requirements do not have to be completed in this case

Document Sample
requirements do not have to be completed in this case Powered By Docstoc
					                                                                                                                          Page 1 of 16
COMPLIANCE CHECKLIST
IP7: Obstetrical Unit
The following checklist is intended to be used in the plan review applications for health care facilities submitted to the Ma ssachusetts
Department of Public Health. This checklist summarizes and references the applicable requirements from the Licensure Regulations
and FGI Guidelines for Design and Construction of Health Care Facilities, 2010 Edition. Applicants must verify compliance of the plans
submitted to the Department with all referenced requirements from the Licensure Regulations and FGI Guidelines when completing this
Checklist. A separate Checklist must be completed for each nursing unit, hospital or clinic department, or clinical suite.
Other jurisdictions, regulations and codes may have additional requirements which are not included in this checklist, such as:
   NFPA 101 Life Safety Code (2000) and applicable related standards contained in the appendices of the Code.
   State Building Code (780 CMR).
   Joint Commission on the Accreditation of Health Care Organizations.
   CDC Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health Care Facilities.
   USP 797
   Accessibility Guidelines of the Americans with Disabilities Act (ADA).
   Architectural Access Board Regulations (521 CMR).
   Local Authorities having jurisdiction.
Instructions:
1.   All requirement lines must be completed according to the following instructions and included in the plan submissions for Self -
     Certification Process or Part II of the Abbreviated Review Process.
2.   This checklist must be completed by the project architect or engineer based on the design actually reflected in the plans at the time
     of completion of the checklist.
3.   Each requirement line (___) of this Checklist must be completed exclusively with one of the following symbols, unless otherwise
     directed in the checklist. If a functional space is not affected by a renovation project, the symbol “E” may be indicated on the
     requirement line (___) before the name of the functional space (associated requirements on indented lines below that name, or
     associated MEP requirements do not have to be completed in this case). If more than one functional space serves a given requi red
     function (e.g. patient room or exam room), that clarification should be provided in the Project Narrative, and the requirement lines
     are understood to only address the functional spaces that are involved in the project.
     X = Requirement is met, for new space, for renovated space,  = Check box under section titles or individual
             or for existing direct support space for an expanded
                                                                                  requirements lines for optional services or functions
             service.
                                                                                  that are not included in the health care facility.
     E = Requirement relative to an existing suite or area that has        W = Waiver requested for specific section of the
             been licensed for its designated function, is not affected by        Regulations or FGI Guidelines, where hardship in
             the construction project and does not pertain to a required          meeting requirement can be demonstrated (please
             direct support space for the specific service affected by the        verify that a Physical Plant Waiver Form has been
             project.                                                             completed for each waiver request).
4.   All room functions marked with "X" must be shown on the plans with the same name labels as in this checklist.
5.   Mechanical, electrical & plumbing requirements are only partially mentioned in this checklist. The relevant section of the F GI
     Guidelines must be used for project compliance with all MEP requirements and for waiver references.
6.   Oxygen, vacuum, medical air, and waste anesthesia gas disposal outlets (if required) are identified respectively by the abbreviations
     "OX", "VAC", "MA", & “WAGD”.
7.   Requirements referenced only as "Policy" are DPH interpretations of the Regulations or FGI Guidelines or intended to facilita te the
     plan submission process.
8.   Requirements referenced with “FI” result from formal interpretations from the FGI Interpretations Task Group.
Facility Name:                                                                             DoN Project Number: (if applicable)


Facility Address:                                                                          Nursing Unit Bed Complements:
                                                                                           Current =            Proposed =

Satellite Name: (if applicable)                                                            Building/Floor Location:


Satellite Address: (if applicable)
                                                                                           Submission Dates:
Project Description:                                                                       Initial Date:
                                                                                           Revision Date:




MDPH/DHCQ                                                                                                                    09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                              Page 2 of 16

                  ARCHITECTURAL REQUIREMENTS                            PLUMBING/MECHANICAL/
                                                                        ELECTRICAL REQUIREMENTS
2.2-2.11.1.1          Location
2.2-2.11.1.1(1)           obstetrical unit located & designed to
                          prohibit non-related traffic through unit
2.2-2.11.1.1(3)           no access to other services through
                          cesarean delivery suite
130.618(B)                maternal/newborn service self-contained
                          & discrete from other hospital services
                          situated for patient access independent
                          from other functional areas of hospital
130.618(G)                antepartum outpatient areas separate
                          from inpatient units
                              check if not included in project
130.618(D)            Family-centered environment
130.618(D)(1)             room-in provisions for mothers & infants
130.618(D)(3)             overnight accommodations for father or
                          significant other
130.618(D)(4)             provisions for accommodating visitors
130.618(D)(5)             private area for mothers to nurse and/or
                          use breast pump
2.2-2.11.1.2          Newborn nursery provided in Obstetrical Unit
                          Compliance Checklist IP8 attached
2.1-2.11.2        ANTEPARTUM & POSTPARTUM UNIT
2.2-2.2.2         ANTEPARTUM ROOMS
2.2-2.2.2.1          Capacity:
                         new patient rooms:                             Plumbing*:
2.2-2.2.2.1 (1)                one bed per room                              handwashing station                    2.2-2.2.2.5 (1)
                         or                                                  convenient for use by staff entering
                         existing patient rooms:                             & leaving room
2.2-2.2.2.1 (2)                no more than present capacity                 1 OX, 1 VAC for each bed               Table 2.1-6
                               maximum 4 beds                           Ventilation*:
                                                                             min. 6 air changes/hour                Table 7-1
2.2-2.2.2.2           Space Requirements:                               Lighting*:
                          single-bed rooms:                                  reading light for each bed             2.1-8.3.4.3
                             check if rooms not included in project          general lighting
2.2-2.2.2.2 (1)                min. clear floor area 120 sf per bed          night light
2.2-2.2.2.2 (2)                min. clearance 3'-0" on each side of          task illumination on emergency         NFPA 99
                               bed (standard width 40 inches)                power
                               min. clearance 3'-0" at foot of bed      Power*:
                               (standard length 96 inches)                   min. 12 receptacles at head of         Table 2.1-3
                          multiple-bed rooms:                                each bed
                             check if rooms not included in project          one receptacle on each wall
2.2-2.2.2.2 (1)                min. clear floor area 100 sf per bed          2 receptacles on emergency power       NFPA 99
2.2-2.2.2.2 (2)                min. clearance 3'-0" on each side of     Nurse Call System*:
                               bed (standard width 40 inches)                patient station                        Table 2.1-4
                               min. 4'-0" clearance at foot of each     *Common requirements for all patient
                               bed (standard length 96 inches) to       rooms
                               permit passage of equipmt & beds
2.2-2.2.2.3           Windows:
                          patient room provided with natural light by
                          means of window to outside
2.1-7.2.2.5 (2)           New Construction:
& FI                           min. glass area 8% of floor area
                          or
                          Renovations:
                               glass area unchanged or expanded
MDPH/DHCQ                                                                                                             09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                      Page 3 of 16

                  ARCHITECTURAL REQUIREMENTS                             PLUMBING/MECHANICAL/
                                                                         ELECTRICAL REQUIREMENTS
2.1-2.2.4            Patient Privacy:
                          multiple-bed rooms
                          visual privacy from casual observation by
                          other patients & visitors for each patient
                     or
                          all patient rooms are private rooms
                          design for privacy does not restrict
                          access to entrance, handwashing station
                          or toilet
2.1-2.2.6            Patient toilet room                                 Plumbing:
2.1-2.2.6.1 (1)           access to toilet room without need to              toilet & handwashing station   2.1-2.2.6.3
                          enter corridor                                     bedpan washing fixture         2.1-2.2.6.1 (2)
2.1-2.2.6.2               serves no more than 2 patient rooms                in each toilet room
                          serves no more than 4 beds                     or
                                                                             in soiled workroom
2.1-2.2.6.4               Toilet Room Door:                              Ventilation:
2.1-2.2.6.4 (1)                door outswinging                               min. 10 air changes/hour
                          or                                                  exhaust                       Table 7-1
                               door double acting with emergency         Nurse Call System:
                               rescue hardware                                bath station                  Table 2.1-4
                          or
2.1-2.2.6.4 (2)                wall-hung sliding door mounted on
                               outside of toilet room
                               provides for emergency access
                               provides for routine cleaning of
                               sliding mechanism
                               acoustical & visual privacy
2.1-2.2.6.4 (3)                undercut or louver for free flow of air
2.2-2.2.2.7          Patient bathing facilities
2.2-2.2.2.7 (1)           bathing facilities in bathroom directly        Ventilation:
                          accessed from each patient room                     min. 10 air changes/hour      Table 7-1
                                                                              exhaust
                                                                         Nurse Call System:
                     or                                                       bath station                  Table 2.1-4
2.2-2.2.2.7 (2)           central bathing facilities                 Ventilation:
                               one shower or bathtub for each 12          min. 10 air changes/hour          Table 7-1
                               beds without direct access to              exhaust
                               bathing                               Nurse Call System:
                               each bathtub or shower located in          bath station                      Table 2.1-4
                               individual enclosure with privacy for
                               bathing, drying & dressing
                               toilet in separate enclosure with
                               direct access from each central
                               bathing facility
                               soap/towels storage with direct
                               access from central bathing facility
2.2-2.2.2.7 (3)           doorways allow entry of portable/mobile
                          mechanical lifts & shower gurney devices
                          thresholds facilitate use of wheelchairs
                          patient shower rooms allow entry of
                          portable/mobile mechanical lifts & shower
                          gurney devices


MDPH/DHCQ                                                                                                     09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                               Page 4 of 16

                   ARCHITECTURAL REQUIREMENTS                            PLUMBING/MECHANICAL/
                                                                         ELECTRICAL REQUIREMENTS
                                 floor drain grates facilitate use of
                                 wheelchairs
2.2-2.2.2.8            Patient room storage
                            separate wardrobe locker or closet for
                            each patient
                            suitable for hanging full-length garments
                            & for storing personal effects
2.2-2.11.2.2       POSTPARTUM ROOMS
2.2-2.2.2.1           Capacity:
                          new patient rooms:                             Plumbing*:
2.2-2.2.2.1 (1)                 one bed per room                              handwashing station                    2.2-2.2.2.5 (1)
                          or                                                  convenient for use by staff entering
                          existing patient rooms:                             & leaving room
2.2-2.2.2.1 (2)                 no more than present capacity                 1 OX, 1 VAC for each bed               Table 2.1-6
                                maximum 4 beds                           Ventilation*:
                                                                              min. 6 air changes/hour                Table 7-1
2.2-2.2.2.2            Space Requirements:                               Lighting*:
                           single-bed rooms:                                  reading light for each bed             2.1-8.3.4.3
                              check if rooms not included in project          general lighting
                                renovation:                                   night light
130.623(C)                           min. clear floor area 144 sf             task illumination on emergency         NFPA 99
                                or                                            power
2.2-2.11.2.2 (1)                new construction:                        Power*:
                                     min. clear floor area 150 sf             at least 12 receptacles at head of     Table 2.1-3
                                                                              each bed
2.2-2.2.2.2 (2)                  min. clearance 3'-0" on each side of         one receptacle on each wall
                                 bed (standard width 40 inches)               selected receptacles on                NFPA 99
                                 min. clearance 3'-0" at foot of bed          emergency power
                                 (standard length 96 inches)             Nurse Call System*:
                            multiple-bed rooms:                               patient station                        Table 2.1-4
                              check if rooms not included in project
130.623(C)                       min. clear floor area 124 sf per bed    *Common requirements for all patient
2.2-2.2.2.2 (2)                  min. clearance 3'-0" on each side of    rooms
                                 bed (standard width 40 inches)
                                 min. 4'-0" clearance at foot of each
                                 bed (standard length 96 inches) to
                                 permit passage of equipmt & beds
2.2-2.2.2.3            Windows:
                           patient room provided with natural light by
                           means of window to outside
2.1-7.2.2.5 (2)             New Construction:
& FI                            min. glass area 8% of floor area
                            or
                            Renovations:
                                glass area unchanged or expanded




MDPH/DHCQ                                                                                                              09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                       Page 5 of 16

                  ARCHITECTURAL REQUIREMENTS                             PLUMBING/MECHANICAL/
                                                                         ELECTRICAL REQUIREMENTS
2.1-2.2.4            Patient Privacy:
                          multiple-bed rooms
                          visual privacy from casual observation by
                          other patients & visitors for each patient
                     or
                          all patient rooms are private rooms
                          design for privacy does not restrict
                          access to entrance, handwashing station
                          or toilet
2.1-2.2.6            Patient toilet room                                 Plumbing:
2.1-2.2.6.1 (1)           access to toilet room without need to               toilet & handwashing station   2.1-2.2.6.3
                          enter corridor                                      bedpan washing fixture         2.1-2.2.6.1 (2)
2.1-2.2.6.2               serves no more than 2 patient rooms                 in each toilet room
                          serves no more than 4 beds                     or
                                                                              in soiled workroom
2.1-2.2.6.4               Toilet Room Door:                              Ventilation:
2.1-2.2.6.4 (1)                door outswinging                               min. 10 air changes/hour
                          or                                                  exhaust                        Table 7-1
                               door double acting & equipped with        Nurse Call System:
                               emergency rescue hardware                      bath station                   Table 2.1-4
                          or
2.1-2.2.6.4 (2)                wall-hung sliding door mounted on
                               outside of toilet room
                               provides for emergency access
                               provides for routine cleaning of
                               sliding mechanism
                               acoustical & visual privacy
2.1-2.2.6.4 (3)                undercut or louver for free flow of air
2.2-2.2.2.7          Patient bathing facilities
2.2-2.2.2.7 (1)           bathing facilities in bathroom directly        Ventilation:
                          accessed from each patient room                     min. 10 air changes/hour       Table 7-1
                                                                              exhaust
                                                                         Nurse Call System:
                     or                                                       bath station                   Table 2.1-4
2.2-2.2.2.7 (2)           central bathing facilities                 Ventilation:
                               one shower or bathtub for each 12          min. 10 air changes/hour           Table 7-1
                               beds without direct access to              exhaust
                               bathing                               Nurse Call System:
                               each bathtub or shower located in          bath station                       Table 2.1-4
                               individual room or enclosure with
                               privacy for bathing drying & dressing
                               toilet in separate enclosure with
                               direct access from each central
                               bathing facility
                               soap/towels storage with direct
                               access from central bathing facility
2.2-2.2.2.7 (3)           doorways allow entry of portable/mobile
                          mechanical lifts & shower gurney devices
                          thresholds facilitate use of wheelchairs
                          patient shower rooms allow entry of
                          portable/mobile mechanical lifts & shower
                          gurney devices


MDPH/DHCQ                                                                                                      09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                     Page 6 of 16

                ARCHITECTURAL REQUIREMENTS                          PLUMBING/MECHANICAL/
                                                                    ELECTRICAL REQUIREMENTS
                             floor drain grates facilitate use of
                             wheelchairs
2.2-2.2.2.8        Patient room storage
                        separate wardrobe locker or closet for
                        each patient
                        suitable for hanging full-length garments
                        & for storing personal effects
2.2-2.11.5      SUPPORT AREAS FOR ANTEPARTUM/
                POSTPARTUM UNIT
2.2-2.11.6.1       Nurse station                                    Nurse Call System:
                                                                        master station                     Table 2.1-4
2.2-2.11.6.2       Documentation area
2.2-2.11.6.3       Nurse office
2.2-2.11.6.6       Medication dispensing location
                       medication preparation room                 Plumbing:
                             under visual control of nursing staff      handwashing station                2.1-2.6.6.1 (2)
                             work counter                          Ventilation:
                             lockable refrigerator                     min. 4 air changes/hour             Table 7-1
                             locked storage for controlled drugs       positive pressure
                             adequate space to prepare             Lighting:
                             medications (in addition to space for     task illumination for safe          2.1-2.6.6.1 (2)
                             any automated dispensing units)           identification of medication
                                                                       on emergency power
                                                                   Power:
                                                                       emergency power to selected         NFPA 99
                                                                       receptacles
                                                                   Nurse Call System:
                   or                                                   duty station                       Table 2.1-4
                       automated dispensing unit
                             located at nurse station, in clean    Plumbing:                               2.1-2.6.6.2 (2)
                             workroom or in an alcove                   adjacent to handwashing station    & FI
                             locked for security of controlled     Lighting:
                             drugs                                     task illumination for safe          2.1-2.6.6.2 (1)
                             under visual control of nursing staff     identification of medication
                                                                       on emergency power
                                                                   Power:
                                                                       emergency power to selected         NFPA 99
                                                                       receptacles
2.1-2.6.7          Nourishment area or room                         Plumbing:
2.1-2.6.7 (2)          work counter                                      kitchen sink                      2.1-2.6.7 (1)
2.1-2.6.7 (3)          refrigerator                                      handwashing station (located in   2.1-2.6.7.3
2.1-2.6.7 (4)          storage cabinets                                  nourishment room or adjacent to
2.1-2.6.7 (5)          equipment for hot & cold nourishment              nourishment area)
2.1-2.6.7 (6)          space for trays & dishes (non-scheduled      Ventilation:
                       meals)                                           min. 10 air changes/hour           Table 7-1
                                                                        exhaust
                                                                         negative pressure
2.1-2.6.7.4        Dietary Trays:
                        temporary storage space for unused
                        trays
                        temporary storage space for soiled trays
2.1-2.6.8          Ice-making equipment
2.1-2.6.8.1             located in clean workroom, clean supply
                        room or in nourishment area or room

MDPH/DHCQ                                                                                                    09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                       Page 7 of 16

                   ARCHITECTURAL REQUIREMENTS                              PLUMBING/MECHANICAL/
                                                                           ELECTRICAL REQUIREMENTS
2.1-2.6.9.1             Clean workroom                                     Plumbing:                         2.1-2.6.9.1 (2)
2.1-2.6.9.1 (1)             work counter                                        handwashing station
2.1-2.6.9.1 (3)             storage facilities for clean & sterile         Ventilation:
                            supplies                                           min. 4 air changes/hour       Table 7-1
                                                                                positive pressure
                                                                                no recirculating room unit
                                                                           Nurse Call System:
                                                                                duty station                 Table 2.1-4
                   or
2.1-2.6.9.2             Clean supply room                                  Ventilation:
2.2-2.11.6.9(2)             Project Narrative indicates that clean             min. 4 air changes/hour       Table 7-1
                            materials are not assembled within                  positive pressure
                            obstetrical suite prior to use                      no recirculating room unit
                            room used only for storage & holding as
                            part of system for distribution of clean &
                            sterile materials
2.1-2.6.10.1            Soiled workroom                                    Plumbing:
2.1-2.6.10.1(2)              work counter                                       flushing-rim sink            2.1-2.6.10.1(1)
2.1-2.6.10.1(3)              space for covered soiled linen containers          bedpan rinsing device
                             space for covered waste containers                 handwashing station
                                                                           Ventilation:
                                                                               min. 10 air changes/hour      Table 7-1
                                                                                exhaust
                                                                           Nurse Call System:
                                                                                duty station                 Table 2.1-4
                   or
2.1-2.6.10.2            Soiled holding room                           Plumbing:
2.1-2.6.10.1(3)         space for covered soiled linen containers          handwashing station               2.1-2.6.10.2(1)
                        space for covered waste containers            Ventilation:
2.1-2.6.10.2(1)         used only for temporary holding of soiled          min. 10 air changes/hour          Table 7-1
                        material                                           exhaust
2.1-2.6.10.2(2)              each patient room is private
/Policy                           each patient room has access to
                                  private toilet for emptying bedpans
                                  each private patient toilet is
                                  equipped with bedpan-rinsing device
2.1-2.6.11.1            Clean linen storage
2.1-2.6.11.1(1)             designated area within clean workroom
                            or separate closet
                        or
2.1-2.6.11.1(2)             clean linen carts in corridor alcoves
2.2-2.11.6.11(2)        Equipment storage room
                             sufficient storage area on patient floor to
                             keep its required corridor width free of
                             equipment & supplies
                             min. 10 sf per each LDR or LDRP room
                             this storage area provided in addition to
                             any storage in patient rooms
2.1-2.6.11.3            Storage space for stretchers & wheelchairs
2.2-2.11.6.11(4)        Emergency equipment storage
                             close to nurse station




MDPH/DHCQ                                                                                                      09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                         Page 8 of 16

                   ARCHITECTURAL REQUIREMENTS                            PLUMBING/MECHANICAL/
                                                                         ELECTRICAL REQUIREMENTS
2.2-2.11.6.12          Environmental services room                       Plumbing:                             2.1-2.6.12.2(1)
                            for exclusive use of obstetrical suite            service sink or floor receptor
2.1-2.6.12.2(2)             provisions for storage of supplies &         Ventilation:
                            housekeeping equipment                           min. 10 air changes/hour          Table 7-1
                                                                              exhaust
2.2-2.11.6.13          Examination/treatment room and/or
                       multipurpose diagnostic testing room
2.2-2.11.6.13(1)       Location:
                            designed for obstetric triage
                                 directly accessible to delivery
                                 locations (LDR, LDRP & cesarean
                                 delivery rooms)
                                 not located in postpartum unit
                       or
                            not designed for obstetric triage
2.2-2.11.6.13(2)       Space Requirements:                               Plumbing:
                           min. clear floor area 120 sf                       handwashing station
                           min. clear floor area of 80 sf per patient         1 OX, 1 VAC
                                                                         Ventilation:
                                                                              6 air changes per hour           Table 7-1
                                                                              no recirculating room units
                                                                         Nurse Call System:
                                                                              staff emergency station          Table 2.1-4
                                                                              duty station
2.2-2.11.6.13(3)            adjoining toilet room                        Plumbing:
                                                                              toilet & handwashing station
                                                                         Ventilation:
                                                                              10 air changes per hour          Table 7-1
                                                                         Nurse Call System:
                                                                              bath station                     Table 2.1-4
2.2-2.11.7         SUPPORT AREAS FOR STAFF
2.2-2.11.7.1          Staff lounge
2.2-2.11.7.2          Staff storage facilities
                           lockable closets or cabinets for personal
                           articles of staff
2.2-2.11.7.3          Staff toilet room                                  Plumbing:
                                                                              toilet & handwashing station
                                                                         Ventilation:
                                                                              10 air changes per hour          Table 7-1
2.2-2.11.8         SUPPORT AREAS FOR PATIENTS
2.2-2.11.8.1          Patient lounge
                         check if not included in project
                      (only if all patient rooms are single-bed rooms)




MDPH/DHCQ                                                                                                        09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                                Page 9 of 16

                  ARCHITECTURAL REQUIREMENTS                             PLUMBING/MECHANICAL/
                                                                         ELECTRICAL REQUIREMENTS
130.619(A)        LABOR ROOM
130.619(A)(1)        At least 2 labor beds for each delivery room
                     (LDR or LDRP may be used as one labor bed)
130.619(A)(2)              min of 120 sf per bed                         Plumbing:
130.619(A)(3)              max. two labor beds per labor room                 handwashing station                     130.619(A)(7)
                           partitions or curtains provided to insure          1 OX, 1 VAC                             130.619(A)(6)
                           privacy for multiple-occupancy rooms          Ventilation:
130.619(A)(4)              traditional hospital wall covering &               6 air changes per hour
                           furnishings or attractive comfortable         Lighting:
                           "homelike" family-centered décor                   lighting for examinations               130.619(A)(6)
130.619(A)(5)              access to toilet & shower facilities          Power:
130.619(A)(6)              seating for family members                         functional source of emergency
130.619(A)(10)             appropriate space in suite for labor triage        electrical power
130.619(A)(8)              all facilities furnishings & equipment        Nurse Call System:                           130.619(A)(6)
                           washable                                           nurse call system
130.619(A)(9)              access to delivery room for emergency              emergency call or
                           cesarean birth management                          intercommunication system
2.2-2.11.3        LDR & LDRP ROOMS
                    check if not included in project
2.2-2.11.1.1(2)      Location:
                           within labor/delivery suite
                     or
                           within postpartum unit
2.2-2.11.3.1         Capacity:
                           single occupancy
2.2-2.11.3.2         Space Requirements:                                 Plumbing:
2.2-2.11.3.2(1)            min. clear floor area 340 sf                       Handwashing station                     2.2-2.11.3.6
                           min. clear dimension 13 ‘-0”                       1 OX, 1 VAC                             Table 2.1-6
                           infant stabilization & resuscitation space               accessible to mother’s
                           included with min. clear floor area 40 sf                delivery area & infant
130.621(F)(13)             adequate seating for family members                      resuscitation area
                     Equipment:                                          Ventilation:
130.621(F)(10)             clock with sweep second hand                       6 air changes per hour                  Table 7-1
130.621(F)(12)             bed                                                no recirculating room units
130.621(G)(1)              bassinet                                      Lighting:
                           standard infant warming device                     adjustable lighting adequate for        130.621(F)(11)
                                                                              examinations
2.2-2.11.3.4          Patient Privacy:                                   Power:
                           windows or doors within normal sightline           8 receptacles at head of mother’s bed   Table 2.1-3
                           that would permit observation into room            4 receptacles near bassinet
                           arranged or draped for patient privacy             1 receptacle on each wall
                                                                              functional source of emergency
                                                                              electrical power                        130.621(F)(14)
                                                                         Nurse Call System:
                                                                              patient station                         Table 2.1-4
                                                                              staff emergency station
                                                                              code call station
2.2-2.11.3.7          Patient bathroom                                   Plumbing:
                           direct access to private toilet room with         toilet & handwashing station
                           shower or tub
130.621(E)                      labor tub                                Ventilation:
                                     min 3'-0" clearance on two               10 air changes per hour                 Table 7-1
                                     sides & at end of tub
                                or
                                no labor tub

MDPH/DHCQ                                                                                                               09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                           Page 10 of 16

                  ARCHITECTURAL REQUIREMENTS                           PLUMBING/MECHANICAL/
                                                                       ELECTRICAL REQUIREMENTS
2.2-2.11.3.9          Special design elements
2.2-2.11.3.9(1)           finishes selected to facilitate cleaning &
                          to resist strong detergents
130.622               LDRP room (single-room maternity care)
                        check if not included in project
130.622(B)               located so that patient may be transferred
                         to cesarean/delivery room without having
                         to pass through other functional areas
                         outside maternity service
                         located so as to maintain infant security
130.622(E)               adequate soundproofing

                  CESAREAN DELIVERY SUITE
2.2-2.11.9        CESAREAN DELIVERY ROOM
2.2-2.11.9.1(1)      At least one cesarean delivery room provided
                     for every obstetrical unit
130.619(B)(1)        Meets same infection control standards as
                     operating rooms
2.2-2.11.9.2         Space requirements                                Plumbing:
2.2-2.11.9.2(1)           min. clear floor area 440 sf                      2 OX, 4 VAC, 1 MA, 1 WAGD            Table 2.1-6
                          min. clear dimension 16 ‘-0”                 Ventilation:
130.619(B)(3)        Delivery rooms not used for cesarean births            20 air changes per hour              Table 7-1
                         check if not included in project                   positive pressure
                          min 300 sf                                        no recirculating room units
                     Infant resuscitation space                        Lighting:
                          included in cesarean delivery room                adequate lighting for vaginal &      130.619(B)(4)
2.2-2.11.9.2(1)                min. clear floor area 80 sf                  cesarean births
2.2-2.11.9.2(2)      or                                                Power:
                          located in immediately accessible room            24 receptacles total                 Table 2.1-3
                               min. clear floor area 150 sf                 16 receptacles near mother
                                                                            6 receptacles dedicated for infant   2.2-2.11.9.3
                      Equipment:                                            functional source of emergency       130.619(B)(4)
130.619(B)(4)             wall clock with sweep second hand                 electrical power
130.619(B)(5)             delivery bed permitting variation in         Nurse Call System:
                          position for birth as well as anesthesia          staff emergency station              Table 2.1-4
                          administration
                          facilities for both regional & inhalation
                          anesthesia
2.2-2.11.10.2    SUPPORT AREAS FOR
                 CESAREAN DELIVERY SUITE
2.2-2.11.10.2(1)    Control/nurse station
                         located to restrict unauthorized traffic into
                         suite
2.2-2.11.10.2(2)    Soiled workroom                                    Plumbing:
2.1-2.6.10.1(2)          work counter                                       flushing-rim sink                    2.1-2.6.10.1(1)
2.1-2.6.10.1(3)          space for covered soiled linen containers          bedpan rinsing device
                         space for covered waste containers                 handwashing station
                                                                       Ventilation:
                                                                           min. 10 air changes/hour              Table 7-1
                                                                            exhaust
                                                                       Nurse Call System:
                                                                            duty station                         Table 2.1-4
2.2-2.11.10.3(1)    Supervisor’s office or station


MDPH/DHCQ                                                                                                          09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                            Page 11 of 16

                   ARCHITECTURAL REQUIREMENTS                             PLUMBING/MECHANICAL/
                                                                          ELECTRICAL REQUIREMENTS
2.2-2.11.10.3(2)        Scrub facilities
                            two scrub positions adjacent to entrance
                            to each cesarean delivery room
                            scrub facilities arranged to minimize any
                            splatter on nearby personnel or supply
                            carts
                            view windows to permit observation of
                            room interiors
2.2-2.11.10.3(3)        Medication station
                            drug distribution station                     Plumbing*:                              2.1-2.6.6.2 (2)
                                  provisions for controlled storage            adjacent to handwashing station    & FI
                                  provisions for preparation &            Lighting*:
                                  distribution of medications                  task illumination for safe         2.1-2.6.6.2 (1)
                        or                                                     identification of medication
2.1-2.6.6.2                 automated dispensing unit                         on emergency power
                                  located at nurse station, in clean      Power*:
                                  workroom or in an alcove                    emergency power to selected         NFPA 99
                                                                              receptacles
                                  locked for security of controlled       * Requirements for medication station
                                  drugs
                                  under visual control of nursing staff
2.2-2.11.10.3(4)        Clean workroom                                    Plumbing:                               2.2-2.11.10.3(4)
                            work counter                                       handwashing station
                            storage facilities for clean & sterile        Ventilation:
                            supplies                                           min. 4 air changes/hour            Table 7-1
                                                                               positive pressure
                                                                               no recirculating room unit
                                                                          Nurse Call System:
                                                                               duty station                       Table 2.1-4
                   or
                        Clean supply room                                 Ventilation:
                            Project Narrative indicates that clean             min. 4 air changes/hour            Table 7-1
                            materials are not assembled within                 positive pressure
                            obstetrical suite prior to use                     no recirculating room unit
                            room used only for storage & holding as
                            part of system for distribution of clean &
                            sterile materials
2.2-2.11.10.3(5)        Clean sterile storage area
                             readily available to delivery room
                        Medical gas storage facilities
                             for requirements, see 2.2-3.3.6.11 (3).
                        stretchers storage area
                             out of path of normal traffic
2.2-2.11.10.3(6)        Environmental services room                   Plumbing:
                             storage space for housekeeping supplies       floor receptacle or service sink       2.2-2.11.10.3(6)
                             & equipment                              Ventilation:
                                                                           10 air changes per hour
2.2-2.11.10.3(7)        Anesthesia workroom                           Plumbing:
                             designed for cleaning, testing & storing      sink                                   2.2-2.11.10.3(7)
                             anesthesia equipment
                             work counter
                             provisions for separation of clean &
                             soiled items



MDPH/DHCQ                                                                                                           09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                       Page 12 of 16

                   ARCHITECTURAL REQUIREMENTS                            PLUMBING/MECHANICAL/
                                                                         ELECTRICAL REQUIREMENTS
2.2-2.11.10.3(8)       Sterilization facilities
                             equipped with high-speed sterilizers
                             located convenient to all cesarean/
                             delivery rooms
                             sterilization facilities separate from
                             delivery area & adjacent to clean
                             assembly
130.619(C)             Additional equipment & facilities in
                       labor/delivery suite
130.619(C)(1)                access to radiologic viewboxes or digital
                             imaging
130.619(C)(2)                access to stretcher with siderails
2.2-2.11.11        SUPPORT AREAS FOR STAFF
2.2-2.11.11.1         Staff lounge
                           convenient to delivery labor & recovery
                           areas
2.2-2.11.11.1         Staff toilet room                                  Plumbing:
                           convenient to delivery labor & recovery            toilet & handwashing station   2.2-2.11.11.1
                           areas                                         Ventilation:
                                                                              10 air changes per hour        Table 7-1
2.2-2.11.11.2          Staff change areas
2.2-2.11.11.2(1)            layout encourages one-way traffic
                            layout eliminates cross-traffic between
                            clean & contaminated personnel
2.2-2.11.11.2(2)            lockers
                            space for donning & disposing scrub
                            suits & booties
                            showers
                            toilet rooms                                 Plumbing:
                                                                              toilet & handwashing station   2.2-2.11.11.2(2)
                                                                         Ventilation:
                                                                              10 air changes per hour        Table 7-1
2.2-2.11.11.3          Support persons change areas
                           change areas designed for male &
                           female support persons
2.2-2.11.11.2(1)           layout encourages one-way traffic
                           layout eliminates cross-traffic between
                           clean & contaminated personnel
2.2-2.11.11.2(2)           lockers
                           space for donning & disposing scrub
                           suits & booties
                           showers
                           toilet rooms                                  Plumbing:
                                                                              toilet & handwashing station   2.2-2.11.11.2(2)
                                                                         Ventilation:
                                                                              10 air changes per hour        Table 7-1
2.2-2.11.11.4          Staff accommodations
                            on-call room for physician & staff
                            available in hospital




MDPH/DHCQ                                                                                                      09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                      Page 13 of 16

                   ARCHITECTURAL REQUIREMENTS                           PLUMBING/MECHANICAL/
                                                                        ELECTRICAL REQUIREMENTS
2.2-2.11.12      SUPPORT AREAS FOR FAMILIES & VISITORS
2.2-2.11.12.1       Waiting room
2.2-2.11.12.1(1)    Toilet room                                         Plumbing:
                                                                             toilet & handwashing station   2.2-2.11.12.1(1)
                                                                        Ventilation:
                                                                             10 air changes per hour        Table 7-1
2.2-2.11.12.1(2)       Telephone
2.2-2.11.12.1(3)       Provisions for drinking water
2.2-2.11.13        RECOVERY AREA & SUPPORT SPACES
2.2-2.11.13.1         At least two recovery spaces provided
2.2-2.11.13.3         (recovery room or LDR or LDRP)
2.2-2.11.13.2              min. clear floor area 80 sf for each bed     Plumbing:
                           with space for additional equipment              handwashing station             2.2-2.11.14.2
                           described in functional program
                                                                        Ventilation:
                                                                             6 air changes per hour         Table 7-1
                                                                             no room recirculation unit
                                                                        Nurse Call System:
                                                                             staff emergency station        Table 2.1-4
                                                                             code call station
2.2-2.11.14.1          Nurse station & documentation area
                            visual control of all recovery beds
2.2-2.11.14.3          Medication dispensing facilities
                            located in recovery room
2.2-2.11.14.4          Equipment & supply storage
                            storage for supplies & equipment
                            available
2.2-2.11.14.5          Access to clinical sink with bedpan flushing
                       device
130.618(C)             All equipment furnishings & decorations in
                       maternal & newborn service made of
                       washable materials
130.619(D)(2)          Monitoring equipment appropriate to post
                       anesthesia care
130.619(D)(3)          Emergency medications & equipment
                       immediately accessible to recovery area
130.619(D)(5)          Provisions made to maintain family unit during
                       recovery period




MDPH/DHCQ                                                                                                     09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                                 Page 14 of 16

GENERAL STANDARDS
                 DETAILS & FINISHES
2.1-7.2.2.1      CORRIDOR WIDTH:                                    2.1-7.2.2.4       THRESHOLDS:
NFPA 101             New Inpatient Corridors:                       2.1-7.2.2.4(1)        Flush with floor surface to facilitate use of
                         check if not included in project                                 wheelchairs & carts
                           min. 8'-0"                               2.1-7.2.2.5       WINDOWS IN PATIENT ROOMS:
                     Existing Inpatient Corridors:                                              windows are operable
                           limited by structural columns or                                     operation is restricted to inhibit
                           mechanical shafts                                                    possible escape or suicide
                                 corridor width unchanged or                              or
                                 increased                          2.1-7.2.2.5(1)              windows are not operable
                     or                                             2.1-7.2.2.7       GLAZING MATERIALS:
                           not limited by structural columns or     2.1-7.2.2.7(1)        Safety Glass, Wired Glass or
                           mechanical shafts                                              Break-Resistant Plastic:
                                 min. 8'-0"                                                     glass doors & sidelights with bottom
2.1-7.2.2.1(1)       Min. 5 ‘-0” in areas not commonly used                                     frame height of less than 5 ‘-0” AFF
                     for patient stretcher transportation           2.1-7.2.2.7(2)        Safety Glass or Break-Resistant Plastic:
2.1-7.2.2.1(2)       Fixed or portable equipment does not                                       interior windows & doors
                     encroach on required corridor width            2.1-7.2.2.8       HANDWASHING STATIONS:
2.1-7.2.2.2      CEILING HEIGHT:                                    2.1-7.2.2.8(3)        Anchoring:
                     Min. 7 ‘-10” in all clinical or staff spaces                               withstands 250 Lbs. vertical load
2.1-7.2.2.2(1)       Min. 7 ‘-8” in corridors                       2.1-7.2.2.8(4)        Fittings:
                     Min. 7 ‘-8” in toilet rooms & storage rms                                  handw. stations used by staff &
2.1-7.2.2.2(4)       Suspended tracks, rails & pipes located                                    patients are operable without hands
                     in traffic path for patients in beds or                                    Blade Handles:
                     stretchers min. 7‘-0” AFF                                                      check if not included in project
                     Suspended tracks, rails & pipes located                                          at least 4” in length
                     in staff Areas min. 6‘-8” AFF                                                    sufficient clearance from walls
                 DOORS & DOOR HARDWARE:                                                         Electronic Faucets:
2.1-7.2.2.3          Sliding Doors:                                                                 check if not included in project
                         check if not included in project                                             can be operated during loss of
2.1-7.2.2.3(1)             allowed for emergency egress             2.1-7.2.2.8(5)                    normal power
                           easily cleanable tracks & hardware                             Provisions For Drying Hands:
2.1-7.2.2.3(2)       Door Openings:                                                             located at all handwashing stations
                           Inpatient Bedrooms:                      2.1-7.2.2.9                 except scrub sinks
                                 min. clear width 3 ‘-8”                                        designed to avoid contamination
                                 min. frame height 7 ‘-0”                             GRAB BARS:
                           Other Rooms Used for                     2.1-7.2.2.9(1)        Diameter or width 1-1/4” to 1-1/2”
                           Stretchers/Wheelchairs:                  2.1-7.2.2.9(2)        Located in all patient toilets & showers
                                 min. clear width 2 ‘-10”                                       designed to sustain 250 Lbs. load
2.1-7.2.2.3(3)       Door Swing:                                    2.1-7.2.2.9(3)        Grab Bars in Bariatric Patient Areas:
                           doors to rooms other than small                                    check if not included in project
                           closets do not swing into required       2.1-7.2.2.10                designed for 1,000 Lbs. load
                           corridor width                           2.1-7.2.2.10(1)       Handrails:
                     Door Hardware:                                                           check if not included in project
2.1-7.2.2.3(5)             ADA compatible hardware such as          2.1-7.2.2.10(2)             diameter or width 1-1/4” to 1-1/2”
                           lever-operated or push-type devices                                  rail ends return to wall
                           or U-shaped handles                      2.1-7.2.2.12      NOISE CONTROL:
2.1-7.2.2.3(6)       Patient Bathing/Toilet Rooms:                  2.1-7.2.2.12(1)       Provisions to avoid impact noises above
                           two separate doors                                             patient bed areas & delivery rooms
                     or                                             2.1-7.2.2.12(2)       Sound Transmission Classes (STC) of
                           outswinging door                                               partitions, floors & ceiling conform to
                     or                                                                   Table 1.2-3
                           door double acting with emergency        Policy                      indicated on the plans for each
                           rescue hardware                                                      partition type



MDPH/DHCQ                                                                                                                 09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                         Page 15 of 16

2.1-7.2.3.2     FLOORING:                                          2.1-8.2.1.1(6)   Outdoor Mechanical Equipment:
2.1-7.2.3.2(1)       Readily cleanable                                                   sound level designed for 65 dBA or
                     Appropriately wear-resistant for location                           less at hospital façade
2.1-7.2.3.2(2)       Allows for ease of ambulation                                  or
2.1-7.2.3.2(3)       Facilitates movement of wheeled equipt                              sound isolation obtained by the
2.1-7.2.3.2(4)       Smooth transitions between different                                design of impinged façade
                     flooring materials                            2.1-8.2.1.2      HVAC provided in all rooms & areas used
2.1-7.2.3.2(6)       Slip-Resistant Flooring:                                       for patient care
                           in wet areas                            2.1-8.2.4        HVAC Air Distribution:
                           on ramps & stairways                    6-7.1            Space Ventilation:
2.1-7.2.3.2(10)      Carpet in Patient Areas:                                            ventilation according to Table 7-1
                         check if not included in project                                air movement from clean to less
                           suitable for mobile equipment                                 clean areas
                           suitable for walkers                                          required airflows achieved for supply
Policy                     approved by Hospital Infection                                in positive pressure rooms
                           Control Coordinator (letter attached)                         required airflows achieved for
2.1-7.2.3.2(12)      Monolithic & joint free flooring & wall       2.1-8.2.4.1           exhaust in negative pressure rooms
                     bases in C-section rooms                                       Return Air Systems:
2.1-7.2.3.2(14)      Floors & wall bases of areas subject to                             return air via ducted systems in
                     frequent wet cleaning are homogenous                                patient care areas
                     with tightly sealed joints                    6-6.7.1               other spaces listed in Table 7-1 that
                WALL FINISHES:                                                           require pressure relationships are
2.1-7.2.3.3(1)       Wall finishes washable                                              served by fully ducted returns
                     Smooth, scrubbable & water-resistant          2.1-8.2.4.3      Exhaust Systems:
                     near plumbing fixtures                        2.1-8.2.4.3(1)        separate or combined exhaust
2.1-7.2.3.3(2)       Monolithic wall surfaces in wet areas                               systems permitted except where
                           all seams covered and/or sealed                               specified in Part 6 (ASHRAE 170)
                     Monolithic wall bases coved with floor in                           fans serving exhaust systems
                     areas that require frequent wet cleaning                            located at discharge end & readily
                     No sharp protruding corners                                         serviceable
                     Durable & scrubbable corner guards            2.1-8.2.4.3(2)   Waste Anesthesia Gas Disposal:
2.1-7.2.3.4     CEILING:                                                                 anesthesia gas evacuation system
2.1-7.2.3.4(1)       Suspended or gypsum board ceilings in                               in C-section room (may be
                     clinical areas                                                      combined w/ room exhaust system)
                     Cleanable with routine housekeeping           2.1-8.2.5        HVAC Filters:
                     equipment                                     6-6.4                 filtration conforms to Table 6-1
2.1-7.2.3.4(3)       Restricted Areas: (i.e. C-section rooms)      6-6.4.1               1st filter bank upstream of heating &
                           monolithic ceilings                                           cooling coils
                           scrubbable ceiling finishes             6-6.4.2               2nd filter bank downstream of wet
                     gasketed access openings                                            air cooling coils & supply fan
2.1-7.2.4.1     CASEWORK:                                          2.1-8.2.5.1           Recirculating Room Units:
                     Countertops made of stainless steel                                      check if not included in project
2.1-7.2.4.1(2)       or solid-surface materials                                                 filters min. efficiency MERV 6
                     Plastic laminate countertops with             6-6.1.1          Ventilation upon Loss of Normal
                     handwashing sinks                                              Electrical Power:
                           marine-grade plywood substrate                                space ventilation & pressure
                MECHANICAL                                                               relationship requirements of Table
2.1-8.2.1       ASHRAE Standard 170-2008:                                                7-1 maintained for C-section rooms
                Sections 6 & 7 referenced below                                     C-Section Rooms:
6-6.3.1              Outdoor Air Intakes:                          6-7.4.1               airflow is unidirectional
                           min. 25 feet from cooling towers                              diffusers concentrated to provide an
                           & all exhaust & vent discharges                               airflow pattern over patient &
                           bottom min. 3'-0" above roof level                            surgical team
                     or                                                                  area of primary supply diffuser array
                           bottom min. 6'-0” above grade                                 extend min. of 12” beyond footprint
                           located away from public access                               of surgical table on each side



MDPH/DHCQ                                                                                                         09/10 IP7
Compliance Checklist: Obstetrical Unit                                                                                 Page 16 of 16

                    (C-Section Rooms)                                2.1-8.3.7.3               Bath Stations:
                         no more than 30% of primary supply                                          within reach of patient lying on
                         diffuser array area used for ceiling                                        floor in toilet rms & bathing rms
                         mounted equipment                           2.1-8.3.7.3(2)                  located 5'-0" to 6'-0" AFF in
                         bottom of these grilles installed                                           shower stalls
                         approximately 8” AFF                                                        within normal view of user
                         at least two low sidewall return or                                         located within reach of staff
                         exhaust grilles spaced at opposite          2.1-8.3.7.3(3)                  located within 12“ of front of
                         corners or as far apart as possible                                         toilet bowl
                 ELECTRICAL                                                                          toilet stations 3'-0" to 4'-0" AFF
2.1-8.3.2.2(3)      Panelboards are not located in required                           PLUMBING
                    means of egress                                  2.1-8.4.2.1(3)      No piping exposed overhead or on walls
2.1-8.3.4           Lighting:                                                            in clinical areas
2.1-8.3.4.2              smooth cleanable shatter-resistant          2.1-8.4.2.5         Hot Water Systems:
                         lenses & no exposed lamps for light         2.1-8.4.2.5(2)            distribution systems serving patient
                         fixtures in wet areas                                                 care areas under constant
2.1-8.3.4.3(1)           Patient Rooms:                                                        recirculation
                               reading lights                                                        non-recirculated fixture branch
                                     controls accessible to                                          piping max. 25 feet
                                     patients from bed               2.1-8.4.2.6(1)      Drain above ceiling in delivery rooms,
                                     no incandescent &                                   nurseries, electronic data processing
                                     halogen light sources                               areas or electric closets
                                     light source covered by                                 check if not included in project
                                     diffuser or lens                                          double wall containment piping or
                               night lights                                                    oversized drip pans above ceiling
                                     switch at room entrance         2.1-8.4.2.6(2)      Floor Drains:
                                     mounted on wall near floor                                not installed in delivery rooms
                                     night light located for staff   2.1-8.4.3.2         Handwashing Stations:
                                     & patient use                   2.1-8.4.3.2(2)            sinks in clinical areas designed with
                                     illuminate path from bed to                               deep basins to prevent splashing
                                     corridor door & toilet                                    basin area min. 144 square inches
2.1-8.3.5.2         Handwashing Stations & Scrub Sinks                                         min. basin dimension 9 inches
                    in Labor/Delivery Suite:                                                   faucet discharge point at least 10 “
                         automatic controls                                                    above bottom of basin
                             check if not included in project                                  design of sinks does not permit
2.1-8.3.6                      connected to essential                                          clean storage beneath sink basin
                               electrical system                     2.1-8.4.3.3         Showers & Tubs:
                    Receptacles:                                     2.1-8.4.3.3(1)            non-slip walking surfaces
2.1-8.3.6.1(1)           located 50 feet apart in corridors          2.1-8.4.3.3(2)            recessed soap dishes
                         located within 25 ft of corridor ends       2.1-8.4.3.4         Ice Machines:
2.1-8.3.7           Nurse Call Systems:                                                        copper tubing for supply connections
2.1-8.3.7.1(2)           report to attended locations                2.1-8.4.3.5         Clinical Flushing-Rim Sinks:
2.1-8.3.7.1(5)           Wireless Call System:                       2.1-8.4.3.5(1)            valves can be operated without
                             check if not included in project                                  hands
                               documentation establishing that                                 handles min. 6 “ long
                               system meets UL 1069 is               2.1-8.4.3.5(2)            integral trap provides visible seal
                               attached                              2.1-8.4.3.6         Scrub Sinks:
2.1-8.3.7.2              Patient Stations:                                                     foot, knee or ultrasonic controls
2.1-8.3.7.2(1)                 2-way voice communication at          2.1-8.4.4           Medical Gas Systems:
                               each patient bed station              2.1-8.4.4.2(2)            vacuum discharge located at least
2.1-8.3.7.2(3)           Nurse Call Signals:                                                   25 feet from all outside air intakes
                               visible signal in corridor at                                   doors & operable windows
                               patient room door
                               additional visible signals at
                               corridor intersections




MDPH/DHCQ                                                                                                                 09/10 IP7

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:7
posted:8/8/2012
language:
pages:16