Professional Documents
Culture Documents
November 2015
Surgical Services
April 2016
April 2016
TABLE OF CONTENTS
1.0 GENERAL Page
1.1. Foreword 1-1
1.2. Acknowledgement 1-3
1.3. Introduction 1-7
1.4. VA Policies/Standards, and Industry Codes/Standards
1-8
1.5. Abbreviations 1-10
2.0 NARRATIVE
2.1. General
2-1
2.1.1. Clinical and Operational Summary
2-1
2.1.2. VA Trends in Surgical and Interventional Service
2-20
2.2. Technical Considerations
2-22
2.2.1. VA Policies/Directives/Handbooks, Codes, and Standards 2-22
2.2.2. Architectural 2-24
Ceilings 2-24
Floors 2-24
Walls 2-24
Casework 2-24
Acoustics / Noise Control
2-25
Doors 2-25
2.2.3. Interior Design
2-26
Interior Finishes
2-26
Wayfinding
2-26
2.2.4. Heating, Ventilation and Air Conditioning Systems (HVAC) 2-26
Life Cycle Analysis
2-27
Energy Conservation
2-27
Exterior Design Conditions
2-27
Indoor Design Conditions
2-27
Supply Air Requirements
2-27
Surgical Suite Air Handling Units
2-28
Filtration 2-28
Operating Room Return Air Requirements
2-29
Outdoor Air Requirements
2-29
Exhaust and Return Air Requirements
2-29
Noise Criteria
2-29
Design Features
2-29
Temperature Control Criteria
2-29
Humidity Criteria
2-30
2.2.5. Plumbing Systems
2-30
Domestic Water
2-30
Plumbing Fixtures
2-30
Sanitary Systems
2-30
Medical Gases and Medical Vacuum Systems
2-30
TABLE OF CONTENTS
April 2016
2-31
2-31
2-31
2-32
2-32
2-33
2-34
2-34
2-34
2-36
2-36
2-36
3-1
3-4
3-13
2-32
2-32
TABLE OF CONTENTS
ii
April 2016
iii
April 2016
TABLE OF CONTENTS
iv
April 2016
TABLE OF CONTENTS
April 2016
TABLE OF CONTENTS
vi
April 2016
5.0 APPENDIX
5.1. Checklist for Cardiac Hybrid OR, Cardiac Catherization/
Electrophysiology Lab
5.2. Site Tours
5.2.1. Elmhurst Memorial Hospital, Elmhurst, Illinois
5.2.2. Advocate Sherman Hospital, Elgin, Illinois
5.2.3. Center for Care and Discovery, Chicago, Illinois
5.2.4. Rush University Medical Center, Chicago, Illinois
5.2.5. Edward Hines, Jr. VA Hospital, Hines, Illinois
5.3. The Interventional Suite
TABLE OF CONTENTS
5-1
5-9
5-10
5-22
5-32
5-46
5-56
5-63
vii
April 2016
TABLE OF CONTENTS
viii
April 2016
1.0 GENERAL
1.1. Foreword
The material contained in the Surgical and Interventional Services Design
Standard is the culmination of a partnering effort within the Department of
Veterans Affairs by the Veterans Health Administration and the Office of
Construction & Facilities Management Office of Facilities Planning (003C2).
The goal of this Design Standard is to facilitate the design process and to
ensure the quality of VA facilities while controlling construction and operating
costs.
Disclaimer: products and materials indicated are for illustrations they are
not endorsement for any specific product. This document is intended to be
used as the standard for design and to supplement current VA construction
standards, and other VA criteria in planning surgical and endovascular space.
Designers shall use these Design Standards as close as possible to its
context and intent. Use of these Design Standards does not preclude the need
for a functional and physical design parameter for each specific project. It is
the responsibility of the Project Architect and the Project Engineer to develop
a complete and accurate project design that best meets the users needs and
applicable code requirements.
GENERAL
1-1
April 2016
GENERAL
1-2
April 2016
1.2. Acknowledgement
Credit is due to the following individuals whose leadership, knowledge, skills,
and ability made this document possible:
Department of Veterans Affairs - Veterans Health Administration
William Gunner, MD, JD
John Rumsfeld, MD
Rick Shunk, MD
Grit Adler, MD
James Edwards, MD
John Sum-Ping, MD
Bernadette Speiser,
MSN, CCRN, CMS
Lisa Warner,
RN, MHA, CNOR
Susan LeSuer, RN
GENERAL
1-3
April 2016
April Dierieckx
Daniel Pap,
Certified Cardiographic Technician, John D.
CCT/RCIS/RCES
Dingell VA Medical Center, Detroit, MI
VACO - Office of Construction & Facilities Management (003C)
Stella Fiotes
Planner
Gary Fischer, RA
Lam Vu, PE
Michael Taylor, PE
Don Walden
Orest Burdiak
Consultants
SmithgroupJJR
Bill Kline,
AIA, EDAC, LEED AP, CAA
Principal in Charge
GENERAL
1-4
Project Manager
Healthcare Planner
Gabryela Passeto,
Associate
Healthcare Planner
Healthcare Planner
Julia Hager,
AIA, LEED AP BD+C
Healthcare Planner
Taylor Staten,
Associate AIA
Technical Support
Marco Barboza
LEED Green Associate
Technical Support
Techical Support
April 2016
Sub-Consultants
The Innova Group
Michael Cook
Vice President
Space Planner
Gail Cisneros, RN
Equipment Planner
Chris Phillips
Project Manager
William Cross
URS
Troy Metz, PE
Bill Hoffman, PE
Mechanical Engineer
Danny Reyno
Electrical Engineer
GENERAL
1-5
April 2016
GENERAL
1-6
April 2016
1.3. Introduction
The Surgical and Interventional Services Design Standards was developed
as a design tool to assist VA clinical, contracting, planning, construction and
engineering staff to better understanding the design process, and to better
enhancing their collaboration with the design team throughout the planning
and designing phases of a specific project.
These Design Standards are not intended to be project-specific. It addresses
the general space and equipment planning, as well as functional and technical
requirements of the Surgical and Interventional Suite. While this document
incorporates strategies to address adaptability, it is not possible to foresee
all future requirements. It is important to note that the Section 4 Design
Standard Plates presents generic graphic representations illustrating space,
equipment and related engineered system needs. They are not intended to
limit design opportunities and adaptations.
The A/E design team shall read, understand and be familiar with the most
current editions of the applicable VA and applicable industrys codes and
standards. Codes and standards shown in this document shall be adhered to.
VA construction standards can be accessed at the Office of Construction and
Facilities Managements Technical Information Library (TIL) (http://www.cfm.
va.gov/TIL).
Use of these Design Standards does not supersede the project A/Es
responsibilities to develop a complete and accurate design that meets the
users needs and the appropriate code requirements within the budget and
schedule constraints. A/E shall confirm and verity actual dimensions, weight
and utility requirements of equipment with manufacturers.
GENERAL
1-7
April 2016
GENERAL
1-8
April 2016
(iii) willful neglect and (iv) willful neglect, not corrected. Penalties differ per
violation versus maximum penalty according to these four categories and
vary between $100 and up to $1,500,000.
Disaster Planning: Situations can arise in which it may not be feasible to
evacuate patients for extended periods of time. In those cases, emergency
electrical power will be required to maintain seamless equipment
operation, heating, ventilating and vertical transportation systems, and life
safety systems. This is especially important to keep the patient population
reasonably comfortable and safe. These Design Standards recommend
that the project consider planning for this contingency in order to care for
the veteran population especially when the facility is located in an area
where a high probability of threat exists from natural disasters such as
hurricanes and earthquakes.
GENERAL
1-9
April 2016
1.5. Abbreviations
A Medical Air
ABA
Architectural Barriers Act
ADA
Americans with Disabilities Act
AFF
Above Finished Floor
AR As Required
ASC
Ambulatory Surgery Center
AT Acoustical Ceiling Tile
AT (SP)
Acoustical Ceiling Tile (with Sprayed Plastic Finish)
BC Base Cabinet
C Degree Celsius
CC
Contractor Furnished, Contractor Installed
CFM
Cubic Feet per Minute
VA-CFM
Construction & Facilities Management
CLG Ceiling
CO2
Carbon Dioxide
CP
Carpet (without cushion broadloom)
CRS
Corrosion Resisting Steel (SS)
CT
Ceramic Tile
DG Design Guide
DS Door Switch
EDM
Electrical Design Manual
EES
Essential Electrical System
EMER Emergency
F Degrees Fahrenheit
FC Foot-candle
FD Floor Drain
FIXT Fixture
FLOUR
Fluorescent
FMS
Facilities Management Service
GFI
Ground Fault Circuit Interrupter
GWB
Gypsum Wallboard
HAC
Housekeeping Aids Closet
HIPAA
Health Insurance Portability and Accountability Act of 1996
HVAC
Heating, Ventilating and Air Conditioning
HP
Horsepower
HR Hour
IPS
Isolation Power System
IUSS
Immediate Use Steam Sterilization
JSN
Joint Services Number
kW Kilowatt
LED
Light Emitting Diode
LB
Pound/Pounds
LLTS
Lockers, Lounges, Toilets & Showers
GENERAL
1-10
April 2016
MATV
Master Antenna Television
MCS
Master Construction Specifications
MID
Motion Intrusion Detection
MTD Mounted
NFPA
National Fire Protection Association
NSF
Net Square Feet
NSM
Net Square Meters
O Oxygen
OCFM
Office of Construction & Facilities Management
OIT
Office of Information & Technology
OR Operating Room
PACS
Picture Archiving and Communication System
PACU
Post Anesthesia Care Unit
PH
Phase
PFD
Program for Design
PSDM
Physical Security Design Manual
RB Resilient Base
RCP
Reflected Ceiling Plan
RES
Resinous Flooring
RF Radio Frequency
RPS
Radio Paging System
RSF
Resilient Sheet Flooring
SC
High Build Glazed Coating (Special Coating)
SD Standard Detail
SF
Square Feet, Square Foot
SOPC
Satellite Outpatient Clinic
SP
Special Faced
STC
Sound Transmission Class
TAVR
Transcatheter Aortic Valve Replacement
TEE
Transesophageal Echocardiography
UPS
Uniterruptible Power Supply
V Volts
V Medical Vacuum
VA
Department of Veterans Affairs
VACO
Veterans Affairs Central Office
VAMC
Veterans Affairs Medical Center
VC
VA Furnished, Contractor Installed
VHA
Veterans Health Administration
VISN
Veterans Integrated Health Network
VTEL
Video Teleconferencing
VV
VA Furnished, VA Installed
W Watts
WSF
Welded Seam Sheet Flooring
W/SF
Watts per Square Foot
GENERAL
1-11
April 2016
GENERAL
1-12
April 2016
2.0 NARRATIVE
2.1. General
2.1.1. Clinical and Operational Summary
Surgical Complexity Categories
It is Veterans Health Administration (VHA) policy that each VA medical facility with an inpatient Surgical Program have a surgical complexity designation, which is based upon the facility infrastructure, and that the scheduled
(non-emergent) surgical procedures performed are not to exceed the infrastructure capabilities of the facility unless an emergency condition arises.
A facility infrastructure refers to all aspects of surgical services: diagnostic evaluation; consultation; surgeon and operating room clinical staffing;
operating room staffing, instruments, equipment, radiology and anesthesia
services; post anesthesia care unit; intensive care unit; patient ward; sterile
processing service and logistics (SPS); and other surgery-related support
services related to a surgical procedure. Refer to VHA Directive 2010-018
Facility Infrastructure Requirements To Perform Standard, Intermediate, Or
Complex Surgical Procedures for definitions of complexity designations.
The complexity designations are as follows:
1. Standard Surgical Complexity
2. Intermediate Surgical Complexity
3. Complex Surgical Complexity
Surgical procedures occurring in an Ambulatory Surgical Center (ASC) program are assigned a complexity designation of either Basic or Advanced.
Every effort must be made to select appropriate patients who are suitable
to have their procedure performed in an ASC. Patients must be discharged
from the ASC according to an established protocol, or must be transferred to
a facility with 24 hour observation and inpatient surgical services.
Surgical procedures are classified by complexity, which is available both in
the Surgical Complexity Matrix (SCM) and the Ambulatory Surgical Complexity Matrix (ASCM) and in a web-based tool, the Current Procedural Terminology (CPT) Look-Up.
General Description, Function and Concepts
Most VAMCs are affiliated with major medical, nursing and allied health professionals schools and colleges. As part of the education medical residents,
nursing and allied health students are trained in VAMCs. For this reason
additional space is required in the Operating Room and staff support areas
to accommodate faculty and students. Moreover, process of teaching and
NARRATIVE
2-1
April 2016
2-2
April 2016
NARRATIVE
2-3
April 2016
NARRATIVE
2-4
April 2016
Another surgeon
A licensed physician assistant
A registered nurse first assistant
A surgical resident
A medical student
NARRATIVE
2-5
April 2016
procedure, to administer the anesthetic agent before and during surgery, and
to monitor the patients vital signs. Anesthesia staff remain with the patient
during the entire surgical procedure. Following the surgery, the patient
remains under the care of the anesthesia staff and the assigned recovery
room nurse until the patient has met the discharge criteria.
Interventional Radiologist: A trained physician who specializes in minimally
invasive treatments across all specialties. This individual uses imaging
equipment to advance catheters into the patient to treat at the source
of disease internally. In an interventional case there may be a team of
interventional staff consisting of the interventional radiologist, a radiology
circulating nurse and a radiology scrub person.
Nursing Staff: Every major surgical procedure performed in the Operating
Room is staffed by at least one registered nurse and scrub personnel.
Surgical Scrub: The surgical scrub, together with the first assistant to the
surgeon, is the main support person for the operating surgeon. He/she has
an understanding of the procedure being performed and anticipates the
needs of the surgeon. The scrub personnel are responsible for the sterile
supplies and instruments and for handing them to the surgeon. He/she has
the necessary knowledge and ability to ensure quality patient care during the
operative procedure and is constantly on vigil for maintenance of the sterile
field. More complicated surgical procedures may require the presence of
two scrub personnel, one assisting the surgeon at the operating room table
and one responsible for the instruments at the instrument table.
Circulating Nurse: The circulating nurse, known as the circulator, does not
function within the sterile field, but performs many of the required tasks
outside the sterile field. This person also acts as the non-sterile hands
of the surgeons and scrub person, bringing required supplies, instruments
and equipment into the Operating Room, maintaining surgical records in the
Operating Room, etc. Although the surgeon performing the operation has
the ultimate responsibility for the care of the patient in the Operating Room, it
is the circulator who is responsible for maintenance of sterile conditions and
is in charge of personnel. This person is the primary advocate ensuring that
correct surgery is performed by confirming proper patient identification and
surgical site(s), confirming that a history and physical is on the patient chart,
and confirming that a signed surgical consent is present. The circulator also
enters safety measures into the computer, records time out, and assures
that the proper prosthetics, if required, are available.
Surgical Technologist: Surgical Technologists and/or Nursing Assistant: This
individual has received special training in sterile technique and in assisting
NARRATIVE
2-6
April 2016
NARRATIVE
2-7
April 2016
NARRATIVE
2-8
April 2016
NARRATIVE
2-9
April 2016
back on the gurney and moved to the Recovery Patient Area. The patient
may be transferred to a hospital bed at this point. There are occasions when
a patient is transferred directly from the Operating Room onto a hospital bed
and taken directly to the Surgical Intensive Care Unit. The gurney alcove
outside each OR should be large enough to accommodate a standard
hospital bed in its maximum configuration with IV poles, etc. attached. For
this reason the alcove should measure 4 ft. (1200 mm) wide by 10 ft. (3040
mm) long.
Imaging Equipment: The use of portable radiographic and fluoroscopic (R&F)
imaging devices in the operating room is well established and is commonly
associated with orthopedic procedures. These devices typically have low
emission rates and appropriate evaluation of gross anatomic structures and
dense objects such as orthopedic transplants. Low emission cannot achieve
image quality requirements associated with the visualization of fine vascular
details and stent placement. The expanded role of R&F imaging for vascular
indications was made possible through c-arms capable of delivering much
higher x-ray. However, their use predicated that they be fixed / dedicated
to the procedure room as access to higher input power was required to
produce higher x-ray, including radiation protection of the procedure room
which is not required for portable low emission devices.
Dedicated c-arms initially became popular in the interventional cardiac and
interventional radiology arenas as a diagnostic tool to assess flow restricting
disease, map the electrical pathway of the heart, and to provide image
guidance for the execution of interventions. These early procedure rooms
were known as Cath Labs and did not possess the attributes of an operating
room (OR) environment; laminar flow, higher level sterile practices, and the
ability to support open surgery.
More recently, through the growth of minimally invasive surgery on patients
with risks requiring a surgical safety net including endograft placement, and
the inception of valve replacements, a specialized interventional / surgical
environment was established. The result was the cardiovascular hybrid
operating room.
When imaging equipment is used (fixed or mobile) in an Operating Room,
staff are required to wear lead aprons and work from behind leaded glass
shields. When not in use in the operating rooms, portable imaging equipment
is usually stored in alcoves in the semi-restricted corridor so it can be
efficiently moved in and out of the operating room. The level of use of mobile
imaging equipment and other factors will be analyzed by the physicist, who
will determine the need for fixed shielding in the room.
NARRATIVE
2-10
April 2016
Sterile Supplies: Sterile supplies are retrieved from the clean core by the
circulator. A selection of sterile supplies may also be stored within the
Operating Room.
Supplies may be bar-coded or may utilize radio-frequency identification
(RFID) chips. Both systems are designed to monitor use of supplies and to
allow computerized reorder to maintain the appropriate inventory. In addition,
scanning the bar code (or tracking supplies with RFID chips) provides a more
complete system for charging for supplies used during a surgical procedure.
It also expedites the removal of stored items in the Operating Room when
their shelf life has expired.
Case Carts: Case carts are used to bring sterile materials and instruments
from SPS to the Operating Room. A typical case cart contains specific items
required for each specific case, including all required surgical instruments
and other supplies. More complex procedures may require several case
carts. Case carts are typically staged in the Clean Core outside of the
Operating Room prior to a procedure to optimize turnover time. Some case
carts may remain in the Operating Room during the procedure and be used
as back tables. After the surgical procedure is completed, these case carts
are returned via the semi-restricted corridor to the soiled side of SPS on
another dedicated cart lift or dedicated soiled elevator. In the event that
SPS is not located below the Surgical Suite, an alternative traffic pattern for
the case carts must be established that isolates clean and soiled case cart
traffic. Dedicated elevators are sized to accommodate a set number of case
carts in the elevator cab.
Pre-Operative Holding / Phase II Recovery: The inpatient or outpatient is
brought into the Pre-Operative Holding Area prior to the surgical procedure.
Last minute consultations with the patient by the staff take place here. Shunts
for IV solutions may be inserted here. To comply with HIPAA requirements
patient areas must provide acoustical and visual privacy at all times.
The Phase II Recovery Patient Area is utilized for recovery of the patient after
the PACU and/or for ambulatory surgery patients who come directly from the
surgery. The Prep Area should be co-located with the Phase II Recovery
Room to provide maximum flexibility for the patient room assignment. Since
most surgical procedures start in the morning, the Prep Area can occupy
under-utilized Phase II Recovery Space in the morning however, the same
area can be utilized for Phase II recovery in the afternoon.
Patient Induction / Preparation Room: The patient induction room is typically
used by the anesthesiologist to see the patient prior to the start of a
procedure. It allows for parallel processing of the patient and the Operating
NARRATIVE
2-11
April 2016
Room. Typical tasks in this area include blocks and the placement of lines.
From here the patient is transferred to the Operating Room.
Orthopedic Operating Room: Orthopedic surgery is aimed at treating
conditions involving the musculoskeletal system and ranges from simple
arthroscopic procedures to complex surgeries on the spine. Care has to
be taken to provide sufficient air distribution/ coverage for the sterile field
to accommodate the wide variety of table positions and arrangements of
equipment and the sterile surgical team. A parking spot for the mobile C-arm
shall be identified outside of the sterile field when it is not in use. Additional
equipment, such as splints and traction devices, shall be located in an
equipment room located near the Operating Room.
Urology / Cystoscopy Operating Room: During a cystoscopy, the urologist
may remove bladder stones or kidney stones, gather tissue samples, and
perform x-ray studies. The patient table, which is mobile and specifically
made for use with a mobile C-arm, is oriented in the Operating Room in
a way that the foot of the table will not face a door. No floor drain will be
installed in this room. If the program can support a dedicated Cystoscopy
Room a fixed cystoscopy setup can be provided.
Cardiothoracic Operating Room: Cardiothoracic Surgery involves the surgical
treatment of the heart and the lungs; in some institutions this specialty is split
into Cardiac Surgery and Thoracic Surgery. In a typical surgical setup one
side of the surgical table is reserved for the perfusionist and the heart-lung
machine, while the other side will be occupied by the surgeon.
In cardiothoracic surgery, the patients blood may have to bypass the heart
to permit the surgeons to perform the required procedure. The blood supply
bypasses the heart, circulates through a mechanical pump (called the heart/
lung machine) and then returns oxygenated blood to the patient. The heart
lung machine is stored in the Pump Room adjacent to and directly accessible
from the Cardiovascular Operating Room. Particular attention should be
given to the width of the doorway so the Heart/Lung machine will fit through
it.
Accessory supplies required for bypass procedures are also stored in the
Pump Room. The room is sufficiently large to allow breakdown, essential
cleanup and storage of parts, and to accommodate at least two heart/lung
machines, one of which provides backup function in case of mechanical
failure of the other machine. Clean bypass machines are transported to
the Cardiovascular Operating Room via the Clean Core. Soiled bypass
machines are moved from the Cardiovascular Operating Room to the Pump
Room where they are cleaned.
NARRATIVE
2-12
April 2016
2-13
April 2016
NARRATIVE
2-14
April 2016
NARRATIVE
2-15
April 2016
NARRATIVE
2-16
April 2016
Common tasks performed in this area are monitoring vital signs, monitoring
the surgical site for excessive bleeding and swelling, managing postoperative pain and other symptoms.
PACUs are typically arranged with patient cubicles around a Central Nursing
Station. PACU bays can be three-walled with a cubicle curtain, but it is
recommended that they be four-walled rooms with a minimum dimension of
12 ft. (2720 mm) wide and 13 ft. (3660 mm) deep. For airborne isolation an
ante-room can be added to the four-walled rooms to provide a space for the
provider to gown prior to entering the patient room.
Immediate Use Sterilization (IUSS): Surgical instruments needing
sterilization are carried by the circulator in a tray from the Operating Room,
through the semi-restricted corridor, into the Immediate Use Sterilization
Room. Instruments are sterilized per established facility procedures, and
then immediately returned to the Operating Room. Sterilizers may be steam
or electric. A minimum of 3 ft. 8 in. (1100 mm) door width should be provided
to the on-site sterilization area to accommodate equipment movement in
and out of the room.
Housekeeping Aides Closet (HAC): Operating rooms are thoroughly cleaned
at the end of each surgical day. The room also must be cleaned between
each case. A dedicated housekeeping closet is required in the semi-restricted
area, which will support cleaning of all of the operating rooms, the Clean
Core, as well as the balance of the semi-restricted area.
Work Flow
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed to show possible routes that a
patient may take through the surgical department. It is important to note that
the major differences stem from the level of acuity of the procedure being
performed: in the case of ambulatory surgery the patient will arrive on the
day of surgery and be discharged on that same day without interaction with
any spaces outside of the surgery department. During an in-house or same
day admit surgery, intake and discharge of the patient will occur through
other hospital departments. In complex surgical cases, the patient will likely
not spend any time in pre and post procedural areas but be transferred
directly to the surgical intensive care unit. This serves to minimize patient
transfers and ultimately reduce patient risk.
Functional Adjacencies
The Surgical Suite is situated to prevent non-related traffic through the
department. It is divided into three distinct areas, which are defined by the
physical activities occurring within the area and staged in a progressive
NARRATIVE
2-17
April 2016
NARRATIVE
2-18
April 2016
not available to utilize a Clean Core Outer Racetrack concept, one corridor
outside the Operating Room may be considered a clean space where sterile
supplies are stored. Appropriate staff and materials flow must be followed to
maintain the separation of clean and soiled traffic. However, this arrangement
should only be considered for a small complement of Operating Rooms.
Appropriate staff and materials flow must be followed to maintain the
separation of clean and soiled traffic. However, this arrangement should
only be considered for a small complement of Operating Rooms.
Waste Management
Medical Waste: Medical waste is generated in medical exam rooms or in
patient rooms where it is bagged, collected and transported using specially
designated, closed containers to the soiled utility rooms. The waste is held
there until it is transported via the loading dock to the medical waste handling
facility.
General Waste: General waste is generated in all spaces and is held in
waste containers for collection either in a trash receptacle within the patient
room or bulk storage in the soiled utility closet. It is then collected by cart and
transported via the loading dock to the waste handling facility.
Recycling: Means of sorting, collecting, transporting and disposing of
recyclable material should be analyzed by locality and modified to suit local
conditions and practices.
Product types used in the building: disposable vs. recycle products should
be discussed as it is. An important design consideration in alternatives that
impacts physical space for waste disposal volumes.
Refer to the NEPA Interim Guidance for Projects for more information
regarding recycling requirements.
Soiled Linen: Reusable soiled linens are generated in patient rooms, physical
therapy gyms, and sometimes the medical exam rooms. They should be
collected in carts or hampers in the soiled utility rooms and transported to a
soiled linen holding room near the loading dock for pick-up. Medical exam
rooms may opt to use disposable paper products in which case, they would
be discarded after each use.
Utensils: Any medical care washable items incorporated in the plan of care
should be transported to the soiled utility room for holding. Items will then be
transported to a sterile processing department or service for cleaning and
reprocessing.
NARRATIVE
2-19
April 2016
2 United States Department of Veterans Affairs; The Veteran Population Projection Model
2014 (VetPop2014). 01 Oct 2014, Web. 03 June 2015
NARRATIVE
2-20
April 2016
26 of these surgery programs are Ambulatory Surgery Centers and 110 are
Inpatient surgery programs.
Intermediate and complex programs prevail today by representing 73% of
overall number of programs and covering majority of patients. Specifically
10 out of 68 complex programs provide services to a population of 80,000
plus uniques each and 46 out 68 complex programs provide services
to a population of 50,000 plus uniques each. Although there is no direct
correlation between demand and operative complexity designation of the
facility there is a tendency for facilities with 50,000 plus uniques to have an
Inpatient Complex designation. However, as case complexity grows across
the enterprise it will impact intermediate and standard facilities. Currently
there is a strong linear statistical relationship between demand and number
of operating rooms and staffed hours per week per operating room. In the
future, due to the changes described above, this paradigm may have to
be revisited to reflect complexity impact in addition to demand. Similarly,
complexity may impact further operating room utilization.
Specialty operating rooms services provided today include orthopedics,
neurosurgery, cardiothoracic, transplants, robotics and endovascular.
Endovascular (hybrid) operating rooms most common configurations are
monoplane and biplane modalities (either floor or ceiling mounted); they
allow for the integration of traditional surgical procedures with skin incisions
and interventions, e.g. transcatheter techniques with the puncture of a vessel
and represent a combination of surgical equipment with high-end imaging
modalities previously utilized in interventional radiology and/or cardiology
to angiography type of procedures. Endovascular (hybrid) operating rooms
provide services such as a) hybrid therapy for congenital heart disease;
b) hybrid therapy for valve disease; c) coronary artery disease; d) heart
rhythm disturbances; e) endovascular aortic repair (including transcatheter
aortic valve replacement (TAVR)); f) pacemaker and ICD implantation and
g) other interdisciplinary uses. Endovascular (hybrid) operating rooms
benefits are: a) they serve as a safety net for complex endovascular
procedures; b) they provide a multi-disciplinary environment conducive for
both minimally invasive and open surgeries; c) they allow for intra-operative
image guidance and efficacy evaluations; d) they provide an environment to
perform intraoperative and open procedures (stent and bypass graph) in a
single episode of care.
This integration and increase in array of services and complexity of treatments
changes the relationships between diagnostic cardiology and perioperative
services. As a proactive reflection of this change the space planning
criteria and design standards cover cardiac catheterization laboratory;
electrophysiology procedure room and transesophogeal echocardiography
NARRATIVE
2-21
April 2016
NARRATIVE
2-22
April 2016
CFM functions as the Authority Having Jurisdiction for all VA facilities and
projects.
Other Recommended Reference Standards
FGI Guidelines for Design and Construction of Hospital and Outpatient
Facilities: FGI Guidelines for Design and Construction of Hospital and
Outpatient Facilities Current Edition, published by the Facilities Guidelines
Institute with the assistance of the U.S. Department of Health & Human
Services.
HIPAA: The Healthcare Insurance Portability and Accountability Act of 1996
(HIPAA) protects individuals rights to audible as well as visual privacy.
This is especially the case with respect to protection of each individuals
medical records, private information and communications. The law protects
all conversations between patients and admission interviewers, caregivers,
nurses, physicians and families. The American Recovery and Reinvestment
Act (ARRA) passed by U.S. government in 2009 enacts special provisions
and legal enforcement tools for patient privacy, protection and security.
Office of Civil Rights (OCR) monitors HIPAA security rule compliance based
on ARRA provisions. Current penalties that can be implied by OCR for noncompliance with HIPAA are divided in four categories: (i) without knowledge;
(ii) based on reasonable cause; (iii) willful neglect and (iv) willful neglect, not
corrected. Penalties differ per violation versus maximum penalty according
to these four categories and vary between $100 and up to $1,500,000.
Disaster Planning: Situations can arise in which it may not be feasible to
evacuate patients for extended periods of time. In those cases, emergency
power will be required to maintain seamless equipment operation, heating,
ventilating and vertical transportation systems, and life safety systems. This
Design Standard recommends that the project consider planning for this
contingency in order to care for the veteran population especially when the
facility is located in an area where a high probability of threat exists from
natural disasters such as hurricanes and earthquakes. Smoke compartments
in a hospital allow staff to move patients to a safe area in the case of an
emergency while continuing patient care.
Medical staff are trained to respond to fires with the R.A.C.E. method. This
acronym stands for rescue, alarm, contain, evacuate, and describes a
methodology to take steps towards a quick evacuation of a building while
also trying to contain a fire and help people needing assistance to safety.
AORN Guidelines for Perioperative Practice: The Guidelines for Perioperative
Practice are published by the Association of periOperative Registered
Nurses (AORN), a non-profit association with the mission of promoting safety
NARRATIVE
2-23
April 2016
NARRATIVE
2-24
April 2016
environments. For areas where strong chemicals are used, such as soiled
utility rooms, seamless stainless steel counters with integral backsplash
should be used. Plastic laminate veneer materials may be used in nonclinical staff and administrative areas.
Acoustics/Noise Control: Interior acoustics that support speech intelligibility
and provide comfort can be difficult to obtain in an operating room where
non-porous materials are mandated for infection control requirements. It is
important to find ways to control reverberation and noise build-up in these
0
+
OR
OR
OR
OR
++
OR
OR
CLEAN CORE
OR
OR
SEMI-RESTRICTED CORRIDOR
+
-
POSITIVE PRESSURE
NEGATIVE PRESSURE
Figure 2.1
Air Pressurization Diagram
spaces. The acoustical design of patient spaces shall also be taken into
consideration, in particular the pre-operative/recovery areas and PACU, in
order to minimize patient stress and discomfort. Noise should be minimized
by the design of the physical environment and the selection of operational
systems and equipment.
Refer to PG 18-3: Topic 11 - Noise Transmission Control and the FGI
guidelines for additional information regarding the acoustical requirements.
Doors: The door from the semi-restricted corridor into the Operating Room
shall be at least 6 ft. (1820 mm) wide and located in such a way as to permit
the bed or gurney to move as directly as possible from the corridor to the
NARRATIVE
2-25
April 2016
side of the operating room table. For this reason, these doors are typically
located toward the foot of the operating table away from the anesthesia
equipment. If lead lining in the walls of the Operating Room is required by
a qualified physicist, it is mandatory that the doors into these rooms have
automatic door openers. To provide visibility between the semi-restricted
corridor and the Operating Room, a narrow view window will be provided in
the door.
For doors between the Clean Core and the operating rooms, a double acting
door, 4 ft. (1170 mm) wide, with a small view window is required.
For patient rooms in PACU and pre-operative/recovery areas verify with
applicable life safety codes that configuring the doors to open into the
corridor is allowable. Alternatively, the door can be configured to open into
the patient room.
2.2.3. Interior Design
Interior Finishes: Per the Room Finishes, Door and Hardware Schedule (PG
18-14), consider the following key factors in the design process, which have
an impact on the build environment and the patient experience:
Maintenance
Durability
Life cycle cost
Therapeutic attributes
Improved wayfinding
NARRATIVE
2-26
April 2016
NARRATIVE
2-27
April 2016
The current version of the VA HVAC Design Manual describes an air supply
distribution system for the general operating rooms. The Manual indicates
the minimum requirements for total air changes per hour (ACH) of supply
air to be provided at the point of delivery to the room which includes the
required minimum ACH of outside air. The supply air system provided is an
air curtain system. The system is comprised of two different types of ceiling
diffusers located within the operating room. The area above the patient is
provided with a laminar diffuser array sized in accordance with the current
version of ASHRAE Standard 170 and provides a slow velocity downward
wash of clean supply air over the operating table surgical zone. Combined
with this diffuser array is a four sided linear slot diffuser system using specially designed linear slot diffusers that surrounds the operating table surgical zone. Per the current version of the VA HVAC Design Manual, the linear
diffusers discharge a vertical airstream inclined at an outward angle toward
the sides of the operating room walls. The purpose of the linear diffusers is
to create a high velocity barrier of clean air to keep room contaminant particles which may be recirculating from the perimeter of the room away from
the surgical zone. The linear slot diffuser curtain should be sized to deliver
the air flow rate per foot per manufacturer recommendations. Flow rates
below this quantity may not properly isolate the surgical air zone from contaminants, while air flows above this quantity may increase the possibility of
re-entraining particles that have settled on the floor. The percentage of total
room supply air to be provided by the slot diffusers and the unidirectional
perforated diffusers is referenced in the VA HVAC Design Manual.
Unlike the general operating rooms, the hybrid operating rooms utilize a single large array of laminar flow diffusers which provides 100% of the required
room supply air. The laminar flow diffuser array is located over the operating
table and surrounding area to create a large surgical zone providing a slow
moving blanket of clean air over the patient and surrounding area. The operating rooms are the most positively pressurized spaces in the surgery suite.
Surgical Suite Air Handling Units: Air handling units serving the surgical suite
shall be provided with emergency power per requirements of the current
version of the VA HVAC Design Manual. Air handling units shall have the
capacity for utilizing 100% outside air where required by building code to
meet purge requirements.
Filtration: Filtration for the Surgical Suite HVAC systems shall be provided in
conformance with the current version of the VA HVAC Design Manual
Operating rooms and surgery support spaces shall follow the current version of the VA HVAC Design Manual unless noted otherwise. The room data
sheets provided in the Design Standard Templates chapter of this document
NARRATIVE
2-28
April 2016
refers the user to specific rooms types shown in the VA HVAC Design Manual unless noted otherwise. The room type referenced in the HVAC Design
Manual is found in a table that will provide the needed information for room
design temperatures, relative humidity range, room air changes, and space
pressure relationships.
It is highly desirable to identify the supply air zone described above by installing a patch of flooring material that is a different color from the rest of
the room. This patch should be located in the General Operating Room by
aligning it with the slot diffusers described above and for the Hybrid Operating Rooms by aligning with the perimeter of the laminar flow diffuser array.
This will indicate the sterile field.
Operating Room Return Air Requirements: During an operation, all of the
space from the floor itself to a distance 15 in. (380 mm) above is considered
contaminated. Therefore, all return grilles must be positioned low on the wall
above the floor. Return air for both the general operating rooms and hybrid
operating rooms is collected at low wall grilles. There shall be a minimum of
two low return air grilles located diagonally across from one another for each
operating room. The height of the bottom of the return air grilles above the
floor is indicated in the VA HVAC Design Manual.
Outdoor Air Requirements: The HVAC Design for surgery support spaces
shall provide each space with not less than the minimum recommended
quantity of ventilation air indicated in the current version of the VA HVAC
Design Manuals.
Exhaust and Return Air Requirements: The HVAC design for spaces other
than operating rooms shall provide return air or exhaust air as required
for the spaces to control the transfer of odors and provide proper room
pressurization. At a minimum, exhaust air and pressurization should be
provided as indicated in the VA HVAC Design Manuals.
Noise Criteria: The HVAC design shall provide resulting sound levels in
occupied spaces not to exceed the levels shown in the current version of the
VA HVAC Design Manual.
Design Features: HVAC design features such as the use of economizers
shall follow the design criteria outlined in the current version of the VA HVAC
Design Manual.
Temperature Control Criteria: The automatic temperature controls systems
and the use of individual temperature controls for operating rooms and
specific spaces shall be provided in accordance with the current version of
the VA HVAC Design Manual.
NARRATIVE
2-29
April 2016
Humidity Criteria: Humidity levels for the Surgical Suite HVAC systems shall
be provided in conformance with the current version of the VA HVAC Design
Manual.
2.2.5. Plumbing Systems
The plumbing and medical gas systems shall comply with the current version
of Department of Veterans Affairs (VA) Plumbing Design Manual, VA Design
and Construction Procedures, VA Master Construction Specifications and
VA Standard Details, where applicable. Deviations from the VA Standards
may be made, provided approval is obtained from the VA-CFM Consulting
Support Services or Facility Standards Services. Where state or local codes
are more stringent than the above requirements, submit criteria to the VA for
review and approval.
Domestic Water: Domestic water shall be distributed to the plumbing
fixtures and equipment. Design of the domestic water system shall follow
the VA Plumbing Design Manual. This includes design of water hammer
arrestors, domestic booster pump design, and central domestic hot water
and recirculating systems.
Plumbing Fixtures: Plumbing fixture types (including fixtures required to meet
person with disabilities requirements) and fixture flow restrictors (aerators
are prohibited) shall be in accordance with the current version of the VA
Plumbing Design Manual.
Sanitary Systems: Provide sanitary drain connections to plumbing fixtures
designed in accordance with the current version of the VA Plumbing Design
Manual.
Medical Gases and Medical Vacuum Systems: Medical compressed air,
oxygen and medical vacuum systems shall be provided in accordance with
the current version of the VA Plumbing Design Manual. Coordinate project
specific requirements with the VA. Provide a separate medical gas zone
valve box for each operating room in accordance with NFPA 99. Locate this
box in the semi-restricted corridor near the door to the operating room it
serves. See the current version of the VA Master Construction Specifications
for panel description.
In addition to the gases described above other gases such as Nitrogen,
Nitrous Oxide, and Carbon Dioxide are provided to the Operating rooms.
When Nitrous Oxide is provided a Waste Anesthesia Gas Disposal system
must also be present. Nitrogen control panels are to be provided to the Operating rooms in accordance with the latest version of NFPA 99.
NARRATIVE
2-30
April 2016
NARRATIVE
2-31
April 2016
Telecommunication
Systems,
Intercom, telephone and computer systems are all required in the operating
rooms. In addition, a code blue system is required in the event of a cardiac
arrest summoning designated staff to the OR from other areas of the hospital.
It is highly desirable for the articulating utility column serving the anesthesia
machine to have a telephone mounted on it since the anesthesia staff cannot
leave the head of the table. This will allow him/her to summon assistance
from the chief anesthesiologist when required or to request a replacement
when a break is needed.
Operating Room Integration: Originally focused on video routing, OR
integration is now defined by a broad set of applications that provide on
demand information to physicians, staff and administrators for use in the
operating room and beyond. Integration media is used to assist in preparation
for and in the performance of a procedure, as well as documentation,
NARRATIVE
2-32
April 2016
2-33
April 2016
NARRATIVE
2-34
April 2016
2-35
April 2016
editing software, and built in printing capability that can render pre-scripted
images automatically during a case or select images for use afterwards. This
functionality can also be tied to third party devices with USB ports and stored
on the hospital servers via centrally mapped network drives Digital recording
systems can capture images and video directly from OR cameras as well as
be linked to other inputs in other areas of the suite including mobile devices
with proper software. Once captured, the information can be made available
to any device on the hospital network with software that enables tiered
secure access, customizable to hospital and HIPPA compliance policies, for
downloads, information sharing with consulting physicians and incorporation
into electronic medical records.
It is preferred for these components to be non-proprietary in order to allow
for plug and play in the future.
Pneumatic Tube System: A pneumatic tube station should be considered in
order to provide an efficient means of delivering medications and labs to and
from the surgical suite to the main hospital pharmacy and main lab.
2.2.8. Fire Protection and Life Safety
Fire Detection and Sprinkler System:
Provide fire alarm and detection systems in compliance with NFPA 101
and NFPA 72 as well as VA Fire Protection Design Manual. Coordinate
the location of sprinklers with other ceiling systems in accordance with
the current version of the VA Master Construction Specifications and VA
Mechanical and Plumbing Design Manuals.
NARRATIVE
2-36
April 2016
DISCHARGE
PRE-OPERATIVE PHASE
PRE-PROCEDURAL ASSESSMENT
o ADMISSION
o REGISTRATION / P.A.T.
o EXAMINATION / CONSULTATION / REFERAL
o CLEARANCE
o FAMILY / PATIENT EDUCATION
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE
o GENERAL SURGERY
o SPECIALTY SURGERY
o OTHERS
o STANDARD
o INTERMEDIATE
o COMPLEX
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT
PHASE II RECOVERY
INPATIENT HOLDING
INPATIENT UNIT
Figure 3.1.1
Overall Diagram: Peri-Operative Services
FUNCTIONAL DIAGRAMS
3-1
April 2016
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE
o GENERAL SURGERY
o SPECIALTY SURGERY
o OTHERS
o STANDARD
o INTERMEDIATE
o COMPLEX
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT
INPATIENT UNIT
Figure 3.1.2
Hospital Based Surgery (Inpatient Flow)
FUNCTIONAL DIAGRAMS
3-2
April 2016
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE
o AMBULATORY SURGERY
o GENERAL SURGERY
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT
CRITICAL CARE UNIT
PHASE II RECOVERY
INPATIENT UNIT
OBSERVATION UNIT
PRE-OPERATIVE PHASE
CONSULTATION (FOLLOW-UP)
Figure 3.1.3
Ambulatory / Outpatient
Surgery
Flow
EMERGENCY
/ TRAUMA
BASED SURGERY
PRE-OPERATIVE PHASE
EMERGENCY DEPARTMENT / AMBULANCE
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE
o GENERAL SURGERY
o SPECIALTY SURGERY
o OTHERS
o STANDARD
o INTERMEDIATE
o COMPLEX
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT
PHASE II RECOVERY
INPATIENT HOLDING
INPATIENT UNIT
Figure 3.1.4
Emergency / Trauma Based Surgery Flow
FUNCTIONAL DIAGRAMS
3-3
April 2016
GENERAL
WATING
CONSULT
CONTROL
FEMALE PATIENT
LOCKERS /
CHANGING RM
STAFF
LOUNGE
MALE PATIENT
LOCKERS /
CHANGING RM
STAFF AND
ADMINISTRATIVE
AREA
SEMI-RESTRICTED CORRIDOR
PREP / HOLDING
PHASE II RECOVERY
CYSTO
EQUIP.
SUPPORT
NURSE
STATION
GENERAL
OR
GENERAL
OR
CLEAN
CORE
EQUIP.
GENERAL
OR
GENERAL
OR
DISTRIBUTION /
CLINICAL SUPPORT
SPS
IMMEDIATE
USE
STERILIZ.
PACU
EQUIP.
EQUIP.
SEMI-RESTRICTED CORRIDOR
Patient Circulation
FUTURE EXPANSION
Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
Red Line
Figure 3.2.1
Adjacency and Flow - Standard/Ambulatory Surgical Suite
FUNCTIONAL DIAGRAMS
3-4
April 2016
PUBLIC
ENTRANCE
STAFF AND
ADMINISTRATIVE
AREA
GENERAL
WATING
CONSULT
CLINICAL
SUPPORT
STAFF
LOUNGE
FEMALE
PATIENT
LOCKERS /
CHANGING
ROOM
CONTROL
SPS SOILED
ELEVATOR
MALE
PATIENT
LOCKERS /
CHANGING
ROOM
SPS CLEAN
ELEVATOR
SPS
SEMI-RESTRICTED CORRIDOR
PREP / HOLDING
PHASE II RECOVERY
EQUIP.
+
SPS SOILED
ELEVATOR
GENERAL
OR
SPS CLEAN
ELEVATOR
SPECIALTY
OR
GENERAL
OR
CCU
CONTROL
SUPPORT
CLEAN
CORE
GENERAL
OR
HYBRID
OR
NURSE
STATION
PREP / HOLDING
PHASE II RECOVERY
PACU
UROLOGY/
CYSTO OR
IMMEDIATE
USE
STERILIZ.
SPECIALTY
OR
EQUIP.
SEMI-RESTRICTED CORRIDOR
Patient Circulation
FUTURE EXPANSION
Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
Red Line
Figure 3.2.2
Adjacency and Flow - Intermediate/Complex Surgical Suite
FUNCTIONAL DIAGRAMS
3-5
April 2016
PUBLIC
ENTRANCE
STAFF AND
ADMINISTRATIVE
AREA
GENERAL
WATING
STAFF
LOUNGE
FEMALE
PATIENT
LOCKERS /
CHANGING
ROOM
CONSULT
CLINICAL
SUPPORT
CONTROL
SPS SOILED
ELEVATOR
MALE
PATIENT
LOCKERS /
CHANGING
ROOM
SPS CLEAN
ELEVATOR
SPS
SEMI-RESTRICTED CORRIDOR
EQUIP.
PREP / HOLDING
PHASE II RECOVERY
SPS SOILED
ELEVATOR
SPS CLEAN
ELEVATOR
NURSE
STATION
PACU
SUPPORT
FROZEN SECTION
LAB
CLEAN HOLDING
OR NURSE
DIRECTOR
ANESTHESIA
WORKROOM
ANESTHESIA
STORAGE
PHARMACY
BIO MEDICAL
ENGRG
SOILED HOLDING
HAC
ELECTRICAL ROOM
IT TELECOM ROOM
GENERAL
OR
SPECIALTY
OR
GENERAL
OR
CONTROL
CLEAN
CORE
HYBRID
OR
GENERAL
OR
NURSE
STATION
PREP / HOLDING
PHASE II RECOVERY
PACU
IMMEDIATE
USE
STERILIZ.
EQUIP.
CCU
UROLOGY/
CYSTO OR
SPECIALTY
OR
SEMI-RESTRICTED CORRIDOR
FUTURE EXPANSION
Patient Circulation
Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
Red Line
Figure 3.2.3
Adjacency and Flow - Intermediate/Complex Surgical Suite (Alternate)
FUNCTIONAL DIAGRAMS
3-6
April 2016
PUBLIC
ENTRANCE
SPS SOILED
ELEVATOR
STAFF
LOUNGE
GENERAL
WATING
CONSULT
STAFF AND
ADMINISTRATIVE
AREA
SPS CLEAN
ELEVATOR
FEMALE PATIENT
LOCKERS /
CHANGING ROOM
MALE PATIENT
LOCKERS /
CHANGING ROOM
SPS
SEMI-RESTRICTED CORRIDOR
PREP / HOLDING
PHASE II RECOVERY
BIO-MEDICAL
ENGRG
PHARMACY
SOILED
HOLDING
HAC
ELECTRICAL
ROOM
IT TELECOM
ROOM
SPS SOILED
ELEVATOR
EQUIP.
SPS CLEAN
ELEVATOR
SPECIALTY
OR
GENERAL
OR
IMAGING
SUPPORT
EQUIPMENT
NURSE
STATION
CONTROL
SUPPORT
FROZEN
SECTION LAB
CLEAN
HOLDING
OR NURSE
DIRECTOR
ANESTHESIA
WORKROOM
ANESTHESIA
STORAGE
CONTROL
GENERAL
OR
HYBRID
OR
CCU
CLEAN
CORE
GENERAL
OR
IMAGING
SUPPORT
EQUIPMENT
CONTROL
PACU
HYBRID
OR
GENERAL
OR
EQUIP.
CATH
PREP / HOLDING
PHASE II RECOVERY
IMMEDIATE
USE
STERILIZ.
INVASIVE
CARDIOLOGY
SUPPORT
UROLOGY/
CYSTO OR
CONTROL
EQUIP.
SEMI-RESTRICTED CORRIDOR
IMAGING
SUPPORT
EQUIPMENT
FUTURE EXPANSION
Patient Circulation
Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
Red Line
Figure 3.2.4
Adjacency and Flow - Complex Integrated Interventional Suite
FUNCTIONAL DIAGRAMS
3-7
April 2016
SEMI-RESTRICTED CORRIDOR
EQUIP
TO SURGICAL
PROCEDURE
SUPPORT
GENERAL
OR
CLEAN *
ELEVATOR
SOILED
ELEVATOR
GENERAL
OR
GENERAL
OR
EQUIP
TO SURGICAL
PROCEDURE
SUPPORT
CLEAN CORE
* MIS
OR
MIS
OR
MIS
OR
EQUIP
SEMI-RESTRICTED CORRIDOR
BASIC OR CONFIGURATION
Figure 3.2.5
Standard/ Ambulatory Surgical Suite Organization
SEMI-RESTRICTED CORRIDOR
SPECIALTY
OR
TO SURGICAL
PROCEDURE
SUPPORT
EQUIP
SPECIALTY
OR
CLEAN CORE
EQUIP
EQUIP
GENERAL
OR
GENERAL
OR
GENERAL
OR
EQUIP
TO SURGICAL
PROCEDURE
SUPPORT
CLEAN CORE
CLEAN
ELEVATOR
SOILED
ELEVATOR
SPECIALTY
OR
SPECIALTY
OR
MIS
MIS
MIS
Notes:
OR
OR
OR
* MIS - minimally invasive surgery. MIS uses a variety of techniques that inflict
lesser injury to a patient body
in comparison to a traditional open surgery. In
SEMI-RESTRICTED CORRIDOR
general, it is faster than open surgery and allows patient to recover faster and
heal with less pain and scarring. Minimally invasive surgery is usually done on
an outpatient basis or requires
only a short hospital stay.
FROM PRE-OPERATIVE HOLDING
EQUIP
EQUIP
SOILED
UTILITY
EQUIP
TO PACU / SICU
IMAGE
EQUIP
CATH/EP
LAB
FUNCTIONAL
DIAGRAMS
EQUIP
GENERAL
GENERAL
CONTROL
CATH/EP
LAB
CONTROL
* Clean and Soiled elevators are not required in facilities with central sterile
INTERMEDIATE
OR CONFIGURATION
processing,
distribution/ COMPLEX
and waste management
located on the same floor with
perioperative services.
IMAGE
EQUIP
EQUIP
OR
OR
GENERAL
OR
3-8
EQUIP
SOILED
ELEVATOR
* MIS
MIS CORRIDORMIS
SEMI-RESTRICTED
OR
OR
OR
EQUIP
April 2016
SEMI-RESTRICTED CORRIDOR
BASIC OR CONFIGURATION
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
BASIC OR CONFIGURATION
SEMI-RESTRICTED CORRIDOR
SPECIALTY
OR
TO SURGICAL
PROCEDURE
SUPPORT
TO SURGICAL
PROCEDURE
SUPPORT
SPECIALTY
OR
EQUIP
SPECIALTY
GENERAL
EQUIP
EQUIP
SEMI-RESTRICTED
CORRIDOR
OR
OR
EQUIP
SPECIALTY
OR
CLEAN CORE
EQUIP
EQUIP
CLEAN
ELEVATOR
GENERAL
OR
GENERAL
OR
EQUIP
GENERAL
GENERAL
OR
OR
CLEAN CORE
GENERAL
OR
EQUIP
MIS
OR
EQUIP
MIS
OR
MIS
OR
EQUIP
SOILED
ELEVATOR
SPECIALTY
OR
CLEAN CORESPECIALTY
CLEAN
EQUIP
OR ELEVATOR
EQUIP
SOILED
UTILITY
TO SURGICAL
PROCEDURE
SUPPORT
TO SURGICAL
PROCEDURE
SUPPORT
SOILED
ELEVATOR
SPECIALTY
OR
SPECIALTY
EQUIP
SOILED
OR
SEMI-RESTRICTED
CORRIDOR
EQUIP
UTILITY
MIS
OR
SEMI-RESTRICTED CORRIDOR
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
Figure 3.2.6
FROM PRE-OPERATIVE HOLDING
INTERMEDIATE / COMPLEX
OR CONFIGURATION
TO PACU
/ SICU Pods Organization
Intermediate/ Complex Surgical
Suite.
CATH/EP
LAB
CONTROL
CONTROL
CONTROL
CONTROL
CATH/EP
LAB
CLEAN CORE
EQUIP
PUMP
CLEAN
CORE
HYBRID
OR
CONTROL
IMAGE
EQUIP
SPECIALTY
OR
IMAGE
EQUIP
SPECIALTY
OR
PUMP
GENERAL
OR
GENERAL
OR
GENERAL
OR
EQUIP
EQUIP
GENERAL
OR
GENERAL
OR
CLEAN CORE
GENERAL
OR
EQUIP
MIS
OR
CLEANMIS
CORE
OR
MIS
OR
EQUIP
MIS
OR
EQUIP
CLEAN
IMAGE
ELEVATOR
EQUIP
IMAGE
EQUIP
HYBRID
OR
CONTROL
TO SURGICAL
PROCEDURE
SUPPORT
CATH/EP
LAB
EQUIP
IMAGE
EQUIP
IMAGE
EQUIP
TO SURGICAL
PROCEDURE
SUPPORT
EQUIP
SOILED
ELEVATOR
SPECIALTY
CLEAN
ELEVATOR
OR
SOILED
UTILITY
TO SURGICAL
PROCEDURE
SUPPORT
TO SURGICAL
PROCEDURE
SUPPORT
SOILED
ELEVATOR
SPECIALTY
SEMI-RESTRICTED
CORRIDOR
OR
SOILED
UTILITY
MIS
OR
MIS
OR
SEMI-RESTRICTED CORRIDOR
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
INTEGRATED OR CONFIGURATION
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
FUNCTIONAL DIAGRAMS
3-9
April 2016
The surgical suite is set up to carefully orchestrate the flow of patients, clinical
and support staff, sterile and soiled goods. It is achieved by on-stage vs. off-stage
circulation organization. A one-way flow of soiled goods out of the operating
room and sterile goods into the operating room on a separate, dedicated route
is preferred. This is best accomplished by grouping operating rooms around the
Clean Core, as illustrated in figures 3.2.8 and 3.2.9. Each Clean Core cluster
shall be limited to 6 to 8 operating rooms in total in order to avoid excessive
patient transportation and travel distances in the semi-restricted corridor.
SEMI-RESTRICTED CORRIDOR
SEMI-RESTRICTED CORRIDOR
EQUIP.
OR
OR
OR
EQUIP.
OR
EQUIP.
OR
OR
EQUIP.
EQUIP.
CLEAN CORE
SPS
CLEAN CORE
OR
OR
OR
CLEAN CORE
OR
OR
EQUIP.
EQUIP.
OR
OR
EQUIP.
OR
SEMI-RESTRICTED CORRIDOR
SEMI-RESTRICTED CORRIDOR
Figure 3.2.8
Clean Core, 1 Pod along Racetrack Single Loaded Corridor
SEMI-RESTRICTED CORRIDOR
OR
OR
EQUIP.
OR
OR
CLEAN CORE
OR
EQUIP.
CLEAN CORE
SEMI-RESTRICTED CORRIDOR
OR
OR
EQUIP.
OR
EQUIP.
OR
OR
EQUIP.
OR
EQUIP.
SEMI-RESTRICTED CORRIDOR
OR
OR
EQUIP.
OR
EQUIP.
CLEAN CORE
CLEAN CORE
Figure 3.2.9
Clean Core, 2 Pods along Racetrack Single Loaded Corridor - Alternate
FUNCTIONAL DIAGRAMS
OR
OR
OR
SUPPLIES / EQUIP.
SINGLE
SUPPLIES / EQUIP.
3-10
OR
OR
OR
EQUIP.
EQUIP.
April 2016
Figures 3.2.10, 3.2.11 and 3.2.12 illustrate alternate Clean Core organizations.
OR preferred,
OR
OR may be encountered in renovation
While these layouts are not
they
projects in existing facilities throughout the system.
EQUIP.
EQUIP.
CLEAN CORE
SEMI-RESTRICTED CORRIDOR
SUPPLIES / EQUIP.
OR
OR
OR
OR
OR
OR
EQUIP.
SUPPLIES / EQUIP.
CLEAN CORE
SEMI-RESTRICTED CORRIDOR
EQUIP.
SUPPLIES / EQUIP.
OR
OR
OR
OR
OR
OR
EQUIP.
SUPPLIES / EQUIP.
SEMI-RESTRICTED CORRIDOR
CLEAN COSRIEN, G
OLUETCEO
R RRRAICDEOTRR,ANCOK CORE
EQUIP.
Figure 3.2.10
Single Double Loaded Corridor, No Core
CLEAN CORE
OR
OR
OR
EQUIP.
OR
EQUIP.
SEMI-RESTRICTED CORRIDOR
EQUIP.
OR
OR
EQUIP.
CLEAN CORE
Figure 3.2.11
Single Double Loaded Corridor, Separate Cores
OR
OR
OR
FUNCTIONAL DIAGRAMS
SEMI-RESTRICTED CORRIDOR
SUPPLIES / EQUIP.
SINGLE CORRIDOR, N
SUPPLIES / EQUIP.
3-11
April 2016
SEMI-RESTRICTED CORRIDOR
OR
EQUIP.
OR
CLEAN CORE
OR
SPS
OR
EQUIP.
EQUIP.
OR
CLEAN CORE
OR
EQUIP.
OR
OR
SEMI-RESTRICTED CORRIDOR
Figure 3.2.12
Single Corridor, Outer Racetrack Single Loaded Corridor
SEMI-RESTRICTED CORRIDOR
OR
EQUIP.
OR
OR
OR
EQUIP.
OR
CLEAN CORE
OR
OR
EQUIP.
OR
CLEAN CORE
EQUIP.
SEMI-RESTRICTED CORRIDOR
FUNCTIONAL DIAGRAMS
3-12
April 2016
FUNCTIONAL DIAGRAMS
3-13
April 2016
SEMI-RESTRICTED CORRIDOR
SPD CLEAN
ELEVATOR
21-0 MIN.
6400 mm
OPERATING
ROOM
OPERATING
ROOM
OPERATING
ROOM
CLEAN CORE
OPERATING
ROOM
OPERATING
ROOM
PTS
OPERATING
ROOM
WORK
STATION
OPERATING
ROOM
OPERATING
ROOM
IMMEDIATE
USE STERIL.
Supply Storage
Equipment Storage
Clean Case Cart Storage
Case Carts
SEMI-RESTRICTED CORRIDOR
Figure 3.3.1
Clean Core Organization 1 - Centered Case Carts
FUNCTIONAL DIAGRAMS
3-14
April 2016
SEMI-RESTRICTED CORRIDOR
SPD CLEAN
ELEVATOR
21-0 MIN.
6400 mm
OPERATING
ROOM
OPERATING
ROOM
OPERATING
ROOM
CLEAN CORE
OPERATING
ROOM
OPERATING
ROOM
PTS
OPERATING
ROOM
WORK
STATION
OPERATING
ROOM
OPERATING
ROOM
IMMEDIATE
USE STERIL.
Supply Storage
Equipment Storage
Clean Case Cart Storage
Case Carts
SEMI-RESTRICTED CORRIDOR
Figure 3.3.2
Clean Core Organization 1 - Centered Supply Storage Shelving
FUNCTIONAL DIAGRAMS
3-15
April 2016
FUNCTIONAL DIAGRAMS
3-16
April 2016
4-i
April 2016
4-55
4-56
4-58
4-67
4-67
4-68
4-69
4-70
4-71
4-72
4-73
4-75
4-84
4-84
4-85
4-86
4-87
4-88
4-89
4-90
4-92
4-103
4-103
4-104
4-105
4-106
4-107
4-109
4-112
4-112
4-113
4-114
4-115
4-116
4-117
4-118
4-120
4-130
4-130
4-131
4-132
4-133
4-134
4-135
4-ii
April 2016
4-136
4-138
4-147
4-147
4-148
4-149
4-150
4-151
4-152
4-153
4-155
4-165
4-165
4-166
4-167
4-168
4-170
4-171
4-172
4-174
4-186
4-186
4-187
4-188
4-189
4-191
4-192
4-193
4-195
4-207
4-207
4-208
4-209
4-210
4-211
4-213
4-216
4-216
4-217
4-218
4-219
4-220
4-221
4-222
4-iii
April 2016
4-iv
April 2016
4-v
April 2016
4-vi
April 2016
4-1
CB
CB
NC
NC
SS
SS
NURSE C
NURSE C
NURSE C
NURSE C
NURSE C
NURSE C
NURSE C
April 2016
ARCHITECTURAL
GFI
GFI
D 3D 3
PP
PP
SS
SS
T
T
SD
SD
GYPSUM BOARD
DT
1-
WHEELCHAIR CLEARANCE
ANCY SENSOR
- 2
-
4-
0"
0"
S
SP
INTERIOR
3-
9-0
DT
JSN
EQUIPMENT
NAME
JSN
EQUIPMENT NAME
DT
INTERIOR
DT
WHEELCH
S
WHEELCH
DT
S
5'-6"
R
IAMETE
TU5R'-N6D"
R
IAMETE
TURN D
CENTERLINE
ROOM TH
ROOM
TH
SP
TELEVISI
DT
SD
TELEVISIO
4-2
SS
FB1
FLUORESCENT LIGHT F
HVAC SUPPLY
SYSTEM
DESCRIPTION OF SYMBOLS
WIRING
DEVICES
SWITCHES
SYMBOL
aa
a
33
3
LIGHTING
DEVICES /
FIXTURES
THR
TH
THR
EXHAUST REGISTER
HOOD EXHAUST
3 33 3 DRYER EXHAUST
3 3
DD
D
RETURN GRILLE
DT
PPPP
PP
SPRINKLER HEAD
LOW
LO
LOW
ON
O
ON
SW
SW
SW
LOW
LO
LOW
OCCUPANCY SENSOR
2'X4
2'
2'X
DU
D
DU
EM
EM
EM
GR
G
GR
QU
Q
QU
JJ
J
JUN
JU
JUN
FBFB
FB
FLO
FL
FLO
TEL
TE
TEL
TV TV
TV TV
TV TV
SPE
SP
SP
SS
S
NU
N
NU
NCC
NCC
NCC
NU
N
NU
CBCB
CB
NU
N
NU
NCNC
NC
NU
N
NU
SSSS
SS
GFIGFI
GFI
TT
T
D
D D3
CC
C
NU
N
NU
4-3
DUPLEX RECE
Q
EFD
EMERGENCYE
8" X 4' INDIR
TD
EMERGENCY
EMERGENCY
QJ
+42
DUPLEX OUTL
G
TV
TV
J
G
+42
DUPLEX
OUTL
April
2016
FB+42
1'X4' DIREC
DUPLEX
OUTLS
T
F
GFI
GROUND FAUL
JU
GFI
GROUND
FAU
SGFI
GROUND
FAUL
FAUT
2'X4' DIREC
N
FB TV
TV
Q
S
Q
VOICE/TELEPH
J
F
J
VOICE/TELEPH
TV TV
VOICE/TELEPH
NCC
DUPLEX
RECE
N
S
S
JU
SINGLE SWITC
N
JU
SINGLE SWITC
SWITC
FBS
SINGLE
EMERGENCY
FB
CB
TD
1'X4'
DIREC
N
F
DIMMER SWIT
NCC
N
F
GFI
w/EMERGEN
DIMMER
SWIT
DIMMER
SWIT
DUPLEX
OUTL
TV
TV
NC+42
NCC
S
THREE WAY T
SN
CB
N
THREE
WAY SS
2'X4' DIREC
THREE
WAY
GFI
GROUND
FAUL
STV
TVSS
GM
CB
w/EMERGEN
PUSH
PLATE
(
PP
SN
P NC
PUSH
PLATE
N
GFI
PP
PUSH
PLATE
((
PP
VOICE/TELEPH
T
T
NC
CB
SGFI
SP NCC
SP
NURSE
CALLNN
D
WALLWASH
SS
CB
NURSE CALL
CALLND
D
CB
NURSE
SINGLE SWITC
TV TV
TV
TVTV
P
TV
S
SS
NURSE
CALLSD
NC
CB
NCC
PENDANT
NURSE
CALLNN
D
NC
NURSE
CALL
NC
T
SP SP
DIMMER
SWITD
S
SS
S
ND
NURSE CALLN
NC
TV CB
TV
DOWNCALL
LIGH
SS
NURSE
CALL
NND
SS
C
NURSE
THREE WAY SD
FLOOR BOX P
FB1
TSS
NCC
N
NCC
FLOOR
BOX N
PN
FB1
NC
FLOOR
BOX
PN
FB1
SPRINKLER
PP
PP
PUSH
PLATE
(
PP
T
2' x 4' INDIREC
C
CB
SS
N
2' xx 4'
4' INDIREC
INDIREC
CB
SS
LIGHT
FIXTUR
2'
N
H
PASSIVE
IN
CB
NURSE
CALL
LIGHT
FIXTUR
C
LIGHT FIXTURND
PP
NC
NC
N
4' FLUORESCE
NURSE
CALLNR
D
NC
PP
4'
FLUORESCE
PP
4'
FLUORESCE
HT
SS
SS
SS
FLUORESCEN
PP
ND
SS
NURSE
CALLN
FLUORESCEN
T
H
FLUORESCEN
C
TSS
R
SUPPLY
FLOORSUPPLY
BOX P
FB1 - HVAC
HVAC SUPPLY
SUPPLY
R
HVAC
CPP
T
RETURN
2' x 4' INDIREC
LIGHT
FIXTUR
T
H
RETURN
GRILL
T
T
PP
RETURN
GRILL
RETURN
GRILL
LINEAR
DIF
C
4' FLUORESCE
C
R
H
EXHAUST REG
EXHAUST REG
REG
EXHAUST
FLUORESCEN
PP
J
GFI
AUXILIARY
SYSTEMS
GFI
P
SP
NURSE
CALL DEVICE (PULL CORD)
GFI
D 3
PPGFI
MECHANICAL SSROOM THERMOSTAT
PP
SS
GFI
ROOM
HUMIDISTAT (MOISTURE)
HVAC SUPPLY
D 3
PP
GFI
GFI
SS
HVAC RETURN
DD 33
PP
SS*LINEAR DIFFUSER
EXHAUST REGISTER
PP
PP
SSHOOD EXHAUST
SS
PLUMBING
PP
SS
D 3D 3
D 3D 3
PP
NURSE CALL DEVICE (CODE BLUE)
SS
PP
SS
D 3
D 3
DD 3 3
D 3
SP
GFI
D DDD 3 333
WIRING
DUPLEX RECEPTACLE
DEVICES
RECEPTACLES GROUND FAULT INTERRUPTER RECEPTACLE
PP
RT
H
H
SPRINKLER HEAD
DT
DT
DT
HOOD EXHAUS
HOODSUPPLY
EXHAU
HOOD
EXHAUS
HVAC
EXHAU
DRYER EXHAU
R
DRYER EXHAU
EXHAU
R
DRYER
RETURN
GRILL
--
SPRINKLER HT
TH
SPRINKLER H
SPRINKLER
EXHAUST REG
OCCUPANCY S
OCCUPANCY S
OCCUPANCY
HOOD EXHAUS
DRYER EXHAU
SPRINKLER H
DT
OCCUPANCY S
4-4
April 2016
Axonometric
140 NSF / 13,1 NSM
DESIGN GUIDE PLATES
Pre-Operative Holding Area
4-5
April 2016
GFI
1
2
TV
12' - 4"
3759mm
M4665
STRETCHER,
RECOVERY, SURGICAL
M7040
TABLE, OVERBED
F0205
SIDE CHAIR WITH ARMS
F3200
CLOCK, BATTERY, 12IN
A5145
HOOK, GARMENT, DOUBLE
M3070
HAMPER, LINEN
a b
A5180
TRACK, CUBICLE,
SURFACE MOUNTED,
WITH CURTAIN
A5082
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE
A5077
DISPENSER, HAND SANITIZER, HANDS FREE
NC
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
A1107
RAIL SYSTEM, UTILITY,
GAS AND ELECTRIC
M7845
MONITOR, PHYSIOLOGICAL, BEDSIDE
M4255
STAND IV
11' - 4"
3454mm
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
CT020
COUNTER, SOLID
SURFACE
CS140
SINK, SS,GENERAL,
SINGLE X, 10X14X ID
A5075
DISPENSER, SOAP
F2010
BASKET, WASTEPAPER,
STEP-ON
A1012
TELEPHONE, WALL
MOUNTED, 1 LINE
A5220
A5212
BRACKET, TV,
WALL-MOUNTED,
TILT/ANGLE
E0948
CART, GENERAL
STORAGE, MOBILE
M0506
TELEVISION, FLAT
SCREEN
A5107
DISPENSER, GLOVE,
WALL-MTD
A5108
WASTE DISPOSAL UNIT,
SHARPS
M1803
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
8'
16'
Floor Plan
140 NSF / 13,1 NSM
4-6
April 2016
12' - 4"
3759mm
9' - 0"
ab
5' - 8"
1727mm
5' - 8"
1727mm
BED
11' - 4"
3454mm
8'
16'
4'
Elevations 1 & 2
140 NSF / 13,1 NSM
8'
16'
M1803
M1801
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
M4255
STAND IV
M4266
PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES
M0755
FLOWMETER, OXYGEN, LOW FLOW
A5220
A5212
BRACKET, TV, WALL-MOUNTED, TILT/ANGLE
A1012
TELEPHONE, WALL MOUNTED, 1 LINE
A5077
DISPENSER, HAND SANITIZER, HANDS FREE
A5082
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE
ELEVATION 2
11' - 4"
3454mm
ELEVATION 1
12' - 4"
3759mm
M4665
STRETCHER, RECOVERY, SURGICAL
A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
M7845
MONITOR, PHYSIOLOGICAL, BEDSIDE
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
A5108
WASTE DISPOSAL UNIT, SHARPS
E0948
CART, GENERAL STORAGE, MOBILE
A5107
DISPENSER, GLOVE, WALL-MTD
M0506
TELEVISION, FLAT SCREEN
4-8
April 2016
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Floor Finish:
Welded
Flooring
Slab Depression:
None Special
Sound Protection:
None
Doors:
None
Seam
Sheet
LIGHTING
COMMUNICATIONS
Maintained
Average
Illumination Ambient:
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
Yes
Code Blue:
Yes
4 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Public Address:
No
No
VA Satellite TV:
Yes
Video Teleconferencing
(VTEL):
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
Dimming
switching
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
.
4-9
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes (1)
Medical Vacuum
Yes (1)
Oxygen
Yes (1)
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-10
April 2016
NAME
Telephone, Wall
Mounted, 1 Line
QTY ACQ/INS
1
DESCRIPTION
C/C
A1107
C/C
The headwall rail system shall consist of three horizontal rails mounted to the patient room headwall
to provide utilities and patient services to support
ancillary equipment to include gas and vacuum.
The rail system must be capable of quickly adding
or relocating medical gases services and be able to
accept new equipment, provide physical support to
equipment, brackets, shelves and other patient support items.
A5075
Dispenser, Soap,
Disposable
V/V
V/V
C/C
V/V
V/V
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Waste Disposal Unit,
A5108
Sharps
Hook, Garment,
A5145 Double, SS, Surface
Mounted
4-11
April 2016
C/C
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
C/C
Wall mounted television bracket backing which provides additional support and strength for the installation of the television bracket. Option available for
interior or exterior plate and sized for 12 16 or 24
stud spacing.
C/C
C/C
C/C
A solid, nonporous countertop with a smooth seamless appearance. Easy to clean and maintain and
with proper cleaning does not support the growth of
mold. An acrylic-based solid surface product. Standard thickness of 1, and a 4 butt backsplash/curb.
Also referred to as a work surface or work top. Available in a choice of colors and depths. Used in lab
and other hospital areas requiring optimum physical
and chemical resisting properties.
V/V
A5220
Bracket, Television,
Wall Backing
CT020
Countertop, Solid
Surface
4-12
April 2016
F0205
V/V
F2010
Basket, Wastepaper,
Step-On
V/V
V/V
V/V
V/V
V/V
V/V
F3200
M0506
M0750
M0755
Clock, Battery, 12
Diameter
Television, Flat
Screen
Flowmeter, Oxygen,
Low Flow
4-13
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
M4266
M4665
Pump, Volumetric,
Infusion, Multiple Line
Stretcher, Recovery,
Surgical
April 2016
V/V
V/V
A wall mounted computer workstation with height adjustable monitor and keyboard arms. Keyboard and
monitor can be stored within 8 to 10 of wall. Fingertip adjustability for keyboard and monitor enable frequent position changes. Unit contains an integrated
cable management system to hide wires. A separate
wall-mounted CPU holder is included.
V/V
V/V
V/V
V/V
V/V
Recovery/surgical stretcher. Strong I-beam construction type unit. The height is adjustable with manual
backrest and crank operated knee catch. Stainless
or painted steel top and chassis. Features 8 or
10 conductive casters, with lock and brake, folding,
tuck-away chrome side-rails and IV stand and a flame
retardant antibacterial mattress. Designed for operating room transport or recovery applications.
4-14
April 2016
V/V
V/V
4-15
April 2016
Axonometric
140 NSF / 13,1 NSM
DESIGN GUIDE PLATES
Pre-Operative Holding Area
4-16
April 2016
M4665
STRETCHER,
RECOVERY, SURGICAL
M7040
TABLE, OVERBED
A5180
TRACK, CUBICLE,
SURFACE MOUNTED,
WITH CURTAIN
a b
A5145
HOOK, GARMENT,
DOUBLE
F0205
SIDE CHAIR WITH ARMS
6" AFC
GFI
M3070
HAMPER, LINEN
12' - 4"
3759mm
TV
F3200
CLOCK, BATTERY, 12IN
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
NC
A1107
RAIL SYSTEM, UTILITY,
GAS AND ELECTRIC
CT020
COUNTER, SOLID
SURFACE
CS140
SINK, SS,GENERAL,
SINGLE X, 10X14X ID
F2010
BASKET, WASTEPAPER,
STEP-ON
A5075
DISPENSER, SOAP
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
A5082
DISPENSER, PAPER
TOWEL, SENSOR, HANDS
FREE
A1012
TELEPHONE, WALL
MOUNTED, 1 LINE
A5220
A5212
BRACKET, TV,
WALL-MOUNTED,
TILT/ANGLE
M0506
TELEVISION, FLAT
SCREEN
E0948
CART, GENERAL
STORAGE, MOBILE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5108
WASTE DISPOSAL UNIT,
SHARPS
M7845
MONITOR, PHYSIOLOGICAL, BEDSIDE
M4255
STAND IV
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
M1803
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
11' - 4"
3454mm
8'
16'
Floor Plan
140 NSF / 13,1 NSM
4-17
April 2016
12' - 4"
3759mm
9' - 0"
ab
5' - 8"
1727mm
5' - 8"
1727mm
BED
11' - 4"
3454mm
8'
16'
4'
Elevations 1 & 2
140 NSF / 13,1 NSM
8'
16'
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
M4255
STAND IV
M0755
FLOWMETER, OXYGEN,
LOW FLOW
M1803
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
A1012
TELEPHONE, WALL MOUNTED, 1 LINE
A5082
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE
A5077
DISPENSER, HAND SANITIZER, HANDS FREE
A5075
DISPENSER, SOAP
CS140
SINK, SS,GENERAL, SINGLE X, 10X14X ID
CT020
COUNTER, SOLID SURFACE
C0037
RAIL, APRON, 4x36x1
F2010
BASKET, WASTEPAPER,
STEP-ON
ELEVATION 2
11' - 4"
3454mm
ELEVATION 1
12' - 4"
3759mm
M4665
STRETCHER, RECOVERY, SURGICAL
A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
M7845
MONITOR, PHYSIOLOGICAL, BEDSIDE
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
A5107
DISPENSER, GLOVE, WALL-MTD
E0948
CART, GENERAL STORAGE, MOBILE
A5108
WASTE DISPOSAL UNIT, SHARPS
M0506
TELEVISION, FLAT SCREEN
A5212
BRACKET, TV, WALL-MOUNTED, TILT/ANGLE
4-19
April 2016
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Floor Finish:
Welded
Flooring
Slab Depression:
None Special
Sound Protection:
35 STC
Doors:
Seam
Sheet
LIGHTING
COMMUNICATIONS
Maintained
Average
Illumination Ambient:
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
Yes
Code Blue:
Yes
4 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Public Address:
No
No
VA Satellite TV:
Yes
Video Teleconferencing
(VTEL):
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
Dimming
switching
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
.
4-20
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes (1)
Medical Vacuum
Yes (1)
Oxygen
Yes (1)
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-21
April 2016
NAME
Telephone, Wall
Mounted, 1 Line
QTY ACQ/INS
1
DESCRIPTION
C/C
A1107
C/C
The headwall rail system shall consist of three horizontal rails mounted to the patient room headwall
to provide utilities and patient services to support
ancillary equipment to include gas and vacuum.
The rail system must be capable of quickly adding
or relocating medical gases services and be able to
accept new equipment, provide physical support to
equipment, brackets, shelves and other patient support items.
A5075
V/V
V/V
C/C
V/V
V/V
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Waste Disposal Unit,
A5108
Sharps
Hook, Garment,
A5145 Double, SS, Surface
Mounted
4-22
April 2016
C/C
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
C/C
Wall mounted television bracket backing which provides additional support and strength for the installation of the television bracket. Option available for
interior or exterior plate and sized for 12 16 or 24
stud spacing.
C/C
C/C
C/C
A solid, nonporous countertop with a smooth seamless appearance. Easy to clean and maintain and
with proper cleaning does not support the growth of
mold. An acrylic-based solid surface product. Standard thickness of 1, and a 4 butt backsplash/curb.
Also referred to as a work surface or work top. Available in a choice of colors and depths. Used in lab
and other hospital areas requiring optimum physical
and chemical resisting properties.
V/V
A5220
Bracket, Television,
Wall Backing
CT020
Countertop, Solid
Surface
4-23
April 2016
F0205
V/V
F2010
Basket, Wastepaper,
Step-On
V/V
V/V
V/V
V/V
V/V
V/V
V/V
F3200
M0506
Clock, Battery, 12
Diameter
Television, Flat
Screen
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
4-24
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
M4266
M4665
Pump, Volumetric,
Infusion, Multiple Line
Stretcher, Recovery,
Surgical
April 2016
V/V
A wall mounted computer workstation with height adjustable monitor and keyboard arms. Keyboard and
monitor can be stored within 8 to 10 of wall. Fingertip adjustability for keyboard and monitor enable frequent position changes. Unit contains an integrated
cable management system to hide wires. A separate
wall-mounted CPU holder is included.
V/V
V/V
V/V
V/V
V/V
Recovery/surgical stretcher. Strong I-beam construction type unit. The height is adjustable with manual
backrest and crank operated knee catch. Stainless
or painted steel top and chassis. Features 8 or
10 conductive casters, with lock and brake, folding, tuck-away chrome side-rails and IV stand and a
flame retardant antibacterial mattress. Designed for
operating room transport or recovery applications.
V/V
4-25
V/V
April 2016
4-26
April 2016
Axonometric
240 NSF / 22,3 NSM
DESIGN GUIDE PLATES
Anesthesia Procedure Patient Area
4-27
April 2016
F3200
CLOCK, BATTERY, 12IN
M1825
PRINTER, COMPUTER
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
3a
E0220
WORKSURFACE, W
OVERHD CAB AND
DRWRS, WALL MTD
F0230
CHAIR, DRAFTING,
ROTARY
M2055
SHELVING, STORAGE,
WIRE, CRS, W
ADJUSTABLE SHELVES
F2000
BASKET, WASTEPAPER,
ROUND, METAL
F3050
WHITE BOARD, DRY
ERASE
17' - 6"
5334mm
A1015
TELEPHONE, DESK,
MULTIPLE LINE 12x12
M2055
SHELVING, STORAGE,
WIRE, CRS, W
ADJUSTABLE SHELVES
3a
13' - 8"
4166mm
8'
16'
Floor Plan
240 NSF / 22,3 NSM
4-28
April 2016
9' - 0"
DT
17' - 6"
5334mm
13' - 8"
4166mm
8'
16'
April 2016
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Resilient Base
Floor Finish:
Slab Depression:
None Special
Sound Protection:
None
COMMUNICATIONS
Doors:
Data:
Yes
Telephone:
Yes
Cable Television:
No
LIGHTING
Duress Alarm:
No
Maintained
Average
Illumination Ambient:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
Intercom:
No
No
Nurse Call:
No
Code Blue:
No
Public Address:
Yes
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
4 or 3 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80% shall be
on emergency battery packs
Three way and ceiling
mounted motion sensor.
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
Special Requirement:
Notes:
HEATING, VENTILATING AND AIR
CONDITIONING
General Requirement: Refer to Anesthesia Workroom and Equipment Room data sheet in the
current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air
change requirements, and pressurization.
4-30
April 2016
No
Hot Water:
No
Waste:
No
No
Medical Air
No
Medical Vacuum
No
Oxygen
No
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-31
April 2016
JSN
A1015
NAME
Telephone, Desk,
Multiple Line
Worksurface, w/
E0220 Overhd Cab & Drwrs,
Wall Mtd, 72 W
F0230
F2000
F3050
F3200
Chair, Drafting,
Rotary
Basket, Wastepaper,
Round, Metal
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
QTY ACQ/INS
1
DESCRIPTION
C/C
V/V
V/V
V/V
C/C
V/V
V/V
4-32
Shelving, Storage,
M2055 Wire, CRS, w/Adjustable Shelves
April 2016
V/V
V/V
Stationary, wire, shelving unit. Unit has fully adjustable shelves constructed of stainless steel. For
use in general purpose storage areas. Shelving is
provided in various sizes and configurations. Price
provided is for a unit approximately 74H x 18D x
48W with four shelves.
4-33
April 2016
Axonometric
650 NSF / 60,4 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-34
April 2016
A5107
TVGM TV
RETURN AIR
DUCT (TYPICAL)
A4015
H T
SCRUB ALCOVE
IPS
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
GM
A5077
M8910
F3050
1
4
2
3
M8925
M8840
M3175
M5512
M4815
M5030
M8900
M8905
M8920
M8940
M3072
M3070
M8830
M5030
A1014
M8825
M3150
M4816
M9110
M4266
M4255
M8825
GM
M3070
F0355
28' - 8"
8738mm
M8810
M8950
M4255
U0112
M8970
M8551
E0954
M7650
M3080
M4255
M4266
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
M0630
M7845
M8940
M8800
A5108
U0124
M8920
M3080
U3092
IPS
M4645
GM
Da Db
A5077
A5107
23' - 5"
7137mm
CLEAN CORE
8'
16'
Floor Plan
650 NSF / 60,4 NSM
4-35
April 2016
U0114
M0765
M8606
A1130
A1122
10' - 0"
6' - 2"
1877mm
AIR
CURTAIN
ab
5' - 10"
1781mm
ab
ab
16' - 2"
4927mm
LAMINAR AIR
FLOW
DIFFUSER
M1801
A1122
(DOCUMEN
TATION)
ab
ab
ab
28' - 8"
8738mm
7' - 0"
2134mm
ab
U0116
M7490
TABLE
7' - 0"
2134mm
M7475
ab
ab
12' - 6"
3811mm
ab
ab
ab
6' - 2"
1877mm
2O, 3V, 1A, WAGD, 1 NITROUS
OXIDE, 6 EMER DUPLEX, 4
DATA FACE PLATES
(ANESTHESIA)
EQ
A1120
M1801
M0765
M0755
M0750
U0116
U0100
5' - 10"
1781mm
TABLE
EQ
23' - 5"
7137mm
8'
16'
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5107 DISPENSER, GLOVE, WALL-MTD
A5077 DISPENSER, HAND SANITIZER,
HANDS- FREE
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET, TELEVISION WALL MTD,
TILT/ANGLE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/ 50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING, W/
FLATPANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG W/
LID
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS
DOOR, 6 SHELF
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING MOUNTED,
SINGLE, LARGE
4-37
4'
8'
Elevations 1 & 2
650 NSF / 60,4 NSM
F3050
WHITE BOARD, DRY
ERASE
F3200
CLOCK, BATTERY, 12IN
M8910
CART, SURGICAL CASE
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
23' - 5"
7137mm
A4015
ELAPSE TIME CLOCK
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
F0355
FOOTSTOOL, STRAIGHT
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
4-38
Elevations 3 & 4
650 NSF / 60,4 NSM
4'
8'
MONITOR/ RECORDER
M8830
AUTO
TABLE, INSTRUMENT/DRESSING
LOW WALL RETURN AIR
M7650
REGISTER
DEFIBRILLATOR/
E0954
MONITOR/ RECORDER
CART, EMERGENCY, MOBILE
AUTO
LOW WALL RETURN AIR
REGISTER
SCALE: 3/16 = 1-0 E0954
CART, EMERGENCY, MOBILE
M8830
TABLE, INSTRUMENT/DRESSING
M3070
M7650
HAMPER,
LINEN
DEFIBRILLATOR/
M3070
HAMPER, LINEN
M8920
STAND, BASIN, DOUBLE
A5077
M8920
DISPENSER,
HAND
STAND,
BASIN, DOUBLE
SANITIZER,
HANDS
FREE
A5077
A5107
DISPENSER, HAND
DISPENSER, SANITIZER,
GLOVE, WALL-MTD
HANDS
FREE
A5107
DISPENSER, GLOVE, WALL-MTD
ELEVATION 4
ELEVATION 3
16'
21' - 5"
6528mm
21' - 5"
6528mm
28' - 8"
8738mm
28' - 8"
8738mm
M8910
CART, SURGICAL CASE
M8910
CART, SURGICAL CASE
LOW WALL RETURN
AIR REGISTER
M8905
PAIL, WALL
UTILITY
LOW
RETURN
AIR REGISTER
M8905
PAIL,
UTILITY
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M4645
LOW
WALL RETURN AIR REGISTER
PATIENT
U3092 TRANSFER
DEVICE DISPOSAL CART,
SHARPS
ISOLATION
POWER SYSTEM
W FOOT PEDAL
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
M4645
U0124
PATIENTMANAGEMENT
TRANSFER
WASTE
DEVICE
SURGICAL FLUID
ISOLATION
POWER SYSTEM
COLLECTION
4-39
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
4-40
connect a minimum of
12 receptacles to Normal
Power IPS
April 2016
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (1)
COMMUNICATIONS
Medical Vacuum
Yes (7)
Data:
Yes
Oxygen
Yes (2)
Telephone:
Yes
Special Requirement:
Cable Television:
No
Notes:
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Special Requirement:
Notes:
4-41
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-42
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
C/C
V/V
V/V
F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-43
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-44
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
M4266
M4645
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
4-45
M5030
M5512
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
V/V
C/C
C/C
V/V
V/V
4-46
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-47
M8840
M8905
M8920
M8925
Stool, Anesthesia,
M8940
With Back
M8970
April 2016
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
V/V
V/V
V/V
4-48
M9110
Table, Operating, 5 or
6 Section, Trauma
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent and conductive panels and is equipped
with cassette tunnels in each of the table top sections. Table includes: Electro-hydraulic controls, side
rail locking system, grounding receptacle and dual
arm support section. It is designed for use in the
operating room in a variety of surgical procedures.
Table is configured to address the needs of trauma
surgery.
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
Waste Management
U0124 Surgical Fluid Collection
U3092
Sharps Disposal
Cart, w-Foot Pedal
4-49
April 2016
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-50
April 2016
U0117
A5212
TV
TV
GM
A5107
RETURN AIR
DUCT (TYPICAL)
F3200
SCRUB ALCOVE
M8910
A5077
M8830
A4015
1
4
IPS
2
M4815
M8920
GM
M8925
GM
X4890
M8840
M5030
M3072
M4816
M8810
U0112
M4255
M8551
M3175
M5512
M8825
M8950
M4255
M4266
M8840
M8970
M4255
M4266
E0954
M7650
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
U3092
IPS
F0355
M5030
M9110
M3070
M8940
A1014
M8810
M3070
F3050
M0630
M7845
M8940
M8800
A5108
U0124
GM
28' - 8"
8738mm
M8905
M8900
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
M3150
M3080
M3080
A5077
Da Db
M8920
M4645
A5107
26' - 10"
8179mm
CLEAN CORE
8'
16'
Floor Plan
750 NSF / 69,7 NSM
4-51
April 2016
U0114
M0765
M8606
A1130
A1122
M0765
M0755
M0750
A1120
10' - 0"
8' - 0"
2436mm
ab
8' - 0"
2440mm
ab
ab
ab
16' - 2"
4927mm
AIR CURTAIN
LAMINAR AIR
FLOW DIFFUSER
M7475
M7490
ab
ab
ab
ab
28' - 8"
8738mm
7' - 0"
2134mm
(DOCUMEN
TATION)
A1122
M1801
ab
ab
TABLE
U0116
7' - 0"
2134mm
12' - 6"
3811mm
ab
EQ
ab
A1120
M1801
M0765
M0755
M0750
ab
TABLE
U0116
U0100
ab
M0765
A1122
A1130
NOTE: REFER
TO ROOM DATA
SHEET FOR
ACCESS PANELS
EQ
26' - 10"
8179mm
8'
16'
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5077 DISPENSER, HAND SANITIZER,
HANDS-FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET, TELEVISION WALL MTD,
TILT/ANGLE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/ 50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS,
2 GLASS DOOR, 6 SHELF
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT,
DUAL OUTPUT
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING MTD,
SINGLE, LARGE
4-53
F3050
WHITE BOARD, DRY
ERASE
A1014
TELEPHONE,
WALL
LOW
WALL RETURN
MOUNTED,AIR
1 LINE,
WITH
REGISTER
SPEAKER
A1014
TELEPHONE,
WALL
SCALE: 3/16 = 1-0
MOUNTED, 1 LINE, WITH
SPEAKER
4'
Elevations 1 & 2
750 NSF / 69,7 NSM
M8910
CART, SURGICAL CASE
A5107
LOW WALL RETURN
AIR REGISTER
DISPENSER,
GLOVE,
WALL-MTD
M8910
LOW
WALL RETURN
CART,
SURGICAL
CASE
AIR REGISTER
U0117
MONITOR, HD, A5107
FP, SIZE
AS REQUIRED
DISPENSER, GLOVE,
WALL-MTD
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
8'
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
28' - 8"
8738mm
26' - 10"
8179mm
26' - 10"
8179mm
F0355
FOOTSTOOL, STRAIGHT
F0355WALL RETURN
LOW
AIR REGISTER
FOOTSTOOL,
STRAIGHT
M3080
M3150
CABINET,
INSTRUMENT,
DISTRIBUTION
SYSTEM,
CRS, 2 GLASSAUTOMATIC
DOOR, 6
MEDICATION,
SHELF
M3080
LOW WALL RETURN
CABINET, INSTRUMENT,
AIR REGISTER
CRS, 2 GLASS DOOR, 6
SHELF
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
A4015
A5077
ELAPSE
TIMEHAND
CLOCK
DISPENSER,
SANITIZER, HANDS FREE
LOW WALL RETURN
A4015
AIR REGISTER
ELAPSE TIME CLOCK
A5077
F3200
DISPENSER,
HAND
SANITIZER,
HANDS12IN
FREE
CLOCK,
BATTERY,
F3200
CLOCK, BATTERY, 12IN
4-54
4'
M7650
DEFIBRILLATOR/
E0954
MONITOR/ RECORDER
AUTO
CART, EMERGENCY,
MOBILE
U3092
SHARPS DISPOSAL
M7650
CART,DEFIBRILLATOR/
W FOOT PEDAL
MONITOR/ RECORDER
LOW WALL RETURN
AUTO
AIR REGISTER
U3092
SHARPS DISPOSAL
CART, W FOOT PEDAL
Elevations 3 & 4
750 NSF / 69,7 NSM
E0954
CART, EMERGENCY,
MOBILE
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
DISPENSER,
HAND
A5107
SANITIZER, GLOVE,
HANDS
DISPENSER,
FREE
WALL-MTD
A5107
DISPENSER, GLOVE,
M4645
WALL-MTD
PATIENT TRANSFER
DEVICE
A5077
M4645
PATIENT TRANSFER
DEVICE
8'
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
28' - 8"
8738mm
24' - 10"
7569mm
24' - 10"
7569mm
M8905
PAIL, UTILITY
M8900
CARRIAGE, PAIL
M8900
LOW
WALL RETURN AIR REGISTER
CARRIAGE, PAIL
M8830
M8905
TABLE,
PAIL,
UTILITY
INSTRUMENT/DRESSING
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M3070
X4890 LINEN
HAMPER,
RAD/FLOURO UNIT,
M3072 MOBILE, C-ARM
DIGITAL,
FRAME, INFECTIOUS
WASTE
BAGRETURN
W/LID AIR REGISTER
LOW WALL
X4890
M8830
RAD/FLOURO UNIT,
TABLE,
DIGITAL, MOBILE, C-ARM
INSTRUMENT/DRESSING
M3070
HAMPER, LINEN
M8920
LOW
WALL RETURN
AIR REGISTER
STAND,
BASIN, DOUBLE
M8920
U0124 BASIN, DOUBLE
STAND,
WASTE MANAGEMENT
ISOLATIONFLUID
POWER SYSTEM
SURGICAL
COLLECTION
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
4-55
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
LIGHTING
Slab Depression:
None
Sound Protection:
Maintained
Average
Illumination Ambient:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Notes:
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
or
multi-level
4-56
connect a minimum of
12 receptacles to Normal
Power IPS
April 2016
No
Hot Water:
No
Drain:
No
No
Medical Air
Yes (2)
Medical Vacuum
Yes (14)
Oxygen
Yes (4)
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Special Requirement:
Special Requirement:
Notes:
Notes:
4-57
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-58
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
C/C
V/V
V/V
F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-59
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-60
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
M4266
M4645
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
4-61
M5030
M5512
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
V/V
C/C
C/C
V/V
V/V
4-62
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-63
M8840
M8905
M8920
M8925
Stool, Anesthesia,
M8940
With Back
M8970
April 2016
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
V/V
V/V
V/V
4-64
M9110
Table, Operating, 5 or
6 Section, Trauma
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent and conductive panels and is equipped
with cassette tunnels in each of the table top sections. Table includes: Electro-hydraulic controls, side
rail locking system, grounding receptacle and dual
arm support section. It is designed for use in the
operating room in a variety of surgical procedures.
Table is configured to address the needs of trauma
surgery.
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
U0116
U0117
Waste Management
U0124 Surgical Fluid Collection
U3092
Sharps Disposal
Cart, w-Foot Pedal
4-65
X4890
V/V
April 2016
This system is a high quality radiographic/fluoroscopic mobile digital C-arm for use in orthopedics,
general surgery, urology, vascular, neurosurgery,
neurovascular and cardiovascular procedures. This
units characteristics and components include a high
frequency x-ray generator with single or dual focus
x-ray tube unit, 9 or 12 multi-field image intensifier,
dual 16 monitors, real time digital imaging and last
image hold capabilities. The system shall be DICOM
3.0 or latest version, compatible, for easy linkage
to filmless image management systems and review
stations.
4-66
April 2016
Axonometric
650 NSF / 60,4 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-67
April 2016
TV
A5077
GM TV
T H
SCRUB ALCOVE
RETURN AIR
DUCT (TYPICAL)
A4015
b
C
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
M8910
A5107
M8830
A5108
M8800
M8900
M8905
2
3
M3072
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
M4255
M4266
M5030
M8825
M4816
GM
M4266
M4255
M3070
F3200
F0355
A1014
28' - 8"
8738mm
M8925
M8940
M3150
M9110
U3092
F3050
M8940
U0112
M4255
M3070
GM
IPS
M8810
M8950
M8810
X4890
M8970
M4815
M8840
M3175
M5512
M3080
M8551
M0630
M7845
M5030
M8920
M8825
M3080
M8920
M8830
IPS
E0954
M7650
GM
U0124
Da Db
M4645
A5077
A5107
23' - 5"
7137mm
CLEAN CORE
8'
16'
Floor Plan
650 NSF / 60,4 NSM
4-68
April 2016
10' - 0"
AIR
CURTAIN
7' - 6 1/2"
2296mm
ab
ab
M1801
A1122
(DOCUMEN
TATION)
ab
16' - 2"
4927mm
LAMINAR
AIR FLOW
DIFFUSER
7' - 5 1/2"
2272mm
ab
ab
ab
28' - 8"
8738mm
7' - 6"
2285mm
ab
TABLE
ab
ab
ab
7' - 6"
2289mm
ab
ab
A1120
M1801
M0765
M0755
M0750
A1122
A1130
M0765
(EQUIPMENT)
4V, 1 NITROGEN, 1 CO2, 10
EMER DUPLEX, 4 DATA
FACE PLATES
ab
ab
M7475
TABLE
EQ
12' - 6"
3811mm
(ANESTHESIA)
U0116
EQ
A1120
M0765
M0755
M0750
(ANESTHESIA)
2O, 3V, 1A, WAGD,
1 NITROUS OXIDE,
6 EMER DUPLEX,
4 DATA FACE PLATES
23' - 5"
7137mm
8'
16'
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, \
CEILING MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5077 DISPENSER, HAND SANITIZER,
HANDS-FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET, TELEVISION WALL MTD,
TILT/ANGLE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/ 50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS,
2 GLASS DOOR, 6 SHELF
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING MOUNTED,
SINGLE, LARGE
4-70
4'
8'
WHITE
BOARD,
DRY
LOW
WALL
RETURN
ERASE
AIR REGISTER
Elevations 1 & 2
650 NSF / 60,4 NSM
F3200
CLOCK, BATTERY, 12IN
F3200
ISOLATION
POWER
SYSTEM
CLOCK,
BATTERY,
12IN
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
U0117
ELEVATION
16'
F0355
FOOTSTOOL, STRAIGHT
F0355
2FOOTSTOOL, STRAIGHT
ELEVATION 1
23' - 5"
7137mm
23' - 5"
7137mm
28' - 8"
8738mm
28' - 8"
8738mm
MEDICATION,
AUTOMATIC
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
LOW
WALL RETURN
M3150
AIR
REGISTER SYSTEM,
DISTRIBUTION
A1014
TELEPHONE, WALL
MOUNTED,
1 LINE, WITH
A1014
SPEAKER
TELEPHONE, WALL
MOUNTED,
M3080 1 LINE, WITH
SPEAKER
CABINET, INSTRUMENT,
CRS,
2 GLASS DOOR, 6
M3080
SHELF
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
LOW
WALL RETURN
SHELF
AIR REGISTER
DISPENSER,
HAND
A4015
SANITIZER, HANDS FREE
ELAPSE TIME CLOCK
A4015
LOW
WALL RETURN
AIR REGISTER
ELAPSE
TIME CLOCK
A5077
DISPENSER, HAND
SANITIZER,
HANDS FREE
A5077
4-71
4'
Elevations 3 & 4
650 NSF / 60,4 NSM
8'
U3092
SHARPS DISPOSAL
CART, W FOOT PEDAL
X4890
RAD/FLOURO UNIT,
DIGITAL, MOBILE, C-ARM
M3070
HAMPER, LINEN
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
M4645
PATIENT TRANSFER
DEVICE
M8920
STAND, BASIN, DOUBLE
ELEVATION 4
ELEVATION 3
16'
21' - 5"
6528mm
28' - 8"
8738mm
M8830
TABLE,
INSTRUMENT/DRESSING
ISOLATION POWER
SYSTEM
E0954
CART, EMERGENCY,
MOBILE
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
M8830
TABLE,
INSTRUMENT/DRESSING
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
4-72
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
4-73
connect a minimum of
12 receptacles to Normal
Power IPS
April 2016
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (2)
COMMUNICATIONS
Medical Vacuum
Yes (14)
Yes (4)
Data:
Yes
Oxygen
Telephone:
Yes
Special Requirement:
Cable Television:
No
Notes:
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
Notes:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-74
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-75
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
C/C
V/V
V/V
F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-76
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-77
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
M4266
M4645
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
4-78
M5030
M5512
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
V/V
C/C
C/C
V/V
V/V
4-79
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-80
M8840
M8920
M8925
Stool, Anesthesia,
M8940
With Back
M8970
April 2016
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
V/V
V/V
V/V
4-81
M9110
Table, Operating, 5 or
6 Section, Trauma
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent and conductive panels and is equipped
with cassette tunnels in each of the table top sections. Table includes: Electro-hydraulic controls, side
rail locking system, grounding receptacle and dual
arm support section. It is designed for use in the
operating room in a variety of surgical procedures.
Table is configured to address the needs of trauma
surgery.
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
Waste Management
U0124 Surgical Fluid Collection
U3092
Sharps Disposal
Cart, w-Foot Pedal
4-82
X4890
V/V
April 2016
This system is a high quality radiographic/fluoroscopic mobile digital C-arm for use in orthopedics,
general surgery, urology, vascular, neurosurgery,
neurovascular and cardiovascular procedures. This
units characteristics and components include a high
frequency x-ray generator with single or dual focus
x-ray tube unit, 9 or 12 multi-field image intensifier,
dual 16 monitors, real time digital imaging and last
image hold capabilities. The system shall be DICOM
3.0 or latest version, compatible, for easy linkage
to filmless image management systems and review
stations.
4-83
April 2016
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-84
April 2016
A5107
TV
TV
RETURN AIR
DUCT (TYPICAL)
A4015
T H
SCRUB ALCOVE
A5077
M4815
M8900
M8905
F3200
M8910
U3092
M4815
2
IPS
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
R4785
M3070
U0112
M4255
M8925
TO PUMP
ROOM
M5512
M3175
M3109
M8825
M3070
M8920
M8840
F0355
M4816
M5030
U0118
M8810
F3050
M8810
M9080
U0114
M5030
M3072
M4811
M3150
L1095
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
M8940
U0105
M8940
M4810
M8551
E0954
M7650
M4812
M8970
M4255
M4250
M4266
X2105
M0630
M7845
M8800
A5108
E0963
M3080
M8940
E0948
M7818
IPS
M3080
M8830
a b Dc
A5077
M4645
U0124
A5107
26' - 10"
8179mm
CLEAN CORE
8'
16'
Floor Plan
750 NSF / 69,7 NSM
4-85
28' - 8"
8738mm
M8950
M8825
A1014
April 2016
M0765
M0755
M0750
A1130
A1122
M0765
M0755
M0750
A1120
U0114
M0765
M8606
A1130
A1122
10' - 0"
AIR CURTAIN
8' - 0"
2436mm
LAMINAR AIR
FLOW DIFFUSER
ab
ab
M1801
A1122
(DOCUMENTATION)
ab
16' - 2"
4927mm
ab
8' - 0"
2441mm
U0116
7' - 0"
2134mm
ab
U0116
U0100
ab
ab
TABLE
ab
ab
28' - 8"
8738mm
7' - 0"
2134mm
ab
M7490
12' - 6"
3811mm
M7490
ab
(ANESTHESIA)
2O, 3V, 1A, WAGD, 1 NITROUS
OXIDE, 6 EMER DUPLEX, 4 DATA
FACE PLATES
EQ
ab
M1801
A1120
M0765
M0755
M0750
ab
TABLE
ab
A1130
A1122
M0765
(EQUIPMENT)
4V, 1 NITROGEN, 1 CO2, 10
EMER DUPLEX, 4 DATA
FACE PLATES
NOTE: REFER
TO ROOM DATA
SHEET FOR
ACCESS PANELS
EQ
26' - 10"
8179mm
8'
16'
April 2016
4-87
F0355
FOOTSTOOL, STRAIGHT
4'
Elevations 1 & 2
750 NSF / 69,7 NSM
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
LOW WALL RETURN
AIR REGISTER
ISOLATION POWER
SYSTEM
8'
M8910
CART, SURGICAL CASE
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
26' - 10"
8179mm
F3050
WHITE BOARD, DRY ERASE
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
A4015
ELAPSE TIME CLOCK
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
F3200
CLOCK, BATTERY, 12IN
4-88
Elevations 3 & 4
750 NSF / 69,7 NSM
4'
8'
X2105
SCANNER,
SCALE: 3/16 = 1-0
ULTRASOUND, CARDIAC
M4812
M3072
PACEMAKER,
SINGLE
FRAME, INFECTIOUS
CHAMBER,
WASTEEXTERNAL,
BAG W/LID
TEMPORARY
M4812
M7650
PACEMAKER, SINGLE
DEFIBRILLATOR/
CHAMBER, EXTERNAL,
MONITOR/ RECORDER
TEMPORARY
AUTO
M7650
E0954
DEFIBRILLATOR/
CART,
EMERGENCY,
MONITOR/ RECORDER
MOBILE
AUTO
LOW WALL E0954
RETURN
AIR REGISTER
CART, EMERGENCY,
X2105
MOBILE
SCANNER,
LOW WALL RETURN
ULTRASOUND,
CARDIAC
AIR REGISTER
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M7818
MONITOR, TRANSPORT
INSTRUMENT/DRESSING
U0124
A5107
WASTE
MANAGEMENT
DISPENSER,
GLOVE,
SURGICAL
FLUID
WALL-MTD
COLLECTION
U0124
M8830
WASTE MANAGEMENT
SURGICALTABLE,
FLUID
INSTRUMENT/DRESSING
COLLECTION
M7818
M8830
MONITOR, TRANSPORT
TABLE,
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
A5077
A5107
DISPENSER,
HAND
SANITIZER, GLOVE,
HANDS
DISPENSER,
FREE
WALL-MTD
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
28' - 8"
8738mm
24' - 10"
7569mm
24' - 10"
7569mm
AIR REGISTER
M8905
PAIL, UTILITY
SHARPS
M8900 DISPOSAL CART,
W FOOT PEDAL
CARRIAGE,
PAIL
LOW WALL RETURN
U3092
AIR REGISTER
SHARPS
M8905 DISPOSAL CART,
W FOOT PEDAL
PAIL,
UTILITY
LOW WALL
RETURN
M8900
M3070
CARRIAGE,
PAIL
HAMPER,
U3092 LINEN
M3070
HAMPER, LINEN
E0948
CART, GENERAL STORAGE, MOBILE
E0963
ISOLATION POWER
CART, GEN. STORAGE
SYSTEM
LOW WALL RETURN
AIR REGISTER
E0963
CART,
E0948GEN. STORAGE
LOW
RETURN
CART,WALL
GENERAL
STORAGE, MOBILE
AIR REGISTER
M4645
ISOLATION POWER
PATIENT
SYSTEM TRANSFER DEVICE
M4645
PATIENT TRANSFER DEVICE
4-89
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
4-90
connect a minimum of
12 receptacles to Normal
Power IPS
April 2016
No
Hot Water:
No
Drain:
No
No
Medical Air
Yes (4)
Medical Vacuum
Yes (17)
Oxygen
Yes (6)
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Special Requirement:
Special Requirement:
Notes:
Notes:
4-91
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line, With
Speaker
A1120
A1122
A1130
A4015
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
4-92
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
April 2016
V/V
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
V/V
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
E0963
V/V
F0355
Footstool, Straight
V/V
C/C
F3050
Whiteboard, Dry
Erase
4-93
F3200
L1095
M0630
M0750
M0755
Clock, Battery, 12
Diameter
Flowmeter, Oxygen,
Low Flow
17
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-94
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
Cabinet, Instrument,
M3080 CRS, 2 Glass Door, 6
Shelf
M3109
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
4-95
M4250
M4266
M4645
M4810
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Heart/Lung Machine,
Bypass, Modular
April 2016
V/V
The infusion syringe pump ensures highly accurate volume delivery and consistent flow for small
volumes (<50 ml) of pharmacologic agents or thick
feeding solutions. It shall be small, lightweight
construction, making it transportable. Shall have
menu-driven programming capable of flow rates (e.g.
0.1 or 1.0 mL/hr) that are intended for long-term bedside use and/or critical care patient transport, plunger
positioning sensor, LCD display for easy viewing, volume limit programming to serve as a convenient cue
of volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall
have automatic syringe size sensing which will give
the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
V/V
V/V
V/V
V/V
4-96
M4811
Pump, Intra-Aortic,
Balloon
Pacemaker, Single
M4812 Chamber, External,
Temporary
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
M5030
M5512
April 2016
V/V
Intra-aortic balloon pump. Item is used to treat cardiogenic shock resulting from extensive myocardial
injury or damage. The pump shall function from line
or battery power and is to be a mobile unit. It contains physiological monitoring, pacing, and pumping
capabilities. It requires minimal set-up time and has
immediate pumping capability. Adjustments can be
accomplished without interruption of pumping. The
monitor can be mounted remotely for the clinicians
convenience and permits viewing of both cardiopulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the
critical care unit, operating room, cardiac cath lab
and during transport.
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
V/V
V/V
4-97
M7650
Defibrillator/Monitor,
Acute Care
M8551
April 2016
C/C
Dual head surgical light ceiling mounted from a single pole. Unit has two lamp heads of differing sizes
mounted on individual swing arms. Unit features
multiple lighting pods in each lamp head, deep cavity
illumination, color-corrected light, intensity control
and sterilizable handles. Refer to the manufacturers
specifications for minimum ceiling heights and installation data. The database height dimension below
refers to the height of the lamp head itself. The width
and depth measurements are the larger of the two
sums of the swing arm length and the head diameter.
For use in general purpose surgical suites.
V/V
V/V
V/V
V/V
4-98
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
M8840
Table, Instrument/
Dressing, Mobile
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
4-99
M8920
M8925
Stool, Anesthesia,
M8940
With Back
M8970
April 2016
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
V/V
V/V
V/V
4-100
M9080
R4785
Table, Operating,
Pedestal, 5 Section
Integrated Operating
U0100 Room System, Allowance
ExtraCorporeal SupU0105
port System
April 2016
V/V
V/V
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
V/V
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
U0116
U0117
4-101
U0118
Analyzer, Point of
Care Testing w-Docking Station
Waste Management
U0124 Surgical Fluid Collection
U3092
X2105
Scanner, Ultrasound,
Cardiac (Echo)
April 2016
V/V
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
V/V
High definition, diagnostic ultrasound system for Radiology, Cardiology, Vascular, ob-gyn, Perinatology,
and Surgical imaging applications. The unit employs
curved, phased and linear array imaging technology.
The system supports colorflow, pulse, continuous
wave imaging modalities. On board software measurement packages available for all imaging applications. The system is DICOM 3.0 compatible, for easy
linkage to filmless image management systems and
review stations. In addition, a full line of probes and
conventional recording devices are available.
4-102
April 2016
Axonometric
260 NSF / 24,2 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-103
April 2016
F3200
CLOCK, BATTERY, 12IN
SEMI-RESTRICTED
CORRIDOR
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
4a
E0703
TABLE, PROCESS, 5 DRAWERS
54" AFF
M1801
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
F0230
CHAIR, DRAFTING, ROTARY
U0105
EXTRACORPOREAL SUPPORT SYSTEM
TO OR /
PROCEDURE
ROOM
E0948
CART, GENERAL
STORAGE, MOBILE
R4650
ICE MAKER, FLAKED, WITH DISPENSER
A5080
DISPENSER, PAPER TOWEL
A5075
DISPENSER, SOAP
CS230
SINK, SS, DOUBLE COMPARTMENT
CT050
COUNTER, STAINLESS STEEL
R7250
REFRIGERATOR/FREEZER, 20 CU FT
29' - 0"
8839mm
4a
POWER STRIP
E0963
CART, GEN. STORAGE
4a
9' - 0"
2743mm
CLEAN CORE
8'
16'
Floor Plan
260 NSF / 24,2 NSM
4-104
April 2016
9' - 0"
DT
29' - 0"
8839mm
9' - 0"
2743mm
8'
16'
Elevation 1
260 NSF / 24,2 NSM
4'
CD030
CABINET, W-H, 2 SHELF, 2 DO
R7250
REFRIGERATOR/FREEZER,
20 CU FT
A5075
DISPENSER, SOAP
CT050
COUNTER, STAINLESS
STEEL
C0041
RAIL, APRON, 4x60x1
CS230
SINK, SS, DOUBLE
COMPARTMENT
R4650
ICE MAKER, FLAKED,
WITH DISPENSER
A5080
DISPENSER, PAPER TOWEL
CD030
CABINET, W-H, 2 SHELF, 2 DO
8'
ELEVATION 1
16'
F2000
BASKET, WASTEPAPER,
ROUND, METAL
29' - 0"
8839mm
C04G0
CABINET, U-C-B, 2 SHELF,
2 DOOR
E0703
TABLE, PROCESS, 5
DRAWERS
M0765
REGULATOR, VACUUM
U0105
EXTRACORPOREAL
SUPPORT SYSTEM
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
M0750
FLOWMETER, AIR
M0755
FLOWMETER, OXYGEN,
LOW FLOW
4-106
April 2016
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
None
Doors:
Yes
Telephone:
Yes
LIGHTING
Cable Television:
No
Maintained
Average
Illumination Ambient:
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
No
Code Blue:
No
Public Address:
Yes
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
4 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80% shall be
on emergency battery packs
Four way and ceiling
mounted motion sensor
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
4-107
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
Yes
Medical Vacuum
Yes
Oxygen
Yes
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-108
April 2016
JSN
NAME
QTY ACQ/INS
DESCRIPTION
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
C/C
Dispenser, Soap,
Disposable
V/V
C/C
A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator
slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
C/C
C/C
C/C
C/C
Stainless steel countertop (composition of heavygauge Type No. 304 stainless steel) having a smooth
satin finish and integral 4 backsplash/curb. Also
referred to as a corrosion-resistant steel work surface
or work top. Available in various depths. Used in
areas where excellent ease of cleaning, abrasion resistance, bacteria resistance, impact resistance, load
capacity and moisture resistance, are of concern.
Pricing based upon a 24 depth.
A5075
Dispenser, Paper
A5080 Towel, SS, Surface
Mounted
Cabinet, U/C/B,
C04G0 2 Shelf, 2 Door,
36x36x22
Cabinet, W/H, 2
CD030 Shelf, 2 DO, Sloping
Top, 38x30x13
CT050
Countertop, Stainless
Steel
4-109
E0963
F0230
Chair, Drafting,
Rotary
F2000
F3200
Basket, Wastepaper,
Round, Metal
Clock, Battery, 12
Diameter
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
4-110
M0755
Flowmeter, Oxygen,
Low Flow
R4650
R7250
Refrigerator/Freezer,
20 Cubic Feet
ExtraCorporeal SupU0105
port System
April 2016
V/V
V/V
V/V
C/C
V/V
V/V
4-111
April 2016
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-112
April 2016
TV
TV
RETURN AIR
DUCT (TYPICAL)
F3200
T H
U0117
A5212
SCRUB ALCOVE
C
A4015
M8910
1
M8830
M8900
M8905
M8920
M8805
A5077
IPS
2
3
M8920
M4815
M3072
M3070
U0112
M4255
M4816
M8810
M8825
M8495
M3109
M8840
F0355
U0118
M8830
F3050
M5512
M8825
M8940
M5030
A1014
M8551
U3092
M8970
E0954
M7650
M4266
M4255
M4250
M4816
M3150
M9110
M5030
M8535
28' - 8"
8738mm
M8925
M3070
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
M0630
M7845
M8940
M8800
A5108
M3080
U0124
A5077
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
IPS
M3080
a b Dc
X4200
M4645
26' - 10"
8179mm
A5107
CLEAN CORE
8'
16'
Floor Plan
750 NSF / 69,7 NSM
4-113
April 2016
U0114
M0765
M8606
A1130
A1122
M0765
M0755
M0750
A1120
10' - 0"
AIR CURTAIN
8' - 0"
2436mm
ab
M7490
8' - 0"
2441mm
ab
ab
16' - 2"
4927mm
LAMINAR AIR
FLOW DIFFUSER
ab
7' - 0"
2134mm
M1801
A1122
ab
ab
ab
ab
TABLE
M7475
7' - 0"
2134mm
ab
ab
U0116
U0100
12' - 6"
3811mm
U0116
ab
EQ
ab
M0765
M0755
M0750
M1801
A1120
ab
TABLE
ab
M0765
A1130
A1122
EQ
26' - 10"
8179mm
8'
16'
28' - 8"
8738mm
(DOCUMEN
TATION)
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5077 DISPENSER, HAND SANITIZER,
HANDS FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET/TELEVISION, WALL-MTD,
TILT/ANGLE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MIRCOPROCESSING, W/
FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS,
2 GLASS DOOR, 6 SHELF
M3109 ELECTROSURGICAL UNIT,
DUAL OUTPUT
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
4-115
F0355
FOOTSTOOL, STRAIGHT
4'
Elevations 1 & 2
750 NSF / 69,7 NSM
ISOLATION POWER
SYSTEM
F3050
WHITE BOARD, DRY
ERASE
8'
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
26' - 10"
8179mm
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
M8910
CART, SURGICAL CASE
F3200
CLOCK, BATTERY, 12IN
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
A4015
ELAPSE TIME CLOCK
4-116
Elevations 3 & 4
750 NSF / 69,7 NSM
4'
MOBILE
M4816
LOWWARMING
WALL RETURN
UNIT,
AIR REGISTER
PATIENT
U3092
M4816
SHARPS
DISPOSAL
WARMING
UNIT,
CART, W FOOT
PEDAL
PATIENT
U3092
SHARPS
DISPOSAL
SCALE: 3/16 = 1-0
CART, W FOOT PEDAL
M8535
MICROSCOPE,
OPERATING, PORTABLE
M7650
M8535
DEFIBRILLATOR/
MICROSCOPE,
MONITOR/ RECORDER
OPERATING,
PORTABLE
AUTO
M7650
E0954
DEFIBRILLATOR/
CART, EMERGENCY,
MONITOR/
RECORDER
MOBILE
AUTO
LOW WALL E0954
RETURN
REGISTER
CART,AIR
EMERGENCY,
8'
DISPENSER, HAND
SANITIZER, HANDS
FREE
A5107
A5077
DISPENSER, GLOVE,
DISPENSER,
HAND
WALL-MTD
SANITIZER, HANDS
FREE
A5077
A5107
M4645
DISPENSER,
GLOVE,
PATIENT TRANSFER
WALL-MTD
DEVICE
M4645
PATIENT TRANSFER
DEVICE
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
28' - 8"
8738mm
24' - 10"
7569mm
24' - 10"
7569mm
M3072
M3070 INFECTIOUS
FRAME,
HAMPER,
LINEN
WASTE BAG
W/LID
M8920
M3072
STAND, BASIN,
DOUBLE
FRAME,
INFECTIOUS
WASTE
BAGRETURN
W/LID AIR REGISTER
LOW WALL
M8920
M8830
STAND,
BASIN, DOUBLE
TABLE, INSTRUMENT/DRESSING
M3070
HAMPER, LINEN
SYSTEM
LOW WALL RETURN
AIR REGISTER
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
U0124
X4200
WASTE MANAGEMENT
STEREOTACTIC
SURGICAL
FLUID
SURGICAL SYSTEM
COLLECTION
X4200
ISOLATION
POWER
SYSTEM
STEREOTACTIC
SURGICAL
LOW WALLSYSTEM
RETURN
AIR
REGISTER
ISOLATION POWER
4-117
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
4-118
connect a minimum of
12 receptacles to Normal
Power IPS
April 2016
No
Hot Water:
No
Drain:
No
No
Medical Air
Yes (2)
Medical Vacuum
Yes (14)
Oxygen
Yes (4)
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Special Requirement:
Special Requirement:
Notes:
Notes:
4-119
April 2016
JSN
NAME
A1014
Telephone, Wall
Mounted, 1 Line, With
Speaker
A1120
A1122
A1130
Column, Service,
Prefab, Surgical, Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
A4015
A5077
Dispenser, Hand
Sanitizer, Hands-Free
A5107
Dispenser, Glove,
Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-120
April 2016
A5108
V/V
A5212
Bracket, Television,
Wall-Mounted, Tilt/
Angle
V/V
E0954
Cart, Emergency,
Mobile, 66H x 32W
x 22D
V/V
F0355
Footstool, Straight
V/V
C/C
V/V
V/V
F3050
F3200
M0630
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-121
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-122
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
M3109
Distribution System,
M3150 Medication, Automatic
M4250
M4266
Pump, Volumetric,
Infusion, Multiple Line
April 2016
V/V
V/V
V/V
V/V
The infusion syringe pump ensures highly accurate volume delivery and consistent flow for small
volumes (<50 ml) of pharmacologic agents or thick
feeding solutions. It shall be small, lightweight construction, making it transportable. Shall have menudriven programming capable of flow rates (e.g. 0.1 or
1.0 mL/hr) that are intended for long- term bedside
use and/or critical care patient transport, plunger
positioning sensor, LCD display for easy viewing, volume limit programming to serve as a convenient cue
of volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall
have automatic syringe size sensing which will give
the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
V/V
V/V
4-123
M4645
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
M5030
M5512
April 2016
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
V/V
V/V
C/C
4-124
M7650
Defibrillator/Monitor,
Acute Care
M8495
Laryngoscope, Video
Glidescope
April 2016
C/C
V/V
V/V
V/V
M8535
V/V
Portable operating microscope complete with objectives and stand. Unit consists of a binocular microscope body equipped with a range of accessories
for co-observation, documentation and illumination.
Control knobs equipped with sterilizable handles.
Mounted on a large swinging-arm stand. For examinations and diagnosis in medical consultancies and
as a laboratory training instrument. Configured for
use primarily for eye and neuro surgery.
M8551
V/V
4-125
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
M8805
Table, Instrument,
Straddle
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-126
M8840
M8920
M8925
Stool, Anesthesia,
M8940
With Back
M8970
April 2016
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter
heavy-duty ball bearing brake/swivel casters. Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
V/V
V/V
V/V
4-127
M9110
Table, Operating, 5 or
6 Section, Trauma
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent and conductive panels and is equipped
with cassette tunnels in each of the table top sections. Table includes: Electro-hydraulic controls,
side rail locking system, grounding receptacle and
dual arm support section. It is designed for use in
the operating room in a variety of surgical procedures. Table is configured to address the needs of
trauma surgery.
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or
to be wall mounted. 26 Monitor mounted on boom
arms or off of ceiling mounted arms. Exact configuration of the Monitor, inputs and outputs should be
verified that it meets project requirements.
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
U0116
U0117
U0118
Analyzer, Point of
Care Testing w-Docking Station
Waste Management
U0124 Surgical Fluid Collection
4-128
U3092
X4200
Stereotactic Surgical
System
April 2016
V/V
V/V
4-129
April 2016
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-130
April 2016
U0117
A5212
RETURN AIR
DUCT (TYPICAL)
F3200
GM
TV
TV
T H
SCRUB ALCOVE
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
A5077
U3094
A4015
1
M8910
M5512
M8830
M3175
U0112
M4255
2
3
M8920
M4815
F0355
M5030
M8810
M8925
M8810
M8950
M8810
U3094
M8551
M5030
M4816
M8830
M8940
F3050
A1014
U3094
M3072
M8825
M9110
M3070
M8825
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
M4266
M4255
M8970
M4255
M4266
M8800
A5108
M3070
M3150
M3080
M0630
M7845
E0954
M7650
M8940
U3092
IPS
M8920
A5077
U0124
GM
M3080
Da Db
M4645
A5107
26' - 10"
8179mm
CLEAN CORE
8'
16'
Floor Plan
750 NSF / 69,7 NSM
4-131
28' - 8"
8738mm
M8900
M8905
M8840
GM
GM
M8910
M8920
IPS
April 2016
M0765
M0755
M0750
A1120
10' - 0"
AIR CURTAIN
7' - 0"
2132mm
LAMINAR
AIR FLOW
DIFFUSER
ab
M1801
A1122
ab
ab
ab
M7475
ab
ab
28' - 8"
8738mm
7' - 0"
2134mm
ab
16' - 2"
4927mm
ab
M7490
(DOCUMEN
TATION)
7' - 0"
2136mm
TABLE
U0116
7' - 0"
2134mm
ab
ab
12' - 6"
3811mm
U0116
U0100
ab
(ANESTHESIA)
2O, 3V, 1A, WAGD, 1 NITROUS
OXIDE, 6 EMER DUPLEX, 4 DATA
FACE PLATES
12' - 5"
3785mm
ab
A1120
M1801
M0765
M0755
M0750
ab
TABLE
ab
A1122
A1130
M0765
(EQUIPMENT)
4V, 1 NITROGEN, 1 CO2,
10 EMER DUPLEX, 4 DATA
FACE PLATES
12' - 5"
3785mm
NOTE: REFER TO
ROOM DATA SHEET
FOR ACCESS PANELS
26' - 10"
8179mm
8'
16'
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5077 DISPENSER, HAND SANITIZER,
HANDS-FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET, TELEVISION WALL MTD,
TILT/ANGLE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/ 50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS,
2 GLASS DOOR, 6 SHELF
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING MOUNTED,
SINGLE, LARGE
4-133
Elevations 1 & 2
750 NSF / 69,7 NSM
4'
M8840
TABLE, INSTRUMENT/DRESSING
F3050
WHITE BOARD, DRY ERASE
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
U3094
ROBOTIC SURGICAL SYSTEM
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
F0355
FOOTSTOOL, STRAIGHT
28' - 8"
8738mm
26' - 10"
8179mm
M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
A4015
ELAPSE TIME CLOCK
F3200
CLOCK, BATTERY, 12IN
4-134
4'
8'
M8830
TABLE,
INSTRUMENT/DRESSING
Elevations 3 & 4
750 NSF / 69,7 NSM
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
E0954
CART, EMERGENCY, MOBILE
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M3070
HAMPER, LINEN
M8920
STAND, BASIN, DOUBLE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
24' - 10"
7569mm
M8905
PAIL, UTILITY
M8910
CART, SURGICAL CASE
M8900
CARRIAGE, PAIL
M4645
PATIENT TRANSFER
DEVICE
U3092
SHARPS DISPOSAL CART,
W FOOT PEDAL
4-135
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
4-136
April 2016
Notes:
connect a minimum of
12 receptacles to Normal
Power IPS
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (2)
Medical Vacuum
Yes (14)
Oxygen
Yes (4)
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
Special Requirement:
Notes:
1) Provide Waste Anesthesia Gas Disposal
(WAGD), Nitrogen (2), Nitrous Oxide (2), Carbon
Dioxide (2).
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-137
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-138
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
C/C
V/V
V/V
F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-139
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-140
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
M4266
M4645
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
4-141
M5030
M5512
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
V/V
C/C
C/C
V/V
V/V
4-142
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-143
M8840
M8920
M8925
Stool, Anesthesia,
M8940
With Back
M8970
April 2016
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
V/V
V/V
V/V
4-144
M9110
Table, Operating, 5 or
6 Section, Trauma
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent and conductive panels and is equipped
with cassette tunnels in each of the table top sections. Table includes: Electro-hydraulic controls, side
rail locking system, grounding receptacle and dual
arm support section. It is designed for use in the
operating room in a variety of surgical procedures.
Table is configured to address the needs of trauma
surgery.
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
Waste Management
U0124 Surgical Fluid Collection
U3092
Sharps Disposal
Cart, w-Foot Pedal
4-145
U3094
Robotic Surgical
System
V/V
April 2016
Robotic, surgical navigation system. System consists of 3 components: Surgeons console, patient
cart with four interactive robotic arms, high definition,
3D vision system. Features dual-console capability
to support training and collaboration during minimally
invasive surgery. 3D HD visualization with up to 10x
magnification and an immersive view of the operative
field. Also provides extensibility for digital OR integration, Boom compatibility and expandable system
architecture for upgrades and future OR technology.
4-146
April 2016
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-147
April 2016
TV
TV
F3200
RETURN AIR
DUCT (TYPICAL)
U0117
A5212
SCRUB ALCOVE
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
M8910
M5030
M5030
A5077
A4015
M4815
M8825
M8810
R4785
E0963
2
3
M9110
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
M8970
L1095
M4820
M0630
M7845
M8940
U0124
M7818
A5107
M3150
M3080
M3080
X2105
IPS
U3092
M8551
M5030
M4266
M4255
M4250
M8800
A5108
E0954
M7650
M3109
M8825
M8940
28' - 8"
8738mm
M3070
M8830
M8810
M8950
U0118
M4255
U0112
M4250
M8925
F0355
F3050
M4816
M3070
A1014
M8920
M8900
M8905
M3072
IPS
M8840
M3175
M5512
a b Dc
E0963
M4645
U0105
A5077
A5107
26' - 10"
8179mm
CLEAN CORE
8'
16'
Floor Plan
750 NSF / 69,7 NSM
4-148
April 2016
U0114
M0765
M8606
A1130
A1122
M0765
M0755
M0750
A1120
10' - 0"
M7475
8' - 0"
2436mm
AIR CURTAIN
LAMINAR AIR
FLOW DIFFUSER
ab
ab
ab
M1801
A1122
(DOCUMEN
TATION)
ab
M7475
ab
ab
TABLE
U0116
7' - 0"
2134mm
ab
ab
12' - 6"
3811mm
U0116
U0100
ab
ab
(ANESTHESIA)
GASES: 2O, 3V, 1A, WAGD,
1 NITROUS OXIDE
12' - 4 3/4"
3776mm
A1120
M1801
M0765
M0755
M0750
ab
ab
TABLE
26' - 10"
8179mm
A1122
A1130
M0765
(EQUIPMENT)
4V, 1 NITROGEN, 1 CO2, 10 EMER
DUPLEX, 4 DATA FACE PLATES
12' - 5 1/4"
3793mm
8'
16'
28' - 8"
8738mm
7' - 0"
2134mm
ab
16' - 2"
4927mm
ab
M7490
8' - 0"
2440mm
April 2016
4-150
4'
Elevations 1 & 2
750 NSF / 69,7 NSM
8'
F3050
WHITE BOARD, DRY
ERASE
A1014
TELEPHONE, WALL
F3050
MOUNTED, 1 LINE,
WITH
SPEAKER
WHITE BOARD,
DRY
ERASE
A1014
ISOLATION POWER SYSTEM
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
LOW WALL RETURN
AIR REGISTER
ISOLATION POWER SYSTEM
M8910
CART, SURGICAL CASE
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
U0117
MONITOR, HD, A5077
FP, SIZE
AS REQUIRED
DISPENSER,
HAND
SANITIZER,A5107
HANDS
FREE
DISPENSER, GLOVE,
U0117
WALL-MTD
MONITOR, HD, FP, SIZE
LOW WALL
RETURN
AS REQUIRED
AIR REGISTER
A5107
M8910
DISPENSER, GLOVE,
CART, SURGICAL
CASE
WALL-MTD
F0355
16'
FOOTSTOOL, STRAIGHT
ELEVATION 2
F0355
FOOTSTOOL, STRAIGHT
ELEVATION 1
28' - 8"
8738mm
28' - 8"
8738mm
26' - 10"
8179mm
26' - 10"
8179mm
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
M3080
LOW
WALL RETURN
INSTRUMENT,
CABINET,
AIR REGISTER
CRS,
2 GLASS DOOR, 6
M3150
SHELF
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
LOW WALL RETURN
AIR REGISTER
M3080
CABINET, INSTRUMENT,
A5107
CRS,
2 GLASS DOOR, 6
DISPENSER, GLOVE,
SHELF
WALL-MTD
A5107
DISPENSER, GLOVE,
WALL-MTD
A4015
LOW
WALL
RETURN
ELAPSE
TIME
CLOCK
AIR REGISTER
A4015
ELAPSE
F3200 TIME CLOCK
CLOCK, BATTERY, 12IN
F3200
CLOCK, BATTERY, 12IN
4-151
Elevations 3 & 4
750 NSF / 69,7 NSM
4'
M3070
HAMPER, LINEN
M3070
M7650
HAMPER,
LINEN
DEFIBRILLATOR/
M7650
MONITOR/ RECORDER
DEFIBRILLATOR/
AUTO
MONITOR/ RECORDER
E0954
AUTO
CART, EMERGENCY,
E0954
MOBILE
CART, EMERGENCY,
LOW WALL RETURN
MOBILE
AIR REGISTER
LOW WALL RETURN
M8830
AIR REGISTER
TABLE,
M8830
INSTRUMENT/DRESSING
TABLE,
INSTRUMENT/DRESSING
U0105
EXTRACORPOREAL
U0105
SUPPORT SYSTEM
EXTRACORPOREAL
U0124
SUPPORT SYSTEM
WASTE MANAGEMENT
U0124
SURGICAL FLUID
WASTE MANAGEMENT
COLLECTION
SURGICAL FLUID
A5077
COLLECTION
DISPENSER, HAND
A5077
SANITIZER, HANDS
DISPENSER, HAND
FREE
SANITIZER, HANDS
A5107
FREE
DISPENSER, GLOVE, WALL-MTD
A5107
DISPENSER, GLOVE, WALL-MTD
X2105
SCANNER,
X2105
ULTRASOUND, CARDIAC
SCANNER,
M4645
ULTRASOUND, CARDIAC
PATIENT TRANSFER DEVICE
M4645
PATIENT TRANSFER DEVICE
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
28' - 8"
8738mm
24' - 10"
7569mm
24' - 10"
7569mm
M3072
FRAME, INFECTIOUS
M3072
WASTE BAG W/LID
FRAME, INFECTIOUS
M8900 BAG W/LID
WASTE
CARRIAGE, PAIL
M8900
M8905
CARRIAGE, PAIL
PAIL, UTILITY
M8905
LOW WALL RETURN
PAIL, UTILITY
AIR REGISTER
LOW WALL RETURN
E0963
AIR
REGISTER
CART, GEN. STORAGE
E0963
CART, GEN. STORAGE
E0963
CART, GEN. STORAGE
E0963
ISOLATION POWER
CART, GEN. STORAGE
SYSTEM
ISOLATION POWER
U3092
SYSTEM
SHARPS DISPOSAL CART,
U3092
W FOOT PEDAL
SHARPS DISPOSAL CART,
W FOOT PEDAL
4-152
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided as it is determined
by the Physicist on a per project basis.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
4-153
April 2016
Notes:
connect a minimum of
12 receptacles to Normal
Power IPS
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (2)
Medical Vacuum
Yes (14)
Oxygen
Yes (4)
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
Special Requirement:
Notes:
1) Provide Waste Anesthesia Gas Disposal
(WAGD), Nitrogen (2), Nitrous Oxide (2), Carbon
Dioxide (2).
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-154
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077 Sanitizer, HandsFree
Dispenser, Glove,
A5107 Surgical/Examination, Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-155
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
E0963
V/V
F0355
Footstool, Straight
V/V
C/C
V/V
V/V
F3050
F3200
L1095
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-156
M0630
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
14
April 2016
V/V
V/V
V/V
V/V
V/V
4-157
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
Electrosurgical/
M3109 Coagulator, Argon
Plasma
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-158
M4250
Pump, Volumetric,
M4266 Infusion, Multiple
Line
M4645
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/
Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
4-159
Hemodialysis Unit,
M4820 Mbl, w/Reverse Osmosis System
M5030
M5512
April 2016
V/V
V/V
V/V
C/C
C/C
4-160
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
V/V
V/V
V/V
V/V
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
4-161
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
M8840
Table, Instrument/
Dressing, Mobile
M8920
April 2016
V/V
V/V
V/V
V/V
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter
heavy-duty ball bearing brake/swivel casters. Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless
steel basins. For open heart and other procedures.
4-162
M8925
Stool, Anesthesia,
M8940
With Back
M8970
M9110
R4785
Table, Operating, 5
or 6 Section, Trauma
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
V/V
V/V
V/V
V/V
Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent and conductive panels and is equipped
with cassette tunnels in each of the table top sections. Table includes: Electro-hydraulic controls, side
rail locking system, grounding receptacle and dual
arm support section. It is designed for use in the
operating room in a variety of surgical procedures.
Table is configured to address the needs of trauma
surgery.
V/V
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management. Integration can also include the control of some
equipment settings and environment settings such as
lighting.
4-163
ExtraCorporeal SupU0105
port System
April 2016
V/V
U0112
Irrigation System,
Surgical
V/V
U0114
Compression Device,
Extremity Pump
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 26 Monitor mounted on boom arms
or off of Ceiling mounted arms. Exact configuration
of the Monitor, inputs and outputs should be verified
that it meets project requirements.
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
Handheld point of care testing analyzer. Utilizes single-use, disposable cartridges for diagnostic testing
to include: Blood gases, electrolytes and chemistries,
lactate, coagulation, hematology, and cardiac markers. Cartridges and tests are ordered separately.
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
V/V
High definition, diagnostic ultrasound system for Radiology, Cardiology, Vascular, ob-gyn, Perinatology,
and Surgical imaging applications. The unit employs
curved, phased and linear array imaging technology.
The system supports colorflow, pulse, continuous
wave imaging modalities. On board software measurement packages available for all imaging applications. The system is DICOM 3.0 compatible, for easy
linkage to filmless image management systems and
review stations. In addition, a full line of probes and
conventional recording devices are available.
U0116
U0117
U0118
Analyzer, Point of
Care Testing w-Docking Station
Waste Management
U0124 Surgical Fluid Collection
U3092
X2105
Sharps Disposal
Cart, w-Foot Pedal
Scanner, Ultrasound,
Cardiac (Echo)
4-164
April 2016
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-165
April 2016
SCRUB ALCOVE
SEMI-RESTRICTED
CORRIDOR
A5107
GM
IPS
RETURN AIR
DUCT (TYPICAL)
A4015
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
T H
A5077
1
4
TO PUMP
ROOM
R4785
M4255
M4266
M4250
M8920
M8900
M8905
TO
CONTROL
ROOM
M8825
M8920
F3200
M8810
M5030
M8925
L1095
U3092
M8800
A5108
U0112
M4255
M4816
X6190
M9080
BORROWED
LIGHT
F0355
28' - 8"
8738mm
M3070
E0948
M3175
M8825
GM
M8940
M8910
M8830
M7845
M0630
M3072
U0105
M4810
X3145
M8970
M8840
M5512
U0124
GM
M4645
M4812
M7650
E0954
M8940
M4815
M8940
M8551
M7818
M4811
IPS
X2106
M8810
M8950
U0118
M5030
M8810
M3109
A1014
A5077
TV
GM
M3165
M3150
32' - 2"
9804mm
F3050
TV
Db
A5107
Db
M3080
CLEAN CORE
8'
16'
Floor Plan
900 NSF / 83,7 NSM
4-166
April 2016
4V, 1
NITROGEN,
1 CO2,
10 EMER
DUPLEX,
4 DATA FACE
PLATES
M0765
A1130
A1122
10' - 2"
(EQUIPMENT)
U0100
U0116
ab
(DOCUMEN
TATION)
ab
ab
ab
ab
ab
ab
ab
M7490
14' - 3"
4343mm
M1801
A1122
ab
M7860
ab
ab
ab
ab
ab
ab
ab
ab
14' - 5"
4394mm
A1120
M0765
M0755
M0750
(ANESTHESIA)
2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
A1120
M1801
M0765
M0755
M0750
15' - 8 3/4"
4797mm
16' - 5 1/4"
5007mm
U0116
TABLE
M7475
8'
16'
U0114
M0765
M8606
A1130
A1122
(EQUIPMENT)
4V, 1 NITROGEN,
1 CO2,
10 EMER DUPLEX,
4 DATA FACE
PLATES
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5077 DISPENSER, HAND SANITIZER,
HANDS-FREE
A5107 DISPENSER, GLOVE, SURGICAL/
EXAMINATION, WALL MTND
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET, TELEVISION WALL MTD,
TILT/ANGLE
E0948 CART, GENERAL STORAGE, MOBILE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
L1095 CELL SAVER, AUTOLOGOUS BLOOD
RECOVERY
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/ 50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS,
2 GLASS DOOR, 6 SHELF
M3109 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3165 CABINET, CATHETER STORAGE
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4810 HEART/ LUNG MACHINE, BYPASS,
MODULAR
M4811 PUMP, INTRA-AORTIC, BALLOON
M4812 PACEMAKER, SINGLE CHAMBER,
EXTERNAL, TEMPORARY
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING
MOUNTED, SINGLE, LARGE
M7490 LIGHT, SURG, CEILING MTD, DUAL,
UNEQUAL DIA HEADS
M7650 DEFIBRILLATOR/ MONITOR,
ACUTE CARE
M7818 MONITOR, TRANSPORT
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
M7860 MONITORING SYSTEM, CARDIAC
CATHETERIZATION LAB
M8551 LIGHT SOURCE, FIBEROPTIC
HEADLAMP
M8606 ENDOSCOPY CART, FIBEROPTIC,
W/ VIDEO ACCESSORIES
M8800 CART, ANESTHESIA
M8810 STAND, MAYO
M8825 TABLE, INSTRUMENT/DRESSING
M8830 TABLE, INSTRUMENT/DRESSING
M8840 TABLE, INSTRUMENT/DRESSING
M8900 CARRIAGE, PAIL
M8905 PAIL, UTILITY
M8910 CART, SURGICAL CASE
M8920 STAND, BASIN, DOUBLE
M8925 STAND, BASIN, SINGLE
M8940 STOOL, ANESTHESIA, WITH BACK
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
M9080 TABLE, OPERATING, PEDESTAL,
5 SECTION
R4785 ICE MAKER, SURGICAL SLUSH
U0100 INTEGRATED OPERATING ROOM
SYSTEM
U0105 EXTRACORPOREAL SUPPORT
SYSTEM
U0112 IRRIGATION SYSTEM, SURGICAL
4-168
April 2016
4-169
4'
M8830
TABLE, INSTRUMENT/DRESSING
Elevations 1 & 2
900 NSF / 83,7 NSM
E0948
CART, GENERAL
STORAGE, MOBILE
M8910
CART, SURGICAL CASE
A5107
DISPENSER, GLOVE,
WALL-MTD
8'
ELEVATION 2
ELEVATION 1
16'
BORROWED LIGHT
28' - 8"
8738mm
32' - 2"
9804mm
X3145
SCREEN, X-RAY,
PROTECTIVE, MOBILE
F3050
WHITE BOARD, DRY ERASE
A5107
DISPENSER, GLOVE,
WALL-MTD
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
LOW WALL RETURN
AIR REGISTER
X2106
SCANNER, ULTRASOUND,
INTRA-CARDIAC, ECHO
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
A4015
ELAPSE TIME CLOCK
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
F3200
CLOCK, BATTERY, 12IN
4-170
Elevations 3 & 4
900 NSF / 83,7 NSM
4'
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
E0954
CART, EMERGENCY,
MOBILE
M7818
MONITOR, TRANSPORT
M4812
PACEMAKER, SINGLE
CHAMBER, EXTERNAL,
TEMPORARY
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
LOW WALL RETURN
AIR REGISTER
A5212
BRACKET, TV,
WALL-MOUNTED,
TILT/ANGLE
U0117
MONITOR, HD, FP, SIZE
AS REQUIRED
8'
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
32' - 2"
9804mm
M8900
CARRIAGE, PAIL
M8905
PAIL, UTILITY
M8920
STAND, BASIN, DOUBLE
M4645
PATIENT TRANSFER DEVICE
M3070
HAMPER, LINEN
M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
M3165
CABINET, CATHETER
STORAGE
4-171
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
As required by imaging
modality manufacturer
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided in all walls,
windows and doors.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
POWER
Normal Power:
connect a minimum of
12 receptacles to Normal
Power IPS
4-172
April 2016
Notes:
Notes:
2) Room does not contain multiple slot diffusers and uses laminar flow perforated face outlets
only for supply air.
3) Suggested minimum laminar flow array over
the entire sterile field area as imaging equipment
gantry creates excessive turbulence. Mechanical
design engineer shall be responsible to design
the array in such manner as to minimize turbulence and to maintain the sterile aseptic field.
PLUMBING AND MEDICAL GASES
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (4)
Medical Vacuum
Yes (17)
Yes (6)
Intercom:
Yes (Phone)
Oxygen
No
Special Requirement:
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Notes:
Special Requirement:
Notes:
1) Provide connections for articulating utility
columns.
2) Provide connections for video monitor
pendants. Video monitor pendants will be part of
the video integration system. The extent of the
system is to be selected on a project basis.
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-173
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-174
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
C/C
V/V
V/V
F3050
F3200
L1095
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-175
M0630
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
17
April 2016
V/V
V/V
V/V
V/V
V/V
4-176
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
M3109
Distribution System,
M3150 Medication, Automatic
M3165
M3175
Cabinet, Catheter
Storage
Electrosurgical Unit,
Dual Output
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
4-177
M4250
M4266
M4645
M4810
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Heart/Lung Machine,
Bypass, Modular
April 2016
V/V
The infusion syringe pump ensures highly accurate volume delivery and consistent flow for small
volumes (<50 ml) of pharmacologic agents or thick
feeding solutions. It shall be small, lightweight
construction, making it transportable. Shall have
menu-driven programming capable of flow rates (e.g.
0.1 or 1.0 mL/hr) that are intended for long-term bedside use and/or critical care patient transport, plunger
positioning sensor, LCD display for easy viewing, volume limit programming to serve as a convenient cue
of volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall
have automatic syringe size sensing which will give
the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
V/V
V/V
V/V
V/V
4-178
M4811
Pump, Intra-Aortic,
Balloon
Pacemaker, Single
M4812 Chamber, External,
Temporary
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
M5030
M5512
April 2016
V/V
Intra-aortic balloon pump. Item is used to treat cardiogenic shock resulting from extensive myocardial
injury or damage. The pump shall function from line
or battery power and is to be a mobile unit. It contains physiological monitoring, pacing, and pumping
capabilities. It requires minimal set-up time and has
immediate pumping capability. Adjustments can be
accomplished without interruption of pumping. The
monitor can be mounted remotely for the clinicians
convenience and permits viewing of both cardiopulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the
critical care unit, operating room, cardiac cath lab
and during transport.
V/V
A single chamber, external temporary pacemaker designed to provide acute therapeutic, prophylactic, and
diagnostic pacing support. It is capable of operating
in the demand or asynchronous modes and includes
adjustable rate, output, and sensing controls. Battery
operated.
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
V/V
V/V
4-179
M7650
Defibrillator/Monitor,
Acute Care
April 2016
C/C
C/C
V/V
V/V
V/V
4-180
Monitoring System,
M7860 Cardiac Catheterization Lab
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
April 2016
V/V
V/V
V/V
V/V
4-181
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
M8840
Table, Instrument/
Dressing, Mobile
M8920
M8925
April 2016
V/V
V/V
V/V
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
4-182
Stool, Anesthesia,
M8940
With Back
M8970
M9080
R4785
Table, Operating,
Pedestal, 5 Section
Integrated Operating
U0100 Room System, Allowance
ExtraCorporeal SupU0105
port System
U0112
Irrigation System,
Surgical
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
V/V
V/V
4-183
U0114
Compression Device,
Extremity Pump
Analyzer, Point of
U0118 Care Testing w-Docking Station
Waste Management
U0124 Surgical Fluid Collection
U3092
X2106
Sharps Disposal
Cart, w-Foot Pedal
Scanner, Ultrasound,
Intra-Cardiac Echo
April 2016
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
V/V
A portable cardiovascular ultrasound with full diagnostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an integrated EchoPAC with data review, analysis, patient
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.
4-184
X3145
Radiographic/Fluoro
X6190 Unit, Cardiac, 100
kW, Digital
April 2016
V/V
V/V
4-185
April 2016
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-186
April 2016
SEMI-RESTRICTED
CORRIDOR
GM
RETURN AIR
DUCT (TYPICAL)
A4015
T H
SCRUB ALCOVE
IPS
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
A5077
A5107
M8910
TO
CONTROL
ROOM
R4785
TO PUMP
ROOM
M5030
M8920
M4250
M4255
M4266
M8810
M8825
M3175
M8825
L1095
E0948
A5108
M8800
M3070
U3092
M8940
M4815
M3072
M4645
M8920
M8840
M5512
X6175
M9080
U0114
M4812
E0954
M7650
M8810
M3109
M8940
M8551
M8551
M8970
M7818
M4811
IPS
M8950
M8810
U0118
U0105
M4810
2
3
A5077
TV
GM
TV
Da
F0355
BORROWED
LIGHT
X3145
U0124
X2106
F3050
A1014
A5107
Db
M3080
M3165
M3150
M4255
U0112
M5030
M0630
M7845
M8830
32' - 2"
9804mm
CLEAN CORE
8'
16'
28' - 8"
8738mm
M4816
GM
M8925
GM
M8900
M8905
F3200
M8940
Floor Plan
900 NSF / 83,7 NSM
4-187
April 2016
4V, 1 NITROGEN,
1 CO2, 10 EMER
DUPLEX, 4 DATA
FACE PLATES
M0765
A1130
A1122
(EQUIPMENT)
10' - 2"
U0100
U0116
ab
M1801
A1122
ab
ab
ab
14' - 4"
4369mm
M7490
ab
(DOCUMEN
TATION)
ab
M7860
ab
TABLE
ab
U0114
M0765
M8606
A1130
A1122
ab
ab
A1120
M1801
M0765
M0755
M0750
ab
ab
13' - 8"
4165mm
ab
18' - 6"
5639mm
ab
14' - 4"
4369mm
ab
(EQUIPMENT)
4V, 1 NITROGEN,
1 CO2, 10 EMER
DUPLEX, 4 DATA
FACE PLATES
A1120
M0765
M0755
M0750
(ANESTHESIA)
2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
M7475
TABLE
U0116
8'
16'
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A4015 ELAPSE TIME CLOCK
A5077 DISPENSER, HAND SANITIZER,
HANDS-FREE
A5107 DISPENSER, GLOVE, SURGICAL/
EXAMINATION, WALL MNTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5212 BRACKET, TELEVISION WALL MTD,
TILT/ANGLE
E0948 CART, GENERAL STORAGE, MOBILE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
L1095 CELL SAVER, AUTOLOGOUS BLOOD
RECOVERY
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR, CONNECT W/ 50
PSI SUPPLY
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS,
2 GLASS DOOR, 6 SHELF
M3109 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3165 CABINET, CATHETER STORAGE
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4810 HEART/ LUNG MACHINE, BYPASS,
MODULAR
M4811 PUMP, INTRA-AORTIC, BALLOON
M4812 PACEMAKER, SINGLE CHAMBER,
EXTERNAL, TEMPORARY
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING MOUNTED,
SINGLE, LARGE
M7490 LIGHT, SURG, CEILING MTD, DUAL,
UNEQUAL DIA HEADS
M7650 DEFIBRILLATOR/ MONITOR, ACUTE
CARE
M7818 MONITOR, TRANSPORT
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
M7860 MONITORING SYSTEM, CARDIAC
CATHETERIZATION LAB
M8551 LIGHT SOURCE, FIBEROPTIC
HEADLAMP
M8606 ENDOSCOPY CART, FIBEROPTIC,
W/ VIDEO ACCESSORIES
M8800 CART, ANESTHESIA
M8810 STAND, MAYO
M8825 TABLE, INSTRUMENT/DRESSING
M8830 TABLE, INSTRUMENT/DRESSING
M8840 TABLE, INSTRUMENT/DRESSING
M8900 CARRIAGE, PAIL
M8905 PAIL, UTILITY
M8910 CART, SURGICAL CASE
M8920 STAND, BASIN, DOUBLE
M8925 STAND, BASIN, SINGLE
M8940 STOOL, ANESTHESIA, WITH BACK
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
M9080 TABLE, OPERATING, PEDESTAL,
5 SECTION
R4785 ICE MAKER, SURGICAL SLUSH
U0100 INTEGRATED OPERATING ROOM
SYSTEM
U0105 EXTRACORPOREAL SUPPORT
SYSTEM
U0112 IRRIGATION SYSTEM, SURGICAL
4-189
April 2016
4-190
F0355
FOOTSTOOL, STRAIGHT
LOW WALL RETURN
AIR REGISTER
F0355
FOOTSTOOL, STRAIGHT
E0948
LOWCART,
WALLGENERAL
RETURN
AIR REGISTER
STORAGE,
MOBILE
E0948
SCALE: 3/16 = 1-0
CART, GENERAL
STORAGE, MOBILE
4'
M8830
TABLE,
INSTRUMENT/DRESSING
M8830
TABLE,
INSTRUMENT/DRESSING
Elevations 1 & 2
900 NSF / 83,7 NSM
M8910
CART, SURGICAL CASE
A5107
ISOLATION POWER
DISPENSER,
GLOVE,
SYSTEM
WALL-MTD
A5107
LOW WALL RETURN
AIR REGISTER
DISPENSER,
GLOVE,
WALL-MTD
M8910
LOW WALL RETURN
CART, SURGICAL
CASE
AIR REGISTER
ISOLATION POWER
SYSTEM
8'
ELEVATION 2
ELEVATION 1
16'
BORROWED LIGHT
BORROWED LIGHT
28' - 8"
8738mm
28' - 8"
8738mm
32' - 2"
9804mm
32' - 2"
9804mm
X3145
SCREEN, X-RAY,
PROTECTIVE, MOBILE
X3145
F3050
SCREEN,
X-RAY,DRY ERASE
WHITE
BOARD,
PROTECTIVE,
MOBILE
A5107
F3050
DISPENSER,
GLOVE, WALL-MTD
WHITE
A1014BOARD, DRY ERASE
A5107
TELEPHONE,
WALL
DISPENSER,1 GLOVE,
WALL-MTD
MOUNTED,
LINE, WITH
SPEAKER
A1014
LOW WALL RETURN
TELEPHONE,
WALL
AIR REGISTER
MOUNTED,
1 LINE, WITH
SPEAKER
X2106
LOW WALL ULTRASOUND,
RETURN
SCANNER,
AIR REGISTER
INTRA-CARDIAC
U0124
X2106
WASTE MANAGEMENT
SCANNER,
ULTRASOUND,
SURGICAL FLUID
INTRA-CARDIAC
COLLECTION
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
A5077
F3200
DISPENSER, HAND
CLOCK, BATTERY, 12IN
SANITIZER, HANDS FREE
A5077
A4015
DISPENSER,
ELAPSE TIMEHAND
CLOCK
SANITIZER, HANDS FREE
LOW WALL RETURN
A4015
AIR
REGISTER
ELAPSE TIME CLOCK
F3200
CLOCK, BATTERY, 12IN
4-191
4'
SCALE: 3/16MOBILE
= 1-0
CART, EMERGENCY,
M7818
E0954
MONITOR,
TRANSPORT
CART, EMERGENCY,
MOBILE
E0954
M8920
STAND, BASIN, DOUBLE
ISOLATION POWER
SYSTEM
M8920
STAND, BASIN, M4812
DOUBLE
PACEMAKER,
SINGLE
ISOLATION
POWER
SYSTEM
CHAMBER, EXTERNAL,
M4812
TEMPORARY
PACEMAKER, SINGLE
M7650
CHAMBER, EXTERNAL,
TEMPORARY
DEFIBRILLATOR/
MONITOR/ RECORDER
M7650
AUTO
DEFIBRILLATOR/
M7818
MONITOR/ RECORDER
AUTO
MONITOR, TRANSPORT
Elevations 3 & 4
900 NSF / 83,7 NSM
A5212
BRACKET, TV,
WALL-MOUNTED,
A5212
TILT/ANGLE
BRACKET,
U0117TV,
WALL-MOUNTED,
MONITOR, HD,
FP, SIZE
TILT/ANGLE
AS REQUIRED
U0117
8'
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
28' - 8"
8738mm
32' - 2"
9804mm
32' - 2"
9804mm
M8900
CARRIAGE, PAIL
M8905
LOW
WALL RETURN
AIR
PAIL,REGISTER
UTILITY
M8900
LOW
WALL RETURN
AIR REGISTER
CARRIAGE,
PAIL
M3070
M8905
HAMPER,
LINEN
PAIL,
UTILITY
M3070 INFECTIOUS
FRAME,
HAMPER,
LINEN
WASTE BAG
W/LID
M3072 TRANSFER
PATIENT
DEVICE INFECTIOUS
FRAME,
WASTE
M3072 BAG W/LID
M4645
PATIENT TRANSFER
DEVICE
M4645
M3080
LOW
WALL RETURN
AIR REGISTER
INSTRUMENT,
CABINET,
CRS,
2
GLASS
DOOR, 6
M3080
SHELF
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
CABINET, CATHETER
STORAGE
M3150
DISTRIBUTION SYSTEM,
MEDICATION,
AUTOMATIC
M3150
M3165
CABINET, CATHETER
STORAGE
M3165
4-192
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
As required by imaging
modality manufacturer
Sound Protection:
Doors:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
Special
Requirement:
Special Requirement:
Notes:
1)Shielding is to be provided in all walls,
windows and doors.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without insterstitial space. Min. size to
be 24 x 24.
3) Cabinetry can be built in or free-standing.
4) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
5) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are duplicated to provide maximum flexibility. If duplicate booms are not desired, they can be omitted
subject to approval by clinical leadership.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
surgical light(s).
POWER
Normal Power:
connect a minimum of
12 receptacles to Normal
Power IPS
4-193
connect a minimum of
24 receptacles (red) to
IPS connected to Critical
Emergency IPS. Connect
Task Illumination, selected
receptacles and fixed
equipment to Critical
Branch of the EES.
Notes:
1) Provide IPS power & ground modules 3
duplex receptacles & 3 ground jacks
2) IPS Power & ground modules mounted at
+24 AFF
3) Provide Laser Receptacle Module. Module
shall be connected to Special Equipment IPS
located outside the Surgery Room.
4) Provide power connections for articulating
utility columns.
5) Provide 220V Receptacle on the equipment
boom for the laser. Laser Surgery special outlet
shall be connected to Laser Surgery IPS.
COMMUNICATIONS
April 2016
No
Data:
Yes
Hot Water:
No
Telephone:
Yes
Waste:
No
Cable Television:
No
No
Duress Alarm:
No
Medical Air
Yes (4)
Yes
Medical Vacuum
Yes (17)
Oxygen
Yes (6)
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
Notes:
1) Provide Waste Anesthesia Gas Disposal
(WAGD), Nitrogen (3), Nitrous Oxide (2), Carbon
Dioxide (2).
2) For gas quantities per boom refer to the
reflected ceiling plan.
3) Nitrogen Control Cabinets are to be located
on the articulating utility columns as determined
by the project
4) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
this cabinet in the semi-restricted corridor near
the operating room it serves.
Special Requirement:
Notes:
1) Provide connections for articulating utility
columns.
2) Provide connections for video monitor
pendants. Video monitor pendants will be part of
the video integration system. The extent of the
system is to be selected on a project basis.
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-194
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
C/C
V/V
V/V
4-195
April 2016
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
C/C
V/V
V/V
F3050
F3200
L1095
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
4-196
M0630
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
17
April 2016
V/V
V/V
V/V
V/V
V/V
4-197
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
Cabinet, Instrument,
M3080 CRS, 2 Glass Door,
6 Shelf
M3109
Distribution System,
M3150 Medication, Automatic
M3165
M3175
Cabinet, Catheter
Storage
Electrosurgical Unit,
Dual Output
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
4-198
M4250
M4266
M4645
M4810
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Heart/Lung Machine,
Bypass, Modular
April 2016
V/V
The infusion syringe pump ensures highly accurate volume delivery and consistent flow for small
volumes (<50 ml) of pharmacologic agents or thick
feeding solutions. It shall be small, lightweight
construction, making it transportable. Shall have
menu-driven programming capable of flow rates (e.g.
0.1 or 1.0 mL/hr) that are intended for long-term bedside use and/or critical care patient transport, plunger
positioning sensor, LCD display for easy viewing, volume limit programming to serve as a convenient cue
of volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall
have automatic syringe size sensing which will give
the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
V/V
V/V
V/V
V/V
4-199
M4811
Pump, Intra-Aortic,
Balloon
Pacemaker, Single
M4812 Chamber, External,
Temporary
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
M5030
M5512
April 2016
V/V
Intra-aortic balloon pump. Item is used to treat cardiogenic shock resulting from extensive myocardial
injury or damage. The pump shall function from line
or battery power and is to be a mobile unit. It contains physiological monitoring, pacing, and pumping
capabilities. It requires minimal set-up time and has
immediate pumping capability. Adjustments can be
accomplished without interruption of pumping. The
monitor can be mounted remotely for the clinicians
convenience and permits viewing of both cardiopulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the
critical care unit, operating room, cardiac cath lab
and during transport.
V/V
A single chamber, external temporary pacemaker designed to provide acute therapeutic, prophylactic, and
diagnostic pacing support. It is capable of operating
in the demand or asynchronous modes and includes
adjustable rate, output, and sensing controls. Battery
operated.
V/V
V/V
Automatic/manual patient warming unit. Unit delivers a flow of warmed air through a perforated plastic
blanket. Used primarily for postoperative patients to
speed recovery of normal body temperature.
V/V
V/V
4-200
M7650
Defibrillator/Monitor,
Acute Care
April 2016
C/C
C/C
V/V
V/V
V/V
4-201
Monitoring System,
M7860 Cardiac Catheterization Lab
M8551
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
April 2016
V/V
V/V
V/V
V/V
4-202
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
M8840
Table, Instrument/
Dressing, Mobile
M8920
M8925
April 2016
V/V
V/V
V/V
V/V
A specialty back table for large cases such as orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4 diameter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
V/V
Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type carriage mounted on ball bearing
casters. Includes circular non-marring bumper. For
use in the surgical operating room.
V/V
V/V
Surgical case cart. Unit consists of two hinged cabinet sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
V/V
CRS, mobile, double basin stand with shelf. Stainless steel corrosion resistant frame constructed from
two continuous inverted U shaped tubes, forming
four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless steel basins. For open heart and other procedures.
V/V
4-203
Stool, Anesthesia,
M8940
With Back
M8970
M9080
R4785
Table, Operating,
Pedestal, 5 Section
Integrated Operating
U0100 Room System, Allowance
ExtraCorporeal SupU0105
port System
U0112
Irrigation System,
Surgical
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management.
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
V/V
V/V
4-204
U0114
Compression Device,
Extremity Pump
Analyzer, Point of
U0118 Care Testing w-Docking Station
Waste Management
U0124 Surgical Fluid Collection
U3092
X2106
Sharps Disposal
Cart, w-Foot Pedal
Scanner, Ultrasound,
Intra-Cardiac Echo
April 2016
V/V
V/V
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
V/V
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
V/V
A portable cardiovascular ultrasound with full diagnostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an integrated EchoPAC with data review, analysis, patient
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.
4-205
X3145
Radiographic/Fluoro
X6175 Unit, Angio, Biplane,
Digital
April 2016
V/V
V/V
4-206
April 2016
Axonometric
220 NSF / 20,5 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-207
April 2016
SEMI-RESTRICTED
CORRIDOR
Dc
a b
C
X3150
RACK, APRON-GLOVES, WALL-MTD
F3200
CLOCK, BATTERY, 12IN
TO OR /
PROCEDURE
ROOM
A5145
HOOK, GARMENT, DOUBLE
A1012
TELEPHONE, WALL MOUNTED, 1 LINE
BORROWED LIGHT
F0275
CHAIR, SWIVEL, HIGH BACK
M1801
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
F0275
CHAIR, SWIVEL, HIGH BACK
29' - 0"
8839mm
A6110
COUNTER, CONSOLE, COMMUNICATION
F0275
CHAIR, SWIVEL, HIGH BACK
F3050
WHITE BOARD, DRY ERASE
X4112
CONSOLE, PACS, REMOTE VIEW, 2 MONITORS
F0275
CHAIR, SWIVEL, HIGH BACK
F0275
CHAIR, SWIVEL, HIGH BACK
CT030
COUNTER, HIGH PRESSURE LAMINATE
X1425
IMAGER, LASER
7' - 6"
2286mm
8'
16'
Floor Plan
220 NSF / 20,5 NSM
4-208
April 2016
ab
9' - 0"
ab
DT
29' - 0"
8839mm
ab
S
c
ab
7' - 6"
2286mm
8'
16'
Elevation 1
220 NSF / 20,5 NSM
4'
ELEVATION 1
16'
BORROWED LIGHT
29' - 0"
8839mm
F0275
CHAIR, SWIVEL, HIGH BACK
F2000
BASKET, WASTEPAPER,
ROUND, METAL
F0275
CHAIR, SWIVEL, HIGH BACK
F0275
CHAIR, SWIVEL, HIGH
BACK
X3150
RACK, APRON-GLOVES,
WALL-MTD
A1012
TELEPHONE, WALL
MOUNTED, 1 LINE
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
A6110
COUNTER, CONSOLE,
COMMUNICATION
9' - 0"
2743mm
X1425
IMAGER, LASER
F0275
CHAIR, SWIVEL, HIGH BACK
F0275
CHAIR, SWIVEL, HIGH BACK
F2000
BASKET, WASTEPAPER,
ROUND, METAL
F3050
WHITE BOARD, DRY ERASE
X4112
CONSOLE, PACS,
REMOTE VIEW, 2
MONITORS
CT030
COUNTER, HIGH
PRESSURE LAMINATE
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
M1825
PRINTER, COMPUTER
M7860
MONITORING SYSTEM,
CARDIAC
CATHETERIZATION LAB
4-210
April 2016
ARCHITECTURAL
Ceiling Type:
Special
Requirement:
Ceiling Height:
9-0 (2700mm)
Notes:
Ceiling Finish:
Wall Finish:
Wainscot:
POWER
Base:
Normal Power:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
None
Doors:
Special Requirement:
Notes:
To be connected to selected
receptacles and equipment.
Notes:
1) Provide a duplex receptacle per computer
location connected to Emergency.
2) Provide convenience duplex receptacle on
normal power.
COMMUNICATIONS
LIGHTING
Maintained
Average
Illumination Ambient:
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
No
Code Blue:
Lamps:
4 Fluorescent or LED
equivalent,
3500K
Controls:
Dimming
switching
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
or
Public Address:
Yes
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
multi-level
4-211
April 2016
No
Hot Water:
No
Waste:
No
No
Medical Air
No
Medical Vacuum
No
Oxygen
No
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-212
April 2016
JSN
A1012
NAME
Telephone, Wall
Mounted, 1 Line
Hook, Garment,
A5145 Double, SS, Surface
Mounted
A6110
CT030
F0275
F2000
F3050
Counter, Console,
Communications
Countertop, High
Pressure Laminate
Basket, Wastepaper,
Round, Metal
Whiteboard, Dry
Erase
QTY ACQ/INS
1
12
DESCRIPTION
C/C
C/C
C/C
C/C
V/V
V/V
C/C
4-213
F3200
Clock, Battery, 12
Diameter
Monitoring System,
M7860 Cardiac Catheterization Lab
X1425
April 2016
V/V
V/V
V/V
V/V
V/V
4-214
X3150
X4112
Rack, Apron/Gloves,
Wall Mounted
Console, PACS,
Remote View, w/Two
2MP Monitors
April 2016
C/C
V/V
Two monitor remote viewing station for picture archiving and retrieval (PACS) system. This station is
for use by providers inside or outside of radiology to
review images. Station includes local image storage,
image manipulation, and simultaneous display of
multiple images on two 1200 x 1600 image display
monitors. Images are stored on a resident hard disk
and roll off the disk as more recent images are sent
to the station. Provider may request images from
the PACS. Unit must be connected to the PACS by
LAN for image and result receipt. This station is for
use in areas like radiologists offices and the E.R.
where a more comprehensive system is required.
Console must be DICOM compliant. Input may be by
keyboard, mouse, trackball or voice activated commands.
4-215
April 2016
Axonometric
850 NSF / 79,0 NSM
DESIGN GUIDE PLATES
Interventional Cardiology Patient Area
4-216
April 2016
SEMI-RESTRICTED
CORRIDOR
F3200
A1014
U0117
A5212
SCRUB ALCOVE
GM TV
T H
A5077
A5107
TO
CONTROL
ROOM
M8810
M4812
M8940
M8940
E0954
M7650
M7845
M8800
A1014
A1130
2V, 2A, 2O,
1 NITROGEN
M3070
M4645
F2020
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
X6190
X2125
U4094
(PART OF
SYSTEM)
1
4
F3050
M4645
M7818
M4255
M4266
M8940
GM
U3092
X6195
X2106
U4093
A5107
A5077
IPS
Da Db Dc
GM
30' - 4"
9245mm
CLEAN CORE
8'
16'
Floor Plan
850 NSF / 79,0 NSM
4-217
28' - 8"
8738mm
M3072
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
U4093
L0220
GLUCOMETER
M4255
M4266
M4250
GM
BORROWED
LIGHT
E0703
R6200
U4092
M3175
M8825
F0355
L1085
M3150
IPS
X-RAY IN USE
SIGNAGE
RETURN AIR
DUCT (TYPICAL)
April 2016
LEAD SHIELD
(PART OF X6190)
M7480
(DOCUMENTATION)
10' - 2"
U0100
U0116
M1801
A1122
ab
ab
ab
ab
15' - 0"
4572mm
ab
ab
ab
ab
6' - 0"
1826mm
ab
(EQUIPMENT)
ab
ab
ab
ab
ab
ab
13' - 8"
4166mm
ab
TABLE
6' - 0"
1829mm
LAMINAR
AIR FLOW
DIFFUSER
ab
14' - 0"
4267mm
c
30' - 4"
9245mm
8'
16'
28' - 8"
8738mm
2A, 2V,
2O,1NITROGEN
10 EMER DUPLEX,
4 DATA FACE PLATES,
LASER OUTLET
U0116
M0765
M0755
M0750
M7860
A1122
A1130
April 2016
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A5077 DISPENSER, HAND SANITIZER,
HANDS FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5212 BRACKET, TELEVISION, WALL-MTD,
TILT/ANGLE
E0703 TABLE, PROCESS, 5 DRAWERS
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F2020 CAN, TRASH, 44 GALLON
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
L0220 ANALYZER, HEMOGLOBIN, PORTA
BLE, HAND HELD
L1085 ANALYZER, COAGULATION, AUTO
M0750 FLOWMETER, AIR
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING W/
FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W LID
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT,
DUAL OUPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4812 PACEMAKER, SINGLE CHAMBER,
ETERNAL, TEMPORARY
M7480 LIGHT, SURGICAL, CEILING, SINGLE,
MEDIUM
M7650 DEFIBRILLATOR/ MONITOR/
RECORDER AUTO
M7818 MONITOR, TRANSPORT
4-219
4-220
4'
8'
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
Elevations 1 & 2
850 NSF / 79,0 NSM
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
E0954
CART, EMERGENCY,
MOBILE
A1130
CABINET, CONTROL,
NITROGEN
ISOLATION POWER
SYSTEM
M0765
REGULATOR, VACUUM
M0755
FLOWMETER, OXYGEN,
LOW FLOW
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
A5107
DISPENSER, GLOVE,
WALL-MTD
LOW WALL RETURN
AIR REGISTER
M3150
DISTRIBUTION SYSTEM,
MEDICATION,
AUTOMATIC
U4092
MANAGER,
MEDICATION, REMOTE
R6200
REFRIGERATOR, U-C OR
F-S, 5 CU FT
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
F3200
CLOCK, BATTERY, 12IN
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
30' - 4"
9245mm
M0755
FLOWMETER, OXYGEN,
LOW FLOW
M0750
FLOWMETER, AIR
M4645
PATIENT TRANSFER
DEVICE
M7818
MONITOR, TRANSPORT
X2106
SCANNER, ULTRASOUND,
INTRA-CARDIAC, ECHO
M0750
FLOWMETER, AIR
E0703
TABLE, PROCESS, 5
DRAWERS
U4093
CABINET, INVENTORY
MANAGEMENT SYSTEM
L1085
ANALYZER,
COAGULATION, AUTO
LOW WALL RETURN
AIR REGISTER
U0117
MONITOR, HD, FP, SIZE AS
REQUIRED
4'
M3070
HAMPER, LINEN
F2020
CAN, TRASH, 44 GALLON
F3050
WHITE BOARD, DRY
ERASE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
LOW WALL RETURN
AIR REGISTER
Elevations 3 & 4
850 NSF / 79,0 NSM
U4093
CABINET, INVENTORY
MANAGEMENT SYSTEM
8'
ELEVATION 4
ELEVATION 3
16'
BORROWED LIGHT
28' - 8"
8738mm
30' - 4"
9245mm
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
F0355
FOOTSTOOL, STRAIGHT
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
ISOLATION POWER
SYSTEM
4-221
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
As required by imaging
modality manufacturer
Sound Protection:
Doors:
Special Requirement:
Notes:
1)Shielding is to be provided in all walls,
windows and doors.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without interstitial space. Min. size to
be 24 x 24.
3) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
4) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
5) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
6) Facility will select number and types of
scopes and other instrumentation as necessitated by the unique case load.
Maintained
Average
Illumination Ambient:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
6 Fluorescent or LED
equivalent, 4000K 4500K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
dimming
switching
or
multi-level
4-222
April 2016
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special
Requirement:
Notes:
Emergency Power:
connect a minimum of
12 receptacles to Normal
Power IPS
connect a minimum of
24 receptacles (red) to
IPS connected to Critical
Emergency IPS. Connect
Task Illumination, selected
receptacles and fixed
equipment to Critical
Branch of the EES.
Notes:
1) Provide IPS power & ground modules 3
duplex receptacles & 3 ground jacks
2) IPS Power & ground modules mounted at
+24 AFF
Special Requirement:
Notes:
1) Provide connections for articulating utility
columns.
2) Provide connections for video monitor
pendants. Video monitor pendants will be part of
the video integration system. The extent of the
system is to be selected on a project basis.
HEATING, VENTILATING AND AIR
CONDITIONING
General Requirement: Refer to data sheet in the
current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air
change requirements, and pressurization
Notes:
1) Refer to the HVAC Design Manual for number and location of low air return grilles.
2) Room does not contain multiple slot diffusers and uses laminar flow perforated face outlets
only for supply air.
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
4-223
April 2016
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (4)
Medical Vacuum
Yes (4)
Oxygen
Yes (4)
Special Requirement:
Notes:
1) For gas quantities per boom refer to the
reflected ceiling plan.
2) Provide Nitrogen (2).
3) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
this cabinet in the semi-restricted corridor near
the room it serves.
FIRE PROTECTION AND LIFE SAFETY
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
4-224
April 2016
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1122
A1130
Column, Equipment
Arm, Ceiling Mounted, Surgery
QTY
ACQ/
INS
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge,
nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
V/V
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
DESCRIPTION
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
V/V
Examination glove dispenser box for wall mounting. Fabricated of either cold rolled steel with a white
baked enamel finish, plastic or acrylic. Provided with
wall bracket to facilitate mounting and demounting.
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
V/V
4-225
April 2016
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
V/V
Forty four (44) gallon trash can, 32 high X 24 diameter, with lid. Used to collect and transport refuse from
a point of origin to point of disposal (example: from
soiled utility or a nursing unit to the trash compactor at
housekeeping).
C/C
Whiteboard unit, approximately 36 H x 48 W consisting of a white porcelain enamel writing surface with
an attached chalk tray. Magnetic surface available.
Image can be easily removed with a standard chalkboard eraser. For use with water color pens. Unit is
ready to hang.
V/V
V/V
A portable, hand held analyzer for testing hemoglobin. The analyzer will achieve precision and accuracy
comparable to a central laboratory. The unit will be
battery operated.
V/V
V/V
F2020
F3050
Footstool, Straight
Whiteboard, Dry
Erase
F3200
Clock, Battery, 12
Diameter
L0220
L1085
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
4-226
M0755
Flowmeter, Oxygen,
Low Flow
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
Distribution System,
M3150 Medication, Automatic
M3175
Electrosurgical Unit,
Dual Output
April 2016
V/V
Oxygen flowmeter. Consists of a clear crystal flowtube calibrated to 3.5 or 8 LPM depending on manufacturer. For oxygen regulation in hospital settings.
Database pricing includes DISS fitting and DISS
power outlet and wall adapter. Other fitting and adapter configurations are available.
V/V
V/V
V/V
V/V
V/V
V/V
4-227
M4250
M4266
M4645
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Pacemaker, Single
M4812 Chamber, External,
Temporary
April 2016
V/V
V/V
V/V
V/V
V/V
A single chamber, external temporary pacemaker designed to provide acute therapeutic, prophylactic, and
diagnostic pacing support. It is capable of operating
in the demand or asynchronous modes and includes
adjustable rate, output, and sensing controls. Battery
operated.
4-228
M7650
Defibrillator/Monitor,
Acute Care
April 2016
C/C
V/V
V/V
V/V
4-229
Monitoring System,
M7860 Cardiac Catheterization Lab
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
Stool, Anesthesia,
M8940
With Back
R6200
Refrigerator, U/C or
F/S, 5 Cu Ft
Integrated Operating
U0100 Room System, Allowance
April 2016
V/V
V/V
Mobile anesthesia cart. The cart shall be built of stainless steel or other appropriate material and mounted
on 4 casters for easy mobility. It shall be capable of
being equipped with bottle holders, adjustable IV pole,
storage drawers, shelves and a top bar/rail.
V/V
V/V
Instrument and dressing table. Made of corrosion resistant stainless steel with a sound deadened top. Includes guard rail, shelf and two side-by-side drawers.
The table is mounted on swivel, ball-bearing casters.
V/V
V/V
V/V
4-230
U0116
U0117
U3092
Sharps Disposal
Cart, w-Foot Pedal
April 2016
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to be
wall mounted. 26 Monitor mounted on boom arms or
off of Ceiling mounted arms. Exact configuration of
the Monitor, inputs and outputs should be verified that
it meets project requirements.
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs should
be verified that it meets project requirements.
V/V
U4092
Manager, Medication,
Remote
V/V
Remote Medication Manager for automated medication management system with temperature sensitive
medications that require refrigeration, controlled point
-of use access, and electronic tracking and recording
of transaction data for inventory management, billing
and regulatory compliance. (Refrigerator not included)
U4093
Cabinet, Inventory
Management System
V/V
Inventory Management System Supply Cabinet configurable, with or without wheels, half or full height
.
V/V
Stainless steel instrument table with shelf and 3 rubber, double ball bearing casters.
V/V
A portable cardiovascular ultrasound with full diagnostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an integrated EchoPAC with data review, analysis, patient
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.
V/V
A portable diagnostic ultrasound scanner system configured for various applications, ease-of-use and high
performance for enhanced efficiency and accuracy.
The scanner is applicable for use in a wide variety of
hospital and office environments including ER, breast
surgery, anesthesia, vascular, interventional radiology
and critical care. The system features a high quality
color doppler ultrasound for imaging.
Table, Instrument/
U4094 Dressing CRS, approx 60 x 24 x 34
X2106
X2125
Scanner, Ultrasound,
Intra-Cardiac Echo
Scanner, Ultrasound,
Portable
4-231
Radiographic/Fluoro
X6190 Unit, Cardiac, 100
kW, Digital
April 2016
V/V
V/V
Angiographic injector. This unit is a specialized radiographic procedure that provides sharp, well-defined
visual images of the vascular anatomy. The injector
introduces a vision radiopaque fluid (contrast medium)
into an artery or vein through a small catheter, making
vessels contrast with their more radiolucent surrounding. The unit incorporates an electromechanical
or pneumatic driven syringe to deliver the contrast
medium. The syringe assemblies consist of an electric motor connected to a jackscrew that moves the
syringe piston into or out of the syringe barrel. The
unit is used in hospitals with radiographic procedures.
Specify if unit is to be pedestal, ceiling, wall or table
mounted when ordering.
4-232
April 2016
Axonometric
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES
Interventional Cardiology Patient Area
4-233
April 2016
SEMI-RESTRICTED
CORRIDOR
A1014
U0117
F3200
A5212
GM TV
T H
A5107
SCRUB ALCOVE
E0703
LOW WALL
RETURN AIR
REGISTER
(TYPICAL)
C
L1085
M3150
TO
CONTROL
ROOM
R6200
U4092
X2106
E0954
M7650
A1014
M8825
M3175
M8800
A5108
GM
M8940
X3145
A1130
M3070
X6175
X2125
U4094
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE
F3050
M4645
M4255
M4266
U4095
1
4
GM
U3092
F2020
M7818
M4645
2
3
X6195
A5107
A5077
Dc
IPS
U4093
GM
32' - 0"
9754mm
CLEAN CORE
8'
28' - 8"
8738mm
M4255
M4266
M4250
M3072
U4093
M8940
M4812
M8810
M8940
F0355
BORROWED
LIGHT
M7845
M0630
L0220
GLUCOMETER
IPS
A5077
RETURN AIR
DUCT (TYPICAL)
16'
Floor Plan
900 NSF / 83,7 NSM
4-234
April 2016
(PART OF SYSTEM)
U4099
U3098
A1122
(EQUIPMENT - EP)
U0100
U0116
M1801
A1122
M7475
LEAD SHIELD
(PART OF X6175)
M0765
M0755
M0750
A1120
M1801
(ANESTHESIA)
(DOCUMENTATION)
ab
ab
ab
ab
ab
ab
ab
6' - 0"
1829mm
ab
ab
ab
ab
(EQUIPMENT - DEVICES)
2O, 2V, 2A, 1 NITROGEN,
6 EMER DUPLEX, 4
DATA FACE PLATES
ab
c
A1122
A1130
M0765
M0755
M0750
U3096
U0116
ab
ab
13' - 8"
4166mm
ab
TABLE
6' - 0"
1829mm
ab
10' - 2"
(PART OF
SYSTEM)
X6175
M7475
32' - 0"
9754mm
8'
16'
28' - 8"
8738mm
ab
LAMINAR AIR
FLOW DIFFUSER
15' - 0"
4572mm
April 2016
JSN DESCRIPTION
A1012 TELEPHONE, WALL MOUNTED, 1 LINE
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
WITH SPEAKER
A1120 COLUMN, SERVICE, PREFAB,
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
A5077 DISPENSER, HAND SANITIZER, HANDS
FREE
A5106 WASTE DISPOSAL UNIT, SHARPS W/
GLOVE DISPENSER
A5107 DISPENSER, GLOVE, WALL-MTD
A5212 BRACKET, TELEVISION, WALL-MTD,
TILT/ANGLE
E0954 CART, EMERGENCY, MOBILE
F0355 FOOTSTOOL, STRAIGHT
F2020 CAN, TRASH, 44 GALLON
F3050 WHITE BOARD, DRY ERASE
F3200 CLOCK, BATTERY, 12IN
L0220 ANALYZER, HEMOGLOBIN, PORTA
BLE, HAND HELD
L1085 ANALYZER, COAGULATION, AUTO
M0630 ANESTHESIA APPARATUS, 3 GAS
M0750 FLOWMETER, AIR
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING W/
FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG W
LID
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4812 PACEMAKER, SINGLE CHAMBER,
EXTERNAL, TEMPORARY
4-236
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
4-237
4'
E0954
CART, EMERGENCY,
MOBILE
X3145
SCREEN, X-RAY,
PROTECTIVE, MOBILE
A1130
CABINET, CONTROL,
NITROGEN
Elevations 1 & 2
900 NSF / 83,7 NSM
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
LOW WALL RETURN
AIR REGISTER
M3150
DISTRIBUTION SYSTEM,
MEDICATION,
AUTOMATIC
A5107
DISPENSER, GLOVE,
WALL-MTD
F3200
CLOCK, BATTERY, 12IN
8'
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
32' - 0"
9754mm
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
M7818
MONITOR, TRANSPORT
M4645
PATIENT TRANSFER
DEVICE
M0755
FLOWMETER, OXYGEN,
LOW FLOW
M0765
REGULATOR, VACUUM
U0117
MONITOR, HD, FP, SIZE AS
REQUIRED
L1085
ANALYZER,
COAGULATION, AUTO
U4093
CABINET, INVENTORY
MANAGEMENT SYSTEM
LOW WALL RETURN
AIR REGISTER
E0703
TABLE, PROCESS, 5
DRAWERS
U4092
MANAGER,
MEDICATION, REMOTE
R6200
REFRIGERATOR, U-C OR
F-S, 5 CU FT
M3070
HAMPER, LINEN
F2020
CAN, TRASH, 44 GALLON
4-238
4'
Elevations 3 & 4
900 NSF / 83,7 NSM
F3050
WHITE BOARD, DRY
ERASE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
U4093
CABINET, INVENTORY
MANAGEMENT SYSTEM
X6195
INJECTOR,
ANGIOGRAPHIC
8'
ELEVATION 4
ELEVATION 3
16'
BORROWED LIGHT
28' - 8"
8738mm
32' - 0"
9754mm
F0355
FOOTSTOOL, STRAIGHT
A5107
DISPENSER, GLOVE,
WALL-MTD
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
ISOLATION
POWER SYSTEM
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
As required by imaging
modality manufacturer
Sound Protection:
Doors:
Special Requirement:
Notes:
1)Shielding is to be provided in all walls,
windows and doors.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights
in facilities without interstitial space. Min. size to
be 24 x 24.
3) Nominal wall thickness is shown at 8 (203
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that
require a thicker partition.
4) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
corridor.
5) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
4-239
April 2016
LIGHTING
Notes:
Maintained
Average
Illumination Ambient:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
Notes:
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Controls:
dimming
switching
or
multi-level
Special
Requirement:
Emergency Power:
connect a minimum of
12 receptacles to Normal
Power IPS
connect a minimum of
24 receptacles (red) to
IPS connected to Critical
Emergency IPS. Connect
Task Illumination, selected
receptacles and fixed
equipment to Critical
Branch of the EES.
Special Requirement:
Notes:
1) Provide connections for articulating utility
columns.
2) Provide connections for video monitor
pendants. Video monitor pendants will be part of
the video integration system. The extent of the
system is to be selected on a project basis.
4-240
April 2016
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Notes:
1) Refer to the HVAC Design Manual for number and location of low air return grilles.
2) Room does not contain multiple slot diffusers and uses laminar flow perforated face outlets
only for supply air.
3) Suggested minimum laminar flow array over
the entire sterile field area as imaging equipment
gantry creates excessive turbulence. Mechanical
design engineer shall be responsible to design
the array in such manner as to minimize turbulence and to maintain the sterile aseptic field.
PLUMBING AND MEDICAL GASES
Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (5)
Medical Vacuum
Yes (7)
Oxygen
Yes (6)
Special Requirement:
Notes:
1) Provide Waste Anesthesia Gas Disposal
(WAGD), Nitrogen (2), Nitrous Oxide (1).
2) For gas quantities per boom refer to the
reflected ceiling plan.
3) Nitrogen Control Cabinets are to be located
on the articulating utility columns as determined
by the project
4) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
this cabinet in the semi-restricted corridor near
the operating room it serves.
4-241
April 2016
JSN
NAME
QTY ACQ/INS
Telephone, Wall
A1014 Mounted, 1 Line,
With Speaker
A1120
A1122
A1130
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Arm, Ceiling Mounted, Surgery
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
DESCRIPTION
C/C
C/C
C/C
C/C
Nitrogen control cabinet. Unit consists of supply cutoff valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
V/V
V/V
V/V
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
4-242
April 2016
V/V
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V
F0355
V/V
V/V
Forty four (44) gallon trash can, 32 high X 24 diameter, with lid. Used to collect and transport refuse
from a point of origin to point of disposal (example:
from soiled utility or a nursing unit to the trash compactor at housekeeping).
C/C
V/V
V/V
A portable, hand held analyzer for testing hemoglobin. The analyzer will achieve precision and accuracy comparable to a central laboratory. The unit will
be battery operated.
F2020
F3050
Footstool, Straight
Whiteboard, Dry
Erase
F3200
Clock, Battery, 12
Diameter
L0220
4-243
L1085
M0630
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
April 2016
V/V
V/V
V/V
V/V
V/V
4-244
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
Distribution System,
M3150 Medication, Automatic
M3175
M4250
Electrosurgical Unit,
Dual Output
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-245
M4266
M4645
Pump, Volumetric,
Infusion, Multiple Line
Patient Transfer
Device
Defibrillator/Monitor,
Acute Care
Pacemaker, Single
M4812 Chamber, External,
Temporary
M7650
April 2016
V/V
V/V
V/V
V/V
A single chamber, external temporary pacemaker designed to provide acute therapeutic, prophylactic, and
diagnostic pacing support. It is capable of operating
in the demand or asynchronous modes and includes
adjustable rate, output, and sensing controls. Battery
operated.
C/C
V/V
4-246
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
Stool, Anesthesia,
M8940
With Back
R6200
Refrigerator, U/C or
F/S, 5 Cu Ft
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
4-247
Integrated Operating
U0100 Room System, Allowance
U0116
U0117
April 2016
V/V
Allowance for Integrated System for each Operating Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
by project basis. Integration provides visual image,
patient information and communication management. Integration can also include the control of some
equipment settings and environment settings such as
lighting.
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 26 Monitor mounted on boom arms
or off of Ceiling mounted arms. Exact configuration
of the Monitor, inputs and outputs should be verified
that it meets project requirements.
V/V
High Definition Monitor for Integration into OR System. Located as part of Light or Boom system or to
be wall mounted. 55 Monitor Wall Mounted. Exact
configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
Sharps Disposal
Cart, w-Foot Pedal
V/V
Ablation Generator,
U3096 Radio-Frequency,
Cardiac
V/V
V/V
U3092
Navigation System,
U3098 EP Mapping and
Surgical Nav
U4092
Manager, Medication,
Remote
V/V
Remote Medication Manager for automated medication management system with temperature sensitive
medications that require refrigeration, controlled point
-of use access, and electronic tracking and recording of transaction data for inventory management,
billing and regulatory compliance. (Refrigerator not
included)
U4093
Cabinet, Inventory
Management System
V/V
Inventory Management System Supply Cabinet configurable, with or without wheels, half or full height
.
4-248
U4095
U4099
X2106
X2125
X3145
Monitoring System,
CL-EP Combo
Scanner, Ultrasound,
Intra-Cardiac Echo
Scanner, Ultrasound,
Portable
April 2016
V/V
Stainless steel instrument table with shelf and 3 rubber, double ball bearing casters.
V/V
V/V
EP/Hemodynamic Cardiac Cath Lab computer information System. Multiple component system comprised of workstation, CPU, CD Rom drive, Floppy
disc drive, Magnetic Optical disc drive for storage of
patient data, Integrated Electronic Box (IEB) for the
distribution of wall power to peripherals, Laser Jet
Printer, 2-Local Monitors, 1 or more remote Monitors
for Patient bedside, CLab plus amplifiers, modem
keyboard, mouse, isolation tansformer and patient
stimulator.
V/V
A portable cardiovascular ultrasound with full diagnostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an integrated EchoPAC with data review, analysis, patient
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.
V/V
A portable diagnostic ultrasound scanner system configured for various applications, ease-of-use and high
performance for enhanced efficiency and accuracy.
The scanner is applicable for use in a wide variety of
hospital and office environments including ER, breast
surgery, anesthesia, vascular, interventional radiology
and critical care. The system features a high quality
color doppler ultrasound for imaging.
V/V
4-249
Radiographic/Fluoro
X6175 Unit, Angio, Biplane,
Digital
April 2016
V/V
V/V
Angiographic injector. This unit is a specialized radiographic procedure that provides sharp, well-defined
visual images of the vascular anatomy. The injector
introduces a vision radiopaque fluid (contrast medium) into an artery or vein through a small catheter,
making vessels contrast with their more radiolucent
surrounding. The unit incorporates an electromechanical or pneumatic driven syringe to deliver the
contrast medium. The syringe assemblies consist
of an electric motor connected to a jackscrew that
moves the syringe piston into or out of the syringe
barrel. The unit is used in hospitals with radiographic
procedures. Specify if unit is to be pedestal, ceiling,
wall or table mounted when ordering.
4-250
April 2016
Axonometric
350 NSF / 32,6 NSM
DESIGN GUIDE PLATES
Interventional Cardiology Patient Area
4-251
April 2016
17' - 3"
5258mm
A5082
F3200
F2010
P3100
SEMI-RESTRICTED
CORRIDOR
Da
A5145
GFI
M3072
M3070
A5075
F2017
A5107
TO SCOPE
STORAGE
ROOM
A5077
A5180
X2105
M8940
M7401
A1132
20' - 0"
6096mm
2A,2V,2O
NC
M4255
M4266
2
3
F0355
M9006
M4116
F0206
A5108
U4092
R6200
E0954
M7650
U4093
M3150
TO SOILED ROOM OR
SCOPE PROCESSING
ROOM
F0280
M1801
E0948
A1015
E0210
8'
16'
Floor Plan
350 NSF / 32,6 NSM
4-252
April 2016
A5180
10' - 0"
3048mm
9' - 0"
20' - 0"
6096mm
TABLE
10' - 0"
3048mm
DIMMABLE LIGHTING
17' - 3"
5258mm
8'
16'
April 2016
4-254
Elevations 1 & 2
350 NSF / 32,6 NSM
4'
ELEVATION 1
8'
M7401
LIGHT, EXAM, MOBILE
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
16'
ELEVATION 2
20' - 0"
6096mm
F0355
FOOTSTOOL, STRAIGHT
E0210
WORKSURFACE,
W/OVERHEAD CAB, WALL
MTD, 48" W
P3100
LAVATORY, VITREOUS
CHINA, SLAB TYPE
A5107
DISPENSER, GLOVE,
WALL-MTD
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M3070
HAMPER, LINEN
A5075
DISPENSER, SOAP
F3200
CLOCK, BATTERY, 12IN
A5082
DISPENSER, PAPER
TOWEL, SENSOR,
HANDS FREE
17' - 3"
5258mm
4-255
Elevations 3 & 4
350 NSF / 32,6 NSM
4'
M0755
FLOWMETER, OXYGEN,
LOW FLOW
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
M4116
MONITOR, VITAL SIGNS
A5108
WASTE DISPOSAL UNIT, SHARPS
E0948
CART, GENERAL STORAGE, MOBILE
M4255
STAND IV
F0280
CHAIR, SWIVEL, LOW
BACK
U4093
CABINET, INVENTORY
MANAGEMENT SYSTEM
E0210
WORKSURFACE,
W/OVERHEAD CAB,
WALL MTD, 48" W
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
A1015
TELEPHONE, DESK,
MULTIPLE LINE 12x12
16'
ELEVATION 4
ELEVATION 3
20' - 0"
6096mm
17' - 3"
5258mm
M9006
STRETCHER, RECOVERY, SURGICAL
A1132
RAIL, ACCESSORY MOUNTING
X2105
SCANNER, ULTRASOUND, CARDIAC
M3072
FRAME, INFECTIOUS WASTE BAG W/LID
M0765
REGULATOR, VACUUM
M0755
FLOWMETER, OXYGEN,
LOW FLOW
M0750
FLOWMETER, AIR
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
E0948
CART, GENERAL
STORAGE, MOBILE
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
U4092
MANAGER, MEDICATION, REMOTE
R6200
REFRIGERATOR, U-C OR
F-S, 5 CU FT
4-256
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Welded
Flooring
Seam
Sheet
Slab Depression:
None
Sound Protection:
Doors:
Maintained
Average
Illumination Ambient:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
4 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
Dimming
switching
Special
Requirement:
None
Special Requirement:
Notes:
1) Facility will select number and types of
scopes and other instrumentation as necessitated by the unique case load.
2) Scope Cleaning can occur in SPD or in the
Equipment Cleaning Room. Facility to select
adjacency of this room to either the Equipment
Cleaning Room or a Soiled Hold Room, where
scopes can be stored until pick-up and processing by SPD.
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
2) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
POWER
Normal Power:
Emergency Power:
To be connected to selected
receptacles and equipment.
Critical branch of the
EES to be connected to
selected receptacles and
equipment.
Notes:
1) Provide a minimum of 14 receptacles (7
duplex) on the rail system.
4-257
April 2016
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
Notes:
HEATING, VENTILATING AND AIR
CONDITIONING
General Requirement: Refer to the current version of the VA HVAC Design Manual for temperatures, humidity range, room air change requirements, and pressurization.
PLUMBING AND MEDICAL GASES
Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes (2)
Medical Vacuum
Yes (2)
Oxygen
Yes (2)
4-258
April 2016
NAME
QTY ACQ/INS
Telephone, Desk,
Multiple Line
DESCRIPTION
C/C
A1132
Rail, Accessory
Mounting, Length As
Required
V/V
A5075
Dispenser, Soap,
Disposable
V/V
V/V
C/C
V/V
V/V
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Waste Disposal Unit,
A5108
Sharps
Hook, Garment,
A5145 Double, SS, Surface
Mounted
4-259
10
Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
April 2016
C/C
V/V
V/V
V/V
V/V
F0206
F0280
V/V
F0355
Footstool, Straight
V/V
F2010
Basket, Wastepaper,
Step-On
V/V
4-260
F2017
F3200
Waste Receptacle,
24 GAL
Clock, Battery, 12
Diameter
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3070
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
V/V
4-261
M3072
Frame, Infectious
Waste Bag w/Lid
Distribution System,
M3150 Medication, Automatic
M4266
Pump, Volumetric,
Infusion, Multiple Line
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
V/V
V/V
Electronic sphygmomanometer. LCD displays noninvasive blood pressure, pulse rate and temperature.
Used in hospitals and clinics. Includes an optional
mobile stand.
V/V
V/V
V/V
V/V
4-262
Table, Ultrasound,
M9006 Mobile, Echocardiology
P3100
R6200
Lavatory, Vitreous
China, Slab Type
Refrigerator, U/C or
F/S, 5 Cu Ft
April 2016
V/V
Mobile exam table designed for ultrasound and echocardiology examinations. Table has an extra wide
top with a 500 lb patient capacity, suitable for bariatric
patients. Height range from 23 low to accommodate wheelchair transfers and those with ambulatory
difficulties to a high of 39. Table includes motorized
height adjustment, Fowler position, Trendelenburg
and auto level adjustment.
C/C
V/V
U4092
Manager, Medication,
Remote
V/V
Remote Medication Manager for automated medication management system with temperature sensitive
medications that require refrigeration, controlled point
-of use access, and electronic tracking and recording of transaction data for inventory management,
billing and regulatory compliance. (Refrigerator not
included)
U4093
Cabinet, Inventory
Management System
V/V
Inventory Management System Supply Cabinet configurable, with or without wheels, half or full height
.
V/V
High definition, diagnostic ultrasound system for Radiology, Cardiology, Vascular, ob-gyn, Perinatology,
and Surgical imaging applications. The unit employs
curved, phased and linear array imaging technology.
The system supports colorflow, pulse, continuous
wave imaging modalities. On board software measurement packages available for all imaging applications. The system is DICOM 3.0 compatible, for easy
linkage to filmless image management systems and
review stations. In addition, a full line of probes and
conventional recording devices are available.
X2105
Scanner, Ultrasound,
Cardiac (Echo)
4-263
April 2016
Axonometric
165 NSF / 15,5 NSM
DESIGN GUIDE PLATES
Interventional Cardiology Patient Area
4-264
April 2016
9' - 6"
2896mm
A5107
DISPENSER, GLOVE,
WALL-MTD
OSa
7' - 6"
2286mm
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
CT050
COUNTER, STAINLESS
STEEL
U4100
TEE PROBE STORAGE
CABINET
M2100
CART, SHELVING,
STORAGE, MOBILE, SS
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
DECONTAMINATION
OSb
10' - 0"
3048mm
A5107
DISPENSER, GLOVE,
WALL-MTD
A5082
DISPENSER, PAPER
TOWEL, SENSOR, HANDS
FREE
P3100
LAVATORY, VITREOUS
CHINA, SLAB TYPE
A5075
DISPENSER, SOAP
F2010
BASKET, WASTEPAPER,
STEP-ON
U4102
SLIDING SERVICE
WINDOW
U0402
DISINFECTOR,
AUTOMATED, PROBE, TEE
A5082
DISPENSER, PAPER
TOWEL, SENSOR, HANDS
FREE
A5075
DISPENSER, SOAP
A1195
COUNTER, CLEAN-UP,
WITH 2 OR 3 SINKS
F2020
CAN, TRASH, 44 GALLON
8'
16'
Floor Plan
165 NSF / 15,5 NSM
4-265
April 2016
CLEAN STORAGE
7' - 6"
2286mm
9' - 0"
18' - 0"
5486mm
9' - 0"
DECONTAMINATION
10' - 0"
3048mm
9' - 6"
2896mm
8'
16'
Elevations 1 & 2
165 NSF / 15,5 NSM
4'
16'
A1195
COUNTER, CLEAN-UP,
WITH 2 OR 3 SINKS
A5082
DISPENSER, PAPER
TOWEL, SENSOR,
HANDS FREE
CD030
CABINET, W-H, 2 SHELF,
2 DO
M2100
CART, SHELVING, STORAGE, MOBILE, SS
U4102
SLIDING SERVICE WINDOW
ELEVATION 2
10' - 0"
3048mm
ELEVATION 1
9' - 6"
2896mm
F2020
CAN, TRASH, 44 GALLON
A5075
DISPENSER, SOAP
A1195
COUNTER, CLEAN-UP, WITH 2 OR 3 SINKS
4-267
April 2016
U4100
TEE PROBE STORAGE
CABINET
U4102
Elevation 3
165 NSF / 15,5 NSM
DESIGN GUIDE PLATES
Interventional Cardiology Patient Area
4'
8'
16'
U0402
DISINFECTOR,
AUTOMATED, PROBE,
TEE
CT050
COUNTER, STAINLESS
STEEL
ELEVATION 3
9' - 6"
2896mm
4-268
April 2016
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Resilient Base
Floor Finish:
Slab Depression:
None
Sound Protection:
None
Doors:
No
Telephone:
No
Cable Television:
No
Duress Alarm:
No
No
Intercom:
No
No
Maintained
Average
Illumination - Task
Focus:
Nurse Call:
No
Code Blue:
No
Public Address:
Yes
Luminaire Type:
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
4 or 3 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80% shall be
on emergency battery packs
Special Requirement:
No
LIGHTING
Maintained
Average
Illumination Ambient:
Lamps:
Controls:
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions.
4-269
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-270
April 2016
NAME
QTY ACQ/INS
DESCRIPTION
A1195
Counter, Cleanup,
With 2 or 3 Sinks
C/C
Two or three sink cleanup counter. Unit is constructed of type 304 corrosion resistant stainless
steel. It consists of three sinks 14W X 16H X 10D,
hot and cold water faucet, and pre-rinse spray hose.
Equipped with channel reinforced drainboards, and
backsplash, and supported by tubular stainless steel
legs. Unit is designed for use in control sterile supply
decontamination areas.
A5075
V/V
V/V
C/C
V/V
C/C
V/V
Forty four (44) gallon trash can, 32 high X 24 diameter, with lid. Used to collect and transport refuse
from a point of origin to point of disposal (example:
from soiled utility or a nursing unit to the trash compactor at housekeeping).
V/V
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Cabinet, W/H, 2
CD030 Shelf, 2 DO, Sloping
Top, 38x30x13
F2020
M2100
4-271
April 2016
NAME
QTY ACQ/INS
A5075
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
DESCRIPTION
V/V
V/V
C/C
V/V
CT050
Countertop, Stainless
Steel
C/C
Stainless steel countertop (composition of heavygauge Type No. 304 stainless steel) having a smooth
satin finish and integral 4 backsplash/curb. Also
referred to as a corrosion-resistant steel work surface
or work top. Available in various depths. Used in
areas where excellent ease of cleaning, abrasion resistance, bacteria resistance, impact resistance, load
capacity and moisture resistance, are of concern.
Pricing based upon a 24 depth.
F2010
Basket, Wastepaper,
Step-On
V/V
C/C
V/V
Disinfector provides high level disinfection of transesophageal (TEE) echocardiogram ultrasound probe.
Microprocesssor-controlled and with printout verifying
cycle information.
V/V
C/C
A pass-through window assembly for moving decontaminated products between the decontaimination
area and the clean area. The assembly consists of a
verticle sliding pass-through window.
P3100
Lavatory, Vitreous
China, Slab Type
Disinfector, AutomatU0402
ed, Probe, TEE
U4100
4-272
April 2016
Axonometric
185 NSF / 17,2 NSM
DESIGN GUIDE PLATES
Clean Core Area
4-273
April 2016
CLEAN CORE
P3100
LAVATORY, VITREOUS
CHINA, SLAB TYPE
12' - 0"
3658mm
A5075
DISPENSER, SOAP
A1012
TELEPHONE, WALL
MOUNTED, 1 LINE
3a
CT050
COUNTER, STAINLESS
STEEL
S0125
STERILIZER, STM, VAC,
1DO, CAB
6" AFC
GFI
A5107
DISPENSER, GLOVE,
WALL-MTD
15' - 6"
4724mm
54" AFF
1
CT050
COUNTER, STAINLESS
STEEL
CS150
SINK, SS, SINGLE
COMPARTMENT
A5082
DISPENSER, PAPER
TOWEL, SENSOR, HANDS
FREE
M3070
HAMPER, LINEN
F2010
BASKET, WASTEPAPER,
STEP-ON
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
SEMI-RESTRICTED
CORRIDOR
A5107
DISPENSER, GLOVE,
WALL-MTD
8'
16'
Floor Plan
185 NSF / 17,2 NSM
4-274
April 2016
9' - 0"
8' - 0"
2438mm
15' - 6"
4724mm
DT
7' - 0"
2134mm
12' - 0"
3658mm
8'
16'
4'
C0040
RAIL, APRON, 4x54x1
CT050
COUNTER, STAINLESS STEEL
C03F0
CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x30x22
Elevation 1
185 NSF / 17,2 NSM
CS150
SINK, SS, SINGLE COMPARTMENT
CA020
CABINET, OPEN, W-H, 2 SHELF, 38X24X13
16'
ELEVATION 1
7' - 0"
2134mm
8' - 0"
2438mm
CT050
COUNTER, STAINLESS STEEL
C05F0
CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x48x22
S0125
STERILIZER, STM, VAC, 1DO, CAB
4-276
April 2016
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Floor Finish:
Resinous Flooring
Slab Depression:
None Special
Sound Protection:
None
Doors:
Yes
Telephone:
Yes
LIGHTING
Cable Television:
No
Maintained
Average
Illumination Ambient:
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
No
Code Blue:
No
Public Address:
Yes
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions.
Notes:
HEATING, VENTILATING AND AIR
CONDITIONING
General Requirement: Refer to Sub-Sterile
Room data sheet in the current version of the VA
HVAC Design Manual for room temperatures,
humidity range, room air change requirements,
and pressurization.
4-277
April 2016
Special Requirement:
Notes:
1) Canopy hood exhaust provided at sterilizer.
PLUMBING AND MEDICAL GASES
Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No
Notes:
1) Provide steam as required for sterilizer.
2) Provide floor drain for sterilizer.
FIRE PROTECTION AND LIFE SAFETY
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-278
April 2016
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1012
Telephone, Wall
Mounted, 1 Line
C/C
A5075
V/V
V/V
C/C
V/V
C/C
C/C
C/C
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Cabinet, U/C/B, 1
C03F0 Shelf, 2 Half DR, 2
DO, 36x30x22
Cabinet, U/C/B, 1
C05F0 Shelf, 2 Half DR, 2
DO, 36x48x22
Cabinet, Open, W/H,
CA020 2 Shelf, Sloping Top,
38x24x13
4-279
April 2016
C/C
CT050
Countertop, Stainless
Steel
11
C/C
Stainless steel countertop (composition of heavygauge Type No. 304 stainless steel) having a smooth
satin finish and integral 4 backsplash/curb. Also
referred to as a corrosion-resistant steel work surface
or work top. Available in various depths. Used in
areas where excellent ease of cleaning, abrasion resistance, bacteria resistance, impact resistance, load
capacity and moisture resistance, are of concern.
Pricing based upon a 24 depth.
F2010
Basket, Wastepaper,
Step-On
V/V
V/V
C/C
C/C
M3070
P3100
Lavatory, Vitreous
China, Slab Type
4-280
April 2016
Axonometric
110 NSF / 10,3 NSM
DESIGN GUIDE PLATES
Post-Anesthesia Care Unit (PACU)
4-281
April 2016
A5180
TRACK, CUBICLE,
SURFACE MOUNTED,
WITH CURTAIN
F2010
BASKET, WASTEPAPER,
STEP-ON
M4665
STRETCHER, RECOVERY,
SURGICAL
E0948
CART, GENERAL
STORAGE, MOBILE
NC
A5108
WASTE DISPOSAL UNIT,
SHARPS
M7845
MONITOR,
PHYSIOLOGICAL,
BEDSIDE
A1107
RAIL SYSTEM, UTILITY,
GAS AND ELECTRIC
A5107
DISPENSER, GLOVE,
WALL-MTD
F3200
CLOCK, BATTERY, 12IN
M7040
TABLE, OVERBED
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
M4255
STAND IV
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
11' - 0"
3353mm
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
10' - 0"
3048mm
8'
16'
Floor Plan
110 NSF / 10,3 NSM
4-282
April 2016
9' - 0"
11' - 0"
3353mm
ab
10' - 0"
3048mm
8'
16'
Elevation 1
110 NSF / 10,3 NSM
4'
16'
M4255
STAND IV
M0755
FLOWMETER, OXYGEN, LOW FLOW
M0765
REGULATOR, VACUUM
A5077
DISPENSER, HAND SANITIZER, HANDS FREE
M1801
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
M4266
PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES
F3200
CLOCK, BATTERY, 12IN
ELEVATION 1
10' - 0"
3048mm
A5107
DISPENSER, GLOVE, WALL-MTD
A5108
WASTE DISPOSAL UNIT, SHARPS
M4665
STRETCHER, RECOVERY, SURGICAL
M0765
REGULATOR, VACUUM
M0750
FLOWMETER, AIR
M7845
MONITOR, PHYSIOLOGICAL, BEDSIDE
A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
M0755
FLOWMETER, OXYGEN, LOW FLOW
4-284
April 2016
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Lamps:
4 Fluorescent or LED
equivalent, 3500K 4100K
CCT, CRI >= 80%, 50%
lamps above Table shall
be on emergency battery
packs
Controls:
Dimming
switching
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Welded
Flooring
Slab Depression:
None
Sound Protection:
POWER
Doors:
Normal Power:
Seam
Sheet
Special Requirement:
1) Verify with life safety requirements that sliding
glass doors can break out of the room
2) Sliding door and footwall can be omitted to
create an open patient cubicle if desired by the
facility
LIGHTING
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions.
To be connected to selected
receptacles and equipment.
Notes:
Maintained
Average
Illumination Ambient:
or
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
4-285
April 2016
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes
Medical Vacuum
Yes
Oxygen
Yes
Yes
Sprinkler:
Yes
Hazard Type:
4-286
April 2016
JSN
A1107
NAME
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Waste Disposal Unit,
A5108
Sharps
F2010
F3200
Basket, Wastepaper,
Step-On
Clock, Battery, 12
Diameter
QTY ACQ/INS
DESCRIPTION
C/C
The headwall rail system shall consist of three horizontal rails mounted to the patient room headwall
to provide utilities and patient services to support
ancillary equipment to include gas and vacuum.
The rail system must be capable of quickly adding
or relocating medical gases services and be able to
accept new equipment, provide physical support to
equipment, brackets, shelves and other patient support items.
V/V
V/V
V/V
C/C
V/V
V/V
V/V
32
4-287
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
M3072
Frame, Infectious
Waste Bag w/Lid
April 2016
V/V
V/V
V/V
V/V
V/V
V/V
4-288
M4266
M4665
Pump, Volumetric,
Infusion, Multiple Line
Stretcher, Recovery,
Surgical
April 2016
V/V
V/V
Recovery/surgical stretcher. Strong I-beam construction type unit. The height is adjustable with manual
backrest and crank operated knee catch. Stainless
or painted steel top and chassis. Features 8 or
10 conductive casters, with lock and brake, folding, tuck-away chrome side-rails and IV stand and a
flame retardant antibacterial mattress. Designed for
operating room transport or recovery applications.
V/V
V/V
4-289
April 2016
Axonometric
150 NSF / 14,0 NSM
DESIGN GUIDE PLATES
Post-Anesthesia Care Unit (PACU)
4-290
April 2016
M4665
A5180
a b
A5145
P3100
F0205
F3200
A5145
GFI
5' - 0"
1524mm
A1012
F2010
A5075
A5080
A1012
M7040
A5077
E0948
A5108
CT020
A5107
A5107
M3070
GFI
6" AFC
A5080
NC
7' - 0"
2134mm
A5077
BORROWED
LIGHT
CS140
M1801
M4255
M4266
A5075
M3072
A1107
6' - 6"
1981mm
12' - 6"
3810mm
M7845
8'
16'
Floor Plan
150 NSF / 14,0 NSM
4-291
April 2016
A5180
TRACK, CUBICLE,
SURFACE MOUNTED,
WITH CURTAIN
9' - 0"
12' - 0"
3658mm
9' - 0"
7' - 0"
2134mm
ab
6' - 6"
1981mm
12' - 6"
3810mm
19' - 6"
5944mm
8'
16'
April 2016
4-293
4'
8'
16'
M1801
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
M4255
STAND IV
Elevations 1 & 2
150 NSF / 14,0 NSM
M4266
PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES
A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
M0765
REGULATOR, VACUUM
M0755
FLOWMETER, OXYGEN, LOW FLOW
F2010
BASKET, WASTEPAPER,
STEP-ON
P3100
LAVATORY, VITREOUS CHINA, SLAB TYPE
A5075
DISPENSER, SOAP
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
A5080
DISPENSER, PAPER TOWEL
ELEVATION 2
12' - 6"
3810mm
ELEVATION 1
12' - 0"
3658mm
M4665
STRETCHER, RECOVERY, SURGICAL
M3072
FRAME, INFECTIOUS WASTE BAG W/LID
M7845
MONITOR, PHYSIOLOGICAL, BEDSIDE
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
M0755
FLOWMETER, OXYGEN, LOW FLOW
A5108
WASTE DISPOSAL UNIT,
SHARPS
E0948
CART, GENERAL STORAGE, MOBILE
A5107
DISPENSER, GLOVE,
WALL-MTD
4-294
Elevation 3
150 NSF / 14,0 NSM
4'
16'
CS140
SINK, SS,GENERAL, SINGLE X, 10X14X ID
C0036
RAIL, APRON, 4x30x1
F2010
BASKET, WASTEPAPER, STEP-ON
A5080
DISPENSER, PAPER TOWEL
CB020
CABINET, W-H, 2 SHELF, 1 DO, 38x24x13 LH
ELEVATION 3
6' - 6"
1981mm
C01D0
CABINET, U-C-B, 4 DR, 36x18x22
CT020
COUNTER, SOLID SURFACE
M3070
HAMPER, LINEN
A5075
DISPENSER, SOAP
4-295
April 2016
Controls:
Dimming
switching
or
multi-level
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Notes:
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
Floor Finish:
Welded
Flooring
Slab Depression:
None
Sound Protection:
Doors:
Seam
Sheet
Special Requirement:
Notes:
POWER
Normal Power:
To be connected to selected
receptacles and equipment.
COMMUNICATIONS
Data:
Yes
LIGHTING
Telephone:
Yes
Maintained
Average
Illumination Ambient:
Cable Television:
No
Duress Alarm:
No
No
Intercom:
No
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
4-296
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes
Medical Vacuum
Yes
Oxygen
Yes
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-297
April 2016
NAME
Telephone, Wall
Mounted, 1 Line
QTY ACQ/INS
1
DESCRIPTION
C/C
A1107
C/C
The headwall rail system shall consist of three horizontal rails mounted to the patient room headwall
to provide utilities and patient services to support
ancillary equipment to include gas and vacuum.
The rail system must be capable of quickly adding
or relocating medical gases services and be able to
accept new equipment, provide physical support to
equipment, brackets, shelves and other patient support items.
A5075
V/V
V/V
C/C
A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator
slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
V/V
V/V
C/C
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5080 Towel, SS, Surface
Mounted
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Waste Disposal Unit,
A5108
Sharps
Hook, Garment,
A5145 Double, SS, Surface
Mounted
12
4-298
April 2016
V/V
F0205
V/V
F2010
Basket, Wastepaper,
Step-On
V/V
V/V
V/V
V/V
V/V
F3200
Clock, Battery, 12
Diameter
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow
4-299
M3072
Frame, Infectious
Waste Bag w/Lid
M4266
M4665
Pump, Volumetric,
Infusion, Multiple Line
Stretcher, Recovery,
Surgical
April 2016
V/V
V/V
V/V
V/V
V/V
Recovery/surgical stretcher. Strong I-beam construction type unit. The height is adjustable with manual
backrest and crank operated knee catch. Stainless
or painted steel top and chassis. Features 8 or
10 conductive casters, with lock and brake, folding, tuck-away chrome side-rails and IV stand and a
flame retardant antibacterial mattress. Designed for
operating room transport or recovery applications.
V/V
4-300
P3100
Lavatory, Vitreous
China, Slab Type
April 2016
V/V
C/C
4-301
April 2016
NAME
QTY ACQ/INS
DESCRIPTION
A1012
Telephone, Wall
Mounted, 1 Line
C/C
A5075
V/V
V/V
C/C
A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator
slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
V/V
C/C
C/C
C/C
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5080 Towel, SS, Surface
Mounted
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Hook, Garment,
A5145 Double, SS, Surface
Mounted
Cabinet, U/C/B, 4
C01D0
Drawer, 36x18x22
Cabinet, W/H, 2
CB020 Shelf, 1 DO, Sloping
Top, 38x24x13
4-302
April 2016
C/C
CT020
Countertop, Solid
Surface
C/C
A solid, nonporous countertop with a smooth seamless appearance. Easy to clean and maintain and
with proper cleaning does not support the growth of
mold. An acrylic-based solid surface product. Standard thickness of 1, and a 4 butt backsplash/curb.
Also referred to as a work surface or work top. Available in a choice of colors and depths. Used in lab
and other hospital areas requiring optimum physical
and chemical resisting properties.
F2010
Basket, Wastepaper,
Step-On
V/V
V/V
M3070
4-303
April 2016
Axonometric
120 NSF / 11,2 NSM
DESIGN GUIDE PLATES
Surgical Procedure Support Area
4-304
April 2016
R6111
FREEZER, CRYOGENIC,
CHEST
E0703
TABLE, PROCESS, 5
DRAWERS
A1015
TELEPHONE, DESK,
MULTIPLE LINE 12x12
D3295
CHAIR, ROTARY,
LABORATORY, DENTAL
F3200
CLOCK, BATTERY, 12IN
L0100
MICROSCOPE,
BINOCULAR
L8590
STAINER, SLIDE,
AUTOMATIC,
HEMATOLOGY
L4200
BATH, WATER,
SEROLOGY, ELECTRIC
L3400
MICROTOME, ROTARY,
TILT, BENCH MOUNTED
A5108
WASTE DISPOSAL UNIT,
SHARPS
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
OSa
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
GFI
6" AFC
12' - 0"
3658mm
L9025
FREEZE-DRYER, TISSUE
E0721
TABLE, PROCESS, 5 DRAWERS
A5082
DISPENSER, PAPER
TOWEL, SENSOR, HANDS
FREE
10' - 0"
3048mm
A5107
DISPENSER, GLOVE,
WALL-MTD
CS140
SINK, SS,GENERAL,
SINGLE X, 10X14X ID
P1965
EYEWASH, EYE-FACE,
SINK MOUNTED,
HANDS-FREE
A5075
DISPENSER, SOAP
CT060
COUNTER, MODIFIED
EPOXY RESIN
8'
16'
Floor Plan
120 NSF / 11,2 NSM
4-305
April 2016
a
9' - 0"
10' - 0"
3048mm
12' - 0"
3658mm
8'
16'
Elevation 1
120 NSF / 11,2 NSM
4'
F2000
BASKET, WASTEPAPER,
ROUND, METAL
C0036
RAIL, APRON, 4x30x1
CT060
COUNTER, MODIFIED
EPOXY RESIN
CS140
SINK, SS,GENERAL,
SINGLE X, 10X14X ID
P1965
EYEWASH, EYE-FACE,
SINK MOUNTED,
HANDS-FREE
A5075
DISPENSER, SOAP
CE050
CABINET, W-H, 2 SHELF,
2 GDO, 38x48x13
16'
ELEVATION 1
12' - 0"
3658mm
C01D0
CABINET, U-C-B, 4 DR,
36x18x22
E0721
TABLE, PROCESS, 5
DRAWERS
L4200
BATH, WATER,
SEROLOGY, ELECTRIC
L3400
MICROTOME, ROTARY,
TILT, BENCH MOUNTED
L8590
STAINER, SLIDE,
AUTOMATIC,
HEMATOLOGY
L9025
FREEZE-DRYER, TISSUE
4-307
April 2016
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Base:
Resilient Base
Floor Finish:
Slab Depression:
None Special
Sound Protection:
None
Doors:
Yes
Telephone:
Yes
LIGHTING
Cable Television:
No
Maintained
Average
Illumination Ambient:
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
No
Code Blue:
No
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
Special Requirement:
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions.
4-308
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-309
April 2016
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1015
Telephone, Desk,
Multiple Line
C/C
A5075
V/V
V/V
C/C
V/V
V/V
C/C
C/C
C/C
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Waste Disposal Unit,
A5108
Sharps
Cabinet, U/C/B, 4
C01D0
Drawer, 36x18x22
4-310
April 2016
C/C
CT060
Countertop, Modified
Epoxy Resin
C/C
D3295
V/V
V/V
V/V
V/V
F2000
Basket, Wastepaper,
Round, Metal
4-311
F3200
L0100
L3400
Clock, Battery, 12
Diameter
Microscope, Binocular
Microtome, Rotary,
Tilt, Bench Mounted
L4200
L8590
L9025
Freeze-Dryer, Tissue
April 2016
V/V
V/V
Binocular microscope. Equipped with plan achromatic objectives to suit work in brightfield, phase
contrast, darkfield, photomicrography, dual viewing
and projection screen. Microscope has a high light
intensity, 100 watt halogen lamp, for constant color
temperature and illumination, a three step variable
transformer, focusable aspheric abbe condenser
system; heat absorbing glass; centerable field
diaphragm; two built-in filter turrets permitting a
combination of selective light balancing and color
compensating filters. Other components/features include a swing-in condenser, 4X objective, quadruple
nosepiece, 10X wide field eyepieces and a graduated
stage. Other observation tubes can be added. It is
used in laboratories for cell counting and other observation techniques.
V/V
V/V
Serological water bath. It operates in the temperature range of 60 to 100 degrees centigrade. It has
a corrosion-proof stainless steel water tank with a 3
gallon capacity. Models have drain spouts for easy
emptying of media. Used to provide a controlled
temperature environment for the preparation of
samples for study.
V/V
V/V
4-312
M3072
Frame, Infectious
Waste Bag w/Lid
Eyewash, Eye/
P1965 Face, Sink Mounted,
Hands-free
R6111
Freezer, Cryogenic,
Chest
April 2016
V/V
C/C
A sink mounted eyewash station. The unit is designed for emergency eye and face rinsing from soft
flow dual spray-heads. The Flow must be activated
by the single momentary action and remain on until
terminated.
V/V
4-313
April 2016
Axonometric
120 NSF / 11,2 NSM
DESIGN GUIDE PLATES
Surgical Procedure Support Area
4-314
April 2016
F2010
BASKET, WASTEPAPER,
STEP-ON
A1012
TELEPHONE, WALL
MOUNTED, 1 LINE
A5082
DISPENSER, PAPER
TOWEL, SENSOR,
HANDS FREE
A5075
DISPENSER, SOAP
U0126
WASTE MANAGEMENT
SYSTEM DOCK
NC
12' - 0"
3658mm
U0124
WASTE MANAGEMENT
SURGICAL FLUID COLLECTION
OSa
P3100
LAVATORY, VITREOUS
CHINA, SLAB TYPE
U0399
VALVE, MIXING,
THERMOSTATIC, EYEWASH
P2000
EYEWASH, WALL
MOUNTED,
HANDS-FREE
A5107
DISPENSER, GLOVE,
WALL-MTD
M3070
HAMPER, LINEN
A5077
DISPENSER, HAND
SANITIZER, HANDS FREE
54" AFF
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
P6350
SINK, FLUSHING RIM, CHINA
10' - 0"
3048mm
8'
16'
Floor Plan
120 NSF / 11,2 NSM
4-315
April 2016
9' - 0"
a
12' - 0"
3658mm
10' - 0"
3048mm
8'
16'
Elevations 1 & 2
120 NSF / 11,2 NSM
4'
16'
U0399
VALVE, MIXING,
THERMOSTATIC, EYEWASH
P2000
EYEWASH, WALL MOUNTED, HANDS-FREE
A5107
DISPENSER, GLOVE, WALL-MTD
P3100
LAVATORY, VITREOUS CHINA, SLAB TYPE
M3070
HAMPER, LINEN
M3072
FRAME, INFECTIOUS WASTE BAG W/LID
CD030
CABINET, W-H, 2 SHELF, 2 DO
U0124
WASTE MANAGEMENT
SURGICAL FLUID COLLECTION
U0126
WASTE MANAGEMENT
SYSTEM DOCK
ELEVATION 2
ELEVATION 1
12' - 0"
3658mm
12' - 0"
3658mm
F2010
BASKET, WASTEPAPER,
STEP-ON
A5075
DISPENSER, SOAP
A5082
DISPENSER, PAPER
TOWEL, SENSOR, HANDS
FREE
P6350
SINK, FLUSHING RIM, CHINA
4-317
April 2016
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
To be connected to selected
receptacles and equipment.
Ceiling Finish:
Wall Finish:
Normal Power:
Wainscot:
Notes:
1) Provide GFI receptacle by the sink.
Base:
Resilient Base
Floor Finish:
COMMUNICATIONS
Data:
Yes
Slab Depression:
None Special
Telephone:
Yes
Sound Protection:
None
Cable Television:
No
Doors:
Duress Alarm:
No
Yes
Intercom:
Yes (Phone)
No
Nurse Call:
Yes
Code Blue:
No
Public Address:
No
No
VA Satellite TV:
No
Video Teleconferencing
(VTEL):
No
LIGHTING
Maintained
Average
Illumination Ambient:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions.
4-318
April 2016
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
4-319
April 2016
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1012
Telephone, Wall
Mounted, 1 Line
C/C
A5075
V/V
V/V
C/C
V/V
Dispenser, Hand
A5077
Sanitizer, Hands-Free
Dispenser, Paper
A5082 Towel, Sensor, Hands
Free
Dispenser, Glove,
A5107 Surgical/Examination,
Wall Mntd
Cabinet, W/H, 2
CD030 Shelf, 2 DO, Sloping
Top, 38x30x13
C/C
Basket, Wastepaper,
Step-On
V/V
V/V
V/V
F2010
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
4-320
Eyewash, Wall
P2000 Mounted, HandsFree
P3100
P6350
Lavatory, Vitreous
China, Slab Type
Waste Management
U0124 Surgical Fluid Collection
U0126
Waste Management
Fluid Docking Station
April 2016
C/C
C/C
C/C
V/V
Surgical fluid waste management system with powered IV pole and smoke evacuation. Portable waste
collection unit, for use with Docking Station (specified
separately). Dual canisters (one 4L and one 20L),
two levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
V/V
C/C
4-321
April 2016
4-322
April 2016
5.0 APPENDIX
5.1. Checklist for Cardiac Hybrid OR, Cardiac Catherization/ Electrophysiology Lab
Yes No
1. EGRESS, ACCESS AND TRAFFIC PATTERNS
A. Egress: Cardiac Catheterization Laboratories shall be designed and perform as Surgical Operating Rooms as operative procedures are performed,
and egress to these rooms shall meet the following traffic patterns standards
which should be designated to clearly define specific areas. The separation
of unrestricted, semi-restricted, and restricted space is required and
defined as follows:
B. Unrestricted Area: Street clothes are permitted and traffic is not limited
C. Semi-restricted Area: This area includes the peripheral support areas of
the Laboratories. This includes the corridors leading to the restricting area
and is limited to personnel wearing surgical attire. Cover all head and facial
hair (you may wear a jumpsuit designed to totally cover outside apparel).
D. Restricted Area: This includes the Laboratories where operative procedures will occur. Surgical attire, shoe covers, masks, and hair coverings are
required.
E. Staff Traffic: Ideally there are two approved patterns of traffic flow for the
staff. One pattern is from the staff lockers/lounge through the semi-restricted
corridor to the Scrub Stations and then into the individual Laboratories with
exit through the semi-restricted corridor. The second pattern of staff traffic
is from the staff lockers/lounge directly into the clean core area to the Scrub
Stations and then into the individual Laboratories. Possible exceptions to
the flow are the circulators, who retrieve supplies and equipment from the
clean core.
F. Patient Traffic: The patients are brought into the Laboratories from the
Preparation Area on a gurney. Patients entering the Laboratories should
have a clean gown, clean linens, and their hair covered. After the procedure
the patient are transported through the semi-restricted corridor and taken to
a Recovery Area.
APPENDIX
5-1
April 2016
Yes No
APPENDIX
5-2
April 2016
Yes No
APPENDIX
5-3
April 2016
Yes No
APPENDIX
5-4
April 2016
Yes No
APPENDIX
5-5
April 2016
Yes No
E. Anesthetic Gases:
Potential hazards associated with the use of anesthetic gases in the Laboratories should be identified and safe practices should be established. Anesthesia gases should be located at the head of the patient with enough swing
to accommodate a room switch.
F. Booms:
(Preferred) Anesthesia Boom, (preferred) Utilities Boom, (required) Documentation Boom, (required) Display Monitor Boom. Booms must be either
electro-magnetic (preferred) or pneumatically operated. If pneumatic, provide air compressor and air storage tank in proximal sound proof room
G. Medical Gas and Electrical Outlets:
(Minimum)-Oxygen (2), Vacuum (5), Nitrous Oxide (1), Nitrogen (1) Electrical Receptacles (24) must be present in each Hybrid Cardiac OR Cath
Laboratory Procedure Room
APPENDIX
5-6
April 2016
Yes No
H. HVAC Criteria:
Proper air quality, air volume changes and air flow direction in the Laboratories must meet AORN Standards and VA HVAC Guidelines for Operative
Surgical Suites. Ideally this includes the visual monitoring of temperature,
humidity, and positivity in the Laboratories. Room readiness should be documented prior to case start. The following are required for operative procedures to be performed:
1. Laminar Flow Ceiling with Laminar Flow Diffusers (clear of ceiling
equipment)
2. Low Return Air (3 minimum, 4 preferred)
3. Room Pressure (+)
4. Noise Criteria (35-45)
5. RH Heating (30-60%)
6. RH Cooling (20-60%)
7. Total Air Exchanges: 20 air changes per hour minimum, (25 air changes
per hour preferred).
8. Minimum Outside Air: four (4) air changes per hour minimum (five (5) air
changes per hour preferred).
9. Dry Bulb Temperature Heating (75 degrees F)
10. Dry Bulb Temperature Cooling (68 degrees F)
11. Design Guide continues to recommend 25% outside air for HVAC systems
12. During an operative procedure (implants, etc), all the space from the
floor itself to a distance of 15 (380 mm) above is considered contaminated. Therefore, all exhaust/return grills positioned low on the wall approximately 8 (460 mm) above the floor. The Laboratory room exhaust
system should include a minimum of three (four best) low exhaust/return
air grills located in opposite corners to minimize recirculation of contaminated air within the room.
I. Power Systems:
Line-isolation monitors should be provided for each isolated power system
(preferred but not required). All Laboratories should be on an un-interrupted
power supply (UPS). The power requirements for an operative procedure
in the Catheterization or Electrophysiology Laboratories must exceed routine Catheterization Laboratories. Electrical feeders for the main distribution
point may be required to boost the power needs.
1. Minimum One 208-volt outlet is required
2. Code Blue system is required in the event of a cardiac arrest summoning designated staff
3. Follow requirements of National Electrical Code and NFPA 99.
APPENDIX
5-7
April 2016
Yes No
J. Procedural Table:
Capable to swing 90 degrees (preferred) radiotranslucent with Slopesaddle column design that allows for a maximum Trendelenburg/Reverse
Trendelenburg of 80 degrees and simultaneous lateral tilt of 45 degrees in
positioning support on the surgical table top .
APPENDIX
5-8
April 2016
The facility managers at each tour site supplied the team with floor plans which
were colorized and formatted by the SmithGroupJJR consultants.
Photographs of each facility were taken by the consultant team.
The team would like to thank the many facility staff members who took time out
of their work day to tour the surgical program spaces with the VA and consultant
teams and explain their models of patient care.
APPENDIX
5-9
April 2016
Figure 5.2.1.1
Aerial of Elmhurst Memorial Hospital
Elmhurst, Illinois
Total Area
866,000 sf
Floors
Beds
259
Operating Rooms
16
Project Cost
$450 Million
Construction Cost
$320 Million
Opening Date
June 2011
Owner
Architect
APPENDIX
5-10
April 2016
Figure 5.2.1.2
Main Entry of Elmhurst Memorial Hospital
Overview
Elmhurst Memorial Healthcare recently took the opportunity not only to
replace an outdated, landlocked hospital building, but also to redefine the
way they treat patients.
When the system set out to build a replacement facility, it established five
main goals for the new building: clinical quality, safety, market growth,
financial performance and patient satisfaction. Central to these is the patient
experience; throughout the planning process, the health system asked,
How do you put the patient at the center, and make that stick?
To answer this question, the system worked extensively with health care
consulting firm Hammes Company, Brookfield, Wis., to research, map and
optimize the patient experience. It also joined the Planetree network, an
organization based in Derby, Conn., that promotes patient-centered care,
including the idea that physical environments can enhance healing, health
and well-being. Planetrees principles for safe, effective, high-quality care
APPENDIX
5-11
Figure 5.2.1.3
Main Lobby
April 2016
Figure 5.2.1.4
Operating Room
that nurture the body, mind and spirit clearly are evident in the newly opened
Elmhurst Memorial Hospital facility, which was designed by Albert Kahn
Associates Inc., Detroit, and Pratt Design Studio, Chicago.
The red brick Prairie-style building is adorned with bands of precast concrete
molded in the design of a Planetree leaf, a motif used throughout the hospital
in tribute to the patient-centered model of care.
Gardens and outdoor seating areas span the front of the building. A water
feature is installed just inside the main entrance to provide a serene entry
sequence for patients and visitors. Oversized windows fill the first-floor,
public concourse with natural light. A number of amenities are located along
the concourse, including a flower shop, wellness boutique, Starbucks,
pharmacy and the hospitals caf.
A health education center is available to the public in keeping with the
Planetree belief that access to health information can empower people to
participate in their own care. The back of this library opens to the physician
APPENDIX
5-12
April 2016
5-13
April 2016
Figure 5.2.1.5
Operating Room
Model of Care
The Planetree Model of Care has been highlighted as a holistic philosophy
of care that resonates with every department in the facility, including the
Surgical Program. Patients are the center of the care model at Elmhurst
and the staff seek to ensure that patients are brought into for their surgical
cases in a safe and efficient way. The paths that lead patients from
pre-operative assessment through recovery and discharge are clearly
delineated and patients are educated about their surgical process along
the way. Visitors are also thought of in the design with ample pleasant
waiting areas and an invitation to join their loved one throughout their
surgical experience.
The hospital is considered a destination care center for community
providers. Facility management related that local physicians and surgeons
have a choice in their admitting and privileges and surgical case blocks
with competition from other area hospitals and surgical centers. Many
of the physicians are choosing to operate at Elmhurst and the facility
APPENDIX
5-14
April 2016
has seen an uptick in procedures related to this. The hospital also has
an established partnership with Northwestern Universitys Interventional
Radiology program.
Valet parking is an amenity for surgical patients and their families and
care takers. Outpatients can arrive at the facility the day of surgery and
be ushered through the surgical pathway with care from start to finish.
Families and visitors of inpatients have the same valet availability to come
into the facility to visit pre and post-surgical procedure.
Because of the Planetree-related design, there seems to be a large
amount of underutilized public space. Facility staff mentioned that this
space was a circulation factor and much of it was not in the program
when designed but is part of the Planetree philosophy to provide open,
non-restrictive spaces without pinch-points and generous lobby areas
for visitors. The space provided in the general operating rooms seemed
slightly oversized but the specialty surgical suites themselves were
adequately sized to recent industry standards.
Surgical Suites
There are 15 Operating Rooms (1 Neurosurgical, 2 Cardiac, 1 Cystoscopy)
divided into 2 sections, each with its own Sterile Core. The general
operating rooms and most of specialty operating rooms are 740-780nsf
and the cardiothoracic operating room is approximately 850nsf. The design
has angled room entrances off semi-restricted corridor for brief patient
holding and stretcher/specialty bed storage outside of rooms.
The floor plans include 3 Cardiac Catheterization Labs, 1 Angiography
Lab surrounded by clean core and each with its own control room and
an adjacent 15 Prep-Recovery room unit. The facility leadership has
successfully cohorted surgery and invasive cardiology programs behind
the red line within the clean core. This represents a change in the model
of practice to an integrated platform for these services. Over time with the
changing surgical models as well as future technology, these rooms can
flex and grow to accommodate many procedures.
The program has 4 Endoscopy Suites and 1 Special Procedure Room. A
minor procedure room is located near PACU.
There is decentralized storage close to ORs and adequate Anesthesia
support spaces in semi-restricted corridors. Contiguous staff locker and
lounges are provided for staff. There are exam and consult rooms off of
main entrance to surgical program and a large family waiting space with
natural light and a variety of seating configurations.
APPENDIX
5-15
April 2016
APPENDIX
5-16
April 2016
There are 48 Prep recovery Phase 2 rooms with 7 shared patient toilets.
The adequately sized rooms are approximately 12X12nsf in configuration
and are three sided with a doored front. This results in increased patient
privacy and improved infection control measure being implemented. The
Pre-op/Phase 2 Recovery rooms have shared bathrooms between every 4
rooms and staff relate that this number of room support space works well
for patient needs.
There is a high staff to patient ratio in Pre-op/Phase 2 Recovery area
resulting in an approximate staff to patient ratio of 1:6. This allows nursing
staff to pay close attention to patient needs and function in collaboration in
the space.
Ancillary Services
Supporting the surgical program, the ability of the Emergency Department
to flex into self-contained modules departments census grows throughout
day is a benefit to facility patient flow.
APPENDIX
5-17
10
11
12
13
15
14
16W
17
16E
18
April 2016
UP
DN
PASSAGE
A2160
OFFICE
A2161
OFFICE
A2169
D.9
OFFICE
A2162
OFFICE
A2163
OFFICE
A2168
OFFICE
A2164
OFFICE
A2167
ELEC
C2391
OFFICE
A2165
VESTIBULE
C2389
WORKROOM
A2171
UP
7.8
CONF
A2166
STAIR C
STAFF
TOILET
A2172T
DN
SHAFT
C6
DE
CORRIDOR
C2330
CORRIDOR
C2390
CORRIDOR
C2360
SOILED
WORKROOM
C2331
JC
C2381
MEN'S
LOCKER
C2332
JC
C2346
CATH LAB
C2361
MEN'S
TOILET
C2333T
DWTR
VESTIBULE
C2383
NURSE
STATION
C2348
STOR
C2371
COMPUTER
ROOM
C2374
ANGIO LAB
C2373
PATIENT
TOILET
B2245T
CLEAN
WORKROOM
D2402
STAIR D1
ACCESSIBLE
PATIENT
TOILET
B2244T
PATIENT
TOILET
D2422T
DN
PATIENT
ROOM
D2419
NURSE
STATION
D2405
PATIENT
TOILET
D2411T
CONTROL
ROOM
B2286
CORRIDOR
B2260
PATIENT
TOILET
D2418T
ON-CALL
B2273
STAFF
TOILET
B2272T
PATIENT
TOILET
D2413T
WORKROOM
D2415
PATIENT
ROOM
D2413
NOUR
D2414
PATIENT
ROOM
D2416
PATIENT
TOILET
D2416T
PATIENT
ROOM
D2417
NURSE
STATION
D2463
NURSE
STATION
D2462
TEE
PROCEDURE
D2426
PATIENT
TOILET
D2419T
PATIENT
ROOM
D2412
PASSAGE
B2271
ON-CALL
B2272
CLEAN
WORKROOM
D2425
PATIENT
ROOM
D2418
CARDIO
PREP
RECOVERY
D2410
OFFICE
B2269
PATIENT
TOILET
D2412T
SOILED
WORKROOM
D2424
OFFICE
B2274
RECEPTION
D2439
OFFICE
D2432
CONTROL
ROOM
D2428
PATIENT
TOILET
D2417T
COMM
D2472
ELEC
D2473
STAFF
TOILET
D2474T
P.1
PREP
RECOVERY
F2561
SHAFT
D2
PATIENT
TOILET
F2558T
PATIENT
TOILET
F2562T
PREP
RECOVERY
F2557
PREP
RECOVERY
F2556
PREP
RECOVERY
F2563
PREP
RECOVERY
F2564
ELEV
NO. 8
PATIENT
TOILET
F2555T
PATIENT
TOILET
F2565T
CONF
D2471
PUBLIC
TOILET
D2444T
READING
D2486
ELEV
NO. 7
OFFICE
D2485
OFFICE
D2484
OFFICE
D2483
STOR
D2478
ELEV
NO. 10
OFFICE
D2479
JC
D2491
RECEPTION
F2606
PATIENT
TOILET
F2591T
CONSULT
F2607
CORRIDOR
F2604
CORRIDOR
F2590
EXAM
F2592
CONSULT
F2608
CORRIDOR
D2490
CORRIDOR
F2605
WAITING
D2448
VENDING
D2449
WAITING
D2447
DN
STAIR D
STAIR D2
VENDING
D2492
UP
PRIVACY
ROOM
D2448A
PRIVACY
ROOM
D2493
PRIVACY
ROOM
D2448B
PRIVACY
ROOM
D2494
WAITING
F2609
P.3
P.6
P.7
P.8
SHAFT
D
Legend:
Semi-Restricted Corridor
Public Area
Departmental Circulation
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
Emergency Department
6.8
13.4
APPENDIX
13.7
14.1
14.9
PREP
RECOVERY
F2582
PREP
RECOVERY
F2585
SHAFT
D3
ELEV
NO. 9
PREP
RECOVERY
F2583
OFFICE
D2482
BCS
P.4
6.1
PREP
RECOVERY
F2534
PASSAGE
F2560
STAFF
LOUNGE
D2477
OFFICE
D2476
CORRIDOR
D2440
WAITING
D2446
PREP
RECOVERY
F2559
PREP
RECOVERY
D2468
PREP
RECOVERY
F2584
SHAFT
D4E
CORRIDOR
D2440
PRIVACY
ROOM
B2275
PREP
RECOVERY
F2533
PREP
RECOVERY
F2532
CORRIDOR
D2470
CORRIDOR
D2441
PUBLIC
TOILET
D2442T
EXAM
D2437
JC
D2467
PREP
RECOVERY
D2469
PUBLIC
TOILET
D2445T
PUBLIC
TOILET
D2443T
CORRIDOR
D2438
CONSULT
D2433
EXAM
D2435
SHAFT
D4W
BCS
PATIENT
TOILET
D2436T
NURSE
STATION
D2434
COMM
E2511C
SOILED
WORKROOM
D2464
PASSAGE
D2480
STAFF
TOILET
D2431T
PREP
RECOVERY
F2531
CLEAN
WORKROOM
D2465
CORRIDOR
D2430
CONSULT
D2495
CONTROL
ROOM
D2459
CORRIDOR
F2580
PACU
D2460
CORRIDOR
D2450
OFFICE
D2481
STAFF
TOILET
B2273T
STAFF
TOILET
D2466T
PATIENT
ROOM
D2461
PROBE
CLEANING
D2427
OR
NO. 12
E2511
PASSAGE
D2455
PASSAGE
D2420
PATIENT
ROOM
D2411
CT SCAN
B2285
PATIENT
HOLDING
D2458
STOR
D2457
PATIENT
ROOM
D2456
PACU
D2460
CARDIO
PREP
RECOVERY
D2410
PATIENT
TOILET
B2281T
PATIENT
HOLDING
B2280
JC
D2423
PATIENT
TOILET
D2421T
PATIENT
TOILET
D2401T
DIALYSIS
WORKROOM
B2262
PATIENT
ROOM
D2422
ANES
OFFICE
E2524
CORRIDOR
C2395
CORRIDOR
C2370
PATIENT
ROOM
D2421
103 SF
13'-3" X 7'-9"
STAFF
TOILET
E2526T
54 SF
8'-1" X 6'-8
DWTR
VESTIBULE DWTR
2
E2527
COMM
C2398C
COMM
C2397C
COMM
C2396C
DE
DE
DE
PATIENT
ROOM
D2401
STAFF
TOILET
E2528T
OR
NO. 6
C2398
ANES
WORKROOM
E2525
ELEC
C2376
CORRIDOR
C2350
ICU
ISOLATION
ROOM
B2244
CORRIDOR
E2520
CATH LAB
C2375
CONF
C2352
DE
READING
C2351
PATIENT
ROOM
C2345
OR
NO. 5
C2397
OR
NO. 4
C2396
SOILED
WORKROOM
C2388
ICU
PATIENT
ROOM
A2226
ICU
PATIENT
ROOM
B2245
STERILE
CORE
C2386
CLOSET
C2387C
ELEC
C2372
PATIENT
ROOM
C2344
PATIENT
TOILET
C2345T
EQUIP
STOR
C2384
CORRIDOR
C2380
4
CONTROL
ROOM
C2369
CONTROL
ROOM
C2368
PATIENT
TOILET
A2226T
CYSTO
OR
NO. 11
E2509
CLEAN
CORE
C2367
STAFF
LOUNGE
C2337
NOUR
C2347
PATIENT
TOILET
C2344T
PATIENT
TOILET
A2225T
COMM
E2522
CLEAN
WORKROOM
E2523
EQUIP
STOR
C2387
DE
CORRIDOR
C2340
COMM
E2501C
OR
NO. 7
E2501
CARDIAC
OR
NO. 1
C2392
CORRIDOR
C2365
PATIENT
ROOM
C2343
PATIENT
TOILET
A2224T
CARDIAC
OR
NO. 2
C2393
2
SHAFT
C7
SHAFT
E1
OR
NO. 3
C2394
CONTROL
ROOM
C2366
CONTROL
ROOM
C2364
PASSAGE
C2336
PATIENT
TOILET
C2343T
ICU
PATIENT
ROOM
A2225
ANTE
B2244A
PUMP
ROOM
C2382
SOILED
WORKROOM
E2521
COMM
C2394C
COMM
C2393C
CATH LAB
C2363
WOMEN'S
TOILET
C2335T
PATIENT
ROOM
C2342
SHAFT
C4
COMM
C2392C
DWTR
1
PATIENT
TOILET
A2223T
ICU
PATIENT
ROOM
A2224
SHAFT
C5
WOMEN'S
LOCKER
C2334
COMPUTER
ROOM
C2362
PATIENT
TOILET
C2342T
PATIENT
TOILET
A2222T
ICU
PATIENT
ROOM
A2223
SHAFT
C3
SHAFT
C2E
SHAFT
C2W
DE
PATIENT
ROOM
C2341
SHAFT
C1E
DE
ICU
PATIENT
ROOM
A2222
SHAFT
C1W
DE
ACCESSIBLE
PATIENT
TOILET
A2221T
DE
PATIENT
TOILET
C2341T
DE
ICU
PATIENT
ROOM
A2221
DE
DE
15.4
15.7
5-18
RE
15
16W
17
16E
18
19
20
21
22
23
24
25
26
April 2016
C.6
RENTAL
SET-UP
G2625
EQUIP
STOR
G2622
OFFICE
G2621
FUTURE
ELEV
NO. 11
ELEV
NO. 12
CYLINDER
STOR
G2624
BIOMED
WORKROOM
G2623
CORRIDOR
G2640
STAFF
LOUNGE
G2642
DN
STAIR G
UP
JC
G2641
CORRIDOR
G2620
JC
G2629
WATER
& SOAP
ROOM
G2627
SHAFT
G1
STOR
G2626
STORAGE
G2649
WOMEN'S
TOILET
G2647T
WOMEN'S
LOCKER
G2644
DE
SOILED
HOLDING
G2628
STOR
G2643
STERILIZERS
G2638
MEN'S
LOCKER
G2648
MEN'S
TOILET
G2648T
STERILE
WORKROOM
G2637
JC
G2645
DECONTAM
G2631
LC
3
CORRIDOR
G2650
OFFICE
G2652
TC
3
OFFICE
G2651
VESTIBULE
C2389
CART
WASHER
G2633
JC
G2632
UP
STAIR C
CORRIDOR
G2630
DN
CENTRAL
STERILE
G2655
CORRIDOR
E2500
SHAFT
C4
SOILED
WORKROOM
E2521
COMM
C2394C
COMM
C2393C
SHAFT
E1
CARDIAC
OR
NO. 2
C2393
COMM
E2502C
COMM
E2501C
OR
NO. 3
C2394
COMM
E2503C
OR
NO. 7
E2501
COMM
E2522
OR
NO. 8
E2502
ANTE
G2653
COMM
E2504C
NEURO
OR
NO. 10
E2504
OR
NO. 9
E2503
WOMEN'S
TOILET
G2663T
CLEAN
WORKROOM
E2523
STAFF
LOUNGE
G2661
WOMEN'S
LOCKER
G2664
CYSTO
OR
NO. 11
E2509
CONF
G2671
EQUIP
STOR
C2387
STAIR G1
EQUIP
STOR
E2505
STERILE
CORE
E2507
CORRIDOR
G2660
CORRIDOR
E2520
CLOSET
C2387C
DN
MEN'S
TOILET
G2665T
CORRIDOR
G2670
MEN'S
LOCKER
G2666
PHYSICIAN
LOUNGE
G2662
PASSAGE
G2672
STAFF
TOILET
E2528T
OR
NO. 6
C2398
103 SF
13'-3" X 7'-9"
SERVERY
G2681
ANES
OFFICE
E2524
OR
NO. 12
E2511
ANES
WORKROOM
E2525
STAFF
TOILET
E2526T
54 SF
8'-1" X 6'-8
DWTR
VESTIBULE DWTR
2
E2527
COMM
C2398C
OR
NO. 13
E2512
COMM
E2511C
OR
NO. 15
E2514
OR
NO. 14
E2513
COMM
E2512C
OFFICE
G2667
PREP
RECOVERY
F2533
PREP
RECOVERY
F2532
PREP
RECOVERY
F2534
PASSAGE
D2455
STAFF
TOILET
D2466T
PREP
RECOVERY
F2535
PASSAGE
G2695
OFFICE
G2692
PREP
RECOVERY
F2538
PREP
RECOVERY
F2537
PREP
RECOVERY
F2541
PREP
RECOVERY
F2539
CORRIDOR
G2660
PREP
RECOVERY
F2543
PREP
RECOVERY
F2542
PREP
RECOVERY
F2559
PREP
RECOVERY
D2468
CORRIDOR
F2580
PATIENT
TOILET
F2558T
PREP
RECOVERY
F2557
PREP
RECOVERY
F2556
PREP
RECOVERY
F2563
PREP
RECOVERY
F2564
PATIENT
TOILET
F2555T
PASSAGE
F2550
CLEAN
WORKROOM
D2465
PREP
RECOVERY
F2561
PREP
RECOVERY
D2469
PATIENT
TOILET
F2562T
SOILED
WORKROOM
D2464
PREP
RECOVERY
H2703
PREP
RECOVERY
H2701
PREP
RECOVERY
H2705
PREP
RECOVERY
H2704
NURSE
STATION
F2551
READING
F2553
PATIENT
TOILET
F2545T
PREP
RECOVERY
F2546
PREP
RECOVERY
F2548
SOILED
WORKROOM
F2552
PATIENT
TOILET
F2565T
PREP
RECOVERY
F2544
PREP
RECOVERY
H2713
PASSAGE
H2750
STOR
F2547
PREP
RECOVERY
F2568
NOUR
F2566
PATIENT
TOILET
F2572T
PREP
RECOVERY
F2571
PATIENT
TOILET
H2726T
NURSE
STATION
H2711
CLEAN/
MEDS
H2715
PREP
RECOVERY
F2581
DE
RECEPTION
F2606
PREP
RECOVERY
F2576
PREP
RECOVERY
F2575
PREP
RECOVERY
H2727
CORRIDOR
F2604
OFFICE
F2599
SHAFT
F6
CORRIDOR
F2590
EXAM
F2592
CONSULT
F2608
CONSULT
F2596
EXAM
F2594
PREP
RECOVERY
H2721
ALCOVE
F2574
DOR
90
JC
H2752
PRIVACY
ROOM
D2493
FUTURE
ELEV
NO. 15
CHUTE
ROOM
H2747
ELEV
NO. 13
ELEV
NO. 16
TC
2
26.5
26.6
ELEC
H2757
MANOMETRY
STORAGE
H2748
STOR
H2749
N.3
CORRIDOR
H2702
FUTURE
LINK
H2756
N.7
SHAFT
H
PRIVACY
ROOM
H2758
WAITING
F2612
VENDING
D2492
CONSULT
H2754
CONSULT
H2753
PUBLIC
TOILET
F2617T
CORRIDOR
F2605
STAIR D2
ELEV
NO. 14
RECEPTION
H2751
PUBLIC
TOILET
F2618T
PUBLIC
TOILET
F2615T
SPECIAL
PROCEDURES
H2745
STOR
H2746
CORRIDOR
F2610
SHAFT
SHAFT
F7W
F7E
PRIVACY PRIVACY
ROOM
ROOM
F2614
F2613
ENDO
NO. 4
H2744
LC
2
BCS
PUBLIC
TOILET
F2616T
OFFICE
F2598
CORRIDOR
G2670
STOR
H2735
SOILED
WORKROOM
H2736
CORRIDOR
H2740
PATIENT
TOILET
H2723T
PREP
RECOVERY
H2722
ENDO
NO. 3
H2743
SCOPE
PROCESSING
H2734
SHAFT
F5
PREP
RECOVERY
H2724
SHAFT
F4
BCS
PATIENT
TOILET
F2591T
CONSULT
F2607
READING
H2733
CORRIDOR
H2730
PREP
RECOVERY
H2725
CORRIDOR
F2600
SCALE
ALCOVE
F2597
OFFICE
D2479
PREP
RECOVERY
F2577
SHAFT
F2
STOR
D2478
ELEV
NO. 10
PREP
RECOVERY
F2578
ELEC
F2595
PREP
RECOVERY
F2585
SHAFT
D3
ELEV
NO. 9
ENDO
NO. 2
H2742
PREP
RECOVERY
H2707
STAFF
TOILET
H2728T
PREP
RECOVERY
H2714
PREP
RECOVERY
F2573
PASSAGE
H2720
PREP
RECOVERY
F2582
PREP
RECOVERY
H2706
NOUR
H2712
PASSAGE
F2560
PREP
RECOVERY
F2583
ENDO
NO. 1
H2741
OFFICE
G2698
JC
H2708
RIDOR
2470
PREP
RECOVERY
F2584
CORRIDOR
G2675
PASSAGE
H2700
CLEAN/
MEDS
F2554
OFFICE
G2677
READING
H2731
CLASSROOM
G2697
STAFF
LOUNGE
G2694
PASSAGE
F2530
JC
D2467
OFFICE
G2676
ELEC
G2687
CLEAN
WORKROOM
H2732
PREP
RECOVERY
F2536
DE
PREP
RECOVERY
F2531
COMM
G2686
CORRIDOR
G2680
DE
DE
DE
CONTROL
ROOM
D2459
OFFICE
G2685
STAFF
TOILET
G2696T
JC
G2693
OFFICE
G2691
CORRIDOR
E2510
PATIENT
HOLDING
D2458
STOR
D2457
OFFICE
G2684
DE
COMM
E2514C
COMM
E2513C
OFFICE
G2683
OFFICE
G2682
WAITING
F2611
WAITING
F2609
P.3
DN
STAIR H
UP
P.1
P.2
P.4
PRIVACY
ROOM
D2494
P.6
P.65
P.7
Key Notes:
Q.8
14.9
15.4
15.7
22.2
23.9 24.1
25.1
APPENDIX
5-19
Figure 5.2.1.6
Operating Room
Figure 5.2.1.8
Scrub Sink
1 Figure 5.2.1.7
April 2016
Semi-Restricted Corridor
3 Figure 5.2.1.9
Nurse Station
APPENDIX
5-20
DECONTAM
G2631
LC
3
TC
3
TIBULE
2389
April 2016
CART
WASHER
G2633
JC
G2632
UP
STAIR C
CORRIDOR
G2630
DN
CORRIDOR
E2500
2
3
SHAFT
C4
SOILED
WORKROOM
E2521
COMM
C2394C
SHAFT
E1
COMM
E2502C
COMM
E2501C
OR
NO. 3
C2394
COMM
E2503C
COMM
E2504C
NEURO
OR
NO. 10
E2504
OR
NO. 9
E2503
OR
NO. 7
E2501
COMM
E2522
OR
NO. 8
E2502
CLEAN
WORKROOM
E2523
STAFF
LOUNGE
G2661
CYSTO
OR
NO. 11
E2509
EQUIP
STOR
C2387
EQUIP
STOR
E2505
STERILE
CORE
E2507
CORRIDOR
G2660
CORRIDOR
E2520
CLOSET
C2387C
PHYSICIAN
LOUNGE
G2662
STAFF
TOILET
E2528T
OR
NO. 6
C2398
103 SF
13'-3" X 7'-9"
SERVERY
G2681
ANES
OFFICE
E2524
OR
NO. 12
E2511
ANES
WORKROOM
E2525
STAFF
TOILET
E2526T
54 SF
8'-1" X 6'-8
DWTR
VESTIBULE DWTR
2
E2527
COMM
C2398C
OR
NO. 13
E2512
COMM
E2511C
OR
NO. 15
E2514
OR
NO. 14
E2513
COMM
E2512C
COMM
E2514C
COMM
E2513C
DE
OFFICE
G2691
OFFICE
G2667
PREP
RECOVERY
F2533
PREP
RECOVERY
F2532
PREP
RECOVERY
F2534
PREP
RECOVERY
F2535
PREP
RECOVERY
F2536
PREP
RECOVERY
F2538
PREP
RECOVERY
F2537
PREP
RECOVERY
F2541
PREP
RECOVERY
F2539
CORRIDOR
G2660
PREP
RECOVERY
F2543
PREP
RECOVERY
F2542
PASSAGE
D2455
F
T
6T
PREP
RECOVERY
H2703
PREP
RECOVERY
H2701
NOUR
H2712
DE
DE
PREP
RECOVERY
F2531
DE
STOR
D2457
Figure 5.2.1.10
Enlarged Intraoperative Floor Plan
CONTROL
ROOM
D2459
DE
PATIENT
HOLDING
D2458
PASSAG
G269
OFFICE
G2692
CORRIDOR
E2510
PASSAGE
F2530
JC
D2467
PREP
RECOVERY
F2559
PREP
RECOVERY
D2468
CORRIDOR
F2580
PREP
RECOVERY
F2556
PATIENT
TOILET
F2555T
CLEAN/
MEDS
F2554
PASSAGE
F2550
LEAN
KROOM
2465
PREP
RECOVERY
F2561
PREP
RECOVERY
D2469
PREP
RECOVERY
F2557
PATIENT
TOILET
F2558T
PATIENT
TOILET
F2562T
PREP
RECOVERY
F2564
PREP
RECOVERY
F2563
NURSE
STATION
F2551
PATIENT
TOILET
F2565T
READING
F2553
PATIENT
TOILET
F2545T
PREP
RECOVERY
F2546
PREP
RECOVERY
F2548
SOILED
WORKROOM
F2552
PREP
RECOVERY
F2544
PASSAGE
H2750
STOR
F2547
PREP
RECOVERY
F2568
NOUR
F2566
PREP
RECOVERY
H2713
PATIENT
TOILET
F2572T
PREP
RECOVERY
F2571
NURSE
STATION
H2711
CLEAN/
MEDS
H2715
PREP
RECOVERY
H2714
PREP
RECOVERY
F2573
D
OM
PASSAGE
H2720
PASSAGE
F2560
PREP
RECOVERY
F2584
PREP
RECOVERY
F2582
PREP
RECOVERY
F2583
PREP
RECOVERY
F2581
SHAFT
D3
DE
PREP
RECOVERY
F2576
PREP
RECOVERY
F2575
ALCOVE
F2574
RECEPTION
F2606
CORRIDOR
F2604
OFFICE
F2599
SHAFT
F6
CORRIDOR
F2590
EXAM
F2592
CONSULT
F2608
BCS
BCS
PATIENT
TOILET
F2591T
CONSULT
F2607
CONSULT
F2596
EXAM
F2594
PREP
RECOVERY
H2721
PUBLIC
TOILET
F2616T
OFFICE
F2598
PUBLIC
TOILET
F2618T
RECEPTION
H2751
JC
H2752
SHAFT
SHAFT
F7W
F7E
PRIVACY PRIVACY
ROOM
ROOM
F2614
F2613
PUBLIC
TOILET
F2615T
PRIVACY
ROOM
D2493
CONSU
H2754
PUBLIC
TOILET
F2617T
SHAFT
H
PRIVACY
ROOM
H2758
WAITING
F2612
VENDING
D2492
CONSULT
H2753
CORRIDOR
F2610
CORRIDOR
F2605
STAIR D2
PATIENT
TOILET
H2723T
PREP
RECOVERY
H2722
CORRIDOR
F2600
SCALE
ALCOVE
F2597
OFFICE
D2479
PREP
RECOVERY
F2577
SHAFT
F2
STOR
D2478
ELEV
NO. 10
PREP
RECOVERY
F2578
ELEC
F2595
PREP
RECOVERY
F2585
WAITING
F2611
WAITING
F2609
P.3
STAIR H
P.1
P.4
PRIVACY
ROOM
D2494
P.6
APPENDIX
5-21
P.7
April 2016
Figure 5.2.2.1
Aerial of Advocate Sherman Hospital
Rush University Medical Center
Location
Elgin, Illinois
Total Area
645,000 sf
Beds
255
Operating Rooms
12
Project Cost
$273 Million
Construction Cost
$230 Million
Opening Date
December 2009
Owner
Architect
Shepley Bulfinch
Loebl Schlossman & Hackl
APPENDIX
5-22
April 2016
Figure 5.2.2.2
Main Entry of Advocate Sherman Hospital
Overview
Advocate Sherman Hospital in Elgin is an acute care facility with highly
skilled physicians and clinical professionals offering a comprehensive
range of health care services. Since 1888, Sherman has provided quality,
compassionate care to its patients and communities, and is a leader in
delivering the most advanced technologies and services available in the
northwest suburbs. Sherman Hospital is part of Advocate Health Care, one
of the top 10 health care systems in the country, and the largest health care
delivery system in the state of Illinois.
Sherman Hospital is positioned to evolve as one of the nations leading
community hospitals and a model for sustainable design and healthy living.
The first phase of the 75-year growth plan comprises a 650,000 s.f. clinical
building and 100,000 s.f. medical office building. Each component of the
hospital is flexible, designed to expand incrementally over time. The 154acre prairie site accommodates a 15-acre manmade geothermal lake,
APPENDIX
5-23
April 2016
APPENDIX
5-24
April 2016
Figure 5.2.2.3
Exterior View of Advocate Sherman Hospital
Model of Care
Advocate Sherman provided both inpatient and same-day surgical
procedures that space the specialties of orthopedics, cardiothoracic,
urological/gynecological, endovascular, neurologic, oncologic and others.
It was one of the first community hospitals in the country to perform open
heart surgery and enjoys an excellent reputation for comprehensive,
cardiovascular care. The program has 3-Star Quality Rating from the
Society of Thoracic Surgeons for Cardiac Surgery.
Advanced Technology and Innovation
Minimally invasive valve replacement surgery, a breakthrough approach to
replacing and repairing diseased heart valves Surgical suites to perform
the anterior approach to hip replacement, a less invasive option resulting
in a shorter hospital stay and quicker recovery
Endoscopic Ultrasound (EUS) combines endoscopy and ultrasound to
APPENDIX
5-25
April 2016
Procedure Rooms
The 12 Operating Rooms included 1 Trauma room and 1 Cystoscopy
room and 2 Cardiothoracic rooms plus rooms for Orthopedics.The surgical
program has a variety of procedure and operating rooms including a Hybrid
OR of approximately 900nsf. This space seemed adequate for the complex
endovascular procedures that are occurring here.
A number of the ORs were less than 650nsf which sometimes posed a
problem with the flow inside of the space as per staff as well as perception
of elbow room especially during complex cases that required more
abundant case carts. The specialty Cardiothoracic ORs were only slightly
larger than 650nsf and had the same issues as the other more modestly
sized rooms.
The program currently has 2 Cardiothoracic ORs but is only staffed for 1
room. Leadership noted that they would prefer an additional orthopedic
OR because they only have 3 now and there seems to be a larger volume
of orthopedic procedures on the horizon. The cystoscopy OR was on the
main surgical floor with the ORs and support spaces.
There are 2 Cardiac Catheterization Labs and an Electrophysiology Lab
APPENDIX
5-26
April 2016
APPENDIX
5-27
April 2016
2
8
Legend:
Semi-Restricted Corridor
Public Area
Departmental Circulation
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
Emergency Department
APPENDIX
5-28
April 2016
7
1
Key Notes:
1
2
3
4
Hybrid OR is 900 sf
Cystoscopy OR is on the main surgical floor
Typical OR is less than 650 sf
Specialty Cardiothoracic ORs are only slightly
larger than 650 sf
5
6
7
8
APPENDIX
5-29
April 2016
Figure 5.2.2.4
Cath Lab
Figure 5.2.2.5
Hybrid OR
Figure 5.2.2.6
PACU Nurse Station
Figure 5.2.2.7
OR
APPENDIX
5-30
April 2016
Figure 5.2.2.8
Enlarged Intraoperative Floor Plan
APPENDIX
5-31
April 2016
Figure 5.2.3.1
Aerial of the University of Chicago Medicine
Center for Care and Discovery
Location
Chicago, Illinois
Total Area
1.2 Million sf
Floors
10
Beds
240
Operating Rooms
Project Cost
$700 Million
Construction Cost
$470 Million
Opening Date
February 2013
Owner
Architect
APPENDIX
5-32
April 2016
Figure 5.2.3.2
Exterior View of the Center for Care and Discovery
Overview
The University of Chicago Medicine is an academic medical center based
on the campus of the University of Chicago. The not-for-profit corporation
offers the full range of specialty and primary care services for adults and
children that includes the Center for Care and Discovery.
The new hospital is a 10-story hospital for the future that serves as the
new core of the campus of the University of Chicago Medicine. The Center
for Care and Discovery provides a home for complex specialty care with a
focus on cancer, gastrointestinal disease, neuroscience, advanced surgery
and high-technology medical imaging.
It has the internal capacity to rapidly and economically adjust to changes
in technology and medicine, and to the facility needs, for decades to come.
At 1.2 million square feet, the hospital is one of the largest buildings on
APPENDIX
5-33
April 2016
the University of Chicago campus, changing the skyline of the South Side
of Chicago. It occupies the north end of two city blocks, along the south
side of 57th Street between Cottage Grove and Drexel Avenues. Each floor
provides 100,000 square feet of space, the size of a typical Walmart store.
By far what I hear most is, Wow, it is really huge, said Bill Huffman, vice
president of Facilities, Design and Construction for the medical center and
the Division of Biological Sciences.
The architects created flexibility and adaptability by designing the entire
hospital structure on a grid system. The grid is organized into 85 modular
cubes that repeat on each floor. At 31 feet wide by 18 feet high, these large
cubes, or bays, can be repurposed over time to accommodate technological
advancements and changing needs. For example, one bay can enclose two
patient rooms, one operating room or one interventional procedure room
without changing the basic framework of the building.
The hospitals innovative design also extends to its public spaces. The main
lobby is located on the 7th level and is referred to as the Sky Lobby. The
space has floortoceiling glass walls, filling the space with natural light and
providing panoramic views of the campus and downtown Chicago. The Sky
Lobby houses central reception, family waiting areas, a chapel, the gift shop,
dining areas and other public spaces. The ground level of the new hospital,
open to the public, enhances the street-scape and includes cafs and other
retail businesses.
Advanced Technology and Innovation
The new hospital contains 240 single-occupancy inpatient rooms including
52 intensive care beds; space for 28 operating rooms with leading-edge
technology; and an integrated diagnostic and interventional platform
including cardiac, gastrointestinal, neurological and vascular services.
The building also has two floors of expansion space that could be used
for additional patient care units as well as future leading-edge, technologybased interventional or surgical suites.
APPENDIX
5-34
April 2016
Figure 5.2.3.3
Aerial View of the Center of Care and Discovery
Model of Care
The robust Surgical Program includes the following surgical specialties:
Pediatric
Cardio and Thoracic
General
Neurosurgery
Opthalmology and Visual Science
Otolaryngology
Plastic and Reconstructive
Transplantation
Urology
Vascular and Endovascular
APPENDIX
5-35
April 2016
APPENDIX
5-36
April 2016
There is a discrepancy between the labs; there are different table heights
between rooms and the higher one is preferred by the physicians.
The Neuro IR room is a long distance to CT/MRI area of the facility and
this sometimes lengthens the time it takes to bring a patient to the area for
testing.
Pre-Op and Recovery Spaces
The Pre-Op /Phase 2 Recovery area has an adequate number of negative
pressure isolation rooms and a 3-sided walled rooms design. Staff
commented that Pre-Op/Phase 2 Recovery flows well during the day for
maximum efficiency of services.
The rooms are arranged in a way that has pods of spaces near groups of
ORs so the travel distances on the platform are reduced.
There is a clear deliniation between the public and back-of-the-house
functions of the interoperative platform.
APPENDIX
5-37
April 2016
1
3
6
Legend:
Semi-Restricted Corridor
Public Area
Departmental Circulation
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
Emergency Department
APPENDIX
5-38
April 2016
Key Notes:
1
2
3
4
5 Adjacent MRI
6 Interventional Radiology rooms
APPENDIX
5-39
April 2016
3
2
Legend:
Semi-Restricted Corridor
Public Area
Departmental Circulation
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
Emergency Department
APPENDIX
5-40
April 2016
Key Notes:
1 Hybrid OR
2 Future expansion capability
3 Decentralized clean and soiled workroom with cart
storage
4
5
6
7
Clean storage
Typical 625 nsf OR
GI Hybrid OR
Staff locker areas
APPENDIX
5-41
April 2016
Figure 5.2.3.4
Cath Lab
Figure 5.2.3.5
PACU
Figure 5.2.3.6
Nurse Station
Figure 5.2.3.7
Control Room
APPENDIX
5-42
April 2016
Figure 5.2.3.8
Enlarged Level 5 Intraoperative Floor Plan
APPENDIX
5-43
April 2016
Figure 5.2.3.9
Hybrid OR
Figure 5.2.3.10
Clean Core
Figure 5.2.3.11
Prep/Recovery
Figure 5.2.3.12
Control Room
APPENDIX
5-44
April 2016
Figure 5.2.3.13
Enlarged Level 6 Intraoperative Floor Plan
APPENDIX
5-45
April 2016
Figure 5.2.4.1
Aerial of Rush University Medical Center
Rush University Medical Center
Location
Chicago, Illinois
Total Area
830,000 sf
Floors
14
Beds
304
Operating Rooms
Project Cost
$654 Million
Construction Cost
$398 Million
Opening Date
January 2012
Owner
Architect
Perkins + Will
APPENDIX
5-46
April 2016
Figure 5.2.4.2
Main Entry of the Rush University Medical Center
Overview
The new hospital, known as the Tower, is part of a campus-wide
transformation project, which also includes an orthopedic building, parking
structure and new loading and delivery systems. This hospital consists of
adult acute and critical care patient beds along with diagnostic and treatment
facilities, such as surgery, radiology and emergency departments.
Recognized in the Chicago skyscape for its distinctive butterfly shape,
the Tower was actually designed from the inside out. Nurses and doctors
worked closely with architects to create the right environment for the highest
quality of care. That means an environment to support the most effective
care possible, while enhancing the overall experience for patients and their
families.
The organizational concept begins with a rectangular seven-story base,
containing new diagnostic and treatment facilities, topped by a five- story
curvilinear bed tower. The base connects to existing diagnostic treatment
APPENDIX
5-47
April 2016
APPENDIX
5-48
April 2016
Figure 5.2.4.3
Aerial View of Rush University Medical Center
General Overview
The Surgical and Interventional program components are split in the facility
tower.
The first interoperative floor consists of the Cardiac Catheterization,
Interventional Radiology, and Electrophysiology services. There are 6 IR
rooms, 3 Cath Labs (one with biplane modality), and 3 EP labs on this level.
Each room has its own control area and some rooms share supply spaces.
The PACU on this floor consists of 8 open bays with a centralized team
workstation with good visibility to the patient area. There are 24 Prep-Phase
2 Recovery rooms here.
The services are all located within a semi-restricted corridor and there is
adjacent Anesthesia zones. A large family waiting area rounds out the floor.
The second two interoperative floors have 13-14 ORs and 1 Hybrid room each
APPENDIX
5-49
April 2016
They are centered around a long linear sterile core. There are 2 immediate
use sterilizers shared between the rooms. There is a 17 bay PACU with an
additional isolation room. A 23 bed Pre-op/Phase 2 Recovery area is located
on these floors as well.
Procedure Rooms
Several ORs are 650sf but one hybrid room seems undersized for complex
Neurological cases. OR monitors are not integrated in the Hybrid rooms.
There is adequate corridor space outside of the ORs and there are specific
stretcher/patient holding alcoves for each room.
Staff related that the surgical service has 80% on-time starts and uses Epic
Optime for patient tracking with success.
Pre-Op and Recovery Spaces
The PACU layout is configured in open bays and there are 17 spaces per
surgical procedure floor configured around a central team monitoring station.
The Phase 2 Recovery units are split and distributed on the same floors that
ORs occupy to reduce patient/staff travel.
There are 3-sided walls with curtains instead of sliding glass door in Pre-Op/
Phase 2 Recovery rooms. There is the ability for Pre-Op to use Phase 2
Recovery beds in morning when census and activity are the highest. Shared
bathrooms in Pre-Op/ Phase 2 Recovery are a patient satisfier. There is no
patient entertainment/TV in the rooms.
The facility has a Short Stay Unit for those patients needing a longer
observation period but not an inpatient bed after their outpatient surgical
procedure.
Central Sterile
Central Sterile is located on the lower level away from the procedural
area but there are dedicated clean and soiled case cart elevators which
improves efficiency. The area is large and contains an administrative suite,
decontamination, instrument washer and assembly area. Staff related that
the set-up works well and case carts are readily available in convenient
locations for use throughout the operating day.
Ancillary Services
APPENDIX
5-50
April 2016
Patient bed units are stacked above the Interoperative and Invasive
Cardiology floor.
The Anesthesia department has a separate suite of rooms in the semirestricted corridor and relate that this space is adequate for their needs.
Regional blocks and epidurals are done in Prep-Recovery and on Floor 7 in
designated beds.
There is a satellite blood bank in the sterile core.
APPENDIX
5-51
April 2016
Legend:
Semi-Restricted Corridor
Public Area
Departmental Circulation
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
Emergency Department
APPENDIX
5-52
April 2016
7
4
3
6
Key Notes:
1
2
3
4
APPENDIX
5-53
April 2016
Figure 5.2.4.4
Cath Lab
Figure 5.2.4.5
PACU
Figure 5.2.4.6
Public Corridor
Figure 5.2.4.7
Hybrid OR
APPENDIX
5-54
April 2016
Figure 5.2.4.8
Enlarged Level 7 Intraoperative Floor Plan
APPENDIX
5-55
April 2016
Figure 5.2.5.1
Aerial of Edward Hines, Jr. VA Hospital
Hines, Illinois
471
9
APPENDIX
5-56
April 2016
Figure 5.2.5.2
Architectural Overview
Edward Hines, Jr. VA Hospital, located 12 miles west of downtown Chicago
on a 147-acre campus, offers primary, extended and specialty care and
serves as a tertiary care referral center for VISN 12. Specialized clinical
programs include Blind Rehabilitation, Spinal Cord Injury, Neurosurgery,
Radiation Therapy and Cardiovascular Surgery. The hospital also serves
as the VISN 12 southern tier hub for pathology, radiology, radiation therapy,
human resource management and fiscal services.
Hines VAH currently operates 471 beds and six community based outpatient
clinics in Elgin, Kankakee, Oak Lawn, Aurora, LaSalle, and Joliet. Over
600,000 patient visits occurred in fiscal year 2010 providing care to over
54,000 veterans, primarily from Cook, DuPage and Will counties. In FY
2010 the budget for Hines was over $510 million.
APPENDIX
5-57
April 2016
Figure 5.2.5.3
Aerial View of Edward Hines, Jr. VA Hospital
APPENDIX
5-58
April 2016
or supply storage.
Speakers and call buttons are located per each rooms requirement for
communication.
Central Sterile
The Sterile Processing Department (SPD) is located in the basement
without a dedicated elevator to the OR proper. SPS storage is on the same
floor as the ORs but there are no case cart elevators to SPD. This creates
an inefficient flow from SPS to the surgical suites.
Equipment and case carts are stored in the hallways/semi-restricted
corridor and there is a lack of hallway space for bed traffic and storage as
such.
APPENDIX
5-59
April 2016
1
7
Legend:
Semi-Restricted Corridor
Public Area
Departmental Circulation
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
Emergency Department
APPENDIX
5-60
April 2016
Key Notes:
1
2
3
4
OR zone
Patient holding
Central Sterile department
Patient Prep-Recovery area
5
6
7
8
9
Anesthesia support
Staff support
Hybrid room
Cysto suite
Cardiac Cath
APPENDIX
5-61
April 2016
Figure A5.2.5.4
Hybrid OR
Figure A5.2.5.5
Prep/Recovery
Figure A5.2.5.6
Nurse Station
Figure A5.2.5.7
Staff Corridor
APPENDIX
5-62
April 2016
APPENDIX
5-63
IMAGING GROWTH
ZONE
April 2016
IVE
NIT
S
GSF
ENDO
CATH LAB
PACU
4,176DGSF
LDRP
TRIAGE
589 DGSF
LDRP UNIT
6 BEDS
7,413 DGSF
APPENDIX
5-64
NEWBORN
NURSERY
2,152 DGSF
LDRP
LDR
GROW
ZON