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IES RP 29 2016

IES RP 29 2016

$65.00

IES RP-29-16 Lighting for Hospitals and Health Care Facilities – REVISED (ANSI Approved)

Published By Publication Date Number of Pages
IES 2016 194
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The objective of this document is to provide context, define challenges, and identify recommended lighting design practices for healthcare-specific environments. This document is not prescriptive but is intended to provide guidance and to inspire by identifying possibilities that enable designers to develop the appropriate solutions for complex situations and spaces. This document is organized to complement other authoritative references, such as the Guidelines for Design and Construction of Health Care Facilities by the Facility Guidelines Institute (FGI).1 Part I of this document addresses the many design considerations important for healthcare facilities, while Part II identifies specific room types that have unique lighting needs. These room names and the chapter organization follow the format found in the FGI Guidelines. Utilizing a common language and approach helps foster integrated, collaborative project teams that include architects, medical planners, interior designers, engineers and lighting designers.

PDF Catalog

PDF Pages PDF Title
1 Cover
3 Copyright
4 IES Healthcare Committee
6 Contents
10 1.0 INTRODUCTION
1.1 Types of Facilities
11 1.2 Trends in Healthcare Design
12 1.3 Financial Implications
14 1.4 Regional Differences
PART I: DESIGN CONSIDERATIONS
2.0 COMFORT
2.1 Overall Experience
2.1.1 Patient
2.1.2 Staff
2.1.3 Caregivers and Visitors
15 2.1.4 Respite
16 2.2 Lighting Considerations for Comfort
2.2.1 Prioritizing Needs
2.2.2 Daylight
2.2.3 Glare Mitigation
17 2.3 Design Aesthetic
2.3.1 Creating Visual Interest
2.3.2 Consideration of Demographic
2.3.3 Surfaces and Finishes
18 3.0 FUNCTION
3.1 Task Visibility
3.1.1 Visibility Factors
19 3.1.2 Uniformity
20 3.1.3 Task Geometry
3.2 Color
3.2.1 Correlated Color Temperature
3.2.2 Color Rendition
3.2.3 The Role of Light Color in Diagnostics
21 3.3 Illuminance Recommendations
22 3.3.1 Illumination Recommendations for Healthcare Facilities
3.4 Controls
3.4.1 Automated Controls
38 3.4.2 Patient Controls
39 3.4.3 Staff Controls
3.5 Flexibility
3.6 Wayfinding
3.6.1 Exterior Areas
3.6.2 Interior Areas
40 3.7 Special Populations
3.7.1 Lighting for the Aged
3.7.2 Lighting for Pediatrics
41 3.7.3 Lighting for Autistic Patients
43 4.0 SAFETY
44 4.1 Medication Accuracy
4.2 Fall Prevention
4.3 Infection Management
4.3.1 Handwashing
45 4.3.2 Antimicrobial Finishes
4.3.3 Room Decontamination Methods
4.3.4 Pressurized Isolation Patient Rooms
46 4.3.5 Biohazard Spaces
4.3.6 Luminaire Characteristics
47 4.4 Medical Equipment Compatibility
48 4.5 Emergency Systems
4.6 Security
4.7 Photobiological Safety
49 4.7.1 Eye Fatigue
4.7.2 Headaches
4.7.3 Photosensitivity
4.7.4 Photosensitive Epilepsy
50 5.0 HEALTH AND WELLNESS
5.1 Psychological Impact
5.2 Circadian Systems and Human Physiology
52 5.2.1 Reinforcing Circadian Entrainment
53 5.2.2 Factors Associated with Circadian Disruption
54 5.3 Evidence-Based Research
5.3.1 Cycled Light in Pediatric Units
55 5.3.2 Daylight Exposure and Healing Rates
56 5.3.3 Daylight and Job Satisfaction
5.3.4 Circadian Adaptation for Night Shift Workers
5.3.5 Medication Error Reduction
5.3.6 Alzheimer’s Disease
6.0 SUSTAINABILITY
57 6.1 Energy Efficiency
6.2 Daylighting
58 6.3 Environmental Impact
6.3.1 Long Life Solutions
6.3.2 Minimizing Hazardous Waste
59 6.3.3 Recyclable Content
6.3.4 Light Pollution
6.4 Financial Considerations
6.4.1 First Costs and Operational Costs
6.4.2 “Hard” Costs and “Soft” Costs
6.4.3 Public Relations and Marketing
60 PART II: SPECIFIC ROOM TYPES
7.0 GENERAL AREAS
7.1 Site
7.1.1 Parking
7.1.2 Site Control Strategies
61 7.1.3 Exterior Entrances
7.1.4 Safety and Security
7.1.5 Landscape and Gardens
7.2 Circulation Areas
62 7.2.1 Lobbies, Vestibules, and Entrances
63 7.2.2 General Corridors
7.2.3 Reception and Check-In Areas
64 7.2.4 Waiting Areas
65 7.2.5 Elevator Lobbies and Elevators
8.0 NURSING UNITS AND PATIENT CARE AREAS
8.1 Patient Rooms
66 8.1.1 General Considerations for Patient Rooms
69 8.1.2 Airborne Infection Isolation Room (AIIR) and Protective Environment (PE) Rooms
70 8.1.3 Critical Care
8.1.4 Obstetrical Units
71 8.1.5 Nursery Units
72 8.1.6 Neonatal Intensive Care Units
73 8.1.7 Pediatric Units
74 8.1.8 Geriatric Skilled Nursing Extended Stay
8.1.9 Psychiatric Units
75 8.2 Nursing Units and Support Areas
8.2.1 Patient Corridors
76 8.2.2 Nursing Stations
77 8.2.3 Medication Rooms
78 8.2.4 Nourishment Areas
8.2.5 Handwashing Stations
8.2.6 Staff Sleeping Rooms
79 9.0 DIAGNOSTIC AND TREATMENT AREAS
9.1 Examination Treatment Rooms
9.2 Emergency Department Examination Rooms
80 9.3 Emergency Department Trauma Rooms
81 9.4 Seclusion Rooms
9.5 Surgical Suites
82 9.5.1 General Room Lights
83 9.5.2 Surgical Task Lights
84 9.5.3 Safety
85 9.5.4 Intraoperative MRI Rooms
9.5.5 Specialty Operating Rooms
86 9.5.6 Surgical Scrub Areas
9.5.7 Surgical Corridors
9.5.8 Preoperative Care Areas
87 9.5.9 Post-Anesthetic Care Units (PACU
9.5.10 Pump Technicians Preparation Area
9.5.11 Soiled Holding Areas
Diagnostic Radiology and Imaging
89 9.7 Cardiac Function Laboratory
9.8 Chemotherapy and Infusion Therapy
90 9.9 Radiation Oncology
91 9.10 Dialysis Treatment
92 9.11 Endoscopy Suites
9.12 Hyperbaric Therapy
9.13 Prosthetic and Orthotic Work Areas
93 9.13.1 Prosthetics Laboratory
9.14 Rehabilitation and Physical Therapy
94 9.15 Occupational Therapy
9.16 Speech Pathology
9.17 Audiometry Testing
9.18 Telemedical Diagnostics
95 9.19 Dental Suites
9.19.1 Oral Surgery
9.19.2 Dental Exam
96 9.19.3 Oral Cavity
9.20 Ophthalmology
10.0 PATIENT SUPPORT FACILITIES
10.1 Clinical Laboratories
97 10.2 Pharmacy
98 10.2.1 Pharmacy Storage
10.2.2 Medication Preparation Areas
10.3 General Support Facilities
10.3.1 Autoclave Rooms
99 10.3.2 Wash-Down Areas
10.3.3 Clean Storage Rooms
10.3.4 Soiled Utility Rooms
10.3.5 Sterile Storage Rooms
10.3.6 Medical Gas Storage and Dispensing Rooms
100 10.4 Autopsy Suite
10.5 Morgue
ANNEX A – ADDITIONAL RESOURCES
101 ANNEX B – GLOSSARY OF LIGHTING TERMS
106 ANNEX C – HEALTHCARE TERMS
108 ANNEX D – LIGHTING QUALITY METRICS
109 ANNEX E – ILLUMINANCE TARGET VALUE SYSTEM
112 ANNEX F – COMMON APPLICATIONS ILLUMINANCE TABLES
128 REFERENCES

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