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Title: Section 715-1.5 - Ambulatory surgery facility construction projects approved or completed between October 14, 1998 and December 31, 2010

Effective Date

12/29/2010

715-1.5 Ambulatory surgery facility construction projects approved or completed between October 14, 1998 and December 31, 2010.

This section applies to ambulatory surgery facility construction projects approved by the department or commissioner between October 14, 1998 and December 31, 2010 and to ambulatory surgery facility construction projects not requiring such approval that are completed between October 14, 1998 and December 31, 2010.

(a) Ambulatory surgery facilities shall comply with Chapter 21, "Existing Ambulatory Health Care Occupancies", of NFPA 101, Life Safety Code, 2000 edition, which is described in section 711.2(a) of this Title. Where an ambulatory surgery facility includes medical gas installations and clinical vacuum systems, and is part of a larger building that does not comply with or exceeds the fire safety requirements applicable to the installation of medical gases and clinical vacuum systems described in NFPA 101, Life Safety Code, 2000 edition, and NFPA 99, Standard for Health Care Facilities, 1999 edition, there shall be not less than one hour fire-related separation between the ambulatory surgery facility and other parts of the building. The ambulatory surgery facility shall have not less than two exits to the exterior. The documents referred to in this subdivision are described in more detail in section 711.2(a) of this Title.

(b) The extent (number and types) of the diagnostic, clinical, and administrative facilities to be provided will be determined by the services contemplated and the estimated patient load as described in the narrative program. Provisions shall be made for patient examination, interview, preparation testing, and obtaining vital signs of patient for ambulatory surgeries, in addition to the following:

(1) An area for locked storage for drugs and refrigeration for biologicals (separate from the nourishment area refrigerator) shall be provided.

(2) A separate area for storing clean and sterile supplies shall be provided.

(3) Provisions shall be made for separate collection, storage and disposal of soiled materials.

(4) Sterile supplies may be prepackaged disposables, or processed off-site. If instruments and supplies are sterilized on-site, an area for accommodation of sterilizing equipment as appropriate shall be provided.

(c) Clinical facilities shall include and comply with the following:

(1) At least one room shall be provided for examination and testing of patients prior to surgery.

(2) The operating room suite shall be arranged so as to preclude unrelated traffic, and the following shall be provided for:

(i) a control station located to permit visual surveillance of all traffic which enters the operating suite;

(ii) scrub facilities near the entrance of each operating room;

(iii) fluid waste disposable facilities;

(iv) clean workroom;

(v) central stored and piped medical gas and storage space for reserve nitrous oxide and oxygen cylinders;

(vi) at least one x-ray film illuminator for each operating room;

(vii) an emergency communication system;

(viii) a drug distribution center; and

(ix) a soiled holding room.

(3) Room(s) for post-operative recovery of surgical patients with at least one bed per operating room.

(4) All ceilings and walls shall be cleanable, readily washable and free of crevices that can retain dirt particles.

(5) Hand washing facilities for staff in patient care areas shall be trimmed with valves that are operable without the use of hands.

(6) Emergency lighting and power shall be provided for in accordance with NFPA 99: Standard for Health Care Facilities, 1999 edition, and NFPA 101, Life Safety Code, 2000 edition, and NFPA 110, Standard for Emergency and Standby Power Systems, 1999 edition, as described in section 711.2(a) of this Title.

Volume

VOLUME D (Title 10)

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