Equipment and Facilities to Include in a Cardiac Clinic
For surgery facilities
For the purposes of a cardiac clinic all classes (A, B and C) will likely be utilized.
Class A operating rooms are for surgery and other procedures that require minimal sedation. These rooms shall have a minimum clear floor area of 150 sq ft with a minimum clear dimension of 12 feet. There shall be a minimum clear distance of 3 feet 6 inches at each side, the head, and the foot of the operating table.These rooms may be accessed from the semi-restricted corridors of the surgical suite or from an unrestricted corridor adjacent to the surgical suite.
Class B operating rooms are for surgery and other procedures that require moderate sedation. These rooms shall have a minimum clear floor area of 250 sq ft with a minimum clear dimension of 15 feet. The room arrangement shall permit a minimum clear dimension of 3 feet 6 inches at each side, the head, and the foot of the operating table. These rooms shall be accessed from the semi-restricted corridors of the surgical suite.
Class C operating rooms are for surgery and procedures that require deep sedation. These rooms shall have a minimum clear floor area of 400 sq ft and a minimum clear dimension of 18 feet. The room arrangement shall permit a minimum clear dimension of 4 feet at each side, the head, and the foot of the operating table. Class C operating rooms shall be accessed from the semi-restricted corridors of the surgical suite.
For cardiac cath facilities
It is important for the procedure room and control room to be adjacent to each other, with storage space and the clean and soiled utility areas located within the immediate cardiac cath suite area.
The procedure room should provide ample space for the equipment, in-room storage and movement of the patient into and out of the room via stretcher or patient bed. 500-600 square feet for the procedure area and 150-200 square feet allotted to the control room. In the room there should be storage cabinetry, standing-height counter space, a clinical sink, and positioning of computer drops for hospital information system terminals. At least one phone line into the room is recommended. Proper ventilation and airflow is needed if permanent pacemakers are being inserted. Attention must be paid when deciding where the placement of gases, suction and electrical outlets will be.
The equipment storage space should be lined with an electrical power strip to allow for multiple plug access to keep any battery powered/charging equipment accessible. The room should be configured with cabinetry to hold catheters, guiders, balloons, stents and guidewires.
The control room should be of adequate size to allow staff movement and required equipment, but an overly large control room invites visitors who can be a distraction. It is not advisable to have one control room advising more than one procedure room. The room should be elevated one or two steps above the procedure room for a full visual of activities. This also allows cables to be run underneath. The window for viewing into the procedure room should be as large as possible. This room should be placed at the foot of the procedure table. Multiple computer drops and a minimum of one phone line should also be installed.
There also needs to be a space for patient holding. This area provides pre-procedure assessment and immediate post procedure care. A minimum of two beds or stretchers per procedure room is needed to facilitate patient flow in and out of the lab. If the facility admits outpatients directly to the cath lab area and recover Stage I and II, the number of beds required should be based on average daily case volumes and should allow for efficient patient flow. A small nurses station needs to be in the space to allow for documentation, computer terminals, a scheduling secretary, etc. Patient bays should be walled cubicles with breakaway doors. Each bay should be equipped with gases, call light, monitors, stretchers and a small storage cart or cabinet.
A family waiting area should be located nearby to the procedure room. There should be at least one private consult room where the family can be directed for confidential patient/family discussions.
Equipment needed for the lab includes imaging equipment, hemodynamic monitoring equipment, and data/imaging archival.
For diagnostic facilities
At least one exam room shall be provided. It needs both visual and acoustical privacy, and shall be provided for the examination of patients, private medical consultations, and confidential communication with patients and their families/legal guardians.
An examination/treatment room is needed for diagnostic facilities. These rooms may be required in many locations in a health care facility.
The space needs to be a single bed examination/treatment room or area. Each single patient room shall have a minimum clear floor area of 120 sq ft. Provision shall be made to preserve patient privacy from observation from outside to the examination/treatment room through an open door. The room needs an examination light, a hand-washing station, storage facilities for supplies, and a desk, counter, or shelf space for writing or electronic documentation. There also can be multiple bed exam/treatment rooms that have separate patient cubicles with a minimum clear floor area of 80 sq ft per cubicle. Each cubicle should contain the same supplies and equipment listed for the single bed room.