| moveable cabinets and shelves shall not encroach upon
the bassinet/crib clear floor space/area. The requirements of this
clause are illustrated in Table 8, Diagram K of §133.169(h) of
this title.
(viii) A minimum of one isolation room shall be provided
with a minimum clear floor area of 120 square feet per bassinet/crib
exclusive of work counter, vestibule, sink and aisle. A minimum of
12 feet width shall be provided for the head wall for each bed. A
toilet room is not required.
(ix) A lavatory equipped for hand washing with hands-free
operable controls shall be provided in each single-bed room. In rooms
with multiple beds, one lavatory with hands-free operable controls
for each four patient stations or fraction thereof shall be provided.
These lavatories shall be located convenient to infant stations.
(x) Each NCCU shall be served by a connecting workroom
containing gowning facilities at the entrance for staff and housekeeping
personnel, a work space with counter, storage facilities, a lavatory
or sink equipped for hand washing with hands-free operable controls,
and individual closet or lockers for personal effects of nursing personnel.
One workroom may serve not more than two NCCUs.
(xi) A storage space for infant formula shall be provided.
This functional space may be outside the NCCU but shall be available
for use at all times.
(xii) A breast feeding or pump room shall be provided
convenient to the unit. Provision shall be made, either within the
room or conveniently located nearby, for a sink with hands-free operable
controls, counter, refrigeration and freezer, storage for pump and
attachments, and educational materials.
(xiii) A room(s) shall be provided within the NCCU
for parents and infants for extended private time together and the
room is not considered a patient room. The room(s) shall have direct
access to toilet facilities and a hand washing fixture with hands-free
operable controls. The room(s) shall have a sleeping area for at least
one parent, and sufficient space for the infant's bassinet/crib and
equipment. The room(s) shall have electrical and medical gas outlets
as specified for NCCU bassinet/cribs. This room(s) shall have direct
communication with the NCCU staff.
(xiv) Twenty square feet of equipment storage shall
be provided for each patient station. The storage areas shall be out
of the way of the corridor traffic.
(xv) Charting and dictation space shall be provided
for physicians and nurses.
(xvi) A respiratory therapy work area and storage room
shall be provided.
(xvii) Blood gas lab facilities shall be immediately
accessible to the NCCU.
(xviii) A staff lounge shall include toilet facilities
with a hand washing fixture with hands-free operable controls. The
lounge(s) shall be located so that staff may be recalled quickly to
the patient area in emergencies. Toilet facilities may be shared as
long as privacy is maintained for changing areas.
(xix) Physicians and other staff on 24-hour on-call
work schedules shall be provided with sleeping rooms with access to
a shower(s), toilet(s), and lavatory(ies). If on-call room(s) are
not within the NCCU served, a dedicated telephone or intercom system
shall connect the on-call room(s) to the NCCU.
(xx) A waiting room/area shall be provided and contain
toilet room(s) with hand washing facilities. Waiting room/area maybe
shared with other waiting room/areas if conveniently located.
(xxi) A consultation room shall be provided, if not
provided elsewhere in the suite.
(xxii) A housekeeping room shall be provided exclusively
within or immediately adjacent to the NCCU. It shall not be shared
with other nursing units or departments.
(P) Infant formula facilities. Infant formula facilities
shall meet the following requirements.
(i) When infant formula is prepared on site, the infant
formula preparation room shall contain a lavatory equipped for hand
washing with hands-free operable controls, warming facilities, refrigerator,
work counter, formula sterilizer, and storage facilities. The formula
room may be located near the nurseries or at another appropriate place
within the hospital. Direct access from the formula preparation room
to any nursery room is prohibited.
(ii) An infant formula clean-up room shall be provided
and include a hand washing fixture with hands-free operable controls,
facilities for bottle washing, a work counter, and sterilization equipment.
(iii) When commercial infant formula is used, the separate
clean-up and formula preparation rooms may be omitted. The storage
and handling may be done in the nursery workroom or in another appropriate
room in the hospital that is conveniently accessible at all hours.
(iv) A refrigerated storage and warming facilities
for infant formula shall be provided and be accessible for use by
nursery personnel at all times.
(Q) Service areas. The following service areas shall
be provided to support an obstetrical suite unless otherwise noted.
(i) Control station. The control station shall be located
to permit direct visual surveillance of all traffic which enters the
obstetrical suite.
(ii) Office. A supervisor's office shall be provided.
(iii) Waiting room/area. A waiting room/area shall
be provided and contain toilet room(s) with hand washing facilities,
public telephone(s), and drinking fountain(s).
(iv) Scrub facilities. Two scrub stations shall be
within 5 feet of the entrance to each c-section operating room and
delivery room. Two scrub stations may serve two c-section operating
rooms or delivery rooms if the scrub stations are located adjacent
to the entrance of each c-section operating room or delivery room.
Scrub facilities shall be arranged to minimize any incidental splatter
on nearby personnel or supply carts. Viewing panels shall be provided
for observation of c-section operating rooms and delivery rooms from
the scrub area.
(v) Sterilizing facilities. Sterilizing facilities
with high speed sterilizers shall be conveniently located to serve
all c-section operating rooms and delivery rooms. A work space and
a hand washing fixture with hands-free operable controls shall be
included. High speed autoclaves should only be used in an emergency
situation (e.g. replacements unavailable for dropped instruments).
Sterilization facilities would not be necessary when spare instruments
are available.
(vi) Anesthesia workroom. An anesthesia workroom shall
be provided with work counter, sink with hands-free operable controls,
and storage space for small style D or E medical gas cylinders and
other anesthesia equipment.
(vii) Medication station. Storage and distribution
of medication may be done from a medicine preparation room, medicine
alcove area or from a self-contained medicine dispensing unit but
must be under visual control of nursing staff. A work counter, hand
washing fixture with hands-free operable controls, refrigerator, and
double-locked storage for controlled substances shall be provided.
Standard cup-sinks provided in many self-contained units are not adequate
for hand washing. The medication station may be shared with the clean
work room.
(viii) Nourishment station. The nourishment station
shall contain sink with hands-free operable controls, work counter,
self-dispensing ice machine, refrigerator, cabinets, and not located
in the clean work room. Space shall be included for temporary holding
of unused or soiled dietary trays. A nourishment station is not required
in the nursery suite.
(ix) General storage room(s). A minimum of 50 square
feet per operating room is required for general storage space(s).
The storage space is exclusive of soiled holding, sterile supplies,
clean storage, drug storage, locker rooms. In addition to general
storage, equipment storage shall be provided for labor, LDR and LDRP
rooms.
(x) Emergency storage. Equipment used for emergencies
shall be stored in a room or alcove under direct visual control of
the nursing staff.
(xi) Storage alcove. The alcove provided for stretcher
storage, portable X-ray equipment, warming devices, auxiliary lamps,
etc. shall be located out of direct line of traffic.
(xii) Obstetrical suite staff clothing change rooms.
Appropriately sized areas shall be provided for male and female personnel
working within the obstetrical suite. These areas shall contain lockers,
showers, toilets, hand washing fixtures with hands-free operable controls,
and space to change into scrub suits and boots. Separate locker/changing
rooms shall be provided for male and female staff. The shower and
toilet room(s) may be unisex. These areas shall be arranged to provide
a traffic pattern so that personnel entering from outside the obstetrical
suite can shower, change, and move directly into the restricted areas
of the obstetrical suite.
Cont'd... |
