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1224.17 Clinical Laboratory Service Space
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1224.17.1 General Requirements
All hospitals shall provide space and equipment to perform urinalysis, complete blood counts, hemoglobin blood typing and cross matching. If laboratory facilities for bacteriological, serological, pathological and additional hematological procedures are not available in the community, then space, equipment and supplies for such procedures shall be provided.
1224.17.2 Laboratory Work Areas
The following laboratory work areas shall be provided:
1224.17.2.1 Laboratory Workstation(s)
Space shall be provided to accommodate equipment used and, at minimum, shall include a laboratory work counter and a sink. All work counter(s) in areas used for specimen handling, preparation of specimens or reagents, and laboratory testing shall be constructed of nonporous materials. Access to the following shall be provided as required:
- Tele/data service.
- Electrical service.
- Computer/printer.
1224.17.2.2 Handwashing Station(s)
1224.17.2.2.1
If there is one work station, a handwashing station shall be provided at the workstation.
1224.17.2.2.2
If more than one work station is provided, a handwashing station shall be provided within 25 feet (762 mm) of all testing and specimenhandling areas.
1224.17.2.2.3
A handwashing station shall be provided in each enclosed room where bio-hazardous specimens and/or hazardous chemicals are handled.
1224.17.2.3 Refrigerated Storage Facilities
Refrigerated blood storage facilities for transfusions shall be provided. Blood storage refrigerators shall be equipped with temperature-monitoring and alarm signals that are monitored continuously.
1224.17.2.4 Storage Facilities
- Storage for reagents, specimens, flammable materials, acids, bases and other supplies shall be provided as necessary.
- Separate facilities shall be provided for such incompatible materials as acids and bases.
- Vented storage shall be provided for volatile solvents.
1224.17.2.5 Terminal Sterilization
Facilities and equipment may be provided for terminal sterilization of bio-hazardous waste before transport (autoclave or electric oven).
Notes:
- Terminal sterilization is not required for waste that is incinerated on-site.
- Terminal sterilization is subject to other state and federal regulatory requirements.
Exception: Terminal sterilization facilities are not required when it can be demonstrated to the licensing agency that transport and terminal sterilization can be effectively contracted to an independent medical waste treatment facility.
1224.17.2.6 Radioactive Material Handling
If radioactive materials are employed, facilities for long-term storage and disposal of these materials shall be provided.
1224.17.3 Specimen Collection Facilities
1224.17.3.1 General
Space shall be provided for specimen collection. Facilities for this function shall be located outside the laboratory work area.
1224.17.3.2 Facility Requirements
At a minimum, specimen collection facilities shall have the following:
- A blood collection area with a work counter, space for patient seating, handwashing station(s) and supply storage.
- A urine and feces collection facility equipped with a toilet and a handwashing station.
- Storage spaces for specimen collection supplies.
- Work counters for labeling and computerized data entry.
- Storage for specimens awaiting pickup.
1224.17.4 Administrative Areas
Office(s) and space for clerical work, filing and record maintenance and storage shall be provided.
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