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FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

DRAFT 2022 HOSPITAL DOCUMENT Draft 2022 Hospital Document. Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have not been revised for the 2022 Guidelines are exempt from public comment and thus do

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined 2.2 SPECIFIC REQUIREMENTS FOR GENERAL HOSPITALS 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 1 2.2 Specific Requirements for General Hospitals Appendix material, intended to be advisory only, is offset and begins with the letter “A” following

the

2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

2.4 DESIGN AND CONSTRUCTION REQUIREMENTS 2.4 Design and Construction Requirements DRAFT 2022 FGI Guidelines for Design and Construction of Residential, Health, Care, and Support Facilities 1 2.4 Design and Construction Requirements Appendix material, shown in shaded boxes at the bottom of the page, is advisory

only.

2.5 SPECIFIC REQUIREMENTS FOR URGENT CARE CENTERS 2.5 Urgent Care Centers DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 2 A2.5-3.2 3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families. 2.5-3.2.1 3.2.3.1

Location

JOINT GUIDANCE FOR OPERATING ROOM AND STERILE PROCESSING Joint Guidance for Operating Room and Sterile Processing Ventilation. A series of conflicting, and sometimes unclear, HVAC standards and guidelines are being applied in the field to operating rooms and sterile processing departments, leading to difficulties as authorities having jurisdiction try to regulate ventilation for these spaces. 1.2 PLANNING, DESIGN, CONSTRUCTION, AND COMMISSIONING 1.2 Planning, Design, Construction, and Commissioning DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 3 *1.2-2.1.1 Functional Program Purpose 1.2-2.1.1.1 The primary purpose of the functional program shall be to communicate the owner’s intent for the project to the designers of record as a basis of design at the initiation of the project. APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

DRAFT 2022 HOSPITAL DOCUMENT Draft 2022 Hospital Document. Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have not been revised for the 2022 Guidelines are exempt from public comment and thus do

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined 2.2 SPECIFIC REQUIREMENTS FOR GENERAL HOSPITALS 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 1 2.2 Specific Requirements for General Hospitals Appendix material, intended to be advisory only, is offset and begins with the letter “A” following

the

2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

2.4 DESIGN AND CONSTRUCTION REQUIREMENTS 2.4 Design and Construction Requirements DRAFT 2022 FGI Guidelines for Design and Construction of Residential, Health, Care, and Support Facilities 1 2.4 Design and Construction Requirements Appendix material, shown in shaded boxes at the bottom of the page, is advisory

only.

2.5 SPECIFIC REQUIREMENTS FOR URGENT CARE CENTERS 2.5 Urgent Care Centers DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 2 A2.5-3.2 3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families. 2.5-3.2.1 3.2.3.1

Location

JOINT GUIDANCE FOR OPERATING ROOM AND STERILE PROCESSING Joint Guidance for Operating Room and Sterile Processing Ventilation. A series of conflicting, and sometimes unclear, HVAC standards and guidelines are being applied in the field to operating rooms and sterile processing departments, leading to difficulties as authorities having jurisdiction try to regulate ventilation for these spaces. 1.2 PLANNING, DESIGN, CONSTRUCTION, AND COMMISSIONING 1.2 Planning, Design, Construction, and Commissioning DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 3 *1.2-2.1.1 Functional Program Purpose 1.2-2.1.1.1 The primary purpose of the functional program shall be to communicate the owner’s intent for the project to the designers of record as a basis of design at the initiation of the project. APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. FACILITY GUIDELINES INSTITUTE The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

2.2 SPECIFIC REQUIREMENTS FOR GENERAL HOSPITALS 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 5 *(3) Public communication services shall be provided in each patient room. A2.2-2.2.3.1 (3) Public communication services provided in patient rooms could include internet connections, distributed antenna systems

to accommodate cell

TABLE 2.2-1: EXAMINATION/TREATMENT, PROCEDURE, AND Chapter 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 3 Table 2.2-2: Classification of Room Types for Imaging Services1 Room Use

FGI BULLETIN #18

Woven into the past 23 years of FGI’s Guidelines documents, white papers, bulletins, and website material is the work of one extraordinary editor, colleague, mentor, and friend: Pamela James Blumgart. Pamela appeared on the FGI landscape in 1998, an employee of the American Institute of Architects (AIA) assigned to assist with the 2001 edition of the Guidelines. 3.1 SPECIFIC REQUIREMENTS FOR NURSING HOMES 3.1 Specific Requirements for Nursing Homes DRAFT 2022 FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities 1 3.1 Specific Requirements for Nursing Homes Appendix material, shown in shaded boxes at the bottom of the page, is advisory

only.

ERRATA FOR THE SECOND PRINTING OF THE 2018 GUIDELINES FOR Errata sheet date: 6/3/21 *The second printing of the 2018 Hospital Guidelines incorporates errata identified before January 2020.Text highlighted in blue indicates changes made since the 11/16/20 version of this errata sheet. DESIGN GUIDE FOR LONG TERM CARE HOMES Design Guide for Long Term Care Homes. This guide offers designers guidance for creating personal care homes for elders, particularly those with cognitive challenges. The author’s goal is to help designers provide spaces that encourage socialization, offer easier navigation, support better cognitive function, and set the stage for

predictable

ERRATA FOR THE 2018 GUIDELINES FOR DESIGN AND CONSTRUCTION Errata for 2018 Guidelines for Design and Construction of Outpatient Facilities, continued 6 /321 www.fgiguidelines.org PAGE SECTION ERROR CORRECTED TEXT (date correction published) 65 2.1-1 2.1-1 General 2.1-1 General All outpatient projects, including those located in

READ-ONLY ACCESS

Read-Only Access. The read-only version of the 2010 FGI Guidelines for Design and Construction of Health Care Facilities has been moved to a new platform. As on the former platform, this read-only digital copy cannot be downloaded or printed and is not searchable. It is a limited-access copy intended for those who wish to preview the

document

VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntar y consensus Standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this Standard as an ANS, as “s ubstantial agreement FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

2.2 SPECIFIC REQUIREMENTS FOR GENERAL HOSPITALS 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 1 2.2 Specific Requirements for General Hospitals Appendix material, intended to be advisory only, is offset and begins with the letter “A” following

the

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined DRAFT 2022 HOSPITAL DOCUMENT Draft 2022 Hospital Document. Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have not been revised for the 2022 Guidelines are exempt from public comment and thus do TABLE 2.2-1: EXAMINATION/TREATMENT, PROCEDURE, AND Chapter 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 3 Table 2.2-2: Classification of Room Types for Imaging Services1 Room Use TABLE 2.1-1: ELECTRICAL RECEPTACLES FOR PATIENT CARE AREAS Chapter 2.1 tables DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 4 1Use of portable equipment in lieu of a piped gas system shall be permitted. 2IfWhereinhalation anesthesia, including nitrous oxide,will be used,in an operating room or Class 3 imaging room, installation of a waste anesthetic gas disposal (WAGD) system should shall be provided considered. 2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

2.5 SPECIFIC REQUIREMENTS FOR URGENT CARE CENTERS 2.5 Urgent Care Centers DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 2 A2.5-3.2 3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families. 2.5-3.2.1 3.2.3.1

Location

FGI RELEASES EMERGENCY CONDITIONS WHITE PAPER AND OPENS www.fgiguidelines.org NEWS RELEASE Contact: Heather Livingston heather@fgiguidelines.org 316-670-0269 FOR IMMEDIATE RELEASE April 1, 2021 FGI Releases Emergency Conditions White Paper and APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

2.2 SPECIFIC REQUIREMENTS FOR GENERAL HOSPITALS 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 1 2.2 Specific Requirements for General Hospitals Appendix material, intended to be advisory only, is offset and begins with the letter “A” following

the

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined DRAFT 2022 HOSPITAL DOCUMENT Draft 2022 Hospital Document. Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have not been revised for the 2022 Guidelines are exempt from public comment and thus do TABLE 2.2-1: EXAMINATION/TREATMENT, PROCEDURE, AND Chapter 2.2 Specific Requirements for General Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 3 Table 2.2-2: Classification of Room Types for Imaging Services1 Room Use TABLE 2.1-1: ELECTRICAL RECEPTACLES FOR PATIENT CARE AREAS Chapter 2.1 tables DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 4 1Use of portable equipment in lieu of a piped gas system shall be permitted. 2IfWhereinhalation anesthesia, including nitrous oxide,will be used,in an operating room or Class 3 imaging room, installation of a waste anesthetic gas disposal (WAGD) system should shall be provided considered. 2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

2.5 SPECIFIC REQUIREMENTS FOR URGENT CARE CENTERS 2.5 Urgent Care Centers DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 2 A2.5-3.2 3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families. 2.5-3.2.1 3.2.3.1

Location

FGI RELEASES EMERGENCY CONDITIONS WHITE PAPER AND OPENS www.fgiguidelines.org NEWS RELEASE Contact: Heather Livingston heather@fgiguidelines.org 316-670-0269 FOR IMMEDIATE RELEASE April 1, 2021 FGI Releases Emergency Conditions White Paper and APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. 2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

2.5 SPECIFIC REQUIREMENTS FOR URGENT CARE CENTERS 2.5 Urgent Care Centers DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 2 A2.5-3.2 3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families. 2.5-3.2.1 3.2.3.1

Location

BEHAVIORAL HEALTH DESIGN GUIDE The Design Guide addresses the built environment for adult inpatient behavioral health care units. Co-authored by James M. Hunt, AIA, NCARB; David M. Sine, ARM, CSP, CPHRM; and Kimberly N. McMurray, AIA, EDAC, MBA; it can be downloaded from the Behavioral Health Facility Consulting website.. Baseline, or fundamental, requirements for designing behavioral health facilities appear in the FGI DESIGN GUIDE FOR LONG TERM CARE HOMES Design Guide for Long Term Care Homes. This guide offers designers guidance for creating personal care homes for elders, particularly those with cognitive challenges. The author’s goal is to help designers provide spaces that encourage socialization, offer easier navigation, support better cognitive function, and set the stage for

predictable

2.4 DESIGN AND CONSTRUCTION REQUIREMENTS 2.4 Design and Construction Requirements DRAFT 2022 FGI Guidelines for Design and Construction of Residential, Health, Care, and Support Facilities 1 2.4 Design and Construction Requirements Appendix material, shown in shaded boxes at the bottom of the page, is advisory

only.

FGI GUIDELINES GLOSSARY DEFINITIONS FGI Guidelines Glossary Definitions. To make it easier for Guidelines users with print copies of the books to search for definitions, we’ve posted the glossaries from the 2018 documents here: Please note that the specific terms and definitions provided in the glossaries are intended to facilitate consistency in the

interpretation and

HYBRID OPERATING ROOM DESIGN BASICS FACIIT GUIDEINES INSTITUTE info@fgiguidelines.org www.fgiguidelines.org Hybrid Operating Room Design Basics November 2018 Mary Fearon, MSN, RN, CNOR 2.9 SPECIFIC REQUIREMENTS FOR ENDOSCOPY FACILITIES 2.9 Endoscopy DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 6 2.9-4.3.1.2 The endoscope processing room shall be permitted to serve multiple endoscopy procedure rooms as long as it is readily accessible to each procedure room. 2.9-4.3.1.3 The endoscope processing room shall meet the requirements of a semi-restricted area.

READ-ONLY ACCESS

Read-Only Access. The read-only version of the 2010 FGI Guidelines for Design and Construction of Health Care Facilities has been moved to a new platform. As on the former platform, this read-only digital copy cannot be downloaded or printed and is not searchable. It is a limited-access copy intended for those who wish to preview the

document

JOINT GUIDANCE FOR OPERATING ROOM AND STERILE PROCESSING Joint Guidance for Operating Room and Sterile Processing Ventilation. A series of conflicting, and sometimes unclear, HVAC standards and guidelines are being applied in the field to operating rooms and sterile processing departments, leading to difficulties as authorities having jurisdiction try to regulate ventilation for these spaces. FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

DRAFT 2022 HOSPITAL DOCUMENT Draft 2022 Hospital Document. Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have not been revised for the 2022 Guidelines are exempt from public comment and thus do

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined 2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

HYBRID OPERATING ROOM DESIGN BASICS FACIIT GUIDEINES INSTITUTE info@fgiguidelines.org www.fgiguidelines.org Hybrid Operating Room Design Basics November 2018 Mary Fearon, MSN, RN, CNOR FGI RELEASES EMERGENCY CONDITIONS WHITE PAPER AND OPENS www.fgiguidelines.org NEWS RELEASE Contact: Heather Livingston heather@fgiguidelines.org 316-670-0269 FOR IMMEDIATE RELEASE April 1, 2021 FGI Releases Emergency Conditions White Paper and APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. FORMAL INTERPRETATIONS Guidelines for Design and Construction of Hospitals, 2018 ed. 2 FORMAL INTERPRETATIONS AS OF 2/25/19 REQUEST Guidelines edition: 2018 Hospital Paragraph references: 2.2-3.1.3.6 (2) and 2.2-3.1.4.3 Question: Is it permissible for a single room in a hospital or freestanding emergency facility to be used as both a secure holding room and an emergency department (ED) exam/treatment room? SOUND & VIBRATION: DESIGN GUIDELINES FOR HEALTH CARE The Acoustics Research Council first prepared this document in association with the 2010 edition of the FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. An updated edition for the 2014 FGI documents is in the works; this will include new material on acoustics for residential

health, care, and

VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntary consensus standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this standard as an ANS, as“substantial agreement reached by directly and materially affected interest categories.This signifies FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. Our consensus-based, research-informed guidelines are used by regulators, designers, builders, and facility owners around the country and abroad to protect

public health

DRAFT 2022 HOSPITAL DOCUMENT Draft 2022 Hospital Document. Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have not been revised for the 2022 Guidelines are exempt from public comment and thus do

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined 2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

HYBRID OPERATING ROOM DESIGN BASICS FACIIT GUIDEINES INSTITUTE info@fgiguidelines.org www.fgiguidelines.org Hybrid Operating Room Design Basics November 2018 Mary Fearon, MSN, RN, CNOR FGI RELEASES EMERGENCY CONDITIONS WHITE PAPER AND OPENS www.fgiguidelines.org NEWS RELEASE Contact: Heather Livingston heather@fgiguidelines.org 316-670-0269 FOR IMMEDIATE RELEASE April 1, 2021 FGI Releases Emergency Conditions White Paper and APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. FORMAL INTERPRETATIONS Guidelines for Design and Construction of Hospitals, 2018 ed. 2 FORMAL INTERPRETATIONS AS OF 2/25/19 REQUEST Guidelines edition: 2018 Hospital Paragraph references: 2.2-3.1.3.6 (2) and 2.2-3.1.4.3 Question: Is it permissible for a single room in a hospital or freestanding emergency facility to be used as both a secure holding room and an emergency department (ED) exam/treatment room? SOUND & VIBRATION: DESIGN GUIDELINES FOR HEALTH CARE The Acoustics Research Council first prepared this document in association with the 2010 edition of the FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. An updated edition for the 2014 FGI documents is in the works; this will include new material on acoustics for residential

health, care, and

VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntary consensus standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this standard as an ANS, as“substantial agreement reached by directly and materially affected interest categories.This signifies ADOPTION OF THE FGI GUIDELINES FGI continually monitors adoption of the Guidelines by state, federal, and independent accrediting organizations.Because each state uses the Guidelines differently and may adopt its requirements for different facility types, collecting up-to-date information on state requirements can be difficult. To help in this endeavor, FGI has created an interactive adoption map. 2.4 DESIGN AND CONSTRUCTION REQUIREMENTS 2.4 Design and Construction Requirements DRAFT 2022 FGI Guidelines for Design and Construction of Residential, Health, Care, and Support Facilities 1 2.4 Design and Construction Requirements Appendix material, shown in shaded boxes at the bottom of the page, is advisory

only.

FGI BULLETIN #18

Woven into the past 23 years of FGI’s Guidelines documents, white papers, bulletins, and website material is the work of one extraordinary editor, colleague, mentor, and friend: Pamela James Blumgart. Pamela appeared on the FGI landscape in 1998, an employee of the American Institute of Architects (AIA) assigned to assist with the 2001 edition of the Guidelines. 2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

EARLIER EDITIONS

Prior to 1987, the Guidelines document was published by the Department of Health and Human Services (formerly the Department of Health, Education, and Welfare). An earlier title was Minimum Requirements of Construction and Equipment for Medical Facilities. Government publications are available through a local Federal Depository Library, usually located in a public or university library. ERRATA FOR THE SECOND PRINTING OF THE 2018 GUIDELINES FOR Errata sheet date: 6/3/21 *The second printing of the 2018 Hospital Guidelines incorporates errata identified before January 2020.Text highlighted in blue indicates changes made since the 11/16/20 version of this errata sheet. SOUND & VIBRATION: DESIGN GUIDELINES FOR HEALTH CARE The Acoustics Research Council first prepared this document in association with the 2010 edition of the FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. An updated edition for the 2014 FGI documents is in the works; this will include new material on acoustics for residential

health, care, and

ERRATA FOR THE 2018 GUIDELINES FOR DESIGN AND CONSTRUCTION Errata for 2018 Guidelines for Design and Construction of Outpatient Facilities, continued 6 /321 www.fgiguidelines.org PAGE SECTION ERROR CORRECTED TEXT (date correction published) 65 2.1-1 2.1-1 General 2.1-1 General All outpatient projects, including those located in

READ-ONLY ACCESS

Read-Only Access. The read-only version of the 2010 FGI Guidelines for Design and Construction of Health Care Facilities has been moved to a new platform. As on the former platform, this read-only digital copy cannot be downloaded or printed and is not searchable. It is a limited-access copy intended for those who wish to preview the

document

VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntar y consensus Standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this Standard as an ANS, as “s ubstantial agreement FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. DRAFT 2022 HOSPITAL DOCUMENT Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined HYBRID OPERATING ROOM DESIGN BASICS FACIIT GUIDEINES INSTITUTE info@fgiguidelines.org www.fgiguidelines.org Hybrid Operating Room Design Basics November 2018 Mary Fearon, MSN, RN, CNOR FGI RELEASES EMERGENCY CONDITIONS WHITE PAPER AND OPENS www.fgiguidelines.org NEWS RELEASE Contact: Heather Livingston heather@fgiguidelines.org 316-670-0269 FOR IMMEDIATE RELEASE April 1, 2021 FGI Releases Emergency Conditions White Paper and FORMAL INTERPRETATIONS Guidelines for Design and Construction of Hospitals, 2018 ed. 2 FORMAL INTERPRETATIONS AS OF 2/25/19 REQUEST Guidelines edition: 2018 Hospital Paragraph references: 2.2-3.1.3.6 (2) and 2.2-3.1.4.3 Question: Is it permissible for a single room in a hospital or freestanding emergency facility to be used as both a secure holding room and an emergency department (ED) exam/treatment room? APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. SOUND & VIBRATION: DESIGN GUIDELINES FOR HEALTH CAREFGI GUIDELINES FOR HEALTHCAREFGI GUIDELINES FOR HOSPITALS 20182014 FGI GUIDELINES READ ONLY2018 FGI GUIDELINES FREE2018 FGI GUIDELINES PDF The Acoustics Research Council first prepared this document in association with the 2010 edition of the FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. An updated edition VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntary consensus standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this standard as an ANS, as“substantial agreement reached by directly and materially affected interest categories.This signifies FACILITY GUIDELINES INSTITUTE2018 FGI GUIDELINES FREE DOWNLOAD2018 FGI GUIDELINES PDF DOWNLOADFGI GUIDELINES FOR HOSPITALS 2018ASSISTED LIVING FACILITY DESIGN STANDARDS Facility Guidelines Institute FACILITY GUIDELINES INSTITUTEABOUT FGIGUIDELINESBEYOND FUNDAMENTALSRESOURCESEDUCATIONNEWS & UPDATES The Facility Guidelines Institute is the authoritative source for guidance on health and residential care facility planning, design, and construction in the United States. DRAFT 2022 HOSPITAL DOCUMENT Below is the list of chapters comprising the draft 2022 Hospital Guidelines, featuring downloadable PDFs for each revised chapter that is available for public comment during the 2022 comment period. Please note: Chapters that have

INDIVIDUALS OF SIZE

Individuals of Size FGI Study of Clearances Needed to Provide Safe Care for Patients of Size. During the 2018 Guidelines revision cycle, members of the FGI Bariatric Accommodations Topic Group gathered in person to assess the clearances needed for safe patient handling and transportation of patients of size.Using a mock-up of a patient room and a patient toilet room, the group determined HYBRID OPERATING ROOM DESIGN BASICS FACIIT GUIDEINES INSTITUTE info@fgiguidelines.org www.fgiguidelines.org Hybrid Operating Room Design Basics November 2018 Mary Fearon, MSN, RN, CNOR FGI RELEASES EMERGENCY CONDITIONS WHITE PAPER AND OPENS www.fgiguidelines.org NEWS RELEASE Contact: Heather Livingston heather@fgiguidelines.org 316-670-0269 FOR IMMEDIATE RELEASE April 1, 2021 FGI Releases Emergency Conditions White Paper and FORMAL INTERPRETATIONS Guidelines for Design and Construction of Hospitals, 2018 ed. 2 FORMAL INTERPRETATIONS AS OF 2/25/19 REQUEST Guidelines edition: 2018 Hospital Paragraph references: 2.2-3.1.3.6 (2) and 2.2-3.1.4.3 Question: Is it permissible for a single room in a hospital or freestanding emergency facility to be used as both a secure holding room and an emergency department (ED) exam/treatment room? APPLYING THE FGI GUIDELINES TO SPACES WHERE INVASIVE VS Updated 10/24/19* www.fgiguidelines.org when a Class 2 and a Class 3 imaging room is needed is the most difficult to determine. The 2018 edition also includes a table (left) to help users understand the differences between these imaging room types. SOUND & VIBRATION: DESIGN GUIDELINES FOR HEALTH CAREFGI GUIDELINES FOR HEALTHCAREFGI GUIDELINES FOR HOSPITALS 20182014 FGI GUIDELINES READ ONLY2018 FGI GUIDELINES FREE2018 FGI GUIDELINES PDF The Acoustics Research Council first prepared this document in association with the 2010 edition of the FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. An updated edition VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntary consensus standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this standard as an ANS, as“substantial agreement reached by directly and materially affected interest categories.This signifies FACILITY GUIDELINES INSTITUTE2018 FGI GUIDELINES FREE DOWNLOAD2018 FGI GUIDELINES PDF DOWNLOADFGI GUIDELINES FOR HOSPITALS 2018ASSISTED LIVING FACILITY DESIGN STANDARDS Facility Guidelines Institute ADOPTION OF THE FGI GUIDELINES FGI continually monitors adoption of the Guidelines by state, federal, and independent accrediting organizations.Because each state uses the Guidelines differently and may adopt its requirements for different facility types, collecting up-to-date information on state requirements can be difficult. To help in this endeavor, FGI has created an interactive adoption map. 2.4 DESIGN AND CONSTRUCTION REQUIREMENTS 2.4 Design and Construction Requirements DRAFT 2022 FGI Guidelines for Design and Construction of Residential, Health, Care, and Support Facilities 1 2.4 Design and Construction Requirements Appendix material, shown in shaded boxes at the bottom of the page, is advisory

only.

2.1 COMMON ELEMENTS FOR OUTPATIENT FACILITIES 2.1 Common Elements (sections 1 – 3) DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 3 dialysis, but Chapter 2.10, Specific Requirements for Renal Dialysis Centers, does. In this example, Approach 2 allows the design team and the AHJ to

apply

1.2 PLANNING, DESIGN, CONSTRUCTION, AND COMMISSIONING 1.2 Planning, Design, Construction, and Commissioning DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 3 *1.2-2.1.1 Functional Program Purpose 1.2-2.1.1.1 The primary purpose of the functional program shall be to communicate the owner’s intent for the project to the designers of record as a basis of design at the initiation of the project. SOUND & VIBRATION: DESIGN GUIDELINES FOR HEALTH CARE The Acoustics Research Council first prepared this document in association with the 2010 edition of the FGI Guidelines. Those using the 2010 edition should reference the 2010 edition of Sound & Vibration. An updated edition 2.5 SPECIFIC REQUIREMENTS FOR URGENT CARE CENTERS 2.5 Urgent Care Centers DRAFT 2022 FGI Guidelines for Design and Construction of Outpatient Facilities 2 A2.5-3.2 3.2.3 Triage areas can be used for assessing patients, conducting interviews, or having private conversations with patients and families. 2.5-3.2.1 3.2.3.1

Location

2.1 COMMON ELEMENTS FOR HOSPITALS (CONTINUED) 2.1 Common Elements for Hospitals DRAFT 2022 FGI Guidelines for Design and Construction of Hospitals 2 (d) Computer/printer 2.1-4.1.2.2 Hand-washing station (1) A hand-washing station shall be provided where staff handle specimens, test reagents, or blood 2.5 BUILDING SYSTEMS 2.5 Building Systems DRAFT 2022 FGI Guidelines for Design and Construction of Residential Health, Care, and Support Facilities 3 mL). For fixtures other than those at public hand-washing sinks, the maximum volume should be 64 ounces (1.89 L) for hot or tempered VENTILATION OF HEALTH CARE FACILITIES SPECIAL NOTE This American National Standard (ANS) is a national voluntar y consensus Standard developed under the auspices of ASHRAE. Consensus is defined by the American National Standards Institute (ANSI), of which ASHRAE is a member and which has approved this Standard as an ANS, as “s ubstantial agreement FACILITY GUIDELINES INSTITUTE Facility Guidelines Institute * SIGN UP FOR UPDATES

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FGI BULLETIN #17

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