The Intergovernmental Panel on Climate Change (IPCC), viewed as the most credible source of climate change research, issued an alarming report on October 2018 removing all doubt – absent aggressive action the atmosphere will warm up by as much as 2.7 ° F above preindustrial levels by 2040, inundating coastlines and intensifying droughts and poverty. The significance of this report is that the effects of climate change will occur in our lifetime.
The building construction sector has a critical role in drawing down carbon emissions by 2040. As nations all over the globe tackle operational emissions from buildings, we must now address our total emissions impact.
Life-cycle emissions resulting from buildings consist of two components: operational and embodied. A great deal of effort has been put into reducing the former as it is assumed to be higher than the latter. Studies have revealed the growing significance of embodied emissions in buildings, but its importance is often underestimated in energy efficiency decisions.
According to the Embodied Carbon Review 2018 by Bionova Inc, embodied carbon is the total impact of all the greenhouse gases emitted by the construction and materials of our built environment. Furthermore, during their life-cycle, the same products also cause carbon impacts when maintained, repaired, or disposed of.
“Trends in Healthcare” is a recurring series that focuses on exciting new designs and technologies we’re seeing in healthcare projects and provides best practices on how to ensure that these latest trends are accessible to persons with disabilities. We build on the wealth of knowledge we gain from working with healthcare design teams, construction crews, and practitioners to provide practical solutions for achieving accessible healthcare environments.
According to the U.S. Centers for Disease Control and Prevention (CDC), falls account for 3 million injuries treated in emergency rooms, 800,000 hospitalizations, and 28,000 deaths each year in the U.S. One in five falls cause serious injuries such as concussions/traumatic brain injuries and hip fractures. Not only is this a public health concern, it is extremely costly. According to the CDC, medical costs directly related to injuries resulting from falls totaled more than $50 billion in 2015. Within hospitals and long-term care facilities, effective implementation of interventions and design strategies to reduce patient falls are key to increased patient safety and decreased medical costs. However, it may not be possible to eliminate patient falls altogether, so features like a properly installed nurse call system can be life changing.
Accessible Nurse Call Stations
Most state and local standards and regulations require nurse call devices in each public toilet room and within inpatient bath, toilet, and shower rooms.[3,4] Where provided in spaces required to be accessible, the nurse call device must also be accessible. An accessible nurse call device is one that meets the following requirements:
- All operable parts, including call reset switches, are within accessible reach range (15-48″ AFF);
- NOTE: Determining compliant mounting height requires coordinating with the location of operable parts on the specific model used.
- Operable parts do not require tight grasping, pinching, or twisting of the wrist to operate; and
- Operable parts can be activated with no more than 5 pounds of force.
While these criteria appear straightforward, proper placement of nurse calls can become complicated when coordinated with minimum grab bar clearances and additional requirements under FGI, NFPA 99, NFPA 70, Ul 1069, UL 2560, and other local codes.
Water monitoring can quickly become a building owner’s best friend. The high cost of water bills can often overshadow the cost of fuel and electricity bills, but ownership and management often believe that the price of their water bill is simply something to deal with. Many building owners pay the water bill for the entire building directly to their local utility without being aware of what’s going on inside their building or what they’re actually paying for. After all, without water monitoring, how would they know?
Water monitoring can impact an owner’s bottom line due to the high costs of leaks, which are more pervasive than you’d think.
Types of Leaks
While any water fixture can contribute to leaks and high water bills, toilets are typically the worst offenders. In toilets, rubber flappers can wear out, a flapper connected to the flush handle can have an incorrectly sized chain interfering with the seal, float mechanisms on the flush valve can be set too high causing the water level to go just above the overflow tube, or there can be tenant tampering.
Showers and sinks can also start leaking at any time. While typically at much lower capacities, these leaks can actually be easier to detect. By monitoring the water consumption in a building and observing hourly usage overnight, you can identify patterns that can quickly indicate a leak, eliminating the need to visually inspect all water fixtures in a building to determine the cause.
Cost of Leaks
The idea that a single leak can last for an entire year may seem unreasonable, though the sad truth is many leaks can go undetected and/or unreported. To put water leaks into perspective, the chart below from the NYC DEP details the potential extent of leaks and their costs on a daily and yearly basis: