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

For new, altered, or renovated space, organizations are expected to comply with either state rules or regulations (if applicable), or in their absence the 2018 FGI Guidelines for Design and Construction of Hospitals or the latest edition of FGI Guidelines for the Design and Construction of Outpatient Facilities.  

Both FGI Guidelines documents state "the number and placement of both hand-washing stations and hand sanitation dispensers shall be determined by the ICRA."  (Section 2.1-7.2.2.8) The ICRA or infection control risk assessment, which should be done at the programming stage of the project and should help guide the decisions on where to locate them.  The individual facility chapters, though, have additional specific requirements for hand washing stations in certain locations.  For example, each exam or treatment room is required to have one.  For more information, refer to the FGI Guidelines.