Healthcare Facility Layout: Historical Russian Standards

Furniture and fittings in a healthcare facility

This archived overview describes Russian requirements for the equipment, furniture and layout of healthcare facilities. Its original reference was SanPiN 2.1.3.1375-03, Hygienic Requirements for the Location, Design, Equipment and Operation of Hospitals, Maternity Hospitals and Other Inpatient Healthcare Facilities, approved by Resolution No. 124 of the Chief State Sanitary Doctor of the Russian Federation on 6 June 2003. The source described these provisions as applying to healthcare facilities regardless of their ownership or organisational affiliation.

That 2003 standard was repealed when the replacement rules were introduced in 2010. The dimensions and arrangements below preserve the original article’s account of the historical Russian rules; they are not presented as current Russian legislation or as requirements for facilities in other countries.

The overview divides the requirements into three groups:

  • standards for fitting out consulting rooms, wards and other healthcare spaces with equipment and furnishings;
  • hygiene requirements for staff working conditions;
  • other requirements concerning medical equipment and furniture.

Ward equipment and furniture

The original overview set out the following ward arrangements:

  • No more than four beds per ward, with the number of beds determined in accordance with the applicable hygiene norms.
  • A minimum distance of 1.2 m between a wall and the end of a bed, and between the ends of adjacent beds.
  • A minimum distance of 0.9 m between beds and walls containing windows.
  • A minimum distance of 0.8 m between the sides of beds. In rehabilitation and children’s wards, the stated minimum was 1.2 m.
  • Beds arranged parallel to the walls containing windows.
  • One chair and one bedside cabinet for each bed.

The article also described the use of approved germicidal ultraviolet irradiators to disinfect air and surfaces in consulting rooms and other healthcare spaces. This refers to the equipment provision described in the historical source, rather than an instruction to use any UV device in any room.

Staff working conditions

When medical and technical equipment was selected and installed, the source required provision for its subsequent cleaning and decontamination, together with compliance with occupational safety rules. Those safety requirements also applied throughout the equipment’s use.

Staff changing rooms were described as requiring enough lockers for the workforce. The listed specifications were:

  • Lockers that could be closed, were ventilated and had two doors, allowing work clothing and personal clothing, headwear and footwear to be stored separately.
  • At least 0.4 m² per locker when calculating the area of changing rooms for work and personal clothing.
  • At least 0.08 m² per hook or hanger when calculating the area provided for outdoor clothing.

The overview also described personal hygiene rooms for female staff, with individual washing cubicles measuring at least 1.8 × 1.2 m and equipped with hygiene showers.

Other layout and surface requirements

The article listed several further provisions:

  • Equipment and furniture were to be positioned so that the room could be cleaned effectively.
  • Separate toilets were to be provided for staff and patients.
  • Where the use of sanitary fittings could wet the surrounding walls or partitions, those surfaces were to be finished with glazed tiles or another moisture-resistant material.
  • Both the external and internal surfaces of medical furniture were to be smooth and resistant to cleaning agents, medicinal products and disinfectants used in the facility.

The original article covered only the main points of the standard, rather than its full provisions. It remains a historical overview of that approach to healthcare furnishing and layout. A current design or refurbishment project needs the applicable requirements for its location and type of service.

Original source: Zaplata — Requirements and standards for equipping healthcare facilities.

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