WSSHE News and Issues
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August 27, 2010
Training on Fire Systems for Small Hospitals
Fire system training particularly important for smaller facilities that do not
have 24/7 engineers
by Chris Pashen, Facility Manager, Providence St. Joseph Care Center
I recently had a problem with our fire system going into alarm and no one could
operate the system, not even the firemen. I was called in to get the system up
and running again.
This is what I have done to make sure this does not happen again. I have written
a one-page operation manual that is now in our disaster manual. All existing
supervisors, managers and lead staff have been trained on this information. All
future supervisors, managers, and lead staff will be trained on this as part of
their orientation. I have also brought in the local fire department and trained
them on our system as well.
These are some of the things I have put in this training –
- Where the fire panels are located and how to read them. (for my facility
I have had all fire devices named for ease of finding them, i.e. smoke
detector by room 116.) This has helped tremendously for those not trained in
the maintenance field
- What smoke detectors, pull stations and heat detectors look like when
they have been triggered
- Where pull stations and fire extinguishers are located
- Where the fire sprinkler shut off valves are located
- How to post a Fire Watch in the event the fire department is unable to
reset the system
- How to use the Fire System public address system
I strongly recommend smaller health care facilities train all leadership
staff in depth on their fire systems. We all have disaster manuals that staff
are supposed to be familiar with. We also know that we put enormous amounts of
work load on our staff, and truthfully when it comes down to it, will they know
what to do in an emergency situation at 2am when all other leadership staff are
at home in bed. Hands on training and showing staff what fire devices look like
when triggered is an invaluable tool.
Chris Pashen
Facility Manager
Providence St. Joseph Care Center
Spokane, WA
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August 17, 2010
OR Extinguishers
From W. Bud McIrvin, CBET, CHFM, Manager, Biomedical & Facilities Engineering
Services, Providence Regional Medical Center Everettl
The recent TJC visit this past April at Providence Regional Medical Center in
Everett concluded with some interesting results in the Environment of Care
portion of the survey. Only one deficiency within our EOC was cited under a
Direct Finding from The Joint Commissions Executive Summary.
The Standard EC.02.03.01 Element#1. The hospital minimizes the potential for
harm from fire, smoke and other products of combustion. During the week the
Nurse surveyor in her tour of Surgery, noted ABC type extinguishers present but
no CO2 type extinguishers present or available. Discussion during the next days
opening briefing focused around Regulatory references and the lack of any
regulatory, NFPA or otherwise requiring CO2 or equivalent extinguishers to be
present in surgery areas. Surveyors were insistent on a best practice finding,
citing EOC News and Anesthesiology Journal publications of Practice Advisory.
Although there was agreement in the understanding of OR Fires and issues with
extinguisher types, there is no standard, regulation, code or requirement that
exists for ABC type extinguisher alternatives in surgical areas, the observation
was considered a final Direct finding. The appropriate appeals were filed with
the TJC, but were denied.
With a required 45 day official response, our action plan obviously included the
addition of an ABC type alternative in the OR environment to comply. Risk
assessments were discussed and the plan was to replace all extinguishers in the
Surgical suite with a CO2 equivalent to prevent OR staff confusion and
abbreviate training with various fire types.
Two weeks prior to our 45 day deadline, a letter from The Joint Commission,
signed by VP Ann Blouin, was received by our Compliance Officer. The letter
described the issue and her justification in reversing the finding. It went on
to infer that surveyors' beliefs or readings on the topic should not guide the
writing of findings, rather from actual standards.
Is there a bottom line? A moral to the story? An EOC Direct finding was reversed
and taken off our summary. More importantly: did the system work here? Are the
patients more safe? The frequency of OR Fires are rare. However, from the few
known, we have learned ofsome issues with usingthe standard ABC type
extinguisher. Groups like AORN and others with the expertise, much like our
ASHE/WSSHE group, have strongly recommended the change, perhaps a standard (yet)to
be. Lower risk to be sure, "minimizing the potential for harm", we now have a
bunch of bright metal Dupont FE-36 extinguishers in the OR. Hey, one less thing
to worry about.
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July 14, 2010
Chad Beebe Takes his Talents to a National Stage
Chad Beebe has announced his intention to resign his position of Manager for DOH
Construction Review Services. Effective August 2, 2010, Chad has accepted the
position of Associate Director of Advocacy for the American Society for Health
Care Engineering of the American Hospital Association.
Chad's new role will include working closely with ASHE's Dale Woodin and Doug
Erickson for the development of national standards in the construction and
maintenance of physical environments for health care facilities. WSSHE is
pleased to learn that Chad will maintain his residence in Washington State and
is committed to continue to work very closely with WSSHE as he advances codes
and standards for our benefit on a national stage. We look forward to seeing
Chad at the Region 10 Conference in Spokane in September to wish him well in his
new position.
Chad has served as the DOH Construction Review Services Manager for the past ten
years. Over this period of time he has implemented a strategic vision for CRS
that has resulted in a more timely, professional review process while adopting
consensus national standards, lowering fees and reducing duplicative review
efforts.
Chad has been recognized as the first Authority Having Jurisdiction (AHJ) to
receive ASHE's Regional Leadership Award and has received the Business
Examiner's "40 - Under" Leadership Award.
Chad writes: "My passion has always stayed the same - to reduce healthcare cost
related to compliance with governmental regulations and ensure that lives saved
by science and skill are not lost by an error in the environment."
WSSHE members will certainly miss Chad's leadership and vision as Manager of DOH
Construction Review Services. We wish him all the best in his new role with ASHE
and look forward to the opportunity to work together to influence codes and
standards on a national level.
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April 22, 2010
ASHE region 10 energy efficiency commitment (E2C)
Improving the Energy Wellness of our Region
ASHE and its
Region 10 affiliated chapters are coming together to kick off a cost-saving
energy efficiency campaign!
This effort is supported by the Northwest Energy Efficiency Alliance’s
BetterBricks initiative, local utilities, and the EPA’s ENERGYSTAR® program.
The goal is for Region 10 healthcare facilities to benchmark their energy
performance using ENERGYSTAR’s Portfolio Manager – or update their existing
scores – and collectively reduce energy consumption by 10%.
We are committed to provide the support you’ll need for success.
Please open the pdf flyer below for full details:
>> ASHE
region 10 energy efficiency commitment (E2C) [pdf]
Website:
http://asheregion10e2c.betterbricks.com
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December 11, 2009
Letter from your Board of Directors: Renew!
[Excerpt] "As we approach 2010, I want to take a moment to invite you to
renew (or begin) your membership with the Washington State Society for
Healthcare Engineering.
Through good economic times and bad, WSSHE continues to offer top quality
education and networking opportunities, at an extremely competitive price. The
very definition of value!"
>> Read
the full Membership Renewal Letter from the WSSHE Board of Directors [pdf]
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November 18, 2009
Rule Development for Chapters 246-314 and 246-320 WAC
All proposal forms for "Rule Development for chapters 246-314 and 246-320
WAC" must be received by end of business December 1, 2009. Only proposals
received by December 1, 2009 will be discussed and considered at this meeting.
In order to maintain a process that is quick, efficient and fair to all
interested parties, your proposed amendments must be submitted by the cut-off
date. There will not be an opportunity to propose additional changes after that
date, you will however have an opportunity to discuss all of the proposed
amendments and discuss them at our meeting on December 14th. You will also have
an opportunity to formally make comments on any of the recommended actions that
are made at the December 14th meeting.
An all day public rules meeting will be held in Tumwater, WA, December 14,
2009. Interested parties are encouraged to attend this meeting and comment
on the proposals posted on the website. Again, only proposals received by
December 1, 2009 will be discussed and considered at this meeting.
Further details about the meeting will be sent out in a membership e-mail
notice. If you have any questions, please contact rules coordinator John Hilger
at 360-236-2929 or
john.hilger@doh.wa.gov
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November 3, 2009
Memo: Waiver to Allow Hospitals to Use the NFPA 6-Year Damper Testing Interval
TO: State Survey Agency Directors, State Fire Authorities
FROM: Director of the Center for Medicaid and State Operations/Survey and
Certification Group
http://www.cms.hhs.gov
[summary]
"Option for Damper Testing Interval: This memorandum permits hospitals to apply
the NFPA 6-year testing interval for fire and smoke dampers in hospital heating
and ventilating systems, so long as the hospital’s testing system conforms to
the testing requirements under the 2007 edition of NFPA 80 and NFPA 105.
Categorical Waiver: Hospitals may operate under the damper testing cycle of the
NFPA 2007 edition without special application to CMS."
>> Read the Memo
in full [pdf]
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November 1, 2009
Important notice to those who supervise or maintain clinical or biomedical
engineering at a facility
KSTW-TV Seattle-Tacoma will increase their digital operating power which may
cause telemetry interference..
[excerpt]
"All full power television stations are required by law to begin providing DTV
services, and have been given second television channels for that purpose. We
are notifying you of our intention to begin DTV maximization (power increase)
operations because patients within your facility may use biomedical telemtry
devices that operate in he television broadcast band, and may be affected when
we begin our maximization DTV service.,,"
>> Read Notice
about increased power of digital television operations
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September 14, 2009
Stephen Grose, CHFM, Elected as ASHE’s Region 10 Representative
ASHE election results are in
and WSSHE Member and Advocacy Chair Stephen Grose is our new Region 10
Representative and will assume office in January 2010.
Letter from Stephen Grose:
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 Dear
friends from ASHE Region 10 and fellow WSSHE members,
Thanks largely to your active support I am able to announce that I have
won the regional elections for ASHE’s Region 10 Representative. Although
it’s a bit early to step into the role, I want you to know that plans
around the work ahead are beginning to develop.
Please let me know if you are interested in joining a committee focused
on developing solutions around issues facing our region, a list of
regional committee needs will be out soon. I look forward to engaging
any and all of you that are interested in getting involved, there is a
lot of wonderful work ahead, your support and involvement is needed and
appreciated.
In closing I want to thank the entire WSSHE board, Art Kjos, Lucy
Stockton, Dick Molar, and Mike Severns for going well beyond what one
person could expect for support. This election is not mine but rather
ours and please know how privileged I am to call you all friend. As a
final note I want to thank my very talented collogue Russell Harbaugh
from St. Luke’s Regional Medical Center in Boise Idaho. Russell was an
excellent candidate who ran a wonderful campaign and I look forward to
ensuring Russell is an important part of the next two years. Once again
thank you for electing me and I look forward to working with you all
very closely.
Fraternally yours,
Stephen Grose, CHFM
ASHE Region 10 Representative |
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September 9, 2009
"Fire Sprinklers Save Lives", an important announcement from the Office of
the Washington State Fire Marshal
From The Office of the State Fire Marshal:
On August 28, 2009, at approximately 3:13 a.m. a fire occurred at Regency at the
Park Nursing Home in College Place, Washington. The fire occurred under a roof
extension from the main building that formed a patio area in the enclosed
courtyard of the facility. The origin of the fire was in a plastic trash can
which was adjacent to a supporting column for the roof.
The fire was initially reported to 911 dispatchers by nursing home staff. Within
seconds the sprinkler head went off and the alarm system was activated. Due to
the quick action of the staff, the fire department was on its way.
A single sprinkler head activated and contained the fire until the arrival of
College Place Fire Department who then completed extinguishment with the use of
a portable fire extinguisher. There was minimal damage thanks to the sprinkler
head containing the fire. The administrator for the facility advised that repair
cost to the post was less than $100.00. The probable cause was discarded smoking
materials. The facility is a non-smoking facility and has a smoking policy that
permits smoking only in designated areas outside the building.
State Fire Marshal Michael Matlick reports “Smoking is the leading cause of fire
deaths in Washington State. Fires can double in size in just minutes. Had this
fire gone undetected or if the area had not been protected by a sprinkler system
it may have spread causing a greater potential for loss of life and much more
damage to the building. Fortunately, the quick action of the staff and the
activation of the fire sprinkler and alarm systems notified emergency responders
without delay.”
For additional fire safety tips visit the Washington State Patrol – Office of
the State Fire Marshal web page at
www.wsp.wa.gov or contact
your local fire department.
>> Read full "Fire Sprinklers
Save Lives" announcement
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September 9, 2009
Proposed Bylaw Change: Retired Membership Category
From: WSSHE Board
To: WSSHE Members
Subject: PROPOSED BYLAW CHANGE: RETIRED MEMBERSHIP CATEGORY
As set forth by Article VII of the WSSHE bylaws (which may be viewed at
WSSHE.org Bylaws), this flash serves as advance
notification of a proposed revision to the bylaws, as follows:
Replace the existing Article II, Section 5 verbiage with the following (new or
modified text highlighted):
Section 5. Retired Members
Retired membership in the Society shall be available to those individuals who
have retired from positions which qualify for either Full or Associate
membership. Retired members may vote and serve on committees, but may not hold
office.
Section 6. Dues
The Board of Directors shall establish annual dues for Full members, Associate
members, and Retired Members
of the Society. Dues shall be payable by January 1 of each year except for
Honorary members who will not be required to pay dues. Dues will be requested
Dec. 1 for the following year.
Rationale: Currently, WSSHE bylaws do not provide a membership category which
allows retired members to continue their participation. However, retired members
are a valued part of our community, and are encouraged to participate. This
bylaw change will provide a clear mechanism for retired individuals to continue
their membership in the Society.
At the WSSHE general membership meeting on October 16th in Yakima, full members
will have the opportunity to vote on this important change.
If you have any questions or suggestions in regards to this matter, please
contact Russell Kent at
russell.kent@med.navy.mil
>> Read the current WSSHE bylaws
>> Read
'Flash' about the proposed bylaw change
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July 29, 2009
Vote for our own WSSHE Nominee Stephen Grose!
ASHE's 2009 Online Election Opens Saturday, August 1
Cast Your Vote for the 2010 President-Elect of the American Society for
Healthcare Engineering and Select Regional Directors.
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Please make sure to cast your vote for WSSHE nominee Stephen Grose for ASHE
Region 10 Representative |
Read their candidate information on www.ashe.org
Voting opens Saturday, August 1, 2009 and closes at 11:59 p.m. (CDT) Thursday,
September 3, 2009
>> Go to ASHE.org
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May 19, 2009
Annual Conference & Tradeshow Information 2009
Dear WSSHE Friends and Valued Vendors,
The Washington State Society of Healthcare Engineers (WSSHE) would like to
invite you to participate in our annual conference and technical exhibition in
October of 2009. Our State President this year is Bradford P. Jones of
Central Washington Comprehensive Mental Health, Yakima, Washington.
The Annual Conference “The Health Care Gauntlet: Reducing Cost While Improving
Care” will be held Wednesday, October 14, through Friday, October 16, 2009, with
the evening of Tuesday, October 13 planned for the President’s Reception (7 p.m.
– 10 p.m.)...
>> Read Complete Announcement
>> More conference details on our 'past events' page
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May 19, 2009
Survey Results of the Semi-Annual Conference
Did you attend the WSSHE 2009 Semi-Annual Conference in Chelan, WA in
April? Curious of the opinions of your fellow attendees? How satisfied
were you with the speakers? What kinds of sessions would you like to see
included at future conferences? Check out the answers!
>> Launch Survey Results Be sure to click on "View" button on the
results page to see further comments.
>> pdf version
[does not have 'view comments'
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May 4, 2009
"Letter to the Boss": A Thank You for the Semi-Annual Conference
Did you find the WSSHE 2009 Semi-Annual Conference in Chelan, WA a big
benefit? Use this template to tell your boss. It is designed to be edited to
suit the individual user.
"Thank you for supporting my attendance at the Washington State Society for
Healthcare Engineering (WSSHE) Semi-Annual Conference in Chelan ..."
>> Launch "Letter to the Boss"
>> See forms, brochures and info from the Conference
in Past Calendar
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April 24, 2009
Seattle TV Channel 21 Features Facilities Electricity Use Tracker 'Seattle
MeterWatch'
Jim Mead, WSSHE member, Sec./Treas. of the Puget Sound Chapter and
Operations Supervisor, Facilities Engineering at Fred Hutchinson Cancer Research
Center shared a
Seattle TV Channel 21 video program on featuring the energy savings work
they're doing at Fred Hutchinson.
Robert Cowan, director of Facilities Engineering, discusses energy expenditures
and the Seattle
MeterWatch program used to track electricity use and cut costs - a 10%
reduction in the Engineering budget.
Seattle
MeterWatch is a free, online service that helps large Seattle City Light
customers track hourly and daily electricity use patterns and estimated costs.
Jim Mead says, "Even though other utilities may not have a similar program,
which, by the way is free of charge, but I am confident that this "Smart meter"
revolution is coming soon to all utilities. This short video illustrates just
how powerful it can be even in facilities that already are ahead of the curve in
conservation programs."
>> Watch the Seattle Channel video
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April 24, 2009
Training for Utility System Reliability
From Doug Sowers, Providence Sacred Heart Medical Center:
In keeping with our theme for the Semi-annual; here are a few thoughts on Staff
Training to support your utility systems. As engineers we tend to focus on
equipment; it’s condition, preventative maintenance issues, and performance
capabilities. We write PM’s, Policies and Procedures and even Action Plans.
However we tend to give less attention to the human element. Unfortunately, all
our preplanning has little value when that emergency occurs, if our staff cannot
carry out these plans.
The answer of course, is Training. Now I’m sure you all have some training in
place, but here is a couple of ideas you may not be using.
• Consider training your staff in the use and interpretation of your
One-line Electrical drawings.
• Write a quiz on the drawings, given annually, causing them to practice
their training.
• When training, require each staff member to perform the task. Simulate
a real event. You are only as prepared as the ability of your weakest staff
member.
• Train everyone!! When the emergency occurs that “Key person” might not
be there.
• Train on the ancillary equipment. That generator is not going to run if
the fuel system fails.
Of course the list goes on, you get the idea. If you have questions or some
ideas of you own to share feel free to contact me.
Doug Sowers
Providence Sacred Heart Medical Center
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October 30, 2008
Fire Safety Evaluation System
With the adoption of the 2000 edition of the Life Safety Code CMS retained the
authority to apply the Fire Safety Evaluation System (FSES) as an alternative
approach to meeting the requirements of the LSC. The FSES alternative approach
is used by qualified individuals trained and experienced in the proper
application and limitations of the FSES. This approach is not to be used if
patient/resident safety is compromised in any way. The link below is to an excel
spreadsheet on the Construction Review Services website and is a calculator for
determining if your deficiency qualifies as an alternate approach for meeting
the requirements of the Life Safety Code.
Posting approved October 29 by WSSHE President Brad Jones
>> view Fire Safety Evaluation System for Healthcare Occupancies [xls]
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October 10, 2008
Guidelines for Design and
Construction of Health Care Facilities
Comment Period Open for Health Care Design and Construction Guidelines
>>
more [pdf]
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September 25, 2008
2008 Annual Conference Attendee
List
Many colleagues attended the September 16 – 19, 2008 "Meeting the Challenge of
Change" Annual Conference and Technical Tradeshow at the Wenatchee Convention
Center in Wenatchee, WA
>>
view the attendee list [pdf]
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July 8, 2008
News from DOH and WSHA: Department of
Health Allows Hospitals to Build Semi-Private Rooms
The Department of Health recently announced that it will adopt construction
standards that clearly allow hospitals to build semi-private rooms. The new
construction standards go into effect on July 21, 2008. More information is
available at:
http://doh.wa.gov/hsqa/fsl/crs/chapter246-320.htm
or by contacting Chad Beebe at
chad.beebe@doh.wa.gov or (360) 236-2944.
In March, the department proposed different language that would have required
hospitals to build private patient rooms in hospitals unless they receive
approval from the department for semi-private rooms. While WSHA agreed that
private patient rooms are the best practice in patient care, this rule would not
have worked in the real world of financing, building, and operating hospitals.
The department received comments from WSHA and hospitals throughout the state.
The proposed rule would have limited the ability of hospitals to meet their
community needs during emergencies or times of high patient volume, limited the
ability of public and non-profit hospitals to receive financing, and limited the
number of patients beds available to the community because of building space
restrictions.
WSHA appreciates the department's willingness to listen to hospital concerns and
adopt the original agreed-upon language. Thanks also to all hospita ls that
submitted comments to the department and testified at the rules hearing. WSHA
also appreciates the expertise provided by the Washington State Society for
Healthcare Engineering.
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May 13, 2008
Open letter to WSSHE members
Re: Pete Peterson Scholarship Fund (PPSF)
Fellow WSSHE members,
I have been asked to write this document to clarify what the
Pete
Peterson Scholarship Fund [PPSF] is and its relationship to the Washington
State Society for Healthcare Engineering (WSSHE). During the past several years,
there have been many questions raised concerning the reasons for the formation
of the PPSF, how it is run and what influence WSSHE has over it. In 2004,
several members of the Puget Sound Chapter of WSSHE (PS), myself included,
thought it would be a good idea to hold a golf tournament strictly as a social
event. The success of the event prompted the idea of creating a fund that would
allow Full Members to attend the two WSSHE “state” conferences.
>> read
more
Regards, James Mead, Secretary, PPSF
Posting approved May 13 by WSSHE President Tom Pitts
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March 25, 2008
Gov. Chris Gregoire signs SB 6710 20080325-6564
T
Senate Bill (SB) 6710 ensures coordination between fire/life safety surveys by the fire marshal and the Washington State Department of Health’s licensing surveys and creates
a reasonable set of surveying standards.
>> read more
>>
click to enlarge
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March 27, 2008
Attention: Retraction of USP 797 revision information
Dear WSSHE Membership,
On March 11th of this year WSSHE sent to your attention an emergency information
release titled "USP 797: New requirements for Pharmacy Clean Rooms". We
proceeded to state- Please be aware that USP 797 will become effective June 1,
2008 in Washington State. Knowing the sensitivity towards this issue and the
advocacy efforts to advise against adoption of this standard by many of us at
the local and national level for no less than the last 24 months, the WSSHE
advocacy committee was able request a special meeting with Brenda Suiter, Vice
President for the Washington State Hospital Association, Steven Saxe, Director -
Facility and Services Licensing, and Grant Chester, Supervisor with the
Washington State Board of Pharmacy.
In this meeting all four organizations were able to clarify their positions with
regard to USP 797 and following are updates from the meeting with the state,
communications with ASHE, and information from your advocacy committee:
• Washington State will not be enforcing the environmental
controls chapter from USP 797 unless mandated by the federal government. If
mandated we (WSSHE, WSHA, DOH, and State Board of Pharmacy) will work
collaboratively towards a model that meets the needs of Washington State
hospitals and the communities we all serve.
• ASHE has informed us that The Joint Commission, CMS, and the FDA will not be
surveying to the revised USP 797. We will advise you if this status changes.
• If you are planning a major renovation or new construction you should plan for
future integration of the standards. We are not saying that USP 797 is a dead
revision, only that there is enough debate taking place with regard to how it
was developed that WSSHE feels comfortable in advising our membership to ‘hold
off ’ but ‘be prepared’. Our reasons for not supporting this revision are sound
and we will be posting a position paper for your review on the WSSHE website
this week.
• We have been successful asking the State agencies to listen, support, and
address our concerns with regards to enforcement of the environmental controls
chapter but they can only support us to the point of time when the Feds mandate
enforcement. At this time WSSHE will be offering any and all advocacy support
that ASHE may need to keep this issue resolution active at the national level.
If asked, and I assume we will, be prepared to engage your administrator about
this revision. We will need your support and the support of your organization if
we are to ensure a permanent moratorium on this issue.
I want to thank you in advance for your support and encourage you to reach out
to us with any questions you may have. See you in Chelan.
Regards,
Stephen J. Grose, CHFM
Advocacy Committee Chair
Washington State Society for Healthcare Engineering
925 Seneca Street
Seattle Washington 98101
206-288-9225
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Tacoma General and Mary Bridge Hospitals earn ENERGY STAR Award
Tacoma General and the
Mary Bridge Children’s Hospital have earned the
ENERGY STAR designation for their commitment to energy efficiency. The ENERGY STAR is presented for superior energy performance for the most efficient buildings in the nation
“This ENERGY STAR recognizes our approach to energy management design and systems operation”, said Ray Tiedemann Engineering Manager for the Central region of
MultiCare.
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Beebe Receives ASHE Award
Washington State Department of Health Manager Chad E. Beebe, AIA to receive
prestigious award from the American Society of Healthcare Engineers (ASHE). This
prominent award recognizes 10 exceptional individuals, one from each ASHE
Region, for their exemplary leadership skills and their commitment to the field
of healthcare facilities management through their local and/or national
involvement with ASHE. Chad Beebe, a licensed Architect and Certified Fire
Protection Specialist is actively involved nationally with the National Fire
Protection Association as secretary of the Healthcare Section Codes and
Standards Review Committee, NFPA 99 - Technical Correlating Committee and NFPA
101A – Technical Committee on Alternative Approaches to Life Safety. Chad is an
active Steering Committee member with the Health Guidelines Revision Committee
which produces The Guidelines for Design and Construction of Health Care
Facilities.
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