(7) Toilet facilities: If centralized toilets are provided, a toilet room for each sex at a ratio of 1 water closet to each 8 beds will be required. One of the water closet enclosures in each toilet room should be at least 5 feet by 6 feet to permit toilet training. If toilets provided adjacent to patients' rooms are not large enough, a separate training toilet, at least 5 feet by 6 feet, should be provided. Bedpan facilities. Bathing Facilities: 1 bathtub. 1 shower. (A separate bathroom for each sex, containing at least one bathtub and one shower, is recommended. A ratio of one bathtub or one shower for each 10 beds is desirable.) Note:2 It is recommended that a specially designed nursing unit, similar to that required in the section on rehabilitation facilities in a hospital, be provided for rehabilitation patients in the Chronic Disease Hospital. E. Surgical Department? Shall be located to prevent traffic through it to any other part of the hospital. Major operating room. Scrub-up facilities. Anesthesia equipment storage. Clean-up room. Storage closet. Janitor's closet. Central sterilizing and supply room. 1Desirable but not mandatory. 2If required by program. F. If a surgical department is not included the central sterilizing and supply room must be provided elsewhere in the hospital. Doctors' locker room with toilet. (Shower desirable but not mandatory.) Nurses' locker room with toilet. (Shower desirable but not mandatory.) Dental Department: Facilities for dental diagnosis, treatment and laboratory procedures. G. Service Department (1) Dietary facilities: Main kitchen and dietotherapy facilities. Dietitians' space. Appropriate food service facilities. Dishwashing room. Adequate refrigeration. Garbage disposal facilities. Day storage room. Personnel dining room: Provide 12 square feet per person. May be designed for multiple seating. Janitor's closet. (2) Housekeeping facilities: Laundry: Unless commercial or other laundry facilities are available, each Chronic Disease Hospital shall have a baundry of sufficient capacity to process full 7 days laundry in work week and contain the following areas: Where no laundry is provided in the hospital, a soiled linen room and a clean linen and sewing room shall be provided. Housekeeper's office. (3) Mechanical Facilities: Boiler and pump room. Shower and locker facilities. 1 In Maintenance shops: In hospitals up to and including Toilet room. (Shower desirable but not mandatory.) Male help lockers: Locker room Toilet room. (Shower desirable but not manda (Ratio of male and female help will vary and size of locker rooms must be adjusted accordingly.) 1Desirable but not mandatory. (5) Storage: Inactive record storage. Patients' clothes storage room. General storage: 20 square feet per bed and to be concentrated in one area. Storage of outdoor equipment. 1Desirable but not mandatory. REHABILITATION FACILITIES General: Wherever possible rehabilitation facilities should be located on the ground floor. The evaluation and treatment facilities should be grouped to facilitate integration of the program and located for convenient access by inpatients and outpatients. In determining the size of facilities for inpatient and outpatient services, it should be considered that the outpatient load is usually much larger than the inpatient load. REHABILITATION FACILITIES (MULTIPLE DISABILITY) IN A HOSPITAL The facilities listed in this section which are in existing hospital and which are conveniently located and available for use need not be provided. A. Administration Appointment and cashier's space. Office for volunteer services coordinator. 1 Lobby and waiting room. Public telephone booth. Public toilets. Personnel toilets. 1 B. Evaluation and Treatment Facilities (1) Conference and library room. (2) Medical facilities: Offices, examination rooms and work space for medical personnel such as physicians and nurses. Dental facilities:2 Office and work space for provision of appropriate dental treatment. Physical therapy: Office and work space for physical therapy staff. 1 Desirable but not mandatory. 21f required by program. |