S.C. Code Regs. § § 61-91.2500.2502

Current through Register Vol. 48, No. 11, November 22, 2024

Section 61-91.2500.2502 - Surgical Suite(s)

The size and design of the surgical suite(s) shall be in accordance with individual programs. The following basic elements, designed to ensure no flow of through traffic, shall be incorporated in all facilities:

A. Operating/Procedure Room(s).

1. The number shall depend on the projected caseload and types of procedures to be performed. Rooms shall have adequate space to accommodate necessary equipment and staff.

2. Each operating room shall have a minimum clear area of 180 square feet exclusive of fixed and movable cabinets and shelves. The minimum width shall be 12 feet.

3. Each procedure room shall have a minimum clear area of 140 square feet exclusive of fixed and movable cabinets and shelves. The minimum width shall be 10 feet.

4. Additional clear area may be required as described in the narrative program to accommodate special functions in one or more of these rooms.

5. An emergency communication system connecting with the surgical suite work station shall be provided.

6. At least one x-ray film illuminator shall be provided in the facility.

EXCEPTION: Facilities performing endoscopy procedures are not required to have the illuminator.

7. A hard-wire clock shall be provided in each operating/procedure room.

8. Operating rooms using inhalation anesthetics shall be in accordance with current practices of NFPA 56A, Standards for the Use of Inhalation Anesthetics.

B. Surgery/Procedure and Recovery Equipment and Supplies

1. Each operating/procedure room shall be completely equipped and supplied for the types of procedures to be performed. (I)

2. Each recovery area shall be completely equipped and supplied for the proper care of post anesthesia recovery of surgical patients. (I)

3. The following equipment and supplies shall be accessible to staff in the facility: (I)

a. Cardio-pulmonary resuscitation drugs and intubation equipment;

b. Cardiac monitor;

c. Resuscitator, including oxygen and suction equipment;

d. Aspirator;

e. Defibrillator;

f. Tracheotomy set.

C. Surgical/Procedure Service Areas. The following services shall be provided:

1. A work station located to permit visual surveillance of persons entering the surgical/procedure areas and the recovery area;

2. Sterilizing equipment with autoclave(s) conveniently located to serve all operating rooms;

EXCEPTION: Sterilizing equipment is not required in endoscopy facilities; however, a high-level disinfection of equipment is required in such facilities.

3. A medication distribution station provided for storage and preparation of medication to be administered to patients;

4. Scrub facilities provided near the entrance to each operating room. Scrub facilities with foot or knee controls shall be arranged to minimize any incidental splatter on nearby staff or supply carts. At a minimum, the following shall be provided:

a. Scrub sink with knee, elbow, or foot controls;

b. Soap dispenser.

EXCEPTION: For endoscopy facilities, in lieu of scrub facilities, there shall be a handwash sink in each procedure room that is equipped with valves that can be operated without the use of hands.

5. A soiled workroom for the exclusive use of the surgical suite staff. The soiled workroom shall contain a clinical sink or equivalent flushing type fixture, waste receptacle, and covered soiled receptacle, unless there is a separate soiled linen storage room;

EXCEPTION: In endoscopy facilities, a designated soiled work area will suffice in lieu of a soiled workroom.

6. A system for appropriately managing, handling, storing, and transporting soiled linen.

7. A clean workroom when clean materials are assembled within the surgical suite prior to use. The workroom shall contain a work counter, a sink equipped for handwashing and space for clean and sterile supplies;

EXCEPTION: In endoscopy facilities, a designated clean work area will suffice in lieu of a clean workroom.

8. An area for cleaning, testing, and storing anesthesia equipment in accordance with accepted principles of aseptic technique.

EXCEPTION: An anesthesia area is not required in endoscopy facilities.

9. Medical gas supply storage area pursuant to the storage requirements of NFPA 30 and 99;

10. Equipment storage room(s) for equipment and supplies used in surgical suite;

11. Staff change areas that shall contain adequate dressing space for changing of scrubs and shall contain lockers, showers, toilets, lavatories, and receptacles and facilities for the appropriate disposition of soiled scrubs; these areas shall be arranged to allow a restricted traffic pattern of authorized staff from outside the surgical suite to change into appropriate attire and enter the surgical suite;

EXCEPTION: Showers and areas for donning of scrub suits and boots are not required in endoscopy facilities.

12. Patient change areas that shall be of adequate size and maintained in a manner that assures privacy; provisions shall be made available for secure storage of belongings;

13. A storage area for transport devices, e.g., stretchers, wheelchairs that shall be out of the path of exit travel;

14. An area for the emergency kit/cart located out of traffic and convenient to operating and recovery rooms;

15. Provisions for emergency eye-washing.

D. Recovery Area. The following shall be provided:

1. An area for recovery of patients;

2. Handwashing facilities, secured medication storage space, clerical work space, and sufficient storage space for supplies and equipment;

3. At least four feet between beds or stretchers (two feet if next to a wall) and adequate space at the foot of the bed or stretcher as needed for work and staff circulation;

4. Partitions, walls and/or cubicle curtains (on built-in tracks) to afford visual privacy for each patient;

5. Recovery beds or reclining type of vinyl upholstered chairs or recovery stretchers;

6. Equipment for oxygen, resuscitation, and suction.

S.C. Code Regs. § 61-91.2500.2502