HOSPITAL 2001 HEALTH CARE AND FACILITIES - FGI

1 2001 EDITIO. GUIDELINES. D E S I G N. CONSTRUCTION. FOR. A N D. OF. HOSPITAL . AND. HEALTH CARE. FACILITIES . The american Institute of Architects academy of Architecture for HEALTH The Facility Guidelines Institute With assistance from the Department of HEALTH and Human Services 2001 EDITIO. GUIDELINES FOR. D E S I G N A N D. CONSTRUCTION OF. HOSPITAL . AND. HEALTH CARE. FACILITIES . The american Institute of Architects academy of Architecture for HEALTH The Facility Guidelines Institute With assistance from the Department of HEALTH and Human Services The american Institute of Architects Washington, This publication supersedes the Guidelines for Design and Construction of HOSPITAL and HEALTH Care FACILITIES , 1996-97 edition.

2 To order prepaid copies of the Guidelines, call (202) 626-7541 or 1-800-AIA-3837, press 4. For orders using a purchase order or that must be billed, call 1-800-365-ARCH (2724). Facility Guidelines Institute 1919 McKinney Avenue Dallas, TX 75201. (214) 969-3344. Contents 2001 by the Facility Guidelines Institute All rights reserved The american Institute of Architects 1735 New York Avenue, Washington, DC 20006. Compilation 2001 by The american Institute of Architects All rights reserved Printed in the United States of America First Printing: April 2001. Second Printing: October 2001. ISBN 1-57165-002-4. CONTENTS. Preface vi emergency Service 42. Major Additions and Revisions x Imaging Suite 46. Acknowledgments xiv Nuclear medicine 50.

3 Laboratory Suite 53. 1. Introduction Rehabilitation Therapy Department 54. General 1 Renal Dialysis Unit (Acute and Chronic) 55. Interpretations of Requirements 2 Respiratory Therapy Service 56. Renovation 2 Morgue 57. Design Standards for the Disabled 3 Pharmacy 57. Provisions for Disasters 4 Dietary FACILITIES 58. Codes and Standards 5 Administration and Public Areas 60. Medical Records 60. 2. Environment of Care Central Services 60. Energy and Other Resource Conservation 10 General Stores 61. Linen Services 61. 3. Site FACILITIES for Cleaning and Sanitizing Location 11 Carts 62. Facility Site Design 11 Employee FACILITIES 62. Environmental Pollution Control 11 Housekeeping Rooms 62. Engineering Service and Equipment 4.

4 Equipment Areas 62. General 13 General Standards for Details and Classification 13 Finishes 63. Major Technical Equipment 14 Design and Construction, including Equipment Shown on Drawings 14 Fire-Resistant Standards 65. Electronic Equipment 14 Special Systems 66. Mechanical Standards 68. 5. Construction Electrical Standards 74. Planning and Design 15 Hyperbaric Suite 77. Phasing 16. Commissioning 16 8. Nursing FACILITIES Nonconforming Conditions 17 General Conditions 84. resident Unit 85. 6. Record Drawings and Manuals resident Support Areas 88. Drawings 18 Activities 88. Equipment Manuals 18 Rehabilitation Therapy 89. Design Data 18 Personal Services (Barber/Beauty) Areas 89. Subacute Care FACILITIES 89. 7. General HOSPITAL Alzheimer's and Other Dementia Units 89.

5 General Considerations 19 Dietary FACILITIES 90. Nursing Unit (Medical and Surgical) 19 Administrative and Public Areas 91. Critical Care Units 24 Linen Services 91. Nurseries 30 Housekeeping Rooms 92. Pediatric and Adolescent Unit 31 Engineering Service and Equipment Psychiatric Nursing Unit 32 Areas 92. Surgical Suites 34 General Standards for Details and Obstetrical FACILITIES 39 Finishes 92. CONTENTS. Finishes 94 Reserved 136. Construction Features 94 Special Systems 136. Reserved 94 Mechanical Standards 137. Special Systems 94 Electrical Standards 142. Mechanical Standards 95. Electrical Standards 98 11. Psychiatric HOSPITAL General Conditions 144. 9. Outpatient FACILITIES General Psychiatric Nursing Unit 144.

6 General 103 Child Psychiatric Unit 147. Common Elements for Outpatient Geriatric, Alzheimer's, and Other FACILITIES 104 Dementia Unit 147. Primary Care Outpatient Centers 107 Forensic Psychiatric Unit 147. Small Primary (Neighborhood) Radiology Suite 147. Outpatient Facility 108 Nuclear medicine 147. Outpatient Surgical Facility 110 Laboratory Suite 148. Freestanding emergency Facility 114 Rehabilitation Therapy Department 148. Freestanding Birthing Center 116 Pharmacy 149. Freestanding Outpatient Diagnostic Dietary FACILITIES 149. and Treatment Facility 118 Administration and Public Areas 149. Endoscopy Suite 118 Medical Records 149. Cough-Inducing and Aerosol- Central Services 149. Generating Procedures 119 General Storage 150.

7 Reserved 119 Linen Services 150. Special Systems 119 FACILITIES for Cleaning and Sanitizing Mechanical Standards 120 Carts 150. Electrical Standards 126 Employee FACILITIES 150. Housekeeping Room 150. 10. Rehabilitation FACILITIES Engineering Service and Equipment General Considerations 128 Area 150. Evaluation Unit 128 Waste Processing Services 150. Psychological Services Unit 129 General Standards for Details and Social Services Unit 129 Finishes 150. Vocational Services Unit 129 Design and Construction, including Dining, Recreation, and Day Spaces 129 Fire-Resistant Standards 150. Dietary Department 129 Reserved 150. Personal Care Unit for Inpatients 130 Special Systems 150. Activities for Daily Living Unit 130 Mechanical Standards 151.

8 Administration and Public Areas 130 Electrical Standards 155. Engineering Service and Equipment Areas 131 12. Mobile, Transportable, and Linen Services 131 Relocatable Units Housekeeping Room(s) 131 General 158. Employee FACILITIES 131 Reserved 160. Nursing Unit (for Inpatients) 131 Mechanical Standards 160. Sterilizing FACILITIES 133 Electrical Standards 160. Physical Therapy Unit 133. Occupational Therapy Unit 133 13. Hospice Care 162. Prosthetics and Orthotics Unit 133. Speech and Hearing Unit 133 14. Assisted Living 164. Dental Unit 134. Imaging Suite 134 15. Adult Day Care FACILITIES 165. Pharmacy Unit 134. Details and Finishes 134 Glossary 166. Design and Construction, including Fire-Resistant Standards 136 Index 167.

9 CONTENTS. Tables Sound Transmission Limitations in General Hospitals 78. Ventilation Requirements for Areas Affecting Patient Care in Hospitals and Outpatient FACILITIES 79. Filter Efficiencies for Central Ventilation and Air Conditioning Systems in General Hospitals 82. Hot Water Use General HOSPITAL 82. Station Outlets for Oxygen, Vacuum (Suction), and Medical Air Systems in Hospitals 83. Pressure Relationships and Ventilation of Certain Areas of Nursing FACILITIES 101. Filter Efficiencies for Central Ventilation and Air Conditioning Systems in Nursing FACILITIES 102. Hot Water Use Nursing FACILITIES 102. Filter Efficiencies for Central Ventilation and Air Conditioning Systems in Outpatient FACILITIES 127. Station Outlets for Oxygen, Vacuum, and Medical Air in Outpatient FACILITIES 127.

10 Filter Efficiencies for Central Ventilation and Air Conditioning Systems in Psychiatric Hospitals 157. PREFACE. This is the latest in the 54-year history of this guide- In 1984 DHHS asked the american Institute of lines document to aid in the design and construction Architects Committee on Architecture for HEALTH of HOSPITAL and other HEALTH care FACILITIES . (AIA/CAH) to form an advisory group to work with, and be funded by, the Public HEALTH Service for the The original General Standards appeared in the next revision. When the revisions to the document Federal Register on February 14, 1947, as part of the were complete, the federal government declined to implementing regulations for the Hill-Burton pro- publish it.