Section He-P 811.22 - Physical Environment(a) The licensed premises shall be maintained so as to provide for the health, safety, well-being, and comfort of clients and personnel, including reasonable accommodations for clients and personnel with mobility limitations. (b) Equipment providing heat within an ESRDDC including, but not limited to, gas furnace or boiler, oil furnace or boiler, wood stove, or pellet stove shall: (1) Maintain a temperature that is a minimum of 70 degrees Fahrenheit when client(s) are present; and (2) Be serviced once a year or as recommended by the manufacturer with written documentation of such service retained for at least 4 years. (c) Electric heating systems shall be exempt from (b) (2) above. (d) Portable space heating devices shall be prohibited, unless the following are met: (1) Such devices are used only in employee areas where personnel are present and awake at all times; and (2) The heating elements of such devices do not exceed 212 degrees Fahrenheit. (e) Unvented fuel-fired heaters shall not be used in any ESRDDC. (f) The ESRDDC shall have: (1) An emergency call system; and (2) A generator, in working condition at all times. (g) The generator in (f) (2) above shall be tested regularly in accordance with manufacturer's recommendations. (h) Plumbing shall be sized, installed, and maintained in accordance with the state plumbing code as adopted under RSA 329-A:15 and RSA 155-A. (i) Ventilation shall be provided in all client areas by means of a mechanical ventilation system or one or more screened windows that can be opened, per the state building code and the FGI "Guidelines for the Design and Construction of Outpatient Facilities" (2018 edition), available as noted in Appendix A. (j) The ESRDDC shall contain an underwriter's laboratory (UL) listed nursing or monitoring station from which clients receiving dialysis services can be monitored. (k) Each ESRDDC shall provide the following supplies and equipment, which shall be maintained in an operable condition in accordance with the manufacturer's recommendations: (1) Oxygen delivery system; (2) Emergency ventilating supplies including airways; (3) Automatic External Defibrillator (AED); (4) Intravenous fluids and administration devices; (5) Suction machine capable of battery operation or a secondary power source; (6) Emergency supplies, under the supervision of a registered nurse or physician, which shall be inventoried and maintained according to ESRDDC policy; and (7) A stretcher, gurney, or transfer device capable of adjusting to the trendelenberg position. (l) Restocking of the emergency supplies described in (j) above shall occur immediately after each use. (m) There shall be at least one toilet and one hand-washing sink for client use, which shall have: (2) Paper towels or a hand-drying device providing heated air; (3) Hot and cold running water; and (4) A door that either slides or swings, not a folding door or curtain. (n) If the ESRDDC has showers and tubs, they shall have: (1) Slip resistant floors; and (2) Surfaces which are intact, easily cleanable, and impervious to water. (o) All bathroom and closet door latches shall be designed for easy opening from the inside of the bathroom or closet. All bathroom door locks or latches shall be designed for easy opening of the locked door from the outside in an emergency. (p) The ESRDDC shall have a telephone to which the clients have access. (q) The ESRDDC shall have sufficient space and equipment for the services authorized to be provided at the ESRDDC.N.H. Admin. Code § He-P 811.22
Amended by Volume XXXIX Number 32, Filed August 8, 2019, Proposed by #12827, Effective 7/20/2019, Expires 1/16/2020.Amended by Volume XL Number 7, Filed February 13, 2020, Proposed by # 12985, Effective 1/29/2020, Expires 1/29/2030.