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Primary care clinics and outpatient clinical services of a hospital providing services equivalent to a primary care clinic shall comply with Sections 1226.4.3 through 1226.4.8 and the provisions of this section.
1226.6.1 Examination and Treatment Areas
1226.6.1.1 Examination Room(s)
1226.6.1.2 Treatment Room(s)
Treatment room(s) for minor procedures (e.g. minor surgical procedures, casting), if provided, shall have a minimum area of 120 square feet (11.15 m2), the least dimension of which shall be a minimum of 10 feet (3048 mm), excluding such spaces as vestibules and work counters, and shall meet the requirements in Section 1224.4.4.1.
1226.6.1.3 Dental Examination and Treatment Areas
When provided, the examination and treatment space shall be permitted to be a room or a patient care station in an open treatment area.
1226.6.1.3.1 Area
The treatment space shall have a minimum clear floor area of 80 square feet (7.4 m2).
This space is required for each station in an open operatory or treatment area. A minimum of 3 feet (915 mm) clearance shall be provided along the full length of one side of the chair, the head of the chair, and between the cuspidor and the head of the chair on the other side for assisting dental staff.
1226.6.1.3.2 Pediatric Patients
At least one private consultation/treatment room shall be provided when pediatric patients are treated in a facility.
1226.6.1.3.3 Handwashing
Each treatment room shall include a handwashing station. If treatment is provided at stations in an open operatory, a handwashing station may be permitted to serve two treatment stations.
1226.6.1.3.4 Imaging
If provided, space for a dental panographic x-ray system and printer shall also comply with shielding requirements in Section 1226.5.5.2 and alcove requirements in Section 1224.18.1.1.
1226.6.1.4 Oral Surgery
When provided, treatment areas for procedures for which general anesthesia is used, shall comply with the requirements in Section 1226.8.
1226.6.2 Support Areas for Examination Rooms
1226.6.2.1 Administrative Center or Nurse Station
1226.6.2.2 Medication Station
1226.6.2.3 Clean Utility Room
1226.6.2.4 Soiled Workroom or Soiled Linen Holding
1226.6.2.5 Consultation Room
Dental facilities must provide a consultation room for private conferences with patients.
1226.6.2.6 Sterilization Facilities
If sterile processing and/or high level disinfection is provided, the sterile processing room shall consist of a decontamination area and a clean work area. The sterile processing/high level disinfection room shall be designed to provide one-way flow of contaminated materials/instruments to the sterilizer/high level disinfection equipment. Sterile/high level disinfected instruments should be distributed from the area in such a manner that processed items do not pass through the decontamination area.
1226.6.2.6.1 Decontamination Area
The decontamination area shall be equipped with the following:
  1. Countertop, separated from clean countertop by 4 feet minimum distance.
  2. Handwashing station separate from the instrument washing sink.
  3. Sink for washing instruments. To avoid splash, the decontamination sink shall be separated from the clean work area by either a 4-foot distance from the edge of the sink or a separating wall or screen. If a screen is used, it shall extend a minimum of 4 feet (1220 mm) above the sink rim.
  4. Storage for supplies.
1226.6.2.6.2 Clean Work Area
The clean work area shall be equipped with the following:
  1. Countertop, separated from decontamination countertop by 4 feet minimum distance.
  2. Sterilizer/high level disinfection equipment, as required for the services provided.
  3. Handwashing station, may share with decontamination area handwashing station.
  4. Built-in storage for supplies.
1226.6.2.7 Laboratory
Facilities for laboratory services shall be provided in dental facilities or through a contract arrangement with a laboratory service.
1226.6.3 Support Areas for Patients
1226.6.3.1 Patient Toilet Room(s)
1226.6.3.2 Specimen Collection and/or Blood Collection Facilities
When provided, refer to Section 1224.4.4.2.
1226.6.4 General Support Services and Facilities
1226.6.4.1 Garbage, Solid Waste, Medical Waste and Trash Storage
1226.6.4.2 Housekeeping Room
1226.6.5 Public and Administrative Areas
1226.6.5.1 Public Area
1226.6.5.1.1 Reception
1226.6.5.1.2 Outpatient Waiting Room
1226.6.5.1.3 Public Toilet(s)
1226.6.5.1.4 Public Telephone Access
1226.6.5.1.5 Drinking Fountain(s)
1226.6.5.2 Administrative Services
1226.6.5.2.1 Medical Records Storage
1226.6.5.2.2 Equipment and Supply Storage
1226.6.6 Support Areas for Staff
1226.6.6.1 Staff Toilet(s)
1226.6.6.2 Storage for Employees

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