Vadesignguide: First Draft

CLINICAL SERIES
V A D E S I G N G U I D E
VeteransHealthAdministration Washington, DC20420
Offi ce of Faci l i ti es Management
Standards Servi ce
Departmentof VeteransAffairs
Faci l i ti es Qual i ty Offi ce
First Draft
June 1997
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC
FIRST DRAFT
DEPARTMENT OF VETERANS
AFFAIRS VETERANS HEALTH
ADMINISTRATION FACILITIES
MANAGEMENT OFFICE
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC FOREWORD
Foreword
The material contained in the Eye Clinic Design
Guide is the culmination of a partnering effort by
the Department of Veterans Affairs Optometry
Service, the Department of Veterans Affairs
Veterans Health Administration, and the
Facilities Quality Office. The goal of the Design
Guide is to simplify the design process and to
ensure the quality of VA facilities while
controlling construction and operating costs.
This document is intended to be used as a guide
and to supplement current technical manuals
and other VA criteria in planning an Eye Clinic.
The Design Guide is not to be used as a
standard design and use of the Design Guide
does not preclude the need for a functional and
physical design program for each specific
project. It is the project Architects and Engineers
responsibility 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
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC CONTENTS
Contents
Section 1 Introduction, Acknowledgments,
Abbreviations, and Legend Symbols
Introduction ................................. 1-1
Acknowledgments ....................... 1-2
Abbreviations .............................. 1-3
Legend of Symbols...................... 1-4
Section 2 Narrative
General Considerations............... 2-1
Technical Considerations............. 2-3
Section 3 Functional Diagrams
Relationship Diagrams
Eye Clinic Level 3 and 4 .............. 3-1
Eye Clinic Level 1........................ 3-2
Section 4 Design Guide Plates and Design
Standards: Patient Care Areas
Office, Eye Care Provider, Low
Vision Exam & Treatment Rm ..... 4-1
Examination/Treatment Rm......... 4-2
Visual Fields/Photography Rm..... 4-3
Pretesting, Fitting & Dispensing Rm,
Consulting/Viewing Rm................ 4-4
Laser Room & Ultrasound Rm..... 4-5
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VA DESIGN GUIDE
EYE CLINIC CONTENTS - SECTION 1
Section 1
Introduction,
Acknowledgments,
Abbreviations
Legend of Symbols
Page
Introduction..................................................... 1-1
Acknowledgments........................................... 1-2
Abbreviations .................................................. 1-3
Legend of Symbols ......................................... 1-4
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VA DESIGN GUIDE
EYE CLINIC PAGE 1 -1
Introduction
The Eye Clinic 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:
Master Construction Specifications PG-18-1
Construction Standards H-18-3
Standard Details PG-18-4
Equipment Guide List PG-7610
List of Equipment symbols PG-18-6
Space Planning Criteria PG-7610
Barrier-Free Design Handbook PG-18-13
Room Finish and Door Hardware Schedule
PG-18-14
Various Technical Criteria (Design Manuals)
pertaining to Architectural, HVAC, Plumbing,
and Electrical.
Consensus information from various VA
medical centers.
Optometry Service
VA Design Alert #31
The Design Guide refers to the above
mentioned sources when data is either too
detailed or too broad to be included in this guide.
The Design Guide for the Eye Clinic was
developed as a design tool to assist the medical
center staff and the contracting officers in better
understanding the choices that designers ask
them to make, and to help designers understand
the functional requirements necessary for proper
operation of an Eye Clinic.
The Guide Plates contained in the Eye Clinic
Design guide are intended as illustrations of
VA's furniture, equipment and personnel space
needs. They are not meant to limit design
opportunities.
This Design Guide is not intended to be project-
specific. While it does contain the vast majority
of spaces required in an Eye Clinic, it is not
possible to foresee all future requirements. The
project-specific space program is the basis for
an individual project design. It is important to
note that the guide plates are a generic graphic
representation only.
Equipment manufacturers should be consulted
for actual dimensions, shielding and utility
requirements. Use of this Design Guide does
not supersede the project architect's and
engineers' responsibilities to develop a complete
and accurate design that meets the user's needs
and the appropriate code requirements.
First Draft 6-28-97
VA DESIGN GUIDE
Acknowledgments
Credit is due to the following individuals whose guidance, advice, and effort made this publication
possible:
FACILITIES MANAGEMENT OFFICE
C.V. Yarbrough Chief Facilities
Management Officer
Robert L. Neary, Jr. Deputy Chief Facilities
Management Officer
Lloyd H. Siegel, FAIA Director, Facilities Quality
Office
Leo A. Phelan, AIA Director, Standards
Service
Mark G. Hall Design Guide
Developer, Architect
William J. Leahy Architect
Frances C. Wells Secretary
Satish Sehgal Mechanical Engineer
CRITERIA, POST OCCUPANCY
EVALUATION AND PLANNING SUPPORT
SERVICE
Fred Amthor Chief, Criteria Division
John Sibenik Criteria Division
OPTOMERY SERVICE
Dr. Charles F. Mullen, Director, Optometry
Service
Shepard Arnold Adler, FAAO, O.D.
Senior Staff Optometrist
VAMC Bay Pines, FL
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VA DESIGN GUIDE
Abbreviations
A Amperes
AC/HR Air Changes per Hour
ADA Americans with Disabilities Act
AFF Above Finished Floor
AI Acquisition and Installation
A&MM Acquisitions and Material
Management
AR As Required
AT Acoustical Ceiling Tile
C Degrees Celsius
CC Contractor Furnished and Installed,
Construction Funds
CF Construction Funds, VA Furnished,
Installed by VA or Contractor
CFM Cubic Feet per Minute
CLG Ceiling
CM Construction Management Office
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
HAC Housekeeping Aids Closet
HB Hosebibb
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
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 Appropriations for
Installation
VCT Vinyl Composition Tile
VHA Veterans Health Administration
VV VA Furnished and Installed-VHA
Appropriation
W Watts
W/sf Watts per Square Foot
W/m2 Watts per square meter
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VA DESIGN GUIDE
Section 2
Narrative
Page
General Considerations................................... 2-1
Technical Considerations ................................ 2-3
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General Considerations
Narrative
VA DESIGN GUIDE
EYE CLINIC Page 2-1
OVERVIEW
Current Direction
With the recent change in direction of the VA
from an inpatient oriented service to a
primarily outpatient service many new and
innovative approaches to service have been
inaugurated. One result of the changes has
been the location of smaller clinics in
neighborhoods to better serve the veterans.
The majority of patients will be ambulatory
and the work will be treating everyday needs
The basic eye care program is available at all
VA Medical Centers and clinics. Routine eye
exams, disease evaluation, preventative eye
health care, health screening and health
education are all part of the services to be
found.
The larger eye clinics mainly in VA Medical
Centers will treat both inpatients and
outpatients while neighborhood clinics will be
primarily concerned with local outpatients.
Levels of service will be determined by needs
and complexities of disorders and this in turn
will affect the size and location of new clinics
VA Trends
The present trend is to make all these
services more user friendly.
There are four levels of clinic size with level
one being the largest and most complex and
level four the smallest
Clinic programs are determined by several
factors:
Total number of annual Inpatient and
outpatient clinic stops.
The Medical Center complexity level.
The need for a full or part time clinic..
Planned staffing.
Staff requirements for offices.
Whether an Argon and/or Yag laser
room has been authorized.
Besides being more user friendly there is a
real effort to reduce costs throughout
government; and this is leading to more,
smaller buildings with equipment and
capabilities to match levels of use.. The urban
center will have all the basic refractive
equipment but also include instruments that
ophthalmology would share with the satellite
offices. The satellite clinics would then
schedule /refer/ consult those patients to the
urban clinic as needed. Both optometry and
ophthamology would share offices, with
usually at least two fully equipped
examination rooms. Within these exam
rooms would be the chair, stand , light,
phoropter, slit lamp keratometer and
tonometer. In larger clinics a visual field
room, photography room, ultrasound room,
and eye procedure room will be required.
When a procedure room is required clean
and soiled utility rooms are also necessary.
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General Considerations
Narrative
VA DESIGN GUIDE
EYE CLINIC Page 2-2
The smaller clinics would be used less
frequently and the complexity of their
equipment will be determined by the volume
of patients. (Ultrasound in smaller clinics
may be a small portable unit while larger
clinics will require a separate room.) Small
community based clinics will treat everyday
needs and some ambulatory surgical
problems. This is evidenced by laser
capsulotomies for post IOL surgery,
iridotomies (glaucoma), etc.
Specialized Equipment
Argon and Yag lasers would be the standard
lasers for satellite clinics. Other specialized
equipment is noted on the Design Guide
Plates and Equipment Guide Lists.
Support areas are required for all clinics
These include staff lockers and lounge areas;
workrooms; scrub areas for the staff; storage
space; connection to the Supply Processing
and Distribution (SPD); housekeeping
closets; gas storage area; appropriate staff
offices; control and communication areas;
patient holding areas; and other rooms or
areas as is deemed appropriate. Small stand
alone clinics will require most of the above
while clinics in the VAMCs will be able to
share many of these facilities with other
disciplines.
The Design Guide will not show layouts of
support facilities since we are primarily
concerned with the specialized spaces
required. Adjacent areas will frequently be
noted to show adjacency requirements.
SITING
Location of the clinic in an area of greatest
need is a prime concern. The sites that are
chosen should be central to the local veteran
population. Location in areas that are easily
accessible to residents is very important.
Public access is very important. How do
patients get to the clinic? Convenient access
from patient parking or arrival areas is
necessary; pedestrians, vehicular traffic and
public transportation are other necessary
factors in location. Concerns such as access
to the site by staff and parking for both users
and staff is very important. Most clinics are a
nine to five operations and safety for
everyone both going and coming has to be
assured. Some clinics have found that the
trust built by their operation in the community
is an insurance policy for the safety of
patients and staff. An undesirable
environment can create problems so proper
location is of prime importance. Most patients
at va clinics are of an older age than the
average clinic patient and they are often
handicapped. It is therefore very important
that parking be located as close as possible
to the entrance. Barrier free design
requirements are very explicit about
handicapped spaces and access walks to the
building. Clear signage is needed, especially
when clinics are located in shopping malls,
elderly patients can easily become confused
if signage is not both legible and easily
discernible
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Technical Considerations
Narrative
VA DESIGN GUIDE
EYE CLINIC Page 2-3
ARCHITECTURAL
Pleasant interior architecture with soothing
colors, finishes and signage is very important
to the patient when visiting the clinic. It is
important because knowing exactly where to
go and an aesthetically pleasing environment
instills a feeling of confidence that will relieve
the anxiety that can accompany a visit to the
clinic. These factors become increasingly
important as the volume of patients rises and
the size and complexity of the facility
expands. It is important to make the patients
visits a good experience Choice of materials
is significant - they must be durable,
permanent, maintainable, cost effective and
aesthetically pleasing.
Interior partitions should be primarily painted
gypsum wallboard on metal stud construction.
Partitions around exam and treatment rooms
should have sound attenuation batts between
the studs in accordance with VA Construction
Standards PG-18-3, CD-34-1, Noise
Transmission Control.
Floors in offices, exam and treatment rooms
and most other spaces should be vinyl
composition tile with a 100mm (4 ) high
resilient base. Waiting spaces may be
carpeted with a 100mm (4) resilient base.
Toilets should have ceramic tile floors and
bases.
Ceilings should be lay-in acoustic ceiling tile
systems.
Interior doors should be primarily 45mm (1
3/4
)
thick hollow core wood in metal frames.
Hollow metal may be used where fire rating is
required. Handicapped accessible hardware
should be used throughout.
HEATING, VENTILATING & AIR
CONDITIONING
Provide HVAC to heat, cool and ventilate the
individual spaces, as required by VA design
criteria.
The heating and cooling loads should be
established by the engineer/designers to
meet project requirements.
All air conditioning systems that are
considered should be compared on life cycle
cost basis. The selected system should be
that system having the lowest life cycle cost.
Transfer air should not be more than
2.8m
3
/min (100 CFM) per undercut door.
Care should be taken to minimize the short
circuiting between supply and return/exhaust
in the spaces. Corridors should not be used
to supply or exhaust/return air from rooms
except exfiltration/infiltration from
positive/negative pressure rooms adjacent to
a corridor should be considered in balancing
air flow. Corridor air may be used to ventilate
toilet rooms, HACS and small electrical or
telephone closets opening directly to
corridors.. Provide seismic bracing as
outlined in the VA HVAC Design Manual for
Hospital Projects. Also refer to VA Handbook
PG-18-3, CD-54 Natural Disaster Resistive
Design (non-structural) for additional
information.
Follow TB Criteria in the HVAC Design
Manual for Hospital Projects
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Narrative
VA DESIGN GUIDE
EYE CLINIC Page 2-4
Select HVAC equipment, ductwork and air
distribution devices to achieve noise levels
listed in the HVAC Design Manual for
Hospital Projects and Master Construction
Specification Section 15200.
PLUMBING
The plumbing system should satisfy the
clinics needs. Cold and hot water should be
piped to all plumbing fixtures and equipment
requiring them. Plumbing fixtures and drains
should be drained by gravity through soil,
waste and vent stacks. A minimum of a
standard wet sprinkler system is required for
fire protection. Local code requirements for
seismic protection should govern.
ELECTRICAL
Illumination
Illumination is typically provided utilizing
recessed fluorescent luminaries with acrylic
prismatic lenses. Fixtures must conform to
the National Energy Policy Act of 1992.
Lighting intensities must conform to VA
design criteria , the Illuminating Engineering
Society of North America (IESNA) Lighting
Handbook and IESNA - Recommended
Practice RP-29, Health Care Facility
Lighting replaces the CP-29 publication.
Lighting is typically controlled by wall
mounted switches located at the entrance to
the room. Larger spaces may utilize multiple
switching through separate switches for
lighting of individual zones or areas. Power
load densities for lighting are listed for use by
the mechanical HVAC load calculations.
Load densities should be verified by the
actual design, as they may vary depending
on the room configuration, fixtures used,
types of lamps and ballasts. General
purpose duplex receptacles are typically
provided on each wall of the room.
LIFE SAFETY
A life safety program should be developed to
provide a reliable system to protect the
occupants, patients and fire fighting
personnel. Design aspects relating to fire
and safety include:
Structural Fire Resistance
Fire Detection, Alarm & Suppression
Smoke Control & Exhaust
Fire Fighter Access
Federal Facilities are required to be fully
protected by an automatic fire suppression
system. The local codes and NFPA 101
should be referenced in the design of the
clinic.
COMMUNICATIONS
Telephone outlets are typically provided in
each room. Desk outlets are 450mm (18)
AFF (above finished floor) and wall phones
are 1200mm (48) AFF. Computer outlets are
provided at personal computers and printers,
desk outlets are 450mm (18) AFF.
RECYCLING
Methods of sorting, collecting, transporting
and disposing of recyclable products must be
specifically analyzed for the facility and
location. The optional use of disposable and
reusable products is an important
consideration in recycling and waste disposal
alternatives.
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Narrative
VA DESIGN GUIDE
EYE CLINIC Page 2-5
MEDICAL AND GENERAL WASTE
Medical waste generated in patient areas is
bagged and transported to soiled utility
rooms. General waste is also stored in utility
rooms. Medical waste is usually put in red
bags to keep it separate from general waste.
Medical waste goes to special waste handling
facilities while general waste requires no
special facilities for disposal.
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VA DESIGN GUIDE
Section 3
Relationship Diagram
Page
Eye Clinic Level 3 & 4 ..................................... 3-1
Eye Clinic Level 1............................................ 3-2
VA DESIGN GUIDE
EYE CLINIC
PAGE 3-1
First Draft 6-28-97
Photo
Room
EyeCare
Provider
Office
Pretesting
Fitting&Disp.
Visual
Room
Low
Vision
Exam
Treatment
Exam
Treatment
Reception
Area
W/C
Pat. Tlt
Suppt.
Equip.
Patient
Waiting
Eye Clinic Level 3 & 4
Photo
Room
Eye
Procedure
Room
Pretesting
Fitting&Disp.
Visual
Fields
Low
Vision
TrainingRm.
W/C
Stor.
Staff Circulation
Ultrasound
Optic
Nerve
Electrodgn.
Laser
Yag
Laser
Argon
Reception
&
Waiting
Area
Exam
Rooms
Administrative
Exam
Rooms
Pat.
Toilet
VA DESIGN GUIDE
EYE CLINIC
PAGE 3-2
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Eye Clinic Level 1
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VA DESIGN GUIDE
Section 4
Design Guide Plates
and Data Sheets:
Patient Care Areas
Guide Plate Series Plate Number
Office, Eye Care Provider
Low Vision Exam & Traning Room
Equipment & Utility Plan .......................... 4-1
Reflected Ceiling Plan.............................. 4-1
Design Standards.................................... 4-1
Equipment Guide List .............................. 4-1
Examination/Treatment Room
Visual Fields Room and Photography Room
Pretesting, Fitting and Dispensing Room and
Consulting/Viewing Room
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VA DESIGN GUIDE
EYE CLINIC CONTENTS - SECTION 4 (cont.)
Section 4
Design Guide Plates
and Data Sheets:
Patient Care Areas
Guide Plate Series Plate Number
Laser Room and Ultrasound Room
Eye Procedure Room
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VA DESIGN GUIDE
EYE CLINIC PAGE 4-1
Design Standards
Low Vision Exam & Training Room
ARCHITECTURAL
Ceiling: Gypsum wallboard lay-in ceiling panels
Ceiling Ht: 2400 mm (8'-0")
Wall Finish: Paint
Wainscot: --
Base: Resilient base
Floor Finish: Vinyl composition tile
Slab Depr: --
Notes: --
SPECIAL EQUIPMENT
None
LIGHTING
General: 50 FC (1.4 W/sf) - Ambient
100 FC (/2.8 W/sf) - Task
Special: --
Notes: 1. 600 mm x 1200 mm (2x4)
recessed fluorescent light fixture,
acrylic prismatic lens on top and
bottom, W/4-F32T8 lamps, 4100
deg. K, CRI=85 (min.)
POWER
General: 800W (receptacles)
Emergency: --
Notes: --
COMMUNICATIONS
ADP: Yes
Radio: --
Telephone: Yes
Intercom: --
Pub. Addr: --
Notes: --
HEATING, VENTILATING AND AIR
CONDITIONING
Dry Bulb Temp Cooling: 25C (78F)
Dry Bulb Temp Heating: 22C (72F)
Minimum % Outside Air: 25
100% Exhaust Air: --
Noise Criteria: NC-40
Steam: --
Relative Humidity/Cooling: 50%
Relative Humidity/Heating: 30%
Minimum Air Changes/Hr.: 4
Room Pressure: --
AC Load Lighting 30 W/m
2
(2.8 W/sf)
AC Load Equipment: 97 W/m
2
(1.76 W/sf)
Number of People: 2 each rm
Special Exhaust: --
Notes: --
PLUMBING AND MEDICAL GASES
Cold Water: Yes
Hot Water: Yes
Laboratory Air: --
Laboratory Vacuum: --
Sanitary Drain: Yes
Reagent Grade Water: --
Medical Air: --
Medical Vacuum: --
Oxygen: --
Notes: --
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Equipment Guide List
VA DESIGN GUIDE
EYE CLINIC PAGE 4-1
Low Vision Examination And Training
LOW VISION EXAMINATION AND TRAINING ROOM
VV DESK, DOUBLE PEDESTAL,
APPROX., I524mm x 762mm x 749mm (60 x 30 x 29 )
1 VV CHAIR, ROTARY, WITH ARMS
1 VV TABLE. 1067mm x 610mm x 749mm (42 x 24 x 29 )
1 VV CHAIR, PATIENT, WITH ARMS
AR VV CABINET, STORAGE OF VISION AIDS DISPENSED TO PATIENTS.
WITH SLIDING GLASS DOORS, FREE STANDING,
1524mm x 610mm x 1829mm (60 x 24 x 72)
1 VV LAMP, FLOOR, WITH GOOSENECK FOR ADJUSTMENTS,
HIGH INTENSITY (LUXO)
2 VV ILLUMINATED CHARTS (NEAR & FAR)
455mm x 300mm (18H x 12W)
1 VV CLOCK, BATTERY OPERATED
1 VV RECEPTACLE, WASTE, 300mm (12) DIAMETER
AR CC RECEPTACLE. ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG-18-1, MCS 16140; H-18-3, CS 8Ol-3)
OFFICE, EYE CARE PROVIDER
1 VV DESK, DOUBLE PEDESTAL,
APPROX., 1524mm x 762mm x 749mm (60 x 30 x 29 )
1 VV CHAIR, ROTARY, WITH ARMS
2 VV CHAIR, STRAIGHT, WITH ARMS
2 VV BOOKCASE, SECTIONAL,. EACH SECTION,
836mm x 330mm x 381mm (33 x 13 x 15) WITH 254mm (10) BASE
-OR-
1 VV MODULAR FURNITURE WITH SHELVES/CABINETS ABOVE AND
BELOW WITH CHAIR, EXECUTIVE, ROTARY
1 VV RECEPTACLE, WASTE 330mm (13*) DIAMETER
1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD
(TOP OF WORKSURFACE)
1 VV PRINTER, FOR COMPUTER SYSTEM
1 VV TABLE, FOR COMPUTER
1 CC RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER
EQUIPMENT (PG-18-1, MCS 16140; H-18-3, CS 866-1)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG-18-1, MCS 16140; H-18-3, CS 801-3)
SYMBOL QTY AI DESCRIPTION
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VA DESIGN GUIDE
EYE CLINIC PAGE 4-2
Design Standards
ARCHITECTURAL
Wall Finish: Paint
Wainscot: --
Floor Finish: Vinyl Composition Tile
Slab Depr: --
Notes: --
SPECIAL EQUIPMENT
None
LIGHTING
100 FC (/2.8 W/sf) - Task
Special: --
Notes: 1.Provide dimmer controls for
Opthamolic stands.
2.600 mm x 1200 mm (2 x 4)
acrylic prismatic lens, W/4-F32T8
lamps, 4100 deg. K, CRI=8.5
(min.)
POWER
Emergency: --
Notes --
COMMUNICATION
ADP: Yes
Radio: --
Telephone: Yes
Intercom: --
Pub. Addr: --
Notes: --
CONDITIONING
Minimum % Outside Air: 25
Steam: --
Room Pressure: 0
AC Load Lighting: 30 W/m
2
( 4 W/sf)
AC Load-Equipment: 65 W/m
2
(6 W/sf)
Number of People: 3
Special Exhaust: --
Notes: --
Cold Water: Yes
Hot Water: Yes
Laboratory Air: --
Sanitary Drain: Yes
Medical Air: --
Medical Vacuum: --
Oxygen: --
Notes: --
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VA DESIGN GUIDE
EYE CLINIC PAGE 4-2
1 VV CHAIR/TABLE, PATIENT, EXAM, FULLY POWERED, HEIGHT
ADJUSTED
1 VV STAND, OPHTHALMIC INSTRUMENT STAND WITH SWINGING
AND PIVOTING ARMS CONTINUING:
PHOROPTOR
SLIT LAMP
KERATOMETER
LAMP-TOP OF OPHTHALMIC COLUMN
1 VV DESK, REFRACTION, WITH RETRACTABLE LENS DRAWER AND
CONTROLS AND DIMMER CONTROLS, POWER WELLS
CONTAINS OPHTHALMOSCOPE, RETINOSCOPE AND
TRANSILLUMINATOR
1 VV CHART, PROJECTOR - TOP OF THE DESK
1 VV SINK, MODULE
1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTED
2 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED
1 VV DISPENSER, GLOVES. WALL MOUNTED
1 VV CABINET, SLOPING TOP, GLAZED DOORS,
457mm x 381mm x 1829mm (18 x I5 x 72)
AR VV HOOK, COAT, WALL MOUNTED
AR VV MIRROR, SET - 2, REFLECTING, ADJUSTABLE (SPECIAL
OPTOMETRIST)
AR VV SCREEN, REFLECTING, ADJUSTABLE (SPECIAL OPTOMETRIST)
1 VV TABLE, COMPUTER EQUIPMENT,(600mm x 1200mm (24 x 48)
1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD
1 VV PRINTER, FOR COMPUTER SYSTEM
EQUIPMENT ITEMS (PG-18-1, MCS 16140; H-18-3, CS 866-1)
1 VV CABINET, FILING (LETTER SIZE) 5 DRAWER,
APPROX., 381mm x 635mm x 1524mm (15 x 25 x 60)
1 VV CHAIR, OPEPATOR'S WITHOUT ARMS, SWIVEL AND
ADJUSTABLE HEIGHTS
AR CC SWITCH, DIMMER CONTROL (PG-18-1, MCS 16510)
NOTE: PROVIDE DUAL POINT CONTROL FOR LIGHTS
(PG18-1, MCS 16140; H-18-3, CS 801-3)
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VA DESIGN GUIDE
EYE CLINIC PAGE 4-3
Design Standards
ARCHITECTURAL
Wall Finish: Paint
Wainscot: --
Slab Depr: --
Notes: --
SPECIAL EQUIPMENT
None
LIGHTING
100 FC (/2.8 W/sf) - Task
Special: --
Notes: 1. 600 mm x 1200 mm (2x4)
POWER
Emergency: --
Notes: --
COMMUNICATION
ADP: Yes
Radio: --
Telephone: Yes
Intercom: --
Pub. Addr --
Notes: --
CONDITIONING
Minimum % Outside Air: 25%
Steam: --
Room Pressure: 0
2
(2.8 W/sf)
2
(1.76 W/sf)
Special Exhaust: --
Notes: --
Cold Water: Yes
Hot Water: Yes
Laboratory Air: --
Sanitary Drain: Yes
Medical Air: --
Medical Vacuum: --
Oxygen: --
Notes: --
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-3
VISUAL FIELDS ROOM(S)
1 VV VISUAL FIELDS INSTRUMENT(S)
1 VV LENS SET, TRIAL, OPHTHALMIC
2 VV CHAIR, WITH BACK SUPPORT, ADJUSTABLE HEIGHTS, SWIVEL
AND WHEEL BRAKES
1 VV CHAIR, ROTARY, EXECUTIVE
NOTE: PROVIDE SPACE FOR WHEELCHAIRS
2 VV BATTERY OPERATED
(PG-18-1, MCS 16140, H-18-3, CS 801-3)
PHOTOGRAPHY ROOM
1 VV CAMERA RETINAL
2 VV CAMERA, ANTERIOR SEGMENT
2 VV CAMERA, HAND HELD FOR EXTERNAL PHOTOS
2 VV CHAIR, OPERATOR'S WITHOUT ARMS, SWIVEL AND
ADJUSTABLE HEIGHTS
1 VV CABINET, SLOPING TOP AND GLAZED DOORS,
914mm x 381mm x 1829mm (36 x 15 x 72")
1 VV CART, VIDEO, .1016mm x 508mm (40 x 20)
P-418 1 CC LAVATORY, SENSOR CONTROL,
(PG-18-1, MCS 15450, VOL S, SD 380)
1 VV DISPENSER, SOAP. LIQUID, WALL MOUNTED
1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED
AR CC RECEPTACLE, ELECTRICAL., DUPLEX, 120 VOLT, 20 AMP
(PG-18-1. MCS 16140, H-18-3, CS 801-3)
NOTE: PROVIDE DIMMER SWITCH FOR ROOM LIGHTING.
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-4
Design Standards
Pretesting, Fitting & Dispensing Room and
Consultation/Viewing Room
ARCHITECTURAL
Wall Finish: Paint
Wainscot: --
Slab Depr: --
Notes: --
SPECIAL EQUIPMENT
None
LIGHTING
100 FC (/2.8 W/sf) - Task
Special: --
Notes: 1. 600 mm x 1200 mm (2x4)
POWER
General: 800W (Receptacles)
Emergency: --
Notes: --
COMMUNICATION
ADP: Yes
Radio: --
Telephone: Yes
Intercom: --
Pub. Addr: --
Notes: --
CONDITIONING
Steam: --
2
(2.8 W/sf)
2
(1.76 W/sf)
Number of People: 2 each room
Special Exhaust: --
Notes: --
Cold Water: Yes
Hot Water: Yes
Laboratory Air: --
Sanitary Drain: Yes
Medical Air: --
Medical Vacuum: --
Oxygen: --
Notes: --
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-4
Consulting/Viewing Room
PRERESTING, FITTING AND DISPENSING ROOM
1 VV SCREENING CENTER WITH TABLE INCORPORATING
FOLLOWING INSTRUMENTS:
AUTO REFRACTOR
AUTO LENSOMETER
AUTO TONOMETER
AUTO BIOMETRY AND KERATOMETER
2 VV CHAIR, PATIENT, WITHOUT ARMS
1 VV CHAIR, TECHNICIAN, WITHOUT ARMS
1 VV DISPLAY, GLASSES-FRAME, APPROX., 1219mm (48) LONG
1 VV TABLE, KNEE SPACE UNDER, 1524mm x 610mm (60 x 24)
1 VV CHAIR, STRAIGHT WITHOUT ARMS
AR VV MIRROR
1 VV CABINET, STORAGE FOR CONTACT LENSES,
457mm x 610mm x 1829mm (18 x 24 x 72)
1 CC BENCH, REPAIR, 762mm x 2438mm WITH 152mm
(30 WIDE x 96 LONG WITH 6 WIDE) TOOL SHELF ABOVE,
152mm (6) DEEP DRAWERS UNDER AND KNEE SPACE
1 CC SINK, STAINLESS STEEL, BUILT INTO COUNTER,
457mm x 356mm x 203mm (18 x 14 x 8)
1 VV STOOL, OPERATORS, SWIVEL AND ADJUSTABLE HEIGHTS
2 VV CABINET, WALL MOUNTED, 762mm (30) WIDE
1 VV CART, UTILITY, CORROSION RESISTING STEEL,
914mm x 457mm x 762mm (36 x 18 x 30)
1 CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG-18-1, MCS 16140; H-18-3, CS 801-3)
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-4
Consulting/Viewing Room (cont.)
CONSULTATION/VIEWING ROOM
1 VV TABLE, CONFERENCE,
914mm x 1829mm x 762mm (36 x 72 x 30)
4 VV CHAIR, STRAIGHT, WITHOUT ARMS
1 VV BOOKCASE, SECTIONAL
838mm x 330mm x 381mm (33 x 13 x I5) WITH 254mm (10) BASE
1 VV BULLETIN/ERASER BOARD, COMBINATION,
1219mm x 914mm (48 x 36)
1 CC SCREEN, PROJECTION, CEILING OR WALL MOUNTED,
RETRACTABLE (PG-18-1, MCS 11131)
AR VV ILLUMINATOR, X-RAY, 120 VOLT, 20 AMP, WALL MOUNTED,
APPROX., 508mm x 1499mm (20 x 59), 4 IN 1
1 VV PROJECTION, APPARATUS, 610mm x 610mm (24 x 24)
1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD, WITH MONITOR
(TOP OF WORK SURFACE)
1 VV PRINTER, COMPUTER SYSTEM
ITEMS (PG-18-1, MCS 16140; H-18-3, CS 866-1)
(PG-18-1,MCS 16140; H-18-3, CS 801-3)
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-5
Design Standards
Laser Room & Ultrasound Room
ARCHITECTURAL
Wall Finish: Paint
Wainscot: --
Floor Finish: Vinyl Composition Tile;
Slab Depr: --
Notes: --
SPECIAL EQUIPMENT
None
LIGHTING
100 FC (/2.8 W/sf) - Task
Special: --
Notes: 1. 600 mm x 1200 mm (2x4) recessed
fluorescent light fixture, acrylic
prismatic lens, W/4-F32T8 lamps,
4100 deg K, CRI-85 (minimum)
POWER
Emergency: --
Notes: --
COMMUNICATION
ADP: Yes
Radio: --
Telephone: Yes
Intercom: --
Pub. Addr: --
Notes: --
CONDITIONING
Steam: --
Room Pressure: 0
2
(2.8 W/sf)
AC Load Equipment: 19 W/m
2
(1.76 W/sf)
Special Exhaust: --
Notes: --
Cold Water: Yes
Hot Water: Yes
Laboratory Air: --
Sanitary Drain: Yes
Medical Air: --
Medical Vacuum: --
Oxygen: --
Notes: --
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-5
Laser Room and Ultrasound Room
LASER ROOM
1 VV LASER, YAG, AIR COOLED
2 VV LASER, ARGON-KRYPTON DYE, WATER HOOK-UP FOR
COOLENT
1 VV LASER, PROTECTIVE GOGGLE HOLDER
AR CC CONNECTIONS, PLUMBINC;, ELECTRICAL OR MECHANICAL AS
REQUIRED
1 VV CHAIR, PATIENT, WITH ARMS
1 VV CHAIR, OPERATORS WITHOUT ARMS, SWIVEL AND
ADJUSTABLE HEIGHTS
AR CC RECEPTACLE, ELECTRICAL, 208 VOLT, 30 AMP
(PG-18-1, MCS 16140; H-18-3, CS 801-3)
(PG-18-1, MCS 16140; H-18-3, CS 801-3)
ULTRASOUND ROOM
1 VV MACHINE, ULTRA SOUND ON CART
AR VV ULTRASOUND BIOMICROSCOPE, INSTRUMENT
1 VV TABLE, EXAMINATION WITH PAPER ROLL DISPENSER AT THE
FOOT OF THE TABLE
2 VV CHAIR, STRAIGHT, WITHOUT ARMS
1 VV DESK, DOUBLE PEDESTAL.
APPROX., 1524mm x 762mm x 749mm (60 x 30 x 29 )
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 MP
(PG-18-1, MCS 16140; H-18-3, CS 801-3)
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-6
Design Standards
Eye Procedure Room
ARCHITECTURAL
Ceiling: Acoustic Ceiling Tile
Wall Finish: Paint
Wainscot: --
Slab Depr: --
Notes: --
SPECIAL EQUIPMENT
None
LIGHTING
100 FC (/2.8 W/sf) - Task
Special: --
Notes: 1. Provide dimmer controls for
fluorescent lights
2. 600 mm x 1200 mm (2 x 4)
acrylic prismatic lens, W/4-F32T8
lamps, 4100 deg. K, CRI=85.
3. Light, major surgical.
POWER
General: 800W (Receptacles)
Emergency: --
Notes: --
COMMUNICATION
ADP: Yes
Radio: --
Telephone: Yes
Intercom: --
Pub. Addr: --
Notes: --
CONDITIONING
Steam: --
Room Pressure: 0
2
(2.8 W/sf)
2
(1.76 W/sf)
Number of People: 2
Special Exhaust: --
Notes: --
Cold Water: Yes
Hot Water: Yes
Laboratory Air: --
Sanitary Drain: Yes
Medical Air: Yes
Medical Vacuum: Yes
Oxygen: Yes
Notes:
--
First Draft 6-28-97
VA DESIGN GUIDE
EYE CLINIC PAGE 4-6
Eye Procedure Room
1 VV CHAIR, OPHTHALMIC, VARIABLE POSITIONS, ADJUSTABLE
HEIGHTS
1 VV STOOL, SURGEON
1 VV CART, UTILITY, CORROSION RESISTING STEEL,
914mm x 457mm x 762mm (36 x 18 x 30)
1 VV LASER, PROTECTIVE GOGGLE HOLDER
1 VV I.V. POLE
1 CC OUTLET, WALL, OXYGEN (PG-18-1, MCS 15491, H-18-3, CS 310-1)
1 CC OUTLET, WALL, MEDICAL AIR
(PG-18-1, MCS 15491, H-18-3, CS 310-1)
1 CC OUTLET, WALL, VACUUM
(PG-18-1, MCS 15491, H-18-3, CS 310-1)
1 CC BRACKET, VACUUM BOTTLE SLIDE
(PG-18-1, MCS 15491; PG-18-4, SD 336)
1 VV CABINET, FOR DILATION AND IRRIGATION EQUIPMENT,
SLOPING TOP, 914mm x 457mm x 1829mm (36 x 15 x 72)
1 VV CABINET, INSTRUMENTS, GLAZED DOORS, SLOPING TOP,
914mm x 457mm x 1829mm (36 x 15 x 72)
1 VV DEFIBRILLATOR, ON CART
1 VV CART, EMERGENCY, CRASH CART
APPROX., 914mm x 533mm (36 x 21)
1 VV CABINET, SUPPLIES, GLAZED DOORS, SLOPING TOP,
914mm x 457mm x 1829mm (36 x 15 x 72)
P-520 1 CC SINK, SURGEONS, SCRUB-UP, SENSOR CONTROL
(PG-18-1, MCS 15450; PG-18-4. SD 392)
1 CC DISPENSER, SOAP, WITH FOOT CONTROL, WALL MOUNTED
OVER SINK (PG-18-1, MCS 10800)
1 CC DRYER, HAND. FORCED AIR, TOUCHLESS TYPE,
120 VOLT, 20 AMP (PG-18-1, MCS 10800)
1 VV DISPENSER, GLOVES, WALL MOUNTED
1 CP LIGHT, MAJOR, SURGICAL WITH VARIABLE INTENSITY
CONTROL, SINGLE POINT SUSPENSION, CEILING MOUNTED,
(PG-18-1, MSC 16515)
1 VV MONITOR, CEILING SUSPENDED
1 VV UNIT, CRYOSURGICAL
1 VV MACHINE, CAUTERY
AR CC SWITCH, DIMMER CONTROL (PG-18-1, MCS 16510)
1 VV HEAD MOUNT. LASER SYSTEM
AR VV RECEPTACLE, WASTE, 330mm (13) DIAMETER
AR CC RECEPTACLE, ELECTRICAL. DUPLEX, 120 VOLT, 20 AMP
(PG-18-1. MCS 16140; H-18-3, CS 801-3)

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