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NFPA 99, Health Care Facilities Code Handbook

2021 NFPA 99 Code Handbook - Current Edition
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  • Description

    Increase your ability to understand NFPA 99 requirements and recommendations with the expert insights and support from the Health Care Facilities Code Handbook.

    Facility managers, installers, designers, inspectors, and enforcers rely on Health Care Facilities Code criteria to help protect lives and property in the broad range of health care settings. The NFPA 99 Handbook, 12th edition, 2021, is the leading resource for assisting users in comprehending code concepts and learning to apply vital safety provisions in your work.

    You get complete code criteria for electrical systems, gas and vacuum systems, mechanical systems, medical equipment, and health care emergency management, security, and patient safety based on risk. Expert commentary throughout provides added insight into interpreting requirements and assists in explaining complex ideas to non-technical people.

    Features of the handbook include:

    • Full coverage of all 16 chapters and 4 annexes of the code
    • Four-color text and visuals, including photos, illustrations, graphics, and charts
    • Summary of Technical Changes table offering an overview of major code changes from 2018 to the 2021 edition of NFPA 99
    • Code change indicators (shading = revisions, bullet points = deletions, “N” = new content)
    • Survey Preparedness providing the perspective of the surveyor in detailing the types of things they will be looking for and their expectations
    • Existing facilities icons for easier identification of code requirements that apply to existing facilities
    • Test Procedures offering specific methods for installation tests and verification tests for medical gas systems
    • Closer Looks discuss topics for more in-depth coverage of critical topics at the end of various chapters
    • CMS K-Tags placed near the applicable code sections providing the NFPA 99 specific K-Tags from CMS Fire Safety Survey Report (Form 2786R)
    • Sample checklists you can use to verify requirements of various components of the code are met
    • Complete index of the NFPA 99 Code
    • Three supplement sections on Security in Health Care, NFPA Resources and Disaster Impact on Hospital Electrical Systems and Lessons Learned

    The NFPA 99, Health Care Facilities Code Handbook is revised for compatibility with the 2021 edition.

    This essential reference for anyone with concerns for health care facility safety helps clarify concepts and speeds up the process of getting you up to date with the latest criteria. The NFPA 99 Handbook accounts for significant changes to the code, including:

    • New requirements for performing site acceptance testing and implementing an electrical preventive maintenance program in Chapter 6 (This revision introduces consistent guidance on prescriptive intervals for installation, testing, and maintenance (ITM) into NFPA 99 and consolidates existing requirements and guidance that were previously scattered in several places so that facilities can find a comprehensive list of minimum requirements for such a program. This allows the ITM requirements to be in a publicly reviewed, consensus process where feedback can lead to changes)
    • New section using healthcare microgrids (a new application of technology that is a viable option to be used as an alternate source of power) as an emergency power supply system
    • Introduction of the concept of a responsible facility authority including the compilation and clarification of responsibilities, qualification, and a permit-to-work system (The permit-to-work system, previously a best practice, is now a required aspect to appropriately manage and maintain medical gas systems)
    • New extracts from NFPA 55 for Cryogenic Fluids and NFPA 110 for Emergency Standby Power Systems to make it easier for the users to understand all of the requirements without having to flip between codes and standards
    • Updated definition of home care, which helps clarify that NFPA 99 should apply to certain commercially operated facilities are not considered to be home care facilities

    Help ensure you have the knowledge and guidance to comply with the latest requirements and perform your job more accurately and efficiently.

    NFPA is committed to delivering resources that assist you in helping protect patients, staff, and visitors from fire, electrical, and related hazards in new and existing occupancies. Take the lead in health care safety by placing your order for the NFPA 99 Handbook, 2021 edition.

  • How the NFPA Handbooks Differ from Codes and Standards

    THE NFPA HANDBOOKS DIFFER FROM CODES AND STANDARDS

    Ever wonder what the difference is between an NFPA® handbook and a code or standard? We’re glad you asked.

    NFPA codes and standards both provide requirements for achieving outcomes. Handbooks take a deeper dive, providing the full text of a code or standard as well as expert commentary and features such as graphics, decision trees, testing procedures, case studies, sample forms and checklists, and other helpful aids to give a better understanding of the reasoning behind the requirements and how to apply them.

    JUST REMEMBER:

    • A code or standard is a framework—a set of rules to follow with a goal to achieve a certain result
    • A handbook is a connector—linking requirements to application by helping you understand the reasoning behind a code or standard

    The simplest way to think about it is that codes and standards list the technical requirements while handbooks explain those requirements to clarify how to apply them.

  • 2012-2018 Edition Descriptions

    2018 Edition

    Editor: Jonathan R. Hart, P.E. and Chelsea Tuttle

    Keep answers at your fingertips! Eliminate knowledge gaps with expert insights and support only found in the new 2018 NFPA 99, Health Care Facilities Code Handbook.

    If you are responsible for safety and compliance in the health care setting, NFPA®'s Health Care Facilities Code Handbook is indispensable. Based on the updated 2018 edition of NFPA 99, Health Care Facilities Code, the Handbook helps you avoid confusion or mistakes that may jeopardize the safety of patients or staff in both new and existing health care facilities. Specifically designed for today's challenges, it's a unique source of Code text plus expert commentary, 2012 CMS K-tags to assist with CMS compliance, and much more.

    Be ready to resolve questions and direct employees and contractors using this unique one-stop source for:

    • The complete text of the 2018 edition of NFPA 99, including medical gas and vacuum systems requirements
    • Explanations of the intent behind the requirements
    • Practical guidance and examples on how to apply provisions, including installation and verification tests for medical gas and vacuum systems
    • FAQs highlighting key concerns of installers, inspectors, managers, and operators
    • A Survey Preparedness feature that provides insight on what surveyors will look for and what facility managers can do to be prepared to demonstrate compliance with requirements
    • New indicators showing the CMS K-tags from the 2012 edition of the Code that CMS surveys to, allowing for easy comparison of 2018 edition requirements with those enforced. Special icons, preparedness boxes, and checklists help ensure you're prepared for surveys.
    • New end of chapter features called “A Closer Look” for Electrical Equipment ITM (Chapter 10), Generator Sizing (Chapter 6), Generator Testing (Chapter 6), Surgical Fire Prevention and Emergency Response (Chapter 16)
    • The full extracted text of Chapter 8 of NFPA 110 for generator testing requirements in Chapter 6
    • All-new Chapter 15, Dental Gas and Vacuum Systems
    • More than 160 photographs plus full-color tables, photos, and other visuals
    • Design elements alerting you to Code updates, including the use of corrugated medical tubing for medical gas and vacuum systems
    • Special design elements highlighting requirements for existing facilities. Facility managers can see what specifically applies to their existing systems and buildings and plan for compliance.
    • A table explaining the major technical changes in NFPA 99 from the 2015 to the 2018 edition
    • Supplements covering topics such as security in health care and other NFPA resources addressing 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. (Print, 832 pp., 2018)

    2015 Edition

    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, 720 pp., 2015)

    2012 Edition

    Apply the new 2012 NFPA 99 correctly and confidently with expert insights and visuals in the Health Care Facilities Code Handbook.

    With a shift to a risk- vs. occupancy-based approach; updates to medical gas and vacuum system content; new chapters on security, fire protection, and information technology; and other major changes, you're bound to have questions about the 2012 NFPA 99: Health Care Facilities Code. Don't risk confusion or mistakes that could jeopardize patient, staff, and facility safety. Consult this essential Code companion to get up-to-speed on new requirements fast so you can do jobs correctly, comply right the first time, and protect lives.

    Just open the 2012 Health Care Facilities Code Handbook for total on-the-job support, including:

    • The complete text of the 2012 NFPA 99, including medical gas and vacuum system requirements formerly found in NFPA 99C*
    • Explanations of the intent behind requirements
    • Practical guidance and examples of how to apply provisions in specific situations
    • FAQs that highlight key concerns from the field
    • 500+ full-color tables, photos, and other visuals that clarify concepts.
    • New supplements on Security in Health Care and Disaster Recovery

    (Hardbound, 648 pp., 2012)

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    NFPA® makes available PDF versions of some forms originally published in earlier editions of our NFPA Standards and handbooks. These eForms allow you to fill in the form fields electronically and then save, print, or share the file. NFPA eForms are intended for use on computers and are compatible with some mobile devices and apps. An internet connection is not needed to fill in and save the forms once they are downloaded to your device.

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    Directions on how to use on a desktop or mobile device are provided on the first page of the PDF.

  • eForms Table of Contents (2018)

    TABLE OF CONTENTS

    Central Supply Location Identification and Labeling (New and Existing)  
    Central Supply System Operations (New and Existing)  
    Central Supply Location  
    Zone Valve  
    Maintenance Guide  
    Essential Electrical Systems  
    Telecommunications System Entrance Facility  
    Cylinder Storage Location  
    Department Status Report  
    Emergency Operations Plan  
    Sample Standard Operating Procedure Format  
    Sample Operating Unit Template  
    Sample Hazard Vulnerability Analysis (HVA) Format  
    Security Vulnerability Assessment  
  • Historical Editions

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