1224.36 Renal Dialysis Service Space (Acute and Chronic)

If provided, renal dialysis service shall comply with the following:

The treatment area may be an open area and shall be separate from administrative and waiting areas.

Shall be located within the dialysis treatment area and designed to provide visual observation of all patient stations.

Shall contain at least 80 square feet (7.44 m²). There shall be at least a 4-foot (1219 mm) space around and between beds and/or lounge chairs.

Handwashing stations shall be directly accessible to the nurses' station and to patient treatment areas. Handwashing stations shall be provided for each four treatment stations, and for each major fraction thereof. These shall be uniformly distributed to provide equal access from each patient station.

The open unit shall be designed to provide privacy for each patient.

A minimum of one bloodborne infection isolation room of at least 120 square feet (11.15 m²) of clear floor space shall be provided for patients. This room shall contain a counter and handwashing fixture.

If provided, there shall be a medication dispensing station for the dialysis center. A work counter and handwashing fixtures shall be included in this area. Provisions shall be made for the controlled storage, preparation, distribution and refrigeration of medications.

If provided in the unit, a private treatment area of at least 120 square feet (11.15 m²) shall be provided for patients who are being trained to use dialysis equipment at home. This room shall contain counter, handwashing fixtures, and a separate drain for fluid disposal.

An examination room with a handwashing fixture shall be provided with at least 100 square feet (9.29 m²).

A clean utility room shall be provided. If the room is used for preparing patient care items, it shall contain a work counter, a handwashing fixture, and storage facilities for clean and sterile supplies. If the room is used only for storage and holding as part of a system for distribution of clean and sterile materials, the work counter and handwashing fixture may be omitted. Soiled and clean utility rooms or holding rooms shall be separated and have no direct connection.

A soiled workroom shall be provided and contain a sink, handwashing fixture, work counter, storage cabinets, waste receptacles and a soiled linen receptacle.

If dialyzers are reused, a reprocessing room is required and sized to perform the functions required and include one-way flow of materials from soiled to clean with provisions for a refrigerator (temporary storage or dialyzer), decontamination/cleaning areas, sinks, processors, computer processors and label printers, packaging area and dialyzer storage and disinfectants cabinets.

If a nourishment station for the dialysis service is provided, the nourishment station shall contain a sink, a work counter, a refrigerator, storage cabinets and equipment for serving nourishments as required.

Provide a housekeeping room that is immediately accessible to, and for the exclusive use of the unit

If required, an equipment repair and breakdown room shall be equipped with a handwashing fixture, deep service sink, work counter and storage cabinet. Needs water supply and drain connection for testing machines.

Supply areas or supply carts shall be provided.

Storage space shall be available for wheelchairs and gurneys, if gurneys are provided, out of direct line of traffic.

A clean linen storage area shall be provided. This may be within the clean utility room, a separate closet, or an approved distribution system. If a closed cart system is used, storage may be in an alcove. It must be out of the path of normal traffic and under staff control.

Each facility using a central batch delivery system shall provide, either on the premises or through written arrangements, individual delivery systems for the treatment of any patient requiring special dialysis solutions. The mixing room shall also include a sink, storage space and holding tanks.

The water treatment equipment shall be located in an enclosed room.

A patient toilet room with a lavatory shall be provided.

Space shall be available for male and female personnel for staff clothing change area and lounge. The areas shall contain lockers, shower, toilet(s), and handwashing fixtures.

Storage for patients' belongings shall be provided.

A waiting room, toilet room(s) with handwashing fixtures, drinking fountain, public telephone, and seating accommodations for waiting periods shall be available or accessible to the dialysis unit.

Provide office and clinical work space.