| (5) Electrical requirements. Electrical requirements
shall be in accordance with §133.162(d)(5) of this title.
(h) Engineering suite and equipment areas.
(1) Architectural requirements. Architectural requirements
shall be in accordance with §133.162(d)(1) of this title and
this paragraph.
(A) General. The following facilities shall be provided:
(i) an engineer's office with file space and provisions
for protected storage of facility drawings, records, manuals, etc.;
(ii) a general maintenance shop(s) for repair and maintenance;
(iii) a separate room(s) for building maintenance supplies
and equipment. Storage of bulk solvents and flammable liquids shall
be in a separate building and not within the hospital building;
(iv) a medical equipment room which includes provisions
for the storage, repair, and testing of electronic and other medical
equipment;
(v) a separate room or building for yard maintenance
equipment and supplies. When a separate room is within the physical
plant the room shall be located so that equipment may be moved directly
to the exterior. Yard equipment or vehicles using flammable liquid
fuels shall not be stored or housed within the general hospital building;
and
(vi) sufficient space in all mechanical and electrical
equipment rooms for proper maintenance of equipment. Provisions shall
also be made for removal and replacement of equipment.
(B) Additional areas or room(s). Additional areas or
room(s) for mechanical, and electrical equipment shall be provided
within the physical plant or installed in separate buildings or weatherproof
enclosures with the following exceptions.
(i) An area shall be provided for cooling towers and
heat rejection equipment when such equipment is used.
(ii) An area for the medical gas park and equipment
shall be provided. For smaller medical gas systems, the equipment
may be housed in a room within the physical plant in accordance with
National Fire Protection Association 99, Standard for Health Care
Facilities, 2002 edition (NFPA 99), Chapters 4 and 8.
(iii) When provided, compactors, dumpsters, and incinerators
shall be located in an area remote from public entrances.
(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.
(i) General stores.
(1) Architectural requirements. Architectural requirements
shall be in accordance with §133.162(d)(1) of this title and
this paragraph.
(A) General. In addition to storage facilities in individual
departments, a central storage room shall be provided. General stores
may be located in a separate building on-site with provisions for
protection against inclement weather during transfer of supplies.
(B) Receiving. Facilities for central storage areas
shall be provided with an off-street unloading and receiving area
protected from inclement weather.
(C) General storage room. General storage room with
a total area of not less than 20 square feet per inpatient bed shall
be provided. The storage room may be within the facility, or separate
building on-site. Fifty percent of the storage may be provided off-premises.
When additional inpatient beds are constructed, additional general
storage shall be provided.
(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.
(j) Hospital-based skilled nursing units.
(1) Architectural requirements. When a hospital-based
skilled nursing unit is provided, each unit shall comply with the
requirements contained in subsection (t)(1) of this section and the
requirements listed below. The skilled nursing unit may be separated
from the rest of the hospital with two-hour fire protection rated
construction in order to define areas for certification inspections.
(A) At least 50% of patient rooms and bathrooms and
all public and common use areas in a newly constructed, or reconstructed
hospital-based skilled nursing unit, are required to be handicapped
accessible in accordance with §133.162(d)(1)(D) of this title.
(B) At least 10% of patient rooms and bathrooms and
all public and common use areas shall be made handicapped accessible
in accordance with §133.162(d)(1)(D) of this title when remodeling
a hospital-based skilled nursing unit or remodeling an existing nursing
unit to a hospital-based skilled nursing unit.
(C) Activity and dining space shall be part of the
unit. It may be located in a separate room or open to the corridor
and shall be convenient to the unit. The floor area of this space
shall provide at least 30 square feet per patient bed with a minimum
of 160 square feet. Additional space shall be required if this space
is also used for other programs.
(D) When physical and occupational therapy services
are provided for rehabilitating patients, spaces and equipment that
conform to program intent shall be provided. These spaces may be located
in the unit or elsewhere in the hospital.
(E) Each unit shall have at least one assisted bathing
wheelchair shower or tub room per floor or nursing unit. The bathtub
shall be accessible to patients in wheelchairs or the shower shall
accommodate a gurney. The room shall be centrally located, convenient
to the units and shall be directly accessible from the corridor. The
room shall have space for drying and dressing and provided with hand
washing fixture with hands-free operable controls and toilet training
facilities with three feet of clear space on sides and front of the
water closet.
(F) A housekeeping room shall be provided for the exclusive
use of the unit. The housekeeping room shall contain a floor receptor
or service sink and storage space for housekeeping supplies and equipment.
(2) Details and finishes. Each unit shall comply with
the requirements contained in subsection (t)(2) of this section and
this paragraph.
(A) All portions of corridor walls in the unit with
an uninterrupted length of two feet or more shall have graspable handrails.
The handrails shall comply with NFPA 101, §7.2.2.4, and the provisions
found in 16 TAC Chapter 68, Texas Accessibility Standards, April 1,
1994 edition, issued by the Texas Department of Licensing and Regulation,
under the Texas Architectural Barriers Act, Texas Government Code,
Chapter 469. No handrail shall protrude more than three and one-half
inches into the egress corridor. All handrail ends shall be returned
to the wall.
(B) Floor finishes shall comply with the requirements
of §133.162(d)(2)(B)(iii) of this title.
(3) Mechanical requirements. Mechanical requirements
in each unit shall be in accordance with subsection (t)(3) of this
section.
(4) Plumbing fixtures and piping systems. The plumbing
fixtures and piping systems shall be in accordance with subsection
(t)(4) of this section.
(5) Electrical Requirements. Electrical requirements
shall be in accordance with subsection (t)(5) of this section. The
nurse call shall be in accordance with §133.162(d)(5)(L) and
Table 7 of §133.169(g) of this title.
(k) Hyperbaric suite.
(1) Architectural requirements. When a hyperbaric suite
is provided, it shall meet the requirements of Chapter 20, NFPA 99,
and Chapter 18, NFPA 101.
(A) Hyperbaric chamber clearances. Multiple occupancy
chambers (Class A) shall be in accordance with NFPA 99, Chapter 20.
The minimum clearances for individual (Class B) hyperbaric chambers
and the side of a chamber and a wall/partition shall be a minimum
of three feet. The clearance between sides of chambers shall be a
minimum of six feet. The minimum distance at the chamber entry 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 chamber
entry may be shared between two chambers. The chamber room shall contain
cabinets, medication storage, work counter and a hand washing fixture
with hands-free operable controls. The fixed and movable cabinets
and shelves shall not encroach upon the chamber clear floor space/area.
The requirements of this Cont'd... |
