THE 2012 EDITION OF THE LIFE SAFETY CODE® NURSING …...STORY BEYOND LEVEL OF DISCHARGE ......

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THE 2012 EDITION OF THE LIFE SAFETY CODE®

NURSING HOME EDITION

SESSION #2

WELCOME

Moderator: Richard Schieferdecker

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Audio

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QUESTIONS

How To Ask a Question:

POLLING

There will be occasional interactive poll questions.

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THE 2012 EDITION OF THE LIFE SAFETY CODE®

NURSING HOME EDITION

SESSION #2

MEANS OF EGRESS REQUIREMENTS

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AGENDA

What is the Means of Egress?

Egress Components

Door Locking, Doors, Door Components

Means of Egress NEW Information Doors

Exit Enclosures

Stairs

Corridor Projections

Suites

Illumination of the Means of Egress

MEANS OF EGRESS: A continuous and unobstructed way of exit travel from any point in the building to a public way.

Means of egress consist of three distinct parts as follows…

Exit access

Exit

Exit discharge


HINT: THE “MEANS OFEGRESS” IS A COMPLETE

SYSTEM TO GETOCCUPANTS TO A “POINT

OF SAFETY”

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Exit Access Exits Exit Discharge

MEANS OF EGRESS

EXIT ACCESS – A portion of the means of egress that leads to an exit


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EXIT – A portion of the means of egress separated from all others spaces of the building by construction.


EXIT DISCHARGE – A portion of the means of egress between the termination of an exit and a public way.


HINT: EXIT DISCHARGENEEDS TO BE KEPT

CLEAR AND PROVIDED W/ NORMAL & EMERGENCY

LIGHTING, ETC.

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PUBLIC WAY – The end of the means of egress.

Not regulated (not part of the means of egress)“A public way is a street or parcel meant for public use, with clear width and height of at least 10 ft.”


DOOR LOCKING IN THE MEANS OF EGRESS is not permitted on doors within the means of egress, unless:

Locking complies with 19.2.2.2.5

Delayed egress locks

Access Control Doors

Elevator Lobby Access as in Chapter 7

Approved existing door locking installations

Section 19.2.2.2.4 (New Text)

DOOR LOCKING

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DOOR LOCKING CONCEPTS

Clinical Needs

Safety and Security

Delayed Egress

Access Control

DOOR LOCKING

DOOR LOCKING – CLINICAL NEEDS

2000: “... where the clinical needs of the patients require specialized security measures for their safety...”

2012: “...where the clinical needs of patients require specialized security measures (19.2.2.2.5.1)or where patients pose a security threat (19.2.2.2.5.2)

DOOR LOCKING

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DOOR LOCKING – CLINICAL NEEDS

19.2.2.2.6 – requires (a) remote control of locks, (b) keying of all locks to keys carried by staff at all times, or (c) other such reliable means available to staff at all times. No change from 2000‐2012

DOOR LOCKING

DOOR LOCKING – SAFETY & SECURITY (New Text)

Door‐locking arrangements shall be permitted where patient special needs require specialized protective measures for their safety

Pediatric Units

Maternity Units

Emergency Departments

DOOR LOCKING

HINT: DOESN’T MEANTHESE DOORS ARESIMPLY “OK TO BE

SECURED” – YOU MUST MEET THE

REQUIREMENTS

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DOOR LOCKING ‐ DELAYED EGRESS

DOOR LOCKING

Removed the requirement that permitted only one delayed egress device per egress path.

DOOR LOCKING ‐ DELAYED EGRESS

DOOR LOCKING

Note: This requirement existed in the 2000 Edition of LSC but was not as obvious.

Egress side of a door with delayed egress locking shall be provided with emergency lighting.

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DOOR LOCKING – ACCESS CONTROL DOORS

A motion sensor (40” – 48”) is installed on the egress side of the door

The doors unlock upon loss of power

The doors unlock upon activation of a manual device located within 5 feet of the doors

The manual device is appropriately labeled as “Push to Exit”

DOOR LOCKING

DOOR LOCKING – ACCESS CONTROL DOORS

Activation of the building sprinkler or fire detection system, where installed, automatically unlocks the doors (not necessary for manual pulls to unlock)

Equipment is listed and approved

Egress side of “new” doors with access‐controlled locks shall be provided with emergency lighting

DOOR LOCKING

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DOOR LOCKING ‐ ELEVATOR LOBBY LOCKING

Section 7.2.1.6.3 (New Text)

Lock is listed per ANSI/UL 294

Building protected by fire alarm system

Building fully sprinklered

Waterflow devices activate fire alarm system

Elevator Lobby protected by supervised smoke detectors

Smoke detectors activate fire alarm system

Fire alarm initiation unlocks Lobby doors

DOOR LOCKING

DOOR LOCKING ‐ ELEVATOR LOBBY LOCKING

Complying with 7.2.1.6.3 (New Text)

Manual pull boxes not required to unlock doors

Doors “fail safe” upon loss of power

Remain unlocked until fire alarm is manually reset

Use of latch‐releasing hardware is obvious

Two‐way communication from Elevator Lobby to “central point”

Staff at “central point” are capable, trained, & authorized to provide emergency assistance

Delayed egress is not used on Lobby doors

Access‐control is not used on Lobby doors

DOOR LOCKING

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“APPROVED EXISTING” DOOR LOCKING ARRANGEMENTS

“That which is already in existence on the date this edition of the Code goes into effect and is acceptable to the AHJ”

It does not matter how an earlier AHJ ruled…..the current AHJ must evaluate the situation and determine whether it is acceptable for continued use

DOOR LOCKING

HINT: DON’T FORGETOUR DEFINITION OF

“APPROVED EXISTING”!

HORIZONTAL DOORS complying with 19.2.2.2.10.2

(New Text):

MEANS OF EGRESS NEW INFORMATION

Horizontal sliding doors permitted in the Means of Egress if:

Only for doors serving an occupant load of 10

Area served by door has no high hazard contents

Door is readily operable without special knowledge

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HORIZONTAL DOORS complying with 19.2.2.2.10.2

(New Text):


HINT: RELIEVESREQUIREMENT FOR

“BREAKAWAY” FUNCTION

Horizontal sliding doors permitted in the Means of Egress if:

Meets requirements for force to open and close

Is rated & self or auto closing where required

If corridor door, equipped with latch or other mechanism to prevent rebound

DOORS WITH TWO RELEASING OPERATIONS complying with 7.2.1.5.10.6 (New Text):

2000 Edition 2012 Edition

Area served has occupant load of 3 or less

Door release does not require simultaneous operation


NOT ALLOWED

ALLOWED

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DOOR WITH FIRE PINS complying with 7.2.1.5.2 (New Text):

Doors with fire pins or fusible links that render the door inoperable at elevated temperatures are exempt from the requirement to be “opened readily from the egress side whenever the building is occupied”


ELECTRICALLY CONTROLLED DOORS complying with 7.2.1.5.6 (New Text):


Release hardware is affixed to door

Hardware is obvious to use

One hand operations

Hardware unlocks door

“Fail safe” upon loss of power

“New” hardware is listed per ANSI/UL 294

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OPENINGS IN EXIT ENCLOSURES complying with 2000 Edition of the Life Safety Code:

MEANS OF EGRESS: NEW INFORMATION

Limited openings in exit enclosures to doors from normally occupied spaces and corridors

Mechanical spaces are not considered “normally occupied spaces”

OPENINGS IN EXIT ENCLOSURES complying with 7.1.3.2.1(10) (New Text):


Mechanical equipment spaces are permitted to open onto exit enclosures if:

“Existing” opening

Protected by fire‐rated door assemblies

Contains non‐fuel‐fired equipment

No storage

Building is fully sprinklered

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STAIR SIGN REQUIREMENTS complying with 7.2.2.5.4.1 (Revised Text)

Applies to “new” stairwells serving three (3) or more stories

Applies to “existing” stairwells serving five (5) or more stories

Specific text heights


STAIRS OR RAMPS THAT CONTINUE MORE THAN ½ STORY BEYOND LEVEL OF DISCHARGE

7.7.3.4 (Revised Text)

Need an “approved means to prevent or dissuade occupants from traveling past the level of discharge during emergency building evacuation”

HINT: CHANGED FROM 2000 LSC THATREQUIRED TO BE:

“INTERRUPTED AT THE LEVEL OF EXITDISCHARGE BY PARTITIONS, DOORS, OR

OTHER EFFECTIVE MEANS”

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CORRIDOR PROJECTIONS FOR WHEELED EQUIPMENT Complying with 19.2.3.4(4): (New Text)

Equipment in use and carts in use

Medical emergency equipment not in use

Patient Lift and transport equipment

HINT: VERIFIEDEXISTING CMS S&C

LETTERS ALLOWING THIS



Equipment in use and carts in use

Medical emergency equipment not in use

Patient lift and transport equipment

HINT: ADDED “PATIENTLIFT AND TRANSPORT

EQUIPMENT”

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Equipment does not reduce corridor width to less than 60 in

Fire Safety Plan addresses relocation of wheeled equipment equip.


CORRIDOR PROJECTIONS FOR FIXED FURNITURE Complying with 19.2.3.4(5): (New Text)

Corridor is at least 8 ft. wide AND furniture:

– is securely attached to the floor or wall

– does not reduce corridor width below 6’

– is located on one side of corridor

– groupings do not exceed 50 ft2

– groupings separated by at least 10’

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CORRIDOR PROJECTIONS FOR FIXED FURNITURE Complying with 19.2.3.4(5): (New Text)

Furniture does not obstruct access to

building service and fire equipment

Corridors throughout smoke compartment are protected with smoke detectors OR direct supervision of furniture spaces is provided from Nurses’ Station or similar space

Smoke compartment sprinklered per 19.3.5.8 (QR if patient sleeping occurs)


CORRIDOR PROJECTIONS ABOVE HANDRAIL HEIGHT (> 38”) complying with 19.2.3.4(2) (New Text)

Corridor width must be min. 6 ft

Projections must be “non‐continuous”

Max of 6” from the corridor wall

Eliminated restrictions on length & separation

HINT: NOT SO FAST!CMS FINAL RULE CLARIFIED

THAT THE 4” MAX IN ADA WILLBE ENFORCED!

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CORRIDOR PROJECTIONS BELOW HANDRAIL HEIGHT (≤ 38”) complying with 7.3.2.2 (New Text)

Max of 4.5” from the

corridor wall

HINT: CHANGED FROM 2000 LSC FROM 3.5"


SUITES complying with Section 19.2.5.6 (New Text)

Patient Sleeping Suites

Non‐Sleeping Suites for Patient Care

Non‐Sleeping Suites Not for Patient Care (New Text)

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DEAD END LIMITATIONS complying with 19.2.5.2

Existing dead ends are limited to 30 feet

Unless “impractical or unfeasible” to correct.


ILLUMINATION OF MEANS OF EGRESS complying with

7.8.1.2.2 (New Text)

Automatic motion sensor switches permitted:

Listed

Fail‐safe

15 minute duration

Occ. Movement in area served

Activate by fire alarm if provided

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QUESTIONS

Next Session

Fire Protection Features

Door Inspections

Vertical Openings

Hazardous Areas

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THANK YOU

David Hood President

Nick GabrieleVice President

THE 2012 EDITION OF THE LIFE SAFETY CODE® NURSING …...STORY BEYOND LEVEL OF DISCHARGE ......

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Transcript of THE 2012 EDITION OF THE LIFE SAFETY CODE® NURSING …...STORY BEYOND LEVEL OF DISCHARGE ......