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12 Part Two
Specifying Door Hardware
by Scott J. Tobias, CSI, CDT, AHC
Part Three
20 The Standard for Hardware Performance
by Michael Tierney
Part Four
26 Layering Security Controls for Healthcare Projects
by Marilyn A. Collins, EDAC
Part Five
34 Antimicrobial Copper and Healthcare Projects
by Adam Estelle
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Part One
Understanding the New Accessibility
Requirements for Doors
THE 2010 AMERICANS WITH DISABILITIES ACT • a utomatic operators on doors that do not provide proper
(ADA) STANDARDS FOR ACCESSIBLE DESIGN egress-side maneuvering clearance for a manual door must
WENT INTO EFFECT IN MARCH 2012, BUT THERE have standby power.
ARE SEVERAL REQUIREMENTS THAT CONTINUE Some of these issues are specific to the 2010 ADA, while others
TO SURPRISE ARCHITECTS AND SPECIFIERS. are also addressed by International Code Council (ICC)
A117.1, Accessible and Usable Buildings and Facilities. This
This article examines four particular changes related to doors standard is referenced by the International Building Code
on an accessible route: (IBC), International Fire Code (IFC), and National Fire
• door hardware must now operate with 22.2 N (5 lb) of Protection Association (NFPA) 101, Life Safety Code, for doors
force—a limit most panic hardware does not meet; on an accessible route.
• any low-energy automatic operators actuated by a motion
sensor must meet the safety requirements for a full-powered Operable force for door hardware
automatic operator—possibly including safety mats and An editorial change was made to the 2010 ADA to limit the
guide rails; operable force for door hardware to 22.2 N (5 lb). Editorial
• the bottom rails of manual swinging doors must be at least changes are normally used to address errors or make
254 mm (10 in.) high, and no hardware may protrude from clarifications that do not affect the scope or application of
the push side within the bottom 254 mm; and the code requirements. These changes do not go through the
means that even though the door may have a low-energy and any additional requirements. Further, one must keep
operator, it has to meet the same requirements as a full-power in mind additional safety features—including sensors and
operator, including the safety sensors or control mats and guide rails—may be required for low-energy operators
guide rails. actuated by a motion sensor.
Typically 762 mm (30 in.) high, guide rails are required on
the swing side of each door. For some locations, the need for Standby power for automatic door operators
guide rails may mean motion sensor operation is not feasible. The 2010 Americans with Disabilities Act includes revisions
When certain criteria are met, walls may be used in place of to the section on automatic doors with regard to clear width
guide rails. When doors are installed across a corridor, guide and maneuvering clearance. (These have not been included
rails are not required if the distance between the wall and in A117.1 to date.) The ADA standards read:
the door in the 90-degree open position does not exceed
254 mm (10 in.). 404.3.1 Clear Width. Doorways shall provide a clear opening
The 2013 California Building Code requires two push-plate of 32 inches (815 mm) minimum in power-on and power-off
actuators at each actuator location—one mounted between mode. The minimum clear width for automatic door systems in
178 and 203 mm (7 and 8 in.) from the floor to the centerline, a doorway shall be based on the clear opening provided by all
and the other mounted between 762 and 1118 mm (44 in.) leaves in the open position.
above the floor. Vertical actuation bars may be used in lieu of
two separate actuators, with the bottom of the bar at 127 mm 404.3.2 Maneuvering Clearance. Clearances at power-
(5 in.) maximum above the floor and the top at 889 mm assisted doors and gates shall comply with 404.2.4. Clearances
(35 in.) minimum above the floor. at automatic doors and gates without standby power and serving
Actuators must be in a conspicuous location, with a level and an accessible means of egress shall comply with 404.2.4.
clear ground space outside of the door swing. The minimum EXCEPTION: Where automatic doors and gates remain open
size for push plates is 102 mm (4 in.) in diameter or 102 mm in the power-off condition, compliance with 404.2.4 shall not
square, and the minimum operable portion for vertical be required.
actuation bars is 51 mm (2 in.) wide. Both types of actuators
must display the International Symbol of Accessibility. According to both accessibility standards and egress
While all these requirements have the same basic intent, requirements, most doors have to provide at least 815 mm
it is best to check state and local codes to see which (32 in.) of clear opening width. (For pairs of doors, at least
standard has been adopted, and what the specifics are one leaf has to provide this.) The aforementioned Paragraph
in reference to actuators for automatic operators. It is 404.3.1 states that the required clear opening width must
important to verify the actuator type/quantity, location, be provided “in power-on and power-off mode.” The clear
ADDITIONAL INFORMATION
Author changes to door hardware operable force, use of low-energy
Lori Greene, AHC/CDC, CCPR, FDAI, is the codes and automatic operators, protrusions into egress, and the need for proper
resources manager for Allegion. She has been in the industry maneuvering clearance.
for more than 25 years, and used to be a hardware consultant
writing specifications. Greene is a member of CSI, the Door MasterFormat No.
and Hardware Institute (DHI), the International Code Council
08 71 00−Door Hardware
(ICC), the National Fire Protection Association (NFPA), and the
Builders Hardware Manufacturers Association (BHMA) Codes
UniFormat No.
and Government Affairs Committee. She has a monthly column
B2050−Exterior Doors and Grilles
on code issues in Doors & Hardware, and blogs online at
www.iDigHardware.com (or www.iHateHardware.com). Greene C1030−Interior Doors
can be contacted via e-mail at lori.greene@allegion.com.
Key Words
Abstract Division 08 Bottom rails
The 2010 Americans with Disabilities Act (ADA) Standards Americans with Disabilities Act Door hardware
for Accessible Design has several requirements that continue Accessibility Egress
to surprise architects and specifiers. This article examines Automatic operators Life safety
Part Two
Specifying Door Hardware
3. Operating trim
Once the door has been hung and secured, the third part of
the sequence is to specify operating trim. Whether or not there
is a locking device (e.g. mortise lockset or panic hardware), one
must specify or schedule a door pull, push plate, or a push-pull
bar. There are many different manufacturers and variations
of operating trim to ensure something for all aesthetic tastes.
Further, some manufacturers have the ability to fabricate custom
design or patterns into existing operating trim.
5. Closing and control devices dinging, denting, scratching, or ruining their surfaces, the plate
Closing and controlling a door is important for many reasons, can take the abuse. A protection plate is also typically less
including the protection of lives and materials, traffic control, expensive to replace than an entire door.
security, and energy efficiency. Closing devices, also known
as door closers, can be manufactured for different types of 7. Stops and holders
applications depending on the function, aesthetic, and frequency If floor or door closers with overhead stops are not applied,
of use of the opening. the next step in the sequence involves stops and holders. Plates
Surface-mounted, concealed overhead in the door or and trim are not enough—the surrounding conditions must
frame, and concealed in the floor are available for different also be taken into account. The door and frame can be
applications with various options for each. A control device, protected with floor or wall stops, floor or wall holders, and
also known as a door stop, can also be manufactured as electromagnetic door holders.
different types (e.g. floor, wall, and overhead) in order to
protect the door, frame, hardware, and the surrounding 8. Accessories
conditions. Sometimes, a closing device is erroneously used The next item in the sequence comprises accessories that
as a controlling device to stop the door from going past a include astragals, thresholds, weatherstripping, and
certain point in the open position, which is not its intended gasketing. These hardware types are employed to seal the
application. (In all cases, a door stop of some sort, as clearances around the perimeter of an opening. This can
described earlier in this article, should be used.) By misusing help with many issues, including:
the closing device, the life of the opening will certainly be • k eeping sound, light, and smoke either in or out;
shortened, having to maintain and adjust the door, frame, •m aintaining energy efficiency; and
and hardware time and again. •h elping contain indoor conditions inside the structure and
the exterior conditions outside.
6. Protective plates and trim Although most weatherstripping and gaskets are surface-
Next in the sequence are protective plates, which defend the mounted or recessed installed, some manufacturers offer
door as a layer installed on the surface of the door. Some doors their door frames with gaskets already installed in kerfs where
can be very expensive to replace, so rather than damaging, the rabbet meets the stop of the frame.
can be saved and things will operate the way they are
intended for the user without the massive punch list
A floor-mounted magnetic holder can be used to hold the
door in the open position. This application would typically issues for which door hardware can be known. cs
be tied into a fire alarm system—when the alarm goes
off, power is cut off, and the door closes and latches as Notes
required by code or preference. These devices are also
available mounted at the head of the door if the application
1
With roots dating back to 1934, DHI is a paid annual
and surrounding conditions allow. membership-based association formed from two other
industry groups—National Builder’s Hardware
coordinating door and frame preparations for hardware Association (NBHA) and American Society of
or the coordination of who furnishes materials such Architectural Hardware Consultants (ASAHC). As the
as a power supply. These are both typical items that industry resource for door opening standards, all
can be assumed by others, and can be missed or left industry professionals including contractors,
out of a bid, submittal, or, worse, installation when the manufacturers, distributors, sales representatives,
building is ready to open. building officials, facility managers, architects, and
With all the items to take into consideration, one can others turn to DHI for education and certification.
see why a door opening is not something to just walk 2
This article has been excerpted and adapted from the
through. Among other things, with the proper author’s book, Illustrated Guide to Door Hardware:
components or assemblies, applications, functionality, Design, Specification, Selection (Hoboken: John Wiley &
code and standard compliance, and installation, lives Sons Inc., 2015). Used with permission.
ADDITIONAL INFORMATION
Author the first thing a building owner will touch. This article takes a look at
Scott J. Tobias, CSI, CDT, AHC/CDC, CFDI, LEED AP, is the Door & Hardware Institute’s (DHI’s) Sequence and Format of the
associate principal of Door+Hardware Consultants Inc., and Hardware Schedule, which is the industry standard for specifying
the author of Illustrated Guide to Door Hardware: Design, hardware sets in specifications, and detailing submittals for approval.
Specification, Selection. He currently serves on the Door
& Hardware Institute’s (DHI) board of governors and has MasterFormat No.
been servicing the architectural, design, and construction 08 06 71−Door Hardware Schedule
communities for more than 25 years. With multi-disciplinary 08 71 00−Door Hardware
door opening industry experience, Tobias provides independent
door and hardware consulting services, including Division 08 UniFormat No.
specification writing, educational training, and public speaking. B2050−Exterior Doors and Grilles
He can be reached at scott@scottjtobias.com. C1030−Interior Doors
Part Three
The Standard for Hardware Performance
BY MICHAEL TIERNEY
SCHOOLS, HOSPITALS, AND GOVERNMENT The industry group is composed of U.S. manufacturers in
BUILDINGS SHARE ESSENTIAL CHARACTERISTICS; categories such as:
THEY HOUSE SENSITIVE INFORMATION, ARE • cabinet hardware and hinges;
DESIGNED TO BE USED FOR LONG PERIODS, AND • sliding and folding doors; and
HAVE PUBLIC RESPONSIBILITIES. SPECIFIERS AND • power doors and components.
BUILDING MANAGERS MUST ENSURE SAFETY AND BHMA is the only U.S. organization creating standards for
SECURITY NEEDS ARE MET BY SELECTING THE builders hardware through the American National Standards
APPROPRIATE DOOR HARDWARE. Institute (ANSI). ANSI/BHMA standards are written criteria
defining appropriate operation, test values, and safety criteria
The suite of Builders Hardware Manufacturers Association for builders hardware products. In addition to ensuring
(BHMA) standards is a tool for architects, designers, specifiers, hardware quality and performance through its development
and engineers working on non-residential, public projects to of standards, BHMA sponsors third-party certification of
help ensure buildings are accessed and used as intended. hardware products.
Push/pull passage locks offer a similar benefit. with the security needed to keep patients safe. A delayed
They are often specified for patient rooms to provide egress lock does this by activating an alarm to notify
privacy, but they can be opened without a lever so personnel the door is being used, but will open within
nurses or other staff members can exit or enter the 10 seconds to allow for exiting during an emergency.
room with their hands full. Specifiers must be acutely aware of situations like this
Hospitals also commonly rely on BHMA 156.24, in a hospital, and the BHMA standards are essential
Delayed Egress Locks. For a patient suffering from to properly executing this process.
dementia and requiring a certain level of security in Hospitals often use National Fire Protection
a hospital, wandering can be prevented by using the Association (NFPA) 101, Life Safety Code, which
features of a delayed egress lock. However, the hospital includes references to the BHMA standards, including
must balance egress during an emergency situation those for exit devices and low-power-operated doors.
Conclusion
When tested for
Designing a building or facility for both ease of access
compliance with
and security is a complex task. It can often come down ANSI/BHMA
to the details of whether or not a plan is successful. standards, products
Relying on the BHMA standards allows specifiers and undergo repetitive
tests to ensure the
architects to ensure the builders hardware they use will product holds up
help them bring plans to life. cs under repeated use.
ADDITIONAL INFORMATION
Author managers of these kinds of facilities can ensure they are prioritizing
Michael Tierney has been the standards coordinator for the safety and security in areas of their buildings where that is the priority,
Kellen Company since 1999. He coordinates the development or open and long lasting use where that is the priority. This article will
and revision of 35 Builders Hardware Manufacturers Association explain how to make full use of the BHMA standards for the needs
(BHMA) performance standards covering a broad range of of these facilities.
products form gaskets to hinges to power operated doors.
Tierney is a principal member on technical committees for MasterFormat No.
the National Fire Protection Association (NFPA), the 08 06 71–Door Hardware Schedule
International Code Council’s (ICC’s) A117 Committee for 08 11 00–Metal Doors and Frames
Accessible Buildings, ASTM, and American National 08 34 53–Security Doors and Frames
Standards Institute (ANSI). He can be contact via e-mail
at mtierney@kellencompany.com.
UniFormat No.
Abstract B2050.90–Exterior Door Supplementary Components
Certain facilities such as hospitals, schools, and government
buildings would all benefit from making full use of Builders Key Words
Hardware Manufacturers Association (BHMA) standards for Division 08
builders hardware and BHMA-certified materials. Hospitals, American National Standards Institute
schools, and government buildings all contain sensitive Builders Hardware Manufacturers Association
information, will be occupied for a long period, and have certain Builders hardware
public responsibilities. By relying on the BHMA standards, High-security locks
Part Four
Layering Security Controls
for Healthcare Projects
IT IS NOT DIFFICULT TO IMAGINE THE Of course, there are numerous other considerations.
NEED FOR SECURITY IN HEALTHCARE For example, an employee might notice certain
ENVIRONMENTS. WHERE ARE THE EYES supplies diminishing on a regular basis—how
AND EARS ENSURING THE SAFETY OF does the hospital protect clinical, professional,
A NEWBORN TRANSPORTED FROM administrative, and environmental staff from
LABOR AND DELIVERY? CAN FAMILY suspicion of diverting equipment or even
MEMBERS VISITING A SICK RELATIVE medication? When there is an influx of visitors
BE CONFIDENT THEIR VALUABLES ARE during the shift change on the behavioral health
SAFE AT BEDSIDE IF THEY LEAVE TO GRAB unit, and an anticipated increase in patients
A SNACK? WHAT SECURITY PRECAUTIONS through the Emergency Department due to a
ARE TAKEN WHEN A REAR EXTERIOR rapidly spreading virus, what are the visitor
DOOR TO THE HOSPITAL IS PROPPED tracking and patient protection procedures to
OPEN SO STAFF CAN TAKE A BREAK? ensure safety for everyone—even in the case of
a possible epidemic or weather-related crisis? every other one. This domino effect can affect a
There is also the matter of satellite functions and hospital’s reputation.
procedures performed by a hospital system at For instance, if a hospital selects a unique or
remote ambulatory care facilities and medical proprietary access control system, and then is
office buildings tied to the main building via an acquired by a parent healthcare system, the
access control system. parent may be constrained in its ability to
Consideration of these and many more facets of cascade an efficient open architecture solutions
hospital life provoke a host of thoughts about across the entire healthcare system. Myriad
security, convenience, and safety (for patients, results may include having to carry several
visitors, and staff alike), along with energy efficiency ‘badges’ or credentials, increasing the complexity
and resilience in the face of disasters. These are in accessing the hospitals in the system.
weighty topics requiring input from virtually Every hospital wants its reputation to get the
every department in the hospital. Together, they highest marks for welcoming families, caring for
form the ‘Environment of Care’ (EOC). patients, retaining staff, and securing supplies,
The EOC comprises three basic elements: medical equipment, and controlled substances.
building and space, equipment, and people. The As hospitals adjust to the various changes that
first step in planning for this complex environment are associated with the Affordable Care Act and
is to identify the stakeholders and decision-makers cope with other changes in the delivery of care,
invested in the outcomes—whether related to consensus building and collaboration become
compliance, the delivery of care, or the successful the basis for making decisions.
protection of people and assets. The security department is the heartbeat of
While design/construction professionals are the hospital with regard to protecting the systems
obviously not part of all the related choices and providing for the facility. However, the built
factors in a healthcare project’s creation and environment itself is a critical element in both
operations, their decisions and collaboration with security and in healthcare delivery—design/
the building owners can have important impacts. construction professionals can also have a major
role, both directly and indirectly.
Understanding stakeholders in the Additionally, there is often a ‘compliance
healthcare environment department’ spanning the many agencies,
Major departments in the hospital are now ensuring compliance with life safety regulations
collectively involved in decisions affecting such as National Fire Protection Agency
patient safety, Hospital Consumer Assessment of (NFPA) and other authorities having
Healthcare Providers and Systems (HCAHPS) jurisdiction (AHJs). Other critical guidelines
scores,1 building design, access control, and and compliance elements include the Americans
employee training. No longer are decisions with Disabilities Act (ADA), Health Insurance
made in the vacuum of one’s own department Portability and Accountability Act (HIPAA),
or even within the confines of a single hospital. and Facility Guidelines Institute (FGI).
Consolidation and acquisition in healthcare, The U.S. federal government supports the
as well as the requirements for reimbursement delivery of healthcare for a large percentage of
from the Centers for Medicare and Medicaid the population through Medicare and Medicaid.
(CMS) have changed the game. Healthcare CMS authorizes reimbursement for medical
administrators, operations personnel, and virtually services provided to qualified recipients. The
every department have recognized decisions administration of such reimbursements includes
made in one area of the hospital system may affect a process ‘deeming’ each hospital worthy of the
ADDITIONAL INFORMATION
Author the Environment of Care (EOC), which comprises three basic
Marilyn A. Collins, EDAC, is director of business development elements: building and space, equipment, and people. But where
for healthcare with Assa Abloy Door Security Solutions. She is do doors, hardware, and access control fit into the bigger picture?
certified in evidence-based design in life safety, security, and
access control for door openings. Collins is versed in the tenets MasterFormat
of The Joint Commission and GreenGuard, and is active in a 08 74 00−Access Control Hardware
number of industry groups including Healthcare Executives, 28 13 00−Access Control
Buildings VIP, The Center for Health Design, FierceHealthcare,
Society for the Advancement of Gerontological Environments UniFormat
(SAGE), and the Door and Hardware Institute (DHI). She can B2050−Exterior Doors and Grilles
be contacted via e-mail at marylina.collins@assaabloy.com. C1030−Interior Doors
D70−Electronic Safety and Security
Abstract
The wide variety of facets of hospital life provoke a host of Key Words
thoughts about security, convenience, patient/visitor/staff Divisions 08, 28
safety, energy efficiency, and even resilience in the face of Access control
disasters. These are weighty topics that require input from Healthcare
virtually every department in the hospital because they form Security
Part Five
Antimicrobial Copper and Healthcare Projects
BY ADAM ESTELLE
EVEN IN THE MOST PROACTIVE HOSPITALS, an Iowa healthcare facility consisting of 49 beds and
ACTIONS SUCH AS OPENING DOORS, serving 40,000 residents—is one of those early adopters
FLUSHING TOILETS, AND TURNING of antimicrobial copper to further protect its patients,
ON FAUCETS CAN EXPOSE PATIENTS, staff, and visitors alike from harmful bacteria.1
HEALTHCARE WORKERS, AND VISITORS In a perfect world, healthcare providers would wash
TO ANTIBIOTIC-RESISTANT SUPERBUGS or sanitize their hands before and after each patient
INCLUDING METHICILLIN-RESISTANT contact, but many studies have found staff adhere to
STAPHYLOCOCCUS AUREUS (MRSA) AND national guidelines for hand hygiene less than 50 percent
VANCOMYCIN-RESISTANT ENTEROCOCCUS of the time. While antimicrobial copper products are
FAECALIS (VRE), WHICH CAN SURVIVE ON a supplement to, and not a substitute for, standard
TRADITIONAL SURFACE MATERIALS LIKE infection control practices like washing hands and
STAINLESS STEEL AND PLASTIC FOR DAYS disinfecting surfaces, the advantage of copper is it is
OR EVEN MONTHS. always working. Its effectiveness is not dependent on
behavioral compliance of hospital personnel beyond
Through installing hardware and components made routine cleaning and disinfection of the copper surfaces.
of antimicrobial copper, hospitals across the country
are supplementing their infection control programs. Hospital installations
This material continuously kills more than 99.9 percent In most cases, copper components can easily be
of bacteria transferred by touch within two hours installed or retrofitted in a matter of minutes—
between regular cleanings, even after repeated sometimes, all it takes is a screwdriver. Freestanding
contaminations. Grinnell Regional Medical Center— medical equipment and instruments made of copper
everything and people aren’t good at handwashing impair the antimicrobial efficacy of the surface.
and there’s cross-contamination everywhere you go.” The change in appearance depends on the alloy
Hospitals are not the only buildings where there composition, and tarnish-resistant alloys are also
is antimicrobial copper to be found. Transportation available. Additionally, each alloy ages differently
hubs, restaurants, athletic training facilities, and depending on the application, giving architects,
healthcare centers have begun to recognize this designers, and specifiers a wide range of choices.
metal’s benefits. In 2012, the Ronald McDonald This antimicrobial effect does not diminish over
House (RMH) in Charleston, South Carolina became time. Regardless of how many people touch the side
the first nonprofit temporary residence facility in the rails on a hospital bed or push on the exit plate of a
country to undergo a copper retrofit. door over the years, copper exhibits the same
Throughout the facility, wood, plastic, and steel antimicrobial properties from installation, as long
touch surfaces were replaced with antimicrobial as it is cleaned regularly to remove dirt and grime.
copper to further protect guests with compromised Considering copper’s exceptionally long service life,
immune systems from harmful bacteria. Antimicrobial an application should last, once installed, as long as
copper was used for the RMH facility’s stair railings, the structure it is housed in—taking into account
sinks, faucets, tables, locksets, cabinet pulls, and chair normal wear and tear. This metal and its alloys are
arms—virtually all high-traffic areas in the building. made mostly from recycled material and, at the end
of service life, are also 100 percent recyclable.
Additional advantages of copper touch surfaces Copper and copper alloys can be easily fabricated
There is no need for any aftermarket coating, special into a wide variety of shapes and forms, from large
cleaning protocol, or treatment for copper alloys. wall sections to small cellphone covers, making it
For copper to remain effective, it should be left bare beneficial for many different applications.
and cleaned regularly, just like any other traditional
touch surface material. As some uncoated copper The science
alloy surfaces naturally age, they may change color People have been aware of the inherent antimicrobial
slightly due to natural oxidation, which does not properties of copper since the dawn of civilization.
Conclusion
The direct cost of treating a single hospital-acquired
infection (HAI) is approximately $43,000, and this
does not take into account the patient’s pain and
suffering. In comparison, the incremental cost to
outfit a patient room with copper products is typically
less than $5000 based on current estimates from EPA-
registered product suppliers. A typical suite of
products includes door and cabinet hardware, light
switch plates, outlet covers, IV pole, patient tray table,
sink, faucet levers, flush lever, grab bars, and soap
dispenser touch points. This represents an attractive The toilet flushes inside the patient rooms at Grinnell Regional Medical
value proposition, particularly when considering the Center are made with copper.
useful life of antimicrobial copper products.
Now armed with scientific proof, hospitals can take Notes
steps to supplement their infection control practices 1
See the EPA public health registration for copper alloys
with antimicrobial copper. Whether for a new medical at www.antimicrobialcopper.org/us/epa-registration.
facility going up or an existing hospital wing receiving 2
To help educate hospital executives and their staff on
an upgrade, copper can be incorporated into the the benefits and ease of installing copper components,
building design or retrofitted to meet changing needs the Copper Development Association (CDA) recently
and scope. By installing these hardware, fixtures, and launched two videos: “Installing Antimicrobial Copper
components throughout their facility, healthcare Components and Cleaning” and “Maintaining
providers are helping prevent the spread of potentially Antimicrobial Copper Surfaces.” For more information,
harmful bacteria.2 cs visit www.antimicrobialcopper.com/us.
ADDITIONAL INFORMATION
Author at a few projects, including two hospitals in Washington and Iowa,
Adam Estelle is a manager for the Copper Development that have installed this ‘new’ technology in the form of cabinet
Association’s (CDA’s) Antimicrobial Copper Program and hardware, accessibility buttons, faucet levers, and even medical
Rod and Bar Council. He joined the CDA in 2008 as a equipment to further protect patients, staff, and visitors while
project engineer to help develop a new market for copper easing maintenance.
alloys based on their inherent antimicrobial properties.
Estelle has helped many material suppliers, manufacturers, MasterFormat No.
and healthcare professionals overcome technical, promotional, 05 70 00–Decorative Metal
and regulatory obstacles associated with the antimicrobial 10 28 00–Toilet, Bath, and Laundry Accessories
copper market, while co-authoring several papers on the 10 28 26–Hygiene and Custodial Accessories
public health benefits of copper alloys. Estelle is also the
recipient of an award of appreciation from ASTM for his UniFormat No.
contribution to their work with copper products. He can be E2010–Fixed Furnishings
reached at adam.estelle@copperalliance.us.
Key Words
Abstract Divisions 05, 10 Copper
Copper components are increasingly being installed in healthcare Antimicrobial Hardware
facilities because they have been shown to kill bacteria and Brass Hospital
reduce hospital-acquired infections (HAIs). This article looks Bronze