9.7.1
New
Construction
A. All new construction
shall be subject to the provisions of NFPA 56A: Standard for Fire and Explosion
Prevention During Cleaning and Purging of Flammable Gas Piping Systems,
incorporated above at §
9.2(A)(1),
and R.I. Gen. Laws Chapters 23-28.1 and 23-27.3.
B. In addition, any other applicable state
and local laws, codes and regulations shall apply. (Where there is a difference
between codes, the code having the more stringent standard shall
apply.)
9.7.2
Physical Facility
A. The FECF
shall be designed and equipped to facilitate the reception, examination,
treatment and observation of patients, in accordance with prevailing standards,
safeguarding the dignity and privacy of patients and their families to the
extent consistent with providing emergency medical care and with efficient
administration.
B. In existing
facilities, unless a variance is granted by the licensing agency, the same
standards as specified above in §9.7.1 of this Part for new construction
shall apply.
C. The entrance of the
FECF shall be clearly identified externally and shall be accessible to
emergency vehicles and pedestrian traffic. All entrance doors shall be well
lighted, wide enough to accommodate patients, attendants and equipment. A ramp
shall be provided for wheelchair and stretcher patients when the use of stairs
would be required otherwise.
9.7.3
Environmental Maintenance
A. The FECF shall be maintained and equipped
to provide a sanitary, safe and comfortable environment, with all furnishings
in good repair, and the premises shall be kept free of hazards.
B. Written policies and procedures shall be
established to assure comfortable, safe and sanitary environment and
appropriate lighting throughout the facility.
C. Appropriate equipment and supplies to
clean the facility shall be maintained in a safe, sanitary condition.
D. Hazardous cleaning solutions, compounds
and substances shall be labeled, stored in a safe place and kept in an enclosed
section separate from other cleaning materials.
E. Smoking shall be permitted only in
designated areas.
9.7.4
Waste Disposal
A. Infectious
Waste
Infectious waste as defined in the Department of
Environmental Management's Rules and Regulations Governing the Generation,
Transportation, Storage, Treatment, Management && Disposal of Regulated
Medical Waste in Rhode Island, shall be managed in accordance with the
provisions of the aforementioned regulations.
B. Other Waste
Wastes which are not classified as infectious waste,
hazardous wastes, or which are not otherwise regulated bylaw or rule may be
disposed in dumpsters or load packers provided the following precautions are
maintained:
1. 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.
2. Load packers must conform to the same
restrictions required for dumpsters and in addition, load packers shall be:
a. High enough off the ground to facilitate
the cleaning of the underneath areas of the stationary equipment; and
b. The loading section shall be constructed
and maintained to prevent rubbish from blowing from said area site.
