Haw. Code R. § 11-95-9 - Construction requirements
(a) The facility
shall be constructed and maintained in accordance with state and county zoning,
building, fire safety, and sanitation laws, ordinances, and rules. New
construction and remodeling shall be guided by "Minimum Requirements of
Construction & Equipment for Hospital & Medical Facilities" DHEW
Publication No. (HRA) 79-14500 as it existed on December 31, 1984.
(b) The facility shall be accessible to and
functional for physically handicapped persons.
(c) There shall be adequate space to allow
free movement of occupants using wheelchairs, walkers, canes and crutches to
and from exits, post-operative recovery areas, bathrooms, closets, dressing
areas, and common hall areas.
(d)
Provision shall be made for each patient to have use of a lockable closet,
dressing cubicle, or dressing room.
(e) A waiting room of appropriate size shall
be provided and toilet rooms, separate from patient toilets, shall be easily
accessible to those in the waiting area.
(f) Suitable dressing areas and toilet
facilities for staff use, separate from patient use, shall be
provided.
(g) One or more examining
rooms separate from recovery and operating rooms shall be provided.
(h) Grab bars shall be provided in patient
and waiting room toilets. Each bathroom shall provide at least one washbasin
and one commode.
(i) Operating and
recovery rooms shall be located so as to prevent through traffic except in the
case of emergency. Entrance and exits to these rooms shall be by means of
interior doors except for emergency outdoor exit doors which may be provided as
needed.
(j) There shall be adequate
scrub-up facilities and work areas for the preparation, sterilization, and
storage of instruments and supplies.
(k) Each patient toilet and bathroom facility
shall have a suitable nurses' call system for signalling the need for
assistance.
(l) Adequate supply of
hot and cold potable running water must be supplied at all times. Temperature
of hot water at plumbing fixtures used by patients shall be automatically
regulated and shall not exceed 110°F.
(m) Bedpans and urinals shall be available
for use as well as suitable methods and equipment for cleaning and sterilizing
same.
(n) In the event that a
sexually mixed recovery room is utilized, suitable screens or curtains shall be
provided to ensure privacy for each patient.
(o) Patient beds, wherever located, shall be
surrounded by at least three feet of clear floor area.
(p) All rooms in which patient care is
carried out shall be on or above grade level.
(q) Floors and walls.
(1) Floors shall be of slip resistant
material, flush at doorways.
(2)
Floors shall be of material which does not retain odors.
(3) Scatter rugs shall not be used.
(4) Walls, floors, ceilings and decorative
items in rooms shall be made of material which permit washing, cleaning, and
painting.
(r) Where
appropriate, screening of doors and windows shall be provided using screening
having sixteen meshes per inch.
(s)
Neither sliding doors nor folding doors shall be used as room or building exit
doors. All double-acting doors shall be provided with vision panels.
(t) The minimum clear width of corridors
shall be forty-four inches, except when a general anesthetic is used in the
facility. In the latter case, corridors which serve non-ambulatory patients
shall be a minimum of eight feet wide.
(u) Suitable locked storage space shall be
available for storing of maintenance equipment and supplies.
(v) The water supply shall comply with
chapter
340E, HRS.
(w) Ventilation shall comply with chapter
11-39, relating to air conditioning
and ventilating.
(x) Additions,
alterations, and all repairs to existing buildings.
(1) Where the structure was in use for this
type of occupancy prior to the effective date of this chapter, the director may
waive or modify any portion of these construction standards, provided the
exceptions do not create a hazard to patients personnel or public. In no case
shall any fire safety standards, as determined by the county fire marshal, be
waived or modified;
(2) Drawings
and specifications for all new construction or additions, alterations, or
repairs to existing buildings subject to the provisions of this chapter shall
be submitted to the licensing branch of the department for review, and a
certificate of need where applicable, shall also be submitted.
(3) Construction shall not commence prior to
the department's approval of construction drawings. Specifications shall comply
with this chapter, the county fire marshal's rules, and with county building
codes and ordinances;
(4) The
department shall review each submittal and advise the applicant, in writing, of
its findings, within a reasonable time, with respect to approval, disapproval,
or any mandatory changes required;
(5) Unless construction is commenced within
one year of the approval of final construction drawings and specifications, the
latter with the previously approved application, shall be resubmitted for
review and reapproval;
(6) Minor
alterations which do not affect structural integrity or fire safety and do not
change functional operation and do not increase beds or services over that for
which the facility is licensed, may be submitted either by freehand drawings or
by the more conventional drawings and specifications.
(y) There shall be appropriately equipped
utility rooms, at least one clean and one soiled for each operating
suite.
Notes
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No prior version found.