Академический Документы
Профессиональный Документы
Культура Документы
ASH
WASHE STANDARD
Ventilation of
Approved by the ASHRAE Standards Committee on June 21,2008; by the ASHRAE Board of Directors on
June 25,2008; by the American Society for Healthcare Engineering of the American Hospital Association on
July 18,2008; and by the American National Standards Institute on July 24, 2008.
This standard is under conlnuous maintenance by a Standing Standard Project Committee (SSPC) for which
the Standards Committee has established a documented program for regular publication of addenda or revisions, including procedures for timely, documented, consensus action on requests for change to any part of
the standard. The change submittal form, instructions, and deadlines may be obtained in electronic form from
the ASHRAE Web site, hHp:llwww.ashrae.org, or in paperform from the Manager of Standards. The latest edil o n of an ASHRAE Standard may be purchased from ASHRAE Customer Sewice, 1791 Tuiiie Circle, NE,
Atlanta, GA 30329-2305. E-mail: orders@ashrae.org. Fax: 404-321-5478. Telephone: 404-636-8400 (worldwide), or toil free. 1-800-527-4723 (for om'effi in US and Canada).
Q Copyright 2008 American Society of Healna, Refricleratina and Air-conditioning Engineers. Inc.
~ImeriennSodeiyrar Hdth-
Englnee
c~lll~i.dmuiiculiIurl~iWi,\rri~or~on
<-)
Rajendra N. Shah'
Dennis E. Shaughnessy
Michael Patrick Sheerin'
Theodore Cohen*
George A. Freeman
Gerald L. Hendrickson
Robert J. Weber
Michael E. Woolsey'
Michael R. Keen*
William M. Kingrey
Xudong Yang
Marvin L. Kloostra'
Michael Mayo
Frederick H. Kohioss
'Denotes members o f voting status when the document was approved forpublication
ASHRAE STANDARDS C O M M I T E E 2007-2008
Stephen D. Kennedy, Chair
Nadar R. Jayaraman
Byron W. Jones
Hugh F. Crowther, Vice-Chair
Robert G. Baker
Jay A. Kohler
James D. Lutz
Michael F. Beda
Donald L. Brandt
Carol E. Marriott
R. Michael Martin
Steven T. Bushby
Paul W. Cabot
Merie F. McBride
Kenneth W. Cooper
Frank Myers
H. Michael Newman
Samuel D. Cummings, Jr.
K. William Dean
Lawrence J. Schoen
Bodh R. Subherwal
Robert G. Doerr
Jerry W. White, Jr.
Roger L. Hedrick
Bjarne W. Olesen. BOD Ex0
Eli P. Howard, iii
Lynn G. Bellenger, CO
Frank E. Jakob
Claire B. Ramspeck. Assistant Director o f Technology for Standards and Special Projects
SPECIAL NOTE
This American National Standard (ANS) is a national voluntary consensus standard developed under the auspices of the American
Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE). Consensus is defined by the American National Standards
reached bv
Institute [ANSII.
, of which ASHRAE is a member and which has aooroved this standard as an ANS, as 'substantial aareement
directly and materially affected Interest categorlas.This signifies the concurrence of more than a simple majorily, but not necessarily unanimity.
Consensus requires that all views and objections be considered, and that an effort be made toward their resolution." Compliance with this
standard is voluntary until and unless e legal jurisdiction makes compliance mandatory through legislation.
ASHRAE obtains consensus throush oarticieatlon of ik national and international members, associated societies, and public review.
ASHRAE Slandards are preparedby'a ~roiectCornmtttee appolnled specifically for the purpose of wrlllng the Standard. The Pro,ect
Commlltee Chetr and Vice-Chair mLsl oe memban of ASnRAE: wh le otner commlnee members may or may no1 be ASHRAE members, all
must be technically qualified in the subject area of the Standard. Every effort is made to balance the concerned Interests on all Projecl
Committees.
The Assistant Director of Technology for Standards and Special Projects of ASHRAE should be contacted for:
a. interpretation of the contents of this Standard,
b. participation in lne next review of the Stanoard.
c. olierlng conslr-cl:ve crilicism tor improving the Standaro, or
d. permi&ion to reprint portions of the Standard.
..
DISCLAIMER
ASHRAE uses its best elforts to promulgate Standards and Guidelines for the benefit of the public in light of available Informationand
accepted lnd~strypmcl ces. However, ASHRAE does not gJaranlee. cenlhl. or assLre lhe salely or
of any prod.cts, components.
or svslems lened, nsta eo. or operated in accordance wtn ASHRAE'S Slanoards or Gu dellnes or lnat any lesls conducted Jnoer 11s
~taidardsor Guidelines will be nanhazardousor free from rislc
I
CONTENTS
ANSVASHRAUASHE Standard 170-2008
Ventilation of Health Care Facilities
PAGE
SECTION
Foreword...................................................................................................................................................................
. ~,
1 Purpose ....................................................................................................................................................
2 Scope ....................................................................................................................................................
3 Definitions................................................................................................................................................. 2
4 Compliance..................................................................................................................................................
5 Planning.................................................................................................................................................. 4
6 Systems and Equipment...............................................................................................................................
11
9 Normative References............................................................................................................................
12
12
13
NOTE
When addenda, interpretations, or errata to this standard have been approved, they can be downloaded free of
charge from !he ASHRAE Web site at *wm.ashrae.org.
)7
inpotierrt. apatient whose stay at the health care facility is anticipated to require twenty-four hours or more of patient care.
-
irrvasive if~ro~~rrgprocedrrre
room: a room in which radiographic imaging is used and in which instruments or devices
are insertedinto patients through the skin orbody o s c e under
sterile conditions for diagnosis andlor treatment.
non-aspirating difftrser: a diffuser that has unidirectional
downward airflow from the ceiling with minimum entrainment of room air. Classified as ASHRAE Group E, these
diffusers generally have very low overage veloci@. For the
purposes of this standard, the performance of these d i e r s is
to be measused in terms of average velocity.
'
COMPLIANCE
TABLE 6-1
(MERV)"
WRv)'
14
Inpatient care, treatment, and diagnosis, and those spaces providing direct service or
clean supplies and clean processing (except as noted below);
An (rooms)
14
17 (HEPA)'
1 3 ~
NIR*
Administrative; bulk storage; soiled holding spaces; food preparation spaces; and
laundries
NIR
NIR
NIR
NR = not rquired
Notes The minimum cficiency reportingvnlue (MERV)ir basedon Ule meUlad oitening dsmibibcd in..tNSI/A5fRdE Sior~dotd52.11-2007, Metbod of Tertinp,Geneml l'enriiotion
Air-CleoningDwicerforRemo~01Ej7cIe8tq @P~?rticlcSize ( i e e I n f o d v c h e n 6 : Bihliapphy).
Note b: Additional picfillen m y be usedtoroducc mnintmancc for fillen with eficiends h i g h m h MERV 7.
Note c: Fiitcr B d c No. l may be n MERV 14 if n MERV 17 t d q terminn1 fiitrri3 provided for thee ipnces.
TABLE 6-2
Note c R e f a t o 2 M 5 ~ H o n d b o o k - F u n d ~ m e n 1 ~ 'Cbppta35,
,
for dehitiom reinred to auua clasiifimtion n n d p e r f o m c e (see Informotive Amen 8: Bibliopphy).
Note b: Swgeonr may require dtonnte air-dir&ibibudonsystem forromespeciakcd m g n i s . Suchrystcmr r b l i be consideredocccptnblc iffltey meet or a c e d the requircrnents
oilhi. s t m d d
a.
b.
c.
-
7. SPACE VENTILATION
The ventilation requirements of this standard are minimums that provide control of environmental comfort, asepsis,
and odor in health care facilities. However, because they are
minimum requirements and because of the diversity of the
population and variations in susceptibility and sensitivity,
these requirements do not provide assured protection fiom
discomfort, airbome transmission of contagions, and odors.
2.
3.
4.
b.
c.
e.
f.
2r
TABLE 7-1
Design Parameters
Pressure
LA (I[),
n
-2
0,
Positive
Positive
4
4
20
20
NR
NR
No
No
30-60
30-60
68-75120-24
68-75120-24
Positive
20
NiR
No
30-60
68-75120-24
NR
NR
No
NIR
NIR
Recovery room
NR
NiR
No
30-60
70-75/2 1-24
Positive
NiR
No
30-60
70-7512 1-24
Positive
NR
No
40-60
70-75/21-24
Positive
NIR
No
30-60
70-75/21-24
NR
NIR
NR
30-60
70-7512 1-24
30-60
70-7512 1-24
Positive
N/R
No
Negative
Yes
NIR
NIR
NIR
Positive
N/R
No
30-60
70-7512 1-24
Negative
Yes
NR
mnx 65
70-75/2 1-24
Triage
Negntive
Yes
NR
max 60
70-7512 1-24
ER decontamination
Rndiology waiting rooms (q)
Negative
Negative
12
Yes
Yes
No
NIR
NIR
maw 60
NIR
70-7512 1-24
Positive
15
NR
No
30-60
70-7512 1-24
NIR
NiR
NIR
max 60
70-75/2 1-24
Toilet room
Negative
NIR
10
Yes
No
NIR
NIR
NIR
Positive
2
2
6
I2
NIR
NIR
No
No
30-60
max 60
Negative
NR
2
NR
12
LO
Yes
Yes
No
No
mnx 60
NR
72-78/22-26
70-7512 1-21
70-797 1-24
NIR
Labor/deliveryIrecovery/poslpartum(LDRP) (s)
NR
NIR
NR
max 60
70-75/2 1-24
NIR
NIR
NR
max 60
70-7512 1-24
?
5 i
TABLE 7-1
Deslgn Parameters
Pressure
RH (I[),
,"
O/"
F!
2
Exnmination room
Medication room
(n)
NR
Positive
2
2
6
4
t o Outdoors (j)
NR
NIR
NIR
NIR
max 60
mnx 60
70-75D 1-24
70-7512 1-24
Endoscopy
Positive
15
NIR
No
30-60
68-7300-23
Endoscope cleaning
Negative
I0
Yes
No
NIR
NIR
Treahnent room
NR
NIR
NR
max 60
70-7512 1-24
Hydrotherapy
Negative
NR
NR
NIR
72-80122-27
Pllysical tl~empy
Negative
NIR
NIR
Max 65
72-80122-27
Negative
NIR
10
Yes
No
NIR
NIR
Negative
Yes
No
NIR
72-78122-26
Clean worlcroom
Positive
NiR
No
lnax 60
72-78122-26
Sterile stornge
Positive
NR
NR
max 60
72-7802-26
72-78122-26
STERILIZING
Sterilizer equipment room
CENTRAL MEDICAL AND SURGICAL SUPPLY
SERVICE
Food preparntion center (i)
NR
10
NIR
No
NIR
Warewashing
Negative
NR
10
Yes
No
NIR
Dietnry storage
NR
NR
NR
No
NIR
72-78122-26
Laundry, general
Negative
10
Yes
No
NIR
NIR
Negative
NR
10
Yes
No
NIR
NIR
Positive
NR
NR
NIR
NIR
72-78122-26
NIR
Negative
NR
10
Yes
No
NIR
NIR
Bedpan room
Negative
NIR
10
Yes
No
NIR
NIR
Bathroom
Negative
NR
10
Yes
No
NIR
72-78122-26
Janitor's closet
Negative
NIR
10
Yes
No
NR
NIR
Negative
10
Yes
No
NIR
Positive
NR
NR
NR
Negative
10
Yes
No
NIR
SUPPORT SPACE
Noto:
D
Nm = no requirement
NIR
8.66 V ~ J Nq l ! ~
aaunploaae q pap!noid aq l ~ e q s ~ o d Ina!maqa
e~
10sase8 sno!xou
:SS)ON
1-L 31qUJ
Air distribution patterns within the protective environment room shall conform to the following:
Supply air diffusers shall be above the patient be&
unless it can he demonstrated that such a location is
not practical. Diffuser design shall limit air velocity
at the patient bed to reduce patient discomfort. (See
ANSI/ASHR/IE Staildard 55-2004, Tlzerntal Einlirortntentol Coilditions for Htrnlail Ocnrpanqi in
Informative Annex B: Bibliography.)
Returdexhaust grilles or registers shall be located
near the patient room door.
Differential pressure between any dissimilar adjacent
d. spaces shall be a minimum of +0.01 in. wc (t2.5 Pa).
e. PE rooms retrofitted from standard patient rooms may be
ventilated with recirculated air, provided that air lint
passes through aHEPA filter and the room complies with
parts "a" through "d" of this section.
c.
Surgery Rooms
Class B and C Operating Rooms. Operatingrooms
shall be maintained at a positive pressure with respect to all
adjoining spaces at all times. A pressure differential shall be
maintained at a value of at least +0.01 in. wc (2.5 Pa). Operating rooms sball be provided with prirnnry supply diffusers
that are designed as follows:
accordance wtth the vent~lationrequirements for Class A surgexy. If anesthetic gases are administered, ventilation shall be
provided in accordance with the ventilation requirements for
Class B or C surgery.
7.5
Support Spaces
7.4
7.4.1
a.
83
8.5 Documentation of New or Remodeled HVAC Systems. Owners shall retain an acceptance testingreportfor their
files. In addition, the design shall include requirements for
operations and maintenance staff training that is sufficient for
the staff to keep all HVAC equipment in a condition that will
maintain the original design intent for ventilation. Training of
operating staff shall include an explanation of the design
intent. The training materials shall include, at a m i n i m , the
following:
O&M procedures
Temperatuse and pressure control operation in all modes
Acceptable tolerances for system temperatures and
pressures
d Procedures for operations under emergency power or
other abnormal conditions that have been considered in
the facility design.
a.
b.
c.
a
-
h.
c.
9. NORMATIVE REFERENCES
NOTICE
INSTRUCTIONS FOR SUBMITTING A PROPOSED CHANGE TO
THIS STANDARD UNDER CONTINUOUS MAINTENANCE
This standard is maintained under continuous maintenance procedures by a Standing Standard Project Committee (SSPC) for
publication of addenda or revisions, includwhich the Standards Committee has established a documented progtam for regular
ing procedures for timely, documented, consensus action on requests for change to any part of the standard. SSPC consideration will be given to proposed changes within 13 months of receipt by the manager of standards (MOS).
Proposed changes must be submitted to the MOS in the latest published format available fiom the MOS. However, the MOS
may accept proposed changes in an earlier published format if the MOS concludes that the diEferences are immaterial to the
proposed change submittal. If the MOS concludes that a current form must he utilized, the proposer may he given up to
20 additional days to resubmit the proposed changes in the current format.
An electtonic version of each change, which must comply with the instructions in the Notice and the Form, is the prefened
form of submittal to ASHRAE Headquarters at the address shown below. The electronic format facilitates both paper-based
and computer-based processing. Submittal in paper form is acceptable. The following instructions apply to chnnge proposals
submitted in electronic form.
Use the appropriate file format for your word processor and save the file in either a recent version of Microsoft Word (preferred) or another commonly used word-processing program. Please save each change proposal file with a different name (for
example, "propOl.doc," "prop02.doc:' etc.). If supplemental background documents to support changes submitted are
included, it is preferred that they also be in electronic form as word-processed or scanned documents.
ASHRAE will accept the following as equivalent to the signature required on the change submittal form to convey nonexclusive copyright:
Files attached to an e-mail:
Files on a CD:
The form and instructions for electronic submittal may be obtained from the Standards section of ASHRAE's Home Page,
www.ashrae.org, or by contacting a Standards Secretary, 1791 Tullie Circle, NE,Atlanta, GA 30329-2305.
Phone: 404-636-8400. Fax: 404-321-5478, E-mail: standards.section@ashrae.org.