| (C) General 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. (D) A refrigerator or other similar equipment shall be provided for specimen storage waiting for transfer to off-site testing. (E) Specimen room/area for blood collection 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. (F) When chemical safety is a requirement, an emergency shower and eye flushing devices shall be provided. (G) Flammable or combustible liquids, when used, shall be stored in approved containers, in accordance with National Fire Protection Association 30, Flammable and Combustible Liquids Code, 2003 edition. (H) When radioactive materials are employed, safe storage facilities shall be provided. (I) Each laboratory unit shall meet the requirements of Chapter 11 of NFPA 99 (relating to Laboratories), and Chapter 20 of NFPA 101 (relating to New Ambulatory Health Care Occupancies). (10) Isolation room. The need for an airborne infection isolation room in the emergency suite shall be determined by the governing body and the infection risk assessment. (A) When the facility provides treatment rooms to perform procedures on persons who are known or suspected of having an airborne infectious disease, these procedures shall be performed in a designated emergency airborne infection isolation treatment rooms and meeting airborne infection isolation ventilation requirements. The isolation room shall meet the ventilation requirements contained in Table 1 of §131.148(a) of this title. (B) The emergency airborne infection isolation treatment room for a single patient shall have a minimum clear area of 120 square feet clear floor area exclusive of fixed and movable cabinets and shelves. The minimum clear room dimension exclusive of fixed cabinets and built-in shelves shall be 10 feet. The emergency treatment room shall contain cabinets, medication storage, work counter, examination light, and a hand washing fixture with hands-free operable controls. (C) The emergency airborne infection isolation room shall be provided with an enclosed anteroom. The enclosed anteroom shall open to directly into the emergency airborne infection isolation treatment room. The enclosed anteroom shall have facilities for hand washing, gowning, and storage of clean and soiled materials. One enclosed anteroom may serve multiple isolation rooms. (D) The door from the enclosed anteroom to the emergency airborne infection isolation room shall be provided with a self-closing device. (E) Pressure differential monitors or air flow devices shall be installed outside the isolation room and anteroom. Devices shall be installed in corridors, passageways, etc. (11) Secured holding room. When provided, this room shall be constructed to allow for security, patient and staff safety, patient observation, and sound mitigation. The secure holding room shall have a minimum clear area of 100 square feet clear floor area exclusive of fixed cabinets. The minimum clear room dimension exclusive of fixed cabinets shall be 10 feet. (12) Orthopedic and cast room. When provided, the room(s) may be in separate room(s) or in the trauma room. The room(s) shall contain a work counter, storage for splints and orthopedic supplies, traction hooks, medication storage, examination light, and a hand washing fixture with hands-free operable controls. When a cast room is provided it shall be equipped with hand washing facilities, storage, and other provisions required for cast procedures. (13) Film processing room. When a radiographic (X-ray) room is provided, a darkroom for processing film shall be provided unless the processing equipment does not require a darkroom for loading and transfer. When daylight processing is used, the darkroom may be minimal for emergency and special uses. Film processing shall be located convenient to the darkroom. (14) Housekeeping room. Sufficient number of janitor's closets shall be provided throughout the facility to maintain a clean and sanitary environment. The closet shall contain a floor receptor or service sink and storage space for housekeeping supplies and equipment. When there is only 1 housekeeping room for the entire facility there shall be policies and procedures in place, as describe in §131.55 of this title for proper use of cleaning up body fluids versus general cleaning, and the use of separate equipment and supplies. (15) Medical waste. Space and facilities shall be provided for the safe storage and disposal of medical waste as appropriate for the material being handled and in compliance with all applicable federal, state, or local laws, codes, rules, regulations and ordinances. (16) Decontamination room. (A) When a decontamination room is provided, the exterior entry point shall be far as practical from any other entry point to the emergency treatment area. (B) The internal door from the decontamination room shall open directly to the corridor into the emergency treatment area. (C) The door shall swing into the room and be lockable against ingress from the corridor. (D) The room shall be a minimum of 80 square feet of clear floor area with a hand washing fixture with hands-free operable controls. (E) The decontamination room shall be equipped with 2 hand-held showerheads with temperature controls and a dedicated holding tank with a floor drain. (F) The decontamination room floor shall be self-coved to a height of 6 inches. The room shall have all smooth, nonporous, scrubable, nonabsorbent and nonperforated surfaces. (17) Supply rooms. (A) A storage room/area for breakdown of supplies shall be provided. The storage room/area shall have adequate space for breakdown of prepackaged supplies to be loaded on cart(s) to transport to the appropriate storage spaces. The breakdown area shall not reduce the clear unobstructive width in the egress corridor. (B) Sterile/clean supply room. A sterile/clean supply room shall be provided. Storage of sterile/clean supplies shall not occur within the breakdown room. (C) An equipment storage room shall be provided. The equipment room may be in the emergency suite. (18) Laundry and linen may be processed within the facility or off site at a commercial laundry. (A) When on-site linen processing is provided, soiled and clean processing operations shall be separated and arranged to provide a one-way traffic pattern from soiled to clean areas. The following rooms and items shall be provided: (i) a soiled linen processing room that includes areas for receiving, holding, sorting, and washing; (ii) a clean linen processing room that includes areas for drying, sorting, folding, and holding before distribution; (iii) supply storage cabinets in the soiled and clean linen processing rooms; (iv) hand washing sink within the soiled linen processing room; and (v) a storage room for clean linen. Clean linen storage may be combined with the clean work room. (B) When linen is processed off site, the following areas shall be provided: (i) clean linen shall be stored within the clean supply area; and (ii) soiled linen shall be stored in a designated space in the facility. (19) Employee facilities. An employee suite shall be provided containing lockers, a lounge, and staff toilets for employees and volunteers. The toilet room(s) may be unisex. (20) Engineering suite and equipment areas shall be provided. (A) An engineer's office/area with file space and provisions for protected storage of facility drawings, records, manuals, etc. . (B) A general maintenance shop(s) for repair, maintenance, supplies and equipment. An area for medical equipment which includes provisions for the storage, repair, and testing of electronic and other medical equipment. (C) When necessary, 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 facility. (D) Sufficient space shall be provided in all mechanical and electrical equipment rooms for proper maintenance of equipment. Provisions shall also be made for removal and replacement of equipment. Cont'd... |
