216 R.I. Code R. § 216-RICR-40-10-16.13 - Physical Plant
16.13.1
New
Construction, Additions or Modifications
A. All construction, as defined in rules and
regulations pursuant to R.I. Gen. Laws Chapter 23-15 shall be subject to the
following provisions:
1. R.I. Gen. Laws
Chapter 23-15.
2. Rhode Island Food
Code (Part 50-10-1 of this Title).
3. R.I. Gen. Laws §
23-1-31.
4. R.I. Gen. Laws Chapter 23-28.1.
5. R.I. Gen. Laws Chapter 23-27.3.
6. Incorporated materials at §
16.2(D) of
this Part.
7. Facility Guidelines
Institute's "Guidelines for Design and Construction of Hospital and Outpatient
Facilities" (2014). "
8.
Incorporated materials at §
16.2(A) of
this Part.
9. In addition, any
other applicable state and local law, codes and regulations shall apply. Where
there is a difference between codes, the code having the higher standard shall
apply.
16.13.2
General Provisions - Physical Environment
A. Each center shall be constructed, equipped
and maintained to protect health and safety of disabled patients, personnel and
the public. All equipment and furnishings shall be maintained in good
condition, properly functioning and replaced when necessary.
B. The entire physical plan, including
functional units of the center, service areas, shall be accessible to, and
functional for disabled patients, personnel and the public. All necessary
accommodations shall be made to meet the needs of persons with mobility
disabilities or sight, hearing and coordination or perception disabilities in
accordance with "The American Nation Standard-Specifications for Making
Buildings and Facilities Accessible to and Usable by the Physically Handicapped
(ANSI)", incorporated above in §
16.2(D) of
this Part and the Facility Guidelines Institute's "Guidelines for Design and
Construction of Hospital and Outpatient Facilities" (2014).
C. Blind non-ambulatory, physically
handicapped or patients with mobility disabilities which limit
self-preservation capability shall not be housed above the street level floor
unless the center is equipped with an elevator and meets other requirements of
ANSI as incorporated above in in §
16.2(D) of
this Part. Furthermore, the center must meet R.I. Gen. Laws
§23-28.1.
D. All rooms
utilized by patients shall have proper ventilation and shall have outside
opening with satisfactory screens. Grounds surrounding the center shall be
accessible to and usable by patients and shall be maintained in an orderly and
well-kept manner.
16.13.3
Functional Units and Service
Areas
A. All functional units and
service areas of the rehabilitation hospital center shall be based on the
guidelines for rehabilitation facilities in the Facility Guidelines Institute's
"Guidelines for Design and Construction of Hospital and Outpatient Facilities"
(2014) and Standards for Facilities Serving People with Disabilities"
incorporated above in §
16.2(A) of
this Part. Such functional units and service areas shall include:
1. Nursing unit (for Inpatients);
2. Day Patient and Out Patient
units;
3. Dietary Unit pursuant to
§16.11.6 of this Part;
4.
Psychological/Social or Vocational Services Unit;
5. Patients' Dining, Recreation and Day
Spaces.
a. If a multi-purpose room is used,
there must be sufficient space to accommodate dining and patient activities of
both inpatient and day patients and present interference with each
other;
b. Storage shall be provided
for recreational equipment and supplies.
6. Unit for Teaching Activities of Daily
Living: bathing, dressings, going to toilet, continence, feeding and
transfer;
7. Physical and
Occupational Units, Prosthetics and Orthotics; and
8. Such other units as may be required in
accordance with the aforementioned rules and regulations.
16.13.4
Special Care
Unit
A patient room shall be designated for isolation purposes. Such room shall be properly identified with precautionary signs, shall have outside ventilation, private toilet and hand washing facilities.
16.13.5
Therapeutic
Pools
Centers providing therapeutic pool services shall be subject to the applicable rules and regulations of Aquatic Venues (Part 50-05-4 of this Title).
16.13.6
Fire and Safety
A. Each center
shall meet the requirements of R.I. Gen. Laws Chapter 23-28.1 pertaining to
fire and safety.
B. A monitoring
program for the internal enforcement of all applicable fire and safety laws and
regulations shall be established. Such program shall include written procedures
for the implementation of policies, regulations and statutes. A log of such
monitoring shall be maintained.
16.13.7
Lighting and Electrical
Services/Emergency Power
A. All
electrical and other equipment used in the center shall be maintained free of
defects which could be a potential hazard to patients or personnel. Periodic
calibration and/or preventive maintenance of equipment shall be provided and
documentation of all testing shall be maintained.
B. All electrical appliances used by centers
shall have the Underwriters Laboratories label or be approved by local
electrical inspection authorities.
C. Each center shall be equipped with an
alternate emergency power source. The emergency electrical power system shall
have a sufficient capacity to supply power to maintain the operation of any
life-support systems, lighting egress, fire detection equipment, alarm and
extinguishing system.
1. Monthly testing of
emergency power shall be documented and reports retained for at least three (3)
years.
16.13.8
Incinerators
A. Incinerators
within hospitals shall be segregated from other parts of the building by
non-combustible construction, with walls, floors and ceilings having a fire
resistance rating of not less than two hours. Openings to such rooms shall be
protected by Class B fire doors, and equipped with positive self-closing
devices in accordance with R.I. Gen Laws Chapter 23-28.1.
B. Incinerators within the center shall meet
the Department of Environmental Management's "Air Pollution Control Regulation
No. 12 - Incinerators".
16.13.9
Plumbing
A. All plumbing material and plumbing systems
or parts thereof installed shall meet the minimum requirements of R.I. Gen.
Laws Chapter 23-27.3. The local codes will supersede the aforementioned only if
they are more stringent.
B. All
plumbing shall be installed in such a manner as to prevent back siphonage or
cross connections between potable and non-potable water supplies.
C. Fixtures from which grease is discharged
shall be served by a line in which a grease trap is installed. The grease trap
shall be cleaned sufficiently often to sustain efficient
operation.
16.13.10
Waste Water Disposal
Any new center shall be connected to a public sanitary sewer.
16.13.11
Waste
Disposal
A. Medical Waste. Medical
waste as defined in the Rhode Island Department of Environmental Management's
Medical Waste Regulations (250-RICR- 140-15-1) shall be managed in accordance
with the provisions of the aforementioned regulations.
1. Such hazardous waste materials shall be
placed in watertight and durable containers in accordance with acceptable
practices for transportation.
B. Other Waste. Wastes which are not
classified as medical waste, hazardous wastes or which are not otherwise
regulated by law or rule may be disposed in dumpsters or load packers provided
the following precautions are maintained:
1.
The recommendations of the United States Consumer Product Safety Commission,
subchapter B-Consumer Product Safety Commission Regulations, should serve as
guidelines in establishing protective measures against hazardous dumpsters and
load packers.
2. Dumpsters shall be
tightly covered, leak proof, inaccessible to rodents and animals, and placed on
concrete slabs preferably graded to a drain. Water supply shall be available
within easy accessibility for washing down of the area. In addition, the
pick-up schedule shall be maintained with more frequent pick-ups when required.
The dumping site of waste materials must be in sanitary landfills approved by
the Department of Environmental Management.
3. Load packers must conform to the same
restrictions required from dumpsters and in addition, load packers shall be:
high enough off the ground to facilitate the cleaning of the underneath area of
the stationary equipment; and the loading section should be constructed and
maintained to prevent rubbish from blowing from said area site.
16.13.12
Water
Supply
A. Water for consumption shall
be obtained from a community water system defined in rules and regulations
pertaining to Public Drinking Water (Part 50-05-1 of this Title) approved by
the Department of Health.
B. The
water shall be distributed to conveniently located taps and fixtures throughout
the buildings and shall be adequate in volume and pressure for all center
purposes, including firefighting.
Notes
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No prior version found.