Mich. Admin. Code R. 325.45277 - Surgical service; examination room; operating or procedure room

Rule 277. A facility that provides surgical services shall meet all the following requirements:

(a) The facility must have enough examination rooms to meet the volume of work to be accomplished. Each single-patient examination room must have a minimum clear floor area of 120 square feet and must provide a minimum 3-foot clearance at each side and the foot of the examination table. In freestanding surgical outpatient facilities, the room size may be reduced to 100 square feet and must provide a minimum 3-foot clearance at each side and at the foot of the examination table.

(b) An examination room must have a handwash lavatory within the room, which must be equipped with a gooseneck inlet and wrist, knee, or foot controls.

(c) A change area must be provided for patients, and provision must be made for the safe storage of their personal effects.

(d) The facility must have enough operating or procedure rooms to meet the volume of work to be accomplished and they must comply with both of the following:

(i) Each operating room must have a minimum clear floor area of 400 square feet, with a minimum clear dimension of 20 feet, exclusive of fixed or wall mounted cabinets and built-in shelves. In freestanding surgical outpatient facilities, where the surgical procedures are restricted to eye, endoscopy, and other similar minor procedures, the room size may be reduced to 270 square feet.

(ii) One scrub sink with a gooseneck outlet must be provided near the entrance to each operating room. A scrub sink with two positions may be shared between two adjacent operating rooms, provided that it is located near the entrances to both rooms.

(e) Each procedure room must have a minimum clear floor area of 160 square feet with a minimum dimension of 12 feet, exclusive of fixed or wall mounted cabinets and built-in shelves.

(f) A supply of oxygen and appropriate masks or other means of administration must be available in each room.

(g) Single-use soap, scrub brushes, and towels must be utilized in patient care areas.

(h) The operating or procedure room must contain suitable equipment necessary for the types of procedures to be performed.

(i) Operating rooms and procedure rooms must be cleaned and disinfected between cases and terminally cleaned daily in accordance with the facilitys policy and procedure.

Notes

Mich. Admin. Code R. 325.45277

2020 MR 4, Eff. 2/21/2020