S02 - Specifications.pdf

03-09-20

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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 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 may modify this document’s

EMERGENCY CODE COMPLIANCE REQUIREMENTS, on a case by case basis, in writing and confirmed by VA’s Project Manager (PM), Resident Engineer

(RE) and TVE-005OP3B. The VA PM is the only approving authority for other amendments to this document that may be granted, on a case by

27 52 23 - 2 case basis, in writhing with technical concurrencies by VA’s PM, RE, TVE-005OP3B and identified Facility Project Personnel.

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 RE 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).

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. Engineer:

Virtual Energy Solutions, Inc.

31 E. Ogden Ave, Suite 304

La Grange, IL 60525

(O) 312-583-7023

F. Owner:

Jesse Brown VA Medical Center

820 S. Damen Ave

Chicago, IL 60612

H. 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, 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 /

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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):

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

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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.

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.

3) Communications Certifications Labatory (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, 27 52 23 - 6

VACO Compliance and Life Safety Certification(s).

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).

2. National Codes:

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

Facilities.

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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.

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.

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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 must be provided in writing as part of the Contractor’s Technical submittal.

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 RE before being allowed to commence work on the System.

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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 will 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 will 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 will 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 will not be accepted or reviewed.)

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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.

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) will not review any submittal that does not have this list.

D. Provide four (4) copies to the PM for technical review. The PM will 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: ENR(s) ( aka DMARC), 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 are to be installed and interconnected to teach other (REFER TO

APPENDIX B – SUGGESTED TELECOMMUNI-CAITONS 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

27 52 23 - 11 contain the following information (the formats are suggestions and may 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 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.

2) See the plans for the required Nurse Call and/or Code Blue

Equipment Locations.

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.

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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 will 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.

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.

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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 and TCOs.

B. See the drawings for quantity and locations for each Nurse Call system device.

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.

2.1 SYSTEM DESCRIPTION

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

Call and/or Code Blue System.

B. The Contractor is responsible for interfacing the PA, CATV, Patient Bed

Service Walls and MATV 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. The System Contractor is not allowed to make

27 52 23 - 14 any connections to the Telephone System. VA shall arrange for the interconnection between the PA, CATV, Patient Bed Service Walls and

MATV Systems with the appropriate responsible parties.

E. System hardware shall consist of a 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, pocket page interfaces, computer interfaces, printer interfaces, wireless / telephone network interfaces, and nurse locating system interface (when specifically approved first by TVE 005OP3B) or 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 Rooms indicated on the drawings. The Nurse Call /

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

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. Provide a backup battery or a UPS for the System (including each distribution cabinet/point, CRT and Monitor) to allow normal operation and function (as if there was no AC power failure) in the event of an

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AC power failure or during input power fluctuations for a minimum of 30 minutes.

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.

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

a. 24/7/365 for certified inpatient Hospital Clinics.

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

Areas.

d. The minimum remote annunciation locations shall be:

1) Locations indicated on the drawings.

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

Headquarters TVE - 005OP3B DURING THE PROJECT DEVELOPMENT

STAGES AND PRIOR TO EQUIPMENT PURCHASE.

2. 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.

3. The MAXIMUM annunciation 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, 1992 revision], wires, contact switch connections, circuit boards, data, audio, and communication

27 52 23 - 16 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 insure protection from input primary AC power surges and to insure 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 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

27 52 23 - 17 connectors. Tape of any type, wire nuts or solder type connections are unacceptable and will not be approved.

R. 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 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.

S. 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.

R. 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:

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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.

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 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, 27 52 23 - 19

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, and

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.

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.

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.

27 52 23 - 20

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 RE 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.

2.4 PORDUCTS

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.

b. See drawings for quantities.

B. NS Room(s):

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:

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.

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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. 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.

c. Provide the System UPS 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 #6 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)

27 52 23 - 22 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.

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.

5. Personal Wireless Communicator

a. The System will only be allowed to connect to the personal wireless communications system, pass text data and provide a 2-way communication between the Telephone Interface and the personal wireless communicator as long as it is not a FCC Part 15 listed device(s), meets or exceeds UL 60950-1/2, meets OCIS Guide

Lines for FIPS 140-2 certification and the using staff shows an extensive training program along with recertification(s) according to the Facility Emergency Plan concerning HIPA requirements.

b. VA Headquarters TVE - 005OP3B and SM - 005OP2B are the approving authority for this requirement.

c. When communicators are approved, provide a minimum of ten (10) spare communicators for each 10 communicators issued.//

6. Other Wireless Equipment / Systems

27 52 23 - 23

a. Each proposed wireless system and/or equipment to be connected to or be a part of the System, each shall meet the minimum requirements outlines in Paragraph 2.7.A.

b. Contact TVE - 005OP3B and SM – 005OP2B for specific required PRE approvals (full or conditional) as described herein.

c. When approved, TVE-005OP3B and SM-005OP2B will provide the spare equipment requirements.

d. When other wireless components are approved, provide ten (10) components with one spare components for each 10 issued.//

F. TIP Cable Systems:

Connect the system to the TIP system. Provide additional TIP equipment, interfaces and connections as required by System design. Provide secured pathway(s) and lockable cabinet/rack(s) as required.

G. Interface Equipment:

1. TCR:

a. Code Blue Annunciation Station:

1) The Code Blue Remote Annunciation Station shall be located with the associated nurse call Annunciation Station.

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.

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.

27 52 23 - 24

d. Verify the exact bed types the hospital uses in each building at the site.

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

3. Nurse (aka Staff) Locator Interface:

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

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

c. These functions may be combined into one operation.

d. Provide two (2) spare interfaces.

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 one (1) pillow speaker for each patient station.

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.

H. Call Initiation, Annunciation and Response:

27 52 23 - 25

1. Light and Tones:

a Calls may 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 must 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.

c) All calls must be displayed until they are cleared by the nursing staff ONLY from the initiating device location.

2. Voice:

a Calls may be initiated through:

1) Patient station.

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.

I. Auxiliary Alarm Monitoring:

1. Each patient station must have the ability to connect a separate and isolated auxiliary alarm to it such as an infusion pump or data tracking / recording device (patient life support units ARE NOT allowed to be connected to these units UNLESS APPROVED BY TVE -

005OP3B DURING THE PROJECT DEVELOPMENT PHASE AS DESCRIBED HEREIN.

27 52 23 - 26

The System must support naming the device that is being monitored as well as display its alarms at the master station and via the room / corridor dome light(s).

2. Provide (2) alarm jacks at each patient station.

3. The above requirements may ONLY be allowed when the system has been approved by VA Headquarters TVE - 005OP3B and TVE - 005OP2B and concurred by the appropriate Medical Service(s) indicates it meets the minimum guidelines and requirements of Paragraph 2.8.A.

J. Patient and Staff Assignment:

1. System may provide for transfer of one or more individual or groups of stations from one master station to another without mechanical switches or additional wiring of the stations. The transfer may be initiated manually be the nurse or automatically at certain times of the day.

2. The Facility’s LAN/WAN IS NOT ALLOWED for Nurses Call/Code Blue main wiring which must be a “stand alone primary cable infrastructure.”

Connections to the VA LAN/WAN will be allowed ONLY when the LAN/WAN system has been demonstrated and certified by TVE - 005OP3B meeting the minimum guidelines and requirements of the Life Safety Code.

K. Reports:

1. The system’s generated reports logging all calls, alarms, response time, bed, and staff assignments may be allowed to transmit these reports to a central archiving entity.

2. Reports function shall be limited by passwords and security tier level access, so that only supervisors may access it when desired.

3. Provide instructions to the owner on how to enable/disable the reporting functions.

4. The Facility’s LAN/WAN IS NOT ALLOWED for Nurses Call/Code Blue main wiring that must be a “stand alone primary cable infrastructure.”

Connections to the VA LAN/WAN will be allowed ONLY when the system has been demonstrated and certified by 005OP2B meeting the minimum guidelines and requirements of the Life Safety Code.

L. System/Management Software:

1. Provide and install system/management software on minimum of three

(3) owner-provided computers.

a. The management software shall…