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© Copyright 1991 by National Electrical Manufacturers Association. All rights, including translation into
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S T D - N E M A SB LO-ENGL 1 9 9 1 6 4 7 0 2 4 7 0 5 2 7 3 7 8 6 5 3 iiai
Table of Contents
FOREWORD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SCOPE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
INTRODUCTiON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HISTORY ........................................... ii
Section 1 DEFINITIONS
intercom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Microphone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
ModeA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
ModeB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Nurse Control Station (NCS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Patient Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Pillow Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PinkNoise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Signal to Noise Ratio ( S / N ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Sound Pressure Level (SPL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Section 2 GENERAL REQUIREMENTS
Equipment Set-up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
System Output Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
System input Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AmbientSPL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Minimum Signal to Noise Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Figure 2-1, Setup For Mode A Level (NCS) . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Figure 2.2, Setup For Mode B Level . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Figure 2.3. Setup For Mode B S / N Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Figure 2-4. Setup For Mode A S/N Ratio (NCS) . . . . . . . . . . . . . . . . . . . . . . . 7
Section 3 TEST EQUIPMENT REQUIRED
Test Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Figure 3.1, Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Figure 3.2, Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Section 4 TEST PROCEDURE
Data Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
NCS OutputPatient Station Input Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . 11
Mode A Signal to Noise (Patient Station) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Mode A Level Pillow Speaker) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
NCS S í N From Pillow Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Mode B Level (Patient Station) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Mode B S/N (Patient Station) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Mode B Level (pillow Speaker) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Mode B SíN (pillow Speaker) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Table 4-117. Nurse Call Audio Performance Data Worksheet . . . . . . . . . . . . . . . . 12
Foreword
The preparation of this Standard Publication was initiated in response to input from the Velerans
Administration. Input from other interested parties has also been sought and evaluated. Inquiries,
comments, and proposed or recommended revisions should be submitted u) the concerned NEMA
product subdivision by conracting the:
Vice President, Engineering
National Electrical ManufacturersAssociation
2101 L Street, N.W., Suite 300
Washington, DC 20037
Scope
This publication contains requirements and test pmedures for the evaluation of the audio quality
of installed nurse cail systems utilizing loud speaking nurse control stations in conjunction with loud
speaking patient stations and pillow speakers.
Purpose
This document provides a standardized method for testing the audio of an installed nurse call
system to assure that the installation methods used provide an adequate level of audio quality.
Introduction
A nurse cail system is the common name for the equipmentused in health care facilities to allow
communication, aurally/ visually, or both, between staff and patients. Currently, there is no standard
definition of either what a nurse call system must be capable of doing or the minimum equipment
required to perform nurse call functions.
Local codes usually specify minimum equipment and features for installations within specific
regions governed by the code, but there is no uniform standard that supersedes the local codes and
ordinances. Features and functionsof a nurse cai1 system can, therefore, vary widely from installation
to instaliation.
General conclusions can be drawn from observations of many installations. One is that a
minimum nurse. call system consists of three basic components:
1. Call cord pendant or pillow speakers which are located at the patients’ beds that allow the
patients to place calls for assistance:
2. An indicator lamp, located usually in the comdor outside of the patients’ rooms, that
illuminates to visually indicate that the patient has placed a call for assistance; and
3. An annunciator panel, located at the nurses’ staff office, ward clerk’s desk, and such, which
contains a display capable of indicating which patients’ rooms have registered requests for
assistance.
Many nurse call systems have additional capabilities, including two-way aural contact between
the annunciator panel (or master station) and the patients’ moms to answer patients’ questions;
requests for food, wafer, and such; and other non-emergency information.
1
SB 10-1991
Page 1
SECTION 1
DEFINITIONS
1.1 intercom is the means used by two parties to nurse call intercom. The patient station is the location of
communicatevia an aurai communicationssystem integrai one of the parties in a two-party intercom communication.
to the nurse call system and the actual circuitry that pro- NEM4 Standard 5-9-1991.
vides the capability of amkcommunicationbetween two
parties. 1.7 Pillow Speaker is a device, sometimes called a
NEMA Standard 5-9-1991. pendant conuol, located at a patient’s bed and that contains
the ckuitry required to provide both microphone and
1.2 Microphone is an electro-acoustictransducer that loudspeaker functions, as required by the nurse Cali inter-
converts acoustic energy to electrical energy. For the com. The pillow speaker is often an extension of the
purpose of this Standards Publication a loud speaker may patient station and may be capable of controlling other
operate as a microphone. devices external to the nurse call system, such as a televi-
NEMA Standard 5-9-1991. sion set.
NEMA Standard 5-9-1991.
1.3 Mode A is the condition where the nurse call
intercom is so configured that the NCS is “listening” to a 1.8 Pink Noise is a random noise thal is band-limited
patient via either the patient station or the pillow speaker. at 12 dB per octave, 20 Hz to 20 Khz equal energy per
NEMA Standard 5-9-1991. octave.
NEMA Standard 5-9-1991.
1.4 Mode B is a condition where the nurse call system
is so configured that the NCS is “talking” to a patient via 1.9 Signal to Noise Ratio (SM)is the calculated ratio
either the patient station or the pillow speaker. of the measured rms electrical value taken at the speaker
NEMA Standard 5-9-1991. when generating the minimum rated acoustic output level
divided by the measured rms electrical value at the speaker
1.5 Nurse Control Station (PICS) is a controlling when the microphone has been replaced with an equivalent
device that the nurse, duty clerk, ward clerk, and such, uses resistive load.
to communicate with the patients’ rooms; has the capabil- N E W Standard 5-9-1991.
ity of annunciatingcalls from patients’rooms by aural/vis-
ual, or both, means and has the capability of providing 1.10 Sound Pressure Level (SPL) is a quantitative
verbal communication between the patient and the measurement of loudness on a logarithmic scale refer-
nursdward clerldduty clerkland such, sometimes called enced to 20 Pa (20 micro pascal).
“master” or “master station” or “NCS.” NEMA Standard 5-9-1991.
NEMA Standard 5-9-1991.
1.11 Speaker is an electro-acoustic transducer that
1.6 Patient Station is a device located in a patient’s converts electrical energy to acoustic energy.
room containing the circuitry required to provide both NEMA Standard 5-9-1991.
microphone and loudspeaker functions as required by the
S T D e N E M A SB 10-ENGL L99L b 4 7 0 2 4 7 0 5 2 7 1 8 2 084 111
SB 10-1991
Page 3
SECTION 2
GENERAL REQUIREMENTS
2 1 EQUIPMENT SET-UP 2.4.1 n i e NCS input level (mode B) shall be 66 di3 SPL
The equipment associated with the system under test maximum, n ~ e a s dat the mirophone of the N c s (see
shall be: Figure 2-2).
a. Comectiy instailed per the manufacturer's
2.4.2 The patient station output level (mode A) shall be
instructions and methods;
76 Db SPL minimum measured on axis at a distance of 1
b. Functioning properly per manufacturer's
meter from the patient station speaker (see Figure 2-2).
swifications;
c. &rated correctly per manufacturer's 2.4.3 The pillow speaker output level (mode A) shall be
operating instructions; and 76 dB SPL minimum measured on axis at a distance of 1
d. Configured to achievea two-party intercom meter from the pillow speaker (see Figure 2-2).
communicationbetween the NCS and one
patient station or pillow speaker. 2.4.4 The patient station input level (mode B) shall be
N E M sw1dard5-9-1991. 66 dB SPL maximum measured at the microphone of the
patient speaker (see Figure 2-1).
2 2 SYSTEM OUTPUT LEVELS
The output level shall be measured 1 meter on axis from 2.4.5 The pillow speaker input level (mode B) shall be
the speaker of the receiving element of a tweparty inter- 66 dB SPL maximum measured at the microphone of the
com communication and be referred to the input level at pillow speaker (see Figure 2-1).
the msmiuing microphone as specified herein.
NEMA Standard 5-9-1991. 2.4.6 The NCS output levels (mode A) shall be 76 dB
minimum measured on axis at a distance of 1 meter from
2 3 SYSTEM INPUT LEVELS the NCS speaker (see Figure 2-1).
The input level shall be measured at the microphone at N E M Standard 5-9-1991.
the transmitting end of the two-party intercom communi- 25 MINIMUM SIGNAL To NOISE RATIO
cation and shall be the minimum input supplied for the
output level test. The following shall be the minimum S / N measured at
S T D * N E M A SB 10-ENGL 3 9 7 3 I
I b470247 0527383 TL0
SB 10-1991
Page 4
II Pillow Speaker
I
I 1 Meter
?------------
Amplifier Speaker
Pink-Noise
Generator
Patient Station
1 Meter 66 dB SPL
I------------
I
76 dJ3 SPL .
I\ 41- ---1 Meter Speaker
System
Circuitry -
U/ ?
Flgure 2-1
Setup For Mode A Level (NCS)
It shall be permissible to use either a patient station or a pillow speaker as the reference for the nurse station receiver
level. The 1-meter distance must be maintained throughout the test, and all measurements taken on axis and all sources
aligned on axis.
NEMA Standad5-9-1991.
S T D * N E M A SB LO-ENGL L 9 9 1 b470247 0527364 957 =
SB 10-1991
Page 5
I 66 dB SPL
Pink-Noise 1 meter
Generator
Generator *7 Microphone
- Speaker
76 dB SPL I
(-)=i
Sound Lcvcl Meter
I
I
I
Patient Station
System
Circuitry
L
,
*-------------
I 1 meter
Pillow Spcaker
Figure 2-2
Setup Mode B Level
Patient Station/Pillow Speaker
It shall be permissible to use either a patient station or a pillow speaker as a reference for the NCS input level. The 1-meter
distance must be maintained throughout the test and all measurements taken on axis and ail sources aligned on axis.
NEMA Standard 5-9-1991.
SB 10-1991
Page 6
I I
I I
Open Microphone Leads
Pink-Noise
I
76 dB SPL
*- - - - - - - - - - - *
I
I
I
1 meter System
Circuitry
I Patient
[-3l)+ I
I 1 meter
I
I Pillow Speaker
L7"
*&
Figure 2-3
Setup For Mode B SIN Ratio
(Pillow SpeakeriPatient Station)
It shall be permissible to use either patient station or pillow speaker as a reference for S / N ratio. S e e Figure 3-2.
NEMA Standard 5-9-1991.
SB 10-1991
Page 7
r"""""""---
I ûpen syste; Speaker Lines
I I
I 1 I
I u I
I I
Amplifier I I
Pink-Noise
Generator
9, ~ i. a *-
1
I
I
I
I
I
I
W
I I
I,,,,,,,,,,,,,,,--J
Figure 2-4
Setup For Mode A SIN Ratio (NCS)
It shall be permissible to use either a patient station or pillow speaker as a reference for S/N ratio. See Figure 3-1.
NEMA Standard 5-9-1991.
SB 10-1991
Page 9
SECTION 3
TEST EQUIPMENT REQUIRED
3.1 The following test equipment shall be used to test 3. A sound level meter with a range of 20 dB SPL to
the parameters of installed nurse call systems covered by 120 dB SPL and frequency response conformingto ANSI
this Standards Publication: “C’
weighting response characteristics.
1. A pink-noise generator, with transformercoupled 4. An audio amplifier and speaker with frequency re-
output, capable of providing signal levels of at least 1 v sponse of 3 dB over the range of 100 Hz to 10 KHz and
nns at 10 mA or signal levels sufficient to drive the nurse capability of producing an SPL of 90di3 at a distance of 1
cai1 system, in all modes of intercom operation, to maxi- meter measured on axis.
mum output levels, per manufactured specifications. 5. Patient station/pillow speaker test set (see Figure
2. Arms reading voltmeter with a range of 10v to 100 v; 3-1) as specified by the manufacturer.
a minimum input impedanceof 100k ohms; and a minimum 6. NCS test set (see Figure 3-2) as specified by the
úequency responsr of 3 dB h m 100 Hz to 10 KHz. manufacturer.
NEM4 Standard 5-9-1991.
I
...................................... I
I I
I
I
Speaker Terminals I
I
I - I
I
I
I
I
I
Open Speaker Leads
I
Speaker Voice Coil I
I
l I
I I
I
I
I I
I I
I
I
I
I
Isolation Transformer (ratio i :1) I
I
I
I II !
Audio
Figure 3-1
Test Set
Typical pillow speaker or patient station setup for S / N ratio measurements.
Authorized Engineering Information 5-9-1991.
SB 10-1991
Page 10
I
I
I -n
Terminals
v
n I
I
I I
1 n v I
n
I I
I - I
I l
I I
I I
l I
I I
Isolation Transformer (ratio 1: 1) l
I
I
7SeeNote.
I I
I b
Pink-noise input I
ToNurse
Microphone I
Equivalent I Call System
I Impedance ; audio
I I
1 I
I
- A
- I
Figure 3-2
Test Set
Typical Nurse Control Station (NCS) S / N Ratio setup for signal to noise ratio measurements.
Authorized Engineering Information 5-9-1991,
SB 10-1991
Page 11
SECTION 4
TEST PROCEDURE
The system configuration shall be: 4.5 NCS SíN FROM PILLOW SPEAKER
a. NCS in two-party intercom with one paticnt
station in mode A (see Figure 2-4). 4.5.1 System Configuration
b. Signal to noise-substitute test set in place of The system configuration shall be:
pillow speaker. a. NCS in two-party intercom with one pillow
spcaker in Mode A S/N (pillow speaker)
4.3.2 Reference (see Figure 2-4).
a. Configure the switchable load so that the b. Test set for pillow speaker.
reference level is connected to the system; and
b. Using the pink-noisegenerator and amplifier 4.5.2 Reference
in place of the patient station speaker,establish a. Configure the switchable load so the pillow
a signal of a magnitude that produces an SPL speaker is connected to the system; and
of 76 dl3 at a distance of 1 meter from the NCS b. Using thepink-noise generatorand amplifier in
speaker. place of the pillow speaker, establish a signai of a
SB 10-1991
Page 12
Table 4-1
Nurse Call Audio
Performance Data Worksheet
4.7 Mode B S / N Figure 2-2 66 dB at NCS SPL at 1 meter from (verify 76 dB)
(patient station) microphone patient station
and V nns -(4.7.3b)
4.7.4 Calculate: switch in across NCS speaker 35 dB
dummy load 20 Log V rms -(4.7.3d)
(4.7.3b/4.7.3.d) across patient station
speaker -
4.9 Mode B Level S / N Figure 2-3 66 dB speaker at NCS SPL at 1 meter from (verify 76 dB)
(pillow speaker) microphone pillow speaker and
V rms - (4.9.3b)
across pillow speaker
4.9.4 Calculate: switch in V nns -(4.9.3d)
dummy load 20 Log across pillow speaker 35 dB -
(4.9.3b/4.9.3d) - -
NEMA Standad 5-9-1991.
SB 10-1991
Page 13
Where dimensions are given for mterchangeabiiity purposes, alteniste dimemions satisíying the other provisions of the
Standards Pubiication may be capable of otherwise equivalent performance.
Categories d Standards
Authorized Engineering Information consists of explanatory data and other engineering information of an informative character
not falling within the classification of NEMA Standard or Suggested Standard for Future Design,which standard has been
approved by at least two-thirds of the members of the Subdivision eligible to vote on the standard.
An Official Standards Roposal is an official draft of a proposed standard which is formally recommended to an outside
organization(s) for consideration, comment and/or approval. and which has been approved by at least 90 percent of the members
of the Subdivision eligible to vote thereon. (StandardizationPoilicks and Procrdwes, p p 7 & 16)
Identification of Status
Standaràs in NEMA Standards Publications are identified in the foreword or following each standard as "NEMA Standard"
or "Suggested Standard for Future Design." These indicate the status of the standard These words are followed by a date which
indicates when the standard was adopted in its present form by the Association.
The material identified as "Authorized Engineering information" and "officiai Standards Proposal" is designated similarly.
July 17, 1990
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