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Operation and maintenance of health care facilities 医疗设施的运营和维护
发布日期: 2019-06-01
范围1。1本标准描述了HCF运行与维护的要求,包括质量体系要求。它规定了建筑物和建筑系统的具体要求;b) 与建筑及其功能相关的现场要素,包括现场通道; c) 现场公用设施;d) 大楼的机械、电气和信息技术以及安全系统; e) 生命安全系统;f) 空气隔离室、手术室和专业医疗程序室;g) 第1条规定的永久安装设备。 4.andh)安装的医疗和非医疗设备的建筑服务和接口。注:除CSA集团相关标准外,HCF还应了解适用于运维和生命安全系统的联邦、省/地区和市政监管要求。1.2本标准规定了HCF的整体要求。注:HCF的规模、范围和组织结构各不相同。本标准规定了HCF的基本O&M要求:预计HCF将建立适当的管理结构和报告关系。 1.3本标准阐述了与运维活动有关的内务管理和环境服务的组织、政策和程序。它还包括与其他相关HCF部门和职能部门进行必要的O&M活动协调的要求。注:其他部门和职能包括安全、生物医学工程和护理。1.4本标准涉及用于支持患者护理的永久安装设备(例如呼叫系统、人类废物处理装置)的操作和维护。 它还包括设备和建筑系统(例如,设备对接和充电站)之间接口的运维要求。注:1)支持临床设备的服务和接口(见第1.1条,g项)与临床设备本身之间并不总是有明确的界限。接口至少包括物理空间要求和公用设施的使用;但是,也可以有其他连接(例如,机械、电气、计算机化、遥测等)。当HCF的不同部门都认为另一个部门负责某个特定系统时,可能会出现问题。 规划运维计划涉及的任务包括确定各部门的位置,然后记录谁负责系统的不同要素。2) 在较小的设施中,运维人员或部门可负责本标准范围以外的设备维护。在这种情况下,负责O&M的人员或部门应发展适当的专业知识,并就这些扩展的职责咨询相关标准(例如生物医学工程标准)。1.5本标准不将责任分配给特定的职位或部门。 1.6本标准不涉及用于生命支持或治疗目的的临床设备(如输液泵、麻醉工作站和MRI机器)的操作和维护。1.7在本标准中,“应”用于表示要求,即用户必须满足的条款,以符合本标准;“应该”用于表示建议或建议但不需要的建议;“可”用于表示一个选项或在标准范围内允许的选项。 注释随附条款不包括要求或替代要求;随附条款的注释的目的是将解释性或信息性材料与文本分开。表和图的注释被视为表或图的一部分,可以作为要求编写。附件被指定为规范性(强制性)或信息性(非强制性)来定义其应用。
Scope1.1This Standard describes the requirements, including quality system requirements, for the O&M of an HCF. It sets out specific requirements fora) buildings and architectural systems;b) site elements related to the building and its functions, including on-site access routes; c) on-site utilities;d) the building's mechanical, electrical, and information technology, and security systems; e) life safety systems;f) airborne isolation rooms, operating rooms, and specialized medical procedure rooms;g) permanently installed equipment as specified in Clause 1.4; andh) building services and interfaces for installed equipment, both medical and non-medical.Note: The HCF should be aware of federal, provincial/territorial, and municipal regulatory requirements applying to O&M and life safety systems, in addition to relevant CSA Group standards.1.2This Standard establishes requirements for the HCF as a whole.Note: HCFs vary widely in size, scope, and organization. This Standard sets out the essential O&M requirements for an HCF: it is expected that the HCF will develop the appropriate administrative structures and reporting relationships.1.3This Standard addresses the organization of, and the policies and procedures regarding, housekeeping and environmental services as they relate to O&M activities. It also includes requirements for the necessary coordination of O&M activities with other related HCF departments and functions.Note: Examples of other departments and functions include security, biomedical engineering, and nursing.1.4This Standard addresses the operation and maintenance of permanently installed equipment used to support patient care (e.g., call systems, human waste disposal units). It also includes requirements for the O&M of interfaces between equipment and building systems (e.g., equipment docking and charging stations).Notes:1) There is not always a clear line between the services and interfaces that support clinical equipment [see Clause 1.1, Item g)], and the clinical equipment itself. At a minimum, interfaces include physical space requirements and the use of utilities; however, there can be other connections (e.g., mechanical, electrical, computerization, telemetry, etc.). Problems can arise when different departments of the HCF each assume that the other is looking after a particular system. Among the tasks involved in planning an O&M program are to determine where the divisions are and then to document who is responsible for the different elements of the system.2) In smaller facilities, O&M personnel or a department could have responsibility for equipment maintenance beyond the scope of this Standard. In that case, the person or department responsible for O&M should develop the appropriate expertise and consult relevant standards for these expanded duties (e.g., standards for biomedical engineering).1.5This Standard does not assign responsibilities to specific job titles or departments.1.6This Standard does not address the operation and maintenance of clinical equipment used for life support or therapeutic purposes (e.g., infusion pumps, anaesthetic workstations, and MRI machines).1.7In this Standard, "shall" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the standard; "should" is used to express a recommendation or that which is advised but not required; and "may" is used to express an option or that which is permissible within the limits of the standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (nonmandatory) to define their application.
分类信息
发布单位或类别: 加拿大-加拿大标准协会
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