[nyschp.dop] Re: A question about water supply (sinks) in Medication Rooms

From: "Hofman, Renee" <RHofman@xxxxxxxxxxxxxx>
To: "'nyschp.dop@xxxxxxxxxxxxx'" <nyschp.dop@xxxxxxxxxxxxx>
Date: Mon, 18 Apr 2016 17:07:28 +0000

This is the regulation.....you need a Clean workroom that allow for hand
washing-the pyxis does not need to be stored in that room
See below

Effective Date: 12/29/2010
Title: Section 713-2.5 - Nursing units

713-2.5 Nursing units.

(a) The number of certified beds on a nursing unit shall not exceed sixty
unless additional services are provided. At least two-thirds of the total
certified beds in any facility shall be located in rooms designed for one or
two beds. At least one-tenth of the total certified beds in any facility shall
be located in single bedrooms, each equipped with a private bath and toilet.

(b) Each resident bedroom shall meet the following requirements:

(1) The maximum room capacity shall be four residents.

(2) The minimum room areas exclusive of toilet rooms, closets, lockers,
wardrobes, alcoves, or vestibules shall be one hundred twenty five square feet
in single bedrooms and one hundred square feet per bed in multi-bed rooms.

(3) Each room shall have a window that can be opened without the use of tools.
The windowsills shall not be higher than three feet above the finished floor
and shall be above grade.

(4) A nurses' calling system shall be provided.

(5) One lavatory shall be provided in each resident room. The lavatory may be
omitted from a single or a double bedroom when a lavatory is located in an
adjoining toilet room, which serves that room only.

(6) Each resident shall have access to a toilet room without entering the
general corridor area. One toilet room shall serve no more than four certified
beds and no more than two resident rooms. The toilet room shall contain a water
closet and a lavatory. The lavatory may be omitted only from a toilet room that
serves not more than two single bedrooms if each such single bedroom contains a
lavatory.

(7) Each resident shall have a wardrobe, locker, or closet with minimum clear
dimensions of one foot ten inches by one foot eight inches. An adjustable
clothes rod and shelf shall be provided.

(8) Visual privacy shall be provided for each resident in multi-bed rooms with
non-combustible cubicle curtains.

(9) No resident bedroom shall be located more than one hundred twenty feet from
the soiled workroom or the soiled holding room, or the clean work room or clean
holding room.

(c) The following service areas shall be located in or be readily available to
each nursing unit:

(1) A nurses' station with space for nurses' charting, doctors' charting, and
storage for administrative supplies.

(2) A lounge and toilet room(s) for nursing staff.

(3) Individual closets or compartments for the safekeeping of coats and
personal effects of nursing personnel. These shall be located convenient to the
duty station of personnel or in a central location.

(4) Nursing homes that do not have exclusively single bedrooms shall have a
medical treatment and examination room for residents. This room shall have a
minimum floor area of one hundred twenty square feet excluding space for
vestibule, toilet, closets, and work counters, whether fixed or movable. The
minimum room dimension shall be ten feet. The room shall contain a lavatory or
sink equipped for handwashing; a work counter; storage facilities; and a desk,
counter or shelf space for writing.

(5) A clean workroom with a work counter, handwashing, and storage facilities
or a clean holding room that is part of a system for storage and distribution
of clean and sterile supply materials. The clean holding room shall be similar
to the clean workroom except that the work counter and handwashing facilities
may be omitted.

(6) A soiled workroom that contains a clinical sink or equivalent flushing rim
fixture, a sink equipped for handwashing, work counter, waste receptacle, and
linen receptacle, or a soiled holding room that is part of an approved system
for collection and disposal of soiled materials. The soiled holding room and
shall be similar to the soiled workroom except that the clinical sink and work
counter may be omitted.

(7) A medication preparation room, or self contained medication dispensing unit
or a department approved medication dispensing system for the convenient and
prompt twenty four hour distribution of medication to residents. If used, a
medicine preparation room or unit shall be under the nursing staff's visual
control and contain a work counter, refrigerator, and locked storage for
biologicals and drugs. A medication dispensing unit may be located at the
nurses' station, in the clean workroom, or in an alcove or other space under
direct control of the nursing or pharmacy staff.

(8) A separate closet, designated area within the clean workroom or closed cart
system for storage of clean linen. If a closed cart system is used, storage may
be in an alcove.

(9) A nourishment station that contains a sink equipped for handwashing,
equipment for serving nourishment between scheduled meals, a refrigerator and
storage cabinets. Ice for residents' service and treatment shall be provided
only by ice-maker dispenser units.

(10) A storage room for equipment such as intravenous stands, inhalators, air
mattresses, and walkers.

(11) An area out of the path of normal traffic for parking for stretchers and
wheelchairs.

(12) At least one bathtub or shower for every twelve beds in rooms that are not
otherwise served by bathing facilities. At least one bathtub shall be provided
in each nursing unit. Each tub or shower shall be in a room or enclosure with
space for the private use of the bathing fixture, for drying and dressing, and
for a wheelchair and an attendant. Showers in central bathing facilities shall
be at least four feet square, without curbs and designed to permit use by a
wheelchair bound resident.

(13) Facilities for the sterilization of equipment and supplies.

(d) Residents' toilet facilities shall comply with the following:

(1) The minimum dimensions of a room containing only a water closet shall be
three feet by six feet; additional space shall be provided if a lavatory is
located within the same room. Water closets must be conveniently located and
usable by wheelchair bound residents.

(2) At least one room with a lavatory and water closet on each nursing floor
shall be provided for toilet training. It shall be accessible from the nursing
corridor. A clearance of three feet shall be provided at the front and at each
side of the water closet.

(3) A toilet room shall be accessible to each central bathing area without
going through the general corridor. This may be arranged to serve as the
required toilet training facility.

Volume: D

From: nyschp.dop-bounce@xxxxxxxxxxxxx [mailto:nyschp.dop-bounce@xxxxxxxxxxxxx] ;
On Behalf Of MCHUGH ADELE
Sent: Monday, April 18, 2016 12:50 PM
To: nyschp.dop@xxxxxxxxxxxxx
Subject: [nyschp.dop] A question about water supply (sinks) in Medication Rooms

Would you be so kind as to put this question out to the other Directors?

Is it a requirement, law, or standard by Joint Commission, CMS, DOH or any
other surveying body that a medication room on a nursing unit be supplied with
a sink?

I have received conflicting answers on this from different sources.

We are installing Pyxis in our med rooms and there is no space for a sink also.

Thank you.

Adele M. McHugh, M.S., RPhI
Director of Pharmacy
Brunswick Hospital Center
81 Louden Avenue
Amityville, New York 11701
631-789-7299
[cid:image001.png@01D19973.42A1E510]

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References:
- [nyschp.dop] A question about water supply (sinks) in Medication Rooms
  - From: MCHUGH ADELE

[nyschp.dop] Re: A question about water supply (sinks) in Medication Rooms

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