New York State Mental Health Materials and Systems Guide

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PATIENT SAFETY STANDARDS

5th Edition

January 31, 2011

Patient Safety Standards

Materials and Systems

Guidelines

Recommended by the New York State Office of

Mental Health

With respect to NYS-OMH operated facilities, these Guidelines apply solely to new construction and major renovation projects. Existing facilities should use these Guidelines as a reference document whenever they make improvements to existing facilities.

New York State Office of Mental Health

Developed in Association with architecture+, Troy, NY

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PATIENT SAFETY STANDARDS

5h Edition

January 31, 2011

Patient Safety Standards Materials and

Systems Guidelines

Recommended by the New York State Office of Mental Health

Table of Contents

20. Mechanical Systems Equipment & Devices

a. Thermostats

b. Louvers & Grilles

21. Plumbing Fixtures & Systems

a. Toilets b. Drinking Fountains c. Showers d. Activators e. Lavatories f. Basins g. Pipe Enclosures 22. Electrical

a. Receptacles & Switches b. Fire Alarm Components

23. Lighting Fixtures a. High Risk b. Medium Risk c. Exit Signage 24. Furniture 1. Introduction

2. Nomenclature & Applicability

3. Fasteners

4. Sealants

5. Glazing & Windows

6. Anti-barricade Strategies

7. Suicide Resistant Strategies

8. Door Hardware

9. Seclusion Rooms

10. Shower/Privacy Curtain & Tracks

11. Wardrobe Hooks & Closet Bars

12. Interior Walls & Ceiling

13. Access Panels & Medical Gas Enclosures

14. Cabinet Hardware

15. Handrails & Corner Guards

16. Toilet Accessories

17. Window Treatments

18. Specialties

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PATIENT SAFETY STANDARDS

Introduction:

Best Practice 1980 to Early 1990’s:

Focus Above the Waist

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January 31, 2011

Windows and Vision Panels Door Hinges

Sprinklers

HVAC Terminal Devices and Covers Thermostats Door Closers Light Fixtures Window Treatments Shower Curtains Access Doors

Fire Alarm Components Shower Heads

Clothes Hooks

Cabinetry and Hardware Hanger Rods

Ceilings

Anti-Barricade Strategies Electrical Receptacles Medical Gas Enclosures

Bulletin Boards/Picture Hanging Systems

Toilet Partitions Mirrors

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PATIENT SAFETY STANDARDS

2/14/2011DRAFT

1998: JCAHO Sentinel Event Notification

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PATIENT SAFETY STANDARDS

Current Best Practice: Focus Everywhere

5th Edition January 31, 2011 Door Knobs/Levers Door Bumpers Cabinet Hardware Lavatories Faucets Lavatory Valves Shower Actuators Toilet Seats

Toilet Operator Valves Plumbing Traps and Piping Grab Bars

Furniture

Toilet Accessories

Trim Strips Between Assemblies Sealants/Caulk

Fire Extinguisher and Hose Cabinets Rubber Base (avoid use)

Principles that support patient safety strategies avoid

systems, assemblies and materials that can be weaponized, yield sharp edges, or provide ligature points.

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PATIENT SAFETY STANDARDS

Introduction: Risk Management, Not Risk Elimination

FGI Guidelines for the Design and Construction of Healthcare Facilities, 2006 Edition, NAPHS Design Guide for the Built Environment of Behavioral Health Facilities

Appendix

A1.5 Environment of Care

A safe environment is critical; however, no environment can be entirely safe and free of risk. The majority of persons who attempt suicide suffer from a treatable mental disorder or a substance abuse disorder or both. Patients of inpatient psychiatric treatment facilities are considered at high risk for suicide; the environment should avoid physical hazards while maintaining a therapeutic environment. The built environment, no matter how well it is designed and constructed, cannot be relied upon as an absolute preventive measure. Staff awareness of their environment, the latent risks of that environment, and the behavior risks and needs of the patients served in the environment are absolute necessities. Different organizations and different patient populations will require greater or lesser tolerance for risk.

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PATIENT SAFETY STANDARDS

This document offers guidance with respect to patient safety features in the inpatient

psychiatric environments throughout New York State. It grows out of the State’s standards for new construction for NYS-OMH’s own inpatient hospital in order to also provide guidance for:

• Existing NYS-OMH state-operated inpatient facilities

• Psychiatric Units in NYS-DOH licensed Article 28 general hospitals • NYS-OMH licensed Article 31 hospitals

This document is not intended to provide guidance with respect to outpatient spaces. Generally the risks associated with outpatient facilities do not warrant special

environmental precautions.

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January 31, 2011

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PATIENT SAFETY STANDARDS

Introduction: Purpose

The purpose of these guidelines is to provide a selection of materials, fixtures, and hardware that OMH has

reviewed and supports for use within psychiatric inpatient units in order for further the agency’s goal of reducing of the risk of harm to individuals in inpatient settings. Utilization of any of these products is not mandatory. OMH would be pleased to evaluate other products identified by hospitals.

Many of the items in this document represent the current state of the art. It is anticipated that additional or more effective products will continue to be developed. OMH intends to periodically update these guidelines to keep current with these changes, but the hospital also has an obligation to continue to review products that will assist in this goal.

Items selected represent the styles and properties of products that help lower patient risk while on a unit. However, installation of these products will not eliminate all risks.

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PATIENT SAFETY STANDARDS

Introduction: Approach

OMH supports a multi-directed approach to the reduction of patient harm on inpatient psychiatric inpatient units including the following:

• Completion of a patient risk assessment. • Completion of a physical plant risk assessment.

• Ongoing staff training to ensure their awareness of potential risks on the unit. • Installation of products in patient bathrooms and bedrooms that reduce risks. • Routine inspections of psychiatric units to ensure safety levels are maintained

Additional and more detailed information on many of the items found in these standards can be found in NYS-OMH’s Standard Specifications on the OMH web-site.

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PATIENT SAFETY STANDARDS

Typical High Risk Areas:

Patient is difficult to manage, or risk of solitary and/or unsupervised use: • Patient Bedrooms

• Bathroom/Toilet Rooms • Seclusion Rooms • Comfort Rooms

Special care should also be taken in on-unit patient spaces with ceilings with less than 9’-0” above finished floor.

Introduction: Risk Assessment

Typical Medium Risk Areas:

Patient access is controlled, or use is supervised with no solitary unsupervised use. • Living Room

• Dining Room • Group Room

Typical Low Risk Areas:

No patient use or constantly supervised. • Medication Room

• Offices

• Clean and Soiled Utility Rooms

Note: Products appropriate for High Risk areas are also appropriate for use in Medium Risk and Low Risk areas.

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PATIENT SAFETY STANDARDS

Nomenclature and Applicability

ACCEPTED BY OMH: Items with this symbol constitute a best practice for all

facilities and a minimum standard for new construction and renovation projects at OMH’s state-operated inpatient hospitals. Unless alternatives are identified in the notes section of the page, such items are also minimum standards for Article 31 hospitals and existing state-operated inpatient facilities

PENDING NYS OMH APPROVAL: Items with this symbol are currently being

assessed by NYS-OMH for suitability in NYS psychiatric hospitals or units.

NYS OMH REJECTED: Items with this symbol are unsuitable for use in new

construction or renovation in NYS psychiatric hospitals or units.

USE WITH CAUTION: Items with this symbol might be suitable for certain inpatient

environments; however, they should be used with caution. Some of these items have institutional characteristics that are not appropriate for an environment that is certified by the Joint Commission, which requires non-institutional fittings and fixtures. Others of these items have inherent risks that must be evaluated for their appropriateness for the intended application.

RETROFIT: Items with this symbol are not suitable for use in new construction but are

acceptable for renovation in NYS psychiatric hospitals or units.

Notes like this on each page will identify additional considerations that are applicable and also will identify alternative products that will be acceptable as minimum standards for Article 31 hospitals, Article 28 hospitals and as existing conditions in a State-Operated hospital.

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PATIENT SAFETY STANDARDS

Fasteners

Torx and Torx Plus Tamper-Resistant by Camcar Division of

Acument™ Global Technologies

McGard Tamper-Resistant Security Products

Note:

Tamper resistant fasteners are to be used at ALL fasteners at every product and assembly exposed to view or accessible within the inpatient environment. Include note on all drawings and coordinate with all disciplines, specifications and vendors. Alternate Minimum Standard for Facilities other Than New NYS-Operated: 2-Pin Spanner Head Fasteners. McGard and Bryce are just two among many acceptable manufacturers of higher security fasteners relying on limited distribution tools or custom keyed fasteners. Generally custom tooled fasteners like McGard will cost more than off the shelf fasteners.

McGard

Performance Criteria: All fasteners exposed to view shall be tamper resistant,

of the hexalobular (6-lobed), pin-reject, internal drive system, meeting ISO standard 10664.

Tamper-Resistant: Resists Ad Hoc Compromise Attacks.

Offers custom tooling

www.mcgard.com

Acument

www.acument.com

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PATIENT SAFETY STANDARDS

Sealants: Security Grade

Notes:

Pick proof sealants may not be suitable for active joints, due to their hardness.

Some security sealants may not be suitable for use where contact with food may occur.

Some security sealants may have VOC or other chemical content that generates unpleasant or unacceptable odors and fumes during curing.

All sealants must be reviewed for potential impact on occupants prior to use.

All sealants must be used with care and consideration for the manufacturers’ recommendations for ventilation and safety.

Picking and Pica behaviors are prevalent and impact sealant choices in patient areas.

Consider selecting security grade sealants in all inpatient areas. Tamper resistant sealants are generally

suitable for supervised areas, while pick proof sealants are generally suitable for unsupervised areas. The use of pick proof sealants is mandatory in all seclusion rooms at NYS-OMH facilities.

Tamper resistant sealants are generally flexible, abrasion resistant and highly tenacious. They are usually based on urethane or silicone sealant technology, either 1 or 2 part formulas. They are available in a variety of packaging, ranging from 10 oz. tubes to gallon(s) size containers.

Pick proof sealants are generally hard, inflexible and extremely durable. They are usually based on epoxy

technology, and are usually 2 part formulas. They are available in a variety of packaging, ranging from 10 oz. tubes to gallon(s) size containers.

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Sealants: Tamper Resistant

Sikaflex-11 FC

is a single component, gun grade, moisture cure polyurethane, elastomeric sealant.

Features / Benefits

• High elasticity •Fast cure rate •Paintable

• Tough, durable, flexible

• Exceptional cut and tear resistance • Exceptional adhesion to most substrates

•10.1 oz. tubes

Sikaflex-1a

is a single component, premium grade, moisture cure polyurethane, elastomeric sealant.

Features / Benefits

•High elasticity allowing 35% +/- movement

•Fast cure rate •Paintable

•NSF certified, meets USDA guidelines •Odorless

• Tough, durable, flexible

• Exceptional cut and tear resistance • Exceptional adhesion to most substrates •10.1 oz. tubes 5th Edition January 31, 2011 www.sikaconstruction.com Sikaflex-2c NS TG

is a two component, premium-grade, polyurethane-based, elastomeric sealant.

Features / Benefits

• High elasticity allowing 25% +/- movement

• Tough, durable, flexible consistency • Exceptional cut and tear resistance • Exceptional adhesion to most substrates without priming •1 gallon (2 part) kits

Performance Specifications •ASTM C-920

•Type M •Grade NS

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PATIENT SAFETY STANDARDS

Performance Specifications •ASTM C920

•Type: M (S for DynaFlex SC) •Grade NS

•Class 12.5 www.pecora.com

DynaFlex

is a two component, non-sag,

elastomeric polyurethane joint sealant.

Features / Benefits

•Interior joints

•Excellent elongation and movement •Good adhesion to most building materials, primer recommended • Good adhesion to polycarbonate sheet, primer required

•Paintable

•1.5 gallon (2 part) kits

DynaFlex SC

is a single component, non-sag, elastomeric polyurethane joint sealant.

Features / Benefits

•Interior joints

•Excellent elongation and movement •Good adhesion to most building materials, primer recommended • Good adhesion to polycarbonate sheet, primer required

•Paintable •10.1 oz. tubes •20 oz. sausages •2 gallon containers 5th Edition January 31, 2011

Sealants: Tamper Resistant

Sonolastic Ultra

is a single component, moisture curing polyurethane sealant, UV resistant, non-chalking, non-staining and self cleaning for unmatched durability.

Features / Benefits

• Excellent puncture and abrasion resistance

• Recommended for exterior and interior joints, up to 24% movement •20 oz. sausages Performance Specifications •ASTM C-920 •Types: S •Grade: NS •Class: 25 •Uses: NT, M, A, G, and I www.buildingsystems.basf.com

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Sealants: Pick Proof

EUCO #452-P Epoxy System

is a 100% reactive, two component security sealant. It is a moisture

insensitive, high modulus epoxy gel that can be applied on vertical, horizontal and overhead work.

Features / Benefits

• High strength for superior pick proofing • Excellent bond strength to prevent removal

• Water tight

• Wear resistant for high traffic applications

•1 gallon and 3 gallon kits

Performance Specifications •ASTM C881

Type I, IV, & VI; Grade 3, Classes B & C (Gel Time & Bond Strength)

•ASTM D 638

(Tensile Strength & Modulus of Elasticity) •ASTM C 695 (Compressive Strength) www.euclidchemical.com 5th Edition January 31, 2011 Sikadur AnchorFix-2

Is a two component (single

package, self-mixing), 100% solids, solvent-free, moisture-tolerant, high-modulus, high-strength, structural epoxy adhesive/sealant.

Features / Benefits

•Structural repairs to ¼‖ width. •High Strength •Styrene-free •Low odor •Low waste •Moisture tolerant •10.1 oz. tubes Performance Specifications •ASTM C-881

•Types: I, II, &IV •Grade: 3 •Class: B & C •AASHTO M-235 www.sikaconstruction.com

Sikadur 31, Hi-Mod Gel

Is a two component, 100% solids, solvent-free, moisture-tolerant, high-modulus, high-strength, structural epoxy paste adhesive/sealant.

Features / Benefits

•Excellent adhesion to concrete, masonry, metals, wood and most structural materials.

•Structural bonding of concrete, masonry, metals, wood, etc., max. glue line 1/8‖.

•Interior horizontal vertical and overhead use.

•Fast setting

•16 oz. kits (2-part, each 8 oz.) •3 gallon units

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DynaPoxy EP-1200

is a rigid, two component, solids, high-modulus epoxy resin security sealant.

Features / Benefits

•Outstanding adhesion to similar or dissimilar materials

•High abrasion resistance

•Suitable for horizontal, vertical and work •1.5 gallon (2 part) kits

Performance Specifications •ASTM C-881 •Type: I www.pecora.com 5th Edition January 31, 2011

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PATIENT SAFETY STANDARDS

Glazing & Windows: Security Glazing Risk Assessment

General

The following are risks and performance criteria to consider when specifying glazing in both supervised and unsupervised area s that are accessible to patients. All windows and glazing in areas accessible to patients should be evaluated as part of the facility risk assessment. Windows and glazing in areas that are not routinely accessible to patients, but may become accessible to patients (i.e., a staff office that is left unlocked, or a staff office that is later converted to a bedroom) should also be considered as part of the facility risk assessment. Windows and glazing that are considered a risk to patients for the behaviors listed below should be constructed in accordance with this standard. The design of the entire window and glazing system must be considered.

In all patient areas where the applicable codes and regulatory authority permit the use of polycarbonate glazing, polycarbona te glazing provides the best protection for the patient against the risks listed below. Laminated safety glazing, except for products specifically approved by OMH, should be used with caution Glazing products other than polycarbonate or laminated safety glass should never be used in patient areas. The NYS OMH does not perm it the use of wired glass in its facilities.

Escape

Both exterior and interior windows and glazing are a primary target for a patient who is trying to escape. Windows and glazing in both supervised and unsupervised areas provide an opportunity for a patient to escape. It is critical to consider the design of the entire window, together with the installation in wall openings, when designing to prevent escape.

Jumping

Patients will jump in order to hurt themselves, or push others through window openings in order to hurt others. Jumping is a concern for spaces accessible to patients above grade level.

Ingesting

Patients will eat things for a variety of reasons, including a wish to cause themselves personal harm. Non-laminated glazing should never be used in a patient accessible area. Even the small fragments that come from tempered or laminated glazing can cause severe internal injuries or death. When considering using laminated glazing, care must be taken to select glazing that meets the following criteria:

The laminated glazing should wholly resist the breakage (penetration) of the glazing panel.

The laminated glazing should wholly retain broken glass in a manner that prevents dislodging from the interlayer.

Laceration

Patients will cut themselves. Glass presents an obvious opportunity for such behavior. When considering using laminated glazing, care must be taken to select glazing that meets the following criteria:

The laminated glazing should wholly resist the breakage (penetration) of the glazing panel.

The laminated glazing should wholly retain broken glass in a manner that prevents dislodging from the interlayer.

The laminated glazing should prevent access to the sharp edges of broken glass, even if they are retained on the interlayer.

Weaponizing

Patients will use objects in their environment to harm others. Glass presents an obvious opportunity for such behavior. When considering using laminated glazing, care must be taken to select glazing that meets the following criteria:

The laminated glazing should wholly resist the breakage (penetration) of the glazing panel.

The laminated glazing should wholly retain broken glass in a manner that prevents dislodging from the interlayer.

The laminated glazing should prevent access to the sharp edges of broken glass, even if they are retained on the interlayer.

The glass industry’s standard test for penetration and impact resistance for laminated glass is conducted on a very small unit (approximately 24‖ square). Similar performance to the test sample should not be expected on a 4x6’ window.

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Glazing & Windows: Security Glazing

5th Edition

January 31, 2011

Makrolon 15

by Sheffield Bayer 15 year Warranty

Sabic Lexan SL-4855 with NYS-

OMH Warranty (Substitute Lexan MR10 with Marguard II-UV coating for non-NYS projects)

www.makrolon.com www.sabic.com

Laminated Glazing

10.3 mm Sentryglas Laminate by Oldcastle Building

Envelope:

No 1 surface: 4 mm heat-strengthened glass

No 2 surface: 2.3 mm DuPont Sentryglas Plus interlayer No 3 surface: 4 mm heat-strengthened glass

No 4 surface: 3M Ultra 600 anti-spall film

www.oldcastlebe.com

Polycarbonate Glazing

3/8” Laminated Safety Glass by Oldcastle Building Envelope:

No 1 surface: 3/16‖ heat-strengthened glass No 2 surface: 0.060‖ PVB interlayer

No 3 surface: 3/16‖ heat-strengthened glass

Note: intended for use only as an exterior lite at grade, courtyards or porches with

supervised patient access. Do not use in any area where a patient may be left unsupervised.

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PATIENT SAFETY STANDARDS

Glazing & Windows: Windows (Security Glazing)

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January 31, 2011

New Exterior Windows

Wausau Windows 4000i DT in-projected casement and fixed units. No security screens required. External insect screens are available. 4” opening restriction for operable windows.

Retrofit Applications

Wausau Windows Interior Storm Window Seal 2187-DT. Can be installed over existing in-place windows, or as part of aluminum storefront or curtain wall installation

For Both New Exterior Windows and Retrofit Applications:

•Exercise caution if window sizes exceed 4x6’’

•Provide concealed, operable blinds. Do not use low profile operator – it creates a ligature point.

•Provide one of the following three glazing options for the interior lite.

1. ½-inch polycarbonate with 1-inch continuous edge bite, dry glazed

2. 10.3mm Sentryglas laminate with 1-inch continuous edge bite, dry glazed

3. 10.3mm Sentryglas laminate with ½-inch continuous edge bite, silicone glazed

Notes

Alternate Minimum Standard for Facilities other Than New NYS-Operated:

Provide detention screen, or windows with sash, frame and glazing capable of withstanding ten 2,000 foot-pound impact loads from a 1 foot diameter impact object without breach, dislodging or breakage. The use of alternative window treatments identified elsewhere in this document is an alternative to integral blinds.

www.wausauwindow.com 1/8‖ vertical thumb wheel tilter Blind tilt control knob Side mount angled

Low profile Vertical mount angled

Blind Operators

x

See OMH Specification Guideline for 085653 Security

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Glazing & Windows : Windows (Security Glazing)

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January 31, 2011

New Exterior Windows:

Moduline Windows 64P-3 ¼” for use with 1/4-inch exterior glazing, or 66P-4” for use with 1-inch exterior insulated glazing.

•No security screens required. External insect screens are available.

•4” opening restriction for operable windows. •Exercise caution if window sizes exceed 4x6’’ •Provide concealed, operable blinds. Do not use low profile operator – it creates a ligature point.

•Provide one of the following three glazing options for the interior lite.

1. ½-inch polycarbonate with 1-inch continuous edge bite, dry glazed 2. 10.3mm Sentryglas laminate with

1-inch continuous edge bite, dry glazed

3. 10.3mm Sentryglas laminate with ½-inch continuous edge bite, silicone glazed

Notes

Alternate Minimum Standard for Facilities other Than New NYS-Operated:

Provide detention screen, or windows with sash, frame and glazing capable of withstanding ten 2,000 foot-pound impact loads from a 1 foot diameter impact object without breach, dislodging or breakage. The use of alternative window treatments identified elsewhere in this document is an alternative to integral blinds.

Moduline Windows

by Oldcastle Building Envelope

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Glazing & Windows: Windows (Ventilation)

Berlin, Germany:

European product design for psychiatric hospitals (under evaluation)

•Ventilator is separate from window with an exterior screen avoiding an institutional look.

•Window soffit, stool, and vertical walls (on each side of ventilator door) is deep enough to conceal the top of ventilation door in window assembly to reduce a ligature opportunity.

•Design refinement would consist of pocketing the door in the vertical wall on the hinge side of the ventilation door. The ventilation door would have a 2 lock position – (1) closed position & (2) open position, staff controlled.

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PATIENT SAFETY STANDARDS

Glazing & Windows: Windows (Ventilation)

Sliding Window Assembly with perforated metal screen.

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Middlesbrough, England:

European product design for psychiatric hospitals (under evaluation)

Design Aspects:

Metal Screen Exterior Metal Screen Interior Window Assembly - Exterior

Window Assembly - Exterior Window Assembly - Interior Window Assembly - Interior

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Glazing & Windows: Windows (Ventilation)

Window assembly projects out from the building façade. Window sill and jambs slides under perforated metal window jambs and sill to close ventilation.

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Dublin, Ireland:

European product design for psychiatric hospitals (under evaluation)

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Glazing & Windows: Rated Glass at Doors & Sidelights

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January 31, 2011

For 1-Hour Enclosures:

Use 3/8” polycarbonate in conjunction with sprinkler head (not tested per ASTM F 1233) and 5/8” stops.

Do not use wire glass. For more than 1-Hour:

FireLite and Firelite Plus™ by Technical Glass Products is a 5/16" (8mm) thick laminated fire-rated and impact safety-rated glazing material. It is listed for use in doors, sidelights, transoms and borrowed lites with fire rating requirements ranging from 20 to 90 minutes (3 hours in a door).

Notes

3/8‖ polycarbonate without supplemental sprinkler heads protection is an

acceptable alternative for unrated vision panels where the AHJ will accept OMH’s Warnock Hersey test.

Existing wire glass should be removed or protected with either an after-marked vandal resistant protective film or surface mounted 3/8‖ polycarbonate on faces accessible to patients. CAUTION: Shards are produced by impact .

Warning:

Impact safety glazing does not equal security glazing. See summary. www.fireglass.com

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Glazing & Windows: Safety Glass at Doors & Sidelights

Notes

FireLite Plus was the safest ceramic glass tested. However, all of FireLite’s products produced shards of glass which were dangerous.

FireLite Plus FireLite NT Standard FireLite NT Premium

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Glazing & Windows: Safety Glass at Doors & Sidelights

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January 31, 2011

Traditional fire-rated glass with a tough, durable fire-rated safety film applied to meet highest impact

safety standard, CPSC 16CFR 1201 Cat. II, which requires withstanding 400 ft. lbs., due to accidental impact. While a possible replacement for traditional unsafe wired glass, not a replacement for security glazing.

Features:

Positive Pressure fire rated.

1/4” (7mm) for use in standard hollow metal systems.

For use in steel, wood, aluminum or any equally rated fire-rated framing system.

Warning: Impact Safety Ratings does not equal Security Ratings

While these products have many applications as Safety Impact Glazing such as schools and public buildings, they are not intended for special populations where security is also required. These are not tested per ASTM F 1233 and therefore are not Security Glazing. Rejected because of breakage and shard production.

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Glazing & Windows: Film Applied to Glass

Films have been used to retrofit and upgrade non-compliant glass and to provide a modicum of safety in some facilities.

Features:

Anti-spall composite films designed to prevent showering of shards following conventional glass failure may help prevent off-sharding, laceration, weaponizing and ingesting for applications where human safety is paramount

Films may provide cost effective safety

improvement for pre-existing non-safe glazing materials by increasing the penetration resistance of any thickness of glass

Used only in interior glazing, between spaces at same level and then only when the use of polycarbonate is impractical.

An appropriate film is most likely to use a combination of PVB, PET and a hard coat.

Note

Warning: Applied Film does not provide Security

Film shall NOT be used in OMH facilities to prevent Escape or Jumping. •Do NOT use in exterior glazing facing non-secure open space.

•Do NOT use in any upper story exterior glazing.

•Do NOT use in interior glazing one or more stories above the adjacent floor space. Each Facility shall conduct their own risk assessment to determine the appropriateness of film applications for use in their specific situations.

SafetyShield® 1500 from Madico™

www2.dupont.com

www.madico.com

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January 31, 2011

Spallshield® from DuPont™

www.3m.com

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Glazing & Windows: Interior Glazing

www.plaskolite.com

• Specify minimum 0.236‖ thick • Installation Option 1: Install in

hollow metal frame with glazing stops to provide a 5/8-inch continuous edge bite .

• Installation Option 2: Install in hollow metal frame with glazing stops to provide a ½-inch

continuous edge bite with structural silicone sealant at the full perimeter.

Interior Glazed Openings

Partially Transparent Observation Mirror (2-way Mirror)

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Transparency

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PATIENT SAFETY STANDARDS

Lexan Dura-Mir™—0.25" (6 mm) polycarbonate. Plaskolite Plastics – 0.118‖ polycarbonate

ASI-600 SS Mirror

Notes

Only polycarbonate is recommended for use in Patient Bathrooms. www.americanspecialties.com

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Anti-Barricade Strategies

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PATIENT SAFETY STANDARDS

Anti-Barricade Strategies

McKinney DS6

Notes

Specify gap tolerance at top. 1/8‖ max.

Add compression seal at jamb and strike edge of doors. Noise/Sound a concern. Has potential hanging point tight at top.

Note: Staff is to be cautious

with fingers when releasing the door stop if the patient is leaning against the door.

www.mckinneyhinge.com www.accuratelockandhardware.com

Double Lip Strike

with keyed Emergency Stop

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PATIENT SAFETY STANDARDS

Royde & Tucker/Laidlaw ABH Manufacturing

Notes:

For corridor doors, verify Life Safety Code requirements to limit passage of smoke. Specify appropriate gap tolerances at top and jambs.

Add compression seal at jamb and strike edge of doors, for privacy. This may be omitted on private bathroom doors opening onto private bedrooms.

Door that are not steel or solid core require reinforcing for top & bottom pivots.

Rixson Pivot Hinge

www.abhmfg.com www.rixson.com

www.ratman.co.uk

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PATIENT SAFETY STANDARDS

• Provide applied continuous stops fastened to frames with tamper resistant reversible fasteners • Takes time to remove

www.rixson.com

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January 31, 2011

www.intastop.com

• Unlocks by key and swings open with integral grab handle • Sloping tip; no ligature

point • Refer to

manufacturer's data when used in a fire rated assembly

Anti-Barricade Strategies

Removable Door Stop Rixson Pivot Hinge

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PATIENT SAFETY STANDARDS

Laidlaw Bespoke Range

Notes

In solving anti-barricade it creates a ligature point, and therefore is not recommended.

• Hinge, (1200mm/4ft) not continuous

• Creates a ligature point • Takes time to remove

www.laidlaw.net

5th Edition

January 31, 2011

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PATIENT SAFETY STANDARDS

Notes

Mini-Door Swings out. Solution is thus barricade-proof.

Door is not fire-rated unless specifically tested and approved by authority having jurisdiction

Wicket Door

5th Edition

January 31, 2011

(37)

PATIENT SAFETY STANDARDS www.soss.com 5th Edition January 31, 2011

Anti-Barricade Strategies

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PATIENT SAFETY STANDARDS

Notes

Primary doors require continuous hinges with hospital tips. •Edge bevel may need to be increased.

•Edge strip is friction fit •Hardware prep is required

•Custom screw length is required to reach solid material on door edge

•Field prep is limited

•Manufacturer must verify the fire rating of the door. Acrovyn Wicket Door http://www.c-sgroup.com/ 5th Edition January 31, 2011

Anti-Barricade Strategies

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PATIENT SAFETY STANDARDS

7. Double Leaf Door

8. Framed Sidelight

Notes

The Ceco Sidelite Unit needs to be specified without the glazing. www.cecodoor.com

5th Edition

January 31, 2011

(40)

PATIENT SAFETY STANDARDS

Double Leafed Door Framed Sidelight Door

In-Swing Main Door Out-Swing Sidelight Door

with Center Mullion In-Swing Active Door

Out-Swing Inactive Door

Notes

Inactive leaf should be fixed top and bottom with flush bolts.

5th Edition

January 31, 2011

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PATIENT SAFETY STANDARDS

Double-Leaf Door

Notes

Inactive leaf should be fixed top and bottom with flush bolts. 5th Edition

January 31, 2011

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PATIENT SAFETY STANDARDS

Notes:

Do not use roller latch on corridor doors; use only for en-suite bathroom doors. Cone shaped door knobs do not comply with ADA graspability requirements.

Ideally, provide external keyed locking and ligature resistant privacy latching with external anti-barricade over-ride (typically found in institutional privacy latch sets) for emergency access, and external keyed locking. Note: few auxiliary latches (or latch sets) will provide all four levels of functionality.

While we recommend the use of roller latches on en-suite bathroom doors there may be occasions where lever latch sets might be used, with the following cautions:

―Dormitory‖ function is preferred because it provides simultaneous retraction of the latch bolt and privacy lock bolt. This function is not currently available with ligature resistant trim except from Accurate Hardware.

―Institutional Privacy‖ function (available with ligature resistant trim) provides privacy, but does not provide ability to lock user out of room except for Accurate Hardware.

―Classroom‖ function (available with ligature resistant trim) provides lock-out ability, but no privacy.

Anti-Barricade Strategies: Bathrooms

Rockwood Pull Ives Roller Latch www.ives-door-hardware.com

www.rockwoodmfg.com

Out-Swinging Doors or Double-Swinging Doors, use:

• Rockwood BF 97 (for ADA) or BF 94C Recessed Pull

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PATIENT SAFETY STANDARDS

Out-Swinging Doors or Double-Swinging Doors, use:

• Schlage L9460 Deadbolt w/ key cylinder lock/retract outside and ADA/ligature resistant thumb turn inside. (SK-1 trim, less knob).

Notes:

Do not use roller latch on corridor doors; use only for en-suite bathroom doors. Cone shaped door knobs do not comply with ADA graspability requirements.

Ideally, provide external keyed locking and ligature resistant privacy latching with external anti-barricade over-ride (typically found in institutional privacy latch sets) for emergency access, and external keyed locking. Note: few auxiliary latches (or latch sets) will provide all four levels of functionality.

While we recommend the use of roller latches on en-suite bathroom doors there may be occasions where lever latch sets might be used, with the following cautions:

―Dormitory‖ function is preferred because it provides simultaneous retraction of the latch bolt and privacy lock bolt. This function is not currently available with ligature resistant trim except from Accurate Hardware.

―Institutional Privacy‖ function (available with ligature resistant trim) provides privacy, but does not provide ability to lock user out of room except for Accurate Hardware.

―Classroom‖ function (available with ligature resistant trim) provides lock-out ability, but no privacy. www.schlage.com

Alt ADA Thumb Turn

www.accuratelockandhardware.com

Mortise Lockset

SK-1 ligature resistant Thumb Turn

5th Edition

January 31, 2011

(44)

PATIENT SAFETY STANDARDS

Patented SER Door Anti-Suicide Bathroom Partitions

Sentinel Event Reduction (SER) Door With sloped top

• Use only in en-suite bathrooms and gang bathrooms.

• Never use in a bathroom shared between two bedrooms.

• Equip with flexible fire-rated material. • Maintain large 3‖ gaps to prevent wedging. • Can not be latched

• Expanded PVC door can be painted with Lexan paint to match color scheme.

• Do not use Velcro as a latching mechanism. Velcro eliminates a latching ligature point but provides a tie-off ligature point.

Norva Plastics (SER) Door

(collapsing top edge (8lbs.+) for added privacy)

Norva Plastics (SER) Door www.norvaplastics.com

5th Edition

January 31, 2011

Suicide Resistant Strategies: Toilet Partition Doors

Sentinel Event Reduction (SER) Door With collapsible top

• Privacy cannot be achieved with this solution • OMH has rejected the Norva door (new model)

as it contains features that may allow injury to patients including pinched fingers and if the collapsible edge malfunctions it may provide a ligature point. The unit's reliability over time has not been proven. Since the top portion of the door is hollow, the design allows for the

possibility of contraband to be place in the top of the door.

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PATIENT SAFETY STANDARDS

Sentinel Event Reduction (SER) Partition • Use only with Roller Latch

• Cannot be latched

• Do not use Velcro as a latching mechanism. Velcro eliminates a latching ligature point but provides a tie-off ligature point.

Notes

Position door height to provide privacy. Note absence of privacy latching. 5th Edition

January 31, 2011

(46)

PATIENT SAFETY STANDARDS

www.suicideproofing.com

Soft Suicide Prevention Door (SSPD)

Notes

Do not use velcro as a latching mechanism. Velcro eliminates a latching ligature point but provides a tie-off ligature point.

This product is not recommended. 5th Edition

January 31, 2011

(47)

PATIENT SAFETY STANDARDS

Door Hardware: Weight Sensors

5th Edition

January 31, 2011

Injury Prevention – Electronic: Top of Door Weight Sensor

Install alarm reset at door, requires staff response to alarm location.

Notes:

Electric transfer hinge required (refer to continuous hinges elsewhere in this standard.) Alarm annunciation may be visual and/or audio, located at door and/or at nurses station. www.stanleyhardware.com

(48)

PATIENT SAFETY STANDARDS

Door Hardware: Weight Sensors

5th Edition

January 31, 2011

Injury Prevention – Electronic:

Top of Door Weight Sensor

Notes:

Electric transfer hinge required (refer to continuous hinges elsewhere in this standard.) Alarm annunciation may be visual and/or audio, located at door and/or at nurses station. Use barrel type hinges, not gear type hinges.

www.doorcontrolsusa.com Top Door Alarm

Alarm sensor strip is applied with a heavy duty double stick tape to both door faces.

• There are small dead zones at the ends where the sensors are cut back to accommodate the door stops

• The audible alarm is preferable to the visual alarm

• Use a continuous hinge • Install as close to the door

top as possible.

• Install alarm reset at door, requires staff response to alarm location.

• Alarm is activated with 5oz of pressure

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PATIENT SAFETY STANDARDS

Door Hardware: Weight Sensors

5th Edition

January 31, 2011

Injury Prevention – Electronic:

• Top of Door Weight Sensor • Monitoring panel indicates exact

location of activated switch. • Key switch to deactivate alarm is

located at the activated alarm location.

www.thedoorswitch.com

Cautions:

• Dead spot at ends of pressure strip due to resistors

• A wedge point can be created at the head of the door between the door and the hinge

• Potential for ligature point at header projection on hinge side

• Requires supplemental ligature-resistant cover at visual alarm • Roton hinge is not accepted by OMH,

use continuous hinges that are approved in the Patient Safety Standards

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PATIENT SAFETY STANDARDS

Door Hardware: Continuous Hinges

Notes:

Recommended for all in and out-swinging doors within inpatient units. Provide Hospital tips - suffix hinge "HT‖.

Prep and reinforce frame in strict compliance with hardware manufacturer’s written instructions and installation templates. Fasteners: Specify tamper-proof security screws.

Markar 200 & 300 Series (FM-301 & FM302-full surface flush mount for existing doors with frames)

www.markar.com • Continuous • Specify Hospital Tip • Do NOT field cut continuous hinge www.Phardware.com 5th Edition January 31, 2011

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PATIENT SAFETY STANDARDS

Door Hardware: Continuous Hinges

5th Edition

January 31, 2011

Notes

Recommended for all in and out-swinging doors within inpatient units. Provide Hospital tips - suffix hinge "HT‖.

Prep and reinforce frame in strict compliance with hardware manufacturer’s written instructions and installation templates.

Fasteners: Specify tamper-proof security screws. http://www.abhmfg.com/

www.pbbinc.com • Continuous

• Specify Hospital Tip • Do NOT field cut continuous hinge

(52)

PATIENT SAFETY STANDARDS

Door Hardware: Door Levers and Paddles

Stanley SPSL Series by Stanley

Both mortise and cylindrical locksets are available.

The Stanley ligature resistant lever set is distributed by Stanley.

Notes:

These lever sets are ligature-resistant, not ligature-proof. There may be methods by which it is possible to defeat the ligature resistant features of these lever sets.

Not all door hardware manufacturers provide institutional privacy function, and not all institutional privacy functions are ligature resistant

See slide for Anti-Barricade Strategies for additional notes relative to hardware functions on locksets and deadlatches. www.townsteel.com Stanley ligature resistant thumb turn www.stanleyhardware.com Town Steel ligature resistant privacy bolt 5th Edition January 31, 2011

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PATIENT SAFETY STANDARDS

Door Hardware: Door Levers and Paddles

Notes:

These lever sets are ligature-resistant, not ligature-proof. There may be methods by which it is possible to defeat the ligature resistant features of these lever sets.

Not all door hardware manufacturers provide institutional privacy function, and not all institutional privacy functions are ligature resistant.

Cone shaped door knobs do not comply with ADA graspability requirements.

See slide for Anti-Barricade Strategies for additional notes relative to hardware functions on locksets and dead latches. www.accuratelockandhardware.com

Alt ADA Thumb Turn Mortise Lock

Safety Knob Cylindrical Deep Detent

Safety Knobs

5th Edition

January 31, 2011

Lever Handles and Hospital Paddles Combine ligature resistant with ADA Compliance

Retrofit Projects:

Coordinate with

existing door hardware to determine whether only replacement handles or full replacement sets are required.

(54)

PATIENT SAFETY STANDARDS

Crescent Pull

-The 2010 ADA Paragraph 309.4 states that ―operable parts shall be operable with one hand and shall not require tight grasping, pinching or twisting of the wrist.‖ The Accurate Crescent Pull must be evaluated for compliance with the ADA.

- A ligature point can be created between the top of the crescent handle and the escutcheon plate.

Door Hardware: Door Levers and Paddles

www.accuratelockandhardware.com

5th Edition

January 31, 2011

Lever Clutch Safety Mechanism

Lever Handles and Hospital Paddles Combine ligature resistant with ADA Compliance

Retrofit Projects:

Coordinate with

existing door hardware to determine whether only replacement handles or full replacement sets are required.

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PATIENT SAFETY STANDARDS

5th Edition

January 31, 2011

Door Hardware: Door Levers and Paddles

Notes

Glynn-Johnson paddle handles are not available with any locking mechanisms with corridor side paddle in ―up‖ position.

A locking mechanism will be required in addition to the paddle. Use ―classroom‖ function at patient bedrooms. www.glynn-johnson.com

(56)

PATIENT SAFETY STANDARDS

Door Hardware: Door Levers and Paddles

Sargent 115

Corridor side - up Patient side - down

Notes

Sargent paddle handles are not available with any locking mechanisms with corridor side paddle in ―up‖ position. A locking mechanism will be required in addition to the paddle. Use ―classroom‖ function at patient bedrooms. www.sargentlock.com

5th Edition

January 31, 2011

www.sargentlock.com

Assa Abloy 8200 WITH Push/Pull Trim

This product has been rejected by OMH because of the wedge point that can be created in the gap required for operational clearance of the paddle.

(57)

PATIENT SAFETY STANDARDS

www.schlage.com

Door Hardware: Door Levers and Paddles

5th Edition

January 31, 2011

This product is currently under development and is not yet available for purchase.

Schlage estimates this product will be available in early 2011.

(58)

PATIENT SAFETY STANDARDS

Door Hardware: Door Cones and Knobs

5th Edition

January 31, 2011

Use of these cones and knobs is not preferred because they are not ADA compliant.

Sargent D Knob Marks SS-50

Notes

Warning

The Marks SS-50 and the Sargent ―D‖ knob are not ADA compliant. This will be a problem in rooms requiring staff access.

Not all door hardware manufacturers provide institutional privacy function, and not all institutional privacy functions are ligature resistant

www.sargentlock.com www.marksusa.com

Custom Lock Division Institutional Life Safety Mortise Lockset

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PATIENT SAFETY STANDARDS

Door Hardware: Door Stops

5th Edition

January 31, 2011

Floor stops are safer but can pose issues with respect to cleanliness.

Floor stop height selection should be based upon whether a threshold is used.

Wall bumpers should be selected based upon door knob/lever type and should be fastened to resist twist off.

Ives FS-17 Ives FS-436

Ives FS-18S & SL Ives WS404CVX

www.ives-door-hardware.com

National N213-652 (installed with a self-adhesive backing)

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PATIENT SAFETY STANDARDS

Door Hardware: Fully Concealed Center-Hung Top Pivots

Rixson 117- 3/4” Pivot Hinge

Notes

Performance Standard: Specify gap tolerance at top. 1/8‖ max.

For double-swinging doors with cabling, use Rixson’s top pivot Mod. 340 (aligns w/ Mod. 370 bottom) can be electrified, completely concealed, no loops, no cross-over mechanism at hinge edge.

Warning: Double-Swinging Door can not be Fire Rated.

Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm.

5th Edition

January 31, 2011

• Hinge poses a ligature risk. • Use only at doors where

needed as a part of an anti-barricade strategy.

• Fully-Concealed • Parallel Arm • Non-handed

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PATIENT SAFETY STANDARDS

Door Hardware: Closers

5th Edition

January 31, 2011

Track Type Closer

Required use of closers is greatly reduced by NFPA 101 for

sprinklered buildings.

See offset floor-mounted closer where risk assessment indicates that overhead closer is not acceptable.

Notes

Generally mount on the public side of doors to rooms with patient access, or on the secure side of doors that need to automatically lock or latch such as store rooms, soiled utilities rooms and doors with card access readers.

www.lcnclosers.com

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PATIENT SAFETY STANDARDS

Door Hardware: Overhead Concealed Closers

5th Edition

January 31, 2011

Fully-concealed closer with body in frame head.

Track fully-concealed in door. Arm only visible when door is open.

Required use of closers is greatly reduced by NFPA 101 for

sprinklered buildings.

See offset floor-mounted closer where risk assessment indicates that overhead closer is not acceptable.

Notes

Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm .

www.sargentlock.com

(63)

PATIENT SAFETY STANDARDS

Rixson 117- 3/4” Pivot Hinge

Notes

Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm .

Rixson 700 Center Hung

(Single Acting Architectural Grade Overhead Concealed Closers) Rixon 800 Center Hung

(Double Acting Architectural Grade Overhead Concealed Closers)

Door Hardware: Overhead Concealed Closers

Fully-concealed closer with body in frame head.

Track fully-concealed in door. Arm only visible when door is open.

Required use of closers is greatly reduced by NFPA 101 for

sprinklered buildings.

See offset floor-mounted closer where risk assessment indicates that overhead closer is not acceptable.

5th Edition

January 31, 2011 www.sargentlock.com

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PATIENT SAFETY STANDARDS

Door Hardware: Offset Hung Floor Closers

Notes

Performance Standard: Specify gap tolerance at top. 1/8‖ max.

Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm .

Rixson HM51 Series

5th Edition

January 31, 2011

Hinge poses a ligature risk.

Use only at doors where concealed closer strategy is judged safer than parallel arm closer. (Smoke barrier doors are an example of a possible application). Concealed.

Center-Mount w/ offset hinge.

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PATIENT SAFETY STANDARDS

Door Hardware: Door Closer

Notes:

•Do to ligature opportunity when door is open concealed closer must be installed close to floor.

•Installation shall be coordinated with an OMH approved continuous hinge, butt hinges are not acceptable. •Fire rated installations require intumescent bedding material around closer.

www.perkopower.com

• In-jamb semi-concealed closer. • Not visible when door is closed. • UL listed for fire rated doors. • Adjustable for closing speed and

latching power.

• Adjustable for ADA compliance. • Maximum opening 105 degrees

5th Edition

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PATIENT SAFETY STANDARDS

Seclusion Rooms

Notes

•The use of padding is not mandatory.

•Do not provide electrical switches or receptacles.

•Please use light fixtures and hinges recommended elsewhere in this standard.

•Windows should either be flush with the inside face of the wall or provided with supplemental polycarbonate shielding or detention screens flush with the inside face of the room.

•Please see FGI Guidelines for additional recommendations.

•Shear locks alignment is critical for proper function. Shear locks have a tendency to become misaligned over time.

Seclusion Room Standards

Fire Rating Seclusion Suite: 1-hr rated enclosure

Door Hardware

Provide immediate positive latching (Slam Lock Function)

Cremone Bolts/ Multi-bolt Multiple In-Frame Shear Mag-Locks w/UPS

General

Use Polycarbonate Mirrors for Visibility of Corners of Room Adjacent to the Door.

Avoid protrusions and outside corners in rooms.

Padding

Gold Medal Padding System by Marathon Engineering on Vertical and Horizontal Surfaces. Use of Padding is not mandatory.

www.goldmedalsafetypadding.com www.stanleyhardware.com Multi-Point Deadbolt Slam Lock USL-K3-IHB2 5th Edition January 31, 2011

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PATIENT SAFETY STANDARDS

Shower/Privacy Curtains & Tracks

5th Edition

January 31, 2011

Avoid Magnetic (Swallowing & Nuisance Hazard)

Avoid Break Away Rods (They Can be Weaponized)

Durlon Pop-Outs Fasteners with Track Captured at Ends

Ceiling track flush mounted and continuous

Specify Breathable Fabric Similar to Shower Shield (www.coldraco.com)

General Partition

Primavera

Notes

Movatrack Magnetic Suspension System rejected due to loose parts. Imperial is rejected because surface mounted track can be looped end to end and Velcro creates a tie off point for ligature.

Best Practice: Recessed track in ceiling running run continuously between jambs. Otherwise, surface

mount on ceiling or solid soffit. Equip surface mounted track with end caps. Specify breathable fabric material for shower curtain or cubicle curtain. The General Partition Durlon Pop Out is harder to reset than the In-Pro Clickeze product.

Imperial

Velcro

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PATIENT SAFETY STANDARDS

Notes

InPro Corporation’s Ultra Cube & Whisper Cube Track with CE9026 Pop Out Carrier and end caps. Inpro’s shower curtain carrier is radio opaque.

The General Partition Durlon Pop Out is harder to reset than the In-Pro Clickeze product.

5th Edition

January 31, 2011

Avoid Magnetic (Swallowing & Nuisance Hazard)

Avoid Break Away Rods (They Can be Weaponized)

Durlon Pop-Outs Fasteners with Track Captured at Ends

Ceiling track flush mounted and continuous Specify Breathable Fabric like InPro

Corporation’s Chalet:

• Contents: 100% Dacron Polyester w/VISA XL finish

• Width: 32”

• Technical Data: Passes NFPA 701 testing. Flame retardant/ resistant.

www.inprocorp.com

InPro Ultra Cube

InPro Whisper Cube

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PATIENT SAFETY STANDARDS

Shower Guard

Shower Guard Shower Curtains are made from 100% Dacron Polyester fire retardant cloth. (NFPA701 Fire Retardant Test)

• Fire retardant - Passes

NFPA701 (Fire Retardant Test) • Made from 100% Dacron

Polyester with VISA® XL Finish • Anti-microbial specially

formulated to resist mildew growth

• Water repellant

Primavera

Design Tex

52/20/9717-1000, Content 100%polyester Width 72‖, Weight 4.8 oz/yd

www.coldraco.com

www.dtex.com

5th Edition

January 31, 2011

(70)

PATIENT SAFETY STANDARDS www.inprocorp.com www.arc-com.com Options: Bankhead • Number AC#95024W • Content: 100% FR Trevira • Passes: NFPA 701

• Weight: 8.0 oz/linear yard • Repeat: 3/8‖ horizontal

Chalet

• Contents: 100% Dacron Poly with VISA XL Finish

• Passes NFPA 701 testing • Flame retardant / resistant

www.architex-ljh.com

Notes

User shall perform their own risk assessments for the options of a shower curtain. Tests should include verifying the fabrics in dry and wet conditions which affect asphyxiation.

Privacy Curtains

5th Edition

January 31, 2011

(71)

PATIENT SAFETY STANDARDS

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks

5th Edition

January 31, 2011

• Ligature resistant design - excessive weight (20-25 lbs) causes hook to drop, allowing a tie to slip off

• 14 gauge type 304 stainless steel Finish: No. 4 satin Installation: Available in front or rear mounting configurations Bradley SA-36 www.bradleycorp.com www.oddballindustries.com www.laidlaw.net

(72)

PATIENT SAFETY STANDARDS

2/14/2011DRAFT

82

Norix Towel Hook

•Spring loaded ball mechanism for hanging towels.

•A ligature point can be created by looping the hook and tying and knot.

www.norix.com

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks

HenkelHook Coat Hook

•Can be wedged to form ligature point. • Removal part inconvenient and potential danger.

www.henkelhook.com

5th Edition

(73)

PATIENT SAFETY STANDARDS

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks

5th Edition

January 31, 2011

HEALTHGEAR

CONTRACTS

Bobrick B981

Can be wedged to form ligature point.

www.bobrick.com http://www.primeralife.co.uk

Primera

PR138CH Removable part inconvenience

and potential danger.

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PATIENT SAFETY STANDARDS

Wardrobe Hooks & Closet Bars: Closet Bars

Oddball Industries

Notes

A new requirement in the 2010 FGI Guidelines requires that “Shelves for folded garments shall be used instead of arrangements for hanging garments.”

www.oddballindustries.com

5th Edition

(75)

PATIENT SAFETY STANDARDS

Fixtures and Systems: Personal Picture Hanging Systems

Won’t Damage Walls Temporary

ligature resistant

Strong enough to hold up pictures

Metal coat hooks also available in the 3M system 3M Command System www.3m.com 5th Edition January 31, 2011

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PATIENT SAFETY STANDARDS

Interior Walls and Ceilings: Construction

5th Edition

January 31, 2011

Accepted High Impact Gypsum Board Systems:

• USG: VHI Abuse-resistant Fiberock Panels with Tuff-Hide Primer/Surfacer • Nat Gyp: Gold Bond Hi-Impact XP Gypsum Panels

• G-P: DensArmor Plus Impact-resistant Interior panels

Walls

• All Inpatient Areas (unless noted otherwise): OMH Wall Assembly 2 - 1 layer each side of 5/8” USG Very High Impact (VHI) abuse resistant drywall with embedded fiberglass mesh , and 3-5/8” 20 ga. steel studs at 16 inches on center.

• Seclusion Rooms: OMH Wall Assembly 3 – Marathon Gold Medal protection padding system (see OMH Specification Guideline Section 13 99 99) 3-5/8” 16 ga. steel studs at 16” on center with 3-1/2” fiberglass batt insulation, full height from floor to ceiling.

Ceilings

• Patient Bedrooms, Bathrooms, Comfort Rooms, Quiet Rooms and Visitor Rooms: OMH Ceiling Type 1 - 1/2" or 5/8” single layer dry wall on a metal framing system .

• Seclusion Suites

– Seclusion Ante Rooms: OMH Ceiling Type 1 (see above description).

– Seclusion Toilet Rooms: OMH Ceiling Type 2 - 1 layer 5/8” Very High Impact (VHI) abuse resistant drywall on a metal framing system.

– Seclusion Rooms: OMH Ceiling Type 1. (Note: minimum seclusion room ceiling height permitted is 9’-0”.)

• Corridors in Inpatient Areas: OMH Ceiling Type 1 or continuous steel-reinforced corridor-span Security Ceiling Panels with tegular edges www.tectum.com (where ceiling is less than 9’-0” above finished floor), and OMH Ceiling Type 3 - 3/4" suspended acoustic ceiling tile with an intermediate duty suspension system (where ceiling is 9’-0” or higher above finished floor ).

• Other Inpatient Areas: OMH Ceiling Type 1 (where ceiling is less than 9’-0” above finished floor), and OMH Ceiling Type 3 (where ceiling is 9’-0” or higher above finished floor).

Notes

For NYS-OMH facilities see NYS-OMH Design Standards and Standard Specifications for additional guidance. Hold-down clips are not recommended for use with OMH Ceiling Type 3 (suspended acoustic ceiling tile). The clips become dislodged over time and can be used as weapons.

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PATIENT SAFETY STANDARDS

Interior Walls and Ceilings: Construction

Notes

The panels are not removable and access doors will need to be installed for access above the ceiling.

Secure-Line™ 7900 Ceiling System

•The 7900 ceiling system provides an alternative to a gypsum wall board ceiling where better acoustic properties are desired.

•The 7900 ceiling system may be used in lieu of gypsum board or Tectum panels where the ceiling is less than 9'-0" AFF.

•Specify the mechanically fastened ceiling panels rather than the mechanically interlocking ceiling panels.

www.detentiondevicesystems.com

5th Edition

Figure

Updating...

References