Hawaii Administrative Rules
Title 11 - DEPARTMENT OF HEALTH
Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS
Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES
Section 11-95-9 - Construction requirements
Current through February, 2024
(a) The facility shall be constructed and maintained in accordance with state and county zoning, building, fire safety, and sanitation laws, ordinances, and rules. New construction and remodeling shall be guided by "Minimum Requirements of Construction & Equipment for Hospital & Medical Facilities" DHEW Publication No. (HRA) 79-14500 as it existed on December 31, 1984.
(b) The facility shall be accessible to and functional for physically handicapped persons.
(c) There shall be adequate space to allow free movement of occupants using wheelchairs, walkers, canes and crutches to and from exits, post-operative recovery areas, bathrooms, closets, dressing areas, and common hall areas.
(d) Provision shall be made for each patient to have use of a lockable closet, dressing cubicle, or dressing room.
(e) A waiting room of appropriate size shall be provided and toilet rooms, separate from patient toilets, shall be easily accessible to those in the waiting area.
(f) Suitable dressing areas and toilet facilities for staff use, separate from patient use, shall be provided.
(g) One or more examining rooms separate from recovery and operating rooms shall be provided.
(h) Grab bars shall be provided in patient and waiting room toilets. Each bathroom shall provide at least one washbasin and one commode.
(i) Operating and recovery rooms shall be located so as to prevent through traffic except in the case of emergency. Entrance and exits to these rooms shall be by means of interior doors except for emergency outdoor exit doors which may be provided as needed.
(j) There shall be adequate scrub-up facilities and work areas for the preparation, sterilization, and storage of instruments and supplies.
(k) Each patient toilet and bathroom facility shall have a suitable nurses' call system for signalling the need for assistance.
(l) Adequate supply of hot and cold potable running water must be supplied at all times. Temperature of hot water at plumbing fixtures used by patients shall be automatically regulated and shall not exceed 110°F.
(m) Bedpans and urinals shall be available for use as well as suitable methods and equipment for cleaning and sterilizing same.
(n) In the event that a sexually mixed recovery room is utilized, suitable screens or curtains shall be provided to ensure privacy for each patient.
(o) Patient beds, wherever located, shall be surrounded by at least three feet of clear floor area.
(p) All rooms in which patient care is carried out shall be on or above grade level.
(q) Floors and walls.
(r) Where appropriate, screening of doors and windows shall be provided using screening having sixteen meshes per inch.
(s) Neither sliding doors nor folding doors shall be used as room or building exit doors. All double-acting doors shall be provided with vision panels.
(t) The minimum clear width of corridors shall be forty-four inches, except when a general anesthetic is used in the facility. In the latter case, corridors which serve non-ambulatory patients shall be a minimum of eight feet wide.
(u) Suitable locked storage space shall be available for storing of maintenance equipment and supplies.
(v) The water supply shall comply with chapter 340E, HRS.
(w) Ventilation shall comply with chapter 11-39, relating to air conditioning and ventilating.
(x) Additions, alterations, and all repairs to existing buildings.
(y) There shall be appropriately equipped utility rooms, at least one clean and one soiled for each operating suite.