| (v) Sterilizing equipment. All sterilizing equipment
shall be designed and installed to prevent not only the contamination
of the water supply but also the entrance of contaminating materials
into the sterilizing units.
(vi) Hose attachment. No hose shall be affixed to any
faucet if the end of the hose can become submerged in contaminated
liquid unless the faucet is equipped with an approved, properly installed
vacuum-breaker.
(vii) Bedpan washers and sterilizers. Bedpan washers
and sterilizers shall be designed and installed so that both hot and
cold water inlets shall be protected against back-siphonage at maximum
water level.
(viii) Flood level rim clearance. The water supply
spout for lavatories and sinks required in patient care areas shall
be mounted so that its discharge point is a minimum of five inches
above the rim of the fixture.
(ix) Floor drains or floor sinks. Where floor drains
or floor sinks are installed, they shall be of a type that can be
easily cleaned by removal of the cover. Removable stainless steel
mesh shall be provided in addition to grilled drain cover to prevent
entry of large particles of waste which might cause stoppages.
(x) Under counter piping. Under counter piping and
above floor drains shall be arranged (raised) so as not to interfere
with cleaning of floor below the equipment.
(xi) Ice machines. All ice making machines shall be
of the self-dispensing type, unless otherwise specified.
(5) General electrical requirements. This paragraph
contains common electrical requirements. The facility shall comply
with the requirements of this paragraph and with any specific electrical
requirements for the particular unit or suite of the facility in
accordance with §134.123 of this title. Electrical systems shall
comply with NFPA 99, Chapter 3.
(A) Electrical installations. All new electrical material
and equipment, including conductors, controls, and signaling devices,
shall be installed in compliance with applicable sections of the National
Fire Protection Association 70, National Electrical Code, 1999 edition
(NFPA 70), and NFPA 99 and as necessary to provide a complete electrical
system. Electrical systems and components shall be listed by nationally
recognized listing agencies as complying with available standards
and shall be installed in accordance with the listings and manufacturers'
instructions.
(i) All fixtures, switches, sockets, and other pieces
of apparatus shall be maintained in a safe and working condition.
(ii) Extension cords and cables shall not be used for
permanent wiring.
(iii) All electrical heating devices shall be equipped
with a pilot light to indicate when the device is in service, unless
equipped with a temperature limiting device integral with the heater.
(iv) All equipment, fixtures, and appliances shall
be properly grounded in accordance with NFPA 70.
(v) Under-counter receptacles and conduits shall be
arranged (raised) to not interfere with cleaning of floor below the
equipment.
(B) Installation testing and certification.
(i) Installation testing. The electrical installations,
including alarm, nurses calling system and communication systems,
shall be tested to demonstrate that equipment installation and operation
is appropriate and functional.
(I) Grounding continuity shall be tested as described
in NFPA 99 for new or existing work.
(II) A written record of performance tests on special
electrical systems and equipment shall show compliance with applicable
codes and standards.
(ii) Installation certification. Certifications in
affidavit form signed by a registered electrical engineer attesting
that the electrical service, electrical equipment, and electrical
appliances have been installed in compliance with the approved plans
and/or applicable standards, shall be submitted to the department
when requested.
(C) Electrical safeguards. Shielded isolation transformers,
voltage regulators, filters, surge suppressors, and other safeguards
shall be provided as required where power line disturbances are likely
to affect fire alarm components, data processing, equipment used for
treatment, and automated laboratory diagnostic equipment.
(D) Services and switchboards. Main switchboards shall
be located in separate rooms, separated from adjacent areas with one-hour
fire rated enclosures containing only electrical switchgear and distribution
panels and shall be accessible to authorized persons only. These
rooms shall be ventilated to provide an environment free of corrosive
or explosive fumes and gases, or any flammable and combustible materials.
Switchboards shall be located convenient for use and readily accessible
for maintenance as required by NFPA 70, Article 384. Overload protective
devices shall operate properly in ambient temperatures.
(E) Panelboards. Panelboards serving normal lighting
and appliance circuits shall be located on the same floor as the circuits
they serve. Panelboards serving critical branch emergency circuits
may serve three floors, the floor where the panelboard is located,
the floor above and the floor below. Panelboards serving life safety
branch circuits may serve three floors, the floor where the panelboard
is located, and the floors above and below.
(i) Circuiting shall minimize the number of receptacles
on a single branch circuit, in order to limit the effects of a branch
circuit outage, caused by one faulted device. Any life-support equipment
on that circuit would be lost.
(ii) Loading of branch circuits is limited by NFPA
70, Articles 210, 220, and 384.
(F) Wiring. All conductors for controls, equipment,
lighting and power operating at 100 volts or higher shall be installed
in accordance with the requirements of NFPA 70, Article 517. All surface
mounted wiring operating at less than 100 volts shall be protected
from mechanical injury with metal raceways to a height of seven feet
above the floor. Conduits and cables shall be supported in accordance
with NFPA 70, Article 300.
(G) Lighting.
(i) Lighting intensity for staff and patient needs
shall comply with Chapter 17, Institution and Public Building Lighting,
Health Care Facilities, of the Illuminating Engineering Society of
North America (IES) Lighting Handbook, published by the IES, 345 East
47th Street, N.Y., N.Y. 10017.
(I) Consideration should be given to controlling intensity
and wavelength to prevent harm to the patient's eyes (i.e., cataracts
due to ultraviolet light).
(II) Approaches to buildings and parking lots, and
all spaces within buildings shall have fixtures that can be illuminated
as necessary. All rooms including storerooms, electrical and mechanical
equipment rooms, and all attics shall have sufficient artificial
lighting so that all parts of these spaces shall be clearly visible.
(III) Consideration should be given to the special
needs of the elderly. Excessive contrast in lighting levels that makes
effective sight adaptation difficult shall be minimized.
(ii) Means of egress and exit sign lighting intensity
shall comply with NFPA 101, §§7-8, 7-9 and 7-10.
(iii) Electric lamps which may be subject to breakage
or which are installed in fixtures in confined locations when near
woodwork, paper, clothing, or other combustible materials, shall be
protected by wire guards, or plastic shields.
(iv) Ceiling mounted examination light fixtures shall
be suspended from rigid support structures mounted above the ceiling.
(H) Receptacles. Only listed "hospital" grade single-grounding
or duplex-grounding receptacles shall be used in all patient care
areas. This does not apply to special purpose receptacles.
(i) Installations of multiple ganged receptacles shall
be permitted in patient care areas.
(ii) Electrical outlets powered from the critical branch
shall be provided in all patient care, procedure and treatment locations
in accordance with NFPA 99, §3-4.2.2.2(c). At least one receptacle
at each patient treatment or procedure location shall be powered from
the normal power panel.
(iii) Replacement of malfunctioning receptacles and
installation of new receptacles powered from the critical branch
in existing facilities shall be accomplished with receptacles of the
same distinct color as the existing receptacles.
(iv) In locations where mobile X-ray or other equipment
requiring special electrical configuration is used, the additional
receptacles shall be distinctively marked for the special use.
(v) Each receptacle shall be grounded to the reference
grounding point by means of a green insulated copper equipment grounding
conductor.
(I) Equipment.
Cont'd... |
