CSA Z8002:25

Preface This is the third edition of CSA Z8002, Operation and maintenance of health care facilities. It supersedes the previous editions published in 2019 and 2014. This Standard is part of the Z8000 series of Standards on health care facility design and construction, which includes • CSA Z8000, Canadian health care facilities; • CAN/CSA-Z8001, Commissioning of health care facilities; • CSA Z8003, Health care facility design studies and post-occupancy evaluation; • CSA Z8004, Long-term care home operations and infection prevention and control; and • CSA Z8005, Special requirements for digital infrastructure and digital health care technologies in Canadian health care facilities. The following are the major changes to this edition: • updated information on O&M documentation overview; • new clauses to address climate resilience, sustainability programs, energy management, and HCF design for small and remote communities; and • new clause on contractor qualifications. CSA Group acknowledges that the development of this Standard was made possible, in part, by the financial support of the Governments of Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Québec, Saskatchewan, and Yukon, as administered by the Canada’s Drug Agency (CDA-AMC). CSA Group acknowledges that the development of this Standard was also made possible, in part, by the financial support of Standards Council of Canada (SCC). This Standard was prepared by the Subcommittee on Operation and Maintenance in Health Care Facilities, under the jurisdiction of the Technical Committee on Health Care Facilities and the Strategic Steering Committee on Health and Well-being, and has been formally approved by the Technical Committee. This Standard has been developed in compliance with Standards Council of Canada requirements for National Standards of Canada. It has been published as a National Standard of Canada by CSA Group. Scope 1.1 Requirements for operation and maintenance of HCFs This Standard describes the requirements, including quality system requirements, for the O&M of an HCF. It sets out specific requirements for a) facility architectural systems; b) exterior site elements related to the building and its functions; c) utilities; d) the facility’s infrastructure, including, but not limited to, mechanical, electrical, information management and information technology, and security systems; e) health care equipment; f) life safety systems; g) specialized functional programs, including, but not limited to, operating rooms, medical device reprocessing, pharmacy, and laboratories; h) permanently installed equipment as specified in Clause 1.4; i) building services and interfaces for installed equipment, both medical and non-medical; and j) best practices for sustainability, resilience, energy conservation, decarbonization, and adaptation to climate change. Note: The HCF should be aware of federal, provincial/territorial, and municipal regulatory requirements applying to O&M and life safety systems, in addition to relevant CSA Group standards. 1.2 Establishing requirements for HCFs This Standard establishes requirements for the HCF as a whole. Note: HCFs vary widely in size, scope, and organization. This Standard sets out the essential O&M requirements for an HCF: it is expected that the HCF will develop the appropriate administrative structures and reporting relationships. 1.3 Organization and coordination with other departments in O&M activities This Standard addresses the organization of, and the policies and procedures regarding other departments as they relate to O&M activities. It also includes requirements for the necessary coordination of O&M activities with other related HCF departments and functions. Note: Examples of other departments and functions include security, biomedical engineering, environmental services, housekeeping, and nursing. 1.4 O&M of patient care equipment and interfaces This Standard addresses the O&M of permanently installed equipment used to support patient care (e.g., call systems, human waste disposal units). It also includes requirements for the O&M of interfaces between equipment and building systems (e.g., equipment docking and charging stations). Notes: 1) There is not always a clear line between the services and interfaces that support clinical equipment [see Clause 1.1, Item h)], and the clinical equipment itself. At a minimum, interfaces include physical space requirements and the use of utilities; however, there can be other connections (e.g., mechanical, electrical, computerization, telemetry, etc.). Problems can arise when different departments of the HCF each assume that the other is looking after a particular system. Among the tasks involved in planning an O&M program are to determine where the divisions are and then to document who is responsible for the different elements of the system. 2) In smaller facilities, O&M personnel or a department could have responsibility for equipment maintenance beyond the scope of this Standard. In that case, the person or department responsible for O&M should develop the appropriate expertise and consult relevant standards for these expanded duties (e.g., standards for biomedical engineering). 1.5 Non-assignment of responsibilities to specific job titles or departments This Standard does not assign responsibilities to specific job titles or departments. 1.6 Exclusions This Standard does not address the O&M of clinical equipment used for life support or therapeutic purposes (e.g., infusion pumps, anaesthetic workstations, and MRI machines). 1.7 Terminology In this Standard, "shall" is used to express a requirement, i.e., a provision that the user is obliged to satisfy in order to comply with the Standard; "should" is used to express a recommendation or that which is advised but not required; and "may" is used to express an option or that which is permissible within the limits of the Standard. Notes accompanying clauses do not include requirements or alternative requirements; the purpose of a note accompanying a clause is to separate from the text explanatory or informative material. Notes to tables and figures are considered part of the table or figure and may be written as requirements. Annexes are designated normative (mandatory) or informative (non-mandatory) to define their application.