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Copyright 1991 by National Electrical Manufacturers Association. All rights, including translation into
other languages, reserved under the Universal Copyright Convention, the Berne Convention for the
Protection of Literary and Artistic Works, and the International and Pan American Copyright Conventions.
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S T D - N E M A SB LO-ENGL 1 9 9 1
6 4 7 0 2 4 7 0 5 2 7 3 7 8 6 5 3 iiai
Table of Contents
FOREWORD
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
INTRODUCTiON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HISTORY
Section 1
Section 2
Section 3
Section 4
...........................................
ii
DEFINITIONS
intercom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Microphone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ModeA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ModeB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Nurse Control Station (NCS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Patient Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pillow Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PinkNoise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signal to Noise Ratio ( S / N ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sound Pressure Level (SPL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
1
1
1
1
1
1
1
1
1
1
GENERAL REQUIREMENTS
Equipment Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
System Output Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
System input Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
AmbientSPL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Minimum Signal to Noise Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Figure 2-1, Setup For Mode A Level (NCS) . . . . . . . . . . . . . . . . . . . . . . . . . .
Figure 2.2, Setup For Mode B Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Figure 2.3. Setup For Mode B S / N Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . .
Figure 2-4. Setup For Mode A S/N Ratio (NCS) . . . . . . . . . . . . . . . . . . . . . . .
3
3
3
3
3
4
5
6
7
9
9
10
11
11
11
11
11
13
13
13
13
12
Foreword
The preparation of this Standard Publication was initiated in response to input from the Velerans
Administration. Input from other interested parties has also been sought and evaluated. Inquiries,
comments, and proposed or recommended revisions should be submitted u) the concerned NEMA
product subdivision by conracting the:
Vice President, Engineering
National Electrical ManufacturersAssociation
2101 L Street, N.W., Suite 300
Washington, DC 20037
Scope
This publication contains requirements and test pmedures for the evaluation of the audio quality
of installed nurse cail systems utilizing loud speaking nurse control stations in conjunction with loud
speaking patient stations and pillow speakers.
Purpose
This document provides a standardized method for testing the audio of an installed nurse call
system to assure that the installation methods used provide an adequate level of audio quality.
Introduction
A nurse cail system is the common name for the equipmentused in health care facilities to allow
communication, aurally/ visually, or both, between staff and patients. Currently, there is no standard
definition of either what a nurse call system must be capable of doing or the minimum equipment
required to perform nurse call functions.
Local codes usually specify minimum equipment and features for installations within specific
regions governed by the code, but there is no uniform standard that supersedes the local codes and
ordinances. Features and functionsof a nurse cai1 system can, therefore, vary widely from installation
to instaliation.
General conclusions can be drawn from observations of many installations. One is that a
minimum nurse. call system consists of three basic components:
1. Call cord pendant or pillow speakers which are located at the patients beds that allow the
patients to place calls for assistance:
2. An indicator lamp, located usually in the comdor outside of the patients rooms, that
illuminates to visually indicate that the patient has placed a call for assistance; and
3. An annunciator panel, located at the nurses staff office, ward clerks desk, and such, which
contains a display capable of indicating which patients rooms have registered requests for
assistance.
Many nurse call systems have additional capabilities, including two-way aural contact between
the annunciator panel (or master station) and the patients moms to answer patients questions;
requests for food, wafer, and such; and other non-emergency information.
SB 10-1991
Page 1
SECTION 1
DEFINITIONS
1.1 intercom is the means used by two parties to
communicatevia an aurai communicationssystem integrai
to the nurse call system and the actual circuitry that provides the capability of amkcommunicationbetween two
parties.
NEMA Standard 5-9-1991.
S T D e N E M A SB 10-ENGL L99L
b 4 7 0 2 4 7 0 5 2 7 1 8 2 084 111
SB 10-1991
Page 3
SECTION 2
GENERAL REQUIREMENTS
2 1 EQUIPMENT SET-UP
The equipment associated with the system under test
shall be:
a. Comectiy instailed per the manufacturer's
instructions and methods;
b. Functioning properly per manufacturer's
swifications;
c. &rated correctly per manufacturer's
operating instructions; and
d. Configured to achievea two-party intercom
communicationbetween the NCS and one
patient station or pillow speaker.
N E M sw1dard5-9-1991.
~~
S T D * N E M A SB 10-ENGL 3 9 7 3
I
I b470247 0527383 TL0
SB 10-1991
Page 4
Pillow Speaker
II
I
1 Meter
?-----------I
Amplifier
Speaker
Pink-Noise
Generator
Patient Station
66 dB SPL
1 Meter
I-----------I
76 dJ3 SPL
I\ 41-
---1 Meter
System
Circuitry
Speaker
U/
Flgure 2-1
Setup For Mode A Level (NCS)
It shall be permissible to use either a patient station or a pillow speaker as the reference for the nurse station receiver
level. The 1-meter distance must be maintained throughout the test, and all measurements taken on axis and all sources
aligned on axis.
NEMA Standad5-9-1991.
S T D * N E M A SB LO-ENGL L 9 9 1
=
SB 10-1991
Page 5
66 dB SPL
Pink-Noise
Generator
Generator
1 meter
*7
Microphone
Speaker
*
I
76 dB SPL
meter
.--e
I
I
(-)=i
Patient Station
System
Circuitry
I
I
1
*------------meter
Pillow Spcaker
Figure 2-2
Setup Mode B Level
Patient Station/Pillow Speaker
It shall be permissible to use either a patient station or a pillow speaker as a reference for the NCS input level. The 1-meter
distance must be maintained throughout the test and all measurements taken on axis and ail sources aligned on axis.
NEMA Standard 5-9-1991.
SB 10-1991
Page 6
76 dB SPL
*- - - - - - - - - - - *
System
Circuitry
1 meter
I
I
Patient
[-3l)+
I
I
I
I
L7"
1 meter
Pillow Speaker
*&
Figure 2-3
Setup For Mode B SIN Ratio
(Pillow SpeakeriPatient Station)
It shall be permissible to use either patient station or pillow speaker as a reference for S / N ratio. S e e Figure 3-2.
NEMA Standard 5-9-1991.
SB 10-1991
Page 7
r"""""""---
pen syste;
I 1 I
Amplifier
Pink-Noise
Generator
9,
I
I
I
Speaker Lines
I
I
I
I
i.
1
I
I
a
*-
I
W
I,,,,,,,,,,,,,,,--J
System
circuitry
1 meter
Figure 2-4
SB 10-1991
Page 9
SECTION 3
TEST EQUIPMENT REQUIRED
3.1 The following test equipment shall be used to test
the parameters of installed nurse call systems covered by
this Standards Publication:
1. A pink-noise generator, with transformercoupled
output, capable of providing signal levels of at least 1 v
nns at 10 mA or signal levels sufficient to drive the nurse
cai1 system, in all modes of intercom operation, to maximum output levels, per manufactured specifications.
2. Arms reading voltmeter with a range of 10v to 100 v;
a minimum input impedanceof 100k ohms; and a minimum
equency responsr of 3 dB h m 100 Hz to 10 KHz.
C
weighting response characteristics.
4. An audio amplifier and speaker with frequency response of 3 dB over the range of 100 Hz to 10 KHz and
capability of producing an SPL of 90di3 at a distance of 1
meter measured on axis.
5. Patient station/pillow speaker test set (see Figure
3-1) as specified by the manufacturer.
6. NCS test set (see Figure 3-2) as specified by the
manufacturer.
NEM4 Standard 5-9-1991.
......................................
I
I
I
I
I
Speaker Terminals
I
I
I
I
I
I
I
I
l
I
I
I
I
I
I
I
I
I
I
I
I
II
Audio
Figure 3-1
Test Set
Typical pillow speaker or patient station setup for S / N ratio measurements.
Authorized Engineering Information 5-9-1991.
SB 10-1991
Page 10
Terminals
I
1
I
I
I
I
I
I
I
l
l
I
I
7SeeNote.
Pink-noise input
I
I
I
Microphone
Equivalent
Impedance
I
I
I
I
A
-
b
ToNurse
Call System
audio
Figure 3-2
Test Set
Typical Nurse Control Station (NCS) S / N Ratio setup for signal to noise ratio measurements.
SB 10-1991
Page 11
SECTION 4
TEST PROCEDURE
4.1 DATA RECORDING
The data for the procedure in 4.1 through 4.9 shall be
recorded (see Table 4-1). 4.1.1 Installation
Verify that equipmentis installed correctly per manufacturers instructions.
4.1.2 Operation
Verify that equipment operates correctly per manufacturers instructions.
NEM4 Standard 5-9-1991.
4.2.3 Test
Place the sound-level meter at a disrance of 1 meter on
axis from the NCS speaker and record h e reading from the
sound-levelmeter.
NEMA Standard5-9-1991.
SB 10-1991
Page 12
Table 4-1
Nurse Call Audio
Performance Data Worksheet
4.1.1
4.1.2 Opeation: performs ail specified functions per manufacturer's specifications and operating instructions
(pass/fail) __
Test Proc.
steps
Name
Setup
Reference
Measure Values
spec. P/F
4.2
4.2.3
Mode A Level
(patient station)
Figure 2-1
station
66 dB at
patient station
76 dB -
4.3
Mode A S N
(patient station)
Figure 2-4
66 dB at
patient station
Calculate: switch in
dummy load 20 Log
(4.3.3 bl4.3.3d)
4.3.4
NCS speaker
(verify 76 dB)
35 dB 4.4
4.5
Model A Level
@illowspeaker)
Figure 2-1
ModeA SN
(pillow speaker)
Figure 2 4
66 dB at pillow
speaker
NCS -speaker
66 dB at pillow
speaker
Calculate: switch in
dummy load 20 Log
(4.5.3b/4.5.3d)
4.5.4
76 dB
(verify 76 dB)
35 dB
4.6
4.7
Mode B Level
(patient station)
Figure 2-2
Mode B S / N
(patient station)
Figure 2-2
4.7.4
4.8
4.9
4.9.4
66 dB at NCS
microphone
66 dB at NCS
microphone
patient station
and V nns -(4.7.3b)
across NCS speaker
V rms -(4.7.3d)
across patient station
speaker -
Calculate: switch in
dummy load 20 Log
(4.7.3b/4.7.3.d)
Mode B Level
@illow speaker)
Mode B Level S / N
(pillow speaker)
Figure 2-2
NCS
66 dB speaker
microphone
pillow
76 dB
76 dB
(verify 76 dB)
35 dB -
SB 10-1991
Page 13
magnitude that produces an S E of 76 dB at a
distance of 1 meter from the NCS speaker.
4.6
4.6.1
System Configuration
?he system configuration shail be an NCS in a two-party
intemm with one patient station in mode B (seeFigure 2-2).
4.6.2 Reference
Using the pink-noise generator coupled to the amplifier
and speaker, establish an SPL of at least 66 dB incident on
axis at the NCS microphone.
4.6.3 Test Procedure
a. Place the sound-level meter at a distance of 1
meter on axis from the patient station; and
b. Record the reading from the sound-levelmeter.
NEMA Standard 5-9-1991.
4.7
SB 10-1991
Page 14
4.9.3
Test Procedure
a Connect the nns voltmeter to the patient
station speaker or pillow speaker terminals:
b. Record the reading from the nns voltmeter;
c. Configure the switchable load to connect the
dummy load (disconnecting the pink-noise
generator and amplifer); and
d. Record the reading from the nns voltmeter.
4.9.4
Nationai Eleciricrl Manufactums AssociStiai Standaids are rrbpted in the public intaest and UB designed to eiiminate
misunderstandingsbetwanthemamifacx~Qd r h e p c h md to assist the p u c k m seiecting and obtaining the propa
product far their parti& meds. Existaice of a National Elecoicrl Manufacturus Association Standarddoes not in my respect
preclude any manber or nonmmba from manufsuing or seiiing poduds not amforming to the standard.
(St&dntm
Mhitkn af 8 Standard
A standard of the N a t i d Electrical Manufactums Associuiai defines a producf process or proceduie with reference to ollc
or more of the following: rnnnaicliturr, composition, c o m m'an.
~ ~dimensions. tolerances. safety, operating chaaeristics,
perormance, rating, testing, mi the service for which they are designed,
(Stanhrdizatb Policies and Proc&es, p . 2)
Mmndoiu
Where dimensions are given for mterchangeabiiity purposes, alteniste dimemions satisying the other provisions of the
Standards Pubiication may be capable of otherwise equivalent performance.
(Standardization Pdicies and Procdures, p . 8 )
Categories d Standards
National Elechical Manufacturers Assaciation Standards arc of three classes:
1. NEMA Standard, which relates to a product pees or procedure commercially stwdardized and subject to repetitive
manufacture, which standard has been approved by at least 90 percent of the members of the Subdivision eligible to vote
thereon;
2. Suggested Standard for Future Design, which may not have been regularly applied to a commercial product, but
which suggests a sound engineering approach to future development. which standard has beai approved by at least
two-thirds of the m e m k s of the Subdivision eligible to vote thereon.
3. Adoptive Standd. which is adopted in whole or in part bom the standards of another organization, either domestic,
regional, or mtemational.
(StandardizationPolicies and Procedives, pp 7 & 16)
Identification of Status
Standars in NEMA Standards Publications are identified in the foreword or following each standard as "NEMA Standard"
or "Suggested Standard for Future Design." These indicate the status of the standard These words are followed by a date which
indicates when the standard was adopted in its present form by the Association.
The material identified as "Authorized Engineering information" and "officiai Standards Proposal" is designated similarly.
July 17, 1990
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SECTION
~ _ _ HOSPTTAL
_ _ _ _ _COMMUNICATIONS
_
OF T H F -
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- .-
_ -
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Duhne Corporation
St Charles, iL 60174
Edwards
NorwakC 06851
\
Faraday, Inc.
Tecumseh, Mi 49286
oaldand,cA94623
QiiCag0,lL 60660
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