New York State Mental Health Materials and Systems Guide

PATIENT SAFETY STANDARDS

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 5th Edition January 31, 2011

Patient Safety Standards Materials and Systems Guidelines

PATIENT SAFETY STANDARDS

Recommended by the New York State Office of Mental Health

Table of Contents 1.

Introduction

2.

Nomenclature & Applicability

3.

Fasteners

4.

Sealants

21.

5.

Glazing & Windows

6.

Anti-barricade Strategies

7.

Suicide Resistant Strategies

8.

Door Hardware

9.

Seclusion Rooms

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

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 19. Sprinklers & Fire Extinguishers

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20. Mechanical Systems Equipment & Devices a.

Thermostats

b. Louvers & Grilles Plumbing Fixtures & Systems

a. Receptacles & Switches b. Fire Alarm Components 23. Lighting Fixtures a. High Risk b. Medium Risk c. Exit Signage 24. Furniture

Introduction:

Best Practice 1980 to Early 1990’s: Focus Above the Waist 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 Fasteners

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

1998: JCAHO Sentinel Event Notification

5th Edition 2/14/2011 DRAFT January 31, 2011

PATIENT SAFETY STANDARDS

Current Best Practice: Focus Everywhere 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

PATIENT SAFETY STANDARDS

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

Introduction

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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PATIENT SAFETY STANDARDS

Introduction: Purpose

PATIENT SAFETY STANDARDS

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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Introduction: Approach

PATIENT SAFETY STANDARDS

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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Introduction: Risk Assessment

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. 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

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

Nomenclature and Applicability

PATIENT SAFETY STANDARDS

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.

RETROFIT: Items with this symbol are not suitable for use in new construction but are acceptable for 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. NYS OMH REJECTED: Items with this symbol are unsuitable for use in new construction or renovation in NYS psychiatric hospitals or units.

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Edition January 31, 2011

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.

Fasteners

PATIENT SAFETY STANDARDS

Acument

McGard

www.acument.com

www.mcgard.com

Torx and Torx Plus Tamper-Resistant by

Camcar Division of Acument™ Global Technologies

Offers custom tooling

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.

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 Tamper-Resistant Security Products

5th Edition January 31, 2011

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.

Sealants: Security Grade 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.

PATIENT SAFETY STANDARDS

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.

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. 5th Edition January 31, 2011

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.

Sealants: Tamper Resistant

PATIENT SAFETY STANDARDS

Performance Specifications •ASTM C-920 •Type M •Grade NS •Uses: T, NT, M, G, A, O

www.sikaconstruction.com

Sikaflex-11 FC

Sikaflex-1a

Sikaflex-2c NS TG

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

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

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

Features / Benefits

Features / Benefits

Features / Benefits

• High elasticity

•High elasticity allowing 35% +/movement

• High elasticity allowing 25% +/movement

•Fast cure rate

• Tough, durable, flexible consistency

•Paintable

• Exceptional cut and tear resistance

•NSF certified, meets USDA guidelines

• Exceptional adhesion to most substrates without priming

•Fast cure rate •Paintable • Tough, durable, flexible • Exceptional cut and tear resistance • Exceptional adhesion to most substrates •10.1 oz. tubes

•Odorless • Tough, durable, flexible • Exceptional cut and tear resistance • Exceptional adhesion to most substrates

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•10.1 oz. tubes

•1 gallon (2 part) kits

Sealants: Tamper Resistant

PATIENT SAFETY STANDARDS

www.buildingsystems.basf.com www.pecora.com Performance Specifications •ASTM C-920

Performance Specifications •ASTM C920

•Types: S

•Type: M (S for DynaFlex SC)

DynaFlex SC

•Grade NS

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

•Class 12.5

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

Features / Benefits •Interior joints

Features / Benefits

•Excellent elongation and movement

•Interior joints

•Good adhesion to most building materials, primer recommended

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

• Good adhesion to polycarbonate sheet, primer required •Paintable •10.1 oz. tubes

•Paintable

•20 oz. sausages

•1.5 gallon (2 part) kits

•2 gallon containers

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•Grade: NS •Class: 25 •Uses: NT, M, A, G, and I

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

Sealants: Pick Proof

PATIENT SAFETY STANDARDS Performance Specifications •ASTM C-881 •Types: I, II, &IV •Grade: 3

www.euclidchemical.com

•Class: B & C

Performance Specifications

•AASHTO M-235

•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)

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.

www.sikaconstruction.com

Sikadur AnchorFix-2

Sikadur 31, Hi-Mod Gel

Is a two component (single package, self-mixing), 100% solids, solvent-free, moisture-tolerant, high-modulus, high-strength, structural epoxy adhesive/sealant.

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

Features / Benefits •Structural repairs to ¼‖ width.

Features / Benefits

•High Strength

• High strength for superior pick proofing

•Styrene-free

• Excellent bond strength to prevent removal

•Low odor

• Water tight

• Wear resistant for high traffic applications •1 gallon and 3 gallon kits 5th Edition January 31, 2011

•Low waste •Moisture tolerant •10.1 oz. tubes

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

Sealants: Pick Proof

PATIENT SAFETY STANDARDS Performance Specifications •ASTM C-881 •Type: I

www.pecora.com

DynaPoxy EP-1200 is a rigid, two component, high-solids, highmodulus 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

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Glazing & Windows: Security Glazing Risk Assessment

PATIENT SAFETY General STANDARDS The following are risks and performance criteria to consider when specifying glazing in both supervised and unsupervised areas 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, polycarbonate 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 permit 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.

Glazing & Windows: Security Glazing Polycarbonate Glazing

PATIENT SAFETY STANDARDS

Sabic Lexan SL-4855 with NYSOMH Warranty (Substitute Lexan MR10 with Marguard II-UV coating for non-NYS projects) www.sabic.com

Makrolon 15 by Sheffield Bayer 15 year Warranty

www.makrolon.com

Laminated Glazing

www.oldcastlebe.com

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 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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Glazing & Windows: Windows (Security Glazing)

PATIENT SAFETY STANDARDS

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. www.wausauwindow.com

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

Blind Operators

x 1/8‖ vertical thumb wheel tilter

Side mount angled

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Low profile

Vertical mount angled

Blind tilt control knob

See OMH Specification Guideline for 085653 Security Windows for additional information.

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.

Glazing & Windows : Windows (Security Glazing)

PATIENT SAFETY STANDARDS

Moduline Windows by Oldcastle Building Envelope

www.oldcastlebe.com

5th Edition January 31, 2011

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

Glazing & Windows: Windows (Ventilation)

PATIENT SAFETY STANDARDS

Berlin, Germany: European product design for psychiatric hospitals (under evaluation) Design Aspects: •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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Glazing & Windows: Windows (Ventilation)

PATIENT SAFETY STANDARDS

Middlesbrough, England: European product design for psychiatric hospitals (under evaluation)

Design Aspects: Sliding Window Assembly with perforated metal screen.

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Window Assembly - Interior

Metal Screen Exterior

Metal Screen Interior

Window Assembly - Interior

Window Assembly - Exterior

Window Assembly - Exterior

Glazing & Windows: Windows (Ventilation) Dublin, Ireland: European product design for psychiatric hospitals (under evaluation)

Design Aspects: 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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PATIENT SAFETY STANDARDS

Glazing & Windows: Rated Glass at Doors & Sidelights

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.

www.fireglass.com

Warning: Impact safety glazing does not equal security glazing. See summary.

For more than 1-Hour: FireLite and Firelite Plus™ by Technical Glass Products is a 5/16" (8mm) thick laminated fire-rated and impact safetyrated 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

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PATIENT SAFETY STANDARDS

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 .

Glazing & Windows: Safety Glass at Doors & Sidelights

www.fireglass.com

FireLite Plus

FireLite NT Standard

FireLite NT Premium

Notes FireLite Plus was the safest ceramic glass tested. However, all of FireLite’s products produced shards of glass which were dangerous. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Glazing & Windows: Safety Glass at Doors & Sidelights

PATIENT SAFETY STANDARDS

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.

www.safti.com

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

5th Edition January 31, 2011

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.

Glazing & Windows: Film Applied to Glass

PATIENT SAFETY STANDARDS

Films have been used to retrofit and upgrade noncompliant glass and to provide a modicum of safety in some facilities. www2.dupont.com

Features:

Spallshield® from DuPont™

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

www.madico.com

SafetyShield® 1500 from Madico™

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.

www.3m.com

3M Ultra 600

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.

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Each Facility shall conduct their own risk assessment to determine the appropriateness of film applications for use in their specific situations.

Glazing & Windows: Interior Glazing

PATIENT SAFETY STANDARDS

Interior Glazed Openings Partially Transparent Observation Mirror (2-way Mirror)

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 .

Transparency

• 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.

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Reflectivity

Glazing & Windows: Interior Glazing - Mirrors

www.americanspecialties.com

ASI-600 SS Mirror Lexan Dura-Mir™—0.25" (6 mm) polycarbonate. Plaskolite Plastics – 0.118‖ polycarbonate

Notes Only polycarbonate is recommended for use in Patient Bathrooms.

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PATIENT SAFETY STANDARDS

Anti-Barricade Strategies The following pages provide product samples of each anti-barricade strategies.

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PATIENT SAFETY STANDARDS

35

Anti-Barricade Strategies

PATIENT SAFETY STANDARDS

www.mckinneyhinge.com

www.accuratelockandhardware.com

Note: Staff is to be cautious with fingers when releasing the door stop if the patient is leaning against the door.

McKinney DS6 Double Lip Strike with keyed Emergency Stop Notes

5th Edition January 31, 2011

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.

Anti-Barricade Strategies

www.abhmfg.com

PATIENT SAFETY STANDARDS

www.rixson.com

Rixson Pivot Hinge

www.ratman.co.uk

ABH Manufacturing Royde & Tucker/Laidlaw Notes:

5th Edition January 31, 2011

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.

Anti-Barricade Strategies

PATIENT SAFETY STANDARDS

www.rixson.com

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

• Takes time to remove

Rixson Pivot Hinge

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 5th Edition January 31, 2011

Removable Door Stop

Anti-Barricade Strategies

PATIENT SAFETY STANDARDS

www.laidlaw.net

• Hinge, (1200mm/4ft) not continuous

• Creates a ligature point • Takes time to remove

Laidlaw Bespoke Range Notes In solving anti-barricade it creates a ligature point, and therefore is not recommended. 5th Edition January 31, 2011

Anti-Barricade Strategies Wicket Door

Notes Mini-Door Swings out. Solution is thus barricade-proof. 5th

Edition January 31, 2011

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

PATIENT SAFETY STANDARDS

Anti-Barricade Strategies

www.soss.com

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Anti-Barricade Strategies

PATIENT SAFETY STANDARDS

http://www.c-sgroup.com/ Acrovyn Wicket Door

5th Edition January 31, 2011

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.

Anti-Barricade Strategies

PATIENT SAFETY STANDARDS

www.cecodoor.com

7. Double Leaf Door 8. Framed Sidelight Notes The Ceco Sidelite Unit needs to be specified without the glazing. 5th Edition January 31, 2011

Anti-Barricade Strategies

PATIENT SAFETY STANDARDS

Double Leafed Door

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

Framed Sidelight Door

In-Swing Main Door Out-Swing Sidelight Door with Center Mullion

Anti-Barricade Strategies

Double-Leaf Door Notes Inactive leaf should be fixed top and bottom with flush bolts. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Anti-Barricade Strategies: Bathrooms

PATIENT SAFETY STANDARDS

www.ives-door-hardware.com

www.rockwoodmfg.com

Rockwood Pull

Ives Roller Latch

Out-Swinging Doors or Double-Swinging Doors, use: • Rockwood BF 97 (for ADA) or BF 94C Recessed Pull • Ives RL-32 Roller Latch or Rockwood 161 Roller Latch and 592 Strike 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 (Caution)

PATIENT SAFETY STANDARDS

www.accuratelockandhardware.com www.schlage.com

Alt ADA Thumb Turn SK-1 ligature resistant Thumb Turn

Mortise Lockset 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.

5th Edition January 31, 2011

―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.

Suicide Resistant Strategies: Toilet Partition Doors Patented SER Door Anti-Suicide Bathroom Partitions

www.norvaplastics.com

Norva Plastics (SER) Door

5th Edition January 31, 2011

Norva Plastics (SER) Door (collapsing top edge (8lbs.+) for added privacy)

PATIENT SAFETY STANDARDS

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.

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.

Suicide Resistant Strategies: Toilet Partition Doors

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 5th

Edition January 31, 2011

Position door height to provide privacy. Note absence of privacy latching.

Suicide Resistant Strategies: Toilet Partition Doors

www.suicideproofing.com

Soft Suicide Prevention Door (SSPD)

Notes 5th

Edition January 31, 2011

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.

PATIENT SAFETY STANDARDS

Door Hardware: Weight Sensors

www.stanleyhardware.com

SEDA 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.) 5th Edition January 31, 2011

Alarm annunciation may be visual and/or audio, located at door and/or at nurses station.

PATIENT SAFETY STANDARDS

Door Hardware: Weight Sensors

PATIENT SAFETY STANDARDS

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

www.doorcontrolsusa.com

Top Door Alarm Injury Prevention – Electronic: Top of Door Weight Sensor • 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

Notes:

Electric transfer hinge required (refer to continuous hinges elsewhere in this standard.) 5th Edition January 31, 2011

Alarm annunciation may be visual and/or audio, located at door and/or at nurses station. Use barrel type hinges, not gear type hinges.

Door Hardware: Weight Sensors

www.thedoorswitch.com

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.

•

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 ligatureresistant cover at visual alarm Roton hinge is not accepted by OMH, use continuous hinges that are approved in the Patient Safety Standards 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Door Hardware: Continuous Hinges • Continuous • Specify Hospital Tip • Do NOT field cut continuous hinge

PATIENT SAFETY STANDARDS

www.Phardware.com www.markar.com

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

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.

Door Hardware: Continuous Hinges • Continuous • Specify Hospital Tip • Do NOT field cut continuous hinge http://www.abhmfg.com/ www.pbbinc.com

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.

PATIENT SAFETY STANDARDS

Door Hardware: Door Levers and Paddles

PATIENT SAFETY STANDARDS

www.stanleyhardware.com

www.townsteel.com

Stanley SPSL Series by Stanley Both mortise and cylindrical locksets are available.

Town Steel ligature resistant privacy bolt

Stanley ligature resistant thumb turn

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 5th Edition January 31, 2011

See slide for Anti-Barricade Strategies for additional notes relative to hardware functions on locksets and deadlatches.

Door Hardware: Door Levers and Paddles

PATIENT SAFETY STANDARDS

www.accuratelockandhardware.com

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.

Alt ADA Thumb Turn

Cylindrical Deep Detent Safety Knobs

Mortise Lock Safety Knob

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. 5th Edition January 31, 2011

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

Door Hardware: Door Levers and Paddles

PATIENT SAFETY STANDARDS

www.accuratelockandhardware.com

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.

Crescent Pull Lever Clutch Safety Mechanism

5th Edition January 31, 2011

-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.marksusa.com

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

www.glynn-johnson.com

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.

Door Hardware: Door Levers and Paddles

www.sargentlock.com

Sargent 115 Corridor side - up Patient side - down

PATIENT SAFETY STANDARDS

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.

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. 5th Edition January 31, 2011

Door Hardware: Door Levers and Paddles

www.schlage.com

This product is currently under development and is not yet available for purchase. Schlage estimates this product will be available in early 2011.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Door Hardware: Door Cones and Knobs

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

www.marksusa.com www.sargentlock.com

Marks SS-50

Sargent D Knob

Custom Lock Division Institutional Life Safety Mortise Lockset

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. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

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

Door Hardware: Door Stops 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.

PATIENT SAFETY STANDARDS

www.ives-door-hardware.com

www.natman.com

National N213-652 (installed with a selfadhesive backing) 5th Edition January 31, 2011

Ives FS-17

Ives FS-436

Ives FS-18S & SL

Ives WS404CVX

Door Hardware: Fully Concealed Center-Hung Top Pivots

www.rixson.com

• •

• • •

Hinge poses a ligature risk. Use only at doors where needed as a part of an antibarricade strategy. Fully-Concealed Parallel Arm Non-handed

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.

Rixson 117- 3/4” Pivot Hinge

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Door Hardware: Closers

PATIENT SAFETY STANDARDS

www.lcnclosers.com

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.

Do not use unless required by code.

5th Edition January 31, 2011

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.

Door Hardware: Overhead Concealed Closers

www.sargentlock.com

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.

Do not use unless required by code. 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 . 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Door Hardware: Overhead Concealed Closers

PATIENT SAFETY STANDARDS

www.sargentlock.com

Rixson 700 Center Hung (Single Acting Architectural Grade 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.

Rixon 800 Center Hung

(Double Acting Architectural Grade Overhead Concealed Closers)

Rixson 117- 3/4” Pivot Hinge 5th Edition January 31, 2011

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 .

Door Hardware: Offset Hung Floor Closers

www.rixson.com

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.

Rixson HM51 Series

Notes Performance Standard: Specify gap tolerance at top. 1/8‖ max. 5th

Edition January 31, 2011

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

PATIENT SAFETY STANDARDS

Door Hardware: Door 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

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. 5th Edition January 31, 2011

•Fire rated installations require intumescent bedding material around closer.

PATIENT SAFETY STANDARDS

Seclusion Rooms

www.goldmedalsafetypadding.com

www.stanleyhardware.com

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 MagLocks w/UPS General Use Polycarbonate Mirrors for Visibility of Corners of Room Adjacent to the Door.

Multi-Point Deadbolt Slam Lock USL-K3-IHB2

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.

5th Edition January 31, 2011

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.

PATIENT SAFETY STANDARDS

Shower/Privacy Curtains & Tracks 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)

www.imperialfastner.com

Imperial Velcro

General Partition 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.

5th Edition January 31, 2011

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.

Primavera

PATIENT SAFETY STANDARDS

Shower/Privacy Curtains & Tracks

PATIENT SAFETY STANDARDS

www.inprocorp.com

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”

InPro Ultra Cube

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

InPro Whisper Cube 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. 5th Edition January 31, 2011

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

Shower/Privacy Curtains & Tracks www.coldraco.com

Shower Guard

www.dtex.com

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

Design Tex 52/20/9717-1000, Content 100%polyester Width 72‖, Weight 4.8 oz/yd 5th Edition January 31, 2011

Primavera

PATIENT SAFETY STANDARDS

Shower/Privacy Curtains & Tracks

PATIENT SAFETY STANDARDS

www.architex-ljh.com www.inprocorp.com

www.arc-com.com

Chalet

Options: Bankhead

• Contents: 100% Dacron Poly with VISA XL Finish

• Number AC#95024W

• Passes NFPA 701 testing • Flame retardant / resistant

Privacy Curtains

• Content: 100% FR Trevira • Passes: NFPA 701 • Weight: 8.0 oz/linear yard • Repeat: 3/8‖ horizontal

5th Edition January 31, 2011

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.

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks

www.oddballindustries.com

•

•

www.bradleycorp.com

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.laidlaw.net

Laid Law 81.AL8.03

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks

PATIENT SAFETY STANDARDS

www.norix.com

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.henkelhook.com

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

5th Edition January 31,DRAFT 2011 2/14/2011

82

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks HEALTHGEAR CONTRACTS www.bobrick.com http://www.primeralife.co.uk

Detsafe PH160005 Bobrick B981 Primera PR138CH

Can be wedged to form ligature point.

5th Edition January 31, 2011

Removable part inconvenience and potential danger.

PATIENT SAFETY STANDARDS

Wardrobe Hooks & Closet Bars: Closet Bars

PATIENT SAFETY STANDARDS

www.oddballindustries.com

Notes A new requirement in the 2010 FGI Guidelines requires that “Shelves for folded garments shall be used instead of arrangements for hanging garments.” 5th Edition January 31, 2011

Oddball Industries

Fixtures and Systems: Personal Picture Hanging Systems

www.3m.com

3M Command System Won’t Damage Walls Temporary ligature resistant Strong enough to hold up pictures Metal coat hooks also available in the 3M system

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Interior Walls and Ceilings: Construction 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. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Interior Walls and Ceilings: Construction

www.detentiondevicesystems.com

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.

Notes The panels are not removable and access doors will need to be installed for access above the ceiling. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Access Panels & Medical Gas Enclosures

www.jlindustries.com

Minimize Need for Use in Unsupervised Patient Areas Access Doors in unsupervised areas like bathrooms and bedrooms should be as small as possible and as few as possible.

Lockable Embedded Mounting Flanges Note: Keyed locks must be strong enough stop attempted breaches.

5th Edition January 31, 2011

Notes Frame shall be 16 gauge Steel. Door shall be 20 gauge steel, welded pan type. Flange on door shall be 1‖ wide, 16 gauge steel. Hinges shall be continuous. Door shall be filled with 2‖ thick fire rated insulation. Door shall have automatic closer, be self-latching, no straps, and contain interior latch release. Latches shall be bolt-type, operated by flush key device. All locks shall be keyed alike. Base metal shall be steel with primer coast of rust inhibitive electrostatic powder baked gray enamel or Stainless Steel if desired. Provide non-Loopable ADA pull if required.

PATIENT SAFETY STANDARDS

Access Panels & Medical Gas Enclosures

www.karpinc.com

Minimize Need for Use in Unsupervised Patient Areas Access Doors in unsupervised areas like bathrooms and bedrooms should be as small as possible and as few as possible. Lockable Embedded Mounting Flanges Note: Keyed locks must be strong enough stop attempted breaches.

5th Edition January 31, 2011

Notes Frame shall be 16 gauge Steel. Door shall be 20 gauge steel, welded pan type. Flange on door shall be 1‖ wide, 16 gauge steel. Hinges shall be continuous. Door shall be filled with 2‖ thick fire rated insulation. Door shall have automatic closer, be self-latching, no straps, and contain interior latch release. Latches shall be bolt-type, operated by flush key device. All locks shall be keyed alike. Base metal shall be steel with primer coast of rust inhibitive electrostatic powder baked gray enamel or Stainless Steel if desired. Provide non-Loopable ADA pull if required.

PATIENT SAFETY STANDARDS

Access Panels & Medical Gas Enclosures: Drywall Only

PATIENT SAFETY STANDARDS

www.karpinc.com

• •

• • •

Minimize Need for Use in Unsupervised Patient Areas Access Doors in unsupervised areas like bathrooms and bedrooms should be as small as possible and as few as possible. Lockable-Mortise Locked Keyed to Match Embedded Mounting Flanges Fire Rated- UL listed for 1.5 hr "B" label in walls

Karp KRP-450FR

Note: Keyed locks must be strong enough stop attempted breaches.

5th Edition January 31, 2011

Notes Frame shall be 16 gauge Steel. Door shall be 20 gauge steel, welded pan type. Flange on door shall be 1‖ wide, 16 gauge steel. Hinges shall be continuous. Door shall be filled with 2‖ thick fire rated insulation. Door shall have automatic closer, be self-latching, no straps, and contain interior latch release. Latches shall be bolt-type, operated by flush key device. All locks shall be keyed alike. Base metal shall be steel with primer coast of rust inhibitive electrostatic powder baked gray enamel or Stainless Steel if desired. Provide nonLoopable ADA pull if required.

Access Panels & Medical Gas Enclosures

www.jlindustries.com

JL Industries Cosmopolitan CADA 1035W18 FX Lockable with Polycarbonate Lens or Laminated Glass Lens with AntiSpall Film. Specify UL listed cabinet with polycarbonate lens. Specify non-loopable ADA Pull Locate ONLY in supervised area APEX Series fully recessed fire extinguisher cabinet with metal face and lock is an acceptable alternative

Notes:

See NYS-OMH Guidelines for strategies to maintain wall fire ratings at recessed enclosure. NFPA 10 requires locking cabinets to include a ―means of emergency access.‖ Manufacturers variously interpret this to mean: a) full lock with keys assigned to staff, b) break-away latch/lock with reset-able tongue, c) break-away latch/lock with non-reset-able tongue. 5th Edition January 31, 2011

Carefully review non-reset-able products before specifying, as actual damage may be caused to the lock/latch mechanism during access. Repair may be simple or complex, depending on specific design.

PATIENT SAFETY STANDARDS

Access Panels & Medical Gas Enclosures

www.headwalls.com

Only provide gases and nurse call where absolutely necessary Fully recessed cabinets Locking 3/8” clear polycarbonate doors

Medical gas enclosures are not necessary where medical gas receptacles are selected with ligature resistant features such as flush or beveled faces and flush insert designs for gas fittings.

Notes Install frame flush with wall surface to avoid ligature potential. 5th Edition January 31, 2011

Modular Services Company

PATIENT SAFETY STANDARDS

Cabinet Hardware

PATIENT SAFETY STANDARDS

www.mockett.com www.hewi.com

Top Knob Somerset Cup Pull 2-1/2‖

Doug Mockett DP-146 J&S Agencies/John Turner Bespoke http://www.letter-plate.com/

Recessed Pulls Edge Pulls Continuous Hinges Lockable Cabinet Doors and Drawers

5th Edition January 31, 2011

Notes: The above are examples of acceptable products. See below. Performance Specifications: Provide Non-Loopable, ligature resistant tamper-resistant security grade hardware. Ensure cabinet hinge pin is not removable (tack weld or cap) Warning: Single point fasteners pose twist off hazard. Specify set screw or embed in pick-resistant sealant (e.g. loc-tite, etc.)

Handrails & Corner Guards: Wall Base & Chair Rail www.johnsonite.com

High Risk Areas: Patient rooms, bathrooms, quiet rooms. Best Practice: Integral base or hard resilient wall base with mechanical fasteners to reinforce adhesives. Specify as alternate to painted solid wood base, which is costly and high maintenance. Warning: Do not specify rubber base in patient areas due to pica concerns and to minimize risk of choking, etc.

Wall Base 1 : Solid Wood Base Wall Base 2 : Johnsonite Millwork Contoured Resilient Wall Base

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Handrails & Corner Guards

PATIENT SAFETY STANDARDS

www.inprocorp.com

InPro Corp IPC800 or G800 (PVC Free) Handrail Continous painted solid wood mounting brackets Suicide resistant design to minimize leverage and looping with corner returns

5th Edition January 31, 2011

Notes InProCorp: Model 800 or G800 (Sustainable PVC Free) Handrail: Provide manufacturers continuous painted solid wood mounting bracket, with factory 1/8‖x1‖ dado cut @ 6‖ o.c. , at the handrail side. Wood bracket to be scribed to wall and corner returns at the factory. End caps to be mechanically fastened. Colored cover to be installed with 3M Fastbond 30, waterbased contact adhesive to prevent removal. Closed-to-the-wall handrails are not required in areas where adequate supervision is maintained

Handrails & Corner Guards

PATIENT SAFETY STANDARDS

www.wallguard.com

Wallguard Infinity Series 2021S Continuous Security Bracket Aluminum tube with laser cut 1/8‖ aluminum closure plates Suicide Resistant Design to minimize leverage and looping with radius corner returns.

5th Edition January 31, 2011

Notes Wallguard.com: Infinity Series 2021:Provide manufacturers continuous aluminum tube w/ laser cut 1/8‖ thick aluminum closure plates at corners and returns w/ (2) tamperproof countersunk hexalobular, pin-reject, internal drive system, meeting ISO standard 10664 screws. End caps to be mechanically fastened. Colored cover to be installed with 3M Fastbond 30, waterbased contact adhesive to prevent removal. closed-to-the-wall handrails are not required in areas where adequate supervision is maintained

Handrails & Corner Guards: Stair Guards

PATIENT SAFETY STANDARDS

Safety Screening/Stair Guards (Run continuous stringer-to-stringer) Stair Guard Recommendations Stairs to which patients have unimpeded and unsupervised access • Provide full height barriers from landing to ceiling and between stringers. • Barriers should be constructed of a homogenous (non-perforated) material to avoid obvious ligature points. • A traditional, code-compliant handrail provides an obvious ligature opportunity. • Use of a translucent or transparent material is recommended to provide natural daylight and improved supervision. (For example, gypsum board as a stair guard solves the jumping problem but creates hidden areas.) Glass block, laminated safety glazing, and code compliant plastic glazing are examples of materials that provide effective hindrance against jumping and provide transparency or translucency. Stairs to which patients have regular but escorted and supervised access • Provide full height barriers from landing to ceiling and between stringers. • Because the stair is supervised, the visibility and economy of a mesh barrier is often more desirable here than one of the homogenous solutions recommended above. Stairs which are normally locked, and to which patients only have escorted access during an emergency. • Full height barriers from landing to ceiling and between stringers are sometimes, though not always, used. • When full height barriers are provided, the visibility and economy of a mesh barrier is often more desirable than one of the homogenous solutions recommended above. 05500 Wire Mesh Panels Custom-fabricated panels as manufactured by X Metal Products Company or accepted equal. Provide 10 gauge steel square mesh woven wire cloth with 1-1/4‖ center to center spacing within 1-1/4‖ x 5/8‖ cold rolled steel channel frames. Provide 1‖ x 1/2‖ cold rolled steel channel stiffeners at 4’-0‖ on center vertically. Provide manufacturer’s standard primer paint finish. Coordinate spacing of stiffeners with locations indicated on the drawings. Notes Use non-climbable and non-loopable mesh panels or solid panels in stairs where patients have unsupervised use. 5th Edition January 31, 2011

Specific Conditions Vary

Section for Illustration Only

Toilet Accessories: Grab Bars

PATIENT SAFETY STANDARDS

www.northwestsh.com

SafeBar Graspability Avoid end to end tie-offs by running continuously from wall to wall or by adding sloping end caps as shown. The specifier must indicate how many end caps are needed to establish ligature resistant end conditions.

Specify pre-drilled weep holes, 3/64” diameter.

5th Edition January 31, 2011

Notes: Provide continuous blocking: Be attentive to potential moment arm issues on existing installations without continuous blocking. ICRA: Note potential infection control problem at closure plate. Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.

Toilet Accessories: Grab Bars

PATIENT SAFETY STANDARDS

www.oddballindustries.com

Graspability. Avoid end to end tie-offs by running continuously from wall to wall or by adding sloping end caps as shown.

5th Edition January 31, 2011

Notes ICRA: Note infection control problem at closure plate. Provide weep holes 3/64‖(Dia.) maximum. Finish has been known to flake off product. Provide adequate blocking. Wall must be flat for non-loopability. Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.

Toilet Accessories: Grab Bars

PATIENT SAFETY STANDARDS

www.securingcosmos.com

Weizel Graspability Avoid end to end tie-offs by running continuously from wall to wall or by adding sloping end caps as shown.

5th Edition January 31, 2011

Notes Provide continuous blocking. Be attentive to potential moment arm issues on existing installations without continuous blocking. ICRA: Note infection control problem at closure plate. Provide weep holes 3/64‖(Dia.) Maximum Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.

Toilet Accessories: Grab Bars

PATIENT SAFETY STANDARDS

www.securingcosmos.com

Weizel Safe Support Grab Bar Benefits and Features: Suicide Resistant Design to minimize Leverage and Looping Bacterial Growth minimized through Natural Drainage Weizel Security's Solution for Psychiatric Impatient Safety fails at drip edge- potential ligature point.

5th Edition January 31, 2011

Notes Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.

Toilet Accessories: Grab Bars www.bobrick.com

www.bradleycorp.com

Bobrick and Bradley Does not comply with graspability as defined by ADA Tight Crevices Create Infection Control Problems

Article 28 and Article 31 hospitals.

Do Not Use at NYS-OMH facilities.

Notes

5th Edition January 31, 2011

This product is acceptable at existing installations and at Article 28’s and Article 31 hospitals. ICRA: This design creates an infection control problem at the difficult to clean joint between the closure plate and the bar. Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.

PATIENT SAFETY STANDARDS

Toilet Accessories: Soap Dispensers

PATIENT SAFETY STANDARDS

Recessed or Three Dimensionally Rounded to Avoid Loop-ability Minimal Spout Projection

www.bobrick.com

www.gojo.com

Locate as Close to Corner as Possible Without Creating Wedge Point

Bed Surface-Mounted units with Continuous Sealant at Perimeter When dispensers are used for alcohol or gel based sanitizers, they should only be located in supervised areas, never in patient bedrooms or unsupervised areas.

Bobrick Contura B-4063 GoJo TFX

*

www.libertyarc.org

Liberty F6659

5th Edition January 31, 2011

Ligature point at handle.

Notes Best practice indicates recessed accessories, including soap dispensers. Locate surface mounted dispensers as close to corner as possible to minimize loopability. Provide sealant bedding bead at perimeter of surface mounted units to prevent gaps between the unit and the wall. Note at countertop and semi-recessed option, locate the soap dispenser and towel dispenser where drips are confined to the counter itself. Warning: Do not allow/provide/use alcohol gels in Inpatient bathrooms.

Toilet Accessories: Soap Dispenser www.norvaplastics.com

Norva Plastics •Corian construction •Refill fitting on top •Bolts securely to wall

Notes: Confirm pricing with manufacturer for needed quantity before selecting. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Soap Dispensers

PATIENT SAFETY STANDARDS

www.cescompany.com

Recessed or Three Dimensionally Rounded to Avoid Loop-ability

Minimal Spout Projection Locate as Close to Corner as Possible Bed Surface-Mounted units with Continuous Sealant @ Perimeter

•

Sharp components

•

Many small ligature points at junctures

•

½‖ Projected off the wall ASI 5002

5th Edition January 31, 2011

Notes Best practice indicates recessed accessories, including soap dispensers. Locate surface mounted dispensers as close to corner as possible to minimize loopability. Provide sealant bedding bead at perimeter of surface mounted units to prevent gaps between the unit and the wall. Note at countertop and semi-recessed option, locate the soap dispenser and towel dispenser where drips are confined to the counter itself. Warning: Do not allow/provide/use alcohol gels in Inpatient bathrooms.

Toilet Accessories: Paper Towel Dispensers

www.bobrick.com

Bobrick-B359 Recessed Non-Loopable Lockable

Warning: Dispenser poses risk of illicit contraband storage in concealed paper chamber.

Notes Best Practice indicates recessed accessories, including paper towel dispensers. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Paper Towel Dispensers

www.gp.com

enMotion

Recessed Non-Loopable Non-secure Stainless Steel Easy to break Cautions: Surface-Mounted Flat-top - Loopable Not Tamper-resistant

Notes EnMotion serrated metal strip may allow wedging opportunities and can be weaponizable 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Paper Towel Dispensers

www.exceldryer.com

Excel Dryer Xlerator Hand Dryer

Recessed Non-Loopable Secure Stainless Steel Surface Mounted Recess Kit available Tamper Resistant with security grade Specify noise reduction nozzle.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser Bradley Model SA47

www.acorneng.com

www.bradleycorp.com

Acorn 1840-FA

Bradley SA11 and SA12

Notes Warning: Potential hazard with loose roll that can be stuffed in toilet. 5th Edition January 31, 2011

ICRA – Infection control, paper rolls can be easily dropped on floor.

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser

www.kimberly-clark.com

PATIENT SAFETY STANDARDS

www.bobrick.com

Kimberley Clark 74418 Bobrick B-272

5th Edition January 31, 2011

Notes Bobrick B-272 may be possible to loop a string using the small gap between the wall and the cover or via the slots on the face of the cover. Install at or below knee level.

Toilet Accessories: Toilet Paper Dispenser

www.bobrick.com

Bobrick B-5288

Notes Plastic spindle is rigid and can be broken into small shards, loose parts, and large profile can break. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser

www.evansandpaul.com

Evans & Paul ligature resistant Surface Mounted Toilet Paper Dispenser Solid polymer housing with flexible neoprene spindle. Single and double roll dispensers available. Flexible neoprene spindles disengage from housing under pressure. ENP-TPD01 series

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser

www.evansandpaul.com

Evans & Paul ligature resistant Recessed Toilet Paper Dispenser Solid polymer housing with flexible neoprene spindle. Single and double roll dispensers available. Flexible neoprene spindles disengage from housing under pressure. ENP-TPD01 series

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser www.norvaplastics.com

Do Not Use at NYS-OMH facilities.

Use With Caution at Article 28 and Article 31 hospitals.

Norva Plastics Dowels are made of flexible, breakaway polyethylene foam rubber.

Notes: Confirm pricing with manufacturer for needed quantity before selecting. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser

www.kimberly-clark.com

Sliding panel ―pops out‖, spindle holder is breakable.

Kimberly Clark Part 09604 www.kcprofessional.com

www.torkusa.com

SCA

Notes 5th Edition January 31, 2011

The SCA unit provides an over case top ligature point and an internal post that can be looped.

PATIENT SAFETY STANDARDS

Toilet Accessories: Toilet Paper Dispenser

www.bobrick.com

Bobrick 52891

Notes Plastic spindle is rigid and can be broken into small shards, loose parts, and large profile can break. Vision slot is loopable. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Toilet Accessories: Recessed Trash Receptacles

Solid Surface Trash Receptacle •Solid surface construction •Semi-recessed trash receptacle

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Window Treatments

PATIENT SAFETY STANDARDS

www.webbshade.com www.imperialfastener.com

This product provides multiple ligature points and should only be used in low-risk areas.

Notes The Imperial Break-A-Way surface mounted track can be looped end to end and Velcro creates a tie off point for ligature. 5th Edition January 31, 2011

Integral Blinds are the recommended option. See Windows (Security Glazing) slides.

Window Treatments

PATIENT SAFETY STANDARDS

www.inprocorp.com

www.vistamatic.com

Install privacy curtain track, with Clickeze Carriers, at underside of soffit or ceiling above window.

The vision panel is constructed of three sheets of glazing. Operating the lever adjusts the position of the inner pane to obscure the view through the panel.

Caution: The product comes standard with non-safety glass which Introduces a risk into the patient environment. See Security Glazing Risk Assessment page for more information.

Notes The use of a three sheet vision panel at certain rooms may be interpreted as a privacy violation in some jurisdictions. 5th Edition January 31, 2011

Integral Blinds are also acceptable. See Windows (Security Glazing) slides.

Specialties: Clocks www.peterpepper.com

5th Edition January 31, 2011

Peter Pepper Synch Tech • GPS time accuracy throughout, providing legally traceable time. • Eliminates potential liabilities from inaccurate, independently set clocks when documenting the exact time for Medical timelines, vital statistics and procedures. • Employee time keeping and HR policy enforcement; virtually eliminating unnecessary Time and Attendance grievances. • Emergency Text Notification System is available to instantly send text to Moving Message Displays throughout the facility and or pre-recorded audio messages over existing PA Systems. • Eliminate need for manual Daylight Savings Time adjustments. • One third to one half the cost to install versus a traditional, 3 wire, 110v system. • 5 and 10-year maintenance free batteries reduce maintenance labor costs. • One transmitter covers most campuses and facilities using a high power UHF-FM Transmitter operating on a business frequency, a time tested method of transmitting information without interference with sensitive medical equipment. • Add an unlimited number of receiver clocks and wireless options as your needs evolve.

PATIENT SAFETY STANDARDS

Notes: 1200 Series Clock profile used. There are some modifications that Peter Pepper will make once a order is placed. Highly suggested: adjustable angle brackets for their security brackets. Currently, the non-adjustable ones pose a problem due to the curvature of the clock’s housing, pushing the clock to be 1/8‖ min. off the wall surface.

Specialties: Television Enclosures

www.lcdtvenclosure.com

LCD Enclosure • Mild Steel Construction • Tapeable metal flanges for a completely flush installation in a drywall application. • Air in-takes and out-takes for television cooling. • Viewing window is constructed of ¼‖ polycarbonate with an internal mounting frame. • Anti-glare coating is a standard option. • Enclosure is available for 19‖ to 60‖ televisions.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Specialties: Television Enclosures

www.peerlessmounts.com

Peerless Custom LED Screen Protection System

Notes A polycarbonate lens must be specified. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Specialties: Architectural Signage www.kingarchitecturalproducts.com

King Architectural Products KMS Series * Preferred signage system. Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable. 5th Edition January 31, 2011

Tamperproof Locking: Top, bottom, fastening and panel profiles and copy covers to be held in place by manufacturer’s standard concealed locking strip, secured by a tamperproof set screw in the top rail.

PATIENT SAFETY STANDARDS

Specialties: Architectural Signage

PATIENT SAFETY STANDARDS

www.asisignage.com

ASI Modulex Infinity

Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable. 5th Edition January 31, 2011

Infinity signage system does not mount flush against wall.

Specialties: Architectural Signage

PATIENT SAFETY STANDARDS

www.asisignage.com

ASI Modulex Pacific Series

ASI Modulex Panorama Series Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable.

5th Edition January 31, 2011

Plastic can crack into multiple shards.

Specialties: Architectural Signage

PATIENT SAFETY STANDARDS

www.asisignage.com

ASI Modulex 380 Series

ASI Modulex I-20 Notes

5th Edition January 31, 2011

Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable. Sign stands slightly off wall and presents a slight finger pull opportunity.

Specialties: Architectural Signage

PATIENT SAFETY STANDARDS

www.innerface-signage.com

Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable.

Signage panels (number plate and white board) are adhered to backing plate with double stick tape. Visible seams between components may be pickable. 5th Edition January 31, 2011

Signage panels permanently cover fasteners in backing plate. Signage removal or panel change requires destructive removal of panels, may leave adhesive residue on back plate.

Specialties: Architectural Signage

PATIENT SAFETY STANDARDS

www.gdssigns.com

Notes

5th Edition January 31, 2011

Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable.

Sprinklers & Fire Extinguishers

www.tyco-fire.com

TYCO Raven Quick Response Avoid Removable Parts

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Sprinklers & Fire Extinguishers

PATIENT SAFETY STANDARDS

Quick Response Avoid Removable Parts

www.reliablesprinkler.com www.tyco-fire.com

* Star Sprinkler, a division of Tyco Fire Suppression & Building Products

Star Sprinkler TFP PH2

Reliable Sprinkler Model XL

www.vikingcorp.com

The Viking heat sensor projects below the escutcheon plate. Damage to the heat sensor will activate the sprinkler system. Tyco TFP MAX Viking VK410 and VK412

5th Edition January 31, 2011

Notes Warning: A portion of the sprinkler head projects below the sprinkler head enclosure and is accessible to patients.

Mechanical Systems Equipment & Devices General Notes General Mechanical Note: CO2 sensors are not available in any ligature resistant form. CO2 sensors may be installed in the ducts, but this will not qualify for LEED credits.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Mechanical Systems Equipment & Devices Thermostats

www.keracontrols.com

Use covers and/or flat plate digital thermostats in high-risk locations.

Kera SDH-3PB

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Mechanical Systems Equipment & Devices Thermostats

PATIENT SAFETY STANDARDS

www.bapihvac.com

•Resident controlled thermostat. •Push-button temperature selection. •Flush cover plates. •Digital display. •Low voltage. •Large font on-board thermometer.

BAPI Decora Style Room Unit 5th Edition January 31, 2011

Notes Specify the standard cover plate with tamper resistant screws screws.

Mechanical Systems Equipment & Devices Louvers & Grilles www.anemostat.com

Anemostat 5th

Edition January 31, 2011

www.titus-hvac.com

Titus Notes Engineer back of system to accommodate free-area requirements. Louvers and grilles - 3/16‖ holes maximum

PATIENT SAFETY STANDARDS

Mechanical Systems Equipment & Devices Louvers & Grilles

PATIENT SAFETY STANDARDS

www.carnes.com www.kees.com

Carnes Perforated Face Supply Diffuser

Kees SEG-4P3

www.besafeprod.com

BSP Behavioral Safety Products •Flexible grille creates a wedging opportunity. • Linear grille design permits linear movement with the use of a tool for looping.

•Replacement Exhaust Grille for bathroom exhaust

Notes 5th

Edition January 31, 2011

Louvers and Grilles 3/16‖ holes maximum Engineer back of system to accommodate free-area requirements.

Mechanical Systems Equipment & Devices Louvers & Grilles www.mcmaster.com

Louvers and Grilles 3/16” holes maximum McMaster-Carr SS 304 Annealed 8x8 w/ Interweave Screening

Notes Engineer back of system to accommodate free-area requirements. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Mechanical Systems Equipment & Devices Louvers & Grilles www.carnes.com

Carnes Perforated Face Supply Diffuser (Suicide Deterrent)

Do not use on side walls, must be hung from structure.

Carnes RSPA51 R&G 5th Edition January 31, 2011

Carnes RSPA41

Notes 3/16‖ holes maximum. Engineer back of system to accommodate free-area requirements.

PATIENT SAFETY STANDARDS

Mechanical Systems Equipment & Devices Louvers & Grilles

PATIENT SAFETY STANDARDS

Anemostat Perforated Face Supply Diffuser (Suicide Deterrent)

www.anemostat.com

Anemostat SV432

5th Edition January 31, 2011

Anemostat SV6

Notes 3/16‖ holes maximum. Engineer back of system to accommodate free-area requirements. Anemostat S-Vent, 4 quadrant air distribution. Do not use on side walls; blades are sharp and can create wedge points. The louver should be kept out of reach of patients.

Mechanical Systems Equipment & Devices Louvers & Grilles

PATIENT SAFETY STANDARDS

Linear Diffusers

www.titus-hvac.com

Titus

Slot Supply Diffusers

5th Edition January 31, 2011

Notes Linear diffusers of this design provide a wedge point that can be used to establish a ligature point.

Mechanical Systems Equipment & Devices Louvers & Grilles Baseboard Enclosures Fully-welded ends and connectors

www.vulcanrad.com

Notes

5th Edition January 31, 2011

Provide with fully-welded ends and connectors. Retrofit metal enclosures to be installed with continuous ends and connectors to ensure all exposed edges are fully welded to prevent tampering and scalding, etc.

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems Lavatories in this section are specified as systems. Independent components, used either independently of the system they are shown in, or combined with other systems, may not be ―ligature resistant‖. Do not use ―pop-up‖ drains, only fixed strainers should be acceptable. Specifiers should take care to employ products in concert to create systems that are safe for installation condition (e.g. in a niche as opposed to free standing) and combinations of parts that make a functional and safe system. Fixtures Faucets Activators/Actuators Basins Pipe Enclosures Countertops Mirrors Systems Niche Lavatories

Showers Special Note: Detention Grade Stainless Steel Fixtures are Prohibited. ( Reference: Office of Quality Management Memo 10/11/07) 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Toilets

PATIENT SAFETY STANDARDS

Wall Mounted Floor Mounted Concealed Valves with IR Controls and Override www.americanstandard.com

Wall hung and floor mounted toilets that are installed without a continuous closure between the toilet and the floor and wall create a ligature point. Toilet seats that are not integral with the bowl also create a ligature point.

American Standard Afwal

www.sloanvalve.com www.kohler.com

Sloan Optima or Regal 154

5th Edition January 31, 2011

Notes Wall surface must be flush at joint with toilet to avoid gaps that can become ligature points. Standard wall cover plate conflicts with grab bars, which run across it. See Concealed Infrared Flush Valve Assembly Slide for a non-conflicting arrangement.

Plumbing Fixtures & Systems: Toilets

PATIENT SAFETY STANDARDS

Offset concealed flush valve with recessed access door and remote IR sensor with recessed cover plate, all arranged to avoid conflict with ADA grab bars.

www.hydrotek.com

Hydrotek 8000 Series

www.sloanvalve.com

Sloan Optima

www.zurn.com

Section through grab bar and flush valve access door, showing offset flush valve.

Section through grab bar, IR sensor cover plate and flush valve tail piece

Elevation of toilet, grab bar, access door and IR sensor cover plate.

Zurn AquaSense AV Concealed flush valve assembly with remote infrared sensor illustration shows an American Standard Afwal Toilet with a Sloan Flush Valve. Listed manufacturers indicate ability to accomplish offset installations. Verify with each manufacturer the specific requirements for offset plumbing extensions, access door sizes and positioning, and remote IR sensor connections and cover plate dimensions. Provide access door with plaster frame to allow for door installation flush with adjacent tile. Manufacturer supplied IR cover plate may be for surface mounting, and will require customization for flush installation. Notes 5th Edition January 31, 2011

Access doors and IR sensor cover plates are to be fully recessed so that faces are flush with adjacent finish materials, to avoid exposed sharp corners, to avoid picking at edges and to avoid possible ligature points.

Plumbing Fixtures & Systems: Toilets

www.acorneng.com

Notes For existing exposed front located flush valves. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Toilets

www.acorneng.com

5th Edition January 31, 2011

Notes For existing exposed side located flush valves. Make sure that fit is tight enough so that valve projects through hole completely for free operation without the need for a large enough hole to provide ligature access beyond.

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Drinking Fountain

PATIENT SAFETY STANDARDS

www.filtrine.com

Filtrine “Filling Station” •Vandal resistant “Soft Touch Valve” push button activator.

5th Edition January 31, 2011

Notes: A remote cooler is required for chilled water dispensing. A drainage system is required for waste water. The drain grille must be securely fastened , with tamper proof fasteners. The integral cup dispensers must be securely fastened to the Filling Station housing. The top of the access door must be sloped. The spout shall be mounted no higher than 36‖A.F.F. in compliance with ADAAG.

Plumbing Fixtures & Systems: Showers

Handicapped Showers: • Do not install brackets to hold hand shower. • Use hand showers with quick-connect fitting. • Provide shower seats, fold-down shower seats has ligature points. • Provide roll-in shower so that a chair may be provided in lieu of the fold-down seat. • See shower activators for additional information relative to shower controls.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Showers (Shower Heads)

PATIENT SAFETY STANDARDS

www.speakmancompany.com www.chicagofaucets.com

Speakman S2460-AF

Chicago Faucets 621-CP

www.powerscontrols.com www.symmons.com

Powers

5th Edition January 31, 2011

Symmons 96-1-150

Plumbing Fixtures & Systems: Showers (Shower Heads)

PATIENT SAFETY STANDARDS

www.kohler.com www.willoughby-ind.com

Willoughby CHS Showerhead Kohler Rain Head

Notes Kohler Rain Head has ligature points.

www.galvinengineering.com.au

Valdal Resistant Safe Cell Shower Rose

Plumbing Fixtures & Systems: Showers (Hand Showers)

PATIENT SAFETY STANDARDS

www.oddballindustries.com

Handicapped Hand Showers: • Oddball SP7 Series hand held shower with quick disconnect adapter

www.willoughby-ind.com

―FX‖ Flexshower Quick release mechanism provides a ligature point. Notes Generally, this device must be installed in addition to a primary ligature resistant shower head. However, review and understand ANSI A117.1-2003, 608.6, Exception – which allows a fixed shower head only in certain situations. 5th Edition January 31, 2011

If fixed head and hand shower are both used, provide either an ligature resistant diverter valve or separate ligature resistant control systems.

Plumbing Fixtures & Systems: Activators

PATIENT SAFETY STANDARDS

Pre-set flow time and temperature activators.

www.symmons.com

www.acorneng.com

www.deltafaucet.com

Symmons Delta Teck Push Button Activator 860 Series Water temperature can be adjusted by staff with mixing valve located behind cover plate.

4-427 Hydraulic metering shower valve

Acorn Engineering M530-MVC1-PBH-WS (or Powers Series 447)

Notes Best practice recommends controlled (limited) flow time. Various mechanisms and controllers provide this; some are factory set, others can be adjusted by staff. Best practice recommends resident controlled temperature. These products do not provide this. (See Brainwave and Piezo prototype controllers.) 5th Edition January 31, 2011

The Symmons 4-427 non-tapered button is loopable.

Plumbing Fixtures & Systems : Shower Activators

www.symmons.com

Symmons B-40904-1

5th Edition January 31, 2011

Notes Recessed Shower Dial Activator is loopable and does not meet the criteria for ADA graspability.

PATIENT SAFETY STANDARDS

Fixtures: Activators (Showers and Lavatory) Control Flow Control Water Temperature Integral Anti-Scald

PATIENT SAFETY STANDARDS

www.niekampinc.com

www.armstronginternational.com

Niekamp: SSK 1022 (Powers Valve) Provide a diverter valve similar to the Neikamp or Oddball, or provide separate controls for both the shower head and the hand-held device. Be advised that this solution is not handicapped accessible. Armstrong Brainwave w/ SS Shield* SS face plate is to be used in all NYS OMH Facilities. Use With Caution: the Brainwave plastic cover is available and is accepted by some users.

Plumbing Fixtures & Systems : Activators (Showers and Lavatory)

PATIENT SAFETY STANDARDS

Control Flow Control Water Temperature Integral Anti-Scald

www.stanleyhardware.com

www.oddballindustries.com

Stanley: Piezo Electric Valve – Not Available in the US

Provide a diverter valve similar to the Neikamp or Oddball, or provide separate controls for both the shower head and the hand-held device. Be advised that this solution is not handicapped accessible.

5th Edition January 31, 2011

Notes Best Practice favors temperature and flow control by the patient. Neikamp is designed to work with Powers and Speakman valve bodies; they may be able to fit other valve bodies, but that would require a one-time set-up charge of approx. $700 We have an early user report with respect to sloppy finish and difficulty in operation when wet with respect to the OddBall product . Niekamp and OddBall are not ADA compliant.

Plumbing Fixtures & Systems : Activators (Showers and Lavatory)

PATIENT SAFETY STANDARDS

www.speakmancompany.com

Notes This product is currently under development and not yet available for purchase. 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 Speakman Shower Activator might not comply with the ADA. Therefore this product is not suitable for handicap accessible showers. Specified product is either: bass or zinc

Plumbing Fixtures & Systems : Activators (Showers and Lavatory)

www.bradleycorp.com

Bradley SRC Handle

Notes The operational clearance between the ligature resistant control knob and the valve creates a ligature point. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

Faucets must be considered as part of entire assembly/system.

www.kohler.com www.deltafaucet.com

www.sloanvalve.com

Sloan IR Faucet

Sloan Optima Systems ETF-80 Faucet – hardwired EBT-85 Faucet– battery pack

5th Edition January 31, 2011

Notes Only use the Sloan and Delta spouts only if the lavatory is positioned so that a lateral ligature hang is not possible, i.e. in a niche! Only use Delta if using an electronic flow actuator. Do not use with wrist blades or faucet handles. Modified Kohler laminar faucet currently being tested.

Kohler Laminar Faucet (Must be ordered as replacement parts of Kohler K-9022)

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

Faucets must be considered as part of entire assembly/system.

www.zurn.com

www.sloanvalve.com

Sloan Optima Systems EFT-600 The aerator creates a ligature point.

5th Edition January 31, 2011

Zurn Z6917 The aerator (not shown in the photo) creates a ligature point.

Plumbing Fixtures & Systems: Lavatories Faucets must be considered as part of entire assembly/system.

www.willoughby-ind.com

www.willoughby-ind.com

Willoughby Bubbler 380068 BPH* ―FL Lav/Filler Willoughby PM2 2 button dual temperature pneumatic valve

Notes Specify actuator and bubbler for high risk situations, but should otherwise be avoided because of their institutional nature. 5th Edition January 31, 2011

The one button activator gives one preset temperature. The two button activator gives a selection of three preset temperatures (warm, cold and tepid).

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

Faucets must be considered as part of entire assembly/system.

www.acorneng.com

www.acorneng.com

Acorn Hemispheric Bubbler BPH (shown with single push button, double button temperature control model also available, order with appropriate control valve assembly)

Acorn Hemispheric M3383-E500 Air-control valve – Hot & Cold

Notes Specify actuator and bubbler for high risk situations, but should otherwise be avoided because of their institutional nature. The one button activator gives one preset temperature. The two button activator gives a selection of three preset temperatures (warm, cold and tepid).

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

Fixtures • Faucets www.acorneng.com

Article 28 and Article 31 hospitals.

• Activators • Basins • Pipe Enclosures • Countertops

Do Not Use at NYS-OMH facilities. Acorn Meridian Solid Surface Basin (NY Hospital Modified) – Rejected Acorn Hemispheric Bubbler and Hemispheric Push Button (See Stankey as an Alternative Operator) – Accepted Acorn SES Pipe Enclosure

5th Edition January 31, 2011

Notes NYS-OMH Accepted provided that the Meridian is used in a niche application. This lavatory is not approved as shown in this application for NYS-OMH facilities because the top surface is completely flat and loopable

• Mirrors

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

Proposed OMH Standard: Niche mounted sink projecting from counter with integral pipe screening below.

Integral bowl with Kohler Laminar www.armstronginternational.com faucet and IR or Armstrong Brainwave controls. (Use Acorn’s Hemispheric Bubbler and Hemispheric Push Button as an Alternative) www.acorneng.com Armstrong Brainwave Model #DMV1 Lavatory with SS Shield* Fixtures

SS face plate is to be used in all NYS OMH Facilities. Use With Caution: the Brainwave plastic cover is available and is accepted by some users.

• Faucets

• Activators • Basins • Pipe Enclosures • Countertops

• Mirrors

5th Edition January 31, 2011

Acorn Meridian Integral Countertop (Use sink only, not faucet)

Kohler Laminar Spout (Must be ordered as replacement parts of Kohler K-9022)

www.kohler.com Notes Use of sinks with engaged counters resists ligature only when engaged side to side by knee-walls or niches as shown Laminar Flow provides a controlled jet of water arching out of hole in wall. (Modify parts of Kohler Laminar Faucet Assembly K-9022). Use Sloan ETF-80 as an alternative to Kohler faucet in locations where additional risk is acceptable per institutions risk assessment; and then hardwired, not battery powered.

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

Proposed OMH Standard: Niche mounted sink projecting from counter with integral pipe screening below.

www.Stanleyhardwarecom

Piezo Controls * Not currently available in the US

Integral Bowl with Kohler Laminar Faucet and IR or Piezo Controls

www.armstronginternational.com

Fixtures • Faucets

• Activators • Basins • Pipe Enclosures • Countertops

• Mirrors

American Standard Mezzo Semi-Countertop 1. Use sink with Laminar Faucet, not with a deckmounted faucet. 2. Bowl projects above counter creating possible ligature hazard at back, if bowl is not installed tightly against back wall or backsplash (with sealant), or gap is closed off by tile. Under-lip must ALSO be tight against cabinet front. www.americanstandard.com 3. Horizontal projection may present a durability concern due to potential vandalism.

Notes Sinks with engaged counters resist ligature only when engaged side to side by knee-walls or niches as shown. Laminar faucet provides a controlled jet of water arching out of hole in wall. (Use parts of Kohler Laminar Faucet Assembly K-9022). Use Sloan ETF-80 as an th 5 Edition alternative to Kohler faucet in locations where additional risk is acceptable per institutions January 31, 2011 risk assessment; and then hardwired, not battery powered.

Armstrong Brainwave Model #DMV1 Lavatory with SS Shield* SS face plate shall be used in all NYS OMH Facilities. Use With Caution: available Brainwave plastic cover may be accepted by some users.

Kohler Laminar Faucet (Must be ordered as replacement parts of Kohler K9022)

www.kohler.com

Plumbing Fixtures & Systems: Basins

www.americanstandard.com

American Standard Rondalyn Countertop Sink (Modified- no holes) 1995 OMH Standard: American Standard Afwal or Rondalyn

5th Edition January 31, 2011

Notes Counter top mounted sinks like the Rondalyn and solid-surface integral and undermount counter sinks are acceptable when part of an assembly that is itself designed to be non-loopable. For example, when mounted in a niche surrounding the assembly on three sides. The slope sided Toto Lavatories provide some ligature resistant resistance, but can be looped and should not be used in a high risk area.

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Lavatories

PATIENT SAFETY STANDARDS

www.totousa.com

Fixtures • Faucets • Activators • Basins • Pipe Enclosures • Countertops • Mirrors Toto 308

Toto 307.8

Modified with Acorn Hemispheric Bubbler and Hemispheric Push Button and Acorn SES Pipe Enclosure

5th Edition January 31, 2011

Notes Use Sloan ETF-80 at places that are supervised or used by staff only. Use hardwired products, not battery powered products. Warning: Install with Offset Trap only! The slope sided Toto Lavatories provide some ligature resistant resistance, but can be looped and should not be used in a high risk area.

Plumbing Fixtures & Systems: Basins

PATIENT SAFETY STANDARDS

www.evansandpaul.com

Evans & Paul •Custom ligature resistant solid surface lavatory with integral bowl.

•Removable fully enclosed pipe enclosure / skirt with hexalobular pin-reject screws.

Notes: Not all configurations shown above are ADA compliant. Provide a handicapped accessible configuration where handicapped accessibility is required. Exact profile and location of bowl within counter may be customized. 5th Edition January 31, 2011

Plumbing Fixtures & Systems: Basins (integral)

www.bradleycorp.com

•Custom solid surface lavatory with integral bowl. •Integral shroud available.

Bradley Express Lavatory SS-1N

Bradley Advocate Lavatory LA60 Notes: Bradley Advocate comes with an integral hand drier and soap dispenser, but the soap dispenser creates a ligature point. 5th Edition January 31, 2011

The Bradley SS-1N is best installed in a recessed niche in new construction.

PATIENT SAFETY STANDARDS

Plumbing Fixtures & Systems: Pipe Enclosures

www.ipscorp.com

Trubro Lav Shield Enclosures

5th Edition January 31, 2011

Notes Specify tamper-resistant, hexalobular, pin-reject, internal drive system, meeting ISO standard 10664 screws. Custom millwork is a viable alternative and when properly detailed may be preferable to these enclosures.

PATIENT SAFETY STANDARDS

Electrical: Receptacles and Switches

www.legrand.us

PATIENT SAFETY STANDARDS

Not in high risk areas

www.hubbell-wiring.com

Not in high risk areas

Specify Nylon or SS Face Plates only. Specify hexalobular pin-reject fasteners only. Tamper-resistant on GFCI & AFCI Circuit

Pass and Seymour Nylon Plates & Tamper Resistant Receptacles*

5th Edition January 31, 2011

Hubbell HBL8300SGA*

Notes Use Ground Fault Circuit Interrupter (GFCI) and Arc Fault Circuit Interrupter (AFCI) at panel box for all patient accessible circuits. Specify with nylon cover plates (preferred) or stainless steel (acceptable). *Both the Pass and Seymour and the Hubbell receptacles can be defeated when a conductive material is inserted sequentially into the receptacle.

Electrical: Receptacles and Switches

www.leviton.com

Leviton

PATIENT SAFETY STANDARDS

Electrical: Receptacles and Switches

PATIENT SAFETY STANDARDS

www.cooperindustries.com

Specify Nylon or SS Face Plates only. Specify hexalobular pin-reject fasteners only. Tamper-resistant on GFCI & AFCI Circuit

5th Edition January 31, 2011

Notes Use Ground Fault Circuit Interrupter (GFCI) and Arc Fault Circuit Interrupter (AFCI) at panel box for all patient accessible circuits. Specify with nylon cover plates (preferred) or stainless steel (acceptable). NYS OMH finds that tamper-resistant, hospital grade receptacles are acceptable.

Electrical: Receptacles and Switches

PATIENT SAFETY STANDARDS

www.morlitesystems.com

Article 28 and Article 31 hospitals.

Do Not Use at NYS-OMH facilities.

5th Edition January 31, 2011

Notes These devices and plates have been rejected for NYS-OMH facilities because their institutional/correctional appearance is contraindicated by code and standard language requiring a non-institutional environment.

Electrical: Receptacles and Switches

www.kenall.com

Article 28 and Article 31 hospitals.

5th Edition January 31, 2011

Do Not Use at NYSOMH facilities.

Notes These devices and plates have been rejected for NYS-OMH facilities because their institutional/correctional appearance is contraindicated by code and standard language requiring a non-institutional environment.

PATIENT SAFETY STANDARDS

Electrical: Receptacles and Switches - Sensors

www.wattstopper.com

Pending Approval with Following Concerns: • Plastic Dome is not tamper resistant. • Escutcheon plate must be fastened with tamper resistant screws.

•Built-in light level sensor •Occupancy sensor •Ceiling mounted sensors are preferred to wall mounted sensors. •Tamper resistant fixtures are preferred.

Wattstopper CI-200 Series Passive Infrared Ceiling Sensors

Notes Infrared detection is not suitable for bathrooms with partitions and rooms with cubicles. Ultrasonic detection for bathroom partition, cubical wall obstructions is more suitable. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Electrical: Fire Alarm Components

PATIENT SAFETY STANDARDS

www.simplexgrinnell.com

Article 28 and Article 31 hospitals.

Use with Caution at NYS-OMH facilities.

Simplex 4098-9757 Smoke Sensor

Simplex 4098-9733 Heat Sensor

5th Edition January 31, 2011

Notes This detector, while listed by OMH for use in their own hospitals is loopable and should not be used at non-OMH hospitals. Do not use smoke detectors in bedrooms and bathrooms at NYS-OMH operated hospitals. Use the Bosch detector in unsupervised spaces and Simplex in supervised spaces at NYS-OMH facilities.

Electrical: Fire Alarm Components

www.gesecurity.com

GE Security SIGA-DG (EST) Rejected because of loopability

PATIENT SAFETY STANDARDS

Electrical: Fire Alarm Components

www.boschsecurity.com

Bosch FCP-500 Series

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Electrical: Fire Alarm Components

www.takex.com

Takex USA, Inc. FS-2000E Series Flame Sensor 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Electrical: Fire Alarm Components

PATIENT SAFETY STANDARDS

Warning: Do not use wire covers in high risk areas.

www.simplexgrinnell.com

Ceiling mount where permitted by code.

Simplex Multi-candela Horn/Strobe Clg-Mtd 4906-9128

5th Edition January 31, 2011

Simplex Multi-candela Horn/Strobe Clg-Mtd 4906-9128

Electrical: Fire Alarm Components

www.edwards-signals.com

Warning: Not approved for use in high risk areas.

Notes The curved return against the ceiling presents a ligature hazard. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Electrical: Fire Alarm Components

PATIENT SAFETY STANDARDS

www.simplexgrinnell.com

Specify Key-operated only Heavy Duty Cast Housing

Simplex 2099 Series- Single Action Institutional Cover

5th Edition January 31, 2011

Simplex Grinnell by Tyco

Lighting Fixtures

PATIENT SAFETY STANDARDS

Lighting Fixtures General Design & Performance Criteria

Housing: Unbreakable. Surround: Flush with no gaps for graspability or ligature tie-off. Installation is critical to ensure no gaps. Diffuser/Lens: Minimum 1/8‖ polycarbonate, prismatic or translucent lens. Lens frame needs enough edge bite to retain lens during maximum deflection. Fasten lens or lens frame with 2 tamper-resistant fasteners minimum. Do not pass fasteners through polycarbonate lens material. Switch: All children and adult seclusion room lighting is to be dimmable. Dimmable ballasts can be installed in retrofit situations. Light Source: High-efficiency, and maintain visual performance where applicable. Provide dimmable ballasts as required. Approvals: UL, and others as applicable. Maintenance: Available standard replacement parts, lamps and ballasts; consider minimum number of security fasteners required for patient safety without creating unnecessary extra labor for re-lamping. NYS OMH Lighting Standards: F32T8 lamps are standard due to high efficiency, performance, reliability, and cost effectiveness. Notes: Coordinate shower light fixtures with wall or ceiling finish. Escutcheon plates will not sit flat on wall and ceiling tile. Recommended installation method is to install escutcheon plate directly to backerboard and trim tile to escutcheon plate. This works better with square fixtures than round fixtures. Verify photometrics of light fixtures with polycarbonate lenses during project design.

5th Edition January 31, 2011

Lighting Fixtures: High Risk Areas General Illumination Ceiling Mounted - Recessed Linear Fixtures

www.designplan.com

Design Plan : Tuscan 850 Housing:

20 Gauge zinc-coated Steel with captive tamper-resistant screws. Diffuser: UV stabilized clear patterned polycarbonate lens. Light Source:

(2) 26W T8 Fluorescent Approvals: UL, cUL Wet label IP 55

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General Illumination Ceiling Mounted - Recessed Linear Fixtures

www.lcdoane.com

CRN Series by LCD Housing:

16/18 Gauge cold-rolled Steel with captive tamper-resistant screws. Diffuser: (RFL) Prismatic LEXAN polycarbonate lens. Light Source: (3 or 4) 26W T8 Fluorescent Approvals: UL, cUL Wet label IP 55

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General Illumination Ceiling Mounted - Recessed Troffers

www.legionlighting.com

Securlume By Legion 672 Housing: 20 Gauge cold-rolled Steel with captive tamper-resistant screws. Diffuser: (RFL) Prismatic LEXAN polycarbonate lens. Light Source: (3 or 4) 26W T8 Fluorescent Approvals: UL, cUL Wet label IP 55

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General Illumination Ceiling Mounted - Recessed Downlights

www.kenall.com

Mighty Mac by Kenall RQCA: Recessed 12‖ x 12‖ Downlight Housing: 16 Gauge stainless steel / CRS Diffuser: 0.125‖/0.375‖/0.500‖ polycarbonate lens with tamper-resistant fasteners. Light Source: 26W/ Quad CF Lamps- dimmable Approvals: UL Listed for damp locations.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General Illumination Ceiling Mounted – Surface Fixtures Ceiling mount www.legionlighting.com

Legion Vandelex Housing: Die formed 16 ga. cold rolled steel

Wall mount

Diffuser: Polycarbonate Light Source: T8 Approvals: UL & cUL listed

Notes Do Not Use as a wall mounted fixture. Light fixture has a high profile and presents a ligature hazard when installed in the wall mounted position. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk

PATIENT SAFETY STANDARDS

General Illumination Wall or Ceiling Mounted – Surface Fixtures

www.luminairelighting.com

Luminaire YWP 610/ SWP 610

Housing: One piece injection molded UV stabilized polycarbonate mechanically interlocked to lens Diffuser: One piece injection molded UV stabilized prismatic polycarbonate with minimum 0.140‖ wall thickness (Sourcing more translucent fixture) Light Source: Compact Fluorescent lamp

Approvals: Wet location, 1598a, cUL

5th Edition January 31, 2011

SWP 610

Lighting Fixtures: High Risk

PATIENT SAFETY STANDARDS

General Illumination Wall or Ceiling Mounted – Surface Fixtures

www.luminairelighting.com

Luminaire VPF 122 Housing:

Marine grade heat treated extruded aluminum. Diffuser: Extruded UV stabilized polycarbonate with integral prisms. Maximum wall thickness 0.160‖. Secured to housing with die cast aluminum clamps and 6 stainless steel tamper-resistant, hexalobular, pin-reject, internal drive system, meeting ISO standard 10664 screws. Light Source:

T8 (32 W, low power ballast, dimmable) Approvals: cUL, wet optional 5th Edition January 31, 2011

Notes Light housing may present ligature hazard when wall mounted and should be used on overhead installations only.

Lighting Fixtures: High Risk General Illumination Wall or Ceiling Mounted – Surface Fixtures

www.designplan.com

Design Plan

Tuscan 81 Series Housing: • 20GA Zinc coated steel body Diffuser: • 3/16‖ UV stabilized polycarbonate lens

• Extruded aluminum lens frame Light Source: T5-T5HO Lamps Approvals: UL Listed for IP55 suitable for wall or ceiling mount Notes Very utilitarian/institutional appearing, not aesthetically pleasing. Recommended use in closets. Screws need to be hexalobular pin-reject. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General Illumination Wall or Ceiling Mounted – Surface Fixtures

ASD Lighting www.asdlighting.com www.teronlight.com

ASD Harmony Profile

Housing: Spun aluminum Diffuser: Vandal resistant polycarbonate in opal or prismatic, with self-extinguishing fire properties.

Light Source: 16W 2D 2-pin Approvals:

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General Illumination Wall or Ceiling Mounted – Surface Fixtures

www.prismalighting.com

Prisma Syncro Housing: Indoor/outdoor wall, ceiling applications, recessed or post mounted. Diffuser:

Internally patterned. Held in place by the retaining ring, which is secured by four stainless steel captive screws. Light Source: Compact Fluorescent Twin tube lamps Approvals: UL & cUL Listed. Wet Locations, IP54. Suitable for recessed and semirecessed mounting.

Notes

A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk General & Task Illumination (Reading) Wall Mounted – Surface Fixtures

www.kenall.com

Mighty Mac by Kenall WCBU: Surface-Mtd 1’/2’/4’ Dual Uplight/Downlight Housing: 18 gauge Stainless Steel Diffuser: 0.125‖/0.375‖/0.500‖ polycarbonate lens with tamper-resistant fasteners. Light Source: 32T8 CF Lamps- dimmable Approvals: UL Listed for damp locations.

5th Edition January 31, 2011

Dimmable reading light: custom modification to Kenall Mighty Mac WCBU. Custom model design: WCBU-4-0/0-2/x32/LED-RS-4-120-1/7U-7D-DLN1, 2x32w T8 upper compartment, 2xLED reading lights in lower compartment, 1xLED dimmable nightlight in upper compartment

Notes Should be ordered with polycarbonate diffuser

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Task/Spot Illumination Ceiling Mounted - Recessed Downlights

www.designplan.com

Design Plan RDL/RHL Housing: • 18GA Zinc coated steel housing • Concrete pour housing available Diffuser: • 3/16‖ UV stabilized polycarbonate lens • Trim ring is mechanically attached to body Light Source: • Compact Fluorescent and matching wall wash is available. Approvals: UL Listed for IP55.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Task/Spot Illumination Ceiling Mounted - Recessed Downlights

www.omegalighting.com

SPEX Omega by Philips S6-CFL (6‖) and S8-CFL (8‖) Lensed Vertical Downlights Housing: 20 Gauge galvanized steel mounting pan and yoke assembly Diffuser: 3/16‖ UV stabilized clear polycarbonate lens with tamper-resistant screws. Light Source: (26/32/42W)Triple Tube CF Lamps (w/ Dimming option) Approvals: cUL Listed for wet locations only.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Task/Spot Illumination Ceiling Mounted - Recessed Downlights

www.omegalighting.com

SPEX Omega by Philips S6-CFL (6‖) and S8-CFL (8‖) Shallow Depth Lensed Horizontal Downlights Housing: 20 Gauge galvanized steel mounting pan and yoke assembly Diffuser: 3/16‖ UV stabilized clear polycarbonate lens with tamper-resistant screws. Light Source: (26/32/42W)Triple Tube CF Lamps (w/ Dimming option) Approvals: cUL Listed for wet locations only.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk

PATIENT SAFETY STANDARDS

Task/Spot Illumination Ceiling Mounted - Recessed Downlights

www.omegalighting.com

Origins by Omega Philips Lensed Downlights with Vandal Guard Housing:

20 Gauge galvanized steel mounting pan and yoke assembly Diffuser: 3/16‖ UV stabilized clear polycarbonate lens with tamper-resistant screws. Light Source: (26/32/42W)Triple Tube CF Lamps (w/ Dimming option) Approvals: cUL Listed for wet locations only.

5th Edition January 31, 2011

213

Lighting Fixtures: High Risk Task/Spot Illumination Ceiling Mounted - Recessed Downlights

www.speclight.com

Spectrum Lighting: 8HF Housing: 20 gauge galvanized frame Specify TP for Tamper Proof Diffuser: One piece injection molded UV stabilized prismatic or frosted polycarbonate.

Light Source: Compact Fluorescent Approvals: Wet location, 1598a, cUL

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Task/Spot Illumination Ceiling Mounted - Recessed Downlights

www.lightolier.com

Spectral Architectural Lighting SL205B Housing: Spectacular aluminum Diffuser: 1 1/8" (29mm) thick clear acrylic finished with a translucent diffused coating. Light Source: Compact Fluorescent Approvals: Wet location, 1598a, cUL

5th Edition January 31, 2011

Notes A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified.

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Night Light Wall or Ceiling Mounted – Recessed Fixtures

www.prismalighting.com

Prisma Joker Fresnel For Interior Use Housing: V-o rated self-extinguishing techno polymer

Diffuser: Satin Tempered Glass Light Source: LED Approvals:

UL for wet location, IP 65

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Night Light Wall or Ceiling Mounted – Recessed Fixtures

www.luciferlighting.com

PukLED LPKF-ALED-WELL Housing: Aluminum body, semi-recessed

Diffuser: Polycarbonate lens Light Source: LED Approvals:

UL for wet location

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Night Light Wall Mounted – Semi-recessed Fixtures

www.chloridesys.com

Chloride Path Master Housing: Premium die cast aluminum components Diffuser: Polycarbonate Lens, specify frosted Light Source: LED, 3 phase

Approvals: UL 1598; UL Wet Location; NFPA, BOCA, and OSHA illumination standards; ADA

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Night Light Wall Mounted – Recessed Fixtures

www.kenall.com

Mighty Mac RFW Series Housing: 6‖ X 9‖ Recessed Die-formed 14 Gauge CRS (painted) Diffuser: 0.375 polycarbonate lens Light Source: 9 W Twin Tube CF Lamp Approvals: UL 1570; cUL Damp Locations.

5th Edition January 31, 2011

Notes Should be ordered with polycarbonate lens and tamperproof screws

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk Night Light Wall Mounted – Recessed Fixtures

www.bega-us.com

Bega 2915 LED Recessed

Housing: Die cast aluminum with integral wiring compartment. Diffuser: White tempered glass diffuser is standard, specify polycarbonate.

Light Source: LED Approvals: Wet location, UL Listed, IP 64

Notes

A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: High Risk

PATIENT SAFETY STANDARDS

Night Light Wall Mounted – Recessed Fixtures

www.bega-us.com

Bega Housing: Die cast aluminum with integral wiring compartment Diffuser:

Bega 2202 for Wet/Exterior

Polycarbonate Light Source: LED Approvals: UL, IP 65

Bega 2221 For Wet/ Exterior

Notes

A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified. 5th Edition January 31, 2011

Lighting Fixtures: High Risk Night Light Wall Mounted – Recessed Fixtures

www.kenall.com

Soft Step Housing: 18 gauge Cold rolled steel Lens:

Polycarbonate Light Source: LED, Compact Fluorescent Approvals: UL Listed for damp locations.

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk General Illumination Ceiling Mounted – Recessed Linear Fixtures

www.zumtobel.us

Zumtobel Slot Light Housing: extruded aluminum Diffuser: polycarbonate*

Light Source: T5 or T5 HO Approvals: UL

Notes •Zumtobel will provide polycarbonate diffusers with a minimum order of 1000 linear feet or (250) 4ft fixtures. 5th Edition January 31, 2011

•Provide minimum two positive attachment screws at lens cover attachment plate.

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk

PATIENT SAFETY STANDARDS

General Illumination Ceiling Mounted – Recessed Troffers

www.daybritelighting.com

Attune by Day-Bright Available in 1’ x 4’, 2’ x 2’, or 2’ x 4’ One piece die-formed, embossed steel housing. Diffuser: NA Light Source: T5 , T8, T5HO, and available with a dimmable feature

Notes

5th Edition January 31, 2011

A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified.

Lighting Fixtures: Medium Risk

PATIENT SAFETY STANDARDS

General Illumination Ceiling Mounted – Surface Fixtures

www.concord-lighting.com

Concord

Marlin, Brio IP65 Housing: Pressure die-cast aluminum Diffuser: Polycarbonate Light Source: 2 x TC-DEL 18w G24q-2 Approvals: IP65

Notes Fixture housing may present ligature hazard and should be used on overhead installations only 5th Edition January 31, 2011

Lighting Fixtures: Medium Risk General Illumination Ceiling Mounted – Surface Fixtures

www.betacalco.com

Beta-Calco Fiero Housing:

Steel and Aluminum Diffuser: Opal polycarbonate Light Source: Compact Fluorescent Lamp, T5

Approvals: UL, CSA

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk General Illumination Ceiling Mounted – Surface Fixtures

www.betacalco.com

Beta-Calco Round Housing:

Steel and Aluminum Diffuser: Opal polycarbonate Light Source: Compact Fluorescent Lamp, T5

Approvals: UL, CSA

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk General Illumination Ceiling Mounted – Surface Fixtures

www.betacalco.com

Beta-Calco Zedos Ceiling 2 Housing: Steel and Aluminum Diffuser: Opal polycarbonate Light Source: Compact Fluorescent Lamp, T5 Approvals: UL, CSA

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk

PATIENT SAFETY STANDARDS

General Illumination Ceiling Mounted – Surface Fixtures

www.kenall.com

Kenall Millennium Stretch Housing: One piece injection molded UV stabilized polycarbonate mechanically interlocked to lens Diffuser:

One piece injection molded UV stabilized prismatic polycarbonate with minimum 0.140‖ wall thickness (Sourcing more translucent fixture) Light Source: Compact Fluorescent lamp

Approvals: Wet location, 1598a, cUL

5th Edition January 31, 2011

Notes The lens currently has a graspable edge and is pin connected in 2 points which are exposed. The edge will allow a person to hang off the fixture and being pin connected in 2 points with a 1/8‖ of material on the edge, this will not support the weight of a person.

Do not use the Kenall Millennium Stretch in High Risk Areas.

Lighting Fixtures: Medium Risk General Illumination Ceiling Mounted – Surface Fixtures

www.kenall.com

Kenall Millennium Round Housing: Lens base: High impact resistant polycarbonate Baseplate marine grade die-cast aluminum.

Diffuser: UV stabilized, high impact resistant, virgin injection molded polycarbonate Light Source: Compact Fluorescent lamp Approvals: Wet location

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk

PATIENT SAFETY STANDARDS

General Illumination Wall or Ceiling Mounted – Surface Fixtures

www.luminairelighting.com

Luminaire ARV 13 & 17 AOV 13 Housing: One piece injection molded UV stabilized polycarbonate mechanically interlocked to lens. Color is molded through entire part for scratch resistant finish. Locked in place with one tamper resistant set screw. Diffuser: One piece injection molded UV stabilized prismatic polycarbonate with minimum 0.130‖ wall thickness. Secured to base plate with four stainless steel screws and one O-ring. Light Source: Compact Fluorescent Bulb Approvals: Wet location, 1598a, cUL

5th Edition January 31, 2011

Notes Use only with special mounting gasket that completely seals the gap between the mounting base and the lens cover housing where the fixture meets the ceiling. Failure to use this gasket leaves a gap around which a ligature can be wrapped.

Lighting Fixtures: Medium Risk General Illumination Wall or Ceiling Mounted – Surface Fixtures

www.selux.com

Se’lux Diskus (with special modification) Housing: Die-Cast, aluminum housing with mounting holes provided.

Diffuser: White, translucent, impact-resistant DR acrylic is standard; specify polycarbonate. Light Source: Compact Fluorescent Bulb

Approvals: UL, cUL, interior/exterior

5th Edition January 31, 2011

Notes This fixture is not fully flush mounted. There is a ½‖ gap between the fixture and the mounting surface unless a special, flush mounting plate is ordered with the light fixture. In mid-2010 these are available for orders of 100 fixtures or more.

PATIENT SAFETY STANDARDS

Lighting Fixtures: Medium Risk

PATIENT SAFETY STANDARDS

Task Illumination Wall Mounted – Semi-recessed Fixtures

www.bega-us.com www.bega-us.com

Bega 2223 Interior Use Housing: Die-cast aluminum Diffuser: Convex tempered glass ¼‖ thick is standard, specify polycarbonate Light Source: T4 or T6 Approvals: UL approved and suitable for wet locations.

Bega 8702 Interior/Exterior Use Housing: One piece stainless steel housing with a cast bronze guard/cover secured together with stainless steel bolts. Diffuser: Polycarbonate.

Light Source: T4 Approvals: UL for wet location, IP 67: suitable for temporary immersion.

5th Edition January 31, 2011

Lighting Fixtures: Medium Risk Task Illumination Wall Mounted – Semi-recessed Fixtures

www.cooperlighting.com

TruGen Eyelite Housing: Marine grade aluminum Diffuser: Molded, tempered, shock-resistant borosilicate glass is standard, specify polycarbonate Light Source: HID Approvals: UL for wet location

5th Edition January 31, 2011

Notes A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified. The Eyelite is available with a polycarbonate lens for orders of 500 fixtures or more. Confirm pricing with manufacturer for needed quantity before selecting

PATIENT SAFETY STANDARDS

Lighting Fixtures: Exit Signage www.chloridesys.com

Chloride Tuff-Act Series Housing: Premium die-cast aluminum Recessed mounting Diffuser: Injection molding polycarbonate Light Source: LED Approvals: UL 924; NFPA 101; UL damp location listing 32 degrees to 104 degrees Fahrenheit; NFPA, UL, IBC,BOCA,and OSHA illumination standard; Energy Stair compliant; ADA for wall mounted lighting fixtures

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Lighting Fixtures: Exit Signage

www.chloridesys.com

Chloride Caliber Series Edge-Lit Exit

PATIENT SAFETY STANDARDS

www.morlitesystems.com

Morlight VRE

Notes Must be positively, mechanically attached, not friction fit.

5th Edition January 31, 2011

Specify UL Listed 924, (NEC, NFPA 70) Mount Flush to Wall or Ceiling or specify Fully-Recessed housing as indicated above.

Furniture: Wardrobe and Closet Guidelines

PATIENT SAFETY STANDARDS

Wardrobes and Closets Wardrobes and closets with doors and drawers will pose a potential ligature risk. Since there are no viable ligature resistant solutions to wardrobe and closet doors and drawers, it is highly recommended that doors and drawers are not provided for wardrobe and closet units. Cubbies or shelves are preferred in lieu of drawers. When considering if wardrobe and closet doors or drawers may be desired or appropriate, best practice requires each facility to complete a risk assessment for all spaces and furnishings. Patient privacy rights may also inform decisions about the need for wardrobe and closet doors and drawers. Wardrobe and Closet guidelines: 1.Recess units or make continuous to ceiling or underside of soffit. 2.Where it is impossible to make units recessed or continuous to ceiling or soffit above, provide sloped tops. 3. Provide collapsible coat hooks. Closet rods or j-bars are not permiteed. 4. New requirement in the 2010 FGI Guidelines states: ―Shelves for folded garments shall be used instead of arrangements for hanging garments.‖ If doors or drawers are provided: 1.Provide continuous hinges with hospital tips. 2.Provide locks for all doors and all drawers, allowing staff control of access by at-risk patients. 3.Provide recessed grip ligature resistant door handles. 4.Provide drawers with ligature resistant finger pulls, stops, and locks. 5.For very high risk patients, consider the use of door top ligature sensors.

5th Edition January 31, 2011

Furniture

PATIENT SAFETY STANDARDS

High Risk Areas (Unless Caution is Indicated)

www.norix.com

Norix Attenda Bed

Article 28 and Article 31 hospitals.

Construction: Safety Conscious Maintenance: Durable finish Replaceable parts

Do Not use at NYS-OMH facilities.

Warranty: 2 years Approvals: CAL 133 flammability test

5th Edition January 31, 2011

Notes •Safe for use, though not appropriate for all applications. •Institutional character precludes use in OMH-NYS Facilities •Warning: Do not provide restraint rings. They provide a looping hazard •If bed is not bolted down, plug mounting holes with tamperproof fastener/plug.

Furniture High Risk Areas (Unless Caution is Indicated)

PATIENT SAFETY STANDARDS

www.norix.com

Norix Attenda Wardrobe Construction: Molded PE, filled with rigid foam 270 degree piano hinge, folds flat to side Molded-in-J-bar, no tie off Shoe cubbie Latch or key-lock Bolts to wall, No holes in base Maintenance: Durable finish Replaceable parts

Article 28 and Article 31 hospitals.

Do Not use at NYS-OMH facilities.

Warranty: 2 years Approvals: CAL 133 Flammability Test

Notes See slide for Wardrobe and Closet Guidelines. 5th Edition January 31, 2011

Institutional character precludes use in OMH-NYS Facilities

244

Furniture

PATIENT SAFETY STANDARDS

High Risk Areas (Unless Caution is Indicated)

www.hill-rom.com

Hill-Rom Harbor Glen Collection Construction: Safety Conscious Solid Oak Platform Bed – no restraints

Harbor Glen Bedside Cabinet

Harbor Glen Chest Desk

Maintenance: Durable finish Replaceable parts Warranty: 1 year Approvals:

Harbor Glen Platform Bed Notes

5th Edition January 31, 2011

•Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products. •See slide for Wardrobe and Closet Guidelines.

Furniture High Risk Areas (Unless Caution is Indicated)

PATIENT SAFETY STANDARDS

www.addenfurniture.com

Adden Roommate Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, paint and nail polish removers, and most commonly used antibacterial cleaning agents.

Adden Roommate RM

Warranty: 5 years limited with lifetime on hardware (require this in the specs as minimum.)

5th Edition January 31, 2011

Notes •Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

Furniture

PATIENT SAFETY STANDARDS

High Risk Areas (Unless Caution is Indicated)

www.addenfurniture.com

Adden Roommate Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, paint and nail polish removers, and most commonly used antibacterial cleaning agents.

Adden Roommate RM05

Adden Roommate RM04

Adden Roommate RM02

Warranty: 5 years limited with lifetime on hardware (require this in the specs as minimum.)

5th Edition January 31, 2011

Notes •Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

Furniture High Risk Areas (Unless Caution is Indicated)

www.moduform.com

Moduform Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, pain and nail polish removers, and most commonly used antibacterial cleaning agents.

Warranty: 1 year

5th Edition January 31, 2011

Notes •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

PATIENT SAFETY STANDARDS

Furniture High Risk Areas (Unless Caution is Indicated)

www.blockhouse.com

Blockhouse Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, pain and nail polish removers, and most commonly used antibacterial cleaning agents. Warranty: 1 year

5th Edition January 31, 2011

Notes •Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

PATIENT SAFETY STANDARDS

Furniture

PATIENT SAFETY STANDARDS

High Risk Areas (Unless Caution is Indicated) www.nemschoff.com

Nemschoff High Use Furniture Construction: Solid Wood Construction Maintenance: •Laminate Cases with Solid Oak Radiused Edges and Drawer Fronts •Non-removable Wood Drawers on Roller Guides •Finishes for heavy use and harsh cleaning •Continuous Hinges add strength while preventing injury Warranty: Lifetime Approvals: CAL 133, ASTM E-1537

5th Edition January 31, 2011

Notes •Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

Furniture High Risk Areas (Unless Caution is Indicated)

www.nuture.com

Nuture PCT 50 Series Construction: Thermo-formed tops and cabinet fronts, ideal for infection control Seamless thermo-formed tops and drawer fronts together with matching melamine laminate sides and cabinet interiors All edges are sealed with 3mm and 1mm edge banding Drawer and door fronts feature integral flush seamless finer pulls Maintenance: Replaceable components Do not release VOC’s Warranty: Limited Lifetime

5th Edition January 31, 2011

Notes •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

PATIENT SAFETY STANDARDS

Furniture

PATIENT SAFETY STANDARDS

Mixed Risk Areas (See Notes with Each Symbol) Medium and Low Risk Areas

www.savoyfurniture.com

Savoy

Medium and Low Risk Areas

Construction: Solid Wood construction mortise and tenon construction and all critical joints are supported with cleats and corner blocks for added strength All drawers are full English dovetail with a inset bottom and a replaceable drawer front attached Maintenance: Replaceable drawer fronts Warranty: NA

High Risk Areas

5th Edition January 31, 2011

Notes •Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

Furniture

PATIENT SAFETY STANDARDS

High Risk Areas (Unless Caution is Indicated) www.mastercraftspecialties.com

Mastercraft Construction: Solid Wood construction Mortise and tennon construction on all case pieces, reinforced with screw cleats and corner blocked at critical points Finger dovetailed drawer box construction, with tenoned in, glued, and glued blocked drawer bottoms

High Risk Areas

Maintenance: All drawer faces are replaceable Warranty: NA

Continuous Hinge

5th Edition January 31, 2011

Restraining Strap Slots

Recessed ―J‖ Closet Bar

Recessed Door Pulls

Medium and Low Risk Areas

Note • Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage aka the absorption of urine into the wood. • Do not provide restraining strap slots for platform beds used in patient bedrooms. They provide a looping hazard. • Waiting on vendor for a alternative solution if there is one. • See slide for Wardrobe and Closet Guidelines. • Do not provide restraint slots at any NYS-OMH hospital. • Do not provide restraint slots unless bed is continuously supervised.

254

Furniture

PATIENT SAFETY STANDARDS

High Risk Areas (Unless Caution is Indicated)

www.intempowood.com

Drawers

5th Edition January 31, 2011

Intempo • Extra heavy with oversized components fastened together employing steel to steel devices within the woodwork proper. • This chair is fabricated employing oversized oak components and engineered to be available in a variety of weights (40,50,60 or 70 #'s). • Available with an oversized bookshelf which doubles as a raceway for another steel rod. • "J" bar clothing hangers • No openings allowing the entrance of a patients head or other body parts. • Components that can become weapons • No removable components such as drawer faces or metal drawer glides. • All Drawers are non removable by clients and are rated at 300 pounds. • Drawers also have a top rear panel prohibiting spill off of contents over top of drawer back at rear. • Destructive and intensive wear of upholstery.

Notes •Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. •See slide for Wardrobe and Closet Guidelines. •Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. •Each facility must perform their own risk assessment to evaluate all products.

Furniture High Risk Areas (Unless Caution is Indicated)

www.agati.com

Agati Altra Forma

Notes These products are intended for children. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

Furniture High Risk Areas (Unless Caution is Indicated)

www.flaghouse.com

Flag House Soft Rocker Notes For Comfort Rooms. 5th Edition January 31, 2011

PATIENT SAFETY STANDARDS