| (vi) housekeeping room within the laundry suite or
available near by.
(2) Details and finishes. Details and finishes shall
be in accordance with §133.162(d)(2) of this title.
(3) Mechanical Requirements. Mechanical requirements
shall be in accordance with §133.162(d)(3) of this title and
this paragraph.
(A) The ventilation system shall include adequate intake,
filtration, exchange rate, and exhaust in accordance with Table 3
and Table 4 of §133.169(c) and (d) of this title, respectively.
(B) Filtration requirements for air handling units
serving the laundry suite shall be equipped with filters having efficiencies
equal to, or greater than specified in Table 4 of §133.169(d)
of this title.
(C) Direction of air flow of the HVAC systems shall
be from clean to soiled areas.
(D) The ventilation system for soiled processing area
shall have negative air pressure while the clean processing area shall
have positive pressure.
(E) Lint interceptors shall be located outside the
laundry area. Drainage piping that serves laundry equipment shall
employ suds-control features.
(4) Piping systems and plumbing fixtures. Piping systems
and plumbing fixtures shall be in accordance with §133.162(d)(4)
of this title.
(5) Electrical requirements. Electrical requirements
shall be in accordance with §133.162(d)(5) of this title.
(p) Medical records suite.
(1) Architectural requirements. The following rooms,
areas, or offices shall be provided in the medical records suite:
(A) medical records administrator or technician office;
(B) review and dictating rooms or spaces;
(C) work area which includes provisions for sorting,
recording, scanning, or microfilming records; and
(D) file room. When nondigital files are stored on
site, the room shall be considered as hazardous. The construction
protection for the storage room or area shall comply with Chapter
18 of NFPA 101, §18.3.2.
(2) Details and finishes. Details and finishes shall
be in accordance with §133.162(d)(2) of this title.
(3) Mechanical requirements. Mechanical requirements
shall be in accordance with §133.162(d)(3) of this title.
(4) Piping systems and plumbing fixtures. Piping systems
and plumbing fixtures shall be in accordance with §133.162(d)(4)
of this title.
(5) Electrical requirements. Electrical requirements
shall be in accordance with §133.162(d)(5) of this title.
(q) Mental health and chemical dependency nursing suite.
(1) Architectural requirements. When mental health
and chemical dependency patient care services are provided, the suite
shall comply with the requirements contained in subsection (t)(1)
of this section and the requirements of this paragraph.
(A) A minimum of two separate social spaces, one appropriate
for noisy activities and the other for quiet activities, shall be
provided. The combined total area shall be not less than 40 square
feet per bed with not less than 120 square feet for each of the two
spaces, whichever is greater.
(B) A room for group therapy shall be provided. The
room shall not be less than 250 square feet. The group therapy room
may be combined with the quiet space required in subparagraph (A)
of this paragraph when the unit accommodates not more than 12 patients.
(C) Space shall be provided for occupational therapy
at the rate of 15 square feet per bed with a minimum total area of
200 square feet, whichever is greater. Space shall include hand washing,
work counters, storage, and displays. When the mental health and chemical
dependency nursing unit contains less than 12 beds, the occupational
therapy functions may be performed within the noisy activities area,
if at least 10 additional square feet per patient served is included.
(D) A consultation room for each 12 beds or any portion
thereof shall be provided. Each consultation room shall have a minimum
floor space of 100 square feet. Each room shall be designed for acoustical
and visual privacy.
(E) There shall be a suite in each nursing unit for
mental health and chemical dependency patients intended for short-term
occupancy by a single person requiring security and protection from
self or others. The seclusion suite shall consist of seclusion room(s),
an anteroom or a vestibule, and a toilet.
(i) Each seclusion room shall be located and designed
in a manner affording direct visual supervision by nursing staff and
shall be constructed to prevent patient hiding, escape, injury, or
suicide. There shall be a minimum of one seclusion room for each 24
beds or any portion thereof.
(I) The floor area of each seclusion room shall be
not less than 60 square feet. The minimum room dimension shall be
6 feet.
(II) The seclusion room shall have a minimum ceiling
height of 9 feet.
(III) The door to each seclusion room shall have no
hardware on the room side and shall open out. A vision panel shall
be provided in each door to permit staff observation of the entire
room while maintaining privacy from the public and other patients.
(IV) Each seclusion room shall have natural light (skylight
or window) in order to maintain a therapeutic environment. Skylight
wells or windows shall be not less than 400 square inches in area.
(ii) Access to the seclusion room from any public space
such as a corridor shall be through an anteroom. When the seclusion
suite is directly accessible from the nurse station, a vestibule may
be provided in place of an anteroom. A cased opening to the vestibule
in lieu of a door may be provided as long as the arrangement assures
privacy from the public and other patients.
(I) At least one dimension of the anteroom or vestibule
shall be 8 feet.
(II) The door to the anteroom shall swing out.
(iii) There shall be at least one toilet room directly
accessible from the anteroom or vestibule.
(I) The toilet room shall be a minimum of 50 square
feet.
(II) The toilet room door shall swing out into the
anteroom or vestibule.
(III) A water closet and hand washing facilities shall
be provided in the toilet room. An unbreakable wall hung mirror may
be provided.
(F) When a smoking room is provided, all air shall
have a dedicated exhaust system to the exterior.
(G) Service areas shall be provided in accordance with
the requirements of subsection (t)(1)(F) of this section and the following
additional requirements.
(i) Nurses and doctor's charting areas shall be provided
with separation needed for acoustical privacy as well as space required
for the function. A view window to permit observation of patient area
by the charting nurse or physician may be used provided that it is
located so that patient files cannot be read from outside the charting
space.
(ii) A small kitchen for patient use shall be provided.
It shall contain a sink, refrigerator, kitchen cabinets, ice dispenser,
and a microwave. This kitchen may serve as a nourishment center for
patients between meals. It may be located in the noisy activity area.
(iii) Patient laundry facilities with automatic washer
and an electric dryer shall be provided. This requirement may be omitted
in nursing units intended only for adolescent and gero-psychiatric
patients.
(2) Details and finishes. Details and finishes in each
mental health and chemical dependancy nursing unit shall comply with
the requirements contained in subsection (t)(2) of this section and
this paragraph.
(A) Details.
(i) The type and degree of security and patient safety
required in the suite shall be determined by hospital administration
and described in the hospital's functional program narrative, unless
stated otherwise within these rules.
(ii) All areas of the mental health suite, including
entrances to patient rooms, shall be visible from the nurse station(s).
Observation by video cameras of seclusion rooms, entrances, hallways,
and activity areas shall be acceptable.
(iii) All exposed and accessible fasteners shall be
tamper-resistant.
(iv) Suitable hardware shall be provided on doors to
toilet rooms so that access to these rooms can be controlled by staff.
Hardware shall be utilized which is appropriate to prevent patient
injury.
(v) Only breakaway or collapsible clothes bars in wardrobes,
lockers, and closets and shower curtain rods shall be permitted in
nursing units for mental health and chemical dependency patients.
(vi) Wire coat hangers shall not be permitted in the
suite.
(vii) Special fixtures, hardware, and tamper-proof
screws are required throughout the suite.
Cont'd... |
