Surgical Services Design Guide PDF

Surgical Services
November 2015
Surgical Services
April 2016
Surgical Services Design Guide April 2016
TABLE OF CONTENTS
1.0 GENERAL Page

1.1. Foreword 1-1
1.2. Acknowledgement 1-3
1.3. Introduction 1-7
1.4. VA Policies/Standards, and Industry Codes/Standards 1-8
1.5. Abbreviations 1-10
2.0 NARRATIVE
2.1. General 2-1
2.1.1. Clinical and Operational Summary 2-1
2.1.2. VA Trends in Surgical and Interventional Service 2-20
2.2. Technical Considerations 2-22
2.2.1. VA Policies/Directives/Handbooks, Codes, and Standards 2-22
2.2.2. Architectural 2-24
• Ceilings 2-24
• Floors 2-24
• Walls 2-24
• Casework 2-24
• Acoustics / Noise Control 2-25
• Doors 2-25
2.2.3. Interior Design 2-26
• Interior Finishes 2-26
• Wayfinding 2-26
2.2.4. Heating, Ventilation and Air Conditioning Systems (HVAC) 2-26
• Life Cycle Analysis 2-27
• Energy Conservation 2-27
• Exterior Design Conditions 2-27
• Indoor Design Conditions 2-27
• Supply Air Requirements 2-27
• Surgical Suite Air Handling Units 2-28
• Filtration 2-28
• Operating Room Return Air Requirements 2-29
• Outdoor Air Requirements 2-29
• Exhaust and Return Air Requirements 2-29
• Noise Criteria 2-29
• Design Features 2-29
• Temperature Control Criteria 2-29
• Humidity Criteria 2-30
2.2.5. Plumbing Systems 2-30
• Domestic Water 2-30
• Plumbing Fixtures 2-30
• Sanitary Systems 2-30
• Medical Gases and Medical Vacuum Systems 2-30
TABLE OF CONTENTS i
2.2.6. Electrical Systems 2-31

• Lighting 2-31
• Power 2-31
• Normal Power 2-32
• Emergency Power 2-32
2.2.7. Telecommunications, and Special Telecommunication
Systems, Monitoring and Signal Systems 2-32
• Operating Room Integration 2-32
• Virtual Whiteboard Visual Workflow Management
Software 2-33
• Patient Safety Display 2-34
• Endoscopic Integration 2-34
• Video Integration 2-34
• Pneumatic Tube System 2-36
2.2.8. Fire Protection and Life Safety 2-36
• Fire Detection and Sprinkler System 2-36
3.0 FUNCTIONAL DIAGRAMS

3.1. General 3-1
3.2. The Surgical Suite 3-4
3.3. Clean Core 3-13
4.0 DESIGN STANDARD PLATES – FLOOR PLANS, REFLECTED CEILING PLANS,

ROOM DATA SHEET, EQUIPMENT LIST & GENERAL NOTES
4.1. General 4-1
• Introduction 4-1
• Legend of Symbols 4-2
4.2. Patient Bay, Pre-Operative Holding /
Phase II Recovery (RRPR1) 4-5
• Axonometric View 4-5
• Floor Plan 4-6
• Reflected Ceiling Plan 4-7
• Elevations 1 & 2 4-8
• Room Data Sheet 4-9
• Equipment List 4-11
4.3. Patient Room, Pre-Operative Holding /
• Floor Plan 4-17
TABLE OF CONTENTS ii
4.4. Clean Workroom, Anesthesia (ANCW2) 4-27

• Floor Plan 4-28
4.5. Operating Room, General (ORGS1) 4-34
• Floor Plan 4-35
• JSN Legend 4-37
4.6. Operating Room, Orthopedic (OROS1) 4-50
• Floor Plan 4-51
• JSN Legend 4-53
4.7. Operating Room, Urology / Cystoscopy (ORCS1) 4-67
• Floor Plan 4-68
• JSN Legend 4-70
4.8. Operating Room, Cardiothoracic (ORCT1) 4-84
• Floor Plan 4-85
• JSN Legend 4-87
4.9. Pump Room, Cardiothoracic / Hybrid OR (ORHL1) 4-103
• Floor Plan 4-104
TABLE OF CONTENTS iii


• Elevation 1 4-106
4.10. Operating Room, Neurosurgical (ORNS1) 4-112
• JSN Legend 4-115
4.11. Operating Room, Robotics (ORRB1) 4-130
4.12. Operating Room, Transplant (ORTR1) 4-147
4.13. Operating Room, Monoplane Hybrid (ORHY1) 4-165
4.14. Operating Room, Biplane Hybrid (ORHY2) 4-186
TABLE OF CONTENTS iv

4.15. Control Room, Hybrid OR (ORHC1) 4-207
4.16. Cardiac Catheterization Laboratory (XCCE1) 4-216
4.17. Procedure Room, Electrophysiology (XCEP1) 4-233
4.18. Transesophageal Echocardiograph (TEE) Procedure Room
(TRTE1) 4-251
4.19. Decontamination, TEE Probe (TRTE2)
TABLE OF CONTENTS v
Storage, Clean TEE Probe (TRTE3) 4-264

4.20. Immediate Use Sterilization Room (ORSR1) 4-273
4.21. Patient Bay, PACU / Phase I Recovery (RRBP1) 4-281
4.22. Airborne Infection Isolation (AII), Patient Room
PACU / Phase I Recovery (RRIR1) 4-290
4.23. Laboratory, Frozen Section (LBUL1) 4-304
4.24. Utility Room, Surgical Soiled (USCL7) 4-314
TABLE OF CONTENTS vi

5.0 APPENDIX
5.1. Checklist for Cardiac Hybrid OR, Cardiac Catherization/
Electrophysiology Lab 5-1
5.2. Site Tours 5-9
5.2.1. Elmhurst Memorial Hospital, Elmhurst, Illinois 5-10
5.2.2. Advocate Sherman Hospital, Elgin, Illinois 5-22
5.2.3. Center for Care and Discovery, Chicago, Illinois 5-32
5.2.4. Rush University Medical Center, Chicago, Illinois 5-46
5.2.5. Edward Hines, Jr. VA Hospital, Hines, Illinois 5-56
5.3. The Interventional Suite 5-63
TABLE OF CONTENTS vii

Surgical Services Design Standards April 2016
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TABLE OF CONTENTS viii

1.0 GENERAL
1.1. Foreword
The material contained in the Surgical and Interventional Services Design
Standard is the culmination of a partnering effort within the Department of
Veterans Affairs by the Veterans Health Administration and the Office of
Construction & Facilities Management – Office of Facilities Planning (003C2).
The goal of this Design Standard is to facilitate the design process and to
ensure the quality of VA facilities while controlling construction and operating
costs.
Disclaimer: products and materials indicated are for illustrations they are
not endorsement for any specific product. This document is intended to be
used as the standard for design and to supplement current VA construction
standards, and other VA criteria in planning surgical and endovascular space.
Designers shall use these Design Standards as close as possible to its
context and intent. Use of these Design Standards does not preclude the need
for a functional and physical design parameter for each specific project. It is
the responsibility of the Project Architect and the Project Engineer to develop
a complete and accurate project design that best meets the users’ needs and
applicable code requirements.
Lloyd H. Siegel, FAIA

Associate Executive Director
Office of Facilities Planning (003C2)
GENERAL 1-1
GENERAL 1-2
1.2. Acknowledgement
Credit is due to the following individuals whose leadership, knowledge, skills,

and ability made this document possible:
• Department of Veterans Affairs - Veterans Health Administration
William Gunner, MD, JD National Director of Surgery
John Rumsfeld, MD National Director of Cardiology
Rick Shunk, MD Director, Interventional Cardiology, San

Francisco VA Health Care System, San
Francisco, CA
Grit Adler, MD Chief, Interventional Radiology, James A. Haley

Veteran’s Hospital, Tampa, FL
William Nylander, MD, MBA Deputy National Director of Surgical Services,

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

Pittsburgh, PA
James Edwards, MD Physician, Portland VA Medical Center,

Portland, OR
John Sum-Ping, MD Director, Anesthesia Services, Chair of National

Anesthesia Service
Bernadette Speiser, Nurse Manager, Cardiology, Jesse Brown VA

MSN, CCRN, CMS Hospital, Chicago, IL
Cathy Clark, RN RCIS MS Interim National Cardiology Nurse Manager,

Denver VA Medical Center, Denver, CO
Lisa Warner, Clinical Nurse Advisor for Perioperative

RN, MHA, CNOR Services, Phoenix VA Medical Center,
Phoenix, AZ
Susan LeSuer, RN Chief Nurse, Minneapolis VA Medical Center,

Minneapolis, MN
GENERAL 1-3
Julie Wagner, RN, CNOR Nurse Manager, Minneapolis VA Medical

Center, Minneapolis, MN

Melissa Batt, RN Nurse Manager, Cardiology
April Dierieckx Assistant Nurse Manager, Cardiology
Daniel Pap, Certified Cardiographic Technician, John D.

CCT/RCIS/RCES Dingell VA Medical Center, Detroit, MI

VACO - Office of Construction & Facilities Management (003C)
Stella Fiotes Executive Director, Office of Construction &

Facilities Management
Lloyd Siegel, FAIA Associate Director, Office of Facilities Planning
Donald L. Myers, AIA Director Facilities Standard Services
Zoltán John Nagy, Subject Matter Expert Surgical and

RA, NCARB, AAH, AORN Interventional Radiology Planning and Design
Fei (Linda) Chan, Planner

Associate AIA
Gary Fischer, RA Senior Healthcare Architect
Lam Vu, PE Senior Healthcare Electrical Engineer
Michael Taylor, PE Senior Healthcare Mechanical Engineer
Don Walden Senior Healthcare Mechanical Engineer
Orest Burdiak Principal Healthcare Interior Designer
• Consultants
SmithgroupJJR
Bill Kline, Principal in Charge

AIA, EDAC, LEED AP, CAA
GENERAL 1-4
Vladislav Torskiy, Project Manager

AIA, ACHE, AHA,
LEAN Healthcare CP
Allen Whitaker, AIA Healthcare Planner
Gabryela Passeto, Healthcare Planner

Associate
April Dirmeitis, RN, MSN Healthcare Planner
Julia Hager, Healthcare Planner

AIA, LEED AP BD+C
Taylor Staten, Technical Support

Associate AIA
Marco Barboza Technical Support

LEED Green Associate
Colleen Malloy White Techical Support
• Sub-Consultants
The Innova Group
Michael Cook Vice President
Susan Myers, RN, MSN Space Planner
Gail Cisneros, RN Equipment Planner

Chris Phillips Project Manager
William Cross Alternate Project Manager
URS
Troy Metz, PE Mechanical Department Manager
Bill Hoffman, PE Mechanical Engineer
Danny Reyno Electrical Engineer
GENERAL 1-5
GENERAL 1-6
1.3. Introduction
The Surgical and Interventional Services Design Standards was developed

as a design tool to assist VA clinical, contracting, planning, construction and
engineering staff to better understanding the design process, and to better
enhancing their collaboration with the design team throughout the planning
and designing phases of a specific project.
These Design Standards are not intended to be project-specific. It addresses

the general space and equipment planning, as well as functional and technical
requirements of the Surgical and Interventional Suite. While this document
incorporates strategies to address adaptability, it is not possible to foresee
all future requirements. It is important to note that the Section 4 – Design
Standard Plates presents generic graphic representations illustrating space,
equipment and related engineered system needs. They are not intended to
limit design opportunities and adaptations.
The A/E design team shall read, understand and be familiar with the most
current editions of the applicable VA and applicable industry’s codes and
standards. Codes and standards shown in this document shall be adhered to.
VA construction standards can be accessed at the Office of Construction and
Facilities Management’s Technical Information Library (TIL) (http://www.cfm.
va.gov/TIL).
Use of these Design Standards does not supersede the project A/E’s
responsibilities to develop a complete and accurate design that meets the
user’s needs and the appropriate code requirements within the budget and
schedule constraints. A/E shall confirm and verity actual dimensions, weight
and utility requirements of equipment with manufacturers.
GENERAL 1-7
1.4. VA Policies/Standards, and Industry Codes/Standards
• VA Policies/Standards
1. Master Construction Specifications PG-18-1
2. Construction Standards H-18-3
3. Standard Details PG-18-4
4. Equipment Guide List PG-7610
5. List of Equipment Symbols PG-18-6
6. VHA Handbook 1102.01
7. Barrier-Free Design Handbook H-18-13
8. Room Finish and Door Hardware Schedule PG-18-14
9. Refer to the following PG 18-9 Space Planning Criteria Chapters that
also may require space in Surgical Services:
• Chapter 102 (Intensive Care Nursing Units)
• Chapter 285 (Supply Processing Services)
10. Various Technical Criteria (Design Manuals) pertaining to
Architectural, HVAC, Plumbing and Electrical
11. Consensus Information from various VA medical centers
12. Seismic Design Requirements H-18-8
13. VHA Directive 2010-018 Facility Infrastructure Requirements to Perform
Standard, Intermediate, or Complex Surgical Procedures
• Refer to the PG-18-3 (Topic 1) for the list of Codes, Standards and
Executive orders.
• Industry Codes/ Standards

1. AORN Guidelines for Perioperative Practice
2. American College of Surgeons Guidelines
3. FGI Guidelines for Design and Construction of Hospital and Outpatient
Facilities
• The Healthcare Insurance Portability and Accountability Act of 1996

(HIPAA) protects individuals rights to audible as well as visual privacy.
This is especially the case with respect to protection of each individual’s
medical records, private information and communications. The law protects
all conversations between patients and admission interviewers, caregivers,
nurses, physicians and families. ARRA passed by U.S. government in 2009
enacts special provisions and legal enforcement tools for patient privacy,
protection and security. Office of Civil Rights (OCR) monitors HIPAA
security rule compliance based on ARRA provisions. Current penalties
that can be implied by OCR for non-compliance with HIPAA are divided
in four categories: (i) without knowledge; (ii) based on reasonable cause;
GENERAL 1-8
(iii) willful neglect and (iv) willful neglect, not corrected. Penalties differ per
violation versus maximum penalty according to these four categories and
vary between $100 and up to $1,500,000.
• Disaster Planning: Situations can arise in which it may not be feasible to

evacuate patients for extended periods of time. In those cases, emergency
electrical power will be required to maintain seamless equipment
operation, heating, ventilating and vertical transportation systems, and life
safety systems. This is especially important to keep the patient population
reasonably comfortable and safe. These Design Standards recommend
that the project consider planning for this contingency in order to care for
the veteran population especially when the facility is located in an area
where a high probability of threat exists from natural disasters such as
hurricanes and earthquakes.
GENERAL 1-9
1.5. Abbreviations
A Medical Air
ABA Architectural Barriers Act
ADA Americans with Disabilities Act
AFF Above Finished Floor
AR As Required
ASC Ambulatory Surgery Center
AT Acoustical Ceiling Tile
AT (SP) Acoustical Ceiling Tile (with Sprayed Plastic Finish)
BC Base Cabinet
C Degree Celsius
CC Contractor Furnished, Contractor Installed
CFM Cubic Feet per Minute
VA-CFM Construction & Facilities Management
CLG Ceiling
CO2 Carbon Dioxide
CP Carpet (without cushion broadloom)
CRS Corrosion Resisting Steel (SS)
CT Ceramic Tile
DG Design Guide
DS Door Switch
EDM Electrical Design Manual
EES Essential Electrical System
EMER Emergency
F Degrees Fahrenheit
FC Foot-candle
FD Floor Drain
FIXT Fixture
FLOUR Fluorescent
FMS Facilities Management Service
GFI Ground Fault Circuit Interrupter
GWB Gypsum Wallboard
HAC Housekeeping Aids Closet
HIPAA Health Insurance Portability and Accountability Act of 1996
HVAC Heating, Ventilating and Air Conditioning
HP Horsepower
HR Hour
IPS Isolation Power System
IUSS Immediate Use Steam Sterilization
JSN Joint Services Number
kW Kilowatt
LED Light Emitting Diode
LB Pound/Pounds
LLTS Lockers, Lounges, Toilets & Showers
GENERAL 1-10
MATV Master Antenna Television

MCS Master Construction Specifications
MID Motion Intrusion Detection
MTD Mounted
NFPA National Fire Protection Association
NSF Net Square Feet
NSM Net Square Meters
O Oxygen
OCFM Office of Construction & Facilities Management
OIT Office of Information & Technology
OR Operating Room
PACS Picture Archiving and Communication System
PACU Post Anesthesia Care Unit
PH Phase
PFD Program for Design
PSDM Physical Security Design Manual
RB Resilient Base
RCP Reflected Ceiling Plan
RES Resinous Flooring
RF Radio Frequency
RPS Radio Paging System
RSF Resilient Sheet Flooring
SC High Build Glazed Coating (Special Coating)
SD Standard Detail
SF Square Feet, Square Foot
SOPC Satellite Outpatient Clinic
SP Special Faced
STC Sound Transmission Class
TAVR Transcatheter Aortic Valve Replacement
TEE Transesophageal Echocardiography
UPS Uniterruptible Power Supply
V Volts
V Medical Vacuum
VA Department of Veterans Affairs
VACO Veterans Affairs Central Office
VAMC Veterans Affairs Medical Center
VC VA Furnished, Contractor Installed
VHA Veterans Health Administration
VISN Veterans Integrated Health Network
VTEL Video Teleconferencing
VV VA Furnished, VA Installed
W Watts
WSF Welded Seam Sheet Flooring
W/SF Watts per Square Foot
GENERAL 1-11
GENERAL 1-12
2.0 NARRATIVE
2.1. General
2.1.1. Clinical and Operational Summary
Surgical Complexity Categories

It is Veterans Health Administration (VHA) policy that each VA medical facil-
ity with an inpatient Surgical Program have a surgical complexity designa-
tion, which is based upon the facility infrastructure, and that the scheduled
(non-emergent) surgical procedures performed are not to exceed the infra-
structure capabilities of the facility unless an emergency condition arises.
A facility infrastructure refers to all aspects of surgical services: diagnos-
tic evaluation; consultation; surgeon and operating room clinical staffing;
operating room staffing, instruments, equipment, radiology and anesthesia
services; post anesthesia care unit; intensive care unit; patient ward; sterile
processing service and logistics (SPS); and other surgery-related support
services related to a surgical procedure. Refer to VHA Directive 2010-018
Facility Infrastructure Requirements To Perform Standard, Intermediate, Or
Complex Surgical Procedures for definitions of complexity designations.
The complexity designations are as follows:
1. Standard Surgical Complexity

2. Intermediate Surgical Complexity
3. Complex Surgical Complexity
Surgical procedures occurring in an Ambulatory Surgical Center (ASC) pro-

gram are assigned a complexity designation of either Basic or Advanced.
Every effort must be made to select appropriate patients who are suitable
to have their procedure performed in an ASC. Patients must be discharged
from the ASC according to an established protocol, or must be transferred to
a facility with 24 hour observation and inpatient surgical services.
Surgical procedures are classified by complexity, which is available both in

the Surgical Complexity Matrix (SCM) and the Ambulatory Surgical Com-
plexity Matrix (ASCM) and in a web-based tool, the Current Procedural Ter-
minology (CPT) Look-Up.
General Description, Function and Concepts

Most VAMCs are affiliated with major medical, nursing and allied health pro-
fessionals schools and colleges. As part of the education medical residents,
nursing and allied health students are trained in VAMCs. For this reason
additional space is required in the Operating Room and staff support areas
to accommodate faculty and students. Moreover, process of teaching and
NARRATIVE 2-1
learning may cause surgical procedures to be longer. This additional space

and time must be taken into consideration when determining the size and
number of Operating Rooms and support spaces for a teaching VAMC.
Surgical Department
The Surgical Department is comprised of all functional areas required for
patient surgical services. It includes the Surgical Procedure Suite, Pre-
Procedure Assessment, Pre-Operative Holding, Post Anesthesia Care Unit
(PACU), and Phase II Recovery.
Recently there has been a shift towards one integrated interventional plat-
form consolidating surgical and invasive cardiovascular services directly ad-
jacent to each other. By utilizing the same aseptic environment this concept
maximizes efficiency by sharing resources, and promotes quality outcomes
and patient safety. The Surgical Services Design Guide includes templates
for new Cardiac Catheterization Laboratories, Procedure Rooms for Elec-
trophysiology, and Transesophageal Echocardiograph (TEE) Rooms, which
will be collocated with Surgical Services and share the same semi-restricted
area and adjacent support spaces.
This Design Guide is intended for facilities of the following acuity levels: Am-
bulatory, Standard, Intermediate, and Complex Centers.
The Surgical Suite

The Surgical Suite is a group of spaces consisting of the individual operat-
ing rooms in which surgery is performed, plus all the required support areas.
These support areas include the Clean Core, a semi-restricted corridor and
the following spaces:
• Control and Communication Area; Patient Holding/ Prep

• Staff Lockers and Lounge, Toilets and Showers (LLTS) including the
Auto-Valet scrub suit dispensing machines
• Anesthesia Workroom
• Scrub Areas for the staff
• Blood Gas Analysis Laboratory
• Immediate Sterilization serving a pod of Operating Rooms
• Equipment Storage Space
• Connection to the sterile processing service and logistics (SPS) -
usually via mechanical cart lifts or elevators
• Medical Gas Storage Area
• Dedicated Housekeeping Aides Closets (HAC) for the semi-restricted
area.
• Appropriate Administrative Areas, including Charge Nurse Office, and
Surgical and Anesthesia Offices as required for supervision
• Other support areas as deemed appropriate.
NARRATIVE 2-2
Traffic within the Surgical Suite

Surgical Staff: The staff typically moves from the staff lockers/lounge through
the semi-restricted corridor to the Scrub Stations and then into the individual
Operating Rooms, with exit through the semi-restricted corridor. Possible
exceptions to this flow are the “circulators,” who retrieve supplies and equip-
ment from the clean core, and the supervising anesthesia staff, who are per-
mitted to move from Operating Room to Operating Room via the clean core.
Patient: The Patient checks in and changes into a gown in the pre-procedure
area. They are then visited by members of the surgical team, who will start
an intravenous (IV) line, review the procedure and answer any questions the
patient may have. They are then brought into the operating room on a gur-
ney and transferred to the operating table. While the patient is awake dur-
ing this process, the anesthesiologist may have given the patient a drug to
help them relax. Once situated on the operating table, the anesthesiologist
will give the patient drugs through their IV and a breathing mask to induce
anesthesia. When the patient is asleep the surgical procedure begins. Once
the surgery is complete the patient is moved to the post-anesthesia care
unit (PACU) until the effects of the anesthesia wear off. Outpatients will go
to the Phase 2 recovery area, where a designated family member can come
and visit with the patient while they become more alert and is discharged
to go home. Inpatients will be transferred to a patient ward until they are
discharged.
Linens: Linens are brought into the Operating Rooms by way of the semi-
restricted corridor. Soiled linen is bagged and removed from the Operating
Room via the semi-restricted corridor.
The “Sterile Field”

In general the term “sterile field” is used to describe the sterile zone in the
Operating Room, approximately five feet around, which includes the space
surrounding the site of the patient’s incision. The term “sterile” indicates that
no undesirable microorganisms are present. The hands of the scrub team
are gloved and everything that enters this field must be sterile. The operat-
ing table, the surgical instrument table, and special equipment to be used in
the sterile field are cleaned prior to each case. Imaging equipment, surgical
microscopes, and other items that are difficult to clean are draped in steril-
ized plastic to maintain asepsis. The sterile field is showered by the laminar
flow and encapsulated by the air curtain. Imaginary zone
The anesthesiologist and nurse anesthetist remains outside of the sterile

field and is typically separated from the sterile field by a sterile drape.
NARRATIVE 2-3
Maintaining Asepsis (Sterility)

With regard to asepsis, the three areas of concern (to minimize the number
of undesirable organisms present) within the Surgical Suite are:
• The “sterile field” itself as described above. Only fully scrubbed staff
(known as the “scrub team”) is permitted in this area in the center of
each Operating Room.
• Within the Operating Room, both the scrub team as well as the ad-
ditional staff that are not in the sterile field must abide by strict rules
established by the Medical Center.
• Semi-restricted areas, including spaces such as the pre-operative and
patient holding areas, PACU, instrument workroom, non-sterile supply
storage, staff lockers/lounges/toilets/showers, control desk, and
surgery administration offices.
Internal Operating Room Circulation

It is critical to plan an Operating Room in such a way that a high level of
sterile technique can be achieved.
The circulator places the packs on the instrument table from the side of the
instrument table away from the sterile field. The scrub nurse removes the
sterile instruments and places them on the surgical instrument table prior to
the procedure. With the exception of some specialty surgical procedures,
the surgical instrument table is positioned toward the foot of the operating
table, but always within the sterile field. A single instrument table may be up
to 8.0 feet (2440 mm) in length, or there could be more than one instrument
table. Once the procedure starts, the scrub nurse constantly draws from this
source to supply the surgeons during the operation. The circulator also as-
sists the surgeon with devices used in the sterile field such as lasers.
No one walks between the operating room table and the surgical instrument
table, except those in sterile garb who have thoroughly scrubbed. When por-
table imaging equipment is used, space for these items must be considered.
Surgical microscopes or video monitors on carts and other large pieces of
equipment (including robotics) may also be needed in an Operating Room,
and space for them must be considered.
The Surgical Team in a teaching VAMC is typically comprised of the follow-

ing members:
Surgeon: The Medical Doctor who is board certified as a Surgeon and acts
as surgical team leader to direct and supervise all aspects of a surgery. The
responsible surgeon’s eligibility to perform a surgical procedure is based
upon that surgeon’s education, training, experience, and demonstrated
NARRATIVE 2-4
proficiency. Surgeons are expected to study and evaluate new procedures

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

may be one of the following medical professionals:
• Another surgeon
• A licensed physician assistant
• A registered nurse first assistant
• A surgical resident
• A medical student
“Assistant-in-Surgery”: Clinical professionals such as nurses, operating

room technicians, or other specially trained professionals, whose services
are included in the primary surgeon’s. The surgical assistant provides
intraoperative functions that help the surgeon carry out a safe operation, such
as exposure, hemostasis, and closure. In addition to intraoperative duties,
the surgical assistant also performs preoperative and postoperative duties
to better facilitate proper patient care, such as positioning of the patient,
catheter placement, dressings, and patient transfer. The surgical assistant
who has appropriate training also performs under surgeon supervision other
procedures including but not limited to: vein and graft harvesting, and graft
and implant preparation.
Second Assisting Technologist: The second assisting surgical technologist

assists the surgeon and/or surgical assistant during the operative procedure
by carrying out technical tasks other than cutting, clamping, and suturing of
tissue. This role is distinct from that of the first assistant and may, in some
circumstances, be performed at the same time as the scrub role.
Anesthesia Staff: Anesthesia is administered by the anesthesia staff, which

can include anesthesiologists, anesthesia assistants, anesthesia residents,
anesthesia technicians, and certified registered nurse anesthetists (CRNAs).
One or more anesthesia staff may be assigned to each Operating Room. It
is the responsibility of the anesthesia staff to consult with the patient before
surgery and identify family/friends that will speak to the surgeon after the
NARRATIVE 2-5
procedure, to administer the anesthetic agent before and during surgery, and
to monitor the patient’s vital signs. Anesthesia staff remain with the patient
during the entire surgical procedure. Following the surgery, the patient
remains under the care of the anesthesia staff and the assigned recovery
room nurse until the patient has met the discharge criteria.
Interventional Radiologist: A trained physician who specializes in minimally

invasive treatments across all specialties. This individual uses imaging
equipment to advance catheters into the patient to treat at the source
of disease internally. In an interventional case there may be a team of
interventional staff consisting of the interventional radiologist, a radiology
circulating nurse and a radiology scrub person.
Nursing Staff: Every major surgical procedure performed in the Operating

Room is staffed by at least one registered nurse and scrub personnel.
Surgical Scrub: The surgical scrub, together with the first assistant to the
surgeon, is the main support person for the operating surgeon. He/she has
an understanding of the procedure being performed and anticipates the
needs of the surgeon. The scrub personnel are responsible for the sterile
supplies and instruments and for handing them to the surgeon. He/she has
the necessary knowledge and ability to ensure quality patient care during the
operative procedure and is constantly on vigil for maintenance of the sterile
field. More complicated surgical procedures may require the presence of
two scrub personnel, one assisting the surgeon at the operating room table
and one responsible for the instruments at the instrument table.
Circulating Nurse: The circulating nurse, known as the circulator, does not
function within the sterile field, but performs many of the required tasks
outside the sterile field. This person also acts as the “non-sterile” hands
of the surgeons and scrub person, bringing required supplies, instruments
and equipment into the Operating Room, maintaining surgical records in the
Operating Room, etc. Although the surgeon performing the operation has
the ultimate responsibility for the care of the patient in the Operating Room, it
is the circulator who is responsible for maintenance of sterile conditions and
is in charge of personnel. This person is the primary advocate ensuring that
correct surgery is performed by confirming proper patient identification and
surgical site(s), confirming that a history and physical is on the patient chart,
and confirming that a signed surgical consent is present. The circulator also
enters safety measures into the computer, records time out, and assures
that the proper prosthetics, if required, are available.
Surgical Technologist: Surgical Technologists and/or Nursing Assistant: This

individual has received special training in sterile technique and in assisting
NARRATIVE 2-6
in the Operating Room. If appropriately trained, this individual may perform

the same duties as a scrub person.
Perfusionist: A perfusionist is a specialized healthcare professional who

uses the heart-lung machine during cardiac surgery and other surgeries
that require cardiopulmonary bypass to manage the patient’s physiological
status. In cardiovascular surgery, the patient’s blood may have to bypass
the heart to allow the surgeon to perform the required surgical procedure.
The blood supply bypasses the heart and circulates through a heart-lung
machine (which is both a mechanical pump and artificial lung) after which it
is returned to the patient as oxygenated and purified blood. The perfusionist,
who oversees this process, works in the Operating Room, usually at the side
of the operating table, but well outside the sterile field area. The heart/lung
machine must be connected to both a water supply and the electrical supply.
Two perfusionists may be required for each cardiovascular operation, in the
event that a cell-saver (auto-transfusion) device is used.
EEG Technician: This individual operates the electroencephalograph in the

Neurosurgery Operating Room to record the brain waves of the patient.
Usually this monitoring is required only in patients undergoing brain surgery.
This individual operates the EEG machine outside of the sterile field.
Imaging Technician: The imaging technician is in charge of taking digital

images when needed within the Surgical Suite. The images are digital and
can be viewed on monitors mounted on booms in the sterile field as well as
large wall-mounted monitors.
Patient Transport Staff: The patient transport staff is responsible for

transporting patients to the Surgical Suite from other parts of the hospital.
When a patient is very heavy, the patient transport staff might assist in
transferring the patient from the transporting gurney to the operating room
table. The patient transport staff also helps in moving equipment in and out
of the Operating Room before the patient is brought into the room.
Charge Nurse: The charge nurse supervises all activities that occur within
the individual Operating Rooms. The charge nurse is also available to
temporarily replace the scrub nurse during long operations. The office of the
charge nurse may be located within the clean core.
Nurse Manager: This nurse is the administrative supervisor of the entire

Operating Room Suite. She/he is responsible for maintaining the scheduling
of patients for operations, as well as purchasing and maintaining supplies
and equipment for use in the Operating Room Suite. The office of the nurse
manager is located inside the Surgical Suite.
NARRATIVE 2-7
Surgical Room Pathologist: The surgical pathologist does not function

within the clean core area or within the individual Operating Rooms. Tissue
specimens removed from a patient are sent to the surgical pathologist,
who prepares and examines the tissue in a frozen section laboratory within
Pathology. The pathologist then electronically communicates his/her findings
to the surgeon.
Consultant: If the operating surgeon desires a consultation for a patient under

anesthesia or during the operation, he/she may request that a consultant
come to the Operating Room to examine the patient. In most instances,
the individual consulted is an internist or cardiologist. This individual
usually does not work within the sterile field but examines the physiologic
data regarding the patient and presents his advice regarding additional
appropriate treatment.
Visitors / Technical Support: In most hospitals affiliated with a Medical

School, visitors may be invited into the Operating Room to view a particular
type of operative procedure. Technical support personnel may be invited
into the Operating Room to consult on the use of specialized equipment.
In all cases, the patient must have given prior consent to the presence of
these non-surgical staff in order to maintain patient privacy and follow HIPAA
regulations. These individuals must be appropriately attired. They also wear
head covering and shoe covers, but not necessary gloves, since they do not
work within the sterile field. It is the circulator’s responsibility to monitor the
visitors and technical support personnel activities.
Biomedical Equipment Support Specialist: The Biomedical Equipment

Support Specialist utilizes extensive knowledge in the safe and effective
application of healthcare technology, and serves as a senior level healthcare
technology specialist in the Surgical Suite. They provide support of the
devices/systems utilized during procedures and analyze/remediate any
performance deficiencies.
Housekeeping Staff (Operating Rooms): Specially trained housekeeping

staff is assigned to decontaminate and sterilize the Operating Rooms and
equipment after each procedure. They work out of a dedicated housekeeping
closet accessed from the semi-restricted corridor.
Space Planning and Design

The following is a list of basic planning criteria, which are desirable as
standards for the Surgical Suite. For further information, see Technical
Information Library (TIL), Space Planning Criteria for VA Facilities (PG-18-9)
and VA Space and Equipment Planning System (SEPS).
NARRATIVE 2-8
Size of Operating Rooms: While the minimum size of operating rooms is

covered in this guide, there are other dimensions, such as width/ depth of
the room, ceiling height and plenum space above, that have to be taken
into consideration in the design of an operating room. In renovation projects
there may not be sufficient space to accommodate new Operating Rooms
due to size. Written concurrence from the VA National Director of Surgical
Surgery must be obtained before proceeding further in the design process for
renovation projects. Recessed wall storage cabinets, if requested, should be
in addition to the square footage required for each Operating Room. These
cabinets should be used for storage of frequently used supplies only. When
a substantial number of storage cabinets in each Operating Room is needed
by local surgical staff, space in the clean core reserved for exchange carts
with sterile supplies on them can be reduced.
Scrub Sink Area: The Scrub alcove is located in the semi-restricted area
at or between entrances to a single surgical operating room or between
the entrances at two adjacent surgical operating rooms. It is acceptable for
one Scrub Sink Area to be shared between two Operating Rooms; however,
when Operating Rooms are laid out in a same-handed arrangement, it is
advisable to provide a separate scrub sink alcove for each OR.
The scrub alcove is stocked with a variety of types and sizes of sterile gloves,
sterile gown packs, antimicrobial cleansing solutions and sterile nail brushes/
sponges with a nail pick. These brushes are pre-packed, for single use only
and some may already be impregnated with an antimicrobial solution. Scrub
brushes may be placed in dispensers next to sinks.
Sinks are provided with hot and cold water and tap controls must be adjusted
for water temperature flow before starting to scrub. Running water is preferred
because it easily rinses away suds containing bacteria. Containers for
antimicrobial solutions are placed between each set of taps and care should
be taken not to contaminate hands when dispensing solution. The pump
dispenser must be changed each time an empty bottle is replaced with a
new one. The standard solutions such as Povidone Iodine or Chlorhexidine
(triclosan), or acceptable equivalent may be available for those practitioners
who are sensitive to the standard solutions.
Gurney Storage: Surgical patients are brought into the Operating Room on a
gurney or on a combination gurney/recovery room bed. In some cases such
as eye surgery, a recovery bed is used instead of a standard operating table
for the procedure. Normally, the patient is transferred to the operating table
in the room and the gurney is removed from the OR. An alcove is provided
directly outside the Operating Room in the semi-restricted corridor where the
vehicle is parked during the procedure. After surgery the patient is placed
NARRATIVE 2-9
back on the gurney and moved to the Recovery Patient Area. The patient
may be transferred to a hospital bed at this point. There are occasions when
a patient is transferred directly from the Operating Room onto a hospital bed
and taken directly to the Surgical Intensive Care Unit. The gurney alcove
outside each OR should be large enough to accommodate a standard
hospital bed in its maximum configuration with IV poles, etc. attached. For
this reason the alcove should measure 4 ft. (1200 mm) wide by 10 ft. (3040
mm) long.
Imaging Equipment: The use of portable radiographic and fluoroscopic (R&F)

imaging devices in the operating room is well established and is commonly
associated with orthopedic procedures. These devices typically have low
emission rates and appropriate evaluation of gross anatomic structures and
dense objects such as orthopedic transplants. Low emission cannot achieve
image quality requirements associated with the visualization of fine vascular
details and stent placement. The expanded role of R&F imaging for vascular
indications was made possible through c-arms capable of delivering much
higher x-ray. However, their use predicated that they be fixed / dedicated
to the procedure room as access to higher input power was required to
produce higher x-ray, including radiation protection of the procedure room
which is not required for portable low emission devices.
Dedicated c-arms initially became popular in the interventional cardiac and

interventional radiology arenas as a diagnostic tool to assess flow restricting
disease, map the electrical pathway of the heart, and to provide image
guidance for the execution of interventions. These early procedure rooms
were known as “Cath Labs” and did not possess the attributes of an operating
room (OR) environment; laminar flow, higher level sterile practices, and the
ability to support open surgery.
More recently, through the growth of minimally invasive surgery on patients

with risks requiring a surgical safety net including endograft placement, and
the inception of valve replacements, a specialized interventional / surgical
environment was established. The result was the cardiovascular hybrid
operating room.
When imaging equipment is used (fixed or mobile) in an Operating Room,

staff are required to wear lead aprons and work from behind leaded glass
shields. When not in use in the operating rooms, portable imaging equipment
is usually stored in alcoves in the semi-restricted corridor so it can be
efficiently moved in and out of the operating room. The level of use of mobile
imaging equipment and other factors will be analyzed by the physicist, who
will determine the need for fixed shielding in the room.
NARRATIVE 2-10
Sterile Supplies: Sterile supplies are retrieved from the clean core by the
circulator. A selection of sterile supplies may also be stored within the
Operating Room.
Supplies may be bar-coded or may utilize radio-frequency identification

(RFID) chips. Both systems are designed to monitor use of supplies and to
allow computerized reorder to maintain the appropriate inventory. In addition,
scanning the bar code (or tracking supplies with RFID chips) provides a more
complete system for charging for supplies used during a surgical procedure.
It also expedites the removal of stored items in the Operating Room when
their shelf life has expired.
Case Carts: Case carts are used to bring sterile materials and instruments
from SPS to the Operating Room. A typical case cart contains specific items
required for each specific case, including all required surgical instruments
and other supplies. More complex procedures may require several case
carts. Case carts are typically staged in the Clean Core outside of the
Operating Room prior to a procedure to optimize turnover time. Some case
carts may remain in the Operating Room during the procedure and be used
as back tables. After the surgical procedure is completed, these case carts
are returned via the semi-restricted corridor to the “soiled” side of SPS on
another dedicated cart lift or dedicated soiled elevator. In the event that
SPS is not located below the Surgical Suite, an alternative traffic pattern for
the case carts must be established that isolates clean and soiled case cart
traffic. Dedicated elevators are sized to accommodate a set number of case
carts in the elevator cab.
Pre-Operative Holding / Phase II Recovery: The inpatient or outpatient is

brought into the Pre-Operative Holding Area prior to the surgical procedure.
Last minute consultations with the patient by the staff take place here. Shunts
for IV solutions may be inserted here. To comply with HIPAA requirements
patient areas must provide acoustical and visual privacy at all times.
The Phase II Recovery Patient Area is utilized for recovery of the patient after
the PACU and/or for ambulatory surgery patients who come directly from the
surgery. The Prep Area should be co-located with the Phase II Recovery
Room to provide maximum flexibility for the patient room assignment. Since
most surgical procedures start in the morning, the Prep Area can occupy
under-utilized Phase II Recovery Space in the morning however, the same
area can be utilized for Phase II recovery in the afternoon.
Patient Induction / Preparation Room: The patient induction room is typically

used by the anesthesiologist to see the patient prior to the start of a
procedure. It allows for parallel processing of the patient and the Operating
NARRATIVE 2-11
Room. Typical tasks in this area include blocks and the placement of lines.
From here the patient is transferred to the Operating Room.
Orthopedic Operating Room: Orthopedic surgery is aimed at treating

conditions involving the musculoskeletal system and ranges from simple
arthroscopic procedures to complex surgeries on the spine. Care has to
be taken to provide sufficient air distribution/ coverage for the sterile field
to accommodate the wide variety of table positions and arrangements of
equipment and the sterile surgical team. A parking spot for the mobile C-arm
shall be identified outside of the sterile field when it is not in use. Additional
equipment, such as splints and traction devices, shall be located in an
equipment room located near the Operating Room.
Urology / Cystoscopy Operating Room: During a cystoscopy, the urologist

may remove bladder stones or kidney stones, gather tissue samples, and
perform x-ray studies. The patient table, which is mobile and specifically
made for use with a mobile C-arm, is oriented in the Operating Room in
a way that the foot of the table will not face a door. No floor drain will be
installed in this room. If the program can support a dedicated Cystoscopy
Room a fixed cystoscopy setup can be provided.
Cardiothoracic Operating Room: Cardiothoracic Surgery involves the surgical

treatment of the heart and the lungs; in some institutions this specialty is split
into Cardiac Surgery and Thoracic Surgery. In a typical surgical setup one
side of the surgical table is reserved for the perfusionist and the heart-lung
machine, while the other side will be occupied by the surgeon.
In cardiothoracic surgery, the patient’s blood may have to bypass the heart
to permit the surgeons to perform the required procedure. The blood supply
bypasses the heart, circulates through a mechanical pump (called the heart/
lung machine) and then returns oxygenated blood to the patient. The heart
lung machine is stored in the Pump Room adjacent to and directly accessible
from the Cardiovascular Operating Room. Particular attention should be
given to the width of the doorway so the Heart/Lung machine will fit through
it.
Accessory supplies required for bypass procedures are also stored in the
Pump Room. The room is sufficiently large to allow breakdown, essential
cleanup and storage of parts, and to accommodate at least two heart/lung
machines, one of which provides backup function in case of mechanical
failure of the other machine. Clean bypass machines are transported to
the Cardiovascular Operating Room via the Clean Core. Soiled bypass
machines are moved from the Cardiovascular Operating Room to the Pump
Room where they are cleaned.
NARRATIVE 2-12
Neurosurgical Operating Room: Neurosurgery is focused on the treatment

of the nervous system, which includes the brain, spinal cord, and peripheral
nerves. Current techniques revolve around the use of increasingly smaller
openings and microscopes to minimize the post-operative recovery time,
while Intraoperative Neurophysiology (ION) monitoring reduces patient
risk by better monitoring the functional integrity of neural structures during
surgery. Another evolving technology is the use of the navigation systems
that allows the surgeon to visualize the anatomy of the patient’s spine and
pinpoint the site of surgical intervention much more precisely with imaging
data captured prior to the surgery.1
Transplant Operating Room: Transplant surgery is concerned with the

moving of an organ from one body to another (allografts) or from a donor
site to another location inside the body (autografts). While common organ
transplants include kidneys, livers, and hearts, tissue transplants, such as
cornea or musculoskeletal grafts, are procedures that occur more frequently.
The surgical team is typically larger than during a general procedure and
additional equipment may be introduced to store and prep a donated organ
and provide continuous support. At times the preparation of the organ will
start on an instrument table away from the sterile field before the patient is
brought into the room.
Hybrid Operating Room: Hybrid Operating Rooms are extremely adaptable,

accommodating a vast array of different types of procedures, such as Trans
Aortic Valve Replacement (TAVR), Surgical Aortic Valve Replacement
(SAVR), Endovascular Aneurysm Repair (EVAR), Electrophysiology (EP)
and Transesophageal Echocardiograph (TEE) Studies, Neuro-Thoracic,
Orthopedic and Uro-Cysto procedures.
Minimum clearances of the room as well as the size of the no-fly zone
at the ceiling plane will vary by model/vendor of the imaging equipment.
VHA experience demonstrates that 28 ft. (8534 mm) is the minimum clear
dimension that should be observed in the room. The system component
room will be accessible from the semi-restricted corridor or the control room.
The imaging equipment may also have a maximum distance requirement
from the system to the control module as well as required service clearances.
The perioperative team in a Hybrid OR consists of the following team

members:
• Surgical circulating nurse

• Radiology circulating nurse
1 Motor evoked potential monitoring for spinal cord and brain stem surgery, by
Sala F, Lanter P., Bricolo A. Advanced Tech Stand. Neurosurg 2004, 29:133-69
NARRATIVE 2-13
• Surgical scrub person

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

procedure.
The orientation of the operating room table to the Control Room window may
be determined by the head interventionalist, who may prefer a side view or a
toe view of the patient. A ceiling-mounted injector is the preferred choice, but
a mobile unit can also be employed if ceiling space is not available.
The Control Room is directly accessible from the Hybrid OR as well as from
the semi-restricted corridor. The counter at the view window is typically 2
ft. 6 in. (762 mm) deep to house the control modules associated with the
imaging equipment as well as charting workstations. The equipment for the
Hybrid OR may have additional requirements for the placement of the control
modules, which shall be taken into consideration in the planning of the room.
Robotics Operating Room: Robotic surgery utilizes miniaturized instruments

and a series of cameras to help the surgeon perform a procedure through
small incisions in the human body. In addition to a typical procedure-specific
setup the Operating Room will house a patient cart with robotic arms located
in the Operating Room as well as a control console. This console, which
can be located remotely, will be used by the surgeon to guide the robotic
arms of the patient cart that takes the place of the surgeon. The robotic
equipment that is available today has to be recalibrated after being moved;
it is therefore best left inside the Operating Room at all times.
A simulator is available to the surgeon for practicing movement and dexterity

of the robotic arms. Depending on facility preference it can be located in a
small room inside the semi-restricted area or, alternatively, elsewhere in the
Surgical Suite.
Cardiac Catheterization Laboratory: There are three functional spaces

which make up a single cardiac catheterization laboratory into a working
unit: 1) Cardiac Catheterization Procedure Room; 2) the Control Room; and
3) The Systems Components Room. Additionally, Cardiac Catheterization
NARRATIVE 2-14
Laboratories must adhere to the same aseptic environment as surgical

operating rooms.
Requirements will include spaces for gowning and scrubbing, which enable
cardiologists and clinical staff to travel from areas considered “soiled” to the
aseptic semi-restricted corridor from which the Cath Lab is accessed. [Note:
The Cardiac Catheterization Laboratory is considered a sterile environment.]
The Control Room should be sized adequately to allow staff movement and
imaging equipment. However, an overly large control room invites visitors
(vendors, other staff, other physicians) who can be a distraction during a
case. Visibility of the Cardiac Catheterization Laboratory as well as the
patient is through leaded glazed vision panels, and shall accommodate
control counters for equipment video and data monitors, hemodynamic
monitoring and computers utilized by physicians and clinical technicians to
support the procedure type and imaging modality. The Control Room shall
have direct access to the Cardiac Catheterization Laboratory procedure
room and access directly to the semi-restricted corridor.
While procedure rooms may be adjacent, it is not advisable to have a single

control room that supports multiple procedure rooms.
Imaging equipment utilized in the Cardiac Catheterization Laboratory may

consist of mono-plane, biplane or robotic configurations. Measures must
be made to structurally support the type imaging modality being installed.
Imaging equipment may be ceiling mounted, floor mounted or a combination
of both with motion and articulation of C-Arm(s) occurring in two or more
directions moving in and out of position during procedures.
Although there may be differences among specific facilities, Cardiac

Catheterization Laboratories are generally organized so that the patient is
presented to the cardiologist with the patient’s head to the cardiologists’ left
side providing the cardiologist adequate work area with clear access to the
patient and full view of the monitors, which carry real-time video images and
data. Common procedures performed in the cath lab are: angioplasty, PCI
(percutaneous coronary intervention) angiography, balloon septostomy, and
Catheter ablation.
The equipment selected will affect the layout of tracks and their supporting
structure above the ceiling. Cardiac Catheterization Laboratory equipment
is upgraded every few years so flexibility is important. Although the Guide
Plate indicates a ceiling supported imaging modality, specific facilities’
cardiovascular services may seek different assemblages at the time of
planning and design. Consider room clearances, both horizontally and
NARRATIVE 2-15
vertically and live loads whether from ceiling-supported equipment or bearing

on the floor.
Primary procedural supplies shall be stored in the procedure room when

possible. Adequate wall surface area is required to support the appropriate
number of storage cabinets. Specific storage requirements for invasive
procedure rooms are noted in Guide Plates and Room Data Sheets.
Equipment Lists indicate Catheters are not to be reused after use.
Electrophysiology Procedure Room: An electrophysiology study (EP study)

is a minimally invasive procedure that tests the electrical conduction system
of the heart to assess the electrical activity and conduction pathways of the
heart. During an EP study, cardiac arrhythmias are recorded. The study is
performed to investigate the cause, location of origin, and best treatment for
various abnormal heart rhythms.
An electrophysiology study can include a number of invasive and non-invasive

recordings of spontaneous electrical activity as well as of cardiac responses
to programmed electrical stimulation. These studies are performed to
assess arrhythmias and abnormal electrocardiograms, expose symptoms,
evaluate risk of developing arrhythmias in the future, and design treatment.
Treatment may include antiarrhythmic drug therapy as well as implantation
of pacemakers and implantable cardioverter-defibrillators. These procedures
are surgical in nature thereby warranting an aseptic environment identical to
that found in surgery.
The EP room can accommodate diagnostic studies as well as therapeutic

interventions. EP rooms and their Control Rooms are organized similar to
Cardiac Catheterization Laboratories with regard to clean and dirty paths
and a sterile environment within the room. Their organization and most of the
equipment, except for specialized electrophysiology equipment, is similar to
a Cardiac Catheterization Laboratory.
Transesophageal Echocardiography (TEE) Room: TEE rooms use

ultrasound probes inserted in the esophagus to assess cardiovascular
function. Patients are lightly sedated for these diagnostic procedures. Probe
sterility requires specific protocols. The door from the TEE room into the staff
and service zone should provide close access to two rooms which support
TEE procedures.
Post-Anesthesia Care Unit (PACU): In most surgical cases, the patient is

brought to the PACU immediately after a surgical procedure to recover from
anesthesia. For cardiovascular and Neurovascular-Neurothorasic cases
the patient is typically transported directly to the critical care patient unit.
NARRATIVE 2-16
Common tasks performed in this area are monitoring vital signs, monitoring
the surgical site for excessive bleeding and swelling, managing post-
operative pain and other symptoms.
PACUs are typically arranged with patient cubicles around a Central Nursing
Station. PACU bays can be three-walled with a cubicle curtain, but it is
recommended that they be four-walled rooms with a minimum dimension of
12 ft. (2720 mm) wide and 13 ft. (3660 mm) deep. For airborne isolation an
ante-room can be added to the four-walled rooms to provide a space for the
provider to gown prior to entering the patient room.
Immediate Use Sterilization (IUSS): Surgical instruments needing

sterilization are carried by the circulator in a tray from the Operating Room,
through the semi-restricted corridor, into the Immediate Use Sterilization
Room. Instruments are sterilized per established facility procedures, and
then immediately returned to the Operating Room. Sterilizers may be steam
or electric. A minimum of 3 ft. 8 in. (1100 mm) door width should be provided
to the on-site sterilization area to accommodate equipment movement in
and out of the room.
Housekeeping Aides Closet (HAC): Operating rooms are thoroughly cleaned

at the end of each surgical day. The room also must be cleaned between
each case. A dedicated housekeeping closet is required in the semi-restricted
area, which will support cleaning of all of the operating rooms, the Clean
Core, as well as the balance of the semi-restricted area.
Work Flow
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed to show possible routes that a
patient may take through the surgical department. It is important to note that
the major differences stem from the level of acuity of the procedure being
performed: in the case of ambulatory surgery the patient will arrive on the
day of surgery and be discharged on that same day without interaction with
any spaces outside of the surgery department. During an in-house or same
day admit surgery, intake and discharge of the patient will occur through
other hospital departments. In complex surgical cases, the patient will likely
not spend any time in pre and post procedural areas but be transferred
directly to the surgical intensive care unit. This serves to minimize patient
transfers and ultimately reduce patient risk.
Functional Adjacencies
The Surgical Suite is situated to prevent non-related traffic through the
department. It is divided into three distinct areas, which are defined by the
physical activities occurring within the area and staged in a progressive
NARRATIVE 2-17
manner to decrease the potential of cross contamination. These areas are

the unrestricted area, the semi-restricted area and the restricted area.
The unrestricted area includes the central control point that is established to
monitor the movement of patients, staff, and equipment. The semi-restricted
area (“red line”) includes the peripheral support areas of the surgery suite,
such as storage areas for clean and sterile supplies, instrument processing
areas, scrub sink alcoves, and the corridors leading to the restricted area.
Access to this area is restricted and appropriate surgical attire as well as
coverings for head/ facial hair is required. The restricted area includes the
operating rooms as well as the clean core. Access to this area also requires
appropriate surgical attire and in some instances - masks. All other areas in
the surgery suite are non-restricted with no specific requirements for attire
and covers.
Clean Core
The surgical suite is set up to carefully orchestrate the flow of sterile and
soiled goods. A one-way flow of soiled goods out of the operating room
and sterile goods into the operating room on a separate, dedicated route is
preferred. This is best accomplished by grouping operating rooms around
the Clean Core.
A double-loaded Clean Core shall have a minimum width of 21 ft. (2438

mm). This width will allow for 10 ft. (3048 mm) of supply storage in the
middle of the space with a 3 ft. (914 mm) wide aisle on each side as well
as a 2 ft. 6 in. (762 mm) space for case carts and other equipment, such as
refrigerators and blanket warmers.
When the provision of substantial numbers of storage cabinets in each

Operating Room is the desire of the local staff, then the space in the clean
core reserved for the storage of sterile supplies can be reduced. Case carts
are held in a clean staging area until required at the start of the surgical
procedure. Many facilities also utilize automated supply units, which store
and electronically track usage of supplies.
Sterile supplies are transported to the clean core via dedicated elevators
from the clean side of SPS. An optional dedicated stairway may be included
if SPS is vertically separated from the clean core by no more than two floors.
Depending on the available space and the type of facility different clean core
arrangements can be employed. Generally, it is recommended to keep the
quantity of operating rooms around a clean core to 8 or less in number to
avoid excessive travel distances. In renovation situations where space is
NARRATIVE 2-18
not available to utilize a Clean Core Outer Racetrack concept, one corridor
outside the Operating Room may be considered a clean space where sterile
supplies are stored. Appropriate staff and materials flow must be followed to
maintain the separation of clean and soiled traffic. However, this arrangement
should only be considered for a small complement of Operating Rooms.
Appropriate staff and materials flow must be followed to maintain the

separation of clean and soiled traffic. However, this arrangement should
only be considered for a small complement of Operating Rooms.
Waste Management
Medical Waste: Medical waste is generated in medical exam rooms or in
patient rooms where it is bagged, collected and transported using specially
designated, closed containers to the soiled utility rooms. The waste is held
there until it is transported via the loading dock to the medical waste handling
facility.
General Waste: General waste is generated in all spaces and is held in

waste containers for collection either in a trash receptacle within the patient
room or bulk storage in the soiled utility closet. It is then collected by cart and
transported via the loading dock to the waste handling facility.
Recycling: Means of sorting, collecting, transporting and disposing of

recyclable material should be analyzed by locality and modified to suit local
conditions and practices.
Product types used in the building: disposable vs. recycle products should
be discussed as it is. An important design consideration in alternatives that
impacts physical space for waste disposal volumes.
Refer to the NEPA Interim Guidance for Projects for more information
regarding recycling requirements.
Soiled Linen: Reusable soiled linens are generated in patient rooms, physical
therapy gyms, and sometimes the medical exam rooms. They should be
collected in carts or hampers in the soiled utility rooms and transported to a
soiled linen holding room near the loading dock for pick-up. Medical exam
rooms may opt to use disposable paper products in which case, they would
be discarded after each use.
Utensils: Any medical care washable items incorporated in the plan of care
should be transported to the soiled utility room for holding. Items will then be
transported to a sterile processing department or service for cleaning and
reprocessing.
NARRATIVE 2-19
2.1.2. VA Trends in Surgical and Interventional Service
There are a number of trends which directly impact VHA perioperative

services. The most prominent considerations are:
• Veteran population development and demands

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

from 22.5 million to 14.5 million veterans2. The decline will be primarily
attributed to a reduction in number of WWII and Korean Conflict veterans
between 2014 and 2030; and Vietnam Era veterans between 2023 and 2043.
During the same period of time the female veteran population will grow from
9% to 17%. The above trends will and are already impacting VHA surgical
services, which have strong linear and statistically significant relationships
to population demand measured in increments of 10,000 unique patients.
The increase in female veteran population adds significant volume to

obstetrics and gynecology services in general and intraoperative procedures
in particular, while the 36% reduction in overall veteran population will initially
decrease the number of surgical cases. However, the clinical acuity of cases
will increase and there will also be growth in case numbers per patient due
to age groups impacted and multiple chronic conditions of the 12 million
population group that is 60 years and older. The beginning of this trend is
already being observed in different Veterans Integrated Service Networks
(VISNs) across the country.
The growth in the complexity of the services begins to shift the composition
of the surgical suite in regards to the mix of general and specialty operating
rooms as well as types of services provided. Today, VHA has 136 surgery
programs which are subdivided as follows:
• 17 Basic Ambulatory Surgery Centers (ASC)

• 9 Advanced ASC
• 11 Standard
• 31 Intermediate
• 68 Complex
2 United States Department of Veterans Affairs; “The Veteran Population Projection Model
2014 (VetPop2014)”. 01 Oct 2014, Web. 03 June 2015
NARRATIVE 2-20
26 of these surgery programs are Ambulatory Surgery Centers and 110 are
Inpatient surgery programs.
Intermediate and complex programs prevail today by representing 73% of

overall number of programs and covering majority of patients. Specifically
10 out of 68 complex programs provide services to a population of 80,000
plus uniques each and 46 out 68 complex programs provide services
to a population of 50,000 plus uniques each. Although there is no direct
correlation between demand and operative complexity designation of the
facility there is a tendency for facilities with 50,000 plus uniques to have an
Inpatient Complex designation. However, as case complexity grows across
the enterprise it will impact intermediate and standard facilities. Currently
there is a strong linear statistical relationship between demand and number
of operating rooms and staffed hours per week per operating room. In the
future, due to the changes described above, this paradigm may have to
be revisited to reflect complexity impact in addition to demand. Similarly,
complexity may impact further operating room utilization.
Specialty operating rooms services provided today include orthopedics,

neurosurgery, cardiothoracic, transplants, robotics and endovascular.
Endovascular (hybrid) operating rooms most common configurations are
monoplane and biplane modalities (either floor or ceiling mounted); they
allow for the integration of traditional surgical procedures with skin incisions
and interventions, e.g. transcatheter techniques with the puncture of a vessel
and represent a combination of surgical equipment with high-end imaging
modalities previously utilized in interventional radiology and/or cardiology
to angiography type of procedures. Endovascular (hybrid) operating rooms
provide services such as a) hybrid therapy for congenital heart disease;
b) hybrid therapy for valve disease; c) coronary artery disease; d) heart
rhythm disturbances; e) endovascular aortic repair (including transcatheter
aortic valve replacement (TAVR)); f) pacemaker and ICD implantation and
g) other interdisciplinary uses. Endovascular (hybrid) operating rooms
benefits are: a) they serve as a safety net for complex endovascular
procedures; b) they provide a multi-disciplinary environment conducive for
both minimally invasive and open surgeries; c) they allow for intra-operative
image guidance and efficacy evaluations; d) they provide an environment to
perform intraoperative and open procedures (stent and bypass graph) in a
single episode of care.
This integration and increase in array of services and complexity of treatments

changes the relationships between diagnostic cardiology and perioperative
services. As a proactive reflection of this change the space planning
criteria and design standards cover cardiac catheterization laboratory;
electrophysiology procedure room and transesophogeal echocardiography
NARRATIVE 2-21
room and recommend their complete integration with traditional surgical

services by placing them ‘behind the red-line’ in the semi-restricted area of
the healthcare institution.
Considering outcomes and productivity of perioperative services, primary

factors to be taken into consideration are operating room utilization rates,
lag times, cancellation rates and first time starts. First time on time starts
at VHA are on average at a 75% level, with the delay average between
1 and 15 minutes at 15%. Cancellation rates at VHA are lower than the
National average (between 1 and 7 percent per service line), while primary
cancellation reasons are attributed to patient-related issues and patient
health status. Operating room utilization varies between 65% to 75% for
intermediate surgeries, 90% to 95% for advanced ASC and 75% to 95% for
complex surgeries.
Changes in complexity of surgical services and diagnostic and treatment

techniques will have a direct impact on the physical infrastructure of
VHA surgery programs, resulting in upgrades in place or expansion of
perioperative services when space or infrastructure shortages are present.
Government “Freeze the Footprint” policy requirements will have to be taken
into consideration in development of future expansion plans.
2.2. Technical Considerations
2.2.1. VA Policies/ Directives/ Handbooks, Codes, and Standards
VA functions as the Authority Having Jurisdiction (AHJ) for all VA facilities

and projects and has the responsibility to guard public health and safety
through enforcement of its adopted codes.
Planning, design, and construction of all VA Surgical Services facilities must

be in accordance with this document and with the latest editions and/or
revisions of all VA and industry’s applicable codes and standards. The more
stringent code and/or standard are to be applied to VA facilities. Requirements
in this Design Standard shall not be construed as authorization or permission
to disregard or violate applicable local codes and regulations.
Please refer to the PG-18-3 (Topic 1) for a list of Codes, Standards and
Executive orders.
Local Codes and References

VA is not subject to local imposition of code enforcement procedures, such
as drawing reviews, building permits, inspections, fees, etc. Therefore, VA-
NARRATIVE 2-22
CFM functions as the Authority Having Jurisdiction for all VA facilities and
projects.
Other Recommended Reference Standards

FGI Guidelines for Design and Construction of Hospital and Outpatient
Facilities: FGI Guidelines for Design and Construction of Hospital and
Outpatient Facilities – Current Edition, published by the Facilities Guidelines
Institute with the assistance of the U.S. Department of Health & Human
Services.
HIPAA: The Healthcare Insurance Portability and Accountability Act of 1996

(HIPAA) protects individuals rights to audible as well as visual privacy.
This is especially the case with respect to protection of each individual’s
medical records, private information and communications. The law protects
all conversations between patients and admission interviewers, caregivers,
nurses, physicians and families. The American Recovery and Reinvestment
Act (ARRA) passed by U.S. government in 2009 enacts special provisions
and legal enforcement tools for patient privacy, protection and security.
Office of Civil Rights (OCR) monitors HIPAA security rule compliance based
on ARRA provisions. Current penalties that can be implied by OCR for non-
compliance with HIPAA are divided in four categories: (i) without knowledge;
(ii) based on reasonable cause; (iii) willful neglect and (iv) willful neglect, not
corrected. Penalties differ per violation versus maximum penalty according
to these four categories and vary between $100 and up to $1,500,000.
Disaster Planning: Situations can arise in which it may not be feasible to

evacuate patients for extended periods of time. In those cases, emergency
power will be required to maintain seamless equipment operation, heating,
ventilating and vertical transportation systems, and life safety systems. This
Design Standard recommends that the project consider planning for this
contingency in order to care for the veteran population especially when the
facility is located in an area where a high probability of threat exists from
natural disasters such as hurricanes and earthquakes. Smoke compartments
in a hospital allow staff to move patients to a safe area in the case of an
emergency while continuing patient care.
Medical staff are trained to respond to fires with the R.A.C.E. method. This
acronym stands for rescue, alarm, contain, evacuate, and describes a
methodology to take steps towards a quick evacuation of a building while
also trying to contain a fire and help people needing assistance to safety.
AORN Guidelines for Perioperative Practice: The Guidelines for Perioperative

Practice are published by the Association of periOperative Registered
Nurses (AORN), a non-profit association with the mission of promoting safety
NARRATIVE 2-23
and optimal operative and other invasive procedure outcomes. It provides

definitions and guidelines for aseptic practice, equipment and product safety,
patient and worker safety, sterilization and infection.
2.2.2. Architectural
Ceilings: The finished ceiling height of an Operating Room should be a

minimum of 10 ft. (3050 mm) above the floor.
Refer to the FGI guidelines for requirements for ceiling materials in the
restricted and semi-restricted areas of the surgical suite.
Floors: Cleansability of the flooring material is of primary importance in the

surgical suite, as most areas are at high risk for the spread of infections.
Consider the following when choosing a flooring material:
• Ease of maintenance
• Readily cleanable
• Impact by germicidal cleaning solutions (if any)
Flooring in operating rooms shall be seamless and of non-porous material,

such as a resinous poured flooring with integral base. Special consideration
should be given to the area directly below the surgical table, where betadine
staining is a common problem. Betadine is an antiseptic frequently used
in surgical procedures that leaves a yellowish-brown stain. While some
flooring materials will hold up better than others to staining, it is generally
recommended to provide colors that will disguise betadine build-up in this
area. Also, this area may be of a different color than the rest of the flooring
in the room to demarcate the extent of the air curtain at the ceiling above the
surgical table.
Walls: Due to the large amount of cart and stretcher traffic in the surgical suite,
consideration shall be given to the durability of walls. It is recommended that
walls are fitted with a crash rail and wall protection in high traffic areas.
Casework: Modular casework storage systems should be utilized for flexibility

including the incorporation of typical dimensions for ease of multiple re-use
applications. Casework systems should be integrated with space planning
to avoid corner installations and filler panels.
Countertops for all clinical and clinical support areas should be made of solid
impervious resin material (per PG 18-14: Room Finishes, Door & Hardware
Schedule) with integral sinks, which offers long-term durability, and resists
chipping and staining from medical agents expected to be used in clinical
NARRATIVE 2-24
environments. For areas where strong chemicals are used, such as soiled
utility rooms, seamless stainless steel counters with integral backsplash
should be used. Plastic laminate veneer materials may be used in non-
clinical staff and administrative areas.
Acoustics/Noise Control: Interior acoustics that support speech intelligibility

and provide comfort can be difficult to obtain in an operating room where
non-porous materials are mandated for infection control requirements. It is
important to find ways to control reverberation and noise build-up in these
+
OR OR
OR OR
0 ++ +
OR OR
CLEAN CORE
OR OR
SEMI-RESTRICTED CORRIDOR
DIRECTION OF AIR FLOW
+ POSITIVE PRESSURE
- NEGATIVE PRESSURE
Figure 2.1
Air Pressurization Diagram
spaces. The acoustical design of patient spaces shall also be taken into
consideration, in particular the pre-operative/recovery areas and PACU, in
order to minimize patient stress and discomfort. Noise should be minimized
by the design of the physical environment and the selection of operational
systems and equipment.
Refer to PG 18-3: Topic 11 - Noise Transmission Control and the FGI

guidelines for additional information regarding the acoustical requirements.
Doors: The door from the semi-restricted corridor into the Operating Room
shall be at least 6 ft. (1820 mm) wide and located in such a way as to permit
the bed or gurney to move as directly as possible from the corridor to the
NARRATIVE 2-25
side of the operating room table. For this reason, these doors are typically
located toward the foot of the operating table away from the anesthesia
equipment. If lead lining in the walls of the Operating Room is required by
a qualified physicist, it is mandatory that the doors into these rooms have
automatic door openers. To provide visibility between the semi-restricted
corridor and the Operating Room, a narrow view window will be provided in
the door.
For doors between the Clean Core and the operating rooms, a double acting
door, 4 ft. (1170 mm) wide, with a small view window is required.
For patient rooms in PACU and pre-operative/recovery areas verify with

applicable life safety codes that configuring the doors to open into the
corridor is allowable. Alternatively, the door can be configured to open into
the patient room.
2.2.3. Interior Design
Interior Finishes: Per the Room Finishes, Door and Hardware Schedule (PG
18-14), consider the following key factors in the design process, which have
an impact on the build environment and the patient experience:
• Maintenance
• Durability
• Life cycle cost
• Therapeutic attributes
• Improved wayfinding
Additionally, designers should specify appropriate materials to maximize

infection control. These materials can include but are not limited to vinyl
coated fabric wallcoverings, and upholstery fabric with special coatings and
moisture resistant backings.
Wayfinding: Organizing the department to allow for intuitive wayfinding will

help reduce patient stress and is therefore an important design consideration.
Also, it should be noted that some staff members that may be present in the
facility do not frequent the department regularly. It is therefore important to
consider both off-stage and on-stage routes when designing wayfinding.
2.2.4. Heating, Ventilation, and Air Conditioning Systems (HVAC)
HVAC systems shall be provided to heat, cool, and ventilate individual rooms
or areas as required to satisfy design criteria. The HVAC system shall com-
ply with NFPA 72, 90A, 99, and 101, and the current version of Department
NARRATIVE 2-26
of Veterans Affairs (VA) HVAC Design Manuals, VA Design and Construction

Procedures, VA Master Construction Specifications and VA Standard Details,
where applicable. The current VA design and construction criteria are avail-
able on the VA Technical Information Library(TIL) at http://www.cfm.va.gov/
TIL/. Deviations from the VA guidelines may be made provided approval is
obtained from the VA. Where specific VA requirements are not available or
indicated in this document, design criteria from industry standards such as
American Society of Heating, Refrigerating and Air-Conditioning Engineers
(ASHRAE), National Fire Protection Association (NFPA), and Department of
Energy (DOE), etc. should be submitted to the VA for review and approval.
Life Cycle Analysis: The HVAC system shall be selected based on an

economic life cycle analysis performed as outlined in the current edition of
the VA HVAC Design Manual.
Energy Conservation: Energy conservation shall be emphasized in all

aspects of the building design. The building shall meet the requirements
of the current version of the VA Sustainable Design and Energy Reduction
Manual, the VA HVAC Design Manuals, the VA Electrical Design Manual, and
the VA Plumbing Design Manual. These design manual energy standards
apply to HVAC systems as well as the building envelope, service water
heating, lighting and energy management
Exterior Design Conditions: Exterior summer/winter design conditions and

cooling tower wet bulb design temperatures shall be based on the current
edition of the VA HVAC Design Manual.
The Architect/Engineer (A/E) may recommend more severe outdoor climatic

conditions for review and approval by the VA.
Interior Design Conditions: Interior design conditions for each space shall
be maintained throughout the year. Interior design conditions for all spaces
shall be maintained in accordance with the current version of the VA HVAC
Design Manual.
Supply Air Requirements: The supply air volume shall be established to

meet the heating and cooling load requirements of the occupied space. The
supply volume shall, however, be modified to meet a) minimum air change
requirements if this air quantity is more than the heating and cooling load
requirements, b) maintain proper space pressurization relative to room
exhaust requirements. For all air systems the supply air minimum airflows
shall follow the current version of the VA HVAC Design Manual.
NARRATIVE 2-27
The current version of the VA HVAC Design Manual describes an air supply
distribution system for the general operating rooms. The Manual indicates
the minimum requirements for total air changes per hour (ACH) of supply
air to be provided at the point of delivery to the room which includes the
required minimum ACH of outside air. The supply air system provided is an
air curtain system. The system is comprised of two different types of ceiling
diffusers located within the operating room. The area above the patient is
provided with a laminar diffuser array sized in accordance with the current
version of ASHRAE Standard 170 and provides a slow velocity downward
wash of clean supply air over the operating table surgical zone. Combined
with this diffuser array is a four sided linear slot diffuser system using spe-
cially designed linear slot diffusers that surrounds the operating table surgi-
cal zone. Per the current version of the VA HVAC Design Manual, the linear
diffusers discharge a vertical airstream inclined at an outward angle toward
the sides of the operating room walls. The purpose of the linear diffusers is
to create a high velocity barrier of clean air to keep room contaminant par-
ticles which may be recirculating from the perimeter of the room away from
the surgical zone. The linear slot diffuser curtain should be sized to deliver
the air flow rate per foot per manufacturer recommendations. Flow rates
below this quantity may not properly isolate the surgical air zone from con-
taminants, while air flows above this quantity may increase the possibility of
re-entraining particles that have settled on the floor. The percentage of total
room supply air to be provided by the slot diffusers and the unidirectional
perforated diffusers is referenced in the VA HVAC Design Manual.
Unlike the general operating rooms, the hybrid operating rooms utilize a sin-
gle large array of laminar flow diffusers which provides 100% of the required
room supply air. The laminar flow diffuser array is located over the operating
table and surrounding area to create a large surgical zone providing a slow
moving blanket of clean air over the patient and surrounding area. The oper-
ating rooms are the most positively pressurized spaces in the surgery suite.
Surgical Suite Air Handling Units: Air handling units serving the surgical suite
shall be provided with emergency power per requirements of the current
version of the VA HVAC Design Manual. Air handling units shall have the
capacity for utilizing 100% outside air where required by building code to
meet purge requirements.
Filtration: Filtration for the Surgical Suite HVAC systems shall be provided in
conformance with the current version of the VA HVAC Design Manual
Operating rooms and surgery support spaces shall follow the current ver-
sion of the VA HVAC Design Manual unless noted otherwise. The room data
sheets provided in the Design Standard Templates chapter of this document
NARRATIVE 2-28
refers the user to specific rooms types shown in the VA HVAC Design Man-
ual unless noted otherwise. The room type referenced in the HVAC Design
Manual is found in a table that will provide the needed information for room
design temperatures, relative humidity range, room air changes, and space
pressure relationships.
It is highly desirable to identify the supply air zone described above by in-
stalling a patch of flooring material that is a different color from the rest of
the room. This patch should be located in the General Operating Room by
aligning it with the slot diffusers described above and for the Hybrid Operat-
ing Rooms by aligning with the perimeter of the laminar flow diffuser array.
This will indicate the sterile field.
Operating Room Return Air Requirements: During an operation, all of the

space from the floor itself to a distance 15 in. (380 mm) above is considered
contaminated. Therefore, all return grilles must be positioned low on the wall
above the floor. Return air for both the general operating rooms and hybrid
operating rooms is collected at low wall grilles. There shall be a minimum of
two low return air grilles located diagonally across from one another for each
operating room. The height of the bottom of the return air grilles above the
floor is indicated in the VA HVAC Design Manual.
Outdoor Air Requirements: The HVAC Design for surgery support spaces
shall provide each space with not less than the minimum recommended
quantity of ventilation air indicated in the current version of the VA HVAC
Design Manuals.
Exhaust and Return Air Requirements: The HVAC design for spaces other
than operating rooms shall provide return air or exhaust air as required
for the spaces to control the transfer of odors and provide proper room
pressurization. At a minimum, exhaust air and pressurization should be
provided as indicated in the VA HVAC Design Manuals.
Noise Criteria: The HVAC design shall provide resulting sound levels in
occupied spaces not to exceed the levels shown in the current version of the
VA HVAC Design Manual.
Design Features: HVAC design features such as the use of economizers

shall follow the design criteria outlined in the current version of the VA HVAC
Design Manual.
Temperature Control Criteria: The automatic temperature controls systems

and the use of individual temperature controls for operating rooms and
specific spaces shall be provided in accordance with the current version of
the VA HVAC Design Manual.
NARRATIVE 2-29
Humidity Criteria: Humidity levels for the Surgical Suite HVAC systems shall
be provided in conformance with the current version of the VA HVAC Design
Manual.
2.2.5. Plumbing Systems
The plumbing and medical gas systems shall comply with the current version
of Department of Veterans Affairs (VA) Plumbing Design Manual, VA Design
and Construction Procedures, VA Master Construction Specifications and
VA Standard Details, where applicable. Deviations from the VA Standards
may be made, provided approval is obtained from the VA-CFM Consulting
Support Services or Facility Standards Services. Where state or local codes
are more stringent than the above requirements, submit criteria to the VA for
review and approval.
Domestic Water: Domestic water shall be distributed to the plumbing

fixtures and equipment. Design of the domestic water system shall follow
the VA Plumbing Design Manual. This includes design of water hammer
arrestors, domestic booster pump design, and central domestic hot water
and recirculating systems.
Plumbing Fixtures: Plumbing fixture types (including fixtures required to meet

person with disabilities requirements) and fixture flow restrictors (aerators
are prohibited) shall be in accordance with the current version of the VA
Plumbing Design Manual.
Sanitary Systems: Provide sanitary drain connections to plumbing fixtures

designed in accordance with the current version of the VA Plumbing Design
Manual.
Medical Gases and Medical Vacuum Systems: Medical compressed air,

oxygen and medical vacuum systems shall be provided in accordance with
the current version of the VA Plumbing Design Manual. Coordinate project
specific requirements with the VA. Provide a separate medical gas zone
valve box for each operating room in accordance with NFPA 99. Locate this
box in the semi-restricted corridor near the door to the operating room it
serves. See the current version of the VA Master Construction Specifications
for panel description.
In addition to the gases described above other gases such as Nitrogen,

Nitrous Oxide, and Carbon Dioxide are provided to the Operating rooms.
When Nitrous Oxide is provided a Waste Anesthesia Gas Disposal system
must also be present. Nitrogen control panels are to be provided to the Op-
erating rooms in accordance with the latest version of NFPA 99.
NARRATIVE 2-30
2.2.6. Electrical Systems
Lighting: Lighting systems are essential for the surgical staff to perform
and function safely, efficiently, and effectively. The Lighting Design Manual
(LDM) provides design A/E guidance for lighting design parameters, as well
as recommended types of luminaires, in the surgical suite. The design A/E
has the option of using either fluorescent or LED lighting technology. The
design A/E shall follow the Reflected Ceiling Plan in Section 4 – Design
Guide Plates of this Design Manual for the placement of luminaires. The
design A/E shall select appropriate number of lamps in each luminaire to
render the required illuminance level for each room and task. Normally,
number of lamps for luminaires located at the core of surgery room is 6 (3 of
which are on emergency battery back-up).
Lighting levels in the operating room are also required to fluctuate from high to
low in order to accommodate specific tasks. Therefore, the design A/E must
implement luminaires with dimming capabilities using multi-level switching,
dimming arrangements, or both. Normally, luminaires located at the core
of the surgery room are designed with multi-level switching arrangement;
luminaires located in the peripheral area of the surgery room are designed
with dimming capabilities. Point-to-point foot-candle calculation for each
room or area must be performed using commercially available computer
software to validate compliance with lighting level and energy conservation
requirements. The calculations must be documented and provided to VA for
review and concurrence.
The North America Illumination Engineering Society (NAIES) Handbook

10th Edition states that need of low level background lighting using green
lamps is a preference of individual surgeons. It is not a lighting design criteria
recommended or required for a surgery room. There is no NAIES standard
recommending or requiring green lamp design for surgery rooms, at this
time. There is no academic and peer reviewed research reports to validate
benefits of green lamps at this time. Therefore, dimming arrangements
for luminaires is the preferred way over green lamps to provide low level
background lighting in the surgery room.
Power:
The A/E shall provide electrical design for all electrically operated equipment.
The A/E shall confirm electrical requirements of all equipment to provide
correct design and load calculations. A/E shall show receptacles or hardwire
connections for all electrically operated equipment. The Electrical Engineer
shall coordinate with The Architect regarding the physical dimensions of the
line isolation monitor panel(s). This information is needed for the construction
of the wall to correctly accommodate the line isolation monitor.
NARRATIVE 2-31
Refer to the Electrical Design Manual for guidance regarding requirement of

Isolated Power System (IPS) in operating rooms. Dual IPS panels providing
two different output voltages simultaneously using one isolated transformer
is prohibited.
Power and ground modules providing a combination of hospital grade

receptacles and hospital grade ground jacks shall be provided along the
walls.
Normal Power: One IPS on normal power shall be designed and specified
for each surgery room. Receptacles on normal power shall be connected to
the normal power IPS.
Emergency Power: Two IPS systems on the Critical branch of the Essential
Electrical System (EES) shall be designed and specified for each surgery
room, and shall be located at opposite diagonal corners of the surgery room.
Line isolation monitoring shall be integral with the IPS. Receptacles on the
Critical branch of the EES shall be connected to the closest Critical branch
IPS. The IPS shall provide power to receptacles designated for emergency
power mounted on the wall or within the articulating columns.
A 208 Volt special outlet shall be provided for the laser surgery equipment.
This special outlet shall be connected to a separate Critical branch IPS
supplying power to all laser surgery equipment. Normally, IPS supplying
power to all laser surgery equipment is located at the closest corridor outside
the surgical room.
2.2.7. Telecommunications, and Special Telecommunication Systems,

Monitoring, and Signaling Systems
Intercom, telephone and computer systems are all required in the operating
rooms. In addition, a “code blue” system is required in the event of a cardiac
arrest summoning designated staff to the OR from other areas of the hospital.
It is highly desirable for the articulating utility column serving the anesthesia
machine to have a telephone mounted on it since the anesthesia staff cannot
leave the head of the table. This will allow him/her to summon assistance
from the chief anesthesiologist when required or to request a replacement
when a break is needed.
Operating Room Integration: Originally focused on video routing, OR

integration is now defined by a broad set of applications that provide on
demand information to physicians, staff and administrators for use in the
operating room and beyond. Integration media is used to assist in preparation
for and in the performance of a procedure, as well as documentation,
NARRATIVE 2-32
performance analytics, and archiving purposes. Additionally operating room

environments can be controlled from a single interface that automatically
updates and syncs temperature, lighting, and monitor visual information in
a sequence of procedure phase presets. Asset tracking capabilities allow
for historical review of movement patterns and equipment utilization, the
ability to track button presses, interactions, and inventory counts of certain
key assets. The resulting data is amalgamated and analyzed to improve
efficiency and optimize resources.
Virtual Whiteboard Visual Workflow Management Software: Visual Workflow

Management Software is a web based patient tracking system that utilizes
sensors and staff inputs to progressively update and disseminate patient
status, room availability and procedure status to physicians, staff and family
in real time via mobile devices, pre/post and waiting area status boards,
and bedside PCs. HIPAA compliance updates are also posted to a hospital
website, which is managed through the OR control room command center.
Software incorporating Real Time Location System (RTLS) technology

provides a series of zone and room sensors to track patients as they
progress though the unit and their prep, procedure, and recovery. The OR
scheduling system is updated in real time with the patient location and status
to create a comprehensive view of patient workflows for physicians and staff
throughout the perioperative environment. Staff optimization and throughput
is improved, workflows streamlined, and dissemination of patient status is
enhanced with improved visibility.
These systems incorporate a variety of applications to notify and display

information including smart phone and tablet applications, OR and bed side
PC’s, large format status monitors and electronic staffing boards. Patient
arrival to the OR is automatically captured and patient data (allergies, labs,
ordered blood products, specimens and more) can be posted to Patient
Safety Displays within the system.
The system is controlled and monitored at the OR control desk where a

comprehensive view of the entire suite can be relayed with real-time updates
for every surgical patient, optimizing clinical staffing, patient throughput,
predictability and control. A series of automated text notifications are sent
to appropriate staff, minimizing the number of calls and pages required to
progress a patient through a procedure.
Physicians, staff, and supervisors can utilize the phone and tablet applications
on the move to stay abreast of cancellations, emergency cases, patient
flows, OR camera views, and on demand daily and historical performance
NARRATIVE 2-33
analytics promoting proactive schedule management. Electronic staffing

boards eliminate the need for “grease” boards. Staffing assignments are
quickly and conveniently posted for OR rooms, breaks and relief. Large
format status monitors provide continuous unit visibility in Pre/Post, control
desks and staff break areas. Large format monitors can also be used to
communicate patient status to family in waiting areas.
Patient Safety Display: Patient Safety Display provides the OR team with
real-time, up to date, accurate patient data from disparate hospital sources
and helps to optimize patient safety and workflow efficiency for every
procedure. The display automatically aggregates surgical case and patient
information from other data systems and displays it on a dedicated screen
in the OR, providing automatic access to key information from diverse IT
systems - Laboratory, Radiology, Medical Records, Allergies and more. The
system can also assist OR staff in safely navigating through Sign In, Time Out
and Sign Out requirements for every surgical procedure while encouraging
best practices to optimize patient outcomes that can significantly reduce the
potential risk of a “never” event.
Endoscopic Integration: Operating theaters fully integrated for both

endoscopic and open procedure equipment allow increased flexibility in
scheduling and OR utilization depending on the scale of the facility and number
of procedures. Advantages of endoscopic procedures include a reduction
in tissue trauma, leading to less postoperative pain, faster recovery, and
improved cosmetic result. Improvements in technique and the collaborative
development of endoscopic instruments have improved outcomes and the
capability is becoming increasingly preferred by surgeons and patients.
Endoscopic equipment can be integrated into the common sterile interface

for operating lights, table positioning, pumps, shavers, insufflators and
electrosurgical equipment. Surgeons rely heavily on image quality in
endoscopic procedures and calibration between equipment cameras and
monitors is vital. Precise performance parameters of endoscopic cameras
are built in-to the operating system of the operating room monitor in a
concept known as “matched pairs” to optimize color reproduction and ensure
accuracy of geometrical scaling.
Video integration: Audio and visual connection technology provides high

quality real time communication that can be disseminated in multiple tiers
of information sharing, bringing external users inside the operating room.
Data from the OR is translated via fiber optic hardwire to the in-suite control
interface, a switchboard-like device enabling two-way audio and video or
NARRATIVE 2-34
image communication from point-to-point within the hospital, ensuring secure

communication without using the hospital’s bandwidth. Additional system
components can expand the accessible range from within the hospital to
offsite institutions and external users on the other side of the world via
CODEC or internet streaming.
The same communication can be had between ORs in the same hospital
wherever compatible CODECs are used. This feature can be installed in
one room or at the in-suite control desk and shared by all. An example of its
functionality is an OR in the United States sending pictures and audio in real
time to a surgeon in another country who has a compatible CODEC.
A streaming tier can transmit live, one-way audio and video to live broadcast
procedures to a conference room or auditorium via a network. The broadcast
can be viewed by smaller groups on desktop, mobile devices and tablets
or larger groups with certain third party streaming devices. The feature
is commonly used by teaching hospitals and can be integrated on site in
a manner similar to the CODEC and the two are typically collocated for
convenient control of external information dissemination.
Cameras used for live viewing and recording allow surgeons to capture any
angle and position of procedure with enhanced five axis control capability
including image rotation to optimize view orientation, auto focus zoom to
capture appropriate level of detail through the progression of a procedure,
panning to the left or right, tilting up and down, pivoting freely in a full circle.
The cameras have a combination of automated features and manual modes
that can be maneuvered through the integration system touch panel or in
the surgical field by using button controls on the camera. The focus and
brightness adjustment capability can capture true color rendition when
calibrated and routed to a high definition monitor recording device, multiple
video formats and signal compatibilities are built into the camera for real
time capture with no discernible image lag. High end cameras feature up to
2 million effective pixel with 1080 horizontal high definition resolution and up
to 120x optical zoom. Various mounts are available for the cameras to locate
anywhere in the room including arm mounts that can locate the camera
directly over the operating table. Mounts can be located on surgical lights or
independently. The mounts and camera utilize anti drift technology similar to
that used in operating room lights to ensure the camera does not move out
of position once located.
Digital recording systems can capture high definition surgical audio, 1080p
video and still images, and annotation during a case. Some recording
systems also feature search engines for keyword based image retrieval,
NARRATIVE 2-35
editing software, and built in printing capability that can render pre-scripted
images automatically during a case or select images for use afterwards. This
functionality can also be tied to third party devices with USB ports and stored
on the hospital servers via centrally mapped network drives Digital recording
systems can capture images and video directly from OR cameras as well as
be linked to other inputs in other areas of the suite including mobile devices
with proper software. Once captured, the information can be made available
to any device on the hospital network with software that enables tiered
secure access, customizable to hospital and HIPPA compliance policies, for
downloads, information sharing with consulting physicians and incorporation
into electronic medical records.
It is preferred for these components to be non-proprietary in order to allow

for plug and play in the future.
Pneumatic Tube System: A pneumatic tube station should be considered in

order to provide an efficient means of delivering medications and labs to and
from the surgical suite to the main hospital pharmacy and main lab.
2.2.8. Fire Protection and Life Safety
Fire Detection and Sprinkler System:

Provide fire alarm and detection systems in compliance with NFPA 101
and NFPA 72 as well as VA Fire Protection Design Manual. Coordinate
the location of sprinklers with other ceiling systems in accordance with
the current version of the VA Master Construction Specifications and VA
Mechanical and Plumbing Design Manuals.
NARRATIVE 2-36
3.0 FUNCTIONAL DIAGRAMS
3.1. General
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed in Figures 3.1.1, 3.1.2, 3.1.3, 3.1.4
to show possible routes that a patient may take through the surgical department.
It is important to note that the major differences stem from the level of acuity of
the procedure being performed: in the case of ambulatory surgery the patient
will arrive on the day of surgery and be discharged on that same day without
interacting with any other spaces outside of the surgery department. During a
hospital-based surgery intake and discharge of the patient will occur through
other hospital departments. In emergent surgical cases the patient will likely
not spend any time in pre- and post-procedural areas but be transferred directly
to the critical care unit. This serves to minimize patient transfers and ultimately
OVERALL DIAGRAM : PERI-OPERATIVE SERVICES
reduce patient risk.
ACCESS DISCHARGE
PRE-OPERATIVE PHASE
PRE-PROCEDURAL ASSESSMENT
o ADMISSION
o REGISTRATION / P.A.T.
o EXAMINATION / CONSULTATION / REFERAL
o CLEARANCE
o FAMILY / PATIENT EDUCATION
o OTHERS
PRE-OPERATIVE HOLDING / PREPARATION

o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE o STANDARD
o GENERAL SURGERY o INTERMEDIATE
o SPECIALTY SURGERY o COMPLEX
o OTHERS
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT CRITICAL CARE UNIT
PHASE II RECOVERY INPATIENT HOLDING
INPATIENT UNIT
EXTENDED RECOVERY / REHABILITATION
Figure 3.1.1
Overall Diagram: Peri-Operative Services
FUNCTIONAL DIAGRAMS 3-1

HOSPITAL BASED SURGERY (IP FLOW)
INPATIENT UNIT / CCU (CRITICAL CARE UNIT)

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

AMBULATORY / OUTPATIENT SURGERY
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
o MIS PROCEDURE
o AMBULATORY SURGERY
o GENERAL SURGERY
POST-ANESTHESIA CARE UNIT
CRITICAL CARE UNIT
PHASE II RECOVERY
INPATIENT UNIT
OBSERVATION UNIT
PRE-OPERATIVE PHASE
CONSULTATION (FOLLOW-UP)
Figure 3.1.3
EMERGENCY
Ambulatory / Outpatient / TRAUMA
Surgery BASED SURGERY
Flow
PRE-OPERATIVE PHASE
EMERGENCY DEPARTMENT / AMBULANCE
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
o MIS PROCEDURE
o STANDARD
o GENERAL SURGERY
o INTERMEDIATE
o SPECIALTY SURGERY
o COMPLEX
o OTHERS
PHASE II RECOVERY INPATIENT HOLDING
INPATIENT UNIT
Figure 3.1.4
Emergency / Trauma Based Surgery Flow

3.2. The Surgical Suite
The Surgical Suite is situated in a way to prevent nonrelated traffic through

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

CONSULT CONTROL LOCKERS / STAFF LOCKERS /
WATING ADMINISTRATIVE
CHANGING RM LOUNGE CHANGING RM AREA
FROZEN SECTION LAB
CLEAN HOLDING
OR NURSE DIRECTOR
PREP / HOLDING ANESTHESIA WORKROOM
PHASE II RECOVERY GENERAL GENERAL DISTRIBUTION / ANESTHESIA STORAGE
CYSTO OR OR CLINICAL SUPPORT BIO-MEDICAL ENGRG
PHARMACY
SOILED HOLDING
HAC
ELECTRICAL ROOM
IT TELECOM ROOM
EQUIP. EQUIP.
CLEAN
CORE
SUPPORT
NURSE GENERAL GENERAL SPS
STATION OR OR
IMMEDIATE
USE
STERILIZ.
EQUIP. EQUIP.
PACU
Patient Circulation FUTURE EXPANSION

Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
“Red Line”
Figure 3.2.1
Adjacency and Flow - Standard/Ambulatory Surgical Suite


ENTRANCE ENTRANCE
SPS SOILED
STAFF AND STAFF
ELEVATOR
ADMINISTRATIVE LOUNGE SPS CLEAN

AREA FEMALE MALE ELEVATOR
PATIENT PATIENT
GENERAL CONSULT LOCKERS / LOCKERS /
WATING CHANGING CHANGING SPS
CLINICAL ROOM ROOM
CONTROL
SUPPORT
EQUIP. SPS SOILED
PREP / HOLDING + ELEVATOR
PHASE II RECOVERY FROZEN SECTION LAB GENERAL SPS CLEAN
CLEAN HOLDING ELEVATOR
OR NURSE DIRECTOR
OR
ANESTHESIA WORKROOM
ANESTHESIA STORAGE
SPECIALTY
PHARMACY OR
BIO-MEDICAL ENGRG
SOILED HOLDING
HAC
ELECTRICAL ROOM GENERAL
IT TELECOM ROOM OR CCU
CONTROL
SUPPORT CLEAN
CORE
GENERAL
OR HYBRID
OR
NURSE
STATION
IMMEDIATE
PREP / HOLDING UROLOGY/ USE
PHASE II RECOVERY CYSTO OR STERILIZ.
PACU SPECIALTY
OR
EQUIP.
Patient Circulation FUTURE EXPANSION

Staff Circulation
“Red Line”
Figure 3.2.2
Adjacency and Flow - Intermediate/Complex Surgical Suite


ENTRANCE ENTRANCE
SPS SOILED
STAFF AND STAFF ELEVATOR
ADMINISTRATIVE LOUNGE SPS CLEAN
AREA FEMALE MALE ELEVATOR
GENERAL PATIENT PATIENT

CONSULT LOCKERS / LOCKERS /
WATING
CHANGING CHANGING SPS
CLINICAL ROOM ROOM
CONTROL
SUPPORT
PREP / HOLDING EQUIP. SPS SOILED

ELEVATOR
PHASE II RECOVERY
SPS CLEAN
ELEVATOR
GENERAL
FROZEN SECTION
LAB
OR SPECIALTY
CLEAN HOLDING
OR NURSE
OR
NURSE DIRECTOR
STATION ANESTHESIA
WORKROOM
ANESTHESIA
STORAGE CCU
GENERAL CONTROL
PACU PHARMACY
BIO MEDICAL
OR
ENGRG
CLEAN
SUPPORT SOILED HOLDING
HAC CORE
ELECTRICAL ROOM
IT TELECOM ROOM
HYBRID
GENERAL
OR
OR
NURSE
STATION IMMEDIATE
USE
PREP / HOLDING STERILIZ.
PHASE II RECOVERY UROLOGY/ SPECIALTY
EQUIP.
PACU OR
CYSTO OR
FUTURE EXPANSION
Patient Circulation
Staff Circulation
“Red Line”
Figure 3.2.3
Adjacency and Flow - Intermediate/Complex Surgical Suite (Alternate)


ENTRANCE ENTRANCE
SPS SOILED
ELEVATOR
STAFF
SPS CLEAN
LOUNGE ELEVATOR
GENERAL CONSULT STAFF AND

WATING ADMINISTRATIVE
AREA
FEMALE PATIENT MALE PATIENT
LOCKERS / LOCKERS / SPS
CHANGING ROOM CHANGING ROOM
SPS SOILED
ELEVATOR
PREP / HOLDING EQUIP.
BIO-MEDICAL SPS CLEAN
PHASE II RECOVERY ENGRG ELEVATOR
PHARMACY
SOILED
HOLDING SPECIALTY
HAC
ELECTRICAL OR
ROOM GENERAL
IT TELECOM
ROOM OR
IMAGING
SUPPORT CONTROL
EQUIPMENT
NURSE
STATION CONTROL
GENERAL
OR
HYBRID
OR CCU
CLEAN
SUPPORT FROZEN
CORE
SECTION LAB
CLEAN
HOLDING
GENERAL IMAGING
OR NURSE OR SUPPORT CONTROL
DIRECTOR EQUIPMENT
ANESTHESIA
WORKROOM
ANESTHESIA
STORAGE
PACU HYBRID
GENERAL
OR
OR
EQUIP.
CATH UROLOGY/
IMMEDIATE CYSTO OR
USE
PREP / HOLDING INVASIVE STERILIZ.
PHASE II RECOVERY CARDIOLOGY
SUPPORT
EQUIP.
CONTROL
IMAGING
SUPPORT
EQUIPMENT
FUTURE EXPANSION
Patient Circulation
Staff Circulation
“Red Line”
Figure 3.2.4
Adjacency and Flow - Complex Integrated Interventional Suite

Figures 3.2.5, 3.2.6 and 3.2.7 illustrate examples of Intraoperative Suite

organizations that are typical for facilities of different complexity levels.
GENERAL GENERAL GENERAL

EQUIP EQUIP
OR OR OR
TO SURGICAL CLEAN * TO SURGICAL

PROCEDURE ELEVATOR
CLEAN CORE PROCEDURE
SUPPORT SUPPORT
SOILED
ELEVATOR
* MIS MIS MIS EQUIP
OR OR OR
FROM PRE-OPERATIVE HOLDING

TO PACU / SICU
Figure 3.2.5 BASIC OR CONFIGURATION

Standard/ Ambulatory Surgical Suite Organization
SPECIALTY SPECIALTY GENERAL GENERAL GENERAL

EQUIP EQUIP EQUIP EQUIP
OR OR OR OR OR
TO SURGICAL TO SURGICAL
PROCEDURE CLEAN CORE CLEAN CORE PROCEDURE
CLEAN
SUPPORT ELEVATOR
SUPPORT
SOILED
ELEVATOR
SPECIALTY SPECIALTY MIS MIS MIS
Notes: OR EQUIP OR OR OR OREQUIP SOILED
UTILITY
EQUIP
* MIS - minimally invasive surgery. MIS uses a variety of techniques that inflict
lesser injury to a patient body in comparison to a traditional open surgery. In
general, it is faster than open surgery and allows patient to recover faster and
heal with less pain and scarring. Minimally invasive surgery is usually done on
an outpatient basis or requires only a short hospital stay.
TO PACU / SICU
* Clean and Soiled elevators are not required in facilities with central sterile
INTERMEDIATE
processing, distribution/ COMPLEX OR CONFIGURATION
and waste management located on the same floor with
perioperative services.

CONTROL
CONTROL
CATH/EP CATH/EP EQUIP GENERAL GENERAL GENERAL

EQUIP EQUIP
LAB LAB OR OR OR
IMAGE IMAGE
EQUIP EQUIP
SOILED
ELEVATOR
* MIS MIS CORRIDORMIS
SEMI-RESTRICTED EQUIP
OR OR OR


TO PACU / SICU
BASIC OR CONFIGURATION FROM PRE-OPERATIVE HOLDING

TO PACU / SICU
BASIC OR CONFIGURATION SEMI-RESTRICTED CORRIDOR

OR EQUIP
OR SEMI-RESTRICTED
EQUIP CORRIDOR
EQUIP
OR OR OR EQUIP

TO SURGICAL OR EQUIP
OR EQUIP EQUIP
OR OR OR EQUIP TO SURGICAL
PROCEDURE CLEAN CORE CLEAN CORE PROCEDURE
CLEAN
SUPPORT ELEVATOR
SUPPORT
SOILED
TO SURGICAL ELEVATOR TO SURGICAL
PROCEDURE SPECIALTY CLEAN CORESPECIALTY MIS CLEAN CORE
MIS MIS PROCEDURE
CLEAN EQUIP
SUPPORT OR EQUIP OR ELEVATOR EQUIP SOILED OR OR OR SUPPORT
UTILITY
SOILED
ELEVATOR
SPECIALTY SPECIALTY MIS MIS MIS
EQUIP
OR EQUIP OR SEMI-RESTRICTED
EQUIP CORRIDOR
SOILED OR OR OR
UTILITY
TO PACU / SICU
Figure 3.2.6
INTERMEDIATE / COMPLEX
Intermediate/ Complex Surgical Suite.
TO PACU
OR CONFIGURATION
/ SICU Pods Organization
INTERMEDIATE / COMPLEX OR CONFIGURATION

CONTROL
CONTROL

EQUIP EQUIP
LAB LAB OR OR OR
IMAGE IMAGE
EQUIP EQUIP
CONTROL
CONTROL

EQUIP EQUIP
TO SURGICAL LAB LAB OR OR OR TO SURGICAL
PROCEDURE CLEAN CORE CLEAN
CLEAN CORE PROCEDURE
IMAGE IMAGE
SUPPORT EQUIP EQUIP
ELEVATOR SUPPORT
IMAGE
SOILED
EQUIP
TO SURGICAL ELEVATOR TO SURGICAL
PROCEDURE SPECIALTY CLEAN CORE
HYBRID SPECIALTY
CLEAN MIS CLEANMIS
CORE MIS PROCEDURE
PUMP EQUIP
CONTROL
SUPPORT OR OR OR
ELEVATOR SOILED OR OR OR SUPPORT
UTILITY
IMAGE
SOILED
EQUIP
ELEVATOR
SPECIALTY PUMP
HYBRID SPECIALTY MIS MIS MIS
EQUIP
CONTROL
OR OR SEMI-RESTRICTED
OR CORRIDOR
SOILED OR OR OR
UTILITY
TO PACU / SICU
INTEGRATED OR CONFIGURATION FROM PRE-OPERATIVE HOLDING

TO PACU / SICU
Figure 3.2.7 INTEGRATED OR CONFIGURATION

Complex Integrated Interventional Suite. Pods Organization

The surgical suite is set up to carefully orchestrate the flow of patients, clinical
and support staff, sterile and soiled goods. It is achieved by on-stage vs. off-stage
circulation organization. A one-way flow of soiled goods out of the operating
room and sterile goods into the operating room on a separate, dedicated route
is preferred. This is best accomplished by grouping operating rooms around the
Clean Core, as illustrated in figures 3.2.8 and 3.2.9. Each Clean Core cluster
shall be limited to 6 to 8 operating rooms in total in order to avoid excessive
patient transportation and travel distances in the semi-restricted corridor.
CLEAN CORE, OUTER RACETRACK

EQUIP. OR OR OR EQUIP.
OR EQUIP. OR OR EQUIP. OR
CLEAN CORE, PODS

CLEAN CORE
CLEAN CORE SPS CLEAN CORE
Figure 3.2.8
Clean Core, 1 Pod along Racetrack Single Loaded Corridor
OR EQUIP. OR CLEAN CORE OR EQUIP. OR

SINGLE CORRIDOR, SEPARATE CORE
CLEAN CORE, PODS
CLEAN CORE CLEAN CORE
CLEAN CORE
Figure 3.2.9
Clean Core, 2 Pods along Racetrack Single Loaded Corridor - Alternate

SINGLE
SUPPLIES / EQUIP. OR OR OR SUPPLIES / EQUIP.


Figures 3.2.10, 3.2.11 and 3.2.12 illustrate alternate Clean Core organizations.
While these layouts are not
EQUIP.OR preferred,
OR they
OR may be encountered in renovation
EQUIP.
projects in existing facilities throughout the system.

CLEAN CORE
CLEAN COSRIEN, G
OLUETCEO
CLEAN CORE
R RRRAICDEOTRR,ANCOK CORE
Figure 3.2.10
Single Double Loaded Corridor, No Core
CLEAN CORE
CLEAN CORE
Figure 3.2.11
Single Double Loaded Corridor, Separate Cores
SINGLE CORRIDOR, N

CLEAN CORE, PODS

CLEAN CORE SPS CLEAN CORE
Figure 3.2.12
Single Corridor, Outer Racetrack Single Loaded Corridor
CLEAN CORE, PODS

CLEAN CORE CLEAN CORE

3.3. Clean Core
A double-loaded Clean Core shall have a min. width of 21’-0”. This width will
allow for supply shelving in the middle , aisles on each side as well as case
cart storage along the wall.
If supplies are to be stored on multiple exchange carts brought up from SPS

each day, the clean core must be sized to accommodate these carts. When
the provision of substantial numbers of storage cabinets in each Operating
Room is the desire of the local staff, then the space in the Clean Core re-
served for exchange carts with sterile supplies on them can be reduced. Case
carts are held in a clean staging area or directly outside the operating room
until required at the start of the surgical procedure to optimize room turnover
times.
Sterile supplies and case carts are transported to the clean core via dedicated
elevators from the clean side of SPS.
Figures 3.3.1 and 3.3.2 illustrate two options for organizing a Clean Core.

21’-0” MIN.
6400 mm
SPD CLEAN
ELEVATOR
OPERATING OPERATING
ROOM ROOM
OPERATING OPERATING
ROOM ROOM
CLEAN CORE
OPERATING OPERATING
ROOM ROOM
PTS
WORK
STATION
OPERATING OPERATING
ROOM ROOM
IMMEDIATE
USE STERIL.
Supply Storage
Equipment Storage
Clean Case Cart Storage SEMI-RESTRICTED CORRIDOR
Case Carts
Figure 3.3.1
Clean Core Organization 1 - Centered Case Carts

21’-0” MIN.
6400 mm
SPD CLEAN
ELEVATOR
OPERATING OPERATING
ROOM ROOM
OPERATING OPERATING
ROOM ROOM
CLEAN CORE
OPERATING OPERATING
ROOM ROOM
PTS
WORK
STATION
OPERATING OPERATING
ROOM ROOM
IMMEDIATE
USE STERIL.
Supply Storage
Equipment Storage
Clean Case Cart Storage
Case Carts
Figure 3.3.2
Clean Core Organization 1 - Centered Supply Storage Shelving


INDEX OF DESIGN STANDARD PLATES
4.0 DESIGN STANDARD PLATES – FLOOR PLANS, REFLECTED CEILING PLANS,

ROOM DATA SHEET, EQUIPMENT LIST & GENERAL NOTES
4.1. General 4-1
• Introduction 4-1
• Legend of Symbols 4-2
4.2. Patient Bay, Pre-Operative Holding /
• Floor Plan 4-6
4.3. Patient Room, Pre-Operative Holding /
• Floor Plan 4-17
4.4. Clean Workroom, Anesthesia (ANCW2) 4-27
• Floor Plan 4-28
4.5. Operating Room, General (ORGS1) 4-34
• Floor Plan 4-35
• JSN Legend 4-37
4.6. Operating Room, Orthopedic (OROS1) 4-50
• Floor Plan 4-51
• JSN Legend 4-53
DESIGN GUIDE PLATES 4-i


4.7. Operating Room, Urology / Cystoscopy (ORCS1) 4-67
• Floor Plan 4-68
• JSN Legend 4-70
4.8. Operating Room, Cardiothoracic (ORCT1) 4-84
• Floor Plan 4-85
• JSN Legend 4-87
4.9. Pump Room, Cardiothoracic / Hybrid OR (ORHL1) 4-103
4.10. Operating Room, Neurosurgical (ORNS1) 4-112
4.11. Operating Room, Robotics (ORRB1) 4-130
DESIGN GUIDE PLATES 4-ii


4.12. Operating Room, Transplant (ORTR1) 4-147
4.13. Operating Room, Monoplane Hybrid (ORHY1) 4-165
4.14. Operating Room, Biplane Hybrid (ORHY2) 4-186
4.15. Control Room, Hybrid OR (ORHC1) 4-207
4.16. Cardiac Catheterization Laboratory (XCCE1) 4-216
DESIGN GUIDE PLATES 4-iii


4.17. Procedure Room, Electrophysiology (XCEP1) 4-233
4.18. Transesophageal Echocardiograph (TEE) Procedure Room
(TRTE1) 4-251
4.19. Decontamination, TEE Probe (TRTE2)
Storage, Clean TEE Probe (TRTE3) 4-264
4.20. Immediate Use Sterilization Room (ORSR1) 4-273
4.21. Patient Bay, PACU / Phase I Recovery (RRBP1) 4-281
DESIGN GUIDE PLATES 4-iv

4.22. Airborne Infection Isolation (AII), Patient Room

PACU / Phase I Recovery (RRIR1) 4-290
4.23. Laboratory, Frozen Section (LBUL1) 4-304
4.24. Utility Room, Surgical Soiled (USCL7) 4-314
DESIGN GUIDE PLATES 4-v

DESIGN GUIDE PLATES 4-vi

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

NURSE C
CB NURSE C
CB NURSE C
NC NURSE C
Surgical Services Design Guide NC
April 2016
NURSE C
SS
NURSE C
SS
Legend of Symbols: NURSE C
ARCHITECTURAL
GFI
GFI 2’X2’ ACOUSTIC TILE CEILING T
T
D 3D 3
SD
PP 2’X4’ ACOUSTIC TILE CEILING

SP
PP
SS
SS TURE
SD
GYPSUM BOARD ROOM TH
ROOM
SP
-
TH
1- DT TELEVISI
DT
SD
TELEVISIO
- -
INTERIOR ELEVATION REFERENCE 4- 2 S
-
SP
INTERIOR
0" 3-
0" 9’-0” DT INTERIOR
DT
HEIGHT OF CEILING FINISH ABOVE FINISH FLOOR WHEELCH
S
WHEELCH
JSN
JSN AND EQUIPMENT NAME DT DT
EQUIPMENT
JSN NAME
EQUIPMENT NAME
S
WHEELCHAIR CLEARANCE ANCY SENSOR
5'-6" ø
R
IAøMETE
TU5R'-N6D"
R
IAMETE
TURN D
CENTERLINE

SS NURSE CALL DEVICE (S
FB1 FLOOR BOX POWER
2' x 4' INDIRECT FLUORE

Surgical Services Design Guide April 2016LIGHT FIXTURES
4' FLUORESCENT VANIT
FLUORESCENT LIGHT F
HVAC SUPPLY
SYSTEM DESCRIPTION OF SYMBOLS SYMBOL RETURN GRILLE

WIRING SINGLE POLE SWITCH (SUBSCRIPT INDICATES FIXTURES THR
DEVICES CONTROLLED) aa THRTH
a EXHAUST REGISTER
SWITCHES
33 LOW
LO
THREE-WAY SWITCH 3 HOOD EXHAUST
LOW
ON
O
3 33 3 DRYER EXHAUST
ON
SW
LOW VOLTAGE, TWO BUTTON DUAL LEVEL SWITCHING
3 3 SW
SW
LOW VOLTAGE DIMMER SWITCH DD SPRINKLER HEAD
LOW
D LO
LOW
OCCUPANCY SENSOR DT OCCUPANCY SENSOR
PPPP 2'X4
LIGHTING PP 2'
2'X
2’X4’ FLUORESCENT LIGHT FIXTURE
DEVICES /
FIXTURES
2’X4’ DIRECT/INDIRECT LIGHT FIXTURE
DU
D
DU
2’X2’ FLUORESCENT LIGHT FIXTURE
EM
EM
EM
2’X2’ DIRECT/INDIRECT LIGHT FIXTURE
GR
G
GR
RECESSED DOWN LIGHT
QU
Q
JJ QU
J
JUN
JU
FBFB
JUN
FB
FLO
FL
FLO
TEL
TE
TEL
TV TV
TV TV
TV TV SPE
SP
SP
SS NU
S N
NU
NCC
NCC NU
NCC N
NU
CBCB NU
CB N
NU
NCNC NU
NC N
NU
SSSS
SS NU
N
NU
GFIGFI
GFI DESIGN GUIDE PLATES TT
4-3
T
CC
D D3
D
C
DUPLEX RECE
Q
J EMERGENCYE EFD
8" X 4' INDIR
EMERGENCY
EMERGENCY TD
+42 DUPLEX OUTL QJ
G
TVJ TV G
Surgical Services Design Guide April FB+42
+42
2016 DUPLEX
1'X4' DIREC
DUPLEX OUTL
OUTLS
GFI GROUND FAUL TF
JU
GFI
SGFI GROUND
GROUND
2'X4' DIREC FAU
FAUL N
FB TV
TV
FAUT
Q
J VOICE/TELEPH QS
F
J VOICE/TELEPH
NCC
TV TV VOICE/TELEPH
DUPLEX RECE N
S
S SINGLE SWITC JU
N
JU
WIRING DUPLEX RECEPTACLE FBS SINGLE SWITCSWITC
FBCB
SINGLE
EMERGENCY
DEVICES 1'X4' DIREC TD
N
NCC DIMMER SWIT FF
N
GFI GFI
D DDD 3 333
RECEPTACLES GROUND FAULT INTERRUPTER RECEPTACLE w/EMERGEN
DIMMER SWIT
DIMMER SWIT
TVNC+42
NCC
TV DUPLEX OUTL
S
DUPLEX RECEPTACLE ON EMERGENCY POWER CB THREE WAY T SN
THREE WAY SS
2'X4' DIREC
THREE WAY N
GFI TVSS
GFI
STV GROUND FAUL
PATIENT GROUND MODULE (4-JACK) GM CB
PP w/EMERGEN
PUSH PLATE SN
(
P NC
P
PP
PPGFI PUSH
PUSH PLATE
PLATE
VOICE/TELEPH
N((
SP
AUXILIARY TELEPHONE DATA OUTLET CB
NC
SP NCC SP
SGFI NURSE T
CALLNNT D
SYSTEMS SS CB WALLWASH
CB NURSE CALL
NURSE CALLND
SINGLE SWITC
D
TELEVISION CABLE OUTLET - WALL MOUNTED/CEILING
P MOUNTED TVTV
TV TVTV
GFI
P
NC
SS
CB
NCC
TV
NURSE
PENDANT CALLSDS
NC CALLNN
SP
D 3
SPEAKER - WALL MOUNTED/CEILING MOUNTED SP SPNC
T NURSE
NURSE
DIMMER CALL
SWITD
D
SS
DD 3 3
S ND
S
NC NURSE CALLN
RECEPTACLE, CLOCK HANGER PP TV CB SS
SSTV DOWNCALL
NURSE LIGH
CALL NND
C THREE WAY SD
NURSE
D 3
GFI
FB1
D 3
SS NCC
TSS FLOOR BOX P N
NCC
FB1
NC BOX N
NURSE
GFI CALL DEVICE (PULL CORD) FB1
PP
PP
PP
FLOOR
FLOOR
SPRINKLER
PUSH BOX
PLATE
PN
PN(
PP T 2' x 4' INDIREC
PP C
CBSS
D 3D 3
D 3D 3
NURSE CALL DEVICE (CODE BLUE)
SS CB
SS 2' xx 4'
LIGHT
2' 4' INDIREC
INDIREC
FIXTURNN
SS CB PASSIVE IN
LIGHT FIXTURND
H
C NURSE
LIGHT CALL
FIXTUR
PUSH PLATE (AUTO OPENING DOOR) PP
NC
PPGFI NC 4' FLUORESCE N
MECHANICAL SSROOM THERMOSTAT NC
PP
PP
NURSE
4'
4' CALLNR
FLUORESCE
FLUORESCE D
PP HT
SS
SSSS
PP FLUORESCEN
SS
GFI SS NURSE
FLUORESCEN CALLN ND
T
ROOM HUMIDISTAT (MOISTURE) H FLUORESCEN
TSS
C
D 3
SUPPLY R
FB1 - HVAC FLOORSUPPLYBOX P
HVAC SUPPLY HVAC SUPPLY
SUPPLY R
CPP HVAC
PP
D 3
RETURN
2' x 4' INDIREC T
GFI
SS
GFI
HVAC RETURN TH - LIGHT
RETURN FIXTUR
GRILL T
PP
T
RETURN GRILL
PP RETURN
LINEAR GRILL
DIF
-
SS*LINEAR DIFFUSER C 4' FLUORESCE R
DD 33
CH
EXHAUST REG
EXHAUST REGISTER EXHAUST REG
EXHAUST REG
PPPP
FLUORESCEN
PP
PP
RT
HOOD EXHAUS
SSHOOD EXHAUST
SS H - HOODSUPPLY
HOOD EXHAU
EXHAUS
H HVAC EXHAU
T
PLUMBING SPRINKLER HEAD - DRYER EXHAU
R
DRYER R
DRYER EXHAU
EXHAU
RETURN GRILL
SPRINKLER HT
TH
SPRINKLER H
SPRINKLER
-- EXHAUST REG
DT OCCUPANCY S
DT
DT OCCUPANCY S
OCCUPANCY
HOOD EXHAUS
DRYER EXHAU
SPRINKLER H
DT OCCUPANCY S

4.2. PATIENT BAY, PRE-OPERATIVE HOLDING /

PHASE II RECOVERY (RRPR1)
Axonometric
140 NSF / 13,1 NSM

Pre-Operative Holding Area

CT020
COUNTER, SOLID
A5082 SURFACE
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE CS140
A5180
A5077 SINK, SS,GENERAL,
TRACK, CUBICLE, SINGLE X, 10X14X ID
SURFACE MOUNTED, DISPENSER, HAND SANITIZER, HANDS FREE
A5075
WITH CURTAIN
DISPENSER, SOAP
F2010
M4665 BASKET, WASTEPAPER,
STRETCHER, 1 GFI STEP-ON
RECOVERY, SURGICAL A1012
T
M7040 TELEPHONE, WALL

2
TABLE, OVERBED MOUNTED, 1 LINE
a b
F0205 A5220
SIDE CHAIR WITH ARMS A5212
F3200 BRACKET, TV,
3759mm
WALL-MOUNTED,
12' - 4"
CLOCK, BATTERY, 12IN

A5145 TILT/ANGLE
E0948
HOOK, GARMENT, DOUBLE
CART, GENERAL
M3070
TV STORAGE, MOBILE
HAMPER, LINEN M0506
M3072 TELEVISION, FLAT
FRAME, INFECTIOUS SCREEN
WASTE BAG W/LID A5107
A1107 DISPENSER, GLOVE,
RAIL SYSTEM, UTILITY, WALL-MTD
NC
GAS AND ELECTRIC A5108

M7845 WASTE DISPOSAL UNIT,
SHARPS
MONITOR, PHYSIOLOGICAL, BEDSIDE
M1803
M4255
M1801
STAND IV 11' - 4" COMPUTER,
M4266 3454mm MICROPROCESSING, W/
PUMP, VOLUMETRIC, FLAT PANEL MONITOR
INFUSION, MULTIPLE
LINES
SCALE: 1/4” = 1’-0”

4' 8' 16' Floor Plan
140 NSF / 13,1 NSM


9' - 0"
3759mm
12' - 4"
ab
5' - 8" 5' - 8"

1727mm 1727mm
BED
11' - 4"
3454mm
SCALE: 1/4” = 1’-0”

4' 8' 16' Reflected Ceiling Plan
140 NSF / 13,1 NSM

A5220
12' - 4"
A5212
3759mm
BRACKET, TV, WALL-MOUNTED, TILT/ANGLE M0506
A1012
TELEVISION, FLAT SCREEN
TELEPHONE, WALL MOUNTED, 1 LINE
A5107
A5077
DISPENSER, GLOVE, WALL-MTD
DISPENSER, HAND SANITIZER, HANDS FREE
Elevations 1 & 2
A5082 E0948
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE CART, GENERAL STORAGE, MOBILE
140 NSF / 13,1 NSM

48" TALL SIDEWALL AT SINK ALCOVE
CS140
SINK, SS,GENERAL, SINGLE X, 10X14X ID
C0037 A5108
RAIL, APRON, 4x36x1 WASTE DISPOSAL UNIT, SHARPS
CT020
COUNTER, SOLID SURFACE

F2010
BASKET, WASTEPAPER, STEP-ON
ELEVATION 1
Surgical Services Design Guide
11' - 4"
3454mm M0765
REGULATOR, VACUUM
DESIGN GUIDE PLATES

M0755 M0750

FLOWMETER, OXYGEN, LOW FLOW FLOWMETER, AIR
M1803 M7845
M1801 MONITOR, PHYSIOLOGICAL, BEDSIDE
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
A1107
M4255
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
STAND IV
M4266 M4665
PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES STRETCHER, RECOVERY, SURGICAL
SCALE: 3/16” = 1’-0” ELEVATION 2

4' 8' 16'
4-8
April 2016

Room Data Sheet
ARCHITECTURAL POWER
Ceiling Type: Acoustical Ceiling Tile (SP) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: WSF Integral Base (min. 6”/
1) Provide a minimum of 14 receptacles (7
152 mm)
duplex) on the rail system.
Floor Finish: Welded Seam Sheet
2) The branch circuit serving the receptacles
Flooring
on the rail shall not be part of the multiwire
Slab Depression: None Special branch circuit.
Sound Protection: None 3) Rail system shall be connected to normal
and critical emergency branch circuit(s).
Doors: None
LIGHTING COMMUNICATIONS
Maintained Data: Yes
Average Telephone: Yes
Illumination -
Ambient: 500 Lux (50 FC) Cable Television: No
Maintained Duress Alarm: No

Average Electronic Access and Door No
Illumination - Task Control:
Focus: 1000 Lux (100 FC) on bed Intercom: No
Luminaire Type: 2’x4’ Fluorescent or LED, Motion Intrusion Detection No
Virgin Acrylic Prismatic (MID):
Lens, Radio Frequency
Nurse Call: Yes
Filter, sealed housing,
gasketed frame Code Blue: Yes
Lamps: 4 Fluorescent or LED Public Address: No
equivalent, 3500K – 4100K Security Surveillance Televi- No
CCT, CRI >= 80%, 50% sion (SSTV):
lamps above Table shall VA Satellite TV: Yes
be on emergency battery
Video Teleconferencing No
packs
(VTEL):
Controls: Dimming or multi-level
switching
Notes:
1) Coordinate location of luminaires with other

ceiling obstructions .


Room Data Sheet (continued)
HEATING, VENTILATING AND AIR

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

Cold Water: Yes
Hot Water: Yes
Waste: Yes
Reagent Grade Water: No
Medical Air Yes (1)
Medical Vacuum Yes (1)
Oxygen Yes (1)
FIRE PROTECTION AND LIFE SAFETY

Fire Alarm: Yes
Sprinkler: Yes
Hazard Type: Light Hazard


Equipment List
JSN NAME QTY ACQ/INS DESCRIPTION

Telephone, Wall
A1012 1 C/C Telephone, wall mounted, 1 line.
Mounted, 1 Line
The headwall rail system shall consist of three hori-
zontal rails mounted to the patient room headwall
to provide utilities and patient services to support
ancillary equipment to include gas and vacuum.
Rail System , Utility,
A1107 1 C/C The rail system must be capable of quickly adding
Gas and Electric
or relocating medical gases services and be able to
accept new equipment, provide physical support to
equipment, brackets, shelves and other patient sup-
port items.
Disposable soap dispenser. One-handed dispensing
Dispenser, Soap,
A5075 1 V/V operation. Designed to accommodate disposable
Disposable
soap cartridge and valve.
A touch free wall-mounted hand sanitizer dispenser.
Dispenser, Hand For use throughout a healthcare facility. Unit does
A5077 1 V/V
Sanitizer, Hands-Free not include the sanitizing liquid. Units are battery
operated.
A surface mounted, sensor activated, automatic, roll
paper towel dispenser. The unit dispenses a paper
Dispenser, Paper towel automatically only when hands are place in
A5082 Towel, Sensor, Hands 1 C/C position below the dispenser for maximum sanitation
Free and hygiene. May include adjustable settings for
sheet length, time delay, and sensor range. Unit is
battery operated or with optional AC power adapter.
Examination glove dispenser box for wall mounting.
Dispenser, Glove,
Fabricated of either cold rolled steel with a white
A5107 Surgical/Examination, 1 V/V
baked enamel finish, plastic or acrylic. Provided with
Wall Mntd
wall bracket to facilitate mounting and demounting.
A container for collecting and transporting syringes
Waste Disposal Unit, and other sharps for decontamination and disposal.
A5108 1 V/V
Sharps Available in 2 gallon and 8 gallon with locking rotor.
Complies with OSHA regulations for handling sharps.
A surface mounted, satin finish stainless steel, double
Hook, Garment, garment hook. Equipped with a concealed mounting
A5145 Double, SS, Surface 1 C/C bracket that is secured to a concealed wall plate. For
Mounted general purpose use throughout the facility to hang
various items of apparel.

Surface mounted cubicle track, with curtain. Track

constructed of thick extruded aluminum. Equipped
Track, Cubicle, Sur- with self lubricating carriers, beaded drop chain
A5180 face Mounted, With 9 C/C hooks, and flame resistant curtain. To include remov-
Curtain able end caps. Designed to be suspended around
patient areas where privacy is needed. Price listed is
per foot of the track, curtains to be priced per quote.
Bracket, Television, A wall mounted, tilt/angled TV bracket for 37” to 80”
A5212 Wall-Mounted, Tilt/ 1 V/V TVs. Mount will be a universal and VESA compliant
Angle unit with a load capacity of up to 130 lbs.
Wall mounted television bracket backing which pro-
vides additional support and strength for the instal-
Bracket, Television,
A5220 1 C/C lation of the television bracket. Option available for
Wall Backing
interior or exterior plate and sized for 12” 16” or 24”
stud spacing.
Apron rail. Also referred to as an apron front, apron
panel, or knee space rail. Used to close in front knee
space area and/or provide work surface support be-
C0037 Rail, Apron, 4x36x1 1 C/C
tween two base cabinets or a base cabinet and wall.
Apron rails should be ordered in pairs to provide both
front and rear work surface support.
Single compartment stainless steel sink, drop-in,
self-rimming, ledge-type, connected with a drain
and provided with a mixing faucet. It shall also be
provided with punched fixture holes on 4” center,
integral back ledge to accommodate deck-mounted
Sink, SS, Single fixtures, brushed/polished interior and top surfaces,
CS140 Compartment, 1 C/C and sound deadened. Recommended for use in
10x14x16 ID suspended or U/C/B sink cabinets having a high plas-
tic laminate or Chemsurf laminate countertop/work
surface. Coordinate actual outside sink dimensions
with the actual clear dimension of cabinet specified to
ensure that they are compatible. For general pur-
pose use throughout the facility.
A solid, nonporous countertop with a smooth seam-
less appearance. Easy to clean and maintain and
with proper cleaning does not support the growth of
mold. An acrylic-based solid surface product. Stan-
Countertop, Solid
CT020 3 C/C dard thickness of 1”, and a 4” butt backsplash/curb.
Surface
Also referred to as a work surface or work top. Avail-
able in a choice of colors and depths. Used in lab
and other hospital areas requiring optimum physical
and chemical resisting properties.
THIS TYPICAL INCLUDES:
1 Cart Body, Style-A Narrow, w/Raised Edge Top
Cart, General Stor-
2 Drawers, 3” H
E0948 age, Mobile, 42”H x 1 V/V
4 Drawers, 6” H
32”W x 22”D
1 Accessory Rail, Side
Drawer Organizer Bins

Upholstered side chair, 32” high X 21” wide X 23”

deep with arms, padded seats and padded backs.
F0205 Chair, Side With Arms 2 V/V
Seat height is a minimum of 17”. Available with or
without sled base.
Basket, Wastepaper, “Step-on” wastepaper basket with inner liner and foot
F2010 2 V/V
Step-On petal activated flip top.
Clock, 12” diameter. Round surface, easy to read
numbers with sweep second hand. Wall mounted
Clock, Battery, 12”
F3200 1 V/V unit for use when impractical to install a fully synchro-
Diameter
nized clock system. Battery operated, (batteries not
included).
Flat screen television with approximately 32’” to 40’
diagonal screen size. The TV will have built-in speak-
Television, Flat
M0506 1 V/V ers, NTSC tuner, a 16:9 wide screen aspect ratio,
Screen
a minimum of 1280 x 768 resolution and a remote
control.
Air flowmeter. Unit has a stainless steel needle valve
with clear flowtube for connection to 50 PSI air outlet
from central pipeline system. Requires the appropri-
Flowmeter, Air, Con-
M0750 1 V/V ate adapter for connection to the wall outlet and fitting
nect w/50 PSI Supply
to connect to tubing. Database prices reflect fittings
with an attached DISS power outlet. Other outlet and
adapter configurations are available.
Oxygen flowmeter. Consists of a clear crystal
flowtube calibrated to 3.5 or 8 LPM depending on
Flowmeter, Oxygen, manufacturer. For oxygen regulation in hospital
M0755 1 V/V
Low Flow settings. Database pricing includes DISS fitting and
DISS power outlet and wall adapter. Other fitting and
Vacuum pressure regulator for connection to central
piped vacuum system. Standard display scale is
graduated at least from 0 to 200 mm Hg of vacuum.
Displays on specialized regulators may cover other
vacuum ranges. Regulator type (continuous, inter-
mittent, continuous/intermittent, surgical, pediatric,
M0765 Regulator, Vacuum 1 V/V
thoracic, etc.) as required. To be used in delivery,
neonatal, pediatrics or any area where suction is
required. Database pricing reflects continuous
regulators graduated to 200 mm Hg with a full line
vacuum selection switch and DISS configured inlets
and outlets.

Desk top microprocessing computer. The unit shall

consist of a central processing mini tower, flat panel
monitor, keyboard, mouse and speakers. The
system shall have the following minimum charac-
Computer, Micropro-
teristics: a 2.8 GHz Pentium processor; 512 MB
M1801 cessing, w/Flat Panel 1 V/V
memory; 80GB hard drive; 32/48x CD-ROMDVD
Monitor
combo; 1.44MB network interface card; video 32 MB
NVIDIA; a 18 inch flat panel monitor. The computer
is used throughout the facility to input, manipulate
and retrieve information.
A wall mounted computer workstation with height ad-
justable monitor and keyboard arms. Keyboard and
Workstation, Com- monitor can be stored within 8” to 10” of wall. Finger-
M1803 puter, Wall Mounted, 1 V/V tip adjustability for keyboard and monitor enable fre-
Adjustable quent position changes. Unit contains an integrated
cable management system to hide wires. A separate
wall-mounted CPU holder is included.
Mobile linen hamper with hand or foot operated lid.
Made of heavy tubular stainless steel with heavy
Hamper, Linen, Mo-
M3070 1 V/V gauge welded steel platform. Holds 25” hamper
bile, w/Lid
bags. Mounted on ball bearing casters. For linen
transport in hospitals and clinics.
Frame for an infectious waste collection bag. Made
of heavy tubular stainless steel with heavy gauge
Frame, Infectious welded steel platform. Adjust to hold 18” or 25” trash
M3072 1 V/V
Waste Bag w/Lid bags. Mounted on ball bearing casters and includes
permanently mounted hinged lid. Provides means of
bagging infectious waste at point of waste generation.
Adjustable IV stand with 4-hook arrangement. Stand
has stainless steel construction with heavy weight
base. It adjusts from 66 inches to 100 inches and is
M4255 Stand, IV, Adjustable 1 V/V
mounted on conductive rubber, ball bearing, swivel
casters. Stand is used for administering intravenous
solutions.
Volumetric infusion pump. Pump is self-regulating
with automatic sensor and adjustable rate. Equipped
with visual and audible alarms and up to 10 hour
Pump, Volumetric,
M4266 1 V/V capacity battery. For the administration of a wide
Infusion, Multiple Line
variety of therapeutic agents where precise control is
required. Unit provides individual control to IV lines
simultaneously.
Recovery/surgical stretcher. Strong I-beam construc-

tion type unit. The height is adjustable with manual
backrest and crank operated knee catch. Stainless
Stretcher, Recovery, or painted steel top and chassis. Features 8” or
M4665 1 V/V
Surgical 10” conductive casters, with lock and brake, folding,
tuck-away chrome side-rails and IV stand and a flame
retardant antibacterial mattress. Designed for operat-
ing room transport or recovery applications.

Overbed table. Adjustable height table constructed

of heavy gauge steel. Mounted on 2” diameter twin
swivel casters with bumper caps. Table top is con-
M7040 Table, Overbed 1 V/V structed with a high pressure plastic laminated sur-
face that resists chipping, scratching, and staining. It
includes a vanity tray and a mirror. Table is designed
for use over bed, wheelchair or large chair.
4 channel bedside physiological monitor. The unit
consist of a four-channel non-fade monochrome dis-
play monitor, an alarm system and printer-recording
capabilities. The monitor has color coded controls
Monitor, Physiologi-
and automatic calibration. The unit displays up to
M7845 cal, Bedside, 4 Chan- 1 V/V
four waveforms simultaneously. The parameters to
nel
be monitored are user selectable. The monitor may
be connected to a central monitoring station. The
unit monitors patients in most acute care areas, step-
down units, procedure rooms and emergency rooms.

4.3. PATIENT ROOM, PRE-OPERATIVE HOLDING /

Axonometric
140 NSF / 13,1 NSM


CT020
COUNTER, SOLID
SURFACE
CS140
M4665 SINK, SS,GENERAL,
STRETCHER, SINGLE X, 10X14X ID
RECOVERY, SURGICAL F2010
M7040 BASKET, WASTEPAPER,
TABLE, OVERBED STEP-ON
A5075
A5180
DISPENSER, SOAP
TRACK, CUBICLE,
A5077
SURFACE MOUNTED,
WITH CURTAIN DISPENSER, HAND
SANITIZER, HANDS FREE
a b
A5145 A5082
HOOK, GARMENT, DISPENSER, PAPER
DOUBLE TOWEL, SENSOR, HANDS
1 FREE
F0205 6" AFC
SIDE CHAIR WITH ARMS
GFI A1012
2 TELEPHONE, WALL
F3200 MOUNTED, 1 LINE
CLOCK, BATTERY, 12IN A5220
A5212
3759mm
12' - 4"
BRACKET, TV,
TV
WALL-MOUNTED,
TILT/ANGLE
M3070
M0506
HAMPER, LINEN
T TELEVISION, FLAT
SCREEN
M3072 E0948
FRAME, INFECTIOUS CART, GENERAL
WASTE BAG W/LID STORAGE, MOBILE
A1107 A5107
RAIL SYSTEM, UTILITY, DISPENSER, GLOVE,
NC
GAS AND ELECTRIC WALL-MTD

M7845 A5108
MONITOR, PHYSIOLOGICAL, BEDSIDE WASTE DISPOSAL UNIT,
M4255 SHARPS
STAND IV M1803
M4266 11' - 4" M1801
PUMP, VOLUMETRIC, 3454mm COMPUTER,
INFUSION, MULTIPLE MICROPROCESSING, W/
LINES FLAT PANEL MONITOR
SCALE: 1/4” = 1’-0”

140 NSF / 13,1 NSM


9' - 0"
3759mm
12' - 4"
ab
5' - 8" 5' - 8"

1727mm 1727mm
BED
11' - 4"
3454mm
SCALE: 1/4” = 1’-0”

140 NSF / 13,1 NSM

12' - 4"
A1012
3759mm
TELEPHONE, WALL MOUNTED, 1 LINE
A5082
A5212
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE
BRACKET, TV, WALL-MOUNTED, TILT/ANGLE
A5077
DISPENSER, HAND SANITIZER, HANDS FREE M0506
A5075 TELEVISION, FLAT SCREEN
Elevations 1 & 2
DISPENSER, SOAP A5107
CS140 DISPENSER, GLOVE, WALL-MTD
140 NSF / 13,1 NSM

SINK, SS,GENERAL, SINGLE X, 10X14X ID E0948
CT020 CART, GENERAL STORAGE, MOBILE
COUNTER, SOLID SURFACE A5108
C0037 WASTE DISPOSAL UNIT, SHARPS
RAIL, APRON, 4x36x1
F2010
BASKET, WASTEPAPER,
STEP-ON
ELEVATION 1
11' - 4"
3454mm M0765
REGULATOR, VACUUM
M0755
M0750
FLOWMETER, OXYGEN,
FLOWMETER, AIR
DESIGN GUIDE PLATES

LOW FLOW

M1803 M7845
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR A1107
M4255 RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
STAND IV M4665
M4266 STRETCHER, RECOVERY, SURGICAL
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-19
April 2016

Room Data Sheet
ARCHITECTURAL POWER
Ceiling Type: Acoustical Ceiling Tile (SP) Normal Power: To be connected to selected
Wainscot:
Notes:
152 mm)
2) The branch circuit serving the receptacles
Flooring
on the rail shall not be part of the multiwire
Slab Depression: None Special branch circuit.
Sound Protection: 35 STC 3) Rail system shall be connected to normal
and critical emergency branch circuit(s).
Doors: Sliding Glass Door, Size 8’-
0” x 7’-0” (2438 mm x 2133
mm)
LIGHTING COMMUNICATIONS
Maintained Data: Yes
Average Telephone: Yes
Illumination -
Ambient: 500 Lux (50 FC) Cable Television: No

Illumination - Task Control:
Focus: 1000 Lux (100 FC) on bed Intercom: No
Luminaire Type: 2’x4’ Fluorescent or LED, Motion Intrusion Detection No
Virgin Acrylic Prismatic (MID):
Nurse Call: Yes
gasketed frame Code Blue: Yes
Lamps: 4 Fluorescent or LED Public Address: No
equivalent, 3500K – 4100K Security Surveillance Televi- No
CCT, CRI >= 80%, 50% sion (SSTV):
lamps above Table shall VA Satellite TV: Yes
packs
(VTEL):
switching
Notes:

ceiling obstructions .



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

Cold Water: Yes
Hot Water: Yes
Waste: Yes
Medical Air Yes (1)
Oxygen Yes (1)

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
Mounted, 1 Line
Gas and Electric
port items.
Dispenser, Soap, Dis-
posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V
A surface mounted, satin finish stainless steel,
Hook, Garment, double garment hook. Equipped with a concealed
A5145 Double, SS, Surface 1 C/C mounting bracket that is secured to a concealed wall
Mounted plate. For general purpose use throughout the facility
to hang various items of apparel.


Wall mounted television bracket backing which pro-
vides additional support and strength for the instal-
Bracket, Television,
A5220 1 C/C lation of the television bracket. Option available for
Wall Backing
interior or exterior plate and sized for 12” 16” or 24”
stud spacing.
CS140 Compartment, 1 C/C and sound deadened. Recommended for use in sus-
10x14x16 ID pended or U/C/B sink cabinets having a high plastic
laminate or Chemsurf laminate countertop/work
Countertop, Solid
Surface
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D


Chair, Side With deep with arms, padded seats and padded backs.
F0205 2 V/V
Arms Seat height is a minimum of 17”. Available with or
without sled base.
F2010 1 V/V
Diameter
included).
Flat screen television with approximately 32’” to
40’ diagonal screen size. The TV will have built-in
Television, Flat
M0506 1 V/V speakers, NTSC tuner, a 16:9 wide screen aspect ra-
Screen
tio, a minimum of 1280 x 768 resolution and a remote
control.
Flowmeter, Air, from central pipeline system. Requires the appro-
M0750 Connect w/50 PSI 1 V/V priate adapter for connection to the wall outlet and
Supply fitting to connect to tubing. Database prices reflect
fittings with an attached DISS power outlet. Other
outlet and adapter configurations are available.
M0755 1 V/V
and outlets.
monitor, keyboard, mouse and speakers. The sys-
tem shall have the following minimum characteris-
Computer, Micropro-
tics: a 2.8 GHz Pentium processor; 512 MB memory;
80GB hard drive; 32/48x CD-ROMDVD combo;
Monitor
1.44MB network interface card; video 32 MB

A wall mounted computer workstation with height ad-

justable monitor and keyboard arms. Keyboard and
Workstation, Com- monitor can be stored within 8” to 10” of wall. Finger-
M1803 puter, Wall Mounted, 1 V/V tip adjustability for keyboard and monitor enable fre-
Adjustable quent position changes. Unit contains an integrated
cable management system to hide wires. A separate
wall-mounted CPU holder is included.
Hamper, Linen, Mo-
bile, w/Lid
welded steel platform. Adjust to hold 18” or 25” trash
Frame, Infectious
M3072 1 V/V bags. Mounted on ball bearing casters and includes
Waste Bag w/Lid
bagging infectious waste at point of waste genera-
tion.
solutions.
Pump, Volumetric,
simultaneously.
M4665 1 V/V
Surgical 10” conductive casters, with lock and brake, fold-
ing, tuck-away chrome side-rails and IV stand and a
flame retardant antibacterial mattress. Designed for
operating room transport or recovery applications.


nel

4.4. CLEAN WORKROOM, ANESTHESIA (ANCW2)
Axonometric
240 NSF / 22,3 NSM

Anesthesia Procedure Patient Area
F3200
E0220
WORKSURFACE, W
OVERHD CAB AND
DRWRS, WALL MTD 3a
T
M1825
PRINTER, COMPUTER
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
F0230
CHAIR, DRAFTING,
ROTARY
A1015 M2055
5334mm
17' - 6"
TELEPHONE, DESK, SHELVING, STORAGE,
MULTIPLE LINE 12x12 WIRE, CRS, W
F2000 ADJUSTABLE SHELVES
BASKET, WASTEPAPER,
ROUND, METAL
F3050
M2055
WHITE BOARD, DRY
ERASE SHELVING, STORAGE,
WIRE, CRS, W
ADJUSTABLE SHELVES
3a
13' - 8"
4166mm
SCALE: 3/16” = 1’-0”

240 NSF / 22,3 NSM

a a
9' - 0"
5334mm
17' - 6"
a S DT a
a a
13' - 8"
4166mm
SCALE: 3/16” = 1’-0”

240 NSF / 22,3 NSM


Room Data Sheet
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Wainscot:
Notes:
Base: Resilient Base
1) Provide a duplex receptacle per computer
Floor Finish: Rubber Flooring, Welded equipment location connected on emergency.
Seam Sheet Flooring
2) Provide convenience duplex receptacle on
Slab Depression: None Special normal power.
Sound Protection: None COMMUNICATIONS
Doors: Single Door, Size 3’-8” x Data: Yes
7’-0” (1117 mm x 2133 mm)
Telephone: Yes
Wood
Cable Television: No
LIGHTING Duress Alarm: No
Maintained Electronic Access and Door
Average Control:
Illumination - Intercom: No
Ambient: 300 Lux (30 FC)
Motion Intrusion Detection No
Maintained (MID):
Average
Illumination - Task Nurse Call: No
Focus: 500 Lux (50 FC) on Table Code Blue: No
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent Public Address: Yes
or LED, Virgin Acrylic Security Surveillance Televi- No
Prismatic Lens, Radio sion (SSTV):
Frequency Filter, sealed
VA Satellite TV: No
housing, gasketed frame
Lamps: 4 or 3 Fluorescent or LED
(VTEL):
equivalent, 3500K – 4100K
CCT, CRI >= 80% shall be Special Requirement:
on emergency battery packs Notes:
Controls: Three way and ceiling
mounted motion sensor. HEATING, VENTILATING AND AIR
CONDITIONING
Notes:
General Requirement: Refer to Anesthesia Work-
1) Coordinate location of luminaires with other room and Equipment Room data sheet in the
ceiling obstructions current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air
change requirements, and pressurization.



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

Fire Alarm: Yes
Sprinkler: Yes
Hazard Type: Ordinary Hazard
Group 1


Equipment List

Telephone, Desk,
A1015 1 C/C Telephone, desk, multiple line.
Multiple Line
3 Vertical Hanging Strips
2 Lockable Flipper Units
Worksurface, w/ 2 Shelves, Storage/Display
E0220 Overhd Cab & Drwrs, 1 V/V 2 Lights
Wall Mtd, 72” W 1 Cantilevered Work Surface
4 Storage Frames
4 Drawers, 3”H
6 Drawers, 6”H
Drafting chair approximately 47” high X 20” wide X
Chair, Drafting, 20” deep with rotary stool and a 5 (five) star base
F0230 1 V/V
Rotary with casters. Padded seat and back. Foot ring ad-
justs with chair.
Round wastepaper basket, approximately 18” high X
16” diameter. This metal unit is used to collect and
Basket, Wastepaper,
F2000 1 V/V temporarily store small quantities of paper refuse in
Round, Metal
patient rooms, administrative areas and nursing sta-
tions.
Whiteboard unit, approximately 36” H x 48” W con-
sisting of a white porcelain enamel writing surface
Whiteboard, Dry with an attached chalk tray. Magnetic surface avail-
F3050 1 C/C
Erase able. Image can be easily removed with a standard
chalkboard eraser. For use with water color pens.
Unit is ready to hang.
Diameter
included).
Computer, Micropro-
Monitor

High resolution computer printer with a variety of type

styles and sheet/envelope feeder trays. Database in-
formation reflects network ready, medium duty office
M1825 Printer, Computer 1 V/V
style laser printers. Other types of printers (bubble
jet, dot matrix, line or plotter) as well as light or heavy
use capabilities are available.
Stationary, wire, shelving unit. Unit has fully ad-
justable shelves constructed of stainless steel. For
Shelving, Storage,
use in general purpose storage areas. Shelving is
M2055 Wire, CRS, w/Adjust- 7 V/V
provided in various sizes and configurations. Price
able Shelves
provided is for a unit approximately 74”H x 18”D x
48”W with four shelves.

4.5. OPERATING ROOM, GENERAL (ORGS1)
Axonometric
650 NSF / 60,4 NSM

Surgical Service Patient Area
SEMI-RESTRICTED
CORRIDOR
U0117 A5107 RETURN AIR
SCRUB ALCOVE A5212 A4015 DUCT (TYPICAL)
TVGM TV
H T
C
A5077
M8910
LOW WALL
1
RETURN AIR
4 2 REGISTER
IPS (TYPICAL)
M8925 3 M8840
M4815 M3175
M5030
M5512
M8900 M8920
M8905 F3050
GM
M8940
M3072 F0355
M4255 M8810
U0112 M8950
8738mm
M3070
28' - 8"
M5030 A1014
M8825 M3150
M3070
M4816 M9110
GM
M8830 M8970
M4266
M4255 M8825 M3080
M8551
E0954
M4255
M7650
M4266
LAMINAR FLOW M0630
STERILE FIELD M8940 M7845
PERIMETER AIR M3080
CURTAIN ABOVE M8800 U0124 M8920
A5108
U3092
IPS GM Da Db
M4645 A5077
A5107
23' - 5"
7137mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

650 NSF / 60,4 NSM

NOTE: REFER TO ROOM DATA SHEET FOR

U0114
ACCESS PANELS
M0765
4V, 1 NITROGEN, 1 CO2,
M8606 10 EMER DUPLEX,
A1130 4 DATA FACE PLATES
A1122 (EQUIPMENT)
10' - 0"
M1801
A1122
6' - 2" 5' - 10" (DOCUMEN
AIR 1877mm 1781mm TATION)
CURTAIN
LAMINAR AIR
ab ab ab
4927mm
FLOW
16' - 2"
DIFFUSER
2134mm
ab ab
7' - 0"
8738mm
28' - 8"
U0116
ab ab TABLE
M7490
M7475
2134mm
7' - 0"
ab ab
3811mm
12' - 6"
U0116
U0100
ab ab ab
6' - 2" 5' - 10"

1877mm 1781mm
2O, 3V, 1A, WAGD, 1 NITROUS A1120

OXIDE, 6 EMER DUPLEX, 4 M1801
DATA FACE PLATES M0765
(ANESTHESIA) TABLE
M0755
M0750
EQ EQ
23' - 5"
7137mm
SCALE: 3/16” = 1’-0”

650 NSF / 60,4 NSM


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

UNEQUAL DIA HEADS
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M7650 DEFIBRILLATOR/ MONITOR/
WITH SPEAKER RECORDER AUTO
A1120 COLUMN, SERVICE, PREFAB, M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
SURGICAL, CEILING MOUNTED M8551 LIGHT SOURCE, FIBEROPTIC
A1122 COLUMN, EQUIPMENT ARM, CEILING HEADLAMP
MOUNTED, SURGERY M8606 ENDOSCOPY CART, FIBEROPTIC, W/
A1130 CABINET, CONTROL, NITROGEN VIDEO ACCESSORY
A4015 ELAPSE TIME CLOCK M8800 CART, ANESTHESIA
A5107 DISPENSER, GLOVE, WALL-MTD M8810 STAND, MAYO
A5077 DISPENSER, HAND SANITIZER, M8825 TABLE, INSTRUMENT/DRESSING
HANDS- FREE M8830 TABLE, INSTRUMENT/DRESSING
A5108 WASTE DISPOSAL UNIT, SHARPS M8840 TABLE, INSTRUMENT/DRESSING
A5212 BRACKET, TELEVISION WALL MTD, M8900 CARRIAGE, PAIL
TILT/ANGLE M8905 PAIL, UTILITY
E0954 CART, EMERGENCY, MOBILE M8910 CART, SURGICAL CASE
F0355 FOOTSTOOL, STRAIGHT M8920 STAND, BASIN, DOUBLE
F3050 WHITE BOARD, DRY ERASE M8925 STAND, BASIN, SINGLE
F3200 CLOCK, BATTERY, 12IN M8940 STOOL, ANESTHESIA, WITH BACK
M0630 ANESTHESIA APPARATUS, 3 GAS M8950 WARMER, BLOOD
M0750 FLOWMETER, AIR, CONNECT W/ 50 M8970 WARMER, BLOOD
PSI SUPPLY M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M0755 FLOWMETER, OXYGEN, LOW FLOW TRAUMA
M0765 REGULATOR, VACUUM U0100 INTEGRATED OPERATING ROOM
M1801 COMPUTER, MICROPROCESSING, W/ SYSTEM
FLATPANEL MONITOR U0112 IRRIGATION SYSTEM, SURGICAL
M3070 HAMPER, LINEN U0114 COMPRESSION DEVICE, EXTREMITY
M3072 FRAME, INFECTIOUS WASTE BAG W/ PUMP
LID U0116 MONITOR, HD, LCD. FP, SIZE AS
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS REQUIRED
DOOR, 6 SHELF U0117 MONITOR, HD, LCD, FP, MEDICAL
M3150 DISTRIBUTION SYSTEM, MEDICATION, GRADE, 55 INCH
AUTOMATIC U0124 WASTE MANAGEMENT SURGICAL
M3175 ELECTROSURGICAL UNIT, DUAL FLUID COLLECTION
OUTPUT U3092 SHARPS DISPOSAL CART,
M4255 STAND IV W/ FOOT PEDAL
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
M4816 WARMING UNIT, PATIENT
M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
M7475 LIGHT, SURGICAL, CEILING MOUNTED,
SINGLE, LARGE

23' - 5"
7137mm
U0117
MONITOR, HD, FP, SIZE
A5077
AS REQUIRED
A5107 DISPENSER, HAND
Elevations 1 & 2
DISPENSER, GLOVE,
WALL-MTD A4015
650 NSF / 60,4 NSM

ELAPSE TIME CLOCK
M8910
CART, SURGICAL CASE
LOW WALL RETURN LOW WALL RETURN
AIR REGISTER AIR REGISTER
ELEVATION 1
28' - 8"
8738mm A1014
F3200 TELEPHONE, WALL
CLOCK, BATTERY, 12IN MOUNTED, 1 LINE, WITH
DESIGN GUIDE PLATES

SPEAKER

F3050 M3150
WHITE BOARD, DRY DISTRIBUTION SYSTEM,
ERASE MEDICATION, AUTOMATIC
ISOLATION POWER SYSTEM M3080
CABINET, INSTRUMENT,
CRS, 2 GLASS DOOR, 6
SHELF
LOW WALL RETURN
AIR REGISTER LOW WALL RETURN
AIR REGISTER
F0355
SCALE: 3/16” = 1’-0” ELEVATION 2 FOOTSTOOL, STRAIGHT
4' 8' 16'
4-38
April 2016
21' - 5"
6528mm
U0124
A5107 WASTE MANAGEMENT
21' - 5"
DISPENSER, GLOVE, WALL-MTD SURGICAL FLUID
6528mm COLLECTION
M4645
U0124
A5077
A5107 WASTE TRANSFER
PATIENTMANAGEMENT
DISPENSER, HAND DEVICE
GLOVE, WALL-MTD
DISPENSER, SANITIZER, HANDS SURGICAL FLUID
ISOLATION
COLLECTIONPOWER SYSTEM
FREE
M4645
LOW WALL RETURN AIR REGISTER
Elevations 3 & 4
A5077
M8920 PATIENT
U3092 TRANSFER
DISPENSER, HAND
SHARPS
DEVICE DISPOSAL CART,
650 NSF / 60,4 NSM

STAND, BASIN, DOUBLE
SANITIZER, HANDS ISOLATION POWER SYSTEM
W FOOT PEDAL
FREE
M8920 U3092
STAND, BASIN, DOUBLE SHARPS DISPOSAL CART,
W FOOT PEDAL
ELEVATION 3
28' - 8"
8738mm
M3072
M3070
FRAME, INFECTIOUS
HAMPER, LINEN 28' - 8"
WASTE BAG W/LID
8738mm
DESIGN GUIDE PLATES

M8830 M8905

TABLE, INSTRUMENT/DRESSING PAIL, UTILITY
M3072
M3070
M7650 FRAME, INFECTIOUS
HAMPER, LINEN
DEFIBRILLATOR/ WASTE BAG W/LID
MONITOR/ RECORDER
M8830 M8905
AUTO
TABLE, INSTRUMENT/DRESSING
LOW WALL RETURN AIR LOW UTILITY
PAIL, WALL RETURN
M7650
REGISTER AIR REGISTER
DEFIBRILLATOR/
E0954
MONITOR/ RECORDER M8910
CART, EMERGENCY, MOBILE
AUTO CART, SURGICAL CASE
LOW WALL RETURN AIR ELEVATION 4 LOW WALL RETURN
SCALE: 3/16” = 1’-0” E0954 M8910
CART, SURGICAL CASE
4' 8' 16'
4-39
April 2016

Room Data Sheet
ARCHITECTURAL 8) Facility will select number and types of

Ceiling Type: Gypsum Wallboard (SC) scopes and other instrumentation as necessi-
tated by the unique case load.
Ceiling Height: 10’-0” (3048 mm)
9) Endoscopy equipment can be located on a
Ceiling Finish:
cart or on the equipment boom.
10) NSF provided for this space is the minimal
Wainscot: acceptable NSF; contact Facilities Standards
Base: RF Integral Base (min. 6”/ Services for any deviations.
152 mm)
LIGHTING
Floor Finish: Resinous Flooring
Maintained
Slab Depression: None
Average
Sound Protection: 50 STC (to other room), 35 Illumination -
STC (to corridor) Ambient: 2000 Lux (200 FC)
Doors: Double, Size 6’-0” x 7’-0” Maintained
(1829 mm x 2133 mm) Wood Average
w/ Narrow View Window; Illumination - Task
Single, Size 4’-0” x 7’-0” Focus: 3000 Lux (300 FC) on Table
(1219 mm x 2133 mm) Wood Luminaire Type: 2’x4’ Fluorescent or LED,
w/ Small View Window Virgin Acrylic Prismatic
Special Requirement: Lens, Radio Frequency
Notes: Filter, sealed housing,
gasketed frame
1) Shielding is to be provided as it is determined
by the Physicist on a per project basis. Lamps: 6 Fluorescent or LED
2) Locate access panels as required to allow
CCT, CRI >= 80%, 50%
for the maintenance of surgical booms and lights
lamps above Table shall
in facilities without insterstitial space. Min. size to
be 24” x 24”.
packs
3) Cabinetry can be built in or free-standing.
Controls: dimming or multi-level
4) Nominal wall thickness is shown at 8” (203
switching
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that Special Surgical Light (connection
require a thicker partition. Requirement: only)
5) Include wall extensions at both sides of Notes:
the scrub sink to protect the scrub sinks from 1) Coordinate location of luminaires with other
cart and stretcher traffic in the semi-restricted ceiling obstructions
corridor. 2) Coordinate structural supports, utility
6) Coordinate structural supports, utility connections and other requirements for surgical
connections and other requirements for surgical lighting pendants with manufacturer.
lighting pendants with manufacturer.
3) CCT shall match the color temperature of
7) Equipment and Anesthesia booms are du- surgical light(s).
plicated to provide maximum flexibility. If dupli-
cate booms are not desired, they can be omitted
subject to approval by clinical leadership.

POWER 1) Provide connections for articulating utility

columns.
Normal Power: connect a minimum of
12 receptacles to Normal 2) Provide connections for video monitor
Power IPS pendants. Video monitor pendants will be part of
Emergency Power: connect a minimum of 24 the video integration system. The extent of the
receptacles (red) to IPS system is to be selected on a project basis.
connected to Critical Emer-
gency IPS. Connect Task HEATING, VENTILATING AND AIR
Illumination, selected recep- CONDITIONING
tacles and fixed equipment General Requirement: Refer to Operating Rooms
to Critical Branch of the data sheet in the current version of the VA HVAC
EES. Design Manual for room temperatures, humidity
Notes: range, room air change requirements, and pres-
1) Provide IPS power & ground modules – 3 surization
duplex receptacles & 3 ground jacks Notes:
2) IPS Power & ground modules mounted at 1) Refer to the latest version of the VA HVAC
+24” AFF Design Manual for quantity and location of low air
3) Provide Laser Receptacle Module. Module return grilles and ceiling diffusers.
shall be connected to Special Equipment IPS
located outside the Surgery Room.
Cold Water: No
4) Provide power connections for articulating
utility columns. Hot Water: No
5) Provide 220V Receptacle on the equipment Waste: No
boom for the laser. Laser Surgery special outlet Reagent Grade Water: No
shall be connected to Laser Surgery IPS. Medical Air Yes (1)
COMMUNICATIONS Medical Vacuum Yes (7)
Data: Yes Oxygen Yes (2)
Telephone: Yes Special Requirement:
Cable Television: No Notes:
Duress Alarm: No 1) Provide Waste Anesthesia Gas Disposal
Electronic Access and Door Yes (WAGD), Nitrogen (1), Nitrous Oxide (1), Carbon
Control: Dioxide (1)
Intercom: Yes (Phone) 2) For gas quantities per boom refer to the
reflected ceiling plan.
(MID): 3) Nitrogen Control Cabinets are to be located
on the articulating utility columns as determined
Nurse Call: Yes by the project
Code Blue: 4) Medical Gas Zone Valve Boxes are to be
Public Address: No provided in accordance with NFPA 99. Locate
Security Surveillance Televi- No this cabinet in the semi-restricted corridor near
sion (SSTV): the operating room it serves.
VA Satellite TV: No FIRE PROTECTION AND LIFE SAFETY
Video Teleconferencing No Fire Alarm: Yes
(VTEL):
Sprinkler: Yes
Notes: Group 1


Equipment List

Telephone, Wall
A1014 Mounted, 1 Line, 1 C/C Telephone, wall mounted, 1 line, with speaker.
With Speaker
Prefabricated surgical service column. Strong 18
gauge stainless steel shell ceiling mounted unit
with the following services: oxygen, nitrous oxide,
nitrogen, medical air, medical vacuum, gas evacua-
Column, Service,
tion, electrical outlets, monitoring connectors, and IV
A1120 Prefab, Surgical, 1 C/C
holders. Specify type of column (fixed or retractable)
Ceiling Mounted
and number of outlets required for each service.
Size will vary with number of service outlets required.
Designed to be used in the operating room, recovery
and ICU-CCU rooms.
A ceiling mounted retractable equipment arm for use
in the OR. Designed to provide equipment place-
ment support, power receptacles including low-volt-
age panels, gas outlets and flat screen mounting for
Column, Equipment
a surgical suite. Unit will provide a range of motion
A1122 Arm, Ceiling Mount- 2 C/C
of up to 330 degrees with arm providing additional
ed, Surgery
vertical movement. Units are custom configured with
multiple options available. Price is based on a unit
with two (double) retractable arms. Also available
are units for use in anesthesia, ICU and ER.
Nitrogen control cabinet. Unit consists of supply cut-
off valve, supply pressure gauge, pressure regulator
Cabinet, Control, (adjustable 0 to 200 PSI), outlet pressure gauge, ni-
A1130 1 C/C
Nitrogen trogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
Elapsed time digital electric clock. Single display
time that can be used either as a clock or elapsed
time indicator. Clock consists of buttons to set
Clock, Elapsed Time,
A4015 1 C/C minutes, and hours for the time. For use in operat-
Electric
ing and delivery room, and medical service columns.
Analog or digital displays may be provided as speci-
fied by the user.
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
1 Cart body, style-A narrow, w/raised edge top
1 Accessory rail, side
1 Accessory rail, back
1 Defibrillator tray
1 IV pole
Cart, Emergency, 1 Breakaway bar
E0954 Mobile, 66”H x 32”W 1 V/V 1 Flip-up shelf
x 22”D 1 Wastebasket
1 Oxygen tank holder
1 Electrical box-4 outlet
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Drawer organizer bins.
Step stool. Used to assist patients getting on and
F0355 Footstool, Straight 4 V/V off exam or surgical tables. Fitted with electrically
conductive rubber tips.
F3050 1 C/C
Diameter
included).
Three gas anesthesia apparatus. Basic unit consists
of steel cabinet with casters with one shallow, one
medium, and one deep drawer, seven long scale
eleven-inch flowmeters, five cylinder yokes, and
telescoping absorber post. It includes two-canister
model carbon dioxide absorber with inhalation and
Anesthesia Appara-
M0630 1 V/V exhalation check valves, switch valve, switch valve
tus, 3 Gas
elbow, sidearm Vernitrol, flow calculator, mounting kit,
ventilator calculator, ventilator and an oxygen piping
inlet. Also features nitrous oxide fail safe valve kit,
aspirator kit, gas evacuator with vacuum and a flow
meter safety cover. Used to dispense a mixture of
gases during surgical procedures.


M0755 2 V/V
and outlets.
Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.

Non-magnetic stainless steel instrument cabinet with

two glass doors and six shelves (five adjustable).
Cabinet body has a single storage compartment and
Cabinet, Instrument,
seamless welded face. Shelf heights are adjustable
M3080 CRS, 2 Glass Door, 2 V/V
on full length perforated strips mounted to the back
6 Shelf
and inside front cabinet corners. Cabinet is mounted
on glides or casters. Cabinet may be covered by a
sloping top.
An automated dispensing system that provides
Distribution System,
controlled dispensing, inventory and security. Size
M3150 Medication, Auto- 1 V/V
and cost will vary dependent on number of modules
matic
selected.
Dual output electrosurgical unit. Solid state power
source with foot switch jacks, monopolar and bipolar
Electrosurgical Unit,
M3175 1 V/V outputs, and four independent modes of operation.
Dual Output
Used in the operating room or surgicenter as an
alternative to the scalpel for cutting tissue.
solutions.
Pump, Volumetric,
simultaneously.
A patient transfer board designed to make lateral
patient transfers safer for staff and be more comfort-
able for the patients. The board uses a smooth, low
friction and static free surface to eliminate the need
for metal rollers. The board has a soft foam core that
Patient Transfer
M4645 1 V/V makes them lightweight for ease of use and storage.
Device
The long board device also enables the transfer of a
patient in the seated or Fowler position. The boards
come in three sizes with the long board being fold-
able. The dimensions and price are for the long wide
board.
Automatic/manual hypo/hyperthermia unit. Sealed
refrigeration system. Microprocessor controlled with
Hypo/Hyperthermia
multiple alarm system constantly monitoring tempera-
M4815 Unit, Automatic/Man- 1 V/V
ture and water levels. Cabinet type unit. Designed
ual, Mobile
to regulate body temperature by application of water-
filled hypothermia blankets.
Automatic/manual patient warming unit. Unit deliv-
Warming Unit,
ers a flow of warmed air through a perforated plastic
M4816 Patient, Automatic/ 1 V/V
blanket. Used primarily for postoperative patients to
Manual, Air
speed recovery of normal body temperature.

Revolving stool. Consists of a padded upholstered

seat with height adjustment. Unit rotates and is
Stool, Surgeon, Re-
M5030 2 V/V mounted on ball bearing swivel casters. Designed
volving
for use in examinations, treatment, and surgical
procedures.
Filtration system used in conjunction with laser
operations to remove surgical laser plume. The unit
Laser, Smoke Evacu- includes a pneumatic foot switch, disposable 0.12
M5512 1 V/V
ator micron HEPA primary filters, a secondary 0.12 micron
ULPA/carbon filter, disposable funnels, reducer fit-
tings and connector hoses.
Ceiling mounted surgical light generally 30-34” or
larger in diameter depending on manufacturer. Light
head is suspended from the ceiling by a mounting
plate and pole. Light head contains several individu-
al pods each with its own light source. Unit also has
Light, Surgical, Ceil-
a detachable sterilizable handle. Minimum ceiling
M7475 ing Mounted, Single, 1 C/C
height for most models is 8’-9”; check the manufac-
Large
turers’ specific recommendations. Height dimension
below refers to the height of the lamp housing. Width
and depth are the length of the swing arm plus the
light head diameter. This light is suitable for dual site
surgery.
Dual head surgical light ceiling mounted from a single
pole. Unit has two lamp heads of differing sizes
mounted on individual swing arms. Unit features
multiple lighting pods in each lamp head, deep cavity
illumination, color-corrected light, intensity control
Light, Surg, Ceiling
and sterilizable handles. Refer to the manufacturers’
M7490 Mtd, Dual, Unequal 1 C/C
specifications for minimum ceiling heights and instal-
Dia Heads
lation data. The database height dimension below
refers to the height of the lamp head itself. The width
and depth measurements are the larger of the two
sums of the swing arm length and the head diameter.
For use in general purpose surgical suites.
Portable defibrillator/monitor for acute care includes
biphasic defibrillator, pacing, SPO2, Interpretive 12-
Defibrillator/Monitor, lead, NIBP monitoring, EtCO2 monitoring, Invasive
M7650 1 V/V
Acute Care pressure monitoring, Vital Sign monitoring, tempera-
ture probe, Fax transmission, PCMCIA Data Cards,
Paddle accessories, and a color LCD.
nel

Fiberoptic light source for surgical headlamps. This

Light Source, Fiber-
M8551 1 V/V unit provides color corrected light for surgical proce-
optic Headlamp
dures where photography is not required.
Endoscopy cart with video and print capabilities for
use with fiberoptic (direct vision) endoscopes. This
cart does not work with videoscopes. System takes
optical images from a single endoscope and directly
records them or converts them to digital signals for
recording. A typical system cart includes the cart,
a light source, an insufflator, a suction unit, a heat
probe unit, an electrosurgical apparatus, a digital
Endoscopy Cart, camera converter or color video camera, a camera
M8606 Fiberoptic, w/Video 1 V/V controller, a monitor, a video/DVD recorder and a
Accessories color printer. This JSN does not include the endo-
scope; refer to the endoscopes at JSNs M8500-
M8550. Each cart can support one or more types of
endoscope and should be specifically tailored to its
intended use(s). This cart can be configured to inter-
face with a network endoscopy information manage-
ment system; refer to JSN M8600. Database physi-
cal information and pricing is for a higher cost system
containing one of each of the above components.
Mobile anesthesia cart. The cart shall be built of
stainless steel or other appropriate material and
mounted on 4” casters for easy mobility. It shall be
M8800 Cart, Anesthesia 1 V/V
capable of being equipped with bottle holders, adjust-
able IV pole, storage drawers, shelves and a top bar/
rail.
Adjustable instrument table. Table is corrosion
resistant stainless steel construction and is mounted
on two casters with two skid rails. It has telescopic
M8810 Stand, Mayo 1 V/V upright adjusts from 39 inches to 60 inches with
automatic locking device, and removable 13”x19”
instrument tray. Designed for use in operating and
procedure rooms.
Instrument and dressing table. Made of corrosion
Table, Instrument/ resistant stainless steel with a sound deadened
M8825 Dressing, CRS, ap- 2 V/V top. Includes guard rail, shelf and two side-by-side
prox. 36x20x34 drawers. The table is mounted on swivel, ball-bearing
casters.
Mobile instrument/dressing table, approximately 34”
H x 20” W x 16” D Corrosion resistant stainless steel
Table, Instrument/
M8830 1 V/V mobile table with sound-deadening shelf and drawer.
Dressing, Mobile
Unit is mounted on 2” casters. Designed for all pur-
pose use in the hospital or clinic.

A specialty back table for large cases such as ortho-

pedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf
Table, Back, Instru-
M8840 1 V/V which can hold multiple trays and is angled for clear
ment/Dressing
observation of instruments. It comes with 4” diam-
eter heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
Carriage, pail (kick bucket) CRS. Consists of a stain-
Carriage, Pail, CRS, less steel ring type carriage mounted on ball bearing
M8900 2 V/V
Without Pail casters. Includes circular non-marring bumper. For
use in the surgical operating room.
Pail, Utility, CRS, Utility pail (kick bucket). Shall be a stainless steel 12
M8905 2 V/V
With Carriage quart bucket for use in surgical operating rooms.
Surgical case cart. Unit consists of two hinged cabi-
net sections, each section equipped with two pull-out
shelves with stops. The entire unit is mounted on
M8910 Cart, Surgical Case 2 V/V
four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and
soiled items back to central supply.
CRS, mobile, double basin stand with shelf. Stain-
less steel corrosion resistant frame constructed from
two continuous inverted “U” shaped tubes, forming
Stand, Basin, CRS,
M8920 2 V/V four legs and mounted on casters. Circular rings
Mobile, Double
welded to top receive two removable 8 quart stain-
less steel basins. For open heart and other proce-
dures.
Mobile single basin stand with shelf. The stand shall
be constructed of tubular stainless steel and mount-
Stand, Basin, CRS,
M8925 1 V/V ed on 2” swivel casters. Shall include a shelf and an
Mobile, Single
8 quart stainless steel basin. Intended for use in
ORs and treatment areas.
Anesthesia stool with back. All stainless steel with
Stool, Anesthesia, well-curved back panel and wide conductive seat.
M8940 2 V/V
With Back Designed for the anesthesiologist during surgical
procedures.
Unit consists of a temperature regulated water bath,
circulating fluid, or dry heat with controls and an
audible high temperature alarm. The warmer pro-
M8950 Warmer, Blood 2 V/V
vides a stable environment for the controlled warming
of blood or other fluids prior to being transfused to a
patient.
Unit contains a proportional controller to regulate
temperature in the heat exchanger and an audible
high temperature alarm. Designed to provide a
Warmer, Blood, High
M8970 1 V/V stable temperature for the controlled warming of
Volume
blood or other fluids prior to being transfused to a
patient. Unit may be a cuff type or circulating water
heat exchanger.

Pedestal type, 5 or 6 section, operating table. Ped-

estal table, mounted on a solid base with casters and
locks. Table top surface is fabricated from radio-
translucent and conductive panels and is equipped
with cassette tunnels in each of the table top sec-
Table, Operating, 5 or
M9110 1 V/V tions. Table includes: Electro-hydraulic controls, side
6 Section, Trauma
rail locking system, grounding receptacle and dual
arm support section. It is designed for use in the
operating room in a variety of surgical procedures.
Table is configured to address the needs of trauma
surgery.
Allowance for Integrated System for each Operat-
ing Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
Integrated Operating
by project basis. Integration provides visual image,
U0100 Room System, Allow- 1 V/V
patient information and communication management.
ance
Integration can also include the control of some
equipment settings and environment settings such as
lighting.
Irrigation System, Surgical Irrigation System ia a high-flow pump with
U0112 1 V/V
Surgical flow rates up to 2.5 lpm.
Compression Device,
U0114 1 V/V Sequential pump for preventing DVT in extremities.
Extremity Pump
High Definition Monitor for Integration into OR
System. Located as part of Light or Boom system or
Monitor, HD, LCD,
to be wall mounted. 26” Monitor mounted on boom
U0116 FP, Medical Grade, 4 V/V
arms or off of Ceiling mounted arms. Exact configu-
26 inch
ration of the Monitor, inputs and outputs should be
verified that it meets project requirements.
High Definition Monitor for Integration into OR Sys-
Monitor, HD, LCD, tem. Located as part of Light or Boom system or to
U0117 FP, Medical Grade, 2 V/V be wall mounted. 55” Monitor Wall Mounted. Exact
55 inch configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
Surgical fluid waste management system with pow-
ered IV pole and smoke evacuation. Portable waste
Waste Management
collection unit, for use with Docking Station (specified
U0124 Surgical Fluid Col- 1 V/V
separately). Dual canisters (one 4L and one 20L),
lection
two levels of suction: 2-21in/Hg, fluid readout, 3 dif-
ferent port sizes for smoke tubing.
One-handed disposal. Lids lift or slide open easily
with foot-operated pedal. Lids may remain closed
when not in use to reduce exposure to contents and
Type 1 violations. Ergonomic handle is telescopic
Sharps Disposal
U3092 1 V/V when transporting and retractable when stationary.
Cart, w-Foot Pedal
Heavy containers can be removed from the side with
minimal lifting. OSHA 29 CFR 1910.130, “During
use, sharps disposal containers must be maintained
upright throughout use”.

4.6. OPERATING ROOM, ORTHOPEDIC (OROS1)
Axonometric
750 NSF / 69,7 NSM

SEMI-RESTRICTED
CORRIDOR
U0117
SCRUB ALCOVE A5212 A5107 RETURN AIR
F3200 DUCT (TYPICAL)
GM
H T
TV TV
C
M8910
LOW WALL
M8830 A5077 A4015 RETURN AIR
REGISTER
1 IPS (TYPICAL)
4 2
3 M4815
X4890 M8920
M8925
GM
F3050
GM
M8840
M8940
U0112 M8810 F0355
M8905
M4255
M8900 M5030 A1014
M3072 M4816 M5030
8738mm
28' - 8"
M8551
M8810
M3070 M3175
M9110 M8825
M5512
M8950
M3150
M3070 M4255
M8970 M8840
M4266
M4255
E0954 M4266
M3080
M7650
M0630
LAMINAR FLOW M8800 M8940 M7845
U3092 STERILE FIELD M3080
A5108
PERIMETER AIR
CURTAIN ABOVE U0124 A5077
IPS GM Da Db
A5107
M8920 M4645
26' - 10"
8179mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM

U0114
2O, 3V, 1A, WAGD, 1 M0765 M0765
NITROUS OXIDE, M8606
M0755 4V, 1 NITROGEN, 1 CO2, 10 EMER
6 EMER DUPLEX, 4 A1130
DATA FACE PLATES M0750 DUPLEX, 4 DATA FACE PLATES
(ANESTHESIA) A1120 A1122 (EQUIPMENT)
S 10' - 0"
8' - 0" 8' - 0"

2436mm 2440mm
AIR CURTAIN
LAMINAR AIR
ab ab ab ab
4927mm
16' - 2"
FLOW DIFFUSER
(DOCUMEN
TATION)
2134mm
ab ab
7' - 0"
A1122
M1801
8738mm
28' - 8"
M7475
M7490
ab ab TABLE
U0116
2134mm
7' - 0"
ab ab U0116
U0100
3811mm
12' - 6"
ab ab ab ab

OXIDE, 6 EMER DUPLEX, 4 4V, 1 NITROGEN, 1 CO2, NOTE: REFER
M1801 M0765
DATA FACE PLATES 10 EMER DUPLEX, 4 TO ROOM DATA
(ANESTHESIA) M0765 TABLE A1122 DATA FACE PLATES SHEET FOR
M0755 A1130 (EQUIPMENT) ACCESS PANELS
M0750
EQ EQ
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM


JSN Legend
JSN DESCRIPTION M7490 LIGHT, SURGICAL, CEILING

MOUNTED, SINGLE, LARGE
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M7490 LIGHT, SURG, CEILING MTD, DUAL,
WITH SPEAKER UNEQUAL DIA HEADS
A1120 COLUMN, SERVICE, PREFAB, M7650 DEFIBRILLATOR/ MONITOR/
SURGICAL, CEILING MOUNTED RECORDER AUTO
A1122 COLUMN, EQUIPMENT ARM, CEILING M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
MOUNTED, SURGERY M8551 LIGHT SOURCE, FIBEROPTIC
A1130 CABINET, CONTROL, NITROGEN HEADLAMP
A4015 ELAPSE TIME CLOCK M8606 ENDOSCOPY CART, FIBEROPTIC,
A5077 DISPENSER, HAND SANITIZER, W/ VIDEO ACCESSORIES
HANDS-FREE M8800 CART, ANESTHESIA
A5107 DISPENSER, GLOVE, WALL-MTD M8810 STAND, MAYO
A5212 BRACKET, TELEVISION WALL MTD, M8830 TABLE, INSTRUMENT/DRESSING
TILT/ANGLE M8840 TABLE, BACK, INSTRUMENT/
E0954 CART, EMERGENCY, MOBILE DRESSING
F0355 FOOTSTOOL, STRAIGHT M8900 CARRIAGE, PAIL
F3050 WHITE BOARD, DRY ERASE M8905 PAIL, UTILITY
F3200 CLOCK, BATTERY, 12IN M8910 CART, SURGICAL CASE
M0630 ANESTHESIA APPARATUS, 3 GAS M8920 STAND, BASIN, DOUBLE
M0750 FLOWMETER, AIR, CONNECT W/ 50 M8925 STAND, BASIN, SINGLE
PSI SUPPLY M8940 STOOL, ANESTHESIA, WITH BACK
M0755 FLOWMETER, OXYGEN, LOW FLOW M8950 WARMER, BLOOD
M0765 REGULATOR, VACUUM M8970 WARMER, BLOOD
M1801 COMPUTER, MICROPROCESSING, M9110 TABLE, OPERATING, 5 OR 6 SECTION,
W/ FLAT PANEL MONITOR TRAUMA
M3070 HAMPER, LINEN U0100 INTEGRATED OPERATING ROOM
M3072 FRAME, INFECTIOUS WASTE BAG SYSTEM
W/LID U0112 IRRIGATION SYSTEM, SURGICAL
M3080 CABINET, INSTRUMENT, CRS, U0114 COMPRESSION DEVICE, EXTREMITY
2 GLASS DOOR, 6 SHELF PUMP
M3150 DISTRIBUTION SYSTEM, MEDICATION, U0116 MONITOR, HD, FP, SIZE AS REQUIRED
AUTOMATIC U0117 MONITOR, HD, LCD, FP, MEDICAL
M3175 ELECTROSURGICAL UNIT, GRADE, 55 INCH
DUAL OUTPUT U0124 WASTE MANAGEMENT SURGICAL
M4255 STAND IV FLUID COLLECTION
M4266 PUMP, VOLUMETRIC, INFUSION, U3092 SHARPS DISPOSAL CART, W FOOT
MULTIPLE LINES PEDAL
M4645 PATIENT TRANSFER DEVICE X4890 RAD/FLOURO UNIT, DIGITAL, MOBILE,
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE C-ARM
M7475 LIGHT, SURGICAL, CEILING MTD,
SINGLE, LARGE

26' - 10"
8179mm
F3200
U0117 26' - 10" CLOCK, BATTERY, 12IN
MONITOR, HD, FP, SIZE 8179mm
AS REQUIRED A5077
F3200
DISPENSER, HAND
U0117 SANITIZER,
CLOCK, BATTERY, FREE
HANDS12IN
FP, SIZE
MONITOR, HD, A5107
AS REQUIRED A4015
A5077
DISPENSER, GLOVE,
ELAPSE
DISPENSER, CLOCK
TIMEHAND
WALL-MTD
Elevations 1 & 2
A5107
A4015
750 NSF / 69,7 NSM

DISPENSER, GLOVE,
ELAPSE TIME CLOCK
WALL-MTD
M8910
LOW
CART, WALL RETURN
SURGICAL CASE LOW WALL RETURN
M8910
CART, SURGICAL CASE
ELEVATION 1
28' - 8"
8738mm
F3050 28' - 8"

8738mm M3150
WHITE BOARD, DRY
ERASE DISTRIBUTION SYSTEM,
MEDICATION, AUTOMATIC
DESIGN GUIDE PLATES

ISOLATION POWER F3050
SYSTEM M3080

M3150
WHITE BOARD, DRY CABINET, INSTRUMENT,
ERASE DISTRIBUTION SYSTEM,
MEDICATION, DOOR, 6
CRS, 2 GLASSAUTOMATIC
SHELF
ISOLATION POWER SYSTEM M3080
A1014 SHELF
TELEPHONE,
LOW WALL RETURNWALL LOW
F0355WALL RETURN
MOUNTED,AIR1 LINE, WITH
FOOTSTOOL, STRAIGHT
SPEAKER ELEVATION 2
A1014
TELEPHONE,
SCALE: 3/16” = 1’-0” WALL F0355
MOUNTED, 1 LINE, WITH FOOTSTOOL, STRAIGHT
SPEAKER
4' 8' 16'
4-54
April 2016
24' - 10"
7569mm
M4645
U0124
PATIENT TRANSFER
WASTE MANAGEMENT
DEVICE
24' - 10" SURGICAL FLUID
A5107 COLLECTION
7569mm
DISPENSER, GLOVE, M8920
M4645
WALL-MTD STAND,
U0124 BASIN, DOUBLE
PATIENT TRANSFER
WASTE MANAGEMENT
DEVICE
A5077 POWER SYSTEM
SURGICAL
ISOLATIONFLUID
DISPENSER, HAND
A5107 COLLECTION
DISPENSER, HANDS
SANITIZER, GLOVE, M8920
LOW WALL RETURN
Elevations 3 & 4
FREE
WALL-MTD AIR REGISTER
ISOLATION POWER SYSTEM
750 NSF / 69,7 NSM

A5077
DISPENSER, HAND
SANITIZER, HANDS
LOW WALL RETURN
FREE
AIR REGISTER
ELEVATION 3
28' - 8"
8738mm M3070
E0954 HAMPER, LINEN
CART, EMERGENCY,
M3072
MOBILE
28' - 8" FRAME, INFECTIOUS

M7650 WASTE BAG W/LID
8738mm M3070
DEFIBRILLATOR/
E0954 HAMPER,
X4890 LINEN
DESIGN GUIDE PLATES

MONITOR/ RECORDER
RAD/FLOURO UNIT,

AUTO
CART, EMERGENCY,
MOBILE
U3092 DIGITAL,
M3072 MOBILE, C-ARM
FRAME, INFECTIOUS
SHARPS DISPOSAL
M7650 WASTE
W FOOT PEDAL
CART,DEFIBRILLATOR/ LOW WALLBAGRETURN
W/LID AIR REGISTER
X4890
LOW WALL RETURN RAD/FLOURO UNIT,
AUTO TABLE,
AIR REGISTER DIGITAL, MOBILE, C-ARM
U3092 INSTRUMENT/DRESSING
SHARPS DISPOSAL M8900
CART, W FOOT PEDAL LOW WALL RETURN AIR REGISTER
CARRIAGE, PAIL
ELEVATION 4 M8830
LOW WALL RETURN M8905
AIR REGISTER TABLE,
PAIL, UTILITY
INSTRUMENT/DRESSING
SCALE: 3/16” = 1’-0” M8900
4' 8' 16' CARRIAGE, PAIL
M8905
4-55
April 2016
PAIL, UTILITY

Room Data Sheet

Ceiling Finish:
152 mm)
Floor Finish: Resinous Flooring LIGHTING
Slab Depression: None Maintained
Average
Sound Protection: 50 STC (to other room), 35
Illumination -
STC (to corridor)
Doors: Double, Size 6’-0” x 7’-0”
Maintained
(1829 mm x 2133 mm) Wood
Average
w/ Narrow View Window;
Illumination - Task
Single, Size 4’-0” x 7’-0”
Focus: 3000 Lux (300 FC) on Table
(1219 mm x 2133 mm) Wood
w/ Small View Window Luminaire Type: 2’x4’ Fluorescent or LED,
Virgin Acrylic Prismatic
1) Shielding is to be provided as it is determined gasketed frame
2) Locate access panels as required to allow equivalent, 4000K – 4500K
for the maintenance of surgical booms and lights CCT, CRI >= 80%, 50%
in facilities without insterstitial space. Min. size to lamps above Table shall
be 24” x 24”. be on emergency battery
3) Cabinetry can be built in or free-standing. packs
4) Nominal wall thickness is shown at 8” (203 Controls: dimming or multi-level
mm) to account for a variety of wall-mounted switching
the scrub sink to protect the scrub sinks from
cart and stretcher traffic in the semi-restricted
ceiling obstructions
corridor.
6) Coordinate structural supports, utility 2) Coordinate structural supports, utility
connections and other requirements for surgical connections and other requirements for surgical
lighting pendants with manufacturer. lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are du- 3) CCT shall match the color temperature of
plicated to provide maximum flexibility. If dupli- surgical light(s).


columns.
tacles and fixed equipment General Requirement: Refer to Operating Room
surization
1) Provide IPS power & ground modules – 3
2) IPS Power & ground modules mounted at 1) Refer to the HVAC Design Manual for number
+24” AFF and location of low air return grilles and ceiling
diffusers.
3) Provide Laser Receptacle Module. Module
shall be connected to Special Equipment IPS PLUMBING AND MEDICAL GASES
Cold Water: No
Hot Water: No
utility columns.
Drain: No
5) Provide 220V Receptacle on the equipment
COMMUNICATIONS
Oxygen Yes (4)
Data: Yes
Telephone: Yes
Notes:
1) Provide Waste Anesthesia Gas Disposal
Duress Alarm: No (WAGD), Nitrogen (2), Nitrous Oxide (2), Carbon
Electronic Access and Door Yes Dioxide (2).
Control: 2) For gas quantities per boom refer to the
Intercom: Yes (Phone) reflected ceiling plan.
Motion Intrusion Detection No 3) Nitrogen Control Cabinets are to be located
(MID): on the articulating utility columns as determined
Nurse Call: Yes by the project.
Code Blue: Yes 4) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
Public Address: No
this cabinet in the semi-restricted corridor near
Security Surveillance Televi- No the operating room it serves.
sion (SSTV):
(VTEL): Sprinkler: Yes
Special Requirement: Hazard Type: Ordinary Hazard
Notes: Group 1


Equipment List

Telephone, Wall
With Speaker
Column, Service,
Ceiling Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 2 C/C
Electric
fied by the user.
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
F3050 1 C/C
Diameter
included).
Anesthesia Appara-
tus, 3 Gas


M0755 4 V/V
and outlets.
Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.


6 Shelf
sloping top.
matic
selected.
Dual Output
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Hypo/Hyperthermia
ual, Mobile
Warming Unit,
Manual, Air


Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V
Large
surgery.
Dia Heads
M7650 1 V/V
nel


optic Headlamp
rail.
procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile


ment/Dressing
M8900 2 V/V
M8905 2 V/V
Stand, Basin, CRS,
Mobile, Double
dures.
Stand, Basin, CRS,
Mobile, Single
M8940 2 V/V
procedures.
patient.
Warmer, Blood, High
Volume
heat exchanger.


6 Section, Trauma
surgery.
ance
lighting.
U0112 1 V/V
Compression Device,
Extremity Pump
Monitor, HD, LCD,
26 inch
Waste Management
lection
Sharps Disposal
Cart, w-Foot Pedal

This system is a high quality radiographic/fluoro-

scopic mobile digital C-arm for use in orthopedics,
general surgery, urology, vascular, neurosurgery,
neurovascular and cardiovascular procedures. This
units characteristics and components include a high
Rad/Fluoro Unit, Digi- frequency x-ray generator with single or dual focus
X4890 1 V/V
tal, Mobile, C-Arm x-ray tube unit, 9” or 12” multi-field image intensifier,
dual 16” monitors, real time digital imaging and last
image hold capabilities. The system shall be DICOM
3.0 or latest version, compatible, for easy linkage
to filmless image management systems and review
stations.

4.7. OPERATING ROOM, UROLOGY / CYSTOSCOPY (ORCS1)
Axonometric
650 NSF / 60,4 NSM

SEMI-RESTRICTED
CORRIDOR
U0117 A5077
SCRUB ALCOVE A5212 A4015 RETURN AIR
DUCT (TYPICAL)
TV GM TV
T H
b
C LOW WALL
RETURN AIR
REGISTER
M8910 (TYPICAL)
A5107
M8830
IPS
1
4 2 LAMINAR FLOW
A5108 M4255 STERILE FIELD
M8900 3
M8800 M4266 PERIMETER AIR
M8905 CURTAIN ABOVE F3050
GM
M3072 M8940
M5030 U0112
M4255 M8825 F3200
M4816 F0355
M3070 M8925
A1014
8738mm
28' - 8"
M8940 M4266
GM
M4255
M3070
M3150
U3092 M9110
M8810 M8950 M4815

M8810 M8840
X4890 M3175 M3080
M8970 M5512
M8551
M0630 M5030 M8825 M8920
M7845
M3080
M8920
M8830 U0124
IPS GM Da Db
E0954 M4645 A5077

M7650 A5107
23' - 5"
7137mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

650 NSF / 60,4 NSM

NOTE: REFER TO ROOM DATA SHEET FOR ACCESS PANELS U0114

M0765
M7490 M8606 4V, 1 NITROGEN, 1 CO2, 10 EMER
A1130 DUPLEX, 4 DATA FACE PLATES
U0116 A1122 (EQUIPMENT)
U0100
10' - 0"
AIR
CURTAIN
7' - 6 1/2" 7' - 5 1/2" M1801
2296mm 2272mm A1122
LAMINAR (DOCUMEN
AIR FLOW TATION)
DIFFUSER ab ab ab
4927mm
16' - 2"
ab ab
2285mm
7' - 6"
8738mm
28' - 8"
ab ab
TABLE
ab ab
2289mm
7' - 6"
3811mm
12' - 6"
ab ab
ab ab ab
(ANESTHESIA) A1120
2O, 3V, 1A, M1801
WAGD, M0765
1 NITROUS M0755
OXIDE, 6 EMER
M0750
DUPLEX, 4 DATA
FACE PLATES A1122 A1120 (ANESTHESIA)
(EQUIPMENT) M7475
A1130 M0765 2O, 3V, 1A, WAGD,
4V, 1 NITROGEN, 1 CO2, 10 TABLE 1 NITROUS OXIDE,
M0765 U0116 M0755
EMER DUPLEX, 4 DATA 6 EMER DUPLEX,
FACE PLATES M0750
4 DATA FACE PLATES
EQ EQ
23' - 5"
7137mm
SCALE: 3/16” = 1’-0”

650 NSF / 60,4 NSM


JSN Legend

UNEQUAL DIA HEADS
A1122 COLUMN, EQUIPMENT ARM, \ HEADLAMP
CEILING MOUNTED, SURGERY M8606 ENDOSCOPY CART, FIBEROPTIC,
A1130 CABINET, CONTROL, NITROGEN W/ VIDEO ACCESSORIES
A5077 DISPENSER, HAND SANITIZER, M8810 STAND, MAYO
HANDS-FREE M8825 TABLE, INSTRUMENT/DRESSING
A5107 DISPENSER, GLOVE, WALL-MTD M8830 TABLE, INSTRUMENT/DRESSING
M1801 COMPUTER, MICROPROCESSING, SYSTEM
W/ FLAT PANEL MONITOR U0112 IRRIGATION SYSTEM, SURGICAL
M3070 HAMPER, LINEN U0114 COMPRESSION DEVICE, EXTREMITY
M3072 FRAME, INFECTIOUS WASTE BAG PUMP
W/LID U0116 MONITOR, HD, FP, SIZE AS REQUIRED
M3080 CABINET, INSTRUMENT, CRS, U0117 MONITOR, HD, LCD, FP, MEDICAL
2 GLASS DOOR, 6 SHELF GRADE, 55 INCH
M3150 DISTRIBUTION SYSTEM, MEDICATION, U0124 WASTE MANAGEMENT SURGICAL
AUTOMATIC FLUID COLLECTION
M3175 ELECTROSURGICAL UNIT, DUAL U3092 SHARPS DISPOSAL CART,
OUTPUT W FOOT PEDAL
M4255 STAND IV X4890 RAD/FLOURO UNIT, DIGITAL, MOBILE,
M4266 PUMP, VOLUMETRIC, INFUSION, C-ARM
MULTIPLE LINES
SINGLE, LARGE

23' - 5"
7137mm
23' - 5"
7137mm
U0117
MONITOR, HD, FP, SIZE A5077
AS REQUIRED
U0117 DISPENSER, HAND
MONITOR, HD, A5107
FP, SIZE SANITIZER,
A5077 HANDS FREE
AS REQUIRED
DISPENSER, GLOVE, DISPENSER,
A4015 HAND
WALL-MTD
A5107
Elevations 1 & 2
LOW WALL RETURN ELAPSE TIME CLOCK
DISPENSER, GLOVE,
AIR REGISTER
WALL-MTD A4015
LOW WALL RETURN
650 NSF / 60,4 NSM

ELAPSE TIME CLOCK
M8910
AIR REGISTER
CART, SURGICAL CASE LOW WALL RETURN
AIR REGISTER
M8910
CART, SURGICAL CASE
ELEVATION 1
28' - 8"
8738mm
F3200 28' - 8"

CLOCK, BATTERY, 12IN 8738mm A1014
F3200 TELEPHONE, WALL
ISOLATION POWER SYSTEM MOUNTED,
A1014 1 LINE, WITH
SPEAKER
TELEPHONE, WALL
DESIGN GUIDE PLATES

MOUNTED,

F3050 M3080 1 LINE, WITH
SPEAKER
ERASE CRS, 2 GLASS DOOR, 6
M3080
F3050
SHELF

LOW WALL RETURN CRS, 2 GLASS DOOR, 6
ERASE
SHELF
AIR REGISTER
LOW WALL RETURN
M3150
F0355 AIR
DISTRIBUTION
REGISTER SYSTEM,
FOOTSTOOL, STRAIGHT MEDICATION,
M3150 AUTOMATIC
F0355 DISTRIBUTION SYSTEM,
SCALE: 3/16” = 1’-0” ELEVATION 2FOOTSTOOL, STRAIGHT
4' 8' 16'
4-71
April 2016
21' - 5"
6528mm M7650
M4645 DEFIBRILLATOR/
PATIENT TRANSFER MONITOR/ RECORDER
DEVICE AUTO
M8920 E0954
STAND, BASIN, DOUBLE CART, EMERGENCY,
Elevations 3 & 4
A5107 MOBILE
DISPENSER, GLOVE, ISOLATION POWER
650 NSF / 60,4 NSM

WALL-MTD SYSTEM
A5077
DISPENSER, HAND LOW WALL RETURN
SANITIZER, HANDS AIR REGISTER
FREE
U0124
M8830
WASTE MANAGEMENT
TABLE,
SURGICAL FLUID
ELEVATION 3 INSTRUMENT/DRESSING
COLLECTION
28' - 8"
8738mm
M3070
HAMPER, LINEN
DESIGN GUIDE PLATES

U3092
M3072
SHARPS DISPOSAL
CART, W FOOT PEDAL FRAME, INFECTIOUS
WASTE BAG W/LID
X4890
RAD/FLOURO UNIT, M8830

DIGITAL, MOBILE, C-ARM TABLE,
INSTRUMENT/DRESSING
LOW WALL RETURN
LOW WALL RETURN
AIR REGISTER
AIR REGISTER
M8900
CARRIAGE, PAIL
M8905
PAIL, UTILITY
4' 8' 16'
4-72
April 2016

Room Data Sheet

Ceiling Finish:
152 mm)
LIGHTING
Maintained
Average
gasketed frame
CCT, CRI >= 80%, 50%
be 24” x 24”.
packs
switching


Normal Power: connect a minimum of columns.
surization.
3) Provide Laser Receptacle Module. Module diffusers.
Cold Water: No
utility columns. Hot Water: No
5) Provide 220V Receptacle on the equipment Waste: No
COMMUNICATIONS Medical Vacuum Yes (14)
Data: Yes Oxygen Yes (4)
Telephone: Yes Special Requirement:
Cable Television: No Notes:
Duress Alarm: No 1) Provide Waste Anesthesia Gas Disposal
Control: Dioxide (2).
Nurse Call: Yes
by the project
Code Blue: Yes
4) Medical Gas Zone Valve Boxes are to be
Public Address: No provided in accordance with NFPA 99. Locate
Security Surveillance Televi- No this cabinet in the semi-restricted corridor near
sion (SSTV): the operating room it serves.
VA Satellite TV: No
Fire Alarm: Yes
(VTEL):
Sprinkler: Yes
Notes:
Group 1


Equipment List

Telephone, Wall
With Speaker
Column, Service,
Ceiling Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 2 C/C
Electric
fied by the user.
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
F3050 1 C/C
Diameter
included).
Anesthesia Appara-
tus, 3 Gas


M0755 4 V/V
and outlets.
Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.


6 Shelf
sloping top.
matic
selected.
Dual Output
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Hypo/Hyperthermia
ual, Mobile
Warming Unit,
Manual, Air


Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V
Large
surgery.
Dia Heads
M7650 1 V/V
nel


optic Headlamp
rail.
procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile


ment/Dressing
M8900 2 V/V
M8905 2 V/V
Stand, Basin, CRS,
Mobile, Double
dures.
Stand, Basin, CRS,
Mobile, Single
M8940 2 V/V
procedures.
patient.
Warmer, Blood, High
Volume
heat exchanger.


6 Section, Trauma
surgery.
ance
lighting.
U0112 1 V/V
Compression Device,
Extremity Pump
Monitor, HD, LCD,
26 inch
Waste Management
lection
Sharps Disposal
Cart, w-Foot Pedal

This system is a high quality radiographic/fluoro-

scopic mobile digital C-arm for use in orthopedics,
general surgery, urology, vascular, neurosurgery,
neurovascular and cardiovascular procedures. This
units characteristics and components include a high
Rad/Fluoro Unit, Digi- frequency x-ray generator with single or dual focus
X4890 1 V/V
tal, Mobile, C-Arm x-ray tube unit, 9” or 12” multi-field image intensifier,
dual 16” monitors, real time digital imaging and last
image hold capabilities. The system shall be DICOM
3.0 or latest version, compatible, for easy linkage
to filmless image management systems and review
stations.

4.8. OPERATING ROOM, CARDIOTHORACIC (ORCT1)
Axonometric
750 NSF / 69,7 NSM

SEMI-RESTRICTED
CORRIDOR
U0117
SCRUB ALCOVE A5212 A5107 A4015 RETURN AIR
DUCT (TYPICAL)
T H
TV TV
C
A5077
1
M8910 F3200 LOW WALL
U3092
4 2 RETURN AIR
REGISTER
M8900 M4815 M4815 3 IPS
(TYPICAL)
M8905
R4785
M3070
M8925 U0112
M4255
M5512 A1014
M3175
TO PUMP M3109
ROOM M8825 M8920 M8840 F0355
M4816 M5030 F3050
M8950 M8810 U0118
8738mm
M8940
28' - 8"
M8825 M8810
M3070 M9080
M5030 M4811
U0114
M3150
M3072
L1095
LAMINAR FLOW U0105
STERILE FIELD M8940
PERIMETER AIR M4810
CURTAIN ABOVE M8551
E0954 M3080
M8970
M7650
M4812
M0630
M4255 M8800 M7845
X2105 M4250 A5108 M3080
M4266 M8940
E0963 E0948 M8830
M7818
IPS a b Dc
M4645 A5077 U0124

A5107
26' - 10"
8179mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM

2O, 3V, 1A, WAGD, 1 NITROUS

M0765 M0765 U0114
OXIDE, 6 EMER DUPLEX, 4
M0755 M0755 DATA FACE PLATES M0765
M0750 M0750 (ANESTHESIA) M8606 4V, 1 NITROGEN, 1 CO2, 10 EMER
2O, 3V, 2A, 1 NITROGEN, 6 EMER
DUPLEX, 4 DATA FACE PLATES A1130 A1120 A1130 DUPLEX, 4 DATA FACE PLATES
(PERFUSION) A1122 A1122 (EQUIPMENT)
10' - 0"
AIR CURTAIN 8' - 0" 8' - 0"

2436mm 2441mm M1801
LAMINAR AIR
A1122
FLOW DIFFUSER
(DOCUMENTATION)
ab ab ab ab
4927mm
16' - 2"
U0116
2134mm
ab ab U0116
7' - 0"
U0100
8738mm
28' - 8"
ab ab TABLE
2134mm
7' - 0"
M7490
ab ab
3811mm
12' - 6"
M7490
ab ab ab ab
(ANESTHESIA) M1801
A1130 (EQUIPMENT) NOTE: REFER
OXIDE, 6 EMER DUPLEX, 4 DATA TABLE A1122 4V, 1 NITROGEN, 1 CO2, 10 TO ROOM DATA
M0765 EMER DUPLEX, 4 DATA SHEET FOR
FACE PLATES M0765
M0755 FACE PLATES ACCESS PANELS
EQ M0750 EQ
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM


JSN Legend
JSN DESCRIPTION

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4812 PACEMAKER, SINGLE CHAMBER,
WITH SPEAKER EXTERNAL, TEMPORARY
A1120 COLUMN, SERVICE, PREFAB, M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
SURGICAL, CEILING MOUNTED M4816 WARMING UNIT, PATIENT
A1122 COLUMN, EQUIPMENT ARM, CEILING M5030 STOOL, SURGEON, REVOLVING
MOUNTED, SURGERY M5512 LASER, SMOKE EVACUATOR
A1130 CABINET, CONTROL, NITROGEN M7490 LIGHT, SURG, CEILING MTD, DUAL,
A4015 ELAPSE TIME CLOCK UNEQUAL DIA HEADS
A5077 DISPENSER, HAND SANITIZER, M7650 DEFIBRILLATOR/ MONITOR/
HANDS FREE RECORDER AUTO
A5107 DISPENSER, GLOVE, WALL-MTD M7818 MONITOR, TRANSPORT
A5108 WASTE DISPOSAL UNIT, SHARPS M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
E5212 BRACKET, TELEVISION, WALL-MTD, M8551 LIGHT SOURCE, FIBEROPTIC
TILT/ANGLE HEADLAMP
E0948 CART, GENERAL STORAGE, MOBILE M8606 ENDOSCOPY CART, FIBEROPTIC,
E0954 CART, EMERGENCY, MOBILE W/ VIDEO ACCESSORIES
E0963 CART, GEN. STORAGE M8800 CART, ANESTHESIA
F0355 FOOTSTOOL, STRAIGHT M8810 STAND, MAYO
F3050 WHITE BOARD, DRY ERASE M8825 TABLE, INSTRUMENT/DRESSING
F3200 CLOCK, BATTERY, 12IN M8830 TABLE, INSTRUMENT/DRESSING
L1095 CELL SAVER, AUTOLOGOUS BLOOD M8840 TABLE, INSTRUMENT/DRESSING
RECOVERY M8900 CARRIAGE, PAIL
M0630 ANESTHESIA APPARATUS, 3 GAS M8905 PAIL, UTILITY
M0750 FLOWMETER, AIR, CONNECT W/50 M8910 CART, SURGICAL CASE
PSI SUPPLY M8920 STAND, BASIN, DOUBLE
M0755 FLOWMETER, OXYGEN, LOW FLOW M8925 STAND, BASIN, SINGLE
M0765 REGULATOR, VACUUM M8940 STOOL, ANESTHESIA, WITH BACK
M1801 COMPUTER, MICROPROCESSING, M8950 WARMER, BLOOD
W/ FLAT PANEL MONITOR M8970 WARMER, BLOOD
M3070 HAMPER, LINEN M9080 TABLE, OPERATING, PEDESTAL,
M3072 FRAME, INFECTIOUS WASTE BAG 5 SECTIONS
W/LID R4785 ICE MAKER, SURGICAL SLUSH
M3080 CABINET, INSTRUMENT, CRS, U0100 INTEGRATED OPERATING ROOM
2 GLASS DOOR, 6 SHELF SYSTEM
M3109 ELECTROSURGICAL UNIT, U0105 EXTRACORPOREAL SUPPORT
DUAL OUTPUT SYSTEM
M3150 DISTRIBUTION SYSTEM, MEDICATION, U0112 IRRIGATION SYSTEM, SURGICAL
AUTOMATIC U0114 COMPRESSION DEVICE, EXTREMITY
M3175 ELECTROSURGICAL UNIT, PUMP
DUAL OUTPUT U0116 MONITOR, HD, FP, SIZE AS REQUIRED
M4250 PUMP SYRINGE, INFUSION U0117 MONITOR, HD, LCD, FP, MEDICAL
M4255 STAND IV GRADE, 55 INCH
M4266 PUMP, VOLUMETRIC, INFUSION, U0118 IRRIGATION SYSTEM, SURGICAL
MULTIPLE LINES U0124 WASTE MANAGEMENT SURGICAL
M4645 PATIENT TRANSFER DEVICE FLUID COLLECTION
M4810 HEART/ LUNG MACHINE, BYPASS, U3092 SHARPS DISPOSAL CART,
MODULAR W FOOT PEDAL
M4811 PUMP, INTRA-AORTIC, BALLOON X2105 SCANNER, ULTRASOUND, CARDIAC
26' - 10"
8179mm
F3200
U0117
AS REQUIRED DISPENSER, HAND
Elevations 1 & 2
A5107 SANITIZER, HANDS FREE
DISPENSER, GLOVE, A4015
750 NSF / 69,7 NSM

WALL-MTD
ELAPSE TIME CLOCK
LOW WALL RETURN
M8910 AIR REGISTER
CART, SURGICAL CASE
ELEVATION 1
28' - 8"
8738mm
F3050
WHITE BOARD, DRY ERASE
M3150
DESIGN GUIDE PLATES

ISOLATION POWER DISTRIBUTION SYSTEM,

SYSTEM MEDICATION, AUTOMATIC
A1014 M3080
TELEPHONE, WALL CABINET, INSTRUMENT,
MOUNTED, 1 LINE, WITH CRS, 2 GLASS DOOR, 6
SPEAKER SHELF
LOW WALL RETURN
AIR REGISTER
F0355
FOOTSTOOL, STRAIGHT
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-88
April 2016
A5077 24' - 10"
DISPENSER, HAND 7569mm
SANITIZER, HANDS
FREE
A5077 24' - 10" M4645
A5107
PATIENT TRANSFER DEVICE
DISPENSER, HANDS
SANITIZER, GLOVE,
FREE
WALL-MTD
M4645
U0124
A5107 ISOLATION POWER
PATIENT
SYSTEM TRANSFER DEVICE
WASTE MANAGEMENT
DISPENSER, GLOVE,
SURGICAL FLUID
WALL-MTD
COLLECTION E0963
Elevations 3 & 4
U0124 ISOLATION POWER
M8830 CART, GEN. STORAGE
WASTE MANAGEMENT SYSTEM
LOW WALL RETURN
750 NSF / 69,7 NSM

SURGICALTABLE,
FLUID AIR REGISTER
INSTRUMENT/DRESSING
COLLECTION E0963
M7818
M8830 CART,
E0948GEN. STORAGE
MONITOR, TRANSPORT
TABLE, LOW
CART,WALL RETURN
GENERAL STORAGE, MOBILE
INSTRUMENT/DRESSING AIR REGISTER
M7818 E0948
MONITOR, TRANSPORT CART, GENERAL STORAGE, MOBILE
ELEVATION 3
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
28' - 8"
8738mm
M4812
M3072
PACEMAKER, SINGLE
FRAME, INFECTIOUS
CHAMBER,
WASTEEXTERNAL,
BAG W/LID
28' - 8"
TEMPORARY 8738mm M3070
M4812
M7650 HAMPER, LINEN
PACEMAKER, SINGLE
DESIGN GUIDE PLATES

DEFIBRILLATOR/ M8900
CHAMBER, EXTERNAL,

MONITOR/ RECORDER
TEMPORARY M3070
CARRIAGE, PAIL
AUTO
M7650
E0954 HAMPER,
U3092 LINEN
DEFIBRILLATOR/
CART, EMERGENCY, SHARPS
M8900 DISPOSAL CART,
MONITOR/ RECORDER
MOBILE W FOOT PEDAL
CARRIAGE, PAIL
AUTO LOW WALL RETURN
RETURN
LOW WALL E0954 U3092
AIR REGISTER
AIR REGISTER
CART, EMERGENCY, SHARPS
M8905 DISPOSAL CART,
X2105
MOBILE W FOOT PEDAL
PAIL, UTILITY
LOW WALL RETURN
SCANNER,
LOW WALL RETURN
ULTRASOUND, CARDIAC AIR REGISTER
AIR REGISTER ELEVATION 4
M8905
X2105
PAIL, UTILITY
SCANNER,
SCALE: 3/16” = 1’-0”
ULTRASOUND, CARDIAC
4' 8' 16'
4-89
April 2016

Room Data Sheet

Ceiling Finish:
152 mm)
LIGHTING
Maintained
Average
gasketed frame
CCT, CRI >= 80%, 50%
be 24” x 24”.
packs
switching


columns.
surization
diffusers.
Cold Water: No
Hot Water: No
utility columns.
Drain: No
COMMUNICATIONS
Oxygen Yes (6)
Data: Yes
Telephone: Yes
Notes:
Public Address: No
sion (SSTV):
Notes: Group 1


Equipment List

Telephone, Wall
A1014 Mounted, 1 Line, With 1 C/C Telephone, wall mounted, 1 line, with speaker.
Speaker
Column, Service, Pre-
A1120 fab, Surgical, Ceiling 2 C/C
Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 3 C/C
Electric
fied by the user.
A5077 2 V/V
operated.


Dispenser, Glove,
Wall Mntd
A5108 1 V/V
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Mobile General Storage Cart, approximately 72”H x
23”W x 22”D. THIS TYPICAL INCLUDES:
1 Locker Storage Container on Wheels, w/Solid
Door
Cart, General Stor-
E0963 1 V/V 3 Tray/Shelves
age, Mobile
2 Drawers, 3”H
4 Drawers, 6”H
1 Tray/Shelf Divider
F3050 1 C/C


Diameter
included).
Autologous blood recovery system, also known as a
“Cell Saver.” Used in the operating room and labora-
Cell Saver, Autolo-
L1095 1 V/V tory to wash extravascular blood free of debris, clots,
gous Blood Recovery
etc., and to make the blood safe for re-infusion into
the patient.
Anesthesia Appara-
tus, 3 Gas
elbow, sidearm Vernitrol, flow calculator, mounting
kit, ventilator calculator, ventilator and an oxygen pip-
ing inlet. Also features nitrous oxide fail safe valve
kit, aspirator kit, gas evacuator with vacuum and a
flow meter safety cover. Used to dispense a mixture
of gases during surgical procedures.
from central pipeline system. Requires the appro-
Flowmeter, Air, Con-
M0750 4 V/V priate adapter for connection to the wall outlet and
nect w/50 PSI Supply
fitting to connect to tubing. Database prices reflect
M0755 6 V/V
and outlets.


Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.
M3080 CRS, 2 Glass Door, 6 2 V/V
Shelf
sloping top.
An electrosurgical generator with an argon plasma
coagulator and APC pulsed mode. This feature auto-
regulates beam ignition and provides automatic dos-
Electrosurgical/Coag-
M3109 1 V/V ing of power for increased control. The plug and play
ulator, Argon Plasma
digital instrument recognition technology automati-
cally configures the entire system to preprogrammed
procedural parameters.
matic
selected.
Dual Output

The infusion syringe pump ensures highly accu-

rate volume delivery and consistent flow for small
volumes (<50 ml) of pharmacologic agents or thick
feeding solutions. It shall be small, lightweight
construction, making it transportable. Shall have
menu-driven programming capable of flow rates (e.g.
0.1 or 1.0 mL/hr) that are intended for long-term bed-
side use and/or critical care patient transport, plunger
Pump, Syringe, Infu-
M4250 2 V/V positioning sensor, LCD display for easy viewing, vol-
sion
ume limit programming to serve as a convenient cue
of volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall
have automatic syringe size sensing which will give
the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Modular by-pass heart lung machine. Unit consists
of an arterial pump, a backup arterial pump, one or
two suction pumps, a water mixer, and a backup
battery pack. To include disposable components:
Heart/Lung Machine,
M4810 1 V/V oxygenator/heater exchanger, cardiotomy reservoir,
Bypass, Modular
blood filters, and tubing. Unit is designed to tem-
porarily replace the function of the patients heart
and lungs during open-heart surgery or any surgical
procedure that requires isolation of the heart.

Intra-aortic balloon pump. Item is used to treat car-

diogenic shock resulting from extensive myocardial
injury or damage. The pump shall function from line
or battery power and is to be a mobile unit. It con-
tains physiological monitoring, pacing, and pumping
capabilities. It requires minimal set-up time and has
Pump, Intra-Aortic, immediate pumping capability. Adjustments can be
M4811 1 V/V
Balloon accomplished without interruption of pumping. The
monitor can be mounted remotely for the clinicians
convenience and permits viewing of both cardio-
pulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the
critical care unit, operating room, cardiac cath lab
and during transport.
A single chamber, external temporary pacemaker
designed to provide acute therapeutic, prophylac-
Pacemaker, Single
tic, and diagnostic pacing support. It is capable of
M4812 Chamber, External, 1 V/V
operating in the demand or asynchronous modes
Temporary
and includes adjustable rate, output, and sensing
controls. Battery operated.
Hypo/Hyperthermia
multiple alarm system constantly monitoring temper-
ature and water levels. Cabinet type unit. Designed
ual, Mobile
Warming Unit,
Manual, Air
Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V

Dual head surgical light ceiling mounted from a sin-

gle pole. Unit has two lamp heads of differing sizes
Dia Heads
M7650 1 V/V
A light weight, rugged patient monitor for use during
transport. Unit consists of a compact monitor with
touchscreen display with up to 3 waveforms on a on
a bright non-fading display. The unit measures ECG/
respiration, NBP, SpO2, pressure, and tempera-
M7818 Monitor, Transport 1 V/V
ture and CO2. Data can be transferred seamlessly
throughout the continuum of care. Unit is approved
for aeromedical use (US Army Airworthiness Certifi-
cation and Evaluation (ACE) program. Battery run
time of 3 hours before recharge.
nel
optic Headlamp


rail.
procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile
ment/Dressing


M8900 3 V/V
Pail, Utility, CRS, With Utility pail (kick bucket). Shall be a stainless steel 12
M8905 3 V/V
Carriage quart bucket for use in surgical operating rooms.
Stand, Basin, CRS,
Mobile, Double
dures.
Stand, Basin, CRS,
Mobile, Single
M8940 3 V/V
procedures.
circulating fluid, or dry heat with controls and an au-
dible high temperature alarm. The warmer provides
a stable environment for the controlled warming of
patient.
Warmer, Blood, High
Volume
heat exchanger.

Pedestal type major operating table with 5 sections.

Table is mounted on a solid base with casters and
translucent, conductive panels and the larger table
Table, Operating, sections are equipped with radiographic cassette
M9080 1 V/V
Pedestal, 5 Section tunnels. Table includes Electro-hydraulic controls,
side rail locking system, kidney elevator, grounding
receptacle and dual arm support section. Designed
for use in the operating room in a variety of surgical
procedures.
An automated surgical slush machine designed to
produce a velvet soft slush to limit the likelihood of
damaging tissue due to large or sharp ice particles
Ice Maker, Surgical during surgical procedures. Unit operates with a
R4785 1 V/V
Slush temperature range of 30 degrees F to 32 degrees F.
The unit is also designed to operate quietly to not
disrupt the OR environment. Casters allow for easy
movement.
ance
lighting.
ECHO is a device used to provide cardio pulmonary
ExtraCorporeal Sup- support on a temporary basis and assist oxygen to
U0105 1 V/V
port System vital body systems. Provides oxygenation and car-
bon dioxide removal from the blood.
U0112 1 V/V
Compression Device,
Extremity Pump
Monitor, HD, LCD,
26 inch

Handheld point of care testing analyzer. Utilizes

single-use, disposable cartridges for diagnostic
Analyzer, Point of
testing to include: Blood gases, electrolytes and
U0118 Care Testing w-Dock- 1 V/V
chemistries, lactate, coagulation, hematology, and
ing Station
cardiac markers. Cartridges and tests are ordered
separately.
Waste Management
U0124 Surgical Fluid Collec- 1 V/V
tion
Sharps Disposal Cart,
w-Foot Pedal
High definition, diagnostic ultrasound system for Ra-
diology, Cardiology, Vascular, ob-gyn, Perinatology,
and Surgical imaging applications. The unit employs
curved, phased and linear array imaging technology.
The system supports colorflow, pulse, continuous
Scanner, Ultrasound,
X2105 1 V/V wave imaging modalities. On board software mea-
Cardiac (Echo)
surement packages available for all imaging applica-
tions. The system is DICOM 3.0 compatible, for easy
linkage to filmless image management systems and
review stations. In addition, a full line of probes and
conventional recording devices are available.

4.9. PUMP ROOM, CARDIOTHORACIC / HYBRID OR (ORHL1)
Axonometric
260 NSF / 24,2 NSM

F3200
SEMI-RESTRICTED
CLOCK, BATTERY, 12IN CORRIDOR
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER T
4a
E0703 54" AFF
TABLE, PROCESS, 5 DRAWERS
M1801
MONITOR
F0230
CHAIR, DRAFTING, ROTARY
U0105
EXTRACORPOREAL SUPPORT SYSTEM TO OR /
PROCEDURE
POWER STRIP ROOM
4a
8839mm
29' - 0"
E0948
CART, GENERAL
R4650 STORAGE, MOBILE
ICE MAKER, FLAKED, WITH DISPENSER
A5080
1 E0963
DISPENSER, PAPER TOWEL
CART, GEN. STORAGE
A5075
DISPENSER, SOAP
CS230 GFI 6" AFC
SINK, SS, DOUBLE COMPARTMENT
CT050
COUNTER, STAINLESS STEEL
R7250
REFRIGERATOR/FREEZER, 20 CU FT
4a
9' - 0"
2743mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

260 NSF / 24,2 NSM

9' - 0"
S a
DT
8839mm
a 29' - 0"
9' - 0"
2743mm
SCALE: 3/16” = 1’-0”

260 NSF / 24,2 NSM

Elevation 1
260 NSF / 24,2 NSM
R4650
ICE MAKER, FLAKED, M0750
WITH DISPENSER FLOWMETER, AIR
A5080 M0755
DISPENSER, PAPER TOWEL FLOWMETER, OXYGEN,
CD030 29' - 0" LOW FLOW
CABINET, W-H, 2 SHELF, 2 DO 8839mm
CD030 M0765
CABINET, W-H, 2 SHELF, 2 DO REGULATOR, VACUUM
R7250 U0105
REFRIGERATOR/FREEZER, EXTRACORPOREAL
20 CU FT SUPPORT SYSTEM
A5075 M1801
DISPENSER, SOAP COMPUTER,

CT050 MICROPROCESSING, W/
FLAT PANEL MONITOR
COUNTER, STAINLESS
STEEL E0703
DESIGN GUIDE PLATES

C0041 TABLE, PROCESS, 5

RAIL, APRON, 4x60x1 DRAWERS
CS230 F2000 C04G0
SINK, SS, DOUBLE BASKET, WASTEPAPER, CABINET, U-C-B, 2 SHELF,
COMPARTMENT ROUND, METAL 2 DOOR
ELEVATION 1
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-106
April 2016

Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Notes:
Base: RF Integral Base (min. 6”/
1) Provide a duplex receptacle per computer
152 mm)
and equipment location connected on emergency.
Slab Depression: None normal power.
Sound Protection: None
COMMUNICATIONS
Doors: Single, Size 4’-0” x 7’-0”
(1219 mm x 2133 mm) Wood Data: Yes
Telephone: Yes
LIGHTING Cable Television: No
Illumination - Control:
Intercom: No
Maintained
Average Motion Intrusion Detection No
Illumination - Task (MID):
Focus: 500 Lux (50 FC) on Table Nurse Call: No
Luminaire Type: 2’x4’ Fluorescent or LED, Code Blue: No
Virgin Acrylic Prismatic Public Address: Yes
Security Surveillance Televi- No
sion (SSTV):
gasketed frame
VA Satellite TV: No
Lamps: 4 Fluorescent or LED
equivalent, 3500K – 4100K Video Teleconferencing No
CCT, CRI >= 80% shall be (VTEL):
on emergency battery packs Special Requirement: No
Controls: Four way and ceiling
mounted motion sensor HEATING, VENTILATING AND AIR
Notes: CONDITIONING
General Requirement: Refer to Instrument
1) Coordinate location of luminaires with other Preparation and Storage room data sheet in the
ceiling obstructions current version of the VA HVAC Design Manual
change requirements, and pressurization



Cold Water: Yes
Hot Water: Yes
Waste: Yes
Reagent Grade Water:
Medical Air Yes
Medical Vacuum Yes
Oxygen Yes

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
With Speaker
Dispenser, Soap,
Disposable
A surface mounted, satin finish stainless steel, single-
Dispenser, Paper fold, paper towel dispenser. Dispenser features: tum-
A5080 Towel, SS, Surface 1 C/C bler lock; front hinged at bottom; and refill indicator
Mounted slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
Standing height under counter base cabinet with two
Cabinet, U/C/B,
adjustable shelves and two solid hinged doors. Also
C04G0 2 Shelf, 2 Door, 1 C/C
referred to as a cupboard cabinet. For general pur-
36x36x22
Wall hung steel cabinet with two adjustable shelves,
Cabinet, W/H, 2
solid hinged doors, and sloping top. Also referred to
CD030 Shelf, 2 DO, Sloping 2 C/C
as a solid hinged double door wall case. For general
Top, 38x30x13
purpose use throughout the facility.
Double compartment stainless steel sink, drop-in,
provided with pre-punched fixture holes on 4” center,
Sink, SS, Double fixtures, brushed/polished interior and top surfaces,
Stainless steel countertop (composition of heavy-
gauge Type No. 304 stainless steel) having a smooth
satin finish and integral 4” backsplash/curb. Also
referred to as a corrosion-resistant steel work surface
Countertop, Stainless
CT050 8 C/C or work top. Available in various depths. Used in
Steel
areas where excellent ease of cleaning, abrasion re-
sistance, bacteria resistance, impact resistance, load
capacity and moisture resistance, are of concern.
Pricing based upon a 24” depth.

Height adjustable table. The table top is available

in a plastic laminate or chemical resistant material
(Chem-Surf). Casters or glides are options with
some tables. All tables will accept various storage
components underneath. These work surfaces are
Table, Process, Adj available in 24” or 30” depth. THIS TYPICAL IN-
E0703 Height, 5 Drawer, 1 V/V CLUDES:
48”W x 24”D 1 height adjustable table;
1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H
and drawer organizer bins.
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
Door
Cart, General Stor-
age, Mobile
2 Drawers, 3”H
4 Drawers, 6”H
Drafting chair approximately 47” high X 20” wide X
Chair, Drafting, 20” deep with rotary stool and a 5 (five) star base
F0230 1 V/V
Rotary with casters. Padded seat and back. Foot ring ad-
justs with chair.
Basket, Wastepaper,
Round, Metal
tions.
Diameter
included).


M0755 1 V/V
and outlets.
Computer, Micropro-
Monitor
Ice maker dispenser approximately 71” H x 19”D
x 24”W. This unit provides flaked ice and cooled
water automatically. The unit has a daily capacity
up to 650 pounds and a 100 pound capacity stain-
Ice Maker, Flaked,
R4650 1 C/C less steel storage compartment with water station. It
With Dispenser
is a freestanding, automatic load ice dispenser for
food service and healthcare use. The unit is used in
healthcare institutions and various commercial food
service operations for dispensing ice.
Refrigerator/freezer unit. This type unit includes a
food saver system that helps keep food fresher. It
Refrigerator/Freezer,
R7250 1 V/V also includes roll out wheels and is equipped for an
20 Cubic Feet
optional automatic icemaker. This unit is of commer-
cial or residential design and use.
ExtraCorporeal Sup- support on a temporary basis and assist oxygen to vi-
U0105 1 V/V
port System tal body systems. Provides oxygenation and carbon
dioxide removal from the blood.

4.10. OPERATING ROOM, NEUROSURGICAL (ORNS1)
Axonometric
750 NSF / 69,7 NSM

SEMI-RESTRICTED
CORRIDOR
SCRUB ALCOVE A5212 F3200 DUCT (TYPICAL)
T H
TV TV
C
A4015
M8910 A5077 LOW WALL

M8830
RETURN AIR
1
M8900 REGISTER
IPS
M8905 4 2 (TYPICAL)
3
M8920 M8805 M8920 M4815
M3109
M3072 M8840 F0355
U0118
U0112 M8830 F3050
M3070 M4255
M8925
M5512 M8940
8738mm
28' - 8"
M3070 M4816
M8825
M8810
M8825 M5030 A1014
M8495 M8551
U3092 M3150
M9110
M5030
M8535
M3080
M8970
E0954 M0630
M7650 M7845
M4266 M8800 M8940
LAMINAR FLOW
M4816 M4255 A5108 M3080
STERILE FIELD
M4250 PERIMETER AIR
U0124
CURTAIN ABOVE
A5077
IPS
a b Dc
X4200 M4645 A5107

26' - 10"
8179mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM

U0114
M0765 M0765
2O, 3V, 1A, WAGD, 1 NITROUS 4V, 1 NITROGEN, 1 CO2, 10
OXIDE, 6 EMER DUPLEX, 4 DATA M0755 M8606 EMER DUPLEX, 4 DATA
FACE PLATES M0750 A1130 FACE PLATES
10' - 0"
AIR CURTAIN
8' - 0" 8' - 0"
LAMINAR AIR 2436mm 2441mm
FLOW DIFFUSER
4927mm
ab ab ab ab
16' - 2"
M7490
2134mm
ab ab M1801
7' - 0"
A1122
(DOCUMEN
TATION)
8738mm
28' - 8"
ab ab TABLE
M7475
2134mm
7' - 0"
ab ab
U0116
U0100
3811mm
12' - 6"
U0116
ab ab ab ab
M0765
2O, 3V, 1A, WAGD, 1 NITROUS 4V, 1 NITROGEN, 1 CO2,
M0755 M0765
OXIDE, 6 EMER DUPLEX, 4 DATA 10 EMER DUPLEX, 4 DATA
FACE PLATES M0750 TABLE A1130 FACE PLATES
(ANESTHESIA) M1801 A1122 (EQUIPMENT)
EQ A1120 EQ
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM


JSN Legend
JSN DESCRIPTION M7475 LIGHT, SURG, CEILING MTD, SINGLE,

LARGE
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M7490 LIGHT, SURG, CEILING MTD, DUAL,
WITH SPEAKER UNEQUAL DIA HEADS
A1120 COLUMN, SERVICE, PREFAB, M7650 DEFIBRILLATOR/ MONITOR/
SURGICAL, CEILING MOUNTED RECORDER AUTO
A1122 COLUMN, EQUIPMENT ARM, CEILING M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
MOUNTED, SURGERY M8495 LARYNGOSCOPE, VIDEO
A1130 CABINET, CONTROL, NITROGEN GLIDESCOPE
A4015 ELAPSE TIME CLOCK M8535 MICROSCOPE, OPERATING,
A5077 DISPENSER, HAND SANITIZER, PORTABLE
HANDS FREE M8551 LIGHT SOURCE, FIBEROPTIC
A5107 DISPENSER, GLOVE, WALL-MTD HEADLAMP
A5108 WASTE DISPOSAL UNIT, SHARPS M8606 ENDOSCOPY CART, FIBEROPTIC,
A5212 BRACKET/TELEVISION, WALL-MTD, W/ VIDEO ACCESSORIES
TILT/ANGLE M8800 CART, ANESTHESIA
E0954 CART, EMERGENCY, MOBILE M8810 STAND, MAYO
F0355 FOOTSTOOL, STRAIGHT M8825 TABLE, INSTRUMENT/DRESSING
M0630 ANESTHESIA APPARATUS, 3 GAS M8900 CARRIAGE, PAIL
M0750 FLOWMETER, AIR, CONNECT W/50 M8905 PAIL, UTILITY
PSI SUPPLY M8910 CART, SURGICAL CASE
M0755 FLOWMETER, OXYGEN, LOW FLOW M8920 STAND, BASIN, DOUBLE
M0765 REGULATOR, VACUUM M8925 STAND, BASIN, SINGLE
M1801 COMPUTER, MIRCOPROCESSING, W/ M8940 STOOL, ANESTHESIA, WITH BACK
FLAT PANEL MONITOR M8970 WARMER, BLOOD
M3070 HAMPER, LINEN M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3072 FRAME, INFECTIOUS WASTE BAG TRAUMA
W/LID U0100 INTEGRATED OPERATING ROOM
M3080 CABINET, INSTRUMENT, CRS, SYSTEM
2 GLASS DOOR, 6 SHELF U0112 IRRIGATION SYSTEM, SURGICAL
M3109 ELECTROSURGICAL UNIT, U0114 COMPRESSION DEVICE, EXTREMITY
DUAL OUTPUT PUMP
M3150 DISTRIBUTION SYSTEM, MEDICATION, U0116 MONITOR, HD, FP, SIZE AS REQUIRED
AUTOMATIC U0117 MONITOR, HD, LCD,FP,
M4250 PUMP SYRINGE, INFUSION U0124 WASTE MANAGEMENT SURGICAL
M4255 STAND IV FLUID COLLECTION
M4266 PUMP, VOLUMETRIC, INFUSION, U3092 SHARPS DISPOSAL CART,
MULTIPLE LINES W FOOT PEDAL
M4645 PATIENT TRANSFER DEVICE U3093 TABLE, INSTRUMENT, NEURO
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE X4200 STEREOTACTIC SURGICAL SYSTEM

26' - 10"
8179mm
F3200
U0117 A5077
MONITOR, HD, FP, SIZE DISPENSER, HAND
AS REQUIRED SANITIZER, HANDS FREE
Elevations 1 & 2
A5107 A4015
DISPENSER, GLOVE, ELAPSE TIME CLOCK
WALL-MTD
750 NSF / 69,7 NSM

LOW WALL RETURN AIR LOW WALL RETURN
M8910
CART, SURGICAL CASE
ELEVATION 1
28' - 8"
8738mm
F3050 A1014
WHITE BOARD, DRY
DESIGN GUIDE PLATES

TELEPHONE, WALL
ERASE

SPEAKER
M3080
ISOLATION POWER CABINET, INSTRUMENT,
SYSTEM CRS, 2 GLASS DOOR, 6
LOW WALL RETURN SHELF
AIR REGISTER
LOW WALL RETURN
F0355 AIR REGISTER
FOOTSTOOL, STRAIGHT
M3150
DISTRIBUTION SYSTEM,
4' 8' 16'
4-116
April 2016
24' - 10"
7569mm
U0124
M4645 WASTE MANAGEMENT
24' - 10" SURGICAL FLUID
PATIENT TRANSFER 7569mm COLLECTION
U0124
DEVICE
X4200
A5107
M4645 WASTE MANAGEMENT
STEREOTACTIC
SURGICAL FLUID
DISPENSER, GLOVE,
PATIENT TRANSFER SURGICAL SYSTEM
WALL-MTD COLLECTION
DEVICE
X4200
ISOLATION POWER
A5107
A5077 SYSTEM
STEREOTACTIC
DISPENSER, GLOVE,
Elevations 3 & 4
SURGICAL
LOW WALLSYSTEM
RETURN
DISPENSER, HAND
WALL-MTD
ISOLATION POWER
FREE SYSTEM
750 NSF / 69,7 NSM

A5077
DISPENSER, HAND LOW WALL RETURN
FREE
ELEVATION 3
28' - 8"
M8535 8738mm
MICROSCOPE,
OPERATING, PORTABLE 28' - 8" M3070
M7650
M8535 8738mm HAMPER, LINEN
DEFIBRILLATOR/
MICROSCOPE, M3072
MONITOR/ RECORDER
OPERATING, PORTABLE FRAME,
M3070 INFECTIOUS
AUTO
M7650 HAMPER,
WASTE BAG LINEN
W/LID
DESIGN GUIDE PLATES

E0954
M3072

CART, EMERGENCY,
MONITOR/ RECORDER
MOBILE STAND, BASIN,
FRAME, DOUBLE
INFECTIOUS
AUTO WASTE
RETURN
LOW WALL E0954 LOW WALL
BAGRETURN
W/LID AIR REGISTER
REGISTER M8920
M8830
CART,AIR
EMERGENCY,
MOBILE STAND, BASIN, DOUBLE
TABLE, INSTRUMENT/DRESSING
M4816
WALL RETURN LOW WALL RETURN AIR REGISTER
LOWWARMING UNIT, M8900
AIR REGISTER
PATIENT M8830
CARRIAGE, PAIL
U3092
M4816 TABLE,
M8905INSTRUMENT/DRESSING
SHARPS DISPOSAL
WARMING UNIT, M8900
PAIL, UTILITY
CART, W FOOT PEDAL
PATIENT CARRIAGE, PAIL
U3092 ELEVATION 4 M8905
SHARPS DISPOSAL
SCALE: 3/16” = 1’-0” PAIL, UTILITY
CART, W FOOT PEDAL
4' 8' 16'
4-117
April 2016

Room Data Sheet

Ceiling Finish:
152 mm)
LIGHTING
Maintained
Average
gasketed frame
CCT, CRI >= 80%, 50%
be 24” x 24”.
packs
switching


columns.
surization
diffusers.
Cold Water: No
Hot Water: No
utility columns.
Drain: No
COMMUNICATIONS
Oxygen Yes (4)
Data: Yes
Telephone: Yes
Notes:
Public Address: No
sion (SSTV):
Notes: Group 1


Equipment List

Telephone, Wall
A1014 Mounted, 1 Line, With 1 C/C Telephone, wall mounted, 1 line, with speaker.
Speaker
Column, Service,
A1120 Prefab, Surgical, Ceil- 2 C/C
ing Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 2 C/C
Electric
fied by the user.
Dispenser, Hand For use throughout a healthcare facility. Unit does not
A5077 2 V/V
Sanitizer, Hands-Free include the sanitizing liquid. Units are battery oper-
ated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Step stool. Used to assist patients getting on and off
F0355 Footstool, Straight 4 V/V exam or surgical tables. Fitted with electrically con-
ductive rubber tips.
F3050 1 C/C
Diameter
included).
Anesthesia Appara-
tus, 3 Gas


M0755 4 V/V
required.
Database pricing reflects continuous regulators grad-
uated to 200 mm Hg with a full line vacuum selection
switch and DISS configured inlets and outlets.
monitor, keyboard, mouse and speakers. The system
shall have the following minimum characteristics: a
Computer, Micropro-
2.8 GHz Pentium processor; 512 MB memory; 80GB
hard drive; 32/48x CD-ROMDVD combo; 1.44MB
Monitor
network interface card; video
32 MB NVIDIA; a 18 inch flat panel monitor. The
computer is used throughout the facility to input, ma-
nipulate and retrieve information.
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.


6 Shelf
sloping top.
matic
selected.
feeding solutions. It shall be small, lightweight con-
struction, making it transportable. Shall have menu-
driven programming capable of flow rates (e.g. 0.1 or
1.0 mL/hr) that are intended for long- term bedside
use and/or critical care patient transport, plunger
sion
solutions.
Pump, Volumetric,
simultaneously.


Patient Transfer
Device
board.
Hypo/Hyperthermia
ual, Mobile
Warming Unit,
Manual, Air
Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V
plate and pole. Light head contains several individual
pods each with its own light source. Unit also has
Large
surgery.


Dia Heads
M7650 1 V/V
nel
A video-assist laryngoscope system with a digital
color monitor and digital camera providing real-time
Laryngoscope, Video view of the airway enabling quick intubation. Unit is
M8495 1 V/V
Glidescope designed for first pass success. The unit includes a
reusable video baton with digital camera and sterile
single use GVL Stats in various sizes.
Portable operating microscope complete with objec-
tives and stand. Unit consists of a binocular micro-
scope body equipped with a range of accessories
for co-observation, documentation and illumination.
Microscope, Operat-
M8535 1 V/V Control knobs equipped with sterilizable handles.
ing, Portable
Mounted on a large swinging-arm stand. For exami-
nations and diagnosis in medical consultancies and
as a laboratory training instrument. Configured for
use primarily for eye and neuro surgery.
optic Headlamp


rail.
Instrument table to straddle an operating table. All
stainless steel welded construction, mounted on 3”
Table, Instrument,
M8805 1 V/V ball-bearing casters with foot brakes. Adjustable
Straddle
height from approximately 40 to 60 inches. For in-
struments and diagnostic equipment during surgery.
procedure rooms.
Table, Instrument/ resistant stainless steel with a sound deadened top.
M8825 Dressing, CRS, ap- 2 V/V Includes guard rail, shelf and two side-by-side draw-
prox. 36x20x34 ers. The table is mounted on swivel, ball-bearing
casters.
Table, Instrument/
Dressing, Mobile


ment/Dressing
observation of instruments. It comes with 4” diameter
heavy-duty ball bearing brake/swivel casters. Con-
struction is all stainless steel.
M8900 2 V/V
M8905 2 V/V
CRS, mobile, double basin stand with shelf. Stainless
steel corrosion resistant frame constructed from two
Stand, Basin, CRS, continuous inverted “U” shaped tubes, forming four
M8920 2 V/V
Mobile, Double legs and mounted on casters. Circular rings welded
to top receive two removable 8 quart stainless steel
basins. For open heart and other procedures.
Stand, Basin, CRS,
Mobile, Single
M8940 2 V/V
procedures.
high temperature alarm. Designed to provide a stable
Warmer, Blood, High
M8970 1 V/V temperature for the controlled warming of blood or
Volume
other fluids prior to being transfused to a patient. Unit
may be a cuff type or circulating water heat exchang-
er.


M9110 1 V/V tions. Table includes: Electro-hydraulic controls,
6 Section, Trauma
side rail locking system, grounding receptacle and
dual arm support section. It is designed for use in
the operating room in a variety of surgical proce-
dures. Table is configured to address the needs of
trauma surgery.
ance
lighting.
U0112 1 V/V
Compression Device,
Extremity Pump
tem. Located as part of Light or Boom system or
Monitor, HD, LCD,
arms or off of ceiling mounted arms. Exact configu-
26 inch
Analyzer, Point of
ing Station
separately.
Waste Management
U0124 Surgical Fluid Collec- 1 V/V
tion


Sharps Disposal Cart,
w-Foot Pedal
Surgical instrument guided system used to track
surgical instruments in cranial procedures. Interfacing
with CT and MRI the device assists the surgeon in
Stereotactic Surgical
X4200 1 V/V the cranial surgical procedure by showing the precise
System
location of the hand instruments during a procedure.
The device allows for simulation surgery prior to the
actual operation.

4.11. OPERATING ROOM, ROBOTICS (ORRB1)
Axonometric
750 NSF / 69,7 NSM

SEMI-RESTRICTED
CORRIDOR

SCRUB ALCOVE
A5212 F3200 DUCT (TYPICAL)
T H
TV GM TV
C LOW WALL
RETURN AIR
A5077 REGISTER
U3094 (TYPICAL)
A4015
1 IPS
M8910 U0112
4 2
M5512 M4255
M8830 3
M3175 F0355
M8920 M8920 M5030
M4815
M8910 M8810
M8925 M8840
GM
GM
M8950 M8940
M8810
M8810
U3094 F3050
M8900 M8551
M4816 M5030
A1014
8738mm
M8905
28' - 8"
M8830 U3094
M3072
M8825 M3150
M3070 M9110
M4266
LAMINAR FLOW M8825 M8970
STERILE FIELD M4255
PERIMETER AIR M4255
CURTAIN ABOVE M8800 M4266 M3080
M3070 A5108 M0630
M7845
E0954
M7650 M8940
M3080
U3092 M8920 U0124 A5077
IPS GM Da Db
M4645 A5107
26' - 10"
8179mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM


U0114
M0765 M0765
2O, 3V, 1A, WAGD, 1 NITROUS OXIDE, M0755 M8606 4V, 1 NITROGEN, 1 CO2, 10 EMER
6 EMER DUPLEX, 4 DATA FACE PLATES M0750 A1130 DUPLEX, 4 DATA FACE PLATES
10' - 0"
AIR CURTAIN (DOCUMEN

7' - 0" 7' - 0" TATION)
LAMINAR 2132mm 2136mm M1801
AIR FLOW A1122
DIFFUSER
ab ab ab ab
4927mm
16' - 2"
M7490
2134mm
ab ab
7' - 0"
M7475
8738mm
28' - 8"
ab ab TABLE
U0116
2134mm
7' - 0"
ab ab
3811mm
U0116 12' - 6"
U0100 ab ab ab ab

2O, 3V, 1A, WAGD, 1 NITROUS M1801 A1130 4V, 1 NITROGEN, 1 CO2,
OXIDE, 6 EMER DUPLEX, 4 DATA 10 EMER DUPLEX, 4 DATA
M0765 TABLE M0765 NOTE: REFER TO
FACE PLATES FACE PLATES
M0755 ROOM DATA SHEET
M0750 FOR ACCESS PANELS
12' - 5" 12' - 5"
3785mm 3785mm
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM


JSN Legend

UNEQUAL DIA HEADS
A1122 COLUMN, EQUIPMENT ARM, CEILING HEADLAMP
MOUNTED, SURGERY M8606 ENDOSCOPY CART, FIBEROPTIC,
A1130 CABINET, CONTROL, NITROGEN W/ VIDEO ACCESSORIES
A5077 DISPENSER, HAND SANITIZER, M8810 STAND, MAYO
HANDS-FREE M8825 TABLE, INSTRUMENT/DRESSING
A5107 DISPENSER, GLOVE, WALL-MTD M8830 TABLE, INSTRUMENT/DRESSING
M1801 COMPUTER, MICROPROCESSING, SYSTEM
W/ FLAT PANEL MONITOR U0112 IRRIGATION SYSTEM, SURGICAL
M3070 HAMPER, LINEN U0114 COMPRESSION DEVICE,
M3072 FRAME, INFECTIOUS WASTE BAG EXTREMITY PUMP
W/LID U0116 MONITOR, HD, FP, SIZE AS REQUIRED
M3080 CABINET, INSTRUMENT, CRS, U0117 MONITOR, HD, LCD, FP, MEDICAL
2 GLASS DOOR, 6 SHELF GRADE, 55 INCH
M3150 DISTRIBUTION SYSTEM, MEDICATION, U0124 WASTE MANAGEMENT SURGICAL
AUTOMATIC FLUID COLLECTION
M3175 ELECTROSURGICAL UNIT, DUAL U3092 SHARPS DISPOSAL CART,
OUTPUT W FOOT PEDAL
M4255 STAND IV U3094 ROBOTIC SURGICAL SYSTEM
MULTIPLE LINES
SINGLE, LARGE

26' - 10"
A5107
8179mm
DISPENSER, GLOVE,
WALL-MTD
F3200
U0117 CLOCK, BATTERY, 12IN
AS REQUIRED A4015
ELAPSE TIME CLOCK
Elevations 1 & 2
U3094
750 NSF / 69,7 NSM

ROBOTIC SURGICAL SYSTEM
LOW WALL RETURN
AIR REGISTER
A5077
DISPENSER, HAND
SANITIZER, HANDS
FREE
ELEVATION 1
28' - 8"
A1014
TELEPHONE, WALL 8738mm
SPEAKER
M3150
DESIGN GUIDE PLATES

F3050 DISTRIBUTION SYSTEM,

WHITE BOARD, DRY ERASE MEDICATION, AUTOMATIC
M8840 M3080
TABLE, INSTRUMENT/DRESSING CABINET, INSTRUMENT,
SHELF
LOW WALL RETURN

AIR REGISTER
F0355
SCALE: 3/16” = 1’-0” ELEVATION 2 FOOTSTOOL, STRAIGHT
4' 8' 16'
4-134
April 2016
24' - 10"
7569mm
A5107
U3092
DISPENSER, GLOVE,
SHARPS DISPOSAL CART,
WALL-MTD
W FOOT PEDAL
A5077
Elevations 3 & 4
DISPENSER, HAND
SANITIZER, HANDS M4645
FREE PATIENT TRANSFER
750 NSF / 69,7 NSM

U0124 DEVICE
WASTE MANAGEMENT LOW WALL RETURN
SURGICAL FLUID AIR REGISTER
COLLECTION
M8920
ELEVATION 3
M3072 28' - 8"

8738mm
FRAME, INFECTIOUS
WASTE BAG W/LID
M3070 M8900
HAMPER, LINEN CARRIAGE, PAIL
DESIGN GUIDE PLATES

M7650 M8905

DEFIBRILLATOR/ PAIL, UTILITY
AUTO
CART, SURGICAL CASE
E0954
LOW WALL RETURN
AIR REGISTER
M8830
TABLE,
INSTRUMENT/DRESSING
4' 8' 16'
4-135
April 2016

Room Data Sheet

Ceiling Finish:
152 mm)
LIGHTING
Maintained
Average
gasketed frame
CCT, CRI >= 80%, 50%
be 24” x 24”.
packs
switching

POWER Notes:
Normal Power: connect a minimum of 1) Provide connections for articulating utility
12 receptacles to Normal columns.
Power IPS 2) Provide connections for video monitor
Emergency Power: connect a minimum of 24 pendants. Video monitor pendants will be part of
receptacles (red) to IPS the video integration system. The extent of the
connected to Critical Emer- system is to be selected on a project basis.
gency IPS. Connect Task
Illumination, selected recep- HEATING, VENTILATING AND AIR
tacles and fixed equipment CONDITIONING
to Critical Branch of the General Requirement: Refer to Operating Room
EES. data sheet in the current version of the VA HVAC
Notes: Design Manual for room temperatures, humidity
1) Provide IPS power & ground modules – 3 range, room air change requirements, and pres-
duplex receptacles & 3 ground jacks surization
2) IPS Power & ground modules mounted at Notes:
+24” AFF 1) Refer to the HVAC Design Manual for number
3) Provide Laser Receptacle Module. Module and location of low air return grilles and ceiling
shall be connected to Special Equipment IPS diffusers.
Cold Water: No
utility columns.
Hot Water: No
boom for the laser. Laser Surgery special outlet Waste: No
shall be connected to Laser Surgery IPS. Reagent Grade Water: No
Medical Air Yes (2)
COMMUNICATIONS
Data: Yes
Oxygen Yes (4)
Telephone: Yes
Notes:
Duress Alarm: No
Motion Intrusion Detection No reflected ceiling plan.
Nurse Call: Yes on the articulating utility columns as determined
Code Blue: Yes by the project
Public Address: No 4) Medical Gas Zone Valve Boxes are to be
sion (SSTV):
the operating room it serves.
VA Satellite TV: No
Video Teleconferencing No FIRE PROTECTION AND LIFE SAFETY
(VTEL): Fire Alarm: Yes
Special Requirement: Sprinkler: Yes
Group 1


Equipment List

Telephone, Wall
With Speaker
Column, Service,
Ceiling Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 2 C/C
Electric
fied by the user.
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
F3050 1 C/C
Diameter
included).
Anesthesia Appara-
tus, 3 Gas


M0755 4 V/V
and outlets.
Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.


6 Shelf
sloping top.
matic
selected.
Dual Output
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Hypo/Hyperthermia
ual, Mobile
Warming Unit,
Manual, Air


Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V
Large
surgery.
Dia Heads
M7650 1 V/V
nel


optic Headlamp
rail.
procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile


ment/Dressing
M8900 2 V/V
M8905 2 V/V
Stand, Basin, CRS,
Mobile, Double
dures.
Stand, Basin, CRS,
Mobile, Single
M8940 2 V/V
procedures.
patient.
Warmer, Blood, High
Volume
heat exchanger.


6 Section, Trauma
surgery.
ance
lighting.
U0112 1 V/V
Compression Device,
Extremity Pump
Monitor, HD, LCD,
26 inch
Waste Management
lection
Sharps Disposal
Cart, w-Foot Pedal

Robotic, surgical navigation system. System con-

sists of 3 components: Surgeon’s console, patient
cart with four interactive robotic arms, high definition,
3D vision system. Features dual-console capability
Robotic Surgical to support training and collaboration during minimally
U3094 1 V/V
System invasive surgery. 3D HD visualization with up to 10x
magnification and an immersive view of the operative
field. Also provides extensibility for digital OR inte-
gration, Boom compatibility and expandable system
architecture for upgrades and future OR technology.

4.12. OPERATING ROOM, TRANSPLANT (ORTR1)
Axonometric
750 NSF / 69,7 NSM

SEMI-RESTRICTED
CORRIDOR
U0117 A5107
SCRUB ALCOVE A5212 F3200 RETURN AIR
DUCT (TYPICAL)
H T
TV TV
C LOW WALL
RETURN AIR
M8910 REGISTER
(TYPICAL)
M5030 A5077
A4015
M5030
M4815
IPS
1 M8840
M8825 M3175
4 2
M8810 M5512 A1014
3
E0963 R4785
F0355
M8920
M8900 F3050
M4816
M8905 M8810 M8940
M8950
A5107
M4255 U0118
M3072 M8925
8738mm
U0112
28' - 8"
M3109
M4250 M8825
M3070
M8551
M9110 M5030 M3150
M3070
M4266
M4255 M8970
M3080
M4250
M8830
L1095 M4820
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE M8800
M0630
A5108 M8940 M3080
E0954 M7845
M7650 U0124
X2105
M7818
IPS a b Dc
U3092 E0963 M4645 A5077

U0105 A5107
26' - 10"
8179mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM

U0114
M0765 M0765
2O, 3V, 1A, WAGD, 1 NITROUS OXIDE, 6 M0755 M8606
4V, 1 NITROGEN, 1 CO2, 10 EMER
EMER DUPLEX, 4 DATA FACE PLATES M0750 A1130 DUPLEX, 4 DATA FACE PLATES
10' - 0"
M7475
8' - 0" 8' - 0"
AIR CURTAIN
2436mm 2440mm
LAMINAR AIR
FLOW DIFFUSER
ab ab ab ab
4927mm
16' - 2"
M7490
M1801
A1122
2134mm
ab ab (DOCUMEN
7' - 0"
TATION)
8738mm
28' - 8"
M7475
ab ab TABLE
U0116
2134mm
7' - 0"
ab ab
3811mm
12' - 6"
U0116
U0100 ab ab ab ab
(ANESTHESIA) A1120
A1122 (EQUIPMENT)
GASES: 2O, 3V, 1A, WAGD, M1801
1 NITROUS OXIDE A1130 4V, 1 NITROGEN, 1 CO2, 10 EMER
M0765 TABLE
M0765 DUPLEX, 4 DATA FACE PLATES
M0755
12' - 4 3/4" M0750 12' - 5 1/4"
3776mm 3793mm
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”

750 NSF / 69,7 NSM


JSN Legend
JSN DESCRIPTION

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M5030 STOOL, SURGEON, REVOLVING
WITH SPEAKER M5512 LASER, SMOKE EVACUATOR
A1120 COLUMN, SERVICE, PREFAB, M7475 LIGHT, SURGICAL, CEILING
SURGICAL, CEILING MOUNTED MOUNTED, SINGLE, LARGE
A1122 COLUMN, EQUIPMENT ARM, CEILING M7490 LIGHT, SURG, CEILING MTD, DUAL,
MOUNTED, SURGERY UNEQUAL DIA HEADS
A1130 CABINET, CONTROL, NITROGEN M7650 DEFIBRILLATOR/ MONITOR/
A4015 ELAPSE TIME CLOCK RECORDER AUTO
A5077 DISPENSER, HAND SANITIZER, M7818 MONITOR, TRANSPORT
HANDS FREE M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
A5107 DISPENSER, GLOVE, WALL-MTD M8551 LIGHT SOURCE, FIBEROPTIC
A5108 WASTE DISPOSAL UNIT, SHARPS HEADLAMP
A5212 BRACKET, TELEVISION, WALL-MTD, M8606 ENDOSCOPY CART, FIBEROPTIC,
TILT/ANGLE W/ VIDEO ACCESSORIES
E0954 CART, EMERGENCY, MOBILE M8800 CART, ANESTHESIA
E0963 CART, GEN. STORAGE M8810 STAND, MAYO
F0355 FOOTSTOOL, STRAIGHT M8825 TABLE, INSTRUMENT/DRESSING
L1095 CELL SAVER, AUTOLOGOUS BLOOD M8900 CARRIAGE, PAIL
RECOVERY M8905 PAIL, UTILITY
M0630 ANESTHESIA APPARATUS, 3 GAS M8910 CART, SURGICAL CASE
M0750 FLOWMETER, AIR, CONNECT W/50 M8920 STAND, BASIN, DOUBLE
PSI SUPPLY M8925 STAND, BASIN, SINGLE
M0755 FLOWMETER, OXYGEN, LOW FLOW M8940 STOOL, ANESTHESIA, WITH BACK
M0765 REGULATOR, VACUUM M8950 WARMER, BLOOD
M1801 COMPUTER, MICROPROCESSING, M8970 WARMER, BLOOD
W/ FLAT PANEL MONITOR M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3070 HAMPER, LINEN TRAUMA
M3072 FRAME, INFECTIOUS WASTE BAG R4785 ICE MAKER, SURGICAL SLUSH
W/LID U0100 INTEGRATED OPERATING ROOM
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS SYSTEM
DOOR, 6 SHELF U0105 EXTRACORPOREAL SUPPORT
M3109 ELECTROSURGICAL UNIT, DUAL SYSTEM
OUTPUT U0112 IRRIGATION SYSTEM, SURGICAL
M3150 DISTRIBUTION SYSTEM, MEDICATION, U0114 COMPRESSION DEVICE, EXTREMITY
AUTOMATIC PUMP
M3175 ELECTROSURGICAL UNIT, DUAL U0116 MONITOR, HD, FP, SIZE AS REQUIRED
OUTPUT U0117 MONITOR, HD, LCD, FP, MEDICAL
M4250 PUMP SYRINGE, INFUSION GRADE, 55 INCH
M4255 STAND IV U0118 ANALYZER, POINT OF CARE TESTING
M4266 PUMP, VOLUMETRIC, INFUSION, W/DOCKING STATION
MULTIPLE LINES U0124 WASTE MANAGEMENT SURGICAL
M4645 PATIENT TRANSFER DEVICE FLUID COLLECTION
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE U3092 SHARPS DISPOSAL CART,
M4816 WARMING UNIT, PATIENT W FOOT PEDAL
M4820 HEMODIALYSIS UNIT, MOBILE X2105 SCANNER, ULTRASOUND, CARDIAC

26' - 10"
A5077 8179mm
DISPENSER, HAND F3200
SANITIZER, HANDS CLOCK, BATTERY, 12IN
FREE
U0117 26' - 10"
MONITOR, HD, A5077
FP, SIZE 8179mm A4015
AS REQUIRED
DISPENSER, HAND ELAPSE
F3200 TIME CLOCK
HANDS
SANITIZER,A5107 CLOCK, BATTERY, 12IN
FREE
DISPENSER, GLOVE,
U0117
WALL-MTD
LOW WALL RETURN
AS REQUIRED LOW WALL
ELAPSE RETURN
TIME CLOCK
Elevations 1 & 2
A5107
M8910
DISPENSER, GLOVE,
750 NSF / 69,7 NSM

CART, SURGICAL CASE
WALL-MTD
M8910
CART, SURGICAL CASE
ELEVATION 1
F3050 28' - 8"

WHITE BOARD, DRY 8738mm
ERASE
A5107
A1014
DISPENSER, GLOVE,
TELEPHONE, WALL WALL-MTD
F3050
MOUNTED, 1 LINE, WITH 28' - 8"
SPEAKER 8738mm M3080
WHITE BOARD, DRY
DESIGN GUIDE PLATES

ERASE
A5107

A1014
ISOLATION POWER SYSTEM DISPENSER, GLOVE,
SHELF
TELEPHONE, WALL WALL-MTD
SPEAKER M3080
LOW WALL RETURN
LOW WALL RETURN CABINET, INSTRUMENT,
AIR REGISTER
AIR REGISTER CRS, 2 GLASS DOOR, 6
M3150
ISOLATION POWER SYSTEM SHELF
LOW WALL RETURN
LOW WALL RETURN F0355 AIR REGISTER
AIR REGISTER FOOTSTOOL, STRAIGHT M3150
SCALE: 3/16” = 1’-0” ELEVATION 2 MEDICATION, AUTOMATIC
F0355
4' 8' 16'
FOOTSTOOL, STRAIGHT
4-151
April 2016
24' - 10"
U0105 7569mm
EXTRACORPOREAL 24' - 10"
U0105 7569mm
SUPPORT SYSTEM
EXTRACORPOREAL
U0124 E0963
SUPPORT SYSTEM CART, GEN. STORAGE
WASTE MANAGEMENT E0963
U0124
SURGICAL FLUID ISOLATION POWER
WASTE MANAGEMENT CART, GEN. STORAGE
COLLECTION SYSTEM
SURGICAL FLUID ISOLATION POWER
A5077
COLLECTION U3092
SYSTEM
DISPENSER, HAND SHARPS DISPOSAL CART,
Elevations 3 & 4
A5077 U3092
SANITIZER, HANDS W FOOT PEDAL
DISPENSER, HAND
FREE SHARPS DISPOSAL CART,
W FOOT PEDAL
750 NSF / 69,7 NSM

SANITIZER, HANDS
A5107
FREE LOW WALL RETURN
A5107 AIR REGISTER
X2105 LOW WALL RETURN
AIR REGISTER
SCANNER,
X2105
ULTRASOUND, CARDIAC
SCANNER,
M4645
ULTRASOUND, CARDIAC
M4645
ELEVATION 3
28' - 8"
8738mm
28' - 8"
M3070 8738mm
HAMPER, LINEN M3072
M3070 FRAME, INFECTIOUS

M7650
HAMPER, LINEN M3072
WASTE BAG W/LID
DESIGN GUIDE PLATES

DEFIBRILLATOR/ FRAME, INFECTIOUS
M7650

MONITOR/ RECORDER WASTE
M8900 BAG W/LID
DEFIBRILLATOR/
AUTO CARRIAGE, PAIL
M8905
E0954
AUTO CARRIAGE, PAIL
PAIL, UTILITY
CART, EMERGENCY, M8905
E0954 LOW WALL RETURN
MOBILE PAIL, UTILITY
CART, EMERGENCY, AIR REGISTER
MOBILE
AIR REGISTER E0963
AIR REGISTER
LOW WALL RETURN
M8830
AIR REGISTER CART, GEN. STORAGE
E0963
TABLE, CART, GEN. STORAGE
M8830
INSTRUMENT/DRESSING
TABLE, ELEVATION 4
INSTRUMENT/DRESSING
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-152
April 2016

Room Data Sheet

Ceiling Finish:
152 mm)
LIGHTING
Maintained
Slab Depression: None Average
gasketed frame
2) Locate access panels as required to allow CCT, CRI >= 80%, 50%
for the maintenance of surgical booms and lights lamps above Table shall
in facilities without insterstitial space. Min. size to be on emergency battery
be 24” x 24”. packs
4) Nominal wall thickness is shown at 8” (203 switching

POWER Notes:
Normal Power: connect a minimum of 1) Provide connections for articulating utility
12 receptacles to Normal columns.
Power IPS 2) Provide connections for video monitor
Emergency Power: connect a minimum of 24 pendants. Video monitor pendants will be part of
receptacles (red) to IPS the video integration system. The extent of the
connected to Critical Emer- system is to be selected on a project basis.
gency IPS. Connect Task
Illumination, selected recep- HEATING, VENTILATING AND AIR
tacles and fixed equipment CONDITIONING
to Critical Branch of the General Requirement: Refer to Operating Room
EES. data sheet in the current version of the VA HVAC
Notes: Design Manual for room temperatures, humidity
1) Provide IPS power & ground modules – 3 range, room air change requirements, and pres-
duplex receptacles & 3 ground jacks surization
2) IPS Power & ground modules mounted at Notes:
+24” AFF 1) Refer to the HVAC Design Manual for number
3) Provide Laser Receptacle Module. Module and location of low air return grilles and ceiling
shall be connected to Special Equipment IPS diffusers.
Cold Water: No
utility columns.
Hot Water: No
boom for the laser. Laser Surgery special outlet Waste: No
shall be connected to Laser Surgery IPS. Reagent Grade Water: No
Medical Air Yes (2)
COMMUNICATIONS
Data: Yes
Oxygen Yes (4)
Telephone: Yes
Notes:
Duress Alarm: No
Motion Intrusion Detection No reflected ceiling plan.
Nurse Call: Yes on the articulating utility columns as determined
Code Blue: Yes by the project
Public Address: No 4) Medical Gas Zone Valve Boxes are to be
sion (SSTV):
VA Satellite TV: No
Video Teleconferencing No FIRE PROTECTION AND LIFE SAFETY
(VTEL): Fire Alarm: Yes
Special Requirement: Sprinkler: Yes
Group 1


Equipment List

Telephone, Wall
With Speaker
nitrogen, medical air, medical vacuum, gas evacu-
Column, Service,
ation, electrical outlets, monitoring connectors, and
IV holders. Specify type of column (fixed or retract-
Ceiling Mounted
able) and number of outlets required for each service.
and ICU-CCU rooms.
in the OR. Designed to provide equipment placement
support, power receptacles including low-voltage
panels, gas outlets and flat screen mounting for a
Column, Equipment
surgical suite. Unit will provide a range of motion
ed, Surgery
with two (double) retractable arms. Also available are
units for use in anesthesia, ICU and ER.
A1130 2 C/C
Electric
fied by the user.
Dispenser, Hand
For use throughout a healthcare facility. Unit does
A5077 Sanitizer, Hands- 2 V/V
not include the sanitizing liquid. Units are battery
Free
operated.
Dispenser, Glove,
A5107 Surgical/Examina- 3 V/V
tion, Wall Mntd


A5108 1 V/V
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Door
Cart, General Stor-
age, Mobile
2 Drawers, 3”H
4 Drawers, 6”H
F3050 1 C/C
Diameter
included).
Cell Saver, Autolo-
gous Blood Recovery
the patient.


Anesthesia Appara-
tus, 3 Gas
Flowmeter, Air, from central pipeline system. Requires the appropri-
M0750 Connect w/50 PSI 2 V/V ate adapter for connection to the wall outlet and fitting
Supply to connect to tubing. Database prices reflect fittings
M0755 4 V/V
and outlets.
Computer, Micropro-
Monitor


Hamper, Linen, Mo-
bile, w/Lid
M3072 1 V/V
6 Shelf
sloping top.
Electrosurgical/ regulates beam ignition and provides automatic dos-
M3109 Coagulator, Argon 1 V/V ing of power for increased control. The plug and play
Plasma digital instrument recognition technology automati-
matic
selected.
Dual Output
Used in the operating room or surgicenter as an alter-
native to the scalpel for cutting tissue.

The infusion syringe pump ensures highly accurate

volume delivery and consistent flow for small volumes
(<50 ml) of pharmacologic agents or thick feeding
solutions. It shall be small, lightweight construction,
making it transportable. Shall have menu-driven
programming capable of flow rates (e.g. 0.1 or 1.0
mL/hr) that are intended for long-term bedside use
and/or critical care patient transport, plunger position-
M4250 2 V/V ing sensor, LCD display for easy viewing, volume
sion
limit programming to serve as a convenient cue of
volume or dose delivery completion and multiple
solutions.
Pump, Volumetric, with visual and audible alarms and up to 10 hour
M4266 Infusion, Multiple 3 V/V capacity battery. For the administration of a wide
Line variety of therapeutic agents where precise control is
simultaneously.
Patient Transfer
Device
board.
Hypo/Hyperthermia
M4815 Unit, Automatic/ 1 V/V
ture and water levels. Cabinet type unit. Designed to
Manual, Mobile
regulate body temperature by application of water-
Warming Unit,
Manual, Air

Mobile renal dialysis system with a reverse osmosis

water purification unit. The system consists of three
major components: the dialysate delivery system, the
extracorporeal blood delivery circuit (blood pump)
and the dialyzer. The system also has its own moni-
toring and control circuits with temperature controls.
Hemodialysis Unit, An alarm system is automatically activated when
M4820 Mbl, w/Reverse Os- 1 V/V there is changes in pressure or in the existence of
mosis System leaks. Multiple electrical circuits (one for the dialyzer,
one for the reverse osmosis system) may be needed
to power this equipment combination. This dialyzer
is intended for self-contained use in intensive care or
step down units which do not have the water purifica-
tion machinery found in a hemodialysis clinic. See
JSN M1715 for units used in a hemodialysis clinic.
Stool, Surgeon, Re-
M5030 3 V/V mounted on ball bearing swivel casters. Designed for
volving
use in examinations, treatment, and surgical proce-
dures.
M5512 1 V/V
Large
surgery.
Dia Heads


M7650 1 V/V
Monitor, Physi-
M7845 ological, Bedside, 4 1 V/V
Channel
optic Headlamp


rail.
procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile
ment/Dressing
observation of instruments. It comes with 4” diameter
heavy-duty ball bearing brake/swivel casters. Con-
struction is all stainless steel.
M8900 3 V/V
M8905 3 V/V
Stand, Basin, CRS, two continuous inverted “U” shaped tubes, forming
M8920 2 V/V
Mobile, Double four legs and mounted on casters. Circular rings
welded to top receive two removable 8 quart stainless
steel basins. For open heart and other procedures.


Stand, Basin, CRS,
Mobile, Single
M8940 2 V/V
procedures.
patient.
Warmer, Blood, High
Volume
heat exchanger.
Table, Operating, 5
or 6 Section, Trauma
surgery.
R4785 1 V/V
movement.
patient information and communication manage-
ance
ment. Integration can also include the control of some
lighting.


U0105 1 V/V
U0112 1 V/V
Compression Device,
Extremity Pump
tem. Located as part of Light or Boom system or to
Monitor, HD, LCD,
be wall mounted. 26” Monitor mounted on boom arms
or off of Ceiling mounted arms. Exact configuration
26 inch
of the Monitor, inputs and outputs should be verified
that it meets project requirements.
Handheld point of care testing analyzer. Utilizes sin-
Analyzer, Point of gle-use, disposable cartridges for diagnostic testing
U0118 Care Testing w-Dock- 1 V/V to include: Blood gases, electrolytes and chemistries,
ing Station lactate, coagulation, hematology, and cardiac mark-
ers. Cartridges and tests are ordered separately.
Waste Management
lection
Sharps Disposal
Cart, w-Foot Pedal
Cardiac (Echo)

4.13. OPERATING ROOM, MONOPLANE HYBRID (ORHY1)
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM

SEMI-RESTRICTED
SCRUB ALCOVE RETURN AIR
A5107 CORRIDOR A4015
DUCT (TYPICAL)
GM IPS
T H
C LOW WALL
A5077 RETURN AIR
REGISTER
M8940 F3200 (TYPICAL)
M8910 1 M8810
TO
4 2 M8825 CONTROL
TO PUMP
ROOM ROOM
M8920 3 R4785
M4255 M5030 M3175 E0948
M8920 M4266 M8825 BORROWED
M4250 LIGHT
M8925
GM
M8900 L1095
U3092
M8905 F0355
M8800 U0112
A5108 M4255
M3070
8738mm
M4816
28' - 8"
X6190
M9080
M8830
M4645 M7845
M0630 M8940 M4815
M3072 U0105 M4810 X3145
GM
M8970 M8840
U0124
M4812 M5512
M8940
M7650 F3050
E0954
M8551
X2106
M7818 M4811 M8810
M8810
M8950 A1014
M5030 M3109
IPS
U0118
A5077 A5107
GM TV TV
Db Db
M3150 M3165 M3080

32' - 2"
9804mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM

4V, 1
NITROGEN,
1 CO2,
10 EMER
DUPLEX,
4 DATA FACE
PLATES
M0765
A1130
10' - 2" A1122
(EQUIPMENT)
U0100
U0116
2O, 3V, 2A,
1 NITROGEN,
4343mm
14' - 3"
6 EMER DUPLEX,
M1801 ab ab ab ab ab ab 4 DATA FACE
A1122 PLATES
(DOCUMEN M0765
TATION) M0755
M7490 ab ab M0750
A1130
A1122
(PERFUSION)
M7860 ab TABLE
U0114
M0765
M8606
A1130
ab ab A1122
(EQUIPMENT)
2O, 3V, 1A, WAGD, 4V, 1 NITROGEN,
1 NITROUS 1 CO2,
4394mm
14' - 5"
OXIDE, 6 EMER ab ab ab ab ab ab 10 EMER DUPLEX,
DUPLEX, 4 DATA 4 DATA FACE
FACE PLATES PLATES
(ANESTHESIA)
A1120
A1120 M0765
M1801 M0755
M0765 M0750
M0755 (ANESTHESIA)
M0750 2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
15' - 8 3/4" 16' - 5 1/4" DUPLEX, 4 DATA
FACE PLATES
4797mm 5007mm
U0116
TABLE M7475
NOTE: REFER TO ROOM DATA SHEET FOR ACCESS PANELS
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM


JSN Legend
JSN DESCRIPTION MULTIPLE LINES

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4810 HEART/ LUNG MACHINE, BYPASS,
WITH SPEAKER MODULAR
A1120 COLUMN, SERVICE, PREFAB, M4811 PUMP, INTRA-AORTIC, BALLOON
SURGICAL, CEILING MOUNTED M4812 PACEMAKER, SINGLE CHAMBER,
A1122 COLUMN, EQUIPMENT ARM, CEILING EXTERNAL, TEMPORARY
MOUNTED, SURGERY M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
A1130 CABINET, CONTROL, NITROGEN M4816 WARMING UNIT, PATIENT
A4015 ELAPSE TIME CLOCK M5030 STOOL, SURGEON, REVOLVING
A5077 DISPENSER, HAND SANITIZER, M5512 LASER, SMOKE EVACUATOR
HANDS-FREE M7475 LIGHT, SURGICAL, CEILING
A5107 DISPENSER, GLOVE, SURGICAL/ MOUNTED, SINGLE, LARGE
EXAMINATION, WALL MTND M7490 LIGHT, SURG, CEILING MTD, DUAL,
A5108 WASTE DISPOSAL UNIT, SHARPS UNEQUAL DIA HEADS
A5212 BRACKET, TELEVISION WALL MTD, M7650 DEFIBRILLATOR/ MONITOR,
TILT/ANGLE ACUTE CARE
E0948 CART, GENERAL STORAGE, MOBILE M7818 MONITOR, TRANSPORT
E0954 CART, EMERGENCY, MOBILE M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
F0355 FOOTSTOOL, STRAIGHT M7860 MONITORING SYSTEM, CARDIAC
F3050 WHITE BOARD, DRY ERASE CATHETERIZATION LAB
F3200 CLOCK, BATTERY, 12IN M8551 LIGHT SOURCE, FIBEROPTIC
L1095 CELL SAVER, AUTOLOGOUS BLOOD HEADLAMP
RECOVERY M8606 ENDOSCOPY CART, FIBEROPTIC,
M0630 ANESTHESIA APPARATUS, 3 GAS W/ VIDEO ACCESSORIES
M0750 FLOWMETER, AIR, CONNECT W/ 50 M8800 CART, ANESTHESIA
PSI SUPPLY M8810 STAND, MAYO
M0755 FLOWMETER, OXYGEN, LOW FLOW M8825 TABLE, INSTRUMENT/DRESSING
M0765 REGULATOR, VACUUM M8830 TABLE, INSTRUMENT/DRESSING
M1801 COMPUTER, MICROPROCESSING, M8840 TABLE, INSTRUMENT/DRESSING
W/ FLAT PANEL MONITOR M8900 CARRIAGE, PAIL
M3070 HAMPER, LINEN M8905 PAIL, UTILITY
M3072 FRAME, INFECTIOUS WASTE BAG M8910 CART, SURGICAL CASE
W/LID M8920 STAND, BASIN, DOUBLE
M3080 CABINET, INSTRUMENT, CRS, M8925 STAND, BASIN, SINGLE
2 GLASS DOOR, 6 SHELF M8940 STOOL, ANESTHESIA, WITH BACK
M3109 ELECTROSURGICAL UNIT, DUAL M8950 WARMER, BLOOD
OUTPUT M8970 WARMER, BLOOD
M3150 DISTRIBUTION SYSTEM, MEDICATION, M9080 TABLE, OPERATING, PEDESTAL,
AUTOMATIC 5 SECTION
M3165 CABINET, CATHETER STORAGE R4785 ICE MAKER, SURGICAL SLUSH
M3175 ELECTROSURGICAL UNIT, DUAL U0100 INTEGRATED OPERATING ROOM
OUTPUT SYSTEM
M4250 PUMP SYRINGE, INFUSION U0105 EXTRACORPOREAL SUPPORT
M4255 STAND IV SYSTEM

U0114 COMPRESSION DEVICE, EXTREMITY

PUMP
U0116 MONITOR, HD, FP, SIZE AS REQUIRED
U0117 MONITOR, HD, LCD, FP, MEDICAL
GRADE, 55 INCH
U0118 ANALYZER, POINT OF CARE TESTING,
W- DOCKING STATION
U0124 WASTE MANAGEMENT SURGICAL
FLUID COLLECTION
U3092 SHARPS DISPOSAL CART, W FOOT
PEDAL
X2106 SCANNER, ULTRASOUND,
INTRA-CARDIAC, ECHO
X3145 SCREEN, X-RAY, PROTECTIVE,
MOBILE
X6190 RAD/FLOURO UNIT, CARDIAC

32' - 2"
9804mm
ISOLATION POWER SYSTEM F3200

A5107 A5077
DISPENSER, GLOVE, DISPENSER, HAND
WALL-MTD SANITIZER, HANDS FREE
Elevations 1 & 2
A4015
900 NSF / 83,7 NSM

AIR REGISTER
LOW WALL RETURN
AIR REGISTER
M8910
CART, SURGICAL CASE
ELEVATION 1
28' - 8" X3145

8738mm SCREEN, X-RAY,
PROTECTIVE, MOBILE
F3050
A5107
DESIGN GUIDE PLATES

DISPENSER, GLOVE,
E0948

WALL-MTD
CART, GENERAL BORROWED LIGHT A1014
STORAGE, MOBILE
TELEPHONE, WALL
LOW WALL RETURN SPEAKER
AIR REGISTER
F0355
X2106
FOOTSTOOL, STRAIGHT
SCANNER, ULTRASOUND,
M8830 INTRA-CARDIAC, ECHO
TABLE, INSTRUMENT/DRESSING U0124
WASTE MANAGEMENT
SCALE: 3/16” = 1’-0” ELEVATION 2 SURGICAL FLUID
COLLECTION
4' 8' 16'
4-170
April 2016
A5212 32' - 2"
BRACKET, TV, 9804mm
WALL-MOUNTED,
TILT/ANGLE
U0117 M3165
MONITOR, HD, FP, SIZE CABINET, CATHETER
AS REQUIRED STORAGE
A5077
Elevations 3 & 4
DISPENSER, HAND M3150
SANITIZER, HANDS DISTRIBUTION SYSTEM,
900 NSF / 83,7 NSM

FREE MEDICATION, AUTOMATIC
LOW WALL RETURN
AIR REGISTER
M3080
ELEVATION 3 CRS, 2 GLASS DOOR, 6
SHELF
28' - 8"
M3072
8738mm
FRAME, INFECTIOUS M4645
WASTE BAG W/LID
M4812
M3070
PACEMAKER, SINGLE
HAMPER, LINEN
DESIGN GUIDE PLATES

CHAMBER, EXTERNAL,

TEMPORARY M8920
ISOLATION POWER SYSTEM STAND, BASIN, DOUBLE
M7650 LOW WALL RETURN

DEFIBRILLATOR/ AIR REGISTER
MONITOR/ RECORDER
M8905
AUTO
E0954 PAIL, UTILITY
MOBILE CARRIAGE, PAIL
M7818
MONITOR, TRANSPORT
4' 8' 16'
4-171
April 2016

Room Data Sheet

Ceiling Finish: cart or on the equipment boom.
Wall Finish: Gypsum Wallboard (SC) 10) NSF provided for this space is the minimal
152 mm) LIGHTING
Floor Finish: Resinous Flooring Maintained
Slab Depression: As required by imaging Average
modality manufacturer Illumination -
STC (to corridor) Maintained
Average
Doors: Double, Size 6’-0” x 7’-0”
Illumination - Task
(1829 mm x 2133 mm) Wood
Single, Size 4’-0” x 7’-0” Luminaire Type: 2’x4’ Fluorescent or LED,
(1219 mm x 2133 mm) Wood Virgin Acrylic Prismatic
w/ Small View Window Lens, Radio Frequency
gasketed frame
Notes:
1) Shielding is to be provided in all walls, equivalent, 4000K – 4500K
windows and doors. CCT, CRI >= 80%, 50%
2) Locate access panels as required to allow lamps above Table shall
for the maintenance of surgical booms and lights be on emergency battery
in facilities without insterstitial space. Min. size to packs
be 24” x 24”. Controls: dimming or multi-level
3) Cabinetry can be built in or free-standing. switching
4) Nominal wall thickness is shown at 8” (203 Special Surgical Light (connection
mm) to account for a variety of wall-mounted Requirement: only)
panels, such as isolation power unit panels, that
Notes:
require a thicker partition.
5) Include wall extensions at both sides of
cart and stretcher traffic in the semi-restricted 2) Coordinate structural supports, utility
corridor. connections and other requirements for surgical
6) Coordinate structural supports, utility lighting pendants with manufacturer.
connections and other requirements for surgical 3) CCT shall match the color temperature of
lighting pendants with manufacturer. surgical light(s).
7) Equipment and Anesthesia booms are du- POWER
plicated to provide maximum flexibility. If dupli- Normal Power: connect a minimum of
cate booms are not desired, they can be omitted 12 receptacles to Normal
subject to approval by clinical leadership. Power IPS

Emergency Power: connect a minimum of 24 HEATING, VENTILATING AND AIR

receptacles (red) to IPS CONDITIONING
gency IPS. Connect Task General Requirement: Refer to Operating Room
Illumination, selected re- data sheet in the current version of the VA HVAC
ceptacles and fixed equip- Design Manual for room temperatures, humidity
ment to Critical Branch of range, room air change requirements, and pres-
the EES. surization
Notes: Notes:
1) Provide IPS power & ground modules – 3 1) Refer to the HVAC Design Manual for
duplex receptacles & 3 ground jacks number and location of low air return grilles and
ceiling diffusers.
2) IPS Power & ground modules mounted at
+24” AFF 2) Room does not contain multiple slot diffus-
ers and uses laminar flow perforated face outlets
3) Provide Laser Receptacle Module. Module only for supply air.
located outside the Surgery Room. 3) Suggested minimum laminar flow array over
the entire sterile field area as imaging equipment
4) Provide power connections for articulating gantry creates excessive turbulence. Mechanical
utility columns. design engineer shall be responsible to design
5) Provide 220V Receptacle on the equipment the array in such manner as to minimize turbu-
boom for the laser. Laser Surgery special outlet lence and to maintain the sterile aseptic field.
shall be connected to Laser Surgery IPS.
COMMUNICATIONS
Cold Water: No
Data: Yes
Hot Water: No
Telephone: Yes
Waste: No
Duress Alarm: No
Medical Air Yes (4)
Electronic Access and Door Yes
Control: Medical Vacuum Yes (17)
Intercom: Yes (Phone) Oxygen Yes (6)
Motion Intrusion Detection No Special Requirement:
(MID): Notes:
Nurse Call: Yes 1) Provide Waste Anesthesia Gas Disposal
Code Blue: Yes (WAGD), Nitrogen (3), Nitrous Oxide (2), Carbon
Dioxide (2).
Public Address: No
2) For gas quantities per boom refer to the
Security Surveillance Televi- No reflected ceiling plan.
sion (SSTV):
3) Nitrogen Control Cabinets are to be located
VA Satellite TV: No on the articulating utility columns as determined
Video Teleconferencing No by the project
(VTEL): 4) Medical Gas Zone Valve Boxes are to be
Special Requirement: provided in accordance with NFPA 99. Locate
Notes: this cabinet in the semi-restricted corridor near
1) Provide connections for articulating utility
columns. FIRE PROTECTION AND LIFE SAFETY
2) Provide connections for video monitor Fire Alarm: Yes
pendants. Video monitor pendants will be part of
the video integration system. The extent of the Sprinkler: Yes
system is to be selected on a project basis. Hazard Type: Ordinary Hazard
Group 1


Equipment List

Telephone, Wall
With Speaker
Column, Service,
Ceiling Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 3 C/C
Electric
fied by the user.
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
F3050 1 C/C
Diameter
included).
Cell Saver, Autolo-
gous Blood Recovery
the patient.


Anesthesia Appara-
tus, 3 Gas
M0755 6 V/V
and outlets.
Computer, Micropro-
Monitor


Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.
6 Shelf
sloping top.
matic
selected.
A cabinet to be used for the hanging storage of
catheters. Cabinet comes with adjustable laminate
Cabinet, Catheter
M3165 2 V/V shelves, slide-out arms equipped with hangers to
Storage
hold various size catheters, and doors. Door locks
are an optional accessory.
Dual Output


sion
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Heart/Lung Machine,
Bypass, Modular


M4811 1 V/V
A single chamber, external temporary pacemaker de-
signed to provide acute therapeutic, prophylactic, and
Pacemaker, Single
diagnostic pacing support. It is capable of operating
in the demand or asynchronous modes and includes
Temporary
adjustable rate, output, and sensing controls. Battery
operated.
Hypo/Hyperthermia
ual, Mobile
Warming Unit,
Manual, Air
Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V


Large
surgery.
Dia Heads
M7650 1 V/V
nel

Computerized monitoring system for use in cardiac

catheterization labs and cardio-thoracic operating
rooms. The system can display up to 32 different
waveforms simultaneously, perform calculations of
hemodynamic parameters, valve areas and cardiac
output, archive procedure results and accept inputs
from a variety of monitoring devices. The installed
system can also include remote monitors/terminals
Monitoring System,
and additional workstations and may interface with
M7860 Cardiac Catheteriza- 1 V/V
hospital-wide physiological monitoring or clinical
tion Lab
information systems. The system includes sev-
eral configurations in different locations. Database
physical dimensions reflect the largest of these
work centers. The estimated total 20 amp electrical
requirements will be spread across several circuits in
several locations. The system price varies greatly on
the size and sophistication of the end user’s require-
ments.
optic Headlamp
rail.


procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile
ment/Dressing
M8900 3 V/V
M8905 3 V/V
Stand, Basin, CRS,
Mobile, Double
dures.
Stand, Basin, CRS,
Mobile, Single


M8940 3 V/V
procedures.
patient.
Warmer, Blood, High
Volume
heat exchanger.
M9080 1 V/V
procedures.
R4785 1 V/V
movement.
ance
lighting.
U0105 1 V/V
U0112 1 V/V

Compression Device,
Extremity Pump
Monitor, HD, LCD,
26 inch
Analyzer, Point of
ing Station
separately.
Waste Management
lection
Sharps Disposal
Cart, w-Foot Pedal
A portable cardiovascular ultrasound with full diag-
nostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an inte-
X2106 1 V/V grated EchoPAC with data review, analysis, patient
Intra-Cardiac Echo
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.

Mobile X-ray protective screen/barrier. The X-ray

barrier provides optically-clear visibility while shield-
ing medical personnel from scatter radiation. Its
large clear Pb lead-plastic or acrylic window offers
Screen, X-Ray, Pro- 0.5 mm lead-equivalent protection to the user’s
X3145 1 V/V
tective, Mobile head and upper body. The unit is used for effective
radiation protection of department personnel during
vascular or other procedures. This unit can fit any
application with its mobility. Adjustable screens are
also available.
This system is specifically designed to perform
biplane radiographic/fluoroscopic examinations in
the Cardiology Department. On-line digital cardiac
image processing will provide instant availability of
images for review. This units characteristics and
components include 100 kW micro-processor con-
trolled X-ray generators, C-arm and U arm with 9”
Radiographic/Fluoro multi-field Image Intensifier, integrated X-ray tube unit
X6190 Unit, Cardiac, 100 1 V/V and cine camera. The Digital Imaging for both the
kW, Digital AP and Lateral planes shall consists of a computer,
keyboard with acquisition, viewing monitor, and slave
monitor. The system shall be DICOM 3.0 compat-
ible, for easy linkage to filmless image management
systems and review stations. It is recommended that
the TV monitors be ceiling suspended. System to be
procured with Cardiac Cath Lab computerized analy-
sis/monitoring system.

4.14. OPERATING ROOM, BIPLANE HYBRID (ORHY2)
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM

SEMI-RESTRICTED RETURN AIR

SCRUB ALCOVE
CORRIDOR DUCT (TYPICAL)
A4015
GM
T H
IPS C LOW WALL
RETURN AIR
A5077 REGISTER
(TYPICAL)
A5107 F3200
M8910 M8940
R4785 TO
TO PUMP CONTROL
ROOM M8920 M5030 M8810 ROOM
M4250
M4255 M8825
M4266
M3175
L1095 E0948
M8900 M8825
M8905 M8925
GM
A5108
U3092
GM
M8800
M3070 M8830
M4816
8738mm
28' - 8"
M8940 F0355
M4815
M3072
M4645 BORROWED
M4255 LIGHT
M0630 M5030
M8920 U0112 X3145
M7845
M8840
X6175
M5512 U0124
M4812 M9080
E0954 U0114 M8810
M8940 X2106
M7650 M8551 M3109
M8551
M8970 M8950 F3050
M7818 1 U0105 M8810
M4811 M4810 A1014
4 2 U0118
IPS
3
A5077 A5107
GM TV TV
Da Db
M3150 M3165 M3080
32' - 2"
9804mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM

4V, 1 NITROGEN,
1 CO2, 10 EMER
DUPLEX, 4 DATA
FACE PLATES
M0765
10' - 2"
A1130
A1122
(EQUIPMENT)
U0100
U0116
M7490
4369mm
2O, 3V, 2A, 1
14' - 4"
ab ab ab ab ab NITROGEN, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
M1801
M0765
A1122
ab M0755
(DOCUMEN ab
M0750
TATION)
A1130
A1122
(PERFUSION)
M7860 ab TABLE
U0114
M0765
M8606
2O, 3V, 1A, WAGD, A1130
1 NITROUS ab ab A1122
OXIDE, 6 EMER
DUPLEX, 4 DATA (EQUIPMENT)
FACE PLATES 4V, 1 NITROGEN,
1 CO2, 10 EMER
4369mm
(ANESTHESIA)
14' - 4"
ab ab ab ab ab DUPLEX, 4 DATA
A1120 FACE PLATES
M1801
M0765 A1120
M0755 M0765
M0750 M0755
M0750
(ANESTHESIA)
2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
13' - 8" 18' - 6" FACE PLATES
4165mm 5639mm
M7475
TABLE U0116
NOTE: REFER TO ROOM DATA SHEET FOR ACCESS PANELS
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM


JSN Legend
JSN DESCRIPTION MULTIPLE LINES

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4810 HEART/ LUNG MACHINE, BYPASS,
WITH SPEAKER MODULAR
A1120 COLUMN, SERVICE, PREFAB, M4811 PUMP, INTRA-AORTIC, BALLOON
SURGICAL, CEILING MOUNTED M4812 PACEMAKER, SINGLE CHAMBER,
A1122 COLUMN, EQUIPMENT ARM, CEILING EXTERNAL, TEMPORARY
MOUNTED, SURGERY M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
A1130 CABINET, CONTROL, NITROGEN M4816 WARMING UNIT, PATIENT
A4015 ELAPSE TIME CLOCK M5030 STOOL, SURGEON, REVOLVING
A5077 DISPENSER, HAND SANITIZER, M5512 LASER, SMOKE EVACUATOR
HANDS-FREE M7475 LIGHT, SURGICAL, CEILING MOUNTED,
A5107 DISPENSER, GLOVE, SURGICAL/ SINGLE, LARGE
EXAMINATION, WALL MNTD M7490 LIGHT, SURG, CEILING MTD, DUAL,
A5108 WASTE DISPOSAL UNIT, SHARPS UNEQUAL DIA HEADS
A5212 BRACKET, TELEVISION WALL MTD, M7650 DEFIBRILLATOR/ MONITOR, ACUTE
TILT/ANGLE CARE
E0948 CART, GENERAL STORAGE, MOBILE M7818 MONITOR, TRANSPORT
E0954 CART, EMERGENCY, MOBILE M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
F0355 FOOTSTOOL, STRAIGHT M7860 MONITORING SYSTEM, CARDIAC
F3050 WHITE BOARD, DRY ERASE CATHETERIZATION LAB
F3200 CLOCK, BATTERY, 12IN M8551 LIGHT SOURCE, FIBEROPTIC
L1095 CELL SAVER, AUTOLOGOUS BLOOD HEADLAMP
RECOVERY M8606 ENDOSCOPY CART, FIBEROPTIC,
M0630 ANESTHESIA APPARATUS, 3 GAS W/ VIDEO ACCESSORIES
M0750 FLOWMETER, AIR, CONNECT W/ 50 M8800 CART, ANESTHESIA
PSI SUPPLY M8810 STAND, MAYO
M0755 FLOWMETER, OXYGEN, LOW FLOW M8825 TABLE, INSTRUMENT/DRESSING
M0765 REGULATOR, VACUUM M8830 TABLE, INSTRUMENT/DRESSING
M1801 COMPUTER, MICROPROCESSING, M8840 TABLE, INSTRUMENT/DRESSING
W/ FLAT PANEL MONITOR M8900 CARRIAGE, PAIL
M3070 HAMPER, LINEN M8905 PAIL, UTILITY
M3072 FRAME, INFECTIOUS WASTE BAG M8910 CART, SURGICAL CASE
W/LID M8920 STAND, BASIN, DOUBLE
M3080 CABINET, INSTRUMENT, CRS, M8925 STAND, BASIN, SINGLE
2 GLASS DOOR, 6 SHELF M8940 STOOL, ANESTHESIA, WITH BACK
M3109 ELECTROSURGICAL UNIT, DUAL M8950 WARMER, BLOOD
OUTPUT M8970 WARMER, BLOOD
M3150 DISTRIBUTION SYSTEM, MEDICATION, M9080 TABLE, OPERATING, PEDESTAL,
AUTOMATIC 5 SECTION
M3165 CABINET, CATHETER STORAGE R4785 ICE MAKER, SURGICAL SLUSH
M3175 ELECTROSURGICAL UNIT, DUAL U0100 INTEGRATED OPERATING ROOM
OUTPUT SYSTEM
M4250 PUMP SYRINGE, INFUSION U0105 EXTRACORPOREAL SUPPORT
M4255 STAND IV SYSTEM

U0114 COMPRESSION DEVICE, EXTREMITY

PUMP
U0116 MONITOR, HD, FP, SIZE AS REQUIRED
U0117 MONITOR, HD, LCD, FP, MEDICAL
GRADE, 55 INCH
U0118 ANALYZER, POINT OF CARE TESTING,
W- DOCKING STATION
U0124 WASTE MANAGEMENT SURGICAL
FLUID COLLECTION
U3092 SHARPS DISPOSAL CART, W FOOT
PEDAL
X2106 SCANNER, ULTRASOUND,
INTRA-CARDIAC
X3145 SCREEN, X-RAY, PROTECTIVE,
MOBILE
X6175 RADIOGRAPHIC/FLOURO UNIT,
ANGIO, BIPLANE, DIGITAL

32' - 2"
9804mm
32' - 2"
9804mm F3200
ISOLATION POWER
SYSTEM A5077
F3200
A5107 DISPENSER, HAND
ISOLATION POWER
DISPENSER, GLOVE, SANITIZER, HANDS FREE
SYSTEM
WALL-MTD A5077
A4015
Elevations 1 & 2
A5107
LOW WALL RETURN DISPENSER,
ELAPSE TIMEHAND
CLOCK
AIR REGISTER
DISPENSER, GLOVE, SANITIZER, HANDS FREE
LOW WALL RETURN
WALL-MTD A4015
900 NSF / 83,7 NSM

M8910 AIR REGISTER
CART, SURGICAL CASE
AIR REGISTER
LOW WALL RETURN
M8910 AIR REGISTER
CART, SURGICAL CASE
ELEVATION 1
28' - 8" X3145

8738mm SCREEN, X-RAY,
PROTECTIVE, MOBILE
28' - 8" X3145
F3050
M8830 8738mm SCREEN,
WHITE BOARD,
X-RAY,DRY ERASE
TABLE, PROTECTIVE,
A5107 MOBILE
INSTRUMENT/DRESSING
DESIGN GUIDE PLATES

F3050

M8830 WHITE
A1014BOARD, DRY ERASE
TABLE, BORROWED LIGHT A5107
INSTRUMENT/DRESSING TELEPHONE, WALL
MOUNTED,
DISPENSER,1 GLOVE, WALL-MTD
LINE, WITH
SPEAKER
A1014
F0355 BORROWED LIGHT LOW WALL RETURN
TELEPHONE, WALL
FOOTSTOOL, STRAIGHT AIR REGISTER
LOW WALL RETURN SPEAKER
X2106
AIR REGISTER
F0355 RETURN
SCANNER,
LOW WALL ULTRASOUND,
FOOTSTOOL, STRAIGHT
E0948 AIR REGISTER
INTRA-CARDIAC
LOWCART, RETURN
WALLGENERAL U0124
X2106
AIR REGISTER
STORAGE, MOBILE WASTE MANAGEMENT
SCANNER, ULTRASOUND,
E0948 SURGICAL FLUID
INTRA-CARDIAC
SCALE: 3/16” = 1’-0” ELEVATION 2 COLLECTION
CART, GENERAL U0124
STORAGE, MOBILE WASTE MANAGEMENT
4' 8' 16'
SURGICAL FLUID
4-191
April 2016
COLLECTION
A5212 32' - 2"
BRACKET, TV, 9804mm
WALL-MOUNTED,
A5212 32' - 2"
TILT/ANGLE
BRACKET, 9804mm
U0117TV, M3165
WALL-MOUNTED,
TILT/ANGLE CABINET, CATHETER
AS REQUIRED
U0117 STORAGE
M3165
MONITOR, HD, A5077
FP, SIZE CABINET, CATHETER
AS REQUIRED
DISPENSER, HAND STORAGE
M3150
HANDS
SANITIZER,A5077
Elevations 3 & 4
FREE
DISPENSER, HAND MEDICATION,
M3150 AUTOMATIC
SANITIZER,
LOW HANDS
WALL RETURN
LOW WALL RETURN
900 NSF / 83,7 NSM

FREE
AIR REGISTER
MEDICATION,
AIR REGISTERAUTOMATIC
LOW WALL RETURN
M3080
LOW WALL RETURN
AIR REGISTER
AIR REGISTER
CRS, 2
M3080GLASS DOOR, 6
SHELF
SHELF
ELEVATION 3
28' - 8"
8738mm
M4645
M8920 28' - 8"
PATIENT TRANSFER
STAND, BASIN, DOUBLE 8738mm
DEVICE
M4645
M8920
PATIENT
M3072 TRANSFER
STAND, BASIN, M4812
DOUBLE
PACEMAKER, SINGLE FRAME,
DEVICE INFECTIOUS
WASTE
DESIGN GUIDE PLATES

CHAMBER, EXTERNAL,
M4812 M3072 BAG W/LID

TEMPORARY FRAME,
M3070 INFECTIOUS
PACEMAKER, SINGLE
M7650
CHAMBER, EXTERNAL, HAMPER,
WASTE BAGLINEN
W/LID
TEMPORARY
M8905
MONITOR/ RECORDER
M7650 HAMPER,
PAIL, LINEN
UTILITY
AUTO
LOW WALL RETURN
M7818
MONITOR/ RECORDER AIR
PAIL,REGISTER
UTILITY
AUTO
MONITOR, TRANSPORT M8900
LOW WALL RETURN
M7818
E0954 AIR REGISTER
CARRIAGE, PAIL
MONITOR, TRANSPORT
MOBILE
E0954 CARRIAGE, PAIL
CART, EMERGENCY,
= 1’-0”
SCALE: 3/16”MOBILE ELEVATION 4
4' 8' 16'
4-192
April 2016

Room Data Sheet

scopes and other instrumentation as necessi-
Ceiling Type: Gypsum Wallboard (SC)
Ceiling Finish: cart or on the equipment boom.
Wall Finish: Gypsum Wallboard (SC) 10) NSF provided for this space is the minimal
152 mm) LIGHTING
Floor Finish: Resinous Flooring Maintained
Slab Depression: As required by imaging Average
modality manufacturer Illumination -
STC (to corridor) Maintained
Average
Doors: Double, Size 6’-0” x 7’-0” Illumination - Task
(1829 mm x 2133 mm) Wood Focus: 3000 Lux (300 FC) on Table
Single, Size 4’-0” x 7’-0” Luminaire Type: 2’x4’ Fluorescent or LED,
(1219 mm x 2133 mm) Wood Virgin Acrylic Prismatic
w/ Small View Window Lens, Radio Frequency
Special Requirement: gasketed frame
Notes: Lamps: 6 Fluorescent or LED
1) Shielding is to be provided in all walls, equivalent, 4000K – 4500K
windows and doors. CCT, CRI >= 80%, 50%
2) Locate access panels as required to allow lamps above Table shall
for the maintenance of surgical booms and lights be on emergency battery
in facilities without insterstitial space. Min. size to packs
be 24” x 24”. Controls: dimming or multi-level
3) Cabinetry can be built in or free-standing. switching
4) Nominal wall thickness is shown at 8” (203 Special Surgical Light (connection
mm) to account for a variety of wall-mounted Requirement: only)
panels, such as isolation power unit panels, that Notes:
5) Include wall extensions at both sides of ceiling obstructions
cart and stretcher traffic in the semi-restricted 2) Coordinate structural supports, utility
corridor. connections and other requirements for surgical
6) Coordinate structural supports, utility lighting pendants with manufacturer.
connections and other requirements for surgical 3) CCT shall match the color temperature of
lighting pendants with manufacturer. surgical light(s).
7) Equipment and Anesthesia booms are du- POWER
cate booms are not desired, they can be omitted Normal Power: connect a minimum of
subject to approval by clinical leadership. 12 receptacles to Normal
Power IPS

Emergency Power: connect a minimum of HEATING, VENTILATING AND AIR

24 receptacles (red) to CONDITIONING
IPS connected to Critical General Requirement: Refer to Operating Room
Emergency IPS. Connect data sheet in the current version of the VA HVAC
Task Illumination, selected Design Manual for room temperatures, humidity
receptacles and fixed range, room air change requirements, and pres-
equipment to Critical surization
Branch of the EES.
Notes:
Notes:
1) Refer to the HVAC Design Manual for
1) Provide IPS power & ground modules – 3 number and location of low air return grilles and
duplex receptacles & 3 ground jacks ceiling diffusers.
2) IPS Power & ground modules mounted at 2) Room does not contain multiple slot diffus-
+24” AFF ers and uses laminar flow perforated face outlets
3) Provide Laser Receptacle Module. Module only for supply air.
shall be connected to Special Equipment IPS 3) Suggested minimum laminar flow array over
located outside the Surgery Room. the entire sterile field area as imaging equipment
4) Provide power connections for articulating gantry creates excessive turbulence. Mechanical
utility columns. design engineer shall be responsible to design
5) Provide 220V Receptacle on the equipment the array in such manner as to minimize turbu-
boom for the laser. Laser Surgery special outlet lence and to maintain the sterile aseptic field.
shall be connected to Laser Surgery IPS. PLUMBING AND MEDICAL GASES
COMMUNICATIONS Cold Water: No
Data: Yes Hot Water: No
Telephone: Yes Waste: No
Cable Television: No Reagent Grade Water: No
Duress Alarm: No Medical Air Yes (4)
Electronic Access and Door Yes Medical Vacuum Yes (17)
Control:
Oxygen Yes (6)
Intercom: Yes (Phone)
Notes:
(MID):
Nurse Call: Yes
(WAGD), Nitrogen (3), Nitrous Oxide (2), Carbon
Code Blue: Yes Dioxide (2).
Public Address: No 2) For gas quantities per boom refer to the
Security Surveillance Televi- No reflected ceiling plan.
sion (SSTV): 3) Nitrogen Control Cabinets are to be located
VA Satellite TV: No on the articulating utility columns as determined
Video Teleconferencing No by the project
(VTEL): 4) Medical Gas Zone Valve Boxes are to be
Special Requirement: provided in accordance with NFPA 99. Locate
Notes: the operating room it serves.
columns.
Fire Alarm: Yes
2) Provide connections for video monitor
pendants. Video monitor pendants will be part of Sprinkler: Yes
the video integration system. The extent of the Hazard Type: Ordinary Hazard
system is to be selected on a project basis. Group 1


Equipment List

Telephone, Wall
With Speaker
Column, Service,
Ceiling Mounted
and ICU-CCU rooms.
Column, Equipment
ed, Surgery
A1130 3 C/C
Electric
fied by the user.
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd


A5108 1 V/V
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
F3050 1 C/C
Diameter
included).
Cell Saver, Autolo-
gous Blood Recovery
the patient.


Anesthesia Appara-
tus, 3 Gas
M0755 6 V/V
and outlets.
Computer, Micropro-
Monitor


Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.
6 Shelf
sloping top.
matic
selected.
A cabinet to be used for the hanging storage of
catheters. Cabinet comes with adjustable laminate
Cabinet, Catheter
M3165 2 V/V shelves, slide-out arms equipped with hangers to
Storage
hold various size catheters, and doors. Door locks
are an optional accessory.
Dual Output


sion
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Heart/Lung Machine,
Bypass, Modular


M4811 1 V/V
Pacemaker, Single
Temporary
operated.
Hypo/Hyperthermia
ual, Mobile
Warming Unit,
Manual, Air
Stool, Surgeon, Re-
volving
procedures.
M5512 1 V/V


Large
surgery.
Dia Heads
M7650 1 V/V
nel


Monitoring System,
tion Lab
ments.
optic Headlamp
rail.


procedure rooms.
casters.
Table, Instrument/
Dressing, Mobile
ment/Dressing
M8900 3 V/V
M8905 3 V/V
Stand, Basin, CRS,
Mobile, Double
dures.
Stand, Basin, CRS,
Mobile, Single


M8940 3 V/V
procedures.
patient.
Warmer, Blood, High
Volume
heat exchanger.
M9080 1 V/V
procedures.
R4785 1 V/V
movement.
ance
lighting.
U0105 1 V/V
U0112 1 V/V

Compression Device,
Extremity Pump
Monitor, HD, LCD,
26 inch
Analyzer, Point of
ing Station
separately.
Waste Management
lection
Sharps Disposal
Cart, w-Foot Pedal
Intra-Cardiac Echo


ing medical personnel from scatter radiation. Its
large clear Pb lead-plastic or acrylic window offers
Screen, X-Ray, Pro- 0.5 mm lead-equivalent protection to the user’s
X3145 1 V/V
tective, Mobile head and upper body. The unit is used for effective
radiation protection of department personnel during
vascular or other procedures. This unit can fit any
application with its mobility. Adjustable screens are
also available.
the Special Procedures Department. On-line digital
angio image processing will provide instant avail-
ability of images for review. This units characteristics
and components include: 100 kW micro-processor
Radiographic/Fluoro controlled X-ray generators, C-arm and U arm with
X6175 Unit, Angio, Biplane, 1 V/V 9” multi-field Image Intensifier, integrated X-ray tube
Digital unit. The Digital Spot Imaging for both the AP and
Lateral planes shall consist of a computer, keyboard
with acquisition and viewing monitor and a slave
the TV monitors be ceiling suspended.

4.15. CONTROL ROOM, HYBRID OR (ORHC1)
Axonometric
220 NSF / 20,5 NSM

SEMI-RESTRICTED
CORRIDOR
Dc
a b
C
T
X3150
F3200
RACK, APRON-GLOVES, WALL-MTD
TO OR /
PROCEDURE
ROOM
A1012 A5145
TELEPHONE, WALL MOUNTED, 1 LINE HOOK, GARMENT, DOUBLE
BORROWED LIGHT
A6110 F0275
COUNTER, CONSOLE, COMMUNICATION CHAIR, SWIVEL, HIGH BACK
M1801
8839mm
F0275
29' - 0"
MONITOR CHAIR, SWIVEL, HIGH BACK
(PART OF SYSTEM) M7860

F0275
MONITORING SYSTEM, CARDIAC CATHETERIZATION LAB
CHAIR, SWIVEL, HIGH BACK
M1825
PRINTER, COMPUTER
M1801
F0275
MONITOR
1
F3050
WHITE BOARD, DRY ERASE F0275
X4112 CHAIR, SWIVEL, HIGH BACK
CONSOLE, PACS, REMOTE VIEW, 2 MONITORS
CT030
COUNTER, HIGH PRESSURE LAMINATE
X1425
IMAGER, LASER
7' - 6"
2286mm
SCALE: 3/16” = 1’-0”

220 NSF / 20,5 NSM

ab
c
9' - 0"
S
ab
DT
8839mm
29' - 0"
c
ab
ab
7' - 6"
2286mm
SCALE: 3/16” = 1’-0”

220 NSF / 20,5 NSM

Elevation 1
29' - 0" M1801
M7860
8839mm COMPUTER,
MONITORING SYSTEM,
MICROPROCESSING, W/
220 NSF / 20,5 NSM

CARDIAC
FLAT PANEL MONITOR
CATHETERIZATION LAB
A6110
M1825
COUNTER, CONSOLE,
PRINTER, COMPUTER COMMUNICATION
M1801
COMPUTER, A1012
MICROPROCESSING, W/ TELEPHONE, WALL
FLAT PANEL MONITOR MOUNTED, 1 LINE
F3050
BORROWED LIGHT X3150
X4112 RACK, APRON-GLOVES,
9' - 0"
WALL-MTD
2743mm
CONSOLE, PACS,
REMOTE VIEW, 2
MONITORS F0275
CT030 CHAIR, SWIVEL, HIGH

COUNTER, HIGH BACK
PRESSURE LAMINATE
X1425 F2000
DESIGN GUIDE PLATES

IMAGER, LASER BASKET, WASTEPAPER,

ROUND, METAL
F0275
F0275
F0275
F0275
F2000
BASKET, WASTEPAPER,
ROUND, METAL
ELEVATION 1
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-210
April 2016

Room Data Sheet
ARCHITECTURAL Special Surgical Light (connection

Ceiling Type: Gypsum Wallboard (SC) Requirement: only)
Ceiling Height: 9’-0” (2700mm) Notes:
Ceiling Finish: 1) Coordinate location of luminaires with other
Wall Finish: Gypsum Wallboard (SC) ceiling obstructions.
Wainscot: POWER
Base: RF Integral Base (min. 6”/ Normal Power: To be connected to selected
152 mm) receptacles and equipment.
Floor Finish: Resinous Flooring Emergency Power: Critical branch of the EES
Slab Depression: None to be connected to selected
Sound Protection: None receptacles and equipment.
Doors: Single, Size 3’-0” x 7’-0” (914 Notes:

mm x 2133 mm) Wood 1) Provide a duplex receptacle per computer
Special Requirement: location connected to Emergency.
Notes: 2) Provide convenience duplex receptacle on
normal power.
1) Shielding is to be provided in the wall to the
hybrid operating room. COMMUNICATIONS
2) Consult with equipment manufacturer for
Data: Yes
countertop requirements
Telephone: Yes
Average
Electronic Access and Door No
Illumination -
Control:
Intercom: No
Maintained
Focus: 700 Lux (70 FC) on Table Nurse Call: No
Luminaire Type: 2’x4’ Fluorescent or LED, Code Blue:
Virgin Acrylic Prismatic Lens, Public Address: Yes
Radio Frequency Filter,
sealed housing, gasketed Security Surveillance Televi- No
frame and 6” fluorescent sion (SSTV):
or LED downlight. VA Satellite TV: No
Lamps: 4 Fluorescent or LED Video Teleconferencing No
equivalent, 3500K – (VTEL):
4100K CCT, CRI >= 80%,
50% lamps shall be on
emergency battery packs
switching



CONDITIONING
General Requirement: Refer to Controls &
Communication Center Room data sheet in the
current version of the VA HVAC Design Manual
change requirements, and pressurization

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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
Mounted, 1 Line
Counter, console, communications. Consists of
one 18” wide base cabinet with two drawers and file
drawer, one 30” wide pencil drawer and one 18” wide
Counter, Console, base cabinet with four drawers. The countertop shall
A6110 1 C/C
Communications be a composition of wood particle core with plastic
laminate surface having a hard smooth surface finish,
standard thickness of 1” and a 4” butt backsplash/
curb.
High pressure laminate countertop (composition of
wood particle core with plastic laminate surface) hav-
ing a hard smooth surface finish, standard thickness
of 1”, and a 4” butt backsplash/curb. Also referred
Countertop, High to as a work surface or work top. Available in a
CT030 12 C/C
Pressure Laminate wide choice of colors, patterns, and depths. Used in
general purpose areas requiring a basic work sur-
face arrangement with limited heat resistance and
poor chemical resistance. Pricing based upon a 24”
depth.
Highback contemporary swivel chair, 41” high X 23”
wide X 23” deep with five (5) caster swivel base and
Chair, Swivel, High
F0275 5 V/V arms. Chair may be used at desks or in conference
Back
rooms. Back and seat are foam padded and uphol-
stered with either woven textile fabric or vinyl.
Basket, Wastepaper,
Round, Metal
tions.
F3050 1 C/C


Diameter
included).
Computer, Micropro-
Monitor
High resolution computer printer with a variety of type
styles and sheet/envelope feeder trays. Database in-
formation reflects network ready, medium duty office
M1825 Printer, Computer 1 V/V
style laser printers. Other types of printers (bubble
jet, dot matrix, line or plotter) as well as light or heavy
use capabilities are available.
Monitoring System,
tion Lab
ments.
Laser imager. Solid state laser that provides high
resolution images of superior quality and accuracy.
An infrared laser beam is scanned across each film
Imager, Laser (1024 by a precision rotating polygon, while correcting
X1425 1 V/V
X 1024) (Din/PACS) optics focus and control the beam’s intensity. Can
be interfaced to as many as eight (8) modalities with
interface kit. For use with digital output imaging
modalities.

Apron and gloves rack. This is a wall unit which

holds aprons and gloves. The body is heavy gauge
steel finish in gray or green baked enamel, glove and
Rack, Apron/Gloves,
X3150 2 C/C apron holding arms are aluminum. The unit’s con-
Wall Mounted
venient on wall storage will prolong the useful life of
your protection aprons by helping prevent damage to
internal components.
Two monitor remote viewing station for picture ar-
chiving and retrieval (PACS) system. This station is
for use by providers inside or outside of radiology to
review images. Station includes local image storage,
image manipulation, and simultaneous display of
multiple images on two 1200 x 1600 image display
monitors. Images are stored on a resident hard disk
Console, PACS,
and roll off the disk as more recent images are sent
X4112 Remote View, w/Two 1 V/V
to the station. Provider may request images from
2MP Monitors
the PACS. Unit must be connected to the PACS by
LAN for image and result receipt. This station is for
use in areas like radiologist’s offices and the E.R.
where a more comprehensive system is required.
Console must be DICOM compliant. Input may be by
keyboard, mouse, trackball or voice activated com-
mands.

4.16. CARDIAC CATHETERIZATION LABORATORY (XCCE1)
Axonometric
850 NSF / 79,0 NSM

Interventional Cardiology Patient Area
SEMI-RESTRICTED
CORRIDOR
U0117 SCRUB ALCOVE
F3200 A1014 A5212 RETURN AIR
DUCT (TYPICAL)
b GM TV
T H
A5077 C LOW WALL
RETURN AIR
A5107 L1085 REGISTER
X-RAY IN USE M3150 E0703 (TYPICAL)
IPS
SIGNAGE
TO R6200 U4093
L0220
CONTROL U4092
GLUCOMETER
ROOM
M8810 E0954
M4812 M8940 M8940 M7650
M3175 M7845
M8825 A1014
M8800
F0355 A1130
BORROWED
LIGHT 2V, 2A, 2O,
M4255 1 NITROGEN
GM
M4266
8738mm
28' - 8"
M3072 M4250
M3070 M4645
U3092
GM
F2020 X6190
X2125 M4645
LAMINAR FLOW (PART OF
U4094 SYSTEM)
STERILE FIELD M7818
PERIMETER AIR
1 M4255
CURTAIN ABOVE
M8940 M4266
4 2
X2106
F3050 3 X6195
A5107 U4093
A5077
IPS
Da Db Dc GM
30' - 4"
9245mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

850 NSF / 79,0 NSM

M7480 LEAD SHIELD

(PART OF X6190)
(DOCUMENTATION)
U0100
10' - 2"
U0116
M1801 c c c c
A1122
2A, 2V,
2O,1NITROGEN
4572mm
15' - 0"
10 EMER DUPLEX,
4 DATA FACE PLATES, ab ab ab ab ab ab
LASER OUTLET
U0116
M0765
M0755 ab ab
1826mm
M0750
6' - 0"
M7860
A1122
8738mm
28' - 8"
A1130
(EQUIPMENT) ab
TABLE
LAMINAR
AIR FLOW
1829mm
6' - 0"
DIFFUSER
ab ab
4166mm
13' - 8"
ab ab ab ab ab ab
14' - 0"
4267mm
c c c c
30' - 4"
9245mm
SCALE: 3/16” = 1’-0”

850 NSF / 79,0 NSM


JSN Legend
JSN DESCRIPTION M7860 MONOTORING SYSTEM, CARDIAC

CATHETERIZATION LAB
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M8800 CART, ANESTHESIA
WITH SPEAKER M8810 STAND, MAYO
A1122 COLUMN, EQUIPMENT ARM, CEILING M8825 TABLE, INSTRUMENT/DRESSING
MOUNTED, SURGERY M8940 STOOL, ANESTHESIA, WITH BACK
A1130 CABINET, CONTROL, NITROGEN R6200 REFRIGERATOR, U/C OR F/S, 5 CU FT
A5077 DISPENSER, HAND SANITIZER, U0100 OR INTEGRATION
HANDS FREE U0116 MONITOR, HD, FP, SIZE AS REQUIRED
A5107 DISPENSER, GLOVE, WALL-MTD U0117 MONITOR, HD, LCD, FP, MEDICAL
A5212 BRACKET, TELEVISION, WALL-MTD, GRADE, 26 INCH
TILT/ANGLE U3092 SHARPS DISPOSAL CART,
E0703 TABLE, PROCESS, 5 DRAWERS W/ FOOT PETAL
E0954 CART, EMERGENCY, MOBILE U4092 MANAGER, MEDICATION, REMOTE
F0355 FOOTSTOOL, STRAIGHT U4093 CABINET, INVENTORY MANAGEMENT
F2020 CAN, TRASH, 44 GALLON SYSTEM
F3050 WHITE BOARD, DRY ERASE U4094 TABLE, INSTRUMENT/DRESSING CRS,
F3200 CLOCK, BATTERY, 12IN APPROX. 60X24X34
L0220 ANALYZER, HEMOGLOBIN, PORTA X2106 SCANNER, ULTRASOUND,
BLE, HAND HELD INTRA-CARDIAC ECHO
L1085 ANALYZER, COAGULATION, AUTO X2125 SCANNER, ULTRASOUND, PORTABLE
M0750 FLOWMETER, AIR” X6190 RADIOGRAPHIC/FLOURO UNIT,
M0755 FLOWMETER, OXYGEN, LOW FLOW CARDIAC, 100kW, DIGITAL
M0765 REGULATOR, VACUUM X6195 INJECTOR, ANGIOGRAPHIC
M1801 COMPUTER, MICROPROCESSING W/
FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W LID
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT,
DUAL OUPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
MULTIPLE LINES
M4812 PACEMAKER, SINGLE CHAMBER,
ETERNAL, TEMPORARY
M7480 LIGHT, SURGICAL, CEILING, SINGLE,
MEDIUM
M7650 DEFIBRILLATOR/ MONITOR/
RECORDER AUTO
M7818 MONITOR, TRANSPORT

A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH 30' - 4"
SPEAKER
9245mm
F3200
A5077 U0117
DISPENSER, HAND MONITOR, HD, FP, SIZE AS
SANITIZER, HANDS REQUIRED
FREE
A5107 L1085
Elevations 1 & 2
DISPENSER, GLOVE, ANALYZER,
WALL-MTD COAGULATION, AUTO
LOW WALL RETURN
850 NSF / 79,0 NSM

LOW WALL RETURN
M3150
U4093
CABINET, INVENTORY
MEDICATION,
MANAGEMENT SYSTEM
AUTOMATIC
U4092 E0703
MANAGER, TABLE, PROCESS, 5
MEDICATION, REMOTE DRAWERS
R6200
REFRIGERATOR, U-C OR
F-S, 5 CU FT
ELEVATION 1
M0765
REGULATOR, VACUUM 28' - 8"

M0755 8738mm
FLOWMETER, OXYGEN, M4645
LOW FLOW PATIENT TRANSFER
A1130 DEVICE
DESIGN GUIDE PLATES

CABINET, CONTROL, M7818
NITROGEN MONITOR, TRANSPORT
ISOLATION POWER X2106

SYSTEM SCANNER, ULTRASOUND,
M7650 INTRA-CARDIAC, ECHO
MONITOR/ RECORDER FLOWMETER, AIR
AUTO
M0755
E0954
FLOWMETER, OXYGEN,
CART, EMERGENCY, LOW FLOW
MOBILE
M0750
A1014
FLOWMETER, AIR
TELEPHONE, WALL
SPEAKER
4-220
April 2016
4' 8' 16'

30' - 4"
9245mm
U4093 ISOLATION POWER

CABINET, INVENTORY SYSTEM
MANAGEMENT SYSTEM A5077
DISPENSER, HAND
Elevations 3 & 4
A5107
850 NSF / 79,0 NSM

DISPENSER, GLOVE,
WALL-MTD

ELEVATION 3
F2020
CAN, TRASH, 44 GALLON 28' - 8"
F3050 8738mm
WHITE BOARD, DRY A5107
ERASE DISPENSER, GLOVE,
A5107 WALL-MTD
DESIGN GUIDE PLATES

WALL-MTD DISPENSER, HAND
DISPENSER, HAND BORROWED LIGHT

SANITIZER, HANDS
FREE LOW WALL RETURN
AIR REGISTER
F0355
M3070 FOOTSTOOL, STRAIGHT
HAMPER, LINEN
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
4' 8' 16'
4-221
April 2016

Room Data Sheet
ARCHITECTURAL 7) Wall-mounted gases are to be located away

Ceiling Type: Gypsum Wallboard (SC) from the parking space for the Radiograpic/Flou-
ro Unit. This location will vary by manufacturer
Ceiling Height: 10’-2” (3048 mm) and model.
Ceiling Finish: 8) A toe view of the table is most desirable
Wall Finish: Gypsum Wallboard (SC) from the control room. When space constraints
Wainscot: require a different configuration, a lateral view is
to be pursued. Care should be taken to locate
the monitor bank away from the view window.
152 mm)
In a typical equipment configuration this places
Floor Finish: Resinous Flooring the patient’s right side next to the window to the
Slab Depression: As required by imaging Control Room.
modality manufacturer 9) X-Ray in use signs are to be mounted
Sound Protection: 50 STC (to other room), 35 above all doors into the room.
STC (to corridor) 10) Lead apron storage is to be located in
Doors: Double, Size 6’-0” x 7’-0” the path of staff travel. Suggested locations are
(1829 mm x 2133 mm) Wood inside the control room and in the semi-restricted
w/ Narrow View Window; corridor just outside the room’s doors.
Single, Size 4’-0” x 7’-0” 11) NSF provided for this space is the minimal
(1219 mm x 2133 mm) Wood acceptable NSF; contact Facilities Standards
w/ Small View Window Services for any deviations.
LIGHTING
Notes:
Maintained
1) Shielding is to be provided in all walls, Average
windows and doors. Illumination -
2) Locate access panels as required to allow Ambient: 2000 Lux (200 FC)
for the maintenance of surgical booms and lights Maintained
in facilities without interstitial space. Min. size to Average
be 24” x 24”. Illumination - Task
3) Nominal wall thickness is shown at 8” (203 Focus: 3000 Lux (300 FC) on Table
mm) to account for a variety of wall-mounted Luminaire Type: 2’x4’ Fluorescent or LED,
panels, such as isolation power unit panels, that Virgin Acrylic Prismatic
require a thicker partition. Lens, Radio Frequency
4) Include wall extensions at both sides of Filter, sealed housing,
the scrub sink to protect the scrub sinks from gasketed frame
cart and stretcher traffic in the semi-restricted Lamps: 6 Fluorescent or LED
corridor. equivalent, 4000K – 4500K
5) Coordinate structural supports, utility CCT, CRI >= 80%, 50%
connections and other requirements for surgical lamps above Table shall
lighting pendants with manufacturer. be on emergency battery
6) Facility will select number and types of packs
scopes and other instrumentation as necessi- Controls: dimming or multi-level
tated by the unique case load. switching


Special Surgical Light (connection Intercom: Yes (Phone)

Requirement: only) Motion Intrusion Detection No
Notes: (MID):
1) Coordinate location of luminaires with other Nurse Call: Yes
ceiling obstructions Code Blue: Yes
2) Coordinate structural supports, utility Public Address: No
connections and other requirements for surgical
sion (SSTV):
VA Satellite TV: No
surgical light(s).
POWER (VTEL):
Normal Power: connect a minimum of Special Requirement:
12 receptacles to Normal Notes:
Power IPS
Emergency Power: connect a minimum of columns.
24 receptacles (red) to
IPS connected to Critical 2) Provide connections for video monitor
Emergency IPS. Connect pendants. Video monitor pendants will be part of
Task Illumination, selected the video integration system. The extent of the
receptacles and fixed system is to be selected on a project basis.
equipment to Critical
Branch of the EES. HEATING, VENTILATING AND AIR
CONDITIONING
Notes:
General Requirement: Refer to data sheet in the
current version of the VA HVAC Design Manual
duplex receptacles & 3 ground jacks
2) IPS Power & ground modules mounted at change requirements, and pressurization
+24” AFF
Notes:
1) Refer to the HVAC Design Manual for num-
ber and location of low air return grilles.
2) Room does not contain multiple slot diffus-
utility columns.
only for supply air.
3) Suggested minimum laminar flow array over
boom for the laser. Laser Surgery special outlet
gantry creates excessive turbulence. Mechanical
COMMUNICATIONS design engineer shall be responsible to design
Data: Yes the array in such manner as to minimize turbu-
lence and to maintain the sterile aseptic field.
Telephone: Yes
Duress Alarm: No
Control:



Cold Water: No
Hot Water: No
Waste: No
Medical Air Yes (4)
Oxygen Yes (4)
Notes:
2) Provide Nitrogen (2).
the room it serves.

Fire Alarm: Yes
Sprinkler: Yes
Group 1


Equipment List
ACQ/
JSN NAME QTY DESCRIPTION
INS
Telephone, Wall
With Speaker
panels, gas outlets and flat screen mounting for a sur-
Column, Equipment
gical suite. Unit will provide a range of motion of up
to 330 degrees with arm providing additional vertical
ed, Surgery
movement. Units are custom configured with multiple
options available. Price is based on a unit with two
(double) retractable arms. Also available are units for
use in anesthesia, ICU and ER.
Cabinet, Control, (adjustable 0 to 200 PSI), outlet pressure gauge,
A1130 2 C/C
Nitrogen nitrogen outlet and connection to surgical gas column.
A5077 2 V/V
ated.
Examination glove dispenser box for wall mount-
Dispenser, Glove,
ing. Fabricated of either cold rolled steel with a white
Wall Mntd
Height adjustable table. The table top is available in a
plastic laminate or chemical resistant material (Chem-
Surf). Casters or glides are options with some tables.
All tables will accept various storage components
underneath. These work surfaces are available in 24”
Table, Process, Adj
or 30” depth. THIS TYPICAL INCLUDES:
E0703 Height, 5 Drawer, 1 V/V
1 height adjustable table;
48”W x 24”D
1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H


1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Step stool. Used to assist patients getting on and off
F0355 Footstool, Straight 1 V/V exam or surgical tables. Fitted with electrically con-
ductive rubber tips.
Forty four (44) gallon trash can, 32” high X 24” diame-
ter, with lid. Used to collect and transport refuse from
Can, Trash, 44 Gal-
F2020 1 V/V a point of origin to point of disposal (example: from
lon
soiled utility or a nursing unit to the trash compactor at
housekeeping).
sisting of a white porcelain enamel writing surface with
Whiteboard, Dry an attached chalk tray. Magnetic surface available.
F3050 1 C/C
Erase Image can be easily removed with a standard chalk-
board eraser. For use with water color pens. Unit is
ready to hang.
Diameter
included).
A portable, hand held analyzer for testing hemoglo-
Analyzer, Hemoglo-
bin. The analyzer will achieve precision and accuracy
L0220 bin, Portable, Hand 1 V/V
comparable to a central laboratory. The unit will be
Held
battery operated.
Automatic coagulation analyzer. The unit performs
on-site blood coagulation tests, prothrombin time (PT),
Analyzer, Coagula-
L1085 1 V/V and partial thromboplastin time (PTT) tests on whole
tion, Automatic
blood or plasma samples. The analyzer employs both
single and duplicating or stat testing capabilities.

Oxygen flowmeter. Consists of a clear crystal flow-

tube calibrated to 3.5 or 8 LPM depending on manu-
Flowmeter, Oxygen, facturer. For oxygen regulation in hospital settings.
M0755 4 V/V
Low Flow Database pricing includes DISS fitting and DISS
power outlet and wall adapter. Other fitting and adapt-
er configurations are available.
vacuum ranges. Regulator type (continuous, intermit-
M0765 Regulator, Vacuum 4 V/V tent, continuous/intermittent, surgical, pediatric, tho-
racic, etc.) as required. To be used in delivery, neona-
tal, pediatrics or any area where suction is required.
Database pricing reflects continuous regulators gradu-
ated to 200 mm Hg with a full line vacuum selection
switch and DISS configured inlets and outlets.
monitor, keyboard, mouse and speakers. The system
shall have the following minimum characteristics: a
Computer, Micropro-
2.8 GHz Pentium processor; 512 MB memory; 80GB
hard drive; 32/48x CD-ROMDVD combo; 1.44MB net-
Monitor
work interface card; video 32 MB NVIDIA; a 18 inch
flat panel monitor. The computer is used throughout
the facility to input, manipulate and retrieve informa-
tion.
Hamper, Linen, Mo-
M3070 1 V/V gauge welded steel platform. Holds 25” hamper bags.
bile, w/Lid
Mounted on ball bearing casters. For linen transport
in hospitals and clinics.
Frame for an infectious waste collection bag. Made of
heavy tubular stainless steel with heavy gauge welded
Frame, Infectious steel platform. Adjust to hold 18” or 25” trash bags.
M3072 1 V/V
Waste Bag w/Lid Mounted on ball bearing casters and includes perma-
nently mounted hinged lid. Provides means of bagging
infectious waste at point of waste generation.
matic
selected.
Dual Output


programming capable of flow rates (e.g. 0.1 or 1.0 mL/
hr) that are intended for long-term bedside use and/
or critical care patient transport, plunger positioning
M4250 1 V/V sensor, LCD display for easy viewing, volume limit
sion
programming to serve as a convenient cue of volume
or dose delivery completion and multiple delivery
modes for all applications requiring precisely con-
trolled infusion rates. The infusion pump shall have
automatic syringe size sensing which will give the flex-
ibility to accept a wide range of syringe sizes (up to
60 mL) from different manufacturers. Shall be battery
powered/AC adapter.
solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Pacemaker, Single
Temporary
operated.

Single ceiling mounted surgical light with a light head

diameter generally between 21” and 30” depending
on the manufacturer. The light is mounted from a
pole extending down from the ceiling and then from
a pivotal arm assembly that rotates 360 degrees. It
Light, Surgical, Ceil- includes a variable intensity control and sterile focus
M7480 ing Mounted, Single, 1 C/C handle. The minimum ceiling height for most models
Medium is 8’-9”; check the manufacturers’ specific recommen-
dations. The database height dimension below refers
to the lamp head housing itself. Width and depth are
the length of the swing arm plus the diameter of the
light head. This light can be used for both minor and
major surgical procedures.
M7650 1 V/V
for aeromedical use (US Army Airworthiness Certifica-
tion and Evaluation (ACE) program. Battery run time
of 3 hours before recharge.
nel
be connected to a central monitoring station. The unit
monitors patients in most acute care areas, step-down
units, procedure rooms and emergency rooms.


Monitoring System, system can also include remote monitors/terminals
M7860 Cardiac Catheteriza- 1 V/V and additional workstations and may interface with
tion Lab hospital-wide physiological monitoring or clinical infor-
mation systems. The system includes several con-
figurations in different locations. Database physical
dimensions reflect the largest of these work centers.
The estimated total 20 amp electrical requirements
will be spread across several circuits in several loca-
tions. The system price varies greatly on the size and
sophistication of the end user’s requirements.
Mobile anesthesia cart. The cart shall be built of stain-
less steel or other appropriate material and mounted
M8800 Cart, Anesthesia 1 V/V on 4” casters for easy mobility. It shall be capable of
being equipped with bottle holders, adjustable IV pole,
storage drawers, shelves and a top bar/rail.
procedure rooms.
Instrument and dressing table. Made of corrosion re-
Table, Instrument/
sistant stainless steel with a sound deadened top. In-
M8825 Dressing, CRS, ap- 1 V/V
cludes guard rail, shelf and two side-by-side drawers.
prox. 36x20x34
The table is mounted on swivel, ball-bearing casters.
M8940 3 V/V
procedures.
Utility refrigerator approximately 35” H x 24” W x 26”
D. The unit has a two tray ice cube cooling system.
Refrigerator, U/C or The refrigerator fits standard architectural dimensions
R6200 1 V/V
F/S, 5 Cu Ft for undercounter installation. The unit is perfect for
use in nurses’ station, wards, and laboratories, phar-
macies or wherever space is limited.
Allowance for Integrated System for each Operating
Room, Hybrid Operating Room. Cath Lab or EP room.
Integrated Operating Requirements are defined on a project by project ba-
U0100 Room System, Allow- 1 V/V sis. Integration provides visual image, patient informa-
ance tion and communication management. Integration can
also include the control of some equipment settings
and environment settings such as lighting.


tem. Located as part of Light or Boom system or to be
Monitor, HD, LCD,
wall mounted. 26” Monitor mounted on boom arms or
off of Ceiling mounted arms. Exact configuration of
26 inch
the Monitor, inputs and outputs should be verified that
it meets project requirements.
55 inch configuration of the Monitor, inputs and outputs should
be verified that it meets project requirements.
One-handed disposal. Lids lift or slide open easily with
foot-operated pedal. Lids may remain closed when
not in use to reduce exposure to contents and Type
1 violations. Ergonomic handle is telescopic when
Sharps Disposal
U3092 1 V/V transporting and retractable when stationary. Heavy
Cart, w-Foot Pedal
containers can be removed from the side with minimal
lifting. OSHA 29 CFR 1910.130, “During use, sharps
disposal containers must be maintained upright
throughout use”.
Remote Medication Manager for automated medica-
tion management system with temperature sensitive
Manager, Medication, medications that require refrigeration, controlled point
U4092 1 V/V
Remote -of use access, and electronic tracking and recording
of transaction data for inventory management, billing
and regulatory compliance. (Refrigerator not included)
Inventory Management System Supply Cabinet con-
Cabinet, Inventory
U4093 6 V/V figurable, with or without wheels, half or full height
Management System
.
Table, Instrument/
Stainless steel instrument table with shelf and 3” rub-
U4094 Dressing CRS, ap- 1 V/V
ber, double ball bearing casters.
prox 60 x 24 x 34
Intra-Cardiac Echo
A portable diagnostic ultrasound scanner system con-
figured for various applications, ease-of-use and high
performance for enhanced efficiency and accuracy.
Scanner, Ultrasound, The scanner is applicable for use in a wide variety of
X2125 1 V/V
Portable hospital and office environments including ER, breast
surgery, anesthesia, vascular, interventional radiology
and critical care. The system features a high quality
color doppler ultrasound for imaging.

This system is specifically designed to perform bi-

plane radiographic/fluoroscopic examinations in the
Cardiology Department. On-line digital cardiac image
processing will provide instant availability of images
for review. This units characteristics and components
include 100 kW micro-processor controlled X-ray
generators, C-arm and U arm with 9” multi-field Image
Radiographic/Fluoro
Intensifier, integrated X-ray tube unit and cine camera.
X6190 Unit, Cardiac, 100 1 V/V
The Digital Imaging for both the AP and Lateral planes
kW, Digital
shall consists of a computer, keyboard with acquisi-
tion, viewing monitor, and slave monitor. The system
shall be DICOM 3.0 compatible, for easy linkage to
filmless image management systems and review sta-
tions. It is recommended that the TV monitors be ceil-
ing suspended. System to be procured with Cardiac
Cath Lab computerized analysis/monitoring system.
Angiographic injector. This unit is a specialized radio-
graphic procedure that provides sharp, well-defined
visual images of the vascular anatomy. The injector
introduces a vision radiopaque fluid (contrast medium)
into an artery or vein through a small catheter, making
vessels contrast with their more radiolucent surround-
ing. The unit incorporates an electromechanical
X6195 Injector, Angiographic 1 V/V
or pneumatic driven syringe to deliver the contrast
medium. The syringe assemblies consist of an elec-
tric motor connected to a jackscrew that moves the
syringe piston into or out of the syringe barrel. The
unit is used in hospitals with radiographic procedures.
Specify if unit is to be pedestal, ceiling, wall or table
mounted when ordering.

4.17. PROCEDURE ROOM, ELECTROPHYSIOLOGY (XCEP1)
Axonometric
900 NSF / 83,7 NSM

SEMI-RESTRICTED
CORRIDOR
A1014
U0117
F3200 A5212 E0703 SCRUB ALCOVE
RETURN AIR
DUCT (TYPICAL)
GM TV
T H
A5107 LOW WALL
RETURN AIR
C
A5077 REGISTER
(TYPICAL)
L1085 U4093
M3150 M7845
IPS
L0220 M0630
TO R6200 X2106 GLUCOMETER
CONTROL U4092 M8940
ROOM M4812 E0954
M8810 M7650
M8940
M8825 A1014
F0355 M3175
M8800 X3145
BORROWED M8940
GM
A5108
LIGHT
M4255
M3072
M4266
A1130
8738mm
M4250
28' - 8"
M3070 2V, 2A, 2O,
1 NITROGEN
U3092
GM
F2020
X6175
X2125
U4094
LAMINAR FLOW
STERILE FIELD M4645
PERIMETER AIR M4255
CURTAIN ABOVE M4266 M7818
F3050 1 U4095
M4645
4 2
3
X6195 U4093
A5107
A5077
Dc IPS GM
32' - 0"
9754mm
CLEAN CORE
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM

(PART OF SYSTEM) U4099

M7475
U3098 LEAD SHIELD
(EQUIPMENT - EP) A1122 (PART OF X6175)
2O, 3V, 1A,

U0100 WAGD, 1
c c c c NITROUS
U0116 M0765
OXIDE, 6
M1801 M0755 EMER
A1122 M0750 DUPLEX, 4
(DOCUMENTATION) A1120 DATA FACE
PLATES
4572mm
M1801
15' - 0"
(ANESTHESIA)
ab ab ab ab ab ab
ab ab
1829mm
(PART OF
6' - 0"
SYSTEM)
X6175
8738mm
28' - 8"
LAMINAR AIR ab TABLE
FLOW DIFFUSER
1829mm
6' - 0"
ab ab
4166mm
13' - 8"
ab ab ab ab ab ab
c c c c
10' - 2"
A1122
A1130
M0765
(EQUIPMENT - DEVICES) M0755 MONITOR BANK (PART OF X6175)
2O, 2V, 2A, 1 NITROGEN, M0750 M7475
6 EMER DUPLEX, 4 U3096
DATA FACE PLATES U0116 32' - 0"
9754mm
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM


JSN Legend
JSN DESCRIPTION M7480 LIGHT, SURGICAL, CEILING MTD, SIN-

GLE, MEDIUM
A1012 TELEPHONE, WALL MOUNTED, 1 LINE M7650 DEFIBRILLATOR/ MONITOR/
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, RECORDER AUTO
WITH SPEAKER M7818 MONITOR, TRANSPORT
A1120 COLUMN, SERVICE, PREFAB, M8800 CART, ANESTHESIA
SURGICAL, CEILING MOUNTED M8825 TABLE, INSTRUMENT/DRESSING
A1122 COLUMN, EQUIPMENT ARM, CEILING M8940 STOOL, ANESTHESIA, WITH BACK
MOUNTED, SURGERY R6200 REFRIGERATOR, U-C OR F-S, 5 CU FT
A1130 CABINET, CONTROL, NITROGEN U0100 OR INTEGRATION
A5077 DISPENSER, HAND SANITIZER, HANDS U0116 MONITOR, HD, FP, SIZE AS REQUIRED
FREE U0117 MONITOR, HD, LCD, FP, MEDICAL
A5106 WASTE DISPOSAL UNIT, SHARPS W/ GRADE, 55 INCH
GLOVE DISPENSER U3092 SHARPS DISPOSAL CART,
A5107 DISPENSER, GLOVE, WALL-MTD W/ FOOT PETAL
A5212 BRACKET, TELEVISION, WALL-MTD, U3096 ABLATION GENERATOR, RADIO-
TILT/ANGLE FREQUENCY, CARDIAC
E0954 CART, EMERGENCY, MOBILE U3098 NAVIGATION SYSTEM, EP MAPPING
F0355 FOOTSTOOL, STRAIGHT U4092 MANAGER, MEDICATION,REMOTE
F2020 CAN, TRASH, 44 GALLON U4093 CABINET, INVENTORY MANAGEMENT
F3050 WHITE BOARD, DRY ERASE SYSTEM
F3200 CLOCK, BATTERY, 12IN U4094 TABLE, INSTRUMENT/DRESSING CRS,
L0220 ANALYZER, HEMOGLOBIN, PORTA APPROX. 60X24X34
BLE, HAND HELD U4095 PUMP, HEAT, BI-VENTRICULAR ASSIST
L1085 ANALYZER, COAGULATION, AUTO DEVICE
M0630 ANESTHESIA APPARATUS, 3 GAS U4099 MONITORING SYSTEM, CL-EP COMBO
M0750 FLOWMETER, AIR X2106 SCANNER, ULTRASOUND,
M0755 FLOWMETER, OXYGEN, LOW FLOW INTRA-CARDIAC ECHO
M0765 REGULATOR, VACUUM X2125 SCANNER, ULTRASOUND,PORTABLE
M1801 COMPUTER, MICROPROCESSING W/ X3145 SCREEN, X-RAY, PROTECTIVE, MO
FLAT PANEL MONITOR BILE
M3070 HAMPER, LINEN X6175 RADIOGRAPHIC/FLUORO UNIT, AN-
M3072 FRAME, INFECTIOUS WASTE BAG W GIO, BIPLANE, DIGITAL
LID X6195 INJECTOR, ANGIOGRAPHIC
AUTOMATIC
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
MULTIPLE LINES
M4812 PACEMAKER, SINGLE CHAMBER,
EXTERNAL, TEMPORARY

32' - 0"
F3200 9754mm
U0117
MONITOR, HD, FP, SIZE AS
A5107 REQUIRED
DISPENSER, GLOVE, L1085
WALL-MTD ANALYZER,
A5077 COAGULATION, AUTO
DISPENSER, HAND U4093
SANITIZER, HANDS CABINET, INVENTORY
Elevations 1 & 2
FREE MANAGEMENT SYSTEM
900 NSF / 83,7 NSM

M3150 E0703
DISTRIBUTION SYSTEM, TABLE, PROCESS, 5
MEDICATION, DRAWERS
AUTOMATIC U4092
A1014 MANAGER,
TELEPHONE, WALL MEDICATION, REMOTE
MOUNTED, 1 LINE, WITH R6200
SPEAKER ELEVATION 1 REFRIGERATOR, U-C OR
F-S, 5 CU FT
28' - 8"
A1014 8738mm
TELEPHONE, WALL
M0755
SPEAKER
FLOWMETER, OXYGEN,
M7650 LOW FLOW
DESIGN GUIDE PLATES

MONITOR/ RECORDER
REGULATOR, VACUUM
AUTO
M4645


PATIENT TRANSFER
E0954 DEVICE
CART, EMERGENCY,
MOBILE
X3145 M7818
SCREEN, X-RAY, MONITOR, TRANSPORT
PROTECTIVE, MOBILE
A1130 M0750
CABINET, CONTROL, FLOWMETER, AIR
NITROGEN M0765
ELEVATION 2 REGULATOR, VACUUM
4-237
April 2016
SCALE: 3/16” = 1’-0”
4' 8' 16'

32' - 0"
9754mm
ISOLATION
X6195 POWER SYSTEM
INJECTOR, A5077
ANGIOGRAPHIC
DISPENSER, HAND
U4093 SANITIZER, HANDS FREE
Elevations 3 & 4
CABINET, INVENTORY A5107
MANAGEMENT SYSTEM DISPENSER, GLOVE,
900 NSF / 83,7 NSM

WALL-MTD
ELEVATION 3
28' - 8"
8738mm
F3050
M3072
WHITE BOARD, DRY
ERASE FRAME, INFECTIOUS
WASTE BAG W/LID
DESIGN GUIDE PLATES

A5107
A5077
DISPENSER, GLOVE,
WALL-MTD DISPENSER, HAND

BORROWED LIGHT A5107

DISPENSER, HAND
SANITIZER, HANDS DISPENSER, GLOVE,
FREE WALL-MTD
F2020 F0355
CAN, TRASH, 44 GALLON FOOTSTOOL, STRAIGHT
M3070
HAMPER, LINEN
ELEVATION 4
4-238
April 2016
SCALE: 3/16” = 1’-0”
4' 8' 16'


Room Data Sheet
ARCHITECTURAL 7) 2 equipment booms can help keep EP items

Ceiling Type: Gypsum Wallboard (SC) and devices separate. The facility can choose to
locate both of these on the same boom if de-
sired; a single boom is to be located for reach to
Ceiling Finish: either side of the table.
Wall Finish: Gypsum Wallboard (SC) 8) Consideration for cable management is
Wainscot: to be given in locating connection boxes and
Base: RF Integral Base (min. 6”/ outlets. Cables coiled on the floor shall be mini-
152 mm) mized to ease cleaning and maintain the aseptic
environment.
9) Wall-mounted gases are to be located away
Slab Depression: As required by imaging from the parking space for the Radiograpic/Flou-
modality manufacturer ro Unit. This location will vary by manufacturer
Sound Protection: 50 STC (to other room), 35 and model.
STC (to corridor) 10) A toe view of the table is most desirable
Doors: Double, Size 6’-0” x 7’-0” from the control room. When space constraints
(1829 mm x 2133 mm) Wood require a different configuration, an angled view
w/ Narrow View Window; is to be pursued. Care should be taken to locate
Single, Size 4’-0” x 7’-0” the monitor bank away from the view window.
(1219 mm x 2133 mm) Wood In a typical equipment configuration this places
w/ Small View Window the patient’s right side next to the window to the
Special Requirement: Control Room.
Notes: 11) X-Ray in use signs are to be mounted
above all doors into the room.
1) Shielding is to be provided in all walls,
windows and doors. 12) Lead apron storage is to be located in
the path of staff travel. Suggested locations are
inside the control room and in the semi-restricted
corridor just outside the room’s doors.
in facilities without interstitial space. Min. size to
be 24” x 24”. 13) This room supports implant cases and EP
procedures. If additional procedures are pro-
jected for this room consideration shall be given
to any additional equipment that may become
panels, such as isolation power unit panels, that
necessary, for example a perfusion boom.
4) Include wall extensions at both sides of
acceptable NSF; contact Facilities Standards
Services for any deviations.
cart and stretcher traffic in the semi-restricted
corridor.
5) Coordinate structural supports, utility
6) Facility will select number and types of
scopes and other instrumentation as necessi-


LIGHTING Notes:
Maintained 1) Provide IPS power & ground modules – 3
Average duplex receptacles & 3 ground jacks
Illumination - 2) IPS Power & ground modules mounted at
Ambient: 2000 Lux (200 FC) +24” AFF
Maintained 3) Provide Laser Receptacle Module. Module
Average shall be connected to Special Equipment IPS
Illumination - Task located outside the Surgery Room.
Luminaire Type: 2’x4’ Fluorescent or LED, utility columns.
boom for the laser. Laser Surgery special outlet
gasketed frame
Lamps: 6 Fluorescent or LED COMMUNICATIONS
CCT, CRI >= 80%, 50% Data: Yes
lamps above Table shall Telephone: Yes
be on emergency battery Cable Television: No
packs
Duress Alarm: No
switching
Control:
Special Surgical Light (connection
Requirement: only)
Notes:
(MID):
Nurse Call: Yes
Code Blue: Yes
connections and other requirements for surgical Public Address: No
lighting pendants with manufacturer. Security Surveillance Televi- No
3) CCT shall match the color temperature of sion (SSTV):
surgical light(s). VA Satellite TV: No
POWER (VTEL):
Normal Power: connect a minimum of Special Requirement:
12 receptacles to Normal
Notes:
Power IPS
Emergency Power: connect a minimum of
columns.
24 receptacles (red) to
IPS connected to Critical 2) Provide connections for video monitor
Emergency IPS. Connect pendants. Video monitor pendants will be part of
Task Illumination, selected the video integration system. The extent of the
receptacles and fixed system is to be selected on a project basis.
equipment to Critical
Branch of the EES.


HEATING, VENTILATING AND AIR FIRE PROTECTION AND LIFE SAFETY

CONDITIONING Fire Alarm: Yes
General Requirement: Refer to Operating Room Sprinkler: Yes
data sheet in the current version of the VA HVAC
Design Manual for room temperatures, humidity
Group 1
range, room air change requirements, and pres-
surization
Notes:
1) Refer to the HVAC Design Manual for num-
ber and location of low air return grilles.
2) Room does not contain multiple slot diffus-
only for supply air.
3) Suggested minimum laminar flow array over
gantry creates excessive turbulence. Mechanical
design engineer shall be responsible to design
the array in such manner as to minimize turbu-
lence and to maintain the sterile aseptic field.

Cold Water: No
Hot Water: No
Waste: No
Medical Air Yes (5)
Oxygen Yes (6)
Notes:
(WAGD), Nitrogen (2), Nitrous Oxide (1).
3) Nitrogen Control Cabinets are to be located
by the project


Equipment List

Telephone, Wall
With Speaker
nitrogen, medical air, medical vacuum, gas evacu-
Column, Service,
ation, electrical outlets, monitoring connectors, and
IV holders. Specify type of column (fixed or retract-
Ceiling Mounted
able) and number of outlets required for each service.
and ICU-CCU rooms.
panels, gas outlets and flat screen mounting for a
Column, Equipment
surgical suite. Unit will provide a range of motion
ed, Surgery
with two (double) retractable arms. Also available are
units for use in anesthesia, ICU and ER.
A1130 2 C/C
A5077 2 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V


1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Forty four (44) gallon trash can, 32” high X 24” diam-
eter, with lid. Used to collect and transport refuse
Can, Trash, 44 Gal-
F2020 1 V/V from a point of origin to point of disposal (example:
lon
from soiled utility or a nursing unit to the trash com-
pactor at housekeeping).
F3050 1 C/C
Diameter
included).
A portable, hand held analyzer for testing hemoglo-
Analyzer, Hemoglo-
bin. The analyzer will achieve precision and accu-
L0220 bin, Portable, Hand 1 V/V
racy comparable to a central laboratory. The unit will
Held
be battery operated.

Automatic coagulation analyzer. The unit performs

on-site blood coagulation tests, prothrombin time
Analyzer, Coagula- (PT), and partial thromboplastin time (PTT) tests
L1085 1 V/V
tion, Automatic on whole blood or plasma samples. The analyzer
employs both single and duplicating or stat testing
capabilities.
Anesthesia Appara-
tus, 3 Gas
M0755 6 V/V
and outlets.


Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
M3072 1 V/V
matic
selected.
Dual Output
programming capable of flow rates (e.g. 0.1 or 1.0
mL/hr) that are intended for long-term bedside use
and/or critical care patient transport, plunger position-
M4250 1 V/V ing sensor, LCD display for easy viewing, volume
sion
limit programming to serve as a convenient cue of
volume or dose delivery completion and multiple


solutions.
Pump, Volumetric,
simultaneously.
Patient Transfer
Device
board.
Pacemaker, Single
Temporary
operated.
Large
surgery.
M7650 2 V/V


nel
rail.
procedure rooms.
casters.
M8940 3 V/V
procedures.
R6200 1 V/V


patient information and communication manage-
ance
ment. Integration can also include the control of some
lighting.
tem. Located as part of Light or Boom system or to
Monitor, HD, LCD,
be wall mounted. 26” Monitor mounted on boom arms
or off of Ceiling mounted arms. Exact configuration
26 inch
of the Monitor, inputs and outputs should be verified
that it meets project requirements.
Sharps Disposal
Cart, w-Foot Pedal
Ablation Generator,
Radio-Frequency Generator for use in Cardiac Abla-
U3096 Radio-Frequency, 1 V/V
tion
Cardiac
Electrophysiology Mapping and Surgical Navigation
System. Visualization of individual anatomic varia-
tions via 3D scans or maps, continuously visible cath-
Navigation System, eter icon, visual assessment of ablation line of block
U3098 EP Mapping and 1 V/V and gap. System consists of computer workstation &
Surgical Nav monitor, COM unit, Patient Interface Unit, foot pedal,
grounding cable, power supply cord, optical and
patient cables. Configuration and Pricing may vary
depending on system actually purchased.
medications that require refrigeration, controlled point
Manager, Medication,
U4092 1 V/V -of use access, and electronic tracking and record-
Remote
ing of transaction data for inventory management,
billing and regulatory compliance. (Refrigerator not
included)
Cabinet, Inventory
Management System
.

Table, Instrument/
Stainless steel instrument table with shelf and 3” rub-
U4094 Dressing CRS, ap- 1 V/V
ber, double ball bearing casters.
prox 60 x 24 x 34
Control console for percutaneous ventricular assist
system. Features a 10 Inch high resolution display.
It controls the special catheter performance, moni-
tors for alarms, and displays real time hemodynamic
Pump, Heart, Bi-Ven-
U4095 1 V/V and catheter position information. Integrated purge
tricular Assist Device
system automatically sets the purge flow to maintain
the purge pressure. Can be powered by AC power or
can operate on internal battery power for at least 60
minutes when fully charged.
EP/Hemodynamic Cardiac Cath Lab computer infor-
mation System. Multiple component system com-
prised of workstation, CPU, CD Rom drive, Floppy
disc drive, Magnetic Optical disc drive for storage of
Monitoring System, patient data, Integrated Electronic Box (IEB) for the
U4099 1 V/V
CL-EP Combo distribution of wall power to peripherals, Laser Jet
Printer, 2-Local Monitors, 1 or more remote Monitors
for Patient bedside, CLab plus amplifiers, modem
keyboard, mouse, isolation tansformer and patient
stimulator.
Intra-Cardiac Echo
A portable diagnostic ultrasound scanner system con-
figured for various applications, ease-of-use and high
performance for enhanced efficiency and accuracy.
Scanner, Ultrasound, The scanner is applicable for use in a wide variety of
X2125 1 V/V
Portable hospital and office environments including ER, breast
surgery, anesthesia, vascular, interventional radiology
and critical care. The system features a high quality
color doppler ultrasound for imaging.
ing medical personnel from scatter radiation. Its large
clear Pb lead-plastic or acrylic window offers 0.5 mm
Screen, X-Ray, Pro- lead-equivalent protection to the user’s head and
X3145 1 V/V
tective, Mobile upper body. The unit is used for effective radiation
protection of department personnel during vascular
or other procedures. This unit can fit any application
with its mobility. Adjustable screens are also avail-
able.


the Special Procedures Department. On-line digital
angio image processing will provide instant avail-
ability of images for review. This units characteristics
and components include: 100 kW micro-processor
Radiographic/Fluoro controlled X-ray generators, C-arm and U arm with
X6175 Unit, Angio, Biplane, 1 V/V 9” multi-field Image Intensifier, integrated X-ray tube
Digital unit. The Digital Spot Imaging for both the AP and
Lateral planes shall consist of a computer, keyboard
with acquisition and viewing monitor and a slave
the TV monitors be ceiling suspended.
Angiographic injector. This unit is a specialized radio-
graphic procedure that provides sharp, well-defined
visual images of the vascular anatomy. The injector
introduces a vision radiopaque fluid (contrast me-
dium) into an artery or vein through a small catheter,
making vessels contrast with their more radiolucent
surrounding. The unit incorporates an electrome-
X6195 Injector, Angiographic 1 V/V
chanical or pneumatic driven syringe to deliver the
contrast medium. The syringe assemblies consist
of an electric motor connected to a jackscrew that
moves the syringe piston into or out of the syringe
barrel. The unit is used in hospitals with radiographic
procedures. Specify if unit is to be pedestal, ceiling,
wall or table mounted when ordering.

4.18. TRANSESOPHAGEAL ECHOCARDIOGRAPH (TEE)

PROCEDURE ROOM (TRTE1)
Axonometric
350 NSF / 32,6 NSM


17' - 3"
5258mm
A5082 F3200 SEMI-RESTRICTED
CORRIDOR
F2010 P3100
Da
M3072 A5145
GFI
TO SCOPE
M3070 A5075 STORAGE
ROOM
F2017 A5107
A5077
A5180
X2105
M8940
M7401
1
A1132
2A,2V,2O 4 2
6096mm
20' - 0"
M4255 NC 3 F0355
M4266 M9006
M4116
F0206 TO SOILED ROOM OR
A5108 SCOPE PROCESSING
U4092 U4093 ROOM
E0954 R6200
M7650 M3150 F0280
M1801
E0948 A1015
E0210
SCALE: 3/16” = 1’-0”

350 NSF / 32,6 NSM


A5180
3048mm
10' - 0"
9' - 0"
6096mm
20' - 0"
TABLE
3048mm
10' - 0"
DIMMABLE LIGHTING
17' - 3"
5258mm
SCALE: 3/16” = 1’-0”

350 NSF / 32,6 NSM


JSN Legend
JSN DESCRIPTION U4093 CABINET, INVENTORY MANAGEMENT

SYSTEM
A1015 TELEPHONE, DESK, MULTIPLE LINE X2105 SCANNER, ULTRASOUND, CARDIAC
12x12
A1132 RAIL, ACCESSORY MOUNTING
A5075 DISPENSER, SOAP
A5077 DISPENSER, HAND SANITIZER,
HANDS FREE
A5082 DISPENSER, PAPER TOWEL, SENSOR,
HANDS FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5145 HOOK, GARMENT, DOUBLE
A5180 TRACK, CUBICLE, SURFACE
MOUNTED, WITH CURTAIN
E0210 WORKSURFACE, W/OVERHEAD CAB,
WALL MTD, 48” W
E0948 CART, GENERAL STORAGE, MOBILE
E0954 CART, EMERGENCY, MOBILE
F0206 CHAIR, SIDE, BARIATRIC, WITH ARMS
F0280 CHAIR, SWIVEL, LOW BACK
F0355 FOOTSTOOL, STRAIGHT
F2010 BASKET, WASTEPAPER, STEP-ON
F2017 WASTE RECEPTACLE, 24 GAL
F3200 CLOCK, BATTERY, 12IN
M0750 FLOWMETER, AIR
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
AUTOMATIC
M4116 MONITOR, VITAL SIGNS
M4255 STAND IV
MULTIPLE LINES
M4701 LIGHT, EXAM, MOBILE, SPOTLIGHT,
MOBILE STAND
M7650 DEFIBRILLATOR/ MONITOR/
RECORDER AUTO
P3100 LAVATORY, VITREOUS CHINA,
SLAB TYPE
R6200 REFRIGERATOR, U-C OR F-S, 5 CU FT
U4092 MANAGER, MEDICATION, REMOTE

17' - 3"
5258mm
F3200
A5082 CLOCK, BATTERY, 12IN
DISPENSER, PAPER
TOWEL, SENSOR, A5075
HANDS FREE DISPENSER, SOAP
Elevations 1 & 2
M3072 A5107
FRAME, INFECTIOUS DISPENSER, GLOVE,
350 NSF / 32,6 NSM

WASTE BAG W/LID WALL-MTD
M3070 P3100
HAMPER, LINEN LAVATORY, VITREOUS
CHINA, SLAB TYPE
ELEVATION 1
20' - 0"
6096mm
DESIGN GUIDE PLATES

M7401
E0210
LIGHT, EXAM, MOBILE
WORKSURFACE,

A5077 W/OVERHEAD CAB, WALL
DISPENSER, HAND MTD, 48" W
SANITIZER, HANDS
F0355
FREE
FOOTSTOOL, STRAIGHT
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-255
April 2016
U4093 17' - 3"
5258mm U4092
CABINET, INVENTORY
MANAGEMENT SYSTEM MANAGER, MEDICATION, REMOTE
E0210 R6200
WORKSURFACE, REFRIGERATOR, U-C OR
W/OVERHEAD CAB, F-S, 5 CU FT
WALL MTD, 48" W
M1801 M3150
Elevations 3 & 4
COMPUTER, DISTRIBUTION SYSTEM,
MICROPROCESSING, W/ MEDICATION, AUTOMATIC
350 NSF / 32,6 NSM

FLAT PANEL MONITOR E0948
A1015 CART, GENERAL
TELEPHONE, DESK, STORAGE, MOBILE
MULTIPLE LINE 12x12
F0280
CHAIR, SWIVEL, LOW

BACK
ELEVATION 3
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
M0755 LINES
FLOWMETER, OXYGEN, M0755
LOW FLOW
20' - 0"
6096mm FLOWMETER, OXYGEN,
M0750 LOW FLOW
FLOWMETER, AIR
DESIGN GUIDE PLATES

M0750
M0765
FLOWMETER, AIR
REGULATOR, VACUUM
M0765
M4116

REGULATOR, VACUUM
MONITOR, VITAL SIGNS
A1132
A5108
RAIL, ACCESSORY MOUNTING
WASTE DISPOSAL UNIT, SHARPS
X2105
E0948
SCANNER, ULTRASOUND, CARDIAC
CART, GENERAL STORAGE, MOBILE
M3072
M4255
FRAME, INFECTIOUS WASTE BAG W/LID
STAND IV
M9006
SCALE: 3/16” = 1’-0” ELEVATION 4 STRETCHER, RECOVERY, SURGICAL
4' 8' 16'
4-256
April 2016

Room Data Sheet
ARCHITECTURAL LIGHTING
Ceiling Type: Acoustical Ceiling Tile (SP) Maintained
Ceiling Height: 9’-0” (2700mm) Average
Illumination -
Ceiling Finish: Ambient: 500 Lux (50 FC)
Wall Finish: Gypsum Wallboard (SC) Maintained
Wainscot: Average
Base: WSF Integral Base (min. 6”/ Illumination - Task
152 mm) Focus: 1000 Lux (100 FC) on Table
Floor Finish: Welded Seam Sheet Luminaire Type: 2’x4’ Fluorescent or LED,
Flooring Virgin Acrylic Prismatic
Slab Depression: None Lens, Radio Frequency
Sound Protection: 50 STC (to other room), 35 gasketed frame
STC (to corridor)
Doors: Double, Size 6’-0” x 7’-0” equivalent, 3500K – 4100K
(1829 mm x 2133 mm) Wood CCT, CRI >= 80%, 50%
w/ Narrow View Window; lamps above Table shall
Single, Size 4’-0” x 7’-0” be on emergency battery
(1219 mm x 2133 mm) Wood packs
w/ Small View Window
Special Requirement: switching
Notes: Special None
1) Facility will select number and types of Requirement:
scopes and other instrumentation as necessi- Notes:
2) Scope Cleaning can occur in SPD or in the ceiling obstructions
Equipment Cleaning Room. Facility to select
adjacency of this room to either the Equipment
Cleaning Room or a Soiled Hold Room, where
scopes can be stored until pick-up and process-
ing by SPD. POWER
Normal Power: To be connected to selected
Emergency Power: Critical branch of the
EES to be connected to
selected receptacles and
equipment.
Notes:


2) The branch circuit serving the receptacles on FIRE PROTECTION AND LIFE SAFETY
the rail shall not be part of the multiwire branch Fire Alarm: Yes
circuit.
Sprinkler: Yes
3) Rail system shall be connected to normal
and critical emergency branch circuit(s). Hazard Type: Light Hazard
COMMUNICATIONS
Data: Yes
Telephone: Yes
Duress Alarm: No
Control:
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
sion (SSTV):
VA Satellite TV: No
(VTEL):
Notes:

CONDITIONING
General Requirement: Refer to the current ver-
sion of the VA HVAC Design Manual for tempera-
tures, humidity range, room air change require-
ments, and pressurization.

Cold Water: Yes
Hot Water: Yes
Waste: Yes
Medical Air Yes (2)
Oxygen Yes (2)


Equipment List

Telephone, Desk,
Multiple Line
Horizontal mounting rail will consist of lock mounting
devices capable of; supporting up to 75 pounds each,
being repositioned, and mounting and dismounting of
Rail, Accessory equipment without the use of tools. The rail must be
A1132 Mounting, Length As 1 V/V capable of supporting medical equipment and acces-
Required sories normally found in exam or patient rooms. The
rail system must be capable of mounting and dis-
mounting equipment without leaving or creating new
holes in the finished surface of the wall.
Dispenser, Soap,
Disposable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V
A surface mounted, satin finish stainless steel, double
Hook, Garment, garment hook. Equipped with a concealed mounting
A5145 Double, SS, Surface 1 C/C bracket that is secured to a concealed wall plate. For
Mounted general purpose use throughout the facility to hang
various items of apparel.


2 Vertical Hanging Strips
Worksurface, w/Over-
1 Lockable Flipper Unit
E0210 head Cab, Wall Mtd, 1 V/V
1 Shelf, Storage/Display
48” W
1 Light
1 Cantilevered Work Surface
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
A bariatric side chair with arms for use in a waiting
Chair, Side, Bariatric, room, lobby or other patient area. Chair will have a
F0206 1 V/V
With Arms padded seat and back and have a capacity of 800
pounds.
Low back contemporary swivel chair, 37” high X 25”
Chair, Swivel, Low wide X 31” deep with a five (5) caster swivel base,
F0280 1 V/V
Back arms and foam padded seat and back upholstered
with either woven textile fabric or vinyl.
F2010 1 V/V

Rectangular steel waste receptacle with step-on lid

and 24 gallon capacity. The receptacle is used to
Waste Receptacle,
F2017 1 V/V collect and temporarily store small quantities of paper
24 GAL
refuse. Can be used in restrooms, patient areas,
laboratories, pharmacies, etc.
Diameter
included).
M0755 2 V/V
and outlets.
Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid


M3072 1 V/V
matic
selected.
Electronic sphygmomanometer. LCD displays non-
invasive blood pressure, pulse rate and temperature.
M4116 Monitor, Vital Signs 1 V/V
Used in hospitals and clinics. Includes an optional
mobile stand.
solutions.
Pump, Volumetric,
simultaneously.
The exam light shall be a mobile floor unit. The light
will be a halogen bulb or LED that can produce a
continuous and homogeneous spot of light adjustable
from 5 to 9 inches in diameter from a set distance.
Light, Exam, Mobile, The light intensity shall be a minimum of 750 foot-
M7401 Spotlight, Mobile 1 V/V candles at a distance of 16 inches and have a color
Stand temperature of 3,200 degrees Kelvin. The unit will
consist of an arm or sleeve of approximately 45 inch-
es in length to allow for easy arm rotation and arm
movement up and down. The unit shall be mounted
on a caster base for easy movement.
M7650 1 V/V

Mobile exam table designed for ultrasound and echo-

cardiology examinations. Table has an extra wide
top with a 500 lb patient capacity, suitable for bariatric
Table, Ultrasound,
patients. Height range from 23” low to accommo-
M9006 Mobile, Echocardiol- 1 V/V
date wheelchair transfers and those with ambulatory
ogy
difficulties to a high of 39”. Table includes motorized
height adjustment, Fowler position, Trendelenburg
and auto level adjustment.
Wall mounted, slab type, vitreous china, lavatory
(approximate bowl size 7”x15”x10”) with: faucet holes
Lavatory, Vitreous
P3100 1 C/C on 4” centers; gooseneck spout; wrist blade handles;
China, Slab Type
and grid strainer. It shall be suitable for use in clinics,
offices, washrooms or patient care area.
R6200 1 V/V
medications that require refrigeration, controlled point
Manager, Medication,
U4092 1 V/V -of use access, and electronic tracking and record-
Remote
ing of transaction data for inventory management,
billing and regulatory compliance. (Refrigerator not
included)
Cabinet, Inventory
Management System
.
Cardiac (Echo)

4.19. DECONTAMINATION, TEE PROBE (TRTE2)

STORAGE, CLEAN TEE PROBE (TRTE3)
Axonometric
165 NSF / 15,5 NSM


A5082
9' - 6"
DISPENSER, PAPER
A5107 2896mm TOWEL, SENSOR, HANDS
DISPENSER, GLOVE, FREE
WALL-MTD P3100
LAVATORY, VITREOUS
A5077 CHINA, SLAB TYPE
DISPENSER, HAND A5075
SANITIZER, HANDS
6" AFC GFI DISPENSER, SOAP
FREE
2286mm
F2010
7' - 6"
CT050 CLEAN
STORAGE BASKET, WASTEPAPER,
COUNTER, STAINLESS 3 STEP-ON
STEEL
OSa
U4102
U4100
SLIDING SERVICE
TEE PROBE STORAGE WINDOW
CABINET U0402
DISINFECTOR,
M2100 6" AFC GFI AUTOMATED, PROBE, TEE
1 A5082
CART, SHELVING,
STORAGE, MOBILE, SS DISPENSER, PAPER
2 TOWEL, SENSOR, HANDS
A5107 FREE
3048mm
10' - 0"

DECONTAMINATION
WALL-MTD DISPENSER, SOAP
OSb
A5077 A1195
6" AFC GFI
DISPENSER, HAND COUNTER, CLEAN-UP,
SANITIZER, HANDS WITH 2 OR 3 SINKS
FREE F2020
CAN, TRASH, 44 GALLON
SCALE: 3/16” = 1’-0”

165 NSF / 15,5 NSM


9' - 0"
CLEAN STORAGE
2286mm
7' - 6"
a
5486mm
9' - 0" 18' - 0"
DECONTAMINATION
3048mm
10' - 0"
S a
9' - 6"
2896mm
SCALE: 3/16” = 1’-0”

165 NSF / 15,5 NSM

9' - 6"
2896mm
U4102
SLIDING SERVICE WINDOW
Elevations 1 & 2
165 NSF / 15,5 NSM
M2100
CART, SHELVING, STORAGE, MOBILE, SS
A1195
COUNTER, CLEAN-UP, WITH 2 OR 3 SINKS
ELEVATION 1
10' - 0"
3048mm
CD030
CABINET, W-H, 2 SHELF,
2 DO
A5082
DESIGN GUIDE PLATES

DISPENSER, PAPER
TOWEL, SENSOR, A5075
HANDS FREE DISPENSER, SOAP

A1195
COUNTER, CLEAN-UP, F2020
WITH 2 OR 3 SINKS CAN, TRASH, 44 GALLON
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-267
April 2016

SLIDING SERVICE WINDOW
TEE PROBE STORAGE

CABINET
U4100
U4102
2896mm
9' - 6"
ELEVATION 3
COUNTER, STAINLESS
STEEL
AUTOMATED, PROBE,
TEE
DISINFECTOR,
CT050
U0402
16'
8'
SCALE: 3/16” = 1’-0”
4'
Elevation 3
165 NSF / 15,5 NSM


Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Notes:
1) Provide GFI duplex receptacle 6” above
Floor Finish: Rubber Flooring, Welded sink.
Seam Sheet Flooring
Slab Depression: None COMMUNICATIONS
Data: No
Sound Protection: None
Telephone: No
Doors: Single, Size 3’-0” x 7’-0” (914
mm x 2133 mm) Wood Cable Television: No
Duress Alarm: No
LIGHTING Electronic Access and Door No
Maintained Control:
Average Intercom: No
Illumination - Motion Intrusion Detection No
Ambient: 300 Lux (30 FC) (MID):
Maintained Nurse Call: No
Average
Code Blue: No
Illumination - Task
Focus: Public Address: Yes
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent Security Surveillance Televi- No
or LED, Virgin Acrylic sion (SSTV):
Prismatic Lens, Radio VA Satellite TV: No
Frequency Filter, sealed Video Teleconferencing No
housing, gasketed frame (VTEL):
Lamps: 4 or 3 Fluorescent or LED Special Requirement: No
CCT, CRI >= 80% shall be HEATING, VENTILATING AND AIR
on emergency battery packs CONDITIONING
Controls: Motion sensor wall switch General Requirement: Refer to Soiled Holding/
Notes: Disposal Room data sheet in the current ver-
sion of the VA HVAC Design Manual for room
1) Coordinate location of luminaires with other temperatures, humidity range, room air change
ceiling obstructions. requirements, and pressurization
Notes:
1) Provide exhaust for each room.
2) Both rooms are negative pressure relative
to semi-restricted corridor.



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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Two or three sink cleanup counter. Unit is con-
structed of type 304 corrosion resistant stainless
steel. It consists of three sinks 14”W X 16”H X 10”D,
Counter, Cleanup, hot and cold water faucet, and pre-rinse spray hose.
A1195 1 C/C
With 2 or 3 Sinks Equipped with channel reinforced drainboards, and
backsplash, and supported by tubular stainless steel
legs. Unit is designed for use in control sterile supply
decontamination areas.
posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
Cabinet, W/H, 2
Top, 38x30x13
Forty four (44) gallon trash can, 32” high X 24” diam-
eter, with lid. Used to collect and transport refuse
Can, Trash, 44 Gal-
F2020 2 V/V from a point of origin to point of disposal (example:
lon
from soiled utility or a nursing unit to the trash com-
pactor at housekeeping).
Mobile storage shelving cart 72” X 48” X 24” with
four shelves. Constructed with corrosion resistant
stainless steel and mounted on swivel casters. De-
signed for large carrying capacity and distribution of
Cart, Shelving, Stor-
M2100 1 V/V items from a central source. Options include wire or
age, Mobile, SS
solid shelves, oversize casters, ledges, rods, tabs,
dividers, drawers and bins as well as back and side
enclosures. Casters add 6” to equivalent standing
shelf height.

4.19. STORAGE, CLEAN TEE PROBE (TRTE3)

Equipment List

posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
Steel
F2010 1 V/V
Lavatory, Vitreous
China, Slab Type
Disinfector provides high level disinfection of trans-
Disinfector, Automat- esophageal (TEE) echocardiogram ultrasound probe.
U0402 1 V/V
ed, Probe, TEE Microprocesssor-controlled and with printout verifying
cycle information.
TEE probe storage cabinet is designed for storing
TEE Probe Storage
U4100 1 V/V disinfected TEE probes. Specially designed cabinet
Cabinet
has the capacity to hold 3 TEE probes.
A pass-through window assembly for moving decon-
Sliding Service Win- taminated products between the decontaimination
U4102 1 C/C
dow area and the clean area. The assembly consists of a
verticle sliding pass-through window.

4.20. IMMEDIATE USE STERILIZATION ROOM (ORSR1)
Axonometric
185 NSF / 17,2 NSM

Clean Core Area
CLEAN CORE
P3100
12' - 0"
3658mm LAVATORY, VITREOUS
CHINA, SLAB TYPE
A5075
DISPENSER, SOAP
A1012
TELEPHONE, WALL A5082
MOUNTED, 1 LINE
DISPENSER, PAPER
CT050 TOWEL, SENSOR, HANDS
COUNTER, STAINLESS FREE
3a
STEEL
S0125
STERILIZER, STM, VAC,
1DO, CAB
54" AFF
4724mm
15' - 6"
1
A5107
CT050 6" AFC
GFI DISPENSER, GLOVE,
COUNTER, STAINLESS WALL-MTD
STEEL
M3070
CS150
HAMPER, LINEN
SINK, SS, SINGLE
COMPARTMENT
F2010
BASKET, WASTEPAPER, T 3
STEP-ON
A5077
DISPENSER, HAND
SANITIZER, HANDS SEMI-RESTRICTED
FREE CORRIDOR
A5107
DISPENSER, GLOVE,
WALL-MTD
SCALE: 3/16” = 1’-0”

185 NSF / 17,2 NSM

Clean Core Area
STERILIZER EXHAUST HOOD
9' - 0"
2438mm
8' - 0"
4724mm
DT S 15' - 6"
a
2134mm
7' - 0"
12' - 0"
3658mm
SCALE: 3/16” = 1’-0”

185 NSF / 17,2 NSM

Clean Core Area
Elevation 1
185 NSF / 17,2 NSM
7' - 0" 8' - 0"
2134mm 2438mm
S0125
CA020 STERILIZER, STM, VAC, 1DO, CAB
CABINET, OPEN, W-H, 2 SHELF, 38X24X13
CS150
SINK, SS, SINGLE COMPARTMENT
CT050
C0040
RAIL, APRON, 4x54x1
C05F0
CT050
Clean Core Area

CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x48x22
C03F0
DESIGN GUIDE PLATES

CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x30x22
ELEVATION 1
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-276
April 2016

Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Notes:
1) Provide a duplex receptacle per equipment
152 mm)
location connected one emergency.
Sound Protection: None 3) Provide GFI receptacle by the sink.
Doors: Single Door, Size 3’-8” x COMMUNICATIONS

7’-0” (1117 mm x 2133 mm) Data: Yes
Wood w/ Half View Window
Telephone: Yes
Illumination - Control:
Intercom: No
Maintained
Focus: Nurse Call: No
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent Code Blue: No
or LED, Virgin Acrylic Public Address: Yes
Prismatic Lens, Radio
sion (SSTV):
VA Satellite TV: No
Controls: Three way switch and Notes:
ceiling mounted motion
sensor. HEATING, VENTILATING AND AIR
Notes: CONDITIONING
General Requirement: Refer to Sub-Sterile
Room data sheet in the current version of the VA
ceiling obstructions.
HVAC Design Manual for room temperatures,
humidity range, room air change requirements,
and pressurization.

Clean Core Area

Notes:
1) Canopy hood exhaust provided at sterilizer.

Cold Water: Yes
Hot Water: Yes
Waste: Yes
Medical Air No
Medical Vacuum No
Oxygen No
Notes:
1) Provide steam as required for sterilizer.
2) Provide floor drain for sterilizer.

Fire Alarm: Yes
Sprinkler: Yes

Clean Core Area

Equipment List

Telephone, Wall
Mounted, 1 Line
Disposable soap dispenser. One-handed dispens-
A5075 1 V/V ing operation. Designed to accommodate disposable
posable
A5077 1 V/V
ated.
Dispenser, Glove,
Wall Mntd
Standing height under counter base cabinet with an
Cabinet, U/C/B, 1 adjustable shelf and two half width drawers above
C03F0 Shelf, 2 Half DR, 2 1 C/C solid hinged doors. Also referred to as a combina-
DO, 36x30x22 tion cabinet or a drawer and cupboard cabinet. For
general purpose use throughout the facility.
Standing height under counter base cabinet with an
Cabinet, U/C/B, 1 adjustable shelf and two half width drawers above
C05F0 Shelf, 2 Half DR, 2 1 C/C solid hinged doors. Also referred to as a combina-
DO, 36x48x22 tion cabinet or a drawer and cupboard cabinet. For
general purpose use throughout the facility.
Wall hung open front cabinet with two adjustable
Cabinet, Open, W/H,
shelves and sloping top. Also referred to as an open
CA020 2 Shelf, Sloping Top, 1 C/C
case. For general purpose use throughout the facil-
38x24x13
ity.

Clean Core Area

provided with pre- punched fixture holes on 4” center,
fixtures, brushed/polished interior and top surfaces,
Sink, SS, Single
and sound deadened.
CS150 Compartment, 2 C/C
Recommended for use in suspended or U/C/B sink
10x19x16 ID
cabinets having a high plastic laminate or Chem-
surf laminate countertop/work surface. Coordinate
actual outside sink dimensions with the actual clear
dimension of cabinet specified to ensure that they are
compatible. For general purpose use throughout the
facility.
Steel
F2010 1 V/V
Hamper, Linen, Mo-
bile, w/Lid
Lavatory, Vitreous
China, Slab Type
A cabinet mounted, single power door (vertical
sliding), vacuum, sterilizer utilizing facility supplied
steam. The unit is controlled by a microcomputer that
monitors and controls all unit operations and func-
tions and provides both audible and visual indications
Sterilizer, Stm, VAC,
of deviations. A printer-recorder documents and re-
S0125 1DO, CAB, 16x16x26 1 C/C
cords each cycle performance. For general purpose
Chamber
pre-vacuum or gravity steam sterilization of hospital
and laboratory supplies at temperatures in the range
from 110°C to 135°C (230°F to 275°F). A liquid cycle
is also provided at temperatures in the range from
100°C to 121°C (212°F to 250°F).

Clean Core Area
4.21. PATIENT BAY, PACU / PHASE I RECOVERY (RRBP1)
Axonometric
110 NSF / 10,3 NSM

Post-Anesthesia Care Unit (PACU)
A5180 M4665
TRACK, CUBICLE, STRETCHER, RECOVERY,
SURFACE MOUNTED, SURGICAL
WITH CURTAIN E0948
F2010 CART, GENERAL
BASKET, WASTEPAPER, 1 STORAGE, MOBILE
STEP-ON M7040
M3072 TABLE, OVERBED
3353mm
11' - 0"
FRAME, INFECTIOUS M4266
WASTE BAG W/LID PUMP, VOLUMETRIC,
A5108 INFUSION, MULTIPLE
LINES
WASTE DISPOSAL UNIT,
SHARPS M4255
M7845 STAND IV
MONITOR, M1801
PHYSIOLOGICAL, COMPUTER,
BEDSIDE MICROPROCESSING, W/
NC
A1107 FLAT PANEL MONITOR

RAIL SYSTEM, UTILITY, A5077
GAS AND ELECTRIC DISPENSER, HAND
A5107 10' - 0" SANITIZER, HANDS FREE
DISPENSER, GLOVE, 3048mm
WALL-MTD
F3200
SCALE: 1/4” = 1’-0”

110 NSF / 10,3 NSM

9' - 0"
3353mm
11' - 0"
ab
10' - 0"
3048mm
SCALE: 1/4” = 1’-0”

110 NSF / 10,3 NSM

Elevation 1
110 NSF / 10,3 NSM
M0755
FLOWMETER, OXYGEN, LOW FLOW
F3200
M0765
CLOCK, BATTERY, 12IN 10' - 0"
REGULATOR, VACUUM
M0755 3048mm
M0750
FLOWMETER, OXYGEN, LOW FLOW
FLOWMETER, AIR
M0765 M7845
REGULATOR, VACUUM MONITOR, PHYSIOLOGICAL, BEDSIDE
A5077 A1107
DISPENSER, HAND SANITIZER, HANDS FREE RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
M1801
A5107
MONITOR
A5108
M4266
WASTE DISPOSAL UNIT, SHARPS
PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES
M4665
M4255
STRETCHER, RECOVERY, SURGICAL
STAND IV
DESIGN GUIDE PLATES

ELEVATION 1

SCALE: 3/16” = 1’-0”
4' 8' 16'
4-284
April 2016

Room Data Sheet
ARCHITECTURAL Lamps: 4 Fluorescent or LED

Ceiling Type: Acoustical Ceiling Tile (SP) equivalent, 3500K – 4100K
CCT, CRI >= 80%, 50%
Ceiling Height: 9’-0” (2700mm)
Ceiling Finish: be on emergency battery
Wall Finish: Gypsum Wallboard (SC) packs
Wainscot: Controls: Dimming or multi-level
Base: WSF Integral Base (min. 6”/ switching
152 mm) Notes:
Flooring 1) Coordinate location of luminaires with other
Sound Protection: 35 STC (Room)/ None (Bay) POWER
Doors: Sliding Glass Door, Size 8’- Normal Power: To be connected to selected
0” x 7’-0” (2438 mm x 2133 receptacles and equipment.
mm) ; Single, Size 3’-0” x Emergency Power: Critical branch of the EES
7’-0” (914 mm x 2133 mm) to be connected to selected
Wood w/ Half View Window receptacles and equipment.
Special Requirement: Notes:
Notes: 1) Provide a minimum of 14 receptacles (7
1) Verify with life safety requirements that sliding duplex) on the rail system.
glass doors can break out of the room 2) The branch circuit serving the receptacles
2) Sliding door and footwall can be omitted to on the rail shall not be part of the multiwire branch
create an open patient cubicle if desired by the circuit.
facility 3) Rail system shall be connected to normal and
critical emergency branch circuit(s).
LIGHTING
Maintained COMMUNICATIONS
Average Data: Yes
Illumination -
Ambient: 500 Lux (50 FC) Telephone: Yes
Maintained Cable Television: No

Average Duress Alarm: No
Illumination - Task Electronic Access and Door No
Focus: 1000 Lux (100 FC) on bed Control:
Luminaire Type: 2’x4’ Fluorescent or LED, Intercom: No
(MID):
gasketed frame Nurse Call: Yes
Code Blue: Yes
Public Address: No



sion (SSTV):
VA Satellite TV: No
(VTEL):

CONDITIONING
General Requirement: Refer to Post Anesthesia
Care Unit (PACU) room data sheet in the cur-
rent version of the VA HVAC Design Manual for
temperatures, humidity range, room air change
requirements, and pressurization.

Cold Water: Yes
Hot Water: Yes
Waste: Yes
Medical Air Yes
Medical Vacuum Yes
Oxygen Yes

Fire Alarm: Yes
Sprinkler: Yes
Hazard Type:


Equipment List

Gas and Electric
port items.
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
F2010 1 V/V
Diameter
included).


M0755 2 V/V
and outlets.
Computer, Micropro-
Monitor
Frame, Infectious
Waste Bag w/Lid
tion.
solutions.


Pump, Volumetric,
simultaneously.
M4665 1 V/V
nel

4.22. AIRBORNE INFECTION ISOLATION (AII), PATIENT ROOM

PACU / PHASE I RECOVERY (RRIR1)
Axonometric
150 NSF / 14,0 NSM


M4665
A5180
a b T
A5145
P3100
A1012
1524mm
5' - 0"
F0205
GFI
1
F2010
F3200
2 A5075
A5145 A5080
A1012 c
M7040
A5077
A5077
BORROWED
LIGHT E0948
3
CS140
2134mm
7' - 0"
A5108
CT020
A5107
A5107
LOW WALL RETURN
M3070 6" AFC AIR REGISTER
GFI
A5080
NC
M1801
A5075 M4255
M3072 M4266
A1107 M7845
6' - 6" 12' - 6"
1981mm 3810mm
SCALE: 1/4” = 1’-0”

150 NSF / 14,0 NSM


A5180
TRACK, CUBICLE,
SURFACE MOUNTED,
WITH CURTAIN
9' - 0"
3658mm
12' - 0"
9' - 0"
2134mm
ab
7' - 0"
6' - 6" 12' - 6"

1981mm 3810mm
19' - 6"
5944mm
SCALE: 1/4” = 1’-0”

150 NSF / 14,0 NSM


JSN Legend
JSN DESCRIPTION

A1012 TELEPHONE, WALL MOUNTED, 1 LINE
A1107 RAIL SYSTEM, UTILITY, GAS
AND ELECTRIC
A5077 DISPENSER, HAND SANITIZER,
HANDS FREE
A5080 DISPENSER, PAPER TOWEL
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5145 HOOK, GARMENT, DOUBLE
A5180 TRACK, CUBICLE, SURFACE
MOUNTED, WITH CURTAIN
CS140 SINK, SS,GENERAL, SINGLE X,
10X14X ID
E0948 CART, GENERAL STORAGE, MOBILE
F0205 SIDE CHAIR WITH ARMS
F2010 BASKET, WASTEPAPER, STEP-ON
F3200 CLOCK, BATTERY, 12IN
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M4255 STAND IV, ADJUSTABLE
MULTIPLE LINES
M7040 TABLE, OVERBED
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
4 CHANNEL
P3100 LAVATORY, VITREOUS CHINA,
SLAB TYPE

A5077 12' - 0"
SANITIZER, HANDS
FREE
A5107
A5080
DISPENSER, GLOVE,
DISPENSER, PAPER TOWEL WALL-MTD
A5075
Elevations 1 & 2
DISPENSER, SOAP
E0948
CART, GENERAL STORAGE, MOBILE
150 NSF / 14,0 NSM

P3100
LAVATORY, VITREOUS CHINA, SLAB TYPE A5108
F2010 WASTE DISPOSAL UNIT,
SHARPS
BASKET, WASTEPAPER,
STEP-ON
ELEVATION 1
12' - 6"
M0755 3810mm M0755
FLOWMETER, OXYGEN, LOW FLOW FLOWMETER, OXYGEN, LOW FLOW
DESIGN GUIDE PLATES

M0765 M0765
REGULATOR, VACUUM REGULATOR, VACUUM

A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC M0750

PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES M7845
MONITOR M3072
M4255 FRAME, INFECTIOUS WASTE BAG W/LID
STAND IV
SCALE: 3/16” = 1’-0” M4665
ELEVATION 2 STRETCHER, RECOVERY, SURGICAL
4' 8' 16'
4-294
April 2016
Elevation 3
150 NSF / 14,0 NSM
6' - 6"
1981mm
CB020
CABINET, W-H, 2 SHELF, 1 DO, 38x24x13 LH A5075
DISPENSER, PAPER TOWEL CT020
CS140 COUNTER, SOLID SURFACE

SINK, SS,GENERAL, SINGLE X, 10X14X ID M3070
C0036 HAMPER, LINEN
RAIL, APRON, 4x30x1 C01D0
DESIGN GUIDE PLATES

F2010 CABINET, U-C-B, 4 DR, 36x18x22
BASKET, WASTEPAPER, STEP-ON

ELEVATION 3
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-295
April 2016

Room Data Sheet
ARCHITECTURAL Controls: Dimming or multi-level

Ceiling Type: Acoustical Ceiling Tile (SP) switching
Ceiling Height: 9’-0” (2700mm) Notes:
Ceiling Finish: 1) Coordinate location of luminaires with other
Wall Finish: Gypsum Wallboard (SC) ceiling obstructions.
Wainscot:
POWER
Normal Power: To be connected to selected
152 mm)
Emergency Power: Critical branch of the EES
Flooring
Slab Depression: None receptacles and equipment.
Sound Protection: 35 STC (Room)/ None (Bay) Notes:
Doors: Sliding Glass Door, Size 8’- 1) Provide a minimum of 14 receptacles (7
0” x 7’-0” (2438 mm x 2133 duplex) on the rail system.
mm) ; Single, Size 3’-0” x 2) The branch circuit serving the receptacles
7’-0” (914 mm x 2133 mm) on the rail shall not be part of the multiwire branch
Wood w/ Half View Window circuit.
Special Requirement: 3) Rail system shall be connected to normal
Notes: and critical emergency branch circuit(s).
1) Verify with life safety requirements that sliding COMMUNICATIONS
glass doors can break out of the room Data: Yes
LIGHTING Telephone: Yes
Maintained Cable Television: No
Average Duress Alarm: No
Illumination - Electronic Access and Door No
Ambient: 500 Lux (50 FC) Control:
Maintained Intercom: No
Average
Illumination - Task
(MID):
Focus: 1000 Lux (100 FC) on bed
Nurse Call: Yes
Luminaire Type: 2’x4’ Fluorescent or LED,
Virgin Acrylic Prismatic Code Blue: Yes
Lens, Radio Frequency Public Address: No
Filter, sealed housing, Security Surveillance Televi- No
gasketed frame sion (SSTV):
Lamps: 4 Fluorescent or LED VA Satellite TV: No
CCT, CRI >= 80%, 50%
(VTEL):
packs



CONDITIONING
General Requirement: Refer to Post Anesthesia
Care Unit (PACU) room data sheet in the cur-
rent version of the VA HVAC Design Manual for
Notes:
1) Provide negative pressure for isolation room.
2) Provide low wall return air grille in patient area.

Cold Water: Yes
Hot Water: Yes
Waste: Yes
Medical Air Yes
Medical Vacuum Yes
Oxygen Yes

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
Mounted, 1 Line
Gas and Electric
port items.
posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V


Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
Chair, Side With deep with arms, padded seats and padded backs.
F0205 1 V/V
Arms Seat height is a minimum of 17”. Available with or
without sled base.
F2010 1 V/V
Diameter
included).
M0755 2 V/V
and outlets.


Computer, Micropro-
Monitor
Frame, Infectious
Waste Bag w/Lid
tion.
solutions.
Pump, Volumetric,
simultaneously.
M4665 1 V/V


nel
Lavatory, Vitreous
China, Slab Type


Equipment List (Anteroom)

Telephone, Wall
Mounted, 1 Line
posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
C0036 Rail, Apron, 4x30x1 1 C/C tween two steel base cabinets or a steel base cabinet
and wall. Apron rails should be ordered in pairs to
provide both front and rear work surface support.
Constructed of steel.
Standing height under counter base cabinet with four
Cabinet, U/C/B, 4 full width drawers of equal height. Also referred to as
C01D0 1 C/C
Drawer, 36x18x22 a drawer cabinet. For general purpose use through-
out the facility.
Wall hung cabinet with two adjustable shelves, solid
right or left-hinged door (appropriate door hinge
Cabinet, W/H, 2
configuration to be indicated on equipment eleva-
CB020 Shelf, 1 DO, Sloping 3 C/C
tion drawings), and sloping top. Also referred to as a
Top, 38x24x13
solid hinged single door case. For general purpose
use throughout the facility.


Countertop, Solid
Surface
F2010 1 V/V
Hamper, Linen, Mo-
bile, w/Lid

4.23. LABORATORY, FROZEN SECTION (LBUL1)
Axonometric
120 NSF / 11,2 NSM

Surgical Procedure Support Area
R6111 A5108
FREEZER, CRYOGENIC, WASTE DISPOSAL UNIT,
CHEST SHARPS
E0703 M3072
TABLE, PROCESS, 5 FRAME, INFECTIOUS
DRAWERS WASTE BAG W/LID
A1015
A5077
TELEPHONE, DESK,
MULTIPLE LINE 12x12 DISPENSER, HAND
D3295
CHAIR, ROTARY,
LABORATORY, DENTAL A5107
F3200 DISPENSER, GLOVE,
CLOCK, BATTERY, 12IN WALL-MTD
OSa
L0100 A5082
3048mm
10' - 0"
MICROSCOPE, DISPENSER, PAPER
BINOCULAR TOWEL, SENSOR, HANDS
1
L8590 FREE
STAINER, SLIDE, CS140
AUTOMATIC, 6" AFC
SINK, SS,GENERAL,
HEMATOLOGY
SINGLE X, 10X14X ID
GFI
L4200
BATH, WATER,
SEROLOGY, ELECTRIC P1965
L3400 EYEWASH, EYE-FACE,
MICROTOME, ROTARY, 12' - 0" SINK MOUNTED,
TILT, BENCH MOUNTED 3658mm HANDS-FREE
L9025 A5075
FREEZE-DRYER, TISSUE DISPENSER, SOAP
CT060
E0721
COUNTER, MODIFIED
TABLE, PROCESS, 5 DRAWERS
EPOXY RESIN
SCALE: 3/16” = 1’-0”

120 NSF / 11,2 NSM

3048mm
10' - 0"
a a
9' - 0"
12' - 0"
3658mm
SCALE: 3/16” = 1’-0”

120 NSF / 11,2 NSM

Elevation 1
120 NSF / 11,2 NSM
CE050 12' - 0"
CABINET, W-H, 2 SHELF, 3658mm
2 GDO, 38x48x13 L9025
A5075 FREEZE-DRYER, TISSUE
DISPENSER, SOAP L3400
MICROTOME, ROTARY,
P1965
TILT, BENCH MOUNTED
EYEWASH, EYE-FACE,
L8590
SINK MOUNTED,
HANDS-FREE STAINER, SLIDE,
AUTOMATIC,
CS140
HEMATOLOGY
SINK, SS,GENERAL,
SINGLE X, 10X14X ID L4200

F2000 BATH, WATER,
SEROLOGY, ELECTRIC
BASKET, WASTEPAPER,
ROUND, METAL E0721
C0036 TABLE, PROCESS, 5
DESIGN GUIDE PLATES

RAIL, APRON, 4x30x1 DRAWERS
CT060 C01D0

COUNTER, MODIFIED CABINET, U-C-B, 4 DR,
EPOXY RESIN 36x18x22
ELEVATION 1
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-307
April 2016

Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Notes:
1) Provide a duplex receptacle per equipment
Floor Finish: Resinous Flooring, Welded location connected one emergency.
Seam Sheet Flooring
Sound Protection: None 3) Provide GFI receptacle by the sink.
Doors: Single Door, Size 3’-0” x COMMUNICATIONS

7’-0” (914 mm x 2133 mm) Data: Yes
Wood
Telephone: Yes
Average
Illumination -
Control:
Maintained
Focus: Nurse Call: No
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent Code Blue: No
or LED, Virgin Acrylic Public Address: No
sion (SSTV):
VA Satellite TV: No
Controls: Motion sensor wall switch
Notes:
CONDITIONING
1) Coordinate location of luminaires with other General Requirement: Refer to Frozen Section
ceiling obstructions. Laboratories room data sheet in the current ver-
sion of the VA HVAC Design Manual for room



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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Desk,
Multiple Line
posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V
C0036 Rail, Apron, 4x30x1 1 C/C tween two steel base cabinets or a steel base cabinet
and wall. Apron rails should be ordered in pairs to
provide both front and rear work surface support.
Constructed of steel.
Standing height under counter base cabinet with four
Cabinet, U/C/B, 4 full width drawers of equal height. Also referred to as
C01D0 1 C/C
Drawer, 36x18x22 a drawer cabinet. For general purpose use through-
out the facility.
Wall hung cabinet with two adjustable shelves,
Cabinet, W/H, 2 SH, framed-glass hinged doors, and sloping top. Also
CE050 2 GDO, Sloping Top, 1 C/C referred to as a framed-glass hinged double door
38x48x13 wall case. For general purpose use throughout the
facility.


Modified epoxy resin countertop (composition of
molded epoxy resins and inert materials) having a
low sheen surface finish, standard thickness of 1”,
Countertop, Modified
CT060 4 C/C and a 4” butt backsplash/curb. Also referred to as
Epoxy Resin
a work surface or work top. Available in a choice of
colors and depths. Used in lab areas requiring opti-
mum physical and chemical resisting properties.
Rotary dental laboratory chair. The chair is used by
Chair, Rotary, Labo-
D3295 1 V/V technicians while working at a bench. Chairs also
ratory, Dental
have casters and an adjustable backrest.
1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H
1 Height Adjustable Table
Table, Process, Adj 4 Storage Frames
E0721 Height, 10 Drawer, 1 V/V 2 Drawers, 3”H;
72”W x 36”D 6 Drawers, 6”H;
2 Drawers, 9”H;
Drawer organizer bins
Basket, Wastepaper,
Round, Metal
tions.


Diameter
included).
Binocular microscope. Equipped with plan achro-
matic objectives to suit work in brightfield, phase
contrast, darkfield, photomicrography, dual viewing
and projection screen. Microscope has a high light
intensity, 100 watt halogen lamp, for constant color
temperature and illumination, a three step variable
transformer, focusable aspheric abbe condenser
Microscope, Binocu- system; heat absorbing glass; centerable field
L0100 1 V/V
lar diaphragm; two built-in filter turrets permitting a
combination of selective light balancing and color
compensating filters. Other components/features in-
clude a swing-in condenser, 4X objective, quadruple
nosepiece, 10X wide field eyepieces and a graduated
stage. Other observation tubes can be added. It is
used in laboratories for cell counting and other obser-
vation techniques.
Bench mounted tilting rotary microtome. The unit’s
features include horizontal advancement, a feed indi-
cator and selection dial that provide settings from 1 to
Microtome, Rotary, 30 microns, a quick change holder system that allows
L3400 1 V/V
Tilt, Bench Mounted the use of different holders, an angle adjustment from
0 to 15 degrees and a hand wheel that allows speed
control without backflash. Used for histological tech-
niques and slide preparation.
Serological water bath. It operates in the tempera-
ture range of 60 to 100 degrees centigrade. It has
a corrosion-proof stainless steel water tank with a 3
Bath, Water, Serol-
L4200 1 V/V gallon capacity. Models have drain spouts for easy
ogy, Electric
emptying of media. Used to provide a controlled
temperature environment for the preparation of
samples for study.
Automated immunostaining system for the staining
Stainer, Immunos- of formalin-fixed, paraffin-embedded tissues, frozen
L8590 1 V/V
taining System sections, cytospins, cell smears and fine needle aspi-
rates, using a variety of reagents.
Freeze dryer. The maximum low temperature of the
unit is -54 degrees centigrade. The unit has a built in
electronic vacuum gauge and is built of epoxy-coated
steel for chemical resistance, includes vacuum pump.
L9025 Freeze-Dryer, Tissue 1 V/V Used for laboratory specimen preparations. Capable
of collecting 12 liters of ice before defrosting, remove
up to 8 liters of water in 24 hours. Various options
are available such as stopping tray, manifolds and
glassware.


Frame, Infectious
Waste Bag w/Lid
tion.
A sink mounted eyewash station. The unit is de-
Eyewash, Eye/ signed for emergency eye and face rinsing from soft
P1965 Face, Sink Mounted, 1 C/C flow dual spray-heads. The Flow must be activated
Hands-free by the single momentary action and remain on until
terminated.
Cryogenic freezer. This is a chest type unit that will
maintain uniform temperatures to -140 and -150
degrees centigrade. It shall have a microprocessor
control system, key-operated master switch for power
Freezer, Cryogenic, and alarm, washable, reusable condenser filter to
R6111 1 V/V
Chest maintain peak operating efficiency and full-function
safety system. The cabinet shall have a convenient
size lid handle and lid locking provision to prohibit
unauthorized access. The refrigerant shall be non-
flammable and preferably CFC-free.

4.24. UTILITY ROOM, SURGICAL SOILED (USCL7)
Axonometric
120 NSF / 11,2 NSM

F2010 A1012
BASKET, WASTEPAPER, TELEPHONE, WALL
STEP-ON MOUNTED, 1 LINE
A5082
A5077
DISPENSER, PAPER 54" AFF DISPENSER, HAND
TOWEL, SENSOR,
HANDS FREE
A5075 U0124
DISPENSER, SOAP 2 1 WASTE MANAGEMENT
SURGICAL FLUID COLLECTION
P3100
3658mm
OSa
U0126
12' - 0"
LAVATORY, VITREOUS
WASTE MANAGEMENT
CHINA, SLAB TYPE GFI 6" AFC SYSTEM DOCK
U0399
M3072
VALVE, MIXING,
THERMOSTATIC, EYEWASH FRAME, INFECTIOUS
WASTE BAG W/LID
P2000
P6350
EYEWASH, WALL
SINK, FLUSHING RIM, CHINA
NC
MOUNTED,
HANDS-FREE
A5107
DISPENSER, GLOVE, 10' - 0"
WALL-MTD 3048mm
M3070
HAMPER, LINEN
SCALE: 3/16” = 1’-0”

120 NSF / 11,2 NSM

9' - 0"
3658mm
12' - 0"
10' - 0"
3048mm
SCALE: 3/16” = 1’-0”

120 NSF / 11,2 NSM

12' - 0"
3658mm
Elevations 1 & 2
120 NSF / 11,2 NSM
U0124 42" SIDE WALL
WASTE MANAGEMENT
SURGICAL FLUID COLLECTION
U0126 P6350
WASTE MANAGEMENT SINK, FLUSHING RIM, CHINA
SYSTEM DOCK
ELEVATION 1
12' - 0"
3658mm
CD030
CABINET, W-H, 2 SHELF, 2 DO

U0399
VALVE, MIXING, A5075

THERMOSTATIC, EYEWASH DISPENSER, SOAP
DESIGN GUIDE PLATES

P2000 A5082
EYEWASH, WALL MOUNTED, HANDS-FREE DISPENSER, PAPER

A5107 TOWEL, SENSOR, HANDS
DISPENSER, GLOVE, WALL-MTD FREE
P3100
F2010
LAVATORY, VITREOUS CHINA, SLAB TYPE
BASKET, WASTEPAPER,
M3070 STEP-ON
HAMPER, LINEN
M3072
FRAME, INFECTIOUS WASTE BAG W/LID
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-317
April 2016

Room Data Sheet
ARCHITECTURAL POWER
Ceiling Finish: Emergency Power: Not required.
Wall Finish: Gypsum Wallboard (Epoxy) Notes:
Wainscot: 1) Provide GFI receptacle by the sink.
COMMUNICATIONS
Floor Finish: Resinous Flooring, Welded
Seam Sheet Flooring Data: Yes
Slab Depression: None Special Telephone: Yes
Sound Protection: None Cable Television: No
Duress Alarm: No
Doors: Single Door, Size 3’-0” x
7’-0” (914 mm x 2133 mm) Electronic Access and Door Yes
Wood Control:
LIGHTING
Maintained (MID):
Average
Illumination - Nurse Call: Yes
Ambient: 300 Lux (30 FC) Code Blue: No
Maintained Public Address: No
Average Security Surveillance Televi- No
Illumination - Task sion (SSTV):
Focus:
VA Satellite TV: No
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent
or LED, Virgin Acrylic
(VTEL):
housing, gasketed frame HEATING, VENTILATING AND AIR
CONDITIONING
equivalent, 3500K – 4100K General Requirement: Refer to Soiled Holding/
CCT, CRI >= 80% shall be Disposal Room data sheet in the current ver-
on emergency battery packs sion of the VA HVAC Design Manual for room
termperatures, humidity range, room air change
Controls: Motion sensor wall switch
requirements and pressurization.
Notes:




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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
Mounted, 1 Line
Disposable soap dispenser. One-handed dispens-
A5075 1 V/V ing operation. Designed to accommodate disposable
posable
A5077 1 V/V
ated.
Dispenser, Glove,
Wall Mntd
Cabinet, W/H, 2
Top, 38x30x13
F2010 1 V/V
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.

Wall mounted emergency eye wash station. The flow

of water from the unit is activated by hand. Upon
initiation of water flow the unit will operate hands free
Eyewash, Wall
to provide streams of water to clear foreign particles
P2000 Mounted, Hands- 1 C/C
or dilute caustic liquids from the eyes in emergency
Free
situations. Used in laboratories and areas of the hos-
pital where employees are subject to foreign bodies
or liquid material to the eyes.
Lavatory, Vitreous
China, Slab Type
Flushing rim sink approximately 18” H x 26” D x 22”
W. Also called a clinic service sink. Unit is construct-
ed of vitreous china with an integral flushing rim. It
includes: faucet with a fork brace; 6 inch wrist control
Sink, Flushing Rim,
P6350 1 C/C handles; plain end spout with bucket hook; stainless
China
steel spring type front rim guard; and grid drain. If
it is to be floor mounted, a base must be provided.
Unit is used in utility rooms to clean equipment and
materials.
Waste Management
lection
Docking station for Neptune 2 surgical fluid waste
disposal system. Interfaces with the Rover to empty
and rinse the Rover’s canister(s) of fluid waste. A
Waste Management
U0126 2 V/V detergent dispenser is connected to the docker to
Fluid Docking Station
release detergent into the Rover’s canister system
automatically. The docker is typically installed in a
utility closet or disposal area.
Emergency tempering valve thermostatically mixes
Valve, Mixing, Ther- hot and cold water to provide a safe fluid supply for
U3099 1 C/C
mostatic, Eyewash a single emergency eye/face wash with a flow rate of
10 gpm (38.8L)


5.0 APPENDIX
5.1. Checklist for Cardiac Hybrid OR, Cardiac Catherization/ Electrophysiology Lab
Yes No
1. EGRESS, ACCESS AND TRAFFIC PATTERNS

A. Egress: Cardiac Catheterization Laboratories shall be designed and per-
form as Surgical Operating Rooms as operative procedures are performed,
and egress to these rooms shall meet the following traffic patterns standards
which should be designated to clearly define specific areas. The separation
of “unrestricted”, “semi-restricted”, and “restricted” space is required and
defined as follows:
B. Unrestricted Area: Street clothes are permitted and traffic is not limited
C. Semi-restricted Area: This area includes the peripheral support areas of
the Laboratories. This includes the corridors leading to the restricting area
and is limited to personnel wearing surgical attire. Cover all head and facial
hair (you may wear a jumpsuit designed to totally cover outside apparel).
D. Restricted Area: This includes the Laboratories where operative proce-
dures will occur. Surgical attire, shoe covers, masks, and hair coverings are
required.
E. Staff Traffic: Ideally there are two approved patterns of traffic flow for the
staff. One pattern is from the staff lockers/lounge through the semi-restricted
corridor to the Scrub Stations and then into the individual Laboratories with
exit through the semi-restricted corridor. The second pattern of staff traffic
is from the staff lockers/lounge directly into the clean core area to the Scrub
Stations and then into the individual Laboratories. Possible exceptions to
the flow are the “circulators”, who retrieve supplies and equipment from the
clean core.
F. Patient Traffic: The patients are brought into the Laboratories from the
Preparation Area on a gurney. Patients entering the Laboratories should
have a clean gown, clean linens, and their hair covered. After the procedure
the patient are transported through the semi-restricted corridor and taken to
a Recovery Area.
APPENDIX 5-1
Yes No
G. Traffic Patterns: Traffic pattern policies and procedures shall be clearly
defined and traffic control practices enforced. The Laboratories should be
made secure. Movement of personnel should be kept at a minimum during
the invasive procedure. Clean and sterile supplies should be separated from
contaminated supplies, equipment and waste. Staff must have a clear un-
derstanding of equipment range of motion and possible collision points.
2. MOVEABLE EQUIPMENT AND CARTS

A. Case Carts: Case carts are to be utilized in operative procedures (im-
plantations) and brought to the Laboratories via the clean core area on a
dedicated cart lift or transferred to a clean case cart where the procedure is
completed. These carts are returned to SPS (SPD) in a closed fashion. In
the event that SPS (SPD) is not located below the Laboratories, an alterna-
tive traffic pattern for the case carts must be established that isolates the
clean and soiled case cart traffic.
B. Linens: Linens are brought into the Laboratory area by way of the semi-
restricted corridor. Soiled linen is bagged and removed from the Laborato-
ries via the semi-restricted corridor.
C. Heart Pumps: When performing TAVR/TAVI and other cardiac procedures
a Cardiopulmonary bypass (CPB) pump shall be readily available for use.
Normally the pump is staged within the procedure room however in some
instances it is located in the restricted corridor just outside the procedure
room.
3. POLICIES AND PROCEDURES

A. Policies and procedures for Surgical Attire: Policies and procedures
should be developed, reviewed periodically and readily available for the
Laboratories where surgical attire must be worn, appropriate attire within the
defined areas and cover apparel outside the Laboratories. This also includes
the selection and use of surgical gowns and drapes for the operative proce-
dure.
B. FDA-compliant Surgical Hand Antiseptic Agent: The surgical hand anti-
septic agent must be approved by the facility’s Infection Control Personnel
and used for all surgical scrubs in the Laboratories.
C. Policies and Procedures for Surgical Hand Antisepsis: Policies and pro-
cedures should be developed, reviewed periodically and readily available in
the Laboratories.
APPENDIX 5-2
Yes No
D. Policies and Procedures for Maintaining a Sterile Field: Policies and
procedures should be developed, reviewed periodically and readily available
in the Laboratories. Included are policies for scrubbed persons functioning
within the sterile field, sterile draping, transfer methods of items for the ster-
ile field and constant surveillance of the sterile field.
E. Electrosurgery: Policies and procedures should be developed, reviewed
periodically and readily available in the Laboratories for electrosurgical units.
Proper care, training, competency, exposure to smoke plume generated
should be minimized (smoke evacuation system utilizes) and tracking of the
unit.
F. Policies and Procedures for Sponge, Sharps and Instrument Counts: Poli-
cies and procedures should be developed, reviewed periodically and readily
available in the Laboratories.
G. Waste Disposal: Hazardous waste must be identified and disposed of in a
manner consistent with federal laws in the Laboratories.
H. Quality Control Program: A Quality Assurance/Performance Improvement
Program must be in place for the Laboratory procedures.
I. Environmental Cleaning and Disinfection: The environmental cleaning and
disinfection of the Laboratories is consistent with AORN Standards (after
each case and terminal cleaning at the end of the day) with policies and
procedures written, reviewed periodically, and readily available in the Labo-
ratory’s practice setting.
J. Patient Skin Antisepsis: Patients undergoing open Class I surgical proce-
dures below the chin should have two preoperative showers with chlorahexi-
dine gluconate (CHG) before the procedure (when appropriate). Hair remov-
al should follow AORN Guidelines. Personnel should receive education and
competency of skin preparation, application and skin assessment. Policies
and procedures should be in place for skin preparation and readily available
in the Laboratory setting.
K. Skin Quality Management Program: A Quality Management Program
should be in place to evaluate skin care and identify any problems or areas
for improvement in the Laboratories.
L. Anesthesia Equipment: The Cardiac Catheterization and Electrophysiol-
ogy Laboratories utilizing anesthesia equipment should follow the Occupa-
tional Safety and Health Administration for the use of anesthesia gases and
equipment. This includes the removal of gases from the environment (anes-
thesia scavenging system is required).
APPENDIX 5-3
Yes No
M. Instrument Care; Contaminated instruments must be contained during
transport from the Laboratories and should be transported in a timely man-
ner to a designated area for decontamination. Appropriate case carts and
metal transportation carts should be provided that prevent contaminated
instruments from being carried by hand through an open corridor.
N. Fire Safety: A written fire prevention and management plan should be
developed. A pre-procedure fire risk assessment must be completed and
documented prior to any operative procedures.
O. Waste Disposal: Hazardous waste must be identified and disposed of in a
manner consistent with federal laws in the Laboratories
P. The Clinical Interventionalist should be consulted with prior to the design
concept phase so that the type imaging modality can be identified and test
fitted into the proposed room together with a reflected ceiling layout to iden-
tify any conflict.
4. THE BUILT ENVIRONMENT

A. Design Criteria Guidelines:
1. New Construction: Operating Room Guidelines shall comply with and
follow FGI Guidelines for Surgery and CATH-EP Labs. For Transfemoral
Aortic Valve Replacement (TAVR) procedures in Cardiac Catheterization
Laboratories, Cardiothoracic Surgery Room specifications are required.
2. Renovation Projects: Laboratories will be evaluated on an individual case
by case basis.
3. MEP and Electrical requirements shall be pursuant to the NEC and AHJ
4. Minimum 25 air changes per hour with four low returns preferable, three
absolute minimum.
B. Provide laminar flow to extend beyond the sterile surgical field.
APPENDIX 5-4
Yes No
C. Specific Architectural Requirements:
1. Cardiac Procedure Hybrid Room:
• Absolute Minimum for Existing Facilities: 850 net square feet (78.7 net
square meters) (28’-0” x 30’-4”), 24’-0” min dimension
• New and Existing Facilities: 900 net square feet (83.61 net square me-
ters) (29’-0” x 31’-0”), 24’-0” min dimension.
• Interstitial space above the finished ceiling line is a must to adequately
install and distribute MEP infrastructure.
• Reconstructed sites will be evaluated on an individual basis.
2. Control Room: 190 net square feet preferred, 120 NSF minimum
3. Equipment Room: Minimum 120 net square feet and accessible from
the Control Room or the restricted corridor and not accessible from the
procedure room.
4. Lead-lined walls, doors and window frames including leaded glass vision
view panels. Physicist shielding report shall be submitted and approved
by VAMC Chief Facilities Engineer prior to installation.
5. Scrub station located adjacent to the entry door of the Laboratory
6. Clean section (supply space) for surgical supplies, equipment, case
carts, etc.
7. Area under the procedure table is restricted space and cannot be used to
store equipment
8. Area at the end of the table is restricted space due to table movement
9. Ceiling Access Panels: Minimum two foot by two foot for installation
and maintenance of medical gases, electrical and data utilities to ceiling
mounted booms, except in facilities having interstitial floor construction.
10. The finished ceiling height minimum of 9’-6” feet clear. The ceiling shall
be sealed, washable and homogeneous.
11. HVAC ductwork shall be fabricated of stainless steel
12. Flooring: Seamless membrane with minimum six inch high flash coving,
sealed at intersection with wall surface.
13. Imaging equipment, ceiling booms, ceiling mounted lights, ceiling mount-
ed utilities, hanging lead facial shield must be coordinated to prevent
collision
14. Minimum 25 air changes per hour with four low returns preferable, three
absolute minimum.
D. Surgical Lighting:
Lighting should be in working order and adequate for illumination of the
invasive field. General lighting and specialty lighting should be on separate
circuits. Surgical lights must have a critical feature of reaching across the
procedure table. General room lighting can be incandescent or fluorescent
and must have the ability to dim.
APPENDIX 5-5
Yes No
E. Anesthetic Gases:
Potential hazards associated with the use of anesthetic gases in the Labo-
ratories should be identified and safe practices should be established. Anes-
thesia gases should be located at the head of the patient with enough swing
to accommodate a room switch.
F. Booms:
(Preferred) Anesthesia Boom, (preferred) Utilities Boom, (required) Docu-
mentation Boom, (required) Display Monitor Boom. Booms must be either
electro-magnetic (preferred) or pneumatically operated. If pneumatic, pro-
vide air compressor and air storage tank in proximal sound proof room
G. Medical Gas and Electrical Outlets:
(Minimum)-Oxygen (2), Vacuum (5), Nitrous Oxide (1), Nitrogen (1) Elec-
trical Receptacles (24) must be present in each Hybrid Cardiac OR Cath
Laboratory Procedure Room
APPENDIX 5-6
Yes No
H. HVAC Criteria:
Proper air quality, air volume changes and air flow direction in the Labora-
tories must meet AORN Standards and VA HVAC Guidelines for Operative
Surgical Suites. Ideally this includes the visual monitoring of temperature,
humidity, and positivity in the Laboratories. Room readiness should be docu-
mented prior to case start. The following are required for operative proce-
dures to be performed:
1. Laminar Flow Ceiling with Laminar Flow Diffusers (clear of ceiling

equipment)
2. Low Return Air (3 minimum, 4 preferred)
3. Room Pressure (+)
4. Noise Criteria (35-45)
5. RH Heating (30-60%)
6. RH Cooling (20-60%)
7. Total Air Exchanges: 20 air changes per hour minimum, (25 air changes
per hour preferred).
8. Minimum Outside Air: four (4) air changes per hour minimum (five (5) air
changes per hour preferred).
9. Dry Bulb Temperature Heating (75 degrees F)
10. Dry Bulb Temperature Cooling (68 degrees F)
11. Design Guide continues to recommend 25% outside air for HVAC sys-
tems
12. During an operative procedure (implants, etc), all the space from the
floor itself to a distance of 15” (380 mm) above is considered contami-
nated. Therefore, all exhaust/return grills positioned low on the wall ap-
proximately 8” (460 mm) above the floor. The Laboratory room exhaust
system should include a minimum of three (four best) low exhaust/return
air grills located in opposite corners to minimize recirculation of contami-
nated air within the room.
I. Power Systems:
Line-isolation monitors should be provided for each isolated power system
(preferred but not required). All Laboratories should be on an un-interrupted
power supply (UPS). The power requirements for an operative procedure
in the Catheterization or Electrophysiology Laboratories must exceed rou-
tine Catheterization Laboratories. Electrical feeders for the main distribution
point may be required to boost the power needs.
1. Minimum One 208-volt outlet is required
2. “Code Blue” system is required in the event of a cardiac arrest summon-
ing designated staff
3. Follow requirements of National Electrical Code and NFPA 99.
APPENDIX 5-7
Yes No
J. Procedural Table:
Capable to swing 90 degrees (preferred) radiotranslucent with “Slope-
saddle” column design that allows for a maximum Trendelenburg/Reverse
Trendelenburg of ≤80 degrees and simultaneous lateral tilt of ≤45 degrees in
positioning support on the surgical table top .
APPENDIX 5-8
5.2. Site Tours
As an initial step to updating the Space Criteria and Design Guide for the Surgical
Services chapter, the team embarked on a series of site visits to understand
models of care and surgical program design at leading Midwestern facilities on
November 12-13, 2014.
In order to inform the 2016 Design Standard and Space Planning Criteria
Chapter, the following facilities were toured:
• Elmhurst Memorial Hospital in Elmhurst, Illinois

• Advocate Sherman Hospital in Elgin, Illinois
• The Center for Care and Discovery in Chicago, Illinois
• Rush University Medical Center in Chicago, Illinois
• Edward Hines, Jr. VA Hospital in Hines, Illinois
The facility managers at each tour site supplied the team with floor plans which
were colorized and formatted by the SmithGroupJJR consultants.
Photographs of each facility were taken by the consultant team.
The team would like to thank the many facility staff members who took time out
of their work day to tour the surgical program spaces with the VA and consultant
teams and explain their models of patient care.
APPENDIX 5-9
5.2.1. Elmhurst Memorial Hospital, Elmhurst, Illinois
Figure 5.2.1.1
Aerial of Elmhurst Memorial Hospital
Elmhurst Memorial Hospital

Location Elmhurst, Illinois
Total Area 866,000 sf
Floors 6
Beds 259
Operating Rooms 16
Project Cost $450 Million
Construction Cost $320 Million
Opening Date June 2011
Owner Elmhurst Memorial Healthcare
Architect Albert Kahn Associates

Pratt Design Studio
APPENDIX 5-10
Figure 5.2.1.2
Main Entry of Elmhurst Memorial Hospital
Overview
Elmhurst Memorial Healthcare recently took the opportunity not only to
replace an outdated, landlocked hospital building, but also to redefine the
way they treat patients.
When the system set out to build a replacement facility, it established five
main goals for the new building: clinical quality, safety, market growth,
financial performance and patient satisfaction. Central to these is the patient
experience; throughout the planning process, the health system asked,
“How do you put the patient at the center, and make that stick?”
To answer this question, the system worked extensively with health care
consulting firm Hammes Company, Brookfield, Wis., to research, map and
optimize the patient experience. It also joined the Planetree network, an
organization based in Derby, Conn., that promotes patient-centered care,
including the idea that physical environments can enhance healing, health
and well-being. Planetree’s principles for safe, effective, high-quality care
APPENDIX 5-11
Figure 5.2.1.3 Figure 5.2.1.4

Main Lobby Operating Room
that nurture the body, mind and spirit clearly are evident in the newly opened
Elmhurst Memorial Hospital facility, which was designed by Albert Kahn
Associates Inc., Detroit, and Pratt Design Studio, Chicago.
The red brick Prairie-style building is adorned with bands of precast concrete
molded in the design of a Planetree leaf, a motif used throughout the hospital
in tribute to the patient-centered model of care.
Gardens and outdoor seating areas span the front of the building. A water
feature is installed just inside the main entrance to provide a serene entry
sequence for patients and visitors. Oversized windows fill the first-floor,
public concourse with natural light. A number of amenities are located along
the concourse, including a flower shop, wellness boutique, Starbucks,
pharmacy and the hospital’s café.
A health education center is available to the public in keeping with the

Planetree belief that access to health information can empower people to
participate in their own care. The back of this library opens to the physician
APPENDIX 5-12
lounge, giving doctors easy access to research materials.
A nondenominational chapel with a second-story balcony is adjacent to both

the emergency department (ED) on the first floor and the intensive care
unit on the second floor. Family members and friends of patients in these
critical care areas can access the chapel without having to travel far from
the patient bedside.
Each room has a computer work station with an articulating arm that allows
caregivers to position the monitor where it can be seen easily by the patient.
A stool is provided in every room so caregivers can sit down while speaking
with patients.
To save hospital staff the time spent fetching extra seats for visitors, a folding
chair is stored in a cabinet in the family zone of each patient room. A small
table with leaves that fold down for easy storage can be rolled out from
beneath a counter on the footwall to give family and visitors a place to work,
share a meal or play games with a patient. The idea that families, friends
and loved ones are vital to the healing process is important to the Planetree
approach. At the far corner of each room, the walls meet in a smooth curve
rather than a sharp point, a gesture that has surprising impact on making the
room more comfortable.
Integrated, ceiling-mounted patient lifts are installed in each room for staff
and patient safety. Large bathrooms include roll-in showers sized to enable
staff members to assist patients with bathing. The toilet is positioned away
from the corner of each bathroom, providing room for two caregivers, one on
each side, to help a patient sit or stand. Fold-down grab bars are installed
on either side of the toilet to allow patients to help themselves. A recessed
cabinet in the wall of each bathroom stores bedpans and other commonly
used items.
The project team followed the 90/5 rule in designing the hospital. This rule,
which originated in the aerospace industry, states that 90 percent of supplies
should be stored within five seconds of where they are needed. Nurse
servers in each patient room keep supplies close at hand.
Like the patient rooms, the ED exam rooms are private, each with a private
bathroom. Two doors lead into each exam room; the staff work area is on
one side of the exam rooms and the waiting area is on the other, to reduce
noise and chaos.
A six-bed pediatric inpatient unit is located next to the ED on the hospital’s

first floor. The rooms here look into a children’s garden filled with fanciful
blown-glass globes.
APPENDIX 5-13
Site Visit Analysis
Figure 5.2.1.5
Operating Room
Model of Care
The Planetree Model of Care has been highlighted as a holistic philosophy
of care that resonates with every department in the facility, including the
Surgical Program. Patients are the center of the care model at Elmhurst
and the staff seek to ensure that patients are brought into for their surgical
cases in a safe and efficient way. The paths that lead patients from
pre-operative assessment through recovery and discharge are clearly
delineated and patients are educated about their surgical process along
the way. Visitors are also thought of in the design with ample pleasant
waiting areas and an invitation to join their loved one throughout their
surgical experience.
The hospital is considered a destination care center for community

providers. Facility management related that local physicians and surgeons
have a choice in their admitting and privileges and surgical case blocks
with competition from other area hospitals and surgical centers. Many
of the physicians are choosing to operate at Elmhurst and the facility
APPENDIX 5-14
has seen an uptick in procedures related to this. The hospital also has
an established partnership with Northwestern University’s Interventional
Radiology program.
Valet parking is an amenity for surgical patients and their families and
care takers. Outpatients can arrive at the facility the day of surgery and
be ushered through the surgical pathway with care from start to finish.
Families and visitors of inpatients have the same valet availability to come
into the facility to visit pre and post-surgical procedure.
Because of the Planetree-related design, there seems to be a large

amount of underutilized public space. Facility staff mentioned that this
space was a circulation factor and much of it was not in the program
when designed but is part of the Planetree philosophy to provide open,
non-restrictive spaces without pinch-points and generous lobby areas
for visitors. The space provided in the general operating rooms seemed
slightly oversized but the specialty surgical suites themselves were
adequately sized to recent industry standards.
Surgical Suites
There are 15 Operating Rooms (1 Neurosurgical, 2 Cardiac, 1 Cystoscopy)
divided into 2 sections, each with its own Sterile Core. The general
operating rooms and most of specialty operating rooms are 740-780nsf
and the cardiothoracic operating room is approximately 850nsf. The design
has angled room entrances off semi-restricted corridor for brief patient
holding and stretcher/specialty bed storage outside of rooms.
The floor plans include 3 Cardiac Catheterization Labs, 1 Angiography

Lab surrounded by clean core and each with its own control room and
an adjacent 15 Prep-Recovery room unit. The facility leadership has
successfully cohorted surgery and invasive cardiology programs “behind
the red line” within the clean core. This represents a change in the model
of practice to an integrated platform for these services. Over time with the
changing surgical models as well as future technology, these rooms can
flex and grow to accommodate many procedures.
The program has 4 Endoscopy Suites and 1 Special Procedure Room. A

minor procedure room is located near PACU.
There is decentralized storage close to ORs and adequate Anesthesia

support spaces in semi-restricted corridors. Contiguous staff locker and
lounges are provided for staff. There are exam and consult rooms off of
main entrance to surgical program and a large family waiting space with
natural light and a variety of seating configurations.
APPENDIX 5-15
The Navicare system is used to track patients during their surgical

procedures. The system integrates scheduling, patient whereabouts, and
movement within the different levels of care within the surgical program
space. Families can see where their loved ones is at in the surgical
process which can allay anxiety and decrease multiple visits to the surgical
control desk/reception area staff. The system also helps staff better
anticipate patient movement and prepare tasks appropriately. Displays
situated in the OR proper shows the status of patients and also shows
patients movement through the entire surgical timeline from admission
(75% of patients are pre-registered) to recovery. This increases staff
efficiency also patient safety.
Because of operational improvements to process and flow, management

was able to reduce overall turn-around-times and also improve surgeon
block time with on-time starts averaging 90%.
There were a few changes in design that staff would have made. Mobile
storage was used in the ORs and staff would have preferred built-ins. Staff
preferred to have automatic doors into the ORs because they are manual
as designed and pose an extra step to open them. Staff also felt that the
ORs were undersized for the TAVR program.
Central Sterile
The sterile processing department is located on same floor as the
operating rooms for ease of transport of materials and case carts. This
departmental co-location has reduced case time by 10-15 minutes on
average, as per staff. It was mentioned that more storage was needed in
SPD to accommodate growing specialties.
Pre-Op and Recovery Space

The floor plan includes 12 PACU bays and 2 Isolation rooms with
centralized nursing support with visualization to all patient spaces. A minor
procedure room is located near PACU. PACU spaces are open bays with
curtains, not 3-sided walled rooms. Staff prefer the curtained bays for ease
of response between patients, although this can hinder patient privacy and
can affect infection control.
The program utilizes the same Pre-op/Phase 2 Recovery beds for

both their Surgical patients and also their and Cardiac Catheterization/
Electrophysiology/Interventional procedure patients. This results in
a savings of space in the facility and an operational efficiency for the
programs. Staff are cross-trained to care for both types of patients and
report that the combination of cases works well for their patient care model.
APPENDIX 5-16
There are 48 Prep recovery Phase 2 rooms with 7 shared patient toilets.
The adequately sized rooms are approximately 12X12nsf in configuration
and are three sided with a doored front. This results in increased patient
privacy and improved infection control measure being implemented. The
Pre-op/Phase 2 Recovery rooms have shared bathrooms between every 4
rooms and staff relate that this number of room support space works well
for patient needs.
There is a high staff to patient ratio in Pre-op/Phase 2 Recovery area

resulting in an approximate staff to patient ratio of 1:6. This allows nursing
staff to pay close attention to patient needs and function in collaboration in
the space.
Ancillary Services
Supporting the surgical program, the ability of the Emergency Department
to flex into self-contained modules departments census grows throughout
day is a benefit to facility patient flow.
APPENDIX 5-17
7 8 9 10 11 12 13 14 15 16W 16E 17 18
The Intraoperative Floor
C.6
UP
DN
PASSAGE
A2160 OFFICE
A2161
OFFICE
A2169
D.9
OFFICE
A2162
OFFICE
OFFICE A2163
A2168
OFFICE
A2164
OFFICE ELEC
A2167 C2391
OFFICE
A2165
VESTIBULE
WORKROOM C2389
A2171
UP
CONF
A2166 7.8 STAIR C
STAFF
TOILET
SHAFT DN
A2172T
C6
DE CORRIDOR
CORRIDOR CORRIDOR
C2330 C2390
C2360
DE
ICU PATIENT
PATIENT TOILET SHAFT SHAFT SHAFT SHAFT
DE
DE
SHAFT SHAFT
ROOM C2341T SOILED C1W C1E C3 C4
C2W C2E
A2221 WORKROOM
SOILED
C2331 WORKROOM
JC COMM COMM SHAFT COMM
E2521
C2381 C2394C E1 E2501C
ACCESSIBLE C2392C COMM
PATIENT PATIENT C2393C
TOILET ROOM COMPUTER
ROOM CATH LAB OR
A2221T C2341 SHAFT NO. 3
MEN'S C2362 C2363
JC WOMEN'S C5 C2394 OR
LOCKER CATH LAB CARDIAC NO. 7
C2346 LOCKER PUMP
2
C2332 C2361 OR
C2334 ROOM NO. 2 E2501
C2382 C2393
ICU COMM
PATIENT E2522
ROOM PATIENT
TOILET
A2222
PATIENT C2342T
TOILET
A2222T DWTR SHAFT CARDIAC CLEAN
1 C7 OR WORKROOM
NO. 1 E2523
WOMEN'S DWTR
TOILET C2392
PATIENT VESTIBULE
ROOM C2335T C2383
ICU C2342
PATIENT CYSTO
ROOM MEN'S
TOILET CONTROL CONTROL OR
PASSAGE NO. 11
A2223 ROOM ROOM
C2333T C2336
PATIENT C2364 C2366 E2509
TOILET
A2223T EQUIP
PATIENT CORRIDOR STOR
TOILET C2387
C2365
C2343T
CORRIDOR EQUIP STERILE
STOR CORE
C2380
4
ICU CORRIDOR C2384 C2386
CLEAN
PATIENT NOUR STAFF CORE
C2340 LOUNGE CORRIDOR
ROOM C2347 C2367
C2337 E2520
A2224 PATIENT CLOSET
PATIENT ROOM
TOILET C2387C
C2343
A2224T
CONTROL
ROOM
CONTROL C2369
ROOM
C2368
ICU
PATIENT PATIENT
ROOM TOILET
A2225 NURSE
C2344T STATION
PATIENT STOR STAFF
C2348 TOILET ANES
TOILET C2371 OR OR OR OFFICE
A2225T ELEC NO. 4 NO. 5 NO. 6 E2528T
103 SF E2524
C2372 SOILED C2396 C2397 C2398 13'-3" X 7'-9"
PATIENT WORKROOM
ROOM
C2388 OR
C2344 NO. 12
ICU ANGIO LAB COMPUTER E2511
PATIENT ROOM CATH LAB ANES
ROOM C2373 C2375 WORKROOM
C2374
A2226 E2525
PATIENT
TOILET
A2226T PATIENT STAFF
TOILET TOILET
ELEC COMM COMM
C2345T READING CONF COMM COMM E2526T
C2376 C2398C E2511C
C2351 C2352 C2396C C2397C 54 SF
8'-1" X 6'-8
DWTR
VESTIBULE DWTR
ICU
PATIENT E2527 2
ROOM PATIENT
ROOM
B2245
C2345
ICU
PATIENT
TOILET
B2245T
CORRIDOR
C2350
DE
DE
CORRIDOR
C2370
CORRIDOR
C2395
CONTROL
3
ISOLATION PATIENT ROOM
DE
ROOM
DE
DE
ROOM CLEAN PATIENT

ANTE B2244 WORKROOM TOILET D2459 PREP PREP
D2401 STAIR D1 PATIENT PREP PREP RECOVERY RECOVERY
B2244A D2402 PATIENT D2422T PATIENT STOR HOLDING RECOVERY RECOVERY R
F2533 F2534
DE
ROOM ROOM JC PATIENT D2457 D2458 F2531
ACCESSIBLE F2532
D2421 D2422 D2423 ROOM
PATIENT DN
DE
TOILET D2456
PATIENT
B2244T TOILET
D2421T
PATIENT
TOILET
D2401T PACU PASSAGE
D2460 D2455
PATIENT CARDIO
TOILET PREP PASSAGE
RECOVERY D2420
B2281T
D2410
DIALYSIS NURSE
WORKROOM STATION STAFF
B2262 PATIENT PATIENT TOILET JC
HOLDING D2463 PREP PREP PREP PREP PATIENT
ROOM NURSE D2466T D2467
STATION RECOVERY RECOVERY PATIENT RECOVERY RECOVERY TOILET
B2280 D2411 SOILED TOILET
WORKROOM D2462 D2468 F2559 F2557 F2556 F2555T
D2424 TEE F2558T
PROCEDURE CORRIDOR
PATIENT
5
NURSE ROOM D2426 F2580
STATION CLEAN
D2419 WORKROOM PACU CLEAN
D2405 CORRIDOR D2460 WORKROOM
D2425
CT SCAN PATIENT D2450 D2465
TOILET PATIENT PATIENT
CONTROL B2285 PREP PREP PREP
ROOM D2411T TOILET TOILET
PATIENT PREP RECOVERY RECOVERY RECOVERY
B2286 RECOVERY F2562T F2565T
TOILET PATIENT F2561 F2563 F2564
D2419T ROOM D2469
D2461
PATIENT
CARDIO ROOM SOILED
CORRIDOR PREP D2418 PROBE CONTROL WORKROOM
PATIENT CLEANING ROOM
B2260 ROOM RECOVERY D2464
D2410 D2427 D2428
D2412 PASSAGE
PATIENT
TOILET F2560
D2418T
OFFICE
B2269 WORKROOM
CORRIDOR
D2415
D2470
PATIENT PATIENT
ROOM NOUR ROOM PATIENT
ROOM COMM ELEC PREP PREP PREP
PATIENT PATIENT D2413 D2414 D2416 PATIENT D2472 RECOVERY RECOVERY RECOVERY RE
TOILET TOILET PATIENT D2417 D2473
TOILET F2584 F2583 F2582
PASSAGE TOILET STAFF
D2412T D2413T D2417T STAFF
B2271 D2416T TOILET
LOUNGE PREP
OFFICE D2474T OFFICE RECOVERY
D2481 D2477
D2476 F2585
SHAFT SHAFT
ON-CALL D2 ELEV ELEV D3
B2272 NO. 8 NO. 9 STOR
ON-CALL CORRIDOR
D2478
B2273 STAFF D2430
TOILET
B2273T PASSAGE
D2480 OFFICE
STAFF STAFF BCS BCS D2482 PATIENT
CONSULT TOILET PATIENT PUBLIC
TOILET NURSE TOILET PUBLIC TOILET CONSULT TOILET
D2495 D2431T STATION
B2272T OFFICE D2436T TOILET D2445T F2607 F2591T
D2434 D2443T RECEPTION
B2274 ELEV ELEV
OFFICE CORRIDOR F2606
NO. 7 NO. 10
DE
CONSULT CORRIDOR CONF OFFICE CORRIDOR CORRIDOR
DE
D2432 D2433 D2438 D2471 READING

RECEPTION D2441 D2479 F2604 F2590
D2486 OFFICE OFFICE OFFICE JC
D2439 EXAM EXAM PUBLIC PUBLIC D2485 D2484 D2483 D2491 EXAM
TOILET TOILET CONSULT
D2435 D2437 F2592
D2442T D2444T F2608
SHAFT SHAFT
D4W D4E CORRIDOR
CORRIDOR D2490
CORRIDOR
D2440 CORRIDOR
D2440
F2605
PRIVACY
ROOM
WAITING WAITING
B2275
D2446 D2448 STAIR D STAIR D2
VENDING VENDING
P.1 WAITING D2449
DN
UP D2492 WAITING
D2447 F2609
PRIVACY PRIVACY
ROOM ROOM
D2448A D2493 P.3
P.4
PRIVACY PRIVACY
ROOM ROOM
D2448B D2494
P.6
P.7
P.8
SHAFT
D
Legend:
Semi-Restricted Corridor Public Area
Departmental Circulation Staff Circulation
Elevators / Stairs
6.1 6.8
Sterile Core (Restricted) 13.4 13.7 14.1 14.9 15.4 15.7
Mech. / Elec. / Tele. Support

Patient Room Central Sterile
Procedure Room Emergency Department
APPENDIX 5-18
15 16W 16E 17 18 19 20 21 22 23 24 25 26
C.6
RENTAL
SET-UP FUTURE
G2625 ELEV
NO. 11
ELEV
EQUIP CYLINDER NO. 12 CORRIDOR
OFFICE STOR BIOMED STOR DN STAFF
G2640
G2621 G2622 WORKROOM G2624 LOUNGE
G2623 G2642
STAIR G
JC
UP G2641
CORRIDOR
G2620
JC SHAFT
G2629 G1
SOILED WATER
HOLDING & SOAP STOR WOMEN'S STORAGE
G2628 ROOM G2626 TOILET G2649
G2627 WOMEN'S G2647T
LOCKER
G2644
DE
STOR MEN'S
STERILIZERS LOCKER
G2643
G2638 MEN'S G2648
TOILET
G2648T
STERILE
WORKROOM
G2637 JC
DECONTAM G2645
G2631
LC CORRIDOR
3 OFFICE G2650
G2652
TC
3 OFFICE
G2651
VESTIBULE
C2389 CART
WASHER
JC
G2633
G2632
UP
DN
STAIR C CORRIDOR
G2630
6 CENTRAL
STERILE
G2655
CORRIDOR
E2500
SHAFT
C4
SOILED ANTE
WORKROOM
COMM SHAFT COMM COMM COMM COMM G2653
E2521
C2394C E1 E2501C E2502C E2503C
COMM E2504C
C2393C NEURO
OR OR OR
NO. 3 NO. 9 NO. 10
C2394 OR E2503 E2504
CARDIAC NO. 7
OR
1
NO. 2 E2501
C2393
COMM
E2522 OR
NO. 8
E2502 WOMEN'S
TOILET
G2663T
CLEAN
WORKROOM
E2523
STAFF WOMEN'S
LOUNGE LOCKER
G2661 G2664
CYSTO
OR
NO. 11
CONF
E2509
G2671
EQUIP
STOR
C2387 STAIR G1 DN
EQUIP
STERILE STOR MEN'S
CORE CORRIDOR
E2505 TOILET
E2507 G2670
G2665T
CORRIDOR CORRIDOR
E2520 G2660
CLOSET MEN'S
LOCKER
C2387C
G2666
PHYSICIAN
LOUNGE
G2662
PASSAGE
G2672
OFFICE OFFICE
OFFICE OFFICE OFFICE OFFICE COMM ELEC G2676 G2677
G2682 G2683 G2684 G2685 G2686 G2687
STAFF SERVERY
TOILET ANES
OR OFFICE G2681
NO. 6 E2528T
103 SF E2524
C2398 13'-3" X 7'-9"
OR OR OR OR
NO. 12 NO. 13 NO. 14 NO. 15 DE
E2511 E2512 E2513 E2514
ANES CORRIDOR CORRIDOR
WORKROOM G2680 G2675
E2525
STAFF
JC TOILET
STAFF G2693 G2696T
READING
TOILET OFFICE
COMM COMM COMM COMM COMM H2731
E2526T G2691
C2398C E2511C E2512C E2513C E2514C ENDO
54 SF NO. 1
8'-1" X 6'-8
DWTR H2741
OFFICE CLASSROOM OFFICE
VESTIBULE DWTR
G2667 G2697 G2698
E2527 2 STAFF
LOUNGE
PASSAGE G2694
OFFICE G2695
CORRIDOR G2692
E2510 CLEAN
WORKROOM
H2732
ENDO
NO. 2
CONTROL
ROOM CORRIDOR H2742
DE
D2459 PREP PREP G2660 PREP PREP PREP PREP PREP PREP
PATIENT PREP PREP PREP PREP PREP PREP PREP PREP PREP PREP
STOR RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY
HOLDING RECOVERY RECOVERY
7 8
F2533 F2534 H2701 H2703 H2704 H2705 H2706 H2707
DE
D2457 D2458 F2531 F2532 F2535 F2536 F2537 F2538 F2539 F2541 F2542 F2543
JC READING
NOUR H2708 H2733
H2712
DE
DE
CORRIDOR
PASSAGE PASSAGE PASSAGE
H2730
D2455 F2530 H2700
ENDO
NO. 3
H2743 CORRIDOR
G2670
STAFF PATIENT SCOPE
TOILET JC CLEAN/ PATIENT TOILET STAFF PROCESSING
D2467 PREP PREP PREP PREP PATIENT MEDS PREP PREP PREP PREP TOILET H2734
D2466T RECOVERY RECOVERY PATIENT RECOVERY RECOVERY TOILET RECOVERY RECOVERY TOILET RECOVERY H2726T
RECOVERY PREP H2728T
TOILET F2554 F2545T
D2468 F2559 F2557 F2556 F2555T F2548 F2546 F2544 H2713 RECOVERY
F2558T SOILED
CORRIDOR WORKROOM H2727
F2580 NURSE F2552 NURSE
PASSAGE STATION STOR PASSAGE STATION CLEAN/ PREP STOR
CLEAN MEDS RECOVERY
WORKROOM F2550 F2551 F2547 H2750 H2711 H2735
H2715 H2725 SOILED
D2465 WORKROOM
PATIENT PATIENT ENDO
PREP PREP PREP PREP PREP PATIENT PREP PREP H2736 NO. 4
TOILET TOILET TOILET
PREP RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY H2744
RECOVERY F2562T F2565T F2572T
F2561 F2563 F2564 NOUR F2568 F2571 F2573 H2714
D2469 READING
F2553 F2566 SHAFT
F5
PREP
SOILED RECOVERY
WORKROOM
H2724
D2464 PASSAGE
PASSAGE
H2720
F2560
SPECIAL
RIDOR PROCEDURES
2470 H2745
CORRIDOR
PREP PREP PREP PREP PREP PREP PREP PREP PREP PREP PATIENT H2740
RECOVERY RECOVERY RECOVERY RECOVERY ELEC RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY TOILET
F2584 F2583 F2582 F2581 F2595 F2578 F2577 F2576 F2575
ALCOVE
H2721 H2722 H2723T STOR
H2746 26.5 26.6
PREP SHAFT
RECOVERY F2574
F2
LC
F2585
SHAFT 2
ELEV D3 FUTURE TC
NO. 9 STOR SHAFT ELEV ELEV CHUTE 2
CORRIDOR ROOM ELEC
D2478 F4 NO. 14 NO. 15
F2600 H2747 H2757
SCALE
ALCOVE
F2597
RECEPTION
PATIENT BCS
PUBLIC
BCS
PUBLIC
CONSULT TOILET TOILET H2751
TOILET MANOMETRY
F2607 F2591T SHAFT OFFICE F2616T F2618T JC CONSULT CONSULT STORAGE STOR
RECEPTION F6 H2748
ELEV F2599 H2752 H2753 H2754 ELEV ELEV H2749
F2606
NO. 10 NO. 13 NO. 16
DE
OFFICE CORRIDOR CORRIDOR OFFICE CORRIDOR

D2479 F2604 F2590 CONSULT
F2598 F2610 N.3
EXAM EXAM F2596 PUBLIC PUBLIC
CONSULT SHAFT SHAFT TOILET TOILET
F2592 F2594 F7W F7E
F2608 F2615T F2617T
PRIVACY PRIVACY
ROOM ROOM CORRIDOR FUTURE
H2702 LINK
F2613 F2614
DOR H2756
90
CORRIDOR
N.7
F2605 SHAFT
H DN
PRIVACY STAIR H
WAITING ROOM
F2612 H2758
STAIR D2 WAITING UP
VENDING
D2492 WAITING
F2611 P.1
PRIVACY
F2609 P.2
ROOM
D2493 P.3
P.4
PRIVACY
ROOM
D2494
P.6
P.65
P.7
Key Notes:
Q.8
1 General + Specialty ORs are 740-780 sf 5 Minor procedure room near PACU
2 Cardiothoracic OR is 850 sf 6 SPD on same floor as ORs
14.9 15.4 15.7
3 Reduced turn-around-time related to operational 7 Utilized same Pre-op/Phase 2 Recovery beds for 22.2 22.9 23.1 23.9 24.1 25.1
improvments in flow and surgeon block time surgery and Cardic cath / EP / IR procedures
4 Cohorted Surgery and Invasive cardiology 8 Pre-op/Phase 2 Recovery rooms: 12’ x 12’
programs ‘behind the red line’
APPENDIX 5-19
Figure 5.2.1.6
1 Figure 5.2.1.7 2
Operating Room Semi-Restricted Corridor
Figure 5.2.1.8 3 Figure 5.2.1.9 4

Scrub Sink Nurse Station
APPENDIX 5-20
DECONTAM
G2631
LC
3
TC
3
TIBULE
2389 Surgical Services Design Guide April 2016 JC
CART
WASHER
G2633
G2632
UP
STAIR C CORRIDOR
G2630
DN
CORRIDOR
E2500
2
SHAFT
C4
3
SOILED
WORKROOM
COMM SHAFT COMM COMM COMM COMM
E2521
C2394C E1 E2501C E2502C E2503C E2504C
NEURO
OR OR OR
NO. 3 NO. 9 NO. 10
C2394 OR E2503 E2504
NO. 7
E2501
COMM
E2522 OR
NO. 8
E2502
CLEAN
WORKROOM
E2523
STAFF
LOUNGE
G2661
CYSTO
OR
NO. 11
E2509
EQUIP
STOR
C2387
EQUIP
STERILE STOR
CORE
E2505
E2507
CORRIDOR CORRIDOR
E2520 G2660
CLOSET
C2387C
PHYSICIAN
LOUNGE
G2662
STAFF SERVERY
TOILET ANES
OR OFFICE G2681
NO. 6 E2528T
103 SF E2524
C2398 13'-3" X 7'-9"
OR OR OR OR
NO. 12 NO. 13 NO. 14 NO. 15 DE
E2511 E2512 E2513 E2514
ANES
WORKROOM
E2525
COMM
C2398C
STAFF
TOILET
E2526T
COMM
E2511C
COMM
E2512C
COMM
E2513C
COMM
E2514C
1 OFFICE
G2691
54 SF
8'-1" X 6'-8
DWTR OFFICE
VESTIBULE DWTR
G2667
E2527 2
PASSAG
OFFICE G269
CORRIDOR G2692
E2510
Figure 5.2.1.10
CONTROL
ROOM
Enlarged Intraoperative Floor Plan CORRIDOR
DE
D2459 PREP PREP G2660 PREP PREP

PATIENT PREP PREP PREP PREP PREP PREP PREP PREP PREP PREP
STOR RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY
HOLDING RECOVERY RECOVERY
F2533 F2534 H2701 H2703
DE
D2457 D2458 F2531 F2532 F2535 F2536 F2537 F2538 F2539 F2541 F2542 F2543
NOUR
H2712
DE
DE
PASSAGE PASSAGE
D2455 F2530
F
T JC CLEAN/ PATIENT
D2467 PREP PREP PREP PREP PATIENT MEDS PREP PREP PREP PREP
6T RECOVERY RECOVERY PATIENT RECOVERY RECOVERY TOILET RECOVERY RECOVERY TOILET RECOVERY RECOVERY
TOILET F2554 F2545T
D2468 F2559 F2557 F2556 F2555T F2548 F2546 F2544 H2713
F2558T SOILED
CORRIDOR WORKROOM
F2580 NURSE F2552 NURSE
PASSAGE STATION STOR PASSAGE STATION CLEAN/
LEAN MEDS
KROOM F2550 F2551 F2547 H2750 H2711
H2715
2465
PATIENT PATIENT PATIENT
PREP TOILET PREP PREP TOILET PREP PREP PREP PREP
PREP RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY TOILET RECOVERY RECOVERY
RECOVERY F2562T F2565T F2572T
F2561 F2563 F2564 NOUR F2568 F2571 F2573 H2714
D2469 READING
F2553 F2566
D
OM
PASSAGE
PASSAGE
H2720
F2560
PREP PREP PREP PREP PREP PREP PREP PREP PREP PREP PATIENT
RECOVERY RECOVERY RECOVERY RECOVERY ELEC RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY RECOVERY TOILET
F2584 F2583 F2582 F2581 F2595 F2578 F2577 F2576 F2575 H2721 H2722 H2723T
ALCOVE
PREP SHAFT
RECOVERY F2574
F2
F2585
SHAFT
D3
STOR
CORRIDOR
D2478
F2600
SCALE
ALCOVE
F2597
BCS BCS RECEPTION

PATIENT PUBLIC PUBLIC
CONSULT TOILET TOILET H2751
TOILET
F2607 F2591T SHAFT OFFICE F2616T F2618T JC CONSULT CONSU
RECEPTION F6
ELEV F2599 H2752 H2753 H2754
F2606
NO. 10
DE
OFFICE CORRIDOR CORRIDOR OFFICE CORRIDOR

D2479 F2604 F2590 F2598 F2610
CONSULT
EXAM EXAM F2596 PUBLIC PUBLIC
CONSULT SHAFT SHAFT TOILET TOILET
F2592 F2594 F7W F7E
F2608 F2615T F2617T
PRIVACY PRIVACY
ROOM ROOM
F2613 F2614
CORRIDOR
F2605 SHAFT
H
PRIVACY STAIR H
WAITING ROOM
F2612 H2758
STAIR D2 WAITING
VENDING
D2492 WAITING
F2611 P.1
F2609
PRIVACY
ROOM
D2493 P.3
P.4
PRIVACY
ROOM
D2494
P.6
APPENDIX 5-21
P.7
5.2.2. Advocate Sherman Hospital, Elgin, Illinois
Figure 5.2.2.1
Aerial of Advocate Sherman Hospital
Rush University Medical Center

Location Elgin, Illinois
Beds 255
Operating Rooms 12
Opening Date December 2009
Owner Advocate Health Care
Architect Shepley Bulfinch

Loebl Schlossman & Hackl
APPENDIX 5-22
Figure 5.2.2.2
Main Entry of Advocate Sherman Hospital
Overview
Advocate Sherman Hospital in Elgin is an acute care facility with highly
skilled physicians and clinical professionals offering a comprehensive
range of health care services. Since 1888, Sherman has provided quality,
compassionate care to its patients and communities, and is a leader in
delivering the most advanced technologies and services available in the
northwest suburbs. Sherman Hospital is part of Advocate Health Care, one
of the top 10 health care systems in the country, and the largest health care
delivery system in the state of Illinois.
Sherman Hospital is positioned to evolve as one of the nation’s leading

community hospitals and a model for sustainable design and healthy living.
The first phase of the 75-year growth plan comprises a 650,000 s.f. clinical
building and 100,000 s.f. medical office building. Each component of the
hospital is flexible, designed to expand incrementally over time. The 154-
acre prairie site accommodates a 15-acre manmade geothermal lake,
APPENDIX 5-23
making Sherman one of the largest geothermal healthcare facilities in the

world. Reductions in heating and cooling loads will save over 30 percent in
energy costs annually, with a projected payback period of under six years.
The campus is a metaphor for health, offering opportunities including a
paved lakeside path for patients, visitors, and staff to remain active and
connected with nature. The project was being completed in association with
Loebl Schlossman & Hackl of Chicago and KJWW of Rock Island, Illinois.
APPENDIX 5-24
Site Visit Analysis
Figure 5.2.2.3
Exterior View of Advocate Sherman Hospital
Model of Care
Advocate Sherman provided both inpatient and same-day surgical
procedures that space the specialties of orthopedics, cardiothoracic,
urological/gynecological, endovascular, neurologic, oncologic and others.
It was one of the first community hospitals in the country to perform open
heart surgery and enjoys an excellent reputation for comprehensive,
cardiovascular care. The program has 3-Star Quality Rating from the
Society of Thoracic Surgeons for Cardiac Surgery.
Advanced Technology and Innovation

Minimally invasive valve replacement surgery, a breakthrough approach to
replacing and repairing diseased heart valves Surgical suites to perform
the anterior approach to hip replacement, a less invasive option resulting
in a shorter hospital stay and quicker recovery
Endoscopic Ultrasound (EUS) combines endoscopy and ultrasound to
APPENDIX 5-25
obtain high-quality detailed images of organs inside the body BARRX

HALO offers advanced ablation technology for treatment of Barrett’s
esophagus Vascular and Interventional Radiologists on staff to perform
minimally invasive image-guided procedures to diagnose and treat
diseases in nearly every organ system
NanoKnife® provides a minimally invasive option for patients with

inoperable or difficult-to-reach tumors, including tumors located near
critical structures and major blood vessels in the body.
Staff surgeons perform in a minimally invasive approach to bypass surgery,

thoracic surgery, and valve replacement and repair. The da Vinci System
is being added to the services provided and will be used for urological and
gynecological, and cardiothoracic procedures.
The Advocate Sherman Hospital philosophy of care and operations

embrace the LEAN approach to both patient/material flow and planning
decisions. The staff undertook a detailed and streamlined pathway to
design the surgical program spaces and ensure that waste in operations
was reduced.
Procedure Rooms
The 12 Operating Rooms included 1 Trauma room and 1 Cystoscopy
room and 2 Cardiothoracic rooms plus rooms for Orthopedics.The surgical
program has a variety of procedure and operating rooms including a Hybrid
OR of approximately 900nsf. This space seemed adequate for the complex
endovascular procedures that are occurring here.
A number of the ORs were less than 650nsf which sometimes posed a
problem with the flow inside of the space as per staff as well as perception
of “elbow room” especially during complex cases that required more
abundant case carts. The specialty Cardiothoracic ORs were only slightly
larger than 650nsf and had the same issues as the other more modestly
sized rooms.
The program currently has 2 Cardiothoracic ORs but is only staffed for 1
room. Leadership noted that they would prefer an additional orthopedic
OR because they only have 3 now and there seems to be a larger volume
of orthopedic procedures on the horizon. The cystoscopy OR was on the
main surgical floor with the ORs and support spaces.
There are 2 Cardiac Catheterization Labs and an Electrophysiology Lab
APPENDIX 5-26
contiguous to the Surgical program within the semi-restricted zone making

the programs integrated. The two Cardiac Cath rooms share a control
room and the EP lab has its own. Staff related that it was sometimes noisy
in the shared control room.
The floor plan includes staff locker and support spaces as well as an
Anesthesia department work zone including a satellite Pharmacy area and
workroom.
As the group toured it was noted that there seemed to be undersized
equipment storage for the large program.
The program staff utilized a simple white board for tracking patients; a
previous trial of the Cerner tacking board was not preferable to this method
related to inability to fully integrate all of the hospital flow systems into one
platform.
Central Sterile
Central Sterile is located on the same floor as the Surgical program. The
Central Sterile space had no soiled cart holding room. This inefficiency
required that case carts be stored in a back hall and then taken to Central
Sterile for decontamination.
Recovery Rooms
The 17 PACU beds were bays and not 3 sided-rooms. Again, as in other
tour sites, nursing and physician staff stated that they preferred this set-
up because of ease of monitoring multiple patients at once and quick
response to unstable patient situations. There were 2 negative pressure
isolation rooms in the PACU.
Ancillary Services
The surgical program services were located on the same floor as the ICU
which resulted in a quicker transfer of patients post-surgery to the intensive
care environment. Acute inpatient beds for surgical transfers were located
directly above the procedural platform which results in a fast elevator ride
up to the care area.
The Emergency Department was also on the same floor as the Surgical
Department with General Radiology and CT room imbedded in the
program.
APPENDIX 5-27
The Intraoperative Floor
2
8
Legend:
Elevators / Stairs Sterile Core (Restricted)
APPENDIX 5-28
4 5
7
1
Key Notes:
1 Hybrid OR is 900 sf 5 2 Cardiothoracic ORs, only staffed for 1
2 Cystoscopy OR is on the main surgical floor 6 2 isolation rooms in PACU
3 Typical OR is less than 650 sf 7 PACU beds are bays, not 3-sided rooms
4 Specialty Cardiothoracic ORs are only slightly 8 No soiled cart holding room in Central Sterile, carts
larger than 650 sf are stored in the corridor prior to decontamination
APPENDIX 5-29
Figure 5.2.2.4 1 Figure 5.2.2.5 2

Cath Lab Hybrid OR
Figure 5.2.2.6 3 Figure 5.2.2.7 4

PACU Nurse Station OR
APPENDIX 5-30
Figure 5.2.2.8
Enlarged Intraoperative Floor Plan
APPENDIX 5-31
5.2.3. Center for Care and Discovery, Chicago, Illinois
Figure 5.2.3.1
Aerial of the University of Chicago Medicine
Center for Care and Discovery

Location Chicago, Illinois
Total Area 1.2 Million sf
Floors 10
Beds 240
Operating Rooms 28 (including Hybrid ORs, not including
GI/ENDO suites)
7 Cath/EP/IR labs
Opening Date February 2013
Owner University of Chicago Medicine
Architect Rafael Viñoly Architects

Cannon Design
APPENDIX 5-32
Figure 5.2.3.2
Exterior View of the Center for Care and Discovery
Overview
The University of Chicago Medicine is an academic medical center based
on the campus of the University of Chicago. The not-for-profit corporation
offers the full range of specialty and primary care services for adults and
children that includes the Center for Care and Discovery.
The new hospital is a 10-story “hospital for the future” that serves as the
new core of the campus of the University of Chicago Medicine. The Center
for Care and Discovery provides a home for complex specialty care with a
focus on cancer, gastrointestinal disease, neuroscience, advanced surgery
and high-technology medical imaging.
It has the internal capacity to rapidly and economically adjust to changes

in technology and medicine, and to the facility needs, for decades to come.
At 1.2 million square feet, the hospital is one of the largest buildings on
APPENDIX 5-33
the University of Chicago campus, changing the skyline of the South Side
of Chicago. It occupies the north end of two city blocks, along the south
side of 57th Street between Cottage Grove and Drexel Avenues. Each floor
provides 100,000 square feet of space, the size of a typical Walmart store.
“By far what I hear most is, ‘Wow, it is really huge,’” said Bill Huffman, vice
president of Facilities, Design and Construction for the medical center and
the Division of Biological Sciences.
The architects created flexibility and adaptability by designing the entire

hospital structure on a grid system. The grid is organized into 85 modular
cubes that repeat on each floor. At 31 feet wide by 18 feet high, these large
cubes, or “bays,” can be repurposed over time to accommodate technological
advancements and changing needs. For example, one bay can enclose two
patient rooms, one operating room or one interventional procedure room–
without changing the basic framework of the building.
The hospital’s innovative design also extends to its public spaces. The main
lobby is located on the 7th level and is referred to as the “Sky Lobby.” The
space has floor–to–ceiling glass walls, filling the space with natural light and
providing panoramic views of the campus and downtown Chicago. The Sky
Lobby houses central reception, family waiting areas, a chapel, the gift shop,
dining areas and other public spaces. The ground level of the new hospital,
open to the public, enhances the street-scape and includes cafés and other
retail businesses.
Advanced Technology and Innovation
The new hospital contains 240 single-occupancy inpatient rooms including

52 intensive care beds; space for 28 operating rooms with leading-edge
technology; and an integrated diagnostic and interventional platform
including cardiac, gastrointestinal, neurological and vascular services.
The building also has two floors of expansion space that could be used
for additional patient care units as well as future leading-edge, technology-
based interventional or surgical suites.
APPENDIX 5-34
Site Visit Analysis
Figure 5.2.3.3
Aerial View of the Center of Care and Discovery
Model of Care
The robust Surgical Program includes the following surgical specialties:

• Pediatric
• Cardio and Thoracic
• General
• Neurosurgery
• Opthalmology and Visual Science
• Otolaryngology
• Plastic and Reconstructive
• Transplantation
• Urology
• Vascular and Endovascular
APPENDIX 5-35
The Center’s surgical services layout is organized vertically over several

floors. The program has a total of 22 ORs but is only running 21 rooms.
There are 56 Prep-Phase 2 Recovery rooms on the 6th floor and 54 on the
7th floor.
The majority of the general ORs are approximately 600-700 nsf. Hybrids are
closer to 900nsf. The Prep-Recovery rooms are approximately 110nsf.
There is a strong GME and Residency/Fellowship training program.
There is a systematic process for evaluating surgeon block time with

continuous monitoring for maximum efficiency.
There is an integrated nurse call and radiation sensing for staff in the
procedural area.
Procedure Rooms
The Center does not have an integrated platform for Cath/EP/IR and the
Surgical OR area. The programs are on a separate floor. The EP/Cath Lab/
IR spaces are on the 5th floor and the main OR suites are on two others
above. There are 6 EP labs and 5 Cardiac Cath labs.
There is plentiful storage throughout the floorplan with storage opportunities

for sterile and clean supplies in the core area.
The facility does have a hybrid TAVR program and staff commented that the
hybrid room is adequate for their needs. There is clear floor space related to
ceiling-mounted booms in all of the ORs.
There is adequate expansion ability for technology in the OR’s and procedural
rooms, including Cath Labs. There are both single and biplane equipped IR
rooms in the facility. The proximity of the Cath Labs to the cardiovascular
surgeon workspace is beneficial to the overall workflow of the center.
Cath labs share a sterile core for supplies and there seems to be adequate
storage space and this is preferred instead of having a large amount of
supplies in the rooms. The labs have image recording capability for image
streaming with 60” screens which the physicians recommend. The cardiac
suites share a control room which staff relate makes it noisy at times.
However, staff note quick response times to emergency between Cath Labs
because of the shared control space. There are 7 IR rooms, 2 biplane and 1
single plane modality set-ups.
APPENDIX 5-36
There is a discrepancy between the labs; there are different table heights
between rooms and the higher one is preferred by the physicians.
The Neuro IR room is a long distance to CT/MRI area of the facility and
this sometimes lengthens the time it takes to bring a patient to the area for
testing.
Pre-Op and Recovery Spaces

The Pre-Op /Phase 2 Recovery area has an adequate number of negative
pressure isolation rooms and a 3-sided walled rooms design. Staff
commented that Pre-Op/Phase 2 Recovery flows well during the day for
maximum efficiency of services.
The rooms are arranged in a way that has pods of spaces near groups of
ORs so the travel distances on the platform are reduced.
There is a clear deliniation between the public and back-of-the-house

functions of the interoperative platform.
APPENDIX 5-37
Site Visit Analysis - Intraoperative Floor 5
Legend:
APPENDIX 5-38
2 4
Key Notes:
1 Adequate storage for procedure rooms 5 Adjacent MRI
2 Flexible Pre-Recovery Phase 2 unit 6 Interventional Radiology rooms
3 Ample vertical transportation to patient care units
4 Prep-Recovery for Procedure zone
APPENDIX 5-39
Site Visit Analysis - Intraoperative Floor 6
3
2
6
Legend:
APPENDIX 5-40
Key Notes:
1 Hybrid OR 4 Clean storage
2 Future expansion capability 5 Typical 625 nsf OR
3 Decentralized clean and soiled workroom with cart 6 GI Hybrid OR
storage 7 Staff locker areas
APPENDIX 5-41
Figure 5.2.3.4 1 Figure 5.2.3.5 2

Cath Lab PACU
Figure 5.2.3.6 3 Figure 5.2.3.7 4

Nurse Station Control Room
APPENDIX 5-42
Figure 5.2.3.8
Enlarged Level 5 Intraoperative Floor Plan
APPENDIX 5-43
Figure 5.2.3.9 1 Figure 5.2.3.10 2

Hybrid OR Clean Core
Figure 5.2.3.11 3 Figure 5.2.3.12 4

Prep/Recovery Control Room
APPENDIX 5-44
Figure 5.2.3.13
APPENDIX 5-45
5.2.4. Rush University Medical Center, Chicago, Illinois
Figure 5.2.4.1
Aerial of Rush University Medical Center
Rush University Medical Center

Location Chicago, Illinois
Floors 14
Beds 304
Operating Rooms 28 (including Hybrid ORs, not including
GI/ENDO suites)
12 Cath/EP/IR labs
Opening Date January 2012
Owner Rush University Medical Center
Architect Perkins + Will
APPENDIX 5-46
Figure 5.2.4.2
Main Entry of the Rush University Medical Center
Overview
The new hospital, known as the “Tower,” is part of a campus-wide
transformation project, which also includes an orthopedic building, parking
structure and new loading and delivery systems. This hospital consists of
adult acute and critical care patient beds along with diagnostic and treatment
facilities, such as surgery, radiology and emergency departments.
Recognized in the Chicago skyscape for its distinctive butterfly shape,

the Tower was actually designed from the inside out. Nurses and doctors
worked closely with architects to create the right environment for the highest
quality of care. That means an environment to support the most effective
care possible, while enhancing the overall experience for patients and their
families.
The organizational concept begins with a rectangular seven-story base,

containing new diagnostic and treatment facilities, topped by a five- story
curvilinear bed tower. The base connects to existing diagnostic treatment
APPENDIX 5-47
facilities to create a new continuous interventional platform. Part of the

ground level of this base contains an emergency department, which has
been designed to be an advanced emergency response center for the City
of Chicago. The geometry of the bed tower maximizes views and natural
light for patient rooms while also creating an environment for efficient and
safe health care.
The massing and architectural expression of the north, south and east
respond to the differing surrounding conditions. The north elevation is simple
and large in scale, similar to the adjacent freeway. The east elevation works
in tandem with the orthopedics building to create and reinforce the new entry
boulevard from Ashland. The south elevation weaves the rectilinear and
curvilinear geometry of base and bed tower together to scale the building
down to relate to the environment of the entry boulevard. The difference
in north and south elevation also responds to the internal organizations of
the base. The simpler north elevation expresses the back of house staff
connection corridors. The more layered and scaled down south façade
contains the public elements of the base, such as lounges and waiting areas.
At the junction of the new and old hospital is a multi-story entry pavilion.
Its roof is landscaped to provide a patient and staff garden at fourth floor
that has upper level patient check-in facilities and connects by bridge to the
existing parking structure and. Skylights act as sculptural elements for the
roof garden and provide natural light for the entry pavilion below. The walls
of one of these skylights penetrate through the floor below and introduces
an exterior landscaped space without compromising internal contamination
issues associated with plantings.
The new hospital tower was planned from the inside out, with caregivers
playing a central role in the evolution of building’s design. They collaborated
with the architects to emphasize patient comfort, safety, efficiency and quality
of care. Along with the caregivers, there was also input from patients and
visitors. Patients and families voiced their design concerns to the architect
and offered suggestions on how to create the ideal patient experience. The
architects made these plans come to life with their innovative design, while
creating a distinctive, appealing building shape.
APPENDIX 5-48
Site Visit Analysis
Figure 5.2.4.3
Aerial View of Rush University Medical Center
General Overview
The Surgical and Interventional program components are split in the facility
tower.
The first interoperative floor consists of the Cardiac Catheterization,

Interventional Radiology, and Electrophysiology services. There are 6 IR
rooms, 3 Cath Labs (one with biplane modality), and 3 EP labs on this level.
Each room has its own control area and some rooms share supply spaces.
The PACU on this floor consists of 8 open bays with a centralized team
workstation with good visibility to the patient area. There are 24 Prep-Phase
2 Recovery rooms here.
The services are all located within a semi-restricted corridor and there is
adjacent Anesthesia zones. A large family waiting area rounds out the floor.
The second two interoperative floors have 13-14 ORs and 1 Hybrid room each
APPENDIX 5-49
They are centered around a long linear sterile core. There are 2 immediate
use sterilizers shared between the rooms. There is a 17 bay PACU with an
additional isolation room. A 23 bed Pre-op/Phase 2 Recovery area is located
on these floors as well.
Procedure Rooms
Several ORs are 650sf but one hybrid room seems undersized for complex
Neurological cases. OR monitors are not integrated in the Hybrid rooms.
There is adequate corridor space outside of the ORs and there are specific
stretcher/patient holding alcoves for each room.

Staff related that the surgical service has 80% on-time starts and uses Epic
Optime for patient tracking with success.

Pre-Op and Recovery Spaces
The PACU layout is configured in open bays and there are 17 spaces per
surgical procedure floor configured around a central team monitoring station.
The Phase 2 Recovery units are split and distributed on the same floors that
ORs occupy to reduce patient/staff travel.
There are 3-sided walls with curtains instead of sliding glass door in Pre-Op/
Phase 2 Recovery rooms. There is the ability for Pre-Op to use Phase 2
Recovery beds in morning when census and activity are the highest. Shared
bathrooms in Pre-Op/ Phase 2 Recovery are a patient satisfier. There is no
patient entertainment/TV in the rooms.
The facility has a Short Stay Unit for those patients needing a longer
observation period but not an inpatient bed after their outpatient surgical
procedure.
Central Sterile
Central Sterile is located on the lower level away from the procedural
area but there are dedicated clean and soiled case cart elevators which
improves efficiency. The area is large and contains an administrative suite,
decontamination, instrument washer and assembly area. Staff related that
the set-up works well and case carts are readily available in convenient
locations for use throughout the operating day.
Ancillary Services
APPENDIX 5-50
Patient bed units are stacked above the Interoperative and Invasive
Cardiology floor.
The Anesthesia department has a separate suite of rooms in the semi-

restricted corridor and relate that this space is adequate for their needs.
Regional blocks and epidurals are done in Prep-Recovery and on Floor 7 in
designated beds.
There is a satellite blood bank in the sterile core.
APPENDIX 5-51
Site Visit Analysis - Level 4 Intraoperative Floor
Legend:
APPENDIX 5-52
Site Visit Analysis - Level 7 Intraoperative Floor
7
5
4
3
6
Key Notes:
1 Family waiting area 5 Typical approximate 650nsf OR
2 Pre-op/Recovery Phase 2 beds 6 Vertical transportation to patient care units
3 PACU area 7 Central Sterile dedicated elevators
4 Larger Ortho and Neuro ORs
APPENDIX 5-53
Figure 5.2.4.4 1 Figure 5.2.4.5 2

Cath Lab PACU
Figure 5.2.4.6 3 Figure 5.2.4.7 4

Public Corridor Hybrid OR
APPENDIX 5-54
Figure 5.2.4.8
APPENDIX 5-55
5.2.5. Edward Hines Jr. VA Hospital Hines Illinois
Figure 5.2.5.1
Aerial of Edward Hines, Jr. VA Hospital
Edward Hines, Jr. VA Hospital

Location Hines, Illinois
Beds 471
Operating Rooms 9
APPENDIX 5-56
Figure 5.2.5.2
Architectural Overview
Edward Hines, Jr. VA Hospital, located 12 miles west of downtown Chicago

on a 147-acre campus, offers primary, extended and specialty care and
serves as a tertiary care referral center for VISN 12. Specialized clinical
programs include Blind Rehabilitation, Spinal Cord Injury, Neurosurgery,
Radiation Therapy and Cardiovascular Surgery. The hospital also serves
as the VISN 12 southern tier hub for pathology, radiology, radiation therapy,
human resource management and fiscal services.
Hines VAH currently operates 471 beds and six community based outpatient
clinics in Elgin, Kankakee, Oak Lawn, Aurora, LaSalle, and Joliet. Over
600,000 patient visits occurred in fiscal year 2010 providing care to over
54,000 veterans, primarily from Cook, DuPage and Will counties. In FY
2010 the budget for Hines was over $510 million.
APPENDIX 5-57
Site Visit Analysis
Figure 5.2.5.3
Aerial View of Edward Hines, Jr. VA Hospital
Site Visit Analysis

The surgical program’s 9 ORs moved to their new space in July 2014 and
were relocated from the Basement floor. Because of the large size of the
surgical area, overhead paging is required.
A separate Non-Invasive and Invasive Cardiology department area is

located on the first floor near the Emergency Department. There are 2
Cardiac Cath suites with a shared control room and patient Prep-Recovery
area.
Procedure Rooms
There are 8 general ORs and 2 Cystoscopy rooms with an additional Cysto
Minor Procedures room. The facility has a hybrid room that is of adequate
size. The hybrid room (OR #8) is configured with GE imaging and a bid has
been put out to replace with new imaging equipment.
There are built-in pass-through cabinets that staff appreciate. The

procedure rooms do not have integrated Pyxis or Omnicells for medication
APPENDIX 5-58
or supply storage.
Speakers and call buttons are located per each room’s requirement for
communication.
Central Sterile
The Sterile Processing Department (SPD) is located in the basement
without a dedicated elevator to the OR proper. SPS storage is on the same
floor as the ORs but there are no case cart elevators to SPD. This creates
an inefficient flow from SPS to the surgical suites.
Equipment and case carts are stored in the hallways/semi-restricted

corridor and there is a lack of hallway space for bed traffic and storage as
such.
Pre-op and Recovery Spaces

There are 18 Pre-Op/ Phase 2 Recovery rooms. The rooms are 3-sided
walled with sliding glass doors that break away in three-leaves. This
increases patient privacy and decreased the chance of infection. There are
multiple negative-pressure isolation rooms in this area as well.
There are decentralized nursing stations for iincreased staff coverage

in Pre-Op/ Phase 2 Recovery for delivering care closest to the patient.
Patients can be assigned any room for their stay and often come back to
their same room or recover first in the PACU area.
There were no monitors installed in the rooms. They were bought

separately after the renovation. The bulk of the current monitors were
moved from the previous basement location in December 2014 and
the area will receive 27 monitors for all of the rooms plus a several for
redundancy.
The PACU area has a traditional cubicle configuration with good visibility
from the main staff station.
There is shared family waiting between patient types for ICU, Pre-Op and
Post-Op Recovery/PACU. Staff commented that they would have preferred
to have separate waiting for the ICU patients’ families.
APPENDIX 5-59
Site Visit Analysis - Intraoperative Floor
5 8
2
6
1
3
7
Legend:
APPENDIX 5-60
Key Notes:
1 OR zone 5 Anesthesia support
2 Patient holding 6 Staff support
3 Central Sterile department 7 Hybrid room
4 Patient Prep-Recovery area 8 Cysto suite
9 Cardiac Cath
APPENDIX 5-61
Figure A5.2.5.4 1 Figure A5.2.5.5 2

Hybrid OR Prep/Recovery
Figure A5.2.5.6 3 Figure A5.2.5.7 4

Nurse Station Staff Corridor
APPENDIX 5-62
5.3. The Interventional Suite
As discussed in previous chapters surgical procedures and interventional

radiology are quickly converging into the same integrated platform. Two
examples of the successful implementation of this concept are Palomar Medical
Center in Escondido, CA, and Trinity Mother Frances Hospital in Tyler, TX. In
both examples it is interesting to note that the two departments are collocated
with access only from the semi-restricted corridor. Support spaces are shared
and the patient flow for either department occurs through the same prep and
recovery areas.
Palomar Medical Center

The 11-story, 740,000 SF facility houses 12 operating rooms and 6 interventional
radiology suites on the 2nd floor. These 18 rooms are divided into 3 clusters
around sterile cores and are accessed via a semi-restricted corridor. A direct
connection into the pre- and post-operative patient area is also provided.
APPENDIX 5-63
IMAGING GROWTH
ZONE
Trinity Mother Frances Hospital

With the completion of the Ornelas Tower, 11 new surgical suites were added to
Mother Frances Hospital with a potential for an additional 5 rooms that can be
added in the next phase of construction. A total of 6 cardiac catheterization labs
is also availabe, 2 of which are embedded in the interventional suite with access
off the semi-restricted corridor.
1,698 DGSF
PHASE II RECOVERY ENDO
PREP 6,988 DGSF
CATH LAB
INTERVENTIONAL PROCEDURE SUITE
PACU
4,176DGSF
LDRP
IVE TRIAGE
NIT 589 DGSF
S
GSF
LDRP UNIT LDR

6 BEDS GROW
7,413 DGSF ZON
APPENDIX 5-64
NEWBORN
NURSERY
2,152 DGSF LDRP

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Surgical Services

1.0 GENERAL Page

2.2.6. Electrical Systems 2-31

3.0 FUNCTIONAL DIAGRAMS

4.0 DESIGN STANDARD PLATES – FLOOR PLANS, REFLECTED CEILING PLANS,

4.4. Clean Workroom, Anesthesia (ANCW2) 4-27

TABLE OF CONTENTS iii

• Reflected Ceiling Plan 4-105

• Reflected Ceiling Plan 4-188

Storage, Clean TEE Probe (TRTE3) 4-264

• Reflected Ceiling Plan 4-316

TABLE OF CONTENTS vii

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TABLE OF CONTENTS viii

Lloyd H. Siegel, FAIA

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Credit is due to the following individuals whose leadership, knowledge, skills,

• Department of Veterans Affairs - Veterans Health Administration

William Gunner, MD, JD National Director of Surgery

John Rumsfeld, MD National Director of Cardiology

Rick Shunk, MD Director, Interventional Cardiology, San

Grit Adler, MD Chief, Interventional Radiology, James A. Haley

William Nylander, MD, MBA Deputy National Director of Surgical Services,

Mark Wilson, MD, PhD Physician, VA Pittsburgh Healthcare System,

James Edwards, MD Physician, Portland VA Medical Center,

John Sum-Ping, MD Director, Anesthesia Services, Chair of National

Bernadette Speiser, Nurse Manager, Cardiology, Jesse Brown VA

Cathy Clark, RN RCIS MS Interim National Cardiology Nurse Manager,

Lisa Warner, Clinical Nurse Advisor for Perioperative

Susan LeSuer, RN Chief Nurse, Minneapolis VA Medical Center,

Julie Wagner, RN, CNOR Nurse Manager, Minneapolis VA Medical

April Dierieckx Assistant Nurse Manager, Cardiology

Daniel Pap, Certified Cardiographic Technician, John D.

VACO - Office of Construction & Facilities Management (003C)

Stella Fiotes Executive Director, Office of Construction &

Lloyd Siegel, FAIA Associate Director, Office of Facilities Planning

Donald L. Myers, AIA Director Facilities Standard Services

Zoltán John Nagy, Subject Matter Expert Surgical and

Fei (Linda) Chan, Planner

Gary Fischer, RA Senior Healthcare Architect

Lam Vu, PE Senior Healthcare Electrical Engineer

Michael Taylor, PE Senior Healthcare Mechanical Engineer

Don Walden Senior Healthcare Mechanical Engineer

Orest Burdiak Principal Healthcare Interior Designer

Bill Kline, Principal in Charge

Vladislav Torskiy, Project Manager

Allen Whitaker, AIA Healthcare Planner

Gabryela Passeto, Healthcare Planner

April Dirmeitis, RN, MSN Healthcare Planner

Julia Hager, Healthcare Planner

Taylor Staten, Technical Support

Marco Barboza Technical Support

Colleen Malloy White Techical Support

The Innova Group

Michael Cook Vice President

Susan Myers, RN, MSN Space Planner

Gail Cisneros, RN Equipment Planner

William Cross Alternate Project Manager

Troy Metz, PE Mechanical Department Manager

Bill Hoffman, PE Mechanical Engineer

Danny Reyno Electrical Engineer

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The Surgical and Interventional Services Design Standards was developed