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IEEE 602 1986

$42.79

IEEE Recommended Practice for Electric Systems in Health Care Facilities

Published By Publication Date Number of Pages
IEEE 1986 426
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New IEEE Standard – Inactive – Superseded. These recommended practices will aid electrical systems designers in achieving safety of life and preservation of property through operational considerations to reduce electrical failures; to allow maintenance with a minimum need for specialized services; to present design considerations that recognize the flexibility of electrical systems in terms of layout and placement while fulfilling the requirements for proper electrical installation; and to promote coordination of design with professional associates.

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PDF Pages PDF Title
15 Flg
16 Flg
17 Flg
18 Flg
23 Fig
27 1 Introduction
1.1 General Discussion
Health Care Facilities
28 1.3 IEEE Publications
Industry Applications Society
Fig
29 Engineering in Medicine and Biology Society
1.4 Professional Registration
Codes and Standards
National Electrical Code and Other NFPA Standards
30 Health Care Codes and Standards
31 Local State and Federal Codes and Regulations
Standards and Recommended Practices
32 1.6 Handbooks
33 1.7 Periodicals
34 1.8 Manufacturers’ Data
1.9 Safety
36 Appliances and Equipment
1.9.2 Operational Considerations
37 1.10 Maintenance
38 1.11 Design Considerations
Coordination of Design
39 1.12 Other Considerations
41 2 Load Requirements and Energy Management
2.1 General Discussion
2.1.1 Loads
Groups of Loads
2.1.3 Load Growth
2.1.4 Energy Utilization
42 Loads vs Facility Type
2.3 Lighting Loads
Loads by Function
2.3.2 Wting Demand
43 2.4 Power Loads
Factors Used in Sizing Distribution System Components
44 2.4.1 Building Equipment
System Serving WAC Systems
45 2.4.2 Functional Equipment
46 2.4.3 Medical Equipment
Overall Demand Factors
47 2.6 Energy Management
Table 3 Service Entrance Peak Demand (Veterans Administration)
48 America)
49 Fig 1 Load Profile Candler General Hospital 6/29/81-7/31/81
50 Fig 2 Load Profile Candler General Hospital 8/1/82-8/31/82
51 US Energy Consumption
Flg3
52 2.6.1 Energy Economics
53 2.6.2 Utility Negotiations
57 2.6.3 Alternative Sources
Table 5 Methods of Generating Electricity On-Site
58 2.6.4 Design Considerations
59 Management Systems
60 Utilization Standards
61 2.7 References
63 3 Electrical Power Distribution Systems
3.1 General Discussion
64 3.2 System Planning
and Staff
65 Consult with the Project Architect
Determine the Basic Loads and Demand Data
Consult with the Local Electric Power Company
66 Over New Electrical Construction
67 3.2.6 Summary
3.3 Electrical Power Systems
3.3.1 Power Sources
68 3.3.2 Distribution Circuits
69 3.4 Voltage Considerations
3.4.1 Select System Voltages
70 3.4.2 Nominal Voltage
Voltage Variation and Disturbances
71 3.5 Current Considerations
72 3.6 Grounding
3.6.1 Equipment Grounding
73 3.6.2 System Grounding
76 Service Equipment
77 Equipment and at Source of Alternate Power Supply
78 System Protection and Coordination
3.7.1 Protection
79 3.7.2 Current Sensing Protectors
80 3.7.3 Ground Fault Protection
83 Residually Connected Ground Fault Relay
Flg6
84 Ground Sensor Ground Fault Relay
m7
Ground Sensor Ground Fault Relay with Ground Resistor
Flg8
85 Trip Circuit Breaker
86 Ground Sensor Fault Relay
Flg
Integral Ground Fault Relay
Fig
87 Dual Source Electrically Interconnected
Flg
88 Neutral Conductor Grounded at Service Equipment Only
89 Interconnection Between Supplies
90 Between Supplies
91 Electrical Equipment and Installation
92 3.8.1 Transformers
Switchgear Switchboards and Motor Control Centers
3.8.3 Protective Devices
94 Transfer Switches- Automatic and Manual
3.8.5 Generators
95 Overcurrent Relay
96 Wire Cable and Busway
Typical Time-Current Characteristics for Low-Voltage Protection
Fig
97 3.8.7 Panelboards
3.8.8 Isolated Power Supplies
3.9 System Arrangements
98 3.9.1 Radial System Arrangement
99 Major Components of the Electrical System
Fig
100 Double Ended System Arrangement
Time Delay Relay in Transfer Switch of Motor Starter
Fig
101 Two Schemes for Distributing Power Through Vertical Risers
Fig
102 3.9.3 Network System Arrangement
Protectors
103 Network Service
Fig
104 3.9.4 High-Voltage System Arrangements
3.9.5 Existing System Arrangement
Adequately Rated Substation
105 3.9.6 Metering Arrangement
3.10 Standard References
106 3.11 Bibliography
107 4 Planning for Patient Care
4.1 General Discussion
4.2 Wring Devices
4.2.1 General
108 Hospital-Grade Receptacles -High Abuse
Hospital-Grade Isolated Ground Receptacle
Hospital-Grade Safety Receptacles
Circuit Breakers
109 Anesthetizing Location Receptacles
Mobile X-ray Plugs and Receptacles
4.2.8 High-Abuse Wallplates
110 4.2.9 Headwall Units
111 Short Wall Designed for Use in a General Care Patient Area
Flg
112 Junction Boxes Located Within the Wall
Flg
113 Bracket Above Ceiling
114 Full Single Section General Care Wall
Fig
115 Both Vertical and Horizontal Placement of Equipment
Flg
116 29
Unit Using Horizontal Placement of Equipment
117 Medical Gas Manifold Pipe Size
118 Neonatal Service Console
Flg
119 Free Standing Service Column
Fig
121 Free Standing Service Column
Fig
122 4.2.10 Patient Consoles
Typical Patient Care Areas
123 4.3.1 Patient Rooms
124 Coronary Care Areas
125 Intensive Care Areas
126 4.3.4 Emergency Suites
4.3.5 Surgical Room
127 4.3.6 Pediatrics
4.3.7 Nurseries
128 Psychiatric Care Areas
129 4.3.9 Rehabilitation Areas
4.4 References
131 5 Emergency Power Systems
5.1 General Discussion
Codes and Standards
132 Applicability of Codes and Standards
5.1.1.2 Interpretation
5.2 Generator Sets
133 5.2.1 Location
5.2.2 Mounting
5.2.3 Vibration Isolation
134 Steel-Concrete Inertia Spring Mounts
Flg
Poured Rubber Gasket Between Two Surfaces
Flg
135 5.2.4 Exhaust System
Load-Bearing Capabilities of Various Materials
136 Back Pressure Nomograph
Fig
138 5.2.5 Air Supply
Exhaust Pipe Manifolding Plan View
Fig
140 5.2.6 Cooling
142 5.2.7 Temperature
5.2.8 Starting
143 Resistance of Valves and Fittings to Flow of Fluids
Fig
144 Fluid Flow in Pipe
Fig
145 Hot Well Cooling System
Fig
146 5.2.9 Governor
147 5.2.10 Fuel Supply
148 5.2.11 Ratings
149 Sizing the Alternator
150 5.2.13 Voltage Regulators
151 Static Exciter-Regulator System
Fig
152 Self-Excited Regulated System
Fig
Separately Excited System
Fig 42
153 5.2.14 Parallel Operation
Self-Excited Self-Regulated System
Fig
154 Interconnection -Single-phase Sensing
Fig
156 Cross-Current Compensation CT Interconnection
Fig
157 5.2.15 Exciters
5.2.16 Load Pickup
5.2.17 Exercising
158 Automatic and Nonautomatic Transfer Switches
Types of Loads
160 In-phase Motor Load Transfer
Fig
161 Motor Load Disconnect Circuit
Fig
162 Neutral Off Position
Fig
Closed Transition Transfer
Fig
164 5.3.2 Voltage Ratings
Continuous Current Rating
165 Overload and Fault Current Withstand Ratings
Protective Device Ahead of Transfer Switch
5.3.6 Source Monitoring
166 5.3.7 Time Delays
Input/Output Control Signals
Main Switching Mechanism
167 Ground Fault Protection Considerations
5.3.11 System Operation
168 Nonautomatic Transfer Switches
Switch
Automatic Transfer Switch
Fig
169 Engine Generator Controls
5.4.1 General
170 5.4.2 Safety Controls
5.4.3 Automatic Starting
171 Typical Engine Generator Control Panel
Fig
172 Engine Generator Control Panel Features
5.4.5 Remote Annunciator
Battery Chargers for Cranking Batteries
5.5.1 General Description
173 Typical Remote Annunciator Panel
Fig
174 5.5.2 Definitions of Terms
5.5.3 Charger Ratings
175 5.5.4 Charger Sizing
176 Battery Recharge Time
Fig
177 Nickel Cadmium Cells
Dropping Diode Circuit (CEMF)
Fig
178 Memory Effect on Nickel Cadmium Batteries
Typical Performance Features
179 Optional Accessory Features
5.5.9 Installation and Maintenance Data
180 Set Installations
5.6.1 When to Parallel
181 Engine Generator Set Governor Considerations
5.6.3 Random Paralleling
Dividing the Load
182 Establishing Load Priorities
5.6.6 Load Shedding
Load Switching Means
183 System Operation
Switches
184 Typical Multiengine Automatic Paralleling System
Fig
185 5.6.9 Sensing
186 Distorted Wave Shapes
Fig
188 Control Logic Power Sources
Frequency Voltage and Rotation
189 5.6.1 1 Instrumentation
190 Generator Power Breaker
Utility Peak Demand Reduction Controls
191 Special Requirements for Health Care Facility Loads
Nature of Electrical Load Billing
Advantages of Load Demand Control
192 Load Demand Controllers
Load Demand Control
193 Overhauls
194 Elevator Emergency Power Selector Systems
Problems Associated with Regenerative Power
Table 8 Mean Period Between Service Overhauls
195 Sequence of Elevator Operation on Emergency Power
197 5.8.3 Summary
Bypass/Isolation Switches for Automatic Transfer Switches
198 Elevator Emergency Power Transfer System
Fig
199 Isolation Switch
200 Bypass-Isolation Switch in Bypass-to-Normal Position
Fig
Bypass-Isolation Switch in Test Position
Fig
Bypass-Isolation Switch with Transfer Switch Removed
Fig 63
201 5.10 Uninterruptible Power Supplies
202 Typical UPS One Line
Fig
204 5.11 Maintenance
205 5.12 References
207 6 Electrical Safety and Grounding
6.1 General Discussion
6.1.1 Purpose
6.1.2 Overview
208 6.2 Physiological Parameters
6.2.1 Cell Excitability
Nerve Reaction to Electrical Stimuli
Muscle Reaction to Electrical Stimuli
209 Tissue Reaction to Heat
6.2.5 BodylTissue Resistance
6.3 Shock Levels
6.3.1 Perception
6.3.2 Contraction
6.3.3 No-Let-Go
6.3.4 Cardiac Fibrillation
210 Areas of Potentially Increasing Hazards
Waiting Rooms Offices
6.4.2 Corridors
Psychiatric Patient Room
General Medical Care
Critical Care Patient Room
6.4.6 Recovery Rooms
211 6.4.7 Wet Locations
6.4.8 Laboratories
Outpatient Care Units with Invasive Procedures
Heart Catheterization Rooms
Agents Are Used
Inhalation Anesthetizing Locations
212 Locations
Thoracic Procedures Are Performed
Anesthetizing Agents Are Used
Fire and Explosion Hazards
Flammable Anesthetizing Agents
Flammable Cleaning and Preparation Agents
213 Oxygen Enriched Atmosphere
6.5.4 Conductive Flooring
Environmental Conditions Relating to Electrical Safety
Source of Leakage Currents
214 Table of Leakages Contributed by Wiring
Table 10 Table of Leakages Contributed by Equipment
215 Limits Set by Standards
Protective Measures for Leakage Current
Maximum Safe Current Leakage Limits
216 Design Factors Affecting Leakage Current
Neutral to Ground Short Circuits
217 6.6.6 Line-to-Line Faults
6.6.7 Line-to-Ground Faults
Transformer Vault Location and Electrical Disturbances
6.6.9 Wet Locations
218 Basic Safety Measures
6.7.1 Insulation
6.7.2 Grounding
220 Grounding Plugs and Twist Lock Receptacles
Fig
221 6.7.3 Overcurrent Protection
Adequacy of Power
Continuity of Power
6.7.6 Isolated Power
222 Isolation Panel for the Operating Room
Fig 66
223 Isolation Panel for the Operating Room
Fig 67
224 Surgical Facility Panel
Fig
225 Three-phase Isolated System
6.7.8 Limitations
Clock Timer
Fig
226 6.7.9 Line Isolation Monitor
5 mA Line Isolation Monitor
Fig
227 LIM Isolation Monitor Interpretation
228 Design and Testing of Systems for Safety
Identifying Particular User Needs
Adjusting Special Design Features for Each Area
6.8.3 Distribution Systems
Distribution Raceway Systems
229 Distribution System-Grounded and Isolated Power
Field Inspection Procedure
230 6.9 References
231 7 Lighting for Health Care Facilities
7.1 General Discussion
7.2 Lighting Objectives
233 7.3 Design Criteria
Luminaire Requirements and Distribution
234 Special Lght Distributions from Luminaires
7.3.3 Lght Sources
245 7.3.4 Room
Table 12 Recommended Surface Reflectances
247 Some Quality Factors in Lghting
248 Illuminance Design Procedure
249 Types of Activities in Interiors
250 Functional Design Consideration
Postpartum Care)
Illuminance within Ranges of Values For Each Category
252 Table 15 Illuminance Selections and Lighting Design Considerations
261 Intensive Care Unit
262 Newborn Nurseries Unit
Light Sources
263 Pediatric and Adolescent Unit
Psychiatric Nursing Unit
264 7.4.6 Surgical Facilities
267 7.4.7 Obstetrical Facilities
Outpatient and Emergency Suite
271 7.4.9 Radiology Suite
273 7.4.10 Laboratory
274 7.4.11 Dialysis
275 7.4.12 Autopsy
7.4.13 Pharmacy
276 Long Term Care Facilities
277 7.5.1 Codes
278 7.5.2 Other Considerations
7.6 References
280 7.7 Bibliography
281 8 Communication and Signal Systems
System Design Considerations
8.1.1 Introduction
8.1.2 Programming
282 Communication and Signal Facilities
283 Communication and Signal Control Centers
284 8.1.5 Cable Plant
287 Communication and Signal Closets
288 8.1.7 Equipment Spaces
8.1.8 Power Supply
290 Computer and Combination Systems
291 8.1.10 Future Outlook
8.2 Telephone Systems
8.2.1 Introduction
8.2.2 Design Criteria
System Types and Selection
295 8.2.4 Design Considerations
296 Telephone Company Facility Requirements
8.2.6 EPABX Installations
297 8.3 Intercom
8.3.1 Introduction
8.3.2 Design Criteria
298 System Types and Selection
299 8.3.4 Design Considerations
300 Nurse Call Systems
8.4.1 Introduction
8.4.2 Design Criteria
301 8.4.3 Visual Systems
302 8.4.4 Audio-visual Systems
305 Centralized Nurse Call System
Central Processor Controlled System
306 Psychiatric Nurse Call System
Medical and Dental Offices and Clinics
307 8.4.9 Design Considerations
Code Blue Systems
8.5.1 Introduction
8.5.2 Design Criteria
308 System Types and Selection
8.5.4 Design Considerations
Paging and Voice Paging Systems
8.6.1 Introduction
8.6.2 Design Criteria
309 Voice Pagkg-STJtern Design Criteria
311 8.6.4 Design Considerations
312 Radio Paging Systems
8.7.1 Introduction
8.7.2 Design Criteria
316 8.7.3 Design Considerations
320 Physician and Staff Register Systems
8.8.1 Introduction
8.8.2 Design Criteria
322 System Types and Selection
325 8.8.4 Design Considerations
326 8.9 Dictation Systems
8.9.1 Introduction
8.9.2 Design Criteria
328 System Types and Selection
8.9.4 Design Considerations
329 8.10 Patient Physiological Monitoring Systems
8.10.1 Introduction
8.10.2 Design Criteria
330 8.10.3 Design Considerations
331 8.1 1 Emergency Medical Service Communications
8.1 1.1 Introduction
Design Criteria
Design Considerations
332 8.12 Clocks
8.12.1 Introduction
8.12.2 Design Criteria
333 8.12.3 Design Considerations
Table 17 Clock Sizes
334 8.13 Fire Alarm Systems
8.13.1 Introduction
8.13.2 Design Criteria
336 System Types and Selection
337 8.13.4 Design Considerations
345 8.14 Security Systems
8.14.1 Introduction
8.14.2 Design Criteria
8.14.3 Security Sensors
346 8.14.4 Design Considerations
8.15 Facility Monitoring
8.15.1 Introduction
347 Medical Gas Alarms
348 8.15.3 Refrigeration Alarms
Emergency Generator Monitoring
Energy Monitoring and Control Systems
349 8.16 Television Systems
8.16.1 Introduction
8.16.2 Design Criteria
352 8.16.3 Design Considerations
354 Table 18 Recommended Minimum Monitor Sizes
355 8.17 Sound Reinforcement Systems
8.17.1 Introduction
8.17.2 Design Criteria
8.17.3 Design Considerations
358 8.18 Data Processing Systems
8.18.1 Introduction
359 8.18.2 Design Considerations
8.19 Telewriter and Facsimile Systems
8.19.1 Introduction
8.19.2 Design Criteria
360 8.19.3 Design Considerations
8.20 Pneumatic Tube Systems
8.20.1 Introduction
8.20.2 Design Criteria
8.20.3 Design Considerations
8.21 Disaster Alarm Systems
8.21.1 Introduction
361 8.21.2 Design Criteria
Design Considerations
8.22 References
363 9 Medical Equipment and Instrumentation
9.1 Introduction
9.1.1 Need
9.1.2 Cost
9.1.3 Space Requirements
9.1.4 Utilities
364 9.2 Equipment Selection
Pre-Purchase Evaluation Form
Example of Pre-Purchase Evaluation Form
368 Equipment and Area Served
9.3.1 Patient Care
369 Patient Monitoring System Central Station
Fig
370 Patient Monitoring System Bedside Station
Fig
Patient Monitoring System Bedside Station
Fig
371 Patient Monitoring System -Table or Console Mounted
Fig
Patient Monitoring System Central Station
Fig
372 Instruments in Operating and Intensive Care Areas
and Catheterization Labs
373 Catheterization Computer Systems
374 Progressive Care Unit
375 Patient Measurement System
376 Path of Leakage Current with Defective Grounding Wire
377 Intensive Care Units
378 High Frequency Isolation Transformers
60 Hz Interference Causes
379 Electromagnetic Signals
Electrosurgical Current in a Complete Circuit
381 Floor Plan
382 Conduit Lengths and Sizes
383 Typical Bedside Configuration
384 Wall Mounts
385 Computer System
387 Ceiling Mount Supports for Steel Joist Ceiling Construction
388 Ceiling Mount Supports for Concrete Slab Ceiling Construction
389 Heavy Copper Buss Grounding System
392 Pediatric and Neonatal
393 Electrocardiogram in Detail
394 9.3.3 Surgery
9.3.4 Dialysis
9.3.5 Radiology
396 Schematic Representation of a Flat Plate Dialyzer
407 9.3.6 Physical Therapy
410 9.3.7 Neurophysiological Department
412 Pulmonary Function Laboratory (ICU/Neonatal)
413 9.4 References
415 Index
IEEE 602 1986
$42.79