1、Lighting for Hospitals and Health Care FacilitiesAn IESNA Recommended PracticeTheLIGHTINGAUTHORITYANSI/IESNA RP-29-06ANSI/IESNARP-29-06Lighting for HospitalsandHealth Care FacilitiesPublication of this RecommendedPractice has been approvedby the IESNA. Suggestionsfor revisions should be directedto t
2、he IESNA.Prepared by:The IESNACommittee for Health Care FacilitiesCopyright 2006 by the Illuminating Engineering Society of North AmericaApproved by the IESNABoard of Directors, March 11, 2006, as a Transaction of the Illuminating EngineeringSociety of North America.Approved as an American National
3、Standard March 27, 2006.All rights reserved.No part of this publication may be reproduced in any form, in any electronic retrieval sys-tem or otherwise, without prior written permission of the IESNA.Published by the Illuminating Engineering Society of North America, 120 Wall Street, New York, New Yo
4、rk10005.IESNAStandards and Guides are developed through committee consensus and produced by the IESNAOffice in New York. Careful attention is given to style and accuracy. If any errors are noted in this document,please forward them to Rita Harrold, Director Educational and Technical Development, at
5、the above addressfor verification and correction. The IESNAwelcomes and urges feedback and comments. Printed in the United States of AmericaISBN-13: 978-0-87955-213-6ISBN-10: 0-87995-213-XDISCLAIMERIESNApublications are developed through the consensus standards development process approved by theAme
6、rican National Standards Institute. This process brings together volunteers representing varied viewpoints andinterests to achieve consensus on lighting recommendations. While the IESNAadministers the process andestablishes policies and procedures to promote fairness in the development of consensus,
7、 it makes no guaranty orwarranty as to the accuracy or completeness of any information published herein. The IESNAdisclaims liability forany injury to persons or property or other damages of any nature whatsoever, whether special, indirect, consequentialor compensatory, directly or indirectly result
8、ing from the publication, use of, or reliance on this document.In issuing and making this document available, the IESNAis not undertaking to render professional or otherservices for or on behalf of any person or entity. Nor is the IESNAundertaking to perform any duty owed by anyperson or entity to s
9、omeone else. Anyone using this document should rely on his or her own independent judgmentor, as appropriate, seek the advice of a competent professional in determining the exercise of reasonable care inany given circumstances.The IESNAhas no power, nor does it undertake, to police or enforce compli
10、ance with the contents of this document.Nor does the IESNAlist, certify, test or inspect products, designs, or installations for compliance with this document.Any certification or statement of compliance with the requirements of this document shall not be attributable to theIESNAand is solely the re
11、sponsibility of the certifier or maker of the statement.ANSI/IESNARP-29-06AMERICAN NATIONALSTANDARDApproval of an American National Standard requires verification by ANSI that the requirements for dueprocess, consensus, and other criteria for approval have been met by the standards developer.Consens
12、us is established when, in the judgment of the ANSI Board of Standards Review, substantialagreement has been reached by directly and materially affected interests. Substantial agreementmeans much more than a simple majority, but not necessarily unanimity. Consensus requires that allviews and objecti
13、ons be considered, and that a concerted effort be made toward their resolution.The use of American National Standards is completely voluntary; their existence does not in any respectpreclude anyone, whether that person has approved the standards or not, from manufacturing, market-ing, purchasing, or
14、 using products, processes, or procedures not conforming to the standards.The American National Standards Institute does not develop standards and will in no circumstancesgive an interpretation to any American National Standard. Moreover, no person shall have the right orauthority to issue an interp
15、retation of an American National Standard in the name of the AmericanNational Standards Institute. Requests for interpretations should be addressed to the secretariat orsponsor whose name appears on the title page of this standard.CAUTION NOTICE: This American National Standard may be revised at any
16、 time. The procedures of theAmerican National Standards Institute require that action be taken to reafirm, revise, or withdraw this stan-dard no later than five years from the date of approval. Purchasers of American National Standards mayreceive current information on all standards by calling or wr
17、iting the American National Standards Institute.Prepared by the IESNAHealth Care Facilities CommitteeIESNAHealth Care Facilities CommitteeRichard B. Kurzawa, ChairS. Adams*K.Baker*M. BermantA. B. BrogdenJ. BrownellR. J. Bucci* C. M. Burton S. K. CordonnierL. K. DeBauge-HarcumR. DePrez*D. Gardberg*J.
18、 W. GillL. Hayet* R. LonsdaleD. MacFadyen*C. Moser* P. MustoneL. M. North*K. RettichR. W. RoushM. Rosen M. SimeonovaR. Smith*S. SterkenburgD. L. StymiestP.TrivelyJ. H. TruskG. B. Weinhold*AdvisoryANSI/IESNARP-29-06Many of the photographs appearing in this document have been obtained from independent
19、architects/engineers, lighting manufacturers, and professional photographers. These contributorsinclude:Figures 1, 25Mount Clemens General Hospital of Michigan. SSOE, Inc., Troy, MI (Designer); Chris Burkhalter Photography, LLC (Photographer)Figures 3, 5The Childrens Hospital of Alabama, Childrens H
20、ealth System of Alabama. CRS Engineering, Birmingham AL(Designer); John OHagan (Photographer)Figure 4VAMedical Center of Houston. SmithGroup, Inc., Detroit, MI (Designer); Aker/Burnette, Inc. (Photographer)Figures 6, 1Huron Valley Hospital, Michigan. RTKL, Baltimore, MD and SSOE, Inc., Troy, MI (Des
21、igner); Chris Burkhalter Photography, LLC (Photographer)Figures 7, 8, 16, 17St. John Macomb Hospital, Michigan. SSOE, Inc., Troy, MI (Designer); Chris Burkhalter Photography, LLC (Photographer)Figure 9Childrens Hospital of Michigan. SmithGroup, Inc., Detroit, MI (Designer); SmithGroup, Inc. (Photogr
22、apher)Figures 10, 20Michigan Orthopedic Center, Saint Joseph Mercy Hospital. Peter Basso Associates, Troy,MI (Designer); Angela R. Wolney (Photographer)Figures 12, 13Miami Valley Hospital of Ohio. Helmig Leinesch Michael Houghton, STUDIOHIO, Inc. (Photographer)Figure 18Ohio State University Medical
23、Center. W.E. Monks Michael Houghton, STUDIOHIO, Inc. (Photographer)Figure 19Sutter Health, California. SmithGroup, Inc., Detroit, MI (Designer); David Wakely Photography (Photographer)Figure 21Swedish Medical Center, Denver, CO. The Stein-Cox Group, Phoenix, AZ (Designer); Ron Johnson Photography (P
24、hotographer)Figure 22Beaumont Hospital, Troy, MI. SSOE, Inc., Troy, MI (Designer); Chris Burkhalter Photography,LLC (Photographer)Figure 23Genesys Hurley Cancer Institute, Flint, MI. SSOE, Inc., Troy, MI (Designer); Chris Burkhalter Photography, LLC (Photographer)Figure 24VAMedical Center of Michiga
25、n. SmithGroup, Inc., Detroit, MI (Designer); Glen Calvin (Photographer)Figure 26Patterson Dental Supply. Midmark Corporation, Versailles, OH (Designer); Midmark Corporation (Photographer)Figure 27Coosa Valley Medical Center, Baptist Health System of Alabama. CRS Engineering, Birmingham, AL(Designer)
26、; Edward Badham (Photographer)C O V E R :Certain contributors are also represented in the cover collage. Top-to-bottom: first image-see Figure 1 credits, second image- see Figure 22 credits, third image- see Figure 7 credits, fourth image- see Figure 13 credits, and fifth image(bottom) - see Figure
27、23 credits.ANSI/IESNARP-29-06CONTENTSPreface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.0 Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28、 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.0 Types of Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29、. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12.2 The Acute Care Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22.3 The Chronic Care Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30、. . . . . . . . . . . . . . . . . . . . . . .22.4 The Extended Care Facility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22.5 Other Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31、. . . . . . . . . . . . . . .33.0 Lighting Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32、. . . . . . . . . . . . . . . . . .33.2 Lighting of the Visual Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.3 Task Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33、 . . . . . . .54.0 Lighting Design Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34、. . . . . .54.2 The Hospital Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.3 Patient Rooms Adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64.3.1 Nursing
35、 Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64.3.2 Routine Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64.3.3 Observation of Patients . . . .
36、. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64.3.4 Night Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.3.5 Examination . . . . . . . . . . . . . . . . . . . . . . .
37、 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.3.6 Patient Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.3.7 Private or Single Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . .
38、 . . . . . . . . . . . . . . . . . . . . . . . .94.3.8 Multiple-Occupancy Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94.3.9 Windows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39、. . . . . . . . .94.3.10 Housekeeping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104.4 Nursing Stations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104.5
40、 Critical Care Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114.6 Pediatric and Adolescent Wards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124.7 Nurseries . . . . . . .
41、. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134.8 Mental Health Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .144.9 Surgical Holding Areas . . . . . .
42、. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154.10 Surgical Induction Room or Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154.11 Surgical Suite . . . . . . . . . . . . . . . . . . . . . . . . .
43、 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154.11.1 Operating Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154.11.2 Operating Room Suite Corridors . . . . . . . . . . . . . . . . . . . . . . . . . . .
44、 . . . . . . . . . . . . . . . .224.11.3 Scrub Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224.11.4 Special Lighting for Photography and Television . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224.11.5 Su
45、rgeon Headlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234.12 Specialized Operating Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244.12.1 Eye Surgery . . . . . . . . . . . . .
46、 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244.12.2 Ear, Nose, and Throat Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244.12.3 Neurosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
47、. . . . . . . . . . . . . . . . . . . . . . . . . . . .244.12.4 Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244.12.5 Plastic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
48、 . . . . . . . . . . . .244.13 Postanesthetic Recovery Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244.14 Cystoscopy Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254.15
49、Nonurology Endoscopy Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25ANSI/IESNARP-29-064.16 Obstetric Delivery Suite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264.16.1 Birthing Rooms (LDRs or LDRPs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264.16.2 Labor Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264.16.3 Delivery Area . . . . . . . . . . . . . . . . . .
