Transitioning to the 2012 2016 Life Safety Conference - PowerPoint PPT Presentation

Transitioning to the 2012 2016 Life Safety Conference

Introductions/ Bios Mitchell S. Elliott, AIA Chief Development Officer Vetter Health Services, Inc. 402.895.3932  Architect  Chair – NHCA Life Safety Task Force  Member – AHCA Life Safety Committee  2 nd Vice Chair – NFPA Health Care Section Board of Directors  President – SAGE (Society for the Advancement of Gerontological Environments)

Introductions/ Bios Todd M. Aerni Facilities Management Director Hillcrest Health Services 402.619.7362  Certified Building Official  Masters of Public Administration  Past President – Nebraska Code Officials  Member – NHCA Life Safety Task Force  Board Member– Sarpy County Swim Club  Father of Two and Husband of One…

NHCA Life Safety Taskforce Members Mitchell S. Elliott John Turner Vetter Health Services Immanuel Fontenelle Todd M. Aerni Chuck Zimmerman Hillcrest Health Services Sampson Construction Rex Moore Mark Long Good Samaritan Society NIFCO Mechanical Systems, Inc. Rhonda Distefano Immanuel Communities

Taskforce Mission To advocate, on behalf of NHCA members, for life safety within skilled nursing and assisted living facilities that promotes quality life, quality care and quality environments. taskforce.nehca.org

Today’s Goals • To understand the major differences between the 2000 and the 2012 Life Safety Codes. To discover the process for • transitioning to the 2012 code.

Code Development • NFPA – 3-year Code Revision Cycle • Participatory Process • Technical Committee Driven

CMS & NFPA 1967

CMS & NFPA • 2012 Culture Change Components – Adopted through Categorical Waiver Process in 2014 • Adoption of 2012 Life Safety Code…

Collaborative Outcomes Collaborative Development of the 2012 Life Safety Code for Culture Change  Pioneer Network  Rothschild Foundation  AIA  SAGE  CMS

The Culture Change Five Pillars of Culture Change  Open Kitchens  Home-like Décor  Furniture & Equipment in the Corridors  Fireplaces  Security

Kitchens Open to the Corridor Allows certain types of alternative cooking arrangements including kitchens, serving lass than 30 residents, to be open to corridors as long as they are contained within smoke compartments with no more than 30 beds.

Kitchens Open to the Corridor NFPA 101-2012, 18/19.3.2.5.3  Cooktop or range is equipped with a range hood  Hood systems have a min. airflow of 500 cfm  Hood systems that are not ducted to the exterior additionally have a charcoal filter to remove smoke and odor.  The use of solid fuel for cooking is prohibited.  Deep-fat frying is prohibited.  Portable fire extinguishers in all kitchen areas.  No smoke detector is located less than 20 ft from the cooktop or range.

Installation of Combustible Decorations Allows for a certain amount of wall space that may be covered by combustible decorations.

Installation of Combustible Decorations NFPA 101-2012, 18/19.7.5  The decorations, such as photographs, paintings, and other art, are attached directly to the walls, ceiling, and non-fire-rated doors.  Decorations do not exceed 20 percent of the wall, ceiling, and door areas inside any room or space of a smoke compartment that is not protected throughout by an approved automatic sprinkler system.  Decorations do not exceed 30 percent of the wall, ceiling, and door areas inside any room or space of a smoke compartment that is protected throughout by an approved supervised automatic sprinkler system  Decorations do not exceed 50 percent of the wall, ceiling, and door areas inside patient sleeping rooms having a capacity not exceeding four persons, in a smoke compartment that is protected throughout by an approved, supervised automatic sprinkler system

Items in the Corridor (Medical Equipment) Allows emergency medical equipment such a crash carts and patient lift and transportation devices to be placed in the exit corridor without ‘in-use’ restrictions.

Items in Corridor (Medical Equipment) NFPA 101-2012, 18/19.2.3.4(4)  Wheeled equipment and carts in use include:  The wheeled equipment does not food service carts, housekeeping carts, reduce the clear unobstructed medication carts, isolation carts, and similar corridor width to less than 60 in. items.  The health care occupancy fire safety plan and training program address the relocation of the wheeled equipment during a fire or similar emergency.  The wheeled equipment is limited to the following: i. Equipment in use and carts in use ii. Medical emergency equipment not in use iii. Patient lift and transport equipment

Items in the Corridor (Fixed Furniture) Also permits fixed furniture in the corridor.

Items in Corridor (Fixed Furniture) NFPA 101-2012, 18/19.2.3.4(5)

Items in Corridor

Door Locking Arrangements Allows door locking arrangements in areas where there are clinical needs, security risks or specialized protective measures required for safety.

Gas Fireplaces in Common Areas Allows the installation of direct vent gas fireplaces in smoke compartments containing sleeping rooms.

Gas Fire Places in Common Areas NFPA 101-2012, 18/19.5.2.3(2)  No such device shall be located inside of a patient sleeping room.  Be protected throughout by an approved, supervised automatic sprinkler system  Include a sealed glass front with a wire mesh panel or screen.  Controls for the direct-vent gas fireplace shall be locked or located in a restricted location.  Electrically supervised carbon monoxide detection shall be provided in the room where the fireplace is located.

Beyond Culture  Major/Minor Rehabilitation 18/19.1.1.4.3.1  Major > 50% of smoke compartment or more than 4,500 sf of area in a smoke compartment.  Minor < 50% and not more than 4,500 sf.

Beyond Culture  Corridor Projections 18/19.2.3.4(2)  LSC allows 6” projections from a corridor wall.  ADA only allows 4” projections.  CMS Published Rule states: CMS intends to provide technical assistance regarding strategies for how to avoid noncompliance with the ADA's protruding objects requirement, as well as how to modify non-compliant protruding objects.

Beyond Culture  ABHRD (Alcohol-based hand-rub dispensers) 18/19.3.2.6 – Officially allowed w/ stipulations  Dispenser size limitation - .32 gal/each  Limit of 10 gal per smoke compartment  Defined locations relative to ignition source (outlets) – 1” top/bottom/side  Six “operational” criteria, including: “testing in accordance with manufacturer’s care and use instructions each time a new refill is installed.”

Beyond Culture  Extinguishing Requirements 18/19.3.5 Increased down time of a automatic fire suppression system from 4 hours to 10 hours in a 24-hour period before a fire watch, or building evacuation, is required.

Beyond Culture  Roller Latches 18/19.3.6.3.9.1  Roller latches allowed by LSC – remain closed with up to 5 pounds of force.  CMS will prohibit roller latches on corridor doors and doors to rooms containing flammable and combustible materials.

Door Locking Arrangements NFPA 101-2012, 18/19.2.2.2.2 through 18/192.2.2.6  Current Code Requirements & Limitations  Waiver Allowances

Multiple Delayed Egress Locks Allows more than one delayed- egress lock in the egress path where the clinical needs require specialized security measures or when a patient requires specialized protective measures for safety.

Multiple Delayed Egress Locks NFPA 101-2012, 18/19.2.2.4

Beyond Culture  Recycling Containers 18/19.7.5.7.2  Size limit of 96 gal unless located in a hazardous area, then unlimited.  This is up from the 32 gal limitation in 2000 LSC.  Trash receptacles – not required to be fire resistive 18.7.5.7.3

Beyond Culture  Draperies and Curtains 18/19.7.5.1

Beyond Culture  Draperies and Curtains 18/19.7.5.1  Must meet flame propagation performance criteria of NFPA 701…  Still applies to privacy curtains.  Does not apply to curtains at showers and baths.  Does not apply to draperies and curtains in resident rooms.  Does not apply to draperies and curtains in other rooms and areas with size limitations,  Each panel does not exceed 48 sf.  Total window panels do not exceed 20 percent of wall.

Beyond 101  NFPA 10-2010 Standard for Portable Fire Extinguishers (1998)  NFPA 25-2011 Standard for the ITM of Water- based Fire Protection Systems (1998)  NFPA 70-2011 National Electric Code (1999)  NFPA 72-2010 National Fire Alarm and Signaling Code (1999)  NFPA 80-2010 Standard for Fire Doors and Other Opening Protectives (1999)

Beyond 101  NFPA 96-2011 Standard for Ventilation Control and Fire Protection for Commercial Cooking Operations (2001)  NFPA 99-2012 Health Care Facilities Code (1999), except:  Chapter 7- Information Technology and Communications Systems for Health Care Facilities  Chapter 8 – Plumbing  Chapter 12 – Emergency Management  Chapter 13 – Security Management