New York State Mental Health Materials and Systems Guide

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

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

PATIENT SAFETY

STANDARDS

5h Edition

January 31, 2011

Patient Safety Standards Materials and

Systems Guidelines

Recommended by the New York State Office of Mental Health

Table of Contents

20. Mechanical Systems Equipment & Devices

a. Thermostats

b. Louvers & Grilles

21. Plumbing Fixtures & Systems

a. Toilets

b. Drinking Fountains

c. Showers

d. Activators

e. Lavatories

f. Basins

g. Pipe Enclosures

22. Electrical

a. Receptacles & Switches

b. Fire Alarm Components

23. Lighting Fixtures

a. High Risk

b. Medium Risk

c. Exit Signage

24. Furniture

1. Introduction

2. Nomenclature & Applicability

3. Fasteners

4. Sealants

5. Glazing & Windows

6. Anti-barricade Strategies

7. Suicide Resistant Strategies

8. Door Hardware

9. Seclusion Rooms

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

PATIENT SAFETY

STANDARDS

Introduction:

Best Practice 1980 to Early 1990’s:

Focus Above the Waist

5th Edition

January 31, 2011

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

PATIENT SAFETY

STANDARDS

2/14/2011 DRAFT

1998: JCAHO Sentinel Event Notification

5th Edition

January 31, 2011

../../../../frank/BINDERS/Projects/SCP 2004-5/SCP Today/OMH Suicide Prevention/Miscellaneous Documents/Sentinel Event Alert, Issue 7 - November 6, 1998.mht

PATIENT SAFETY

STANDARDS Current Best Practice: Focus Everywhere

5th Edition

January 31, 2011

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.

PATIENT SAFETY

STANDARDS

Introduction: Risk Management, Not Risk Elimination

FGI Guidelines for the Design and Construction of Healthcare Facilities, 2006 Edition,

NAPHS Design Guide for the Built Environment of Behavioral Health Facilities

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.

5th Edition

January 31, 2011

PATIENT SAFETY

STANDARDS

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.

5th Edition

January 31, 2011

Introduction

PATIENT SAFETY

STANDARDS

Introduction: Purpose

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.

5th Edition

January 31, 2011

PATIENT SAFETY

STANDARDS

Introduction: Approach

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.

5th Edition

January 31, 2011

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.

Introduction: Risk Assessment

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

Note: Products appropriate for High

Risk areas are also appropriate for use

in Medium Risk and Low Risk areas.

5th Edition

January 31, 2011

PATIENT SAFETY

STANDARDS

Nomenclature and Applicability

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.

NYS OMH REJECTED: Items with this symbol are unsuitable for use in new

construction or 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.

RETROFIT: Items with this symbol are not suitable for use in new construction but are

acceptable for renovation in NYS psychiatric hospitals or units.

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. 5th Edition

January 31, 2011

PATIENT SAFETY

STANDARDS

Fasteners

Torx and Torx Plus Tamper-Resistant by

Camcar Division of

Acument™ Global Technologies

McGard Tamper-Resistant Security Products

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 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.

McGard

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.

Offers custom tooling

www.mcgard.com

Acument

www.acument.com

5th Edition

January 31, 2011

http://www.mcgard.com/

http://www.acument.com/

PATIENT SAFETY

STANDARDS

Sealants: Security Grade

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.

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.

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.

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.

5th Edition

January 31, 2011

PATIENT SAFETY

STANDARDS Sealants: Tamper Resistant

Sikaflex-11 FC

is a single component, gun grade,

moisture cure polyurethane,

elastomeric sealant.

Features / Benefits

• High elasticity

•Fast cure rate

•Paintable

• Tough, durable, flexible

• Exceptional cut and tear resistance

• Exceptional adhesion to most

substrates

•10.1 oz. tubes

Sikaflex-1a

is a single component, premium

grade, moisture cure polyurethane,

elastomeric sealant.

Features / Benefits

•High elasticity allowing 35% +/-

movement

•Fast cure rate

•Paintable

•NSF certified, meets USDA guidelines

•Odorless

• Tough, durable, flexible



substrates

•10.1 oz. tubes

5th Edition

January 31, 2011

www.sikaconstruction.com

Sikaflex-2c NS TG

is a two component, premium-grade,

polyurethane-based, elastomeric

sealant.

Features / Benefits

• High elasticity allowing 25% +/-

movement

• Tough, durable, flexible consistency



substrates without priming

•1 gallon (2 part) kits

Performance Specifications

•ASTM C-920

•Type M

•Grade NS

•Uses: T, NT, M, G, A, O

http://www.sikaconstruction.com/

PATIENT SAFETY

STANDARDS


•ASTM C920

•Type: M (S for DynaFlex SC)

•Grade NS

•Class 12.5

www.pecora.com

DynaFlex

is a two component, non-sag,

elastomeric polyurethane joint sealant.

Features / Benefits

•Interior joints

•Excellent elongation and movement

•Good adhesion to most building

materials, primer recommended

• Good adhesion to polycarbonate

sheet, primer required

•Paintable

•1.5 gallon (2 part) kits

DynaFlex SC

is a single component, non-sag,

elastomeric polyurethane joint

sealant.

Features / Benefits

•Interior joints

•Excellent elongation and movement

•Good adhesion to most building

materials, primer recommended

• Good adhesion to polycarbonate

sheet, primer required

•Paintable

•10.1 oz. tubes

•20 oz. sausages

•2 gallon containers

5th Edition

January 31, 2011

Sealants: Tamper Resistant

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


•ASTM C-920

•Types: S

•Grade: NS

•Class: 25

•Uses: NT, M, A, G, and I

www.buildingsystems.basf.com

http://www.pecora.com/

http://www.buildingsystems.basf.com/

PATIENT SAFETY

STANDARDS

Sealants: Pick Proof

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.

Features / Benefits

• High strength for superior pick proofing

• Excellent bond strength to prevent

removal

• Water tight

• Wear resistant for high traffic

applications

•1 gallon and 3 gallon kits


•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)

www.euclidchemical.com

5th Edition

January 31, 2011

Sikadur AnchorFix-2

Is a two component (single

package, self-mixing), 100% solids,

solvent-free, moisture-tolerant,

high-modulus, high-strength,

structural epoxy adhesive/sealant.

Features / Benefits

•Structural repairs to ¼‖ width.

•High Strength

•Styrene-free

•Low odor

•Low waste

•Moisture tolerant

•10.1 oz. tubes


•ASTM C-881

•Types: I, II, &IV

•Grade: 3

•Class: B & C

•AASHTO M-235

www.sikaconstruction.com

Sikadur 31, Hi-Mod Gel

Is a two component, 100% solids,

solvent-free, moisture-tolerant, high-

modulus, high-strength, structural

epoxy paste adhesive/sealant.

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

http://www.euclidchemical.com/

http://www.sikaconstruction.com/

PATIENT SAFETY

STANDARDS

DynaPoxy EP-1200

is a rigid, two component, high-solids, high-

modulus 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


•ASTM C-881

•Type: I

www.pecora.com

5th Edition

January 31, 2011

Sealants: Pick Proof



PATIENT SAFETY

STANDARDS

Glazing & Windows: Security Glazing Risk Assessment General

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 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 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 uni t (approximately 24‖ square). Similar

performance to the test sample should not be expected on a 4x6’ window.

PATIENT SAFETY

STANDARDS

Glazing & Windows: Security Glazing

5th Edition

January 31, 2011

Makrolon 15

by Sheffield Bayer

15 year Warranty

Sabic Lexan SL-4855 with NYS- OMH Warranty (Substitute Lexan MR10 with Marguard II-UV coating for non-NYS projects)

www.makrolon.com

www.sabic.com

Laminated Glazing 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 www.oldcastlebe.com

Polycarbonate Glazing

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.

http://www.makrolon.com/

http://www.sabic.com/

http://www.oldcastlebe.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows: Windows (Security Glazing)

5th Edition

January 31, 2011

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. 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

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.

www.wausauwindow.com

1/8‖ vertical

thumb wheel

tilter

Blind tilt

control

knob

Side mount

angled

Low profile Vertical

mount

angled

Blind Operators

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

http://www.wausauwindow.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows : Windows (Security Glazing)

5th Edition

January 31, 2011

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

Moduline Windows

by Oldcastle Building Envelope

www.oldcastlebe.com

http://www.oldcastlebe.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows: Windows (Ventilation)

Berlin, Germany: European product design for psychiatric hospitals (under evaluation)

•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.

5th Edition

January 31, 2011

Design Aspects:

PATIENT SAFETY

STANDARDS


Sliding Window Assembly with

perforated metal screen.

5th Edition

January 31, 2011

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

Design Aspects:

Metal Screen Exterior Metal Screen Interior Window Assembly - Exterior

Window Assembly - Exterior Window Assembly - Interior Window Assembly - Interior

PATIENT SAFETY

STANDARDS


Window assembly

projects out from the

building façade. Window

sill and jambs slides

under perforated metal

window jambs and sill to

close ventilation.

5th Edition

January 31, 2011

Dublin, Ireland: European product design for psychiatric hospitals (under evaluation)

Design Aspects:

PATIENT SAFETY

STANDARDS

Glazing & Windows: Rated Glass at Doors & Sidelights

5th Edition

January 31, 2011

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

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 .

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

www.fireglass.com

http://www.fireglass.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows: Safety Glass at Doors & Sidelights

Notes

FireLite Plus was the safest ceramic glass tested. However, all of FireLite’s

products produced shards of glass which were dangerous.

FireLite Plus FireLite NT Standard FireLite NT Premium

5th Edition

January 31, 2011

www.fireglass.com

http://www.fireglass.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows: Safety Glass at Doors & Sidelights

5th Edition

January 31, 2011

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.

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

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.

www.safti.com

http://www.safti.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows: Film Applied to Glass

Films have been used to retrofit and upgrade non-compliant glass and to provide a modicum of safety in some facilities.

Features:

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

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.

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.

Each Facility shall conduct their own risk assessment to determine the appropriateness

of film applications for use in their specific situations.

SafetyShield® 1500 from Madico™

www2.dupont.com

www.madico.com

5th Edition

January 31, 2011

Spallshield® from DuPont™

www.3m.com

3M Ultra 600

www2.dupont.com

http://www.madico.com/

http://www.3m.com/

PATIENT SAFETY

STANDARDS

Glazing & Windows: Interior Glazing

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 .

• 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.

Interior Glazed Openings

Partially Transparent Observation Mirror (2-way Mirror)

5th Edition

January 31, 2011

Transparency

Reflectivity

http://www.plaskolite.com/

PATIENT SAFETY

STANDARDS

Lexan Dura-Mir™—0.25" (6 mm) polycarbonate.

Plaskolite Plastics – 0.118‖ polycarbonate

ASI-600 SS Mirror

Notes

Only polycarbonate is recommended for use in Patient Bathrooms.

www.americanspecialties.com

5th Edition

January 31, 2011

Glazing & Windows: Interior Glazing - Mirrors

http://www.americanspecialties.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

35

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

PATIENT SAFETY

STANDARDS

Anti-Barricade Strategies

McKinney DS6

Notes

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.

Note: Staff is to be cautious

with fingers when releasing the

door stop if the patient is

leaning against the door.

www.mckinneyhinge.com www.accuratelockandhardware.com

Double Lip Strike

with keyed Emergency Stop

5th Edition

January 31, 2011

http://www.mckinneyhinge.com/

http://www.mckinneyhinge.com/

http://www.accuratelockandhardware.com/

PATIENT SAFETY

STANDARDS

Royde & Tucker/Laidlaw

ABH Manufacturing

Notes:

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.

Rixson Pivot Hinge

www.abhmfg.com www.rixson.com

www.ratman.co.uk

5th Edition

January 31, 2011


http://www.abhmfg.com/

http://www.rixson.com/

http://www.ratman.co.uk/

PATIENT SAFETY

STANDARDS

• Provide applied

continuous stops

fastened to frames

with tamper resistant

reversible fasteners

• Takes time to remove

www.rixson.com

5th Edition

January 31, 2011

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


Removable Door Stop

Rixson Pivot Hinge


http://www.rintastop.com/

PATIENT SAFETY

STANDARDS

Laidlaw Bespoke Range

Notes

In solving anti-barricade it creates a ligature point, and therefore is not recommended.

• Hinge, (1200mm/4ft)

not continuous

• Creates a ligature point

• Takes time to remove

www.laidlaw.net

5th Edition

January 31, 2011


http://www.laidlaw.net/

PATIENT SAFETY

STANDARDS

Notes

Mini-Door Swings out. Solution is thus barricade-proof.

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

jurisdiction

Wicket Door

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

www.soss.com

5th Edition

January 31, 2011


http://www.soss.com/

PATIENT SAFETY

STANDARDS

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.

Acrovyn

Wicket Door

http://www.c-sgroup.com/

5th Edition

January 31, 2011





PATIENT SAFETY

STANDARDS

7. Double Leaf Door

8. Framed Sidelight

Notes

The Ceco Sidelite Unit needs to be specified without the glazing.

www.cecodoor.com

5th Edition

January 31, 2011


http://www.cecodoor.com/

PATIENT SAFETY

STANDARDS

Double Leafed Door Framed Sidelight Door

In-Swing Main Door

Out-Swing Sidelight Door

with Center Mullion

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


PATIENT SAFETY

STANDARDS

Double-Leaf Door

Notes

Inactive leaf should be fixed top and bottom with flush bolts.

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

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

Rockwood Pull Ives Roller Latch

www.ives-door-hardware.com

www.rockwoodmfg.com

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

http://www.ives-door-hardware.com/





http://www.rockwoodmfg.com/

PATIENT SAFETY

STANDARDS

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.


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.

www.schlage.com

Alt ADA Thumb Turn

www.accuratelockandhardware.com

Mortise Lockset

SK-1 ligature resistant Thumb Turn

5th Edition

January 31, 2011

Anti-Barricade Strategies: Bathrooms (Caution)

http://www.schlage.com/


PATIENT SAFETY

STANDARDS Patented SER Door Anti-Suicide Bathroom Partitions

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.

Norva Plastics (SER) Door

(collapsing top edge (8lbs.+) for

added privacy)

Norva Plastics (SER) Door

www.norvaplastics.com

5th Edition

January 31, 2011

Suicide Resistant Strategies: Toilet Partition Doors

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.

http://www.norvaplastics.com/

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


Notes

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

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

www.suicideproofing.com

Soft Suicide Prevention Door (SSPD)

Notes

Do not use velcro as a latching mechanism. Velcro eliminates a latching ligature point but


This product is not recommended.

5th Edition

January 31, 2011


http://www.suicideproofing.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Weight Sensors

5th Edition

January 31, 2011

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.)

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

www.stanleyhardware.com

SEDA

http://www.securitech.com/

PATIENT SAFETY

STANDARDS


5th Edition

January 31, 2011


Top of Door Weight Sensor

Notes:

Electric transfer hinge required (refer to continuous hinges elsewhere in this standard.)

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

Use barrel type hinges, not gear type hinges.

www.doorcontrolsusa.com

Top Door Alarm

Alarm sensor strip is applied

with a heavy duty double

stick tape to both door faces.

• 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

http://www.doorcontrolsusa.com/

PATIENT SAFETY

STANDARDS


5th Edition

January 31, 2011


• 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.

www.thedoorswitch.com

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 ligature-resistant cover at visual alarm

• Roton hinge is not accepted by OMH, use continuous hinges that are approved in the Patient Safety Standards

http://www.thedoorswitch.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Continuous Hinges

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.

Markar 200 & 300 Series (FM-301

& FM302-full surface flush mount

for existing doors with frames)

www.markar.com

• Continuous

• Specify

Hospital Tip

• Do NOT field

cut continuous

hinge

www.Phardware.com

5th Edition

January 31, 2011

http://www.markar.com/

http://www.phardware.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Continuous Hinges

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.


www.pbbinc.com

• Continuous

• Specify Hospital Tip

• Do NOT field cut

continuous hinge


http://www.pbbinc.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Door Levers and Paddles

Stanley SPSL Series by Stanley

Both mortise and cylindrical locksets are available.

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 l igature

resistant

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

www.townsteel.com

Stanley ligature resistant thumb turn


Town Steel ligature resistant privacy bolt

5th Edition

January 31, 2011

http://www.townsteel.com/

http://www.stanleyhardware.com/

PATIENT SAFETY

STANDARDS


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 l igature

resistant.


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


Alt ADA Thumb Turn Mortise Lock Safety Knob

Cylindrical Deep Detent Safety Knobs

5th Edition

January 31, 2011

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.


PATIENT SAFETY

STANDARDS

Crescent Pull

-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.



5th Edition

January 31, 2011

Lever Clutch Safety

Mechanism

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.


PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011


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.

www.glynn-johnson.com www.marksusa.com

http://www.glynn-johnson.com/



http://www.marksusa.com/

PATIENT SAFETY

STANDARDS


Sargent 115

Corridor side - up

Patient side - down

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.

www.sargentlock.com

5th Edition

January 31, 2011

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.

http://www.sargentlock.com/


PATIENT SAFETY

STANDARDS

www.schlage.com


5th Edition

January 31, 2011

This product is currently under

development and is not yet

available for purchase.

Schlage estimates this product will

be available in early 2011.

http://www.schlage.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Door Cones and Knobs

5th Edition

January 31, 2011

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

Sargent D Knob Marks SS-50

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.

Not all door hardware manufacturers provide institutional privacy function, and not

all institutional privacy functions are ligature resistant

www.sargentlock.com

www.marksusa.com

Custom Lock Division

Institutional Life Safety

Mortise Lockset


http://www.marksusa.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Door Stops

5th Edition

January 31, 2011

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.

Ives FS-17 Ives FS-436

Ives FS-18S & SL Ives WS404CVX

www.ives-door-hardware.com

National N213-652

(installed with a self-

adhesive backing)

www.natman.com






http://www.natman.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Fully Concealed Center-Hung Top Pivots

Rixson 117- 3/4” Pivot Hinge 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.

5th Edition

January 31, 2011

• Hinge poses a ligature risk.

• Use only at doors where needed as a part of an anti-barricade strategy.

• Fully-Concealed

• Parallel Arm

• Non-handed

www.rixson.com


PATIENT SAFETY

STANDARDS

Door Hardware: Closers

5th Edition

January 31, 2011

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.

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.

www.lcnclosers.com

Do not use unless required by code.

http://www.lcnclosers.com/

PATIENT SAFETY

STANDARDS

Door Hardware: Overhead Concealed Closers

5th Edition

January 31, 2011

Fully-concealed closer with body in frame head.

Track fully-concealed in door.

Arm only visible when door is open.



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 .

www.sargentlock.com

Do not use unless required by code.


PATIENT SAFETY

STANDARDS

Rixson 117- 3/4” Pivot Hinge 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 .

Rixson 700 Center Hung

(Single Acting Architectural Grade

Overhead Concealed Closers)

Rixon 800 Center Hung

(Double Acting Architectural Grade

Overhead Concealed Closers)

Door Hardware: Overhead Concealed Closers

Fully-concealed closer with body in frame head.

Track fully-concealed in door.

Arm only visible when door is open.



5th Edition

January 31, 2011

www.sargentlock.com


PATIENT SAFETY

STANDARDS

Door Hardware: Offset Hung Floor Closers

Notes

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

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 HM51 Series

5th Edition

January 31, 2011

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.

www.rixson.com


PATIENT SAFETY

STANDARDS

Door Hardware: Door Closer

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.

•Fire rated installations require intumescent bedding material around 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

5th Edition

January 31, 2011

http://www.perkopower.com/

PATIENT SAFETY

STANDARDS

Seclusion Rooms

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.

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

www.goldmedalsafetypadding.com


Multi-Point Deadbolt

Slam Lock

USL-K3-IHB2

5th Edition

January 31, 2011

http://www.goldmedalsafetypadding.com/

http://www.stanleyhardware.com/

PATIENT SAFETY

STANDARDS

Shower/Privacy Curtains & Tracks

5th Edition

January 31, 2011

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)

General Partition

Primavera

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.

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.

Imperial

Velcro

www.imperialfastner.com

http://www.imperialfastner.com/

PATIENT SAFETY

STANDARDS

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.

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

product.

5th Edition

January 31, 2011

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”

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

www.inprocorp.com

InPro Ultra Cube

InPro Whisper Cube


http://www.inprocorp.com/

PATIENT SAFETY

STANDARDS

Shower Guard

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

Primavera

Design Tex

52/20/9717-1000, Content 100%polyester

Width 72‖, Weight 4.8 oz/yd

www.coldraco.com

www.dtex.com

5th Edition

January 31, 2011


http://www.coldraco.com/

http://www.dtex.com/

PATIENT SAFETY

STANDARDS

www.inprocorp.com www.arc-com.com

Options: Bankhead

• Number AC#95024W

• Content: 100% FR Trevira

• Passes: NFPA 701

• Weight: 8.0 oz/linear yard

• Repeat: 3/8‖ horizontal

Chalet

• Contents: 100% Dacron Poly

with VISA XL Finish

• Passes NFPA 701 testing

• Flame retardant / resistant

www.architex-ljh.com

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.

Privacy Curtains

5th Edition

January 31, 2011



http://www.arc-com.com/



http://www.architex-ljh.com/



PATIENT SAFETY

STANDARDS

Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks

5th Edition

January 31, 2011

• 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.bradleycorp.com www.oddballindustries.com

www.laidlaw.net

Laid Law 81.AL8.03

http://www.bradleycorp.com/

http://www.oddballindustries.com/

http://www.laidlaw.net/

PATIENT SAFETY

STANDARDS

2/14/2011 DRAFT 82

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.norix.com


HenkelHook Coat Hook

•Can be wedged to form ligature point.

• Removal part inconvenient and potential

danger.

www.henkelhook.com

5th Edition

January 31, 2011

http://www.norix.com/

http://www.henkelhook.com/

PATIENT SAFETY

STANDARDS


5th Edition

January 31, 2011

HEALTHGEAR

CONTRACTS

Bobrick B981

Can be wedged to form

ligature point.

www.bobrick.com

http://www.primeralife.co.uk

Primera

PR138CH Removable part inconvenience

and potential danger.

Detsafe PH160005

http://www.bobrick.com/

http://www.primeralife.co.uk/

PATIENT SAFETY

STANDARDS

Wardrobe Hooks & Closet Bars: Closet Bars

Oddball Industries

Notes

A new requirement in the 2010 FGI Guidelines requires that “Shelves for folded garments shall be used

instead of arrangements for hanging garments.”

www.oddballindustries.com

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

Fixtures and Systems: Personal Picture Hanging Systems

Won’t Damage Walls

Temporary

ligature resistant

Strong enough to hold up

pictures

Metal coat hooks also

available in the 3M

system

3M Command System

www.3m.com

5th Edition

January 31, 2011

http://www.3m.com/

PATIENT SAFETY

STANDARDS

Interior Walls and Ceilings: Construction

5th Edition

January 31, 2011

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.

http://www.tectum.com/

PATIENT SAFETY

STANDARDS

Interior Walls and Ceilings: Construction

Notes

The panels are not removable and access doors will need to be installed for

access above the ceiling.

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.

www.detentiondevicesystems.com

5th Edition

January 31, 2011

http://www.detentiondevicesystems.com/

PATIENT SAFETY

STANDARDS

Access Panels & Medical Gas Enclosures

5th Edition

January 31, 2011

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

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.

Note: Keyed locks must be

strong enough stop

attempted breaches.

www.jlindustries.com

../../../../Projects/BINDERS/Projects/SCP 2004-5/OMH Specification Standards/NYS-OMH Specifications, Division 8/Access Doors/JL standard sec. panel.pdf

http://www.jlindustries.com/

PATIENT SAFETY

STANDARDS

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

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.


strong enough stop

attempted breaches.

www.karpinc.com

5th Edition

January 31, 2011


http://www.karpinc.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

• 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

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.


strong enough stop

attempted breaches.

Access Panels & Medical Gas Enclosures: Drywall Only

www.karpinc.com

http://www.karpinc.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Specify UL listed cabinet with polycarbonate lens.

Specify non-loopable ADA Pull

Locate ONLY in supervised area

JL Industries

Cosmopolitan CADA 1035W18 FX

Lockable with Polycarbonate Lens or

Laminated Glass Lens with Anti-

Spall Film.

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.

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.

www.jlindustries.com

APEX Series fully recessed fire

extinguisher cabinet with metal face

and lock is an acceptable alternative


http://www.jlindustries.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Only provide gases and nurse call where absolutely necessary

Fully recessed cabinets

Locking 3/8” clear polycarbonate doors

Modular Services Company

Notes

Install frame flush with wall surface to avoid ligature potential.

www.headwalls.com

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.


http://www.headwalls.com/

PATIENT SAFETY

STANDARDS

Cabinet Hardware

5th Edition

January 31, 2011

Recessed Pulls

Edge Pulls

Continuous Hinges

Lockable Cabinet Doors and Drawers

J&S Agencies/John Turner Bespoke

Top Knob

Somerset Cup Pull

2-1/2‖ Doug Mockett

DP-146

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.)

www.mockett.com www.hewi.com

http://www.letter-plate.com/

http://www.mockett.com/

http://www.hewi.com/

PATIENT SAFETY

STANDARDS

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

High Risk Areas: Patient rooms, bathrooms, quiet

rooms.

www.johnsonite.com

5th Edition

January 31, 2011

Handrails & Corner Guards: Wall Base & Chair Rail

http://www.johnsonite.com/

PATIENT SAFETY

STANDARDS

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

www.inprocorp.com

5th Edition

January 31, 2011

Handrails & Corner Guards

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


PATIENT SAFETY

STANDARDS

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.

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

www.wallguard.com

5th Edition

January 31, 2011

Handrails & Corner Guards

http://www.wallguard.com/

PATIENT SAFETY

STANDARDS

Specific Conditions Vary

Section for Illustration Only

Safety Screening/Stair Guards

(Run continuous stringer-to-stringer)

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.

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.

5th Edition

January 31, 2011

Handrails & Corner Guards: Stair Guards

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

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.

SafeBar

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.

www.northwestsh.com

Toilet Accessories: Grab Bars

http://www.northwestsh.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Graspability.

Avoid end to

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

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.




PATIENT SAFETY

STANDARDS

Weizel

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.

www.securingcosmos.com

5th Edition

January 31, 2011


Graspability

Avoid end to

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

http://www.securingcosmos.com/

PATIENT SAFETY

STANDARDS

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.

Notes

Stainless steel type 316 should be used for any item that will be installed in a location where it

regularly gets wet.

5th Edition

January 31, 2011


Weizel

Safe Support Grab Bar

www.securingcosmos.com

http://www.securingcosmos.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Does not comply with graspability as defined by ADA

Tight Crevices Create Infection Control Problems

Bobrick and Bradley

Notes

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.

Article 28 and

Article 31

hospitals.

www.bobrick.com www.bradleycorp.com

Do Not Use

at NYS-OMH

facilities.




PATIENT SAFETY

STANDARDS

Toilet Accessories: Soap Dispensers

5th Edition

January 31, 2011

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

Bobrick Contura B-4063

Liberty F6659

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.

Ligature point at handle.

*

www.gojo.com www.bobrick.com

www.libertyarc.org

http://www.gojo.com/


http://www.libertyarc.org/

PATIENT SAFETY

STANDARDS

Toilet Accessories: Soap Dispenser

Notes:

Confirm pricing with manufacturer for needed quantity before selecting.

Norva Plastics

•Corian construction

•Refill fitting on top

•Bolts securely to wall


5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

Toilet Accessories: Soap Dispensers

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

ASI 5002

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.

• Sharp components

• Many small ligature points at

junctures

• ½‖ Projected off the wall

www.cescompany.com

5th Edition

January 31, 2011

http://www.cescompany.com/

PATIENT SAFETY

STANDARDS

Toilet Accessories: Paper Towel Dispensers

5th Edition

January 31, 2011

Recessed

Non-Loopable

Lockable

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

Bobrick-B359

Notes

Best Practice indicates recessed accessories, including paper

towel dispensers.

www.bobrick.com


PATIENT SAFETY

STANDARDS


5th Edition

January 31, 2011

Recessed

Non-Loopable

Non-secure

Stainless Steel

Easy to break

enMotion

Cautions: Surface-Mounted Flat-top - Loopable Not Tamper-resistant

www.gp.com

Notes

EnMotion serrated metal strip may allow wedging opportunities and can be

weaponizable

http://www.gp.com/

PATIENT SAFETY

STANDARDS


Recessed

Non-Loopable

Secure

Stainless Steel

Surface Mounted

Recess Kit available

Tamper Resistant with

security grade

Specify noise reduction

nozzle.

Excel Dryer

Xlerator Hand Dryer

www.exceldryer.com

5th Edition

January 31, 2011

http://www.exceldryer.com/

PATIENT SAFETY

STANDARDS

Toilet Accessories: Toilet Paper Dispenser

Acorn 1840-FA

Bradley Model SA47

Bradley SA11 and SA12

Notes

Warning:

Potential hazard with loose roll that can be stuffed in toilet.

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

www.bradleycorp.com www.acorneng.com

5th Edition

January 31, 2011


http://www.acorneng.com/

PATIENT SAFETY

STANDARDS


Bobrick B-272

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.

Kimberley Clark 74418

www.bobrick.com www.kimberly-clark.com

5th Edition

January 31, 2011


http://www.kimberly-clark.com/



PATIENT SAFETY

STANDARDS


Bobrick B-5288

Notes

Plastic spindle is rigid and can be broken into small shards, loose parts, and large

profile can break.

www.bobrick.com

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS


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

www.evansandpaul.com

5th Edition

January 31, 2011

http://www.evansandpaul.com/

PATIENT SAFETY

STANDARDS


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


Notes:

Confirm pricing with manufacturer for needed quantity before selecting.

Use With Caution at

Article 28 and Article 31 hospitals.

Norva Plastics

Dowels are made of flexible, breakaway polyethylene

foam rubber.


Do Not Use at NYS-OMH

facilities.

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS Toilet Accessories: Toilet Paper Dispenser

Notes

The SCA unit provides an over case top ligature point and an internal post

that can be looped.

Kimberly Clark Part 09604

www.kcprofessional.com

SCA

Sliding panel ―pops out‖, spindle

holder is breakable.

www.kimberly-clark.com

www.torkusa.com

5th Edition

January 31, 2011

http://www.kcprofessional.com/




http://www.torkusa.com/

PATIENT SAFETY

STANDARDS


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.

www.bobrick.com

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

Notes

The Imperial Break-A-Way surface mounted track can be looped end to end and

Velcro creates a tie off point for ligature.

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

slides.

www.imperialfastener.com

www.webbshade.com

This product

provides multiple

ligature points and

should only be used

in low-risk areas.

5th Edition

January 31, 2011

http://www.imperialfastener.com/

http://www.webbshade.com/

PATIENT SAFETY

STANDARDS

Notes

The use of a three sheet vision panel at certain rooms may be interpreted as a

privacy violation in some jurisdictions.

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

www.vistamatic.com

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.

www.inprocorp.com

Install privacy curtain track,

with Clickeze Carriers, at

underside of soffit or ceiling

above window.

5th Edition

January 31, 2011

Window Treatments

http://www.vistamatic.com/



PATIENT SAFETY

STANDARDS

Specialties: Clocks 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.

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.

www.peterpepper.com

5th Edition

January 31, 2011

http://www.peterpepper.com/

PATIENT SAFETY

STANDARDS

Specialties: Television Enclosures

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.

www.lcdtvenclosure.com

5th Edition

January 31, 2011

http://www.lcdtvenclosure.com/

PATIENT SAFETY

STANDARDS

Specialties: Television Enclosures

Peerless

Custom LED Screen Protection System

Notes

A polycarbonate lens must be specified.

www.peerlessmounts.com

5th Edition

January 31, 2011

http://www.peerlessmounts.com/

PATIENT SAFETY

STANDARDS

Specialties: Architectural Signage

Notes

Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners.

Double stick tape and Velcro are not acceptable.

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.

King Architectural Products

KMS Series

* Preferred signage system.

www.kingarchitecturalproducts.com

5th Edition

January 31, 2011

http://www.kingarchitecturalproducts.com/

PATIENT SAFETY

STANDARDS


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.

Infinity signage system does not mount flush against wall.

www.asisignage.com

5th Edition

January 31, 2011

http://www.asisignage.com/

PATIENT SAFETY

STANDARDS


ASI Modulex Pacific Series

Notes

Warning: Signage Systems should be positively and mechanically fastened with tamper

proof fasteners. Double stick tape and Velcro are not acceptable.

Plastic can crack into multiple shards.

5th Edition

January 31, 2011

www.asisignage.com

ASI Modulex

Panorama Series


PATIENT SAFETY

STANDARDS


ASI Modulex

I-20

Notes

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.

5th Edition

January 31, 2011

www.asisignage.com

ASI Modulex

380 Series


PATIENT SAFETY

STANDARDS


www.innerface-signage.com

5th Edition

January 31, 2011

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.

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.

http://www.innerface-signage.com/



PATIENT SAFETY

STANDARDS


5th Edition

January 31, 2011

Notes

Warning: Signage Systems should be positively and mechanically fastened with tamper proof

fasteners. Double stick tape and Velcro are not acceptable.

www.gdssigns.com

PATIENT SAFETY

STANDARDS

Quick Response

Avoid Removable Parts

Sprinklers & Fire Extinguishers

www.tyco-fire.com

TYCO Raven

5th Edition

January 31, 2011

http://www.tyco-fire.com/



PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Quick Response

Avoid Removable Parts

Reliable Sprinkler Model XL

www.reliablesprinkler.com

Notes

Warning: A portion of the sprinkler head projects below the sprinkler head

enclosure and is accessible to patients.

Tyco TFP MAX

Star Sprinkler TFP PH2

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

www.tyco-fire.com

www.vikingcorp.com

Viking VK410 and VK412

The Viking heat sensor projects below the escutcheon plate. Damage to the heat sensor will activate the sprinkler system.

Sprinklers & Fire Extinguishers

http://www.reliablesprinkler.com/




http://www.vikingcorp.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

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.

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

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

Kera

SDH-3PB

www.keracontrols.com


Thermostats

http://www.keracontrols.com/

PATIENT SAFETY

STANDARDS

BAPI

Decora Style Room

Unit

www.bapihvac.com

•Resident controlled thermostat.

•Push-button temperature selection.

•Flush cover plates.

•Digital display.

•Low voltage.

•Large font on-board thermometer.

Notes

Specify the standard cover plate with tamper resistant screws

screws. 5th Edition

January 31, 2011


Thermostats

http://www.bapihvac.com/

PATIENT SAFETY

STANDARDS


Louvers & Grilles

Anemostat Titus

Notes

Engineer back of system to accommodate free-area requirements.

Louvers and grilles - 3/16‖ holes maximum

www.anemostat.com www.titus-hvac.com

5th Edition

January 31, 2011

http://www.anemostat.com/

http://www.titus-hvac.com/



PATIENT SAFETY

STANDARDS

Carnes

Perforated Face

Supply Diffuser

Notes

Louvers and Grilles 3/16‖ holes maximum


www.carnes.com

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

www.kees.com

Kees SEG-4P3

5th Edition

January 31, 2011


Louvers & Grilles

http://www.carnes.com/

http://www.besafeprod.com/

http://www.kees.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Louvers and Grilles 3/16” holes maximum

McMaster-Carr

SS 304 Annealed 8x8

w/ Interweave Screening

Notes


www.mcmaster.com


Louvers & Grilles

http://www.mcmaster.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Carnes Perforated Face Supply Diffuser (Suicide Deterrent)

Notes

3/16‖ holes maximum.


Carnes RSPA51 R&G Carnes RSPA41

Do not use on

side walls, must be

hung from

structure.

www.carnes.com


Louvers & Grilles

http://www.carnes.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Anemostat Perforated Face Supply Diffuser (Suicide Deterrent)

Notes

3/16‖ holes maximum.


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.

Anemostat SV6 Anemostat SV432

www.anemostat.com


Louvers & Grilles

http://www.anemostat.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Linear Diffusers

Notes

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

point.

Titus

Slot Supply Diffusers

www.titus-hvac.com


Louvers & Grilles




PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Baseboard Enclosures

Fully-welded ends and connectors

Notes

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.

www.vulcanrad.com


Louvers & Grilles

http://www.vulcanrad.com/

PATIENT SAFETY

STANDARDS

Plumbing Fixtures & Systems

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)

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.

5th Edition

January 31, 2011

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Wall Mounted

Floor Mounted

Concealed Valves with IR Controls and Override

American Standard Afwal

Sloan Optima or Regal 154

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.

www.americanstandard.com

www.sloanvalve.com www.kohler.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.

Plumbing Fixtures & Systems: Toilets

http://www.americanstandard.com/

http://www.sloanvalve.com/

http://www.kohler.com/

PATIENT SAFETY

STANDARDS


Notes

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.

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.

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.

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.

Hydrotek 8000 Series

Sloan Optima

Zurn AquaSense AV

www.hydrotek.com

www.sloanvalve.com

www.zurn.com

5th Edition

January 31, 2011

http://www.hydrotek.com/


http://www.zurn.com/

PATIENT SAFETY

STANDARDS


Notes

For existing exposed front located flush valves.

www.acorneng.com

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

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. 5th Edition

January 31, 2011


www.acorneng.com


PATIENT SAFETY

STANDARDS

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. 5th Edition

January 31, 2011

Filtrine “Filling Station”

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

www.filtrine.com

Plumbing Fixtures & Systems: Drinking Fountain

http://www.filtrine.com/

PATIENT SAFETY

STANDARDS

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

Plumbing Fixtures & Systems: Showers

PATIENT SAFETY

STANDARDS

Speakman S2460-AF Chicago Faucets 621-CP

Symmons 96-1-150 Powers

www.speakmancompany.com

www.chicagofaucets.com

www.powerscontrols.com

www.symmons.com

5th Edition

January 31, 2011

Plumbing Fixtures & Systems: Showers (Shower Heads)

http://www.speakmancompany.com/

http://www.chicagofaucets.com/

http://www.powerscontrols.com/

http://www.symmons.com/

PATIENT SAFETY

STANDARDS

Willoughby CHS Showerhead

www.kohler.com

Notes

Kohler Rain Head has ligature

points.

Plumbing Fixtures & Systems: Showers (Shower Heads)

www.willoughby-ind.com

Kohler Rain Head

Valdal Resistant Safe Cell Shower Rose

www.galvinengineering.com.au


http://www.willoughby-ind.com/



PATIENT SAFETY

STANDARDS


Handicapped Hand Showers:

• Oddball SP7 Series hand held shower with

quick disconnect adapter

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.

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

ligature resistant control systems.

―FX‖ Flexshower

Quick release

mechanism provides a

ligature point.


5th Edition

January 31, 2011

Plumbing Fixtures & Systems: Showers (Hand Showers)





PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Pre-set flow time and temperature activators.

Symmons

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.)

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

www.acorneng.com www.symmons.com

Delta Teck Push Button Activator 860 Series

Water temperature can be adjusted by staff with

mixing valve located behind cover plate.

Plumbing Fixtures & Systems: Activators

www.deltafaucet.com



http://www.deltafaucet.com/

PATIENT SAFETY

STANDARDS

Plumbing Fixtures & Systems : Shower Activators

Symmons

B-40904-1

Notes

Recessed Shower Dial Activator is loopable and does not meet the

criteria for ADA graspability.

www.symmons.com

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

Niekamp:

SSK 1022 (Powers Valve)

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.

www.niekampinc.com

www.armstronginternational.com

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.

Fixtures: Activators (Showers and Lavatory) Control Flow

Control Water Temperature

Integral Anti-Scald

http://www.niekampinc.com/

http://www.armstronginternational.com/

PATIENT SAFETY

STANDARDS

Plumbing Fixtures & Systems : Activators (Showers and

Lavatory)

5th Edition

January 31, 2011

Control Flow

Control Water Temperature

Integral Anti-Scald

Stanley: Piezo Electric

Valve – Not Available in

the US

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.

www.stanleyhardware.com www.oddballindustries.com

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.

http://www.stanley.com/


PATIENT SAFETY

STANDARDS


Lavatory)

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

http://www.speakmancompany.com/

PATIENT SAFETY

STANDARDS


Lavatory)

Notes

The operational clearance between the ligature resistant control knob and the

valve creates a ligature point.

www.bradleycorp.com

Bradley

SRC Handle

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

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

Sloan IR Faucet

Sloan Optima Systems

ETF-80 Faucet – hardwired

EBT-85 Faucet– battery pack

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)

www.kohler.com

www.sloanvalve.com

www.deltafaucet.com

5th Edition

January 31, 2011

Plumbing Fixtures & Systems: Lavatories




http://www.deltafaucet.com/

PATIENT SAFETY

STANDARDS


Zurn

Z6917

The aerator (not shown in

the photo) creates a ligature

point.

www.zurn.com

5th Edition

January 31, 2011


Sloan Optima Systems

EFT-600

The aerator creates a

ligature point.

www.sloanvalve.com

http://www.zurn.com/


PATIENT SAFETY

STANDARDS

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).

Willoughby

Bubbler

380068 BPH*

―FL Lav/Filler

Willoughby

PM2

2 button dual temperature

pneumatic valve


5th Edition

January 31, 2011










PATIENT SAFETY

STANDARDS

Acorn

Hemispheric Bubbler BPH

(shown with single push button,

double button temperature

control model also available,

order with appropriate control

valve assembly)

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).

www.acorneng.com

Acorn

Hemispheric M3383-E500

Air-control valve – Hot & Cold



www.acorneng.com



PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

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

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

Article 28 and Article 31

hospitals.

Fixtures

• Faucets

• Activators

• Basins

• Pipe

Enclosures

• Countertops

• Mirrors

www.acorneng.com

Do Not Use at NYS-OMH

facilities.



PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Proposed OMH Standard:

Niche mounted sink projecting from counter with integral pipe

screening below.

Integral bowl with Kohler Laminar

faucet and IR or Armstrong

Brainwave controls. (Use Acorn’s

Hemispheric Bubbler and

Hemispheric Push Button as

an Alternative)

Acorn Meridian

Integral Countertop

(Use sink only, not faucet)

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.

Kohler Laminar Spout

(Must be ordered as replacement

parts of Kohler K-9022)

Armstrong Brainwave

Model #DMV1 Lavatory with SS Shield*

www.acorneng.com

www.kohler.com


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.

Fixtures

• Faucets

• Activators

• Basins

• Pipe

Enclosures

• Countertops

• Mirrors





PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Proposed OMH Standard:

Niche mounted sink projecting from counter with integral pipe screening below.

Integral Bowl with Kohler Laminar Faucet and IR or Piezo Controls

American Standard

Mezzo Semi-Countertop

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

9022)

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

alternative to Kohler faucet in locations where additional risk is acceptable per institutions

risk assessment; and then hardwired, not battery powered.

Piezo Controls

* Not currently available in

the US

Armstrong Brainwave

Model #DMV1 Lavatory with SS Shield*

1. Use sink with Laminar Faucet, not with a deck-

mounted 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.

3. Horizontal projection may present a durability

concern due to potential vandalism.

www.kohler.com



www.Stanleyhardwarecom

SS face plate shall be used in all NYS OMH

Facilities.

Use With Caution: available Brainwave plastic

cover may be accepted by some users.

Fixtures

• Faucets

• Activators

• Basins

• Pipe

Enclosures

• Countertops

• Mirrors






http://www.securitech.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

1995 OMH Standard:

American Standard Afwal or Rondalyn

American Standard

Rondalyn Countertop Sink

(Modified- no holes)

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.


Plumbing Fixtures & Systems: Basins


PATIENT SAFETY

STANDARDS

Toto 308 Toto 307.8

Modified with Acorn Hemispheric Bubbler and Hemispheric Push Button and Acorn

SES Pipe Enclosure

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.

www.totousa.com

Fixtures

• Faucets

• Activators

• Basins

• Pipe

Enclosures

• Countertops

• Mirrors

5th Edition

January 31, 2011


http://www.totousa.com/

PATIENT SAFETY

STANDARDS

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.

Evans & Paul

•Custom ligature

resistant solid surface

lavatory with integral

bowl.

•Removable fully

enclosed pipe

enclosure / skirt with

hexalobular pin-reject

screws.


5th Edition

January 31, 2011

Plumbing Fixtures & Systems: Basins


PATIENT SAFETY

STANDARDS

Notes:

Bradley Advocate comes with an integral hand drier and soap dispenser, but the soap dispenser

creates a ligature point.

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

•Custom solid surface lavatory with

integral bowl.

•Integral shroud available.

www.bradleycorp.com

Bradley Express Lavatory SS-1N

Bradley Advocate Lavatory LA60

5th Edition

January 31, 2011

Plumbing Fixtures & Systems: Basins (integral)


PATIENT SAFETY

STANDARDS

Trubro Lav Shield Enclosures

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.

www.ipscorp.com

5th Edition

January 31, 2011

Plumbing Fixtures & Systems: Pipe Enclosures

http://www.ipscorp.com/

PATIENT SAFETY

STANDARDS

Electrical: Receptacles and Switches

5th Edition

January 31, 2011

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*

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.

Hubbell

HBL8300SGA*

Not in high risk areas www.legrand.us www.hubbell-wiring.com Not in high risk areas

http://www.legrand.us/

http://www.hubbell-wiring.com/



PATIENT SAFETY

STANDARDS


Leviton

www.leviton.com

http://www.leviton.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Specify Nylon or SS Face Plates only.

Specify hexalobular pin-reject fasteners only.

Tamper-resistant on GFCI & AFCI Circuit

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.

www.cooperindustries.com


http://www.cooperindustries.com/

PATIENT SAFETY

STANDARDS

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.

Article 28 and Article

31 hospitals.

www.morlitesystems.com

Do Not Use at

NYS-OMH

facilities.

5th Edition

January 31, 2011


http://www.morlitesystems.com/

PATIENT SAFETY

STANDARDS

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.

www.kenall.com


hospitals.

Do Not Use at NYS-

OMH facilities.

5th Edition

January 31, 2011


http://www.kenall.com/

PATIENT SAFETY

STANDARDS

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.

www.wattstopper.com

Wattstopper

CI-200 Series Passive Infrared

Ceiling Sensors

•Built-in light level sensor

•Occupancy sensor

•Ceiling mounted sensors are

preferred to wall mounted sensors.

•Tamper resistant fixtures are

preferred.

5th Edition

January 31, 2011

Electrical: Receptacles and Switches - Sensors

Pending Approval with Following Concerns:

• Plastic Dome is not tamper resistant.

• Escutcheon plate must be fastened with tamper resistant

screws.

http://www.wattstopper.com/

PATIENT SAFETY

STANDARDS

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.

Simplex

4098-9733 Heat Sensor

Simplex

4098-9757 Smoke Sensor

www.simplexgrinnell.com

5th Edition

January 31, 2011

Electrical: Fire Alarm Components

Use with Caution

at NYS-OMH

facilities.


hospitals.

http://www.simplexgrinnell.com/

PATIENT SAFETY

STANDARDS


www.gesecurity.com

GE Security SIGA-DG (EST)

Rejected because of loopability

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Bosch

FCP-500 Series

www.boschsecurity.com


http://www.boschsecurity.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Takex USA, Inc.

FS-2000E Series

Flame Sensor

www.takex.com


http://www.takex.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Warning: Do not use wire covers in high risk areas. Ceiling mount where permitted by code.

Simplex

Multi-candela Horn/Strobe

Clg-Mtd 4906-9128

Simplex

Multi-candela Horn/Strobe

Clg-Mtd 4906-9128




PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Warning:

Not approved for use in high risk areas.

Notes

The curved return against the ceiling presents a ligature hazard.

www.edwards-signals.com


http://www.edwards-signals.com/



PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

Specify Key-operated only Heavy Duty Cast Housing

Simplex Grinnell by Tyco

Simplex

2099 Series- Single Action

Institutional Cover




PATIENT SAFETY

STANDARDS

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.

Lighting Fixtures General Design & Performance Criteria

Lighting Fixtures

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

PATIENT SAFETY

STANDARDS

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

www.designplan.com

General Illumination

Ceiling Mounted - Recessed Linear Fixtures

5th Edition

January 31, 2011

Lighting Fixtures: High Risk Areas

http://www.designplan.com/

PATIENT SAFETY

STANDARDS

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:


www.lcdoane.com


Ceiling Mounted - Recessed Linear Fixtures

5th Edition

January 31, 2011

Lighting Fixtures: High Risk

http://www.lcdoane.com/

PATIENT SAFETY

STANDARDS

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:


www.legionlighting.com


Ceiling Mounted - Recessed Troffers

5th Edition

January 31, 2011


http://www.legionlighting.com/

PATIENT SAFETY

STANDARDS

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.

www.kenall.com


Ceiling Mounted - Recessed Downlights

5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

Legion Vandelex

Housing: Die formed

16 ga. cold rolled steel

Diffuser:

Polycarbonate

Light Source: T8

Approvals: UL & cUL

listed

www.legionlighting.com Ceiling mount

Wall mount


Ceiling Mounted – Surface Fixtures

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


http://www.legionlighting.com/

PATIENT SAFETY

STANDARDS

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

SWP 610

www.luminairelighting.com


Wall or Ceiling Mounted – Surface Fixtures

5th Edition

January 31, 2011


http://www.luminairelighting.com/

PATIENT SAFETY

STANDARDS

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




Notes

Light housing may present ligature hazard when wall

mounted and should be used on overhead installations only.

5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

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

www.designplan.com



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

ASD Lighting

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:

www.asdlighting.com

www.teronlight.com



5th Edition

January 31, 2011


http://www.asdlighting.com/

http://www.teronlight.com/

PATIENT SAFETY

STANDARDS

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 semi-

recessed mounting.

www.prismalighting.com



Notes

A polycarbonate lens is not the standard lens for this fixture. A

polycarbonate lens must be specified.

5th Edition

January 31, 2011


http://www.prismalighting.com/default.htm

http://www.prismalighting.com/

PATIENT SAFETY

STANDARDS

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:


www.kenall.com

General & Task Illumination (Reading)

Wall Mounted – Surface Fixtures

Dimmable reading light: custom

modification to Kenall Mighty Mac

WCBU.

Custom model design: WCBU-4-0/0-2/x-

32/LED-RS-4-120-1/7U-7D-DLN-

1, 2x32w T8 upper compartment, 2xLED

reading lights in lower compartment,

1xLED dimmable nightlight in upper

compartment

Notes

Should be ordered with polycarbonate diffuser 5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

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.

www.designplan.com

Task/Spot Illumination


5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

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.

www.omegalighting.com



5th Edition

January 31, 2011


http://www.omegalighting.com/

PATIENT SAFETY

STANDARDS

SPEX Omega by Philips

S6-CFL (6‖) and S8-CFL (8‖)

Shallow Depth Lensed Horizontal

Downlights

Housing:



Diffuser:



Light Source:


Dimming option)

Approvals:





5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

213

Origins by Omega Philips

Lensed Downlights with Vandal Guard

Housing:



Diffuser:



Light Source:


Dimming option)

Approvals:







PATIENT SAFETY

STANDARDS

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:


www.speclight.com



5th Edition

January 31, 2011


http://www.speclight.com/

PATIENT SAFETY

STANDARDS

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:


www.lightolier.com



Notes

A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens

must be specified.

5th Edition

January 31, 2011


http://www.lightolier.com/

PATIENT SAFETY

STANDARDS

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

www.prismalighting.com

Night Light

Wall or Ceiling Mounted – Recessed Fixtures

5th Edition

January 31, 2011


http://www.prismalighting.com/default.htm

http://www.prismalighting.com/

PATIENT SAFETY

STANDARDS

PukLED

LPKF-ALED-WELL

Housing:

Aluminum body, semi-recessed

Diffuser:

Polycarbonate lens

Light Source:

LED

Approvals:

UL for wet location

www.luciferlighting.com

Night Light

Wall or Ceiling Mounted – Recessed Fixtures

5th Edition

January 31, 2011


http://www.luciferlighting.com/

PATIENT SAFETY

STANDARDS

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

www.chloridesys.com

Night Light

Wall Mounted – Semi-recessed Fixtures

5th Edition

January 31, 2011


http://www.chloridesys.com/

PATIENT SAFETY

STANDARDS

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.

www.kenall.com

Night Light

Wall Mounted – Recessed Fixtures

Notes

Should be ordered with polycarbonate lens and tamperproof screws 5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

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

www.bega-us.com

Night Light


Notes


polycarbonate lens must be specified.

5th Edition

January 31, 2011


http://www.bega-us.com/



PATIENT SAFETY

STANDARDS

Bega

Housing:

Die cast aluminum with integral wiring

compartment

Diffuser:

Polycarbonate

Light Source:

LED

Approvals:

UL, IP 65

Bega 2202 for Wet/Exterior

Bega 2221 For Wet/ Exterior

www.bega-us.com

Night Light


Notes


polycarbonate lens must be specified. 5th Edition

January 31, 2011





PATIENT SAFETY

STANDARDS

Night Light


Soft Step

Housing:

18 gauge Cold rolled steel

Lens:

Polycarbonate

Light Source:

LED, Compact Fluorescent

Approvals:


www.kenall.com

5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

Zumtobel

Slot Light

Housing: extruded aluminum

Diffuser: polycarbonate*

Light Source: T5 or T5 HO

Approvals: UL

www.zumtobel.us


Ceiling Mounted – Recessed Linear Fixtures

Notes

•Zumtobel will provide polycarbonate diffusers with a minimum order of 1000

linear feet or (250) 4ft fixtures.

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

5th Edition

January 31, 2011

Lighting Fixtures: Medium Risk

http://www.zumtobel.us/

PATIENT SAFETY

STANDARDS

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

www.daybritelighting.com


Ceiling Mounted – Recessed Troffers

Notes

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

be specified. 5th Edition

January 31, 2011


http://www.daybritelighting.com/

PATIENT SAFETY

STANDARDS

Concord

Marlin, Brio IP65

Housing: Pressure die-cast aluminum

Diffuser: Polycarbonate

Light Source: 2 x TC-DEL 18w G24q-2

Approvals: IP65

www.concord-lighting.com



Notes

Fixture housing may present ligature hazard and should be used on overhead

installations only

5th Edition

January 31, 2011


http://www.concord-lighting.com/



PATIENT SAFETY

STANDARDS

Beta-Calco

Fiero

Housing:

Steel and Aluminum

Diffuser:

Opal polycarbonate

Light Source:

Compact Fluorescent Lamp, T5

Approvals:

UL, CSA

www.betacalco.com



5th Edition

January 31, 2011


http://www.betacalco.com/

PATIENT SAFETY

STANDARDS

Beta-Calco

Round

Housing:

Steel and Aluminum

Diffuser:

Opal polycarbonate

Light Source:


Approvals:

UL, CSA

www.betacalco.com



5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

Beta-Calco

Zedos Ceiling 2

Housing:

Steel and Aluminum

Diffuser:

Opal polycarbonate

Light Source:


Approvals:

UL, CSA

www.betacalco.com



5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

Kenall

Millennium Stretch

Housing:


stabilized polycarbonate mechanically

interlocked to lens

Diffuser:


stabilized prismatic polycarbonate with

minimum 0.140‖ wall thickness

(Sourcing more translucent fixture)

Light Source:


Approvals:


www.kenall.com



Do not use the Kenall

Millennium Stretch in High

Risk Areas.

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.

5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

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:


Approvals:

Wet location

www.kenall.com



5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

Luminaire ARV 13 & 17

AOV 13

Housing:


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:


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:





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.

5th Edition

January 31, 2011



PATIENT SAFETY

STANDARDS

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

www.selux.com



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.

5th Edition

January 31, 2011


http://www.selux.com/cms/home.shtml

http://www.selux.com/

PATIENT SAFETY

STANDARDS

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.

www.bega-us.com

Task Illumination


5th Edition

January 31, 2011


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.

www.bega-us.com







PATIENT SAFETY

STANDARDS

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

www.cooperlighting.com

Task Illumination


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 5th Edition

January 31, 2011


http://www.cooperlighting.com/

PATIENT SAFETY

STANDARDS

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

www.chloridesys.com

5th Edition

January 31, 2011

Lighting Fixtures: Exit Signage


PATIENT SAFETY

STANDARDS

Chloride

Caliber Series

Edge-Lit Exit Morlight

VRE

www.chloridesys.com www.morlitesystems.com

Notes

Must be positively, mechanically attached, not friction fit.

Specify UL Listed 924, (NEC, NFPA 70) Mount Flush to Wall or Ceiling or specify

Fully-Recessed housing as indicated above.

5th Edition

January 31, 2011

Lighting Fixtures: Exit Signage


http://www.morlitesystems.com/

PATIENT SAFETY

STANDARDS

Furniture: Wardrobe and Closet Guidelines

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

PATIENT SAFETY

STANDARDS


hospitals.

High Risk Areas (Unless Caution is Indicated)

Norix

Attenda Bed

Construction:

Safety Conscious

Maintenance:

Durable finish

Replaceable parts

Warranty: 2 years

Approvals: CAL 133 flammability test

www.norix.com

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.

Do Not use at NYS-OMH

facilities.

Furniture

5th Edition

January 31, 2011


PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

244


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

Warranty: 2 years

Approvals: CAL 133 Flammability Test

www.norix.com


hospitals.

Do Not use at NYS-OMH

facilities.

Notes

See slide for Wardrobe and Closet Guidelines.

Institutional character precludes use in OMH-NYS Facilities

Furniture


PATIENT SAFETY

STANDARDS

Hill-Rom

Harbor Glen Collection

Construction:

Safety Conscious

Solid Oak

Platform Bed – no restraints

Maintenance:

Durable finish

Replaceable parts

Warranty:

1 year

Approvals:


www.hill-rom.com

Notes

•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

5th Edition

January 31, 2011

Harbor Glen

Bedside Cabinet

Harbor Glen

Chest Desk

Harbor Glen

Platform Bed

http://www.hill-rom.com/



PATIENT SAFETY

STANDARDS


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 anti-

bacterial cleaning agents.

Warranty: 5 years limited with

lifetime on hardware (require this

in the specs as minimum.)

www.addenfurniture.com

Furniture

Notes




•Each facility must perform their own risk assessment to evaluate all products. 5th Edition

January 31, 2011

Adden Roommate

RM

http://www.addenfurniture.com/

PATIENT SAFETY

STANDARDS


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 anti-


Warranty: 5 years limited with

lifetime on hardware (require this

in the specs as minimum.)

www.addenfurniture.com

Furniture

Notes





January 31, 2011

Adden Roommate

RM05

Adden Roommate

RM04

Adden Roommate

RM02

http://www.addenfurniture.com/

PATIENT SAFETY

STANDARDS

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 anti-


Warranty: 1 year


www.moduform.com

Furniture

Notes




5th Edition

January 31, 2011

http://www.moduform.com/

PATIENT SAFETY

STANDARDS

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 anti-


Warranty: 1 year


www.blockhouse.com

Furniture

Notes

•Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent

liquid damage.




January 31, 2011

http://www.blockhouse.com/

PATIENT SAFETY

STANDARDS


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

www.nemschoff.com

Furniture

Notes


liquid damage.




January 31, 2011

http://www.nemschoff.com/

http://www.nemschoff.com/

PATIENT SAFETY

STANDARDS

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


www.nuture.com

Furniture

Notes




5th Edition

January 31, 2011

http://www.nuture.com/

PATIENT SAFETY

STANDARDS

Savoy

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

Mixed Risk Areas (See Notes with Each Symbol)

High Risk Areas

Medium and Low Risk Areas

Medium and Low Risk Areas

www.savoyfurniture.com

Furniture

Notes


liquid damage.




January 31, 2011

http://www.savoyfurniture.com/

PATIENT SAFETY

STANDARDS

5th Edition

January 31, 2011

254

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

Maintenance:

All drawer faces are replaceable

Warranty:

NA

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.

Continuous Hinge Restraining Strap Slots Recessed ―J‖ Closet Bar Recessed Door Pulls


High Risk Areas

www.mastercraftspecialties.com

Furniture

Medium and Low Risk

Areas

http://www.mastercraftspecialties.com/

PATIENT SAFETY

STANDARDS

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.


Drawers

www.intempowood.com

Furniture

Notes


liquid damage.




January 31, 2011

http://www.intempowood.com/

PATIENT SAFETY

STANDARDS

www.agati.com

Agati

Altra Forma


Notes

These products are intended for children.

Furniture

5th Edition

January 31, 2011

http://www.agati.com/

PATIENT SAFETY

STANDARDS

www.flaghouse.com

Flag House

Soft Rocker


Notes

For Comfort Rooms.

Furniture

5th Edition

January 31, 2011

http://www.flaghouse.com/