Section 410 IAC 26-17-2 - Specifications of physical plantAuthority: IC 16-21-1-7; IC 16-21-2-2.5
Affected: IC 16-21-1; IC 16-21-2
Sec. 2.
(a) Building entrances used to reach the clinic shall be as follows: (3) Located so that patients need not go through other activity areas. When the abortion clinic is part of another facility, separation of and access to the clinic shall be maintained. Lobbies of multioccupancy buildings may be shared. The design of the clinic shall preclude unrelated traffic from the clinic.
(b) The clinic design shall ensure appropriate levels of patient:(1) audible and visual privacy; and(2) dignity; throughout the care process.(c) For common administration and authorized visitor areas, the clinic shall be able to accommodate wheelchairs and provide the following: (1) A reception and information counter. The reception and information counter or desk shall be as follows: (A) Located to provide visual control of the entrance to the clinic.(B) Immediately apparent from the entrance.(2) A waiting area. The waiting area shall be under staff control. The seating area shall contain not fewer than two (2) spaces for each examination and procedure room.(3) At least one (1) conveniently accessible toilet room containing a lavatory for hand washing.(4) Conveniently accessible drinking water.(5) Interview space for private interviews related, for example, to social services or credit.(6) General storage facilities for supplies and equipment needed for continuing operation.(d) Requirements for clinical facilities are as follows: (1) Procedure rooms shall be segregated and removed from general traffic flow and be a minimum of: (A) one hundred twenty (120) square feet, exclusive of vestibules, toilets, and closets for procedures requiring only local analgesia or nitrous oxide; and(B) two hundred fifty (250) square feet, exclusive of vestibules, toilets, or closets for procedures that require conscious sedation.(2) Rooms exclusively used for examinations shall be a minimum of eighty (80) square feet exclusive of vestibules, toilets, or closets.(3) A hand washing station shall be included within each procedure room.(4) Scrub facilities: (A) shall be provided near the entrance of procedure rooms;(B) may provide service to multiple procedure rooms if needed; and(C) shall be arranged to minimize splatter on nearby personnel or supply carts.(5) A separate recovery room or area shall be included and provide for the following: (A) A minimum clear area of two (2) feet, six (6) inches around three (3) sides of each recovery cart or lounge chair for work and circulation.(B) A method of providing privacy for each patient in the room or area.(C) A work station with the following: (iii) Provisions for charting.(iv) A communication system.(6) A drug distribution station will be included. The station:(A) may be a part of the work station; and(B) shall include a: (iii) refrigerator (if needed); and(iv) locked storage for biologicals and drugs.(7) A toilet room containing a lavatory for hand washing shall be accessible from all examination and procedure rooms. Where a clinic has no more than a total of three (3) examination and procedures rooms, the patient toilet may also serve as the toilet for the waiting area.(e) Requirements for design standards are as follows:(1) At least one (1) housekeeping room with: (B) adequate storage for housekeeping supplies and equipment; shall be provided.(2) Hand washing stations shall: (A) be located and arranged to meet the needs of the clinic; and(B) permit proper use and operation. Provisions for hand drying shall be included at all hand washing stations except scrub sinks.
(3) There shall be an equipment room or rooms for:(D) other mechanical; and(E) electrical; equipment.(4) Incinerators, if used, shall also conform to the building standards prescribed by area air pollution regulations.(5) The minimum corridor width shall be forty-four (44) inches. Items such as drinking fountains, telephones, or vending machines shall not: (A) restrict corridor traffic; or(B) reduce the corridor width below the required minimum.(6) The minimum nominal door width for patient use shall be three (3) feet.(7) Each building shall have at least two (2) exits that are remote from each other.(8) An approved antiscald device shall be provided on the hot water supply to all hand washing facilities limiting the water temperature to a maximum of one hundred ten (110) degrees Fahrenheit (forty-three (43) degrees Celsius).Indiana State Department of Health; 410 IAC 26-17-2; filed May 11, 2006, 9:36 a.m.: 29 IR 3370; readopted filed Jul 12, 2012, 12:08 p.m.: 20120808-IR-410120196RFAReadopted filed 9/26/2018, 2:48 p.m.: 20181024-IR-410180328RFAFiled 9/6/2019, 3:25 p.m.: 20191002-IR-410190164FRA