NFPA 99 Risk Assessment/media/E57D319207B24FDBA976548C2490D85… · documented risk assessment...
Transcript of NFPA 99 Risk Assessment/media/E57D319207B24FDBA976548C2490D85… · documented risk assessment...
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NFPA 99 – Health Care Facilities Code, Risk Assessments
Presented by:
Chad Beebe
Dave Dagenais
Jonathan Hart
2017 NFPA Conference & Expo
• Application of Risk in NFPA 99
• Who is Responsible?
• Where Can the Risk Assessment be Applied
• Tools for Risk Assessments
• Chapter 4
• Systems & Equipment
• Chapter 1
• Wet Procedure Locations
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Chapter 4
• Chapter 4Category 1 Failure is likely to result in major injury or death
Category 2 Failure is likely to cause minor injury
Category 3 Failure is not likely to cause injury but may
cause discomfort
Category 4 Failure has no impact on patient care
Chapter 4
• Categories determined by following a defined and documented risk assessment procedure
• CMS: “CMS does not require the submission of risk assessment methods to CMS. However, CMS, will confirm that facilities are using risk assessment methodologies when conducting onsite surveys…”
Chapter 1
• The governing body of the facility or its designee shall establish/designate…
• Patient care rooms/spaces
• Anesthetizing locations
• Wet procedure locations
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Gas and Vacuum Systems
• Category 1
• Category 2
• Category 3
Electrical Systems
• Category 1 spaces
• Type 1 EES
• Category 2 spaces
• Type 2 EES
• Category 3
• Not required to be served by EES
Electrical Systems
• Wet Procedure Locations
• All ORs are considered wet procedure locations unless risk assessment determines otherwise
• ORs defined as such required to be protected by IPS or GFCI
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• No specific Category requirements
Electrical and Gas Equipment
• Health Care Governing body or its designee
• 3.3.65 Governing Body (2012)
• 2018 Code Language Proposed
• Role of Owner/AHJ
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• 2018 Code Language (PROPOSED)
4.2.1
The health care facility’s governing shall establish the processes and operations that are planned for the health care facility.
4.2.1.1
The health care facility’s governing body shall conduct risk assessments and shall determine risk categories based on the character of the processes and operations conducted in the health care facility.
• 2018 Code Language (PROPOSED)
4.2.2
Risk categories shall be classified by the health care facility’s governing body by following and documenting a defined risk assessment procedure.
4.2.2.1
Where required by the authority having jurisdiction, the risk assessment shall be provided to the authority having jurisdiction for review based on the character of the processes and operations conducted in the health care facility.
• 2018 Code Language (PROPOSED)
A.4.2.2
Classification of risk categories requires a collaborative effort between the health care facility's governing body and the AHJ.
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Examples/Tools
• ASHE Risk Assessment Tool
• ASHE Wet Procedure Location Tool
OR 1Minor Procedure Room
OR 2 OR 3
OR 4
OR 5OR 6
OR Workroom
OR StorageSoiledStorage
1 2
Indicates Space in the room
DeconRoomTrauma
1Trauma
2Trauma
3Trauma
4ED Holding
Room
Trauma X‐Ray
1
2
3
4
5
Indicates Space in the room
Nurse Station
ED 1
ED 2
ED 3ED 4ED 5
IsolationRoom
WaitingRoom
Reception
BH1
BH2
ED 6
GYN
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11.1 Applicability
11.1.1* This chapter shall apply to the use, at normal atmospheric pressure, of all of the following:
(1) Nonflammable medical gases
(2) Vapors and aerosols
(3) Equipment required for the administration of 11.1.1(1) and (2)
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Recordings: Audio recordings of all sessions will be available free of charge via NFPA Xchange.
2017 NFPA Conference & Expo