NFPA 99: Health Care Facilities Code

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2015 NFPA 99
2015 NFPA 99 Handbook
Prior Years NFPA 99 Prior Editions
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Building on its successful risk-based approach, the 2015 edition of NFPA 99: Health Care Facilities Code improves usability for better health care safety.

The 2015 edition NFPA 99: Health Care Facilities Code provides performance criteria for health care facilities that builds on the risk-based approach introduced in the 2012 NFPA 99, where it is the risk posed to patients and staff, not the type of building, that defines safety guidelines. Provisions govern installation, inspection, testing, maintenance, performance, and safe practices for facilities, material, equipment, and appliances -- including medical gas and vacuum systems formerly found in NFPA 99C*.

Major changes in the 2015 NFPA 99 make performance criteria more usable, enforceable, and adoptable:

  • Requirements correlate with the 2014 NFPA 70®: National Electrical Code®.
  • New provisions address using fuel cell systems for backup power, allowing the use of new technology while ensuring the same minimum level of safety.
  • Type 3 Essential Electrical System requirements have been removed from NFPA 99 -- deferring to other codes for required egress lighting.
  • Updated requirements for nurse call systems incorporate widely used terminology and align with the Facility Guidelines Institute (FGI).

Other revisions respond to new information and the evolving industry.

  • Revised minimum allowable temperature for cylinders for nitrous oxide and carbon dioxide help avoid potential loss of pressure.
  • Rewritten Category 3 Medical Gas and Vacuum Systems provisions are aligned with the requirements for Category 1 and 2 Systems, with requirements specific to dental drive gas and dental vacuum systems.
  • First-time requirements for oxygen-concentrator-based refilling systems reflect their increasing use in today's health care setting.

Keep health care facilities up-to-code and patients and staff safe.

The 2015 NFPA 99 is a must-have resource for everyone involved in health care safety including contractors, engineers, facility managers, AHJs, plumbers, gas and vacuum system installers, security personnel, insurance companies, and manufacturers. (Softbound, Approx. 222 pp., 2015)


*Looking for NFPA 99C: Gas and Vacuum Systems?

NFPA 99C is no longer be a stand-alone document. Instead, NFPA® provides 3 options.

  1. The former NFPA 99C content can be found in Chapters 1-5 of the 2015 NFPA 99 on this page
  2. Access all of the former NFPA 99C medical gas and vacuum systems content in Chapters 1-5 of the 2015 NFPA 99 Handbook
  3. Consult NFPA's Medical Gas and Vacuum System Installation Handbook with all the latest rules for Category 1-3 systems plus expert insights, examples, and visuals that help you understand and apply them correctly.

Editor: Jonathan R. Hart

Apply the 2015 NFPA 99 correctly and confidently with expert insights in the new Health Care Facilities Code Handbook.

Based on the 2015 NFPA 99: Health Care Facilities Code, NFPA®'s Health Care Facilities Code Handbook helps eliminate confusion or mistakes that may jeopardize the safety of patients or staff in both new and existing health care facilities. Redesigned and updated for the many challenges faced in today's field, the Handbook features a wealth of expert commentary addressing the full range of concerns.

Indispensable for everyone responsible for safety in a healthcare setting, the 2015 NFPA 99 Handbook has:

  • The complete text of the 2015 NFPA 99, including medical gas and vacuum system requirements
  • Explanations of the intent behind requirements, such as the new provisions addressing the safe use of fuel cell systems for backup power, and updated requirements for nurse call systems
  • Practical guidance and examples on how to apply provisions, including the revised minimum allowable temperature for cylinders containing nitrous oxide and carbon dioxide
  • FAQs highlighting key concerns of installers, inspectors, managers, and operators
  • More than 160 photographs plus full-color tables, photos, and other visuals
  • New design elements alerting you to Code updates
  • Special design elements highlighting requirements for existing facilities. Now, facility managers can see what specifically applies to their existing systems and buildings and plan for compliance.
  • New Supplements including a summary of an ASHE survey on Super Storm Sandy's impact on essential electrical systems and emergency planning, major technical changes in NFPA 99, plus a Security and Health Care Supplement
  • New NFPA fact sheets on U.S. Structure Fires in Health Care Properties, Nursing Home Structure Fires, Medical Oxygen Safety, and more

The Health Care Facilities Code Handbook clarifies concepts so contractors, engineers, facility managers, and security personnel can get up-to-speed on NFPA 99 requirements that provide vital safeguards to patients and staff. It's also essential for inspectors and AHJs charged with ensuring compliance. (Hardbound, Approx. 730 pp., 2015)


*Looking for NFPA 99C: Gas and Vacuum Systems?

NFPA 99C is no longer be a stand-alone document. Instead, NFPA® provides 3 options.

  1. The former NFPA 99C content can be found in Chapters 1-5 of the 2015 NFPA 99 on this page
  2. Access all of the former NFPA 99C medical gas and vacuum systems content in Chapters 1-5 of the 2015 NFPA 99 Handbook
  3. Consult NFPA's Medical Gas and Vacuum System Installation Handbook with all the latest rules for Category 1-3 systems plus expert insights, examples, and visuals that help you understand and apply them correctly.
NFPA<sup>®</sup> 99 Health Care Facilities Code 2015 Edition

NFPA® 99 Health Care Facilities Code 2015 Edition

Chapter 1 Administration
1.1 Scope
1.2 Purpose
1.3 Application
1.4 Equivalency
1.5 Units
1.6 Code Adoption Requirements
Chapter 2 Referenced Publications
2.1 General
2.2 NFPA Publications
2.3 Other Publications
2.4 References for Extracts in Mandatory Sections
Chapter 3 Definitions
3.1 General
3.2 NFPA Official Definitions
3.3 General Definitions
3.4 BICSI Definitions
Chapter 4 Fundamentals
4.1 Risk Categories
4.2 Risk Assessment
4.3 Application
4.4 Materials
Chapter 5 Gas and Vacuum Systems
5.1 Category 1 Piped Gas and Vacuum Systems
5.2 Category 2 Piped Gas and Vacuum Systems
5.3 Category 3 Piped Gas and Vacuum Systems
Chapter 6 Electrical Systems
6.1 Applicability
6.2 Nature of Hazards
6.3 Electrical System
6.4 Essential Electrical System Requirements — Type 1
6.5 Essential Electrical System Requirements — Type 2
Chapter 7 Information Technology and Communications Systems
7.1 Applicability
7.2 Reserved
7.3 Category 1 Systems
7.4 Category 2 Systems
7.5 Category 3 Systems
Chapter 8 Plumbing
8.1 Applicability
8.2 System Category Criteria
8.3 General Requirements
8.4 Category 1. (Reserved)
8.5 Category 2. (Reserved)
8.6 Category 3. (Reserved)
Chapter 9 Heating, Ventilation, and Air Conditioning (HVAC)
9.1 Applicability
9.2 System Category Criteria
9.3 General
9.4 Category 1. (Reserved)
9.5 Category 2. (Reserved)
9.6 Category 3. (Reserved)
Chapter 10 Electrical Equipment
10.1 Applicability
10.2 Performance Criteria and Testing for Patient Care–Related Electrical Appliances and Equipment
10.3 Testing Requirements — Fixed and Portable
10.4 Nonpatient Electrical Appliances and Equipment
10.5 Administration
Chapter 11 Gas Equipment
11.1 Applicability
11.2 Cylinder and Container Source
11.3 Cylinder and Container Storage Requirements
11.4 Performance Criteria and Testing
11.5 Administration
11.6 Operation and Management of Cylinders
11.7 Liquid Oxygen Equipment
Chapter 12 Emergency Management
12.1 Applicability
12.2 Responsibilities
12.3 Emergency Management Categories
12.4 General
12.5 Emergency Management Category 1 and Emergency Management Category 2 Requirements
Chapter 13 Security Management
13.1 Applicability
13.2 Security Management Plan
13.3 Security Vulnerability Assessment (SVA)
13.4 Responsible Person
13.5 Security-Sensitive Areas
13.6 Access and Egress Security Measures
13.7 Media Control
13.8 Crowd Control
13.9 Security Equipment
13.10 Employment Practices
13.11 Security Operations
13.12 Program Evaluation
Chapter 14 Hyperbaric Facilities
14.1 Scope
14.2 Construction and Equipment
14.3 Administration and Maintenance
Chapter 15 Features of Fire Protection
15.1 Applicability
15.2 Construction and Compartmentation
15.3 Special Hazard Protection for Flammable Liquids and Gases
15.4 Laboratories
15.5 Utilities
15.6 Waste Chutes, Incinerators, and Linen Chutes
15.7 Fire Detection, Alarm, and Communications Systems
15.8 Automatic Sprinklers and Other Extinguishing Equipment
15.9 Manual Extinguishing Equipment
15.10 Compact Storage
15.11 Compact Mobile Storage
15.12 Maintenance and Testing
15.13 Fire Loss Prevention in Operating Rooms
Annex A Explanatory Material
Annex B Additional Explanatory Notes
Annex C Sample Ordinance Adopting NFPA 99
Annex D Informational References
Index

Contents

Preface

Acknowledgments

About the Editors

About the Contributors

PART ONE

NFPA 99, Health Care Facilities Code, with Commentary

1 Administration

1.1 Scope

1.2 Purpose

1.3 Application

1.4 Equivalency

1.5 Units

1.6 Code Adoption Requirements

2 Referenced Publications

2.1 General

2.2 NFPA Publications

2.3 Other Publications

2.4 References for Extracts in Mandatory Sections

3 Definitions

3.1 General

3.2 NFPA Official Definitions

3.3 General Definitions

3.4 BICSI Definitions

4 Fundamentals

4.1 Building System Categories

4.2 Risk Assessment

4.3 Application

5 Gas and Vacuum Systems

5.1 Category 1 Piped Gas and Vacuum Systems

5.2 Category 2 Piped Gas and Vacuum Systems

5.3 Category 3 Piped Gas and Vacuum Systems

6 Electrical Systems

6.1 Applicability

6.2 Nature of Hazards

6.3 Electrical System

6.4 Essential Electrical System Requirements — Type 1

6.5 Essential Electrical System Requirements — Type 2

6.6 Essential Electrical System Requirements — Type 3

7 Information Technology and Communications Systems for Health Care Facilities

7.1 Applicability

7.2 Reserved

7.3 Category 1 Systems

7.4 Category 2 Systems

7.5 Category 3 Systems

8 Plumbing

8.1 Applicability

8.2 System Category Criteria

8.3 General Requirements

9 Heating, Ventilation, and Air Conditioning (HVAC)

9.1 Applicability

9.2 System Category Criteria

9.3 General

10 Electrical Equipment

10.1 Applicability

10.2 Performance Criteria and Testing for Patient Care–Related Electrical Appliances and Equipment

10.3 Testing Requirements — Fixed and Portable

10.4 Nonpatient Electrical Appliances and Equipment

10.5 Administration

11 Gas Equipment

11.1 Applicability

11.2 Cylinder and Container Source

11.3 Cylinder and Container Storage Requirements

11.4 Performance Criteria and Testing

11.5 Administration

11.6 Operation and Management of Cylinders

11.7 Liquid Oxygen Equipment

12 Emergency Management

12.1 Scope

12.2 Responsibilities

12.3 Matrix Categories

12.4 General

12.5 Category 1 and Category 2 Requirements

13 Security Management

13.1 Scope

13.2 Security Vulnerability Assessment (SVA)

13.3 Responsible Person

13.4 Security-Sensitive Areas

13.5 Access and Egress Security Measures

13.6 Media Control

13.7 Crowd Control

13.8 Security Equipment

13.9 Employment Practices

13.10 Security Operations

13.11 Program Evaluation

14 Hyperbaric Facilities

14.1 Scope

14.2 Construction and Equipment

14.3 Administration and Maintenance

15 Features of Fire Protection

15.1 Applicability

15.2 Construction and Compartmentation

15.3 Special Hazard Protection Flammable Liquids and Gases

15.4 Laboratories

15.5 Utilities

15.6 Rubbish Chutes, Incinerators, and Laundry Chutes

15.7 Fire Detection, Alarm, and Communications Systems

15.8 Automatic Sprinklers and Other Extinguishing Equipment

15.9 Manual Extinguishing Equipment

15.10 Compact Storage

15.11 Compact Mobile Storage

15.12 Maintenance and Testing

15.13 Fire Loss Prevention in Operating Rooms

Annexes

A Explanatory Materials

B Additional Explanatory Notes

C Sample Ordinance Adopting NFPA 99

D Informational References

PART TWO

Supplements

1 Security in Health Care

2 Regulatory Issues Affecting the Safety of Clinical Hyperbaric Medicine Facilities

3 Health Care Emergency Management Response and Recovery: New Orleans

4 Evaluation of Health Care Operating Rooms as Wet/Dry Locations

5 Technical/Substantive Changes to the 2012 Edition of NFPA 99

Index

Important Notices and Disclaimers

Important information about NFPA codes and standards available

 

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