// CODE SNIPPET
1228.14 Psychiatric Nursing Service Space
JUMP TO FULL CODE CHAPTER
Psychiatric nursing units shall comply with the requirements
of this section. If the nursing unit is a locked unit, the primary
access point to the unit shall be through a sally port. For
"secure treatment facilities," alternate designs for locked
unit access without individual sally ports may be approved by
the enforcement agency when it can be demonstrated that the
alternate design meets performance requirements without
compromising any health or life-safety requirement.
Each patient bedroom shall
meet the following standards:
Maximum room capacity shall
be two patients.
Exception: Where renovation of existing individual
acute psychiatric hospital patient rooms is undertaken
in facilities built under the 2013, or prior,
California Building Code, maximum room capacity
shall be no more than the present capacity, to a
maximum of eight patients per patient room. Placement
of beds shall not be more than three deep from
the exterior window.
Patient bedrooms
shall have a minimum clear floor area of 100 square
feet (9.29 m2) for single-bed rooms and 80 square feet
(7.43 m2) per bed for multiple-bed rooms.
Each patient bedroom shall
have a window in accordance with Section 1228.4.9.
Refer to Section
1224.14.1.5.
Handwashing stations
shall comply with Section 1228.4.22. Handwashing
stations are required in patient toilet rooms.
Handwashing stations are not required in patient bedrooms.
Each patient shall have in
their room a separate wardrobe, locker, or closet for
storing personal effects. Shelves for folded garments
shall be used instead of arrangements for hanging garments.
Visual privacy in multibed rooms
(e.g., cubicle curtains) is not required in psychiatric
nursing units.
Each patient room
shall be labeled with an identification number, letter or
combination of the two.
Provision for the services listed
below shall be in or immediately accessible to each psychiatric
nursing unit. The size and location of each service
area will depend upon the numbers and types of beds
served. Identifiable spaces are required for each of the indicated
functions. If a service area is specifically permitted to
serve more than one nursing unit, there shall be at least one
such service area located on each nursing unit floor.
Refer to Section 1224.4.4.2.
A separate
charting area with provisions for acoustic and
patient file privacy shall be provided.
Refer to
Section 1228.4.22 for the definition of handwashing
station. Handwashing stations in high- or mediumpatient-risk
areas shall be ligature resistant.
Office(s) for staff shall
be provided.
- Staff lounge facilities. Staff lounge facilities may be combined between units.
- Staff toilet rooms.
- Staff storage locations. Securable closets or cabinet compartments for the personal effects of nursing personnel shall be immediately accessible to the administrative center or nurse station.
Multipurpose
rooms shall be provided for staff, patients, patients'
families for patient visits, conferences, reports, education,
training sessions, and consultation. These rooms
shall be readily accessible to each nursing unit. One
such room may serve several psychiatric nursing units.
Refer
to Section 1228.4.4.1.1.
Refer to Section
1228.4.4.6
Refer to Section
1228.4.4.7.
Refer to Section
1228.4.4.4.
Each psychiatric
nursing unit shall contain a designated area for clean
linen storage. This may be within the clean utility room
or a separate closet.
Refer to Section
1228.4.4.5.
Each nursing
unit shall have equipment to provide ice for treatments
and nourishment. Ice-making equipment may be in the
clean utility/workroom or at the nourishment station.
Ice intended for human consumption shall be from selfdispensing
icemakers.
Equipment
and supply storage is required, refer to Section
1224.14.2.12. Location of the storage areas shall not
present a risk to the patient population as indicated in
the functional program.
Storage for gurneys
or wheelchairs is required, refer to Section
1224.14.2.13. Storage areas may be located within the
nursing unit or outside but readily accessible to the unit.
A bathtub or
shower shall be provided for each six patient beds not otherwise
served by bathing facilities at patient bedrooms
Emergency
equipment storage shall be provided at each
nursing unit that is under visual observation of staff
One housekeeping
room shall be permitted to serve more than one nursing
unit on a floor. Refer to Section 1228.4.15.
Grab bars in common patient
toilets and bathing facilities shall be installed in accordance
with Section 1228.4.18.
There shall be at least one airborne infection isolation
(AII) room provided for each 50 beds, and for each major
fraction thereof. Airborne infection isolation rooms for
pediatric/adolescent and forensic supplemental service
nursing units shall be calculated independently from, and
shall not be shared with each other or any other psychiatric
nursing unit. Refer to Section 1224.14.3 and the general
construction requirements of Section 1228.4.
If provided,
refer to Section 1224.14.4 and the general construction
requirements of Section 1228.4.
There shall be at least one
seclusion room provided for each 24 licensed beds, and
for each major fraction thereof. At least one seclusion
room shall be provided. A seclusion room may be shared
by psychiatric nursing units. Seclusion rooms for pediatric/adolescent
and forensic supplemental service nursing
units shall be calculated independently from, and shall not
be shared with each other or any other psychiatric nursing
unit. Refer to the general construction requirements of
Section 1228.4.
A quiet room shall be provided in
each psychiatric nursing unit for a patient who needs to be
alone for a short period of time but does not require a
seclusion room. Refer to Section 1228.4.4.1.5.
Visitor/consultation
rooms shall be provided at a room-to-bed ratio of one
consultation room for each 12 psychiatric beds, or major
fraction thereof with a minimum of one, in each psychiatric
nursing unit. Additionally, the following requirements
shall be met:
- Visitor/consultation room(s) shall have a minimum clear floor area of 100 square feet (9.29 m2).
- The room(s) shall be designed for acoustical and visual privacy. Refer to Table 1224.4.19, Sound Transmission Limitations in Hospitals.
An enclosed private
space with a minimum clear floor area of at least 225
square feet (20.90 m2) shall be available for group therapy
activities.
Related Code Sections
1228.14 Interior Environment, Psychiatric Nursing Service Space
Provision for the services listed
below shall be in or immediately accessible to each psychiatric
nursing unit. The size and location of each ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space
1228.14 Interior Environment, Psychiatric Nursing Service Space
for the services listed
below shall be in or immediately accessible to each psychiatric
nursing unit. The size and location of each service
area ...
California Building Code 2019 (Vol 1 & 2) > 12 Interior Environment > 1228 [OSHPD 5] Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space
1228.14.6 Interior Environment, Quiet Room
A quiet room shall be provided in
each psychiatric nursing unit for a patient who needs to be
alone for a short period of time but does not require ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space > 1228.14.6 Quiet Room
1228.14.1 Interior Environment, Patient Rooms
Visual privacy in multibed rooms
(e.g., cubicle curtains) is not required in psychiatric
nursing units ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space > 1228.14.1 Patient Rooms
1228.14.4 Interior Environment, Protective Environment Room(s)
If provided,
refer to Section 1224.14.4 and the general construction
requirements of Section 1228.4 ...
California Building Code 2016 (Vol 1 & 2) > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space > 1228.14.4 Protective Environment Room(s)