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Hospital Power System

Former Community Member
Former Community Member
How is a hospital power system typical designed in the UK, Europe and Russia? Does anyone have a single line diagram?
  • Former Community Member
    0 Former Community Member

    Ruggedscot:

    With a hospital you are looking to keep the power going for as long as possible and ensure that there is duplicity in the critical areas so that a supply can be pretty much depended upon, actually its the post op care areas and the ICU that really need the power as these areas that individual is not being baby sat like they are in the theatre. if the power goes down you better hope that there is back up on the equipment just to ride through until the staff can get a grasp on all thats going on.


    So in a hospital you have an electrical supply, this supply is backed up by a generator or generators depending on the site load requirements. Also if you are applying n+1 then this has to be considered with the generators.


    So this supply is provided to the hospital - you have the risk when the supply fails of a delay in power till the generators kick in so you cover that with a UPS to provide fill in between utility and generator.


    So this UPS back up is used to supply all the critical equipment on site. You will have a UPS system installed that can cover the electrical system and ensure that there is no risk from a single point of failure. Generally you would specify two UPS systems on an n+1 layout so that if one UPS fails the other can keep the system going. This would be kept seperate and the wiring seperated as well to ensure that a source of power is available to the protected equipment. The biggest fear being a single point of failure affecting the critical areas. 


    An additional type of supply is provided to a hospital which is an isolated power supply This is a supp,y that is un referenced to earth. This means that the wiring or equipment could have an insulation failure but it will allow that item to keep going and would alarm to let the staff know to take action. it provides a further degree of protection. In addition to that there would be interweaving of the supplies in and around these critical areas to ensure that in the vent of a loss of one supply it would not affect the other supply. 


    simple really and all about ensuring that the patient electrical supplies are kept well protected.







    Ok- but why do UK ORs and ICUs also have red sockets in addition to green ones? Why provide none UPS circuits?
  • Former Community Member
    0 Former Community Member

    Chris Pearson:




    OMS:

    I've never had to reach in and grip someone's heart and keep squeezing  - so I've no idea how I'd hold up TBH




    Last resort! But I have it on good authority that it has been done successfully in the back of a Chinook flying somewhere over Afghanistan.


     



    Last resort and then some, for sure. My cuz has been a nurse since leaving school, been to a few odd places including working with a Christian nursing order in Africa which made her a bit of an expert on dealing with gunshot, blast and fragmentation lesions. Always a bit grim patching up some kid who couldn't resist picking up something that should never ever be left lying about and has suffered traumatic amputation or worse. She's pretty handy at closing down the odd aggressive drunk who decides to perform in A&E on a Saturday night - you probably don't want to be fighting with young nurses when you've had a good stomach pumping administered under her control


    She spent a bit of time wearing green stuff and pretending to salute properly out in that part of the world  - not sure she was ever buzzing about on a Chinook - she did a few flights back to the UK with injured lads coming home, though.


    Regards


    OMS
     

  • Former Community Member
    0 Former Community Member

    ProMbrooke:




    Ok- but why do UK ORs and ICUs also have red sockets in addition to green ones? Why provide none UPS circuits?




     



    For the less important stuff - maybe the electric rise and fall of the bed or somewhere to plug in the iPhone


    Regards


    OMS 
     

  • Former Community Member
    0 Former Community Member
    Not personal at all, but 100% correct and spot on! ?


    If you ask me, I like your approach better in that we don't typically see UPS tertiary power in critical care areas. I like the fact UK code lets you choose how to sub-divide the branch circuits and how many ATSs to use. Also it seems like UK hospitals end up with two sources of backed up power in each critical care location instead of one normal and one emergency as typical in the US.


    If you don't mind I will read more of HTM 06-01 and ask questions. Forgive me if they are elementary or seem argumentative. I have zero experience or knowledge involving UK backup and critical power systems. I am learning this for the first time.

     



    Ask away - plenty of talent on here with an opinion on absolute everything


    Given that The Donald and BoJo are gearing up to make us best buddies, think of it as being like an ambassador for your side of the pond. You might need to tune up your sense of humour though, British humour takes a bit of getting used to ? - "Pretty girl walks into a bar and asks the bartender for a Double Entendre - so he gives here one"


    I'll get my coat


    Regards


    OMS

  • OMS:

    For the less important stuff - maybe the electric rise and fall of the bed or somewhere to plug in the iPhone




    Electric beds!


    The late "Spider" Webb was the warrant officer in the path lab in RFA Argus during the second Gulf war. He had a sense of humour.


    So at the air head on the way back, the RAF jobsworth was asking everybody whether anybody could have interfered with their luggage. Stuck in a grey ship for 5 months! ? Everybody said no. Thankfully for all the passengers, the RAF were on their toes and discovered the bed's hydraulic cylinder which Spider had slipped into somebody's rucksack. ?

  • Former Community Member
    0 Former Community Member
    Air mattress usually - although a few still have electric hydromotors rather than gas rams - and plenty of electro actuated hydraulics


    Probably wisest not to fly one around in the hold luggage ?


    Regards


    OMS

  • Former Community Member
    0 Former Community Member

    OMS:




    ProMbrooke:




    Ok- but why do UK ORs and ICUs also have red sockets in addition to green ones? Why provide none UPS circuits?




     



    For the less important stuff - maybe the electric rise and fall of the bed or somewhere to plug in the iPhone


    Regards


    OMS 
     


     






    Good to know and I love opinions! :)


    Would something like this every be allowed in the UK

  • Former Community Member
    0 Former Community Member
    VS- this is what you would see in a US Hospital:
  • More or less,  yes if you are able to show by design and calculation how it meets the essential requirements for the use of that place.

    There is a need for the design authority to create a detailed risk assessment and something akin to a method statement that shows how all the credible failures that may occur are going to be mitigated by his/her design, or are not dangerous in that situation.

    It rather depends what sort of hospital it is - some for example do not even have a general accident and emergency section, others may have all disciplines or specialise in one thing like eye surgery. Many larger ones have a campus layout, so that there may a whole building of mothers and babies, and another one on the other side of a patch of grass that is full of stroke patients. The buildings then can be given different optimisations.