Cubicle curtain track - Health Facilities Scotland
Contents
1. e allow an untrained operative to load a curtain complete with gliders or runners e are for use on suspended or with minor adaptation on ceiling fixed track e give full control of feed on of gliders or runners Soiled curtains are usually unloaded straight into a container on the floor the gliders or runners being run off the track when an end stop is removed to fit the loading device Curtains are changed at the end of the cubicle furthest from the patient s head and the fitting and removal of gliders or runners to the curtains takes place entirely outside the patients area The accuracy and frequency with which hooks or buttons are spaced along the operative width of the curtain is a key factor in ensuring that the curtain will draw easily around track bends This will be achieved if the hooks or buttons are fitted to the curtain before delivery to the cubicle The use of curtains with predetermined hook or button positions should be considered Maintenance manual General An operation and maintenance manual should be compiled and should be handed to the maintenance staff immediately following the practical completion of the contract The manufacturer s recommendations in respect of periodic inspection and maintenance should be followed to ensure that acceptable levels of performance are maintained Hygiene and cleaning Control and Prevention of Healthcare Associated Infection HAI is a priority issue for NHSScotl2. the spacing and location of fixing points should be strictly in accordance with the manufacturers recommendations Suspended track must be restrained to prevent horizontal movement by direct fixing of track to flank walls or partitions tie bars V hangers fixed to the ceiling any combination of these as appropriate to the layout Some examples are given in Figures 3 5 In Figure 3 wall fixings at one end of front rail with tie bar where necessary provide adequate lateral support for up to eight cubicles Beyond that the manufacturer should be consulted to confirm specification for restraint Version 1 0 December 2006 page 9 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 3 10 3 11 3 12 3 13 3 14 3 15 MA AK heath Facilities Scottand SHTM 66 Cubicle curtain track Building Component Series NH rvices Figure 3 In Figure 4 V hangers provide lateral restraint on inner tracks of up to three cubicles when no wall fixing on front rail can be provided Beyond three cubicles the manufacturer should be consulted Figure 4 As shown in Figure 5 where the arrangement of windows engineering services and bedhead units permits curtains may be parked on an extension of the track fixed parallel to a wall and supported by a wall bracket This support is as effective as the normal wall fixing which is used where track meets wall at 90 Figure 5 Note that V hangers have
3. 1 htm The Construction Design and Management Amendment Regulations 2000 SI 2000 No 2380 The Stationery Office http www opsi gov uk si si2000 20002380 htm Health Building Notes HBN 4 In patient accommodation options for choice The Stationery Office 1997 HBN 40 Volumes 1 4 Common activity spaces The Stationery Office 1995 NHSScotland Publications SHTM 55 Windows Health Facilities Scotland 2006 SHTM 56 Partitions Health Facilities Scotland 2006 SHTM 60 Ceilings Health Facilities Scotland 2006 NHSScotland Cubicle Curtain Tracking Dustcover Strips potential ligature HAZ SC 04 15 16 12 04 NHSScotland suicide risk from point of ligature on curtain tracks and similar equipment SAN SC 98 49 19 11 98 National Standards of Cleanliness http patientexperience nhsestates gov uk clean_hospitals ch_content home ho me asp NHS Cleaning Manual http patientexperience nhsestates gov uk clean_hospitals ch_content home ho me asp Version 1 0 December 2006 page 15 of 16 Health Facilities Scotland a Division of NHS National Services Scotland MA AK heath sacs scottand SHTM 66 Cubicle curtain track Building Component Series NH sf tic r Yuz ase oti NHS Estates Alert Notice NHSE 2004 05 Suspended ceilings http www dh gov uk PublicationsAndStatistics LettersAndCirculars EstatesAler ts EstatesAlertsArticle fs en CONTENT ID 4119186 amp ch
4. example a bed space 2900mm deep and 2500mm long assuming curtains for one side and the end are to be parked will require 810mm of track for parking Part of the curtain can be parked behind the bedhead but it is unlikely that projection of the curtain from the wall can be eliminated entirely If the NHS Board has a policy which includes tightly bunching the curtains the provision of extra track solely for curtain parking can be reduced Curtain changing Domestic services staff are usually responsible for changing curtains Speed and efficiency of the procedure are of great importance to the smooth running of the department which should minimise e loss of cubicle function e hindrance to other user activities by restricting or blocking circulation spaces e disturbance of patients Version 1 0 December 2006 page 12 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 3 31 3 32 3 33 3 34 3 35 3 36 3 37 v AK heath Facilities scottand SHTM 66 Cubicle curtain track Building Component Series NHS e operator fatigue and the associated risk of accidents when working at or near ceiling height and e risk of cross infection due to movement of soiled curtains Curtain loading devices reduce these problems by enabling staff to change curtains more quickly and transferring the hooking and unhooking stages to normal working height One device per floor is usually adequate They
5. health Faciities scotland SHTM 66 Cubicle curtain track Building Component Series NHS Services Scotlan a 1 Introduction A Background This is one of a series of Scottish Health Technical Memoranda which provide specifications and design guidance on building components for health buildings A Reference Section is provided at the end of this document including Acts Regulations and British Standards The numbers and titles of the SHTMs in the series are e 54 User manual e 55 Windows e 56 Partitions e 57 Internal glazing e 58 Internal doorsets e 59 Ironmongery e 60 Ceilings e 62 Demountable storage system e 63 Fitted storage system e 64 Sanitary assemblies e 66 Cubicle curtain track e 67 Laboratory fitting out systems e 69 Protection Scope and status This SHTM offers guidance on the technical design and output specifications of curtain cubicle track in health buildings Its content does not diminish either the manufacturer s responsibility for fitness for purpose of products or the design team s responsibility for selection and application of products to meet project requirements Design teams are also reminded of their obligations under the Construction Design and Management CDM Regulations 1994 as amended 2000 to ensure safe construction Version 1 0 December 2006 page 3 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 1 5 1 6 1 7 1
6. in line with current national guidance together with any additional Local Management requirements Relevant Provisions of current guidance standards and Codes of Practice for cleaning of healthcare premises and including the latest technical requirements are embodied in the following documents e SHEN 30 Infection Control in the built environment Design and Planning e HAl Scribe Healthcare Associated Infection System for Controlling Risk in the Built Environment e The NHSScotland National Cleaning Services Specification e NHS Quality Improvement Scotland Healthcare Associated Infection HAI Cleaning Services Standards e The NHSScotland Code of Practice for the Local Management of Hygiene and Healthcare Associated Infection e Clinical Standards Board for Scotland Healthcare Associated Infection HAI Infection Control Standards The construction should be capable of withstanding the cleaning regimes given in the above guidance Version 1 0 December 2006 page 14 of 16 Health Facilities Scotland a Division of NHS National Services Scotland X a SHTM 66 Cubicle curtain track Building Component Series NHS ervices References Acts and Regulations The Building Scotland Regulations 2004 ISBN 0 954 6292 3 x Ref Scottish Building Standards Agency The Construction Design and Management CDM Regulations 1994 SI 1994 No 3140 HMSO 1995 http www hmso gov uk si si1994 Uksi_ 19943140 en
7. 8 1 9 57 YE health races scotland SHTM 66 Cubicle curtain track Building Component Series NHS Relationship to other data The main sources of data used in the preparation of this SHTM are listed in the References section This SHTM was prepared for publication in December 2006 After this date readers should ensure that they use the latest or new edition of all building legislation British Standards etc which may post date the publication of this document First preference should be given to products and services from sources which have been registered under current BSI Quality Assurance system procedures or other certification schemes Suppliers offering products other than to British Standards should provide evidence to show that their products are at least equal to such Standards This guidance should be used in conjunction with sections of the National Building Specification NBS relevant to fittings accessories NBS is a library of standard specification clauses covering most kinds of building work and comprising a wide range of clauses with accompanying guidance notes All clauses are optional and their combination into a job specification is left to the specifier NBS has great flexibility and it can be adapted to suit the technical needs and preferences of different projects organisations and specifiers Specifications go out of date as a result of technical innovation or major review of a key BSI document As NBS sect
8. NHS National Services Scotland Scottish Health Technical Memorandum 66 SHTM Building Component Series Cubicle curtain track x JP Health Facilities Scotland Property and Capital Planning December 2006 YK henten races Sota SHTM 66 Cubicle curtain track Building Component Series NHS Contents page le NEVO UN CTR IN chia hierniana inieiientsa peek iaaeteleieait a enact 3 Ma Background se cice ticeds ce lee Nea eee amd cniee mer team annie Tem itemn AAEN 3 1 3 Scope and Stat Sais sted atececens tn cisncndececacaducidansiacedentiecsdacndadadaaefacedaandaaadac 3 1 5 Relationship to COUNSEL E cssee cos cette antzecteentarcigeattonieexiaemtaenigeeleeciaenienctnet 4 Aet Terminology mera enter ere ene enced ee tere preter renner Centre ctr meer an ensn rmnerr 4 2 UserreguirememMtS esas ceinisdianhineaiendaaiiiined inh candanedaenbinieh anisi ariaa akani 6 20 G nsmMu eN pallSmasicanininin annann AE 6 2 2 Constituent MN een dace dacantenrs Paanandepaptontdaanandidaeaianhdaciandidaankaxedaundamidaas 6 29 TE SG ttre cetacean ate tcetccntaeatseatpeieenicnntieatentsentcenteteeeteen 6 24 Fie Oa ON eter ascdaremeseictoce nace a E A 6 BF cect eal ca baactaclap mens ca gacnecate cece cape aaaea 7 2 6 FESO STAC gE agree pretend mtinceenieialarere al piecbalgreeal sis neolaiareesaisioteles 7 2 7 Quietness and smoothness in operation ccceeeeeeeeseeeeeeeeeeeeeeeeeeeeees 7 2 10 Curtain hanging and CHANGING ao cosicece
9. a very limited application A tie bar with wall fixing provides much more effective lateral restraint Tie bars comprise lengths of track which are not fitted with gliders or runners this ensures consistency of appearance and standardisation of fittings Ceiling fixed track needs no restraint to prevent horizontal movement Hangers supporting track are generally of rod construction However wire hangers are preferred when the hanger is longer than 1000mm or when raking Version 1 0 December 2006 page 10 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 3 16 3 17 3 18 3 19 HS MA AK neant Facilities scottand SHTM 66 Cubicle curtain track Building Component Series 15 sz P tion i al a al e cotland w hangers must be used because a ceiling fixing is not practical for example a weak membrane in an existing ceiling Obtain advice from the manufacturer whenever unusual project conditions apply Low weight release systems For some years it has been recognised that a major means of suicide among in patients in mental health units is using curtain or shower rails as a ligature point There are specific Estates Hazard Facilities and Safety Action Notices which deal with relevant issues These are updated at frequent intervals Refer to www show scot nhs uk for further current information password access may be required to certain restricted documents In summ
10. and both in respect of the safety and well being of patients and staff and also the resources consumed by potentially unavoidable infections Version 1 0 December 2006 page 13 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 3 38 57 D health races scotand SHTM 66 Cubicle curtain track Building Component Series NHS Healthcare Associated Infection HAI is a complex issue involving the many different elements of patient care and provision Due to its multi factorial nature there is a need to develop a holistic approach to combating the spread of infection within the built environment It is imperative that those involved in the design and planning construction and refurbishment and on going maintenance of the healthcare facility have a sound knowledge of prevention and control of infection in the built environment SHEN 30 and HAI SCRIBE aim to provide information on the prevention and control of infection and on the prevention of cross infection and cross contamination in healthcare facilities to those responsible for the planning design and maintenance of such facilities Cleaning is an essential part of the multi disciplinary approach in improving patient staff and public safety Safe clinical care is supported through ensuring high standards of hygiene and related measures to tackle HAI in the healthcare environment Cleaning regimes including frequency of cleaning should be addressed
11. ary the following action should be taken e identify and remove all non collapsible bed cubicle and shower curtain rails and window curtain rails in mental health in patient settings e determine requirements for anti ligature design e replace with collapsible type bed and shower curtains e system manufacturers should provide installation drawings showing positions of hangers e ensure any new system does not introduce new risk e the tracking must be designed to collapse when abnormal loads are applied to it The system must incorporate anti deflection devices as required to ensure that only full collapses not partial occur e flexible dust covers should be cut into maximum 150mm lengths Alternatively a solid cover can be used e once installed ensure regular maintenance checks and load tests are carried out according to manufacturers instructions See also NHS Estates alert notices NHSE 2004 05 NHSE 2004 08 NHSE 2004 10 and SN 2002 01 Curtains and curtain changing Commissioning and design teams must cooperate when selecting curtains particularly when deciding on the thickness colour and fullness of curtains and the adequacy of suspension tape Earlier design decisions regarding bunching and parking of curtains and the transmission of light and ventilation should be passed on to the commissioning team Version 1 0 December 2006 page 11 of 16 Health Facilities Scotland a Division of NHS National Se
12. aterials may be employed for small non structural parts Fire resistance of curtains to be in accordance with paragraph 3 21 Version 1 0 December 2006 page 6 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 2 5 2 6 2 7 2 8 2 9 2 10 2 11 2 12 2 13 S AK hean Faciities scottand SHTM 66 Cubicle curtain track Building Component Series NHS Natio Services Strength Track suspension braced or unbraced should have a breaking strength of not less than 180 kg between upper and lower fixing points at any location within the collapsible subsystem see also paragraphs 3 17 3 18 for rails used in mental health settings The weakest components in the system should be the gliders or runners Electrostatic charges No system should to any appreciable extent develop or shed electrostatic charges Manufacturers to be consulted as relevant at specification stage and specialist technical input should be sought if required Quietness and smoothness in operation No quantifiable criteria are available for quietness and smoothness in operation but systems should be selected with these two important requirements in mind Particular consideration should be given to the operation of gliders or runners at approximately 100mm centres around bends of minimum radius During installation care must be taken to avoid stepped joints where it is necessary to join track Curtain hanging an
13. cecidecntncadanrdanedsendanndacndenedenndaensansdecaieas 7 2 12 Resistance to mechanical Weaf vsicciacisaxtderaviciiecitaxisacitiiiecitaxiaonsimiteciinctaens 7 2 13 Biological Conto lisasse E A EAA 7 3 Design gUidaMCE siisii irii eriei aiaia 8 St Mack PC as erica nanana A S 8 3 6 Cubicle layouts once on dacccecedsctcnnisenteqateeecanidantaaqedusieantdnastansduccaemedenneacadamsmaqecace 9 gd Mack SUSPENSION samenir rete et tte crete tect i 9 3 17 Low weight release SySICINS icicesccnicnaiceeeinneniet neces 11 3 19 Curtains and curtain changing ac inci cccdenscessnesccecidceecesidnsbacccdenscentcanacanadaes 11 Soa Maintenance Mantal asr Antigen 13 ReferengeS isisao aaa aaa aa aiiai 15 Disclaimer The contents of this document are provided by way of general guidance only at the time of its publication Any party making any use thereof or placing any reliance thereon shall do so only upon exercise of that party s own judgement as to the adequacy of the contents in the particular circumstances of its use and application No warranty is given as to the accuracy relevance or completeness of the contents of this document and Health Facilities Scotland shall have no responsibility for any errors in or omissions therefrom or any use made of or reliance placed upon any of the contents of this document Version 1 0 December 2006 page 2 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 1 1 1 2 1 3 1 4 MA K
14. d around the cubicles Track height may need to coordinate with window head height or glazed screen depending on configuration The layout of the ceiling tiles and associated fittings also require co ordination to prevent clashes For suspended track installations track height will normally be 2100mm ae One sided J U Two sided UU Three sided Figure 1 Single bay cubicles Version 1 0 December 2006 page 8 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 3 5 3 6 3 7 3 8 3 9 ww DE heath Facilities scottand SHTM 66 Cubicle curtain track Building Component Series NH ervices Ceiling fixed track applications are normally limited to ceiling heights of up to 2700mm In such instances the 600mm difference comprises a lightweight fabric net which permits the passage of light and air movement Note Where an overhead tracking system has been installed to transfer or move patients the height of the curtain may need to be altered to allow free movement of the equipment Cubicle layouts Examples of single and multiple bay cubicle layouts and their relationship to walls or partitions are given in Figures 1 and 2 Space within and around cubicles should take account of the dimensional guidance he am sc cs se a ie a Oa dO yp th One sided Two sided Figure 2 Multiple bay cubicles Track suspension In both suspended and ceiling fixed track systems
15. d changing Gliders or runners should be designed to enable attachment of curtains by hooks or buttons Each system should include a device which will facilitate the loading or unloading of curtains from the track see paragraphs 3 19 3 34 Resistance to mechanical wear Gliders and runners and track wearing surfaces should be capable of withstanding at least 20 000 cycles of curtain movement without appreciable loss of quietness or smoothness in operation or visible wear Relevant manufacturers test certification to be provided as required Biological control No system should contain material capable of supporting the growth of bacteria fungi etc or encouraging the harbourage of insects or mites Relevant manufacturers certification to be provided as required Version 1 0 December 2006 page 7 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 3 1 3 2 3 3 3 4 Ww YK health Faciities scotland SHTM 66 Cubicle curtain track Building Component Series NHS rvic 3 Design guidance Track height There are a number of factors to be considered in determining curtain track height and the related form of suspension if direct fixing to the ceiling is more practical One of the most important considerations is the effect of curtains whether drawn or parked on natural and artificial lighting Design teams should also consider the appearance of track and curtain configurations within an
16. ions become affected by such major changes they are reissued to members of the subscription service Users are advised to ensure that they refer to the current edition Refer to the NBS website at http www thenbs com Any queries regarding the technical content of this SHTM should be e mailed to enquiries hfs scot nhs uk Terminology In this SHTM the following definitions apply e cubicle curtain track system a component assembly to support curtains forming cubicles e track the horizontal member which supports the runners and the curtains e suspended track track fixed at a level significantly below the ceiling soffit e ceiling fixed track track fixed directly to the ceiling soffit e track height dimension from finished floor level to underside of track e parking of curtains the drawing back and bunching of curtains to predetermined positions when not in use e loading device a device to facilitate the removal and replacement of curtains Version 1 0 December 2006 page 4 of 16 Health Facilities Scotland a Division of NHS National Services Scotland v D health races scotand SHTM 66 Cubicle curtain track Building Component Series NHS National Services Scotland e low weight release system anti ligature designed to reduce the possibility of patient self harm this is a system that will securely retain the load it is designed for When an abnormal load is applied it will relea
17. k hRsdbh NHS Estates Alert Notice NHSE 2004 08 Cubicle tracking http www dh gov uk PublicationsAndStatistics LettersAndCirculars EstatesAler ts EstatesAlertsArticle fs en CONTENT ID 4119457 amp chk gk3yu1 NHS Estates Alert Notice NHSE 2004 10 Bed cubicle rails shower curtain rails and curtain rails in psychiatric in patient settings http www dh gov uk PublicationsAndStatistics LettersAndCirculars EstatesAler ts EstatesAlertsArticle fs en CONTENT ID 4119476 amp chk avYelV NHS Estates Safety Notice SN 2001 01 Cubicle rail suspension system with load release support systems http www dh gov uk PublicationsAndStatistics LettersAndCirculars EstatesAler ts EstatesAlertsArticle fs en CONTENT ID 4122863 amp chk EeTBK Department of Health Publications An Organisation with a memory Report of an expert group on learning from adverse events in the NHS Chaired by the Chief Medical Officer The Stationery Office 2000 http www dh gov uk PublicationsAndStatistics Publications PublicationsPolicyA ndGuidance PublicationsPolicyAndGuidanceArticle fs en CONTENT ID 40650 83 amp chk PAROoiF British Standards BS 476 4 1970 Fire tests on building materials and structures Non combustibility test for materials British Standards Institution 1970 BS 4901 1976 Specification for plastics colours for building purposes British Standards Institution 1976 BS 5438 1 1976 Methods of test for flammability of vertically oriented
18. rvices Scotland 3 20 3 21 3 22 3 23 3 24 3 25 3 26 3 27 3 28 3 29 3 30 v AK heath Facilities scottand SHTM 66 Cubicle curtain track Building Component Series NHS For ceiling fixed tracks the transmission of light and ventilation is of particular importance and will involve scalloping or netting which may be difficult to clean from 2100mm to ceiling level All curtains are treated with a fire retardant tested in accordance with BS 5438 1 1976 Printed curtains are 1200mm wide and 2000mm high colour woven curtains are 1830mm wide and 2000mm high The amount of fullness can vary from 5 to 25 depending on hospital policy Curtain parking A key consideration in detailing layouts is the parked position of cubicle curtains either along a wall or at right angles to it Curtains parked along a wall allow maximum observation but are less easy to draw and call for careful detailing to avoid obstruction of adjacent engineering service outlets Curtains parked at right angles to a wall reduce observation but by the same token increase privacy They are easier to draw and less likely to obstruct adjacent engineering terminals Parked curtains will obviously take up some of the working space of bed areas and the parking space will vary depending on the fullness of the material As a general rule track required to park the curtains will be about 15 of track length when cotton fabric is used For
19. se the load e anti deflection device mechanism to reduce or eliminate deflection on application of load at the centre of the track Version 1 0 December 2006 page 5 of 16 Health Facilities Scotland a Division of NHS National Services Scotland 2 1 2 2 2 3 2 4 MA K health Faciities scotland SHTM 66 Cubicle curtain track Building Component Series NHS rvic 2 User requirements Constituent parts Each cubicle curtain track system should comprise e track e wall fixing devices e direct to ceiling fixings vertical hangers V hangers e bay connectors e stop ends e curtain loading device e gliders or runners e hooks or buttons e low weight release systems anti ligature Constituent materials Choice of materials should be such that they do not suffer dissimilar metal corrosion or corrosion from humidity etc in specified conditions No constituent part should contain material e known or reasonably believed to constitute a health hazard under normal conditions of use e which will give off toxic products in the event of a fire Exposed surfaces All surface finishes should be capable of withstanding the range of temperature and humidity conditions encountered in health buildings Refer to relevant SHPN HBN and associated SHTM technical guidance Fire propagation All structural parts of a system should be non combustible as defined in BS 476 4 1970 but combustible m
20. textile fabrics and fabric assemblies subjected to a small igniting flame British Standards Institution 1976 BS 5438 1989 Methods of test for flammability of textiles and fabrics when subjected to a small igniting flame applied to the face or bottom edge of vertically orientated specimens British Standards Institution 1989 Version 1 0 December 2006 page 16 of 16 Health Facilities Scotland a Division of NHS National Services Scotland
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