| (i) Equipment required for safe operation of the facility
shall be powered from the equipment system in accordance with the
requirements contained in NFPA 99, §3-4.2.2.3.
(ii) Boiler accessories including feed pumps, heat-circulating
pumps, condensate return pumps, fuel oil pumps, and waste heat boilers
shall be connected and installed to provide both normal and standby
service.
(J) Ground fault circuit interrupters (GFCI). GFCIs
shall comply with NFPA 70. When GFCIs are used in critical areas,
provisions shall be made to ensure that other essential equipment
is not affected by activation of one interrupter.
(K) Nurses calling systems. Three different types of
nurses calling systems are required to be installed in a facility:
a nurses regular calling system; a nurses emergency calling system;
and a staff emergency assistance calling system. The facility shall
comply with the requirements of this paragraph and any specific requirements
for nurses calling systems for the particular unit of the facility
in accordance with §134.123 of this title.
(i) A nurses regular calling system is intended for
routine communication between each patient and the nursing staff.
Activation of the system at a patient's regular calling station will
sound a repeating (every 20 seconds) audible signal at the nurse station,
indicate type and location of call on the system monitor, and activate
a distinct visible signal in the corridor at the patient suites door.
In multi-corridor nursing units, additional visible signals shall
be installed at corridor intersections. The audible signal shall be
canceled and two-way voice communication between the patient room
and the nursing staff shall be established at the unit's nursing
station when the call is answered by the nursing staff. The visible
signal(s) in the corridor shall be canceled upon termination of the
call. An alarm shall activate at the nurses station when the call
cable is unplugged.
(ii) A nurses emergency calling system shall be installed
in all toilets used by all patients to summon nursing staff in an
emergency. Activation of the system shall sound a repeating (every
5 seconds) audible signal at the nurse station, indicate type and
location of call on the system monitor, and activate a distinct visible
signal in the corridor at the patient suites door. In multi-corridor
nursing units, additional visible signals shall be installed at corridor
intersections. The visible and audible signals shall be cancelable
only at the patient calling station. Activation of the system shall
also activate distinct visible signals in the clean workroom, in the
soiled workroom, medication, charting, clean linen storage, nourishment,
nurse lounge and equipment storage. When conveniently located and
accessible from both the bathing and toilet fixtures, one emergency
call station may serve one bathroom. A nurses emergency call system
shall be accessible to a collapsed patient lying on the floor.
(iii) A staff emergency assistance calling system (code
blue) is intended to be used by staff to summon additional help in
an emergency. In open suites, an emergency assistant call system device
shall be located at the head of each bed and in each individual room.
The emergency assistance calling device can be shared between two
beds if conveniently located. Activation of the system will sound
an audible signal at the nursing unit's nurses station, indicate type
and location of call on the system monitor and activate a distinct
visible signal in the corridor at the patient suites door. In multi-corridor
nursing units, additional visible signals shall be installed at corridor
intersections. Activation of the system shall also activate visible
and audible signals in the clean workroom, in the soiled workroom,
medication, charting, clean linen storage, nourishment, equipment
storage, and examination/treatment room(s) with back up to a continuously
staffed area (other than the nurse station or an administrative center)
from which assistance can be summoned. The system shall have voice
communication capabilities so that the type of emergency or help required
may be specified.
(L) Emergency electric service. A Type I essential
electrical system shall be provided in each facility in accordance
with requirements of NFPA 99; NFPA 101, and National Fire Protection
Association 110, Standard for Emergency and Standby Power Systems,
1999 edition. Exception: Crisis stabilization units have the option
of providing a Type II essential electrical system in accordance with
the requirements of NFPA 99 and NFPA 101.
(i) The number of transfer switches to be used shall
be based on reliability, design and load considerations.
(ii) All wiring installation of the emergency system
of the essential electrical system shall be mechanically protected
in nonflexible metal raceways in compliance with NFPA 70, §517-30(c)(3).
(iii) The stored fuel capacity for emergency generators
shall be sufficient to permit continuous operation for at least 24
hours at full load.
(M) Fire alarm system. A fire alarm system which complies
with NFPA 101, §18-3.4, and with NFPA 72, Chapter 3 requirements,
shall be provided in each facility. The required fire alarm system
components are as follows:
(i) A fire alarm control panel (FACP) shall be installed
at a continuously attended (24 hour) location. A remote fire alarm
annunciator listed for fire alarm service and installed at a continuously
attended location and is capable of indicating both visual and audible
alarm, trouble and supervisory signals in accordance with the requirements
of NFPA 72 may be substituted for the FACP.
(ii) Manual fire alarm pull stations shall be installed
in accordance with NFPA 101, §18-3.4.
(iii) Smoke detectors for door release service shall
be installed on the ceiling at each door opening in the smoke partition
in accordance with NFPA 72, §2-10.6, where the doors are held
open with electromagnetic devices conforming with NFPA 101, §18-2.2.6.
(iv) Ceiling mounted smoke detector(s) shall be installed
in room containing the FACP when this room is not attended continuously
by staff as required by NFPA 72, §1-5.6.
(v) Smoke detectors shall be installed in supply air
ducts in accordance with NFPA 72, §2-10.4.2 and §2-10.5,
and with NFPA 90A §4-4.2.
(vi) Smoke detectors shall be installed in return air
ducts in accordance with requirements of NFPA 72, §2-10.4.2.2
and §2-10.5, and NFPA 90A, §4-4.2(2).
(vii) Fire sprinkler system water flow switches shall
be installed in accordance with requirements of NFPA 101, §9-6.2;
NFPA 13, §3-10; and NFPA 72, §3-8.5.
(viii) Sprinkler system valve supervisory switches
shall be installed in accordance with the requirements of NFPA 72,
§3-8.6.
(ix) Audible alarm indicating devices shall be installed
in accordance with the requirements of NFPA 101, §18-3.4., and
NFPA 72, §6-3.
(x) Visual fire alarm indicating devices which comply
with the requirements of §134.122(d)(1)(F) of this title (relating
to New Construction Requirements) and NFPA 72, §6-4, shall be
provided.
(xi) Devices for transmitting alarm for alerting the
local fire brigade or municipal fire department of fire or other emergency
shall be provided. The devices shall be listed for the fire alarm
service by a nationally recognized laboratory, and be installed in
accordance with such listing and the requirements of NFPA 72.
(xii) A smoke detection system for spaces open to
corridor(s) shall be provided when required by NFPA 101, §18-3.6.1.
(xiii) A fire alarm signal notification which complies
with NFPA 101, §9-6.3, shall be provided to alert occupants of
fire or other emergency.
(xiv) Wiring for fire alarm detection circuits and
fire alarm notification circuits shall comply with requirements of
NFPA 70, Article 760.
(xv) A smoke detection system for elevator recall shall
be located in elevator lobbies, elevator machine rooms and at the
top of elevator hoist ways as required by NFPA 72, §3-9.3.7.
(I) The elevator recall smoke detection system in new
construction shall comply with requirements of American Society of
Mechanical Engineers/American National Standards Institute (ASME/ANSI)
A17.1, Safety Code for Elevators and Escalators, 1996 edition. The
publications of the ASME/ANSI referenced in this section may be obtained
by writing ASME/ANSI, United Engineering Center, 345 East 47th Street,
New York, N.Y. 10017.
(II) The elevator recall smoke detection system in
existing facilities shall comply with requirements of ASME/ANSI A17.3,
Safety Code for Existing Elevators and Escalators, 1995 edition.
Cont'd... |
