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Hospital Plug Load

Today we examine relatively recent transactions in electrotechnologies — power, information and communication technology — that are present (and usually required) in patient care settings.   At a patient’s bedside in a hospital or healthcare setting, various electrical loads or devices may be present to provide medical care, monitoring, and comfort. Some of the common electrical loads found at a patient’s bedside include:

Hospital Bed: Electric hospital beds allow for adjustments in height, head position, and leg position to provide patient comfort and facilitate medical procedures.

Patient Monitor: These monitors display vital signs such as heart rate, blood pressure, oxygen saturation, and respiratory rate, helping healthcare professionals keep track of the patient’s condition.

Infusion Pumps: These devices administer medications, fluids, and nutrients intravenously at a controlled rate.

Ventilators: Mechanical ventilators provide respiratory support to patients who have difficulty breathing on their own.

Pulse Oximeter: This non-invasive device measures the oxygen saturation level in the patient’s blood.

Electrocardiogram (ECG/EKG) Machine: It records the electrical activity of the heart and is used to diagnose cardiac conditions.

Enteral Feeding Pump: Used to deliver liquid nutrition to patients who cannot take food by mouth.

Suction Machine: It assists in removing secretions from the patient’s airway.

IV Poles: To hold and support intravenous fluid bags and tubing.

Warming Devices: Devices like warming blankets or warm air blowers are used to maintain the patient’s body temperature during surgery or recovery.

Patient Call Button: A simple push-button that allows patients to call for assistance from the nursing staff.

Overbed Tables: A movable table that allows patients to eat, read, or use personal items comfortably.

Reading Lights: Bedside lights that allow patients to read or perform tasks without disturbing others.

Television and Entertainment Devices: To provide entertainment and alleviate boredom during the patient’s stay.

Charging Outlets: Electrical outlets to charge personal electronic devices like smartphones, tablets, and laptops.

It’s important to note that the specific devices and equipment present at a patient’s bedside may vary depending on the level of care required and the hospital’s equipment standards. Additionally, strict safety measures and electrical grounding are essential to ensure patient safety when using electrical devices in a healthcare setting.  

We have been tracking the back-and-forth on proposals, considerations, adoption and rejections in the 3-year revision cycles of the 2023 National Electrical Code and the2021 Healthcare Facilities Code.  We will use the documents linked below as a starting point for discussion; and possible action:

NFPA 99:

Electrical Systems (HEA-ELS) Public Input

Electrical Systems (HEA-ELS) Public Comment

NFPA 70:

National Electrical Code CMP-15

Fire Protection Research Foundation:

Electric Circuit Data Collection: An Analysis of Health Care Facilities (Mazetti Associates)

iDesign Services

Matt Dozier, Principal CMP-15

IEEE Education & Healthcare Facility Electrotechnology

There are many other organizations involved in this very large domain — about 20 percent of the US Gross Domestic Product.

Ahead of the September 7th deadline for new proposals for Article 517 for the 2026 National Electrical Code we will examine their influence in other sessions; specifically in our Health 100,200,300 and 400 colloquia.  See our CALENDAR for the next online meeting; open to everyone.

2026 National Electrical Code Workspace

Plug Load Management: Department of Energy By the National Renewable Energy Laboratory

Fake Professor

University Facilities & Services

National Electrical Definitions

NFPA Glossary of Terms

International Building Code Chapter 2: Definitions

International Electrotechnical Commission: Electropedia

Because electrotechnology changes continually, definitions (vocabulary) in its best practice literature changes continually; not unlike any language on earth that adapts to the moment and place.

The changes reflect changes in technology or changes in how the technology works in practice; even how the manufacturers create adaptations to field conditions by combining functions.   Any smart electrical component has a digital language embedded in it, for example.

Consider the 2023 National Electrical Code.  Apart from many others the NEC will contain a major change to Article 100 (Definitions); the subject of elevated debate over the past three years.

When we refer “language” we must distinguish between formal language, informal language, colloquial language and dialect which may differ the language spoken, language written at the office and language used on the job site.  “Terms of art”

2026 National Electrical Code | CMP-1 Second Draft Report 

FREE ACCESS: 2020 National Electrical Code (NFPA 70)

2023 NEC Public Input Report CMP-1 (868 pages)

2023 NEC Second Draft Public Comment Report (914 pages)

Are these terms (or, “terms of art”) best understood in context (upstream articles in Chapters 4 through 8) — or should they be adjudicated by the 14 Principals of Code Making Panel 1?   The answer will arrive in the fullness of time.   Many changes to the National Electrical Code require more than one cycle to stabilize.

Code Making Panel 1 has always been the heaviest of all NEC panels.  As explained n our ABOUT, the University of Michigan held a vote in CMP-1 for 20+ years (11 revision cycles) before moving to the healthcare facilities committee for the IEEE Education & Healthcare Facilities Committee.  Standards Michigan continues its involvement on behalf of the US education facility industry — the second largest building construction market.  There is no other pure user-interest voice on any technical committee; although in some cases consulting companies are retained for special purposes.

To serve the purpose of making NFPA 70 more “useable” we respect the Standards Council decision to make this change if it contributes to the viability of the NFPA business model.  We get to say this because no other trade association comes close to having as enduring and as strong a voice:  NFPA stands above all other US-based SDO’s in fairness and consideration of its constituency.  The electrical safety community in the United States is a mighty tough crowd.

If the change does not work, or work well enough, nothing should prohibit reversing the trend toward “re-centralizing” — or “de-centralizing” the definitions.

Public comment on the First Draft of the 2026 Edition will be received until August 28, 2024. 

Technical Committees meet during the last half of October to respond to public comment on the First Draft of the 2026 National Electrical Code. 

Electrical Contractor: Round 1 of the 2023 NEC: A summary of proposed changes (Mark Earley, July 15, 2021)

Electrical Contractor: 2023 Code Article and Definition Revisions: Accepting (NEC) change, part 2 (Mark Earley, March 15, 2022)

LSU

King’s Cake

Standards Louisiana

International Property Maintenance Code

In most jurisdictions the standard of care for operation and maintenance of education facilities is discovered and promulgated by a “fabric” of consensus products developed by a kind of “shadow government” created by a network of non-profit publishers; among them the International Code Council.  The ICC has one of the most dynamic catalogs in the construction industry and today we drill into the the International Property Maintenance Code which completed another revision cycle in 2021.   Operation and maintenance of education facilities is the (much larger) part of #TotalCostofOwnership of the real assets of a school district, college or university.  Public access to most recent revision to the IPMC is linked below:

 2021 International Property Maintenance Code

The transcript of public comment on the 2021 revision provides insight into the back-and-forth among the technical committee experts:

2021 IPMC Group A Public Comment Agenda

Note the concern for swimming pools, radon, light, ventilation and occupancy limits.

The ICC Group A tranche of titles will undergo another cyclic revision starting in 2023.  Since so much of the ICC catalog underlies occupancy safety for education, healthcare and nearly all other aspects of the built environment we track the action on a near-daily basis.  You may join any of our daily colloquia, shown on our CALENDAR, or interact directly with the ICC with the link below:

 cdpACCESS

2024/2025/2026 ICC CODE DEVELOPMENT SCHEDULE

The ICC catalog is regarded as the most authoritative for education facility management.  We maintain the IPMC on the standing agenda of our Hammurabi and Interiors colloquia.  See our CALENDAR for the next colloquium; open to everyone.

 

Meeting Point

Issue: [Various]

Category: Architectural, Facility Asset Management, Space Planning

Colleagues: Mike Anthony, Jack Janveja, Richard Robben, Jerry Schulte

More


 

International Standard Classification of Education

“Etudes Graphiques” | Vincent van Gogh 1853-1890

“I am not an Athenian or a Greek,

but a citizen of the world.”

— (Plato quoting Socrates, Phaedo 64a)

 

ISCED 2011 is an updated version of the previous classification, ISCED 1997, and provides a framework for organizing education programs according to their level of complexity and content. The classification is designed to facilitate the comparison of education systems across countries and regions, and to improve the collection, reporting, and analysis of education statistics.

ISCED 2011 introduces several changes and updates, such as the introduction of a new level of education called “early childhood education,” the expansion of the tertiary education level to include short-cycle tertiary education, and the inclusion of a separate category for vocational education at the secondary level. The classification also includes detailed descriptions of the content and characteristics of each education level, as well as guidelines for classifying educational programs that do not fit neatly into the existing categories.

ISCED 2011 is widely used by national and international organizations, including UNESCO, to collect and report education data, and it provides a common language for discussing education across borders.



Electrical Inspector Professional Qualifications

Electrical Training

Compact Muon Solenoid / European Organization for Nuclear Research

NFPA 1078 Standard for Electrical Inspector Professional Qualifications identifies the minimum job performance requirements for electrical inspectors.   Qualifications for electrical inspectors are heavily regulated by state public safety agencies.   Many, if not most electrical inspectors are former electricians.   This means that part of their career has been spent working as an  Labor/Installer/Maintenance stakeholder, and another part of their career has been spend as an Enforcement stakeholder.  (See NFPA Classification of Committee Members).   This can be a sensitive condition in large research universities that have a resident full-time enforcement staff ; the subject of a separate post.

Free access to the current 2024 edition is linked below:

NFPA 1078 2024 Free Access

The 2028 revision is now open for public input.  It is always enlightening to follow the transcripts of the previous revision cycles to see what ideas have been in play.

Public Input Report

Electrical Inspection Practices (EEP-AAA)

Professional Qualifications (PQU-AAC)

 

Public input on the 2028 revision will be received until June 4, 2025

We have found that passions are elevated among stakeholders whenever compliance and conformance revenue is involved — i.e. in any consensus product that covers labor (i.e. billable hours).

We include this standard on the standing agenda of our monthly Human Resource, Power and Infotech teleconferences.   See our CALENDAR for the next online meeting; open to everyone.

"One day ladies will take their computers for walks in the park and tell each other, "My little computer said such a funny thing this morning" - Alan Turing

 

 

 

 

 

 

Certifying the Certifiers

Accreditation and certification are relatively modern concepts that have evolved over time as formalized methods of establishing and maintaining standards in various fields. The concept of accreditation or certification, as it is understood today, may not have existed in the same form in the distant past. However, there were likely individuals or groups who played roles similar to that of accreditation or certification specialists in history, although the formalized systems of accreditation or certification that exist today were not present.

For example, in ancient times, there were guilds and associations in various professions that set standards for their members, oversaw training and apprenticeship programs, and ensured the quality of their work. These guilds and associations, which existed in various civilizations such as ancient Egypt, Greece, and Rome, could be seen as early forms of accreditation or certification bodies.

Similarly, in religious contexts, there were individuals who held authority to certify or accredit others. For instance, in medieval Europe, there were religious orders, such as the Knights Templar, who were known for their specialized skills and were often called upon to certify the expertise of others in their areas of knowledge, such as architecture or finance.

In the field of education, ancient universities and centers of learning, such as the ancient Indian Nalanda University or the Islamic madrasas, could also be seen as early forms of accreditation or certification bodies, where scholars were recognized and certified based on their knowledge and expertise.

However, it’s important to note that the formalized systems of accreditation or certification that we are familiar with today, with standardized processes, documentation, and oversight, have developed over time and are relatively modern phenomena. The history of accreditation or certification is complex and multifaceted, with various practices and traditions that have evolved and influenced the modern systems we have today.

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