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2.2. 3 Where local Seismic Code is more stringent, comply with local code.
2.3 Hurricane Areas. These requirements apply to VA medical and ambulatory care centers located
within 16 kilometers (10 miles) of the Atlantic Ocean and 16 kilometers (10 miles) of the Gulf of
Mexico. These requirements also apply to all inland VA medical and ambulatory care centers in Florida
and those in Hawaii and Puerto Rico. Design for wind forces that comply with local codes. If there are
no local codes, use wind forces indicated in American Society of Civil Engineers (ASCE) 7-98 or later
version if available .
2.4 Major Flood Areas. These requirements apply in areas, not listed above for hurricanes, that can
be subject to major flooding. Examples are buildings or sites that are located below the 100-year flood
plain.
3. EMERGENCY UTILITY SERVICES
3.1 Design. Base the design of these emergency facilities on the medical or ambulatory care centers
continuing in operation for a 4-day period immediately following a natural disaster. It is reasonably
expected that any disrupted outside utility services will be either repaired or alternate sources of supply
and access facilities will be established within that 4-day period or relocation of patients and staff will
occur.
3.1 Electric Power Services
3.2.1 Provide emergency electric power service facilities in accordance with the requirements of
"Essential Electrical Systems", in the Electrical Design Manual as modified and supplemented herein.
3.2.2 Size the electrical facilities to supply the electric demand load of the medical or ambulatory care
centers when operating under disaster emergency conditions, including power for lighting and
receptacles in congregate areas which may be used temporarily for treatment of in-hospital and
community injured, and power for heating, ventilating, and air-conditioning (HVAC) equipment listed in
paragraph 3.3, but not for laundry equipment.
3.2.3 Design the emergency electric power facilities with sufficient adaptability to enable the medical or
ambulatory care center's management to disconnect on a selective basis certain loads on the emergency
electric system.
3.2.4 Locate the auxiliary generators on the secondary service. Brace batteries to serve generators to
prevent movement during earthquakes.
3.2.5 Provide a 4-day emergency supply of fuel oil in a standby storage tank for the exclusive use of
the emergency generators.
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