Section 22-B3245. NURSING UNIT DESIGN

 

3245.1A nursing station space shall be provided on each unit for the supervision and care of each resident.

 

3245.2No resident's bedroom shall be located more than one-hundred and twenty (120) feet from the nursing station.

 

3245.3Adequate space and facility for the proper and easy maintenance of medical records shall be provided at each nursing station, and shall include an ample writing surface, be well-lighted, and be within easy reach of file cabinets and other record storage equipment.

 

3245.4Each nursing station shall be well-ventilated, reasonably insulated from sound, and equipped with a telephone.

 

3245.5At least one (1) toilet room with a sink shall be provided for the nursing staff.

 

3245.6Where unit-dose or a similar medication system is not used, a medication preparation and storage room adjacent to the nurses station shall be provided.

 

3245.7Each nurses station shall be well-lighted, equipped with hot and cold water fixtures, a locked refrigerator, and other locked cabinets used only for storage of medications and drug supplies, including controlled substances. Access to these areas shall be limited to authorized nursing, medical or pharmacy staff.

 

3245.8A clean workroom shall be provided for nursing procedures and shall include a work area and counter space for medication preparation separate from those for nursing procedures. A single sink unit may be used for both activities.

 

3245.9A telephone shall be provided for use by employees.

 

3245.10A call system that meets the following requirements shall be provided:

 

(a)Be accessible to each resident, indicating signals from each bed location, toilet room, and bath or shower room and other rooms used by residents;

 

(b)In new facilities or when major renovations are made to existing facilities, be of a type in which the call can be terminated only in the resident's room;

 

(c)Be of a quality which is, at the time of installation, consistent with current technology; and

 

(d)Be in good working order at all times.

 

3245.11Adequate storage space shall be provided in each nursing unit for the storage of equipment, clean linens, and other non-pharmaceutical supply items.

 

3245.12Adequate utility room space shall be provided in each nursing unit for the separate handling of various soiled functions.

 

3245.13Separate rooms shall be provided when various soiled functions should not be mixed. Each nursing unit room for various soiled functions shall contain the following:

 

(a)Clinical sink;

 

(b)Adequate work counters;

 

(c)Adequate cabinet space;

 

(d)Waste receptacles; and

 

(e)Soiled linen receptacles.

 

source

Notice of Final Rulemaking published at 49 DCR 473 (January 18, 2002).