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First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE CONTENTS - SECTION 3
Section 4Design Guide Platesand Data Sheets:Operating Rooms
Guide Plate Series PlateNumber
Ambulatory Surgery Operating Room(General & Topical Anesthesia)
Functional Plan........................................4-1Enlarged Functional Plan.........................4-1Equipment Plan .......................................4-1Utility Plan ...............................................4-1Reflected Ceiling .....................................4-1Design Standards ....................................4-1Equipment Guide List ..............................4-1
Ambulatory Surgery Operating Room(Topical Anesthesia)
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 4-1
Equipment Plan NotesAmbulatory Surgery Operating Room (General & Topical Anesthesia)
Note 1 The surgical light fixtures are (CC) unless the VAMC chooses to select a specific surgical light fixture duringdesign development. If the VAMC chooses the fixtures, they should be either (VV) or (CF). Coordinationinvolving structural support, utility connections, and other details are the responsibility of the designer.
Note 2 Nominal thickness of walls should be shown as 8 inches through design development. This is based uponthe need to accommodate a variety of panel boards, exhaust air ducts, and miscellaneous elements ofconstruction that require a thicker partition than in other areas of a clinic or hospital building. Partitions otherthan the operating room enclosure should be shown nominally as 6 inches through design developmentunless a special requirement dictates otherwise.
Note 3 Inclusion of x-ray shielding, consisting of a lead membrane in the partition, lead lined doors, and leadedglass observation windows, is determined on a project basis. The need for radiation protection is basedupon the degree to which portable x-ray equipment is to be used in each of the operating rooms, andcontinuous occupancy of adjacent spaces. Once it is determined that a lead membrane is required, theexact location of that membrane and details related to it are the designer's responsibility.
Note 4 An automatic door opener is to be provided in the corridor at the doors between the operating room and theperipheral corridor. A tread type of opener is permitted; however, a wall-mounted type of automatic dooropener is preferred.
Note 5 The ceiling mounted utility columns may be one of two types: articulating (as indicated on this guide plateseries), or retractable (telescoping). (See guide plate series Ambulatory Surgery Operating Room for agraphic representation of retractable utility columns used in a 450 square foot operating room.) The VAMCmust decide which type of utility column to use during the design development phase of the project. If achoice is made at this point, the utility columns may be (VV), (CF) or (CC). If the VAMC declines to make atimely decision, then the utility columns will be (CC). Coordination involving structural support, utilityconnections, and other details is the responsibility of the designer.
Note 6 Modular Casework - The VAMC has the option of choosing modular casework in lieu of built-in casework.However, this decision must be made during the design development phase of the project. If modularcasework that is wall mounted is selected by the VAMC, the partitions must be designed to support thecasework. It should be noted that the standard studs found in the master specifications are insufficient tocarry this added weight; therefore, the equipment manufacturer's recommendations for supporting partitionsshould be followed where appropriate.
Note 7 Clocks - For more information regarding clocks in the operating room see MCS, Division 16.
Note 8 See VA Handbook 7610 Chapter 286 of the Equipment Guide List for additional equipment not shown.
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VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 4-1
Utility Plan NotesAmbulatory Surgery Operating Room (General & Topical Anesthesia)
Note 1 Exhaust Air Grilles - Provide a minimum of two exhaust air grilles in this operating room. If only two grillesare provided, locate them opposite from each other. Where there are more than two exhaust grilles, centerthem on each of the walls of the operating room. The bottom of each exhaust air grille is to be seven inchesabove finished floor. See the HVAC Design Manual for additional information.
Note 2 Electrical Power/Ground Module - Place a separate power/ground module near the center of each wall ofthe operating room. Each power/ground module is to have 3 duplex power receptacles and 1 groundingreceptacles. These power/ground receptacles are to be located 18 inches above finished floor. See theElectrical Design Manual for additional information.
Note 3 Articulating Utility Column - Provide connections on each utility column as delineated in Chapter 286,Equipment Guide List.
Note 4 HVAC Controllers - Provide one of the two following systems for controlling room temperature and humidityin the design of the mechanical system. The first system is indicated on the utility plan .It involves locating athermostat, a humidistat, and a recorder in the operating room. The second system involves temperatureand humidity sensors located in the operating room, with a recorder located remotely. See the HVACDesign Manual for Hospital Projects and MCS, Division 15 for additional information.
Note 5 Video Monitors - The increasing use of fluoroscopy in surgical procedures has increased the need for videomonitors located in the vicinity of the "sterile field". With x-ray film soon to be replaced by digitized imagesdisplayed on a video screen, the use of these monitors in surgery will increase even further. This emergingtechnology is called "PACS" (Picture Archiving and Communications System). The VAMC has a choice tomake regarding these monitors. A set of video monitors can be mounted on a cart, or the set of videomonitors can be mounted on an articulating arm that is suspended from the ceiling. The latter concept isshown on these guideplates. In either case, the A/E is to determine utility requirements for the video systemselected by the VAMC and the VHA program official. These requirements include: power supply;provisions for grounding of the monitors; communications linkage to other areas of the clinic. See ReflectedCeiling Plan Note 9 for a concept that links the Frozen Section area of the clinical laboratory with the videomonitors in each of the operating rooms.
Note 6 Isolated Power Unit - Each of the isolated power units is to serve two adjacent walls. For this reason theunits are to be located near the corners of the room and diagonally opposite from each other. See ElectricalDesign Manual for Hospital Projects, Chapter 11, for more information regarding isolated power.
Note 7 Computer Terminal - Utility requirements for the in-room computer terminal are to be determined by theVAMC based upon the computer system to be used. This information is to be given to the A/E forincorporation into the construction documents. The printer for the in-room computer terminals is to belocated remotely.
Note 8 Laser Panel - It is understood that air cooled lasers are soon to replace water cooled lasers. For thisreason, the future impact of air cooled lasers on the design of the HVAC system must be considered by thedesigner. In spite of this anticipated change, water and drainage should be provided in operating roomswhere existing water cooled lasers are to be continued in use.
Note 9 Zone Valve Box - Provide a separate medical gas zone valve box for each operating room in accordancewith NFPA 99, Chapter 4. Locate this cabinet in the peripheral corridor near the door to the operating roomit serves. See MCS, Division 15 for a description.
Note 10 Nitrogen Control Panel - See NFPA 99, Chapter 4 and MCS, Division 15 for information regarding thispanel.
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 4-1
Reflected Ceiling Plan NotesAmbulatory Surgery Operating Room (General & Topical Anesthesia)
Note 1 Supply Air Outlet - Perforated panel centered over operating table with no obstructions. A/E is to design it.(Do not scale.) This outlet is to provide 30 percent of supply air for the operating room. Air distribution is tobe in a downward vertical direction. See the HVAC Design Manual for Hospital Projects.
Note 2 Supply Air Outlets - Stainless steel multiple slot panel diffusers to be located above the perimeter of the"clean air zone". (See Functional Plan.) A/E is to design them. (Do not scale.) These outlets are toprovide 70 percent of supply air for the operating room. This air is to be discharged in a vertical air streaminclined at an outward angle of fifteen degrees from the center of the room. See the HVAC Design Manualfor Hospital Projects.
Note 3 Mounting Plate for Articulating Utility Column - (Do not scale.) Size of mounting plate varies withmanufacturer. Exact size, type, and location are to be determined by the A/E in coordination with the VAMCand Central Office program officials.
Note 4 Surgical Light Fixture - Note that the location of the mounting plate is not to be placed directly over theoperating table. That zone must be kept unobstructed for the supply air outlet and the plenum serving itabove the ceiling. See the Electrical Design Manual, Chapter 6.
Note 5 Surgical Microscope - If VAMC chooses a ceiling-mounted microscope in lieu of a floor-mountedmicroscope, it must be supported by a fixed mounting plate. A ceiling track-mounted system is not to beused for the microscope due to concerns regarding asepsis. The exact size of the mounting plate dependsupon the microscope selection. (Do not scale the guideplate.) Coordinate details and utilities requirementswith the VAMC.
Note 6 Fluorescent Light Fixtures - General illumination. Only 2 x 4 recessed fixtures are to be used in theoperating room due to the fact that this size of fixture (with 6 lamps - Type D) is required in order to deliverenough ambient illumination while also producing color corrected light in the operating room. The design isnot to include 1 x 4 fluorescent fixtures. For more information see Electrical SD F-27.
Note 7 General Illumination on Emergency Power - 50 percent of the fluorescent light fixtures above the operatingtable are to be provided emergency power with battery backup. The fluorescent fixtures above the head ofthe patient (where the nurse anesthetist administers anesthesia and monitors the patient's vital signs) are tobe provided emergency power. (See CS 800-3.) Since the "head of the table" may be reversed onoccasions when the ceiling-mounted microscope is in use, fluorescent fixtures above both ends of the tableare to be put on emergency power.
Note 8 Mounting Plate for Video Monitors - If the VAMC chooses a suspended video system instead of a cart-mounted system, the mounting plate must be integrated into the ceiling layout. The exact size and locationof this plate must be determined. The equipment shown is similar to that found in a cardiac cath procedureroom; however, the mounting plate for the video monitors is not to be supported on tracks due to asepsisconsiderations.
Note 9 Video Monitors - A proposal to be considered is to provide a fiber-optic connection (enclosed in conduit)from the video monitors in the operating room to the microscope in the frozen section area of the clinicallaboratory. This would permit the surgical team in the operating room to see what the pathologist is talkingabout over the intercom while examining the biopsy specimen. This installation would reduce the need foranatomical pathologist to leave a contaminated area. Also, the surgical team would not have to wait for thepathologist to clean up, gown, and come to the operating suite to examine the tissue specimen.
Note 10 Sprinkler System - Coordinate the location of the sprinklers with other ceiling systems in accordance withMCS, Division 15 and Plumbing Design Manual, Medical Centers.
Note 11 Provide no ceiling tracks for intravenous solutions in the design. This restriction is based upon concerns forasepsis in the operating room.
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VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 4-1
Design StandardsAmbulatory Surgery Operating Room (General & Topical Anesthesia)
8 Unoccupied Room Pressure: Positive AC Load Lights: 91W/m 2 (8.5W/SF) AC Load Equipment:1 19W/m 2 (11.1W/SF) Number of People: 12 Special Exhaust: --
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Nitrogen Oxide: Yes Nitrogen: Yes Anesthesia Evac: Yes
First Draft 3-15-97
Equipment Guide List
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 4-1
Ambulatory Surgery Operating Room (General & Topical Anesthesia)
1 CC WINDOW, VIEWING, LEAD GLASS, FOR PATIENTOBSERVATION (PG-18-1, MCS 13091; PG-18-4, SD 24G)
20 CC RECEPTACLE, ELECTRICAL, SIMPLEX, 120 VOLT, 20 AMP,ONE GROUNDING JACK PER MODULE AND FOUR SIMPLEXSTRAIGHT BLADE, HOSPITAL GRADE RECEPTACLES ANDTWO GROUNDING RECEPTACLES IN EACH SURGICALCOLUMN (PG-18-1, MCS 16140; H-18-3, CS 801-3)
4 CC ILLUMINATOR, FILM, X-RAY, RECESSED, 120 VOLT, 20 AMP,356 mm X 432 mm (14" X 17") (INSTALLATION NOT TO BECOMBINED WITH IPU'S OR OTHER ELECTRICAL DEVICES)(PG-18-1, MCS 16510)
AR CC ILLUMINATION, GENERAL, RECESSED, WITH THREE LEVELCONTROL (PG-18-1, MCS 16510)
2 CC COLUMN, TELESCOPING OR ARTICULATING, CEILINGMOUNTED (PG-18-1, MCS 15491)
COLUMN A: LOCATE AT HEAD OF TABLE,1200 mm TO 1800 mm (48" TO72") FROM THE CENTERLINE AND 600 mm TO 1200 mm(24" TO 48") TO THE LEFT OF THE CENTERLINE OF THETABLE
COLUMN B: LOCATE AT THE FOOT OF THE TABLE,1200 mm TO 1800 mm(48" TO 72")FROM THE CENTERLINE AND 600mm TO 1200mm(24” TO 48”) TO THE RIGHT OF THE CENTERLINE OF THETABLE. EACH COLUMN CONTAINS THE FOLLOWING:2 INLETS, VACUUM (PG-18-1, MCS 15491)1 OUTLET, NITROUS OXIDE (PG-18-1, MCS 15491)2 OUTLET, OXYGEN (PG-18-1, MCS 15491)1 OUTLET, MEDICAL AIR (PG-18-1, MCS 15491)1 OUTLET, NITROGEN (PG-18-1, MCS 15491)1 INLET, VACUUM, DEDICATED ANESTHESIA GASEVACUATION (PG-18-1, MCS 15491)1 INLET, MASS SPECTROMETER (BLANK OUTLET)
2 CC ISOLATED POWER UNIT PROVIDES ISOLATED ELECTRICALPOWER, INCLUDES LINE ISOLATION MONITOR, ISOLATIONTRANSFORMER AND CIRCUIT BREAKERS (DETAILSAVAILABLE FROM ELECTRICAL SERVICE)
1 CF LIGHT, MAJOR, SURGICAL WITH VARIABLE INTENSITYCONTROL, SINGLE POINT SUSPENSION, CEILING MOUNTED(LOCATION INSTRUCTIONS AVAILABLE FROM ELECTRICALSERVICE) (PG-18-1, MCS 16515)
AR VV TABLE, OPERATING, MOBILE1 CC CLOCK, ELECTRIC WITH SWEEP SECOND HAND,
RECESSED (PG-18-1, MCS 10360)
SYMBOL QTY AI DESCRIPTION
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Equipment Guide List
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 4-1
Ambulatory Surgery Operating Room (cont.) (General & Topical Anesthesia)
1 CC CLOCK, ELECTRIC TIME ELAPSED, RECESSED(PG-18-1, MCS 10360)
AR CC OUTLET, ELECTRICAL, 120 VOLT, 20 AMP,RECESSED FOR CLOCK
1 VV X-RAY, MOBILE UNIT, C-ARMAR CC SERVICE, ELECTRICAL, SPECIAL, AS REQUIRED FOR X-RAY
EQUIPMENTAR CC OUTLET BOX, LASER1 CC RECEPTACLE, ELECTRICAL, 208 VOLT, 30 AMP, SINGLE
PHASE, FOR LASERS (PG-18-1, MCS 16140; H-18-3, CS 801-3)AR VV MICROSCOPE, CEILING MOUNTEDAR VV MONITOR, VIDEO
SYMBOL QTY AI DESCRIPTION
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VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 4-2
Design StandardsAmbulatory Surgery Operating Room (Topical Anesthesia)
1 VV BENCH, SOILED HAMPER2 VV STOOL, STEP, APPROX. 508mm x 406mm (20” x 16”)1 VV TABLE, TREATMENT
SYMBOL QTY AI DESCRIPTION
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE CONTENTS - SECTION 5
Section 5Design Guide Platesand Data Sheets:Procedures Rooms
Guide Plate Series Plate Number
Cystoscopy RoomFunctional Plan...........................................5-1Equipment Plan ..........................................5-1Utility Plan ..................................................5-1Reflected Ceiling Plan.................................5-1Design Standards .......................................5-1Equipment Guide List .................................5-1
Special Procedures/Broncoscopy RoomEquipment & Utility Plan .............................5-2Reflected Ceiling Plan.................................5-2Design Standards .......................................5-2Equipment Guide List .................................5-2
EGD/Colonoscopy Procedures RoomEquipment & Utility Plan ............................5-3Reflected Ceiling Plan.................................5-3Design Standards .......................................5-3Equipment Guide List .................................5-3
Proctoscopy/Sygmoidoscopy RoomEquipment & Utility Plan .............................5-4Reflected Ceiling Plan.................................5-4Design Standards .......................................5-4Equipment Guide List .................................5-4
Gastric Motility StudiesEquipment & Utility Plan .............................5-5Reflected Ceiling Plan.................................5-5Design Standards .......................................5-5Equipment Guide List .................................5-5
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VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE CONTENTS - SECTION 5
Section 5Design Guide Platesand Data Sheets:Procedures Rooms
Guide Plate Series Plate Number
Radiographic Film Processing RoomEquipment & Utility Plan .............................5-6Reflected Ceiling Plan.................................5-6Design Standards .......................................5-6Equipment Guide List .................................5-6
Scope Cleaning/Film StorageEquipment & Utility Plan .............................5-7Reflected Ceiling Plan.................................5-7Design Standards .......................................5-7Equipment Guide List .................................5-7
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 5-1
Equipment Plan NotesCystoscopy RoomNote 1 The surgical light fixtures are to be (CC) unless the VAMC chooses to select a specific surgical light fixture
during the development of construction documents. If the VAMC chooses the fixtures, they may be either(CC), (CF), or (VC). All coordination Involving structural support, utility connections, and other detailsregarding these lights are the responsibility of the A/E.
Note 2 Nominal thickness of walls during design development should be shown as 8 inches thick by the A/E. Thisrequirement is based upon the need to accommodate a variety of panel boards, return air ducts, andmiscellaneous elements of construction that require a thicker partition than in other areas of a hospitalbuilding. Partitions other than the cystoscopy room enclosure should be shown nominally as 6 inches duringdesign development by the A/E unless some special requirement dictates otherwise.
Note 3 Provide x-ray shielding (see SD 24) consisting of a lead membrane in the partitions', lead lined doors; andleaded glass observation windows. The exact location of that membrane and details related to it are theA/E's responsibility.
Note 4 An automatic door opener is to be provided in the corridor at the doors between the cystoscopy room andthe peripheral corridor. A tread type of opener is permitted', however, a wall-mounted type of automatic dooropener with a push-plate Is preferred.
Note 5 The ceiling mounted utility column may be one of two types: articulating, or retractable (telescoping) (asindicated on this guide plate series). (See guideplates series General Operating Room for a graphicrepresentation of an articulating utility column used in a 450 square foot operating room.) The VAMC mustdecide which type of utility column to use during the design development phase of the project. If a choice Ismade at this point, the utility columns may be (W), (CF) or (CC). It the VAMC declines to make a timelydecision, then the utility columns will be (CC). Coordination involving structural support, utility connections,and other details is the responsibility of the designer.
Note 6 Modular Equipment - The VAMC has the option of choosing modular equipment in lieu of built-in casework.However, this decision must be made during the design development phase of the procurement. If wall-mounted modular casework is selected by the VAMC, the A/E must design the partitions to support thecasework. It should be noted that the standard studs found In the master specifications are Insufficient tocarry this added weight-, therefore, the equipment manufacturer's recommendations for supporting partitionsshould be followed where appropriate.
Note 7 Clocks - For more information regarding clocks in operating room, see MCS, Division 16.
Note 8 See Chapter 286 of the Equipment Guide List for additional equipment not shown.
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 5-1
Utility Plan NotesCystoscopy RoomNote 1 Exhaust Air Grilles - Provide a minimum of two exhaust air grilles in this operating room. If only two grilles
are provided, locate them opposite each other. Where there are more than two exhaust grilles, they are tobe centered on each of the walls of the operating room. The bottom of each exhaust air grille is to be seveninches above the finished floor. See the HVAC Design Manual for additional information
Note 2 Electrical Power/Ground Module - A separate power/ground module Is to be placed near the center of eachwall of the operating room. Each power/ground module is to have 3 duplex power receptacles and 1grounding receptacle, These power/ground receptacles are to be located 435mm (18 inches) above thefinished floor. See the Electrical Design Manual.
Note 3 Retractable Utility Column Provide connections on utility column as delineated in Chapter 286, EquipmentGuide List.
Note 4 HVAC Controllers - Provide one of the two following systems for controlling room temperature and humidity,in the design of the mechanical system. The first system is indicated on the utility plan below. It involveslocating a thermostat, a humidistat, and a recorder in the operating room. The second system involvestemperature and humidity sensors located in the operating room with a recorder located remotely. See theHVAC Design Manual for Hospitals and MCS, Division 15 for additional information.
Note 5 Nitrogen Control Panel - For information regarding this panel see NFPA 99, Chapter 4 and MasterSpecifications, Section 15491.
Note 6 Isolated Power Unit - Each of the isolated power units is to serve two adjacent walls. For this reason theunits are to be located near the corners of the room and diagonally opposite from each other. See ElectricalDesign Manual, Chapter 11, for more Information regarding isolated power.
Note 7 Computer terminal - Utility requirements for the in-room computer terminal are to be determined by theVAMC based upon the computer system to be used. This information is to be given to the A/E forincorporation into the construction documents, The printer for the in-room computer terminals is to belocated remotely.
Note 8 Laser Panel - It is understood that air-cooled lasers are soon to replace water cooled lasers. For thisreason, the future impact of air cooled lasers on the design of the HVAC system must be considered by thedesigner. In spite of this anticipated change, it is the policy of the VHA program official that water service isto be provided in any operating rooms where existing water cooled lasers are to be continued in use.
Note 9 Zone Valve Box - A separate zone valve box is to be provided for each operating room (anesthetizinglocation) in accordance with NFPA 99 - Chapter 4. This cabinet is to be located in the peripheral corridornear the door to the operating room it serves. See MCS. Division 15 for a description.
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE GUIDE PLATE 5-1
Reflected Ceiling Plan NotesCystoscopy RoomNote 1 Supply Air Outlet - Perforated panel centered over operating table with no obstructions. A/E Is to design it.
(Do not scale.) This outlet is to provide 30 percent of supply air for the operating room. Air distribution is tobe in a downward vertical direction. See the HVAC Design Manual for Hospital Projects.
Note 2 Supply Air Outlets - Stainless steel multiple slot panel diffusers to be located above the perimeter of the"clean air zone". (See Functional Plan.) A/E is to design them. (Do not scale.) These outlets are to provide70 percent of supply air for the operating room. This air Is to be discharged in a vertical air stream inclinedat an outward angle of fifteen degrees from the center of the room. See the HVAC Design Manual.
Note 3 Mounting Plate for Utility Column - (Do not scale.) Size of mounting plate varies with manufacturer. Exacttype, size, type, and location are to be determined by the A/E in coordination with the VAMC and CentralOffice program officials.
Note 4 Surgical Light Fixture - Note that the location of the mounting plate is not to be placed directly over theoperating table. That zone must be kept unobstructed for the supply air outlet and the plenum serving Itabove the ceiling. See the Electrical Design Manual, Chapter 6.
Note 5 Surgical Microscope - If VAMC chooses a ceiling-mounted microscope In lieu of a floor-mountedmicroscope, it must be supported by a fixed mounting plate. A ceiling track-mounted system is not to beused for the microscope due to concerns regarding asepsis. The exact size of the mounting plate dependsupon the microscope selection . (Do not scale the guideplate.) Coordinate details and utilities requirementswith the VAMC.
Note 6 Fluorescent Light Fixtures - General illumination. Only 2 x 4 recessed fixtures are to be used in theoperating room due to the fact that this size of fixture (with 6 lamps - Type D) is required in order to deliverenough ambient illumination while also producing color corrected light in the operating room. The design isnot to include 1 x 4 fluorescent fixtures. For more Information see Electrical SD F-27.
Note 7 General Illumination on Emergency Power - 50 percent of the fluorescent light fixtures above the operatingtable are to be provided emergency power with battery backup. The fluorescent fixtures above the head ofthe patient (where the nurse anesthetist administers anesthesia and monitors the patient's vital signs) areto be provided emergency power. (See CS 800-3.)
Note 8 Video Monitors (A proposal to be considered by the VAMC and the A/E) - Is to provide a fiber-opticconnection (enclosed in conduit) from the video monitors in the operating room to the microscope in thefrozen section area of the clinical laboratory. This would permit the surgical team in the operating room tosee what the pathologist is talking about over the intercom while examining the biopsy specimen. Thisinstallation would reduce the need for anatomical pathologist to leave a contaminated area. Also, thesurgical team would not have to wait for the pathologist to clean up, gown, and come to the operating suiteto examine the tissue specimen.
Note 9 Sprinkler System - Coordinate the location of the sprinklers with other ceiling systems in accordance withMCS, Division 15 and Plumbing Design Manual, Medical Centers.
Note 10 Provide no ceiling tracks for intravenous solutions in the design. This restriction is based upon concernsfor asepsis in the operating room.
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 5-1
8 Unoccupied Room Pressure: Positive AC Load Lights: 91W/m 2 (8.5W/SF) AC Load Equipment:1 19W/m 2 (11.1W/SF) Number of People: 12 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Nitrogen Oxide: Yes Nitrogen: Yes Anesthesia Evac: Yes Notes: --
First Draft 3-15-97
Equipment Guide List
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 5-1
Cystoscopy Room
1 VC TABLE, UROLOGICAL, RADIOGRAPHIC. MOTOR DRIVEN, WITHX-RAY TUBE SUPPORT
16 cc RECEPTACLE. ELECTRICAL, SIMPLEX, 120 VOLT. 20 AMP.HOSPITAL GRADE TYPE, STRAIGHT BLADE, 1 MODULE OF 3SIMPLEX RECEPTACLES ON EACH WALL WITH ONE GROUNDINGJACK B@DE. ONE MODULE OF THREE SIMPLEX RECEPTACLESON EACH WALL WITH ONE GROUNDING JACK PER MODULE ANDFOUR SIMPLEX STRAIGHT BLADE, HOSPITAL GRADE AND TWOGROUNDING RECEPTACLES IN THE SURGICAL COLUMN(PG-18-1. MCS 16140: H-18-3. CS 801-3)
1 VV RADIOGRAPHIC TUBE AND HIGH VOLTAGE CABLES, 500 MA.SINGLE PHASE
AR CC SERVICES, ELECTRICAL. SPECIAL AS REQUIRED FOR THEABOVE EQUIPMENT
4 CC ILLUMINATOR. FILM. X-RAY. RECESSED, 120 VOLT. 20 AMP.356mm x 432mm (14" x 17-) (INSTALLATION NOT TO BE COMBINEDWITH IPU'S OR OTHER ELECTRICAL DEVICES)(PG-18-1, MCS 16510)
1 CF LIGHT, MAJOR, SURGICAL WITH VARIABLE INTENSITY CONTROL,SINGLE POINT SUSPENSION, CEILING MOUNTED (LOCATIONINSTRUCTIONS AVAIL-ABLE FROM ELECTRICAL SERVICE)(PG-18-1. MCS 16515)
AR CC ILLUMINATION, GENERAL. RECESSED, WITH THREE LEVELCONTROL (PG-18-1. MCS 16510)
1 CC NURSE CALL. EMERGENCY STATION, ACTIVATED BY PUSHBUTTON ON WALL, WITH CORRIDOR SIGNAL LIGHT(PG-18-1, MCS 16761)
1 CC COLUMN, TELESCOPING UTILITY, CEILING MOUNTED (PG-18-1,MCS 15491) LOCATE AT HEAD OF TABLE 48" TO 72" FROM THECENTERLINE AND 24' TO 48' TO THE LEFT OF THE CENTERLINEOF THE TABLE COLUMN CONTAINS THE FOLLOWING:2 INLETS, MEDICAL VACUUM (PG-18-1. MCS 15491)1 OUTLET, NITROUS OXIDE (PG-18-1. MCS 15491)2 OUTLETS, OXYGEN (IT 08-1. MCS 15491)1 OUTLET, MEDICAL AIR (PG-18-1, MCS 15491)1 OUTLET. NITROGEN (PG-18-1, MCS 15491)1 INLET,DEDICATED ANESTHESIA GAS EVACUATION(PG-18-1, MCS 15491)1 INLET,MASS ATOMIC SPECTROMETER (BLANK OUTLET)
SYMBOL QTY AI DESCRIPTION
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Equipment Guide List
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 5-1
Cystoscopy Room (cont.)
2 CC ISOLATED POWER UNIT PROVIDES ISOLATED ELECTRICALPOWER, INCLUDES LINE ISOLATION MONITOR, ISOLATIONTRANSFORMER AND CIRCUIT BREAKERS (DETAILS AVAILABLEFROM ELECTRICAL SERVICE)
1 CC CLOCK. ELECTRIC TIME ELAPSED, RECESSED(PG-18-1, MCS 10360)
1 CC CLOCK, ELECTRIC WITH SWEEP SECOND HAND, RECESSED(PG-18-1, MCS 10360)
AR CC OUTLET, ELECTRICAL, 120 VOLT. 20 AMP, RECESSED FORCLOCK
AR VV MONITOR. VIDEOT-14 AR CC CABINET, STORAGE, WITH SLOPING TOP, 2 HINGED PANEL
DOORS, LOCK AND 5 ADJUSTABLE SHELVES. 48”W x 22”D x 84”H(PG-18-1.MCS 12301; H-18-4, SD 70K)
1 VV CRT, COMPUTER SYSTEM, WITH KEYBOARD1 CC RECEPTACLE, ELECTRICAL, QUADRAPLEX. FOR COMPUTER
POWER General: 1200 W (receptacles) Emergency: 500 W (receptacles)Notes: 1. Special receptacle for mobile
fluoroscopy unit. (Coordinate withsystem supplier).
2. Receptacle for crash cart to be onemergency power.
COMMUNICATION ADP: Yes Radio: -- Telephone: Yes Intercom: Yes Pub. Addr: -- Notes: 1. Junction box for CCTV camera
with conduit to adjacent diagnosticroom.
2. Junction box for poly somnographcabling with conduit diagnosticroom.
3. Nurse call system.
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 24°C (76°F) Dry Bulb Temp Heating: 25°C (78°F) Minimum % Outside Air: -- 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 8 Room Pressure: Negative AC Load Lighting: 86 w/sm (8w/sf) AC Load-Equipment: 22 w/sm (2w/sf) Number of People: 3 Special Exhaust: -- Notes: 1. Room exhaust shall be
accomplished via low level outlets.2. Provide a special hood and
exhaust for instrument cleaningfumes if instrument cleaning isdone here rather than a separateroom.
3. If Bronchoscopy room is used fortuberculosis patient exams min.air changes per hr. increases to12 and provide filtration as per TBCriteria in HVAC Design Manualfor Hospitals Projects.
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes:
First Draft 3-15-97
Equipment Guide List
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 5-2
NOTE.' ELECTRICAL RECEPTACLE FOR CRASH CART TO BE ON EMERGENCYPOWER.
1 VV BLOOD PRESSURE MONITOR3 VV BRONCHOSCOPES1 VV CABINET, INSTRUMENTS, 1219 MM X 406 MM X 1829 MM,
(48" X 16" X 72") WITH GLAZED DOORS, SLOPING TOP1 VV CART, EMERGENCY, "CRASH CART'APPROX.,
914 MM X 533 MM (36" X 21 ")1 VV CART, VIDEO, ENDOSCOPIC1 VV DISPENSER, PAPER TOWEL, SURFACE MOUNTED1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTEDAR VV ILLUMINATORS, FILM, X-RAY, 120 VOLT, 20 AMP, WALL
MOUNTED (1 BANK OF 4)1 VV LIGHT SOURCE, FIBER-OPTIC, ENDOSCOPIC WI CARTAR CF MODULAR CASEWORK1 VV MONITOR, CARDIAC - ON CART (FLOOR UNIT)1 VV MONITOR, EAR OXIMETER1 VV RECEPTACLE, WASTE, 330 MM (13")
N-2 1 CF SINK, CORROSION RESISTING STEEL, WITH END ORCORNER DRAIN OUTLET, 559 MM X 406 MM X 279 MM(22" X 16" X 11") (PG-1 8-1 & PG-1 8-6, MCS 11 602)
2 VV STOOL, STEP, APPROX., 508 MM X 406 MM (20" X 16")1 VV TABLE, EXAMINATION-PATIENT, X-RAY, TRANSLUCENT TOP1 VV X-RAY/FLUOROSCOPE (MOBILE UNIT & MONITOR)
SYMBOL QTY AI DESCRIPTION
First Draft 3-15-97
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 5-3
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: -- 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 6 Room Pressure: Negative AC Load Lighting: 30 w/sm (2.8 w/sf) AC Load-Equipment: 54 w/hr (5 w/hr) Number of People: 4 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: -- Notes:
First Draft 3-15-97
Equipment Guide List
VA DESIGN GUIDEAMBULATORY CARE INVASIVE PROCEDURES SUITE PAGE 5-3
EGD / Colonoscopy Procedures Room
1 CC OUTLET, WALL, OXYGEN (PG-18-1, MCS 15491; H-18-3, CS 310-1)1 CC OUTLET, WALL, MEDICAL AIR (PG-18-1,MCS 15491;H-18-3, CS 310-1)1 CC OUTLET, WALL, VACUUM (PG-18-1 MCS 15491; H-18-3. CS 310-1)1 CC VACUUM BOTTLE SLIDE (PG-18-1. MCS 3.5491; H-18-4. SD 336)
-OR-
1 CC COLUMN, TELESCOPING UTILITY, CEILING MOUNTED (PG-18-1,MCS 15491) LOCATED AT HEAD OF TABLE 1219mm TO 1829mm(4' TO 6') FROM THE CENTERLINE AND 610mm TO 1219mm(2’ TO 4') TO THE LEFT OF THE OF CENTERLINE OF THE TABLE
AR VV STOOL, SURGICAL6 VV CABINET, GLAZED DOORS, SLOPING TOP,
610mm x 1829mm (24” x 72”)1 CF CABINET,.DRUG STORAGE, DOUBLE LOCKING DOORS, WALL
HUNG WITHOUT BASE, 610mm x 330mm x 762mm (24” x 13” x 30”)3 CC CABINET, WALL ABOVE COUNTER (PG-18-1, MCS 12302)1 CC COUNTER, APPROX. 2750mm (9’-0”) PLASTIC LAMINATE WITH
SINK, 508mm x 457mm x 203mm (20” x 18” x 8”) AND CABINETSUNDERNEATH (PG-18-1, MCS 12302)
1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV PRINTER, COMPUTER SYSTEM1 CC RECEPRACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: -- 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 6 Room Pressure: Negative AC Load Lighting: 30 w/sm (2.8 w/sf) AC Load-Equipment: 54 w/sm (5 w/sf) Number of People: 4 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: -- Notes: 1. Potential cold water is required for
1 VV CABINET, INSTRUMENT AND TREATMENT, 36”W x 16"D x 78”HAR VV CART, ENDOSCOPIC1 VV CURTAIN, CUBICLEAR VV CHAIR, STRAIGHT, WITHOUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL,
1200 mm W x 760 mm D x 760 mm H (48”VV x 30"D x 30"H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED.1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTED1 VV ELECTRO-CAUTERIZING UNIT, MOBILE,
APPROX. 535mmW x 600mmD(21”W x 24"D)1 VV HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING TOP,
500 mm (20") DIA.AR VV HOOK, COAT, WALL MOUNTED1 VV ILLUMINATOR X RAY FILM, 120 VOLTS, 150 WATTS, WALL
MOUNTED, INDIVIDUAL SWITCH FOR TWO, 355 mm x 430 mm(14" x 17") RADIOGRAPHS, 790 mm W x 500 mm H (31'VV X 20"H)
1 VV CABINET, INSTRUMENT AND TREATMENT,910mm W x 405mm D x 1980mm H (36"W x 16"0 x 78"H)
1 VV CART, MEDICATION, W/IV POLEAR VV CART, MOBIL, INSTRUMENT, 910mm x 500mm (36” x 20”)1 VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITHOUTARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL,
1200mm W x 760mm D x 760mm H (48”W x 30"D x 30" H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED.1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTEDAR VV HAMPER, SOILED LINEN, V\NTH HINGED SELF CLOSING TOP
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 6 Room Pressure: 0 AC Load Lighting: 31 W/m 2(2.85 W/sf) AC Load-Equipment: 86 W/m 2 (8W/sf) Number of People: 5 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Recommended location for
medical gases zone valve box and local alarm panel.
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListNurse/Communication Station
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 5-1
1 CC COUNTER, BETWEEN RECEPTIONIST’S OFFICE AND WAITING AREA, DRAWERS AND CABINETS UNDERNEATH ON OFFICE SIDE (PG-18-1, MCS 12302)
AR VV DESK, DOUBLE PEDESTAL, APPROX. 1524 mm x 762 mm x 749 mm (60” x 30” x 29-1/2”)
AR VV DESK, RIGHT OR LRFT, SINGLE PEDESTAL, 1524 mm x 762 mm x 749 mm (60” x 30” x 29-1/2”), L UNIT ATTACHMENT AT TYPEWRITER HEIGHT, 1016 mm x 457 mm x 660 mm (40” x 18” x 26”)
AR VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, ROTARY, WITHOUT ARMS1 VV HOOK, COAT, WALL MOUNTEDAR VV CABINET, STORAGE, METAL, 2 DOORS WITH LOCK,
1219 mm x 457 mm x 1981 mm (48” x 18” x 78”)1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV PRINTER, COMPUTER SYSTEM1 CC RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 24°C (76°F) Dry Bulb Temp Heating: 25°C (78°F) Minimum % Outside Air: 25 100% Exhaust Air: -- Noise Criteria: NC-35 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 15 W/m 2(1.4 W/sf) AC Load-Equipment: 65 W/m 2 (6W/sf) Number of People: 6 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes:
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListLife Support Unit
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 5-2
T1B 1 CC CABINET, ASSEMBLY, WITH 2 UNDERCOUNTER UNITS TO 1 DRAWER, I HINGED DOOR AND 1 ADJUSTABLE SHELF, SINK CABINENT TO HAVE 2 HINGED DOORS, TOTAL SIZE, 2130 mm W x 555 mm D x 910 mm H (84”W x22”D x 36”H), WALL CABINETS TO BE SLOPING TOP, 2 GLAZED SLIDING DOORS AND 2 ADJUSTABLE SHELVES, COUNTER TOP OF CORROSION RESISTING STEEL WITH INTERGAL SPLASHBACKS AND SINK, 450 mm x 510 mm x 190 mm (18” x 20” x 7-1/2” DEEP) WITH PLASTER TRAP, REMOVEABLE STRAINER AND SWING SPOUT FAUCET(PG-18-1,MCS 12301;PG-18-4P-418 1CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450 VOL. 3 SD 380)
AR CC MIRROR, 400 mm W x 500 mm H (16"W x 20"H), WITH INTREGAL SHELF, OVER LAVATORY (PG-18-1, MCS 10800; PG-18-4, SD15)
2 CC PREFABRICATED BEDSIDE PATIENT UNIT; TYPE 3B (PG-18-1, MCS 16685; PG-18-4, SD E-P-7, 8 & 9)(1) - RECEPTACLE, ELECTRICAL, FOR READING-
EXAM LIGHT, LOCATION OPTIONAL(1) - BRACKET, FOR STEM BASE READING-EXAM
E-N-2)AR CC TRACK, CURTAIN, CUBICLE, CEILING TYPE, SURFACE
MOUNTED (PG-18-1, MCS 10800)2 CF BRACKET, MONITOR, WALL MOUNTED1 VV CABINET, INSTRUMENT, SURGICAL. 760 mm W x
405 mm D x 1830 mm H (30”W x 16”D x 72”H)1 VV CART, CARDIAC ARREST SUPPORT1 VV CLOCK, BATTERY OPERATEDAR VV CURTAIN, CUBICLE, 2750 mm x 2280 mm (108” x 90”)
(EACH STATION)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating : 22°C (72°F) Minimum % Outside Air: 25 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 30 W/m 2(2.8 W/sf) AC Load-Equipment: 65 W/m 2 (6W/sf) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListMultipurpose Exam Room
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-1
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
T45 1 CC SHELF, CORROSION RESISTING STEEL,305 mm W x 125 mm D (12"W X 5"D) (H-08-1, MCS 10360; PG-18-4,SD 60H)
1 VV CABINET, INSTRUMENT AND TREATMENT,760 mm W x 400 mm D x 1980 mm H (30"W X 16"D X78"H)
2 VV CHAIR, STRAIGHT, WITHOUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL, 1220 mm W x 760 mm D x
760 mm H (48"W X 30"D X 30"H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-35 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting 30 W/m2 (2.8 W/sf) AC Load-Equipment: 65 W/m2 (6 W/sf) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListENT Exam Room
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-2
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
T45 1 CC SHELF, CORROSION RESISTING STEEL,300 mm W x 125 mm D (12"W X 5"D) (PG-18-1, MCS 10360; PG-18-4,SD 60H)
1 VV BULLETIN BOARD,1200 mm W x 910 mm H (48"W X 36"H)1 VV CABINET, INSTRUMENT AND TREATMENT, 910 mm W x
405 mm D x 1950 mm H (36"W X 16"D X 78"H)1 VV CART, TREATMENT, ENT1 VV CHAIR, EXAMINING, SURGICAL, 120 VOLTS, 20 AMPS1 VV CHAIR, ROTARY, WITH ARMS1 VV CHAIR, STRAIGHT, WITH-OUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL, 1200 MM w x 760 mm D
760 mm H (48"W X 30"D X 30"H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
1 VV CABINET, INSTRUMENT AND TREATMENT,910 mm W x 405 mm D x 1980 mm H (36"W X 16"D X78"H)
1 VV CHAIR, ROTARY, WITH ARMS1 VV CHAIR, STRAIGHT, WITHOUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL, 1200 mm W x 760 mm D x
760 mm H (48"W X 30"D X 30"H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 78°F (25°C) Dry Bulb Temp Heating: 72°F (22°C) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 27 W/m 2 (2.6 W/sf) AC Load-Equipment: 32 W/m 2 (3 W/sf) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListMedication Room
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-5
T18C 1 CC CABINET, MEDICATION, NURSES, CONSISTING OF BASE WITH BUILT-IN REFRIGERATOR STORAGE CABINET, COUNTER TOP WITH SINK, CABINETS WITH METAL DOORS OR ROLL-UP SHUTTER DOOR OVER NARCOTICS VAULT WITH SIGNAL LIGHT AND LIGHT OVER COUNTER, 635 mm D x 1220 mm L x 2050 mm H (25" D x 48” L x 80"H) (PG-18-1, MCS 12336; PG-18-4, SD 70P)
P-41B 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD380)
AR CF MODULAR CASEWORK, W/ OVERHEAD CABINETS AND WALL HANGER STRIPS
AR VV CART, MEDICATION APPROX. 555 mm W x 840 mm L x 1120 mm H (22"W X 33"L X 44"H)
1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED.
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-7
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
1 VV CABINET, INSTRUMENT AND TREATMENT, 910 mm W x 405 mm D x 1980 mm H (36"W X 16"D X 78"H)
AR VV CART, MOBILE, INSTRUMENT,910 mm x 500 mm (36" X 20")
1 VV CHAIR, ROTARY, WITH ARMS1 VV CHAIR, STRAIGHT, WITHOUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL, 1200 mm W x 760 mm D x
760 mm H (48"W X 30"D X 30"H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-8
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
1 VV CABINET, INSTRUMENT AND TREATMENT, 36"W X 16"D X 78"H
AR VV CART, ENDOSCOPIC1 VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITHOUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL, 1200 mm W x 760 mm D x
760 mm H (48"W x 30"D x 30"H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-9
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
1 VV CABINET, INSTRUMENT AND TREATMENT, 910 mm W x 405 mm D x 1980 mm H (36”W x 16”D x 78”H)
1 VV CART, MEDICATION, W/IV POLEAR VV CART, MOBIL, INSTRUMENT, 910 MM X 500 MM
(36” X 20”)1 VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITHOUT ARMS1 VV CLOCK, BATTERY OPERATED1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV DESK, SINGLE PEDESTAL, 1200 mm W x 760 mm D x
760 mm H (48”W x 30”D x 30” H)1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
HEATING, VENTILATING AND AIR CONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 8 Room Pressure: 0 AC Load Lighting: 19 W/m 2(1.8 W/sf) AC Load-Equipment: 65 W/m2 (6 W/sf) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListDermatology Procedure Room
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-10
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
1 CF LIGHT, SMALL, SURGICAL WITH VARIABLE INTENSITY CONTROL, SINGLE POINT SUSPENSION, CEILING MOUNTED, TYPE 840B (LOCATION INSTRUCTION AVAILABLE FROM ELECTRICAL SERVICE)(PG-18-1, MCS 16515)
AR CF MODULAR CASEWORK, W/ OVERHEAD CABINETS AND WALL HANGER STRIP
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-11
T-22C 1 CC KITCHEN CABINET, CORROSION REISISTING STEEL, 910 mm x 610 mm x 2130 mm ( 3’-0” x 2’-0” x 7’-0”) (H-08-1, MCS 10360; PG-18-4, SD 71A)
T14A 2 CC CABINET, CORROSION REISISTING STEEL, 6 ADJUSTIBLE SHELVES, SLIDING DOORS, METAL SLOPED TOP 1220 mm x 555 mm x 2130 mm(4’-0” x 1’-10” x 7’-0”) ( PG-18-1 MCS 10360, PG-18-6 CAB TYPE 14A 12301-10)
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: -- 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 10 Room Pressure Negative AC Load Lighting: 26 W/m 2(2.4 W/sf) AC Load-Equipment: 54 W/m 2 (5 W/sf) Number of People: 4 Special Exhaust: Yes Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: -- Notes:
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT- 10/31/95REVISED January 1997
Equipment Guide ListOrthopedic Clinic/Cast Room
VA DESIGN GUIDEAMBULATORY CARE (Hospital Based) PAGE 6-13
T1A 1 CC CABINET, BASE WITH 2 DRAWERS, 2 HINGED DOORS AND 1 ADJUSTABLE SHELF, 910 mm W x 555 mm D x 910 mm H (36"W X 22"D X 36"H), CORROSION RESISTING STEEL TOP AND SPLASHBACKS, WITH WALL CABINET ABOVE WITH SLOPING TOP, 2 GLAZED SLIDING DOORS AND 2 ADJUSTABLE GLASS SHELVES ( PG-18-1, MCS 12301; PG-18-6, 12301-5, 5A)
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450; VOL. 3 SD 380)
1 CC PEGBOARD, PERFORATED, HEAVY DUTY, WITH HANGERS, 1220 mm x 2440 mm (48" X 96") (PG-18-1,
MCS 06200)T45 1 CC SHELF, CORROSION RESISTING STEEL, 305 mm W x
125 mm D (12"W X 5"D) (PG-18-1, MCS 10360)P-507 1 CC SINK, PLASTER, SINGLE COMPARTMENT, CRS
DRAINBOARD WITHOUT CORRUGATIONS (PG-18-1,MCS 15450; PG-18-4, SD 4.1)
1 VV BULLETIN BOARD, 1220 mm W x 91 mm H (48"W X 36"H)1 VV CABINET, INSTRUMENT AND DRESSING, 760 mm W x
405 mm D x 1520 mm H (30"W x 16"D x 60"H)1 VV CLOCK, BATTERY OPERATED1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: Yes Laboratory Vacuum: Yes Sanitary Drain: Chemical-resist. type. Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Provide one natural gas outlet.
2. All outlets need to be on the leftside of the biological safetycabinet.
VA DESIGN GUIDEAMBULATORY CARE UNIT (Hospital Based) PAGE 6-15
P-418 2 CC LAVATORY, SENSOR CONTROL PG-18-1, MCS 15450; VOL. 3 SD 380)
1 CC BIOLOGICAL SAFETY CABINET H12B2-72 (LAMINAR FLOW), CLASS II; TYPE B-2, 100% DIRECT EXHAUSTED AIR THROUGH THE WORK-SPACE. 1200 mm x 815 mm x 1980 mm (48"W X 38"D X 72"H)
AR CF MODULAR CASEWORK, W/ OVERHEAD CABINETS AND WALL HANGER STRIP
1 CF REFRIGERATOR, BIOLOGICAL, PASS-THRU, W/ HINGEDGLASS DOORS, 760 mm W x 840 mm D x 2060 mm H (30"W X 33"D X 81"H)
1 VV CABINET, INTRAVENOUS (IV), VISUAL CLARITY INSPECTION, 760 mm W x 610 mm D (30"W X 24"D), 120 VOLTS 20 AMPS
AR VV CART, EXCHANGE, CRS WIRE2 VV CHAIR, ROTARY, WITH ARMS1 VV CLOCK, BATTERY OPERATEDAR VV CRT, COMPUTER SYSTEM, W/ KEYBOARD2 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: Yes Noise Criteria: 40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: Positive AC Load-Equipment: 27W/m 2 (2.5W/SF) AC Load Lighting: 38W/m2 (3.5W/SF) Number of People: 2 Special Exhaust: --Notes: 1. See HVAC Design Manual for
Hospital Projects for otherconsiderations.
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
Final Draft 10-18-96Revised February 1997
Equipment Guide List
VA DESIGN GUIDEAMBULATORY SURGERY PAGE 5-5
Clean Utility Room
AR VV SHELVING, STORAGE, MOBILE, STEEL, ROD SHELF, OPEN STYLEWITH 5 ADJUSTABLE SHELVES
T-5B AR CC CABINET, WALL, WITH SLOPING TOP, 2 HINGED DOORS AND 2ADJUSTABLE SHELVES, 914mm x 559mm x 1067mm(36” x 22” x 42”) (PG-18-1, MCS 12301; PG-18-4, SD 70E)
AR VV CART, MOBIL WITH ADJUSTABLE SHELVES,686mm x 914mm x 965mm (27” x 36” x 38”)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP(PG-18-1,MCS 16140; H-18-3, CS 801-3)
T-10 AR CC RACK, MOP, WALL MOUNTED(PG-18-1, MCS 10360; PG-18-4, SD 64B & 66)
T-7 AR CC SHELVING, WALL HUNG, CORROSION RESISTING STEEL, TWOFIXED SHELVES, TWO DOORS WITH LOCKS,914mm x 305 x 1219mm (36” x 12” x 48”), 1524mm (60”) ABOVEFINISHED FLOOR (PG-18-1, MCS 12301, PG-18-4, SD 60C & 66)
1 VV VACUUM CLEANER, BATTERY POWERED1 VV MACHINE, SCRUBBING, WALL, BATTERY POWERED1 VV CART, SUPPLIES, 610mm x 1220mm (24” x 48”)1 CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, WITH
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15% 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load-Equipment: 3.4w/sf AC Load-Lighting: 2.5w/sf Number of People: 2 Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Other: AAP Notes:
PAGE 5 -2
Draft 7-6-95
VA Design GuideCommunity Based Outpatient Clinic PAGE 5-2
Equipment Guide ListNurse Station
SYMBOL AI QTY DESCRIPTION
CC 1 COUNTER, PLASTIC LAMINATE TOP, 3048 MM X 1067 MM (120" X 42")(H-08-1, MCS 12302; H-08-4, SD 27)
VV AR CHAIR, ROTARY, WITHOUT ARMSVV 1 BULLETIN BOARD, 1524 MM X 914 MM (60" X 36")VV AR CART, MOBILE, 457 MM X 762 MM X 914 MM (18" X 30" X 36")CC 1 NURSE CALL, AUDIO/VISUAL, POWER AND CONTROL UNIT (H-08-1
MCS 16761)VV 2 CRT, COMPUTER SYSTEM, WITH KEYBOARDVV 1 PRINTER, COMPUTER SYSTEMCC 3 RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER
DECORATIVE, OVER PLYWOOD OR PARTICLE BOARD CORE, 1-1/4" THICK (H-08-1 & H-08-6, MCS 11602)
VL4 CF 1 CABINET, UNDERCOUNTER, WITH 2 DRAWERS, 2 HINGED DOORSAND 1 ADJUSTABLE SHELF, 914 MM X 559 MM X 787 MM, (36" X22" X 31") FOR FLOOR MOUNTED ADD, 127 MM (5") TOE BASE (H-08-1 & H-08-6, MCS 12345)
VL5 CF 1 CABINET, UNDERCOUNTER, WITH 4 DRAWERS, 1 HINGED DOORAND 2 ADJUSTABLE SHELVES, 914 MM X 559 MM X 787 MM, (36" X22" X 31") FOR FLOOR MOUNTED ADD, 127 MM (5") TOE BASE (H-08-1 & H-08-6, MCS 12345)
VL25 CF 1 CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORSAND 2 ADJUSTABLE SHELVES, 914 MM X 330 MM X 762 MM (36" X13" X 30") (H-08-1 & H-08-6, MCS 12345)
CC 2 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, OVERCOUNTER (H-08-1, MCS 16140; H-08-3, CS 801-3)
P-414 CC 1 LAVATORY, STRAIGHT BACK (H-08-1, MCS 15450)VV 1 DISPENSER, SOAP, LIQUID, WALL MOUNTEDVV 1 DISPENSER, PAPER TOWEL, SURFACE MOUNTEDVV 1 RECEPTACLE, WASTE, STEP ON TYPE, APPROX., 305 MM (12")
DIAMETERVV 1 CHAIR, BLOOD COLLECTING, APPROX. 27-1/2"W X 21-1/2"D X 32"HVV 1 BULLETIN BOARD, 762 MM X 1067 MM (30" X 42")VV 1 LITTER, APPROXIMATELY, 610 MM X 1829 MM (24" X 72")VV 1 REFRIGERATOR/FREEZER, 120 VOLT, 20 AMP, DOMESTIC,
APPROX., 787 MM X 711 MM X 1676 MM (31" X 28" X 66")VV 1 CENTRIFUGE, NON-REFRIGERATED, BENCH MODEL, 120 VOLT,
20 AMP, APPROX., 610 MM X 610 MM (24" X 24")VV 1 CLOCK, BATTERY OPERATED
DECORATIVE, OVER PLYWOOD OR PARTICLE BOARD CORE, 1-1/4" THICK (H-08-1 & H-08-6, MCS 11602)
VL4 CF 1 CABINET, UNDERCOUNTER, WITH 2 DRAWERS, 2 HINGED DOORSAND 1 ADJUSTABLE SHELF, 914 MM X 559 MM X 787 MM, (36" X22" X 31") FOR FLOOR MOUNTED ADD, 127 MM (5") TOE BASE (H-08-1 & H-08-6, MCS 12345)
VL5 CF 1 CABINET, UNDERCOUNTER, WITH 4 DRAWERS, 1 HINGED DOORAND 2 ADJUSTABLE SHELVES, 914 MM X 559 MM X 787 MM, (36" X22" X 31") FOR FLOOR MOUNTED ADD, 127 MM (5") TOE BASE (H-08-1 & H-08-6, MCS 12345)
VL25 CF 1 CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORSAND 2 ADJUSTABLE SHELVES, 914 MM X 330 MM X 762 MM (36" X13" X 30") (H-08-1 & H-08-6, MCS 12345)
CC 2 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, OVERCOUNTER (H-08-1, MCS 16140; H-08-3, CS 801-3)
P-414 CC 1 LAVATORY, STRAIGHT BACK (H-08-1, MCS 15450)VV 1 DISPENSER, SOAP, LIQUID, WALL MOUNTEDVV 1 DISPENSER, PAPER TOWEL, SURFACE MOUNTEDVV 1 RECEPTACLE, WASTE, STEP ON TYPE, APPROX., 305 MM (12")
DIAMETERVV 1 CHAIR, BLOOD COLLECTING, APPROX. 27-1/2"W X 21-1/2"D X 32"HVV 1 BULLETIN BOARD, 762 MM X 1067 MM (30" X 42")VV 1 LITTER, APPROXIMATELY, 610 MM X 1829 MM (24" X 72")VV 1 REFRIGERATOR/FREEZER, 120 VOLT, 20 AMP, DOMESTIC,
APPROX., 787 MM X 711 MM X 1676 MM (31" X 28" X 66")VV 1 MOBILE LAB UNITVV 1 COMPUTER SYSTEM, WITH KEYBOARDVV 1 CLOCK, BATTERY OPERATED
Draft 7-6-95
Design StandardsOffice/Examination RoomARCHITECTURAL Ceiling: Acoustic Ceiling Tile Ceiling Ht: 2400 mm (8'-0") (see note 1) Wall Finish: GWB Wainscot: -- Base: 4” Resilient Base Floor Finish: Vinyl Composition Tile Sound Protection: Yes (see note 2) Slab Depr: -- Notes: 1. Perimeter partitions full height
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15% 100% Exhaust Air -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load-Equipment: 2.9 W/SF AC Load-Lighting: 2.0 W/SF Number of People: 2 Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
PAGE 5 - 5
Draft 7-6-95
VA Design GuideCommunity Based Outpatient Clinic PAGE 5-5
Equipment Guide ListOffice/Examination Room
SYMBOL AI QTY DESCRIPTION
VV 1 DESK, SINGLE PEDESTAL, 1219 MM X 762 MM X 762 MM (48" X 30"X 30")
VV 1 CHAIR, ROTARY, WITH ARMSVV 1 BOOKCASE, SECTIONAL, EACH SECTION, 838 MM X 330 MM X 381
MM (33" X 13" X 15") WITH 254 MM (10") BASEVV 3 HOOK, COAT, WALL MOUNTEDVV 1 RECEPTACLE, WASTE, 330 MM (13") DIAMETERVV 1 CRT, COMPUTER SYSTEM, WITH KEYBOARDCC 1 RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER
EQUIPMENT ITEMS (H-08-1, MCS 16140; H-08-3, CS 866-1)P-418 CC 1 LAVATORY, SENSOR CONTROL (H-08-1, MCS 15450; H-08-4, VOL.
3 SD 380)T45 CC 1 SHELF, CORROSION RESISTING STEEL, 305 MM X 127 MM (12" X
MM X 533 MM X 762 MM (74" X 21" X 30")VV 1 STOOL, EXAMINING, ADJUSTABLEVV 1 OPHTHALMOSCOPE, WALL HUNGVV 1 OTOSCOPE, WALL HUNGVV 1 SPHYGMOMANOMETER, WALL HUNGVV AR ILLUMINATOR, X-RAY FILM, 120 VOLT, 150 WATTS, WALL
MOUNTED, INDIVIDUAL SWITCH FOR TWO, 356 MM X 432 MM (14"X 17") RADIOGRAPHS, 787 MM X 508 MM (31" X 20")
VV 1 CABINET, INSTRUMENT AND TREATMENT, 914 MM X 406 MM X1981 MM (36" X 16" X 78")
VV 1 RECEPTACLE, WASTE, STEP ON TYPE, APPROX., 305 MM (12")DIAMETER
VV AR LIGHT, EXAMINING, PORTABLE, 120 VOLT, 20 AMP, APPROX., 457MM (18") DIAMETER X 1905 MM (75")
VV 2 CHAIR, STRAIGHT, WITHOUT ARMSVV 1 BULLETIN BOARD, 1219 MM X 914 MM (48" X 36")VV 1 CLOCK, BATTERY OPERATED
Draft 7-6-95
Design StandardsExamination RoomARCHITECTURAL Ceiling: GWB Ceiling Ht: 2400 mm (8'-0") (see note 1) Wall Finish: GWB Wainscot: -- Base: 4” Resilient Base Floor Finish: Vinyl Composition Tile Sound Protection: Yes (see note 2) Slab Depr: -- Notes: 1. Perimeter partitions full height
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 24°C (76°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 100% 100% Exhaust Air Yes Noise Criteria: NC-45 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 12 (SA) Room Pressure: Negative AC Load-Equipment: (3.9w/sf) AC Load-Lighting: (3.0w/sf) Number of People: 5 Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
PAGE 6 - 1
Draft 7-6-95
VA Design GuideCommunity Based Outpatient Clinic PAGE 6-1
Equipment Guide ListGeneral Laboratory
SYMBOL AI QTY DESCRIPTION
TOP 13/13A CF AR COUNTER TOP, EPOXY, RESIN, WITH DRIP GROOVE, 1-1/4" THICK(H-08-1 & H-08-6, MCS 11602)-OR-
TOP 6/6A CF AR COUNTER TOP, HIGH PRESSURE PLASTIC LAMINATE, ACIDRESISTANT COMPOSITION OVER PLYWOOD OR PARTICLE BOARDCORE, 32 MM (1-1/4") THICK (H-08-1 & H-08-6, MCS 11602)
VL20/20A CF 1 TOILET, STAFF-OR-
VL21/21A CF 1 CABINET, UNDERCOUNTER, SINK UNIT, 1 DOOR, AVAILABLEWIDTHS - 457 MM, 610 MM; (18", 24") DEPTH - 559 MM; (22")HEIGHTS - 787 MM, 635 MM, (31", 25") FOR FLOOR MOUNTED ADD127 MM (5") TOE BASE (H-08-1 & H-08-6, MCS 12345)
VL23/23A CF 1 CABINET, UNDERCOUNTER, END SINK UNIT, 2 HINGED PANELDOORS, AVAILABLE WIDTHS - 1372 MM, 1524 MM; (54", 60") DEPTH -559 MM; (22") HEIGHTS - 787 MM, 635 MM, (31", 25") FOR FLOORMOUNTED ADD 127 MM (5") TOE BASE (H-08-1 & H-08-6, MCS 12345)
S-3 CF 1 SINK, MOLDED, RESIN WITH END OR CORNER DRAIN OUTLET, 635MM X 457 MM X 406 MM (25" X 18" X 16") DEEP (H-08-1 & H-08-6,MCS 11602)
F-3 CF 1 SINK, MOLDED, RESIN WITH END OR CORNER DRAIN OUTLET, 18"X 15" X 8" DEEP (H-08-1 & H-08-6, MCS 11602)
VL54 CF 1 PEGBOARD, 32 PEGS, 508 MM X 762 MM (20" X 30") OR 53 PEGS,813 MM X 762 MM (32" X 30") (H-08-1 & H-08-6, MCS 11602)
VL50/50A CF AR CABINET, UNDERCOUNTER, CORNER UNIT, FLOOR MOUNTED,WITH 127 MM (5") TOE BASE, SINGLE DOOR, FIXED SHELF, 813 MM(32") ALONG WALLS, HEIGHTS - 787 MM, 635 MM (31", 25") (H-08-1 &H-08-6, MCS 12345)
VL4/4A CF AR RECEPTACLE, WASTE, STEP ON TYPE, APPROX., 305 MM (12")DIAMETER
VL1/1A CF AR CABINET, UNDERCOUNTER, WITH 4/3 DRAWERS, AVAILABLEWIDTHS - 457 MM, 610 MM, 914 MM, 1219 MM; (18", 24", 36", 48")DEPTH - 559 MM; (22") HEIGHTS - 787 MM, 635 MM, (31", 25") FORFLOOR MOUNTED ADD 127 MM (5") TOE BASE (H-08-1 & H-08-6,MCS 12345)
VL8/8A CF AR CABINET, UNDERCOUNTER, WITH 1 DRAWER, 1 DOOR AND 1ADJUSTABLE SHELF, AVAILABLE WIDTHS - 305 MM, 457 MM, 610MM; (12", 18", 24") DEPTH - 559 MM; (22") HEIGHTS - 787 MM, 635MM, (31", 25") FOR FLOOR MOUNTED ADD 127 MM (5") TOE BASE(H-08-1 & H-08-6, MCS 12345)
Draft 7-6-95
VA Design GuideCommunity Based Outpatient Clinic PAGE 6-1
Equipment Guide ListGeneral Laboratory (cont.)
SYMBOL AI QTY DESCRIPTION
VL3/3A CF AR CABINET, UNDERCOUNTER, WITH 5/4 DRAWERS, AVAILABLEWIDTHS - 457 MM, 610 MM, 914 MM, 1219 MM; (18", 24", 36", 48")DEPTH - 559 MM; (22") HEIGHTS - 787 MM, 635 MM, (31", 25") FORFLOOR MOUNTED ADD 127 MM (5") TOE BASE (H-08-1 & H-08-6,MCS 12345)
VL14 CF AR TABLE FRAME, WITH DRAWER(S), KNEE SPACE UNIT, AVAILABLEWIDTHS - 457 MM, 610 MM, 762 MM, 914 MM, 1067 MM, 1219 MM;(18", 24", 30", 36", 42", 48") DEPTH - 559 MM; (22") HEIGHT - 787 MM(31") (H-08-1 & H-08-6, MCS 12345)
CC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 15 AMP, STRIPMOLD WITH OUTLETS, WIRED ALTERNATELY ON SEPARATECIRCUITS ON 610 MM (24") CENTERS ABOVE COUNTER (H-08-1,MCS 16140; H-08-3, CS 801-3)
VL25 CF AR CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORSAND 2 ADJUSTABLE SHELVES, AVAILABLE WIDTHS - 762 MM, 914MM, 1067 MM, 1219 MM; (30", 36", 42", 48") DEPTH - 330 MM; (13")HEIGHT - 762 MM (30") (H-08-1 & H-08-6, MCS 12345)
VL26 CF AR CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORSAND 2 ADJUSTABLE SHELVES, AVAILABLE WIDTHS 30", 36", 42",48"; DEPTH 16"; HEIGHT 48" (H-08-1 & H-08-6, MCS 12345)
P-706 CC 1 EMERGENCY SHOWER (H-08-1, MCS 15450)P-708 CC 1 EMERGENCY EYE AND FACE WASH, WALL MOUNTED, (H-08-1, MCS
15450)-OR-
P-707 CC 1 EMERGENCY SHOWER, EYE AND FACE WASH IN LIEU OF P-706AND P-708 (H-08-1, MCS 15450)
VV 1 REFRIGERATOR, DOMESTIC TYPE, .42 M3, (15 CU. FT.) 120 VOLT,20 AMP, APPROX., 787 MM X 711 MM X 1676 MM (31" X 28" X 66")
VV 1 REFRIGERATOR, 4 TO 10 DEGREES C., 25 CU. FT., 120 VOLT, 20AMP, REACH-IN TYPE, DOUBLE DOOR, WITH SHELVES
VV AR CHAIR, LABORATORY, SEMI-HYDRAULIC, ADJUSTABLE HEIGHT TO787 MM (31")
VV 1 BULLETIN BOARD, 762 MM X 1067 MM (30" X 42")VV 1 FREEZER, REACH-IN TYPE, -20 DEGREES TO -70 DEGREES C, .42
M3, (15 CU. FT.) 120 VOLT, 20 AMP, SINGLE DOOR, WITH SHELVESVV AR CENTRIFUGE, NON-REFRIGERATED, BENCH MODEL, 120 VOLT, 20
AMP, APPROX., 610 MM X 610 MM (24" X 24")VV 1 CLOCK, BATTERY OPERATEDCC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (H-08-1,
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15% 100% Exhaust Air -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load-Equipment: 5.0 w/sft (see note 1) AC Load Lighting: 2.6 w/sft Number of People: 2 Special Exhaust: -- Notes: 1. Check with the equipment
manufacturer for heat dissipationinto the room.
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
PAGE 6 - 4
Draft 7-6-95
VA Design GuideCommunity Based Outpatient Clinic PAGE 6-4
Equipment Guide ListRadiology - General Purpose Room
SYMBOL AI QTY DESCRIPTION
VC 1 RADIOGRAPHIC UNIT - CONSISTS OF THE FOLLOWINGCOMPONENTS:
VC 1 STARTER, TUBE, HIGH SPEEDVC 1 MODULE, POWERVC 1 TRANSFORMER, HIGH TENSION, X-RAYVC 1 TABLE, RADIOGRAPHIC, FLAT BUCKY
-OR-VC 1 TABLE, TILT, 90 DEGREE VERTICAL, 15 DEGREE TRENDELENBURGVC 1 TABLE, FLAT, MODIFIED WITH TRAY FOR MULTICASSETTES FOR
BODY SECTIONAL TECHNIQUE (PROVIDE ONLY WHEN APPROVEDFOR A SPECIFIC PROJECT)
VC 1 TUBE CARRIAGE, CEILING MOUNTEDVC 1 RAILS, CEILING FOR TUBE CARRIAGE, UNIVERSAL MOUNTVC 1 ATTACHMENT, BODY SECTION (PROVIDE WHEN APPROVED FOR A
SPECIFIC PROJECT)VC 1 BUCKY, TILT, WALL MOUNTEDVC 1 CONTROL, ATTACHMENT, BODY SECTION (PROVIDE ONLY WHEN
APPROVED FOR A SPECIFIC PROJECT)VC 1 HEADSTAND, RADIOGRAPHICVC 1 CHANGER, CASSETTE
NOTE: OPTIONAL COMPONENTS TO BE DETERMINED BYVETERANS HEALTH ADMINISTRATION)NOTE: SERVICES, ELECTRICAL, AS REQUIRED FOR EQUIPMENT
CC AR SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAYEQUIPMENT, IN ACCORDANCE WITH (H-18-1, MCS 13091, CS 64-1;H-18-4, SD 24 THRU 24K AND NCRP REPORT NO.33, 35 AND 36)
P-403 CC 1 LAVATORY, STRAIGHT BACK, FOOT PEDAL CONTROL (H-18-1, MCS15450)
CC 1 DISPENSER, SOAP, WALL MOUNTED WITH FOOT CONTROL (H-18-1,MCS 10800)
VV 1 DISPENSER, PAPER TOWEL, SURFACE MOUNTEDVV 1 RECEPTACLE, WASTE, STEP ON TYPE, APPROX., 305mm (12”)
DIAMETER, PROVIDE ONLY WHEN APPROVED FOR A SPECIFICPROJECT (OXYGEN, AIR, VACUUM OUTLET AND BRACKET)
Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 25 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: -- AC Load Lighting 30 W/m2 (2.8 W/sf) AC Load Equipment: 97 W/m2 (1.76 W/sf) Number of People: 2 each rm Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: --
First Draft 6-28-97
Equipment Guide List
VA DESIGN GUIDEEYE CLINIC PAGE 4-1
Low Vision Examination And TrainingOffice, Eye Care Provider
LOW VISION EXAMINATION AND TRAINING ROOM
VV DESK, DOUBLE PEDESTAL,APPROX., I524mm x 762mm x 749mm (60” x 30” x 29 ”)
1 VV CHAIR, ROTARY, WITH ARMS1 VV TABLE. 1067mm x 610mm x 749mm (42” x 24” x 29 ”)1 VV CHAIR, PATIENT, WITH ARMSAR VV CABINET, STORAGE OF VISION AIDS DISPENSED TO PATIENTS.
WITH SLIDING GLASS DOORS, FREE STANDING,1524mm x 610mm x 1829mm (60” x 24” x 72”)
1 VV LAMP, FLOOR, WITH GOOSENECK FOR ADJUSTMENTS,HIGH INTENSITY (LUXO)
2 VV ILLUMINATED CHARTS (NEAR & FAR)455mm x 300mm (18”H x 12”W)
1 VV CLOCK, BATTERY OPERATED1 VV RECEPTACLE, WASTE, 300mm (12”) DIAMETERAR CC RECEPTACLE. ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG-18-1, MCS 16140; H-18-3, CS 8Ol-3)
OFFICE, EYE CARE PROVIDER
1 VV DESK, DOUBLE PEDESTAL,APPROX., 1524mm x 762mm x 749mm (60” x 30” x 29 ”)
1 VV CHAIR, ROTARY, WITH ARMS2 VV CHAIR, STRAIGHT, WITH ARMS2 VV BOOKCASE, SECTIONAL,. EACH SECTION,
836mm x 330mm x 381mm (33” x 13” x 15”) WITH 254mm (10”) BASE-OR-
1 VV MODULAR FURNITURE WITH SHELVES/CABINETS ABOVE ANDBELOW WITH CHAIR, EXECUTIVE, ROTARY
APPROX., 381mm x 635mm x 1524mm (15” x 25” x 60”)1 VV CHAIR, OPEPATOR'S WITHOUT ARMS, SWIVEL AND
ADJUSTABLE HEIGHTS1 VV CHAIR, STRAIGHT, WITH ARMSAR CC SWITCH, DIMMER CONTROL (PG-18-1, MCS 16510)
NOTE: PROVIDE DUAL POINT CONTROL FOR LIGHTS1 VV CLOCK, BATTERY OPERATED1 VV RECEPTACLE, WASTE, 300mm (12”) DIAMETERAR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG18-1, MCS 16140; H-18-3, CS 801-3)
SYMBOL QTY AI DESCRIPTION
First Draft 6-28-97
VA DESIGN GUIDEEYE CLINIC PAGE 4-3
Design StandardsVisual Fields Room and Photography RoomARCHITECTURAL
Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 25% 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 30 W/m2 (2.8 W/sf) AC Load-Equipment: 19 W/m2 (1.76 W/sf) Number of People: 2 each rm Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: --
First Draft 6-28-97
Equipment Guide List
VA DESIGN GUIDEEYE CLINIC PAGE 4-3
Visual Fields Room and Photography Room
VISUAL FIELDS ROOM(S)
1 VV VISUAL FIELDS INSTRUMENT(S)1 VV LENS SET, TRIAL, OPHTHALMIC2 VV CHAIR, WITH BACK SUPPORT, ADJUSTABLE HEIGHTS, SWIVEL
AND WHEEL BRAKES1 VV CHAIR, ROTARY, EXECUTIVE
NOTE: PROVIDE SPACE FOR WHEELCHAIRS2 VV BATTERY OPERATEDAR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG-18-1, MCS 16140, H-18-3, CS 801-3)
PHOTOGRAPHY ROOM
1 VV CAMERA RETINAL2 VV CAMERA, ANTERIOR SEGMENT2 VV CAMERA, HAND HELD FOR EXTERNAL PHOTOS2 VV CHAIR, STRAIGHT, WITH ARMS2 VV CHAIR, OPERATOR'S WITHOUT ARMS, SWIVEL AND
ADJUSTABLE HEIGHTS1 VV CABINET, SLOPING TOP AND GLAZED DOORS,
914mm x 381mm x 1829mm (36” x 15” x 72")1 VV CART, VIDEO, .1016mm x 508mm (40” x 20”)
APPROX., 508mm x 1499mm (20” x 59”), 4 IN 11 VV PROJECTION, APPARATUS, 610mm x 610mm (24” x 24”)1 VV RECEPTACLE, WASTE, 330mm (13”) DIAMETER1 VV PC, COMPUTER SYSTEM, WITH KEYBOARD, WITH MONITOR
(TOP OF WORK SURFACE)1 VV PRINTER, COMPUTER SYSTEM1 CC RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR COMPUTER
ITEMS (PG-18-1, MCS 16140; H-18-3, CS 866-1)1 VV CLOCK, BATTERY OPERATEDAR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
914mm x 457mm x 762mm (36” x 18” x 30”)1 VV LASER, PROTECTIVE GOGGLE HOLDER1 VV I.V. POLE1 CC OUTLET, WALL, OXYGEN (PG-18-1, MCS 15491, H-18-3, CS 310-1)1 CC OUTLET, WALL, MEDICAL AIR
(PG-18-1, MCS 15491, H-18-3, CS 310-1)1 CC OUTLET, WALL, VACUUM
****H7: 0.65 m³/s (1375 cfm), 60 Pa (0.24 inches of water), 724 mm (28½") sash opening
PLUMBING AND LABORATORY GASESSanitary Drain - Cold Water yes
Acid Waste yes Hot Water yes
Other - Reagent Grade Water yes
Fuel Gas yes Laboratory Air yes
Nitrogen - Laboratory Vacuum yes
September 30, 1995
VA Design Guide — Research Laboratory Guide Plate 4-1
Equipment Guide ListLaboratories, Generalqty symbol ai description
NOTE: IN ADDITION TO VL (FIXED) CASEWORK SHOWN ON THE EQUIPMENTGUIDE LIST; MODULAR CASEWORK MAY ALSO BE SELECTED.
1 H7-72 CC FUME HOOD, AIR BY-PASS, 1829 MM X 787 MM X 2438 MM, (72” X 31” X 96”) WITHCUP SINK, LAB AIR, FUEL GAS, LAB VACUUM, AND COLD WATER OUTLETS, 120VOLT, 20 AMP, RECEPTACLES (DEDICATED CIRCUIT) (PG-08-1 & PG-08-6, MCS11610)
AR H12B2-48
CC CABINET, BIOLOGICAL SAFETY (LAMINAR FLOW), CLASS II, TYPE B2, 100% DIRECTEXHAUSTED AIR THROUGH THE WORKSPACE, WITH FUEL GAS, LAB AIR AND LABVACUUM OUTLET, 120 VOLT, 20 AMP, RECEPTACLE (PG-08-1 & PG-08-6, MCS11604)
NOTE: THE TYPE (A, B1, B2 OR B3) OF CLASS II BIOLOGICAL SAFETY CABINETREQUIRED FOR ANY GENERAL LABORATORY MODULE WILL BE DETERMINED ONAN INDIVIDUAL PROJECT BASIS BY RESEARCH SERVICE AT THE MEDICALCENTER. REFER TO GENERAL INFORMATION 16.
AR CC CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED
AR TOP13/13A
CF COUNTER TOP, EPOXY, RESIN, WITH DRIP GROOVE, 25 MM (1”) THICK, 762 MM(30”) DEEP ALONG WALL (PG-08-1 & PG-08-6, MCS 11602)
AR S-3 CF SINK, MOLDED, RESIN WITH END OR CORNER DRAIN OUTLET, 635 MM X 457 MM X406 MM (25” X 18” X 16”) (PG-08-1 & PG-08-6, MCS 11602)
AR VL1/1A CF CABINET, UNDERCOUNTER, WITH 4/3 DUST SEAL DRAWERS, WIDTH - 762 MM(30"); DEPTH - 559 MM (22"); HEIGHT - 787 MM (31"); FOR FLOOR MOUNTED ADD127 MM (5") TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR VL3/3A CF CABINET, UNDERCOUNTER, WITH 5/4 DUST SEAL DRAWERS, WIDTH - 914 MM(36"); DEPTH - 559 MM (22"); HEIGHT - 787 MM (31"); FOR FLOOR MOUNTED ADD127 MM (5") TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR VL4/4B CF CABINET, UNDERCOUNTER, WITH 2 DUST SEAL DRAWERS, 2 HINGED DOORS AND1 ADJUSTABLE SHELF, AVAILABLE WIDTHS - 762 MM, 914 MM, 1219 MM (30”, 36”,48”); DEPTH - 559 MM (22”); HEIGHTS - 787 MM, 635 MM (31”, 25”); FOR FLOORMOUNTED ADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR VL5/5B CF CABINET, UNDERCOUNTER, WITH 4/3 DUST SEAL DRAWERS, 1 HINGED DOOR AND2/1 ADJUSTABLE SHELVES, WIDTH - 914 MM (36”); DEPTH - 559 MM (22”); HEIGHT -635 MM (25”); FOR FLOOR MOUNTED ADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR VL8/8A CF CABINET, UNDERCOUNTER, WITH 1 DRAWER, 1 DOOR AND 1 ADJUSTABLE SHELF,WIDTH - 914 MM (36”); DEPTH - 559 MM (22”); HEIGHT - 787 MM (31”); FOR FLOORMOUNTED ADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
September 30, 1995
Guide Plate 4-1 VA Design Guide — Research Laboratory
Equipment Guide ListLaboratories, Generalqty symbol ai description
AR VL14 CF TABLE FRAME, WITH DRAWER(S), KNEE SPACE UNIT, WIDTHS - 914 MM, 1067 MM(36”, 42”); DEPTH - 559 MM (22”); HEIGHT - 635 MM (25”) (PG-08-1 & PG-08-6, MCS12345)
AR VL20/20B
CF CABINET, UNDERCOUNTER, SINK UNIT, 2 HINGED PANEL DOORS, WIDTH - 914 MM(36”); DEPTH - 559 MM (22”); HEIGHT - 635 MM (25”); FOR FLOOR MOUNTED ADD127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR VL25 CF CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORS AND 2ADJUSTABLE SHELVES, WIDTH - 914 MM (36”); DEPTH - 330 MM (13”); HEIGHT - 762MM (30”) (PG-08-1 & PG-08-6, MCS 12345)
AR VL32 CF CABINET, WALL, OPEN WITH SLOPING TOP AND 2 ADJUSTABLE SHELVES, WIDTH -914 MM (36”); DEPTH - 330 MM (13”); HEIGHT - 762 MM (30”) (PG-08-1 & PG-08-6,MCS 12345)
AR VL54 CF PEGBOARD, EPOXY, 53 PEGS, 813 MM X 762 MM (32” X 30”) (PG-08-1 & PG-08-6,MCS 11602)
AR CC OUTLETS, ONE EACH, LAB AIR, FUEL GAS AND LAB VACUUM GROUPED OVERCOUNTER (PG-08-1 & PG-08-6, MCS 11602)
AR CC FAUCET, REAGENT GRADE OR MINERAL FREE WATER (PG-08-1, MCS 11602)
1 CC OUTLET, ADP (EMPTY CONDUIT SYSTEM) (SEE ELECTRICAL ENGINEERINGSERVICE GUIDE LINES)
AR CC RECEPTACLE, ELECTRICAL, 208 VOLT, 20 AMP, 1 PHASE, ON WALL,WEATHERPROOF (PG-08-1, MCS 16140; H-08-3, CS 801-3)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, 610 MM (24”) ONCENTERS ON FREE WALLS (PG-08-1, MCS 16140; H-08-3, CS 801-3)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, STRIP MOLD WITHOUTLETS ON 610 MM (24”) CENTERS, 229 MM (9”) ABOVE COUNTER (PG-08-1, MCS16140; H-08-3, CS 801-3)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 30 AMP, DEDICATED CIRCUIT (PG-08-1, MCS 16140)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1995
Guide Plate 4-2 VA Design Guide — Research Laboratory
Design StandardsLaboratory (Accessible)
ARCHITECTURALFloor Area 28 m² (300 ft²) Wall Finish gwb
Ceiling at Base rb
Ceiling Height 2700 mm (9 ft) min* Floor Finish vct
RFI Shielding - Slab Depression -
Soundproofing - Floor Load -
*2850 mm (9'-6") preferred
SPECIAL EQUIPMENTH7-72 Fume Hood
Lighting ELECTRICAL PowerGeneral 550 lx (50 fc) General -
Special 1100 lx (100 fc) task Special **
Emergency - Emergency fume hood(s)***
Louvered deep cell parabolic fixtures, T-8 lamps **Recep: 5000 W, 208 V, 1Ø; Recep: 3000 W, 120 V
***Fume hood recep: 1200 W, 120 V dedicated circuit
COMMUNICATIONSTelephone yes ADP yes
HEATING, VENTILATING AND AIR CONDITIONINGAC Load Lights 1050 W Dry Bulb Temp Cooling 24°C (76°F)
***Use only copper piping and aluminum or PVC ductwork inside the room.
PLUMBING AND LABORATORY GASESSanitary Drain - Cold Water yes
Acid Waste yes Hot Water yes
Other - Reagent Grade Water -
Fuel Gas yes Laboratory Air yes
Nitrogen - Laboratory Vacuum yes
Additional Notes:1. Utility requirements for magnets vary greatly among manufacturers. There are different kinds of magnets withspecific utility requirements. Requirements also vary if gradient power supply and gradient coils are used, andwhether they are air-cooled or water-cooled. A water-cooled system, consisting of a closed loop water supply withwater-to-water heat exchanger to a refrigerator type heat exchanger, is recommended for gradient power supplyand gradient coils. The water must be filtered to protect equipment. Provide domestic water back-up for coolingwater in case of emergency.
September 30, 1995
VA Design Guide -- Research Laboratory Guide Plate 5-2
Equipment Guide ListNuclear Magnetic Resonance Room (NMR)qty symbol ai description
1 VC MACHINE, NUCLEAR MAGNETIC RESONANCE (NMR)
1 VC CONSOLE, CONTROL
1 VL20/20A
CF CABINET, UNDERCOUNTER, SINK UNIT, 2 HINGED PANEL DOORS, WIDTH - 914 MM(36”); DEPTH - 559 MM (22”); HEIGHT 787 MM (31”); FOR FLOOR MOUNTED ADD 127MM (5”) TOW BASE (PG-08-1 & PG-08-6, MCS 12345)
1 S-3 CF SINK, MOLDED, RESIN WITH END OR CORNER DRAIN OUTLET, 635 MM X 457 MM X406 MM (25” X 18” X 16”) (PG-08-1 & PG-08-6, MCS 11602)
1 TOP 13/13A
CF COUNTER TOP, EPOXY, RESIN, WITH DRIP GROOVE, 25 MM (1”) THICK (PG-08-1 &PG-08-6, MCS 11602)
1 CC OUTLETS, ONE EACH, LAB AIR, FUEL GAS AND LAB VACUUM GROUPED OVERCOUNTER (PG-08-1 & PG-08-6, MCS 11602)
1 CC RECEPTACLE, ELECTRICAL, 208 VOLT, 20 AMP, 1 PHASE, DEDICATED CIRCUIT (PG-08-1, MCS 16140)
NOTE: PROVIDE COOLING FOR MAGNET, COMPRESSED AIR OR NITROGEN ASREQUIRED.
Additional Notes (continued):2. Superconducting magnets use liquid cryogens (helium and nitrogen). Due to quenching and to prevent
explosion due to overpressure in the magnet, excess pressure is relieved through rupture discs. Dischargefrom these discs must be relieved to the outside through vents. Also, a separate emergency exhaust system isrequired with a minimum of 12 air changes per hour to exhaust above the roof any accidental gas spillage insidethe room. The emergency exhaust system shall be activated by an oxygen sensor. Also, provide emergencymake-up supply air from the normal supply system whenever the emergency exhaust air is activated.
3. Some manufacturers do not recommend blowing air directly at magnets.
September 30, 1995
Guide Plate 5-3a VA Design Guide — Research Laboratory
*Based on water cooled laser generator. See note 1 below.
PLUMBING AND LABORATORY GASESSanitary Drain - Cold Water see below
Acid Waste - Hot Water -
Other - Reagent Grade Water -
Fuel Gas - Laboratory Air -
Nitrogen - Laboratory Vacuum -
Additional Notes:1. Use of water-cooled laser generators is preferred as air-cooled generators dissipate excessive heat into the
room. Tie into a common closed circuit cooler for all water-cooled equipment in the Research Facility. Providedomestic water backup for cooling water in case of emergency.
September 30, 1995
VA Design Guide -- Research Laboratory Guide Plate 5-4
Equipment Guide ListConfocal Microscope Roomqty symbol ai description
1 VV MICROSCOPE, CONFOCAL AND ANCILLARY EQUIPMENT
1 VV TABLE, VIBRATION FREE, 1219 MM X 914 MM (48” X 36”)
1 VV TANK, NITROGEN STORAGE
1 VV TABLE, COMPUTER, 1219 MM X 914 MM (48” X 36”)
1 VL36 CF CABINET, FULL HEIGHT, WITH SLOPING TOP, 2 GLAZED SLIDING DOORS AND 5ADJUSTABLE SHELVES, WIDTH - 914 MM (36”); DEPTH - 406 MM (16”); HEIGHT -2134 MM (84”) (PG-08-1 & PG-08-6, MCS 12345)
1 VV CHAIR, ROTARY, WITH ARMS
AR VV CHAIR, ROTARY, WITHOUT ARMS
1 VV CLOCK, BATTERY OPERATED
1 CC RECEPTACLE, ELECTRICAL, 208 VOLT, 20 AMP 1 PHASE (PG-08-1, MCS 16140; H-08-3, CS 801-3)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1995
Guide Plate 5-5 VA Design Guide — Research Laboratory
Design StandardsCell Irradiator Room
ARCHITECTURALFloor Area 6.6 m² (71 ft²) Wall Finish gwb
Ceiling at Base rb
Ceiling Height 2700 mm (9 ft) Floor Finish vct
RFI Shielding - Slab Depression -
Soundproofing - Floor Load -
Lighting ELECTRICAL PowerGeneral 550 lx (50 fc) General -
Special - Special -
Louvered deep cell parabolic fixtures, T-8 lamps Emergency -
COMMUNICATIONSTelephone - ADP yes
HEATING, VENTILATING AND AIR CONDITIONINGAC Load Lights 105 W Dry Bulb Temp Cooling 24°C (76°F)
See PG-08-6 for steam, heat gain, & exhaust capacities. See PG-08-4 Volume 3 Section II for Type ‘B’ hooddetails.
Provide a dedicated exhaust system with liquid-tight stainless steel ductwork.
Limit temp rise in service area to 8.3°C (15°F) above disassembling area.
PLUMBING AND LABORATORY GASESSanitary Drain yes Cold Water yes
Acid Waste yes Hot Water yes
Other - Reagent Grade Water yes
Fuel Gas - Laboratory Air yes
Nitrogen - Laboratory Vacuum -
September 30, 1995
VA Design Guide -- Research Laboratory Guide Plate 6-2
Equipment Guide ListGlassware Washing and Sterilization Roomqty symbol ai description
1 HW517 CC WASHING MACHINE, LABORATORY GLASSWARE AND UTENSILS, RECESSED, 660MM X 483 MM (26” X 19”), BASKET OR SPINDLE HEADER OR PIPETTE HEADER,WITH HEADER TRANSFER DOLLY, 1143 MM X 1067 MM X 2286 MM (45” X 42” X 90”)(PG-08-1 & PG-08-6, MCS 11714)
1 DW911 VV STILL, WATER, HIGH PURITY, 19 L (5 GAL.) PER HOUR, COUNTER MOUNTED, 635MM X 406 MM X 1143 MM (25” X 16” X 45”), 208 VOLT, 40 AMP, SINGLE PHASE (PG-08-1, MCS 11612)
1 CC UTILITIES FOR ELECTRIC STILL, ELECTRIC OUTLET, 208 VOLT, 50 AMP, 1 PHASE,WATER AND WASTE FROM ADJACENT SINK
1 VS260 CC STERILIZER, LABORATORY, RECESSED, CHAMBER SIZE: 610 MM X 914 MM X 1219MM/.68 M3 (24” X 36” X 48”/24 CU. FT.), (PG-08-1 & PG-08-6, MCS 11710)
AR CC HOOD, EXHAUST, OVER STERILIZER DOOR (PG-08-1, MCS 15840)
AR VV OVEN, DRYING, FLOOR MOUNTED, 208 VOLT, 3000 WATT
1 CC SINK, CORROSION RESISTING STEEL, 2 COMPARTMENT, EACH SINK 559 MM X 406MM X 279 MM (22” X 16” X 11”), WITH FAUCET AND RINSE HOSE ASSEMBLY (PG-08-1, MCS 11602)
1 VL20/20A
CF CABINET, UNDERCOUNTER, SINK UNIT, 2 HINGED PANEL DOORS, WIDTH - 1219MM (48”); DEPTH - 559 MM (22”); HEIGHT - 787 MM (31”); FOR FLOOR MOUNTEDADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR CF COUNTER TOP, CORROSION RESISTING STEEL, 32 MM (1-1/4”) THICK
AR VL1/1A CF CABINET, UNDERCOUNTER, WITH 4/3 DRAWERS, WIDTH - 914 MM (36”); DEPTH -559 MM (22”); HEIGHTS - 787 MM (31”); FOR FLOOR MOUNTED ADD 127 MM (5”) TOEBASE (PG-08-1 & PG-08-6, MCS 12345)
-OR-
AR VL4/4A CF CABINET, UNDERCOUNTER, WITH 2 DRAWERS, 2 HINGED DOORS AND 1ADJUSTABLE SHELF, WIDTH - 1219 MM (48”); DEPTH - 559 MM (22”); HEIGHT - 787MM (31”); FOR FLOOR MOUNTED ADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6,MCS 12345)
AR VL7/7A CF CABINET, UNDERCOUNTER, WITH 2 HINGED DOORS AND 2/1 ADJUSTABLESHELVES, WIDTHS - 914 MM (36”); DEPTH - 559 MM (22”); HEIGHTS - 787 MM (31”);FOR FLOOR MOUNTED ADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
AR VL14 CF TABLE FRAME, WITH DRAWER(S), KNEE SPACE UNIT, WIDTH - 1067 MM (42”);DEPTH - 559 MM (22”); HEIGHT - 787 MM (31”) (PG-08-1 & PG-08-6, MCS 12345)
AR VL29 CF CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORS AND 2ADJUSTABLE SHELVES, WIDTH - 914 MM (36”,); DEPTH - 406 MM (16”); HEIGHT - 762MM (30”) (PG-08-1 & PG-08-6, MCS 12345)
September 30, 1995
Guide Plate 6-2 VA Design Guide — Research Laboratory
Equipment Guide ListGlassware Washing and Sterilization Roomqty symbol ai description
AR VV TABLE, WORK, 864 MM X 1524 MM X 762 MM (34” X 60” X 30”)
1 VV DISPENSER, PAPER TOWEL, SURFACE MOUNTED
1 K3010 CC MACHINE, ICE MAKING (CRUSHED) AND DISPENSING, AUTOMATIC, FLOORMOUNTED, 45 KG (100 LB.), BIN, 120 VOLT, 20 AMP, 710 MM X 658 MM X 2108 MM(28” X 25” X 82”) (PG-08-1 & PG-08-6, MCS 11415)
1 CC DRAIN, FLOOR (PG-08-1, MCS 15400)
1 VV CLOCK, BATTERY OPERATED
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 15 AMP, STRIP MOLD WITHOUTLETS, WIRED ALTERNATELY ON SEPARATE CIRCUITS ON 610 MM (24”)CENTERS ABOVE COUNTER (PG-08-1, MCS 16140; H-08-3, CS 801-3)
AR CC RECEPTACLE, ELECTRICAL, 208 VOLT, 20 AMP, 1 PHASE, ON WALL,WEATHERPROOF (PG-08-1, MCS 16140; H-08-3, CS 801-3)
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1995
Guide Plate 6-3 VA Design Guide — Research Laboratory
Design StandardsTissue Culture Laboratory
ARCHITECTURALFloor Area 9 m² (97 ft²) Wall Finish gwb
Ceiling at Base rb
Ceiling Height 2700 mm (9 ft) Floor Finish vct
RFI Shielding - Slab Depression -
Soundproofing - Floor Load -
SPECIAL EQUIPMENTH12-78 Laminar Flow Hood
Lighting ELECTRICAL PowerGeneral 550 lx (50 fc) General -
Special 1100 lx (100 fc) task Special -
Louvered deep cell parabolic fixtures, T-8 lamps Emergency -
COMMUNICATIONSTelephone yes ADP yes
HEATING, VENTILATING AND AIR CONDITIONINGAC Load Lights 420 W Dry Bulb Temp Cooling 25°C (78°F)
See PG-08-10 HVAC for exhaust requirements for specific laminar flow hood type.
PLUMBING AND LABORATORY GASESSanitary Drain - Cold Water yes
Acid Waste yes Hot Water yes
Other - Reagent Grade Water yes
Fuel Gas yes Laboratory Air yes
Nitrogen - Laboratory Vacuum yes
September 30, 1995
VA Design Guide -- Research Laboratory Guide Plate 6-3
Equipment Guide ListTissue Culture Laboratoryqty symbol ai description
1 H12-54/78
CC CABINET, AIR FLOW, BIOLOGICAL WITH LAB AIR, FUEL GAS AND LAB VACUUMOUTLETS, 120 VOLT, 20 AMP, RECEPTACLE (PG-08-1 & PG-08-6, MCS 11604)
1 VL32 CF CABINET, WALL, OPEN WITH SLOPING TOP AND 2 ADJUSTABLE SHELVES, WIDTHS- 1219 MM (48”); DEPTH - 330 MM (13”); HEIGHT - 762 MM (30”) (PG-08-1 & PG-08-6,MCS 12345)
1 VL3/3A CF CABINET, UNDERCOUNTER, WITH 5/4 DUST SEAL DRAWERS, WIDTH - 610 MM (24”);DEPTH - 559 MM (22”); HEIGHTS - 787 MM (31”); FOR FLOOR MOUNTED ADD 127MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
1 VL20/20A
CF CABINET, UNDERCOUNTER, WITH 5/4 DUST SEAL DRAWERS, AVAILABLE WIDTHS -914 MM (36”); DEPTH - 559 MM (22”); HEIGHTS - 787 MM (31”); FOR FLOORMOUNTED ADD 127 MM (5”) TOE BASE (PG-08-1 & PG-08-6, MCS 12345)
1 S-3 CF SINK, MOLDED, RESIN WITH END OR CORNER DRAIN OUTLET, 635 MM X 457 MM X406 MM (25” X 18” X 16”) (PG-08-1 & PG-08-6, MCS 11602)
1 TOP 13/13A
CF COUNTER TOP, EPOXY, RESIN, WITH DRIP GROOVE, 25 MM (1”) THICK, 762 MM(30”) DEEP ALONG WALL (PG-08-1 & PG-08-6, MCS 11602)
1 VV TABLE, BALANCE
1 VL53 VV INCUBATOR, BACTERIOLOGICAL, 120 VOLT, 1.5 KW
1 VV CLOCK, BATTERY OPERATED
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1995
Guide Plate 6-4 VA Design Guide — Research Laboratory
Design StandardsGas Cylinder Storage Room
ARCHITECTURALFloor Area 9 m² (97 ft²) Wall Finish cmu
Ceiling gwb Base rb
Ceiling Height 2700 mm (9 ft) Floor Finish c (treated)
RFI Shielding - Slab Depression -
Soundproofing - Floor Load -
Lighting ELECTRICAL PowerGeneral 325 lx (30 fc) General -
Special - Special -
Emergency - Emergency -
COMMUNICATIONSTelephone - ADP -
HEATING, VENTILATING AND AIR CONDITIONINGAC Load Lights 140 W Dry Bulb Temp Cooling 26°C (78°F)
AC Load Equipment - Dry Bulb Temp Heating 22°C (72°F)
Number of People - Relative Humidity - Cooling 50%
Provide dedicated exhaust system for room, with acid resistant epoxy coating on exhaust fan.
Ductwork to be fiberglass reinforced polyester resin self-extinguishing material, or galvanized plastic coated (PVC)acid-resistant material.
PLUMBING AND LABORATORY GASESSanitary Drain - Cold Water -
Acid Waste - Hot Water -
Other - Reagent Grade Water -
Fuel Gas - Laboratory Air -
Nitrogen - Laboratory Vacuum -
September 30, 1995
VA Design Guide -- Research Laboratory Guide Plate 6-5
Equipment Guide ListAcid Storage Roomqty symbol ai description
NOTE: PROVIDE ADEQUATE VENTILATION AND TEMPERATURE CONTROL ASREQUIRED.
AR VV CABINET, STORAGE, LIQUID
AR T-7D CC SHELVING, WALL HUNG, STAINLESS STEEL, STANDARD AND BRACKET TYPE, 4ADJUSTABLE SHELVES, 914 MM X 457 MM X 1219 MM (36” X 18” X 48”), WITH LIPEDGES (PG-08-1, MCS 10671; H-08-4, SD 60D)
NOTE: P-707, EMERGENCY SHOWER, EYE AND FACE WASH TO BE LOCATEDIMMEDIATELY OUTSIDE OF ACID STORAGE ROOM.
September 30, 1995
Guide Plate 6-6 VA Design Guide — Research Laboratory
Design StandardsFlammable Storage Room
ARCHITECTURALFloor Area 9 m² (97 ft²) Wall Finish cmu/gwb
Ceiling gwb Base rb
Ceiling Height 2700 mm (9 ft) Floor Finish c (treated)
RFI Shielding - Slab Depression -
Soundproofing - Floor Load -
Lighting ELECTRICAL PowerGeneral 325 lx (30 fc) General -
Special - Special -
Explotion proof incandescent fixtures with PAR38 halogenflood lamps on dimmer switch
Seal conduit in rigid steel
COMMUNICATIONSTelephone - ADP -
HEATING, VENTILATING AND AIR CONDITIONINGAC Load Lights 600 W Dry Bulb Temp Cooling 26°C (78°F)
AC Load Equipment - Dry Bulb Temp Heating 22°C (72°F)
Number of People - Relative Humidity - Cooling 50%
*Min 6 air changes per hour or 0.005 m³/s per m² (1 cfm per ft²) of floor area, or 0.067 m³/s (150 cfm) exhaust.
NFPA 30 requirements must be met.
Provide a dedicated exhaust system for room.
Provide explosion-proof motor & spark-proof fan.
PLUMBING AND LABORATORY GASESSanitary Drain yes Cold Water yes
Acid Waste - Hot Water yes
Other - Reagent Grade Water -
Fuel Gas - Laboratory Air -
Nitrogen - Laboratory Vacuum -
September 30, 1995
VA Design Guide -- Research Laboratory Guide Plate 6-6
Equipment Guide ListFlammable Storage Roomqty symbol ai description
NOTE: PROVIDE ADEQUATE VENTILATION AND TEMPERATURE CONTROL ASREQUIRED.
AR VV RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
AR T-7D CC SHELVING, WALL HUNG, STAINLESS STEEL, STANDARD AND BRACKET TYPE, 4ADJUSTABLE SHELVES, 914 MM X 457 MM X 1219 MM (36” X 18” X 48”), WITH LIPEDGES (PG-08-1, MCS 10671; H-08-4, SD 60D)
AR T-6A CC SHELVING, FLOORSTANDING, STEEL, WITH SLOPING TOP AND 4 OR 5ADJUSTABLE SHELVES, 914 MM X 457 MM X 2134 MM (36” X 18” X 84”) (PG-08-1,MCS 12301; H-08-4, SD 60B)
1 VL25 CF CABINET, WALL, WITH SLOPING TOP, 2 GLAZED SLIDING DOORS AND 2ADJUSTABLE SHELVES, AVAILABLE WIDTHS - 762 MM (30”); DEPTH - 330 MM (13”);HEIGHT - 762 MM (30”) (PG-08-1 & PG-08-6, MCS 12345)
1 TOP 13/13A
CF COUNTER TOP, EPOXY, RESIN, WITH DRIP GROOVE, 25 MM (1”) THICK (PG-08-1 &PG-08-6, MCS 11602)
1 S-3 CF SINK, MOLDED, RESIN WITH END OR CORNER DRAIN OUTLET, 635 MM X 457 MM X406 MM (25” X 18” X 16”) (PG-08-1 & PG-08-6, MCS 11602)
1 VV EMERGENCY EYE AND FACE WASH, MOUNTED ON GOOSENECK FAUCET
September 30, 1995
Guide Plate 6-7 VA Design Guide — Research Laboratory
Design StandardsUltralow Freezer Room
ARCHITECTURALFloor Area 18.5 m² (198 ft²) Wall Finish cmu (sc)
Ceiling gwb Base rb
Ceiling Height 2700 mm (9 ft) Floor Finish vct
RFI Shielding - Slab Depression -
Soundproofing - Floor Load -
Lighting ELECTRICAL PowerGeneral 550 lx (50 fc) General -
Special - Special -
Emergency - Emergency -
COMMUNICATIONSTelephone yes ADP -
HEATING, VENTILATING AND AIR CONDITIONINGAC Load Lights 420 W Dry Bulb Temp Cooling 22°C (72°F)
Freezers have air-cooled compressors. Freezer temperature -62.2°C (-80°F).
Provide heat recovery system, if cost effective based on life cycle cost, to apply to an appropriate system in thebuilding. See PG-08-10 HVAC for type of heat recovery system that may be employed.
PLUMBING AND LABORATORY GASESSanitary Drain - Cold Water -
Acid Waste - Hot Water -
Other - Reagent Grade Water -
Fuel Gas - Laboratory Air -
Nitrogen - Laboratory Vacuum -
September 30, 1995
VA Design Guide — Research Laboratory Guide Plate 6-7
Equipment Guide ListUltralow Freezer Roomqty symbol ai description
AR VV FREEZER, ULTRALOW, UPRIGHT
AR VV FREEZER, LIQUID NITROGEN, 1219 MM X 914 MM (48” X 36”)
AR VV TANK, LIQUID NITROGEN, 610 MM (24”) DIAMETER
AR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 30 AMP, DEDICATED CIRCUIT (PG-08-1, MCS 16140)
AR CC RECEPTACLE, ELECTRICAL, 208 VOLT, 20 AMP, 1 PHASE, ON WALL,WEATHERPROOF (PG-08-1, MCS 16140; H-08-3, CS 801-3)
NOTE: PROVIDE MONITORING SYSTEM IF CARBON DIOXIDE IS USED.
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VA Design Guide
Magnetic ResonanceImaging (MRI)
28 September 1995
Final Draft
UPDATED 7 NOV. 96
FINAL DRAFT 9/28/95
DEPARTMENT OF VETERANS AFFAIRS VETERANS HEALTH ADMINISTRATIONOFFICE OF FACILITIES MANAGEMENT STANDARDS SERVICE 202.565.6775
VA DESIGN GUIDEMAGNETIC RESONANCEIMAGING
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VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING FOREWORD
.
ForewordThe material contained in the Magnetic
Resonance Imaging Design Guide is theculmination of a partnering effort by theDepartment of Veterans Affairs Veterans HealthAdministration and the Facilities Quality Office. The goal of the Design Guide is to ensure thequality of VA facilities while controllingconstruction and operating costs.
This document is intended to be used as aguide and as a supplement to current technicalmanuals and other VA criteria in the planning ofMagnetic Resonance Imaging. The DesignGuide is not to be used as a standarddesign, and use of this Design Guide doesnot limit the project Architect’s andEngineer’s responsibilities to develop acomplete and accurate project design thatbest meets the user’s needs and theapplicable code requirements.
Lloyd H. Siegel, FAIADirector, Facilities Quality Office
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VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING CONTENTS
Legend of Symbols .....................................1 - 4
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Magnetic Resonance ImagingIntroduction
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The Magnetic Resonance Imaging (MRI)Service Design Guide is intended to be agraphic consolidation of existing Department ofVeterans Affairs standards and criteria. Itcontains data from the following sources:
PG-18-1 Master Construction Specifications
H-18-3 Construction Standards
PG-18-4 Standard Details
PG 7610 Equipment Guide List
PG-18-6 List of Equipment Symbols
PG 7610 Space Planning Criteria
PG-18-13 Barrier-Free Design Handbook
PG-18-14 Room Finish and Door HardwareSchedule
Various Technical Criteria (Design Manuals)pertaining to Architectural, HVAC, Plumbing,and Electrical.
Consensus information from various VAmedical centers.
MRI Service Program Division
The Design Guide refers to the abovementioned sources when data is either toodetailed or too broad to be included in this guide.
The Design Guide for MRI was developed as adesign tool to assist the medical center staff andthe contracting officers in better understandingthe choices that designers ask them to make,and to help designers understand the functionalrequirements necessary for proper operation ofthe MRI.
The Guide Plate contained in the MRI DesignGuide is intended to illustrate VA's furniture,equipment and personnel space needs. It is notmeant to limit design opportunities.
This Design Guide is not intended to be project-specific. While it does contain spaces requiredin MRI, it is not possible to foresee futurerequirements. The project-specific spaceprogram is the basis for an individual projectdesign. It is important to note that the guideplate is a generic graphic representation only.
Equipment manufacturers should be consultedfor actual dimensions and utility and shieldingrequirements. Use of this Design Guide doesnot supersede the project architects' andengineers' responsibilities to develop a completeand accurate design that meets the user's needsand appropriate code requirements.
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Magnetic Resonance ImagingAbbreviations
VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING PAGE 1-3
A AmperesAC/HR Air Changes per HourADA Americans with Disabilities ActAFF Above Finished FloorAI Acquisition and InstallationA&MM Acquisitions and Material
ManagementAR As RequiredAT Acoustical Ceiling TileC Degrees CelsiusCC Contractor Furnished and Installed,
Construction FundsCF Construction Funds, VA Furnished,
Installed by VA or ContractorCFM Cubic Feet per MinuteCLG CeilingCM Construction Management OfficeCMU Concrete Masonry UnitCP Carpet (without cushion broadloom)CS Construction StandardCT Ceramic TileDISC SW Disconnect SwitchEtO Ethylene Oxide GasEPO Emergency Power OffEXH ExhaustF Degrees FahrenheitFC Foot-candleFD Floor DrainFIXT FixtureFLUOR FluorescentHAC Housekeeping Aids ClosetHVAC Heating, Ventilation, and Air
ConditioningHP HorsepowerHR HourICU Intensive Care UnitKW KilowattLB Pound/PoundsLLTS Lounge, Lockers, Toilets, and
ShowersMCS Master Construction SpecificationsMTD MountedNA Not Procured with Activation FundsNFPA National Fire Protection AssociationNSF Net Square FeetNSM Net Square MetersOSD Open Site DrainPCP Portland Cement PlasterPH PhasePL Plaster
PREP PreparationPSIG Pounds per Square Inch GaugeQT Quarry TileRB Resilient BaseSC Special Coating (High Build Glazed
Coating)SD Standard DetailSF Square Feet, Square FootSPD Supply, Processing, and DistributionSOPC Satellite Outpatient ClinicSS Stainless SteelTELEC TelecommunicationsUFAS Uniform Federal Accessibility
StandardsV VoltsVA Department of Veterans AffairsVACO Veterans Affairs Central OfficeVAMC Veterans Affairs Medical CenterVC VA Furnished and Contractor
Installed - Medical CareAppropriation for Equipment andConstruction Appropriations forInstallation
VCT Vinyl Composition TileVHA Veterans Health AdministrationVV VA Furnished and Installed-VHA
AppropriationW WattsW/SF Watts per Square Feet
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Magnetic Resonance ImagingAcknowledgments
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Credit is due to the following individuals whose guidance, advice, and effort made this publicationpossible:
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I. General Considerations
A. Overview
1. Current Direction
Magnetic Resonance Imaging (MRI) is aspecialized diagnostic imaging toolemploying a strong magnetic field and theapplication of a radio frequency pulse tomeasure vector deflection of selectedatomic nuclei.
MRI is particularly useful in providingimages of soft tissues.
MRI is contra-indicated for patients withcardiac pacemakers or ferro-magneticaneurysmal clips.
The emitted magnetic field can effectCRT's and information systems. Therefore,great care must be employed in selecting asite location for the MRI.
Patient volume can be anticipated to beprimarily 80-90% outpatient volume.
When shared among multiple medicalcenters, mobile MRI units (docked to areaswith appropriate patient and staff spaces)may be a viable alternative to fixed MRIunits.
2. Trends
Magnetic Resonance Angiographytechnology is increasingly used.
MRI in combination with computed AxialTomography (CT) for comprehensivescreening of diseases that are difficult todiagnose in early stages (such as multiplesclerosis) is also increasingly used.
II.Functional Considerations
A. Operations
1. Services
Magnetic Resonance Imaging is a programunder Radiology Service. MRI should becoordinated with associated andcomplimentary diagnostic services toassure coordination of patient care.
a. Imaging Process
MRI is performed on inpatients andoutpatients on a regular and scheduledbasis. Services are also performed on anunscheduled basis for emergency patients.
MRI uses strong magnetic fields to inducemolecular resonance which creates radiofrequencies. These frequencies allow acomputer image to be created by theanalysis of measurements of frequenciesemitted by resonating cell structures.
The image is electronically enhanced,recorded on video, stored on tape or opticaldisk and reproduced as a laser image. Theimage can also be outputted to paper orfilm copy.
2. Patient Care Concept
MRI remains a centralized function due tothe high cost of the technology, the highlyspecialized space criteria (dictated bypermanently installed equipment), and thespecialized staffing requirements.
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Magnetic Resonance ImagingNarrative
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3. Level of Care
A single MRI will most often be HospitalBased, as this location provides the mostuniversal and hopefully convenient location.
4. Patient Base
VA MRI Facilities need to demonstrate anability to generate sufficient workload tojustify the substantial cost. This is basedon a cost benefit analysis.
VA MRI facilities are focused upon servingthe Veteran, and may participate in sharingagreements, joint ventures, and referrals. Also, efforts are made to include theveteran’s family and the general public.
5. Medical Records
Diagnostic evaluations generated within thedepartment become part of the veteran’sConsolidated Health Record (CHR) withactual films and/or electronic data storedlocally within the MRI Facility or inRadiology Film Storage.
Evaluations are also communicated to theordering physician in either hard copy orelectronic form (as required).
Image manipulation, interpretation,archiving, retrieval and distributionprocedures may occur within the MRIFacility or may be consolidated withRadiology. These techniques includevarying levels of electronic and film recordstorage requirements and will effect finalspace requirements.
6. Patient Protocol
Outpatient and inpatient procedures areordered by physicians and scheduled bythe department during regular businesshours.
Unscheduled and off-hour procedures willdepend on the level of care to be provided.
7. Special Requirements
Teaching facilities will require moretechnical support space, including spacesfor small observation groups, interpretationareas, and image manipulation areas.
Coordination with related departments,facilities, and program missions is requiredto verify space needs. These may includeprep, recovery, exam, and stretcher holdingspaces.
Such departments may include:• Hospital-Nursing Care;• Long Term Care Facilities;• Ambulatory Services;• Emergency;• Surgery; and• Satellite Facilities.
B. Space Planning Issues
1. Flexibility
Certain technical space requirementsimpose special constraints on the siting anddesign of MRI facilities. These mayinclude:• Magnetic field generated by MRI
magnets;• The sensitivity of Imaging process to
radio frequencies (RF’s);• The size and weight of the magnet;• cryogen service; and• Venting requirements.
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Although specialized facilities are required,generic guidelines should be applied toaccommodate a wide range of MRItechnology to maximize equipmentselection options.
2. Efficiency
Economies of shared functions, facilities,and staff are increasingly facilitated by MRIsystems. “Self shielded” magnets allow MRItechnology to be located near operationswhich are sensitive to magnetic fields andnear fixed and moving metallic objectssuch as building structure, elevators andvehicular traffic.
3. Human Factors
Patient dignity and self-determination areaccommodated while consideringoperational efficiencies.
Patient's vulnerability to stress fromnoise, lack of privacy, poor lighting andother causes can have harmful effects onthe healing process. This is a well knownand documented phenomenon.
An inherent opportunity exists in thedesign of Magnetic Resonance ImagingFacilities to address these issues and putforth creative solutions that enhancepatient comfort and contribute to positiveoutcomes.
A prime objective should be tode-emphasize the institutional image oftraditional health care facilities and tosurround the patient (and familymembers) with architectural finishes andfurnishings that are familiar andnon-threatening.
Good planning and design appeal to thespirit and sensibilities of patients andcare providers alike.
Magnetic Resonance Imaging facilitiesshould be healing environments thatallow the building itself to become a partof the therapy. The technicalrequirements should be addressed in anintegrated manner to support theseconcepts.
Patient privacy is to be accommodatedwithout sacrificing facility utilization.
Security is addressed by planning,design, and detail considerations.
Handicapped access is accommodatedby the application of UFAS and ADAdesign standards to space and fixedequipment layouts.
4. Technical and Environmental
MRI shielding considerations includecontrol of magnetic fields and the isolationfrom external radio frequency interference.
Magnetic Shielding and Magnetic Fieldsiting considerations will vary with magneticfield strength and with the features of theequipment and manufacturer selected.
The environment effects on fieldhomogeneity and the effects of MagneticField on other technologies and surroundingmust be considered.
Employment of a registered health physicistshould be undertaken when the program isput together, as his/her recommendationswill determine shielding of equipment,thickness of walls, etc.
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C. Functional Space Relationships
1. Work Flow
a. Patient
Provide a single point of control forinpatients and outpatients.
b. Staff and Administrative Functions
Staff and Administrative areas are locatedoutside of patient traffic areas.
Staff functions may be located within thedepartment or in a convenient locationshared with another department (usuallyRadiology Service).
c. Patient Records and Work Orders
Patient records and Work Orders shouldmove among the administrative, filmprocessing, viewing, and interpretativefunctions should be separated from thepatient traffic wherever possible.
d. Clean and Soiled Materials
Locate Clean and Soiled Utility Functionsclose to the Patient areas that they supportand also away from patient traffic.
2. Organizational Concepts
a. Functional Plan
Reception is strategically located to controlaccess to the patient areas and to securethe MRI from unauthorized access
The MRI Control Area and the ElectronicsRoom need to be Adjacent to the MRIProcedure Room
b. Building Systems Integration
Coordinate locations of depressed slabsand structure for equipment, electricalaccess, and magnetic and/or radiofrequency shielding.
Evaluate need for computer access flooringon a project basis.
Consider size and weight of magnet whenestablishing locations. This could relegatelocations on the lower or the lowest floors ofthe facility.
The radiation problem must also beconsidered in relation to adjacent areas.
c. Organization To Minimize MagneticShielding and Field Constraints
Both magnetically shielded and unshieldedMRI systems require consideration ofmagnetic fields when establishing room andequipment layouts.
Steel-support structures arranged in afashion not symmetrical to the magneticfield impose special requirements forshielding.
Installation within multiple story facilitiesmay impose planning and structuralrestrictions on spaces above and below.
3. Location / External Relationships
a. Patient Access / Wayfinding
MRI Facilities should be located convenientto parking, ambulatory care, and inpatientaccess.
Location with other diagnostic facilitiesassists in wayfinding and coordination ofpatient services.
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b. Functional Adjacencies
The MRI facility benefits from a locationnear Radiology as they may share staff andfacilities
c. Service Access
Magnet installation and replacementrequires crane access and a direct route formagnet passage.
Cryogen venting during quenching isaccomplished by a direct vent to outdoors.
Cryogen replenishment is accomplished viacryogen dewars which may be stored onsite. Access is required around and abovethe magnet for cryogen service.
III. Technical Considerations
A. Architectural
1. Interior Materials and Finishes
a. Partitions
Interior partitions should primarily bepainted gypsum wallboard on metalstuds. Partitions around physicianoffices, exam rooms and treatmentrooms should have sound attenuationbatts between the studs in accordancewith VA Construction Standard H-18-3and Standard 34-1, “Noise TransmissionControl”.
Partitions and doors around the MRIGantry Room should provide radiofrequency (RF) shielding and beconstructed of non-magnetic materials.
Coordinate RF Shielding requirementswith the equipment manufacturer andhave them reviewed by a registeredhealth physicist.
b. Floors
Floors in offices, conference rooms andwaiting areas should be carpet with a 100mm (4”) high resilient base.
Floors in toilet rooms should be ceramictile with a ceramic tile base. If metaltoilet stalls are used, be certain they areremotely located
Floors in most other spaces should bevinyl composition tile with a 100 mm (4”)high resilient base.
Floors in MRI Gantry Rooms require a 40mm (1-1/2”) deep depression toaccommodate the RF shielding.
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A computer/access floor system may berequired in the MRI computer room andpart of the Gantry Room. The accessfloor system should be of non-magneticmaterials.
c. Ceilings
Ceilings should be primarily lay-inacoustic ceiling tile. The ceilingsuspension system in the MRI GantryRoom should also be of non-magneticmaterials.
Non-magnetic materials should be usedin the vicinity of the gantry room.
d. Protection
Wall and corner guards should be usedin corridors and other areas where walldamage from cart traffic is anticipated.
2 Interior Doors and Hardware
Interior doors should be 45 mm (1 3/4")thick, solid-core, flush-panel wood doorsor non-magnetic hollow metal doors andhollow metal frames.
Doorjambs should have hospital typesanitary stops that stop 200 mm (8”) fromthe floor to facilitate mopping. Hollowmetal doors should be used where highimpact is a concern and where fire rateddoors are required. Non-magnetic kick /mop plates should generally be applied toboth sides of the doors. Handicappedaccessible hardware should be usedthroughout.
All metal in the vicinity of the gantry roomshall be non-magnetic.
Refer to VA Program Guide PG-08-14,“Room Finishes, Door and HardwareSchedule” for additional information.
B. Equipment
1. Casework
Casework systems should be chosento provide flexibility in planning andutilization purposes.
Casework systems should incorporatecomponents dimensioned for ease ofmultiple re-use installationapplications.
Casework systems should be plannedwithout corner installations and fillerpanels.
2. Information Management Systems
Information Management Systems shallinclude elements such as:
• image retrieval• processing / storage• treatment planning• patient registrations• patient charges• physician’s order entry• patient/staff movement
They also may require additionalshielding.
These systems’ elements will requireaccess to the main facility’s “informationbackbone” as well as the departmentalLocal Area Network (LAN). Allcomponents should be planned forcompatibility.
3. Therapy Systems
Imaging systems’ requirements will varyfor each facility and the technology maybe deferred in selection/procurement. Design requirements will be as instructedby the Contracting Officer.
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4. Film Processing
Film processing requirements will vary foreach facility. Design criteria for “digitallaser” and the integrated use of PictureArchiving and Communications Systems(PACS), will be as instructed by theContracting Officer.
C. Heating, Ventilation and AirConditioning
1. Operation
Air conditioning systems should beprovided to heat, cool and ventilate theindividual space, as required to satisfythe VA design criteria. Follow TB Criteriain the HVAC Design Manual for hospitalprojects.
The air conditioning systems serving theMRI area should be designed to operateat full capacity which will be determinedby local conditions. A dedicatedcomputer-type AC unit should beconsidered to cool and heat the computerequipment room. Theengineers/designers should verify the ACrequirements with equipment supplier.
Client requirements must coordinate withthe final system.
All ductwork downstream of the radiofrequency shielding (RF) shall be non-ferrous type and should be equipped withradio frequency dampers. Provide adedicated vent line located above themagnet isocenter.
2. Capacities
The number of people and the airconditioning load noted on the roomdesign standard sheet establishes a basefor the design guide and its use inplanning.The engineers/designers shouldverify the actual number of people andthe air conditioning load to agree with theproject requirements.
Similarly, engineers/designers shouldverify equipment AC loads shown or peractual equipment furnished on a project.
The percent of outside air should bebased on the space’s total supply airquantities.
3. Air Quality and Distribution
Corridors should not be used to supply orto exhaust/return air from rooms. Corridor air may be used to ventilatetoilet rooms, and small electrical ortelephone closets opening directly oncorridors. Exfiltration / infiltration frompositive/ negative pressure roomsadjacent to a corridor should beconsidered in balancing air flow..
The transferred air should be more than2.8m3/min (100cfm) per undercut door.
Care should be taken to minimize theshort-circuiting of air between supply andreturn and or/exhaust openings in interiorrooms.
The MRI Gantry Room shall be providedwith duct-mounted temperature andrelative humidity sensors with remoteadjustment capability. The sensors shallbe located in the return air duct.
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4. Exhaust System
Provide a dedicated exhaust system toemergency exhaust the cryogendischarge into the room. The fan shall beactivated via an oxygen sensor locatedinside the MRI Gantry Room.
5. Seismic
Where required, install the HVACsystems with seismic provisions asoutlined in the VA HVAC Design Manualfor Hospital Projects.
Refer to VA Construction StandardHandbook PG-18-03 (CD-54), “NaturalDisaster Resistive Design Non-Structural” for additional information.
6. Noise Level
Select HVAC equipment, ductwork andair distribution devices to achieve noiselevels listed in the VA HVAC DesignManual for Hospital Projects.
D. Plumbing
1. Water and Waste Systems
The plumbing systems should beprovided to satisfy the departmentalplumbing needs.
The department’s domestic cold watershould be piped to all plumbing fixturesand equipment requiring this utility. A hotwater return system should be providedto ensure the design temperature at thefarthestoutlet.
The department’s plumbing fixtures anddrains should be drained by gravitythrough soil, waste, and vent stacks. Inaddition, the department’s special wasteshould be drained through corrosion-resistant, flame- retardant piping intoeither a local or centralized acid dilutiontank.
2. Medical Gas Systems
The department’s medical gas outletsare shown to establish a base for thedesign guide and its use in planning. Theengineers/designers shall verify themedical gas location and quantities forindividual projects.
All equipment shall be non-magnetic.
3. Seismic
Where required, the plumbing andmedical gas systems should be installedwith seismic provisions, as outlined in theVA Plumbing Design Manual for HospitalProjects.
Refer to VA Handbook H-18-03 (CD-54),“Natural Disaster Resistive Design Non-Structural” for additional information.
4. Fire Protection
The recommended fire protection for theMRI Gantry and Computer EquipmentRooms are either preaction or dry pipesystems in lieu of the standard wetsystem.
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E. Electrical
1. Illumination
Illumination is typically provided utilizingrecessed fluorescent luminaries withacrylic prismatic lenses. The fixturestypically use F32T8 lamps in compliancewith the National Energy Policy Act of1992. Lamps have a minimum colorrendering index (CRI) of 85 and a colortemperature of 4100 degrees Kelvin (K),which is close to the "cool white" colortemperature of 4150 degrees K.
Lighting intensities conform to the VAdesign criteria, the IES LightingHandbook and IES publication CP-29,"Lighting for Health Care Facilities". IESCP-29 is currently being updated and willbe replaced by IES
Recommended Practice RP-29 in thefuture.
Lighting is typically controlled by wall-mounted switches located at theentrance to the room. Larger spacesmay utilize multiple switching by separateswitches for lighting of individual zones orareas.
Power load densities for lighting arelisted by use for the mechanical HVACload calculation purposes. Loaddensities should be verified for the actualdesign, as they may vary depending onthe room configuration, fixture types,lamps and ballasts used.
2. Power
MRI power requirements have to becoordinated with the equipmentmanufacturer.
General purpose duplex receptacles aretypically provided on each wall of a roomor space.
Workstations with personal computers(PC's) are typically provided withquadraplex receptacles for the PC,monitor, and printer.
Junction boxes are provided forequipment requiring a hardwiredconnection. Provide non-magnetic boxesin the gantry room.
Certain modular casework units areprovided with a utility access module withsurface-mounted electrical strip moldwhich also provides a chase for wiring. Conduits and junction boxes are providedto connect to the utility access module forpower wiring.
Duplex receptacles on the critical branchof the emergency power system areprovided for selected pieces ofequipment (such as refrigerators) to allowfor limited operation during a poweroutage.
F. Life Safety
1. Purpose
The life safety program should bedeveloped to provide a reliable system toprotect the building occupants, fire-fighting personnel, building contents,building structure, and building function.
This can be accomplished by limiting thedevelopment and spread of a fireemergency to the area of origin andthereby reduce the need for totaloccupant evacuation.
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The design aspects of the facility whichrelate to the fire and life safety include:
• Structural fire resistance;• Building compartmentalization;• Fire detection, alarm and
suppression;• Smoke control and exhaust;• Firefighter access and facilities; and• Emergency power.
New hospital construction and renovatedareas of existing facilities are required tobe fully protected by an automatic firesuppression system.
The minimum width of corridors andpassageways in MRI areas is 1100 mm(44”) in areas to be used only by staff. The minimum width of corridors in areasthat will also be used by inpatients is2400 mm (96”).
Provide handrails on both sides of thecorridors in patient areas.
Nurses’ stations are permitted to be opento the corridor.
Waiting areas are also permitted to beopen to the corridors.
Refer to the latest editions of NFPA 101“Life Safety Code”, the Uniform BuildingCode and additional standards publishedby the National Fire ProtectionAssociation (NFPA).
G. Energy Conservation
1. Air Conditioning
All air conditioning systems that areconsidered should be compared to abasic system with respect to both lifecycle cost and energy usage. The basicsystem should be that system having thelowest cost. The systems with the lowestlife cycle cost should be selected.
Coordinate the selected system with theVA HVAC Design Manual for Hospitalprojects for additional information.
H. Communications
1. Telephone
Telephone outlets are typically providedat each workstation or in each room. Desk outlets are 450 mm (18”) AFF andwall phone outlets are 1200 mm (48”)AFF.
Certain modular casework units areprovided with a utility access module thathouses communication outlets andprovides a chase for cabling. Conduitsand junction boxes are provided toconnect to the utility access module fortelephone service.
2. Automatic Data Processing (ADP)
ADP, or computer outlets, are typicallyprovided at each workstation with apersonal computer (PC) and/or printer.Desk outlets are 450 mm (18”) AFF.
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Certain modular casework units areprovided with a utility access module thathouses communication outlets andprovides a chase for cabling. Conduitsand junction boxes are provided toconnect to the utility access module forADP service.
3. Public Address
The MRI department will not have anindependent public address (PA) system.The department will be included as partof the hospital-wide PA system.Speakers are typically located incorridors and public spaces. The actualsystem configuration will depend on theoverall design layout and the functionalrequirements.
I. Waste Management
1. Medical Waste
Medical waste is generated in exam andtreatment spaces where it is bagged,collected, and transported to the soiledutility rooms. Then it is held in separatecontainers pending transport to themedical waste handling facility.
2. General Waste
General Waste is generated in all spacesand is held in containers for collectionand sorting into carts or it is bagged andplaced in a waste chute and transportedto the waste handling facility.
3. Recycling
Methods for sorting, collecting,transporting and disposing of recyclableproducts must be specifically analyzedfor each facility and location.
The optional use of disposable andreusable products should be considered.
4. Soiled Linen
Soiled reusable linens are generated inexam rooms, treatment spaces, andpatient and staff gowning areas. Theyare collected in carts or hampers(depending on volume) in the soiled utilityrooms; or they are bagged andtransported to (a) central collectionarea(s) via soiled linen chutes or carts.
Disposable linens are included with eithergeneral recyclable waste or medicalwaste as appropriate.
5. Utensils
Reusable utensils include bed pans,urinals, emesis basins and otherstainless steel items, which are used inexam and treatment areas. Then theyare transported to the soiled utility roomwhere they are reprocessed (if steamwashers are available) or collected forreprocessing and transported to theSterile Processing Department.
6. Space Requirements
Space requirements will vary with theselection of waste collection andrecycling methods/systems. Spacerequirements need to be analyzed foreach optional method or systemconsidered for new and existing facilities.
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While space needs are determined byPG 7610 on a departmental basis, spaceprovisions for waste collection needs tobe distributed and dedicated to a varietyof uses in order to accommodate theimplementation of the system andmethod selected.
J.Transportation
1. Patient
Gowning areas with lockers for inpatientand outpatient and control of ferrousmaterials should be provided.
a. Outpatient
Convenient access from patient parkingand primary care entrance should beconsidered.
Passenger elevator access to MRIfacilities should be located off mainentrance levels.
Techniques like clear access routes,public spaces, landmarks, and signagefacilitate wayfinding.
b. Inpatient
Stretcher and wheelchair patients shouldbe provided access from inpatient areas.
Inpatient and outpatient traffic should beseparated where possible.
Inpatient access from hospital serviceelevators is required.
Inpatients arrive at a control pointcommon with outpatients.
Inpatients access patient holding througha dedicated route, which is separatedfrom outpatient waiting.
2. Staff
Staff access should be separated frompatient waiting and holding areas.
Staff lounge and locker areas should belocated away from inpatient andoutpatient traffic and gantry rooms.
3. Records
MRI utilizes digital imaging and retrievaltechniques which may reduce the needfor storage and retrieval of films.
Viewing, interpretation and video imagemanipulation areas should have datacommunication access.
MRI film records, which should beaccessible by cart traffic, are usuallycombined with radiology records.
4. Specimens
Specimens are normally not drawn in thisdepartment.
5. Pharmaceuticals
Pharmaceuticals, including narcotics, aretransported by pharmacy personal to thedepartment in locked carts.
Narcotics are delivered to a narcoticslocker which is usually located in a cleansupply or patient prep area and isremotely alarmed to the nearest nursingstation.
6. Materials
Clean supplies are transported byexchange carts which are stored in theClean Supply Room.
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Supplies are transported by ServiceElevator and through hospital corridorsseparated from patient traffic wherepossible.
Deliveries are scheduled during hourswhen patient visits are not scheduled.
7. Linen
Disposable linens are delivered as partof clean supplies.
8. Sterile Supplies
The use of sterile supplies is minimaland is accommodated by prepackaged ordisposable items delivered with cleansupplies.
9. Food
Meal and Nourishment deliveries to MRIare not required.
10. Waste
Waste is collected by housekeeping staffand transported to the Soiled UtilityRoom where it is disposed of asindicated by the Waste Managementnarrative on page 2-10.
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VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING SECTION 3
Section 3Relationship Diagrams
Page
Magnetic Resonance Imaging .....................3 - 1
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VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING SECTION 4
Section 4Design Guide Platesand Data Sheets:Patient Care AreasGuide Plate Series Plate Number
Magnetic Resonance Imaging SystemEquipment & Utility Plan..............................4 - 1Reflected Ceiling Plan .................................4 - 1Design Standards........................................4 - 1Equipment Guide List ..................................4 - 1
Manufacturer up to 3130mm (13’)Wall Finish: PaintWainscot: ---Base: Resilient BaseFloor Finish: Vinyl Composition TileSlab Depr: Access Floor System 40 mm (1-1/2”) slab depression for RF
Shielding in Gantry RoomNotes: 1. 1200 mm (4’-0”) wide RF door
into Gantry Room coordinatedradio frequency and magneticshielding requirements withequipment manufacturer
SPECIAL EQUIPMENTNone
ELECTRICAL LIGHTING
General: Control Room: 30 fc - 1.0 W/sf Remote Viewing: 30 fc-1.5W/sf Control Room: 30 fc -.90 W/sf Gantry Room: 30 fc - 2.5 W/sf
Notes: 1. 600 mm x 1200 mm (2’x4’)recessed fluorescent lightfixture, acrylic prismatic lens,W/2-F32T8 lamps, 4100 deg.k, CRI-85 (minimum).
2. Recessed, lensedincandescent down light with100w, A-21 lamp.
40% +/- 5 in computer room Minimum Air Changes/Hr.: 12 for MRI Gantry
4 for all others Room Pressure: Positive for Gantry Rm
Equal for all othersAC Load-Equipment: 4400W (15,000 Btu/hr)
for Gantry 2400W (8000 Btu/hr)
all others AC Load Lighting: 27 W/m2 (2.5 W/sf)
Gantry 17 W/m2 (1.5 W/sf)
all others Number of People: 6 for MRI, 3 for all others Special Exhaust: --- Notes: 1. The HVAC system serving the
Gantry Room needs to becapable of handling 100% O.A.
FINAL DRAFT 9/28/95
Magnetic Resonance ImagingDesign Standards
VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING 4-1
HEATING, VENTILATING AND AIRCONDITIONING (cont’d)
Notes: 2. Provide temperature andhumidity sensor in the returnexhaust ductwork with remoteadjustment capabilities for theGantry Room.
3. Provide a dedicated AC unit toserve the Computer Room. .
4. Provide 2 low level exhaustoutlets located 175 mm (7”)above finished floor in thegantry room.
5. Provide nonferrous piping,ductwork, and hangers materialinside the shielding enclosure,as well as in all associateddampers.
6. Provide an automaticemergency 100% exhaustsystem in the Gantry Room.
7. Provide separate vent frommagnet to outside for cryogenboil-off.
8. Provide chilled water supply andreturn to the building centralchilled water system forenvironmental and computerroom units
9. Provide a dedicated air cooledclosed loop water coolingequipment for backup to theenvironmental and computer ACunits.
10. Provide local and central hightemperature alarms for thecomputer equipment.
11. Provide wave guide damper forall ductwork penetrating the RFshielding enclosure
PLUMBING AND MEDICAL GASCold Water: YesHot Water: YesLaboratory Air: ---Laboratory Vacuum: ---Sanitary Drain: YesReagent Grade Water: ---Medical Air: YesMedical Vacuum: YesOxygen: YesNotes: 1. Provide nonferrous piping and
hangers material inside theshielding enclosure.
FINAL DRAFT 11/7/96
Magnetic Resonance ImagingEquipment Guide List
VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING 4-1
General NotesNOTE: ALL MATERIALS INSTALLED, LOCATED WITHIN OR INTENDED TO ENTER THE GANTRY AREA, MUST BE NON-MAGNETIC EXCEPT FOR RECOMMENDED MAGNET SHIELDING MATERIALS ON OR IN WALLS, FLOORS OR CEILINGS.
NOTE: ALL PENETRATIONS (THROUGH THE RF SHIELDED ROOM FOR PLUMBING, ELECTRICAL, MECHANICAL) OR ANY CONDUCTIVE BUILDING MATERIAL SHALL BE ELECTRICALLY ISOLATED AND RFI FILTERED IN ACCORDANCE WITH MANUFACTURERS STANDARDS.
NOTE: CONDUCTIVE CONNECTIONS ARE TO BE MADE OUTSIDE THE RF ROOM.
NOTE: PROVIDE NON-MAGNETIC MATERIAL FOR AIR, OXYGEN AND VACUUM OUTLETS FROM PORTABLE SUPPLY, ONLY WHEN APPROVED FOR A SPECIFIC PROJECT BY VHA.
Gantry Room
NOTE: INTERCOM STATION, CONNECTED TO STATION IN THE CONTROL ROOM.
NOTE: INTERCOM, STATION, NON-MAGNETIC MATERIAL (PG-18-1, MCS 16760
NOTE: SYSTEM EMERGENCY OFF BUTTON PANEL, GUARD COLLAR, WALL MOUNTED, LOCATED NEAR EXIT FROM CONTROL ROOM, APPROX., 1524 MM (60") ABOVE FINISHED FLOOR
1 VV CHAIR, ROTARY, WITH ARMS1 VC CONSOLE, OPERATOR'S WITH COMPUTER TERMINAL AND
IMAGE DISPLAY MONITORS, FOR CONTROLLING ACQUISTION, PROCESSING, DISPLAY AND MANIPULATION OF DATA
1 VV BULLETIN BOARD, 914 MM X 610 MM (36" X 24")AR CF MODULAR CASEWORK1 VV RECEPTACLE, WASTE, 330 MM (13") DIAMETER
Computer / Equipment RoomNOTE: VARIOUS CABINETS, DISTRIBUTION SYSTEMS AS REQUIRED BY MANUFACTURER.
NOTE: COMPUTER/ACCESS FLOORING, AS REQUIRED.
NOTE: CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED
NOTE: SHUNT TRIP CIRCUIT BREAKER, AS REQUIRED.
NOTE: SYSTEM EMERGENCY OFF BUTTON PANEL, GUARD COLLAR, WALL MOUNTED, LOCATED NEAR EXIT FROM COMPUTER/EQUIPMENT ROOM, APPROX., 1524 MM (60") ABOVE FINISHED FLOOR
AR VV COMPUTER, SYSTEM HARDWARE
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 11/7/96
Magnetic Resonance ImagingEquipment Guide List
VA DESIGN GUIDEMAGNETIC RESONANCE IMAGING 4-1
Remote Viewing RoomNOTE: CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED.
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (PG -18-1, MCS 16510).
AR VV CHAIR, ROTARY, WITH ARMS1 VV CLOCK, BATTERY OPERATEDAR VC CONSOLE, WITH COMPUTER TERMINAL AND IMAGE DISPLAY
MONITORS (AS APPROVED ON PROJECT BASIS BY VHA)1 VV HOOK, COAT, WALL MOUNTED1 VV ILLUMINATOR, X-RAY, 120 VOLT, 20 AMP, WALL MOUNTED,
APPROX., 508 MM X 1499 MM (20" X 59")1 VV RECEPTACLE, WASTE, 330 MM (13") DIAMETER
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 9/6/95UPDATED NOV. 1996
VA DESIGN GUIDENUCLEAR MEDICINE SERVICE CONTENTS- SECTION 5
Section 5Design Guide Platesand Data Sheets:Technical Support Areas
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling : 25 0 C(78 0 F) Dry Bulb Temp Heating : 22 0 C(72 0 F) Minimum % Outside Air: --- 100% Exhaust Air: Yes Noise Criteria: NC 40 Steam: --- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 12 Room Pressure: Negative AC Load-Equipment: 195 w/m 2 (18 w/sf) AC load-Lighting: 20 w/m 2(1.75w/sf) Number of People: 6 Special Exhaust: Yes Notes: 1. Check minimum air changes
per hour with minmum hoodexhaust requirements.
2. Design H3 hood exhaustrequirements for constantvelocity control and notconstant CFM.
3. Verify equipment AC as peractual equiment furnished.
PLUMBING AND MEDICAL GAS Cold Water: Yes Hot Water: Yes Laboratory Air: Yes Laboratory Vacuum: Yes Sanitary Drain: Yes Reagent Grade Water: Check with Medical
Center Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes: 1. Sanitary waste and vent
NOTE: RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 15 AMP, STRIP MOLD WITHOUTLETS, WIRED ALTERNATELY ON SEPARATE CIRCUITS ON 610 mm (24") CENTERSABOVE COUNTER (PG-18-1, MCS 161403)
32 mm (1-1/4”) THICK1 CC DISPENSER, SOAP, WALL-MOUNTED WITH FOOT CONTROL
(PG-18-1, MCS 10800)1 VV DISPENSER, BI-FOLD PAPER TOWEL, SURFACE-MOUNTED1 VV DISPENSER, GLOVES, WALL-MOUNTEDAR VV REFRIGERATOR, 4 TO 10 DEGREES CELCIUS, 71 CUBIC M.
(25 CUBIC FT.), 120 VOLT, 20 AMP, REACH-IN TYPE, DOUBLE DOOR, WITH SHELVES
1 VV FREEZER, 4 TO 10 DEGREES CELCIUS, CAPACITY AS REQUIRED,120 VOLT, 20 AMP, REACH-IN TYPE
H3-72 1 CC FUME HOOD, RADIOISOTOPE, STAINLESS STEEL INTERIOR WITH CABINET BASE, 2 EACH, WA-- AIR, GAS, VACUUM, ELECTRIC DUPLEX OUTLETS AND CUP SINKS, BASE TO SUPPORT SUPERSTRUCTURE PLUS 9.58 KPA (200 POUNDS PER SQUARE FOOT), 1830mm X 910mm X 2130mm(72” X 36” X 84”) (PG-18-1 & PG-18-6, MCS 11610)
Notes: 1. Verify equipment AC as peractual equiment furnished.
PLUMBING AND MEDICAL GAS Cold Water: Yes Hot Water: Yes Laboratory Air: Yes Laboratory Vacuum: Yes Sanitary Drain: Yes Reagent Grade Water: Check with Medical Center Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes: 1. Sanitary waste and vent
VL84 1 CC EMERGENCY EYE AND FACE WASH, RETRACTABLE, HAND HELD, COUNTER MOUNTED (PG-18-1, MCS 11602)
AR CF MODULAR LABORATORY CASEWORKVL54 1 CF PEGBOARD, 53 PEGS, 810 mm X 760 mm (32" X 30")
(PG-18-1 &PG-18-6, MCS11602)J-2 1 CF SINK, CORROSION RESISTING STEEL, WITH CENTER DRAIN
OUTLET, 460 mm X 380 mm X 200 mm ( 18” X 15” X 8”)( PG-18-1& PG-18-6, MCS 11602)
BIOHAZARD PREPARATION
H12B2-72 1 CC BIOLOGICAL SAFETY CABINET (LAMINAR FLOW), CLASS II, TYPE B2, 100% DIRECT EXHAUSTED AIR THROUGH THE WORK SPACE. 1830mm X 910mm X 2134mm(72” X 36” X 84”). SEE HVAC DESIGN MANUAL FOR HOSPITAL PROJECTS.
AR VV CENTRIFUGE, LAB, BENCH MODEL, 120 VOLT, 20 AMP, APPROX., 610 mm X 610 mm (24" X 24")
AR VV CHAIR, LABORATORY, SEMI-HYDRAULIC, ADJUSTABLE HEIGHT TO 790 mm (31")
1 CC STALL, SHOWER, 1220mm X 1190mm (48” X 46-3/4”)(PG-18-1, MCS 10170; PG-18-4, SD 13)
P-104 1 CC WATER CLOSET, WALL HUNG (PG-18-1, MCS 15450;PG-18-4, SD 389)
SYMBOL QTY AI DESCRIPTION
First Draft 8-14-96Revised June 97
VA DESIGN PRIMEROUTPATIENT PHARMACY CONTENTS - SECTION 4
Section 4Design Guide Platesand Data Sheets:Pharmacy SpecializedProgram
Guide Plate Series Plate Number
Drug Information ServiceEquipment & Utility Plan ..........................4-1Reflected Ceiling Plan..............................4-1Design Standards ....................................4-1Equipment Guide List ..............................4-1
First Draft 8-14-96Revised June 97
VA DESIGN PRIMEROUTPATIENT PHARMACY PAGE 4-1
Design StandardsDrug Information ServiceARCHITECTURAL
Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
First Draft 8-14-96Revised June 97
Equipment Guide ListDrug Information Service
VA DESIGN PRIMEROUTPATIENT PHARMACY PAGE 4 - 1
SYMBOL QTY AI DESCRIPTION
AR CC SHELVING, FREESTANDING STEEL, LIBRARY, SINGLEFACED UNITS, WITH ADJUSTABLE SHELVES,915mm W x 255mm D x 2285mm H (36"W X 10"D X 90"H)(PG-18-1, MCS 11052; PG-18-4)
AR CC SHELVING, SINGLE FACED UNITS, PERIODICAL, WITHSLOPING AND ADJUSTABLE SHELVES,915mm W x 305mm D x 2285mm H (36"W X 12"D X 90"H)(PG-18-1, MCS 11052; PG-18-4)
AR VV BOOKCASE, SECTIONAL (EACH SECTION,315mm W x 330mm D x 380mm H (33"W X 13"D X 15"H))WITH 255mm H (10"H) BASE
1 VV BULLETIN BOARD, APPROX., 915mm W x 915mm H (36"W X 36"H)AR VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITH ARMS1 VV CHALKBOARD/TACKBOARD COMBINATION,
1525mm W x 1220mm H (60"W x 48"H)AR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV TABLE, OCCASIONAL, 1220mm (48”) DIA.AR CF CABINET, UNDERCOUNTER, 3 DRAWER,
395mm W x 555mm D x 760mm H (15”W x 22”D x 30”H)AR CF COUNTER, TOP, HIGH PRESSURE LAMINATED, DECORATIVE
760mm W x 1525m L (30”W x 60”L)1 CC RECEPTACLE, ELECTRICAL, QUADAPLEX FOR COMPUTER
VA DESIGN GUIDEPHARMACY SERVICE CONTENTS - SECTION 4
Section 4Design Guide Platesand Data Sheets:Inpatient Pharmacy
Guide Plate Series Plate Number
Dispensing Station - Unit Dose and Ward StockEquipment & Utility Plan ..........................4-1Reflected Ceiling .....................................4-1Design Standards ....................................4-1Equipment Guide List ..............................4-1
Medication Assignment Area and Stat CounterEquipment & Utility Plan ..........................4-2Reflected Ceiling .....................................4-2Design Standards ....................................4-2Equipment Guide List ..............................4-2
Controlled Substance Vault andSecured Dispensing Area
Equipment & Utility Plan ..........................4-3Reflected Ceiling Plan..............................4-3Design Standards ....................................4-3Equipment Guide List ..............................4-3
Receiving AreaEquipment & Utility Plan ..........................4-4Reflected Ceiling Plan..............................4-4Design Standards ....................................4-4Equipment Guide List ..............................4-4
Final Draft 11-30-95Revised March 1997
VA DESIGN GUIDEPHARMACY SERVICE CONTENTS - SECTION 4 (cont.)
Section 4Design Guide Platesand Data Sheets:Inpatient Pharmacy
via modular casework utilityaccess module to outlets oncasework.
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 18 w/sm (1.7 w/sf) AC Load Equipment: 54 w/sm (5 w/hr) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
Final Draft 11-30-95Revised March 1997
Equipment Guide ListMedication Assignment and Stat Counter
VA DESIGN GUIDEPHARMACY SERVICE PAGE 4 - 2
SYMBOL QTY AI DESCRIPTION
AR CF CABINET, FULL HEIGHT, DRUG DISPENSING, 1 FIXED SHELF,1 ADJUSTABLE SHELF AND 8 DISPENSING SHELVES WITHGRAVITY FEED TRAYS, 910mm W x 405mm D x 2130mm H(36"W X16"D X 84"H)
AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS AND UTILITY ACCESS MODULE
AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARDAR VV TELECOPIER, FACSIMILE RECEIVER/FAX MACHINE
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: --
Final Draft 11-30-95Revised March 1997
Equipment Guide ListReceiving Area
VA DESIGN GUIDEPHARMACY SERVICE PAGE 4 - 4
SYMBOL QTY AI DESCRIPTION
AR CF MODULAR CASEWORK , W/ OVERHEAD CABINETS AND WALL HANGER STRIP
AR CF CABINET, FULL HEIGHT, BIN TYPE, ADJUSTABLE SHELVES, WITH 60 REMOVEABLE BINS, 910mm W x 305mm D x 2130mm H(36"W X 12"D X 84"H)
AR CF CABINET, FULL HEIGHT, OPEN SHELVES, 5 ADJUSTABLE AND 1 FIXED SHELF, AVAILABLE WIDTHS, 915mm (36"), 1200mm (48"); DEPTH 405mm (16"), HEIGHT 2130mm (84")
AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD
via modular casework utilityaccess lab module to outlets oncasework.
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load Equipment: 64 w/sm (5 w/sf) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: Yes Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Drain and vent need to be
AMPS, 600mm W x 600mm D x 960mm H (24"W X 24"D X 38"H)AR VV CABINET, INTRAVENOUS (IV), VISUAL CLARITY INSPECTION, 120
VOLTS, 20 AMPS, 760mm W x 600mm D (30"W X 24"D)AR VV CART, STAINLESS STEEL, HEAVY DUTY, WIRE,
1525mm L x 600mm D x 2086mm H (60"L X 24"D X 70"H),205mm (8") CASTERS W/ BRAKE, HORIZONTAL SHELVING
AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPOUNDER, HIGH SPEED FOR PARENTAL NUTRITION,
ELECTRIC, 120 VOLTS, 20 AMPS1 VV DISPENSER, BIFOLD PAPER TOWEL, SURFACE MOUNTED1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTEDAR VV HOOK, COAT, WALL MOUNTEDAR VV LAMINAR FLOW CLEAN WORK STATION, 1830 LINEAR mm
(72 LINEAR INCHES) OF WORK SPACE, 815mm D x 2050mm H(32"D X 80"H), PROVIDE 120 VOLTS, 20 AMPS
AR VV MACHINE, COUNTING, TABLET AND CAPSULE,915mm W x 600mm D (36"W X 24"D)
1 VV REFRIGERATOR, SELF CONTAINED, PASS-THRU,.90cm (65 CU. FT.), DISPLAY WITH GLASS DOORS,1060mm W x 740mm D x 2060mm H (42"W X 33"D X 81"H),120/208 VOLTS, SINGLE PHASE, 20 AMPS
AR VV SCANNER, LASER, HAND HELD, ELECTRIC, 120 VOLTS, 20 AMPSAR VV SCANNER, LASER, HAND HELD, ELECTRONIC, 120 VOLTS, 20
AMPSAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD
Final Draft 11-30-95Revised March 1997
VA DESIGN GUIDEPHARMACY SERVICE PAGE 4 - 6
Design StandardsIntravenous Admixture and Aseptic TransferARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile with
buffer room 64 w/sm(6 w/sf) Number of People: 8 Special Exhaust: -- Notes: 1. Maintain admixture (buffer room) under
positive pressure with respect to Ante Room.2. Maintain Ante Room under positive pressure
with respect to Corridor.3. AC load due to equipment is based on use of
water-cooled pass-through refrigerator. If air-cooled refrigerator is used increase heat loadcorrespondingly.
4. HVAC System for Buffer Room (Risk Level II)to be based on 100% outdoor air, HEPAfiltered supply air with 100% exhaust from theroom.
5. Laminar flow clean work station is self-contained and does not require exhaust tooutside the building
6. Provide minimum 12 air changes per hour forBuffer Room and Ante Room
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: Yes Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Sanitary drain and vent need to be
the chemical resistant type.
Final Draft 11-30-95Revised March 1997
VA DESIGN GUIDEPHARMACY SERVICE PAGE 4 - 7
Design StandardsOncology DrugsARCHITECTURAL Ceiling: Acoustic lay-in ceiling tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Paint Wainscot: -- Base: Integral welded seam sheet flooring base Floor Finish: Welded seam sheet flooring Slab Depr: -- Notes: 1. 1060mm (3’-6”) Wide Door
SPECIAL EQUIPMENTNone
LIGHTING General: 70 FC Special: -- Notes: 1.600 x 1200 mm (2'x4')recessed
fluorescent light fixture, acrylicprismatic lens, W/2-F32T8 lamps,4100° K CRI=85 (minimum)
2. 300mm x 1300mm (1’x4”)recessed fluorescent light fixture,acrylic prismatic lens, W/1-F32T8lamps, 4100° K
POWER General: 2800W (Receptacles) Emergency: 2000W (Receptacles) Notes: 1.Junction box for Laminar Flow
AC Load Lighting: 22 w/sm (2 w/sf) both rooms AC Load Equipment: 194 w/sm (18 w/sf) Number of People: 4 per room Special Exhaust: Provide dedicated exhaust
system for Laminar FlowH12-B2 hood. See HVAC Design
Manual for Hospital Projects. Notes: --
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: --
Final Draft 11-30-95Revised March 1997
Equipment Guide ListOncology Drugs
VA DESIGN GUIDEPHARMACY SERVICE PAGE 4 - 7
SYMBOL QTY AI DESCRIPTIONREFERENCE AREAP-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1: MCS 15450, VOL3,
SD 380)1 VV WORK STATION, MODULAR1 VV CHAIR, ROTARY, WITH ARMS1 VV CABINET, FILING (LETTER SIZE) 5 DRAWER,
APPROX. 381mm x 635mm x 1524mm (15” x 25” x 60”)1 VV BOOKCASE, SECTIONAL, EACH SECTION,
838mm x 330mm x 381mm (33” x 13” x 15”) WITH 254mm (10”) BASE1 VV BULLETIN BOARD, APPROX. 914mm x 914mm (36” x 36”)AR VV CLOCK, BATTERY OPERATEDAR CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
PREPARATION AREAH7-48 AR CC BIOLOGICAL SAFETY CABINET (LAMINAR FLOW) CLASS II, TYPE
B2 100% DIRECT EXHAUSTED AIR THROUGH WORK SPACE,1219mm x 787mm x 2438mm (48” x 31” x 96”), WITH CUP SINK, AIR,VACUUM AND COLD WATER OUTLETS, 120 VOLTS, 20 AMPRECEPTACLES, GAS OUTLETS NOT REQUIRED(PG-18-1 & PG-18-6, MCS 11610)
VA DESIGN GUIDEPHARMACY SERVICE CONTENTS - SECTION 5
Section 5Design Guide Platesand Data Sheets:Outpatient Pharmacy
Guide Plate Series Plate Number
Prescription ReceivingEquipment & Utility Plan .............................5-1Reflected Ceiling Plan.................................5-1Design Standards .......................................5-1Equipment Guide List .................................5-1
Filing and AssemblyEquipment & Utility Plan .............................5-2Reflected Ceiling Plan.................................5-2Design Standards .......................................5-2Equipment Guide List .................................5-2
DispensingEquipment & Utility Plan ............................5-3Reflected Ceiling Plan.................................5-3Design Standards .......................................5-3Equipment Guide List .................................5-3
Prepacking & Extemporaneous CompoundingEquipment & Utility Plan .............................5-4Reflected Ceiling Plan.................................5-4Design Standards .......................................5-4Equipment Guide List .................................5-4
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 25°C (78°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 18 w/sm (1.7w/sf) AC Load-Equipment: 32 w/sm (3 w/sf) Number of People: 2 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
Final Draft 11-30-95Revised March 1997
Equipment Guide ListFiling and Assembly
VA DESIGN GUIDEPHARMACY SERVICE PAGE 5 - 2
SYMBOL QTY AI DESCRIPTION
AR CF CABINET, UNDER COUNTER, 3 DRAWER,395mm W x 555mm D x 760mm H) 15"W X 22"D X 30"H
AR CF COUNTER TOP, HIGH PRESSURE PLASTIC LAMINATEDECORATIVE
AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV FILE, ROTARY, MECHANICAL POWER, ELECTRIC, 120 VOLTS,
20 AMPS ( See 5-2 Lighting Note # 3)
Final Draft 11-30-95Revised March 1997
VA DESIGN GUIDEPHARMACY SERVICE PAGE 5-3
Design StandardsDispensingARCHITECTURAL Ceiling: Acoustic lay-in Ceiling Tile Ceiling Ht: 2740 mm (9'-0") Wall Finish: Painted Gypsum Wallboard on
reinforced masonry sub-wall. Wainscot: -- Base: Resilient base Floor Finish: Carpet Slab Depr: -- Notes: 1. Refer to VA Construction
Standard CD-49 for securitycriteria
SPECIAL EQUIPMENTNone
LIGHTING General: 100 FC Special: -- Notes: 1. Lighting controlled by area;
switch(es) located at roomentrance.
2. 600 x 1200 mm (2'x4') recessedfluorescent light fixture, acrylicprismatic lens, W/3-F32T8 lamps,4100°K, CRI=85 (Minimum)
POWER General: 500W (receptacles) Emergency: -- Notes: 1. Junction box for 120V power
connection to electronic tabletcounting machine.
2. Junction box(es) for 120Vpower and signal connections topatient notification monitor.
COMMUNICATION ADP: Yes Radio: -- Telephone: Yes Intercom: -- Pub. Addr -- Notes: 1. Conduit and junction boxes
required for patient notificationmonitor system.
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load-Equipment: 54 w/hr (5 w/hr) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes:
Final Draft 11-30-95Revised March 1997
Equipment Guide ListDispensing
VA DESIGN GUIDEPHARMACY SERVICE PAGE 5 - 3
SYMBOL QTY AI DESCRIPTION
AR CC SERVICE WINDOW, BULLET RESISTIVE, ONE WINDOW ATWHEELCHAIR HEIGHT AND ONE CONVENTIONAL HEIGHT WITHPACKAGE TRANSFER BOX (PG-18-1, MCS 11022; PG-18-4, SD 67B)
AR CF BELT, CONVEYOR, 1 TO 5 BELTS AS REQUIRED (WHENAPPROVED BY VHA)
AR CF MODULAR CASEWORK, W/ OVERHEAD CABINETS AND WALLHANGER STRIP
CF NOTE: DISPENSING SYSTEMS SHALL BE AS DIRECTED BY VHAAR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV CRT, COMPUTER SYSTEM, WITH KEYBOARDAR VV MACHINE, COUNTING TABLET, ELECTRONIC, 120 VOLTS,
20 AMPS, 600mm W x 600mm D (24"W X 24"D)AR VV MONITORS, HIGH RESOLUTION, PATIENT NOTIFICATION SYSTEM,
via modular case-work utilityaccess lab module to outlets oncasework.
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load-Equipment: 54 w/sm (3 w/sf) Number of People: 3 Special Exhaust: -- Notes:
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Sanitary drain and vent need to be
AR CF MODULAR CASEWORK , W/ OVERHEAD BINS, UTILITY ACCESSMODULE AND WALL HANGER STRIP
AR CF SINK, CORROSION RESISTING STEEL, 555mm x 405mm x 205mm(22" X 16" X 8")
AR CF PEGBOARD, 405mm W x 600mm H (16"W X 24"H)AR VV CABINET, FILING, UNDER COUNTER, 380mm W x 635mm D
(15"W X 25"D)AR VV CHAIR, ROTARY, WITH ARMSAR VV CLOCK, BATTERY OPERATEDAR VV MACHINE, COUNTING, TABLET AND CAPSULE,
910mm W x 610mm D (36"W X 24"D)AR VV MACHINE, UNIT DOSE PACKER, STRIP PACKAGING,
910mm W x 610mm D (36”W x 24”D)AR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD
Final Draft 11-30-95Revised March 1997
VA DESIGN GUIDEPHARMACY SERVICE CONTENTS - SECTION 6
Section 6Design Guide Platesand Data Sheets:Pharmacy SpecializedProgramsGuide Plate Series Plate Number
Drug Information ServiceEquipment & Utility Plan........................6-1Reflected Ceiling Plan ...........................6-1Design Standards .................................6-1Equipment Guide List............................6-1
Final Draft 11-30-95Revised March 1997
VA DESIGN GUIDEPHARMACY SERVICE PAGE 6-1
Design StandardsDrug Information ServiceARCHITECTURAL Ceiling: Acoustic Lay-In Ceiling Tile Ceiling Ht: 2740 MM (9'-0") Wall Finish: Painted Gypsum Wallboard Wainscot: -- Base: Resilient base Floor Finish: Carpet or Vinyl Composition Tile Slab Depr: -- Notes: --
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 22°C (72°F) Dry Bulb Temp Heating : 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: -- Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 4 Room Pressure: 0 AC Load Lighting: 32 w/sm (3 w/sf) AC Load-Equipment: 54 w/sm (5 w/sf) Number of People: 3 Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: --
Final Draft 11-30-95Revised March 1997
Equipment Guide ListDrug Information Service
VA DESIGN GUIDEPHARMACY SERVICE PAGE 6 - 1
SYMBOL QTY AI DESCRIPTION
AR CC SHELVING, FREESTANDING STEEL, LIBRARY, SINGLEFACED UNITS, WITH ADJUSTABLE SHELVES,915mm W x 255mm D x 2285mm H (36"W X 10"D X 90"H)(PG-18-1, MCS 11052; PG-18-4)
AR CC SHELVING, SINGLE FACED UNITS, PERIODICAL, WITHSLOPING AND ADJUSTABLE SHELVES,915mm W x 305mm D x 2285mm H (36"W X 12"D X 90"H)(PG-18-1, MCS 11052; PG-18-4)
AR VV BOOKCASE, SECTIONAL (EACH SECTION,315mm W x 330mm D x 380mm H (33"W X 13"D X 15"H))WITH 255mm H (10"H) BASE
1 VV BULLETIN BOARD, APPROX., 915mm W x 915mm H (36"W X 36"H)AR VV CHAIR, ROTARY, WITH ARMSAR VV CHAIR, STRAIGHT, WITH ARMS1 VV CHALKBOARD/TACKBOARD COMBINATION,
1525mm W x 1220mm H (60"W x 48"H)AR VV CLOCK, BATTERY OPERATEDAR VV COMPUTER, PRINTERAR VV PC, COMPUTER SYSTEM, WITH KEYBOARD1 VV TABLE, OCCASIONAL, 1220mm (48”) DIA.AR CF CABINET, UNDERCOUNTER, 3 DRAWER,
395mm W x 555mm D x 760mm H (15”W x 22”D x 30”H)AR CF COUNTER, TOP, HIGH PRESSURE LAMINATED, DECORATIVE
760mm W x 1525m L (30”W x 60”L)
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE SECTION 4
Section 4Design Guide Platesand Data Sheets:Administration Space
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 4-1
ARCHITECTURAL
Ceiling: Acoustical ceiling tile
Ceiling Ht: 2700 mm (9'-0")
Wall Finish: Vinyl wall covering
Wainscot: ---
Base: Resilient Base
Floor Finish: Carpet
Slab Depr: ---
Notes: 1. 900 mm (3”-0”) wide doorwith tempered glass viewwindow.
2. See VA constructionstandard 34-1, “NoiseTransmission Control”.
SPECIAL EQUIPMENT
None
ELECTRICAL
General: 30 FC
Notes: 1. 600 mm x 1200 mm (2' x4') recessed fluorescentlight fixtures, acrylicprismatic lens, W/2-F32T8lamps, 3500°k, CRI=75(minimum)
POWER
General: 1000 W (Receptacles)
Emergency: ---
Notes: ---
COMMUNICATIONS
ADP: Yes
Radio: ---
Telephone: Yes
Intercom: ---
Public Addr: Yes
Notes: ---
HEATING, VENTILATING AND AIRCONDITIONING
Dry Bulb Temp Cooling: 25 0 C(780 F)
Dry Bulb Temp Heating: 22 0 C (72 0 F)
Minimum % Outside Air: 15%
100% Exhaust Air: ---
Noise Criteria: NC-35
Steam: ---
Relative Humidity/Cooling: 50%
Relative Humidity/Heating: 30%
Minimum Air Changes/Hr.: 4
Room Pressure: 0
AC Load-Equipment: 75 W/sm (7 W/sf)
AC Load-Lighting: 11 W/sm (1 W/sf)
Number of People: 6
Special Exhaust: ---
Notes: ---
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Viewing Room/Library/AV StudiesDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 4-1
PLUMBING AND MEDICAL GAS
Cold Water: ---
Hot Water: ---
Laboratory Air: ---
Laboratory Vacuum: ---
Sanitary Drain: ---
Reagent Grade Water: ---
Medical Air: ---
Medical Vacuum: ---
Oxygen: ---
Notes: ---
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Viewing Room/ Library/ AV StudiesEquipment Guide List
VA DESIGN GUIDE PULMONARY MEDICINE SERVICE PLATE 4-1
NOTE: THIS ROOM IS NOT REQUIRED IF CINE FILM VIEWING AND STORAGE ROOM IS AVAILABLE CONVENIENTLY CLOSE BY IN CARDIOLOGY LABORATORIES.
1 VV BULLETIN BOARD, 1524 MM X 914 MM (60" X 36")1 VV CART, UTILITYAR VV CHAIR, STRAIGHT, WITH ARMS1 VV CLOCK, BATTERY OPERATEDAR CC COUNTER, WITH KNEE SPACE, 787 MM (31") HIGH
(PG-18-1, MCS 12301 OR 12302)1 VV DRY MARKER BOARD, 1524 MM X 914 MM (60” X 36”)AR VV ILLUMINATORS, FILM, X-RAY, 120 VOLT, 20 AMP, WALL
MOUNTED (1 BANK OF 4)1 VV MONITOR, COLOR, 19”1 VV PERSONAL COMPUTER/ PRINTER1 VV PROJECTION, APPARATUS, 610 MM X 610 MM (24" X 24")1 VV RECEPTACLE, WASTE, 330 MM (13") DIA.1 VV RECORDER / PLAYER, VIDEO CASSETTE (VCR)1 VV TABLE, OFFICE, 1524 MM X 762 MM X 749 MM
(60" X 30" X 29-1/2")1 VV TAPE STORAGE SHELVING, SECTIONAL, EACH
SECTION, 838 MM X 330 MM X 381 MM (33" X 13" X 15") WITH 254 MM (10") BASE
1 VV TELEVISION SET
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE SECTION 5
Section 5Design Guide Platesand Data Sheets:Patient Care Areas
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 5-1
ARCHITECTURAL
Ceiling: Acoustical Ceiling Tile
Ceiling Ht: 2700 mm (9'-0")
Wall Finish: Vinyl wall covering
Wainscot: ---
Base: Resilient Base
Floor Finish: Vinyl composition tile
Slab Depr: ---
Notes: 1. 1120 mm (3’-8”) wide door with tempered glass view window.
SPECIAL EQUIPMENT
None
ELECTRICAL
General: 30 FC - 75 FC levels in stations.
Notes: 1. Dual-level switching provides50/100 FC levels in stations.
2. 600 mm x 1200 mm (2’x4’) recessed fluorescent light fixtures, acrylic prismatic lens, W/4-F32T8 lamps, 3500°k, CRI=75 (minimum)
POWER
General: 1400 W (receptacles)
Emergency: 500 W (crash cart receptacle)
Notes: ---
COMMUNICATIONS
ADP: ADP needs direct interface of all PET equipment with DHCP, a printer and workstation(s) separate for Spirometry, DLCO, and Diffusing Capacity analysis stations
Radio: ---
Telephone: Yes
Intercom: Yes
Public Addr: ---
Notes: ---
HEATING, VENTILATING, AND AIRCONDITIONING
Dry Bulb Temp Cooling: 24 0C (76 0 F)
Dry Bulb Temp Heating: 25 0C (78 0 F)
Minimum % Outside Air: 15%
100% Exhaust Air: Should be considered for medical centers withhigh tuberculosis cases
Noise Criteria: NC 35
Steam: ---
Relative Humidity/Cooling: 50%
Relative Humidity/Heating: 30%
Minimum Air Changes/Hr.: 6
Room Pressure: 0
AC Load-Equipment: 75 W/sm (7 w/sf)
AC Load-Lighting: 26 W/sm (2.4 W/sf)
Number of People: 8
Note: Provide 12 air changes per hour for Medical Centers with high TB cases.
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Ventilatory Test Room/SpirometryDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 5-1
HEATING, VENTILATING, AND AIRCONDITIONING (cont’d)
Notes: 1. At least two (2) low level grilles should be considered especially for Medical Centers with high
cases of tuberculosis.
PLUMBING AND MEDICAL GAS
Cold Water: Yes
Hot Water: Yes
Laboratory Air: ---
Laboratory Vacuum: ---
Sanitary Drain: Yes
Reagent Grade Water: Yes
Medical Air: Yes
Medical Vacuum: Yes
Oxygen: Yes
Notes: 1. Central supply for medical gas should be considered.
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Ventilatory Test Room/SpirometryEquipment Guide List
VA DESIGN GUIDE PULMONARY MEDICINE SERVICE PLATE 5-1
(A) VENIPUNCTURE STATION
AR VV CART, UTILITY, CORROSION RESISTING STEEL,914 MM X 457 MM X 762 MM (36" X 18" X 30")
1 CC STALL, SHOWER, 1219 MM X 1187 MM (48" X 46 -3/4") (PG-18-1, MCS 10170; PG-18-4, SD 13)
P-104 1 CC WATER CLOSET, WALL HUNG, WITH BED PAN WASHER (PG-18-1, MCS 15450; PG-18-4, SD 389)
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Special Procedures/Bronchoscopy RoomDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 5-4
ARCHITECTURAL
Ceiling: Acoustical ceiling tile
Ceiling Ht: 2890 mm (9'-6")
Wall Finish: Vinyl wall covering
Wainscot: ---
Base: Resilient Base
Floor Finish: Vinyl composition tile
Slab Depr: ---
Notes: 1. 1200 mm (4’-0”) wide door with 200 mm x 250 mm (8” x 10”) tempered glass view window.
SPECIAL EQUIPMENT
None
ELECTRICAL
General: 70 FC
Notes: 1. 600 mm x 1200 mm (2' x 4') recessed fluorescent light fixtures, acrylic prismatic lens, W/3-F32T8 lamps, 3500°k,CRI=75 (minimum)
2. Illumination level controlled by dimmer.
POWER
General: 1200 W (Receptacles)
Emergency: 500 W (Receptacles)
Notes: 1. Special receptacle for mobile fluoroscopy unit. (Coordinate with system supplier).
2. Receptacle for crash cart to be on emergency power.
COMMUNICATIONS
ADP: Yes
Radio: ---
Telephone: Yes
Intercom: Yes
Public Addr: ---
Notes: 1.Junction box for CCTV camera with conduit to adjacent diagnostic room.
2.Junction box for poly somnograph cabling with conduit diagnostic room.
3.Nurse call system.
HEATING, VENTILATING AND AIRCONDITIONING
Dry Bulb Temp Cooling: 24 0 C (76 0 F)
Dry Bulb Temp Heating: 25 0 C (78 0 F)
Minimum % Outside Air: ---
100% Exhaust Air: Yes
Noise Criteria: NC-40
Steam: ---
Relative Humidity/Cooling: 50%
Relative Humidity/Heating: 30%
Minimum Air Changes/Hr.: 8
Room Pressure: Negative
AC Load-Equipment: 86 W/sm (8 W/sf)
AC Load-Lighting: 22 W/sm (2 W/sf)
Number of People: 3
Special Exhaust: ---
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Special Procedures/Bronchoscopy RoomDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 5-4
HEATING, VENTILATING, AND AIRCONDITIONING (cont’d)
Notes: 1. Room exhaust shall be accomplished via low level outlets.
2. Provide a special hood and exhaust for instrument cleaning fumes if instrument cleaning is done here rather than in separate room.
3. If Bronchoscopy room is used for tuberculosis patient exams min. air changes perhr. increases to 12 and provide filtration as per TB Criteria in HVAC Design Manual for Hospital Projects.
PLUMBING AND MEDICAL GAS
Cold Water: Yes
Hot Water: Yes
Laboratory Air: ---
Laboratory Vacuum: ---
Sanitary Drain: Yes
Reagent Grade Water: ---
Medical Air: Yes
Medical Vacuum: Yes
Oxygen: Yes
Notes: ---
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Special Procedures / Bronchoscopy RoomEquipment Guide List
VA DESIGN GUIDE PULMONARY MEDICINE SERVICE PLATE 5-4
1 CC STALL, SHOWER, 910 MM X 910 MM (36" X 36") (PG-18-1, MCS 10170; PG-18-4, SD 13)
P-104 1 CC WATER CLOSET, WALL HUNG, WITH BED PAN WASHER (PG-18-1, MCS 15450; PG-18-4, SD 389)
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Sleep Study Suite/Diagnostic RoomDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 5-6
ARCHITECTURAL
Ceiling: Acoustical ceiling tile
Ceiling Ht: 2700 mm (9'-0")
Wall Finish: Paint
Wainscot: ---
Base: Resilient Base
Floor Finish: Vinyl composition tile
Slab Depr: ---
Notes: ---
SPECIAL EQUIPMENT
None
ELECTRICAL
General: 30 FC
Notes: 1. 600 mm x 1200 mm (2' x 4') recessed fluorescent light fixtures, acrylic prismatic lens, W/2-F32T8 lamps, 3500°k, CRI=75 (minimum).
POWER
General: 1000 W (Receptacles)
Emergency: 500 W (crash cart receptacle)
Notes: ---
COMMUNICATIONS
ADP: Yes
Radio: ---
Telephone: Yes
Intercom: Yes
Public Addr: ---
Notes: 1.Junction box for CCTVsystem with conduit fromadjacent patient bedroom
2.Junction box forpolysomnograph cablingwith conduit from adjacentpatient bedroom.
HEATING, VENTILATING AND AIRCONDITIONING
Dry Bulb Temp Cooling: 24 deg C (76 deg F)
Dry Bulb Temp Heating: 25 deg C (78 deg F)
Minimum % Outside Air: 15%
100% Exhaust Air: ---
Noise Criteria: NC-35
Steam: ---
Relative Humidity/Cooling: 50%
Relative Humidity/Heating: 30%
Minimum Air Changes/Hr.: 4
Room Pressure: 0
AC Load-Equipment: 75 W/sm (7 W/sf)
AC Load-Lighting: 22 W/sm (2 W/sf)
Number of People: 3
Special Exhaust: ---
Notes: ---
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Sleep Study Suite/Diagnostic RoomDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 5-6
PLUMBING AND MEDICAL GAS
Cold Water: Yes
Hot Water: Yes
Laboratory Air: ---
Laboratory Vacuum: ---
Sanitary Drain: ---
Reagent Grade Water: ---
Medical Air: ---
Medical Vacuum: ---
Oxygen: ---
Notes: ---
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Sleep Study Diagnostic RoomEquipment Guide List
VA DESIGN GUIDE PULMONARY MEDICINE SERVICE PLATE 5-6
NOTE: ELECTROMAGNETIC INTERFERENCE (EMI) EMI., SHIELDING PROVIDED IF THE LOCAL CONDITIONS DO NOT MEET CRITERIA ENUMERATED IN VA STANDARD 58-1 OF H-18-3, DATED JUNE 23, 1989.
NOTE: ELECTRICAL RECEPTACLE FOR CRASH CART TO BE ON EMERGENCY POWER.
NOTE: PROVIDE INTERCOM BETWEEN SUITE AND DIAGNOSTIC ROOM.
NOTE: ONE POLYSOMNOGRAPH MACHINE PER EACH PATIENT'S BED ROOM.
NOTE: INTEGRAL BLINDS (ADJUSTABLE - ON/OFF) (PG-18-1, MCS 12513)
1 VV BOOKSHELF 610 MM X 305 MM X 910 MM (24” X 12” X 36”)1 VV CART, EMERGENCY, "CRASH CART" APPROX., 914 MM X
533 MM (36" X 21") -IN ADJACENT CORRIDORAR CC COUNTER, WITH KNEE SPACE, 787 MM (31") HIGH
(PG-18-1, MCS 12301 OR 12302)2 VV CHAIR, POSTURE-TYPE, SWIVEL1 VV CLOCK, BATTERY OPERATED2 VV CONTROL CONSOLE, CCTV SYSTEM1 VV DISPENSER, BI-FOLD PAPER TOWEL, SURFACE
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 6-1
PLUMBING AND MEDICAL GAS
Cold Water: Yes
Hot Water: Yes
Laboratory Air: ---
Laboratory Vacuum: ---
Sanitary Drain: Yes
Reagent Grade Water: ---
Medical Air: Yes
Medical Vacuum: Yes
Oxygen: Yes
Notes: 1. Sink drain pipe, waste and ventlocated in the clean-up repairroom needs to be chemicalresistant type.
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Equipment Room Storage/Supply/Clean-Up/Repair/TestingEquipment Guide List
VA DESIGN GUIDE PULMONARY MEDICINE SERVICE PLATE 6-1
(A) Storage/Supply Room
T-37 AR CC SHELVING, FLOOR-STANDING, STEEL, WITH SLOPING TOP AND 6 ADJUSTABLE SHELVES,914 MM X 457 MM X 2134 MM (36" X 18" X 84") (PG -18-1, MCS 10671; PG-18-4)
(B) Clean-Up/Repair/Testing RoomNOTE: ELECTRICAL, STRIP MOLDING, 120 VOLT, 20 AMP (FOR WORK COUNTER) (PG-18-1, MCS 16140; H-18-3, CS 801-3)
NOTE: OUTLET, WALL, MEDICAL AIR (PG-18-1, MCS 15491; H-18-3, CS 310-1)
N-2 1 CF SINK, CORROSION RESISTING STEEL, WITH END OR CORNER DRAIN OUTLET, 559 MM X 406 MM X 279 MM (22" X 16" X 11") (PG-18-1 & PG-18-6, MCS 11602)
1 VV BENCH, WORK, KNEE-SPACE UNDER. 2 SHELVES, OPEN, ABOVE BENCH1829 MM X 305 MM X 762 MM(72" X 12" X 30")
AR VV STOOL, ADJUSTABLE HEIGHT, WITHOUT ARMS
(C) Equipment Storage
T-37 AR CC SHELVING, FLOOR-STANDING, STEEL, WITH SLOPING TOP AND 6 ADJUSTABLE SHELVES,914 MM X 457 MM X 2134 MM (36" X 18" X 84") (PG -18-1, MCS 10671; PG-18-4)
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Scope Cleaning/Clean StorageDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 6-2
ARCHITECTURAL
Ceiling: Acoustical ceiling tile
Ceiling Ht: 2700 mm (9'-0")
Wall Finish: High build glazed coating
Wainscot: ---
Base: Integral welded seam
Floor Finish: Welded seam sheet flooring
Slab Depr: --- Notes: 1. 900 mm (3’-0”) wide doors
with tempered glass view windows.
SPECIAL EQUIPMENTNone
ELECTRICAL
General: 30 FC
Special: ---
Notes: 1.600 mm x 1200 mm (2'x 4') recessed fluorescent light fixtures, acrylic prismatic lens, W/2-F32T8 lamps,3500°k, CRI=75 (min.)
POWER
General: 1800 W (Receptacles)
Emergency: ---
Notes: 1.Special receptacle for endoscope washer, coordinate with supplier.
COMMUNICATIONS
ADP: ---
Radio: ---
Telephone: Yes
Intercom: ---
Public Addr: ---
Notes: ---
HEATING, VENTILATING AND AIRCONDITIONING
Dry Bulb Temp Cooling: 25 0 C (78 0 F)
Dry Bulb Temp Heating: 22 0 C (72 0 F)
Minimum % Outside Air: ---
100%Exhaust Air: Yes
Noise Criteria: NC 40
Steam: ---
Relative Humidity/Cooling: 50%
Relative Humidity/Heating: 30%
Minimum Air Changes/Hr.: 10- scope cleaning
4 clean storage
Room Pressure: Negative for scope cleaning
positive for clean storage
AC Load-Equipment:
scope cleaning 54 W/sm (5 W/sf)
clean storage 22 W/sm (2W/sf)
AC Load-Lighting:
scope cleaning 13W/sm (1.2W/sf)
clean storage 19W/sf (1.8W/sf)
Number of People: 3 per room
Special Exhaust: ---
Notes: 1.Provide counter to exhaust for scope cleaningroom.
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Scope Cleaning/Clean StorageDesign Standards
VA DESIGN GUIDEPULMONARY MEDICINE SERVICE PLATE 6-2
PLUMBING AND MEDICAL GAS
Cold Water: Yes
Hot Water: Yes
Laboratory Air: ---
Laboratory Vacuum: ---
Sanitary Drain: Yes
Reagent Grade Water: ---
Medical Air: Yes
Medical Vacuum: Yes
Oxygen: Yes
Notes: 1.Sink, drain pipe, waste and vent from the sink located in the scope cleaning room needs to be chemical resistant type.
FINAL DRAFT 9-26-95REVISED FEBRUARY 1997
Scope Cleaning/Clean StorageEquipment Guide List
VA DESIGN GUIDE PULMONARY MEDICINE SERVICE PLATE 6-2
NOTE: OUTLET, WALL, MEDICAL AIR (PG-18-1, MCS 15491; H-18-3, CS 310-1)
General: -- Emergency: -- Notes: 1. The electrical plan as shown is to
be used as a guide only. Equipmentlocations, dimensions and wiringrequirements to be per the x-raysystem suppliers equipment installationdrawings.
2. Electrical trades shall providenecessary conduit, openings, bushings,nipples, flexible conduit etc., asrequired at the various junction boxes,duct and conduit terminations to allowproper connections of the x-rayequipment and related accessories.
POWER (cont.)Notes: 3. 480V., 3P., 150A., adjustable trip
flush mounted circuit breaker with shunt trip. Run empty 600 mm (2’) C.from circuit breaker to x-ray duct above finished ceiling.
4. 250 mm x 140 mm (10” x 5-½”) deepflush vertical wall duct with 300 mm(12”) wide screw-on cover. Connectto x-ray duct above finished ceiling andterminate at finished floor.
5. 250 mm x 140 mm (10” x 5-½”) deepx-ray duct above finished ceiling with250 mm (10”) wide screw-on cover.Connect to vertical wall duct.
6. Emergency Power Off (EPO) push button station. Connect to shunt trip circuit breakers.
7. Run 13 mm (½”) C. from door switchto junction box at x-ray controller.Connect door switch so t that ifdoor is opened the x-ray system willbe shut off.
Design StandardsGeneral Purpose Radiographic Room w/ControlHEATING, VENTILATING AND AIRCONDITIONING
Dry Bulb Temp Cooling: 24°C (75°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: No Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 6 Room Pressure: 0 AC Load Lighting 40 W/m 2 (3.7 W/sf) AC Load Equipment: 97 W/m2 (9 W/sf) Number of People: 6 Special Exhaust: -- Notes: 1. See HVAC Design Manual for
Hospital Projects for leadwrapping of ductwork penetratinglead lined walls.
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: Possible Medical Air: -- Medical Vacuum: Yes Oxygen: Yes Notes: 1. Check with the Medical Center
regarding Silver RecoverySystem.
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-1
General Purpose Radiographic Room w/Control
NOTE: OPTIONAL COMPONENTS TO BE DETERMINED BY VETERANS HEALTH ADMINISTRATION
NOTE: PROVIDE ONLY WHEN APPROVED FOR A SPECIFIC PROJECT (OXYGEN, AIR, VACUUM OUTLET AND BRACKET).
NOTE: OUTLETS TO BE ON THE WALL, NEAR HEAD END OF X-RAY TABLE, 1524mm (60") ABOVE THE FLOOR.
NOTE: OUTLET, WALL, MEDICAL AIR (PG-18-1, MCS 15491;H-18-3, CS 310-1)
1 CF CABINET, STORAGE, WALL MOUNTED, 254mm (10") ABOVE FINISHED FLOOR, 5 SHELVES AND FOLDING DOOR, APPROX., 610mm x 406mm x 1575mm (24" x 16" x 62")
1 VC X-RAY UNIT, RADIOGRAPHIC AND FLUOROSCOPIC CONSISTS OF THE FOLLOWING COMPONENTS:
1 VC BUCKY, TILT, WALL MOUNTED(USE IN TYPE R-F #2 AND TYPE R-F #3)
1 VC CAMERA UNIT, CINE, FOR USE WITH IMAGE INTENSIFIER (OPTIONAL)
1 VC CAMERA, SPOT, 100 OR 105mm (USE IN TYPE R-F #3)1 VC CAMERA, TV (FOR USE WITH IMAGE INTENSIFIER) (OPTIONAL)1 VC CONTROL, CINE CAMERA1 VC IMAGE INTENSIFIER, 152mm, 229mm (6", 9"), OR DUAL TYPE TO
BE DETERMINED ON PROJECT BASIS1 VC MODULE, POWERAR VC MONITOR, FOR USE WITH IMAGE INTENSIFIER
SYMBOL QTY AI DESCRIPTION
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-1
General Purpose Fluoroscopic Room w/Control
1 VC RAILS, CEILING FOR TUBE CARRIAGE, UNIVERSAL MOUNT1 VC RECORDER, TV TAPE1 VC STARTER, TUBE, HIGH SPEED1 VC TABLE, 90 DEGREE - 15 DEGREE TRENDELENBURG R&F,
WITH SPOT FILM DEVICE (TWO-WAY OR FOUR WAY TABLE TOP AND SIZE OF SPOT FILM DEVICE TO BE DETERMINED ON PROJECT BASIS)
1 VC TABLE, TILT, 90 DEGREE - 90 DEGREE R&F, WITH SPOT FILM DEVICE (TWO-WAY OR FOUR WAY TABLE TOP AND SIZE OF SPOT FILM DEVICE TO BE DETERMINED ON PROJECT BASIS)
2. Recessed, lensed incandescent downlight with 100W, A-21 lamp.
3. Down light illumination level controlled by dimmer.
POWER
General: 1000W (Non-PBPU receptacles) Emergency: -- Notes: 1. The electrical plan as shown is to
be used as a guide only.Equipment locations, dimensionsand wiring requirements to be perthe x-ray system suppliersequipment installation drawings.
2. Electrical trades shall providenecessary conduit, openings,bushings, nipples, flexible conduitetc., as required at the variousjunction boxes, duct and conduitterminations to allow properconnections of the x-ray equipmentand related accessories.
POWER (cont.)Notes: 3. 480V., 3P., 150A., adjustable trip flush
mounted circuit breaker with shunttrip. Run empty 50 mm (2” C.) fromcircuit breaker to x-ray duct abovefinished ceiling.
4. 240V, 2P., 30A flush MTD. circuitbreaker for film processor.
5. 250 mm x 140 mm (10’ x 5-½”) deepflush vertical wall duct with 300 mm(12”) wide screw-on cover. Connect tox-ray duct above finished ceiling andterminate at finished floor.
6. 250 mm x 140 mm (10’ x 5-½”) deepx-ray duct above finished ceiling with250 mm (10”) wide screw-on cover.Connect to vertical wall duct.
7. Emergency Power Off (EPO) pushbutton station. Connect to shunt tripcircuit breakers.
direct/indirect wall mounted fixture,acrylic prismatic lens on top andbottom, W/1-F32T8 lamp 3500deg. K, CRI=75 (min.)
2. “X-ray in use DO NOT ENTER”sign fixture.
3. Recessed, lensed incandescentdownlight with 100W, A-21 lamp.
4. Provide dimmers for down lightIllumination.
POWER
General: 1000W (Receptacles) Emergency: -- Notes: 1.The electrical plan as shown is to be
used as a guide only. Equipmentlocations, dimensions and wiringrequirements to be per the x-raysystem suppliers equipmentinstallation drawings.
2.Electrical trades shall providenecessary conduit, openings,bushings, nipples, flexible conduitetc., as required at the variousjunction boxes, duct and conduitterminations to allow properconnections of the x-ray equipmentand related accessories.
POWER (cont.) Notes: 3. 480V., 3P., 150A., adjustable trip
flush mounted circuit breaker withshunt trip. Run empty 600 mm (2’)C. from circuit breaker to x-rayduct above finished ceiling.
4. 240V, 2P., 30A flush MTD. circuitbreaker for film processor.
5. 250 mm x 140 mm (10” x 5-½”)deep flush vertical wall duct with300mm (12”) wide screw-oncover. Connect to floor duct andto x-ray duct above finishedceiling.
6. 250 mm x 140 mm (10” x 5-½”)deep flush vertical wall duct with300 mm (12”) wide screw-oncover. Connect to x-ray ductabove finished ceiling andterminate at finished floor.
7. 250 mm x 140 mm (10” x 5-½”)deep x-ray duct above finishedceiling with 250 mm (10”) widescrew-on cover. Connect tovertical wall duct.
8. Emergency Power Off (EPO)push button station. Connect toshunt trip breakers.
COMMUNICATION
ADP: -- Radio: -- Telephone: Yes Intercom: Yes Pub. Addr -- Notes: 1. Nurse Call in toilet room to
annunciate at reception desk.
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VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-3
Design StandardsRadiographic Fluoroscopic Room w/ControlHEATING, VENTILATING AND AIRCONDITIONING
NOTE: CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (PG-18-1, MCS 16510)
NOTE: SHADES, EXTERIOR WINDOWS (PG-18-1, MCS 12513)
NOTE: SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAY EQUIPMENT, IN ACCORDANCE WITH (PG-18-1, MCS 13091; H-18-3, CS 64-1; PG-18-4, SD 24 THRU 24K AND NCRP REPORT NO. 33, 35 AND 49)
1 CC DISPENSER, SOAP, WALL MOUNTED WITH FOOT CONTROL (PG-18-1, MCS 10800)
P-418 1 CC LAVATORY, SENSOR CONTROL (PG-18-1, MCS 15450, VOL. 3SD 380)
1 CF CABINET, STORAGE, WALL MOUNTED, 254mm (10") ABOVE FINISHED FLOOR, 5 SHELVES AND FOLDING DOOR, APPROX., 610mm x 406mm x 1575mm (24" x 16" x 62")
1 VC X-RAY UNIT, RADIOGRAPHIC AND FLUOROSCOPIC CONSISTS OF THE FOLLOWING COMPONENTS:
1 VC BUCKY, TILT, WALL MOUNTED (USE IN TYPE R-F #2 AND TYPER-F #3)
1 VC CAMERA UNIT, CINE, FOR USE WITH IMAGE INTENSIFIER (OPTIONAL)
1 VC CAMERA, SPOT, 100mm OR 105mm (USE IN TYPE R-F #3)1 VC CAMERA, TV (FOR USE WITH IMAGE INTENSIFIER) (OPTIONAL)1 VC CHANGER, CASSETTE1 VC CONTROL, CINE CAMERA1 VC IMAGE INTENSIFIERM 152mm, 229mm (6”, 9”), OR DUAL TYPE TO
BE DETERMINED ON PROJECT BASIS
SYMBOL QTY AI DESCRIPTION
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-3
Radiographic Fluoroscopic Room w/Control
1 VC MODULE, POWERAR VC MONITOR, FOR USE WITH IMAGE INTENSIFIER1 VC RAILS, CEILING FOR TUBE CARRIAGE, UNIVERSAL MOUNT1 VC RECORDER, TV TAPE1 VC STARTER, TUBE, HIGH SPEED1 VC TABLE, 90 DEGREE - 15 DEGREE TRENDELENBURG R&F, WITH
SPOT FILM DEVICE (TWO-WAY OR FOUR WAY TABLE TOP AND SIZE OF SPOT FILM TO BE DETERMINED ON PROJECT BASIS)
1 VC TABLE, TILT, 90 DEGREE - 90 DEGREE R&F, WITH SPOT FILM DEVICE (TWO-WAY OR FOUR WAY TABLE TOP AND SIZE OF SPOT FILM TO BE DETERMINED ON PROJECT BASIS)
flooring base Floor Finish: Welded seam sheet flooring Slab Depr: 100 mm (4”) Notes: 1. 1200 mm (4’-0”) wide door. See VA
Construction Standard 64-1, X-RayRadiation Shielding and SpecialControl”.
SPECIAL EQUIPMENT
None
LIGHTING
General: 50 FC (Procedure) Special: 10 FC (Control) Notes: 1. X-ray in use DO NOT ENTER sign
fixture2. Continuous fluorescent direct/indirect
wall mounted light fixture, acrylicprismatic lens on top and bottom,W/2-F32T8 lamps, 3500 deg. K,CRI=75 (minimum.)
3. Recessed, lensed incandescentdownlight with 100W, A-21 lamp.
4. 600 mm x 1200 mm (2’x4’) recessedfluorescent light fixture, acrylicprismatic lens, W/3-F32T8 lamps,3500 deg. K, CRI-75 (minimum).
5. Down light illumination levelcontrolled by dimmers.
POWER
General: 1000W (Receptacles) Emergency: -- Notes: 1. The electrical plan as shown is to be
used as a guide only. Equipmentlocations, dimensions and wiringrequirements to be per the x-raysystem suppliers equipmentinstallation drawings.
POWER (cont.)
Notes: 2. Electrical trades shall providenecessary conduit, openings,bushings, nipples, flexible conduitetc., as required at the variousjunction boxes, duct and conduitterminations to allow properconnections of the x-ray equipmentand related accessories.
4. 300 mm x 140 mm (12’ x 5-½”) deepflush floor duct with screw-on cover.Connect to x-ray wall duct.
5. 250 mm x 140 mm (10” x 5-½”) deepflush vertical wall duct with 305mm(12”) wide screw-on cover. Connectto floor duct and to x-ray duct abovefinished ceiling.
6. 250 mm x 140 mm (10” x 5-½”) deepflush vertical wall duct with 300 mm(12”) wide screw-on cover. Connectto x-ray duct above finished ceilingand terminate at finished floor.
7. 250 mm x 140 mm (10” x 5-½”) deepx-ray duct above finished ceiling with255mm (10”) wide screw-on cover.Connect to vertical wall duct.
8. Emergency Power Off (EPO) pushbutton station. Connect to shunt tripcircuit breakers.
Final Draft 12-31-95Revised May 1997
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-4
Design StandardsSpecial Procedures (non-affiliated Control Room)COMMUNICATION
ADP: -- Radio: -- Telephone: Yes Intercom: Yes Pub. Addr: -- Notes: 1. Nurse Call in toilet room to
Room Pressure: Special Procedures: NegativeAll Others: 0
AC Load Lighting: forSpecial Procedures: 39 W/sm (3.6 W/sf)
Control Room: 26 W/sm (2.4 W/sf) AC Load-Equipment:
Special Procedures: 65 W/sm (6W/sf)Control Room: 13,000 Btu/hr - 3752W)
Number of People: 6 for Procedure;All Others: 3
Special Exhaust: -- Notes: 1. Provide a dedicated AC unit for
computer room sized to handle aminimum of 3 tons of cooling. Verifycooling capacity and other specificrequirements with the equipmentmanufacturer on a specific project.
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes: --
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Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-4
Special Procedure Room (non-affiliated Control Room)
NOTE: THE FOLLOWING X-RAY EQUIPMENT TO BE DETERMINED ON PROJECT BASIS BY VETERANS HEALTH ADMINISTRATION.
NOTE: SHOULD VETERANS HEALTH ADMINISTRATION INDICATE A SINGLE PLANE ANGIOGRAPHIC FILM CHANGER, THE RADIOGRAPHIC UNIT FOR THE SECOND PLANE WILL BE OMITTED.
NOTE: OPTIONAL COMPONENTS TO BE DETERMINED BY VETERANS HEALTH ADMINISTRATION.
NOTE: OUTLETS TO BE ON THE WALL, NEAR HEAD END AND OPPOSITE END OF X-RAY TABLE, 1524mm (60") ABOVE THE FLOOR.
NOTE: SERVICES, ELECTRICAL, AS REQUIRED FOR EQUIPMENT.
NOTE: ISOLATED POWER UNIT PROVIDES ISOLATED ELECTRICAL POWER, INCLUDES LINE ISOLATION MONITOR, ISOLATION TRANSFORMER AND CIRCUIT BREAKERS (DETAILS AVAILABLE FROM ELECTRICAL SERVICE)
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (PG-18-1, MCS 16510)
NOTE: SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAY EQUIPMENT, IN ACCORDANCE WITH (PG-18-1, MCS 13091; H-18-3, CS 64-1; PG-18-4, SD 24 THRU 24K AND NCRP REPORT NO. 33, 35 AND 49)
AR CF MODULAR CASEWORKJ-2 1 CF SINK, CORROSION RESISTING STEEL, WITH CENTER DRAIN
OUTLET, 457mm x 381mm 203mm (18” x 15” x 8”)(PG-18-1 & PG-18-6, MCS 11602)
1 VC X-RAY UNIT, RADIOGRAPHIC AND FLUOROSCOPIC CONSISTS OF THE FOLLOWING COMPONENTS:
1 VC CAMERA, 35/100 OR 105mm, USE WITH IMAGE INTENSIFIER (OPTIONAL)
1 VC CAMERA, TV (FOR USE WITH IMAGE INTENSIFIER) (OPTIONAL)1 VC CARRIAGE, TUBE, CEILING MOUNTED, WITH TWO TUBE CRANES1 VC CHANGER, FILM, ANGIOGRAPHIC, BI-PLANE1 VC CHANGER, FILM, DUAL RAPID1 VC CONTROL, CINE CAMERA
SYMBOL QTY AI DESCRIPTION
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-4
Special Procedure Room (non-affiliated Control Room) (cont.)
1 VC IMAGE INTENSIFIER, 152mm, 229mm (6", 9"), OR DUAL TYPE TO BE DETERMINED ON PROJECT BASIS
1 VC MODULE, POWER1 VC MONITOR, FOR USE WITH IMAGE INTENSIFIER1 VC RECORDER, TV TAPE1 VC STARTER, TUBE, HIGH SPEED1 VC SYRINGE, ANGIOGRAPHIC, AUTOMATIC, MOBILE1 VC TABLE, TILT, 90 DEGREE - 90 DEGREE R&F, WITH SPOT FILM
DEVICE (TWO-WAY OR FOUR WAY TABLE TOP AND SIZE OF SPOT FILM DEVICE TO BE DETERMINED ON PROJECT BASIS)
1 VC TRANSFORMER, HIGH TENSION, X-RAY1 VC TRANSFORMER, HIGH TENSION, X-RAY1 VC X-RAY UNIT, RADIOGRAPHIC, FOR SECOND PLANE OF
ANGIOGRAPHIC FILM CHANGER, 480 VOLT, 3 PHASE 60 CYCLE1 VV BULLETIN BOARD, 914mm x 610mm (36" x 24")AR VV CART, MOBILE, 610mm x 1219mm x 914mm (24" x 48" x 36")1 VV CLOCK, BATTERY OPERATED1 VV DISPOSAL, NEEDLES, WALL MOUNTED1 VV HOOK, COAT, WALL MOUNTED1 VV ILLUMINATOR, 4 PANEL, SURFACE MTD.2 VV RACK, APRON, WALL MOUNTED2 VV RECEPTACLE, WASTE, STEP ON TYPE, APPROX., 305mm
(12") DIAMETER
Special Procedure Rm (non-affiliated Control Rm)- Control Area
NOTE: PROVIDE INTERCOM STATION IN CONTROL BOOTH CONNECTED TO REMOTE STATION IN X-RAY ROOM, WHEN CONTROL BOOTH IS SEPARATED FROM X-RAY ROOM.
NOTE: INCANDESCENT, DIMMING SYSTEM (PG-18-1, MCS 16510)
NOTE: INTERCOM, STATION (PG-18-1, MCS 16760)
NOTE: LIGHT, WARNING (DO NOT ENTER) OVER DOOR (PG-18-4, SD E-D-2)
NOTE: WINDOW, LEAD GLASS, 1397mm x 1219mm (55" x 48") (PG-18-1, MCS 13091)
1 VC CONSOLE, CONTROL, X-RAY, FOR X-RAY UNIT (CAPACITY OF GENERATOR TO BE DETERMINED ON PROJECT BASIS)
1 VC SELECTOR, PROGRAM, ANGIOGRAPHIC, FOR FILM CHANGER
SYMBOL QTY AI DESCRIPTION
SYMBOL QTY AI DESCRIPTION
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-4
Special Procedure Rm (non-affiliated Control Rm) - Scrub Room
NOTE: WINDOW, LEAD GLASS, 760mm X 1200mm (30” X 48”,PG-18-1, MCS-13)
AR CC DISPENSER, SOAP, WITH FOOT CONTROL, WALL MOUNTED OVER SINK (PG-18-1, MCS 10800)
P-520 AR CC SINK, SURGEONS, SCRUB-UP, SENSOR CONTROL(PG-18-1, MCS 15450; PG-18-4,)
2. Recessed, lensed incandescentdownlight with 100W, A-21 lamp.
3. Down light illumination levelcontrolled by dimmer.
POWER
General: 1000W (Receptacles) Emergency: -- Notes: 1. The electrical plan as shown is to be
used as a guide only. Equipmentlocations, dimensions and wiringrequirements to be per the x-raysystem suppliers equipmentinstallation drawings.
POWER (cont.)
Notes: 2. Electrical trades shall providenecessary conduit, openings,bushings, nipples, flexible conduitetc., as required at the variousjunction boxes, duct and conduitterminations to allow properconnections of the x-ray equipmentand related accessories.
3. 480V., 3P., 150A., adjustable tripflush mounted circuit breaker withshunt trip. Run empty 50 mm (2’) C.from circuit breaker to x-ray ductabove finished ceiling.
4. 300 mm x 140 mm (12’ x 5-½”) deepflush floor duct with screw-on cover.Connect to x-ray wall duct.
5. Run 13 mm (½”) C. from door switchto junction box at x-ray controller.Connect door switch so that if door isopened the x-ray system will be shutoff.
COMMUNICATION
ADP: Yes Radio: -- Telephone: Yes Intercom: Yes Pub. Addr: -- Notes: 1. Junction box for CCTV camera with
conduit to adjacent control room.2. Junction box for CCTV monitor.
Final Draft 12-31-95Revised May 1997
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-5
Design StandardsCT Suite - Mid-Level Imaging SystemHEATING, VENTILATING AND AIRCONDITIONING
NOTE: WINDOW, LEAD GLASS, 1397mm x 1219mm (55" x 48") (PG-18-1, MCS 13091)
1 VC CONSOLE, OPERATORS, FOR SCANNER TABLE AND GANTRY (CAPACITY OF GENERATOR TO BE DETERMINE ON PROJECT BASIS)
AR VC IMAGER, HARD LINEAR VC PRINTER, LINE1 VV CAMERA, LASER, IMAGER,APPROX.,1295mm x 660mm x 1194mm
(51" x 26" x 47")1 VV CHAIR, OPERATOR'S1 VV ILLUMINATOR, X-RAY, 120 VOLT, 20 AMP, WALL MOUNTED,
APPROX., 508mm x 760mm (20" x 30"), 2 IN 1
CT Suite (Mid-Level Imaging System) - Computer Room
AR VC AIR COOLERAR VC COMPUTER CABINET, AUXILIARYAR VC COMPUTER CABINET, MAINAR VC HEAT EXCHANGER (WATER/WATER)1 VC POWER CABINET1 VC POWER LINE PROTECTOR1 VC TRANSFORMER, HIGH VOLTAGEAR VC UNIT, DISC DRIVE STORAGE1 VC UNIT, POWER DISTRIBUTION
SYMBOL QTY AI DESCRIPTION
SYMBOL QTY AI DESCRIPTION
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-5
CT Suite (Mid-Level Imaging System) - Physicians Viewing Rm
SYMBOL QTY AI DESCRIPTION
AR VV CONSOLE, PHYSICIAN’SAR VV CHAIR, ROTARY, WITH ARMS2 VV ILLUMINATOR, X-RAY, 120 VOLT, 20 AMP, WALL MOUNTED,
APPROX., 508mm x 1499mm (20" x 59"), 4 IN 12 CC COUNTERTOP, PLASTIC LAMINATE, FIXED, WALL MOUNTED,
762mm (30”) ABOVE FINISHED FLOOR, APPROX., 1524 mm x 457mm (60” x 18”), PROVIDE UNDER ILLUMINATOR(PG-18-1, MCS 12302)
3 VV HOOK, COAT, WALL MOUNTED1 VV BULLETIN BOARD, 914mm x 610mm (36” x 24”)1 VV RECEPTACLE, WASTE, 330mm (13”) DIAMETER1 VV MONITOR, TV, REMOTE VIEWING FOR COMPUTERIZED
TOMOGRAPHIC (CT)1 VV CLOCK, BATTERY OPERATED1 CC RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP
(PG-18-1, MCS 16140; H-18-3, CS 801-3)
Final Draft 12-31-95Revised May 1997
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-6
Design StandardsUltrasound RoomARCHITECTURAL
Ceiling: Acoustic Ceiling Tile Ceiling Ht: 2700 mm (9'-0") Wall Finish: -- Wainscot: -- Base: Resilient base Floor Finish: Vinyl Composition Tile Slab Depr: -- Notes: 1. 1200 mm (4’-0”) wide door
Ultrasound 2700 W(9200 Btu/hr)Number of People: 3 Special Exhaust: -- Notes: 1. Negative pressure in Toilet and equal
pressure in Ultrasound with respectto Corridor.
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes:--
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Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-6
Ultrasound Room
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (PG-18-1, MCS 16510)
1 CC COUNTERTOP, PLASTIC LAMINATE, FIXED, WALL MOUNTED, 762mm (30") ABOVE FINISHED FLOOR, APPROX., 1524mm x 457mm (60" x 18"), PROVIDE UNDER ILLUMINATOR(PG-18-1, MCS 12302)
1 CC DISPENSER, SOAP, WALL MOUNTED WITH FOOT CONTROL (PG-18-1, MCS 10800)
wall mounted fixture, acrylic prismaticlens on top and bottom, W/2-F32T8lamps, 3500 deg. K, CRI=75 (min.)
3. Illumination level controlled bydimmer.
POWER
General: 1200W (receptacles) Emergency: 1600W (receptacles) Notes: 1. The electrical plan as shown is to be
used as a guide only. Equipmentlocations, dimensions and wiringrequirements to be per the x-raysystem suppliers equipmentinstallation drawings.
2. Electrical trades shall providenecessary conduit, openings,bushings, nipples, flexible conduitetc., as required at the variousjunction boxes, duct and conduitterminations to allow properconnections of the x-ray equipmentand related accessories.
POWER (cont.)
Notes: 3. 480V., 3P., 150A., adjustable tripflush mounted circuit breaker withshunt trip. Run empty 600 mm (2” C.from circuit breaker to x-ray ductabove finished ceiling.
4. 300 mm x 140 mm (12” x 5-½”) deepflush floor duct with screw-on cover.Connect to vertical wall duct.
5. 250 mm x 140 mm (10” x 5-½”) deepflush vertical wall duct with 300 mm(12”) wide screw-on cover. Connectto floor duct and to x-ray duct abovefinished ceiling.
6. 250 mm x 140 mm (10” x 5-½”) deepflush vertical wall duct with 300 mm(12”) wide screw-on cover. Connectto x-ray duct above finished ceilingand terminate at finished floor.
7. 250 mm x 140 mm (10” x 5-½”) deepx-ray duct above finished ceiling with250 mm (10”) wide screw-on cover.Connect to vertical wall duct.
8. Emergency Power Off (EPO) pushbutton station. Connect to shunt tripcircuit breakers.
Design StandardsAutomated Radiographic Room w/ControlHEATING, VENTILATING AND AIRCONDITIONING
Dry Bulb Temp Cooling: 24°C (75°F) Dry Bulb Temp Heating: 22°C (72°F) Minimum % Outside Air: 15 100% Exhaust Air: No Noise Criteria: NC-40 Steam: -- Relative Humidity/Cooling: 50% Relative Humidity/Heating: 30% Minimum Air Changes/Hr.: 6 Room Pressure: Negative AC Load Lighting: 40 W/m 2 (3.7 W/sf) AC Load-Equipment: 50/70 W (17300 Btu/hr) Number of People: 6 Special Exhaust: -- Notes: 1. Provide at least two level exhaust
outlets.2. Provide at least 150 mm (6”) duct to
each processor balanced to 80CFM each.
3. See HVAC Design Manual forHospital Projects for lead wrapping ofductwork penetrating lead lined walls.
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes: 1. Provide piping connection from
processors to Silver RecoverySystem, if required.
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Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 4-8
Automated Radiographic Room
NOTE: PROVIDE PIPING CONNECTION FROM PROCESSORS TO SILVER RECOVERY SYSTEM, IF REQUIRED.
NOTE: SERVICES, ELECTRICAL, AS REQUIRED FOR EQUIPMENT
NOTE: PROVIDE ONLY WHEN APPROVED FOR A SPECIFIC PROJECT (OXYGEN, AIR, VACUUM OUTLET AND BRACKET)
NOTE: OUTLET, WALL, MEDICAL AIR (PG-18-1, MCS 15491)
NOTE: OUTLET, WALL, OXYGEN (PG-18-1, MCS 15491)
NOTE: OUTLET, WALL, VACUUM (PG-18-1, MCS 15491)
NOTE: CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED
NOTE: FLOOR DRAIN, NEAR FILM PROCESSING UNITS (PLUMBING DESIGN CRITERIA AND INSTRUCTIONS)
NOTE: FLOOR DRAIN, NEAR REPLENISHER TANK UNITS (PLUMBING DESIGN CRITERIA & INSTRUCTIONS)
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (PG-18-1, MCS 16510)
NOTE: SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAY EQUIPMENT, IN ACCORDANCE WITH PG-18-1, MCS 13091; PG-18-4, SD 24 THRU 24K AND NCRP REPORT NO. 33, 35 AND 49)
AR CC COUNTERTOP, PLASTIC LAMINATE, FIXED, WALL MOUNTED, 760mm (30") ABOVE FINISHED FLOOR, APPROX., 1525mm x 457mm (60" x 18"), PROVIDE UNDER ILLUMINATOR(PG-18-1, MCS 12302)
1 CC DISPENSER, SOAP, WALL MOUNTED WITH FOOT CONTROL (PG18-1, MCS 10800)
1 CF CABINET, FOR EQUIPMENT MANUAL, WALL MOUNTED, APPROX., 1220mm x 405mm x 405mm (48” x 16” x 16”)
1 CF CABINET, STORAGE, WALL MOUNTED, 255mm (10”) ABOVE FINISHED FLOOR, 5 SHELVES AND FOLDING DOOR, APPROX. 610mm x 405mm x 1575mm (24” x 16” x 62”)
SYMBOL QTY AI DESCRIPTION
Final Draft 12-31-95Revised May 1997
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 5-1
Section 5Design Guide Platesand Data Sheets:Technical Support AreasGuide Plate Series PlateNumber
Darkroom (2-processors)Equipment & Utility Plan ..........................5-1Reflected Ceiling Plan..............................5-1Design Standards ....................................5-1Equipment Guide List ..............................5-1
Radiology Film Records RoomEquipment & Utility Plan ..........................5-2Reflected Ceiling Plan..............................5-2Design Standards ....................................5-2Equipment Guide List ..............................5-2
Patient Gowning (for 4 Diag. Rms)Equipment & Utility Plan ..........................5-3Reflected Ceiling Plan..............................5-3Design Standards ....................................5-3Equipment Guide List ..............................5-3
Daylight Processor AreaEquipment & Utility Plan ..........................5-4Reflected Ceiling Plan..............................5-4Design Standards ....................................5-4Equipment Guide List ..............................5-4
Open Area: 26 W/sm (2.4 W/sf) Number of People: 3 for Darkroom
6 for Open Area Special Exhaust: -- Notes: --
PLUMBING AND MEDICAL GASES
Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: -- Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Provide piping connection from
processors to Silver RecoverySystem, if required.
2. Waste and vent piping need to bechemical resistant type.
Final Draft 12-31-95Revised May 1997
Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 5-1
Darkroom (2 Processors) - Open Work Area
NOTE: PROVIDE PIPING CONNECTION FROM PROCESSORS TO SILVER RECOVERY SYSTEM, IF REQUIRED.
NOTE: CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED
NOTE: FLOOR DRAIN, NEAR FILM PROCESSING UNITS (PLUMBING DESIGN CRITERIA AND INSTRUCTIONS)
NOTE: FLOOR DRAIN, NEAR REPLENISHER TANK UNITS (PLUMBING DESIGN CRITERIA & INSTRUCTIONS)
AR CC COUNTERTOP, PLASTIC LAMINATE, FIXED, WALL MOUNTED, 762mm (30") ABOVE FINISHED FLOOR, APPROX., 3660mm x 600mm (144" x 24"), PROVIDE UNDER ILLUMINATOR(PG-18-1, MCS 12302)
P-516 1 CC SINK, CORROSION RESISTING STEEL, SINGLE COMPARTMENT, WALL HUNG (PG-18-1, MCS 15450)
AR VC PORTABLE DARKROOM (REMOVING UNPROCESSED FILM FROM DISPENSER)
AR VC PROCESSOR, FILM, AUTOMATIC, 90 SECOND PROCESSING CYCLE, THRU WALL
AR VV ILLUMINATOR, X-RAY, 120 VOLT, 20 AMP, WALL MOUNTED, APPROX., 508mm x 1499mm (20" x 59"), 4 IN 1
SYMBOL QTY AI DESCRIPTION
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Equipment Guide List
VA DESIGN GUIDERADIOLOGY SERVICE PAGE 5-1
Darkroom (2 Processors) - Darkroom
NOTE: PROVIDE PIPING CONNECTION FROM PROCESSORS TO SILVER RECOVERY SYSTEM, IF REQUIRED.
NOTE: CONNECTIONS, PLUMBING, ELECTRICAL OR MECHANICAL AS REQUIRED
NOTE: FLOOR DRAIN, NEAR FILM PROCESSING UNITS (PLUMBING DESIGN CRITERIA AND INSTRUCTIONS)
NOTE: FLOOR DRAIN, NEAR REPLENISHER TANK UNITS (PLUMBING DESIGN CRITERIA & INSTRUCTIONS)
AR CF DARKROOM CASEWORK2 CF CABINET, CASSETTE TRANSFER, FOUR DOOR, W/ AUDIO1 CC EYEWASH, WALL MTD.2 VC SILVER RECOVERY SYSTEM1 VC TANK, REPLENISHER, 95 L (25 GAL.) CAPACITY AND
CURBING, 2 FOR EACH PROCESSORP-802 1 CC HOSE BIBB, COMBINATION FAUCET, WALL MOUNTED,
AR CC COUNTERTOP, PLASTIC LAMINATE, FIXED, WALL MOUNTED, 762mm (30") ABOVE FINISHED FLOOR, APPROX., 455mm (18") LENGTH AS REQUIRED, PROVIDE UNDER ILLUMINATORS(PG-18-1, MCS 12302)
AR VV CHAIR, ROTARY WITH ARMS1 VV CLOCK, BATTERY OPERATEDAR VV ILLUMINATORS, X-RAY, 120 VOLT, 20 AMP, WALL MOUNTED,
APPROX., 508mm x 1500mm (20" x 59"), 4 IN 1
Radiology Film Records Room - Multi-Viewing Area
AR VV CHAIR, ROTARY, WITH ARMS1 VV CLOCK, BATTERY OPERATEDAR VV MULTI-VIEWER, AUTOMATIC, 120 VOLT, 20 AMP, APPROX.,
1725mm x 610mm x 1980mm (68" x 24" x 78")AR CC COUNTERTOP, PLASTIC LAMINATE, 455mm (18”) LENGTH AS
REQUIRED
Radiology Film Records Room - Film Library
T9 AR CC BINS, FILING, X-RAY FILM, 914mm x 2286mm (36" x 90") (PG-18-1, MCS 10671; PG-18-4, SD 65B)
AR CC SHELVING, OPEN, AS DETERMINED BY VETERANS HEALTH ADMINISTRATION
AR CF MODULAR CASEWORK1 VV BULLETIN BOARD, 914mm x 610mm (36" x 24")1 VV CART, UTILITYAR VV CHAIR, ROTARY W/ ARMS1 VV CLOCK, BATTERY OPERATED
NOTE: WHEELCHAIR WATER CLOSETS WILL BE IN ACCORDANCE WITH THE APPROPRIATE SPACE PROGRAM, P-103 WILL BE USED FOR BOTH CONVENTIONAL AND WHEELCHAIR INSTALLATIONS.
NOTE: RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP, WITH GROUND FAULTINTERRUPTER, ADJACENT TO LAVATORY (PG-18-1, MCS 16140; H-18-3, CS 801-3)
NOTE: STATION, CALL, EMERGENCY (LIGHT AND SOUND SIGNAL IN RECEPTIONISTS OFFICE, SIGNAL LIGHT OVER TOILET ROOM DOOR) (PG-18-1, MCS 16761)
1 CC BAR, GRAB FOR WATER CLOSET (PG-18-1, MCS 10800; PG-18-4, SD 12)
1 CC DISPENSER, TOILET TISSUE, DOUBLE ROLL (PG-18-1, MCS 10800; PG-18-4, SD 12)
1 CC HOOK, CLOTHES (PG-18-1, MCS 10800)P-418 1 CC LAVATORY, STRAIGHT BACK SENSOR CONTROL (PG-18-1,
MCS 15450; VOL 3 SD 380)1 CC MIRROR, 610mm x 914mm (24" x 36) (PG-18-1, MCS 10800;
PG-18-4, SD 15)1 CC SHELF, STAINLESS STEEL, WALL HUNG, 152mm x 457mm
(6" x 18") (PG-18-1, MCS 10360; PG-18-4, SD 15)P-103 1 CC WATER CLOSET, WALL HUNG (PG-18-1, MCS 15450; PG-18-4, SD4)
1 VV DISPENSER, PAPER TOWEL, SURFACE MOUNTED1 VV DISPENSER, SOAP, LIQUID, WALL MOUNTED1 VV RECEPTACLE, WASTE, STEP-ON TYPE
with shunt trip for simulator system. Coordinate rating with system supplier.
2. Emergency power off (EPO) pushbutton station connect to shunt tripcircuit breakers.
VA DESIGN GUIDERADIATION THERAPY SERVICE
COMMUNICATIONSADP: --Radio: --Telephone: YesIntercom: YesPub. Addr: --Notes: 1. Junction box for CCTV Camera with
conduit to Control Room.2. Junction box for CCTV Monitor cabling.
HEATING, VENTILATING AND AIRCONDITIONING Dry Bulb Temp Cooling: 24°C (76°F) Dry Bulb Temp Heating: 25°C (78°F) Minimum % Outside Air: 15% 100% Exhaust Air: Yes Noise Criteria: NC-40 Steam: Yes Relative Humidity/Cooling: 50% Relative Humidity/Heating: 45% Minimum Air Changes/Hr.: 8 Room Pressure: Negative AC Load Equipment: 4400w (15,000 Btu/hr) Number of People: 6 Special Exhaust: -- Notes: 1. Provide booster humidifier
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: Possible Medical Air: Yes Medical Vacuum: Yes Oxygen: Yes Notes: 1. Verify with the equipment supplier reguarding sanitary floor drain requirement. 2. Verify with the equipment supplier reguarding cold water and compressed air requirements.
GUIDE PLATE 4-1
FINAL DRAFT 2-29-96Revised 10/96
Equipment Guide List
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-1
Treatment Planning Unit
NOTE: THE FOLLOWING SIMULATOR EQUIPMENT TO BE DETERMINED ON A PROJECT BASIS BY VETERANS HEALTH SERVICES AND RESEARCH
ADMINISTRATION
NOTE: LIGHT FIXTURE, WARNING, 120 VOLT, 20 AMP, RECESSED MOUNTED WITH 2-15 WATT, T-6, 145 VOLT (FURNISHED) AND WITH "IN USE" INSCRIPTION
(H-18-4, SD E-D-1)
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (H-18-1, MCS 16510)
NOTE: SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAY EQUIPMENT, IN ACCORDANCE WITH (H-18-1, MCS 13091; H-18-3, CS 64-1; H-18-4, SD 24 THRU
Number of People: 6 Special Exhaust: Yes Notes: 1. Route all ductwork over door to avoid radiation scatter.
2. Coordinate coolant water requirement with equipment supplier. The use of
city water is not permitted.
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: As Required Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Provide a line of compressed air
capable of providing minimum of 1 CFM at 5 psig.
2. Dry preaction system is recommended for fire protection
system.3. Some local potable water supplies
could cause excessive corrosion and frequent replacement of the internal equipment heat exchange. Consult equipment manufacturer regarding water treatment requirements.
GUIDE PLATE 4-2
FINAL DRAFT 2-29-96Revised 10/96
Equipment Guide List
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-2
Superficial Therapy Unit
NOTE: THE FOLLOWING X-RAY EQUIPMENT TO BE DETERMINED ON PROJECT BASIS BY VETERANS HEALTH ADMINISTRATION.
1 VC THERAPY UNIT, X-RAY, HIGH FREQUENCY1 VC POWER UNIT DEVICE2 VC COOLER, WATER1 VC STABILIZER
INSTALL POWER UNIT DEVICE, WATER COOLER AND STABILIZER IN AN ENCLOSED SPACE NOT LESS THAN, 154mm x 3048mm (5’-0” x 10’-0”) WITH VENTILATION TO DISSIPATE HEAT GENERATED, AMOUNT OF
EQUIPMENT VARIES WITH MANUFACTURER.
NOTE: SERVICES, ELECTRICAL & PLUMBING, AS REQUIRED FOR EQUIPMENT.
1 VV TABLE, THERAPY, HYDRAULIC, MOBILE1 CC DOOR, POWER OPERATED, WITH ELECTRIC SAFETY
INTERLOCK TIED INTO CONTROL PANEL WITH LEAD GLASS WINDOW (PG-18-1, MCS 13091; PG18-4, SD 24G)
1 CC WINDOW, VIEWING, LEAD GLASS, FOR PATIENT OBSERVATION (PG-18-1, MCS 13091; PG-18-4, SD 25G)
AR CC SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAY EQUIPMENT, IN ACCORDANCE WITH (PG-18-1, MSC 13091, H-18-3, CS 64-1; PG-18-4, SD 24 THRU 24K AND NCRP REPORT NO. 33, 35 AND 49)
1 CC SPEAKER, WITH CHANNEL SELECTOR AND VOLUME CONTROL, HOSPITAL RADIO SYSTEM (PG-18-1, MCS 16771)
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 2-29-96Revised 10/96
Equipment Guide List
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-2
Superficial Therapy Unit, Control Area
1 VV CABINET, CONTROL FOR THERAPY UNIT (LOCATE ON SHELF DIRECTLY BELOW DIRECTLY BELOW LEAD GLASS VIEWING WINDOW) (CAPACITY OF GENERATOR TO BE DETERMINED ON PROJECT BASIS)
AR CC INCANDESCENT, DIMMING SYSTEM (PG-18-1, MCS 16510)1 CC INTERCOM, STATION (PG-18-1, MCS 16760)1 CC OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-18-1,
MCS 16111)
SYMBOL QTY AI DESCRIPTION
FINAL DRAFT 2-29-96Revised 10/96
Design StandardsOrthovoltage Therapy UnitARCHITECTURAL Ceiling: Acoustic Ceiling Tile Ceiling Ht: 2895 mm (9'-6") Wall Finish: Painted Concrete Wainscot: -- Base: Resilient base Floor Finish: Vinyl Composition Tile or Carpet Slab Depr: Coordinated with equipment
manufacturer Notes: 1200mm (4’-0”) wide automatic
door. See VA Construction Standard 64-1, X-Ray Radiation Shielding and Special Control”.
SPECIAL EQUIPMENTNone
LIGHTING General: 30 FC - 3.2 W/SF Special: -- Notes: 1. “Beam On” and “Beam Ready”
warning sign fixture.2. Continuous fluorescent
direct/indirect fixture, acrylicprismatic lens on top and bottom,with 2-F32T8 lamps, 4100 deg. KCRI=85.
Number of People: 6 Special Exhaust: Yes Notes: --
GUIDE PLATE 4-3
FINAL DRAFT 2-29-96Revised 10/96
Design StandardsOrthovoltage Therapy UnitPLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: As Required Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Provide a line of compressed air
capable of providing minimum of1 CFM at 5 psig.
2. Dry preaction system isrecommended for fire protectionsystem.
3. Some local potable watersupplies could cause excessivecorrosion and frequentreplacement of the internalequipment heat exchange. consult equipment manufac-turer regarding water treatmentrequirements.
VA DESIGN GUIDERADIATION THERAPY SERVICE
GUIDE PLATE 4-3
FINAL DRAFT 2-29-96Revised 10/96
Equipment Guide List
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-3
Orthovoltage Therapy Unit
NOTE: PROVIDE ONLY WHEN APPROVED FOR A SPECIFIC PROJECT (AIR, OXYGEN, VACUUM OUTLET AND BRACKET).
NOTE: SERVICES, ELECTRICAL & PLUMBING, AS REQUIRED FOR EQUIPMENT.
NOTE: THE FOLLOWING ORTHOVOLTAGE EQUIPMENT TO BE DETERMINED ON PROJECT BASIS BY VETERANS HEALTH ADMINISTRATION (VHA).
NOTE: DOOR, POWER OPERATED, WITH ELECTRIC SAFETY INTERLOCK TIED INTO CONTROL PANEL WITH LEAD GLASS WINDOW (H-18-1, MCS 08721)
NOTE: LIGHT FIXTURE, WARNING, 120 VOLT, 20 AMP, RECESSED MOUNTED WITH 2-15 WATT, T-6, 145 VOLT (FURNISHED) AND WITH "IN USE" INSCRIPTION(H-18-4, SD E-D-1)
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (H-18-1, MCS 16510)
NOTE: SHIELDING, RADIATION, FOR ROOMS WITH FIXED X-RAY EQUIPMENT, IN ACCORDANCE WITH (H-18-1, MCS 13091; H-18-3, CS 64-1; H-18-4, SD 24 THRU 24K AND NCRP REPORT NO. 33, 35 AND 49)
NOTE: SPEAKER, WITH CHANNEL SELECTOR AND VOLUME CONTROL, HOSPITAL RADIO SYSTEM (H-18-1, MCS 16771)
AR CF MODULAR CASEWORKJ-2 AR CF SINK, CORROSION RESISTING STEEL, WITH CENTER
DRAIN OUTLET, 457 mm X 381 mm X 203 mm(18" X 15" X 8") (H-18-1 & H-18-6, MCS 11602)
AR VC CAMERA, TV, CLOSED CIRCUIT (FOR PATIENT OBSERVATION)
Number of People: 6 Special Exhaust: Yes Notes: 1. Route all ductwork in vault down
maze and over door to avoidradiation scatter.
2. Coordinate coolant waterrequirement with equipmentsupplier. The use of city water isnot permitted.
3. Provide dedicated exhaust systemto biological safety cabinet (ifrequired).
GUIDE PLATE 4-4
FINAL DRAFT 2-29-96Revised 10/96
Design StandardsSupervoltage UnitPLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: As Required Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Provide a line of compressed air
capable of providing minimum of 1CFM at 5 psig.
2. Dry preaction system isrecommended for fire protectionsystem.
3. Some local potable water suppliescould cause excessive corrosionand frequent replacement of theinternal equipment heat exchange. consult equipment manufac-turerregarding water treatmentrequirements.
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-4
FINAL DRAFT 2-29-96Revised 10/96
Equipment Guide List
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-4
Supervoltage Unit
NOTE: PROVIDE ONLY WHEN APPROVED FOR A SPECIFIC PROJECT (AIR, OXYGEN, VACUUM OUTLET AND BRACKET).
NOTE: SERVICES, ELECTRICAL, AS REQUIRED FOR EQUIPMENT.
NOTE: STATIONARY THERAPY UNIT MAY BE SUBSTITUTED IF APPROVED FOR A SPECIFIC PROJECT.
NOTE: THE FOLLOWING X-RAY EQUIPMENT TO BE DETERMINED ON PROJECT BASIS BY VETERANS HEALTH ADMINISTRATION.
NOTE: DOOR, POWER OPERATED, WITH ELECTRIC SAFETY INTERLOCK TIED INTO CONTROL PANEL WITH LEAD GLASS WINDOW (H-18-1, MCS 08721)
NOTE: LIGHT FIXTURE, WARNING, 120 VOLT, 20 AMP, RECESSED MOUNTED WITH 2-15 WATT, T-6, 145 VOLT (FURNISHED) AND WITH "IN USE" INSCRIPTION(H-18-4, SD E-D-1)
NOTE: LOW LEVEL DIMMED INCANDESCENT LIGHTING SYSTEM IN ADDITION TO GENERAL FLUORESCENT ILLUMINATION SYSTEM (H-18-1, MCS 16510)
NOTE: PROTECTION, RADIATION - TO BE PRESCRIBED BY A REGISTERED RADIOLOGICAL PHYSICIST APPROVED BY THE AMERICAN BOARD OF RADIOLOGY IN ACCORDANCE WITH STANDARDS AND REGULATIONS OF NCRP REPORT 49 AND 50 AS APPROPRIATE
NOTE: SPEAKER, WITH CHANNEL SELECTOR AND VOLUME CONTROL, HOSPITAL RADIO SYSTEM (H-18-1, MCS 16771)
AR CF MODULAR CASEWORKJ-2 AR CF SINK, CORROSION RESISTING STEEL, WITH CENTER
DRAIN OUTLET, 457 mm X 381 mm X 203 mm(18" X 15" X 8") (H-18-1 & H-18-6, MCS 11602)
Number of People: 6 Special Exhaust: Yes Notes: 1. Route all ductwork in vault down
maze and over door to avoidradiation scatter.
2. Coordinate coolant waterrequirement with equipmentsupplier. The use of city wateris not permitted.
3. Provide dedicated exhaustsystem to biological safetycabinet (if required).
VA DESIGN GUIDERADIATION THERAPY SERVICE
PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: Yes Reagent Grade Water: As Required Medical Air: -- Medical Vacuum: -- Oxygen: -- Notes: 1. Provide a line of compressed air
capable of providing minimum of1 CFM at 5 psig.
2. Dry preaction system isrecommended for fire protectionsystem.
3. Some local potable watersupplies could cause excessivecorrosion and frequentreplacement of the internalequipment heat exchange. consult equipment manufac-turer regarding water treatmentrequirements.
GUIDE PLATE 4-5
FINAL DRAFT 2-29-96Revised 10/96
Equipment Guide List
VA DESIGN GUIDERADIATION THERAPY SERVICE GUIDE PLATE 4-5
Megavoltage Unit
NOTE: PROVIDE ONLY WHEN APPROVED FOR A SPECIFIC PROJECT (AIR, OXYGEN, VACUUM OUTLET AND BRACKET).
NOTE: SERVICES, ELECTRICAL, AS REQUIRED FOR EQUIPMENT.
NOTE: THE FOLLOWING X-RAY EQUIPMENT TO BE DETERMINED ON PROJECT BASIS BY VETERANS HEALTH ADMINISTRATION.
NOTE: DOOR, POWER OPERATED, WITH ELECTRIC SAFETY INTERLOCK TIED INTO CONTROL PANEL WITH LEAD GLASS WINDOW (H-18-1, MCS 08721)
NOTE: INDIRECT, FLUORESCENT, DIMMED LIGHTING SYSTEM (H-18-1, MCS 16510)
NOTE: LIGHT FIXTURE, WARNING, 120 VOLT, 20 AMP, RECESSED MOUNTED WITH 2-15 WATT, T-6, 145 VOLT (FURNISHED) AND WITH "IN USE" INSCRIPTION(H-18-4, SD E-D-1)
NOTE: PROTECTION, RADIATION - TO BE PRESCRIBED BY A REGISTERED RADIOLOGICAL PHYSICIST APPROVED BY THE AMERICAN BOARD OF RADIOLOGY IN ACCORDANCE WITH STANDARDS AND REGULATIONS OF NCRP REPORT 49 AND 50 AS APPROPRIATE
NOTE: SPEAKER, WITH CHANNEL SELECTOR AND VOLUME CONTROL, HOSPITAL RADIO SYSTEM (H-18-1, MCS 16771)
AR CC CUSTOM STORAGE CASEWORKAR CF MODULAR CASEWORK
J-2 AR CF SINK, CORROSION RESISTING STEEL, WITH CENTER DRAIN OUTLET, 457 mm X 381 mm X 203 mm(18" X 15" X 8") (H-18-1 & H-18-6, MCS 11602)
HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling 50%
Dry Bulb Temp Heating F 72 Relative Humidity/Heating 30%
Minimum % Outside Air 100 Minimum Air Changes/Hr 10
100% Exhaust Air YES Room Pressure NEGATIVE
Noise Criteria NC-40 AC Load - Equipment 0.5574 W/SM
Steam YES*** Number of People 3
Notes: Special Exhaust YES***
***VS EQUIP: SEE PG-08-6 FOR STEAM, HEAT GAIN, EXHAUST CAPACITY
HW-546: 1400 CFM EXH; 30-60 PSIG, 40 LB/HR STEAM
PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES
Hot Water YES Reagent Grade Water YES
Laboratory Air YES Laboratory Vacuum -
Notes: ****FOR VS EQUIP Other SHOP AIR****
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-1
Equipment Guide ListSoiled Receiving & Decontamination AreaSYMBOL AI QUANTITY DESCRIPTION
A B C D
SOILED RECEIVING AND DECONTAMINATION AREA
TOP 5A CC 1 COUNTER TOP, CORROSION RESISTING (STAINLESS)STEEL, 32 MM (1-1/4") THICK (PG-08-1 & PG-08-6, MCS11602)
S-2 CF 3 SINK, CORROSION RESISTING STEEL, WITH END ORCORNER DRAIN OUTLET, 635 MM X 457 MM X 406 MM(25" X 18" X 16") DEEP, INTEGRAL WITH TOP 5A (PG-08-1 & PG-08-6, MCS 11602)
-AND/OR-
CC 1 SINK, DOUBLE, CORROSION RESISTING STEEL, WITHEND OR CORNER DRAIN OUTLET, EACH SINK, 635 MMX 457 MM X 406 MM (25" X 18" X 16") DEEP, INTEGRALWITH TOP 5A (PG-08-1 & PG-08-6, MCS 11602)
VL20 CC 3 CABINET, UNDERCOUNTER, SINK UNIT, 2 HINGEDPANEL DOORS, AVAILABLE WIDTHS - 762 MM, 914 MM,1067 MM, 1219 MM; (30", 36", 42", 48") DEPTH - 559 MM;(22") HEIGHT - 787 MM, (31") FOR FLOOR MOUNTED,ASSEMBLED WITH TOP 5A AND SINK S-2 (PG-08-1 &PG-08-6, MCS 12345)
-AND/OR-
VL23 CC 1 CABINET, UNDERCOUNTER, SINK UNIT, DOUBLECOMPARTMENT, 2 HINGED PANEL DOORS, AVAILABLEWIDTHS - 1372 MM, 1524 MM; (54", 60") DEPTH - 559MM; (22") HEIGHT - 787 MM, (31") FOR FLOORMOUNTED, ASSEMBLED WITH TOP 5A AND DOUBLESINK (PG-08-1 & PG-08-6, MCS 12345)
CC 1 OUTLET, LABORATORY AIR, OVER COUNTER, WITHIN36" OF SINK (PG-08-1, MCS 15488)
VL86 CC 1 MANIFOLD, TUBE WASHING (PG-08-1 & PG-08-6, MCS11602)
CC 1 FAUCET, REAGENT GRADE OR MINERAL FREE WATER(PG-08-1, MCS 11602)
VV AR WASHER, ROTARY, FOR WASHINGRESPIRATORY/ANESTHESIA TUBING ANDACCESSORIES, E.G., OLYMPIC TYPE
CC 1 DOOR, ACCESS, LAUNDRY CHUTE (PG-08-1, MCS14560)
VS-504 CC 1 WASHER/STERILIZER, SURGICAL INSTRUMENT,SINGLE DOOR, CABINET ENCLOSED, (CHAMBER SIZE:16" X 16" X 26"/3.8 CU. FT.), PROVIDE STEAM, WATER,COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUSTAS REQUIRED (PG-08-1 & PG-08-6, MCS 11710)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-1
Equipment Guide ListSoiled Receiving & Decontamination AreaSYMBOL AI QUANTITY DESCRIPTION
A B C D
-OR-
VS503 CC 1 WASHER/STERILIZER, SURGICAL INSTRUMENT,SINGLE DOOR, RECESSED THROUGH ONE WALL,(CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDESTEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRICAND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS11710)
VV 1 TABLE, TRANSFER, CRS, MOBILE FORWASHER/STERILIZER, WITH (CHAMBER SIZES: 16" X16" X 26")
VC 1 CLEANER, ULTRASONIC, WITH RINSER AND DRYER,TYPE DETERMINED ON INDIVIDUAL PROJECT BASIS
CC AR HOOD, EXHAUST, PROVIDE ONE HOOD OVER THEENTIRE WASHER AND LOADING DOOR (PG-08-1, MCS15822)
VV AR TABLE, WORK, PORTABLE, CORROSION RESISTINGSTEEL, 24" X 48" X 36"H
P-708 CC 1 EMERGENCY EYE AND FACE WASH, WALL MOUNTED,(PG-08-1, MCS 15450)
CC 1 2 1 1 DISPENSER, SOAP, WITH FOOT CONTROL, WALLMOUNTED OVER SINK (PG-08-1, MCS 10800)
VV 1 2 1 1 DISPENSER, BIFOLD PAPER TOWEL, SURFACEMOUNTED
VV 1 DRIER, TUBING, 120 VOLT, 20 AMP
VV 1 BULLETIN BOARD, APPROX., 1219 MM X 914 MM (48" X36")
CC AR STATION, SOILED RETURN FROM AUTOMATIC EJECTAT DOWN CONVEYOR (PG-08-1, MCS 14125)
P-802 CC AR HOSE BIBB, COMBINATION FAUCET, WALL MOUNTED,CONCEALED SUPPLY PIPES (PG-08-1, MCS 15450; H-08-4, SD 4.2)
CC AR DRAIN, FLOOR (PG-08-1, MCS 15400)
NOTE: PROVIDE FLOOR DRAIN ONLY IN AREAHOUSING THE STERILIZERS AND NOT IN THERECEIVING-DECONTAMINATION AREA
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-1
Equipment Guide ListSoiled Receiving & Decontamination AreaSYMBOL AI QUANTITY DESCRIPTION
A B C D
VV 7 5 3 RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16"
CC 1 SPEAKER, WALL WITH VOLUME CONTROL,CONNECTED TO STATION RADIO SYSTEM (TO BEDETERMINED BY VETERANS HEALTH ADMINISTRATIONFOR EACH PROJECT WHEN THERE IS NOT ANEXISTING PUBLIC ADDRESS AND/OR RADIO SYSTEM)(PG-08-1, MCS 16771)
VS-508 CC AR WASHER/STERILIZER, AUTOMATED, PROVIDE STEAM,WATER, COMPRESSED AIR, MINERAL FREE-WATER,FLOOR DRAIN, ELECTRIC AND EXHAUST AS REQUIRED(PG-08-1 & PG-08-6, MCS 11710)
-OR-
VS-505 CC 2 2 1 WASHER/STERILIZER, SURGICAL INSTRUMENT,DOUBLE DOOR, RECESSED THROUGH ONE WALL,(CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDESTEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRICAND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS11710)
CC AR MODULAR WALL, ENCLOSURE PANELS, CRS, FROMFLOOR TO FINISHED CEILING, WITH EXHAUST LOUVERIN MODULAR PANEL ABOVE DOORS OF STERILIZERS(PG-08-1 & PG-08-6, MCS 11710)
CC AR RACK/BASKET RETURN, PASS-THRU, CONVEYOR ORFLOOR LEVEL, SPRING-LOADED BI-SWING DOORS (PG-08-1, MCS 11710)
CC AR CART, LOADING, FOR USE WITH PASS THRUSTERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS11710)
CC AR CARRIAGE, TRANSFER, FOR USE WITH PASS-THRUSTERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS11710)
VV 1 REAGENT GRADE OR MINERAL FREE WATER SYSTEM,SIZE AND TYPE DETERMINED ON INDIVIDUAL PROJECTBASIS
CC 1 OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-08-1, MCS 16111)
CC 1 MASTER STATION, FOR INTRASERVICE INTERCOM(PG-08-1, MCS 16760)
VV 1 CLOCK, BATTERY OPERATED
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-1
Equipment Guide ListSoiled Receiving & Decontamination AreaSYMBOL AI QUANTITY DESCRIPTION
A B C D
CC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 15AMP, STRIP MOLD WITH OUTLETS, WIREDALTERNATELY ON SEPARATE CIRCUITS ON 610 MM(24") CENTERS ABOVE COUNTER (PG-08-1, MCS 16140;H-08-3, CS 801-3)
CC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20AMP, 2 PER WALL, MINIMUM (PG-08-1, MCS 16140; H-08-3, CS 801-3)
VV AR HANDCART, WITH 2 REMOVABLE BASKETS, 38" X 24" X42-1/2"
CC 1 OUTLET, CENTRAL PAGING OR BROADCAST SYSTEM TOBE DETERMINED BY VHA FOR EACH PROJECT WHENTHERE IS NOT AN EXISTING PUBLIC ADDRESS AND/ORRADIO SYSTEM) (PG-08-1, MCS 16770)
VS-351 CC 2 3 AERATOR, ETHYLENE OXIDE, CABINET ENCLOSED,(CHAMBER SIZE: 24" X 36" X 48"/60"), PROVIDEELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710)
-OR-
VC 1 AERATOR, FOR 100% ETHYLENE OXIDE GASSTERILIZER, SINGLE DOOR, RECESSED THROUGH ONEWALL OR FREE STANDING UNIT, FOR RECESSED UNITPROVIDE MOUNTING RACK, FOR FREE STANDING UNITPROVIDE STACKING RACK, PROVIDE ELECTRIC ANDEXHAUST AS REQUIRED
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-2
Equipment Guide ListPreparation, Assembly & Sterilization AreaSYMBOL AI QUANTITY DESCRIPTION
A B C D
CC AR ENCLOSURE PLENUM, CRS, BETWEEN TOP OFAERATOR AND CEILING, PROVIDE EXHAUST LOUVER INPLENUM ENCLOSURE PANEL ABOVE DOOR (PG-08-1,MCS 11710)
VS-325 CC 2 STERILIZER/AERATOR, ETHYLENE OXIDE GAS, SINGLEDOOR, RECESSED THROUGH ONE OR TWO WALLS,(CHAMBER SIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDESTEAM, WATER, DRAIN, ELECTRIC AND EXHAUST ASREQUIRED (PG-08-1 & PG-08-6, MCS 11710)
VC 2 STERILIZER/AERATOR, 100% ETHYLENE OXIDE GAS,SINGLE DOOR, RECESSED THROUGH ONE WALL ORFREE STANDING UNIT, FOR RECESSED UNITS PROVIDEMOUNTING RACK, FOR FREE STANDING UNIT PROVIDESTACKING RACK, PROVIDE COMPRESSED AIR,ELECTRIC AND EXHAUST AS REQUIRED
VS-360 CC AR ETHYLENE OXIDE DISPOSER SYSTEM, 838 MM X 889 MMX 2083 MM (33" X 35" X 82"), PROVIDE ELECTRIC ANDEXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710)
VV 1 CONTINUOUS MONITORING DEVICE, ETHYLENE OXIDEGAS WITH ADDITIONAL SENSORS/ALARMS, ETOSPECIFIC TO .01 PARTS-PER-MILLION
NOTE: PROVIDE ONE EMISSION CONTROL DEVICE FORNO MORE THAN TWO ETO STERILIZER
VS-203 CC 2 3 STERILIZER, MECHANICAL AIR REMOVAL, SINGLEDOOR, RECESSED THROUGH ONE WALL, CHAMBERSIZE: 610 MM X 1219 MM X 914 MM/ .68 M3, (24" X 36" X48"/24 CU. FT.) PROVIDE STEAM, WATER, COMPRESSEDAIR, DRAIN, ELECTRIC AND EXHAUST AS REQUIRED(PG-08-1 & PG-08-6, MCS 11710)
-OR-
VS-210 CC 2 3 STERILIZER, MECHANICAL AIR REMOVAL, DOUBLEDOOR, RECESSED THROUGH TWO WALLS, (CHAMBERSIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDE STEAM,WATER, COMPRESSED AIR, DRAIN, ELECTRIC ANDEXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710)
-AND/OR-
VS-205 CC AR STERILIZER, MECHANICAL AIR REMOVAL, SINGLEDOOR, RECESSED THROUGH ONE WALL, CHAMBERSIZE: 610 MM X 914 MM X 1524 MM/.85 M3(24" X 36" X60"/30 CU. FT.), PROVIDE STEAM, WATER,COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST ASREQUIRED (PG-08-1 & PG-08-6, MCS 11710)
-OR-
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-2
Equipment Guide ListPreparation, Assembly & Sterilization AreaSYMBOL AI QUANTITY DESCRIPTION
A B C D
VS-211 CC AR STERILIZER, MECHANICAL AIR REMOVAL, DOUBLEDOOR, RECESSED THROUGH TWO WALLS, CHAMBERSIZE: 610 MM X 914 MM X 1524 MM/.85 M3(24" X 36" X60"/30 CU. FT.), PROVIDE STEAM, WATER,COMPRESSED AIR, DRAIN, ELECTRIC AND EXHAUST ASREQUIRED (PG-08-1 & PG-08-6, MCS 11710)
CC AR MODULAR WALL, ENCLOSURE PANELS, CRS, FROMFLOOR TO FINISHED CEILING, WITH EXHAUST LOUVERIN MODULAR PANEL ABOVE DOORS OF STERILIZERS(PG-08-1 & PG-08-6, MCS 11710)
CC AR CART, LOADING, FOR USE WITH AERATOR AND PASS-THROUGH/RECESSED STERILIZERS, CHAMBER SIZES:610 MM X 914 MM X 1219 MM/1524 MM (24" X 36" X48"/60") (PG-08-1, MCS 11710)
CC AR CARRIAGE, TRANSFER, FOR USE WITH AERATORS ANDPASS-THROUGH/RECESSED STERILIZERS, CHAMBERSIZES: 610 MM X 914 MM X 1219 MM/1524 MM (24" X 36"X 48"/60") (PG-08-1, MCS 11710)
VV 1 MESSAGE BOARD, PLASTIC LAMINATE, 914 MM X 610MM (36" X 24")
CC 1 OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-08-1, MCS 16111)
CC 1 MASTER STATION, FOR INTRASERVICE INTERCOM (PG-08-1, MCS 16760)
VV 1 CLOCK, BATTERY OPERATED
CC AR 8 7 6 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP(PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-3
ELECTRICALLighting PowerGeneral 50 FC - 3 W/SF* General ***
Special 30 FC-2 W/SF** Emergency ***
Notes: *LOBBY
**SERVICE AREA
***VS-325: POWER DOOR - 17A, 120V; CONTROL - 3A, 120V; VS-360: 40A, 208V, 3 PH
***VACUUM PUMP - 8A, 208V, 3 PH; RECEPTACLES: 800 W
COMMUNICATIONSADP - Telephone -
Radio - Intercom -
Public Address -
HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling -
Dry Bulb Temp Heating F 72 Relative Humidity/Heating -
Minimum % Outside Air 100 Minimum Air Changes/Hr 10
100% Exhaust Air YES Room Pressure NEGATIVE
Noise Criteria NC-40 AC Load - Equipment 2.0438 W/SM
Steam - Number of People 0
Notes: Special Exhaust YES****
****DEDICATED ETO EXHAUST SYSTEM PER HVAC DESIGN MANUAL
VS-360 WHERE REQ'D TO MEET STATE CODES
PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES*****
Hot Water - Reagent Grade Water -
Laboratory Air - Medical Air -
Laboratory Vacuum - Medical Vacuum -
Other SHOP AIR****** Oxygen -
Notes: *****4" OSD FOR EACH STERILIZER
******FOR VS EQUIP
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-3
Equipment Guide ListEtO Sterilizer/Aerator RoomEquipment Guide List for this area reprinted from 5-2 Preparation, Assembly & Sterilization Area.
SYMBOL AI QUANTITY DESCRIPTION
A B C D
NOTE: PROVIDE EMERGENCY POWER SYSTEM FOR THE ETO STERILIZER/AERATOR, ETO EXHAUST ANDETO MONITORING EQUIPMENT.
VC 1 AERATOR, FOR 100% ETHYLENE OXIDE GASSTERILIZER, SINGLE DOOR, RECESSED THROUGH ONEWALL OR FREE STANDING UNIT, FOR RECESSED UNITPROVIDE MOUNTING RACK, FOR FREE STANDING UNITPROVIDE STACKING RACK, PROVIDE ELECTRIC ANDEXHAUST AS REQUIRED
CC AR ENCLOSURE PLENUM, CRS, BETWEEN TOP OFAERATOR AND CEILING, PROVIDE EXHAUST LOUVER INPLENUM ENCLOSURE PANEL ABOVE DOOR (PG-08-1,MCS 11710)
VS-325 CC 2 STERILIZER/AERATOR, ETHYLENE OXIDE GAS, SINGLEDOOR, RECESSED THROUGH ONE OR TWO WALLS,(CHAMBER SIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDESTEAM, WATER, DRAIN, ELECTRIC AND EXHAUST ASREQUIRED (PG-08-1 & PG-08-6, MCS 11710)
VC 2 STERILIZER/AERATOR, 100% ETHYLENE OXIDE GAS,SINGLE DOOR, RECESSED THROUGH ONE WALL ORFREE STANDING UNIT, FOR RECESSED UNITS PROVIDEMOUNTING RACK, FOR FREE STANDING UNIT PROVIDESTACKING RACK, PROVIDE COMPRESSED AIR,ELECTRIC AND EXHAUST AS REQUIRED
VS-360 CC AR ETHYLENE OXIDE DISPOSER SYSTEM, 838 MM X 889 MMX 2083 MM (33" X 35" X 82"), PROVIDE ELECTRIC ANDEXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710)
VV 1 CONTINUOUS MONITORING DEVICE, ETHYLENE OXIDEGAS WITH ADDITIONAL SENSORS/ALARMS, ETOSPECIFIC TO .01 PARTS-PER-MILLION
NOTE: PROVIDE ONE EMISSION CONTROL DEVICE FORNO MORE THAN TWO ETO STERILIZERS
CC AR MODULAR WALL, ENCLOSURE PANELS, CRS, FROMFLOOR TO FINISHED CEILING, WITH EXHAUST LOUVERIN MODULAR PANEL ABOVE DOORS OF STERILIZERS(PG-08-1 & PG-08-6, MCS 11710)
CC AR CART, LOADING, FOR USE WITH STERILIZER/AERATOR,CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM(24" X 36" X 48"/60") (PG-08-1, MCS 11710)
CC AR CARRIAGE, TRANSFER, FOR USE WITH STERILIZER/AERATOR, CHAMBER SIZES: 610 MM X 914 MM X 1219MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-3
Equipment Guide ListEtO Sterilizer/Aerator RoomEquipment Guide List for this area reprinted from 5-2 Preparation, Assembly & Sterilization Area.
SYMBOL AI QUANTITY DESCRIPTION
A B C D
CC AR 8 7 6 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP(PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-4
Design StandardsManual Equipment Wash Area
ARCHITECTURALCeiling PCP Wainscot -
Ceiling Height 2700 (9'-0") Base QT
Wall Finish CT* Floor Finish QT
Notes: Slab Depression -
*MOUNT CT ON CONCRETE BACKER BOARD
ELECTRICALLighting PowerGeneral 50 FC - 3 W/SF General 800 W RECEPTACLES
Special - Emergency -
COMMUNICATIONSADP - Telephone -
Radio - Intercom -
Notes: Public Address -
HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F - Relative Humidity/Cooling -
Dry Bulb Temp Heating F - Relative Humidity/Heating -
Minimum % Outside Air - Minimum Air Changes/Hr 10
100% Exhaust Air YES Room Pressure NEGATIVE
Noise Criteria NC-40 AC Load - Equipment -
Steam YES Number of People 0
Notes: Special Exhaust YES**
**DEDICATED EXHAUST SYSTEM, SS CONSTRUCTION, FOR SATURATED WET EXHAUST AIR
PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES***
Hot Water YES Reagent Grade Water -
Laboratory Air - Medical Air -
Laboratory Vacuum - Medical Vacuum -
Other SHOP AIR**** Oxygen -
Notes:
***DRAIN AT ROOM CENTER; SLOPE FLOOR AT 1/8" PER FT
****TO ROOM
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-4
Equipment Guide ListManual Equipment Wash AreaSYMBOL AI QUANTITY DESCRIPTION
VV 1 TABLE, STAINLESS STEEL, 29"W X 60"L, WITH 4" HIGHBACKSPLASH
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-5
Design StandardsEquipment Storage & Testing Room
ARCHITECTURALCeiling AT (SP) Wainscot -
Ceiling Height 2700 (9'-0") Base RB
Wall Finish AT (SP) Floor Finish VCT
Notes: Slab Depression -
0.35 X STERILE/NONSTERILE STORAGE
MUST BE SITUATED CLOSE TO PREP AREA
SPECIAL EQUIPMENT
ELECTRICALLighting PowerGeneral 50 FC - 3 W/SF General 2000 W RECEPTACLES
Special - Emergency -
Notes:
COMMUNICATIONSADP - Telephone YES
Radio - Intercom -
Notes: Public Address -
HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling 50%
Dry Bulb Temp Heating F 72 Relative Humidity/Heating 30%
Minimum % Outside Air 100 Minimum Air Changes/Hr 10
100% Exhaust Air YES Room Pressure (0)
Noise Criteria NC-40 AC Load - Equipment 0.0929 W/SM
Steam - Number of People 2
Notes: Special Exhaust -
PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES
Hot Water YES Reagent Grade Water -
Laboratory Air - Medical Air YES
Laboratory Vacuum - Medical Vacuum YES
Other - Oxygen YES
Notes:
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-5
Equipment Guide ListEquipment Storage & Testing RoomSYMBOL AI QUANTITY DESCRIPTION
A B C D
EQUIPMENT STORAGE AND TESTING ROOM
CC AR PEGBOARD, HEAVY DUTY, WALL HUNG (FOR HANGINGBED RAILS, ORTHOPEDIC EQUIPMENT, ETC.) (PG-08-1,MCS 06200)
VV AR EQUIPMENT ASSEMBLY/INSPECTION STATION, WOOD,STORAGE DRAWERS, 762 MM X 1524 MM X 914 MM (30"X 60" X 36") WITH 203 MM (8") BACKSPLASH
CC 1 OUTLET, MEDICAL VACUUM (PG-08-1, MCS 15491
CC 1 OUTLET, OXYGEN, (PG-08-1, MCS 15491)
CC 1 OUTLET, MEDICAL AIR (PG-08-1, MCS 15491)
P-418 CC 1 LAVATORY, STRAIGHT BACK, SENSOR CONTROL (PG-08-1, MCS 15450; H-08-4, SD 380)
VV 1 DISPENSER, PAPER TOWEL, SURFACE MOUNTED
VV AR RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16"
CC 1 DISPENSER, SOAP, WALL MOUNTED WITH FOOTCONTROL (PG-08-1, MCS 10800)
VV 1 DESK, SINGLE PEDESTAL, APPROX., 1219 MM X 762MM X 749 MM (48" X 30" X 29-1/2")
VV 1 CHAIR, ROTARY, WITHOUT ARMS
VV AR CABINET, STORAGE, SMALL PARTS
VV 1 CLOCK, BATTERY OPERATED
CC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-6
Design StandardsDispatcher's Control Station
ARCHITECTURALCeiling AT Wainscot -
Ceiling Height 2700 (9'-0") Base RB
Wall Finish PL (SC) Floor Finish VCT
Notes: Slab Depression -
0.1 X STERILE/NONSTERILE STORAGE
SPECIAL EQUIPMENT
ELECTRICALLighting PowerGeneral 70 FC - 4 W/SF General 2000 W RECEPTACLES
Special - Emergency -
Notes:
COMMUNICATIONSADP - Telephone -
Radio - Intercom EMPTY CONDUIT
Notes: Public Address YES*
*CONNECT TO HOSPITAL SYSTEM
HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling 50%
Dry Bulb Temp Heating F 72 Relative Humidity/Heating 30%
Minimum % Outside Air 100 Minimum Air Changes/Hr 10
100% Exhaust Air YES Room Pressure (0)
Noise Criteria NC-40 AC Load - Equipment 2.2296 W/SM
Steam - Number of People 2
Notes: Special Exhaust -
PLUMBING AND MEDICAL GASESCold Water - Sanitary Drain -
Hot Water - Reagent Grade Water -
Laboratory Air - Medical Air -
Laboratory Vacuum - Medical Vacuum -
Other - Oxygen -
Notes:
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Guide Plate 5-6
Equipment Guide ListDispatcher's Control StationSYMBOL AI QUANTITY DESCRIPTION
A B C D
DISPATCHER'S CONTROL STATION/OFFICE
VV 1 DESK, DOUBLE PEDESTAL, APPROX., 1524 MM X 762MM X 749 MM (60" X 30" X 29-1/2")
VV AR CHAIR, ROTARY, WITHOUT ARMS
VV 1 CHAIR, ROTARY, WITH ARMS
CC AR STATION, CLEAN TRANSPORT, SIZE AND TYPE TO BEDETERMINED FOR EACH PROJECT, COMPATIBLE WITHSOILED RETURN LIFT (PG-08-1, MCS 14125)
VV 1 BULLETIN BOARD, 40"W X 30"H
CC 1 OUTLET, CENTRAL PAGING OR BROADCAST SYSTEMTO BE DETERMINED BY VHA FOR EACH PROJECTWHEN THERE IS NOT AN EXISTING PUBLIC ADDRESSAND/OR RADIO SYSTEM) (PG-08-1, MCS 16770)
VV AR BOXES, TOTE FOR CONVEYOR SYSTEM
VV AR SHELVING, STORAGE, MOBILE, STEEL, ROD SHELF,OPEN STYLE WITH 5 ADJUSTABLE SHELVES
CC 1 OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-08-1, MCS 16111)
CC 1 MASTER STATION, FOR INTRASERVICE INTERCOM(PG-08-1, MCS 16760)
VV 1 CRT, COMPUTER SYSTEM, WITH KEYBOARD
VV 1 PRINTER, COMPUTER SYSTEM
VV 1 STAND, COMPUTER PRINTER, APPROX., 610 MM X 610MM X 660 MM (24" X 24" X 26")
CC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Contents - Section 6
Section 6Satellite OutpatientClinic
Page
Recommended Space Criteria for SPD .......................................6 - 1
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Page 6-1
Satellite Outpatient Clinic (SOPC)
Recommended Space Criteriafor SPD
Supply, Processing, and Distribution (SPD)is responsible for the processing and issuing ofmedical and surgical supplies and equipmentused in the delivery of patient care. An SPDsection may be required for a stand-alone SOPCthat operates as an off-site satellite facility that isadministratively attached to a VAMC. In somecases, depending on the distance and frequencyof supply deliveries, the VAMC may consider iteconomically sound to use the parent facility'sSPD rather than duplicating the function at theSOPC.
Soiled Receiving
• Decontamination Area: Minimum 18.6 NSM(200 NSF), 12.3 NSM (132 NSF) eachadditional sterilizers; Max. 46.5 NSM (500NSF) Space in this area is based on thenumber of sterilizers required to processreusable supplies and equipment. Theminimum of 18.6 NSM (200 NSF) providesspace for loading zone/access to 3 pass-through sterilizers (1 washer/ sterilizer/sanitizer, 1 steam, and 1 ethylene oxide[EtO] sterilizer) and 1 ultrasonic washer andsink.
• Manual Equipment Wash: 7.4 NSM (80NSF) This room is used to decontaminatecarts and equipment used in delivery ofpatient care.
• Housekeeping Aids Closet: 3.7 NSM (40NSF) For safety reasons this HAC will beused only for the decontamination area.
• Locker, Toilet, Shower: 7.4 NSM (80 NSF).Space provided will accommodate twolockers and a bench (2.3 NSM, 25 NSF),toilet with lavatory and water closet (2.8NSM, 30 NSF), and a shower at 2.3 NSM
(25 NSF). This area is to be used bypersonnel assigned to the Soiled Receivingand Decontamination Area.
Clean Areas
• Preparation Area: Minimum 18.6 NSM (200NSF), Add 12.3 NSM (132 NSF) for eachadditional sterilizer, Maximum 46.5 NSM(500 NSF) As in the decontamination area,space is based on the number of sterilizersneeded to process reusable supplies andequipment. The minimum of 18.6 NSM (200NSF), will provide space for loadingzone/access to 3 pass-through sterilizers (1washer/ sterilizer/ sanitizer, 1 steam, andone EtO gas sterilizer) and an ultrasonicwasher and sink.
• Ethylene Oxide Gas Cylinder Storage: 2.8NSM (30 NSF) If all 100% EtO sterilizers(which use a cartridge), are to be used,space for cylinder storage is unnecessary.
• Sterile/Clean Storage Area: Minimum 22.3NSM (240 NSF) Maximum 46.5 NSM (500NSF) Total annual SOPC visits (notincluding psychiatric visits) x .0035 + 200
• Clean Receiving and Bulk Storage Area: 7.4NSM (80 NSF) This space is provided forreceipt, breakdown, and temporary holdingof bulk sterile/clean supplies.
• Dispatch Area: The issuing and control ofmedical-surgical supplies and equipment isaccomplished in this area. A visual register(quantity and location) of issued suppliesand equipment is maintained in theDispatcher's Control Station/Office. Spacefor this area should be computed as follows:
A) Sterile/Clean Area x 0.1
PLUS
B) Dispatcher's Control Station/Office: 6.5NSM (70 NSF)
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Page 6-2
PLUS (Include only if they will use computerizeddata handling equipment)
C) Work Station: 7.8 NSM (84 NSF) Thisenclosed area will accommodate thecomputerize data handling equipment andpersonnel. A running inventory of allsupplies entering and leaving SPD and theinitiation of the reordering process will beaccomplished at this work station.
• Equipment Storage and Testing Room:Maximum 7.4 NSM (80 NSF) Equipment,after decontamination, is tested and storedin this room. This equipment is used forpatient care and is assigned and stored inSPD as opposed to equipment used inpatient care that is permanently assigned toother areas. This area will also,accommodate SPD and Surgical case carts.
• Housekeeping Aids Closet: 3.7 NSM (40NSF) A separate HAC for the clean area isnot needed if another one (in addition to theone in the decontamination area) is locatedin the immediate area.
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Contents - Section 7
Section 7Miscellaneous
Page
Glossary of Terms.............................7 - 1
Example Layout for SPD...................7 - 3
September 30, 1994
VA Design Guide — Supply, Processing, & Distribution Page 7-1
GLOSSARY OF TERMS
AERATOR: A machine designed to speed up theremoval of EtO residues from sterilizeditems by subjecting them to warm,circulating air.
BIOBURDEN: The number and types of viablemicroorganisms with which an item iscontaminated. When measured, bioburdenis expressed as the total count of bacterialand fungi colony-forming units per singleitem.
CENTRAL SERVICE: A department in thehospital that provides supplies andequipment to patients and medical staff.Another name for SPD.
CLEANING: The physical removal of debris. Ithas two major effects. First, it results in areduction in the number of microorganismspresent. Second, it removes organic matter,such as blood and tissue, and other debris,which may interfere with sterilization ordisinfection.
DECONTAMINATION: The process of renderingcontaminated items safe for handling.
DISINFECTION: A process that destroys mostforms of microorganisms on inanimatesurfaces. The three levels of disinfectionare high-level, intermediate-level and low-level.
ETHYLENE OXIDE GAS STERILIZER (EtO):Sterilization at relatively low temperaturespossible with ethylene oxide gas. Using aheated unit at 49C (120F), sterilization canbe achieved in 2 - 3 hours.
PRIMARY STOCK: Medical supplies storedwithin the confines of the SPD Department
SECONDARY STOCK: Medical supplies storedin user areas such as wards, clinics, nursingcare units, and intensive care units.
STERILIZATION: The process which destroysall types and forms of microorganisms,including viruses, bacteria, fungi, andbacterial endospores.
First Draft 4-15-97
VA DESIGN GUIDETUBERCULOSIS PRIMER CONTENTS - SECTION 4
Section 4Enclosures
Enclosure Title
Program & Facility Planning Guidance for TBPrograms ................................................ Encl 1
Standard Technical Summaries............... Encl 2
1
Department of Veterans AffairsVeterans Health Administration
Program and Facility Planning Guidancefor Tuberculosis Programs
August 18, 1995
OVERVIEW
Over the last several years, the issue of tuberculosis (TB) has been prominent in both the medicalliterature and the national press. This has been emphasized in the last year coincident with an increasedpubic awareness of emerging and re-emerging pathogens on the national and global level. Finally, andafter much work, the actual number of new cases of active tuberculosis disease is decreasing nationallywith the most notable decrease in the New York area. However, the TB epidemic continues particularlyalong the coast of the United States. No section of the country has been completely spared, however, ascases of tuberculosis have been identified in all VHA Regions.
To effectively plan and implement a tuberculosis program facilities must obtain information on currentand projected TB workload, evaluate and define missions related to TE, and develop integrated plans forpatient care, employee healtf4.and enhance facility controls. This TB program guidance will provide aconsistent framework for such VA TB program planning,
This planning document is organized in a format that prioritizes overall guidance for TB control based onclinical and epidemiologic priorities. It specifies infection control practices and regulatory requirements,while incorporating work practice controls, engineering, controls, and personal protective equipment intothe overall guidance. This is not designed to be a regulatory compliance document, but rather tointegrate the various components of tuberculosis control strategies into the medical facility culture.
CHARACTERISTICS OF A TB PROGRAM
I. Assign Responsibility
While all programs within VA Medical Centers are the ultimate responsibility of the Medical CenterDirector, it is appropriate to assign the responsibility for the tuberculosis program to a specific qualifiedperson or group of people within the facility. Each facility is to have a coherent, practical andimplementable program. Then the program must be implemented, monitored, and evaluated. Theprogram will also ensure that a mechanism will be established to identify responsible parties. forcomponents of the program, establish the program structure, and define the hierarchy of responsibilityfrom TB program officials to the facility Director. Included in this group should be representation fromInfection Control, Medical Staff (Infectious Diseases and Pulmonary Medicine if available), Nursing,Occupational Health, Safety/Industrial Hygiene, and Engineering, thus assuring the availability ofexpertise in all areas of TB control as well as ownership of the program through a multidisciplinary inputprocess.
2
II. Risk Assessment, Tuberculosis Plan and Periodic Reassessment
An initial facility risk assessment must be undertaken. This includes gathering data regarding thefollowing: tuberculosis in the community, tuberculosis within the facility, skin test conversions within thefacility, and other evidence, if any, of person-to-person transmission of TB within the local health caresetting. A specific level of risk can be assigned for purposes of planning and monitoring or evaluating'intervention strategies to be incorporated into the written facility tuberculosis plan. The plan shouldinclude all components of the tuberculosis control strategies for the facility in a format that is concise yetcomprehensive. It should be located in a single document or group of documents that are easilyaccessible by hospital employees. Fragmentation of the tuberculosis control plan with multiple non-centralized documents should be avoided.
This risk assessment will need to be redefined at intervals appropriate to the risk- of transmission oftuberculosis as defined by disease/infection prevalence in the community and the facility. Specifically,changes in case rates for the facility or the community, clusters of skin test conversions, or other evidencesuspicious for facility TB mission will necessitate immediate reevaluation of the facility risk. The repeatrisk assessment should also include evaluation of the effectiveness of the extant, local methodologies forprevention of TB transmission.
III. Identification, Evaluation, and Treatment of Patients with Tuberculosis
The most important factors in preventing transmission of Mycobacterium tuberculosis are the earlyidentification of patients who may have infectious TB, prompt implementation of TB precautions for suchpatients, and prompt initiation of effective treatment for those who are likely to have TB.
For patients presenting to the health care facility for care, screening for signs and symptoms of TB shouldbe done in the initial triage locale. The detail and extent of this screening process should be determinedbased on the facility risk category. An example of a suitable screening methodology would bequestioning the patient regarding cough lasting greater than three weeks, weight loss, night-sweats andmalaise. A facility should individualize its screening methodology in the most appropriate manner for itsown risk stratum based on perceived risk to other patients and employees. As patients present for care inhigh or moderate risk areas, the issue of initial triage is extremely critical. Consideration should be givento speed of triage, traffic patterns as patients move about in admissions area, clinic assignments, and riskto employees performing administrative functions. Any triage system must be designed to preventpatients with suspected or known infectious tuberculosis (S/KI TB) from moving about the facility in anunprotected manner.
Tuberculin skin testing for high risk patients (methodology to meet most current CDC Guidelines) isdesigned to identify patients who are infected with Mycobacterium tuberculosis before they developsymptoms (cough, fever, sweats, weight loss) of active disease and become infectious.
For long-term care facilities, screening prior to admission should include PPD testing (following mostrecent CDC and VA guidance) and/or chest x-ray as appropriate (routine screening chest x-rays shouldonly be implemented based on local risk assessment), and include a focused physical examina6on. Inhigh or moderate risk areas this should be done prior to admission to the long-term care facility. Inminimal or low risk areas, this screening may be completed within 72 hours of admission if adequatetriage is accomplished.
3
A. Patient Masks
When any patients are identified as having S/KI TB, they should wear a surgical mask and be placed inrooms meeting identified engineering controls 'or S/KI TE patients as noted later in this document.
B. Tuberculin Skin Test (TST) for High Risk Patients
Screening for high risk individuals must be a hospital-wide policy. This includes, but is not limited to,timely ongoing screening of HIV-positive patients, dialysis patients, the homeless, substance abusepatients and patients in other high risk special programs such as Hospital Based Home Care (HBHC) andothers as identified by the facility. All these screening programs should use the most current CDC-defined methodology for TST. If a patient has signs or symptoms suggestive of tuberculosis disease, afull evaluation must be conducted.
C. Laboratory Assessment
It is critical to expedite the evaluation and treatment of patients with S/KI TB. This includes access tocurrent laboratory technology for acid fast bacteria (AFB) smears, cultures, and susceptibility testing.
1. AFB smears, the following is necessary:
a. Available five days per week and reported within 24 hours of specimen receiptb. Consideration should be given to seven days per week for areas with a high
incidence of TBc. One sputum per patient per day should be sufficient
2. Cultures for Mycobacterium tuberculosis, the following is needed:
a. Available five days per weekb. Rapid identification methodology
Smears and culture results should be reported immediately to designated person(s). This must include thecare provider and should be reported to the Infection control function.
3. Susceptibility testing for Mycobacterium tuberculosis, the following, is appropriate:
a. First isolateb. Additional isolates if:
(1) failure to convert cultures within three months of beginning therapy(2) clinical evidence of failure to respond to therapy(3) other specific circumstances may dictate additional susceptibility testing.
It is not required that all of these activities be done on station. It is the facility’s responsibility to assurethat rapid, current diagnostic laboratory testing for Mycobacterium tuberculosis is readily available tothe clinicians. The guidance above should be used as a basis for individual station decision-makingregarding specific time frames and location for each of the studies noted above based on patient careneeds. These decisions should be documented in writing in the facility tuberculosis control plan to ensurefacility-wide consensus by the process stakeholders on these critical clinical testing issues.
4
D. Patient Management
If the patient has been identified as having active tuberculosis disease, initiation of therapy shouldbe prompt using the most current CDC guidelines.
After a patient has been identified as having S/KI TB, the patient should be placed in a room meeting theengineering control guidelines noted below in this document. Enablers may be necessary to assure thatthe patient remains in this controlled environment, since patients cannot be allowed to wander about thehospital in an unprotected manner. Enablers, such a-s television sets, telephones, bathing facilities, andrecreational activities may be important to maintain these precautionary measures. In order to maintainproper directional air flow in the rooms, the doors must remain closed. If the patient must be out of theroom for clinical purposes, the patient should wear a surgical mask and administrative arrangementsmade to expedite the return of the patient to the negative pressure room. Discharge and follow-upplanning should be initiated as soon as possible in order to assure seamless transition between the hospitalsetting and outpatient care. This will likely involve the VHA outpatient clinic system and thegovernmental health department from which the patient may receive follow-up. As part of this process,immediate reporting of tuberculosis patients to the health department consistent with VA rules andregulations is necessary.
E. Visitors
Visitors to patients who have S/KI TB should be given respirators to wear while in the isolation rooms,and they should be given general instructions on how to use their respirators (CDC Guidelines MMWR,October 28, 1994, Vol. 43, No.RR- 13, p28).
F. Discontinuation of AFB Precautions
The following criteria must be used for discontinuing precautions for patients in the Medical Center withS/KI TB:
1. The patient is found not to have tuberculosis or
2. The patient is on appropriate therapy; (it should be noted that appropriate therapyneeds to be defined at the local level based on community incidence of multi-drugresistant tuberculosis, tuberculosis susceptibility testing of facility isolates, and thespecific known susceptibilities of the patient's organism) and A positive clinicalresponse to therapy and Three consecutive negative A.FB smears collected on separatedays
IV. Engineering Controls
A. General Guidelines
The CDC guidelines are the minimum acceptable level, and should be increased where required to satisfyother mandated criteria or engineering requirements. Where current VA criteria exceed the CDCguidance, the use of VA criteria is recommended. However, if existing configuration or cost do not allowcompliance to more stringent VA criteria, then the CDC guidance is the minimum acceptable.
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1. Six total air changes per hour are likely to reduce the concentration of bacteria the room. Forthe purposes of reducing the concentration of droplet nuclei, TB bedrooms and treatment rooms inexisting health care facilities should have an airflow of greater than or equal to six air changes per hour.Where feasible, this airflow rate should be increased to greater than or equal to 12 air changes per hour.New construction or renovation of existing health care facilities should be designed so that TB bedroomsachieve an airflow of greater than or equal to 12 air changes per hour.
2. Air from TB bedrooms and treatment rooms for S@ TB patients should be exhausted to theoutside. The air should be exhausted in a manner and location so that it is not pulled into intake louversor windows without significant dilution. At a minimum, the exhaust shall be 25 feet from any air intake.However, other factors, such as wind direction, wind velocity, stack effect, system sizes, and height ofbuildings must be evaluated and location of intake and exhaust outlets adjusted as required. If, in someinstances, recirculation of air into the general ventilation system from such rooms is unavoidable, high-efficiency particulate air (HEPA) filters should be installed in the exhaust leading from the room to thegeneral ventilation system. Air from TB bedrooms and treatment rooms in new or renovated facilitiesshould not be recirculated into the general ventilation system.
3. Exhaust air quantity must be 10% greater than the supply air. It is further recommended thatthe exhaust system should serve only the TB rooms and not be part of the general exhaust system. If thisis not practical, then use of the general exhaust system is acceptable provided appropriate precautions aretaken to assure that these systems are adequately designed, installed, balanced and maintained. Theserequirements result in providing additional outside air through the air handling system which then impactsheating and cooling capacities for both air side and primary equipment. In all applications, thermal loadcalculations or occupancy of the space may require a higher air change rate.
4. Rooms should be under negative pressure with respect to adjacent areas when occupied by apatient with SIKI TB.
5. Anterooms are not necessary for SIKI TB patient bedrooms.
6. The direction of the air-flow for TB rooms shall be monitored daily when an S/KI TB patientis occupying the room. When not in use by S/KI TB patients, the directional allow will be checkedmonthly. The method of testing for directional airflow in the S/KI TB rooms is at the discretion of thefacility, but must be of an acceptable standard. This would include such methodologies as smoke tubetesting or an airflow gauge.
7. The number of air changes per hour in these rooms should be checked yearly at aminimum. This may need to be more frequent based on facility risk assessment and recommendations ofthe Environmental and Infection Control Committee. In addition, the number of air chances per hourshould be checked after any maintenance to the airflow system.
8. In rooms where patient turnover is expected, use CDC guidelines ( MMWR, October28,1994,Vol.43,No.RR-13) for airchanges per hour to determine time required for removal of airbornecontaminants before the next patient occupies the room vacated by a patient with S/KI TB.
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9. When in use by SIKI TB patients, doors in negative pressure rooms must remain closed,except for entering or exiting the room. Proper airflow and pressure differentials between areas aredifficult to control because of open doors, movement of patients and staff, temperature, and the effect ofvertical openings. Air pressure differentials can only be maintained in completely closed rooms. An opendoor reduces or eliminates the desired effect of negative pressure rooms. Whether windows are needed indoors to S/KI TB patient bedrooms is a local decision.
10. Medical Centers and outpatient clinics should consider providing emergency power toexhaust systems serving inpatient TB rooms and to some of the ambulatory care rooms designated formanagement of S/KI TB patients. The potential risks to patients and staff, available emergency powersystem capacity, and relative priority of other functions covered by emergency power should be carefullyevaluated when considering costly emergency power system emergency expansion.
B. Medical, Surgical, and Neurological (MS&M) Nursing Acute Care Units
To determine the number- of TB rooms, use the following formulae to determine number of patientbedrooms for cases of S/KI TB:
1. Current need: (Identify the maximum number of patients requiring respiratory precautionsfor S/KI TB at any one time within the past 12 months,) x (change in incidence of TB in community overthe past year).
2. Projected Need: Using the estimated change in the population in the facility, DistributedPopulation Planning Base (DPPB) for any Future year, calculate future needs based on current estimateas determined above multiplied by this population change ratio.
EXAMPLE 1 - All specific numbers are for illustrative purposes only.
15.0 - Maximum number of patients requiring AFB precautions at one time (e.g., 15)
x 1. 05 - Change in community incidence (this represents a 5% increase in community incidence)
15.75 - Need for TB beds based on changes in TB incidence in community
x 10.85 - Correct for future anticipated changes in veteran population (this represents a 15% decrease in expected veteran population)
13.38 - Projected no. of AFB precaution beds needed corrected for calculated changes in veteran population and community incidence
C. Nursing Unit Organization
1. High Incidence Area or Referral Center:
Medical Centers with sufficient workload or those assigned the mission of referral center may choose toconcentrate all TB bedrooms on an existing MS&N nursing unit designated for TB inpatient care. Or,they may designate bedrooms to be used for TB care throughout their facility. In establishing groups ofTB bedrooms on an MS&N nursing unit, a Medical Center should renovate a contiguous sub-set of thebedrooms on the unit to meet HVAC and bathroom requirements; not necessarily the entire ward. The
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number of bedrooms included in the sub-set would be based on anticipated workload determined for thatfacility. The following facility requirements must be met:
a. All one-bed rooms designated for TB must meet CDC guidelines for S/KI TB
b. Each one-bed room must have a private bathroom and should have a shower wherepossible. Safe shower facilities are to be available, however, if the bedroom for S/KI TB . patients doesnot offer these facilities
c. Anterooms are not required for the negative pressure rooms designated for S/KI TB
d. For S/KI TB patients, examination/treatment rooms and any other special treatmentrooms where sputum induction, aerosol treatments and/or cough or aerosol-generating procedures areperformed should meet CDC requirements for infectious TB with the additional requirement of 12 orgreater air changes per hour. Ultraviolet germicidal irradiation (UVGI) may be used as an enhancementto the recommended engineering controls.
2. Low Incidence Areas
For those facilities anticipating a low S/KI TB workload, little or no chance to existing nursing units-maybe required. Existing VA space planning criteria for MS&N nursing units (see Planning Criteria for VAFacilities, Handbook 7610 Chapter 100.04) requires two isolation suites per nursing unit. These roomswill be capable of providing negative or positive pressure and have an anteroom and attached privatebathroom. Minimum air changes are 8 per hour with 100% outside exhaust through a HEPA filter. Ifthese rooms are not currently provided or if additional rooms are needed for S/KI TB patients then theseadditional rooms must meet CDC guidance for S/KI TB and have a private bathroom. An existing 2-bedroom which has appropriate ventilation airflow and bathroom facilities meeting, at a minimum, currentCDC guidance for S/KI TB, may be scheduled for use by a single TB patient as a low cost alternative toconstructing or renovating an additional 1-bed room.
Sputum induction, aerosol treatments and/or cough or aerosol-generating procedures should be performedeither in TB bedrooms or other rooms that meet CDC guidance for S/KI T'B.
D. MH&BS Nursing Units (Mental Health and Behavioral Sciences)
In general, no rooms should be required for S/KI TB patients as they should be transferred to anappropriate MS&N nursing unit for diagnosis and treatment as needed until they are no longer infectious.
E. Intensive Care Units (ICUs)
1. Existing ICUs should meet cur-rent VHA space planning criteria (see Planning Criteria forVA Facilities, Handbook 7610 Chapter 102.05) for the number of isolation suites and at a minimum meetCDC criteria for ventilation for S/KI TB.
2. All ICUs which utilize return air systems shall have the return air HEPA filtered.Installation of ultraviolet (UV) lamps may be considered in ICUs which there is a high risk for TBtransmission. All ICU rooms housing S/KI TB patients must, at a minimum, meet the current CDCguidance for S/KI TB.
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F. Post Anesthesia Recovery Units (PARUs)
Medical Centers should have at le one recovery room within the PARU meeting at a minimum CDCventilation criteria for S/KI TB. As an option, especially in low-incidence areas, Medical Centers mayrecover surgical patients with S/KI TB in an ICU isolation suite or room that meets CDC guidance forS/KI TB.
G. Surgical Suite (See MMWR, October 28, 1994, Vol. 43, No. RR- 13, p. 50-51 for details)
1. Existing VHA facility criteria (see HVAC Design Manual) and standards for surgery areappropriate for surgical care of S/KI TB patients. Current VHA criteria exceed the CDC guidelines.Typically, no changes will be required unless return air is used in the OR. VA criteria have notsanctioned the use of return air in ORs for many years.
2. Traffic patterns should be designed to reduce unnecessary movement throughout thesurgical suite, hallways and other associated areas when surgery on a patient with S/KI TB is performed.
3. Appropriate scheduling and other controls are necessary for surgery on S/KI TB patientssince positive pressure allow is used in operating rooms.
H. Long Term Care
In general, no rooms are required for S/KI TB patients as they should be transferred to an appropriateMS&N nursing unit for diagnosis and treatment as needed until they are no longer infectious.
I. Ambulatory Care
1. Determining the Number of TB Rooms:
Determining the number of TB rooms 'in the Ambulatory Care setting should be in alignment with thefacility risk assessment. Specifically, facilities in the lowest risk assessment category may not needrooms with specific tuberculosis engineering controls at all, but rather a written plan for dealing with thepossible event of a S/KI TB patient reaching the facility. For facilities above the minimal risk category,the following is a suggested method for determining the number of exam/treatment or special treatmentrooms designated for S/KI TB patients in unscheduled ambulatory care areas (hospital-based, satellite,and independent OPCs):
a. Obtain the estimated eligible veteran population for the facility from DPPB for anyspecified future year and the current eligible veteran population for the facility.
b. Each facility should generate the estimated number of potential unscheduled S/KI TBpatient visits per year.
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c. Calculate the projected number of potential unscheduled S/KI TB Patient visits peryear using the following formula:
A = Estimated eligible veteran population for the facility from the DPPB for any specified future year
B = Current eligible veteran population for the facility from DPPBC = Current number of potential unscheduled S/KI TB patient visits
D = Projected potential unscheduled S/KI TB patient visits per year
(A ÷ B)x C = D
EXAMPLE 2 - All specific numbers are for illustrative purposes only.
(A)400,000 - Estimated population for a future year (e.g., 400,000 for the year 2000)
(B)÷ 450,000 - Current veteran population )e.g., 450,000)
÷ 0.88 - Result of A B
(C)480 = Current number of unscheduled S/KI TB patient visits per year (e.g., year 2000)
(D)422.4 - Results of A B x C which is the estimated number of unscheduled visits of S/KI
TB patients for future year (e.g., year 2000)
d. Provide the number of designated TB exam/treatment or special procedure rooms asdetermined below using the potential SIM TB patient visit estimated generated in 1. I.c. above.
Designated TB rooms determined above may be located in the walk-in clinic module and/or in othermodules to meet local operating procedures and needs.
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2. Facility/air:
a. Meet at a minimum current CDC guidelines for unscheduled areas and high riskclinics.
b. Meet a minimum current CDC guidelines for ventilation and airflow for S/KI TB:
(1) Emergency area Isolation room(s) (anteroom not required)
(2) ENT room(s)
(3) Aerosolized pentamidine room(s)
(4) Designated exam/treatment/procedure room(s)
3. Unscheduled areas
All unscheduled ambulatory care areas and associated waiting- areas should have ventilation designedand maintained to reduce the risk of tuberculosis transmission. Germicidal UV lamps and/or HEPAfilters may provide additional benefit when used to supplement ventilation, particularly in facilitieslocated in areas of high incidence for TB.
4. Scheduled areas (clinics)
All scheduled areas serving patients who are at high risk for TB transmission should be designed toreduce the risk of TB transmission. Air from clinics serving patients at high risk for TB should not be re-circulated unless it is first passed through an effective high-efficiency filtration system (HEPA filters arecurrently the effective high-efficiency filtration system available).
5. Designated exam/treatment rooms for S/KI TB
VHA ambulatory care programs in Medical Centers and in satellite/independent outpatient clinic musthave some facilities that are adequate to deal with S/KI TB patients. These TB rooms can beexam/treatment rooms and/or special procedures rooms that are designated for use with S/KI TB patients.These rooms should meet CDC guidance for S/KI TB with the additional requirement that a minimum of12 air changes per hour must be exhausted (See IV.A.2). These rooms would normally be located 'm ornear the walk-in clinic module.
J. High Risk Areas
1. Potential Aerosol Producing Procedure Areas:
a. The pulmonary function laboratory (including spirometry and exercise rooms),bronchoscopy area(s), pulmonary function treatment rooms, and sputum induction areas and any otherspecial procedure room (e.g., ENT) in which cough inducing procedures are done on patients who mayhave infectious TB must meet CDC guidelines for S/KI TB with the additional requirement that aminimum of 12 air changes per hour must be exhausted. Additionally, airflow rates should be calculatedon expected patient turnover in these treatment areas based on the most recent CDC guidance.
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b. Any room (e.g. examination/treatment room procedure room) in the health care facilityin which aerosolized pentamidine (AP) procedures are performed on patients who may have infectious TBmust meet CDC guidelines for infectious TE with the additional requirement that a minimum of 12 airchanges per hour must be exhausted (See IV .A-2). Additionally, airflow rates should be calculated onexpected patient turnover in these treatment areas based on the most recent CDC guidance. If a booth orother containment entity is used for any potential aerosol producing procedure, booth airflow and exhaustshould meet CDC guidelines.
K. Radiology
At least one radiology room with chest x-ray capabilities should meet CDC guidance for S/KI TB. Bothambulatory care and in-patient programs can share this negative pressure radiology room if feasible.This specialized room with these engineering controls may not be necessary in facilities in the minimalrisk category.
L. Anatomic Pathology:
The morgue must meet at a minimum CDC guidance for infectious TB and follow current VA criteriawith a minimum of 12 air changes per hour with 100% exhaust to the outside through a HEPA filter.
M. Dental
At referral centers and at facilities in which emergency dental care is provided, at least one dentaloperators should meet CDC guidance for S/KI TB. Other health care Facilities may send S/KI TBpatients for dental. care to referral centers based on workload and travel distance.
N. HIV-related Issues
No, specific heating, ventilation and air conditioning (HVAC) considerations are necessary for patientswith HIV infection.
O. Dialysis Program
A room which meets at a minimum current CDC ventilation and airflow guidelines for S/KI TB must beavailable for dialysis of S/KI TB patients. The location of this area is at the discretion of the facility.Based on local need this area may be in the dialysis unit or ICU, or other area in the Medical Centerbased on patient need and efficient use of resources.
V. Respiratory Protection
A. General Criteria
Performance criteria for respiratory protective devices as outlined in the most recent CDC guidance are tobe met. This requires a respiratory protection program that follows the regulatory requirements of theOccupational Safety and Health Administration (OSHA) as well as American National StandardsInstitute (AINSI) Standards.
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B. Respiratory Protective Devices
Respiratory protection is required for persons entering rooms in which patients with S/KI TB are beinghoused, for persons present during cough-inducing, aerosol-generating procedures performed on suchpatients, and for persons in other settings where administrative and engineering controls are not likely toprotect them from inhaling, infectious airborne droplet nuclei. These other settings include transportingpatients who may have S/KI TB in emergency transport vehicles, and providing urgent surgical or dentalcare to pa6ents who have S/KI TB before determination has been made that the patient is non-infectious.These settings may also include home based health care programs, where patients with S/KI TB are beingseen in the home setting.
In the Mycobacteriology Laboratory, routine use of respiratory protective devices should not benecessary. However, if the laboratorian is working with significantly amplified Mycobacteriurntuberculosis cultures in liquid media, or performing specific procedures where aerosolization is expected,the use of respiratory protective equipment, gloves and gowns may be appropriate. The most recentstandards for laboratory practices should be followed.
VI. Healthcare Worker Training
All health care workers are to receive periodic TB education appropriate for their work responsibilitiesand duties and should include epiderniology of TB in the facility, mode of transmission, pathogenesis,diagnosis, and occupational risk for tuberculosis. The training should also describe work practices thatreduce the likelihood of transmitting Mycobacterium tuberculosis in the healthcare setting. The trainingmust be given to all those who work at the VA Medical Center who are at risk for the transmission oftuberculosis. All training is to follow the latest written regulatory requirements of valid oversight bodiessuch as OSHA.
VII. Healthcare Worker Counseling And Screening
All healthcare workers should be counseled regarding tuberculosis disease and tuberculosis infection.This should include information about the increased risk to immunocompromised persons for developingactive tuberculosis disease.
VIU. Personnel Health
A. TB Screening using most current CDC methodology
1. Prior to employment, TST results are required for covered employees who work in theVHA- For any TST done outside the Personnel Health Unit on station, appropriate written documentationmust be provided as detained by the Personnel Health Physician.
2. Interval TST screening as detained by risk assessment as outlined in the most recent CDCguidance should be conducted.
3. TST is recommended at the time of separation for all employees
4. Follow all pertinent VACO Directives and Manual references related to TB screening
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B. Record keeping
1. Record keeping is critical for the long term needs of the employee, station, and regulatorycompliance
2. Record keeping to comply with VHA directives, manuals, and valid regulatory agencies'requirements
C. Return to work clearance for health care workers with S/KI TB
1. At a minimum, return to work clearance should follow current CDC guidelines
2. Employees must be monitored for lack of infectiousness
D. Healthcare Worker TST Conversions
The facility must track and evaluate TST conversions in order to document possible episodes oftransmission of tuberculosis in the healthcare setting, to define the facility risk assessment category and toidentify facility TST conversion rates.
IX. Coordination with Health Department
It is critical that VA facilities coordinate all phases of tuberculosis control with appropriate healthdepartment authorities. Prompt reporting to public health authorities is a critical component of TBcontrol. It is most critical that the discharge planning for individual patients be done in close alignmentwith community health officials.
X. Child Day Care
For facilities with child day care facilities state and local guidelines regarding tuberculosis screeningand/or tuberculosis control programs should be followed.
XI. References
1. VHA Directive 10-93 -094, Supplement No. 1. TB (Tuberculosis) Control Responsibilities of VA (Department of Veterans Affairs) Facilities. July 25, 1994.
2. VHA Directive 10-94-104. Administration of Aerosolized Pentamidine to HumanImmunodeficiency (HIV) Positive Patients. October 17, 1994.
3. MP-5, Part I, Chapter 792, Change 7, Health Services. June 30, 1990.
4. M-1, Pan III, Chapter 4. Services and Benefits Available to Volunteers. October 24, 1934.
5. M-2, Part I, Chapter 23, Change 1, Formed Consent. February 21, 1991.
6. M-1, Part 1, Chapter 9, Release of Medical Information. November 30, 1990.
7. 5 United States Code, Section 552A, Privacy Act.
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8. Title 38, United States Code, Committees on Veterans Affairs - Patient Rights January 31, 1992.
9. Title 38, United States Code, Committees on Veterans Affairs - Records. January 31, 1992.
10.VA Regulations, Title 38 Code of Federal Regulations, Part 1, General Trans. Sheet 177,Safeguarding personal Information in VA Records. May 9, 1986.
11. Handbook 7610, Planning Criteria for VA Facilities. Chapter 1, 100, 102, 212, 240, 262, 276, and 316.
12. HVAC Design Manual for Hospital Projects. February, 1997.
13. M-5, Part IV. Geriatrics & Extended Care, Domiciliary Care. December 6, 1990.
14. CDC. Core Curriculum on Tuberculosis. Third Edition, 1994.
15.CDC. Typhoid immunization recommendations of the immunization practices advisory committee (ACIP) and prevention and control of tuberculosis in facilities providing long-term care to the elderly. Recommendations of the Advisory Committee for Elimination of Tuberculosis. MMWR, May 18, 1990, Vol. 39, No. RR-10).
16.Prevention and control of tuberculosis in U.S. communities with at-risk minority populations and prevention and control of tuberculosis among homeless persons. Recommendations of the Advisory Council for the Elimination of tuberculosis. MMWR, .April 17, 1992, Vol. 41, No.RR-5).
17.CDC. Screening for tuberculosis and tuberculosis infection in high-risk populations and theuse of prevention therapy for tuberculosis infection in the United States. Recommendations of the Advisory Committee for Elimination of Tuberculosis. MMWR, May 18, 1990, Vol. 39, No. RR-8.
18. CDC. Guidelines for preventing the transmission of Mycobacterium tuberculosis in healthcare facilities. MMWR, October 28, 1994, Vol. 43, No.RR-13.
19.M-2, Part IV, Chapter 6, Infectious Diseases. April 29, 1994.
20. American Thoracic Society. Treatment of Tuberculosis and Tuberculosis Infection in Adults and Children. Am J Resp Crit Care Med 1994; 149:1359-1374.
21.CDC/National Institutes of Health. Agent: Mycobacterium tuberculosis, M. bovis. In: Biosafety in microbiological and biomedical laboratories. Atlanta: US Department of Health and Human Services, Public Health Service, 1993:95, EDHHCS publication no. (CDC) 93-8395.
Contact Satish Sehgal @ 202-565-5032, Kurt Knight @ 202-565-4980, Sat Gupta @ 202-565-5268, WilburWright @ 202-565-5227, or Fred Lisi @ 202-565-6273 for additional information.
May 1997
HVAC REQUIREMENTS IN TB ISOLATION ROOM SUITE(NEW CONSTRUCTION)SEE VA PRIMER OF MAY,1997, FOR GRAPHIC INFORMATION
2. Minimum Air Changes per Hour:Area Air Changes HVAC Design Manual
Ref.
Bed Room 12 Application. A36
Ante Room (If provided) 12 “
Bathroom & Toilet 10 (No supply) Para. 3.5
3. The use of Ante room is not mandatory, however, its need should bediscussed with the facility.
Application. A36
4. All air from bed room, ante room (if provided), bathroom & toilet should beexhausted to outside through a dedicated exhaust system.
“
5. Maintain negative pressure in bed room with respect to ante room. Maintainnegative pressure in ante room with respect to corridor. Maintain negativepressure in bath room & toilet with respect to bed room.
“
6. The supply air to the bed room and ante room shall be constant volume withterminal reheat.
“
7. Provide an individual air flow control valve in each individual space exhaustbranch for control reason. See VA standard detail 15900-7 and 7A, butcontrols should be set up for isolation room Mode 1 only, and NOT MODE 2FOR REVERSE ISOLATION.
“
8. The use of HEPA filters in the 100% exhaust from the TB isolation suite isnot necessary, but its use should be considered wherever exhaust air couldpossibly reenter the system.
CDC Guidelines
9. Negative pressure in the bed room should be monitored daily while the roomis occupied.
Application A36
10. Exhaust fan for TB isolation suite is not required to be on emergency power.Consult facility staff..