You are on page 1of 7

SOP for checking Electrical needs of an SNCU or any ICU

SOP for checking Electrical needs of an SNCU or any ICU Dr Rajan Dubey
SOP for checking Electrical needs of an SNCU or any ICU Dr Rajan Dubey

Dr Rajan Dubey

SOP for checking Electrical needs of an SNCU or any ICU

Causes of fire development and losses Causes Causes of Causes of fire development and losses of
Causes of fire development and losses
Causes
Causes of
Causes of fire development and losses
of fire
fire development
development and
and losses
losses

“ Electrical short circuits” dominate in terms of primary cause

This explanation covers a wide range of secondary issues

Insufficient flammability protection for wire & cable and other electrical

components Any flammable elements in the vicinity will add to the fire load

Note advent of synthetic polymers in the last 40 – 50 years

Fires tend to propagate quickly in such circumstances

Smoke and toxic combustion gases are also killers

Often limited opportunity for intervention or escape

Hence fire losses – property damage, injuries and deaths – tend to be greater than if fire is retarded

Dr Rajan Dubey

SOP for checking Electrical needs of an SNCU or any ICU

We would like to suggest following few steps to planning ICU/SNCU in public hospitals:-

  • 1. A dedicated earthing pit for the SNCU should be created. Earth resistance should be measured twice in a year and logged. A log book to this must be maintained at Maintenance department of hospital and a copy to be placed in SNCU records room. Suggested Timings in year are March and September of every year

  • 2. Good Earthing must have low impedance enough to ensure that sufficient current can flow through the safety device so that it disconnects the supply ( <0.4 sec ). Fault current is much more than the full load current of the circuit which melts the fuse. Hence, the appliance is disconnected automatically from the supply mains.

  • 3. Qualities Of Good Earthing

    • a. Must be of low electrical resistance

    • b. Must be of good corrosion resistance

    • c. Must be able to dissipate high fault current repeatedly

  • 4. Maximum value of Earth resistence to be achieved

  • Equipment to be Earthed

    Max. Value of Earth Resistance to be achieved in Ohms

    Large Power Stations

    0.5

    Major Substations

    1.0

    Small Substations

    2.0

    Factories Substations

    1.0

    Lattice Steel Tower

    3.0

    Industrial Machine and Equipment

    0.5

    Dr Rajan Dubey

    SOP for checking Electrical needs of an SNCU or any ICU

    • 5. A wall mounted digital display should be installed to show earth to neutral voltage in the SNCU. This voltage should normally be within the range 3-5V.

    SOP for checking Electrical needs of an SNCU or any ICU 5. A wall mounted digital

    PWD personnel should be informed immediately if this exceeds 5 V.

    • 6. The manufacturer should be asked to mention in writing the quality of output of the voltage stabilizers.

    • 7. The power boards within SNCU should be marked to show the phase to which it belongs. The SNCU staff should take care so that the equipment are connected in an evenly distributed manner to the power boards belonging to three different phases.

    • 8. At least two air-conditioners should be connected per room to emergency power to take away the heat load in the case of power outage.

    • 9. Smoke detectors with fire alarm as well as fire extinguishers should be installed in the SNCU with proper testing and protocol to display.

    SOP for checking Electrical needs of an SNCU or any ICU 5. A wall mounted digital

    10. Emergency exit or fire escape from the SNCU should be built without any COMPROMISES. The emergency exit should be built in such a way that the babies under treatment could be evacuated within a very small span of time in the case of any emergency in the SNCU. A possible route of such escape is at

    Dr Rajan Dubey

    SOP for checking Electrical needs of an SNCU or any ICU

    the back side of the feeding room of SNCU.

    SOP for checking Electrical needs of an SNCU or any ICU the back side of the

    11. In case of fire, a write-up describing the procedure for emergency shut off, main switch should be made available to SNCU staff members. 12. Fire extinguishers should be installed in the vicinity of the panel boards in front of the SNCU.

    SOP for checking Electrical needs of an SNCU or any ICU the back side of the

    13. The voltage stabilizers being the most important item in providing quality power to the major equipment in SNCU, best quality material should be chosen for any

    Dr Rajan Dubey

    SOP for checking Electrical needs of an SNCU or any ICU

    future procurement of such stabilizer. If possible, a back-up stabilizer may always be kept.

    14. The ethylene oxide sterilizer, portable X- ray machine, autoclave and the hot air oven be preferably operated from raw

    power. Necessary raw power boards should be provided within the

    SNCU. 15. Necessary information about the power requirement of the equipment should be available, e.g., X-ray machine, autoclave, hot air oven etc. 16. The distance between two warmers be kept around 4 feet.

     

    17. The

    load factors of different equipment’s:

    One Radiant warmers (850 W).

    One oxygen concentrators (60 W)

    One phototherapy units (200 W)

    One Sucker machine (approx. 20 W)

    1 no. ethylene-oxide gas sterilizer (3500 W) UNDER NO CIRCUMSTANCE EXTENSION CORD, OR MULTIPIN SHOULD

    BE USED TO GET POWER from one switch and share it. Individual switch should be provided for each equipment. Three-phase servo-controlled voltage stabilizers should be used,

    each rated 15 kVA

    to 25 KVA

    X 3 such. Total requirement is 3.

    18. Two stabilizers work at a time to provide redundancy in the system. These are placed outside the SNCU 19. AT LEAST 30kVA DG (Diesel Generator) set is exclusively required for the SNCU. 20. Check for any Unbalance of current in the three phases at the output of the switchgear 21. Check for Power that is received at the feeding point 22. Check for the adequacy of the transformer for the entire hospital

    Dr Rajan Dubey

    SOP for checking Electrical needs of an SNCU or any ICU

    Recommended ELECTRICAL SAFETY AUDITS every YEAR:-

    Electrical Safety Audit for Hospitals

    This is a sector where care is the most essential part of the service delivery. Care is a human attribute which could be trained, but what about the safety that affects care? This question is the tipping point behind choosing a hospital now days.

    Recent unfortunate incidents in some of the hospitals where life has been lost due to poor maintenance

    of electrical equipments, make it a necessity for hospitals to get an Enesa Electrical Audit. Safety Audit services can help hospitals to:

    Electrical

    Safeguard against the risk of fire due to electrical short-circuits Prevent the loss of lives due to malfunctioning of electrical circuits, especially in the case of ICU and for other critical care equipments Prevent damage to expensive medical equipments and machines like scanners Safeguard the interests and limit liabilities for senior management and directors of the hospital Quality certified installations could help to prove that the hospital had taken preventative action before the fire happened Maintain reputation of the hospital and have peace in patient and employees minds

    Dr Rajan Dubey