Doug Hohbein Chief Plans Examiner Nebraska Fire Marshal Agency

2000 – Meet New Construction 2012 – Meet Chapter 43, Building Rehabilitation Change – May reduce construction costs for minor projects

2000 – 3 ½ inches at or below handrail height 2012 – Non-Continuous projections of up to 6” allowed CMS Proposal – Meet ADA allowance of 4 inch projections Change – Slightly larger projections permitted

Maximum 5,000 sf for sleeping suites/10,000 sf for non-sleeping suites 2012 – Maximum 7,500 sf for patient sleeping suites with conditions/10,000 sf for non-sleeping suites and sleeping suites with conditions Change – Larger suites permitted

Maximum 32 gallon containers not located in hazardous areas 2012 – Maximum 96 gallon containers and no limit to number of containers. Containers must be listed Change – Larger containers for recycled materials

Not Permitted by CMS 2012 – Permitted when approved by authority having jurisdiction CMS – Not Permitted Change – No change from 2000

Permitted when clinical needs of patients require specialized security for their safety (CMS) Manual locks, keypads, cardreaders 2012 – Same as 2000, but clarified and expanded Change - None

2000 – Gels permitted 2012 – Aerosols also permitted Automatic dispensers permitted Clarifies placement above, next to and below ignition sources (1”)

2000 (NFPA 1, 25) – Evacuation or fire watch when out of service for more than 4 hours in a 24 hour period 2012 NFPA 1, 25) – Evacuation or fire watch when out of service for more than 10 hours in a 24 hour period CMS – Keep 4 hour rule from 2000 Change - None

2000 (1999, 99) – Requires smoke control ventilation in anesthetizing locations such as operating rooms 2012 (2012, 99) – No smoke control requirements CMS – Retain smoke control requirements of NFPA 99, 1999 Change – None

2000 – (SFM Interpretation) 1 noncombustible cart per wing or building section, cannot reduce corridor width by more than 3’ Carts can be in alcoves (<50 sf) 2012 – Allows wheeled medical equipment (lifts, wheelchairs) and fixed furniture in corridors with conditions CMS – Follow 2012 Change – Allows more items in corridors

2000 – Kitchens not permitted to be open to corridors 2012 – Allows food prep open to corridors in areas serving up to 30 residents with many conditions Food warming can be open to corridor without restriction Residential equipment for food prep (no frying) with minimal hood and UL300A fire suppression and smoke detection Commercial cooking (unlimited food prep) not treated as a hazardous area, but cannot be open to corridor. Full commercial hood and UL300 fire suppression required. Change - Many

2000 – Combustible decorations must be flame retardant, or a limited quantity 2012 – Combustible decorations must be flame retardant, treated with a flame retardant coating, meet NFPA 701 or NFPA 289 Combustible photographs, paintings or similar art (not flame retardant) can cover up to 30% of walls/ceilings in corridors; 50% of walls in patient rooms Change – Expands decoration/art allowances

2000 – Permitted in areas other than patient sleeping; must be one hour separated 2012 – Allows direct vent appliances without fire rated separation with conditions Allows wood burner with one hour fire rated separation Change – Expands allowances/requirements

2000 – Every patient room must have an outside window/door. Sill height not to exceed 36” except for special nursing units (60”) 2012 – No requirements CMS – Keep 2000 requirements except that newborn nurseries and rooms having < 24 hour occupancy do not require a window/door Sill height in special nursing units is 60” No change except for nurseries and limited occupancy rooms

2012 – Requires a risk-based methodology for application of requirements CMS – Will not require use of risk assessment procedures listed in 2012 HVAC must meet 2008 ASHRAE 170 for new and renovated systems

Categorical waiver if 2012 edition of NFPA 70 and 2000 LSC are met Within patient care vicinity (6’) power strips can only be used for patient care-related equipment assemblies

Outside of patient care vicinity, power strips can be used for both patient care-related electrical equipment and non-patient-care-related electrical equipment Power taps providing power to patient care-related electrical equipment must be Special-purpose Relocatable Power Taps (SPRPTs) listed as UL 1363A or UL

Patient-care-related electrical equipment: Electrical equipment that is intended to be used for diagnostic, therapeutic, or monitoring purposes in the patient care vicinity Patient care vicinity: A space within a location intended for the examination and treatment of patients (i.e. patient care room) extending 6 feet beyond the normal location of the bed, chair, table, treadmill or other device that supports the patient during examination and treatment and extends vertically 7 feet, 6 inches above the floor

Questions?