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FGI Guidelines HOP 2014

$108.33

FGI Guidelines for Design and Construction of Hospitals and Outpatient Facilities

Published By Publication Date Number of Pages
FGI 2014 467
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This product of the Facility Guidelines Institute (FGI) provides minimum standards for design and construction of hospitals and outpatient facilities. The standards for long-term care facilities appear in a separate document for 2014; please see the entry for Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Included in the Guidelines for Design and Construction of Hospitals and Outpatient Facilities is information on the planning, design, construction, and commissioning process and facility requirements for hospitals and outpatient facilities. Included are general hospitals, psychiatric hospitals, and rehabilitation facilities as well as new chapters on children’s and critical access hospitals. Outpatient facilities covered include primary care facilities; outpatient surgery facilities; birth centers; urgent care centers; mobile units; outpatient psychiatric and rehabilitation centers; facilities for endoscopy, dialysis, and cancer treatment; and a new chapter on dental facilities. In addition, the 2014 Guidelines includes new material on safety risk assessments and medication safety zones; increased requirements for commissioning infrastructure systems; and updated requirements for surgery, imaging, endoscopy, and dialysis facilities as well as primary care facilities and freestanding emergency facilities. The 2013 edition of ANSI/ASHRAE/ASHE Standard 170: Ventilation of Health Care Facilities is included as Part 4 of the 2014 FGI Hospital/Outpatient Guidelines. The Joint Commission, many federal agencies, and authorities in 42 states use the Guidelines as either a code or a reference standard when reviewing, approving, and financing projects or surveying, licensing, certifying, or accrediting newly constructed facilities.

PDF Catalog

PDF Pages PDF Title
1 Cover
4 Copyright
7 Contents
16 List of Tables
17 Preface
19 Acknowledgments
25 About This Document
26 Uses of This Document
27 Disclaimers
History of the Guidelines Document
31 Major Additions and Revisions
Part 1: General
32 Part 2: Hospitals
Part 2: Hospitals and Part 3:Outpatient Facilities
33 Part 4: ANSI/ASHRAE/ASHE 170:Ventilation of Health Care Facilities
34 White Papers Associated with the 2014 Edition
35 Glossary
41 List of Acronyms
45 Part 1 General
1.1 Introduction
1.1-1 General
1.1-1.1 Application
1.1-1.2 Minimum Standards for New Facilities and Major Renovations
1.1-2 New Construction
1.1-3 Renovation
1.1-3.1 General
47 1.1-3.2 Facilities Subject to Compliance with the Guidelines
1.1-3.3 Undiminished Safety
1.1-3.4 Long-Range Improvement
1.1-4 Government Regulations
1.1-4.1 Design Standards for Accessibility
1.1-4.2 Regulations for Earthquake-Resistant Design for New Buildings
1.1-4.3 Flood Protection
48 1.1-4.4 National Standards for the Protection of Patient Health Information
1.1-4.5 Environmental Regulations
1.1-5 Building Codes and Standards
1.1-5.1 Safe Environment
1.1-5.2 Code Compliance
1.1-6 Equivalency Concepts
49 1.1-7 English/Metric Measurements
1.1-8 Codes, Standards, and Other Documents Referenced in the Guidelines
53 1.2 Planning, Design, Construction, and Commissioning
1.2-1 General
1.2-1.1 Application
1.2-1.2 Multidisciplinary Project Team
1.2-1.3 Environment of Care and Facility Function Considerations
54 1.2-2 Functional Program
1.2-2.1 General
1.2-2.2 Functional Program Content
55 1.2-3 Safety Risk Assessment
1.2-3.1 General
57 1.2-3.2 Infection Control Risk Assessment
60 1.2-3.3 Patient Handling and Movement Assessment
64 1.2-3.4 Patient Fall Prevention
65 1.2-3.5 Medication Safety
1.2-3.6 Behavioral and Mental Health
66 1.2-3.7 Patient Immobility
1.2-3.8 Security Risks
67 1.2-4 Environment of Care Requirements
1.2-4.1 Delivery of Care Model Concepts
1.2-4.2 Patients, Visitors, Physicians, and Staff Accommodation and Flow
68 1.2-4.3 Building Infrastructure and Systems Design Criteria
1.2-4.4 Physical Environment Elements
70 1.2-5 Planning and Design Considerations and Requirements
1.2-5.1 Acoustic Design
74 1.2-5.2 Sustainable Design
76 1.2-5.3 Wayfinding
77 1.2-5.4 Bariatric-Specific Design Considerations
78 1.2-5.5 Provisions for Disasters
79 1.2-6 Renovation
1.2-6.1 Phasing
1.2-6.2 Isolation
1.2-6.3 Maintenance of Air Quality and Utilities
80 1.2-6.4 Existing Conditions
1.2-7 Commissioning
1.2-7.1 Commissioning Requirements
81 1.2-7.2 Commissioning Activities
82 1.2-7.3 Commissioning Agent
83 1.2-8 Record Drawings and Manuals
1.2-8.1 Drawings
1.2-8.2 Equipment Manuals
1.2-8.3 Design Data
91 1.3 Site
1.3-1 General
1.3-1.1 Application
1.3-2 Location
1.3-2.1 Availability of Transportation
1.3-2.2 Security
1.3-2.3 Availability of Utilities
1.3-3 Site Features
92 1.3-3.1 Roads
1.3-3.2 Pedestrian Walkways
1.3-3.3 Parking
1.3-3.4 Emergency Access
1.3-3.5 Landscape Design Features
1.3-3.6 Transfer Support Features
93 1.3-4 Environmental Pollution Control
95 1.4 Equipment
1.4-1 General
1.4-1.1 Application
1.4-1.2 Equipment List
1.4-1.3 Drawing Requirements
1.4-2 Equipment Classification
1.4-2.1 Requirement
1.4-2.2 Equipment Types
96 1.4-3 Equipment Requirements
1.4-3.1 Major Technical Equipment
1.4-3.2 Electronic Equipment
97 1.4-4 Space Requirements for Equipment
1.4-4.1 Fixed and Building Service Equipment
1.4-4.2 Movable Equipment
99 Part 2 Hospitals
101 2.1 Common Elements for Hospitals
2.1-1 General
2.1-1.1 Application
2.1-1.2 Functional Program
2.1-1.3 Site
2.1-2 Nursing Units and Other Patient Care Areas
102 2.1-2.1 General
2.1-2.2 Patient Room
103 2.1-2.3 Reserved
2.1-2.4 Special Patient Care Rooms
105 2.1-2.5 Support Areas for Patient Care—General
2.1-2.6 Support Areas for Nursing Units and Other Patient Care Areas
110 2.1-2.7 Support Areas for Staff
111 2.1-2.8 Support Areas for Families, Patients, and/or Visitors
2.1-3 Diagnostic and Treatment Areas
2.1-3.1 Reserved
2.1-3.2 Examination Room or Emergency Department Treatment Room
112 2.1-3.3 Hand Scrub Facilities
2.1-4 Patient Support Facilities
2.1-4.1 Laboratory Services
114 2.1-4.2 Pharmacy Services
116 2.1-4.3 Food and Nutrition Services
119 2.1-5 General Support Facilities
2.1-5.1 Central Services
120 2.1-5.2 Linen Services
122 2.1-5.3 Materials Management
123 2.1-5.4 Waste Management
124 2.1-5.5 Environmental Services
2.1-5.6 Engineering and Maintenance Services
125 2.1-5.7 Morgue Services
126 2.1-6 Public and Administrative Areas
2.1-6.1 General
2.1-6.2 Public Areas
2.1-6.3 Administrative Areas
127 2.1-6.4 Support Areas for Staff and Volunteers
2.1-7 Design and Construction Requirements
2.1-7.1 Building Codes and Standards
128 2.1-7.2 Architectural Details, Surfaces, and Furnishings
138 2.1-8 Building Systems
2.1-8.1 Reserved
2.1-8.2 Heating, Ventilation, and Air- Conditioning Systems
141 2.1-8.3 Electrical Systems
143 2.1-8.4 Plumbing Systems
144 2.1-8.5 Communications Systems
2.1-8.6 Electronic Safety and Security Systems
165 2.2 Specific Requirements for General Hospitals
2.2-1 General
2.2-1.1 Application
2.2-1.2 Functional Program
2.2-1.3 Site
2.2-2 Nursing Units
201 2.2-3 Diagnostic and Treatment Facilities
245 2.2-8 Building Systems
253 2.2-4 Patient Support Facilities
2.2-4.1 Laboratory Services
2.2-4.2 Pharmacy Services
2.2-4.3 Food and Nutrition Services
2.2-5 General Support Facilities
254 2.2-6 Public and Administrative Areas
2.2-7 Design and Construction Requirements
255 2.3 Specific Requirements for Freestanding Emergency Departments
2.3-1 General
2.3-1.1 Application
2.3-1.2 Functional Program
2.3-1.3 Site
2.3-2 Reserved
2.3-3 Diagnostic and Treatment Areas
256 2.3-4 Patient Support Facilities
2.3-4.1 Laboratory Services
2.3-4.2 Pharmacy Services
2.3-4.3 Nourishment Area
2.3-5 General Support Facilities
2.3-6 Public and Administrative Areas
257 2.3-7 Design and Construction Requirements
2.3-8 Building Systems
259 2.4 Specific Requirements for Critical Access Hospitals
2.4-1 General
261 2.4-2 Nursing Unit
265 2.4-3 Diagnostic and Treatment Areas
268 2.4-4 Patient Support Facilities
2.4-4.1 Laboratory Services
2.4-4.2 Pharmacy
2.4-4.3 Food and Nutrition Services
2.4-5 General Support Facilities
269 2.4-6 Public and Administrative Areas
2.4-7 Design and Construction Requirements
2.4-8 Building Systems
271 2.5 Specific Requirements for Psychiatric Hospitals
2.5-1 General
272 2.5-2 Nursing Units
278 2.5-3 Diagnostic and Treatment Areas
279 2.5-4 Patient Support Facilities
2.5-4.1 Laboratory Services
2.5-4.2 Pharmacy Services
2.5-4.3 Food and Nutrition Services
2.5-5 General Support Facilities
2.5-5.1 Central Services
2.5-5.2 Linen Services
2.5-5.3 Materials Management
2.5-5.4 Waste Management
2.5-5.5 Environmental Services
2.5-5.6 Engineering and Maintenance Services
2.5-6 Public and Administrative Areas
280 2.5-7 Design and Construction Requirements
281 2.5-8 Building Systems
285 2.6 Specific Requirements for Rehabilitation Hospitals and Other Facilities
2.6-1 General
2.6-1.1 Application
2.6-1.2 Functional Program
2.6-1.3 Site
2.6-2 Nursing Unit and Living Areas
288 2.6-3 Diagnostic and Treatment Areas
289 2.6-4 Patient Support Facilities
290 2.6-5 General Support Facilities
2.6-6 Public and Administrative Areas
2.6-7 Design and Construction Requirements
2.6-7.1 Building Codes and Standards
2.6-7.2 Architectural Details, Surfaces, and Furnishings
2.6-8 Building Systems
293 2.7 Specific Requirements for Children’s Hospitals
2.7-1 General
2.7-1.1 Application
2.7-1.2 Functional Program
2.7-1.3 Site
2.7-2 Nursing Units
299 2.7-3 Diagnostic and Treatment Areas
301 2.7-4 Patient Support Facilities
2.7-5 General Support Facilities
302 2.7-6 Public and Administrative Areas
2.7-6.1 General
2.7-6.2 Public Areas
2.7-6.3 Administrative Areas
2.7-7 Design and Construction Requirements
2.7-8 Building Systems
303 Part 3 Outpatient Facilities
305 3.1 Common Elements for Outpatient Facilities
3.1-1 General
306 3.1-2 Reserved
3.1-3 Diagnostic and Treatment Areas
312 3.1-4 Patient Support Facilities
3.1-4.1 Laboratory Services
3.1-5 General Support Facilities
314 3.1-6 Public and Administrative Areas
316 3.1-7 Design and Construction Requirements
320 3.1-8 Building Systems
333 3.2 Specific Requirements for Primary Care Facilities
3.2-1 General
3.2-1.1 Application
3.2-1.2 Functional Program
3.2-1.3 Site
3.2-2 Reserved
334 3.2-3 Diagnostic and Treatment Areas
3.2-3.1 Reserved
3.2-3.2 Examination Rooms
3.2-3.3 Diagnostic Services
3.2-4 Patient Support Facilities
335 3.2-5 General Support Facilities
3.2-5.1 Primary Care Center
3.2-5.2 Small Neighborhood Clinics
3.2-6 Public and Administrative Areas
336 3.2-7 Design and Construction Requirements
3.2-8 Building Systems
339 3.3 Specific Requirements for Freestanding Outpatient Diagnostic and Treatment Facilities
3.3-1 General
341 3.4 Specific Requirements for Freestanding Birth Centers
3.4-1 General
342 3.4-2 Birth Center Facilities
344 3.4-3 Reserved
3.4-4 Patient Support Facilities
3.4-4.1 – 3.4-4.2 Reserved
3.4-4.3 Food and Nutrition Services
3.4-5 General Support Facilities
345 3.4-6 Reserved
3.4-7 Design and Construction Requirements
3.4-7.1 Building Codes
3.4-7.2 Architectural Details and Surfaces
3.4-8 Building Systems
347 3.5 Specific Requirements for Freestanding Urgent Care Facilities
3.5-1 General
3.5-1.1 Application
3.5-1.2 Functional Program
3.5-1.3 Site
3.5-2 Reserved
3.5-3 Diagnostic and Treatment Areas
349 3.5-4 Patient Support Facilities
3.5-4.1 Laboratory Services
3.5-5 General Support Facilities
3.5-5.1 – 3.5-5.4 Reserved
3.5-5.5 Environmental Services Room
3.5-6 Public and Administrative Areas
350 3.5-7 Design and Construction Requirements
3.5-7.1 Reserved
3.5-7.2 Architectural Details, Surfaces, and Furnishings
3.5-8 Building Systems
351 3.6 Specific Requirements for Freestanding Cancer Treatment Facilities
3.6-1 General
3.6-1.1 Reserved
3.6-1.2 Functional Program
3.6-1.3 Site
3.6-2 Reserved
3.6-3 Diagnostic and Treatment Areas
353 3.6-4 Reserved
3.6-5 General Support Facilities
3.6-5.1 – 3.6-5.4 Reserved
3.6-5.5 Environmental Services Room
3.6-6 Public and Administrative Areas
3.6-6.1 Reserved
3.6-6.2 Public Areas
3.6-6.3 Administrative Areas
3.6-7 Design and Construction Requirements
3.6-7.1 Reserved
3.6-7.2 Architectural Details, Surfaces, and Furnishings
3.6-8 Building Systems
355 3.7 Specific Requirements for Outpatient Surgical Facilities
3.7-1 General
356 3.7-2 Reserved
3.7-3 Diagnostic and Treatment Areas
364 3.7-4 Reserved
3.7-5 General Support Facilities
365 3.7-6 Public and Administrative Areas
3.7-6.1 General
3.7-6.2 Public Areas
3.7-6.3 Administrative Areas
3.7-6.4 Support Areas for Staff
3.7-7 Design and Construction Requirements
367 3.7-8 Building Systems
369 3.8 Specific Requirements for Office-Based Procedure and Operating Rooms
3.8-1 Application
3.8-2 Reserved
3.8-3 Diagnostic and Treatment Areas
371 3.8-4 – 3.8-6 Reserved
3.8-7 Design and Construction Requirements
3.8-8 Building Systems
373 3.9 Specific Requirements for Endoscopy Facilities
3.9-1 General
3.9-1.1 Application
3.9-1.2 Functional Program
3.9-1.3 Site
3.9-2 Reserved
3.9-3 Diagnostic and Treatment Areas
377 3.9-4 Patient Support Facilities
3.9-4.1 Laboratory Services
3.9-5 General Support Facilities
378 3.9-6 Public and Administrative Areas
3.9-6.1 Reserved
3.9-6.2 Public Areas
3.9-6.3 Administrative Areas
3.9-6.4 Support Areas for Staff
3.9-7 Design and Construction Requirements
379 3.9-8 Building Systems
381 3.10 Specific Requirements for Renal Dialysis Centers
3.10-1 General
3.10-1.1 Application
3.10-1.2 Functional Program
3.10-1.3 Site
3.10-2 Reserved
3.10-3 Diagnostic and Treatment Areas
384 3.10-4 Reserved
3.10-5 General Support Services and Facilities
3.10-5.1 Dialysis Support Facilities
3.10-6 Public and Administrative Areas
385 3.10-7 Reserved
3.10-8 Building Systems
387 3.11 Specific Requirements for Outpatient Psychiatric Centers
3.11-1 General
3.11-1.1 Application
3.11-1.2 Functional Program
3.11-1.3 Site
3.11-2 Reserved
3.11-3 Diagnostic and Treatment Areas
389 3.11-4 Reserved
3.11-5 General Support Facilities
3.11-5.1 – 3.11-5.4 Reserved
3.11-5.5 Environmental Services Room
3.11-6 Public and Administrative Areas
390 3.11-7 Design and Construction Requirements
391 3.11-8 Building Systems
393 3.12 Specific Requirements for Outpatient Rehabilitation Therapy Facilities
3.12-1 General
3.12-1.1 Application
3.12-1.2 Functional Program
3.12-1.3 Site
3.12-2 Reserved
3.12-3 Diagnostic and Treatment Areas
396 3.12-4 Reserved
3.12-5 General Support Facilities
3.12-5.1 – 3.12-5.4 Reserved
3.12-5.5 Environmental Services
3.12-6 Public and Administrative Areas
3.12-6.1 Reserved
3.12-6.2 Public Areas
3.12-6.3 Administrative Areas
3.12-7 Design and Construction Requirements
397 3.12-8 Building Systems
399 3.13 Specific Requirements for Mobile, Transportable, and Relocatable Units
3.13-1 General
401 3.13-2 Reserved
3.13-3 Diagnostic and Treatment Areas
3.13-3.1 Mobile Units
3.13-3.2 Transportable Units
3.13-3.3 Relocatable Units
3.13-3.4 Reserved
3.13-3.5 Support Areas for Patient Care—General
3.13-3.6 Support Areas for Mobile, Transportable, and Relocatable Units
3.13-3.7 Support Areas for Patients
3.13-4 – 3.13-5 Reserved
402 3.13-6 Public and Administrative Areas
3.13-6.1 General
3.13-6.2 Public Areas
3.13-7 Design and Construction Requirements
403 3.13-8 Building Systems
407 3.14 Specific Requirements for Dental Facilities
3.14-1 General
3.14-1.1 Application
3.14-1.2 Functional Program
3.14-1.3 Site
3.14-2 Reserved
3.14-3 Dental Treatment Areas
408 3.14-4 Patient Support Services
409 3.14-5 Reserved
3.14-6 Public and Administrative Areas
3.14-6.1 General
3.14-6.2 Public Areas
3.14-6.3 Administrative Areas
3.14-7 Reserved
3.14-8 Building Systems
411 Part 4 Ventilation of Health Care Facilities
413 ANSI/ASHRAE/ASHE Standard 170-2013: Ventilation of Health Care Facilities
415 CONTENTS
416 FOREWORD
1. PURPOSE
2. SCOPE
3. DEFINITIONS
417 4. COMPLIANCE
418 5. PLANNING
6. SYSTEMS AND EQUIPMENT
421 7. SPACE VENTILATION
428 8. PLANNING, CONSTRUCTION, ANDSYSTEM STARTUP
429 9. NORMATIVE REFERENCES
430 INFORMATIVE APPENDIX A – OPERATIONS AND MAINTENANCE PROCEDURES
A 1. O&M IN HEAL TH CARE FACILITIES
A2. SPECIAL MAINTENANCE FOR HVAC UNITS
A3. AIR INTAKE OPENING FOR AREAWAY
431 INFORMATIVE APPENDIX B – INFORMATIVE REFERENCES AND BIBLIOGRAPHY
432 INFORMATIVE APPENDIX C – ADDENDA DESCRIPTION INFORMATION
436 NOTICE
437 FORM FOR SUBMITTAL OF PROPOSED CHANGE TO ANASHRAE STANDARD UNDER CONTINUOUS MAINTENANCE
438 POLICY STATEMENT DEFINING ASHRAE’S CONCERNFOR THE ENVIRONMENTAL IMPACT OF ITS ACTIVITIES
439 IMPORTANT NOTICES ABOUT THIS STANDARD
441 Index
FGI Guidelines HOP 2014
$108.33