Mich. Admin. Code R. 325.45273

Current through Vol. 24-15, September 1, 2024
Section R. 325.45273 - Interior; illumination; standards

Rule 273.

(1) The applicant or licensee shall comply with the interior illumination standards in Table 1.
(2) In addition to the interior illumination standards in Table 1, a health facility shall provide both of the following:
(a) Night lighting in a toilet room and in a patient room that is sufficient to illuminate a footpath from the bed to the toilet room with a minimum of 1 foot-candle at floor level.
(b) Light fixtures that are equipped with lenses or shields for protection of the lamps or lamps that will not shatter.

Table 1: Illumination of Health Care Facilities The following table is intended to be representative, not inclusive, of all clinical facilities. These measured minimum foot-candle (fc) values must be provided at 36 inches above the floor or at task locations as applicable and must account for bulb and fixture depreciation.

One-half of the lighting levels must be maintained in operating rooms, delivery rooms, trauma rooms and emergency department exam rooms, nursing stations, intensive care rooms, special care nurseries, full term nurseries, angiography labs, interventional radiology rooms, cardiac catheterization labs, resuscitation areas, post anesthesia care units, patient holding areas, medication preparation and dispensing areas, and work areas within the laboratory, when on emergency power. These levels are not required during the transfer to emergency power (10 seconds max).

Operating, Delivery, Trauma Rooms1

150 fc

These illumination levels must be provided within a six-foot perimeter of the table or stretcher with the remainder of the room provided with a minimum of 75 foot-candle (fc).

Critical Task Areas

Cardiac catheterization labs1

Angiography1

Interventional radiology1

Scrub sinks

Central sterile task locations

Patient exam or treatment locations

Decontamination task locations

Pharmacy and laboratory hoods

Intensive care bed and bassinet locations1

Labor, delivery, recovery, postpartum bed locations1

Post anesthesia care unit or cardiovascular recovery unit1

Procedure rooms

Autopsy1

75 fc

The 75 fc is the minimum for patient examination, resuscitation, or a procedure in the patient vicinity. The patient vicinity is defined as three feet around the sides and head of the patient bed or table. The remainder of these rooms must be a minimum of 15 fc.

The 75 fc level is required in some areas for patient emergencies and resuscitation events. It is not intended to require this lighting level during normal procedures, such as cardiac catheterizations.

1 Fixed task lighting must be on emergency power.

Specialized Task Areas

Food service work counter

Medication preparation and dispensing locations

Nurse, physician, and clinician charting locations

Laboratories

Triage areas

Hot lab task locations

Dialysis patient locations

50 fc

Task Areas

30 fc

Patient care bed, stretcher, table, and chair locations (non-examination areas)

Resident bed locations

Handwashing, water closets, tub and shower

Staff work counter

Patient and resident day and dining rooms

Patient and resident reading locations

Patient preparation and holding areas

General radiology rooms, MRI, PET, CT, and Lithotripsy

Morgue

General Areas

Corridors

General patient and resident room locations

Clean and soiled utility rooms

Clinical storage and holding

Locker rooms

Janitor closets

Stairways, elevators, waiting rooms

15 fc

Mich. Admin. Code R. 325.45273

2020 MR 4, Eff. 2/21/2020