Hospital Inspector Recertification Program Part 2, Volume ... · PDF fileChapter 12 interior...

Hospital Inspector Recertification Program

Part 2, Volume 1 2016ARCHITECTURAL

SECTION 202 DEFINITIONS 24-HOUR BASIS

The actual time that a person is an occupant within a facility for the purpose of receiving care. It shall not include a facility that is open for 24 hours and is capable of providing care to someone visiting the facility during any segment of the 24 hours.

Chapter 12 interior environment

1203.2 Ventilation required. Enclosed attics and enclosed rafter spaces formed where ceilings are applied directly to the underside of roof framing members shall have cross ventilation for each separate space by ventilation openings protected against the entrance of rain and snow. Blocking and bridging shall be arranged so as not to interfere with the movement of air. An airspace of not less than 1 inch (25 mm) shall be provided between the insulation and the roof sheathing. The net free ventilating area shall be not less than 1\ 150 of the area of the space ventilated. Ventilators shall be installed in accordance with manufacturer's installation instructions.

SECTION 1207 SOUND TRANSMISSION

1207.1 Scope. This section shall apply to common interior walls, partitions and floor/ceiling assemblies between adjacent dwelling units and sleeping units or between dwelling units and sleeping units and adjacent public areas such as halls, corridors, stairways or service areas.

1207.2 Air-borne sound

1207.2 Air-borne sound. Walls, partitions and floor/ceiling assemblies separating dwelling units and sleeping units from each other or from public or service areas shall have a sound transmission class of not less than 50, or not less than 45 if field tested, for air-borne noise when tested in accordance with ASTM E90. Penetrations or openings in construction assemblies for piping; electrical devices; recessed cabinets; bathtubs; soffits; or heating, ventilating or exhaust ducts shall required ratings. This requirement shall not apply to entrance doors; however, such doors shall be tight fitting to the frame and sill.

STRUCTURE – BORNE SOUND

1207.3 Structure-borne sound. Floor/ceiling assembliesbetween dwelling units and sleeping units or between adwelling unit or sleeping unit and a public or service area within the structure shall have an impact insulation class rating of not less than 50, or not less than 45 if field tested, when tested in accordance with ASTM E492.

SHOWERS

1210.2.3 Showers. Shower compartments and walls above bathtubs with installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 72inches (1829 mm) above the drain inlet.

1224.3 DEFINITIONS

CLEAR DIMENSION. An unobstructed room dimensionexclusive of built-in casework and equipment and available for functional use.

1224.3 DEFINITIONScontinued

LOCATION TERMINOLOGY (terms for relationship to an area or room)IN. Located within the identified area or room. DIRECTLY ACCESSIBLE. Connected to the identified area or room through a doorway, pass-through, or other opening without going through an intervening room or public space.


ADJACENT. Located next to but not necessarily connected to the identified area or room.IMMEDIATELY ACCESSIBLE. Available either in oradjacent to the identified area or room.READILY ACCESSIBLE. Available on the same floor asthe identified area or room.


HYBRID OPERATING ROOM. A room that meets the definition of an operating room and is also equipped to enable diagnostic imaging before, during, and after surgical procedures. Imaging equipment is permanently installed in the room and may include MRI, fixed single plane and bi-plane tomographic imaging systems, and computed tomographic equipment.Note: Use of portable imaging technology does notmake an operating room a hybrid operating room.


PATIENT CARE LOCATIONSBAY (patient). A space for human occupancy with one hard wall at the headwall and three soft walls ( e.g., cubicle curtains or portable privacy screen).CUBICLE. A space intended for human occupancy that has at least one opening and no door and is enclosed on three sides with full-height or partial-height partitions.PATIENT CARE STATION. A designated space for a specific patient care function. This term does not imply any structural requirement ( e.g., a Post-anesthesia Care Unit (PACU) can have IO patient care stations of which three are rooms, three are cubicles, and four are bays).


ROOM. A space enclosed by hard walls and having a door. Where the word "room" or "office" is used, a separate, enclosed space for the one named function is intended. Otherwise, the described area may be a specific space in another room or common area.

1224.4 GENERAL CONSTRUCTION

1224.4.4 Support areas for patient care. Identifiable spaces shall be provided for each function indicated in all Basic and applicable Supplemental Service Space sections with requirements for support areas. The following rooms and spaces are common to most types of health care facilities and the requirements associated with each, as listed below, shall be used unless modified under a specific Service Space section.

1224.4 GENERAL CONSTRUCTIONcontinued

1224.4.4.2 Administrative center(s) or nurse station(s).This area shall have space for counters andstorage and at least one hand-washing station shall belocated in, adjacent to, or directly accessible to the administrative center or nurse station. It may be combined with or include centers for reception, charting and communication.


• 1224.4.4.4.1 Medication preparation room. • lf provided, this room shall be directly accessible from the

nursing station. When a medicine preparation room is to be used to store one or more self-contained medicine dispensing units, the room shall be designed with adequate space to prepare medicines with the self-contained medicine dispensing unit(s) present. Medicine preparation rooms shall include:

• 1. Work counter.• 2. Handwashing station.• 3. Refrigerator.• 4. Locked storage for controlled drugs.


• 1224.4.4.5 Nourishment area or room. Nourishment• areas or rooms required in patient care areas shall include the following:• 1. Sink• 2. Work counter• 3. Refrigerator• 4. Storage cabinets• 5 . Equipment for hot and cold nourishment between scheduled meals.• 6. The nourishment shall include space for trays and dishes used for

nonscheduled meal service.• 7. Provisions and space shall be included for separate temporary storage of

unused and soiled dietary trays not picked up at mealtime.• 8. Handwashing fixtures separate from the nourishment sink shall be in or

adjacent to the nourishment area.


• 1224.4.4.6 Clean utility/workroom. • The clean workroom or clean supply room shall be separate

from and have no connection with the soiled workroom or soiled holding room. lf the room is used for preparing patient care items, it shall contain the following:

• 1. Work counter• 2. Handwashing station• 3. Storage facilities for clean and sterile supplies


• 1224.4.4.7 Soiled utility/workroom. • The soiled workroom or soiled holding room shall be separate

from and have no connection with either clean workrooms or clean supply rooms. The soiled utility/workroom shall contain:

• 1. Clinical sink (or equivalent flushing -rim fixture).• 2. Handwashing station• 3. Work counter• 4. Space for separate covered containers for soiled linen and/or

waste


• 1224.14.1.6 Handwashing stations. • A handwashing station shall be provided in the patient room.

This handwashing station shall be located at or adjacent to the entrance to the patient room with unobstructed access for use by health care personnel and others entering and leaving the room. Water spouts used shall have clearances adequate to avoid contaminating utensils and the contents of carafes, etc. In multiple-bed rooms the and washing station shall be located outside of the patient's cubicle curtain so that it is immediately accessible to staff Where renovation of patient rooms is undertaken a handwashing station shall be located in the patient toilet room or patient room.


• 1224.15 SURGICAL SERVICE SPACE.• 1224.15.1 General. A minimum of one operating room is

required. The surgical service space shall be divided into two designated areas: 1) semi-restricted areas ( e.g. storage areas for clean and sterile supplies, sterile processing rooms, scrub stations, and corridors leading to restricted areas of the surgical suite, etc.); and 2) restricted areas (e.g. operating rooms, hybrid operating rooms, sterile procedure rooms, cardiac catheterization labs, etc.) that can be reached only through a semi-restricted area. The surgical service space shall be located and arranged to provide direct support from the anesthesia/recovery service space with a common door to prevent nonrelated traffic through the surgical service space.

1224.16 ANESTHESIA/RECOVERY SERVICE SPACE

• 1224.16.5 Support areas for patient care.• 1224.16.5.1 Administrative area / nurse station. • A nurse station shall be provided in postoperative patient care

areas, and shall allow direct observation of the patients and charting facilities. The nurse station shall comply with the requirements of Section 1224.4.4.2.


• 1224.16.5.2 Clinical sink. A clinical sink shall be provided• in postoperative patient care areas with provisions• for bedpan cleaning.

• 1224.16.5.3 Medication station. Each Post-Anesthesia• Care Unit shall contain a medication station. The medication• station shall comply with the requirements of• Section 1224.4.4.4.


• 1224.16.5.4 Ice-making. • Ice making equipment shall be provided in the perioperative

service space. Ice making equipment is permitted to be located in preoperative or postoperative patient care areas, however, it shall not be located in semi-restricted areas.


• 1224.16.5.5 Storage. • Storage shall be provided for gurneys, supplies and equipment.• 1224.16. 6 Support areas for staff • Staff toilet rooms shall be immediately accessible to the

postoperative patient care area(s) to maintain staff availability to patients.

• 1224.16.7.1 Waiting area. A waiting area, in compliance• with Section 1224.4.5, shall be provided.


• 1224.16.7.2 Patient change area. A changing area• shall be provided for outpatient use in perioperative• areas in support of surgical suites that provide outpatient

procedures. The changing area shall include• space for changing or gowning, provisions for storing• patients' belongings during the procedure, and access• to patient toilet(s).

1224.20.2.6 ASSEMBLY AND DISTRIBUTION

• 1224.20.2.6 Assembly and distribution.•• The patient tray assembly area shall be immediately accessible

to the food preparation and distribution areas.

GENERAL STORAGE

• 1224.23.1 General storage. • Hospitals shall provide general storage space of at least 20

square feet (1.86 m2) per bed in addition to specialized storage spaces. All storage spaces shall be located within the hospital building and readily accessible to the connecting corridor required under Section 1224.4.7.5.

1224.28 SUPPLEMENTAL SURGERY AND SPECIAL PROCEDURE SERVICES

• 1224.28.4 Interventional imaging. • Image-guided interventional procedures shall be performed in

procedure rooms in compliance with this section. Cardiac catheterization operating rooms shall be in compliance with Section 1224.28.2, and hybrid operating rooms shall be in compliance with Section 1224.28.5.

• 1224.28.4.1 Space requirements. • The procedure room shall meet the space, clearance, and

storage requirements for the imaging equipment contained in the room and the following:

• 1. A minimum clear dimension of 18 feet ( 5486mm).• 2. The procedure room shall also be sized to allow a minimum

clearance of 4 feet (1219 mm) on all• sides of the procedure table.

1224.28 SUPPLEMENTAL SURGERY AND SPECIAL PROCEDURE SERVICES continued


• 1224.28.4.2 Pre-procedure and recovery. • Pre-procedure and recovery areas shall be immediately

accessible to procedure rooms and separate from corridors. The pre-procedure and recovery areas shall comply with the requirements of Section 1224.16 Anesthesia/ recovery Service Space.


• 1224.28.4.3 Interventional MRI facilities. • Interventional and intraoperative magnetic resonance imaging

(I-MRI) procedure rooms shall comply with Section 1224.28.5 Hybrid Operating Rooms.


• 1224.28.4.4 Control room or area. • A control room or area shall be provided.1. The control room or area shall be sized to accommodate the

image-recording and viewing equipment.

2. A shielded view window permitting direct observation of the patient from the control console shall be provided.


• 1224.28.4.4 Control room or area. • A control room or area shall be provided. Continued

3) The shielded control room shall be configured to prevent radiation exposure into occupied areas of the control room when ionizing radiation modalities are used.

4) Where the procedure room requires positive ( or negative) pressure, a door shall be provided between the control room and the procedure room or between the combined control room/procedure room and other adjacent space.

5) Where control functions for ionizing radiation exposures take place in the procedure room, storage for personal radiation protection devices shall be provided.


• 1224.28.5.2 Control room. • lf required, a control room shall be provided that accommodates the

imaging system control equipment and the following requirements:1. The control room shall have a minimum clear floor area of 120

square feet (ll.15 m2), which may include fixed work surfaces.2. The room shall be physically separated from the hybrid operating

rooms with walls and a door. 3. The room shall have viewing windows that provide for a full view of

the patient and the surgical team.4. If the control room is adjacent to a restricted area, it must be

physically separated from the restricted area with walls and a door.


• 1224.28.5.3 Imaging equipment room. • An imaging equipment room shall be provided for each hybrid

operating room.


• 1224.28.5.5.2 iMRI. Hybrid operating rooms with intraoperative magnetic resonance imaging (iMRI)systems shall comply with the following:

1. Space and configuration requirements in Section 1224.18.4, except the clearances shall meet the requirements of 1224.28.5.1.

2. The control room shall comply with Section 1224.18.4, Item 1.3. The anteroom shall comply with Section 1224. 18.4. 2.4. Entry doors to iMRl hybrid rooms shall swing outward from

inside the room.

1224.33 EMERGENCY SERVICES

• 1224.33.I Definition. Levels of emergency care range• from initial emergency management as Standby Emergency• Medical Service, with a Physician on call; to definitive• emergency care as Basic Emergency Medical Service,• with a Physician on duty; to a Comprehensive Emergency• Medical Service as an Emergency Department.

CHAPTER 14 EXTERIOR WALLS

• [BS] 1405.10.1.4 Adhered masonry veneer installed with lath and mortar.

• Exterior adhered masonry veneer installed with lath and mortar shall comply with the following. Note [BS] = IBC – Structural Code Development

Committee

• [BS] 1405.10.1.4.1 Lathing. Lathing shall comply• with the requirements of Section 2510.


• [BS] 1405.10.1.4.2 Scratch coat. • A nominal ½-inch-thick (12.7 mm) layer of mortar complying

with the material requirements of Sections 2103 and 2512.2 shall be applied, encapsulating the lathing. The surface of this mortar shall be scored horizontally, resulting in a scratch coat.


• [BS] 1405.10.1.4.3 Adhering veneer. • The masonry veneer units shall be adhered to the mortar

scratch coat with a nominal ½-inch-thick (12.7 mm) setting bed of mortar complying with Sections 2103 and 2512.2 applied to create a full setting bed for the back of the masonry veneer units. The masonry veneer units shall be worked into the setting bed resulting in a nominal 3/8-inch (9.5 mm) setting bed after the masonry veneer units are applied.

SECTION 1504 PERFORMANCE REQUIREMENTS

• 1504.1.1 Wind resistance of asphalt shingles. • Asphalt shingles shall be tested in accordance with ASTM

D7158. Asphalt shingles shall meet the classification requirements of Table 1504.1.1 for the appropriate maximum basic wind speed. Asphalt shingle packaging shall bear a label to indicate compliance with ASTM D7158 and the required classification in Table 1504.1.1.

• Exception: Asphalt shingles that are not included in the scope of AS1M D7158 shall be tested and labeled to indicate compliance with AS1M D3161 and the required classification in Table 1504.1.1.

SECTION 1504 PERFORMANCE REQUIREMENTS

• 1504.3.1 Other roof systems. • Built-up, modified bitumen, fully adhered or mechanically

attached single-ply roof systems, metal panel roof systems applied to a solid or closely fitted deck and other types of membrane roof coverings shall be tested in accordance with FM 4474, UL 580 or UL 1897.

Section 1505 Fire Classification

• [BF] 1505.2 Class A roof assemblies. • Class A roof assemblies are those that are effective against

severe fire test exposure. Class A roof assemblies and roof coverings shall be listed and identified as Class A by an approved testing agency. Class A roof assemblies shall be permitted for use in buildings or structures of all types of construction. Note: [BF]= IBC - Fire Safety Code Development Committee• Exceptions:• 1. Class A roof assemblies include those with coverings of

brick, masonry or an exposed concrete roof deck.

Section 1505 Fire Classification

• [BF] 1505.2 Class A roof assemblies. Continued • Exceptions:• 2. Class A roof assemblies also include ferrous or copper

shingles or sheets, metal sheets and shingles, clay or concrete roof tile or slate installed on noncombustible decks or ferrous, copper or metal sheets installed without a roof deck on noncombustible framing.

• 3. Class A roof assemblies include minimum 16 ounce per square foot (0.0416 kg/m2) copper sheets installed over combustible decks.

• 4. Class A roof assemblies include slate installed over ASTM D226, Type II underlayment over combustible decks.

Section 1507 Requirements for Roof Coverings

• 1507.2.9.3 Drip edge. • A drip edge shall be provided at eaves and rake edges of shingle roofs.

Adjacent segments of the drip edge shall be lapped a minimum of 2 inches (51 mm). The vertical leg of drip edges shall be a minimum of 1-1/2 inches (38 mm) in width and shall extend a minimum of 1/4 inch (6.4 mm) below sheathing. The drip edge shall extend back on the roof a minimum of 2 inches (51 mm). Underlayment shall be installed over drip edges along eaves. Drip edges shall be installed over underlayment along rake edges. Drip

• edges shall be mechanically fastened a maximum of 12 inches (305 mm) on center.

Section 1507 Requirements for Roof Coverings

• 1507.4.4 Attachment. Metal roof panels shall be secured to the supports in accordance with the approved manufacturer's fasteners. In the absence of manufacturer recommendations, the following fasteners shall be used:

• 1. Galvanized fasteners shall be used for steel roofs.• 2. Copper, brass, bronze, copper alloy or 300 series stainless-

steel fasteners shall be used for copper roofs.• 3. Stainless-steel fasteners are acceptable for all types of metal

roofs.• 4. Aluminum fasteners are acceptable for aluminum roofs

attached to aluminum supports.

QUESTIONS

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