Thomas Salamone

Greater than and equal to 4 outpatients

Provides either …….

First added in ……

Existence of occupancy type ……

Types of procedures …..

Until the 2000 Edition …..

Provides a …..

Adds requirements from …..

Provisions are independent of, but …..

Apply requirements for …..

Add requirements for …..

NFPA 101A has FSES for business…..

21.1.1.1.2-Chapter 1, Administration applies

21.1.1.1.3-Chapter 4, General applies

21.1.1.4.2-Communicating openings

21.1.6.1-Construction types

21.1.6.3 and 21.1.6.4-Interior nonbearing walls

21.2.2.2-Special locking

21.2.3.3-Corridor width and projections but beware of the ADA

21.2.2.4-Self closing doors

21.2.2.6-Doors in horizontal exits

21.2.4.3-Two remote access doors for any patient care room or suite when in excess of 2500 sq. ft.

21.2.6.2.1-Travel distance 21.2.11.2-Lockups 21.3.2.1-HA doors 21.3.2.6-ABHR-See sections-3,5,6,10 and 11 21.3.4.3-Positive sequence alarms permitted

per 9.6.3.4 21.3.7.1-ASC separation from tenant re-

organization 21.3.7.2-SC on EVERY STORY 21.3.7.5 and 21.3.7.6

21.3.7.7-Windows in SB 21.3.7.9-Doors in SB 21.3.7.10-Lathcing hardware and door swing 21.7.5.1-Draperies, curtains and other

hanging fabric 21.7.5.2 and 21.7.5.4-Newly introduced

upholstered furniture 21.7.5.3-Newly introduced mattresses 21.7.5.4-Combustible decorations 21.7.5.5.2-Soiled linen and trash receptacles

Sections 20.3.2.1 and 21.3.2.1—Doors

Sections 20.3.2.6 and 21.3.2.6—ABHRs

Sections 20.3.5 and 21.3.5—Extinguishment Requirements

Section 20.3.2.3 and 21.3.2.3—Anesthetizing Locations

Suites-20/21.2.4.3 Arrangement of egress paths-20/21.2.4.4 Limited occupant load-20/21.2.5.3.2 Smoke barrier termination-20/21.3.7.6 Large recycling containers-20/21.7.5.5.2 High-rise re-entry provisions-21.2.2.2.5 NFPA 25-Drain tests NFPA 13-Privacy curtains NFPA 99-Intervening walls 2015 Edition ◦ Chapter 20 and 21 to be standalone chapters for Ambulatory

Health Care Occupancy requirements ◦ Chapters 38 and 39 for New and Existing Business Occupancies

are no loner used for reference throughout Chapters 20 and 21

Outpatient

Dialysis

ADA

Braille

Categorical Waivers ◦ Still needed for RH

Don’t forget supplies and equipment confirmation

Chapter 39 references

21.7.1.4-Fire drills

21.7.9.2-NFPA 241 ◦ Changes in NFPA 241, Standard for Safeguarding

Construction, Alteration, and Demolition Operations

Minimum construction requirements

Doors locked against egress

Automatic closing doors

Door width minimum-Existing and New

Number of exits

Emergency lighting

Alarm system

SC

Chapter 7—Information Technology and Communications Systems for Health Care Facilities

Chapter 8—Plumbing

Chapter 12—Emergency Management

Chapter 13—Security Management.

First risk based code

No vertical bars …..

Issues ◦ Governing body or designees

◦ And……

Definitions Wet procedure locations as a result of treatment

Compact storage

General anesthesia and levels of sedation

Patient care room or area

Patient care vicinity

Referenced publications

Annexes-A, B, C and D

Risk Based Overview Approach ◦ Includes ..... ◦ Using ….. ◦ Assume ….. ◦ Don’t use ….. ◦ Evaluate without ….. ◦ Do it ….. ◦ Consider impact ….. ◦ Simple question ….. ◦ Consider ….. ◦ Geography ….. ◦ Governing body ….. ◦ Who will ….. ◦ Consider reasonably …..

THIS IS THE MOST IMPORTANT CHAPTER IN THE CODE

Fundamentals-Establishes categories based on a risk assessment ◦ Category 1-Major injury/death

◦ Category 2-Minor injury

◦ Category 3-No injury but can cause discomfort

◦ Category 4-No impact on patient care

TIA 12-4 ◦ What subsections apply with respect to the operation,

management and maintenance of MG/MV in EXISTING facilities

What are the categories to start Excellent organization-5.1; 5.2; 5.3 Annex diagrams Cylinder caps in place No combustibles Electrical device or receptacles protected from

damage (removed at or above five feet from the floor) Cylinders not stored in the same room with motor

driven equipment Some recent citings

Chapter 6-Electrical 6.1-Applicability-What applies to new and

existing and new 6.3-Uses Types not Categories 6.3.2.2.8-Wet locations 6.3.2.2.8.7-GFCI versus LIM 6.3.2.2.10-EES-Rooms or areas only OK 6.3.2.2.11-EBPL 6.3.4.1-Receptacle testing and failure rates 6.3.3.3.2 and 6.3.4.1.4-LIM testing 6.4.1.1.8-EPS Rooms Biggest change-Receptacle count

Compact mobile storage-15.11

Don’t forget ◦ Hazard Assessment-15.13.1

◦ Germicides and Antiseptics-15.13.3.3 and 15.13.3.8

◦ Emergency procedures-15.13.3.9

◦ Orientation and training-15.13.3.10

Days Versus Calendar Reference Weekly Monthly ◦ Is it monthly or is it 30 days????

Quarterly Semi-Annual Annual Tri-annual Every Four Years Every Five Years

Miscellaneous ◦ Medical Gas and Vacuum System Testing

◦ Medical Air Quality

◦ Emergency Generator Testing

◦ Emergency Battery Powered Light testing

◦ Electrical Receptacles

◦ HM&W

◦ Electrical-Batteries and CB

Tom Salamone

tomsalamone@msn.com

914-943-6190