Table 11 Provision of terminal units, AVSUs and local alarms

Department Accident and Emergency Resuscitation room, per trolley space Note: One set either side of the trolley space, if installed in fixed location, eg trunking; or both sets in an articulated supply pendant that can be positioned either side of the bed space.
3 Provision of terminal units, and the location of AVSUs, local alarm indicator panels and LVAs

O2 2

N2O 2

N2O/O2

MA4 2

SA7

VAC 2

AGSS 2

He/O2

AVSU 1 set (1) 2 sets*

Alarm 1 set hp/lp (9)

Major treatment/plaster room per trolley space Post-anaesthesia recovery per trolley space Note: One set either side of the trolley space, if installed in fixed location, eg trunking; or both sets in an articulated supply pendant that can be positioned either side of the bed space. Treatment room/cubicle Operating department Anaesthetic rooms (all) Operating room, orthopaedic: For anaesthetist For surgeon Note: Orthopaedic surgery is normally performed in operating rooms provided with ultra-clean systems. Such systems are much more effective in terms of airflow when provided with partial walls. These walls may be effectively used to include terminal units that can be supplied by rigid pipework. Such installations do not suffer from excessive pressure loss when surgical air is required at high flows. Operating room, neurosurgery Anaesthetist Surgeon Note: If multi-purpose pendants are used, there may be some loss of performance of surgical tools because of bore restrictions and convolution of the flexible connecting assemblies at the articulated joints.
15

1 2

1p

1 2

1p

1 2

1 set/8 TUs 2 sets*

1 1 2

1 1

1 2

1 1 2 2

1 1

1 set/8 TUs 1 set (1)

1 set per suite

(2)(3)

1 set per suite hp/lp (10)

2 2

1 set per suite

(2)(3)

1 set per suite hp/lp (10)

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Medical gases HTM 02-01 Medical gas pipeline systems Part A: Design, installation, validation and verification

Department Operating room, general surgery etc Anaesthetist/surgeon (see (14) regarding CO2) Note: Terminal units installed in separate pendants: p = project team option where some orthopaedic overspill surgery may be performed. Post-anaesthesia recovery, per bed space Note: One set either side of the bed space, if installed in fixed location, eg trunking; or both sets in an articulated supply pendant that can be positioned either side of the bed space. Equipment service room per work space Maternity department LDRP room (normal/abnormal) Mother Baby (per cot space) (allow for 2 cots only) Operating suite: Anaesthetist Obstetrician Paediatrician (per cot space) (allow for 2 cots only) Post-anaesthesia recovery (per bed space) Equipment service room** per work space Neonatal unit, per cot space Note: One set either side of the bed space, if installed in fixed location, eg trunking; or both sets in an articulated supply pendant that can be positioned either side of the bed space. Equipment service room** per work space In-patient accommodation: Single bed room Multi-room, per bed space Nursery, per cot space Provision for 2 cots only irrespective of number of cot spaces

O2 2

N2 O 2

N2O/O2

MA4 2

SA7 2p

VAC 2

AGSS 2

He/O2

AVSU 1 set per suite

(2)(3)

Alarm 1 set per suite hp/lp (10)

2 sets* (5)

1 alarm for both sets of AVSUs (11)

1 set 1 set (1) 1 set per 68 rooms (5)

1 set hp/lp (12) 1 set (9)

1 1 1 1 1 1 2

1 1

1 1

1 1 1 1 1 2

2 1 1 2 1 1 1 2

1 1

1 set

1 set hp/lp (10)

1 set 1 set 2 sets*

1 set (11) 1 set (12) 1 for both sets of AVSUs (11)

1 1 1 1

1 1 1 1

1 set 1 set for ward unit

1 set (12) 1 set (11)

Department Diagnostics departments Special procedures room Anaesthetic room Holding and recovery Ultrasound Fluoroscopy Urography Tomography Magnetic resonance imaging (MRI) suite CAT room Angiography Endoscopy Lineac bunkers General purpose rooms In-patient accommodation Single-bed room Multi-bed room, per bed space Treatment room (Appropriate for adult acute, children and the elderly) Renal Per dialysis station Per bed space Critical care area Per bed space Note: One set either side of the bed space, if installed in fixed location, eg trunking; or both sets in an articulated supply pendant that can be positioned either side of the bed space. Equipment service room, per work space Coronary care unit (CCU) Per bed space
17

O2 1 1 1 1 1 1 1 1 1 1 1 1 1

N2O 1 1 1 1 1 1 1

N2O/O2

MA4 1 1 1p 1 1 1 1 1

SA7

VAC 1 1 1 1 1 1 1 1 1 1 1 1 1

AGSS 1 1 1 1 1 1 1

He/O2 1 set 1 set 1 set 1 set 1 set 1 set 1 set 1 set 1 set 1 set 1 set 1 set

AVSU 1 set (1)

Alarm 1 set (9) 1 set (10)

3 Provision of terminal units, and the location of AVSUs, local alarm indicator panels and LVAs

1 set (10) 1 set (10) 1 set (10) 1 set (10) 1 set (10)

1 set for the ward unit (1) 1 1 1 1 1 1 4 2p 2p 1 1 1 1 1 1 4 1 1 1 1 1 1 4 2p 1 set (1) 2p 2 sets* (4) 1 set (11) 1 set (11)

1 4

1p

1p

1 4

1 4

1p

1 set 2 sets* (4)(6)(7)

1 set (12) 1 for both sets of AVSUs (11)

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Medical gases HTM 02-01 Medical gas pipeline systems Part A: Design, installation, validation and verification

Department High dependency unit (HDU) Per bed space Burns unit Adult mental illness accommodation Electro-convulsive therapy (ECT) room Post-anaesthesia recovery, per bed space Adult acute day care accommodation Treatment room: Anaesthetist Surgeon Post anaesthesia recovery, per bed space Day patient accommodation Single bed room Multi-bed room, per bed space Treatment room Endoscopy room Fracture clinic Plaster room Oral surgery, orthodontic department Consulting/treatment room, type 1 Consulting/treatment room, types 2 and 3

O2 4 2

N2O

N2O/O2

MA4 4

SA7

VAC 4 2

AGSS

He/O2

AVSU 2 sets* (4)(6)(7)

Alarm 1 for both sets of AVSUs (11) 1 for both sets of AVSUs (11) 1 set hp/lp (10) 1 set (11)

2p

2p

2p

2 sets* (4)(6)(7) 1 set (1)

1 1

1 1

1 1

1 set (2) 1 set (1) 1 set

1 1 1 1 1 1 1

1p

1p 1p

1 2 1 1 1

1p

1 set 1 set 1 set (1) 1 set (1)(13)

1 set hp/lp if (p) (10) 1 set (11) 1 set hp/lp (11)

1p 1p 1 1p 1p 1p

1 1 1 1p 1 1 set (2)(13) 1 set (1) 1 set (1) 1 set (10) 1 set (9) 1 set hp/lp if (p)
(9)

1 1

1p

1 1

Dental air will be required 1

1p

1 set/46 rooms 1 set/46 rooms

Recovery room, per recovery position Appliance laboratory, per workstation Out-patient department Treatment room/cubicles

1 1 1 1p 1p 1 1p

1 1 1 1p 1p

1 set 1 set 1 set (1)(8) 1 set hp/lp (11) 1 set hp/lp if (p)
(9)

Sterile services department Wash room Inspection, assembly and packing (IAP) room Other departments (as required by project team) Notes: * Dual circuits. ** Where the delivery and neonatal units are in close proximity, the equipment service room can be shared. Dental vacuum only. p = Project team option. hp/lp = high-pressure and low-pressure alarms for oxygen, medical air and nitrous oxide when installed together. All other local alarms, low pressure only. (1) Departmental AVSUs installed on the hospital street side of fire compartment doors. (2) Installed immediately outside the room. (3) Where air is used to control movable pendant fittings, it should be taken from the 7 bar surgical air system. (4) In addition to the dual circuits, additional AVSUs will be required to sub-divide the number of terminal units controlled. This subdivision should be based on the layout of the accommodation; for example, if the recovery area is divided into a number of separate room/areas, each would have a separate sub-set (see Figures 4 and 5). (5) This is intended to provide some flexibility and the exact number will depend on the total number of rooms within the department. (6) If a high-dependency unit is included within general in-patient accommodation, a separate set of AVSUs should be provided for the unit. In addition to the departmental valves or the ward as a whole, an additional set will be required to control the single-bed, multi-bed and treatment rooms. (7) Department AVSUs may be required if the units are large and separate from, for example, the critical care area. 1 1 1 1 1 1 1 set (1) 1 set (1) 1 set (9) 1 set located (912) as appropriate

(8) Additional AVSUs may be required in a large unit: the aim should be to have about 812 rooms controlled by a set of valves discretion is required to arrive at the logical number. (9) Installed in reception area. (10) Installed in the operating room in the main panel or within the room, or an ante-room, eg control room of an MRI device. (11) Installed at the main staff base (nurses station). (12) Installed in the room space with the AVSUs. (13) Separate AVSUs will be required if endoscopy room is included. (14) Carbon dioxide is used for insufflation during some surgical procedures. A pipeline installation is a project team option and is covered in Chapter 11. Two NIST connector bodies units should be installed. General: Normally, departmental AVSUs would be installed at the hospital street side of the entrance doors to a department and would reflect the method of horizontal evacuation in the event of an emergency. In some large departments, for example an operating department, the clean-service corridor is likely to cross one or more fire compartment walls. Additional AVSUs may therefore be required to reflect the evacuation route. If a department includes one or more floors, a set of AVSUs should be provided for each floor, which will act as emergency overall fire valves. AVSUs for zones within critical care areas should be located where they can be seen by staff not necessarily at the staff base. Local alarms within critical care areas should be provided for the individual space; that is, if a critical care area of, say, 18 beds is sub-divided into three separate six-bed wards, there should be one alarm only for each space (not one for each of the dual circuits).

3 Provision of terminal units, and the location of AVSUs, local alarm indicator panels and LVAs

19