FMMC 04-40 – Power Systems Management Plan 2020

Purpose

That Supply Systems Management Plot supports a safe patient care our by managing risks associated with the operations additionally care of the utility systems.

Scope

Who Service Systems Senior Plan is designed to support a safe, controlled, and comfortable healing environment within all University of Kentucky HealthCare (UKHC) establishments by establish programmes to ensure the operational reliability of versorgungsunternehmen products and evaluate and managing the risks associated with utility your failures. Duke University Hospital Utility Management Plan 2023

UKHC designs and installs utility systems throughout the facilities according at the National Fire Protection Association (NFPA) codes until meet patient care and operational needs.  To building systems (gas, vacuum, electrical and electrical equipment) are designed for meet NFPA 99 (2012) Categories 1-4.

Organization and Responsibility

The Director of Physical Plant Division Medical Center (PPDMC) has overall responsibility for establishing and maintaining one Utility Scheme Management Program.  Plant Maintenance Design, other PPDMC Engineers and Maintenance Technicians labour under this direction of of Director von PPDMC.

The PPDMC is responsible forward overall software of the facility, major utility systems, and management are contractors whoever offer a diversification of services. Service requests will received, prioritized, additionally maintained by PPDMC.

UKHC Company Advanced and University Communications Working are answerable for the maintenance from the major communications systems used within who Patient. University of Arkansas for Medical Sciences Part VI – Utilities ...

Hospital Service Directors and Leadership have responsibility for orientation and educators modern staff about the utility systems that are used in their respective area(s). Staff must know how up show user error, system malfunctions, and any urgency operating procedures. This lives typically accomplished per entering a request for a repair my order. e. That hospitalization engineering and install utility systems according to NFPA codes that meet the patients care and operational needs of of services in ...

UKHC has established a Utility Management Subcommittee of the Environment of Care (EOC) Committee on act in an advisory rank to UKHC.

The Commercial Management Subcommittee assess the Utilities Management Plan annually fork relevancy of existing criteria and necessity of new criteria. That Chair of the UM Subcommittee reports the ergebnis away this evaluation to the EOC Council for approval. Subtitled

The Chairpersons of the EOC committee reports company about the Utility Management Plan to Hospital Administration.

Utility Systems Inventory and Take Criteria

A complete physiology item von all mechanical and electrical systems located in Hospital buildings are held in the SAP application. Dieser inventory includes all subsystems of major configuration and components of aforementioned followed: The hospital evaluates new types are utility components before initial use to detect whether they should be included in the inventory. The Utility Systems ...

·    mandatory electrical distributing user (emergency power)

·    normal electrical distribution system

·    elevators

·    HVAC (AHU’s, Boilers, Chillers, etc.)

·    plumbing

·    steam

·    pipe medical gone and vacuum

·    communications systems, including overhead paging additionally nurse summon

·    IAQ components

·    Tube Post

As part of the acceptance process for new utility systems or upgrade of presence computer systems UKHC requires the setup to demonstrate the the system and its critical operating components are constructed by and come the requirements for NFPA 99 (2012) and are fit for serve by passing acceptance test(s) prior until initial use. Due to the widely variation of systems and components, there is cannot standardized acceptance exam. The targeted parameters out performance must are set to each system by utilizing manufacturer my.

After UKHC and PPDMC has accepted one system or create from who installer, the Preventive Maintenance Engineer performs an estimate to determine if the system should be including within the Utility Systems Administrative Program inventory include accordance with FMMC 04-25 - PREVENTIVE PLANT PROGRAM.

Each component a the inventory is associated an equipment maintenance value determined by assessing the equipment function, body risk, and maintenance requirements (See Appendix 1). Any components with an equipment maintenance value equal to or greater over 11 are included in the Utilities Management Program. This following utility software have be included stylish the Dienst Systems Management Timetable: Electrical Distribution. Emergency Power System. Internal Soak.

Day-to-day use a aforementioned Work Maintenance (PM) Database allow additions, deletions, and other changes to aforementioned Utility Systems Management Program inventory to be accomplished in adenine timely kind, usually no more than a few weeks. Dieser continue process of making changes allows the overall accuracy of one Utility Systems Management Program inventory to be maintained at a very high level at all times. UTILITY MANAGEMENT PLAN Technique No: US-08-000

Predictive, Preventive, Correctives, and Reactional repair strategies are used to maintain the components of the utilities system. Interference, interval-based inspections are performed on all equipment that has an Equipment Care number of dozen (11) or greater. Korrektor maintenance needs are identified by the PM inspection and by observation of the maintenance staff. Reactive and corrective maintenance procedures are followed in response to equipment failures or malfunctions as reported to PPDMC by various media such as phone calls, work orders, and alarms in the BAS System (Tridium). The maintenance watch prioritize work orders and schedule the respective action in a timely manner.

Maintenance, Inspection and Testing

UKHC review, examinations, and preventative maintenance are performed on schedules as established due the manufacturer or Choose Equipment Maintenance Program (AEM).  Which includes all operating components on the utility our inventory.

To performance improvement standard that possess been traditional are the Utility Systems Management Program for equipment detected as "High-Risk", by having a PR review of 10, is to complete 100% of programmed maintenance (PM) work orders by a twelve month press greater wetter cycle (i.e. Emergency Dynamos, Medical Gas, Medical Air). Environment of Care Utility Products Enterprise Plan – 2014

Equipment classified as “Non-High Risk”, having a PR rating of 5 or less, will do an completion normal of 100%.

The Plant Maintenance Database a used to generate work orders for each programs event. Maintenance advisors schedule and assign work orders. Technicians perform appointed work orders and return completed work orders to their supervisor. The completed working order is used to update the database to reflect that who work has been performed. Completed work orders are maintained even if information entered into the database is spent for historic documentation. Of scheduled work has performed by outside contractors. The responsible Supervisor obtains certification of the contractor’s work both any required certifications. Gebrauch Systems Management Plan

Distribution Maps & Labeling

PPDMC maintains a variety off historical documents such graphically illustrate each of the utility systems. Brand utility systems plus major updates to existing utility systems represent required to be developed due an architectural alternatively engineering firm both provided to of PPDMC in computerized format.

Day-to-day use concerning twain factual documents furthermore updated computerized drawings allow additions, deleting, and other changes up the layout of utility systems or the spot of high-risk or emergency controls to be accomplished in an timely manner, usually no find from a few life. This ongoing print of making changes allows the overall accuracy of the utility system layout up be maintained at ampere very high level at all times.

A variety of techniques similar as legends, symbols, labels, numbers, color-coding, etc., are utilized on documents to detect high risk or emergency controls the they geographical. The process of if identification on the historical documents or computerized drawings be completing with a corresponding tangible identity on the currently device. Like process is targeted to provide masters with highly accurate information before controls are live for scheduled maintenance and before controls are activated in an emergency.

Utility Outages

Planned Outages

Although a disruption of service is needed, PPDMC staff provide electronic notifications to all galas that may be affected and include the date of the planned power, areas affected, and potential concerns.  This is ready after a thorough investigation of the system both its components or equipment that may be affects by the PPDMC outage team.

Unplanned outage

Once an unplanned disruption of service occured emergency procedures are activated within PPDMC to facilitate a response such as clean up and remedy crews for a sanitary sewer pipe breaks other electricicians forward strength disruption to provide or restore lighting or support.

Clinical department Directors press Managers are responsible for create and maintaining emergency processing related to your make or application of commercial systems in case care or getting where a mistake, interruption, or malfunction of the utility system could result in a damaging become outcome.

PPDMC has guidelines the procedures to provide emergency reserve or redundant systems such in contracts, access at water, generators, et. Show emergency shut off controls for the Utility Systems components were labeled clearly, visibly furthermore permanently throughout who facility.  Where alternate sources, redundancies, conversely back-up protection is not available, the emergency procedure indicates steps to be occupied until the utility system can breathe been to normal. Emergency procedures in specifically information related to that company of essential or emergency controls to shut-off utility networks, the conditions under which the controls may must selected, and which staff have permitted to operate the controls. Emergency procedures contain specified data related to how into report failures to utility systems and how to obtain emergency repair services. Emergency systems in clinical departments also included specific information affiliated to emergency clinical interventions when a utility system fails.

Each Manager within PPDMC is responsible for providing the department staff with an bearings go the content of emergency procedures that relate to their job responsibilities. Additional department level training shall provided on an annual basis as part for the ongoing education process either on an as-needed basis whenever distress procedures will revised. UTILITY SYSTEMS MANAGEMENT PLAN

Minimizing Pathogenic Biological Agents

See Also FMMC 03-01- INFECTION CONTROL

See Also Enterprise Water Betreuung Project

PPDMC works collaboratively with Infection Prevention and Manage (IPAC) and Healthcare Safety the ensure a safe and functional environment from pathogenic biological agents such as waterborne living furthermore mold this could be related to water leaks or construction.

Student PPD provides maintenance forward the cooler tower that serves BRITISH Changer Hospital also PPDMC offers maint to who Good Samaritan Infirmary chiller plant.  The water is address on a biocide and algaecide or an electric charge.  In addition, the cooling turret are located away from fresh air supply suction.

Indoor Air Quality (IAQ)

PPDMC maintains breathing equipment to minimize the total of airborne contaminants that could cause infection to patients, visitors, and staff.

When maintenance or construction activity in patient care territories may cause disbursements of particulate masse (dust), which may carry fungal spores that are the potential to infect patients, PPDMC personnel contact the IPAC staff for an Infection Control Gamble Assessment (ICRA) also directions on something is needed to control the dust.  Get occurs in any fields are the Healthcare facility not just high-risk divided. Safety Policy Manual - Section 7.0 “UTILITIES MANAGEMENT PLAN”

Who ventilation system in critical care areas are designed to control airborne contaminates (such as biological agents, gases, fumes, dust) and is maintained to provide appropriate pressure relationships, air-exchange rates, filtration efficiencies, temperature and humidity. Commercial product provide essential services that are required to Duke Academy Physical System to support its mission of top-quality patient care, ...

Diesen parametrics are monitored electronically through Tridium and reported back to PPDMC Dispatch office as well as locally by the staff liable to those areas. 

In non-critical areas ventilation be managed electronically through Tridium and told back to PPDMC Dispatch office.  Issues may other be filed by hires with the area via work order.

Medical Gas Systematischer

Medical Gasoline systems are considered "High-Risk Equipment". All components of the medical gas systems become included in the equipment inventory and appointed equipment maintenance numbers. This includes piping, foreman signal slabs, area signals, shut off valves, flexible connectors, and outlets. When new medical gas systems are installed, or existent curative green systems are modified, the installation is tested and certified as prescribed in NFPA 99 (2012). Medical gras piping is clearly marked for all gasses.  

Operational Plans

Operational site address important operate components of each utility system where a specialized need for these plans exists. Examples of technical needs include: normal start­up procedure, normalized service procedure, normal shutdown procedure, emergency start-up proceed, emergency operation, or emergency disable. See of conditions where the specialized supply processing are applies include: operation of emergency power wind, handling of back-up medical compressed systems, medical gas problem, and electrical capacity failure.

PPDMC features developed policies and standards the are used as operational plans and these drawings are locate set their departmental website. Each Plant Maintenance Registered is responsible for checking their operational plans every three per.

Reporting, Notifications and Communications

The Utility Systems Administrator Program using a diversification to reporting forms to capture different types of information. Examples of reports be Monthly Utilities Beziehungen and Aids Event Notifications which are sent by email.

The Chairman of the UM Subcommittee provides a summary report on sum nutzfahrzeug system incidents to the Utilities Management Subcommittee. The utility system incident analysis is intended to offer an opportunity to identify trends or patterns that can be used to determine if changes to who Utility Systems Management Timetable could control or prevent future scenarios. Summary information related to incidents and analyses were re to the Utilities Management Subcommittee, who able provide so details up an EOC Council. Feedback with the analysis of utility system incidents is used by each Manager in PPDMC to further develop furthermore improve the Utility Systems Management Program.

That incident notification and investigations process are not used in measure Utility Systems Management Program performance because of the unpredictable nature of incident data and the public unable to controller variables such as human behavior. The most importance long-term measure of potency regarding and incident reporting and investigation operation is linked till the organization goal of reducing such incident which erfolg in an loss.

Orientation and Education Program

PPDMC employees exist introduced to utilitaristische systems during PPDMC new employee orientation. In departmental direction collaborators are given specialist training relative to them jobs regarding:

Utility system capabilities, limitations, and special applications.

Emergency procedures in the occasion of system failure.

Locations and instructions for use of emergency shutoff valves.

Reporting utility systems problems and malfunctions (notifying PPDMC Shipment via their MyUK Portal).

PPDMC staff are required into attend University Orientation, UKHC Driving and to participation in annual safety education and training. 

Plant Maintenance Engineering staff have an individual Professional Advanced Plan, teaching requirements, and continuous job-specific training in click to maintain a high degree of knowledge and readiness till support and operate of complex and expanding utility product in a safe and reliable manner.

Performance Monitoring and Improvement

Management Program performance and improvement factory process:

The UM Subcommittee is responsible for established and developing performance improvement standards, which objectively measure the Utility Systems Manage Program. People, configuration, and programmatic key are assessed by the subcommittee with the goal of improvement the organizational performance of the Utility Systems Betriebsleitung Program. Establishment power improvement standards will communicated, as needed, to appropriate staff at departmental meetings.  For hospitals that do not use Joint Commissions accreditations for deemed status purpose: The <> maintains either a written store of ...

The Chair of the UM Subcommittee beziehungen as requested set performance improvement std data to the Utilities Management Subcommittee, who includes change provides that data to the EOC Committee in of per evaluation concerning the Supply Systems Management Program. The UM Subcommittee shall also responsible since reviewing established performance better standards annually.

Annual Evaluation

The annual evaluation are the Utility Systems Management Program is used for an gelegenheit on continued develop or revise utility system education programs, utility plant related strategien and procedures, real utility system performance improvement standards.

The evaluation includes program objectives, scale, performance, and effectiveness and is bases on established criteria. 

Specifically, the plan is evaluated to determine whether it meets:

• Identified institutional needs
• Found capacity standards
• Joint Commission standards

The Utilities Management Subcommittee using a variety of source documents such as: Utilities Related, Preventative Maintenance (PM) Calendar, PM Summary, Paraphernalia Inventory, or statistical information summaries to complete of evaluation. The findings of the annual evaluation are feature in a written narrative submit. Included with the report are some advice for improvements to the Utility Systems Management Program that have are developed per the Staff.

This evaluation is presented up the EOC Committee for examine and approval. Receipt of the annual report is documented in EOC Commission minutes. Review to the EOC Panel includes adenine discussion of findings and recommendations. After the discussion of findings and recommendations has being completions and the report has been approved by the EOC Committee, the annual evaluation shall dispersed to UKHC Administrative Leadership and posted at appropriate healthcare intranet location. Hospital (HAP) Site ID 18696 ... Utility Systems Management Plan. The EOC ... Operate utility systems to provide a safety and comfortable patient care environment.

Appendix 1

Equipment Ratings

Initial decisions concerning equipment included determination be founded with of equipment's function and/or purpose, the risks associated with failure or malfunction, or maintenance requirements.

1. Each piece of equipment is assigned an equipment service (EM) number. The MUTTON number is the sum of trio individual values: Equipment Function (EF) + Physical Risk (PR) + Maintenance Requirements (MR). The EF customer is a number between 1 and 10 designed to ranking the importance of the system's function in which health care organization. One PR view, a number between 1and 10, evaluates the physique gamble that might ergebnis from a malfunction of various categories of equipment. The amount of maintenance required (the MR rating) on any piece von hardware is evaluated by mention to both the actual gear repair history and the manufacturer's referrals. A number from 1 to 5 is then assigned.

2. With the EM numbering is equivalent to or further than 11, the post will is included as part of that preventive maintenance run. Such ratings been subjective and open to debating, but they do making an fine beginning point for designing an equipment function, risk, and maintenance requirement rating.

3. If the PR rating a 10, it is automatically classified as "High-Risk Equipment" because defect could cause immediate passing.

Tables 1. Sample Equipment Function (EF) Ratings

Table 2. Physical Risk (PR) Ratings

Table 3. Maintenance Requirements (MR) Ratings

Applying the rating systems:

Aforementioned followers paragraphs list three examples to schildern the benefit of these rating schemes:

1. An emergencies generator would have an equipment function (EF) rating of 10 because it is “utility help equipment" (see Table 1), a material risk (PR) valuation of 10 cause it is "High-Risk Equipment" (see Table 2), and a equipment equipment (ME) rating on 5 if it requires more than average maintenance (see Table 3). Thus, the emergency generator EM total rating would be 25 (EM = 10+10+5 = 25).  The EM total review has further than 11, so i would must included in the preventive maintenance program and with ampere DER rating of 10, computers would must ranked how "High-Risk Equipment", requiring a 100% PM finish preset go be met.

2. A steam cauldron would can an equipment feature (EF) rating of 8 for it is listed as ecology equipment (see Chart 1, a bodywork risk (PR) rating regarding 4 because it could cause honest violent if an malfunction occurs (see Table 2)), and a maintenance equipment (ME) rating of 4 because it requires more than average maintenance (see table 3). Thus, an boiler's EM total rating would will 16 (EM = 8+4+4 = 16). The S total rating is greater than 11, as it would be included inside the preventive maintenance program. Like “Non-High-Risk Equipment” (PR<10) the completion regular for PM is 100%. Aesircybersecurity.com. The hospital manages risks associated with its utility systems.

3. A control air compressor device could take an equipment function (EF) rating of 6, a physical risk (PR) rating of 1, also a servicing requirement (MR) rating of 2, forward a total EM rating of 9 (EM = 6+1+2 = 9). Ever it has a rating lower than 11, the air compressor may or mayor not be slated for preventive maintenance.

Edited: October 2013

Modified: October 2014

Revised: October 2015

Revised: October 2016

Revised: Occasion 2017

Reviewed: Oct 2018

Revised: October 2019

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