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:
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.
“Starry Night Over the Rhône” 1888 Vincent van Gogh
Today we refresh our understanding of the moment in illumination technologies for outdoor lighting systems— related but different from our exploration of building interior illumination systems in Illumination 200. Later in 2023 we will roll out Illumination 500 which explores litigation related to public illumination technology. As cities-within-cities the shared perimeter of a campus with the host municipality has proven rich in legal controversy and action.
Illumination technology was the original inspiration for the electric utility industry; providing night-time security and transforming every sector of every economy on earth. Lighting load remains the largest component of any building’s electric load — about 35 percent– making it a large target for energy regulations.
Our inquiry begins with selections from the following documents…
2023 National Electrical Code: Article 410 (While the bulk of the NEC concerns indoor wiring fire hazards, there are passages that inform outdoor lighting wiring safety)
…and about 20 other accredited, consortia or ad hoc standards developers and publishers aligned principally with vertical incumbents. Illumination was the original inspiration (i.e. the first “killer app”) for the electrical power industry in every nation. Its best practice literature reflects a fast-moving, shape-changing domain.
Click in today with the login credentials at the upper right of our home page.
Upper Wharfedale Primary Federation School District Yorkshire Dales
Outdoor lighting systems can be owned and maintained by different entities depending on the context and location. Here are some examples of ownership regimes for outdoor lighting systems:
Public ownership: In this case, outdoor lighting systems are owned and maintained by the local government or municipal authority. The lighting may be installed in public spaces such as parks, streets, and other outdoor areas for the safety and convenience of the public.
Private ownership: Outdoor lighting systems may be owned by private individuals or organizations. For example, a business owner may install outdoor lighting for security or aesthetic reasons, or a homeowner may install outdoor lighting in their garden or yard.
Co-owned: Outdoor lighting systems may be owned jointly by multiple entities. For example, a residential community may jointly own and maintain outdoor lighting in their shared spaces such as parking areas, community parks, or recreational facilities.
Utility ownership: Outdoor lighting systems may be owned and maintained by utility companies such as electric or energy companies. These companies may install and maintain street lights or other lighting systems for the public good.
Third-party ownership: In some cases, a third-party entity may own and maintain outdoor lighting systems on behalf of a public or private entity. For example, a lighting contractor may install and maintain lighting in a public park on behalf of a local government.
The ownership regime of an outdoor lighting system can have implications for issues such as installation, maintenance, and cost-sharing. It is important to consider ownership when designing and implementing outdoor lighting systems to ensure their long-term effectiveness and sustainability.
Best wiring safety practice for the illumination of educational settlement occupancies is scattered throughout the National Electrical Code with primary consideration for wiring fire safety:
Article 410 – Covers the installation of luminaires (fixtures), lampholders, and lamps, including requirements for wiring, grounding, and support.
Article 210 – Covers branch circuit requirements, including those for lighting circuits in dwellings and commercial buildings.
Article 220 – Provides guidelines for calculating lighting loads.
The renovated Schwarzman Center at Yale now features dynamic new communal areas, a refreshed historic dining hall and eye-catching exterior lighting, enhancing the campus experience.
The American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE) is an ANSI-accredited continuous-maintenance standards developer (a major contributor to what we call a regulatory product development “stream”). Continuous maintenance means that changes to titles in its catalog can change in as little as 30-45 days. This is meaningful to jurisdictions that require conformance to the “latest” version of ASHRAE 90.1
Among the leading titles in its catalog is ASHRAE 90.1 Energy Standard for Sites and Buildings Except Low-Rise Residential Buildings. Standard 90.1 has been a benchmark for commercial building energy codes in the United States and a key basis for codes and standards around the world for more than 35 years. Free access to ASHRAE 90.1 version is available at the link below:
Chapter 9: Lighting, begins on Page 148, and therein lie the tables that are the most widely used metrics (lighting power densities) by electrical and illumination engineers for specifying luminaires and getting them wired and controlled “per code”. Many jurisdictions provide access to this Chapter without charge. Respecting ASHRAE’s copyright, we will not do so here but will use them during today’s Illumination Colloquium, 16:00 UTC.
Keep in mind that recently ASHRAE expanded the scope of 90.1 to include energy usage in the spaces between buildings:
Education industry facility managers, energy conservation workgroups, sustainability officers, electric shop foreman, electricians and front-line maintenance professionals who change lighting fixtures, maintain environmental air systems are encouraged to participate directly in the ASHRAE consensus standard development process.
Univerzita Karlova
We also maintain ASHRAE best practice titles as standing items on our Mechanical, Water, Energy and Illumination colloquia. See our CALENDAR for the next online meeting; open to everyone.
Issue: [Various]
Category: Mechanical, Electrical, Energy Conservation, Facility Asset Management, US Department of Energy, #SmartCampus
Colleagues: Mike Anthony, Larry Spielvogel, Richard Robben
N.B. We are knocking on ASHRAE’s door to accept proposals for reducing building interior power chain energy and material waste that we cannot persuade National Electrical Code committee to include in the 2026 revision of the National Electrical Code.
Standards Michigan, spun-off in 2016 from the original University of Michigan Business & Finance Operation, has peppered NFPA 70 technical committees writing the 2016-2026 National Electric Code with proposals to reduce the size of building premise feeder infrastructure; accommodating the improvements made in illumination and rotating machinery energy conservation since the 1980’s (variable frequency drives, LED lighting, controls, etc.)
These proposals are routinely voted down in 12-20 member committees representing manufacturers (primarily) though local inspection authorities are complicit in overbuilding electric services because they “bill by the service panel ampere rating”. In other words, when a municipality can charge a higher inspection fee for a 1200 ampere panel, what incentive is there to support changes to the NEC that takes that inspection fee down to 400 amperes?
The energy conservation that would result from the acceptance of our proposals into the NEC are related to the following: reduced step down transformer sizes, reduced wire and conduit sizes, reduced panelboard sizes, reduced electric room cooling systems — including the HVAC cooling systems and the ceiling plenum sheet metal carrying the waste heat away. Up to 20 percent energy savings is in play here and all the experts around the table know it. So much for the economic footprint of the largest non-residential building construction market in the United States — about $120 billion annually.
The market incumbents are complicit in ignoring energy conservation opportunity. To paraphrase one of Mike Anthony’s colleagues representing electrical equipment manufacturers:
“You’re right Mike, but I am getting paid to vote against you.”
For decades, application of National Electrical Code (NEC) rules for sizing services, feeders and branch circuits has resulted in unused capacity in almost all occupancy classes. US Department of Energy data compiled in 1999 indicates average load on building transformers between 10 and 25 percent. More recent data gathered by the educational facilities industry has verified this claim. Recognizing that aggressive energy codes are driving energy consumption lower, and that larger than necessary transformers create larger than necessary flash hazard, the 2014 NEC will provide an exception in Section 220.12 that will permit designers to reduce transformer kVA ratings and all related components of the power delivery system. This is a conservative, incremental step in the direction of reduced load density that is limited to lighting systems. More study of feeder and branch circuit loading is necessary to inform discussion about circuit design methods in future revisions of the NEC.
“…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.
The Federal Energy Regulatory Commission is an independent agency within the U.S. federal government that regulates interstate transmission of electricity, natural gas, and oil. It oversees wholesale energy markets, pipeline infrastructure, and hydroelectric projects, ensuring fair rates and reliability. While independent, FERC operates under the Department of Energy’s umbrella but does not take direct orders from the executive branch.
FERC enforces energy laws, approves infrastructure projects, and regulates market competition. FERC plays a crucial role in balancing economic, environmental, and energy security concerns, aiming to maintain a stable and efficient energy system across the United States. Since the U.S. shares interconnected electricity grids with Canada and Mexico, FERC’s decisions on transmission rules and pricing affect energy flows and grid reliability in both countries.
Our interest lies in closing a technical gap that exists upstream from the building service point and downstream from the utility supply point. Some, not all of it, can be accomplished with titles in the IEEE catalog.
Given the dominance of vertical incumbents in the electric power domain, we have submitted a tranche of reliability concepts into the ASHRAE, NFPA and ICC catalogs — not so much with the expectation that they will be gratefully received — but that our proposals will unleash competitive energies among developers of voluntary consensus standards.
In power system engineering, availability and reliability are two important concepts, but they refer to different aspects of the system’s performance.
Reliability:
Reliability refers to the ability of a power system to perform its intended function without failure for a specified period under given operating conditions. It is essentially a measure of how dependable the system is.
Reliability metrics often include indices such as the frequency and duration of outages, failure rates, mean time between failures (MTBF), and similar measures.
Reliability analysis focuses on identifying potential failure modes, predicting failure probabilities, and implementing measures to mitigate risks and improve system resilience.Availability:
Availability, on the other hand, refers to the proportion of time that a power system is operational and able to deliver power when needed, considering both scheduled and unscheduled downtime.
Availability is influenced by factors such as maintenance schedules, repair times, and system design redundancies.
Availability is typically expressed as a percentage and can be calculated using the ratio of the uptime to the total time (uptime plus downtime).
Availability analysis aims to maximize the operational readiness of the system by minimizing downtime and optimizing maintenance strategies.
Reliability focuses on the likelihood of failure and the ability of the system to sustain operations over time, while availability concerns the actual uptime and downtime of the system, reflecting its readiness to deliver power when required. Both concepts are crucial for assessing and improving the performance of power systems, but they address different aspects of system behavior.
Comment:These 1-hour sessions tend to be administrative in substance, meeting the minimum requirements of the Sunshine Act. This meeting was no exception. Access to the substance of the docket is linked here.
On Monday June 13th, Federal Energy Regulatory Commission commissioners informed the House Committee on Energy and Commerce that the “environmental justice” agenda prohibits reliable dispatchable electric power needed for national power security. One megawatt of natural gas generation does not equal one megawatt of renewable generation. The minority party on the committee — the oldest standing legislative committee in the House of Representatives (established 1795) — appears indifferent to the reliability consequences of its policy.
“Our nation’s continued energy transition requires the efficient development of new transmission infrastructure. Federal and state regulators must address numerous transmission-related issues, including how to plan and pay for new transmission infrastructure and how to navigate shared federal-state regulatory authority and processes. As a result, the time is ripe for greater federal-state coordination and cooperation.”
At the July 20th meeting of the Federal Energy Regulatory Commission Tristan Kessler explained the technical basis for a Draft Final Rule for Improvements to Generator Interconnection Procedures and Agreements, On August 16th the Commission posted a video reflecting changes in national energy policy since August 14, 2003; the largest blackout in American history.
Mike Anthony is ID Number 469 | Proposal period closes 11:59 PM US Pacific Time | May 15
Meeting Notes in red
Loss of electric power and internet service happens more frequently and poses at least an equal — if not greater threat — to public safety. So why does neither the National Electrical Code or the National Electrical Safety Code integrate reliability into their core requirements? Reliability requirements appear in a network of related documents, either referenced, or incorporated by reference; sometimes automatically, sometimes not.
NESC Main Committee Membership: Page xii
Apart from the IEEE as the accredited standards developer, there are no “pure non-government user-interests” on this committee; although ANSI’s Essential Requirements for balance of interests provides highly nuanced interpretation. The Classifications on Page xiii represents due diligence on meeting balance of interest requirements.
In our case, we are one of many large universities that usually own district energy plants that both generate and purchase generate electric power (as sometimes provide var support to utilities when necessary; as during the August 2003 North American outage). For University of Michigan, for example, has about 20 service points at 4.8 – 120 kV. Its Central Power Plant is the largest cogeneration plant on the DTE system.
Contents: Page xxviii | PDF Page 29
Absence of internet service is at least as much a hazard, and more frequent, than downed wires. Is there a standards solution? Consideration of interoperability of internet service power supported on utility poles should track in the next revision.
No mention of any reliability related IEEE reliability standards in the present edition. Why is this?
Section 2: Definitions of Special Terms| PDF Page 46
In the 2023 Handbook, the term “reliability” shows up 34 times.
availability (from Bob Arno’s IEEE 3006-series and IEEE 493 Gold Book revision)
reliability (Bob Arno)
utility (PDF Page 57)
communication | PDF Page 47
list of terms defined in the 2023 National Electrical Code that are new and relevant to this revision: (Article 100 NEC)
municipal broadband network, digital subscriber line, surveillance cameras
wireless communication system
010. Purpose | PDF Page 40
Looks like improvement since last edition. Suggest explicit Informational Note, as in the NEC, using “reliability” and referring to other agencies. “Abnormal events” could be tighter and refer to other standards for abnormal, steady-state events. The clarification of purpose is welcomed although a great deal remains uncovered by other best practice literature; though that can be repaired in this edition.
Legacy of shared circuit path standards. Should provisions be made for municipal surveillance, traffic and vehicle control infrastructure. What would that look like?
011. Scope | Covered PDF Page 40
3. Utility facilities and functions of utilities that either (a) generate energy by conversion from some other form of energy such as, but not limited to, fossil fuel, chemical, electrochemical, nuclear, solar, mechanical, wind or hydraulic or communication signals, or accept energy or communication signals from another entity, or (b) provide that energy or communication signals through a delivery point to another entity.
5. Utility facilities and functions on the line side of the service point supplied by underground or overhead conductors maintained and/or installed under exclusive control of utilities located on public or private property in accordance with legally established easements or rights-of-way, contracts, other agreements (written or by conditions of service), or as authorized by a regulating or controlling body. NOTE: Agreements to locate utility facilities on property may be required where easements are either (a) not obtainable (such as locating utility facilities on existing rights-of-way of railroads or other entities, military bases, federal lands, Native American reservations, lands controlled by a port authority, or other governmental agency), or (b) not necessary (such as locating facilities necessary for requested service to a site).
012. General Rules | Covered PDF Page 42
For all particulars not specified, but within the scope of these rules, as stated in Rule 011A, design, construction, operation, and maintenance should be done in accordance with accepted good practice for the given local conditions known at the time by those responsible for the communication or supply lines and equipment
General purpose clause could use some work since no definition of “accepted good practice”. Refer to IEEE bibliography.
Section 2: Definition of special terms | PDF Page 46
Recommendations elsewhere should track here.
The word “installation” appears 256 times and is generally understood in context by experts. Suggest borrow from NEC to clarify our concern for including co-linear/communication circuits.
conduit. exclusive control, lines, photovoltaic, NEC interactive. qualified
Section 3: Reference
NFPA 70®, National Electrical Code® (NEC®). [Rules 011B4 NOTE, 099C NOTE 1, and 127
IEEE Std 4™-1995, IEEE Standard Techniques for High-Voltage Testing. [Table 410-2 and Table 410-3]
IEEE Std 516™-2009, IEEE Guide for Maintenance Methods on Energized Power-Lines. [Rules 441A4
NOTE 2, 446B1, and 446D3 NOTE, and Table 441-5, Footnote 4]
IEEE Std 1427™-2006, IEEE Guide for Recommended Electrical Clearances and Insulation Levels in
Air-Insulated Electrical Power Substations. [Rule 124A1 NOTE, Table 124-1, 176 NOTE, and 177 NOTE]
IEEE Std 1584™-2002, IEEE Guide for Performing Arc Flash Hazard Calculations. [Table 410-1,
Footnotes 1, 3, 6, and 14]
IEEE Std C62.82.1™-2010, IEEE Standard for Insulation Coordination—Definitions, Principles, and Rules.
[Table 124-1 Footnote 5]
Add references to Gold Book, 1386, etc. IEC since multinationals conform.
Safety Rules for the Installation and Maintenance of Overhead Electric Supply and Communication Line | PDF Page 111
Has anyone confirmed that these tables match NEC Table 495.24 lately? If it helps: there were no meaningful changes in the 2023 NEC in Article 495, the high voltage article
Section 11. Protective arrangements in electric supply stations | PDF Page 77
A safety sign shall be displayed on or beside the door or gate at each entrance. For fenced or walled electric supply stations without roofs, a safety sign shall be displayed on each exterior side of the fenced or wall enclosure. Where the station is entirely enclosed by walls and roof, a safety sign is required only at ground level entrances. Where entrance is gained through sequential doors, the safety sign should be located at the inner door position. (A clarification but no change. See Standards Michigan 2017 proposals)
Recommend that all oil-filled cans be removed and services upgraded through energy regulations with new kVA ratings
Section 12: Installation and maintenance of equipment
093. Grounding conductor and means of connection
Fences The grounding conductor for fences required to be effectively grounded by other parts of this Code shall meet the requirements of Rule 093C5 or shall be steel wire not smaller than Stl WG No. 5.
D. Guarding and protection | PDF Page 67
124. Guarding live parts| PDF Page 85
Propose roofs required for exterior installations
Part 2. Safety Rules for the Installation and Maintenance of Overhead Electric Supply and Communication Line | Page 72
Section 22. Relations between various classes of lines and equipment | Page 80
222. Joint use of structures | Page 82
Where the practice of joint use is mutually agreed upon by the affected utilities, facilities shall be subject to the appropriate grade of construction specified in Section 24. Joint use of structures should be
considered for circuits along highways, roads, streets, and alleys. The choice between joint use of structures and separate lines shall be determined through cooperative consideration with other joint
users of all the factors involved, including the character of circuits, worker safety, the total number and weight of conductors, tree conditions, number and location of branches and service drops, structure
conflicts, availability of right-of-way, etc.
Reliability considerations for sustaining internet service when power supply is absent.
Par2 Section 20 Safety Rules for the Installation and Maintenance of Overhead Electric Supply and Communication Line | PDF Page 111
Has anyone confirmed that these tables match NEC Table 495.24 lately?
Part 3. Safety Rules for the Installation and Maintenance of Underground Electric Supply and Communication Lines | Page 220
Renewable energy for internet access
311. Installation and maintenance
A. Persons responsible for underground facilities shall be able to indicate the location of their facilities.
B. Reasonable advance notice should be given to owners or operators of other proximate facilities that
may be adversely affected by new construction or changes in existing facilities.
C. For emergency installations, supply and communication cables may be laid directly on grade if the
cables do not unreasonably obstruct pedestrian or vehicular traffic and either:
1. The cables are covered, enclosed, or otherwise protected, or
2. The locations of the cables are conspicuous.
Supply cables operating above 600 V shall meet either Rule 230C or 350B.
NOTE: See Rules 014B2 and 230A2d.
Part 4. Work Rules for the Operation of Electric Supply and Communications Lines and Equipment | PDF Page 289
When and why was the term “Work” added to the title of this section?
Core text for the definition of wireless communication system reliability
Appendix E Bibliography| PDF Page 355
Index | PDF Page 398
The word “reliability” appears only three times. Should it track in the NESC or should it track in individual state requirements. So neither the NEC nor the NESC couples closely with power and communication reliability; despite the enormity and speed of research.
Sporty weather season in the United States inspires a revisit of best practice for designing, building and maintaining the systems that provide limited electricity when the primary source fails. We have been active in the development of this and related titles for decades and have presented several proposals to the technical committee. Public input for the 2028 Revision will be received until June 4, 2025.
Electrical building, World’s Columbian Exposition, Chicago (1892)
The scope of NFPA 110 and NFPA 111 are close coupled and summarized below:
NFPA 110 Standard for Emergency and Standby Power Systems. This standard contains requirements covering the performance of emergency and standby power systems providing an alternate source of electrical power to loads in buildings and facilities in the event that the primary power source fails.
NFPA 111 Stored Electrical Energy for Emergency and Standby Power Systems. This standard shall cover performance requirements for stored electrical energy systems providing an alternate source of electrical power in buildings and facilities in the event that the normal electrical power source fails.
Public comment on the First Draft of the 2025 Edition will be received until May 31, 2023.
We have advocated in this standard since 1996 and still use the original University of Michigan Workspace; though those workspaces must be upgraded to the new Google Sites during 2021. We provide a link to the Standards Michigan Workspace and invite you to join any of our electrical colloquia which are hosted jointly with the IEEE Education & Healthcare Facilities Committee four times per month in European and American time zones. See our CALENDAR for the next online meeting; open to everyone.
Issue: [96-04]
Category: Electrical, Risk
Contact: Mike Anthony, Robert Arno, Neal Dowling, Jim Harvey, Robert Schuerger, Mike Hiler
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
