1188.8.131.52 Resident Support Area
Size and features of each resident support area will depend upon the number and type of patients served. The resident support area may be arranged and located to serve more than one resident unit, but at least one such support area shall be provided on each resident floor. The following resident support areas shall be located in or be readily accessible to each resident unit.
A centralized staff work area shall be provided. It shall have space for supervisory administrative work activities, charting, and storage. In each resident unit, the functions of administrative work, charting and storage may be located among several separate direct care staff work areas. In this case, a centralized staff work area is not required.
A clean utility or clean holding room for storage and distribution of clean supply materials 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 a part of a system for distribution of clean and sterile supply materials, the work counter and handwashing fixture requirements may be omitted. The minimum size of the room shall be 15 square feet (1.39 m2) with 1 square foot (0.092 m2) of additional space provided per patient for over 15 patients and may be allocated among several clean utility or clean holding rooms or closets.
A soiled utility or soiled holding room(s) shall be provided. The soiled utility function shall be comprised of a flushing rim clinical service sink or other appropriate flushing fixture, with bedpan rinsing device, soiled linen receptacles, waste receptacles and a work counter with a usable minimum work surface area of 6 square feet (0.56 m2). The total minimum size of the room shall be 20 square feet (1.86 m2) with 1.5 square feet (0.140 m2) of additional space provided per patient for over 15 patients and may be allocated among several soiled utility or soiled holding rooms. Rooms used only for the holding of soiled materials need contain only a handwashing fixture.
A medicine preparation room or a self contained medicine dispensing unit shall be provided for the provision of medication distribution. The self-contained medicine dispensing unit shall be under the visual control of the staff. If a medicine preparation room is utilized, it shall be equipped with a lockable door, have a minimum area of 50 square feet (4.65 m2) and shall contain a refrigerator, locked storage for controlled drugs, a handwashing fixture, and a work counter with a minimum of 6 square feet (0.56 m2) of work surface. If a self-contained medicine dispensing unit is utilized, it may be located at the nurses' station, in the clean utility room, in an alcove, or in other spaces convenient for staff control provided the area occupied by the unit does not encroach upon required minimum areas. The dispensing unit may be used in a medicine preparation room as locked storage for controlled drugs within the minimum area of 50 square feet (4.65 m2), however, the standard "cup sinks" provided in many self-contained units shall not be a substitute for the required handwashing fixture. If there is no linen storage in the clean utility room, medicine preparation may be part of the clean utility room in which case an additional 20 square feet (1.8 m2) dedicated for this purpose shall be required. A refrigerator shall also be required if medicine preparation is included in this room. Non-controlled prescription drugs may be stored inside the resident's sleeping room or toilet room if they are secured inside of an automatic closing and automatic locking dispensing unit that is secured in place.
A nourishment room or area for serving nourishments between meals shall be provided and shall contain a work counter, refrigerator, storage cabinets, and sink. Ice for patients' consumption shall be provided by an icemaker unit that may serve more than one nourishment station if the nourishment stations are in close proximity to each other. Where the icemaker unit is accessible to patients or the public, it shall be a self-dispensing type. The nourishment room shall include space for trays and dishes used for nonscheduled meal service. A handwashing fixture shall be in or immediately accessible from the nourishment room.
Resident bathing facilities shall be provided with a minimum of one bathtub or one hydro tub per resident unit, or one shower for every 20 patients and for each major fraction thereof not otherwise served by bathing facilities in resident rooms. When centralized bathing is provided, patients shall have access to at least one bathing room per floor or unit sized to permit assisted bathing in a tub or shower in that resident unit. The bathtub in this room shall be accessible to patients in wheelchairs and the shower shall accommodate a shower chair. Other tubs or showers shall be in individual rooms or curtained enclosures with space for private use of the bathing fixture, for drying and dressing, and access to a grooming location containing a sink, mirror, and counter or shelf. A separate private toilet shall be provided that is directly accessible to each multi-bathing fixture central bathing area without requiring entry into the general corridor. This toilet may also serve as a toilet training facility. This centralized bathing area shall comply with Chapter 11B of this code.