Table 11 Provision of terminal units, AVSUs and local alarms

Department O2 N2O N2O/O2 MA4 SA7 VAC AGSS He/O2 AVSU Alarm
Accident and Emergency 1 set (1) 1 set hp/lp (9)
Resuscitation room, per trolley space 2 2 – 2 – 2 2 – 2 sets*
Note: One set either side of the trolley space, if installed in
fixed location, eg trunking; or both sets in an articulated supply
pendant that can be positioned either side of the bed space.

3 Provision of terminal units, and the location of AVSUs, local alarm indicator panels and LVAs
Major treatment/plaster room per trolley space 1 1 1p 1 1p 1 1 – 1 set/8 TUs
Post-anaesthesia recovery per trolley space 2 – – 2 – 2 – – 2 sets*
Note: One set either side of the trolley space, if installed in
fixed location, eg trunking; or both sets in an articulated supply
pendant that can be positioned either side of the bed space.
Treatment room/cubicle 1 – – – – 1 – – 1 set/8 TUs
Operating department 1 set (1)
Anaesthetic rooms (all) 1 1 – 1 – 1 1 –
Operating room, orthopaedic:
For anaesthetist 2 1 – 2 – 2 1 – 1 set per suite 1 set per suite
(2)(3) hp/lp (10)
For surgeon – – – – 4 2 – – –
–
Note: Orthopaedic surgery is normally performed in operating
rooms provided with ultra-clean systems. Such systems are much
more effective in terms of airflow when provided with partial
walls. These walls may be effectively used to include terminal
units that can be supplied by rigid pipework. Such installations
do not suffer from excessive pressure loss when surgical air is
required at high flows.
Operating room, neurosurgery
Anaesthetist 2 1 – 2 – 2 1 – 1 set per suite 1 set per suite
(2)(3) hp/lp (10)
Surgeon – – – – 2 2 – –
Note: If multi-purpose pendants are used, there may be some
loss of performance of surgical tools because of bore restrictions
and convolution of the flexible connecting assemblies at the
articulated joints.
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Medical gases – HTM 02-01 Medical gas pipeline systems – Part A: Design, installation, validation and verification
Department O2 N2O N2O/O2 MA4 SA7 VAC AGSS He/O2 AVSU Alarm
Operating room, general surgery etc
Anaesthetist/surgeon (see (14) regarding CO2) 2 2 – 2 2p 2 2 – 1 set per suite 1 set per suite
(2)(3) hp/lp (10)
Note: Terminal units installed in separate pendants: p = project
team option where some orthopaedic overspill surgery may be
performed.
Post-anaesthesia recovery, per bed space 2 – – 2 – 2 – – 2 sets* (5) 1 alarm for both
sets of AVSUs (11)
Note: One set either side of the bed space, if installed in fixed
location, eg trunking; or both sets in an articulated supply
pendant that can be positioned either side of the bed space.
Equipment service room per work space 1 1 – 1 1 1 1 – 1 set 1 set hp/lp (12)
Maternity department 1 set (1) 1 set (9)
LDRP room (normal/abnormal) 1 set per 6–8
rooms (5)
Mother 1 – 1 – – 2 – –
Baby (per cot space) (allow for 2 cots only) 1 – – 1 – 1 – –
Operating suite:
Anaesthetist 1 1 – 1 – 1 1 – 1 set 1 set hp/lp (10)
Obstetrician – – – – – 2 – –
Paediatrician (per cot space) (allow for 2 cots only) 1 – – 1 – 1 – –
Post-anaesthesia recovery (per bed space) 1 – – 1 – 1 – – 1 set 1 set (11)
Equipment service room** per work space 1 1 1 1 – 1 1 – 1 set 1 set (12)
Neonatal unit, per cot space 2 – – 2 – 2 – – 2 sets* 1 for both sets of
AVSUs (11)
Note: One set either side of the bed space, if installed in fixed
location, eg trunking; or both sets in an articulated supply
pendant that can be positioned either side of the bed space.
Equipment service room** per work space 1 – – 1 – 1 – – 1 set 1 set (12)
In-patient accommodation:
Single bed room 1 – – – – 1 – – 1 set for ward 1 set (11)
unit
Multi-room, per bed space 1 – – – – 1 – –
Nursery, per cot space 1 – – – – 1 – –
Provision for 2 cots only irrespective of number of cot spaces
 Department O2 N2O N2O/O2 MA4 SA7 VAC AGSS He/O2 AVSU Alarm
Diagnostics departments 1 set (1) 1 set (9)

Special procedures room 1 1 – 1 – 1 1 – 1 set 1 set (10)

Anaesthetic room 1 1 – 1 – 1 1 – 1 set
Holding and recovery 1 – – 1p – 1 – – 1 set
Ultrasound 1 – – – – 1 – – 1 set
Fluoroscopy 1 – – – – 1 – – 1 set

3 Provision of terminal units, and the location of AVSUs, local alarm indicator panels and LVAs
Urography 1 – – – – 1 – – 1 set
Tomography 1 – – – – 1 – – 1 set
Magnetic resonance imaging (MRI) suite 1 1 – 1 – 1 1 – 1 set 1 set (10)
CAT room 1 1 – 1 – 1 1 – 1 set 1 set (10)
Angiography 1 1 – 1 – 1 1 – 1 set 1 set (10)
Endoscopy 1 1 – 1 – 1 1 – 1 set 1 set (10)
Lineac bunkers 1 1 – 1 – 1 1 – 1 set 1 set (10)
General purpose rooms 1 – – – – 1 – –
In-patient accommodation 1 set for the
ward unit (1)
Single-bed room 1 – – 1 – 1 – – 1 set (11)
1 – – 1 – 1 – –
Multi-bed room, per bed space 1 – – 1 – 1 – –
Treatment room
(Appropriate for adult acute, children and the elderly) 1 – – 1 – 1 – –
Renal
Per dialysis station 1 – – 1 – 1 – –
Per bed space 1 – – 1 – 1 – –
Critical care area 1 set (1) 1 set (11)
Per bed space 4 2p 2p 4 4 2p 2p 2 sets* (4)
Note: One set either side of the bed space, if installed in fixed
location, eg trunking; or both sets in an articulated supply
pendant that can be positioned either side of the bed space.
Equipment service room, per work space 1 1p 1p 1 1 1p 1 set 1 set (12)
Coronary care unit (CCU)
Per bed space 4 4 4 2 sets* (4)(6)(7) 1 for both sets of
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AVSUs (11)
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Medical gases – HTM 02-01 Medical gas pipeline systems – Part A: Design, installation, validation and verification
Department O2 N2O N2O/O2 MA4 SA7 VAC AGSS He/O2 AVSU Alarm
High dependency unit (HDU)
Per bed space 4 4 4 2 sets* (4)(6)(7) 1 for both sets of
AVSUs (11)
Burns unit 2 2p 2p 2 2 2p 2 sets* (4)(6)(7) 1 for both sets of
AVSUs (11)
Adult mental illness accommodation 1 set (1)
Electro-convulsive therapy (ECT) room 1 1 1 1 1 1 set (2) 1 set hp/lp (10)
Post-anaesthesia recovery, per bed space 1 1 1 1 set (1) 1 set (11)
Adult acute day care accommodation 1 set
Treatment room:
Anaesthetist 1 1p 1p 1 1p 1 set 1 set hp/lp
Surgeon 2 if (p) (10)
Post anaesthesia recovery, per bed space 1 1p 1 1 set 1 set (11)
Day patient accommodation 1 set (1)

Single bed room 1 1 1 set (1)(13) 1 set hp/lp (11)

Multi-bed room, per bed space 1 1
Treatment room 1 1p 1
Endoscopy room 1 1p 1p 1 1p 1 set (2)(13) 1 set (10)
Fracture clinic
Plaster room 1 1 1p 1p 1 1 1 set (1) 1 set (9)
Oral surgery, orthodontic department 1 set (1) 1 set hp/lp if (p)
(9)

Consulting/treatment room, type 1 1 1p 1 Dental † 1p 1 set/4–6 rooms

air
Consulting/treatment room, types 2 and 3 1 1 † 1 set/4–6 rooms
will be
required
Recovery room, per recovery position 1 1 1 1 set
Appliance laboratory, per workstation 1 1p 1 1 1 1p 1 set 1 set hp/lp (11)
Out-patient department
Treatment room/cubicles 1 1p 1p 1 1p 1 set (1)(8) 1 set hp/lp if (p)
(9)
 Sterile services department
Wash room 1 1
Inspection, assembly and packing (IAP) room 1 1 1 1 1 set (1) 1 set (9)
Other departments (as required by project team) 1 set (1) 1 set located (9–12)
as appropriate
Notes: (8) Additional AVSUs may be required in a large unit: the aim should be to have about
8–12 rooms controlled by a set of valves – discretion is required to arrive at the
* Dual circuits.

3 Provision of terminal units, and the location of AVSUs, local alarm indicator panels and LVAs
logical number.
** Where the delivery and neonatal units are in close proximity, the equipment service
(9) Installed in reception area.
room can be shared.
(10) Installed in the operating room in the “main panel” or within the room, or an
† Dental vacuum only.
ante-room, eg control room of an MRI device.
p = Project team option.
(11) Installed at the main staff base (nurses’ station).
hp/lp = high-pressure and low-pressure alarms for oxygen, medical air and nitrous oxide
(12) Installed in the room space with the AVSUs.
when installed together. All other local alarms, low pressure only.
(13) Separate AVSUs will be required if endoscopy room is included.
(1) Departmental AVSUs installed on the hospital street side of fire compartment
doors. (14) Carbon dioxide is used for insufflation during some surgical procedures. A
pipeline installation is a project team option and is covered in Chapter 11. Two
(2) Installed immediately outside the room.
NIST connector bodies units should be installed.
(3) Where air is used to control movable pendant fittings, it should be taken from the
General:
7 bar surgical air system.
Normally, departmental AVSUs would be installed at the hospital street side of the
(4) In addition to the dual circuits, additional AVSUs will be required to sub-divide the
entrance doors to a department and would reflect the method of horizontal evacuation
number of terminal units controlled. This subdivision should be based on the layout
in the event of an emergency. In some large departments, for example an operating
of the accommodation; for example, if the recovery area is divided into a number of
department, the clean-service corridor is likely to cross one or more fire compartment
separate room/areas, each would have a separate sub-set (see Figures 4 and 5).
walls. Additional AVSUs may therefore be required to reflect the evacuation route.
(5) This is intended to provide some flexibility and the exact number will depend on
If a department includes one or more floors, a set of AVSUs should be provided for
the total number of rooms within the department.
each floor, which will act as emergency overall fire valves.
(6) If a high-dependency unit is included within general in-patient accommodation,
AVSUs for zones within critical care areas should be located where they can be seen by
a separate set of AVSUs should be provided for the unit. In addition to the
staff – not necessarily at the staff base.
departmental valves or the ward as a whole, an additional set will be required to
control the single-bed, multi-bed and treatment rooms. Local alarms within critical care areas should be provided for the individual space; that
is, if a critical care area of, say, 18 beds is sub-divided into three separate six-bed wards,
(7) Department AVSUs may be required if the units are large and separate from, for
there should be one alarm only for each space (not one for each of the dual circuits).
example, the critical care area.
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