| (iii) The special needs of the elderly shall be considered. The facility shall minimize excessive contrast in lighting levels that makes effective sight adaptation difficult. (B) Means of egress and exit sign lighting intensity shall comply with NFPA 101, §§7.8, 7.9, and 7.10. (C) 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. (D) Ceiling mounted surgical and examination light fixtures shall be suspended from rigid support structures mounted above the ceiling. (E) Trauma rooms/areas shall have general lighting in addition to local lighting provided by special lighting units at the procedure tables. Each fixed special lighting unit at the tables, except for portable units, shall be connected to an independent circuit. (F) X-ray film illuminators for handling at least two films simultaneously shall be provided in each trauma room/area and treatment room/area. When the entire emergency suite is provided with digital imaging system capabilities, a minimum of two X-ray film illuminator viewers shall be provided. The film illuminators shall be mounted within the central area of the emergency suite. (9) Receptacles. Only listed hospital grade single-grounding or duplex-grounding receptacles shall be used in the trauma, treatment, exam, diagnostic, imaging rooms, and all patient care areas. This does not apply to special purpose receptacles. (A) Installations of multiple-ganged receptacles shall not be permitted in all patient care areas. (B) Electrical outlets powered from the critical branch shall be provided in all patient care areas, diagnostic, imaging, procedure and treatment locations in accordance with NFPA 99, §4.4.2.2.2.3. At least one receptacle at each patient treatment or procedure location shall be powered from the normal power panel. All receptacles powered from the critical branch shall be colored red. (C) Replacement of malfunctioning receptacles and installation of new receptacles powered from the critical branch in existing facilities shall be replaced or installed with receptacles of the same distinct color as the existing receptacles. (D) All receptacles connected to the essential electrical system shall be identified. The face plate for the receptacle(s) shall have a nonremovable label or be engraved indicating the panel and circuit number. (E) 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. (F) Each receptacle shall be grounded to the reference grounding point by means of a green insulated copper equipment grounding conductor in accordance with NFPA 70, §517-13. (G) Each treatment, examination, and trauma room in the emergency suite shall have a minimum of 6 duplex electrical receptacles located convenient to the head of each procedure table. All other walls shall have a minimum of at least 1 receptacle. (H) Each work table or counter shall have access to 1 duplex receptacle for every 6 feet of table or counter space or fraction thereof. Each work counter and table shall have at least 1 duplex receptacle connected to the critical branch of the emergency electrical system. (I) A minimum of one duplex receptacle in each wall shall be installed in each work area or room other than storage or lockers. (J) Appliances shall be grounded in accordance with NFPA 99, Chapter 9. (K) Ground fault circuit interrupters (GFCI) receptacles shall be provided for all general use receptacles located within 3 feet of a wash basin or sink. When GFCI receptacles are used, they shall be connected to not affect other devices connected to the circuit in the event of a trip. Receptacles connected to the critical branch used for equipment that should not be interrupted do not require GFCI protection. Receptacles in wet locations, as defined by NFPA 70, §§517.20 and 517.21, shall be GFCI protected regardless of the branch of the electrical system serving the receptacle. (10) Equipment. (A) The following shall be powered from the Type II essential electrical system in accordance with the requirements of NFPA 99, §3.4.2.2.3, when such a system is required for safe operation of the facility referenced in paragraph (14) of this subsection. (i) Boiler accessories including feed pumps, heat-circulating pumps, condensate return pumps, fuel oil pumps, and waste heat boilers shall be connected to the equipment system. (ii) Ventilating system serving trauma, treatment and exam rooms, shall be connected to the equipment system in accordance with the requirements of NFPA 99, Chapter 3. (B) A "kill switch" shall be provided for disconnection of each HVAC serving the building in accordance with the requirements of NFPA 90A, §6.2.1. (11) Wet patient care location. Wet patient care locations shall be protected against shock in accordance with the requirements of NFPA 99, §4.3.2.2.9.1. (12) Grounding requirements. Fixed electrical equipment shall be grounded in accordance with the requirements of NFPA 99, §4.3.3.1, and NFPA 70, Article 517. (13) Nurses calling systems. (A) A nurse's emergency calling system shall be installed in the all treatment room/area station(s), exam rooms/area station(s), isolation room(s), patient holding stations, imaging, diagnostic and patient toilet room(s) to summon nursing staff in an emergency. Activation of the system shall sound a distinct audible signal which repeats every 5 seconds or less at the nurse station, indicate type and location of call on the system monitor, and activate a distinct visible signal in all areas. The activation of the system shall also activate distinct visible signals in the clean workroom, soiled workroom, and if provided, in the nourishment station. The visible and audible signals shall be cancelable only at the patient calling station. A nurse's emergency call system shall be accessible to a collapsed patient lying on the floor. Inclusion of a pull cord extending to within 6 inches of the floor will satisfy this requirement. (B) A staff emergency assistance calling system station shall be located in each treatment room/area, examination room/area, trauma room/area, and holding room/area to be used by staff to summon additional help in an emergency. Activation of the system shall sound an audible signal at a staffed location, indicate type and location of call on the system monitor, and activate a distinct visible signal in the corridor at the door. Additional visible signals shall be installed at corridor intersections in multi-corridor facilities. Distinct visible and audible signals shall be activated in the clean workroom, in the soiled workroom, equipment storage, and if provided, in the nourishment station. (14) Essential electrical system. The facility shall provide, at submission of construction documents/plans, a letter on facility letterhead indicating the method the facility has chosen for implementation of the emergency contingency plan for the continuity of emergency essential building systems (emergency generator). The contingency plan shall consist of one of the two options as described in subparagraphs (A) and (B) of this paragraph. (A) An onsite emergency generator shall be provided with a Type II essential electrical distribution system in accordance with requirements of NFPA 99, §4.5 (2), and National Fire Protection Association 110, Standard for Emergency and Standby Power Systems, 2002 Edition. (i) An emergency generator standby power system(s) shall require an onsite fuel source and enough fuel capacity in the tank for a period of twenty-four hours or more. The facility shall execute a contract with an outside supplier/vendor(s) that will provide fuel on demand. When a vapor liquefied petroleum gas (LPG) (natural gas) system is used, the 24 hour fuel capacity on site is not required. The vapor withdrawal LPG system shall require a dedicated fuel supply. (ii) The emergency generator shall be installed, tested and maintained in accordance with the National Fire Protection Association 99, §4.5.4, and National Fire Protection Association 110, Standard for Emergency and Standby Power Systems, 2002 Edition. (iii) When the emergency generator(s) and electrical transformer(s) are located within the same area, they shall be located at least 10 feet apart. (iv) One electrical outlet connected to the life safety branch of the electrical system shall be provided adjacent to (or on) the emergency generator. (v) The battery charger for emergency lighting at the emergency generator shall be connected to the life safety branch of the electrical system. (B) An executed contract with an outside supplier/vendor(s) that will provide a portable emergency generator(s) and fuel on demand. Cont'd... |
