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Surgical Services
Endovascular
Services
Design Guide
April November
2016 (Rev 2/17)
2015
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
TABLE OF CONTENTS
2.0 NARRATIVE
2.1. General 2-1
2.1.1. Clinical and Operational Summary 2-1
2.1.2. VA Trends in Surgical and Interventional Service 2-20
2.2. Technical Considerations 2-22
2.2.1. VA Policies/Directives/Handbooks, Codes, and Standards 2-22
2.2.2. Architectural 2-24
• Ceilings 2-24
• Floors 2-24
• Walls 2-24
• Casework 2-24
• Acoustics / Noise Control 2-25
• Doors 2-25
2.2.3. Interior Design 2-26
• Interior Finishes 2-26
• Wayfinding 2-26
2.2.4. Heating, Ventilation and Air Conditioning Systems (HVAC) 2-26
• Life Cycle Analysis 2-27
• Energy Conservation 2-27
• Exterior Design Conditions 2-27
• Indoor Design Conditions 2-27
• Supply Air Requirements 2-27
• Surgical Suite Air Handling Units 2-28
• Filtration 2-28
• Operating Room Return Air Requirements 2-29
• Outdoor Air Requirements 2-29
• Exhaust and Return Air Requirements 2-29
• Noise Criteria 2-29
• Design Features 2-29
• Temperature Control Criteria 2-29
• Humidity Criteria 2-30
2.2.5. Plumbing Systems 2-30
• Domestic Water 2-30
• Plumbing Fixtures 2-30
• Sanitary Systems 2-30
• Medical Gases and Medical Vacuum Systems 2-30
TABLE OF CONTENTS i
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TABLE OF CONTENTS ii
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TABLE OF CONTENTS iv
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TABLE OF CONTENTS v
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5.0 APPENDIX
5.1. Checklist for Cardiac Hybrid OR, Cardiac Catherization/
Electrophysiology Lab 5-1
5.2. Site Tours 5-9
5.2.1. Elmhurst Memorial Hospital, Elmhurst, Illinois 5-10
5.2.2. Advocate Sherman Hospital, Elgin, Illinois 5-22
5.2.3. Center for Care and Discovery, Chicago, Illinois 5-32
5.2.4. Rush University Medical Center, Chicago, Illinois 5-46
5.2.5. Edward Hines, Jr. VA Hospital, Hines, Illinois 5-56
5.3. The Interventional Suite 5-63
1.0 GENERAL
1.1. Foreword
The material contained in the Surgical and Endovascular Services 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 – Office of Facilities Planning (003C2).
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.
Disclaimer: products and materials indicated are for illustrations they are
not endorsement for any specific product. This document is intended to be
used as the standard for design, and to supplement current VA construction
standards and other VA criteria in planning surgical and endovascular space.
Designers shall use this Design Guide as closely as possible to its context and
intent. Use of this Design Guide does not preclude the need for a functional
and physical design parameter for each specific project. It is the responsibility
of the Project Architect and the Project Engineer to develop a complete and
accurate project design that best meets the users’ needs and applicable code
requirements.
GENERAL 1-1
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GENERAL 1-2
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1.2. Acknowledgements
GENERAL 1-3
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• Consultants
SmithgroupJJR
GENERAL 1-4
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• Sub-Consultants
URS
GENERAL 1-5
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1.3. Introduction
The A/E design team shall read, understand and be familiar with the most
current editions of the applicable VA and applicable industry’s codes and
standards. Codes and standards shown in this document shall be adhered
to. VA design and construction standards may be accessed at the Office of
Construction and Facilities Management’s Technical Information Library (TIL)
(http://www.cfm.va.gov/TIL).
Use of this Design Guide does not supersede the project A/E’s responsibilities
to develop a complete and accurate design that meets the users’ needs and
appropriate code requirements within the budget and schedule constraints.
A/E shall confirm and verify actual dimensions, weights, and utility
requirements of equipment with manufacturers.
GENERAL 1-7
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
• VA Policies/Standards
1. Master Construction Specifications PG 18-1
2. Design and Construction Procedures PG 18-3 (refer to Topic 1 for the
list of Codes, Standards, and Executive Orders)
3. Standard Details PG 18-4
4. Equipment Guide List PG 18-5
5. Seismic Design Requirements H 18-8
6. Refer to the following PG 18-9 Space Planning Criteria Chapters that
also may require space in Surgical Services:
• Chapter 102 (Intensive Care Nursing Units)
• Chapter 285 (Supply Processing Services)
7. Various Design Manuals PG 18-10 and technical criteria pertaining to
Architectural, HVAC, Plumbing, and Electrical
8. Barrier-Free Design Standard PG 18-13
9. Room Finish and Door Hardware Schedule PG 18-14
10. VHA Handbook 1102.01
11. Consensus Information from various VA medical centers
12. VHA Directive 2010-018 Facility Infrastructure Requirements to Perform
Standard, Intermediate, or Complex Surgical Procedures
GENERAL 1-8
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1.5. Abbreviations
A, MA Medical Air
ABA Architectural Barriers Act
ADA Americans with Disabilities Act
AFF Above Finished Floor
AR As Required
ASC Ambulatory Surgery Center
AT Acoustical Ceiling Tile
AT (SP) Acoustical Ceiling Tile (with Sprayed Plastic Finish)
BC Base Cabinet
C Degree Celsius
CC Contractor Furnished, Contractor Installed
CFM Cubic Feet per Minute
VA-CFM Construction & Facilities Management
CLG Ceiling
CO2 Carbon Dioxide
CP Carpet (without cushion broadloom)
CRS Corrosion Resisting Steel (SS)
CT Ceramic Tile
DG Design Guide
DS Door Switch
EES Essential Electrical System
EMER Emergency
F Degrees Fahrenheit
FC Foot-candle
FD Floor Drain
FIXT Fixture
FLUOR Fluorescent
FMS Facilities Management Service
GFI Ground Fault Circuit Interrupter
GWB Gypsum Wallboard
HAC Housekeeping Aids Closet
HIPAA Health Insurance Portability and Accountability Act of 1996
HVAC Heating, Ventilating and Air Conditioning
HP Horsepower
HR Hour
IPS Isolation Power System
IUSS Immediate Use Steam Sterilization
JSN Joint Services Number
kW Kilowatt
LED Light Emitting Diode
LB Pound/Pounds
GENERAL 1-10
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2.0 NARRATIVE
2.1. General
NARRATIVE 2-1
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Surgical Department
The Surgical Department is comprised of all functional areas required for
patient surgical services. It includes the Surgical Procedure Suite, Pre-
Procedure Assessment, Pre-Operative Holding, Post Anesthesia Care Unit
(PACU), and Phase II Recovery.
Recently there has been a shift towards one integrated interventional plat-
form consolidating surgical and invasive cardiovascular services directly ad-
jacent to each other. By utilizing the same aseptic environment this concept
maximizes efficiency by sharing resources, and promotes quality outcomes
and patient safety. The Surgical Services Design Guide includes templates
for new Cardiac Catheterization Laboratories, Procedure Rooms for Elec-
trophysiology, and Transesophageal Echocardiograph (TEE) Rooms, which
will be collocated with Surgical Services and share the same semi-restricted
area and adjacent support spaces.
This Design Guide is intended for facilities of the following acuity levels: Am-
bulatory, Standard, Intermediate, and Complex Centers.
NARRATIVE 2-2
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Patient: The Patient checks in and changes into a gown in the pre-procedure
area. They are then visited by members of the surgical team, who will start
an intravenous (IV) line, review the procedure and answer any questions the
patient may have. They are then brought into the operating room on a gur-
ney and transferred to the operating table. While the patient is awake dur-
ing this process, the anesthesiologist may have given the patient a drug to
help them relax. Once situated on the operating table, the anesthesiologist
will give the patient drugs through their IV and a breathing mask to induce
anesthesia. When the patient is asleep the surgical procedure begins. Once
the surgery is complete the patient is moved to the post-anesthesia care
unit (PACU) until the effects of the anesthesia wear off. Outpatients will go
to the Phase 2 recovery area, where a designated family member can come
and visit with the patient while they become more alert and is discharged
to go home. Inpatients will be transferred to a patient ward until they are
discharged.
Linens: Linens are brought into the Operating Rooms by way of the semi-
restricted corridor. Soiled linen is bagged and removed from the Operating
Room via the semi-restricted corridor.
The anesthesiologist and nurse anesthetist remain outside of the sterile field
and are typically separated from the sterile field by a sterile drape.
NARRATIVE 2-3
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
• The “sterile field” itself as described above. Only fully scrubbed staff
(known as the “scrub team”) is permitted in this area in the center of
each Operating Room.
• Within the Operating Room, both the scrub team as well as the ad-
ditional staff that are not in the sterile field must abide by strict rules
established by the Medical Center.
• Semi-restricted areas, including spaces such as the pre-operative and
patient holding areas, PACU, instrument workroom, non-sterile supply
storage, staff lockers/lounges/toilets/showers, control desk, and
surgery administration offices.
The circulator places the packs on the instrument table from the side of the
instrument table away from the sterile field. The scrub nurse removes the
sterile instruments and places them on the surgical instrument table prior to
the procedure. With the exception of some specialty surgical procedures,
the surgical instrument table is positioned toward the foot of the operating
table, but always within the sterile field. A single instrument table may be up
to 8.0 feet (2440 mm) in length, or there could be more than one instrument
table. Once the procedure starts, the scrub nurse constantly draws from this
source to supply the surgeons during the operation. The circulator also as-
sists the surgeon with devices used in the sterile field such as lasers.
No one walks between the operating room table and the surgical instrument
table, except those in sterile garb who have thoroughly scrubbed. When por-
table imaging equipment is used, space for these items must be considered.
Surgical microscopes or video monitors on carts and other large pieces of
equipment (including robotics) may also be needed in an Operating Room,
and space for them must be considered.
Surgeon: The Medical Doctor who is board certified as a Surgeon and acts
as surgical team leader to direct and supervise all aspects of a surgery. The
responsible surgeon’s eligibility to perform a surgical procedure is based
upon that surgeon’s education, training, experience, and demonstrated
NARRATIVE 2-4
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
• Another surgeon
• A licensed physician assistant
• A registered nurse first assistant
• A surgical resident
• A medical student
NARRATIVE 2-5
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
procedure, to administer the anesthetic agent before and during surgery, and
to monitor the patient’s vital signs. Anesthesia staff remain with the patient
during the entire surgical procedure. Following the surgery, the patient
remains under the care of the anesthesia staff and the assigned recovery
room nurse until the patient has met the discharge criteria.
Surgical Scrub: The surgical scrub, together with the first assistant to the
surgeon, is the main support person for the operating surgeon. He/she has
an understanding of the procedure being performed and anticipates the
needs of the surgeon. The scrub personnel are responsible for the sterile
supplies and instruments and for handing them to the surgeon. He/she has
the necessary knowledge and ability to ensure quality patient care during the
operative procedure and is constantly on vigil for maintenance of the sterile
field. More complicated surgical procedures may require the presence of
two scrub personnel, one assisting the surgeon at the operating room table
and one responsible for the instruments at the instrument table.
Circulating Nurse: The circulating nurse, known as the circulator, does not
function within the sterile field, but performs many of the required tasks
outside the sterile field. This person also acts as the “non-sterile” hands
of the surgeons and scrub person, bringing required supplies, instruments
and equipment into the Operating Room, maintaining surgical records in the
Operating Room, etc. Although the surgeon performing the operation has
the ultimate responsibility for the care of the patient in the Operating Room, it
is the circulator who is responsible for maintenance of sterile conditions and
is in charge of personnel. This person is the primary advocate ensuring that
correct surgery is performed by confirming proper patient identification and
surgical site(s), confirming that a history and physical is on the patient chart,
and confirming that a signed surgical consent is present. The circulator also
enters safety measures into the computer, records time out, and assures
that the proper prosthetics, if required, are available.
NARRATIVE 2-6
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Charge Nurse: The charge nurse supervises all activities that occur within
the individual Operating Rooms. The charge nurse is also available to
temporarily replace the scrub nurse during long operations. The office of the
charge nurse may be located within the clean core.
NARRATIVE 2-7
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
NARRATIVE 2-8
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Scrub Sink Area: The Scrub alcove is located in the semi-restricted area
at or between entrances to a single surgical operating room or between
the entrances at two adjacent surgical operating rooms. It is acceptable for
one Scrub Sink Area to be shared between two Operating Rooms; however,
when Operating Rooms are laid out in a same-handed arrangement, it is
advisable to provide a separate scrub sink alcove for each OR.
The scrub alcove is stocked with a variety of types and sizes of sterile gloves,
sterile gown packs, antimicrobial cleansing solutions and sterile nail brushes/
sponges with a nail pick. These brushes are pre-packed, for single use only
and some may already be impregnated with an antimicrobial solution. Scrub
brushes may be placed in dispensers next to sinks.
Sinks are provided with hot and cold water and tap controls must be adjusted
for water temperature flow before starting to scrub. Running water is preferred
because it easily rinses away suds containing bacteria. Containers for
antimicrobial solutions are placed between each set of taps and care should
be taken not to contaminate hands when dispensing solution. The pump
dispenser must be changed each time an empty bottle is replaced with a
new one. The standard solutions such as Povidone Iodine or Chlorhexidine
(triclosan), or acceptable equivalent may be available for those practitioners
who are sensitive to the standard solutions.
Gurney Storage: Surgical patients are brought into the Operating Room on a
gurney or on a combination gurney/recovery room bed. In some cases such
as eye surgery, a recovery bed is used instead of a standard operating table
for the procedure. Normally, the patient is transferred to the operating table
in the room and the gurney is removed from the OR. An alcove is provided
directly outside the Operating Room in the semi-restricted corridor where the
vehicle is parked during the procedure. After surgery the patient is placed
NARRATIVE 2-9
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
back on the gurney and moved to the Recovery Patient Area. The patient
may be transferred to a hospital bed at this point. There are occasions when
a patient is transferred directly from the Operating Room onto a hospital bed
and taken directly to the Surgical Intensive Care Unit. The gurney alcove
outside each OR should be large enough to accommodate a standard
hospital bed in its maximum configuration with IV poles, etc. attached. For
this reason the alcove should measure 4 ft. (1200 mm) wide by 10 ft. (3040
mm) long.
NARRATIVE 2-10
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Sterile Supplies: Sterile supplies are retrieved from the clean core by the
circulator. A selection of sterile supplies may also be stored within the
Operating Room.
Case Carts: Case carts are used to bring sterile materials and instruments
from SPS to the Operating Room. A typical case cart contains specific items
required for each specific case, including all required surgical instruments
and other supplies. More complex procedures may require several case
carts. Case carts are typically staged in the Clean Core outside of the
Operating Room prior to a procedure to optimize turnover time. Some case
carts may remain in the Operating Room during the procedure and be used
as back tables. After the surgical procedure is completed, these case carts
are returned via the semi-restricted corridor to the “soiled” side of SPS on
another dedicated cart lift or dedicated soiled elevator. In the event that
SPS is not located below the Surgical Suite, an alternative traffic pattern for
the case carts must be established that isolates clean and soiled case cart
traffic. Dedicated elevators are sized to accommodate a set number of case
carts in the elevator cab.
The Phase II Recovery Patient Area is utilized for recovery of the patient after
the PACU and/or for ambulatory surgery patients who come directly from the
surgery. The Prep Area should be co-located with the Phase II Recovery
Room to provide maximum flexibility for the patient room assignment. Since
most surgical procedures start in the morning, the Prep Area can occupy
under-utilized Phase II Recovery Space in the morning however, the same
area can be utilized for Phase II recovery in the afternoon.
NARRATIVE 2-11
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Room. Typical tasks in this area include blocks and the placement of lines.
From here the patient is transferred to the Operating Room.
In cardiothoracic surgery, the patient’s blood may have to bypass the heart
to permit the surgeons to perform the required procedure. The blood supply
bypasses the heart, circulates through a mechanical pump (called the heart/
lung machine) and then returns oxygenated blood to the patient. The heart
lung machine is stored in the Pump Room adjacent to and directly accessible
from the Cardiovascular Operating Room. Particular attention should be
given to the width of the doorway so the Heart/Lung machine will fit through
it.
Accessory supplies required for bypass procedures are also stored in the
Pump Room. The room is sufficiently large to allow breakdown, essential
cleanup and storage of parts, and to accommodate at least two heart/lung
machines, one of which provides backup function in case of mechanical
failure of the other machine. Clean bypass machines are transported to
the Cardiovascular Operating Room via the Clean Core. Soiled bypass
machines are moved from the Cardiovascular Operating Room to the Pump
Room where they are cleaned.
NARRATIVE 2-12
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Minimum clearances of the room as well as the size of the no-fly zone
at the ceiling plane will vary by model/vendor of the imaging equipment.
VHA experience demonstrates that 28 ft. (8534 mm) is the minimum clear
dimension that should be observed in the room. The system component
room will be accessible from the semi-restricted corridor or the control room.
The imaging equipment may also have a maximum distance requirement
from the system to the control module as well as required service clearances.
1 Motor evoked potential monitoring for spinal cord and brain stem surgery, by
Sala F, Lanter P., Bricolo A. Advanced Tech Stand. Neurosurg 2004, 29:133-69
NARRATIVE 2-13
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
The orientation of the operating room table to the Control Room window may
be determined by the head interventionalist, who may prefer a side view or a
toe view of the patient. A ceiling-mounted injector is the preferred choice, but
a mobile unit can also be employed if ceiling space is not available.
The Control Room is directly accessible from the Hybrid OR as well as from
the semi-restricted corridor. The counter at the view window is typically 2
ft. 6 in. (762 mm) deep to house the control modules associated with the
imaging equipment as well as charting workstations. The equipment for the
Hybrid OR may have additional requirements for the placement of the control
modules, which shall be taken into consideration in the planning of the room.
NARRATIVE 2-14
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Requirements will include spaces for gowning and scrubbing, which enable
cardiologists and clinical staff to travel from areas considered “soiled” to the
aseptic semi-restricted corridor from which the Cath Lab is accessed. [Note:
The Cardiac Catheterization Laboratory is considered a sterile environment.]
The Control Room should be sized adequately to allow staff movement and
imaging equipment. However, an overly large control room invites visitors
(vendors, other staff, other physicians) who can be a distraction during a
case. Visibility of the Cardiac Catheterization Laboratory as well as the
patient is through leaded glazed vision panels, and shall accommodate
control counters for equipment video and data monitors, hemodynamic
monitoring and computers utilized by physicians and clinical technicians to
support the procedure type and imaging modality. The Control Room shall
have direct access to the Cardiac Catheterization Laboratory procedure
room and access directly to the semi-restricted corridor.
The equipment selected will affect the layout of tracks and their supporting
structure above the ceiling. Cardiac Catheterization Laboratory equipment
is upgraded every few years so flexibility is important. Although the Guide
Plate indicates a ceiling supported imaging modality, specific facilities’
cardiovascular services may seek different assemblages at the time of
planning and design. Consider room clearances, both horizontally and
NARRATIVE 2-15
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
NARRATIVE 2-16
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Common tasks performed in this area are monitoring vital signs, monitoring
the surgical site for excessive bleeding and swelling, managing post-
operative pain and other symptoms.
PACUs are typically arranged with patient cubicles around a Central Nursing
Station. PACU bays can be three-walled with a cubicle curtain, but it is
recommended that they be four-walled rooms with a minimum dimension of
12 ft. (2720 mm) wide and 13 ft. (3660 mm) deep. For airborne isolation an
ante-room can be added to the four-walled rooms to provide a space for the
provider to gown prior to entering the patient room.
Work Flow
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed to show possible routes that a
patient may take through the surgical department. It is important to note that
the major differences stem from the level of acuity of the procedure being
performed: in the case of ambulatory surgery the patient will arrive on the
day of surgery and be discharged on that same day without interaction with
any spaces outside of the surgery department. During an in-house or same
day admit surgery, intake and discharge of the patient will occur through
other hospital departments. In complex surgical cases, the patient will likely
not spend any time in pre and post procedural areas but be transferred
directly to the surgical intensive care unit. This serves to minimize patient
transfers and ultimately reduce patient risk.
Functional Adjacencies
The Surgical Suite is situated to prevent non-related traffic through the
department. It is divided into three distinct areas, which are defined by the
physical activities occurring within the area and staged in a progressive
NARRATIVE 2-17
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
The unrestricted area includes the central control point that is established to
monitor the movement of patients, staff, and equipment. The semi-restricted
area (“red line”) includes the peripheral support areas of the surgery suite,
such as storage areas for clean and sterile supplies, instrument processing
areas, scrub sink alcoves, and the corridors leading to the restricted area.
Access to this area is restricted and appropriate surgical attire as well as
coverings for head/ facial hair is required. The restricted area includes the
operating rooms as well as the clean core. Access to this area also requires
appropriate surgical attire and in some instances - masks. All other areas in
the surgery suite are non-restricted with no specific requirements for attire
and covers.
Clean Core
The surgical suite is set up to carefully orchestrate the flow of sterile and
soiled goods. A one-way flow of soiled goods out of the operating room
and sterile goods into the operating room on a separate, dedicated route is
preferred. This is best accomplished by grouping operating rooms around
the Clean Core.
Sterile supplies are transported to the clean core via dedicated elevators
from the clean side of SPS. An optional dedicated stairway may be included
if SPS is vertically separated from the clean core by no more than two floors.
Depending on the available space and the type of facility different clean core
arrangements can be employed. Generally, it is recommended to keep the
quantity of operating rooms around a clean core to 8 or less in number to
avoid excessive travel distances. In renovation situations where space is
NARRATIVE 2-18
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
not available to utilize a Clean Core Outer Racetrack concept, one corridor
outside the Operating Room may be considered a clean space where sterile
supplies are stored. Appropriate staff and materials flow must be followed to
maintain the separation of clean and soiled traffic. However, this arrangement
should only be considered for a small complement of Operating Rooms.
Waste Management
Medical Waste: Medical waste is generated in medical exam rooms or in
patient rooms where it is bagged, collected and transported using specially
designated, closed containers to the soiled utility rooms. The waste is held
there until it is transported via the loading dock to the medical waste handling
facility.
Product types used in the building: disposable vs. recycle products should
be discussed as it is. An important design consideration in alternatives that
impacts physical space for waste disposal volumes.
Refer to the NEPA Interim Guidance for Projects for more information
regarding recycling requirements.
Soiled Linen: Reusable soiled linens are generated in patient rooms, physical
therapy gyms, and sometimes the medical exam rooms. They should be
collected in carts or hampers in the soiled utility rooms and transported to a
soiled linen holding room near the loading dock for pick-up. Medical exam
rooms may opt to use disposable paper products in which case, they would
be discarded after each use.
Utensils: Any medical care washable items incorporated in the plan of care
should be transported to the soiled utility room for holding. Items will then be
transported to a sterile processing department or service for cleaning and
reprocessing.
NARRATIVE 2-19
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
The growth in the complexity of the services begins to shift the composition
of the surgical suite in regards to the mix of general and specialty operating
rooms as well as types of services provided. Today, VHA has 136 surgery
2 United States Department of Veterans Affairs; “The Veteran Population Projection Model
2014 (VetPop2014)”. 01 Oct 2014, Web. 03 June 2015
NARRATIVE 2-20
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
26 of these surgery programs are Ambulatory Surgery Centers and 110 are
Inpatient surgery programs.
NARRATIVE 2-21
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Please refer to the PG-18-3 (Topic 1) for a list of Codes, Standards and
Executive orders.
NARRATIVE 2-22
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
CFM functions as the Authority Having Jurisdiction for all VA facilities and
projects.
Medical staff are trained to respond to fires with the R.A.C.E. method. This
acronym stands for rescue, alarm, contain, evacuate, and describes a
methodology to take steps towards a quick evacuation of a building while
also trying to contain a fire and help people needing assistance to safety.
NARRATIVE 2-23
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
2.2.2. Architectural
Refer to the FGI guidelines for requirements for ceiling materials in the
restricted and semi-restricted areas of the surgical suite.
• Ease of maintenance
• Readily cleanable
• Impact by germicidal cleaning solutions (if any)
Walls: Due to the large amount of cart and stretcher traffic in the surgical suite,
consideration shall be given to the durability of walls. It is recommended that
walls are fitted with a crash rail and wall protection in high traffic areas.
NARRATIVE 2-24
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Countertops for all clinical and clinical support areas should be made of solid
impervious resin material (per PG 18-14: Room Finishes, Door & Hardware
Schedule) with integral sinks, which offers long-term durability, and resists
chipping and staining from medical agents expected to be used in clinical
environments. For areas where strong chemicals are used, such as soiled
utility rooms, seamless stainless steel counters with integral backsplash
should be used. Plastic laminate veneer materials may be used in non-
clinical staff and administrative areas.
+
OR OR
OR OR
0 ++ +
OR OR
CLEAN CORE
OR OR
SEMI-RESTRICTED CORRIDOR
+ POSITIVE PRESSURE
- NEGATIVE PRESSURE
Figure 2.1
Air Pressurization Diagram
NARRATIVE 2-25
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Doors: The door from the semi-restricted corridor into the Operating Room
shall be at least 6 ft. (1820 mm) wide and located in such a way as to permit
the bed or gurney to move as directly as possible from the corridor to the
side of the operating room table. For this reason, these doors are typically
located toward the foot of the operating table away from the anesthesia
equipment. If lead lining in the walls of the Operating Room is required by
a qualified physicist, it is mandatory that the doors into these rooms have
automatic door openers. To provide visibility between the semi-restricted
corridor and the Operating Room, a narrow view window will be provided in
the door.
For doors between the Clean Core and the operating rooms, a double acting
door, 4 ft. (1170 mm) wide, with a small view window is required.
Interior Finishes: Per the Room Finishes, Door and Hardware Schedule (PG
18-14), consider the following key factors in the design process, which have
an impact on the build environment and the patient experience:
• Maintenance
• Durability
• Life cycle cost
• Therapeutic attributes
• Improved wayfinding
NARRATIVE 2-26
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
HVAC systems shall be provided to heat, cool, and ventilate individual rooms
or areas as required to satisfy design criteria. The HVAC system shall com-
ply with NFPA 72, 90A, 99, and 101, and the current version of Department
of Veterans Affairs (VA) HVAC Design Manuals, VA Design and Construction
Procedures, VA Master Construction Specifications and VA Standard Details,
where applicable. The current VA design and construction criteria are avail-
able on the VA Technical Information Library(TIL) at http://www.cfm.va.gov/
TIL/. Deviations from the VA guidelines may be made provided approval is
obtained from the VA. Where specific VA requirements are not available or
indicated in this document, design criteria from industry standards such as
American Society of Heating, Refrigerating and Air-Conditioning Engineers
(ASHRAE), National Fire Protection Association (NFPA), and Department of
Energy (DOE), etc. should be submitted to the VA for review and approval.
Interior Design Conditions: Interior design conditions for each space shall
be maintained throughout the year. Interior design conditions for all spaces
shall be maintained in accordance with the current version of the VA HVAC
Design Manual.
NARRATIVE 2-27
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
The current version of the VA HVAC Design Manual describes an air supply
distribution system for the general operating rooms. The Manual indicates
the minimum requirements for total air changes per hour (ACH) of supply
air to be provided at the point of delivery to the room which includes the
required minimum ACH of outside air. The supply air system provided is an
air curtain system. The system is comprised of two different types of ceiling
diffusers located within the operating room. The area above the patient is
provided with a laminar diffuser array sized in accordance with the current
version of ASHRAE Standard 170 and provides a slow velocity downward
wash of clean supply air over the operating table surgical zone. Combined
with this diffuser array is a four sided linear slot diffuser system using spe-
cially designed linear slot diffusers that surrounds the operating table surgi-
cal zone. Per the current version of the VA HVAC Design Manual, the linear
diffusers discharge a vertical airstream inclined at an outward angle toward
the sides of the operating room walls. The purpose of the linear diffusers is
to create a high velocity barrier of clean air to keep room contaminant par-
ticles which may be recirculating from the perimeter of the room away from
the surgical zone. The linear slot diffuser curtain should be sized to deliver
the air flow rate per foot per manufacturer recommendations. Flow rates
below this quantity may not properly isolate the surgical air zone from con-
taminants, while air flows above this quantity may increase the possibility of
re-entraining particles that have settled on the floor. The percentage of total
room supply air to be provided by the slot diffusers and the unidirectional
perforated diffusers is referenced in the VA HVAC Design Manual.
Unlike the general operating rooms, the hybrid operating rooms utilize a sin-
gle large array of laminar flow diffusers which provides 100% of the required
room supply air. The laminar flow diffuser array is located over the operating
table and surrounding area to create a large surgical zone providing a slow
moving blanket of clean air over the patient and surrounding area. The oper-
ating rooms are the most positively pressurized spaces in the surgery suite.
Surgical Suite Air Handling Units: Air handling units serving the surgical suite
shall be provided with emergency power per requirements of the current
version of the VA HVAC Design Manual. Air handling units shall have the
capacity for utilizing 100% outside air where required by building code to
meet purge requirements.
Filtration: Filtration for the Surgical Suite HVAC systems shall be provided in
NARRATIVE 2-28
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Operating rooms and surgery support spaces shall follow the current ver-
sion of the VA HVAC Design Manual unless noted otherwise. The room data
sheets provided in the Design Standard Templates chapter of this document
refers the user to specific rooms types shown in the VA HVAC Design Man-
ual unless noted otherwise. The room type referenced in the HVAC Design
Manual is found in a table that will provide the needed information for room
design temperatures, relative humidity range, room air changes, and space
pressure relationships.
It is highly desirable to identify the supply air zone described above by in-
stalling a patch of flooring material that is a different color from the rest of
the room. This patch should be located in the General Operating Room by
aligning it with the slot diffusers described above and for the Hybrid Operat-
ing Rooms by aligning with the perimeter of the laminar flow diffuser array.
This will indicate the sterile field.
Outdoor Air Requirements: The HVAC Design for surgery support spaces
shall provide each space with not less than the minimum recommended
quantity of ventilation air indicated in the current version of the VA HVAC
Design Manual.
Exhaust and Return Air Requirements: The HVAC design for spaces other
than operating rooms shall provide return air or exhaust air as required
for the spaces to control the transfer of odors and provide proper room
pressurization. At a minimum, exhaust air and pressurization should be
provided as indicated in the VA HVAC Design Manuals.
Noise Criteria: The HVAC design shall provide resulting sound levels in
occupied spaces not to exceed the levels shown in the current version of the
VA HVAC Design Manual.
NARRATIVE 2-29
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
The plumbing and medical gas systems shall comply with the current version
of Department of Veterans Affairs (VA) Plumbing Design Manual, VA Design
and Construction Procedures, VA Master Construction Specifications and
VA Standard Details, where applicable. Deviations from the VA Standards
may be made, provided approval is obtained from the VA-CFM Consulting
Support Services or Facility Standards Services. Where state or local codes
are more stringent than the above requirements, submit criteria to the VA for
review and approval.
NARRATIVE 2-30
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Nitrous Oxide, and Carbon Dioxide are provided to the Operating rooms.
When Nitrous Oxide is provided, a Waste Anesthesia Gas Disposal system
must also be present. Nitrogen control panels are to be provided to the Op-
erating rooms in accordance with the latest version of NFPA 99.
Lighting: Lighting systems are essential for the surgical staff to perform
and function safely, efficiently, and effectively. The Lighting Design Manual
provides design A/E guidance for lighting design parameters, as well as
recommended types of luminaires, in the surgical suite. The design A/E has
the option of using either fluorescent or LED lighting technology. The design
A/E shall follow the Reflected Ceiling Plan in Section 4 – Design Guide
Plates of this Design Manual for the placement of luminaires. The design
A/E shall select appropriate number of lamps in each luminaire to render
the required illuminance level for each room and task. Normally, number of
lamps for luminaires located at the core of surgery room is 6 (3 of which are
on emergency battery back-up).
Lighting levels in the operating room are also required to fluctuate from high to
low in order to accommodate specific tasks. Therefore, the design A/E must
implement luminaires with dimming capabilities using multi-level switching,
dimming arrangements, or both. Normally, luminaires located at the core
of the surgery room are designed with multi-level switching arrangement;
luminaires located in the peripheral area of the surgery room are designed
with dimming capabilities. Point-to-point foot-candle calculation for each
room or area must be performed using commercially available computer
software to validate compliance with lighting level and energy conservation
requirements. The calculations must be documented and provided to VA for
review and concurrence.
Power:
The A/E shall provide electrical design for all electrically operated equipment.
The A/E shall confirm electrical requirements of all equipment to provide
NARRATIVE 2-31
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
correct design and load calculations. A/E shall show receptacles or hardwire
connections for all electrically operated equipment. The Electrical Engineer
shall coordinate with The Architect regarding the physical dimensions of the
line isolation monitor panel(s). This information is needed for the construction
of the wall to correctly accommodate the line isolation monitor.
Normal Power: One IPS on normal power shall be designed and specified
for each surgery room. Receptacles on normal power shall be connected to
the normal power IPS.
Emergency Power: Two IPS systems on the Critical branch of the Essential
Electrical System (EES) shall be designed and specified for each surgery
room, and shall be located at opposite diagonal corners of the surgery room.
Line isolation monitoring shall be integral with the IPS. Receptacles on the
Critical branch of the EES shall be connected to the closest Critical branch
IPS. The IPS shall provide power to receptacles designated for emergency
power mounted on the wall or within the articulating columns.
A 208 Volt special outlet shall be provided for the laser surgery equipment.
This special outlet shall be connected to a separate Critical branch IPS
supplying power to all laser surgery equipment. Normally, IPS supplying
power to all laser surgery equipment is located at the closest corridor outside
the surgical room.
Intercom, telephone and computer systems are all required in the operating
rooms. In addition, a “code blue” system is required in the event of a cardiac
arrest summoning designated staff to the OR from other areas of the hospital.
It is highly desirable for the articulating utility column serving the anesthesia
machine to have a telephone mounted on it since the anesthesia staff cannot
leave the head of the table. This will allow him/her to summon assistance
from the chief anesthesiologist when required or to request a replacement
when a break is needed.
NARRATIVE 2-32
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
NARRATIVE 2-33
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Physicians, staff, and supervisors can utilize the phone and tablet applications
on the move to stay abreast of cancellations, emergency cases, patient
flows, OR camera views, and on demand daily and historical performance
analytics promoting proactive schedule management. Electronic staffing
boards eliminate the need for “grease” boards. Staffing assignments are
quickly and conveniently posted for OR rooms, breaks and relief. Large
format status monitors provide continuous unit visibility in Pre/Post, control
desks and staff break areas. Large format monitors can also be used to
communicate patient status to family in waiting areas.
Patient Safety Display: Patient Safety Display provides the OR team with
real-time, up to date, accurate patient data from disparate hospital sources
and helps to optimize patient safety and workflow efficiency for every
procedure. The display automatically aggregates surgical case and patient
information from other data systems and displays it on a dedicated screen
in the OR, providing automatic access to key information from diverse IT
systems - Laboratory, Radiology, Medical Records, Allergies and more. The
system can also assist OR staff in safely navigating through Sign In, Time Out
and Sign Out requirements for every surgical procedure while encouraging
best practices to optimize patient outcomes that can significantly reduce the
potential risk of a “never” event.
NARRATIVE 2-34
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
The same communication can be had between ORs in the same hospital
wherever compatible CODECs are used. This feature can be installed in
one room or at the in-suite control desk and shared by all. An example of its
functionality is an OR in the United States sending pictures and audio in real
time to a surgeon in another country who has a compatible CODEC.
A streaming tier can transmit live, one-way audio and video to live broadcast
procedures to a conference room or auditorium via a network. The broadcast
can be viewed by smaller groups on desktop, mobile devices and tablets
or larger groups with certain third party streaming devices. The feature
is commonly used by teaching hospitals and can be integrated on site in
a manner similar to the CODEC and the two are typically collocated for
convenient control of external information dissemination.
Cameras used for live viewing and recording allow surgeons to capture any
angle and position of procedure with enhanced five axis control capability
including image rotation to optimize view orientation, auto focus zoom to
capture appropriate level of detail through the progression of a procedure,
panning to the left or right, tilting up and down, pivoting freely in a full circle.
The cameras have a combination of automated features and manual modes
that can be maneuvered through the integration system touch panel or in
the surgical field by using button controls on the camera. The focus and
brightness adjustment capability can capture true color rendition when
calibrated and routed to a high definition monitor recording device, multiple
video formats and signal compatibilities are built into the camera for real
time capture with no discernible image lag. High end cameras feature up to
2 million effective pixel with 1080 horizontal high definition resolution and up
to 120x optical zoom. Various mounts are available for the cameras to locate
anywhere in the room including arm mounts that can locate the camera
directly over the operating table. Mounts can be located on surgical lights or
independently. The mounts and camera utilize anti drift technology similar to
NARRATIVE 2-35
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
that used in operating room lights to ensure the camera does not move out
of position once located.
Digital recording systems can capture high definition surgical audio, 1080p
video and still images, and annotation during a case. Some recording
systems also feature search engines for keyword based image retrieval,
editing software, and built in printing capability that can render pre-scripted
images automatically during a case or select images for use afterwards. This
functionality can also be tied to third party devices with USB ports and stored
on the hospital servers via centrally mapped network drives Digital recording
systems can capture images and video directly from OR cameras as well as
be linked to other inputs in other areas of the suite including mobile devices
with proper software. Once captured, the information can be made available
to any device on the hospital network with software that enables tiered
secure access, customizable to hospital and HIPPA compliance policies, for
downloads, information sharing with consulting physicians and incorporation
into electronic medical records.
NARRATIVE 2-36
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
3.1. General
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed in Figures 3.1.1, 3.1.2, 3.1.3, 3.1.4
to show possible routes that a patient may take through the surgical department.
It is important to note that the major differences stem from the level of acuity of
the procedure being performed: in the case of ambulatory surgery the patient
will arrive on the day of surgery and be discharged on that same day without
interacting with any other spaces outside of the surgery department. During a
hospital-based surgery intake and discharge of the patient will occur through
other hospital departments. In emergent surgical cases the patient will likely
not spend any time in pre- and post-procedural areas but be transferred directly
to the critical care unit. This serves to minimize patient transfers and ultimately
reduce patient risk.
OVERALL DIAGRAM : PERI-OPERATIVE SERVICES
ACCESS DISCHARGE
PRE-OPERATIVE PHASE
PRE-PROCEDURAL ASSESSMENT
o ADMISSION
o REGISTRATION / P.A.T.
o EXAMINATION / CONSULTATION / REFERAL
o CLEARANCE
o FAMILY / PATIENT EDUCATION
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE o STANDARD
o GENERAL SURGERY o INTERMEDIATE
o SPECIALTY SURGERY o COMPLEX
o OTHERS
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT CRITICAL CARE UNIT
INPATIENT UNIT
Figure 3.1.1
Overall Diagram: Peri-Operative Services
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE o STANDARD
o GENERAL SURGERY o INTERMEDIATE
o SPECIALTY SURGERY o COMPLEX
o OTHERS
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT CRITICAL CARE UNIT
INPATIENT UNIT
Figure 3.1.2
Hospital Based Surgery (Inpatient Flow)
PRE-OPERATIVE PHASE
PRE-OPERATIVE HOLDING
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE
o AMBULATORY SURGERY
o GENERAL SURGERY
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT
PHASE II RECOVERY
INPATIENT UNIT
OBSERVATION UNIT
PRE-OPERATIVE PHASE
CONSULTATION (FOLLOW-UP)
Figure 3.1.3
Ambulatory / Outpatient Surgery
EMERGENCY Flow
/ TRAUMA BASED SURGERY
PRE-OPERATIVE PHASE
EMERGENCY DEPARTMENT / AMBULANCE
o TESTING
o PREPARATION
o LINES/INJECTION
o BLOCKING
o OTHERS
INTRA-OPERATIVE PHASE
o MIS PROCEDURE
o STANDARD
o GENERAL SURGERY
o INTERMEDIATE
o SPECIALTY SURGERY
o COMPLEX
o OTHERS
POST-OPERATIVE PHASE
POST-ANESTHESIA CARE UNIT CRITICAL CARE UNIT
INPATIENT UNIT
Figure 3.1.4
Emergency / Trauma Based Surgery Flow
The semi-restricted area (“red line”) includes the peripheral support areas of the
surgery suite, such as storage areas for clean and sterile supplies, instrument
processing areas, scrub sink alcoves, and the corridors leading to the restricted
area. Access to this area is restricted and appropriate surgical attire as well
as covers of head/ facial hair are required. The restricted area includes the
operating rooms as well as the Clean Core. Access to this area is restricted and
appropriate surgical attire, covers of head/ facial hair, and - in some instances
- masks are required. All other areas in the surgery suite are non-restricted with
no specific requirements for attire and covers.
Figures 3.2.1, 3.2.2, 3.2.3 and 3.2.4 illustrates typical workflows in facilities of
different complexity levels.
PUBLIC STAFF AND SERVICE
ENTRANCE ENTRANCE
SEMI-RESTRICTED CORRIDOR
FROZEN SECTION LAB
CLEAN HOLDING
OR NURSE DIRECTOR
PREP / HOLDING ANESTHESIA WORKROOM
PHASE II RECOVERY GENERAL GENERAL DISTRIBUTION / ANESTHESIA STORAGE
CYSTO OR OR CLINICAL SUPPORT BIO-MEDICAL ENGRG
PHARMACY
SOILED HOLDING
HAC
ELECTRICAL ROOM
IT TELECOM ROOM
EQUIP. EQUIP.
CLEAN
CORE
SUPPORT
NURSE GENERAL GENERAL SPS
STATION OR OR
IMMEDIATE
USE
STERILIZ.
EQUIP. EQUIP.
PACU
SEMI-RESTRICTED CORRIDOR
Figure 3.2.1
Adjacency and Flow - Standard/Ambulatory Surgical Suite
SPS SOILED
STAFF AND STAFF
ELEVATOR
SEMI-RESTRICTED CORRIDOR
EQUIP. SPS SOILED
PREP / HOLDING + ELEVATOR
PHASE II RECOVERY FROZEN SECTION LAB GENERAL SPS CLEAN
CLEAN HOLDING ELEVATOR
OR NURSE DIRECTOR
OR
ANESTHESIA WORKROOM
ANESTHESIA STORAGE
SPECIALTY
PHARMACY OR
BIO-MEDICAL ENGRG
SOILED HOLDING
HAC
ELECTRICAL ROOM GENERAL
IT TELECOM ROOM OR CCU
CONTROL
SUPPORT CLEAN
CORE
GENERAL
OR HYBRID
OR
NURSE
STATION
IMMEDIATE
PREP / HOLDING UROLOGY/ USE
PHASE II RECOVERY CYSTO OR STERILIZ.
PACU SPECIALTY
OR
EQUIP.
SEMI-RESTRICTED CORRIDOR
Figure 3.2.2
Adjacency and Flow - Intermediate/Complex Surgical Suite
SPS SOILED
STAFF AND STAFF ELEVATOR
ADMINISTRATIVE LOUNGE SPS CLEAN
AREA FEMALE MALE ELEVATOR
SEMI-RESTRICTED CORRIDOR
HYBRID
GENERAL
OR
OR
NURSE
STATION IMMEDIATE
USE
PREP / HOLDING STERILIZ.
PHASE II RECOVERY UROLOGY/ SPECIALTY
EQUIP.
PACU OR
CYSTO OR
SEMI-RESTRICTED CORRIDOR
FUTURE EXPANSION
Patient Circulation
Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
“Red Line”
Figure 3.2.3
Adjacency and Flow - Intermediate/Complex Surgical Suite (Alternate)
SPS SOILED
ELEVATOR
STAFF
SPS CLEAN
LOUNGE ELEVATOR
SEMI-RESTRICTED CORRIDOR
SPS SOILED
ELEVATOR
PREP / HOLDING EQUIP.
BIO-MEDICAL SPS CLEAN
PHASE II RECOVERY ENGRG ELEVATOR
PHARMACY
SOILED
HOLDING SPECIALTY
HAC
ELECTRICAL OR
ROOM GENERAL
IT TELECOM
ROOM OR
IMAGING
SUPPORT CONTROL
EQUIPMENT
NURSE
STATION CONTROL
GENERAL
OR
HYBRID
OR CCU
CLEAN
SUPPORT FROZEN
CORE
SECTION LAB
CLEAN
HOLDING
GENERAL IMAGING
OR NURSE OR SUPPORT CONTROL
DIRECTOR EQUIPMENT
ANESTHESIA
WORKROOM
ANESTHESIA
STORAGE
PACU HYBRID
GENERAL
OR
OR
EQUIP.
CATH UROLOGY/
IMMEDIATE CYSTO OR
USE
PREP / HOLDING INVASIVE STERILIZ.
PHASE II RECOVERY CARDIOLOGY
SUPPORT
EQUIP.
CONTROL
SEMI-RESTRICTED CORRIDOR
IMAGING
SUPPORT
EQUIPMENT
FUTURE EXPANSION
Patient Circulation
Staff Circulation
Mission (if authorized) and Staffing driven spaces
Workload and Staffing driven spaces
“Red Line”
Figure 3.2.4
Adjacency and Flow - Complex Integrated Interventional Suite
SEMI-RESTRICTED CORRIDOR
SOILED
ELEVATOR
* MIS MIS MIS EQUIP
OR OR OR
SEMI-RESTRICTED CORRIDOR
TO SURGICAL TO SURGICAL
PROCEDURE CLEAN CORE CLEAN CORE PROCEDURE
CLEAN
SUPPORT ELEVATOR
SUPPORT
SOILED
ELEVATOR
SPECIALTY SPECIALTY MIS MIS MIS
Notes: OR EQUIP OR OR OR OREQUIP SOILED
UTILITY
EQUIP
* MIS - minimally invasive surgery. MIS uses a variety of techniques that inflict
lesser injury to a patient body in comparison to a traditional open surgery. In
SEMI-RESTRICTED CORRIDOR
general, it is faster than open surgery and allows patient to recover faster and
heal with less pain and scarring. Minimally invasive surgery is usually done on
an outpatient basis or requires only a short hospital stay.
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
* Clean and Soiled elevators are not required in facilities with central sterile
INTERMEDIATE
processing, distribution/ COMPLEX OR CONFIGURATION
and waste management located on the same floor with
perioperative services.
CONTROL
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
SEMI-RESTRICTED CORRIDOR
SOILED
TO SURGICAL ELEVATOR TO SURGICAL
PROCEDURE SPECIALTY CLEAN CORESPECIALTY MIS CLEAN CORE
MIS MIS PROCEDURE
CLEAN EQUIP
SUPPORT OR EQUIP OR ELEVATOR EQUIP SOILED OR OR OR SUPPORT
UTILITY
SOILED
ELEVATOR
SPECIALTY SPECIALTY MIS MIS MIS
EQUIP
OR EQUIP OR SEMI-RESTRICTED
EQUIP CORRIDOR
SOILED OR OR OR
UTILITY
SEMI-RESTRICTED CORRIDOR
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
Figure 3.2.6
INTERMEDIATE / COMPLEX
Intermediate/ Complex Surgical Suite.
TO PACU
OR CONFIGURATION
FROM PRE-OPERATIVE HOLDING
/ SICU Pods Organization
CONTROL
CONTROL
SUPPORT OR OR OR
ELEVATOR SOILED OR OR OR SUPPORT
UTILITY
IMAGE
SOILED
EQUIP
ELEVATOR
SPECIALTY PUMP
HYBRID SPECIALTY MIS MIS MIS
EQUIP
CONTROL
OR OR SEMI-RESTRICTED
OR CORRIDOR
SOILED OR OR OR
UTILITY
SEMI-RESTRICTED CORRIDOR
FROM PRE-OPERATIVE HOLDING
TO PACU / SICU
The surgical suite is set up to carefully orchestrate the flow of patients, clinical
and support staff, sterile and soiled goods. It is achieved by on-stage vs. off-stage
circulation organization. A one-way flow of soiled goods out of the operating
room and sterile goods into the operating room on a separate, dedicated route
is preferred. This is best accomplished by grouping operating rooms around the
Clean Core, as illustrated in figures 3.2.8 and 3.2.9. Each Clean Core cluster
shall be limited to 6 to 8 operating rooms in total in order to avoid excessive
patient transportation and travel distances in the semi-restricted corridor.
SEMI-RESTRICTED CORRIDOR
SEMI-RESTRICTED CORRIDOR
EQUIP. OR OR OR EQUIP.
OR EQUIP. OR OR EQUIP. OR
SEMI-RESTRICTED CORRIDOR
SEMI-RESTRICTED CORRIDOR
Figure 3.2.8
Clean Core, 1 Pod along Racetrack Single Loaded Corridor
SEMI-RESTRICTED CORRIDOR
EQUIP. OR OR OR EQUIP.
SEMI-RESTRICTED CORRIDOR
OR EQUIP. OR OR EQUIP. OR
EQUIP. OR OR OR EQUIP.
SEMI-RESTRICTED CORRIDOR
CLEAN CORE
Figure 3.2.9
Clean Core, 2 Pods along Racetrack Single Loaded Corridor - Alternate
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
SEMI-RESTRICTED CORRIDOR
Figures 3.2.10, 3.2.11 and 3.2.12 illustrate alternate Clean Core organizations.
While these layouts are not
EQUIP.OR preferred,
OR they
OR may be encountered in renovation
EQUIP.
SEMI-RESTRICTED CORRIDOR
CLEAN COSRIEN, G
EQUIP. OR OR OR EQUIP.
OLUETCEO
CLEAN CORE
R RRRAICDEOTRR,ANCOK CORE
SEMI-RESTRICTED CORRIDOR
EQUIP. OR OR OR EQUIP.
SEMI-RESTRICTED CORRIDOR
Figure 3.2.10
Single Double Loaded Corridor, No Core
CLEAN CORE
SINGLE CORRIDOR, SEPARATE CORE
EQUIP. OR OR OR EQUIP.
SEMI-RESTRICTED CORRIDOR
EQUIP. OR OR OR EQUIP.
CLEAN CORE
Figure 3.2.11
Single Double Loaded Corridor, Separate Cores
SINGLE CORRIDOR, N
SEMI-RESTRICTED CORRIDOR
OR EQUIP. OR OR EQUIP. OR
OR EQUIP. OR OR EQUIP. OR
SEMI-RESTRICTED CORRIDOR
Figure 3.2.12
Single Corridor, Outer Racetrack Single Loaded Corridor
SEMI-RESTRICTED CORRIDOR
OR EQUIP. OR OR EQUIP. OR
OR EQUIP. OR OR EQUIP. OR
SEMI-RESTRICTED CORRIDOR
A double-loaded Clean Core shall have a min. width of 21’-0”. This width will
allow for supply shelving in the middle , aisles on each side as well as case
cart storage along the wall.
Sterile supplies and case carts are transported to the clean core via dedicated
elevators from the clean side of SPS.
Figures 3.3.1 and 3.3.2 illustrate two options for organizing a Clean Core.
SEMI-RESTRICTED CORRIDOR
21’-0” MIN.
6400 mm
SPD CLEAN
ELEVATOR
OPERATING OPERATING
ROOM ROOM
OPERATING OPERATING
ROOM ROOM
CLEAN CORE
OPERATING OPERATING
ROOM ROOM
PTS
WORK
STATION
OPERATING OPERATING
ROOM ROOM
IMMEDIATE
USE STERIL.
Supply Storage
Equipment Storage
Clean Case Cart Storage SEMI-RESTRICTED CORRIDOR
Case Carts
Figure 3.3.1
Clean Core Organization 1 - Centered Case Carts
SEMI-RESTRICTED CORRIDOR
21’-0” MIN.
6400 mm
SPD CLEAN
ELEVATOR
OPERATING OPERATING
ROOM ROOM
OPERATING OPERATING
ROOM ROOM
CLEAN CORE
OPERATING OPERATING
ROOM ROOM
PTS
WORK
STATION
OPERATING OPERATING
ROOM ROOM
IMMEDIATE
USE STERIL.
Supply Storage
Equipment Storage
Clean Case Cart Storage
SEMI-RESTRICTED CORRIDOR
Case Carts
Figure 3.3.2
Clean Core Organization 1 - Centered Supply Storage Shelving
4.1. General
Introduction:
The Room Templates are intended as general representations of typical space, furniture
and equipment layout, as well as functional and utility supporting needs. The Room
Templates were developed as a design tool to assist the Project Team in understanding
the choices to be made during design, and to assist designers in understanding VA’s
space and functional requirements for Surgical Services. The Room Templates are
not intended to be project specific and are not meant to limit design opportunities.
However, the indicated net square feet (NSF) is the minimum acceptable square feet
(the +/- rule does not apply).
While this information is provided for a majority of spaces required, it is not possible
to foresee all possible variations or future requirements. The project-specific space
program shall be used as the basis for individual project design.
The Room Templates must be reviewed against project criteria and any special
requirements. Users shall follow other VA criteria and standards as required by VA.
Equipment manufacturers shall be consulted for the most current equipment information
such as actual dimensions, weights and utility requirements.
SD
JSN
JSN AND EQUIPMENT NAME DT DT
EQUIPMENT
JSN NAME
EQUIPMENT NAME
S
CENTERLINE
FLUORESCENT LIGHT F
HVAC SUPPLY
QU
Q
JJ QU
J
JUN
JU
FBFB
JUN
FB
FLO
FL
FLO
TEL
TE
TEL
TV TV
TV TV
TV TV SPE
SP
SP
SS NU
S N
NU
NCC
NCC NU
NCC N
NU
CBCB NU
N
CB NU
NCNC NU
NC N
NU
SSSS
SS NU
N
NU
GFIGFI
GFI ROOM TEMPLATES TT
4-3
T
CC
D D3
C
D
DUPLEX D
RECED
F
FB2'X4' FLUOR
DUPLEX RECEG
DUPLEX RECE
Q
J EMERGENCYE EFD
8" X
EMERGENCY4' INDIR T
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17) EMERGENCYJD
+42 DUPLEX OUTL Q
G
TVJ +42
FB
TV
+42 DUPLEX
1'X4' DIREC
DUPLEX G
OUTL
OUTL S
GFI GROUND FAUL TF
JU
GFI
SGFI GROUND
GROUND
2'X4' DIREC FAU
FAUL
FAUTN
FB TV
TV Q
J VOICE/TELEPH QS
F
J VOICE/TELEPH
SYSTEM DESCRIPTION OF SYMBOLS SYMBOL NCC
TV TV VOICE/TELEPH
DUPLEX RECE N
S
S SINGLE SWITC JU
N
JU
WIRING DUPLEX RECEPTACLE FBS SINGLE SWITC
SINGLE SWITC
DEVICES FBCB EMERGENCY
1'X4' DIREC TD
N
GFI NCC DIMMER SWIT FF
N
RECEPTACLES GROUND FAULT INTERRUPTER RECEPTACLE GFI w/EMERGEN
D DDD 3 333
DIMMER
DIMMER SWIT
SWIT
TVNC+42
NCC
TV DUPLEX OUTL
S
DUPLEX RECEPTACLE ON EMERGENCY POWER THREE WAY T SN
CB THREE
2'X4'
THREE WAY
DIREC
WAY N
SS
GFI TVSS
GFI
STV GROUND FAUL
PATIENT GROUND MODULE (4-JACK) GM
P NC
CB
PP w/EMERGEN
PUSH PLATESN (
P
PP
PPGFI PUSH PLATEN((
PUSH PLATE
VOICE/TELEPH
CALLTT
SP
AUXILIARY TELEPHONE DATA OUTLET CB
NC
SP NCC SP
SGFI NURSE
WALLWASH D
NN
SYSTEMS SS CB NURSE CALLN D
CB NURSE CALL
SINGLE SWITC D
TELEVISION CABLE OUTLET - WALL MOUNTED/CEILING
P MOUNTED TVTV
TV TV TV
SD
P
NC
SSTV
NURSE CALLS
GFI CB
NCC
NC PENDANT NN
SP
D 3
NC
T NURSE
NURSE CALL
CALL DD
SPEAKER - WALL MOUNTED/CEILING MOUNTED SP SP
S
DIMMER SWIT
SS
DD 3 3
S
NC NURSE CALLN ND
RECEPTACLE,
GFI CLOCK HANGER PP TV CBCSS
SSTV DOWNCALL
NURSE
NURSE
THREE
LIGH
CALL
WAY SD
NND
D 3
D 3
SS TSS
NCC
NCC N
FB1 FLOOR BOX N P
PUSH PLATENN
GFI
NURSE CALL DEVICE (PULL CORD) NC
FB1 SPRINKLER
FLOOR BOX P
PP
PP
PP
T (
PP C 2' x 4' INDIREC
PP CBSS N
D 3D 3
D 3D 3
SS
SS
CB
SS
CB
H
LIGHT
2'PASSIVE
NURSE
FIXTUR
x 4' INDIREC N
CALLINND
C LIGHT FIXTUR
LIGHT FIXTUR
PUSH PLATE (AUTO OPENING DOOR) PP
NC
PPGFI NC 4' FLUORESCE N
MECHANICAL SSROOM THERMOSTAT
NC
PP
PP
NURSE
4'
4' CALLNR
FLUORESCE
FLUORESCE D
PP HT
SSSS
PP
SS FLUORESCEN ND
SS
GFI SS NURSE
FLUORESCEN CALLN T
ROOM HUMIDISTAT (MOISTURE) H
C FLUORESCEN
TSS R
D 3
FB1 - HVAC
SUPPLY
FLOOR SUPPLY
BOX P
HVAC SUPPLY HVAC SUPPLY
HVAC SUPPLY R
CPP
PP T
D 3
GFI
GFI
2'RETURN
x 4' INDIREC
SS
HVAC RETURN TH - LIGHT
RETURN FIXTUR
GRILLT
T
PP
PP RETURN
RETURN
LINEAR DIF GRILL
GRILL
-
SS*LINEAR DIFFUSER CC 4' FLUORESCE R
DD 33
H
EXHAUST REG
EXHAUST REGISTER EXHAUST REG
EXHAUST
FLUORESCEN REG
PP
PP
PP
PP RT
HOOD EXHAUS
SSHOOD EXHAUST
SS - HOODSUPPLY
HOOD EXHAU
EXHAUS
H
H HVAC EXHAU
T
PLUMBING - DRYER EXHAU
R
SPRINKLER R
DRYER EXHAU
DRYER EXHAU
RETURN GRILL
SPRINKLER HT
TH
SPRINKLER H
SPRINKLER
-- EXHAUST REG
DT OCCUPANCY S
DT
DT OCCUPANCY S
OCCUPANCY
HOOD EXHAUS
DRYER EXHAU
SPRINKLER H
DT OCCUPANCY S
Axonometric
140 NSF / 13,1 NSM
CT020
COUNTER, SOLID
A5082 SURFACE
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE CS140
A5180
A5077 SINK, SS,GENERAL,
TRACK, CUBICLE, SINGLE X, 10X14X ID
SURFACE MOUNTED, DISPENSER, HAND SANITIZER, HANDS FREE
A5075
WITH CURTAIN
DISPENSER, SOAP
F2010
M4665 BASKET, WASTEPAPER,
STRETCHER, 1 GFI STEP-ON
RECOVERY, SURGICAL A1012
T
a b
F0205 A5220
SIDE CHAIR WITH ARMS A5212
F3200 BRACKET, TV,
3759mm
WALL-MOUNTED,
12' - 4"
""
SCALE: 1/4” = 1’-0”
4' 8' 16' Floor Plan
140 NSF / 13,1 NSM
9' - 0"
3759mm
12' - 4"
ab
BED
11' - 4"
3454mm
Elevations 1 & 2
A5082 E0948
DISPENSER, PAPER TOWEL, SENSOR, HANDS FREE CART, GENERAL STORAGE, MOBILE
11' - 4"
3454mm M0765
REGULATOR, VACUUM
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
M0755 M0750
4-8
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL POWER
Ceiling Type: Acoustical Ceiling Tile (SP) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: WSF Integral Base (min. 6”/
1) Provide a minimum of 14 receptacles (7
152 mm)
duplex) on the rail system.
Floor Finish: Welded Seam Sheet
2) The branch circuit serving the receptacles
Flooring
on the rail shall not be part of the multiwire
Slab Depression: None Special branch circuit.
Sound Protection: None 3) Rail system shall be connected to normal
and critical emergency branch circuit(s).
Doors: None
LIGHTING COMMUNICATIONS
Maintained Data: Yes
Average Telephone: Yes
Illumination -
Ambient: 500 Lux (50 FC) Cable Television: No
Axonometric
140 NSF / 13,1 NSM
CT020
COUNTER, SOLID
SURFACE
CS140
M4665 SINK, SS,GENERAL,
STRETCHER, SINGLE X, 10X14X ID
RECOVERY, SURGICAL F2010
M7040 BASKET, WASTEPAPER,
TABLE, OVERBED STEP-ON
A5075
A5180
DISPENSER, SOAP
TRACK, CUBICLE,
A5077
SURFACE MOUNTED,
WITH CURTAIN DISPENSER, HAND
SANITIZER, HANDS FREE
a b
A5145 A5082
HOOK, GARMENT, DISPENSER, PAPER
DOUBLE TOWEL, SENSOR, HANDS
1 FREE
F0205 6" AFC
SIDE CHAIR WITH ARMS
GFI A1012
2 TELEPHONE, WALL
F3200 MOUNTED, 1 LINE
CLOCK, BATTERY, 12IN A5220
A5212
3759mm
12' - 4"
BRACKET, TV,
TV
WALL-MOUNTED,
TILT/ANGLE
M3070
M0506
HAMPER, LINEN
T TELEVISION, FLAT
SCREEN
M3072 E0948
FRAME, INFECTIOUS CART, GENERAL
WASTE BAG W/LID STORAGE, MOBILE
A1107 A5107
RAIL SYSTEM, UTILITY, DISPENSER, GLOVE,
NC
9' - 0"
3759mm
12' - 4"
ab
BED
11' - 4"
3454mm
Elevations 1 & 2
DISPENSER, SOAP A5107
CS140 DISPENSER, GLOVE, WALL-MTD
F2010
BASKET, WASTEPAPER,
STEP-ON
ELEVATION 1
11' - 4"
3454mm M0765
REGULATOR, VACUUM
4.3. PATIENT ROOM, PRE-OPERATIVE HOLDING /
M0755
M0750
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
FLOWMETER, OXYGEN,
LOW FLOW FLOWMETER, AIR
4-19
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL POWER
Ceiling Type: Acoustical Ceiling Tile (SP) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: WSF Integral Base (min. 6”/
1) Provide a minimum of 14 receptacles (7
152 mm)
duplex) on the rail system.
Floor Finish: Welded Seam Sheet
2) The branch circuit serving the receptacles
Flooring
on the rail shall not be part of the multiwire
Slab Depression: None Special branch circuit.
Sound Protection: 35 STC 3) Rail system shall be connected to normal
and critical emergency branch circuit(s).
Doors: Sliding Glass Door, Size 8’-
0” x 7’-0” (2438 mm x 2133
mm)
LIGHTING COMMUNICATIONS
Maintained Data: Yes
Average Telephone: Yes
Illumination -
Ambient: 500 Lux (50 FC) Cable Television: No
Axonometric
240 NSF / 22,3 NSM
F3200
CLOCK, BATTERY, 12IN
E0220
WORKSURFACE, W
OVERHD CAB AND
DRWRS, WALL MTD 3a
T
M1825
PRINTER, COMPUTER
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
F0230
CHAIR, DRAFTING,
ROTARY
A1015 M2055
5334mm
17' - 6"
TELEPHONE, DESK, SHELVING, STORAGE,
MULTIPLE LINE 12x12 WIRE, CRS, W
F2000 ADJUSTABLE SHELVES
BASKET, WASTEPAPER,
ROUND, METAL
F3050
M2055
WHITE BOARD, DRY
ERASE SHELVING, STORAGE,
WIRE, CRS, W
ADJUSTABLE SHELVES
3a
13' - 8"
4166mm
a a
9' - 0"
5334mm
17' - 6"
a S DT a
a a
13' - 8"
4166mm
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: Resilient Base
1) Provide a duplex receptacle per computer
Floor Finish: Rubber Flooring, Welded equipment location connected on emergency.
Seam Sheet Flooring
2) Provide convenience duplex receptacle on
Slab Depression: None Special normal power.
Sound Protection: None COMMUNICATIONS
Doors: Single Door, Size 3’-8” x Data: Yes
7’-0” (1117 mm x 2133 mm)
Telephone: Yes
Wood
Cable Television: No
LIGHTING Duress Alarm: No
Maintained Electronic Access and Door
Average Control:
Illumination - Intercom: No
Ambient: 300 Lux (30 FC)
Motion Intrusion Detection No
Maintained (MID):
Average
Illumination - Task Nurse Call: No
Focus: 500 Lux (50 FC) on Table Code Blue: No
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent Public Address: Yes
or LED, Virgin Acrylic Security Surveillance Televi- No
Prismatic Lens, Radio sion (SSTV):
Frequency Filter, sealed
VA Satellite TV: No
housing, gasketed frame
Video Teleconferencing No
Lamps: 4 or 3 Fluorescent or LED
(VTEL):
equivalent, 3500K – 4100K
CCT, CRI >= 80% shall be Special Requirement:
on emergency battery packs Notes:
Controls: Three way and ceiling
mounted motion sensor. HEATING, VENTILATING AND AIR
CONDITIONING
Notes:
General Requirement: Refer to Anesthesia Work-
1) Coordinate location of luminaires with other room and Equipment Room data sheet in the
ceiling obstructions current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air
change requirements, and pressurization.
Axonometric
650 NSF / 60,4 NSM
SEMI-RESTRICTED
CORRIDOR
M7802 A5107 RETURN AIR
SCRUB ALCOVE A5212 A4015 DUCT (TYPICAL)
H T
TVGM TV
C
A5077
M8910
LOW WALL
1
RETURN AIR
4 2 REGISTER
IPS (TYPICAL)
M8925 3 M8840
M4815 M3175
M5030
M5512
M8900 M8920
M8905 F3050
GM
M8940
M3072 F0355
M4255 M8810
M4287 M8950
8738mm
M3070
28' - 8"
M5030 A1014
M8825 M3150
M3070
M4816 M9110
GM
M8830 M8970
M4266
M4255 M8825 M3080
M8551
E0954
M4255
M7650
M4266
LAMINAR FLOW M0630
STERILE FIELD M8940 M7845
PERIMETER AIR M3080
CURTAIN ABOVE M8800 S9755 M8920
A5108
M5104
IPS GM Da Db
M4645 A5077
A5107
23' - 5"
7137mm
CLEAN CORE
10' - 0"
M1801
A1122
6' - 2" 5' - 10" (DOCUMEN
AIR 1877mm 1781mm TATION)
CURTAIN
LAMINAR AIR
ab ab ab
4927mm
FLOW
16' - 2"
DIFFUSER
2134mm
ab ab
7' - 0"
8738mm
28' - 8"
M7801
ab ab TABLE
M7490
M7475
2134mm
7' - 0"
ab ab
3811mm
12' - 6"
M7801
U0100
ab ab ab
M7801
MONITOR, HD, LCD,FP
A5077
MEDICAL GRADE, 55 INCH
A5107 DISPENSER, HAND
Elevations 1 & 2
SANITIZER, HANDS FREE
DISPENSER, GLOVE,
WALL-MTD A4015
ELEVATION 1
4.5. OPERATING ROOM, GENERAL (ORGS1)
28' - 8"
8738mm A1014
F3200 TELEPHONE, WALL
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
CLOCK, BATTERY, 12IN MOUNTED, 1 LINE, WITH
SPEAKER
F0355
SCALE: 3/16” = 1’-0” ELEVATION 2 FOOTSTOOL, STRAIGHT
4-38
April 2016 (rev 2/17)
21' - 5"
6528mm
S9755
A5107 SUCTION SYSTEM, SURGICAL,
21' - 5"
DISPENSER, GLOVE, WALL-MTD MOBILE ROVER
6528mm UNIT
M4645
S9755
A5077
A5107 PATIENT
SUCTIONTRANSFER
SYSTEM, SURGICAL,
DISPENSER, HAND
GLOVE, WALL-MTD
DISPENSER, SANITIZER, HANDS MOBILE
DEVICE ROVER
ISOLATION
UNIT POWER SYSTEM
FREE
M4645
LOW WALL RETURN AIR REGISTER
Elevations 3 & 4
A5077
M8920 PATIENT
A5104 TRANSFER
DISPENSER, HAND
CART,
DEVICEWASTE DISPOSAL,
ELEVATION 3
28' - 8"
4.5. OPERATING ROOM, GENERAL (ORGS1)
8738mm
M3072
M3070
FRAME, INFECTIOUS
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
HAMPER, LINEN 28' - 8"
WASTE BAG W/LID
M8830 8738mm
M8905
4-39
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
750 NSF / 69,7 NSM
SEMI-RESTRICTED
CORRIDOR
M7802
SCRUB ALCOVE A5212 A5107 RETURN AIR
F3200 DUCT (TYPICAL)
H T
GM TV TV
C
M8910
LOW WALL
M8830 A5077 A4015 RETURN AIR
REGISTER
1 IPS (TYPICAL)
4 2
3 M4815
X4890 M8920
M8925
GM
F3050
GM
M8840
M8940
M4287 M8810 F0355
M8905
M4255
M8900 M5030 A1014
M3072 M4816 M5030
8738mm
28' - 8"
M8551
M8810
M3070 M3175
M9110 M8825
M5512
M8950
M3150
M3070 M4255
M8970 M8840
M4266
M4255
E0954 M4266
M3080
M7650
M0630
LAMINAR FLOW M8800 M8940 M7845
A5104 STERILE FIELD M3080
A5108
PERIMETER AIR
CURTAIN ABOVE S9755 A5077
IPS GM Da Db
A5107
M8920 M4645
26' - 10"
8179mm
CLEAN CORE
M4280
2O, 3V, 1A, WAGD, 1 M0765 M0765
NITROUS OXIDE, M8606
M0755 4V, 1 NITROGEN, 1 CO2, 10 EMER
6 EMER DUPLEX, 4 A1130
DATA FACE PLATES M0750 DUPLEX, 4 DATA FACE PLATES
(ANESTHESIA) A1120 A1122 (EQUIPMENT)
S 10' - 0"
AIR CURTAIN
ab ab ab ab
4927mm
LAMINAR AIR
16' - 2"
FLOW DIFFUSER
(DOCUMEN
TATION)
2134mm
ab ab
7' - 0"
A1122
M1801
8738mm
28' - 8"
M7475
M7490
ab ab TABLE
M7801
2134mm
7' - 0"
ab ab M7801
U0100
3811mm
12' - 6"
ab ab ab ab
Elevations 1 & 2
SANITIZER, HANDS FREE
A5107
LOW WALL RETURN LOW WALL RETURN
A4015
AIR REGISTER AIR REGISTER
M8910
CART, SURGICAL CASE
ELEVATION 1
28' - 8"
8738mm
8738mm M3150
WHITE BOARD, DRY
ERASE DISTRIBUTION SYSTEM,
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
MEDICATION, AUTOMATIC
ISOLATION POWER F3050
SYSTEM M3080
4-54
April 2016 (rev 2/17)
24' - 10"
7569mm
M4645
S9755
PATIENT TRANSFER
SUCTION SYSTEM,
DEVICE
24' - 10" SURGICAL, MOBILE
A5107 ROVER UNIT
7569mm
DISPENSER, GLOVE, M8920
M4645
WALL-MTD STAND,
S9755 BASIN, DOUBLE
PATIENT TRANSFER
SUCTION SYSTEM,
DEVICE
A5077 ISOLATION POWER
SURGICAL, MOBILE SYSTEM
A5107
DISPENSER, HAND ROVER UNIT
DISPENSER, HANDS
SANITIZER, GLOVE, M8920
LOW WALL RETURN
Elevations 3 & 4
FREE
WALL-MTD AIR REGISTER
STAND, BASIN, DOUBLE
ELEVATION 3
28' - 8"
8738mm M3070
E0954 HAMPER, LINEN
CART, EMERGENCY,
M3072
MOBILE
4.6. OPERATING ROOM, ORTHOPEDIC (OROS1)
ROOM TEMPLATES
8738mm M3070
DEFIBRILLATOR/
E0954
MONITOR/ RECORDER HAMPER,
X4890 LINEN
RAD/FLOURO UNIT,
4-55
April 2016 (rev 2/17)
PAIL, UTILITY
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
650 NSF / 60,4 NSM
SEMI-RESTRICTED
CORRIDOR
M7802 A5077
SCRUB ALCOVE A5212 A4015 RETURN AIR
DUCT (TYPICAL)
TV GM TV
T H
b
C LOW WALL
RETURN AIR
REGISTER
M8910 (TYPICAL)
A5107
M8830
IPS
1
4 2 LAMINAR FLOW
A5108 M4255 STERILE FIELD
M8900 3
M8800 M4266 PERIMETER AIR
M8905 CURTAIN ABOVE F3050
GM
M3072 M8940
M5030 M4287
M4255 M8825 F3200
M4816 F0355
M3070 M8925
A1014
8738mm
28' - 8"
M8940 M4266
GM
M4255
M3070
M3150
A5104 M9110
IPS GM Da Db
M4280
NOTE: REFER TO ROOM DATA SHEET FOR ACCESS PANELS
M0765
M7490 M8606 4V, 1 NITROGEN, 1 CO2, 10 EMER
A1130 DUPLEX, 4 DATA FACE PLATES
M7801 A1122 (EQUIPMENT)
U0100
10' - 0"
AIR
CURTAIN
7' - 6 1/2" 7' - 5 1/2" M1801
2296mm 2272mm A1122
LAMINAR (DOCUMEN
AIR FLOW TATION)
DIFFUSER ab ab ab
4927mm
16' - 2"
ab ab
2285mm
7' - 6"
8738mm
28' - 8"
ab ab
TABLE
ab ab
2289mm
7' - 6"
3811mm
12' - 6"
ab ab
ab ab ab
(ANESTHESIA) A1120
2O, 3V, 1A, M1801
WAGD, M0765
1 NITROUS M0755
OXIDE, 6 EMER
M0750
DUPLEX, 4 DATA
FACE PLATES A1122 A1120 (ANESTHESIA)
(EQUIPMENT) M7475
A1130 M0765 2O, 3V, 1A, WAGD,
4V, 1 NITROGEN, 1 CO2, 10 TABLE 1 NITROUS OXIDE,
M0765 M7801 M0755
EMER DUPLEX, 4 DATA 6 EMER DUPLEX,
FACE PLATES M0750
4 DATA FACE PLATES
EQ EQ
23' - 5"
7137mm
SCALE: 3/16” = 1’-0”
Elevations 1 & 2
LOW WALL RETURN ELAPSE TIME CLOCK
DISPENSER, GLOVE,
AIR REGISTER
WALL-MTD A4015
LOW WALL RETURN
ELEVATION 1
28' - 8"
8738mm
F3200 28' - 8"
CLOCK, BATTERY, 12IN 8738mm A1014
F3200 TELEPHONE, WALL
ISOLATION POWER SYSTEM MOUNTED,
A1014 1 LINE, WITH
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
CLOCK, BATTERY, 12IN
SPEAKER
TELEPHONE, WALL
MOUNTED,
4-71
April 2016 (rev 2/17)
21' - 5"
6528mm M7650
M4645 DEFIBRILLATOR/
PATIENT TRANSFER MONITOR/ RECORDER
DEVICE AUTO
M8920 E0954
STAND, BASIN, DOUBLE CART, EMERGENCY,
Elevations 3 & 4
A5107 MOBILE
DISPENSER, GLOVE, ISOLATION POWER
28' - 8"
8738mm
M3070
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
HAMPER, LINEN
4-72
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
750 NSF / 69,7 NSM
SEMI-RESTRICTED
CORRIDOR
M7802
SCRUB ALCOVE A5212 A5107 A4015 RETURN AIR
DUCT (TYPICAL)
T H
TV TV
C
A5077
1
M8910 F3200 LOW WALL
A5104
4 2 RETURN AIR
REGISTER
M8900 M4815 M4815 3 IPS
(TYPICAL)
M8905
R4785
M3070
M8925 M4287
M4255
M5512 A1014
M3175
TO PUMP M3109
ROOM M8825 M8920 M8840 F0355
M4816 M5030 F3050
M8950 M8810 L0221
8738mm
M8940
28' - 8"
M8825 M8810
M3070 M9080
M5030 M4811
M4280
M3150
M3072
L1095
LAMINAR FLOW U0105
STERILE FIELD M8940
PERIMETER AIR M4810
CURTAIN ABOVE M8551
E0954 M3080
M8970
M7650
M4812
M0630
M4255 M8800 M7845
X2105 M4250 A5108 M3080
M4266 M8940
E0963 E0948 M8830
M7818
IPS a b Dc
10' - 0"
4927mm
16' - 2"
M7801
2134mm
ab ab M7801
7' - 0"
U0100
8738mm
28' - 8"
ab ab TABLE
2134mm
7' - 0"
M7490
ab ab
3811mm
12' - 6"
M7490
ab ab ab ab
(ANESTHESIA) M1801
A1130 (EQUIPMENT) NOTE: REFER
2O, 3V, 1A, WAGD, 1 NITROUS A1120
OXIDE, 6 EMER DUPLEX, 4 DATA TABLE A1122 4V, 1 NITROGEN, 1 CO2, 10 TO ROOM DATA
M0765 EMER DUPLEX, 4 DATA SHEET FOR
FACE PLATES M0765
M0755 FACE PLATES ACCESS PANELS
EQ M0750 EQ
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”
JSN Legend
JSN DESCRIPTION
M4280 COMPRESSION DEVICE, EXTREMITY
PUMP
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
M4287 IRRIGATION SYSTEM, SURGICAL
WITH SPEAKER
M4645 PATIENT TRANSFER DEVICE
A1120 COLUMN, SERVICE, PREFAB,
M4810 HEART/ LUNG MACHINE, BYPASS,
SURGICAL, CEILING MOUNTED
MODULAR
A1122 COLUMN, EQUIPMENT ARM, CEILING
M4811 PUMP, INTRA-AORTIC, BALLOON
MOUNTED, SURGERY
M4812 PACEMAKER, SINGLE CHAMBER,
A1130 CABINET, CONTROL, NITROGEN
EXTERNAL, TEMPORARY
A4015 ELAPSE TIME CLOCK
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
A5077 DISPENSER, HAND SANITIZER, HANDS
M4816 WARMING UNIT, PATIENT
FREE
M5030 STOOL, SURGEON, REVOLVING
A5104 CART, WASTE DISPOSAL, MOBILE
M5512 LASER, SMOKE EVACUATOR
W/FOOT PEDAL
M7490 LIGHT, SURG, CEILING MTD, DUAL,
A5107 DISPENSER, GLOVE, WALL-MTD
UNEQUAL DIA HEADS
A5108 WASTE DISPOSAL UNIT, SHARPS
M7650 DEFIBRILLATOR/ MONITOR/ RECORDER
E5212 BRACKET, TELEVISION, WALL-MTD,
AUTO
TILT/ANGLE
M7801 MONITOR, HD, LCD, FP, MEDICAL
E0948 CART, GENERAL STORAGE, MOBILE
GRADE, 26 INCH
E0954 CART, EMERGENCY, MOBILE
M7802 MONITOR, HD, LCD, FP, MEDICAL
E0963 CART, GEN. STORAGE
GRADE, 55 INCH
F0355 FOOTSTOOL, STRAIGHT
M7818 MONITOR, TRANSPORT
F3050 WHITE BOARD, DRY ERASE
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
F3200 CLOCK, BATTERY, 12IN
M8551 LIGHT SOURCE, FIBEROPTIC
L0221 ANALYZER, POINT OF CARE TESTING
HEADLAMP
W/ DOCKING STATION
M8606 ENDOSCOPY CART, FIBEROPTIC,
L1095 CELL SAVER, AUTOLOGOUS BLOOD
W/ VIDEO ACCESSORIES
RECOVERY
M8800 CART, ANESTHESIA
M0630 ANESTHESIA APPARATUS, 3 GAS
M8810 STAND, MAYO
M0750 FLOWMETER, AIR, CONNECT W/50
M8825 TABLE, INSTRUMENT/DRESSING
PSI SUPPLY
M8830 TABLE, INSTRUMENT/DRESSING
M0755 FLOWMETER, OXYGEN, LOW FLOW
M8840 TABLE, INSTRUMENT/DRESSING
M0765 REGULATOR, VACUUM
M8900 CARRIAGE, PAIL
M1801 COMPUTER, MICROPROCESSING,
M8905 PAIL, UTILITY
W/ FLAT PANEL MONITOR
M8910 CART, SURGICAL CASE
M3070 HAMPER, LINEN
M8920 STAND, BASIN, DOUBLE
M3072 FRAME, INFECTIOUS WASTE BAG
M8925 STAND, BASIN, SINGLE
W/ LID
M8940 STOOL, ANESTHESIA, WITH BACK
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS
M8950 WARMER, BLOOD
DOOR, 6 SHELF
M8970 WARMER, BLOOD
M3109 ELECTROSURGICAL UNIT, DUAL
M9080 TABLE, OPERATING, PEDESTAL,
OUTPUT
5 SECTIONS
M3150 DISTRIBUTION SYSTEM, MEDICATION,
R4785 ICE MAKER, SURGICAL SLUSH
AUTOMATIC
S9755 SUCTION SYSTEM, SURGICAL, MOBILE
M3175 ELECTROSURGICAL UNIT, DUAL
ROVER UNIT
OUTPUT
U0100 INTEGRATED OPERATING ROOM
M4250 PUMP SYRINGE, INFUSION
SYSTEM
M4255 STAND IV
U0105 EXTRACORPOREAL SUPPORT SYSTEM
M4266 PUMP, VOLUMETRIC, INFUSION,
X2105 SCANNER, ULTRASOUND, CARDIAC
MULTIPLE LINES
F3200
CLOCK, BATTERY, 12IN
M7802
MONITOR, HD, LCD, FP, A5077
MEDICAL GRADE, 55 INCH DISPENSER, HAND
Elevations 1 & 2
A5107 SANITIZER, HANDS FREE
DISPENSER, GLOVE, A4015
ELEVATION 1
28' - 8"
8738mm
F3050
WHITE BOARD, DRY ERASE
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
M3150
4.8. OPERATING ROOM, CARDIOTHORACIC (ORCT1)
ELEVATION 2
SCALE: 3/16” = 1’-0”
4-88
April 2016 (rev 2/17)
A5077 24' - 10"
DISPENSER, HAND 7569mm
SANITIZER, HANDS
FREE
A5077 24' - 10" M4645
A5107
DISPENSER, HAND 7569mm
PATIENT TRANSFER DEVICE
DISPENSER, HANDS
SANITIZER, GLOVE,
FREE
WALL-MTD
M4645
S9755
A5107 ISOLATION POWER
PATIENT
SYSTEM TRANSFER DEVICE
SUCTION SYSTEM,
DISPENSER, GLOVE,
SURGICAL,
WALL-MTD
MOBILE ROVER UNIT E0963
Elevations 3 & 4
S9755 ISOLATION POWER
M8830 CART, GEN. STORAGE
SUCTION SYSTEM, SYSTEM
TABLE, LOW WALL RETURN
SURGICAL,
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
28' - 8"
8738mm
M4812
M3072
PACEMAKER, SINGLE
FRAME, INFECTIOUS
CHAMBER,
WASTEEXTERNAL,
BAG W/LID
28' - 8"
TEMPORARY 8738mm M3070
M4812
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
M7650 HAMPER, LINEN
PACEMAKER, SINGLE
4.8. OPERATING ROOM, CARDIOTHORACIC (ORCT1)
DEFIBRILLATOR/ M8900
CHAMBER, EXTERNAL,
4-89
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
260 NSF / 24,2 NSM
F3200
SEMI-RESTRICTED
CLOCK, BATTERY, 12IN CORRIDOR
A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER T
4a
E0703 54" AFF
TABLE, PROCESS, 5 DRAWERS
M1801
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR
F0230
CHAIR, DRAFTING, ROTARY
U0105
EXTRACORPOREAL SUPPORT SYSTEM TO OR /
PROCEDURE
POWER STRIP ROOM
4a
8839mm
29' - 0"
E0948
CART, GENERAL
R4650 STORAGE, MOBILE
ICE MAKER, FLAKED, WITH DISPENSER
A5080
1 E0963
DISPENSER, PAPER TOWEL
CART, GEN. STORAGE
A5075
DISPENSER, SOAP
CS230 GFI 6" AFC
SINK, SS, DOUBLE COMPARTMENT
CT050
COUNTER, STAINLESS STEEL
R7250
REFRIGERATOR/FREEZER, 20 CU FT
4a
9' - 0"
2743mm
CLEAN CORE
9' - 0"
S a
DT
8839mm
a 29' - 0"
9' - 0"
2743mm
ROOM TEMPLATES
STEEL E0703
C0041 TABLE, PROCESS, 5
ELEVATION 1
4-106
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: RF Integral Base (min. 6”/
1) Provide a duplex receptacle per computer
152 mm)
and equipment location connected on emergency.
Floor Finish: Resinous Flooring
2) Provide convenience duplex receptacle on
Slab Depression: None normal power.
Sound Protection: None
COMMUNICATIONS
Doors: Single, Size 4’-0” x 7’-0”
(1219 mm x 2133 mm) Wood Data: Yes
Telephone: Yes
LIGHTING Cable Television: No
Maintained Duress Alarm: No
Average Electronic Access and Door No
Illumination - Control:
Ambient: 300 Lux (30 FC)
Intercom: No
Maintained
Average Motion Intrusion Detection No
Illumination - Task (MID):
Focus: 500 Lux (50 FC) on Table Nurse Call: No
Luminaire Type: 2’x4’ Fluorescent or LED, Code Blue: No
Virgin Acrylic Prismatic Public Address: Yes
Lens, Radio Frequency
Security Surveillance Televi- No
Filter, sealed housing,
sion (SSTV):
gasketed frame
VA Satellite TV: No
Lamps: 4 Fluorescent or LED
equivalent, 3500K – 4100K Video Teleconferencing No
CCT, CRI >= 80% shall be (VTEL):
on emergency battery packs Special Requirement: No
Controls: Four way and ceiling
mounted motion sensor HEATING, VENTILATING AND AIR
Notes: CONDITIONING
General Requirement: Refer to Instrument
1) Coordinate location of luminaires with other Preparation and Storage room data sheet in the
ceiling obstructions current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air
change requirements, and pressurization
Axonometric
750 NSF / 69,7 NSM
SEMI-RESTRICTED
CORRIDOR
M7802 A5107 RETURN AIR
SCRUB ALCOVE A5212 F3200 DUCT (TYPICAL)
T H
TV TV
C
A4015
3
M8920 M8805 M8920 M4815
M3109
M3072 M8840 F0355
L0221
M4287 M8830 F3050
M3070 M4255
M8925
M5512
8738mm
M8940
28' - 8"
M3070 M4816
M8825
M8810
M8825 M5030 A1014
M8495 M8551
A5104 M3150
M9110
M5030
M8535
M3080
M8970
E0954 M0630
M7650 M7845
M4266 M8800 M8940
LAMINAR FLOW
M4816 M4255 A5108 M3080
STERILE FIELD
M4250 PERIMETER AIR
S9755
CURTAIN ABOVE
A5077
IPS
a b Dc
M4280
M0765 M0765
2O, 3V, 1A, WAGD, 1 NITROUS 4V, 1 NITROGEN, 1 CO2, 10
OXIDE, 6 EMER DUPLEX, 4 DATA M0755 M8606 EMER DUPLEX, 4 DATA
FACE PLATES M0750 A1130 FACE PLATES
(ANESTHESIA) A1120 A1122 (EQUIPMENT)
10' - 0"
AIR CURTAIN
8' - 0" 8' - 0"
LAMINAR AIR 2436mm 2441mm
FLOW DIFFUSER
4927mm
ab ab ab ab
16' - 2"
M7490
2134mm
ab ab M1801
7' - 0"
A1122
(DOCUMEN
TATION)
8738mm
28' - 8"
ab ab TABLE
M7475
2134mm
7' - 0"
ab ab
M7801
U0100
3811mm
12' - 6"
M7801
ab ab ab ab
M0765
2O, 3V, 1A, WAGD, 1 NITROUS 4V, 1 NITROGEN, 1 CO2,
M0755 M0765
OXIDE, 6 EMER DUPLEX, 4 DATA 10 EMER DUPLEX, 4 DATA
FACE PLATES M0750 TABLE A1130 FACE PLATES
(ANESTHESIA) M1801 A1122 (EQUIPMENT)
EQ A1120 EQ
26' - 10"
8179mm
SCALE: 3/16” = 1’-0”
Elevations 1 & 2
A5107 A4015
DISPENSER, GLOVE, ELAPSE TIME CLOCK
WALL-MTD
M8910
CART, SURGICAL CASE
ELEVATION 1
28' - 8"
8738mm
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
F3050 A1014
WHITE BOARD, DRY TELEPHONE, WALL
4.10. OPERATING ROOM, NEUROSURGICAL (ORNS1)
ERASE
4-116
April 2016 (rev 2/17)
24' - 10"
7569mm
S9755
M4645 SUCTION SYSTEM,
24' - 10" SURGICAL,
PATIENT TRANSFER 7569mm MOBILER
S9755 ROVER UNIT
DEVICE
X4200
A5107
M4645 SUCTION SYSTEM,
STEREOTACTIC
SURGICAL,
DISPENSER, GLOVE,
PATIENT TRANSFER SYSTEM
WALL-MTD MOBILER
SURGICALROVER UNIT
DEVICE
X4200
ISOLATION POWER
A5107
SYSTEM
STEREOTACTIC
DISPENSER,A5077
GLOVE, SURGICAL
Elevations 3 & 4
DISPENSER, HAND LOW WALL SYSTEM
RETURN
WALL-MTD
SANITIZER, HANDS AIR REGISTER
ISOLATION POWER
FREE SYSTEM
ELEVATION 3
28' - 8"
M8535 8738mm
MICROSCOPE,
OPERATING, PORTABLE 28' - 8" M3070
M7650
M8535 8738mm HAMPER, LINEN
DEFIBRILLATOR/
MICROSCOPE, M3072
MONITOR/ RECORDER
OPERATING, PORTABLE FRAME,
M3070 INFECTIOUS
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
AUTO
M7650 HAMPER,
WASTE BAG LINEN
W/LID
E0954
4.10. OPERATING ROOM, NEUROSURGICAL (ORNS1)
DEFIBRILLATOR/ M8920
M3072
4-117
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
750 NSF / 69,7 NSM
SEMI-RESTRICTED
CORRIDOR
T H
TV GM TV
C LOW WALL
RETURN AIR
A5077 REGISTER
M8560 (TYPICAL)
A4015
1 IPS
M8910 M4287
4 2
M5512 M4255
M8830 3
M3175 F0355
M8920 M8920 M5030
M4815
M8910 M8810
M8925 M8840
GM
GM
M8950 M8940
M8810
M8810
M8560 F3050
M8900 M8551
M5030
8738mm
M8905 M4816 A1014
28' - 8"
M8830 M8560
M3072
M8825 M3150
M3070 M9110
M4266
LAMINAR FLOW M8825 M8970
STERILE FIELD M4255
PERIMETER AIR M4255
CURTAIN ABOVE M8800 M4266 M3080
M3070 A5108 M0630
M7845
E0954
M7650 M8940
M3080
A5104 M8920 S9755 A5077
IPS GM Da Db
M4645 A5107
26' - 10"
8179mm
CLEAN CORE
10' - 0"
4927mm
16' - 2"
M7490
2134mm
ab ab
7' - 0"
M7475
8738mm
28' - 8"
ab ab TABLE
M7801
2134mm
7' - 0"
ab ab
3811mm
M7801 12' - 6"
U0100 ab ab ab ab
Elevations 1 & 2
M8560
28' - 8"
4.11. OPERATING ROOM, ROBOTICS (ORRB1)
A1014
TELEPHONE, WALL 8738mm
MOUNTED, 1 LINE, WITH
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
SPEAKER
M3150
F3050 DISTRIBUTION SYSTEM,
F0355
SCALE: 3/16” = 1’-0” ELEVATION 2 FOOTSTOOL, STRAIGHT
4' 8' 16'
4-134
April 2016 (rev 2/17)
24' - 10"
7569mm
A5107
A5104
DISPENSER, GLOVE,
CART, WASTE DISPOSAL,
WALL-MTD
MOBILE W FOOT PEDAL
A5077
ISOLATION POWER SYSTEM
Elevations 3 & 4
DISPENSER, HAND
SANITIZER, HANDS M4645
FREE PATIENT TRANSFER
M8920
STAND, BASIN, DOUBLE
ELEVATION 3
FRAME, INFECTIOUS
WASTE BAG W/LID
M3070 M8900
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
HAMPER, LINEN CARRIAGE, PAIL
M7650 M8905
4-135
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
POWER Notes:
Normal Power: connect a minimum of 1) Provide connections for articulating utility
12 receptacles to Normal columns.
Power IPS 2) Provide connections for video monitor
Emergency Power: connect a minimum of 24 pendants. Video monitor pendants will be part of
receptacles (red) to IPS the video integration system. The extent of the
connected to Critical Emer- system is to be selected on a project basis.
gency IPS. Connect Task
Illumination, selected recep- HEATING, VENTILATING AND AIR
tacles and fixed equipment CONDITIONING
to Critical Branch of the General Requirement: Refer to Operating Room
EES. data sheet in the current version of the VA HVAC
Notes: Design Manual for room temperatures, humidity
1) Provide IPS power & ground modules – 3 range, room air change requirements, and pres-
duplex receptacles & 3 ground jacks surization
2) IPS Power & ground modules mounted at Notes:
+24” AFF 1) Refer to the HVAC Design Manual for number
3) Provide Laser Receptacle Module. Module and location of low air return grilles and ceiling
shall be connected to Special Equipment IPS diffusers.
located outside the Surgery Room.
PLUMBING AND MEDICAL GASES
4) Provide power connections for articulating
Cold Water: No
utility columns.
Hot Water: No
5) Provide 220V Receptacle on the equipment
boom for the laser. Laser Surgery special outlet Waste: No
shall be connected to Laser Surgery IPS. Reagent Grade Water: No
Medical Air Yes (2)
COMMUNICATIONS
Medical Vacuum Yes (14)
Data: Yes
Oxygen Yes (4)
Telephone: Yes
Special Requirement:
Cable Television: No
Notes:
Duress Alarm: No
1) Provide Waste Anesthesia Gas Disposal
Electronic Access and Door Yes (WAGD), Nitrogen (2), Nitrous Oxide (2), Carbon
Control: Dioxide (2).
Intercom: Yes (Phone) 2) For gas quantities per boom refer to the
Motion Intrusion Detection No reflected ceiling plan.
(MID): 3) Nitrogen Control Cabinets are to be located
Nurse Call: Yes on the articulating utility columns as determined
Code Blue: Yes by the project
Public Address: No 4) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
Security Surveillance Televi- No
this cabinet in the semi-restricted corridor near
sion (SSTV):
the operating room it serves.
VA Satellite TV: No
Video Teleconferencing No FIRE PROTECTION AND LIFE SAFETY
(VTEL): Fire Alarm: Yes
Special Requirement: Sprinkler: Yes
Hazard Type: Ordinary Hazard
Group 1
Axonometric
750 NSF / 69,7 NSM
SEMI-RESTRICTED
CORRIDOR
M7802 A5107
SCRUB ALCOVE A5212 F3200 RETURN AIR
DUCT (TYPICAL)
H T
TV TV
C LOW WALL
RETURN AIR
M8910 REGISTER
(TYPICAL)
M5030 A5077
A4015
M5030
M4815
IPS
1 M8840
M8825 M3175
4 2
M8810 M5512 A1014
3
E0963 R4785
F0355
M8920
M8900 F3050
M4816
M8905 M8810 M8940
M8950
A5107
M4255 L0221
M8925
8738mm
M3072
28' - 8"
M4287 M3109
M4250 M8825
M3070
M8551
M9110 M5030 M3150
M3070
M4266
M4255 M8970
M3080
M4250
M8830
L1095 M4820
LAMINAR FLOW
STERILE FIELD
PERIMETER AIR
CURTAIN ABOVE M8800
M0630
A5108 M8940 M3080
E0954 M7845
M7650 S9755
X2105
M7818
IPS a b Dc
M4280
M0765 M0765
2O, 3V, 1A, WAGD, 1 NITROUS OXIDE, 6 M0755 M8606
4V, 1 NITROGEN, 1 CO2, 10 EMER
EMER DUPLEX, 4 DATA FACE PLATES M0750 A1130 DUPLEX, 4 DATA FACE PLATES
(ANESTHESIA) A1120 A1122 (EQUIPMENT)
10' - 0"
M7475
8' - 0" 8' - 0"
AIR CURTAIN
2436mm 2440mm
LAMINAR AIR
FLOW DIFFUSER
ab ab ab ab
4927mm
16' - 2"
M7490
M1801
A1122
2134mm
ab ab (DOCUMEN
7' - 0"
TATION)
8738mm
28' - 8"
M7475
ab ab TABLE
M7801
2134mm
7' - 0"
ab ab
3811mm
12' - 6"
M7801
U0100 ab ab ab ab
(ANESTHESIA) A1120
A1122 (EQUIPMENT)
GASES: 2O, 3V, 1A, WAGD, M1801
1 NITROUS OXIDE A1130 4V, 1 NITROGEN, 1 CO2, 10 EMER
M0765 TABLE
M0765 DUPLEX, 4 DATA FACE PLATES
M0755
12' - 4 3/4" M0750 12' - 5 1/4"
3776mm 3793mm
26' - 10"
8179mm
Elevations 1 & 2
AIR REGISTER AIR REGISTER
A5107
M8910
DISPENSER, GLOVE,
ELEVATION 1
F3050
MOUNTED, 1 LINE, WITH 28' - 8"
M3080
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
SPEAKER
WHITE BOARD, DRY 8738mm
ERASE CABINET, INSTRUMENT,
A5107
CRS, 2 GLASS DOOR, 6
4-151
April 2016 (rev 2/17)
24' - 10"
U0105 7569mm
EXTRACORPOREAL 24' - 10"
U0105 7569mm
SUPPORT SYSTEM
EXTRACORPOREAL
S9755 E0963
SUPPORT SYSTEM CART, GEN. STORAGE
SUCTION SYSTEM, E0963
S9755
SURGICAL, ISOLATION POWER
SUCTION SYSTEM,
MOBILE ROVER UNIT CART, GEN. STORAGE
SYSTEM
SURGICAL, ISOLATION POWER
A5077
MOBILE ROVER UNIT A5104
SYSTEM
DISPENSER, HAND CART, WASTE DISPOSAL
Elevations 3 & 4
A5077 A5104
SANITIZER, HANDS MOBILE W FOOT PEDAL
DISPENSER, HAND
FREE CART, WASTE DISPOSAL
SANITIZER, HANDS MOBILE W FOOT PEDAL
28' - 8"
8738mm
28' - 8"
M3070 8738mm
HAMPER, LINEN M3072
4.12. OPERATING ROOM, TRANSPLANT (ORTR1)
ROOM TEMPLATES
M7650
HAMPER, LINEN M3072
WASTE BAG W/LID
DEFIBRILLATOR/ FRAME, INFECTIOUS
M7650
4-152
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
POWER Notes:
Normal Power: connect a minimum of 1) Provide connections for articulating utility
12 receptacles to Normal columns.
Power IPS 2) Provide connections for video monitor
Emergency Power: connect a minimum of 24 pendants. Video monitor pendants will be part of
receptacles (red) to IPS the video integration system. The extent of the
connected to Critical Emer- system is to be selected on a project basis.
gency IPS. Connect Task
Illumination, selected recep- HEATING, VENTILATING AND AIR
tacles and fixed equipment CONDITIONING
to Critical Branch of the General Requirement: Refer to Operating Room
EES. data sheet in the current version of the VA HVAC
Notes: Design Manual for room temperatures, humidity
1) Provide IPS power & ground modules – 3 range, room air change requirements, and pres-
duplex receptacles & 3 ground jacks surization
2) IPS Power & ground modules mounted at Notes:
+24” AFF 1) Refer to the HVAC Design Manual for number
3) Provide Laser Receptacle Module. Module and location of low air return grilles and ceiling
shall be connected to Special Equipment IPS diffusers.
located outside the Surgery Room.
PLUMBING AND MEDICAL GASES
4) Provide power connections for articulating
Cold Water: No
utility columns.
Hot Water: No
5) Provide 220V Receptacle on the equipment
boom for the laser. Laser Surgery special outlet Waste: No
shall be connected to Laser Surgery IPS. Reagent Grade Water: No
Medical Air Yes (2)
COMMUNICATIONS
Medical Vacuum Yes (14)
Data: Yes
Oxygen Yes (4)
Telephone: Yes
Special Requirement:
Cable Television: No
Notes:
Duress Alarm: No
1) Provide Waste Anesthesia Gas Disposal
Electronic Access and Door Yes (WAGD), Nitrogen (2), Nitrous Oxide (2), Carbon
Control: Dioxide (2).
Intercom: Yes (Phone) 2) For gas quantities per boom refer to the
Motion Intrusion Detection No reflected ceiling plan.
(MID): 3) Nitrogen Control Cabinets are to be located
Nurse Call: Yes on the articulating utility columns as determined
Code Blue: Yes by the project
Public Address: No 4) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
Security Surveillance Televi- No
this cabinet in the semi-restricted corridor near
sion (SSTV):
the operating room it serves.
VA Satellite TV: No
Video Teleconferencing No FIRE PROTECTION AND LIFE SAFETY
(VTEL): Fire Alarm: Yes
Special Requirement: Sprinkler: Yes
Hazard Type: Ordinary Hazard
Group 1
Compression Device,
M4280 1 V/V Sequential pump for preventing DVT in extremities.
Extremity Pump
Irrigation System, Surgical Irrigation System ia a high-flow pump with flow
M4287 1 V/V
Surgical rates up to 2.5 lpm.
Endoscopy cart with video and print capabilities for use with
fiberoptic (direct vision) endoscopes. This cart does not
work with videoscopes. System takes optical images from
a single endoscope and directly records them or converts
them to digital signals for recording. A typical system cart
includes the cart, a light source, an insufflator, a suction
unit, a heat probe unit, an electrosurgical apparatus, a
Endoscopy Cart, Fiber- digital camera converter or color video camera, a camera
M8606 optic, w/Video Acces- 1 V/V controller, a monitor, a video/DVD recorder and a color
sories printer. This JSN does not include the endoscope; refer
to the endoscopes at JSNs M8500-M8550. Each cart can
support one or more types of endoscope and should be
specifically tailored to its intended use(s). This cart can be
configured to interface with a network endoscopy informa-
tion management system; refer to JSN M8600. Database
physical information and pricing is for a higher cost system
containing one of each of the above components.
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM
SEMI-RESTRICTED
SCRUB ALCOVE RETURN AIR
A5107 CORRIDOR A4015
DUCT (TYPICAL)
T H
GM IPS
C LOW WALL
A5077 RETURN AIR
REGISTER
M8940 F3200 (TYPICAL)
M8910 1 M8810
TO
4 2 M8825 CONTROL
TO PUMP
ROOM ROOM
M8920 3 R4785
M4255 M5030 M3175 E0948
M8920 M4266 M8825 BORROWED
M4250 LIGHT
M8925
GM
M8900 L1095
A5104
M8905 F0355
M8800 M4287
A5108 M4255
M3070
8738mm
28' - 8"
M4816
X6190
M9080
M8830
M4645 M7845
M0630 M8940 M4815
M3072 U0105 M4810 X3145
GM
M8970 M8840
S9755
M4812 M5512
M8940
M7650 F3050
E0954
M8551
X2106
M7818 M4811 M8810
M8810
M8950 A1014
M5030 M3109
IPS
L0221
A5077 A5107
GM TV TV
Db Db
4V, 1
NITROGEN,
1 CO2,
10 EMER
DUPLEX,
4 DATA FACE
PLATES
M0765
A1130
10' - 2" A1122
(EQUIPMENT)
U0100
M7801
2O, 3V, 2A,
1 NITROGEN,
4343mm
14' - 3"
6 EMER DUPLEX,
M1801 ab ab ab ab ab ab 4 DATA FACE
A1122 PLATES
(DOCUMEN M0765
TATION) M0755
M7490 ab ab M0750
A1130
A1122
(PERFUSION)
M7860 ab TABLE
M4280
M0765
M8606
A1130
ab ab A1122
(EQUIPMENT)
2O, 3V, 1A, WAGD, 4V, 1 NITROGEN,
1 CO2,
4394mm
1 NITROUS
14' - 5"
OXIDE, 6 EMER ab ab ab ab ab ab 10 EMER DUPLEX,
DUPLEX, 4 DATA 4 DATA FACE
FACE PLATES PLATES
(ANESTHESIA)
A1120
A1120 M0765
M1801 M0755
M0765 M0750
M0755 (ANESTHESIA)
M0750 2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
15' - 8 3/4" 16' - 5 1/4" DUPLEX, 4 DATA
FACE PLATES
4797mm 5007mm
M7801
TABLE M7475
JSN DESCRIPTION
M4280 COMPRESSION DEVICE, EXTREMITY
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
PUMP
WITH SPEAKER
M4287 IRRIGATION SYSTEM, SURGICAL
A1120 COLUMN, SERVICE, PREFAB,
M4645 PATIENT TRANSFER DEVICE
SURGICAL, CEILING MOUNTED
M4810 HEART/ LUNG MACHINE, BYPASS,
A1122 COLUMN, EQUIPMENT ARM, CEILING
MODULAR
MOUNTED, SURGERY
M4811 PUMP, INTRA-AORTIC, BALLOON
A1130 CABINET, CONTROL, NITROGEN
M4812 PACEMAKER, SINGLE CHAMBER,
A4015 ELAPSE TIME CLOCK
EXTERNAL, TEMPORARY
A5077 DISPENSER, HAND SANITIZER, HANDS-
M4815 HYPO/HYPERTHERMIA UNIT, MOBILE
FREE
M4816 WARMING UNIT, PATIENT
A5104 CART, WASTE DISPOSAL, MOBILE W/
M5030 STOOL, SURGEON, REVOLVING
FOOT PEDAL
M5512 LASER, SMOKE EVACUATOR
A5107 DISPENSER, GLOVE, SURGICAL/
M7475 LIGHT, SURGICAL, CEILING MOUNTED,
EXAMINATION, WALL MTND
SINGLE, LARGE
A5108 WASTE DISPOSAL UNIT, SHARPS
M7490 LIGHT, SURG, CEILING MTD, DUAL,
A5212 BRACKET, TELEVISION WALL MTD, TILT/
UNEQUAL DIA HEADS
ANGLE
M7650 DEFIBRILLATOR/ MONITOR, ACUTE
E0948 CART, GENERAL STORAGE, MOBILE
CARE
E0954 CART, EMERGENCY, MOBILE
M7801 MONITOR, HD, LCD, FP, MEDICAL
F0355 FOOTSTOOL, STRAIGHT
GRADE, 26 INCH
F3050 WHITE BOARD, DRY ERASE
M7802 MONITOR, HD, LCD, FP, MEDICAL
F3200 CLOCK, BATTERY, 12IN
GRADE, 55 INCH
L0221 ANALYZER, POINT OF CARE TESTING
M7818 MONITOR, TRANSPORT
W/ DOCKING STATION
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE
L1095 CELL SAVER, AUTOLOGOUS BLOOD
M7860 MONITORING SYSTEM, CARDIAC
RECOVERY
CATHETERIZATION LAB
M0630 ANESTHESIA APPARATUS, 3 GAS
M8551 LIGHT SOURCE, FIBEROPTIC
M0750 FLOWMETER, AIR, CONNECT
HEADLAMP
W/ 50 PSI SUPPLY
M8606 ENDOSCOPY CART, FIBEROPTIC,
M0755 FLOWMETER, OXYGEN, LOW FLOW
W/ VIDEO ACCESSORIES
M0765 REGULATOR, VACUUM
M8800 CART, ANESTHESIA
M1801 COMPUTER, MICROPROCESSING,
M8810 STAND, MAYO
W/ FLAT PANEL MONITOR
M8825 TABLE, INSTRUMENT/DRESSING
M3070 HAMPER, LINEN
M8830 TABLE, INSTRUMENT/DRESSING
M3072 FRAME, INFECTIOUS WASTE BAG W/LID
M8840 TABLE, INSTRUMENT/DRESSING
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS
M8900 CARRIAGE, PAIL
DOOR, 6 SHELF
M8905 PAIL, UTILITY
M3109 ELECTROSURGICAL UNIT, DUAL
M8910 CART, SURGICAL CASE
OUTPUT
M8920 STAND, BASIN, DOUBLE
M3150 DISTRIBUTION SYSTEM, MEDICATION,
M8925 STAND, BASIN, SINGLE
AUTOMATIC
M8940 STOOL, ANESTHESIA, WITH BACK
M3165 CABINET, CATHETER STORAGE
M8950 WARMER, BLOOD
M3175 ELECTROSURGICAL UNIT, DUAL
M8970 WARMER, BLOOD
OUTPUT
M9080 TABLE, OPERATING, PEDESTAL,
M4250 PUMP SYRINGE, INFUSION
5 SECTION
M4255 STAND IV
R4785 ICE MAKER, SURGICAL SLUSH
M4266 PUMP, VOLUMETRIC, INFUSION,
S9755 SUCTION SYSTEM, SURGICAL, MOBILE
MULTIPLE LINES
ROVER UNIT
Elevations 1 & 2
A4015
ELEVATION 1
ROOM TEMPLATES
A5107
DISPENSER, GLOVE,
E0948
STORAGE, MOBILE
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
LOW WALL RETURN SPEAKER
AIR REGISTER LOW WALL RETURN
AIR REGISTER
F0355
X2106
FOOTSTOOL, STRAIGHT
SCANNER, ULTRASOUND,
M8830 INTRA-CARDIAC, ECHO
TABLE, INSTRUMENT/DRESSING S9755
SUCTION SYSTEM,
SCALE: 3/16” = 1’-0” ELEVATION 2 SURGICAL,
MOBILE ROVER UNIT
4' 8' 16'
4-170
April 2016 (rev 2/17)
A5212 32' - 2"
BRACKET, TV, 9804mm
WALL-MOUNTED,
TILT/ANGLE
M7802 M3165
MONITOR, LCD, HD, FP, CABINET, CATHETER
MEDICAL GRADE, 55 INCH STORAGE
A5077
Elevations 3 & 4
DISPENSER, HAND M3150
SANITIZER, HANDS DISTRIBUTION SYSTEM,
M3080
CABINET, INSTRUMENT,
ELEVATION 3 CRS, 2 GLASS DOOR, 6
SHELF
28' - 8"
M3072
8738mm
FRAME, INFECTIOUS M4645
WASTE BAG W/LID
PATIENT TRANSFER DEVICE
M4812
M3070
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
PACEMAKER, SINGLE
HAMPER, LINEN
CHAMBER, EXTERNAL,
4-171
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Notes: Notes:
1) Provide IPS power & ground modules – 3 1) Refer to the HVAC Design Manual for
duplex receptacles & 3 ground jacks number and location of low air return grilles and
ceiling diffusers.
2) IPS Power & ground modules mounted at
+24” AFF 2) Room does not contain multiple slot diffus-
ers and uses laminar flow perforated face outlets
3) Provide Laser Receptacle Module. Module only for supply air.
shall be connected to Special Equipment IPS
located outside the Surgery Room. 3) Suggested minimum laminar flow array over
the entire sterile field area as imaging equipment
4) Provide power connections for articulating gantry creates excessive turbulence. Mechanical
utility columns. design engineer shall be responsible to design
5) Provide 220V Receptacle on the equipment the array in such manner as to minimize turbu-
boom for the laser. Laser Surgery special outlet lence and to maintain the sterile aseptic field.
shall be connected to Laser Surgery IPS.
PLUMBING AND MEDICAL GASES
COMMUNICATIONS
Cold Water: No
Data: Yes
Hot Water: No
Telephone: Yes
Waste: No
Cable Television: No
Reagent Grade Water: No
Duress Alarm: No
Medical Air Yes (4)
Electronic Access and Door Yes
Control: Medical Vacuum Yes (17)
Intercom: Yes (Phone) Oxygen Yes (6)
Motion Intrusion Detection No Special Requirement:
(MID): Notes:
Nurse Call: Yes 1) Provide Waste Anesthesia Gas Disposal
Code Blue: Yes (WAGD), Nitrogen (3), Nitrous Oxide (2), Carbon
Dioxide (2).
Public Address: No
2) For gas quantities per boom refer to the
Security Surveillance Televi- No reflected ceiling plan.
sion (SSTV):
3) Nitrogen Control Cabinets are to be located
VA Satellite TV: No on the articulating utility columns as determined
Video Teleconferencing No by the project
(VTEL): 4) Medical Gas Zone Valve Boxes are to be
Special Requirement: provided in accordance with NFPA 99. Locate
Notes: this cabinet in the semi-restricted corridor near
the operating room it serves.
1) Provide connections for articulating utility
columns. FIRE PROTECTION AND LIFE SAFETY
2) Provide connections for video monitor Fire Alarm: Yes
pendants. Video monitor pendants will be part of
the video integration system. The extent of the Sprinkler: Yes
system is to be selected on a project basis. Hazard Type: Ordinary Hazard
Group 1
CONTROL
ROOM
PUMP ROOM
SYSTEMS
COMPONENTS
ROOM
Axonometric
900 NSF / 83,7 NSM
T H
GM IPS LOW WALL
C
RETURN AIR
A5077 REGISTER
(TYPICAL)
A5107 F3200
M8910 M8940
R4785 TO
TO PUMP CONTROL
ROOM M8920 M5030 M8810 ROOM
M4250
M4255 M8825
M4266
M3175
L1095 E0948
M8900 M8825
M8905 M8925
GM
A5108
GM
A5104
M8800
M3070 M8830
M4816
8738mm
28' - 8"
M8940 F0355
M4815
M3072
M4645 BORROWED
M4255 LIGHT
M0630 M5030
M8920 M4287 X3145
M7845
M8840
X6175
M5512 S9755
M4812 M9080
E0954 M4280 M8810
M8940 X2106
M7650 M8551 M3109
M8551
M8970 M8950 F3050
M7818 1 U0105 M8810
M4811 M4810 A1014
4 2 L0221
IPS
3
A5077 A5107
GM TV TV
Da Db
32' - 2"
9804mm
CLEAN CORE
4V, 1 NITROGEN,
1 CO2, 10 EMER
DUPLEX, 4 DATA
FACE PLATES
M0765
10' - 2"
A1130
A1122
(EQUIPMENT)
U0100
M7801
M7490
4369mm
2O, 3V, 2A, 1
14' - 4"
ab ab ab ab ab NITROGEN, 6 EMER
DUPLEX, 4 DATA
FACE PLATES
M1801
M0765
A1122
ab M0755
(DOCUMEN ab
M0750
TATION)
A1130
A1122
(PERFUSION)
M7860 ab TABLE
M4280
M0765
M8606
2O, 3V, 1A, WAGD, A1130
1 NITROUS ab ab A1122
OXIDE, 6 EMER
DUPLEX, 4 DATA (EQUIPMENT)
FACE PLATES 4V, 1 NITROGEN,
4369mm
(ANESTHESIA) 1 CO2, 10 EMER
14' - 4"
ab ab ab ab ab DUPLEX, 4 DATA
A1120 FACE PLATES
M1801
M0765 A1120
M0755 M0765
M0750 M0755
M0750
(ANESTHESIA)
2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
13' - 8" 18' - 6" FACE PLATES
4165mm 5639mm
M7475
TABLE M7801
32' - 2"
9804mm F3200
CLOCK, BATTERY, 12IN
ISOLATION POWER
SYSTEM A5077
F3200
A5107 DISPENSER, HAND
CLOCK, BATTERY, 12IN
ISOLATION POWER
DISPENSER, GLOVE, SANITIZER, HANDS FREE
SYSTEM
WALL-MTD A5077
A4015
Elevations 1 & 2
A5107
LOW WALL RETURN DISPENSER,
ELAPSE TIMEHAND
CLOCK
AIR REGISTER
DISPENSER, GLOVE, SANITIZER, HANDS FREE
LOW WALL RETURN
WALL-MTD A4015
ELEVATION 1
ROOM TEMPLATES
TABLE, PROTECTIVE,
A5107 MOBILE
INSTRUMENT/DRESSING
4.14. OPERATING ROOM, BIPLANE HYBRID (ORHY2)
F3050
DISPENSER, GLOVE, WALL-MTD
M8830
4-191
April 2016 (rev 2/17)
Elevations 3 & 4
FREE
DISPENSER, HAND MEDICATION,
M3150 AUTOMATIC
SANITIZER, HANDS
LOW WALL RETURN
LOW WALL RETURN
DISTRIBUTION SYSTEM,
28' - 8"
8738mm
M4645
M8920 28' - 8"
PATIENT TRANSFER
STAND, BASIN, DOUBLE 8738mm
DEVICE
M4645
ISOLATION POWER SYSTEM
M8920
PATIENT
M3072 TRANSFER
STAND, BASIN, M4812
DOUBLE
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
PACEMAKER, SINGLE FRAME,
DEVICE INFECTIOUS
ISOLATION POWER SYSTEM
WASTE
4.14. OPERATING ROOM, BIPLANE HYBRID (ORHY2)
CHAMBER, EXTERNAL,
M4812 M3072 BAG W/LID
4-192
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
220 NSF / 20,5 NSM
SEMI-RESTRICTED
CORRIDOR
Dc
a b
C
T
X3150
F3200
RACK, APRON-GLOVES, WALL-MTD
CLOCK, BATTERY, 12IN
TO OR /
PROCEDURE
ROOM
A1012 A5145
TELEPHONE, WALL MOUNTED, 1 LINE HOOK, GARMENT, DOUBLE
BORROWED LIGHT
A6110 F0275
COUNTER, CONSOLE, COMMUNICATION CHAIR, SWIVEL, HIGH BACK
M1801
8839mm
F0275
29' - 0"
COMPUTER, MICROPROCESSING, W/ FLAT PANEL
MONITOR CHAIR, SWIVEL, HIGH BACK
7' - 6"
2286mm
ab
c
9' - 0"
S
ab
DT
8839mm
29' - 0"
c
ab
ab
7' - 6"
2286mm
WALL-MTD
2743mm
CONSOLE, PACS,
REMOTE VIEW, 2
MONITORS F0275
4.15. CONTROL ROOM, HYBRID OR (ORHC1)
ROOM TEMPLATES
X1425 F2000
IMAGER, LASER BASKET, WASTEPAPER,
""
4-210
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
850 NSF / 79,0 NSM
SEMI-RESTRICTED
CORRIDOR
M7802 SCRUB ALCOVE
F3200 A1014 A5212 RETURN AIR
DUCT (TYPICAL)
T H
b GM TV
A5077 C LOW WALL
RETURN AIR
A5107 L1085 REGISTER
X-RAY IN USE M3150 E0703 (TYPICAL)
IPS
SIGNAGE
TO R6200 M3155
L0220
CONTROL M4092
GLUCOMETER
ROOM
M8810 E0954
M4812 M8940 M8940 M7650
M3175 M7845
M8825 A1014
M8800
F0355 A1130
BORROWED
LIGHT 2V, 2A, 2O,
M4255
GM
1 NITROGEN
8738mm
M4266
28' - 8"
M3072 M4250
M3070 M4645
A5104
GM
F2020 X6190
X2125 M4645
LAMINAR FLOW (PART OF
M8826 SYSTEM)
STERILE FIELD M7818
PERIMETER AIR
1 M4255
CURTAIN ABOVE
M8940 M4266
4 2
X2106
F3050 3 X6195
A5107 M3155
A5077
IPS
Da Db Dc GM
30' - 4"
9245mm
CLEAN CORE
(DOCUMENTATION)
U0100
10' - 2"
M7801
M1801 c c c c
A1122
2A, 2V,
2O,1NITROGEN
4572mm
15' - 0"
10 EMER DUPLEX,
4 DATA FACE PLATES, ab ab ab ab ab ab
LASER OUTLET
M7801
M0765
M0755 ab ab
1826mm
6' - 0"
M0750
M7860
A1122
8738mm
28' - 8"
A1130
(EQUIPMENT) ab
TABLE
LAMINAR
AIR FLOW
1829mm
6' - 0"
DIFFUSER
ab ab
4166mm
13' - 8"
ab ab ab ab ab ab
14' - 0"
4267mm
c c c c
30' - 4"
9245mm
Elevations 1 & 2
DISPENSER, GLOVE, ANALYZER,
WALL-MTD COAGULATION, AUTO
LOW WALL RETURN LOW WALL RETURN
LOW FLOW
ROOM TEMPLATES
PATIENT TRANSFER
A1130 DEVICE
CABINET, CONTROL, M7818
NITROGEN MONITOR, TRANSPORT
ISOLATION POWER X2106
4.16. CARDIAC CATHETERIZATION LABORATORY (XCCE1)
4-220
April 2016 (rev 2/17)
Elevations 3 & 4
SANITIZER, HANDS FREE
A5107
ELEVATION 3
F2020
CAN, TRASH, 44 GALLON 28' - 8"
F3050 8738mm
WHITE BOARD, DRY A5107
ERASE DISPENSER, GLOVE,
WALL-MTD
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
A5107
DISPENSER, GLOVE, A5077
WALL-MTD DISPENSER, HAND
A5077 SANITIZER, HANDS FREE
DISPENSER, HAND BORROWED LIGHT
4.16. CARDIAC CATHETERIZATION LABORATORY (XCCE1)
4-221
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
900 NSF / 83,7 NSM
SEMI-RESTRICTED
CORRIDOR
A1014
M7802
F3200 A5212 E0703 SCRUB ALCOVE
RETURN AIR
DUCT (TYPICAL)
GM TV
T H
A5107 LOW WALL
RETURN AIR
C
A5077 REGISTER
(TYPICAL)
L1085 M3155
M3150 M7845
IPS
L0220 M0630
TO R6200 X2106 GLUCOMETER
CONTROL M3150 M8940
ROOM M4812 E0954
M8810 M7650
M8940
M8825 A1014
F0355 M3175
M8800 X3145
BORROWED M8940
GM
A5108
LIGHT
M4255
M3072
M4266
A1130
8738mm
M4250
28' - 8"
M3070 2V, 2A, 2O,
1 NITROGEN
A5104
GM
F2020
X6175
X2125
M8826
LAMINAR FLOW
STERILE FIELD M4645
PERIMETER AIR M4255
CURTAIN ABOVE M4266 M7818
F3050 1 M4086
M4645
4 2
3
X6195 M3155
A5107
A5077
Dc IPS GM
32' - 0"
9754mm
CLEAN CORE
4572mm
M1801
15' - 0"
(ANESTHESIA)
ab ab ab ab ab ab
ab ab
1829mm
(PART OF
6' - 0"
SYSTEM)
X6175
8738mm
28' - 8"
LAMINAR AIR ab TABLE
FLOW DIFFUSER
1829mm
6' - 0"
ab ab
4166mm
13' - 8"
ab ab ab ab ab ab
c c c c
10' - 2"
A1122
A1130
M0765
(EQUIPMENT - DEVICES) M0755 MONITOR BANK (PART OF X6175)
2O, 2V, 2A, 1 NITROGEN, M0750 M7475
6 EMER DUPLEX, 4 M3190
DATA FACE PLATES M7801 32' - 0"
9754mm
Elevations 1 & 2
FREE MANAGEMENT SYSTEM
LOW WALL RETURN LOW WALL RETURN
28' - 8"
A1014 8738mm
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
M0755
SPEAKER
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
FLOWMETER, OXYGEN,
M7650 LOW FLOW
DEFIBRILLATOR/ M0765
MONITOR/ RECORDER
REGULATOR, VACUUM
AUTO
M4645
4-237
April 2016 (rev 2/17)
ISOLATION
X6195 POWER SYSTEM
INJECTOR, A5077
ANGIOGRAPHIC
DISPENSER, HAND
M3155 SANITIZER, HANDS FREE
Elevations 3 & 4
CABINET, INVENTORY A5107
MANAGEMENT SYSTEM DISPENSER, GLOVE,
ELEVATION 3
28' - 8"
8738mm
F3050
M3072
WHITE BOARD, DRY
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
ERASE FRAME, INFECTIOUS
WASTE BAG W/LID
A5107
A5077
DISPENSER, GLOVE,
WALL-MTD DISPENSER, HAND
A5077 SANITIZER, HANDS FREE
4-238
April 2016 (rev 2/17)
LIGHTING Notes:
Maintained 1) Provide IPS power & ground modules – 3
Average duplex receptacles & 3 ground jacks
Illumination - 2) IPS Power & ground modules mounted at
Ambient: 2000 Lux (200 FC) +24” AFF
Maintained 3) Provide Laser Receptacle Module. Module
Average shall be connected to Special Equipment IPS
Illumination - Task located outside the Surgery Room.
Focus: 3000 Lux (300 FC) on Table
4) Provide power connections for articulating
Luminaire Type: 2’x4’ Fluorescent or LED, utility columns.
Virgin Acrylic Prismatic
5) Provide 220V Receptacle on the equipment
Lens, Radio Frequency
boom for the laser. Laser Surgery special outlet
Filter, sealed housing,
shall be connected to Laser Surgery IPS.
gasketed frame
Lamps: 6 Fluorescent or LED COMMUNICATIONS
equivalent, 4000K – 4500K
CCT, CRI >= 80%, 50% Data: Yes
lamps above Table shall Telephone: Yes
be on emergency battery Cable Television: No
packs
Duress Alarm: No
Controls: dimming or multi-level
Electronic Access and Door Yes
switching
Control:
Special Surgical Light (connection
Intercom: Yes (Phone)
Requirement: only)
Motion Intrusion Detection No
Notes:
(MID):
1) Coordinate location of luminaires with other
Nurse Call: Yes
ceiling obstructions
Code Blue: Yes
2) Coordinate structural supports, utility
connections and other requirements for surgical Public Address: No
lighting pendants with manufacturer. Security Surveillance Televi- No
3) CCT shall match the color temperature of sion (SSTV):
surgical light(s). VA Satellite TV: No
Video Teleconferencing No
POWER (VTEL):
Normal Power: connect a minimum of Special Requirement:
12 receptacles to Normal
Notes:
Power IPS
1) Provide connections for articulating utility
Emergency Power: connect a minimum of
columns.
24 receptacles (red) to
IPS connected to Critical 2) Provide connections for video monitor
Emergency IPS. Connect pendants. Video monitor pendants will be part of
Task Illumination, selected the video integration system. The extent of the
receptacles and fixed system is to be selected on a project basis.
equipment to Critical
Branch of the EES.
Axonometric
350 NSF / 32,6 NSM
17' - 3"
5258mm
A5082 F3200 SEMI-RESTRICTED
CORRIDOR
F2010 P3100
Da
M3072 A5145
GFI
TO SCOPE
M3070 A5075 STORAGE
ROOM
F2017 A5107
A5077
A5180
X2105
M8940
M7401
1
A1132
2A,2V,2O 4 2
6096mm
20' - 0"
M4255 NC 3 F0355
M4266 M9006
M4116
F0206 TO SOILED ROOM OR
A5108 SCOPE PROCESSING
M3150 U4093 ROOM
E0954 R6200
M7650 M3150 F0280
M1801
E0948 A1015
E0210
A5180
3048mm
10' - 0"
9' - 0"
6096mm
20' - 0"
TABLE
3048mm
10' - 0"
DIMMABLE LIGHTING
17' - 3"
5258mm
Elevations 1 & 2
M3072 A5107
FRAME, INFECTIOUS DISPENSER, GLOVE,
ELEVATION 1
20' - 0"
6096mm
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
M7401
4.18. TRANSESOPHAGEAL ECHOCARDIOGRAPH (TEE)
E0210
LIGHT, EXAM, MOBILE
WORKSURFACE,
ELEVATION 2
4-255
April 2016 (rev 2/17)
M3155 17' - 3"
5258mm M3150
CABINET, INVENTORY
MANAGEMENT SYSTEM DISTRIBUTION SYSTEM, MEDICATION, AUTOMATIC
E0210 R6200
WORKSURFACE, REFRIGERATOR, U-C OR
W/OVERHEAD CAB, F-S, 5 CU FT
WALL MTD, 48" W
M1801 M3150
Elevations 3 & 4
COMPUTER, DISTRIBUTION SYSTEM,
MICROPROCESSING, W/ MEDICATION, AUTOMATIC
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
M0755 LINES
FLOWMETER, OXYGEN, M0755
LOW FLOW
20' - 0"
6096mm FLOWMETER, OXYGEN,
M0750
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
LOW FLOW
FLOWMETER, AIR M0750
M0765
FLOWMETER, AIR
4.18. TRANSESOPHAGEAL ECHOCARDIOGRAPH (TEE)
REGULATOR, VACUUM
M0765
M4116
4-256
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL LIGHTING
Ceiling Type: Acoustical Ceiling Tile (SP) Maintained
Ceiling Height: 9’-0” (2700mm) Average
Illumination -
Ceiling Finish: Ambient: 500 Lux (50 FC)
Wall Finish: Gypsum Wallboard (SC) Maintained
Wainscot: Average
Base: WSF Integral Base (min. 6”/ Illumination - Task
152 mm) Focus: 1000 Lux (100 FC) on Table
Floor Finish: Welded Seam Sheet Luminaire Type: 2’x4’ Fluorescent or LED,
Flooring Virgin Acrylic Prismatic
Slab Depression: None Lens, Radio Frequency
Filter, sealed housing,
Sound Protection: 50 STC (to other room), 35 gasketed frame
STC (to corridor)
Lamps: 4 Fluorescent or LED
Doors: Double, Size 6’-0” x 7’-0” equivalent, 3500K – 4100K
(1829 mm x 2133 mm) Wood CCT, CRI >= 80%, 50%
w/ Narrow View Window; lamps above Table shall
Single, Size 4’-0” x 7’-0” be on emergency battery
(1219 mm x 2133 mm) Wood packs
w/ Small View Window
Controls: Dimming or multi-level
Special Requirement: switching
Notes: Special None
1) Facility will select number and types of Requirement:
scopes and other instrumentation as necessi- Notes:
tated by the unique case load.
1) Coordinate location of luminaires with other
2) Scope Cleaning can occur in SPD or in the ceiling obstructions
Equipment Cleaning Room. Facility to select
2) Coordinate structural supports, utility
adjacency of this room to either the Equipment
connections and other requirements for surgical
Cleaning Room or a Soiled Hold Room, where
lighting pendants with manufacturer.
scopes can be stored until pick-up and process-
ing by SPD. POWER
Normal Power: To be connected to selected
receptacles and equipment.
Emergency Power: Critical branch of the
EES to be connected to
selected receptacles and
equipment.
Notes:
1) Provide a minimum of 14 receptacles (7
duplex) on the rail system.
2) The branch circuit serving the receptacles on FIRE PROTECTION AND LIFE SAFETY
the rail shall not be part of the multiwire branch Fire Alarm: Yes
circuit.
Sprinkler: Yes
3) Rail system shall be connected to normal
and critical emergency branch circuit(s). Hazard Type: Light Hazard
COMMUNICATIONS
Data: Yes
Telephone: Yes
Cable Television: No
Duress Alarm: No
Electronic Access and Door Yes
Control:
Intercom: Yes (Phone)
Motion Intrusion Detection No
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
Security Surveillance Televi- No
sion (SSTV):
VA Satellite TV: No
Video Teleconferencing No
(VTEL):
Special Requirement:
Notes:
Axonometric
165 NSF / 15,5 NSM
A5082
9' - 6"
DISPENSER, PAPER
A5107 2896mm TOWEL, SENSOR, HANDS
DISPENSER, GLOVE, FREE
WALL-MTD P3100
LAVATORY, VITREOUS
A5077 CHINA, SLAB TYPE
DISPENSER, HAND A5075
SANITIZER, HANDS
6" AFC GFI DISPENSER, SOAP
FREE
2286mm
F2010
7' - 6"
CT050 CLEAN
STORAGE BASKET, WASTEPAPER,
COUNTER, STAINLESS 3 STEP-ON
STEEL
OSa
S1905
M3161
SLIDING SERVICE
CABINET, STORAGE, WINDOW
ULTRASOUND, TEE PROBE S2610
DISINFECTOR, AUTOMATED,
M2100 6" AFC GFI PROBE, TEE
1 A5082
CART, SHELVING,
STORAGE, MOBILE, SS DISPENSER, PAPER
2 TOWEL, SENSOR, HANDS
A5107 FREE
3048mm
10' - 0"
A5077 A1195
6" AFC GFI
DISPENSER, HAND COUNTER, CLEAN-UP,
SANITIZER, HANDS WITH 2 OR 3 SINKS
FREE F2020
CAN, TRASH, 44 GALLON
9' - 0"
CLEAN STORAGE
2286mm
7' - 6"
a
5486mm
9' - 0" 18' - 0"
DECONTAMINATION
3048mm
10' - 0"
S a
9' - 6"
2896mm
Elevations 1 & 2
165 NSF / 15,5 NSM
M2100
CART, SHELVING, STORAGE, MOBILE, SS
A1195
COUNTER, CLEAN-UP, WITH 2 OR 3 SINKS
ELEVATION 1
STORAGE, CLEAN TEE PROBE (TRTE3)
10' - 0"
3048mm
CD030
CABINET, W-H, 2 SHELF,
4.19. DECONTAMINATION, TEE PROBE (TRTE2)
2 DO
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
A5082
DISPENSER, PAPER
TOWEL, SENSOR, A5075
HANDS FREE DISPENSER, SOAP
ELEVATION 2
SCALE: 3/16” = 1’-0”
4-267
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
TEE PROBE
M3161
S1905
ELEVATION 3
2896mm
9' - 6"
16'
COUNTER, STAINLESS
AUTOMATED, PROBE,
STEEL
DISINFECTOR,
TEE
CT050
S2610
8'
SCALE: 3/16” = 1’-0”
4'
Elevation 3
165 NSF / 15,5 NSM
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: Resilient Base
1) Provide GFI duplex receptacle 6” above
Floor Finish: Rubber Flooring, Welded sink.
Seam Sheet Flooring
Slab Depression: None COMMUNICATIONS
Data: No
Sound Protection: None
Telephone: No
Doors: Single, Size 3’-0” x 7’-0” (914
mm x 2133 mm) Wood Cable Television: No
Duress Alarm: No
LIGHTING Electronic Access and Door No
Maintained Control:
Average Intercom: No
Illumination - Motion Intrusion Detection No
Ambient: 300 Lux (30 FC) (MID):
Maintained Nurse Call: No
Average
Code Blue: No
Illumination - Task
Focus: Public Address: Yes
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent Security Surveillance Televi- No
or LED, Virgin Acrylic sion (SSTV):
Prismatic Lens, Radio VA Satellite TV: No
Frequency Filter, sealed Video Teleconferencing No
housing, gasketed frame (VTEL):
Lamps: 4 or 3 Fluorescent or LED Special Requirement: No
equivalent, 3500K – 4100K
CCT, CRI >= 80% shall be HEATING, VENTILATING AND AIR
on emergency battery packs CONDITIONING
Controls: Motion sensor wall switch General Requirement: Refer to Soiled Holding/
Notes: Disposal Room data sheet in the current ver-
sion of the VA HVAC Design Manual for room
1) Coordinate location of luminaires with other temperatures, humidity range, room air change
ceiling obstructions. requirements, and pressurization
Special Requirement:
Notes:
1) Provide exhaust for each room.
2) Both rooms are negative pressure relative
to semi-restricted corridor.
Axonometric
185 NSF / 17,2 NSM
CLEAN CORE
P3100
12' - 0"
3658mm LAVATORY, VITREOUS
CHINA, SLAB TYPE
A5075
DISPENSER, SOAP
A1012
TELEPHONE, WALL A5082
MOUNTED, 1 LINE
DISPENSER, PAPER
CT050 TOWEL, SENSOR, HANDS
COUNTER, STAINLESS FREE
3a
STEEL
S0125
STERILIZER, STM, VAC,
1DO, CAB
54" AFF
4724mm
15' - 6"
1
A5107
CT050 6" AFC
GFI DISPENSER, GLOVE,
COUNTER, STAINLESS WALL-MTD
STEEL
M3070
CS150
HAMPER, LINEN
SINK, SS, SINGLE
COMPARTMENT
F2010
BASKET, WASTEPAPER, T 3
STEP-ON
A5077
DISPENSER, HAND
SANITIZER, HANDS SEMI-RESTRICTED
FREE CORRIDOR
A5107
DISPENSER, GLOVE,
WALL-MTD
9' - 0"
2438mm
8' - 0"
4724mm
DT S 15' - 6"
a
2134mm
7' - 0"
12' - 0"
3658mm
S0125
CA020 STERILIZER, STM, VAC, 1DO, CAB
CABINET, OPEN, W-H, 2 SHELF, 38X24X13
CS150
SINK, SS, SINGLE COMPARTMENT
CT050
C0040
COUNTER, STAINLESS STEEL
RAIL, APRON, 4x54x1
C05F0
CT050
ROOM TEMPLATES
C03F0
4.20. IMMEDIATE USE STERILIZATION ROOM (ORSR1)
ELEVATION 1
4-276
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: RF Integral Base (min. 6”/
1) Provide a duplex receptacle per equipment
152 mm)
location connected one emergency.
Floor Finish: Resinous Flooring
2) Provide convenience duplex receptacle on
Slab Depression: None Special normal power.
Sound Protection: None 3) Provide GFI receptacle by the sink.
Special Requirement:
Notes:
1) Canopy hood exhaust provided at sterilizer.
Axonometric
110 NSF / 10,3 NSM
A5180 M4665
TRACK, CUBICLE, STRETCHER, RECOVERY,
SURFACE MOUNTED, SURGICAL
WITH CURTAIN E0948
F2010 CART, GENERAL
BASKET, WASTEPAPER, 1 STORAGE, MOBILE
STEP-ON M7040
M3072 TABLE, OVERBED
3353mm
11' - 0"
FRAME, INFECTIOUS M4266
WASTE BAG W/LID PUMP, VOLUMETRIC,
A5108 INFUSION, MULTIPLE
LINES
WASTE DISPOSAL UNIT,
SHARPS M4255
M7845 STAND IV
MONITOR, M1801
PHYSIOLOGICAL, COMPUTER,
BEDSIDE MICROPROCESSING, W/
NC
9' - 0"
3353mm
11' - 0"
ab
10' - 0"
3048mm
ROOM TEMPLATES
STAND IV
ELEVATION 1
4.21. PATIENT BAY, PACU / PHASE I RECOVERY (RRBP1)
4-284
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
150 NSF / 14,0 NSM
M4665
A5180
a b T
A5145
P3100
A1012
1524mm
5' - 0"
F0205
GFI
1
F2010
F3200
2 A5075
A5145 A5080
A1012 c
M7040
A5077
A5077
BORROWED
LIGHT E0948
3
CS140
2134mm
7' - 0"
A5108
CT020
A5107
A5107
LOW WALL RETURN
M3070 6" AFC AIR REGISTER
GFI
A5080
NC
M1801
A5075 M4255
M3072 M4266
A1107 M7845
6' - 6" 12' - 6"
1981mm 3810mm
A5180
TRACK, CUBICLE,
SURFACE MOUNTED,
WITH CURTAIN
9' - 0"
3658mm
12' - 0"
9' - 0"
2134mm
ab
7' - 0"
JSN DESCRIPTION
A1012 TELEPHONE, WALL MOUNTED, 1 LINE
A1107 RAIL SYSTEM, UTILITY, GAS
AND ELECTRIC
A5075 DISPENSER, SOAP
A5077 DISPENSER, HAND SANITIZER,
HANDS FREE
A5080 DISPENSER, PAPER TOWEL
A5107 DISPENSER, GLOVE, WALL-MTD
A5108 WASTE DISPOSAL UNIT, SHARPS
A5145 HOOK, GARMENT, DOUBLE
A5180 TRACK, CUBICLE, SURFACE
MOUNTED, WITH CURTAIN
CS140 SINK, SS,GENERAL, SINGLE X,
10X14X ID
E0948 CART, GENERAL STORAGE, MOBILE
F0205 SIDE CHAIR WITH ARMS
F2010 BASKET, WASTEPAPER, STEP-ON
F3200 CLOCK, BATTERY, 12IN
M0750 FLOWMETER, AIR
M0755 FLOWMETER, OXYGEN, LOW FLOW
M0765 REGULATOR, VACUUM
M1801 COMPUTER, MICROPROCESSING,
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M4255 STAND IV, ADJUSTABLE
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINES
M4665 STRETCHER, RECOVERY, SURGICAL
M7040 TABLE, OVERBED
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
4 CHANNEL
P3100 LAVATORY, VITREOUS CHINA,
SLAB TYPE
Elevations 1 & 2
DISPENSER, SOAP
E0948
CART, GENERAL STORAGE, MOBILE
12' - 6"
M0755 3810mm M0755
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
FLOWMETER, OXYGEN, LOW FLOW FLOWMETER, OXYGEN, LOW FLOW
M0765 M0765
REGULATOR, VACUUM REGULATOR, VACUUM
4-294
April 2016 (rev 2/17)
Elevation 3
150 NSF / 14,0 NSM
6' - 6"
1981mm
PACU / PHASE I RECOVERY (RRIR1)
CB020
CABINET, W-H, 2 SHELF, 1 DO, 38x24x13 LH A5075
A5080 DISPENSER, SOAP
DISPENSER, PAPER TOWEL CT020
CS140 COUNTER, SOLID SURFACE
SINK, SS,GENERAL, SINGLE X, 10X14X ID M3070
C0036 HAMPER, LINEN
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
RAIL, APRON, 4x30x1 C01D0
F2010 CABINET, U-C-B, 4 DR, 36x18x22
BASKET, WASTEPAPER, STEP-ON
4-295
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
Axonometric
120 NSF / 11,2 NSM
R6111 A5108
FREEZER, CRYOGENIC, WASTE DISPOSAL UNIT,
CHEST SHARPS
E0703 M3072
TABLE, PROCESS, 5 FRAME, INFECTIOUS
DRAWERS WASTE BAG W/LID
A1015
A5077
TELEPHONE, DESK,
MULTIPLE LINE 12x12 DISPENSER, HAND
SANITIZER, HANDS FREE
D3295
CHAIR, ROTARY,
LABORATORY, DENTAL A5107
F3200 DISPENSER, GLOVE,
CLOCK, BATTERY, 12IN WALL-MTD
OSa
L0100 A5082
3048mm
10' - 0"
MICROSCOPE, DISPENSER, PAPER
BINOCULAR TOWEL, SENSOR, HANDS
1
L8590 FREE
STAINER, SLIDE, CS140
AUTOMATIC, 6" AFC
SINK, SS,GENERAL,
HEMATOLOGY
SINGLE X, 10X14X ID
GFI
L4200
BATH, WATER,
SEROLOGY, ELECTRIC P1965
L3400 EYEWASH, EYE-FACE,
MICROTOME, ROTARY, 12' - 0" SINK MOUNTED,
TILT, BENCH MOUNTED 3658mm HANDS-FREE
L9025 A5075
FREEZE-DRYER, TISSUE DISPENSER, SOAP
CT060
E0721
COUNTER, MODIFIED
TABLE, PROCESS, 5 DRAWERS
EPOXY RESIN
3048mm
10' - 0"
a a
9' - 0"
12' - 0"
3658mm
SEROLOGY, ELECTRIC
BASKET, WASTEPAPER,
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
ROUND, METAL E0721
C0036 TABLE, PROCESS, 5
RAIL, APRON, 4x30x1 DRAWERS
CT060 C01D0
4-307
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Notes:
Base: Resilient Base
1) Provide a duplex receptacle per equipment
Floor Finish: Resinous Flooring, Welded location connected one emergency.
Seam Sheet Flooring
2) Provide convenience duplex receptacle on
Slab Depression: None Special normal power.
Sound Protection: None 3) Provide GFI receptacle by the sink.
Axonometric
120 NSF / 11,2 NSM
F2010 A1012
BASKET, WASTEPAPER, TELEPHONE, WALL
STEP-ON MOUNTED, 1 LINE
A5082
A5077
DISPENSER, PAPER 54" AFF DISPENSER, HAND
TOWEL, SENSOR,
SANITIZER, HANDS FREE
HANDS FREE
A5075 S9755
DISPENSER, SOAP 2 1 SUCTION SYSTEM, SURGICAL
MOBILE ROVER UNIT
P3100
3658mm
OSa
S9756
12' - 0"
LAVATORY, VITREOUS
SUCTION SYSTEM, SURGICAL
CHINA, SLAB TYPE GFI 6" AFC ROVER DOCKING STATION
P2451
M3072
VALVE, MIXING,
THERMOSTATIC, EYEWASH FRAME, INFECTIOUS
WASTE BAG W/LID
P2000
P6350
EYEWASH, WALL
SINK, FLUSHING RIM, CHINA
NC
MOUNTED,
HANDS-FREE
A5107
DISPENSER, GLOVE, 10' - 0"
WALL-MTD 3048mm
M3070
HAMPER, LINEN
9' - 0"
3658mm
12' - 0"
10' - 0"
3048mm
Elevations 1 & 2
120 NSF / 11,2 NSM
S9755 42" SIDE WALL
SUCTION SYSTEM, SURGICAL
MOBILE ROVER UNIT
U0126 P6350
SUCTION SYSTEM, SURGICAL SINK, FLUSHING RIM, CHINA
ROVER DOCKING STATION
ELEVATION 1
12' - 0"
3658mm
CD030
CABINET, W-H, 2 SHELF, 2 DO
P2451
4.24. UTILITY ROOM, SURGICAL SOILED (USCL7)
ROOM TEMPLATES
THERMOSTATIC, EYEWASH DISPENSER, SOAP
P2000 A5082
EYEWASH, WALL MOUNTED, HANDS-FREE DISPENSER, PAPER
ELEVATION 2
SCALE: 3/16” = 1’-0”
4-317
April 2016 (rev 2/17)
Surgical and Endovascular Services Design Guide April 2016 (rev 2/17)
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Not required.
Wall Finish: Gypsum Wallboard (Epoxy) Notes:
Wainscot: 1) Provide GFI receptacle by the sink.
Base: Resilient Base
COMMUNICATIONS
Floor Finish: Resinous Flooring, Welded
Seam Sheet Flooring Data: Yes
Slab Depression: None Special Telephone: Yes
Sound Protection: None Cable Television: No
Duress Alarm: No
Doors: Single Door, Size 3’-0” x
7’-0” (914 mm x 2133 mm) Electronic Access and Door Yes
Wood Control:
Intercom: Yes (Phone)
LIGHTING
Motion Intrusion Detection No
Maintained (MID):
Average
Illumination - Nurse Call: Yes
Ambient: 300 Lux (30 FC) Code Blue: No
Maintained Public Address: No
Average Security Surveillance Televi- No
Illumination - Task sion (SSTV):
Focus:
VA Satellite TV: No
Luminaire Type: 2’x4’ or 2’x2’ Fluorescent
Video Teleconferencing No
or LED, Virgin Acrylic
(VTEL):
Prismatic Lens, Radio
Frequency Filter, sealed
housing, gasketed frame HEATING, VENTILATING AND AIR
CONDITIONING
Lamps: 4 or 3 Fluorescent or LED
equivalent, 3500K – 4100K General Requirement: Refer to Soiled Holding/
CCT, CRI >= 80% shall be Disposal Room data sheet in the current ver-
on emergency battery packs sion of the VA HVAC Design Manual for room
termperatures, humidity range, room air change
Controls: Motion sensor wall switch
requirements and pressurization.
Notes: