1 / 0

The role of the IHS Environmental Health Officer in Healthcare Facility Plan Review

The role of the IHS Environmental Health Officer in Healthcare Facility Plan Review. CDR Ricardo Murga, CSP, RS, MPH Institutional Environmental Health Officer Phoenix Area IHS . Objectives. Describe the role of the EHO in plan review in the Indian Health Service.

layne
Download Presentation

The role of the IHS Environmental Health Officer in Healthcare Facility Plan Review

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The role of the IHS Environmental Health Officer in Healthcare Facility Plan Review

    CDR Ricardo Murga, CSP, RS, MPH Institutional Environmental Health Officer Phoenix Area IHS
  2. Objectives Describe the role of the EHO in plan review in the Indian Health Service. Recognize the codes and types of issues relevant to plan review in the design of new healthcare facilities. Describe a plan review tool for the design of new healthcare facilities.
  3. IHS Environmental Health Services
  4. Tribal Construction Projects
  5. Assistance to tribes Consultant/subject matter expert Plan review validate compliance with the rules and regulations Comments are “recommendations.” Findings should validate design by RA/PE. San Carlos Hospital
  6. Healthcare Construction Facilities built by IHS or tribes Institutional Environmental Health Officers (IEHO) Healthcare accreditation Industrial Hygiene (ventilation) Radiation Safety Life Safety Code Others
  7. Relevance of Plan Review
  8. Relevance of Plan Review Poor design in healthcare may result in: Negative outcome to patients Jeopardize safe evacuation Lost accreditation Parker Indian Health Center
  9. Areas of Plan Review in Healthcare Life Safety Code Compliance Industrial Hygiene Safety Management/OSHA Infection Control Security Environmental Compliance Public Health Preparedness/Emergency Management Ergonomics Environmental Management (Systems) Accreditation requirements Radiation Protection Common sense
  10. NFPA Applicable Codes and Standards NFPA 10 - Standard for Portable Fire Extinguishers NFPA 13 - Standard for the Installation of Sprinkler Systems NFPA 20 - Standard for the Installation of Stationary Pumps for Fire Protection NFPA 30 - Flammable and Combustible Liquids Code NFPA 70 - National Electrical Code NFPA 72 - National Fire Alarm and Signaling Code NFPA 80 - Standard for Fire Doors and Other Opening Protectives NFPA 82 - Standard on Incinerators and Waste and Linen Handling Systems and Equipment NFPA 90A - Standard for the Installation of Air-Conditioning and Ventilating Systems NFPA 96 - Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations NFPA 99 - Standard for Health Care Facilities (medical gases) NFPA 101 - Life Safety Code NFPA 730 - Guide for Premises Security
  11. Other Applicable Codes, Standards, and Guidelines FGI TJC/AAAHC CDC FDA ASHRAE OSHA IHS USP NCRP….and others
  12. Applicable Codes The number of codes and guidelines is extensive Their interpretation can be challenging. Can you be an expert in all areas?
  13. Plan Review - Prevention Through Design Addressing occupational safety and health needs in the design processto prevent or minimize the work-related hazards and risks associated with the construction, manufacture, use, maintenance, and disposal of facilities, materials, and equipment.
  14. Plan Review Process Consider the practical aspects of the design. What if they have to replace the boilers? Will they have to cut a whole in the roof or wall ?
  15. The Process – Before and During Construction Get the plans in a timely and ongoing manner (Schematic, Design Development, 35%, 65%, 100%) Ideally – make site visits throughout the construction process
  16. The Review Process Plans are divided into sections A=Architectural (Code Plan~ Life Safety) F=Fire Protection (sprinkler system) M=Mechanical (ventilation) E=Electrical C=Civil P=Plumbing G=General
  17. The Review Process What is the occupancy (LSC) Occupancy will determine requirements for : rated walls, ventilation, sprinkler system, etc Scale Symbols Legend
  18. The Review Process Checklist to facilitate review
  19. Common Path of Travel EXIT ≤ 200 ft ≤ 50 ft EXIT
  20. Exit Access Corridors
  21. Door Leaf Swing
  22. Isolation Room
  23. Kitchen/Cafeteria 60% Volume of storage per meal = 1Cu. Ft. 40%
  24. Hopi Health Care Center Washoe Tribal Health Center The Process - After Construction Punch list Latent defects Design errors
  25. Conclusion The role of the EHO in plan review in the Indian Health Service is critical – subject matter expert on LSC and other safety and IC related codes. Identifying code incompliance early in the process can save lives and potentially lots of money to the tribes/IHS. Developing aid tools such as checklist ensures that the most critical/expensive design elements are not overlooked.
  26. Questions? 26
More Related