The pandemic provides background for the importance of ventilation systems in healthcare settings and reminder that there is plenty of work to do. The scope of ASHRAE 189.3 – Design, Construction and Operation of Sustainable High Performance Health Care Facilities — lies in this domain:
Purpose. The purpose of this standard is to prescribe the procedures, methods and documentation requirements for the design, construction and operation of high-performance sustainable health care facilities.
Scope.This standard applies to patient care areas and related support areas within health care facilities, including hospitals, nursing facilities, outpatient facilities, and their site. It applies to new buildings, additions to existing buildings, and those alterations to existing buildings that are identified within the standard. It provides procedures for the integration of sustainable principles into the health care facility design, construction and operation process including:
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
October 9 Update
As of the date of this post, two redlines have been released for public consultation
Because this title is administered on ASHRAE’s continuous maintenance platform, public consultations run 30 to 45 days. You may also submit an original idea to the ASHRAE standards development enterprise. CLICK HERE to get started.
We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia. See our CALENDAR for the online meeting; open to everyone.
Some of the common electro-technologies used in a neonatal care unit include:
Incubators: These temperature-controlled units create a controlled environment to keep premature or sick infants warm and protected.
Ventilators: Mechanical ventilators assist newborns with respiratory distress by delivering oxygen and helping them breathe.
Monitors: These devices track vital signs such as heart rate, oxygen levels, blood pressure, and temperature to ensure the baby’s health and detect any abnormalities.
Phototherapy Lights: Special lights are used to treat jaundice in newborns, helping to break down excess bilirubin in the blood.
Intravenous Pumps: These pumps are used to deliver medications, fluids, and nutrients directly into the baby’s bloodstream.
Feeding Tubes: For infants who are unable to feed orally, feeding tubes are used to deliver breast milk or formula directly into their stomach.
Blood Gas Analyzers: These machines measure the levels of oxygen, carbon dioxide, and other gases in a baby’s blood to monitor respiratory status and acid-base balance.
Infusion Pumps: Used to administer controlled amounts of fluids, medications, or nutrients to newborns.
CPAP/BiPAP Machines: Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) machines help newborns with breathing difficulties by providing a continuous flow of air pressure.
Neonatal Resuscitation Equipment: This includes equipment such as resuscitation bags, endotracheal tubes, laryngoscopes, and suction devices used during emergency situations to assist with newborn resuscitation.
It’s important to note that specific tools and equipment may vary depending on the level of neonatal care provided by the unit, the needs of the infants, and the policies of the healthcare facility.
Neonatal care, as a specialized field, has been shaped by the contributions of several pioneers in medicine. Here are a few notable figures who have made significant advancements in neonatal care:
Dr. Virginia Apgar was an American obstetrical anesthesiologist who developed the Apgar score in 1952. The Apgar score is a quick assessment tool used to evaluate the overall health of newborns immediately after birth. It assesses the baby’s heart rate, respiratory effort, muscle tone, reflex irritability, and color, providing valuable information for prompt intervention and monitoring.
Dr. Martin Couney, a pioneering physician, established incubator exhibits at world fairs and amusement parks in the early 20th century. He promoted the use of incubators to care for premature infants and played a significant role in popularizing the concept of neonatal intensive care.
Dr. Virginia A. Apgar, an American pediatrician and neonatologist, made significant contributions to the field of neonatology. She specialized in the care of premature infants and conducted extensive research on neonatal resuscitation and newborn health. She also developed the Apgar scoring system, although unrelated to Dr. Virginia Apgar mentioned earlier.
Dr. Lula O. Lubchenco was an influential researcher and neonatologist who made important contributions to the understanding of newborn growth and development. She developed the Lubchenco Growth Chart, which provides a standardized assessment of a newborn’s size and gestational age, aiding in the identification and monitoring of growth abnormalities.
Dr. Mary Ellen Avery was a renowned American pediatrician and researcher whose work focused on understanding and treating respiratory distress syndrome (RDS) in premature infants. She identified the importance of surfactant deficiency in RDS and contributed to the development of surfactant replacement therapy, revolutionizing the care of preterm infants.
These individuals, among many others, have played pivotal roles in advancing the field of neonatal care, improving the understanding, diagnosis, treatment, and overall outcomes for newborn infants.
Disagree with someone and cannot persuade them? Do you need to hide your intransigence or ulterior motive? Then change the basis of discussion by changing the subject with a different definition.
This happens routinely in political discourse and rather frequently in best practice discovery and promulgation in building construction and settlement infrastructure standards[1]. Assuming all parties are negotiating in good faith resolution may lie in agreement on a common understanding of what a satisfying agreement might look like.
Admittedly, a subtle and challenging topic outside our wheelhouse[2] hence the need to improve our organization of this topic starting with today’s colloquium; with follow on sessions every month.
Starting 2025 we will organize our approach to this topic, thus:
Language 100. Survey of linguistic basics for developing codes, standards and regulations. Many vertical incumbents have developed their own style manuals
Language 200. Electrotechnical vocabulary
Language 300. Architectural and Allied trade vocabulary
Language 400. The language of government regulations; the euphemisms of politicians with influence over the built environment
Language 500. Advanced topics such as large language models or spoken dialects such as “High Michigan” — arguably, the standard American dialect where it applies to the standards listed above.
It may not be obvious how profound the choice of words and phrases have on leading practice discovery and promulgation. For example, “What is Gender” determines the number, placement and functionality of sanitary technologies in housing, hospitals and sporting. The United States has a Supreme Court justice that cannot define “woman”
As always, we will respond to public consultation opportunities wherever we can find them. Some organizations are better than this than others.
Today we limit our discussion to language changes in the catalogs of ANSI-accredited standards developers whose titles have the most influence over the interoperability of safety and sustainability technologies that create and sustain the built environment of educational settlements.
Every building construction discipline has its own parlance and terms of art.
This is enough for a one-hour session and, depending upon interest, we will schedule a breakout session outside of our normal “daily” office hours. Use the login credentials at the upper right of our home page.
ΒΙΒΛΙΟΘΗΚΕΣ
Starting 2024 and running into 2025 we will break down this topic further, starting with construction contract language — Lingua Franca 300:
Asset management applies to any organization. As such, understanding its terminology, principles, and outcomes is key to an organization’s success. ISO 55000:2024 provides an overview of #AssetManagement and its expected benefits. @isostandardshttps://t.co/XZsWvJJ8r4
(1) The United States government defines a “Green Building” as a building that has been designed, constructed, and operated in a way that reduces or eliminates negative impacts on the environment and occupants. The government has established various standards and certifications that buildings can achieve to be considered “green.”
The most widely recognized green building certification in the United States is the Leadership in Energy and Environmental Design (LEED) certification, which is administered by the U.S. Green Building Council (USGBC). To achieve LEED certification, a building must meet certain standards related to sustainable site development, water efficiency, energy efficiency, materials selection, and indoor environmental quality.
In addition to the LEED certification, there are other programs and standards that can be used to measure and certify the sustainability of buildings, such as the Green Globes rating system and the Living Building Challenge.
Overall, the goal of green building is to create buildings that are not only environmentally sustainable but also healthier, more comfortable, and more efficient for occupants, while reducing energy consumption and greenhouse gas emissions. By promoting green building practices, the U.S. government aims to reduce the environmental impact of the built environment and move towards a more sustainable future.
(2) The U.S. Green Building Council is a conformance organization. See the discussion our ABOUT for background on incumbent stakeholders.
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Prepare new proposals for the NFPA 2029 National Electrical Code
Prepare comments on the IEEE 2028 National Electrical Safety Code
Recap of activity in the ISO and IEC catalogs. We are members of Healthcare Management. We coordinate our responses to IEC CDV’s with IEEE Education & Healthcare Facilities Committee.
2025 “Wins” and “Losses”
“Wins”: All of the references to IEEE research and recommended practices that appear in electrical related titles in the NFPA catalog are the result of Standards Michigan advocacy in collaboration with the IEEE
“Losses”: Persist in getting Article 210 (Soon to be in Chapter 1) 180 VA per outlet requirement down to 150 VA instead of 120 VA in the ASHRAE suite from an energy conservation perspective. This will be the most meaningful and transformative code “win” since our 2014 code “win” in 2014 NEC Section 220.12.
Expansion of user-interest advocacy for the 2028 IEEE National Electrical Safety Code.
Follow up driving electrical safety concepts into the ASHRAE and ICC catalog that cannot, or will not, be incorporated into the NFPA catalog
Continue driving IEEE best practice literature into the NFPA, ASHRAE and IEEE catalog
Electric service reliability data gathering for point of common coupling of merchant utilities and schools, colleges, universities with emphasis on large health care systems. (Bob Arno’s IEEE 493 Gold Book update)
Break out coverage of ASHRAE 90.1 in its entirety in a dedicated content management system now that its scope includes outside/between buildings.
Break out coverage of Chapter 27 (Electrical) of the International Building Code as a “pivot” or “anchor” post for other relevant titles in the ICC catalog.
10-year retrospective on the IEEE Education & Healthcare Facilities Committee at the May Technical Conference in Montreal
Administrative:
Expansion of our unaccredited for-profit educational mission to Michigan school districts, colleges, universities, trade schools. In the normal course of business we present educational opportunities to faculty and students administered by ANSI, ASME, AWS, ACI, ICC, IEC, IEEE, IEEE, NIST, SAE and others. List of Faculty & Student Standards Education Resources
New signage at our State Street office
Rollout the platform to at least two more states — we have only one now.
Re-organize web pages to track IEEE, NFPA, ASHRAE, ICC, CSA Group and TIA catalog action more effectively. ASTM and UL catalogs remain “problematic” because their titles are so deeply embedded in products and less so in systems.
Our thanks for the collegiality and wisdom of Larry Spielvogel as he enters retirement
Continued mentorship of electrical engineering students in the IEEE Southeastern Michigan Section. Introduction to mentorship partner Nathan from private industry.
“…LIGHT + DESIGN was developed to introduce architects, lighting designers, design engineers, interior designers, and other lighting professionals to the principles of quality lighting design. These principles; related to visual performance, energy, and economics; and aesthetics; can be applied to a wide range of interior and exterior spaces to aid designers in providing high-quality lighting to their projects.
Stakeholders: Architects, interior designers, lighting practitioners, building owners/operators, engineers, the general public, luminaire manufacturers. This standard focuses on design principles and defines key technical terms and includes technical background to aid understanding for the designer as well as the client about the quality of the lighted environment. Quality lighting enhances our ability to see and interpret the world around us, supporting our sense of well-being, and improving our capability to communicate with each other….”
Illumination technologies run about 30 percent of the energy load in a building and require significant human resources at the workpoint — facility managers, shop foremen, front-line operations and maintenance personnel, design engineers and sustainability specialists. The IES has one of the easier platforms for user-interest participation:
Because the number of electrotechnology standards run in the thousands and are in continual motion* we need an estimate of user-interest in any title before we formally request a redline because the cost of obtaining one in time to make meaningful contributions will run into hundreds of US dollars; apart from the cost of obtaining a current copy.
We maintain the IES catalog on the standing agendas of our Electrical, Illumination and Energy colloquia. Additionally, we collaborate with experts active in the IEEE Education & Healthcare Facilities Committee which meets online 4 times monthly in European and American time zones; all colloquia online and open to everyone. Use the login credentials at the upper right of our home page to join us.
Today we dwell on titles that inform management of the education industry in the United States specifically; but also more generally in global markets where the education industry is classified as a Producer and a User of human resources. It is an enormous domain; likely the largest.
Human Resources 100 covers skilled trade training in all building construction disciplines.
Human Resources 200 covers the range of skills needed to manage the real assets of educational settings — school district properties, college and university campuses
When you’re an elementary school principal, you can play at recess any time you want!
Giovanni Paolo Panini, An architectural capriccio with figures among Roman ruins
The post-pandemic #WiseCampus transformation requires significant capital to meet the sustainability goals of its leadership. Campuses are cities-within-cities and are, to a fair degree, financed in a similar fashion. Tax-free bonds are an effective instrument for school districts, colleges and universities — and the host community in which they are nested — for raising capital for infrastructure projects while also providing investors with, say $10,000 to $100,000, to allocate toward a tax-free dividend income stream that produces a return in the range of 2 to 8 percent annually.
An aging population may be receptive to investment opportunities that protect their retirement savings from taxation.
Once a month, we walk through the prospectuses of one or two bond offerings of school districts, colleges and universities and examine offering specifics regarding infrastructure construction, operations and maintenance. We pay particular attention to details regarding “continuing operations”. Somehow the education industry has to pay for its green agenda. See our CALENDAR for the next Finance colloquium; open to everyone.
The interactive map provided by Electronic Municipal Market Access identifies state-by-state listings of tax-free bonds that contribute to the construction and operation of education facilities; some of which involved university-affiliated medical research and healthcare delivery enterprises.
CLICK ON IMAGE FOR INTERACTIVE MAP
If you need help cutting through this list please feel free to click in any day at 11 AM Eastern time. Use the login credentials at the upper right of our hope page. We collaborate with subject matter experts at Municipal Analytics and UBS.
*We see the pandemic as a driver for a step-reduction in cost in all dimensions of education communities. We coined the term with a hashtag about two years ago.
*College and university infrastructure projects are classified with public school districts under the rubric “municipal bonds” at the moment. CLICK HERE for more information.
New update alert! The 2022 update to the Trademark Assignment Dataset is now available online. Find 1.29 million trademark assignments, involving 2.28 million unique trademark properties issued by the USPTO between March 1952 and January 2023: https://t.co/njrDAbSpwBpic.twitter.com/GkAXrHoQ9T
