132959261-hospital-design (1)
TRANSCRIPT
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2Hospitals
2006 Guidelines for Designand Construction of HealthCare Facilities
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2.4
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s for
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un#ts$
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n
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(a)Anam
#n#strat#"ecenter ornursestat#on
A P P
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A3.,.2.
, $1-.
Patient
s
should
e
/isuall
oser/
ed atall
ties.
&his
can e
achie/
ed in a
/ariet
of
%as.
1.
"f a
central
station is
chosen it
should e
located to
allo% for
coplete
/isual
control of
all patient
eds in
the critical
care unit.
"t should
e
designed
to
aii4e
efficienc
in traffic
pat5
terns.Patients
should e
oriented
so that
the can
see the
nurse ut
cannot
see the
other
patients.
&here
should e
an ailit
to
couni
cate %ith
the
clerical
staff
%ithout
ha/ing to
enter the
central
station.
2. "
f a central
station is
not
chosen
the unit
should e
designed
to pro/ide
/isual
contact
et%een
patient
eds so
that there
can e
constant
/isual
contact
et%een
the nurse
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and
patient.
A3.,.2.,
$2-. &he
reuire
ents for
docue
nting
patient
infor5
ation
pro/ider
s ha/e
ecoe
sustant
ial and
continue
to gro%.
A
gro%ingnuer
of
pro/ider
s and
others
re/ie%
patient
records
in critical
care
units.
Confide
ntialit of
patient
infora5
tion is
iportan
t.
Coput
ers are
increasi
ngl
used to
eet
these
epectat
ions.
a.
+eparat
e areas
need to
e
designe
d for the
unit
secretar
and staff
charting.
Planning
should
consider
the
potential
/olue of
s
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a
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all
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nc
en
tra
t#o
n$
staff
$oth
edical
and
nursing-
that
could e
present
at an
one
tie
and
translate
that to
adeuate
charting
surfaces.
2. &
he
secretarial
area should
e
accessile
to all.
Ho%e/er
the charting
areas a
e
soe%hat
isolated to
facilitate
concentrati
on.
3. +torage forchartforsandsuppliesshould ereadilaccessile.
4.
+pace for
coputer
terinals
and
printer
and
conduit
for co5
puter
hoo7up
should e
pro/ided
%hen
autoate
d
inforati
on
sstes
are in
use or
planned
for thefuture.
5. Patient
records
should
e
readil
accessil
e to
clerical
nursing
and
phsician
staff.
A3.,.2.,
$2-$a-.
Docuen
tation
space.
&he
counterto
p area
should e
a
iniu
of 8
suare
feet $0.9,
suare
eters-.
"f a
docuen
tation
space is
to ser/e
t%o
patient
eds it
should e
a
iniu
of 10
suare
feet $0.:3
suare
eter-.
A3.,.2
., $2-
$-.
"nfor
ation
re/ie%
space.
&here
should
e a
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ini
u
of
8
sua
re
feet
$0.9
,
sua
re
eter
s- of
count
ertop
and
seatin
g to
acco
odat
e t%o
peopl
e for
e/er
fi/e
patien
t eds
it
ser/es
.
2006Guideli
nes forDesignand
Constructionof
Health CareFacilities
;12 . 1 G ! ( A ) H *+ P " &A ) +
*(7) ?ff#ce
s'ace$
Aequate off#ce
s'ace for
cr#t#cal
care
me#cal
an
nurs#n
manae
ment+a
m#n#strat
#"e
'ersonne
l shall !e
a"a#la!le
#mme#at
el
a5acent
to the
cr#t#cal
care un#t$
The
off#ces
shall !e
l#nke
w#th the
un#t !
tele'hon
e or an
#ntercom
mun#
cat#ons
sstem$
(4) Mult#'ur'ose
room(s
)$
Mult#'
ur'ose
room(s
) shall
!e
'ro"#
e for
staff,
'at#ent
s, an
'at#ent
s@
fam#l#e
s for
'at#ent
confere
nces,
re'orts,
euca
t#on,
tra#n#n
sess#on
s, an
consult
at#on$
These
rooms
shall
!e
access#
!le to
each
nurs#n
un#t$
*(3)Me#cat#onstat#on$ro"#s#onshall !emae for
0/
hou
r
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#str
#!ut
#on
of
me
#cat#
ons
#n
acc
or
ance
w#th
Sect
#on
0$1
0$7$
/$
*() at#ent
mon#tor#
n
equ#'me
nt$ Each
un#t
shall
conta#n
equ#'me
nt for
cont#nuo
us
mon#tor#
n, w#th
"#sual
#s'las
for each
'at#ent
at the
!es#e
A P P !D " #
A3.,.2., $3-.
&he offices
should e
large
enough to
perit
consulting
%ith
eers of
the critical
care tea
and /isitors.
A3.,.2., $;-. &o
inii4e
distraction of
those preparing
edica5tions
the area should
e enclosed. A
glass %all or
%alls a e
ad/isale to
perit
oser/ation of
patients and
unit acti/ities. A
self5contained
edicine5
dispensing unit
a e located
at the nurse
station in the
clean
%or7roo in
an alco/e or in
another area
directl under
/isual control of
nursing or
pharac staff.
A3.,.2., $6-.
&he unit
should pro/ide
the ailit to
continuousl
onitor the
phsiological
paraeters
appropriate for
the tpes of
patients the
unit is
epected to
care for.
A3.,.2., $12-$-.uipent
storage rooor alco/e
1. &he location
of the
euipent
storage
roo or
alco/e
should not
interfere
%ith the
flo% of
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traffic.
2. Wor7 areas and
storage of
critical care
supplies
should e
read5il
accessile tonursing and
phsician
staff.
3. +hel/ing file
cainets
and dra%ers
should e
accessile
to all
reuiring
use.
4. l
ectrical
outlets
should e
pro/ided in
sufficient
nuers to
perit
recharging
stored
atter5
operated
euipent.
5. Alco
/es should e
pro/ided for the
storage and
rapid retrie/al of
crash carts and
portale
onitor
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0$10$7$3$
It shall !e
#mme
#atel
a"a#la!le
w#th#n
each
cr#t#cal
care su#te$
More than
one
cr#t#cal
care un#t
shall !e
'erm#tte
to share
th#s area
'ro"#e
#rect
access #s
a"a#la!le
from
each$
(9) Icemach#n
e$ Th#s
equ#'m
ent
shall !e
'ro"#e
#n
accora
ncew#th
Sect#on
0$1
0$7$$
(10) Cleanworkroom orcleansu''lroom$
(1) Th
#
s
r
o
o
m
s
h
a
ll
!
e
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r
o
"
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e
#n
a
c
c
o
r
a
n
c
e
w
#th
S
e
c
t#
o
n
0
$
1
0
$7
$
$
(2) Th#sroo
m
shal
l !e
#m
me#atel
a"a#
la!l
e #n
eac
h
cr#t#
cal
care
su#t
e$
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Mor
e
than
one
cr#t#
cal
care
un#t
shal
l !e'er
m#tt
e
to
shar
e a
clea
n
wor
kro
om
orclea
n
su'
'l
roo
m
'ro
"#e
#re
ct
access #s
a"a#
la!l
e
fro
m
eac
h$
(11) So#le
workroom orso#lehol#nroom$
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work
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a hanwash#nstat#on,anstoraefac#l#t#es$
3.6.5.5 So#le
workroom
or so#le
hol#n
room shall
!e 'ro"#e
#n
accorance
w#th Sect#on
0$10$7$2$
3.6.5.6 :ousekee
'#n
room
(1) Ahous
ekee
'#n+
en"#r
onm
entalser"#
ces
room
shall
!e
'ro"#
e
for
the
e.cl
us#"e
useof
the
;8
2006Guidelines forDesign
andConstruction ofHealth CareFacilities
nurser
un#t$It
shall
!e
#rectl
access
#!le
from
the
un#t$
(2) Th#sroom
shall
conta#
n a
ser"#c
e s#nk
or
floor
rece't
or an
'ro"#
e for
stora
e of
su''l#
es an
house
kee'#n
equ#'
ment$
3.6.6!e%orn!urser
*3.6.6.1
Ca'ac#t$
Each
new!orn
nurser room
shallconta#n
no more than
1 #nfant
stat#ons$
When a
room#n#n
'roram #s
use, the
total num!er
of !ass#nets
#n these un#ts
shall !e
'erm#tte to
!e reuce,
!ut the
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new!orn
nurser shall
not !e
om#tte #n #ts
ent#ret from
an fac#l#t
that #nclues
el#"er
ser"#ces$
3.6.6.2 Area$ The
m#n#mum
floor s'ace
shall !e 0/
square feet
(0$07 square
meters) 'er
!ass#net,
e.clus#"e of
au.#l#ar
work areas$
3.6.6.3 4a!
hol#n
nurser$ In
'ost'artu
m an
la!or
el#"er
reco"er
'ost'artu
m (L%&)un#ts, a
!a!
hol#n
nurser
shall !e
'erm#tte
#nstea of
a
tra#t#onal
nurser$
(1) Them#n#mu
m floor
area 'er
!ass#net,
"ent#lat#
on,
electr#ca
l, an
me#cal
"acuum
an
ases
shall !e
the same
as that
requ#re
for a
fullterm
nurser$
(2) These
hol#nnurser#e
s shall
!e ne.t
to the
nurse
stat#on
on these
un#ts$
(3) Thehol
#nnurs
er
shal
l !e
s#;e
to
acco
m
mo
ate
the
'erc
enta
e
of
new
!orn
s
who
o
not
rem
a#n
w#th
the#rmot
hers
ur#
n
the
'ost
'art
um
sta$
3.6.9
ContinuingCare
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!urser
3.6.7.1 Dorhos'#tals
that 'ro"#e
cont#nu#n
care for
#nfants
requ#r#n
close
o!ser"at#on
(for
e.am'le,
low !#rth
we#ht
!a!#es who
are not #ll
!ut requ#re
more hours
of nurs#n
than normal
neonates),
the m#n#
mum floor
s'ace shall
!e 3 square
feet (/$3
square
meters) 'er
!ass#net,
e.clus#"e of
au.#l#ar
work areas,
w#th
'ro"#s#ons
for at least /
feet (1$00
meters)
!etween an
at all s#es
of each
!ass#net$
3.6.7.2 Thecont#nu#n
care
!ass#nets are
'erm#tte to
!e w#th#n the
hos'#tal@s
9IC #n a
ef#ne
locat#on for
these #nfants$
2 . 1 G ! ( A ) H *+ P " &A ) +
3.6.8Pediatric!urser
3.6.8.1
Ca'ac#t$ To
m#n#m#;e the
'oss#!#l#t of
cross
#nfect#on,
each nurser
room ser"#n
'e#atr#c
'at#ents shall
conta#n no
more than
e#ht
!ass#nets$
Note:
L#m#tat#on
on num!er
of 'at#ents #n
a nurser
room oes
not a''l to
the 'e#atr#c
cr#t#cal care
un#t$
3.6.8.2 S'ac
e requ#rements$
Each !ass#net
shall ha"e a
m#n#mum
clear floor area
of / square
feet (7$0
square meters)$
3.6.8.3 Dac#l#t
requ#rements
$ Each room
shall conta#n
a hansfree
han
wash#n
stat#on, a
nurse
emerenc
call sstem,
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an a la;e
"#ew#n
w#now for
o!ser"#n
#nfants from
'u!l#c areas
an
workrooms$
'3.9Pediatricand
Adolescent=nit
The un#tshall meetthefollow#nstanars6
3.9.1Patient
(oos3.7.1.1Ca'ac#t
$
Ma.#mu
m room
ca'ac#t
shall !e
four
'at#ents$
3.7.1.2 S'a
cerequ#rements$
The s'ace
requ#rements
for 'e#atr#c
'at#ent !es
shall !e the
same as for
ault !es
ue to the
s#;e "ar#at#on
an the nee
to chanefrom cr#!s to
!es an
"#ce"ersa$
See Sect#on
0$1
3.1.1.2 forrequ#rements$
*3.7.1.3
Dam#l
su''ort
requ#rements
$ A#t#onal
'ro"#s#ons
for h#ene,
to#lets,
slee'#n, an
'ersonal
!elon#ns
shall !emae where
the 'roram
#n#cates that
'arents w#ll
!e allowe to
rema#n w#th
oun ch#l
ren$ (See
Sect#on 0$1
7$/$3 for
'e#atr#c
cr#t#cal careun#ts an
Sect#on 0$1
7$$ for
new!orn
nurser#es$)
A P P !D " #
A3.6.6.1 For
facilities thatuse a
rooing5in
progra in
%hich all
infants are
returned to
the nurser
at night a
reduction in
nurser si4e
a not e
practical.
A3.9 "n /ie%
of their
uniue
phsical and
de/elopent
al needs
pediatric and
adolescent
patients to
the etent
their
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condition
perits
should e
grouped
together in
distinct units
or distinct
areas of
general units
separate
fro adults.
A3.9.1.3
Fail
support
spaces
including
fail sleep
roos
pantr
toilets
sho%ers
%ashers and
drers and
access to
coputers
phones and
cop
achines
should e
pro/ided.
2006Guidelin
es forDesignand
Construction ofHealth Care
Facilities ;:2 . 1 G ! ( A ) H *+ P " &A ) +
3.7.1.
4
W#n
ow$
Each
'at#en
t
room
shallha"e
a
w#no
w #n
accor
ance
w#th
Sect#o
n 0$1
2$0$0$
3$
3.9.2Airorne"nfection"solation(oo$s-
3.7.2.1 At least
one such
room
shall !e
'ro"#e
#n each
'e#atr#c
un#t$ The
total
num!er
of
#nfect#on
#solat#on
rooms
shall !e
eterm#n
e ! an
IC&A$
3.7.2.2 A#r!orne
#nfect#on#solat#on
room(s)
shall
com'l
w#th the
requ#rem
ents of
Sect#on
0$17$0$0$
3.9.3ainatio
n
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#nfant
e.am#nat#on
an
treatment
shall !e
'erm#tte
w#th#n the
'e#atr#c
nurser
workroom$
3.7.3.1 S'ace
requ#rement
s$
E.am#nat#o
n+treatment
rooms shall
ha"e a
m#n#mum
floor area of
10 squarefeet (11$13
square
meters)$
3.7.3.2 Dac#l#t
requ#rements
$ The room
shall conta#n
a han
wash#n
stat#onFstorae
fac#l#t#esF
an a esk,
counter, or
shelf s'ace
for wr#t#n$
3.9.,+upportAreas forPediatric
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A P P !D " #
A3.8.1.3 &he
facilit should
pro/ide a
therapeutic
en/ironent
appropriate forthe planned
treatent
progras. &he
en/ironent
should e
characteri4ed
a feeling of
openness %ith
ephasis on
natural light. "n
e/er aspect of
uilding design
and
aintenance it
is essential to
a7e
deterinations
ased on the
potential ris7 to
the specific
patient
population
ser/ed.
'arent+fam#lcomfort,consultat#on, anteach#n$
(3) Insulat#on,
#solat#
on,
an
structu
ral
'ro"#s
#ons
shall
m#n#m
#;e the
transm
#ss#on
of
#m'act
no#se
throu
h the
floor,
walls,
or
ce#l#n
of the
mult#
'ur'os
e
room(
s)$
3.7.4.2 Dor
mula fac#l#t#es$
S'ace for
're'arat#on an
storae of
#nfant formula
shall !e
'ro"#e
w#th#n the un#t
or other
con"en#ent
locat#on$
ro"#s#ons
shall !e mae
for
cont#nuat#on of
s'ec#al formula
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that ma ha"e
!een 're
scr#!e for the
#nfant 'r#or to
am#ss#on or
ream#ss#on$
3.7.4.3 Clean an
so#le
workrooms$
Se'arate
clean an
so#le
workrooms
or hol#n
rooms shall
!e 'ro"#e
as escr#!e
#n Sect#ons
0$10$7$
an 0$10$7$2$
3.7.4.4 Equ#'ment ansu''lstorae
(1) Stora
ecloset
s or
ca!#ne
ts
shall
!e
'ro"#
e for
tos,
eucat
#onal,
an
recrea
t#onal
equ#'
ment$
(2) St
o
r
a
e
s
'
a
c
e
s
h
a
l
l
!
e
'
r
o
"
#
e
t
o
'
e
r
m
#
t
e
.
ch
a
n
e
o
f
c
r
#
!s
a
n
a
u
l
t
!
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e
s
$
(3) ro"#s#on
s shall
also !e
mae for
storae of
equ#'men
t an
su''l#es
(#nclu#n
cots or
recl#ners,
e.tra
l#nen,
etc$) for
'arents
who sta
w#th the
'at#ent
o"ern#ht$
3.9.;+upport
Areas forPatients
3.7.5.1
at#ent
to#let
room(s)$
To#let
room(s)
w#thhan
wash#n
stat#on(s) #n
each room,
#n a#t#on
to those
ser"#n !e
areas, shall
!e
con"en#ent
to mult#
'ur'ose
room(s) an
to each
central
!ath#n
fac#l#t$
3.8Pschiatric!ursing=nit
3.8.1General
3.8.1.1 s
ch#atr#ccare #n a
me#cal
un#t$ See
Sect#on
0$17$0$/
for
'sch#atr#c
care #n a
me#cal
un#t$
3.8.1.2 Dunct#onal
'roram$
ro"#s#ons
shall !e
mae #n the
es#n for
aa't#n the
area for
"ar#ous
t'es of
me#cal an
'sch#atr#cthera'#es as
escr#!e #n
the
funct#onal
'roram$
*3.8.1.3
En"#ronment
of care$ The
fac#l#t shall
'ro"#ea
thera'eut#c
en"#ronment
a''ro'r#ate
for the
'lanne
treatment
'rorams$
602006Guidelines for
Designand
Construction ofHealthCareFacilities
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*3.8.1.4
Secur#t$
Secur#t
a''ro'r#ate
for the'lanne
treatment
'rorams
shall !e
'ro"#e$
3.8.1.5
Share
fac#l#t#es$ In
no case shall
ault an
'e#atr#c
cl#ents !e
m#.e$ Th#s
oes not
e.clue shar
#n of
nurs#n
stat#ons or
su''ort
areas, as
lon as the
se'arat#onan safet of
the un#ts can
!e
ma#nta#ne$
'3.8.2Patient(oos
See Sect#on0$70$1$1$
3.8.3 +eclusion&reatent(oos
See Sect#on0$70$0$1$
3.8.4 +upport
Areasfor
+taff
and@isitors
See Sect#on0$70$$
3.: "n5Hospital+7illed!ursing
=nits
Man
fac#l#t#es
ha"e
#ncor'orate
e.tene sta
un#ts for the
me#cal+sur#
cal
e'artmentF
these are
often referre
to as #n
hos'#tal
sk#lle
nurs#n un#ts
or fac#l#t#es$
These un#ts
shoul not !e
confuse
w#th lon
term
A P P !D " #
A3.8.1., A safe
en/ironent is
critical ho%e/er
no en/ironent
can e entirel
safe and free of
ris7. &he aBorit
of persons %ho
attept suicide
suffer fro a
treatale ental
disorder or a
su5stance
ause disorder
or oth. Patients
of inpatient
pschiatric
treatent
facilities are
considered at
high ris7 for
suicide the en/i5
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ronent should
a/oid phsical
ha4ards %hile
aintaining a
thera5peutic
en/ironent.
&he uilt
en/ironent no
atter ho% %ell
designed and
constructed
cannot e relied
upon as an
asolute
pre/enti/e
easure. +taff
a%areness of
their
en/ironent
latent ris7s of
that
en/ironent
and the eha/ior
ris7s and needs
of
the patients
ser/ed in the
en/ironent
are asolute
necessities.
Different
organi4ation
s and
different
patient
populations
%ill reuire
greater or
lesser
tolerance for
ris7.
1. Cons
ideration should
e gi/en to/isual control
$including elec5
tronic
sur/eillance- on
nursing units of
corridors dining
areas and
social areas
such as
daroos and
acti/it areas.
Hidden alco/es
or lind corners
or areas should
e a/oided.
2. &
he
openness
of the
nurse
station %ille
deterine
d the
planned
treatent
progra.
Considerat
ion should
e gi/en to
patient
pri/ac
and also to
staff
safet.
A3.8.2
Patient
(oos.
&he
guideline
s noted in
+ections
2.351
through2.352.3.3
and
+ection
2.352.6
should
appl
%ith the
follo%ing
eception
s
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2 . 1 G ! ( A ) H *+ P " &A ) +
sk#lle
nurs#n un#ts
foun #nCha'ter /$1
of these
-u#el#nes$
These
e.tene sta
un#t !es are
l#cense
hos'#tal !es
for 'at#ents
requ#r#n
sk#lle
nurs#n careas 'art of
the#r
reco"er
'rocess$
Man of
these
fac#l#t#es are
#ntene for
elerl
'at#ents
unero#n
"ar#ousle"els of
reha!#l#tat#on
an
recu'erat#n
stroke
"#ct#ms or
!ra#n trauma
"#ct#ms
requ#r#n
reha!#l#tat#on
$
3.:.1General
3.9.1.1
Locat#on
(1) Thelocat#on
of the
un#t
shall
'ro"#econ"en#
ent
access
to the
hs#cal
an
&eha!#l#
tat#on
Me#c#n
e
e'artments$
(2) Where"e
r
'oss
#!le,
the
un#t
shall
!e
loca
te
to
'ro"
#e
acce
ss to
out
oor
s'ac
es
that
can
!eut#l#
;e
for
ther
a'eu
t#c
'ur'
oses
$
3.9.1.2
Laout$ Theun#t shall !e
locate to
e.clue
unrelate
traff#c o#n
throuh the
un#t to access
other areas of
the hos'#tal$
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1.&he
patie
nt
roo
si4e
shoul
d
eet
thereui
ree
nts in
+ecti
on
2.15
3.1.1.
2.
2.Ad
e
ua
te
st
or
ag
e
sh
ou
ld
ee
t
the
re
u
ire
en
ts
in
+e
cti
on
2.15
2.
2.
2.
3. A des7 or
%riting
surface
for
patient
use a
e
pro/ided
in each
roo
ut this
is not
reuired.
4. Auiet roo is
not reuired
on units of
12 eds or
fe%er unless
reuired
the
functional
progra.
5. &he
functional needs
of the progra
should
deterine the
need for a nurse
call sste. "f a
nurse call
sste is
pro/ided it
should eet the
reuireents of
+ection 2.15
10.3.8. Ho%e/er
pro/isions
should e ade
for eas reo/al
or co/ering of
the call sste.
6. @isual pri/ac
in ulti5ed
roos
$e.g.
cuicle
curtains- is
notreuired.
7. &he
functional
needs of the
progra %ill
deterine the
need for
edical gas
and
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edical gasagnetic(esonance"aging$>("-
5.5.5.1 S'ace
requ#rements
(1) S'aceshall !e
'ro"#e
as
necessar
to
accomm
oate
the
funct#on
al
'roram
$
(2) TheM&I
room
shall
!e
'erm#t
te to
rane
from
703
square
feet
(7$18square
meters
) to
0
square
feet
(3$
square
meters
),
e'en
#n
on the
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"enor
an
mane
t
strent
h$
5.5.5.2
Laout$
Whens'ectrosco'
#s 'ro"#e,
caut#on shall
!e e.erc#se
#n locat#n #t
#n relat#on to
the manet#c
fr#ne f#els$
*5.5.
5.3
Control
room$
A
contr
ol
room
shall
!e
'ro"#
e
w#th
full
"#ew
of the
M&I$
*5.5.5.4
at#ent
hol#n
area$ A
'at#ent
hol#n
areashall
!e
'ro"#e$
*5.5.5.5
Com'uter
room$ A
com'uter
room shall
!e
'ro"#e$
2 . 1 G ! ( A ) H *+ P " &A ) +
*5.5.5.6
%arkroom$ Aarkroom
shall !e'ro"#e$
*5.5.5.7
Croen
storae$
Croen
storae
shall !e
'ro"#e
$
5.5.5.8Equ#'ment#nstallat#onrequ#rements
*(1) owercon#t#on#nshall !e
'ro"#e$
*(0)Manet#csh#el#n
shall !e'ro"#e$
(3) Dorsu'er
conuct#
n M&I,
croen
"ent#n
an
emeren
c
e.haustmust !e
'ro"#e
#n accor
ance
w#th the
or##nal
equ#'me
nt
manufac
turer@s
s'ec#f#ca
t#ons$
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;.;.6=ltrasound
5.5.6.1 S'ace
requ#rements
$ S'ace shall
!e 'ro"#e
as necessar
toaccommoat
e the
funct#onal
'roram$
5.5.6.2 at#ent
to#let$ A
'at#ent
to#let,
access#!le
from the'roceure
room,
shall !e
'ro"#e$
A P P !D " #
A;.;.,.3
>aog
raph
roos
should e
a
iniu
of 100
suare
feet $:.2:
suare
eters-.
A;.;.;.3
Control
roosshould e a
iniu of
100 suare
feet $:.2:
suare
eters- ut
a e
larger
depending
on the
/endor and
agnet si4e.
A;.;.;.,
When patient
holding
areas are
pro/ided
the should
e located
near the >("
unit and
should elarge enough
to acco5
odate
stretcher$s-.
A;.;.;.; A
coputer roo
a range
fro 1;0
suare feet
$13.:, suare
eters- to 380
suare feet
$3;.30 suare
eters-
depending on
the /endor and
agnet
strength. +elf5
contained air
conditioning
suppleent is
norall
reuired.
A;.;.;.6 A
dar7roo
a e
reuired for
loading
cassettes
and shall e
located
near the
control
roo. &hisdar7roo
shall e
outside the
105gauss
field.
A;.;.;.9
Crogen
storage a
e reuired in
areas %here
ser/ice toreplenish
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supplies is not
readil
a/ailale.
When
pro/ided
space should
e a iniu
of ;0 suare
feet $,.6;
suare eters-
to
accoodate
t%o large
de%ars of
crogen.
A;.;.;.8 $1-
Po%er
conditioning
and /oltage
regulation
euip5ent
as %ell as
direct
current $DC-
a e
reuired.
2006Guidelin
es forDesignand
Construction ofHealth Care
Facilities 8;2 . 1 G ! ( A ) H *+ P " &A ) +
;.;.9CardiacCatheteri4ation )a$Cardiolog-
The car#ac
catheter#;at#o
n la! #s
normall a
se'arate su#te
(see Sect#on
0$13$/$1) !ut
locat#on
w#th#n the
#ma#n su#te
shall !e
'erm#tte
'ro"#e the
a''ro'r#ate
ster#le
en"#ronment
#s 'ro"#e$
Com!#nat#on
w#th
an#ora'h
shall !e
'erm#tte #n
low usae
s#tuat#ons$
;.;.8+upport
Areas for
the "aging
+uite
The
follow#n
s'aces
arecommon
to the
#ma#n
e'artme
nt an are
m#n#mum
requ#rem
ents
unless
state
otherw#se
6
5.5.8.1 Controleskanrece't#onarea
5.5.8.2 ?ff#ces for
ra#olo#st(s
) an
ass#stant(s)$
?ff#ces shall
#nclue
'ro"#s#ons
for "#ew#n,
#n#"#ual
consultat#on,
an chart#n
of f#lm$
5.5.8.3 :an
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wash#nstat#ons
(1) :anwash#n
stat#ons
shall !e
'ro"#ew#th#n
each
'roceur
e room
unless
the room
#s use
onl for
rout#ne
screen#n
such
as chest.ras
where
the
'at#ent
#s not
'hs#call
hanle
! the
staff$
(2) :anwash#n
stat#ons
shall !e
'ro"#e
con
"en#ent
to the
M&I
room,
!ut
neenot !e
w#th#n
the
room$
5.5.8.4
Consultat#o
n area$ An
a''ro'r#ate
area for
#n#"#ual
consultat#o
n w#th
referr#n
cl#n#c#ans
shall !e
'ro"#e$
A P P !D " #
A;.;.;.8 $2-
>agnetic
shielding a e
reuired to
restrict the
agnetic field
plot. (adio
freuenc
shielding a e
reuired to
attenuate stra
radio
freuencies. &he
area around
ao/e and elo%
the >(" suite
shall e
re/ie%ed and
e/aluated for the
follo%ing
1 Possile
occupanc
person$s-
%ho could
ha/e
pacea7er
s or other
etal
iplants.
2 ui
pent that
can e
disrupted a
agnetic field.
aples
include ut are
not liited to
personal
coputers
onitors C&
scanners and
nuclear
caeras.
After
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re/ie%ing
and
e/aluating
the
surrounding
space
appropriate
agnetic
shielding
should epro/ided
ased upon
the tpe of
>(" scanner
to e
installed.
5.5.8.5 at#ent hol#n
area$ A
con"en#ent
hol#n area
uner staff
control shall
!e 'ro"#e
to
accommoat
e #n'at#ents
on stretchers
or !es$
5.5.8.6
Cler#cal
off#ces+s'
aces$
?ff#ce
s'ace
shall !e
'ro"#e
as
necessar
for the
funct#onal
'roram$
5.5.8.7 D#lm
'rocess#nroom
(1) If f#lmsstems
are use,
a
arkroo
m shall
!e 'ro"#e for
'rocess#
n f#lm
unless
the
'rocess#
n
equ#'me
nt
normall
use
oes not
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requ#re a
arkroo
m for
loa#n
an
transfer$
When
al#ht
'rocess#
n #suse, the
arkroo
m shall
!e
'erm#t
te to !e
m#n#mal
for
emeren
c an
s'ec#al
uses$
(2) D#lm'rocess#
n shall
!e
locate
con"en#
ent to
the
'roceu
re
roomsan to
the
qual#t
control
area$
5.5.8.8 Hual#t control
area$ An
area or room
shall !e
'ro"#enear the
'rocessor
for "#ew#n
f#lm
#mme#atel
after #t #s
'rocesse$
All "#ew
!o.es shall
!e
#llum#nate
to 'ro"#e
l#ht of the
same color
"alue an
#ntens#t for
a''ro'r#ate
com'ar#son
of se"eral
a5acent
f#lms$
5.5.8.9 Contrastme#a
're'arat#on
(1) Ifcontrast
me#a
are
use,
th#sarea
shall
#nclue
a s#nk,
counter,
an
storae
to allow
for
m#.#n
of
contrast
me#a$
(2) ?ne're'arat
#on
room, #f
con"en#
entl
locate,
shall !e
'erm#tte
to
ser"e
an
num!er
of
rooms$
(3) Where're
're'are
me#a
are
use,
th#s
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area
shall !e
'erm#tt
e to !e
om#tte
, !ut
storae
shall !e
'ro"#e
forthe
me#a$
5.5.8.10
Cleanu'
fac#l#t#es$
ro"#s#ons for
cleanu' shall
!e locate
w#th#n the
su#te for
con"en#entaccess an
use$
(1) Thefac#l#t#
es
shall
#nclu
e
ser"#ce
s#nk or
floor
rece't
acle as
well as
stora
e
s'ace
for
equ#'
ment
ansu''l#
es$
(2) Ifautomat
#c f#lm
'rocess
ors are
use, a
rece'tac
le of
aequate s#;e
w#th hot
an col
water
for
clean#n
the
'rocess
or racks
shall !e
'ro"#e
$
86
2006Guidelines forDesign
andConstruction ofHealth CareFacilities
5.5.8.11Clean
storae$
ro"#s#onshall !e
mae for the
storae of
clean
su''l#es an
l#nens$ If
con"en#entl
locate,
storae shall
!e 'erm#tte
to !e share
w#th anothere'artment$
5.5.8.12So#le
hol#n$
ro"#s#on
shall !e
mae for
so#le
hol#n$
Se'arate
'ro"#s#ons
for
contam#nat
e hanl#n
an
hol#n
shall !e
mae$
:an
wash#n
stat#ons
shall !e
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'ro"#e$
5.5.8.13D#lm storae
(1) D#lm
stor
ae
(act#"e)
$ A
roo
m
w#t
h
ca!
#net
or
shel
"es
forf#l#
n
'at#
ent
f#l
m
for
#m
me
#at
e
retr
#e"
al
shal
l !e
'ro
"#
e$
(2) D#lmstorae
(#nact#"e
)$ A
room or
area for
#nact#"e
f#lm
storae
shall !e
'ro"#e
$ It shall
!e
'erm#tte
to !e
outs#e
the
#ma#n
su#te, !ut
must !e
uner
#ma#n@
s
am#n#st
rat#"e
control
an'ro'erl
secure
to
'rotect
f#lms
aa#nst
loss or
amae$
(3) Storae for
une.'
ose
f#lm$
If f#lm
sste
ms
are
use,
stora
e
fac#l#t#
es for
une.'ose
f#lm
shall
#nclu
e
'rotec
t#on
of
f#lm
aa#ns
t
e.'osure or
ama
e
an
shall
not !e
warm
er
than
the a#r
of
a5ace
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nt
occu'
#e
s'ace
s$
5.5.8.14
Me#cat#on
storae$
ro"#s#onshall !e
maefor
locke
storae of
me#cat#on
s an
rus$
;.;.:+upport
Areas for+taff
The
follow#n
s'aces
are
common
to the
#ma#n
e'artme
nt an are
m#n#mum
requ#rem
ents
unlessstate
otherw#se
6
5.5.9.1 Staff loune$
Staff
loune w#th
lockers
shall !e
'erm#tte to
!e outs#ethe su#te
!ut shall !e
con"en#ent
for staff
use$
5.5.9.2 Staff to#lets$
To#lets
shall !e
'erm#tte
to !e
outs#e the
su#te !ut
shall !e
con"en#ent
for staff
use$ In
su#tes of
three or
more
'roceurerooms,
to#lets
#nternal to
the su#te
shall !e
'ro"#e$
;.;.10+upport
Areas forPatients
The
follow#n
s'aces
are
common
to the
#ma#n
e'artme
nt an are
m#n#mum
requ#rem
ents
unless
stateotherw#se
6
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2 . 1 G ! ( A ) H *+ P " &A ) +
5.5.10.1
at#entwa#t#n area
(1) Thearea
shall !e
out of
traff#c,
uner
staff
con
trol,
an
shall
ha"eseat#n
ca'ac#t
#n
accora
nce
w#th
the
funct#o
nal
'rora
m$
(2) If thesu#te #s
rout#nel
use
for
out'at#e
nts an
#n'at#en
ts at the
same
t#me,
se'aratewa#t#n
areas
shall !e
'ro"#e
w#th
screen#n
for
"#sual
'r#"ac
!etween
them$
(3) If soeterm#n
e ! an
IC&A,
the
#anost#
c
#ma#n
wa#t#n
area
shall
requ#re
s'ec#al
meas
ures to
reuce
the r#sk
of
a#r!orne
#nfect#on
trans
m#ss#on$
These
measures
shall
#nclue
enhance
eneral
"ent#lat#
on an
a#r
#s#nfect
#on
techn#qu
es
s#m#lar
to
#n'at#ent
requ#rem
ents for
a#r!orne
#nfect#on
#solat#on
rooms
(see
Ta!le
0$10)$
See
the
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the
Tra
ns
m#s
s#o
n
of
M
co!
acter#u
m
Tu
!er
cul
os#s
#n
:e
alth
Car
e
Dac
#l#t#es$=
5.5.10.2at#ent
to#let
rooms$
To#let
rooms w#th
han
wash#n
stat#ons
con"en#ent
to the
wa#t#n
rooms an
equ#''e
w#th an
emerenc
call sstem
shall !e
'ro"#e$
5.5.10.3at#ent
ress#n
rooms$
%ress#n
rooms shall
!e 'ro"#e
con"en#ent
to the
wa#t#n
areas an
.ra
rooms$
Each room
shall
#nclue a
seat or
!ench, m#r
ror, an
'ro"#s#ons
for han#n
'at#ents@
cloth#n
ansecur#n
"alua!les$
;.6!uclear>edicine
;.6.1General
*5.6.1.1
S'ace
requ#rements$S'ace shall
!e 'ro"#e
asnecessar
to
accommoate
the funct#onal
'roram$
Where the
funct#onal
'roram calls
for #t, nuclear
me#c#ne'roceure
room(s) shall
accommoate
the
equ#'ment
s'ec#f#e #n
the funct#onal
'roram, a
stretcher,
e.erc#se
equ#'ment
(tream#llan+or
!#ccle), an
staff work
s'ace$
A P P !D " #
A;.6.1.1
!uclear
edicine
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a
include
positron
eission
toograph
%hich is
not
coon to
ost
facilities. "t
reuires
speciali4ed
planning
for
euipent.
2006
Guidelin
es forDesignand
Construction of
Health CareFacilities 89
2 . 1 G ! ( A ) H *+ P " &A ) +
5.6.1.2 &a#at#on
'rotect#on
requ#rements$ A
cert#f#e
'hs#c#st
or other
qual#f#e
e.'ert
re're
sent#n the
owner or
state
aenc
shall
s'ec#f the
t'e,
locat#on,
an
amount of
ra#at#on
'rotect#on
to !e
#nstalle #n
accorance
w#th f#nal
a''ro"ee'artment
laout an
equ#'ment
select#on$
These
s'ec#f#cat#o
ns shall !e
#ncor'orate
#nto the
'lans$
5.6.1.3Con
struct#on
requ#rements
$ ro"#s#on
for w#r#n
racewas,
ucts, or
conu#ts
shall !e
mae #n
floors, walls,
an ce#l#ns$
Ce#l#nmounte
equ#'ment
shall ha"e
'ro'erl
es#ne
r## su''ort
structures
locate
a!o"e the
f#n#she
ce#l#n$
;.6.2(adiopharac
If
ra#o'harm
aceut#cal
're'arat#on
#s
'erforme
ons#te, an
area
aequate to
house ara#o'harm
ac shall !e
'ro"#e
w#th
a''ro'r#ate
sh#el#n$
5.6.2.1 S'ace
requ#rements
(1) Th#s area
shall #nclueaequate
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s'ace for
storae
A P P !D " #
A;.6.3
Positr
on
issi
on
&oog
raph
$P&-
Faciliti
es
+pace
reuir
eent
s
1. +pa
ce should e
pro/ided as
necessar to
accoodate
the functional
progra. P&
scanning is
generall used
in eperien5tal
settings and
reuires space
for a scanner
and for a
cclotron.
2. +canner roo.
&he scanner
roo should
e a
iniu of
300 suare
feet $29.89
suare
eters-.
3. C
clotron roo.
Where a
cclotron
roo is
reuired it
should e a
iniu of
22; suare
feet $20.:0
suare
eters- %ith a
165suare5foot
$1.,9 suare
eters- space
safe for
storage of
parts that a
need to cool
do%n for a
ear or ore.
)aoratorfacilities
1. oth a hot
$radioacti/
e- la and
a cold
$nonradioa
cti/e- la
a ereuired
each a
iniu
of 2;0
suare
feet $23.23
suare
eters-.
2.A lood
la of ainiu
of 80
suare
feet
$9.,3
suare
eters-
should
e
pro/ide
d.
Facilitreuireents
a. Patient
holding
area. A
patient
holding
area to
accood
ate t%o
stretchers
should e
pro/ided.
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of
ra#on
ucl#es
,
chem#c
als for're'ar
at#on,
ose
cal#!ra
tors,
an
recor
kee'#n
$
(2) If 're're'are
mater#al
s are
use,
storae
an
calculat
#on area
ma !e
cons#e
ra!l
smaller
thanthat for
ons#te
're'arat
#on$
(3) S'aceshall
'ro"#
e
aequ
atel
forose
cal#!r
a
t#on,
qual#t
assur
ance,
an
recor
kee'#
n$
5.6.2.2 &a#at#on
'rotect#on
requ#remen
ts$ The area
ma st#ll
requ#re
sh#el#n
from other'ort#ons of
the
fac#l#t#es$
5.6.2.3 Construct#
on
requ#r
ements
(1) Dloors
an
wal
ls
shal
l !e
con
stru
cte
of
eas#
l
econt
am#
nat
e
mat
er#a
ls$
(2) >ents
an
tra's
for
ra
#
oa
ct#
"e
a
ses
sh
all
!e
'r
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o"
#e
#f
su
ch
are
us
e$
. Gas storage
area. A gas
storage area
large enough
to acco5
odate ottles
of gas shoulde pro/ided.
ach gas %ill
e piped
indi/iduall
and a go to
the cclotron
or to the la.
Constructionreuireents
(adiation
protection.
+ignificant
radiation
protection
a e
reuired
since the
cclotron
a
generate
high
radiation.
@entilationreuireents
1. @ent
ilation adeuate
for the
occupanc is
reuired.
Copressed air
a e reuired
to pressuri4e a
%ater circulation
sste.
2. +pe
cial /entilation
sstes
together %ith
onitors
sensors and
alar sstes
a e reuired
to /ent gases
and cheicals.
3. &he
heating
/entilating and
air conditioning
sste %ill
reuire particular
attention highest
pressures should
e in coldest
$radia5tion- areas
and ehaust
should e in
hottest
$radiation- areas.
(edundanca eiportant.
Pluing
reuireents
&he cclotron is
%ater cooled
%ith de5ioni4ed
%ater. A heat
echanger and
connection to a
copressor or
connection to
chilled %ater
a e
reuired. A
redundant
pluing
sste con5
nected to a
holding tan7
a e reuired
to pre/ent
accidental
lea7age of
containated
%ater into the
regular
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pluing sste.
882006
Guidelines forDesignand
Construction ofHealth CareFacilities
(3) :oosfor
'harma
ceut#cal
're'ara
t#on
shall
meet
a''l#ca
!le
stanar
s$
';.6.3Positronission&oograph $P&-
;.6.,!uclear>edicine
Area
The
nuclear
me#c#ne
area, when
o'erate
se'aratel
from the
#ma#n
e'artment
, shall
#nclue the
follow#n6
5.6.4.1 S'ace
requ#rements
$ S'ace shall
!e aequate
to 'erm#t
entr of
stretchers
an !es an
a!le to
accom
moate
#ma#n
equ#'ment,
electron#c
consoles, an
#f 'resent,
com'uter
term#nals$
5.6.4.2 Acontrol eskanrece't#onarea
5.6.4.3 :anwash#n
stat#ons$
These shall
!e 'ro"#e
w#th#n each'roceure
room$
*5.6.4.4
%ose
am#n#strat#
on area$ A
ose
am#n#stra
t#on area as
s'ec#f#e !
thefunct#onal
'roram
shall !e
'ro"#e,
locate near
the
're'arat#on
area$ S#nce
as much as
se"eral
hours ma
ela'se for aose to take
effect, the
area shall
'ro"#e for
"#sual
'r#"ac from
other areas$
5.6.4.5
Su''ort areas
for the
nuclear
me#c#ne area
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(1) Consultat#on
area$ A
consulta
t#on
area
w#th
"#ew
!o.es
#llum#na
te to
'ro"#e
l#ht of
the
same
color
"alue
an
#ntens#t
for
a''ro'r#
ate
com
'ar#son
of
se"eral
a5acent
f#lms
shall !e
'ro"#
e$
S'ace
shall !e
'ro"#e
for
com'ut
er
access
an
#s'la
term#nal
s #f such
are
#nclue
#n the
'roram
$
(2) at#enthol#narea
(1) Ah
o
l
#
n
a
r
e
a
f
o
r'
a
t#
e
n
ts
o
n
st
r
e
t
ch
e
r
s
o
r
!
e
s
s
ha
ll
!
e
'
r
o
"
#
e
o
u
t
o
f
tr
a
ff
#
c
a
n
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u
n
e
r
c
o
n
tr
ol
o
f
st
a
ff
$
(2) Com!#
nat#
onof
th#s
area
w#th
the
os
e
am
#n#st
rat#
on
area
shal
l !e
'er
m#tt
e
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