Nurse Call Systems & Emergency Call Systems Overview of ANSI/UL 1069 and ANSI/UL 2560

1. Nurse Call Systems & Emergency Call SystemsOverview of ANSI/UL 1069 and ANSI/UL 2560

2. Overview • National Consensus Standards • American National Standards Institute (ANSI) • Nurse Call Systems • Emergency Call Systems • Overview of new UL2560 Standard • Differences between UL1069 and UL2560 • Applicability of Standards

3. Nurse Call Systems & UL1069

4. Consensus Standards UL1069 complies with all relevant articles of NFPA70 National Electrical Code and NFPA99 Health Care Facilities Code NFPA101 (Life Safety Code) 18.1.1.1.2/3 defines Healthcare facilities to be “…where the occupants sleep there, but are not reasonably able to evacuate themselves in an emergency” As such, these facilities have 24-hour staff on duty

5. Nurse Call Systems • UL1069 Hospital Signaling and Nurse Call Equipment • Created in 1977 by UL and Nurse Call industry • 7th edition (October 2007) clarifications/additions focused on three areas: • Wireless nurse call devices • Definition and verification of core system elements • Definition of oxygen-enriched testing for pendant controls

6. Nurse Call Systems Wireless Nurse Call Devices • Wireless initiating devices, as part of the fundamental system, have clear limitations: • The intent of wireless devices is to extend the coverage of a hard-wired system, however, only initiating devices can be wireless • The fundamental notification devices MUST be wired • Wireless devices utilize a “shared” radio frequency (RF) space • Not guaranteed to be available or work in all real world environments • UL1069 adds requirements to assure best possible reliability

7. Nurse Call Systems Wireless Nurse Call Devices • Wireless initiating devices, as part of the fundamental system, have clear limitations: 4) Devices are supervised. Loss of contact with receiver for more than 90 seconds (including interference, loss of battery power, damage, etc.) = a supervisory alarm • This requirement is based on testing the LARGEST possible system • Note: On systems listed prior to Ed 7, the supervision time may be 24 hours • Extensive testing required to assure devices will work in predictable interference scenarios • Systems must have designs that “hop” or move frequencies to work around potential interferences 8

8. Nurse Call Systems Fundamental System Requirements • UL1069 defines the fundamental nurse call system devices: • Patient Station • Bath Station • Emergency Station • Corridor Light • Console • Power and Control • Duty Station A system without corridor lights cannot be UL1069 listed

9. Nurse Call Systems Oxygen-Enriched Environments • UL1069-listed systems fully comply with NFPA 99 for safety of pendant devices (call cords and pillow speakers) in oxygen-enriched environments

10. Emergency Call Systems & UL 2560

11. Emergency Call Systems UL2560 Emergency Call Systems for Assisted Living and Independent Living Facilities • 1st edition published September, 2011 • Addresses minimum performance of emergency call (e-call) systems in senior living communities

12. Emergency Call Systems UL2560 Requirements • Placement • Permanently fixed e-call station must be located in every resident bathroom • Additional optional stations at resident beds, elsewhere in living areas and common areas are allowed • Pendants • Pendants are optional, but if included, must comply with the standard • Assigning pendants to residents does not remove requirements for at least one fixed e-call station in each resident bathroom

13. Emergency Call Systems UL2560 Requirements • Call Indicator • E-call stations and pendants must include call assurance indication • Central Notification Station • There must be at least one notification station to receive all calls • Must be at a fixed location • Additional optional portable notification stations are allowed

14. Emergency Call Systems UL2560 Requirements • Origination Reporting • The origin of a resident call must be reported at a notification station • The origin must be specific • e.g.“Apt 117” or “3rd Floor Men’s Room” • Cancellation • Call (from fixed station or pendant) must be canceled at the source of the call • Exception: If the system can separate non-emergency resident calls from emergency resident calls and there is voice communication between the e-call station and notification station • Non-emergency calls can be canceled from notification station after voice contact with resident has been made

15. Emergency Call Systems Other UL2560 Requirements • Connection Testing • System Testing • Back-up Power • Low Battery Alarm • Interference Testing To obtain a copy of UL2560: • http://ulstandards.ul.com/standards-catalog/

16. Comparison of the Standards

17. Standards Comparison

18. Applicability of the Standards

19. Applicability of Standards When UL1069 Applies • Systems covered by the standard are intended to be installed in either General or Critical Care areas in accordance with: • National Electrical Code (NFPA 70) • Health Care Facilities Code (NFPA 99) • Life Safety Code (NFPA 101 - Chapter 18)

20. Applicability of Standards When UL2560 Applies • Systems covered by standard are intended to be installed in: • Assisted and independent living facilities • 24/7 staffing is not required • Residents can reasonably be assumed to evacuate themselves in an emergency

21. Importance of Listing

22. Importance of Listing • When nurse call systems are listed to UL1069 and emergency call systems to UL2560, you can count on: • Product safety for all users • System reliability • Corporate integrity to design to the highest standards now and as new requirements are implemented • Peace of mind for staff, patients, residents, and relatives

23. Additional Resources

24. Additional Resources • NEMA Presentation • A copy of this presentation is available for download at http://www.nema.org/Products/Pages/Health-Care-Communications-and-Emergency-Call-Systems.aspx • UL Guide Cards for Standards • UL Guide Cards for the UL 1069 and UL 2560 standards are available at http://www.ul.com • Click Nurse Call Systemsfor a link to the Nurse Call System Guide Card • Click E-Call Systems for a link to the Emergency Call System Guide Card Note: for the links to work, go to Slide Show mode

25. Questions? Thank You!

26. Back Up Slides

27. Emergency Call Systems UL 2560 • Connection Testing/Electrical Supervision • Wireless and telephony based e-call systems must be self-testing so to report device faults • Maximum time for fault to reported cannot exceed 24 hours

28. Emergency Call Systems UL 2560 • System Testing/Program Access and Control • Many modern e-call systems incorporate one or several microcontrollers • If one of these microcontrollers fails, a fault condition must be reported within 90 seconds

29. Emergency Call Systems UL 2560 • Backup Power • UL 2560 requires a secondary power source that provide power when main power fails • Typically accomplished with batteries • Assisted living/independent living facility can have an on-site power generator but, if none exists, a secondary power source must be provided to self-power ECS • Manufacturer must specify length of time the system will operate on backup power • e.g. “With 10% of the emergency call stations in alarm, backup batteries will continue to power the system for 12 hours”

30. Emergency Call SystemsUL 2560 • Low Battery Alarm • Wireless e-call system transmitters are typically powered by batteries (replaceable or permanent) • Low battery must be reported at least 7 days prior to transmitter failure • Manufacturer must state expected life of batteries and conditions that comprise expectation • e.g. “If five emergency calls are placed each day, the battery will last at least 38 months”

31. Emergency Call Systems UL 2560 • Interference Testing • Wireless e-call systems have to pass tests to minimize possibility that operation will be impaired by interfering signals