44:76:12:01.  Application of standards. The construction standards in this chapter apply to all new facilities and to alterations, additions, and changes in space use to existing facilities.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-1-17(4) and (5), 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

          44:76:12:02.  Surgical suites. The number of operating rooms shall be based on the expected surgical workload. The surgical suite shall be located to prevent through traffic. A recovery room with charting space, medication storage and preparation space, and a clinical sink is required.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

          44:76:12:03.  Service areas in surgical suite. The size of the service areas in each surgical suite depends on the surgical workload. Each surgical suite shall include the following service areas:

          (1)  A surgical supervisor station;

          (2)  Sterilizing facilities near the operating room with high speed autoclave;

          (3)  Facilities for storage and preparation of medication;

          (4)  Scrub-up facilities located adjacent to operating rooms;

          (5)  Soiled workroom containing a work counter clinical sink, hand sink, waste receptacle, and soiled linen receptacles;

          (6)  Storage for sterile and unsterile supplies, which may be in a clean workroom;

          (7)  Storage room or cabinet for anesthetic agents;

          (8)  Nitrous oxide and oxygen facilities with storage room if these services are not piped in;

          (9)  Clean work area for storage and assembly of supplies containing counter and sink;

          (10)  Equipment storage area for surgical and monitoring equipment;

          (11)  Floor receptor or service sink and storage for housekeeping supplies and equipment;

          (12)  Clothing change areas, lockers, and toilet rooms for doctors, nurses, technicians, and other personnel;

          (13)  Holding area for patients in facilities with two or more operating rooms; and

          (14)  Stretcher alcove.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

          44:76:12:04.  Diagnostic imaging suite. The diagnostic imaging suite shall contain:

          (1)  One or more radiographic rooms with necessary radiation protection;

          (2)  A film processing room, if required;

          (3)  A film filing room;

          (4)  Toilet room adjoining each fluoroscopy and ultrasound room;

          (5)  Dressing area for ambulatory patients;

          (6)  Holding area for stretcher patients;

          (7)  Waiting space; and

          (8)  An office with film viewing facilities.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

          44:76:12:05.  Laboratory suite. Clinical laboratory facilities and equipment consistent with the needs of the patients shall be provided. Handwashing fixtures shall be provided and equipped with faucets which can be operated without the use of hands.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

          44:76:12:06.  Pharmacy or drug room. The pharmacy or drug room shall be well ventilated and have a locking door. The pharmacy or drug room shall be sized for the distribution system used and shall have a work counter with sink, a separate locked and fastened compartment or room for the storage of controlled substances, refrigerated and frozen storage spaces, and other approved storage for drugs. If additive injectables are prepared, a sterile products area shall be provided. The work space shall be well illuminated. Emergency power shall be provided for essential services. Heating, ventilation, and air conditioning services shall be provided to maintain the temperature of the room between 59 degrees Fahrenheit (15 degrees centigrade) and 86 degrees Fahrenheit (30 degrees centigrade).

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), (4) and (9).

          Law Implemented: SDCL 34-12-13(1), (3), (4) and (9).

          44:76:12:07.  Central medical and surgical supply department. The clean and soiled areas of the central medical and surgical supply department shall be separated from each other. Space for cleaning equipment and disposing or processing of unclean articles shall be provided in the decontamination area and the plumbing fixtures shall be at least those provided for the soiled utility room. The clean workroom shall be divided into work space, clean storage area, sterilizing facilities, and storage area for sterile supplies. Pathological waste sterilization may not be done in this area. An unsterile supply storage area shall be provided, but it may be located in an area outside this department. Handwashing fixtures shall be provided between the clean and soiled work areas.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

          44:76:12:08.  Central stores. General central storage rooms shall have a total area of not less than 20 square feet (1.86 square meters) for each operating or procedure room. General storage should be concentrated in one area on-site, but up to 50 percent of the general storage space may be provided off-site.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

          44:76:12:09.  Details and finishes. Ceiling heights of operating rooms, cystoscopic rooms, radiographic rooms, and rooms with ceiling-mounted surgical light fixtures shall be at least nine feet (2.74 meters).

          The ceilings in isolation rooms, X-ray film processing rooms, central sterilization rooms, and operating rooms shall be an epoxy painted gypsum board membrane or an equivalent material for ease of cleaning and for improved maintenance of clean surfaces below the ceilings.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

          44:76:12:10.  Ventilation. All air supply and air exhaust systems shall be mechanically operated. All fans serving exhaust systems shall be located at the discharge end of the system. All air supplied to an operating room or sensitive area shall be delivered at or near the ceiling of the area served. All air exhausted from the area shall be removed near floor level. At least two exhaust outlets shall be used in each operating room. Exhaust wall outlets shall be located not less than three inches (0.076 meters) above the floor.

          A ventilation system in operating, isolation, or central sterilization shall be a ducted system. A ventilation system using the building concealed space (return air plenum) from a clean room is not acceptable.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (4).

          Law Implemented: SDCL 34-12-13(1), (3), and (4).

          44:76:12:11.  Air filters. A ventilation system shall be equipped with a minimum of two filter beds. Filter bed number one shall be located upstream of the conditioning equipment and shall have a minimum efficiency of 30 percent. Filter bed number two shall be located downstream of the conditioning equipment and shall have a minimum efficiency of 90 percent. Central systems serving other than sensitive areas shall be provided with filters rated at 80 percent efficiency. These filter efficiencies shall be warranted by the manufacturer and shall be based on the ASHRAE 52.2, 2007 edition, American Society of Heating, Refrigeration, and Air Conditioning Engineers dust spot test method with atmospheric dust. The exhausts from all laboratory hoods in which infectious or radioactive materials are processed shall be equipped with filters with a 99 percent efficiency. Filter frames shall be durable and shall provide an airtight fit with the enclosing ductwork. All joints between filter segments and the enclosing ductwork shall have positive seal against air leakage.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(2), (3), and (14).

          Law Implemented: SDCL 34-12-13(2), (3), and (14).

          Reference: "ASHRAE 52.2," 2007 edition, American Society of Heating, Refrigeration, and Air Conditioning Engineers, 1791 Tullie Circle, N.E., Atlanta GA 30329. Phone: 1-800-527-4723. Cost: $39.00.

          44:76:12:12.  Ducts. Ducts which penetrate construction intended for X ray or other ray protection may not impair the effectiveness of the protection. Porous duct lining materials may not be used in the interior of duct systems serving sensitive areas such as operating rooms and isolation rooms.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (2), (3), and (14).

          Law Implemented: SDCL 34-12-13(1), (2), (3), and (14).

          44:76:12:13.  Plumbing fixture devices. Bedpan flushing devices shall be provided in each soiled workroom.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1) and (3).

          Law Implemented: SDCL 34-12-13(1) and (3).

          44:76:12:14.  Operating room lighting. Operating rooms shall have general lighting for the room in addition to special lighting units at the surgical tables. Each special lighting unit for local lighting at tables shall be connected to an independent circuit.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3) and (4).

          Law Implemented: SDCL 34-12-13(3) and (4).

          44:76:12:15.  Equipment installation in special areas. X ray stationary installations and mobile equipment shall conform to rules of the state electrical commission.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(3).

          Law Implemented: SDCL 34-12-13(3).

          Cross-Reference: Electrical installations, ch 20:44:05.

          44:76:12:16.  Emergency electric supply. Each facility shall have an emergency source of electric supply to provide electricity during an interruption of the normal electric supply. The source of emergency electric supply shall be an automatic emergency generating set when the normal service is supplied by one or more central station transmission lines, or an automatic generating set or a central station transmission line when the normal electric supply is generated on the premises. The required emergency generating set, including the prime mover and generator, shall be located on the premises. The emergency generator set shall be of sufficient kilowatt capacity to supply all lighting and power load demands of the emergency system.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (14).

          Law Implemented: SDCL 34-12-13(1), (3), and (14).

          44:76:12:17.  Emergency electrical circuit connections. Emergency electrical service shall be furnished to circuits as follows:

          (1)  Lighting of exit ways and all necessary ways of approach to them, including exit signs and exit direction signs, exterior of exits, exit doorways, stairways, and corridors;

          (2)  Surgical room operating lights;

          (3)  Lighting for laboratory, recovery room, staff stations, and medication preparation areas;

          (4)  Lighting for the generator set location, the switch gear location, and the boiler room;

          (5)  Equipment essential to life safety and for protection of important equipment or vital materials;

          (6)  Staff calling system;

          (7)  Alarm system, including fire alarms actuated at manual stations;

          (8)  Water flow alarm devices of sprinkler system if electrically operated;

          (9)  Fire detecting and smoke detecting systems;

          (10)  Paging or speaker systems if intended for issuing instructions during emergency conditions;

          (11)  Alarms required for nonflammable medical gas systems, if installed;

          (12)  Pump for central suction system;

          (13)  Sewage or sump lift pump, if installed;

          (14)  Receptacles for blood bank refrigerator;

          (15)  At least two duplex receptacles for the laboratory;

          (16)  Receptacles in operating and recovery rooms except those for X ray;

          (17)  Duplex receptacles in patient corridors; and

          (18)  Equipment, such as burners and pumps, necessary for operation of one or more boilers required for heating and sterilization and their necessary auxiliaries and controls.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (14).

          Law Implemented: SDCL 34-12-13(1), (3), and (14).

          44:76:12:18.  Emergency electrical system details. The emergency electrical system shall be so controlled that after interruption of the normal electric power supply the generator is brought to full voltage and frequency and connected within ten seconds through one or more primary automatic transfer switches to all emergency lighting; all alarms; blood banks; staff call; equipment necessary for maintaining telephone service; pump for central suction system; and receptacles in operating rooms, patient corridors, and recovery rooms. All other lighting and equipment required to be connected to the emergency system shall either be connected through the primary automatic transfer switching or shall be subsequently connected through other automatic or manual transfer switching. A receptacle connected to the emergency system shall be distinctively marked for identification. A storage-battery-powered light, provided to augment the emergency lighting or for continuity of lighting during the interim of transfer switching immediately following an interruption of the normal service supply, may not be used as a substitute for the required generator. If fuel is normally stored on the site, the storage capacity shall be sufficient for 24-hour operation. If fuel is normally piped underground to the site from a utility distribution system, storage facilities on the site are not required.

          Source: 42 SDR 51, effective October 13, 2015.

          General Authority: SDCL 34-12-13(1), (3), and (14).

          Law Implemented: SDCL 34-12-13(1), (3), and (14).