| (xv) Housekeeping room. The housekeeping room shall
be located within the suite. The room may be shared with an adjacent
emergency suite when directly accessible from both sides.
(2) Details and finishes. Details and finishes shall
be in accordance with §133.162(d)(2) of this title and this paragraph.
Treatment rooms shall be provided with seamless flooring in accordance
with requirements contained in §133.162(d)(2)(B)(iii)(III) of
this title.
(3) Mechanical requirements. Mechanical requirements
shall be in accordance with §133.162(d)(3) of this title and
this paragraph. Filtration requirements for air handling units serving
the outpatient and surgical suite shall be equipped with filters having
efficiencies equal to, or greater than specified for patient care
areas in Table 4 of §133.169(d) 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 and this paragraph. Sinks used for the disposal of plaster
of paris shall have a plaster trap.
(5) Electrical requirements. Electrical requirements
shall be in accordance with §133.162(d)(5) of this title and
this paragraph. The nurse call shall be in accordance with §133.162(d)(5)(L)
and Table 7 of §133.169(g) of this title.
(w) Pediatric and adolescent nursing unit.
(1) Architectural requirements. When a facility offers
pediatric care services and the nursing unit contains a total of 15
or more patient beds, cribs or bassinets, the unit shall meet the
requirements contained in this subsection. Units containing less than
15 beds, cribs or bassinets, may be a part of the medical/surgical
nursing unit. Each pediatric and adolescent nursing unit shall comply
with the requirements contained in subsection (t)(1) of this section
and the following requirements.
(A) Patient rooms. Patient rooms in a pediatric and
adolescent nursing unit containing hospital beds or cribs shall comply
with subsection (t)(1)(B) of this section with the following exceptions:
(i) The minimum clear floor space in a private patient
room within a dedicated pediatric unit intended for a crib shall be
100 square feet exclusive of toilet room, closet, built-in cabinets,
wardrobe, alcove, or vestibules. Minor encroachments including columns
and wall hung lavatories that do not interfere with functions may
be ignored.
(ii) Patient rooms used for multiple cribs shall have
no more than six cribs in a room. The clearance between the side of
a crib and a wall/partition shall be a minimum of three feet six inches.
The clearance between sides of crib shall be a minimum of six feet.
The minimum distance at the foot of the crib shall not be less than
seven feet for single load area/room or ten feet for double load area/room.
Four feet of the passage space at the foot of the crib may be shared
between two cribs. The fixed and moveable cabinets and shelves shall
not encroach upon the crib clear floor space/area. One hand washing
fixture with hands-free operable controls shall be provided for every
three patients cribs. The requirements of this clause are illustrated
in Table 8, Diagram L of §133.169(h) of this title.
(B) Airborne infection isolation suites and protective
environment suites.
(i) Airborne infection isolation suites shall comply
with the requirements contained in subsection (t)(1)(C) of this section
and shall be located within the pediatric and adolescent nursing unit.
(ii) Protective environment suites shall comply with
the requirements contained in subsection (t)(1)(D) of this section
and shall be located within the pediatric and adolescent nursing unit.
(C) Pediatric nursery suite. When provided, the pediatric
nursery suite shall be located in the pediatric nursing unit and shall
consist of a nursery, examination/treatment room, workroom, and formula
preparation room and contain the following elements.
(i) Nursery. Each pediatric nursery shall contain not
more than eight bassinets. The clearance between the side of bassinet
and a wall/partition shall be a minimum of three feet. The clearance
between sides of bassinets shall be a minimum of six feet. The minimum
distance at the foot of the bassinet shall not be less than six feet
for single load area/room or nine feet for double load area/room.
Four feet of the passage space at the foot of the bassinet may be
shared between two bassinets. The fixed and moveable cabinets and
shelves shall not encroach upon the bassinet clear floor space/area.
The requirements of this clause are illustrated in Table 8, Diagram
J of §133.169(h) of this title. Additional area shall be provided
to accommodate workroom functions if these are located within the
nursery area as specified in clauses (ii) and (iii) of this subparagraph.
(I) One hand washing fixture with hands-free operable
controls shall be provided for every four patients bassinets in each
pediatric nursery.
(II) Each pediatric nursery shall be provided with
viewing windows for observing infants from public areas and workroom(s).
(ii) Nursery workroom. A connecting workroom shall
be provided which shall contain gowning facilities at the entrance
for staff, visitors, and housekeeping personnel, work space with counter,
refrigerator, lavatory or sink equipped for hand washing, and storage.
One workroom shall serve no more than two nurseries provided that
required services are convenient to each. The workroom may be omitted
if only one nursery is provided and the equivalent work area and facilities
are provided within the nursery in which case the gowning facilities
shall be located near the entrance to the nursery and shall be separated
from the work area.
(iii) Examination/treatment room or area. An examination/treatment
room or area shall be provided. The examination/treatment area may
be located in a separate room or a designated part of the nursery.
It shall contain a work counter, storage facilities, and a lavatory
for hand washing.
(iv) On-site formula preparation. Where infant formula
is prepared on the hospital site, the hospital shall provide cleanup
facilities for washing and sterilizing supplies. These shall consist
of a lavatory or sink equipped for hand washing, a bottle washer,
work counter space, and an equipment sterilizer. A separate room for
preparing infant formula shall be provided. The room shall contain
a lavatory or sink equipped for hand washing, hot plate, refrigerator,
work counter, formula sterilizer, and storage facilities. It may be
located in the pediatric nursery or in another appropriate place within
the hospital. There shall be no direct access from the formula room
to a nursery.
(v) Commercially prepared formula. If a commercial
infant formula is used, the storage and handling may be done in the
nursery workroom or in another appropriate room elsewhere in the hospital
which has a work counter, sink equipped for hand washing, and storage
facilities.
(vi) Housekeeping room. A housekeeping room shall be
located in the pediatric nursery suite.
(D) Service areas. The service areas in the pediatric
and adolescent nursing unit shall comply with the requirements listed
in subsection (t)(1)(F) of this section and the following requirements.
(i) Multipurpose or individual room(s) shall be provided
for dining, educational, and play purposes. Special provision shall
be made to minimize the impact noise transmission through the floor
of the multipurpose room(s) to occupied spaces below. Requirements
in Table 1 of §133.169(a) of this title shall be met.
(ii) Patient toilet room(s) shall be provided convenient
to multipurpose room(s) and central bathing facilities.
(iii) Storage closets or cabinets for toys and educational
and recreational equipment shall be provided.
(iv) Storage space shall be provided for replacement
of cribs and adult beds to provide flexibility for interchange of
patient accommodations.
(2) Details and finishes. Each pediatric and adolescent
nursing unit shall comply with the requirements contained in subsection
(t)(2) of this section.
(3) requirements. Mechanical requirements in each
pediatric and adolescent nursing unit shall comply with the requirements
contained in subsection (t)(3) of this section and this paragraph.
(A) Special consideration for safety shall be given
to the type of heating and cooling units, ventilation outlets, and
appurtenances installed in patient areas of pediatric and adolescent
nursing units.
(B) All air grilles and diffusers shall be of a type
that prevents the insertion of foreign objects.
Cont'd... |
