Dimensions between patient beds and between patient chairs

[TERRI CRIPPS]

Hi,

Just wondering if anyone has a reference for the dimensions that ward beds should be apart from each other in a 2bed or more room. I have looked at the Australasian Health Facility Guideline and can’t seem to find it. If it is in there – can you tell me where?
Also, in an ambulatory care setting, how far apart should the patient chairs be? I have a post op day surgery area that is doing away with beds and putting chairs in and they want to have chairs in an area with 1.7m apart (measured centre of chair to centre of chair) and I think that would be too tight for my paediatric patients who come with parents. Any ideas? Any references?

Thanks,

Terri Cripps | CNC Infection Control | Sydney Children’s Hospital
*: (02) 9382 1876 | fax: (02) 9382 2084 |* : terri.cripps@sesiahs.health.nsw.gov.au| *:www.sch.edu.au| page: 47140

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[Glenys Harrington]

Terri,

From an infection control perspective for Droplet Precautions where single rooms are not available and you need to cohort you will need to be able to have a distance of at least 1 metre (3 feet) between each bed space.

You could also apply this distancing in all of the areas you mention below as a minimum.

In addition in the US Guidelines for the Design and Construction of Healthcare Facilities (2010) it states the following:

2.2.2 Nursing Units

2.2-2.2.2.2 Space requirements

(2) Clearance

(a) The dimensions and arrangements of rooms shall be such that there is a minimum clear dimension of 3 feet (91.44 centimetres) between the sides and the foot of the bed and any wall or any other fixed object.

(b) In multi-bed room, a minimum clear dimension of 4 feet (1.22 meters) shall be available at the foot of each bed to permit the passage of equipment and beds.

(3) Where renovation work is undertaken, every effort shall be made to meet the above minimum standards. If it is not possible to meet the above standards, authorities that have jurisdiction shall be permitted to grant approval to deviate from this requirement. In such cases, patient rooms shall have a minimum clear floor area of 100 square feet (9.29 square meters) in single-bed rooms and 80 square feet (7.43 square meters) per bed in multi-bed rooms.

3.7 -3.4 Pre and Post-operative Holding areas

3.7-3.4.2.2 Post – anaesthesia recovery positions

(b) Clearance. Each post- anaesthesia recovery area shall provide a minimum clear dimension of 5 feet (1.52 meters) between patient stretchers or beds, 4 feet (1.22 meters) between patient stretchers or beds and adjacent walls (at the stretchers sides and foot), and the foot of the stretcher or bed to the closed cubical curtain.

3.7-3.4.2.3 Phase II Recovery Areas

(B) Clearance

(i) The design shall provide a minimum clear dimension of 4 feet (1.22meters) between the side of adjacent lounge chairs and nearest obstruction.

Regards

Glenys

Glenys Harrington

Consultant

Infection Control Consultancy (ICC)

PO Box 5202

Middle Park

Victoria, 3206

Australia

H: +61 3 96902216

M: +61 404 816 434

infexion@ozemail.com.au

ABN 47533508426

Hi,

Just wondering if anyone has a reference for the dimensions that ward beds should be apart from each other in a 2bed or more room. I have looked at the Australasian Health Facility Guideline and cant seem to find it. If it is in there can you tell me where?

Also, in an ambulatory care setting, how far apart should the patient chairs be? I have a post op day surgery area that is doing away with beds and putting chairs in and they want to have chairs in an area with 1.7m apart (measured centre of chair to centre of chair) and I think that would be too tight for my paediatric patients who come with parents. Any ideas? Any references?

Thanks,

Terri Cripps | CNC Infection Control | Sydney Childrens Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |8 : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
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[Fiona Wilson]

Hi Terri if you go to Section B – Health Facility Briefing and Planning of the Australasian Health Facility Guidelines (HFG) and then to Inpatient Accommodation Unit -Sections 604482 340.15.10 (Room dimensions) and 604483 340.15.15 (Bed Spacing) both on page 476 you will find the information you require. Basically if you assume a basic bed size of 2250mm long and 1050mm wide (buffer to buffer) then in a 2 bed room there should be clearance of 1200mm at the end of each bed and in multi bed rooms there should be a minimum of 2400mm between centre bed lines.

Regards
Fiona Wilson I CNC Infection Control TIPCU
Population Health I Department of Health and Human Services
Post GPO Box 125 Hobart Tas 7001 | Email tipcu@dhhs.tas.gov.au
Phone (03) 6222 7575 | Fax (03) 6233 0553
A fair and healthy Tasmania

Hi
Just wondering if anyone has a reference for the dimensions that ward beds should be apart from each other in a 2bed or more room. I have looked at the Australasian Health Facility Guideline and cant seem to find it. If it is in there can you tell me where?
Also in an ambulatory care setting how far apart should the patient chairs be? I have a post op day surgery area that is doing away with beds and putting chairs in and they want to have chairs in an area with 1.7m apart (measured centre of chair to centre of chair) and I think that would be too tight for my paediatric patients who come with parents. Any ideas? Any references?
Thanks
Terri Cripps | CNC Infection Control | Sydney Childrens Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |8 : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

———————————————————————————————

Illawarra Shoalhaven Local Health District South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email and the files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected Illawarra Shoalhaven Local Health District South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.Messages posted to this list are solely the opinion of the authors and do not represent the opinion of AICA.
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[Fiona Wilson]

Hi Terri for inpatient beds go to Section B – Health Facility Briefing and Planning of the Australasian Health Facility Guidelines (HFG) and then to Inpatient Accommodation Unit -Sections 604482 340.15.10 (Room dimensions) and 604483 340.15.15 (Bed Spacing) both on page 476 you will find the information you require. Basically if you assume a basic bed size of 2250mm long and 1050mm wide (buffer to buffer) then in a 2 bed room there should be clearance of 1200mm at the end of each bed and in multi bed rooms there should be a minimum of 2400mm between centre bed lines.
For day procedure units go to Part B of the HFG 270 Day Surgery/Procedure Unit 601840 270 .7.25 RECOVERY AREAS which states In larger facilities it is preferable to have a three recovery areas – Stage 1 Stage 2A and Stage 2B (Discharge Lounge). Smaller units may combine Stage 1 and Stage 2A.
If paediatric services are provided the Recovery Room should cater to the needs of parents/attendants.

So have a look at the various requirements for Stage 1 2A and 2B recovery areas to see what space you need (taking into account the comment in the HFG about catering to the needs of parents/attendants for paediatric patients which could mean a bit more space).

Regards

Fiona Wilson I CNC Infection Control TIPCU
Population Health I Department of Health and Human Services
Post GPO Box 125 Hobart Tas 7001 | Email tipcu@dhhs.tas.gov.au
Phone (03) 6222 7575 | Fax (03) 6233 0553
A fair and healthy Tasmania

Hi
Just wondering if anyone has a reference for the dimensions that ward beds should be apart from each other in a 2bed or more room. I have looked at the Australasian Health Facility Guideline and cant seem to find it. If it is in there can you tell me where?
Also in an ambulatory care setting how far apart should the patient chairs be? I have a post op day surgery area that is doing away with beds and putting chairs in and they want to have chairs in an area with 1.7m apart (measured centre of chair to centre of chair) and I think that would be too tight for my paediatric patients who come with parents. Any ideas? Any references?
Thanks
Terri Cripps | CNC Infection Control | Sydney Childrens Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |8 : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140

———————————————————————————————

Illawarra Shoalhaven Local Health District South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email and the files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected Illawarra Shoalhaven Local Health District South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.Messages posted to this list are solely the opinion of the authors and do not represent the opinion of AICA.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
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