R432-16-8. Service Requirements

(1) The licensee shall provide a nurse station and have space for charting, storage, medication security, and administrative activities. (2) The licensee shall ensure the following service requirements: (a) there is a toilet room with a hand washing facility for staff is provided and may be unisex; (b) a hand washing facility is located immediately adjacent to the nursing station and the drug distribution station; (c) a medicine preparation room or a self-contained medicine dispensing unit is provided for 24-hour distribution of medications, if a medical cart is used it shall be under visual control of staff; (d) a clean workroom or clean holding room is provided for patient care items, as follows; (i) there is a counter, a hand washing facility, and a storage facility; and (ii) the work counter and hand washing facility may be omitted in a room used only for storage and holding, as part of a larger system for distribution of clean and sterile supply materials; (e) a soiled supply workroom is provided and contains: (i) a clinical sink: (ii) a hand washing sink; (iii) a work counter; (iv) waste receptacles; and (v) a linen receptacle; (f) a hand washing sink, clinical sink, and work counter may be omitted in a room used only for temporary holding of soiled, bagged material; (g) in a small hospice inpatient facility soiled workroom, accommodation is made for cleaning and sanitizing patient service items; (h) clean linen is stored in a separate closet or room as follows: (i) if a closed cart is used for clean linen storage, it shall be stored in a room with a self-closing door; (ii) storage in an alcove in a corridor is prohibited; and (iii) clean linen may be stored in the clean work room or a clean holding room; (i) a patient bathing facility is provided in each hospice unit at a ratio of one bathing facility for every eight beds not otherwise served by a bathing facility within an individual patient room; (j) each patient bathtub or shower is in a separate room or enclosure large enough to ensure privacy and to allow staff to assist with bathing, drying, and dressing; (k) a toilet and sink are provided at each common bathing area; and (l) an equipment storage room with a minimum area of five square feet for each licensed bed, but no less than 30 square feet, for portable equipment is provided. (3) In a small hospice inpatient facility, accommodation shall be made for storage of portable equipment.