June 1, 2007


Tim Heidlebaugh, Don Kilgore, Jim Miller, Greg Palmanteer, Norm McLarin, Barbara Styles, John Thompson, Don Fulton, Brad Jones, Jim Schmitz, Dave Quick, Ed Luebben, Neil Helberg, Rod Wolff, Jason Rose, Bruce Price, Philip Kercher, Bud Brierley, Ben Haworth, Kerry Olson, Chris Pashen, Sandy Buchanan, Mike Kelly, Mark Knapp, Gary Becham, Dale Oakley

Host: Norman McLarin
President: Norman McLarin
Secretary/Treasurer: Randy Kaiser

Call to Order:
Norm McLarin called the meeting to order.

Approval of Minutes:
Call for approval of March 2007 meeting minutes..

1) Articles called for:
Phil submitted article, topic to be discovered
Norm & Neal – Winter
Tim & Dale – Spring
Phil Kercher – Summer
Ron & Doug – Fall

2) Advocacy: Sandy Buchanan brought up that DSHS states that all corridor (equipment) carts that are in hallways longer than 3o minutes violate intent of code. Davenport Hospital is removing beds from service to provide equipment storage. 101A equivalency submitted to State/CMS – outcome pending.

3) ASHE News: Phil encouraged ASHE membership; which is only at 32% active state-wide 60% platinum level - new level. All registrations are $125.00 per year which includes advocacy, education, web content, JCAHO – power system risk assessment (forms available on-line). Phil guarantees that if you don’t like it – he will pay you back.

4) The required 4-hour generator test is coming up on July 1st, 2007, which comes up every three years. This can be a real incident or a test and should be documented.

5) Board Report: Issues: Attendance of the Semi-Annual was record setting for vendor booths. Discussed philosophy of vendor show and displays at the semi-annual (continued agenda item). Vendors typically are limited according to current topic versus open vendor show with Board at State level. Limiting vendors helps promote networking with peers. There is also a 5-year plan development for WSSHE. Discussion followed by members present – Phil & Norm to board. By-laws with State and Chapter must be in sync. Committee appointed to revise all chapter by-laws is Mike Kelly, Steve Gress, Dave Franklund, and Mike Dodson.

6) Semi-Annual meeting was held in April, in Chelan. Discussion of WSSHE’s 35th Anniversary was held. Green jacket blazers were presented to all past presidents of WSSHE. There was a President’s Reception with a picture presentation by Geoff that will be run again at the Annual.

7) Lapel Pins: More lapel pins have been ordered.

8) Secretary/Treasurer: Discussion was held on separating positions.

9) Scholarship Fund: Scholarship fund is at $65,000.00 with 6 scholarships of $750.00 having been awarded. Participation in this program was encouraged. Applications and rules are available on the Web site. The deadline for applicants is August 1st.

10) Annual: This year's Annual will be held in Yakima on September 19th – 21st. The theme will be “Harvesting the Fruit of 35 Years”. The National president of ASHE, will be keynote speaker with a presentation of Best Practices.

  • Brad Jones will be presenting on “Crime Prevention through Environmental Design.
  • Wednesday – Bowling Night
  • Thursday – Planning and Development
  • Building Information Meeting – Avoid Construction Conflicts
  • Construction Cost Trends
  • Strategy for Infection Control reduction
  • Lean Design
  • Energy Efficiency for Small Hospitals
  • JCAHO Update – Kurt Hibbard
  • NIMS Compliance
  • Friday - CHFM Jeopardy Session “Your Time to Shine”, with door prizes.  The event will be outrageous

11) June Education: Will be is Moses Lake at the Best Western Lakeside Inn on June 22nd. The topic will be Fire Stopping and Arch Flash Safety Training.

12) Compliance: Building Maintenance Program – 10 features, Must have 95% compliance in program. This shows good faith and also shows organized system. Must maintain evidence of compliance. Smoke & Fire Walls must be documented. Phil presented a very effective method for calculating compliance on Building Maintenance System operations. E-mail Phil for details. Discussion with membership concerning other code issues followed.

New Business
Attached agenda for NFPA workshop in Spokane

Questions from Chuck:

  • Grease Trap – process for cleaning
  • Underground Fuel Tank – 96 hours supply required. Inquired about process for vendor for installation of underground tanks.
  • Aluminum Conductors in Facility – Feasibility of use. Discussed re-torque of electrical terminations. Aluminum wire has greatly improved in reliability – there are bending concerns and space limitations.
  • Portable Kitchen – Neal inquired about the availability of a portable kitchen and was informed that the Forest Service has portable kitchen for use during construction. Send to Construction Review - AHJ is Department of Health as separate WAC.

Presentation by Barbara Styles – DOH:
Presentation of frequently cited deficiencies for the DOH Hospital Review Process:

  • Life Safety Plan – 2000 code – exiting, predictions, life safety process
  • Ventilation Relationships – Qualitative method. String is used to measure OR, Isolation, Endoscopy, Soiled Utility, Chemical Storage. Areas where immune-compromised patients are located is defined in WAC 525-3 – risk is droplet as particles may plate to surface and provide risk for spread of microbe.
  • Nutrition – 2000 Food Safety Code – qualifications of charge person, cooking temperature requirements, population definition and protection requirements (ill food service staff employment requirement).
  • Tamper Resistant Outlets – Needed for waiting rooms, public areas.
  • Infection Control - Cross connection – failure to do risk assessments on construction.
  • Patient Call Systems – Location deficiencies – functional problems, missing locations.
  • Safety Plan – WSHA – tripping hazards – lack of follow-up on issues - address visitor’s complaints.
  • Medical Gas Piping –NFPA 99-Chapter 4 – Documentation of Installation by certified person, purity testing – no emergency tie-in locations – label of locations for shut off. “Oxygen in Use” signs recommended.
  • Patient Related Technology – PM equipment lists, completion rates – specify Anesthesia equipment operation and make sure exhaust to equipment operates properly. Check physician credentials. Ensure label is understood on use of equipment safety.
  • Safety Incident Investigation – Security tracking, trends and knowledge. There are no requirements for cameras on infant security, however, drills conducted based on your plan and making sure your plan works is required. COW’s fire safety plan must address responsibility of movement in the event of a fire (allowed), not allowed in Long-Term Care unit over 30 minutes.
  • Hazardous Waste – Chemical storage – mixed types – acid and bases.
  • Relative Humidity in OR – System for % RH needs to demonstrate at least 35% on some written regular basis. Written process to define the use of room on low humidity. Compliance with this issue is on a case by case basis as assessed on the system process.
  • Fire Marshall Inspection – Separate Inspections.

Meeting adjourned at 1:45pm.
Next meeting will be on September 7, 2007 at Central Washington Hospital