Current through Register Vol. 24-18, September 15, 2024
The definitions in this section apply throughout WAC
246-335-705 through
246-335-768 unless the context
clearly indicates otherwise:
(1)
"Construction" means:
(a) New building(s) to
be used as a hospice care center;
(b) Addition(s) to or conversion(s), either
in whole or in part, of an existing building or buildings to be used as a
hospice care center or a portion thereof; or
(c) Alteration or modification to a hospice
care center.
(2)
"Homelike" means an environment having the qualities of a home, including
privacy, comfortable surroundings, opportunities for patient self-expression,
and supporting interaction with the patient's family, friends, and
community.
(3) "Hospice care
center" or "in-home services agency licensed to provide hospice care center
services" means a homelike, noninstitutional facility where hospice services
are provided, and that meet the requirements for operation under
RCW
70.127.280 and applicable rules.
(4) "Hospice care center service category"
means the following different levels of care provided in a hospice care center:
(a) "Continuous care" means care for patients
requiring a minimum of eight hours of one-to-one services in a calendar day,
with assessment and supervision by an RN. An RN, LPN or home health aide may
provide the care or treatment, according to practice acts and applicable rules,
of acute or chronic symptoms, including a crisis in their caregiving;
(b) "General inpatient care" means care for
patients requiring an RN on-site twenty-four hours a day, for assessment and
supervision. An RN, LPN or home health aide may provide the care or treatment,
according to practice acts and applicable rules, of acute or chronic symptoms,
including a crisis in their caregiving;
(c) "Inpatient respite care" means care for
patients whose caregivers require short-term relief of their caregiving
duties;
(d) "Routine home care"
means the core level of service for patients not receiving continuous care,
general inpatient care, or inpatient respite care.
(5) "Hospice care center services" means
hospice services provided in a hospice care center and may include any of the
levels of care defined as hospice care center service categories.
(6) "Pressure relationships" of air to
adjacent areas means:
(a) Positive (P)
pressure is present in a room when the:
(i)
Room sustains a minimum of 0.001 inches of H2O pressure
differential with the adjacent area, the room doors are closed, and air is
flowing out of the room; or
(ii)
Sum of the air flow at the supply air outlets (in CFM) exceeds the sum of the
air flow at the exhaust/return air outlets by at least 70 CFM with the room
doors and windows closed.
(b) Negative (N) pressure is present in a
room when the:
(i) Room sustains a minimum of
0.001 inches of H2O pressure differential with the
adjacent area, the room doors are closed, and air is flowing into the room; or
(ii) Sum of the air flow at the
exhaust/return air outlets (in CFM) exceeds the sum of the air flow at the
supply air outlets by at least 70 CFM with the room doors and windows
closed.
(c) Equal (E)
pressure is present in a room when the:
(i)
Room sustains a pressure differential range of plus or minus 0.0002 inches of
H2O with the adjacent area, and the room doors are
closed; or
(ii) Sum of the air flow
at the supply air outlets (in CFM) is within ten percent of the sum of the air
flow at the exhaust/return air outlets with the room doors and windows
closed.
(7)
"Sink" means one of the following:
(a)
"Clinic service sink (siphon jet)" means a plumbing fixture of adequate size
and proper design for waste disposal with siphon jet or similar action
sufficient to flush solid matter of at least two and one-eighth inch
diameter;
(b) "Service sink" means
a plumbing fixture of adequate size and proper design for filling and emptying
mop buckets;
(c) "Handwash sink"
means a plumbing fixture of adequate size and proper design to minimize splash
and splatter and permit handwashing without touching fixtures with hands, with
adjacent soap dispenser with foot control or equivalent and single service hand
drying device.
(8)
"WISHA" means the Washington Industrial Safety and Health Act, chapter 49.17
RCW.
