N.J. Admin. Code § 8:43A-24.15

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43A-24.15 - Physical plant requirements for all ambulatory dialysis facilities

(a) Each station in the ambulatory dialysis service shall have a curtain for privacy. One handwashing sink shall be available for every four stations. These handwashing sinks shall be distributed throughout the treatment area so as to ensure immediate accessibility to staff at all times.

(b) The minimum dimensional requirements for each dialysis station shall be:

1. There shall be a minimum width of 10 feet along the service wall.

2. The floor area within the cubicle curtain of each dialysis station shall be at least 80 square feet and shall not include the area of the service wall.

3. There shall be 30 inches of clear space around each machine and lounge, except that one side of the machine may be installed flush against the wall.

4. There shall be a minimum of four feet between beds and/or lounges.

5. The dimensional requirements listed in (b)1 through 4 above shall apply to those facilities initially licensed March 6, 2006 or later.

6. In the case of new construction or renovation involving at least 25 percent of the physical plant, ambulatory renal dialysis units shall be required to conform to the standards provided in (b)1 through 4 above.

(c) The floor of the dialysis treatment area, reuse rooms, soiled utility rooms, and any areas used for mixture of dialysate shall be monolithic with integral base.

(d) There shall be a separate clean holding area or room within the ambulatory dialysis suite for storage of clean supplies.

1. If the facility has a clean utility room, then the clean utility room shall contain a minimum of 120 square feet and handwashing facilities.

i. This dimensional requirement shall apply to those facilities licensed March 6, 2006 or later.

ii. In the case of new construction or renovation involving at least 25 percent of the physical plant, ambulatory renal dialysis units shall be required to conform to the standards provided in this section.

(e) There shall be a separate soiled utility room within the ambulatory dialysis suite.

1. The soiled utility room shall contain a minimum of 120 square feet and shall contain a sink equipped for handwashing.

i. This dimensional requirement shall apply to those facilities licensed March 6, 2006 and thereafter.

(f) A separate janitors' closet shall be provided exclusively for the ambulatory dialysis suite.

1. The closet shall contain a floor receptor or service sink and storage space for housekeeping supplies and equipment.

(g) A separate, handicapped accessible toilet room with handwashing facilities shall be provided for patients.

1. Each 21-station increment requires a minimum of one handicapped-accessible toilet to be provided.

2. Toilet room locations shall be distributed throughout the treatment area for patient access.

(h) A staff breakroom/lounge/locker room shall contain a sink, a workcounter, a refrigerator, storage cabinets and equipment for serving nourishments, as clinically required by the patient.

1. Toilet facilities with handwashing facilities shall also be provided.

2. The breakroom/lounge/locker room shall be sized in accordance with the anticipated amount of employees.

(i) The nurses' station shall be designed and located so as to permit visual observation of each patient station.

(j) Door(s) to patients' toilet room(s) shall be equipped with hardware which permits access from the exterior by staff in any emergency.

(k) If home training rooms are provided, each room shall be equipped with a sink for handwashing.

(l) If chronic kidney disease counseling (CKD) services are provided, the facility shall provide space for the provision of CKD counseling services which affords patient privacy and which is separate from the hemodialysis treatment area(s).

(m) Storage space shall be provided for wheelchairs and stretchers out of the direct line of traffic to permit unobstructed egress.

(n) A room shall be provided for storage of equipment used in the patient care area.

(o) An examination room shall be provided with a minimum of 80 square feet of clear floor area exclusive of the work counter and lavatory for handwashing.

1. Facilities licensed by March 6, 2006, shall not be subject to the dimensional requirements of this provision.

2. In the case of new construction or renovation involving at least 25 percent of the physical plant, ambulatory renal dialysis units shall be required to conform to the standards provided herein.

(p) Office space shall be provided for administration, medical and nursing services, social work services, and dietary counseling services.

(q) Space for conferences, consultation, and other purposes shall be provided.

(r) A waiting area with access to a telephone, toilet facilities, and a drinking fountain shall be provided.

(s) Each toilet facility for patients shall be served by an emergency call system. Calls shall activate a signal at the nurses' station.

(t) There shall be a medication administration station for the ambulatory dialysis service.

1. The medication administration station shall contain handwashing facilities, a work counter, a refrigerator, and locked storage for biologicals, medications, and syringes.

i. Provisions shall be made for the controlled storage, preparation, and administration of medications.

2. Each 21-station increment requires a minimum of one drug distribution station.

i. The distribution stations shall be interspersed throughout the treatment area for easy staff access.

(u) Patient records shall be kept in a secure area.

N.J. Admin. Code § 8:43A-24.15

Administrative corrections.
See: 37 N.J.R. 3348(a), 38 N.J.R. 294(b).