467.2 Physical Plant Requirements (Inpatient Facility and Unit)
As used in this rule, "inpatient facility and unit" means the location where inpatient services are provided to hospice patients that are in need of hospice inpatient care.
- Institutional Occupancy—Group I-2, as described in Section 308.3 of this code; and
- The National Fire Protection Association Life Safety Code 101, Chapter 18, New Health Care Occupancy, as described in Rule 69A-3.012, Florida Administrative Code, Standards of the National Fire Protection Association and incorporated by reference in Rule 69A-3.012, Florida Administrative Code.
Inpatient sleeping rooms shall be made accessible in accordance with the requirements of the Florida Building Code, Accessibility.
Existing portions of the facility that are not included in the renovation or addition but are essential to the functioning of the complete facility, as well as existing areas which receive less than substantial amounts of new work, shall comply with the applicable sections of the codes for existing inpatient facilities and units.
All existing inpatient facilities and units licensed by the Agency for Health Care Administration shall be in compliance with National Fire Protection Association Life Safety Code 101, Chapter 19, Existing Health Care Occupancy, and incorporated by reference in Rule 69A-3.012, Florida Administrative Code.
The following shall be provided in each inpatient facility and unit.
Each patient sleeping room shall have a minimum room area exclusive of toilet room, or permanently attached or built in closets, lockers or wardrobes, of 100 square feet (9.29 m2) per bed for private rooms and 80 square feet (7.70 m2) per bed for double occupancy rooms.
Each patient sleeping room shall have a window or door with a clear glass light in compliance with Section 1205.2 of this code. The window or door shall open directly to an atrium or to the outside of the building with a minimum of 20 feet (6.10 m) in clear and unobstructed vista measured perpendicularly from the window or door.
Each patient sleeping room shall have a wardrobe, locker or closet suitable for hanging clothing of the patient.
Other than a patient sleeping room located in a hospital or nursing home, each patient sleeping room shall have access to a toilet room without having to enter the general corridor area. One toilet room shall serve no more than four beds and no more than two resident rooms. The door shall be side hinged, swing out from the toilet room, and unless otherwise required by this code, be at least 32 inches (813 mm) wide. The toilet room shall contain a water closet with grab bars on both sides and an emergency nurse call station. The water closet shall be equipped with a bedpan-rinsing device.
A handwashing facility shall be provided within each patient toilet room or within each patient bedroom.
A nurses' station, clean workroom and soiled workroom shall be provided. Access to these rooms shall be from a corridor or ante room.
A charting space for clinical staff shall be provided at each nurses' station.
A drug distribution system shall be provided with provisions for the locked storage of medications. Nothing in this section shall prohibit the use of the clean workroom for drug distribution.
A clean linen storage room or closet shall be provided.
A nourishment station with equipment for preparing or serving nourishments between scheduled meals shall be provided and shall be available for patient, family, volunteers, guests and staff use. Provisions shall be made for the use and storage of small appliances such as coffee makers or toasters. A minimum of two duplex receptacles connected to a small appliance circuit shall be provided.
A nurse calling system accessible by the patient shall be provided.
Storage for administrative supplies shall be provided.
Parking for stretchers and wheelchairs in an area out of the path of normal traffic and of adequate size for the unit shall be provided.
A janitor's closet with a floor drain and storage space for housekeeping equipment and supplies shall be provided.
A multipurpose lounge suitable and furnished for reception, recreation, dining, visitation, group social activities and worship shall be provided.
A conference or consultation room for patient and family use shall be provided.
A washer and dryer for patients' personal use shall be provided.
Doors to patient tub rooms, showers and water closets that swing into the room shall be equipped with reversible hardware that will allow the door to swing out in an emergency.
Windows and outer doors, if used for ventilation, shall be equipped with insect screens.
Interior thresholds and expansion joint covers shall be made flush with the floor surface.
Grab bars shall be provided at all patient toilets, showers, and tubs. The bars shall have a clearance of 11/2 inches (38 mm) to the walls and shall be sufficiently anchored to sustain a concentrated applied load of not less than 250 pounds (113 kg).
Single paper towel dispensers, soap dispensers and covered waste receptacles shall be provided at all hand washing facilities.
Staff handwashing facilities shall be fitted with wrist blades and a gooseneck type spout.
All handwashing facilities shall be securely anchored to withstand an applied vertical load of not less than 250 pounds (113 kg) on the front of the fixture.
In new multistory units and facilities, an elevator shall be provided in compliance with the requirements of Chapter 30 of this code. In addition, a hospital-type elevator large enough to accommodate a bed and attending staff shall service all patient sleeping rooms and patient treatment areas located above the ground floor. The car shall be at least 5 feet 8 inches (1.73 m) wide by 9 feet (2.74 m) deep and the car doors shall have a clear opening of not less than 4 feet (1.22 m) wide and 7 feet (2.13 m) high.
- All patient occupied areas shall be heated or cooled by individual or central units. Heating units shall be designed to provide a minimum of 72°F (22.22°C) ambient indoor temperature and air conditioning units shall be designed to provide a minimum of 78°F (25.55°C) ambient indoor temperature.
- All air-supply and air-exhaust systems shall be mechanically operated. Fans serving exhaust systems shall be located at the discharge end of the system.
See Section 916.1.
Water distribution systems shall be arranged to provide hot water at each hot water outlet at all times. Hot water at shower, bathing, and handwashing facilities for patients' personal use shall not exceed 110°F (43.3°C).
- All spaces occupied by people, machinery, and equipment within the building, approaches to building, and parking areas shall have electric lighting.
- All patients' rooms shall have general lighting and night lighting. General room luminaries shall be switched at the entrance to the patient room.
All patient rooms shall have hospital grade duplex grounding-type receptacles.
A Type III essential electrical system shall be provided in all hospice facilities as described in National Fire Protection Association Life Safety Code 99, "Health Care Facilities", and incorporated by reference in Rule 69A-3.012, Florida Administrative Code. The emergency power for this system shall meet the requirements of a Level II, type 10, Class 48 generator as described in National Fire Protection Association Life Safety Code 110, "Emergency Standby Power Systems", and incorporated by reference in Rule 69A-3.012, Florida Administrative Code.
In new construction, the normal main service equipment shall be separated from the emergency distribution equipment by locating it in a separate room. Transfer switches shall be considered emergency distribution equipment for this purpose.
Switches for critical branch lighting shall be completely separate from normal switching. The devices or cover plates shall be of a distinctive color. Critical branch switches are permitted to be adjacent to normal switches. Switches for life safety lighting are not permitted except as required for dusk-to-dawn automatic control of exterior lighting fixtures.
A minimum of one elevator per bank serving any patient use floor shall be connected to the equipment branch of the essential electric system and arranged for manual or automatic operation during loss of normal power. Elevator cab lighting, controls, and communication and signal systems shall be connected to the life safety branch.
There shall be a dedicated low-fuel alarm for the day tank supplying the emergency generator driver. A manual pump shall also be provided for the day tank. The alarm shall be located at the generator derangement panel.
Transfer switch contacts shall be of the open type and shall be accessible for inspection and replacement.
If required by the facility's emergency food plan, there shall be power connected to the equipment branch of the essential electrical system for kitchen refrigerators, freezers and range hood exhaust fans. Selected lighting within the kitchen and dry storage areas shall be connected to the critical branch of the essential electrical system.