New York State Mental Health Materials and Systems Guide

PATIENT SAFETY STANDARDS
Patient Safety Standards Materials and Systems Guidelines

Recommended by the New York State Office of Mental Health
With respect to NYS-OMH operated facilities, these Guidelines apply solely to new construction and major renovation projects. Existing facilities should use these Guidelines as a reference document whenever they make improvements to existing facilities.
New York State Office of Mental Health Developed in Association with architecture+, Troy, NY
5th Edition January 31, 2011
Recommended by the New York State Office of Mental Health
Patient Safety Standards Materials and Systems Guidelines

Table of Contents
1. 2. 3. 4. 5.
Introduction Nomenclature & Applicability Fasteners Sealants Glazing & Windows
20. Mechanical Systems Equipment & Devices a. 21. Thermostats b. Louvers & Grilles Plumbing Fixtures & Systems
6.
7. 8. 9.
Anti-barricade Strategies
Suicide Resistant Strategies Door Hardware Seclusion Rooms
10. Shower/Privacy Curtain & Tracks 11. Wardrobe Hooks & Closet Bars
a. Toilets b. Drinking Fountains c. Showers d. Activators e. Lavatories f. Basins g. Pipe Enclosures 22. Electrical a. Receptacles & Switches b. Fire Alarm Components 23. Lighting Fixtures a. High Risk b. Medium Risk c. Exit Signage 24. Furniture
12. Interior Walls & Ceiling

13. Access Panels & Medical Gas Enclosures 14. Cabinet Hardware 15. Handrails & Corner Guards 16. Toilet Accessories 17. Window Treatments 18. Specialties 19. Sprinklers & Fire Extinguishers
5h Edition January 31, 2011
Introduction:
Best Practice 1980 to Early 1990s:

Focus Above the Waist
Windows and Vision Panels Door Hinges Sprinklers HVAC Terminal Devices and Covers Thermostats Door Closers Light Fixtures Window Treatments Shower Curtains Access Doors Fire Alarm Components Shower Heads Clothes Hooks Cabinetry and Hardware Hanger Rods Ceilings Anti-Barricade Strategies Electrical Receptacles Medical Gas Enclosures Bulletin Boards/Picture Hanging Systems Toilet Partitions Mirrors Fasteners
1998: JCAHO Sentinel Event Notification
5th Edition 2/14/2011 DRAFT January 31, 2011
Current Best Practice: Focus Everywhere

Door Knobs/Levers Door Bumpers Cabinet Hardware Lavatories Faucets Lavatory Valves Shower Actuators Toilet Seats Toilet Operator Valves Plumbing Traps and Piping Grab Bars Furniture Toilet Accessories Trim Strips Between Assemblies Sealants/Caulk Fire Extinguisher and Hose Cabinets Rubber Base (avoid use)
Principles that support patient safety strategies avoid systems, assemblies and materials that can be weaponized, yield sharp edges, or provide ligature points.
Introduction: Risk Management, Not Risk Elimination
Appendix A1.5 Environment of Care A safe environment is critical; however, no environment can be entirely safe and free of risk. The majority of persons who attempt suicide suffer from a treatable mental disorder or a substance abuse disorder or both. Patients of inpatient psychiatric treatment facilities are considered at high risk for suicide; the environment should avoid physical hazards while maintaining a therapeutic environment. The built environment, no matter how well it is designed and constructed, cannot be relied upon as an absolute preventive measure. Staff awareness of their environment, the latent risks of that environment, and the behavior risks and needs of the patients served in the environment are absolute necessities. Different organizations and different patient populations will require greater or lesser tolerance for risk.
FGI Guidelines for the Design and Construction of Healthcare Facilities, 2006 Edition, NAPHS Design Guide for the Built Environment of Behavioral Health Facilities
Introduction
This document offers guidance with respect to patient safety features in the inpatient psychiatric environments throughout New York State. It grows out of the States standards for new construction for NYS-OMHs own inpatient hospital in order to also provide guidance for:
Existing NYS-OMH state-operated inpatient facilities Psychiatric Units in NYS-DOH licensed Article 28 general hospitals NYS-OMH licensed Article 31 hospitals This document is not intended to provide guidance with respect to outpatient spaces. Generally the risks associated with outpatient facilities do not warrant special environmental precautions.
Introduction: Purpose
The purpose of these guidelines is to provide a selection of materials, fixtures, and hardware that OMH has reviewed and supports for use within psychiatric inpatient units in order for further the agencys goal of reducing of the risk of harm to individuals in inpatient settings. Utilization of any of these products is not mandatory. OMH would be pleased to evaluate other products identified by hospitals. Many of the items in this document represent the current state of the art. It is anticipated that additional or more effective products will continue to be developed. OMH intends to periodically update these guidelines to keep current with these changes, but the hospital also has an obligation to continue to review products that will assist in this goal. Items selected represent the styles and properties of products that help lower patient risk while on a unit. However, installation of these products will not eliminate all risks.
Introduction: Approach
OMH supports a multi-directed approach to the reduction of patient harm on inpatient psychiatric inpatient units including the following: Completion of a patient risk assessment. Completion of a physical plant risk assessment. Ongoing staff training to ensure their awareness of potential risks on the unit. Installation of products in patient bathrooms and bedrooms that reduce risks. Routine inspections of psychiatric units to ensure safety levels are maintained
Additional and more detailed information on many of the items found in these standards can be found in NYS-OMHs Standard Specifications on the OMH web-site.
Introduction: Risk Assessment

Typical High Risk Areas: Patient is difficult to manage, or risk of solitary and/or unsupervised use: Patient Bedrooms Bathroom/Toilet Rooms Seclusion Rooms Comfort Rooms Special care should also be taken in on-unit patient spaces with ceilings with less than 9-0 above finished floor. Typical Medium Risk Areas: Patient access is controlled, or use is supervised with no solitary unsupervised use. Living Room Dining Room Group Room Typical Low Risk Areas: No patient use or constantly supervised. Medication Room Offices Clean and Soiled Utility Rooms
Note: Products appropriate for High Risk areas are also appropriate for use in Medium Risk and Low Risk areas.
Nomenclature and Applicability
ACCEPTED BY OMH: Items with this symbol constitute a best practice for all facilities and a minimum standard for new construction and renovation projects at OMHs state-operated inpatient hospitals. Unless alternatives are identified in the notes section of the page, such items are also minimum standards for Article 31 hospitals and existing state-operated inpatient facilities
PENDING NYS OMH APPROVAL: Items with this symbol are currently being assessed by NYS-OMH for suitability in NYS psychiatric hospitals or units.
RETROFIT: Items with this symbol are not suitable for use in new construction but are acceptable for renovation in NYS psychiatric hospitals or units.
USE WITH CAUTION: Items with this symbol might be suitable for certain inpatient environments; however, they should be used with caution. Some of these items have institutional characteristics that are not appropriate for an environment that is certified by the Joint Commission, which requires non-institutional fittings and fixtures. Others of these items have inherent risks that must be evaluated for their appropriateness for the intended application.
NYS OMH REJECTED: Items with this symbol are unsuitable for use in new construction or renovation in NYS psychiatric hospitals or units.
5th
Edition January 31, 2011
Notes like this on each page will identify additional considerations that are applicable and also will identify alternative products that will be acceptable as minimum standards for Article 31 hospitals, Article 28 hospitals and as existing conditions in a State-Operated hospital.
Fasteners
Acument McGard
www.acument.com
www.mcgard.com
Torx and Torx Plus Tamper-Resistant by
Camcar Division of
Acument Global Technologies
Offers custom tooling
Performance Criteria: All fasteners exposed to view shall be tamper resistant, of the hexalobular (6-lobed), pin-reject, internal drive system, meeting ISO standard 10664. Tamper-Resistant: Resists Ad Hoc Compromise Attacks.
Note: Tamper resistant fasteners are to be used at ALL fasteners at every product and assembly exposed to view or accessible within the inpatient environment. Include note on all drawings and coordinate with all disciplines, specifications and vendors. Alternate Minimum Standard for Facilities other Than New NYS-Operated: 2-Pin Spanner Head Fasteners. McGard and Bryce are just two among many acceptable manufacturers of higher security fasteners relying on limited distribution tools or custom keyed fasteners. Generally custom tooled fasteners like McGard will cost more than off the shelf fasteners.
McGard Tamper-Resistant Security Products
Sealants: Security Grade

Picking and Pica behaviors are prevalent and impact sealant choices in patient areas. Consider selecting security grade sealants in all inpatient areas. Tamper resistant sealants are generally suitable for supervised areas, while pick proof sealants are generally suitable for unsupervised areas. The use of pick proof sealants is mandatory in all seclusion rooms at NYS-OMH facilities. Tamper resistant sealants are generally flexible, abrasion resistant and highly tenacious. They are usually based on urethane or silicone sealant technology, either 1 or 2 part formulas. They are available in a variety of packaging, ranging from 10 oz. tubes to gallon(s) size containers.
Pick proof sealants are generally hard, inflexible and extremely durable. They are usually based on epoxy technology, and are usually 2 part formulas. They are available in a variety of packaging, ranging from 10 oz. tubes to gallon(s) size containers.
Notes:
Pick proof sealants may not be suitable for active joints, due to their hardness. Some security sealants may not be suitable for use where contact with food may occur. Some security sealants may have VOC or other chemical content that generates unpleasant or unacceptable odors and fumes during curing. 5th Edition January 31, 2011 All sealants must be reviewed for potential impact on occupants prior to use. All sealants must be used with care and consideration for the manufacturers recommendations for ventilation and safety.
Sealants: Tamper Resistant

Performance Specifications ASTM C-920 Type M Grade NS Uses: T, NT, M, G, A, O
www.sikaconstruction.com
Sikaflex-11 FC is a single component, gun grade, moisture cure polyurethane, elastomeric sealant.
Sikaflex-1a is a single component, premium grade, moisture cure polyurethane, elastomeric sealant.
Sikaflex-2c NS TG is a two component, premium-grade, polyurethane-based, elastomeric sealant.
Features / Benefits High elasticity
Features / Benefits High elasticity allowing 35% +/movement Fast cure rate Paintable NSF certified, meets USDA guidelines Odorless Tough, durable, flexible Exceptional cut and tear resistance Exceptional adhesion to most substrates
Features / Benefits High elasticity allowing 25% +/movement Tough, durable, flexible consistency Exceptional cut and tear resistance
Fast cure rate

Paintable Tough, durable, flexible Exceptional cut and tear resistance Exceptional adhesion to most substrates 10.1 oz. tubes
Exceptional adhesion to most substrates without priming

1 gallon (2 part) kits
10.1 oz. tubes
Sealants: Tamper Resistant
www.buildingsystems.basf.com www.pecora.com
Performance Specifications Performance Specifications ASTM C920 Type: M (S for DynaFlex SC) Grade NS Class 12.5 ASTM C-920 Types: S
DynaFlex SC
is a single component, non-sag, elastomeric polyurethane joint sealant. Features / Benefits Interior joints Excellent elongation and movement Good adhesion to most building materials, primer recommended Good adhesion to polycarbonate sheet, primer required Paintable 10.1 oz. tubes 20 oz. sausages 2 gallon containers
Grade: NS Class: 25 Uses: NT, M, A, G, and I
DynaFlex
is a two component, non-sag, elastomeric polyurethane joint sealant. Features / Benefits Interior joints
Sonolastic Ultra is a single component, moisture curing polyurethane sealant, UV resistant, non-chalking, non-staining and self cleaning for unmatched durability.
Excellent elongation and movement

Good adhesion to most building materials, primer recommended Good adhesion to polycarbonate sheet, primer required Paintable 1.5 gallon (2 part) kits
Features / Benefits Excellent puncture and abrasion resistance Recommended for exterior and interior joints, up to 24% movement 20 oz. sausages
Sealants: Pick Proof

ASTM C-881 Types: I, II, &IV Grade: 3

Performance Specifications
www.euclidchemical.com
Performance Specifications ASTM C881 Type I, IV, & VI; Grade 3, Classes B & C (Gel Time & Bond Strength) ASTM D 638 (Tensile Strength & Modulus of Elasticity) ASTM C 695 (Compressive Strength)
Class: B & C AASHTO M-235
www.sikaconstruction.com
Sikadur AnchorFix-2 Is a two component (single package, self-mixing), 100% solids, solvent-free, moisture-tolerant, high-modulus, high-strength, structural epoxy adhesive/sealant. Features / Benefits Structural repairs to width.
Sikadur 31, Hi-Mod Gel Is a two component, 100% solids, solvent-free, moisture-tolerant, highmodulus, high-strength, structural epoxy paste adhesive/sealant.
EUCO #452-P Epoxy System is a 100% reactive, two component security sealant. It is a moisture insensitive, high modulus epoxy gel that can be applied on vertical, horizontal and overhead work. Features / Benefits High strength for superior pick proofing Excellent bond strength to prevent removal Water tight
Features / Benefits Excellent adhesion to concrete, masonry, metals, wood and most structural materials. Structural bonding of concrete, masonry, metals, wood, etc., max. glue line 1/8. Interior horizontal vertical and overhead use. Fast setting 16 oz. kits (2-part, each 8 oz.) 3 gallon units
High Strength
Styrene-free Low odor Low waste Moisture tolerant 10.1 oz. tubes
Wear resistant for high traffic applications

1 gallon and 3 gallon kits
Sealants: Pick Proof

Performance Specifications ASTM C-881 Type: I
www.pecora.com
DynaPoxy EP-1200 is a rigid, two component, high-solids, highmodulus epoxy resin security sealant.
Features / Benefits Outstanding adhesion to similar or dissimilar materials High abrasion resistance
Suitable for horizontal, vertical and work

1.5 gallon (2 part) kits
Glazing & Windows: Security Glazing Risk Assessment
PATIENT SAFETY General STANDARDS The following are risks and performance criteria to consider when specifying glazing in both supervised and unsupervised areas that are accessible to patients. All windows and glazing in areas accessible to patients should be evaluated as part of the facility risk assessment. Windows and glazing in areas that are not routinely accessible to patients, but may become accessible to patients (i.e., a staff office that is left unlocked, or a staff office that is later converted to a bedroom) should also be considered as part of the facility risk assessment. Windows and glazing that are considered a risk to patients for the behaviors listed below should be constructed in accordance with this standard. The design of the entire window and glazing system must be considered. In all patient areas where the applicable codes and regulatory authority permit the use of polycarbonate glazing, polycarbonate glazing provides the best protection for the patient against the risks listed below. Laminated safety glazing, except for products specifically approved by OMH, should be used with caution Glazing products other than polycarbonate or laminated safety glass should never be used in patient areas. The NYS OMH does not permit the use of wired glass in its facilities. Escape Both exterior and interior windows and glazing are a primary target for a patient who is trying to escape. Windows and glazing in both supervised and unsupervised areas provide an opportunity for a patient to escape. It is critical to consider the design of the entire window, together with the installation in wall openings, when designing to prevent escape. Jumping Patients will jump in order to hurt themselves, or push others through window openings in order to hurt others. Jumping is a concern for spaces accessible to patients above grade level. Ingesting Patients will eat things for a variety of reasons, including a wish to cause themselves personal harm. Non-laminated glazing should never be used in a patient accessible area. Even the small fragments that come from tempered or laminated glazing can cause severe internal injuries or death. When considering using laminated glazing, care must be taken to select glazing that meets the following criteria: The laminated glazing should wholly resist the breakage (penetration) of the glazing panel. The laminated glazing should wholly retain broken glass in a manner that prevents dislodging from the interlayer. Laceration Patients will cut themselves. Glass presents an obvious opportunity for such behavior. When considering using laminated glazing, care must be taken to select glazing that meets the following criteria: The laminated glazing should wholly resist the breakage (penetration) of the glazing panel. The laminated glazing should wholly retain broken glass in a manner that prevents dislodging from the interlayer. The laminated glazing should prevent access to the sharp edges of broken glass, even if they are retained on the interlayer. Weaponizing Patients will use objects in their environment to harm others. Glass presents an obvious opportunity for such behavior. When considering using laminated glazing, care must be taken to select glazing that meets the following criteria: The laminated glazing should wholly resist the breakage (penetration) of the glazing panel. The laminated glazing should wholly retain broken glass in a manner that prevents dislodging from the interlayer. The laminated glazing should prevent access to the sharp edges of broken glass, even if they are retained on the interlayer. The glass industrys standard test for penetration and impact resistance for laminated glass is conducted on a very small uni t (approximately 24 square). Similar performance to the test sample should not be expected on a 4x6 window.
Glazing & Windows: Security Glazing

Polycarbonate Glazing
Sabic Lexan SL-4855 with NYSOMH Warranty (Substitute Lexan MR10 with Marguard II-UV coating for non-NYS projects)
www.sabic.com
Makrolon 15 by Sheffield Bayer 15 year Warranty
www.makrolon.com
Laminated Glazing
10.3 mm Sentryglas Laminate by Oldcastle Building Envelope: No 1 surface: 4 mm heat-strengthened glass No 2 surface: 2.3 mm DuPont Sentryglas Plus interlayer No 3 surface: 4 mm heat-strengthened glass No 4 surface: 3M Ultra 600 anti-spall film 3/8 Laminated Safety Glass by Oldcastle Building Envelope: No 1 surface: 3/16 heat-strengthened glass No 2 surface: 0.060 PVB interlayer No 3 surface: 3/16 heat-strengthened glass Note: intended for use only as an exterior lite at grade, courtyards or porches with supervised patient access. Do not use in any area where a patient may be left unsupervised.
www.oldcastlebe.com
Glazing & Windows: Windows (Security Glazing)
New Exterior Windows Wausau Windows 4000i DT in-projected casement and fixed units. No security screens required. External insect screens are available. 4 opening restriction for operable windows.
www.wausauwindow.com
Retrofit Applications Wausau Windows Interior Storm Window Seal 2187-DT. Can be installed over existing in-place windows, or as part of aluminum storefront or curtain wall installation For Both New Exterior Windows and Retrofit Applications: Exercise caution if window sizes exceed 4x6 Provide concealed, operable blinds. Do not use low profile operator it creates a ligature point. Provide one of the following three glazing options for the interior lite. 1. -inch polycarbonate with 1-inch continuous edge bite, dry glazed 2. 10.3mm Sentryglas laminate with 1-inch continuous edge bite, dry glazed 3. 10.3mm Sentryglas laminate with -inch continuous edge bite, silicone glazed
Blind Operators
x
1/8 vertical thumb wheel tilter Side mount angled Low profile Vertical mount angled Blind tilt control knob
See OMH Specification Guideline for 085653 Security Windows for additional information.
Notes Alternate Minimum Standard for Facilities other Than New NYS-Operated: Provide detention screen, or windows with sash, frame and glazing capable of withstanding ten 2,000 foot-pound impact loads from a 1 foot diameter impact object without breach, dislodging or breakage. The use of alternative window treatments identified elsewhere in this document is an alternative to integral blinds.
Glazing & Windows : Windows (Security Glazing)

Moduline Windows by Oldcastle Building Envelope
www.oldcastlebe.com
New Exterior Windows: Moduline Windows 64P-3 for use with 1/4inch exterior glazing, or 66P-4 for use with 1inch exterior insulated glazing. No security screens required. External insect screens are available. 4 opening restriction for operable windows. Exercise caution if window sizes exceed 4x6 Provide concealed, operable blinds. Do not use low profile operator it creates a ligature point. Provide one of the following three glazing options for the interior lite. 1. -inch polycarbonate with 1-inch continuous edge bite, dry glazed 2. 10.3mm Sentryglas laminate with 1inch continuous edge bite, dry glazed 3. 10.3mm Sentryglas laminate with -inch continuous edge bite, silicone glazed
Notes Alternate Minimum Standard for Facilities other Than New NYS-Operated: Provide detention screen, or windows with sash, frame and glazing capable of withstanding ten 2,000 foot-pound impact loads from a 1 foot diameter impact object without breach, dislodging or breakage. The use of alternative window treatments identified elsewhere in this document is an alternative to integral blinds.
Glazing & Windows: Windows (Ventilation)

Berlin, Germany:
European product design for psychiatric hospitals (under evaluation)
Design Aspects:
Ventilator is separate from window with an exterior screen avoiding an institutional look.
Window soffit, stool, and vertical walls (on each side of ventilator door) is deep enough to conceal the top of ventilation door in window assembly to reduce a ligature opportunity. Design refinement would consist of pocketing the door in the vertical wall on the hinge side of the ventilation door. The ventilation door would have a 2 lock position (1) closed position & (2) open position, staff controlled.

Middlesbrough, England:
Design Aspects:
Sliding Window Assembly with perforated metal screen.
Metal Screen Exterior Metal Screen Interior Window Assembly - Exterior
Window Assembly - Interior
Window Assembly - Interior
Window Assembly - Exterior

Dublin, Ireland:
Design Aspects:
Window assembly projects out from the building faade. Window sill and jambs slides under perforated metal window jambs and sill to close ventilation.
Glazing & Windows: Rated Glass at Doors & Sidelights
www.fireglass.com
For 1-Hour Enclosures: Use 3/8 polycarbonate in conjunction with sprinkler head (not tested per ASTM F 1233) and 5/8 stops. Do not use wire glass. For more than 1-Hour: FireLite and Firelite Plus by Technical Glass Products is a 5/16" (8mm) thick laminated fire-rated and impact safetyrated glazing material. It is listed for use in doors, sidelights, transoms and borrowed lites with fire rating requirements ranging from 20 to 90 minutes (3 hours in a door).
Warning: Impact safety glazing does not equal security glazing. See summary.
Notes 3/8 polycarbonate without supplemental sprinkler heads protection is an acceptable alternative for unrated vision panels where the AHJ will accept OMHs Warnock Hersey test. Existing wire glass should be removed or protected with either an after-marked vandal resistant protective film or surface mounted 3/8 polycarbonate on faces accessible to patients. CAUTION: Shards are produced by impact .
Glazing & Windows: Safety Glass at Doors & Sidelights
www.fireglass.com
FireLite Plus
FireLite NT Standard
FireLite NT Premium
Notes FireLite Plus was the safest ceramic glass tested. However, all of FireLites products produced shards of glass which were dangerous. 5th Edition January 31, 2011
Glazing & Windows: Safety Glass at Doors & Sidelights
www.safti.com
Traditional fire-rated glass with a tough, durable fire-rated safety film applied to meet highest impact safety standard, CPSC 16CFR 1201 Cat. II, which requires withstanding 400 ft. lbs., due to accidental impact. While a possible replacement for traditional unsafe wired glass, not a replacement for security glazing. Features: Positive Pressure fire rated. 1/4 (7mm) for use in standard hollow metal systems. For use in steel, wood, aluminum or any equally rated fire-rated framing system.
Warning: Impact Safety Ratings does not equal Security Ratings While these products have many applications as Safety Impact Glazing such as schools and public buildings, they are not intended for special populations where security is also required. These are not tested per ASTM F 1233 and therefore are not Security Glazing. Rejected because of breakage and shard production.
Glazing & Windows: Film Applied to Glass

Films have been used to retrofit and upgrade noncompliant glass and to provide a modicum of safety in some facilities.
www2.dupont.com
Features:
Spallshield from DuPont
Anti-spall composite films designed to prevent showering of shards following conventional glass failure may help prevent off-sharding, laceration, weaponizing and ingesting for applications where human safety is paramount
Films may provide cost effective safety improvement for pre-existing non-safe glazing materials by increasing the penetration resistance of any thickness of glass Used only in interior glazing, between spaces at same level and then only when the use of polycarbonate is impractical. An appropriate film is most likely to use a combination of PVB, PET and a hard coat.
www.madico.com
SafetyShield 1500 from Madico
www.3m.com
Note Warning: Applied Film does not provide Security Film shall NOT be used in OMH facilities to prevent Escape or Jumping. Do NOT use in exterior glazing facing non-secure open space. Do NOT use in any upper story exterior glazing. Do NOT use in interior glazing one or more stories above the adjacent floor space.
3M Ultra 600
Each Facility shall conduct their own risk assessment to determine the appropriateness of film applications for use in their specific situations.
Glazing & Windows: Interior Glazing

Interior Glazed Openings Partially Transparent Observation Mirror (2-way Mirror)
www.plaskolite.com
Specify minimum 0.236 thick Installation Option 1: Install in hollow metal frame with glazing stops to provide a 5/8-inch continuous edge bite . Installation Option 2: Install in hollow metal frame with glazing stops to provide a -inch continuous edge bite with structural silicone sealant at the full perimeter.
Transparency
Reflectivity
Glazing & Windows: Interior Glazing - Mirrors
www.americanspecialties.com
ASI-600 SS Mirror
Lexan Dura-Mir0.25" (6 mm) polycarbonate. Plaskolite Plastics 0.118 polycarbonate
Notes Only polycarbonate is recommended for use in Patient Bathrooms.
Anti-Barricade Strategies
The following pages provide product samples of each anti-barricade strategies.
35
www.mckinneyhinge.com
www.accuratelockandhardware.com
Note: Staff is to be cautious with fingers when releasing the door stop if the patient is leaning against the door.
McKinney DS6 Double Lip Strike with keyed Emergency Stop

Notes Specify gap tolerance at top. 1/8 max. Add compression seal at jamb and strike edge of doors. Noise/Sound a concern. Has potential hanging point tight at top.
www.abhmfg.com
www.rixson.com
Rixson Pivot Hinge
www.ratman.co.uk
ABH Manufacturing Royde & Tucker/Laidlaw

Notes: For corridor doors, verify Life Safety Code requirements to limit passage of smoke. Specify appropriate gap tolerances at top and jambs. Add compression seal at jamb and strike edge of doors, for privacy. This may be omitted on private bathroom doors opening onto private bedrooms. Door that are not steel or solid core require reinforcing for top & bottom pivots.
www.rixson.com
Provide applied continuous stops fastened to frames with tamper resistant reversible fasteners
Takes time to remove
Rixson Pivot Hinge
www.intastop.com
Unlocks by key and swings open with integral grab handle Sloping tip; no ligature point Refer to manufacturer's data when used in a fire rated assembly
Removable Door Stop
www.laidlaw.net
Hinge, (1200mm/4ft) not continuous
Creates a ligature point

Takes time to remove
Laidlaw Bespoke Range

Notes In solving anti-barricade it creates a ligature point, and therefore is not recommended. 5th Edition January 31, 2011
Wicket Door
Notes Mini-Door Swings out. Solution is thus barricade-proof. 5th Edition January 31, 2011 Door is not fire-rated unless specifically tested and approved by authority having jurisdiction
www.soss.com
http://www.c-sgroup.com/ Acrovyn Wicket Door
Notes Primary doors require continuous hinges with hospital tips. Edge bevel may need to be increased. Edge strip is friction fit Hardware prep is required Custom screw length is required to reach solid material on door edge Field prep is limited Manufacturer must verify the fire rating of the door.
www.cecodoor.com
7. Double Leaf Door 8. Framed Sidelight

Notes The Ceco Sidelite Unit needs to be specified without the glazing. 5th Edition January 31, 2011
Double Leafed Door
Framed Sidelight Door
In-Swing Active Door Out-Swing Inactive Door
In-Swing Main Door Out-Swing Sidelight Door with Center Mullion
Notes Inactive leaf should be fixed top and bottom with flush bolts. 5th Edition January 31, 2011
Double-Leaf Door
Notes Inactive leaf should be fixed top and bottom with flush bolts.
Anti-Barricade Strategies: Bathrooms
www.ives-door-hardware.com
www.rockwoodmfg.com
Rockwood Pull
Ives Roller Latch
Out-Swinging Doors or Double-Swinging Doors, use: Rockwood BF 97 (for ADA) or BF 94C Recessed Pull Ives RL-32 Roller Latch or Rockwood 161 Roller Latch and 592 Strike
Notes: Do not use roller latch on corridor doors; use only for en-suite bathroom doors. Cone shaped door knobs do not comply with ADA graspability requirements. Ideally, provide external keyed locking and ligature resistant privacy latching with external anti-barricade over-ride (typically found in institutional privacy latch sets) for emergency access, and external keyed locking. Note: few auxiliary latches (or latch sets) will provide all four levels of functionality. While we recommend the use of roller latches on en-suite bathroom doors there may be occasions where lever latch sets might be used, with the following cautions: Dormitory function is preferred because it provides simultaneous retraction of the latch bolt and privacy lock bolt. This function is not currently available with ligature resistant trim except from Accurate Hardware. Institutional Privacy function (available with ligature resistant trim) provides privacy, but does not provide ability to lock user out of room except for Accurate Hardware. Classroom function (available with ligature resistant trim) provides lock -out ability, but no privacy.
Anti-Barricade Strategies: Bathrooms (Caution)
www.accuratelockandhardware.com www.schlage.com
Alt ADA Thumb Turn

SK-1 ligature resistant Thumb Turn
Mortise Lockset
Out-Swinging Doors or Double-Swinging Doors, use: Schlage L9460 Deadbolt w/ key cylinder lock/retract outside and ADA/ligature resistant thumb turn inside. (SK-1 trim, less knob).
Notes: Do not use roller latch on corridor doors; use only for en-suite bathroom doors. Cone shaped door knobs do not comply with ADA graspability requirements. Ideally, provide external keyed locking and ligature resistant privacy latching with external anti-barricade over-ride (typically found in institutional privacy latch sets) for emergency access, and external keyed locking. Note: few auxiliary latches (or latch sets) will provide all four levels of functionality. While we recommend the use of roller latches on en-suite bathroom doors there may be occasions where lever latch sets might be used, with the following cautions: Dormitory function is preferred because it provides simultaneous retraction of the latch bolt and privacy lock bolt. This function is not currently available with ligature resistant trim except from Accurate Hardware.
Institutional Privacy function (available with ligature resistant trim) provides privacy, but does not provide ability to lock user out of room except for Accurate Hardware. Classroom function (available with ligature resistant trim) provides lock -out ability, but no privacy.
Suicide Resistant Strategies: Toilet Partition Doors

Patented SER Door Anti-Suicide Bathroom Partitions
www.norvaplastics.com
Norva Plastics (SER) Door
Sentinel Event Reduction (SER) Door With sloped top Use only in en-suite bathrooms and gang bathrooms. Never use in a bathroom shared between two bedrooms. Equip with flexible fire-rated material. Maintain large 3 gaps to prevent wedging. Can not be latched Expanded PVC door can be painted with Lexan paint to match color scheme. Do not use Velcro as a latching mechanism. Velcro eliminates a latching ligature point but provides a tie-off ligature point.
Norva Plastics (SER) Door (collapsing top edge (8lbs.+) for added privacy)
Sentinel Event Reduction (SER) Door With collapsible top Privacy cannot be achieved with this solution OMH has rejected the Norva door (new model) as it contains features that may allow injury to patients including pinched fingers and if the collapsible edge malfunctions it may provide a ligature point. The unit's reliability over time has not been proven. Since the top portion of the door is hollow, the design allows for the possibility of contraband to be place in the top of the door.
Sentinel Event Reduction (SER) Partition Use only with Roller Latch Cannot be latched Do not use Velcro as a latching mechanism. Velcro eliminates a latching ligature point but provides a tie-off ligature point.
Notes 5th Edition January 31, 2011 Position door height to provide privacy. Note absence of privacy latching.
www.suicideproofing.com
Soft Suicide Prevention Door (SSPD)
Notes 5th Edition January 31, 2011 Do not use velcro as a latching mechanism. Velcro eliminates a latching ligature point but provides a tie-off ligature point. This product is not recommended.
Door Hardware: Weight Sensors
www.stanleyhardware.com
SEDA
Injury Prevention Electronic: Top of Door Weight Sensor Install alarm reset at door, requires staff response to alarm location.
Notes: Electric transfer hinge required (refer to continuous hinges elsewhere in this standard.) 5th Edition January 31, 2011 Alarm annunciation may be visual and/or audio, located at door and/or at nurses station.
www.doorcontrolsusa.com
Alarm sensor strip is applied with a heavy duty double stick tape to both door faces.
Top Door Alarm Injury Prevention Electronic: Top of Door Weight Sensor There are small dead zones at the ends where the sensors are cut back to accommodate the door stops The audible alarm is preferable to the visual alarm Use a continuous hinge Install as close to the door top as possible. Install alarm reset at door, requires staff response to alarm location. Alarm is activated with 5oz of pressure
Notes:
Electric transfer hinge required (refer to continuous hinges elsewhere in this standard.)
5th Edition January 31, 2011 Alarm annunciation may be visual and/or audio, located at door and/or at nurses station. Use barrel type hinges, not gear type hinges.
www.thedoorswitch.com
Injury Prevention Electronic:

Top of Door Weight Sensor Monitoring panel indicates exact location of activated switch. Key switch to deactivate alarm is located at the activated alarm location.
Cautions:
Dead spot at ends of pressure strip due to resistors A wedge point can be created at the head of the door between the door and the hinge Potential for ligature point at header projection on hinge side Requires supplemental ligatureresistant cover at visual alarm Roton hinge is not accepted by OMH, use continuous hinges that are approved in the Patient Safety Standards
Door Hardware: Continuous Hinges

Continuous Specify Hospital Tip Do NOT field cut continuous hinge
www.Phardware.com www.markar.com
Markar 200 & 300 Series (FM-301 & FM302-full surface flush mount for existing doors with frames)
Notes: Recommended for all in and out-swinging doors within inpatient units. Provide Hospital tips - suffix hinge "HT. Prep and reinforce frame in strict compliance with hardware manufacturers written instructions and installation templates. Fasteners: Specify tamper-proof security screws.
Door Hardware: Continuous Hinges

Continuous Specify Hospital Tip Do NOT field cut continuous hinge
http://www.abhmfg.com/ www.pbbinc.com
Notes Recommended for all in and out-swinging doors within inpatient units. Provide Hospital tips - suffix hinge "HT. Prep and reinforce frame in strict compliance with hardware manufacturers written instructions and installation templates. Fasteners: Specify tamper-proof security screws.
Door Hardware: Door Levers and Paddles
www.townsteel.com
Stanley SPSL Series by Stanley Both mortise and cylindrical locksets are available.
Town Steel ligature resistant privacy bolt
Stanley ligature resistant thumb turn
The Stanley ligature resistant lever set is distributed by Stanley.
Notes: These lever sets are ligature-resistant, not ligature-proof. There may be methods by which it is possible to defeat the ligature resistant features of these lever sets. Not all door hardware manufacturers provide institutional privacy function, and not all institutional privacy functions are ligature resistant 5th Edition January 31, 2011 See slide for Anti-Barricade Strategies for additional notes relative to hardware functions on locksets and deadlatches.
Lever Handles and Hospital Paddles Combine ligature resistant with ADA Compliance Retrofit Projects: Coordinate with existing door hardware to determine whether only replacement handles or full replacement sets are required.
Alt ADA Thumb Turn
Cylindrical Deep Detent Safety Knobs
Mortise Lock Safety Knob
Notes: These lever sets are ligature-resistant, not ligature-proof. There may be methods by which it is possible to defeat the ligature resistant features of these lever sets. Not all door hardware manufacturers provide institutional privacy function, and not all institutional privacy functions are ligature resistant. Cone shaped door knobs do not comply with ADA graspability requirements. 5th Edition January 31, 2011 See slide for Anti-Barricade Strategies for additional notes relative to hardware functions on locksets and dead latches.
Lever Handles and Hospital Paddles Combine ligature resistant with ADA Compliance
Retrofit Projects: Coordinate with existing door hardware to determine whether only replacement handles or full replacement sets are required.
Crescent Pull Lever Clutch Safety Mechanism

-The 2010 ADA Paragraph 309.4 states that operable parts shall be operable with one hand and shall not require tight grasping, pinching or twisting of the wrist. The Accurate Crescent Pull must be evaluated for compliance with the ADA. - A ligature point can be created between the top of the crescent handle and the escutcheon plate.
www.marksusa.com
www.glynn-johnson.com
Notes Glynn-Johnson paddle handles are not available with any locking mechanisms with corridor side paddle in up position. A locking mechanism will be required in addition to the paddle. Use classroom function at patient bedrooms.
www.sargentlock.com
www.sargentlock.com
Sargent 115 Corridor side - up Patient side - down
Assa Abloy 8200 WITH Push/Pull Trim This product has been rejected by OMH because of the wedge point that can be created in the gap required for operational clearance of the paddle.
Notes Sargent paddle handles are not available with any locking mechanisms with corridor side paddle in up position. A locking mechanism will be required in addition to the paddle. Use classroom function at patient bedrooms. 5th Edition January 31, 2011
www.schlage.com
This product is currently under development and is not yet available for purchase. Schlage estimates this product will be available in early 2011.
Door Hardware: Door Cones and Knobs
Use of these cones and knobs is not preferred because they are not ADA compliant.
www.marksusa.com www.sargentlock.com
Marks SS-50
Sargent D Knob
Custom Lock Division Institutional Life Safety Mortise Lockset
Notes Warning The Marks SS-50 and the Sargent D knob are not ADA compliant. This will be a problem in rooms requiring staff access. 5th Edition January 31, 2011 Not all door hardware manufacturers provide institutional privacy function, and not all institutional privacy functions are ligature resistant
Door Hardware: Door Stops

Floor stops are safer but can pose issues with respect to cleanliness. Floor stop height selection should be based upon whether a threshold is used. Wall bumpers should be selected based upon door knob/lever type and should be fastened to resist twist off.
www.ives-door-hardware.com
www.natman.com
Ives FS-17
Ives FS-436
Ives FS-18S & SL

National N213-652 (installed with a selfadhesive backing)
Ives WS404CVX
Door Hardware: Fully Concealed Center-Hung Top Pivots
www.rixson.com
Hinge poses a ligature risk. Use only at doors where needed as a part of an antibarricade strategy. Fully-Concealed Parallel Arm Non-handed
Notes Performance Standard: Specify gap tolerance at top. 1/8 max. For double-swinging doors with cabling, use Rixsons top pivot Mod. 340 (aligns w/ Mod. 370 bottom) can be electrified, completely concealed, no loops, no cross-over mechanism at hinge edge. Warning: Double-Swinging Door can not be Fire Rated. Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm.
Rixson 117- 3/4 Pivot Hinge
Door Hardware: Closers
www.lcnclosers.com
Track Type Closer Required use of closers is greatly reduced by NFPA 101 for sprinklered buildings. See offset floor-mounted closer where risk assessment indicates that overhead closer is not acceptable.
Do not use unless required by code.

Notes Generally mount on the public side of doors to rooms with patient access, or on the secure side of doors that need to automatically lock or latch such as store rooms, soiled utilities rooms and doors with card access readers.
Door Hardware: Overhead Concealed Closers
www.sargentlock.com
Fully-concealed closer with body in frame head. Track fully-concealed in door. Arm only visible when door is open. Required use of closers is greatly reduced by NFPA 101 for sprinklered buildings. See offset floor-mounted closer where risk assessment indicates that overhead closer is not acceptable.
Do not use unless required by code.

Notes Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm . 5th Edition January 31, 2011
Door Hardware: Overhead Concealed Closers
www.sargentlock.com
Rixson 700 Center Hung Fully-concealed closer with body in frame head. Track fully-concealed in door. Arm only visible when door is open. Required use of closers is greatly reduced by NFPA 101 for sprinklered buildings. See offset floor-mounted closer where risk assessment indicates that overhead closer is not acceptable. (Single Acting Architectural Grade Overhead Concealed Closers) Rixon 800 Center Hung
(Double Acting Architectural Grade Overhead Concealed Closers)
Rixson 117- 3/4 Pivot Hinge

5th Edition January 31, 2011 Notes Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm .
Door Hardware: Offset Hung Floor Closers
www.rixson.com
Hinge poses a ligature risk. Use only at doors where concealed closer strategy is judged safer than parallel arm closer. (Smoke barrier doors are an example of a possible application). Concealed. Center-Mount w/ offset hinge.
Rixson HM51 Series
Notes Performance Standard: Specify gap tolerance at top. 1/8 max. 5th Edition January 31, 2011 Doors with concealed closers that are intended to receive door top sensors must use a face mounted sensor, to avoid conflict with closer arm .
Door Hardware: Door Closer

www.perkopower.com
In-jamb semi-concealed closer. Not visible when door is closed. UL listed for fire rated doors.
Adjustable for closing speed and latching power.

Adjustable for ADA compliance. Maximum opening 105 degrees
Notes: Do to ligature opportunity when door is open concealed closer must be installed close to floor. Installation shall be coordinated with an OMH approved continuous hinge, butt hinges are not acceptable. 5th Edition January 31, 2011 Fire rated installations require intumescent bedding material around closer.
Seclusion Rooms
www.goldmedalsafetypadding.com
Seclusion Room Standards Fire Rating Seclusion Suite: 1-hr rated enclosure Door Hardware Provide immediate positive latching (Slam Lock Function) Cremone Bolts/ Multi-bolt Multiple In-Frame Shear MagLocks w/UPS General Use Polycarbonate Mirrors for Visibility of Corners of Room Adjacent to the Door. Avoid protrusions and outside corners in rooms. Padding Gold Medal Padding System by Marathon Engineering on Vertical and Horizontal Surfaces. Use of Padding is not mandatory.
Notes The use of padding is not mandatory. Do not provide electrical switches or receptacles. Please use light fixtures and hinges recommended elsewhere in this standard. Windows should either be flush with the inside face of the wall or provided with supplemental polycarbonate shielding or detention screens flush with the inside face of the room. Please see FGI Guidelines for additional recommendations. Shear locks alignment is critical for proper function. Shear locks have a tendency to become misaligned over time.
Multi-Point Deadbolt Slam Lock USL-K3-IHB2
Shower/Privacy Curtains & Tracks

Avoid Magnetic (Swallowing & Nuisance Hazard) Avoid Break Away Rods (They Can be Weaponized) Durlon Pop-Outs Fasteners with Track Captured at Ends Ceiling track flush mounted and continuous Specify Breathable Fabric Similar to Shower Shield (www.coldraco.com)
www.imperialfastner.com
Imperial Velcro
General Partition
Notes Movatrack Magnetic Suspension System rejected due to loose parts. Imperial is rejected because surface mounted track can be looped end to end and Velcro creates a tie off point for ligature. Best Practice: Recessed track in ceiling running run continuously between jambs. Otherwise, surface mount on ceiling or solid soffit. Equip surface mounted track with end caps. Specify breathable fabric material for shower curtain or cubicle curtain. The General Partition Durlon Pop Out is harder to reset than the In-Pro Clickeze product.
Primavera
www.inprocorp.com
Avoid Magnetic (Swallowing & Nuisance Hazard) Avoid Break Away Rods (They Can be Weaponized) Durlon Pop-Outs Fasteners with Track Captured at Ends Ceiling track flush mounted and continuous Specify Breathable Fabric like InPro Corporations Chalet: Contents: 100% Dacron Polyester w/VISA XL finish Width: 32
InPro Ultra Cube
Technical Data: Passes NFPA 701 testing. Flame retardant/ resistant.
InPro Whisper Cube

Notes InPro Corporations Ultra Cube & Whisper Cube Track with CE9026 Pop Out Carrier and end caps. Inpros shower curtain carrier is radio opaque. 5th Edition January 31, 2011 The General Partition Durlon Pop Out is harder to reset than the In-Pro Clickeze product.

www.coldraco.com
Shower Guard Shower Guard Shower Curtains are made from 100% Dacron Polyester fire retardant cloth. (NFPA701 Fire Retardant Test) Fire retardant - Passes NFPA701 (Fire Retardant Test) Made from 100% Dacron Polyester with VISA XL Finish Anti-microbial specially formulated to resist mildew growth
www.dtex.com
Water repellant
Design Tex 52/20/9717-1000, Content 100%polyester Width 72, Weight 4.8 oz/yd
Primavera
www.architex-ljh.com www.inprocorp.com www.arc-com.com
Chalet Contents: 100% Dacron Poly with VISA XL Finish
Options: Bankhead Number AC#95024W Content: 100% FR Trevira Passes: NFPA 701 Weight: 8.0 oz/linear yard Repeat: 3/8 horizontal
Privacy Curtains
Passes NFPA 701 testing

Flame retardant / resistant
Notes User shall perform their own risk assessments for the options of a shower curtain. Tests should include verifying the fabrics in dry and wet conditions which affect asphyxiation.
Wardrobe Hooks & Closet Bars: Clothes/Towel Hooks
www.oddballindustries.com
www.bradleycorp.com
Ligature resistant design excessive weight (20-25 lbs) causes hook to drop, allowing a tie to slip off 14 gauge type 304 stainless steel Finish: No. 4 satin Installation: Available in front or rear mounting configurations
Bradley SA-36
www.laidlaw.net
Laid Law 81.AL8.03
www.norix.com
Norix Towel Hook Spring loaded ball mechanism for hanging towels. A ligature point can be created by looping the hook and tying and knot.
www.henkelhook.com
HenkelHook Coat Hook Can be wedged to form ligature point. Removal part inconvenient and potential danger.
5th Edition January 31, 2011 2/14/2011 DRAFT
82

HEALTHGEAR CONTRACTS
www.bobrick.com http://www.primeralife.co.uk
Detsafe PH160005 Bobrick B981 Primera PR138CH Removable part inconvenience and potential danger.
Can be wedged to form ligature point.
Wardrobe Hooks & Closet Bars: Closet Bars
Notes A new requirement in the 2010 FGI Guidelines requires that Shelves for folded garments shall be used instead of arrangements for hanging garments. 5th Edition January 31, 2011
Oddball Industries
Fixtures and Systems: Personal Picture Hanging Systems
www.3m.com
3M Command System Wont Damage Walls Temporary ligature resistant Strong enough to hold up pictures Metal coat hooks also available in the 3M system
Interior Walls and Ceilings: Construction

Accepted High Impact Gypsum Board Systems: USG: VHI Abuse-resistant Fiberock Panels with Tuff-Hide Primer/Surfacer Nat Gyp: Gold Bond Hi-Impact XP Gypsum Panels G-P: DensArmor Plus Impact-resistant Interior panels Walls All Inpatient Areas (unless noted otherwise): OMH Wall Assembly 2 - 1 layer each side of 5/8 USG Very High Impact (VHI) abuse resistant drywall with embedded fiberglass mesh , and 3-5/8 20 ga. steel studs at 16 inches on center. Seclusion Rooms: OMH Wall Assembly 3 Marathon Gold Medal protection padding system (see OMH Specification Guideline Section 13 99 99) 3-5/8 16 ga. steel studs at 16 on center with 3-1/2 fiberglass batt insulation, full height from floor to ceiling. Ceilings Patient Bedrooms, Bathrooms, Comfort Rooms, Quiet Rooms and Visitor Rooms: OMH Ceiling Type 1 - 1/2" or 5/8 single layer dry wall on a metal framing system . Seclusion Suites Seclusion Ante Rooms: OMH Ceiling Type 1 (see above description). Seclusion Toilet Rooms: OMH Ceiling Type 2 - 1 layer 5/8 Very High Impact (VHI) abuse resistant drywall on a metal framing system. Seclusion Rooms: OMH Ceiling Type 1. (Note: minimum seclusion room ceiling height permitted is 9-0.) Corridors in Inpatient Areas: OMH Ceiling Type 1 or continuous steel-reinforced corridor-span Security Ceiling Panels with tegular edges www.tectum.com (where ceiling is less than 9-0 above finished floor), and OMH Ceiling Type 3 - 3/4" suspended acoustic ceiling tile with an intermediate duty suspension system (where ceiling is 9-0 or higher above finished floor ). Other Inpatient Areas: OMH Ceiling Type 1 (where ceiling is less than 9-0 above finished floor), and OMH Ceiling Type 3 (where ceiling is 9-0 or higher above finished floor).
Notes For NYS-OMH facilities see NYS-OMH Design Standards and Standard Specifications for additional guidance. Hold-down clips are not recommended for use with OMH Ceiling Type 3 (suspended acoustic ceiling tile). The clips become dislodged over time and can be used as weapons. 5th Edition January 31, 2011
Interior Walls and Ceilings: Construction
www.detentiondevicesystems.com
Secure-Line 7900 Ceiling System The 7900 ceiling system provides an alternative to a gypsum wall board ceiling where better acoustic properties are desired. The 7900 ceiling system may be used in lieu of gypsum board or Tectum panels where the ceiling is less than 9'-0" AFF.
Specify the mechanically fastened ceiling panels rather than the mechanically interlocking ceiling panels.
Notes The panels are not removable and access doors will need to be installed for access above the ceiling. 5th Edition January 31, 2011
Access Panels & Medical Gas Enclosures
www.jlindustries.com
Minimize Need for Use in Unsupervised Patient Areas Access Doors in unsupervised areas like bathrooms and bedrooms should be as small as possible and as few as possible.
Lockable
Embedded Mounting Flanges Note: Keyed locks must be strong enough stop attempted breaches.
Notes Frame shall be 16 gauge Steel. Door shall be 20 gauge steel, welded pan type. Flange on door shall be 1 wide, 16 gauge steel. Hinges shall be continuous. Door shall be filled with 2 thick fire rated insulation. Door shall have automatic closer, be self-latching, no straps, and contain interior latch release. Latches shall be bolt-type, operated by flush key device. All locks shall be keyed alike. Base metal shall be steel with primer coast of rust inhibitive electrostatic powder baked gray enamel or Stainless Steel if desired. Provide non-Loopable ADA pull if required.
www.karpinc.com
Minimize Need for Use in Unsupervised Patient Areas Access Doors in unsupervised areas like bathrooms and bedrooms should be as small as possible and as few as possible. Lockable Embedded Mounting Flanges Note: Keyed locks must be strong enough stop attempted breaches.
Notes Frame shall be 16 gauge Steel. Door shall be 20 gauge steel, welded pan type. Flange on door shall be 1 wide, 16 gauge steel. Hinges shall be continuous. Door shall be filled with 2 thick fire rated insulation. Door shall have automatic closer, be self-latching, no straps, and contain interior latch release. Latches shall be bolt-type, operated by flush key device. All locks shall be keyed alike. Base metal shall be steel with primer coast of rust inhibitive electrostatic powder baked gray enamel or Stainless Steel if desired. Provide non-Loopable ADA pull if required.
Access Panels & Medical Gas Enclosures: Drywall Only
www.karpinc.com
Minimize Need for Use in Unsupervised Patient Areas Access Doors in unsupervised areas like bathrooms and bedrooms should be as small as possible and as few as possible. Lockable-Mortise Locked Keyed to Match Embedded Mounting Flanges Fire Rated- UL listed for 1.5 hr "B" label in walls
Karp KRP-450FR
Note: Keyed locks must be strong enough stop attempted breaches.

Notes Frame shall be 16 gauge Steel. Door shall be 20 gauge steel, welded pan type. Flange on door shall be 1 wide, 16 gauge steel. Hinges shall be continuous. Door shall be filled with 2 thick fire rated insulation. Door shall have automatic closer, be self-latching, no straps, and contain interior latch release. Latches shall be bolt-type, operated by flush key device. All locks shall be keyed alike. Base metal shall be steel with primer coast of rust inhibitive electrostatic powder baked gray enamel or Stainless Steel if desired. Provide nonLoopable ADA pull if required.
www.jlindustries.com
JL Industries Cosmopolitan CADA 1035W18 FX Lockable with Polycarbonate Lens or Laminated Glass Lens with AntiSpall Film. Specify UL listed cabinet with polycarbonate lens. Specify non-loopable ADA Pull Locate ONLY in supervised area APEX Series fully recessed fire extinguisher cabinet with metal face and lock is an acceptable alternative
Notes:
See NYS-OMH Guidelines for strategies to maintain wall fire ratings at recessed enclosure.
NFPA 10 requires locking cabinets to include a means of emergency access. Manufacturers variously interpret this to mean: a) full lock with keys assigned to staff, b) break-away latch/lock with reset-able tongue, c) break-away latch/lock with non-reset-able tongue. 5th Edition January 31, 2011 Carefully review non-reset-able products before specifying, as actual damage may be caused to the lock/latch mechanism during access. Repair may be simple or complex, depending on specific design.
www.headwalls.com
Only provide gases and nurse call where absolutely necessary Fully recessed cabinets Locking 3/8 clear polycarbonate doors
Medical gas enclosures are not necessary where medical gas receptacles are selected with ligature resistant features such as flush or beveled faces and flush insert designs for gas fittings.
Notes Install frame flush with wall surface to avoid ligature potential. 5th Edition January 31, 2011
Modular Services Company
Cabinet Hardware
www.mockett.com www.hewi.com
Doug Mockett DP-146 J&S Agencies/John Turner Bespoke

http://www.letter-plate.com/
Top Knob Somerset Cup Pull 2-1/2
Recessed Pulls Edge Pulls Continuous Hinges Lockable Cabinet Doors and Drawers
Notes: The above are examples of acceptable products. See below. Performance Specifications: Provide Non-Loopable, ligature resistant tamper-resistant security grade hardware. Ensure cabinet hinge pin is not removable (tack weld or cap) Warning: Single point fasteners pose twist off hazard. Specify set screw or embed in pick-resistant sealant (e.g. loc-tite, etc.)
Handrails & Corner Guards: Wall Base & Chair Rail

www.johnsonite.com
High Risk Areas: Patient rooms, bathrooms, quiet rooms.

Best Practice: Integral base or hard resilient wall base with mechanical fasteners to reinforce adhesives. Specify as alternate to painted solid wood base, which is costly and high maintenance. Warning: Do not specify rubber base in patient areas due to pica concerns and to minimize risk of choking, etc.
Wall Base 1 : Solid Wood Base Wall Base 2 : Johnsonite Millwork Contoured Resilient Wall Base
Handrails & Corner Guards
www.inprocorp.com
InPro Corp IPC800 or G800 (PVC Free) Handrail

Continous painted solid wood mounting brackets Suicide resistant design to minimize leverage and looping with corner returns
Notes InProCorp: Model 800 or G800 (Sustainable PVC Free) Handrail: Provide manufacturers continuous painted solid wood mounting bracket, with factory 1/8x1 dado cut @ 6 o.c. , at the handrail side. Wood bracket to be scribed to wall and corner returns at the factory. End caps to be mechanically fastened. Colored cover to be installed with 3M Fastbond 30, waterbased contact adhesive to prevent removal. Closed-to-the-wall handrails are not required in areas where adequate supervision is maintained
Handrails & Corner Guards
www.wallguard.com
Wallguard Infinity Series 2021S Continuous Security Bracket Aluminum tube with laser cut 1/8 aluminum closure plates Suicide Resistant Design to minimize leverage and looping with radius corner returns.
Notes Wallguard.com: Infinity Series 2021:Provide manufacturers continuous aluminum tube w/ laser cut 1/8 thick aluminum closure plates at corners and returns w/ (2) tamperproof countersunk hexalobular, pin-reject, internal drive system, meeting ISO standard 10664 screws. End caps to be mechanically fastened. Colored cover to be installed with 3M Fastbond 30, waterbased contact adhesive to prevent removal. closed-to-the-wall handrails are not required in areas where adequate supervision is maintained
Handrails & Corner Guards: Stair Guards

Safety Screening/Stair Guards (Run continuous stringer-to-stringer)
Stair Guard Recommendations Stairs to which patients have unimpeded and unsupervised access Provide full height barriers from landing to ceiling and between stringers. Barriers should be constructed of a homogenous (non-perforated) material to avoid obvious ligature points. A traditional, code-compliant handrail provides an obvious ligature opportunity. Use of a translucent or transparent material is recommended to provide natural daylight and improved supervision. (For example, gypsum board as a stair guard solves the jumping problem but creates hidden areas.) Glass block, laminated safety glazing, and code compliant plastic glazing are examples of materials that provide effective hindrance against jumping and provide transparency or translucency. Stairs to which patients have regular but escorted and supervised access Provide full height barriers from landing to ceiling and between stringers. Because the stair is supervised, the visibility and economy of a mesh barrier is often more desirable here than one of the homogenous solutions recommended above. Stairs which are normally locked, and to which patients only have escorted access during an emergency. Full height barriers from landing to ceiling and between stringers are sometimes, though not always, used. When full height barriers are provided, the visibility and economy of a mesh barrier is often more desirable than one of the homogenous solutions recommended above. 05500 Wire Mesh Panels Custom-fabricated panels as manufactured by X Metal Products Company or accepted equal. Provide 10 gauge steel square mesh woven wire cloth with 1-1/4 center to center spacing within 1-1/4 x 5/8 cold rolled steel channel frames. Provide 1 x 1/2 cold rolled steel channel stiffeners at 4-0 on center vertically. Provide manufacturers standard primer paint finish. Coordinate spacing of stiffeners with locations indicated on the drawings. Notes Use non-climbable and non-loopable mesh panels or solid panels in stairs where patients have unsupervised use. 5th Edition January 31, 2011
Specific Conditions Vary
Section for Illustration Only
Toilet Accessories: Grab Bars
www.northwestsh.com
SafeBar Graspability Avoid end to end tie-offs by running continuously from wall to wall or by adding sloping end caps as shown. The specifier must indicate how many end caps are needed to establish ligature resistant end conditions.
Specify pre-drilled weep holes, 3/64 diameter.
Notes: Provide continuous blocking: Be attentive to potential moment arm issues on existing installations without continuous blocking. ICRA: Note potential infection control problem at closure plate. Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.
Graspability. Avoid end to end tie-offs by running continuously from wall to wall or by adding sloping end caps as shown.
Notes ICRA: Note infection control problem at closure plate. Provide weep holes 3/64(Dia.) maximum. Finish has been known to flake off product. Provide adequate blocking. Wall must be flat for non-loopability. Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.
www.securingcosmos.com
Weizel Graspability Avoid end to end tie-offs by running continuously from wall to wall or by adding sloping end caps as shown.
Notes Provide continuous blocking. Be attentive to potential moment arm issues on existing installations without continuous blocking. ICRA: Note infection control problem at closure plate. Provide weep holes 3/64(Dia.) Maximum Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.
www.securingcosmos.com
Weizel Safe Support Grab Bar Benefits and Features: Suicide Resistant Design to minimize Leverage and Looping Bacterial Growth minimized through Natural Drainage Weizel Security's Solution for Psychiatric Impatient Safety fails at drip edge- potential ligature point.
Notes Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.

www.bobrick.com www.bradleycorp.com
Bobrick and Bradley Does not comply with graspability as defined by ADA Tight Crevices Create Infection Control Problems
Article 28 and Article 31 hospitals.
Do Not Use at NYS-OMH facilities.
Notes This product is acceptable at existing installations and at Article 28s and Article 31 hospitals. ICRA: This design creates an infection control problem at the difficult to clean joint between the closure plate and the bar. Stainless steel type 316 should be used for any item that will be installed in a location where it regularly gets wet.
Toilet Accessories: Soap Dispensers

Recessed or Three Dimensionally Rounded to Avoid Loop-ability
Minimal Spout Projection Locate as Close to Corner as Possible Without Creating Wedge Point
www.gojo.com www.bobrick.com
Bed Surface-Mounted units with Continuous Sealant at Perimeter

When dispensers are used for alcohol or gel based sanitizers, they should only be located in supervised areas, never in patient bedrooms or unsupervised areas. *
Bobrick Contura B-4063 GoJo TFX
www.libertyarc.org
Liberty F6659
Ligature point at handle.
Notes Best practice indicates recessed accessories, including soap dispensers. Locate surface mounted dispensers as close to corner as possible to minimize loopability. Provide sealant bedding bead at perimeter of surface mounted units to prevent gaps between the unit and the wall. Note at countertop and semi-recessed option, locate the soap dispenser and towel dispenser where drips are confined to the counter itself. Warning: Do not allow/provide/use alcohol gels in Inpatient bathrooms.
Toilet Accessories: Soap Dispenser

Norva Plastics Corian construction Refill fitting on top Bolts securely to wall
Notes: Confirm pricing with manufacturer for needed quantity before selecting. 5th Edition January 31, 2011
Toilet Accessories: Soap Dispensers
www.cescompany.com
Recessed or Three Dimensionally Rounded to Avoid Loop-ability
Minimal Spout Projection

Locate as Close to Corner as Possible Bed Surface-Mounted units with Continuous Sealant @ Perimeter
Sharp components
Many small ligature points at junctures Projected off the wall ASI 5002
Notes Best practice indicates recessed accessories, including soap dispensers. Locate surface mounted dispensers as close to corner as possible to minimize loopability. Provide sealant bedding bead at perimeter of surface mounted units to prevent gaps between the unit and the wall. Note at countertop and semi-recessed option, locate the soap dispenser and towel dispenser where drips are confined to the counter itself. Warning: Do not allow/provide/use alcohol gels in Inpatient bathrooms.
Toilet Accessories: Paper Towel Dispensers
www.bobrick.com
Bobrick-B359 Recessed Non-Loopable Lockable
Warning: Dispenser poses risk of illicit contraband storage in concealed paper chamber.
Notes Best Practice indicates recessed accessories, including paper towel dispensers. 5th Edition January 31, 2011
www.gp.com
enMotion
Recessed Non-Loopable Non-secure Stainless Steel Easy to break

Cautions: Surface-Mounted Flat-top - Loopable Not Tamper-resistant
Notes EnMotion serrated metal strip may allow wedging opportunities and can be weaponizable 5th Edition January 31, 2011
www.exceldryer.com
Excel Dryer Xlerator Hand Dryer
Recessed Non-Loopable Secure Stainless Steel

Surface Mounted Recess Kit available Tamper Resistant with security grade Specify noise reduction nozzle.
Toilet Accessories: Toilet Paper Dispenser

Bradley Model SA47
www.acorneng.com
www.bradleycorp.com
Acorn 1840-FA
Bradley SA11 and SA12
Notes Warning: Potential hazard with loose roll that can be stuffed in toilet. 5th Edition January 31, 2011 ICRA Infection control, paper rolls can be easily dropped on floor.
www.kimberly-clark.com
www.bobrick.com
Kimberley Clark 74418 Bobrick B-272
Notes Bobrick B-272 may be possible to loop a string using the small gap between the wall and the cover or via the slots on the face of the cover. Install at or below knee level.
www.bobrick.com
Bobrick B-5288
Notes Plastic spindle is rigid and can be broken into small shards, loose parts, and large profile can break. 5th Edition January 31, 2011
www.evansandpaul.com
Evans & Paul ligature resistant Surface Mounted Toilet Paper Dispenser Solid polymer housing with flexible neoprene spindle. Single and double roll dispensers available. Flexible neoprene spindles disengage from housing under pressure. ENP-TPD01 series
Evans & Paul ligature resistant Recessed Toilet Paper Dispenser Solid polymer housing with flexible neoprene spindle. Single and double roll dispensers available. Flexible neoprene spindles disengage from housing under pressure. ENP-TPD01 series

Use With Caution at Article 28 and Article 31 hospitals.
Norva Plastics Dowels are made of flexible, breakaway polyethylene foam rubber.
Notes: Confirm pricing with manufacturer for needed quantity before selecting. 5th Edition January 31, 2011
www.kimberly-clark.com
Kimberly Clark Part 09604 www.kcprofessional.com
Sliding panel pops out, spindle holder is breakable.
www.torkusa.com
SCA
Notes 5th Edition January 31, 2011 The SCA unit provides an over case top ligature point and an internal post that can be looped.
www.bobrick.com
Bobrick 52891
Notes Plastic spindle is rigid and can be broken into small shards, loose parts, and large profile can break. Vision slot is loopable. 5th Edition January 31, 2011
Toilet Accessories: Recessed Trash Receptacles
Solid Surface Trash Receptacle Solid surface construction Semi-recessed trash receptacle
Window Treatments
www.webbshade.com www.imperialfastener.com
This product provides multiple ligature points and should only be used in low-risk areas.
Notes The Imperial Break-A-Way surface mounted track can be looped end to end and Velcro creates a tie off point for ligature. 5th Edition January 31, 2011 Integral Blinds are the recommended option. See Windows (Security Glazing) slides.
Window Treatments
www.inprocorp.com
www.vistamatic.com
Install privacy curtain track, with Clickeze Carriers, at underside of soffit or ceiling above window.
The vision panel is constructed of three sheets of glazing. Operating the lever adjusts the position of the inner pane to obscure the view through the panel.
Caution: The product comes standard with non-safety glass which Introduces a risk into the patient environment. See Security Glazing Risk Assessment page for more information.
Notes The use of a three sheet vision panel at certain rooms may be interpreted as a privacy violation in some jurisdictions. 5th Edition January 31, 2011 Integral Blinds are also acceptable. See Windows (Security Glazing) slides.
Specialties: Clocks
www.peterpepper.com
Peter Pepper Synch Tech GPS time accuracy throughout, providing legally traceable time. Eliminates potential liabilities from inaccurate, independently set clocks when documenting the exact time for Medical timelines, vital statistics and procedures. Employee time keeping and HR policy enforcement; virtually eliminating unnecessary Time and Attendance grievances. Emergency Text Notification System is available to instantly send text to Moving Message Displays throughout the facility and or pre-recorded audio messages over existing PA Systems. Eliminate need for manual Daylight Savings Time adjustments. One third to one half the cost to install versus a traditional, 3 wire, 110v system. 5 and 10-year maintenance free batteries reduce maintenance labor costs. One transmitter covers most campuses and facilities using a high power UHF-FM Transmitter operating on a business frequency, a time tested method of transmitting information without interference with sensitive medical equipment. Add an unlimited number of receiver clocks and wireless options as your needs evolve.
Notes: 1200 Series Clock profile used. There are some modifications that Peter Pepper will make once a order is placed. Highly suggested: adjustable angle brackets for their security brackets. Currently, the non-adjustable ones pose a problem due to the curvature of the clocks housing, pushing the clock to be 1/8 min. off the wall surface.
Specialties: Television Enclosures
www.lcdtvenclosure.com
LCD Enclosure Mild Steel Construction Tapeable metal flanges for a completely flush installation in a drywall application. Air in-takes and out-takes for television cooling. Viewing window is constructed of polycarbonate with an internal mounting frame. Anti-glare coating is a standard option. Enclosure is available for 19 to 60 televisions.
Specialties: Television Enclosures
www.peerlessmounts.com
Peerless Custom LED Screen Protection System
Notes A polycarbonate lens must be specified. 5th Edition January 31, 2011
Specialties: Architectural Signage

www.kingarchitecturalproducts.com
King Architectural Products KMS Series

* Preferred signage system.
Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable. 5th Edition January 31, 2011 Tamperproof Locking: Top, bottom, fastening and panel profiles and copy covers to be held in place by manufacturers standard concealed locking strip, secured by a tamperproof set screw in the top rail.
www.asisignage.com
ASI Modulex Infinity
Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable. 5th Edition January 31, 2011 Infinity signage system does not mount flush against wall.
www.asisignage.com
ASI Modulex Pacific Series
ASI Modulex Panorama Series

Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable.
Plastic can crack into multiple shards.
www.asisignage.com
ASI Modulex 380 Series
ASI Modulex I-20

Notes Warning: Signage Systems should be positively and mechanically fastened with tamper proof fasteners. Double stick tape and Velcro are not acceptable. Sign stands slightly off wall and presents a slight finger pull opportunity.
www.innerface-signage.com
Signage panels (number plate and white board) are adhered to backing plate with double stick tape. Visible seams between components may be pickable.
5th Edition January 31, 2011 Signage panels permanently cover fasteners in backing plate. Signage removal or panel change requires destructive removal of panels, may leave adhesive residue on back plate.
www.gdssigns.com
Sprinklers & Fire Extinguishers
www.tyco-fire.com
TYCO Raven Quick Response Avoid Removable Parts
Sprinklers & Fire Extinguishers

Quick Response Avoid Removable Parts
www.reliablesprinkler.com www.tyco-fire.com
* Star Sprinkler, a division of Tyco Fire Suppression & Building Products
Reliable Sprinkler Model XL
Star Sprinkler TFP PH2
www.vikingcorp.com
The Viking heat sensor projects below the escutcheon plate. Damage to the heat sensor will activate the sprinkler system. Tyco TFP MAX Viking VK410 and VK412
Notes Warning: A portion of the sprinkler head projects below the sprinkler head enclosure and is accessible to patients.
Mechanical Systems Equipment & Devices General Notes

General Mechanical Note: CO2 sensors are not available in any ligature resistant form. CO2 sensors may be installed in the ducts, but this will not qualify for LEED credits.
Mechanical Systems Equipment & Devices Thermostats
www.keracontrols.com
Use covers and/or flat plate digital thermostats in high-risk locations.
Kera SDH-3PB
Mechanical Systems Equipment & Devices Thermostats
www.bapihvac.com
Resident controlled thermostat. Push-button temperature selection. Flush cover plates. Digital display. Low voltage. Large font on-board thermometer.
BAPI Decora Style Room Unit

Notes Specify the standard cover plate with tamper resistant screws screws.
Mechanical Systems Equipment & Devices Louvers & Grilles

www.anemostat.com www.titus-hvac.com
Anemostat
Titus
Notes Engineer back of system to accommodate free-area requirements. Louvers and grilles - 3/16 holes maximum

www.carnes.com www.kees.com
Kees SEG-4P3
Carnes Perforated Face Supply Diffuser
www.besafeprod.com
BSP Behavioral Safety Products

Flexible grille creates a wedging opportunity. Linear grille design permits linear movement with the use of a tool for looping.
Notes 5th Edition January 31, 2011 Louvers and Grilles 3/16 holes maximum Engineer back of system to accommodate free-area requirements.
Replacement Exhaust Grille for bathroom exhaust

www.mcmaster.com
Louvers and Grilles 3/16 holes maximum McMaster-Carr SS 304 Annealed 8x8 w/ Interweave Screening
Notes Engineer back of system to accommodate free-area requirements. 5th Edition January 31, 2011

www.carnes.com
Carnes Perforated Face Supply Diffuser (Suicide Deterrent)
Do not use on side walls, must be hung from structure.
Carnes RSPA51 R&G

Carnes RSPA41
Notes 3/16 holes maximum. Engineer back of system to accommodate free-area requirements.

Anemostat Perforated Face Supply Diffuser (Suicide Deterrent)
www.anemostat.com
Anemostat SV432
Anemostat SV6
Notes 3/16 holes maximum. Engineer back of system to accommodate free-area requirements. Anemostat S-Vent, 4 quadrant air distribution. Do not use on side walls; blades are sharp and can create wedge points. The louver should be kept out of reach of patients.

Linear Diffusers
www.titus-hvac.com
Titus
Slot Supply Diffusers
Notes Linear diffusers of this design provide a wedge point that can be used to establish a ligature point.

Baseboard Enclosures Fully-welded ends and connectors
www.vulcanrad.com
Notes Provide with fully-welded ends and connectors. Retrofit metal enclosures to be installed with continuous ends and connectors to ensure all exposed edges are fully welded to prevent tampering and scalding, etc.
Plumbing Fixtures & Systems

Lavatories in this section are specified as systems. Independent components, used either independently of the system they are shown in, or combined with other systems, may not be ligature resistant.
Do not use pop-up drains, only fixed strainers should be acceptable. Specifiers should take care to employ products in concert to create systems that are safe for installation condition (e.g. in a niche as opposed to free standing) and combinations of parts that make a functional and safe system. Fixtures Faucets Activators/Actuators Basins Pipe Enclosures Countertops Mirrors Systems Niche Lavatories
Showers
Special Note: Detention Grade Stainless Steel Fixtures are Prohibited. ( Reference: Office of Quality Management Memo 10/11/07)
Plumbing Fixtures & Systems: Toilets

Wall Mounted Floor Mounted Concealed Valves with IR Controls and Override Wall hung and floor mounted toilets that are installed without a continuous closure between the toilet and the floor and wall create a ligature point. Toilet seats that are not integral with the bowl also create a ligature point.
www.americanstandard.com
American Standard Afwal
www.sloanvalve.com www.kohler.com
Sloan Optima or Regal 154

Notes Wall surface must be flush at joint with toilet to avoid gaps that can become ligature points. Standard wall cover plate conflicts with grab bars, which run across it. See Concealed Infrared Flush Valve Assembly Slide for a non-conflicting arrangement.

Offset concealed flush valve with recessed access door and remote IR sensor with recessed cover plate, all arranged to avoid conflict with ADA grab bars.
www.hydrotek.com
Hydrotek 8000 Series
www.sloanvalve.com
Sloan Optima Section through grab bar and flush valve access door, showing offset flush valve. Section through grab bar, IR sensor cover plate and flush valve tail piece Elevation of toilet, grab bar, access door and IR sensor cover plate.
www.zurn.com
Zurn AquaSense AV Concealed flush valve assembly with remote infrared sensor illustration shows an American Standard Afwal Toilet with a Sloan Flush Valve. Listed manufacturers indicate ability to accomplish offset installations. Verify with each manufacturer the specific requirements for offset plumbing extensions, access door sizes and positioning, and remote IR sensor connections and cover plate dimensions. Provide access door with plaster frame to allow for door installation flush with adjacent tile. Manufacturer supplied IR cover plate may be for surface mounting, and will require customization for flush installation.
Notes 5th Edition January 31, 2011 Access doors and IR sensor cover plates are to be fully recessed so that faces are flush with adjacent finish materials, to avoid exposed sharp corners, to avoid picking at edges and to avoid possible ligature points.
www.acorneng.com
Notes For existing exposed front located flush valves. 5th Edition January 31, 2011
www.acorneng.com
Notes For existing exposed side located flush valves. Make sure that fit is tight enough so that valve projects through hole completely for free operation without the need for a large enough hole to provide ligature access beyond.
Plumbing Fixtures & Systems: Drinking Fountain
www.filtrine.com
Filtrine Filling Station Vandal resistant Soft Touch Valve push button activator.
Notes: A remote cooler is required for chilled water dispensing. A drainage system is required for waste water. The drain grille must be securely fastened , with tamper proof fasteners. The integral cup dispensers must be securely fastened to the Filling Station housing. The top of the access door must be sloped. The spout shall be mounted no higher than 36A.F.F. in compliance with ADAAG.
Plumbing Fixtures & Systems: Showers
Handicapped Showers: Do not install brackets to hold hand shower. Use hand showers with quick-connect fitting. Provide shower seats, fold-down shower seats has ligature points. Provide roll-in shower so that a chair may be provided in lieu of the fold-down seat. See shower activators for additional information relative to shower controls.
Plumbing Fixtures & Systems: Showers (Shower Heads)
www.speakmancompany.com www.chicagofaucets.com
Speakman S2460-AF
Chicago Faucets 621-CP
www.powerscontrols.com www.symmons.com
Powers
Symmons 96-1-150
Plumbing Fixtures & Systems: Showers (Shower Heads)
www.kohler.com www.willoughby-ind.com
Willoughby CHS Showerhead Kohler Rain Head
Notes Kohler Rain Head has ligature points.
www.galvinengineering.com.au
Valdal Resistant Safe Cell Shower Rose
Plumbing Fixtures & Systems: Showers (Hand Showers)
Handicapped Hand Showers: Oddball SP7 Series hand held shower with quick disconnect adapter
www.willoughby-ind.com
FX Flexshower
Quick release mechanism provides a ligature point.
Notes Generally, this device must be installed in addition to a primary ligature resistant shower head. However, review and understand ANSI A117.1-2003, 608.6, Exception which allows a fixed shower head only in certain situations. 5th Edition January 31, 2011 If fixed head and hand shower are both used, provide either an ligature resistant diverter valve or separate ligature resistant control systems.
Plumbing Fixtures & Systems: Activators

Pre-set flow time and temperature activators.
www.symmons.com www.deltafaucet.com
www.acorneng.com
Symmons Delta Teck Push Button Activator 860 Series Water temperature can be adjusted by staff with mixing valve located behind cover plate. 4-427 Hydraulic metering shower valve
Acorn Engineering M530-MVC1-PBH-WS (or Powers Series 447)
Notes Best practice recommends controlled (limited) flow time. Various mechanisms and controllers provide this; some are factory set, others can be adjusted by staff. Best practice recommends resident controlled temperature. These products do not provide this. (See Brainwave and Piezo prototype controllers.) 5th Edition January 31, 2011 The Symmons 4-427 non-tapered button is loopable.
Plumbing Fixtures & Systems : Shower Activators
www.symmons.com
Symmons B-40904-1
Notes Recessed Shower Dial Activator is loopable and does not meet the criteria for ADA graspability.
Fixtures: Activators (Showers and Lavatory)

Control Flow Control Water Temperature Integral Anti-Scald
www.niekampinc.com
www.armstronginternational.com
Niekamp: SSK 1022 (Powers Valve) Provide a diverter valve similar to the Neikamp or Oddball, or provide separate controls for both the shower head and the hand-held device. Be advised that this solution is not handicapped accessible. Armstrong Brainwave w/ SS Shield* SS face plate is to be used in all NYS OMH Facilities. Use With Caution: the Brainwave plastic cover is available and is accepted by some users.
Plumbing Fixtures & Systems : Activators (Showers and Lavatory)

Control Flow Control Water Temperature Integral Anti-Scald
Stanley: Piezo Electric Valve Not Available in the US
Provide a diverter valve similar to the Neikamp or Oddball, or provide separate controls for both the shower head and the hand-held device. Be advised that this solution is not handicapped accessible.
Notes Best Practice favors temperature and flow control by the patient. Neikamp is designed to work with Powers and Speakman valve bodies; they may be able to fit other valve bodies, but that would require a one-time set-up charge of approx. $700 We have an early user report with respect to sloppy finish and difficulty in operation when wet with respect to the OddBall product . Niekamp and OddBall are not ADA compliant.
www.speakmancompany.com
Notes This product is currently under development and not yet available for purchase. The 2010 ADA Paragraph 309.4 states that operable parts shall be operable with one hand and shall not require tight grasping , pinching or twisting of the wrist. The Speakman Shower Activator might not comply with the ADA. Therefore this product is not suitabl e for handicap accessible showers. Specified product is either: bass or zinc
www.bradleycorp.com
Bradley SRC Handle
Notes The operational clearance between the ligature resistant control knob and the valve creates a ligature point. 5th Edition January 31, 2011
Plumbing Fixtures & Systems: Lavatories

Faucets must be considered as part of entire assembly/system.
www.kohler.com www.deltafaucet.com
Kohler Laminar Faucet (Must be ordered as replacement parts of Kohler K-9022)
www.sloanvalve.com
Sloan IR Faucet
Sloan Optima Systems ETF-80 Faucet hardwired EBT-85 Faucet battery pack
Notes Only use the Sloan and Delta spouts only if the lavatory is positioned so that a lateral ligature hang is not possible, i.e. in a niche! Only use Delta if using an electronic flow actuator. Do not use with wrist blades or faucet handles. Modified Kohler laminar faucet currently being tested.

www.sloanvalve.com
www.zurn.com
Sloan Optima Systems EFT-600 The aerator creates a ligature point.
Zurn Z6917 The aerator (not shown in the photo) creates a ligature point.

Willoughby Bubbler 380068 BPH* FL Lav/Filler Willoughby PM2 2 button dual temperature pneumatic valve
Notes Specify actuator and bubbler for high risk situations, but should otherwise be avoided because of their institutional nature. 5th Edition January 31, 2011 The one button activator gives one preset temperature. The two button activator gives a selection of three preset temperatures (warm, cold and tepid).

www.acorneng.com
www.acorneng.com
Acorn Hemispheric Bubbler BPH (shown with single push button, double button temperature control model also available, order with appropriate control valve assembly)
Acorn Hemispheric M3383-E500 Air-control valve Hot & Cold
Notes Specify actuator and bubbler for high risk situations, but should otherwise be avoided because of their institutional nature. The one button activator gives one preset temperature. The two button activator gives a selection of three preset temperatures (warm, cold and tepid).
Fixtures Faucets
www.acorneng.com
Activators Basins Pipe Enclosures Countertops
Do Not Use at NYS-OMH facilities. Acorn Meridian Solid Surface Basin (NY Hospital Modified) Rejected Acorn Hemispheric Bubbler and Hemispheric Push Button (See Stankey as an Alternative Operator) Accepted Acorn SES Pipe Enclosure
Mirrors
Notes NYS-OMH Accepted provided that the Meridian is used in a niche application. This lavatory is not approved as shown in this application for NYS-OMH facilities because the top surface is completely flat and loopable

Proposed OMH Standard: Niche mounted sink projecting from counter with integral pipe screening below.
Integral bowl with Kohler Laminar www.armstronginternational.com faucet and IR or Armstrong Brainwave controls. (Use Acorns Hemispheric Bubbler and Hemispheric Push Button as an Alternative) www.acorneng.com
Armstrong Brainwave Model #DMV1 Lavatory with SS Shield* Fixtures Faucets SS face plate is to be used in all NYS OMH Facilities. Use With Caution: the Brainwave plastic cover is available and is accepted by some users. Kohler Laminar Spout (Must be ordered as replacement parts of Kohler K-9022)
Activators
Basins Pipe Enclosures Countertops Acorn Meridian Integral Countertop (Use sink only, not faucet)
Mirrors
www.kohler.com
Notes Use of sinks with engaged counters resists ligature only when engaged side to side by knee-walls or niches as shown Laminar Flow provides a controlled jet of water arching out of hole in wall. (Modify parts of Kohler Laminar Faucet Assembly K-9022). Use Sloan ETF-80 as an alternative to Kohler faucet in locations where additional risk is acceptable per institutions risk assessment; and then hardwired, not battery powered.

Proposed OMH Standard: Niche mounted sink projecting from counter with integral pipe screening below.
www.Stanleyhardwarecom
Integral Bowl with Kohler Laminar Faucet and IR or Piezo Controls
Piezo Controls * Not currently available in the US

www.armstronginternational.com
Fixtures Faucets American Standard Mezzo Semi-Countertop

1. Use sink with Laminar Faucet, not with a deckmounted faucet. 2. Bowl projects above counter creating possible ligature hazard at back, if bowl is not installed tightly against back wall or backsplash (with sealant), or gap is closed off by tile. Under-lip must ALSO be tight against cabinet front. www.americanstandard.com 3. Horizontal projection may present a durability concern due to potential vandalism.
Activators
Basins Pipe Enclosures Countertops
Armstrong Brainwave Model #DMV1 Lavatory with SS Shield*

SS face plate shall be used in all NYS OMH Facilities. Use With Caution: available Brainwave plastic cover may be accepted by some users.
Kohler Laminar Faucet

(Must be ordered as replacement parts of Kohler K9022)
Mirrors
Notes Sinks with engaged counters resist ligature only when engaged side to side by knee-walls or niches as shown. Laminar faucet provides a controlled jet of water arching out of hole in wall. (Use parts of Kohler Laminar Faucet Assembly K-9022). Use Sloan ETF-80 as an th 5 Edition alternative to Kohler faucet in locations where additional risk is acceptable per institutions January 31, 2011 risk assessment; and then hardwired, not battery powered.
www.kohler.com
Plumbing Fixtures & Systems: Basins
www.americanstandard.com
American Standard Rondalyn Countertop Sink (Modified- no holes) 1995 OMH Standard: American Standard Afwal or Rondalyn
Notes Counter top mounted sinks like the Rondalyn and solid-surface integral and undermount counter sinks are acceptable when part of an assembly that is itself designed to be non-loopable. For example, when mounted in a niche surrounding the assembly on three sides. The slope sided Toto Lavatories provide some ligature resistant resistance, but can be looped and should not be used in a high risk area.
www.totousa.com
Fixtures Faucets Activators Basins Pipe Enclosures Countertops Mirrors Toto 308 Toto 307.8
Modified with Acorn Hemispheric Bubbler and Hemispheric Push Button and Acorn SES Pipe Enclosure
Notes Use Sloan ETF-80 at places that are supervised or used by staff only. Use hardwired products, not battery powered products. Warning: Install with Offset Trap only! The slope sided Toto Lavatories provide some ligature resistant resistance, but can be looped and should not be used in a high risk area.
Plumbing Fixtures & Systems: Basins
Evans & Paul Custom ligature resistant solid surface lavatory with integral bowl.
Removable fully enclosed pipe enclosure / skirt with hexalobular pin-reject screws.
Notes: Not all configurations shown above are ADA compliant. Provide a handicapped accessible configuration where handicapped accessibility is required. Exact profile and location of bowl within counter may be customized. 5th Edition January 31, 2011
Plumbing Fixtures & Systems: Basins (integral)
www.bradleycorp.com
Custom solid surface lavatory with integral bowl. Integral shroud available.
Bradley Express Lavatory SS-1N
Bradley Advocate Lavatory LA60

Notes: Bradley Advocate comes with an integral hand drier and soap dispenser, but the soap dispenser creates a ligature point. 5th Edition January 31, 2011 The Bradley SS-1N is best installed in a recessed niche in new construction.
Plumbing Fixtures & Systems: Pipe Enclosures
www.ipscorp.com
Trubro Lav Shield Enclosures
Notes Specify tamper-resistant, hexalobular, pin-reject, internal drive system, meeting ISO standard 10664 screws. Custom millwork is a viable alternative and when properly detailed may be preferable to these enclosures.
Electrical: Receptacles and Switches
www.legrand.us
Not in high risk areas
www.hubbell-wiring.com
Not in high risk areas
Specify Nylon or SS Face Plates only. Specify hexalobular pin-reject fasteners only. Tamper-resistant on GFCI & AFCI Circuit
Pass and Seymour Nylon Plates & Tamper Resistant Receptacles* Hubbell HBL8300SGA*
Notes Use Ground Fault Circuit Interrupter (GFCI) and Arc Fault Circuit Interrupter (AFCI) at panel box for all patient accessible circuits. Specify with nylon cover plates (preferred) or stainless steel (acceptable). *Both the Pass and Seymour and the Hubbell receptacles can be defeated when a conductive material is inserted sequentially into the receptacle.
www.leviton.com
Leviton
www.cooperindustries.com
Specify Nylon or SS Face Plates only. Specify hexalobular pin-reject fasteners only. Tamper-resistant on GFCI & AFCI Circuit
Notes Use Ground Fault Circuit Interrupter (GFCI) and Arc Fault Circuit Interrupter (AFCI) at panel box for all patient accessible circuits. Specify with nylon cover plates (preferred) or stainless steel (acceptable). NYS OMH finds that tamper-resistant, hospital grade receptacles are acceptable.
www.morlitesystems.com
Notes These devices and plates have been rejected for NYS-OMH facilities because their institutional/correctional appearance is contraindicated by code and standard language requiring a non-institutional environment.
www.kenall.com
Do Not Use at NYSOMH facilities.
Notes These devices and plates have been rejected for NYS-OMH facilities because their institutional/correctional appearance is contraindicated by code and standard language requiring a non-institutional environment.
Electrical: Receptacles and Switches - Sensors

Pending Approval with Following Concerns: Plastic Dome is not tamper resistant. Escutcheon plate must be fastened with tamper resistant screws.
www.wattstopper.com
Built-in light level sensor Occupancy sensor Ceiling mounted sensors are preferred to wall mounted sensors. Tamper resistant fixtures are preferred.
Wattstopper CI-200 Series Passive Infrared Ceiling Sensors
Notes Infrared detection is not suitable for bathrooms with partitions and rooms with cubicles. Ultrasonic detection for bathroom partition, cubical wall obstructions is more suitable. 5th Edition January 31, 2011
Electrical: Fire Alarm Components

www.simplexgrinnell.com
Use with Caution at NYS-OMH facilities.
Simplex 4098-9757 Smoke Sensor
Simplex 4098-9733 Heat Sensor

Notes This detector, while listed by OMH for use in their own hospitals is loopable and should not be used at non-OMH hospitals. Do not use smoke detectors in bedrooms and bathrooms at NYS-OMH operated hospitals. Use the Bosch detector in unsupervised spaces and Simplex in supervised spaces at NYS-OMH facilities.
www.gesecurity.com
GE Security SIGA-DG (EST)

Rejected because of loopability
www.boschsecurity.com
Bosch FCP-500 Series
www.takex.com
Takex USA, Inc. FS-2000E Series Flame Sensor

Warning: Do not use wire covers in high risk areas.
Ceiling mount where permitted by code.
Simplex Multi-candela Horn/Strobe Clg-Mtd 4906-9128
Simplex Multi-candela Horn/Strobe Clg-Mtd 4906-9128
www.edwards-signals.com
Warning: Not approved for use in high risk areas.
Notes The curved return against the ceiling presents a ligature hazard.
Specify Key-operated only Heavy Duty Cast Housing
Simplex 2099 Series- Single Action Institutional Cover
Simplex Grinnell by Tyco
Lighting Fixtures
Lighting Fixtures General Design & Performance Criteria
Housing: Unbreakable. Surround: Flush with no gaps for graspability or ligature tie-off. Installation is critical to ensure no gaps. Diffuser/Lens: Minimum 1/8 polycarbonate, prismatic or translucent lens. Lens frame needs enough edge bite to retain lens during maximum deflection. Fasten lens or lens frame with 2 tamper-resistant fasteners minimum. Do not pass fasteners through polycarbonate lens material. Switch: All children and adult seclusion room lighting is to be dimmable. Dimmable ballasts can be installed in retrofit situations. Light Source: High-efficiency, and maintain visual performance where applicable. Provide dimmable ballasts as required. Approvals: UL, and others as applicable. Maintenance: Available standard replacement parts, lamps and ballasts; consider minimum number of security fasteners required for patient safety without creating unnecessary extra labor for re-lamping. NYS OMH Lighting Standards: F32T8 lamps are standard due to high efficiency, performance, reliability, and cost effectiveness.
Notes: Coordinate shower light fixtures with wall or ceiling finish. Escutcheon plates will not sit flat on wall and ceiling tile. Recommended installation method is to install escutcheon plate directly to backerboard and trim tile to escutcheon plate. This works better with square fixtures than round fixtures. Verify photometrics of light fixtures with polycarbonate lenses during project design.
Lighting Fixtures: High Risk Areas

General Illumination Ceiling Mounted - Recessed Linear Fixtures
www.designplan.com
Design Plan : Tuscan 850 Housing:
20 Gauge zinc-coated Steel with captive tamper-resistant screws.

Diffuser: UV stabilized clear patterned polycarbonate lens. Light Source:
(2) 26W T8 Fluorescent

Approvals: UL, cUL Wet label IP 55
Lighting Fixtures: High Risk

General Illumination Ceiling Mounted - Recessed Linear Fixtures
www.lcdoane.com
CRN Series by LCD Housing:
16/18 Gauge cold-rolled Steel with captive tamper-resistant screws.

Diffuser: (RFL) Prismatic LEXAN polycarbonate lens. Light Source: (3 or 4) 26W T8 Fluorescent Approvals: UL, cUL Wet label IP 55

General Illumination Ceiling Mounted - Recessed Troffers
www.legionlighting.com
Securlume By Legion 672 Housing: 20 Gauge cold-rolled Steel with captive tamper-resistant screws. Diffuser: (RFL) Prismatic LEXAN polycarbonate lens. Light Source: (3 or 4) 26W T8 Fluorescent Approvals: UL, cUL Wet label IP 55

General Illumination Ceiling Mounted - Recessed Downlights
www.kenall.com
Mighty Mac by Kenall RQCA: Recessed 12 x 12 Downlight Housing: 16 Gauge stainless steel / CRS Diffuser: 0.125/0.375/0.500 polycarbonate lens with tamper-resistant fasteners. Light Source: 26W/ Quad CF Lamps- dimmable Approvals: UL Listed for damp locations.

General Illumination Ceiling Mounted Surface Fixtures
Ceiling mount
www.legionlighting.com
Legion Vandelex Housing: Die formed 16 ga. cold rolled steel Diffuser: Polycarbonate Light Source: T8 Approvals: UL & cUL listed Wall mount
Notes Do Not Use as a wall mounted fixture. Light fixture has a high profile and presents a ligature hazard when installed in the wall mounted position. 5th Edition January 31, 2011

General Illumination Wall or Ceiling Mounted Surface Fixtures
www.luminairelighting.com
Luminaire YWP 610/ SWP 610
Housing:
One piece injection molded UV stabilized polycarbonate mechanically interlocked to lens Diffuser: One piece injection molded UV stabilized prismatic polycarbonate with minimum 0.140 wall thickness (Sourcing more translucent fixture) Light Source: Compact Fluorescent lamp
Approvals:
Wet location, 1598a, cUL
SWP 610

Luminaire VPF 122 Housing:
Marine grade heat treated extruded aluminum.

Diffuser: Extruded UV stabilized polycarbonate with integral prisms. Maximum wall thickness 0.160. Secured to housing with die cast aluminum clamps and 6 stainless steel tamper-resistant, hexalobular, pin-reject, internal drive system, meeting ISO standard 10664 screws. Light Source:
T8 (32 W, low power ballast, dimmable)

Approvals: cUL, wet optional
5th Edition January 31, 2011 Notes Light housing may present ligature hazard when wall mounted and should be used on overhead installations only.

www.designplan.com
Design Plan
Tuscan 81 Series
Housing: 20GA Zinc coated steel body Diffuser: 3/16 UV stabilized polycarbonate lens
Extruded aluminum lens frame

Light Source: T5-T5HO Lamps Approvals: UL Listed for IP55 suitable for wall or ceiling mount
Notes Very utilitarian/institutional appearing, not aesthetically pleasing. Recommended use in closets. Screws need to be hexalobular pin-reject. 5th Edition January 31, 2011

ASD Lighting
www.asdlighting.com www.teronlight.com
ASD Harmony Profile
Housing: Spun aluminum

Diffuser: Vandal resistant polycarbonate in opal or prismatic, with self-extinguishing fire properties.
Light Source: 16W 2D 2-pin

Approvals:

www.prismalighting.com
Prisma Syncro Housing: Indoor/outdoor wall, ceiling applications, recessed or post mounted. Diffuser:
Internally patterned. Held in place by the retaining ring, which is secured by four stainless steel captive screws.
Light Source: Compact Fluorescent Twin tube lamps Approvals: UL & cUL Listed. Wet Locations, IP54. Suitable for recessed and semirecessed mounting.
Notes
A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified.

General & Task Illumination (Reading) Wall Mounted Surface Fixtures
www.kenall.com
Mighty Mac by Kenall WCBU: Surface-Mtd 1/2/4 Dual Uplight/Downlight Housing: 18 gauge Stainless Steel Diffuser: 0.125/0.375/0.500 polycarbonate lens with tamper-resistant fasteners. Light Source: 32T8 CF Lamps- dimmable Approvals: UL Listed for damp locations.
Dimmable reading light: custom modification to Kenall Mighty Mac WCBU. Custom model design: WCBU-4-0/0-2/x32/LED-RS-4-120-1/7U-7D-DLN1, 2x32w T8 upper compartment, 2xLED reading lights in lower compartment, 1xLED dimmable nightlight in upper compartment
Notes Should be ordered with polycarbonate diffuser

Task/Spot Illumination Ceiling Mounted - Recessed Downlights
www.designplan.com
Design Plan RDL/RHL Housing: 18GA Zinc coated steel housing Concrete pour housing available Diffuser: 3/16 UV stabilized polycarbonate lens Trim ring is mechanically attached to body Light Source: Compact Fluorescent and matching wall wash is available. Approvals: UL Listed for IP55.

www.omegalighting.com
SPEX Omega by Philips S6-CFL (6) and S8-CFL (8) Lensed Vertical Downlights Housing: 20 Gauge galvanized steel mounting pan and yoke assembly Diffuser: 3/16 UV stabilized clear polycarbonate lens with tamper-resistant screws. Light Source: (26/32/42W)Triple Tube CF Lamps (w/ Dimming option) Approvals: cUL Listed for wet locations only.

SPEX Omega by Philips S6-CFL (6) and S8-CFL (8) Shallow Depth Lensed Horizontal Downlights Housing: 20 Gauge galvanized steel mounting pan and yoke assembly Diffuser: 3/16 UV stabilized clear polycarbonate lens with tamper-resistant screws. Light Source: (26/32/42W)Triple Tube CF Lamps (w/ Dimming option) Approvals: cUL Listed for wet locations only.

Origins by Omega Philips Lensed Downlights with Vandal Guard Housing:
20 Gauge galvanized steel mounting pan and yoke assembly

Diffuser: 3/16 UV stabilized clear polycarbonate lens with tamper-resistant screws. Light Source: (26/32/42W)Triple Tube CF Lamps (w/ Dimming option) Approvals: cUL Listed for wet locations only.
213

www.speclight.com
Spectrum Lighting: 8HF Housing: 20 gauge galvanized frame Specify TP for Tamper Proof Diffuser: One piece injection molded UV stabilized prismatic or frosted polycarbonate.
Light Source:
Compact Fluorescent Approvals: Wet location, 1598a, cUL

www.lightolier.com
Spectral Architectural Lighting SL205B Housing: Spectacular aluminum Diffuser: 1 1/8" (29mm) thick clear acrylic finished with a translucent diffused coating. Light Source: Compact Fluorescent Approvals: Wet location, 1598a, cUL
Notes A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified.

Night Light Wall or Ceiling Mounted Recessed Fixtures
www.prismalighting.com
Prisma Joker Fresnel For Interior Use Housing: V-o rated self-extinguishing techno polymer
Diffuser:
Satin Tempered Glass Light Source: LED Approvals:
UL for wet location, IP 65

Night Light Wall or Ceiling Mounted Recessed Fixtures
www.luciferlighting.com
PukLED LPKF-ALED-WELL Housing: Aluminum body, semi-recessed
Diffuser:
Polycarbonate lens Light Source: LED Approvals:
UL for wet location

Night Light Wall Mounted Semi-recessed Fixtures
www.chloridesys.com
Chloride Path Master Housing: Premium die cast aluminum components Diffuser: Polycarbonate Lens, specify frosted Light Source: LED, 3 phase
Approvals:
UL 1598; UL Wet Location; NFPA, BOCA, and OSHA illumination standards; ADA

Night Light Wall Mounted Recessed Fixtures
www.kenall.com
Mighty Mac RFW Series Housing: 6 X 9 Recessed Die-formed 14 Gauge CRS (painted) Diffuser: 0.375 polycarbonate lens Light Source: 9 W Twin Tube CF Lamp Approvals: UL 1570; cUL Damp Locations.
Notes Should be ordered with polycarbonate lens and tamperproof screws

www.bega-us.com
Bega 2915 LED Recessed
Housing:
Die cast aluminum with integral wiring compartment. Diffuser: White tempered glass diffuser is standard, specify polycarbonate.
Light Source:
LED Approvals: Wet location, UL Listed, IP 64
Notes

www.bega-us.com
Bega Housing: Die cast aluminum with integral wiring compartment Diffuser: Bega 2202 for Wet/Exterior
Polycarbonate
Light Source: LED Approvals: UL, IP 65
Bega 2221 For Wet/ Exterior
Notes

www.kenall.com
Soft Step Housing: 18 gauge Cold rolled steel Lens:
Polycarbonate
Light Source: LED, Compact Fluorescent Approvals: UL Listed for damp locations.
Lighting Fixtures: Medium Risk

General Illumination Ceiling Mounted Recessed Linear Fixtures
www.zumtobel.us
Zumtobel Slot Light Housing: extruded aluminum Diffuser: polycarbonate*
Light Source: T5 or T5 HO
Approvals: UL
Notes Zumtobel will provide polycarbonate diffusers with a minimum order of 1000 linear feet or (250) 4ft fixtures. 5th Edition January 31, 2011 Provide minimum two positive attachment screws at lens cover attachment plate.

General Illumination Ceiling Mounted Recessed Troffers
www.daybritelighting.com
Attune by Day-Bright Available in 1 x 4, 2 x 2, or 2 x 4 One piece die-formed, embossed steel housing. Diffuser: NA Light Source: T5 , T8, T5HO, and available with a dimmable feature
Notes

www.concord-lighting.com
Concord
Marlin, Brio IP65

Housing: Pressure die-cast aluminum Diffuser: Polycarbonate Light Source: 2 x TC-DEL 18w G24q-2 Approvals: IP65
Notes Fixture housing may present ligature hazard and should be used on overhead installations only 5th Edition January 31, 2011

www.betacalco.com
Beta-Calco Fiero Housing:
Steel and Aluminum

Diffuser: Opal polycarbonate Light Source: Compact Fluorescent Lamp, T5
Approvals:
UL, CSA

www.betacalco.com
Beta-Calco Round Housing:
Steel and Aluminum

Diffuser: Opal polycarbonate Light Source: Compact Fluorescent Lamp, T5
Approvals:
UL, CSA

www.betacalco.com
Beta-Calco Zedos Ceiling 2 Housing: Steel and Aluminum Diffuser: Opal polycarbonate Light Source: Compact Fluorescent Lamp, T5 Approvals: UL, CSA

www.kenall.com
Kenall Millennium Stretch Housing: One piece injection molded UV stabilized polycarbonate mechanically interlocked to lens Diffuser:
One piece injection molded UV stabilized prismatic polycarbonate with minimum 0.140 wall thickness
(Sourcing more translucent fixture) Light Source: Compact Fluorescent lamp
Approvals:
Wet location, 1598a, cUL
Notes The lens currently has a graspable edge and is pin connected in 2 points which are exposed. The edge will allow a person to hang off the fixture and being pin connected in 2 points with a 1/8 of material on the edge, this will not support the weight of a person.
Do not use the Kenall Millennium Stretch in High Risk Areas.

www.kenall.com
Kenall Millennium Round Housing: Lens base: High impact resistant polycarbonate Baseplate marine grade die-cast aluminum.
Diffuser: UV stabilized, high impact resistant, virgin injection molded polycarbonate

Light Source: Compact Fluorescent lamp Approvals: Wet location

Luminaire ARV 13 & 17 AOV 13 Housing: One piece injection molded UV stabilized polycarbonate mechanically interlocked to lens. Color is molded through entire part for scratch resistant finish. Locked in place with one tamper resistant set screw. Diffuser: One piece injection molded UV stabilized prismatic polycarbonate with minimum 0.130 wall thickness. Secured to base plate with four stainless steel screws and one O-ring. Light Source: Compact Fluorescent Bulb Approvals: Wet location, 1598a, cUL
Notes Use only with special mounting gasket that completely seals the gap between the mounting base and the lens cover housing where the fixture meets the ceiling. Failure to use this gasket leaves a gap around which a ligature can be wrapped.

www.selux.com
Selux Diskus (with special modification) Housing: Die-Cast, aluminum housing with mounting holes provided.
Diffuser:
White, translucent, impact-resistant DR acrylic is standard; specify polycarbonate. Light Source: Compact Fluorescent Bulb
Approvals:
UL, cUL, interior/exterior
Notes This fixture is not fully flush mounted. There is a gap between the fixture and the mounting surface unless a special, flush mounting plate is ordered with the light fixture. In mid-2010 these are available for orders of 100 fixtures or more.

Task Illumination Wall Mounted Semi-recessed Fixtures
www.bega-us.com www.bega-us.com
Bega 2223 Interior Use Housing: Die-cast aluminum Diffuser: Convex tempered glass thick is standard, specify polycarbonate Light Source: T4 or T6 Approvals: UL approved and suitable for wet locations.
Bega 8702 Interior/Exterior Use Housing: One piece stainless steel housing with a cast bronze guard/cover secured together with stainless steel bolts. Diffuser: Polycarbonate.
Light Source: T4
Approvals: UL for wet location, IP 67: suitable for temporary immersion.

Task Illumination Wall Mounted Semi-recessed Fixtures
www.cooperlighting.com
TruGen Eyelite Housing: Marine grade aluminum Diffuser: Molded, tempered, shock-resistant borosilicate glass is standard, specify polycarbonate Light Source: HID Approvals: UL for wet location
Notes A polycarbonate lens is not the standard lens for this fixture. A polycarbonate lens must be specified. The Eyelite is available with a polycarbonate lens for orders of 500 fixtures or more. Confirm pricing with manufacturer for needed quantity before selecting
Lighting Fixtures: Exit Signage

www.chloridesys.com
Chloride Tuff-Act Series Housing: Premium die-cast aluminum Recessed mounting Diffuser: Injection molding polycarbonate Light Source: LED Approvals: UL 924; NFPA 101; UL damp location listing 32 degrees to 104 degrees Fahrenheit; NFPA, UL, IBC,BOCA,and OSHA illumination standard; Energy Stair compliant; ADA for wall mounted lighting fixtures
Lighting Fixtures: Exit Signage
www.chloridesys.com
www.morlitesystems.com
Chloride Caliber Series Edge-Lit Exit
Morlight VRE
Notes Must be positively, mechanically attached, not friction fit. Specify UL Listed 924, (NEC, NFPA 70) Mount Flush to Wall or Ceiling or specify Fully-Recessed housing as indicated above.
Furniture: Wardrobe and Closet Guidelines

Wardrobes and Closets
Wardrobes and closets with doors and drawers will pose a potential ligature risk. Since there are no viable ligature resistant solutions to wardrobe and closet doors and drawers, it is highly recommended that doors and drawers are not provided for wardrobe and closet units. Cubbies or shelves are preferred in lieu of drawers. When considering if wardrobe and closet doors or drawers may be desired or appropriate, best practice requires each facility to complete a risk assessment for all spaces and furnishings. Patient privacy rights may also inform decisions about the need for wardrobe and closet doors and drawers. Wardrobe and Closet guidelines: 1.Recess units or make continuous to ceiling or underside of soffit. 2.Where it is impossible to make units recessed or continuous to ceiling or soffit above, provide sloped tops. 3. Provide collapsible coat hooks. Closet rods or j-bars are not permiteed. 4. New requirement in the 2010 FGI Guidelines states: Shelves for folded garments shall be used instead of arrangements for hanging garments. If doors or drawers are provided: 1.Provide continuous hinges with hospital tips. 2.Provide locks for all doors and all drawers, allowing staff control of access by at-risk patients. 3.Provide recessed grip ligature resistant door handles. 4.Provide drawers with ligature resistant finger pulls, stops, and locks. 5.For very high risk patients, consider the use of door top ligature sensors.
Furniture
High Risk Areas (Unless Caution is Indicated)
www.norix.com
Norix Attenda Bed Construction: Safety Conscious Maintenance: Durable finish Replaceable parts Warranty: 2 years
Do Not use at NYS-OMH facilities.
Approvals: CAL 133 flammability test
Notes Safe for use, though not appropriate for all applications. Institutional character precludes use in OMH-NYS Facilities Warning: Do not provide restraint rings. They provide a looping hazard If bed is not bolted down, plug mounting holes with tamperproof fastener/plug.
Furniture
www.norix.com
Norix Attenda Wardrobe Construction: Molded PE, filled with rigid foam 270 degree piano hinge, folds flat to side Molded-in-J-bar, no tie off Shoe cubbie Latch or key-lock Bolts to wall, No holes in base Maintenance: Durable finish Replaceable parts Warranty: 2 years Approvals: CAL 133 Flammability Test Article 28 and Article 31 hospitals.
Do Not use at NYS-OMH facilities.
Notes See slide for Wardrobe and Closet Guidelines. 5th Edition January 31, 2011 Institutional character precludes use in OMH-NYS Facilities
244
Furniture
www.hill-rom.com
Hill-Rom Harbor Glen Collection Construction: Safety Conscious Solid Oak Platform Bed no restraints Maintenance: Durable finish Replaceable parts Warranty: 1 year Approvals:
Harbor Glen Bedside Cabinet
Harbor Glen Chest Desk
Harbor Glen Platform Bed

Notes
Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. Each facility must perform their own risk assessment to evaluate all products. See slide for Wardrobe and Closet Guidelines.
Furniture
www.addenfurniture.com
Adden Roommate Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, paint and nail polish removers, and most commonly used antibacterial cleaning agents. Warranty: 5 years limited with lifetime on hardware (require this in the specs as minimum.)
Notes Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. See slide for Wardrobe and Closet Guidelines. Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. Each facility must perform their own risk assessment to evaluate all products.
Adden Roommate RM
Furniture
www.addenfurniture.com
Adden Roommate Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, paint and nail polish removers, and most commonly used antibacterial cleaning agents. Warranty: 5 years limited with lifetime on hardware (require this in the specs as minimum.)
Adden Roommate RM05
Adden Roommate RM04
Adden Roommate RM02
Furniture
www.moduform.com
Moduform Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, pain and nail polish removers, and most commonly used antibacterial cleaning agents.
Warranty: 1 year
Notes See slide for Wardrobe and Closet Guidelines. Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. Each facility must perform their own risk assessment to evaluate all products.
Furniture
www.blockhouse.com
Blockhouse Construction: All Exposed surfaces are coated with a catalyzed finish that is resistant to impact Chamfered edges and planked panels Solid oak Maintenance: Durable finish Replaceable parts Impervious to harsh chemical solutions such as wax strippers, pain and nail polish removers, and most commonly used antibacterial cleaning agents. Warranty: 1 year
Furniture
www.nemschoff.com
Nemschoff High Use Furniture

Construction: Solid Wood Construction Maintenance: Laminate Cases with Solid Oak Radiused Edges and Drawer Fronts Non-removable Wood Drawers on Roller Guides Finishes for heavy use and harsh cleaning Continuous Hinges add strength while preventing injury Warranty: Lifetime Approvals: CAL 133, ASTM E-1537
Furniture
www.nuture.com
Nuture PCT 50 Series Construction: Thermo-formed tops and cabinet fronts, ideal for infection control Seamless thermo-formed tops and drawer fronts together with matching melamine laminate sides and cabinet interiors All edges are sealed with 3mm and 1mm edge banding Drawer and door fronts feature integral flush seamless finer pulls Maintenance: Replaceable components Do not release VOCs Warranty: Limited Lifetime
Notes See slide for Wardrobe and Closet Guidelines. Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. Each facility must perform their own risk assessment to evaluate all products.
Furniture
Mixed Risk Areas (See Notes with Each Symbol)
Medium and Low Risk Areas
www.savoyfurniture.com
Savoy Construction: Solid Wood construction mortise and tenon construction and all critical joints are supported with cleats and corner blocks for added strength All drawers are full English dovetail with a inset bottom and a replaceable drawer front attached Maintenance: Replaceable drawer fronts Warranty: NA
High Risk Areas Notes Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage. See slide for Wardrobe and Closet Guidelines. Do not use drawers in high risk areas, including beds, unless use is controlled by staff-controlled locks. Each facility must perform their own risk assessment to evaluate all products.
Furniture
www.mastercraftspecialties.com
Mastercraft Construction: Solid Wood construction Mortise and tennon construction on all case pieces, reinforced with screw cleats and corner blocked at critical points Finger dovetailed drawer box construction, with tenoned in, glued, and glued blocked drawer bottoms Maintenance: All drawer faces are replaceable Warranty: NA
High Risk Areas
Continuous Hinge
Restraining Strap Slots
Recessed J Closet Bar
Recessed Door Pulls
Note Warning: Platform Beds: All wood members (all six sides) to receive 2 coats of polyurethane or better to prevent liquid damage aka the absorption of urine into the wood. Do not provide restraining strap slots for platform beds used in patient bedrooms. They provide a looping hazard. Waiting on vendor for a alternative solution if there is one. See slide for Wardrobe and Closet Guidelines. Do not provide restraint slots at any NYS-OMH hospital. Do not provide restraint slots unless bed is continuously supervised.
254
Furniture
www.intempowood.com
Drawers
Intempo Extra heavy with oversized components fastened together employing steel to steel devices within the woodwork proper. This chair is fabricated employing oversized oak components and engineered to be available in a variety of weights (40,50,60 or 70 #'s). Available with an oversized bookshelf which doubles as a raceway for another steel rod. "J" bar clothing hangers No openings allowing the entrance of a patients head or other body parts. Components that can become weapons No removable components such as drawer faces or metal drawer glides. All Drawers are non removable by clients and are rated at 300 pounds. Drawers also have a top rear panel prohibiting spill off of contents over top of drawer back at rear. Destructive and intensive wear of upholstery.
Furniture
www.agati.com
Agati Altra Forma
Notes These products are intended for children. 5th Edition January 31, 2011
Furniture
www.flaghouse.com
Flag House Soft Rocker

Notes For Comfort Rooms. 5th Edition January 31, 2011

New York State Mental Health Materials and Systems Guide

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PATIENT SAFETY STANDARDS

Patient Safety Standards Materials and Systems Guidelines

Recommended by the New York State Office of Mental Health

Patient Safety Standards Materials and Systems Guidelines

PATIENT SAFETY STANDARDS

Introduction Nomenclature & Applicability Fasteners Sealants Glazing & Windows

12. Interior Walls & Ceiling

5h Edition January 31, 2011

Best Practice 1980 to Early 1990s:

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

1998: JCAHO Sentinel Event Notification

PATIENT SAFETY STANDARDS

5th Edition 2/14/2011 DRAFT January 31, 2011

Current Best Practice: Focus Everywhere

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

Introduction: Risk Management, Not Risk Elimination

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

Introduction: Risk Assessment

PATIENT SAFETY STANDARDS

5th Edition January 31, 2011

Nomenclature and Applicability

PATIENT SAFETY STANDARDS

Edition January 31, 2011

PATIENT SAFETY STANDARDS

Torx and Torx Plus Tamper-Resistant by

Offers custom tooling

McGard Tamper-Resistant Security Products

5th Edition January 31, 2011

Sealants: Security Grade

PATIENT SAFETY STANDARDS

Sealants: Tamper Resistant

PATIENT SAFETY STANDARDS

Sikaflex-2c NS TG is a two component, premium-grade, polyurethane-based, elastomeric sealant.

Features / Benefits High elasticity

Fast cure rate

Exceptional adhesion to most substrates without priming

5th Edition January 31, 2011

10.1 oz. tubes

Sealants: Tamper Resistant

PATIENT SAFETY STANDARDS

Grade: NS Class: 25 Uses: NT, M, A, G, and I

Excellent elongation and movement

5th Edition January 31, 2011

Sealants: Pick Proof

PATIENT SAFETY STANDARDS

Class: B & C AASHTO M-235

Wear resistant for high traffic applications

Sealants: Pick Proof

PATIENT SAFETY STANDARDS

Suitable for horizontal, vertical and work

5th Edition January 31, 2011

Glazing & Windows: Security Glazing Risk Assessment

Glazing & Windows: Security Glazing

PATIENT SAFETY STANDARDS