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007.05.10-54. Physical Facilities, Mobile, Transportable, and Relocatable Units.

AR ADC 007.05.10-54Arkansas Administrative CodeEffective: February 5, 2021

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 10. Rules for Critical Access Hospitals in Arkansas (Refs & Annos)
Effective: February 5, 2021
Ark. Admin. Code 007.05.10-54
007.05.10-54. Physical Facilities, Mobile, Transportable, and Relocatable Units.
A. General. This section applies to mobile, transportable, and relocatable structures.
B. Definitions.
1. Mobile Unit -- Any premanufactured structure, trailer, or self-propelled unit equipped with a chassis on wheels and intended to provide medical services on a temporary basis.
2. Transportable Unit -- Any premanufactured structure or trailer, equipped with a chassis on wheels, intended to provide medical services on an extended basis.
3. Relocatable Unit -- Any structure, not on wheels, built to be relocated at any time and provide medical services.
C. General Considerations.
1. Classifications. These facilities shall be classified as either a small outpatient facility, large outpatient facility, ambulatory surgery center, or a hospital based upon the definitions provided in the Rules, the program functional and construction type.
2. Applicable Requirements. Facilities classified as a small outpatient clinic shall be designed in accordance with the requirements stipulated in Section 75, Physical Facilities, Outpatient Care Facilities. Facilities classified as a large outpatient facility shall be designed in accordance with the requirements stipulated in item F. of Section 75, Physical Facilities, Outpatient Care Facilities. Facilities classified as a hospital shall be designed in accordance with the requirements stipulated in Section 43, Physical Facilities.
3. These requirements shall be applicable to mobile, transportable, and relocatable structures, when such structures are used to provide shared medical services on an extended or a temporary basis.
4. When any mobile unit, transportable and relocatable unit(s) are situated in a fixed location and rendered immobile they shall be classified and designed as a health care facility.
D. Common Elements for Mobile, Transportable, and Relocatable Units.
1. Site Conditions.
a. Access for the unit to arrive shall be taken into consideration for space planning. Turning radius of the vehicles, slopes of the approach (six (6) percent maximum), and existing conditions shall be addressed.
b. Gauss fields of various strengths of magnetic resonance imaging (MRI) units shall be considered for the environmental effect on the field homogeneity and vice versa. Radio frequency interference shall be considered when planning the site.
c. Sites shall be provided with properly sized power, including emergency power, water, waste, telephone, and fire alarm connections.
d. Site shall have level concrete pads or piers and be designed for the structural loads of the facility.
e. Site utilizing MRI systems shall consider providing adequate access for cryogen-servicing of the magnet. Storage of dewars also shall be included in space planning.
f. It is recommended that each site provide a covered walkway or enclosure to ensure patient safety from the outside elements.
g. Diesel exhaust of the tractor and/or unit generator shall be 25feet away from the fresh air intake of the facility.
h. Each facility shall provide a means of preventing unit movement, either by blocking the wheels or by providing pad anchors.
i. Sites shall provide hazard-free patient drop-off zones and adequate parking.
j. The facility shall provide waiting space for patient privacy and patient and staff toilets as close to the unit docking area as possible.
k. Each site shall provide access to the unit for wheelchair/stretcher patients.
l. Mobile units shall be provided with handwashing stations unless each site can provide handwashing stations within a 25foot proximity to the unit. Transportable and relocatable units shall be provided with handwashing stations.
E. General Standards for Details and Finishes for Unit Construction.
1. Horizontal sliding doors and power-operated doors shall comply with NFPA 101.
2. Units shall be permitted a single means of egress as permitted by NFPA 101.
3. All glazing in doors shall be safety or wire glass.
4. Units shall be equipped with fire detection and alarm systems. In relocatable and transportable units these systems shall be connected to the central fire alarm system.
5. Radiation protection for X-ray and gamma ray installations shall be in accordance with Arkansas Rules and Regulations for Control of Sources of Ionizing Radiation.
6. Interior finish materials shall be class A as defined in NFPA 101.
7. Textile materials having a napped, tufted, looped, woven, nonwoven, or similar surface shall be permitted on walls and ceilings provided such materials have a class A rating and rooms or areas are protected by an automatic extinguishment or sprinkler system.
8. Fire retardant coatings shall be permitted in accordance with NFPA 101.
9. Curtains and draperies shall be noncombustible or flame retardant and shall pass both the large and small scale tests required by NFPA 101. Fire retardant coatings shall be permitted in accordance with NFPA 101.
F. Mechanical Standards.
1. Air conditioning, heating, ventilating, ductwork, and related equipment shall be installed in accordance with NFPA 90A, Standard for the Installation of Air Conditioning and Ventilation systems.
2. Plumbing Standards.
a. Plumbing and other piping systems shall be installed in accordance with the Arkansas State Plumbing Code.
b. Mobile units, requiring sinks, shall not be required to be vented through the roof. Ventilation of waste lines shall be permitted to be vented through the sidewalls or other acceptable locations. Transportable and relocatable units shall be vented through the roof per model plumbing codes.
c. Backflow prevention shall be installed at the point of water connection on the unit.
d. Medical gases and suction systems, if installed, shall be in accordance with NFPA 99.
G. Electrical Standards
1. All electrical material and equipment, including conductors, controls, and signaling devices, shall be installed in compliance with applicable section of NFPA 70 and NFPA 99 and shall be listed as complying with available standards of listing agencies or other similar established standards where such standards are required.
2. The electrical installations, including alarm, nurse call, and communication systems, shall be tested to demonstrate that equipment installation and operation is appropriate and functional. A written record of performance tests on special electrical systems and equipment shall show compliance with applicable codes and standards.
3. Data processing and/or automated laboratory or diagnostic equipment, if provided, may require safeguards from power line disturbances.
4. Main switchboards shall be located in an area separate from plumbing and mechanical equipment and shall be accessible to authorized persons only. Switchboards shall be convenient for use, readily accessible for maintenance, away from traffic lanes, and located in dry, ventilated spaces free of corrosive or explosive fumes, gases, or any flammable material. Overload protective devices shall operate properly in ambient room temperatures.
5. Panelboards serving normal lighting and appliance circuits shall be located on the same level as the circuits they serve.
6. Lighting shall be engineered to the specific application.
7. The Illuminating Engineering Society of North America (IES) has developed recommended lighting levels for health care facilities. The reader should refer to the IES Handbook (1993).
8. Approaches to buildings and parking lots and all occupied spaces shall have fixtures for lighting that can be illuminated as necessary.
9. Consideration should be given to the special needs the elderly. Excessive contrast in lighting levels that make effective sight adaptation difficult should be minimized.
10. A portable or fixed examination light shall be provided for examination, treatment, and trauma rooms.
11. Duplex grounded-type receptacles (convenience outlets) shall be installed in all areas in sufficient quantities for tasks to be performed as needed. Each examination and work table shall have access to a minimum of two duplex receptacles.
12. At inhalation anesthetizing locations, all electrical equipment and devices, receptacles, and wiring shall comply with applicable sections of NFPA 99 and NFPA 70.
13. Fixed and mobile x-ray equipment installations shall conform to articles 517 and 660 of NPFA 70.
14. Emergency lighting and power shall be provided for in accordance with NFPA 99, NFPA 101, AND NFPA 110.
15. The fire alarm system shall be as described in NFPA 101 AND WHERE APPLICABLE NFPA 72.
16. Terminating devices for telecommunications and information systems wiring shall be located on the unit that the terminating devices serve. These terminating devices shall be accessible to authorized personnel only.
17. Special air conditioning and voltage regulation shall be provided when recommended by the manufacturer.

Credits

Amended Jan. 1, 2016; Feb. 5, 2021.
<Statutory authority: Promulgated under the Authority of Ark. Code Ann. ยง 20-7-123, 20-9-201 et seq.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.10-54, AR ADC 007.05.10-54
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