Oklahoma Administrative Code › Title 310 - Oklahoma State Department of Health › Chapter 661 - Hospice › Subchapter 8 - Hospice Inpatient Facility Physical Plant › Section 310:661-8-10 - Details and Finishes

Current through Vol. 41, No. 20, July 1, 2024
(a) A high
				degree of safety for the patients shall be provided to minimize the incidence
				of accidents with special consideration for patients who will be ambulatory, to
				assist them in self-care.
(b)
				Hazards such as sharp corners shall be avoided. All details and finishes for
				modernization projects as well as for new construction shall comply with the
				following requirements:
(1) All rooms
				containing bathtubs, sitz baths, showers, and water closets, subject to
				occupancy by patients, shall be equipped with doors and hardware which will
				permit access from the outside in any emergency. When such rooms have only one
				(1) opening or are small, the door shall be capable of opening outwards or be
				otherwise designed to be opened without need to push against a patient who may
				have collapsed within the room.
(2)
				The minimum width of all doors to rooms needing access for beds or stretchers
				shall be three feet eight inches (3' 8"). Doors to patient toilet rooms and
				other rooms needing access for wheelchairs shall have a minimum clear width of
				32 inches.
(3) Windows and outer
				doors shall not be left in an open position unless provided with insect
				screens.
(4) Windows and/or
				screening devices shall be designed to prevent accidental falls when
				open.
(5) Door(s) shall not swing
				into corridors in a manner that might obstruct traffic flow or reduce the
				required corridor width. All door handles shall be approved lever
				type.
(6) Grab bars shall be
				provided at all patients' toilets, showers, tubs, and sitz baths.
(7) Recessed soap dishes shall be provided in
				showers and bathrooms, or soap dispensers may be substituted.
(8) Lavatories and hand washing facilities
				shall be securely anchored to withstand an applied vertical load of not less
				than two hundred fifty (250) pounds on the front of the fixture.
(9) Mirrors shall be arranged for convenient
				use by patients in wheelchairs as well as by patients in a standing position.
				All lavatories shall have mirrors except those in kitchens.
(10) Paper towel and soap dispensers and
				waste receptacles shall be provided at all hand washing facilities in public,
				staff locations and patient areas.
(11) Ceiling heights shall be as follows:
(A) Boiler rooms shall have ceiling
				clearances not less than two feet six inches (2' 6") above the main boiler
				header and connecting piping.
(B)
				Rooms containing ceiling-mounted equipment shall have height required to
				accommodate the equipment.
(C) All
				rooms shall not have less than eight foot (8' 0") ceilings except that
				corridors, storage rooms, toilet rooms, and other minor rooms may be not less
				than seven feet eight inches (7' 8"). Suspended tracks, rails, and pipes
				located in the path of normal traffic shall not be less than six feet eight
				inches (6' 8") above the floor.
(D)
				Kitchens shall have a minimum eight foot (8' 0") ceiling height and be
				air-conditioned.
(12)
				Spaces where impact noises may be generated shall not be located directly over
				or adjacent to patient bed areas unless special provisions are made to minimize
				such noise to a Noise Isolation Class (NIC) of not less than forty-five
				(45).
(13) Rooms containing heat
				producing equipment (such as boiler or heater rooms, and laundries) shall be
				insulated and ventilated to prevent any floor surface above from exceeding a
				temperature of 10oF. (60C.) above the ambient room
				temperature.
(14) Indicators shall
				be placed on all doors leading to hazardous areas, such as knurled knobs or
				signs.
(15) The hospice shall
				eliminate fire and smoke hazards. The hospice shall not use pillows,
				mattresses, pads, padded furniture, carpeting, or other furnishings, which
				contain urethane foams, which are not fire retardant.