R158
R158
R158
R158
THE REGULATION pertaining to control of Private Hospitals, should consist of three parts:-
1. LICENCING CONTROL:-
- Describing how private hospitals will be controlled, once the policy has been
finalised.
- This document should not be an operational manual, but should only prescribe
in an area where patient safety may be directly affected.
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Included, please find a copy of a manual compiled by the following committee members:-
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Neville Cohen
This manual is our recommendation with regard to minimum building requirements for
private hospitals. It was compiled with cost-effectiveness and patient safety as the ultimate
goal, and flexibility of function as a secondary goal.
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REGULATION GOVERNING
PATIENT CARE FACILITIES
1. INTRODUCTION
2. DEFINITIONS
6. SPECIALISED WARDS:
(These criteria may be used for single speciality hospitals such as an ambulatory
clinic, a rehabilitation hospital, etc. – also see Section 14)
7. OPERATING SUITE
9. LAUNDRY
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10. KITCHEN
11. PHARMACY
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1. INTRODUCTION
The Minister of Health will appoint a standing committee which will meet at least
once a year to revise this Regulation. At least 50 % of the members serving on this
committee must represent the private sector and must be nominated by properly
constituted organisation(s) representative of the private healthcare facilities.
For the purpose of this regulation, only patient related areas are considered. For all
other areas, refer to the existing NATIONAL BUILDING REGULATIONS SABS
0400 (as amended).
For employee’s facilities, refer to Regulation 2362 under the Machinery and
Occupational Safety Act (Act No 6/1983) as amended (Act No 85/1993).
Where referrals are made to any existing regulation, this refers to the latest amended
issue of such a regulation.
These regulations replace the previous regulations as per Section 44 of the Health Act,
1977 (Act 63 of 1977).
These regulations will apply to all new facilities and extensions to existing
facilities.
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2. DEFINITIONS
Unless otherwise indicated, any word or phrase listed below under definition, shall
wherever and whenever used in this regulation, mean the following:
2.2 CASUALTY UNIT is a unit sometimes only open after hours where urgent
service is rendered to members of the public. It will normally not have in-
house facilities for management of all major trauma and may not have
facilities for management of major medical surgical illness. It must, however,
have facilities for stabilisation of such cases prior to transfer.
2.3 CLEANERS’ ROOM is a room for the storage of cleaning equipment, the
drawing of clean water, the disposal of dirty water, and the washing and
drying of cleaning equipment. This room may be combined with the dirty
utility room.
2.4 CLEAN UTILITY ROOM is a room for the storage of clean linen, sterilised
packs, dressings and pharmaceutical supplies. May be used as a set-up area
for ward procedures.
2.5 CLINICAL BASIN is a wash hand basin which can be operated without hand
contact. The outlet spout shall be located away from the wall.
2.8 DIRTY UTILITY ROOM/SLUICE ROOM is a room used for the emptying,
cleaning and storage of bedpans, urine bottles and equipment.
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2.12 MAIN KITCHEN is a room or rooms equipped for the receipt of, storage and
preparation of food and beverages.
2.13 MEDICAL WASTE DISPOSAL is the safe and hygienic disposal of medical
waste.
2.15 NURSE STATION is the control point for all activities in the patient care
areas.
2.17 OPERATING ROOM is a room within the operating suite in which surgical or
other invasive procedures are carried out.
2.18 OPERATING SUITE refers to rooms within the demarcated area where
surgical interventions are performed or support is provided to these surgical
activities.
2.19 PATIENT CARE FACILITY is any hospital or any other institution, building
or place at which provision is made for the treatment and nursing care of
persons, including the following:
- Chronic Care
- Emergency Unit
- Psychiatry
- Obstetrics
- Surgical and Medical Treatment
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2.20 PATIENT ROOM refers to a room where the patient shall be accommodated.
2.22 RECOVERY ROOM OR AREA means the section of the operating suite
specially set aside for the immediate post operative recovery, resuscitation,
nursing and special care of patients, until such time as such patients are
considered to have recovered sufficiently to be safely removed from the
operating suite.
2.23 SOILED LINEN AND WASTE ROOM is a room used for the collection and
temporary storage of soiled linen and waste. This room may be combined
with the dirty utility room.
2.27 TREATMENT ROOM is the room used for treatment of patients in the wards.
2.28 WARD KITCHEN is a room or area which forms an integral part of a nursing
unit or units, for the preparation of food and beverages. If food is prepared in
this room, it must comply with the main kitchen requirements.
2.29 WASH HAND BASIN shall consist of a wash basin with hand drying
facilities adjacent to it.
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2.30 ABBREVIATIONS
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Save where otherwise required in these regulations the requirements must comply
with the general building regulations of the NBR.
3.1 DOORS
Doors from patient ablution and toilet facilities, whether internally locked or
not, must be easily and completely removable, both from inside and outside.
3.2 FLOORS
The floors of all rooms and corridors shall be of concrete finished to a smooth
washable surface or covered with washable material.
The floors of all operating and delivery rooms shall be of impervious material
and so laid as, to provide a continuous and smooth impervious surface
including the joint between the wall and floor.
3.3 CEILINGS
3.4 WALLS
All of the surface of inside walls must be covered with a smooth finish and
must be painted with a durable washable paint or covered with a similar
washable impervious material.
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The wall behind the wash hand basin, clinical basin, sink and slop hopper shall
have a washable impervious covering up to a height of at least 450 mm above,
and a distance of at least 150 mm on each side of such fitting.
3.5 DIMENSIONS
Where plans are submitted, they must comply with NBR scale
requirements.
Fire hydrants, fire hoses, fire extinguishers, fire escapes and emergency exits
shall be provided in accordance with Part T of NBR and the local authority
regulations.
3.7 CORRIDORS
All corridors where patients are being transported shall have a minimum
unobstructed width measured between walls:
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3.9 SIGNAGE
The signage system must comply with the primary function of guiding the
visitor/patient to the areas/departments/wards/rooms which are their normal
destinations and to indicate the exits clearly.
3.10 LIFTS
3.11 ACCESS
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4. ENGINEERING SERVICES REQUIREMENTS
These requirements must comply with the regulations mentioned under each heading
unless otherwise specified. All services must be certified by an appropriately
qualified engineer.
All rooms shall be ventilated and lit in accordance with NBR, unless otherwise
specified.
The air conditioning system should deliver between 400 and 500 litres/sec. of
conditioned air to each operating room. The final filters should filter the air
down to 5 microns at 99 % efficiency. This implies a final filter with a 55 % -
65 % dust spot efficiency when tested by the SABS to ASHRAE Standards
52 – 76. Care must be taken in the design of the system and the installation of
filters to ensure an air-tight seal between the filter housing and the filter bed.
Pre-filters must be provided – these may be the washable type. A maximum
of 80 % of the air may be re-circulated.
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- TEMPERATURE
- HUMIDITY
All the above rooms shall be air conditioned with the following standards:
The air conditioning system should be designed to deliver 10 air changes per
hour. The filter should filter the air down to 5 microns at 20 % efficiency.
The filter shall have a minimum area of 0.35m². The filter may be of the
washable type. Fresh air must be introduced from the outside at the rate of 30
litres/sec. and filtered as above. The suction temperature of the unit shall not
go below 3 ºC.
- TEMPERATURE
Temperatures in the rooms should not exceed 26 ºC for more than 14 days
during a normal year.
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4.1.2.4 Non Special Areas
Must be in accordance with the Occupational Health and Safety Act of 1993.
4.1.2.6 Daylight
Where a requirement for natural light (daylight) is stated, this may be met by
windows opening onto an atrium or courtyard, or a roof light, providing
privacy within the room or space is maintained. In addition, daylight may be
borrowed from an adjacent room or corridor by means of glazing the wall in
between providing the adjacent room or corridor is within the same unit and
privacy is maintained.
- The Consumer Code for the Wiring of Premises, South African Bureau of
Standards, Specification 0142.
- Occupational Health and Safety Act of 1993.
- Any special requirements of the electricity supply authorities of the particular
area or district.
- The Local Authority Fire Regulations
- Telkom Regulations
- NBR
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4.1.3.1 General
High Care and all patient treatment areas 300 lux at whole bed area for observation
10 000 lux for local examination luminaire
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- Surgical operating room luminaire
- Strategic lights in ward corridors, ICU, HCW, Neo-natal ICU,
recovery room, operating suite and delivery rooms, duty stations, fire
escapes and emergency units
- Delivery room luminaire
- All switched socket outlets used for patient life support anywhere in
the hospital.
- Patient lifts (minimum of one lift)
- Medical air compressors (unless a standby compressed air manifold is
provided), vacuum pumps (unless mobile units on emergency power
circuits are provided) and gas alarm systems.
4.1.4 Gases
4.1.4.1 General
With the exception of ICU and NICU, medical gases may be provided
by bottled or piped systems. Vacuum may be piped or mobile, with
the exception of ICU and NICU.
Operating Rooms:
4.1.4.3 Safety
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All piped gas installations must conform to:
- SABS 051 Part III. The handling and storage of medical gases and the
installation of medical gas, compressed air and vacuum pipeline
systems.
- SABS 1409. The outlet sockets and probes for gas and vacuum
services.
4.1.5 Vacuum
The vacuum installation shall comply with SABS 051 Part iii. Vacuum liquid
bottle traps must be installed to collect any blood/fluids, etc. that may be
drawn into the pipeline. One bottle trap per theatre, ICU, ward block and
other patient unit, must be supplied. Emergency suction facilities must be
provided in the ICU and High Care, operating rooms, recovery room, delivery
rooms, emergency unit and nursery, and must be available to all patient rooms.
4.1.7 Scavenging
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Anaesthetic gas scavenging, a low pressure suction system, that removes
exhaled anaesthetic gases from the patient circuit, must be provided. Each
outlet point must have its own balancing valve to allow the system to be
balanced progressively from the furthest outlet point towards the fan motor.
Every bed shall have a call system that will enable the patient to call a nurse to
the bedside. An emergency call system shall be provided in ablution facilities.
An emergency call system shall be provided from the ICU/High Care (if
supplied) to the operating suite and from nursing unit nurse stations to the
operating suite and ICU (if supplied), in order that assistance can be provided
in the most appropriate way.
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5. GENERAL NURSING UNIT
Patients are accommodated in a ward or nursing unit. A ward could consist of one or
more nursing units.
5.1.2 A nurses station so placed that physical access to any patient requiring
care is not impeded or delayed, and must contain
5.1.4 A clean utility room with a minimum floor area of 5 m², work surfaces
and a clinical basin;
5.1.8 A cleaners room containing shelves, low level sink or slop hopper with
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suitable tap height for bucket filling and hooks for mops. This may be
incorporated into the dirty utility room, and if so – then the floor area
of the dirty utility room must be increased to 7 m² or to 9 m² if soiled
linen and waste room is also incorporated;
5.1.9 A soiled linen and waste room. This room may be incorporated into
the dirty utility room, and if so, then the floor area of the dirty utility
room must be increased by 2 m² to 7 m² or by 4 m² to 9 m² if cleaner’s
room is also incorporated.
5.1.11 A staff toilet which may be shared by adjacent nursing units. There
must be a minimum of one such toilet for every 36 beds and each must
contain a wash hand basin.
- The attending side of the beds is defined as the patient’s right hand
side when lying supine.
- The minimum floor area of any patient room must be 10 m². Single
rooms shall have a minimum wall length of 2,6 m.
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5.2.1.2 In all patient rooms provision must be made for minimum
space of:-
- 900 mm between the attending side of any bed and the nearest
wall on that side;
- 1 200 mm between the foot of any bed and the opposite wall or
of 1 500 mm between the foot of any bed and the opposite bed.
5.2.1.4 Except in the case of a mother and child, children and adults
shall preferably be accommodated in separate rooms.
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- separate facilities for male and female patients;
- At least one wash hand basin for every two toilets, unless toilets are
located singly in which case one wash hand basin for each toilet is
required.
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6. SPECIALISED WARDS
6.2.1 bathing facilities for babies: refer to Section 6.3.12.4 and 6.3.12.5 in
Maternity section.
6.2.2 a dedicated milk kitchen is required if the institution has more than 20
paediatric beds/cots. This may be shared with a nursery. If the unit
contains less than 20 beds/cots, then infant feeds may be prepared in a
special area within the ward kitchen. A double basin wash-up facility
and wash hand basin must be supplied.
6.2.3 a treatment room and clean utility room, which may be shared;
6.2.4 facilities for isolation in a ratio of one per 15 cots/beds. Such facility
must be fitted with a clinical basin and ventilation so designed to
prevent airborne cross infection;
6.2.5 direct vision of all beds/cots from the nurses’ station or from the
adjacent corridor, via glass walls or viewing panels;
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6.2.6 special safety features applicable to children in respect of socket
outlets and switches, heaters and door locks, and hot water supply.
6.3 OBSTETRICS
6.3.1 A maternity unit is an area where babies are delivered and post natal
care is given to both mother and baby. It must provide the following:
- access to a theatre
- a nursery
6.3.3 If ante natal beds are provided, a preparation room is optional and first
stage rooms are not required. Where there are no ante natal beds, a
preparation room must be provided.
6.3.4 Post natal units, where mothers can stay for at least a few hours, must
be supplied.
6.3.6 Follow general requirements as for every other nursing unit. See sec 5.
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6.3.7 A Delivery Room
6.3.7.2 Each delivery room shall have a floor area of not less
than 14 m² and a minimum wall length at bedhead of
3,45 m.
6.3.7.4 Oxygen, suction for both mother and baby and infant
warming must be provided in each delivery room.
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6.3.9.1 A minimum floor surface area of 6 m².
The nursing unit must comply with the regulation for general wards.
6.3.11.1 In addition:
If rooming in is provided, an additional space of 1 m²
per bed must be allowed for accommodation of infants
with their mothers.
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ward kitchen must be provided for the preparation of
baby feeds. (Refer to 6.2.2).
6.3.12 Nursery
6.3.12.10 A clean utility area with a wash hand basin, and work
and storage space for linen, supplies and equipment
must be provided. This could be shared with 6.3.12.11.
(Refer to Section 5.1).
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- cupboard space;
- a work surface;
- oxygen and suction;
- an extraction ventilation system, or the room be so designed to avoid
air borne cross infections;
- direct visibility from the nursing station.
6.4.1.2 The clear space between the wall at the head of the ICU
crib to the foot including circulation space at the foot
shall not be less than 2,5 metres.
6.4.1.3 At least one clinical basin for every six cribs, or part
thereof shall be provided within the open ward.
- 2 x Oxygen
- 1 x Low pressure medical air
- 2 x Vacuum
- 6 x 15 Amp switched socket outlets
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provided, providing the air pressure within the ward
area shall be positive in relation to other areas within
the NICU (See 4.1.2)
6.4.2.3 The wall/partition at the head of the bed shall not be less
than 2 metres.
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6.4.3.2 If this room is also used for the collection and
temporary storage of soiled linen and waste the
minimum floor are will be 7 m² or 9 m² if also used for
a cleaners’ room. Dirty linen containers must be
provided.
6.4.3.7 A staff rest room within the unit must be provided and
may be shared.
This section applies to all intensive care units, other than neonatal intensive
care units.
6.5.1.2 The clear space between the wall at the head of the bed
to the foot of the bed including circulation space at the
foot of the bed shall not be less than 4,0 m.
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6.5.1.3 At least one clinical basin for every 4 beds or part
thereof shall be provided in the open ward space.
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6.5.3 Isolation Cubicle
One bed in the ICU shall be provided in an isolation cubicle. Only one
bed space shall be provided in each cubicle.
The following service accommodation must also be provided. (See section 5.1
for details)
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As for general Wards, refer to sections 5.1 and 5.2
In addition:
- Oxygen (O²)
- Vacuum
- Four 15 amp electric switched socket outlets
- An approved nurse call system with an
emergency call facility
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6.8 CHRONIC CARE WARD
See Section 14
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7. OPERATING SUITE
7.1.2 It shall consist of one or more operating rooms associated with the
following facilities as detailed in the succeeding sections:
- Recovery area
- Duty station
- Scrub area
- Setting-up area
- Changing facilities
- Cleaning and disposal area
- Storage facilities
- Rest rooms
- A suitable waiting area – patient privacy must be considered
when designing this area.
7.1.4 The operating suite is not permitted to be used for any other purpose
than to perform surgical or other related procedures.
7.2.1 Dimensions
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Theatre Type Area Minimum Length Minimum Light Operating Height
7.2.2.1 Points for the supply of oxygen, nitrous oxide, medical air,
vacuum scavenging and electrical power will be provided as
follows:
Minor 2 1 2 0 6 1
Major 2 1 2 1 8 1
Cardiac 4 2 4 2 18 1
Cath Lab 1 1 1 0 8 1
7.3.1 The recovery area shall be within the restricted access area.
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7.3.2 A recovery area shall have a minimum unobstructed floor area of 12 m² and a
wall length of not less than 3 000 mm for the first operating room (OR).
Thereafter minimally 16 m² for two operating rooms and 24 m² for three
operating rooms, on the basis of one bed per OR for the first three OR’s and
thereafter one bed per each two additional OR’s.
7.3.3 The recovery room or area shall be fitted with the following:
7.3.3.2 One oxygen and one suction point for each bed to be
accommodated.
7.3.3.3 Three electrical switched socket outlets for every recovery bed
or trolley.
7.3.3.6 Lighting.
7.4.1 A duty room or duty station within the restricted access areas which is so
situated, constructed and equipped that it is possible for the nursing staff to
observe patients directly and where necessary render assistance. This area
need not be a room, but may form an integral part of the main patient corridor,
recovery area or bed-receiving area.
7.4.2 The duty station shall have a floor area of not less than 6 m² and a minimum
wall length of 2,0 m.
7.5.1 A scrubbing-up area outside but adjacent to the operating room shall be
provided. This area shall have direct access to the operating room.
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7.5.2 A scrubbing-up area or room shall have a width of not less than 2 100 mm and
shall be so equipped as to permit unhindered and simultaneous scrubbing-up,
by at least two persons under hot and cold running water from elbow-
operating taps or alternative method over splash-limiting basins or a drainage
trough, and gowning prior to entering the operating room or within the
operating room.
7.5.2 In the case of minor theatre, provisions need only be made for scrubbing-up by
one person, and the scrub-up area may be within the theatre.
7.6.1 A cleaning and disposal area to serve the operating suite only shall be
provided. Where a special disposal corridor is provided from which the
cleaning of the operating suite or operating room(s) can be effected, such a
cleaning/disposal area shall not be situated within the restricted access area,
but shall be so situated as to have an access door from such a corridor only.
7.6.2 A cleaning and disposal area shall have an unobstructed floor area of not less
than 5 m² and a minimum wall length of 2,0 m for the first operating room.
An additional 2 m² for each additional operating room must be provided.
7.6.3.3 A rust proof wash sink with hot and cold water.
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7.7 CHANGE AND REST ROOMS
7.7.1 Suitable change room facilities must be provided separately for male
and female staff.
7.7.2 The change room must have one door which opens into the restricted
access area, and must have a separate entrance from outside the
restricted access area.
7.7.3 An operating suite change room shall have a floor area of not less than
9 m² for the first two ORs and thereafter 2 m² per OR and a
minimum of 2 000 mm and shall be provided with:
7.7.4 Rest rooms or rooms for operating suite staff must be within the
operating suite.
Adequate setting-up space within the restricted access area shall be provided.
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This does not have to be a separate room. Setting-up may take place within
the operating room.
8.1 This unit should preferably be adjacent to or form part of the operating suite.
Where it is not, suitable changing facilities for staff should be provided. Refer
Section 7.7.
8.2 In large multi-storey hospitals, the SDU may be designed and operated remote
from the operating suite or hospital. The transporting system provided for the
sterilised items must be so designed to preserve pack integrity and product
sterility.
8.3 A minimum floor space of 30 m² for the first two operating rooms/delivery
rooms must be provided plus an additional 2 m² for the third and each
additional operating room.
8.4 The design of the sterilising and disinfection unit and layout of equipment
must ensure a clear flow of work from the soiled to the clean side of the unit.
8.5.1.1 A slop-hopper
8.5.1.2 Stainless steel sinks with hot and cold water, of which
at least one sink is at least 350 mm deep;
8.5.1.3 A trolley washing area with hot and cold water and a
floor drain;
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8.5.2 Tray and pack preparing area comprising the following:
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9. LAUNDRY
9.1 DESIGNS
9.1.1 The design of the laundry must comply with the NBR and the
Occupational Health and Safety Act of 1993.
9.1.2 The design of the laundry and layout of equipment must ensure a clear
flow of work from the soiled to the clean side of the laundry.
9.1.3 All clean laundered linen must be handled and stored on the clean side
of the laundry to obviate soiling from the process of sorting, sluicing
and washing of soiled linen.
9.1.5 If the laundry is remote from the hospital, a central sluicing room must
be provided at the hospital. This should not be at ward level.
9.2 FLOORS
9.2.1 The floors of the laundry must have an impervious, smooth, washable
surface.
9.2.2 Where floor drains are provided for the washing of the floor, outlets to
these drains are to be installed in the soiled/washing area of the laundry
and the floor must be sloped down to this point.
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10. KITCHEN
10.1 DESIGNS
10.1.1 The design of the kitchen must comply with the NBR and the
Occupational Health and Safety Act of 1993, as well as local
authority regulations.
10.1.2 The design of the kitchen and layout of equipment must ensure
a clear flow of work from the delivery and preparation area,
and scullery area, to the final food preparation and serving area.
10.1.3 Food preparation and plating area must be protected from the
dirty preparation area and scullery area. Care must be taken to
prevent contamination of food by splashing from the scullery
area.
10.1.4 There must be separate facilities for the bulk storage of dry
goods, vegetables, meat and fish.
10.2 FLOORS
10.2.2 Where floor drains are provided for the washing of the floor,
outlets to these drains are to be installed in the soiled/washing
area of the kitchen and the floor must be sloped down to this
point.
OR
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10.3 OUTSIDE CATERING FACILITIES MAY BE USED
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11. PHARMACY
11.1 This pharmacy must be designed to allow for an area where dispensing is
done. This area must be easily accessible to wards, operating suites and
patients. Access must be allowed to patients in a wheelchair. (See NBR).
- Special attention must be given to security. All windows and doors must be
secured.
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12. PROCEDURE ROOM
12.1 If supplied, this room shall be situated outside the demarcated area of the
operating suite.
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13. EMERGENCY UNIT AND CASUALTY DEPARTMENT
A casualty unit is a unit sometimes only open after hours where urgent service is
rendered to members of the public. It will normally not have inhouse facilities for
management of all major trauma and may not have facilities for stabilisation of such
cases prior to transfer.
13.1.3 Access to public toilet with wash hand basins, for men and
women separately. Access to a wheelchair toilet which may be
shared.
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13.1.5 Procedure Room
13.2 LOCATION
13.2.1 The unit must have a weather protected external entrance with
easy ambulance access.
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13.2.3 If the unit is not on the same level as the hospital, an elevator
must be provided that will be suitable for convenient access of
patients to the operating suite, wards, dispensary, or
radiological units if necessary.
As per Section 4
As per Section 3
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All facilities shall be in accordance with National Building Regulations as and
where applicable.
14.2.1 Accommodation
In addition:
14.2.1.1 Lounge
Every nursing unit shall have at least one (1) group room with a
minimum floor space of 9 m².
Special care facilities of at least 7,5 m² per bed for wards and
at least 10 m² for single rooms shall be available near to the
nurses’ station.
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- A wash basin shall be available in the room
- One (1) nurses’ call system shall be available per bed
- Basic emergency facilities shall be accessible for
resuscitation, be it fixed or portable.
14.2.1.6 Dining-room
14.2.2.1 At least one procedure room of not less than 12 m² and one
recovery facility shall be provided per hospital for electro
convulsive therapy and narco-analysis. The recovery facility
must be at least 9 m².
14.2.2.2 At least one (1) hand wash basin shall be available for each of
the procedure room and recovery facility.
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14.2.3.2 Group/Interview Room
14.2.3.5 Storage
14.2.4.1 Safety glass and slip resistant floor must be used in all patient areas.
14.2.4.2 Patients must not be able to lock themselves into any room or
cupboard.
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14.2.4.6 Clothes hooks in accommodation and ablution areas must have a
breaking strain of not more than 5 kg.
Rest room and toilet facilities shall be provided for staff (As per
General Section 5.1.11)
14.3.1.2 General wards shall be designed for not more than six (6)
patients per room.
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- electrical socket outlets, one per three beds shall be
provided.
14.4.1.1 Doors
14.4.1.2 Corridors
As per Section 4.
14.4.3.1 As per Section 5.1 and 5.2 with provision that no room
shall contain more than 12 beds.
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14.4.3.2 Maximum of 36 beds per nursing unit.
14.4.3.7 Dining-room/Lounge
An area must be provided for therapy. The area can be shared for all
multi-disciplinary therapy and include therapy departments, therapists
offices, change rooms, toilets, recreational facilities, treatment rooms,
splinting rooms.
The therapeutic area must have direct access to the garden with ramps
(accessible for wheel chairs).
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- A minimum of 10 m² with one electric
switched socket outlet and a wash basin.
- Storage space for each of the clean work room, the dirty
work room and the cognitive room must be provided, a
minimum of 6 m² per area. This storage space may be
shared, in which case it must be a minimum of 15 m².
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14.4.4.2 An Emergency Room
- 16 m²
- Four SSO’s
- Piped/mobile oxygen and suction
- Double doors
14.4.4.3 Physiotherapist
- 10 m²
- one SSO
- screening facility
14.4.5 If spinal and/or cranial rehabilitation (see definition) is to be done, the following
additional requirements must be met:
14.4.5.1 Hydrotherapy
A POOL
- hoist mechanism or ramp
- minimum of 1 m and a maximum of 1,5 m deep
- 1 m walking space around pool
- change rooms and lockers of 8 m²
- a wheel chair toilet 4 m²
In addition:
- One low pressure medical air point per bed
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