(B-0280) Oral Health Unit

Australasian
Health Facility Guidelines

Part B - Health Facility Briefing and Planning
280 - ORAL HEALTH UNIT
Revision 5.0
29 January 2014
Australasian Health Facility Guidelines
© 2013 AUSTRALASIAN HEALTH INFRASTRUCTURE ALLIANCE

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Australasian Health Infrastructure Alliance (AHIA). The information in the AusHFGs is made freely
available.
AUSTRALASIAN HEALTH FACILITY GUIDELINES

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is comprised of representatives from government health infrastructure planning and delivery entities in all
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Part B - Health Facility Briefing and Planning Page 2

280 - Oral Health Unit, Revision 5.0, 29 January 2014
INDEX
INTRODUCTION 4
Preamble 4
Introduction 4
Policy Framework 4
Description of the Unit 5
PLANNING 7
Operational Models 7
Operational Policies 7
Planning Models 11
Functional Areas 12
Functional Relationships 14
DESIGN 15
Accessibility 15
Parking 15
Disaster Planning 15
Infection Control 15
Environmental Considerations 16
Space Standards and Components 17
Safety and Security 18
Finishes 18
Fixtures, Fittings and Equipment 19
Building Service Requirements 19
COMPONENTS OF THE UNIT 22
Standard Components 22
Non-Standard Components 22
APPENDICES 26
Schedule of Accommodation 26
Functional Relationships 28
Checklists 29
Further Reading 29
References 29

INTRODUCTION
Preamble
280.001.000 PURPOSE OF THIS GUIDELINE

960348
This Health Planning Unit (HPU) has been developed for use by the design team, project
managers and end users to facilitate the process of planning and design.
The Oral Health HPU was originally developed for NSW Health and issued for Australasian
use in 2006. This revision has been informed by an extensive consultation process
conducted during 2013.
Introduction
280.002.000 GENERAL
600802
This HPU outlines the specific requirements for the planning and design of an Oral Health
Unit.
This HPU refers to dental surgeries which is the space, either an enclosed room or open
bay, used to undertake dental consultations, examinations and treatments. Each room or
bay contains a dental chair.
The requirements for planning mobile oral health services have not been included in the
scope of this HPU. Planners are advised to refer to relevant jurisdictional authority for
guidance in technical specifications.
280.002.010 This document should be read in conjunction with AusHFG generic requirements
960349 described in:
- Part A – Introduction and Instructions for Use;
- Part B – Section 80 – General Requirements and Section 90 Standard Components,
Room Data Sheets and Room Layout Sheets;
- Part C – Design for Access, Mobility, OHS and Security;
- Part D – Infection Prevention and Control; and
- Part E – Building Services and Environmental Design.
It is recognised that statutory and regulatory requirements will vary between jurisdictions
but, in general, all provide oral health services to very similar categories of eligible patients
within the public health sector, with a significant focus being on prevention activities. This
HPU is aimed at ensuring a consistent approach to the design of Oral Health Units to meet
the needs of patients and the staff who work in them.
Policy Framework
280.003.000 SPECIFIC POLICIES/GUIDELINES

600804
Before undertaking a project, planners and project personnel are encouraged to
familiarise themselves with individual jurisdiction plans, policies, service specific guidelines
and reports.
State and territory specific policy information is contained in the Further Reading and
References sections (280.25.00 and 280.26.00) of this HPU.

Description of the Unit
280.004.000 DEFINITION OF ORAL HEALTH PLANNING UNIT

600805
An Oral Health Unit provides facilities and equipment to deliver oral health services.
Services are delivered in dental surgeries that provide a purpose designed dental chair for
patients and specialised furniture, fittings and equipment for staff to use when providing
oral health care.
Oral Health Units range from single chair clinics to large teaching hospital units providing
complex specialist care. These services can be provided in stand-alone buildings or
integrated with other community or hospital facilities. Requirements for the Unit are
determined by the role delineation/ service level and range of services provided as
described in the Service Plan.
The overwhelming majority of oral health services are provided as outpatient services. In
some cases, there may be a requirement in hospital-based units for some inpatient access.
This HPU provides the information necessary to plan and design Oral Health Units of
varying sizes and complexity.
As a general guide it is envisaged that a four chair Unit would be the minimum size for a
unit operating as an Oral Health Unit "hub”; a single chair Unit being the minimum size for
an Oral Health Unit “spoke”. This arrangement may vary depending on local factors, such
as service provision to remote regions. Final chair numbers will be dependent on service
planning.
280.004.010 SERVICE LEVEL/ ROLE DELINEATION

600806
Most jurisdictions will refer to service level/ role delineations to determine the
characteristics of the service to be provided. Broadly, services range from:
- general oral health services - providing general and preventative care and including
some specialist services via outpatients, offering limited numbers of inpatients, and
providing clinical placements for undergraduate and post graduate students;
- dental teaching hospitals - providing a full range of specialist dental services and
training for undergraduate and postgraduate oral health trainees; and
- facilities for emergency oral health care.
280.004.015 SERVICES PROVIDED

960351
In accordance with the agreed Service Plan, the Unit may provide the following services:
- dental therapy services;
- hygiene services;
- general, preventive and emergency services;
- denture or prosthesis adjustment and/ or manufacture;
- specialist services - oral surgery, paediatrics, endodontics, orthodontics, periodontics
and special needs care;
- community education programmes;
- teaching and training of students and supervision of graduates;
- education of patients; and
- simulation environment for the training of staff and students in a tertiary centre.
As oral health services may be networked across health regions, some of these services
may be centralised and/or provided on an outreach basis. Examples include regional
administration and call centres, dental laboratories manufacturing dentures and
prostheses, and specialist services.

280.004.020 CALCULATION OF NUMBER OF CHAIRS REQUIRED

600808
Calculations for chairs should be based on a multi-factorial approach including the
population eligible for care, demand, services capacity, hub and spoke networking
arrangements, outsourcing and staffing models. Future needs and student and training
requirements should be taken into account in the calculations.
Most health jurisdictions will have agreed methodologies for calculating chair
requirements.

PLANNING
Operational Models
280.005.000 TYPE OF UNIT

600812
The location and size of the Oral Health Unit will be determined by the Service Plan and
may be provided as a:
- stand-alone unit;
- core component of a community health centre or Multipurpose Service (MPS); or
- hospital-based unit.
280.005.010 STAND-ALONE UNIT

960350
While Oral Health Units normally form part of a broader range of services, stand-alone
units are provided. Such units need to be planned with a full range of support services as
sharing opportunities are limited.
280.005.020 COLLOCATION WITH COMMUNITY BASED UNIT

600813
Most Oral Health Units providing general outpatient services can be collocated with other
community-based services to promote easy access and integrated care options for the
catchment population. These units are commonly collocated with community health
centres and MPSs.
The size of these units may vary from:
- a single chair that is dedicated or arranged as part of a shared treatment room in a
MPS; to
- larger services based in community health centres that have permanent staff and may
provide training opportunities for students.
A description of a treatment room is provided in the Non-Standard Components section of
this HPU.
280.005.030 HOSPITAL BASED UNIT

600814
The main role of a hospital-based Oral Health Unit is the provision of outpatient care. In
addition, limited services may be provided to inpatients that require urgent dental care or
dental care as part of an inpatient admission.
The extent of services provided by dental surgeons in support of other clinical disciplines
(for example oral and maxilla-facial surgery) will depend on the role and function of the
health service. These dental practitioners will utilise the dental chairs to assess patients
and undertake some procedures. Surgical procedures requiring a general anaesthetic will
be undertaken in an operating theatre with appropriate support services, such as
anaesthetics and recovery.
Operational Policies
280.006.000 GENERAL
600817
The development of operational policies is integral to defining how a service will operate.
These policies impact on the capital and recurrent costs of a facility and will vary from unit
to unit depending on a wide range of factors, such as the clinical characteristics of the
patients and the defined role of the unit. The cost implications of proposed policies should
be fully evaluated to ensure the most cost-effective and efficient design solutions are

developed to provide therapeutic and high quality physical environments.

The following clauses detail policies relevant to an Oral Health Unit.
Operational policies should be developed for every unit as part of the project planning
process. For further information refer to AHIA, 2010, AusHFG Part B: Section 80 General
Requirements.
280.006.010 HOURS OF OPERATION

600811
The Unit will usually operate Monday to Friday during business hours, but may operate
outside these hours.
There should be policies and procedures in place for management of emergencies after
hours. This will have implications for access, security and safety of practice that need to be
considered during the planning and design stages.
280.006.020 DENTAL RECORDS

600818
Current dental records should be stored in a secure and lockable space (fixed shelving or a
compactus system that can be easily reached by staff) adjacent to the reception area
where possible, so as to enable administrative staff easy access. Archival space for old
records may be provided off-site.
Dental records must be retained for the minimum period required by local legislation.
Electronic records are increasingly being used as an alternative.
280.006.025 INSTRUMENT PROCESSING AND STERILIZATION - ON SITE

600819
The space allocated and equipment selected will depend on the number of dental
surgeries being serviced (including any instrumentation received from outreach services),
workplace processes and staffing, mindful of the number of staff requiring access to the
sterilizing area at any one time. Consultation with local infection control personnel and
sterilization staff is advisable. Planners are also recommended to refer to local policies and
guidelines for further details.
In most instances, reusable dental instruments will be reprocessed within the Oral Health
Unit by trained staff. Where instruments are reprocessed within the Unit, a dedicated
reprocessing area is required to clean, sterilize and store instruments. Processes must
comply with the following Australian/New Zealand Standards:
- Standards Australia, 2006, AS/NZS 4815:2006 Office-based health care facilities -
Reprocessing of reusable medical and surgical instruments and equipment, and
maintenance of the associated environment; and
- Standards Australia / Standards New Zealand, 2003, AS/NZS 4187:2003 Cleaning,
disinfecting and sterilizing reusable medical and surgical instruments and equipment,
and maintenance of associated environments in health care facilities.
280.006.030 INSTRUMENT PROCESSING AND STERILIZATION - OFF-SITE

600820
Used instruments and equipment may be sent to a Sterile Supply Unit within a hub Oral
Health Unit or to a local health service for processing. This approach is more commonly
adopted when the Oral Health Unit is based on a hospital site.
Processing and sterilizing off-site may reduce the operational and infrastructure outlay
(particularly at small facilities) while increasing the service provider’s ability to apply
monitoring processes and improve quality standards. It is recommended that providers
complete a cost benefit analysis of the options in relation to their specific service plan as
this model may:
- necessitate a significant increase in dental instruments; and

- require additional resources in order to transport instruments between the Oral

Health Unit and the Sterile Supply Unit.
If off-site instrument reprocessing and sterilization is used, the Unit will still require
sufficient spaces to rinse and store dirty instruments, and for the receipt and storage of
sterile instruments when returned /delivered.
280.006.040 MANUFACTURING OF DENTURES

600821
Denture manufacture may be performed in-house or outsourced.
A cost benefit analysis should be conducted to assess the need for a Dental Laboratory
capable of manufacturing dentures. In a hub and spoke service arrangement, the
manufacture of dentures is usually centralised. Spoke sites will then (generally speaking)
require a minor prosthetic adjustment area for the pouring and trimming of patient
moulds, and for denture adjustments. For the purposes of this HPU, this room is referred
to as a Dental Workroom.
Additional information relating to requirements for a Dental Workroom and a Dental
Laboratory is contained in the Non-Standards Components section.
280.006.045 SEDATION
600826
A range of sedation may be used when undertaking dental treatments. Inhalation sedation
using nitrous oxide is commonly used in most Oral Health Units.
Sedation, such as a general anaesthetic or intravenous sedation, will be provided in a
dental hospital or an acute hospital operating theatre. A level of infrastructure is required
to support these services and it is often uneconomical or unsafe to provide them in an
Oral Health Unit. This infrastructure would include dedicated medical (anaesthetists) and
nursing staff, associated equipment and recovery space.
280.006.060 MEDICAL EMERGENCIES AND PATIENT RECOVERY

600822
Services located within hospitals may store a resuscitation trolley within the Unit.
280.006.070 PATIENT MANAGEMENT

600823
Patients attending the Oral Health Unit will report to Reception where appointments will
be made or confirmed, personal details taken and records retrieved or generated after
which patients will be directed to the waiting area. Services will generally be provided to
both adults and children.
Consideration must be given to providing adequate space and amenities for support
persons (parents, carers etc.). For the purposes of this HPU it is assumed that waiting
space is provided at a rate of three spaces per dental surgery. Some jurisdictions across
Australia have service co-payments and reception staff will be required to handle money.
Should privacy be required, staff should access a nearby interview room.
280.006.080 MEDICAL IMAGING

600824
There should be capacity for intra-oral radiography in all individual dental surgeries. In
open-plan dental surgeries, refer to jurisdictional requirements when determining intra-
oral radiography options. These may include one x-ray unit shared between two chairs or
a shared imaging room that also provides space for reading and bench-top processing.
The intra-oral x-ray units are wall-mounted with remote exposure switches/panels outside
the room.
For the purposes of the Guideline, digital radiography is assumed. Production of images
may occur using two approaches including:

- in room processing using a bench-top PC; or

- use of a digital plate scanner which is usually shared by up to six chairs and is located
in a central bay.
Access to a bench top processor will provide back-up should digital systems not be
operating.
Orthopantogram (OPG) and other extra-oral radiography facilities, such as 3D Cone Beam
CT, may be established in larger units with the option to outsource dental radiography to
medical imaging units to be considered. Additional caution is needed regarding radiation
shielding in the case of Cone Beam CT.
Refer to section 280.19.20 Radiation Screening for further information.
280.006.090 STORAGE - GENERAL SUPPLIES

600825
General supplies will be obtained through routine imprest and elected direct purchase
arrangements. Where Oral Health Units are collocated with other services, delivery of
these good will occur through dedicated goods receipt points such as a loading dock/ bay.
280.006.100 STORAGE - STERILIZED INSTRUMENTS AND EQUIPMENT

600827
Sterilized items must be stored:
- and handled in a manner that maintains the integrity of the packaging material and
prevents contamination of the contents;
- in a contained area such as a storage room or cupboard that is controlled for
temperature, direct sunlight and humidity; and
- in such a way as to prevent packaging being crushed, bent, compressed or punctured.
Unsterile equipment and consumables should not be stored with sterilized equipment.
280.006.110 WASTE DISPOSAL

600828
General and clinical waste will be managed in accordance with overall health service
policies.
Oral Health Units generate a number of waste products that have the potential to be
discharged into the waste-water system through dental suction systems. A number of
heavy metals can be discharged including silver, cadmium, chromium, copper, mercury,
nickel, lead and zinc. Of principle concern (at this stage) is mercury discharge as dental
clinics are recognised as significant contributors to mercury contamination of the
environment. Project staff should refer to their relevant environmental authority for
guidelines on disposal of both liquid and solid mercury waste, back-flow prevention and
waste-water disposal.
It is recommended that mercury wastes be returned to metal or precious metal recyclers
for reclamation. If necessary the Environment Protection Authority should be contacted
for specific requirements for disposal of mercury. For the handling and storage of mercury
related dental waste, refer to the report National Health & Medical Research Council
(NHMRC), 1999, Report of an NHMRC working party - Dental Amalgam and Mercury in
Dentistry..
280.006.120 STAFF STRUCTURE

600830
The staff structure of the Unit will have an impact on the nature, size and location of
offices, administrative and teaching spaces, and staff amenities. The staffing structure of
the proposed Unit, including students and academic staff, should be developed in the
early stages of planning.

Planning Models
280.007.000 LOCATION
600831
An Oral Health Unit should be located in an area accessible to the community by both
public and private transport.
280.007.010 CONFIGURATION
600832
The Unit may have dental chairs arranged as:
- one chair per dental surgery;
- open plan dental surgeries; or
- a mix of the two, with support areas located so as to ensure optimal work flows and
efficient and safe working practices.
In all scenarios, the layout of each room must be optimised so that:
- clean and dirty zones are identified within the space;
- clinical staff are in easy reach of all patient treatment equipment when seated;
- patient privacy is maintained; and
- noise is contained.
280.007.030 DENTAL SURGERY - SINGLE ROOM

600838
Single room design incorporates all services and equipment required for the assessment
and treatment of one patient and is appropriate in most situations. This configuration
ensures patient privacy and contains noise. This type of room will accommodate most
ambulant patients and those using walking aids.
A larger single room may be considered where:
- trolley or wheelchair access is needed;
- a patient hoist is required; and
- those with special needs such as a physical or intellectual disability, or who are
morbidly obese.
280.007.040 OPEN PLAN DESIGN

600839
When considering an open plan dental surgery design, these spaces are usually arranged
in pairs with shared hand washing, x-ray (as per jurisdictional requirements) and storage
facilities located between them, and may be separated from each other with partial height
partitions for privacy and infection control requirements (e.g. aerosols). Patients will
usually be positioned away from the circulation corridor which ensures a level of privacy.
This arrangement of chairs is normally adopted for teaching and supervising students.
Open plan dental surgeries will generally only be incorporated into larger facilities.
280.007.050 DENTAL SURGERY - TWO CHAIR

600840
These facilities will usually include single room dental surgeries accommodating one
operating chair and/or surgeries of open plan design accommodating two operating
chairs. The final configuration and number of chairs will depend on the population served
and the Unit functions e.g. clinical training.
Larger community-based facilities offer the opportunity to:
- engage a dental team consisting of dentist, dental therapists, dental assistants and
administration reception staff;
- improve access to services through increased opening hours;

- offer training programs for health professionals and support personnel; and
- provide more flexible models of care.
280.007.060 SHARED AREAS

600834
In small units only the dental surgeries will be a dedicated space. The Entry /Reception
/Waiting Area, most support areas and staff areas, may be shared with adjoining units.
When a shared Reception is used, it is likely that a reception space will be dedicated to the
oral health service owing to administrative tasks associated with eligibility and/or co-
payments.
Even when larger Units are collocated with community health centres and hospitals,
opportunities should be explored to share space, including visitor and staff amenities.
Functional Areas
280.008.000 FUNCTIONAL ZONES

600833
Functional zones will comprise:
- Entry /Reception /Waiting; and
- Treatment Areas – dental surgeries, support areas; and
- Staff Areas - offices and amenities.
280.008.010 ENTRY / RECEPTION /WAITING

600835
Where Oral Health Units are collocated with other services patients will enter the facility
via a shared entrance. In all but a few cases, a dedicated Waiting Area will be provided
with three waiting spaces per dental surgery. This allowance accommodates one to two
patients waiting with a support person.
Space should also be considered for prams and patients/ visitors with walking frames. A
children's play area may be located adjacent to the main waiting area. Children must be
under the supervision of parents/carers not Unit staff.
Inpatients should be called for only when the dental surgery is about to be become vacant
so that the patient can be transferred directly in via a separate entry.
Reception will accommodate one or two staff depending on the size of the Unit. The
Reception will have oversight of the Unit’s entry and waiting areas. The counter should
have a wheelchair accessible section.
As Reception staff may be responsible for collecting and storing money, consideration
should be given to the safety and security of reception staff and fixed duress alarm should
be provided.
The acoustic privacy and the confidentiality of patients attending the reception area
should be of high priority.
280.008.040 TREATMENT AREA - DENTAL SURGERIES

600841
Whether single room or open-plan, the typical dental surgery has the dental chair
positioned close to the centre of the room or cubicle with the foot of the chair facing away
from the entry. This orientation of the chair addresses both privacy, and modesty
concerns for patients, ensures easy staff movement in and out of the room and ready
means of egress for staff if a patient becomes agitated.
The dentist and dental assistant operate around the head of the chair with the dentist
normally positioned on the patient’s right (if right-handed). A dental assistant’s
workstation is needed with allowable operating space and incorporates the storage of
dental materials and equipment, disposable items and a work surface for retrieving and

mixing dental materials.

In both single room and open-plan dental surgery design, the provision of the dental
assistant’s workstation and adequate shared storage units for equipment and disposable
items is specifically designed for user accessibility, space efficiency, infection control and
easy maintenance of a clean, clutter-free work environment. Clean and dirty workflows
will be facilitated.
Allowance should be made for changes in practices in relation to technology
advancements such as space for IT equipment, digital radiography, telehealth and/or
intra-oral cameras. Open plan surgeries will need to consider a suitable location for
computer monitors to accommodate the use of the electronic oral health record.
Dental surgery layouts are shown in the Standard Components section. Minimum widths
and depths are important to ensure that the dental practitioner can operate effectively.
Seating is usually provided for a carer.
280.008.055 CLINICAL SUPPORT AREAS

600844
The extent to which the following are included will depend on the size and location of the
Unit. In small single surgery units serviced by a visiting dentist for example, the full range
of facilities will not be appropriate and arrangements will need to be made for sterilizing
and laboratory needs. It may also be possible to share some support space if located with
other services (e.g. Disposal Room, Cleaner’s Room). Broadly speaking room requirements
will include:
- Dental Laboratory or Dental Workroom;
- plant room;
- instrument reprocessing;
- linen store;
- resuscitation trolley bay - depending on Unit policies;
- store - sterile consumables and instruments;
- store - general
- equipment bays - hoists etc.;
- secure gas cylinder storage;
- Clean-up Room / Disposal Room; and
- Cleaner’s Room.
280.008.065 STAFF AREAS – OFFICE SPACE AND AMENITIES

600846
The provision of office space will comply with local policies.
Provision must be made for staff lockers in a secure environment. Depending on the type
of unit and location, staff room and toilets may be shared with other units. Access to a
staff shower is desirable.
If no dedicated staff room is provided, in the case of stand-alone Oral Health Units, a small
beverage bay separate from the clinical facilities may be considered. Alternatively, a staff
room may be provided within a community health centre and shared between services.
Access to a meeting room should be provided in Units to support student teaching and
staff in-service training.

Functional Relationships
280.009.000 EXTERNAL
600847
If located on a hospital site, there should be easy access to:
- sterile supply unit if no in-unit service;
- support services such as linen and waste disposal units; and
- a loading dock.
280.009.005 INTERNAL
600848
Reception requires a clear view of entry and exit/egress points of the Unit and of the
waiting area.
There must be easy but controlled access from the waiting area to the patient treatment
areas. Staff must be able to move between the treatment areas and reception to access
patient files etc.
Staff areas, offices and amenities should be separate from patient and public access to
provide privacy and quiet areas.

DESIGN
Accessibility
280.010.000 INTERNAL
600850
Entry to the clinic must allow easy barrier free access for ambulant, wheelchair and trolley
patients.
A separate entry is to be provided for inpatients, where indicated. If a hospital-based unit,
bed /trolley access to at least one surgery is to be provided.
Unit access design must comply with Standards Australia, 2010, AS 1428 (Set) 2010 Design
for access and mobility Set (SAI Global).
280.010.010 EXTERNAL
600849
Consideration should be given to public transport availability.
Off street access for vehicles transporting patients should be provided.
All-weather vehicle drop-off points should be provided for easy access by patients who are
elderly, frail, have limited mobility or who are wheelchair bound.
Consideration should be given to ambulance access and trolley access to Units located
within hospitals.
If the Unit is provided as a stand-alone building on a hospital site, an undercover link
should be provided to the main hospital.
Parking
280.011.000 Ready access to parking for patients and their carers including drop-off parking for people
600851 with disabilities.
For further information regarding staff parking, refer to AHIA, 2010, AusHFG Part C:
Section 790, Safety and Security Precautions.
Disaster Planning
280.012.000 For further information refer to information on disaster planning in Operational Policies
600852 section of AHIA, 2010, AusHFG Part B: Section 80 General Requirements.
Infection Control
280.013.000 GENERAL
600853
The planning and construction of any facility must incorporate the principles of
environmental infection prevention and control to minimise contamination from
particulates (solids and aerosols) and micro-organisms.
The general layout of a dental surgery is based on a streamlined design applying infection
control principles. Design must focus on minimising the number of surfaces likely to be
exposed to aerosols (generated by the dental handpiece and air/water application) by
concealing equipment (other than that associated with the dental chair) or locating certain
items (such as computer screens and administration areas) away from the zone of aerosol
contamination. There must be clear distinction between zones (for example reception/
administration and treatment areas) and prevention of crossover of dirty, clean and sterile

workflows.
The use of high-volume evacuation suction equipment and providing barriers over
surfaces are also important in minimising aerosol effects.
Regular cleaning of the Unit is to be undertaken in order to minimise the number of micro-
organisms in the environment and keep all surfaces clean and tidy.
Procedures are to be implemented for the safe handling and appropriate disposal of
contaminated materials and waste.
Hand hygiene facilities are essential in every dental surgery and must be specifically
designated for hand washing. Appropriate personal protective equipment (such as gloves,
protective eyewear, gowns and facemasks) are to be used to reduce the risk of exposure
to aerosols, blood and body fluids. Access to dispensers and storage for personal
protective equipment must be considered in each surgery to ensure easy access.
Hands-free access to bins for disposal of paper, clinical waste and sharps is to be provided.
Considerations relating to instrument reprocessing are outlined in clauses 280.006.025
and 280.006.030.
For further information, refer to:
- Australian Dental Association, 2012, ADA Guidelines for Infection Control (Second
Edition); and
- NHMRC, 2010, Australian Guidelines for the Prevention and Control of Infection in
Healthcare (2010).
Environmental Considerations
280.014.000 ACOUSTICS
600855
Noise can be a frequent source of complaint from patients and consumers. The following
should be considered by project teams:
- exclusion of disturbing or distracting noises from other patients or equipment during
treatment where possible;
- minimising noise by the use of acoustic ceiling tiles;
- isolating noisy areas or equipment from patient treatment and waiting areas;
- using acoustics covers for compressors, dental plant and suction units; and
- preferably accommodate all mechanical plant in a separate service specific Plant
Room.
280.014.010 LIGHTING
600856
Natural light is highly desirable in dental surgeries as light and views do much to alleviate
patient anxiety and staff morale.
Colour-corrected lighting will be required in surgeries and laboratories where shading /
matching of teeth colour is undertaken.
Dental examination lights can be mounted on the dental chair or on the ceiling.
280.014.020 PRIVACY
600857
The planning and design of oral health units must ensure that every consumer has the
right to have his or her privacy respected.
The Unit should be designed to:
- ensure confidentiality of patient discussions and records; and

- appropriately configure dental surgeries to optimise patient privacy.
280.014.030 INTERIOR DECOR

600858
Interior decor includes furnishings, style, colour, and use of textures. Good interior decor
can assist in relaxing patients by providing a non-intimidating and child friendly
atmosphere.
Some colours and patterns can be disturbing to some patients and also interfere with
teeth matching. Bold primary colours and green should be avoided in treatment areas.
Consideration may be given to providing visual interest points on the ceiling.
Cleaning, infection control, fire safety, and the perception of a professional environment
must be considered while avoiding an institutional atmosphere.
Space Standards and Components
280.015.000 HUMAN ENGINEERING

600859
Human engineering covers those aspects of design that permit effective, appropriate, safe
and dignified use by all people, including those with disabilities. It includes occupational
ergonomics, which aims to fit the work practices, fixtures, fittings and equipment (FF&E)
and work environment to the physical and cognitive capabilities of all persons using the
building.
As the requirements of Occupational Health and Safety (OHS) and antidiscrimination
legislation will apply, this section needs to be read in conjunction with the section on
Safety and Security in these Guidelines in addition to OHS related guidelines.
Issues to be considered in Oral Health Units include:
- electric dental chairs that can be operated to adjust for height and position;
- access to hoists for patient lifting; and
- the use of a larger dental surgery for those with special needs, such as those in
wheelchairs or bariatric patients. These special needs will impact on chair types and
the weight capacity of dental chairs. This larger surgery will be located so that access
is easy and direct from the waiting room.
280.015.010 ERGONOMICS
600860
Oral Health Units should be designed and built in such a way that patients, staff, visitors
and maintenance personnel are not exposed to avoidable risks of injury.
Configuration of dental surgeries is important so staff work within easy reach of all
instruments and equipment used in patient care.
For more details regarding ergonomic design and accessibility refer to Clause 730.012.000
AHIA, 2010, AusHFG Part C: Section 730, Design for Access, Mobility, OHS and Security.
280.015.020 ACCESS AND MOBILITY

600861
Where relevant, comply with Australian Standards relating to designing for access and
mobility. Refer to:
- AHIA, 2010, AusHFG Part C: Section 730, Design for Access, Mobility, OHS and
Security; and
- Standards Australia, 2010, AS 1428 (Set) 2010 Design for access and mobility Set (SAI
Global).

280.015.030 BUILDING ELEMENTS

600862
Building elements include walls, floors, ceilings, doors, windows and corridors.
Doorways must be sufficiently wide and high to permit the manoeuvring of wheelchairs,
trolleys and equipment without risk of damage or manual handling risks. The larger dental
surgery will accommodate entry by a bariatric wheelchair.
For more information and guidance refer to AHIA, 2010, AusHFG Part C: Section 710,
Design for Access, Mobility, OHS and Security.
Safety and Security
280.016.000 SAFETY
600863
The facility must provide a safe working environment which will not cause any risks to the
health and safety of the occupants. In addition to those risks and hazards commonplace in
health care environments, there are specific OHS issues associated with Oral Health Units
that include:
- staff leaning over reclined patients to provide treatment;
- aerosol contamination;
- working with infectious materials;
- working with medical gases and hazardous chemicals in laboratories;
- heat and noise associated with sterilizing procedures and in laboratories;
- manual handling;
- potential for patient aggression and violence; and
- radiological hazards.
It will be important to identify, assess and control risks or hazards that exist within the
Unit to produce a safer and healthier Unit design. For further information refer to AHIA,
2010, AusHFG Part C: Section 790, Safety and Security Precautions.
280.016.010 SECURITY
600864
Issues to be considered in Oral Health Units include:
- barrier requirement for controlled access between waiting areas and clinical and
administrative areas;
- controlled after-hours access should extended hours services be provided;
- security of reception areas, patient records and cash storage; and
- the safety of staff and property.
Finishes
280.017.000 GENERAL
600865
Finishes in this context refer to walls, floors, windows and ceilings.
The use of smooth, easily cleaned surfaces (not tiles) is required. Avoid joined laminated
and textured surfaces on bench tops and walls.
280.017.010 WALL PROTECTION

600866
Refer to AHIA, 2010, AusHFG Part C: Section 710, Space Standards and Dimensions.

280.017.020 FLOOR FINISHES

600867
280.017.030 CEILING FINISHES

600868
Fixtures, Fittings and Equipment
280.018.000 DEFINITION
600869
The Room Data and Room Layout Sheets in the Australasian Health Facility Guidelines
contain standard rooms as described in this HPU.
Major medical equipment used in Oral Health Units should be consistent with Australian
Standards where available.
For more detailed information refer to the Room Data Sheets (RDS) and Room Layout
Sheets (RLS), and to:
Security; and
- AHIA, 2010, AusHFG Part F: Section 680 Furniture Fittings and Equipment.
Building Service Requirements
280.019.000 GENERAL
600870
All services should satisfy the Unit’s specific service level and procedure requirements.
Services should be designed and installed in a manner that will allow easy access for
maintenance and cause only minimal disruption when maintenance is required.
280.019.010 INFORMATION TECHNOLOGY / COMMUNICATIONS

600871
Planning of IT systems to support clinical and operational activities is an essential
component of any facility design. Systems to consider include:
- patient management system;
- 'chair-side' computing to support electronic oral health records and digital imaging;
- telecommunications; and
- other technology, such as digital radiography, telemedicine and instrument tracking
and inventory management systems.
Unit layout must include appropriate data cabling and connection lines to support internal
and external networks and a server room will/may be required.
Cabling for patient management systems and telecommunications should be available in
all dental surgeries and administration and teaching areas.
In addition access may be required to support:
- a building maintenance system;
- a taxi phone;
- master antenna television (MATV) in waiting rooms and possibly in surgeries;
- closed circuit television (CCTV) if indicated;
- public address system;
- background music;

- duress alarm system; and

- nurse / emergency call systems.
280.019.020 RADIATION SCREENING

600872
All medical imaging equipment and rooms where x-rays are taken must meet the radiation
safety requirements of state and local authorities.
State guidelines will determine the use of lead aprons and where required should be
provided for patient and operator. Lead apron hangers to be installed within the room.
Requirements for shielding may differ for digital radiography with shorter exposures.
Radiation shielding, including requirements for wall shielding, must comply with the
Radiation Health Committee (ARPANSA), 2005, Radiation Protection in Dentistry - Code of
Practice and Safety Guide.
280.019.030 AIR-CONDITIONING, VENTILATION AND HEATING

600873
Air-conditioning is required in all areas during standard operating hours. Capacity to
override air-conditioning to provide emergency service in either one surgery or the total
unit after hours is required. Staff working in individual dental surgeries should be able to
adjust the temperature of each room to maintain the comfort of practitioners and
patients.
If a Dental Laboratory is included, special consideration should be given to the specialised
equipment requiring removal of noxious fumes, dust, and heat. Many Units will be
provided with specialised proprietary equipment and benching requiring extraction and
other services. High quality exhaust/extraction system is required for the burn-out oven.
Provision also needs to be made for exhaust from the sterilizer in the Instrument
Processing Room.
Refer to:
- AHIA, 2010, AusHFG Part E: Building Services and Environmental Design; and
- Department of Health, NSW, 2013, Technical Series TS11 - Engineering Services and
Sustainable Development Guidelines.
280.019.040 WATER
600874
Potable water filtered for particulate matter is required for dental units. Metering of water
to clinical area is required for waste management purposes.
All dental operating units have integral suction systems which remove contaminated
water and body fluids from the operation site. This waste requires course filtering (usually
integral to the unit), separation of heavy metals and then disposal.
Equipment must comply with technical regulations in each jurisdiction to ensure that cross
contamination is eliminated.
280.019.050 MEDICAL GASES

600875
All surgeries will require compressed air and dental suction and may require medical
oxygen and medical suction. Services should ideally be piped if sufficient volumes are
used, but may be provided via portable cylinders in small units. Compressed air will also be
needed in instrument reprocessing room.
Depending on the operation policies with regard to level of sedation and care/treatments
provided, medical air, nitrous oxide and scavenging may also be required.

280.019.060 DENTAL SUCTION

600876
Everything from the patient's mouth is extracted via the dental suction system. This
material is contaminated biologically and will contain mercury when amalgam fillings have
been removed. The extracted solids are trapped, either within the chair-side unit or in the
Dental Plant Room. The suction containers from the chair-side units must be emptied on a
regular basis; Plant Room traps are emptied by maintenance staff / contractors, during
routine servicing.
Dental suction systems must not be confused with medical suction systems.
280.019.070 PLANT ROOM AND SUPPLY LINES

600877
A plant room of sufficient size is required to accommodate all the mechanical and
electrical plant. Service supply lines (compressed air, vacuum, extraction systems etc.) and
hydraulics may be run under a suspended floor slab to allow for easy service maintenance
and future alteration, expansion or upgrade of equipment. For an on-the-ground concrete
slab, services should be place in a covered (removable) services trench, or consideration
given to running services through ceiling and wall spaces where possible.
The distance between the plant room and Oral Health Unit, must not exceed the
equipment manufacturer’s recommendations. This includes vertical distances as well.

COMPONENTS OF THE UNIT

Standard Components
280.020.000 Standard Components (SC) refer to rooms / spaces for which room data sheets (RDS),
600878 room layout sheets (RLS)(drawings) and textual descriptions have been developed and are
available on the AusHFG website. Their availability in is indicated by "Yes" in the SC
column of the Schedule of Accommodation.
Standard components are provided to assist with the development of a project. Their use
is not mandatory and if used they can be edited to be project specific.
Refer to itemised Room Data and Room Layout Sheets and AHIA, 2010, AusHFG Part B:
Section 90, Standard Components.
Non-Standard Components
280.021.000 Non-Standard Components are generally unit-specific. Provide the Non-Standard

600879 Components as identified in this section and in the Schedule of Accommodation, according
to the Operational Policy and Functional Brief.
2
280.021.012 DENTAL SURGERY – 16m
960354
Description and Function
A larger surgery to accommodate patients with special needs such as the disabled,
morbidly obese and those on a trolley.
2
All other detail is consistent with the Standard Component of a 14m Dental Surgery.
Location and Relationships
This room should be located so that the entry is a direct run from the entry to the
Treatment Area. This will avoid manoeuvring of wheelchairs and trolleys through
corridors.
Considerations
There should be sufficient space beside the dental chair to accommodate a trolley or
wheelchair. Consideration should be given to the use of a “knee-break” chair in a room
such as this to make the transfer of the patient from a wheelchair easier.
Doorways will accommodate trolleys and bariatric wheelchairs.
280.021.016 DENTAL SURGERY – 2 CHAIR

960355
A room that accommodates two dental chairs. Often used by dental therapists and for
work with children.
An optional frosted glass barrier is possible between the two chairs. This will provide for
noise control and privacy.
2
Other fit-out details will be in line with the Dental Surgery – 14m .
280.021.018 ORTHOPANTOMOGRAPHY (OPG) ROOM

960356
OPG and other extra-oral radiography facilities are specialised medical imaging

procedures.
Located in direct access of dental surgeries.
Considerations
Will only be established in large, hospital-based units. The option to outsource dental
radiography from Medical Imaging Units should be considered.
Shielding issues will need to be considered during design to ensure the safety of staff and
general public.
280.021.030 INSTRUMENT REPROCESSING

600885
The instrument reprocessing area will be used to wash, decontaminate and sterilize dental
instruments. The room is organised in two distinct areas: 'dirty' and 'clean'.
The 'dirty zone' is the area where dirty instruments are received and washed using manual
methods, ultrasonic cleaning or a washer/ disinfector.
Once these instruments are decontaminated, they are passed through to the 'clean zone'
where they are packed and sterilized.
Location And Relationships
This area needs to be in close proximity of dental surgeries to facilitate the easy
movement of clean and dirty instruments.
Considerations
There will be clean and dirty separation with a one-way flow from where dirty instruments
are received.
If the Oral Health Unit is located on a hospital site, instruments may be transferred to the
Sterile Supply Unit for reprocessing. Should this solution be adopted, space will still be
required in the Oral Health Unit to accommodate dirty instruments (the Clean-up Room)
and store instruments that are returned, ready for use.
For further information relating to design, health technology and mechanical service
requirements refer to AHIA, AusHFG Part B: Sterile Supply Unit.
280.021.035 DENTAL LABORATORY

600882
An area for adjusting and polishing dentures and for the construction of prosthetic
appliances and other items related to dental treatment (unless outsourced).
This room is not routinely provided in an Oral Health Unit as the manufacture of dentures
etc. is usually centralised. Instead, a Dental Workroom is usually provided (refer to
208.21.40)
The Dental Laboratory should be located with ready access to the Dental Surgery Rooms
but sufficiently removed to minimise transfer of dust, noise and fumes.
Considerations
Lighting - natural / fluorescent mix for colour matching.
Moisture-resistant joinery - all surfaces including drawers must be laminated or moulded
plastic or stainless steel for ease of cleaning.

Storage area for models.

Inclusion of a plaster trap under the sink is advised if there is a high denture workload
envisaged.
Non-slip vinyl flooring.
Mechanical debris/dust extraction (external exhausting) through hoods in polishing bays
and at desk-tops is required.
280.021.040 DENTAL WORKROOM

600884
An area for:
- preparing plaster models;
- trimming models;
- trimming dentures; and
- undertaking minor repairs of dentures.
This room is routinely provided in an Oral Health Unit to provide a dedicated space to
undertake the tasks as described above.
The Dental Workshop should be located with ready access to the Dental Surgeries but
sufficiently removed to minimise transfer of dust, noise and fumes.
Considerations
Lighting - natural / fluorescent mix for colour matching.
Moisture-resistant joinery - all surfaces including drawers must be laminated or moulded
plastic or stainless steel for ease of cleaning.
Storage for equipment and materials.
Inclusion of a plaster trap under the sink is advised if there is a high denture workload
envisaged.
Non-slip vinyl flooring.
Mechanical debris/dust extraction (external exhausting) through hoods is needed.
280.021.050 PLANT ROOM

960357
Plant specific to the provision of dental service.
This plant cannot be located remotely from chairs. External access required.
Considerations
The equipment located in the plant, including suction power unit can be noisy and this
must not impact on staff and/or patient treatment areas.

280.021.060 GOODS RECEPTION/ RECEIVING

960358
An external point to receive and despatch goods such as consumables and waste.
Located nearby storage areas to promote the movement of consumables from the point of
delivery to storage areas.
Considerations
Generally only provided in large hospitals or community health centres owing to staff
resources associated with receipt and distribution.
280.021.070 TREATMENT ROOM

960359
In cases where there is low utilisation of a dental chair, health services may instead
provide a treatment room that is sized to accommodate a dental chair with a fixed light
but is large enough to be used for other patient services (e.g. wound care, podiatry,
2
ophthalmology) when a supine position is required. A size of 16m is recommended.
The use of portable equipment such as the dental cart and dental suction is recommended
so it can be stored when not in use. Lockable storage, either fixed or portable, will be
required for other dental materials.
Ready access to reception and waiting areas. Ready access to Clean-up Room or Dirty
Utility to wash and store used instruments.
Considerations
The dental chair must still be positioned with enough circulation to allow the safe and
effective delivery of oral health services.
An assessment should be made as to whether a mobile dental x-ray unit could be utilised
in place of a fixed unit should a fixed solution impede access for alternate patient care.
This assessment will need to consider Environmental Protection Agency (EPA) restrictions
on use of portable x-ray.
A dental chair with knee-brake should be considered as it provides a more flexible solution
to deliver other patient care.

APPENDICES
Schedule of Accommodation
280.022.000 A schedule of accommodation is shown below and lists generic spaces for this HPU.
600887
Quantities and sizes of spaces will need to be determined in response to the service needs
of each Unit on a case-by-case basis.
SC refers to standard component (drawings and data sheets).
"Yes" refers to whether available in these guidelines.
280.022.005 ENTRY / RECEPTION/ WAITING

600888
Room/Space SC Qty x Area Qty x Area Qty x Area Remarks

m2 m2 m2
2 Chairs 4 Chairs 6 Chairs
Entry /Airlock Yes 1 x 10 1 x 10 1 x 10 Optional depending on

location and scale of
development.
Reception Yes 1x9 1x9 1 x 12 1 and 2 staff
Store - Files Yes 1x6 1x8 1 x 10
Store - Photocopier / Stationery Yes Share 1x8 1x8
Waiting Yes 1 x 10 1 x 16 1 x 24 Based on 3 people per dental

chair
Child Play Area Incl. in 1 x 10 1 x 10 Optional

Waiting
Bay - Mobile Equipment Yes Share 1x2 1x2 1 -2 wheelchairs
Toilet - Public Yes Share 1x3 1x3 Optional as visitor amenities

may be shared with other
services
Toilet - Accessible Yes Share Share 1x5 Optional as visitor amenities

may be shared with other
services.
280.022.010 TREATMENT AREAS

600889
ROOM/SPACE SC Qty x Area Qty x Area Qty x Area Remarks

m2 m2 m2

2
Dental Surgery - 14m Yes 2 x 14 3 x 14 3 x 14
2
Dental Surgery - 16m Yes 0 1 x 16 1 x 16 Bed access, only if required.
An additional 2m2 may be
required should a wheelchair
lifter be needed.
Dental Surgery - 2 chairs 0 0 1 x 34
Patient Bay - Holding Yes 6 Optional. Provide 6m2 per

chair for patient recovery if a
dedicated service provided.
BAY - Handwashing, Type B Yes 1x1 1x1 Collocate with Recovery if

ROOM/SPACE SC Qty x Area Qty x Area Qty x Area Remarks

m2 m2 m2
provided
Bay - Resuscitation Trolley Yes Share 1 x 1.5 1 x 1.5 Optional - dependent on Unit
policy.
280.022.015 SUPPORT AREAS

600890

m2 m2 m2
OPG Room 0 1x7 1x7 Optional
Dental Workroom 1x8 1 x 12 1 x 12 This is not intended as a

laboratory which would be
used for the manufacture of
prosthetics. Details of
requirements for a Dental
Laboratory have been
included in Non-Standard
Components.
Instrument Reprocessing 1 x 10 1 x 12 1 x 20
Store - General Yes 1x4 1x6 1x8 Sterile stock storage
Clean-up Room Yes 1x7 1x7 1x7 For fluids disposal, soiled
linen holding etc.
Bay - Linen Trolley Yes 1x2 1x2 1x2
Store - General / Repacking 1x9 1 x 12 1 x 14
Cleaners' Room Yes Share 1x5 1x5 Optional - may be shared

with other services if
collocated in a CHC or MHPS
Plant Room 1x9 1x9 1 x 12 After-hours access
Goods Reception / Loading 0 1 x 15 1 x 15 Space for one truck -

dependent on model
280.022.020 STAFF AREAS

600891

m2 m2 m2
2 Chairs 4 Chairs 6+ Chairs

2
Office - Single Person (9m ) Yes 1x9 1x9 1x9 Senior dentist
Workstation Yes 5.5 5.5 5.5 Number to suit shared access

by staff for administration
etc.
Meeting / Tutorial Room Yes 0 1 x 15 1 x 20 Suitable for

videoconferencing unless
provided nearby.
Staff Room Yes 0 1 x 12 1 x 15 May be shared in a CHC
Bay - Beverage Yes 1x3 0 0 In Staff Room
Staff Property Bay Yes 1x1 1x2 1x3
Shower - Staff Yes 0 1x3 1x3 Can be shared if provided in a


m2 m2 m2
CHC.
Toilet - Staff Yes 1x3 1x3 1x3 Number dependent on staff

numbers
Discounted Circulation % 25 32 32-35
Functional Relationships
280.023.000 The following diagram sets out the functional relationships between zones in an Oral
600892 Health Unit.

Checklists
280.024.000 For planning checklists, refer to Parts A, B, C and D of these Guidelines.

600893
Further Reading
280.025.000 AUSTRALIA AND NEW ZEALAND

600894
- AS/NZS 2982.1:1997 Laboratory Design and Construction Part 1: General
Requirements;
- AS/NZS 2243.1:2005 Safety in Laboratories Part 1: Planning and Operational aspects;
- AS/NZS 2243.10:2004 Safety in Laboratories Part 10: Storage of chemicals;
- Department of Human Services, Victoria, 2003 Oral Health Guidelines for Victorians;
- Government of South Australia, 2010 South Australia’s Oral Health Plan, 2010 – 2017,
South Australian Dental Services;
- Ministry of Health, 2006 Community Oral Health Service: Facility Guideline.
Wellington, New Zealand;
- National Advisory Committee on Oral Health, July 2004; 'healthy mouths healthy lives,
Australia’s National Oral Health Plan 2000- 2013',
- NSW Health, 2013 PD2009_074 Eligibility of Persons for Public Oral Health Care in
NSW;
- NSW Health, 2013 PD2013_024 Oral Health: Cleaning, Disinfecting and Sterilizing;
- NSW Health, 2011 GL2011_002 Dental Amalgam – Its Clinical Use and Disposal;
- Queensland Health, 2013 Queensland Health Guideline: Storage Design for Sterile and
Non-Sterile Stock Storage for New and Refurbished Healthcare facilities;
- Queensland Health, 2012 Oral Health Facility Design Guidelines;
- Queensland Health, 2011 Oral Health Services Policy and Procedures Manual;
- Queensland Health, 2011 (2011b) Infection Control Guidelines;
- Queensland Health, 2010 Oral Health Services Capital Facility Implementation
Standard;
- Queensland Health, 2010 Queensland Health Oral Health Services Policy
- Queensland Health, 2008 (2008a) Disinfection and Sterilisation Infection Control
Guidelines;
- Queensland Government (2000b) Environmental Protection (Waste Management)
Regulation. Reprinted 2011; and
- Queensland Government (2000a) Environmental Protection (Waste Management)
Policy. Reprinted 2009.
280.025.005 INTERNATIONAL
600895
- Centers for Disease Control and Prevention, 2003 Guidelines for Infection Control in
Dental Health Care Settings.
References
280.026.000 - AHIA, 2010, AusHFG Part E: Building Services and Environmental Design, Australasian
960360 Health Facility Guidelines, Australasian Health Infrastructure Alliance (AHIA), Sydney,
NSW.
Security, Australasian Health Facility Guidelines, Australasian Health Infrastructure

Alliance (AHIA), Sydney, NSW.

Security, Australasian Health Facility Guidelines, Australasian Health Infrastructure
Alliance (AHIA), Sydney, NSW.
- AHIA, 2010, AusHFG Part F: Section 680 Furniture Fittings and Equipment,
Australasian Health Facility Guidelines, Australasian Health Infrastructure Alliance
(AHIA), Sydney, NSW.
- Australian Dental Association, 2012, ADA Guidelines for Infection Control (Second
Edition), Australian Dental Association Inc., St Leonards, NSW.
- Department of Health, NSW, 2013, Technical Series TS11 - Engineering Services and
Sustainable Development Guidelines, Department of Health, NSW, North Sydney,
NSW.
- NHMRC, 2010, Australian Guidelines for the Prevention and Control of Infection in
Healthcare (2010), Australian Government, Canberra, Australia.
- Standards Australia, 2010, AS 1428 (Set) 2010 Design for access and mobility Set (SAI
Global), Standards Australia, Sydney, NSW.
- Standards Australia, 2006, AS/NZS 4815:2006 Office-based health care facilities -
Reprocessing of reusable medical and surgical instruments and equipment, and
maintenance of the associated environment, Standards Australia, Sydney, Australia.
- Standards Australia / Standards New Zealand, 2003, AS/NZS 4187:2003 Cleaning,
disinfecting and sterilizing reusable medical and surgical instruments and equipment,
and maintenance of associated environments in health care facilities, Standards
Australia, Sydney, Australia.


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Australasian

Health Facility Guidelines

© 2013 AUSTRALASIAN HEALTH INFRASTRUCTURE ALLIANCE

AUSTRALASIAN HEALTH FACILITY GUIDELINES

Part B - Health Facility Briefing and Planning Page 2

Part B - Health Facility Briefing and Planning Page 3

280.001.000 PURPOSE OF THIS GUIDELINE

280.003.000 SPECIFIC POLICIES/GUIDELINES

Part B - Health Facility Briefing and Planning Page 4

Description of the Unit

280.004.000 DEFINITION OF ORAL HEALTH PLANNING UNIT

280.004.010 SERVICE LEVEL/ ROLE DELINEATION

280.004.015 SERVICES PROVIDED

Part B - Health Facility Briefing and Planning Page 5

280.004.020 CALCULATION OF NUMBER OF CHAIRS REQUIRED

Part B - Health Facility Briefing and Planning Page 6

280.005.000 TYPE OF UNIT

280.005.010 STAND-ALONE UNIT

280.005.020 COLLOCATION WITH COMMUNITY BASED UNIT

280.005.030 HOSPITAL BASED UNIT

Part B - Health Facility Briefing and Planning Page 7

developed to provide therapeutic and high quality physical environments.

280.006.010 HOURS OF OPERATION

280.006.020 DENTAL RECORDS

280.006.025 INSTRUMENT PROCESSING AND STERILIZATION - ON SITE

280.006.030 INSTRUMENT PROCESSING AND STERILIZATION - OFF-SITE

Part B - Health Facility Briefing and Planning Page 8

- require additional resources in order to transport instruments between the Oral

280.006.040 MANUFACTURING OF DENTURES

280.006.060 MEDICAL EMERGENCIES AND PATIENT RECOVERY

280.006.070 PATIENT MANAGEMENT

280.006.080 MEDICAL IMAGING

Part B - Health Facility Briefing and Planning Page 9

- in room processing using a bench-top PC; or

280.006.090 STORAGE - GENERAL SUPPLIES

280.006.100 STORAGE - STERILIZED INSTRUMENTS AND EQUIPMENT

280.006.110 WASTE DISPOSAL

280.006.120 STAFF STRUCTURE

Part B - Health Facility Briefing and Planning Page 10

280.007.030 DENTAL SURGERY - SINGLE ROOM

280.007.040 OPEN PLAN DESIGN

280.007.050 DENTAL SURGERY - TWO CHAIR

Part B - Health Facility Briefing and Planning Page 11

280.007.060 SHARED AREAS

280.008.000 FUNCTIONAL ZONES

280.008.010 ENTRY / RECEPTION /WAITING

280.008.040 TREATMENT AREA - DENTAL SURGERIES

Part B - Health Facility Briefing and Planning Page 12

mixing dental materials.

280.008.055 CLINICAL SUPPORT AREAS

280.008.065 STAFF AREAS – OFFICE SPACE AND AMENITIES

Part B - Health Facility Briefing and Planning Page 13

Part B - Health Facility Briefing and Planning Page 14

Part B - Health Facility Briefing and Planning Page 15

Part B - Health Facility Briefing and Planning Page 16

- appropriately configure dental surgeries to optimise patient privacy.

280.014.030 INTERIOR DECOR

Space Standards and Components

280.015.000 HUMAN ENGINEERING