Table 13.

5 Ventilation Design Parameters for Health Care Facilities

[Std 170-2008, Tbl 7-1]

Pressure Mini- Mini- All Room Air Recircu.

Relationship mum mum AirExhausted by Means of RH Design
to Adjacent Outdoor Total Directly to Room Units (k), Temp. (l),
Function of Space Areas (n) ach ach Outdoors (j) (a) % °C

Surgery and Critical Care

Classes B and C operating rooms, (m),
Positive 4 20 N/R No 30–60 20–24
(n), (o)
Operating/surgical cystoscopic rooms,
Positive 4 20 N/R No 30–60 20–24
(m), (n) (o)
Delivery room (Caesarean)
Positive 4 20 N/R No 30–60 20–24
(m), (n), (o)
Substerile service area N/R 2 6 N/R No N/R N/R
Recovery room N/R 2 6 N/R No 30–60 21–24
Critical and intensive care Positive 2 6 N/R No 30–60 21–24
Wound intensive care (burn unit) Positive 2 6 N/R No 40–60 21–24
Newborn intensive care Positive 2 6 N/R No 30–60 21–24
Treatment room (p) N/R 2 6 N/R N/R 30–60 21–24
Trauma room (crisis or shock) (c) Positive 3 15 N/R No 30–60 21–24
Medical/anesthesia gas storage (r) Negative N/R 8 Yes N/R N/R N/R
Laser eye room Positive 3 15 N/R No 30–60 21–24
ER waiting rooms (q) Negative 2 12 Yes N/R max 65 21–24
Triage Negative 2 12 Yes N/R max 60 21–24
ER decontamination Negative 2 12 Yes No N/R N/R
Radiology waiting rooms (q) Negative 2 12 Yes N/R max 60 21–24
Class A Operating/Procedure room
Ventilation

Positive 3 15 N/R No 30–60 21–24

(o), (d)

Inpatient Nursing
Patient room (s) N/R 2 6 N/R N/R max 60 21–24
Toilet room Negative N/R 10 Yes No N/R N/R
Newborn nursery suite N/R 2 6 N/R No 30–60 22–26
Protective environment room
Positive 2 12 N/R No max 60 21–24
(f), (n), (t)
AII room (e), (n), (u) Negative 2 12 Yes No max 60 21–24
AII isolation anteroom (t) (u) N/R N/R 10 Yes No N/R N/R
Labor/delivery/recovery/postpartum
N/R 2 6 N/R N/R max 60 21–24
(LDRP) (s)
Labor/delivery/recovery (LDR) (s) N/R 2 6 N/R N/R max 60 21–24
Corridor N/R N/R 2 N/R N/R N/R N/R

Skilled Nursing Facility

Resident room N/R 2 2 N/R N/R N/R 21–24
Resident gathering/activity/dining N/R 4 4 N/R N/R N/R 21–24
Physical therapy Negative 2 6 N/R N/R N/R 21–24
Occupational therapy N/R 2 6 N/R N/R N/R 21–24
Bathing room Negative N/R 10 Yes N/R N/R 21–24
Radiology (v)
X-ray (diagnostic and treatment) N/R 2 6 N/R N/R max 60 22–26
X-ray (surgery/critical care and
Positive 3 15 N/R No max 60 21–24
catheterization)
Darkroom (g) Negative 2 10 Yes No N/R N/R

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 Table 13.5 Ventilation Design Parameters for Health Care Facilities
[Std 170-2008, Tbl 7-1] (Continued)

Pressure Mini- Mini- All Room Air Recircu.

Relationship mum mum AirExhausted by Means of RH Design
to Adjacent Outdoor Total Directly to Room Units (k), Temp. (l),
Function of Space Areas (n) ach ach Outdoors (j) (a) % °C

Diagnostic and Treatment

Bronchoscopy, sputum collection,
Negative 2 12 Yes No N/R 20–23
and pentamidine administration (n)
Laboratory, general (v) Negative 2 6 N/R No N/R 21–24
Laboratory, bacteriology (v) Negative 2 6 Yes No N/R 21–24
Laboratory, biochemistry (v) Negative 2 6 Yes No N/R 21–24
Laboratory, cytology (v) Negative 2 6 Yes No N/R 21–24
Laboratory, glasswashing Negative 2 10 Yes No N/R N/R
Laboratory, histology (v) Negative 2 6 Yes No N/R 21–24
Laboratory, microbiology (v) Negative 2 6 Yes No N/R 21–24
Laboratory, nuclear medicine (v) Negative 2 6 Yes No N/R 21–24
Laboratory, pathology (v) Negative 2 6 Yes No N/R 21–24
Laboratory, serology (v) Negative 2 6 Yes No N/R 21–24
Laboratory, sterilizing Negative 2 10 Yes No N/R 21–24
Laboratory, media transfer (v) Positive 2 4 N/R No N/R 21–24
Autopsy room (n) Negative 2 12 Yes No N/R 20–24
Nonrefrigerated body-holding room (h) Negative N/R 10 Yes No N/R 21–24
Pharmacy (b) Positive 2 4 N/R N/R N/R N/R
Examination room N/R 2 6 N/R N/R max 60 21–24
Medication room Positive 2 4 N/R N/R max 60 21–24

Ventilation
Endoscopy Positive 2 15 N/R No 30-60 20–23
Endoscope cleaning Negative 2 10 Yes No N/R N/R
Treatment room N/R 2 6 N/R N/R max 60 21–24
Hydrotherapy Negative 2 6 N/R N/R N/R 22–26
Physical therapy Negative 2 6 N/R N/R Max 65 22–26
Sterilizing
Sterilizer equipment room Negative N/R 10 Yes No N/R N/R

Central Medical and Surgical Supply

Soiled or decontamination room Negative 2 6 Yes No N/R 22–26
Clean workroom Positive 2 4 N/R No max 60 22–26
Sterile storage Positive 2 4 N/R N/R max 60 22–26
Service
Food preparation center (i) N/R 2 10 N/R No N/R 22–26
Warewashing Negative N/R 10 Yes No N/R N/R
Dietary storage N/R N/R 2 N/R No N/R 22–26
Laundry, general Negative 2 10 Yes No N/R N/R
Soiled linen sorting and storage Negative N/R 10 Yes No N/R N/R
Clean linen storage Positive N/R 2 N/R N/R N/R 22–26
Linen and trash chute room Negative N/R 10 Yes No N/R N/R
Bedpan room Negative N/R 10 Yes No N/R N/R
Bathroom Negative N/R 10 Yes No N/R 22–26
Janitor’s closet Negative N/R 10 Yes No N/R N/R

Support Space
Soiled workroom or soiled holding Negative 2 10 Yes No N/R N/R
Clean workroom or clean holding Positive 2 4 N/R N/R N/R N/R
Hazardous material storage Negative 2 10 Yes No N/R N/R

Note: N/R = no requirement

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 Operation and Maintenance
Provide an O&M manual together with final system design drawings, updated and main-
tained on site.

Table 13.6 Minimum Maintenance Activity and Frequency

Activity
Item Minimum Frequencya
Code
Filters and air cleaning devices A According to O&M Manual
Every three months or in accordance with
Outdoor air dampers and actuators B
O&M Manual
Every three months of use or in accordance
Humidifiers C
with O&M Manual
Regularly when it is likely that
Dehumidification coils D dehumidification occurs but no less than once
per year or as specified in the O&M Manual
Drain pans and other adjacent surfaces Once per year during cooling season or as
D
subject to wetting specified in the O & M Manual
Outdoor air intake louvers, bird screens, Every six months or as specified in the O&M
E
mist eliminators, and adjacent areas Manual
Sensors used for dynamic minimum Every six months or periodically in accordance
F
outdoor air control with O&M Manual
Air-handling systems except for units
G Once every five years
under 1000 L/s
In accordance with O&M Manual or treatment
Cooling towers H
Ventilation

system provider
Floor drains located in plenums or
I Periodically according to O&M Manual
rooms that serve as air plenums
Equipment/component accessibility J
Visible microbial contamination K
Water intrusion or accumulation K
Activity Code:
A Maintain according to O & M Manual.
B Visually inspect or remotely monitor for proper function.
C Clean and maintain to limit fouling and microbial growth.
D Visually inspect for cleanliness and microbial growth and clean when fouling is observed.
E Visually inspect for cleanliness and integrity and clean when necessary.
F Verify accuracy and recalibrate or replace as necessary.
G Measure minimum quantity of outdoor air. If measured minimum air flow rates are less than 90% of the minimum
outdoor air rate in the O & M Manual, they shall be adjusted or modified to bring them above 90% or shall be eval-
uated to determine if the measured rates are in conformance with this standard.
H Treat to limit the growth of microbiological contaminants.
I Maintain to prevent transport of contaminants from the floor drain to the plenum.
J Keep clear the space provided for routine maintenance and inspection around ventilation equipment.
K Investigate and rectify.
aMinimum frequencies may be increased or decreased if indicated in the O & M Manual.

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