This regulation governs the physical plant and safety requirements for anesthetizing locations within healthcare facilities, covering medical gas zone valves, area alarm panels, emergency electrical systems, and HVAC standards in areas where general, deep, or moderate sedation/anesthesia is administered. It references NFPA 99, ASHRAE 170, and the Life Safety Code (LSC). These are facility infrastructure standards applicable during CMS Life Safety Code surveys and do not pertain to any behavioral health, IDD, ABA, or foster care level of care.
View official sourceK323 Anesthetizing Locations Areas designated for administration of general anesthesia (i.e., inhalation anesthetics) are in accordance with 8.7 and NFPA 99. Zone valves are: located immediately outside each life-support, critical care, and anesthetizing location of moderate sedation, deep sedation, or general anesthesia for medical gas or vacuum; readily accessible in an emergency; and arranged so shutting off any one anesthetizing location will not affect others. Area alarm panels are provided to monitor all medical gas, medical- surgical vacuum, and piped WAGD systems. Panels are at locations that provide for surveillance, indicate medical gas pressure decreases of 20 percent and vacuum decreases of 12 inch gauge HgV, and provide visual and audible indication. Alarm sensors are installed either on the source side of individual room zone valve box assemblies or on the patient/use side of each of the individual zone box valve assemblies. The EES critical branch supplies power for task illumination, fixed equipment, select receptacles, and select power circuits, and EES equipment system supplies power to ventilation system. Heating, cooling, and ventilation are in accordance with ASHRAE 170. Medical supply and equipment manufacturer’s instructions for use are considered before reducing humidity levels to those allowed by ASHRAE, per S&C 13-58. 18.3.2.3, 19.3.2.3 (LSC) 5.1.4.8.7, 5.1.4.8.7.2, 5.1.9.3, 5.1.9.3.4, 6.4.2.2.4.2 (NFPA 99) Form CMS-2786R (07/2018) Page 18 Name of Facility 2012 LIFE SAFETY CODE ID PREFIX MET NOT MET N/A REMARKS