Instructions for the functional program template



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INSTRUCTIONS FOR THE FUNCTIONAL PROGRAM TEMPLATE

The Functional Program Templates are optional tools facilities may use to help meet the construction requirements at OAC 310:667 for Hospitals. The functional program describes the project. It includes the “General Functional Program Template” that addresses the requirements at 310:667-41-1(e) AND additional PROJECT-SPECIFIC TEMPLATES that address the requirements for different areas/departments/hospital types.


Things to note prior to completing the Functional Program Template:

  1. A functional program is required if the project involves:

    1. A mechanical/electrical change;

    2. A structural change; or

    3. A functional change.


Instructions:

  1. Complete the “General Functional Program Template” for each project.

  2. Include the project title over the heading at the top right of the page. Use a consistent project title on all documents submitted for the project. This will help avoid confusion between projects.

  3. After completing the “General Functional Program Template,” select and complete the project-specific functional program template(s) as they apply to your project.

  4. Provide an answer for each element that is required in the template. If an element DOES NOT apply to your project, provide a brief explanation as to why it does not apply.

  5. Submit the General Functional Program Template and the project-specific template(s) together as one Functional Program for the project.

The project-specific functional program templates are based on the requirements found in the Oklahoma Administrative Code 310:667 Subchapter 49 for General Medical Surgical Hospital Construction Requirements. To access OAC 310:667 follow the steps below:




  1. https://www.sos.ok.gov/oar/online/viewCode.aspx

  2. Click the Administrative Rules tab located at the top of the screen.

  3. Then in the box labeled Online Services click on the View Code link below it.

  4. Scroll down and select Title 310: Oklahoma State Department of Health.

  5. Then Scroll down and select Chapter 667: Hospital Standards.

  6. Scroll down and select Subchapter 49: General Medical Surgical Hospital Construction Requirements.

  7. Then click Section 310:667-49-4—Nurseries.

If you have questions or need assistance, please contact the Oklahoma State Department of Health at (405) 271-5288 or email OSDH at planreview@health.ok.gov with a subject title of Functional Program Question.





OAC 310:667-49-4 General Medical Surgical Hospital Construction Requirements – Nurseries

Oklahoma State Department of Health, Protective Health Services, Medical Facilities Service



Facility Name: Click here to enter facility name.

Project Title: Click here to enter project title.

Date:

Contact person: Click here to enter text.



Contact person’s phone number: Click here to enter text.

Contact person’s email: Click here to enter text.






Is this a first submittal?

Yes ☐ No ☐



If no, please indicate the number of submittals

Functional Program Element

310:667-49-4(a) Requirement. All newborn nurseries, other than pediatric nurseries shall be convenient to the postpartum nursing unit and obstetrical facilities. The nurseries shall be located and arranged to preclude the need for unrelated pedestrian traffic. No nursery shall open directly onto another nursery.”
Please provide your description here:






310:667-49-4(b) General. Each nursery shall contain:


  1. At least one (1) lavatory, equipped with handwashing controls that can be operated without use of hands, for each eight (8) infant stations.


Please provide your description here:



  1. Nurse emergency call system, for summoning assistance without leaving the patient area. The system shall be provided in accordance with OAC 310:667-49-32(g).


Please provide your description here:



  1. Glazed observation windows to permit the viewing of infants from public areas, workrooms, and adjacent nurseries.


Please provide your description here:



  1. Convenient, accessible storage for linens and infant supplies at each nursery room.


Please provide your description here:



  1. A consultation, demonstration, breast feeding and pump room shall be provided convenient to the nursery. Provisions shall be made, either within the room or conveniently located nearby, for sink, counter, refrigeration and freezing, storage for pump and attachments, and educational materials. The area provided for the unit for these purposes, when conveniently located, may be shared with other nurseries.


Please provide your description here:



  1. Adequate space shall be provided for parents to stay twenty-four (24) hours.


Please provide your description here:



  1. An airborne infection isolation room is required in or near at least one level of nursery care. The room shall be enclosed and separate the infant from adjacent nurseries or control area(s). All airborne infection isolation rooms shall comply with the requirements of OAC 310:667-49-2(a)(3), except for separate toilet, bathtub, or shower.


Please provide your description here:



  1. Each nursery room shall be served by a connecting workroom. The workroom shall contain scrubbing and gowning facilities at the entrance for staff and housekeeping personnel, work counter, refrigerator, storage for supplies, and handwashing fixture. One (1) workroom may serve more than one (1) nursery room provided that required services are convenient to each. 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.


Please provide your description here:



  1. Adequate provisions shall be made for storage of emergency cart(s) and equipment out of traffic and for the sanitary storage and disposal of soiled waste.


Please provide your description here:



  1. Neonate examination and treatment areas. Such areas, when required by the functional program, shall contain a work counter, storage facilities, and a handwashing station.


Please provide your description here:



  1. Where infant formula is prepared on-site, direct access from the formula preparation room to any nursery room is prohibited. The room may be located near the nursery or at other appropriate locations in the hospital, but shall include:




  1. Cleanup facilities for washing and sterilizing supplies including a handwashing fixture, facilities for bottle washing, a work counter, and sterilization equipment.


Please provide your description here:



  1. A separate room for preparing infant formula that contains warming facilities, refrigerator, work counter, formula sterilizer, storage facilities, and a handwashing fixture.


Please provide your description here:



  1. Refrigerated storage and warming facilities for infant formula accessible for use by nursery personnel at all hours.


Please provide your description here:


  1. If commercial neonate formula is used, the separate clean-up and preparation rooms may be omitted. The storage and handling may be done in the nursery workroom or in another appropriate room in the hospital that is conveniently accessible at all hours. The preparation area shall have a work counter, a sink equipped for handwashing, and storage facilities.


Please provide your description here:


  1. A housekeeping/environmental services room shall be provided for the exclusive use of the nursery unit. It shall be directly accessible from the unit and shall contain a service sink or floor receptor and provide for storage of supplies and housekeeping equipment.”


Please provide your description here:





310:667-49-4(c) “Newborn nursery

  1. Each newborn nursery shall contain no more than 16 infant stations. The minimum floor space shall be 24 square feet (2.23 square feet) per bassinet, exclusive of auxiliary work areas. When a rooming-in program is used, the total number of bassinets provided may be appropriately reduced, but the newborn nursery shall not be omitted in its entirety from any facility that includes delivery services. When facilities use a rooming-in program, the size of the nursery shall not be reduced if all the infants are returned to the nursery at night.


Please provide your description here:



  1. The traditional nursery may be replaced with baby holding nurseries in postpartum and labor-delivery-recovery-postpartum (LDRP) units. The minimum floor area per bassinet, ventilation, electrical, and medical vacuum and gasses shall be the same as that required for a full-term nursery.




  1. These holding nurseries shall be located next to the nurse's station on these units.


Please provide your description here:



  1. The holding nursery shall be sized to accommodate the percentage of newborns who do not remain with their mothers in the postpartum stay.”


Please provide your description here:





310:667-49-4(d) Continuing care nursery. For hospitals providing continuing care for infants requiring close observation as part of the functional program, (for example, low birth-weight babies who are not ill but require more hours of nursing than do normal neonates) the minimum floor space shall be 50 square feet (4.65 square meters) per bassinet, exclusive of auxiliary work areas, with provisions for at least 4 feet (1.22 meters) between and on all sides of each bassinet.”
Please provide your description here:






310:667-49-4(e) Pediatric nursery. To minimize the possibility of cross infection, each nursery room serving pediatric patients shall contain no more than (8) bassinets; each bassinet shall have a minimum clear floor area of (40) square feet (3.72 square meters). Each room shall contain a lavatory equipped for hands-free handwashing, a nurse's emergency calling system, and a glazed viewing window for observing infants from public areas and workrooms. The limitation on number of patients in a nursery room does not apply to the pediatric critical care unit.”
Please provide your description here:



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