This Standard provides specifications for the planning and installation of a structured cabling system for healthcare facilities and buildings.  Included are requirements for cabling, cabling topologies, and cabling distances, pathways and spaces (e.g., sizing and location), and other ancillary requirements.  Guidance on selection of media and network design is provided and of particular importance for larger healthcare facilities, which may have a useful life far longer than traditional office-oriented commercial buildings.

ANSI/TIA-1179 “Healthcare Facility Telecommunications Infrastructure” was developed by the TIA TR-42.1 Commercial Building Cabling Subcommittee  and published in July, 2010.  This Standard specifies recognized cabling and cabling category recommendations for healthcare facilities.  In addition to IT systems, the structured cabling specified by this Standard is also intended to support a wide range of clinical and non-clinical systems such as non-IP and IP-based RFID, BAS, nurse call, security, access control, and pharmaceutical inventory.

ANSI/TIA-1179  Content

  • Entrance Facilities
  • Equipment Rooms
  • Telecommunications Rooms and Telecommunications Enclosures
  • Backbone Cabling (Cabling Subsystem 2 and Cabling Subsystem 3)
  • Horizontal Cabling (Cabling Subsystem 1)
  • Work Area
  • Cabling Installation Requirements
  • Cabling Transmission Performance and Test Requirements

Significant differences from TIA-568-C.0

  • The size of the Telecommunications Room is increased
  • The recommended minimum number of outlet per work area is dependent upon healthcare service area and, typically, greater than two (2)

Recognized Horizontal Cabling Media

100-ohm balanced twisted-pair cabling

  • Categories 5e, 6, and 6A
  • Category 6 or higher is recommended for existing installations
  • Category 6A horizontal is recommended for new installations
  • Category 3 is not allowed

Multimode optical fiber cabling

  • OM1, OM2, OM3, or OM4
  • 850 nm laser-optimized 50/125 μm (OM3) is recommended

Singlemode optical fiber cabling

  • OS1 or OS2

Recognized Backbone Cabling Media

100-ohm balanced twisted-pair cabling

  • Categories 3, 5e, 6, and 6A
  • Category 6 or higher is recommended for existing installations
  • Category 6A horizontal is recommended for new installations
  • Category 3 cabling should be limited to analog voice applications

Multimode optical fiber cabling

  • OM1, OM2, OM3, or OM4
  • 850 nm laser-optimized 50/125 μm (OM3) is recommended

Singlemode optical fiber cabling

  • OS1 or OS2

Guidance on Cabling Selection

Given the bandwidth and mission critical nature of attached devices and systems in healthcare facilities, it is recommended that serious consideration be given to utilizing the highest performing media to allow for the longest possible lifecycle.

Telecommunications Room Design

Basic healthcare facility telecommunications room (TR) design shall comply with TIA-569-C.  In addition,

  • The design should not allow routing of non-telecommunications services (e.g., medical gases, fluids) in TR’s or TE’s
  • Due to the numerous services present in healthcare facilities (e.g., nurse call, patient tracking), the TR should be larger for an office-oriented commercial building
  • The TR shall be 12 m2 (130 ft2) or larger

 Recommended Work Area Outlet Densities

Low: 2 to 6 outlets in each WA Medium: 6 to 14 outlets in each WA High: > 14 outlets in each WA
Surgery procedure operating rooms Sterile zoneSub sterile zone Patient prep, holding, recoveryAnesthesia office Intensive careOperating room
Patient Services Family loungeWaiting room AdministrationRegistration Patient roomNurses stations
Emergency Ambulance bay EvaluationExam rooms ObservationProcedure rooms
Ambulatory Care BiopsyX-RayPatient holding Procedure roomsMammographyExam rooms Out-patient surgery rooms
Women’s Health UltrasoundLactation Nursery Labor/Delivery roomInfant bays
Diagnostic and Treatment X-RayRadiation processingFluoroscopy MRI & control roomCT scans/control roomOperating rooms
Caregiver Exam roomSoiled utilityGalley Clean utilityNourishmentCharting Nurse stations
Service/Support Blood bank areaPharmacy area Anesthesia area
Facilities Janitors closetElectrical/mechanicalElevator machine room Fire command Security command center
Operations General storageGeneral office areasLocker rooms/showersOn call suite & loungeCafeteria & Retail areasLaundry AdministrationFood serviceCentral sterileConference rooms
Critical care ICU & Neonatal ICURecovery

 

 

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