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

Healthcare Facilities Management Society of New Jersey

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 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 (2nd cycle)Specific Opportunities to Influence Code

Anyone can submit proposals naProposal Closing Date was – naTechnical Committees met December, 2009 (previous proposals)(Report on Proposals posted – 6/25/2010)Anyone can submit comments Comment Closing Date – 9/3/2010 (over 330 comments)Technical Committees met Fall 2010(Report on Comments posted – 2/25/2011Notice of Intent to Make A MotionNITMAM closing date – 4/8/2011

NFPA Conference with Technical Session June 2011 BOSTON

Opportunity


New Items Overview

Standard becomes a Code Fundamentals Chapter on Risk Information Technology and Communication

Systems Plumbing Heating Emergency Management (new requirements) Security Fire Protection unique to Health Care Facilities


Scope

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

Applies to facilities providing services to human beings only


Purpose

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


Application

Applies to all health care facilities Applies to new Construction and equipment only

altered or renovated or modernized Some testing and maintenance requirements apply

to existing Emergency Management and Security apply to

existing


How the Code Works

Determine the worst case procedure. Select the Risk Category. Select the systems or procedures in the Code

that are prescribed by that level of risk Category


Categories

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

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


Categories

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

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


Definition of Healthcare Facility

3.3.68 Buildings or portions of building in which medical,

dental psychiatric, nursing, obstetrical, or surgical care is provided. (ADM)

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


Gas and Vacuum Systems(Chapter 5)

New Section on Cryogenic Systems Working with NFPA 55 on bulk

oxygen requirements Tested for proper function For purity, alarm sensors Operation of the control sensors Installers need 6015

qualification



Technical Committee rejected annual outlet/inlet testing requirement



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



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

Med gasses may only be used for human consumption and calibration



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


Electrical Systems(Chapter 6)

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



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


Electrical Receptacle Testing

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



Permits isolated power or ground fault protection within operating rooms



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



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



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

NEC



Permits fuel transfer pumps, receptacles, ventilation fans, louvers and cooling systems related to generators to be added to the life safety or critical branch (deleted from equipment branch)



Added text to permit a 0.1 second delay for selective coordination



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



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

the areas



New section which permits switches in lighting circuits connected to Life Safety and critical branch as long as they don’t serve as illumination of egress as required by NFPA 101



New section on campus electrical systems being added

Clears up conflicts with NEC


IT and Communication (Chapter 7)

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


Plumbing(Chapter 8)

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


Heating(Chapter 9)

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


Medical Equipment(Chapter 10)

Patient Care Vicinity The Technical Committee rejected expanded

definition of the patient vicinityProposal stated: an electrical appliance that is

intended to be used for diagnostic, therapeutic or monitoring purposes


Gas Equipment(Chapter 11)

New standard allows use of piped 02 for ozone sterilizers

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

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

The TCC will have to address the conflict with Med Gas


Emergency Management(Chapter 12)

Completely rewritten and expanded for 2012 Two categories of risk

In-patient facility is expected to be operable In-patient and out-patient areas that augment the

critical mission but not receive in-patients Requires a Hazard Vulnerability Analysis (HVA)

Natural Hazards Human-caused Events Technological Events


Emergency Management(Chapter 12)

Requires plans to manage resources and assets Requires Exercises Requires Evaluation of Exercises

Special Care was taken to avoid conflicts with the Joint Commission and CMS


Security Management(Chapter 13)

Planning for protection of the Staff and Facility beyond disasters

Requires a Security Vulnerability Assessment (SVA) Requires a responsible person Education requirements of security staff

Customer Service Emergency Procedures Use of Force De-escalation Use of Restraints



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



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

records



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


Features of Fire Protection(Chapter 15)

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

Comments on sprinklers in closets (6 sq. ft.) Comments on defend in place concepts Comments on mobile storage units (50 sq. ft.)


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

1. Identify NFPA members2. Go to Boston for the vote on

June 14 and 15, 20113. Support Healthcare on the floor


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?

Dave Dagenais, BS, SASHE, CHFM, CHSP

[email protected]

nfpa 99 2012 edition overview and discussion

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