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467.2.1
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.
467.2.2 Codes and Standards
467.2.2.1
All new inpatient units and facilities, and additions or renovations to existing units and facilities shall be in compliance with the requirements for:
  1. Institutional Occupancy - Group I-2, as described in Section 308.3 of this code; and
  2. 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.
467.2.2.2
Inpatient sleeping rooms shall be made accessible in accordance with the requirements for medical care facilities of the Florida Building Code, Accessibility.
467.2.2.3
In renovations and additions to existing facilities, only that portion of the total facility affected by the project must comply with applicable sections of the codes for new facilities and units.
467.2.2.4
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.
467.2.2.5
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.
467.2.3 Construction Requirements
The following shall be provided in each inpatient facility and unit:
467.2.3.1
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.
467.2.3.2
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.
467.2.3.3
Each patient sleeping room shall have a wardrobe, locker or closet suitable for hanging clothing of the patient.
467.2.3.4
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.
467.2.3.5
A hand washing facility shall be provided within each patient toilet room or within each patient bedroom.
467.2.3.6
A nurses' station, clean workroom and soiled workroom shall be provided. Access to these rooms shall be from a corridor or ante room.
467.2.3.7
A charting space for clinical staff shall be provided at each nurses' station.
467.2.3.8
A hand washing facility shall be located in or near each nurses' station.
467.2.3.9
The clean workroom shall be provided with a work counter, hand wash facility, storage facilities and covered waste receptacle.
467.2.3.10
The soiled workroom shall be provided with a service sink equipped with rinsing device, work counter, a hand-washing facility, storage facilities, covered waste receptacle and covered linen receptacle.
467.2.3.11
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.
467.2.3.12
A clean linen storage room or closet shall be provided.
467.2.3.13
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.
467.2.3.14
A nurse calling system accessible by the patient shall be provided.
467.2.3.15
Storage for administrative supplies shall be provided.
467.2.3.16
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.
467.2.3.17
A janitor's closet with a floor drain and storage space for housekeeping equipment and supplies shall be provided.
467.2.3.18
A multipurpose lounge suitable and furnished for reception, recreation, dining, visitation, group social activities and worship shall be provided.
467.2.3.19
A conference or consultation room for patient and family use shall be provided.
467.2.3.20
A washer and dryer for patients' personal use shall be provided.
467.2.3.21 Bathing Facilities
467.2.3.21.1
A centralized resident bathing room(s) shall be provided with a minimum of one bathtub, hydro tub, or shower for every 20 hospice inpatients or fraction thereof not otherwise served by bath or shower facilities connected directly to the resident rooms.
467.2.3.21.2
A separate private toilet room shall be provided that is directly accessible to each central bathing area with multiple bathing fixtures without requiring entry into the general corridor.
467.2.3.21.3
All showers located in bathing rooms connected directly to the resident rooms shall be designed so that a shower chair can be easily rolled in and out of the shower area.
467.2.4 Details
467.2.4.1
Fixtures, such as drinking fountains, public telephone, vending machines and portable equipment, shall not be located or stored so as to restrict corridor traffic or reduce the minimum required corridor width.
467.2.4.2
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.
467.2.4.3
Doors, except those to closets or spaces not subject to occupancy, shall not swing into the exit access corridors.
467.2.4.4
Windows and outer doors, if used for ventilation, shall be equipped with insect screens.
467.2.4.5
Interior thresholds and expansion joint covers shall be made flush with the floor surface.
467.2.4.6
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).
467.2.4.7
Single paper towel dispensers, soap dispensers and covered waste receptacles shall be provided at all hand washing facilities.
467.2.4.8
Staff hand washing facilities shall be fitted with wrist blades and a gooseneck-type spout.
467.2.4.9
All hand washing 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.
467.2.5 Elevators
In new multistory units and facilities an elevator shall be provided in compliance with the requirements of Chapter 30 of the Florida Building Code, Building. 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.
467.2.6 Mechanical System Requirements
467.2.6.1 Air Conditioning, Heating and Ventilating Systems
  1. 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.
  2. 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.
467.2.6.1.1 Carbon Monoxide Detector
467.2.6.2 Plumbing and Other Piping Systems
Water distribution systems shall be arranged to provide hot water at each hot water outlet at all times. Hot water at shower, bathing, and hand washing facilities for patients' personal use shall not exceed 110°F (43.3°C).
467.2.7 Electrical System Requirements
467.2.7.1 Lighting
  1. All spaces occupied by people, machinery, and equipment within the building, approaches to building, and parking areas shall have electric lighting.
  2. All patients' rooms shall have general lighting and night lighting. General room luminaries shall be switched at the entrance to the patient room.
467.2.7.2 Receptacles
All patient rooms shall have hospital grade duplex grounding-type receptacles.
467.2.8 Emergency Electrical System
467.2.8.1
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.
467.2.8.2
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.
467.2.8.3
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.
467.2.8.4
There shall be selected life safety lighting provided at a minimum of 1 footcandle (10 lux) and designed for automatic dusk-to-dawn operation along the travel paths from the exits to the public way or to safe areas located a minimum of 30 feet (9.14 m) from the building.
467.2.8.5
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.
467.2.8.6
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.
467.2.8.7
Transfer switch contacts shall be of the open type and shall be accessible for inspection and replacement.
467.2.8.8
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.

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