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Pediatric & Daycare

“Kindergarten” 1885 Johann Sperl

Join us today when we examine the state of the literature that governs the safety and performance of occupancies designed and operated for the care of children specifically; family support generally.  There is a fair amount of overlap in the safety and performance principles in the titles which frequently reference each other; all of them responding to unintended incidents, innovation and new discoveries.

In hospitals and clinics, the titles we follow — and engage with proposed revisions — are listed below:

  1. NFPA 99: Health Care Facilities Code: NFPA 99 provides specific requirements for the safe and effective operation of healthcare facilities, including those serving pediatric patients.
  2. American Academy of Pediatrics Guidelines: While not legally binding, guidelines provided by organizations like the AAP offer best practices for pediatric care, including safety considerations.
  3. The Joint Commission Standards for the Accreditation of Children’s Hospitals: The Joint Commission sets standards for healthcare organizations and programs in the United States. Compliance with these standards ensures the safety and quality of care provided to pediatric patients.
  4. ISO Healthcare Organization Management 
  5. International Building Codes
  6. IEEE Education & Healthcare Facilities Committee

Since the ASHRAE catalog is growing to encompass every occupancy on earth; we keep pace with it;  There’s never not something happening there is not relevant to our work:

Energy Standard for *Sites* and Buildings

Day Care

Hoover Institution: The De-Population Bomb

To repeat a statement made throughout the Standards Michigan facility: We place the Underwriters Laboratory and ASTM International best practice catalogs at a lower priority because the business models of those organizations deal primarily with product standards — not interoperability standards.   You will see UL and ASTM labels on many, many products within pediatric and daycare environments but, as a user-interest, we do not have the resources to engage with the UL and ASTM suite product-by-product; essential as they may be.

Ensuring the safety of children in daycare centers involves compliance with various codes and standards in the United States. Here are some key ones:

  1. International Fire Code (IFC): The IFC includes provisions for fire prevention and protection measures in buildings, including daycare centers. It addresses fire detection, alarm systems, fire extinguishing equipment, and evacuation planning.
  2. Americans with Disabilities Act (ADA): The ADA sets requirements for accessibility in public accommodations, including daycare centers. It includes provisions for accessible routes, entrances, restrooms, and other facilities to accommodate children with disabilities.
  3. National Fire Protection Association (NFPA) 101: Life Safety Code: NFPA 101 provides requirements for the design, construction, and operation of buildings to protect occupants from fire and other hazards. It covers aspects such as means of egress, fire protection systems, and emergency planning.
  4. NFPA 1: Fire Code: NFPA 1 addresses fire prevention measures in various occupancies, including daycare centers. It includes requirements for fire alarm systems, fire extinguishers, emergency lighting, and other fire safety features.
  5. ASTM F2373 – Standard Consumer Safety Performance Specification for Public Use Play Equipment for Children 6 Months through 23 Months: This standard specifies safety requirements for play equipment commonly found in daycare centers, ensuring the safety of young children during play activities.
  6. National Association for the Education of Young Children (NAEYC) Standards: While not legally binding, NAEYC sets voluntary accreditation standards for childcare programs, focusing on quality, safety, and child development.

Governmental agencies at all levels incorporate these titles — partially or whole cloth — present additional, typically more rigorous requirements.

Of course, the primary hazard we address is the presence of reliable of safe and economical electricity.  All of the foregoing titles depend upon electricity so we deal with the technical literature on electricity on a near-continuous basis.

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American College of Obstetricians and Gynecologists

Founded in 1951, ACOG is a membership organization for obstetrician–gynecologists. The College produces practice guidelines for health care professionals and educational materials for patients, provides practice management and career support, facilitates programs and initiatives to improve women’s health, and advocates for members and patients.

It provides several educational tracks for member certification and licensing largely derived from federal regulations. It also invites proposals from members about organizational priorities; one such linked below:

Abortion Misinformation Campaign

The link above also proves that no matter how well educated an organization’s members, the leadership of the organization is capable of shenanigans with federal law that leaves the regulation of abortion to states; closer to the cultural norms of local communities.

Related:

“A half truth is a full lie” — so goes the adage.  In service of telling the full story — only half of which is told in the RFP linked above — a map of states is linked below.

Interactive Map: Abortion Laws by State

 

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

Banished Words 2024

“He who does not know foreign languages knows nothing of his own.”

– Johann Wolfgang von Goethe

Lake Superior State University Michigan

 

Standards January

Alice Corp. v. CLS Bank International

 

https://www.facebook.com/share/p/NLYtNwMSRqDwuP9h/

“Shibboleth”

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Early Childhood Development Centers

The University of Notre Dame and St. Mary’s plan construction next year on a new on-site facility to provide child care for faculty, staff and students with children between the ages of 6 weeks and 3 years old.  Growing out of the recommendations of a faculty and staff committee charged with looking at child care assistance opportunities, the new facility will open in summer 2025 and be operated by KinderCare, the nation’s largest child care and early education provider.

The center will be located on the north edge of campus near White Field, adjacent to Beichner Hall and The Landings at Notre Dame apartments.

The Early Childhood Development Centers at Notre Dame and Saint Mary’s College will continue to offer early childhood programs for children age 2 through kindergarten and will work in collaboration with KinderCare.

“We welcome KinderCare to the Notre Dame campus. Infant care is greatly needed in our community, and we are pleased that the University continues to support families’ needs for quality early childhood care and education. We look forward to continuing our mission to provide the community with high-quality accredited preschool and kindergarten programs at our two ECDC campus sites,”

— Kari Alford, Executive Director.

Standards Indiana


The De-Population Bomb

Human Resources 200

United States Occupational Safety & Health Administration

Regulations.GOV Open for Comment

“Choose a job you love,

and you will never have to work a day in your life.”

Kong Fuzi, Confucius

 

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 an educational setting — school districts, colleges and universities

Human Resources 300 covers higher level management of these settings.  (Representative Organization Charts)

Human Resources 500 covers everything else

Human Resources 500

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Engineering a Fair Future: Why we need to train unbiased AI

Recommended Reading:

“The Human Side of Enterprise” 1960 by Douglas McGregor | MIT Management Sloan School

University of Chicago Press: Readings in Managerial Psychology

Columbia University: Cloward–Piven Strategy

Malcolm Gladwell’s book “Outliers: The Story of Success” explores the factors that contribute to high levels of success and achievement. The concept of the “10,000-hour rule” is one of the key ideas presented in the book.

The 10,000-hour rule suggests that it takes approximately 10,000 hours of dedicated practice to achieve mastery in a particular field. Gladwell draws on the research of psychologist K. Anders Ericsson, who studied the practice habits of experts in various domains. The book examines examples of successful individuals, such as Bill Gates, The Beatles, and elite athletes, to illustrate how their commitment to extensive practice played a crucial role in their extraordinary accomplishments.

While Gladwell popularized the 10,000-hour rule, it’s important to note that the concept has faced criticism. Some argue that the amount of practice required for expertise can vary depending on the field, the individual, and other factors. Nevertheless, “Outliers” encourages readers to consider the importance of effort, opportunity, and cultural factors in the development of success. The book goes beyond individual talent and emphasizes the role of external influences and circumstances in shaping exceptional achievement.

 

 

More

Lee Webster

Virginia Commonwealth University: “Self Reliance” Ralph Waldo Emerson

Paris Review: The Myth of Self-Reliance

Using ANSI Human Resource Standards to Create Business Advantage in the Workplace

Colleges and Organizational Structure of Universities

Apprenticeships: International Brotherhood of Electrical Workers

Software Engineering Code of Ethics and Professional Practice

“Google’s Ideological Echo Chamber” James Damore

 

 

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