Hospitals related to mechanical building services design and installation and also specialist

systems. Healthcare specific design/installation and also regarding your HTM code knowledge
and experience.

Legionella virus systems used. Using closed water tank with
anti legionella dosing system.
Legionella (LEE-Jui-Nella) Growth temp = 20c 45 c
Avoid stagnation, clean outlets and flush pipes for 5 minutes on
weekly basis
Hot Water supply temp should =60c
HW Return temp should= 50c
Cold Water temp should = below 20c
Add Chlorine Dioxide (ClO2) into cold water, monitor ClO2 level
weekly
Absorption chillers
Operating Theatres How to maintain positive pressure inside
Positive pressure in operation theaters, ICU and burnt patient ward are very critical for
avoiding infections. Ashrae - application-chapter 7 page 8 health care facilities on
table 3 specify the pressure requirements.

As a thump rule every 100 CFM of air difference between supply air and exhaust gives 10
pascals pressure inside the room. For example, in an operation theater, if supply air is 2000
CFM and exhaust is 1800 CFM, inside will have 20 pascal positive pressures. Care should be
taken to monitor inside pressure as the exhaust used to be a direct drive fan whereas the
supply fan used to be belt driven. In case of belt slackness and dirty air filter supply air to
room will be reduced whereas exhaust will remain constant thereby chances of reduced
inside pressure or negative pressure. The exhaust fan should be electrically interlocked with
supply fan in such a way that exhaust starts after some time lag of supply fan started to
avoid initial negative pressure inside.

Operating Theatres for major surgery were to be class 350 clean rooms with at least 20 air-
changes per hour of HEPA-filtered supply air and 12.5Pa positive pressurization.

Study book "design of clean rooms".

Hepa Filters.
NFPA (96 & 70 regarding distinguisher cabinets)
100% fresh air in hospitals
Psychometric charts
HTM Code