Wireless in Hospitals Bootcamp 7-29-2012

8/11/2019 Wireless in Hospitals Bootcamp 7-29-2012

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Wireless Systems inHealthcare Environments

Including ICRA and TIA 1179

Scott D. ThompsonPresident

Oberon, Inc.

Task Group Member TIA-1179

Healthcare Facility Cabling Standard

Senior Member, IEEE


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Oberons Mission:

Oberon is the preferred source for wireless LAN access pointenclosures, installation and mounting solutions, antennas, andworkspace telecom enclosures for cost effective, secure, code

compliant, aesthetic enterprise Wi-Fi deployments. Oberon'sproducts are designed by experts with exceptional in-the-field,wireless LAN industry experience.

Oberon has formalized agreements with the followingmanufacturers for engineered enclosure and mountingsolutions for wireless networks:
http://en.wikipedia.org/wiki/File:Aruba_Logo.jpghttp://www.oberonwireless.com/WebDocs/Cisco_Solutions.pdfhttp://www.oberonwireless.com/WebDocs/Extreme_Solutions.pdfhttp://en.wikipedia.org/wiki/File:Aruba_Logo.jpghttp://en.wikipedia.org/wiki/File:Aruba_Logo.jpghttp://en.wikipedia.org/wiki/File:Aruba_Logo.jpg


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We manufacture ceiling and wall mounted Tele-communications Enclosures (TEs) for wireless LANaccess points and other networking components

Wireless AP enclosure Workspace Telecom Enclosures


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Agenda

How are (Wi-Fi, DAS) endpoints (Access points, Remotes)installed?

Infection control requirements (ICR) in Hospitals

Code Compliance: Working in the plenum space

TIA-1179 and wireless networks

Reliable performance mandates

Aesthetics

Who to sell to


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Healthcare Wi-Fiand DAS

- Hospitals were early adopters of wireless networking

- In hospitals, wireless networking is mission critical, servingpoint of care (bedside) applications, mobile workstations oncarts (COWS), EHR, mobile asset tracking, RFID, telemetry,

voice, etc.

- Hospitals have special requirements that are becomingmore widely adopted:

o Infection Control Risk Assessment (ICRA)

o Strict adherence to codes and standards (NEC and TIA)o Physical Securityo Preservation of the design for mandated performanceo Aesthetics


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Installing Wireless LAN Access Points (APs) andCellular in-building wireless (or DAS) remoteunits (herein referred to as APs

Method 1: AP above the ceiling

Method 2: AP attached to ceiling grid

Method 3: AP in a ceiling enclosure or locking mount

Method 4: AP on the wall


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Preferred installation orientation forbest coverage

AP above ceiling

AP on the wall

AP on the ceiling grid

AP in enclosure


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Method 1: AP above the

ceiling- things to avoid

Poke thru antenna

Crackedceiling tile

A lot of metal


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Method 1: AP above the ceiling

Support Wire

Use a hanger sturdy enough for AP, use a support wire

Equipment should be UL 2043 Plenum rated

Oberon P/N 1045-00 above-ceiling hanger


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Method 2: AP on the Ceiling Grid

Avoid lifting ceiling tile

Minimize hole in tileConceal cableLock AP


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Infection Control Risk Assessment (ICRA)

In Healthcare, the Joint Commission on Hospital Accreditationrequires that hospitals establish procedures for mitigating thespread of infectious disease and contaminants- limiting accessto the space above suspended ceilings (where dust hasaccumulated)

Infection control risk assessment (ICRA) could have a seriousimpact on the times and conditions for cabling installation,moves, adds and changes, particularly in the air-handlingplenum space, above suspended ceilings, or walls

Breaches in the ceiling system should be avoided

Contractors performing work in violation of ICRA procedures willbe precluded from future bidding


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Infection Control Requirements (ICR)

Lifting or removing ceiling tiles requiresthe installer to:

Use Negative Air Pressure Enclosure(NAPE), or tent off the work area

Use a HEPA air filter

OR


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Method 3: Install AP in a ceilingenclosure or locking mount tosimplify ICRA procedure compliance

Oberon model 1052With ZDUAL antennas on door


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ICRA in Healthcare

Oberon model 1059



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Antennas on door AP in the Door

Oberon 1052-CCOANT Oberon 1052-CCOAP



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Code Compliance

- Hospitals are strict adherents to building safety codes andtelecommunications standards

-Many Authorities Having Jurisdiction (AHJs) will require strictNEC compliance and UL listing of installed components

-Burn ratings of ceiling systems must be retained

- Oberons enclosures are designed to satisfy National ElectricCode (NEC) paragraphs 300.22 and 300.23 for installation in the

air-handling (plenum) space

- All of Oberons ceiling enclosure products are UL listed


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- Article 300.22(C)(3)Electrical

equipment with a metal enclosure,orelectrical equipment with a

nonmetallic enclosure listed for use

within an air-handling space.

shall be permitted to be installed in

such other space unless prohibited

elsewhere in this Code.

-Article 300.23 cables, race-waysand equipment installed behind

panels, including suspended ceiling

tiles, shall be arranged and secured

so as to allow removal of panels and

access to the equipment.

N.E.C COMPLIANCE


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Code Compliance

Oberon model 1028 w ZDUAL Antennas

Method 3: Install AP in a ceilingenclosure or locking mount toensure code compliance


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TIA-1179 Healthcare Facility

Telecommunications Cabling Standard

Recognizes that adding or changing horizontal cabling may causedisruption to occupants and their work once the buildings ceilingand walls are closed

Adding or changing horizontal cabling could result in a net

decrease in care being provide, jeopardizing infection controlmeasures.

Advocates use of enclosed pathways in air-handling spaces toavoid disruption of operations

Advocates planning well ahead in cabling design and capacity

Telecommunications enclosures (TEs) are an option in areassubject to infection control measures

TRs and TEs should incorporate additional security measures torestrict access (Workgroup switches and APs)


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Recognizing that many healthcare installations make use of anumber of wireless applications, It is recommended that thewireless environment be characterized and understood prior tothe design, choice, and installation of cabling to ensure

satisfactory operation

Telecommunications Industry Association TIA 569-B acceptsuse of telecommunications enclosures in the ceiling space to

secure wireless access points and other networking appliances,and advocates protecting infrastructure

TIA-1179 Healthcare Facility

Telecommunications Cabling Standard


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DAS, Wi-Fi AP and Switch in Enclosure

Oberon 1072-00

Method 3: Install AP in a ceilingenclosure or locking mount forstandards compliance and best

practice


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Some jurisdictions have enacted ordinances that includeprovisions for radio coverage of public safety signals withinthe building as a condition of occupancy

Includes signal level and reliability Grapevine, TX - Ord. No. 109.2 , Min signal -107 dBm, 95 % of each floor

800 MHz band, Adjacent band filtering, 8 hour battery backup

Suggests requirement to lock down the wirelessinfrastructure

Furthermore, protection of confidential patient information(HIPAA), suggests access points should be physicallysecured

Physical Security and Reliable

Performance Mandates


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Improve RF coverage and preserve the site survey

Oberon model 1030 w/ ceiling flange

Method 3: Install AP in a ceilingenclosure or locking mount forphysical security and reliable

performance mandates


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Physical Protection of AP and Antennas

Oberon model 1052 with ZDUAL antennas

Method 3: Install AP in a ceilingenclosure or locking mount forphysical security and reliable



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Prevent obstruction or tampering

Oberon model 1022 w ZDUAL Antennas

Method 4: Install AP on wallenclosure or locking mount forphysical security and reliable



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Locking Case Right Angle Wall Bracket

Oberon 1032-C Oberon 1029-00




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When using NEMAboxes outside:

Avoid direct sun

Avoid Metal

Consider thermal

rise. See Oberonapplication note at

http://www.oberonwireless.com/WebDocs/App_Note_Calculating_temperature_rise_in_Enclosures.pdf

NEMA Enclosures




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Unlike most data com infrastructure products,the wireless access point or antenna is highlyvisible

Many hospitals have aesthetics committees

Architects may specify color and style

Custom styles and colors are available

Aesthetics


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Aesthetics and Convenience

Oberon model 1053 with Cisco antennas

Method 3: Install AP in a ceilingenclosure or locking mount foraesthetic, professional installation


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Oberon model 1064 w Cisco 1140 AP

Architectural style match

Method 3: Install AP in a ceilingenclosure or locking mount foraesthetic, professional installation


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Simplify Moves, Adds,

Changes, and technology

upgrades

Terminate cable at the enclosure, test andverify cabling at that point

Un-necessary to lift ceiling tile to serviceaccess points

Methods to easily migrate to new vendors andtechnologies


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Oberon model 38-1052-ADPDOOR-AP105

Interchangeable doors permit simple upgrades

to completely different access points

Method 3: Install AP in a ceilingenclosure or locking mount tosimplify moves, adds, changes, andtechnology upgrades


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Universal locking ceiling mount

Oberon 1068-00

Oberon 1068-00 with Ruckus AP

Oberon 1068-00 with Cisco AP

Oberon 1068-00 with Aruba Networks AP

Method 3: Install AP in a ceilingenclosure or locking mount tosimplify moves, adds, changes, andtechnology upgrades


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Who to sell to

Telecom/datacom infrastructure- cabling andwireless personnel

Plant Services or Facilities Personnel

Infection prevention and control coordinator orInfection Preventionist- in Quality Control orPatient Services Department

Public safety/in-building comm coordinator

Bio-Medical personnel


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Other verticals where Oberon

wireless enclosures may be required:

-Healthcare- Many hospitals have Infection Control Risk Assessment(ICRA) procedures. These procedures mitigate access to the spaceabove ceiling tiles to restrict the spread of infectious diseases.

- Retail The Payment Card Industry Data Security Standard (PCI-DSS)

requirement 9.1.3 states that the operator must Restrict physicalaccess to wireless access points, gateways, and handheld devices

- Government Directive 8100.2 mandates FIPS 140-2 compliancewherein FIPS 140-2 paragraph 4.5 requires physical securitymechanisms to be applied

- Certain Municipalities - Some jurisdictions have enacted ordinancesthat include provisions for radio coverage of public safety signals withinthe building as a condition of occupancy

- Education- Wireless is mission critical, mass notification systems must

be reliable


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Why use Oberon APEnclosures in Healthcare?

- Simplify ICRA procedure compliance when installing andservicing wireless access points

- Clear-cut National Electric Code (N.E.C.) compliance

- Physical security

- Protect the integrity of the RF coverage design

- Verify cabling to the enclosure prior to AP install

- Simplified Moves, Adds, and Changes (MACs)

- Clean, professional, aesthetic installation


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www.oberonwireless.com

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Wireless in Hospitals Bootcamp 7-29-2012

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