PLANNING AND DESIGN GUIDELINES FOR

DIALYSIS CLINICS
 OBJECTIVES
Objective/s of this SESSION
General :
To orient REGULATORY OFFICERS from the
various RLED’s nationwide regarding updates on
recently approved Policies and Standards for
regulation of various Health Facilities developed
by the Standards Development Division (SDD) of
the Bureau with close technical collaboration with
its other divisions (RCED and QAMD) ;
Specific :
To impart technical knowledge about the subject
topic – “PLANNING AND DESIGN GUIDELINES
FOR DIALYSIS CLINICS” with the end goal of
enhancing the technical capability of
REGULATORY OFFICERS in the inspection and
monitoring of both hospital-based and non
hospital-based Dialysis Clinics under their
regional area.
 PLANNING AND DESIGN GUIDELINES
FOR DIALYSIS CLINICS
• 1.0 Space
Requirements
• 2.0 Planning and
Design
• 3.0 Recommended
Finishes and
Other Features
• 4.0 Reference Page
 1.0 SPACE REQUIREMENTS
1.1 HEMODIALYSIS CLINIC
FACILITY
• DIALYSIS SERVICE COMPLEX
• NON-TREATMENT AREAS OR
RECEPTION AREA/SECTION

1.2 DIALYSIS SERVICE COMPLEX

• HEMODIALYSIS STATION (W/ A MIN.
AREA OF 6.00 SQ. M. AND
PRESCRIBED AREA DIMENSION OF
2.00 M. X 3.00 M.);
• NURSE STATION W/ WORK AREA
(PROVIDED W/ WORK COUNTER/S,
HAND WASHING SINK/S W/ HAND
GEL/ SANITIZER AND STORAGE
CABINETS INCLUDING A COUNTER
AREA FOR MEDICINE
PREPARATION);
 1.0 SPACE REQUIREMENTS

• WATER TREATMENT ROOM (W/

FLOOR AREA RANGING FROM
12.00 TO 15.00 SQ. M. W/ A MIN.
OF 12.00 SQ. M. IN ORDER TO
ACCOMMODATE ALL THE
NECESSARY EQUIPMENT,
TANKS, ETC. AND THE NEEDED
SPACE FOR MAINTENANCE
PURPOSES);
 1.0 SPACE REQUIREMENTS
•SUPPLY AND STORAGE ROOM (FOR STERILE INSTRUMENTS, BULK
SUPPLIES, ETC.)
 1.0 SPACE REQUIREMENTS
1.2 DIALYSIS SERVICE COMPLEX
(CONTINUED)

•DIALYZER RE-PROCESSING
AREA/ROOM (SHALL BE PROVIDED
IF THE DIALYSIS CLINIC FACILITY
RE-PROCESS AND SHALL BE
INSTALLED WITH THE NECESSARY
FAUCETS, SINK/S, WORK
COUNTERS, CABINETS AND
SHELVES, INCLUDING EXHAUST
FAN/S, ETC.);

NOTE: WATER TO BE USED FOR RE-

PROCESSING SHALL BE COMING
FROM THE PROCESSED OR PRODUCT
WATER OF THE REVERSED OSMOSIS
TANK.
 1.0 SPACE REQUIREMENTS
•SERVICE SUPPORT AREAS:

• WASTE HOLDING CUBICLE/AREA (FOR

TEMPORARY STORAGE OF SEGREGATED
WASTE WHICH INCLUDES WASTE SUCH
AS CONTAMINATED SHARPS AND
NEEDLES AND NON-INFECTIOUS WASTE
OR GENERAL WASTE)
•SOILED LINEN CUBICLE/AREA
•JANITOR’S CLOSET (W/ SLOP SINK AND
HOUSEKEEPING CABINET);
•EMERGENCY GENERATOR ROOM/AREA
 1.0 SPACE REQUIREMENTS
1.3 NON-TREATMENT AREAS OR
RECEPTION AREA/SECTION:

• BUSINESS OFFICE (W/

RECEPTION/INFORMATION
COUNTER, ADMITTING AREA,
CASHIER’S AREA AND RECORDS
SECTION INCLUDING A
DOCTOR’S CONSULTATION
CUBICLE FOR THE MEDICAL
DIRECTOR);

• WAITING AREA (PROVIDED WITH

SUFFICIENT SEATS FOR VISITORS
AND PATIENTS WHO MAY BE
ARRIVING ON WHEELCHAIR OR
STRETCHER);
 1.0 SPACE REQUIREMENTS
• TOILET FACILITY (WITH URINAL,
WATER CLOSET WITH GRAB RAIL AND
LAVATORY ACCESSIBLE TO HD
PATIENTS AND TEHIR
ACCOMPANYING RELATIVE OR
COMPANION; NOTE: TOILET FACILITY
SHALL BE DESIGNED IN
CONSIDERATION FOR PERSONS WITH
DISABILITY OR PWD IN ACCORDANCE
WITH THE LAW TO ENHANCE
MOBILITY OF DISABLED PERSONS –
“BATAS PAMBANSA BLG. 344);

• STAFF PANTRY OR BREAK

ROOM (WITH EATING AREA AND
SMALL COUNTER WITH SINK) AND
STAFF LOCKER AND DRESSING ROOM
W/ TOILET (W/ URINAL, WATER
CLOSET AND LAVATORY FOR STAFF
USE ONLY)
 2.0 PLANNING AND DESIGN
2.1 WAITING AREA AND BUSINESS OFFICE:
• VISIBILITY AND ACCESSIBILITY
• HOSPITAL BASED DIALYSIS CLINICS – PROVIDE SATELLITE
BUSINESS OFFICE AND WAITING AREA OR ‘BUSINESS COUNTER’
• “ PATIENT-FRIENDLY TRANSACTION COUNTERS”

2.2 TOILET FACILITY FOR PATIENT AND VISITORS:

• ACCESSIBILITY
• PROVISION FOR PWD

2.3 STAFF PANTRY OR BREAK ROOM:

• LOCATION NEAR THE DIALYSIS SERVICE COMPLEX BUT NOT INSIDE
THE
HD TREATMENT ROOM
• STAFF LOCKER AND DRESSING ROOM:
LOCATION PRIOR TO HD TREATMENT AREA
 2.0 PLANNING AND DESIGN
2.4 PROVISION OF CONTROL DOOR AT DIALYSIS SERVICE COMPLEX
• PRIVACY FOR HD PATIENTS
• CLEANLINESS OF HD TREATMENT ROOM

2.5 NURSE STATION AT HD TREATMENT ROOM:

• STRATEGIC LOCATION
• PATIENT-FRIENDLY COUNTERS

2.6 HEMODIALYSIS STATION:

• ACCESSIBILITY TO HD PATIENTS
• REQUIRED FLOOR AREA OF SIX (6) SQ. M.;
• PRESCRIBED AREA/ROOM DIMENSION OF 2.00 M X 3.00 M.;
•AN ELECTRICAL DUPLEX-GROUNDED CONVENIENCE OUTLET;
• SERVICE WATERLINE OF TREATED WATER COMING FROM THE WATER
TREATMENT ROOM;
• FOR PRIVATE HD TREATMENT STATION/S (CUBICLE OR ROOM-TYPE),
PROVIDE SEPARATE HAND WASHING SINK OR LAVATORY FOR EXCLUSIVE
USAGE;
• PROVISION OF EXTERIOR WINDOW (IF POSSIBLE).
 2.0 PLANNING AND DESIGN
2.7 SUPPLY AND STORAGE ROOM AND RE-PROCESSING ROOM:
• ADJACENCY TO HD TREATMENT SECTION

2.8 WATER TREATMENT ROOM:

• LOCATION INSIDE THE DIALYSIS SERVICE COMPLEX
• ACCESSIBLE TO HD TREATMENT SECTION BUT SHOULD NOT CAUSE ANY
NOISE DISTURBANCE TO PATIENTS
• PHYSICALLY PRESENTABLE
• WELL-VENTILATED

2.9 WASTE HOLDING CUBICLE/AREA, SOILED LINEN CUBICLE/AREA AND

JANITOR’S CLOSET SHALL BE PLANNED IN SUCH MANNER THAT THEY ARE
ACCESSIBLE FROM THE HD TREATMENT SECTION BUT AT THE SAME TIME
‘ZONED’ FOR VISUAL CONCEALMENT PURPOSES.

2.10 EMERGENCY GENERATOR SET ROOM:

• LOCATION ‘ZONED’ FROM THE HD TREATMENT ROOM
• ACOUSTICAL TREATMENT
• SPACE FOR MAINTENANCE ACCESS AND SERVICE
• ADEQUATE VENTILATION
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
•WALLS AND PARTITIONS

1. STRUCTURALLY SOUND, SAFE AND

MADE OF STURDY AND PERMANENT
MATERIALS. (CONCRETE, LIGHT STEEL
WALL FRAMING OR APPROVED
EQUIVALENT)

2. EXTERNAL WALLS SURROUNDING HD

TREATMENT AREA SHALL BE FLOOR
TO CEILING HEIGHT IN ORDER TO ATTAIN
BOTH SOUND AND VISUAL PRIVACY FOR
PATIENTS.

3. CUBICLE CURTAINS AND DREPERIES

SHALL BE NON-COMBUSTIBLE OR FLAME-
RETARDANT.
 3.0 RECOMMENDED FINISHES
• CEILING & OTHER FEATURES

4. STRUCTURALLY SOUND, SAFE AND

MADE OF STURDY AND PERMANENT
MATERIALS. (LIGHT STEEL CEILING
FRAMING WITH GYPSUM BOARD OR
HARDIFLEX PANELS, WOODEN
CEILING JOIST FRAME W/ WOODEN
CEILING HANGERS AND STANDARD
PLYWOOD PANELS OR THEIR
APPROVEDEQUIVALENT
CONSTRUCTION)

•PREFERRED CEILING
CONSTRUCTION IS MADE OF
ACOUSTIC CEILING BOARD ON
ALUMINUM T-RUNNER FOR
AESTHETIC, MAINTENANCE AND
ACOUSTIC PURPOSES.
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES

• DOORS

5. ENTRANCE DOORS SHALL HAVE A

MIN. CLEAR WIDTH OR OPENING OF
AT LEAST 1.12 MTRS. OR 3 FEET 8
INCHES TO ACCOMMODATE PATIENT
ON WHEELCHAIR OR STRETCHER.

TWO-LEAF DOOR W/ NARROW LITE

OR GLASS VISION PANELS W/ A
TOTAL CLEAR WIDTH OF 1.8 MTRS
OR 6 FEET IS MUCH PREFFERED .
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
• FINISHES

6. FLOOR MATERIALS SHALL

BE CLEANABLE & WEAR-
RESISTANT SUCH AS
DURABLE VINYL TILES,
CERAMIC TILES, SYNTHETIC
GRANITE OR THEIR
APPROVED EQUIVALENT/S.
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
7. CABINETS, SHELVES & WORK
COUNTERS SHALL BE FINISHED W/
EITHER WOOD VARNISH,
FURNITURE PAINT, OR SMOOTH
LAMINATED FINISH OR APPROVED
EQUIVALENT.

COUNTER TOPS SHALL BE

PROVIDED W/ SMOOTH
LAMINATED FINISH, CERAMIC
TILES OR APPROVED EQUIVALENT
FOR AESTHETIC & MAINTABILITY
PURPOSES.
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
• FINISHES (CONTINUED)

8. WALLS SHALL BE FINISHED WITH PAINT OR

ITS APPROVED EQUIVALENT & SHALL ALWAYS
BE WELL-MAINTAINED.

INTERIOR WALLS OF THE HD TREATMENT

ROOM SHALL BE PREFERRABLY PAINTED W/
ANTI-BACTERIAL PAINT FOR STERILITY
PURPOSES.

9. CEILING IF MADE OF PLYWOOD, HARDIFLEX

PANEL OR APPROVED EQUIVALENT SHALL BE
FINISHED W/ BUT NOT LIMITED TO REGULAR
PAINT FINISH.

ACOUSTIC CEILING BOARD IF USED HAS AN

INTEGRAL FINISHED APPEARANCE AND
TEXTURE
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
• ROOM VENTILATION

10. FOR PROPER VENTILATION, IN

GENERAL, FLOOR TO CEILING HEIGHT
OF THE DIALYSIS CLINIC SHALL BE AT
LEAST BUT NOT LIMITED TO 2.40 MTRS.
OR 8 FEET.

FOR THE HD TREATMENT ROOM,

APPROPRIATE NUMBER AND TYPE OF
AIRCONDITIONING UNIT/S SHALL BE
PROVIDED IN ORDER TO ACHIEVE GOOD
VENTILATION AS WELL AS A
COMFORTABLE ENVIRONMENT FOR HD
PATIENTS UNDERGOING TREATMENT.

RECOMMENDED TEMPERATURE FOR HD

TREATMENT ROOM IS 75 DEGREES
FAHRENHEIT OR 24 DEGREE
CENTIGRADE WHILE THE MINIMUM
TOTAL AIR CHANGES PER HOUR IS 6.
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
• ROOM VENTILATION (CONTINUED)

11. OTHER ROOMS NOT PROVIDED W/

AIRCON SHALL BE PROVIDED W/ A
WINDOW OR WINDOWS W/ A TOTAL
FREE AREA OPENING EQUAL TO AT
LEAST 10% OF THE FLOOR AREA OF
THE ROOM AND SUCH WINDOW/S
SHALL OPEN DIRECTLY TO A COURT,
YARD, PUBLIC STREET OR ALLEY, OR
OPEN WATER COURSES

PROVIDE ELECTRIC FANS OR SIMILAR

VENTILATING APPLIANCES IN ORDER
TO ENHANCE VENTILATION OF SUCH
ROOMS OR AREAS
 3.0 RECOMMENDED FINISHES
& OTHER FEATURES
• LIGHTING

12. THE FACILITY SHALL BE

WELL-LIGHTED BY
ENVIRONMENT-FRIENDLY,
ACCEPTABLE AND APPROVED
LIGHTING FIXTURES W/ NO
EXPOSED OR DANGLING
ELECTRICAL WIRES.

OBSERVE RECOMMENDED
ILLUMINATION VALUES FOR
VARIOUS SPACES OF THE
DIALYSIS CLINICS AS
SPECIFIED IN THE TABLE.
• LIGHTING AREA/ ACTIVITY LUX FOOTCANDLE
S
NURSE STATION
GENERAL 300 30
DESK 500 50
MEDICATION AREA 500 50
WAITING AREA
GENERAL 200 20
READING 300 30
TREATMENT AREA 300 30
ADMINISTRATIVE SPACES
GENERAL OFFICE 500 50
MEDICAL RECORDS 500 50
LINEN ROOMS/CLOSETS 100 10
JANITOR’S CLOSET 150 15
STAFF PANTRY 300 30
STORAGE, GENERAL 200 20
TOILET FACILITY 300 30
LOCKER ROOM 200 20
MECHANICAL/ ELECTRICAL 300 30
ROOM/SPACE
 4. 0 REFERENCES
• LATEST DRAFT OF AO RE: REVISED MINIMUM STANDARDS &
REQUIREMENTS GOVERNING THE REGULATION OF DIALYSIS
FACILITIES IN THE PHILIPPINES (AS PREPARED BY THE DOH-BHFS).

• THE NATIONAL BUILDING CODE OF THE PHILIPPINES W/ ITS

REVISED IMPLEMENTING RULES & REGULATIONS (APPROVED BY
THE DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS).

• GUIDELINES FOR CONSTRUCTION AND EQUIPMENT OF HOSPITAL

AND MEDICAL FACILITIES, 1992-93 (AS PREPARED AND PUBLISHED
BY THE AMERICAN INSTITUTE OF ARCHITECTS PRESS W/
ASSISTANCE FROM THE U.S DEPARTMENT OF HEALTH & HUMAN
SERVICES).

•ACTUAL FACILITY SURVEY CONDUCTED ON SELECTED DIALYSIS

CLINICS
THANK YOU ..