S06 004 Att1 Spec 27 52 23_2023.12.29 585-21-101 Upgrade Nurse Call System.pdf

Addendum No. 1, Page 1 of 3

ADDENDUM NO. 1

UPGRADE NURSE CALL SYSTEM

OSCAR G. JOHNSON VA MEDICAL CENTER

IRON MOUNTAIN, MICHIGAN

PROJECT NO. 585-21-111

This Addendum is issued to modify, explain or correct the original drawings and specifications and is hereby made part of the Contract Documents.

SPECIFICATIONS

1. Section 27 52 23

A. Page 27 52 23 - 15, delete article 2.1 Syetem Description Part I as written and substitute the following:

I. Servers must have dual power supplies which will be connected to facility UPS and commercial power.

B. Page 27 52 23-23, delete article 2.4 B.2.c as written and substitute the following:

c. If applicable, provide the System UPS or battery inside the cabinet or in a separate cabinet adjacent to the head end cabinet that shall maintain a minimum of 30 minute battery back-up to all system components.

C. Page 27 52 23-52, delete article 4.2 B.4.a. as written and substitute the following:

4. Additionally, the Contractor shall accomplish the following minimum requirements during the one year warranty period

a. Response Time during the one year warranty period

1) The COR is the Contractor’s ONLY OFFICIAL reporting and contact official for nurse call system trouble calls, during the warranty period.

2) A standard work week is considered 8:00A.M. to 5:00 P.M.

or as designated by the COR, Monday through Friday exclusive of Federal Holidays.

3) The contractor shall respond and correct on-site trouble calls, during the standard work week to:

a) A routine trouble call within one (1) working day of its report. A routine trouble is considered a trouble which causes a pillow speaker or cordset, one (1) master nurse control station, patient station, emergency station, or dome light to be inoperable.

Addendum No. 1, Page 2 of 3

b) Routine trouble calls in critical emergency health care facilities (i.e., cardiac arrest, intensive care units, etc.) shall also be deemed as an emergency trouble call. The COR shall notify the Contractor of this type of trouble call.

c) An emergency trouble call within four hours of its report, regardless of the standard work week hours. An emergency trouble is considered a trouble which causes a sub-system (ward), distribution point, terminal cabinet, or code one system to be inoperable at any time.

4) If a Nurse Call and/or Code Blue/component failure cannot be corrected within four (4) hours for emergency trouble call, 1 working day for routine trouble call, the Contractor shall be responsible for providing alternate nurse call equipment. The alternate equipment/system shall be operational within a maximum of 20 hours after the four (4) hour troubleshooting time and restore the affected location operation to meet the System performance standards. If any sub-system or major system trouble cannot be corrected within one working day, the Contractor shall furnish and install compatible substitute equipment returning the System or sub-system to full operational capability, as described herein, until repairs are complete.

D. Page 27 52 23-55, Delete article 4.3 TRAINING as written and substitute the following:

4.3 TRAINING

A. Provide in-person thorough training of all nursing and administrative staff assigned to those nursing units receiving new networked nurse/patient communications equipment. Floor nurses/staff and administrative staff (or any person whose specific responsibilities include answering patient calls and dispatching staff) shall receive operational training from their perspective.

B. Provide in-person thorough technical training of all required system administrators and engineering staff.

This training must provide staff with the ability to troubleshoot issues and perform minor repairs or replacements, in emergency situations, including but not limited to servers, switches, operating systems, patches, and physical components of the system. This training shall be adequate to ensure the performance by staff following this training shall not void the warranty on the system.

C. A separate training room will be set up that allows this type of individualized training utilizing in-service training unit, prior to cut-over of the new system.

Addendum No. 1, Page 3 of 3

DRAWINGS

1.Sheet

Delete the dome light shown in Waiting Room 2188

E109 THIRD FLOOR NEW WORK PLAN

A.

1.Sheet E106 FIRST FLOOR NEW WORK PLAN-EAST

A. Room 1214 calls out for NCCP "Nurse Call Control Panel." Due to a recent construction project, this NCCP shall be located in room 1216.

2.Sheet E107 SECOND FLOOR NEW WORK PLAN-WEST

A.

3.Sheet

Include wall-mounted corridor dome lights for each of the following rooms: 3229, 3230, 3231, 3232, 3233, 3234

E110 FOURTH FLOOR NEW WORK PLAN

A. Move the nurse call light from the Anti Room 4207 outside the Anti room door in corridor 4212C.

ATTACHMENTS

Reissued Specification SectionSe 27 52 23 NURSE CALL AND CODE BLUE SYSTEMS

12-01-20 (DEC 2023)

Upgrade Nurse Call System 27 52 23 - 1

PART 1 - GENERAL

1.1 SECTION SUMMARY

SECTION 27 52 23

NURSE CALL AND CODE BLUE SYSTEMS

A. Work covered by this document includes 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 as 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 engineered and installed for ease of operation, maintenance, and testing.

D. The term “provide”, as used herein, shall be defined as: 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 may modify this document’s

EMERGENCY CODE COMPLIANCE REQUIREMENTS, on a case by case basis, in writing and confirmed by VA’s Contracting Officer(CO), Resident

Engineer (RE) and TVE-005OP3B. The VA CO is the only approving authority for other amendments to this document that may be granted, on a case by case basis, in writing with technical concurrencies by VA’s CO, RE, TVE-005OP3B and identified Facility Project Personnel.

Upgrade Nurse Call System 27 52 23 - 2

F. The Original Equipment Manufacturer (OEM) and Contractor shall ensure that all management, sales, and installation personnel have read and understand the requirements of this specification before the system is 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 contracting officer 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 21 – Low–Voltage Electrical Power Conductors and Cables

(600 Volts and Below).

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.

1.3 DEFINITION

A. Provide: 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 (07A2)

202-461-5301, 202-461-5311

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

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1.4 REFERENCES

A. The installation shall comply fully with all governing authorities, laws and ordinances, regulations, codes and standards including, but not limited to:

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.

Upgrade Nurse Call System 27 52 23 - 4

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):

1) UL:

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

Cables.

b) 65 – Standard for Wired Cabinets.

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

Suppressors.

Upgrade Nurse Call System 27 52 23 - 5

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) 2024 – Standard for Optical Fiber Raceways.

r) 60950-1/2 – Information Technology Equipment –

Safety.

2) Canadian Standards Association (CSA): Same tests as for UL.

3) Communications Certifications Laboratory (CCL): Same tests as for UL.

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

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

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

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

d) Subpart 268 - Telecommunications.

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

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

670), 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.

6) 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).

Upgrade Nurse Call System 27 52 23 - 6 gdfg

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):

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

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

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

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

5) 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.

6) Mission Critical Facilities Design Manual (Final Draft –

2007).

7) Life Safety Protected Design Manual (Final Draft –

2007).

8) 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).

27 52 23 - 7 Upgrade Nurse Call System

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).

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.

27 52 23 - 8 Upgrade Nurse Call System

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.

B. The OEM/Manufactures Representative shall provide pricing to the electrical contractors bidding the project. These electrical contractors will be referred to as “the contractor” for the remaining sections of this specification.

C. The contractor shall submit documentation showing how the proposed solution will interface with the VA network, including a visual diagram of the architecture that will be used to network within the hospital and to satellite clinics. This documentation shall be submitted for confirmation during the post-award submittal phase.

D. 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

27 52 23 - 9 Upgrade Nurse Call System responsibility for the design, installation, certification, operation, and physical support for the System. This documentation, along with the

System Contractor and OEM certifications must be provided in writing as part of the Contractor’s Technical submittal. This documentation shall be submitted for confirmation during the post-award submittal phase.

E. 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 COR before being allowed to commence work on the System.

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

G. The Contractor shall submit copy (s) of Certificate of successful 1.6 completion of OEM’s installation/training school for installing technicians of the System’s Nurse Call and/or Code Blue equipment being proposed.

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.

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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 will also detail manpower usage throughout the project.

1.8 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.

1.9 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.

1.10 USE OF THE SITE

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

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

C. Access to buildings wherein the work is performed shall be directed by the COR.

Upgrade Nurse Call System 27 52 23 - 11

1.11 DELIVERY, STORAGE, AND HANDLING

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

B. Store products in original containers.

C. Coordinate with the COR for product storage.

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

1.12 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

2.0 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 basis of design for these specifications and contract drawings was the Rauland 5 Enterprise Nurse Call System.

D. The proposed Nurse Call System must meet the following qualifications:

The proposed Advanced nurse call system must have the ability for multiple VA medical facilities to operate from a single set of servers housed in a single medical facility running a single installed instance of nurse call software.

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The proposed advanced nurse call system must have centralized management so that multiple facilities can be managed from the single centralized servers.

The proposed advanced nurse call system must provide secure data encryption to protect PHI.

The proposed advanced nurse call system shall support encryption of data both in-transit and at-rest.

The proposed advanced nurse call system shall allow only FIPS certified encryption algorithms.

The proposed advanced nurse call system shall authenticate users using one of: ws-fed, SAML, or OIDC including support for

Multi-factor Authentication (i.e. MFA).

The proposed advanced nurse call system shall support the least privilege principle to authorized user access to tools and data.

The proposed advanced nurse call system shall provide an HTTP based user interface.

The proposed advanced nurse call system must have a scalable architecture to server a maximum of 150 20 medical facilities off a single software installation.

The proposed advanced nurse call system shall provide a highly available solution that can recover from server failure automatically (i.e., without user intervention).

The proposed advanced nurse call system shall enable deployment across multiple data centers to support disaster recovery plans and able to achieve aggressive recovery point objectives (RPO) to minimize data loss and recovery time objectives to minimize downtime.

The proposed advanced nurse call system must have the ability to configure nursing workflows that can be standardized across all medical facilities.

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The proposed advanced nurse call system must have open integrations with no restrictions on other systems that can be integrated.

The proposed advanced nurse call system shall provide a device agnostic interface to medical devices including smart ventilators and smart beds from any manufacturer.

The proposed advanced nurse call system shall support standardization of workflows across all hospitals / locations that are part a single health care delivery system.

B. Reference the drawings for specific locations of all required equipment and devices.

C. 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.

D. 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.

E. 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.

F. 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.

G. Weather/Water Proof Equipment: Listed and labeled by an OSHA certified

NRTL (i.e. UL) for duty outdoors or in damp locations.

H. The Nurse Call System, as a part of this project, shall interface with the existing Vocera Staff Communications System/Software (Platform

6.X), the Patient Elopement System and the MidMark RTLS System

(version 2.6.4) as described in these specifications and as called for on the drawings.

A. Middleware is allowed for these integrations. Middleware shall be subject to a pre-approved TRM (VA Technical Reference Manual) entry if it can run on a VA-standard server operating system platform.

Middleware shall be subject to a pre-approved ERA (VA Enterprise Risk

Analysis) entry if it runs on a platform that must be classified as medical or special purpose. Engage middleware is already loaded for the Vocera integration. The proposed nurse call system must include

Upgrade Nurse Call System 27 52 23 - 14 all necessary licensing and services to enable these interfaces.

B. An airgapped solution will not be allowed

C. The proposed Nurse Call software system must be pre-approved by an existing Enterprise Risk Assessment

D. Manufacturers shall coordinate with Owner’s IT Department to ensure their system meets all the requirements.

E. The VA has requirements to be met by the Nurse Call manufacturer with regard to their server needs:

1. Virtual Servers must be able to be housed on a Hyper Converged

VMWare ESXi VxRail Host. The hospital will build the server(s) as long as the manufacturer’s software can be housed in this environment.

2. If unable to be housed in this environment, the nurse call vendor must include server hardware, supported Operating System, configuration and necessary OS liscenses.

2.1 SYSTEM DESCRIPTION

A. Furnish and install a complete and fully functional and operable Nurse

Call and/or Code Blue System. As stated above, the Nurse Call System, as a part of this project shall interface with the existing Vocera

Staff Communications System/Software and have the capability of interfacing with Patient Elopement System and the Midmark RTLS system in the future.

B. The Contractor is responsible for interfacing the existing Patient Bed

Service Walls and Lighting Controls and TV Controls 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 must 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.

E. System hardware shall consist of a standalone (separate) Nurse Call and

Code Blue patient communications network comprised of nurse consoles, control stations, and duty stations, room and corridor dome lights, pillow speakers/call cords, pull cord and/or emergency push button stations, wiring. All necessary equipment required to meet the intent of these specifications, whether or not enumerated within these

Upgrade Nurse Call System 27 52 23 - 15 specifications, shall be supplied and installed to provide a complete and operating Nurse Call and Code Blue patient communications network.

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 as shown on the plans.

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. Servers must have dual power supplies which are connected to facility

UPS and commercial power.

J. 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, etc; AND the primary location is required to be in the Police Office.

1. These two (2) additional remote locations shall be fully manned:

a. 24/7/365 for certified Hospital.

b. As long as other identified VA Medical / Servicing Facilities are open for servicing patients.

c. At a minimum, Code Blue Functions shall be provided in all

Recovery (Medical and Surgical) Rooms, Intensive Care Units

(ICU), Cardiac Care Units (CCU), Step Down Room, Life Support /

Monitoring Rooms, Oncology / Radiology Procedure Rooms, Dialysis and other areas shown on the plans.

d. The minimum remote enunciation locations shall be:

1) The Telephone / PBX Operator Room, main switchboard.

2) The Police Control / Operations Room.

3) Other location(s) that is specifically approved by VA

Headquarters TVE - 005OP3B.

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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, etc.).

K. Each Code Blue System shall be designed to provide continuous electrical supervision of the complete and entire system (i.e. dome light bulbs [each light will be considered supervised if they use any one or a combination of (UL) approved electrical supervision alternates, as identified in UL-1069], wires, contact switch connections, circuit boards, data, audio, and communication busses, main and UPS power, etc.). All alarm initiating and signaling circuits shall be supervised for open circuits, short circuits, and system grounds. Main and UPS power circuits shall be supervised for a change in state (i.e. primary to backup, low battery, UPS on line, etc.). When an open, short or ground occurs in any system circuit, an audible and visual fault alarm signal shall be initiated at the nurse control station and all remote locations.

L. When the System is approved to connect to a separate communications system (i.e. LAN, WAN, Telephone, Public Address, radio raging, wireless systems, etc.) the connection point shall meet the following minimum requirements for each hard wired / wireless connection

(note each wireless system connection MUST BE APPROVED PRIOR TO

CONTRACT BID BY VA HEADQUARTERS TVE - 005OP3B AND SPECTRUM MANAGEMENT -

005OP2B – hereinafter referred to as SM - 005OP2B):

1. UL 60950-1/2.

2. FIPS 142.

3. FCC Part 15 Listed Radio Equipment restriction compliance approved by SM – 005OP2B.

M. 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.

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

O. Noise filters and surge protectors shall be provided for each equipment interface cabinet, headend cabinet, control console and local and remote amplifier locations to ensure protection from input primary

AC power surges and to ensure noise glitches are not induced into low voltage data circuits.

P. Plug-in connectors shall be provided to connect all equipment, except coaxial cables. Coaxial cable distribution points shall use coaxial

Upgrade Nurse Call System 27 52 23 - 17 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 will not be approved.

Q. 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 will not be approved. Additionally, each control location shall be provided with the equipment required to ensure 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.

R. 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.

S. 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.

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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 the Police

Dispatch Master Console and at each Master Nurse Control

Console 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 previously 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.

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.

Upgrade Nurse Call System 27 52 23 - 19

2. Each System Nurse Call location shall generate a minimum of 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

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.

Upgrade Nurse Call System 27 52 23 - 20

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 must conform with each UL standard in effect for the equipment, as of the date of the technical submittal

(or the date when the 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 must bear the approved UL seal.

4. Each item of electronic equipment to be provided under this contract must 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.

5. The basis of design for these specifications and contract drawings was specified around the Rauland 5 Enterprise Nurse Call System.

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.

Upgrade Nurse Call System 27 52 23 - 21

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 0 Telephone 1.c 0 Public Address 1.d 0 Radio Paging / Equipment 1.e As required Wireless / Equipment 1.f. 0 Radio Pager / Equipment 1.g As required Wireless / Equipment 1.f As required Personal Communicator /

Equipment

2. 0 Lightning Arrestor

3. As required/shown 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/Battery 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 0 Nurse Locator 3.b.3 0 Staff Locator

4. As required/shown Master Station(s) 4.a 0 Nurse Locator 4.b 0 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/shown Code Blue Station 5.c.1 As required Equipment Back Box(s) 5.c.2 2 (MIN) Remote Station(s) 5.d As required/shown Patient Station(s) 5.d.1 As required Equipment Back Box(s) 5.d.2 As required/shown Bed Interface(s) 5.d.3 As required/shown Pillow Speaker 5.d.4 As required/shown Push Button Cordset 5.d.5 As required Dummy Plugs 5.d.6 As required/shown Bed Integrated Control 5.d.7 As required/shown Lighting Interface Module

Upgrade Nurse Call System 27 52 23 - 22

5.d.8 As required TV Control Interface 5.d.9 As required TV Control Jack 5.d.10 0 TV Interconnection Cables 5.d.11 0 HDTV Coaxial 5.d.12 0 HDTV/Nurses Call Interface/

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

(waterproof) 5.e.3 As required/shown Shower Emergency Station

(waterproof) 5.e.4 As required/shown Lavatory Emergency Station

(waterproof) 5.f. As required/shown 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/shown Corridor Dome Light 5.g.3 As required Intersectional Dome Light 5.h As required System Cable(s) 5.h.1 0 Coaxial 5.h.2 As required System Pin 5.h.3 As required Audio 5.h.4 /s required Control 5.h.5 0 Video 5.i As required System Connector(s) 5.i.1 0 Coaxial 5.i.2 As required System Pin 5.i.2 As required Audio 5.i.3 As required Control 5.i.4 0 Video 5.j As required Wire Management Required as described herein

B. 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. Head-End Equipment:

a. Provide all required power supplies, communications hubs, network switches, intelligent controllers and other devices necessary to form a complete system. Head-end components may be rack mounted or wall mounted in an enclosed metal enclosure.

b. Provide the head end equipment in the closest Telecommunications

Room where the System is installed.

Upgrade Nurse Call System 27 52 23 - 23

c. If applicable, provide the System UPS or battery inside the cabinet or in a separate cabinet adjacent to the head end cabinet that shall maintain a minimum of 30 minute battery back-up to all system components.

d. Equipment Cabinet: Comply with TIA/EIA-310-D. Lockable, ventilated metal cabinet houses terminal strips, power supplies, amplifiers, system volume control, and other switching and control devices required for conversation channels and control functions. See Paragraph 2.5.E for the Cabinet’s minimum internal items that are in addition to the installed System equipment.

e. Vertical Equipment Rack, Wall Mounted (to be included inside of the Equipment Cabinet) containing the following minimum items:

1) 36” (28RU) internal rack space, welded steel construction, minimum 20” usable depth, adjustable front mounting rails.

2) Install the following products in rack provided by same manufacturer or as specified:

a) Security screws w/ nylon isolation bushings.

b) Textured blank panels.

c) Custom mounts for components without rack mount kits.

d) Security covers.

e) Internal system ground copper buss (may be substituted with a bare #0 AWG copper wire or equivalent size copper mesh strip connected to ONLY THE FACILITY’S SIGNAL GROUNDING

SYSTEM.

f) Power Sequencer- rack-mounted power conditioner and

(provide as-needed) delayed sequencer(s) with (2) unswitched outlets each and contact closure control inputs.

Connect the conditioner to one of the dual duplex outlets.

g) Two (2) each 120VAC @ 20A dual duplex outlets, connected via conduit to the nearest Electrical Service Panel that is supplied by the Facility’s Essential Electrical System.

h) One (1) each 120VAC @ 15A Power Distribution Strip(s).

Connect each strip to the unstitched outlet on the power conditioner.

Upgrade Nurse Call System 27 52 23 - 24

3. HL7 Interface:

a. The system may 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 must be a “stand alone primary cable infrastructure” as described herein.

d. Connections to the VA LAN/WAN for functional or operable conditions will 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.

4. Wireless:

a. Vocera Paging Equipment / Systems

1) The nurse call/code blue system shall have the ability to interface ONLY with VA Certified and Licensed radio paging system (FCC Part 15 listed pagers and transmitters are not allowed for “Safety of Life” functions or installed in those specific areas – VA Headquarters TVE - 005OPB2 and SM -

005OPB2 are the ONLY approving authorities for this function) and must have the following minimum system features:

a) Ability to pass-through location information (such as a room number) and call-type as well as other text messages simultaneously to shift supervisor identified staff members

b) System shall allow the operator to select staff members by name and pager number…