36C26319Q0704-002.pdf

Department of Veterans Affairs Engineering SOP No. 39 VA Central Iowa Health Care System March 26, 2010

Ceiling Mounted Patient Lift Installations

1. PURPOSE: To provide a process for reviewing and inspecting the installation of all ceiling mounted patient lift systems:

a. For patient lift systems that are under design, ensure the requirements on the ‘Design Checklist for Ceiling Mounted Patient Lifts’ are met (see Attachment A).

b. Complete the ‘After Installation Checklist for Ceiling Mounted Patient Lifts’

(see Attachment B) prior to permitting the equipment to be used for patient movement.

2. POLICY: It is the policy of Central Iowa Veterans Healthcare system to provide a safe environment for patients. This document will establish criteria for identifying potential problems associated with ceiling mounted patient lift installations, providing a safe environment, and training of personnel.

3. RESPONSIBILITY:

a. Chief, Engineering Service, or designee is responsible for ceiling mounted patient lift installations, ensuring installation is compliant with VA Handbook H-18-8, VHA Directive 2005-019, and VHA Master Design Specifications 3.05.041.

b. BioMedical Engineering is responsible for the operation, maintenance, testing, and inspection of the ceiling mounted patient lift systems in accordance with manufactures operation manuals.

c. Safe Patient Handling Facility Champion and BioMedical Engineering will be responsible for the operation of ceiling mounted patient lift systems and responsible for conducting risk assessments of these lift systems. See Item

(W) of Attachment B for training and competency. A copy of this training will be kept in staff training records.

d. Attachment A (Design Checklist for Ceiling Mounted Patient Lifts) and

Attachment B (After Installation Checklist for Ceiling Mounted Patient Lifts) will be available in: S:\DG\Engineering\Local Construction Design Standards for inclusion into future Supplement B Scope of Design Services.

4. PROCEDURES:

a. VHA Warning System AL10-07 has directed that Facilities Engineering Service will have a process in place to review and inspect the installation of all future ceiling mounted patient lift systems.

b. The installation of existing ceiling mounted patient lift systems and the need for future systems being installed requires this SOP be followed and proper documentation be completed and kept on file.

c. Representatives from Engineering Service will conduct onsite observations of existing ceiling mounted patient lift systems and determine whether proper documentation and installation procedures were conducted in accordance with Attachments ‘A’ and ‘B’, respectively.

5. REFERENCES:

a. VA Handbook H-18-8 Seismic Design Requirements.

b. VHA Directive 2005-019 Seismic Safety of VHA Buildings.

c. VA Master Design Specification 3.05.041 Seismic Restraint Requirements for Non-Structural Components.

6. REVIEW AND RESPONSIBILITY: Engineering Service

7. RESCISSIONS: None

PAUL J. RASMUSSEN

Chief, Engineering Service

Attachment A – Design Checklist for Ceiling Mounted Patient Lift Attachments:

Attachment B – After Installation Checklist for Ceiling Mounted Patient Lifts

Engineering Supervisors Distribution:

Engineering Project Section Biomed Staff Safe Patient Handling Nurse Managers

Attachment A Design Checklist for Ceiling Mounted Patient Lifts

All A&E Consultants and/or subcontractors designing Ceiling Mounted Patient Lift Systems shall provide, as part of their design criteria in conjunction with design criteria as outlined in applicable specifications, the following information within the design:

1. Location Information.

a. Provide Building and Room numbers where lifts will be installed.

b. Reference building and room schedule if more than one facility or room is part of the design.

2. Manufacturer information or equal (including model and serial number if available at time of design).

3. Verification of as-built drawings and structural engineering drawings for lift units being installed in an existing facility.

a. Identify source and method of as-built verification.

4. If the facility is located in the seismic area, verify that contractor is aware of VA Master Design Specification 3.05.041 Seismic Restraint Requirements for Non-Structural Components to incorporate into the installation design.

a. State within the design what zone of seismic area the facility is in and whether the facility is located in a seismic area.

b. The design shall acknowledge whether the above referenced restraint requirements were incorporated or not.

5. Verification of compliance with NFPA 13 for fire sprinklers.

a. State within the design whether the lift system is in compliance, not in compliance, or not applicable to the code.

6. Verification of compliance with NFPA 99 and NFPA 70 for proper grounding and bonding.

7. Verification of compliance with NFPA 99 and NFPA 70 for access to electrical and safety systems.

8. Verification of required access to engineering mechanical, HVAC, and fire systems components within the mounting area of the lift units.

a. Design shall demonstrate that access to above systems shall not be compromised.

End Attachment A

Attachment B

After Installation Checklist for Ceiling Mounted Patient Lifts

NOTE: This checklist does not release the A&E, their consultants, or the manufacturer of their contractual obligations of installing the lift system(s). A copy of the manufacturers Installation Quality Checklist and Inspection form for each lift shall be recorded in the engineer’s project file. This checklist as found in SOP #39, including Table 1, should only be used in the absence of the manufactures checklist as an interim until the proper installation and inspection is conducted by the manufacturer.

Attachment B (continued)

After Installation Checklist for Ceiling Mounted Patient Lifts

The commissioning for a patient ceiling lift system(s) shall include, but not be limited to, the following points as components of the commissioning procedures. Proper personal protection equipment (PPE) shall be worn by staff during these commissioning procedures. Verify that ceiling lifts are not installed in treatment units with actively suicidal patients.

1. Refer to manufacturer’s specific model and specifications to verify all location information, including minimum clearances for operation are compliant. If clearance information is not provided, refer to illustrations below; suggested clearances are 31 inches beside toilet and 55 inches beside a bed.

2. Manufacturer information, including model and serial number(s).

a. Manufacturer: _____________________________________________________________

b. Model No.: _______________________________________________________________

c. Serial No.: _______________________________________________________________

3. Confirm receipt of operator and maintenance manuals.

a. Disposition of O&M manuals: ________________________________________________

4. Inspection of units by Contracting Officer’s Technical Representative (COTR: Maintenance &

Repairs, Facilities Engineering Services, Biomedical Engineering, or Safety) prior to release of lift(s) to clinical use.

a. Inspected by: _____________________________________________________________

Printed name date

5. Training of clinicians and other staff who move and handle patients on the use of patient handling equipment is accomplished by the manufacturer or their designated representative. Training is documented and competency verified prior to release for use with patients.

TABLE 1 Attachment B (continued)

INSTALLATION QUALITY

CHECKLIST AND INSPECTION

This checklist is to be used by the VA Central Iowa Health Care System in the interim of the manufacturer’s installation and inspection of ceiling mounted patient lift systems being accomplished. Review the engineer project files first for a copy of the manufacturer’s installation and inspection checklist before using this checklist.

Building No.: _______________________ Room No.: _____________________

Lift Manufacturer: _______________________ Lift Model No.: ______________

Lift Serial No.: __________________________

Checklist Item Inspection Installer Initials Specification

Proper connections of structural system to the building’s structure including seismic bracing if applicable.

YES NO N/A

Refer to project engineer files for submittal documentation. Architectural & Engineering (A&E) consultant shall provide Installation Checklist and inspection shall be verified by the company installing the system and witnessed by the owner. If none are on file, the A&E is responsible for providing copies of the approved submittals.

Proper structural component sizing and physical installation.

YES NO N/A

Refer to project engineer files for submittal documentation. A&E shall provide product submittals verifying proper structural component sizing and physical installation of system supporting the lift. If none are on file, the A&E is responsible for providing copies of the approved submittals.

Anchors YES NO N/A Per the approved submittal.

Cross Bracing YES NO N/A Per the approved submittal.

Seismic Bracing YES NO N/A Per the approved submittal.

Vertical Threaded Rod and Structural Fittings YES NO N/A Per the approved submittal.

Ceiling Brackets YES NO N/A Secured and not loose.

Ceiling Bracket Screws YES NO N/A All tightened per the approved submittal.

Proper interface of lift unit at ceiling (hard deck or soft tile) and proper installation of all protective features around the support rods and rails/tracks.

YES NO N/A Per the approved submittal.

Inspection of lift motor casing for cracks and alignment.

YES NO N/A No cracks and properly aligned.

Full extension and inspection of lift strap for loose threads or frays.

YES NO N/A No loose threads or frays.

Inspection of sling material and sling stitching for loose threads or frays.

YES NO N/A

No loose threads or frays.

Positive End Stops YES NO N/A End Stops are in place and tightened per the approved submittal.

Charging Dock YES NO N/A Installed and operating properly. Lift docks and charging properly.

Tightened per the approved submittal.

End Caps YES NO N/A Fully sealed in end of track. Free of any burs.

Lift Charging YES NO N/A LED on the charger shows GREEN when the unit is ON, RED when low battery condition, ORANGE when charging.

Trolleys YES NO N/A Fixed Lifts – All tight; wheels rotate feely

Lifts YES NO N/A All controls work properly. Upper and lower limit switches operate properly.

Spreader Bar YES NO N/A Install pins. Check pin lock. No cracks or missing rings or cotter pins.

Upper Limit Switch YES NO N/A Ensure that the lifting motion stops when the tape thickness meets the rollers.

Slack Tape Switch YES NO N/A Ensure that the lowering motion stops when the tape is completely unwound.

Handset Functions YES NO N/A

Test all functions on the hand control to confirm they are operational.

Emergency Lowering (on lift) YES NO N/A

Ensure that the emergency lowering function on the lift is functioning.

Gate Assembly YES NO N/A Ensure that the gate safety system is functioning correctly. Should be bolted securely so that no movement is apparent.

Turn Table Assembly YES NO N/A All stops are in place and turntables rotate freely.

Track Joints YES NO N/A Level and smooth. Lift rolls over gaps smoothly.

Track Joints YES NO N/A

Track is clean and level. Confirm track is clean and clear of all debris (suggest wiping entire length of interior track channel with a soft cloth).

Note: Use manufacturer’s recommended cleaning materials to avoid damage to the motor case and other components. Phenol or chlorine solutions may damage some motor case surfaces.

Soft Start or Soft Stop Features YES NO N/A Lifting speed does not exceed 2.5 inches per second with “zero” load.

Soft Start and Soft Stop Features YES NO N/A Lifting speed does not exceed 1.5 inches per second under maximum rated lift capacity.

Emergency brake at maximum rated lift capacity.

YES NO N/A Brake function operated smoothly and fully arrested decent.

Emergency lowering feature at maximum rated lift capacity.

YES NO N/A Emergency lowering feature lowered smoothly to receiving surface.

Rail deflection test

(______________)inches

YES NO N/A

Conduct this test in three progressive stages starting with a 100 lbs load, then 50% of maximum rated lift capacity, then 125% of maximum rated lift capacity.

1:200 deflection rate is met, measured from middle of span at 125% of max load.

Load Test

(______________) lbs

YES NO N/A

Along entire track path and/or coverage area pausing under each bracket for no less than 1 minute at 125% of max load.

Time/Date: _________________________

Inspection Completed By: ___________________________________________

Witness: _________________________________________________________

FILE COPY

End Attachment B