SECTION 310:667-41-5. Codes and standards

(a)   Environment. Every hospital shall provide and maintain a safe environment for patients, personnel, and the public.

(b)   References. References made in these standards to appropriate model codes and standards do not, generally, duplicate wording of the referenced codes.

(1)   NFPA's standards, especially the NFPA 101, are the basic codes of reference; but other codes and/or standards may be included as part of these standards. In the absence of state or local requirements, the project shall also comply with approved nationally recognized building codes except as modified in the 2000 edition of the NFPA 101, and/or herein.

(2)   Referenced code material is contained in the issue current at the time of this publication. The latest revision of code material is usually a clarification of intent and/or general improvement in safety concepts and may be used as an explanatory document for earlier code editions. Questions of applicability shall be addressed as the need occurs. The actual version of a code adopted by a jurisdiction may be different. Confirm the version in a specific area with the authority having jurisdiction.

(c)   Equivalency. Insofar as practical, these model standards have been established to obtain a desired performance result. Prescriptive limitations, when given, such as exact minimum dimensions or quantities, describe a condition that is commonly recognized as a practical standard for normal operation. For example, reference to a room area is for patient, equipment, and staff activities; this avoids the need for complex descriptions of procedures for appropriate functional planning.

(1)   In all cases where specific limits are described, equivalent solutions shall be acceptable if the authority having jurisdiction approves them as meeting the intent of these standards. Nothing in this document shall be construed as restricting innovations that provide an equivalent level of performance with these standards in a manner other than that which is prescribed by this document, provided that no other safety element or system is compromised in order to establish equivalency.

(2)   National Fire Protection Association (NFPA) document 101A is a technical standard for evaluating equivalency to certain Life Safety Code 101 requirements. The Fire Safety Evaluation System (FSES) has become widely recognized as a method for establishing a safety level equivalent to the Life Safety Code. It may be useful for evaluating existing facilities that will be affected by renovation. However, for purposes of these standards, the FSES shall not be used as a design code for new construction or major renovation in existing facilities.

(d)   English/Metric measurements. Where measurements are a part of this document, English units are given as the basic standards with metric units in parenthesis. Either method shall be consistently used throughout a given design.

(e)   List of referenced codes and standards. Codes and standards which have been referenced in whole or in part in the various sections of this document are listed below. Names and Internet addresses of originators are also included for information. The issues available at the time of publication are used. Later issues shall normally be acceptable where requirements for function and safety are not reduced; however, editions of different dates may have portions renumbered or retitled. Care shall be taken to ensure that appropriate sections are used.

(1)   Access Board (an independent federal agency). "Uniform Federal Accessibility Standard" (UFAS). (http://www.access-board.gov/ufas-html/ufas.htm)

(2)   American Society of Civil Engineers. ASCE 7-98, formerly ANSI A58.1, "Minimum Design Loads for Buildings and Other Structures." ASCE 7-98 (http://www.pubs.asce.org/BOOKdisplay.cgi?9990609)

(3)   American Society of Heating, Refrigerating, and AirConditioning Engineers (ASHRAE). Standard 52.1-1992,"Gravimetric and Dust-Spot Procedures for Testing Air-Cleaning Devices Used in General Ventilation for Removing Particulate Matter" (http://www.ashrae.org).

(4)   American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE). Standard 62-1999, "Ventilation for Acceptable Indoor Air Quality" (http://www.ashae.org).

(5)   American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) 1999 ASHRAE Handbook- HVAC Applications (http://www.ashae.org).

(6)   American Society of Mechanical Engineers (ASME). ANSI/ASME A17.1, "Safety Code for Elevators and Escalators", 1999 (http:www.asme.org/cns/departments/Safety/Public/A17/ or www.ansi.org).

(7)   American Society of Mechanical Engineers (ASME). ANSI/ASME A17.3, "Safety Code for Existing Elevators and Escalators" (http:www.asme.org/cns/departments/Safety/Public/A17/ or www.ansi.org).

(8)   Americans with Disabilities Act. US Department of Justice ADA Information Line, 1-800-514-0301 or 1-800-514-0383 (TDD). (http://www.usdoj.gov/disabilities.htm)

(9)   Association for the Advancement of Medical Instrumentation. ANSI/AAMI RD5:1992, "Hemodialysis Systems". (http://www.aami.org)

(10)   Building Officials and Code Administrators International "The BOCA National Building Code" 1999 ed. (http://www.bocai.org)

(11)   Building Seismic Safety Council (National Institute of Building Services). "NEHRP (National Earthquake Hazards Reduction Program) Recommended Provisions for Seismic Regulations for New Buildings", 1997 ed., and "Proposals for Change to the 1997 NEHRP Recommended Provisions for Issuance as the 2000 Provisions". (http://www.bssconline.org)

(12)   Center for Disease Control and Prevention (CDC) "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Facilities", 1994 ed., "Mortality Weekly Report (MMWR) 1994:43 (No. RR-13) and "Guidelines for Prevention of Nosocomial Pneumonia," 1994 ed., "American Journal of Infection Control" (22:247-292). (http://www.cdc.gov/)

(13)   College of American Pathologists "Medical Laboratory Planning and Design," 1985 ed., (1-800-323-4040 or http://www.cap.org)

(14)   Compressed Gas Association (CGA) Publication #E-10, "Maintenance of Medical Gas and Vacuum Systems in Health-Care Facilities," 1997 ed.(http://www.cganet.com/Pubs/)

(15)   Department of Defense, MIL STD 282, "Filter Units, Protective Clothing, Gas-Mask Components and Related Products: performance- Test Methods." (http://www.astimage.daps.dla.mil/)

(16)   Food and Drug Administration "FDA Food Code," 1999 ed. (http://vm.cfsan.fda.gov/~dms/foodcode.html)

(17)   Hydronics Institute Division of the Gas Appliance Manufacturers Association, "I-B-R Ratings for Boilers, Baseboard Radiation and Finned Tube (Commercial)," January 1, 2000 ed. (http://www.gamanet.org/publist/hydroordr.htm)

(18)   Illuminating Engineering Society of North America (IESNA), IESNA Publication HB-99 "IESNA Lighting Handbook" 9^th ed., IESNA Publication RP-29-95 "Lighting for Hospitals and Health Care Facilities ANSI Approved", and IESNA Publication RP-28-98 "Lighting and the Visual Environment for Senior Living" (http://www. Iesna.org)

(19)   International Code Council (ICC) "International Fuel Gas Code 2000 ed. (http://www.bocai.org/) or (http://www.intlcode.org/)

(20)   International Code Council (ICC) "International Mechanical Code" 2000 ed. (http://www.bocai.org or (http://www.intlcode.org)

(21)   International Code Council (ICC) "International Plumbing Code" 2000 ed. International Code Council (ICC) "International Plumbing Code" 2000 ed. (http://www.bocai.org or (http://www.intlcode.org)

(22)   National Council on Radiation Protection and Measurements (NCRP) Report #49 "Structural Shielding Design and Evaluation for Medical Use of X-Rays and Gamma Rays of Energies up to 10MeV" 1976, Report #51 "Radiation Protection Design Guidelines for 0.1-100 MeV Particle Accelerator Facilities" 1977, and Report #102 "Medical X-Ray, Electron Beam and Gamma-Ray Protection for Energies Up to 50 MeV (Equipment Design, Performance and Use) 1989. (http://www.ncrp.com/ncrprpts.html

(23)   National Fire Protection Association. NFPA 20. "Standard for the Installation of Stationary Fire Pumps for Fire Protection" 1999 ed.

(24)   NFPA 70. "National Electrical Code." 2002 ed.

(25)   NFPA 80, "Standard for Fire Door, Fire Windows" 1999 ed.

(26)   NFPA 82, "Standard on Incinerators and Waste and Linen Handling Systems and Equipment" 1999 Ed.

(27)   NFPA 90A, "Standard for the Installation of Air Conditioning and Ventilating Systems" 1999 ed.

(28)   NFPA 96, "Standard for Ventilation Control and Fire Protection of Commercial Cooking Operations" 1998 ed.

(29)   NFPA 99, "Standard for Health Care Facilities" 1999 ed.

(30)   NFPA 101, "Life Safety Code" 2000 ed.

(31)   NFPA 110, "Standard for Emergency and Standby Power Systems" 1999 ed.

(32)   NFPA 253, "Standard Method of Test for Critical Radiant Flux of Floor Covering Systems Using a Radiant Heat Energy Source" 2000 ed.

(33)   NFPA 255, "Standard Method of Test of Surface Burning Characteristics of Building Materials" 2000 ed.

(34)   NFPA 258, "Standard Research Test Method for Determining the Smoke Generation of Solid Materials" 1997 ed.

(35)   NFPA 418, "Standard for Heliports" 1995 ed.

(36)   NFPA 701, "Standard Method of Fire Tests for Flame Resistant Textiles and Films" 1999 ed.

(37)   NFPA 801, "Recommended Fire Protection Practice for Facilities Handling Radioactive Materials" 1998 ed.

(38)   Nuclear Regulatory Commission (NRC) Code of Federal Regulation (CFR) Title 10- Energy, Chapter 1- Nuclear Regulatory Commission. Part 20 (10 CFR 35), Standards for Protection Against Radiation and Part 35 (10 CFR 35), Medical Use of Byproduct Material. (http://www.nrc.gov)

(39)   Occupational Safety and Health Administration, US Department of Labor, Code of Federal Regulations (CFR) Title 29- OSHA Regulations. Part 1910 (10 CFR 1910), Occupational Safety and Health Standards. (http://www.osha.org)

(40)   Plumbing-Heating-Cooling Contractors- National Association (PhCC- National Association) "National Standard Plumbing Code". (http://www.naphcc.org/)

(f)   Availability of codes and standards. The codes and standards that are government publications can be ordered from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, D.C. 20402. Copies of nongovernment publications can be obtained at the addresses listed below.

(1)   Air Conditioning and Refrigeration Institute, 4301 North Fairfax Drive, Suite 425 Arlington,VA 22203 Tel.[phone] (http://www.ari.org)

(2)   Architectural and Transportation Barriers Compliance Board, Office of Technical and Information Services, 1331 F St., NW, Suite 1000, Washington, DC 20530-0001 Tel. [phone] (http://www.access-board.gov)

(3)   Americans with Disabilities Act, US Department of Justice, 950 Pennsylvania Av., NW, Washington, DC 20530-0001 Tel. [phone] (http://www.usdoj.gov/crt/ada)

(4)   American National Standards Institute (ANSI), 11 West 42nd St., New York, NY. 10036 Tel. [phone] (http://www.ansi.org

(5)   American Society of Heating, Refrigerating and Air-Conditioning Engineers, 1791 Tullie Ci., NE, Atlanta, Ga. 30329 Tel. [phone] (http://www.ashrae.org)

(6)   American Society of Civil Engineers, 1801 Alexander Bell Drive, Reston, Va. 20191-4400 Tel. [phone] (http://www.asce.org)

(7)   American Society of Mechanical Engineers (ASME), Three Park Av., New York, NY. 10016-5990 Tel. 1-800-THE-ASME (http://www.asme.org)

(8)   American Society for Testing and Materials, 100 Barr Harbor Dr., West Conshocken, Pa. 19428-2959 Tel. [phone] (http:www.astm.org)

(9)   Association for the Advancement of Medical Instrumentation, 1110 N. Glebe Rd., Suite 220, Arlington, Va. 22201-5762 Tel. [phone] (http://www.aami.org)

(10)   Building Officials and Code Administrators International, Inc.(BOCA), 4051 Flossmoor Rd., Country Club Hill, IL. 60478-5795 Tel. [phone] (http://www.bocai.org)

(11)   Building Seismic Safety Council, National Institute of Building Services, 1090 Vermont Av. NW, Washington, DC 20005-4905 Tel. [phone] (http://www.bssconline.org)

(12)   Centers for Disease Control and Prevention, Hospital Infection Control Practices (HIPAC), Center for Infection Control, 1600 Clifton Rd., Atlanta, Ga. 30333 Tel. [phone] (http://www.cdc.gov)

(13)   College of American Pathologists, 325 Waukegan Rd., Northfield, IL. 60093 Tel. [phone] (http://www.cap.org)

(14)   Compressed Gas Association, 1725 Jefferson Davis Highway, Suite 1004, Arlington, Va. 22202 Tel. [phone] (http://www.cganet.com)

(15)   Food and Drug Administration (FDA), Center for Food Safety and Applied Nutrition, 200 C Street, SW, Washington, DC 20204 Tel. [phone] (http://vn.cfsan.fda.gov)

(16)   General Services Administration, National Capital Region, 7th and D Streets, SW, Washington, DC 20407 (http://www.gsa.gov)

(17)   Hydronics Institute (Division of Gas Appliance Manufacturer Association (GAMA)), 35 Russo Place, PO Box 218, Berkley Heights, NJ 07922 Tel. [phone] (http://www.gamanet.org)

(18)   Illuminating Engineering Society of North America (IESNA), 120 Wall Street, Floor 17, New York, NY 10005 Tel. [phone] (http://www.iesna.org)

(19)   International Code Council, 5203 Leesburg Pike, Suite 600, Falls Church, VA 22041-3401 Tel. [phone] (http://www.intlcode.org)

(20)   International Conference of Building Officials (ICBO), 5360 Workman Mill Rd., Whittier, CA 90601-2298 Tel. [phone] ext. 3278 (http://www. Icbo.org)

(21)   National Council on Radiation Protection and Measurement, 7910 Woodmont Av., Suite 800, Bethesda, MD 20814-3095 Tel. [phone] (http://www.ncrp.com)

(22)   National Fire Protection Association (NFPA), 1 Batterymarch Park, PO Box 9101, Quincy, MA 02269-9101 Tel. [phone] (http://www.nfpa.org)

(23)   National Institute of Standards and Technology, 100 Bureau Dr., Stop 3460, Gaithersburg, MD 20899-3460 Tel. [phone] (http://www.nist.gov)

(24)   National Technical Information Service (NITS), US Department of Commerce Technology Administration, 5285 Port Royal Rd., Springfield, VA 22161 Tel. [phone] (http://www.ntis.gov)

(25)   Naval Publications and Form Center, 5801 Tabor Dr., Philadelphia, PA 19120 (http://astimage.daps.dla.mil/)

(26)   Nuclear Regulatory Commission, One White Flint North, 11555 Rockville Pike, Rockville, MD 20852-2738 Tel. [phone] (http://www.nrc.gov)

(27)   Occupational Safety and Health Administration, US Department of Labor, 200 Constitution Av., NW, Room N3647, Washington, DC 20210 Tel. [phone] (http://www.osha.org)

(28)   Plumbing-Heating-Cooling Contractors- National Association, 180 South Washington Street, PO Box 6808, Falls Church, VA 22046 Tel. [phone] (http://www.naphcc.org)

(29)   Southern Building Code Congress International, Inc., 900 Montclair Rd., Birmingham, AL 22046 Tel. [phone] (http://www.sbcci.org)

(30)   Underwriters Laboratories, Inc., 333 Pfingsten Rd., Northbrook, IL. 60062-2096 Tel. [phone] (http://www.ul.com)

[Source: Added at 12 Ok Reg 1555, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok Reg 1664, eff 6-12-03]