Current through Register Vol. 47, No. 12, March 26, 2025
Each inpatient surgical suite shall be located to
prevent through traffic and shall comply with the following:
(a) The total number of operating rooms shall
be determined by the surgical workload. The minimum size of each operating room
shall be 15 feet by 18 feet, and there shall be at least one operating room in
any facility of 75 or fewer certified beds.
(b) A cystoscopy room is required in a
facility of over one 150 beds. There shall be a toilet with a lavatory
immediately adjacent to the cystoscopy room.
(c) A separate recovery room, with charting
space, medication storage and preparation space, and a clinical sink is
required.
(1) The recovery room shall contain
at least one bed per operating room plus an additional bed.
(2) The location of the recovery room shall
provide convenient access to elevators, nursing units and the operating
rooms.
(3) The floor area of the
recovery room shall provide adequate space around each bed for circulation and
equipment.
(4) One blood pressure
machine or portable blood pressure equipment shall be provided for each
bed.
(5) An audible signal device
for summoning additional personnel from the operating room supervisors' office,
anesthesiologist's office and nurses workrooms or areas within the surgical
suite shall be provided.
(6) Oxygen
and suction facilities shall be provided for each bed.
(d) In each surgical suite, the size of each
service area will depend on the surgical workload and such service areas shall
include:
(1) A surgical supervisor
station.
(2) Sterilizing facilities
near operating room with high-speed autoclave.
(3) Facilities for storage and preparation or
medication.
(4) Scrub-up facilities
adjacent to operating rooms.
(5)
Soiled workroom containing counter, clinical sink, waste receptacle, and soiled
linen receptacles.
(6) Storage for
sterile and unsterile supplies, which may be in the clean workroom.
(e) Anesthesia services shall be
properly organized, and integrated with other related departments. The
anesthesia service area shall include:
(1) An
anesthesia workroom for cleaning and storage of resuscitative
equipment.
(2) A storage room or
rooms for anesthetic agents.
(f) Additional service areas relating to the
anesthesia and operating rooms shall be provided and shall include, but not be
limited to, the following:
(1) Nitrous oxide
and oxygen facilities when such services are not piped in.
(2) A clean workroom for storage and assembly
of supplies with a counter and sink.
(3) Equipment storage room for surgical and
monitoring equipment.
(5) Separate male
and female clothing change areas, lockers, and at least one toilet for each
sex, for use by doctors, nurses, orderlies, and other personnel.
(6) A holding area for patients in facilities
with two or more operating rooms.
(7) A stretcher alcove or area that is not in
the line of traffic or part of a required exitway.
(g) In medical facilities maintaining
specialized cardiac surgical centers, additional supportive service areas and
equipment shall be provided on the hospital premises, including, but not
limited to the following:
(1) A special
procedure (catheterization) x-ray room, with a minimum net area of 400 square
feet.
(2) An office and conference
room for use of staff and for use as a viewing room.
(3) A film storage and darkroom when required
for proper processing of film.
(4)
Equipment necessary for the operation of the special procedure (catheterization
x-ray room), including the following:
(i)
X-ray equipment with capability either in biplane cineangiocardiography or in
rapid film techniques or both.
(iii) Medical
television system.
(v) Diagnostic x-ray
examination table for special procedures.
(vi) Rapid film changer for rapid serial and
standard full size radiography.
(vii) Film developing and viewing equipment
for all types of film utilized (cine, cut-film, etc.).
(viii) External defibrillator.
(ix) Biological recorder, including one
electrocardiograph and two pressures.
(5) For facilities serving pediatric
patients:
(i) x-ray equipment with biplane
capabilities either in cineangio-cardiography or in rapid film techniques or
both; and
(ii) equipment for blood
gas analysis and pH, with micro-techniques.
(6) A pulmonary function unit.
(7) Special surgery rooms for open heart
procedures adjacent to the general surgical unit of the hospital. If the
operating rooms in the surgical suite are used interchangeably for different
types of surgery, the room or rooms assigned for cardiac surgery must be large
enough to accommodate the larger operating staff and special equipment required
for open heart surgery.
(8)
Surgical instruments and monitoring equipment especially designed for
intra-thoracic and cardiac surgery.
(9) Defibrillating apparatus, which shall at
all times be available to the surgery room(s).
(10) A blood bank approved by the
department.
(11) Special plumbing
installations, which shall be installed for connection of the pump oxygenator.
Pump oxygenator storage space shall be provided, in a pump room in the clean
area of the surgical suite.
(12) A
post-operative care area, exclusively for cardiac surgical patients, adjacent
to, but separate from a general post-operative care area; and a coronary care
unit, which shall provide for the direct visual observation of all patients
from a central vantage point. A lavatory for handwashing shall be available in
close proximity to each bed. All necessary special equipment including, but not
limited to, monitoring devices, respirators, pacemakers, defibrillators, for
cardiac resuscitation shall be provided.
(h) In medical facilities maintaining
specialized cardiac diagnostic centers, additional supportive service areas and
equipment shall be provided either in the area of the cardiac center or in the
radiology department. The supportive services shall include, but not be limited
to the following:
(1) A special procedure
(catheterization) x-ray room, with a minimum net area of 400 square
feet.
(2) An office and conference
room for use of staff and for use as a viewing room, may be multi-purpose, and
used by other departments.
(3) A
film storage and darkroom when required, for proper processing of
film.
(4) Equipment necessary for
the operation of the special procedure (catheterization) x-ray room, including
the following:
(i) X-ray equipment with
capability either in cineangiocardiography or in rapid film techniques or
both.
(iii) Medical
television system.
(v) Diagnostic x-ray
examination table for special procedures.
(vi) Rapid film changer for rapid serial and
standard full size radiography.
(vii) Film developing and viewing equipment
for all types of film utilized (cine, cut-film, etc.).
(viii) External defibrillator.
(ix) Biological recorder, including one
electrocardiograph and two pressures.
(5) For facilities serving pediatric
patients:
(i) x-ray equipment with biplane
capabilities either in cineangiocardiography or in rapid film techniques or
both; and
(ii) equipment for blood
gas analysis and pH, with microtechniques.
