18+19 New and Existing Health Care Occupancies Flashcards
Health care occupancies addressed in Ch 18 and 19 are:
- Hospitals
- Nursing Homes
- Limited care facilities
18/19.1.1.1.4 - True or False: Ambulatory health care facilities differ from health care occupancies?
True - they are addressed in Ch. 20 and 21.
18/19.1.1.1. 6 & 7 - If a building is used for the treatment or housing of patients, including those with mental disabilities or older persons, the building can be classified as an occupancy other than health care under the following conditions:
- Occupants are not restrained by locked doors or other devices.
- Patients are ambulatory.
- Occupants are capable of perceiving threats and taking appropriate action for self-preservation.
18/19.1.1.1.7 - Measures necessary for the protection of patients or the public during emergencies involving egress of locked doors or barred windows.
Release of occupants should be achieved by a system capable of automatically unlocking doors in the means of egress or by continuously available attendants equipped with keys.
18/19.1.1.4.1 - Additions shall be separated from any existing structure not conforming to the provisions within Ch. 19 with a fire barrier having not less than a:
2-hour fire resistance rating and constructed of materials as required for the addition.
18/19.2.2.5 - Door locking arrangements are permitted where patient needs require specialized measures, provided that:
- Staff may readily unlock doors
- A complete smoke detection system is provided (9.6.2.9), or can by remotely unlocked by constantly attended location.
- Protection by approved sprinkler system; 18.3.5.1
- Locks fail to release upon loss of power
- Locks release by independent activation of smoke detection or sprinkler system
True or False: Horizontal movement of patients, within a health care facility is a inefficient, time consuming process.
False. Vertical movement is inefficient and vertical means of egress (stairs particularly) should be considered as egress routes for visitors and staff who are not directly involved with patient relocation and as a “last line of defense” for movement.
18/19.1.1.4.1 - Major and Minor rehabilitations;
- Major - more than 50% or more than 4500 sq ft
- Minor - less than 50% or not more than 4500 sq ft
18/19.1.1.4.3.3. - When under major rehabilitation, existing non-sprinklered smoke compartments must have:
Include the installation of automatic sprinkler systems under the requirements of 18.3.5.
True or False: Repair or renovation of plumbing in 65% of the smoke compartment is considered a major rehabilitation.
False.
In an existing health care occupancy, which is partially sprinklered:
Egress capacity must be based on non-sprinklered criteria.
18/19.1.3.3* - Sections of health care facilities shall be permitted to be classified as other occupancies, provided that they meet all of the following conditions;
- They are not intended to provide for four or more inpatients for housing, treatment, or customary access by inpatients incapable of self-preservation.
- They are separated from areas of health care occupancies by construction having a minimum 2-hour fire resistance rating.
3.** For other than previously approved arrangements, the entire building is protected by approved, supervised automatic sprinklers.
True or False: All Egress from health care occupancies that traverse non-health care spaces shall conform to the requirements of the code for health care occupancies, unless permitted by 18.1.3.7.
True.
18/19.2.2.2.2 - Locks shall not be permitted on patient sleeping room doors, unless otherwise permitted by one of the following:
(1) Key-locking devices that restrict access from the corridor, operable by staff, provided that egress from the room is not restricted.
(2) Locks complying with 19.2.2.2.5 shall be permitted.
18/19.2.2.2.4 - True or False: Doors within a required means of egress shall not be equipped with a latch or lock that requires the use of a tool or key from the egress side.
True, with exceptions.
