Post on 05-Jul-2018
DH
TE
CH
NIC
AL
G
UID
AN
CE
–
WH
AT
’S N
EW
?Jo
hn
Pre
nd
erg
ast
an
d S
ue
Ho
ldin
g, T
ech
nic
al P
ub
lish
ing
Re
sou
rce
s
Dr
Nic
k H
ill, C
ha
ir o
f IH
EE
M W
ate
r Te
chn
ica
l Pla
tfo
rm
Jon
ath
an
Ain
ley,
Ra
dle
y A
inle
y L
td
Ch
air
ed
by
Mik
e A
rro
wsm
ith
, Te
chn
ica
l Ed
ito
r, H
ea
lth
Est
ate
Jo
urn
al
HB
N/H
TM
up
da
tes
pu
blis
he
d 2
015
-16
Min
or
up
da
tes:
•H
TM
07
-03
Ca
r p
ark
ing
ma
na
ge
me
nt
•H
BN
00
-02
Sa
nit
ary
sp
ace
s
•H
TM
08
-02
Lif
ts
Ma
jor
up
da
tes:
•H
TM
s 0
1-0
1,
01
-04
, 0
1-0
6 D
eco
nta
min
ati
on
•H
TM
04
-01
an
d D
08
Wa
ter
safe
ty
HB
N/H
TM
to
pic
s in
de
velo
pm
en
tM
ajo
r u
pd
ate
:•
HT
M 0
6-0
1 E
lect
rica
l se
rvic
es
Ne
w t
op
ic:
•H
BN
03
-02
Fa
cilit
ies
for
Ch
ild a
nd
A
do
lesc
en
t M
en
tal H
ea
lth
Se
rvic
es
(CA
MH
S)
AD
B t
op
ics
in d
eve
lop
me
nt
Ma
jor
top
ic u
pd
ate
s: H
BN
s: 0
0 –
01;
00
-02
; 00
-10
Pa
rts
A, B
, D; 0
3-0
1; 0
8-0
2; 1
5-0
1H
TM
s: 0
4-0
1; 0
5-0
2 P
roC
ure
21
+ r
ep
ea
tab
le r
oo
ms
So
ftw
are
pro
gra
m u
pd
ate
TO
PIC
S IN
D
EV
EL
OP
ME
NT
HT
M 0
6-0
1 E
lect
rica
l se
rvic
es
sup
ply
an
d d
istr
ibu
tio
n –
up
da
te
HB
N 0
3-0
2 F
aci
litie
s fo
r C
hild
an
d A
do
lesc
en
t M
en
tal H
ea
lth
Se
rvic
es
–n
ew
tit
le
HT
M 0
6-0
1 E
lect
rica
l se
rvic
es
up
da
te
•Im
pro
ve
gu
ida
nce
an
d d
esi
gn
to
ols
to
aid
th
e in
itia
l d
esi
gn
dis
cuss
ion
s b
etw
ee
n d
esi
gn
ers
, est
ate
s te
am
a
nd
clin
icia
ns
•M
od
ern
ise
/sim
pli
fy a
nd
imp
rov
e g
uid
an
ce o
n
dis
trib
uti
on
str
ate
gy
(fo
r e
xam
ple
un
ifie
d a
nd
du
al
un
ifie
d s
up
plie
s, U
PS
, pro
visi
on
of
UP
S s
ock
ets
in
the
atr
e, I
PS
cir
cuit
s, e
tc)
•T
ak
ing
acc
ou
nt
of:
•le
sso
ns
lea
rnt
fro
m E
sta
tes
an
d F
aci
liti
es
Ale
rts,
e
lect
rica
l sa
fety
inci
de
nts
an
d c
linic
al s
afe
ty
inci
de
nts
re
late
d t
o e
lect
rica
l de
sig
n a
nd
in
sta
llati
on
issu
es
•ch
an
ge
s in
re
gu
lati
on
s a
nd
sta
nd
ard
s •
tech
nic
al d
eve
lop
me
nts
in d
esi
gn
an
d m
ate
ria
ls•
CIB
SE
gu
ida
nce
, e.g
. he
alt
hca
re li
gh
tin
g g
uid
e,
me
teri
ng
gu
ida
nce
, etc
•im
pro
vin
g t
he
gu
ida
nce
on
go
vern
an
ce a
sso
cia
ted
w
ith
ma
na
gin
g e
lect
rica
l sa
fety
Alig
nm
en
t w
ith
cu
rre
nt
IET
Wir
ing
R
eg
ula
tio
ns
(BS
7671
)
•A
lign
ing
th
e g
uid
an
ce w
ith
th
e c
urr
en
t ve
rsio
n o
f IE
T W
irin
g R
eg
ula
tio
ns
(BS
76
71
) a
nd
ass
oci
ate
d IE
T g
uid
an
ce n
ote
s/d
ocu
me
nts
Sim
plif
ied
cla
ssif
ica
tio
n o
f p
ati
en
ts’
clin
ica
l ne
ed
s•
Imp
rov
ing
an
d s
imp
lify
ing
th
e g
uid
an
ce o
n c
lass
ific
ati
on
of
clin
ica
l ne
ed
s o
f p
ati
en
ts
an
d h
ow
th
is in
teg
rate
s w
ith
th
e IE
T g
uid
an
ce o
n C
ate
go
ry 0
, 1 a
nd
2 m
ed
ica
l lo
cati
on
s
•R
ev
iew
ing
an
d im
pro
vin
g t
he
gu
ida
nce
on
tr
ain
ing
an
d c
om
pe
ten
cy o
f p
ers
on
ne
l in
volv
ed
w
ith
th
e d
esi
gn
, in
sta
llati
on
, au
tho
risa
tio
n o
f p
ers
on
ne
l, a
pp
oin
tme
nt
of
au
tho
risi
ng
en
gin
ee
rs
(ele
ctri
cal)
an
d t
he
ir r
esp
on
sib
iliti
es,
te
stin
g a
nd
m
ain
ten
an
ce o
f e
lect
rica
l sys
tem
s in
he
alt
hca
re
pre
mis
es,
etc
.
•A
lig
nin
g g
uid
an
ce w
ith
re
lev
an
t H
TM
s in
clu
din
g H
TM
00
; HT
M 0
6-0
2; H
TM
06
-03;
HT
M
07-
02
; HT
M 0
8-0
2 L
ifts
; HT
M 0
8-0
3 B
ed
he
ad
se
rvic
es;
Fir
eco
de
; etc
; HB
Ns
incl
ud
ing
HB
N 0
0-
07;
an
d o
the
r re
late
d D
H g
uid
an
ce d
ocu
me
nts
, e
.g. t
he
NH
S P
rem
ise
s A
ssu
ran
ce M
od
el (
NH
S
PA
M)
Fa
cilit
ies
for
Ch
ild a
nd
Ad
ole
sce
nt
Me
nta
l He
alt
h S
erv
ice
s –
HB
N 0
3-0
2•
Dri
ve
r fo
r th
e n
ew
to
pic
is t
he
lack
o
f b
est
pra
ctic
e g
uid
an
ce f
or
a
pa
tie
nt
gro
up
sp
an
nin
g a
wid
e
ag
e-r
an
ge
wit
h s
pe
cifi
c n
ee
ds
•H
igh
-pro
file
to
pic
: pre
ss c
ove
rag
e,
min
iste
ria
l att
en
tio
n a
rou
nd
qu
alit
y o
f ca
re, a
void
ab
le in
cid
en
ts, t
rave
l ti
me
s fo
r fa
mili
es
an
d c
are
rs
•C
urr
en
tly
aro
un
d 5
0%
of
NH
S
pa
tie
nts
are
tre
ate
d in
pri
vate
se
cto
r fa
cilit
ies
•D
efi
nin
g f
aci
litie
s th
at
will
op
tim
ise
th
e
the
rap
eu
tic
en
viro
nm
en
t
•R
efe
ren
ce s
che
me
s w
ill p
rovi
de
a s
ou
rce
of
insp
ira
tio
n f
or
tho
se p
lan
nin
g a
nd
de
sig
nin
g
mo
de
rn, s
afe
, hig
h-q
ua
lity
care
•T
he
HB
N w
ill c
om
ple
me
nt
HB
N 0
3-0
1, w
hic
h is
th
e c
ore
do
cum
en
t in
th
e s
uit
e o
f te
chn
ica
l g
uid
an
ce r
ela
tin
g t
o m
en
tal h
ea
lth
ca
re
•A
DB
da
ta w
ill b
e d
eve
lop
ed
HB
N 0
0-0
2 S
an
ita
ry s
pa
ces
•S
ect
ion
s co
veri
ng
g
rab
rail
s a
nd
se
mi-
am
bu
lan
t W
Cs
ha
ve
be
en
re
inst
ate
d
•T
he
gu
ida
nce
on
“c
ha
ng
ing
ro
om
s w
ith
to
ilet”
(a
nd
a
cco
mp
an
yin
g
dra
win
gs)
ha
s b
ee
n
rep
lace
d w
ith
a n
ew
se
ctio
n o
n t
he
p
rovi
sio
n o
f a
‘C
ha
ng
ing
Pla
ces’
W
C
Spa
ce r
equi
rem
ents
for
sem
i-am
bula
nt to
ilet
and
adja
cent
han
drin
se b
asin
Spa
ce r
equi
rem
ents
for
a se
mi-a
mbu
lant
WC
and
hand
rinse
bas
in
Wh
at
are
Ch
an
gin
g P
lace
s to
ilets
?
Sta
nd
ard
acc
ess
ible
to
ile
ts d
o n
ot
me
et
the
ne
ed
s o
f a
ll p
eo
ple
wit
h a
dis
ab
ilit
y
Pe
op
le w
ith
pro
fou
nd
an
d m
ult
iple
lea
rnin
gd
isa
bili
tie
s, a
s w
ell
pe
op
le
wit
h o
the
r p
hys
ica
l dis
ab
iliti
es
such
as
spin
al i
nju
rie
s, m
usc
ula
r d
ystr
op
hy
an
d m
ult
iple
scl
ero
sis
oft
en
ne
ed
ext
ra f
aci
litie
s to
allo
w t
he
m t
o u
se t
he
to
ilets
sa
fely
an
d c
om
fort
ab
ly
Ch
an
gin
g P
lace
s to
ilets
are
dif
fere
nt
to s
tan
da
rd a
cce
ssib
le t
oile
ts (o
r
"dis
ab
led
to
ilets
") a
s th
ey
ha
ve e
xtr
a f
ea
ture
s a
nd
mo
re s
pa
ce t
o m
ee
t th
e n
ee
ds
of
pe
op
le w
ho
use
th
em
Th
e r
igh
t e
qu
ipm
en
t•
A h
eig
ht-
ad
just
ab
le a
du
lt-s
ize
d
cha
ng
ing
be
nch
•A
tra
ckin
g h
ois
t sy
ste
m, o
r
mo
bile
ho
ist
if t
his
is n
ot
po
ssib
le
En
ou
gh
sp
ace
•A
de
qu
ate
sp
ace
in t
he
ch
an
gin
g
are
a f
or
the
dis
ab
led
pe
rso
n a
nd
u
p t
o t
wo
ca
rers
•A
ce
ntr
ally
-pla
ced
to
ilet
wit
h
roo
m e
ith
er
sid
e
•A
scr
ee
n o
r cu
rta
in t
o a
llow
so
me
p
riva
cy
A s
afe
an
d c
lea
n e
nv
iro
nm
en
t•
Wid
e t
ea
r-o
ff p
ap
er
roll
to c
ove
r th
e b
en
ch
•A
larg
e w
ast
e b
in f
or
dis
po
sab
le p
ad
s
HT
M 0
7-0
3 N
HS
ca
r p
ark
ing
ma
na
ge
me
nt:
e
nvi
ron
me
nt
an
d s
ust
ain
ab
ility
•H
TM
07-
03
up
da
te r
efl
ect
s ch
an
ge
s to
th
e N
HS
Pa
tie
nt,
Vis
ito
r a
nd
S
taff
Ca
r P
ark
ing
Pri
nci
ple
s in
O
cto
be
r 20
15
•T
he
ca
r p
ark
ing
pri
nci
ple
s w
ere
u
pd
ate
d t
o in
clu
de
ca
rers
as
an
a
dd
itio
na
l exp
licit
gro
up
th
at
are
e
ligib
le f
or
the
pro
visi
on
of
con
cess
ion
s
Th
e H
osp
ita
l Pa
rkin
g C
ha
rge
s (E
xem
pti
on
fo
r C
are
rs)
Bill
•A
Pri
vate
Me
mb
er'
s B
ill w
as
intr
od
uce
d in
to t
he
C
om
mo
ns
by
Julie
Co
op
er
MP
•T
he
Bil
l ma
ke
s p
rov
isio
n f
or
ex
em
pti
ng
"q
ua
lify
ing
" ca
rers
fro
m h
osp
ita
l ca
r p
ark
ing
ch
arg
es
•It
wo
uld
pla
ce a
du
ty o
n h
ea
lth
au
tho
riti
es
to
exe
mp
t ca
rers
wh
o a
re c
urr
en
tly
in r
ece
ipt
of,
or
ha
ve a
n u
nd
erl
yin
g e
nti
tle
me
nt
for
Ca
rer’
s A
llo
wa
nce
fro
m p
ayi
ng
ca
r p
ark
ing
ch
arg
es
at
he
alt
hca
re f
aci
litie
s in
En
gla
nd
•T
he
Bill
als
o p
rovi
de
s fo
r e
xem
pti
ng
"e
ligib
le"
care
rs f
rom
ho
spit
al c
ar
pa
rkin
g c
ha
rge
s. T
he
se
du
tie
s w
ou
ld a
pp
ly t
o N
HS
ho
spit
als
, w
alk
-in
ce
ntr
es
an
d G
P p
ract
ice
s, a
s w
ell
as
pri
va
te
ho
spit
als
HT
M 0
8-0
2 L
ifts
–2
016
up
da
te
•S
ince
th
e p
ub
lica
tio
n o
f H
TM
08
-02
in 2
010
, a n
um
be
r o
f m
ajo
r ch
an
ge
s to
Eu
rop
ea
n D
ire
ctiv
es,
UK
Act
s a
nd
Re
gu
lati
on
s a
nd
in p
art
icu
lar
to t
he
BS
EN
81
su
ite
of
sta
nd
ard
s h
ave
o
ccu
rre
d
•D
uri
ng
th
e d
eve
lop
me
nt
of
BS
EN
81
-20
an
d B
S E
N 8
1-5
0 a
s re
pla
cem
en
ts t
o t
he
lon
g-s
tan
din
g B
S E
N 8
1-1
an
d B
S E
N8
1-2
, it
wa
s re
alis
ed
th
at
the
sca
le o
f ch
an
ge
s b
ein
g r
eq
uir
ed
of
ma
nu
fact
ure
rs in
th
eir
pro
du
ct r
an
ge
s w
ou
ld n
ece
ssit
ate
a
pe
rio
d o
f g
race
wh
ere
ne
w d
esi
gn
s co
uld
be
de
velo
pe
d, t
est
ed
a
nd
ce
rtif
ied
•T
he
fin
al d
ate
of
wit
hd
raw
al o
f B
S E
N 8
1-1
an
d
BS
EN
81
-2 w
ill b
e t
hre
e y
ea
rs a
fte
r th
e p
ub
lica
tio
n o
f B
S E
N 8
1-2
0 a
nd
BS
EN
81
-50
–th
at
is, o
n 3
1 A
ug
ust
20
17
HT
M 0
8-0
2: i
mp
lica
tio
ns
of
the
sta
te
of
flu
x d
uri
ng
th
e p
eri
od
of
gra
ce
•F
or
thre
e y
ea
rs,
ma
nu
fact
ure
rs m
ay
u
se e
ith
er
of
the
se s
tan
da
rds
to
bu
ild
th
eir
pro
du
cts,
bu
t o
n
1 S
ep
tem
be
r 20
17 t
he
old
er
sta
nd
ard
s w
ill b
e f
ull
y w
ith
dra
wn
•A
co
nse
qu
en
ce o
f th
e p
ub
lica
tio
n
of
BS
EN
81-
20
:20
14 a
nd
B
S E
N 8
1-50
:20
14 is
th
at
the
su
pp
ort
ing
ha
rmo
nis
ed
sta
nd
ard
s a
nd
su
pp
ort
ing
no
n-h
arm
on
ise
d
sta
nd
ard
s a
lso
ne
ed
re
vis
ion
. T
he
ti
me
sca
le f
or
the
co
mp
leti
on
of
this
ta
sk is
to
be
31
Au
gu
st 2
01
8
•U
sers
of
HT
M 0
8-0
2 m
ust
be
a
pp
rise
d o
f th
e c
riti
cal d
ate
s a
nd
th
e
con
seq
ue
nce
s o
f n
ot
com
ply
ing
wit
h
the
re
leva
nt
sta
nd
ard
s a
t th
e t
ime
a
ne
w li
ft is
pla
ced
in s
erv
ice
•S
eri
ou
s co
nse
qu
en
ces
cou
ld r
esu
lt
fro
m o
ve
rlo
ok
ing
th
is s
tate
of
flu
x,
esp
eci
ally
wh
en
pro
ject
s o
verr
un
th
e
crit
ica
l da
tes
Up
da
te o
f D
eco
nta
min
ati
on
HT
Ms
HT
M 0
1-0
1 P
art
s A
-E:
De
con
tam
ina
tio
n o
f su
rgic
al i
nst
rum
en
ts•
Up
da
te b
ase
d o
n t
he
Ad
viso
ry C
om
mit
tee
on
Da
ng
ero
us
Pa
tho
ge
ns'
Tra
nsm
issi
ble
S
po
ng
ifo
rm E
nce
ph
alo
pa
thy
(AC
DP
-TS
E)
sub
gro
up
gu
ida
nce
, th
e v
iew
s o
f th
e S
oci
ety
of
Bri
tish
Ne
uro
log
ica
l Su
rge
on
s a
nd
to
alig
n w
ith
UK
de
volv
ed
ad
min
istr
ati
on
s
HT
M 0
1-0
4:
De
con
tam
ina
tio
n o
f li
ne
n f
or
he
alt
h a
nd
so
cia
l ca
re•
Up
da
ted
to
re
fle
ct c
ha
ng
es
to B
riti
sh a
nd
Eu
rop
ea
n s
tan
da
rds
HT
M 0
1-0
6 P
art
s A
-E:
Ma
na
ge
me
nt
an
d d
eco
nta
min
ati
on
of
fle
xib
le e
nd
osc
op
es
•U
pd
ate
d t
o r
efl
ect
re
vise
d g
uid
an
ce f
rom
th
e A
dvi
sory
Co
mm
itte
e o
n D
an
ge
rou
s P
ath
og
en
s'
Tra
nsm
issi
ble
Sp
on
gif
orm
En
cep
ha
lop
ath
y su
bg
rou
p, a
nd
to
en
sure
alig
nm
en
t w
ith
UK
d
evo
lve
d a
dm
inis
tra
tio
ns
All
co
nv
ert
ed
fro
m C
FP
P f
orm
at
to H
TM
s
Min
imis
ing
th
e r
isk
•T
he
Ad
vis
ory
Co
mm
itte
e o
n D
an
ge
rou
s P
ath
og
en
s –
Tra
nsm
issi
ble
Sp
on
gif
orm
E
nce
ph
alo
pa
thie
s (A
CD
P-T
SE
) Su
bg
rou
p
–a
n e
xpe
rt c
om
mit
tee
of
the
De
pa
rtm
en
t o
f H
ea
lth
–fr
eq
ue
ntl
y a
na
lyse
s th
e
pre
vale
nce
of
vCJD
in t
he
po
pu
lati
on
an
d
pu
blis
he
s a
dv
ice
on
ho
w t
o m
inim
ise
th
e
risk
of
vC
JDa
nd
oth
er
tra
nsm
issi
ble
d
ise
ase
s
•A
s p
rio
n p
rote
ins
are
pa
rtic
ula
rly
re
sist
an
t to
sta
nd
ard
ph
ysi
cal a
nd
ch
em
ica
l me
tho
ds
of
ina
ctiv
ati
on
an
d d
eco
nta
min
ati
on
, th
e
AC
DP
-TS
E S
ub
gro
up
em
ph
asi
ses
tha
t e
ffe
ctiv
e c
lea
nin
g is
of
gre
at
imp
ort
an
ce
in t
he
re
mo
va
l of
the
se a
ge
nts
•T
his
is t
he
re
curr
en
t m
ess
ag
e o
f th
e c
urr
en
t u
pd
ate
s to
He
alt
h T
ech
nic
al M
em
ora
nd
a
01-
01,
01-
04
an
d 0
1-0
6
•T
o r
ed
uce
re
sid
ua
l pro
tein
leve
ls, t
he
d
ocu
me
nts
fo
cus
on
imp
rov
ing
th
e
wa
shin
g a
nd
cle
an
ing
pro
cess
an
d
mo
nit
ori
ng
th
e c
lea
nin
g e
ffic
acy
of
au
tom
ate
d c
lea
nin
g
•T
he
re is
als
o n
ew
gu
ida
nce
on
mo
nit
ori
ng
th
e le
vels
of
resi
du
al p
rote
in o
n s
urg
ica
l in
stru
me
nts
an
d e
nd
osc
op
es
•T
his
tw
o-p
ron
ge
d a
pp
roa
ch –
imp
rov
ed
cl
ea
nin
g e
ffic
acy
an
d o
ng
oin
g m
on
ito
rin
g
of
resi
du
al p
rote
in le
ve
ls –
is k
ey
to
re
du
cin
g t
he
ris
k o
f cr
oss
-in
fect
ion
HT
M 0
1-0
1 d
eco
nta
min
ati
on
o
f su
rgic
al i
nst
rum
en
ts•
Th
e d
eb
ate
as
to h
ow
cle
an
inst
rum
en
ts s
ho
uld
b
e h
as
led
to
th
e A
CD
P-T
SE
Su
bg
rou
p is
suin
g
ne
w g
uid
an
ce o
n t
he
up
pe
r li
mit
of
acc
ep
tab
le
pro
tein
co
nta
min
ati
on
–th
at
is,
≤ ≤≤≤5
ug
pe
r in
stru
me
nt
sid
e.
Bu
t h
ow
is t
his
to
be
me
asu
red
?
•P
revi
ou
s g
uid
an
ce h
as
relu
cta
ntl
y a
dvi
sed
th
e u
se
of
swa
bb
ing
te
chn
iqu
es
such
as
nin
hy
dri
n t
o d
ete
ct
pro
tein
leve
ls o
n in
stru
me
nts
. Th
is is
no
lon
ge
r re
com
me
nd
ed
•C
om
me
rcia
l te
chn
olo
gie
s th
at
can
de
tect
th
e 5
μg
limit
are
no
w b
ein
g d
eve
lop
ed
. Ho
we
ver,
HT
M 0
1-0
1's
ad
vice
is n
ot
to u
se t
he
se t
ech
no
log
ies
to
de
tect
wh
eth
er
an
inst
rum
en
t h
as
sim
ply
pa
sse
d o
r fa
iled
th
e 5
μg
limit
, bu
t ra
the
r to
use
th
em
to
co
llect
an
d b
uild
up
da
ta o
n t
he
cle
an
ing
eff
ica
cy o
f w
ash
er-
dis
infe
cto
rs o
ver
a p
eri
od
of
tim
e –
the
reb
y
en
suri
ng
re
sult
s a
re b
ein
g m
on
ito
red
an
d a
ctio
ns
are
be
ing
ta
ken
ba
sed
on
th
ose
re
sult
s
•A
ne
w f
low
cha
rt in
HT
M 0
1-0
1 P
art
D h
elp
s to
sh
ow
ho
w s
teri
le s
erv
ice
s d
ep
art
me
nts
ca
n
ide
nti
fy t
ren
ds
an
d c
on
tin
uo
usl
y m
on
ito
r re
sid
ua
l p
rote
in o
n s
urg
ica
l in
stru
me
nts
. T
he
gu
ida
nce
a
dvi
ses
tha
t th
is p
roce
ss is
pe
rfo
rme
d a
s a
n
on
go
ing
inte
rmit
ten
t se
rie
s th
rou
gh
ou
t a
th
ree
-m
on
th c
ycl
e
•A
pp
en
dix
B f
urt
he
r e
lab
ora
tes
on
th
is b
y
pro
vid
ing
an
ex
am
ple
sa
mp
lin
g s
tra
teg
y. It
d
esc
rib
es
firs
t h
ow
to
est
ab
lish
ba
selin
e d
ata
an
d
the
n g
oe
s o
n t
o s
ho
w h
ow
to
co
nti
nu
ou
sly
mo
nit
or
ag
ain
st t
his
ba
selin
e d
ata
, wh
at
typ
es
of
inst
rum
en
t to
te
st a
nd
ho
w m
an
y t
o in
stru
me
nts
to
te
st d
uri
ng
th
e t
hre
e-m
on
th c
ycl
e
Ch
ief
Me
dic
al O
ffic
er
Pro
fess
or
Da
me
S
ally
Da
vie
s –
fore
wo
rd t
o H
TM
01-
01:
“Th
e a
mb
itio
n is
th
at
all
he
alt
hca
re p
rovi
de
rs e
ng
ag
ed
in t
he
ma
na
ge
me
nt
an
d d
eco
nta
min
ati
on
of
surg
ica
l in
stru
me
nts
use
d in
acu
te c
are
will
be
e
xpe
cte
d t
o h
ave
imp
lem
en
ted
th
is g
uid
an
ce b
y 1
Ju
ly 2
01
8.
Ho
we
ver,
pro
vid
ers
wh
ose
inst
rum
en
ts a
re li
kely
to
co
me
into
co
nta
ct w
ith
h
igh
er
risk
tis
sue
s, f
or
exa
mp
le n
eu
rolo
gic
al t
issu
e, a
re e
xpe
cte
d t
o g
ive
th
is
gu
ida
nce
hig
he
r p
rio
rity
an
d m
ove
to
in-s
itu
pro
tein
de
tect
ion
m
eth
od
olo
gie
s b
y 1
st J
uly
20
17
.”
HT
M 0
1-0
4 d
eco
nta
min
ati
on
o
f lin
en
•C
lari
fica
tio
n h
as
be
en
pro
vid
ed
on
ce
rtif
ica
tio
n t
o B
S E
N 1
40
65
an
d t
he
st
atu
s o
f ce
rtif
ica
tio
n b
od
ies.
E
sse
nti
all
y,
org
an
isa
tio
ns
are
fre
e t
o
use
an
y n
ati
on
all
y-a
ccre
dit
ed
ce
rtif
ier
fro
m a
ny
Eu
rop
ea
n
me
mb
er
sta
te
•A
de
fin
itio
n o
f lin
en
ha
s b
ee
n
pro
vid
ed
to
cla
rify
th
e s
cop
e o
f th
e
do
cum
en
t
•C
on
vert
ed
fro
m C
FP
P f
orm
at
to H
TM
HT
M 0
1-0
6 d
eco
nta
min
ati
on
o
f fl
exi
ble
en
do
sco
pe
s•
Th
e g
uid
an
ce r
e-e
mp
ha
sise
s a
nd
re
info
rce
s th
e
imp
ort
an
ce o
f im
pro
vin
g t
he
wa
shin
g a
nd
cl
ea
nin
g p
roce
ss, r
ed
uci
ng
th
e t
ime
fro
m
pa
tie
nt
use
to
th
e d
eco
nta
min
ati
on
pro
cess
, a
nd
mo
nit
ori
ng
th
e c
lea
nin
g e
ffic
acy
of
en
do
sco
pe
wa
she
r-d
isin
fect
ors
•A
ne
w A
pp
en
dix
on
ge
ne
ral p
rin
cip
les
of
de
con
tam
ina
tio
n h
as
be
en
incl
ud
ed
to
re
info
rce
th
e im
po
rta
nce
of
the
be
dsi
de
cle
an
a
nd
th
e r
ed
uct
ion
in t
ime
fro
m u
se o
f th
e
en
do
sco
pe
on
a p
ati
en
t to
its
rou
te t
hro
ug
h t
he
d
eco
nta
min
ati
on
pro
cess
•H
TM
01-
06
Pa
rt D
als
o in
tro
du
ces
a p
roce
ss c
ha
lle
ng
e d
ev
ice
cl
ea
nin
g e
ffic
acy
te
st a
s a
we
ek
ly
test
in t
he
pe
rio
dic
te
sts.
Th
ese
a
re r
eco
mm
en
de
d t
o b
ala
nce
th
e
ove
rall
test
ing
of
rou
tin
e
pe
rfo
rma
nce
of
bo
th t
he
cle
an
ing
p
roce
du
res/
wa
shin
g m
ach
ine
s a
nd
th
e c
on
sist
en
t w
ash
ing
p
erf
orm
an
ce a
ga
inst
th
e
veri
fica
tio
n o
f th
e p
roce
ss
HT
M 0
4-0
1 P
art
s A
-C a
nd
Do
8:
Sa
fe w
ate
r in
he
alt
hca
re p
rem
ise
s•
Re
vis
ed
into
th
ree
pa
rts
–A
, B
an
d C
•G
ive
s a
dvi
ce a
nd
gu
ida
nce
on
th
e le
ga
l re
qu
ire
me
nts
, de
sig
n a
pp
lica
tio
ns,
m
ain
ten
an
ce a
nd
op
era
tio
n o
f h
ot
an
d
cold
wa
ter
sup
ply
, sto
rag
e a
nd
d
istr
ibu
tio
n s
yste
ms
in a
ll ty
pe
s o
f h
ea
lth
care
pre
mis
es
to:
•h
ea
lth
care
ma
na
ge
me
nt
•W
ate
r S
afe
ty G
rou
ps
(WS
Gs)
•d
esi
gn
en
gin
ee
rs
•e
sta
te m
an
ag
ers
•o
pe
rati
on
s m
an
ag
ers
•co
ntr
act
ors
•th
e s
up
ply
ch
ain
•T
he
HT
M p
rovi
de
s a
dvi
ce a
nd
gu
ida
nce
on
th
e c
on
tro
l an
d
ma
na
ge
me
nt
of
the
ris
k p
ose
d b
y L
eg
ion
ell
a,
Pse
ud
om
on
as
ae
rug
ino
saa
nd
oth
er
wa
terb
orn
e p
ath
og
en
s w
ith
in a
he
alt
hca
re
sett
ing
.
•P
art
A c
ove
rs t
he
de
sig
n, i
nst
alla
tio
n a
nd
co
mm
issi
on
ing
•P
art
B c
ove
rs o
pe
rati
on
al m
an
ag
em
en
t
•P
art
C f
ocu
ses
on
sp
eci
fic
ad
dit
ion
al m
ea
sure
s th
at
sho
uld
be
ta
ken
to
co
ntr
ol a
nd
min
imis
e t
he
ris
k o
f P
seu
do
mo
na
s a
eru
gin
osa
in a
ug
me
nte
d c
are
un
its
•It
sh
ou
ld b
e r
ea
d in
co
nju
nct
ion
wit
h t
he
HS
E’s
Ap
pro
ve
d C
od
e
of
Pra
ctic
e (
L8
) a
nd
HS
G2
74 P
art
2.
It is
eq
ua
lly
ap
pli
cab
le t
o
bo
th n
ew
an
d e
xis
tin
g s
ite
s
Pre
vio
us
ed
itio
ns
of
HT
M 0
4-0
1 h
av
e
ma
inly
fo
cuse
d o
n m
ain
tain
ing
sa
fe w
ate
r te
mp
era
ture
s a
nd
th
e c
on
tro
l of
Le
gio
ne
lla
•R
esp
on
sib
ility
fo
r th
ese
cru
cia
l are
as
ha
s tr
ad
itio
na
lly b
ee
n t
he
pre
serv
e o
f d
isci
plin
es
such
as
bu
ildin
g s
erv
ice
s e
ng
ine
eri
ng
an
d e
sta
tes/
faci
litie
s m
an
ag
em
en
t; c
on
seq
ue
ntl
y t
he
se e
arl
ier
ed
itio
ns
we
re a
ime
d p
rim
ari
ly a
t th
is
spe
cifi
c a
ud
ien
ce
•B
ut
wh
ile
Le
gio
ne
lla
an
d s
cald
ing
ris
ks
stil
l re
ma
in k
ey
co
nsi
de
rati
on
s in
H
TM
04
-01
, o
the
r w
ate
r sa
fety
issu
es
ha
ve
co
me
to
th
e f
ore
–p
art
icu
larl
y t
he
ri
se o
f o
the
r o
pp
ort
un
isti
c w
ate
rbo
rne
p
ath
og
en
s in
th
e h
ea
lth
care
en
vir
on
me
nt
such
as
Pse
ud
om
on
as
ae
rug
ino
sa
•T
he
sco
pe
of
the
20
16 e
dit
ion
of
HT
M 0
4-0
1 h
as
the
refo
re b
roa
de
ne
d t
o e
nco
mp
ass
th
e
thre
at
of
all
wa
terb
orn
e p
ath
og
en
s, n
ot
just
Leg
ion
ella
Dif
fere
nt
con
tro
l me
asu
res
are
ne
ed
ed
fo
r d
iffe
ren
t ty
pe
s o
f m
icro
org
an
ism
s
•F
or
exa
mp
le, m
ain
tain
ing
a t
em
pe
ratu
re
con
tro
l re
gim
en
is t
he
HT
M's
tra
dit
ion
al
ap
pro
ach
to
Leg
ion
ella
con
tro
l (w
hic
h c
an
b
e s
up
ple
me
nte
d b
y b
ioci
da
l wa
ter
tre
atm
en
ts)
•F
or
the
co
ntr
ol o
f P
seu
do
mo
na
s a
eru
gin
osa
, th
ese
me
asu
res
are
th
ou
gh
t to
be
less
re
leva
nt.
He
re t
he
HT
M o
utl
ine
s th
at
it is
p
rim
ari
ly m
an
ag
em
en
t o
f th
e w
ate
r sy
ste
m a
rou
nd
th
e o
utl
et
–in
clu
din
g t
he
co
rre
ct m
ain
ten
an
ce o
f th
e t
ap
, th
e
me
tho
d o
f cl
ea
nin
g t
he
wa
sh-h
an
d b
asi
n
it s
up
pli
es,
an
d t
he
pre
ve
nti
on
of
dis
card
ing
an
y f
luid
po
ten
tia
lly
co
nta
min
ate
d w
ith
Pse
ud
om
on
as
ae
rug
ino
sain
to t
ha
t b
asi
n –
tha
t is
cru
cia
l to
re
du
cin
g t
he
ris
k t
o p
ati
en
ts
•T
he
HT
M n
ow
de
lve
s in
to a
rea
s th
at
will
b
e o
f in
tere
st t
o o
the
r d
isci
plin
es
such
as
mic
rob
iolo
gis
ts a
nd
infe
ctio
n p
reve
nti
on
a
nd
co
ntr
ol t
ea
ms.
It h
as
con
seq
ue
ntl
y o
pe
ne
d u
p t
o a
wid
er
au
die
nce
. P
erh
ap
s, m
ore
imp
ort
an
tly,
it w
ill b
e
ess
en
tia
l re
ad
ing
fo
r Wa
ter
Sa
fety
Gro
up
s (W
SG
s)
•T
he
Ad
de
nd
um
to
HT
M 0
4-0
1 p
ub
lish
ed
in
20
12 in
tro
du
ced
th
e c
on
cep
t o
f WS
Gs,
a
nd
no
w t
he
cu
rre
nt
ed
itio
n o
f th
e H
TM
in
clu
de
s u
pd
ate
d g
uid
an
ce o
n t
he
re
mit
a
nd
aim
s o
f th
e W
SG
. A h
ea
lth
care
o
rga
nis
ati
on
's W
SG
wil
l co
me
to
ge
the
r a
nd
cre
ate
an
act
ion
pla
n f
or
all
wa
ter
safe
ty is
sue
s –
wh
eth
er
ide
nti
fyin
g
ha
zard
s o
r a
pp
rop
ria
te c
on
tro
l m
ea
sure
s
•O
ne
of
the
ma
in t
ask
s o
f th
e W
SG
is t
o
de
velo
p a
Wa
ter
Sa
fety
Pla
n (
WS
P),
w
hic
h p
rovi
de
s a
ris
k-m
an
ag
em
en
t a
pp
roa
ch t
o t
he
sa
fety
of
wa
ter
an
d
est
ab
lish
es
go
od
pra
ctic
es
in lo
cal w
ate
r u
sag
e, d
istr
ibu
tio
n a
nd
su
pp
ly
•T
he
WS
G h
as
to m
ake
su
re t
ha
t th
ere
is
the
ap
pro
pri
ate
ex
pe
rtis
e a
va
ila
ble
to
e
nsu
re t
ha
t a
ll p
art
s o
f th
e W
SP
are
pu
t in
to p
ract
ice
•T
he
de
velo
pm
en
t o
f th
e in
clu
sive
m
ult
i-st
ake
ho
lde
r W
SG
is o
ne
of
the
m
ost
sig
nif
ica
nt
de
velo
pm
en
ts f
or
pa
tie
nt
safe
ty –
so m
uch
so
th
at
it
ha
s b
ee
n m
an
da
ted
by
th
e H
ea
lth
a
nd
So
cia
l Ca
re A
ct C
od
e o
f P
ract
ice
o
n t
he
pre
ve
nti
on
an
d c
on
tro
l of
infe
ctio
ns
"Hy
gie
nic
plu
mb
ers
"
•A
no
the
r a
rea
of
con
cern
th
at
the
2
016
ed
itio
n h
as
fla
gg
ed
up
is a
rou
nd
th
e c
om
pe
ten
cy o
f in
sta
lle
rs/p
lum
be
rs w
ork
ing
on
h
ea
lth
care
wa
ter
syst
em
s
•T
he
refo
re, H
TM
re
com
me
nd
s th
at
all
in
sta
lle
rs n
ee
d t
o h
av
e c
om
ple
ted
a
wa
ter
hy
gie
ne
tra
inin
g c
ou
rse
b
efo
re w
ork
ing
on
a h
ea
lth
care
wa
ter
syst
em
–o
the
rwis
e t
he
y ru
n t
he
ris
k
of
see
din
g t
he
en
tire
sys
tem
wit
h
ba
cte
ria
an
d u
ltim
ate
ly p
utt
ing
p
ati
en
ts' l
ive
s a
t ri
sk
Use
ap
pro
ve
d c
on
tra
cto
rs•
Un
de
r cu
rre
nt
leg
isla
tio
n, h
ea
lth
care
p
rovi
de
rs m
ust
ass
ess
th
e r
isk
of,
an
d
pre
ven
t, d
ete
ct a
nd
co
ntr
ol t
he
sp
rea
d o
f,
infe
ctio
ns.
Th
ere
fore
it is
incu
mb
en
t o
n
the
m t
o m
ak
e s
ure
th
at
the
y s
ou
rce
co
mp
ete
nt
inst
all
ers
an
d t
he
reb
y p
reve
nt
inci
de
nts
su
ch a
s th
ose
de
scri
be
d a
bo
ve
fro
m h
ap
pe
nin
g
•H
TM
04
-01
reco
mm
en
ds
tha
t o
nly
inst
alle
rs
wit
h t
he
ap
pro
pri
ate
qu
ali
fica
tio
ns,
re
gu
lato
ry k
no
wle
dg
e a
nd
co
mp
ete
nce
sho
uld
be
use
d t
o in
sta
ll a
nd
ma
inta
in
wa
ter
inst
alla
tio
ns
•T
he
HT
M o
utl
ine
s th
at
the
re a
re s
eve
n
Ap
pro
ve
d C
on
tra
cto
r sc
he
me
s a
uth
ori
sed
th
rou
gh
th
e W
ate
r S
up
ply
(W
ate
r F
itti
ng
s)
Re
gu
lati
on
s 19
99
. A
ll se
ven
sch
em
es
req
uir
e a
pp
rop
ria
te q
ua
lific
ati
on
s a
nd
k
no
wle
dg
e o
f th
e r
eg
ula
tio
ns
as
pa
rt o
f th
eir
me
mb
ers
hip
cri
teri
a
•A
PH
C
•A
plu
s
•C
IPH
E
•S
nip
ef
•T
ap
s
•W
ate
rMa
rk
•W
IAP
S)
Th
e W
ate
rSa
fe r
eg
iste
r
Th
e r
eg
iste
r h
old
s d
eta
ils o
f a
ll se
ven
A
pp
rove
d C
on
tra
cto
rs s
che
me
s fo
r b
usi
ne
sse
s w
ith
re
gis
tere
d a
nd
qu
alif
ied
p
lum
bin
g in
sta
llers
Co
nte
nt
up
da
tes
DH
ha
s co
mm
issi
on
ed
an
up
da
te t
o
the
AD
B d
ata
, to
bri
ng
it in
lin
e w
ith
re
cen
t H
TM
an
d H
BN
gu
ida
nce
u
pd
ate
s, in
re
spe
ct o
f d
ep
art
me
nts
/ ro
om
s/ e
qu
ipm
en
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od
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Th
e p
roce
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ll a
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nce
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e
ne
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oo
m d
ata
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rma
tio
n h
as
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en
in
corp
ora
ted
into
th
e p
rog
ram
Wh
en
DH
ha
s q
ua
lity-
ap
pro
ved
th
e
ne
w in
form
ati
on
, it
will
ad
vise
on
th
e
rele
ase
da
te o
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e n
ew
da
tase
t
•H
BN
00
–0
1 G
en
era
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sig
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cip
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•H
BN
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–0
2 S
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ita
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pa
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•H
BN
00
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art
A: F
loo
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BN
00
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art
B: W
alls
an
d c
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s
•H
BN
00
–1
0 P
art
D: W
ind
ow
s a
nd
ass
oci
ate
d h
ard
wa
re
•H
BN
03
–0
1 A
du
lt a
cute
me
nta
l he
alt
h u
nit
s
•H
BN
08
–0
2 D
em
en
tia
fri
en
dly
he
alt
h a
nd
so
cia
l ca
re
en
viro
nm
en
ts
•H
BN
15
–0
1 A
ccid
en
t a
nd
em
erg
en
cy
•H
TM
04
–0
1 A
dd
en
du
m: P
seu
do
mo
na
s a
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gin
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–a
dvi
ce f
or
au
gm
en
ted
ca
re u
nit
s
•H
TM
05
–0
2 F
ire
cod
e –
Gu
ida
nce
in s
up
po
rt o
f fu
nct
ion
al
pro
visi
on
s
•S
tud
y o
f P
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ure
21
+ r
ep
ea
tab
le r
oo
ms
an
d a
pp
lica
ble
d
ata
inco
rpo
rate
d in
to A
DB
ge
ne
ric
da
ta s
he
ets
AD
B s
oft
wa
re u
pd
ate
–k
ey
fe
atu
res
AD
B p
rod
uct
up
da
te,
rele
ase
d 1
stO
cto
be
r 20
16
:
•F
ull
com
pa
tib
ility
wit
h W
ind
ow
s 7
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.1 a
nd
10
•L
eg
acy
su
pp
ort
fo
r A
uto
de
sk 2
01
0-2
01
6
•F
ull
com
pa
tib
ility
wit
h A
uto
CA
D 2
017
32
& 6
4b
it
•F
ull
com
pa
tib
ility
wit
h R
ev
it 2
017
64
bit
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D v
isu
ali
sati
on
, R
oo
m D
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Sh
ee
ts,
2D
an
d 3
D g
eo
me
try
ou
tpu
ts
•C
OB
iee
xp
ort
via
th
e A
DB
AP
I
•R
ep
ort
s e
xpo
rte
d in
Wo
rd,
PD
F a
nd
Ex
cel f
orm
ats
•R
ev
it:
De
sig
n O
pti
on
s, P
ha
ses,
Au
tom
ate
d C
Sh
ee
t e
leva
tio
n o
utp
uts
(3
D/R
efl
ect
ed
Ce
ilin
g/L
oca
tio
n P
lan
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ed
ule
s),
sup
po
rts
Lin
ked
Mo
de
ls, R
evi
t A
sse
mb
lies
(Ne
ste
d f
am
ilie
s), V
iew
Te
mp
late
s, P
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me
tric
pa
ram
ete
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lte
rna
tive
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file
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s fo
r B
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eve
l 2 r
eq
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em
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s se
t o
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wit
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ech
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uid
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rog
ram
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