be used if the arrangement is such that patient files cannot be read from outside the
(b) Not less than 2 separate social spaces, 1 appropriate for noisy activities and 1
for quiet activities. The combined area shall be not less than 3.72 square meters (40
square feet) per patient with not less than
11.1 square meters (120 square feet) for each of the 2 spaces, whichever is greater.
This space may be shared with dining activities.
(c) Space for group therapy. This may be combined with the quiet space noted in
subdivision (b) of this subrule if an additional area of not less than 0.7 square meters (8
square feet) per patient is added to the area and not less than 21 square meters (225
square feet) of space, enclosed for privacy, is available for group therapy activities.
(d) Patient laundry facilities with automatic washer and dryer.
(5) All of the following elements shall be provided, but may be either within the
psychiatric unit or immediately accessible to it:
(a) Rooms for examination and treatment with a minimum area of not less than 11.1
square meters (120 square feet). Examination treatment rooms for medical surgical
patients may be shared by the psychiatric unit patients. These rooms may be on a
different floor if conveniently accessible.
(b) Separate consultation rooms with a minimum floor space of 9.3 square meters
(100 square feet) each shall be provided at the rate of 1 consultation room for each
30 psychiatric beds. The rooms shall be designed for acoustical and visual privacy
and constructed to achieve a noise reduction of not less than 45 decibels.
(c) Each psychiatric unit shall contain 1.39 square meters (15 square feet) of
separate space per patient for occupational therapy with a minimum total area of not
less than 18.6 square meters (200 square feet), whichever is greater. Space shall be
provided for handwashing, work counters, storage, and displays. Occupational therapy
areas may serve more than 1 nursing unit. When psychiatric units contain less than 16
beds, the occupational therapy functions may be performed within the noisy
activities area, if not less than an additional 0.9 square meters (10 square feet) per
patient served is included.
(6) Within the psychiatric nursing unit there shall be a seclusion room or rooms for
patients requiring security and protection. The rooms shall be located for direct nursing
staff supervision. Each room shall be for only 1 patient. It shall have an area of not less
than 9.3 square meters (100 square feet) and be constructed to prevent patient hiding,
escape, injury, or suicide. If a facility has more than 1 psychiatric nursing unit, the
number of seclusion rooms shall be a function of the total number of psychiatric beds
in the facility. Seclusion rooms may be grouped together. The seclusion room is intended
for short-term occupancy by a patient who has become violent or suicidal. Therefore,
and hardware, including ground fault interrupters (GFI) for electrical circuits and
tamperproof outlets, shall be used. Doors shall open out and shall permit staff
observation of the patient while maintaining patient privacy. If the interior of a
seclusion room is padded with combustible materials, the room area, including the
floor, walls, ceiling, and all openings, shall be protected with not less than 1-hour-rated
History: 1990 AACS.