Michigan Administrative Code › Department - Licensing and Regulatory Affairs › Bureau of Community and Health Systems › Licensing Health Facilities Or Agencies › Part 9 - ENVIRONMENT OF CARE FOR HEALTH FACILITIES › Subpart A - PHYSICAL PLANT › Section R. 325.45273 - Interior; illumination; standards

Current through Vol. 24-12, July 15, 2024
Rule 273.
(1)
					 The applicant or licensee shall comply with the interior illumination standards
					 in Table 1.
(2) In addition to the
					 interior illumination standards in Table 1, a health facility shall provide
					 both of the following:
(a) Night lighting in a
					 toilet room and in a patient room that is sufficient to illuminate a footpath
					 from the bed to the toilet room with a minimum of 1 foot-candle at floor
					 level.
(b) Light fixtures that are
					 equipped with lenses or shields for protection of the lamps or lamps that will
					 not shatter.
Table 1: Illumination of Health Care Facilities The
						following table is intended to be representative, not inclusive, of all
						clinical facilities. These measured minimum foot-candle (fc) values must be
						provided at 36 inches above the floor or at task locations as applicable and
						must account for bulb and fixture depreciation.
One-half of the lighting levels must be maintained in
						operating rooms, delivery rooms, trauma rooms and emergency department exam
						rooms, nursing stations, intensive care rooms, special care nurseries, full
						term nurseries, angiography labs, interventional radiology rooms, cardiac
						catheterization labs, resuscitation areas, post anesthesia care units, patient
						holding areas, medication preparation and dispensing areas, and work areas
						within the laboratory, when on emergency power. These levels are not required
						during the transfer to emergency power (10 seconds max).
Operating, Delivery, Trauma
									 Rooms1
150 fc
These illumination levels must be provided
									 within a six-foot perimeter of the table or stretcher with the remainder of the
									 room provided with a minimum of 75 foot-candle (fc).
Critical Task Areas
Cardiac catheterization
									 labs1
Angiography1
Interventional
									 radiology1
Scrub sinks
Central sterile task locations
Patient exam or treatment locations
Decontamination task locations
Pharmacy and laboratory hoods
Intensive care bed and bassinet
									 locations1
Labor, delivery, recovery, postpartum bed
									 locations1
Post anesthesia care unit or cardiovascular
									 recovery unit1
Procedure rooms
Autopsy1
75 fc
The 75 fc is the minimum for patient
									 examination, resuscitation, or a procedure in the patient vicinity. The patient
									 vicinity is defined as three feet around the sides and head of the patient bed
									 or table. The remainder of these rooms must be a minimum of 15 fc.
The 75 fc level is required in some areas for
									 patient emergencies and resuscitation events. It is not intended to require
									 this lighting level during normal procedures, such as cardiac
									 catheterizations.
1 Fixed task
									 lighting must be on emergency power.
Specialized Task Areas
Food service work counter
Medication preparation and dispensing
									 locations
Nurse, physician, and clinician charting
									 locations
Laboratories
Triage areas
Hot lab task locations
Dialysis patient locations
50 fc
Task Areas
30 fc
Patient care bed, stretcher, table, and chair
									 locations (non-examination areas)
Resident bed locations
Handwashing, water closets, tub and
									 shower
Staff work counter
Patient and resident day and dining
									 rooms
Patient and resident reading locations
Patient preparation and holding areas
General radiology rooms, MRI, PET, CT, and
									 Lithotripsy
Morgue
General Areas
Corridors
General patient and resident room
									 locations
Clean and soiled utility rooms
Clinical storage and holding
Locker rooms
Janitor closets
Stairways, elevators, waiting rooms
15 fc