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REVISED GUIDELINES FOR AIR CONDITIONING IN …

IssueNo. 4 IssueDate:11/ 18 Page1of 6 NABH-AirConditioning_OTREVISEDGUIDELINES FORAIR CONDITIONINGINOPERATION THEATRES(2018)IssueNo. 4 IssueDate:11/ 18 Page2of 6 RevisedGuidelinesforAirConditioninginOpe rationTheatres NABH-AirConditioningOT(2018)Air Conditioningin Technicalcommitteeandvariouslatest internationaland ,theyareNOTMANDATORY fortheSHCO sandHCOsimplementing istotallyleftto HCOwhether been (ErstwhileSuperspecialtyOT):TypeAOTmeans operationtheatresforNeurosciences,Orthop aedics(JointReplacement),Cardiothoracica ndTransplantSurgery(Renal,Liver,heartetc .). (ErstwhileGeneralOT):Thisincludesoperati ontheatresforOphthalmology,day-caresurge riesandall otherbasicsurgical TypeA(ErstwhileSuperSpecialtyOT) : Minimumtotal air changesshould be20basedon biologicalload andthelocation.

Revised Guidelines for Air Conditioning in Operation Theatres – NABH-Air Conditioning OT (2018) The AHU (i.e. air handling unit) must be an air purification unit and air filtration unit. There must be two sets of washable flange type filters of efficiency 90% down to 10 microns and 99% down to 5 microns with aluminium/ SS 304 frame within the ...

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Transcription of REVISED GUIDELINES FOR AIR CONDITIONING IN …

1 IssueNo. 4 IssueDate:11/ 18 Page1of 6 NABH-AirConditioning_OTREVISEDGUIDELINES FORAIR CONDITIONINGINOPERATION THEATRES(2018)IssueNo. 4 IssueDate:11/ 18 Page2of 6 RevisedGuidelinesforAirConditioninginOpe rationTheatres NABH-AirConditioningOT(2018)Air Conditioningin Technicalcommitteeandvariouslatest internationaland ,theyareNOTMANDATORY fortheSHCO sandHCOsimplementing istotallyleftto HCOwhether been (ErstwhileSuperspecialtyOT):TypeAOTmeans operationtheatresforNeurosciences,Orthop aedics(JointReplacement),Cardiothoracica ndTransplantSurgery(Renal,Liver,heartetc .). (ErstwhileGeneralOT):Thisincludesoperati ontheatresforOphthalmology,day-caresurge riesandall otherbasicsurgical TypeA(ErstwhileSuperSpecialtyOT) : Minimumtotal air changesshould be20basedon biologicalload andthelocation.

2 Thefreshaircomponentoftheairchangeisrequ iredtobeminimum4airchangesoutoftotalmini mum20airchanges. IfHealthcareOrganization(HCO)choosestoha ve 100%fresh airsystemthenappropriateenergysavingdevi ceslikeheatrecoverywheel,runaround (feetperminute)fromnon- 4 IssueDate:11/ 18 Page3of 6 RevisedGuidelinesforAirConditioninginOpe rationTheatres NABH-AirConditioningOT(2018) ( ). bemaintained inOTatalltimes(operational& non-operational hours) :AirissuppliedthroughTerminalHEPA(High-E fficiencyParticulateAir)filtersinthe :TheAHU( ) ,motors& (atrestcondition). :Itshouldbemaintained210C 30C(exceptforJointsreplacementwhere it shouldbe180C 20C)with correspondingrelativehumiditybetween20to 60%,thoughtheidealRHisconsideredtobe55%.

3 Appropriatedevicestomonitoranddisplaythe se TypeB (ErstwhileGeneralOT) : : Pressure: :IssueNo. 4 IssueDate:11/ 18 Page4of 6 RevisedGuidelinesforAirConditioninginOpe rationTheatres NABH-AirConditioningOT(2018)TheAHU( )mustbeanair micronsand99%downto5 beprovidedfor servicingthefilters,motors& (atrestcondition).Note:Class1000meansa cubicfootofairmusthavenomorethan1000part iclesmeasuring andHumidity:Thetemperatureshouldbemainta inedat210C 30 CinsidetheOTatalltimeswithcorrespondingr elativehumiditybetween20to60%.Appropriat edevicestomonitoranddisplaythese OneAHUformultipleOTsispermittedprovidedt hereisaback- haveto beprovided either bythevendor/third :ThelocationofoutdoorairintakeforanAHUmu stnotbelocatednearpotential contaminatedsourceslikeDGexhausthoods,la b exhaustvents, unitsand have pocketsformicrobial growthwhich (constructed/renovatedpriorto2015)IssueN o.

4 4 IssueDate:11/ 18 Page5of 6 RevisedGuidelinesforAirConditioninginOpe rationTheatres NABH-AirConditioningOT(2018) ,ceilingsuspendedAHUispermittedprovidedt hereisaccessibilityformaintenanceoffilte rsandother ascosteffectivesolutionforOTsinSHCO/Eye constructionsandTypeAandType BOTsaboveintermsofairchanges, particlecount,positivepressure,temperatu re,humidityandairvelocitywill haveto bemetbysuchOTs in (maybewithouttemperaturecontrol).Variabl efrequencydevices(VFD) pressurerelationship is not disturbed thesystem include: Temperatureand Humiditycheck Airparticulatecount AirChangeRateCalculation Airvelocityatoutletofterminalfiltrationu nit/filters Pressure DifferentiallevelsoftheOTwithrespecttoam bient /adjoiningareas ValidationofHEPA Filtersbyappropriatetests.

5 PreventiveMaintenanceofthesystem:Itisrec ommendedthatperiodicpreventivemaintenanc ebecarried outintermsofcleaningofprefilters, (AmericanSocietyofHeating,Refrigeratinga ndAirConditioningEngineers)/ASHE 4 IssueDate:11/ 18 Page6of 6 RevisedGuidelinesforAirConditioninginOpe rationTheatres NABH-AirConditioningOT(2018) , operatingroomventilationsystemsintheprot ectionofsurgical clinics2ndedition,ASHRAE designguidelinesHVAC guide2017 MinistryofPublicworksNewDelhi 2017.


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