| (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
amenities 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 nearby.
(2) Details and finishes. Details and finishes shall
be in accordance with §134.122(d)(2) of this title. Floors in
laboratories shall comply with the requirements of §134.122(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 §134.122(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.
(ii) The exhaust shall be connected to an exhaust system
to the outside which is separate from the building exhaust system.
(iii) The exhaust fan shall be located at the discharge
end of the system.
(iv) The exhaust duct system shall be of noncombustible
and corrosion resistant material.
(C) Filtration requirements for air handling units
serving the laboratory suite shall be equipped with filters having
efficiencies equal to, or greater than specified in Table 4 of §134.131(d)
of this title.
(D) Duct linings exposed to air movement shall not
be used in ducts serving any laboratory room and clean room unless
terminal filters of at least 80% efficiency are installed downstream
of linings. This requirement shall not apply to mixing boxes and acoustical
traps that have special coverings over such lining.
(4) Piping systems and plumbing fixtures. Piping systems
and plumbing fixtures shall be in accordance with §134.122(d)(4)
of this title and this paragraph.
(A) General.
(i) Faucet spouts at lavatories and sinks shall have
clearances adequate to avoid contaminating utensils and the contents
of beakers, test tubes, etc.
(ii) Drain lines from sinks used for acid waste disposal
shall be made of acid-resistant material.
(iii) Drain lines serving some types of automatic blood-cell
counters must be of carefully selected material that will eliminate
potential for undesirable chemical reactions (and/or explosions) between
sodium azide wastes and copper, lead, brass, and solder, etc.
(B) Medical gas systems. When provided, medical gas
systems shall comply with §134.122(d)(4)(A)(iii) of this title.
The number of outlets in the laboratory for vacuum, gases, and air
shall be determined by the functional program requirements.
(l) Laundry suite. Laundry amenities may be provided
on-site or off-site. On-site laundry services may be within the facility
or in a separate building.
(1) Architectural requirements.
(A) General. The following amenities are required for
both on-site or off-site commercial laundry services.
(i) The laundry room shall be equipped and ventilated
so as to minimize the dissemination of contaminants.
(ii) Soiled and clean linen processing areas shall
be physically separated.
(iii) An adequate amount of hand washing fixtures shall
be provided in both the soiled and clean processing areas.
(B) On-site laundry processing. When linen is processed
within the facility or in a separate building located on-site, the
following minimum requirements shall be provided.
(i) A receiving, holding, and sorting room for control
and distribution of soiled linen shall be provided. This area may
be combined with the soiled linens processing room. Discharge from
soiled linen chutes may be received within this room or in a separate
dedicated room.
(ii) A laundry processing room shall be provided which
shall contain commercial type equipment capable of processing at
least a seven-day laundry supply within the regular scheduled work
week.
(iii) A clean linen processing room shall be provided
and shall include built-in dryers and folding counters or tables.
This area shall have provisions for inspections, folding, packing
and mending of linen.
(iv) A holding room or area for storage and issuing
of clean linen shall be provided but may be combined with clean linen
processing room.
(C) Off-site laundry processing. When linen is processed
off the facility site, the following minimum requirements shall be
provided on-site:
(i) a service entrance which shall have protection
from inclement weather, for loading and unloading of linen;
(ii) control station for pickup and receiving;
(iii) soiled linen holding room;
(iv) a central clean linen storage room and issuing
room in addition to linen storage required at the individual patient
suites. This central holding area shall include provisions for inspecting,
sorting, and mending; and
(v) cart storage areas. The areas shall be located
out of pedestrian traffic and shall be provided separately for clean
and soiled linen.
(D) Service areas for on-site laundry processing. The
laundry shall be separated from patient rooms, areas of food preparation
and storage, and areas in which clean supplies and equipment are stored.
An on-site laundry shall have the following services areas and facilities:
(i) office space for director of laundry services;
(ii) equipment layout for soiled and clean linen. The
laundry equipment processing shall be arranged to permit an orderly
work flow and minimize cross-traffic that might mix clean and soiled
operations;
(iii) storage. Storage space and cabinets for soaps,
stain removers, and other laundry processing agents shall be located
in the soiled and clean processing rooms;
(iv) cart sanitizing shall comply with subsection (b)
of this section;
(v) staff toilets. Toilets may be outside the unit
but shall be convenient for staff use and shall contain hand washing
fixtures with hands-free operable controls;
(vi) staff lockers. Lockers may be in laundry suite
or part of a central locker area when convenient to the laundry; and
(vii) housekeeping room.
(2) Mechanical Requirements. Mechanical requirements
shall be in accordance with §134.122(d)(3) of this title and
this paragraph.
(A) The ventilation system shall include adequate intake,
filtration, exchange rate, and exhaust in accordance with Table 3
and Table 4 of §134.131(c) and (d) of this title.
(B) Filtration requirements for air handling units
serving the laundry suite shall be equipped with filters having efficiencies
equal to, or greater than specified in Table 4 of §134.131(d)
of this title.
(C) Direction of air flow of the HVAC systems shall
be from clean to soiled areas.
(D) The ventilation system for soiled processing area
shall have negative air pressure while the clean processing area shall
have positive pressure.
(m) Medical records suite. The following rooms, areas,
or offices shall be provided in the medical records suite:
(1) medical records administrator or technician office;
(2) review and dictating rooms or spaces;
(3) work area which includes provisions for sorting,
recording, or microfilming records; and
(4) file storage room. Rooms containing open file systems
or moveable filing storage systems shall be considered as hazardous.
The construction protection for the storage room or area shall comply
with NFPA 101, §18-3.2.
(n) Nursing suite. The nursing suite shall be designed
to facilitate care of ambulatory and nonambulatory inpatients.
(1) Physical environment. A nursing suite shall provide
a safe environment for patients and staff.
(A) The environment of the unit shall be characterized
by a feeling of openness with emphasis on natural light and exterior
views and with the organization of various functions accessible to
common spaces while not jeopardizing desirable levels of patient privacy.
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