048-3 Wyo. Code R. § 3-5 - Construction Design Requirements for Healthcare Facilities

(a) Wyoming Fire and Life Safety Minimum Standards for Healthcare Facilities.

(i) The 2006 Edition of "NFPA 101: Life Safety Code," and all codes and standards referenced therein, are adopted by reference.

(ii) The 2005 Edition of "NFPA 99: Standard for Health Care Facilities," and all codes and standards referenced therein, are adopted by reference.

(iii) NFPA 13, NFPA 70, NFPA 99, NFPA 101, and NFPA 110, referenced in these rules, are publications of the:

National Fire Protection Association

1 Batterymarch Park

P.O. Box 9101

Quincy, MA 02169-7471

Telephone: (617) 770-3000

URL: http://www.nfpa.org

(iv) Exceptions.

(A) Healthcare facilities that are excepted from "NFPA 101: Life Safety Code" are home health agencies and hospice facilities that do not provide inpatient care.

(B) Healthcare facilities that are excepted from "NFPA 99: Standard for Health Care Facilities" are adult day care facilities, home health agencies, and hospice facilities that do not provide inpatient care.

(C) Any healthcare facility for which the license has lapsed for not more than ten (10) years from the last date of operation and has continuously maintained the building to the 2000 Edition of the "NFPA 101: Life Safety Code" is exempt. Any construction, remodel, or expansion during the period of licensure lapse shall meet the requirements of these rules for new construction.

(b) Wyoming Design and Construction Minimum Standards for Healthcare Facilities.

(i) The "Guidelines for Design and Construction of Health Care Facilities - 2006 Edition," and all codes and standards referenced therein, are adopted by reference.

(ii) This is a publication of:

The American Institute of Architects

1735 New York Ave., NW

Washington, DC 20006-5292

Telephone:1-800-242 -3837

URL: www.aia.org

AIA Store

Telephone: 1-800-242 -3837, option 4

Facsimile: (202) 626-7519

E-Mail address: bookstoreaia.org

(iii) Exceptions.

(A) Healthcare facilities that are excepted from the "Guidelines for Design and Construction of Health Care Facilities - 2006 Edition" are adult day care facilities, assisted living facilities, boarding homes, hospice facilities that do not provide inpatient care, home health agencies, and intermediate care facilities for the mentally retarded.

(B) Any healthcare facility for which the license has lapsed for not more than ten (10) years from the last date of operation and has continuously maintained the physical environment to the licensure standards in effect on the date of last licensure is exempt. Any construction, remodel, or expansion during the period of licensure lapse shall meet the requirements of these rules for new construction.

(iv) Requirements in addition to the "Guidelines for Design and Construction of Health Care Facilities - 2006 Edition" are as follows:

(A) In hospitals and nursing care facilities, the laundry shall have a soiled linen holding room equipped with handwashing facilities and a sink for soaking soiled items.

(B) In ambulatory surgical centers, birthing centers, hospices providing inpatient care, hospitals, and nursing care facilities, continuous mechanical exhaust ventilation shall be provided in all bathing rooms, toilet rooms, and soiled and wet areas.

(C) In hospitals and nursing care facilities, nurse call systems and equipment shall be tested against the provisions of IHS UL Standard 1069.

(D) In ambulatory surgical centers, birthing centers, hospices providing inpatient care, hospitals, and nursing care facilities, the air ducts that penetrate floors shall be provided with fire-rated dampers which are activated by smoke and heat.

(E) In ambulatory surgical centers, birthing centers, freestanding diagnostic testing centers, hospices providing inpatient care, hospitals, medical assistance facilities, nursing care facilities, rehabilitation facilities, and renal dialysis centers, all sinks shall be provided with spray heads or equivalent. Aerators shall not be used.

(F) In ambulatory surgical centers, birthing centers, freestanding diagnostic testing centers, hospices providing inpatient care, hospitals, medical assistance facilities, nursing care facilities, rehabilitation facilities, and renal dialysis centers, all handwash sinks shall have faucets which discharge at least five (5) inches above the spill level of the sink. Soap dispensers and hand drying apparatus shall be provided at each handwash sink.

(G) In nursing care facilities, bathing facilities shall include one (1) circulating type fixture for each nurses' station.

(H) In nursing care facilities, each resident shall have within his or her bedroom, minimum storage space to include a wardrobe, locker or closet, separated from other resident-shared spaces by a solid divider with a minimum dimension of 2' 4" x 1' 8", with a shelf and rod to permit hanging of full-length garments. In addition, a built-in or freestanding drawer unit which contains at least three (3) drawers, with a minimum inside drawer width of 24", shall be provided for each resident. Nightstand furniture is not considered storage space.

(I) Engineering Services and Equipment.

(I) In ambulatory surgical centers, birthing centers, freestanding diagnostic testing centers, hospices providing inpatient care, hospitals, medical assistance facilities, nursing care facilities, rehabilitation facilities, and renal dialysis centers, the boiler room or other rooms containing storage of combustible material shall not contain ventilation equipment, the main electrical switch board, or emergency electrical equipment.

(II) In ambulatory surgical centers, birthing centers, freestanding diagnostic testing centers, hospices providing inpatient care, hospitals, medical assistance facilities, nursing care facilities, rehabilitation facilities, and renal dialysis centers, building water system designs shall be in accordance with "Guideline 12-2000 - Minimizing the Risk of Legionellosis Associated with Building Water Systems," published by the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE).

(III) In ambulatory surgical centers, birthing centers, freestanding diagnostic testing centers, hospices providing inpatient care, hospitals, medical assistance facilities, nursing care facilities, rehabilitation facilities, and renal dialysis centers, all electrical receptacles located adjacent to sinks or other potentially wet areas shall be provided with ground fault circuit interrupter protection.

(IV) In ambulatory surgical centers, birthing centers, hospitals, medical assistance facilities, and nursing care facilities, a standby electrical generator shall be installed in all facilities to provide emergency lighting and power per the 2008 Edition of "NFPA 70: National Electrical Code," the 2005 Edition of "NFPA 99: Standard for Health Care Facilities," and the 2005 Edition of "NFPA 110: Standard for Emergency and Standby Power Systems."

(V) In ambulatory surgical centers, birthing centers, freestanding diagnostic testing centers, hospices providing inpatient care, hospitals, medical assistance facilities, nursing care facilities, rehabilitation facilities, and renal dialysis centers, exposed light bulb fixtures and heat lamps shall not be allowed. Globes, guards, lenses, and speciality coated bulbs shall be provided.

(VI) In ambulatory surgical centers, birthing centers, hospitals, medical assistance facilities, and nursing care facilities, supply and return air systems for patient and resident care areas shall be within a duct. Common returns using corridor, ceiling cavities, and attic spaces as return plenums are prohibited.

(1.) Exception: Remodeling of existing buildings where the remodeling causes no change of space use that previously existed and where the ventilation of the existing building complies with Section 7(b) of these Rules.

(VII) In assisted living facilities where there are sleeping accommodations for more than sixteen (16) residents, the automatic sprinkler system shall be installed in accordance with "NFPA 13: Standard for the Installation of Sprinkler Systems."

(c) Wyoming Building Construction Minimum Standards for Healthcare Facilities.

(i) The 2006 Edition of the "International Building Code," and all codes and standards referenced therein, are adopted by reference.

(A) Modifications to the 2006 Edition of the "International Building Code" applicable to these rules and regulations are as follows:

(I) Sections 103, 104, 105, 108, 110, 111, 112, 113, 114, and 115 are not applicable.

(II) Subsection 101.4.1, Electrical, is modified by deleting AICC Electrical Code and replacing with ANational Electrical Code."

(III) The Department is the building official where the phrase "building official" is used in the applicable Sections of the code.

(IV) Subsection 1805.2.1, "Frost protection," is amended in all areas of the state outside the local government jurisdictions, the minimum depth from finished grade to the bottom of footings shall be three (3) feet for single-story wood or metal frame buildings, and four (4) feet for multistory or masonry buildings.

(ii) The 2006 Edition of the "International Fuel Gas Code," and all codes and standards referenced therein, are adopted by reference.

(A) Modifications to the 2006 "International Fuel Gas Code" applicable to these rules and regulations are as follows:

(I) Sections 103, 104, 106 (other than 106.3.1), 108, and 109 are not applicable.

(II) Subsection 2702.1, "Installation"; Subsection 309.2, "Electrical"; Subsection 1003.2.11.2, "Illumination emergency power"; and Subsection 1003.2.10.5 "Power source"; are modified by deleting AICC Electrical Code and replacing with ANational Electrical Code."

(III) The Department is the code official where the phrase "code official" is used in the applicable Sections of the code.

(iii) The 2006 Edition of the "International Mechanical Code," and all codes and standards referenced therein, are adopted by reference.

(A) Modifications to the 2006 "International Mechanical Code" applicable to these rules and regulations are as follows:

(I) Sections 103, 104, 106 (other than 106.3.1), 108, and 109 are not applicable.

(II) Subsection 301.7, "Electrical," is modified by deleting AICC Electrical Code and replacing with ANational Electrical Code."

(III) The Department is the code official where the phrase "code official" is used in the applicable Sections of the code.

(iv) The 2006 edition of the "International Plumbing Code," and all codes and standards referenced therein, are adopted by reference.

(A) Modifications to the 2006 "International Plumbing Code" applicable to these rules and regulations are as follows:

(I) Sections 103, 104, 106 (other than 106.3.1), 108, and 109 are not applicable.

(II) The Department is the code official where the phrase "code official" is used in the applicable Sections of the code.

(v) The 2006 edition of the "International Fire Code," and all codes and standards referenced therein, are adopted by reference.

(A) Modifications to the 2006 "International Fire Code" applicable to these rules and regulations are as follows:

(I) Sections 103, 104, 105 (other than 105.4), 108, 109, 110, and 111 are not applicable.

(II) Subsection 604.1, "Installation," and Section 605, "Electrical Equipment, Wiring and Hazards," are modified by deleting AICC Electrical Code and replacing with "National Electrical Code.

(III) The Department is the code official where the phrase "code official" is used in the applicable Sections of the code.

(vi) The codes referenced above are publications of:

The International Code Council

500 New Jersey Avenue, NW, 6th Floor

Washington, DC 20001

Telephone: 1-888-422 -7233

Facsimile: (202) 783-2348

URL: http://www.iccsafe.org

Notes

048-3 Wyo. Code R. § 3-5