HospitalInspections.org

During the revisit this surveyor confirmed with maintenance the waiver for K-78. The waiver issued until February of 2017 to complete the supply and exhaust systems to automatically vent smoke and products of combustion from the OR rooms.

First Floor
1. All six of the windowless ORs were observed without the following:
A. "Supply and exhaust systems to automatically vent smoke and products of combustion"

Second Floor
2. The windowless C-section ORs # 2 & # 3 were observed without the following:
B. "Supply and exhaust systems to automatically vent smoke and products of combustion"

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1999 NFPA 99, 3-3.2.1.2 All Patient Care Areas.
5. Wiring in Anesthetizing Locations.
e. Battery-Powered Emergency Lighting Units. One or more battery-powered emergency lighting units shall be provided in accordance with NFPA 70, National Electrical Code, Section 700-12(e).
1999 NFPA 99, 5-4.1.2 Supply and exhaust systems for windowless anesthetizing locations shall be arranged to automatically vent smoke and products of combustion.
1999 NFPA 99, 5-4.1.3 Ventilating systems for anesthetizing locations shall be provided that automatically (a) prevent recirculation of smoke originating within the surgical suite and (b) prevent the circulation of smoke entering the system intake, without in either case interfering with the exhaust function of the system.
1999 NFPA 99, 5-4.1.4 The electric supply to the ventilating system shall be served by the equipment system of the essential electrical system specified in Chapter 3, " Electrical Systems. "
1999 NFPA 99, 5-6.1.1 Ventilating and humidifying equipment for anesthetizing locations shall be kept in operable condition and be continually operating during surgical procedures (see A-5-4.1).
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