North Carolina Administrative Code (Last Updated: November 13, 2014) |
TITLE 10A. HEALTH AND HUMAN SERVICES |
CHAPTER 13. NC MEDICAL CARE COMMISSION |
SUBCHAPTER B. LICENSING OF HOSPITALS |
10A NCAC 13B .6205. PSYCHIATRIC UNIT
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When a facility elects to establish an identifiable psychiatric unit, the following requirements shall be met:
(1) Patient rooms shall meet the requirements of Rule .6201 of this Section with the following exceptions:
(a) Patient room doors shall be designed with hardware that will permit the doors to swing into the corridors by the use of a special tool for emergency purposes;
(b) Patient room doors shall be lockable from the corridor side only;
(c) Outside wall corners shall be omitted where possible;
(d) The ceiling shall be of monolithic construction and the air distribution devices, lighting fixtures, sprinkler heads, and other appurtenances shall be of the security type;
(e) Oxygen and suction outlets are not required;
(f) All windows shall have security screens or be designed to prevent escape and shall be openable without keys or tools; and
(g) Each patient room shall be provided with a private toilet that meets the following requirements:
(i) The door shall not be lockable;
(ii) The door shall be capable of swinging outward;
(iii) Where provided, electrical outlets shall be protected by ground fault interrupting devices;
(iv) A nurse call system is not required where the documented programmatic demands of the facility prohibit its use; and
(v) The ceiling shall comply with the requirements of Subitem (1)(d) of this Rule.
(2) Where provided, a seclusion room shall meet the following requirements:
(a) The room shall meet the requirements of Subitems (1)(a), (b), (c), (d) and (f) of this Rule;
(b) The room shall have a view window of impact resistant glass in the door that permits visual observation of the entire room;
(c) The floor space of the room shall not be less than 50 square feet in area with a ceiling height of not less than eight feet; and
(d) The walls shall be completely free of objects.
(3) The service areas noted in Rule .6201 of this Section and the following shall be provided:
(a) Consultation room;
(b) Examination and treatment room for exclusive use of the psychiatric unit located within the unit;
(c) A conference room for exclusive use of the psychiatric unit located within the unit;
(d) Space for dining and recreation with a total area of 35 square feet per patient;
(e) Storage closets or cabinets for recreational and occupational therapy equipment; and
(f) Storage facilities for patients' personal effects.
History Note: Authority G.S. 131E-79;
Eff. January 1, 1996.