Patient Room Doors in a Suite

Q: In a newly designated ICU suite, do the doors to the patient rooms have to be positive latching?

A: No… The doors to patient rooms that are located inside a suite are not required to positively latch. The reason for this; the requirement for a door to latch for a patient room is found in section 19.3.6.3.5 of the 2012 LSC when the door is a corridor door. A corridor door separates the corridor from a room or an area, such as a patient room. However, in a suite there are no corridors… what appears to be a corridor is actually a communicating space. Therefore, there is no requirement for doors to patient rooms to positively latch inside a suite. Actually, there is no requirement for doors inside a suite to patient rooms, which is quite common in Pre-Op, Post-Op, ER, and some ICUs.

Brad Keyes
Brad Keyes, CHSP

Brad is a former advisor to Healthcare Facilities Accreditation Program (HFAP) and former Joint Commission LS surveyor. He guides clients through  organizational assessment; management training; ongoing coaching of task groups; and extensive one-on-one coaching of facility leaders. He analyzes and develops leadership effectiveness and efficiency in work processes, focusing on assessing an organization’s preparedness for a survey, evaluating processes in achieving preparedness, and guiding organizations toward compliance. 

As a presenter at national seminars, regional conferences, and audio conferences, Brad teaches the Keyes Life Safety Boot Camp series to various groups and organizations. He is the author or co-author of many HCPro books, including the best-selling  Analyzing the Hospital Life Safety Survey, now in its 3rd edition. Brad has also authored a variety of articles in numerous publications addressing features of life safety and fire protection, as well as white papers and articles on the Building Maintenance Program. Currently serving as the contributing editor of the monthly HCPro newsletter Healthcare Life Safety Compliance  gives Brad further insight into the industry’s trends and best practices.