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// CODE SNIPPET

1228.14 Psychiatric Nursing Service Space

Los Angeles Building Code > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space
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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.

1228.14.1 Patient Rooms

Each patient bedroom shall meet the following standards:

1228.14.1.1 Capacity

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.

1228.14.1.2 Space Requirements

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.

1228.14.1.3 Windows

Each patient bedroom shall have a window in accordance with Section 1228.4.9.

1228.14.1.4 Reserved

1228.14.1.5 Outside Exposure

Refer to Section 1224.14.1.5.

1228.14.1.6 Handwashing Stations

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.

1228.14.1.7 Patient Toilet Room

  1. Each patient shall have access to a toilet room without having to enter a corridor.

    Exception: Corridor access to the patient toilet room shall be permitted at pediatric or adolescent patient bedrooms and in specific patient bedrooms where the use of corridor access is part of the hospital's written Patient Safety Risk Assessment and management program.
  2. One toilet room shall serve no more than two patient bedrooms and no more than four patients.
  3. The toilet room shall contain a toilet and a handwashing station.

1228.14.1.8 Patient Storage

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.

1228.14.1.9 Privacy

Visual privacy in multibed rooms (e.g., cubicle curtains) is not required in psychiatric nursing units.

1228.14.1.10 Grab Bars

Grab bars provided in accessible patient toilet rooms shall comply with Section 1228.4.18.

1228.14.1.11 Room Identification

Each patient room shall be labeled with an identification number, letter or combination of the two.

1228.14.2 Service Areas

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.

1228.14.2.1 Administrative Center(s) or Nurse Station(s)

Refer to Section 1224.4.4.2.

1228.14.2.1.1 Documentation Area

A separate charting area with provisions for acoustic and patient file privacy shall be provided.

1228.14.2.1.2 Handwashing Station(s)

Refer to Section 1228.4.22 for the definition of handwashing station. Handwashing stations in high- or mediumpatient-risk areas shall be ligature resistant.

1228.14.2.2 Office(s) for Staff

Office(s) for staff shall be provided.

1228.14.2.3 Support Areas for Staff

  1. Staff lounge facilities. Staff lounge facilities may be combined between units.
  2. Staff toilet rooms.
  3. 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.

1228.14.2.4 Multipurpose Room(s)

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.

1228.14.2.5 Examination and Treatment Room

Refer to Section 1228.4.4.1.1.
UpCodes note: The section number of this amendment on the original document was "1224.14.2.5". UpCodes has corrected this to "1228.14.2.5".

1228.14.2.6 Clean Utility/Workroom

Refer to Section 1228.4.4.6

1228.14.2.7 Soiled Utility/Workroom

Refer to Section 1228.4.4.7.

1228.14.2.8 Medication Station

Refer to Section 1228.4.4.4.

1228.14.2.9 Clean Linen Storage

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.

1228.14.2.10 Nourishment Area

Refer to Section 1228.4.4.5.

1228.14.2.11 Ice-Making Equipment

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.

1228.14.2.12 Equipment and Supply Storage

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.

1228.14.2.13 Gurneys or Wheel Chairs

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.

1228.14.2.14 Patient Bathing Facilities

A bathtub or shower shall be provided for each six patient beds not otherwise served by bathing facilities at patient bedrooms

1228.14.2.15 Common Patient Toilet Room(s)

In addition to the toilet rooms serving bed areas, common patient toilet rooms shall be located adjacent to multipurpose room(s) and within or directly accessible to each common patient bathing facility.

1228.14.2.16 Emergency Equipment Storage

Emergency equipment storage shall be provided at each nursing unit that is under visual observation of staff

1228.14.2.17 Housekeeping Room

One housekeeping room shall be permitted to serve more than one nursing unit on a floor. Refer to Section 1228.4.15.

1228.14.2.18 Grab Bars

Grab bars in common patient toilets and bathing facilities shall be installed in accordance with Section 1228.4.18.

1228.14.3 Airborne Infection Isolation (AII) Room(s)

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.

1228.14.4 Protective Environment Room(s)

If provided, refer to Section 1224.14.4 and the general construction requirements of Section 1228.4.

1228.14.5 Seclusion Room(s)

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.

1228.14.6 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 a seclusion room. Refer to Section 1228.4.4.1.5.

1228.14.7 Visitor/Consultation Room(s)

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:
  1. Visitor/consultation room(s) shall have a minimum clear floor area of 100 square feet (9.29 m2).
  2. The room(s) shall be designed for acoustical and visual privacy. Refer to Table 1224.4.19, Sound Transmission Limitations in Hospitals.

1228.14.8 Conference Room

A conference and treatment planning room shall be provided for use by the psychiatric nursing unit.

1228.14.9 Space for Group Therapy

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 ...
Los Angeles Building Code > 12 Interior Environment > 1228 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 ...
Los Angeles Building Code > 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 ...
Los Angeles Building Code > 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 ...
Los Angeles Building Code > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space > 1228.14.4 Protective Environment Room(s)
1228.14.7 Interior Environment, Visitor/Consultation Room(s)
with a minimum of one, in each psychiatric nursing unit. Additionally, the following requirements shall be met: Visitor/consultation room(s) shall ...
Los Angeles Building Code > 12 Interior Environment > 1228 Acute Psychiatric Hospitals > 1228.14 Psychiatric Nursing Service Space > 1228.14.7 Visitor/Consultation Room(s)
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