| (a) Definitions. The following words and terms, when
used in this Section, have the following meanings, unless the context
clearly indicates otherwise.
(1) Mobile unit--Any pre-manufactured structure, trailer,
or self-propelled unit equipped with a chassis on wheels and intended
to provide shared medical services to the community on a temporary
basis. Some of these units are equipped with expanding walls and designed
to be moved on a daily basis.
(2) Relocatable unit--Any structure, not on wheels,
that is built to be relocated at any time and provide medical services.
These structures vary in size.
(3) Transportable unit--Any pre-manufactured structure
or trailer, equipped with a chassis on wheels, intended to provide
shared medical services to the community on an extended temporary
basis. These units are designed to be moved periodically, depending
on need.
(b) General. When mobile, transportable, and relocatable
units are utilized to provide patient treatment services on the limited
services rural hospital (LSRH) premises, these units shall be treated
as buildings and constructed to the required occupancy as follows.
(1) When such units are provided for diagnostic, treatment,
or procedural services to patients who are litter borne, under general
anesthesia, or incapable of self-preservation, the unit shall be constructed
in accordance with Chapter 18 of the National Fire Protection Association
(NFPA) 101, Life Safety Code, 2012 edition, relating to health care
occupancy.
(2) When such units provide diagnostic, treatment,
or procedural services to patients who are not litter borne, not under
general anesthesia, and are capable of self-preservation, the unit
may be constructed in accordance with Chapter 38 of NFPA 101 (relating
to Business Occupancy).
(c) Common elements.
(1) Site requirements.
(A) Sites shall have a level concrete or asphalt pad
and be designed for the structural loads of the unit.
(B) The sites shall provide hazard-free drop-off zones
and adequate parking for patients. The site and location of the unit
shall not restrict access for fire or emergency vehicles.
(C) Each site shall provide access to the unit for
people with disabilities, and wheelchair and stretcher patients.
(D) When a mobile, transportable, or relocatable unit
is not physically attached to the LSRH and provides inpatient services,
a covered walkway or enclosure from the LSRH to the unit shall be
provided to ensure patient safety from the outside elements.
(E) The location of the unit shall be such that engine
exhaust fumes from the unit are kept away from any fresh air intake
of the LSRH.
(F) When a mobile, transportable, or relocatable unit
is permanently connected appropriately for the climate to the LSRH
or the unit does not move on a regular basis, e.g., every 90 days
or less, the units shall be provided with the following equipment
and systems connected to the LSRH:
(i) fire alarm system;
(ii) sprinkler system;
(iii) electrical system and the essential electrical
system;
(iv) water and waste water system;
(v) medical gas systems; and
(vi) nurses calling systems.
(2) Support services. Support services shall meet the
requirements of this chapter for new construction. These support services
and areas shall be provided either within the mobile, transportable,
or relocatable unit or located within the LSRH adjacent to the unit
served.
(3) Details and finishes. Details and finishes shall
comply with §511.162(d)(2) of this subchapter (relating to General
Construction Requirements).
(4) Mechanical requirements. Mechanical requirements
comply with §511.162(d)(3) of this subchapter.
(5) Piping systems and plumbing fixtures. Piping systems
and plumbing fixtures shall comply with §511.162(d)(4) of this
subchapter.
(6) Electrical requirements. Electrical requirements
shall comply with §511.162(d)(5) of this subchapter.
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