1、Z8000-11Canadian health care facilitiesLegal Notice for StandardsCanadian Standards Association (CSA) standards are developed through a consensus standards development process approved by the Standards Council of Canada. This process brings together volunteers representing varied viewpoints and inte
2、rests to achieve consensus and develop a standard. Although CSA administers the process and establishes rules to promote fairness in achieving consensus, it does not independently test, evaluate, or verify the content of standards.Disclaimer and exclusion of liabilityThis document is provided withou
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15、es of this document in print or paper form may be distributed only to persons who are authorized by CSA to have such copies, and only if this Legal Notice appears on each such copy.In addition, users may not and may not permit others to.alter this document in any way or remove this Legal Notice from
16、 the attached standard;.sell this document without authorization from CSA; or.make an electronic copy of this document.If you do not agree with any of the terms and conditions contained in this Legal Notice, you may not load or use this document or make any copies of the contents hereof, and if you
17、do make such copies, you are required to destroy them immediately. Use of this document constitutes your acceptance of the terms and conditions of this Legal Notice.Update No. 1Z8000-11February 2013Note: For information about the Standards Update Service, go to shop.csa.ca or e-mail techsupportcsagr
18、oup.org.Title: Canadian health care facilities originally published September 2011The following revisions have been formally approved and are marked by the symbol delta () in the margin on the attached replacement pages. This Update applies to the English Standard only.Revised Technical Committee, S
19、ubcommittee, Clauses 4.2.2.3, 7.2.1.1, 10.7.4.8.5, and 12.2.2.1, and Tables 8.1, 8.2, 8.4, 9.5, 9.7, 9.9, and 11.1New NoneDeleted None Update your copy by inserting these revised pages.Keep the pages you remove for reference. 2013 CSA Group Canadian health care facilitiesFebruary 20136.27(b) Buildin
20、g entry and parking Important relationships 836.28 Heliport Essential relationships 836.29(a) Exterior garden/therapy area Essential relationships 846.29(b) Exterior garden/therapy area Important relationships 846.30 Main entry and lobby Important relationships 857.1 Minimum distances for inpatient
21、and critical care beds 938.1 Inpatient bedrooms 1228.2 Critical care 1268.3 Maternal and infant care 1348.4 Mental health and addiction services 1468.5 Pediatric and adolescent 1548.6 Rehabilitation care 1588.7 Burn treatment services 1648.8 Inpatient continuing care 1729.1 Ambulatory care General 1
22、819.2 Ambulatory care Dialysis 1889.3 Ambulatory care Oncology 2079.4 Emergency care 2179.5 Procedures 2389.6 Allied health 2479.7 Clinical laboratory 2549.8 Electrodiagnostic services 2729.9 Respiratory services 2779.10 Medical imaging 2839.11 Pharmacy 28910.1 Medical device reprocessing 31410.2 Re
23、commended size of reprocessing areas, m231710.3 Illuminating Engineering Society of North America (IES) recommended illuminance levels for work environments 31911.1 Common area requirements 32712.1 Wall sound transmission class (STC) requirements for various room types 368xi(Replaces p. xi, Septembe
24、r 2011)Z8000-11 2013 CSA GroupFebruary 2013Technical Committee on Health Care Facility Engineering and Physical PlantM. Keen St. Michaels Hospital,Toronto, OntarioChairG. Burrill Teegor Consulting Inc.,Fredericton, New BrunswickVice-ChairR.J. Belanger R.J. Burnside and Associates Ltd.,Wasaga Beach,
25、OntarioW.D. Carson The Mitchell Partnership Inc.,Toronto, OntarioC. Drolet Ministre de la Sant et des Services sociaux,Qubec, QubecL. Ellinas R Tec Consulting,Toronto, OntarioM. Fontaine Alberta Infrastructure,Calgary, AlbertaG. Granek Toronto, Ontario AssociateC. Harvey Ontario Ministry of Health a
26、nd Long Term Care,Toronto, Ontario G. Kuzmenko Niagara Health System,Burlington, OntarioP. Langford Lunenburg, Nova ScotiaM. OReilly QuadraTec Inc.,St. Johns, Newfoundland and LabradorP.E. Paasche Fredericton, New BrunswickL. Shea Manitoba Health,Winnipeg, ManitobaR. Snell Parkin Architects Limited,
27、Toronto, OntarioN. Stark H.H. Angus (b) provide an explanation of circumstances surrounding the actual field condition; and(c) where possible, phrase the request in such a way that a specific “yes” or “no” answer will address the issue.Committee interpretations are processed in accordance with the C
28、SA Directives and guidelines governing standardization and are available on the Current Standards Activities page at standardsactivities.csa.ca.(5) This Standard is subject to periodic review, and suggestions for its improvement will be referred to the appropriate committee. To submit a proposal for
29、 change, please send the following information to inquiriescsagroup.org and include “Proposal for change” in the subject line:(a) Standard designation (number);(b) relevant clause, table, and/or figure number;(c) wording of the proposed change; and(d) rationale for the change.(Replaces p. xvi, Septe
30、mber 2011)xvi 2013 CSA Group Canadian health care facilitiesFebruary 20134.2.2.2 Environment of care components shall be addressed in the functional program (see Clause 5.1.6).4.2.2.3 To promote a safe and effective environment of care, the HCF should be designed to achieve the following objectives:
31、(a) reduced stress for patients and their families, visitors, and staff;(b) maintenance of dignity, confidentiality, respect, and comfort at all levels;(c) clustering of related services, to minimize transfers or walking between services;(d) sensitivity to individual needs;(e) universal access for a
32、ll persons (see Clause 4.3);(f) appropriate gender segregation;(g) standardization of area design, furniture, fittings, and equipment where applicable to reduce the possibility of staff errors;(h) reduction of noise;(i) sensitivity to the cultural beliefs and expectations of the expected patients wh
33、ere appropriate (e.g., selection of colours or materials that are associated with healing); and(j) promotion of a healing environment through design and choice of materials for interior furnishings and finishes.Note: Research and evidence-based materials, whenever available, should be reviewed to su
34、pport these goals. Design should make every effort to enhance the performance and productivity of the staff in order to promote a safe environment of care. The building and interior planning should be designed to create an efficient and high-quality patient environment, which is supportive of the de
35、livery of clinical services, patient well-being, comfort, and patient dignity. Furnishings, fittings, and finishes should be appropriate to the architecture and the functions being performed and items should be coordinated to fit and work with each other as needed.4.3 Accessibility4.3.1 General4.3.1
36、.1 The HCF shall be planned and designed to produce an environment that facilitates the patients access to receiving care and the caregivers capacity to provide appropriate and effective care. The HCF shall be designed so that people of all abilities are able, without modification to their normal co
37、nduct, to access the services, work in the facility, use the facility, or assist staff in accomplishing their work.Notes: (1) Accessibility includes(a) design intended to minimize barriers for persons with various disabilities;(b) consideration of the physical, cognitive, social and emotional capabi
38、lities, limitations, needs, and wants of all people who will use, work in, or visit the HCF;(c) provision of effective and appropriate aids to wayfinding;(d) arrangement of services to minimize patient travel from outside the HCF and between destinations within the HCF;(e) organization of staff work
39、flow and provision of supplies to meet the needs of all patients;(f) facilitation of family support; and(g) information and communications.(2) Accessibility addresses not only the primary needs of persons with disabilities, but any supporting elements that a person might require, such as mobility de
40、vices, handlers, or assistive devices.(3) Patients or staff who encounter a barrier in accessing or providing care can experience increased stress levels, which can have a negative impact on clinical outcomes. All effort should be made to reduce or remove such barriers.(4) In designing for accessibi
41、lity in the HCF, building codes should be considered as representing minimum requirements only. Building codes do not capture the needs of all users in the health care setting.(5) Accessibility also addresses the barriers in use of the HCF and equipment such as wayfinding systems and transfer onto e
42、xamination equipment.19(Replaces p. 19, September 2011)Z8000-11 2013 CSA GroupFebruary 20134.3.1.2 The HCF shall be designed so that staff can safely assist and serve patients of all abilities, including the accommodation of assistive devices and other supporting elements.4.3.1.3 The HCF shall be de
43、signed to adapt to the changing accessibility needs of patients and the possibility that a patient who normally does not have a disability could experience a temporary disability because of impairment due to an illness or to a medical or surgical condition.4.3.1.4 The planning and design of HCFs sha
44、ll comply with CAN/CSA-B651 and applicable requirements for accessibility.Note: Federal, provincial/territorial, and local laws and regulations can apply.4.3.2 Functional requirements4.3.2.1 The HCF shall be designed and constructed so as to minimize barriers to the normal activities of patients and
45、 families, staff, and visitors with disabilities.Note: A barrier can be anything that prevents a person with a disability from fully participating in all aspects of society because of his or her disability, including a physical barrier, an information or communication barrier, an attitudinal barrier
46、, a technological barrier, or a policy or practice obstacle.4.3.2.2 The HCF design should minimize hazards and the adverse consequences of accidental or unintended actions for all occupants.4.3.2.3 The planning process shall include a procedure to identify and resolve possible conflicts between the
47、accessibility needs of different user groups.Note: In some situations, a design solution intended to help one user group can inadvertently create a barrier for another group.4.3.2.4 The HCF and all of its components should be simple and intuitive regardless of the users experience, knowledge, langua
48、ge skills, or current concentration level. The HCF should be able to be used efficiently and comfortably and with a minimum of fatigue by all users, regardless of ability.4.3.2.5 All patient-occupied spaces should be designed for accessibility and ease of assistance by clinical staff. Patient care e
49、quipment should allow for approach, reach, manipulation, and use regardless of the patients body size, posture, or mobility.Note: The design should take into account the need for possible variations in design features for accessibility, depending on the function of the space or department, or because of staff requirements in terms of assistance levels required by patients.4.3.3 Reconciliation of competing principlesUnless another health care principle can be sho
