10A NCAC 13B .6202      SPECIAL CARE UNIT

(a)  Each patient room shall meet the following requirements:

(1)           Clearance between beds in multi-bed rooms shall be not less than 7 feet with provision for visual privacy of patients.  Each patient bed space shall have a minimum of 130 square feet with a minimum dimension of 11 feet;

(2)           One single isolation bedroom meeting the requirements of Rule .6201(5) of this Section shall be provided for each 12 special care beds or fraction thereof;

(3)           Glazing in all viewing panels in partitions and doors shall be safety glass, wire glass, or fire rated glass;

(4)           A lavatory shall be provided in each patient room.  In multi-bed rooms, lavatories shall be provided within 10 feet of each bed;

(5)           A nurse call system is required except in neonatal units;

(6)           Each single-bed cubicle or room shall have a window to the outdoors.  In the case of ward-type patient bed areas of two or more patients where cubicle privacy curtains are used, at least one window shall be provided for every two beds.  Windows shall be positioned to provide a maximum distance of 18 feet between the normal head position of each patient and a window.  Window sills shall not exceed five feet above the floor; and

(7)           Toilet facilities provided for each special care unit shall be accessible from within the unit. Portable toilets may be used within the patient room.  Storage and service of portable toilets shall be provided, if used.  Fixed toilets shall have sufficient clearance to facilitate use by patients needing assistance.

(b)  The service elements and areas listed below shall be provided within each special care unit:

(1)           A nurses' station located to permit visual observation of each patient served;

(2)           Hand washing facilities convenient to nurses' station;

(3)           Designated charting space in addition to monitoring service space;

(4)           A staff toilet room containing a water closet and a lavatory;

(5)           Facilities for the safekeeping of coats and personal effects of staff;

(6)           A clean workroom or a system for storage and distribution of clean supplies.  The clean area shall contain a work counter, hand washing facilities and storage facilities;

(7)           A soiled workroom, or a soiled holding room as part of a system for the collection and disposal of soiled materials.  The soiled workroom shall contain a clinical sink or other flushing device, a sink equipped for hand washing, and a work counter.  A soiled holding room shall be similar to the soiled workroom except that the clinical sink and work counter may be omitted;

(8)           A drug distribution station that meets the current minimum requirements of governing state and federal agencies including lavatory;

(9)           A clean linen storage closet or alcove.  This may be a designated area within the clean workroom.  If a closed cart system is used, storage may be in a controlled alcove clear of corridor width;

(10)         A separate nourishment area with a sink, equipment for serving nourishment between meals, a refrigerator, and storage facilities.  New or replacement ice dispensing equipment for patient service shall be of a self-dispensing type that will not require use of utensils;

(11)         Storage area for emergency and other rolling equipment outside of corridor width;

(12)         Secure facilities for storage of patients' personal effects;

(13)         Bedpan washing devices; and

(14)         A separate waiting room with seating accommodations for visitors, a toilet room, and a public telephone.  The waiting room may serve more than one special care unit.

 

History Note:        Authority G.S. 131E-79;

Eff. January 1, 1996.