D. Operating rooms or surgical suites:
(1) Each operating room will have a minimum
clear area of at least 250 square feet.
(2) An emergency communication system
connected with the surgical control station shall be provided.
(3) At least one x-ray film illuminator shall
be provided in each operating room.
(4) Closed storage space for splints and
traction equipment shall be provided for orthopedic surgery.
(5) Room(s) for post-anesthesia recovery of
outpatient surgical patients shall be provided meeting the following
requirements:
(a) at least three feet shall be
provided at each side and at the foot of each bed as needed for work or
circulation;
(b) if pediatric
surgery is part of the services, separation from the adult section and space
for parents shall be provided.
(6) A designated supervised recovery lounge
shall be provided for patients who do not require post-anesthesia recovery but
need additional time for their vital signs to stabilize before safely leaving
the facility. This lounge shall contain:
(a)
control station;
(b) space for
family members;
(c) provisions for
privacy; and
(d) convenient patient
access to toilets large enough to accommodate patient, wheelchair, and an
assistant.
(7) The
following shall be provided in the surgical service areas:
(a) a control station located to permit
visual surveillance of all traffic entering the operating suite;
(b) a drug distribution station; provision
shall be made for storage and preparation of medications administered to
patients;
(c) scrub facilities
shall be provided near the entrance to each operating room which is arranged to
minimize incidental splatter on nearby personnel or supply carts;
(d) a soiled workroom which shall contain a
clinical sink or equivalent flushing type fixture, a work counter, a sink for
hand washing, and waste receptacle(s);
(e) fluid waste disposal facilities which
shall be convenient to the general operating rooms; a clinical sink or
equivalent equipment in a soiled workroom shall meet this
requirement;
(f) a clean workroom
or a clean supply room:
(i) a clean workroom
is required when clean materials are assembled within the facility prior to use
and shall contain: work counter; sink equipped for hand washing; and, space for
clean and sterile supplies;
(ii) a
clean supply room may be used when the facility does not assemble the material
and has procedures for the storage of sterile and clean supplies;
(g) anesthesia storage facilities
which meet the standards as outlined in national fire protection association
life safety code pamphlet 99; anesthesia may be stored inside or outside as
long as the standards are met;
(h)
anesthesia workroom for cleaning, testing, and storing anesthesia equipment
which shall contain: work counter and sink;
(i) equipment storage room(s) for equipment
and supplies used in the surgical area;
(j) staff clothing change area which shall
contain: lockers; showers; toilets; lavatories for hand washing; and, space for
donning scrub attire;
(k)
outpatient surgery change areas for patients to change from street clothing
into hospital gowns and to prepare for surgery which shall have the following:
waiting room(s); lockers; clothing change or gowning areas; space for
administering medications; and, provisions for securing patients' personal
effects;
(l) stretcher storage area
which shall be convenient for use and out of the direct line of
traffic;
(m) for facilities having
three or more operating rooms, a lounge and toilet facilities will be provided
for the surgical staff;
(n) a
nurse's toilet room shall be provided near the recovery room(s);
(o) a janitor's closet exclusively for the
surgical suite which shall have: a floor receptor or service sink, and storage
space exclusively for house keeping supplies and equipment for the surgical
suite;
(p) space for the temporary
storage of wheelchairs; and
(q)
provisions for convenient access to and use of emergency crash carts at both
the surgical and recovery areas.