The Guidelines for Design and Construction of Health Care
Facilities 2010 edition, (Guidelines), are incorporated and adopted by
reference and shall be met except as modified in this section. Where a
modification is cited, the modification supersedes conflicting requirements of
the Guidelines.
(1) General Hospitals
shall comply with Guidelines sections 2.1 and 2.2.
(a) The following paragraphs of the appendix
of the Guidelines are also adopted by reference as requirements.
(i) A2.2-2.2.6.1 Nurse station locations
shall permit visual observation of traffic into the unit.
(ii) A2.2-3.1.3.6(4) Emergency Department
pediatric rooms must provide soundproofing with a STC rating for walls and
ceiling assemblies of not less than 50.
(iii) A2.2-3.1.3.6(9) Exterior portable
decontamination units in accordance with this paragraph shall be acceptable to
meet the requirement for emergency department decontamination and may be
provided in lieu of decontamination rooms within the building. Portable units
shall have the capability for heating shower water and for heating ventilation
air.
(iv) A2.2-3.1.8 A patient
hygiene shower with direct access to a sink and toilet shall be provided in the
emergency department.
(v)
A2.2-3.1.8.1 A bereavement room in the emergency department shall be
provided.
(vi) A2.2-3.3.3.3
Separate pediatric and adult post anesthesia care rooms shall be
provided.
(vii) A2.2-3.12
Hyperbaric Suites shall meet the requirements of this section.
(2) Critical Access
Hospitals shall comply with Guidelines sections 2.1 and 2.3.
(3) Freestanding satellites and in-house
outpatient programs shall comply with Guidelines sections 3.1, 3.2, 3.3, 3.7
and 3.9.
(4) Abortion Clinics shall
comply with Guidelines sections 3.1 and 3.2.
(5) Acute care hospital beds that swing to
nursing home care and payment shall also comply with R432- 5.
(6) Hospitals must have at least one nursing
unit of at least six beds containing patient rooms, patient care spaces, and
service areas.
(a) When more than one nursing
unit shares spaces and service areas, as permitted in this rule, the service
areas shall be contiguous to each nursing unit served.
(b) Identifiable spaces shall be provided for
each of the required services.
(c)
Facility services shall be accessible from common areas without compromising
patient privacy.
(7)
Patient room area is identified in each individual construction rule for the
licensure category rule.
(a) The closets in
each patient room shall be a minimum of 22 inches deep by at least 22 inches
wide and high enough to hang full length garments and to accommodate two
storage shelves.
(b) Pediatric
units must have at least one tub room with a bathtub, toilet and sink
convenient to the unit. The tub room may be omitted if all patient rooms
contain a tub in the toilet room.
(8) The facility must provide linen services
as follows:
(a) Processing laundry may be
done within the facility, in a separate building on or off site, or in a
commercial or shared laundry.
(b)
If laundry is processed by an outside commercial laundry, the following shall
be provided:
(i) a separate room for
receiving and holding soiled linen until ready for transport;
(ii) a central, clean linen storage and
issuing room(s) to accommodate linen storage for four days operation or two
normal deliveries, whichever is greater; and
(iii) handwashing facilities in each area
where unbagged, soiled linen is handled.
(c) If the facility processes its own
laundry, within the facility or in a separate building, the following shall be
provided:
(i) a receiving, holding, and
sorting room for control and distribution of soiled linen;
(ii) a washing room with handwashing
facilities and commercial equipment that can process a seven day accumulation
of laundry within a regularly scheduled work week;
(iii) a drying room with dryers adequate for
the quantity and type of laundry being processed; and
(iv) a clean linen storage room with space
and shelving adequate to store one half of all linens and personal clothing
being processed.
(d)
Soiled linen chutes shall discharge directly into the receiving room or in a
room separated from the washing room, drying room and clean linen
storage.
(e) Prewash facilities may
be provided in the receiving, holding and sorting rooms.
(f) If laundry is processed by the facility,
either a two or three room configuration may be used as follows;
(i) A two room configuration shall consist of
the following:
(A) a room housing soiled
linen receiving, sorting, holding, and prewash facilities; washers; and
handwashing facilities; and
(B) a
room housing dryers; clean linen folding, sorting, and storage facilities; and
handwashing facilities.
(ii) A three room configuration shall consist
of:
(A) a soiled linen receiving, sorting,
holding room with prewash and handwashing facilities;
(B) a combination washer and dryer room
arranged so linen flows from the soiled receiving area to the washers, to the
dryers, and then to clean storage; and
(C) a clean storage room with folding,
sorting, storage and handwashing facilities.
(iii) Physical separation shall be maintained
between rooms by means of self closing doors.
(iv) Air movements shall be from the clean
area to the soiled area. Air from the soiled area shall be exhausted directly
to the outside.
(g)
Handwashing sinks shall be provided and located within the laundry areas to
maintain the functional separation of the clean and soiled processes.
(h) Rooms shall be arranged to prevent the
transport of soiled laundry through clean areas and the transport of clean
laundry through soiled areas.
(i)
Convenient access to employee lockers and lounges shall be provided.
(j) Storage for laundry supplies shall be
provided.
(k) A cart storage area
for separate parking of clean and soiled linen carts shall be provided out of
normal traffic paths.