| subparagraph are illustrated in Table 8,
Diagram F of §133.169(h) of this title.
(B) Service areas. The following minimum service areas
and facilities shall be provided convenient to the hyperbaric chamber
suite.
(i) Patient waiting area. The area shall be out of
traffic, under staff control, and shall have seating capacity in accordance
with the functional program. Outpatients and inpatients shall be provided
with separate waiting areas with screening for visual privacy between
the waiting areas. Patient waiting areas may be omitted for two or
less individual hyperbaric chamber units.
(ii) Control desk and reception area. A control desk
and reception area shall be provided.
(iii) Holding area. A holding area under staff control
shall accommodate inpatients on stretchers or beds. Stretcher patients
shall be out of the direct line of normal traffic. The patient holding
area may be omitted for two or less individual hyperbaric chamber
units.
(iv) Patient toilet rooms. Toilet rooms shall be provided
with hand washing fixtures with hands-free operable controls and with
direct access from the hyperbaric suite.
(v) Patient dressing room(s). A dressing room(s) for
outpatients shall be provided and shall include a seat or bench, mirror,
and provisions for hanging patients' clothing and for securing valuables.
At least one dressing room shall be provided to accommodate wheelchair
patients.
(vi) Staff facilities. Toilets with hand washing fixtures
with hands-free operable controls may be outside the suite but shall
be convenient for staff use. These facilities may be shared with an
adjacent suite.
(vii) Consultation room. An appropriate consultation
room for individual consultation with referring clinicians shall be
provided for outpatients. This room may be shared with an adjacent
suite.
(viii) Storage space. A clean storage space shall be
provided for clean supplies and linens. The space shall contain a
hand washing fixture with hands-free operable controls. The storage
room may be shared with another department if convenient to both.
(ix) Soiled holding room. A soiled holding room shall
be provided with waste receptacles and soiled linen receptacles. This
room may be shared with an adjacent suite.
(x) Hand washing. A lavatory equipped for hand washing
with hands-free operable controls shall be located in the room where
the hyperbaric chambers are located.
(xi) Housekeeping room. The housekeeping room shall
contain a floor receptor or service sink, storage space for housekeeping
supplies and equipment, and be located nearby.
(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 and
this paragraph.
(A) Grounding of hyperbaric chambers shall be connected
only to the equipment ground in accordance with NFPA 99, §3-3.2.1.2,
and National Fire Protection Association 70, National Electrical Code,
1999 edition, (NFPA 70), Article 250 (A) - (C), and Article 517.
(B) Additional grounds such as earth or driven grounds
shall not be permitted.
(C) The nurse call shall be in accordance with §133.162(d)(5)(L)
and Table 7 of §133.169(g) of this title.
(l) Imaging suite.
(1) Architectural requirements.
(A) General. Each hospital shall have a diagnostic
radiographic (X-ray) room convenient to emergency, surgery, cystoscopy,
and outpatient suites.
(i) All diagnostic imaging room sizes shall be in compliance
with the manufacturer's recommendations for the specific equipment.
Clearance and unobstructed space shall not be less than three feet
around the diagnostic equipment.
(ii) When radiation protection is required for any
diagnostic imaging room, a medical physicist licensed under the Texas
Medical Physics Practice Act, Occupations Code, Chapter 602, shall
specify the type, location, and amount of radiation protection to
be installed for the layout and equipment selections.
(iii) Each room where radiation protection is required
shall include a shielded control alcove. The control alcove shall
be provided with a view window designed to permit full view of the
examination table and the patient at all times.
(iv) Warning signs capable of indicating that the equipment
is in use shall be provided.
(v) Diagnostic and procedure room intended for patients
with airborne infectious diseases shall meet the ventilation requirements
as contained in Table 3 of §133.169(c) of this title.
(B) Diagnostic X-ray and radiographic and fluoroscopy
(R&F) rooms. X-ray and R&F rooms shall be in compliance with
the manufacturer's recommendations for the specific equipment. Clearance
and unobstructed space shall not be less than three feet around the
diagnostic equipment.
(i) A control alcove shall be provided with a view
window designed to provide full view of the patient at all times.
(ii) A toilet room shall be provided including a hand
washing fixture with hands-free operable controls and have direct
access to each R&F room and a corridor.
(C) Noninvasive angiography imaging room. When noninvasive
angiography imaging is provided, the room shall have minimum clear
floor area of 250 square feet exclusive of built-in shelves or cabinets.
Clearance and unobstructed space shall not be less than three feet
around the diagnostic equipment.
(i) A control alcove shall be provided with a view
window designed to provide full view of the patient at all times.
(ii) A viewing room or area shall be provided and shall
be a minimum of 10 feet in length. The viewing room or area may be
provided in combination with the control room.
(iii) A scrub sink shall be near the entrance to each
angiographic room and shall be recessed out of the main traffic areas
or corridor. Scrub facilities shall be arranged to minimize any incidental
splatter on nearby personnel or supply carts.
(iv) Storage space for portable equipment and supplies
shall be provided.
(D) Computerized tomography (CT) scanning. When CT
services are provided, the CT room(s) size shall be in compliance
with the manufacturer's recommendations and shall contain the following.
(i) A control room shall be provided with a view window
permitting view of the patient. The control room shall be located
to allow convenient film processing.
(ii) A patient toilet shall be provided conveniently
to the procedure room. When directly accessible to the scan room,
the toilet shall be arranged so that a patient may leave the toilet
room without having to reenter the scan room. The toilet room shall
have a hand washing fixture with hands-free operable controls.
(E) Mammography. When mammography services are provided,
the room(s) shall have a minimum clear floor area of 100 square feet
exclusive of built-in shelves or cabinets.
(i) A control alcove shall be provided with a view
window designed to provide full view of the patient at all times.
(ii) When mammography machines with built-in shielding
for the operator are provided, the alcove may be omitted when approved
by a medical physicist licensed under the Texas Medical Physics Practice
Act, Occupations Code, Chapter 602.
(F) Magnetic resonance imaging (MRI). When MRI services
are provided, the room shall be of sufficient size to house equipment
but no less than 325 square feet of clear floor area exclusive of
built-in shelves or cabinets.
(i) A control alcove shall be provided with a view
window designed to provide full view of the patient at all times.
(ii) A separate computer room shall be provided to
accommodate the equipment.
(iii) When cryogen is provided, a storage room or closet
shall have a minimum clear floor area of 50 square feet for two large
dewars of cryogen. A storage room or closet shall be required in areas
where service to replenish supplies is not readily available.
(iv) When a darkroom is provided, the room shall be
located near the required control room and shall be outside the 10-gauss
field.
(v) When spectroscopy is provided, caution should be
exercised in locating it in relation to the magnetic fringe fields.
(vi) Magnetic shielding may be required to restrict
the magnetic field plot. Radio frequency shielding is required to
attenuate stray radio frequencies.
Cont'd... |
