NFPA 56A-1978 STANDARD FOR THE USE OF INHALATION ANESTHETICS.pdf

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15、1980 NFPA, All Rights Reserved Standard for the Use of Inhalation Anesthetics (Flammable and Nonflammable) NFPA 56A-1978 NOTE: See TIAs 1-11 in back of document. 1978 Edition of NFPA 56A 56A-1 This edition of NFPA 56A was prepared by the Technical Com mittee on Anesthetizing Agents and is a complete

16、 revision of the 197 3 edition. Many changes in requirements have been made including the following: threshold level for total hazard current of the Line Isolation Monitor; wall-mounted receptacles (1) in nonflammable in halation anesthetizing locations and (2) above the hazardous area of flammable

17、inhalation anesthetizing locations; removal of immersion requirement for portable equipment; and testing requirements for conductive floors in nonflammable inhalation anesthetizing loca tions. When the Technical Committee presented its Report to the Association on May 17 at the 1978 Annual Meeting,

18、the Report was adopted with amendments to Section 2-1, 3-3.1.1, and 4-5.1.6(c) concerning requirements for isolated power systems and the zone of risk definition in anesthetizing locations. Pursuant to the Regulations Governing Committee Projects, the Technical Committee was balloted on the amendmen

19、ts and voted 18 to 4 not to approve the amendments.* The Correlating Committee on Health Care Facilities voted to release the action of the Technical Committee. The actions of the committees were challenged. In accordance with directives of the Council, the Committees reconsidered their action. On r

20、eballots the amendments were not approved and the Standards Council released the Committee Report without the amendments on January 25, 1979. (continued on page 2) *When a Committee does reject an Association Meeting amendment, the Commit tee must also decide if the resultant document is suitable (b

21、ecause those portions af fected by the Association amendment revert to previously NFPA approved text). The Committee voted that the document would be suitable without the amendments and with previously approved text. Thus, the text for the above three paragraphs is that found in the 1973 edition of

22、NFPA 56A. 56A-2 INHALATION ANESTHETICS Origin and Development of NFPA 56A The original edition of NFP A 56 was in the form of an advisory pamphlet entitled “Combustible Anesthetics in Hospital Operating Rooms.“ In 1951 this was expanded and became “Safe Practices for Hospital Operating Rooms,“ and i

23、n 1962 it was renamed “Use of Flammable Anesthetics.“ In 1970 it was expanded to include the use of nonflammable as well as flammable anesthetics. Other changes included th re quirements for a dynamic line isolation monitor, special grounding procedures, and the revision of electrical safeguards to

24、mitigate the hazard of electric shock in anesthetizing locations. The number was changed to NFPA 56A, and the title was changed to “Use of lnhala tion Anesthetics.“ In 1971 amendments included requirements for the equipotential grounding system and the introduction of new designs for plugs and recep

25、tacles for use with the isolated power system. The 1972 edition included changes in testing requirements for antistatic materials, clarification of requirements for the Line Isolation Monitor, additional definitions, and new appendix material. The 1973 edition rearranged material into a more logical

26、 sequence and incorporated some minor revisions and some editorial changes. (continued from page 1) The action of the release of the 1978 edition by the Standards Coun cil was further challenged in April 1979 by the American Hospital Association. The NFP A Board of Directors heard the appeal on Dece

27、mber 5, 1979, listening to the technical arguments by AHA on the need for the 3 amendments, listening to rebuttal arguments by representatives of the Technical Committee, and reviewing the technical actions of the Committee over the past few years. After ex tensive discussion, the Board voted to sus

28、tain the action of the Stan dards Council. In addition, however, the Board responded to several AHA con cerns, including the application of isolated power systems and the retroapplication of the standard as it related to isolated power systems, and directed the Technical Committee to clarify these t

29、wo points as expeditiously as possible, by whatever means within the NFPA Standards-Making System. The Board voted to withhold publication of the document until this occurred so that clarification would be in cluded in every copy of the 1978 edition. As a result of this directive, the Technical Comm

30、ittee issued two Tentative Interim Amendments (TIAs) (TIAs #78-1, and #78-10). COMMITTEE PERSONNEL 56A-3 Committee on Health Care Facilities Correlating Committee Carl W. Walter, M.D. (exofficio), Chatrman Harvard School of Mc:-dicinf (rep. American College of Surgeons) Burton R. Kleint, StcretaT) :

31、lauonal Fire Protetuon Aciation. Inc Saul Aronow, Ph.D., St“ctional Commnttt on tht Saft Use- of Htgh Frtqutncy Electnnty 10 Htahh Care Farilitits J. Armand Burgun, Saft“ly to Ltft Com ffillttt W. H. L. Dornette, M.D., Senl.tn A:ox.lidical lnstrumtntation Leo G. Foxwell, Tht“ Hanford Insurance Group

32、 R. H. Legaui, National Elenncal Manufacturer!. Association Dr. Salvador, Longo, :IFPA Ht“ahh Care St“ttlOn McGhee B. Mantooth, USPHS Div1sion of Hos pital and Medical Fanliues frank M. McCarthy, M.D., D.D.S., Amencan Ot“ntal Association Norman Menken, D.D.S., American Analgesia Society James A. Mey

33、er, M.D., Col., Amtncan Society of Anesthesiologists Allan R. Morse, National Research Council of Canada Ray J. Nid-:ob, M.D., American “oci,.rv of Anesthesiologists Gerald M. Olderman, Ph.D., Health Industry Manufacturers Association John E. Owens, NFPA Comminee- on Static Elec tncuy P. J, Schram,

34、Underwriters Laboratories Inc George W. Scrivens, International Nonwovens and Disposables A$SOciation Paul R. Seidlitz, National Safety Council Dennis R. Sleister, Comprt“ssed Gas Association Kent P. Stiner, Panel No. 17. National Electncal Code Commiuee John Swope, M.D., US. Navy Medical Corps Russ

35、ell L. Trimble, Amt:rican Hospital Asso nauon Carl W. Walter, M.D. (ex-officio). American College of Surgeons M. J. Williams, Ph.D., Department of Texule:o. Ontario Re5earch Foundation 56A-4 INHALATION ANESTHETICS AlternateS Robert L. Bcliveaux, St. Joseph Hospital (Alternate to Dr. Salvador E. Long

36、o) John Martin Bruner, M.D., American Society of Anesthesiologists (Alternate to Ray J. Nichols) Ronald A. Gabel, M.D., Peter Bent Brigham Hospital (Alternate to Dcryck Duncalf, M.D.) W. M. Lampe, Post-Glover Division Alternate to R. H. Lgatti) Robert E. Lenhard, Compressed Gas Associa tion, Inc. (A

37、lternate to John C. Riley) Paul F. Leonard, M.D., American Society of Anesthesiologists (Alternate to James A. Meyer) John Mark, National Safety Council (Alternate to Paul R. Seidlitz) Margo A. R.01enfeld, International Nonwovens and Dispos.ables Association (Alternate to GeOTge W. Scrivens) Earl J.

38、 Schlosser, Underwriters Laboratories Inc. (Alternate to P. J. Schram) Phillip E. Shipper, D.D.S., American Anal gcsia Society (Alternate to Norman Menken) j01eph G. Sprague, American Hospital Associa tion (Alternate to Russell L. Trimble) Dr. Joel W. Weaver, The Ohio State University (Alternate to

39、Frank M. McCarthy, M.D D.D.S.) This list represents the membership at the time the Commz1tee UI4S balloted on the text of this edition. Since that time, changes in the membership may have occuTTed. CONTENTS 56A-5 Contents Chapter I Introduction 56A- 7 1-1 Scope . . 1-2 Intended Use . . 1-3 Responsib

40、ility of the Governing Body . . 1-4 Application of this Standard . 1-5 Discretionary Powers of the Authority Having Jurisdiction. 1-6 Interpretations . . 1-7 Organization . . 1-8 Foreword . 56A- 7 56A- 8 56A- 8 56A- 8 56A- 8 56A- 8 56A- 8 56A- 9 Chapter 2 Glossary 56A-ll 2-1 Glossary . . . . . . . .

41、 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56A-ll Chapter 3 Requirements for All Facilities 56A-16 3-1 Ventilation, Humidification and Cooling . 3-2 Nonflammable Medical Gases . . 3-3 Electric Distribution . . 3-4 Electric Switches, Receptacles and Fixtures . 3-5 Portabie E

42、iectric Equipment . 3-6 Cylinders, Regulators, Anesthetic Apparatus . 3-7 Administration and Maintenance . Chapter 4 Requirements for Flammable Inhalation Anesthetiz ing Locations and Flammable Inhalation Anesthetic Agent 56A-16 56A-17 56A-19 56A-25 56A-26 56A-28 56A-30 Storage Locations . . . . . .

43、 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56A-38 4-1 Ventilation, Humidification and Cooling . 4-2 Areas Adjoining Flammable Inhalation Anesthetizing Lo-cations and Flammable Anesthetizing Storage Locations 4-3 Electric Distribution . . 4-4 Wiring, Receptacles, and Fixtures .

44、. 4-5 Portable Electric Equipment . 4-6 Reduction in Electrostatic Hazard . . 4-7 Administration and Maintenance . 56A-38 56A-39 56A-40 56A-40 56A-43 56A-46 56A-54 Chapter 5 Nonflammable Anesthetizing Locations . . . . . . . . . . 56A-60 56A-6 INHALATION ANESTHETICS Chapter 6 Mixed Facilities. 56A-6

45、1 6-1 6-2 6-3 6-4 6-5 6-6 General . . Construction of Anesthetizing Locations and Storage Lo-cations . Conductive Flooring . . Provisions for Connection of Patient to Operating Table Precautionary Signs . . Movable Equipment and Furniture . . Appendix A Explanatory Statements . . Appendix B Text of

46、Suggested Signs or the public utility elec trical service intended to provide power during interruption of ser vice normally provided by the generating facilities on the premises. (See NFPA 76A.) Anesthetizing Location. Any area of the hospital which has been designated to be used for the administra

47、tion of any flammable or nonflammable inhalation anesthetic agents in the course of ex amination or treatment. Antistatic. Adjective describing that class of materials which in cludes conductive materials and, also, those materials which, throughout their stated life, meet the requirements of 4-6.6.

48、3 and 4-6.6.4 of this standard. Authority Having Jurisdiction. The “authority having juris diction“ is the organization, office, or individual responsible for “ap proving“ equipment, an installation, or a procedure. (See Section 2-2 of the NFPA “Regulations Governing Committee Projects.) Automatic.

49、Self-acting, operating by its own mechanism when actuated by some impersonal influence, as, for example, a change in current, voltage, pressure, temperature, or mechanical configura tion. (See NFPA 76A.) Combustible. A substance that will react with oxygen, if ignited, and burn. Combustion. A chemical process (such as oxidation) accom-panied by the rapid evolution of heat and light. NOTE: Combustion is not limited to a chemical reaction always involving oxy gen. Certain