Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0270 - Details and Finishes

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 nonconforming portions of existing facilities that are not being totally
			 modernized shall comply with the safety requirements dealing with interior
			 finishes as listed in chapters 18, 19, 20 and 21 of the National Fire
			 Protection Association (NFPA) 101, when the facility is also to be Medicare or
			 Medicaid certified.
(2) Details and
			 finishes in new construction projects, including additions and major
			 alterations, shall comply with the following:
(a) Details:
(A) Compartmentation, exits, fire alarms,
			 automatic extinguishing system, and other details relating to fire prevention
			 and fire protection shall comply with requirements listed in chapters 18, 19,
			 20 and 21 of the NFPA101, when the facility is also to be Medicare or Medicaid
			 certified.
(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) Rooms containing any of the following:
			 bathtubs, sitz baths, showers, or water closets, subject to occupancy by
			 patients, shall be equipped with doors and hardware that will permit access
			 from the outside in any emergency. When such rooms have only one opening, the
			 door shall be capable of opening outward or be otherwise designed to be opened
			 without need to push against a patient who may have collapsed within the
			 room.
(D) If psychiatric care units
			 are required by the program, suitable hardware shall be provided on doors to
			 patient toilet rooms so that access to these rooms can be controlled by
			 staff.
(E) If required by the
			 program, doors to patient rooms in psychiatric care units shall not be lockable
			 from inside the room.
(F) Windows
			 and other doors that may be frequently left in an open position shall be
			 provided with insect screens.
(G)
			 Patient rooms intended for occupancy of 24 hours or more shall have windows
			 with sills not more than 3 feet above the floor (windows in Intensive Care Unit
			 and Critical Care Unit may be 5 feet above the floor).
(H) Linen and refuse chutes shall meet
			 requirements of NFPA101, and have a minimum cross sectional dimension of not
			 less than 2 feet.
(I) Thresholds
			 and expansion joint covers shall be made flush with the floor surface to
			 facilitate use of wheelchairs and carts. Expansion joints shall be constructed
			 to restrict passage of smoke and fire.
(J) Grab bars shall be provided at all
			 patients' toilets, showers, tubs, and sitz baths, except in psychiatric patient
			 care units. The bars shall have one and one-half inch clearance to walls and
			 shall have sufficient strength and anchorage to sustain a concentrated load of
			 250 pounds.
(K) Anchoring. Sinks in
			 hand-washing stations shall be securely anchored to withstand an applied
			 vertical load of not less than 250 pounds on the fixture front.
(L) Mirrors shall not be installed at
			 hand-washing stations in food preparation areas or in sensitive areas such as
			 nurseries, clean and sterile utility, storage rooms and scrub sinks.
(M) Hand drying devices. Provision for hand
			 drying shall be included at all hand-washing stations except scrub sinks.
			 Hospital policy shall determine hand drying procedures at scrub sink locations.
			 These shall be single use separate individual paper or cloth units enclosed in
			 such a way as to provide protection against dust or soil and insure single unit
			 dispensing. Hot air dryers are permitted provided that installation is such to
			 preclude possible contamination by recirculation of air.
(N) Radiation protection requirements for
			 Radiographic Imaging and gamma ray installations shall be in accordance with
			 National Council of Radiation Protection Reports Numbers 33 and 49. Provision
			 shall be made for testing the completed installation before use and all defects
			 must be corrected before acceptance. Prior to their use, all installations
			 shall be approved and licensed by the Radiation Control Section of the Oregon
			 Health Authority, Public Health Division.
(O) The minimum ceiling height shall be 7
			 feet 10 inches with the following exceptions:
(i) Boiler rooms shall have ceiling
			 clearances not less than 2 feet 6 inches above the main boiler header and
			 connecting piping.
(ii)
			 Radiographic, operating and delivery rooms, and other rooms containing
			 ceiling-mounted equipment or ceiling-mounted surgical light fixtures shall have
			 height required to accommodate the equipment or fixtures.
(iii) Ceilings in corridors, storage, toilet
			 rooms, and other minor rooms shall be not less than 7 feet 6 inches.
(iv) Soffits, signage, lights, mechanical
			 items and other suspended items located in the path of normal traffic shall not
			 be less than 7 feet above the floor. Cubicle curtain tracks and television
			 suspensions in individual rooms shall not be less than 6 feet 8 inches above
			 the floor.
(P) Recreation
			 rooms, exercise rooms and similar space where impact noises may be generated
			 shall not be located directly over patient bed area, delivery or operating
			 suites, unless special provisions are made to minimize such noise.
(Q) 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
			 10°F above the ambient room temperature of the room producing the heat
			 generation.
(R) Sound transmission
			 criteria shown in Table 1 (OAR 333-535-0270) shall apply to partition, floor
			 and ceiling construction in patient areas.
(S) Mechanical equipment located on the same
			 floor or above patient rooms, offices, nurse stations, and similar occupied
			 spaces shall be effectively sound isolated from the floor and
			 structure.
(T) Equipment and supply
			 storage shall be provided for each hospital department in accordance with the
			 Functional Program; however, a minimum of 10 square feet per bed shall be
			 provided in patient care areas. In all other departments, the amount required
			 shall be based on either a study of supply and equipment needs which shall be
			 submitted with construction plans for review or a minimum of 10 percent of
			 gross departmental area. All rooms and corridors within a department shall be
			 included when calculating gross departmental area.