(Amendments to Standards for Hospitals and Health Facilities, 6 CCR 1011-1, Chapter II – General Licensure Standards, Chapter IV – General Hospitals, and Chapter XIX – Hospital Unit, adopted by the State Board of Health on June 20, 2007)
(Items in parentheses are notes/instructions for CCR publication and are not part of the rules)
(Chapter II – General Licensure Standards.  Replace emergency rule, 2.20 Licensure Fees [Par IDs 1330501 and 1330502], with permanent rule as follows)
2.20	LICENSURE FEES.  Unless otherwise specified in either 6 CCR 1011-1 or the Colorado Revised Statutes, fees shall be assessed as follows:

Initial license	$360	
Renewal license	$360	
Conditional license	$360	
Provisional license	$360	
Change of ownership	$360	
Change of facility name 	$360	
Change of address	$360	
Change of beds	$360	

(Chapter IV – General Hospitals)
(Replace existing part  7 Anesthesia in its entirety [Par IDs 850892-850908], with revised part 7 as follows ) 
7	ANESTHESIA
7.1	REQUIREMENT.  There shall be facilities and equipment for the administration of anesthesia that are commensurate with the clinical procedures and programs conducted within the hospital.
7.2	STAFFING.   
(1) 	ADMINISTRATION.  General or regional anesthesia or analgesia shall be administered only by a physician qualified by training, experience, and ability in anesthesiology; or a registered nurse anesthetist graduated from a certified school.  In case of dental treatment, dentists may administer local anesthetics. 
(2) 	NURSING.  Patients recovering from anesthesia shall remain under continuous care of a registered nurse.  Nurses shall have been instructed in the care of post-anesthetic patients, shall have no other duties during the time they are caring for such patients, and shall have facilities for immediate communication with the attending surgeon, anesthesiologist, or qualified substitute present in the hospital.
7.3	EQUIPMENT.  
(1) 	ANESTHESIA MACHINES.  Persons administering anesthesia shall insure that anesthetic gas cylinders are installed properly on machines that are pin-indexed.
(2) 	STERILIZATION.  Anesthesia equipment shall be cleaned properly and sterilized after each use excepting multi-use heat sensitive equipment may be disinfected using a process that is bactericidal, tuberculocidal and virucidal.  Hypodermic needles, syringes, and allied equipment shall be sterilized.  Written procedures shall be developed for these processes.

(Replace existing 9.3.1 [Par IDs 850956 and 840957] with amended 9.3.1 as follows)
9.3.1	In hospitals of 30 beds or less, one operating suite may be used for surgical or delivery procedures, providing there is a labor room equipped for emergency delivery adjacent and accessible to the suite and with a minimum area of 180 sq. ft., no dimension to be less than 12'0" except ceiling height.  Ventilation of the emergency delivery room must be either a separate system from that in the operating suite, allowing recirculation in each area, or if connected to the same system as the operating suite, the system must provide 100% exhaust with no recirculation.
Sub-sterilizing room adjacent to delivery room(s) will not be required unless major gynecological surgical procedures are performed in the delivery room.
(Replace existing 10.34 [Par ID 851017] with amended 10.34 as follows)
10.34	VENTILATION.  Rooms for preparing and serving food and washing utensils shall be well ventilated.  Filters shall be readily removable for cleaning or replacement.

(Replace existing 14.8  [Par ID 851099]  with amended 14.8 as follows; delete existing 14.9 [Par ID 851100]; and renumber existing 14.10 [Par ID 851101] to 14.9 as follows) 
14.8	ELECTRICAL.  Two duplex convenience outlets shall be installed in proximity to the head of each bed.  General lighting shall be uniform throughout the room and controlled by dimmer.  The electrical system shall be connected to the emergency power system.  In the case of new hospital construction, or modification of an existing hospital facility, four duplex convenience outlets shall be installed in proximity to the head of each bed.
14.9	WAITING ROOM.  A waiting room shall be provided.  This may be shared with an adjacent patient care unit.
(Replace existing 19.3, 19.4, 19.5 and 19.9 [Par IDs 851170, 851171, 851172 and 851176] with amended 19.3, 19.4, 19.5 and 19.9 as follows)
19.3	PRIVACY.  Privacy shall be provided for each patient in a multiple-bed room by the installation of cubicle curtains or partitions.  
19.4	WINDOWS.  Each patient bedroom shall have a minimum window area equal to 1/8 of the floor area.  The ground level shall be maintained at or below the window sill for a distance of at least 8 feet measured perpendicular to the window.  Privacy for the patient and control of light shall be provided at each window.
19.5	ENTRIES.  Each patient bedroom shall have direct entry from a corridor.  In the case of new hospital construction, or modification of an existing hospital facility, the door to each patient room may be no more than 120 feet from the nursing station or from the clean or soiled holding rooms.
19.9	PATIENT EQUIPMENT.  Patient bedrooms shall be equipped with movable furniture and equipment with the following for each patient:  1) Adjustable, washable bed with the side rails; 2) Cabinet or bedside table; 3) Overbed table; 4) Complete personal care equipment sterilized before each patient’s use, and including water carafe, mouth wash cups, emesis basin, wash basin, bedpan and urinal (when necessary).

(Replace existing part 23 Surgical Suite and Recovery Rooms in its entirety [Par IDs 851236-851279] in its entirety with revised part 23 as follows) 

23	SURGICAL SUITE AND RECOVERY ROOM(S)
23.1	LOCATION.  The surgical suite shall be located so that traffic will not pass through the suite to any other part of the hospital and shall be separated physically from the delivery suite and emergency unit. 
23.1.1	EXCEPTION.  In hospitals of 30 beds or less, one operating suite may be used for surgical and delivery procedures, providing there is a labor room equipped for emergency delivery adjacent and accessible to the suite and with a minimum area of 180 sq. ft.  See Section 9.3.1.
23.2	SIGNS.  Signs identifying the surgical suite shall be posted at each entrance to the suite.
23.3	WRITTEN POLICIES.  Rules, regulations, and/or policies related to the surgical suite shall be written and available for staff use.  Policies shall include the admission of patients, personnel, and visitors.
23.4	X-RAY EQUIPMENT.  Only approved portable X-ray equipment shall be used in anesthetizing locations.  
23.5	INTERIOR FINISHES.  Interior finishes in the surgical suite shall be smooth, unbroken, and shall facilitate and withstand frequent cleaning and disinfecting.
23.6	OPERATING ROOM(S).  The surgical suite shall be provided with at least one operating room.
There should be one operating room for each 50 beds or major fraction thereof up to and including 200 beds.  Above 200 beds the number of operating rooms will be based on the expected average of daily operations.
The operating room design, equipment, and functional layout should be commensurate to the surgical procedures performed.  Each operating room should not be less than 18 feet in any one dimension.
23.7	CEILING HEIGHTS.  The ceiling height shall not be less than 9 feet1 in operating rooms.
1  Not required in existing buildings.
23.8	OXYGEN.  Each operating room shall be provided with piped oxygen.  Nitrous oxide and vacuum are recommended.
23.9	AREAS.  In addition to operating room(s) the following physically separated areas shall be provided within the suite.  In the case of new hospital construction or modification of an existing hospital facility these areas shall be separated by doors and/or walls:  1) sub-sterilizing facilities; 2) Scrub up area; 3) Cleanup room: 4) Instrument and supply storage; 5) Anesthesia storage; 6) Janitor's facilities: 7) Doctor's locker and dressing room; 8) Nurses' locker and dressing room; 9) Stretcher alcove.  In the case of new hospital construction, or modification of an existing hospital facility, an anesthesia workroom must also be provided.  Stretcher space must also be provided in the surgery suite.
23.10	SUB-STERILIZING.  The sub-sterilizing room shall be physically separated from but adjacent to the operating room for service to the room without passing through contaminated areas.  In the case of new hospital construction, or modification of an existing hospital facility, sub-sterilizing facilities shall be located to serve each operating room conveniently.  More than one sub-sterilizing facility shall be provided if a suite of operating rooms is not compactly arranged .
23.11	STERILIZER. At least one pressurized steam sterilizer or equivalent shall be installed in the sub-sterilizing room, and provided with indirect waste connections and recording thermometer that indicates temperature in discharge line of sterilizer.  In the case of new hospital construction, or modification of an existing hospital facility a pressurized steam sterilizer or equivalent, shall be installed in each sub-sterilizing facility, and provided with an indirect waste connection and a recording thermometer that indicates temperature in the discharge line of the sterilizer.
23.12	SCRUBUP AREA.  The scrubup area shall be adjacent to the operating room to permit immediate access to the room after scrubbing.  Surgeon scrub sink(s) with knee or foot controls shall be installed in the scrubup  area.
23.13	CLEANUP ROOM.  A clinical sink with an integral fresh water trap seal, and a sink with wrist-blade of foot-action valves shall be installed in each cleanup room.
23.14	LOCKER ROOMS.  Toilet, shower, and lavatory facilities shall be provided in the doctors' locker rooms and the nurses' locker rooms. 
23.15	ANESTHESIA WORKROOM.  In the case of new hospital construction, or modification of an existing hospital facility, at least one anesthesia equipment workroom for the cleaning , testing and storage of anesthesia equipment shall be provided.  It shall contain a work counter and sink.  In hospitals of 30 beds or less, the anesthesia workroom may be combined with other spaces provided that the resulting plan will not compromise the best standards of safety and of medical and nursing practices.
23.16	VENTILATION.  Operating rooms shall be provided with a minimum ventilation rate of 8 room volumes of outdoor air per hour with no recirculation, except when not in use, by mechanical supply and exhaust air systems.  In the case of new hospital construction, or modification of an existing hospital facility, operating rooms shall be provided with a minimum ventilation rate of twenty-five room volumes of air per hour by mechanical supply and exhaust air systems.  (a) Outdoor air intakes shall be located as far as practical but not less than 25 feet from the exhausts from any ventilating system, combustion equipment, medical-surgical vacuum system, or plumbing vent or areas which may collect noxious fumes.  The bottom of outdoor air intakes shall be located as high as practical but not less than three feet above ground level, or if installed through the roof, 3 feet above the roof level.  (b) All air supplied to sensitive areas such as operating and delivery rooms and nurseries shall be delivered at or near the ceiling of the area served.
23.17	FILTERS.  Filters shall be installed down draft from blower and provide a minimum efficiency of 90% of 1-5 micron size particles.  In the case of new hospital construction or modification of an existing hospital facility:  1) All ventilation or air conditioning systems serving surgery and delivery suites shall have a minimum of two filter beds.  Filter Bed No. 1 shall be located upstream of the air conditioning equipment and shall have a minimum efficiency of 25%.  2) Filter Bed No. 2 shall be downstream of the supply fan and air conditioning equipment and humidifying equipment.  Filter Bed No. 2 shall have a minimum efficiency of 90% of 1-5 micron size particles.  3) Each filter bed serving sensitive areas shall have a manometer installed across each filter bed.
23.18	EXHAUST.  Exhaust outlets, at least two (2), shall be provided, not less than 4 inches above the floor.1 In the case of new hospital construction, or modification of an existing hospital facility, exhaust outlets, at least two (2), shall be provided in each operating room, not less than 4 inches above the floor.
1  Does not apply to existing buildings.
23.19	PRESSURE.  The entire surgical suite shall have a balanced air pressure.  The surgical suite shall be maintained at a positive air pressure relative to the air pressures of adjacent areas within the hospital.  In the case of new hospital construction, or modification of an existing hospital facility, operating rooms shall have a positive air pressure relative to the air pressure of adjacent rooms within the suite.  The surgical suite shall maintained at a positive air pressure relative to the air pressures of adjacent areas within the hospital.
23.20	HUMIDITY.  Relative humidity in anesthetizing areas shall be maintained at 50% plus or minus 2%  A humidistat and accurate sensing gauge shall be provided.
23.21	LIGHTING.  General and spot illumination shall be provided in each operating room.
23.22	NURSE CALL SYSTEM.  Operating room(s) shall be provided with an approved electrical nurse call system.   In the case of new hospital construction, or the modification of an existing hospital facility,  this system must be to the operations and control station or nurses station where additional help is available.
23.23	NURSING.  The nursing service of the surgical suite shall be under the supervision of a registered nurse qualified by training and experience to direct operating room nursing.  A registered nurse qualified by training and experience in operating room nursing shall be present as a circulating  nurse during operative procedures. 
23.24	SURGICAL RECOVERY ROOM.  Definition: Surgical recovery room means a Designated room(s) designed, equipped, staffed, and operated to  provide close, individual surveillance of patients recovering from acute affects of anesthesia, surgery, and diagnostic procedures.
23.24.1	DESIGN.  The design and equipment shall conform generally to the critical care unit.  In the case of new hospital construction, or modification of an existing hospital facility, the surgical recovery room must provide for the visual observation of all patients, medicine dispensing facilities, charting facilities, clinical sink with a bedpan washer attachment, and storage space for supplies and equipment.
23.24.2	LOCATION.  The room(s) shall be located in the surgical suite or adjacent thereto.
23.24.3	NURSING.  At least one registered nurse shall be on duty at all times in the room when patients are present.  Nurses shall have been instructed in the care of post-anesthetic and post-surgical patients, shall have no other duties during the time they are caring for such patients, shall have facilities for immediate communications with the attending surgeon, anesthesiologist, or qualified substitute present in the hospital.  Additional registered and licensed practical nurses, and auxiliary nursing personnel shall be available.  The nursing care required by different types of patients shall be the major consideration in determining the number, quality, and category of nursing personnel that are needed in any given situation.
23.24.4	POLICIES.  Policies governing the authority and responsibilities of nursing personnel and the admission and length of stay of patients in the recovery room shall be written.

(Delete existing 29.3 [Par ID 851349} as follows)
29.3	SAFETY.Incinerators with capacities up to 500 pounds shall have the enclosing walls of combustion chambers lined with fire brick not less than 4 1/2 inches thick, and incinerators of greater capacity shall have not less than 9-inch brick lining or the equivalent.

(Add new part 32 as follows after existing Par ID 851360))
32	Life Safety Code Requirements
32. 1.	Compliance with the Life Safety Code.  This section is applicable only to hospitals licensed under this Chapter IV.  Facilities shall be compliant with the National Fire Protection Association (NFPA) 101, Life Safety Code (2000).
32.1.1	Facilities licensed on or before September 30, 2003 shall meet Chapter 19, Existing Health Care Occupancies, NFPA 101 (2000).
32.1.2	Facilities licensed on or after October 1, 2003 or portions of facilities that undergo remodeling on or after October 1, 2003 shall meet Chapter 18, New Health Care Occupancies, NFPA 101 (2000).  In addition, if the remodel represents a modification of more than 50 percent, or more than 4,500 square feet of the smoke compartment, the entire smoke compartment shall be renovated to meet Chapter 18, New Health Care Occupancies, NFPA 101 (2000).
32.2	Fees.  Reserved.  

(Chapter XIX – Hospital Unit – add new part 6  Life Safety Code Requirements as follows, after existing Par ID 853831)

6	Life Safety Code Requirements
6.0	Compliance with the Life Safety Code.  Hospital Units Shall Be Compliant With The National Fire Protection Association (NFPA) 101, Life Safety Code (2000).
6.0.1	Facilities licensed on or before September 30, 2003 shall meet Chapter 19, Existing Health Care Occupancies, NFPA 101 (2000).
6.0.2	Facilities licensed on or after October 1, 2003 or portions of facilities that undergo remodeling on or after October 1, 2003 shall meet Chapter 18, New Health Care Occupancies, NFPA 101 (2000).  In addition, if the remodel represents a modification of more than 50 percent, or more than 4,500 square feet of the smoke compartment, the entire smoke compartment shall be renovated to meet Chapter 18, New Health Care Occupancies, NFPA 101 (2000).
6.1	FEES.  Reserved.