​​Phone (305) 215-5443


view additional healthcare services

Fast Nurse provides Purchasing Consulting, Facility Design and Accreditation Consulting for Hospitals and Surgery Centers


​​​​​​Healthcare Accreditation Consulting


  • Office Surgery  Healthcare Accreditation Consulting
  • Ambulatory Surgery Healthcare Accreditation Consulting
  • Board of Medicine  Healthcare Accreditation Consulting
  • Home Health Agency Healthcare Accreditation Consulting
  • Pain Surgery Center Healthcare Accreditation Consulting
  • AAAASF Healthcare Accreditation Consulting
  • AAAHC Healthcare Accreditation Consulting
  • JCAHO Healthcare Accreditation Consulting
  • ​DNV Healthcare Accreditation Consulting
  • ​HFAP Healthcare Accreditation Consulting


Fast-Nurse Healthcare Accreditation Consultants assist Business Owners and Physicians with obtaining Certification for Office Based Surgery Centers, Ambulatory Surgery Centers and Home Health Agencies . Unlike other Accreditation Consulting Companies, Fast-Nurse Healthcare Accreditation Consulting "Physically Stand Beside You" during your Inspection. Even more, Fast-Nurse Healthcare Accreditation Consulting assist Facility Owners assist with the Purchasing of Instruments, Operating Room Equipment, Pharmaceuticals, Emergency Power Sources, Bio-Medical Waste Disposal, Medical Gas Services at Group Purchasing Organization Prices. 

Fast-Nurse Healthcare Accreditation Consulting quickly prepares Office Surgery Accreditation and may be capable of obtaining temporary authorization from the Board of Medicine to perform Level II and Level III Surgical Procedures in-office before the Board of Medicine has performed their preliminary On-Site Inspection of your office. The temporary authorization from the Board of Medicine allows you to begin performing Level II ( IV Sedation ) and Level III ( General Anesthesia ) procedures as long as you have the necessary equipment, staff and documents in place to proceed without the Board of Medicine Inspection.


Fast-Nurse Healthcare Accreditation Consulting assist you in determining the operating rooms electrical power needs, each equipment necessary in the Operating Room for the procedures you perform and Fast-Nurse Healthcare Accreditation Consulting helps gather the necessary documents, floor plans and Disposables to begin performing your first procedures. Find out more: regarding Fast Nurse Healthcare Accreditation Consulting Complimentary Facility Evaluations.


​​​​​​​​Risk Management for Healthcare


  • Hospital Risk Management Consulting
  • Office Surgery Risk Management Consulting  
  • Ambulatory Surgery Risk Management Consulting
  • Board of Medicine Risk Management Consulting
  • Home Health Agency Risk Management Consulting
  • Pain Surgery Clinics ​Risk Management Consulting
  • JCAHO Accreditation Risk Management Consulting 
  • AAAHC Accreditation Risk Management Consulting 
  • AAAHC Accreditation Risk Management Consulting 
  • Deemed Status CMS Risk Management Consulting


Fast-Nurse Risk Management Consulting has Twenty-four years of experience in the Healthcare Field and has authored over Twenty-Five Protocol and Procedure manuals for JCAHO Ambulatory Surgery Accreditation, Office Based Surgery Accreditation and JCAHO Home Health Agency Accreditation.

Fast-Nurse Risk Management Consulting assists Facility owners with authoring & developing Bylaws for the benefit of the Organization.

Fast-Nurse Risk Management Consulting can bring Your Facility "Up to Date" with Documentation, Risk Management Drills, Peer Review, Surgical Logs and More.

Fast-Nurse Risk Management Consulting gathers information about your Practice, Assesses the Potential for Risks and Implements a Quality Improvement Program to address issues and concerns regarding Patients, Practitioners, the Facility and Business Owners.

Fast-Nurse Risk Management Consulting offers quick service for updating Risk management Documents and performing Quality Improvement tasks that involve Office Based Surgery Certification or Ambulatory Surgery Accreditation Inspections. Fast-Nurse Risk Management Consulting has a Team of experienced Registered Nurses that perform teaching to Staff, Practitioners and Business Owners regarding Patient Safety, Work Flow, Redundancies, Legal Aspects and Risks for Liabilities. In addition, Fast-Nurse Risk Management Consulting proposes cost saving tactics that are aimed at reducing costs and increasing Performance. Find out more regarding Risk Management Consulting and obtaining a Complimentary Facility Inspection and Proposal of Services.

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Ventilation Standards for Special Procedures


According to some HVAC Requirements and Standards for special procedures. Where extraordinary procedures, such as organ transplants, justify special designs, installation shall properly meet performance needs as determined by applicable standards. These special designs should be reviewed on a case-by-case basis. 


Design of the ventilation system shall provide air movement which is generally from clean to less clean areas . If any form of variable air volume or load shedding system is used for energy conservation, it must not compromise the corridor -to-room pressure balancing relationships or the minimum air changes required by the table.

​In  some HVAC Requirements, in a ventilation system that recirculates air, HEPA filters can be used in lieu of exhausting the air from these spaces to the outside. In this application, the return air shall be passed through the HEPA filters before it is introduced into any other spaces.



Ventilation required to achieve Temperature & Humidity

According to some HVAC Requirements, where temperature ranges are indicated, the systems shall be capable of maintaining the rooms at any point within the range during normal operation. A single figure indicates a heating or cooling capacity of at least the indicated temperature. This is usually applicable when patients may be undressed and require a warmer environment. Nothing in these guidelines shall be construed as precluding the use of temperatures lower than those noted when the patients' comfort and medical -31- conditions make lower temperatures desirable.

In  some HVAC Requirements, unoccupied areas such as storage rooms shall have temperatures appropriate for the function intended. 


Some surgeons may require room temperatures which are outside of the indicated range . All operating room design conditions shall be developed in consultation with surgeons, anesthesiologists, and nursing staff.




view additional healthcare services for Hospitals

Fast Nurse provides Purchasing Consulting, Risk Management and International Accreditation Consulting for Hospitals


​​​​​Medical Equipment for Export


  • Medical Equipment Purchasing Consulting
  • Anesthesia Machines Purchasing Consulting
  • Surgery Device Purchasing Consulting
  • Emergency Power Source Purchasing Consulting
  • Medical Disposables Purchasing Consulting
  • Surgical Supplies Purchasing Consulting
  • Oncology Supplies Purchasing Consulting
  • Surgery Room Equipment Purchasing Consulting
  • Surgical Instruments Purchasing Consulting


Fast Nurse Healthcare Purchasing Consulting specializes in obtaining hard to get medical equipment and medical supplies for Hospitals outside the U.S.A. Fast Nurse Healthcare Consulting does not participate with every request for medical Equipment prices. Instead, Fast-Nurse Purchasing Consulting is knowledgeable regarding which Medical Supplies should be purchased used, and which Medical Equipment should be purchased new and/or from the manufacturer that offers a substantial Warranty and provides Maintenance and repairs to your Medical equipment if necessary. Fast Nurse Purchasing Consulting is knowledgeable about which Medical Products and Medical Supplies are available for Foreign Hospitals direct from the Manufacturer or Equipment Distributor. Purchasing Direct from an authorized Distributor or Direct from the Manufacturer ensures that your Warranty is acknowledged.


Fast Nurse Healthcare Purchasing Consulting notices that Foreign Hospitals sometimes pay up too fourteen times the cost of the exact or similar product in the U.S.A. Other companies are not qualified to sell many medical products because they have never used the item. However, Fast Nurse Healthcare Purchasing Consulting has Twenty-two years of Operating Room and Patient Care experience and skills that has allowed Fast Nurse Purchasing Consulting to be successful in substituting Medical Products without the discern of Physicians, Nurses and Staff. Find out more regarding Fast Nurse Medical Supplies for Export and Purchasing Consulting.




Air Change Rates requirements for Operating Rooms


According to some HVAC Requirements, ventilation rates a. Operating room ventilation systems shall operate at all times, except during maintenance and conditions requiring shutdown by the building’s fire alarm system. b. During unoccupied hours, operating room air change rates may be reduced, provided that the positive room pressure is maintained as required in Part 6 (ASHRAE 170).​


In  some HVAC Requirements, Ventilation systems should operate at all times to maintain the air movement relationship to adjacent areas. The cleanliness of the spaces is compromised when the ventilation system is shut down. For example, airflow from a less clean space such as the corridor can occur, and standing water can accumulate in the ventilation system (near humidifiers or cooling coils).



Positive Pressure requirements for Operating Rooms


According to some HVAC Requirements, contamination entering the operating room by infiltration is controlled by keeping the operating room at a positive pressure in relation to the surrounding areas. For this reason, the return air volume must be slightly less than the supply air volume. Care must be taken that the differential between return and supply air volumes is not too great as this could impede the dilution of the contaminated air. 

Typically the return system is sized for approximately 85% of the total supply airflow. In  some HVAC Requirements, Class B and C Operating Rooms. Operating rooms shall be maintained at a positive pressure with respect to all adjoining spaces at all times. A pressure differential shall be maintained at a value of at least +0.01 in. wc (2.5 Pa). Each operating room shall have individual temperature control. Operating rooms shall be provided with primary supply diffusers that are designed as follows:


Hospital Purchasing Consultants


  • Purchasing Consulting forAccounts Payable's 
  • Purchasing Consulting & Contract Negotiators
  • Purchasing Consulting for Validate Purchase Orders
  • Purchasing Consulting to Evaluate Costs& Value 
  • Purchasing Consulting that Develops Vendors
  • Purchasing Consulting to oversee New Projects
  • Purchasing Consulting to Lease Buses & Cars
  • Purchasing Consulting to find Urgent Products
  • Purchasing Consulting that "Pay for Themselves"


Is your Hospital in the "Red"? Fast-Nurse Purchasing Consulting receives no payment if you do not save Money. You do not have to reach in your pocket and give us any money. We make money off of what we can save you. Fast-Nurse Purchasing Consulting develops highly strategic, vendor relationships that best addresses the hospitals needs. Fast-Nurse Purchasing Consulting accomplishes this by utilizing it broad sales and purchasing experience and combining it with a clinical background in medicine and manufacturing of goods.  As a result, Fast Nurse’s evidence-based process improves margins, cash flow, quality of care and patient satisfaction. Moreover, Fast-Nurse Purchasing Consulting becomes an extension of the Material’s Management Department and assists in processing purchase orders above four thousand dollars. 
​Fast-Nurse Purchasing Consulting provides assistance to the Director of Information Technology by negotiating prices for services and equipment required to keep up with the times. Fast-Nurse Purchasing Consulting negotiates services and Parts for the Plant Operations Department. Fast-Nurse Purchasing Consulting assists the Director of Surgery with analyzing high costs, finding comparative services or Items and assist in bringing strategic vendors in communication with Operating Room Surgeons to substitute medical supplies and equipment for lower cost items with equal quality. Fast-Nurse Purchasing Consulting are at the Top of the Game when it comes to Purchasing Transportation Buses and obtaining Financing with unlimited mileage. Find out more about Fast-Nurse Purchasing Consulting, our Services and Outcomes.



​​​​​​​Legal Nurse Consulting


  • Surgery Malpractice Legal Nurse Consulting
  • Anesthesia Mishaps Legal Nurse Consulting
  • ALF Negligence Legal Nurse Consulting
  • Nursing Homes Abuse Legal Nurse Consulting
  • Hospitals Errors Legal Nurse Consulting
  • Standards of Care Legal Nurse Consulting 
  • Assault & Battery Legal Nurse Consulting
  • Facility Hazards Legal Nurse Consulting
  • ​Chart Review Legal Nurse Consulting
  • Medication Errors Legal Nurse Consulting 
  • Surgery Fatalities Legal Nurse Consulting


Fast-Nurse Legal Nurse Consulting Experts have experienced a Multi-Dimensional view of Healthcare by starting at the "bottom of the ladder" as Care Assistants, moving up to Scrub Techs, and eventually becoming Registered Nurse's, Administrators and Hospital Executives. In Twenty-three years of Healthcare Experience, Fast-Nurse Legal Nurse Consulting has witnessed events and scenarios that most Healthcare Workers only read about. Before Fast-Nurse's Legal Nurse Consulting Experts were Licensed as Registered Nurses, our Professionals Bathed, Fed, Dressed and viewed how the Disease Process consumes the Human Body on a Daily Basis. Watching the Disease Process in slow motion has allowed Fast-Nurse Legal Nurse Consulting to gain experience that just cannot be bought with a one month course certificate in Legal Nursing. Fast-Nurse Legal Nurse Consulting is knowledgeable regarding the correct manner of caring for a Patient on a daily basis. Fast-Nurse Legal Nurse Consulting "knows" the correct way of performing Assisted Living Activities and can Identify Negligence, Malpractice, Assault and Battery almost instantaneously. 

After Twenty-four years of experience in the Healthcare field, Fast-Nurse's Legal Nurse Consulting has seen the way things were performed in the "Old Days" and how they supposed to be performed "now". Fast Nurse is a Leader in Legal Nurse Consulting because Fast-Nurse has the ability to view and decipher information to reveal the true facts of a scenario by just viewing notes and asking questions. Moreover, Fast-Nurse Legal Nurse Consulting has Authored over Twenty-five Protocols and Procedure Manuals by Interpreting three hundred and sixty Standards of Care set forth by the Joint Commission ( JCAHO ). Fast-Nurse Legal Nurse Consulting combines 24 years of Healthcare Experience with Military experience and, thus, performs a diligent review of the facts and discloses which Protocols & Procedure were not followed. 

Next, Fast-Nurse Legal Nurse Consulting proposes the proper procedure for Caring of Patients, performing Therapeutic Treatments, Administration of Drugs and Implementation of Protocols . Fast-Nurse Legal Nurse Consulting offers a Complimentary Legal Consultation and review. Find out more regarding Fast-Nurse Legal Nurse Consulting.


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​Healthcare Resources & Information


  • Healthcare Accreditation Consulting
  • Surgery Center Documents Accreditation Consulting
  • Protocol & Procedure Accreditation Consulting
  • Emergency Power System Accreditation Consulting
  • Deemed Status Accreditation Consulting
  • HVAC System Accreditation Consulting
  • ​NFPA Code Accreditation Consulting
  • Links to Important Resources for Healthcare
  • Ambulatory Surgery Accreditation Consulting
  • Office Based Surgery Accreditation Consulting


Fast Nurse Accreditation Consulting provide Resources, Links and Information for Contractors, Architects, Engineers, Administrators, Physicians, Registered Nurses and Business Owners regarding Ambulatory Surgery Center Construction and Healthcare Accreditation. to facilitate the Design, Construction, Certification and obtaining an Emergency Power Source for your Office Based Surgery Center or Ambulatory Surgery Center. Fast Nurse Resources and Information Page provides valuable links to sources of information regarding submission of Ambulatory Surgery Center Construction Plans to the Centers for Medicare and Medicaid ( CMS ) for obtaining a "Deemed Status". Fast Nurse Resources and Information Page provides Protocol and Procedure Manuals for Home Health Accreditation, Ambulatory Surgery Accreditation and Office Surgery Accreditation. Fast Nurse Healthcare Accreditation Consulting is available to answer questions and provide information regarding most types of Healthcare Practices. Fast Nurse Accreditation Consulting makes available Protocols and Procedures for implementing Standards of Care throughout your Healthcare Facility. Fast-Nurse Healthcare Accreditation Consulting is knowledgeable in the most important issues regarding Healthcare Costs, Liability, Patient Safety and Increasing Profits while reducing Costs. View some of Fast Nurse's Resources and Information regarding Office Based Surgery Accreditation Consultation and Ambulatory Surgery Center JCAHO Accreditation Consultation, AAAHC Accreditation Consultation, AAAASF Accreditation Consulting or the Board of Medicine Accreditation Consulting. In addition, View details about how Fast Nurse Accreditation Consulting Experts have performed for other facilities and where we place emphasis.

​​Email:  info@fast-nurse.com

"ALWAYS ON TIME"

​​​Positive Pressure Testing and Filter Requirements for Operating Rooms



In  some HVAC Requirements for Operating Rooms. Each operating room should be tested for positive pressure semi-annually or on an effective preventative maintenance schedule. When HEPA filters are present within the diffuser of operating rooms, the filter should be replaced based on pressure drop. A1.4 Filters. Final filters and filter frames should be visually inspected for pressure drop and for bypass monthly. Filters should be replaced based on pressure drop with filters that provide the efficiencies specified in HVAC Requirements.​ 


In some HVAC Requirements, in a recirculating ventilation system, HEPA filters shall be permitted instead of exhausting the air from these spaces to the outdoors provided that the return air passes through the HEPA filters before it is introduced into any other spaces. the entire minimum total air changes per hour of recirculating airflow shall pass through HEPA filters.





Contact Fast-Nurse for a Complimentary Evaluation of your ASC Floor Plans


info@fast-nurse.com or call (305) 501-0840





View additional Guidelines for ambulatory Centers


​Fast Nurse performs Consulting Guidelines for Operating Rooms, Type 1 Essential Electrical Systems and Gas/Vacuum Systems


Protocol & Procedure Manuals for Accreditation 


  • Protocol & Procedure Manuals for Purchase 
  • Interpretation of Standards of Care
  • Infection Control Procedure Manual
  • BioMedical Waste Procedure Manual
  • Disaster Plan Procedure Manual
  • Exposure Control Procedure Manual
  • OR Policy Procedure Manual
  • Risk Management Procedure Manual
  • Human Resources Procedure Manual
  • Information Management Procedure Manual
  • Life Safety Procedure Manual
  • Performance Improvement Procedure Manual
  • Environment of Care Procedure Manual
  • Medication Management Procedure Manual
  • Provisions of Care Procedure Manual


From 1999 to 2003, Fast-Nurse interpreting three hundred and sixty Standards of Care set forth by the Joint Commission ( JCAHO ) regarding Ambulatory Surgery Centers, Office Based Surgery Centers and Home Health Agencies. The Protocol and Procedure manuals are genuine, authentic and were authored "In-house". After three years, Nine Protocol & Procedure Manuals were published in Printed and Electronic Form. Since then, Fast-Nurse has adapted the Protocol & Procedure Manuals to fit 

The Joint Commission standards are the basis of an objective evaluation process that can help health care organizations measure, assess and improve performance. The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The Joint Commission’s state-of-the-art standards set expectations for organization performance that are reasonable, achievable and surveyable.​​

Joint Commission standards are developed with input from health care professionals, providers, subject matter experts, consumers, government agencies (including the Centers for Medicare & Medicaid Services) and employers. 


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​Operating Room Construction Guidelines 


  • Guidelines for Class A Surgery 
  • Guidelines for Class B Surgery 
  • Guidelines for Class C Surgery


The number and size of the OR's in the unit must be determined first. Each OR should have a substerile room adjacent for entry and scrub sinks in the immediate area. There should be one scrub sink per two ORs. In the OR, there should be sufficient space for sterile supplies and equipment as well as an anesthesia machine (if desired) and anesthesia supplies. In general, approximately 3000 sq ft of surgery center space is needed for each OR, with each OR providing 1000-1500 cases per year. In addition, three preoperative and three postoperative bays per OR should be included in the design for maximum efficiency. The OR size should range from 14 × 16 to 14 × 20 sq ft. Find out more regarding Operating Room Design and Construction.



Direction and Pattern of Airflow


According to some HVAC Requirements, In a non-unidirectional airflow cleanroom, air enters the room via filters in the ceiling, and is exhausted via grilles in the wall close to the floor. 

​The airflow shall be unidirectional, downwards and the average velocity of the diffusers shall be 24 to 35 cfm/ft2 (127 L/s/m2 to 178 L/s/m2). The diffusers shall be concentrated to provide an airflow pattern over the patient and surgical team.


​The protective environment airflow design specifications protect the patient from common environmental airborne infectious microbes (i.e., aspergillus spores). Recirculation HEPA filters shall be permitted to increase the equivalent room air exchanges; however In  some HVAC Requirements, the outdoor air changes are still required. constant volume airflow is required for consistent ventilation for the protected environment. the pressure relationship to adjacent spaces shall remain unchanged if the PE room is utilized as a normal patient room. rooms with reversible airflow provisions for the purpose of switching between protective environment and aII functions shall not be permitted.




​Surgery Facility Design & Construction


  • Floor Plans and CAD Accreditation Consulting
  • Construction Requirements Accreditation Consulting
  • Emergency Power Sources Accreditation Consulting
  • NFPA Requirements Accreditation Consulting
  • Document & Submit Plans Accreditation Consulting
  • Life Safety Rules Accreditation Consulting
  • Critical Area Rules Accreditation Consulting
  • Medicare CMS Rules Accreditation Consulting
  • Estimating Project Costs Accreditation Consulting


Fast Nurse Healthcare Accreditation Consulting and Facility Designers offer “Flow”, a design feature that combines operating room movement, patient care experience, accreditation requirements and floor planning to construct surgical facilities that isolate patients from workflow contamination and maximize space for optimal function. Most Ambulatory Surgical Center Floor Plans are not created for Optimal Efficiency, have low Safety Features for Patients, are not arranged in an Aesthetically Pleasant manner nor are they created with Health Care professional performance at work. Why? Because most Hospitals and Surgery Centers are designed by Architects without any Healthcare experience. Fast Nurse Healthcare Accreditation Consulting has seen mistakes after mistakes when it comes to Architects pretending to have knowledge about sterility, procedures performed, and patient privacy. At Fast Nurse Healthcare Accreditation Consulting, we specialize in creating floor plans that integrate day to day operations in a manner that optimizes the comfort and privacy of Patients and reduces contamination and Legal Liabilities for an Organization. In addition, Fast Nurse Consulting creates floor plans that allow direct visualization of Operating Room Patients and separates Administrative work from the Surgical Department. 

Fast Nurse Healthcare Accreditation Consulting provides Electrical Power Consulting for determining Backup Power needs for one operating room or more. Fast Nurse Healthcare Accreditation Consulting assist in developing Single Line Drawings, CAD Drawings and Submission of Construction Plans to Centers of Medicare and Medicaid for Ambulatory Surgery Center Deemed Status Approval. Find out more regarding Healthcare Accreditation Consulting:

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contact us for a Complimentary evaluation


Fast Nurse provides Complimentary Evaluations and Pre-Inspections of your Facility and Floor Plans


Call or Email Fast Nurse now and discuss what options are available for your Business. Fast Nurse is available to assess Accounts Payable's concerns, Schedule a Free Consultation, or send you some options for Floor Plans. A Registered Nurse is standing by to provide Information. 


For Information email:  info@fast-nurse.com or Call Us at (305) 215-5443

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Emergency Power System for Healthcare 


  • Emergency Power System for Office Surgery Centers
  • Emergency Power System for Plastic Surgery Centers
  • Emergency Power System for Ambulatory Surgery
  • Emergency Power System for Medical Equipment
  • Emergency Power System for Clinics
  • Emergency Power System Operating Rooms
  • Emergency Power System for Life Safety
  • Emergency Power System for Critical Areas
  • Emergency Power System for HVAC Systems
  • Emergency Power System for Pain Surgery Centers
  • Emergency Power System for Oxygen concentrators
  • Emergency Power System for E.M.S. Trucks


The Geneforce Emergency Power System is a "Gas-Free", Solar Rechargeable Indoor Generator perfect for Office Buildings and locations where gas is prohibited or not practical. The Geneforce Emergency Power System does not rely on gas and, thus is safe for indoors. Plug equipment directly into the Geneforce Emergency Power System outlets. Next plug the Geneforce Emergency Power System into any wall outlet. When a power failure occurs, the Geneforce will automatically provide power to your equipment. When the power is restored, the Geneforce Emergency Power System will automatically resume charging. The Geneforce Emergency Power System arrives fully charged and ready to work. The Geneforce Emergency Power System does not require Maintenance, Installation nor Permits. The Geneforce Emergency Power System Meets requirements for NFPA Type I Essential Electrical Systems for Ambulatory Surgical Center Accreditation as defined by NFPA 99-111 .

Do not be fooled by Imitations. The smallest Geneforce Emergency Power System provides the Two Hour minimum Backup Power requirement for Operating Room Emergency Power Systems. When a Power Failure occurs, the Operating Surgeon has sufficient time to complete a procedure, obtain Optimal Results, and avoid "Bringing Back the patient" for another day of Unnecessary Anesthesia, Anesthesia Provider Fee's and Staff required to Circulate, Scrub and Recover a patient. The Geneforce Emergency Power System gives you "Peace of Mind". Fast-Nurse's Team of O.R. Registered Nurses are Risk Management Consulting experts and avoid any possible litigation by following Accreditation Requirements to their fullest interpretation. 


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​​​Room Pressure Differential requirements for Operating Rooms


​According to some HVAC Requirements, the operation room, which requires air that is free of contamination, must be positively pressurized relative to adjoining rooms or corridors to prevent any airflow from theses relative highly contaminated areas. 4. Differential pressure indication device should be installed to permit air pressure readings in the rooms. Air Pressure should be maintained positive with respect to any adjoining rooms by supplying 15% excess air.


Differential pressure shall be a minimum of 0.01" water gauge (2.5 Pa). If alarms are installed, allowances shall be made to prevent nuisance alarms of monitoring devices.

In  some HVAC Requirements, if pressure monitoring device alarms are installed, allowances shall be made to prevent nuisance alarms. short term excursions from required pressure relationships shall be allowed while doors are moving or temporarily open. simple visual methods such as smoke trail, ball-in-tube, or flutterstrip shall be permitted for verification of airflow direction. 



​​​​​​​International Healthcare JCI Accreditation


  • Hospital JCI Accreditation Consulting
  • Ambulatory JCI Accreditation Consulting
  • Home Health JCI Accreditation Consulting
  • Laboratory JCI Accreditation Consulting
  • Pharmacy JCI Accreditation Consulting
  • Urgent Clinic JCI Accreditation Consulting
  • Foreign Hospital JCI Accreditation Consulting
  • Cosmetic Surgery JCI Accreditation Consulting
  • Eye Surgery Center JCI Accreditation Consulting
  • Oncology Center JCI Accreditation Consulting
  • GI Center JCI Accreditation Consulting


For International Hospitals "outside the USA" to be Competitive, Reduce Liability, Increase Profits and Reduce Injuries to patients, it is critical that an International Hospital seek JCI Accreditation Consulting and implement Protocols and Procedures that adhere to the highest Standards of Care when compared to the most prestigious Hospitals in the United States. Imagine all the extra business you can receive and all of the Patient's that may travel to your Hospital after hearing your Hospital has obtained JCI Accreditation and is held to same Standards of Care that JCAHO Accreditation Hospitals in the United States are accountable too. Fast Nurse JCI Accreditation Consulting prepares your Hospital for Joint Commission JCI Accreditation by guiding each Hospital Department Director and Manager through the process of performing day to day operations with in a manner that creates accountability and promotes smooth integration of evidence-based processes contained in the JCI Protocols and Procedure manuals that Guide Leaders, Practitioners and staff through delivery optimal healthcare services. Fast Nurse JCI Accreditation Consulting performs teaching of staff in every aspect of Healthcare from caring for Patients to Leadership Responsibilities.


Fast Nurse JCI Accreditation Consulting is Proficient in many languages and features a Business Model that has been Reproduced continuously with consistent Successful Results. Fast Nurse JCI Accreditation Consulting interprets Standards of Care into Protocol and Procedures that are then implemented and further evaluated for Outcomes. Fast Nurse JCI Accreditation Consultants are available for Complimentary Evaluations of your Hospital and/or Ambulatory Care Center. Fast Nurse JCI Accreditation Consulting works in Association with Joint Commission Specialist to facilitate the JCI Accreditation and Teaching Process involved for JCI Hospital Accreditation. Find Out more about services Fast Nurse JCI Accreditation Consulting offered to International Healthcare Facilities and Hospitals. 

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hvac requirements & Humidification Systems for Healthcare facilities



Fast-Nurse Interprets requirements for Heating, Ventilation, A/C & Humidification of  Healthcare Facilities & Operating Rooms


Fast-Nurse Healthcare Accreditation Consultants assist Electrical Contractors and Engineers with determining the proper and adequate HVAC Requirements and Humidification System required for Ambulatory Surgery Centers, Laboratory's and Healthcare Facilities in each State. Fast-Nurse Healthcare Accreditation Consultants have authored seventeen Protocol & Procedure Manuals by interpreting three hundred and sixty Standards of Care set forth by the Joint Commission ( JCAHO ) regarding Ambulatory Surgery Centers. Fast-Nurse Healthcare Consultants are knowledgeable in determining which HVAC Requirements are needed for Accreditation of Ambulatory Surgery Centers and Operating Rooms in each State. Fast-Nurse Healthcare Accreditation Consultants work closely with the Joint Commission JCAHO, AAAHC Accreditation, AAAASF Accreditation, DNV Accreditation, HFAP Accreditation and the Board of Medicine Accreditation to ensure that HVAC Requirements are met when installing Heating, Air Conditioning, Ventilation and Humidification Systems. Fast-Nurse Healthcare Accreditation Consultants ensure that HVAC Requirements, Standards of Care and the Physical Plant Requirements for Ambulatory Surgery Centers are properly implemented and that the Ambulatory Surgery Center passes Accreditation inspection on their initial visit.


Fast-Nurse Healthcare Accreditation Consultants create Ambulatory Surgery Center Designs, Floor Plans and HVAC Requirements Consulting for Ambulatory Surgery Centers which ensure that Ventilation shall be provided in all rooms in new and remodeled facilities by mechanical means. Fast-Nurse Healthcare Accreditation Consultants ensure that the minimum HVAC Requirements quantities and filtrations as set forth by the "Minimum Ambulatory Surgical Center Ventilation Rates" shall be met. For example, did you know that Variable volume systems are permitted in all ambulatory surgical centers except in surgical procedures rooms and recovery rooms?

Fast-Nurse Healthcare Accreditation Consultants assist Electrical contractors with Ambulatory Surgery Center HVAC Requirements in order to save time and money. Most HVAC Requirements System contractors are not aware that all air supplied to operating rooms shall be delivered via an air duct strategically placed in an operating room. In addition, Fast-Nurse Healthcare Accreditation Consultants ensure that all air removed from the operating room area shall be removed near a specific level of the operating room according to HVAC Requirements. Fast-Nurse Accreditation Consultants specialize in determining which Laminar flow systems are not prohibited by Ambulatory Surgery Accreditation HVAC Requirements. Fast-Nurse Accreditation Consultants for Ambulatory Surgery Centers specialize in implementing Laminar Flow Systems that ensure any bacteria, viruses or dust particles are extracted directly before the air enters the operating room. This means that the operating area is completely isolated within the surrounding room, effectively preventing any contamination by bacteria or virus-laden air. Also, Fast Nurse Healthcare Accreditation Consultants assist electrical contractors with HVAC Requirements pertaining to the number of return or exhaust outlets required in Ambulatory Surgery Center operating rooms and the HVAC Requirements measurements in inches of where the exhaust or return outlets shall be located in the operating room.

Fast-Nurse Healthcare Accreditation Consultants assist electrical contractors with determining HVAC Requirements regarding where Outdoor air intakes shall be located and the minimum distances required for placement away from the floor and any exhaust air and plumbing vent. Fast-Nurse Healthcare Accreditation Consultants assist electrical contractors with determining HVAC Requirements regarding which Friable duct linings cannot be used in Ambulatory Surgery Center operating rooms & recovery rooms. 



Find out more regarding:


Direction and Pattern of Airflow HVAC Requirements 

Velocity, Area, Placement and Use of the Primary Supply Diffusers HVAC Requirements

Ventilation required to achieve Temperature and Humidity HVAC Requirements

Placement and Spacing of Exhaust Grills HVAC Requirements

Air Change Rates HVAC Requirements for Operating Rooms

Positive Room Pressure  HVAC Requirements for Operating Rooms

Ventilation Standards for Special Procedures HVAC Requirements

Room Pressure Differential  HVAC Requirements for Operating Rooms

Positive Pressure Testing and Filter  HVAC Requirements for Operating Rooms




View Sample guidelines for hvac requirements & Humidification Systems


Type 1 Essential Electrical System 

Guidelines 


  • NFPA Type 1 Electrical System Design
  • NFPA Type 1 Electrical System Voltages
  • NFPA Type 1 Electrical System for Loads
  • NFPA Type 1 Electrical System Alarms
  • ​NFPA Type 1 Electrical System Rating
  • NFPA Type 1 Electrical System Switches
  • NFPA Type 1 Electrical System Monitoring
  • NFPA Type 1 Electrical System Installation
  • ​NFPA Type 1 Electrical System Testing
  • NFPA Type 1 Electrical System Distribution
  • NFPA Type 1 Electrical System Redundancy
  • NFPA Type 1 Electrical System Transfer Time
  • ​NFPA Type 1 Electrical System Life Safety
  • NFPA Type 1 Electrical System Wiring
  • NFPA Type 1 Electrical System Receptacles
  • NFPA Type 1 Electrical System Charging


The NFPA defines the need for a Type 1 essential electrical system as a facility with critical care areas or electrical life support systems. Any Type 1 essential electrical system must have emergency electrical power. Whatever method of emergency power is used, the need for a supply of 60-HZ (AC) power to the essential electrical system must be established within 10 seconds of power failure. Battery-operated OR lights are required to prevent danger to a patient during the potential 10 seconds of darkness.


For ambulatory units that do not have electric life support systems or critical care areas, the NFPA defines the need for a Type 3 essential electrical system. A Type 3 system would require power for life safety and the termination of the current procedures. Life safety is battery power for lights, fire alarm systems, and emergency exits. The NFPA requires that the life safety power remain for 1.5 hours after interruption of normal power.




Placement and Spacing of Exhaust Grills


​According to some HVAC Requirements, the operating room return air system ideally consists of four return grilles, one located in the center of each wall. In the case where it is not possible to have a return grille in each wall, the next best option is to have two return grilles, located on opposite sides of the air curtain. Alternatively, the grilles could be located in opposite corners of the room. When using only two return grilles if they were located on adjacent walls, this could result in the migration of contaminated air back into the operating area. 


In  some HVAC Requirements, The return grilles are mounted at low level, approximately three to six inches above the floor. In this location they exhaust both the contaminated air and any heavier-than-air gases.




Velocity, Area, Placement and Use of the Primary Supply Diffusers


​According to some HVAC Requirements, the area of the primary supply diffuser array shall extend a minimum of 12 in. (305 mm) beyond the footprint of the surgical table on each side. No more than 30% of the primary supply diffuser array area shall be used for nondiffuser uses such as lights, gas columns, etc.

Additional supply diffusers may be required to provide additional ventilation to the operating room to achieve the environmental requirements relating to temperature, humidity, etc.


The room shall be provided with at least two low sidewall return or exhaust grilles spaced at opposite corners or as far apart as possible, with the bottom of these grilles installed approximately 8 in. above the floor. Exception, In  some HVAC Requirements: In addition to the required low return (or exhaust) air grilles, such grilles may be places high on the walls. The linear air diffusers discharge the supply air at an angle of approximately 15° from vertical, maintaining a barrier between the clean zone around the operating table and the surrounding operating room.



Medical Gas Installation & Hospital Vacuum System Guidelines 


  • Medical Gas Installation for Multiple Pumps 
  • Hospital Vacuum System Outlets
  • Medical Gas Installation Medical Gas Flow Rates


The National Fire Protection Association ( NFPA ) has Medical Gas Installation and Hospital Vacuum System set guidelines for electrical systems as well as Medical Gas Installation and Hospital Vacuum System Standards in health care facilities. Their recommendations are the basis for a number of Joint Commission JCAHO and CMS Standards and Regulations. Ambulatory ORs require Medical Gas Installation level one or level two piped gas and vacuum systems. Most free-standing centers or Hospital Vacuum Systems would be either level one or two Medical Gas Installation since the administration of general anesthesia frequently occurs. 


​Each Medical Gas Installation station must have an adequate flow rate for proper delivery to the patient and adequate functioning of connected equipment. All Medical Gas Installation piped gases and Hospital Vacuum Systems must be identified by a color coding system.
Medical Gas Installation and vacuum piping can be delivered through surgical ceiling columns. 
The total oxygen needs and consumption for the facility must be calculated before Medical Gas Installation and Hospital Vacuum System Installation has begun. One must consider the procedures done at the facility, number of oxygen stations, and the number of procedures to be performed monthly. Any facility requiring more than 35,000ft3/month must have a bulk storage system of oxygen. Those requiring less than 35,000 ft3/month can use a cylinder manifold system for oxygen supply. Find out more regarding Medical Gas Installation and Hospital Vacuum System or for Ambulatory Surgery Centers.