reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0000 - Applicability

Current through Register Vol. 63, No. 7, July 1, 2024
OAR 333-535-0000  through 333-535-0310  shall apply to all
				hospitals not licensed or for which plans have not been approved on the
				effective date of these rules for major alterations and new construction. Major
				alteration has the meaning given that term in OAR 333-500-0010.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0001 - Referenced Codes and Standards

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The codes and standards referenced in these rules shall be considered part of
			 the requirements of these rules to the prescribed extent of each such
			 reference. Where differences occur between provisions of these rules and
			 referenced codes and standards, the provisions of the most restrictive code
			 shall apply.
(a) 2007 Oregon Structural
			 Specialty Code.
(b) 2007 Oregon
			 Mechanical Specialty Code.
(c) 2008
			 Oregon Electrical Specialty Code.
(d) 2008 Oregon Plumbing Specialty
			 Code.
(e) 2007 Oregon Fire
			 Code.
(f) National Fire Protection
			 Association, NFPA 101 Life Safety Code, 2000 Edition.
(g) National Fire Protection Association,
			 NFPA 99 Standard for Healthcare Facilities, 1999 Edition.
(h) National Fire Protection Association,
			 NFPA 110 Standard for Emergency and Standby Power Systems, 2002
			 Edition.
(i) National Fire
			 Protection Association, NFPA 90A Standard for Installation of Air-Conditioning
			 and Ventilating Systems, 1996 Edition.
(j) National Fire Protection Association,
			 NFPA 96 Standard for Ventilation Control and Fire Protection of Commercial
			 Cooking, 2008 Edition.
(k) National
			 Fire Protection Association, NFPA 255 Standard Method of Test of Surface
			 Burning Characteristics of Building Materials, 2000 Edition.
(l) National Fire Protection Association,
			 NFPA 801 Standard for Fire Protection for Facilities Handling Radioactive
			 Materials, 1998 Edition OSHA and radiology.
(m) Illuminating Engineering Society, IES RP
			 28, 2007 Edition.
(n) Illuminating
			 Engineering Society, IES RP 29, 2006 Edition with Errata.
(o) American National Standards Institute/
			 American Society of Sanitary Engineering, ANSI/ASSE 6000, 2004
			 edition.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0010 - General Rules

Current through Register Vol. 63, No. 7, July 1, 2024
(1) When conditions
			 make certain changes to existing institutions impractical to accomplish, minor
			 variations from these requirements (other than fire and life safety
			 requirements) may be permitted if the intent of the requirement is met, the
			 care and safety of patients will not be jeopardized, and with written approval
			 of the Oregon Health Authority, Public Health Division (Division). (Refer to
			 OAR 333-500-0065.)
(2) Sizes: The
			 sizes of various departments will depend upon program requirements and
			 organization of services within the hospital. Some functions requiring separate
			 spaces or rooms in these minimum requirements may be combined, provided that
			 the resulting plans will not compromise the best standards of safety and of
			 medical and nursing practices, and with written approval of the
			 Division.
(3) Conflicts of
			 requirements: Certain projects may be subject to the regulations of several
			 different federal, state and local agencies. Should a difference in
			 requirements occur, the more stringent requirement shall be applied. In cases
			 of conflicting or opposing regulations, the problem shall be directed to the
			 responsible programs for resolution.
(4) All departmental requirements included in
			 these rules are not necessarily applicable to all institutions. Each service
			 element provided in the hospital must, however, comply with requirements found
			 herein.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0015 - Physical Environment Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
(a) On
			 and after January 1, 2020, any person proposing to construct a new hospital, or
			 proposing to make certain alterations or additions to an existing hospital,
			 must, before commencing new construction, alterations, or additions, comply
			 with OAR chapter 333, division 675 and these rules.
(b) A hospital may choose to comply with
			 these revised standards on or after October 1, 2019.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0035 - Infection Control Physical Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An Infection Control Risk Assessment
			 (ICRA) shall be provided for all projects that include Airborne Infection
			 Isolation Rooms, Protective Environment Rooms, surgical facilities, emergency
			 departments, hospital immediate care and minor emergency facilities, and any
			 other identified areas of special risk related to infection. As used in
			 division 535, an Infection Control Risk Assessment is documentation focusing on
			 reduction of risk from infection. The assessment shall have input from the
			 hospital's infection control personnel, and be based on current Centers for
			 Disease Control guidelines or other applicable rules and guidelines. Each
			 subject health care facility shall also comply with the requirements of OAR
			 333-505-0070.
			 The Infection Control Risk Assessment shall include at least the following
			 elements:
(a) A statement explaining the needs
			 and risks of the patient population to be served that includes:
(A) The number, location, and type of
			 airborne infection isolation and protective environment rooms;
(B) Location(s) of special ventilation and
			 filtration such as emergency department waiting and intake areas; and
(C) Air-handling and ventilation needs in
			 surgical services, airborne infection isolation and protective environment
			 rooms, laboratories, local exhaust systems for hazardous agents, and other
			 special areas.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0050 - Pediatric Patient Care Unit

Current through Register Vol. 63, No. 7, July 1, 2024
Young children and adolescents shall be housed in a patient
				care unit separate from adults or in a separate pediatrics room of a general
				nursing unit. This unit shall meet the following requirements:
(1) Patient rooms. The requirements noted in
			 OAR 333-535-0025  shall be applied to a pediatric and adolescent care unit
			 containing hospital beds or cribs, except that patient rooms used for cribs
			 shall contain at least 60 square feet of clearance for each crib with no more
			 than six cribs in a room.
(2)
			 Nursery. Each nursery serving pediatric patients shall contain no more than
			 eight bassinets. The minimum clear floor area per bassinet shall be 40 square
			 feet. Each room shall contain a lavatory equipped for hand-washing, nurses'
			 emergency calling system, and glazed viewing windows for observing infants from
			 public areas and workroom.
(3)
			 Nursery workrooms. Each nursery shall be served by a connecting workroom that
			 shall contain:
(a) Gowning facilities at the
			 entrance for staff;
(b) Work
			 counter;
(c)
			 Refrigerator;
(d) Storage
			 facilities; and
(e) A hand-washing
			 station.
(f) One workroom may serve
			 more than one nursery provided that required services are convenient to
			 each.
(g) The workroom serving the
			 full-term and continuing care nurseries may be omitted if equivalent work and
			 storage areas and facilities, including those for scrubbing and gowning, are
			 provided within that nursery. Space required for work areas located within the
			 nursery is in addition to the area required for infant care.
(h) Provision shall be made for storage of
			 emergency cart(s) and equipment out of traffic.
(i) Provision shall be made for the sanitary
			 storage and disposal of soiled waste.
(j) Visual control shall be provided via
			 borrowed lights or view panels between the staff work area and each
			 nursery.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0061 - Psychiatric Patient Care Units and Rooms

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The design of inpatient psychiatric
			 patient care units shall be supportive of the types of psychiatric therapies
			 provided for patients and their psychiatric care needs. Interior finishes,
			 lighting and furnishings shall, to the extent practicable, reflect a
			 residential rather than an institutional setting with an emphasis on natural
			 light and exterior views while not compromising patient privacy and safety
			 design. Inpatient psychiatric patient care units shall include patient rooms
			 meeting the requirements of section (4) of this rule and service areas meeting
			 the requirements of section (5) of this rule.
(2) Patient and Staff Safety Assessment. The
			 hospital psychiatric care staff and the hospital administration, in
			 consultation with the project architects, shall develop a Patient and Staff
			 Safety Assessment that addresses security and safety design features and
			 devices. A copy of this Assessment shall accompany construction documents
			 submitted to the Licensing Plans Review Program. The Patient and Staff Safety
			 Assessment shall include at least the following elements:
(a) A statement explaining the psychiatric
			 population groups served;
(b) A
			 discussion of the capability for staff visual supervision of patient ancillary
			 areas and corridors;
(c) A
			 discussion of the risks to patients, including self-injury, and the project
			 solutions employed to minimize such risks;
(d) A discussion of building features and
			 equipment, including items which may be used as weapons, that is intended to
			 minimize risks to patients, staff and visitors;
(e) A statement explaining how potentially
			 infectious patients will be managed; and
(f) A discussion of outdoor areas used by
			 patients. Discussion must include, but is not limited to, the number of
			 patients each outdoor area will serve at one time, staffing, security and
			 shifts.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0065 - Detoxification Rooms

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In hospitals
			 that provide drug or alcohol detoxification services, a minimum of one patient
			 room for detoxification, located to allow direct observation by nursing staff,
			 shall be provided.
(a) Windows in
			 detoxification rooms shall be of a security type that can only be opened by
			 keys or tools that are under the control of the staff.
(b) An adjoining or closely available toilet
			 room and a hand-washing station serving detoxification patients only is also
			 required.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0070 - Newborn Nursery Units

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 General. Newborn infants not cared for in a "rooming in" program in post-partum
			 or LDR rooms, shall be housed in nurseries that comply with the standards
			 below. Location shall allow for transfer of infants to post partum and birthing
			 and LDR rooms without going through unrelated departmental or public corridors
			 and spaces. The nursery shall be located and arranged to preclude the need for
			 non-related pedestrian traffic. No nursery shall open directly into another
			 nursery. See OAR 333-535-0050(2)  for pediatric nurseries. See OAR
			 333-535-0041(4)  for neonatal intensive care nurseries. Refer to mechanical and
			 electrical sections for ventilation, oxygen, suction, medical air and
			 electrical standards. All nurseries shall contain the following:
(a) At least one hand-washing station for
			 each eight infant beds equipped with controls that can be operated without use
			 of hands.
(b) Nurses' emergency
			 calling system to summon assistance without leaving the patient area. Alternate
			 technologies shall be permitted for emergency or nurse call systems. If radio
			 frequency systems are utilized, consideration shall be given to electromagnetic
			 compatibility between internal and external sources. Refer to OAR 333-535-0310,
			 Electrical Requirements.
(c) Glazed
			 observation windows to permit viewing infants from public areas, from
			 workrooms, and from adjacent nurseries.
(d) Provisions shall be included for storage
			 and convenient access at each nursery room for linens and infant
			 supplies.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0080 - Emergency Department

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Hospitals offering emergency patient care services shall include facilities
			 required under section (2) of this rule. If outpatient clinical services are to
			 be included as a part of the Emergency Department, elements under OAR
			 333-535-0085  shall also be provided.
(a)
			 Except as permitted under OAR 333-500-0065, every hospital classified as mental
			 or psychiatric and any other hospital, regardless of classification, that
			 provides psychiatric services shall have at least one psychiatric seclusion
			 room that meets the requirements of section (7) of OAR 333-535-0061  and
			 309-033-0727.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0085 - Hospital Licensed Urgent Care Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
This section applies to immediate care and minor emergency
				facilities that are physically separate from the Emergency Department and do
				not possess a trauma level designation as defined by OAR 333-200-0080. Such
				services may be located within an inpatient facility or in a satellite location
				as defined by 333-500-0025, that is under direct control of a general hospital
				and is licensed as a part of the general hospital. The following elements shall
				be provided:
(1) Administration and
			 public areas:
(a) Entrance. Located at grade
			 level or accessible by ramp, sheltered from weather, and disabled
			 accessible.
(b) Lobby and waiting
			 areas. These shall include access to:
(A)
			 Wheelchair storage space(s);
(B)
			 Reception and information counter or desk;
(C) Waiting space(s);
(D) Public toilet facilities;
(E) Public telephone(s). Access to a
			 telephone shall be provided to public, patients and patient's family regardless
			 of the installation of a public pay telephone installed by the telephone
			 company; and
(F) Provisions for
			 drinking water. Conveniently accessible provisions for drinking water shall be
			 provided. This may be outside the patient area, in shared facilities.
(c) Interview space(s) for private
			 interviews relating to social service, credit, and admissions. Multipurpose
			 rooms for conferences, meetings, and health education shall be provided. In
			 small facilities, the room may also serve for consultation and other
			 purposes.
(d) An office area for
			 business transactions, records, and other administrative functions, separate
			 from public and patient areas for confidentiality, shall be provided.
(e) Secure storage for employees' personal
			 property. Locked storage (cabinets or secure drawers) convenient to
			 workstations shall be provided for staff valuables.
(f) General storage facilities for office
			 supplies, equipment, sterile supplies, and pharmaceutical supplies shall be
			 provided within or convenient to administrative areas.
(g) Housekeeping requirements. At least one
			 housekeeping room per floor shall be provided. Each housekeeping room shall
			 contain a floor sink or service sink and storage for housekeeping supplies and
			 equipment.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0086 - Hospital Licensed Outpatient Clinics

Current through Register Vol. 63, No. 7, July 1, 2024
(1) This rule applies to outpatient clinics
			 that are under the license of a general hospital and either physically
			 connected or in freestanding, satellite locations, as defined by OAR
			 333-500-0010(46)(a). OAR 333-535-0085  shall apply except as follows:
(a) Subsection (1)(a) shall not apply except
			 the entry shall be disabled accessible;
(b) Subsection (2)(d) shall not
			 apply;
(c) Subsection (2)(j) shall
			 not apply; and
(d) Subsection
			 (2)(n) shall apply except in existing conditions where public toilet rooms do
			 not exist, then patient toilets may be used for public when addressed by the
			 hospital's Functional Program.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0100 - Imaging Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
(1) General:
			 Imaging facilities are those which provide fluoroscopy, radiography,
			 mammography, tomography, computerized tomography scanning, ultrasound, magnetic
			 resonance, angiography, and other similar techniques. Room layouts, including
			 clearances, must meet equipment manufacturers' minimum
			 recommendations.
(2) Radiation
			 Protection: All imaging facilities and radiation producing equipment
			 installations must comply with Oregon Health Authority, Public Health Division,
			 Regulations for Control of Radiation, OAR 333-100 through 123, and be licensed
			 by Radiation Protection Services of the Division.
(a) Where protected alcoves with view windows
			 are required, a minimum of 1 foot 6 inches between the view window and the
			 outside partition edge shall be provided.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0105 - Radiation Oncology Facility or Department

Current through Register Vol. 63, No. 7, July 1, 2024
All radiation oncology installations must comply with
				provisions of the Oregon Health Authority, Public Health Division, Regulations
				for Control of Radiation, OAR 333-100 through 123 and be licensed by Radiation
				Protection Services of the Division.
(1) Treatment Rooms:
(a) Rooms and control areas shall be provided
			 as necessary to accommodate the radiation oncology Functional Program.
			 Equipment manufacturers' recommendations should be sought and followed. Any
			 radiotherapeutic (i.e. cobalt, linear accelerators, high dose rate after
			 loading, etc.) treatment room shall be sized in accordance with manufacturers'
			 recommended standards and shall accommodate a stretcher;
(b) Control areas shall have visual and audio
			 contact with the patient in the treatment room as appropriate to the radiation
			 protection needs of the equipment;
(c) If invasive procedures take place in the
			 treatment room, the room must also meet the rules for surgery facilities, OAR
			 333-535-0110; and
(d) Hyperthermia
			 room, when provided, shall be of adequate size to accommodate equipment,
			 stretcher, and a hand-washing station. This may be combined with an examination
			 room.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0110 - Surgical Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
A surgical unit shall consist of but not be limited to
				facilities as follows for exclusive use of the surgery department, unless
				otherwise noted:
(1) The number of
			 operating rooms and recovery beds and the sizes of the service areas shall be
			 based on the expected surgical workload. The surgical suite shall be located
			 and arranged to prevent non-related traffic through the suite. Also see OAR
			 333-535-0300  for mechanical rules and 333-535-0310  for electrical rules which
			 apply;
(2) Certain rules of this
			 section differ dependent upon the type of surgical procedures performed. These
			 are classified as one of the following three categories:
(a) Unrestricted areas for Minor Surgical and
			 Diagnostic Procedures: Unrestricted areas include a central control point
			 established to monitor the entrance of patients, personnel, and materials.
			 Street clothes are permitted in this area and traffic is not limited. Minor
			 procedures are those that conform to the criteria listed in paragraphs
			 (2)(a)(A) through (D) of this rule based on an assessment of the patient. These
			 procedures are non-invasive and require no general anesthetic.
(A) Anesthesia is limited to local anesthesia
			 or conscious sedation;
(B)
			 Procedure time (duration) is less than two hours;
(C) Procedure is non-invasive with low risk
			 for infection; and
(D) Patient
			 assessment indicates no special risks for cardiorespiratory
			 complications.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0115 - Endoscopy Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
If diagnostic endoscopy procedures are performed, the following
				shall apply:
(1) Diagnostic Procedure
			 Room(s):
(a) Each diagnostic procedure room
			 shall have a minimum clear area of 200 square feet exclusive of fixed cabinets
			 and built-in shelves. If portable equipment is used for vacuum and oxygen, room
			 size shall be increased to 225 square feet.
(b) A hand-washing station with hands-free
			 controls shall be available in each procedure room.
(c) Station outlets for oxygen, vacuum
			 (suction), and medical air shall be provided in accordance with Table 5, OAR
			 333-535-0300. Use of portable equipment is allowable when a piped-in central
			 system is not available.
(d)
			 Mechanical ventilation shall comply with OAR 333-535-0300, including Tables 2
			 and 3 of the same rule. If endoscopy rooms also serve for bronchoscopy
			 services, these systems must meet ventilation requirements for this service in
			 Table 2, OAR 333-535-0300.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0120 - Obstetrical Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
The maternity unit shall consist of, but not be limited to,
				facilities as follows for exclusive use of the maternity department, unless
				otherwise noted:
(1) General:
(a) The maternity unit shall be located in
			 one area of the hospital and include delivery rooms, labor rooms, recovery
			 rooms, postpartum rooms, labor, delivery, recovery (LDR) and/or labor,
			 delivery, recovery, postpartum (LDRP) rooms, and the support features described
			 in this section to support the estimated obstetrical workload;
(b) The obstetrical care unit shall be
			 located and arranged to prohibit non-related traffic through the
			 unit;
(c) When delivery and
			 non-obstetrical operating rooms are part of the same suite, access and service
			 arrangements shall be such that neither staff nor patients need to travel
			 through one area to reach the other;
(d) At least one delivery room shall be
			 provided within the obstetrical unit for performing Caesarean sections
			 (C-sections) and complex deliveries except for hospital-based obstetrical
			 centers limited to less than 300 low-risk deliveries per year. In such centers,
			 mothers requiring emergency C-sections and complex deliveries may be
			 transferred to surgery, provided a clean operating room can normally be made
			 available, and infants can be transported back to the obstetrical unit in a
			 controlled transport environment such as an isolette;
(e) When the program indicates wide usage of
			 LDR and/or LDRP rooms in place of separate labor, delivery, recovery and
			 postpartum rooms, the number of labor and postpartum rooms may be reduced or
			 eliminated in accord with the hospital's obstetrical program and workload.
			 Delivery rooms shall be provided per subsection (d) of this section;
			 and
(f) Service areas may be
			 arranged to serve LDR rooms, LDRP rooms and delivery rooms. However, gowning
			 facilities, clean supply, soiled utility rooms, and anesthesia facilities must
			 be arranged to conveniently serve delivery rooms used for C-sections and allow
			 for a sterile operating suite environment. When such support areas are not
			 immediately adjacent, the program and infection control policy must be
			 submitted for Oregon Health Authority, Public Health Division approval and
			 shall account for such arrangement.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0130 - Rehabilitation Therapy Department

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 If a formal rehabilitation therapy service is provided, facilities and
			 equipment shall be required for the effective function of the program. Where
			 two or more rehabilitative services are included, items may be shared between
			 service elements, in accordance with the Functional Program.
(2) The rehabilitative therapy department
			 shall include the following, which may be shared or provided as separate units
			 for each service, in accordance with the Functional Program:
(a) Office space with provision for filing
			 and retrieval of patient records;
(b) Patient waiting space with provisions for
			 wheelchairs out of traffic;
(c)
			 Treatment area(s) as programmed for thermo-therapy, diathermy, ultrasonic and
			 hydrotherapy. Cubicle curtains shall be provided around each individual
			 treatment area. Hand-washing stations shall be provided at a rate of one per
			 four treatment spaces. Facilities for collection of wet and soiled linen and
			 other materials shall be provided;
(d) Exercise area;
(e) Storage for clean linen, supplies, and
			 equipment;
(f) Patient dressing
			 areas and toilet rooms with hand-washing stations accessible to wheelchair
			 patients;
(g) A conveniently
			 accessible housekeeping closet and service sink;
(h) Wheelchair and stretcher storage shall be
			 provided out of traffic and treatment space areas, but shall be conveniently
			 located;
(i) Secure storage shall
			 be available to the department for staff personal property;
(j) Convenient access to toilets shall be
			 provided.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0140 - Occupational Therapy Suite

Current through Register Vol. 63, No. 7, July 1, 2024
The occupational therapy suite shall include the following
				elements:
(1) Office space.
(2) Activities area. A hand-washing station
			 shall be provided. Facilities for collection of waste products prior to
			 disposal shall be provided, in accordance with the Functional
			 Program.
(3) Storage for supplies
			 and equipment.
(4) Ready access to
			 patient toilet facilities.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0150 - Respiratory Therapy Unit

Current through Register Vol. 63, No. 7, July 1, 2024
The respiratory therapy unit shall include space to accommodate
				program needs and shall contain the following additional elements:
(1) Office space including records
			 file.
(2) Storage for supplies and
			 equipment.
(3) Equipment servicing
			 area.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0160 - Morgue and Autopsy

Current through Register Vol. 63, No. 7, July 1, 2024
(1) These
			 facilities shall be directly accessible to an outside entrance and shall be
			 located to avoid transfer of cadavers through public areas.
(2) The following elements shall be provided
			 when autopsies are performed within the hospital:
(a) Refrigerated facilities for body-holding
			 equipped with temperature monitoring and alarms.
(b) Autopsy room. This room shall contain:
(A) Work counter with a hand-washing
			 station;
(B) Storage space for
			 supplies, equipment, and specimens;
(C) Autopsy table;
(D) Clothing change area with shower, toilet,
			 and lockers, within the area; and
(E) Housekeeping service sink or
			 receptacle.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0170 - Pharmacy Suite

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The size and
			 type of services to be provided in the pharmacy will depend upon the type of
			 drug distribution system to be used in the hospital and whether the hospital
			 proposes to provide, purchase, or share pharmacy services with other hospitals
			 or other medical facilities.
(2)
			 Provision shall be made for the following functional areas:
(a) Hand-washing stations shall be provided
			 within each separate room where open medication is prepared for
			 administration;
(b) Dispensing
			 area;
(c) Editing or order review
			 area;
(d) Sterile products area.
			 (For the compounding of IV admixtures and other sterile products. May also be
			 used for extemporaneous compounding). If intravenous (IV) solutions are
			 prepared in the pharmacy, a sterile work area with a laminar-flow workstation
			 designed for product protection shall be provided. See OAR
			 333-535-0300;
(e) Administrative
			 areas. (Office area for the chief pharmacist and any other offices required for
			 the proper maintenance of records and reports and also for purchasing,
			 accounting, and personnel activities.);
(f) Storage areas (bulk, active,
			 refrigeration, vault, volatile liquids);
(g) Drug information area;
(h) Packaging area. (Provide only if required
			 by program.);
(i) Bulk compounding
			 area. (Provide only if required by program.); and
(j) Quality control area. (Required only if
			 either packaging or bulk compounding areas are provided)
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0180 - Dietary Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Food
			 service facilities may consist of an on-site conventional food preparing
			 system, a convenience food service system, or an appropriate combination of the
			 two, and shall meet the requirements of the Oregon Food Sanitation Rules OAR
			 333-150-0000.
(2) Functional
			 elements. The following facilities shall be provided in the size required to
			 implement the type of food service selected:
(a) Control station for receiving food
			 supplies.
(b) Storage space for
			 four days' supply including food requiring cold storage.
(c) Food preparation facilities. Conventional
			 food preparation systems require space and equipment for preparing, cooking,
			 and baking. Convenience food service systems such as frozen prepared meals,
			 bulk packaged entrees, and individual packaged portions, or systems using
			 contractual commissary services require space and equipment for thawing,
			 portioning, cooking, and/or baking.
(d) Hand-washing stations located in the food
			 preparation area.
(e) Patients'
			 meal service facilities. Examples are those required for tray assembly and
			 distribution.
(f) Dining space for
			 ambulatory patients, staff, and visitors.
(g) Ware-washing space located in a room or
			 an alcove separate from food preparation and serving area. Commercial-type
			 dishwashing equipment shall be provided. Space shall also be provided for
			 receiving, scraping, sorting, and stacking soiled tableware and for
			 transferring clean tableware to the using areas. A hand-washing station shall
			 be conveniently available.
(h)
			 Pot-washing facilities.
(i) Storage
			 areas and sanitizing facilities for cans, carts, and mobile tray
			 conveyors.
(j) Waste storage
			 facilities located in a separate room easily accessible to the outside for
			 direct pickup and disposal.
(k)
			 Office(s) or desk spaces for dietitian(s) or the dietary service
			 manager.
(l) Toilets for dietary
			 staff. A hand-washing station shall be immediately available.
(m) Housekeeping closet. Located within the
			 dietary department and shall contain a floor receptor or service sink and
			 storage space for housekeeping, equipment and supplies.
(n) Self-dispensing ice-making facilities.
			 May be in area or room separate from food preparation area but must be easily
			 cleanable and convenient to dietary facilities.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0190 - Administration and Public Areas

Current through Register Vol. 63, No. 7, July 1, 2024
The following areas shall be provided:
(1) Entrance at grade level, sheltered from
			 the weather, and able to accommodate wheelchairs.
(2) Lobby. It shall include:
(a) Storage space for wheelchairs;
(b) Reception and information counter or
			 desk;
(c) Waiting
			 space(s);
(d) Public toilet
			 facilities;
(e) Public telephones;
			 and
(f) Drinking
			 fountain(s).
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0200 - Medical Records Unit

Current through Register Vol. 63, No. 7, July 1, 2024
The following rooms and areas shall be provided:
(1) Medical records administrator/technician
			 office or space.
(2) Review and
			 dictating room(s) or spaces.
(3)
			 Work area for sorting, recording, or archiving records.
(4) Storage area for records.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0205 - Central Services Supply

Current through Register Vol. 63, No. 7, July 1, 2024
The following shall be provided:
(1) Soiled utility room. This room shall be
			 physically separated from all other areas of the department. The work space
			 shall be provided to handle the cleaning and initial sterilization/disinfection
			 of all medical/surgical instruments and equipment. Work tables, sinks,
			 flush-type devices, and washer/sterilizer decontaminators shall be provided.
			 Hand-washing stations shall be provided. Lockers, showers, and toilets shall be
			 provided for staff employed in this area if these facilities are not available
			 in adjacent employee facilities servicing other soiled areas.
(2) Clean assembly/utility room. The utility
			 room shall contain work space and equipment for terminal sterilizing medical
			 and surgical equipment and supplies and hand-washing stations.
(a) A sterilization room shall be provided
			 that is used exclusively for the inspection, assembly, and packaging of
			 medical/surgical supplies and equipment for sterilization.
(A) Access to the sterilization room shall be
			 restricted.
(B) This room shall
			 contain Hi-Vacuum or gravity steam sterilizers and sterilization equipment to
			 accommodate heat-sensitive equipment (ETO sterilizers) and ETO
			 aerators.
(C) This room shall
			 contain work tables, counters, a hand-washing station, ultrasonic storage
			 facilities for backup supplies and instrumentation, and a drying cabinet or
			 equipment.
(D) The area shall be
			 designed to accommodate sterilizer carts for loading of prepared supplies for
			 sterilization.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0210 - General Stores

Current through Register Vol. 63, No. 7, July 1, 2024
The following shall be provided:
(1) Off street unloading
			 facilities.
(2) Receiving area.
			 Adequate receiving areas shall be provided to accommodate delivery trucks and
			 other vehicles.
(a) The location of the
			 receiving area shall be located to promote safe, secure, and efficient movement
			 of arriving materials without compromising patient areas.
(A) Dock areas shall be segregated from other
			 occupied building areas and located so that noise and odors from operation will
			 not adversely affect building occupants.
(B) The receiving area shall be convenient to
			 service elevators and other internal corridor systems.
(C) Receiving areas shall be segregated from
			 waste staging and other outgoing materials-handling functions.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0220 - Linen Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) On-site
			 processing. If linen is to be processed on the hospital site, the following
			 shall be provided:
(a) Laundry processing
			 room with commercial-type equipment that can process seven days' needs within a
			 regularly scheduled workweek. A hand-washing station shall be
			 provided;
(b) Soiled linen utility,
			 room with a hand-washing station and holding rooms. Lockers, showers, and
			 toilets shall be provided for staff employed in this area if these facilities
			 are not available in adjacent employee facilities servicing other soiled
			 areas;
(c) Storage for laundry
			 supplies;
(d) Clean linen
			 inspection and mending room or area;
(e) Clean linen storage, issuing, and holding
			 room or area;
(f) Housekeeping
			 closet containing a floor receptor or service sink and storage space for
			 housekeeping equipment and supplies;
(g) Cart storage area(s). These shall be
			 provided for separate parking of clean- and soiled-linen carts out of
			 traffic;
(h) Arrangement of
			 equipment and procedures shall be in a manner to permit orderly work flow with
			 a minimum of cross-traffic that might mix clean and soiled
			 operations.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0230 - Employees' Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to the employees' facilities such as locker rooms,
				lounges, toilets, or shower facilities called for in certain departments, a
				sufficient number of such facilities, as required to accommodate the needs of
				all personnel and volunteers, shall be provided in accordance with the
				Functional Program.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0250 - Waste Processing Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Storage and disposal. Space and facilities shall be provided for the sanitary
			 storage and disposal of waste by incineration, mechanical destruction,
			 compaction, containerization, removal, or by a combination of these
			 techniques.
(2) Incinerator:
(a) Design and construction of incinerators
			 and trash chutes shall be in accordance with NFPA 82 and State Structural and
			 Mechanical Codes.
(b) Incinerators
			 shall be designed and equipped to conform to requirements prescribed by the
			 Oregon Department of Environmental Quality for emission levels and
			 equipment.
(c) Other technologies
			 for non-incineration. Waste treatment technologies shall be determined by the
			 facility in conjunction with environmental, economic, and regulatory
			 considerations. The Functional Program shall describe waste treatment
			 technology components that include the following:
(A) Safe locations, transfer routes,
			 distances from waste sources, temporary storage and spacing requirements shall
			 be provided that will not cause traffic problems, and limits odor, noise, and
			 visual impact to patients, visitors and the public;
(B) Space shall be determined by the
			 equipment requirements, including associated area for opening waste entry
			 doors, access to control panels, space for hydraulic lifts, conveyors, and
			 operational clearances. The method of waste treatment or disposal is subject to
			 the local regulatory approvals;
(C)
			 Ventilation. Exhaust vents, if any, from the treatment technology shall be
			 located a minimum of 25 feet from inlets to HVAC systems. If technology
			 involves heat dissipation, sufficient cooling and ventilation shall be
			 provided; and
(D) Nuclear Waste
			 Disposal. See Code of Federal Regulations (CFR), Title X, parts 20 and 35,
			 concerning the handling and disposal of nuclear materials in health care
			 facilities.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0260 - Sanitary Environment

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 hand-washing station is an area providing a sink for hand-washing with hot and
			 cold water supply and a faucet that facilitates easy on and off mixing
			 capabilities without use of the hands. The station shall include provision of
			 cleansing agents and drying capability. In addition to hand-washing stations
			 required for individual departments, adequate hand-washing stations shall be
			 provided for the total hospital population. Hand-washing stations shall be
			 available in all toilet rooms. For the purpose of providing accuracy and
			 consistency within these rules, these terms are defined as follows:
(a) Hand-washing sink. Hand-washing sinks are
			 a general component of hand-washing stations that are available in all toilet
			 rooms and provided for the total hospital population.
(b) Scrub sink. Scrub sinks are provided for
			 the exclusive use of staff in restricted and semi-restricted locations within
			 operating and surgical suites and rooms.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0280 - Construction, Including Fire-Resistive Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
Construction shall be in accordance with the requirements of
				NFPA 99 and NFPA 101, the Oregon Structural Specialty Code, and Oregon Fire
				Code, and the minimum requirements contained herein.
Publications: Publications referenced are available from the
				  agency.
Statutory/Other Authority: ORS
				  441.060
Statutes/Other Implemented: ORS
				  441.060
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0290 - Elevators

Current through Register Vol. 63, No. 7, July 1, 2024
(1) General. All
			 hospitals having patients' facilities (such as bedrooms, dining rooms, or
			 recreation areas) or critical services (such as operating, delivery,
			 diagnostic, or therapy) located on floors other than the main entrance floor
			 shall have electric or electro-hydraulic elevators. Installation and testing of
			 elevators shall comply with the Oregon Elevator Code.
(2) Number of Elevators:
(a) At least one hospital-type elevator shall
			 be installed where 1 to 59 patient beds are located on any floor other than the
			 main entrance floor.
(b) At least
			 two hospital-type elevators shall be installed where 60 to 200 patient beds are
			 located on floors other than the main entrance floor, or where the major
			 inpatient services are located on a floor other than those containing patient
			 beds. (Elevator service may be reduced for those floors that provide only
			 partial inpatient services.).
(c)
			 At least three hospital-type elevators shall be installed where 201 to 350
			 patient beds are located on floors other than the main entrance floor, or where
			 the major inpatient services are located on a floor other than those containing
			 patient beds. (Elevator service may be reduced for those floors that provide
			 only partial inpatient services.).
(d) For hospitals with more than 350 beds,
			 the number of elevators shall be determined from a study of the hospital plan
			 and the estimated vertical transportation requirements.
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 536 - IN-HOME CARE AGENCIES › Section 333-536-0000 - Purpose

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of these rules is to establish standards for
				licensure of in-home care agencies.
Statutory/Other Authority: ORS
				  443.340
Statutes/Other Implemented: ORS
				  443.305  - 443.355
Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 536 - IN-HOME CARE AGENCIES › Section 333-536-0005 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
As used in OAR 333-536-0000  through 333-536-0125, the following
				definitions apply:
(1) "Abuse" means:
(a) "Abuse" as it applies to an "adult" as
			 those terms are defined in ORS 430.735;
(b) "Abuse" as it applies to a "child" as
			 those terms are defined in ORS 419B.005; or
(c) "Abuse" as it applies to an "elderly
			 person" or a "person with a disability" as those terms are defined in ORS
			 124.005.