902 Ky. Admin. Regs. 20:170
Current through Register Vol. 51, No. 5, November 1, 2024
RELATES TO: KRS 216B.010-216B.130, 216B.990(1), (2)
NECESSITY, FUNCTION, AND CONFORMITY: KRS 216B.042 and 216B.105 mandate that the Kentucky Cabinet for Human Resources regulate health facilities and health services. This administrative regulation provides the licensure requirements for the structural specifications and physical plant requirements for new construction, alteration and maintenance of psychiatric hospital facilities. Psychiatric hospital facilities licensed prior to the effective date of this administrative regulation shall meet the facility specifications in force on the date of their most recent licensure inspection.
Hot Water Use | |||
Clinical | Dishwasher | Laundry | |
Gal/hr/bed | 6 1/2 | 4 | 41/2 |
Temp. F. | 100-110 | 180* | 140- 180** |
*Temperature may be reduced to 160 degrees Fahrenheit if a chloritizer is used. Required temperature must be maintained throughout the wash and rinse cycles.
**If the temperature used is below 180 degrees Fahrenheit, the facility shall utilize detergents and other additives to insure that the linens will be adequately cleaned.
Table 1. Sound Transmission Limitations in Psychiatric Hospitals | |||
Location | Airborne Sound Transmission Class (STC)a* | Impact Insulation Class (IIC)b* | |
Parti-tions | Floors | Floors | |
Patients' room to patients' room | 45 | 45 | 45 |
Corridor to patients' room | 40 | 45 | 45c* |
Public space to patients' room d* | 50 | 50 | 50c* |
Service areas to patients' room e* | 55 | 55 | 55c* |
a* - Sound transmission class (STC) shall be determined by tests in accordance with the methods set forth in ASTM Standard E-90 and ASTM Standard E-413.
b* - Impact insulation class (IIC) shall be determined in accordance with criteria set forth in HUD FT/TS-24, "A guide to Airborne, Impact and Structure Borne Noise - Control in Multifamily Dwellings."
c* - Impact noise limitation applicable only when corridor, public space, or service area is over patients' room.
d* - Public space includes lobbies, dining rooms, recreation rooms, treatment rooms, and similar spaces.
e* - Service areas include kitchens, elevators, elevator machine rooms, laundries, garages, maintenance rooms, boiler and mechanical equipment rooms, and similar spaces of high noise. Mechanical equipment located on the same floor or above patients' rooms, offices, nurses' stations and similar occupied spaces shall be effectively isolated relating to noise transmission.
Note: The requirements set forth in this table assume installation methods which will not appreciably reduce the efficiency of the assembly as tested.
TABLE 2. PRESSURE RELATIONSHIPS AND VENTILATION OF CERTAIN PSYCHIATRIC HOSPITAL AREAS | |||||
Area Designation | Pressure Relationship to Adjacent Areas | All Supply Air From Outdoors | Minimum Air Changes of Outdoor Air per Hour | Minimum total Air Changes Per Hour | All Air Exhausted Directly to Outdoors |
Patient room | O | -- | 1 | 4 | -- |
Patient area corridor | O | -- | 2 | 4 | -- |
Treatment room | O | -- | 2 | 6 | -- |
Physical therapy and hydrothera-py if applicable | N | -- | 2 | 6 | -- |
Dining and recreation areas | O | -- | 2 | 4 | -- |
Soiled workroom | N | -- | 2 | 4 | Yes |
Clean workroom | P | Yes | 2 | 4 | -- |
Toilet room | N | -- | -- | 10 | Yes |
Bedpan room if applicable | N | -- | -- | 10 | Yes |
Bathroom | N | -- | -- | 10 | Yes |
Janitor's closet | N | -- | -- | 10 | Yes |
Linen and trash chute rooms | N | -- | -- | 10 | Yes |
Food preparation center | O | Yes | 2 | 10 | Yes |
Dishwashing area | N | -- | -- | 10 | Yes |
Dietary day storage | O | -- | -- | 2 | -- |
Laundry, general | O | Yes | 2 | 10 | Yes |
Soiled linen sorting and storage | N | -- | 2 | 10 | Yes |
Clean linen storage | P | -- | 1 | 4 | -- |
P=Positive N=Negative O=Equal --= Optional
902 KAR 20:170
STATUTORY AUTHORITY: KRS 216B.042, 216B.105