SPD 74

Department of Veterans Affairs
Office of Acquisition and Materiel Management Distribution Programs Division Office of Construction Management Facilities Quality Office Standards Service
September 30, 1994
Foreword
The material contained in the Supply, Processing, and Distribution (SPD) Design Guide is the culmination of a partnering effort by the Department of Veterans Affairs Office of Acquisition and Materiel Management and the Facilities Quality Office. The goal of the Design Guide is to ensure the quality of VA facilities while controlling construction and operating costs. This document is intended to be used as a guide and a supplement to current technical manuals and other VA criteria in the planning of SPD facilities. The Design Guide is not to be used as a standard design, and use of this Design Guide does not limit the project Architects' and Engineers' responsibilities to develop a complete and accurate project design that best meets the users' needs and applicable code requirements.
Lloyd H. Siegel, FAIA Director, Facilities Quality Office
________________________________________
Charles E. Roberson Associate Deputy Assistant Secretary for Materiel
________________________________________
VA Design Guide Supply, Processing, & Distribution
Foreword
September 30, 1994
Contents
Section 1 ............. Acknowledgments, Introduction, Abbreviations, and Legend of Symbols Section 2 ............. Narrative Section 3 ............. Relationship Diagrams and Generic Layout Section 4 ............. Design Guide Plates and Design Standards: General Rooms Section 5 ............. Design Guide Plates and Design Standards: Areas Specific to SPD Section 6 ............. Satellite Outpatient Clinic Section 7 ............. Miscellaneous
Contents
September 30, 1994
Section 1 Acknowledgments, Introduction, Abbreviations, and Legend of Symbols

Page Acknowledgments ............................. 1 - 1 Introduction ....................................... 1 - 3 Abbreviations .................................... 1 - 5 Legend of Symbols ........................... 1 - 7
Contents - Section 1
September 30, 1994
Acknowledgments
Credit is due to the following individuals whose guidance, advice, and effort made this publication possible:
OFFICE OF ACQUISITION AND MATERIEL MANAGEMENT

Gary Krump Deputy Assistant Secretary for Acquisition and Materiel Management
OFFICE OF CONSTRUCTION MANAGEMENT

C. V. Yarbrough Associate Chief Medical Director for Construction Management Deputy Associate Chief Medical Director for Construction Management Director, Facilities Quality Office Committee Co-chair; Director, Standards Service Bobby Osburn
DISTRIBUTION PROGRAMS DIVISION

Charles E. Roberson Robert T. McKenna Charles D. Paige Associate Deputy Assistant Secretary for Materiel Chief, Distribution Programs Division Distribution Facilities Specialist; Committee Co-Chair Distribution Facilities Specialist
Robert L. Neary, Jr.
Lloyd H. Siegel, FAIA Leo A. Phelan, AIA
Joel Cadiz William H. Cable Mark G. Hall Debra Bonarti, Assoc. AIA Elizabeth Bunn, CIPE Sheila C. Jackman
Design Guide Developer, Standards Service Architect, Standards Service Architect, Standards Service Architect, Standards Service Engineering Technician, Standards Service Secretary, Standards Service
SUPPLY, PROCESSING & DISTRIBUTION ADVISORY COMMITTEE

Tom Smith Chief, Acquisition & Materiel Management, VAMC Beckley, WV Chief, SPD, VAMC Beckley, WV Chief, Acquisition & Materiel Management, VAMC Dayton, OH Chief, SPD, VAMC Dayton, OH Chief, Acquisition & Materiel Management, VAMC Minneapolis, MN Chief, SPD, VAMC Minneapolis, MN
Raymond T. Trail Lee Doran
James Lambert Tim Dacy
Dan Colagrande, RA Don Walden E.T. Minter Evaldo Guillama Barry Woods Dave Armstrong
Architecture Mechanical Engineering Plumbing and Sanitary Engineering Electrical Engineering Equipment Equipment
William Stewart
CRITERIA, POST OCCUPANCY EVALUATION, AND PLANNING SUPPORT SERVICE

Yvonne Kirscht Space Planning Criteria
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Introduction
The SPD Design Guide is intended to be a graphic consolidation of existing Department of Veterans Affairs standards and criteria. It contains data from the following sources: The Design Guide for Supply, Processing, and Distribution was developed as a design tool to assist health care professionals in better understanding the choices that designers ask them to make, and to help designers understand the functional requirements necessary for proper operation of SPD. The guide plates contained in the SPD Design Guide are intended as illustrations of VA's space needs (e.g., furniture, equipment, personnel, etc.). They are not meant to limit design opportunities. This Design Guide is not intended to be project specific. While it does contain the majority of spaces that now are required in SPD, it is not possible to encompass all possible future requirements. Therefore, it is recommended that the project-specific space program be the starting point for an individual project design. In addition, it is important to note that the guide plates are a generic graphic representation only. Equipment manufacturers should be consulted for actual dimensions and utility requirements. Use of this Design Guide does not compromise the project Architects' and Engineers' responsibilities to develop a complete and accurate design that meets the user's needs and appropriate code requirements.
H-7610 Space Planning Criteria H-08-3 Construction Standards H-08-4 Standard Details H-08-13 Barrier-Free Design Handbook PG-7610 Equipment Guide List PG-08-1 Master Construction Specifications PG-08-6 List of Equipment Symbols PG-08-10 Design Manuals PG-08-14 Room Finish and Door Hardware Schedule Consensus information from SPD Chiefs of various VA Medical Centers. Distribution Programs Division
The Design Guide refers to the above mentioned sources when data is either too detailed or too broad to be included in this guide.
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Abbreviations
A.................... Amperes AC/HR ........... Air Changes Per Hour ADA............... Americans with Disabilities Act AFF ............... Above Finished Floor AI................... Acquisition and Installation A&MM............ Acquisition and Materiel Management AR ................. As Required AT.................. Acoustical Ceiling Tile C.................... Degrees Celcius CC ................. Contractor Furnished and Installed Construction Funds for Equipment and Installation CF ................. Construction Funds For VA Furnishing of Equipment and/or Installation CFM............... Cubic Feet per Minute CLG............... Ceiling CM................. Office of Construction Management CMU .............. Concrete Masonry Unit CP ................. Carpet (without cushion broadloom) CS ................. Construction Standard CT ................. Ceramic Tile DISC SW ....... Disconnect Switch EtO ................ Ethylene Oxide Gas EXH .............. Exhaust F .................... Degrees Fahrenheit FC ................. Foot-candle FD ................. Floor Drain FIXT .............. Fixture FLUOR .......... Fluorescent GFI................ Ground Fault Interrupter GWB ............. Gypsum Wallboard HAC .............. Housekeeping Aids Closet HVAC ............ Heating, Ventilation, and Air Conditioning HP................. Horsepower HR................. Hour ICU................ Intensive Care Unit KW ................ Kilowatt LB ................. Pound/Pounds LLTS ............. Lounge, Lockers, Toilets, and Showers MCS .............. Master Construction Specifications MTD .............. Mounted NA................. Not Procured with Activation Funds NFPA ............ National Fire Protection Association NSF............... Net Square Feet NSM .............. Net Square Meters OSD .............. Open Site Drain PCP .............. Portland Cement Plaster PH................. Phase PL ................. Plaster PREP ............ Preparation PSIG ............. Pounds per Square Inch Gauge QT................. Quarry Tile RB................. Resilient Base SC................. Special Coating (High Build Glazed Coating) SD................. Standard Detail SF ................. Square Feet, Square Foot
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SPD ...............Supply, Processing, and Distribution SOPC ............Satellite Outpatient Clinic SS..................Stainless Steel TELEC ...........Telecommunications UFAS .............Uniform Federal Accessibility Standards V ....................Volts VA..................Department of Veterans Affairs VACO ............Veterans Affairs Central Office VAMC ............Veterans Affairs Medical Center VC .................VA Furnished and Contractor Installed Medical Care Appropriation for Equipment, and Construction Funds for Installation VCT ...............Vinyl Composition Tile VHA ...............Veterans Health Administration VV..................VA Furnished and Installed Medical Care Appropriation for Equipment and Installation W ...................Watts
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Section 2 Narrative
Page Narrative............................................ 2 - 1
September 30, 1994
Narrative
Mission
Supply, Processing, and Distribution (SPD) is organizationally aligned under Acquisition and Materiel Management Service. The mission of SPD is to provide a steady flow of patient care supplies and equipment to points of need, and to return contaminated items to a central decontamination area. The accomplishment of this mission requires quick and efficient service to all departments dependent on SPD for indirect patient care. SPD is the first line of defense against harmful microorganisms. Contamination prevention is achieved by closely monitoring the following elements: of SPD, the Hospital Administrative Officer, and the VA Central Office during the design phases. In each instance, the reviews must thoroughly examine the plans. Planning changes and design errors must be addressed as early as possible to avoid costly change orders during construction.
Processing and Distribution Methods

SPD is divided into three main units/areas. The first unit is Decontamination, where all reusable medical and surgical items are sent for cleaning. It is important to keep in mind that contaminated materials do not use the same path as the clean materials. The second unit is Preparation. In this unit items are inspected and packaged for sterilization. Most sterilization is accomplished by using steam; or, in the case of materials that cannot withstand intense temperatures, ethylene oxide (EtO) gas (or another suitable chemical) is used. Materials undergoing EtO sterilization must be adequately aerated to ensure no hazardous traces are left on devices. The final unit in SPD involves the Distribution Process, including distributing surgical case carts. This unit is further subdivided into Primary Stock and Secondary Stock. Primary Stock are all the supplies that are stored within the confines of the SPD department. Secondary Stock are materials in user areas such as wards, clinics, nursing care units, and intensive care units.
Air Flow: To minimize microorganism movement from dirty to clean areas. In clean areas there is a positive air flow. Staff Flow: Personnel work either on the clean side or the dirty side of the SPD unit to avoid cross contamination. Work Flow: Refers to the movement of clean (sterile) supplies and the return of contaminated items for decontamination and sterilization.
Communication
The single most frequent source of user dissatisfaction during both the design and construction phases is failure of communication and interaction among parties with an interest in and responsibility for the project. The Office of Construction Management selects the architect/engineer (A/E) with VA medical center representation on the Selection Board. The A/E bases the design on VA criteria. Costs are fixed at the end of design development; therefore, extensive changes must be avoided beyond this point. Plans should be reviewed by the Chief of Acquisition and Materiel Management, the Chief
Trends In SPD
One trend impacting SPD is the increasing complexity of many surgical procedures such as laparoscopy, endoscopy, laser, micro vascular, and more complex surgeries. SPD's role has become more technical in nature, by the
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expansion of its supply, processing, and distribution role to include inventory control, equipment cleaning and testing, and other duties which have not traditionally been SPD functions. Other trends include stricter protection of healthcare workers. Since pathogenic organisms (serum hepatitis, AIDS and HIV) have become known, protection for SPD staff has become more of an issue for concern. facilities that provide precise environmental control yet are flexible to accommodate future needs. Environmental considerations most critical to SPD are: temperature, humidity, ventilation, light, and protection from contaminants. Facility design is crucial to the efficiency and effectiveness with which these needed environmental conditions are met. Design features deserving particular attention include:
Architectural Aspects
Separation of soiled areas from sterile areas Restricted areas Containment area for EtO gas Heating, ventilation, and air conditioning (HVAC Systems) Room relationships (regarding function and staff utilization) Modularity of design/flexibility Interior surfaces and finishes
Location
Many architectural considerations play a role in deciding the ideal location for SPD. In order for SPD to provide fast and efficient service, it must be located in an area which will facilitate the delivery of supplies throughout the medical center in a minimum amount of time. In addition to issuing supplies and equipment, SPD receives soiled reusables back for reprocessing to complete the cycle. SPD accepts fresh supplies to store, issue, and inventory, as well as issue replacements for damaged, useless items. If SPD is not adjacent to the hospital warehouse and loading dock, a simplified route from these areas must be carefully planned. Easy accessibility to SPD is key and is determined by the materials handling system within the facility. Halls, ramps, and elevators of sufficient capacity need to accommodate carts used to distribute supplies. SPD should be located where some degree of high speed automation of delivery (direct line cart lift, conveyor, dumbwaiter, tube system) can be maintained where emergency situations most commonly occur (operating rooms, recovery, and intensive care units). It is important that SPD have two separate and dedicated cart lifts or dumbwaiters (one for soiled and one for clean) to transport patient care items.
Space Planning Criteria

Space planning for the SPD facility is addressed in VA Handbook H-7610, which is the basis for developing all VA projects. This handbook outlines the space requirements needed to design a functionally effective SPD department. In multidivisional medical centers, total space for SPD is based on the combined workload of all divisions. The following means of increasing the efficiency of space utilization should be addressed:
Environmental Requirements
The processing of medical and surgical equipment, linens, and case carts requires
Sufficient amount of floor space for parking returned soiled carts adjacent to sorting work stations is important to achieve efficient work flow. Space for cart queuing is determined using verified workload figures. The cart and equipment wash area must be immediately adjacent and interconnected to the soiled receiving and decontamination area.
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Work stations and equipment for cleaning soiled items must be located in a manner to facilitate unidirectional flow of work towards the clean side of SPD. The decontamination area is totally separated from the clean area and its staff is confined to this space; therefore, the staff must be provided with its own lounge, lockers, toilets, and shower facilities (LLTS). Space for this function is determined by staffing and workload projections on a project by project basis. If an automatic cart wash is required, an additional 5 NSM (53.8 NSF) is required for the integrated drying chamber. In the Preparation, Assembly & Sterilization Area sufficient space must be provided in front of the sterilizers for loading and unloading the sterilizer carriages and for cooling after the sterilization cycle. The EtO sterilizers/aerators, should be in an enclosed room inside the Preparation, Assembly & Sterilization Area. Loading/unloading zone access to the sterilizers must be included in this room. SPD). The instruments are thoroughly inspected, assembled, packaged, and sterilized (using the appropriate sterilizer; either steam or EtO gas), and then stored in the Sterile/Nonsterile Storage Room adjacent to the Preparation, Assembly & Sterilization Area for future use. Refer to Section 3, Room Relationship Diagrams for examples of suggested room relationships, recognizing however, that the needs of individual healthcare facilities may determine deviations from the diagrams.
Functions of Areas Within SPD
Clean Receiving and Breakout Area: This is where supplies enter the SPD from the clean side of the loading dock and are removed from their shipping containers prior to entry into the clean/sterile storage area. Bulk Storage Area: Incoming containers that remain sealed are stored temporarily in the Bulk Storage Area. Clean/Sterile Storage Area: Supplies are stored here prior to being delivered to users. These items consist of reusables and disposables, and may already be sterilized or awaiting sterilization. Receiving, Cleaning, and Decontamination Area: Contaminated reusable instruments and supplies are received, sorted, cleaned, decontaminated, and presterilized in this area. The room must be physically separated from the other SPD areas. This area should be provided with direct access to locker, lounge, toilet, and shower facilities where personnel assigned to this area can change clothing before entering/exiting. Manual Equipment Wash Area: Equipment and carts are decontaminated in the manual equipment wash area. Automatic Cart Wash Area: This area houses a cart washer that must have drying capabilities.
Room Relationships & Adjacencies

An efficient and functional work flow must determine spatial arrangements for all SPD activities. Soiled materials (medical and surgical instruments) are returned to SPD via a vertical transport system (case cart lifts, elevators, or dumbwaiters) directly to the Soiled Receiving and Decontamination Room to be reprocessed. This room should be adjacent to the Preparation, Assembly & Sterilization Area. These two rooms are separated by a wall, with pass-through sterilizer chambers installed within the wall. A pass-through window must be available for small items proceeding from decontamination to the prep area. Maintenance access doors to the sterilizer must also be available. Materials that have been cleaned are placed into the washer/sterilizer, processed, and the instruments retrieved at the Preparation, Assembly & Sterilization Area (clean side of
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Preparation, Assembly & Sterilization Area: Decontaminated, clean instruments and other reusable medical devices are inspected, assembled onto trays and sets, and wrapped or packaged for terminal sterilization. Linen Processing Area: Clean reusable linens are inspected, patched, folded, and assembled into packs. This area is to be provided only if the function is not delegated to Environmental Management Service, Laundry Division. Equipment Testing and Storage Area: Clean medical equipment is tested and stored here until issued. This area must be located so as not to interfere with the work flow traffic of the clean/sterile storage area. Dispatch Area: Control of receiving and issuing of supplies and equipment is maintained at the Dispatcher's Control Station. Volunteers Work Area and Technician Training Room: This dual purpose room serves as a working space for SPD volunteers, as well as a retraining area for SPD technicians, and new equipment demonstrations. Housekeeping Aids Closet: Cleaning supplies need to be maintained in dedicated closets; one for the decontamination area, and another for the clean areas. Administrative Area: This area contains office space for the Chief of SPD, supervisors, and clerical staff. specialists in order to accommodate sterilizing equipment specified for the project. Any request for deviation from HVAC design criteria must be approved by the VA and occur no later than the design development stage. The following represents the highlights of the mechanical system design for SPD. Refer to the VA HVAC Design Manual for further design requirements.
HVAC System
The entire SPD area should be under negative pressure with respect to adjoining areas. See the HVAC Design Manual for Hospital Projects for additional requirements. A dedicated 100% outside air handling unit with constant volume reheat should be provided for SPD to serve each of the following areas:
Soiled Receiving and Decontamination Room (Negative Air Pressure) Preparation, Assembly & Sterilization Area (Positive Air Pressure) EtO Gas Enclosure (Negative Air Pressure) Steam Sterilizer Enclosure (Negative Air Pressure) Preparation and Inspection of Surgical Linens and Packs (Positive Air Pressure) Sterile/Nonsterile Pressure) Storage (Positive Air
Separate dedicated exhaust systems should be provided for each of the following spaces:
EtO Sterilizers Cart and Manual Equipment Wash General Exhaust of entire SPD suite, including steam sterilizers.
Engineering Considerations
Mechanical (Heating, Ventilating, and Air Conditioning)
An adequate heating and ventilating and air conditioning (HVAC) system is a critical element in planning for SPD and requires careful evaluation. The mechanical engineer should coordinate with the architect and equipment
Since air is a very good carrier of contaminating agents, air in the Soiled Receiving and Decontamination unit should never mix with air in the Preparation and Inspection unit. It is imperative that the soiled areas have a negative air pressure and the clean areas have a positive air pressure. Conditioned air should be supplied to all SPD areas at a minimum rate of 10 air changes per hour (10 AC/HR).
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Reconditioning of the medical and surgical instruments and utensils is dependent upon the temperature and humidity. The Soiled Receiving and Decontamination Area, and the Preparation, Assembly & Sterilization Area should have individual room temperature and humidity controls to maintain 24C (76F), 50% relative humidity (RH) in the summer and 22C (72F), 30% relative humidity (RH) in the winter months.
Lighting
Lighting in SPD is dependent on the functions associated with the various rooms. Lighting should be uniform, automatic, and individually controlled to ensure consistency. Task lighting is needed where specific tasks are performed. Separate switches should be used so that during off hours task lighting may be turned off. Furthermore, lights in the Preparation and Sterilization area and in the Soiled Receiving and Decontamination area should be recessed to facilitate cleaning. Light fixtures in the Auto Cart Wash and the Manual Equipment Wash should be waterproof, and surface mounted. Dust and moisture resistant fixtures must be used where humid conditions are present.
Utilities
When SPD is located on the ground floor, some experience problems with wet packs in their steam loads. It has been determined that this is due to steam pipes feeding from above the sterilizers. It is advisable that steam pipes should enter from below the sterilizer.
Emergency Power Floor Drains

The Manual Equipment Wash Area requires a floor drain. A floor drain for this area should have a minimum 100 mm (4 inch) diameter outlet, and be covered by a grid or strainer. Location of the drain should be at the center of the room with the floor sloping toward the drain at a rate of no less than 3 mm per 25 mm (1/8 inch per foot), and no more than 6 mm per 25 mm (1/4 inch per foot). The floors outside both doors of the Manual Equipment Wash Area should slope back toward the drain. Since ventilation and adequate temperature are integral in the function of SPD, the mechanical system must always be connected to the emergency electrical system to insure a constant source of electrical supply. Airflow is crucial to SPD, thus ventilation must always be operational to prevent cross contamination. Because EtO is flammable, extremely reactive, highly explosive, and a potential carcinogen, every sterilizer and aerator must have a dedicated exhaust system to the outside of the building. Vents must not terminate close to any air induction systems. EtO gas release monitors should be placed outside of the EtO Sterilizer room in both the Soiled Receiving and Decontamination Area and the Sterile Preparation Area, as a warning system for potential EtO leaks. The EtO gas release monitors must be connected to the emergency power supply, ensuring that the monitors are operational at all times. All sterilization equipment should be connected to emergency power.
Electrical
SPD processes pumps, monitors, and other electronic devices that are used in patient care. These devices are rechargeable and must be calibrated in the Equipment Testing and Storage Area. A sufficient amount of power strips must be provided to handle the amount of electronic equipment brought down to SPD. Computer (ADP) outlets should be installed in the Administrative Offices, Computer Room, and the Dispatch Area for use of the computers. Refer to the VA Electrical Design Manual and H08-4, Vol. 4, for further information.
Telecommunications (intercom system)

An interdepartmental intercom system is a convenient way for SPD employees to
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communicate with personnel in other sections of SPD. Intercom outlets should be placed in the Soiled Receiving & Decontamination Area; Preparation, Assembly & Sterilization Area; and Dispatchers Control Station. Exact location of the outlets in those areas depends on the floor plan of individual SPD sections, and should be coordinated with the Chief, SPD. Equipment operation manuals should always be retained for future consultations by SPD technicians, and maintenance personnel. NOTE: Refer to PG-7610, VA Equipment Guide List and PG-08-6, VA Equipment Symbol List for further information. CONSTRUCTION NOTE: Frequent reviews of the VA Equipment Guide List should be made by a Project Coordinator and the Chief of SPD, to ensure that equipment specifications correspond with existing requirements. Furthermore, it is imperative that the equipment selected and installed by the user conforms to the voltage and phase supplied during construction. Thus, the Architect/Engineer (A/E) should note on the construction documents the voltage and phase at each special outlet to insure compatibility with equipment to be used by SPD.
Concerns Specific to Supply, Processing & Distribution

Equipment
Fixed equipment may be purchased and installed by the contractor (CC), or purchased by the user and installed by the VA or the contractor (CF), or purchased and installed by the user (VV). If purchased by the contractor, specifications must be clearly written. Certain items are obtained as "initial portable equipment" or "activation equipment." The Chief of SPD operations at each VA medical center, or an SPD technician, are knowledgeable about equipment styles and types that best meet the needs of the facility, and should guide the selection of equipment. In purchasing equipment not listed in GSA catalogs, specifications must be sufficiently detailed to assure quality acquisition. The selection of equipment should proceed along with facility design in order that utility and space requirements are considered during design development. Careful attention must be given to the location and capacity of electric outlets, water and steam supply, drains, vacuum, exhaust ducts and other utilities to insure compatibility with the equipment to be installed. Utilities and their locations are shown on the Guide Plates and are not project specific. It is the responsibility of the person selecting the equipment and the project designers to determine the adequacy of utilities in each space.
Sanitation Equipment
Frequent and thorough cleaning of shelves and room surfaces is essential to prevent build up of dust and unwanted particles which may contaminate medical and surgical supplies. Room walls are manually scrubbed with either a detergent and/or disinfectant. Thus, to facilitate cleaning, walls are typically treated with a smooth finish. Floors in the Soiled Receiving and Decontamination room may be damp mopped or cleaned with an electric floor scrubber. In the Sterile/Nonsterile storage room however, cleaning with a damp mop will suffice. Generally, storage shelves in the Sterile/ Nonsterile storage room are kept 200 to 250 mm (8 to 10 inches) above the floor to facilitate cleaning. The Manual Equipment Wash Area, because of its function, is an enclosed room and accessible by a pair of swinging doors at either end. A high pressure sprayer is to be used in cleaning equipment in this area.
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Sonic Cleaner
When surgical instruments and similar hospital type hardware are brought to SPD for decontamination and sterilization, they are placed in the sonic cleaner. Sonic cleaners are single or double chamber devices using sonic energy to clean instruments in a water-soap solution. VA HVAC Design Manual for EtO exhaust system design requirements.
Auto Transport System

Distribution of medical and surgical supplies and equipment is accomplished by a combination of manual vertical and horizontal transport systems. The distribution process is often cumbersome, time consuming, and requires many personnel (as with nurses) whose primary responsibilities pertain to patient healthcare. This has prompted the VA to explore the possibilities of installing an automatic transport system. An automatic system replaces a portion of the manual labor involved in materials handling with one of a number of varieties of electromechanically controlled apparatus designed to transport supplies between where they are stored or cleaned and where they are needed. The carts for the system are equipped with container modules where supplies can be sealed, therefore eliminating the possibility of cross contamination. From a central control station, the carts can be guided to make one or a series of stops throughout the hospital. When it has completed its distribution cycle, it can be used to return soiled items to the hospital's central processing area. After the cart has been emptied, it goes through an automatic washersterilizer, where the carts are decontaminated and sterilized. There are several VA medical centers that have installed an automatic distribution system in their hospitals. The first one to have done so is the medical center in San Diego, California, which was installed in the early 1970s. Since then some other VA medical centers that have followed suit are: Minneapolis, Minnesota; Houston, Texas; and Bay Pines, Florida. The installation of an automatic transport system is not standard for newly constructed or newly renovated medical centers and should be considered on a project by project basis. It must be noted however, that the installation of an automatic transport system is not the sole decision of SPD, although SPD
Washer/Sterilizer
After the instruments have undergone ultrasonic cleaning, they are placed into the washer/sterilizer. The instruments are washed a second time before final sterilization. Again it should be noted that after the secondary wash cycle, the instruments are decontaminated, but not sterilized. It is at this point that the instruments can now be sterilized in the washer/ sterilizer. The difference between a washer/ sterilizer and a typical sterilizer is that the washer/ sterilizer is for decontaminating as well as terminal sterilization. The steam sterilizer is solely for terminal sterilization.
Sterilizers (Steam)
After surgical instruments and utensils are cleaned, either manually or through a sonic cleaner, they are decontaminated, but not sterile. Steam is often used as a sterilizing agent because it is the most effective and efficient way of sterilizing equipment.
Sterilizers (Ethylene Oxide)

Although steam sterilizers are cost effective and efficient, certain equipment is not suitable for sterilization in steam sterilizers because they are not able to withstand intense heat. In this case, ethylene oxide gas is used. EtO sterilization however can cause skin irritation and severe burns to SPD staff. Proper aeration must therefore follow the process. A dedicated exhaust system should be provided to exhaust air from EtO sterilizer mechanical chase to the outdoors. Consult the
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benefits from it a great deal. Hospital administrators assess the needs of all departments and decide whether the installation of an automatic transport system would be advantageous. Other departments that could greatly benefit are Dietetics, Administration, Pharmacy, Environmental Management Service, and the various Laboratories. jeopardize the doors fire rating NOTE: See VA Program Guide PG-08-14, Room Finishes, Door, and Hardware Schedule.
Materials and Finishes

Interior finishes of SPD must be smooth, impermeable to moisture and capable of withstanding the impact of carts and equipment. Concrete Masonry Unit (CMU) walls should have flush joints with a 3 mm (1/8 inch) thick Portland cement plaster skim coat finish and sealed with epoxy paint. Bumper rails or curbing are needed to prevent wall damage throughout SPD and surrounding areas. Bases should be coved to allow for ease of cleaning. Walls of the Manual Equipment Wash must withstand periodic washing with detergents and high pressure water and steam.
Interior Doors and Hardware

Hospital type door jambs should be used throughout the interior spaces of SPD with door stops located 200 mm (8 inches) from the floor to permit mopping. Doors in corridors to offices in heavy traffic areas should have windows of shatter proof glass. They should fit the frames tightly, be mounted without a sill and be equipped with self sealing, externally mounted sweep strips if the space between the closed door and the floor exceeds 5 mm (3/16 inch). Storage areas for supplies require double doors each measuring 1070 mm (3'-6") and should not be less than 2135 mm (84") high, to facilitate the moving of carts and other equipment. They should be metal or metal clad, with small viewing windows, and should have full width kick plates and bumper guards at the height that protects them against movable equipment. If fire doors require kick plates over 381 mm (16 inches) a certificate from the manufacturer is required stating that the oversized kick plates will not
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Section 3 Relationship Diagrams and Generic Layout

Page Standard Spaces............................... 3 - 1 Work Flow ......................................... 3 - 2 Material Flow..................................... 3 - 3 Personnel Circulation ........................ 3 - 4 Air Flow ............................................. 3 - 5 Decontamination/Preparation............ 3 - 6
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Section 4 Design Guide Plates and Data Sheets: General Rooms

Guide Plate Series 4 - 1 ....... Administrative Offices Equipment & Utility Plan 4-1a....... Chief of SPD Design Standards Equipment Guide List 4-1b....... Assistant Chief of SPD Design Standards Equipment Guide List 4-1c....... Clerical Staff Design Standards Equipment Guide List 4 - 2 ....... Lockers, Toilet, & Shower Room (Soiled Area, Unisex) Equipment & Utility Plan Design Standards Equipment Guide List 4 - 3 ....... Lockers, Toilet, & Shower Room (Clean Area, Women) Equipment & Utility Plan Design Standards Equipment Guide List 4 - 4 ....... Lockers, Toilet, & Shower Room (Clean Area, Men) Equipment & Utility Plan Design Standards Equipment Guide List
September 30, 1994
Design Standards Chief of SPD

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: AT 2700 (9'-0") GWB/W/PL (SC) Wainscot Base Floor Finish Slab Depression RB CP/VCT -
SPECIAL EQUIPMENT ELECTRICAL

Lighting
General Special Notes: 70 FC - 4 W/SF -
Power
General Emergency 2000 W RECEPTACLES -
COMMUNICATIONS
ADP Radio Notes: YES Telephone Intercom YES -
Public Address -
HEATING, VENTILATING AND AIR CONDITIONING

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: 76 100 YES NC 40 Relative Humidity/Cooling Relative Humidity/Heating Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 50% 30% 10 (0) 0.4645 W/SM 5 Dry Bulb Temp Heating F 72
PLUMBING AND MEDICAL GASES

Cold Water Hot Water Laboratory Air Laboratory Vacuum Other Notes: Sanitary Drain Reagent Grade Water Medical Air Medical Vacuum Oxygen -
Guide Plate 4-1a
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Equipment Guide List Chief of SPD

SYMBOL AI A VV VV VV VV VV VV VV VV VV CC 1 1 3 1 1 1 1 1 1 1 QUANTITY B C D OFFICE, CHIEF, SPD DESK, DOUBLE PEDESTAL, APPROX., 1524 MM X 762 MM X 749 MM (60" X 30" X 29-1/2") CHAIR, ROTARY, WITH ARMS CHAIR, STRAIGHT, WITH ARMS BOOKCASE, SECTIONAL, EACH SECTION, 838 MM X 330 MM X 381 MM (33" X 13" X 15") WITH 254 MM (10") BASE TABLE, OFFICE, 1524 MM X 762 MM X 749 MM (60" X 30" X 29-1/2") HOOK, COAT, WALL MOUNTED CRT, COMPUTER SYSTEM, WITH KEYBOARD PRINTER, COMPUTER SYSTEM STAND, COMPUTER PRINTER, APPROX., 610 MM X 610 MM X 660 MM (24" X 24" X 26") RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER EQUIPMENT ITEMS (PG-08-1, MCS 16140; H-08-3, CS 866-1) CLOCK, BATTERY OPERATED RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
VV CC
1 AR
Guide Plate 4-1a
September 30, 1994
Design Standards Assistant Chief of SPD

ARCHITECTURAL

Lighting
Power
COMMUNICATIONS
Public Address -

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: 76 100 YES NC-40 Relative Humidity/Cooling 50% Relative Humidity/Heating 30% Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 10 (0) 0.4645 W/SM 5 Dry Bulb Temp Heating F 72

Guide Plate 4-1b
September 30, 1994
Equipment Guide List Assistant Chief of SPD

SYMBOL AI A VV VV VV VV VV VV VV VV CC 1 1 1 1 1 1 1 1 1 QUANTITY B C D OFFICE, ASSISTANT CHIEF, SPD DESK, DOUBLE PEDESTAL, APPROX., 1524 MM X 762 MM X 749 MM (60" X 30" X 29-1/2") CHAIR, ROTARY, WITH ARMS CHAIR, STRAIGHT, WITH ARMS BOOKCASE, SECTIONAL, EACH SECTION, 838 MM X 330 MM X 381 MM (33" X 13" X 15") WITH 254 MM (10") BASE HOOK, COAT, WALL MOUNTED CRT, COMPUTER SYSTEM, WITH KEYBOARD PRINTER, COMPUTER SYSTEM STAND, COMPUTER PRINTER, APPROX., 610 MM X 610 MM X 660 MM (24" X 24" X 26") RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER EQUIPMENT ITEMS (PG-08-1, MCS 16140; H-08-3, CS 866-1) CLOCK, BATTERY OPERATED RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
VV CC
1 AR
Guide Plate 4-1b
September 30, 1994
Design Standards Clerical Staff

ARCHITECTURAL

Lighting
Power
COMMUNICATIONS
Public Address -


Guide Plate 4-1c
September 30, 1994
Equipment Guide List Clerical Staff

SYMBOL AI A VV VV VV VV VV VV VV VV VV VV VV CC 1 1 1 1 1 1 1 2 4 3 2 1 3 2 1 1 2 1 1 2 QUANTITY B 1 C 1 D CLERICAL STAFF DESK, TYPEWRITER, DOUBLE PEDESTAL DESK, DOUBLE PEDESTAL, APPROX., 1524 MM X 762 MM X 749 MM (60" X 30" X 29-1/2") CHAIR, ROTARY, WITH ARMS CHAIR, ROTARY, WITHOUT ARMS CHAIR, STRAIGHT, WITHOUT ARMS CABINET, FILING (LETTER SIZE) 5 DRAWER, APPROX., 381 MM X 635 MM X 1524 MM (15" X 25" X 60") CABINET, FILING (LEGAL SIZE) 5 DRAWER, 457 MM X 635 MM X 1524 MM (18" X 25" X 60") HOOK, COAT, WALL MOUNTED CRT, COMPUTER SYSTEM, WITH KEYBOARD PRINTER, COMPUTER SYSTEM STAND, COMPUTER PRINTER, APPROX., 610 MM X 610 MM X 660 MM (24" X 24" X 26") RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER EQUIPMENT ITEMS (PG-08-1, MCS 16140; H-08-3, CS 866-1) CLOCK, BATTERY OPERATED RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
VV CC
AR AR
Guide Plate 4-1c
September 30, 1994
Design Standards Lockers, Toilet, & Shower Room (Soiled Area)

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: UNISEX FACILITY, ENCLOSED TOILET *WAINSCOT FOR TOILET AREA ONLY PCP/AT 2700 (9'-0") CT/GWB Wainscot Base Floor Finish Slab Depression CT 1200 (4'-0")* CT CT/VCT -
ELECTRICAL
Lighting
Power
General Emergency 400 W -
COMMUNICATIONS
ADP Radio Notes: Telephone Intercom -
Public Address -

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: 76 100 YES NC-40 Relative Humidity/Cooling Relative Humidity/Heating Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 10 NEGATIVE 0.0929 W/SM 1 Dry Bulb Temp Heating F 72

Cold Water Hot Water Laboratory Air Laboratory Vacuum Other Notes: YES YES Sanitary Drain Reagent Grade Water Medical Air Medical Vacuum Oxygen YES -
Guide Plate 4-2
September 30, 1994
Equipment Guide List Lockers, Toilet, & Shower Room (Soiled Area)
SYMBOL AI A QUANTITY B C D LOCKERS, LOUNGE, TOILET AND SHOWER FACILITIES - MALE NOTE: CONTIGUOUS TO SOILED RECEIVING AND DECONTAMINATION AREA. T-B P-415 CC CC CC AR 1 1 2 2 2 2 1 1 LOCKER, STEEL, SLOPING TOP, 12"W X 21"D X 72"H (PG-08-1, MCS 10500; H-08-4, SD 61) LAVATORY, STRAIGHT BACK (PG-08-1, MCS 15450; H08-4, SD 53) MIRROR, 406 MM X 508 MM (16" X 20"), WITH INTEGRAL SHELF, OVER LAVATORY (PG-08-1, MCS 10800; H-08-4, SD 15) DISPENSER, SOAP, LIQUID, WALL MOUNTED DISPENSER, PAPER TOWEL AND DISPOSAL COMBINATION UNITS (PG-08-1, MCS 10800) RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, WITH GROUND FAULT INTERRUPTER, ADJACENT TO LAVATORY (PG-08-1, MCS 16140; H-08-3, CS 801-3) WHEELCHAIR WATER CLOSETS WILL BE IN ACCORDANCE WITH THE APPROPRIATE SPACE PROGRAM, P-103 WILL BE USED FOR BOTH CONVENTIONAL AND WHEELCHAIR INSTALLATIONS. P-103 CC CC CC CC P-201 CC CC P-702 CC 1 1 1 1 1 1 1 WATER CLOSET, WALL HUNG (PG-08-1, MCS 15450; H08-4, SD 4) ENCLOSURE, TOILET, CEILING HUNG (PG-08-1, MCS 10162; H-08-3, CD 13; H-08-4, SD 12) BAR, GRAB FOR WATER CLOSET (PG-08-1, MCS 10800; H-08-4, SD 12, 14B & 14F) DISPENSER, TOILET TISSUE, DOUBLE ROLL (PG-08-1, MCS 10800; H-08-4, SD 12) URINAL, WALL HUNG (PG-08-1, MCS 15450; H-08-4, SD 4) STALL, SHOWER (PG-08-1, MCS 10170; H-08-4, SD 13A) SHOWER, BATH FIXTURE, WALL MOUNTED, CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4, SD 13A) ROD, CURTAIN, TUB OR SHOWER (PG-08-1, MCS 10800) DISH, SOAP, SURFACE MOUNTED (PG-08-1, MCS 10800) 2 2 1 HOOK, TOWEL (PG-08-1, MCS 10800) HOOK, CLOTHES (PG-08-1, MCS 10800) HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING TOP, 20" DIA. RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" DESCRIPTION
VV CC CC
1 1 1
2 2 2
2 2 2
1 1 1
CC CC CC CC VV VV
1 1 1 1 1 1
Guide Plate 4-2
September 30, 1994
Equipment Guide List Lockers, Toilet, & Shower Room (Soiled Area)
SYMBOL AI A QUANTITY B C D LOCKERS, LOUNGE, TOILET AND SHOWER FACILITIES FEMALE NOTE: CONTIGUOUS TO SOILED RECEIVING AND DECONTAMINATION AREA. T-B P-415 CC CC CC AR 1 1 2 2 2 2 1 1 LOCKER, STEEL, SLOPING TOP, 12"W X 21"D X 72"H (PG-08-1, MCS 10500; H-08-4, SD 61) LAVATORY, STRAIGHT BACK (PG-08-1, MCS 15450; H08-4, SD 53) MIRROR, 406 MM X 508 MM (16" X 20"), WITH INTEGRAL SHELF, OVER LAVATORY (PG-08-1, MCS 10800; H-08-4, SD 15) DISPENSER, SOAP, LIQUID, WALL MOUNTED DISPENSER, PAPER TOWEL AND DISPOSAL COMBINATION UNITS (PG-08-1, MCS 10800) RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, WITH GROUND FAULT INTERRUPTER, ADJACENT TO LAVATORY (PG-08-1, MCS 16140; H-08-3, CS 801-3) WHEELCHAIR WATER CLOSETS WILL BE IN ACCORDANCE WITH THE APPROPRIATE SPACE PROGRAM, P-103 WILL BE USED FOR BOTH CONVENTIONAL AND WHEELCHAIR INSTALLATIONS. P-103 CC CC CC CC CC P-702 CC 1 1 1 1 1 1 WATER CLOSET, WALL HUNG (PG-08-1, MCS 15450; H08-4, SD 4) ENCLOSURE, TOILET, CEILING HUNG (PG-08-1, MCS 10162; H-08-3, CD 13; H-08-4, SD 12) BAR, GRAB FOR WATER CLOSET (PG-08-1, MCS 10800; H-08-4, SD 12, 14B & 14F) DISPENSER, TOILET TISSUE, DOUBLE ROLL (PG-08-1, MCS 10800; H-08-4, SD 12) STALL, SHOWER (PG-08-1, MCS 10170; H-08-4, SD 13A) SHOWER, BATH FIXTURE, WALL MOUNTED, CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4, SD 13A) ROD, CURTAIN, TUB OR SHOWER (PG-08-1, MCS 10800) DISH, SOAP, SURFACE MOUNTED (PG-08-1, MCS 10800) 2 2 1 HOOK, TOWEL (PG-08-1, MCS 10800) HOOK, CLOTHES (PG-08-1, MCS 10800) HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING TOP, 20" DIA. RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" DESCRIPTION
VV CC CC
1 1 1
2 2 2
2 2 2
1 1 1
CC CC CC CC VV VV
1 1 1 1 1 1
Guide Plate 4-2
September 30, 1994
Design Standards Lockers, Toilet, & Shower Room (Clean Area)

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: SEPARATE FACILITIES FOR MEN AND WOMEN ENCLOSED TOILET PCP/AT 2700 (9'-0") CT/GWB Wainscot Base Floor Finish Slab Depression CT 1200 (4'-0") CT CT/VCT -
ELECTRICAL
Lighting
Power
COMMUNICATIONS
Public Address -


Guide Plate 4-3
September 30, 1994
Equipment Guide List Lockers, Toilet, & Shower Room (Clean Area)
SYMBOL AI A QUANTITY B C D LOCKERS, LOUNGE, TOILET AND SHOWER FACILITIES FEMALE NOTE: CONTIGUOUS TO SOILED RECEIVING AND DECONTAMINATION AREA. T-B P-415 CC CC CC AR 1 1 2 2 2 2 1 1 LOCKER, STEEL, SLOPING TOP, 12"W X 21"D X 72"H (PG-08-1, MCS 10500; H-08-4, SD 61) LAVATORY, STRAIGHT BACK (PG-08-1, MCS 15450; H08-4, SD 53) MIRROR, 406 MM X 508 MM (16" X 20"), WITH INTEGRAL SHELF, OVER LAVATORY (PG-08-1, MCS 10800; H-08-4, SD 15) DISPENSER, SOAP, LIQUID, WALL MOUNTED DISPENSER, PAPER TOWEL AND DISPOSAL COMBINATION UNITS (PG-08-1, MCS 10800) RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, WITH GROUND FAULT INTERRUPTER, ADJACENT TO LAVATORY (PG-08-1, MCS 16140; H-08-3, CS 801-3) WHEELCHAIR WATER CLOSETS WILL BE IN ACCORDANCE WITH THE APPROPRIATE SPACE PROGRAM, P-103 WILL BE USED FOR BOTH CONVENTIONAL AND WHEELCHAIR INSTALLATIONS. P-103 CC CC CC CC CC P-702 CC 1 1 1 1 1 1 WATER CLOSET, WALL HUNG (PG-08-1, MCS 15450; H08-4, SD 4) ENCLOSURE, TOILET, CEILING HUNG (PG-08-1, MCS 10162; H-08-3, CD 13; H-08-4, SD 12) BAR, GRAB FOR WATER CLOSET (PG-08-1, MCS 10800; H-08-4, SD 12, 14B & 14F) DISPENSER, TOILET TISSUE, DOUBLE ROLL (PG-08-1, MCS 10800; H-08-4, SD 12) STALL, SHOWER (PG-08-1, MCS 10170; H-08-4, SD 13A) SHOWER, BATH FIXTURE, WALL MOUNTED, CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4, SD 13A) ROD, CURTAIN, TUB OR SHOWER (PG-08-1, MCS 10800) DISH, SOAP, SURFACE MOUNTED (PG-08-1, MCS 10800) 2 2 1 HOOK, TOWEL (PG-08-1, MCS 10800) HOOK, CLOTHES (PG-08-1, MCS 10800) HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING TOP, 20" DIA. RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" DESCRIPTION
VV CC CC
1 1 1
2 2 2
2 2 2
1 1 1
CC CC CC CC VV VV
1 1 1 1 1 1
Guide Plate 4-3
September 30, 1994
Design Standards Lockers, Toilet, & Shower Room (Clean Area)

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: SEPARATE FACILITIES FOR MEN AND WOMEN ENCLOSED TOILET PCP/AT 2700 (9'-0") CT/GWB Wainscot Base Floor Finish Slab Depression CT 1200 (4'-0") CT CT/VCT -
ELECTRICAL
Lighting
Power
COMMUNICATIONS
Public Address -


Guide Plate 4-4
September 30, 1994
Equipment Guide List Lockers, Toilet, & Shower Room (Clean Area)
SYMBOL AI A QUANTITY B C D LOCKERS, LOUNGE, TOILET AND SHOWER FACILITIES - MALE NOTE: CONTIGUOUS TO SOILED RECEIVING AND DECONTAMINATION AREA. T-B P-415 CC CC CC AR 1 1 2 2 2 2 1 1 LOCKER, STEEL, SLOPING TOP, 12"W X 21"D X 72"H (PG-08-1, MCS 10500; H-08-4, SD 61) LAVATORY, STRAIGHT BACK (PG-08-1, MCS 15450; H08-4, SD 53) MIRROR, 406 MM X 508 MM (16" X 20"), WITH INTEGRAL SHELF, OVER LAVATORY (PG-08-1, MCS 10800; H-08-4, SD 15) DISPENSER, SOAP, LIQUID, WALL MOUNTED DISPENSER, PAPER TOWEL AND DISPOSAL COMBINATION UNITS (PG-08-1, MCS 10800) RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, WITH GROUND FAULT INTERRUPTER, ADJACENT TO LAVATORY (PG-08-1, MCS 16140; H-08-3, CS 801-3) WHEELCHAIR WATER CLOSETS WILL BE IN ACCORDANCE WITH THE APPROPRIATE SPACE PROGRAM, P-103 WILL BE USED FOR BOTH CONVENTIONAL AND WHEELCHAIR INSTALLATIONS. P-103 CC CC CC CC P-201 CC CC P-702 CC 1 1 1 1 1 1 1 WATER CLOSET, WALL HUNG (PG-08-1, MCS 15450; H08-4, SD 4) ENCLOSURE, TOILET, CEILING HUNG (PG-08-1, MCS 10162; H-08-3, CD 13; H-08-4, SD 12) BAR, GRAB FOR WATER CLOSET (PG-08-1, MCS 10800; H-08-4, SD 12, 14B & 14F) DISPENSER, TOILET TISSUE, DOUBLE ROLL (PG-08-1, MCS 10800; H-08-4, SD 12) URINAL, WALL HUNG (PG-08-1, MCS 15450; H-08-4, SD 4) STALL, SHOWER (PG-08-1, MCS 10170; H-08-4, SD 13A) SHOWER, BATH FIXTURE, WALL MOUNTED, CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4, SD 13A) ROD, CURTAIN, TUB OR SHOWER (PG-08-1, MCS 10800) DISH, SOAP, SURFACE MOUNTED (PG-08-1, MCS 10800) 2 2 1 HOOK, TOWEL (PG-08-1, MCS 10800) HOOK, CLOTHES (PG-08-1, MCS 10800) HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING TOP, 20" DIA. RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" DESCRIPTION
VV CC CC
1 1 1
2 2 2
2 2 2
1 1 1
CC CC CC CC VV VV
1 1 1 1 1 1
Guide Plate 4-4
September 30, 1994
Section 5 Design Guide Plates and Data Sheets: Areas Specific to SPD
Guide Plate Series 5 - 1 .......Soiled Receiving & Decontamination Area Equipment & Utility Plan Design Standards Equipment Guide List 5 - 2 .......Preparation, Assembly & Sterilization Area Equipment & Utility Plan Design Standards Equipment Guide List 5 - 3 .......EtO Sterilizer/Aerator Room Equipment & Utility Plan Design Standards Equipment Guide List Guide Plate Series 5 - 4 ....... Manual Equipment Wash Area Equipment & Utility Plan Design Standards Equipment Guide List 5 - 5 ....... Equipment Storage & Testing Room Equipment & Utility Plan Design Standards Equipment Guide List 5 - 6 ....... Dispatcher's Control Station Equipment & Utility Plan Design Standards Equipment Guide List
September 30, 1994
Design Standards Soiled Receiving & Decontamination Area

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish PL (SC) 2700 (9'-0") PL (SC) Wainscot Base Floor Finish Slab Depression QT QT -
SPECIAL EQUIPMENT
VS-503: WASHER/STERILIZER VS-210: STEAM STERILIZERS HW-546: AUTOMATIC CART WASH
ELECTRICAL
Lighting
General Special 30 FC - 2 W/SF -
Power
General Emergency * *
Notes: *VS-210: POWER DOOR - 15A, 120V; CONTROL - 1.0A, 120V *VS-503: CONTROL - 10A, 120V; PUMP - 10A, 208V, 3 PH; *COMPRESSOR - 3/4 HP, 208V, 3 PH *HW-546: 20A, 480V, 3PH, 3 WIRE
COMMUNICATIONS
ADP Radio Notes: **CONNECT TO HOSPITAL SYSTEM YES** Telephone Intercom EMPTY CONDUIT
Public Address -

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: HW-546: 1400 CFM EXH; 30-60 PSIG, 40 LB/HR STEAM 76 100 YES NC-40 YES*** Relative Humidity/Cooling 50% Relative Humidity/Heating 30% Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 10 NEGATIVE 0.5574 W/SM 3 YES*** Dry Bulb Temp Heating F 72
***VS EQUIP: SEE PG-08-6 FOR STEAM, HEAT GAIN, EXHAUST CAPACITY

Cold Water Hot Water Laboratory Air YES YES YES Sanitary Drain Reagent Grade Water Laboratory Vacuum Other YES YES SHOP AIR****
Notes: ****FOR VS EQUIP
Guide Plate 5-1
September 30, 1994
Equipment Guide List Soiled Receiving & Decontamination Area

SYMBOL AI A TOP 5A CC 1 QUANTITY B C D SOILED RECEIVING AND DECONTAMINATION AREA COUNTER TOP, CORROSION RESISTING (STAINLESS) STEEL, 32 MM (1-1/4") THICK (PG-08-1 & PG-08-6, MCS 11602) SINK, CORROSION RESISTING STEEL, WITH END OR CORNER DRAIN OUTLET, 635 MM X 457 MM X 406 MM (25" X 18" X 16") DEEP, INTEGRAL WITH TOP 5A (PG-081 & PG-08-6, MCS 11602) -AND/ORCC 1 SINK, DOUBLE, CORROSION RESISTING STEEL, WITH END OR CORNER DRAIN OUTLET, EACH SINK, 635 MM X 457 MM X 406 MM (25" X 18" X 16") DEEP, INTEGRAL WITH TOP 5A (PG-08-1 & PG-08-6, MCS 11602) CABINET, UNDERCOUNTER, SINK UNIT, 2 HINGED PANEL DOORS, AVAILABLE WIDTHS - 762 MM, 914 MM, 1067 MM, 1219 MM; (30", 36", 42", 48") DEPTH - 559 MM; (22") HEIGHT - 787 MM, (31") FOR FLOOR MOUNTED, ASSEMBLED WITH TOP 5A AND SINK S-2 (PG-08-1 & PG-08-6, MCS 12345) -AND/ORVL23 CC 1 CABINET, UNDERCOUNTER, SINK UNIT, DOUBLE COMPARTMENT, 2 HINGED PANEL DOORS, AVAILABLE WIDTHS - 1372 MM, 1524 MM; (54", 60") DEPTH - 559 MM; (22") HEIGHT - 787 MM, (31") FOR FLOOR MOUNTED, ASSEMBLED WITH TOP 5A AND DOUBLE SINK (PG-08-1 & PG-08-6, MCS 12345) OUTLET, LABORATORY AIR, OVER COUNTER, WITHIN 36" OF SINK (PG-08-1, MCS 15488) MANIFOLD, TUBE WASHING (PG-08-1 & PG-08-6, MCS 11602) FAUCET, REAGENT GRADE OR MINERAL FREE WATER (PG-08-1, MCS 11602) WASHER, ROTARY, FOR WASHING RESPIRATORY/ANESTHESIA TUBING AND ACCESSORIES, E.G., OLYMPIC TYPE DOOR, ACCESS, LAUNDRY CHUTE (PG-08-1, MCS 14560) WASHER/STERILIZER, SURGICAL INSTRUMENT, SINGLE DOOR, CABINET ENCLOSED, (CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) DESCRIPTION
S-2
CF
VL20
CC
CC VL86 CC CC VV
1 1 1 AR
CC VS-504 CC
1 1
Guide Plate 5-1
September 30, 1994

SYMBOL AI A VS503 CC 1 QUANTITY B C D -ORWASHER/STERILIZER, SURGICAL INSTRUMENT, SINGLE DOOR, RECESSED THROUGH ONE WALL, (CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) TABLE, TRANSFER, CRS, MOBILE FOR WASHER/STERILIZER, WITH (CHAMBER SIZES: 16" X 16" X 26") CLEANER, ULTRASONIC, WITH RINSER AND DRYER, TYPE DETERMINED ON INDIVIDUAL PROJECT BASIS HOOD, EXHAUST, PROVIDE ONE HOOD OVER THE ENTIRE WASHER AND LOADING DOOR (PG-08-1, MCS 15822) TABLE, WORK, PORTABLE, CORROSION RESISTING STEEL, 24" X 48" X 36"H 2 1 2 1 1 1 1 1 AR AR 2 2 1 1 1 1 1 1 2 1 CART, UTILITY, CORROSION RESISTING STEEL, 36"W X 18"D X 30"H LAVATORY, STRAIGHT BACK, SENSOR CONTROL (PG08-1, MCS 15450; H-08-4, SD 380) SINK, SERVICE, CLINIC, FLUSHING RIM, WALL HUNG (PG-08-1, MCS 15450; H-08-4, SD 379) EMERGENCY EYE AND FACE WASH, WALL MOUNTED, (PG-08-1, MCS 15450) DISPENSER, SOAP, WITH FOOT CONTROL, WALL MOUNTED OVER SINK (PG-08-1, MCS 10800) DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED DRIER, TUBING, 120 VOLT, 20 AMP BULLETIN BOARD, APPROX., 1219 MM X 914 MM (48" X 36") STATION, SOILED RETURN FROM AUTOMATIC EJECT AT DOWN CONVEYOR (PG-08-1, MCS 14125) HOSE BIBB, COMBINATION FAUCET, WALL MOUNTED, CONCEALED SUPPLY PIPES (PG-08-1, MCS 15450; H-084, SD 4.2) DRAIN, FLOOR (PG-08-1, MCS 15400) NOTE: PROVIDE FLOOR DRAIN ONLY IN AREA HOUSING THE STERILIZERS AND NOT IN THE RECEIVING-DECONTAMINATION AREA DESCRIPTION
VV
VC CC
1 AR
VV VV P-418 P-505 P-708 CC CC CC CC VV VV VV CC P-802 CC
AR
CC
AR
Guide Plate 5-1
September 30, 1994

SYMBOL AI A VV CC 1 QUANTITY B 7 C 5 D 3 RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" SPEAKER, WALL WITH VOLUME CONTROL, CONNECTED TO STATION RADIO SYSTEM (TO BE DETERMINED BY VETERANS HEALTH ADMINISTRATION FOR EACH PROJECT WHEN THERE IS NOT AN EXISTING PUBLIC ADDRESS AND/OR RADIO SYSTEM) (PG-08-1, MCS 16771) WASHER/STERILIZER, AUTOMATED, PROVIDE STEAM, WATER, COMPRESSED AIR, MINERAL FREE-WATER, FLOOR DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) -ORVS-505 CC 2 2 1 WASHER/STERILIZER, SURGICAL INSTRUMENT, DOUBLE DOOR, RECESSED THROUGH ONE WALL, (CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) MODULAR WALL, ENCLOSURE PANELS, CRS, FROM FLOOR TO FINISHED CEILING, WITH EXHAUST LOUVER IN MODULAR PANEL ABOVE DOORS OF STERILIZERS (PG-08-1 & PG-08-6, MCS 11710) RACK/BASKET RETURN, PASS-THRU, CONVEYOR OR FLOOR LEVEL, SPRING-LOADED BI-SWING DOORS (PG08-1, MCS 11710) CART, LOADING, FOR USE WITH PASS THRU STERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710) CARRIAGE, TRANSFER, FOR USE WITH PASS-THRU STERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710) REAGENT GRADE OR MINERAL FREE WATER SYSTEM, SIZE AND TYPE DETERMINED ON INDIVIDUAL PROJECT BASIS OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG08-1, MCS 16111) MASTER STATION, FOR INTRASERVICE INTERCOM (PG-08-1, MCS 16760) CLOCK, BATTERY OPERATED DESCRIPTION
VS-508
CC
AR
CC
AR
CC
AR
CC
AR
CC
AR
VV
CC CC VV
1 1 1
Guide Plate 5-1
September 30, 1994

SYMBOL AI A CC AR QUANTITY B C D RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 15 AMP, STRIP MOLD WITH OUTLETS, WIRED ALTERNATELY ON SEPARATE CIRCUITS ON 610 MM (24") CENTERS ABOVE COUNTER (PG-08-1, MCS 16140; H-08-3, CS 801-3) RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, 2 PER WALL, MINIMUM (PG-08-1, MCS 16140; H08-3, CS 801-3) DESCRIPTION
CC
AR
SYMBOL
AI A
QUANTITY B C D
DESCRIPTION
AUTOMATIC CART WASH

NOTE: VAPOR REMOVAL, DRYING CAPABILITIES AND TILT RAMP. CC HW-546 CC CC AR AR AR GRATE, FLOOR, CRS, PROVIDE ON EXIT END OF CART WASHER (PG-08-1, MCS 05500) NOTE: VAPOR REMOVAL, DRYING CAPABILITIES AND TILT RAMP. HOOD, EXHAUST, PROVIDE ONE HOOD OVER THE ENTIRE WASHER AND LOADING DOOR (PG-08-1, MCS 15822)
Guide Plate 5-1
September 30, 1994
Design Standards Preparation, Assembly & Sterilization Area

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: *EXTEND QT 10' BEYOND STERILIZERS AT (SP) 2700 (9'-0") PL (SC) Wainscot Base Floor Finish QT QT*
Slab Depression -

Lighting
Power
COMMUNICATIONS
ADP Radio Notes: YES Telephone Intercom EMPTY CONDUIT
Public Address -

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: 76 100 YES NC-40 Relative Humidity/Cooling 50% Relative Humidity/Heating 30% Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 10 POSITIVE 0.4645.W/SM 2 Dry Bulb Temp Heating F 72

Guide Plate 5-2
September 30, 1994
Equipment Guide List Preparation, Assembly & Sterilization Area

SYMBOL AI A QUANTITY B C D PREPARATION, ASSEMBLY AND STERILIZATION NOTE: PROVIDE EMERGENCY POWER SYSTEM FOR THE STEAM AND ETO STERILIZERS, WASHER/STERILIZERS, ETO EXHAUST AND ETO MONITORING EQUIPMENT. VV CC P-418 CC CC VV VV VV VV VV VV VV VV CC AR AR 2 2 2 AR 1 AR AR 1 1 AR 1 TABLE, WORK, PORTABLE, CORROSION RESISTING STEEL, 42"W X 72"L X 36"H CABINET, WITH PLASTIC LAMINATE TOP, DRAWERS WITH ADJUSTABLE DIVIDERS (PG-08-1, MCS 12301) LAVATORY, STRAIGHT BACK, SENSOR CONTROL (PG08-1, MCS 15450; H-08-4, SD 380) DISPENSER, SOAP, WALL MOUNTED WITH FOOT CONTROL (PG-08-1, MCS 10800) DISPENSER, PAPER TOWEL, SURFACE MOUNTED RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" BULLETIN BOARD, APPROX., 1219 MM X 914 MM (48" X 36") STOOL, REVOLVING, APPROX., 330 MM (13") DIA. SEAT, 495 MM (19-1/2") BASE CART, WIRE, ADJUSTABLE SHELVES, 4 SWIVEL CASTERS, 24"W X 72"L X 72"H CENTRIFUGE, LABORATORY, FOR THERMOMETER PREPARATION HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING TOP, 20" DIA. HANDCART, WITH 2 REMOVABLE BASKETS, 38" X 24" X 42-1/2" OUTLET, CENTRAL PAGING OR BROADCAST SYSTEM TO BE DETERMINED BY VHA FOR EACH PROJECT WHEN THERE IS NOT AN EXISTING PUBLIC ADDRESS AND/OR RADIO SYSTEM) (PG-08-1, MCS 16770) 3 AERATOR, ETHYLENE OXIDE, CABINET ENCLOSED, (CHAMBER SIZE: 24" X 36" X 48"/60"), PROVIDE ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG08-6, MCS 11710) -ORVC 1 AERATOR, FOR 100% ETHYLENE OXIDE GAS STERILIZER, SINGLE DOOR, RECESSED THROUGH ONE WALL OR FREE STANDING UNIT, FOR RECESSED UNIT PROVIDE MOUNTING RACK, FOR FREE STANDING UNIT PROVIDE STACKING RACK, PROVIDE ELECTRIC AND EXHAUST AS REQUIRED DESCRIPTION
VS-351
CC
Guide Plate 5-2
September 30, 1994

SYMBOL AI A CC AR QUANTITY B C D ENCLOSURE PLENUM, CRS, BETWEEN TOP OF AERATOR AND CEILING, PROVIDE EXHAUST LOUVER IN PLENUM ENCLOSURE PANEL ABOVE DOOR (PG-08-1, MCS 11710) STERILIZER/AERATOR, ETHYLENE OXIDE GAS, SINGLE DOOR, RECESSED THROUGH ONE OR TWO WALLS, (CHAMBER SIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDE STEAM, WATER, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) STERILIZER/AERATOR, 100% ETHYLENE OXIDE GAS, SINGLE DOOR, RECESSED THROUGH ONE WALL OR FREE STANDING UNIT, FOR RECESSED UNITS PROVIDE MOUNTING RACK, FOR FREE STANDING UNIT PROVIDE STACKING RACK, PROVIDE COMPRESSED AIR, ELECTRIC AND EXHAUST AS REQUIRED ETHYLENE OXIDE DISPOSER SYSTEM, 838 MM X 889 MM X 2083 MM (33" X 35" X 82"), PROVIDE ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) CONTINUOUS MONITORING DEVICE, ETHYLENE OXIDE GAS WITH ADDITIONAL SENSORS/ALARMS, ETO SPECIFIC TO .01 PARTS-PER-MILLION NOTE: PROVIDE ONE EMISSION CONTROL DEVICE FOR NO MORE THAN TWO ETO STERILIZER VS-203 CC 2 3 STERILIZER, MECHANICAL AIR REMOVAL, SINGLE DOOR, RECESSED THROUGH ONE WALL, CHAMBER SIZE: 610 MM X 1219 MM X 914 MM/ .68 M3, (24" X 36" X 48"/24 CU. FT.) PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) -ORVS-210 CC 2 3 STERILIZER, MECHANICAL AIR REMOVAL, DOUBLE DOOR, RECESSED THROUGH TWO WALLS, (CHAMBER SIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) -AND/ORVS-205 CC AR STERILIZER, MECHANICAL AIR REMOVAL, SINGLE DOOR, RECESSED THROUGH ONE WALL, CHAMBER SIZE: 610 MM X 914 MM X 1524 MM/.85 M3(24" X 36" X 60"/30 CU. FT.), PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) -ORDESCRIPTION
VS-325
CC
VC
VS-360
CC
AR
VV
Guide Plate 5-2
September 30, 1994

SYMBOL VS-211 AI A CC AR QUANTITY B C D STERILIZER, MECHANICAL AIR REMOVAL, DOUBLE DOOR, RECESSED THROUGH TWO WALLS, CHAMBER SIZE: 610 MM X 914 MM X 1524 MM/.85 M3(24" X 36" X 60"/30 CU. FT.), PROVIDE STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) MODULAR WALL, ENCLOSURE PANELS, CRS, FROM FLOOR TO FINISHED CEILING, WITH EXHAUST LOUVER IN MODULAR PANEL ABOVE DOORS OF STERILIZERS (PG-08-1 & PG-08-6, MCS 11710) CART, LOADING, FOR USE WITH AERATOR AND PASSTHROUGH/RECESSED STERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710) CARRIAGE, TRANSFER, FOR USE WITH AERATORS AND PASS-THROUGH/RECESSED STERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710) MESSAGE BOARD, PLASTIC LAMINATE, 914 MM X 610 MM (36" X 24") OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-081, MCS 16111) MASTER STATION, FOR INTRASERVICE INTERCOM (PG08-1, MCS 16760) CLOCK, BATTERY OPERATED 8 7 6 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
CC
AR
CC
AR
CC
AR
VV CC CC VV CC
1 1 1 1 AR
Guide Plate 5-2
September 30, 1994
Design Standards EtO Sterilizer/Aerator Room

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish PCP 2700 (9'-0") PRE-FAB PANEL Wainscot Base Floor Finish Slab Depression C -
SPECIAL EQUIPMENT
VS-325: ETO STERILIZER VS-360: ETO DISPOSER SYSTEM
ELECTRICAL
Lighting
General Special Notes: *LOBBY **SERVICE AREA ***VS-325: POWER DOOR - 17A, 120V; CONTROL - 3A, 120V; ***VACUUM PUMP - 8A, 208V, 3 PH; RECEPTACLES: 800 W VS-360: 40A, 208V, 3 PH 50 FC - 3 W/SF* 30 FC-2 W/SF**
Power
General Emergency *** ***
COMMUNICATIONS
ADP Radio Telephone Intercom -
Public Address -

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: VS-360 WHERE REQ'D TO MEET STATE CODES 76 100 YES NC-40 Relative Humidity/Cooling Relative Humidity/Heating Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 10 NEGATIVE 2.0438 W/SM 0 YES**** Dry Bulb Temp Heating F 72
****DEDICATED ETO EXHAUST SYSTEM PER HVAC DESIGN MANUAL

Cold Water Hot Water Laboratory Air Laboratory Vacuum Other ******FOR VS EQUIP YES SHOP AIR****** Sanitary Drain Reagent Grade Water Medical Air Medical Vacuum Oxygen YES***** -
Notes: *****4" OSD FOR EACH STERILIZER
Guide Plate 5-3
September 30, 1994
Equipment Guide List EtO Sterilizer/Aerator Room

Equipment Guide List for this area reprinted from 5-2 Preparation, Assembly & Sterilization Area.
SYMBOL AI A QUANTITY B C D DESCRIPTION
NOTE: PROVIDE EMERGENCY POWER SYSTEM FOR THE ETO STERILIZER/AERATOR, ETO EXHAUST AND ETO MONITORING EQUIPMENT. VC 1 AERATOR, FOR 100% ETHYLENE OXIDE GAS STERILIZER, SINGLE DOOR, RECESSED THROUGH ONE WALL OR FREE STANDING UNIT, FOR RECESSED UNIT PROVIDE MOUNTING RACK, FOR FREE STANDING UNIT PROVIDE STACKING RACK, PROVIDE ELECTRIC AND EXHAUST AS REQUIRED ENCLOSURE PLENUM, CRS, BETWEEN TOP OF AERATOR AND CEILING, PROVIDE EXHAUST LOUVER IN PLENUM ENCLOSURE PANEL ABOVE DOOR (PG-08-1, MCS 11710) STERILIZER/AERATOR, ETHYLENE OXIDE GAS, SINGLE DOOR, RECESSED THROUGH ONE OR TWO WALLS, (CHAMBER SIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDE STEAM, WATER, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) STERILIZER/AERATOR, 100% ETHYLENE OXIDE GAS, SINGLE DOOR, RECESSED THROUGH ONE WALL OR FREE STANDING UNIT, FOR RECESSED UNITS PROVIDE MOUNTING RACK, FOR FREE STANDING UNIT PROVIDE STACKING RACK, PROVIDE COMPRESSED AIR, ELECTRIC AND EXHAUST AS REQUIRED ETHYLENE OXIDE DISPOSER SYSTEM, 838 MM X 889 MM X 2083 MM (33" X 35" X 82"), PROVIDE ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710) CONTINUOUS MONITORING DEVICE, ETHYLENE OXIDE GAS WITH ADDITIONAL SENSORS/ALARMS, ETO SPECIFIC TO .01 PARTS-PER-MILLION NOTE: PROVIDE ONE EMISSION CONTROL DEVICE FOR NO MORE THAN TWO ETO STERILIZERS CC AR MODULAR WALL, ENCLOSURE PANELS, CRS, FROM FLOOR TO FINISHED CEILING, WITH EXHAUST LOUVER IN MODULAR PANEL ABOVE DOORS OF STERILIZERS (PG-08-1 & PG-08-6, MCS 11710) CART, LOADING, FOR USE WITH STERILIZER/AERATOR, CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710) CARRIAGE, TRANSFER, FOR USE WITH STERILIZER/ AERATOR, CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710)
CC
AR
VS-325
CC
VC
VS-360
CC
AR
VV
CC
AR
CC
AR
Guide Plate 5-3
September 30, 1994
Equipment Guide List EtO Sterilizer/Aerator Room

Equipment Guide List for this area reprinted from 5-2 Preparation, Assembly & Sterilization Area.
SYMBOL AI A CC AR QUANTITY B 8 C 7 D 6 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
Guide Plate 5-3
September 30, 1994
Design Standards Manual Equipment Wash Area

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: *MOUNT CT ON CONCRETE BACKER BOARD PCP 2700 (9'-0") CT* Wainscot Base Floor Finish Slab Depression QT QT -
ELECTRICAL
Lighting
General Special 50 FC - 3 W/SF -
Power
COMMUNICATIONS
Public Address -

Dry Bulb Temp Cooling F Minimum % Outside Air 100% Exhaust Air Noise Criteria Steam Notes: YES NC-40 YES Relative Humidity/Cooling Relative Humidity/Heating Minimum Air Changes/Hr Room Pressure AC Load - Equipment Number of People Special Exhaust 10 NEGATIVE 0 YES** Dry Bulb Temp Heating F -
**DEDICATED EXHAUST SYSTEM, SS CONSTRUCTION, FOR SATURATED WET EXHAUST AIR

Cold Water Hot Water Laboratory Air Laboratory Vacuum Other Notes: ***DRAIN AT ROOM CENTER; SLOPE FLOOR AT 1/8" PER FT ****TO ROOM YES YES SHOP AIR**** Sanitary Drain Reagent Grade Water Medical Air Medical Vacuum Oxygen YES*** -
Guide Plate 5-4
September 30, 1994
Equipment Guide List Manual Equipment Wash Area

SYMBOL AI A P-802 CC 1 QUANTITY B C D MANUAL EQUIPMENT WASH HOSE BIBB, COMBINATION FAUCET, WALL MOUNTED, CONCEALED SUPPLY PIPES (PG-08-1, MCS 15450; H-084, SD 4.2) CONNECTION, HOSE, STEAM (MECHANICAL DESIGN CRITERIA AND INSTRUCTIONS) CONNECTION, HOSE, SHOP AIR (PLUMBING DESIGN CRITERIA AND INSTRUCTIONS) DRAIN, FLOOR (PG-08-1, MCS 15400) GUN, STEAM PACKAGE, STEAM/WATER MODEL, WALL HUNG WITH DETERGENT TANK AND DETERGENT/STEAM HOSES SINK, SERVICE, CLINIC, FLUSHING RIM, WALL HUNG (PG-08-1, MCS 15450; H-08-4, SD 379) TABLE, STAINLESS STEEL, 29"W X 60"L, WITH 4" HIGH BACKSPLASH DESCRIPTION
CC CC CC VV
1 1 1 1
P-505
CC VV
1 1
Guide Plate 5-4
September 30, 1994
Design Standards Equipment Storage & Testing Room

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: 0.35 X STERILE/NONSTERILE STORAGE MUST BE SITUATED CLOSE TO PREP AREA AT (SP) 2700 (9'-0") AT (SP) Wainscot Base Floor Finish Slab Depression RB VCT -

Lighting
Power
COMMUNICATIONS
ADP Radio Notes: Telephone Intercom YES -
Public Address -


Cold Water Hot Water Laboratory Air Laboratory Vacuum Other Notes: YES YES Sanitary Drain Reagent Grade Water Medical Air Medical Vacuum Oxygen YES YES YES YES
Guide Plate 5-5
September 30, 1994
Equipment Guide List Equipment Storage & Testing Room

SYMBOL AI A CC AR QUANTITY B C D EQUIPMENT STORAGE AND TESTING ROOM PEGBOARD, HEAVY DUTY, WALL HUNG (FOR HANGING BED RAILS, ORTHOPEDIC EQUIPMENT, ETC.) (PG-08-1, MCS 06200) EQUIPMENT ASSEMBLY/INSPECTION STATION, WOOD, STORAGE DRAWERS, 762 MM X 1524 MM X 914 MM (30" X 60" X 36") WITH 203 MM (8") BACKSPLASH OUTLET, MEDICAL VACUUM (PG-08-1, MCS 15491 OUTLET, OXYGEN, (PG-08-1, MCS 15491) OUTLET, MEDICAL AIR (PG-08-1, MCS 15491) LAVATORY, STRAIGHT BACK, SENSOR CONTROL (PG08-1, MCS 15450; H-08-4, SD 380) DISPENSER, PAPER TOWEL, SURFACE MOUNTED RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16" DISPENSER, SOAP, WALL MOUNTED WITH FOOT CONTROL (PG-08-1, MCS 10800) DESK, SINGLE PEDESTAL, APPROX., 1219 MM X 762 MM X 749 MM (48" X 30" X 29-1/2") CHAIR, ROTARY, WITHOUT ARMS CABINET, STORAGE, SMALL PARTS CLOCK, BATTERY OPERATED RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
VV
AR
CC CC CC P-418 CC VV VV CC VV VV VV VV CC
1 1 1 1 1 AR 1 1 1 AR 1 AR
Guide Plate 5-5
September 30, 1994
Design Standards Dispatcher's Control Station

ARCHITECTURAL
Ceiling Ceiling Height Wall Finish Notes: 0.1 X STERILE/NONSTERILE STORAGE AT 2700 (9'-0") PL (SC) Wainscot Base Floor Finish Slab Depression RB VCT -

Lighting
Power
COMMUNICATIONS
ADP Radio Notes: *CONNECT TO HOSPITAL SYSTEM Telephone Intercom EMPTY CONDUIT
Public Address YES*


Guide Plate 5-6
September 30, 1994
Equipment Guide List Dispatcher's Control Station

SYMBOL AI A VV VV VV CC 1 AR 1 AR QUANTITY B C D DISPATCHER'S CONTROL STATION/OFFICE DESK, DOUBLE PEDESTAL, APPROX., 1524 MM X 762 MM X 749 MM (60" X 30" X 29-1/2") CHAIR, ROTARY, WITHOUT ARMS CHAIR, ROTARY, WITH ARMS STATION, CLEAN TRANSPORT, SIZE AND TYPE TO BE DETERMINED FOR EACH PROJECT, COMPATIBLE WITH SOILED RETURN LIFT (PG-08-1, MCS 14125) BULLETIN BOARD, 40"W X 30"H OUTLET, CENTRAL PAGING OR BROADCAST SYSTEM TO BE DETERMINED BY VHA FOR EACH PROJECT WHEN THERE IS NOT AN EXISTING PUBLIC ADDRESS AND/OR RADIO SYSTEM) (PG-08-1, MCS 16770) BOXES, TOTE FOR CONVEYOR SYSTEM SHELVING, STORAGE, MOBILE, STEEL, ROD SHELF, OPEN STYLE WITH 5 ADJUSTABLE SHELVES OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG08-1, MCS 16111) MASTER STATION, FOR INTRASERVICE INTERCOM (PG-08-1, MCS 16760) CRT, COMPUTER SYSTEM, WITH KEYBOARD PRINTER, COMPUTER SYSTEM STAND, COMPUTER PRINTER, APPROX., 610 MM X 610 MM X 660 MM (24" X 24" X 26") RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER EQUIPMENT ITEMS (PG-08-1, MCS 16140; H-08-3, CS 866-1) CLOCK, BATTERY OPERATED RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3) DESCRIPTION
VV CC
1 1
VV VV CC CC VV VV VV CC
AR AR 1 1 1 1 1 1
VV CC
1 AR
Guide Plate 5-6
September 30, 1994
Section 6 Satellite Outpatient Clinic

Page Recommended Space Criteria for SPD ....................................... 6 - 1
September 30, 1994
Satellite Outpatient Clinic (SOPC)

Recommended Space Criteria for SPD
Supply, Processing, and Distribution (SPD) is responsible for the processing and issuing of medical and surgical supplies and equipment used in the delivery of patient care. An SPD section may be required for a stand-alone SOPC that operates as an off-site satellite facility that is administratively attached to a VAMC. In some cases, depending on the distance and frequency of supply deliveries, the VAMC may consider it economically sound to use the parent facility's SPD rather than duplicating the function at the SOPC. (25 NSF). This area is to be used by personnel assigned to the Soiled Receiving and Decontamination Area.
Clean Areas
Preparation Area: Minimum 18.6 NSM (200 NSF), Add 12.3 NSM (132 NSF) for each additional sterilizer, Maximum 46.5 NSM (500 NSF) As in the decontamination area, space is based on the number of sterilizers needed to process reusable supplies and equipment. The minimum of 18.6 NSM (200 NSF), will provide space for loading zone/access to 3 pass-through sterilizers (1 washer/ sterilizer/ sanitizer, 1 steam, and one EtO gas sterilizer) and an ultrasonic washer and sink. Ethylene Oxide Gas Cylinder Storage: 2.8 NSM (30 NSF) If all 100% EtO sterilizers (which use a cartridge), are to be used, space for cylinder storage is unnecessary. Sterile/Clean Storage Area: Minimum 22.3 NSM (240 NSF) Maximum 46.5 NSM (500 NSF) Total annual SOPC visits (not including psychiatric visits) x .0035 + 200 Clean Receiving and Bulk Storage Area: 7.4 NSM (80 NSF) This space is provided for receipt, breakdown, and temporary holding of bulk sterile/clean supplies. Dispatch Area: The issuing and control of medical-surgical supplies and equipment is accomplished in this area. A visual register (quantity and location) of issued supplies and equipment is maintained in the Dispatcher's Control Station/Office. Space for this area should be computed as follows: A) Sterile/Clean Area x 0.1 PLUS B) Dispatcher's NSM (70 NSF) Control Station/Office: 6.5
Soiled Receiving
Decontamination Area: Minimum 18.6 NSM (200 NSF), 12.3 NSM (132 NSF) each additional sterilizers; Max. 46.5 NSM (500 NSF) Space in this area is based on the number of sterilizers required to process reusable supplies and equipment. The minimum of 18.6 NSM (200 NSF) provides space for loading zone/access to 3 passthrough sterilizers (1 washer/ sterilizer/ sanitizer, 1 steam, and 1 ethylene oxide [EtO] sterilizer) and 1 ultrasonic washer and sink. Manual Equipment Wash: 7.4 NSM (80 NSF) This room is used to decontaminate carts and equipment used in delivery of patient care. Housekeeping Aids Closet: 3.7 NSM (40 NSF) For safety reasons this HAC will be used only for the decontamination area. Locker, Toilet, Shower: 7.4 NSM (80 NSF). Space provided will accommodate two lockers and a bench (2.3 NSM, 25 NSF), toilet with lavatory and water closet (2.8 NSM, 30 NSF), and a shower at 2.3 NSM
Page 6-1
September 30, 1994

PLUS (Include only if they will use computerized data handling equipment) C) Work Station: 7.8 NSM (84 NSF) This enclosed area will accommodate the computerize data handling equipment and personnel. A running inventory of all supplies entering and leaving SPD and the initiation of the reordering process will be accomplished at this work station.
Equipment Storage and Testing Room: Maximum 7.4 NSM (80 NSF) Equipment, after decontamination, is tested and stored in this room. This equipment is used for patient care and is assigned and stored in SPD as opposed to equipment used in patient care that is permanently assigned to other areas. This area will also, accommodate SPD and Surgical case carts. Housekeeping Aids Closet: 3.7 NSM (40 NSF) A separate HAC for the clean area is not needed if another one (in addition to the one in the decontamination area) is located in the immediate area.
Page 6-2
September 30, 1994
Section 7 Miscellaneous
Page Glossary of Terms............................. 7 - 1 Example Layout for SPD ................... 7 - 3
September 30, 1994
GLOSSARY OF TERMS
AERATOR: A machine designed to speed up the removal of EtO residues from sterilized items by subjecting them to warm, circulating air. BIOBURDEN: The number and types of viable microorganisms with which an item is contaminated. When measured, bioburden is expressed as the total count of bacterial and fungi colony-forming units per single item. CENTRAL SERVICE: A department in the hospital that provides supplies and equipment to patients and medical staff. Another name for SPD. CLEANING: The physical removal of debris. It has two major effects. First, it results in a reduction in the number of microorganisms present. Second, it removes organic matter, such as blood and tissue, and other debris, which may interfere with sterilization or disinfection. DECONTAMINATION: The process of rendering contaminated items safe for handling. DISINFECTION: A process that destroys most forms of microorganisms on inanimate surfaces. The three levels of disinfection are high-level, intermediate-level and lowlevel. ETHYLENE OXIDE GAS STERILIZER (EtO): Sterilization at relatively low temperatures possible with ethylene oxide gas. Using a heated unit at 49C (120F), sterilization can be achieved in 2 - 3 hours. PRIMARY STOCK: Medical supplies stored within the confines of the SPD Department SECONDARY STOCK: Medical supplies stored in user areas such as wards, clinics, nursing care units, and intensive care units. STERILIZATION: The process which destroys all types and forms of microorganisms, including viruses, bacteria, fungi, and bacterial endospores.
Page 7-1

SPD 74

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Department of Veterans Affairs

September 30, 1994

Lloyd H. Siegel, FAIA Director, Facilities Quality Office

Charles E. Roberson Associate Deputy Assistant Secretary for Materiel

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Section 1 Acknowledgments, Introduction, Abbreviations, and Legend of Symbols

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

OFFICE OF ACQUISITION AND MATERIEL MANAGEMENT

OFFICE OF CONSTRUCTION MANAGEMENT

DISTRIBUTION PROGRAMS DIVISION

Robert L. Neary, Jr.

Lloyd H. Siegel, FAIA Leo A. Phelan, AIA

SUPPLY, PROCESSING & DISTRIBUTION ADVISORY COMMITTEE

Raymond T. Trail Lee Doran

James Lambert Tim Dacy

CRITERIA, POST OCCUPANCY EVALUATION, AND PLANNING SUPPORT SERVICE

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Processing and Distribution Methods

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Space Planning Criteria

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Functions of Areas Within SPD

Room Relationships & Adjacencies

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Emergency Power Floor Drains

Telecommunications (intercom system)

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Concerns Specific to Supply, Processing & Distribution

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Auto Transport System

Sterilizers (Ethylene Oxide)

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Materials and Finishes

Interior Doors and Hardware

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Section 3 Relationship Diagrams and Generic Layout

VA Design Guide Supply, Processing, & Distribution

September 30, 1994

Section 4 Design Guide Plates and Data Sheets: General Rooms

VA Design Guide Supply, Processing, & Distribution