Surgical Service PDF

Surgical Services
November 2015
Surgical Services
April 2016
Surgical Services Design Guide
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
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April 2016
2.2.6. Electrical Systems

Lighting
Power
Normal Power
Emergency Power
2.2.7. Telecommunications, and Special Telecommunication
Systems, Monitoring and Signal Systems
Operating Room Integration
Virtual Whiteboard Visual Workflow Management

Software
Patient Safety Display
Endoscopic Integration
Video Integration
Pneumatic Tube System
2.2.8. Fire Protection and Life Safety
Fire Detection and Sprinkler System
2-31
2-31
2-31
2-32
2-32
2-33
2-34
2-34
2-34
2-36
2-36
2-36
3.0 FUNCTIONAL DIAGRAMS

3.1. General

3.2. The Surgical Suite

3.3. Clean Core

3-1
3-4
3-13
2-32
2-32
4.0 DESIGN STANDARD PLATES FLOOR PLANS, REFLECTED CEILING PLANS,

ROOM DATA SHEET, EQUIPMENT LIST & GENERAL NOTES
4.1. General 4-1
Introduction 4-1
Legend of Symbols
4-2
4.2. Patient Bay, Pre-Operative Holding /
Phase II Recovery (RRPR1)
4-5
Axonometric View
4-5
Floor Plan 4-6
Reflected Ceiling Plan

4-7
Elevations 1 & 2
4-8
Room Data Sheet
4-9
Equipment List
4-11
4.3. Patient Room, Pre-Operative Holding /
4-16
Axonometric View
4-16
Floor Plan 4-17

4-18
Elevations 1 & 2
4-19
Room Data Sheet
4-20
Equipment List
4-22
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4.4. Clean Workroom, Anesthesia (ANCW2)

4-27
Axonometric View 4-27
Floor Plan 4-28

4-29
Room Data Sheet
4-30
Equipment List
4-32
4.5. Operating Room, General (ORGS1)

4-34
Axonometric View
4-34
Floor Plan 4-35

4-36
JSN Legend 4-37
Elevations 1 & 2
4-38
Elevations 3 & 4
4-39
Room Data Sheet
4-40
Equipment List
4-42
4.6. Operating Room, Orthopedic (OROS1)
4-50
Axonometric View
4-50
Floor Plan 4-51

4-52
JSN Legend 4-53
Elevations 1 & 2
4-54
Elevations 3 & 4
4-55
Room Data Sheet
4-56
Equipment List
4-58
4.7. Operating Room, Urology / Cystoscopy (ORCS1)
4-67
Axonometric View
4-67
Floor Plan 4-68

4-69
JSN Legend 4-70
Elevations 1 & 2
4-71
Elevations 3 & 4
4-72
Room Data Sheet
4-73
Equipment List
4-75
4.8. Operating Room, Cardiothoracic (ORCT1)
4-84
Axonometric View
4-84
Floor Plan 4-85

4-86
JSN Legend 4-87
Elevations 1 & 2
4-88
Elevations 3 & 4
4-89
Room Data Sheet
4-90
Equipment List
4-92
4.9. Pump Room, Cardiothoracic / Hybrid OR (ORHL1)
4-103
Axonometric View
4-103
Floor Plan 4-104
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4-105
Elevation 1 4-106
Room Data Sheet
4-107
Equipment List
4-109
4.10. Operating Room, Neurosurgical (ORNS1)
4-112
Axonometric View
4-112
Floor Plan 4-113

4-114
JSN Legend 4-115
Elevations 1 & 2
4-116
Elevations 3 & 4
4-117
Room Data Sheet
4-118
Equipment List
4-120
4.11. Operating Room, Robotics (ORRB1)
4-130
Axonometric View
4-130
Floor Plan 4-131

4-132
JSN Legend 4-133
Elevations 1 & 2
4-134
Elevations 3 & 4
4-135
Room Data Sheet
4-136
Equipment List
4-138
4.12. Operating Room, Transplant (ORTR1)
4-147
Axonometric View
4-147
Floor Plan 4-148

4-149
JSN Legend 4-150
Elevations 1 & 2
4-151
Elevations 3 & 4
4-152
Room Data Sheet
4-153
Equipment List
4-155
4.13. Operating Room, Monoplane Hybrid (ORHY1)
4-165
Axonometric View
4-165
Floor Plan 4-166

4-167
JSN Legend 4-168
Elevations 1 & 2
4-170
Elevations 3 & 4
4-171
Room Data Sheet
4-172
Equipment List
4-174
4.14. Operating Room, Biplane Hybrid (ORHY2)
4-186
Axonometric View
4-186
Floor Plan 4-187
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4-188
JSN Legend 4-189
Elevations 1 & 2
4-191
Elevations 3 & 4
4-192
Room Data Sheet
4-193
Equipment List
4-195
4.15. Control Room, Hybrid OR (ORHC1)
4-207
Axonometric View
4-207
Floor Plan 4-208

4-209
Elevation 1 4-210
Room Data Sheet
4-211
Equipment List
4-213
4.16. Cardiac Catheterization Laboratory (XCCE1)
4-216
Floor Plan 4-217

4-218
JSN Legend 4-219
Elevations 1 & 2
4-220
Elevations 3 & 4
4-221
Room Data Sheet
4-222
Equipment List 4-225
4.17. Procedure Room, Electrophysiology (XCEP1)
4-233
Floor Plan 4-234

4-235
JSN Legend 4-236
Elevations 1 & 2
4-237
Elevations 3 & 4
4-238
Room Data Sheet
4-239
4.18. Transesophageal Echocardiograph (TEE) Procedure Room
(TRTE1) 4-251
Floor Plan 4-252

4-253
JSN Legend 4-254
Elevations 1 & 2
4-255
Elevations 3 & 4
4-256
Room Data Sheet
4-257
4.19. Decontamination, TEE Probe (TRTE2)
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Storage, Clean TEE Probe (TRTE3)

4-264
Axonometric View
4-264
Floor Plan 4-265

4-266
Elevations 1 & 2
4-267
Elevation 3 4-268
Room Data Sheet
4-269
Equipment List
4-271
4.20. Immediate Use Sterilization Room (ORSR1)
4-273
Floor Plan 4-274

4-275
Elevation 1 4-276
Room Data Sheet
4-277
4.21. Patient Bay, PACU / Phase I Recovery (RRBP1)
4-281
Floor Plan 4-282

4-283
Elevation 1 4-284
Room Data Sheet
4-285
4.22. Airborne Infection Isolation (AII), Patient Room
PACU / Phase I Recovery (RRIR1)
4-290
Floor Plan 4-291

4-292
JSN Legend 4-293
Elevations 1 & 2
4-294
Elevation 3 4-295
Room Data Sheet
4-296
4.23. Laboratory, Frozen Section (LBUL1)
4-304
Floor Plan 4-305

4-306
Elevation 1 4-307
Room Data Sheet
4-308
4.24. Utility Room, Surgical Soiled (USCL7)
4-314
Floor Plan 4-315
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April 2016

4-316
Elevations 1 & 2
4-317
Room Data Sheet
4-318
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
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5-9
5-10
5-22
5-32
5-46
5-56
5-63
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Surgical Services Design Standards
April 2016
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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.
Lloyd H. Siegel, FAIA

Associate Executive Director
Office of Facilities Planning (003C2)
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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
National Director of Surgery
John Rumsfeld, MD
National Director of Cardiology
Rick Shunk, MD

Director, Interventional Cardiology, San

Francisco VA Health Care System, San
Francisco, CA
Grit Adler, MD

Chief, Interventional Radiology, James A. Haley

Veterans Hospital, Tampa, FL
William Nylander, MD, MBA Deputy National Director of Surgical Services,

VA Tennessee Valley Health System, Nashville,
TN
Mark Wilson, MD, PhD

Physician, VA Pittsburgh Healthcare System,

Pittsburgh, PA
James Edwards, MD

Physician, Portland VA Medical Center,

Portland, OR
John Sum-Ping, MD

Director, Anesthesia Services, Chair of National

Anesthesia Service
Bernadette Speiser,
MSN, CCRN, CMS
Nurse Manager, Cardiology, Jesse Brown VA

Hospital, Chicago, IL
Cathy Clark, RN RCIS MS

Interim National Cardiology Nurse Manager,

Denver VA Medical Center, Denver, CO
Lisa Warner,
RN, MHA, CNOR

Clinical Nurse Advisor for Perioperative

Services, Phoenix VA Medical Center,
Phoenix, AZ
Susan LeSuer, RN

Chief Nurse, Minneapolis VA Medical Center,

Minneapolis, MN
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April 2016
Julie Wagner, RN, CNOR

Melissa Batt, RN
Nurse Manager, Minneapolis VA Medical

Center, Minneapolis, MN
April Dierieckx
Assistant Nurse Manager, Cardiology
Nurse Manager, Cardiology
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

Executive Director, Office of Construction &

Facilities Management
Lloyd Siegel, FAIA
Associate Director, Office of Facilities Planning
Donald L. Myers, AIA
Director Facilities Standard Services
Zoltn John Nagy,

RA, NCARB, AAH, AORN
Subject Matter Expert Surgical and

Interventional Radiology Planning and Design
Fei (Linda) Chan,

Associate AIA
Planner
Gary Fischer, RA
Senior Healthcare Architect
Lam Vu, PE
Senior Healthcare Electrical Engineer
Michael Taylor, PE
Senior Healthcare Mechanical Engineer
Don Walden
Senior Healthcare Mechanical Engineer
Orest Burdiak
Principal Healthcare Interior Designer
Consultants
SmithgroupJJR
Bill Kline,
AIA, EDAC, LEED AP, CAA
Principal in Charge
GENERAL
1-4

Vladislav Torskiy,
AIA, ACHE, AHA,
LEAN Healthcare CP
Project Manager
Allen Whitaker, AIA
Healthcare Planner
Gabryela Passeto,
Associate
Healthcare Planner
April Dirmeitis, RN, MSN
Healthcare Planner
Julia Hager,
AIA, LEED AP BD+C
Healthcare Planner
Taylor Staten,
Associate AIA
Technical Support
Marco Barboza
LEED Green Associate
Technical Support
Colleen Malloy White
Techical Support
April 2016
Sub-Consultants
The Innova Group
Michael Cook
Susan Myers, RN, MSN
Vice President

Space Planner
Gail Cisneros, RN
Equipment Planner

Chris Phillips
Project Manager
William Cross
Alternate Project Manager
URS
Troy Metz, PE
Mechanical Department Manager
Bill Hoffman, PE
Mechanical Engineer
Danny Reyno
Electrical Engineer
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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
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1.4. VA Policies/Standards, and Industry Codes/Standards

VA Policies/Standards
1. Master Construction Specifications PG-18-1
2. Construction Standards H-18-3
3. Standard Details PG-18-4
4. Equipment Guide List PG-7610
5. List of Equipment Symbols PG-18-6
6. VHA Handbook 1102.01
7. Barrier-Free Design Handbook H-18-13
8. Room Finish and Door Hardware Schedule PG-18-14
9. Refer to the following PG 18-9 Space Planning Criteria Chapters that
also may require space in Surgical Services:
Chapter 102 (Intensive Care Nursing Units)
Chapter 285 (Supply Processing Services)
10. Various Technical Criteria (Design Manuals) pertaining to
Architectural, HVAC, Plumbing and Electrical
11. Consensus Information from various VA medical centers
12. Seismic Design Requirements H-18-8
13. VHA Directive 2010-018 Facility Infrastructure Requirements to Perform
Standard, Intermediate, or Complex Surgical Procedures
Refer to the PG-18-3 (Topic 1) for the list of Codes, Standards and
Executive orders.
Industry Codes/ Standards
1. AORN Guidelines for Perioperative Practice
2. American College of Surgeons Guidelines
3. FGI Guidelines for Design and Construction of Hospital and Outpatient
Facilities
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. 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 non-compliance with HIPAA are divided
in four categories: (i) without knowledge; (ii) based on reasonable cause;
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(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.
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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
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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
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
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GENERAL
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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
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learning may cause surgical procedures to be longer. This additional space

and time must be taken into consideration when determining the size and
number of Operating Rooms and support spaces for a teaching VAMC.
Surgical Department
The Surgical Department is comprised of all functional areas required for
patient surgical services. It includes the Surgical Procedure Suite, PreProcedure Assessment, Pre-Operative Holding, Post Anesthesia Care Unit
(PACU), and Phase II Recovery.
Recently there has been a shift towards one integrated interventional platform consolidating surgical and invasive cardiovascular services directly adjacent to each other. By utilizing the same aseptic environment this concept
maximizes efficiency by sharing resources, and promotes quality outcomes
and patient safety. The Surgical Services Design Guide includes templates
for new Cardiac Catheterization Laboratories, Procedure Rooms for Electrophysiology, and Transesophageal Echocardiograph (TEE) Rooms, which
will be collocated with Surgical Services and share the same semi-restricted
area and adjacent support spaces.
This Design Guide is intended for facilities of the following acuity levels: Ambulatory, Standard, Intermediate, and Complex Centers.
The Surgical Suite
The Surgical Suite is a group of spaces consisting of the individual operating rooms in which surgery is performed, plus all the required support areas.
These support areas include the Clean Core, a semi-restricted corridor and
the following spaces:
Control and Communication Area; Patient Holding/ Prep
Staff Lockers and Lounge, Toilets and Showers (LLTS) including the
Auto-Valet scrub suit dispensing machines
Anesthesia Workroom
Scrub Areas for the staff
Blood Gas Analysis Laboratory
Immediate Sterilization serving a pod of Operating Rooms
Equipment Storage Space
Connection to the sterile processing service and logistics (SPS) -
usually via mechanical cart lifts or elevators
Medical Gas Storage Area
Dedicated Housekeeping Aides Closets (HAC) for the semi-restricted
area.
Appropriate Administrative Areas, including Charge Nurse Office, and
Surgical and Anesthesia Offices as required for supervision
Other support areas as deemed appropriate.
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Traffic within the Surgical Suite

Surgical Staff: The staff typically moves from the staff lockers/lounge through
the semi-restricted corridor to the Scrub Stations and then into the individual
Operating Rooms, with exit through the semi-restricted corridor. Possible
exceptions to this flow are the circulators, who retrieve supplies and equipment from the clean core, and the supervising anesthesia staff, who are permitted to move from Operating Room to Operating Room via the clean core.
Patient: The Patient checks in and changes into a gown in the pre-procedure
area. They are then visited by members of the surgical team, who will start
an intravenous (IV) line, review the procedure and answer any questions the
patient may have. They are then brought into the operating room on a gurney and transferred to the operating table. While the patient is awake during this process, the anesthesiologist may have given the patient a drug to
help them relax. Once situated on the operating table, the anesthesiologist
will give the patient drugs through their IV and a breathing mask to induce
anesthesia. When the patient is asleep the surgical procedure begins. Once
the surgery is complete the patient is moved to the post-anesthesia care
unit (PACU) until the effects of the anesthesia wear off. Outpatients will go
to the Phase 2 recovery area, where a designated family member can come
and visit with the patient while they become more alert and is discharged
to go home. Inpatients will be transferred to a patient ward until they are
discharged.
Linens: Linens are brought into the Operating Rooms by way of the semirestricted corridor. Soiled linen is bagged and removed from the Operating
Room via the semi-restricted corridor.
The Sterile Field
In general the term sterile field is used to describe the sterile zone in the
Operating Room, approximately five feet around, which includes the space
surrounding the site of the patients incision. The term sterile indicates that
no undesirable microorganisms are present. The hands of the scrub team
are gloved and everything that enters this field must be sterile. The operating table, the surgical instrument table, and special equipment to be used in
the sterile field are cleaned prior to each case. Imaging equipment, surgical
microscopes, and other items that are difficult to clean are draped in sterilized plastic to maintain asepsis. The sterile field is showered by the laminar
flow and encapsulated by the air curtain. Imaginary zone
The anesthesiologist and nurse anesthetist remains outside of the sterile
field and is typically separated from the sterile field by a sterile drape.
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Maintaining Asepsis (Sterility)

With regard to asepsis, the three areas of concern (to minimize the number
of undesirable organisms present) within the Surgical Suite are:
The sterile field itself as described above. Only fully scrubbed staff
(known as the scrub team) is permitted in this area in the center of
each Operating Room.
Within the Operating Room, both the scrub team as well as the additional staff that are not in the sterile field must abide by strict rules
established by the Medical Center.
Semi-restricted areas, including spaces such as the pre-operative and
patient holding areas, PACU, instrument workroom, non-sterile supply
storage, staff lockers/lounges/toilets/showers, control desk, and
surgery administration offices.
Internal Operating Room Circulation
It is critical to plan an Operating Room in such a way that a high level of
sterile technique can be achieved.
The circulator places the packs on the instrument table from the side of the
instrument table away from the sterile field. The scrub nurse removes the
sterile instruments and places them on the surgical instrument table prior to
the procedure. With the exception of some specialty surgical procedures,
the surgical instrument table is positioned toward the foot of the operating
table, but always within the sterile field. A single instrument table may be up
to 8.0 feet (2440 mm) in length, or there could be more than one instrument
table. Once the procedure starts, the scrub nurse constantly draws from this
source to supply the surgeons during the operation. The circulator also assists the surgeon with devices used in the sterile field such as lasers.
No one walks between the operating room table and the surgical instrument
table, except those in sterile garb who have thoroughly scrubbed. When portable imaging equipment is used, space for these items must be considered.
Surgical microscopes or video monitors on carts and other large pieces of
equipment (including robotics) may also be needed in an Operating Room,
and space for them must be considered.
The Surgical Team in a teaching VAMC is typically comprised of the following members:
Surgeon: The Medical Doctor who is board certified as a Surgeon and acts
as surgical team leader to direct and supervise all aspects of a surgery. The
responsible surgeons eligibility to perform a surgical procedure is based
upon that surgeons education, training, experience, and demonstrated
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proficiency. Surgeons are expected to study and evaluate new procedures

and to become knowledgeable of and proficient with advances that are
appropriate. Technical skill alone is not sufficient to qualify a surgeon to
perform new procedures. Procedural skills should be acquired within the
context of in-depth knowledge about the disease to be treated. Qualification
of a surgeon as a specialist carries the commitment and responsibility to
conduct a surgical practice that conforms to his/her defined specialty. The
appropriate surgical specialty board recognized by the American Board
of Medical Specialties (ABMS) or the Royal College of Physicians and
Surgeons of Canada (RCPSC) determines a surgeons scope of practice.
Assistant Surgeon: A Medical Doctor who acts as assistant surgeon and
may be one of the following medical professionals:

Another surgeon
A licensed physician assistant
A registered nurse first assistant
A surgical resident
A medical student
Assistant-in-Surgery: Clinical professionals such as nurses, operating

room technicians, or other specially trained professionals, whose services
are included in the primary surgeons. The surgical assistant provides
intraoperative functions that help the surgeon carry out a safe operation, such
as exposure, hemostasis, and closure. In addition to intraoperative duties,
the surgical assistant also performs preoperative and postoperative duties
to better facilitate proper patient care, such as positioning of the patient,
catheter placement, dressings, and patient transfer. The surgical assistant
who has appropriate training also performs under surgeon supervision other
procedures including but not limited to: vein and graft harvesting, and graft
and implant preparation.
Second Assisting Technologist: The second assisting surgical technologist
assists the surgeon and/or surgical assistant during the operative procedure
by carrying out technical tasks other than cutting, clamping, and suturing of
tissue. This role is distinct from that of the first assistant and may, in some
circumstances, be performed at the same time as the scrub role.
Anesthesia Staff: Anesthesia is administered by the anesthesia staff, which
can include anesthesiologists, anesthesia assistants, anesthesia residents,
anesthesia technicians, and certified registered nurse anesthetists (CRNAs).
One or more anesthesia staff may be assigned to each Operating Room. It
is the responsibility of the anesthesia staff to consult with the patient before
surgery and identify family/friends that will speak to the surgeon after the
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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
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in the Operating Room. If appropriately trained, this individual may perform

the same duties as a scrub person.
Perfusionist: A perfusionist is a specialized healthcare professional who
uses the heart-lung machine during cardiac surgery and other surgeries
that require cardiopulmonary bypass to manage the patients physiological
status. In cardiovascular surgery, the patients blood may have to bypass
the heart to allow the surgeon to perform the required surgical procedure.
The blood supply bypasses the heart and circulates through a heart-lung
machine (which is both a mechanical pump and artificial lung) after which it
is returned to the patient as oxygenated and purified blood. The perfusionist,
who oversees this process, works in the Operating Room, usually at the side
of the operating table, but well outside the sterile field area. The heart/lung
machine must be connected to both a water supply and the electrical supply.
Two perfusionists may be required for each cardiovascular operation, in the
event that a cell-saver (auto-transfusion) device is used.
EEG Technician: This individual operates the electroencephalograph in the
Neurosurgery Operating Room to record the brain waves of the patient.
Usually this monitoring is required only in patients undergoing brain surgery.
This individual operates the EEG machine outside of the sterile field.
Imaging Technician: The imaging technician is in charge of taking digital
images when needed within the Surgical Suite. The images are digital and
can be viewed on monitors mounted on booms in the sterile field as well as
large wall-mounted monitors.
Patient Transport Staff: The patient transport staff is responsible for
transporting patients to the Surgical Suite from other parts of the hospital.
When a patient is very heavy, the patient transport staff might assist in
transferring the patient from the transporting gurney to the operating room
table. The patient transport staff also helps in moving equipment in and out
of the Operating Room before the patient is brought into the room.
Charge Nurse: The charge nurse supervises all activities that occur within
the individual Operating Rooms. The charge nurse is also available to
temporarily replace the scrub nurse during long operations. The office of the
charge nurse may be located within the clean core.
Nurse Manager: This nurse is the administrative supervisor of the entire
Operating Room Suite. She/he is responsible for maintaining the scheduling
of patients for operations, as well as purchasing and maintaining supplies
and equipment for use in the Operating Room Suite. The office of the nurse
manager is located inside the Surgical Suite.
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Surgical Room Pathologist: The surgical pathologist does not function

within the clean core area or within the individual Operating Rooms. Tissue
specimens removed from a patient are sent to the surgical pathologist,
who prepares and examines the tissue in a frozen section laboratory within
Pathology. The pathologist then electronically communicates his/her findings
to the surgeon.
Consultant: If the operating surgeon desires a consultation for a patient under
anesthesia or during the operation, he/she may request that a consultant
come to the Operating Room to examine the patient. In most instances,
the individual consulted is an internist or cardiologist. This individual
usually does not work within the sterile field but examines the physiologic
data regarding the patient and presents his advice regarding additional
appropriate treatment.
Visitors / Technical Support: In most hospitals affiliated with a Medical
School, visitors may be invited into the Operating Room to view a particular
type of operative procedure. Technical support personnel may be invited
into the Operating Room to consult on the use of specialized equipment.
In all cases, the patient must have given prior consent to the presence of
these non-surgical staff in order to maintain patient privacy and follow HIPAA
regulations. These individuals must be appropriately attired. They also wear
head covering and shoe covers, but not necessary gloves, since they do not
work within the sterile field. It is the circulators responsibility to monitor the
visitors and technical support personnel activities.
Biomedical Equipment Support Specialist: The Biomedical Equipment
Support Specialist utilizes extensive knowledge in the safe and effective
application of healthcare technology, and serves as a senior level healthcare
technology specialist in the Surgical Suite. They provide support of the
devices/systems utilized during procedures and analyze/remediate any
performance deficiencies.
Housekeeping Staff (Operating Rooms): Specially trained housekeeping
staff is assigned to decontaminate and sterilize the Operating Rooms and
equipment after each procedure. They work out of a dedicated housekeeping
closet accessed from the semi-restricted corridor.
Space Planning and Design
The following is a list of basic planning criteria, which are desirable as
standards for the Surgical Suite. For further information, see Technical
Information Library (TIL), Space Planning Criteria for VA Facilities (PG-18-9)
and VA Space and Equipment Planning System (SEPS).
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Size of Operating Rooms: While the minimum size of operating rooms is

covered in this guide, there are other dimensions, such as width/ depth of
the room, ceiling height and plenum space above, that have to be taken
into consideration in the design of an operating room. In renovation projects
there may not be sufficient space to accommodate new Operating Rooms
due to size. Written concurrence from the VA National Director of Surgical
Surgery must be obtained before proceeding further in the design process for
renovation projects. Recessed wall storage cabinets, if requested, should be
in addition to the square footage required for each Operating Room. These
cabinets should be used for storage of frequently used supplies only. When
a substantial number of storage cabinets in each Operating Room is needed
by local surgical staff, space in the clean core reserved for exchange carts
with sterile supplies on them can be reduced.
Scrub Sink Area: The Scrub alcove is located in the semi-restricted area
at or between entrances to a single surgical operating room or between
the entrances at two adjacent surgical operating rooms. It is acceptable for
one Scrub Sink Area to be shared between two Operating Rooms; however,
when Operating Rooms are laid out in a same-handed arrangement, it is
advisable to provide a separate scrub sink alcove for each OR.
The scrub alcove is stocked with a variety of types and sizes of sterile gloves,
sterile gown packs, antimicrobial cleansing solutions and sterile nail brushes/
sponges with a nail pick. These brushes are pre-packed, for single use only
and some may already be impregnated with an antimicrobial solution. Scrub
brushes may be placed in dispensers next to sinks.
Sinks are provided with hot and cold water and tap controls must be adjusted
for water temperature flow before starting to scrub. Running water is preferred
because it easily rinses away suds containing bacteria. Containers for
antimicrobial solutions are placed between each set of taps and care should
be taken not to contaminate hands when dispensing solution. The pump
dispenser must be changed each time an empty bottle is replaced with a
new one. The standard solutions such as Povidone Iodine or Chlorhexidine
(triclosan), or acceptable equivalent may be available for those practitioners
who are sensitive to the standard solutions.
Gurney Storage: Surgical patients are brought into the Operating Room on a
gurney or on a combination gurney/recovery room bed. In some cases such
as eye surgery, a recovery bed is used instead of a standard operating table
for the procedure. Normally, the patient is transferred to the operating table
in the room and the gurney is removed from the OR. An alcove is provided
directly outside the Operating Room in the semi-restricted corridor where the
vehicle is parked during the procedure. After surgery the patient is placed
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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.
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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
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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.
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Neurosurgical Operating Room: Neurosurgery is focused on the treatment

of the nervous system, which includes the brain, spinal cord, and peripheral
nerves. Current techniques revolve around the use of increasingly smaller
openings and microscopes to minimize the post-operative recovery time,
while Intraoperative Neurophysiology (ION) monitoring reduces patient
risk by better monitoring the functional integrity of neural structures during
surgery. Another evolving technology is the use of the navigation systems
that allows the surgeon to visualize the anatomy of the patients spine and
pinpoint the site of surgical intervention much more precisely with imaging
data captured prior to the surgery.1
Transplant Operating Room: Transplant surgery is concerned with the
moving of an organ from one body to another (allografts) or from a donor
site to another location inside the body (autografts). While common organ
transplants include kidneys, livers, and hearts, tissue transplants, such as
cornea or musculoskeletal grafts, are procedures that occur more frequently.
The surgical team is typically larger than during a general procedure and
additional equipment may be introduced to store and prep a donated organ
and provide continuous support. At times the preparation of the organ will
start on an instrument table away from the sterile field before the patient is
brought into the room.
Hybrid Operating Room: Hybrid Operating Rooms are extremely adaptable,
accommodating a vast array of different types of procedures, such as Trans
Aortic Valve Replacement (TAVR), Surgical Aortic Valve Replacement
(SAVR), Endovascular Aneurysm Repair (EVAR), Electrophysiology (EP)
and Transesophageal Echocardiograph (TEE) Studies, Neuro-Thoracic,
Orthopedic and Uro-Cysto procedures.
Minimum clearances of the room as well as the size of the no-fly zone
at the ceiling plane will vary by model/vendor of the imaging equipment.
VHA experience demonstrates that 28 ft. (8534 mm) is the minimum clear
dimension that should be observed in the room. The system component
room will be accessible from the semi-restricted corridor or the control room.
The imaging equipment may also have a maximum distance requirement
from the system to the control module as well as required service clearances.
The perioperative team in a Hybrid OR consists of the following team
members:
Surgical circulating nurse
Radiology circulating nurse
1 Motor evoked potential monitoring for spinal cord and brain stem surgery, by
Sala F, Lanter P., Bricolo A. Advanced Tech Stand. Neurosurg 2004, 29:133-69
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Surgical scrub person

Radiology scrub person
Surgeon
Surgical first assistant
Anesthesia care provider(s)
Radiology technician
Interventional radiologist
Interventional cardiologist
Perfusionist
There may be additional personnel present depending on the type of

procedure.
The orientation of the operating room table to the Control Room window may
be determined by the head interventionalist, who may prefer a side view or a
toe view of the patient. A ceiling-mounted injector is the preferred choice, but
a mobile unit can also be employed if ceiling space is not available.
The Control Room is directly accessible from the Hybrid OR as well as from
the semi-restricted corridor. The counter at the view window is typically 2
ft. 6 in. (762 mm) deep to house the control modules associated with the
imaging equipment as well as charting workstations. The equipment for the
Hybrid OR may have additional requirements for the placement of the control
modules, which shall be taken into consideration in the planning of the room.
Robotics Operating Room: Robotic surgery utilizes miniaturized instruments
and a series of cameras to help the surgeon perform a procedure through
small incisions in the human body. In addition to a typical procedure-specific
setup the Operating Room will house a patient cart with robotic arms located
in the Operating Room as well as a control console. This console, which
can be located remotely, will be used by the surgeon to guide the robotic
arms of the patient cart that takes the place of the surgeon. The robotic
equipment that is available today has to be recalibrated after being moved;
it is therefore best left inside the Operating Room at all times.
A simulator is available to the surgeon for practicing movement and dexterity
of the robotic arms. Depending on facility preference it can be located in a
small room inside the semi-restricted area or, alternatively, elsewhere in the
Surgical Suite.
Cardiac Catheterization Laboratory: There are three functional spaces
which make up a single cardiac catheterization laboratory into a working
unit: 1) Cardiac Catheterization Procedure Room; 2) the Control Room; and
3) The Systems Components Room. Additionally, Cardiac Catheterization
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Laboratories must adhere to the same aseptic environment as surgical

operating rooms.
Requirements will include spaces for gowning and scrubbing, which enable
cardiologists and clinical staff to travel from areas considered soiled to the
aseptic semi-restricted corridor from which the Cath Lab is accessed. [Note:
The Cardiac Catheterization Laboratory is considered a sterile environment.]
The Control Room should be sized adequately to allow staff movement and
imaging equipment. However, an overly large control room invites visitors
(vendors, other staff, other physicians) who can be a distraction during a
case. Visibility of the Cardiac Catheterization Laboratory as well as the
patient is through leaded glazed vision panels, and shall accommodate
control counters for equipment video and data monitors, hemodynamic
monitoring and computers utilized by physicians and clinical technicians to
support the procedure type and imaging modality. The Control Room shall
have direct access to the Cardiac Catheterization Laboratory procedure
room and access directly to the semi-restricted corridor.
While procedure rooms may be adjacent, it is not advisable to have a single
control room that supports multiple procedure rooms.
Imaging equipment utilized in the Cardiac Catheterization Laboratory may
consist of mono-plane, biplane or robotic configurations. Measures must
be made to structurally support the type imaging modality being installed.
Imaging equipment may be ceiling mounted, floor mounted or a combination
of both with motion and articulation of C-Arm(s) occurring in two or more
directions moving in and out of position during procedures.
Although there may be differences among specific facilities, Cardiac
Catheterization Laboratories are generally organized so that the patient is
presented to the cardiologist with the patients head to the cardiologists left
side providing the cardiologist adequate work area with clear access to the
patient and full view of the monitors, which carry real-time video images and
data. Common procedures performed in the cath lab are: angioplasty, PCI
(percutaneous coronary intervention) angiography, balloon septostomy, and
Catheter ablation.
The equipment selected will affect the layout of tracks and their supporting
structure above the ceiling. Cardiac Catheterization Laboratory equipment
is upgraded every few years so flexibility is important. Although the Guide
Plate indicates a ceiling supported imaging modality, specific facilities
cardiovascular services may seek different assemblages at the time of
planning and design. Consider room clearances, both horizontally and
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vertically and live loads whether from ceiling-supported equipment or bearing

on the floor.
Primary procedural supplies shall be stored in the procedure room when
possible. Adequate wall surface area is required to support the appropriate
number of storage cabinets. Specific storage requirements for invasive
procedure rooms are noted in Guide Plates and Room Data Sheets.
Equipment Lists indicate Catheters are not to be reused after use.
Electrophysiology Procedure Room: An electrophysiology study (EP study)
is a minimally invasive procedure that tests the electrical conduction system
of the heart to assess the electrical activity and conduction pathways of the
heart. During an EP study, cardiac arrhythmias are recorded. The study is
performed to investigate the cause, location of origin, and best treatment for
various abnormal heart rhythms.
An electrophysiology study can include a number of invasive and non-invasive
recordings of spontaneous electrical activity as well as of cardiac responses
to programmed electrical stimulation. These studies are performed to
assess arrhythmias and abnormal electrocardiograms, expose symptoms,
evaluate risk of developing arrhythmias in the future, and design treatment.
Treatment may include antiarrhythmic drug therapy as well as implantation
of pacemakers and implantable cardioverter-defibrillators. These procedures
are surgical in nature thereby warranting an aseptic environment identical to
that found in surgery.
The EP room can accommodate diagnostic studies as well as therapeutic
interventions. EP rooms and their Control Rooms are organized similar to
Cardiac Catheterization Laboratories with regard to clean and dirty paths
and a sterile environment within the room. Their organization and most of the
equipment, except for specialized electrophysiology equipment, is similar to
a Cardiac Catheterization Laboratory.
Transesophageal Echocardiography (TEE) Room: TEE rooms use
ultrasound probes inserted in the esophagus to assess cardiovascular
function. Patients are lightly sedated for these diagnostic procedures. Probe
sterility requires specific protocols. The door from the TEE room into the staff
and service zone should provide close access to two rooms which support
TEE procedures.
Post-Anesthesia Care Unit (PACU): In most surgical cases, the patient is
brought to the PACU immediately after a surgical procedure to recover from
anesthesia. For cardiovascular and Neurovascular-Neurothorasic cases
the patient is typically transported directly to the critical care patient unit.
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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
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manner to decrease the potential of cross contamination. These areas are

the unrestricted area, the semi-restricted area and the restricted area.
The unrestricted area includes the central control point that is established to
monitor the movement of patients, staff, and equipment. The semi-restricted
area (red line) includes the peripheral support areas of the surgery suite,
such as storage areas for clean and sterile supplies, instrument processing
areas, scrub sink alcoves, and the corridors leading to the restricted area.
Access to this area is restricted and appropriate surgical attire as well as
coverings for head/ facial hair is required. The restricted area includes the
operating rooms as well as the clean core. Access to this area also requires
appropriate surgical attire and in some instances - masks. All other areas in
the surgery suite are non-restricted with no specific requirements for attire
and covers.
Clean Core
The surgical suite is set up to carefully orchestrate the flow of sterile and
soiled goods. 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.
A double-loaded Clean Core shall have a minimum width of 21 ft. (2438
mm). This width will allow for 10 ft. (3048 mm) of supply storage in the
middle of the space with a 3 ft. (914 mm) wide aisle on each side as well
as a 2 ft. 6 in. (762 mm) space for case carts and other equipment, such as
refrigerators and blanket warmers.
When the provision of substantial numbers of storage cabinets in each
Operating Room is the desire of the local staff, then the space in the clean
core reserved for the storage of sterile supplies can be reduced. Case carts
are held in a clean staging area until required at the start of the surgical
procedure. Many facilities also utilize automated supply units, which store
and electronically track usage of supplies.
Sterile supplies are transported to the clean core via dedicated elevators
from the clean side of SPS. An optional dedicated stairway may be included
if SPS is vertically separated from the clean core by no more than two floors.
Depending on the available space and the type of facility different clean core
arrangements can be employed. Generally, it is recommended to keep the
quantity of operating rooms around a clean core to 8 or less in number to
avoid excessive travel distances. In renovation situations where space is
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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.
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2.1.2. VA Trends in Surgical and Interventional Service

There are a number of trends which directly impact VHA perioperative
services. The most prominent considerations are:

Veteran population development and demands

Change in veteran population clinical acuity
Complexity of provided services
Change in intraoperative clinical methodologies and techniques
Physical infrastructure
Outcomes and productivity
The Veteran population is projected to decrease between 2014 and 2043

from 22.5 million to 14.5 million veterans2. The decline will be primarily
attributed to a reduction in number of WWII and Korean Conflict veterans
between 2014 and 2030; and Vietnam Era veterans between 2023 and 2043.
During the same period of time the female veteran population will grow from
9% to 17%. The above trends will and are already impacting VHA surgical
services, which have strong linear and statistically significant relationships
to population demand measured in increments of 10,000 unique patients.
The increase in female veteran population adds significant volume to
obstetrics and gynecology services in general and intraoperative procedures
in particular, while the 36% reduction in overall veteran population will initially
decrease the number of surgical cases. However, the clinical acuity of cases
will increase and there will also be growth in case numbers per patient due
to age groups impacted and multiple chronic conditions of the 12 million
population group that is 60 years and older. The beginning of this trend is
already being observed in different Veterans Integrated Service Networks
(VISNs) across the country.
The growth in the complexity of the services begins to shift the composition
of the surgical suite in regards to the mix of general and specialty operating
rooms as well as types of services provided. Today, VHA has 136 surgery
programs which are subdivided as follows:

17 Basic Ambulatory Surgery Centers (ASC)

9 Advanced ASC
11 Standard
31 Intermediate
68 Complex
2 United States Department of Veterans Affairs; The Veteran Population Projection Model
2014 (VetPop2014). 01 Oct 2014, Web. 03 June 2015
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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
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room and recommend their complete integration with traditional surgical

services by placing them behind the red-line in the semi-restricted area of
the healthcare institution.
Considering outcomes and productivity of perioperative services, primary
factors to be taken into consideration are operating room utilization rates,
lag times, cancellation rates and first time starts. First time on time starts
at VHA are on average at a 75% level, with the delay average between
1 and 15 minutes at 15%. Cancellation rates at VHA are lower than the
National average (between 1 and 7 percent per service line), while primary
cancellation reasons are attributed to patient-related issues and patient
health status. Operating room utilization varies between 65% to 75% for
intermediate surgeries, 90% to 95% for advanced ASC and 75% to 95% for
complex surgeries.
Changes in complexity of surgical services and diagnostic and treatment
techniques will have a direct impact on the physical infrastructure of
VHA surgery programs, resulting in upgrades in place or expansion of
perioperative services when space or infrastructure shortages are present.
Government Freeze the Footprint policy requirements will have to be taken
into consideration in development of future expansion plans.
2.2. Technical Considerations

2.2.1. VA Policies/ Directives/ Handbooks, Codes, and Standards
VA functions as the Authority Having Jurisdiction (AHJ) for all VA facilities
and projects and has the responsibility to guard public health and safety
through enforcement of its adopted codes.
Planning, design, and construction of all VA Surgical Services facilities must
be in accordance with this document and with the latest editions and/or
revisions of all VA and industrys applicable codes and standards. The more
stringent code and/or standard are to be applied to VA facilities. Requirements
in this Design Standard shall not be construed as authorization or permission
to disregard or violate applicable local codes and regulations.
Please refer to the PG-18-3 (Topic 1) for a list of Codes, Standards and
Executive orders.
Local Codes and References
VA is not subject to local imposition of code enforcement procedures, such
as drawing reviews, building permits, inspections, fees, etc. Therefore, VA-
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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
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and optimal operative and other invasive procedure outcomes. It provides

definitions and guidelines for aseptic practice, equipment and product safety,
patient and worker safety, sterilization and infection.
2.2.2. Architectural
Ceilings: The finished ceiling height of an Operating Room should be a
minimum of 10 ft. (3050 mm) above the floor.
Refer to the FGI guidelines for requirements for ceiling materials in the
restricted and semi-restricted areas of the surgical suite.
Floors: Cleansability of the flooring material is of primary importance in the
surgical suite, as most areas are at high risk for the spread of infections.
Consider the following when choosing a flooring material:
Ease of maintenance
Readily cleanable
Impact by germicidal cleaning solutions (if any)
Flooring in operating rooms shall be seamless and of non-porous material,
such as a resinous poured flooring with integral base. Special consideration
should be given to the area directly below the surgical table, where betadine
staining is a common problem. Betadine is an antiseptic frequently used
in surgical procedures that leaves a yellowish-brown stain. While some
flooring materials will hold up better than others to staining, it is generally
recommended to provide colors that will disguise betadine build-up in this
area. Also, this area may be of a different color than the rest of the flooring
in the room to demarcate the extent of the air curtain at the ceiling above the
surgical table.
Walls: Due to the large amount of cart and stretcher traffic in the surgical suite,
consideration shall be given to the durability of walls. It is recommended that
walls are fitted with a crash rail and wall protection in high traffic areas.
Casework: Modular casework storage systems should be utilized for flexibility
including the incorporation of typical dimensions for ease of multiple re-use
applications. Casework systems should be integrated with space planning
to avoid corner installations and filler panels.
Countertops for all clinical and clinical support areas should be made of solid
impervious resin material (per PG 18-14: Room Finishes, Door & Hardware
Schedule) with integral sinks, which offers long-term durability, and resists
chipping and staining from medical agents expected to be used in clinical
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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
DIRECTION OF AIR FLOW
+
-
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
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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
Additionally, designers should specify appropriate materials to maximize

infection control. These materials can include but are not limited to vinyl
coated fabric wallcoverings, and upholstery fabric with special coatings and
moisture resistant backings.
Wayfinding: Organizing the department to allow for intuitive wayfinding will
help reduce patient stress and is therefore an important design consideration.
Also, it should be noted that some staff members that may be present in the
facility do not frequent the department regularly. It is therefore important to
consider both off-stage and on-stage routes when designing wayfinding.
2.2.4. Heating, Ventilation, and Air Conditioning Systems (HVAC)
HVAC systems shall be provided to heat, cool, and ventilate individual rooms
or areas as required to satisfy design criteria. The HVAC system shall comply with NFPA 72, 90A, 99, and 101, and the current version of Department
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of Veterans Affairs (VA) HVAC Design Manuals, VA Design and Construction

Procedures, VA Master Construction Specifications and VA Standard Details,
where applicable. The current VA design and construction criteria are available on the VA Technical Information Library(TIL) at http://www.cfm.va.gov/
TIL/. Deviations from the VA guidelines may be made provided approval is
obtained from the VA. Where specific VA requirements are not available or
indicated in this document, design criteria from industry standards such as
American Society of Heating, Refrigerating and Air-Conditioning Engineers
(ASHRAE), National Fire Protection Association (NFPA), and Department of
Energy (DOE), etc. should be submitted to the VA for review and approval.
Life Cycle Analysis: The HVAC system shall be selected based on an
economic life cycle analysis performed as outlined in the current edition of
the VA HVAC Design Manual.
Energy Conservation: Energy conservation shall be emphasized in all
aspects of the building design. The building shall meet the requirements
of the current version of the VA Sustainable Design and Energy Reduction
Manual, the VA HVAC Design Manuals, the VA Electrical Design Manual, and
the VA Plumbing Design Manual. These design manual energy standards
apply to HVAC systems as well as the building envelope, service water
heating, lighting and energy management
Exterior Design Conditions: Exterior summer/winter design conditions and
cooling tower wet bulb design temperatures shall be based on the current
edition of the VA HVAC Design Manual.
The Architect/Engineer (A/E) may recommend more severe outdoor climatic
conditions for review and approval by the VA.
Interior Design Conditions: Interior design conditions for each space shall
be maintained throughout the year. Interior design conditions for all spaces
shall be maintained in accordance with the current version of the VA HVAC
Design Manual.
Supply Air Requirements: The supply air volume shall be established to
meet the heating and cooling load requirements of the occupied space. The
supply volume shall, however, be modified to meet a) minimum air change
requirements if this air quantity is more than the heating and cooling load
requirements, b) maintain proper space pressurization relative to room
exhaust requirements. For all air systems the supply air minimum airflows
shall follow the current version of the VA HVAC Design Manual.
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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
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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.
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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.
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2.2.6. Electrical Systems

Lighting: Lighting systems are essential for the surgical staff to perform
and function safely, efficiently, and effectively. The Lighting Design Manual
(LDM) provides design A/E guidance for lighting design parameters, as well
as recommended types of luminaires, in the surgical suite. The design A/E
has the option of using either fluorescent or LED lighting technology. The
design A/E shall follow the Reflected Ceiling Plan in Section 4 Design
Guide Plates of this Design Manual for the placement of luminaires. The
design A/E shall select appropriate number of lamps in each luminaire to
render the required illuminance level for each room and task. Normally,
number of lamps for luminaires located at the core of surgery room is 6 (3 of
which are on emergency battery back-up).
Lighting levels in the operating room are also required to fluctuate from high to
low in order to accommodate specific tasks. Therefore, the design A/E must
implement luminaires with dimming capabilities using multi-level switching,
dimming arrangements, or both. Normally, luminaires located at the core
of the surgery room are designed with multi-level switching arrangement;
luminaires located in the peripheral area of the surgery room are designed
with dimming capabilities. Point-to-point foot-candle calculation for each
room or area must be performed using commercially available computer
software to validate compliance with lighting level and energy conservation
requirements. The calculations must be documented and provided to VA for
review and concurrence.
The North America Illumination Engineering Society (NAIES) Handbook
10th Edition states that need of low level background lighting using green
lamps is a preference of individual surgeons. It is not a lighting design criteria
recommended or required for a surgery room. There is no NAIES standard
recommending or requiring green lamp design for surgery rooms, at this
time. There is no academic and peer reviewed research reports to validate
benefits of green lamps at this time. Therefore, dimming arrangements
for luminaires is the preferred way over green lamps to provide low level
background lighting in the surgery room.
Power:
The A/E shall provide electrical design for all electrically operated equipment.
The A/E shall confirm electrical requirements of all equipment to provide
correct design and load calculations. A/E shall show receptacles or hardwire
connections for all electrically operated equipment. The Electrical Engineer
shall coordinate with The Architect regarding the physical dimensions of the
line isolation monitor panel(s). This information is needed for the construction
of the wall to correctly accommodate the line isolation monitor.
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Refer to the Electrical Design Manual for guidance regarding requirement of

Isolated Power System (IPS) in operating rooms. Dual IPS panels providing
two different output voltages simultaneously using one isolated transformer
is prohibited.
Power and ground modules providing a combination of hospital grade
receptacles and hospital grade ground jacks shall be provided along the
walls.
Normal Power: One IPS on normal power shall be designed and specified
for each surgery room. Receptacles on normal power shall be connected to
the normal power IPS.
Emergency Power: Two IPS systems on the Critical branch of the Essential
Electrical System (EES) shall be designed and specified for each surgery
room, and shall be located at opposite diagonal corners of the surgery room.
Line isolation monitoring shall be integral with the IPS. Receptacles on the
Critical branch of the EES shall be connected to the closest Critical branch
IPS. The IPS shall provide power to receptacles designated for emergency
power mounted on the wall or within the articulating columns.
A 208 Volt special outlet shall be provided for the laser surgery equipment.
This special outlet shall be connected to a separate Critical branch IPS
supplying power to all laser surgery equipment. Normally, IPS supplying
power to all laser surgery equipment is located at the closest corridor outside
the surgical room.
2.2.7. Telecommunications, and Special
Monitoring, and Signaling Systems
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
performance analytics, and archiving purposes. Additionally operating room

environments can be controlled from a single interface that automatically
updates and syncs temperature, lighting, and monitor visual information in
a sequence of procedure phase presets. Asset tracking capabilities allow
for historical review of movement patterns and equipment utilization, the
ability to track button presses, interactions, and inventory counts of certain
key assets. The resulting data is amalgamated and analyzed to improve
efficiency and optimize resources.
Virtual Whiteboard Visual Workflow Management Software: Visual Workflow
Management Software is a web based patient tracking system that utilizes
sensors and staff inputs to progressively update and disseminate patient
status, room availability and procedure status to physicians, staff and family
in real time via mobile devices, pre/post and waiting area status boards,
and bedside PCs. HIPAA compliance updates are also posted to a hospital
website, which is managed through the OR control room command center.
Software incorporating Real Time Location System (RTLS) technology
provides a series of zone and room sensors to track patients as they
progress though the unit and their prep, procedure, and recovery. The OR
scheduling system is updated in real time with the patient location and status
to create a comprehensive view of patient workflows for physicians and staff
throughout the perioperative environment. Staff optimization and throughput
is improved, workflows streamlined, and dissemination of patient status is
enhanced with improved visibility.
These systems incorporate a variety of applications to notify and display
information including smart phone and tablet applications, OR and bed side
PCs, large format status monitors and electronic staffing boards. Patient
arrival to the OR is automatically captured and patient data (allergies, labs,
ordered blood products, specimens and more) can be posted to Patient
Safety Displays within the system.
The system is controlled and monitored at the OR control desk where a
comprehensive view of the entire suite can be relayed with real-time updates
for every surgical patient, optimizing clinical staffing, patient throughput,
predictability and control. A series of automated text notifications are sent
to appropriate staff, minimizing the number of calls and pages required to
progress a patient through a procedure.
Physicians, staff, and supervisors can utilize the phone and tablet applications
on the move to stay abreast of cancellations, emergency cases, patient
flows, OR camera views, and on demand daily and historical performance
NARRATIVE
2-33
April 2016
analytics promoting proactive schedule management. Electronic staffing

boards eliminate the need for grease boards. Staffing assignments are
quickly and conveniently posted for OR rooms, breaks and relief. Large
format status monitors provide continuous unit visibility in Pre/Post, control
desks and staff break areas. Large format monitors can also be used to
communicate patient status to family in waiting areas.
Patient Safety Display: Patient Safety Display provides the OR team with
real-time, up to date, accurate patient data from disparate hospital sources
and helps to optimize patient safety and workflow efficiency for every
procedure. The display automatically aggregates surgical case and patient
information from other data systems and displays it on a dedicated screen
in the OR, providing automatic access to key information from diverse IT
systems - Laboratory, Radiology, Medical Records, Allergies and more. The
system can also assist OR staff in safely navigating through Sign In, Time Out
and Sign Out requirements for every surgical procedure while encouraging
best practices to optimize patient outcomes that can significantly reduce the
potential risk of a never event.
Endoscopic Integration: Operating theaters fully integrated for both
endoscopic and open procedure equipment allow increased flexibility in
scheduling and OR utilization depending on the scale of the facility and number
of procedures. Advantages of endoscopic procedures include a reduction
in tissue trauma, leading to less postoperative pain, faster recovery, and
improved cosmetic result. Improvements in technique and the collaborative
development of endoscopic instruments have improved outcomes and the
capability is becoming increasingly preferred by surgeons and patients.
Endoscopic equipment can be integrated into the common sterile interface
for operating lights, table positioning, pumps, shavers, insufflators and
electrosurgical equipment. Surgeons rely heavily on image quality in
endoscopic procedures and calibration between equipment cameras and
monitors is vital. Precise performance parameters of endoscopic cameras
are built in-to the operating system of the operating room monitor in a
concept known as matched pairs to optimize color reproduction and ensure
accuracy of geometrical scaling.
Video integration: Audio and visual connection technology provides high
quality real time communication that can be disseminated in multiple tiers
of information sharing, bringing external users inside the operating room.
Data from the OR is translated via fiber optic hardwire to the in-suite control
interface, a switchboard-like device enabling two-way audio and video or
NARRATIVE
2-34
April 2016
image communication from point-to-point within the hospital, ensuring secure

communication without using the hospitals bandwidth. Additional system
components can expand the accessible range from within the hospital to
offsite institutions and external users on the other side of the world via
CODEC or internet streaming.
The same communication can be had between ORs in the same hospital
wherever compatible CODECs are used. This feature can be installed in
one room or at the in-suite control desk and shared by all. An example of its
functionality is an OR in the United States sending pictures and audio in real
time to a surgeon in another country who has a compatible CODEC.
A streaming tier can transmit live, one-way audio and video to live broadcast
procedures to a conference room or auditorium via a network. The broadcast
can be viewed by smaller groups on desktop, mobile devices and tablets
or larger groups with certain third party streaming devices. The feature
is commonly used by teaching hospitals and can be integrated on site in
a manner similar to the CODEC and the two are typically collocated for
convenient control of external information dissemination.
Cameras used for live viewing and recording allow surgeons to capture any
angle and position of procedure with enhanced five axis control capability
including image rotation to optimize view orientation, auto focus zoom to
capture appropriate level of detail through the progression of a procedure,
panning to the left or right, tilting up and down, pivoting freely in a full circle.
The cameras have a combination of automated features and manual modes
that can be maneuvered through the integration system touch panel or in
the surgical field by using button controls on the camera. The focus and
brightness adjustment capability can capture true color rendition when
calibrated and routed to a high definition monitor recording device, multiple
video formats and signal compatibilities are built into the camera for real
time capture with no discernible image lag. High end cameras feature up to
2 million effective pixel with 1080 horizontal high definition resolution and up
to 120x optical zoom. Various mounts are available for the cameras to locate
anywhere in the room including arm mounts that can locate the camera
directly over the operating table. Mounts can be located on surgical lights or
independently. The mounts and camera utilize anti drift technology similar to
that used in operating room lights to ensure the camera does not move out
of position once located.
Digital recording systems can capture high definition surgical audio, 1080p
video and still images, and annotation during a case. Some recording
systems also feature search engines for keyword based image retrieval,
NARRATIVE
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
3.0 FUNCTIONAL DIAGRAMS

3.1. General
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed in Figures 3.1.1, 3.1.2, 3.1.3, 3.1.4
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
interacting with any other spaces outside of the surgery department. During a
hospital-based surgery intake and discharge of the patient will occur through
other hospital departments. In emergent surgical cases the patient will likely
not spend any time in pre- and post-procedural areas but be transferred directly
to the critical care unit. This serves to minimize patient transfers and ultimately
OVERALL DIAGRAM : PERI-OPERATIVE SERVICES
reduce patient risk.
ACCESS
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
PRE-OPERATIVE HOLDING / PREPARATION

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
CRITICAL CARE UNIT
INPATIENT HOLDING
INPATIENT UNIT
EXTENDED RECOVERY / REHABILITATION
Figure 3.1.1
Overall Diagram: Peri-Operative Services
FUNCTIONAL DIAGRAMS
3-1
HOSPITAL BASED SURGERY (IP FLOW)

April 2016
INPATIENT UNIT / CCU (CRITICAL CARE UNIT)

o EXAMINATION / CONSULTATION
o CLEARANCE
o FAMILY / PATIENT EDUCATION
o TESTING
o PREPARATION
o OTHERS
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o LINES/INJECTION
o BLOCKING
o OTHERS
o MIS PROCEDURE
o GENERAL SURGERY
o SPECIALTY SURGERY
o OTHERS
o STANDARD
o INTERMEDIATE
o COMPLEX
CRITICAL CARE UNIT
INPATIENT UNIT
Figure 3.1.2
Hospital Based Surgery (Inpatient Flow)
FUNCTIONAL DIAGRAMS
3-2
AMBULATORY / OUTPATIENT SURGERY

April 2016
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
o MIS PROCEDURE
o AMBULATORY SURGERY
o GENERAL SURGERY
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
o MIS PROCEDURE
o GENERAL SURGERY
o SPECIALTY SURGERY
o OTHERS
o STANDARD
o INTERMEDIATE
o COMPLEX
PHASE II RECOVERY
CRITICAL CARE UNIT
INPATIENT HOLDING
INPATIENT UNIT
Figure 3.1.4
Emergency / Trauma Based Surgery Flow
FUNCTIONAL DIAGRAMS
3-3
April 2016
3.2. The Surgical Suite

The Surgical Suite is situated in a way to prevent nonrelated traffic through
the department and is divided into different areas requiring different levels of
asepsis.
The semi-restricted area (red line) includes the peripheral support areas of the
surgery suite, such as storage areas for clean and sterile supplies, instrument
processing areas, scrub sink alcoves, and the corridors leading to the restricted
area. Access to this area is restricted and appropriate surgical attire as well
as covers of head/ facial hair are required. The restricted area includes the
operating rooms as well as the Clean Core. Access to this area is restricted and
appropriate surgical attire, covers of head/ facial hair, and - in some instances
- masks are required. All other areas in the surgery suite are non-restricted with
no specific requirements for attire and covers.
Figures 3.2.1, 3.2.2, 3.2.3 and 3.2.4 illustrates typical workflows in facilities of
different complexity levels.
PUBLIC
ENTRANCE
GENERAL
WATING
STAFF AND SERVICE

ENTRANCE
CONSULT
CONTROL
FEMALE PATIENT
LOCKERS /
CHANGING RM
STAFF
LOUNGE
MALE PATIENT
LOCKERS /
CHANGING RM
STAFF AND
ADMINISTRATIVE
AREA
PREP / HOLDING
PHASE II RECOVERY
CYSTO
EQUIP.
SUPPORT
NURSE
STATION
GENERAL
OR
GENERAL
OR
CLEAN
CORE
EQUIP.
GENERAL
OR
GENERAL
OR
DISTRIBUTION /
CLINICAL SUPPORT
FROZEN SECTION LAB

CLEAN HOLDING
OR NURSE DIRECTOR
ANESTHESIA WORKROOM
ANESTHESIA STORAGE
BIO-MEDICAL ENGRG
PHARMACY
SOILED HOLDING
HAC
ELECTRICAL ROOM
IT TELECOM ROOM
SPS
IMMEDIATE
USE
STERILIZ.
PACU
EQUIP.
EQUIP.
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 SERVICE

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
PREP / HOLDING
PHASE II RECOVERY
EQUIP.
+
FROZEN SECTION LAB

CLEAN HOLDING
OR NURSE DIRECTOR
ANESTHESIA WORKROOM
ANESTHESIA STORAGE
PHARMACY
BIO-MEDICAL ENGRG
SOILED HOLDING
HAC
ELECTRICAL ROOM
IT TELECOM ROOM
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.
Patient Circulation
FUTURE EXPANSION
Staff Circulation
Red Line
Figure 3.2.2
Adjacency and Flow - Intermediate/Complex Surgical Suite
FUNCTIONAL DIAGRAMS
3-5
April 2016
PUBLIC
ENTRANCE
STAFF AND SERVICE

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
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
FUTURE EXPANSION
Patient Circulation
Staff Circulation
Red Line
Figure 3.2.3
Adjacency and Flow - Intermediate/Complex Surgical Suite (Alternate)
FUNCTIONAL DIAGRAMS
3-6
April 2016
PUBLIC
ENTRANCE
STAFF AND SERVICE

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
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.
IMAGING
SUPPORT
EQUIPMENT
FUTURE EXPANSION
Patient Circulation
Staff Circulation
Red Line
Figure 3.2.4
Adjacency and Flow - Complex Integrated Interventional Suite
FUNCTIONAL DIAGRAMS
3-7
April 2016
Figures 3.2.5, 3.2.6 and 3.2.7 illustrate examples of Intraoperative Suite

organizations that are typical for facilities of different complexity levels.
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
FROM PRE-OPERATIVE HOLDING

TO PACU / SICU
BASIC OR CONFIGURATION
Figure 3.2.5
Standard/ Ambulatory Surgical Suite Organization
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
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.
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

TO PACU / SICU
TO PACU / SICU
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 CLEAN CORE

MIS
OR
OR
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
TO PACU / SICU
Figure 3.2.6
INTERMEDIATE / COMPLEX
OR CONFIGURATION
TO PACU
/ SICU Pods Organization
Intermediate/ Complex Surgical
Suite.
CATH/EP
LAB
CONTROL
CONTROL
INTERMEDIATE / COMPLEX OR CONFIGURATION

CATH/EP
LAB
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
TO PACU / SICU
INTEGRATED OR CONFIGURATION
TO PACU / SICU
Figure 3.2.7 INTEGRATED OR CONFIGURATION

Complex Integrated Interventional Suite. Pods Organization
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.
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
CLEAN CORE, PODS
OR
EQUIP.
CLEAN CORE, OUTER RACETRACK
OR
Figure 3.2.8
Clean Core, 1 Pod along Racetrack Single Loaded Corridor
OR
OR
EQUIP.
OR
OR
CLEAN CORE
OR
EQUIP.
CLEAN CORE
OR
OR
EQUIP.
OR
EQUIP.
OR
OR
EQUIP.
OR
EQUIP.
OR
CLEAN CORE, PODS
OR
EQUIP.
SINGLE CORRIDOR, SEPARATE CORE
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
SUPPLIES / EQUIP.
OR
OR
OR
OR
OR
OR
EQUIP.
SUPPLIES / EQUIP.
CLEAN CORE
EQUIP.
SUPPLIES / EQUIP.
OR
OR
OR
OR
OR
OR
EQUIP.
SUPPLIES / EQUIP.
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.
EQUIP.
OR
OR
EQUIP.
CLEAN CORE
Figure 3.2.11
Single Double Loaded Corridor, Separate Cores
OR
OR
OR
FUNCTIONAL DIAGRAMS
SUPPLIES / EQUIP.
SINGLE CORRIDOR, N
SUPPLIES / EQUIP.
3-11
April 2016
OR
EQUIP.
OR
CLEAN CORE
OR
SPS
OR
EQUIP.
EQUIP.
OR
CLEAN CORE
OR
EQUIP.
CLEAN CORE, PODS
OR
OR
Figure 3.2.12
Single Corridor, Outer Racetrack Single Loaded Corridor
OR
EQUIP.
OR
OR
OR
EQUIP.
OR
CLEAN CORE
OR
OR
EQUIP.
OR
CLEAN CORE, PODS
CLEAN CORE
EQUIP.
FUNCTIONAL DIAGRAMS
3-12
April 2016
3.3. Clean Core

A double-loaded Clean Core shall have a min. width of 21-0. This width will
allow for supply shelving in the middle , aisles on each side as well as case
cart storage along the wall.
If supplies are to be stored on multiple exchange carts brought up from SPS
each day, the clean core must be sized to accommodate these carts. When
the provision of substantial numbers of storage cabinets in each Operating
Room is the desire of the local staff, then the space in the Clean Core reserved for exchange carts with sterile supplies on them can be reduced. Case
carts are held in a clean staging area or directly outside the operating room
until required at the start of the surgical procedure to optimize room turnover
times.
Sterile supplies and case carts are transported to the clean core via dedicated
elevators from the clean side of SPS.
Figures 3.3.1 and 3.3.2 illustrate two options for organizing a Clean Core.
FUNCTIONAL DIAGRAMS
3-13
April 2016
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
Figure 3.3.1
Clean Core Organization 1 - Centered Case Carts
FUNCTIONAL DIAGRAMS
3-14
April 2016
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
Figure 3.3.2
Clean Core Organization 1 - Centered Supply Storage Shelving
FUNCTIONAL DIAGRAMS
3-15
April 2016
FUNCTIONAL DIAGRAMS
3-16
April 2016
INDEX OF DESIGN STANDARD PLATES

4.0 DESIGN STANDARD PLATES FLOOR PLANS, REFLECTED CEILING PLANS,
ROOM DATA SHEET, EQUIPMENT LIST & GENERAL NOTES
4.1. General 4-1
Introduction 4-1
Legend of Symbols
4-2
4.2. Patient Bay, Pre-Operative Holding /
4-5
Axonometric View
4-5
Floor Plan 4-6
4-7
Elevations 1 & 2
4-8
Room Data Sheet
4-9
Equipment List
4-11
4.3. Patient Room, Pre-Operative Holding /
4-16
Axonometric View
4-16
Floor Plan
4-17
4-18
Elevations 1 & 2
4-19
Room Data Sheet
4-20
Equipment List
4-22
4.4. Clean Workroom, Anesthesia (ANCW2)
4-27
Floor Plan 4-28
4-29
Room Data Sheet
4-30
Equipment List
4-32
4.5. Operating Room, General (ORGS1)

4-34
Axonometric View
4-34
Floor Plan 4-35
4-36
JSN Legend
4-37
Elevations 1 & 2
4-38
Elevations 3 & 4
4-39
Room Data Sheet
4-40
Equipment List
4-42
4.6. Operating Room, Orthopedic (OROS1)
4-50
Axonometric View
4-50
Floor Plan 4-51
4-52
JSN Legend 4-53
Elevations 1 & 2
4-54
DESIGN GUIDE PLATES
4-i

Elevations 3 & 4
Room Data Sheet
Equipment List
4.7. Operating Room, Urology / Cystoscopy (ORCS1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
Equipment List
4.8. Operating Room, Cardiothoracic (ORCT1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
Equipment List
4.9. Pump Room, Cardiothoracic / Hybrid OR (ORHL1)
Axonometric View
Floor Plan
Elevation 1
Room Data Sheet
Equipment List
4.10. Operating Room, Neurosurgical (ORNS1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
Equipment List
4.11. Operating Room, Robotics (ORRB1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
DESIGN GUIDE PLATES
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

Room Data Sheet
Equipment List
4.12. Operating Room, Transplant (ORTR1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
Equipment List
4.13. Operating Room, Monoplane Hybrid (ORHY1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
Equipment List
4.14. Operating Room, Biplane Hybrid (ORHY2)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
Equipment List
4.15. Control Room, Hybrid OR (ORHC1)
Axonometric View
Floor Plan
Elevation 1
Room Data Sheet
Equipment List
4.16. Cardiac Catheterization Laboratory (XCCE1)
Axonometric View
Floor Plan
JSN Legend
Elevations 1 & 2
Elevations 3 & 4
Room Data Sheet
DESIGN GUIDE PLATES
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

4.17. Procedure Room, Electrophysiology (XCEP1)
4-233
Floor Plan 4-234
4-235
JSN Legend 4-236
Elevations 1 & 2
4-237
Elevations 3 & 4
4-238
Room Data Sheet
4-239
4.18. Transesophageal Echocardiograph (TEE) Procedure Room
(TRTE1) 4-251
Floor Plan 4-252
4-253
JSN Legend 4-254
Elevations 1 & 2
4-255
Elevations 3 & 4
4-256
Room Data Sheet
4-257
4.19. Decontamination, TEE Probe (TRTE2)
Storage, Clean TEE Probe (TRTE3)

4-264
Axonometric View
4-264
Floor Plan 4-265
4-266
Elevations 1 & 2
4-267
Elevation 3 4-268
Room Data Sheet
4-269
Equipment List
4-271
4.20. Immediate Use Sterilization Room (ORSR1)
4-273
Floor Plan 4-274
4-275
Elevation 1 4-276
Room Data Sheet
4-277
4.21. Patient Bay, PACU / Phase I Recovery (RRBP1)
4-281
Floor Plan 4-282
4-283
Elevation 1 4-284
Room Data Sheet
4-285
DESIGN GUIDE PLATES
4-iv
April 2016
4.22. Airborne Infection Isolation (AII), Patient Room

PACU / Phase I Recovery (RRIR1)
4-290
Floor Plan 4-291
4-292
JSN Legend 4-293
Elevations 1 & 2
4-294
Elevation 3 4-295
Room Data Sheet
4-296
4.23. Laboratory, Frozen Section (LBUL1)
4-304
Floor Plan 4-305
4-306
Elevation 1
4-307
Room Data Sheet
4-308
4.24. Utility Room, Surgical Soiled (USCL7)
4-314
Floor Plan 4-315
4-316
Elevations 1 & 2
4-317
Room Data Sheet
4-318
DESIGN GUIDE PLATES
4-v
April 2016
DESIGN GUIDE PLATES
4-vi
April 2016
4.0 DESIGN STANDARD PLATES

4.1. General
Introduction:
The Design Standard Plates are intended as general representations of typical space,
furniture and equipment layout, as well as functional and utility supporting needs. The
Design Standard Plates were developed as a design tool to assist the Project Team
in understanding the choices to be made during design, and to assist designers in
understanding VAs space and functional requirements for Surgical Services. The
Design Standard Plates are not intended to be project specific and are not meant to
limit design opportunities. However, the indicated net square feet (NSF) is the minimum
acceptable square feet (the +/- rule does not apply).
While this information is provided for a majority of spaces required, it is not possible
to foresee all possible variations or future requirements. The project-specific space
program shall be used as the basis for individual project design.
The Design Standard Plates must be reviewed against project criteria and any special
requirements. Users shall follow other VA criteria and standards as required by VA.
Equipment manufacturers shall be consulted for the most current equipment information
such as actual dimensions, weights and utility requirements.
DESIGN GUIDE PLATES
4-1
CB
CB
NC
NC
SS
SS

Legend of Symbols:
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
2X2 ACOUSTIC TILE CEILING
SD
2X4 ACOUSTIC TILE CEILING

SP
TURE
SD
GYPSUM BOARD
DT
1-
INTERIOR ELEVATION REFERENCE
HEIGHT OF CEILING FINISH ABOVE FINISH FLOOR
JSN AND EQUIPMENT NAME
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
DESIGN GUIDE PLATES
ROOM TH
ROOM
TH
SP
TELEVISI
DT
SD
TELEVISIO
4-2
SS
NURSE CALL DEVICE (S
FB1
FLOOR BOX POWER
2' x 4' INDIRECT FLUORE
April 2016LIGHT FIXTURES
4' FLUORESCENT VANIT
FLUORESCENT LIGHT F
HVAC SUPPLY
SYSTEM
DESCRIPTION OF SYMBOLS
WIRING
DEVICES
SWITCHES
SINGLE POLE SWITCH (SUBSCRIPT INDICATES FIXTURES

CONTROLLED)
THREE-WAY SWITCH
LOW VOLTAGE, TWO BUTTON DUAL LEVEL SWITCHING
SYMBOL
aa
a
33
3
LIGHTING
DEVICES /
FIXTURES
2X4 FLUORESCENT LIGHT FIXTURE
THR
TH
THR
EXHAUST REGISTER
HOOD EXHAUST
3 33 3 DRYER EXHAUST
3 3
DD
D
LOW VOLTAGE DIMMER SWITCH

OCCUPANCY SENSOR
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
2X4 DIRECT/INDIRECT LIGHT FIXTURE
DU
D
DU
2X2 FLUORESCENT LIGHT FIXTURE
EM
EM
EM
2X2 DIRECT/INDIRECT LIGHT FIXTURE
GR
G
GR
RECESSED DOWN LIGHT
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
DESIGN GUIDE PLATES
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
DUPLEX RECEPTACLE ON EMERGENCY POWER
AUXILIARY
SYSTEMS
TELEPHONE DATA OUTLET
GFI
P
SP
PATIENT GROUND MODULE (4-JACK)
TELEVISION CABLE OUTLET - WALL MOUNTED/CEILING

P MOUNTED
NURSE
CALL DEVICE (PULL CORD)
GFI
PUSH PLATE (AUTO OPENING DOOR)
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
RECEPTACLE, CLOCK HANGER

GFI
DD 3 3
SPEAKER - WALL MOUNTED/CEILING MOUNTED
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
DESIGN GUIDE PLATES
OCCUPANCY S
4-4
April 2016
4.2. PATIENT BAY, PRE-OPERATIVE HOLDING /

PHASE II RECOVERY (RRPR1)
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
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


140 NSF / 13,1 NSM
4-7
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
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
48" TALL SIDEWALL AT SINK ALCOVE

CS140
SINK, SS,GENERAL, SINGLE X, 10X14X ID
C0037
RAIL, APRON, 4x36x1
CT020
COUNTER, SOLID SURFACE
F2010
BASKET, WASTEPAPER, STEP-ON
A5220
A5212
BRACKET, TV, WALL-MOUNTED, TILT/ANGLE
A1012
TELEPHONE, WALL MOUNTED, 1 LINE
A5077
A5082
ELEVATION 2
11' - 4"
3454mm
ELEVATION 1
12' - 4"
3759mm
M4665
STRETCHER, RECOVERY, SURGICAL
A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
M7845
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

April 2016

4-8
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Acoustical Ceiling Tile (SP)
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Gypsum Wallboard (SC)
Wainscot:
Normal Power:
To be connected to selected
receptacles and equipment.
Emergency Power: Critical branch of the EES

to be connected to selected
Notes:
Base:
WSF Integral Base (min. 6/

152 mm)
Floor Finish:
Welded
Flooring
Slab Depression:
None Special
Sound Protection:
None
Doors:
None
Seam
Sheet
1) Provide a minimum of 14 receptacles (7

duplex) on the rail system.
2) The branch circuit serving the receptacles
on the rail shall not be part of the multiwire
branch circuit.
3) Rail system shall be connected to normal
and critical emergency branch circuit(s).
LIGHTING
COMMUNICATIONS
Maintained
Average
Illumination Ambient:
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No
Electronic Access and Door

Control:
No
1000 Lux (100 FC) on bed
Intercom:
No
2x4 Fluorescent or LED,

Virgin Acrylic Prismatic
Lens, Radio Frequency
Filter,
sealed
housing,
gasketed frame

(MID):
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
Security Surveillance Television (SSTV):
No
VA Satellite TV:
Yes
(VTEL):
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
500 Lux (50 FC)
Dimming
switching
or
multi-level
Notes:
1) Coordinate location of luminaires with other
ceiling obstructions
.
DESIGN GUIDE PLATES

4-9
April 2016

Room Data Sheet (continued)
HEATING, VENTILATING AND AIR
CONDITIONING
General Requirement: 70-75 Degree F, 20-60%
Relative Humidity, Room Return Air
Special Requirement:
Notes:
1) Six Minimum Total Air Changes
2) Two Minimum Outdoor Air Changes
3) Positive Pressure
PLUMBING AND MEDICAL GASES
Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
Reagent Grade Water:
No
Medical Air
Yes (1)
Medical Vacuum
Yes (1)
Oxygen
Yes (1)
FIRE PROTECTION AND LIFE SAFETY

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-10
April 2016

Equipment List
JSN
A1012
NAME
Telephone, Wall
Mounted, 1 Line
QTY ACQ/INS
1
DESCRIPTION
C/C
Telephone, wall mounted, 1 line.
A1107
Rail System , Utility,

Gas and Electric
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
Disposable soap dispenser. One-handed dispensing

operation. Designed to accommodate disposable
soap cartridge and valve.
V/V
A touch free wall-mounted hand sanitizer dispenser.

For use throughout a healthcare facility. Unit does
not include the sanitizing liquid. Units are battery
operated.
C/C
A surface mounted, sensor activated, automatic, roll

paper towel dispenser. The unit dispenses a paper
towel automatically only when hands are place in
position below the dispenser for maximum sanitation
and hygiene. May include adjustable settings for
sheet length, time delay, and sensor range. Unit is
battery operated or with optional AC power adapter.
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.
V/V
A container for collecting and transporting syringes

and other sharps for decontamination and disposal.
Available in 2 gallon and 8 gallon with locking rotor.
Complies with OSHA regulations for handling sharps.
C/C
A surface mounted, satin finish stainless steel, double

garment hook. Equipped with a concealed mounting
bracket that is secured to a concealed wall plate. For
general purpose use throughout the facility to hang
various items of apparel.
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
DESIGN GUIDE PLATES

4-11
April 2016
Track, Cubicle, SurA5180 face Mounted, With

Curtain
C/C
Surface mounted cubicle track, with curtain. Track

constructed of thick extruded aluminum. Equipped
with self lubricating carriers, beaded drop chain
hooks, and flame resistant curtain. To include removable end caps. Designed to be suspended around
patient areas where privacy is needed. Price listed is
per foot of the track, curtains to be priced per quote.
Bracket, Television,
A5212 Wall-Mounted, Tilt/
Angle
V/V
A wall mounted, tilt/angled TV bracket for 37 to 80

TVs. Mount will be a universal and VESA compliant
unit with a load capacity of up to 130 lbs.
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
Apron rail. Also referred to as an apron front, apron

panel, or knee space rail. Used to close in front knee
space area and/or provide work surface support between two base cabinets or a base cabinet and wall.
Apron rails should be ordered in pairs to provide both
front and rear work surface support.
C/C
Single compartment stainless steel sink, drop-in,

self-rimming, ledge-type, connected with a drain
and provided with a mixing faucet. It shall also be
provided with punched fixture holes on 4 center,
integral back ledge to accommodate deck-mounted
fixtures, brushed/polished interior and top surfaces,
and sound deadened. Recommended for use in
suspended or U/C/B sink cabinets having a high plastic laminate or Chemsurf laminate countertop/work
surface. Coordinate actual outside sink dimensions
with the actual clear dimension of cabinet specified to
ensure that they are compatible. For general purpose use throughout the facility.
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
THIS TYPICAL INCLUDES:

1 Cart Body, Style-A Narrow, w/Raised Edge Top
2 Drawers, 3 H
4 Drawers, 6 H
1 Accessory Rail, Side
Drawer Organizer Bins
A5220
Wall Backing
C0037 Rail, Apron, 4x36x1
Sink, SS, Single

CS140 Compartment,
10x14x16 ID
CT020
Countertop, Solid
Surface
Cart, General StorE0948 age, Mobile, 42H x

32W x 22D
DESIGN GUIDE PLATES

4-12
April 2016
F0205
Chair, Side With Arms
V/V
Upholstered side chair, 32 high X 21 wide X 23

deep with arms, padded seats and padded backs.
Seat height is a minimum of 17. Available with or
without sled base.
F2010
Basket, Wastepaper,
Step-On
V/V
Step-on wastepaper basket with inner liner and foot

petal activated flip top.
V/V
Clock, 12 diameter. Round surface, easy to read

numbers with sweep second hand. Wall mounted
unit for use when impractical to install a fully synchronized clock system. Battery operated, (batteries not
included).
V/V
Flat screen television with approximately 32 to 40

diagonal screen size. The TV will have built-in speakers, NTSC tuner, a 16:9 wide screen aspect ratio,
a minimum of 1280 x 768 resolution and a remote
control.
V/V
Air flowmeter. Unit has a stainless steel needle valve

with clear flowtube for connection to 50 PSI air outlet
from central pipeline system. Requires the appropriate adapter for connection to the wall outlet and fitting
to connect to tubing. Database prices reflect fittings
with an attached DISS power outlet. Other outlet and
adapter configurations are available.
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
V/V
Vacuum pressure regulator for connection to central

piped vacuum system. Standard display scale is
graduated at least from 0 to 200 mm Hg of vacuum.
Displays on specialized regulators may cover other
vacuum ranges. Regulator type (continuous, intermittent, continuous/intermittent, surgical, pediatric,
thoracic, etc.) as required. To be used in delivery,
neonatal, pediatrics or any area where suction is
required. Database pricing reflects continuous
regulators graduated to 200 mm Hg with a full line
vacuum selection switch and DISS configured inlets
and outlets.
F3200
M0506
M0750
M0755
Clock, Battery, 12
Diameter
Television, Flat
Screen
Flowmeter, Air, Connect w/50 PSI Supply
Flowmeter, Oxygen,
Low Flow
M0765 Regulator, Vacuum
DESIGN GUIDE PLATES

4-13
Computer, MicroproM1801 cessing, w/Flat Panel

Monitor
Workstation, ComM1803 puter, Wall Mounted,

Adjustable
M3070
M3072
Hamper, Linen, Mobile, w/Lid
Frame, Infectious
Waste Bag w/Lid
M4255 Stand, IV, Adjustable
M4266
M4665
Pump, Volumetric,
Infusion, Multiple Line
Stretcher, Recovery,
Surgical
April 2016
V/V
Desk top microprocessing computer. The unit shall

consist of a central processing mini tower, flat panel
monitor, keyboard, mouse and speakers. The
system shall have the following minimum characteristics: a 2.8 GHz Pentium processor; 512 MB
memory; 80GB hard drive; 32/48x CD-ROMDVD
combo; 1.44MB network interface card; video 32 MB
NVIDIA; a 18 inch flat panel monitor. The computer
is used throughout the facility to input, manipulate
and retrieve information.
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
Mobile linen hamper with hand or foot operated lid.

Made of heavy tubular stainless steel with heavy
gauge welded steel platform. Holds 25 hamper
bags. Mounted on ball bearing casters. For linen
transport in hospitals and clinics.
V/V
Frame for an infectious waste collection bag. Made

of heavy tubular stainless steel with heavy gauge
welded steel platform. Adjust to hold 18 or 25 trash
bags. Mounted on ball bearing casters and includes
permanently mounted hinged lid. Provides means of
bagging infectious waste at point of waste generation.
V/V
Adjustable IV stand with 4-hook arrangement. Stand

has stainless steel construction with heavy weight
base. It adjusts from 66 inches to 100 inches and is
mounted on conductive rubber, ball bearing, swivel
casters. Stand is used for administering intravenous
solutions.
V/V
Volumetric infusion pump. Pump is self-regulating

with automatic sensor and adjustable rate. Equipped
with visual and audible alarms and up to 10 hour
capacity battery. For the administration of a wide
variety of therapeutic agents where precise control is
required. Unit provides individual control to IV lines
simultaneously.
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.
DESIGN GUIDE PLATES

4-14
M7040 Table, Overbed
Monitor, PhysiologiM7845 cal, Bedside, 4 Channel
April 2016
V/V
Overbed table. Adjustable height table constructed

of heavy gauge steel. Mounted on 2 diameter twin
swivel casters with bumper caps. Table top is constructed with a high pressure plastic laminated surface that resists chipping, scratching, and staining. It
includes a vanity tray and a mirror. Table is designed
for use over bed, wheelchair or large chair.
V/V
4 channel bedside physiological monitor. The unit

consist of a four-channel non-fade monochrome display monitor, an alarm system and printer-recording
capabilities. The monitor has color coded controls
and automatic calibration. The unit displays up to
four waveforms simultaneously. The parameters to
be monitored are user selectable. The monitor may
be connected to a central monitoring station. The
unit monitors patients in most acute care areas, stepdown units, procedure rooms and emergency rooms.
DESIGN GUIDE PLATES

4-15
April 2016
4.3. PATIENT ROOM, PRE-OPERATIVE HOLDING /

Axonometric
140 NSF / 13,1 NSM
DESIGN GUIDE PLATES
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
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
NC
A1107
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
SHARPS
M7845
M4255
STAND IV
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
M1803
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
11' - 4"
3454mm
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


140 NSF / 13,1 NSM
4-18
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
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
A5082
A5077
A5075
DISPENSER, SOAP
CS140
CT020
C0037
RAIL, APRON, 4x36x1
F2010
BASKET, WASTEPAPER,
STEP-ON
ELEVATION 2
11' - 4"
3454mm
ELEVATION 1
12' - 4"
3759mm
M4665
A1107
M7845
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
A5107
E0948
A5108
M0506
TELEVISION, FLAT SCREEN
A5212
BRACKET, TV, WALL-MOUNTED, TILT/ANGLE

April 2016

4-19
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:

Notes:
Base:

152 mm)
Floor Finish:
Welded
Flooring
Slab Depression:
None Special
Sound Protection:
35 STC
Doors:
Sliding Glass Door, Size 80 x 7-0 (2438 mm x 2133

mm)
Seam
Sheet

on the rail shall not be part of the multiwire
branch circuit.
LIGHTING
COMMUNICATIONS
Maintained
Average
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
No
Intercom:
No

Filter,
sealed
housing,
gasketed frame

(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
CCT, CRI >= 80%, 50%
packs
Public Address:
No
No
VA Satellite TV:
Yes
(VTEL):
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
500 Lux (50 FC)
Dimming
switching
or
multi-level
Notes:
.
DESIGN GUIDE PLATES

4-20
April 2016

CONDITIONING
General Requirement: 70-75 Degree F, 20-60%
Relative Humidity, Room Return Air
Notes:
1) Six Minimum Total Air Changes
2) Two Minimum Outdoor Air Changes
3) Positive Pressure

Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes (1)
Medical Vacuum
Yes (1)
Oxygen
Yes (1)

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-21
April 2016

Equipment List
JSN
A1012
NAME
Telephone, Wall
Mounted, 1 Line
QTY ACQ/INS
1
DESCRIPTION
C/C
A1107

Gas and Electric
C/C
A5075
Dispenser, Soap, Disposable
V/V

V/V

operated.
C/C

V/V

V/V

C/C
A surface mounted, satin finish stainless steel,

double garment hook. Equipped with a concealed
mounting bracket that is secured to a concealed wall
plate. For general purpose use throughout the facility
to hang various items of apparel.
Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
Wall Mntd
A5108
Sharps
Hook, Garment,
Mounted
DESIGN GUIDE PLATES

4-22
April 2016

Curtain
C/C

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

and sound deadened. Recommended for use in suspended or U/C/B sink cabinets having a high plastic
laminate or Chemsurf laminate countertop/work
C/C
V/V

2 Drawers, 3 H
4 Drawers, 6 H
A5220
Wall Backing
Sink, SS, Single

CS140 Compartment,
10x14x16 ID
CT020
Countertop, Solid
Surface

32W x 22D
DESIGN GUIDE PLATES

4-23
April 2016
F0205
Chair, Side With

Arms
V/V

without sled base.
F2010
Basket, Wastepaper,
Step-On
V/V

V/V

included).
V/V
Flat screen television with approximately 32 to

40 diagonal screen size. The TV will have built-in
speakers, NTSC tuner, a 16:9 wide screen aspect ratio, a minimum of 1280 x 768 resolution and a remote
control.
V/V

from central pipeline system. Requires the appropriate adapter for connection to the wall outlet and
fitting to connect to tubing. Database prices reflect
fittings with an attached DISS power outlet. Other
outlet and adapter configurations are available.
V/V

V/V

and outlets.
V/V

monitor, keyboard, mouse and speakers. The system shall have the following minimum characteristics: a 2.8 GHz Pentium processor; 512 MB memory;
80GB hard drive; 32/48x CD-ROMDVD combo;
1.44MB network interface card; video 32 MB
F3200
M0506
Clock, Battery, 12
Diameter
Television, Flat
Screen
Flowmeter, Air,
M0750 Connect w/50 PSI
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
DESIGN GUIDE PLATES

4-24
Workstation, ComM1803 puter, Wall Mounted,

Adjustable
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
M4266
M4665
Pump, Volumetric,
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

solutions.
V/V

simultaneously.
V/V
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

DESIGN GUIDE PLATES

4-25
V/V
April 2016

DESIGN GUIDE PLATES

4-26
April 2016
4.4. CLEAN WORKROOM, ANESTHESIA (ANCW2)
Axonometric
240 NSF / 22,3 NSM
DESIGN GUIDE PLATES
Anesthesia Procedure Patient Area
4-27
April 2016
F3200
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
240 NSF / 22,3 NSM
4-28
April 2016
9' - 0"
DT
17' - 6"
5334mm
13' - 8"
4166mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


240 NSF / 22,3 NSM
4-29
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:

Notes:
Base:
Resilient Base
Floor Finish:
Rubber Flooring, Welded

Seam Sheet Flooring
Slab Depression:
None Special
Sound Protection:
None
COMMUNICATIONS
Doors:
Single Door, Size 3-8 x

7-0 (1117 mm x 2133 mm)
Wood
Data:
Yes
Telephone:
Yes
Cable Television:
No
LIGHTING
Duress Alarm:
No
Maintained
Average

Control:
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
1) Provide a duplex receptacle per computer

equipment location connected on emergency.
2) Provide convenience duplex receptacle on
normal power.
Intercom:
No

(MID):
No
Nurse Call:
No
500 Lux (50 FC) on Table
Code Blue:
No
2x4 or 2x2 Fluorescent

or LED, Virgin Acrylic
Prismatic
Lens,
Radio
Frequency Filter, sealed
housing, gasketed frame
Public Address:
Yes
No
VA Satellite TV:
No
(VTEL):
No
300 Lux (30 FC)
4 or 3 Fluorescent or LED
CCT, CRI >= 80% shall be
on emergency battery packs
Three way and ceiling
mounted motion sensor.
Notes:
Notes:
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.
DESIGN GUIDE PLATES

4-30
April 2016


Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
No
Medical Vacuum
No
Oxygen
No

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-31
April 2016

Equipment List
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

Monitor
QTY ACQ/INS
1
DESCRIPTION
C/C
Telephone, desk, multiple line.
V/V

3 Vertical Hanging Strips
2 Lockable Flipper Units
2 Shelves, Storage/Display
2 Lights
1 Cantilevered Work Surface
4 Storage Frames
4 Drawers, 3H
6 Drawers, 6H
V/V
Drafting chair approximately 47 high X 20 wide X

20 deep with rotary stool and a 5 (five) star base
with casters. Padded seat and back. Foot ring adjusts with chair.
V/V
Round wastepaper basket, approximately 18 high X

16 diameter. This metal unit is used to collect and
temporarily store small quantities of paper refuse in
patient rooms, administrative areas and nursing stations.
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

included).
V/V

DESIGN GUIDE PLATES

4-32
M1825 Printer, Computer
Shelving, Storage,
M2055 Wire, CRS, w/Adjustable Shelves
April 2016
V/V
High resolution computer printer with a variety of type

styles and sheet/envelope feeder trays. Database information reflects network ready, medium duty office
style laser printers. Other types of printers (bubble
jet, dot matrix, line or plotter) as well as light or heavy
use capabilities are available.
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.
DESIGN GUIDE PLATES

4-33
April 2016
4.5. OPERATING ROOM, GENERAL (ORGS1)
Axonometric
650 NSF / 60,4 NSM
DESIGN GUIDE PLATES
Surgical Service Patient Area
4-34
April 2016

SEMI-RESTRICTED
CORRIDOR
U0117
A5212
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
650 NSF / 60,4 NSM
4-35
April 2016

NOTE: REFER TO ROOM DATA SHEET FOR
ACCESS PANELS
U0114
M0765
M8606
A1130
A1122
4V, 1 NITROGEN, 1 CO2,

10 EMER DUPLEX,
4 DATA FACE PLATES
(EQUIPMENT)
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


650 NSF / 60,4 NSM
4-36
April 2016

JSN Legend
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
M7490 LIGHT, SURG, CEILING MTD, DUAL,

UNEQUAL DIA HEADS
M7650 DEFIBRILLATOR/ MONITOR/

RECORDER AUTO
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
M8551 LIGHT SOURCE, FIBEROPTIC
HEADLAMP
M8606 ENDOSCOPY CART, FIBEROPTIC, W/

VIDEO ACCESSORY
M8800 CART, ANESTHESIA
M8810 STAND, MAYO
M8825 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
M9110 TABLE, OPERATING, 5 OR 6 SECTION,
TRAUMA
U0100 INTEGRATED OPERATING ROOM
SYSTEM
U0112 IRRIGATION SYSTEM, SURGICAL
U0114 COMPRESSION DEVICE, EXTREMITY
PUMP
U0116 MONITOR, HD, LCD. FP, SIZE AS
REQUIRED
U0117 MONITOR, HD, LCD, FP, MEDICAL

GRADE, 55 INCH
U0124 WASTE MANAGEMENT SURGICAL

FLUID COLLECTION
U3092 SHARPS DISPOSAL CART,

W/ FOOT PEDAL
DESIGN GUIDE PLATES

4-37
DESIGN GUIDE PLATES

4'
8'
LOW WALL RETURN

AIR REGISTER
SCALE: 3/16 = 1-0
Elevations 1 & 2
650 NSF / 60,4 NSM
ISOLATION POWER SYSTEM
F3050
WHITE BOARD, DRY
ERASE
F3200
LOW WALL RETURN

AIR REGISTER
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
LOW WALL RETURN

AIR REGISTER
A4015
ELAPSE TIME CLOCK
A5077
DISPENSER, HAND
F0355
FOOTSTOOL, STRAIGHT
LOW WALL RETURN

AIR REGISTER
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
M3150
DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF

April 2016
4-38
Elevations 3 & 4
650 NSF / 60,4 NSM
DESIGN GUIDE PLATES

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
M8830
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
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
LOW WALL RETURN AIR REGISTER

U3092
SHARPS DISPOSAL CART,
W FOOT PEDAL
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

April 2016
4-39
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:
RF Integral Base (min. 6/

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
50 STC (to other room), 35

STC (to corridor)
Doors:
Double, Size 6-0 x 7-0

(1829 mm x 2133 mm) Wood
w/ Narrow View Window;
Single, Size 4-0 x 7-0
(1219 mm x 2133 mm) Wood
w/ Small View Window
8) Facility will select number and types of

scopes and other instrumentation as necessitated by the unique case load.
9) Endoscopy equipment can be located on a
cart or on the equipment boom.
10) NSF provided for this space is the minimal
acceptable NSF; contact Facilities Standards
Services for any deviations.
LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:
Surgical Light (connection

only)
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:
3) CCT shall match the color temperature of
surgical light(s).
DESIGN GUIDE PLATES

4-40

POWER
Normal Power:
connect a minimum of
12 receptacles to Normal
Power IPS
Emergency Power: 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.
April 2016
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.
CONDITIONING
General Requirement: Refer to Operating Rooms
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 latest version of the VA HVAC
Design Manual for quantity and location of low air
return grilles and ceiling diffusers.
Cold Water:
No
Hot Water:
No
5) Provide 220V Receptacle on the equipment

boom for the laser. Laser Surgery special outlet
shall be connected to Laser Surgery IPS.
Waste:
No
No
Medical Air
Yes (1)
COMMUNICATIONS
Medical Vacuum
Yes (7)
Data:
Yes
Oxygen
Yes (2)
Telephone:
Yes
Cable Television:
No
Notes:
Duress Alarm:
No

Control:
Yes
1) Provide Waste Anesthesia Gas Disposal

(WAGD), Nitrogen (1), Nitrous Oxide (1), Carbon
Dioxide (1)
Intercom:
Yes (Phone)

(MID):
No
2) For gas quantities per boom refer to the

reflected ceiling plan.
Nurse Call:
Yes
4) Provide power connections for articulating

utility columns.
Code Blue:
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.
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Notes:
DESIGN GUIDE PLATES

4-41
April 2016

Equipment List
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
Clock, Elapsed Time,

Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
Telephone, wall mounted, 1 line, with speaker.
C/C
Prefabricated surgical service column. Strong 18

gauge stainless steel shell ceiling mounted unit
with the following services: oxygen, nitrous oxide,
nitrogen, medical air, medical vacuum, gas evacuation, electrical outlets, monitoring connectors, and IV
holders. Specify type of column (fixed or retractable)
and number of outlets required for each service.
Size will vary with number of service outlets required.
Designed to be used in the operating room, recovery
and ICU-CCU rooms.
C/C
A ceiling mounted retractable equipment arm for use

in the OR. Designed to provide equipment placement support, power receptacles including low-voltage panels, gas outlets and flat screen mounting for
a surgical suite. Unit will provide a range of motion
of up to 330 degrees with arm providing additional
vertical movement. Units are custom configured with
multiple options available. Price is based on a unit
with two (double) retractable arms. Also available
are units for use in anesthesia, ICU and ER.
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
Elapsed time digital electric clock. Single display

time that can be used either as a clock or elapsed
time indicator. Clock consists of buttons to set
minutes, and hours for the time. For use in operating and delivery room, and medical service columns.
Analog or digital displays may be provided as specified by the user.
V/V

operated.
V/V

DESIGN GUIDE PLATES

4-42
April 2016

A5108
Sharps
V/V

Angle
V/V

Cart, Emergency,
E0954 Mobile, 66H x 32W
x 22D
V/V

1 Cart body, style-A narrow, w/raised edge top
1 Accessory rail, side
1 Accessory rail, back
1 Defibrillator tray
1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Oxygen tank holder
1 Electrical box-4 outlet
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
Drawer organizer bins.
F0355
V/V
Step stool. Used to assist patients getting on and

off exam or surgical tables. Fitted with electrically
conductive rubber tips.
C/C

V/V

included).
V/V
Three gas anesthesia apparatus. Basic unit consists

of steel cabinet with casters with one shallow, one
medium, and one deep drawer, seven long scale
eleven-inch flowmeters, five cylinder yokes, and
telescoping absorber post. It includes two-canister
model carbon dioxide absorber with inhalation and
exhalation check valves, switch valve, switch valve
elbow, sidearm Vernitrol, flow calculator, mounting kit,
ventilator calculator, ventilator and an oxygen piping
inlet. Also features nitrous oxide fail safe valve kit,
aspirator kit, gas evacuator with vacuum and a flow
meter safety cover. Used to dispense a mixture of
gases during surgical procedures.
F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
Anesthesia Apparatus, 3 Gas
DESIGN GUIDE PLATES

4-43
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
April 2016
V/V

V/V

V/V

and outlets.
V/V

V/V

V/V

DESIGN GUIDE PLATES

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,
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/Manual, Mobile
Warming Unit,
M4816 Patient, Automatic/
Manual, Air
April 2016
V/V
Non-magnetic stainless steel instrument cabinet with

two glass doors and six shelves (five adjustable).
Cabinet body has a single storage compartment and
seamless welded face. Shelf heights are adjustable
on full length perforated strips mounted to the back
and inside front cabinet corners. Cabinet is mounted
on glides or casters. Cabinet may be covered by a
sloping top.
V/V
An automated dispensing system that provides

controlled dispensing, inventory and security. Size
and cost will vary dependent on number of modules
selected.
V/V
Dual output electrosurgical unit. Solid state power

source with foot switch jacks, monopolar and bipolar
outputs, and four independent modes of operation.
Used in the operating room or surgicenter as an
alternative to the scalpel for cutting tissue.
V/V

solutions.
V/V

simultaneously.
V/V
A patient transfer board designed to make lateral

patient transfers safer for staff and be more comfortable for the patients. The board uses a smooth, low
friction and static free surface to eliminate the need
for metal rollers. The board has a soft foam core that
makes them lightweight for ease of use and storage.
The long board device also enables the transfer of a
patient in the seated or Fowler position. The boards
come in three sizes with the long board being foldable. The dimensions and price are for the long wide
board.
V/V
Automatic/manual hypo/hyperthermia unit. Sealed

refrigeration system. Microprocessor controlled with
multiple alarm system constantly monitoring temperature and water levels. Cabinet type unit. Designed
to regulate body temperature by application of waterfilled hypothermia blankets.
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.
DESIGN GUIDE PLATES

4-45
M5030
M5512
Stool, Surgeon, Revolving
Laser, Smoke Evacuator
Light, Surgical, CeilM7475 ing Mounted, Single,

Large
Light, Surg, Ceiling

M7490 Mtd, Dual, Unequal
Dia Heads
M7650
Defibrillator/Monitor,
Acute Care
April 2016
V/V
Revolving stool. Consists of a padded upholstered

seat with height adjustment. Unit rotates and is
mounted on ball bearing swivel casters. Designed
for use in examinations, treatment, and surgical
procedures.
V/V
Filtration system used in conjunction with laser

operations to remove surgical laser plume. The unit
includes a pneumatic foot switch, disposable 0.12
micron HEPA primary filters, a secondary 0.12 micron
ULPA/carbon filter, disposable funnels, reducer fittings and connector hoses.
C/C
Ceiling mounted surgical light generally 30-34 or

larger in diameter depending on manufacturer. Light
head is suspended from the ceiling by a mounting
plate and pole. Light head contains several individual pods each with its own light source. Unit also has
a detachable sterilizable handle. Minimum ceiling
height for most models is 8-9; check the manufacturers specific recommendations. Height dimension
below refers to the height of the lamp housing. Width
and depth are the length of the swing arm plus the
light head diameter. This light is suitable for dual site
surgery.
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
Portable defibrillator/monitor for acute care includes

biphasic defibrillator, pacing, SPO2, Interpretive 12lead, NIBP monitoring, EtCO2 monitoring, Invasive
pressure monitoring, Vital Sign monitoring, temperature probe, Fax transmission, PCMCIA Data Cards,
Paddle accessories, and a color LCD.
V/V

DESIGN GUIDE PLATES

4-46
M8551
Light Source, Fiberoptic Headlamp
Endoscopy Cart,
M8606 Fiberoptic, w/Video
Accessories
M8800 Cart, Anesthesia
M8810 Stand, Mayo
Table, Instrument/
M8825 Dressing, CRS, approx. 36x20x34
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V
Fiberoptic light source for surgical headlamps. This

unit provides color corrected light for surgical procedures where photography is not required.
V/V
Endoscopy cart with video and print capabilities for

use with fiberoptic (direct vision) endoscopes. This
cart does not work with videoscopes. System takes
optical images from a single endoscope and directly
records them or converts them to digital signals for
recording. A typical system cart includes the cart,
a light source, an insufflator, a suction unit, a heat
probe unit, an electrosurgical apparatus, a digital
camera converter or color video camera, a camera
controller, a monitor, a video/DVD recorder and a
color printer. This JSN does not include the endoscope; refer to the endoscopes at JSNs M8500M8550. Each cart can support one or more types of
endoscope and should be specifically tailored to its
intended use(s). This cart can be configured to interface with a network endoscopy information management system; refer to JSN M8600. Database physical information and pricing is for a higher cost system
containing one of each of the above components.
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
Adjustable instrument table. Table is corrosion

resistant stainless steel construction and is mounted
on two casters with two skid rails. It has telescopic
upright adjusts from 39 inches to 60 inches with
automatic locking device, and removable 13x19
instrument tray. Designed for use in operating and
procedure rooms.
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
Mobile instrument/dressing table, approximately 34

H x 20 W x 16 D Corrosion resistant stainless steel
mobile table with sound-deadening shelf and drawer.
Unit is mounted on 2 casters. Designed for all purpose use in the hospital or clinic.
DESIGN GUIDE PLATES

4-47
M8840
Table, Back, Instrument/Dressing
Carriage, Pail, CRS,

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8910 Cart, Surgical Case
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
Warmer, Blood, High

Volume
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
Utility pail (kick bucket). Shall be a stainless steel 12

quart bucket for use in surgical operating rooms.
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
Mobile single basin stand with shelf. The stand shall

be constructed of tubular stainless steel and mounted on 2 swivel casters. Shall include a shelf and an
8 quart stainless steel basin. Intended for use in
ORs and treatment areas.
V/V
Anesthesia stool with back. All stainless steel with

well-curved back panel and wide conductive seat.
Designed for the anesthesiologist during surgical
procedures.
V/V
Unit consists of a temperature regulated water bath,

circulating fluid, or dry heat with controls and an
audible high temperature alarm. The warmer provides a stable environment for the controlled warming
of blood or other fluids prior to being transfused to a
patient.
V/V
Unit contains a proportional controller to regulate

temperature in the heat exchanger and an audible
high temperature alarm. Designed to provide a
stable temperature for the controlled warming of
blood or other fluids prior to being transfused to a
patient. Unit may be a cuff type or circulating water
heat exchanger.
DESIGN GUIDE PLATES

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
Surgical Irrigation System ia a high-flow pump with

flow rates up to 2.5 lpm.
U0114
Compression Device,
Extremity Pump
V/V
Sequential pump for preventing DVT in extremities.
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
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
One-handed disposal. Lids lift or slide open easily

with foot-operated pedal. Lids may remain closed
when not in use to reduce exposure to contents and
Type 1 violations. Ergonomic handle is telescopic
when transporting and retractable when stationary.
Heavy containers can be removed from the side with
minimal lifting. OSHA 29 CFR 1910.130, During
use, sharps disposal containers must be maintained
upright throughout use.
Monitor, HD, LCD,

U0116 FP, Medical Grade,
26 inch
Monitor, HD, LCD,

55 inch
Waste Management
U0124 Surgical Fluid Collection
U3092
Sharps Disposal
Cart, w-Foot Pedal
DESIGN GUIDE PLATES

4-49
April 2016
4.6. OPERATING ROOM, ORTHOPEDIC (OROS1)
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
4-50
April 2016

SEMI-RESTRICTED
CORRIDOR
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
750 NSF / 69,7 NSM
4-51
April 2016
2O, 3V, 1A, WAGD, 1

NITROUS OXIDE,
6 EMER DUPLEX, 4
DATA FACE PLATES
(ANESTHESIA)
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
4V, 1 NITROGEN, 1 CO2, 10 EMER

DUPLEX, 4 DATA FACE PLATES
(EQUIPMENT)
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

DATA FACE PLATES
(ANESTHESIA)
EQ
ab
A1120
M1801
M0765
M0755
M0750
ab
TABLE
U0116
U0100
ab
M0765
A1122
A1130

10 EMER DUPLEX, 4
DATA FACE PLATES
(EQUIPMENT)
NOTE: REFER
TO ROOM DATA
SHEET FOR
ACCESS PANELS
EQ
26' - 10"
8179mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


750 NSF / 69,7 NSM
4-52
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER


MOUNTED, SURGERY
HANDS-FREE
TILT/ANGLE

PSI SUPPLY
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
AUTOMATIC
M3175 ELECTROSURGICAL UNIT,

DUAL OUTPUT
M4255 STAND IV

MULTIPLE LINES
M7475 LIGHT, SURGICAL, CEILING MTD,

SINGLE, LARGE
M7490 LIGHT, SURGICAL, CEILING

MOUNTED, SINGLE, LARGE

UNEQUAL DIA HEADS

RECORDER AUTO
HEADLAMP
M8606 ENDOSCOPY CART, FIBEROPTIC,

W/ VIDEO ACCESSORIES
M8810 STAND, MAYO
M8840 TABLE, BACK, INSTRUMENT/
DRESSING
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
TRAUMA
SYSTEM
PUMP
U0116 MONITOR, HD, FP, SIZE AS REQUIRED

GRADE, 55 INCH

FLUID COLLECTION
U3092 SHARPS DISPOSAL CART, W FOOT
PEDAL
X4890 RAD/FLOURO UNIT, DIGITAL, MOBILE,
C-ARM
DESIGN GUIDE PLATES

4-53
F3050
WHITE BOARD, DRY
ERASE
DESIGN GUIDE PLATES

A1014
TELEPHONE,
WALL
LOW
WALL RETURN
MOUNTED,AIR
1 LINE,
WITH
REGISTER
SPEAKER
A1014
TELEPHONE,
WALL
SCALE: 3/16 = 1-0
SPEAKER
4'

LOW WALL RETURN
AIR REGISTER
ISOLATION POWER F3050

SYSTEM
WHITE BOARD, DRY
ERASE
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
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
AIR REGISTER
SHELF
M3150
LOW WALL RETURN

AIR REGISTER
A4015
A5077
ELAPSE
TIMEHAND
CLOCK
DISPENSER,
LOW WALL RETURN
A4015
AIR REGISTER
ELAPSE TIME CLOCK
A5077
F3200
DISPENSER,
HAND
SANITIZER,
HANDS12IN
FREE
CLOCK,
BATTERY,
F3200

April 2016
4-54
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
LOW WALL RETURN

AIR REGISTER
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
LOW WALL RETURN

AIR REGISTER
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

April 2016
4-55
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:

Base:

152 mm)
Floor Finish:
Resinous Flooring
LIGHTING
Slab Depression:
None
Sound Protection:

STC (to corridor)
Maintained
Average
2000 Lux (200 FC)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs

Controls:
dimming
switching
Special
Requirement:

only)

corridor.
Notes:

surgical light(s).
Notes:
be 24 x 24.
or
multi-level

DESIGN GUIDE PLATES

4-56

POWER
Normal Power:
Power IPS

EES.
Notes:
+24 AFF
April 2016

columns.
CONDITIONING
General Requirement: Refer to Operating Room
Notes:
1) Refer to the HVAC Design Manual for number
and location of low air return grilles and ceiling
diffusers.


Cold Water:
No

utility columns.
Hot Water:
No
Drain:
No
No
Medical Air
Yes (2)
Medical Vacuum
Yes (14)
Oxygen
Yes (4)

COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes

Dioxide (2).
Intercom:
Yes (Phone)


(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No

VA Satellite TV:
No
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Notes:

by the project.
Notes:
DESIGN GUIDE PLATES

4-57
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

operated.
V/V

DESIGN GUIDE PLATES

4-58
April 2016

A5108
Sharps
V/V

Angle
V/V

Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
V/V

C/C

V/V

included).
V/V

F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-59
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V

V/V

V/V

and outlets.
V/V

V/V

V/V

DESIGN GUIDE PLATES

4-60
6 Shelf
M3175
Dual Output
M4266
M4645
Pump, Volumetric,
Patient Transfer
Device
Hypo/Hyperthermia
Warming Unit,
Manual, Air
April 2016
V/V

sloping top.
V/V

selected.
V/V

V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V

V/V
DESIGN GUIDE PLATES

4-61
M5030
M5512

Large

Dia Heads
M7650
Acute Care
April 2016
V/V

procedures.
V/V

C/C

surgery.
C/C

V/V

V/V

DESIGN GUIDE PLATES

4-62
M8551
Endoscopy Cart,
Accessories
M8810 Stand, Mayo
Table, Instrument/
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V

V/V

V/V

rail.
V/V

procedure rooms.
V/V

casters.
V/V

DESIGN GUIDE PLATES

4-63
M8840

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
Warmer, Blood, High

Volume
April 2016
V/V
V/V
V/V

V/V
V/V
V/V

V/V

procedures.
V/V

patient.
V/V

heat exchanger.
DESIGN GUIDE PLATES

4-64
M9110
6 Section, Trauma
April 2016
V/V
surgery.
V/V
lighting.
U0112
Irrigation System,
Surgical
V/V

U0114
Compression Device,
Extremity Pump
V/V
V/V

V/V
V/V
V/V

U0116
Monitor, HD, LCD,

FP, Medical Grade,
26 inch
U0117
Monitor, HD, LCD,

FP, Medical Grade,
55 inch
Waste Management
U3092
Sharps Disposal
Cart, w-Foot Pedal
DESIGN GUIDE PLATES

4-65
X4890
Rad/Fluoro Unit, Digital, Mobile, C-Arm
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.
DESIGN GUIDE PLATES

4-66
April 2016
4.7. OPERATING ROOM, UROLOGY / CYSTOSCOPY (ORCS1)
Axonometric
650 NSF / 60,4 NSM
DESIGN GUIDE PLATES
4-67
April 2016

SEMI-RESTRICTED
CORRIDOR
U0117
A5212
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
650 NSF / 60,4 NSM
4-68
April 2016

U0114
M0765
M8606
A1130
A1122
NOTE: REFER TO ROOM DATA SHEET FOR ACCESS PANELS

M7490
U0116
U0100

(EQUIPMENT)
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
2O, 3V, 1A,

WAGD,
1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


650 NSF / 60,4 NSM
4-69
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER

A1122 COLUMN, EQUIPMENT ARM, \

CEILING MOUNTED, SURGERY
HANDS-FREE
TILT/ANGLE

PSI SUPPLY

M3070 HAMPER, LINEN
W/LID

AUTOMATIC
OUTPUT
M4255 STAND IV

MULTIPLE LINES

SINGLE, LARGE

UNEQUAL DIA HEADS

RECORDER AUTO
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
TRAUMA
SYSTEM
PUMP

GRADE, 55 INCH

FLUID COLLECTION

W FOOT PEDAL
X4890 RAD/FLOURO UNIT, DIGITAL, MOBILE,
C-ARM
DESIGN GUIDE PLATES

4-70
DESIGN GUIDE PLATES

4'
8'
LOW WALL RETURN

AIR REGISTER
WHITE
BOARD,
DRY
LOW
WALL
RETURN
ERASE
AIR REGISTER
SCALE: 3/16 = 1-0
Elevations 1 & 2
650 NSF / 60,4 NSM
WHITE BOARD, DRY

ERASE
F3050

F3050
F3200
F3200
ISOLATION
POWER
SYSTEM
CLOCK,
BATTERY,
12IN
LOW WALL RETURN

M8910
AIR REGISTER
CART, SURGICAL
CASE
M8910
CART, SURGICAL CASE
MONITOR, HD, A5107

FP, SIZE
AS REQUIRED
DISPENSER,
GLOVE,
WALL-MTD
A5107
LOW
WALL RETURN
DISPENSER,
GLOVE,
AIR REGISTER
WALL-MTD
U0117
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
LOW WALL RETURN

AIR REGISTER
MEDICATION,
AUTOMATIC
M3150
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
CRS,
2 GLASS DOOR, 6
M3080
SHELF
LOW
WALL RETURN
SHELF
AIR REGISTER
DISPENSER,
HAND
A4015
ELAPSE TIME CLOCK
A4015
LOW
WALL RETURN
AIR REGISTER
ELAPSE
TIME CLOCK
A5077
DISPENSER, HAND
SANITIZER,
HANDS FREE
A5077

April 2016
4-71
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
Elevations 3 & 4
650 NSF / 60,4 NSM
8'
LOW WALL RETURN

AIR REGISTER
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
ELEVATION 4
ELEVATION 3
16'
21' - 5"
6528mm
28' - 8"
8738mm
M8830
TABLE,
INSTRUMENT/DRESSING
LOW WALL RETURN

AIR REGISTER
ISOLATION POWER
SYSTEM
E0954
CART, EMERGENCY,
MOBILE
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
LOW WALL RETURN

AIR REGISTER
M8900
CARRIAGE, PAIL
M8905
PAIL, UTILITY
M8830
TABLE,
INSTRUMENT/DRESSING
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID

April 2016
4-72
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
DESIGN GUIDE PLATES

4-73

POWER
Normal Power:
Power IPS

EES.
Notes:
+24 AFF
April 2016

columns.
CONDITIONING
range, room air change requirements, and pressurization.
Notes:
diffusers.
Cold Water:
No
Hot Water:
No

Waste:
No
No
Medical Air
Yes (2)
COMMUNICATIONS
Medical Vacuum
Yes (14)
Yes (4)

utility columns.
Data:
Yes
Oxygen
Telephone:
Yes
Cable Television:
No
Notes:
Duress Alarm:
No

Control:
Yes

Dioxide (2).
Intercom:
Yes (Phone)

(MID):
No

Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Notes:

by the project
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-74
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

operated.
V/V

DESIGN GUIDE PLATES

4-75
April 2016

A5108
Sharps
V/V

Angle
V/V

Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
V/V

C/C

V/V

included).
V/V

F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-76
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V

V/V

V/V

and outlets.
V/V

V/V

V/V

DESIGN GUIDE PLATES

4-77
6 Shelf
M3175
Dual Output
M4266
M4645
Pump, Volumetric,
Patient Transfer
Device
Hypo/Hyperthermia
Warming Unit,
Manual, Air
April 2016
V/V

sloping top.
V/V

selected.
V/V

V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V

V/V
DESIGN GUIDE PLATES

4-78
M5030
M5512

Large

Dia Heads
M7650
Acute Care
April 2016
V/V

procedures.
V/V

C/C

surgery.
C/C

V/V

V/V

DESIGN GUIDE PLATES

4-79
M8551
Endoscopy Cart,
Accessories
M8810 Stand, Mayo
Table, Instrument/
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V

V/V

V/V

rail.
V/V

procedure rooms.
V/V

casters.
V/V

DESIGN GUIDE PLATES

4-80
M8840

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
Warmer, Blood, High

Volume
April 2016
V/V
V/V
V/V

V/V
V/V
V/V

V/V

procedures.
V/V

patient.
V/V

heat exchanger.
DESIGN GUIDE PLATES

4-81
M9110
6 Section, Trauma
April 2016
V/V
surgery.
V/V
lighting.
U0112
Irrigation System,
Surgical
V/V

U0114
Compression Device,
Extremity Pump
V/V
V/V

V/V
V/V
V/V

Monitor, HD, LCD,

26 inch
Monitor, HD, LCD,

55 inch
Waste Management
U3092
Sharps Disposal
Cart, w-Foot Pedal
DESIGN GUIDE PLATES

4-82
X4890
Rad/Fluoro Unit, Digital, Mobile, C-Arm
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.
DESIGN GUIDE PLATES

4-83
April 2016
4.8. OPERATING ROOM, CARDIOTHORACIC (ORCT1)
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
4-84
April 2016

SEMI-RESTRICTED
CORRIDOR
U0117
A5212
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
750 NSF / 69,7 NSM
4-85
28' - 8"
8738mm
M8950
M8825
A1014
April 2016
2O, 3V, 2A, 1 NITROGEN, 6 EMER

(PERFUSION)
M0765
M0755
M0750
A1130
A1122

DATA FACE PLATES
(ANESTHESIA)
M0765
M0755
M0750
A1120
U0114
M0765
M8606
A1130
A1122

(EQUIPMENT)
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)
OXIDE, 6 EMER DUPLEX, 4 DATA
FACE PLATES
EQ
ab
M1801
A1120
M0765
M0755
M0750
ab
TABLE
ab
A1130
A1122
M0765
(EQUIPMENT)
EMER DUPLEX, 4 DATA
FACE PLATES
NOTE: REFER
TO ROOM DATA
SHEET FOR
ACCESS PANELS
EQ
26' - 10"
8179mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


750 NSF / 69,7 NSM
4-86
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER


MOUNTED, SURGERY

HANDS FREE
E5212 BRACKET, TELEVISION, WALL-MTD,
TILT/ANGLE
E0948 CART, GENERAL STORAGE, MOBILE
E0963 CART, GEN. STORAGE
L1095 CELL SAVER, AUTOLOGOUS BLOOD
RECOVERY
M0750 FLOWMETER, AIR, CONNECT W/50

PSI SUPPLY

M3070 HAMPER, LINEN
W/LID


DUAL OUTPUT
AUTOMATIC

DUAL OUTPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV

MULTIPLE LINES
M4810 HEART/ LUNG MACHINE, BYPASS,
MODULAR
M4811 PUMP, INTRA-AORTIC, BALLOON
M4812 PACEMAKER, SINGLE CHAMBER,

EXTERNAL, TEMPORARY

UNEQUAL DIA HEADS

RECORDER AUTO
M7818 MONITOR, TRANSPORT
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
M9080 TABLE, OPERATING, PEDESTAL,

5 SECTIONS
R4785 ICE MAKER, SURGICAL SLUSH
SYSTEM
U0105 EXTRACORPOREAL SUPPORT
SYSTEM
PUMP

GRADE, 55 INCH

FLUID COLLECTION

W FOOT PEDAL
X2105 SCANNER, ULTRASOUND, CARDIAC
DESIGN GUIDE PLATES

4-87
DESIGN GUIDE PLATES

F0355
FOOTSTOOL, STRAIGHT
4'
SCALE: 3/16 = 1-0
Elevations 1 & 2
750 NSF / 69,7 NSM
A1014
TELEPHONE, WALL
SPEAKER
LOW WALL RETURN
AIR REGISTER
ISOLATION POWER
SYSTEM
8'
M8910
CART, SURGICAL CASE
LOW WALL RETURN

AIR REGISTER
U0117
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
26' - 10"
8179mm
LOW WALL RETURN

AIR REGISTER
F3050
WHITE BOARD, DRY ERASE
M3150
M3080
SHELF
LOW WALL RETURN

AIR REGISTER
A4015
ELAPSE TIME CLOCK
A5077
DISPENSER, HAND
F3200

April 2016
4-88
Elevations 3 & 4
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES

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
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

April 2016
4-89
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
DESIGN GUIDE PLATES

4-90

POWER
Normal Power:
Power IPS

EES.
Notes:
+24 AFF
April 2016

columns.
CONDITIONING
Notes:
diffusers.


Cold Water:
No

utility columns.
Hot Water:
No
Drain:
No
No
Medical Air
Yes (4)
Medical Vacuum
Yes (17)
Oxygen
Yes (6)

COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes

Dioxide (2).
Intercom:
Yes (Phone)


(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No

VA Satellite TV:
No
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Notes:

by the project.
Notes:
DESIGN GUIDE PLATES

4-91
April 2016

Equipment List
JSN
NAME
Telephone, Wall
A1014 Mounted, 1 Line, With
Speaker
A1120
A1122
A1130
A4015
Column, Service, Prefab, Surgical, Ceiling

Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

operated.
DESIGN GUIDE PLATES

4-92
Dispenser, Glove,
Wall Mntd
April 2016
V/V


A5108
Sharps
V/V

Angle
V/V

V/V

2 Drawers, 3 H
4 Drawers, 6 H
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H

32W x 22D
Cart, Emergency,
x 22D
E0963
Cart, General Storage, Mobile
V/V
Mobile General Storage Cart, approximately 72H x

23W x 22D. THIS TYPICAL INCLUDES:
1 Locker Storage Container on Wheels, w/Solid
Door
3 Tray/Shelves
2 Drawers, 3H
4 Drawers, 6H
1 Tray/Shelf Divider
F0355
Footstool, Straight
V/V

C/C

F3050
Whiteboard, Dry
Erase
DESIGN GUIDE PLATES

4-93
F3200
L1095
M0630
M0750
M0755
Clock, Battery, 12
Diameter
Cell Saver, Autologous Blood Recovery
Flowmeter, Air, Connect w/50 PSI Supply
Flowmeter, Oxygen,
Low Flow
17
April 2016
V/V

included).
V/V
Autologous blood recovery system, also known as a

Cell Saver. Used in the operating room and laboratory to wash extravascular blood free of debris, clots,
etc., and to make the blood safe for re-infusion into
the patient.
V/V

elbow, sidearm Vernitrol, flow calculator, mounting
kit, ventilator calculator, ventilator and an oxygen piping inlet. Also features nitrous oxide fail safe valve
kit, aspirator kit, gas evacuator with vacuum and a
flow meter safety cover. Used to dispense a mixture
of gases during surgical procedures.
V/V

V/V

V/V

and outlets.
DESIGN GUIDE PLATES

4-94

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
M3080 CRS, 2 Glass Door, 6
Shelf
M3109
Electrosurgical/Coagulator, Argon Plasma
M3175
Dual Output
April 2016
V/V

V/V

V/V

V/V

sloping top.
V/V
An electrosurgical generator with an argon plasma

coagulator and APC pulsed mode. This feature autoregulates beam ignition and provides automatic dosing of power for increased control. The plug and play
digital instrument recognition technology automatically configures the entire system to preprogrammed
procedural parameters.
V/V

selected.
V/V

DESIGN GUIDE PLATES

4-95
M4250
Pump, Syringe, Infusion
M4266
M4645
M4810
Pump, Volumetric,
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

solutions.
V/V

simultaneously.
V/V

board.
V/V
Modular by-pass heart lung machine. Unit consists

of an arterial pump, a backup arterial pump, one or
two suction pumps, a water mixer, and a backup
battery pack. To include disposable components:
oxygenator/heater exchanger, cardiotomy reservoir,
blood filters, and tubing. Unit is designed to temporarily replace the function of the patients heart
and lungs during open-heart surgery or any surgical
procedure that requires isolation of the heart.
DESIGN GUIDE PLATES

4-96
M4811
Pump, Intra-Aortic,
Balloon
Pacemaker, Single
M4812 Chamber, External,
Temporary
Hypo/Hyperthermia
Warming Unit,
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
V/V

procedures.
V/V

DESIGN GUIDE PLATES

4-97

Dia Heads
M7650
Acute Care
M7818 Monitor, Transport
M8551
April 2016
C/C
Dual head surgical light ceiling mounted from a single pole. Unit has two lamp heads of differing sizes
V/V

V/V
A light weight, rugged patient monitor for use during

transport. Unit consists of a compact monitor with
touchscreen display with up to 3 waveforms on a on
a bright non-fading display. The unit measures ECG/
respiration, NBP, SpO2, pressure, and temperature and CO2. Data can be transferred seamlessly
throughout the continuum of care. Unit is approved
for aeromedical use (US Army Airworthiness Certification and Evaluation (ACE) program. Battery run
time of 3 hours before recharge.
V/V

V/V

DESIGN GUIDE PLATES

4-98
Endoscopy Cart,
Accessories
M8810 Stand, Mayo
Table, Instrument/
M8830
M8840
Table, Instrument/
Dressing, Mobile
April 2016
V/V

V/V

rail.
V/V

procedure rooms.
V/V

casters.
V/V

V/V
DESIGN GUIDE PLATES

4-99

M8900
Without Pail
M8905
Pail, Utility, CRS, With

Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
Warmer, Blood, High

Volume
April 2016
V/V
V/V

V/V
V/V
V/V

V/V

procedures.
V/V

circulating fluid, or dry heat with controls and an audible high temperature alarm. The warmer provides
a stable environment for the controlled warming of
patient.
V/V

heat exchanger.
DESIGN GUIDE PLATES

4-100
M9080
R4785
Table, Operating,
Pedestal, 5 Section
Ice Maker, Surgical

Slush
ExtraCorporeal SupU0105
port System
April 2016
V/V
Pedestal type major operating table with 5 sections.

Table is mounted on a solid base with casters and
locks. Table top surface is fabricated from radiotranslucent, conductive panels and the larger table
sections are equipped with radiographic cassette
tunnels. Table includes Electro-hydraulic controls,
side rail locking system, kidney elevator, grounding
receptacle and dual arm support section. Designed
for use in the operating room in a variety of surgical
procedures.
V/V
An automated surgical slush machine designed to

produce a velvet soft slush to limit the likelihood of
damaging tissue due to large or sharp ice particles
during surgical procedures. Unit operates with a
temperature range of 30 degrees F to 32 degrees F.
The unit is also designed to operate quietly to not
disrupt the OR environment. Casters allow for easy
movement.
V/V
lighting.
V/V
ECHO is a device used to provide cardio pulmonary

support on a temporary basis and assist oxygen to
vital body systems. Provides oxygenation and carbon dioxide removal from the blood.
U0112
Irrigation System,
Surgical
V/V

U0114
Compression Device,
Extremity Pump
V/V
V/V

V/V
U0116
Monitor, HD, LCD,

FP, Medical Grade,
26 inch
U0117
Monitor, HD, LCD,

FP, Medical Grade,
55 inch
DESIGN GUIDE PLATES

4-101
U0118
Analyzer, Point of
Care Testing w-Docking Station
Waste Management
U3092
X2105
Sharps Disposal Cart,

w-Foot Pedal
Scanner, Ultrasound,
Cardiac (Echo)
April 2016
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
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.
DESIGN GUIDE PLATES

4-102
April 2016
4.9. PUMP ROOM, CARDIOTHORACIC / HYBRID OR (ORHL1)
Axonometric
260 NSF / 24,2 NSM
DESIGN GUIDE PLATES
4-103
April 2016
F3200
SEMI-RESTRICTED
CORRIDOR
A1014
TELEPHONE, WALL
SPEAKER
4a
E0703
TABLE, PROCESS, 5 DRAWERS
54" AFF
M1801
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
GFI 6" AFC
4a
9' - 0"
2743mm
CLEAN CORE
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
260 NSF / 24,2 NSM
4-104
April 2016
9' - 0"
DT
29' - 0"
8839mm
9' - 0"
2743mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


260 NSF / 24,2 NSM
4-105
Elevation 1
260 NSF / 24,2 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
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
CD030
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

April 2016
4-106
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:

Notes:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
None
Doors:

(1219 mm x 2133 mm) Wood

and equipment location connected on emergency.
normal power.
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
LIGHTING
Cable Television:
No
Maintained
Average
Duress Alarm:
No

Control:
No
Intercom:
No

(MID):
No
Nurse Call:
No

Filter,
sealed
housing,
gasketed frame
Code Blue:
No
Public Address:
Yes
No
VA Satellite TV:
No
(VTEL):
No
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:
300 Lux (30 FC)
Four way and ceiling
mounted motion sensor
Notes:

CONDITIONING
General Requirement: Refer to Instrument
Preparation and Storage room data sheet in the
change requirements, and pressurization
DESIGN GUIDE PLATES

4-107
April 2016


Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes

Medical Air
Yes
Medical Vacuum
Yes
Oxygen
Yes

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-108
April 2016

Equipment List
JSN
NAME
QTY ACQ/INS
DESCRIPTION
Telephone, Wall
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
Standing height under counter base cabinet with two

adjustable shelves and two solid hinged doors. Also
referred to as a cupboard cabinet. For general purpose use throughout the facility.
C/C
Wall hung steel cabinet with two adjustable shelves,

solid hinged doors, and sloping top. Also referred to
as a solid hinged double door wall case. For general
purpose use throughout the facility.
C/C
Double compartment stainless steel sink, drop-in,

provided with pre-punched fixture holes on 4 center,
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
Sink, SS, Double

CS230 Compartment,
10x14x16 ID
CT050
Countertop, Stainless
Steel
DESIGN GUIDE PLATES

4-109
Table, Process, Adj

E0703 Height, 5 Drawer,
48W x 24D

32W x 22D
E0963
F0230
Chair, Drafting,
Rotary
F2000
F3200
Basket, Wastepaper,
Round, Metal
Clock, Battery, 12
Diameter
Flowmeter, Air,
Supply
April 2016
V/V
Height adjustable table. The table top is available

in a plastic laminate or chemical resistant material
(Chem-Surf). Casters or glides are options with
some tables. All tables will accept various storage
components underneath. These work surfaces are
available in 24 or 30 depth. THIS TYPICAL INCLUDES:
1 height adjustable table;
1 storage frame;
3 drawers, 3H;
1 drawer, 6H;
1 drawer, 9H
and drawer organizer bins.
V/V

2 Drawers, 3 H
4 Drawers, 6 H
V/V

Door
3 Tray/Shelves
2 Drawers, 3H
4 Drawers, 6H
V/V
Drafting chair approximately 47 high X 20 wide X

20 deep with rotary stool and a 5 (five) star base
with casters. Padded seat and back. Foot ring adjusts with chair.
V/V

V/V

included).
V/V

DESIGN GUIDE PLATES

4-110
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
R4650
R7250
Ice Maker, Flaked,

With Dispenser
Refrigerator/Freezer,
20 Cubic Feet
port System
April 2016
V/V

V/V

and outlets.
V/V

C/C
Ice maker dispenser approximately 71 H x 19D

x 24W. This unit provides flaked ice and cooled
water automatically. The unit has a daily capacity
up to 650 pounds and a 100 pound capacity stainless steel storage compartment with water station. It
is a freestanding, automatic load ice dispenser for
food service and healthcare use. The unit is used in
healthcare institutions and various commercial food
service operations for dispensing ice.
V/V
Refrigerator/freezer unit. This type unit includes a

food saver system that helps keep food fresher. It
also includes roll out wheels and is equipped for an
optional automatic icemaker. This unit is of commercial or residential design and use.
V/V

support on a temporary basis and assist oxygen to vital body systems. Provides oxygenation and carbon
dioxide removal from the blood.
DESIGN GUIDE PLATES

4-111
April 2016
4.10. OPERATING ROOM, NEUROSURGICAL (ORNS1)
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
4-112
April 2016

SEMI-RESTRICTED
CORRIDOR
A5107
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
750 NSF / 69,7 NSM
4-113
April 2016

FACE PLATES
(ANESTHESIA)
U0114
M0765
M8606
A1130
A1122
M0765
M0755
M0750
A1120

EMER DUPLEX, 4 DATA
FACE PLATES
(EQUIPMENT)
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

FACE PLATES
(ANESTHESIA)
EQ
ab
M0765
M0755
M0750
M1801
A1120
ab
TABLE
ab
M0765
A1130
A1122

10 EMER DUPLEX, 4 DATA
FACE PLATES
(EQUIPMENT)
EQ
26' - 10"
8179mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


750 NSF / 69,7 NSM
4-114
28' - 8"
8738mm
(DOCUMEN
TATION)
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER


MOUNTED, SURGERY

HANDS FREE
A5212 BRACKET/TELEVISION, WALL-MTD,
TILT/ANGLE

PSI SUPPLY
M1801 COMPUTER, MIRCOPROCESSING, W/

FLAT PANEL MONITOR
M3070 HAMPER, LINEN
W/LID


DUAL OUTPUT
AUTOMATIC
M4255 STAND IV

MULTIPLE LINES
M7475 LIGHT, SURG, CEILING MTD, SINGLE,

LARGE

UNEQUAL DIA HEADS

RECORDER AUTO
M8495 LARYNGOSCOPE, VIDEO
GLIDESCOPE
M8535 MICROSCOPE, OPERATING,
PORTABLE
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8970 WARMER, BLOOD
TRAUMA
SYSTEM
PUMP
U0117 MONITOR, HD, LCD,FP,

FLUID COLLECTION

W FOOT PEDAL
U3093 TABLE, INSTRUMENT, NEURO
X4200 STEREOTACTIC SURGICAL SYSTEM
DESIGN GUIDE PLATES

4-115
DESIGN GUIDE PLATES

F0355
FOOTSTOOL, STRAIGHT
LOW WALL RETURN

AIR REGISTER
4'
SCALE: 3/16 = 1-0
Elevations 1 & 2
750 NSF / 69,7 NSM
ISOLATION POWER
SYSTEM
F3050
WHITE BOARD, DRY
ERASE
8'
LOW WALL RETURN AIR

REGISTER
U0117
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
28' - 8"
8738mm
26' - 10"
8179mm
M3150
LOW WALL RETURN

AIR REGISTER
M3080
SHELF
A1014
TELEPHONE, WALL
SPEAKER
M8910
CART, SURGICAL CASE
LOW WALL RETURN

AIR REGISTER
F3200
A5077
DISPENSER, HAND
A4015
ELAPSE TIME CLOCK

April 2016
4-116
Elevations 3 & 4
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES

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

M8900
M8830
CARRIAGE,
PAIL
TABLE,
M8905INSTRUMENT/DRESSING
M8900
PAIL,
UTILITY
CARRIAGE, PAIL
M8905
PAIL, UTILITY
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
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

April 2016
4-117
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
DESIGN GUIDE PLATES

4-118

POWER
Normal Power:
Power IPS

EES.
Notes:
+24 AFF
April 2016

columns.
CONDITIONING
Notes:
diffusers.


Cold Water:
No

utility columns.
Hot Water:
No
Drain:
No
No
Medical Air
Yes (2)
Medical Vacuum
Yes (14)
Oxygen
Yes (4)

COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes

Dioxide (2).
Intercom:
Yes (Phone)


(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No

VA Satellite TV:
No
(VTEL):
No
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
Notes:

by the project.
Notes:
DESIGN GUIDE PLATES

4-119
April 2016

Equipment List
JSN
NAME
A1014
Telephone, Wall
Mounted, 1 Line, With
Speaker
A1120
A1122
A1130
Column, Service,
Prefab, Surgical, Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen
A4015

Electric
A5077
Dispenser, Hand
A5107
Dispenser, Glove,
Surgical/Examination,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

For use throughout a healthcare facility. Unit does not
include the sanitizing liquid. Units are battery operated.
V/V

DESIGN GUIDE PLATES

4-120
April 2016
A5108

Sharps
V/V

A5212
Wall-Mounted, Tilt/
Angle
V/V

E0954
Cart, Emergency,
Mobile, 66H x 32W
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
Footstool, Straight
V/V
Step stool. Used to assist patients getting on and off

exam or surgical tables. Fitted with electrically conductive rubber tips.
C/C

V/V

included).
V/V

F3050
F3200
M0630
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-121
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V

V/V

V/V

required.
Database pricing reflects continuous regulators graduated to 200 mm Hg with a full line vacuum selection
switch and DISS configured inlets and outlets.
V/V

monitor, keyboard, mouse and speakers. The system
shall have the following minimum characteristics: a
2.8 GHz Pentium processor; 512 MB memory; 80GB
hard drive; 32/48x CD-ROMDVD combo; 1.44MB
network interface card; video
32 MB NVIDIA; a 18 inch flat panel monitor. The
computer is used throughout the facility to input, manipulate and retrieve information.
V/V

V/V

DESIGN GUIDE PLATES

4-122
6 Shelf
M3109
M4250
M4266
Pump, Volumetric,
April 2016
V/V

sloping top.
V/V

V/V

selected.
V/V
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
V/V

solutions.
V/V

simultaneously.
DESIGN GUIDE PLATES

4-123
M4645
Patient Transfer
Device
Hypo/Hyperthermia
Warming Unit,
Manual, Air
M5030
M5512

Large
April 2016
V/V

board.
V/V

V/V
V/V

procedures.
V/V

C/C

plate and pole. Light head contains several individual
pods each with its own light source. Unit also has
surgery.
DESIGN GUIDE PLATES

4-124

Dia Heads
M7650
Acute Care
M8495
Laryngoscope, Video
Glidescope
April 2016
C/C

V/V

V/V

V/V
A video-assist laryngoscope system with a digital

color monitor and digital camera providing real-time
view of the airway enabling quick intubation. Unit is
designed for first pass success. The unit includes a
reusable video baton with digital camera and sterile
single use GVL Stats in various sizes.
M8535
Microscope, Operating, Portable
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

DESIGN GUIDE PLATES

4-125
Endoscopy Cart,
Accessories
M8805
Table, Instrument,
Straddle
M8810 Stand, Mayo
Table, Instrument/
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V

V/V

rail.
V/V
Instrument table to straddle an operating table. All

stainless steel welded construction, mounted on 3
ball-bearing casters with foot brakes. Adjustable
height from approximately 40 to 60 inches. For instruments and diagnostic equipment during surgery.
V/V

procedure rooms.
V/V

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

DESIGN GUIDE PLATES

4-126
M8840

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8970
Warmer, Blood, High

Volume
April 2016
V/V
observation of instruments. It comes with 4 diameter
heavy-duty ball bearing brake/swivel casters. Construction is all stainless steel.
V/V
V/V

V/V
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

procedures.
V/V

high temperature alarm. Designed to provide a stable
temperature for the controlled warming of blood or
other fluids prior to being transfused to a patient. Unit
may be a cuff type or circulating water heat exchanger.
DESIGN GUIDE PLATES

4-127
M9110
6 Section, Trauma
April 2016
V/V
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
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
arms or off of ceiling mounted arms. Exact configuration of the Monitor, inputs and outputs should be
V/V
V/V

separately.
V/V
U0116
Monitor, HD, LCD,

FP, Medical Grade,
26 inch
U0117
Monitor, HD, LCD,

FP, Medical Grade,
55 inch
U0118
Analyzer, Point of
Waste Management
DESIGN GUIDE PLATES

4-128
U3092
X4200
Sharps Disposal Cart,

w-Foot Pedal
Stereotactic Surgical
System
April 2016
V/V

V/V
Surgical instrument guided system used to track

surgical instruments in cranial procedures. Interfacing
with CT and MRI the device assists the surgeon in
the cranial surgical procedure by showing the precise
location of the hand instruments during a procedure.
The device allows for simulation surgery prior to the
actual operation.
DESIGN GUIDE PLATES

4-129
April 2016
4.11. OPERATING ROOM, ROBOTICS (ORRB1)
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
4-130
April 2016

SEMI-RESTRICTED
CORRIDOR
A5107
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
750 NSF / 69,7 NSM
4-131
28' - 8"
8738mm
M8900
M8905
M8840
GM
GM
M8910
M8920
IPS
April 2016

U0114
M0765
M8606
A1130
A1122
M0765
M0755
M0750
A1120
2O, 3V, 1A, WAGD, 1 NITROUS OXIDE,

6 EMER DUPLEX, 4 DATA FACE PLATES
(ANESTHESIA)

(EQUIPMENT)
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)
FACE PLATES
12' - 5"
3785mm
ab
A1120
M1801
M0765
M0755
M0750
ab
TABLE
ab
A1122
A1130
M0765
(EQUIPMENT)
10 EMER DUPLEX, 4 DATA
FACE PLATES
12' - 5"
3785mm
NOTE: REFER TO
ROOM DATA SHEET
FOR ACCESS PANELS
26' - 10"
8179mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


750 NSF / 69,7 NSM
4-132
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER


MOUNTED, SURGERY
HANDS-FREE
TILT/ANGLE

PSI SUPPLY

M3070 HAMPER, LINEN
W/LID

AUTOMATIC
OUTPUT
M4255 STAND IV

MULTIPLE LINES

SINGLE, LARGE

UNEQUAL DIA HEADS

RECORDER AUTO
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
TRAUMA
SYSTEM
U0114 COMPRESSION DEVICE,

EXTREMITY PUMP

GRADE, 55 INCH

FLUID COLLECTION

W FOOT PEDAL
U3094 ROBOTIC SURGICAL SYSTEM
DESIGN GUIDE PLATES

4-133
Elevations 1 & 2
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
LOW WALL RETURN

AIR REGISTER
M8840
F3050
A1014
TELEPHONE, WALL
SPEAKER
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
LOW WALL RETURN

AIR REGISTER
U3094
ROBOTIC SURGICAL SYSTEM
U0117
AS REQUIRED
A5107
DISPENSER, GLOVE,
WALL-MTD
ELEVATION 2
ELEVATION 1
16'
F0355
FOOTSTOOL, STRAIGHT
28' - 8"
8738mm
26' - 10"
8179mm
LOW WALL RETURN

AIR REGISTER
M3080
SHELF
M3150
LOW WALL RETURN

AIR REGISTER
A4015
ELAPSE TIME CLOCK
F3200

April 2016
4-134
DESIGN GUIDE PLATES

4'
8'
M8830
TABLE,
INSTRUMENT/DRESSING
SCALE: 3/16 = 1-0
Elevations 3 & 4
750 NSF / 69,7 NSM
LOW WALL RETURN

AIR REGISTER
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
E0954
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
M3070
HAMPER, LINEN
M8920
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
LOW WALL RETURN

AIR REGISTER
M8905
PAIL, UTILITY
M8910
CART, SURGICAL CASE
M8900
CARRIAGE, PAIL
LOW WALL RETURN

AIR REGISTER
M4645
PATIENT TRANSFER
DEVICE
U3092
W FOOT PEDAL

April 2016
4-135
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
DESIGN GUIDE PLATES

4-136

POWER
Normal Power:
April 2016
Notes:
Power IPS

EES.
Notes:
+24 AFF
utility columns.
COMMUNICATIONS

columns.
CONDITIONING
Notes:
diffusers.
Cold Water:
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

Control:
Yes
Intercom:
Yes (Phone)

(MID):
No

Nurse Call:
Yes
Code Blue:
Yes

by the project
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Notes:
Dioxide (2).

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-137
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

operated.
V/V

DESIGN GUIDE PLATES

4-138
April 2016

A5108
Sharps
V/V

Angle
V/V

Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
V/V

C/C

V/V

included).
V/V

F3050
F3200
M0630
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-139
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
14
April 2016
V/V

V/V

V/V

and outlets.
V/V

V/V

V/V

DESIGN GUIDE PLATES

4-140
6 Shelf
M3175
Dual Output
M4266
M4645
Pump, Volumetric,
Patient Transfer
Device
Hypo/Hyperthermia
Warming Unit,
Manual, Air
April 2016
V/V

sloping top.
V/V

selected.
V/V

V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V

V/V
DESIGN GUIDE PLATES

4-141
M5030
M5512

Large

Dia Heads
M7650
Acute Care
April 2016
V/V

procedures.
V/V

C/C

surgery.
C/C

V/V

V/V

DESIGN GUIDE PLATES

4-142
M8551
Endoscopy Cart,
Accessories
M8810 Stand, Mayo
Table, Instrument/
M8830
Table, Instrument/
Dressing, Mobile
April 2016
V/V

V/V

V/V

rail.
V/V

procedure rooms.
V/V

casters.
V/V

DESIGN GUIDE PLATES

4-143
M8840

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
Warmer, Blood, High

Volume
April 2016
V/V
V/V
V/V

V/V
V/V
V/V

V/V

procedures.
V/V

patient.
V/V

heat exchanger.
DESIGN GUIDE PLATES

4-144
M9110
6 Section, Trauma
April 2016
V/V
surgery.
V/V
lighting.
U0112
Irrigation System,
Surgical
V/V

U0114
Compression Device,
Extremity Pump
V/V
V/V

V/V
V/V
V/V

Monitor, HD, LCD,

26 inch
Monitor, HD, LCD,

55 inch
Waste Management
U3092
Sharps Disposal
Cart, w-Foot Pedal
DESIGN GUIDE PLATES

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.
DESIGN GUIDE PLATES

4-146
April 2016
4.12. OPERATING ROOM, TRANSPLANT (ORTR1)
Axonometric
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES
4-147
April 2016

SEMI-RESTRICTED
CORRIDOR
A5107
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
750 NSF / 69,7 NSM
4-148
April 2016
2O, 3V, 1A, WAGD, 1 NITROUS OXIDE, 6

EMER DUPLEX, 4 DATA FACE PLATES
(ANESTHESIA)
U0114
M0765
M8606
A1130
A1122
M0765
M0755
M0750
A1120

(EQUIPMENT)
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)
12' - 5 1/4"
3793mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


750 NSF / 69,7 NSM
4-149
28' - 8"
8738mm
7' - 0"
2134mm
ab
16' - 2"
4927mm
ab
M7490
8' - 0"
2440mm
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER


MOUNTED, SURGERY

HANDS FREE
A5212 BRACKET, TELEVISION, WALL-MTD,
TILT/ANGLE
E0963 CART, GEN. STORAGE
RECOVERY

PSI SUPPLY

M3070 HAMPER, LINEN
W/LID
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS

DOOR, 6 SHELF
OUTPUT
AUTOMATIC
OUTPUT
M4255 STAND IV

MULTIPLE LINES
M4820 HEMODIALYSIS UNIT, MOBILE



UNEQUAL DIA HEADS

RECORDER AUTO
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD
TRAUMA
SYSTEM
SYSTEM
PUMP

GRADE, 55 INCH
U0118 ANALYZER, POINT OF CARE TESTING

W/DOCKING STATION

FLUID COLLECTION

W FOOT PEDAL
DESIGN GUIDE PLATES

4-150
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
Elevations 1 & 2
750 NSF / 69,7 NSM
8'
LOW WALL RETURN

AIR REGISTER
F3050
WHITE BOARD, DRY
ERASE
A1014
TELEPHONE, WALL
F3050
MOUNTED, 1 LINE,
WITH
SPEAKER
WHITE BOARD,
DRY
ERASE
A1014
TELEPHONE, WALL
SPEAKER
LOW WALL RETURN
AIR REGISTER
M8910
CART, SURGICAL CASE
LOW WALL RETURN

AIR REGISTER
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
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
M3080
LOW
WALL RETURN
INSTRUMENT,
CABINET,
AIR REGISTER
CRS,
2 GLASS DOOR, 6
M3150
SHELF
LOW WALL RETURN
AIR REGISTER
M3080
A5107
CRS,
2 GLASS DOOR, 6
DISPENSER, GLOVE,
SHELF
WALL-MTD
A5107
DISPENSER, GLOVE,
WALL-MTD
LOW WALL RETURN

AIR REGISTER
A4015
LOW
WALL
RETURN
ELAPSE
TIME
CLOCK
AIR REGISTER
A4015
ELAPSE
F3200 TIME CLOCK
F3200

April 2016
4-151
Elevations 3 & 4
750 NSF / 69,7 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
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
A5107
X2105
SCANNER,
X2105
ULTRASOUND, CARDIAC
SCANNER,
M4645
ULTRASOUND, CARDIAC
M4645
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
28' - 8"
8738mm
24' - 10"
7569mm
24' - 10"
7569mm
LOW WALL RETURN

AIR REGISTER
LOW WALL RETURN
AIR REGISTER
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
U3092
W FOOT PEDAL
W FOOT PEDAL

April 2016
4-152
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
DESIGN GUIDE PLATES

4-153

POWER
Normal Power:
April 2016
Notes:
Power IPS

EES.
Notes:
+24 AFF
utility columns.
COMMUNICATIONS

columns.
CONDITIONING
Notes:
diffusers.
Cold Water:
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

Control:
Yes
Intercom:
Yes (Phone)

(MID):
No

Nurse Call:
Yes
Code Blue:
Yes

by the project
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Notes:
Dioxide (2).

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-154
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077 Sanitizer, HandsFree
Dispenser, Glove,
A5107 Surgical/Examination, Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

nitrogen, medical air, medical vacuum, gas evacuation, electrical outlets, monitoring connectors, and
IV holders. Specify type of column (fixed or retractable) and number of outlets required for each service.
and ICU-CCU rooms.
C/C

in the OR. Designed to provide equipment placement
support, power receptacles including low-voltage
panels, gas outlets and flat screen mounting for a
surgical suite. Unit will provide a range of motion
with two (double) retractable arms. Also available are
units for use in anesthesia, ICU and ER.
C/C
C/C

V/V

operated.
V/V

DESIGN GUIDE PLATES

4-155
April 2016

A5108
Sharps
V/V

Angle
V/V

V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
Cart, Emergency,
x 22D
E0963
V/V

Door
3 Tray/Shelves
2 Drawers, 3H
4 Drawers, 6H
F0355
Footstool, Straight
V/V

C/C

V/V

included).
V/V

the patient.
F3050
F3200
L1095
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-156
M0630
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
14
April 2016
V/V

V/V

V/V

V/V

and outlets.
V/V

DESIGN GUIDE PLATES

4-157
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
6 Shelf
Electrosurgical/
M3109 Coagulator, Argon
Plasma
M3175
Dual Output
April 2016
V/V

V/V

V/V

sloping top.
V/V

V/V

selected.
V/V

Used in the operating room or surgicenter as an alternative to the scalpel for cutting tissue.
DESIGN GUIDE PLATES

4-158
M4250
Pump, Volumetric,
M4266 Infusion, Multiple
Line
M4645
Patient Transfer
Device
Hypo/Hyperthermia
M4815 Unit, Automatic/
Manual, Mobile
Warming Unit,
Manual, Air
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
V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V

multiple alarm system constantly monitoring temperature and water levels. Cabinet type unit. Designed to
regulate body temperature by application of waterfilled hypothermia blankets.
V/V
DESIGN GUIDE PLATES

4-159
Hemodialysis Unit,
M4820 Mbl, w/Reverse Osmosis System
M5030
M5512

Large

Dia Heads
April 2016
V/V
Mobile renal dialysis system with a reverse osmosis

water purification unit. The system consists of three
major components: the dialysate delivery system, the
extracorporeal blood delivery circuit (blood pump)
and the dialyzer. The system also has its own monitoring and control circuits with temperature controls.
An alarm system is automatically activated when
there is changes in pressure or in the existence of
leaks. Multiple electrical circuits (one for the dialyzer,
one for the reverse osmosis system) may be needed
to power this equipment combination. This dialyzer
is intended for self-contained use in intensive care or
step down units which do not have the water purification machinery found in a hemodialysis clinic. See
JSN M1715 for units used in a hemodialysis clinic.
V/V

mounted on ball bearing swivel casters. Designed for
use in examinations, treatment, and surgical procedures.
V/V

C/C

surgery.
C/C

DESIGN GUIDE PLATES

4-160
M7650
Acute Care
April 2016
V/V

V/V

Monitor, PhysiM7845 ological, Bedside, 4

Channel
V/V

V/V

V/V

M8551
Endoscopy Cart,
Accessories
DESIGN GUIDE PLATES

4-161
M8810 Stand, Mayo
Table, Instrument/
M8830
M8840
Table, Instrument/
Dressing, Mobile

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
Stand, Basin, CRS,

Mobile, Double
April 2016
V/V

rail.
V/V

procedure rooms.
V/V

casters.
V/V

V/V
observation of instruments. It comes with 4 diameter
heavy-duty ball bearing brake/swivel casters. Construction is all stainless steel.
V/V
V/V

V/V
V/V
welded to top receive two removable 8 quart stainless
steel basins. For open heart and other procedures.
DESIGN GUIDE PLATES

4-162
M8925
Stand, Basin, CRS,

Mobile, Single
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
M9110
R4785
Warmer, Blood, High

Volume
Table, Operating, 5
or 6 Section, Trauma
Ice Maker, Surgical

Slush
April 2016
V/V

V/V

procedures.
V/V

patient.
V/V

heat exchanger.
V/V
surgery.
V/V

movement.
V/V
patient information and communication management. Integration can also include the control of some
lighting.
DESIGN GUIDE PLATES

4-163
port System
April 2016
V/V

U0112
Irrigation System,
Surgical
V/V

U0114
Compression Device,
Extremity Pump
V/V
V/V
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
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
V/V

V/V
U0116
Monitor, HD, LCD,

FP, Medical Grade,
26 inch
U0117
Monitor, HD, LCD,

FP, Medical Grade,
55 inch
U0118
Analyzer, Point of
Waste Management
U3092
X2105
Sharps Disposal
Cart, w-Foot Pedal
Cardiac (Echo)
DESIGN GUIDE PLATES

4-164
April 2016
4.13. OPERATING ROOM, MONOPLANE HYBRID (ORHY1)
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
2O, 3V, 2A,

1 NITROGEN,
6 EMER DUPLEX,
4 DATA FACE
PLATES
M0765
M0755
M0750
A1130
A1122
(PERFUSION)
TABLE
ab
M7860
ab
ab
ab
ab
ab
ab
ab
ab
14' - 5"
4394mm
2O, 3V, 1A, WAGD,

1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
(ANESTHESIA)
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

U0114
M0765
M8606
A1130
A1122
(EQUIPMENT)
4V, 1 NITROGEN,
1 CO2,
10 EMER DUPLEX,
4 DATA FACE
PLATES

900 NSF / 83,7 NSM
4-167
April 2016

JSN Legend
JSN DESCRIPTION

WITH SPEAKER


MOUNTED, SURGERY
HANDS-FREE
A5107 DISPENSER, GLOVE, SURGICAL/

EXAMINATION, WALL MTND
TILT/ANGLE
RECOVERY

PSI SUPPLY

M3070 HAMPER, LINEN
W/LID

OUTPUT
AUTOMATIC
M3165 CABINET, CATHETER STORAGE
OUTPUT
M4255 STAND IV

MULTIPLE LINES
MODULAR

EXTERNAL, TEMPORARY


UNEQUAL DIA HEADS
M7650 DEFIBRILLATOR/ MONITOR,

ACUTE CARE
M7860 MONITORING SYSTEM, CARDIAC

CATHETERIZATION LAB
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD

5 SECTION
SYSTEM
SYSTEM
DESIGN GUIDE PLATES

4-168
April 2016

PUMP

GRADE, 55 INCH
U0118 ANALYZER, POINT OF CARE TESTING,

W- DOCKING STATION

FLUID COLLECTION
PEDAL
X2106 SCANNER, ULTRASOUND,

INTRA-CARDIAC, ECHO
X3145 SCREEN, X-RAY, PROTECTIVE,
MOBILE
X6190 RAD/FLOURO UNIT, CARDIAC
DESIGN GUIDE PLATES

4-169
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
M8830
Elevations 1 & 2
900 NSF / 83,7 NSM
LOW WALL RETURN

AIR REGISTER
F0355
FOOTSTOOL, STRAIGHT
E0948
CART, GENERAL
STORAGE, MOBILE
M8910
CART, SURGICAL CASE
LOW WALL RETURN

AIR REGISTER
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
A5107
DISPENSER, GLOVE,
WALL-MTD
A1014
TELEPHONE, WALL
SPEAKER
LOW WALL RETURN
AIR REGISTER
X2106
SCANNER, ULTRASOUND,
INTRA-CARDIAC, ECHO
U0124
WASTE MANAGEMENT
SURGICAL FLUID
COLLECTION
LOW WALL RETURN

AIR REGISTER
A4015
ELAPSE TIME CLOCK
A5077
DISPENSER, HAND
F3200

April 2016
4-170
Elevations 3 & 4
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
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
AS REQUIRED
8'
ELEVATION 4
ELEVATION 3
16'
28' - 8"
8738mm
32' - 2"
9804mm
M8900
CARRIAGE, PAIL
M8905
PAIL, UTILITY
LOW WALL RETURN

AIR REGISTER
M8920
M4645
M3070
HAMPER, LINEN
M3080
SHELF
LOW WALL RETURN

AIR REGISTER
M3150
M3165
CABINET, CATHETER
STORAGE

April 2016
4-171
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
As required by imaging
modality manufacturer
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
1)Shielding is to be provided in all walls,
windows and doors.
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
POWER
Normal Power:
DESIGN GUIDE PLATES

Power IPS
4-172
April 2016

Illumination, selected receptacles and fixed equipment to Critical Branch of
the EES.

CONDITIONING
Notes:
Notes:

1) Refer to the HVAC Design Manual for

number and location of low air return grilles and
ceiling diffusers.

+24 AFF
utility columns.

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.
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes
Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (4)
Medical Vacuum
Yes (17)
Yes (6)
Intercom:
Yes (Phone)
Oxygen

(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No

VA Satellite TV:
No
(VTEL):
No

by the project
Notes:
Notes:
columns.

Dioxide (2).

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-173
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

operated.
V/V

DESIGN GUIDE PLATES

4-174
April 2016

A5108
Sharps
V/V

Angle
V/V

V/V

2 Drawers, 3 H
4 Drawers, 6 H

32W x 22D
Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
V/V

C/C

V/V

included).
V/V

the patient.
F3050
F3200
L1095
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-175
M0630
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
17
April 2016
V/V

V/V

V/V

V/V

and outlets.
V/V

DESIGN GUIDE PLATES

4-176
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
6 Shelf
M3109
M3165
M3175
Cabinet, Catheter
Storage
Dual Output
April 2016
V/V

V/V

V/V

sloping top.
V/V

V/V

selected.
V/V
A cabinet to be used for the hanging storage of

catheters. Cabinet comes with adjustable laminate
shelves, slide-out arms equipped with hangers to
hold various size catheters, and doors. Door locks
are an optional accessory.
V/V

DESIGN GUIDE PLATES

4-177
M4250
M4266
M4645
M4810
Pump, Volumetric,
Patient Transfer
Device
Heart/Lung Machine,
Bypass, Modular
April 2016
V/V
V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V

DESIGN GUIDE PLATES

4-178
M4811
Pump, Intra-Aortic,
Balloon
Pacemaker, Single
Temporary
Hypo/Hyperthermia
Warming Unit,
Manual, Air
M5030
M5512
April 2016
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.
V/V

V/V
V/V

procedures.
V/V

DESIGN GUIDE PLATES

4-179

Large

Dia Heads
M7650
Acute Care
April 2016
C/C

surgery.
C/C

V/V

V/V

V/V

DESIGN GUIDE PLATES

4-180
Monitoring System,
M7860 Cardiac Catheterization Lab
M8551
Endoscopy Cart,
Accessories
April 2016
V/V
Computerized monitoring system for use in cardiac

catheterization labs and cardio-thoracic operating
rooms. The system can display up to 32 different
waveforms simultaneously, perform calculations of
hemodynamic parameters, valve areas and cardiac
output, archive procedure results and accept inputs
from a variety of monitoring devices. The installed
system can also include remote monitors/terminals
and additional workstations and may interface with
hospital-wide physiological monitoring or clinical
information systems. The system includes several configurations in different locations. Database
physical dimensions reflect the largest of these
work centers. The estimated total 20 amp electrical
requirements will be spread across several circuits in
several locations. The system price varies greatly on
the size and sophistication of the end users requirements.
V/V

V/V

V/V

rail.
DESIGN GUIDE PLATES

4-181
M8810 Stand, Mayo
Table, Instrument/
M8830
M8840
Table, Instrument/
Dressing, Mobile

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
April 2016
V/V

procedure rooms.
V/V

casters.
V/V

V/V
V/V
V/V

V/V
V/V
V/V

DESIGN GUIDE PLATES

4-182
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
M9080
R4785
Warmer, Blood, High

Volume
Table, Operating,
Pedestal, 5 Section
Ice Maker, Surgical

Slush
port System
U0112
Irrigation System,
Surgical
April 2016
V/V

procedures.
V/V

patient.
V/V

heat exchanger.
V/V

procedures.
V/V

movement.
V/V
lighting.
V/V

V/V

DESIGN GUIDE PLATES

4-183
U0114
Compression Device,
Extremity Pump
Monitor, HD, LCD,

26 inch
Monitor, HD, LCD,

55 inch
Analyzer, Point of
U0118 Care Testing w-Docking Station
Waste Management
U3092
X2106
Sharps Disposal
Cart, w-Foot Pedal
Intra-Cardiac Echo
April 2016
V/V
V/V

V/V
V/V

separately.
V/V
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.
DESIGN GUIDE PLATES

4-184
X3145
Screen, X-Ray, Protective, Mobile
Radiographic/Fluoro
X6190 Unit, Cardiac, 100
kW, Digital
April 2016
V/V
Mobile X-ray protective screen/barrier. The X-ray

barrier provides optically-clear visibility while shielding medical personnel from scatter radiation. Its
large clear Pb lead-plastic or acrylic window offers
0.5 mm lead-equivalent protection to the users
head and upper body. The unit is used for effective
radiation protection of department personnel during
vascular or other procedures. This unit can fit any
application with its mobility. Adjustable screens are
also available.
V/V
This system is specifically designed to perform

biplane radiographic/fluoroscopic examinations in
the Cardiology Department. On-line digital cardiac
image processing will provide instant availability of
images for review. This units characteristics and
components include 100 kW micro-processor controlled X-ray generators, C-arm and U arm with 9
multi-field Image Intensifier, integrated X-ray tube unit
and cine camera. The Digital Imaging for both the
AP and Lateral planes shall consists of a computer,
keyboard with acquisition, viewing monitor, and slave
monitor. The system shall be DICOM 3.0 compatible, for easy linkage to filmless image management
systems and review stations. It is recommended that
the TV monitors be ceiling suspended. System to be
procured with Cardiac Cath Lab computerized analysis/monitoring system.
DESIGN GUIDE PLATES

4-185
April 2016
4.14. OPERATING ROOM, BIPLANE HYBRID (ORHY2)
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
2O, 3V, 2A, 1

NITROGEN, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
M0765
M0755
M0750
A1130
A1122
(PERFUSION)
(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
2O, 3V, 1A, WAGD,

1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
(ANESTHESIA)
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


900 NSF / 83,7 NSM
4-188
April 2016

JSN Legend
JSN DESCRIPTION


WITH SPEAKER


MOUNTED, SURGERY
HANDS-FREE
A5107 DISPENSER, GLOVE, SURGICAL/

EXAMINATION, WALL MNTD
TILT/ANGLE
RECOVERY

PSI SUPPLY

M3070 HAMPER, LINEN
W/LID

OUTPUT
AUTOMATIC
M3165 CABINET, CATHETER STORAGE
OUTPUT
M4255 STAND IV

MULTIPLE LINES
MODULAR

EXTERNAL, TEMPORARY

SINGLE, LARGE

UNEQUAL DIA HEADS
M7650 DEFIBRILLATOR/ MONITOR, ACUTE
CARE
M7860 MONITORING SYSTEM, CARDIAC

CATHETERIZATION LAB
HEADLAMP

M8810 STAND, MAYO
M8905 PAIL, UTILITY
M8950 WARMER, BLOOD
M8970 WARMER, BLOOD

5 SECTION
SYSTEM
SYSTEM
DESIGN GUIDE PLATES

4-189
April 2016

PUMP

GRADE, 55 INCH
U0118 ANALYZER, POINT OF CARE TESTING,

W- DOCKING STATION

FLUID COLLECTION
PEDAL
INTRA-CARDIAC
X3145 SCREEN, X-RAY, PROTECTIVE,
MOBILE
X6175 RADIOGRAPHIC/FLOURO UNIT,

ANGIO, BIPLANE, DIGITAL
DESIGN GUIDE PLATES

4-190
DESIGN GUIDE PLATES

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
LOW WALL RETURN

AIR REGISTER
A5077
F3200
DISPENSER, HAND
A5077
A4015
DISPENSER,
ELAPSE TIMEHAND
CLOCK
LOW WALL RETURN
A4015
AIR
REGISTER
ELAPSE TIME CLOCK
F3200

April 2016
4-191
DESIGN GUIDE PLATES

4'
SCALE: 3/16MOBILE
= 1-0
CART, EMERGENCY,
M7818
E0954
MONITOR,
TRANSPORT
CART, EMERGENCY,
MOBILE
E0954
M8920
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
LOW WALL RETURN

AIR REGISTER
MONITOR, HD, A5077

FP, SIZE
AS REQUIRED
DISPENSER,
HAND
SANITIZER,A5077
HANDS
FREE
DISPENSER, HAND
SANITIZER,
HANDS
LOW
WALL RETURN
FREE
AIR REGISTER
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
SHELF
LOW WALL RETURN

DISTRIBUTION
SYSTEM,
AIR REGISTERAUTOMATIC
MEDICATION,
CABINET, CATHETER
STORAGE
M3150
MEDICATION,
AUTOMATIC
M3150
M3165
CABINET, CATHETER
STORAGE
M3165

April 2016
4-192
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-0 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood

LIGHTING
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
Special
Requirement:

only)
Notes:
windows and doors.
be 24 x 24.
corridor.
or
multi-level
Notes:
surgical light(s).
POWER
Normal Power:
DESIGN GUIDE PLATES

Power IPS
4-193

Emergency Power:
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:
+24 AFF
utility columns.
COMMUNICATIONS
April 2016

CONDITIONING
Notes:
1) Refer to the HVAC Design Manual for
number and location of low air return grilles and
ceiling diffusers.
Cold Water:
No
Data:
Yes
Hot Water:
No
Telephone:
Yes
Waste:
No
Cable Television:
No
No
Duress Alarm:
No
Medical Air
Yes (4)

Control:
Yes
Medical Vacuum
Yes (17)
Oxygen
Yes (6)
Intercom:
Yes (Phone)

(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Notes:
Dioxide (2).
by the project
Notes:
columns.

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-194
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1120
A1122
A1130
A4015
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen

Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
QTY ACQ/INS
1
DESCRIPTION
C/C
C/C

and ICU-CCU rooms.
C/C

C/C
C/C

V/V

operated.
V/V

DESIGN GUIDE PLATES

4-195
April 2016

A5108
Sharps
V/V

Angle
V/V

V/V

2 Drawers, 3 H
4 Drawers, 6 H

32W x 22D
Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
V/V

C/C

V/V

included).
V/V

the patient.
F3050
F3200
L1095
Footstool, Straight
Whiteboard, Dry
Erase
Clock, Battery, 12
Diameter
DESIGN GUIDE PLATES

4-196
M0630
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
17
April 2016
V/V

V/V

V/V

V/V

and outlets.
V/V

DESIGN GUIDE PLATES

4-197
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
6 Shelf
M3109
M3165
M3175
Cabinet, Catheter
Storage
Dual Output
April 2016
V/V

V/V

V/V

sloping top.
V/V

V/V

selected.
V/V
A cabinet to be used for the hanging storage of

catheters. Cabinet comes with adjustable laminate
shelves, slide-out arms equipped with hangers to
hold various size catheters, and doors. Door locks
are an optional accessory.
V/V

DESIGN GUIDE PLATES

4-198
M4250
M4266
M4645
M4810
Pump, Volumetric,
Patient Transfer
Device
Heart/Lung Machine,
Bypass, Modular
April 2016
V/V
V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V

DESIGN GUIDE PLATES

4-199
M4811
Pump, Intra-Aortic,
Balloon
Pacemaker, Single
Temporary
Hypo/Hyperthermia
Warming Unit,
Manual, Air
M5030
M5512
April 2016
V/V
V/V
operated.
V/V

V/V
V/V

procedures.
V/V

DESIGN GUIDE PLATES

4-200

Large

Dia Heads
M7650
Acute Care
April 2016
C/C

surgery.
C/C

V/V

V/V

V/V

DESIGN GUIDE PLATES

4-201
Monitoring System,
M8551
Endoscopy Cart,
Accessories
April 2016
V/V

V/V

V/V

V/V

rail.
DESIGN GUIDE PLATES

4-202
M8810 Stand, Mayo
Table, Instrument/
M8830
M8840
Table, Instrument/
Dressing, Mobile

M8900
Without Pail
M8905
Pail, Utility, CRS,

With Carriage
M8920
M8925
Stand, Basin, CRS,

Mobile, Double
Stand, Basin, CRS,

Mobile, Single
April 2016
V/V

procedure rooms.
V/V

casters.
V/V

V/V
V/V
V/V

V/V
V/V
V/V

DESIGN GUIDE PLATES

4-203
Stool, Anesthesia,
M8940
With Back
M8950 Warmer, Blood
M8970
M9080
R4785
Warmer, Blood, High

Volume
Table, Operating,
Pedestal, 5 Section
Ice Maker, Surgical

Slush
port System
U0112
Irrigation System,
Surgical
April 2016
V/V

procedures.
V/V

patient.
V/V

heat exchanger.
V/V

procedures.
V/V

movement.
V/V
lighting.
V/V

V/V

DESIGN GUIDE PLATES

4-204
U0114
Compression Device,
Extremity Pump
Monitor, HD, LCD,

26 inch
Monitor, HD, LCD,

55 inch
Analyzer, Point of
U0118 Care Testing w-Docking Station
Waste Management
U3092
X2106
Sharps Disposal
Cart, w-Foot Pedal
Intra-Cardiac Echo
April 2016
V/V
V/V

V/V
V/V

separately.
V/V
V/V

V/V
DESIGN GUIDE PLATES

4-205
X3145
Radiographic/Fluoro
X6175 Unit, Angio, Biplane,
Digital
April 2016
V/V

barrier provides optically-clear visibility while shielding medical personnel from scatter radiation. Its
large clear Pb lead-plastic or acrylic window offers
0.5 mm lead-equivalent protection to the users
head and upper body. The unit is used for effective
radiation protection of department personnel during
vascular or other procedures. This unit can fit any
application with its mobility. Adjustable screens are
also available.
V/V

the Special Procedures Department. On-line digital
angio image processing will provide instant availability of images for review. This units characteristics
and components include: 100 kW micro-processor
controlled X-ray generators, C-arm and U arm with
9 multi-field Image Intensifier, integrated X-ray tube
unit. The Digital Spot Imaging for both the AP and
Lateral planes shall consist of a computer, keyboard
with acquisition and viewing monitor and a slave
the TV monitors be ceiling suspended.
DESIGN GUIDE PLATES

4-206
April 2016
4.15. CONTROL ROOM, HYBRID OR (ORHC1)
Axonometric
220 NSF / 20,5 NSM
DESIGN GUIDE PLATES
4-207
April 2016
SEMI-RESTRICTED
CORRIDOR
Dc
a b
C
X3150
RACK, APRON-GLOVES, WALL-MTD
F3200
TO OR /
PROCEDURE
ROOM
A5145
HOOK, GARMENT, DOUBLE
A1012
BORROWED LIGHT
F0275
CHAIR, SWIVEL, HIGH BACK
M1801
MONITOR
F0275
(PART OF SYSTEM) M7860

MONITORING SYSTEM, CARDIAC CATHETERIZATION LAB
M1825
PRINTER, COMPUTER
M1801
MONITOR
29' - 0"
8839mm
A6110
COUNTER, CONSOLE, COMMUNICATION
F0275
F3050
X4112
CONSOLE, PACS, REMOTE VIEW, 2 MONITORS
F0275
F0275
CT030
COUNTER, HIGH PRESSURE LAMINATE
X1425
IMAGER, LASER
7' - 6"
2286mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


220 NSF / 20,5 NSM
4-209
Elevation 1
220 NSF / 20,5 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
ELEVATION 1
16'
BORROWED LIGHT
29' - 0"
8839mm
F0275
F2000
BASKET, WASTEPAPER,
ROUND, METAL
F0275
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
F0275
F2000
BASKET, WASTEPAPER,
ROUND, METAL
F3050
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

April 2016
4-210
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Special
Requirement:
Ceiling Height:
9-0 (2700mm)
Notes:

ceiling obstructions.
Ceiling Finish:
Wall Finish:
Wainscot:

only)
POWER
Base:

152 mm)
Normal Power:
Floor Finish:
Resinous Flooring
Slab Depression:
None
Sound Protection:
None

Doors:
Single, Size 3-0 x 7-0 (914

mm x 2133 mm) Wood
Notes:
Notes:
location connected to Emergency.
normal power.
1)Shielding is to be provided in the wall to the

hybrid operating room.
2) Consult with equipment manufacturer for
countertop requirements
COMMUNICATIONS
LIGHTING
Maintained
Average
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
No
Intercom:
No

(MID):
No
Nurse Call:
No

Virgin Acrylic Prismatic Lens,
Radio Frequency Filter,
sealed housing, gasketed
frame and 6 fluorescent
or
LED
downlight.
Code Blue:
Lamps:
equivalent,
3500K
4100K CCT, CRI >= 80%,

50% lamps shall be on
emergency battery packs
Controls:
Dimming
switching
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
300 Lux (30 FC)
or
Public Address:
Yes
No
VA Satellite TV:
No
(VTEL):
No
multi-level
DESIGN GUIDE PLATES

4-211
April 2016


CONDITIONING
General Requirement: Refer to Controls &
Communication Center Room data sheet in the
Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
No
Medical Vacuum
No
Oxygen
No

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-212
April 2016

Equipment List
JSN
A1012
NAME
Telephone, Wall
Mounted, 1 Line
Hook, Garment,
Mounted
A6110
CT030
F0275
F2000
F3050
Counter, Console,
Communications
Countertop, High
Pressure Laminate
Chair, Swivel, High

Back
Basket, Wastepaper,
Round, Metal
Whiteboard, Dry
Erase
QTY ACQ/INS
1
12
DESCRIPTION
C/C
C/C

C/C
Counter, console, communications. Consists of

one 18 wide base cabinet with two drawers and file
drawer, one 30 wide pencil drawer and one 18 wide
base cabinet with four drawers. The countertop shall
be a composition of wood particle core with plastic
laminate surface having a hard smooth surface finish,
standard thickness of 1 and a 4 butt backsplash/
curb.
C/C
High pressure laminate countertop (composition of

wood particle core with plastic laminate surface) having a hard smooth surface finish, standard thickness
of 1, and a 4 butt backsplash/curb. Also referred
to as a work surface or work top. Available in a
wide choice of colors, patterns, and depths. Used in
general purpose areas requiring a basic work surface arrangement with limited heat resistance and
poor chemical resistance. Pricing based upon a 24
depth.
V/V
Highback contemporary swivel chair, 41 high X 23

wide X 23 deep with five (5) caster swivel base and
arms. Chair may be used at desks or in conference
rooms. Back and seat are foam padded and upholstered with either woven textile fabric or vinyl.
V/V

C/C

DESIGN GUIDE PLATES

4-213
F3200
Clock, Battery, 12
Diameter

Monitor
M1825 Printer, Computer
Monitoring System,
X1425
Imager, Laser (1024

X 1024) (Din/PACS)
April 2016
V/V

included).
V/V

V/V
High resolution computer printer with a variety of type

styles and sheet/envelope feeder trays. Database information reflects network ready, medium duty office
style laser printers. Other types of printers (bubble
jet, dot matrix, line or plotter) as well as light or heavy
use capabilities are available.
V/V

V/V
Laser imager. Solid state laser that provides high

resolution images of superior quality and accuracy.
An infrared laser beam is scanned across each film
by a precision rotating polygon, while correcting
optics focus and control the beams intensity. Can
be interfaced to as many as eight (8) modalities with
interface kit. For use with digital output imaging
modalities.
DESIGN GUIDE PLATES

4-214
X3150
X4112
Rack, Apron/Gloves,
Wall Mounted
Console, PACS,
Remote View, w/Two
2MP Monitors
April 2016
C/C
Apron and gloves rack. This is a wall unit which

holds aprons and gloves. The body is heavy gauge
steel finish in gray or green baked enamel, glove and
apron holding arms are aluminum. The units convenient on wall storage will prolong the useful life of
your protection aprons by helping prevent damage to
internal components.
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.
DESIGN GUIDE PLATES

4-215
April 2016
4.16. CARDIAC CATHETERIZATION LABORATORY (XCCE1)
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


850 NSF / 79,0 NSM
4-218
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 Legend
JSN DESCRIPTION


WITH SPEAKER

MOUNTED, SURGERY

HANDS FREE
TILT/ANGLE
E0703 TABLE, PROCESS, 5 DRAWERS
F2020 CAN, TRASH, 44 GALLON
L0220 ANALYZER, HEMOGLOBIN, PORTA

BLE, HAND HELD
L1085 ANALYZER, COAGULATION, AUTO
M0750 FLOWMETER, AIR
M1801 COMPUTER, MICROPROCESSING W/

FLAT PANEL MONITOR
M3070 HAMPER, LINEN

W LID
AUTOMATIC

DUAL OUPUT
M4255 STAND IV

MULTIPLE LINES

ETERNAL, TEMPORARY
M7480 LIGHT, SURGICAL, CEILING, SINGLE,
MEDIUM

RECORDER AUTO
M7860 MONOTORING SYSTEM, CARDIAC

CATHETERIZATION LAB
M8810 STAND, MAYO
R6200 REFRIGERATOR, U/C OR F/S, 5 CU FT
U0100 OR INTEGRATION

GRADE, 26 INCH

W/ FOOT PETAL
U4092 MANAGER, MEDICATION, REMOTE
U4093 CABINET, INVENTORY MANAGEMENT
SYSTEM
U4094 TABLE, INSTRUMENT/DRESSING CRS,

APPROX. 60X24X34

INTRA-CARDIAC ECHO
X2125 SCANNER, ULTRASOUND, PORTABLE
X6190 RADIOGRAPHIC/FLOURO UNIT,

CARDIAC, 100kW, DIGITAL
X6195 INJECTOR, ANGIOGRAPHIC
DESIGN GUIDE PLATES

4-219
DESIGN GUIDE PLATES

4-220
4'
8'
A1014
TELEPHONE, WALL
SPEAKER
SCALE: 3/16 = 1-0
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
MEDICATION,
AUTOMATIC
U4092
MANAGER,
MEDICATION, REMOTE
R6200
REFRIGERATOR, U-C OR
F-S, 5 CU FT
A1014
TELEPHONE, WALL
SPEAKER
F3200
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

April 2016
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
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
LOW WALL RETURN

AIR REGISTER
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
LOW WALL RETURN

AIR REGISTER
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
LOW WALL RETURN

AIR REGISTER
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
ISOLATION POWER
SYSTEM

April 2016
4-221
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-2 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood
7) Wall-mounted gases are to be located away

from the parking space for the Radiograpic/Flouro Unit. This location will vary by manufacturer
and model.
8) A toe view of the table is most desirable
from the control room. When space constraints
require a different configuration, a lateral view is
to be pursued. Care should be taken to locate
the monitor bank away from the view window.
In a typical equipment configuration this places
the patients right side next to the window to the
Control Room.
9) X-Ray in use signs are to be mounted
above all doors into the room.
10) Lead apron storage is to be located in
the path of staff travel. Suggested locations are
inside the control room and in the semi-restricted
corridor just outside the rooms doors.
LIGHTING
Notes:
windows and doors.
in facilities without interstitial space. Min. size to
be 24 x 24.
corridor.
Maintained
Average
2000 Lux (200 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
dimming
switching
DESIGN GUIDE PLATES

or
multi-level
4-222
April 2016

Intercom:
Yes (Phone)

(MID):
No

Nurse Call:
Yes
Code Blue:
Yes

Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Special
Requirement:

only)
Notes:

surgical light(s).
POWER
Normal Power:
Emergency Power:
Power IPS
Branch of the EES.
Notes:
+24 AFF
Notes:
columns.
CONDITIONING
General Requirement: Refer to data sheet in the
Notes:

1) Refer to the HVAC Design Manual for number and location of low air return grilles.

utility columns.

COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes

DESIGN GUIDE PLATES

4-223
April 2016


Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (4)
Medical Vacuum
Yes (4)
Oxygen
Yes (4)
Notes:
2) Provide Nitrogen (2).
the room it serves.
Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Ordinary Hazard
Group 1
DESIGN GUIDE PLATES

4-224
April 2016

Equipment List
JSN
NAME
Telephone, Wall
With Speaker
A1122
A1130
Column, Equipment
QTY
ACQ/
INS
C/C
C/C

panels, gas outlets and flat screen mounting for a surgical suite. Unit will provide a range of motion of up
to 330 degrees with arm providing additional vertical
movement. Units are custom configured with multiple
options available. Price is based on a unit with two
(double) retractable arms. Also available are units for
use in anesthesia, ICU and ER.
C/C
(adjustable 0 to 200 PSI), outlet pressure gauge,
nitrogen outlet and connection to surgical gas column.
V/V

Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
DESCRIPTION
Dispenser, Glove,
Wall Mntd
V/V
Examination glove dispenser box for wall mounting. Fabricated of either cold rolled steel with a white
Angle
V/V

V/V
Height adjustable table. The table top is available in a

plastic laminate or chemical resistant material (ChemSurf). Casters or glides are options with some tables.
All tables will accept various storage components
underneath. These work surfaces are available in 24
or 30 depth. THIS TYPICAL INCLUDES:
1 storage frame;
3 drawers, 3H;
1 drawer, 6H;
1 drawer, 9H
Table, Process, Adj

48W x 24D
DESIGN GUIDE PLATES

4-225
April 2016
Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
F0355
V/V
Step stool. Used to assist patients getting on and off

exam or surgical tables. Fitted with electrically conductive rubber tips.
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

included).
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
Automatic coagulation analyzer. The unit performs

on-site blood coagulation tests, prothrombin time (PT),
and partial thromboplastin time (PTT) tests on whole
blood or plasma samples. The analyzer employs both
single and duplicating or stat testing capabilities.
V/V

F2020
F3050
Footstool, Straight
Can, Trash, 44 Gallon
Whiteboard, Dry
Erase
F3200
Clock, Battery, 12
Diameter
L0220
Analyzer, Hemoglobin, Portable, Hand

Held
L1085
Analyzer, Coagulation, Automatic
Flowmeter, Air,
Supply
DESIGN GUIDE PLATES

4-226
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
M3175
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

vacuum ranges. Regulator type (continuous, intermittent, continuous/intermittent, surgical, pediatric, thoracic, etc.) as required. To be used in delivery, neonatal, pediatrics or any area where suction is required.
Database pricing reflects continuous regulators graduated to 200 mm Hg with a full line vacuum selection
switch and DISS configured inlets and outlets.
V/V

monitor, keyboard, mouse and speakers. The system
shall have the following minimum characteristics: a
2.8 GHz Pentium processor; 512 MB memory; 80GB
hard drive; 32/48x CD-ROMDVD combo; 1.44MB network interface card; video 32 MB NVIDIA; a 18 inch
flat panel monitor. The computer is used throughout
the facility to input, manipulate and retrieve information.
V/V

gauge welded steel platform. Holds 25 hamper bags.
Mounted on ball bearing casters. For linen transport
in hospitals and clinics.
V/V
Frame for an infectious waste collection bag. Made of

heavy tubular stainless steel with heavy gauge welded
steel platform. Adjust to hold 18 or 25 trash bags.
Mounted on ball bearing casters and includes permanently mounted hinged lid. Provides means of bagging
infectious waste at point of waste generation.
V/V

selected.
V/V

DESIGN GUIDE PLATES

4-227
M4250
M4266
M4645
Pump, Volumetric,
Patient Transfer
Device
Pacemaker, Single
Temporary
April 2016
V/V

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

solutions.
V/V

simultaneously.
V/V

board.
V/V
operated.
DESIGN GUIDE PLATES

4-228

Medium
M7650
Acute Care
April 2016
C/C
Single ceiling mounted surgical light with a light head

diameter generally between 21 and 30 depending
on the manufacturer. The light is mounted from a
pole extending down from the ceiling and then from
a pivotal arm assembly that rotates 360 degrees. It
includes a variable intensity control and sterile focus
handle. The minimum ceiling height for most models
is 8-9; check the manufacturers specific recommendations. The database height dimension below refers
to the lamp head housing itself. Width and depth are
the length of the swing arm plus the diameter of the
light head. This light can be used for both minor and
major surgical procedures.
V/V

V/V

for aeromedical use (US Army Airworthiness Certification and Evaluation (ACE) program. Battery run time
of 3 hours before recharge.
V/V

be connected to a central monitoring station. The unit
monitors patients in most acute care areas, step-down
units, procedure rooms and emergency rooms.
DESIGN GUIDE PLATES

4-229
Monitoring System,
M8810 Stand, Mayo
Table, Instrument/
Stool, Anesthesia,
M8940
With Back
R6200
Refrigerator, U/C or
F/S, 5 Cu Ft
April 2016
V/V

hospital-wide physiological monitoring or clinical information systems. The system includes several configurations in different locations. Database physical
dimensions reflect the largest of these work centers.
The estimated total 20 amp electrical requirements
will be spread across several circuits in several locations. The system price varies greatly on the size and
sophistication of the end users requirements.
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

procedure rooms.
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

procedures.
V/V
Utility refrigerator approximately 35 H x 24 W x 26

D. The unit has a two tray ice cube cooling system.
The refrigerator fits standard architectural dimensions
for undercounter installation. The unit is perfect for
use in nurses station, wards, and laboratories, pharmacies or wherever space is limited.
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.
DESIGN GUIDE PLATES

4-230
U0116
Monitor, HD, LCD,

FP, Medical Grade,
26 inch
U0117
Monitor, HD, LCD,

FP, Medical Grade,
55 inch
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
configuration of the Monitor, inputs and outputs should
be verified that it meets project requirements.
V/V
One-handed disposal. Lids lift or slide open easily with

foot-operated pedal. Lids may remain closed when
not in use to reduce exposure to contents and Type
1 violations. Ergonomic handle is telescopic when
transporting and retractable when stationary. Heavy
containers can be removed from the side with minimal
lifting. OSHA 29 CFR 1910.130, During use, sharps
disposal containers must be maintained upright
throughout use.
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
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
Intra-Cardiac Echo
Portable
DESIGN GUIDE PLATES

4-231
Radiographic/Fluoro
X6190 Unit, Cardiac, 100
kW, Digital
X6195 Injector, Angiographic
April 2016
V/V
This system is specifically designed to perform biplane radiographic/fluoroscopic examinations in the

Cardiology Department. On-line digital cardiac image
processing will provide instant availability of images
for review. This units characteristics and components
include 100 kW micro-processor controlled X-ray
generators, C-arm and U arm with 9 multi-field Image
Intensifier, integrated X-ray tube unit and cine camera.
The Digital Imaging for both the AP and Lateral planes
shall consists of a computer, keyboard with acquisition, viewing monitor, and slave monitor. The system
shall be DICOM 3.0 compatible, for easy linkage to
filmless image management systems and review stations. It is recommended that the TV monitors be ceiling suspended. System to be procured with Cardiac
Cath Lab computerized analysis/monitoring system.
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.
DESIGN GUIDE PLATES

4-232
April 2016
4.17. PROCEDURE ROOM, ELECTROPHYSIOLOGY (XCEP1)
Axonometric
900 NSF / 83,7 NSM
DESIGN GUIDE PLATES
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
2V, 2A, 2O,

1 NITROGEN
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
SCALE: 3/16 = 1-0

4'
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'
DESIGN GUIDE PLATES

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
MONITOR BANK (PART OF X6175)
M7475
32' - 0"
9754mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


900 NSF / 83,7 NSM
4-235
28' - 8"
8738mm
ab
LAMINAR AIR
FLOW DIFFUSER
15' - 0"
4572mm
2O, 3V, 1A,

WAGD, 1
NITROUS
OXIDE, 6
EMER
DUPLEX, 4
DATA FACE
PLATES
April 2016

JSN Legend
JSN DESCRIPTION

A1012 TELEPHONE, WALL MOUNTED, 1 LINE

WITH SPEAKER


MOUNTED, SURGERY
A5077 DISPENSER, HAND SANITIZER, HANDS
FREE
A5106 WASTE DISPOSAL UNIT, SHARPS W/

GLOVE DISPENSER
TILT/ANGLE
F2020 CAN, TRASH, 44 GALLON
L0220 ANALYZER, HEMOGLOBIN, PORTA

BLE, HAND HELD
L1085 ANALYZER, COAGULATION, AUTO
M1801 COMPUTER, MICROPROCESSING W/

FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG W
LID
AUTOMATIC
OUTPUT
M4255 STAND IV

MULTIPLE LINES

EXTERNAL, TEMPORARY
M7480 LIGHT, SURGICAL, CEILING MTD, SIN-

GLE, MEDIUM

RECORDER AUTO
R6200 REFRIGERATOR, U-C OR F-S, 5 CU FT
U0100 OR INTEGRATION

GRADE, 55 INCH

W/ FOOT PETAL
U3096 ABLATION GENERATOR, RADIO
FREQUENCY, CARDIAC
U3098 NAVIGATION SYSTEM, EP MAPPING
U4092 MANAGER, MEDICATION,REMOTE
SYSTEM
U4094 TABLE, INSTRUMENT/DRESSING CRS,

APPROX. 60X24X34
U4095 PUMP, HEAT, BI-VENTRICULAR ASSIST
DEVICE
U4099 MONITORING SYSTEM, CL-EP COMBO

INTRA-CARDIAC ECHO
X2125 SCANNER, ULTRASOUND,PORTABLE
X3145 SCREEN, X-RAY, PROTECTIVE, MO
BILE
X6175 RADIOGRAPHIC/FLUORO UNIT, AN-

GIO, BIPLANE, DIGITAL
X6195 INJECTOR, ANGIOGRAPHIC
DESIGN GUIDE PLATES

4-236
M7650
DEFIBRILLATOR/
MONITOR/ RECORDER
AUTO
A1014
TELEPHONE, WALL
SPEAKER
DESIGN GUIDE PLATES

4-237
4'
SCALE: 3/16 = 1-0
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
SPEAKER
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
LOW WALL RETURN
AIR REGISTER
M3150
MEDICATION,
AUTOMATIC
A5107
DISPENSER, GLOVE,
WALL-MTD
F3200
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
F-S, 5 CU FT

April 2016
DESIGN GUIDE PLATES

M3070
HAMPER, LINEN
F2020
4-238
4'
SCALE: 3/16 = 1-0
Elevations 3 & 4
900 NSF / 83,7 NSM
LOW WALL RETURN

AIR REGISTER
F3050
WHITE BOARD, DRY
ERASE
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
LOW WALL RETURN

AIR REGISTER
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
LOW WALL RETURN

AIR REGISTER
A5107
DISPENSER, GLOVE,
WALL-MTD
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
A5077
DISPENSER, HAND
LOW WALL RETURN

AIR REGISTER
A5107
DISPENSER, GLOVE,
WALL-MTD
A5077
DISPENSER, HAND
ISOLATION
POWER SYSTEM

April 2016
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
10-2 (3048 mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood
Notes:
windows and doors.
in facilities without interstitial space. Min. size to
be 24 x 24.
corridor.
7) 2 equipment booms can help keep EP items

and devices separate. The facility can choose to
locate both of these on the same boom if desired; a single boom is to be located for reach to
either side of the table.
8) Consideration for cable management is
to be given in locating connection boxes and
outlets. Cables coiled on the floor shall be minimized to ease cleaning and maintain the aseptic
environment.
9) Wall-mounted gases are to be located away
from the parking space for the Radiograpic/Flouro Unit. This location will vary by manufacturer
and model.
10) A toe view of the table is most desirable
from the control room. When space constraints
require a different configuration, an angled view
is to be pursued. Care should be taken to locate
the monitor bank away from the view window.
In a typical equipment configuration this places
the patients right side next to the window to the
Control Room.
11) X-Ray in use signs are to be mounted
above all doors into the room.
12) Lead apron storage is to be located in
the path of staff travel. Suggested locations are
inside the control room and in the semi-restricted
corridor just outside the rooms doors.
13) This room supports implant cases and EP
procedures. If additional procedures are projected for this room consideration shall be given
to any additional equipment that may become
necessary, for example a perfusion boom.

DESIGN GUIDE PLATES

4-239
April 2016

LIGHTING
Notes:
Maintained
Average

Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
2000 Lux (200 FC)

Filter,
sealed
housing,
gasketed frame
CCT, CRI >= 80%, 50%
packs

+24 AFF
utility columns.
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes
Intercom:
Yes (Phone)
Notes:

(MID):
No

Nurse Call:
Yes

Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Controls:
dimming
switching
or
multi-level
Special
Requirement:

only)

surgical light(s).
POWER
Normal Power:
Emergency Power:
Power IPS
Branch of the EES.
Notes:
columns.
DESIGN GUIDE PLATES

4-240
April 2016


CONDITIONING

Fire Alarm:
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.
Cold Water:
No
Hot Water:
No
Waste:
No
No
Medical Air
Yes (5)
Medical Vacuum
Yes (7)
Oxygen
Yes (6)
Notes:
(WAGD), Nitrogen (2), Nitrous Oxide (1).
by the project
DESIGN GUIDE PLATES

4-241
April 2016

Equipment List
JSN
NAME
QTY ACQ/INS
Telephone, Wall
With Speaker
A1120
A1122
A1130
Column, Service,
Prefab, Surgical,
Ceiling Mounted
Column, Equipment
Cabinet, Control,
Nitrogen
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
DESCRIPTION
C/C
C/C

nitrogen, medical air, medical vacuum, gas evacuation, electrical outlets, monitoring connectors, and
IV holders. Specify type of column (fixed or retractable) and number of outlets required for each service.
and ICU-CCU rooms.
C/C

panels, gas outlets and flat screen mounting for a
surgical suite. Unit will provide a range of motion
with two (double) retractable arms. Also available are
units for use in anesthesia, ICU and ER.
C/C
V/V

operated.
V/V


A5108
Sharps
V/V

Angle
V/V

DESIGN GUIDE PLATES

4-242
Table, Process, Adj

48W x 24D
April 2016
V/V

1 storage frame;
3 drawers, 3H;
1 drawer, 6H;
1 drawer, 9H
Cart, Emergency,
x 22D
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
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

included).
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
Analyzer, Hemoglobin, Portable, Hand

Held
DESIGN GUIDE PLATES

4-243
L1085
M0630
Analyzer, Coagulation, Automatic
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow
April 2016
V/V
Automatic coagulation analyzer. The unit performs

on-site blood coagulation tests, prothrombin time
(PT), and partial thromboplastin time (PTT) tests
on whole blood or plasma samples. The analyzer
employs both single and duplicating or stat testing
capabilities.
V/V

V/V

V/V

V/V

and outlets.
DESIGN GUIDE PLATES

4-244

Monitor
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
M3175
M4250
Dual Output
April 2016
V/V

V/V

V/V

V/V

selected.
V/V

V/V

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
DESIGN GUIDE PLATES

4-245
M4266
M4645
Pump, Volumetric,
Patient Transfer
Device

Large
Acute Care
Pacemaker, Single
Temporary
M7650
April 2016
V/V

solutions.
V/V

simultaneously.
V/V

board.
V/V
operated.
C/C

surgery.
V/V

DESIGN GUIDE PLATES

4-246
M8810 Stand, Mayo
Table, Instrument/
Stool, Anesthesia,
M8940
With Back
R6200
F/S, 5 Cu Ft
April 2016
V/V

V/V

V/V

rail.
V/V

procedure rooms.
V/V

casters.
V/V

procedures.
V/V

DESIGN GUIDE PLATES

4-247
U0116
Monitor, HD, LCD,

FP, Medical Grade,
26 inch
U0117
Monitor, HD, LCD,

FP, Medical Grade,
55 inch
April 2016
V/V
patient information and communication management. Integration can also include the control of some
lighting.
V/V
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
Sharps Disposal
Cart, w-Foot Pedal
V/V

Ablation Generator,
U3096 Radio-Frequency,
Cardiac
V/V
Radio-Frequency Generator for use in Cardiac Ablation
V/V
Electrophysiology Mapping and Surgical Navigation

System. Visualization of individual anatomic variations via 3D scans or maps, continuously visible catheter icon, visual assessment of ablation line of block
and gap. System consists of computer workstation &
monitor, COM unit, Patient Interface Unit, foot pedal,
grounding cable, power supply cord, optical and
patient cables. Configuration and Pricing may vary
depending on system actually purchased.
U3092
Navigation System,
U3098 EP Mapping and
Surgical Nav
U4092
Remote
V/V
-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
.
DESIGN GUIDE PLATES

4-248

Table, Instrument/
U4094 Dressing CRS, approx 60 x 24 x 34
U4095
U4099
X2106
X2125
X3145
Pump, Heart, Bi-Ventricular Assist Device
Monitoring System,
CL-EP Combo
Intra-Cardiac Echo
Portable
April 2016
V/V
Stainless steel instrument table with shelf and 3 rubber, double ball bearing casters.
V/V
Control console for percutaneous ventricular assist

system. Features a 10 Inch high resolution display.
It controls the special catheter performance, monitors for alarms, and displays real time hemodynamic
and catheter position information. Integrated purge
system automatically sets the purge flow to maintain
the purge pressure. Can be powered by AC power or
can operate on internal battery power for at least 60
minutes when fully charged.
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
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

barrier provides optically-clear visibility while shielding medical personnel from scatter radiation. Its large
clear Pb lead-plastic or acrylic window offers 0.5 mm
lead-equivalent protection to the users head and
upper body. The unit is used for effective radiation
protection of department personnel during vascular
or other procedures. This unit can fit any application
with its mobility. Adjustable screens are also available.
DESIGN GUIDE PLATES

4-249
Radiographic/Fluoro
X6175 Unit, Angio, Biplane,
Digital
X6195 Injector, Angiographic
April 2016
V/V

the Special Procedures Department. On-line digital
angio image processing will provide instant availability of images for review. This units characteristics
and components include: 100 kW micro-processor
controlled X-ray generators, C-arm and U arm with
9 multi-field Image Intensifier, integrated X-ray tube
unit. The Digital Spot Imaging for both the AP and
Lateral planes shall consist of a computer, keyboard
with acquisition and viewing monitor and a slave
the TV monitors be ceiling suspended.
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.
DESIGN GUIDE PLATES

4-250
April 2016
4.18. TRANSESOPHAGEAL ECHOCARDIOGRAPH (TEE)

PROCEDURE ROOM (TRTE1)
Axonometric
350 NSF / 32,6 NSM
DESIGN GUIDE PLATES
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


350 NSF / 32,6 NSM
4-253
April 2016

JSN Legend
JSN DESCRIPTION

A1015 TELEPHONE, DESK, MULTIPLE LINE
12x12
A1132 RAIL, ACCESSORY MOUNTING
A5075 DISPENSER, SOAP

HANDS FREE
A5082 DISPENSER, PAPER TOWEL, SENSOR,

HANDS FREE
A5145 HOOK, GARMENT, DOUBLE
A5180 TRACK, CUBICLE, SURFACE

MOUNTED, WITH CURTAIN
E0210 WORKSURFACE, W/OVERHEAD CAB,

WALL MTD, 48 W
F0206 CHAIR, SIDE, BARIATRIC, WITH ARMS
F0280 CHAIR, SWIVEL, LOW BACK
F2010 BASKET, WASTEPAPER, STEP-ON
F2017 WASTE RECEPTACLE, 24 GAL

M3070 HAMPER, LINEN
AUTOMATIC
M4116 MONITOR, VITAL SIGNS
M4255 STAND IV

MULTIPLE LINES
M4701 LIGHT, EXAM, MOBILE, SPOTLIGHT,

MOBILE STAND

RECORDER AUTO
M9006 STRETCHER, RECOVERY, SURGICAL
P3100 LAVATORY, VITREOUS CHINA,

SLAB TYPE
R6200 REFRIGERATOR, U-C OR F-S, 5 CU FT
U4092 MANAGER, MEDICATION, REMOTE

SYSTEM
DESIGN GUIDE PLATES

4-254
Elevations 1 & 2
350 NSF / 32,6 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0
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
A5082
DISPENSER, PAPER
TOWEL, SENSOR,
HANDS FREE
17' - 3"
5258mm

April 2016

4-255
Elevations 3 & 4
350 NSF / 32,6 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
M0755
FLOWMETER, OXYGEN,
LOW FLOW
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
M4116
MONITOR, VITAL SIGNS
A5108
E0948
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
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
U4092
MANAGER, MEDICATION, REMOTE
R6200
F-S, 5 CU FT

April 2016

4-256
April 2016

Room Data Sheet
LIGHTING
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Welded
Flooring
Seam
Sheet
Slab Depression:
None
Sound Protection:

STC (to corridor)
Doors:

(1829 mm x 2133 mm) Wood
(1219 mm x 2133 mm) Wood
Maintained
Average
500 Lux (50 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:

Filter,
sealed
housing,
gasketed frame
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
Dimming
switching
Special
Requirement:
None
Notes:
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:
POWER
Normal Power:
Emergency Power:
Critical branch of the
EES to be connected to
selected receptacles and
equipment.
Notes:
DESIGN GUIDE PLATES

4-257
April 2016

2) The branch circuit serving the receptacles on
the rail shall not be part of the multiwire branch
circuit.

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
Yes
Intercom:
Yes (Phone)

(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Notes:
CONDITIONING
General Requirement: Refer to the current version of the VA HVAC Design Manual for temperatures, humidity range, room air change requirements, and pressurization.
Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes (2)
Medical Vacuum
Yes (2)
Oxygen
Yes (2)
DESIGN GUIDE PLATES

4-258
April 2016

Equipment List
JSN
A1015
NAME
QTY ACQ/INS
Telephone, Desk,
Multiple Line
DESCRIPTION
C/C
A1132
Rail, Accessory
Mounting, Length As
Required
V/V
Horizontal mounting rail will consist of lock mounting

devices capable of; supporting up to 75 pounds each,
being repositioned, and mounting and dismounting of
equipment without the use of tools. The rail must be
capable of supporting medical equipment and accessories normally found in exam or patient rooms. The
rail system must be capable of mounting and dismounting equipment without leaving or creating new
holes in the finished surface of the wall.
A5075
Dispenser, Soap,
Disposable
V/V

V/V

operated.
C/C

V/V

V/V

C/C
A surface mounted, satin finish stainless steel, double

garment hook. Equipped with a concealed mounting
bracket that is secured to a concealed wall plate. For
general purpose use throughout the facility to hang
various items of apparel.
Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
Wall Mntd
A5108
Sharps
Hook, Garment,
Mounted
DESIGN GUIDE PLATES

4-259

Curtain
10
Worksurface, w/OverE0210 head Cab, Wall Mtd,

48 W

32W x 22D
Cart, Emergency,
x 22D
April 2016
C/C

V/V

2 Vertical Hanging Strips
1 Lockable Flipper Unit
1 Shelf, Storage/Display
1 Light
1 Cantilevered Work Surface
V/V

2 Drawers, 3 H
4 Drawers, 6 H
V/V

1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3H
3 Drawer, 6H
V/V
A bariatric side chair with arms for use in a waiting

room, lobby or other patient area. Chair will have a
padded seat and back and have a capacity of 800
pounds.
F0206
Chair, Side, Bariatric,

With Arms
F0280
Chair, Swivel, Low

Back
V/V
Low back contemporary swivel chair, 37 high X 25

wide X 31 deep with a five (5) caster swivel base,
arms and foam padded seat and back upholstered
with either woven textile fabric or vinyl.
F0355
Footstool, Straight
V/V

F2010
Basket, Wastepaper,
Step-On
V/V

DESIGN GUIDE PLATES

4-260
F2017
F3200
Waste Receptacle,
24 GAL
Clock, Battery, 12
Diameter
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3070
April 2016
V/V
Rectangular steel waste receptacle with step-on lid

and 24 gallon capacity. The receptacle is used to
collect and temporarily store small quantities of paper
refuse. Can be used in restrooms, patient areas,
laboratories, pharmacies, etc.
V/V

included).
V/V

V/V

V/V

and outlets.
V/V

V/V

DESIGN GUIDE PLATES

4-261
M3072
Frame, Infectious
Waste Bag w/Lid
M4116 Monitor, Vital Signs
M4266
Pump, Volumetric,
Light, Exam, Mobile,

M7401 Spotlight, Mobile
Stand
M7650
Acute Care
April 2016
V/V

V/V

selected.
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

solutions.
V/V

simultaneously.
V/V
The exam light shall be a mobile floor unit. The light

will be a halogen bulb or LED that can produce a
continuous and homogeneous spot of light adjustable
from 5 to 9 inches in diameter from a set distance.
The light intensity shall be a minimum of 750 footcandles at a distance of 16 inches and have a color
temperature of 3,200 degrees Kelvin. The unit will
consist of an arm or sleeve of approximately 45 inches in length to allow for easy arm rotation and arm
movement up and down. The unit shall be mounted
on a caster base for easy movement.
V/V

DESIGN GUIDE PLATES

4-262
Table, Ultrasound,
M9006 Mobile, Echocardiology
P3100
R6200
Lavatory, Vitreous
China, Slab Type
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
Wall mounted, slab type, vitreous china, lavatory

(approximate bowl size 7x15x10) with: faucet holes
on 4 centers; gooseneck spout; wrist blade handles;
and grid strainer. It shall be suitable for use in clinics,
offices, washrooms or patient care area.
V/V

U4092
Remote
V/V
-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
.
V/V
X2105
Cardiac (Echo)
DESIGN GUIDE PLATES

4-263
April 2016
4.19. DECONTAMINATION, TEE PROBE (TRTE2)

STORAGE, CLEAN TEE PROBE (TRTE3)
Axonometric
165 NSF / 15,5 NSM
DESIGN GUIDE PLATES
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
6" AFC GFI

2
DECONTAMINATION
OSb
10' - 0"
3048mm
A5107
DISPENSER, GLOVE,
WALL-MTD
6" AFC GFI

CLEAN
STORAGE
6" AFC GFI
A5082
DISPENSER, PAPER
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
FREE
A5075
DISPENSER, SOAP
A1195
COUNTER, CLEAN-UP,
WITH 2 OR 3 SINKS
F2020
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


165 NSF / 15,5 NSM
4-266
Elevations 1 & 2
165 NSF / 15,5 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
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
A5075
DISPENSER, SOAP
A1195
COUNTER, CLEAN-UP, WITH 2 OR 3 SINKS

April 2016

4-267
April 2016
U4100
TEE PROBE STORAGE
CABINET
U4102
Elevation 3
165 NSF / 15,5 NSM
DESIGN GUIDE PLATES
4'
SCALE: 3/16 = 1-0
8'
16'
U0402
DISINFECTOR,
AUTOMATED, PROBE,
TEE
CT050
COUNTER, STAINLESS
STEEL
ELEVATION 3
9' - 6"
2896mm
SLIDING SERVICE WINDOW

4-268
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:

Notes:
Base:
Resilient Base
Floor Finish:
Rubber Flooring, Welded

Seam Sheet Flooring
Slab Depression:
None
Sound Protection:
None
Doors:
Single, Size 3-0 x 7-0 (914

mm x 2133 mm) Wood
1) Provide GFI duplex receptacle 6 above

sink.
COMMUNICATIONS
Data:
No
Telephone:
No
Cable Television:
No
Duress Alarm:
No

Control:
No
Intercom:
No

(MID):
No
Maintained
Average
Illumination - Task
Focus:
Nurse Call:
No
Code Blue:
No
Public Address:
Yes
Luminaire Type:

Prismatic
Lens,
Radio
No
VA Satellite TV:
No
(VTEL):
No
No
LIGHTING
Maintained
Average
Lamps:
Controls:
300 Lux (30 FC)
Motion sensor wall switch
Notes:

CONDITIONING
General Requirement: Refer to Soiled Holding/
Disposal Room 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) Provide exhaust for each room.
2) Both rooms are negative pressure relative
to semi-restricted corridor.
DESIGN GUIDE PLATES

4-269
April 2016

Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-270
April 2016

Equipment List
JSN
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

operated.
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
Mobile storage shelving cart 72 X 48 X 24 with

four shelves. Constructed with corrosion resistant
stainless steel and mounted on swivel casters. Designed for large carrying capacity and distribution of
items from a central source. Options include wire or
solid shelves, oversize casters, ledges, rods, tabs,
dividers, drawers and bins as well as back and side
enclosures. Casters add 6 to equivalent standing
shelf height.
Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
Wall Mntd
Cabinet, W/H, 2
Top, 38x30x13
F2020
M2100
Cart, Shelving, Storage, Mobile, SS
DESIGN GUIDE PLATES

4-271
April 2016
4.19. STORAGE, CLEAN TEE PROBE (TRTE3)

Equipment List
JSN
NAME
QTY ACQ/INS
A5075
Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
Wall Mntd
DESCRIPTION
V/V

V/V

operated.
C/C

V/V

CT050
Steel
C/C
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
TEE probe storage cabinet is designed for storing

disinfected TEE probes. Specially designed cabinet
has the capacity to hold 3 TEE probes.
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
TEE Probe Storage

Cabinet
Sliding Service WinU4102

dow
DESIGN GUIDE PLATES

4-272
April 2016
4.20. IMMEDIATE USE STERILIZATION ROOM (ORSR1)
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
FREE
M3070
HAMPER, LINEN
F2010
BASKET, WASTEPAPER,
STEP-ON
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
SEMI-RESTRICTED
CORRIDOR
A5107
DISPENSER, GLOVE,
WALL-MTD
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Clean Core Area
Floor Plan
185 NSF / 17,2 NSM
4-274
April 2016
STERILIZER EXHAUST HOOD
9' - 0"
8' - 0"
2438mm
15' - 6"
4724mm
DT
7' - 0"
2134mm
12' - 0"
3658mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Clean Core Area

185 NSF / 17,2 NSM
4-275
DESIGN GUIDE PLATES

Clean Core Area
4'
SCALE: 3/16 = 1-0

8'
C0040
RAIL, APRON, 4x54x1
CT050
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
C05F0
CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x48x22
S0125
STERILIZER, STM, VAC, 1DO, CAB

April 2016
4-276
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:

Notes:
Base:

152 mm)
Floor Finish:
Resinous Flooring
Slab Depression:
None Special
Sound Protection:
None
Doors:

7-0 (1117 mm x 2133 mm)
Wood w/ Half View Window
1) Provide a duplex receptacle per equipment

location connected one emergency.
normal power.
3) Provide GFI receptacle by the sink.
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
LIGHTING
Cable Television:
No
Maintained
Average
Duress Alarm:
No

Control:
No
Intercom:
No

(MID):
No
Nurse Call:
No
Code Blue:
No
Public Address:
Yes
No
VA Satellite TV:
No
(VTEL):
No
No
500 Lux (50 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:

Prismatic
Lens,
Radio
Three way switch and
ceiling mounted motion
sensor.
Notes:
Notes:
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.
DESIGN GUIDE PLATES

Clean Core Area
4-277
April 2016

Notes:
1) Canopy hood exhaust provided at sterilizer.
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 Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

Clean Core Area
4-278
April 2016

Equipment List
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1012
Telephone, Wall
Mounted, 1 Line
C/C
A5075
V/V
Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable

V/V

C/C

V/V

C/C

C/C
Standing height under counter base cabinet with an

adjustable shelf and two half width drawers above
solid hinged doors. Also referred to as a combination cabinet or a drawer and cupboard cabinet. For
general purpose use throughout the facility.
C/C
Standing height under counter base cabinet with an

adjustable shelf and two half width drawers above
solid hinged doors. Also referred to as a combination cabinet or a drawer and cupboard cabinet. For
general purpose use throughout the facility.
C/C
Wall hung open front cabinet with two adjustable

shelves and sloping top. Also referred to as an open
case. For general purpose use throughout the facility.
Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
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
DESIGN GUIDE PLATES

Clean Core Area
4-279
Sink, SS, Single

CS150 Compartment,
10x19x16 ID
April 2016
C/C

provided with pre- punched fixture holes on 4 center,
and sound deadened.
Recommended for use in suspended or U/C/B sink
cabinets having a high plastic laminate or Chemsurf laminate countertop/work surface. Coordinate
actual outside sink dimensions with the actual clear
dimension of cabinet specified to ensure that they are
compatible. For general purpose use throughout the
facility.
CT050
Steel
11
C/C
F2010
Basket, Wastepaper,
Step-On
V/V

V/V

C/C

C/C
A cabinet mounted, single power door (vertical

sliding), vacuum, sterilizer utilizing facility supplied
steam. The unit is controlled by a microcomputer that
monitors and controls all unit operations and functions and provides both audible and visual indications
of deviations. A printer-recorder documents and records each cycle performance. For general purpose
pre-vacuum or gravity steam sterilization of hospital
and laboratory supplies at temperatures in the range
from 110C to 135C (230F to 275F). A liquid cycle
is also provided at temperatures in the range from
100C to 121C (212F to 250F).
M3070
P3100
Lavatory, Vitreous
China, Slab Type
Sterilizer, Stm, VAC,

S0125 1DO, CAB, 16x16x26
Chamber
DESIGN GUIDE PLATES

Clean Core Area
4-280
April 2016
4.21. PATIENT BAY, PACU / PHASE I RECOVERY (RRBP1)
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
SHARPS
M7845
MONITOR,
PHYSIOLOGICAL,
BEDSIDE
A1107
GAS AND ELECTRIC
A5107
DISPENSER, GLOVE,
WALL-MTD
F3200
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
10' - 0"
3048mm
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
110 NSF / 10,3 NSM
4-282
April 2016
9' - 0"
11' - 0"
3353mm
ab
10' - 0"
3048mm
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


110 NSF / 10,3 NSM
4-283
Elevation 1
110 NSF / 10,3 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
16'
M4255
STAND IV
M0755
M0765
REGULATOR, VACUUM
A5077
M1801
MONITOR
M4266
F3200
ELEVATION 1
10' - 0"
3048mm
A5107
A5108
M4665
M0765
REGULATOR, VACUUM
M0750
FLOWMETER, AIR
M7845
A1107
M0755

April 2016
4-284
April 2016

Room Data Sheet
ARCHITECTURAL
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Lamps:
CCT, CRI >= 80%, 50%
packs
Controls:
Dimming
switching
Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Welded
Flooring
Slab Depression:
None
Sound Protection:
35 STC (Room)/ None (Bay)
POWER
Doors:

mm) ; Single, Size 3-0 x
7-0 (914 mm x 2133 mm)
Normal Power:
Seam
Sheet
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:

Notes:
Notes:
Maintained
Average
or

on the rail shall not be part of the multiwire branch
circuit.
3) Rail system shall be connected to normal and
critical emergency branch circuit(s).
COMMUNICATIONS
500 Lux (50 FC)

Filter,
sealed
housing,
gasketed frame
Data:
Yes
Telephone:
Yes
Cable Television:
No
Duress Alarm:
No

Control:
No
Intercom:
No

(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
DESIGN GUIDE PLATES

4-285
April 2016

No
VA Satellite TV:
No
(VTEL):
No

CONDITIONING
General Requirement: Refer to Post Anesthesia
Care Unit (PACU) room data sheet in the current version of the VA HVAC Design Manual for
requirements, and pressurization.
Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes
Medical Vacuum
Yes
Oxygen
Yes

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
DESIGN GUIDE PLATES

4-286
April 2016

Equipment List
JSN
A1107
NAME

Gas and Electric
Dispenser, Hand
A5077
Dispenser, Glove,
Wall Mntd
A5108
Sharps

Curtain

32W x 22D
F2010
F3200
Basket, Wastepaper,
Step-On
Clock, Battery, 12
Diameter
QTY ACQ/INS
DESCRIPTION
C/C
V/V

operated.
V/V

V/V

C/C

V/V

2 Drawers, 3 H
4 Drawers, 6 H
V/V

V/V

included).
32
DESIGN GUIDE PLATES

4-287
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow

Monitor
M3072
Frame, Infectious
Waste Bag w/Lid
April 2016
V/V

V/V

V/V

and outlets.
V/V

V/V

V/V

solutions.
DESIGN GUIDE PLATES

4-288
M4266
M4665
Pump, Volumetric,
Surgical
April 2016
V/V

simultaneously.
V/V
V/V

V/V

DESIGN GUIDE PLATES

4-289
April 2016
4.22. AIRBORNE INFECTION ISOLATION (AII), PATIENT ROOM

PACU / PHASE I RECOVERY (RRIR1)
Axonometric
150 NSF / 14,0 NSM
DESIGN GUIDE PLATES
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
LOW WALL RETURN

AIR REGISTER
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
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

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
SCALE: 1/4 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


150 NSF / 14,0 NSM
4-292
April 2016

JSN Legend
JSN DESCRIPTION

A1012 TELEPHONE, WALL MOUNTED, 1 LINE
A1107 RAIL SYSTEM, UTILITY, GAS

AND ELECTRIC
A5075 DISPENSER, SOAP

HANDS FREE
A5080 DISPENSER, PAPER TOWEL
A5145 HOOK, GARMENT, DOUBLE
A5180 TRACK, CUBICLE, SURFACE

MOUNTED, WITH CURTAIN
CS140 SINK, SS,GENERAL, SINGLE X,

10X14X ID
F0205 SIDE CHAIR WITH ARMS
F2010 BASKET, WASTEPAPER, STEP-ON

M3070 HAMPER, LINEN
W/LID
M4255 STAND IV, ADJUSTABLE

MULTIPLE LINES
M4665 STRETCHER, RECOVERY, SURGICAL
M7040 TABLE, OVERBED
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,

4 CHANNEL
P3100 LAVATORY, VITREOUS CHINA,

SLAB TYPE

DESIGN GUIDE PLATES

4-293
DESIGN GUIDE PLATES

4'
8'
16'
M1801
MONITOR
M4255
STAND IV
SCALE: 3/16 = 1-0
Elevations 1 & 2
150 NSF / 14,0 NSM
M4266
A1107
M0765
REGULATOR, VACUUM
M0755
F2010
BASKET, WASTEPAPER,
STEP-ON
P3100
LAVATORY, VITREOUS CHINA, SLAB TYPE
A5075
DISPENSER, SOAP
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
A5080
ELEVATION 2
12' - 6"
3810mm
ELEVATION 1
12' - 0"
3658mm
M4665
M3072
M7845
M0750
FLOWMETER, AIR
M0765
REGULATOR, VACUUM
M0755
A5108
SHARPS
E0948
A5107
DISPENSER, GLOVE,
WALL-MTD

April 2016

4-294
Elevation 3
150 NSF / 14,0 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
16'
CS140
C0036
RAIL, APRON, 4x30x1
F2010
BASKET, WASTEPAPER, STEP-ON
A5080
CB020
CABINET, W-H, 2 SHELF, 1 DO, 38x24x13 LH
ELEVATION 3
6' - 6"
1981mm
C01D0
CABINET, U-C-B, 4 DR, 36x18x22
CT020
M3070
HAMPER, LINEN
A5075
DISPENSER, SOAP

April 2016

4-295
April 2016

Room Data Sheet
ARCHITECTURAL
Controls:
Dimming
switching
or
multi-level
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Notes:

Ceiling Finish:
Wall Finish:
Wainscot:
Base:

152 mm)
Floor Finish:
Welded
Flooring
Slab Depression:
None
Sound Protection:
35 STC (Room)/ None (Bay)
Doors:

mm) ; Single, Size 3-0 x
7-0 (914 mm x 2133 mm)
Seam
Sheet
Notes:
POWER
Normal Power:

Notes:
on the rail shall not be part of the multiwire branch
circuit.
1) Verify with life safety requirements that sliding

glass doors can break out of the room
COMMUNICATIONS
Data:
Yes
LIGHTING
Telephone:
Yes
Maintained
Average
Cable Television:
No
Duress Alarm:
No

Control:
No
Intercom:
No

(MID):
No
Nurse Call:
Yes
Code Blue:
Yes
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
500 Lux (50 FC)

Filter,
sealed
housing,
gasketed frame
CCT, CRI >= 80%, 50%
packs
DESIGN GUIDE PLATES

4-296
April 2016

CONDITIONING
General Requirement: Refer to Post Anesthesia
Care Unit (PACU) room data sheet in the current version of the VA HVAC Design Manual for
Notes:
1) Provide negative pressure for isolation room.
2) Provide low wall return air grille in patient area.
Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
Yes
Medical Vacuum
Yes
Oxygen
Yes

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-297
April 2016

Equipment List
JSN
A1012
NAME
Telephone, Wall
Mounted, 1 Line
QTY ACQ/INS
1
DESCRIPTION
C/C
A1107

Gas and Electric
C/C
A5075
V/V

V/V

operated.
C/C
V/V

V/V

C/C

C/C

Dispenser, Hand
A5077
Dispenser, Paper
Mounted
Dispenser, Glove,
Wall Mntd
A5108
Sharps
Hook, Garment,
Mounted

Curtain
12
DESIGN GUIDE PLATES

4-298

32W x 22D
April 2016
V/V

2 Drawers, 3 H
4 Drawers, 6 H
F0205
Chair, Side With

Arms
V/V

without sled base.
F2010
Basket, Wastepaper,
Step-On
V/V

V/V

included).
V/V

V/V

V/V

and outlets.
F3200
Clock, Battery, 12
Diameter
Flowmeter, Air,
Supply
M0755
Flowmeter, Oxygen,
Low Flow
DESIGN GUIDE PLATES

4-299

Monitor
M3072
Frame, Infectious
Waste Bag w/Lid
M4266
M4665
Pump, Volumetric,
Surgical
April 2016
V/V

V/V

V/V

solutions.
V/V

simultaneously.
V/V
V/V

DESIGN GUIDE PLATES

4-300
P3100
Lavatory, Vitreous
China, Slab Type
April 2016
V/V

C/C

DESIGN GUIDE PLATES

4-301
April 2016

Equipment List (Anteroom)
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1012
Telephone, Wall
Mounted, 1 Line
C/C
A5075
V/V

V/V

operated.
C/C
V/V

C/C

C/C

space area and/or provide work surface support between two steel base cabinets or a steel base cabinet
and wall. Apron rails should be ordered in pairs to
provide both front and rear work surface support.
Constructed of steel.
C/C
Standing height under counter base cabinet with four

full width drawers of equal height. Also referred to as
a drawer cabinet. For general purpose use throughout the facility.
C/C
Wall hung cabinet with two adjustable shelves, solid

right or left-hinged door (appropriate door hinge
configuration to be indicated on equipment elevation drawings), and sloping top. Also referred to as a
solid hinged single door case. For general purpose
use throughout the facility.
Dispenser, Hand
A5077
Dispenser, Paper
Mounted
Dispenser, Glove,
Wall Mntd
Hook, Garment,
Mounted
Cabinet, U/C/B, 4
C01D0
Drawer, 36x18x22
Cabinet, W/H, 2
CB020 Shelf, 1 DO, Sloping
Top, 38x24x13
DESIGN GUIDE PLATES

4-302
Sink, SS, Single

CS140 Compartment,
10x14x16 ID
April 2016
C/C

CT020
Countertop, Solid
Surface
C/C
F2010
Basket, Wastepaper,
Step-On
V/V

V/V

M3070
DESIGN GUIDE PLATES

4-303
April 2016
4.23. LABORATORY, FROZEN SECTION (LBUL1)
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
L0100
MICROSCOPE,
BINOCULAR
L8590
STAINER, SLIDE,
AUTOMATIC,
HEMATOLOGY
L4200
BATH, WATER,
SEROLOGY, ELECTRIC
L3400
MICROTOME, ROTARY,
TILT, BENCH MOUNTED
A5108
SHARPS
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
OSa
A5077
DISPENSER, HAND
GFI
6" AFC
12' - 0"
3658mm
L9025
FREEZE-DRYER, TISSUE
E0721
TABLE, PROCESS, 5 DRAWERS
A5082
DISPENSER, PAPER
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
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
120 NSF / 11,2 NSM
4-305
April 2016
a
9' - 0"
10' - 0"
3048mm
12' - 0"
3658mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


120 NSF / 11,2 NSM
4-306
Elevation 1
120 NSF / 11,2 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
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

April 2016
4-307
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Ceiling Finish:
Wall Finish:
Wainscot:
Normal Power:

Notes:
Base:
Resilient Base
Floor Finish:
Resinous Flooring, Welded

Seam Sheet Flooring
Slab Depression:
None Special
Sound Protection:
None
Doors:

7-0 (914 mm x 2133 mm)
Wood
1) Provide a duplex receptacle per equipment

location connected one emergency.
normal power.
COMMUNICATIONS
Data:
Yes
Telephone:
Yes
LIGHTING
Cable Television:
No
Maintained
Average
Duress Alarm:
No

Control:
Yes
Intercom:
Yes (Phone)

(MID):
No
Nurse Call:
No
Code Blue:
No
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
No
300 Lux (30 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:

Prismatic
Lens,
Radio
Notes:

CONDITIONING
General Requirement: Refer to Frozen Section
Laboratories room data sheet in the current version of the VA HVAC Design Manual for room
DESIGN GUIDE PLATES

4-308
April 2016


Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-309
April 2016

Equipment List
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1015
Telephone, Desk,
Multiple Line
C/C
A5075
V/V

V/V

operated.
C/C

V/V

V/V

C/C

space area and/or provide work surface support between two steel base cabinets or a steel base cabinet
and wall. Apron rails should be ordered in pairs to
provide both front and rear work surface support.
Constructed of steel.
C/C
Standing height under counter base cabinet with four

full width drawers of equal height. Also referred to as
a drawer cabinet. For general purpose use throughout the facility.
C/C
Wall hung cabinet with two adjustable shelves,

framed-glass hinged doors, and sloping top. Also
referred to as a framed-glass hinged double door
wall case. For general purpose use throughout the
facility.
Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
Wall Mntd
A5108
Sharps
Cabinet, U/C/B, 4
C01D0
Drawer, 36x18x22
Cabinet, W/H, 2 SH,

CE050 2 GDO, Sloping Top,
38x48x13
DESIGN GUIDE PLATES

4-310
Sink, SS, Single

CS140 Compartment,
10x14x16 ID
April 2016
C/C

CT060
Countertop, Modified
Epoxy Resin
C/C
Modified epoxy resin countertop (composition of

molded epoxy resins and inert materials) having a
low sheen surface finish, 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 areas requiring optimum physical and chemical resisting properties.
D3295
Chair, Rotary, Laboratory, Dental
V/V
Rotary dental laboratory chair. The chair is used by

technicians while working at a bench. Chairs also
have casters and an adjustable backrest.
V/V

1 storage frame;
3 drawers, 3H;
1 drawer, 6H;
1 drawer, 9H
V/V

1 Height Adjustable Table
4 Storage Frames
2 Drawers, 3H;
6 Drawers, 6H;
2 Drawers, 9H;
Drawer organizer bins
V/V

Table, Process, Adj

48W x 24D
Table, Process, Adj

72W x 36D
F2000
Basket, Wastepaper,
Round, Metal
DESIGN GUIDE PLATES

4-311
F3200
L0100
L3400
Clock, Battery, 12
Diameter
Microscope, Binocular
Microtome, Rotary,
Tilt, Bench Mounted
L4200
Bath, Water, Serology, Electric
L8590
Stainer, Immunostaining System
L9025
Freeze-Dryer, Tissue
April 2016
V/V

included).
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
Bench mounted tilting rotary microtome. The units

features include horizontal advancement, a feed indicator and selection dial that provide settings from 1 to
30 microns, a quick change holder system that allows
the use of different holders, an angle adjustment from
0 to 15 degrees and a hand wheel that allows speed
control without backflash. Used for histological techniques and slide preparation.
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
Automated immunostaining system for the staining

of formalin-fixed, paraffin-embedded tissues, frozen
sections, cytospins, cell smears and fine needle aspirates, using a variety of reagents.
V/V
Freeze dryer. The maximum low temperature of the

unit is -54 degrees centigrade. The unit has a built in
electronic vacuum gauge and is built of epoxy-coated
steel for chemical resistance, includes vacuum pump.
Used for laboratory specimen preparations. Capable
of collecting 12 liters of ice before defrosting, remove
up to 8 liters of water in 24 hours. Various options
are available such as stopping tray, manifolds and
glassware.
DESIGN GUIDE PLATES

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
Cryogenic freezer. This is a chest type unit that will

maintain uniform temperatures to -140 and -150
degrees centigrade. It shall have a microprocessor
control system, key-operated master switch for power
and alarm, washable, reusable condenser filter to
maintain peak operating efficiency and full-function
safety system. The cabinet shall have a convenient
size lid handle and lid locking provision to prohibit
unauthorized access. The refrigerant shall be nonflammable and preferably CFC-free.
DESIGN GUIDE PLATES

4-313
April 2016
4.24. UTILITY ROOM, SURGICAL SOILED (USCL7)
Axonometric
120 NSF / 11,2 NSM
DESIGN GUIDE PLATES
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
GFI 6" AFC
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
54" AFF
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
P6350
SINK, FLUSHING RIM, CHINA
10' - 0"
3048mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES

Floor Plan
120 NSF / 11,2 NSM
4-315
April 2016
9' - 0"
a
12' - 0"
3658mm
10' - 0"
3048mm
SCALE: 3/16 = 1-0

4'
8'
16'
DESIGN GUIDE PLATES


120 NSF / 11,2 NSM
4-316
Elevations 1 & 2
120 NSF / 11,2 NSM
DESIGN GUIDE PLATES

4'
SCALE: 3/16 = 1-0

8'
16'
U0399
VALVE, MIXING,
THERMOSTATIC, EYEWASH
P2000
EYEWASH, WALL MOUNTED, HANDS-FREE
A5107
P3100
LAVATORY, VITREOUS CHINA, SLAB TYPE
M3070
HAMPER, LINEN
M3072
CD030
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
FREE
P6350
SINK, FLUSHING RIM, CHINA
42" SIDE WALL

April 2016
4-317
April 2016

Room Data Sheet
ARCHITECTURAL
POWER
Ceiling Type:
Ceiling Height:
9-0 (2700mm)
Emergency Power: Not required.
Ceiling Finish:
Wall Finish:
Normal Power:
Gypsum Wallboard (Epoxy)
Wainscot:
Notes:
Base:
Resilient Base
Floor Finish:
Resinous Flooring, Welded

Seam Sheet Flooring
COMMUNICATIONS
Data:
Yes
Slab Depression:
None Special
Telephone:
Yes
Sound Protection:
None
Cable Television:
No
Doors:

7-0 (914 mm x 2133 mm)
Wood
Duress Alarm:
No

Control:
Yes
Intercom:
Yes (Phone)

(MID):
No
Nurse Call:
Yes
Code Blue:
No
Public Address:
No
No
VA Satellite TV:
No
(VTEL):
No
LIGHTING
Maintained
Average
300 Lux (30 FC)
Maintained
Average
Illumination - Task
Focus:
Luminaire Type:
Lamps:
Controls:

Prismatic
Lens,
Radio

CONDITIONING
General Requirement: Refer to Soiled Holding/
Disposal Room data sheet in the current version of the VA HVAC Design Manual for room
termperatures, humidity range, room air change
requirements and pressurization.
Notes:
DESIGN GUIDE PLATES

4-318
April 2016


Cold Water:
Yes
Hot Water:
Yes
Waste:
Yes
No
Medical Air
No
Medical Vacuum
No
Oxygen
No

Fire Alarm:
Yes
Sprinkler:
Yes
Hazard Type:
Light Hazard
DESIGN GUIDE PLATES

4-319
April 2016

Equipment List
JSN
NAME
QTY ACQ/INS
DESCRIPTION
A1012
Telephone, Wall
Mounted, 1 Line
C/C
A5075
V/V
Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable

V/V

C/C

V/V

Dispenser, Hand
A5077
Dispenser, Paper
Free
Dispenser, Glove,
Wall Mntd
Cabinet, W/H, 2
Top, 38x30x13
C/C

Basket, Wastepaper,
Step-On
V/V

V/V

V/V

F2010
M3070
M3072
Frame, Infectious
Waste Bag w/Lid
DESIGN GUIDE PLATES

4-320
Eyewash, Wall
P2000 Mounted, HandsFree
P3100
P6350
Lavatory, Vitreous
China, Slab Type
Sink, Flushing Rim,

China
Waste Management
U0126
Waste Management
Fluid Docking Station
Valve, Mixing, TherU3099

mostatic, Eyewash
April 2016
C/C
Wall mounted emergency eye wash station. The flow

of water from the unit is activated by hand. Upon
initiation of water flow the unit will operate hands free
to provide streams of water to clear foreign particles
or dilute caustic liquids from the eyes in emergency
situations. Used in laboratories and areas of the hospital where employees are subject to foreign bodies
or liquid material to the eyes.
C/C

C/C
Flushing rim sink approximately 18 H x 26 D x 22

W. Also called a clinic service sink. Unit is constructed of vitreous china with an integral flushing rim. It
includes: faucet with a fork brace; 6 inch wrist control
handles; plain end spout with bucket hook; stainless
steel spring type front rim guard; and grid drain. If
it is to be floor mounted, a base must be provided.
Unit is used in utility rooms to clean equipment and
materials.
V/V
V/V
Docking station for Neptune 2 surgical fluid waste

disposal system. Interfaces with the Rover to empty
and rinse the Rovers canister(s) of fluid waste. A
detergent dispenser is connected to the docker to
release detergent into the Rovers canister system
automatically. The docker is typically installed in a
utility closet or disposal area.
C/C
Emergency tempering valve thermostatically mixes

hot and cold water to provide a safe fluid supply for
a single emergency eye/face wash with a flow rate of
10 gpm (38.8L)
DESIGN GUIDE PLATES

4-321
April 2016
DESIGN GUIDE PLATES
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
G. Traffic Patterns: Traffic pattern policies and procedures shall be clearly

defined and traffic control practices enforced. The Laboratories should be
made secure. Movement of personnel should be kept at a minimum during
the invasive procedure. Clean and sterile supplies should be separated from
contaminated supplies, equipment and waste. Staff must have a clear understanding of equipment range of motion and possible collision points.
2. MOVEABLE EQUIPMENT AND CARTS
A. Case Carts: Case carts are to be utilized in operative procedures (implantations) and brought to the Laboratories via the clean core area on a
dedicated cart lift or transferred to a clean case cart where the procedure is
completed. These carts are returned to SPS (SPD) in a closed fashion. In
the event that SPS (SPD) is not located below the Laboratories, an alternative traffic pattern for the case carts must be established that isolates the
clean and soiled case cart traffic.
B. Linens: Linens are brought into the Laboratory area by way of the semirestricted corridor. Soiled linen is bagged and removed from the Laboratories via the semi-restricted corridor.
C. Heart Pumps: When performing TAVR/TAVI and other cardiac procedures
a Cardiopulmonary bypass (CPB) pump shall be readily available for use.
Normally the pump is staged within the procedure room however in some
instances it is located in the restricted corridor just outside the procedure
room.
3. POLICIES AND PROCEDURES
A. Policies and procedures for Surgical Attire: Policies and procedures
should be developed, reviewed periodically and readily available for the
Laboratories where surgical attire must be worn, appropriate attire within the
defined areas and cover apparel outside the Laboratories. This also includes
the selection and use of surgical gowns and drapes for the operative procedure.
B. FDA-compliant Surgical Hand Antiseptic Agent: The surgical hand antiseptic agent must be approved by the facilitys Infection Control Personnel
and used for all surgical scrubs in the Laboratories.
C. Policies and Procedures for Surgical Hand Antisepsis: Policies and procedures should be developed, reviewed periodically and readily available in
the Laboratories.
APPENDIX
5-2
April 2016
Yes No
D. Policies and Procedures for Maintaining a Sterile Field: Policies and

procedures should be developed, reviewed periodically and readily available
in the Laboratories. Included are policies for scrubbed persons functioning
within the sterile field, sterile draping, transfer methods of items for the sterile field and constant surveillance of the sterile field.
E. Electrosurgery: Policies and procedures should be developed, reviewed
periodically and readily available in the Laboratories for electrosurgical units.
Proper care, training, competency, exposure to smoke plume generated
should be minimized (smoke evacuation system utilizes) and tracking of the
unit.
F. Policies and Procedures for Sponge, Sharps and Instrument Counts: Policies and procedures should be developed, reviewed periodically and readily
available in the Laboratories.
G. Waste Disposal: Hazardous waste must be identified and disposed of in a
manner consistent with federal laws in the Laboratories.
H. Quality Control Program: A Quality Assurance/Performance Improvement
Program must be in place for the Laboratory procedures.
I. Environmental Cleaning and Disinfection: The environmental cleaning and
disinfection of the Laboratories is consistent with AORN Standards (after
each case and terminal cleaning at the end of the day) with policies and
procedures written, reviewed periodically, and readily available in the Laboratorys practice setting.
J. Patient Skin Antisepsis: Patients undergoing open Class I surgical procedures below the chin should have two preoperative showers with chlorahexidine gluconate (CHG) before the procedure (when appropriate). Hair removal should follow AORN Guidelines. Personnel should receive education and
competency of skin preparation, application and skin assessment. Policies
and procedures should be in place for skin preparation and readily available
in the Laboratory setting.
K. Skin Quality Management Program: A Quality Management Program
should be in place to evaluate skin care and identify any problems or areas
for improvement in the Laboratories.
L. Anesthesia Equipment: The Cardiac Catheterization and Electrophysiology Laboratories utilizing anesthesia equipment should follow the Occupational Safety and Health Administration for the use of anesthesia gases and
equipment. This includes the removal of gases from the environment (anesthesia scavenging system is required).
APPENDIX
5-3
April 2016
Yes No
M. Instrument Care; Contaminated instruments must be contained during

transport from the Laboratories and should be transported in a timely manner to a designated area for decontamination. Appropriate case carts and
metal transportation carts should be provided that prevent contaminated
instruments from being carried by hand through an open corridor.
N. Fire Safety: A written fire prevention and management plan should be
developed. A pre-procedure fire risk assessment must be completed and
documented prior to any operative procedures.
O. Waste Disposal: Hazardous waste must be identified and disposed of in a
manner consistent with federal laws in the Laboratories
P. The Clinical Interventionalist should be consulted with prior to the design
concept phase so that the type imaging modality can be identified and test
fitted into the proposed room together with a reflected ceiling layout to identify any conflict.
4. THE BUILT ENVIRONMENT
A. Design Criteria Guidelines:
1. New Construction: Operating Room Guidelines shall comply with and
follow FGI Guidelines for Surgery and CATH-EP Labs. For Transfemoral
Aortic Valve Replacement (TAVR) procedures in Cardiac Catheterization
Laboratories, Cardiothoracic Surgery Room specifications are required.
2. Renovation Projects: Laboratories will be evaluated on an individual case
by case basis.
3. MEP and Electrical requirements shall be pursuant to the NEC and AHJ
4. Minimum 25 air changes per hour with four low returns preferable, three
absolute minimum.
B. Provide laminar flow to extend beyond the sterile surgical field.
APPENDIX
5-4
April 2016
Yes No
C. Specific Architectural Requirements:

1. Cardiac Procedure Hybrid Room:
Absolute Minimum for Existing Facilities: 850 net square feet (78.7 net
square meters) (28-0 x 30-4), 24-0 min dimension
New and Existing Facilities: 900 net square feet (83.61 net square meters) (29-0 x 31-0), 24-0 min dimension.
Interstitial space above the finished ceiling line is a must to adequately
install and distribute MEP infrastructure.
Reconstructed sites will be evaluated on an individual basis.
2. Control Room: 190 net square feet preferred, 120 NSF minimum
3. Equipment Room: Minimum 120 net square feet and accessible from
the Control Room or the restricted corridor and not accessible from the
procedure room.
4. Lead-lined walls, doors and window frames including leaded glass vision
view panels. Physicist shielding report shall be submitted and approved
by VAMC Chief Facilities Engineer prior to installation.
5. Scrub station located adjacent to the entry door of the Laboratory
6. Clean section (supply space) for surgical supplies, equipment, case
carts, etc.
7. Area under the procedure table is restricted space and cannot be used to
store equipment
8. Area at the end of the table is restricted space due to table movement
9. Ceiling Access Panels: Minimum two foot by two foot for installation
and maintenance of medical gases, electrical and data utilities to ceiling
mounted booms, except in facilities having interstitial floor construction.
10. The finished ceiling height minimum of 9-6 feet clear. The ceiling shall
be sealed, washable and homogeneous.
11. HVAC ductwork shall be fabricated of stainless steel
12. Flooring: Seamless membrane with minimum six inch high flash coving,
sealed at intersection with wall surface.
13. Imaging equipment, ceiling booms, ceiling mounted lights, ceiling mounted utilities, hanging lead facial shield must be coordinated to prevent
collision
14. Minimum 25 air changes per hour with four low returns preferable, three
absolute minimum.
D. Surgical Lighting:
Lighting should be in working order and adequate for illumination of the
invasive field. General lighting and specialty lighting should be on separate
circuits. Surgical lights must have a critical feature of reaching across the
procedure table. General room lighting can be incandescent or fluorescent
and must have the ability to dim.
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
5.2. Site Tours

As an initial step to updating the Space Criteria and Design Guide for the Surgical
Services chapter, the team embarked on a series of site visits to understand
models of care and surgical program design at leading Midwestern facilities on
November 12-13, 2014.
In order to inform the 2016 Design Standard and Space Planning Criteria
Chapter, the following facilities were toured:

Elmhurst Memorial Hospital in Elmhurst, Illinois

Advocate Sherman Hospital in Elgin, Illinois
The Center for Care and Discovery in Chicago, Illinois
Rush University Medical Center in Chicago, Illinois
Edward Hines, Jr. VA Hospital in Hines, Illinois
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
5.2.1. Elmhurst Memorial Hospital, Elmhurst, Illinois
Figure 5.2.1.1
Aerial of Elmhurst Memorial Hospital
Elmhurst Memorial Hospital

Location
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
Elmhurst Memorial Healthcare
Architect
Albert Kahn Associates

Pratt Design Studio
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
lounge, giving doctors easy access to research materials.

A nondenominational chapel with a second-story balcony is adjacent to both
the emergency department (ED) on the first floor and the intensive care
unit on the second floor. Family members and friends of patients in these
critical care areas can access the chapel without having to travel far from
the patient bedside.
Each room has a computer work station with an articulating arm that allows
caregivers to position the monitor where it can be seen easily by the patient.
A stool is provided in every room so caregivers can sit down while speaking
with patients.
To save hospital staff the time spent fetching extra seats for visitors, a folding
chair is stored in a cabinet in the family zone of each patient room. A small
table with leaves that fold down for easy storage can be rolled out from
beneath a counter on the footwall to give family and visitors a place to work,
share a meal or play games with a patient. The idea that families, friends
and loved ones are vital to the healing process is important to the Planetree
approach. At the far corner of each room, the walls meet in a smooth curve
rather than a sharp point, a gesture that has surprising impact on making the
room more comfortable.
Integrated, ceiling-mounted patient lifts are installed in each room for staff
and patient safety. Large bathrooms include roll-in showers sized to enable
staff members to assist patients with bathing. The toilet is positioned away
from the corner of each bathroom, providing room for two caregivers, one on
each side, to help a patient sit or stand. Fold-down grab bars are installed
on either side of the toilet to allow patients to help themselves. A recessed
cabinet in the wall of each bathroom stores bedpans and other commonly
used items.
The project team followed the 90/5 rule in designing the hospital. This rule,
which originated in the aerospace industry, states that 90 percent of supplies
should be stored within five seconds of where they are needed. Nurse
servers in each patient room keep supplies close at hand.
Like the patient rooms, the ED exam rooms are private, each with a private
bathroom. Two doors lead into each exam room; the staff work area is on
one side of the exam rooms and the waiting area is on the other, to reduce
noise and chaos.
A six-bed pediatric inpatient unit is located next to the ED on the hospitals
first floor. The rooms here look into a childrens garden filled with fanciful
blown-glass globes.
APPENDIX
5-13
April 2016
Site Visit Analysis
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
The Navicare system is used to track patients during their surgical

procedures. The system integrates scheduling, patient whereabouts, and
movement within the different levels of care within the surgical program
space. Families can see where their loved ones is at in the surgical
process which can allay anxiety and decrease multiple visits to the surgical
control desk/reception area staff. The system also helps staff better
anticipate patient movement and prepare tasks appropriately. Displays
situated in the OR proper shows the status of patients and also shows
patients movement through the entire surgical timeline from admission
(75% of patients are pre-registered) to recovery. This increases staff
efficiency also patient safety.
Because of operational improvements to process and flow, management
was able to reduce overall turn-around-times and also improve surgeon
block time with on-time starts averaging 90%.
There were a few changes in design that staff would have made. Mobile
storage was used in the ORs and staff would have preferred built-ins. Staff
preferred to have automatic doors into the ORs because they are manual
as designed and pose an extra step to open them. Staff also felt that the
ORs were undersized for the TAVR program.
Central Sterile
The sterile processing department is located on same floor as the
operating rooms for ease of transport of materials and case carts. This
departmental co-location has reduced case time by 10-15 minutes on
average, as per staff. It was mentioned that more storage was needed in
SPD to accommodate growing specialties.
Pre-Op and Recovery Space
The floor plan includes 12 PACU bays and 2 Isolation rooms with
centralized nursing support with visualization to all patient spaces. A minor
procedure room is located near PACU. PACU spaces are open bays with
curtains, not 3-sided walled rooms. Staff prefer the curtained bays for ease
of response between patients, although this can hinder patient privacy and
can affect infection control.
The program utilizes the same Pre-op/Phase 2 Recovery beds for
both their Surgical patients and also their and Cardiac Catheterization/
Electrophysiology/Interventional procedure patients. This results in
a savings of space in the facility and an operational efficiency for the
programs. Staff are cross-trained to care for both types of patients and
report that the combination of cases works well for their patient care model.
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
The Intraoperative Floor

C.6
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
Sterile Core (Restricted)
Mech. / Elec. / Tele.
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
1 General + Specialty ORs are 740-780 sf

5 Minor procedure room near PACU
2 Cardiothoracic OR is 850 sf
6 SPD on same floor as ORs
Reduced
turn-around-time
related
to
operational
3
7 Utilized same Pre-op/Phase 2 Recovery beds for
22.9 23.1
22.2
improvments in flow and surgeon block time

Cohorted Surgery and Invasive cardiology
programs behind the red line
23.9 24.1
25.1
surgery and Cardic cath / EP / IR procedures

Pre-op/Phase 2 Recovery rooms: 12 x 12
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
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
5.2.2. Advocate Sherman Hospital, Elgin, Illinois
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
Advocate Health Care
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
making Sherman one of the largest geothermal healthcare facilities in the

world. Reductions in heating and cooling loads will save over 30 percent in
energy costs annually, with a projected payback period of under six years.
The campus is a metaphor for health, offering opportunities including a
paved lakeside path for patients, visitors, and staff to remain active and
connected with nature. The project was being completed in association with
Loebl Schlossman & Hackl of Chicago and KJWW of Rock Island, Illinois.
APPENDIX
5-24
April 2016
Site Visit Analysis
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
obtain high-quality detailed images of organs inside the body BARRX

HALO offers advanced ablation technology for treatment of Barretts
esophagus Vascular and Interventional Radiologists on staff to perform
minimally invasive image-guided procedures to diagnose and treat
diseases in nearly every organ system
NanoKnife provides a minimally invasive option for patients with
inoperable or difficult-to-reach tumors, including tumors located near
critical structures and major blood vessels in the body.
Staff surgeons perform in a minimally invasive approach to bypass surgery,
thoracic surgery, and valve replacement and repair. The da Vinci System
is being added to the services provided and will be used for urological and
gynecological, and cardiothoracic procedures.
The Advocate Sherman Hospital philosophy of care and operations
embrace the LEAN approach to both patient/material flow and planning
decisions. The staff undertook a detailed and streamlined pathway to
design the surgical program spaces and ensure that waste in operations
was reduced.
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
contiguous to the Surgical program within the semi-restricted zone making

the programs integrated. The two Cardiac Cath rooms share a control
room and the EP lab has its own. Staff related that it was sometimes noisy
in the shared control room.
The floor plan includes staff locker and support spaces as well as an
Anesthesia department work zone including a satellite Pharmacy area and
workroom.
As the group toured it was noted that there seemed to be undersized
equipment storage for the large program.
The program staff utilized a simple white board for tracking patients; a
previous trial of the Cerner tacking board was not preferable to this method
related to inability to fully integrate all of the hospital flow systems into one
platform.
Central Sterile
Central Sterile is located on the same floor as the Surgical program. The
Central Sterile space had no soiled cart holding room. This inefficiency
required that case carts be stored in a back hall and then taken to Central
Sterile for decontamination.
Recovery Rooms
The 17 PACU beds were bays and not 3 sided-rooms. Again, as in other
tour sites, nursing and physician staff stated that they preferred this setup because of ease of monitoring multiple patients at once and quick
response to unstable patient situations. There were 2 negative pressure
isolation rooms in the PACU.
Ancillary Services
The surgical program services were located on the same floor as the ICU
which resulted in a quicker transfer of patients post-surgery to the intensive
care environment. Acute inpatient beds for surgical transfers were located
directly above the procedural platform which results in a fast elevator ride
up to the care area.
The Emergency Department was also on the same floor as the Surgical
Department with General Radiology and CT room imbedded in the
program.
APPENDIX
5-27
April 2016
The Intraoperative Floor
2
8
Legend:
Public Area
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
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
2 Cardiothoracic ORs, only staffed for 1

2 isolation rooms in PACU
PACU beds are bays, not 3-sided rooms
No soiled cart holding room in Central Sterile, carts
are stored in the corridor prior to decontamination
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
5.2.3. Center for Care and Discovery, Chicago, Illinois
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
28 (including Hybrid ORs, not including

GI/ENDO suites)
7 Cath/EP/IR labs
Project Cost
$700 Million
Construction Cost
$470 Million
Opening Date
February 2013
Owner
University of Chicago Medicine
Architect
Rafael Violy Architects

Cannon Design
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
Site Visit Analysis
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
The Centers surgical services layout is organized vertically over several

floors. The program has a total of 22 ORs but is only running 21 rooms.
There are 56 Prep-Phase 2 Recovery rooms on the 6th floor and 54 on the
7th floor.
The majority of the general ORs are approximately 600-700 nsf. Hybrids are
closer to 900nsf. The Prep-Recovery rooms are approximately 110nsf.
There is a strong GME and Residency/Fellowship training program.
There is a systematic process for evaluating surgeon block time with
continuous monitoring for maximum efficiency.
There is an integrated nurse call and radiation sensing for staff in the
procedural area.
Procedure Rooms
The Center does not have an integrated platform for Cath/EP/IR and the
Surgical OR area. The programs are on a separate floor. The EP/Cath Lab/
IR spaces are on the 5th floor and the main OR suites are on two others
above. There are 6 EP labs and 5 Cardiac Cath labs.
There is plentiful storage throughout the floorplan with storage opportunities
for sterile and clean supplies in the core area.
The facility does have a hybrid TAVR program and staff commented that the
hybrid room is adequate for their needs. There is clear floor space related to
ceiling-mounted booms in all of the ORs.
There is adequate expansion ability for technology in the ORs and procedural
rooms, including Cath Labs. There are both single and biplane equipped IR
rooms in the facility. The proximity of the Cath Labs to the cardiovascular
surgeon workspace is beneficial to the overall workflow of the center.
Cath labs share a sterile core for supplies and there seems to be adequate
storage space and this is preferred instead of having a large amount of
supplies in the rooms. The labs have image recording capability for image
streaming with 60 screens which the physicians recommend. The cardiac
suites share a control room which staff relate makes it noisy at times.
However, staff note quick response times to emergency between Cath Labs
because of the shared control space. There are 7 IR rooms, 2 biplane and 1
single plane modality set-ups.
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
Site Visit Analysis - Intraoperative Floor 5
1
3
6
Legend:
Public Area
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
APPENDIX
5-38
April 2016
Key Notes:
1
2
3
4
Adequate storage for procedure rooms

Flexible Pre-Recovery Phase 2 unit
Ample vertical transportation to patient care units
Prep-Recovery for Procedure zone
5 Adjacent MRI
6 Interventional Radiology rooms
APPENDIX
5-39
April 2016
Site Visit Analysis - Intraoperative Floor 6
3
2
Legend:
Public Area
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
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
APPENDIX
5-45

April 2016
5.2.4. Rush University Medical Center, Chicago, Illinois
Figure 5.2.4.1
Aerial of Rush University Medical Center
Location
Chicago, Illinois
Total Area
830,000 sf
Floors
14
Beds
304
Operating Rooms
28 (including Hybrid ORs, not including

GI/ENDO suites)
12 Cath/EP/IR labs
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
facilities to create a new continuous interventionalplatform. Part of the

ground level of this base contains an emergency department, which has
been designed to be an advanced emergency response center for the City
of Chicago. The geometry of the bed tower maximizes views and natural
light for patient rooms while also creating an environment for efficient and
safe health care.
The massing and architectural expression of the north, south and east
respond to the differing surrounding conditions. The north elevation is simple
and large in scale, similar to the adjacent freeway. The east elevation works
in tandem with the orthopedics building to create and reinforce the new entry
boulevard from Ashland. The south elevation weaves the rectilinear and
curvilinear geometry of base and bed tower together to scale the building
down to relate to the environment of the entry boulevard. The difference
in north and south elevation also responds to the internal organizations of
the base. The simpler north elevation expresses the back of house staff
connection corridors. The more layered and scaled down south faade
contains the public elements of the base, such as lounges and waiting areas.
At the junction of the new and old hospital is a multi-story entry pavilion.
Its roof is landscaped to provide a patient and staff garden at fourth floor
that has upper level patient check-in facilities and connects by bridge to the
existing parking structure and. Skylights act as sculptural elements for the
roof garden and provide natural light for the entry pavilion below. The walls
of one of these skylights penetrate through the floor below and introduces
an exterior landscaped space without compromising internal contamination
issues associated with plantings.
The new hospital tower was planned from the inside out, with caregivers
playing a central role in the evolution of buildings design. They collaborated
with the architects to emphasize patient comfort, safety, efficiency and quality
of care. Along with the caregivers, there was also input from patients and
visitors. Patients and families voiced their design concerns to the architect
and offered suggestions on how to create the ideal patient experience. The
architects made these plans come to life with their innovative design, while
creating a distinctive, appealing building shape.
APPENDIX
5-48
April 2016
Site Visit Analysis
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
Site Visit Analysis - Level 4 Intraoperative Floor
Legend:
Public Area
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
APPENDIX
5-52
April 2016
Site Visit Analysis - Level 7 Intraoperative Floor
7
4
3
6
Key Notes:
1
2
3
4
Family waiting area

Pre-op/Recovery Phase 2 beds
PACU area
Larger Ortho and Neuro ORs
5 Typical approximate 650nsf OR

6 Vertical transportation to patient care units
7 Central Sterile dedicated elevators
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
APPENDIX
5-55
April 2016
5.2.5. Edward Hines Jr. VA Hospital Hines Illinois
Figure 5.2.5.1
Aerial of Edward Hines, Jr. VA Hospital
Edward Hines, Jr. VA Hospital

Location
Beds
Operating Rooms
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
Site Visit Analysis
Figure 5.2.5.3
Aerial View of Edward Hines, Jr. VA Hospital
Site Visit Analysis

The surgical programs 9 ORs moved to their new space in July 2014 and
were relocated from the Basement floor. Because of the large size of the
surgical area, overhead paging is required.
A separate Non-Invasive and Invasive Cardiology department area is
located on the first floor near the Emergency Department. There are 2
Cardiac Cath suites with a shared control room and patient Prep-Recovery
area.
Procedure Rooms
There are 8 general ORs and 2 Cystoscopy rooms with an additional Cysto
Minor Procedures room. The facility has a hybrid room that is of adequate
size. The hybrid room (OR #8) is configured with GE imaging and a bid has
been put out to replace with new imaging equipment.
There are built-in pass-through cabinets that staff appreciate. The
procedure rooms do not have integrated Pyxis or Omnicells for medication
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.
Pre-op and Recovery Spaces

There are 18 Pre-Op/ Phase 2 Recovery rooms. The rooms are 3-sided
walled with sliding glass doors that break away in three-leaves. This
increases patient privacy and decreased the chance of infection. There are
multiple negative-pressure isolation rooms in this area as well.
There are decentralized nursing stations for iincreased staff coverage
in Pre-Op/ Phase 2 Recovery for delivering care closest to the patient.
Patients can be assigned any room for their stay and often come back to
their same room or recover first in the PACU area.
There were no monitors installed in the rooms. They were bought
separately after the renovation. The bulk of the current monitors were
moved from the previous basement location in December 2014 and
the area will receive 27 monitors for all of the rooms plus a several for
redundancy.
The PACU area has a traditional cubicle configuration with good visibility
from the main staff station.
There is shared family waiting between patient types for ICU, Pre-Op and
Post-Op Recovery/PACU. Staff commented that they would have preferred
to have separate waiting for the ICU patients families.
APPENDIX
5-59
April 2016
Site Visit Analysis - Intraoperative Floor
1
7
Legend:
Public Area
Staff Circulation
Elevators / Stairs
Support
Patient Room
Central Sterile
Procedure Room
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
5.3. The Interventional Suite

As discussed in previous chapters surgical procedures and interventional
radiology are quickly converging into the same integrated platform. Two
examples of the successful implementation of this concept are Palomar Medical
Center in Escondido, CA, and Trinity Mother Frances Hospital in Tyler, TX. In
both examples it is interesting to note that the two departments are collocated
with access only from the semi-restricted corridor. Support spaces are shared
and the patient flow for either department occurs through the same prep and
recovery areas.
Palomar Medical Center
The 11-story, 740,000 SF facility houses 12 operating rooms and 6 interventional
radiology suites on the 2nd floor. These 18 rooms are divided into 3 clusters
around sterile cores and are accessed via a semi-restricted corridor. A direct
connection into the pre- and post-operative patient area is also provided.
APPENDIX
5-63
IMAGING GROWTH
ZONE
April 2016
Trinity Mother Frances Hospital

With the completion of the Ornelas Tower, 11 new surgical suites were added to
Mother Frances Hospital with a potential for an additional 5 rooms that can be
added in the next phase of construction. A total of 6 cardiac catheterization labs
is also availabe, 2 of which are embedded in the interventional suite with access
off the semi-restricted corridor.
1,698 DGSF
PHASE II RECOVERY
PREP 6,988 DGSF
IVE
NIT
S
GSF
ENDO
CATH LAB
INTERVENTIONAL PROCEDURE SUITE
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

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2.2.6. Electrical Systems

3.0 FUNCTIONAL DIAGRAMS

4.0 DESIGN STANDARD PLATES FLOOR PLANS, REFLECTED CEILING PLANS,

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4.4. Clean Workroom, Anesthesia (ANCW2)

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Reflected Ceiling Plan

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Storage, Clean TEE Probe (TRTE3)

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Lloyd H. Siegel, FAIA

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National Director of Surgery

National Director of Cardiology

Director, Interventional Cardiology, San

Chief, Interventional Radiology, James A. Haley

William Nylander, MD, MBA Deputy National Director of Surgical Services,

Physician, VA Pittsburgh Healthcare System,

Physician, Portland VA Medical Center,

Director, Anesthesia Services, Chair of National

Nurse Manager, Cardiology, Jesse Brown VA

Cathy Clark, RN RCIS MS

Interim National Cardiology Nurse Manager,

Clinical Nurse Advisor for Perioperative

Chief Nurse, Minneapolis VA Medical Center,

Surgical Services Design Guide

Julie Wagner, RN, CNOR

Nurse Manager, Minneapolis VA Medical

Assistant Nurse Manager, Cardiology

Nurse Manager, Cardiology

Executive Director, Office of Construction &

Lloyd Siegel, FAIA

Associate Director, Office of Facilities Planning

Donald L. Myers, AIA

Director Facilities Standard Services

Zoltn John Nagy,

Subject Matter Expert Surgical and

Fei (Linda) Chan,

Senior Healthcare Architect

Senior Healthcare Electrical Engineer

Senior Healthcare Mechanical Engineer

Senior Healthcare Mechanical Engineer

Principal Healthcare Interior Designer

Surgical Services Design Guide

Allen Whitaker, AIA

April Dirmeitis, RN, MSN

Colleen Malloy White

Susan Myers, RN, MSN

Alternate Project Manager

Mechanical Department Manager

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