Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-320 - Hospital licensing regulations › PATIENT CARE › Section 246-320-600 - Washington state amendments

Current through Register Vol. 24-14, July 15, 2024
This section contains the Washington state amendments to
					 the 2014 edition of the
Guidelines for Design and Construction of
					 Hospitals and Outpatient Facilities
as developed by the Facilities
					 Guideline Institute and published by the American Society for Healthcare
					 Engineering of the American Hospital Association, 155 North Wacker Drive
					 Chicago, IL 60606. The language below will replace the corresponding language
					 of the 2014 edition of the Guidelines in its entirety. Subsections with an
					 asterisk (*) preceding a paragraph number indicates that explanatory or
					 educational material can be found in an appendix item located in the 2014
					 Guidelines.
CHAPTER 1.1 INTRODUCTION
1.1-6.3 Deviations
Authorities adopting these standards as codes may approve
					 plans and specifications that contain deviations if it is determined that the
					 applicable intent or objective has been met.
1.1-8 Referenced Codes and Standards
Washington State Building Code (http://www.sbcc.wa.
					 gov/)
CHAPTER 1.2 PLANNING, DESIGN, AND IMPLEMENTATION
					 PROCESS
1.2-3.8.2.1 Design Features
Appendix note:
The security portion of the safety risk assessment should
					 consider the placement of emergency call devices in public and staff
					 toilets.
Table A1.2
Add footnote to this table:
The security specialist shall review portions of the
					 infection control component, specifically: Construction and demolition related
					 risk such as planned utility shutdowns, relocations, and pathway
					 disruptions.
CHAPTER 2.1 COMMON ELEMENTS FOR
					 HOSPITALS
2.1-2.6.5 Handwashing Station
2.1-2.6.5.3 Additional Requirements for Handwash-ing
					 Stations that Serve Multiple Patient Care Stations
(1)At least one handwashing station shall be
				  provided for every four patient care stations or fewer and for each major
				  fraction thereof.
(2)Based on the
				  arrangement of the patient care stations, handwashing stations shall be evenly
				  distributed and provide uniform distance from the two patient care stations
				  farthest from a handwashing station.
(3)Post anesthesia care unit (PACU)
				  handwashing stations. At least one handwashing station with hands-free or
				  wrist-blade operable controls shall be available for every six beds or fraction
				  thereof, uniformly distributed to provide equal access from each bed.
2.1-2.6.7 Nourishment Area or Room
2.1-2.1.6.7.4 Nourishment function may be combined with a
					 clean utility without duplication of sinks and work counters.
2.1-2.6.12 Environmental Services Room
2.1-2.6.12.3 Environmental services and soiled rooms may be
					 combined.
2.1-4.3 Food and Nutrition Services
2.1-4.3.1.3 Regulations. Construction, equipment, and
					 installation of food and nutrition service facilities in a hospital shall
					 comply with the requirements of:
(1)U.S. Food and Drug Administration
				  (FDA).
(2)U.S. Department of
				  Agriculture (USDA).
(3)Underwriters
				  Laboratories, Inc. (UL).
(4)NSF
				  International.
(5)Chapter 246-215
				  WAC, the Washington state food code.
2.1-7.2.2.1 Corridor Width
2.1-7.2.2.1 Corridor width. For corridor width
					 requirements, see applicable building codes. In addition to building code
					 requirements, in areas typically used for stretcher transport a minimum
					 corridor or aisle width of 6 feet shall be provided.
2.1-7.2.2.10 Handrails
(1) Unless the safety risk assessment
				  determines that handrails are not needed, handrails shall be installed on one
				  side of patient use corridors.
(2)Handrails shall comply with local, state,
				  and federal requirements referenced in Section 1.1-4.1 (Designs Standards for
				  the Disabled) as amended in this section.
(3)Rail ends shall return to the wall or
				  floor.
(4)Handrails, including
				  fasteners, shall be smooth and have a nontextured surface free of rough
				  edges.
(5)Handrails shall have
				  eased edges and corners.
(6)Handrail finishes shall be cleanable.
2.1-7.2.3 Surfaces
2.1-7.2.3.1 Flooring and wall bases.
2.1-7.2.3.1(6) The following rooms shall have floor and
					 wall base assemblies that are monolithic and have an integral coved wall base
					 that is carried up the wall a minimum of 6 inches (150 mm) and is tightly
					 sealed to the wall:
(a)Operating
				  rooms;
(b) Interventional imaging
				  rooms, including cardiac catheterization labs;
(c)Cesarean delivery rooms;
(d)Cystoscopy, urology, and minor surgical
				  procedure rooms;
(e)Endoscopy
				  procedure rooms;
(f)Endoscopy
				  instrument processing rooms;
(g)IV
				  and chemotherapy preparation rooms;
(h) Airborne infection isolation (AII)
				  rooms;
(i) Protective environment
				  (PE) rooms;
(j) Anterooms to AII
				  and PE rooms, where provided;
(k)
				  Sterile processing rooms;
(l)
				  Central processing rooms.
2.1-8.3.4.3(7) Lighting for Specific Locations in the
					 Hospital
2.1-8.3.4.3(7) When installed in patient care areas,
					 uplight fixtures or toughs that create ledges which collect dust shall be
					 provided with a lens on the top of the fixture to facilitate cleaning.
2.1-8.3.7 Call Systems
2.1-8.3.7.3 Bath Stations
Appendix Language:
A2.1-8.3.7.3 Where new construction or renovation work is
					 undertaken, hospitals should make every effort to install assistance systems in
					 all public and staff toilets.
2.1-8.4.3 Plumbing Fixtures
2.1-8.4.3.1 General