changes: The Standards have been re-numbered to allow
similar topics to be positioned together in the document.
5: This Standard now explicitly states that space must
be provided at the bedside to allow for extended, intimate parental
contact with the infant.
6: The minimum clear floor space for single patient
rooms has been increased to 165 square feet, based on extensive
experience with NICUs that have incorporated this feature and found
that rooms any smaller than this are universally considered to be
too small. The Standard now also specifies that a recumbent sleep
surface be provided for at least one adult in these rooms.
11: In light of the efficacy and increased
use of waterless hand cleansers, the requirement that each single
patient room have a handwashing station has been removed. Each
patient bed must still be within 20 feet of a handwashing sink so
most designers will choose to place a sink inside a private room,
but this change gives designers the option of situating the sink
just outside the room based on their evaluation of the benefits and
disadvantages of having a sink within the patient room.
14: Unless provided elsewhere in the hospital, space
must be provided in the NICU for feeding preparation, which should
no longer be performed at the bedside.
22: A requirement has been added to describe the
allowable level of flicker in luminaires.
Standards 25 and
26: The requirements for daylighting and access to
nature have been clarified so that it will be clear that windows are
not required for each patient room. Our intent is to assure
that daylighting and access to nature are readily accessible to
families and staff. These features are acceptable, even
desirable in private rooms, but designers should not strive to
provide windows in each private room if this means being unable to
provide them in spaces frequented by adult caregivers and