TABLE OF CONTENTS. Supply, Processing & Distribution February Section 1. Foreword & Acknowledgments Introduction Abbreviations Legend of Symbols

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2 TABLE OF CONTENTS Section 1 Section 2 Section 3 Section 4 Section 5 Foreword & Acknowledgments Introduction Abbreviations Legend of Symbols Narrative General Considerations Technical Considerations Architectural Considerations Engineering Considerations Concerns Specific to Supply, Processing & Distribution Functional Diagrams Relationship Diagrams and Generic Layout Guide Plates (typical order) Floor Plan Reflected Ceiling Plan Design Standards Equipment Guide List Appendix Glossary of Terms SEPS / Cross-Reference Guide Plate Index TABLE OF CONTENTS

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4 Section 1 Foreword & Acknowledgements Page Foreword..1-1 Acknowledgements 1-3 Introduction Abbreviations Legend of Symbols FOREWORD & ACKNOWLEDGEMENTS CONTENTS SECTION 1

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6 Foreword The material contained in the Supply, Processing & Distribution Department Design Guide is the culmination of a partnering effort within the Department of Veterans Affairs by the Veterans Health Administration and the Office of Construction & Facilities Management, Strategic Management Office. The goal of this Design Guide is to facilitate the design process and to ensure the quality of VA facilities while controlling construction and operating costs. This document is intended to be used as a guide and to supplement current technical manuals and other VA criteria in planning Supply, Processing & Distribution Departments. The Design Guide is not to be used as a standard design. Use of the Design Guide does not preclude the need for a functional and physical design program for each specific project. It is the responsibility of the Project Architect and the Project Engineer to develop a complete and accurate project design that best meets the user s needs and applicable code requirements. Lloyd H. Siegel, FAIA Director, Strategic Management Office Office of Construction & Facilities Management Washington, DC FOREWORD & ACKNOWLEDGEMENTS SECTION 1-1

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8 Acknowledgements Credit is due to the following individuals whose guidance, advice, and effort made this publication possible: Office of Construction & Facilities Management Donald H. Orndoff Lloyd H. Siegel, FAIA Kurt Knight, PE Donald L. Myers, AIA, NCARB Satish Sehgal, PE Mulraj Dhokai, PE Alejandra De La Torre Director, Office of Construction & Facilities Management Director, Strategic Management Office Chief, Facilities Quality Service, FQS Senior Architect, Consulting Support Service Senior Mechanical Engineer, FQS Senior Mechanical Engineer, FQS Architect, Facilities Quality Service Advisory Group Bobby Osburn Tommy C. Stewart SPD Executive Program Director Director, Clinical Programs Consultants N.K. Bhandari Architecture & Engineering, P.C. James Resig, PE, LEED AP Jennifer Thayer, AIA Francis Cauffman RAM-TECH Engineers, P.C. Stephen Hegeman, AIA Ravi Raman, PE Catherine Gow, AIA Tim Myers, PE, LEED AP Sharon Doyle Fred Sanczawa, PE Gloria Cascarino Suzanne Campano Jessica Hawk Gina DeMatteis Erin Disbrow FOREWORD & ACKNOWLEDGEMENTS SECTION 1-3

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10 Introduction The Supply, Processing, & Distribution Department Design Guide was developed as a design tool to assist the medical center staff and the contracting officers in better understanding the choices that designers ask them to make, and to help designers understand the functional requirements necessary for proper operation of Supply, Processing, & Distribution (SPD) Departments based in a VA Hospital. The Design Guide is intended to be a graphic consolidation of existing Department of Veterans Affairs standards and criteria. It contains data from the following sources: ADA Standards for Accessible Design International Building Code, 2006 NFPA 101 Barrier-Free Design Guide PG Design and Construction Procedures PG-18-3 Equipment Guide List PG-18-5 Equipment Reference Manual PG-18-6 Fire Protection Design Manual Master Construction Specifications PG-18-1 National CAD Standards and Details PG-18-4 Physical Security Design Manual (Final Draft) Room Finishes, Door Hardware Schedules PG Seismic Design Requirements H-18-8 Signage Design Guide Space Planning Criteria for VA Facilities Sustainable Design and Energy Reduction Manual (Final Draft) VA Technical Criteria (PG Design Manuals) pertaining to Architectural, Interior Design, HVAC, Plumbing, and Electrical 2006 AIA Guidelines for Design and Construction of Health Care Facilities HVAC Design Manual for Hospital Projects Emergency Power & Water Supply During Natural Disasters, Phase 2 Energy Conservation (EPACT 2005 and DOE Final Rule) Energy Conservation (Executive Order No Dated January 24, 2007: Strengthening Federal Environmental, Energy and Transportation Management) Memorandum of Understanding (MOU): Federal Leadership in High Performance and Sustainable Buildings. Commissioning Guidelines (issuance pending) The Design Guide refers to the above mentioned sources when data is either too detailed or too broad to be included in this guide. These sources can be accessed at This Design Guide is not intended to be project-specific. It addresses the general functional and technical requirements for typical VA SPD Departments. While this Guide contains information for the vast majority of space types required in an SPD Department, it is not possible to foresee all future requirements. The project-specific space program is the basis for an individual project design. It is important to note that the guide plates in Section 4 are generic graphic FOREWORD & ACKNOWLEDGEMENTS SECTION 1-5

11 representations intended as illustrations of VA s furniture, equipment, and personnel space needs. They are not meant to limit design opportunities. Equipment manufacturers should be consulted for actual dimensions and utility requirements. Use of this Design Guide does not supersede the project architects and engineers responsibilities to develop a complete and accurate design that meets the user s needs and the appropriate code requirements within the budget constraints. FOREWORD & ACKNOWLEDGEMENTS SECTION 1-6

12 Abbreviations A ABA AC/HR ADA AFF AI AIDS A & MM AR AT AT (SP) BC C CB CBOC CC CF CFM CLG OCFM CMU Amperes American Barriers Act Air Changes per Hour Americans with Disabilities Act Above Finished Floor Acquisition and Installation Acquired Immune Deficiency Syndrome Acquisition and Material Management As Required Acoustical Ceiling Tile Acoustical Ceiling Tile (with Sprayed Plastic Finish) Base Cabinet Degrees Celsius Circuit Breaker Community Based Outpatient Clinic Contractor Furnished Contractor Installed Construction Funds For VA Furnishing of Equipment and/or Installation Cubic Feet per Minute Ceiling Office of Construction & Facilities Management Concrete Masonry Unit FC FD FIXT FLUOR GFI GWB HAC HIV HP HR HVAC ICU K KW LB LLTS MCS MOHS MTDD NA Foot-candle Floor Drain Fixture Fluorescent Ground Fault Circuit Interrupter Gypsum Wallboard Systems Housekeeping Aides Closet Human Immunodeficiency Virus Horsepower Hour Heating, Ventilating, and Air Conditioning Intensive Care Unit Kelvin Kilowatt Pound/Pounds Lockers, Lounges, Toilets & Showers Master Construction Specifications Moh s Chemosurgery Mounted Not Procured with Activation Funds CPT CRS CS CT Carpet Tile Corrosion Resisting Steel (SS) Construction Standard Ceramic Tile NSF NSM OSD P Net Square Feet Net Square Meters Open Site Drain Paint (Exterior and Interior; Transparent, Semi-Transparent, and Opaque Finishes) CT DG Computerized Tomography Design Guide PACS PCP Picture Archiving and Communication System Portland Cement Plaster DS EMS ER ETM EtO EXH F Door Switch Environmental Management Service Emergency Room Exam Treatment Module Ethylene Oxide Gas Exhaust Degrees Fahrenheit PEC PG PH PL PPE PREP PT Primary Engineering Control Program Guide Phase Plaster Personal Protective Equipment Preparation Porcelain Tile (Floor and Base) FOREWORD & ACKNOWLEDGEMENTS SECTION 1-7

13 PSIG QT RB RES RES-W RSF SC SD SF SOPC SP SPD SVT SRC SS TELEC Pounds per Square Inch Gauge Quarry Tile Resilient Base Resinous Flooring Resinous/ Epoxy Wall/ Ceiling Resilient Sheet Flooring High Build Glazed Coating (Special Coating) Standard Detail Square Feet, Square Foot Satellite Outpatient Clinic Special Faced Supply, Processing and Distribution Solid Vinyl Floor Tile (Luxury Vinyl Tile) Semi-Restricted Corridor Stainless Steel Telecommunications UC UFAS UPS V VA VACO VAMC Urgent Care Uniform Federal Accessibility Standards Uninterruptible Power Supply Volts Department of Veterans Affairs Veterans Affairs Central Office Veterans Affairs Medical Center VC VA Furnished Contractor Installed VCT Vinyl Composition Tile VHA Veterans Health Administration VV VA Furnished and Installed Medical Care Application for Equipment and Installation W Watts WSF W/SF W/m 2 Welded Seamless Flooring (Heat Welded with Rod) Watts per Square Foot Watts per Square Meter FOREWORD & ACKNOWLEDGEMENTS SECTION 1-8

14 Legend of Symbols FOREWORD & ACKNOWLEDGEMENTS SECTION 1-9

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18 Section 2 Narrative Page General Considerations Technical Considerations.2-3 Architectural Considerations 2-5 Engineering Considerations Concerns Specific to Supply, Processing & Distribution NARRATIVE CONTENTS SECTION 2

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20 General Considerations General Planning Concepts Flow with Sequence: Supply, Processing, and Distribution (SPD) are organizationally aligned under the Nurse Executive/Chief Nurse. The mission of SPD is to provide a steady flow of patient care supplies and equipment to points of need, and to return contaminated items to a central decontamination area for cleaning. SPD is the first line of defense against harmful microorganisms. Contamination prevention is achieved by closely monitoring the following elements: Air Flow: To minimize microorganism movement from dirty to clean areas. In clean areas there is a positive air flow. Staff Flow: Personnel work either on the clean side or the dirty side of the SPD unit to avoid cross contamination. Work Flow: Refers to the movement of clean (sterile) supplies and the return of contaminated items for decontamination and sterilization. Adjacencies: SPD must be closely affiliated with surgical procedure suites. SPD may be directly connected to the sterile support core for the Surgical Suite, or may be located with convenient and direct access via cart lifts and/or staff circulation. Processing and Distribution Methods SPD is divided into three main units/areas. The first unit is Decontamination, where all reusable medical and surgical items are sent for cleaning. It is essential that contaminated materials do not use the same path as the clean materials. The second unit is Preparation. In this unit, items are inspected and packaged for sterilization. Most sterilization is accomplished by using steam; or, in the case of materials that cannot withstand intense temperatures, ethylene oxide (EtO) gas (or another suitable gas) is used. Materials undergoing EtO sterilization must be adequately aerated to ensure that no hazardous traces are left on devices. The final unit in SPD involves the Distribution Process, including distributing surgical case carts. This unit is further subdivided into Primary Stock and Secondary Stock. Primary Stock refers to the supplies that are stored within the confines of the SPD department. Secondary Stock materials are those in user areas such as clinics, nursing care units, and intensive care units. NARRATIVE SECTION 2-1

21 Current Trends A current trend impacting SPD is the increasing complexity of many surgical procedures such as laparoscopy, endoscopy, laser, micro-vascular, and more complex surgeries. These complicated surgeries require more complicated instrumentation. This complex instrumentation has led to the trend for SPD technicians to be certified, thus requiring the staff to have a certain level of competency and to keep up with periodic/annual continuing education. Another current trend in SPD is instrument tracking. This can eliminate hours of searching for lost instruments, location of key assets, tracking loaner equipment, and ensuring patient safety and the quest for zero never events through the validation of sterilization processes. Future SPD Trends An anticipated future SPD trend, sustainable decontamination and sterilization equipment has been embraced by many manufacturers who are reviewing the environmental impact of the product lines, and developing machines that are safer for the staff and kinder to the environment. Examples include equipment features that yield significant water savings, the use of fewer toxic or less-toxic chemicals, etc. Other future trends include stricter protection of healthcare workers, since pathogenic organisms (Hepatitis B or C, and Human Immunodeficiency Virus (HIV)) have become known. Special Considerations EtO: The provision of ethylene oxide (EtO) gas (or another suitable gas) may be required to sterilize selected instrumentation that is unable to sustain the high heat of steam-based sterilization processing. Because of the high toxicity of the sterilizing agent used in this process, EtO sterilization must be sustained in a fully contained room that is part of the Prep, Assembly, and Sterilization space. Location of Bulk Storage: Bulk storage is where supplies are received in case lots from the warehouse, prime vendor and other sources. The Bulk Storage should be located near the SPD Clean/Sterile Storage area and connected to the SPD Breakout. No supplies are to be in this area; low unit of measure. (Note: Hospital sterilized items, including instrument sets, will not enter this area.) Endoscope Processing: Endoscopes may be rigid or flexible. Rigid Endoscopes are typically sterilized with the same vigor and care as the surgical instrumentation. Flexible Endoscopes typically require minimum high-level disinfection and occur in close proximity to where the procedure is performed (i.e., GI Suite). However, some SPD suites may need to accommodate the reprocessing of Flexible Endoscopes. This will require dedicated Endoscope Reprocessors. NARRATIVE SECTION 2-2

22 Technical Considerations Natural Disasters Hurricanes, tornados, earthquakes, and floods are natural phenomena that occur within regional areas of designated probability. Design solutions should address these probabilities where they occur to mitigate building damage and loss of life wherever possible. Selection of building sites should avoid flood plains or flood prone areas. Regional areas susceptible to hurricanes should incorporate design features that mitigate damage associated with high winds, wind-driven rain and projectiles. Tornado design mitigation is similar to hurricanes; however, much more localized and intensive in nature. Buildings in areas with probability of earthquakes need to be seismically restrained in accordance with H-18-8 Seismic Design Requirements. Because of its critical mission in supporting surgical procedures, the SPD should be planned to allow as continuous an operation as possible during and immediately after natural disasters. Interior Materials, Finishes and Doors The interior materials, finishes and doors shall follow guidance in PG-18-10, Architectural Design Manual and PG-18-14, Room Finishes, Door and Hardware Schedule. The Guide Plate for each space includes a listing of design criteria applicable to that space. Contemporary Advancements/Evidence Based Design Accessibility: Accessibility is accommodated by the application of PG 18-13, VA Barrier Free Design Guide; Architectural Barriers Act Accessibility standards (ABAAS), Appendices C and D to 36 CFR, and ADA Standards for Accessible Design (28 CFR part 36) to space and fixed equipment layouts. NARRATIVE SECTION 2-3

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24 Architectural Considerations Location of SPD Several factors influence the location of the SPD. These include: Access to the OR: In some circumstances, the sterile delivery side of the SPD can be directly linked with a sterile core of the OR, allowing a direct transfer of materials and instrumentation and minimizing transport time. As an alternative, the SPD can be located on another level. The SPD may be linked via clean and soiled cart lifts. Dedicated clean and soiled cart lifts need to arrive and leave at appropriate locations within the SPD, and cannot be used for any other function, nor can a single lift be used for both clean and soiled transport. Clean and soiled dumbwaiters may be an alternative, but are not an ideal solution in new construction as they require the transfer of items onto the dumbwaiter, then off at the point of destination, while the cart lift allows for the transport of a fully loaded cart. Access to Loading Dock: The SPD receives fresh supplies to store, inventory, and distribute to augment instrumentation that is then used to stock supply or case carts. Access to the loading dock needs to be straightforward and simple to allow the repeated and consistent delivery of material. If the loading dock is on a different level of the facility, care must be taken to plan the entire route from the dock to the SPD, confirming corridor width, elevator size, etc. Environmental Requirements Environmental considerations most critical to SPD are: temperature, humidity, ventilation, light, and protection from contaminants. Facility design is crucial to the efficiency and effectiveness with which these needed environmental conditions are met. Design features deserving particular attention include: Separation of soiled areas from clean areas Restricted areas Containment area for EtO gas Heating, ventilation, and air conditioning (HVAC Systems) Room relationships (regarding function and staff utilization) Modularity of design/flexibility Interior surfaces and finishes NARRATIVE SECTION 2-5

25 Space Planning Criteria Space planning criteria for SPD includes the following considerations: Quantity of Space: The quantity of space will be driven by the total through-put needs of the SPD, which is, in turn, driven by the surgical volumes and surgical procedure mix. Key factors in determining total size will be the total number of sterilizers needed and the total daily throughput of instrumentation carts. The relationship between surgical volumes and SPD through-put is direct; if the ORs are planned to expand, the SPD needs to have correlative capacity. Location of Space: The relationship between SPD and the OR Suites is critical, as previously noted. In addition, a clear path from loading docks to the SPD is essential. Quality of Space: The space itself must be able to provide an appropriately clean environment for the handling of soiled instrumentation and sterile instrumentation and supplies. Mechanical, electrical, and plumbing requirements are defined under Engineering Considerations. In addition, finishes must respond to the need to be able to clean the environment appropriately. Room Relationships & Adjacencies One of the primary purposes of the SPD is to deliver clean/sterile supplies and instrumentation to the OR. It does so by receiving and cleaning soiled instrumentation and by staging and assembling sterile instrumentation and clean/sterile supplies for delivery to surgical sites and other areas that require sterile implementation within the hospital. In doing so, it must promote efficient delivery of material while maintaining the clean and sterile status of instrumentation and supplies. The four key spaces are sequentially linked, and include: Decontamination: Soiled instrumentation arrives here as the first stage in the SPD process. Soiled instrumentation is received via closed case carts that may return via elevators, dedicated cart lifts, or dumbwaiters directly to the Soiled Receiving and Decontamination Room. Preparation, Assembly, and Sterilization Area: This room is directly connected to Decontamination. Equipment passes through a washer decontaminator that allows the transfer of instrumentation through the washer/disinfector or sterilizer to the Preparation, Assembly, and Sterilization Area. Access for sterilizer maintenance must be provided, and there may be a pass-through window for small items. Clean and Sterile Storage: This room is directly connected to the Prep, Assembly, and Sterilization Room and is used to store and pick sterilized instrumentation and sterile supplies for delivery to the point of use. Staff Support: These spaces serve to provide administrative and break support for SPD staff. It is critical to the functional efficiency and safety of the SPD that these spaces are sequentially linked for one-way flow-through of instrumentation and carts. This promotes the maintaining of the sterile state of instrumentation as it is cleaned for re-use. NARRATIVE SECTION 2-6

26 Functions of Areas within SPD Clean Receiving and Breakout Area: This space serves as an area to receive and break out disposable supplies received from the warehouse, prime vendor, or manufacturers. This area is also where specialty carts such as crash/code carts and isolation carts are returned after use for the supplies to be removed before the empty cart is taken to the Decontamination Area for cleaning. This area is also used to receive loaner instruments and equipment and for them to be picked up. Consignment supplies and implants are to be received here, as well. Anteroom: This space serves to maintain proper air pressure relationships when personnel move between adjacent spaces. Decontamination Area: This includes staging space and circulation space designed to allow for the gross decontamination of instrumentation, followed by the placement of the instrumentation on a washer decontaminator that will deliver clean instrumentation to the Prep, Assembly, and Sterilization Room. In addition, there is a pass-through window for selected items that are either too delicate or will not fit will be directed to the EtO Sterilizer in the Prep, Assembly, and Sterilization room. Automatic Cart Washer: This room houses the equipment that receives soiled carts, washes them, and delivers them to the Clean and Sterile Storage Room. Detergent/Water Treatment Room: Supports the washer disinfectors, sterilizers, and cart washers. Decontamination HAC: In order to maintain clarity of cleanliness, the Decontamination Area has a dedicated Housekeeping Aide s Closet, accessed only from the Decontamination Area and used only for cleaning in that space Staff Lockers/Showers: One-way flow-through staff lockers are provided to ensure that Decontamination staff arrive, dress and work within the Decontamination area without crosscontaminating other spaces or public corridors. Separate lockers are to be provided for staff working in the Prep, Assembly, and Clean/Sterile Storage Rooms. Manual Equipment Washer Room: Space for manual cleaning of reusable equipment. Soiled Cart Lift: If a lift is used for the movement of soiled carts, the soiled cart lift must deliver the soiled cart directly to the Decontamination area. Soiled carts must be restricted to the soiled cart lift. Clean Cart Lift: If a lift is used for the movement of clean carts, the clean cart lift must deliver the clean cart directly to the Surgery suite sterile storage space. Clean carts must be restricted to the clean cart lift. Prep, Assembly, and Sterilization: This room preps, assembles, and sterilizes equipment and instrumentation. Instrumentation arrives through-wall washer/sterilizers or sterilizers; other NARRATIVE SECTION 2-7

27 selected items may arrive via a window pass-through. The room decants prepped and packed sterilized instruments into the Clean/Sterile Storage Room. As part of its function, the Prep, Assembly, and Sterilization Room has an EtO Sterilizer, used for devices that cannot withstand steam sterilization due to temperature or moisture. Clean/Sterile Storage: This room contains a number of functions that support the staging and storage of clean and sterile supplies for distribution to point of service. Those functional zones include: Case Cart Holding: This area is positioned immediately adjacent to the delivery door from Prep, Assembly, and Sterilization to facilitate the assembly of case carts with specific sterile packs for case carts. Equipment Storage and Testing: This area, positioned to receive cleaned carts and cleaned medical equipment, accommodates the testing and storage of equipment and the temporary queuing of carts. Case Cart Area: This area stores and stocks clean supply dedicated for OR use. These supplies have been broken out to accommodate final stocking on case carts or other dedicated cart delivery systems. Dispatch/Control: These workstations accommodate staff that direct the flow of case carts and cleaned/tested equipment to point of use. In addition, there are several rooms that have a direct relationship to Clean/Sterile Holding with all of its work zones. These include: Receiving and Breakout Room: This room allows for the arrival of clean supplies and the breaking out of those supplies from shipping cartons and boxes. Packing debris should be removed without entering the Clean/Sterile Holding Room. Space for inventory management is provided in this space. Bulk Storage: This room allows for the queuing of the storage Receiving and Breakout Room prior to unpacking and stocking shelving in the Clean/Sterile Storage Room. Staff Lockers: Dedicated lockers and a toilet are provided for staff working within the Prep, Assembly, and Sterilization Room and the Clean/Sterile Supply Storage Area. This dedicated one-way flow through locker room is designed to promote the maintenance of the clean environment in both major rooms. Support Spaces: There are several functions that support the core mission of the SPD. These include: Staff Break Room/Conference Room: The Staff Break Room/Conference Room is designed to serve staff working with the SPD. Staff using this Break Room/Conference Room must return to their respective worksites with attention to cleaning and gowning protocols suitable for each key space. NARRATIVE SECTION 2-8

28 Administrative Space: Three offices are provided for SPD staff. These offices are accessed from the public corridor. As administrative staff move into specific rooms, they must do so through the respective one-way flow-through lockers. NARRATIVE SECTION 2-9

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30 Engineering Considerations Mechanical (Heating, Ventilating, and Air Conditioning) An adequate heating and ventilating and air conditioning (HVAC) system is a critical element in planning for SPD and requires careful evaluation. Maintenance of space airflows and relative air pressurizations to contain contamination and to maintain clean environments is a critical aspect of the system. The Mechanical Engineer should coordinate with the Architect and equipment specialists in order to accommodate sterilizing equipment specified for the project. Any request for deviation from HVAC design criteria must be approved by the VA and occur no later than the design development stage. The following represents the highlights of the mechanical system design for SPD. Refer to the VA HVAC Design Manual for additional design requirements. HVAC System: The clean portions of the SPD area must be positively pressurized with respect to adjoining areas and the dirty portions of the SPD area must be under negative pressure with respect to adjoining areas. Within the SPD, the following relative air pressurizations for each of the spaces listed must be maintained. 1. Soiled Receiving and Decontamination Room Negative Air Pressure 2. Preparation, Assembly & Sterilization Area Positive Air Pressure 3. EtO Gas Enclosure Negative Air Pressure 4. Steam Sterilizer and Equipment Service Areas Negative Air Pressure 5. Preparation and Inspection of Surgical Linens and Packs Positive Air Pressure 6. Clean/Sterile Storage Positive Air Pressure Separate dedicated exhaust systems should be provided for the following spaces; constant volume exhaust systems are required: 1. EtO Sterilizers (separate dedicated exhaust systems for the room and the sterilizer). 2. Automatic and/or Manual Equipment wash area. 3. General Exhaust of entire SPD Suite, including steam sterilizers equipment areas. A dedicated 100% outside air handling unit must be provided for the entire SPD Suite. The unit must be constant volume. The unit should include the necessary primary air heating, cooling, humidification, dehumidification, and filtration provisions. Since air is a very good carrier of contaminating agents, air in the Soiled Receiving and Decontamination unit should never mix with air in the Preparation and Inspection unit. It is imperative that the soiled areas have a negative air pressure and the clean areas have a positive air pressure. Individual supply air terminals should be provided for individual SPD areas. Supply air terminals should be constant volume type with airflow volume control capability and include a reheat coil. Individual area exhaust air terminals with airflow volume control capability are not mandatory, but should be considered on an as needed pressurization control basis. NARRATIVE SECTION 2-11

31 Reconditioning of the medical and surgical instruments and utensils is dependent upon the temperature and humidity. The Soiled Receiving and Decontamination Area, and the Preparation, Assembly & Sterilization Area should have individual room temperature and humidity controls. Controls and Monitoring: All Suite air systems are to operate continuously in order to maintain room pressurization relationships. Provide room pressurization monitors, with alarms, at Preparation Room (relative to the Decontamination Room) and at Clean/Sterile Storage Room (relative to the surrounding corridor) and at Decontamination Room (relative to the surrounding corridor). EtO gas release monitors should be placed within the EtO Sterilizer Room and outside of the EtO Sterilizer Room in the Preparation/Pack Room, as a warning system for potential EtO leaks. In addition, each of the EtO exhaust systems should be monitored and alarmed. Utilities Equipment: Coordinate all utilities with specified equipment utility requirements. Steam Sterilizers EtO Sterilizers Hydrogen Peroxide Sterilizers Washer/Decontaminator Cart Washer Sonic Cleaner Manual Cleaning and Wash Stations Floor Drains: Decontamination Room: Locate in vicinity of wash stations and equipment loading/unloading areas. Locate floor drains and slope floor to drain to prevent water from pooling on floor. Equipment Service Areas: Locate as required for equipment drainage and provide funnel for indirect drainage connection. Manual Equipment Wash Area: A floor drain for the area should have a minimum 100 mm (4 inch) diameter outlet, and be covered by a grid or strainer. Location of the drain should be at the center of the room with the floor sloping toward the drain at a rate of no less than 3 mm per 25 mm (1/8 inch per foot), and no more than 6 mm per 25 mm (1/4 inch per foot). The floors outside both doors of the Manual Equipment Wash Area should slope back toward the drain. NARRATIVE SECTION 2-12

32 Non-Patient Medical Air: The use of a medical air system meant for patient care in SPD is not permitted under NFPA 99. An NFPA 99C Level 3 medical air system, separate from any patient care medical air system, should be provided for SPD. Electrical Follow criteria as prescribed in PG-18-10, the Electrical and Telecommunication s Design Manual for New Hospitals, Replacement Hospitals, Ambulatory Care, Clinical Additions, Energy Centers, and Outpatient Clinics. Lighting: Illumination is typically provided utilizing recessed fluorescent luminaries with acrylic prismatic lenses in work flow areas. Recessed fluorescent direct/indirect luminaires may be used in the administrative areas to control glare on monitor screens. Surface mounted fluorescent fixtures may be provided for under cabinet task lighting and above mirrors in restrooms. Attention should be given to selecting fixtures, lamps, and controls that best meet the needs of the SPD staff. The fixtures typically use F32T8 lamps in compliance with the Energy Policy Act (EPACT 2005). Lamps shall have a minimum color rendering index (CRI) of 70 and a color temperature of 3500 degrees Kelvin (K). Lighting is typically controlled by wall mounted switches located at the entrance to the room. Larger spaces may utilize multiple switching by separate switches for illuminating a selected area or multilevel lamping control. The use of occupancy sensors is recommended for administrative areas, restrooms, shower rooms, and locker rooms to help reduce energy consumption Use light fixtures rated for wet locations in areas specified on the Guide Plates. Lighting load densities should be verified for the actual design, as they may vary depending on the room configuration, fixture types, lamps and ballasts used. Serve selected light fixtures from the emergency electrical power system to allow for continued operation during a power outage. For facilities that do not require emergency generators, provide selected light fixtures with battery ballast. Power: General purpose duplex receptacles are typically provided on each wall in administrative areas and where power is required for given areas of SPD. Multiple outlet assemblies (plugmold) shall be provided in Equipment Testing and Storage and areas that perform equipment testing and battery charging. Dedicated duplex or special receptacles are provided for selected pieces of equipment. Workstations with personal computers (PC's) are typically provided with quadruplex receptacles for the PC, monitor and printer. Junction boxes are provided for equipment requiring a hardwired connection. Emergency Power: Since ventilation and adequate temperature are integral in the function of SPD, the following mechanical systems must be connected to emergency power system and must remain operational during power outages: Supply Air System, General Exhaust System, Wash Area Exhaust System, EtO Sterilizer Exhaust System, EtO Gas Release Monitors, Steam Sterilizers, and all DDC controls for these systems. Additionally, the chilled water system serving the SPD Supply Air System must be connected to the emergency power system. All sterilization equipment is recommended to be connected to the emergency electrical power system if possible. Steam sterilizers must be connected to the emergency power system. The NARRATIVE SECTION 2-13

33 emergency electrical power system should be reviewed to determine if sufficient capacity is available for connection of all other sterilizers and other SPD equipment. Communications/Special Systems Follow criteria as prescribed in PG-18-10, Electrical and Telecommunication s Design Manual for communications and special systems. Telephone: Outlets are typically provided in administrative areas and in proximity to workstations at selected locations within the SPD work areas Automatic Data Processing (ADP): Computer outlets are typically provided at each workstation with a personal computer (PC) and/or a printer. Intercom: An interdepartmental intercom system should be provided to allow communication between the various departments within the SPD area. Intercom stations should be placed in the Soiled Receiving and Decontamination Area; Preparation, Assembly, and Sterilization Area; and Dispatch Area. Exact locations and quantities of intercom stations should be coordinated with the Chief of SPD. Public Address: The department should be included as part of the hospital-wide PA system. The public address system is typically part of the telephone system and installation shall be coordinated accordingly. Speakers shall be located in selected areas as determined necessary by the SPD staff. Life Safety and Fire Protection As stated in the VA Fire Protection Design Manual, the Public Buildings Amendment Act (PL ) requires all Federal agencies to follow the latest editions of nationally recognized fire and life safety codes. VA has adopted the National Fire Codes (NFC), except NFPA 5000, published by the National Fire Protection Association (NFPA). Life safety requirements are specifically addressed in the Life Safety Code, NFPA 101. Fire protection features not addressed by the NFC should be designed to comply with requirements of the latest edition of the International Building Code (IBC). For guidance on compliance with other Codes and Standards, refer to PG-18-3 Design and Construction Procedures, Topic 1. NARRATIVE SECTION 2-14

34 Concerns Specific to Supply, Processing & Distribution Equipment: Equipment may be purchased by either the VA (Owner) or the contractor and installed by the contractor (CC), or purchased by the VA (Owner) and installed by the VA or the Vendor (VV). If purchased by the contractor, specifications must be clearly written. The Chief of SPD operations at each VA medical center is knowledgeable about equipment styles and types that best meet the needs of the facility, and should guide the selection of equipment. If purchasing equipment not listed in GSA catalogs, specifications must be sufficiently detailed to assure quality acquisition. The selection of equipment should be fully coordinated with the facility s design in order that utility and space requirements are considered during design development. It is imperative that all power and water resources be fully accommodated, and that the mechanical and ventilation systems are designed to be responsive to heat loads created by specific equipment. Thus, the specific choice of equipment must be established early on to promote a consistent and coordinated plan. Careful attention must be given to the location and capacity of electric outlets, water and steam supply, drains, vacuum, exhaust ducts and other utilities, to insure capacity and compatibility with the equipment to be installed. Utilities and their locations are shown on the Guide Plates and are not project specific. It is the responsibility of the person selecting the equipment and the project designers to determine the adequacy of utilities in each space. Sanitation Equipment: Frequent and thorough cleaning of shelves and room surfaces is essential to prevent build up of dust and unwanted particles which may contaminate medical and surgical supplies. Room walls are manually scrubbed with either a detergent and/or disinfectant. Thus, to facilitate cleaning, walls are typically specified with a washable surface. Floors in the Soiled Receiving and Decontamination room may be damp mopped or cleaned with an electric floor scrubber. In the Sterile/Non-Sterile Storage Room; however, cleaning with a damp mop will suffice. Generally, storage shelves in the Sterile/Non-Sterile Storage Room are kept 200 to 250 mm (8 to 10 inches) above the floor to facilitate cleaning. Ultrasonic Cleaners: Ultrasonic cleaners are often used as an initial step in the process of cleaning surgical instruments. Ultrasonic cleaners are a mechanical system that uses sound waves along with water and detergent to remove soil from instruments. Both tabletop and floor units are available. Full-size ultrasonic cleaner is needed and required Tabletop units can also be purchased specifically for cleaning delicate instruments with long lumens. Floor units are designed to accommodate large quantities of instruments at one time and can have either single or double chambers. Washer/Disinfectors: Following the ultrasonic cleaning process, instruments are placed into washer/disinfectors. Instruments and trays are loaded into the unit on the Decontamination side of SPD, and removed upon completion of the cycle on the Prep/Pack side of SPD. Washer/Disinfectors are heated by either electric or steam. Automation systems for loading and unloading washer/disinfectors are highly recommended for departments that process large NARRATIVE SECTION 2-15

35 volumes of instruments. Washer/disinfectors are typically recessed between the Decontamination area and the Prep/Pack area of SPD. Scope Washers: These freestanding mechanical washers are used to effectively process flexible scopes with lumens such as endoscopes or colonoscopes. Some washers are equipped with a cycle that provides a final high-level disinfection flush. These will also be in the Decontamination Area. Drying Cabinets: These freestanding cabinets are used to dry equipment either on racks or hooks. Drying cabinets are designed to have a constant air flow and variable temperature settings. There are single door and pass-thru door units available. Steam Gun: Steam guns are powered by steam and are typically used to clean carts and other movable equipment that can withstand water and steam temperatures up to 270 degrees Fahrenheit. A steam gun should always be used in a dedicated equipment wash room with non-slip flooring and a floor drain. Automatic Endoscope Reprocessors (AER): Mechanical units to wash and disinfect immersible endoscopes, these units will have water hook ups and drains. These units use an FDA-approved high-level disinfection solution to disinfect the semi-critical scopes after cleaning that do not require sterilization for use. These units will also be in the Decontamination Area. Sterilizers Steam: Steam sterilizers are used to sterilize surgical instruments and equipment that can withstand a temperature of 270 degrees Fahrenheit. Sterilizers are available in both cartloading and floor-loading models. Single door or pass-thru units can be used depending on the department workflow. Steam sterilizers can be either freestanding or recessed. Ethylene Oxide: Ethylene Oxide (EtO) sterilizers are used to sterilize items that cannot withstand high temperature sterilization. They are designed with both a sterilization cycle of 130 degrees Fahrenheit, and an aeration cycle. Items should never be removed from an EtO sterilizer until an aeration cycle is complete. EtO Sterilizers are generally small and can be loaded by cart or by hand. A separate room should be dedicated for Ethylene Oxide sterilizers and no other activity should occur in the room except to load and unload the units. Ethylene Oxide is a carcinogenic gas that can cause difficulty breathing, dizziness, and convulsions. Contact with liquid EtO can cause severe skin burns. EtO sterilizers can be either freestanding or recessed. A dedicated exhaust system is required for Ethylene Oxide. Consult the VA HVAC Design Manual for EtO exhaust system design requirements. Gas Plasma: Gas plasma sterilization uses hydrogen peroxide to sterilize instruments and equipment that cannot withstand high temperature sterilization. These sterilizers are powered by electric and are either floor or counter mounted. There are no plumbing or steam requirements, so the sterilizers can be easily relocated. Scope Sterilizer: Scope sterilizers use a liquid chemical to sterilize immersible scopes that cannot withstand high temperature sterilization. These sterilizers require electric and plumbing. Units can be either mobile or counter mounted. NARRATIVE SECTION 2-16

36 Functional Diagrams Section 3 Page Net and Departmental Gross Area..3-1 Functional Relationship Diagram.3-2 Work Flow Relationship Diagram Material Flow Relationship Diagram Personnel Circulation Relationship Diagram 3-5 Air Flow Relationship Diagram FUNCTIONAL DIAGRAMS CONTENTS SECTION 3

37 This page intentionally left blank. FUNCTIONAL DIAGRAMS CONTENTS SECTION 3

38 Net and Departmental Gross Area Net Area (Net Square Feet, NSF; or Net Square Meters, NSM) is the actual floor area in a room or functional area (finish to finish) that can be used by people, furnishings, or equipment. Department Gross Square Feet (DGSF) includes, in addition to the Net Area, partitions and circulation internal to the functional area of the department. The net to department gross factor (NTDG factor) adopted by VA for SPD is The 1.30 factor anticipates that the internal circulation must be added to connect functional areas and individual rooms. FUNCTIONAL DIAGRAMS SECTION 3-1

39 Functional Relationship Diagram FUNCTIONAL DIAGRAMS SECTION 3-2

40 Relationship Diagram Work Flow FUNCTIONAL DIAGRAMS SECTION 3-3

41 Relationship Diagram Material Flow FUNCTIONAL DIAGRAMS SECTION 3-4

42 Relationship Diagram Personnel Circulation FUNCTIONAL DIAGRAMS SECTION 3-5

43 Relationship Diagram Air Flow FUNCTIONAL DIAGRAMS SECTION 3-6

44 Guide Plates Section 4 Page Introduction Guide Plate The Guide Plates are organized by Functional Area and then by room name. Guide Plates that apply to more than one functional area are at the front of this section. See Appendix in Section 5 for Index of Guide Plates by all functional areas, including cross reference by room designations (SEPS code) used in the Space Planning Criteria. Housekeeping Aides Closet Administrative Areas Staff-Conference Room. 4-6 Office, First Clerk Office, Chief of SPD Office, Assistant Chief of SPD Lockers and Toilets (Clean Area) Ante-Room Locker Rooms Toilet & Shower Rooms GUIDE PLATES CONTENTS SECTION 4

45 Guide Plates, continued Section 4 Page Soiled Areas Automatic Cart Wash Detergent & Water Treatment Room Ante-Room Soiled Receiving and Decontamination Area 4-56 Manual Equipment Wash Endoscope Processing/High Level Disinfection Scope Storage Decontamination/Ante-Room/ PPE/Gowning Locker Rooms Toilet & Shower Rooms Clean Areas EtO Sterilizer/Aerator Room Preparation, Assembly, & Sterilization Area 4-96 Storage Areas Ante-Room (Dispatch Area) Clean Receiving and Breakout Bulk Storage Area Dispatch Area Equipment Storage and Testing Area Sterile & Non-Sterile Storage Area (Surgery) Sterile & Non-Sterile Storage Area (Nursing Units) GUIDE PLATES CONTENTS SECTION 4

46 Introduction The Design Guide Plates included with this publication are intended as general representations of typical furniture, equipment, functional and personnel space needs. The Design Guide Plates were developed as a design tool to assist the Project Team in understanding the choices to be made during design, and to assist designers in understanding VA s functional requirements for the Supply Processing & Distribution Department. The Guide Plates are not intended to be project specific and are not meant to limit design opportunities. While plates are provided for a majority of spaces required in the Supply, Processing & Distribution Department, it is not possible to foresee all possible variations or future requirements. The project-specific space program shall be used as the basis for individual project design. In all cases the Guide Plates must be reviewed against project criteria and any special requirements. Users shall refer to other VA criteria and standards (listed in Section 1) when information is either too detailed or too broad to be included in the Guide Plates. Equipment requirements and technologies are continually evolving. Equipment manufacturers shall be consulted for actual dimensions and utility requirements. See Section 5 for a cross reference to the Room Names and SEPS designations used in Chapter 285 of the Space Criteria. GUIDE PLATES SECTION 4-1

47 Housekeeping Aides Closet (HAC) Decon & Clean Areas (JANC1) Floor Plan 40 NSF / 3.7NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-2

48 Housekeeping Aides Closet (HAC) Decon & Clean Areas (JANC1) Reflected Ceiling Plan 40 NSF / 3.7 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-3

49 Housekeeping Aides Closet (HAC) Decon & Clean Areas (JANC1) Design Standards ARCHITECTURAL Ceiling: AT(SP) Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) Wainscot: CT4 4-0 Base: PT/QT4 Floor Finish: PT/QT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 20 FC 1.5W/SF (MIN) Special: - Notes: 1) Fixture B: 1 x4 (300 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: None Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Double Negative (--) 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: - GUIDE PLATES SECTION 4-4

50 Housekeeping Aides Closet (HAC) Decon & Clean Areas (JANC1) Equipment List JSN SYMBOL QTY AI DESCRIPTION A VV Dispenser, Soap, Disposable Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge and valve. A CC Dispenser, Paper Towel, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator slot. Minimum capacity 400 single-fold paper towels. For general purpose use throughout the facility. A CC Shelf, Utility with Mop/Broom Holders, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, utility shelf with a maximum of 6 mop/broom holders and 5 rag hooks. Utility shelf features: 8" deep shelf; mounting brackets welded to shelf; spring activated rubber cam holders; and drying rod. Unit is available in various widths 30" (minimum, 3 holders and 2 hooks) to 48" (maximum, 6 holders and 5 hooks). For use in janitor closets. Pricing based on a 36" width. F VV Cart, Janitor s Janitors cart, 38" high X 66" wide X 20" deep with 25 gallon heavy duty collection bag. Accommodations for locking vault and janitorial support items (broom, dust pan, chemicals, mop and mop bucket; not included). F VV Bucket, Mop, with Wringer, 26 Quart Mobile mop bucket / wringer combination, approximately 35" H x 17" W x 22" D with four 2" casters. Total capacity is 26 quarts. Unit used for general hard surface floor maintenance. P CC Sink, Mop, Molded Stone, 10x36x24 Mop service sink. Also called a mop service basin and a mop receptor. Unit is made of molded stone and is a one piece item. It shall include a service faucet hose, hose bracket and mop hanger. Used in utility rooms for cleaning mops and floor cleaning equipment. GUIDE PLATES SECTION 4-5

51 Staff-Conference Room (ZSPD4) Floor Plan Scale: ¼ = NSF / 27.8 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-6

52 Staff-Conference Room (ZSPD4) Reflected Ceiling Plan Scale: ¼ = NSF / 27.8 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-7

53 Staff-Conference Room (ZSPD4) Design Standards ARCHITECTURAL Ceiling: AT Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) 1,2 Wainscot: - Base: RB Floor Finish: SVT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 70 FC 1.5 W/SF (MIN Special: - Notes: 1) Fixture C: 2 x2 (600 mm x 600 mm) recessed, grid mounted fluorescent light fixture. direct/indirect w/gasketed acrylic diffuser and lens, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown - COMMUNICATION/SPECIAL SYSTEMS Data: Yes Telephone: Yes Intercom: Yes Nurse Call: - Public Address: Yes Radio/Entertainment: Yes MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: Yes HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: Dry-Bulb Temperature: 70F - 75F (21C -24C) Relative Humidity: 30% - 55% Minimum Total Air Changes per 6 Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General Exhaust: Room Air Return Permitted: Room Air Balance: General Exhaust No Neutral (0) 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: - GUIDE PLATES SECTION 4-8

54 Staff-Conference Room (ZSPD4) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telephone/Data Outlet (PG-18-1, MCS ) Telephone/data outlet outlet location. A CC Telephone, Desk, 1 Line Telephone, desk, 1 line. A CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. A VV Artwork, Decorative, with Frame This JSN is to be used for determining and defining location of decorative artwork. F VV Bookcase, Open, 5 Shelf Freestanding open shelf bookcase, approximately 82" high X 37" wide X 18" deep with 5 (five) adjustable shelves. Unit can be separate or part of a system with available add-on shelving. F0220 AR VV Chair, Conference Conference chair designed to complement the executive furniture package selected. Foam rubber cushioned seats and backs covered with vinyl. Base with 5 (five) swivel casters. F0295 AR VV Chair, Stacking Stacking chair, approximately 34" H X 21" W X 24" D. May be stacked up to 20 high depending upon the model selected. These chairs are intended primarily as overflow capacity for conference rooms. F VV Chair, Task, Swivel, with Arms Task chair, approximately 34" H X 26" W X 22" D with adjustable arms and a five caster adjustable swivel base. Seat and back are foam padded and upholstered in vinyl. F VV Cabinet, Storage, 2 Door, 5 Shelf Storage cabinet, 78" high X 48" wide X 24" deep with two (2) doors and five (5) adjustable shelves. F VV Workstation, Computer, Enclosed, with Lock Computer operator workstation, approximately 58" high X 36" wide X 25" deep. A fully enclosed workstation for a computer, monitor, printer and supplies. Cabinet has two lockable doors. F VV Table, Conference Executive conference table. Dimensions are approximately 30" high, 48" wide with lengths varying from 74" to 96". These tables add traditional elegance to any conference room. GUIDE PLATES SECTION 4-9

55 F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. F VV Projector, Overhead Overhead transparency projector with hi-low lamp switch, thermal safety switch and 15 foot power cord. Convenience outlet required at point of use. F VV Whiteboard, with Sliding Panels Standard installations consist of sliding panels and a fixed back panel with the choice of chalkboard, markerboard, bulletin board, or a combination of these choices. F VV Clock, Battery, 12 Diameter Clock, 12" diameter. Round surface, easy to read numbers with sweep second hand. Wall mounted unit for use when impractical to install a fully synchronized clock system. Battery operated, (batteries not included). M VV Projector, Multimedia/Data The projector shall provide computer and video projections. The projector shall be portable and weigh no more than 10 pounds. It shall include a zoom lens and computer and video input ports. M CC Screen, Projection, 144x144, Remote Control Wall or ceiling mounted, roll-up type screen with remote control. Includes multiple controls to operate the screen from two or more locations, wireless remote control, adjustable preset limit switches, and black borders on all sides. Screen is housed in a solid wood or metal case with removable motor module. For a classroom, conference room, or large auditorium. M VV Video Teleconferencing System Shall be a video conferencing unit consisting of a camera, microphone, video/audio compression components, a component cart and a 32 inch monitor. It shall provide live audio-visual conferencing capabilities to dispersed geographic sites. M VV Computer, Microprocessing, with Flat Panel Monitor Desk top microprocessing computer. The unit shall consist of a central processing mini tower, flat panel monitor, keyboard, mouse and speakers. The computer is used throughout the facility to input, manipulate and retrieve information. 1 Refrigerator/Freezer, Top Mount, 21.7 Cu Ft Refrigerator / Freezer for food storage. Unit shall be frost free with top mounted freezer. Refrigerator shall have adjustable tempered glass shelving for easy cleaning. Dimensions H 67 x W 33 x D 34. GUIDE PLATES SECTION 4-10

56 AR Handwashing sink AR Microwave AR Coffee Maker AR CC Receptacle, electrical, duplex, 120 volt (PG-18-1, MCS CC Television outlet (PG-18-1, MCS ). 1 CC Intercom outlet (PG-18-1, MCS ). 1 CC Receptacle, electrical, quadruplex, 120 volt, for computer equipment items (PG-18-1, MCS ). 1 CC Occupancy sensor, ceiling mounted (PG-18-1, MCS ). 1 CC Public address speaker, ceiling mount (PG-18-1, MCS ). AR CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). GUIDE PLATES SECTION 4-11

57 Administration, First Clerk (OFA03) Floor Plan 120 NSF / 11.1 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-12

58 Administration, First Clerk (OFA03) Reflected Ceiling Plan 120 NSF / 11.1 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-13

59 Administration, First Clerk (OFA03) Design Standards ARCHITECTURAL Ceiling: AT Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) Wainscot: - Base: RB Floor Finish: CPT/SVT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 70 FC 2 W/SF (MIN) Special: Notes: 1) Fixture C: 2 x2 (600 mm x 600 mm) recessed, grid mounted fluorescent light fixture. direct/indirect w/gasketed acrylic diffuser and lens, w/ F32T8 lamps 3500 K, CRI=70 (minimum 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown Notes: 1) Coordinate location and height of work station receptacles with modular furniture. - COMMUNICATION/SPECIAL SYSTEMS Data: Yes Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - Notes: 1) Coordinate location and height of workstation telephone/data outlets with modular furniture. HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: Dry-Bulb Temperature: 70F - 75F (21C -24C) Relative Humidity: 30% - 55% Minimum Total Air Changes 4 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Neutral (0) PLUMBING AND MEDICAL GASES Cold Water: - Hot Water: - Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: - Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-14

60 Administration, First Clerk (OFA03) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telephone/Data Combination Outlet (PG-18-1, MCS ) Telecommunication outlet location. A CC Telephone, Desk, with Speaker Telephone, desk, with speaker. A CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. E VV Workstation, Modular Refer to plan for layout. F VV Bookcase, 3 Shelf Freestanding open metal shelf book case, approximately 60" high X 36" wide X 18" deep with three (3) adjustable shelves and four (4) non-marking floor glides. F VV Chair, Side with Arms Upholstered side chair, 32" high X 21" wide X 23" deep with arms, padded seats and padded backs. Seat height is a minimum of 17". Available with or without sled base. F VV Chair, Swivel, High Back Highback contemporary swivel chair, 41" high X 23" wide X 23" deep with five (5) caster swivel base and arms. Chair may be used at desks or in conference rooms. Back and seat are foam padded and upholstered with vinyl. F VV Cabinet, Filing, Lateral, Half Height Half height two (2) or three (3) drawer lateral filing cabinet, 28" high X 42" wide X 18" deep with recessed handles, locking device and drawer label holders. Drawers are adaptable to either letter or legal size materials. F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. M VV Computer, Microprocessing, with Flat Panel Monitor Desk top microprocessing computer. The unit shall consist of a central processing mini tower, flat panel monitor, keyboard, mouse and speakers. The computer is used throughout the facility to input, manipulate and retrieve information. GUIDE PLATES SECTION 4-15

61 AR Device to copy, fax and print. 1 CC Receptacle, electrical, quadruplex, for computer equipment items (PG-18-1, MCS ). AR CC Receptacle, electrical, duplex, 120 volt (PG-18-1, MCS ). 1 CC Computer Data outlet (PG-18-1, MCS ). 1 CC Occupancy sensor, ceiling mounted (PG-18-1, MCS ). GUIDE PLATES SECTION 4-16

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63 Administration, Chief of SPD (OFM01) Floor Plan 120 NSF / 11.1 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-18

64 Administration, Chief of SPD (OFM01) Reflected Ceiling Plan 120 NSF / 11.1 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-19

65 Administration, Chief of SPD (OFM01) Design Standards ARCHITECTURAL Ceiling: AT Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) 1 Wainscot: - Base: RB Floor Finish: CPT/SVT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 70 FC 2 W/SF (MIN) Special: Notes: 1) Fixture C: 2 x2 (600 mm x 600 mm) recessed, grid mounted fluorescent light fixture. direct/indirect w/gasketed acrylic diffuser and lens, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown Notes: 1) Coordinate location and height of work station receptacles with modular furniture. - COMMUNICATION/SPECIAL SYSTEMS Data: Yes Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - Notes: 1) Coordinate location and height of work station telephone/data outlets with modular furniture. HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: Dry-Bulb Temperature: 70F 75F (21C 24C) Relative Humidity: 30% - 55% Minimum Total Air Changes 4 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Neutral (0) PLUMBING AND MEDICAL GASES Cold Water: - Hot Water: - Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: - Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-20

66 Administration, Chief of SPD (OFM01) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telephone/Data Combination Outlet (PG-18-1, MCS ) Telecommunication outlet location. A CC Telephone, Desk, with Speaker Telephone, desk, with speaker. A CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. A VV Track, Drapery, Ceiling/Wall Mounted, Single Channel Cord Ceiling or wall mounted single channel cord drapery track. Adjustable with mounted brackets and slides. Dimensions and shape as required. Unit consists of a thick extruded aluminum track. Equipped with selflubricating carriers, beaded drop chain, hooks, removable end caps, and curtain. Designed to be suspended around patient areas where privacy is needed. Price listed is per foot of the track, curtains to be priced per quote. A VV Drapes, Pair This JSN is to be used for determining and defining the location of drapes. Fabric to be flame retardant, variable colors and patterns with backing. Price based on a pair of drapes for a window approximately 36" W X 60" H. E VV Workstation, Modular Refer to plan for layout. F VV Bookcase, 3 Shelf Freestanding open metal shelf book case, approximately 60" high X 36" wide X 18" deep with three (3) adjustable shelves and four (4) non-marking floor glides. F VV Chair, Side with Arms Upholstered side chair, 32" high X 21" wide X 23" deep with arms, padded seats and padded backs. Seat height is a minimum of 17". Available with or without sled base. F VV Chair, Swivel, High Back Highback contemporary swivel chair, 41" high X 23" wide X 23" deep with five (5) caster swivel base and arms. Chair may be used at desks or in conference rooms. Back and seat are foam padded and upholstered with vinyl. F VV Cabinet, Filing, Full Height, 4-5 Drawer GUIDE PLATES SECTION 4-21

67 Four (4) or five (5) drawer letter size, vertical filing cabinet, 53" high X 15" wide X 29" deep with locking device. Each drawer has label holder, handle and roller cradle. F VV Cabinet, Filing, Lateral, Half Height Half height two (2) or three (3) drawer lateral filing cabinet, 28" high X 42" wide X 18" deep with recessed handles, locking device and drawer label holders. Drawers are adaptable to either letter or legal size materials. F VV Desk, Double Pedestal Double pedestal flat top desk, 30" high X 60" wide X 30" deep with center pencil drawer, choices of combinations of file and box drawers, floor glides and modesty panel. F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. F CC Whiteboard, Dry Erase Whiteboard unit, approximately 36" H x 48" W consisting of a white porcelain enamel writing surface with an attached chalk tray. Magnetic surface available. Image can be easily removed with a standard chalkboard eraser. For use with water color pens. Unit is ready to hang. F VV Clock, Battery, 12 Diameter Clock, 12" diameter. Round surface, easy to read numbers with sweep second hand. Wall mounted unit for use when impractical to install a fully synchronized clock system. Battery operated, (batteries not included). M VV Computer, Microprocessing, with Flat Panel Monitor Desk top microprocessing computer. The unit shall consist of a central processing mini tower, flat panel monitor, keyboard, mouse and speakers. The computer is used throughout the facility to input, manipulate and retrieve information. M VV Printer, Computer High resolution computer printer with a variety of type styles and sheet/envelope feeder trays. Database information reflects network ready, medium duty office style laser printers. Other types of printers (bubble jet, dot matrix, line or plotter) as well as light or heavy use capabilities are available. 1 CC Receptacle, electrical, quadruplex, for computer equipment items (PG-18-1, MCS ). AR CC Receptacle, electrical, duplex, 120 volt (PG-18-1, MCS ). 1 CC Computer Data outlet (PG-18-1, MCS ). 1 CC Occupancy sensor, ceiling mounted (PG-18-1, MCS GUIDE PLATES SECTION 4-22

68 ). GUIDE PLATES SECTION 4-23

69 Administration, Assistant Chief of SPD (OFA01) Floor Plan 100 NSF / 9.3 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-24

70 Administration, Assistant Chief of SPD (OFA01) Reflected Ceiling Plan 100 NSF / 9.3 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-25

71 Administration, Assistant Chief of SPD (OFA01) Design Standards ARCHITECTURAL Ceiling: AT Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) Wainscot: - Base: RB Floor Finish: CPT/SVT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 70 FC 2 W/SF (MIN) Special: - Notes: 1) Fixture C: 2 x2 (600 mm x 600 mm) recessed, grid mounted fluorescent light fixture. direct/indirect w/gasketed acrylic diffuser and lens, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: Receptacles Emergency: As Shown Notes: 1) Coordinate location and height of work station receptacles with modular furniture. - COMMUNICATION/SPECIAL SYSTEMS Data: Yes Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - Notes: 1) Coordinate location and height of work station telephone/data outlets with modular furniture. HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: Dry-Bulb Temperature: 70F 75F (21C 24C) Relative Humidity: 30% - 55% Minimum Total Air Changes 4 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Neutral (0) PLUMBING AND MEDICAL GASES Cold Water: - Hot Water: - Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: - Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-26

72 Administration, Assistant Chief of SPD (OFA01) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telephone/Data Combination Outlet (PG-18-1, MCS ) Telephone/data outlet location. A CC Telephone, Desk, with Speaker Telephone, desk, with speaker. A CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. A VV Track, Drapery, Ceiling/Wall Mounted, Single Channel Cord Supply drapery track only if exterior window is present. Ceiling or wall mounted single channel cord drapery track. Adjustable with mounted brackets and slides. Dimensions and shape as required. Unit consists of a thick extruded aluminum track. Equipped with self-lubricating carriers, beaded drop chain, hooks, removable end caps, and curtain. Designed to be suspended around patient areas where privacy is needed. Price listed is per foot of the track, curtains to be priced per quote. A VV Drapes, Pair Supply drapes only if exterior window is present. This JSN is to be used for determining and defining the location of drapes. Fabric to be flame retardant, variable colors and patterns with backing. Price based on a pair of drapes for a window approximately 36" W X 60" H. E VV Workstation, Modular Refer to plan for layout. F VV Bookcase, 3 Shelf Freestanding open metal shelf book case, approximately 60" high X 36" wide X 18" deep with three (3) adjustable shelves and four (4) non-marking floor glides. F VV Chair, Side with Arms Upholstered side chair, 32" high X 21" wide X 23" deep with arms, padded seats and padded backs. Seat height is a minimum of 17". Available with or without sled base. F VV Chair, Swivel, High Back Highback contemporary swivel chair, 41" high X 23" wide X 23" deep with five (5) caster swivel base and arms. Chair may be used at desks or in conference rooms. Back and seat are foam padded and GUIDE PLATES SECTION 4-27

73 upholstered with vinyl. F VV Cabinet, Filing, Lateral, Half Height Half height two (2) or three (3) drawer lateral filing cabinet, 28" high X 42" wide X 18" deep with recessed handles, locking device and drawer label holders. Drawers are adaptable to either letter or legal size materials. F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. F CC Whiteboard, Dry Erase Whiteboard unit, approximately 36" H x 48" W consisting of a white porcelain enamel writing surface with an attached chalk tray. Magnetic surface available. Image can be easily removed with a standard chalkboard eraser. For use with water color pens. Unit is ready to hang. F VV Clock, Battery, 12 Diameter Clock, 12" diameter. Round surface, easy to read numbers with sweep second hand. Wall mounted unit for use when impractical to install a fully synchronized clock system. Battery operated, (batteries not included). M VV Computer, Microprocessing, with Flat Panel Monitor Desk top microprocessing computer. The unit shall consist of a central processing mini tower, flat panel monitor, keyboard, mouse and speakers. The computer is used throughout the facility to input, manipulate and retrieve information. M VV Printer, Computer High resolution computer printer with a variety of type styles and sheet/envelope feeder trays. Database information reflects network ready, medium duty office style laser printers. Other types of printers (bubble jet, dot matrix, line or plotter) as well as light or heavy use capabilities are available. 1 CC Receptacle, electrical, quadruplex, for computer equipment items (PG-18-1, MCS ). AR CC Receptacle, electrical, duplex, 120 volt (PG-18-1, MCS ). 1 CC Computer data outlet (PG-18-1, MCS ). 1 CC Occupancy sensor, ceiling mounted (PG-18-1, MCS ). GUIDE PLATES SECTION 4-28

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75 Ante-Room (Clean Area) (CSDE4) Floor Plan Scale: ¼ = NSF / 11.1 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-30

76 Ante-Room (Clean Area) (CSDE4) Reflected Ceiling Plan Scale: ¼ = NSF / 11.1 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-31

77 Ante-Room (Clean Area) (CSDE4) Design Standards ARCHITECTURAL Ceiling: AT (SP) Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) Wainscot: - Base: RB Floor Finish: VCT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 30 FC 1 W/SF (MIN Special: Notes: 1) Fixture A: 2 x4 (600 mm x 1200 mm) recessed, grid mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: Dry-Bulb Temperatures: None 70F 75F (21C 24C) Relative Humidity: 30% - 55% Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: No Special Exhaust or General None Exhaust: Room Air Return Permitted: No Room Air Balance: Positive (+) PLUMBING AND MEDICAL GASES Cold Water: - Hot Water: - Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: - Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-32

78 Ante-Room (Clean Area) (CSDE4) Equipment List JSN SYMBOL QTY AI DESCRIPTION AR Shelving, Stainless Steel. 1 CC Receptacle, electrical, duplex, 120 volt (PG-18-1, MCS ). GUIDE PLATES SECTION 4-33

79 Locker Rooms (Clean Area) (LR001) Floor Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-34

80 Locker Rooms (Clean Area) (LR001) Reflected Ceiling Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-35

81 Locker Rooms (Clean Area) (LR001) Design Standards ARCHITECTURAL Ceiling: AT Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB Wainscot: - Base: RB Floor Finish: VCT Slab Depression: - Sound Protection: - Notes: 1) Separate facilities for men & women / enclosed toilet. SPECIAL EQUIPMENT LIGHTING General: 20 FC- 1 W/SF Special: - Notes: 1) Fixture A: 2 x4 (600 mm x 1200 mm) recessed, grid mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). Fixture D: 24" wall mounted fluorescent fixture mounted 92" (2300mm) AAF unless otherwise noted, prismatic acrylic shield, w/ F17T8 lamps, 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: None Dry-Bulb Temperatures: - Relative Humidity: - Minimum Total Air Changes 6 per Hour: Room Air Exhaust Required: No Special Exhaust or General None Exhaust: Room Air Return Permitted: No Room Air Balance: Negative (-) Notes: 1) Room air used as make-up for exhaust through adjoining toilet and shower. 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: - GUIDE PLATES SECTION 4-36

82 Locker Rooms (Clean Area) (LR001) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telecommunication Outlet (PG-18-1, MCS ) Telecommunication outlet location. A CC Telephone, Wall Mounted, 1 Line Telephone, wall mounted, 1 line. A1040 AR VV Locker, 2 Person, Side by Side, 72x15x18 Two person locker, double tier, 72Hx12Wx18D. This unit includes hooks for coats and hats. Door equipped with safety guard handles. Designed for storage of coats, hats, and other personal belongings. Other width and depths are available. A CC Mirror, Posture, Wall Mounted Wall mounted posture mirror. Consists of a 1/4" plate glass in a sturdy corrosion resistant frame with water proof back. For educational and therapy programs. A5020 AR VV Bench, Locker Room, Floor Mounted Portable locker room bench. Approximately 1-1/2" thick. Benches shall be laminated hardwood with a moisture resistant sealer or anodized aluminum Units are mounted on strong pedestals. A CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. AR Hamper. AR Hand disinfectant. 1 CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). 1 CC Occupancy sensor, dual technology, wall mounted (PG-18-1, MCS ). GUIDE PLATES SECTION 4-37

83 Toilet & Shower Rooms (Clean Area) (TLTS1) Floor Plan Scale: ¼ = NSF / 7.4 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-38

84 Toilet & Shower Rooms (Clean Area) (TLTS1) Reflected Ceiling Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-39

85 Toilet & Shower Rooms (Clean Area) (TLTS1) Design Standards ARCHITECTURAL Ceiling: GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB 1 / S 1, 4 Wainscot: CT1 4-0 Base: PT1 Floor Finish: PT Slab Depression: - Sound Protection: - Notes: SPECIAL EQUIPMENT Toilet Room Accessories: - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: Yes Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - LIGHTING General: 30 FC- 1W/SF (MIN) Special: Notes: 1) Fixture A: 2 x4 (600 mm x 1200 mm) recessed, grid mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). Fixture D: 24" wall mounted fluorescent fixture - mounted over mirror, prismatic acrylic shield, w/ F17T8 lamps, 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: None Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Double Negative (--) Notes: 1) Exhaust, transfer air received from the adjoining locker rooms, outdoors. 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: - GUIDE PLATES SECTION 4-40

86 Toilet & Shower Rooms (Clean Area) (TLTS1) Equipment List JSN SYMBOL QTY AI DESCRIPTION A1066 AR CC Mirror, Float Glass, with Stainless Steel Frame A high quality 1/4" polished float glass mirror 36X18, framed in a one-piece, bright polished, stainless steel channel frame with 90 mitered corners. All edges of the mirror are protected by absorbing filler strips. Mirror has a galvanized steel back with integral horizontal hanging brackets and wall hanger for concealed mounting. For mounting above single wall mounted lavatories located in toilet areas, Doctors examination offices, etc. May also be used above double lavatories, either wall or countertop mounted, found in restroom areas. A5075 AR VV Dispenser, Soap, Disposable Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge and valve. A5080 AR CC Dispenser, Paper Towel, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator slot. Minimum capacity 400 single-fold paper towels. For general purpose use throughout the facility. A5090 AR CC Disposal, Sanitary Napkin, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, sanitary napkin disposal. Disposal features a flip-up cover, secured to the container by a heavy duty stainless steel piano-hinge. Disposal may be secured to wall or toilet partition. For general purpose use in female toilet stalls or rooms and uni-sex toilet rooms. A5109 AR CC Grab Bar, 1-1/4 Dia., SS, 2 Wall, Wheelchair Accessible A 1-1/4" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. Snap over flanges are provided to conceal mounting screws. A selection of mounting kits and concealed anchor devices are available from the manufacturers for different types of installations. Grab bar shall comply with barrier-free accessibility guidelines for structural strength. For typical water closet applications in toilet stalls and rooms where ADA (American's With Disabilities Act) requirements must be met. A5145 AR CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting GUIDE PLATES SECTION 4-41

87 bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. A5200 AR CC Dispenser, Toilet Tissue, Stainless Steel, 2-Roll, Surface Mounted A concealed surface mounted, double roll, satin finish stainless steel, toilet tissue dispenser. Unit accommodates two standard-core toilet tissue rolls through 5" in diameter. Spindles are chrome plated plastic with a heavy-duty internal spring and turn freely for non-controlled delivery. For general purpose use in restrooms. F2000 AR VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. P9180 AR CC Lavatory, Wheelchair, 7x20x27 Wheelchair lavatory. Shall be made of vitreous china and accessible to wheelchair bound patients and visitors. Unit is equipped with wrist control handles. Used throughout the facility in handicapped access restrooms. P9050 AR CC Toilet, Wall Hung, Siphon Jet Siphon jet water closet/ toilet. This unit is wall hung with an elongated bowl, top spud flush valve, seat with open front and check hinge, and carrier. Used throughout the health care facility in restrooms. AR Pre-fab shower enclosure. 1 CC Receptacle, electrical, duplex, 120V, 20A, ground fault interrupter (PG-18-1, MCS ). 1 CC Occupancy sensor, dual technology, wall mounted (PG-18-1, MCS ). GUIDE PLATES SECTION 4-42

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89 Automatic Cart Wash (CWSH2) Floor Plan 120 NSF / 11.1 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-44

90 Automatic Cart Wash (CWSH2) Reflected Ceiling Plan 120 NSF / 11.1 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-45

91 Automatic Cart Wash (CWSH2) Design Standards ARCHITECTURAL Ceiling: GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: CT4 Wainscot: - Base: RES Floor Finish: RES Slab Depression: - Sound Protection: - Notes: SPECIAL EQUIPMENT LIGHTING General: 30 FC 1 W/SF (MIN) Special: As Shown Notes: 1) Fixture B: 1 x4 (300 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: None Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General Special Exhaust Exhaust: ( Wet Exhaust ) Room Air Return Permitted: No Room Air Balance: Negative (-) PLUMBING AND MEDICAL GASES Cold Water: Yes. Note 1) Hot Water: Yes. Note 1) Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: Yes. Note 1) Reagent Grade Water: Yes. Note 1) Medical Air: - Medical Vacuum: - Oxygen: - 1) Provide as needed per automatic wash equipment requirements. GUIDE PLATES SECTION 4-46

92 Automatic Cart Wash (CWSH2) Equipment List JSN SYMBOL QTY AI DESCRIPTION S CC Washer, Cart & Utensil, 2 Door, Pit Mounted, Recessed through 2 Walls A recessed (through two walls), pit mounted, double door (right or left-hinged, appropriate configuration to be indicated on equipment elevation drawings), cart and utensil washer (minimum chamber load capacity 78X34X76). A microprocessor-based controller monitors and controls system operations and functions. The unit provides: visual and/or audible indication of cycle operation, programmable treatment time and temperatures, and a minimum of three cycles (wash with detergent, rinse, and drying). For use in central processing to clean and decontaminate, carts, patient-care utensils (IV poles, wheelchairs, stretchers, etc.) and other bulk items. Various electrical configurations are available, for pricing 208V, 60HZ, 3-phase is used. NOTE: Cart wash cannot empty into the Prep Room; it must empty into the Clean Sterile Area. The Automatic Cart Wash must have a drying unit. AR Carts for small items (basins, etc.) being processed by the cart washer. 1 CC Disconnect Switch (PG-18-1, MCS ). 1 CC Junction Box (PG-18-1, MCS ). GUIDE PLATES SECTION 4-47

93 Detergent & Water Treatment Room (LBWA1) Floor Plan 100 NSF / 9.3 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-48

94 Detergent & Water Treatment Room (LBWA1) Reflected Ceiling Plan 100 NSF / 9.3 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-49

95 Detergent & Water Treatment Room (LBWA1) Design Standards ARCHITECTURAL Ceiling: GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB (SC) Wainscot: - Base: RES Floor Finish: RES 3 Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 30 FC 2W/SF (MIN) Special: As Shown Notes: 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: None Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Double Negative (--) PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Non-Patient Medical Air: Yes Laboratory Vacuum: - Sanitary Drain: Yes Reagent Grade Water: Yes Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-50

96 Detergent & Water Treatment Room (LBWA1) Equipment List JSN SYMBOL QTY AI DESCRIPTION No equipment noted in MLST1691 for this room AR Automated detergent dispensing units. AR Water purification and water saver system(s). 1 CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). 1 CC Disconnect Switch (PG-18-1, MCS ). 1 CC Junction Box (PG-18-1, MCS ). GUIDE PLATES SECTION 4-51

97 Ante-Room (Soiled Area) (CSDE4) Floor Plan Scale: 1/8 = NSF / 6.5 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-52

98 Ante-Room (Soiled Area) (CSDE4) Reflected Ceiling Plan Scale: 1/8 = NSF / 6.5 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-53

99 Ante-Room (Soiled Area) (CSDE4) Design Standards ARCHITECTURAL Ceiling: Ceiling Height: Wall Finish: Wainscot: Base: Floor Finish: Slab Depression: Sound Protection: Notes: SPECIAL EQUIPMENT LIGHTING General: Special: Notes: RES-W/GWB(SC) 9-0 (2700 mm) RES-W/GWB(SC) -- RES RES FC 1 W/SF (MIN) As Shown 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All COMMUNICATION/SPECIAL SYSTEMS Data: -- Telephone: -- Intercom: -- Nurse Call: -- Public Address: -- Radio/Entertainment: -- MATV: - CCTV: -- MID: - Security/Duress: -- VTEL: -- VA Satellite TV: -- HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: None Dry-Bulb Temperature: -- Relative Humidity: -- Minimum Total Air Changes - per Hour: Room Air Exhaust Required: No Special Exhaust or General None Exhaust: Room Air Return Permitted: No Room Air Balance: -- Notes: PLUMBING AND MEDICAL GASES Cold Water: -- Hot Water: -- Laboratory Air: -- Laboratory Vacuum: -- Sanitary Drain: -- Reagent Grade Water: -- Medical Air: - Medical Vacuum: -- Oxygen: -- Notes: -- GUIDE PLATES SECTION 4-54

100 Ante-Room (Soiled Area) (CSDE4) Equipment List JSN SYMBOL QTY AI DESCRIPTION GUIDE PLATES SECTION 4-55

101 Soiled Receiving and Decontamination Area (ZSPD1) Floor Plan NSF(NSM) per Space Criteria M Ft Scale: 1/8 = 1-0 NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-56

102 Soiled Receiving and Decontamination Area (ZSPD1) Reflected Ceiling Plan NSF(NSM) per Space Criteria M Ft Scale: 1/8 = 1-0 NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-57

103 Soiled Receiving and Decontamination Area (ZSPD1) Design Standards ARCHITECTURAL Ceiling: RES-W/GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: RES-W/GWB (SC) Wainscot: -- Base: RES Floor Finish: RES Slab Depression: -- Sound Protection: -- SPECIAL EQUIPMENT LIGHTING General: 30 FC 1 W/SF (MIN) Special: As Shown Notes: 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). Fixture B: 1 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch. 4) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the footcandle requirement. 5) Sterilizer Equipment Room: 30 FC level. - COMMUNICATION/SPECIAL SYSTEMS Data: Yes Telephone: Yes Intercom: Yes Nurse Call: -- Public Address: Yes Radio/Entertainment: -- MATV: - CCTV: -- MID: - Security/Duress: -- VTEL: -- VA Satellite TV: -- HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: Dry-Bulb Temperature: 68F (20C) Relative Humidity: 30% - 55% Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Double Negative (--) PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Non-Patient Medical Air: Yes Laboratory Vacuum: Yes Sanitary Drain: Yes Reagent Grade Water: Yes Medical Air: - Medical Vacuum: -- Oxygen: Yes Notes: -- POWER General: As Shown Emergency: All Notes: 1) Provide emergency (critical branch) power to maintain room functionality. 2) Consider covers for devices to protect from wet location. GUIDE PLATES SECTION 4-58

104 Soiled Receiving and Decontamination Area (ZSPD1) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telephone/Data Combination Outlet (PG-18-1, MCS ) Telephone/data outlet location. A CC Telephone, Wall Mounted, 1 Line, With Speaker Telephone, wall mounted, 1 line, with speaker. A CC Counter, Cleanup, with 2 or 3 Sinks Two or three sink cleanup counter. Unit is constructed of type 304 corrosion resistant stainless steel. It consists of three sinks 14"W X 16"H X 10"D, hot and cold water faucet, and pre-rinse spray hose. Equipped with channel reinforced drainboards, and backsplash, and supported by tubular stainless steel legs. Unit is designed for use in control sterile supply decontamination areas. A VV Dispenser, Soap, Disposable Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge and valve. A CC Dispenser, Paper Towel, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator slot. Minimum capacity 400 single-fold paper towels. For general purpose use throughout the facility. F VV Can, Trash, 44 Gallon Forty four (44) gallon trash can, 32" high X 24" diameter, with lid. Used to collect and transport refuse from a point of origin to point of disposal (example: from soiled utility or a nursing unit to the trash compactor at housekeeping). F VV Clock, Battery, 12 Diameter Clock, 12" diameter. Round surface, easy to read numbers with sweep second hand. Wall mounted unit for use when impractical to install a fully synchronized clock system. Battery operated, (batteries not included). M VV Hamper, Linen, Mobile, with Lid Mobile linen hamper with hand or foot operated lid. Made of heavy tubular stainless steel with heavy gauge welded steel platform. Holds 25" hamper bags. Mounted on ball bearing casters. For linen transport in hospitals and clinics. M VV Frame, Infectious Waste Bag with Lid Frame for an infectious waste collection bag. Made of heavy tubular stainless steel with heavy gauge welded steel platform. Adjust to hold 18" or 25" trash bags. Mounted on ball bearing casters and includes GUIDE PLATES SECTION 4-59

105 permanently mounted hinged lid. Provides means of bagging infectious waste at point of waste generation. P CC Sink, Flushing Rim, China Flushing rim sink approximately 18" H x 26" D x 22" W. Also called a clinic service sink. Unit is constructed of vitreous china with an integral flushing rim. It includes: faucet with a fork brace; 6 inch wrist control handles; plain end spout with bucket hook; stainless steel spring type front rim guard; and grid drain. If it is to be floor mounted, a base must be provided. Unit is used in utility rooms to clean equipment and materials. S0190 AR CC Rack, 2SH, 16x16x26 Chamber Rack with two extendable shelves for use with sterilizers having a 16X16X26 chamber. For use in providing loading efficiency for a wide variety of mixed or single item loads. S VV Washer/Disinfector, Steam, 1 Door, Recessed through 1 Wall, 26x24x24 Chamber A recessed mounted (through one wall), single door (vertical sliding with tempered glass window), multilevel, mechanical, washer/disinfector, minimum chamber size 26X24X24, utilizing facility supplied steam. The unit is controlled by a microcomputer that monitors and controls all unit operations and functions and provides both audible and visual indications of deviations. A printer-recorder documents and records each cycle performance. Processing cycles are preprogrammed with pre-wash, wash/cleaning, rinse, and thermal rinse/disinfection. For use in health care facilities and laboratories where reusable items (instruments, utensils, anesthesia/respiratory goods, and glassware) are handled for decontamination purposes. This unit is not a substitute for terminal sterilization. Unit available with manual or power door, various electrical configurations, options, and accessories. Price based upon power door, 208V, 3 phase, with various options. S CC Cleaner, Ultrasonic, SINGLE Chamber, CAB, F/S A free-standing, cabinet mounted, single stainless steel chamber (minimum size 10X24X12), ultrasonic cleaner. The cleaning unit includes the following minimum features: power lid, automatic detergent injector, automatic level controls, automatic timer, and switch fill and drain controls. Sonic cleaning energy provided to the chamber by transducers which are powered by a solid-state generator(s) at a frequency of 40 khz. Designed for use in surgery reprocessing areas, central processing departments and laboratories to clean surgical instruments and other hardware with sonic energy. S CC Cart, Loading, Sterilizable All purpose sterilizable loading/supply cart with fixed bottom shelf, two full-length adjustable shelves, and GUIDE PLATES SECTION 4-60

106 two adjustable retaining rods. The cart is specially constructed to resist the corrosive action of high temperature steam and gas sterilization. For use with cart loading sterilizers and washers to process, transport and store goods. Cart is available in a minimum of two sizes. Dimensions and pricing based on a cart for a chamber size of 26X62X76. 1 CC Sterilizer, Steam, Bulk, Prevacuum, Double Door Floor mounted, through the wall, double door, prevacuum, steam sterilizer for the sterilization of medical instrumentation. May have integrated steam generator or hospital provided steam source. Unit shall be capable of providing variable vacuum and gravity sterilization cycles. Unit shall be equipped with visual display, pressure sensitive keypad, audible alarms, and integrated impact printer which provides a record of system performance for each cycle. Installation Requirement Dimensions H 80 x W 112 x D 124. S CC Station, Utility/Rack Rack / utility station. The station consists of a stainless steel countertop, 4-1/2" apron, legs and necessary cross-member supports. The stations are specially designed to handle loading racks or trays for use with a specific manufacturer's related equipment and accessories but may also serve a variety of general uses, such as an accumulating, sorting, inspecting, or processing station. Various station widths/lengths (25" to 126", depending upon manufacturer) are available. Pricing based on 48' width/length. 2 Washer Disinfector, Three Stage Through the wall, tunnel type, multi-level, mechanical, washer/disinfector, utilizing facility supplied steam. The unit is controlled by a microcomputer that monitors and controls all unit operations and functions and provides both audible and visual indications of deviations. A printer-recorder documents and records each cycle performance. Processing cycles are preprogrammed with pre-wash, wash/cleaning, rinse, and thermal rinse/disinfection. For use in health care facilities and laboratories where reusable items (instruments, utensils, anesthesia/respiratory goods, and glassware) are handled for decontamination purposes. Install dimensions H 86 x W 42 x D 195 AR Overhead Emergency Shower and Eyewash. AR Surfaces for sorting and staging incoming instruments/equipment. AR Window for passing items from Decontamination Room to Sterile Preparation area. AR Additional washer/disinfector units. Consider multichamber units. GUIDE PLATES SECTION 4-61

107 AR AR AR AR AR AR AR AR AR AR Equipment to ergonomically load racks into washer/disinfectors. Multiple utility carts. Additional hampers and waste containers. Hardware for electronic tracking of instruments and equipment. Multiple means of disposing of sharps. Additional Sterilizable Loading Cart. Carts for cart washer. Hand disinfectant dispenser. Multiple ultrasonic units specific for laproscopic instruments. Exam lighting for tech work areas. 1 CC Receptacle, electrical, quadruplex, ground fault interrupter, for computer equipment items (PG-18-1, MCS AR CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). 1 CC Public address speaker, wall mount (PG-18-1, MCS ). 1 CC Intercom outlet (PG-18-1, MCS ). AR CC Disconnect Switch (PG-18-1, MCS ). AR CC Junction Box (PG-18-1, MCS ). GUIDE PLATES SECTION 4-62

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109 Manual Equipment Wash (CWSH1) Floor Plan 140 NSF / 13.0NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-64

110 Manual Equipment Wash (CWSH1) Reflected Ceiling Plan 140 NSF / 13.0 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-65

111 Manual Equipment Wash (CWSH1) Design Standards ARCHITECTURAL Ceiling: RES-W/GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: CT4 Wainscot: - Base: RES Floor Finish: RES Slab Depression: - Sound Protection: - Notes: SPECIAL EQUIPMENT LIGHTING General: 50 FC 1 W/SF Special: As Shown Notes: 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum).). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: None Dry-Bulb Temperature: -- Relative Humidity: -- Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General Special Exhaust Exhaust: ( Wet Exhaust ) Room Air Return Permitted: No Room Air Balance: Negative (-) PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: Yes. See Note 1) Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - Notes: 1) Drain at room center; slope floor at 1/8 per ft. GUIDE PLATES SECTION 4-66

112 Manual Equipment Wash (CWSH1) Equipment List JSN SYMBOL QTY AI DESCRIPTION E0906 AR VV Locker, Supply, General, Wall Mounted, Stainless Steel, 23 W x 20 D THIS TYPICALLY INCLUDES: 1 Wall Mounted Rail 1 Locked Storage Container 2 Tray/Shelves 1 Drawer, 3"H (76mm) 3 Drawers, 6"H (152mm) 2 Drawers, 9"H (229mm) 1 Tray/Shelf Divider Drawer Organizer Bins Consider the need for an E0921 to transport the locker from place to place. Must be stainless steel. E1500 AR VV Rail, Modular, Wall Mounted, Hx144xD Wall mounted rail used for hanging (mounting) lockers, shelves drawers on a wall. S CC Gun, Steam A wall mounted steam gun utilizing facility supplied steam. Steam gun is provided with a 10' high pressure steam hose, 10' detergent hose, detergent tank, two nylon brushes, and one stainless steel brush. Provides a choice of steam only, steam and detergent, hot water and detergent, and hot water only. For use to clean moisture resistant items (carts, racks, and other metal items) that otherwise might require hand scrubbing. 1 Compressed Air Oil free, water free, compressed air for drying medical instrument lumens. Ability to deliver a minimum of 2 SCFM and a maximum of 10 SCFM. Must provide a regulated source for air. AR Utility cart. AR CC Receptacle, electrical, duplex, ground fault interrupter, w/weather proof cover, 120 volt (PG-18-1, MCS ). GUIDE PLATES SECTION 4-67

113 Endoscope Processing / High Level Disinfection (USCL2) Floor Plan 200 NSF / 18.6 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-68

114 Endoscope Processing / High Level Disinfection (USCL2) Reflected Ceiling Plan 200 NSF / 18.6 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-69

115 Endoscope Processing / High Level Disinfection (USCL2) Design Standards ARCHITECTURAL Ceiling: RES-W/GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: RES-W/GWB (SC) Wainscot: - Base: RES Floor Finish: RES3 Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 50 FC 1 W/SF Special: As Shown Notes: 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum).). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: Dry-Bulb Temperature: 70F-75F (21C-24C) Relative Humidity: 30% - 55% Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General Special Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Negative (-) PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Non-Patient Medical Air: - Laboratory Vacuum: Yes Sanitary Drain: Yes Reagent Grade Water: Yes Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-70

116 Endoscope Processing / High Level Disinfection (USCL2) Equipment List JSN SYMBOL QTY AI DESCRIPTION 2 Automated Endoscope Reprocessor, Dual Chamber Automated Endoscope Reprocessor for flexible endoscopes. Unit shall have dual reprocessing chambers. Unit shall be equipped with a visual display and audible alarm. An integrated printer is required for system performance record for each cycle. Installation Dimensions H 61 x W 68 x D Automated Endoscope Reprocessor, Single Chamber Automated Endoscope Reprocessor for flexible endoscopes. Unit shall have single reprocessing chamber. Unit shall be equipped with a visual display and audible alarm. An integrated printer is required for system performance record for each cycle. Installation Dimensions H 61 x W 34 x D Sink, Endoscope Pre-Processing, Mobile Semi automated sink for pre-processing endoscopes prior to high level disinfection or sterilization. Installation Dimensions H 50 x W 48 x D 30. AR Handwashing Sink Bowl size approximately H 7 x W 15 x D 10. AR Eye wash station. AR Equipment to check scopes for leaks. AR Equipment to effectively clean scopes - either mechanical washer or special sink with capability to purge scope channels. AR Equipment to sterilize scopes. AR Equipment for chemical scope soak, with capability to eliminate fumes. AR CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). GUIDE PLATES SECTION 4-71

117 Scope Storage (ZSPD2) Floor Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-72

118 Scope Storage (ZSPD2) Reflected Ceiling Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-73

119 Scope Storage (ZSPD2) Design Standards ARCHITECTURAL Ceiling: RES-W/GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: RES-W/GWB (SC) Wainscot: - Base: RES Floor Finish: RES3 Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 50 FC 1 W/SF Special: As Shown Notes: 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum).). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: Yes Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: None Dry-Bulb Temperature: -- Relative Humidity: -- Minimum Total Air Changes 6 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Negative (-) PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Non-Patient Medical Air:: Yes Laboratory Vacuum: - Sanitary Drain: Yes Reagent Grade Water: Yes Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-74

120 Scope Storage (ZSPD2) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telephone/Data Combination Outlet (PG-18-1, MCS ) Telephone/data outlet location. 2 Cabinet, Drying, Endoscope Ventilated, HEPA filtered, drying cabinet for storage of flexible endoscopes. Unit shall have tempered glass, hinged single or double door with interior illumination. Installation Dimensions H 93 x W 36 x D 18. AR Equipment to dry scopes. AR CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). 1 CC Receptacle, electrical, quadruplex, ground fault interrupter, for computer equipment items (PG-18-1, MCS GUIDE PLATES SECTION 4-75

121 Decontamination / Ante-Room / PPE / Gowning (CSDE4) Floor Plan 125 NSF / 11.5 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-76

122 Decontamination / Ante-Room / PPE / Gowning (CSDE4) Reflected Ceiling Plan 125 NSF / 11.5 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-77

123 Decontamination / Ante-Room / PPE / Gowning (CSDE4) Design Standards ARCHITECTURAL Ceiling: RES-W/GWB(SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: RES-W/GWB(SC) Wainscot: - Base: RES Floor Finish: RES Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 30 FC 1.5 W/SF (MIN) Special: As Shown Notes: 1) Fixture A: 2 x4 (600 mm x 1200 mm) recessed, grid mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Inside Design Conditions: Dry-Bulb Temperature: 70F-75F (21C-24C) Relative Humidity: 30% - 55% Room Air Exhaust Required: No Special Exhaust or General None Exhaust: Room Air Return Permitted: No Room Air Balance: Negative (-) Notes: PLUMBING AND MEDICAL GASES Cold Water: Yes Hot Water: Yes Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: - Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - GUIDE PLATES SECTION 4-78

124 Decontamination / Ante-Room / PPE / Gowning (CSDE4) Equipment List JSN SYMBOL QTY AI DESCRIPTION A VV Waste Disposal Unit, Sharps with Glove Dispenser The unit is designed for the disposal of sharps and complies with OSHA guidelines for the handling of sharps. It shall house a 5 quart container and be capable of being mounted on a wall. It shall have a glove dispenser attached. The unit shall be secured by a locked enclosure. AR Small linen collection hamper(s) F VV Can, Trash, 44 Gallon Forty four (44) gallon trash can, 32" high X 24" diameter, with lid. Used to collect and transport refuse from a point of origin to point of disposal (example: from soiled utility or a nursing unit to the trash compactor at housekeeping). AR Stainless steel storage for PPE. AR Hand disinfectant. Sink. AR CC Receptacle, electrical, duplex, ground fault interrupter, 120 volt (PG-18-1, MCS ). GUIDE PLATES SECTION 4-79

125 Locker Rooms (Soiled Area) (LR001) Floor Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-80

126 Locker Rooms (Soiled Area) (LR001) Reflected Ceiling Plan 80 NSF / 7.4 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-81

127 Locker Rooms (Soiled Area) (LR001) Design Standards ARCHITECTURAL Ceiling: AT Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB Wainscot: Base: RB Floor Finish: VCT Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 20 FC- 1W/SF Special: Notes: 1) Fixture A: 2 x4 (600 mm x 1200 mm) recessed, grid mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). Fixture D: 24" wall mounted fluorescent fixture mounted 92" (2300mm) AAF unless otherwise noted, prismatic acrylic shield, w/ F17T8 lamps, 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: All - COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: Yes Intercom: Yes Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: None Dry-Bulb Temperature: - Relative Humidity: - Minimum Total Air Changes 6 per Hour: Room Air Exhaust Required: No Special Exhaust or General None Exhaust: Room Air Return Permitted: No Room Air Balance: Negative (-) Notes: 1) Room air used as make-up for exhaust through adjoining toilet and shower. 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: - GUIDE PLATES SECTION 4-82

128 Locker Rooms (Soiled Area) (LR001) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telecommunication Outlet (PG-18-1, MCS )t Telecommunication outlet location. A CC Telephone, Wall-Mounted, One Line Telephone, wall mounted, 1 line. A VV Locker, Single Tier Locker, single tier, approximately 72" H x 12" W x 18" D. Unit includes coat hooks, hanger rod, and ventilating louvers. Door latch permits the use of a padlock. For storage of personal belongings. A1080 AR CC Mirror, Posture, Wall Mounted Wall mounted posture mirror. Consists of a 1/4" plate glass in a sturdy corrosion resistant frame with water proof back. For educational and therapy programs. A5020 AR VV Bench, Locker Room, Floor Mounted No Wood Portable locker room bench. Approximately 1 1/2" thick. Benches shall be laminated hardwood with a moisture resistant sealer or anodized aluminum. Units are mounted on strong pedestals. No wood permitted. A5145 AR CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. AR Hamper. AR Hand disinfectant. 1 CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). 1 CC Occupancy sensor, dual technology, wall mounted. (PG-18-1, MCS ) GUIDE PLATES SECTION 4-83

129 Toilet & Shower Rooms (Soiled Area) (TLTS1) Floor Plan Scale: ¼ = NSF / 7.4 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-84

130 Toilet & Shower Rooms (Soiled Area) (TLTS1) Reflected Ceiling Plan Scale: ¼ = NSF / 7.4 NSM M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-85

131 Toilet & Shower Rooms (Soiled Area) (TLTS1) Design Standards ARCHITECTURAL Ceiling: GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: GWB1/S1, 4 Wainscot: CT1 4-0 Base: PT1 Floor Finish: PT Slab Depression: - Sound Protection: - Notes: SPECIAL EQUIPMENT Toilet Room Accessories - LIGHTING General: 30 FC-1W/SF Special: - Notes: 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). Fixture D: 24" Wall mounted fluorescent fixture - mounted over mirror, prismatic acrylic shield, w/ F17T8 lamps, 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As Shown Emergency: As Shown COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: - Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: None Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General General Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Double Negative (--) Notes: 1) Exhaust, transfer air received from the adjoining locker room, outdoors. 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: - GUIDE PLATES SECTION 4-86

132 Toilet & Shower Rooms (Soiled Area) (TLTS1) Equipment List JSN SYMBOL QTY AI DESCRIPTION A1066 AR CC Mirror, Float Glass, with Stainless Steel Frame A high quality 1/4" polished float glass mirror 36X18, framed in a one-piece, bright polished, stainless steel channel frame with 90 mitered corners. All edges of the mirror are protected by absorbing filler strips. Mirror has a galvanized steel back with integral horizontal hanging brackets and wall hanger for concealed mounting. For mounting above single wall mounted lavatories located in toilet areas, Doctors examination offices, etc. May also be used above double lavatories, either wall or countertop mounted, found in restroom areas. A5075 AR VV Dispenser, Soap, Disposable Disposable soap dispenser. One-handed dispensing operation. Designed to accommodate disposable soap cartridge and valve. A5080 AR CC Dispenser, Paper Towel, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, singlefold, paper towel dispenser. Dispenser features: tumbler lock; front hinged at bottom; and refill indicator slot. Minimum capacity 400 single-fold paper towels. For general purpose use throughout the facility. A5109 AR CC Grab Bar, 1-1/4 Diameter, Stainless Steel, 2 Wall, Wheelchair Accessible A 1-1/4" diameter, satin finish stainless steel, peened gripping surface, 2 wall toilet stall/ room, grab bar with concealed mounting flanges. Snap over flanges are provided to conceal mounting screws. A selection of mounting kits and concealed anchor devices are available from the manufacturers for different types of installations. Grab bar shall comply with barrier-free accessibility guidelines for structural strength. For typical water closet applications in toilet stalls and rooms where ADA (American's With Disabilities Act) requirements must be met. A5110 AR CC Grab Bar, 1-1/4 Diameter, Stainless Steel, 2 Wall, Shower Use A 1-1/4" diameter, satin finish stainless steel, peened gripping surface, 2 wall shower, grab bar with concealed mounting flanges. Snap over flanges are provided to conceal mounting screws. A selection of mounting kits and concealed anchor devices are available from the manufacturers for different types of installations. Grab bar shall comply with barrier-free accessibility guidelines for structural strength. For typical applications in shower stalls where ADA (American's With Disabilities Act) requirements must GUIDE PLATES SECTION 4-87

133 be met. A CC Hook, Garment, Double, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, double garment hook. Equipped with a concealed mounting bracket that is secured to a concealed wall plate. For general purpose use throughout the facility to hang various items of apparel. A CC Rod, Shower Curtain, 1 Diameter, with Curtain & Hooks A concealed mounted, 1" outside diameter, satin finish stainless steel, shower curtain rod with white vinyl shower curtain (72" H) and SS shower curtain hooks. Rod and curtain available in various widths. For general purpose use at shower stall or bathtub locations. Pricing based upon standard shower stall dimensions of 36" x 36" and a standard curtain height of 72". A CC Bar, Towel, 1 Diameter, Stainless Steel, Surface Mounted A surface mounted, satin finish stainless steel, 1" diameter, towel bar. Support posts and flanges are one piece, chrome-plated, cast heavy brass with satin finish. Towel bar shall not rotate within support posts. Available in 18", 24" and 30" widths. For general purpose use in shower or bathtub rooms. Pricing based upon a suggested standard width of 18". F VV Basket, Wastepaper, Round, Metal Round wastepaper basket, approximately 18" high X 16" diameter. This metal unit is used to collect and temporarily store small quantities of paper refuse in patient rooms, administrative areas and nursing stations. P CC Lavatory, Vitreous China, Straight Back Wall mounted, vitreous china lavatory (approximate bowl size 7"x15"x10") with: straight-front apron, straight or contoured back; faucet holes on 4" centers; gooseneck spout; wrist blade handles; and grid strainer. It shall be suitable for use in clinics, offices, washrooms or patient care areas. P CC Shower, Single, Hand-Held A complete, barrier-free, single hand-held, personal shower system. The shower system includes: pressure balanced mixing valve with high temperature limit stop; personal hand shower; shower hose; wall supply; and slide bar. For general purpose use throughout the facility in shower stalls. AR Pre-fab shower enclosure. AR Toilet, wall hung. AR CC Receptacle, electrical, duplex, 120 volt, ground fault interrupter (PG-18-1, MCS ). 1 CC Occupancy sensor, dual technology, wall mounted. (PG-18-1, MCS ) GUIDE PLATES SECTION 4-88

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135 EtO Sterilizer / Aerator Room (CSSS4 / CSSS5) Floor Plan Aerator: Sterilizer: 150 NSF / 13.9 NSM 100 NSF / 9.3 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-90

136 EtO Sterilizer / Aerator Room (CSSS4 / CSSS5) Reflected Ceiling Plan Aerator: Sterilizer: 150 NSF / 13.9 NSM 100 NSF / 9.3 NSM Scale: ¼ = 1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-91

137 EtO Sterilizer / Aerator Room (CSSS4 / CSSS5) Design Standards ARCHITECTURAL Ceiling: RES-W/GWB (SC) Ceiling Height: 9-0 (2700 mm) Wall Finish: RES-W/GWB(SC)/ Pre-Fab Wainscot: Base: RES Floor Finish: RES Slab Depression: - Sound Protection: - SPECIAL EQUIPMENT LIGHTING General: 50 FC- 1.5 W/SF* (MIN) Special: 30 FC- 1 W/SF** Notes: *Lobby, ** Service Area 1) Fixture A1: 2 x4 (600 mm x 1200 mm) recessed, flange mounted fluorescent light fixture, UL listed for wet location, prismatic lens with gasketing, w/ F32T8 lamps 3500 K, CRI=70 (minimum). 2) The foot-candle level is average maintained. 3) Exact quantity, location, and lamping of light fixtures shall be chosen to meet the foot-candle requirement. POWER General: As shown Emergency: All power and lighting Notes: 1) Coordinate ETO sterilizer equipment power requirements with manufacturer. 2) ETO Sterilizers that have chambers above 10 cubic feet (.283 cubic meters) or utilize ethylene oxide containers above 200 grams, the sterilizer room and maintenance area shall conform to NFPA 560 and must incorporate the following: a) All power and lighting shall be explosion proof in accordance with NFPA 70 for Class I, Division II, Group B areas. b) All piping shall be bonded to earth ground. c) All equipment shall be grounded in accordance with NFPA COMMUNICATION/SPECIAL SYSTEMS Data: - Telephone: Yes Intercom: - Nurse Call: - Public Address: - Radio/Entertainment: - MATV: - CCTV: - MID: - Security/Duress: - VTEL: - VA Satellite TV: - HEATING, VENTILATING AND AIR CONDITIONING Indoor Design Conditions: Dry-Bulb Temperature: 73F 75F (23C 24C) Relative Humidity: 30% - 55% Minimum Total Air Changes 10 per Hour: Room Air Exhaust Required: Yes, 100% Special Exhaust or General Special Exhaust Exhaust: Room Air Return Permitted: No Room Air Balance: Negative (-) PLUMBING AND MEDICAL GASES Cold Water: Yes. See Note 1) Hot Water: - Laboratory Air: - Laboratory Vacuum: - Sanitary Drain: Yes. See Note 1) Reagent Grade Water: - Medical Air: - Medical Vacuum: - Oxygen: - Other: Compressed Air. See Note 1) Notes: 1) Provide as needed per sterilizer equipment requirements. GUIDE PLATES SECTION 4-92

138 EtO Sterilizer / Aerator Room (CSSS4 / CSSS5) Equipment List JSN SYMBOL QTY AI DESCRIPTION A CC Telecommunication Outlet (PG-18-1, MCS ) Telecommunication outlet location. F VV Clock, Battery, 12 Diameter Clock, 12" diameter. Round surface, easy to read numbers with sweep second hand. Wall mounted unit for use when impractical to install a fully synchronized clock system. Battery operated, (batteries not included). M CC Cabinet, Storage, Safety, Built In, Vented Safety storage cabinet. This unit is of double steel wall construction, with vented grounding attachment, raised leak proof door sill, and adjustable shelving. Equipped with two doors and three-point key lock. The construction meets standards set by OSHA and NFPA Code 30 requirements. Designed for storage of flammable type liquids. The cabinet fits into a laboratory casework configuration and its ventilation ports are in the back to leave the counterspace free. The cabinet requires ventilation ducting and an exhaust fan as part of the HVAC (heating, ventilation and air conditioning) system. S CC Rack, 2 Shelves, 20x20x38 Chamber Rack with two extendable shelves for use with sterilizers having a 20X20X38 chamber. For use in providing loading efficiency for a wide variety of mixed or single item loads. S CC Loading Car & Transfer Carriage, Large Chamber Loading car and transfer carriage for use with sterilizers having a 24"W x 36"H x36"d chamber. Loading car is a welded, CRS framework with two fulllength adjustable shelves of CRS welded sheet metal and wire. Transfer carriage is constructed of a welded CRS or painted for corrosion protection frame and provided two fixed and two swivel casters. Loading car is secured to the transfer carriage by a locking mechanism. For loading and unloading 24x36x36 sterilizers and for transferring goods to and from processing areas. S0595 AR CC Loading Car & Transfer Carriage, 24x36x60 Chamber Loading car and transfer carriage for use with sterilizers having a 24x36x60 chamber. Loading car is a welded, CRS framework with two full-length adjustable shelves of CRS welded sheet metal and wire. Transfer carriage is constructed of a welded CRS or painted for corrosion protection frame and provided two fixed and two swivel casters. Loading car is secured to the transfer carriage by a locking GUIDE PLATES SECTION 4-93

139 mechanism. For loading and unloading 24x36x60 sterilizers and for transferring goods to and from processing areas. S CC Station, Utility/Rack Rack / utility station. The station consists of a stainless steel countertop, 4-1/2" apron, legs and necessary cross-member supports. The stations are specially designed to handle loading racks or trays for use with a specific manufacturer's related equipment and accessories but may also serve a variety of general uses, such as an accumulating, sorting, inspecting, or processing station. Various station widths/lengths (25" to 126", depending upon manufacturer) are available. Pricing based on 48' width/length. Not needed; include if space allows. U CC Sterilizer, Ethylene Oxide A floor mounted, low temperature hydrogen peroxide gas plasma sterilizer. Sterilization chamber shall have a capacity of approximately 3.5 cubic feet (100 liters). The sterilizer shall be capable of processing metal instruments, plastics, heat and moisture sensitive devices in approximately 75 minutes with no aeration required. Unit shall be equipped with a visual display and audible alarm. A built in printer will provide system performance record for each cycle. 2 Ethylene Oxide Abator Abatement system for the prevention of Ethylene Oxide discharge into the atmosphere. Unit shall be catalytic converter. Dimensions H 41 x W 32 x D 41. AR Carts to support items being loaded and unloaded from sterilizers. AR Flammable Storage cabinet for storing EtO canisters. 1 CC Receptacle, electrical, duplex, ground fault interrupter, 120 volt (PG-18-1, MCS ). AR CC Disconnect Switch (PG-18-1, MCS ). AR CC Junction Box (PG-18-1, MCS ). AR CC Emergency Power Off Switch. GUIDE PLATES SECTION 4-94

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141 Preparation, Assembly & Sterilization Area (CSIA3) Floor Plan NSF (NSM) per Space Criteria Scale: 3/32 =1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-96

142 Preparation, Assembly & Sterilization Area (CSIA3) Reflected Ceiling Plan NSF (NSM) per Space Criteria Scale: 3/32 =1-0 M Ft NOTE: Guide plates are graphical representations of selected room types, i illustrating the integration of space, components, systems, and equipment. They provide typical configurations and general technical guidance, and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Library. GUIDE PLATES SECTION 4-97