Sorry if i wasn't clear enough, I'm talking about a patient isolation room in a health care facility. That means it's not isolated in the sense that its 100% sealed and the walls will implode, as a human being has to remain alive inside, and people will be entering and exiting often. And we don't calculate pressure in the room from supply and exhaust flow, you commission the flow controllers to reach the pressure you want.
And to my understanding, air pulled in through the openings is considered an air change, as in its not the same air that was in the room before, which could potentially be full of nasty stuff. Its not an "outdoor air change", which, yes, would be based on fresh air from the inlet. Outdoor air changes and air changes per hour have different requirements, the former being a portion of the latter. I'm not trying to argue the terminology here, i just want to know why I'm getting contradictory information, and i want to make sure i'm doing things correctly.
For example, here is a document from 2014 that would appear to support my original position that ACH for AII rooms is based on exhaust flow, as stated by urgross.
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Which was fine until i found this document that states on page 15 "12 air changes per hour on SUPPLY air as a minimum".
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Also, as i mentioned, the original commissioning docs are based on supply air, which is adding to the confusion.
The reason this is important is, I have I have to know which of the flows (supply or exhaust) needs to remain constant to meet ACH requirements, and which one i can manipulate to achieve the pressure i want.