Private or private use applies to plumbing fixtures in residences, apartments, and dormitories; private (non-public) bathrooms in transient lodging facilities (hotels and motels); and private bathrooms [and patient rooms] within hospitals and nursing facilities.

Add the following to eligible fixtures section:

"For healthcare projects, fixtures used for clinical use related to medical procedures, such as surgical scrub sinks and exam rooms sinks, in hospitals and medical office buildings are excluded from the water use calculations. Medication room sinks, utility room sinks, and other exam/procedure/observation room sinks for clinical use are also excluded. Should exam/procedure/observation room sinks be used primarily for hand-washing, they may be included in the water use calculations at the project team’s discretion under the public lavatory category. If included, project teams should provide a narrative explaining the usage assumptions for these sinks.

Lavatories in hospital inpatient bathrooms and inpatient rooms are considered private. The inpatient lavatory and water closet should use the default residential usage assumptions (of five times per day per residential occupant), unless specific project conditions warrant an alternative. Lavatories in hospital inpatient rooms (outside the bathrooms) are considered private if used by patients and/or staff similarly to a residential lavatory, or can be exempt if they are used by staff primarily for medical or clinical use.

Nutrition station (pantry) sinks and hospital staff lounge sinks should be included in the water use calculations under the kitchen sink category."