| (vi) Equipment storage. In addition to above, twenty
square feet of equipment storage shall be provided for each patient
station. These storage areas shall be out of the way of the corridor
traffic.
(vii) Stretcher storage alcove. The alcove provided
for stretcher or bassinet storage shall be located out of direct line
of traffic.
(viii) Clean workroom. The room shall contain a work
counter, a hand washing fixture with hands-free operable controls,
and storage facilities for clean and sterile supplies.
(ix) Clean linen storage. There shall be a designated
area for clean linen storage. This may be within a clean workroom,
a separate closet, or an approved distribution system. If a closed
cart system is used, storage of the cart may be in an alcove.
(x) Soiled workroom. The soiled workroom shall contain
a work counter, a clinical sink with hands-free operable controls
or equivalent flushing rim type fixture with hot and cold mixing faucet,
separate hand washing facilities, and separate waste and soiled linen
receptacles.
(xi) Soiled holding room. When provided, soiled holding
rooms used only for temporary holding of soiled material may omit
the clinical sink and work counter.
(xii) Housekeeping room. A housekeeping room shall
be provided within or immediately adjacent to the CCU. It shall not
be shared with other nursing units or departments.
(F) Other required areas/rooms. The following areas/rooms
shall be provided and may be located outside the unit if conveniently
accessible.
(i) Waiting space. A visitors' waiting space shall
be provided with toilet facility(ies), public telephone(s), and drinking
fountain(s). One waiting space may serve other CCUs.
(ii) Offices. Room(s) shall be provided for critical
care medical and nursing management and administrative personnel.
The offices shall be large enough to permit consulting with members
of the critical care team and visitors. The offices shall be linked
with the unit by telephone or an intercommunications system.
(iii) Staff lounge. A staff lounge shall include toilet
facilities with a hand washing fixture with hands-free operable controls.
The lounge(s) shall be located so that staff may be recalled quickly
to the patient area in emergencies. One lounge may serve multiple
CCUs when the lounge is adjacent to the units. Toilet facilities may
be shared as long as privacy is maintained for changing areas.
(iv) On-call rooms. Physicians and other staff on 24-hour
on-call work schedules shall be provided with sleeping rooms with
access to a shower(s), toilet(s), and lavatory(ies). If on-call room(s)
are not within the CCU served, a dedicated telephone or intercom system
shall connect the on-call room(s) to the CCU(s).
(v) Multipurpose room(s). A multipurpose room for staff,
patients, and patients' families for patient conferences, reports,
education, and training sessions shall be provided. This room(s) must
be accessible to each nursing unit.
(vi) A consultation room shall be provided, if not
provided elsewhere in the unit.
(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 a CCU room shall be not less
than four feet wide (41.5 inches clear width) and arranged to minimize
interference with movement of beds and large equipment.
(ii) Sliding doors in CCUs shall not have floor tracks
at the latch side of the sliding panel, have hardware that minimizes
jamming possibilities, and be in accordance with §133.162(d)(2)(A)(vi)
of this title.
(iii) Glazing in viewing panels shall be safety glass,
wire glass, or clear plastic.
(iv) Noise control and sound attenuation in an open
ward environment shall be a design factor and meet the requirements
contained in Table 1 of §133.169(a) of this title.
(v) Recreation rooms, exercise rooms, equipment rooms,
and similar spaces where impact noises may be generated shall not
be located directly over CCU(s), unless special provisions are made
to minimize such noise.
(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 in a CCU(s) 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 seven hospital grade duplex outlets
shall be conveniently located at the head of each bed, crib or bassinet.
At least three of these duplex outlets shall be on the critical branch
of the emergency electrical system.
(iii) Hospital grade receptacles in the PCCU shall
be tamper-resistant or provided with GFCIs.
(B) Nurses calling systems. The nurse call system shall
be in accordance with §133.162(d)(5)(L) and Table 7 of §133.169(g)
of this title.
(e) Dietary suite.
(1) Architectural requirements.
(A) General. Construction, equipment, and installation
shall comply with Chapter 228 of this title (relating to Retail Food).
(B) Food service facilities. Food services shall be
provided by an on-site food preparation system or an off-site food
service system or a combination of the two. The following minimum
functional elements shall be provided on site regardless of the type
of dietary services.
(i) Dining area. Provide dining space(s) for ambulatory
patients, staff, and visitors. These spaces shall be separate from
the food preparation and distribution areas.
(ii) Receiving area. This receiving area shall have
direct access to the outside for incoming dietary supplies or off-site
food preparation service and shall be separate from the general receiving
area. The receiving area shall contain a control station and an area
for breakout for loading, unloading, uncrating, and weighing supplies.
The entrance area to the receiving area shall be covered from the
weather.
(iii) Storage spaces. Storage spaces shall be convenient
to receiving area and food preparation area and shall be located to
exclude traffic through the food preparation area. Regardless of the
type of food services provided, the facility shall provide storage
of food for emergency use for a minimum of four calendar days.
(I) Storage space(s). Storage space(s) shall be provided
for bulk, refrigerated, and frozen foods.
(II) Cleaning supply storage. This room or closet shall
be used to store nonfood items that might contaminate edibles. This
storage area may be combined with the housekeeping room.
(iv) Food preparation area. Counter space shall be
provided for food prep work, equipment, and an area to assemble trays
for distribution for patient meals.
(v) Ice-making equipment. Ice-making equipment shall
be provided for both drinks and food products (self-dispensing equipment)
and for general use (storage-bin type equipment).
(vi) Hand washing. Hand washing fixtures with hands-free
operable controls shall be conveniently located at all food preparation
areas and serving areas.
(vii) Food service carts. When a cart distribution
system is provided, space shall be provided for storage, loading,
distribution, receiving, and sanitizing of the food service carts.
The cart traffic shall be designed to eliminate any danger of cross-circulation
between outgoing food carts and incoming soiled carts, and the cleaning
and sanitizing process. Cart circulation shall not be through food
processing areas.
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