007.05.16 APPENDIX.
AR ADC 007.05.16 APPENDIXArkansas Administrative CodeEffective: September 29, 2022
Effective: September 29, 2022
Ark. Admin. Code 007.05.16 APPENDIX
007.05.16 APPENDIX.
TABLE 1
Filter Efficiencies for Central Ventilation and Air Conditioning Systems in Health Care Facilities | |||
---|---|---|---|
Area Designation | No. Filter Beds | Filter Bed No.1 (%) | Filter Bed No.2 (%) |
All areas for patient care, treatment, and diagnosis, and those areas providing direct service or clean supplies such as sterile and clean processing. | 2 | 30 | 90 |
Positive Protective Environment Room | 2 | 30 | 99.97 |
Laboratories | 1 | 80 | - |
Administrative, Bulk Storage, Soiled Holding Areas, Food Preparation Areas, and Laundries | 1 | 30 | - |
Notes: The filtration efficiency ratings are based on average dust spot efficiency per ASHRAE 52-76.1 -- 1992.
Additional roughing or prefilters should be considered to reduce maintenance required for filters with efficiencies higher than 75 percent.
TABLE 2
Sound Transmission Limitations in Health Care Facilities | ||
---|---|---|
Airborne Sound Transmission Class (STC) 1 | ||
Partitions | Floors | |
NEW CONSTRUCTION 2 | ||
Patients' Room to Patients' Room | 45 | 40 |
Public Space to Patients' Room 2 | 55 | 40 |
Service Areas to Patients' Room 3 | 65 | 45 |
Patient room access corridor 4 | 45 | 45 |
Toilet room to public space | 45 | |
Consultation rooms/conference rooms to public space | 45 | |
Consultation rooms/Conference rooms to patient rooms | 45 | |
Staff lounges to patient rooms | 45 | |
Existing Construction | ||
Patient room to patient room | 35 | 40 |
Public space to patient room 2 | 40 | 40 |
Service areas to patient room 3 | 45 | 45 |
1 Sound transmission class (STC) shall be determined by tests in accordance with methods set forth in ASTM Standard E90 and ASTM E413. Where partitions do not extend to the structure above, sound transmission through ceilings and composite STC performance shall be considered.
2 Public space includes corridors (except patient room access corridors), lobbies, dining rooms, recreation rooms, and similar spaces.
3 Service areas include kitchens, elevators, elevator machine rooms, laundries, and similar spaces garages, maintenance rooms, boiler and mechanical equipment rooms, and similar spaces of high noise. Mechanical equipment located on the same floor or above patient rooms, offices, nurses stations, and similar occupied space shall be effectively isolated from the floor.
4 Patient room access corridors contain composite walls with doors/windows and have direct access to patient.
TABLE 3
Temperature and Relative Humidity Requirements | ||
---|---|---|
Area Designation | Dry Bulb Temperatures °F 1 | Relative Humidity (%) Minimum-Maximum22 |
Sterile Storage | 75 | 70 (max) |
1 Note: Where temperature ranges are indicated, the systems shall be capable of maintaining the rooms at any point within the range. A single figure indicates a heating or cooling capacity of at least the indicated temperature. This is usually applicable when patients may be undressed and require a warmer environment. Nothing in these guidelines shall be construed as precluding the use of temperatures lower than those noted when the patients' comfort and medical conditions make lower temperatures desirable. Unoccupied areas such as storage rooms shall have temperatures appropriate for the function intended.
2 Footnote not supplied in original.
TABLE 4
Ventilation, Medical Gas, and Air Flow Requirements in Health Care Facilities 1 | |||||
---|---|---|---|---|---|
Area Designation | Air Movement Relationship To Adjacent Area 2 | Minimum Air Changes Outside Air Per Hour 3 | Air Recirculated By Means of Room Units 7 | All Air Exhausted Directly Outdoor 6 | |
NURSING AREAS | |||||
Patient Room | - | 2 | 6 9 | Optional | Optional |
Toilet Room | In | - | 10 | Optional | Yes |
Out | 2 | 12 | No | Optional | |
In | 2 | 12 | No | Yes | |
Patient Corridor | - | - | 2 | Optional | Optional |
ANCILLARY AREAS | |||||
Pharmacy | Out | - | 4 | Optional | Optional |
DIAGNOSTIC AND TREATMENT AREAS | |||||
Soiled Workroom or Soiled Holding | In | - | 10 | No | Yes |
Clean Workroom or Clean Holding | Out | - | 4 | Optional | Optional |
SERVICE AREAS | |||||
Food Preparation Centers 12 | - | - | 10 | No | Optional |
Warewashing | In | - | 10 | No | Yes |
Dietary Day Storage | In | - | 2 | Optional | Optional |
Laundry, General | - | - | 10 | Optional | Yes |
Soiled Linen Sorting and Storage | In | - | 10 | No | Yes |
Clean Linen Storage | Out | - | 2 | Optional | Optional |
Soiled Linen and Trash Chute Room | In | - | 10 | No | Yes |
Bedpan Room | In | - | 10 | Optional | Yes |
Bathroom | In | - | 10 | Optional | Optional |
Janitor's closet | In | - | 10 | No | Yes |
Notes for Table 4:1 | |||||
13. Food preparation centers shall have ventilation systems whose air supply mechanisms are interfaced appropriately with exhaust hood controls or relief vents so that exfiltration or infiltration to or from exit corridors does not compromise the exit corridor restrictions of NFPA 90A, the pressure requirements of NFPA 96, or the maximum defined in the table. The number of air changes may be reduced or varied to any extent required for odor control when the space is not in use. |
1 The ventilation rates in this table cover ventilation for comfort, as well as for asepsis and odor control in areas that directly affect patient care and are determined based on healthcare facilities being predominantly “No Smoking” facilities. Where smoking may be allowed, ventilation rates will need adjustment. Areas where specific ventilation rates are not given in the table shall be ventilated in accordance with ASHRAE Standard 62, Ventilation for Acceptable Indoor Air Quality; and ASHRAE Handbook-HVAC Applications. OSHA standards and/or NI0SH criteria require special ventilation requirements for employee health and safety within healthcare facilities.
3 Compromise the corridor-to-room pressure balancing relationships or the minimum air changes required by the table.
4 To satisfy exhaust needs, replacement air from the outside is necessary. Table 4 does not attempt to describe specific amounts of outside air to be supplied to individual spaces except for certain areas such as those listed. Distribution of the outside air, added to the system to balance required exhaust, shall be as required by good engineering practice. Minimum outside air quantities shall remain constant while the system is in operation.
5 Number of air changes may be reduced when the room is unoccupied if provisions are made to ensure that the number of air changes indicated is reestablished any time the space is being utilized. Adjustments shall include provisions so that the direction of air movement shall remain the same when the number of air changes is reduced. Areas not indicated as having continuous directional control may have ventilation systems shut down when space Is unoccupied and ventilation is not otherwise needed, if the maximum infiltration or exfiltration permitted in Note 2 is not exceeded and if adjacent pressure balancing relationships are not compromised. Air quantity calculations shall account for filter loading such that the indicated air change rates are provided up until the time of filter change-out.
6 Air change requirements indicated are minimum values. Higher values should be used when required to maintain indicated room conditions (temperature and humidity), based on the cooling load of the space (lights, equipment, people, exterior walls and windows, etc.).
7 Air from areas with contamination and/or odor problems shall be exhausted to the outside and not recirculated to other areas.
8 Recirculating room HVAC units refers to those local units that are used primarily for heating and cooling of air, and not disinfection of air. Because of cleaning difficulty and potential for buildup of contamination, recirculating room units shall not be used in areas marked “No.” However, for airborne infection control, air may be recirculated within Individual isolation rooms if HEPA filters are used. Isolation rooms may be ventilated by reheat induction units in which only the primary air supplied from a central system passes through the reheat unit.
9 Differential pressure shall be a minimum of 0.01″ water gauge (2.5 Pa). If alarms are installed, allowances shall be made to prevent nuisance alarms of monitoring devices.
10 Total air changes per room for patient rooms may be reduced to 4 when supplemental heating and/or cooling systems (radiant heating and cooling, baseboard heating, etc.) are used.
11 The protective environment airflow design specifications protect the patient from common environmental airborne infectious microbes (i.e., Aspergillus spores). These special ventilation areas shall be designed to provide directed airflow from the cleanest patient care area to less clean areas. These rooms shall be protected with HEPA filters at 99.97 percent efficiency for a 0.3 micron sized particle in the supply airstream. These Interrupting filters protect patient rooms from maintenance-derived release of environmental microbes from the ventilation system components. Recirculation HEPA filters can be used to increase the equivalent room air exchanges. Constant volume airflow is required for consistent ventilation for the protected environment. It the facility determines that airborne infection isolation is necessary for protective environment patients, an anteroom shall be provided. Rooms with reversible airflow provisions for the purpose of switching between protective environment and airborne infection isolation functions are not acceptable.
12 The infectious disease isolation room described in these guidelines is to be used for isolating the airborne spread of infectious diseases, such as measles, varicella, or tuberculosis. The design of airborne infection isolation (All) rooms should include the provision for normal patient care during periods not requiring Isolation precautions. Supplemental recirculating devices may be used in the patient room, to increase the equivalent room air exchanges; however, such recirculating devices do not provide the outside air requirements. Air may be recirculated within individual isolation rooms if HEPA filters are used. Rooms with reversible airflow provisions for the purpose of switching between protective environment and All functions are not acceptable.
TABLE 5
Final Occupancy Inspection Check List
Inspector: ________________________________________ Date: _____________________________
Facility: __________________________________________ Job: _____________________________
General Contractor: _________________________________
The following items shall be located at the site and copies furnished to the Division of Health Facilities Services (DHFS) prior to the final inspection and approval for occupancy of the project area(s). These items are in no specific order. Some items may not apply in every case.
Item | Yes | No | Comments |
---|---|---|---|
1. Architect/Engineer's Certification of Substantial Completion? | |||
2. Interior finishes -- smoke development and fire spread rating information? | |||
3. Fire Protection Systems- Portable fire extinguishers are inspected, and tagged, and shop drawings for standpipe/sprinkler systems are available? | |||
4. Certificate of Occupancy -- City Building Inspector? | |||
5. Certification -- fire alarm system, smoke detection system, sprinkler system, and any other fire suppression system has been installed, tested and meets all applicable standards? | |||
6. Certification -- medical gas system? | |||
7. Certification -- electrical system has been installed, tested and meets all applicable standards of the NEC, NFPA? | |||
8. Certification -- emergency generator has been installed, tested and meets all applicable standards of the NFPA, NEC? | |||
9. Certification -- mechanical system has been installed, tested, balanced, and approved by the engineer of record? | |||
10. Certification -- communication system(s) has been installed, tested and meets all applicable standards of the NEC, NFPA? | |||
11. Are there manufacturer's operation and maintenance manuals with equipment warranties on site for all newly installed equipment or a letter from the general contractor stating that the above items will be turned over to the owner? | |||
12. Have all applicable pieces of equipment installed during the construction been incorporated into the existing preventive maintenance system? Or, have new maintenance policies and procedures been written to insure that said items are maintained per the manufacturers recommendations? | |||
13. Are there as-built drawings on site or a letter from the general contractor stating that the as-built drawings will be turned over to the owner? | |||
14. Are there copies of the Architect's and Engineer's final punch lists with verification that all items have been repaired or remedied? |
Referenced Publications
1. General: These rules include references to other codes and standards. The most current codes and standards adopted at the time of this publication are used. Later issues will normally be acceptable where requirements for function and safety are not reduced; however, editions of different dates may have portions renumbered or re-titled. Care shall be taken to ensure that appropriate sections are used.
6. Availability of Codes and Standards. Referenced publications can be ordered, if they are Government publications, from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402. Copies of non-government publications can be obtained at the addresses listed below.
10. Equivalency: The Division may approve alternate methods, procedures, design criteria, and functional variations from these rules, because of extraordinary circumstances, new programs, new technology, or unusual conditions when the facility can effectively demonstrate that the intent of the rules is met and that the variation does not reduce the safety or operational effectiveness of the facility below that required by the exact language of the rules.
Credits
Amended May 1, 2010; Sept. 29, 2022.
Footnote numbering for Table 4 so in original.
So in original.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.16 APPENDIX, AR ADC 007.05.16 APPENDIX
End of Document |