WASHINGTON STATE SOCIETY
FOR HEALTHCARE ENGINEERING
BOARD OF DIRECTORS MEETING
HOLY FAMILY HOSPITAL
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
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
- Brad Jones will be presenting on “Crime Prevention through Environmental
- 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
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.
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
- Life Safety Plan – 2000 code – exiting, predictions, life safety
- 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
- Tamper Resistant Outlets – Needed for waiting rooms, public
- 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”
- 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
- 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