Haas M
Span Consulting, San Antonio, TX, USA.
Nephrol News Issues. 1999 Jul;13(7):42-3.
Creating a dialysis facility within an existing SNF will cost more money then building an independent dialysis facility. If a new building is created and is physically attached to the existing SNF, it will have to meet the regulations that apply to the SNF. It is possible to build a new building adjacent to but not connected with the SNF without having to meet SNF requirements. If this is an option, then it is imperative to determine with the local authorities how much space must be between the structures. If the decision is made to build within the physical confines of the existing SNF, the SNF may no longer meet current regulations. In some cases I have seen, the SNF facility was older and had been grandfathered under current regulations. When the building inspector and fire marshall inspected the new dialysis unit, they made the determination that the SNF had to be upgraded to meet some of the current regulations. This was a very costly situation for the SNF. If the organization is considering creating a dialysis unit in conjunction with a SNF, I would recommend the dialysis unit be constructed as a new, separate building on the campus rather then within the existing building. The combination of these two types of care can be very positive both for the patients and the organizations.
在现有的熟练护理机构（SNF）内创建透析设施的成本将高于建造独立的透析设施。如果新建一座与现有SNF实际相连的建筑，它将必须符合适用于SNF的规定。有可能在不与SNF相连的情况下，在其旁边建造一座新建筑，这样就无需满足SNF的要求。如果选择这种方案，那么必须与当地政府确定两座建筑之间需要多少空间。如果决定在现有SNF的实际范围内建造，SNF可能不再符合现行规定。在我见过的一些案例中，SNF设施较旧，根据现行规定可豁免。当建筑检查员和消防队长检查新的透析单元时，他们判定SNF必须进行升级以符合一些现行规定。这对SNF来说是一个成本很高的情况。如果该机构考虑与SNF联合创建一个透析单元，我建议将透析单元建在校园内作为一座新的独立建筑，而不是建在现有建筑内。这两种护理方式的结合对患者和机构都可能非常有利。
