1224.39 Outpatient Service Space
If outpatient surgery is performed in the out patient service area, the following shall be provided:
- An operating room(s) with a minimum clear floor area of 270 square feet (25.08 m2), no dimension of which shall be less than 15 feet (4572 mm).
- Preoperative patient holding shall be provided in accordance with Section 1224.16.2.
- A postanesthesia recovery area which meets the requirements of Section 1224.16.
- Each surgical unit shall provide a separate cleanup room separated from any surgical sterilizing facilities. The cleanup room shall provide 24 square feet (2.2 m2) per operating room up to eight operating rooms and shall have the minimum area of 48 square feet (4.5 m2), with no dimension less than 6 feet (1829 mm).
- Scrub sinks which meet the requirements of Section 122.214.171.124.
- Service areas which meet the requirements of Section 1224.15.3.
- A housekeeping room shall be provided for the exclusive use of outpatient surgery. It shall be directly accessible from the service area.
If gastrointestinal endoscopy is performed in the outpatient service area, the endoscopy suite shall be divided into a minimum of three major functional areas: the procedure room(s), instrument processing room(s), and patient holding/preparation and recovery room or area and the following shall be provided:
A pre-operative patient holding area shall be provided in accordance with Section 1224.16.2.
A post-anesthesia recovery area shall meet the requirements of Section 1224.16.3.
A system for emergency communication shall be provided.
If provided, cancer treatment/ infusion therapy service shall comply with the following:
The treatment area may be an open area and shall be separated from administrative and waiting areas.
Shall be located within the cancer treatment/infusion therapy area and designed to provide visual observation of all patient stations.
Shall contain at least 80 square feet (7.4 m2).
There shall be at least a 4-foot (1219 mm) space around and between beds and/or lounge chairs used for chemotherapy treatment/infusion.
Handwashing stations shall be directly accessible to the nurses' station and patient treatment areas. Handwashing stations shall be provided for each four patient stations, and for each major fraction thereof. These shall be uniformly distributed to provide equal access from each patient station.
The open unit shall be designed to provide privacy for each patient.
A clean utility room shall be provided. If the room is used for preparing patient care items, it shall contain a work counter, a handwashing fixture, and storage facilities for clean and sterile supplies. If the room is used for storage and holding as part of a system for distribution of clean and sterile materials, the work counter and handwashing fixture may be omitted. Soiled and clean utility rooms or holding rooms shall be separated and have no direct connection.
If nourishment station for the cancer treatment/infusion therapy service is provided, the nourishment station shall contain a sink, a work counter, a refrigerator, storage cabinets and equipment for serving nourishment as required.
Supply areas or supply carts shall be provided.
Storage for patients' belongings shall be provided.
Decorative water features and fish tanks shall not be located inside cancer treatment/infusion therapy unit.
- Clearances. There shall be a minimum clearance of 3 feet (914 mm) around the chamber. The area in front of the chamber entry designed for gurney or bed access shall have a minimum clearance of 8 feet (2438 mm) for gurney or bed approach. The area in front of the chamber entry designed for ambulatory or wheelchair access only shall have a minimum clearance of 5 feet (1524 mm) for wheelchair approach.
- Entries. Chamber entries shall be provided with access ramps that are flush with the chamber entry doorway. Chamber entries not designed for gurney/bed access shall be a minimum of 3 feet (914 mm).
- Clearances. There shall be a minimum clearance of 3 feet (914 mm) around the chamber. A minimum clearance of 44 inches (1118 mm) shall be provided between the control sides of two chambers. The area in front of the chamber entry shall be designed for gurney or bed access with a minimum clearance of 8 feet (2438 mm) for gurney or bed approach.
- Oxygen. An oxygen service valve shall be provided for each chamber.
In facilities with a Class A hyperbaric chamber or with three or more Class B chambers, a pre-procedure/ patient holding area shall be provided to accommodate patients on gurneys or beds and sitting space for ambulatory patients. The area shall permit visual observation of the patient by nursing staff and be located out of traffic flow. Each gurney station shall be a minimum clear floor area of 80 square feet (7.43 m2) and shall have a minimum clearance of 3 feet (914 mm) on the sides of the gurneys and the foot of the gurney. There shall be provisions for privacy such as cubicle curtains.
An administrative center/nurse station shall be provided within the hyperbaric suite.
A compressor room shall be provided to house the chamber compressors, accumulator tanks and fire suppression system.
The patient waiting area shall be provided and meet the requirements of Section 1224.39.1.
Changing area(s) for outpatients shall be provided for patient clothing and for securing valuables.