“FGI Facility Guidelines Institute” Special Guidelines for healthcare buildings


In this topic, we will provide an overview about electrical points in special Guidelines for healthcare buildings “FGI Facility Guidelines Institute”  include: 

1- Overview about FGI Facility Guidelines Institute
- The most important points mentioned in the Guidelines for

  2- Hospital 
  * Small Inpatient Primary Care Hospitals 
  * Psychiatric Hospitals 
  * Rehabilitation Facilities 

  3- Ambulatory Care Facilities
  * Outpatient Facilities 
  * Primary Care Outpatient Centers 
  * Small Primary (Neighborhood) Outpatient Facilities
  * Freestanding Outpatient Diagnostic and Treatment Facilities 
  * Freestanding Urgent Care Facilities 
  * Freestanding Birthing Centers 
  * Outpatient Surgical Facilities 
  * Office Surgical Facilities 
  * Gastrointestinal Endoscopy Facilities 
  * Renal Dialysis Centers 
  * Psychiatric Outpatient Centers 
  * Mobile, Transportable, and Relocatable Units 

  4- Other Health Care Venues
  * Nursing Facilities 
  * Hospice Care
  * Assisted Living
  * Adult Day Health Care Facilities



  
1-Overview about FGI


Due to the importance of healthcare buildings, special codes for these buildings have been within the international codes/ standards or national codes / standards.

Since it is important to be aware of all the codes/Guide that may be used in our field, we present the most important points of this guide from its version 2006, which is a free version can be downloaded from FGI website.

FGI Facility Guidelines Institute is Nonprofit organization dedicated to developing guidance for the planning, design, and construction of hospitals, outpatient facilities, and residential health, care, and support facilities.

FGI is presented is a basic guide and does not replace the code and the international and local standards.

Now you can take a look at the most important points about electrical design in FGI guide.


  
2- Hospital



Switchboards

- Main switchboards shall be located in an area separate from plumbing and mechanical      equipment and shall be accessible to authorized persons only.

Switchboards shall be convenient for use, readily accessible for maintenance, and away    from traffic lanes.

- Switchboards shall be located in a dry, ventilated space free of corrosive or explosive        fumes, gases, or any flammable material.

-  Overload protective devices. These shall operate properly in ambient room                       temperatures. 

Panel-boards

Panel boards serving critical branch, equipment system, or normal system loads shall be    located on the same floor as the loads to be served.

- Location of panel boards serving life safety branch loads on the floor above or the            floor below the loads to be served shall be permitted.

-   - New panel boards shall not be located in public access corridors.


Ground-fault circuit interrupters

- Ground-fault circuit interrupters (GFCIs) shall comply with NFPA 70.

- When ground-fault circuit interrupters are used in critical areas, provisions shall be made to ensure that other essential equipment is not affected by activation of one interrupter.



Lighting

Average lux level:




Lighting for specific locations in the hospital:
- Patient rooms. Patient rooms shall have general lighting and night lighting.
  A reading light shall be provided for each patient.
  Reading light controls shall be accessible to the patient(s) without the patient having to    get out of bed.

- Flexible light arms, if used, shall be mechanically controlled to prevent the lamp from      contacting the bed linen.

- Corridors in nursing units shall have general illumination with provisions for reducing         light levels at night.

- Exam/treatment/trauma rooms. A portable or fixed examination light shall be provided    for examination, treatment, and trauma rooms.

- Operating and delivery rooms. Operating and delivery rooms shall have general lighting    in addition to special lighting units provided at surgical and obstetrical tables. General      lighting and special lighting shall be on separate circuits.

Receptacles 

* Emergency system receptacles. Electrical receptacle cover plates or electrical receptacles supplied from the emergency systems shall be distinctively colored or marked for identification. If color is used for identification purposes, the same color shall be used throughout the facility.

* Receptacles in pediatric and psychiatric unit corridors shall be of the tamper-resistant type.- 


Equipment


X-ray equipment

- Fixed and mobile x-ray equipment installations shall conform to articles 517 and 660 of     NFPA 70.

- The x-ray film illuminator unit or units for displaying at least two films simultaneously       shall be installed in each operating room, specified emergency treatment rooms, and x-     ray viewing room of the radiology department. All illuminator units within one space or     room shall have lighting of uniform intensity and color value.

Special electrical equipment.

Special equipment is identified in the sections on critical care units, newborn nurseries, pediatric and adolescent unit, psychiatric nursing unit, obstetrical suite, surgical suites, emergency service, imaging suite, nuclear medicine, laboratory suite, rehabilitation therapy department, renal dialysis unit, respiratory therapy service, morgue, pharmacy, dietary facilities, administrative and public areas, medical records, central services, general stores, and linen services. These sections shall be consulted to ensure compatibility between pro-grammatically defined equipment needs and appropriate power and other electrical connection needs.

Hand-washing stations and scrub sinks.

If operation of a scrub sink or a hand-washing station in critical care areas, emergency departments, labor and delivery, and surgical suites is dependent on the building electrical service, it shall be connected to the essential electrical system.



  
Small Inpatient Primary Care Hospitals 




* The same notes for hospital.

  
Psychiatric Hospitals





* The same notes for hospital but note that: 


Lighting:

-    - Consideration shall be given to the special needs of the elderly. Excessive contrast in        lighting levels that makes effective sight adaptation difficult shall be minimized. Refer      to IES publication RP-28, Lighting and the Visual Environment for Senior Living.
-    
      -  Light fixtures. Light fixtures shall be secured or of sufficient height to prevent patient      access.
-        
      - Patient rooms. Patient rooms shall have general lighting and night lighting. At least one     nightlight where construction or room configuration makes installation impractical.


  
Rehabilitation Facilities






* The same notes for hospital but note that: 

lighting

Reading light controls shall be accessible to the patient(s) without the patient having to get out of bed.


Equipment:

 - Data processing and/or automated laboratory or diagnostic equipment, if provided, may require safeguards from power line disturbances. 

- X-ray equipment. Fixed and mobile x-ray equipment installations shall conform to articles 517 and 660 of NFPA 70. 

- Special electrical equipment. Special equipment is identified in the sections in this chapter on nursing units, support areas, physical therapy, occupational therapy, and imaging, if applicable. These sections shall be consulted to ensure compatibility between programmatically defined equipment needs and appropriate power and other electrical connection needs.


  3-Ambulatory Care Facilities
Outpatient Facilities
 
  





* The same notes for hospital but note that: 

Receptacles (Convenience Outlets) 

- Duplex grounded-type receptacles (convenience outlets) shall be installed in all areas in sufficient quantities for tasks to be performed as needed. 

- Each examination and worktable shall have access to a minimum of two duplex receptacles.

Equipment

- X-ray equipment. Fixed and mobile x-ray equipment installations shall conform to articles 517 and 660 of NFPA 70. 

- Inhalation anesthetizing locations. At inhalation anesthetizing locations, all electrical equipment and devices, receptacles, and wiring shall comply with applicable sections of NFPA 99 and NFPA 70. 

- Special electrical equipment. Special equipment is identified in the subsections of Section 2, Diagnostic and Treatment Locations, of this chapter. These sections shall be consulted to ensure compatibility between programmatically defined equipment needs and appropriate power and other electrical connection needs

  * Outpatient Facilities 
  * Primary Care Outpatient Centers 
  * Freestanding Outpatient Diagnostic and Treatment Facilities 
  * Freestanding Urgent Care Facilities 
  * Freestanding Birthing Centers 
  * Outpatient Surgical Facilities 
  * Office Surgical Facilities 
  * Gastrointestinal Endoscopy Facilities 
  * Renal Dialysis Centers 
  * Psychiatric Outpatient Centers 
  * Mobile, Transportable, and Relocatable Units






* The same notes for Ambulatory Care Facilities.



  

-Small Primary (Neighborhood) Outpatient Facilities
   






* The same notes for Ambulatory Care Facilities but note that.

Lighting

Lighting shall be provided in all facility spaces occupied by people, machinery, and/or equipment, and in outside entryways. 

Automatic emergency lighting shall be provided in every facility that has a total floor area of more than 1,000 square feet (92.9 square meters) and in every facility requiring stairway exit.



  

4- Other Health Care Venues
- Nursing Facilities  







* The same notes for Ambulatory Care Facilities but note that.

Stored fuel

- Where stored fuel is required, storage capacity shall permit continuous operation for at least 24 hours. 

- Fuel storage for electricity generation shall be separate from heating fuels. 

- If the use of heating fuel for diesel engines is considered after the required 24-hour supply has been exhausted, positive valving and filtration shall be provided to avoid entry of water and/or contaminants. 

- Generators. Exhaust systems (including locations, mufflers, and vibration isolators) for internal combustion engines shall be designed and installed to minimize objectionable noise. Where a generator is routinely used to reduce peak loads, protection of patient areas from excessive noise may become a critical issue.

Resident rooms lighting: 

- At least one task light shall be provided for each resident.

- Task light controls shall be readily accessible to residents.

- At least one low-level night light fixture in each room shall be located close to the floor
and controlled at the room entrance. When the approved functional program stipulates staff shall use portable light sources, omission of night lights in resident rooms shall be permitted.

- All light controls in resident areas shall be quiet-operating.

Resident unit corridors lighting:

- Resident unit corridors shall have general illumination with provisions for reducing light levels at night. Corridors and common areas used by residents shall have even light distribution to avoid glare, shadows, and scalloped lighting effects. 

- Highly polished flooring or floors with glossy sheen shall not be used.



* Hospice Care
* Assisted Living
* Adult Day Health Care Facilities   







* The same notes for Other Health Care Venues.


Sources:

 - Guidelines for Design and Construction of Health Care Facilities 2006
   to read more here  
     https://www.fgiguidelines.org/wp-content/uploads/2016/07/2006guidelines.pdf

About the Author:

Eng. Eman Mohamed 
https://www.linkedin.com/in/eman-mohamed-0459774a/








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