| (ix) A housekeeping room shall be provided and contain
a service sink, and storage for housekeeping supplies and equipment.
A shared nursing unit housekeeping room that is adjacent to the intermediate
care suite is acceptable.
(2) Details and finishes. Details and finishes shall
be in accordance with §133.162(d)(2) of this title and this paragraph.
(A) Details.
(i) At least one door to an intermediate care multi-bed
open ward patient room shall be not less than four feet wide and arranged
to minimize interference with movement of beds and large equipment.
(ii) Sliding doors in intermediate care rooms shall
not have floor tracks and shall have hardware that minimizes jamming
possibilities and break-away feature from any position and be in accordance
with §133.162(d)(2)(A)(vi) of this title.
(B) Finishes.
(i) Flooring used in soiled workrooms shall be of the
seamless type as required by §133.162(d)(2)(B)(iii)(III) of this
title.
(ii) Ceilings in the soiled workroom shall be monolithic
type as required by §133.162(d)(2)(B)(vi)(III) of this title.
(3) Mechanical Requirements. Mechanical requirements
shall be in accordance with §133.162(d)(3) of this title and
this paragraph. Room recirculating units shall not be used.
(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) General.
(i) Receptacles at each bed location shall be served
by two branch circuits, one or more from the critical branch panel
of the emergency electrical system and one or more from the normal
system. One critical branch circuit shall serve only one bed location.
All branch circuits from the normal system shall be from a single
panelboard. All branch circuits from the emergency electrical system
shall be from a single panelboard.
(ii) A minimum of three hospital grade duplex outlets
shall be conveniently located at the head of each bed. At least two
of these duplex outlets shall be on the critical branch of the emergency
electrical system.
(iii) One duplex receptacle connected to a normal branch
circuit and one duplex outlet connected to the critical branch circuit
shall be located on opposite sides of the head of each bed. In addition
at least one duplex outlet shall be located on each wall. A dedicated
outlet shall be provided at the television location.
(B) Illumination requirements.
(i) Each single patient room and multi-patient wards
shall be provided with general lighting and night lighting. General
lighting and night lighting shall be controlled at the room entrance.
All controls for lighting in patient areas shall be of the quiet operating
type. Control of night lighting circuits may be achieved by automatic
means and in such instances control of night lighting at the room
entrance shall not be required. At least one general light fixture
and night lighting shall be powered from the critical branch of the
essential electrical system.
(ii) A reading light shall be provided over each patient
bed. Reading light control shall be readily accessible from each patient
bed. Flexible light arms, if used, shall be mechanically controlled
to prevent the bulb from coming in contact with bed linen. High heat-producing
light sources such as incandescent and halogen shall be avoided to
prevent burns to patients and/or bed linen. Light sources shall be
covered with a diffuser or a lens.
(iii) A wall or ceiling-mounted lighting fixture shall
be provided above each lavatory.
(iv) A ceiling-mounted fixture shall be provided in
patient bathrooms where the lighting fixture above the lavatory does
not provide adequate illumination of the entire bathroom. Some form
of fixed illumination shall be powered from the critical branch.
(C) Nurses calling systems. The nurse call shall be
in accordance with §133.162(d)(5)(L) and Table 7 of §133.169(g)
of this title.
(n) Laboratory suite.
(1) Architectural requirements.
(A) General.
(i) Laboratory facilities and services shall be provided
by the hospital such as hematology, clinical chemistry, urinalysis,
cytology, anatomic pathology, immunohematology, microbiology, bacteriology
and others.
(ii) Each laboratory unit shall meet the requirements
of Chapter 11 of NFPA 99 (relating to Laboratories), and Chapter 18
of NFPA 101 (relating to New Health Care Occupancies).
(B) Minimum laboratory facilities. When laboratory
services are provided off site by contract, the following minimum
facilities shall be provided within the hospital.
(i) Laboratory work room. The laboratory workroom shall
include a counter and a sink with hands-free operable controls.
(ii) General storage. Cabinets or closets shall be
provided for supplies and equipment used in obtaining samples for
testing. A refrigerator or other similar equipment shall be provided
for specimen storage waiting for transfer to off-site testing.
(iii) Blood storage facilities. Refrigerated blood
storage facilities for transfusions shall be provided. The blood storage
refrigerator shall be equipped with temperature monitoring and alarm
signals.
(iv) Specimen collection facilities. A blood collection
area shall be provided with a counter, space for seating, and hand
washing fixture with hands-free operable controls. A toilet and lavatory
with hands-free operable controls shall be provided for specimen collection.
This facility may be outside the laboratory suite if conveniently
located.
(C) On-site laboratory facilities. When the hospital
provides on-site laboratory services, the following facilities shall
be provided in addition to the requirements in subparagraphs (A) and
(B) of this paragraph.
(i) Laboratory workroom(s). The laboratory work room
shall include counter(s), space appropriately designed for laboratory
equipment and sink(s) with hands-free operable controls.
(ii) General storage. Storage, including refrigeration
for reagents, standards, supplies, and stained specimen microscope
slides, etc. shall be provided. Separate facilities shall be provided
for such incompatible materials as acids and bases, and vented storage
shall be provided for volatile solvents.
(iii) Chemical safety facilities. When chemical safety
is a requirement, provisions shall be made for an emergency shower
and eye flushing devices.
(iv) Flammable liquids. When flammable or combustible
liquids are used, the liquids shall be stored in approved containers,
in accordance with National Fire Protection Association 30, Flammable
and Combustible Liquids Code, 2003 edition.
(v) Radioactive materials. When radioactive materials
are employed, storage facilities shall be provided.
(D) Bone marrow laboratory. A cryopreservation laboratory
and a human leukocyte antigen laboratory shall be provided in hospitals
providing bone marrow transplantation services.
(E) Service areas and facilities. The following service
areas and facilities shall be provided.
(i) Hand washing facilities. Each laboratory room or
work area shall be provided with a hand washing fixture(s) with hands-free
operable controls.
(ii) Office spaces. The scope of laboratory services
shall determine the size and quantity for administrative areas including
offices as well as space for clerical work, filing, and record maintenance.
At a minimum, an office space shall be provided for the use of the
laboratory service director.
(iii) Staff facilities. Lounge, locker, and toilet
facilities shall be conveniently located for male and female laboratory
staff. These may be outside the laboratory area and shared with other
departments.
(iv) Housekeeping room. A housekeeping room shall be
located within the suite or conveniently located nearby.
(2) Details and finishes. Details and finishes shall
be in accordance with §133.162(d)(2) of this title. Floors in
laboratories shall comply with the requirements of §133.162(d)(2)(B)(iii)
of this title except that carpet flooring shall not be used.
(3) Mechanical requirements. Mechanical requirements
shall be in accordance with §133.162(d)(3) of this title and
this paragraph.
(A) No air from the laboratory areas shall be recirculated
to other parts of the facility. Recirculation of air within the laboratory
suite is allowed.
(B) When laboratory hoods are provided, they shall
meet the following general requirements.
(i) The average face velocity of each exhaust hood
shall be at least 75 feet per minute.
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