Section 382.50. Health care and related facilities.

 

(1)   General. The provisions of this section shall set forth the requirements for the design, installation and maintenance of devices, fixtures and equipment which are installed in health care and related facilities.

(2)   Fixtures and equipment.

(a) Special fixtures and equipment.

1. `Requirements for ice manufacture and storage.' Machines for manufacturing ice or any device for handling or storage of ice shall be located in an area not subject to contamination.

2. `Sterilizers and washer sanitizers.'

a. Sterilizers and washer sanitizers shall discharge by means of indirect waste.

b. The indirect waste piping shall discharge by means of air-gap.

3. `Aspirators.' Aspirators which require the use of water shall be provided with approved cross connection control.

(b) Spouts and actions . The selection of spouts and actions on plumbing fixtures shall comply with this section and Table 382.50-1.

1. `Spouts'. Lavatories and sinks accessible to patients shall have the water supply spout mounted so that its discharge point is a minimum distance of 5" above the flood level rim of the fixture.

2. `Actions.' All fixtures used by medical and nursing staff, and all lavatories used by patients and food handlers shall be equipped with valves that can be operated without the use of hands. Where wrist blade handles are used for this purpose, the handles shall not exceed 4 1/2 " in length, except handles on scrub sinks and clinical sinks shall be no less than 6" long.

(c) Floor drain prohibition.

1. Except as provided in subd. 2. , floor drains may not be installed in operating or delivery rooms.

2. Floor drains may be installed in cystoscopic rooms. The drain shall contain a non-splash, horizontal-flow flushing bowl beneath the drain plate.

(3)   Water supply systems.

(a) Hospital water supply systems. Water supply systems serving hospitals shall comply with all of the following:

1. All hospitals shall be provided with at least 2 water services. Whenever more than one water main is available, the connections shall be made to different water mains.

2. Each water service connection shall adequately serve the total building water supply demand as specified in s. SPS 382.40 (7) .

(b) Hospital, community-based residential facility, inpatient hospice and nursing home water supply systems .

1. Water supply systems serving a hospital, community-based residential facility, inpatient hospice or nursing home shall comply with all of the following:

a. Except as provided in subd. 1. b. , a single control valve may serve an area where 4 or fewer patient care units exist and where each unit contains not more than 2 persons.

b. A water supply serving an intensive care patient care unit shall be individually valved.

2. All water distribution piping shall be insulated in accordance with chs. SPS 361 to 366 .

3. Cold water shall be supplied to lavatories or sinks located in patient rooms.

4. A hot water distribution system shall be under constant recirculation to provide continuous hot water at each hot water outlet, except that uncirculated hot water distribution piping may not exceed 25 feet in developed length.

5. Water provided to patient showers, therapeutic equipment and all types of baths shall be installed with control valves which automatically regulate the temperature of the water supply to the fixture fitting outlet within a temperature range of 110 ° F to 115 ° F. Such control valves shall automatically reduce flow to 0.5 gpm or less when the water supply to the fitting outlet exceeds 115 ° F or when loss of cold water pressure occurs.

6. Hot water distribution systems shall be installed and maintained to provide bacterial control by one of the following methods:

a. Water stored and circulation initiated at a minimum of 140 ° F and with a return of a minimum of 124 ° F.

b. Water chlorinated at 2 mg/L residual.

c. Another disinfection system approved by the department.

7. A water distribution system may not be designed, installed and maintained so that the maximum temperature to fixture fitting outlets accessible to patients exceeds 115 ° F.

8. Except as provided in subd. 7. , a water distribution system may not be designed, installed and maintained so that the maximum temperature to fixture fitting outlets exceeds 180 ° F. - See PDF for table - See PDF for table

1-2-56 ; am. (3) (4) and (5), Register, August, 1961, No. 68 , eff. 9-1-61; r. and recr. Register, November, 1972, No. 203 , eff. 12-1-72; r. and recr., Register, February, 1979, No. 278 , eff. 3-1-79; renum. from H 62.16, Register, July, 1983, No. 331 , eff. 8-1-83; renum. from ILHR 82.16 and am. (7) (b), (10) (a) 1. and 2., (b) 2., (f) (intro.) and (h), Register, February, 1985, No. 350 , eff. 3-1-85 ; r. (10) (f) and Table 25, Register, February, 1994, No. 458 , eff. 3-1-94; correction in (7) (b) made under s. 13.93 (2m) (b) 7., Stats., Register, July, 2000, No. 535 ; am. (2) and (10) (g) Table 26, r. and recr. (10) (g) and (h), r. (10) (i), Register, December, 2000, No. 540 , eff. 1-1-01; CR 02-002 : r. and recr. Register April 2003 No. 568 , eff. 5-1-03; CR 04-035 : am. Table 82.50-1 and (3) (b) 5. Register November 2004 No. 587 , eff. 12-1-04; correction in (3) (b) 2. made under s. 13.92 (4) (b) 7., Stats., Register February 2008 No. 626 ; CR 08-055 : am. (3) (b) 5. Register February 2009 No. 638 , eff. 3-1-09; correction in (2) (b) (intro.), (3) (a) 2., (b) 2. made under s. 13.92 (4) (b) 7., Stats., Register December 2011 No. 672 .

Note

The installation of two water services or a private water main may require the installation of a check valve. Refer to ch. NR 811 for more information. Microsoft Windows NT 6.1.7601 Service Pack 1 See ch. SPS 382 Appendix A-382.50 (3) (b) 5 . for sketches showing various design options. Microsoft Windows NT 6.1.7601 Service Pack 1 Additional information may be contained in ASHRAE Guideline 12-2000 , Minimizing the Risk of Legionellosis Associated with Building Water Systems. This standard is published by the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE); 1791 Tullie Circle, N.E., Atlanta, GA 30329, phone: (800) 5-ASHRAE or [phone] ext. 507; fax: [phone]; e-mail: [e-mail] ; or online at www.ashrae.org . Microsoft Windows NT 6.1.7601 Service Pack 1 See s. SPS 382.40 (5) and ch. DHS 124 for additional requirements for circulation systems. Microsoft Windows NT 6.1.7601 Service Pack 1