Or. Admin. Code § 333-535-0050

Current through Register Vol. 64, No. 1, January 1, 2025

Section 333-535-0050 - Pediatric Patient Care Unit

Young children and adolescents shall be housed in a patient care unit separate from adults or in a separate pediatrics room of a general nursing unit. This unit shall meet the following requirements:

(1) Patient rooms. The requirements noted in OAR 333-535-0025 shall be applied to a pediatric and adolescent care unit containing hospital beds or cribs, except that patient rooms used for cribs shall contain at least 60 square feet of clearance for each crib with no more than six cribs in a room.

(2) Nursery. Each nursery serving pediatric patients shall contain no more than eight bassinets. The minimum clear floor area per bassinet shall be 40 square feet. Each room shall contain a lavatory equipped for hand-washing, nurses' emergency calling system, and glazed viewing windows for observing infants from public areas and workroom.

(3) Nursery workrooms. Each nursery shall be served by a connecting workroom that shall contain:

(a) Gowning facilities at the entrance for staff;

(b) Work counter;

(c) Refrigerator;

(d) Storage facilities; and

(e) A hand-washing station.

(f) One workroom may serve more than one nursery provided that required services are convenient to each.

(g) The workroom serving the full-term and continuing care nurseries may be omitted if equivalent work and storage areas and facilities, including those for scrubbing and gowning, are provided within that nursery. Space required for work areas located within the nursery is in addition to the area required for infant care.

(h) Provision shall be made for storage of emergency cart(s) and equipment out of traffic.

(i) Provision shall be made for the sanitary storage and disposal of soiled waste.

(j) Visual control shall be provided via borrowed lights or view panels between the staff work area and each nursery.

(4) Examination/Treatment Rooms. An examination/ treatment room shall be provided for pediatric and adolescent patients. A separate area for infant examination and treatment shall be permitted within the pediatric nursery workroom. It shall contain a work counter, storage facilities, and a hand-washing station. Examination/treatment rooms shall have a minimum floor area of 120 square feet.

(5) Service areas. The service areas in the pediatric and adolescent nursing unit shall conform to the conditions listed in OAR 333-535-0025 and shall meet the following additional conditions:

(a) Multipurpose or individual room(s) shall be provided within or adjacent to areas serving pediatric and adolescent patrons for dining, educational and developmentally appropriate play and recreation, with access and equipment for patients with physical restrictions. Insulation, isolation, and structural provisions shall be made to minimize the transmission of impact noise through the floor, walls, or ceiling of the multipurpose room(s).

(b) Space for preparation and storage of infant formula or breast milk shall be provided in the unit or other convenient location. The Functional Program should determine the location and size of formula/breast milk storage. Provisions shall be made for continuation of special formula that may have been prescribed for the infant prior to admission or readmission.

(c) Patients' toilet room(s) with hand-washing stations in each room, in addition to those serving bed areas, shall be convenient to multipurpose room(s) and to each central bathing facility.

(d) Storage closets or cabinets shall be provided for toys, and educational and recreational equipment.

(e) Storage space shall be provided to permit exchange of cribs and adult beds.

(f) Storage space shall be provided for equipment and supplies (including cots, recliners, extra linen, etc.) for parents who stay with the patient overnight.

(g) Separate clean and soiled utility or holding rooms shall be provided in accordance with OAR 333-535-0260(4) and (5).

(h) Housekeeping closet shall be provided for each nursery per OAR 333-535-0260(8).

Or. Admin. Code § 333-535-0050

HB 183, f. & ef. 5-26-66; HB 209, f. 12-18-68; HD 7-1979, f. & ef. 7-17-79; HD 11-1980, f. & ef. 9-10-80; Renumbered from 333-023-0200(5); HD 29-1988, f. 12-29-88, cert. ef. 1-1-89, Renumbered from 333-074-0225; HD 21-1993, f. & cert. ef. 10-28-93; HD 2-2000, f. & cert. ef. 2-15-00; OHD 1-2002, f. & cert. ef. 2-28-02; PH 10-2009, f. & cert. ef. 10-1-09; PH 18-2019, repeal filed 10/01/2019, effective 1/1/2020

Statutory/Other Authority: ORS 441.060

Statutes/Other Implemented: ORS 441.060