Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 95 - FREESTANDING SURGICAL OUTPATIENT FACILITIES › Section 11-95-9 - Construction requirements

Current through June, 2024
(a) The facility
				shall be constructed and maintained in accordance with state and county zoning,
				building, fire safety, and sanitation laws, ordinances, and rules. New
				construction and remodeling shall be guided by "Minimum Requirements of
				Construction & Equipment for Hospital & Medical Facilities" DHEW
				Publication No. (HRA) 79-14500 as it existed on December 31, 1984.
(b) The facility shall be accessible to and
				functional for physically handicapped persons.
(c) There shall be adequate space to allow
				free movement of occupants using wheelchairs, walkers, canes and crutches to
				and from exits, post-operative recovery areas, bathrooms, closets, dressing
				areas, and common hall areas.
(d)
				Provision shall be made for each patient to have use of a lockable closet,
				dressing cubicle, or dressing room.
(e) A waiting room of appropriate size shall
				be provided and toilet rooms, separate from patient toilets, shall be easily
				accessible to those in the waiting area.
(f) Suitable dressing areas and toilet
				facilities for staff use, separate from patient use, shall be
				provided.
(g) One or more examining
				rooms separate from recovery and operating rooms shall be provided.
(h) Grab bars shall be provided in patient
				and waiting room toilets. Each bathroom shall provide at least one washbasin
				and one commode.
(i) Operating and
				recovery rooms shall be located so as to prevent through traffic except in the
				case of emergency. Entrance and exits to these rooms shall be by means of
				interior doors except for emergency outdoor exit doors which may be provided as
				needed.
(j) There shall be adequate
				scrub-up facilities and work areas for the preparation, sterilization, and
				storage of instruments and supplies.
(k) Each patient toilet and bathroom facility
				shall have a suitable nurses' call system for signalling the need for
				assistance.
(l) Adequate supply of
				hot and cold potable running water must be supplied at all times. Temperature
				of hot water at plumbing fixtures used by patients shall be automatically
				regulated and shall not exceed 110°F.
(m) Bedpans and urinals shall be available
				for use as well as suitable methods and equipment for cleaning and sterilizing
				same.
(n) In the event that a
				sexually mixed recovery room is utilized, suitable screens or curtains shall be
				provided to ensure privacy for each patient.
(o) Patient beds, wherever located, shall be
				surrounded by at least three feet of clear floor area.
(p) All rooms in which patient care is
				carried out shall be on or above grade level.
(q) Floors and walls.
(1) Floors shall be of slip resistant
				material, flush at doorways.
(2)
				Floors shall be of material which does not retain odors.
(3) Scatter rugs shall not be used.
(4) Walls, floors, ceilings and decorative
				items in rooms shall be made of material which permit washing, cleaning, and
				painting.