Security
  • Fire Protection unique to Health Care Facilities
scope
Scope
  • Establish criteria to minimize:
    • The hazards of fire,
    • Explosion, and
    • Electricity
  • Applies to facilities providing services to human beings only

Comment to Delete

Committee

Rejected

purpose
Purpose
  • To provide minimum requirements for the:
    • Performance
    • Maintenance, Testing and Inspection
    • Safe practices based on risk

Committee

Rejected

Comment to Delete

application
Application
  • Applies to all health care facilities
  • Applies to new Construction and equipment only
    • altered or renovated or modernized
  • Some testing and maintenance requirements apply to existing
  • Emergency Management and Security apply to existing
how the code works
How the Code Works
  • Determine the worst case procedure.
  • Select the Risk Category.
  • Select the systems or procedures in the Code that are prescribed by that level of risk Category
categories
Categories
  • Category 1 - System Failure that would probably cause patients or caregivers major injury or death.
  • Category 2 - System Failure that would most likely cause minor injury to patients or caregivers.

Many Comments to Change

Committee

Rejected

categories1
Categories
  • Category 3 - System Failure that would most likely cause discomfort to patients or caregivers.
  • Category 4 - System failure has no impact on patients or caregivers.

Many Comments to Change

Committee

Rejected

definition of healthcare facility
Definition of Healthcare Facility
  • 3.3.68
    • Buildings or portions of building in which medical, dental psychiatric, nursing, obstetrical, or surgical care is provided. (ADM)
    • (Non-residential) Buildings or portions of building in which medical, dental psychiatric, nursing, obstetrical, or surgical care is provided. (ADM)

Comment

Change

Committee

Exempted Home Health

gas and vacuum systems chapter 5
Gas and Vacuum Systems(Chapter 5)
  • New Section on Cryogenic Systems
    • Working with NFPA 55 on bulk oxygen requirements
    • Tested for proper function
    • For purity, alarm sensors
    • Operation of the control sensors
    • Installers need 6015 qualification

Several Comments

Committee

Rejected

gas and vacuum systems chapter 51
Gas and Vacuum Systems(Chapter 5)
  • Technical Committee rejectedannual outlet/inlet testing requirement

OK No Comments

gas and vacuum systems chapter 52
Gas and Vacuum Systems(Chapter 5)
  • Rejected requiring ASSE 6040 (certification of maintenance workers) but recommended it in the annex

Comments to Add Back

Committee

Rejected

gas and vacuum systems chapter 53
Gas and Vacuum Systems(Chapter 5)
  • Continue to prohibit the use of medical air for any other purpose
    • Scope cleaning
    • Decontamination
    • Laser plume, etc.
    • Med gasses may only be used for human consumption and calibration

Several Comments

Committee

Rejected

gas and vacuum systems chapter 54
Gas and Vacuum Systems(Chapter 5)
  • Adding testing and inspection requirements on existing non-stationary medical booms (annually)

Comments to Make it Periodic

Committee Changed to: Per manufacturer’s recommendations, every 18 months, or based on risk assessment

electrical systems chapter 6
Electrical Systems(Chapter 6)
  • Definition of “Wet Location” changes to “Wet Procedure Located” throughout the entire document

OK-No Comments

electrical systems chapter 61
Electrical Systems(Chapter 6)
  • Requires all operating rooms to be wet procedure locations (unless risk assessment is done)

Comments to Change

Committee

Rejected

electrical receptacle testing
Electrical Receptacle Testing
  • Revise 4.3.4.1.2 to read: “ Additional testing of receptacles in patient care areas shall be performed at intervals defined by documented performance data, but not exceeding 5 years.”

Committee

Rejected

Comment to Add

electrical systems chapter 62
Electrical Systems(Chapter 6)
  • Permits isolated power or ground fault protection within operating rooms

Comments to limit use of GFCIs

Committee

Rejected

electrical systems chapter 63
Electrical Systems(Chapter 6)
  • Requires that overcurrent protection devices only be accessible to authorized personnel and not permitted in public access spaces

OK-No Comments

electrical systems chapter 64
Electrical Systems(Chapter 6)
  • Increases number of receptacles
    • General Care – From 4 to 8
    • Critical Care – From 6 to 14
    • Operating Rooms – New requirement of 36

OK-No Comments

electrical systems chapter 65
Electrical Systems(Chapter 6)
  • Eliminates emergency system heading and equipment system heading and utilizes branches
    • Life Safety
    • Critical
    • Equipment
    • This should exempt us from the 700 chapter in the NEC

Comments to Comply with 700

Committee

Rejected

electrical systems chapter 66
Electrical Systems(Chapter 6)
  • Permits fuel transfer pumps, receptacles, ventilation fans, louvers and cooling systems related to generators to be added to the life safety or critical branch (deleted from equipment branch)

OK-No Comments

electrical systems chapter 67
Electrical Systems(Chapter 6)
  • Added text to permit a 0.1 second delay for selective coordination

Several Comments

Committee

Rejected

electrical systems chapter 68
Electrical Systems(Chapter 6)
  • MonthlyGenerator Testing - 10 second transfer not required

(Annual Confirmation)

OK- No Comments

electrical systems chapter 69
Electrical Systems(Chapter 6)
  • In existing facilities with no separate grounding conductor – annual test requirement
    • Voltage readings
    • Impedance measurements with conductive surfaces in the areas

Committee

Dropped “Annual”

Comments on This

electrical systems chapter 610
Electrical Systems(Chapter 6)
  • New section which permits switches in lighting circuits connected to Life Safety and critical branch as long as they don’t serve as illumination of egress as required by NFPA 101

OK-No Comments

electrical systems chapter 611
Electrical Systems(Chapter 6)
  • New section on campus electrical systems being added
  • Clears up conflicts with NEC

Comments on This

Committee

Rejected

it and communication chapter 7
IT and Communication (Chapter 7)
  • New chapter covers
    • IT rooms
    • Fire protection
    • Nurse call
    • Emergency call
    • Staff emergency assistance

Several Comments

Committee Rejected: Requirements for cable race way protection was removed.

plumbing chapter 8
Plumbing(Chapter 8)
  • New chapter based on categories
    • Potable water
    • Non-potable water
    • Heating water
    • Water conditioning
    • Black waste water
    • Grey waste water
    • Clear waste water

Several Comments

Committee Rejected – Will require redundant systems

heating chapter 9
Heating(Chapter 9)
  • New chapter addresses
    • Heating, cooling and ventilation
    • Humidity control
    • Ventilation system requirements
    • Airborne contaminant controls
    • Ventilation for waste anesthetic gases disposal system

Several Comments

Committee Rejected – Will require redundant systems

medical equipment chapter 10
Medical Equipment(Chapter 10)
  • Patient Care Vicinity
    • The Technical Committee rejectedexpanded definition of the patient vicinity

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

Several Comments

Committee Rejected: Still uses the term “Patient Vicinity”

gas equipment chapter 11
Gas Equipment(Chapter 11)
  • New standard allows use of piped 02 for ozone sterilizers
  • Equipment using medical grade oxygen from the piped distribution system shall meet the following requirements
    • Not permanently attached
    • Connected using wall outlet or flexible hose
    • Medical device listed by FDA
  • The TCC will have to address the conflict with Med Gas

Several Comments

Committee

Rejected

emergency management chapter 12
Emergency Management(Chapter 12)
  • Completely rewritten and expanded for 2012
    • Two categories of risk
      • In-patient facility is expected to be operable
      • In-patient and out-patient areas that augment the critical mission but not receive in-patients
  • Requires a Hazard Vulnerability Analysis (HVA)
    • Natural Hazards
    • Human-caused Events
    • Technological Events

OK-No Comments

emergency management chapter 121
Emergency Management(Chapter 12)
  • Requires plans to manage resources and assets
  • Requires Exercises
  • Requires Evaluation of Exercises
  • Special Care was taken to avoid conflicts with the Joint Commission and CMS

Comments to Delete

Committee

Rejected

security management chapter 13
Security Management(Chapter 13)
  • Planning for protection of the Staff and Facility beyond disasters
  • Requires a Security Vulnerability Assessment (SVA)
  • Requires a responsible person
  • Education requirements of security staff
    • Customer Service
    • Emergency Procedures
    • Use of Force
    • De-escalation
    • Use of Restraints

OK-No Comments

security management chapter 131
Security Management(Chapter 13)
  • Requires procedures for
    • Hostage
    • Bomb Threat
    • Workplace Violence
    • Disorderly Conduct
    • Restraining Orders

OK-No Comments

security management chapter 132
Security Management(Chapter 13)
  • Identifies known security sensitive areas
    • Emergency Departments
    • Pediatric and Infant Care units
    • Medication Storage
    • Clinical Labs
    • Forensic Patient Treatment Areas
    • Dementia or Behavior Health Units
    • Communications, data infrastructure and medical records

OK-No Comments

security management chapter 133
Security Management(Chapter 13)
  • Other subjects covered
    • Media control
    • Crowd control
    • Security equipment – follow NFPA 731
    • Employee practices
    • Security operations

OK-No Comments

features of fire protection chapter 15
Features of Fire Protection(Chapter 15)
  • Fire alarm and detection
  • Protection of gas cylinder storage
  • HVAC detection requirements
  • Comments on sprinklers in closets (6 sq. ft.)
  • Comments on defend in place concepts
  • Comments on mobile storage units (50 sq. ft.)

Several Comments

next steps
Next Steps
  • Report on Comment next week
  • NFPA 99 Goes to annual NFPA meeting in 2011 for adoption in BOSTON
  • I predict that 30 items or more will go to a floor vote.
it s time for all of us to get involved
It’s Time for All of Us to Get Involved
  • Identify NFPA members
  • Go to Boston for the vote on

June 14 and 15, 2011

  • Support Healthcare on the floor
your vote can make a difference
Your Vote Can Make a Difference
  • In 2009, we removed the 5-year requirement for an obstruction inspection from NFPA 25; the vote was 43 to 35
  • Weekly fire pump test was eliminated with a vote of 40 to 40
  • 2009 NFPA 99 was sent back to committee with a vote of 73 to 50

This Membership alone could blow those votes out of the water

thank you for your time questions

Thank you for your time.Questions?

Dave Dagenais, BS, SASHE, CHFM, CHSP

Dave.Dagenais@wdhospital.com