Based on the information that was presented from survey and certification group in last 2012. Here is a summary of the information:
1. Humidity and Temperature MUST be monitored either by automated systems from a central location OR it must be logged, but not both. There is no other way to know that the parameters are “out of bounds.” What these bounds are depends on whether the state requires FGI guideline compliance or NFPA 99. But if its anesthesia or deep sedation, then NFPA 99 is mandatory.
2. Emergency power and lighting must be present in all surgical suites including endoscopy. THIS IS A BIG ONE.. Few endoscopy rooms have back up LIGHTING.
3. The air pressure differential, positive versus negative really depends on:
a. If this is an anesthetizing or deep sedation location (then POSITIVE).
b. State Law (California requires negative).
c. Hospital states decision depends on law or cited reference, or if required to comply with FGI by state.