Water Management in Health Care Facilities: Complying with ASHRAE Standard 188
Heather L. Platt, PE, MBA
Linda L. Dickey, RN, MPH, CIC
Steven Cutter, MBA, HFDP, CHFM, SASHE
Jonathan Flannery, CHFM, FASHE, MHSA, FACHE
Troy Savage, MESc, MDiv
Walt Vernon, PE, MBA, JD, LEED AP
This monograph gives guidance to health care facilities on how to comply with ASHRAE Standard 188: Legionellosis: Risk Management for Building Water Systems. Without proper guidance, hospitals may take steps that are not required; steps that may be unnecessarily costly; or steps that are not helpful in reducing the threat from legionellosis and other waterborne pathogens.
This monograph provides a summary of the threat of legionellosis; gives an overview of ASHRAE 188 requirements; outlines recommended steps for compliance including the creating of an overall water risk management plan; addresses maintenance procedures, monitoring strategies, and emergency responses; and provides additional information on potential pathogens and possible response methods.