Addendum 1 - Specifications-Drawings - 06-14-2023.pdf

298 Veterans Drive 211 E. Water St. Suite 213L Fowlerville, MI 48836 Kalamazoo, MI 49007 O: 517. 223.3512 O: 269.216.0222 monumentengineering.com www.c2ae.com

ADDENDUM #1

The following changes, revisions, modifications, etc. shall be incorporated into the contract documents, specifications, and plans.

SPECIFICATIONS

A1.1 Refer to Section 27 52 23 nurse Call and Code Blue Systems (reissued):

Replace specifications in its entirety.

DRAWINGS

A1.2 Refer to Sheet E-001 (reissued):

Additions and revision made to technology symbols for nurse call components as shown on the drawings.

A1.3 Refer to Sheet EP-401.7A (reissued):

Add nurse call master consoles to Nurse C1875 and Doctors/Nurse C1893. Added keyed note R10.

Revise Nurse call station (NS) to enhanced nurse call station (NS-E) in Observation rooms C1866, C1868, C1869, C1870, C1872, and C1873.

Revise nurse call station (NS), located next to toilets, to a pull cord station with audio (PCA) in Patient Toilet rooms C1867 and C1890 and Patient Toilet / Shower room C1871.

Revise nurse call station (NS), located in the shower of Patient Toilet / Shower C1871 to a pull cord station

(PC).

Add staff terminals in Observation Rooms C1866, C1868, C1869, C1870, C1872, C1873, Add staff stations in Break Room/Lockers C1877 and MSA C1884.

Add duty stations in Soiled Utility C1881, Clean Storage C1882, and Med Room C1885.

A1.4 Refer to Sheet E-501 (reissued):

Revise new nurse call cabinet in room LL953A to “existing nurse call cabinet in room #C2001.”

Revise nurse call system note number 8 to clarify equipment location.

VA Project No.: 533-19-104 Date: June 14, 2023 Project: Renovate Urgent Care and Registration

John D. Dingell VA Medical Center Detroit, Michigan

A/E Firm: MEGA & C2AE Project Manager: Pam Hartsell & Kelly Homic

Owner: John D. Dingell VA Medical Center 4646 John R Street Detroit, MI 48201

Revision: 10-18 Renovate Urgent Care and Registration 100% Bid Documents John D. Dingell VA Medical Center

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SECTION 27 52 23 - NURSE CALL AND CODE BLUE SYSTEMS

PART 1 - GENERAL

1.1 SECTION SUMMARY

A. Work covered by this document includes extension of the existing nurse call system.;

design, engineering, labor, material and products, equipment warranty and system warranty, training and services for, and incidental to, the complete installation of new and fully operating National Fire Protection Association (NFPA) – Life Safety Code 101.3-2

(a) Labeled and (b) Listed, Emergency Service Nurse-Call and/or Life Safety listed Code Blue Communication System and associated equipment (here-in-after referred to as the System) provided in approved locations indicated on the contract drawings. These items shall be tested and certified capable of receiving, distributing, interconnecting and supporting Nurse-Call and/or Code Blue communications signals generated local and remotely as detailed herein.

B. Work shall be complete, Occupational Safety and Health Administration (OSHA), National Recognized Testing Laboratory (NRTL – i.e. Underwriters Laboratory [UL]) Listed and Labeled; and VA Central Office (VACO), Telecommunications Voice Engineering (TVE 005OP3B) tested, certified and ready for operation.

C. The System shall be delivered free of engineering, manufacturing, installation, and functional defects. It shall be designed, engineered and installed for ease of operation, maintenance, and testing.

D. The term “provide”, as used herein, shall be defined as: designed, engineered, furnished, installed, certified, tested, and warranty by the Contractor.

E. Specification Order of Precedence: In the event of a conflict between the text of this document and the Project’s Contract Drawings outlined and/or cited herein; THE TEXT

OF THIS DOCUMENT TAKES PRECEDENCE. HOWEVER, NOTHING IN THIS

DOCUMENT WILL SUPERSEDE APPLICABLE EMERGENCY LAWS AND

REGULATIONS, SPECIFICALLY NATIONAL AND/OR LOCAL LIFE AND PUBLIC

SAFETY CODES. The Local Fire Marshall and/or VA Public Safety Officer are the only authorities that shall modify this document’s EMERGENCY CODE COMPLIANCE REQUIREMENTS, on a case by case basis, in writing and confirmed by VA’s Project Manager (PM), VA Contracting Officer’s Representative (VA COR) and TVE-005OP3B.

The VA PM is the only approving authority for other amendments to this document that shall be granted, on a case by case basis, in writhing with technical concurrencies by VA’s PM, COR, TVE-005OP3B and identified Facility Project Personnel.

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F. The Original Equipment Manufacturer (OEM) and Contractor shall ensure that all management, sales, engineering and installation personnel have read and understand the requirements of this specification before the system is designed, engineered, delivered and provided. The Contractor shall furnish a written statement stating this requirement as a part of the technical submittal that includes each name and certification, including the OEMs. The Contractor is cautioned to obtain in writing, all approvals for system changes relating to the published contract specifications and drawings, from the PM and/or the VA COR before proceeding with the change.

1.2 RELATED SECTIONS

A. 01 33 23 – Shop Drawings, Product Data and Samples.

B. 07 84 00 – Firestopping.

C. 26 05 19 – Low – Voltage Electrical Power Conductors and Cables.

D. 27 05 11 – Requirements for Communications Installations.

E. 27 05 26 – Grounding and Bonding for Communications Systems.

F. 27 05 33 – Raceways and Boxes for Communications Systems.

G. 27 10 00 – CONTROL, COMMUNICATION AND SIGNAL WIRING.

H. 27 15 00 – TIP Communications Horizontal and Vertical Cabling.

I. 27 51 16 – Public Address & Mass Notification System (PA).

1.3 DEFINITION

A. Provide: Design, engineer, furnish, install, connect complete, test, certify and warranty.

B. Work: Materials furnished and completely installed.

C. Review of contract drawings: A service by the engineer to reduce the possibility of materials being ordered which do not comply with contract documents. The engineer's review shall not relieve the Contractor of responsibility for dimensions or compliance with the contract documents. The reviewer's failure to detect an error does not constitute permission for the Contractor to proceed in error.

D. Headquarters (aka VACO) Technical Review, for National and VA Communications and Security, Codes, Frequency Licensing Standards, Guidelines and Compliance:

Office of Telecommunications Special Communications Team (005OP3B) 1335 East West Highway – 3rd Floor Silver Spring, Maryland 20910,

(O) 301-734-0350, (F) 301-734-0360

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E. Contractor: Systems Contractor; you; successful bidder.

1.4 REFERENCES

A. The installation shall comply fully with all governing authorities, laws and ordinances, regulations, codes and standards, including:

1. United States Federal Law:

a. Departments of:

1) Commerce, Consolidated Federal Regulations (CFR), Title 15 – Under the Information Technology Management Reform Act (Public Law 104- 106), the Secretary of Commerce approves standards and guidelines that are developed by the:

a) Chapter II, National Institute of Standards Technology (NIST – formerly the National Bureau of Standards). Under Section 5131 of the Information Technology Management Reform Act of 1996 and the Federal Information Security Management Act of 2002 (Public Law 107-347), NIST develops – Federal Information Processing Standards Publication (FIPS) 140-2—Security Requirements for Cryptographic Modules.

b) Chapter XXIII, National Telecommunications and Information Administration (NTIA – aka ‘Red Book’) Chapter 7.8 / 9; CFR, Title 47 Federal communications Commission (FCC) Part 15, Radio Frequency Restriction of Use and Compliance in “Safety of Life” Functions & Locations.

2) FCC - Communications Act of 1934, as amended, CFR, Title 47 – Telecommunications, in addition to Part 15 – Restrictions of use for Part 15 listed Radio Equipment in Safety of Life / Emergency Functions / Equipment/ Locations (also see CFR, Title 15 – Department of Commerce, Chapter XXIII – NTIA):

a) Part 15 – Restrictions of use for Part 15 listed Radio Equipment in Safety of Life / Emergency Functions / Equipment/Locations.

b) Part 58 – Television Broadcast Service.

c) Part 90 – Rules and Regulations, Appendix C.

3) Health, (Public Law 96-88), CFR, Title 42, Chapter IV Health & Human Services, CFR, Title 46, Subpart 1395(a)(b) JCAHO “a hospital that meets JCAHO accreditation is deemed to meet the Medicare conditions of Participation by meeting Federal Directives:”

a) All guidelines for Life, Personal and Public Safety; and, Essential and Emergency Communications.

4) Labor, CFR, Title 29, Part 1910, Chapter XVII - Occupational Safety and Health Administration (OSHA), Occupational Safety and Health Standard:

a) Subpart 7 - Definition and requirements (for a NRTL – 15

Laboratory’s, for complete list, contact (http://www.osha.gov/dts/otpca/nrtl/faq_nrtl.html):

5) UL:

a) 44-02 – Standard for Thermoset-Insulated Wires and Cables

b) 65 – Standard for Wired Cabinets.

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c) 83-03 – Standard for Thermoplastic-Insulated Wires and Cables.

d) 467-01 – Standard for Electrical Grounding and Bonding

Equipment

e) 468 – Standard for Grounding and Bonding Equipment.

f) 486A-01 – Standard for Wire Connectors and Soldering Lugs for

Use with Copper Conductors

g) 486C-02 – Standard for Splicing Wire Connectors.

h) 486D-02 – Standard for Insulated Wire Connector Systems for

Underground Use or in Damp or Wet Locations.

i) 486E-00 – Standard for Equipment Wiring Terminals for Use with Aluminum and/or Copper Conductors.

j) 493-01 – Standard for Thermoplastic-Insulated Underground

Feeder and Branch Circuit Cable.

k) 514B-02 – Standard for Fittings for Cable and Conduit.

l) 1069 – Hospital Signaling and Nurse Call Equipment.

m) 1449 – Standard for Transient Voltage Surge Surpressors

n) 1479-03 – Standard for Fire Tests of Through-Penetration Fire

Stops.

o) 1666 – Standard for Wire/Cable Vertical (Riser) Tray Flame

Tests.

p) 1863–Standard for Safety, Communications Circuits

Accessories.

q) 60950-1/2 – Information Technology Equipment –Safety.

6) Canadian Standards Association (CSA): same tests as for UL.

7) Communications Certifications Laboratory (CCL): same tests as for UL.

8) Intertek Testing Services NA, Inc. (ITSNA formerly

Edison Testing Laboratory [ETL]): same tests as for UL.

a) Subpart 35 – Compliance with NFPA 101 – Life Safety Code.

b) Subpart 36 - Design and construction requirements for exit routes.

c) Subpart 268 - Telecommunications.

d) Subpart 305 - Wiring methods, components, and equipment for general use.

9) Department of Transportation, CFR, Title 49 (Public Law 89-670),

10) Part 1, Subpart C – Federal Aviation Administration (FAA):

a) Standards AC 110/460-ID & AC 707 / 460-2E – Advisory Circulars for Construction of Antenna Towers.

b) Forms 7450 and 7460-2 – Antenna Construction Registration.

11) Veterans Affairs (Public Law No. 100-527), CFR, Title 38, Volumes I &

II:

a) Office of Telecommunications:

(1) Handbook 6100 – Telecommunications.

(a) Spectrum Management FCC & NTIA Radio

Frequency Compliance and Licensing Program.

(b) Special Communications Proof of Performance

Testing, VACO Compliance and Life Safety Certification (s).

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b) Office of Cyber and Information Security (OCIS):

(1) Handbook 6500 - Information Security Program.

(2) Wireless and Handheld Device Security Guideline Version

3.2, August 15, 2005.

c) VA’s National Center for Patient Safety – Veterans Health

Administration Warning System, Failure of Medical Alarm Systems using Paging Technology to Notify Clinical Staff, July 2004.

d) VA’s Center for Engineering Occupational Safety and Health, concurrence with warning identified in VA Directive 7700.

e) Office of Construction and Facilities Management (CFM):

12) Master Construction Specifications (PG-18-1).

13) Standard Detail and CAD Standards (PG-18-4).

14) Equipment Guide List (PG-18-5).

15) Electrical Design Manual for VA Facilities (PG 18-10), Articles 7&8.

16) Minimum Requirements of A/E Submissions (PG 18-15):

a) Volume B, Major New Facilities, Major Additions; and Major Renovations, Article VI, Paragraph B.

b) Volume C - Minor and NRM Projects, Article III, Paragraph S.

c) Volume E - Request for Proposals Design/Build Projects, Article

II, Paragraph F.

17) Mission Critical Facilities Design Manual (Final Draft –2007).

18) Life Safety Protected Design Manual (Final Draft – 2007).

19) Solicitation for Offerors (SFO) for Lease Based Clinics – (05-2009)

b. Federal Specifications (Fed. Specs.):

1) A-A-59544-00 - Cable and Wire, Electrical (Power, Fixed Installation).

2. National Codes:

a. American Institute of Architects (AIA): Guidelines for Healthcare Facilities.

b. American National Standards Institute/Electronic Industries

Association/Telecommunications Industry Association (ANSI/EIA/TIA):

1) 568-B - Commercial Building Telecommunications Wiring Standards:

a) B-1 – General Requirements.

b) B-2 – Balanced twisted-pair cable systems.

c) B-3 - Fiber optic cable systems.

2) 569 - Commercial Building Standard for Telecommunications Pathways and Spaces.

3) 606 – Administration Standard for the Telecommunications Infrastructure of Communications Buildings.

4) 607 – Commercial Building Grounding and Bonding Requirements for Telecommunications.

5) REC 127-49 – Power Supplies.

6) RS 270 – Tools, Crimping, Solderless Wiring Devices, Recommended

Procedures for User Certification.

c. American Society of Mechanical Engineers (ASME):

1) Standard 17.4 – Guide for Emergency Personnel.

2) Standard 17.5 – Elevator & Escalator Equipment (prohibition of installing non-elevator equipment in Elevator Equipment Room / Mechanical Penthouse).

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d. American Society of Testing Material (ASTM):

1) D2301-04 - Standard Specification for Vinyl Chloride Plastic Pressure

Sensitive Electrical Insulating Tape.

e. Building Industries Communications Services Installation (BICSI):

1) All standards for smart building wiring, connections and devices for commercial and medical facilities.

2) Structured Building Cable Topologies.

3) In consort with ANSI/EIA/TIA.

f. Institute of Electrical and Electronics Engineers (IEEE):

1) SO/TR 21730:2007 - Use of mobile wireless communication and computing technology in healthcare facilities - Recommendations for electromagnetic compatibility (management of unintentional electromagnetic interference) with medical devices.

2) 0739-5175/08/©2008 IEEE – Medical Grade – Mission Critical – Wireless Networks.

3) C62.41 – Surge Voltages in Low-Voltage AC Power Circuits.

g. NFPA:

1) 70 - National Electrical Code (current date of issue) – Articles 517, 645 & 800.

2) 75 - Standard for Protection of Electronic Computer Data-Processing Equipment.

3) 77 – Recommended Practice on Static Electricity.

4) 99 - Healthcare Facilities.

5) 101 - Life Safety Code.

3. State Hospital Code(s).

4. Local Town, City and/or County Codes.

5. Accreditation Organization(s):

a. Joint Commission on Accreditation of Hospitals Organization (JCAHO) – Section VI, Part 3a – Operating Features.

1.5 QUALIFICATIONS

A. The OEM shall have had experience with three (3) or more installations of Nurse Call systems of comparable size and interfacing complexity with regards to type and design as specified herein. Each of these installations shall have performed satisfactorily for at least one (1) year after final acceptance by the user. Include the names, locations and point of contact for these installations as a part of the submittal.

B. The Contractor shall submit certified documentation that they have been an authorized distributor and service organization for the OEM for a minimum of three (3) years. The Contractor shall be authorized by the OEM to pass thru the OEM’s warranty of the installed equipment to VA. In addition, the OEM and Contractor shall accept complete responsibility for the design, installation, certification, operation, and physical support for the System. This documentation, along with the System Contractor and OEM certifications shall be provided in writing as part of the Contractor’s Technical submittal.

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C. The Contractor’s Communications Technicians assigned to the System shall be fully trained, qualified, and certified by the OEM on the engineering, installation, operation, and testing of the System. The Contractor shall provide formal written evidence of current OEM certification(s) for the installer(s) as a part of the submittal or to the VA COR before being allowed to commence work on the System.

D. The Contractor shall display all applicable national, state and local licenses.

E. The Contractor shall submit copy (s) of Certificate of successful completion of OEM’s installation/training school for installing technicians of the System’s Nurse Call and/or Code Blue equipment being proposed.

1.6 CODES AND PERMITS

A. Provide all necessary permits and schedule all inspections as identified in the contract’s milestone chart, so that the system is proof of performance tested, certified and approved by VA and ready for operation on a date directed by the Owner.

B. The contractor is responsible to adhere to all codes described herein and associated contractual, state and local codes.

1.7 SCHEDULING

A. After the award of contract, the Contractor shall prepare a detailed schedule (aka milestone chart) using “Microsoft Project” software or equivalent. The Contractor Project Schedule (CPS) shall indicate detailed activities for the projected life of the project. The CPS shall consist of detailed activities and their restraining relationships. It shall also detail manpower usage throughout the project.

B. It is the responsibility of the Contractor to coordinate all work with the other trades for scheduling, rough-in, and finishing all work specified. The owner shall not be liable for any additional costs due to missed dates or poor coordination of the supplying contractor with other trades.

1.8 REVIEW OF CONTRACT DRAWINGS AND EQUIPMENT DATA SUBMITTALS (aka TECHNICAL SUBMITTAL[s])

(Note: The Contractor is encouraged, but not required, to submit separate technical submittal(s) outlining alternate technical approach(s) to the system requirements stated here-in as long as each alternate technical document(s) is complete, separate, and submitted in precisely the same manner as outlined herein. VA shall review and rate each received alternate submittal, which follows this requirement, in exactly the same procedure as outlined herein. Partial, add-on, or addenda type alternates shall not be accepted or reviewed.)

A. Submit at one time within 10 days of contract awarding, drawings and product data on all proposed equipment and system. Check for compliance with contract documents and certify compliance with Contractor's "APPROVED" stamp and signature.

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B. Support all submittals with descriptive materials, i.e., catalog sheets, product data sheets, diagrams, and charts published by the manufacturer. These materials shall show conformance to specification and drawing requirements.

C. Where multiple products are listed on a single cut-sheet, circle or highlight the one that you propose to use. Provide a complete and through equipment list of equipment expected to be installed in the system, with spares, as a part of the submittal. Special Communications (TVE-005OP3B) shall not review any submittal that does not have this list.

D. Provide four (4) copies to the PM for technical review. The PM shall provide a copy to the offices identified in Paragraph 1.3.C & D, at a minimum for compliance review as described herein where each responsible individual(s) shall respond to the PM within 10 days of receipt of their acceptance or rejection of the submittal(s).

E. Provide interconnection methods, conduit (where not already installed), junction boxes (J-Boxes), cable, interface fixtures and equipment lists for the: TER, TCR, MCR, MCOR, PCR, ECR, Stacked Telecommunications Rooms (STR), Nurses Stations (NS), Head End Room (HER), Head End Cabinet (HEC), Head End Interface Cabinet (HEIC) and approved TCO locations TIP interface distribution layout drawing, as they shall be installed and interconnected to teach other (REFER TO APPENDIX B – SUGGESTED TELECOMMUNICATIONS ONE LINE TOPOLOGY pull-out drawing).

F. Equipment technical literature detailing the electrical and technical characteristics of each item of equipment to be furnished.

G. Engineering drawings of the System, showing calculated of expected signal levels at the headend input and output, each input and output distribution point, and signal level at each telecommunications outlet.

H. Surveys Required as a Part of the Technical Submittal:

1. The Contractor shall provide the following System surveys that depict various system features and capacities required in addition to the on-site survey requirements described herein (see Specification Paragraph 2.4.3). Each survey shall be in writing and contain the following information (the formats are suggestions and shall be used for the initial Technical Submittal Survey requirements), as a minimum:

a. Nurse Call Cable System Design Plan:

1) An OEM and contractor designed functioning Nurse Call System cable plan to populate the entire TIP empty conduit/pathway distribution systems provided as a part of Specification 27 11 00 shall be provided as a part of the technical proposal. A specific functioning Nurse Call:

cable, interfaces, J-boxes and back boxes shall coincide with the total growth items as described herein. It is the Contractor’s responsibility to provide the Systems’ entire Nurse Call cable and accessory requirements and engineer a functioning Nurse Call distribution system and equipment requirement plan of the following paragraph(s), at a minimum.

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1.9 PROJECT RECORD DOCUMENTS (AS BUILTS)

A. Throughout progress of the Work, maintain an accurate record of changes in Contract Documents. Upon completion of Work, transfer recorded changes to a set of Project Record Documents.

B. The floorplans shall be marked in pen to include the following:

1. Each device specific locations with UL labels affixed.

2. Conduit locations.

3. Each interface and equipment specific location.

4. Head-end equipment and specific location.

5. Wiring diagram.

6. Labeling and administration documentation.

7. Warranty certificate.

8. System test results.

1.10 WARRANTIES / GUARANTY

A. The Contractor shall warrant the installation to be free from defect in material and workmanship for a period of two (2) years from the date of acceptance of the project by the owner. The Contractor shall agree to remedy covered defects within four (4) hours of notification of major failures or within twenty-four (24) hours of notification for individual station related problems.

B. The Contractor shall agree to grantee the system according to the guidelines outlined in Article 4 herein.

1.11 USE OF THE SITE

A. Use of the site shall be at the GC’s direction.

B. Coordinate with the GC for lay-down areas for product storage and administration areas.

C. Coordinate work with the GC and their sub-contractors.

D. Access to buildings wherein the work is performed shall be directed by the GC.

1.12 DELIVERY, STORAGE, AND HANDLING

A. Deliver, store, and handle products using means and methods that shall prevent damage, deterioration, and loss, including theft.

B. Store products in original containers.

C. Coordinate with the GC for product storage. There may be little or no storage space available on site. Plan to potentially store materials off site.

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D. Do not install damaged products. Remove damaged products from the site and replaced with new product at no cost to the Owner.

1.13 PROJECT CLOSE-OUT

A. Prior to final inspection and acceptance of the work, remove all debris, rubbish, waste material, tools, construction equipment, machinery and surplus materials from the project site and thoroughly clean your work area.

B. Before the project closeout date, the Contractor shall submit:

1. OEM Equipment Warranty Certificates.

2. Evidence of compliance with requirements of governing authorities such as the

Low Voltage Certificate of Inspection.

3. Project record documents.

4. Instruction manuals and software that is a part of the system.

5. System Guaranty Certificate.

C. Contractor shall submit written notice that:

1. Contract Documents have been reviewed.

2. Project has been inspected for compliance with contract.

3. Work has been completed in accordance with the contract.

PART 2 - PRODUCTS / FUNCTIONAL REQUIREMENTS

2.1 GENERAL REQUIREMENTS FOR EQUIPMENT AND MATERIALS

A. Furnish and install a complete and fully functional and operable Nurse Call System for each location shown on the contract drawings. The system shall extend the existing nurse call system.

B. Coordinate features and select interface components to form an integrated Nurse Call system. Match components and interconnections between the systems for optimum performance of specified functions.

C. Expansion Capability: The Nurse Call equipment interfaces and cables shall be able to increase number of enunciation points in the future by a minimum of 50 percent (%) above those indicated without adding any internal or external components or main trunk cable conductors.

D. Equipment: Active electronic type shall use solid-state components, fully rated for continuous duty unless otherwise indicated. Select equipment for normal operation on input power usually supplied between 110 to 130 VAC, 60 Hz supplied from the Facility’s Emergency Electrical Power System.

E. Meet all FCC requirements regarding equipment listing, low radiation and/or interference of RF signal(s). The system shall be designed to prevent direct pickup of signals from within and outside the building structure.

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2.2 SYSTEM DESCRIPTION

A. Furnish and install a complete and fully functional and operable Nurse Call and/or Code Blue System WHOSE EMPTY CONDUIT SYSTEM WAS PROVIDED AS A PART OF

SPECIFICATION 27 11 00.

B. The Contractor is responsible for interfacing the bed service wall systems with the System.

C. The Contractor shall continually employ interfacing methods that are approved by the OEM and VA. At a minimum, an acceptable interfacing method requires not only a physical and mechanical connection, but also a matching of signal, voltage, and processing levels with regard to signal quality and impedance. The interface point shall adhere to all standards described herein for the full separation of Critical Care and Life Safety systems.

D. The System Contractor shall connect the System ensuring that all NFPA and UL Critical Care and Life Safety Circuit and System separation guidelines are satisfied. The System Contractor is not allowed to make any connections to the Telephone System. VA shall arrange for the interconnection between the patient bed service wall systems with the appropriate responsible parties.

E. System hardware shall consist of a standalone (separate) nurse call and Code Blue patient communications network comprised of nurse consoles, control stations, staff and duty stations, room and corridor dome lights, pillow speakers/call cords, pull cord and/or emergency push button stations, wiring. And, other options such as, computer interfaces, printer interfaces, wireless / telephone network interfaces, and nurse locating system interface (when specifically approved first by TVE 005OP3B) and as shown on drawings. All necessary equipment required to meet the intent of these specifications, whether or not enumerated within these specifications, shall be supplied and installed to provide a complete and operating nurse call and Code Blue patient communications network. It is not acceptable to utilize the telephone cable system for the control and distribution of nurse call (code Blue) signals and equipment.

F. System firmware shall be the product of a reputable firmware OEM of record with a proven history of product reliability and sole control over all source code. Manufacturer shall provide, free of charge, product firmware/software upgrades for a period of two (2) years from date of acceptance by VA for any product feature enhancements. System configuration programming changes shall not require any exchange of parts and shall be capable of being executed remotely via a modem connection (when specifically approved first by TVE 005OP3B).

G. The Nurse Call Head End Equipment shall be located in Telecommunications Room.

The Nurse Call / Code Blue System shall interface the PA system when specifically approved by VA Headquarters T VE 005OP3B during the project approval process prior to contract bidding.

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H. The System shall utilize microprocessor components for all signaling and programming circuits and functions. Self-contained or on board system program memory shall be non-volatile and protected from erasure from power outages for a minimum of 12 hours.

I. The System is defined as Critical Service and the Code Blue functions is defined as Life Safety/Support by NFPA (re Part 1.1.A) and so evaluated by JCAHCO. Therefore, the system shall have a minimum of two (2) additional remote enunciation points in order to satisfy NFPA’s Life Safety Code 101 (the typical secondary locations are Telephone Operators Room, MAS ER Desk, Boiler Plant; AND the primary location is required to be in the SCC Room.

1. In addition to the two (2) remote locations afore described, the following locations are the minimum required for additional Nurse Call /Code Blue Annunciation:

a. “On Call” Rooms.

b. Each Nurse Master Station.

c. Each Staff Station.

d. Each Duty Station.

2. The MAXIMUM enunciation time period from placement of the Code Blue Call to enunciation at each remote locations is 10 seconds; and, 15 seconds to the subsequent enunciating media stations (i.e. PA, Radio Paging, Emergency Telephone or Radio Backup).

J. All passive distribution equipment shall meet or exceed -80 dB radiation shielding (aka RFI) shielding specifications and be provided with connectors specified by the OEM.

K. All equipment face plates utilized in the system shall be stainless steel, anodized aluminum or UL approved cycolac plastic for the areas where provided.

L. Noise filters and surge protectors shall be provided for each equipment interface cabinet, headend cabinet, control console and local and remote amplifier locations to insure protection from input primary AC power surges and to insure noise glitches are not induced into low voltage data circuits.

M. Plug-in connectors shall be provided to connect all equipment, except coaxial cables.

Coaxial cable distribution points shall use coaxial cable connections recommended by the cable OEM and approved by the system OEM. Base band cable systems shall utilize barrier terminal screw type connectors, at a minimum. As an alternate, crimp type connectors installed with a ratchet type installation tool are acceptable provided the cable dress, pairs, shielding, grounding, connections and labeling are the same as the barrier terminal strip connectors. Tape of any type, wire nuts or solder type connections are unacceptable and shall not be approved.

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N. Audio Level Processing: The control equipment shall consist of audio mixer(s), volume limiter(s) and/or compressor(s), and power amplifier(s) to process, adjust, equalize, isolate, filter, and amplify each audio channel for each sub-zone in the system and distribute them into the System’s RF interfacing distribution trunks and amplification circuits. It is acceptable to use identified Telephone System cable pairs designated for Two-Way Radio interface and control use or identified as spare telephone cable pairs by the Facility’s Telephone System Contractor. The use of telephone cable to distribute RF signals, carrying system or sub-system AC or DC voltage is not acceptable and shall not be approved. Additionally, each control location shall be provided with the equipment required to insure the system can produce its designed audio channel capacity at each speaker identified on the contract drawings. The Contractor shall provide: a spare set of telephone paging modules as recommended by the OEM (as a minimum provide one spare module for each installed module); one spare audio power amplifier, one spare audio mixer, one spare audio volume limiter and/or compressor, and one spare audio automatic gain adjusting device, and minimum RF equipment recommended by the

OEM.

O. Contractor is responsible for pricing all accessories and miscellaneous equipment required to form a complete and operating system. Unless otherwise noted in this Part, equipment quantities shall be as indicated on the drawings.

P. System Performance:

1. At a minimum, each distribution, interconnection, interface, terminating point and

TCO shall be capable of supporting the Facility’s Nurse Call and/or Code Blue System voice and data service as follows:

a. Shall be compliant with and not degrade the operating parameters of the

Public Switched Telephone Network (PSTN) and the Federal Telecommunications System (FTS) at each PSTN and FTS interface (if attachment is permitted by TVE 005OP3B), interconnection and TCO terminating locations detailed on the contract drawings.

b. The System shall provide the following minimum operational functions:

1) Code Blue calls shall be cancelable at the calling station only. The nurse call master station (s) that a managing Code Blue functions shall not have the ability to cancel Code Blue calls.

2) Each Code Blue system shall be able to receive audio calls from all bedside stations simultaneously.

3) Calls placed from any Code Blue station shall generate Code Blue emergency type audible and visual signals at each associated nurse control and duty station, respective dome lights and all local and remote annunciator panels. Calls placed from a bedside station shall generate emergency type visual signals at the bedside station and associated dome light(s) in addition to the previous stated stations and panels.

4) Activating the silencing device at any location, while a Code Blue call or system fault is occurring shall mute the audible signals at the alarm location.

a) The audible alarm shall regenerate at the end of the selected time-out period until the call or fault is corrected.

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b) The visual signals shall continue until the call is canceled and/or a fault is corrected. When the fault is corrected, all signals generated by the fault shall automatically cease, returning the System to a standby status.

c) Audible signals shall be regenerated in any local or remote annunciator panel that is in the silence mode, in the event an additional Code Blue call is placed in any Code Blue system.

d) The additional Code Blue call shall also generate visual signals at all annunciators to identify the location of the call.

2. Each System Nurse Call location shall generate a minimum of four distinct calls:

a. Routine: single flashing dome lights & master station color and audio tone,

b. Staff Assist: rapid flashing dome lights & master station color and audio tone,

c. Emergency: Red flashing done lights & master station color and audio tone,

d. Code Blue (if equipped): Blue flashing dome lights and master station color and audio tone,

e. Each generated call shall be cancelable at ONLY the originating location,

f. Staff Locator: Green Flashing dome lights & master station color and audio tone.

2.3 MANUFACTURERS

A. The products specified shall be new, FCC and UL Listed, labeled and produced by OEM manufacturer of record. An OEM of record shall be defined as a company whose main occupation is the manufacture for sale of the items of equipment supplied and which:

1. Maintains a stock of replacement parts for the item submitted,

2. Maintains engineering drawings, specifications, and operating manuals for the items submitted, and

3. Has published and distributed descriptive literature and equipment specifications on the items of equipment submitted at least 30 days prior to the Invitation for Bid.

4. Is able to connect with existing installed equipment.

B. Specifications contained herein as set forth in this document detail the salient operating and performance characteristics of equipment in order for VA to distinguish acceptable items of equipment from unacceptable items of equipment. When an item of equipment is offered or furnished for which there is a specification contained herein, the item of equipment offered or furnished shall meet or exceed the specification for that item of equipment.

C. Equipment Standards and Testing:

1. The System has been defined herein as connected to systems identified as Critical

Service performing various Emergency and Life Support Functions. Therefore, at a minimum, the system shall conform to all aforementioned National and/or Local Life Safety Codes (which ever are the more stringent), NFPA, NEC, this specification, JCAHCO Life Safety Accreditation requirements, and the OEM recommendations, instructions, and guidelines.

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2. All supplies and materials shall be listed, labeled or certified by UL or a NRTL where such standards have been established for the supplies, materials or equipment.

3. The provided equipment required by the System design and approved technical submittal shall conform with each UL standard in effect for the equipment, as of the date of the technical submittal (or the date when the VA COR approved system equipment necessary to be replaced) was technically reviewed and approved by VA. Where a UL standard is in existence for equipment to be used in completion of this contract, the equipment shall bear the approved UL seal.

4. Each item of electronic equipment to be provided under this contract shall bear the approved UL seal or the seal of the testing laboratory that warrants the equipment has been tested in accordance with, and conforms to the specified standards. The placement of the UL Seal shall be a permanent part of the electronic equipment that is not capable of being transportable from one equipment item to another.

2.4 PRODUCTS

A. General.

1. Contractor is responsible for pricing all accessories and miscellaneous equipment required to form a complete and operating system. The equipment quantities provided herein shall be as indicated on the drawings with the exception of the indicated spare equipment.

2. Contractor Furnished Equipment List (CFEs):

a. The Contractor is required to provide a list of the CFE equipment to be furnished. The quantity, make and model number of each item is required.

Select the required equipment items quantities that will satisfy the needs of the system as described herein and with the OEM’s concurrence applied to the list(s), in writing.

Item Quantity Unit

1. [As required] Interface Panel(s) 1.a [As required] Electrical Supervision

Trouble Enunciator 1.a.1 [As required] Equipment Back Box(s) 1.b [As required] Telephone 1.c [As required] Public Address 1.d [As required] Radio Paging / Equipment 1.e [As required] Wireless / Equipment 1.f. [As required] Radio Pager / Equipment 1.g [As required] Wireless / Equipment 1.f [As required] Personal Communicator / Equipment

2. [As required] Lightning Arrestor

3. [As required] Head End Equipment/Locations 3.a [As required] Cabinet(s) 3.a.1 [As required] AC Power Conditioner & Filter 3.a.2 [As required] AC Power Strip 3.a.3 [As required] UPS

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3.a.4 [As required] Interconnecting Wire/Cables 3.a.5 [As required] Wire / Cable Connector(s) 3.a.6 [As required] Wire / Cable Terminator(s) 3.b [As required] Wire Management System 3.b [As required] Head End Function(s) 3.b.1 [As required] H7 Interface 3.b.2 [As required] Nurse Locator 3.b.3 [As required] Staff Locator

4. [As required] Master Station(s) 4.a [As required] Nurse Locator 4.b [As required] Staff Locator

5. [As required] Distribution System(s) 5.a [As required] Staff Station 5.a.1 [As required] Equipment Back Box(s) 5.b [As required] Duty Station 5.b.1 [As required] Equipment Back Box(s) 5.c [As required] Code Blue Station 5.c.1 [As required] Equipment Back Box(s) 5.c.2 2 (MIN) Remote Station(s) 5.d [As required] Patient Station(s) 5.d.1 [As required] Equipment Back Box(s) 5.d.2 [As required] Bed Interface(s) 5.d.3 [As required] Pillow Speaker 5.d.4 [As required] Push Button Cordset 5.d.5 [As required] Dummy Plugs 5.d.6 [As required] Bed Integrated Control 5.d.7 [As required] Lighting Interface Module 5.d.8 [As required] TV Control Interface 5.d.9 [As required] TV Control Jack 5.d.10 [As required] TV Interconnection Cables 5.d.11 [As required] HDTV Coaxial 5.d.12 [As required] HDTV/Nurses Call Interface/

Control 5.d.13 [As required] Auxiliary Mounting Interface 5.e [As required] Emergency Station(s) 5.e.1 [As required] Equipment Back Box(s) 5.e.2 [As required] Toilet Emergency Station

(waterproof) 5.e.3 [As required] Shower Emergency Station

(waterproof) 5.e.4 [As required] Lavatory Emergency Station

(waterproof) 5.f. [As required] Room Dome Light 5.f.1 [As required] Equipment Back Box(s) 5.g [As required] Other Dome Light(s) 5.g.1 [As required] Equipment Back Box(s) 5.g.2 [As required] Corridor Dome Light 5.g.3 [As required] Intersectional Dome Light

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5.h [As required] System Cable(s) 5.h.1 [As required] Coaxial 5.h.2 [As required] System Pin 5.h.3 [As required] Audio 5.h.4 [As required] Control 5.h.5 [As required] Video 5.i [As required] System Connector(s) 5.i.1 [As required] Coaxial 5.i.2 [As required] System Pin 5.i.2 [As required] Audio 5.i.3 [As required] Control 5.i.4 [As required] Video 5.j [As required] Wire Management Required as described herein

B. NS Room(s):

1. Refer to CFM Physical Security Manual (07-2007) for VA Facilities, Chapters 9.3

& 1) and PG 18-10, EDM, Chapters 7- Table 7-1, 8 & Appendix B, Telecommunications One Line Topology for specific Room and TIP Connection Requirements.

C. TER, SCC, PCR, STR, HER Rooms and Equipment:

1. Refer to CFM Physical Security Manual (07-2007) for VA Facilities, Chapters 9.3

& 1) and PG 18-10, EDM, Chapters 7- Table 7-1, 8 & Appendix B, Telecommunications One Line Topology for specific Room and TIP Connection Requirements.

D. Telecommunications Room(s) (TR):

1. Locate the Nurse Call and/or Code Blue floor distribution equipment as required by system design and OEM direction. Provide secured and lockable cabinet/rack(s) as required.

2. HL7 Interface:

a. The system shall support downloading and updating of patient data from the hospital admission system (or other database) via the HL7 standard. The data only has to travel one way, i.e. from the admission system to the nurse-call system.

b. Coordinate with the Owner the exact fields that will be populated from the admissions system in the nurse-call system.

c. The Facility’s LAN/WAN is not allowed for Nurses Call/Code Blue main wiring / function that shall be a “stand alone primary cable infrastructure” as described herein.

d. Connections to the VA LAN/WAN for functional or operable conditions shall be allowed ONLY when the LAN/WAN system has been demonstrated and NFPA (at a minimum by TVE-005OP3B) Certified meeting Life Safety Standards.

e. Provide one (1) spare HL Interface unit.

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E. TIP Cable Systems:

1. Connect the system to the TIP system provided as a part of Speciation

Section 27 15 00. Provide additional TIP equipment, interfaces and connections as required by System design. Provide secured pathway(s) and lockable cabinet/rack(s) as required.

F. Interface Equipment:

1. TCR:

a. Code Blue Annunciation Station:

1) The Code Blue Remote Annunciation Station shall be located in the

Telephone Operators Room, Police Control Center

2) The Annunciation Station shall be connected to the System via hard wire connection(s) that shall contain all the electrical supervisory tone signals, visual bulbs, read out panel to indicate the location of the Code and system troubles.

3) The System shall not be connected to the Telephone system unless specifically APPROVED BY VA HEADQUARTERS (005OP3B) and

(005OP2B) PRIOR TO CONTRACT BID.

4) The Annunciation Station shall be installed in a location directly viewable and the readout is completely readable from the Public Address Microphone Control Console.

5) Provide one (1) spare panel.

b. Electrical Supervision Trouble Annunciator Panel:

1) The Electrical Supervision Trouble Annunciation Panel shall be located in the Telephone Operators Room, Police Control Center, associate Nurses Station(s)

2) The panel(s) shall be compatible with the generated electrical and/or electronic supervising signals to continuously monitor the operating condition for the System head-end processing equipment, master stations, staff stations, patient stations, duty stations, audio power amplifier(s), UPS, power supplies, dome lights and interconnecting trunks. The panels shall generate an audible and visual signal when the System’s supervising system detects a system and equipment trouble or trunk-line is malfunctioning.

3) Provide one (1) spare panel.

2. Hospital Bed Interface (s):

a. Provide a multi-pin receptacle for bed connection.

b. Connect cable from the multi-pin receptacle to the nurse-call system, so that alarms, such as bed exit, shall be monitored by the nurse-call system.

c. Connect cable from the multi-pin receptacle to the nurse-call system, so that the bedside control buttons, such as nurse call, and television controls are functional and monitored.

d. Provide one (1) spare interface for each ten (10) interfaces installed.

3. Nurse (aka Staff) Locator Interface:

a. The System shall be capable of performing nurse-locator functions.

b. The System shall be capable of performing staff-locator functions

c. These functions shall be combined into one operation.

d. Provide two (2) spare interfaces.

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4. Lighting Interface Module:

a. Provide an interface module for the pillow speakers to control up to 2 lights.

Coordinate with the electrical contractor the exact voltage requirements.

b. Provide one (1) spare module for each ten (10) modules installed.

5. Pillow Speaker Interfaces:

a. See functional requirements herein.

b. Provide 2 pillow speaker for each single patient station.(ADM1)

c. Provide one (1) spare pillow speaker for each twenty (20) speakers installed.

6. TV Remote Control Interface:

a. The pillow speaker shall have the following TV control capability:

1) Play the TV audio through the pillow speaker.

2) Change channels up and down.

3) Increase and decrease the volume.

4) TV audio mute.

5) UL Certified for direct patient contact.

b. Provide one (1) spare interface for each 20 interfaces installed.

7. TV Control Jack and Wiring:

a. Provide connection from the pillow speaker to the TV location. Terminate wire on a jack in the TV low voltage faceplate. Coordinate faceplate opening with the cabling contractor. Coordinate jack type with the TV (typically it is a ¼” jack, but verify prior to installation).

b. Provide patch cord from the TV control jack to the TV.

c. Provide one (1) spare complete assembly for each twenty (20) assemblies installed.

G. Call Initiation, Annunciation and Response:

1. Light and Tones:

a. Calls shall be initiated through:

1) Patient station.

2) Staff station.

3) Code Blue station.

4) Toilet Emergency Station pull cord / push button.

5) Shower Emergency Station pull cord.

6) Bed Pillow speaker.

7) Bed Push-button cordset.

8) Hospital Bed Integrated controls.

b. Once a call is initiated, it shall be annunciated at the following locations:

1) The Corridor, Intersectional and Room dome light associated with the initiating device.

2) A local master control station indicating the call location and priority.

3) Each duty station.

4) Each staff station.

5) Each remote location.

6) All calls shall be displayed until they are cleared by the nursing staff

ONLY from the initiating device location.

2. Voice:

a. Calls shall be initiated through:

1) Patient station.

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2) Staff station.

3) Code Blue station.

4) Toilet Emergency pull cord / push button station.

5) Shower Emergency pull cord station.

6) Pillow speaker.

7) Push-button cordset.

8) Integrated bed controls.

9) Master Station.

3. Provide two-way voice communication between a master station and patient, staff, duty and each of the two (2) remote stations.

4. Failure of voice intercom portion of system shall not interfere with visual and audible signal…