Design

FGI Guidelines

FGI Guidelines for Design and Construction of Hospitals

Facility Guidelines InstituteLatest · 2022 editionVoluntary consensus standard; adopted by reference in most US states.

Scope

The FGI Guidelines are the de facto reference for the physical design and construction of hospital facilities in the United States. They set minimum requirements for room area, clearances, headwall configuration, plumbing, and unit organization, and are adopted by reference into many state health department codes.

Where it applies in the room

  • Minimum clear floor area for med-surg, ICU, PACU, and isolation rooms
  • Clearances around the head, foot, and transfer sides of the bed
  • Single-patient-room defaults in new construction
  • Family and caregiver zones within the room

Key requirements at a glance

ICU minimum area200 sq ft clear floor area for new single-patient ICU rooms.
Med-surg minimum area120 sq ft clear floor area for single-patient rooms (new construction).
Bed clearances3 ft on transfer side; 4 ft at foot; documented turning radius.
Single-occupancy defaultNew construction defaults to single-patient rooms unless otherwise justified.

Summarized for reference. Consult the source document for the definitive text.

Source & further reading

Also known as

  • FGI Guidelines for Design and Construction of Hospitals
  • FGI Guidelines
  • Facility Guidelines Institute
  • FGI

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