Adopts Without Amendments:

FGI Outpatient, 2018

Part 1 General

Part 2 Outpatient Facility Types

ANSI/ASHRAE/ASHE Standard 170-2017 Ventilation of Health Care Facilities

Heads up: There are no amended sections in this chapter.
Appendix material, shown in shaded boxes at the bottom of the page, is advisory only.
This chapter shall apply to facilities that provide urgent care to the public but are not emergency departments or do not provide care on a 24-hour-per-day, seven-day-per-week basis.
A2.5-1.1.1 Urgent care centers offer walk-in, after-hours, and weekend care for patients with common illnesses and non-life-threatening injuries. X-rays and lab tests are often provided on-site.
The urgent care center shall meet the standards described in this chapter and the standards in Part 1 of these Guidelines.
A2.5-1.1.2 Site features
  1. Emergency vehicle access. Provisions for patient access to emergency vehicles for transport to a higher-acuity facility should be considered in the design of the urgent care center.
  2. Signage. Provisions should be made for the location of legally required signage at the entrance to the urgent care center.
Requirements in Chapter 2.1, Common Elements for Outpatient Facilities, shall apply to urgent care centers as cross-referenced in this chapter.
See Section 2.1-2 (Accommodations for Care of Patients of Size) for requirements.
At least two patient care stations shall be provided.
The patient care stations shall be permitted to be any combination of bays, cubicles, and single-patient examination rooms.
Urgent care exam rooms shall meet the requirements in Section 2.1-3.2.1 (Examination Rooms) as amended in this section.
  1. Where bays are used, the following minimum clearances shall be provided:
    1. 4 feet (1.22 meters) between the sides of lounge chairs/stretchers
    2. 2 feet 8 inches (81.28 centimeters) between the sides of gurneys/lounge chairs and adjacent walls or partitions
    3. 2 feet 8 inches (81.28 centimeters) between the foot of gurneys/lounge chairs and the cubicle curtain
  2. Where cubicles are used, a minimum clearance of 2 feet 8 inches (81.28 centimeters) shall be provided between the sides and foot of gurneys/lounge chairs and adjacent walls, partitions, or cubicle curtains.
  3. Where single-patient exam rooms are used, they shall comply with the requirements in Section 2.1-3.2.1.2 (Single-patient examination/observation room).
Where a treatment room is provided, it shall meet the requirements in Section 2.1-3.2.1 (Examination Rooms) as amended in this section.
The treatment room shall meet the space requirements in Section 2.1-3.2.1.2 (2)(b) (Single-patient exam room for specialty clinical services).
Carpeting shall not be used in the urgent care treatment room.
A2.5-3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families.
The space used to triage patients shall be permitted to be any of the following:
  1. A dedicated triage space
  2. A patient care station
  3. A space in a consultation room or other patient care area
The triage area(s) shall have provisions for patient privacy as indicated in Section 2.1-3.1.2 (Patient Privacy).
The triage area(s) shall be directly accessible to a hand-washing station(s) that complies with Section 2.1-3.8.7 (Hand-Washing Station).
Facilities shall be provided for holding urgent care patients until they can be discharged or transferred to an appropriate hospital.
Use of one or more examination or treatment rooms for this purpose shall be permitted.
Size, type, and equipment shall be as required for anticipated patient load and lengths of stay.
Direct visual observation of each patient shall be provided from the nurse station, except where examination or procedure rooms are used for patient holding. In the latter case, a view from the nurse/control station to the doors of the examination or procedure rooms shall be permitted.
Each observation position shall have the following:
  1. Patient privacy in accordance with Section 2.1-3.1.2 (Patient Privacy)
  2. A readily accessible patient toilet room that meets the requirements in Section 2.1-3.10.2 (Patient Toilet Rooms)
Where services are provided, facilities to accommodate the modalities used shall meet the requirements in Section 2.1-3.5 (Imaging Services) as amended in this section.
Separate changing rooms for imaging services are not required where imaging is used only for emergency procedures.
A nurse control and workstation that meets the requirements in Section 2.1-3.8.2 (Nurse Station) shall be provided to accommodate charting, files, and staff consultation activities.
The nurse control and workstation shall be located to permit direct observation of the clinical area and access to it.
Communication links for staff with the examination room, procedure room, reception control, laboratory, and imaging services shall be provided.
Where a poison control center is provided, a telephone shall be provided for staff to call regional and/or national poison centers.
A2.5-3.8.3 This telephone may be located at the nurse control and workstation.
See Section 2.1-3.8.8 (Medication Safety Zones) for requirements.
Where a nourishment area is provided, it shall meet the requirements in Section 2.1-3.8.9 (Nourishment Area or Room).
Where a clean supply room is provided, it shall meet the requirements in Section 2.1-3.8.11 (Clean Workroom or Clean Supply Room).
A soiled holding room that meets the requirements in Section 2.1-3.8.12 (Soiled Workroom or Soiled Holding Room) shall be provided.
Wheelchair and stretcher storage shall be provided in the clinical area.
A2.5-3.8.13.3 The appropriate number and locations for wheelchair/stretcher storage in the urgent care center should be identified in the functional program.
Emergency equipment storage shall be provided in accordance with 2.1-3.8.13.4 (Emergency equipment storage).
Where facilities for laboratory services are provided, see Section 2.1-4.1 (Laboratory Services) for requirements.
See Section 2.1-5.2 (Waste Management) for requirements.
A readily accessible environmental services room shall be provided in accordance with Section 2.1-5.3.1 (Environmental Services Room).
Public areas shall be provided in accordance with the requirements in Section 2.1-6.2 (Public Areas) as amended in this section.
Access to wheelchairs shall be provided at the urgent care entrance.
A2.5-6.2.1 The urgent care entrance should allow visualization of the unloading area from the nurse station/control station via windows or remote camera.
Access to wheelchairs shall be provided at the urgent care entrance.
Reception and information areas shall provide for direct observation of the urgent care entrance and access to the lobby and patient care area.
Administrative areas shall be provided in accordance with the requirements in Section 2.1-6.3 (Administrative Areas) as amended in this section.
Space(s) shall be provided for private interviews.
A2.5-6.3.2 Initial interviews may be conducted in the triage area, in a patient care station, or in a separate consultation room.
Space shall be provided for staff conferences.
Another functional space in the urgent care center shall be permitted to meet this requirement.
A2.5-6.3.4.2 Staff conferences may take place in a dedicated staff conference room or in a staff lounge, a waiting room after hours, or a similar space.
The minimum corridor width provided shall be in accordance with Section 2.1-7.2.2.1 (Corridor width).
Door openings shall be provided in accordance with Section 2.1-7.2.2.3 (2) (Door openings).
See Section 2.1-7.2.3 (Surfaces) for requirements.
See Section 2.1-8 (Building Systems) for requirements.
Linked Resources
P
P Premium Feature

This feature is included in the premium subscription. Visit the feature page to learn more.

Learn More
Bookmarks
P
P Premium Feature

This feature is included in the premium subscription. Visit the feature page to learn more.

Learn More