Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 250 - HOSPITAL LICENSING REQUIREMENTS › Subpart T - DESIGN AND CONSTRUCTION STANDARDS › Section 250.2450 - Details

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Compartmentation, exits, automatic extinguishing systems, and other details
				relating to fire prevention and fire protection shall comply with requirements
				listed in the appropriate sections of NFPA 101, Life Safety Code.
b) Items such as drinking fountains,
				telephone booths, vending machines, and portable equipment shall be located so
				as not to restrict corridor traffic or reduce the corridor width below the
				required minimum.
c) Doors
1) Doors to patient rooms shall not be
				lockable from inside the room. Hospitals shall have policies and procedures for
				readily gaining access to a locked bathroom in a patient's room. (Section 11.6
				of the Act)
2) Special Locking
				Arrangements: Electronic locking devices may be installed at specific locations
				to restrict egress or ingress for patient/staff safety or security, provided
				that each of the following is complied with and after receiving approval from
				the Department:
A) The facility shall submit
				a narrative to the Department providing a rationale for having a locked door in
				a required means of egress. The rationale shall relate to security
				issues.
B) The building shall be
				protected by a sprinkler or fire detection system approved by the
				Department.
C) All locking system
				components shall be U.L. listed.
D)
				Cross corridor, smoke, or control doors that are located in a required means of
				egress may be secured only with electronic locks and automatic release devices.
				The use of only manual keys or tools to unlock the door is not
				permitted.
E) Locked doors shall
				have continuous staff supervision (direct or electronic remote).
F) No other type of locking arrangement may
				be used in a required means of egress.
G) All locked doors shall release
				automatically with actuation of the fire alarm system.
H) All doors shall release automatically with
				loss of electrical power to the locking device.
I) All delayed egress locks shall initiate an
				irreversible process that will release the lock within 15 seconds whenever a
				force of not more than 15 pounds is continuously applied to the release device
				(lever type handle or panic bar) for a period of not more than three seconds.
				Relocking of such doors shall be by manual means only. Operation of the release
				device activates a sign in the vicinity of the door to assure those attempting
				to exit that the system is functional. Delays of up to 30 seconds may be
				acceptable based on the program narrative.
J) Permanent signs shall be posted on
				electronic locked doors that state the action required to open the door.
				Electronic delayed egress type doors shall state: "Push until alarm sounds.
				Door will be opened in 15 seconds." Sign letters shall be at least 1 inch high
				with 1/8-inch stroke. Signs may be omitted for security reasons based on the
				Department's review of the hospital's written rationale.
K) Emergency lighting shall be provided at
				all locked door locations.
L) The
				local fire department shall be fully apprised of locked doors or units and all
				related details of the system.
M)
				Any discharge exit door may be locked against entry.
N) Additional electronic release of locked
				doors initiated from a 24/7 staff duty station or an ADA compliant release
				device located within 5 feet of the door shall be provided. The duty station
				shall be located within the locked unit and staff shall be able to observe the
				door directly to by remote video.
O) No more than two electronic locking
				devices may be installed in any path of travel to exit discharge, one of which
				may be delayed egress.
P) Complete
				smoke detection shall be provided throughout the entire secured unit.