NFPA 99 - 2010 Edition

Healthcare Facility Management Society Of New Jersey June 18, 2009

History
1979 - Committee decided to combine all documents under its jurisdiction
NFPA 56F, 76A, 76B-T, etc.

1984 - First issuance of NFPA 99 1987 - Integrated all of the individual documents into chapters 2005 - Complete evaluation and rewrite of current document.

2008 WSC&E on NFPA 99

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

Facilities providing services to human beings.

2008 WSC&E on NFPA 99

Purpose
To provide minimum requirements for the:
Performance, Maintenance, Testing, and Safe practices for

2008 WSC&E on NFPA 99

Application
Applies to all health care facilities Construction and equipment requirements for new only Only altered or renovated or modernized portion of the building If above modifies the performance of a system it must be modified
2008 WSC&E on NFPA 99

So What is Going On?

NFPA Standards Administration has extended the cycle to 5 years for the rewrite. Technical Committee members have been charged with stretching to modify chapters for the year 2020

2008 WSC&E on NFPA 99

Global Goals and Changes

Modernize the document Clear and consistent set of criteria Establish three risk levels of patient care All chapters will have the same look Establish a section for existing system requirements
2008 WSC&E on NFPA 99

Categories of Patient Risk

Category 1 Facility systems in which failure of such equipment or system is likely to cause major injury or death of patients or caregivers shall be designed to meet system category 1 as defined in this standard.
Annex Material Systems are expected to work or be available at all times to support patient needs.
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Categories of Patient Risk

Category 2
Facility systems in which failure of such equipment is likely to cause minor injury to patients or caregivers shall be designed to meet system category 2 as defined in this standard. Annex Material
Systems are expected to provide a high level of reliability; however, limited short durations of equipment downtime can be tolerated without significant impact on patient care. Category 2 systems support patient needs, but are not critical for life support.
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Categories of Patient Risk

Category 3
Facility systems in which failure of such equipment is not likely to cause injury to the patients or caregivers, but may cause patient discomfort shall be designed to meet system category 3 as defined in this standard. Annex Material
Normal building system reliabilities are expected. Such systems support patients needs but failure of such equipment would not immediately effect patient care. Such equipment is not critical for life support.

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Categories of Patient Risk

Category 4
Facility systems in which failure of such equipment would have no impact on patient care shall be designed to meet system category 4 as defined in this standard. Annex Material Such systems have no impact on patient care and would not be noticeable to patients in the event of failure. There are no minimum requirements for such equipment.
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TC on Fundamentals
Definitions
Anesthetizing locations Wet locations

New chapter on fire protection features Revised section on flammable germicides and antiseptic (TIA)

2008 WSC&E on NFPA 99

TC Piped Gas Systems

Working with NFPA 55 on bulk oxygen requirements Testing requirements for cryogenic liquid systems and all other systems

2008 WSC&E on NFPA 99

Testing - Cryogenic Systems

Tested for proper function For purity, alarm sensors Operation of the control sensors

2008 WSC&E on NFPA 99

Maintenance Requirement
Rejected an annual requirement for system testing by an ASSE 6030 verifier Rejected annual outlet/inlet testing Rejected requiring ASSE 6040 (certification of maintenance workers) but recommended it in the annex Added testing of medical booms in OR
2008 WSC&E on NFPA 99

Medical Gas Maintenance

Facility shall develop and document periodic maintenance Program shall include an inventory of:
All source subsystems, control valves, alarms, manufactured assemblies, and outlets

2008 WSC&E on NFPA 99

Medical Gas Maintenance

Inspection schedule shall be established through a risk assessment Inspection procedure established by the organization Maintenance schedule established through a risk assessment

2008 WSC&E on NFPA 99

Med Air Use Restriction

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

2008 WSC&E on NFPA 99

Level 3 Med Gas Systems

Completely revised the Level 3 section
Easier to read Removed redundancies

2008 WSC&E on NFPA 99

TC - Electrical Systems
Definition of Wet Location
Including all operating rooms Annex language on spillage of liquids

2008 WSC&E on NFPA 99

TC - Electrical Systems
Eliminated emergency system heading Changed equipment system to equipment branch Overcurrent protection devices
Accessible to authorized personnel Not permitted in public access spaces

Receptacles
Critical care - 14 outlets/seven duplex Operating rooms- 36 outlets/eighteen duplex
2008 WSC&E on NFPA 99

TC - Electrical Systems
Rejected receptacle testing of 3 year maximum interval Permit a single or multiple feeder between EES grouped distribution Fuel transfer pumps, receptacles, ventilation fans, louvers and cooling systems added to the life safety or critical branch deleted from equipment
2008 WSC&E on NFPA 99

Selective Coordination
Added text to permit a 0.1 second delay

2008 WSC&E on NFPA 99

TC - Electrical Systems
Generator Testing
10 seconds is not required during monthly testing annual confirmation

2008 WSC&E on NFPA 99

TC - Electrical Systems
New chapter on low voltage systems being recommended New section on campus electrical systems being added

2008 WSC&E on NFPA 99

TC Mechanical Systems
Ventilation is addressed on a minimal basis Need to consolidate all the references to various systems and requirements Looking to be a resource by referencing other documents

2008 WSC&E on NFPA 99

TC Mechanical Systems
New Chapter on Plumbing
Water
Potable Temperature Waste Special use

Set up in categories of patient risk

2008 WSC&E on NFPA 99

TC Mechanical Systems
New Chapter on Heating
Set up in patient risk categories References other standards for ventilation and humidity All references for ventilation are contained in this chapter
Transfilling of liquid oxygen Medical gas storage rooms
2008 WSC&E on NFPA 99

2008 WSC&E on NFPA 99

TC Medical Equipment
Patient Care Vicinity
Rejected expanding the patient vicinity

2008 WSC&E on NFPA 99

TC Medical Equipment
Use of piped O2 for ozone sterilizers

2008 WSC&E on NFPA 99

TC Medical Equipment
Reduced medical equipment testing
Patient care removed testing frequencies Non-patient care Be careful as the requirements for current leakage have been relocated.

2008 WSC&E on NFPA 99

TC Medical Equipment
Emergency cylinders in anesthetizing locations - Rejected

2008 WSC&E on NFPA 99

TC- Emergency Management

Emergency management - completely rewritten and expanded for 2010
Two categories of risk
In-patient facility is expected to be operable In-patient and outpatient areas that augment the critical mission but not receive in-patients

Uses The Joint Commission standards as a basis for plan evaluation

2008 WSC&E on NFPA 99

TC- Emergency Management

New Chapter on Security
Based on the foundations of NFPA 730, Guide for Premises Security Facility shall conduct a Security Vulnerability Assessment (SVA) Defines responsible person

2008 WSC&E on NFPA 99

TC- Emergency Management

Security sensitive areas per SVA
Emergency Department Pediatric and infant care area Medication storage and work areas Clinical and research laboratories Dementia or behavioral health units Forensic patient treatment area Communications, data infrastructure, and medical records storage areas
2008 WSC&E on NFPA 99

TC- Emergency Management

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

2008 WSC&E on NFPA 99

I leave you with this last thought on NFPA 99 NFPA Annual Meeting June 8-11, 2009 Chicago, IL