Design Criteria - Clinical Sink in an Outpatient Setting

What is the requirement for design criteria on hand washing sinks in an outpatient setting?

Standard EC.02.06.05 states that The Joint Commission uses the 2014 edition of the FGI Guidelines for Design and Construction of Hospitals and Outpatient Facilities. 3.1-3.2 requires a hand-washing station within general purpose examination and observation rooms, special purpose examination rooms, and treatment rooms within outpatient facilities. Also, 3.1-3.6.5 requires hand-washing stations in each room where hands-on patient care is provided in outpatient facilities. For specific outpatient facility types, within examination and treatment rooms, hand-washing sinks are required for primary care outpatient facilities (3.2), free-standing outpatient diagnostic and treatment facilities (3.3), free-standing urgent care facilities (3.5), outpatient surgical facilities (3.7), office-based procedure and operating rooms (3.8), endoscopy facilities (3.9), renal dialysis centers (3.10), outpatient psychiatric centers (3.11), outpatient rehabilitation therapy facilities (3.12), and dental facilities (3.14).

Free-standing birthing centers (3.4) require hand-washing sinks in each birthing room.

Freestanding cancer treatment facilities (3.6) requirements do not mention examination rooms, only that the sinks are located in, next to, or directly accessible to the nurse station.

These requirements are applicable for new facilities and when renovation is done to exiting facilities. Whether sinks are required for existing exam rooms would be dependent upon the FGI requirements or the organization's licensing authority requirements at the time of construction.
Last updated on February 15, 2018
Manual: Behavioral Health
Chapter: Environment of Care EC

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