Oregon Administrative Rules › Chapter 333 - OREGON HEALTH AUTHORITY, PUBLIC HEALTH DIVISION › Division 535 - NEW CONSTRUCTION AND ALTERATIONS OF EXISTING HOSPITALS › Section 333-535-0025 - Medical/Surgical Patient Care Unit

Current through Register Vol. 63, No. 7, July 1, 2024
Except as permitted under OAR 333-535-0010(1)  or 333-500-0065,
				each patient care unit shall include the following:
(1) Patient rooms. Each patient room shall
			 meet the following requirements:
(a) For new
			 construction projects, maximum room capacity shall be two patients. For major
			 alteration projects, the maximum room capacity shall be the present capacity or
			 four patients, whichever is less.
(b) For new construction, patient rooms shall
			 be constructed to meet the needs of the Functional Program and shall have a
			 minimum of 100 square feet of clear floor area per bed in multiple bedrooms and
			 120 square feet of clear floor area in single patient rooms, exclusive of
			 toilet rooms, closets, lockers, wardrobes, alcoves, or vestibules. The
			 dimensions and arrangements of rooms shall be such that there is a minimum
			 clearance of 3 feet around the perimeter of the bed and any wall or any other
			 fixed obstruction. In multiple bedrooms, a clearance of 4 feet shall be
			 available at the foot of each bed to permit the passage of equipment and beds,
			 and 4 feet shall be provided between beds. Minor encroachments, including
			 columns and hand washing stations, that do not interfere with function may be
			 ignored when calculating required space. For renovation projects, every effort
			 shall be made to meet the requirement set out in this subsection for new
			 construction. However, if full compliance is not practical for a renovation
			 project, the Division may permit deviations from these requirements as long as
			 patient rooms include at least 80 net square feet of clear floor area per bed
			 in a multiple bedroom and 100 net square feet of clear floor area in a single
			 patient room.
(c) Patient room
			 windows:
(A) Operable windows are not
			 required in patient rooms. If operable windows are provided, operable sections
			 shall be designed to inhibit possible escape or suicide attempt.
(B) A minimum window area of 16 square feet
			 shall be provided for each patient room. The maximum sill height shall be 3
			 feet above the finished floor. A minimum of 8 square feet of window shall be
			 viewable by the patient from the bed. Walls and other non-moveable items shall
			 not block the view of the window.
(C) Windows located in outside walls shall be
			 20 feet or more from another building or opposite wall and 10 feet or more from
			 the property line except when the window faces on a street or public right of
			 way of greater than 20 feet in width.
(D) For renovation projects where the
			 exterior wall is being retained, windows shall be permitted to vary from the
			 requirements of this subsection if approved by the Division.
(d) Hand-washing stations: A
			 hand-washing station shall be provided serving each patient room. A
			 hand-washing station shall also be located in each patient toilet room. For new
			 construction, the patient room hand-washing station shall be located within the
			 room and shall be situated for convenient access by staff and to prevent splash
			 on patients. For renovation projects involving single patient rooms that have a
			 private toilet room, a hand-washing station shall be located in either the
			 toilet room or the patient room. Hand-washing stations shall comply with the
			 requirements of OAR 333-535-0260.
(e) Patient toilet rooms: Each patient shall
			 have access to a toilet room without having to enter the corridor. One toilet
			 room shall serve no more than four beds and no more than two patient rooms. The
			 toilet room shall contain a toilet, hand-washing station, and bathing
			 facilities. Patient toilet rooms and central bathing facilities shall comply
			 with the requirements of OAR 333-535-0260.
(f) Each patient shall have a separate
			 wardrobe, locker, or closet suitable for hanging full-length garments and for
			 storing personal effects within the room.
(g) Visual privacy from casual observation by
			 other patients and visitors shall be provided for each patient. The design for
			 privacy shall not restrict patient access to the entrance, hand-washing
			 station, toilet, or nurse call system.