Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 205 - AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS
Subpart I - BUILDING DESIGN, CONSTRUCTION STANDARDS, AND PHYSICAL REQUIREMENTS
Section 205.1360 - Clinical Facilities
Universal Citation: 77 IL Admin Code ยง 205.1360
Current through Register Vol. 48, No. 12, March 22, 2024
a) Examination rooms
1) Each examination room
shall have a minimum clear floor area of 80 square feet, and a minimum
dimension of 8 feet, exclusive of vestibule, toilet, closet, and work counter
(whether fixed or movable). A minimum clear dimension of 2'6" on each side and
at both ends of the examination table shall be provided.
2) A lavatory or sink equipped for
handwashing with electronic or knee or foot control shall be
provided.
3) A counter or shelf
space for writing shall be provided.
b) Procedure rooms - Sterile area
1) At least one procedure room with a minimum
clear area of 250 square feet and a minimum dimension of 14 feet, exclusive of
closet, cabinet, and work counter (whether fixed or movable) shall be provided.
There shall be a minimum clearance of 3'6" at each side and at both ends of the
operating table.
2) Any new
construction of other procedure rooms shall not be less than 120 square feet
with a minimum dimension of 10 feet, exclusive of closet, cabinet, and work
counter (whether fixed or movable). There shall be a minimum of 3' clearance at
each side and at both ends of the operating table.
3) A communication system connecting with the
control station shall be provided.
4) Special features such as x-ray film
illuminators, and storage space as required by the program, shall be
provided.
c) Procedure rooms - Non-sterile area
1) Laser rooms
A) Rooms used solely for procedures where
lasers are employed shall have a minimum clear floor area of 100 square feet
and a minimum clear dimension of 10 feet, exclusive of vestibule, toilet,
closet, and work counter (whether fixed or movable). There shall be a minimum
2'6" clearance at each side and both ends of the treatment
chair/table.
B) If a water cooling
system for the laser equipment is used, a water supply and trapped waste line
shall be provided to service the laser.
C) A communication system connected to the
control station shall be provided.
2) Gastrointestinal endoscopy rooms
A) Rooms used solely for gastrointestinal
endoscopic procedures shall have a minimum clear floor area of 200 square feet
and a minimum clear dimension of 12 feet, exclusive of such spaces as
vestibule, toilet, closet, and work counter (whether fixed or movable). There
shall be a minimum 2'6" clearance at each side and at both ends of the
treatment table.
B) A storage area
for overgowns, gloves, masks, and goggles adjacent to the hand-washing lavatory
shall be provided.
C) An area for
the disposal of overgowns, gloves, masks, and goggles shall be
provided.
D) An endoscopic
instrument cabinet for easy access and proper maintenance of fiberoptic
equipment shall be provided.
E) An
instrument processing work area with storage cabinets, work counter, drip rack,
and double sink shall be provided.
F) A communication system connected to the
control station shall be provided.
d) Recovery rooms
1) Rooms for post-anesthesia recovery for
surgical patients shall be provided. These rooms shall be classified as Stage I
recovery, Stage II recovery, or combined Stage I and Stage II recovery. For the
purpose of this Section, lounge chair means recliner.
A) Stage I or combined Stage I and II
recovery rooms
i) Stage I recovery rooms
shall include spaces for patients who are recovering from surgical procedures
requiring general, spinal or any other type of sedation that requires a more
intense level of monitoring.
ii)
Stage I recovery rooms shall have a minimum clear area of 70 square feet for
single or multiple patient occupancy. The stretchers and lounge chairs shall be
arranged so that there is a minimum clear dimension of 3' on the sides of the
stretchers or lounge chairs and 4' at the foot of the stretchers or lounge
chairs.
B) Stage II
recovery rooms
i) Stage II recovery rooms
shall include spaces for patients who are able to leave the Stage I recovery
room but require additional time for all of the patient's vital signs to be
stabilized to the point where the patient may leave the facility. These rooms
may also serve those patients who have undergone surgical procedures under
local anesthesia.
ii) Stage II
recovery rooms shall have a minimum clear area of 50 square feet per station
with a minimum clear dimension of 2'6" on both sides and 3' at the foot of the
stretchers or lounge chairs.
C) Number of required recovery spaces
i) For each procedure room using general,
spinal, or epidural anesthesia, or IV sedation, there shall be at least one
stretcher for Stage I recovery and two additional stretchers or lounge chairs
for Stage II recovery.
ii) For each
gastrointestinal endoscopy room, there shall be a minimum of one stretcher and
one other stretcher or lounge chair.
2) The recovery area shall contain a drug
distribution station, hand-washing facility, charting facilities, nurses'
station, and storage space for supplies and equipment.
3) The recovery rooms shall have
accessibility to a toilet without having to leave the recovery room to reach
it. The water closet shall be equipped with a gray diverter valve.
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