NFPA MGHB-2018 Medical Gas and Vacuum Systems Installation Handbook (Third Edition).pdf

1、NATIONAL FIRE PROTECTION ASSOCIATIONThe leading information and knowledge resource on f_ire, electrical and related hazards Irene Herlihy, developmental and production editor; Barbara Ingalls, copy editor; Cheryl Langway, art coordinator; and Josiane Domenici, permissions editor, for their assistanc

2、e, pro-fessionalism, and dedication to this project.Jonathan Hart“DLOPXMFEHNFOUTWJJJonathan R. Hart, PEJon Hart is a Principal Fire Protection Engineer for NFPA. In this role he serves as staff liaison to NFPA 99, Health Care Facilities Code, working with the technical committees and the correlating

3、 committee responsible for the development of the document. He is a developer and instructor of the two-day NFPA 99 Seminar and is the technical editor of the Health Care Facilities Code Handbook. Jon has also worked with codes and standards involving the fire pro-tection of IT equipment, the fire p

4、rotection of telecommunications facilities, the ventilation control and fire protection of commercial cooking operations, and explosion protection. He has a Bachelor of Science in Mechanical Engineering and a Master of Science in Fire Protection Engineering, both from Worcester Polytechnic Institute

5、. Jon is a registered professional engineer in the discipline of fire protection.“CPVUUIF the imple-mentation needs to be tailored to the specific facility. 5IF$FOUFSTGPS.FEJDBSFBOE.FEJDBJE4FSWJDFT $.4 IBTTQFDJf_iDFNFSHFODZNBOBHFNFOUBOEQMBOOJOHDSJUFSJBGPSDPNQMZJOHXJUIUIFJS$POEJUJPOTPG1BSUJDJQBUJPO $

6、01 5IFf_iOBMSVMF QVCMJTIFEJO4FQUFNCFS JTUJUMFEi&NFSHFODZ1SFQBSFEOFTT3FRVJSFNFOUTGPS.FEJDBSFBOE.FEJDBJE1BSUJDJQBUJOH1SPWJEFSTBOE4VQQMJFSTw$IBQUFSDBOCFVTFEBTBHVJEF)PXFWFS GPSDPNQMJBODFXJUIUIF$01 UIF$.4DSJUFSJBNVTUCFGPMMPXFE1.1.11 Security Management. Chapter 13 establishes criteria for security manage

7、ment, including management controls, mitigation practices, staff training, and program evaluation in health care facilities.1.1.12* Hyperbaric Facilities. Chapter 14 establishes criteria for design and operation of hyperbaric chambers and facilities. Chapter 14 covers electrical, fire, pressure, and

8、 gas hazards associated with hyperbaric facilities that are used, or intended to be used, for medical and experimental procedures at gauge pressures from 0 kPa to 690 kPa (0 psi to 100 psi). .FEJDBM(BTBOE7BDVVN4ZTUFNT)BOECPPL$IBQUer 1uni00A0uni00A0AENJOJTUSBUJPOA.1.1.12 Hyperbaric chambers are found

9、 in a variety of settings, including but not lim-ited to hospitals, doctors offices, private clinics, and business occupancies. Not all hyper-baric facilities are designed or equipped the same. Hyperbaric treatment and facilities are used for a variety of emergent and nonemergent conditions, and the

10、 acuity of patients ranges from stable to critical. These variations lead to differences in hyperbaric equip-ment, ancillary support equipment, and facility location. This chapter is intended to pro-vide minimum safeguards for hyperbaric patients and personnel regardless of the location of the facil

11、ity.1.1.13 Dental Gas and Vacuum System. Chapter 15 covers the performance, maintenance, and testing of dental gas and vacuum systems in health care facilities.$IBQUFSJTOFXUPUIFFEJUJPO*UBEESFTTFTUIFVOJRVFDPODFSOTPGEFOUBMGVODUJPOTJOIFBMUIDBSFGBDJMJUJFTJOSFTQPOTFUPBSFRVFTUGSPNUIFJOEVTUSZUPQSPWJEFSFRVJ

12、SFNFOUTUBJMPSFEUPEFOUBMVTF1.1.14 Features of Fire Protection. Chapter 16 covers the performance, maintenance, and testing of fire protection equipment in health care facilities.$IBQUFSNBLFTFYUFOTJWFVTFPGFYUSBDUTGSPN/1“JOBEEJUJPOUPPUIFSNBUFSJBM“MUIPVHIUIFDIBQUFSJODMVEFTSFRVJSFNFOUTGPSGJ FQSPUFDUJPO N

13、VDIPGJUJTOPOTQFDJGJDBOESFGFSTUIFVTFSUPJOTUBMMBUJPOTUBOEBSET1.2 Purpose. The purpose of this code is to provide minimum requirements for the installation, inspection, testing, maintenance, performance, and safe practices for facilities, material, equipment, and appliances, including other hazards ass

14、ociated with the primary hazards. “TXJUIBMM/1“EPDVNFOUT /1“JTJOUFOEFEUPQSPWJEFPOMZNJOJNVNSFRVJSFNFOUTUPQSPUFDUPDDVQBOUTPGIFBMUIDBSFGBDJMJUJFTBHBJOTUUIFIBBSETJUBEESFTTFT5IFSFBSFNBOZPQUJPOTBWBJMBCMFUPGBDJMJUZPXOFST EFTJHOFST BOEPUIFSTUBLFIPMEFSTUIBUHPBCPWFBOECFZPOEUIFNJOJNVNMFWFMTQSFTDSJCFEJOUIJTDPEF1

15、SPWJEJOHUIJTIJHIFSMFWFMNJHIUCFUIFQSFGFSFODFGPSTPNFGBDJMJUJFTCVUDPVMECFVOOFDFTTBSZPSPWFSMZCVSEFOTPNFGPSPUIFSGBDJMJUJFTBOEJTUIFSFGPSFOPUSFRVJSFEGPSBMMIFBMUIDBSFGBDJMJUJFT5IFNJOJNVNSFRVJSFNFOUTBSFCZOPNFBOTBMJNJUBUJPOUPUIFMFWFMUIBUDBOCFQSPWJEFE BOEUIFDPEFTIPVMEOPUCFBQQMJFEUIBUXBZ1.3 Application1.3.1 Thi

16、s code shall apply to all health care facilities other than home care and veterinary care. 5IFSFJTNVDIVTFGVMJOGPSNBUJPOBWBJMBCMFGSPNPUIFSTPVSDFTPOIPXUPBQQMZTBGFUZJOUIFIPNFIFBMUIDBSFFOWJSPONFOUBOEXJUIUIFFRVJQNFOUGPVOEUIFSF0OFTVDITPVSDFJTUIF/1“QBNQIMFU iJSFTBOE#VSOT*OWPMWJOH)PNF.FEJDBM0YZHFO wBWBJMBCM

17、FBUXXXOGQBPSHTBGFUZJOGPSNBUJPOGPSDPOTVNFSTDBVTFTNFEJDBMPYZHFO5IFSFRVJSFNFOUTPG/1“ IPXFWFS BSFOPUJOUFOEFEUPCFBQQMJFEUPUIFIPNFIFBMUIDBSFFOWJSPONFOU4FFBMTP4VQQMFNFOUPGUIJTIBOECPPL1.3.1.1 This document is intended for use by those persons involved in the design, construc-tion, inspection, and operation

18、of health care facilities and in the design, manufacture, and testing of appliances and equipment used in patient care rooms of health care facilities.N.FEJDBM(BTBOE7BDVVN4ZTUFNT)BOECPPL 4FDtion 1.3uni00A0uni00A0AQQMJDBUJPO )PX/1“JTVTFEXJMMEFQFOEPOXIFUIFSUIFEPDVNFOUJTBEPQUFEGPSVTFBOEXIPBEPQUTUIFEPDV

19、NFOUGPSVTF XIFUIFSHPWFSONFOUBMPSOPOHPWFSONFOUBMBHFODJFTPSDPNQBOJFT5IJTQBSBHSBQIBMTPIJHIMJHIUTUIFWBSJFUZPGQFPQMFXIPDBOBOEXJMMCFJOWPMWFEJOUIFBQQMJDBUJPOPG/1“5IFSFBSFNBOZdif_fFSFOUTUBLFIPMEFSTJOUIFTFQSPKFDUT BOEDPPSEJOBUJPOJTWJUBMUPFOTVSFQSPQFSBQQMJDBUJPOPOUIFFOEQSPEVDU$PPSEJOBUJPOBNPOHUIFTUBLFIPMEFSTT

20、IPVMECFBQSJPSJUZPGBOZIFBMUIDBSFPSHBOJBUJPOGPSCPUIGVUVSFBOEOFXMZDPOTUSVDUFECVJMEJOHTBTXFMMBTFYJTUJOHGBDJMJUJFT$PNNJTTJPOJOHJTBOef_fFDUJWFNFBOTUPQSPWJEFUIJTDPPSEJOBUJPOGSPNUIFCFHJOOJOHPGBQSPKFDU%PDVNFOUTBSFBWBJMBCMFUIBUQSPWJEFHVJEFMJOFTPOUIFDPNNJTTJPOJOHQSPDFTT JODMVEJOH/1“ 4UBOEBSEGPS$PNNJTTJPOJOHPGJ

21、SF1SPUFDUJPOBOE-JGF4BGFUZ4ZTUFNT BOEUIF“4)&)FBMUIBDJMJUZ$PNNJTTJPOJOH(VJEFMJOFT1.3.2 Construction and equipment requirements shall be applied only to new construction and new equipment, except as modified in individual chapters.5IJTTVCTFDUJPOBQQMJFTUISPVHIPVUUIFEPDVNFOUBOEJTBTJNQPSUBOUBTBOZPUIFSQSPW

22、JTJPOXJUIJO/1“&BDIJOEJWJEVBMDIBQUFSJODMVEFTSFRVJSFNFOUTSFRVJSFNFOUTGPSUIFBENJOJTUSBUJPOPGTZTUFNTBOEFRVJQNFOU GPSNBJOUBJOJOHTUPSBHFBOEFRVJQNFOUSPPNTQSPQFSMZBOETBGFMZ PSGPSHFOFSBMNBJOUFOBODFBOEUFTUJOHGPSFYJTUJOHJOTUBMMBUJPOT4VCTFDUJPODMBSJGJFT UIBU JOBMMUIFDIBQUFSTUPGPMMPX VOMFTTPUIFSXJTFTQFDJGJF UIFS

23、FRVJSFNFOUTPGUIFDPEFBSFPOMZJOUFOEFEUPBQQMZUPOFXDPOTUSVDUJPOBOEOFXFRVJQNFOU1.3.2.1 Only the altered, renovated, or modernized portion of an existing system or individual component shall be required to meet the installation and equipment requirements stated in this code.1.3.2.2 If the alteration, reno

24、vation, or modernization adversely impacts the existing performance requirements of a system or component, additional upgrading shall be required.5IFUXPQSFWJPVTQBSBHSBQITTUBUFUIBU XIFSFBOFYJTUJOHTZTUFNVOEFSHPFTBSFOPWBUJPOPSNPEFSOJBUJPO UIFSFRVJSFNFOUTPG/1“BSFNFBOUUPBQQMZPOMZUPUIPTFQPSUJPOTPGUIFTZTUF

25、N*UJTSFDPHOJFEUIBUTPNFUJNFTUIFTFDIBOHFTIBWFUIFQPUFOUJBMUPESBNBUJDBMMZJNQBDUUIFFYJTUJOHTZTUFNPSDPNQPOFOU8IFSFUIJTPDDVST JUJTOFDFTTBSZUPDPNQMFUFBEEJUJPOBMVQHSBEJOHJOPSEFSUPNFFUUIFSFRVJSFNFOUT1.3.2.3 An existing system that is not in strict compliance with the provisions of this code shall be permitted

26、 to be continued in use, unless the authority having jurisdiction has deter-mined that such use constitutes a distinct hazard to life. “MUIPVHIUIJTQBSBHSBQISFQFBUTUIFJOUFOUPGUIBUUIFSFRVJSFNFOUTBSFOPUNFBOUUPCFBQQMJFEUPFYJTUJOHTZTUFNT JUBMTPQSPWJEFTQFSNJTTJPOGPSUIFBVUIPSJUZIBWJOHKVSJTEJDUJPOUPSFRVJSFD

27、PNQMJBODFXIFSFFYJTUJOHDPOEJUJPOTBSFBEJTUJODUIBBSEUPMJGF1.3.3 Policies.1.3.3.1 The health care organization shall ensure that policies are established and maintained that permit the attending physician to satisfy the emergency needs of any patient that super-sede the requirements of this code. .FEJDB

28、M(BTBOE7BDVVN4ZTUFNT)BOECPPL$IBQUer 1uni00A0uni00A0AENJOJTUSBUJPO1.3.3.2 Each such special use shall be clearly documented and reviewed to attempt to have future similar needs met within the requirements of this code.8IJMF/1“JTJOUFOEFEUPQSPWJEFBNJOJNVNMFWFMPGTBGFUZUPQBUJFOUTBOEDBSFHJWFST JUJTSFDPHOJ

29、FEUIBUUIFSFBSFTQFDJBMTJUVBUJPOTBOEUZQFTPGDBSFUIBUNBZOPUIBWFCFFOBOUJDJQBUFEJOUIFXSJUJOHPGUIJTDPEF*UJTBMTPOPUUIFJOUFOUPG/1“UPNBLFNFEJDBMDBSFEFDJTJPOTGPSBOZQBUJFOUUIFTFDBOPOMZCFQSPQFSMZBEESFTTFECZBQIZTJDJBO5IJTQBSBHSBQIBMMPXTGPSUIPTFEFDJTJPOTUPCFNBEF BOEJOGBDUSFRVJSFTIFBMUIDBSFGBDJMJUJFTUPQSPWJEFGPSTQF

30、DJBMDBTFQPMJDJFT BTMPOHBTUIFTQFDJBMDBTFTBSFEPDVNFOUFE1.3.4 Patient Care Spaces.1.3.4.1 The health care facilitys governing body or its designee shall establish the following areas in accordance with the type of patient care anticipated (see 3.3.136 Patient Care Space): (1) Category 1 spaces(2) Category 2 spaces(3) Category 3 spaces(4) Category 4 spaces5IFSFBSFUXPJNQPSUBOUDPODFQUTUIBUDBOCFJEFOUJGJFE JOUIFXPSEJOHPGUIJTQBSBHSBQI5IF