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MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM
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Tag No.: K0078
On the revisit this surveyor had conversation with the Administrative Director of Facilities Management concerning the waiver for K-078. The smoke venting systems for the four windowless ORs will be complete by 12/16/2013.
This is a rewrite from the survey conducted in 2006. A waiver was issued until 2009 for this deficiency.
The facility failed to provide anesthetizing locations per code. Findings include:
Per interview with the staff, the smoke venting systems were not installed for the four windowless ORs
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. "
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