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// CODE SNIPPET

1224.29.2 Newborn Intensive Care Units (NICU)

California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.29 Intensive Care Units > 1224.29.2 Newborn Intensive Care Units (NICU)
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The NICU shall comply with all the requirements of Section 1224.29.1. Additionally each NICU shall include or comply with the following:

1224.29.2.1 Entrance

The NICU shall have a clearly identified entrance and reception area for families. The area shall permit visual observation and contact with all traffic entering the unit.

1224.29.2.2 Handwashing Fixture(s)

Provide one handwashing fixture for each four infants and for each major fraction thereof. In a multiple-bed room, every bed position shall be within 20 feet (6096 mm) of a handwashing fixture. Where an individual room concept is used, a handwashing fixture shall be provided within each infant care room.

1224.29.2.3 Doors

At least one door to each patient room shall be a minimum of 44 inches (1118 mm) wide.

1224.29.2.4 View Windows

When viewing windows are provided, provision shall be made to control casual viewing of infants. Controls shall be provided to enable lighting to be adjusted over individual patient care spaces. Darkening sufficient for transillumination shall be available when necessary.

1224.29.2.5 Control Station

A central area shall serve as a control station, and shall have space for counters and storage, and direct access to a handwashing station. It may be combined with or include centers for reception, communication and patient monitoring.

1224.29.2.6 Area

Each patient care space shall contain a minimum of 120 square feet (11.15 m2) of clear floor area per bassinet excluding handwashing fixtures and aisles. There shall be an aisle for circulation adjacent to each patient care space with a minimum width of 4 feet (1219 mm).

Exception: Where renovation of existing NICUs is undertaken in facilities built under the 2001 or prior California Building Code, patient care areas shall have no less than 80 square feet (7.43 m2) of clear floor area per bassinet exclusive of space for nurse control, scrubbing and gowning, and reception area.

1224.29.2.7 Ceilings

Ceilings shall have a noise reduction coefficient (NRC) of at least 0.90.

1224.29.2.8 Airborne Infection Isolation Room

Shall comply with the requirements of Section 1224.29.1.13 except for separate toilet, bathtubs or shower. The room shall be enclosed and separated from the nursery unit with provisions for observation of the infant from adjacent nurseries or control area(s).

1224.29.2.9 Lactation

Space shall be provided for lactation support and consultation in or immediately adjacent to the NICU.

1224.29.2.10 Infant Formula Facilities

1224.29.2.10.1 Location

  1. Where infant formula is prepared on site, direct access from the formula preparation room to any infant care room is prohibited.
  2. The formula preparation room shall be located in or adjacent to the NICU. The formula preparation room may be located at another location as approved by the Licensing Agency.

1224.29.2.10.2 Formula Preparation Room

The formula preparation room shall include the following:
  1. A separate cleanup area for washing and sanitizing. This area shall include a handwashing station, facilities for bottle washing and a work counter.
  2. A separate room for preparing infant formula. This room shall contain a refrigerator, work counter, formula sterilizer, storage facilities and a handwashing station.

1224.29.2.10.3 Refrigerated Storage and Warming Facilities for Infant Formula

Shall be accessible for use by NICU personnel at all times.

1224.29.2.10.4 Commercial Infant Formula

Where a commercial infant formula is used, omission of the separate cleanup and preparation rooms shall be permitted, and storage and handling in the NICU workroom or another appropriate room that is readily accessible at all hours shall be permitted. The preparation area shall have the following:
  1. A work counter
  2. A hand-washing station
  3. Storage facilities

1224.29.2.11 Emergency Equipment Storage

Space shall be provided for emergency equipment that is under direct control of the nursing staff, such as a CPR cart.

1224.29.2.12 Housekeeping Room

Shall be directly accessible from the unit and be dedicated for the exclusive use of the neonatal intensive care unit.

1224.29.2.13 Daylight

In addition to meeting the requirements in Section 1224.4.9, at least one source of daylight shall be visible from newborn care areas.
  1. External windows in infant care rooms shall be glazed with insulating glass to minimize heat gain or loss.
  2. External windows in infant care rooms shall be situated at least 2 feet (610 mm) away from any part of a baby's bed to minimize radiant heat loss from the baby.
  3. All external windows shall be equipped with easily cleaned shading devices that are neutral color or opaque to minimize color distortion from transmitted light.

Related Code Sections


1224.29.2 Interior Environment, Newborn Intensive Care Units (NICU)
be directly accessible from the unit and be dedicated for the exclusive use of the neonatal intensive care unit ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.29 Intensive Care Units > 1224.29.2 Newborn Intensive Care Units (NICU)
1224.29.2 Interior Environment, Newborn Intensive Care Units (NICU)
Nourishment area required under Section 1224.29.1.14.4 not required. Newborn intensive care units shall include infant formula facilities complying ...
California Building Code 2019 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.29 Intensive Care Units > 1224.29.2 Newborn Intensive Care Units (NICU)
1224.29.2.11 Interior Environment, Emergency Equipment Storage
Space shall be provided for emergency equipment that is under direct control of the nursing staff, such as a CPR cart ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.29 Intensive Care Units > 1224.29.2 Newborn Intensive Care Units (NICU) > 1224.29.2.11 Emergency Equipment Storage
1224.29.2.2 Interior Environment, Handwashing Fixture(s)
20 feet (6096 mm) of a handwashing fixture. Where an individual room concept is used, a handwashing fixture shall be provided within each infant care ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.29 Intensive Care Units > 1224.29.2 Newborn Intensive Care Units (NICU) > 1224.29.2.2 Handwashing Fixture(s)
1224.29.2.3 Interior Environment, Doors
At least one door to each patient room shall be a minimum of 44 inches (1118 mm) wide ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1224 [OSHPD 1] Hospitals > 1224.29 Intensive Care Units > 1224.29.2 Newborn Intensive Care Units (NICU) > 1224.29.2.3 Doors
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