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 |
New IEEE Standard – Inactive – Superseded.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.
PDF Catalog
PDF Pages | PDF Title |
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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 |