Abstract: A recommended practice for the design and operation of electric
systems in health care facilities is provided. The term health care facility as used
here encompasses buildings or parts of buildings that contain hospitals, nursing
homes, residential custodial care facilities, clinics, ambulatory health care centers,
and medical and dental offices. Buildings or parts of buildings within an industrial
or commercial complex, used as medical facilities, logically fall within the scope of
this recommended practice.
Keywords: anesthesizing, clinical, critical branch, emergency system, equipment
system, essential electrical system, examination, fire alarm, ground-fault circuitinterrupter, ground-fault protection, grounding, life safety branch, medical, nurse
call, patient care, recovery, safety, standby generator, surgical, transfer switch,
treatment, wet location
Contents
Chapter 1
Overview
1.1 Scope
1.2 Health care facilities
1.3 Professional registration
1.4 Codes and standards
1.5 Manufacturers’ data
1.6 Safety
1.7 Appliances and equipment
1.8 Operational considerations
1.9 Maintenance
1.10 Design considerations
1.11 Other considerations
1.12 Normative references
1.13 Bibliography
Chapter 2
Electrical loads
2.1 General discussion
2.2 Obtaining load data
2.3 Using load data to design health care facilities
2.4 Using load data to manage energy costs
2.5 Load management funding mechanisms
2.6 Normative references
2.7 Bibliography
Annex 2A (informative) Sutter general loads
Annex 2B (informative) Kaiser Roseville Medical Center continuous
electrical demand profile (summer 2001)
Chapter 3
Electrical power distribution systems
3.1 General discussion
3.2 Systems planning
3.3 Electrical power systems basics
3.4 Voltage considerations
3.5 Current considerations
3.6 Grounding
3.7 System protection and coordination
3.8 Electrical equipment selection, installation, and testing
3.9 System arrangements
3.10 Normative references
3.11 Bibliography
Chapter 4
Electrical power systems for delivering patient care
Overview
4.2 Definitions
4.3 Electrical system safety
4.4 Delivering power to the caregivers and their patients
4.5 Normative references
4.6 Bibliography
Chapter 5
Emergency power systems
5.1 Overview
5.2 Definitions
5.3 Generator sets
5.4 Generator system accessories
5.5 Transfer switches
5.6 Uninterruptible power supply systems
5.7 Transfer considerations for types of loads
5.8 Elevator loads
5.9 Engine-generator controls
5.10 Maintenance
5.11 Normative references
5.12 Bibliography
Chapter 6
Lighting
6.1 General discussion
6.2 Lighting design for hospitals
6.3 Hospital lighting applications
6.4 Considerations in lighting system design
6.5 Normative references
6.6 Bibliography
Chapter 7
Communication systems
7.1 System design considerations
7.2 Telecommunications infrastructure
7.3 Wireless networks
7.4 Network switching platforms
7.5 Telephone systems
7.6 Intercom systems
7.7 Nurse-call and code systems
7.8 Radio communication systems
7.9 Paging systems
7.10 Physician and staff register systems
7.11 Dictation systems
7.12 Patient physiological monitoring systems
7.13 Picture archiving and communication system
7.14 Emergency medical service communications
7.15 Clocks
7.16 Fire alarm system
7.17 Security systems
7.18 Facility monitoring
7.19 Television systems
7.20 Sound reinforcement systems
7.21 Disaster alarm systems
7.22 Normative references
7.23 Bibliography
Chapter 8
Medical equipment and instrumentation
8.1 Overview
8.2 Definitions
8.3 Trends in medical equipment evolution
8.4 General electrical considerations for medical equipment
8.5 Description of certain kinds of medical equipment
8.6 Normative references
8.7 Bibliography
Chapter 9
Health care
renovations
9.1 Overview
9.2 Coordination
9.3 Loads and energy management
9.4 Electrical power distribution system
9.5 Emergency power systems
9.6 Planning for patient care
9.7 Lighting
9.8 Communication and signal systems
9.9 Medical equipment and instrumentation
9.10 Preparing for renovations
9.11 Normative references
9.12 Bibliography
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Electrical Handbooks