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007.05.10-56. Physical Facilities, Rehabilitation Therapy Department.

AR ADC 007.05.10-56Arkansas Administrative Code

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)
Ark. Admin. Code 007.05.10-56
007.05.10-56. Physical Facilities, Rehabilitation Therapy Department.
A. Common Elements. Each rehabilitative therapy department shall include the following, which may be shared or provided as separate units for each service:
1. Office and clerical space with provisions for filing and retrieval of patient records.
2. Reception and control station(s) with visual control of waiting and activities area. (This may be combined with office and clerical space.)
3. Patient waiting area(s) out of traffic with provision for wheelchair patients.
4. Patient toilets with handwashing stations accessible to wheelchair patients.
5. Space(s) for storing wheelchairs and stretchers out of traffic while patients are using the services. These spaces may be separate from the service area but shall be conveniently located.
6. A conveniently accessible housekeeping room and service sink for housekeeping use.
7. Locking closets or cabinets within the vicinity of each work area for securing staff personal effects.
8. Convenient access to toilets and lockers.
9. Access to a demonstration/conference room.
10. Lockable storage for medications.
B. Physical Therapy. If physical therapy is part of the service, the following at least, shall be included:
1. Individual treatment area(s) with privacy screens or curtains. Each such space shall have not less than 70 square feet of clear floor area.
2. Handwashing stations for staff either within or at each treatment space (one handwashing station may serve several stations).
3. Exercise area and facilities.
4. Clean linen and towel storage.
5. Storage for equipment and supplies.
6. Separate storage for soiled items.
7. Patient change area. (If required by the functional program.)
C. Occupational Therapy. If this service is provided, at least the following shall be included:
1. Work areas and counters suitable for wheelchair access.
2. Handwashing stations.
3. Storage for supplies and equipment.
4. An area for daily living activities shall be provided. It shall contain an area for a bed, kitchen counter with appliances and sink, bathroom, and a table/chair.
D. Prosthetics and Orthotics. If this service is provided, at least, the following shall be included:
1. Work space for technicians;
2. Space for evaluating and fitting, with provisions for privacy;
3. Space for equipment, supplies and storage.
E. Recreation Therapy. NOTE: Recreation therapy assists patients in the development and maintenance of community living skills through the use of leisure-time activity tasks. These activities may occur in a recreation therapy department, in specialized facilities (e.g., gymnasium), multipurpose space in other areas (e.g., the nursing unit), or outdoors. If this service is provided, at least, the following shall be included:
1. Activity areas suitable for wheelchair access;
2. Handwashing stations if required by the program;
3. Storage for supplies and equipment;
4. Secured storage for supplies and equipment potentially harmful;
5. Remote electrical switching for equipment potentially harmful.
F. Speech, Hearing, and Audio Therapy. If this service is provided, at least, the following shall be included:
1. Space for evaluation and treatment of patients. The space shall be protected with acoustical treatment of walls and finishes.
2. Space for equipment storage and supplies.
G. Respiratory Care. If respiratory care is part of the service, the following, at least, shall be included as a minimum:
1. Storage of equipment and supplies.
a. Space and utilities for cleaning and sanitizing equipment. Provide physical separation of the space for receiving and cleaning soiled materials from the space for storage of clean equipment and supplies. Appropriate local exhaust ventilation shall be provided if glutaraldehyde or other noxious disinfectants are used in the cleaning.
b. If respiratory services, such as testing and demonstration for outpatients are part of the program, additional facilities and equipment shall be provided as necessary for the appropriate function of the service, including but not limited to:
1) Patient waiting area with provision for wheelchairs;
2) Reception and control station;
3) Patient toilets and handwashing facilities;
4) Room(s) for patient education and demonstration;
2. Cough-Inducing and Aerosol-Generating Procedures. All cough-inducing procedures performed on patients who may have suspected or active infectious Mycobacterium tuberculosis shall be performed in rooms that meets the requirements for airborne infection control.

Credits

Amended Jan. 1, 2016.
<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 007.05.10-56, AR ADC 007.05.10-56
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