DG Surgical Services

Surgical and
Surgical Services
Endovascular
Services
Design Guide
April 2016 (rev 02/23)
Surgical and Endovascular Services Design Guide April 2016 (rev 02/23)
TABLE OF CONTENTS
1.0 GENERAL Page

1.1. Foreword 1-1
1.2. Acknowledgements 1-3
1.3. Introduction 1-5
1.4. VA Policies/Standards, and Industry Codes/Standards 1-5
1.5. Abbreviations 1-7
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 2-32
2.1.3. The Technological Future of Surgery 2-35
2.2. Technical Considerations 2-37
2.2.1. VA Policies/Directives/Handbooks, Codes, and Standards 2-37
2.2.2. Architectural 2-39
2.2.3. Interior Design 2-41
2.2.4. Heating, Ventilation and Air Conditioning Systems (HVAC) 2-42
2.2.5. Plumbing Systems 2-46
2.2.6. Medical Gas and Vacuum Systems 2-47
2.2.7. Lighting and Power Systems 2-49
2.2.8. Telecommunications and Special Telecommunication
2.2.9. Systems, Monitoring, and Signaling Systems 2-51
2.2.10. Fire Protection and Life Safety 2-55
3.0 FUNCTIONAL DIAGRAMS

3.1. General 3-1
3.2. The Surgical Suite 3-7
3.3. Clean Core 3-16
4.0 DESIGN STANDARD PLATES – FLOOR PLANS, REFLECTED CEILING

PLANS, ROOM DATA SHEET, EQUIPMENT LIST & GENERAL NOTES
4.1. General 4-1
4.2. Patient Bay, Pre-Operative Holding /Phase II Recovery (RRPR1) 4-5
4.3. Patient Room, Pre-Operative Holding /Phase II Recovery (RRPR2) 4-16
4.4. Clean Workroom, Anesthesia (ANCW2) 4-27
4.5. Operating Room, General (ORGS1) 4-34
4.6. Operating Room, Orthopedic (OROS1) 4-50
4.7. Operating Room, Urology / Cystoscopy (ORCS1) 4-66
4.8. Operating Room, Cardiothoracic (ORCT1) 4-82
4.9. Pump Room, Cardiothoracic / Hybrid OR (ORHL1) 4-100
4.10. Operating Room, Neurosurgical (ORNS1) 4-109
4.11. Operating Room, Robotics (ORRB1) 4-126
TABLE OF CONTENTS i
4.12. Operating Room, Transplant (ORTR1) 4-141

4.13. Operating Room, Monoplane Hybrid (ORHY1) 4-158
4.14. Operating Room, Biplane Hybrid (ORHY2) 4-175
4.15. Control Room, Hybrid OR (ORHC1) 4-193
4.16. Cardiac Catheterization Laboratory (XCCE1) 4-201
4.17. Procedure Room, Electrophysiology (XCEP1) 4-218
4.18. Transesophageal Echocardiograph (TEE)
Procedure Room (TRTE1) 4-236
4.19. Decontamination, TEE Probe (TRTE2)
Storage, Clean TEE Probe (TRTE3) 4-249
4.20. Immediate Use Sterilization Room (ORSR1) 4-258
4.21. Patient Bay, PACU / Phase I Recovery (RRBP1) 4-266
4.22. Airborne Infection Isolation (AII), Patient Room
4.23. PACU / Phase I Recovery (RRIR1) 4-275
4.24. Laboratory, Frozen Section (LBUL1) 4-289
4.25. Utility Room, Surgical Soiled (USCL7) 4-299
4.26. Operating Room, Hybrid or Robotic (ORHY3) 4-307
5.0 APPENDIX
5.1. Site Tours 5-1
5.1.1. Elmhurst Memorial Hospital, Elmhurst, Illinois 5-2
5.1.2. Advocate Sherman Hospital, Elgin, Illinois 5-5
5.1.3. Center for Care and Discovery, Chicago, Illinois 5-11
5.1.4. Rush University Medical Center, Chicago, Illinois 5-21
5.1.5. Edward Hines, Jr. VA Hospital, Hines, Illinois 5-27
5.2. Hines Interventional Suite 5-32
Surgical and Endovascular Requirements for Operative and Interventional
Procedures 5-34
Surgical and Endovascular Procedure Room Checklist 5-34
TABLE OF CONTENTS ii
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 and 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
1.2. Acknowledgements
Credit is due to the following individuals whose leadership, knowledge, skills,

and ability made this document possible:
• Department of Veterans Affairs - Veterans Health Administration
Mark A. Wilson, MD, PhD National Director of Surgery

Chief of Surgery and Medical Director,
Surgical Service,
VA Pittsburgh Healthcare System
John Sum-Ping, MD Director, Anesthesia Services,

Chair of National Anesthesia Service
William Nylander, MD, MBA Deputy National Director of Surgical Services,

VA Tennessee Valley Health System,
Nashville, TN
Rick Shunk, MD Director, Interventional Cardiology,

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

James A. Haley Veterans’ Hospital, Tampa, FL
Cathy Clark, RN, RCIS, MS National Cardiology Nurse Manager,

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

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

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

Minneapolis, MN
Melissa Batt, RN Nurse Manager, Cardiology, VA Medical Center,

Salt Lake City, UT
April Dierickx Assistant Nurse Manager, Cardiology, W. G.

(Bill) Hefner VA Medical Center, Salisbury, NC
Daniel Pap, CCT, RCIS,RCES Certified Cardiographic Technician,

John D. Dingell VA Medical Center, Detroit, MI
GENERAL 1-3
• Office of Construction & Facilities Management (003C)
Michael Brennan, PhD, AIA Executive Director,

Office of Construction & Facilities Management
Ross Davidson, Assoc. AIA Associate Executive Director,

Office of Facilities Planning
Donald L. Myers, AIA, Director, Facilities Standards Service
Zoltán John Nagy, RA Senior Healthcare Architect

NCARB, AAH, AORN Subject Matter Expert: Surgical and
Interventional Radiology Planning and Design
Elizabeth Yo, RA, NCARB Architect Planner
Jacob J. Brown Senior Medical Equipment Planner,

Subject Matter Expert: SEPS
Lam Vu, PE, MBA Senior Electrical Engineer,

Subject Matter Expert: Electrical and Lighting
Michael Taylor, PE Senior Mechanical Engineer,

Subject Matter Expert: Medical Gases
Don Walden Senior Mechanical Engineer,

Subject Matter Expert: HVAC
• Consultants
Ronald Villasante, RA, MA Principal in Charge, Space and Equipment

Planning System, HDR Architecture,
Arlington, VA
GENERAL 1-4
1.3. Introduction
The Surgical and Endovascular Services Design Guide was developed as
a design tool to assist VA clinical, contracting, planning, construction and
engineering staff to better understand the design process, and to better enhance
their collaboration with the design team throughout the planning and design
phases of a specific project.
This Design Guide is not intended to be project-specific. It addresses the

general space and equipment planning, as well as functional and technical
requirements of the Surgical and Endovascular Suite. While this document
incorporates strategies to address adaptability, it is not possible to foresee all
future requirements. It is important to note that the Section 4 – Design Guide
Templates presents generic graphic representations illustrating space, equipment
and related engineered system needs. They are not intended to limit design
opportunities and adaptations.
The A/E design team shall read, understand and be familiar with the most current
editions of the applicable VA and applicable industry’s codes and standards.
Codes and standards shown in this document shall be adhered to. VA design
and construction standards may be accessed at the Office of Construction and
Facilities Management’s Technical Information Library (TIL)
(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.
1.4. VA Policies/Standards, and Industry Codes/Standards

• 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 Finishes, Door, and Hardware Schedule PG 18-14
10. VHA Handbook 1102.01
GENERAL 1-5
11. Consensus Information from various VA medical centers

12. VHA Directive 2010-018 Facility Infrastructure Requirements to Perform
Standard, Intermediate, or Complex Surgical Procedures
• Industry Codes/ Standards

1. AORN Guidelines for Perioperative Practice
2. American College of Surgeons Guidelines
3. American College of Anesthesiologists (ASA)
4. American College of Radiology
5. Society of Interventional Radiology
6. ANSI/AAMI/IEC 80601-2-77, Medical electrical equipment -- Part 2-77:
Particular requirements for the basic safety and essential performance of
robotically assisted surgical equipment.
7. ANSI/AAMI/IEC 80601-2-78, Medical electrical equipment -- Part 2-78:
Particular requirements for the basic safety and essential performance of
medical robots for rehabilitation, assessment, compensation or alleviation.
• The Healthcare Insurance Portability and Accountability Act of 1996 (HIPAA)

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

evacuate patients for extended periods of time. In those cases, emergency
electrical power will be required to maintain seamless equipment operation,
heating, ventilating and vertical transportation systems, and life safety
systems. This is especially important to keep the patient population
reasonably comfortable and safe. This Design Guide recommends that the
project consider planning for this contingency in order to care for the veteran
population especially when the facility is located in an area where a high
probability of threat exists from natural disasters such as hurricanes and
earthquakes.
GENERAL 1-6
1.5. Abbreviations
A, MA Air, 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 Office of 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
LLTS Lockers, Lounges, Toilets & Showers
MATV Master Antenna Television
GENERAL 1-7
MCS Master Construction Specifications

MID Motion Intrusion Detection
MTD Mounted
NFPA National Fire Protection Association
NSF Net Square Feet
NSM Net Square Meters
O Oxygen
OCFM Office of Construction & Facilities Management
OIT Office of Information & Technology
OR Operating Room
PACS Picture Archiving and Communication System
PACU Post Anesthesia Care Unit
PH Phase
PFD Program for Design
PSDM Physical Security Design Manual
RB Resilient Base
RCP Reflected Ceiling Plan
RES Resinous Flooring
RF Radio Frequency
RPS Radio Paging System
RSF Resilient Sheet Flooring
SC High Build Glazed Coating (Special Coating)
SD Standard Detail
SF Square Feet, Square Foot
SOPC Satellite Outpatient Clinic
SP Special Faced
STC Sound Transmission Class
TAVR Transcatheter Aortic Valve Replacement
TEE Transesophageal Echocardiography
UPS Uniterruptible Power Supply
V Volts
V, MV Medical Vacuum
VA Department of Veterans Affairs
VACO Veterans Affairs Central Office
VAMC Veterans Affairs Medical Center
VC VA Furnished, Contractor Installed
VHA Veterans Health Administration
VISN Veterans Integrated Health Network
VTEL Video Teleconferencing
VV VA Furnished, VA Installed
W Watts
WSF Welded Seam Sheet Flooring
GENERAL 1-8
2.0 NARRATIVE
2.1. General
2.1.1. Clinical and Operational Summary

Surgical Complexity Categories
It is Veterans Health Administration (VHA) policy that each VA medical
facility with an inpatient Surgical Program have a surgical complexity
designation, which is based upon the facility infrastructure, and that the
scheduled (non- emergent) surgical procedures performed are not to
exceed the infrastructure capabilities of the facility unless an emergency
condition arises. A facility infrastructure refers to all aspects of surgical
services: diagnostic evaluation; consultation; surgeon and operating room
clinical staffing; operating room staffing, instruments, equipment, radiology
and anesthesia services; post anesthesia care unit; intensive care unit;
patient ward; sterile processing service and logistics (SPS); and other
surgery-related support services related to a surgical procedure. Refer to
VHA Directive 2010-018 Facility Infrastructure Requirements to Perform
Standard, Intermediate, or Complex Surgical Procedures for definitions of
complexity designations.
The complexity designations are as follows:
1. Standard Surgical Complexity
2. Intermediate Surgical Complexity
3. Complex Surgical Complexity
Surgical procedures occurring in an Ambulatory Surgical Center (ASC)
program are assigned a complexity designation of either Basic or
Advanced. Every effort must be made to select appropriate patients who
are suitable to have their procedure performed in an ASC. Patients must be
discharged from the ASC according to an established protocol, or must be
transferred to a facility with 24-hour observation and inpatient surgical
services.
Surgical procedures are classified by complexity, which is available both in
the Surgical Complexity Matrix (SCM) and the Ambulatory Surgical
Complexity Matrix (ASCM) and in a web-based tool, the Current Procedural
Terminology (CPT) Look-Up.
General Description, Function and Concepts
Most VAMCs are affiliated with major medical, nursing and allied health
universities, colleges, and schools. As part of the education, medical
residents, nursing and allied health students are trained in VAMCs. For this
NARRATIVE 2-1
reason, additional space is required in the Surgical Operating and

Endovascular Procedure rooms. Additionally, staff support areas need to be
expanded to accommodate faculty and students. Moreover, process of
teaching and learning may cause surgical procedures to be longer. This
additional space and time must be taken into consideration when
determining the size and number of surgery and endovascular support
spaces for a teaching VAMC.
Surgical Department
The Surgical Department is comprised of all functional areas required for
patient surgical services. It includes the Surgical and Endovascular
Procedure Suites, Pre-procedure Assessment, Pre-Operative Holding, Post
Anesthesia Care Unit (PACU), and Phase II Recovery.
Recently there has been a shift toward one integrated interventional
platform consolidating surgical and invasive cardiovascular services directly
adjacent 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 and Endovascular Services
Design Guide includes templates for new Cardiac Catheterization,
Electrophysiology, Vascular Surgery, and Interventional Radiology
Procedure Rooms, 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 Standard is intended for facilities of the following acuity
levels: Ambulatory, Standard, Intermediate, and Complex Centers. The net
square feet (NSF) that is indicated within the design plate templates and the
SEPS Chapter 286 Surgical and Endovascular Services
(https://www.cfm.va.gov/til/space/spChapter286.pdf) space planning criteria
are to be followed in design intent and spirit to the greatest extent possible.
The Surgical Suite
The Surgical and Integrated Suite is a group of spaces consisting of the
individual operating rooms in which surgery is performed, plus all the
required support areas. There are three designated areas for the OR:
1. The unrestricted area where traffic is not limited,
2. The semi-restricted area where traffic is limited to authorized staff
and patients and,
3. The restricted area.
These support areas include the Clean Core, a semi-restricted corridor and
the following spaces:
1. Control and Communication Area; Patient Holding/ Prep
NARRATIVE 2-2
2. Staff Lockers and Lounge, Toilets and Showers (LLTS) including

the Auto-Valet scrub suit dispensing machines
3. Anesthesia Workroom
4. Scrub Areas for the staff
5. Blood Gas Analysis Laboratory
6. Immediate Sterilization serving a pod of Operating Rooms **
7. Equipment Storage Space
8. Connection to the sterile processing service and logistics (SPS) -
usually via mechanical cart lifts or elevators
9. Medical Gas Storage Area
10. Dedicated Housekeeping Aides Closets (HAC) for the semi-
restricted area.
11. Appropriate Administrative Areas, including Charge Nurse Office,
and Surgical and Anesthesia Offices as required for supervision
12. Other support areas as deemed appropriate.
** As a safety priority SPS adheres to is upholding the goal of “0” percent use
of Immediate Use Steam Sterilization (IUSS). IUSS describes steam
sterilization cycles in which unwrapped medical instruments are subjected
to an abbreviated steam exposure time and then used promptly after cycle
completion. The ability to maintain adequate par levels of all sterile
processing supplies help facilitate the decreased need for IUSS
sterilization.
The Surgical Suite: The perioperative journey, clinical staff, the patient and
support staff.
Components of Surgical Services Team: The surgical services team
consists of following components:
1. Sterile team: it includes:
• Surgeon
• First assistant (RN or PA)
• Surgical technologist (scrub)
2. Unsterile team: it includes:
• Anesthesia: MD/CRNA/PA
• Circulator
• Environmental Services
• Sterile Processing 1, 2
1 Operating room orientation manual [Internet]. (Cited 2014 Jan 5). Available from
https://www.utmb.edu/surgery/clerks/ormanual.htm
2
Osman C. Asepsis and aseptic practices in the operating room. [Internet]. [Last updated 2000
Jul 1; Cited 2014 Jan 6\. Available from
http://www.infectioncontroltoday.com/articles/2000/07/asepsis-and-aseptic-practices-in-the-
operating-ro.aspx
NARRATIVE 2-3
Surgical Staff: The staff typically moves from the staff lockers/lounge
through the semi-restricted corridor to the Scrub Stations and then into the
individual Operating Rooms, with exit through the semi-restricted corridor.
Possible exceptions to this flow are the “circulators,” who retrieve supplies
and equipment from the clean core, and the supervising anesthesia staff,
who are permitted to move from Operating Room to Operating Room via
the clean core.
Patient: The Patient checks in and changes into a gown in the pre-
procedure area. They are then visited by members of the surgical team,
who will start an intravenous (IV) line, review the procedure and answer any
questions the patient may have. They are then brought into the operating
room on a gurney and transferred to the operating table. While the patient is
awake during 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 are discharged to go home. Inpatients will be transferred to a
patient ward until they are discharged.
Linens: Linens are brought into the Surgical Operating Rooms and
Endovascular Procedure Rooms by way of the semi-restricted corridor.
Soiled linen is bagged and removed from each Surgical Operating Room
and Endovascular Procedure Room via the semi-restricted corridor.
The “Sterile Field”
In general, the term “sterile field” is used to describe the sterile zone in the
Operating and or Endovascular Procedure Room is approximately five feet
around the perimeter of the surgical table, which includes the space
surrounding the site of the patient’s incision. The term “sterile” indicates that
no undesirable microorganisms are present. The hands of the scrub team
are gloved and everything that enters this field must be sterile. The
operating table, the surgical instrument table, and special equipment to be
used in the sterile field are cleaned prior to each case. Imaging equipment,
surgical microscopes, and other items that are difficult to clean are draped
in sterilized plastic to maintain asepsis. The sterile field is showered by
either a laminar flow array or a combination of laminar diffusers surrounded
and encapsulated by an air curtain.
NARRATIVE 2-4
Note: The example shown is for a General OR, the sterile field supporting
Complex OR procedures may be larger as there may be more procedural
support equipment brought into the sterile field.
The anesthesiologist and nurse anesthetist remain outside of the sterile
field and are typically separated from the sterile field by a sterile drape.
Maintaining Asepsis (Sterility)
Regarding asepsis, there are three areas of concern (to minimize the
number of pathogens present) within the Surgical and Interventional Suite
are:
• The “sterile field” itself as described above. Only fully scrubbed staff
(known as the “scrub team”) is permitted in this area in the center of
each Operating and/or Endovascular Procedure Room.
• Within the Operating and/or Endovascular Procedure Room, both
the scrub team as well as the additional staff that are not in the
sterile field must abide by strict rules established by the Medical
Center. Semi-restricted areas, including spaces such as the pre-
operative and patient holding areas, PACU, instrument workroom,
non-sterile supply storage, staff lockers/lounges/toilets/showers,
control desk, and surgery administration offices.
Internal Operating Room Circulation
It is critical to plan an Operating Room in such a way that a high level of
sterile technique can be achieved.
The circulating nurse typically addressed as “the circulator” places the
packs on the instrument table from the side of the instrument table away
NARRATIVE 2-5
from the sterile field. The scrub nurse removes the sterile instruments and
places them on the surgical instrument table prior to the procedure.
Consideration should be given that with 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 assists the surgeon with devices used in the sterile field such
as lasers.
No one walks between the operating room table and the OR instrument
table, except those in sterile garb who have thoroughly scrubbed. When
portable imaging equipment is used, space for these items must be
considered. Surgical microscopes or video monitors on carts and other
large pieces of equipment (including robotics) may also be needed in an
Operating Room, and space for them must be considered.
The Surgical Team in a teaching VAMC is typically comprised of the
following members:
Surgeon: The surgeon is a 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 proficiency. Surgeons are expected to study
and evaluate new procedures and to become knowledgeable of and
proficient with advances that are appropriate. Technical skill alone is not
sufficient to qualify a surgeon to perform new procedures. Procedural skills
should be acquired within the context of in-depth knowledge about the
disease to be treated. Qualification of a surgeon as a specialist carries the
commitment and responsibility to conduct a surgical practice that conforms
to his/her defined specialty. The appropriate surgical specialty board
recognized by the American Board of Medical Specialties (ABMS) or the
Royal College of Physicians and Surgeons of Canada (RCPSC) determines
a surgeon’s scope of practice.
Assistant Surgeon: A Medical Doctor who acts as assistant surgeon and
may be one of the following medical professionals:
• Another surgeon
• A licensed physician assistant
• A registered nurse first assistant
• A surgical resident
• A medical student
NARRATIVE 2-6
“Assistant-in-Surgery”: Clinical professionals such as nurses, operating

room technicians, or other specially trained professionals, whose services
are included in the primary surgeon’s. The surgical assistant provides
intraoperative functions that help the surgeon carry out a safe operation,
such as exposure, hemostasis, and closure. In addition to intraoperative
duties, the surgical assistant also performs preoperative and postoperative
duties to better facilitate proper patient care, such as positioning of the
patient, catheter placement, dressings, and patient transfer. The surgical
assistant who has appropriate training also performs under surgeon
supervision other procedures including but not limited to: vein and graft
harvesting, and graft and implant preparation.
Second Assisting Technologist: The second assisting surgical technologist
assists the surgeon and/or surgical assistant during the operative procedure
by carrying out technical tasks other than cutting, clamping, and suturing of
tissue. This role is distinct from that of the first assistant and may, in some
circumstances, be performed at the same time as the scrub role.
Anesthesia Staff: Anesthesia is administered by the anesthesia staff,
which can include anesthesiologists, anesthesia assistants, anesthesia
residents, anesthesia technicians, and certified registered nurse
anesthetists (CRNAs). One or more anesthesia staff may be assigned to
each Operating Room. It is the responsibility of the anesthesia staff to
consult with the patient before surgery and identify family/friends that will
speak to the surgeon after the procedure, to administer the anesthetic agent
before and during surgery, and to monitor the patient’s vital signs.
Anesthesia staff remain with the patient during the entire surgical
procedure. Following the surgery, the patient remains under the care of the
anesthesia staff and the assigned recovery room nurse until the patient has
met the discharge criteria.
Interventional Radiologist: A trained physician who specializes in minimally
invasive treatments across all specialties. The interventionalist utilizes
imaging equipment to advance catheters into the patient’s artery and/or vein
to treat the source of disease internally (known as a closed procedure). In
an interventional case there may be a team of interventional staff consisting
of the interventional radiologist, a radiology circulating nurse and a
radiology scrub person.
Interventional Cardiologist: An interventional cardiologist is a specialized
interventional radiologist who specializes in treating a range of heart and
vascular conditions through a process called catheterization.
Structural Cardiologist: An interventional cardiologist with specific training
in diagnosing and treating cardiovascular disease as well as congenital
(present at birth) and structural heart conditions through catheter-based
NARRATIVE 2-7
procedures, such as angioplasty, and stenting utilizing TAVR and Mitral

Valve interventions.
Electrophysiologist: An Electrophysiologist is a cardiologist who treats
heart arrhythmias and other heart rhythm disorders. These can include
irregular heartbeats, including instances where the heart beats too quickly
(tachycardia), and when the heart beats too slowly (bradycardia).
Electrophysiologists are dedicated to the study of the heart’s electrical
system, and how to diagnose and treat heart arrhythmias.
Vascular Surgeon: A vascular surgeon is a surgical subspecialty that
focuses on diseases of the vascular system, or arteries, veins and
lymphatic circulation, are managed by open surgery or closed minimally-
invasive catheter procedures, including surgical reconstruction. This
specialty evolved from general and cardiac surgery as well as minimally
invasive techniques pioneered by interventional radiologists.
Nursing and Clinical Support Staff:
Every major surgical procedure performed in the Operating Room is staffed
by at least one registered nurse and scrub personnel.
• Surgical Scrub: The surgical scrub, together with the first assistant
to the surgeon, is the main support person for the operating
surgeon. He/she has an understanding of the procedure being
performed and anticipates the needs of the surgeon. The scrub
personnel are responsible for the sterile supplies and instruments
and for handing them to the surgeon. He/she has the necessary
knowledge and ability to ensure quality patient care during the
operative procedure and is constantly on vigil for maintenance of
the sterile field. More complicated surgical procedures may require
the presence of two scrub personnel, one assisting the surgeon at
the operating room table and one responsible for the instruments at
the instrument table.
• Circulating Nurse: The circulating nurse, known as the circulator,
does not function within the sterile field, but performs many of the
required tasks outside the sterile field. This person also acts as the
“non-sterile” hands of the surgeons and scrub person, bringing
required supplies, instruments and equipment into the Operating
Room, maintaining surgical records in the Operating Room, etc.
Although the surgeon performing the operation has the ultimate
responsibility for the care of the patient in the Operating Room, it is
the circulator who is responsible for maintenance of sterile
conditions and is in charge of personnel. This person is the primary
advocate ensuring that correct surgery is performed by confirming
proper patient identification and surgical site(s), confirming that a
NARRATIVE 2-8
history and physical is on the patient chart, and confirming that a

signed surgical consent is present. The circulator also enters safety
measures into the computer, records time out, and assures that the
proper prosthetics, if required, are available.
• Surgical Technologist: Surgical Technologists and/or Nursing
Assistant: This individual has received special training in sterile
technique and in assisting in the Operating Room. If appropriately
trained, this individual may perform the same duties as a scrub
person.
• Perfusionist: A perfusionist is a specialized healthcare professional
who uses the heart-lung machine during cardiac surgery and other
surgeries that require cardiopulmonary bypass to manage the
patient’s physiological status. In cardiovascular surgery, the
patient’s blood may have to bypass the heart to allow the surgeon
to perform the required surgical procedure. The blood supply
bypasses the heart and circulates through a heart-lung machine
(which is both a mechanical pump and artificial lung) after which it is
returned to the patient as oxygenated and purified blood. The
perfusionist, who oversees this process, works in the Operating
Room, usually at the side of the operating table, but well outside the
sterile field area. The heart/lung machine must be connected to
both a water supply and the electrical supply. Two perfusionists
may be required for each cardiovascular operation, in the event that
a cell- saver (auto-transfusion) device is used.
• Charge Nurse: The charge nurse supervises all activities that occur
within the individual Operating Rooms. The charge nurse is also
available to temporarily replace the scrub nurse during long
operations. The office of the charge nurse may be located within the
clean core.
• Nurse Manager: The nurse manager (also known as the
perioperative nurse manager) is the administrative supervisor of the
entire Operating Room Suite. The nurse manager is responsible for
maintaining the scheduling of patients for operations, as well as
purchasing and maintaining supplies and equipment for use in the
Operating Room Suite. The office of the nurse manager is located
inside the Surgical Suite.
• Surgical Pathologist: The surgical pathologist does not function
within the clean core area or within the individual Operating Rooms,
though accessed from the semi-restricted corridor. Tissue
specimens removed from a patient are sent to the surgical
pathologist, who prepares and examines the tissue in a frozen
section laboratory within the surgical suite. The pathologist then
electronically communicates his/her findings to the surgeon.
NARRATIVE 2-9
• Consultant: Should the operating surgeon desire a consultation for

a patient under anesthesia or during the operation, he/she may
request that a consultant come to the Operating Room to examine
the patient. In most instances, the individual consulted is an internist
or cardiologist. This individual usually does not work within the
sterile field but examines the physiologic data regarding the patient
and presents his advice regarding additional appropriate treatment.
• EEG Technician: The EEG Technician is an individual who
operates the electroencephalograph in the Neurosurgery Operating
Room to record the brain waves of the patient. Usually this
monitoring is required only in patients undergoing brain surgery.
This individual operates the EEG machine outside of the sterile
field.
• Imaging Technician: The imaging technician is in charge of taking
digital images when needed within the Surgical Suite. The images
are digital and can be viewed on monitors mounted on booms in the
sterile field as well as large wall-mounted monitors.
• Patient Transport Staff: The patient transport staff is responsible
for transporting patients to the Surgical Suite from other parts of the
hospital. When a patient is very heavy, the patient transport staff
might assist in transferring the patient from the transporting gurney
to the operating room table. The patient transport staff also helps in
moving equipment in and out of the Operating Room before the
patient is brought into the room.
• Visitors / Technical Support: In most hospitals affiliated with a
Medical School, visitors may be invited into the Operating Room to
view a specific type of operative procedure. Technical support
personnel may be invited into the Operating Room to consult on the
use of specialized equipment. In all cases, the patient must have
given prior consent to the presence of these non-surgical staff in
order to maintain patient privacy and follow HIPAA regulations.
These individuals must be appropriately attired. They also wear
head covering and shoe covers, but not necessary gloves, since
they do not work within the sterile field. It is the circulator’s
responsibility to monitor the visitors and technical support personnel
activities.
• Biomedical Equipment Support Specialist: The Biomedical
Equipment Support Specialist utilizes extensive knowledge in the
safe and effective application of healthcare technology and serves
as a senior level healthcare technology specialist in the Surgical
Suite. They provide support of the devices/systems utilized during
procedures and analyze/ remediate any performance deficiencies.
NARRATIVE 2-10
• Housekeeping Staff (Operating and Endovascular Procedure

Rooms): Specially trained housekeeping staff is assigned to
decontaminate and sterilize the Operating Rooms and equipment
after each procedure. They work out of a dedicated housekeeping
closet accessed from the semi- restricted corridor. A dedicated
housekeeping closet is required in the semi-restricted area, which
will support cleaning of all of the operating rooms, the Clean Core,
as well as the balance of the semi-restricted area.
Space Planning and Design
The following is an overview of basic planning criteria, which are desirable
as standards for Surgical OR’s and Endovascular Procedure Rooms. For
further detailed information, refer to VA Technical Information Library (TIL),
Space Planning Criteria for VA Facilities SEPS (PG 18-9)
https://www.cfm.va.gov/til/space/spChapter286.pdf
Size of Operating Rooms: While the minimum size of operating rooms is
covered in this document, there are other dimensions, such as width and
depth of the room shall be at least 20’-0” (6,096 mm), ceiling height and
plenum space above, must be taken into consideration in the design of an
operating room and/or endovascular procedure room. In renovation projects
there may not be sufficient space to accommodate new Operating Rooms
due to size and existing space geometry. Written concurrence from the VA
National Director of Surgical Surgery must be obtained before proceeding
further in the design process for renovation projects. Recessed wall storage
cabinets, if requested, should be in addition to the square footage required
for each Operating Room and/or endovascular procedure room. These
cabinets are typically used for storage of frequently used supplies only.
When a substantial number of storage cabinets in each Operating Room is
needed by local surgical staff, space in the clean core reserved for
exchange carts with sterile supplies on them can be reduced.
Scrub Sink Area: The Scrub Sink Area is an alcove 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 and/or
endovascular procedure 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 and/or Endovascular
Procedure Room.
NARRATIVE 2-11
Triple scrub sink configuration shown, vision lights into surgical

OR are optional.
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.
Surrounding finish surfaces of scrub sink alcove area surrounds shall be
waterproof (consider hard surfacing) as spray water is common when
washing hands and arms as part of the scrubbing in process.
Scrub Station Alcove Plan that follows indicates a two station sink, and
should a three-station sink be requested, the size of the alcove should be
adjusted to accommodate the sink to contain water splashing.
NARRATIVE 2-12
Double scrub sink configuration shown at entry to Surgical

Operating Room and Endovascular Procedure Rooms
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 ophthalmic surgery, a recovery bed or gurney 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 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 (SICU). The gurney alcove outside each
OR should be large enough to accommodate a standard hospital bed in its
maximum configuration with IV poles, etc. attached. For this reason, the
alcove should measure 4 ft. (1200 mm) wide by 10 ft. (3040 mm) long.
Imaging Equipment: Portable radiographic and fluoroscopic (R&F)
imaging devices such as C-Arms and O-Arms are commonly associated
with Uro- Cysto and orthopedic procedures as these devices typically have
low emission rates and appropriate evaluation of gross anatomic structures
and dense objects such as orthopedic transplants. Low emission cannot
achieve image quality requirements associated with the visualization of fine
vascular details and stent placement. The expanded role of R&F imaging
for vascular indications was made possible through C-arms capable of
NARRATIVE 2-13
delivering much higher x-ray. However, their use predicated that they be
fixed / dedicated to the procedure room as access to higher input power
was required to produce higher x-ray, including radiation protection of the
procedure room which is not required for portable low emission devices.
Dedicated C-arms initially became popular in the interventional cardiac and
interventional radiology arenas as a diagnostic tool to assess flow restricting
disease, map the electrical pathway of the heart, and to provide image
guidance for the execution of interventions. These early procedure rooms
were known as “Cath Labs” and did not possess the attributes of an
operating room (OR) environment; laminar flow, higher level sterile
practices, and the ability to support open surgery.
More recently, through the growth of minimally invasive surgery on patients
with risks requiring a surgical safety net including endograft placement, and
the inception of valve replacements, a specialized interventional / surgical
environment was established. The result was the cardiovascular hybrid
operating room.
When imaging equipment is used (fixed or mobile) in a traditional operating
room and/or hybrid operating room, staff are required to wear lead aprons
and work from behind leaded glass shields. When not in use in the
operating rooms, portable imaging equipment is usually stored in alcoves in
the semi- restricted corridor so it can be efficiently moved in and out of the
operating room. The level of use of mobile imaging equipment and other
factors will be analyzed by the physicist, who will determine the need for
fixed shielding in the room.
Sterile Supplies: Sterile supplies are typically retrieved from the clean core
by the circulator. A selection of sterile supplies may also be stored within
the Operating Room.
Supplies may be bar-coded or may utilize radio-frequency identification
(RFID) chips. Both systems are designed to monitor use of supplies and to
allow computerized reorder to maintain the appropriate inventory. In
addition, scanning the bar code (or tracking supplies with RFID chips)
provides a more complete system for charging for supplies used during a
surgical procedure. It also expedites the removal of stored items in the
Operating Room when their shelf life has expired.
Case Carts: Case carts are used to bring sterile materials and instruments
from SPS to the Operating Room. A typical case cart contains specific items
required for each specific case, including all required surgical instruments
and other supplies. It is advisable for the planner to confer with nursing staff
as to the size of their case carts as each hospital is different. Note that more
complex procedures may require several case carts. Clean case carts are
typically staged in the Clean Core outside of the Operating Room prior to a
NARRATIVE 2-14
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
soiled cart lift room 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 to be sized to accommodate a set number of case
carts in the elevator cab.
NARRATIVE 2-15
Phase I Recovery - Patient Prep - Phase II Recovery Diagram
Pre-Operative Holding / Phase II Recovery: The inpatient or outpatient is

brought into the Pre-Operative Holding Area prior to the surgical procedure.
Last minute consultations with the patient by the staff take place here.
Shunts for IV solutions may be inserted here. To comply with HIPAA
NARRATIVE 2-16
requirements, patient areas must provide acoustical and visual privacy at all
times.
The Phase II Recovery Patient Area is utilized for recovery of the patient
after Phase I Recovery (PACU) and also for ambulatory surgery patients
who may come directly from the surgical OR if they have been anesthetized
under mild MAC sedation* where recovery is fairly quick. 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.
*MAC Sedation: Also known as monitored anesthesia care
or conscious sedation, MAC anesthesia is a type of sedation
where the patient remains aware of their surroundings and
stays calm. The anesthetist administers it through an IV into
the skin and muscle around the area on which surgery will
be performed.
Phase I (PACU) Recovery: During Phase I care, the focus is on the
patient’s recovery from anesthesia and the return to baseline vital signs.
Consideration is given to the procedure, anesthesia care, patient
comorbidities, and the patient’s physical status to recognize, minimize and
manage any issues or complications. Phase I includes, but is not limited to,
applying PACU scoring criteria on admission and each vital signs
assessment, managing respiratory and hemodynamic changes, monitoring
the effects of the procedure (e.g., bleeding, circulation), and providing
necessary analgesia and antiemetics. While monitoring requirements are
facility-specific, they are also based on the patient’s condition. According to
ASPAN, they recommend assessing and documenting vital signs at least
every 15 minutes during the first hour and then every 30 minutes until
discharge from Phase I PACU care. After which, the patient is then
transitioned to Phase II, the inpatient setting, or the intensive care unit (ICU)
for continued care.
Patient Induction/Preparation Room: For most procedures, anesthesia is
given in the induction room located next to the operating room. In many
cases induction may be performed in the pre-operative Phase II area.
“Induction” is the start of anesthesia and usually takes less than five (5)
minutes to perform. The patient induction room is used by the
anesthesiologist to initiate anesthesia and to observe the patient prior to the
start of a procedure. It allows for parallel processing of the patient and the
Operating Room. Typical tasks in this area include nerve blocks and the
placement of intravenous (IV) lines. From here the patient is transferred to
the Operating Room.
NARRATIVE 2-17
Corridors:
In general, corridors utilized for transporting patients as well as surgical
support equipment, (x-ray, mobile c-arms and the like) shall be minimum 8’-
0” in clear unobstructed width. Staff “back-of-house” corridors can be
minimum 3’-6” clear unobstructed width, though 5’-0” clear is
recommended.
Safe Patient Handling in Perioperative and Procedural Settings: VHA
Directive 1611 section 4. h. (12) requires: that planning, design of phases of
new and renovation construction, which includes major, minor, NRM, and
station-level equipment projects, must incorporate appropriate and
necessary safe patient handling and mobility equipment at all facilities. In
general, perioperative and procedural settings must be outfitted with ceiling
mounted patient lifting devices capable of safely handling 1,000 lb (454 kg)
loads.
Operating Room Types:
There are several types of operating rooms depending on the type of
surgery being performed. i.e. General, Orthopedic, Neuro, Spine, Urology,
Transplant. Cardiac/Thoracic and special operating rooms such as Hybrid
OR’s.
The purpose of having different types of operating rooms is that different
procedures require different equipment and personnel. The staff must have
access and enough room to move and navigate the equipment required for
each type of surgery.
1. General Operating Room: General surgery operating room is where
surgeons focus typically on numerous abdominal contents including
esophagus, stomach, small intestine, large intestine, liver, pancreas,
gallbladder, appendix, bile ducts, and often the thyroid gland (depending
on local referral patterns). Additionally, general surgery operating rooms
deal with diseases involving the skin, breast, soft tissue, trauma,
peripheral vascular disease including hernias and perform endoscopic
procedures such as gastroscopy and colonoscopy.
2. Orthopedic Operating Room: Orthopedic surgery operating room is
where surgeons perform numerous types of orthopedic surgeries on
patients. Common surgeries may include:
• Arthroscopy - a procedure using special cameras and equipment
to visualize, diagnose, and treat problems inside a joint.
• Fusion – a “welding” process by which bones are fused together
with bone grafts and internal devices – such as metal rods – to heal
into a single solid bone.
NARRATIVE 2-18
• Internal Fixation – a method to hold the broken pieces of bone in

proper position with metal plates, pins or screws while the bone is
healing.
• Joint replacement (partial, total and revision) – when an arthritic
or damaged joint is removed and replaced with an artificial joint
called a prosthesis.
• Osteotomy – the correction of bone deformity by cutting and
repositioning the bone.
• Soft Tissue Repair – the mending of soft tissue, such as torn
tendons or ligaments.
A parking location for the mobile C-arm shall be identified outside of the
sterile field when it is not in use. Additional equipment, such as splints
and traction devices, shall be located in an equipment room located
adjacent to or proximal to the orthopedic operating room.
3. Urology / Cystoscopy Operating Room: The “Uro-Cysto” operating
room is where surgeons utilize a cystoscope to perform a Cystoscopy
(cystourethroscopy) procedure. A cystoscope is a special type
endoscope especially designed for urological use to examine the
bladder, lower urinary tract, and prostate gland. It can also be used to
collect urine samples, perform biopsies, and remove small stones. The
purpose of a cystoscopy is to examine the entire bladder lining and take
biopsies of any questionable areas additionally x rays may be performed
of the kidneys, ureters, and bladder to determine the nature of any
urological abnormality. The surgical table, which may be mobile and is
specifically utilized for use with imaging equipment (radiolucent), is
oriented in the Operating Room in a way that the foot of the table will not
face a door. Floor drains shall not be installed in any surgical operating
room. If the functional program and workload warrant (1,300 procedures
per year per OR), consider a dedicated Cystoscopy Room.
4. Cardiothoracic Operating Room: Cardiothoracic operating room
involves the surgical treatment of the heart and the lungs; in some
institutions this specialty is split into Cardiac Surgery and Thoracic
Surgery. In a typical surgical setup one side of the surgical table is
reserved for the perfusionist and the heart-lung machine, while the other
side will be occupied by the surgeon.
In cardiothoracic surgery, the patient’s blood may have to bypass the
heart to permit the surgeons to perform the required procedure. The
blood supply bypasses the heart, circulates through a mechanical pump
(called the heart/ lung machine) and then returns oxygenated blood to
the patient. The heart lung machine is stored in the Pump Room
adjacent to and directly accessible from the Cardiovascular Operating
NARRATIVE 2-19
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.
Cardiopulmonary Bypass (CPB) is a technique in which a machine
temporarily takes over the function of the heart and lungs during
surgery, maintaining the circulation of blood and the oxygen content of
the patient’s body. The CPB pump itself is often referred to as a heart–
lung machine or “the pump”. Cardiopulmonary bypass pumps are
operated by perfusionists. CPB is a form of extracorporeal circulation.
Extracorporeal membrane oxygenation is generally used for longer-term
treatment.
CPB mechanically circulates and oxygenates blood for the body while
bypassing the heart and lungs. It uses a heart–lung machine to maintain
perfusion to other body organs and tissues while the surgeon works in a
bloodless surgical field. The surgeon places a cannula in the right
atrium, vena cava, or femoral vein to withdraw blood from the body.
Venous blood is removed from the body by the cannula and then
filtered, cooled or warmed, and oxygenated before it is returned to the
body by a mechanical pump. The cannula used to return oxygenated
blood is usually inserted in the ascending aorta, but it may be inserted in
the femoral artery, axillary artery, or brachiocephalic artery (among
others).
Floor Plan: Heart–lung Machine Room or “the pump room”
NARRATIVE 2-20
Cardiopulmonary Bypass (CPB) Machine

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.
The Heart–lung Machine Room or “the pump room” is located adjacent
to or proximal to both the cardiothoracic and hybrid operating rooms and
is not directly accessible to either room as there is an open source of
water within the pump room that may contribute to pathogens entering
the OR’s.
5. Neurosurgical Operating Room: Neurosurgical operating room is
utilized for the treatment of the nervous system, which includes the
brain, spinal cord, and peripheral nerves. Current techniques revolve
around the use of increasingly smaller openings and microscopes to
minimize the post-operative recovery time, while Intraoperative
Neurophysiology (ION) monitoring reduces patient risk by better
monitoring the functional integrity of neural structures during surgery.
Another evolving technology is the use of the navigation systems that
allows the surgeon to visualize the anatomy of the patient’s spine and
NARRATIVE 2-21
pinpoint the site of surgical intervention much more precisely with

imaging data captured prior to the surgery. 3
6. Transplant Operating Room: Transplant operating room is utilized for
complex surgeries involving moving of an organ from one body to
another (allografts) or from a donor site to another location inside the
body (autografts). While common organ transplants include kidneys,
livers, and hearts, tissue transplants, such as cornea or musculoskeletal
grafts, are procedures that occur more frequently. The surgical team is
typically larger than during a general procedure and additional
equipment may be introduced to store and prep a donated organ and
provide continuous support. At times the preparation of the organ will
start on an instrument table away from the sterile field before the patient
is brought into the room. Note that the sterile field will also be larger
therefore special considerations must be made in the design of the
HVAC system.
7. Robotic Surgical Operating Room: The robotic surgical operating
room is utilized for a type of minimally invasive surgery. “Minimally
invasive” means that instead of operating on patients through large
incisions, the surgeon uses miniaturized surgical instruments that fit
through a series of small incisions. When performing surgery with the
surgical robot, miniaturized instruments are mounted on three of the four
separate robotic arms, allowing the surgeon maximum range of motion
and precision. The fourth arm contains a magnified high-definition 3-D
camera that guides the surgeon during the procedure, surgeon controls
the robotic instruments and the camera from a console located within
the operating room. The robotic equipment that is available today will
have to be recalibrated after being moved; it is therefore best left inside
the Operating Room at all times. A simulator is available to the surgeon
for practicing movement and dexterity of the robotic arms. Depending on
facility preference it can be located in a small room inside the semi-
restricted area or, alternatively, elsewhere in the Surgical Suite.
8. Hybrid “Universal” Operating Room: Hybrid Operating Rooms
within VA Hospitals utilize angiographic based imaging equipment that is
extremely adaptable, accommodating a vast array of different types of
procedures, such as Trans Aortic Valve Replacement (TAVR), Trans
Mitral Valve Replacement, Surgical Aortic Valve Replacement (SAVR),
Endovascular Aneurysm Repair (EVAR), Electrophysiology (EP) and
Transesophageal Echocardiograph (TEE) Studies, Neuro-Thoracic,
Orthopedic and Uro-Cysto procedures.
3Motor 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 2-22
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 acceptable dimension that should be planned in the room. The
system component room will be accessible from the semi-restricted
corridor or the control room. The imaging equipment may also have a
maximum distance requirement from the system to the control module
as well as required service clearances.
The universal aspect of the hybrid operating room utilizes either a fixed
sectional Trendelenburg radiolucent (carbon fiber) surgical table or a
fixed “slab type” that is utilized for cardiac catheterization and
electrophysiology procedure rooms. The Trendelenburg surgical table
can be positioned to accommodate the type position required for the
specific surgical procedure being performed.
The perioperative team in a Hybrid OR consists of the following team
members:
• Surgical circulating nurse
• Radiology circulating nurse
• Surgical scrub person
• Radiology scrub person
• Surgeon
• Surgical first assistant
• Anesthesia care provider(s)
• Radiology technician
• Interventional radiologist
• Interventional cardiologist
• Perfusionist
There may be additional personnel present depending on the type of
procedure.
The orientation of the operating room table to the Control Room window
may be determined by the head interventionalist, who may prefer a side
(lateral) view or a toe view of the patient. However, most hybrid
operating rooms and endovascular procedure rooms are visualized from
the control room via “toe-view” though “lateral or side view” is also
utilized. The head interventionalist usually determines which view should
be utilized though room configuration and geometry may determine the
optimum view from the control room.
Contrast injector may be accomplished by three methods: 1) ceiling
mounted; 2) mobile floor unit; or 3) an OR table mounted. The
preference of contrast injector types is up to the surgical/ interventional
staff.
NARRATIVE 2-23
Control Room:
• 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 minimum 2 ft. 6 in. - 762 mm (max 3’-0” - 914 mm) depth to
facilitate control modules associated with the imaging equipment as
well as charting workstations. Minimum depth of Control Room shall
not be less than 9’-0” - 2,438 mm. Width of Control Room shall
match that of Procedure Room.
• When planning the Control Room it is strongly recommended to
avoid combining endovascular procedure room control rooms!
Control rooms should be internal to the endovascular procedure
rooms (cardiac catheterization lab, electrophysiology lab,
interventional radiology lab, vascular lab and hybrid OR’s) and
separate from the outside corridor. The best and preferred solution
is to have one control room per each endovascular procedure room.
This facilitates communication between control room staff and those
in the procedure room and is not significantly more expensive than
having one control room for two endovascular rooms. The one-to-
one ratio reduces potential miscommunication since only one
patient is being discussed by one set of personnel. At the same
time, the overhearing of patient information is also reduced. A few
well-thought-out steps can help minimize endovascular procedure
room design challenges.
• The equipment for the Hybrid OR all Endovascular Procedure
Rooms may have additional requirements for the placement of the
control modules. The Medical Planner shall take into consideration
clinical staff requirements when laying out the equipment during the
planning of the room.
• Toe view verse’s lateral view: Both are acceptable, though the toe
view is most common. Lateral views typically are the result of
geometry where implementing a toe view cannot be accomplished.
It is important to understand that the clinical team always presents
to the patient the same way regardless of the view from the control
room. Consider utilizing multiple cameras in OR’s and Endovascular
Procedure Rooms so that the Control Room clinical personnel have
a clear view of the sterile field and procedural operations to
accurately document.
NARRATIVE 2-24
ENDOVASCULAR PROCEDURE ROOM

(CATHETERIZATION, EP, IR, VASCULAR, HYBRID OR)
Endovascular Procedure Rooms: The term endovascular procedure room

used in this context is the overarching “umbrella” for several different
procedure room types:
• Cardiac Catheterization Procedure Room
• Electrophysiology Procedure Room
• Interventional Radiology Procedure Room
• Vascular Surgery Procedure Room
• Hybrid OR’s
Each of these interventional rooms is performed in similar environments
(procedure rooms) which may be interchangeable in some cases where
hemodynamic monitoring is required. The components which make up the
endovascular suite is consistent: a control room; a procedure room; a
systems component room and in some cases an adjacent sterile supply
room when an adjacent clean core is unavailable.
Cardiac Catheterization Procedure Room: There are three functional
spaces which make up a single cardiac catheterization procedure suite into
a working unit:
1. Cardiac Catheterization Procedure Room
2. Control Room, and
3. The Imaging Systems Component Room.
NARRATIVE 2-25
Additionally, Cardiac Catheterization rooms must adhere to the same

aseptic environment as surgical operating rooms.
Requirements will include spaces for gowning and scrubbing, which enable
cardiologists and clinical staff to travel from areas considered “soiled” to the
aseptic semi-restricted corridor from which the Cath Lab is accessed. [Note:
The Cardiac Catheterization Procedure Room 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 Procedure Room 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 procedure room and
accessed directly to the semi-restricted corridor.
The Imaging Systems Component Room (ICR) shall be adjacent to the
procedure room as imaging system cable length determines the maximum
distance from the imaging gantry to the ICR. The ICR is accessed from the
semi-restricted corridor never from the procedure room.
Imaging equipment utilized in the Cardiac Catheterization Procedure Room
may consist of monoplane, biplane or robotic configurations. Measures
must be made to structurally support the type imaging modality being
installed. Imaging equipment may be ceiling mounted, floor mounted or a
combination of both with motion and articulation of C-Arm(s) occurring in
two or more directions moving in and out of position during procedures.
Although there may be differences among specific facilities, Cardiac
Catheterization Laboratories are generally organized so that the patient is
presented to the cardiologist with the patient’s head to the cardiologists’ left
side providing the cardiologist adequate work area with clear access to the
patient and full view of the monitors, which carry real-time video images and
data. Common procedures performed in the Cardiac Catheterization
Procedure Room are: angioplasty, PCI (percutaneous coronary
intervention) angiography, balloon septostomy, and catheter ablation.
The equipment selected will affect the layout of tracks and their supporting
structure above the ceiling. Cardiac Catheterization Procedure Room
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
NARRATIVE 2-26
and vertically and live loads whether from ceiling-supported equipment or

bearing on the floor.
Primary procedural supplies shall be stored in the procedure room when
possible. Adequate wall surface area is required to support the appropriate
number of storage cabinets. Specific storage requirements for invasive
procedure rooms are noted in Guide Plates and Room Data Sheets.
Equipment Lists indicate Catheters are not to be reused after use.
Electrophysiology Procedure Room: An electrophysiology study (EP
study) is a minimally invasive procedure that tests the electrical conduction
system of the heart to assess the electrical activity and conduction
pathways of the heart. During an EP study, cardiac arrhythmias are
recorded. The study is performed to investigate the cause, location of origin,
and best treatment for various abnormal heart rhythms. The
electrophysiology procedure room reflects the same organizational features
as the cardiac catheterization procedure room.
An electrophysiology study can include a number of invasive and non-
invasive recordings of spontaneous electrical activity as well as of cardiac
responses to programmed electrical stimulation. These studies are
performed to assess arrhythmias and abnormal electrocardiograms, expose
symptoms, evaluate risk of developing arrhythmias in the future, and design
treatment. Treatment may include antiarrhythmic drug therapy as well as
implantation of pacemakers and implantable cardioverter-defibrillators.
These procedures are surgical in nature thereby warranting an aseptic
environment identical to that found in surgery.
The EP room can accommodate diagnostic studies as well as therapeutic
surgical interventions such as cardiac pacemaker and defibrillator implants
therefore an EP room must have an aseptic environment identical to
surgical operating rooms. EP rooms and their Control Rooms are organized
similar to Cardiac Catheterization Procedure Room with regard to clean and
dirty paths and a sterile environment within the room. Their organization
and most of the equipment, except for specialized electrophysiology
equipment, is similar to a Cardiac Catheterization Procedure Room.
Vascular Surgery Procedure Room: The vascular surgery procedure
room is utilized for treatment of vascular related diseases that were once
performed in traditional surgical OR’s to make repairs to the entire vascular
tree being responsive to percutaneous interventions. Neither the traditional
operating room nor the conventional angiography suite is optimal for both
open surgery and endovascular procedures therefore the advent of the
vascular surgery hybrid OR. The vascular surgery procedure room reflects
the same organizational features as the cardiac catheterization procedure
room.
NARRATIVE 2-27
Important issues for the vascular hybrid operating room include quality of
the imaging equipment, radiation burden, ease of use of the equipment,
need for specially trained personnel, ergonomics, ability to perform both
open and percutaneous procedures, sterile environments, as well as quality
and efficiency of patient care. The most important feature of working in a
dedicated hybrid vascular suite should be the ability to attain best treatment
of vascular patients. Whether the interventional radiologist or the vascular
surgeon uses the facilities is of less importance.
Establishment of an endovascular operating room suite has the benefit of a
sterile environment, and the possibility of performing hybrid procedures and
conversions when necessary. Moreover, angiography immediately before
treatment gives contemporary anatomical information, and after treatment
provides quality control. Consequently, better quality and service can be
provided to the individual patient. These changes in the treatment of
vascular disease require that a new type of vascular specialist, named
‘vascular hybrid surgeon’, trained to perform both endovascular and open
surgical procedures in this highly complex patient group. 44
Interventional Radiology Procedure Room: Interventional radiology (IR)
procedure room utilizes a set of techniques that allows access to the
internal structures of the body through body orifices or very small incisions
and guidance with medical imaging. Regardless of the reason for the
intervention, the procedure will likely make use of common elements such
as a puncture needle (to pass through the skin), guidewires (to guide
through structures such as blood vessels or the biliary or urinary systems),
a sheath (which slides over the guidewire and hold the path open without
injuring it), and catheters (that allow fluids to be pushed through them). 55
Interventional radiology is typically utilized for both diagnostic and
therapeutic interventional procedures and reflects the same organizational
features as the cardiac catheterization procedure room.
Configuring Endovascular Procedure Rooms:
While endovascular procedure rooms may be adjacent, it is not advisable to
have a single control room that supports multiple procedure rooms, though
the imaging equipment component room for two procedures may be co-
located within a single room.
4 The vascular hybrid room-operating room of the future, by Hudorovic-N, Rogan SA, Lovricevic I, Zovak
M, Schmidt S., Acta Clin Croat. 2010 Sep, 49(3):289-98
5 Taslakian, Befros, Ingber, Ross, Aaltonen, Eric, Horn, Jeremy, Hickey, Ryan (2019-08- 30).
“Interventional Radiology Suite: A Primer for Trainees”. Journal of Clinical Medicine 8 (9).
doi:10l3390/jcm8091347. ISSN 2077-0383, PMC 6780384. PMID 31480308
NARRATIVE 2-28
Example follows:
Note that this configuration also applies to multiple “Universal” Hybrid OR’s
as well as multiple endovascular procedure rooms.
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
manner to decrease the potential of cross contamination. These areas are
the unrestricted area, the semi-restricted area and the restricted area.
The unrestricted area includes the central control point that is established to
monitor the movement of patients, staff, and equipment. The semi-restricted
NARRATIVE 2-29
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
full surgical scrub attire, foot coverings, head/hair covering, masks, surgical
gloves. 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 creating a semi-restricted corridor “race-track” configuration.
The clean core should have a minimum width of 21 ft. (2438 mm). This
width will allow for 10 ft. (3048 mm) of supply storage in the middle of the
space with a 3 ft. (914 mm) wide aisle on each side as well as a 2 ft. 6 in.
(762 mm) space for case carts and other equipment, such as refrigerators
and blanket warmers.
When the provision of substantial numbers of storage cabinets in each
Operating Room is the desire of the local staff, then the space in the clean
core reserved for the storage of sterile supplies can be reduced. Case carts
are held in a clean staging area until required at the start of the surgical
procedure. Many facilities also utilize automated inventory supply units,
which store and electronically track usage of supplies.
Example follows:
NARRATIVE 2-30
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
not available to utilize a Clean Core Outer Racetrack concept, one corridor
outside the Operating Room may be considered a clean space where
sterile supplies are stored. Appropriate staff and materials flow must be
followed to maintain the separation of clean and soiled traffic. However, this
arrangement should only be considered for a small complement of
Operating Rooms.
Appropriate staff and materials flow must be followed to maintain the
separation of clean and soiled traffic. However, this arrangement should
only be considered for a small complement of Operating Rooms.
Waste Management
Medical Waste: Medical waste is generated in medical exam rooms or in
patient rooms where it is bagged, collected and transported using specially
designated, closed containers to the soiled utility rooms. The waste is held
NARRATIVE 2-31
there until it is transported via the loading dock to the medical waste
handling facility.
General Waste: General waste is generated in all spaces and is held in
waste containers for collection either in a trash receptacle within the patient
room or bulk storage in the soiled utility closet. It is then collected by cart
and transported via the loading dock to the waste handling facility.
Recycling: Means of sorting, collecting, transporting and disposing of
recyclable material should be analyzed by locality and modified to suit local
conditions and practices.
Product types used in the building: disposable vs. recycle products should
be discussed as it is. An important design consideration in alternatives that
impacts physical space for waste disposal volumes.
Refer to the NEPA Interim Guidance for Projects at
https://www.cfm.va.gov/environmental/NEPAGuidance.pdf 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.
2.1.2. VA Trends in Surgical and Interventional Service

There are a number of trends which directly impact VHA perioperative
services. The most prominent considerations are:
• Veteran population development and demands
• Change in Veteran population clinical acuity
• Complexity of provided services
• Change in intraoperative clinical methodologies and techniques
• Physical infrastructure
• Outcomes and productivity
• Interventional cardiology is expanding due to an aging population
and growing prevalence of obesity and diabetes.
• The COVID pandemic in 2020 had unpredictable consequences on
the presentation and management of patients with ischemic heart
disease. Subsequent to these initial responses the impact of the
NARRATIVE 2-32
initial pandemic can be reviewed and responses can be considered.

It is clear that there are new opportunities for optimizing patient
management pathways and in particular enhanced use of
information technology (IT). Changes in attitudes towards health
and perceived risk are evident within both the cardiac catheter lab
teams and our patient cohorts. Summating both the intellectual and
emotional experiences of the pandemic are essential to prepare for
either a second wave of COVID 19 or any new pandemic threat in
the future.
The Veteran population is projected to decrease between 2014 and 2043
from 22.5 million to 14.5 million veterans2. The decline will be primarily
attributed to a reduction in number of WWII and Korean Conflict veterans
between 2014 and 2030; and Vietnam Era veterans between 2023 and
2043. During the same period of time the female veteran population will
grow from 9% to 17%. The above trends will and are already impacting
VHA surgical services, which have strong linear and statistically significant
relationships to population demand measured in increments of 10,000
unique patients.
https://www.va.gov/vetdata/docs/Quickfacts/Population_slideshow.pdf
The increase in female veteran population adds significant volume to
obstetrics and gynecology services in general and intraoperative
procedures in particular, while the 36% reduction in overall veteran
population will initially decrease the number of surgical cases. However, the
clinical acuity of cases will increase and there will also be growth in case
numbers per patient due to age groups impacted and multiple chronic
conditions of the 12 million population group that is 60 years and older. The
beginning of this trend is already being observed in different Veterans
Integrated Service Networks (VISNs) across the country.
The growth in the complexity of the services begins to shift the composition
of the surgical suite regarding the mix of general and specialty operating
rooms as well as types of services provided. Today, VHA has 136 surgery
programs which are subdivided as follows:
• 17 Basic Ambulatory Surgery Centers (ASC)
• 9 Advanced ASC
• 11 Standard
• 31 Intermediate
• 68 Complex
26 of these surgery programs are Ambulatory Surgery Centers and 110 are
Inpatient surgery programs.
Intermediate and complex programs prevail today by representing 73% of
overall number of programs and covering majority of patients. Specifically,
NARRATIVE 2-33
10 out of 68 complex programs provide services to a population of 80,000

plus uniques each and 46 out 68 complex programs provide services to a
population of 50,000 plus uniques each. Although there is no direct
correlation between demand and operative complexity designation of the
facility there is a tendency for facilities with 50,000 plus uniques to have an
Inpatient Complex designation. However, as case complexity grows across
the enterprise it will impact intermediate and standard facilities. Currently
there is a strong linear statistical relationship between demand and number
of operating rooms and staffed hours per week per operating room. In the
future, due to the changes described above, this paradigm may have to be
revisited to reflect complexity impact in addition to demand. Similarly,
complexity may impact further operating room utilization.
Uniques is defined by the VHA Support Service Center (VSSC) and
represents the cumulative number of unique patients seen by the facility
(division level) during the fiscal year
Specialty operating rooms services provided today include orthopedics,
neurosurgery, cardiothoracic, transplants, robotics and endovascular.
Endovascular (hybrid) operating rooms most common configurations are
monoplane and biplane modalities (either floor or ceiling mounted); they
allow for the integration of traditional surgical procedures with skin incisions
and interventions, e.g. transcatheter techniques with the puncture of a
vessel and represent a combination of surgical equipment with high-end
imaging modalities previously utilized in interventional radiology and/or
cardiology to angiography type of procedures. Endovascular (hybrid)
operating rooms provide services such as:
a) hybrid therapy for congenital heart disease,
b) hybrid therapy for valve disease,
c) coronary artery disease,
d) heart rhythm disturbances,
e) endovascular aortic repair (including transcatheter aortic valve
replacement (TAVR)),
f) pacemaker and ICD implantation, and
g) other interdisciplinary uses.
Endovascular (hybrid) operating rooms benefits are:
a) they serve as a safety net for complex endovascular procedures,
b) they provide a multi-disciplinary environment conducive for both
minimally invasive and open surgeries,
c) they allow for intra-operative image guidance and efficacy
evaluations,
d) they provide an environment to perform intraoperative and open
procedures (stent and bypass graph) in a single episode of care.
NARRATIVE 2-34
This integration and increase in array of services and complexity of

treatments changes the relationships between diagnostic cardiology and
perioperative services. As a proactive reflection of this change the space
planning criteria and design standards cover cardiac catheterization
procedure room; electrophysiology procedure room and transesophogeal
echocardiography (TEE) room and recommend their complete integration
with traditional surgical services by placing them ‘behind the red-line’ in the
semi-restricted area of the healthcare institution.
Considering outcomes and productivity of perioperative services, primary
factors to be taken into consideration are operating room utilization rates,
lag times, cancellation rates and first time starts. First time on time
procedure starts at VHA are on average at a 75% level, with the delay
average between 1 and 15 minutes at 15%. Cancellation rates at VHA are
lower than the National average (between 1 and 7 percent per service line),
while primary cancellation reasons are attributed to patient-related issues
and patient health status. Operating room utilization varies between 65% to
75% for intermediate surgeries, 90% to 95% for advanced ASC and 75% to
95% for complex surgeries.
Changes in complexity of surgical services and diagnostic and treatment
techniques will have a direct impact on the physical infrastructure of VHA
surgery programs, resulting in upgrades in place or expansion of
perioperative services when space or infrastructure shortages are present.
Government Freeze the Footprint policy requirements will have to be taken
into consideration in development of future expansion plans.
2.1.3. The Technological Future of Surgery

Today only 3% of surgical procedures are performed by robots, although
15% of all operations used robotic support or assistance in the U.S. in 2020.
There’s still a long way to go.
Virtual Reality (VR)
In April 2016, cancer surgeon Shafi Ahmed performed an operation using a
VR camera in the Royal London hospital. It was a huge step for surgery,
and anyone could participate in it, real-time. Ever since, companies like
Osso VR, ImmersiveTouch, OramaVR or Fundamental VR have used VR
as both training or imaging solutions.
VR can elevate the teaching and learning experience in medicine to a
whole new level, replacing students peeking over the surgeon’s shoulder
during an operation. By using VR, surgeons can stream operations,
allowing medical students to be in the OR virtually, using their VR goggles.
Helping doctors practice procedures or life-saving moves is invaluable.
NARRATIVE 2-35
Augmented Reality (AR)

As there is a lot of confusion around VR and AR, let me clarify: AR differs
from VR in two essential features. AR users do not lose touch with reality,
while VR puts information into eyesight as fast as possible. These
distinctive features have a huge potential in helping surgeons become more
efficient at surgeries. Whether they are conducting a minimally invasive
procedure or locating a tumor in the liver, AR healthcare apps can help
save lives and treat patients seamlessly.
The first AR-backed spinal fusion surgery took place in 2020 in the U.S.,
where an FDA-approved AR Guidance system helped surgeons visualize
the 3D spinal anatomy of a patient during surgery – it was just as if doctors
had X-ray vision. The team at the Johns Hopkins Hospital praised the tool
for accuracy, safety and operating efficiency. Another company, Proprio
supports medical professionals by creating A.I.-supported ultra-precise 3D
images.
Surgical Robotics
Surgical robots today have 3D cameras that record operations. The video
streams to a computer screen somewhere nearby beyond a plexiglass as
the doctor proceeds with the operation.
Surgical robots are the prodigies of surgery. The most commonly known
surgical robot is the da Vinci surgical system, and, believe it or not, it was
introduced over 20 years ago! It features a magnified 3D high-definition
vision system and tiny wristed instruments that bend and rotate far greater
than the human hand. With da Vinci, surgeons operate through just a few
small incision.
Minimally Invasive Surgery (MIS)
Minimally invasive surgery allows fewer but more precise cuts, fewer
incisions, leading to less pain and faster recovery. The medical device start-
up Levita aims to refine such procedures with its FDA-approved Magnetic
Surgical System for prostatectomies. This innovative technological platform
is utilizing magnetic retraction to grasp and retract the gallbladder during
laparoscopic surgery.
Vicarious Surgical, a next-generation surgical robotics company, aims to
increase the efficiency of surgical procedures. The Vicarious system has an
exceptional reach and the ability to “replicate” all the moves of a surgeon –
and more. It creates a single incision just 1.5 cm across that still allows
through two robotic arms and a camera.
3D Printing and Simulations in Pre-Op Planning and Education
Complicated and risky surgeries lasting hours need a lot of careful planning.
Existing technologies such as 3D printing or various simulation techniques
NARRATIVE 2-36
help a lot in reforming medical practice and learning methods, as well as

modelling and planning successfully complex surgical procedures.
Researchers at Penn State University recently repaired skin and bones by
bioprinting during surgery in a rat model. Face and skull injuries are
particularly difficult to fix as there are many layers of various tissues. During
this operation, Ibrahim T. Ozbolat, Hartz Family Career Development
Associate Professor of Engineering Science and Mechanics, Biomedical
Engineering and Neurosurgery, Penn State and his team printed both bone
and soft tissue. “It took less than 5 minutes for the bioprinter to lay down the
bone layer and soft tissue,” the professor explained. They hope to translate
this research to human applications.
2.2. Technical Considerations
2.2.1. VA Policies/ Directives/ Handbooks, Codes, and Standards

VA functions as the Authority Having Jurisdiction (AHJ) for all VA owned
and operated facilities and projects and has the responsibility to guard
public health and safety through enforcement of its adopted codes.
Planning, design, and construction of all VA Surgical Services facilities must
be in accordance with this document and with the latest editions and/or
revisions of all VA and industry’s applicable codes and standards. The more
stringent code and/or standard are to be applied to VA facilities.
Requirements in this Design Standard shall not be construed as
authorization or permission to disregard or violate applicable local codes
and regulations.
Please refer to the PG-18-3 (Topic 1) for a list of Codes, Standards and
Executive orders.
VHA Directive 1043: This Veterans Health Administration (VHA) directive
provides policy for implementing the expansion, reduction, or elimination of
major clinical services or programs that may change or impact the delivery
of care provided to Veterans in existing facilities, including Community
Based Outpatient Clinics (CBOC).
Local Codes and References
VA is not subject to local imposition of code enforcement procedures, such
as drawing reviews, building permits, inspections, fees, etc. Therefore, VA-
CFM functions as the Authority Having Jurisdiction (AHJ) for all VA owned
and operated facilities and projects. However, VA leased properties typically
follow all local city, county and State AHJ’s.
NARRATIVE 2-37
Other Recommended Reference Standards

FGI: This reference standard is commonly used for non-VA owned but
operated outpatient facilities and comes under the jurisdiction of the local
city, county and State AHJ’s. FGI Guidelines for Design and Construction of
Hospital and Outpatient Facilities-latest Edition adopted by local city, county
and State AHJ’s and is published by the Facilities Guidelines Institute.
HIPAA: The Healthcare Insurance Portability and Accountability Act of
1996 (HIPAA) protects individual’s rights to audible as well as visual
privacy. This is especially the case with respect to protection of each
individual’s medical records, private information and communications. The
law protects all conversations between patients and admission interviewers,
caregivers, nurses, physicians and families. The American Recovery and
Reinvestment Act (ARRA) passed by U.S. government in 2009 enacted
special provisions and legal enforcement tools for patient privacy, protection
and security. Office of Civil Rights (OCR) monitors HIPAA security rule
compliance based on ARRA provisions. Current penalties that can be
implied by OCR for non- compliance with HIPAA are divided in four
categories:
a) without knowledge,
b) based on reasonable cause,
c) willful neglect, and
d) willful neglect not corrected.
Penalties differ per violation versus maximum penalty according to these
four categories and vary between $100 and up to $1,500,000.
Disaster Planning: Situations can arise in which it may not be feasible to
evacuate patients for extended periods of time. In those cases, emergency
power will be required to maintain seamless equipment operation, heating,
ventilating and vertical transportation systems, and life safety systems. This
Design Standard recommends that the project consider planning for this
contingency in order to care for the Veteran population especially when the
facility is located in an area where a high probability of threat exists from
natural disasters such as hurricanes and earthquakes. Smoke
compartments in a hospital allow staff to move patients to a safe area in the
case of an emergency while continuing patient care.
Medical staff are trained to respond to fires with the R.A.C.E. method. This
acronym stands for rescue, alarm, contain, evacuate, and describes a
methodology to take steps towards a quick evacuation of a building while
also trying to contain a fire and help people needing assistance to safety.
AORN Guidelines for Perioperative Practice: The Guidelines for
Perioperative Practice are published by the Association of periOperative
NARRATIVE 2-38
Registered Nurses (AORN), a non-profit association with the mission of

promoting safety and optimal operative and other invasive procedure
outcomes. It provides definitions and guidelines for aseptic practice,
equipment and product safety, patient and worker safety, sterilization and
infection.
2.2.2. Architectural
Corridors: Shall be designed to a minimum of 8 feet clear width to
accommodate passage of equipment or beds and two stretchers and/ or
wheelchairs within the surgical department. In non-patient areas and
outpatient clinical spaces where gurneys are not utilized, corridors may be a
minimum of 5 feet in clear width.
General: Refer to VA PG-14 Room Finishes, Door, and Hardware Schedule
for requirements for ceiling materials in the restricted and semi-restricted
areas of the surgical suite.
Ceilings:
• The finished ceiling height for Surgical Operating Rooms should be a
minimum of 10 ft. (3050 mm) above the finished floor and shall be
monolithic (gypsum board) and scrubbable. The use or consideration
for lay-in ceiling panels, boards, and/or tiles are not acceptable under
any circumstances.
• The finished ceiling height for Endovascular Procedure Rooms
(hybrid OR’s, Catheterization Labs, Interventional Radiology Labs,
Electrophysiology Labs and Vascular OR’s should be a minimum of
10 ft. (3050 mm) above the finished floor and shall be monolithic
(gypsum board) and scrubbable. The use or consideration for lay-in
ceiling panels, boards, and/or tiles are not acceptable under any
circumstances.
• The finished ceiling above scrub station alcoves shall be monolithic
circumstances.
• The finished ceiling height for the clean core should be a minimum of
9 ft. (2743.2 mm) above the finished floor and shall be monolithic
circumstances.
Floors: Cleansability of the flooring material is of primary importance in the
surgical suite, as most areas are at high risk for the spread of infections.
Consider the following when choosing a flooring material:
NARRATIVE 2-39
• Ease of maintenance
• Readily cleanable
• Impact by germicidal cleaning solutions (if any)
Flooring in operating rooms shall be resinous poured flooring with integral
base seamless and of non-porous material. Special consideration should be
given to the area directly below the surgical table, where betadine staining
is a common problem. Betadine is an antiseptic frequently used in surgical
procedures that leaves a yellowish-brown stain. While some flooring
materials will hold up better than others to staining, it is generally
recommended to provide colors that will disguise betadine build-up in this
area. Also, this area may be of a different color than the rest of the flooring
in the room to demarcate the extent of the air curtain at the ceiling above
the surgical table.
Walls: Due to the large amount of cart and stretcher traffic in the surgical
and endovascular suites, consideration shall be given to the durability of
walls. It is recommended that walls are fitted with wainscot wall protection
extending at least 4’-0” above the finished floor. If budget allowable,
consideration may be given to stainless steel wall cladding.
Door swings: All doors allowing entry into the surgical OR and/ or
endovascular procedure room, including doors from the Control Room to
Procedure Room as well as doors from the Clean Core, shall swing into the
surgical OR and/or endovascular procedure room to maintain positive
pressure.
Casework: Modular moveable casework storage systems should be
considered for flexibility including the incorporation of typical dimensions for
ease of multiple re-use applications, and ease in terminal cleaning of OR
and endovascular procedure room floors. Casework systems should be
integrated with space planning to avoid corner installations and filler panels.
Countertops for all clinical and clinical support areas should be made of
solid impervious resin material (per PG 18-14: Room Finishes, Door &
Hardware Schedule) with integral sinks, which offers long-term durability,
and resists chipping and staining from medical agents expected to be used
in clinical environments. For areas where strong chemicals are used, such
as soiled utility rooms, seamless stainless steel counters with integral
backsplash should be used. Plastic laminate veneer materials may be used
in non- clinical staff and administrative areas.
Acoustics/Noise Control: Interior acoustics that support speech
intelligibility and provide comfort can be difficult to obtain in an operating
room where non-porous materials are mandated for infection control
requirements. It is important to find ways to control reverberation and noise
build-up in these spaces. The acoustical design of patient spaces shall also
NARRATIVE 2-40
be taken into consideration, in particular the pre-operative and PACU and

Phase II recovery areas, in order to minimize patient stress and discomfort.
Noise should be minimized by the design of the physical environment and
the selection of operational systems and equipment.
Refer to PG 18-3: Topic 11 - Noise Transmission Control and AORN’s
Position Statement on Managing Distractions and Noise During
Perioperative Patient Care for additional information regarding acoustical
requirements.
Doors: The doors 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. Sliding entry doors to surgical OR’s and endovascular procedure
rooms are discouraged due to their high maintenance requirements.
For patient rooms and holding bays in Phase I Recovery (PACU) and pre-
operative/Phase II Recovery areas, verify with applicable life safety codes
that configuring doors to opening into corridors is allowable, consider
recessing doors so that door swings do not interfere with corridor traffic.
Alternatively, the door(s) can be configured to open into the patient room.
2.2.3. Interior Design

Interior Finishes: Per the Room Finishes, Door, and Hardware Schedule
(PG 18-14), consider the following key factors in the design process, which
have an impact on the build environment and the patient experience:
• Maintenance
• Durability
• Life cycle cost
• Therapeutic attributes
• Improved wayfinding
Additionally, designers should specify appropriate materials to maximize
infection control. These materials can include but are not limited to vinyl
coated fabric wallcoverings, and upholstery fabric with special coatings and
moisture resistant backings.
NARRATIVE 2-41
Wayfinding: Organizing the department to allow for intuitive wayfinding will

help reduce patient stress and is therefore an important design
consideration.
Also, it should be noted that some staff members that may be present in the
facility do not frequent the department regularly. It is therefore important to
consider both off-stage and on-stage routes when designing wayfinding.
2.2.4. Heating, Ventilation, and Air Conditioning Systems (HVAC)

HVAC systems shall be provided to heat, cool, and ventilate individual
rooms or areas as required to satisfy design criteria. The HVAC system
shall comply with NFPA 72, 90A, 99, and 101, and the current version of
Department of Veterans Affairs (VA) HVAC Design Manual, VA Design and
Construction Procedures, VA Master Construction Specifications and VA
Standard Details, where applicable. The current VA design and construction
criteria are available on the VA Technical Information Library (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 within 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.
Special HVAC design may be required for orthopedic OR’s as “bone grout”
temperature and relative humidity criteria is critical, consult with surgeon
and surgical clinical nursing staff.
Life Cycle Analysis: The HVAC system shall be selected based on an
economic life cycle analysis performed as outlined in the current edition of
the VA HVAC Design Manual.
Energy Conservation: Energy conservation shall be emphasized in all
aspects of the building design. The building shall meet the requirements of
the current version of the VA Sustainable Design and Energy Reduction
Manual, the VA HVAC Design Manual, the VA Electrical Design Manual,
and the VA Plumbing Design Manual. These design manual energy
standards apply to HVAC systems as well as the building envelope, service
water heating, lighting and energy management.
Exterior Design Conditions: Exterior summer/winter design conditions
and cooling tower wet bulb design temperatures shall be based on the
current edition of the VA HVAC Design Manual.
The Architect/Engineer (A/E) may recommend more severe outdoor climatic
conditions for review and approval by the VA.
NARRATIVE 2-42
Interior Design Conditions: Interior design conditions for each space shall
be maintained throughout the year. Interior design conditions for all spaces
shall be maintained in accordance with the current version of the VA HVAC
Design Manual.
Supply Air Requirements:
The supply air volume shall be established to meet the heating and cooling
load requirements of the occupied space. The supply volume shall,
however, be modified to meet the following:
a) minimum air change requirements if this air quantity is more than
the heating and cooling load requirements,
b) maintain proper space pressurization relative to room exhaust
requirements.
For all air systems the supply air minimum airflows shall follow the current
version of the VA HVAC Design Manual.
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
NARRATIVE 2-43
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
specially designed linear slot diffusers that surrounds the operating table
surgical 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 particles 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 contaminants, 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.
Manifold-Unidirectional Air Delivery: Current and future surgical OR’s as
well as endovascular procedure rooms are utilizing fully integrated
unidirectional air flow technology (manifold system) which affords many
benefits such as: supporting ceiling suspended equipment consisting of
surgical lights, equipment booms, monitors as well as supporting ceiling
mounted imaging equipment gantries. The manifold system provides a level
stable platform which inhibits the common issue of “drift” found in
independent “red iron” supports. Another advantage of the “manifold” is the
speed to install during construction
Unlike the general operating rooms, the hybrid operating rooms utilize a
single large array of laminar flow diffusers over and beyond the sterile field
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 operating 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.
NARRATIVE 2-44
Filtration: Filtration for the Surgical Suite HVAC systems shall be provided
in conformance with the current version of the VA HVAC Design Manual.
Operating rooms and surgery support spaces shall follow the current
version 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 room types shown in the VA HVAC
Design Manual 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
installing an area of flooring material that is a different color from the
balance of the room. This area should be located in the Operating Rooms
by aligning it with the slot diffusers described above, and for the Hybrid
Operating Rooms and Endovascular Procedure Rooms by aligning with the
perimeter of the laminar flow diffuser array. This will visually indicate the
boundaries of the sterile field.
Surgical and Endovascular Room Return Air Requirements: During a
surgical and/or interventional procedure, all of the net floor space from the
floor surface to a distance 15 in. (380 mm) above is considered
contaminated. Therefore, all return grilles must be positioned low on the
wall above the floor. Return air for both the general operating rooms and
hybrid operating rooms is collected at low wall grilles. There shall be a
minimum of four low return air grilles located at each corner of each surgical
operating room and/ or endovascular procedure room. The height of the
bottom of the return air grilles above the floor is indicated in the VA HVAC
Design Manual, typically it is eight (8) inches (203 mm) above the finished
floor surface.
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 Manual.
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 2-45
Design Features: HVAC design features such as the use of economizers

shall follow the design criteria outlined in the current version of the VA
HVAC Design Manual.
Temperature Control Criteria: The automatic temperature controls
systems and the use of individual temperature controls for operating rooms
and specific spaces shall be provided in accordance with the current
version of the VA HVAC Design Manual.
Humidity Criteria: Humidity levels for the Surgical Suite HVAC systems
shall be provided in conformance with the current version of the VA HVAC
Design Manual.
2.2.5. Plumbing Systems

The plumbing 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. Where state or local
codes are more stringent than the above requirements, submit criteria to the
VA for review and approval.
Domestic Water: Domestic water shall be distributed to the plumbing
fixtures and equipment. Design of the domestic water system shall follow
the VA Plumbing Design Manual. This includes design of water hammer
arrestors, domestic booster pump design, and central domestic hot water
and recirculating systems.
Plumbing Fixtures: Plumbing fixture types (including fixtures required to
meet person with disabilities requirements) and fixture flow restrictors
(aerators are prohibited) shall be in accordance with the current version of
the VA Plumbing Design Manual.
Sanitary Systems: Provide sanitary drain connections to plumbing fixtures
designed in accordance with the current version of the VA Plumbing Design
Manual. Floor drains and floor sinks shall not be installed in aseptic room,
spaces, or areas.
Any and all open sources of water including but not limited to sinks, floor
drains and floor sinks, shall not be installed in the following areas:
• Surgical Operating Rooms
• Endovascular Procedure Rooms (Cardiac Catheterization,
Electrophysiology and Interventional Radiology Labs, and all
Vascular and Hybrid ORs)
• All aseptic areas
• Semi-restricted Corridor
NARRATIVE 2-46
• Clean Core
• Clean Utility Rooms
Floor drains and floor sinks may be installed in the following rooms:
• Housekeeping closets (HAC)
• Soiled utility rooms
• Toilets
• Staff toilet showering rooms
Note: Absolutely no drains and/or floor sinks shall be installed within a
surgical operating room or endovascular procedure room under any
circumstances.
2.2.6. Medical Gas and Medical Vacuum Systems

Medical compressed air, oxygen and medical vacuum systems shall be
provided in accordance with the current version of the VA Plumbing Design
Manual. Coordinate project specific requirements with the VA. Provide a
separate medical gas zone valve box for each operating room in
accordance with NFPA 99. Locate this box in the semi-restricted corridor
near the door to the operating room it serves. See the current version of the
VA Master Construction Specifications for panel description.
In addition to the gases described above other gases such as Nitrogen,
Nitrous Oxide, and Carbon Dioxide are provided to the Operating rooms.
When Nitrous Oxide is provided, a Waste Anesthesia Gas Disposal system
must also be present. Nitrogen control panels are to be provided to the
Operating rooms in accordance with the latest version of NFPA 99.
Types and Use of Medical Gas: Medical gas systems in hospitals are, in
a word, lifesaving. These assemblies supply piped oxygen, nitrous oxide,
nitrogen, carbon dioxide, and medical air to hospital areas such as patient
rooms, recovery areas, operating rooms, and more. Computerized alarm
systems monitor gas flow and alert hospital staff to any anomalies. There
are main types of medical gas used in hospital environments.
1. Oxygen: Used when patients require supplemental oxygenation due to
hypoxemia and hypoxia (insufficient oxygen in the blood). This system
consists of a large storage system of liquid oxygen, which is then
evaporated into a concentrated oxygen supply. Pressures are kept
around 380 kPa or 55 psi. This arrangement is described as a vacuum
insulated evaporator or VIE. For medical centers with a low patient
capacity, oxygen is supplied by multiple standard cylinders, as opposed
to evaporated liquid oxygen.
2. Nitrous Oxide: Sometimes called laughing gas, this is used as an
analgesic, and as an anesthetic for pre-operative procedures. Nitrous
NARRATIVE 2-47
oxide is delivered to the hospital in standard tanks and is supplied

through the medical gas system at around 345 kPa, or 50 psi.
3. Nitrogen: Often used to power surgical equipment during various
procedures, and to measure a person’s response to a simulated aircraft
cabin environment in pre-flight lung testing. This is known as hypoxic
challenge testing. Nitrogen is also used as a cryogen to freeze and
preserve blood, tissue, and other biological specimens, and to freeze
and destroy diseased tissue in dermatology and cryosurgery.
4. Carbon Dioxide: Used to suspend or inflate various tissues and used in
laser surgeries. Most commonly, carbon dioxide is used in abdominal
and thoracic surgeries, where the surgeon may need to move various
organs to get to one particular area of the body. Carbon dioxide can also
be combined with oxygen or air for respiratory simulation and treatment
of various respiratory disorders. System pressures are maintained at
about 345 kPa, or 50 psi.
5. Medical Air: Supplied by a specialized air compressor to patient care
areas. Clean outside air is pressurized to around 380 kPa, or 55 psi, and
brought inside to the patient. Medical air should never be used as
oxygen, and cannot be used for HVAC controls, or to provide power to
surgery tools. Medical air is used extensively in the ICU, PICU, and
NICU areas, and with pulmonary nebulizers to reduce the risk of excess
oxygen in the lungs or other body tissues (known as hyperoxia), during
mechanical ventilation or surgical procedures.
6. Helium/Heliox: Often used to treat fixed partial upper airway
obstructions or increased air resistance to help patients breathe easier.
It is also used in liquefied form to help MRI machines reach a
superconducting state. This allows the MRI to produce high-resolution
body images without exposing the patient to radiation.
7. Carbon Monoxide: This gas is used only in very trace amounts as an
ingredient in lung diffusion testing. This test helps medical staff to
determine how well a patient’s lungs are exchanging gases.
In addition to these main gases, there are a number of medical gas
mixtures often used for patient diagnostics such as lung function, or for
blood-gas analysis. Test gases are also used to calibrate and maintain
medical devices that are employed in the delivery of anesthetic gases.
Medical gases are also used in a laboratory environment. This is where
bacterial cultures may be grown in controlled aerobic or anaerobic incubator
atmospheres. Biological cell cultures or tissue growth can be controlled by
aerobic conditions that use mixtures rich in oxygen. Conversely, anaerobic
conditions are created using mixtures rich in hydrogen or carbon dioxide.
NARRATIVE 2-48
Waste Anesthetic Gas Disposal (WAGD): The WAGD system is used to

evacuate waste anesthetic gas from the surgical operating room and/or
endovascular procedure room to the outside. This can be accomplished in
different ways.
The safest method is by use of a dedicated set of vacuum pumps to actively
draw the waste anesthesia gas out. Other systems rely on negative
pressure in a universal medical vacuum system to remove the gas. The
second method has become popular as it allows for a simpler installation
requiring fewer lines and pumps.
Ultimately, the purpose of the WAGD system is to ensure that gas is being
evacuated outside, without getting trapped in any part of the anesthetic gas
system, as gas that lingers in or near the anesthesia system can eventually
build up.
Which System Should Be Used? A WAGD system that works using the
other medical vacuum lines should be evaluated against the other types of
medical gases to be used in a facility. There is some concern over the
mixing of gases in these combined gas lines, as well as the occurrence of
flash fires when the mixed gases reach the vacuum pump.
However, this is the most cost effective means of disposing of anesthetic
gas, because the installation uses only one set of vacuum pumps. If there is
no separate WAGD system, the oxygen content of the effluent must be
closely monitored. Above all, the vacuum pumps must be compatible with
oxygen. Maximizing the safety of the physicians and patients in the OR and/
or Endovascular Procedure Room should be the goal.
Characteristics of an Ideal WAGD System:
1. The system is active, moves the waste down the line (NFPA
uses the term “producer”)
2. This “producer” is oxygen inert (inert meaning unlikely to react with
other substances)
3. Operates at a low vacuum level
4. Has a high flow
2.2.7. Lighting and Power Systems

Lighting: The Lighting Design Manual provides A/E guidance for lighting
systems such as design parameters and recommended types of luminaires.
The A/E has the option of using either fluorescent or LED lighting
technology. The A/E shall follow the Reflected Ceiling Plan in Section 4 –
Room Templates for the placement of luminaires, if the placement of
luminaires meets design criteria of the project. However, the A/E shall be
NARRATIVE 2-49
responsible for the final placement of luminaires as shown on contract

drawings. The 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.
Lighting levels in the operating room are also required to fluctuate from high
to low in order to accommodate specific tasks. Therefore, the 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. The A/E shall follow guidance for calculations
shown in the Lighting Design Manual - Section 2.11 - Lighting Calculations.
The Illuminating Engineering Society North America (IESNA) Handbook
10th Edition states that need of low-level background lighting using green
lamps is a preference of individual surgeons. It is not a required lighting
design criteria for surgical and/or endovascular rooms. There is no NAIES
standard recommending or requiring green lamp design for surgery rooms
at this time. There is no academic and peer reviewed research reports to
validate benefits of green lamps at this time. Therefore, dimming
arrangements for luminaires is the preferred way over green lamps to
provide low level background lighting in the surgery room.
Power: The A/E shall provide electrical design for all electrically operated
equipment. The A/E shall confirm electrical requirements of all equipment to
provide correct design and load calculations. A/E shall show receptacles or
hardwire connections for all electrically operated equipment. The Electrical
Engineer shall coordinate with The Architect regarding the physical
dimensions of the Isolated Power Systems(s) (IPS) equipment. This
information is needed for the construction of the wall to correctly
accommodate the IPS equipment.
Refer to the Electrical Design Manual for guidance regarding requirement of
Isolated Power System (IPS) in operating rooms. The design and
installation of dual IPS panels providing two different output voltages
simultaneously using one isolated transformer is prohibited.
Power and ground modules providing a combination of hospital grade
receptacles and hospital grade ground jacks shall be provided along the
walls.
Normal Power: One IPS on normal power shall be designed and specified
for each surgery room. Receptacles on normal power shall be connected to
the normal power IPS.
NARRATIVE 2-50
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.
Emergency Battery Power: Emergency battery backup power is required
in all surgical and endovascular procedure rooms. Requirements for the
Emergency System shall comply with the VA Electrical Design Manual,
NFPA 70, 99, and 110.
2.2.8. Telecommunications and Special Telecommunication Systems,

Monitoring, and Signaling Systems
Intercom, telephone and computer systems are all required in the operating
rooms. In addition, a “code blue” system is required in the event of a cardiac
arrest summoning designated staff to the OR from other areas of the
hospital. It is highly desirable for the articulating utility column serving the
anesthesia machine to have a telephone mounted on it since the
anesthesia staff cannot leave the head of the table. This will allow him/her
to summon assistance from the chief anesthesiologist when required or to
request a replacement when a break is needed.
Operating Room Integration: Originally focused on video routing, OR
integration is now defined by a broad set of applications that provide on
demand information to physicians, staff and administrators for use in the
operating room and beyond. Integration media is used to assist in
preparation for and in the performance of a procedure, as well as
documentation, performance analytics, and archiving purposes.
Additionally, operating room environments can be controlled from a single
interface that automatically updates and syncs temperature, lighting, and
monitor visual information in a sequence of procedure phase presets. Asset
tracking capabilities allow for historical review of movement patterns and
equipment utilization, the ability to track button presses, interactions, and
inventory counts of certain key assets. The resulting data is amalgamated
and analyzed to improve efficiency and optimize resources.
NARRATIVE 2-51
Virtual Whiteboard Visual Workflow Management Software: Visual

Workflow Management Software is a web-based patient tracking system
that utilizes sensors and staff inputs to progressively update and
disseminate patient status, room availability and procedure status to
physicians, staff and family in real time via mobile devices, pre/post and
waiting area status boards, and bedside PCs. HIPAA compliance updates
are also posted to a hospital website, which is managed through the OR
control room command center.
Software incorporating Real Time Location System (RTLS) technology
provides a series of zone and room sensors to track patients as they
progress though the unit and their prep, procedure, and recovery. The OR
scheduling system is updated in real time with the patient location and
status to create a comprehensive view of patient workflows for physicians
and staff throughout the perioperative environment. Staff optimization and
throughput is improved, workflows streamlined, and dissemination of patient
status is enhanced with improved visibility.
These systems incorporate a variety of applications to notify and display
information including smart phone and tablet applications, OR and bed side
PC’s, large format status monitors and electronic staffing boards. Patient
arrival to the OR is automatically captured and patient data (allergies, labs,
ordered blood products, specimens and more) can be posted to Patient
Safety Displays within the system.
The system is controlled and monitored at the OR control desk where a
comprehensive view of the entire suite can be relayed with real-time
updates for every surgical patient, optimizing clinical staffing, patient
throughput, predictability and control. A series of automated text
notifications are sent to appropriate staff, minimizing the number of calls
and pages required to progress a patient through a procedure.
Physicians, staff, and supervisors can utilize the phone and tablet
applications on the move to stay abreast of cancellations, emergency
cases, patient flows, OR camera views, and on demand daily and historical
performance 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
NARRATIVE 2-52
information from other data systems and displays it on a dedicated screen

in the OR, providing automatic access to key information from diverse IT
systems - Laboratory, Radiology, Medical Records, Allergies and more. The
system can also assist OR staff in safely navigating through Sign In, Time
Out and Sign Out requirements for every surgical procedure while
encouraging best practices to optimize patient outcomes that can
significantly reduce the potential risk of a “never” event.
Endoscopic Integration: Operating theaters fully integrated for both
endoscopic and open procedure equipment allow increased flexibility in
scheduling and OR utilization depending on the scale of the facility and
number of procedures. Advantages of endoscopic procedures include a
reduction in tissue trauma, leading to less postoperative pain, faster
recovery, and improved cosmetic result. Improvements in technique and the
collaborative development of endoscopic instruments have improved
outcomes and the capability is becoming increasingly preferred by
surgeons and patients.
Endoscopic equipment can be integrated into the common sterile interface
for operating lights, table positioning, pumps, shavers, insufflators and
electrosurgical equipment. Surgeons rely heavily on image quality in
endoscopic procedures and calibration between equipment cameras and
monitors is vital. Precise performance parameters of endoscopic cameras
are built in-to the operating system of the operating room monitor in a
concept known as “matched pairs” to optimize color reproduction and
ensure accuracy of geometrical scaling.
Video integration: Audio and visual connection technology provides high
quality real-time communication that can be disseminated in multiple tiers of
information sharing, bringing external users inside the operating room. Data
from the OR is translated via fiber optic hardwire to the in-suite control
interface, a switchboard- like device enabling two-way audio and video or
image communication from point- to-point within the hospital, ensuring
secure communication without using the hospital’s bandwidth. Additional
system components can expand the accessible range from within the
hospital to offsite institutions and external users on the other side of the
world via CODEC or internet streaming.
The same communication can be had between ORs in the same hospital
wherever compatible CODECs are used. This feature can be installed in
one room or at the in-suite control desk and shared by all. An example of its
functionality is an OR in the United States sending pictures and audio in
real time to a surgeon in another country who has a compatible CODEC.
A streaming tier can transmit live, one-way audio and video to live
broadcast procedures to a conference room or auditorium via a network.
NARRATIVE 2-53
The broadcast can be viewed by smaller groups on desktop, mobile devices

and tablets or larger groups with certain third-party streaming devices. The
feature is commonly used by teaching hospitals and can be integrated on
site in a manner similar to the CODEC and the two are typically collocated
for convenient control of external information dissemination.
Cameras used for live viewing and recording allow surgeons to capture any
angle and position of procedure with enhanced five axis control capability
including image rotation to optimize view orientation, auto focus zoom to
capture appropriate level of detail through the progression of a procedure,
panning to the left or right, tilting up and down, pivoting freely in a full circle.
The cameras have a combination of automated features and manual modes
that can be maneuvered through the integration system touch panel or in
the surgical field by using button controls on the camera. The focus and
brightness adjustment capability can capture true color rendition when
calibrated and routed to a high definition monitor recording device, multiple
video formats and signal compatibilities are built into the camera for real
time capture with no discernible image lag. High end cameras feature up to
2 million effective pixel with 1080 horizontal high definition resolution and up
to 120x optical zoom. Various mounts are available for the cameras to
locate anywhere in the room including arm mounts that can locate the
camera directly over the operating table. Mounts can be located on surgical
lights or independently. The mounts and camera utilize anti drift technology
similar to that used in operating room lights to ensure the camera does not
move out of position once located.
Digital recording systems can capture high definition surgical audio, 1080p
video and still images, and annotation during a case. Some recording
systems also feature search engines for keyword-based image retrieval,
editing software, and built in printing capability that can render pre-scripted
images automatically during a case or select images for use afterwards.
This functionality can also be tied to third party devices with USB ports and
stored on the hospital servers via centrally mapped network drives Digital
recording systems can capture images and video directly from OR cameras
as well as be linked to other inputs in other areas of the suite including
mobile devices with proper software. Once captured, the information can be
made available to any device on the hospital network with software that
enables tiered secure access, customizable to hospital and HIPPA
compliance policies, for downloads, information sharing with consulting
physicians and incorporation into electronic medical records.
It is preferred for these components to be non-proprietary in order to allow
for plug and play in the future.
NARRATIVE 2-54
Pneumatic Tube System: A pneumatic tube station should be

considered in order to provide an efficient means of delivering medications
and labs to and from the surgical suite to the main hospital pharmacy and
main lab.
2.2.9. Fire Protection and Life Safety

Fire Detection and Sprinkler System: Provide fire alarm and detection
systems in compliance with NFPA 101 and NFPA 72 as well as VA Fire
Protection Design Manual. Coordinate the location of sprinklers with other
ceiling systems in accordance with the current version of the VA Master
Construction Specifications and VA HVAC and Plumbing Design Manuals.
NARRATIVE 2-55
3.0 FUNCTIONAL DIAGRAMS
3.1. General:
Not every patient will follow the same workflow protocol; therefore, several
different scenarios have been diagrammed in Figures 3.1.1, 3.1.2, 3.1.3, 3.1.4,
and 3.1.5 to indicate 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, whether
within the VAMC hospital or the Community Based Outpatient Clinic (CBOC)
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. Though dependent on the complexity of
the surgery, the patient will have been admitted to the hospital pre-assessed
then transported to pre-operative holding, sedated and then to surgery. 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.
Figure 3.1.1 Overall perioperative layout where the entire patient journey is
mapped from pre-operative phase then to the intra-operative phase to post-
operative phase then to patient discharge. Whether the patient’s interventional
procedure occurs as an inpatient, elective out-patient, or emergent trauma,
either within the hospital, in a stand-alone ambulatory outpatient surgical facility,
or as a component of an outpatient community based clinic, the patient’s journey
is relatively the same.
Figures 3.1.2, 3.1.3, 3.1.4, and 3.1.5 are more specific to how the patient
presents for a surgical or endovascular procedure.
FUNCTIONAL DIAGRAMS 3-1

Figure 3.1.1 Overall Diagram: Peri-Operative Services

Figure 3.1.2 Hospital Based Surgery (Inpatient Flow)

Figure 3.1.3 CBOC Ambulatory - Outpatient Surgery Flow

Figure 3.1.4 Hospital Based Ambulatory - Outpatient Surgery Flow

Figure 3.1.5 Emergency / Trauma Based Surgery Flow

3.2. The Surgical Suite
The surgical suite consists of both traditional surgical operating rooms

(open procedures) that include general, orthopedic, Uro-Cysto, neuro,
transplant, robotic, cardiothoracic and endovascular interventional rooms
(closed procedures) that include – cardiac catheterization, electrophysiology,
interventional radiology and hybrid rooms where either cardiovascular and
vascular surgery is performed. The suite is divided into three designated areas
that are defined by the physical activities performed in each area of the surgical
department. Increasing environmental controls and surgical attire as progression
is made from unrestricted to restricted areas decreasing the potential for cross-
contamination.
• Unrestricted Area
• Semi-Restricted Area
• Restricted Area
The unrestricted area includes the central control point established to monitor
the entrance of patients, personnel, and materials. Street clothes are permitted
in this area and traffic is not limited. The front desk, patient hold, and supply are
considered semi-restricted support areas. Street clothes may be worn in these
areas. Public access to the area may be limited based on the facility’s policy
and procedures.
The semi-restricted area (“red line”) includes the peripheral support areas
of the surgical suite. This area includes storage areas for clean and sterile
supplies, work areas for processing instruments by SPS personnel, scrub sink
areas and corridors leading to the restricted areas of the surgical suite, and
the entrances to locker rooms, the preoperative admission area, the PACU,
and sterile processing. This area is entered directly from the unrestricted area
past a nurses’ station or from other areas. Traffic in semi-restricted areas is
limited to authorized personnel and patients. Note that personnel are required
to wear surgical attire and cover all head and facial hair. The care of the patient
during surgery requires movement of patients, personnel, and material within
the surgical suite. Planning and controlling these movements assist in the
containment of contamination. Only authorized personnel are allowed in the
restricted areas. “Authorized” personnel are those assigned to Surgical Services
to include:
• Perioperative Nurses and Surgical Technologists

• Anesthesiologists, their residents
• CRNAs, SRNAs, and Anesthesia Technicians
• Surgeons, their residents, interns, and medical students
The restricted area includes the Operating Rooms (ORs), endovascular

procedure rooms and clean core areas. Proper surgical scrub attire, hair
doverings, and name identification are mandatory in the restricted areas. Masks
are required at all times and where open sterile supplies or scrubbed persons
are located. Unnecessary traffic is not permitted. All doors must be kept closed
except as needed for passage of equipment, personnel, and patients and also to
maintain pressurization. All staff traffic to and from an operating room will be via

the semi-restricted corridor that surrounds all of the surgical and interventional
procedure rooms. Noise and the number of personnel allowed to enter into the
operating room and/or endovascular procedure room is kept to a minimum,
especially with a surgical procedure in progress.
Persons entering the semi-restricted or restricted areas of the surgical suite for
a brief time for a specific purpose, such as parents or biomedical engineers,
must don proper surgical scrub attire and may don either freshly laundered
surgical attire or a single-use coverall suit designed to totally cover outside
apparel. Patients are donned with clean gowns, covered with clean linens and
hair coverings. Surgical supplies prepared for surgical procedures outside the
surgical suite (e.g. in Sterile Processing Department, SPD) are transported to
the surgical suite by means of a clean elevator from SPD to the clean core to
maintain cleanliness and sterility and to prevent physical damage.
Soiled supplies, instruments, and equipment shall not enter the clean core area.
Contaminated items shall be in closed, covered carts or containers for transport
to the decontamination area via a “soiled” elevator which terminates in the soiled
side of SPD.
The following Figures 3.2.1, 3.2.2, and 3.2.3 illustrate typical workflows in
surgical department of different complexity levels.

Figure 3.2.1 Adjacency and Flow - Standard - Ambulatory Surgical Suite

Figure 3.2.2 Adjacency and Flow - Intermediate - Complex Surgical Suite

Figure 3.2.3 Adjacency and Flow - Complex Integrated Interventional Suite

Figure 3.2.4 Standard - Ambulatory Surgical Suite Organization
Notes:
General surgery as well as minimally invasive surgery (MIS) are performed in
the same size room. It should be noted that non-robotic MIS is also known as
endoscopic surgery which includes: laparoscopic surgery and thoracoscopic
surgery, also known as “keyhole” surgery. These are minimally invasive
procedures that utilize an endoscope to reach internal organs through very
small incisions. MIS surgery offers patients several benefits such as smaller
incisions, faster recovery times, and reduced pain and scarring. in many
cases, MIS surgery also offers a higher accuracy rate compared to traditional
open general surgery.
* Clean and Soiled elevators are not necessary in facilities with central sterile
processing, distribution and waste management located on the same floor with
that of perioperative services.

Figure 3.2.5 Intermediate / Complex Surgical Suite Organization. Pods Organization
Figure 3.2.6 Complex Integrated Inverventional Suite. Pods Organization
The surgical suite is set up to carefully orchestrate the flow of patients, clinical
and support staff, sterile and soiled goods through on-stage vs. off-stage
circulation organization. the workflow should allow for one-way flow of soiled
goods out of the operating room and sterile goods into the operating room on a
separate, dedicated routes.

This is best accomplished by grouping operating rooms around the Clean Core,
as illustrated in figures 3.2.4 through 3.2.8. 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.
Figure 3.2.7 Clean Core, 1 Pod along Racetrack Single Loaded Corridor
Figure 3.2.8 Clean Core, 2 Pods along Racetrack Single Loaded Corridor - Alternate

Figure 3.2.9 Single Double Loaded Corridor, No Core
Figure 3.2.10 Single Double Loaded Corridor, Separate Cores

Figure 3.2.11 Single Corridor, Outer Racetrack Single Loaded Corridor
3.3. Clean Core
Figure 3.3.1 Typical Clean Core

A double-loaded Clean Core (OR’s on each side of the clean core) shall have
a min. width of 21’-0” (6401 mm). 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 are brought to from SPS each day via a clean elevator or
transported via a clean route to the clean core and/or sterile storage room in
the case of double loaded corridor suite design.
Figure 3.3.2 Clean Case Cart Staging
Staging of case carts in the clean core starts each evening before the first
of the day surgical procedure, the carts are staged against the clean core
wall either singularily or in pairs contingent on the type and complexity of
the procedure to be performed. The case carts for the following procedure
are typically staged in an area proximal to the clean elevator (when SPS is
beneath surgery). The “core” technician responsibilities include maintaining
and facilitating the function of the clean core, that includes case cart
preparation with the finalization in the core for scheduled/add-on/emergent
cases for current and next day schedule, maintaining, troubleshooting, and
assuming responsibility to ensure that instrumentation and supplies are
available as needed for cases.
Surgical supplies and instruments should be quickly available to OR staff

for performing diverse procedures. Lack of available supplies, especially for
expensive items, requires emergency restocking that affects delays in patient
treatment, and potentially life-threatening situations for the patient, so it is
important to plan the clean core space needs wisely.

Another challenge in controlling surgical supplies and instruments is that

inventory between the Core (a storage area surrounded by ORs that is used
to support ORs during the procedures) and the ORs themselves may not
be accurately tracked using a manual inventory methodology. Within the
VA, inventory information systems utilizing RFID technology automatically
updates and tracks inventory usage and reduces the potential gap in inventory
supplies.
Figure 3.3.3 Sterile Supplies and Expendables

Figure 3.3.4 Clean Core 27’-0” +/- width

(DoD Ft. Hood, Texas)
Figure 3.3.5 Clean Core

(DoD Ft. Hood, Texas)
3.3.1 Clean Core Configuration
Figure 3.3.1.1 represents a clean core configuration utilizing a width of

21’-0” (6401 mm) servicing an integrated interventional platform consisting of
both surgical and endovascular procedure rooms.
The following Figure 3.3.1.2 represents the same clean core configuration
with equipment location components identified. It should be noted that the
equipment shown can be oriented differently as to meet local preferences.

Figure 3.3.1.1 Typical Clean Core Layout

Figure 3.3.1.2 Sterile Supplies and Expendables

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4.0 ROOM TEMPLATES
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.
ROOM TEMPLATES 4-1

Legend of Symbols:
SYSTEM DESCRIPTION OF SYMBOLS SYMBOL

ARCHITECTURAL
2’X2’ ACOUSTIC TILE CEILING
2’X4’ ACOUSTIC TILE CEILING
GYPSUM BOARD
INTERIOR ELEVATION REFERENCE 4 2
3
9’-0”
HEIGHT OF CEILING FINISH ABOVE FINISH FLOOR
JSN
JSN AND EQUIPMENT NAME
EQUIPMENT NAME
WHEELCHAIR CLEARANCE
CENTERLINE
ROOM TEMPLATES 4-2


WIRING SINGLE POLE SWITCH (SUBSCRIPT INDICATES FIXTURES
DEVICES CONTROLLED)
a
SWITCHES
THREE-WAY SWITCH 3
LOW VOLTAGE, TWO BUTTON DUAL LEVEL SWITCHING 3 3
LOW VOLTAGE DIMMER SWITCH D
OCCUPANCY SENSOR DT
LIGHTING
2’X4’ FLUORESCENT LIGHT FIXTURE
DEVICES /
FIXTURES
2’X4’ DIRECT/INDIRECT LIGHT FIXTURE
2’X2’ FLUORESCENT LIGHT FIXTURE
2’X2’ DIRECT/INDIRECT LIGHT FIXTURE
RECESSED DOWN LIGHT
ROOM TEMPLATES 4-3


WIRING DUPLEX RECEPTACLE
DEVICES
GFI
D DDD 3 333
RECEPTACLES GROUND FAULT INTERRUPTER RECEPTACLE
DUPLEX RECEPTACLE ON EMERGENCY POWER
PATIENT GROUND MODULE (4-JACK) GM
AUXILIARY TELEPHONE DATA OUTLET

SYSTEMS
TELEVISION CABLE OUTLET - WALL MOUNTED/CEILING MOUNTED TV TV
SPEAKER - WALL MOUNTED/CEILING MOUNTED SP SP
DD 3 3
RECEPTACLE, CLOCK HANGER C
NURSE CALL DEVICE (PULL CORD) NC
CB
D 3D 3
NURSE CALL DEVICE (CODE BLUE)
PUSH PLATE (AUTO OPENING DOOR) PP
MECHANICAL ROOM THERMOSTAT T
ROOM HUMIDISTAT (MOISTURE) H
HVAC SUPPLY
HVAC RETURN
*LINEAR DIFFUSER
EXHAUST REGISTER
HOOD EXHAUST
PLUMBING SPRINKLER
ROOM TEMPLATES 4-4

4.2. PATIENT BAY, PRE-OPERATIVE HOLDING /

PHASE II RECOVERY (RRPR1)
Axonometric
140 NSF / 13,1 NSM
ROOM TEMPLATES 4-5

Pre-Operative Holding Area

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

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

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

M7845 WASTE DISPOSAL UNIT,
SHARPS
MONITOR, PHYSIOLOGICAL, BEDSIDE
M1803
M4255
M1801
STAND IV 11' - 4" COMPUTER,
M4266 3454mm MICROPROCESSING, W/
PUMP, VOLUMETRIC, FLAT PANEL MONITOR
INFUSION, MULTIPLE
LINES
""
SCALE: 1/4” = 1’-0”
4' 8' 16' Floor Plan
140 NSF / 13,1 NSM
ROOM TEMPLATES 4-6


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

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

4' 8' 16' Reflected Ceiling Plan
140 NSF / 13,1 NSM
ROOM TEMPLATES 4-7

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

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

F2010
BASKET, WASTEPAPER, STEP-ON
ELEVATION 1
11' - 4"
3454mm M0765
REGULATOR, VACUUM
Surgical and Endovascular Services Design Guide
ROOM TEMPLATES
M0755 M0750

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

4' 8' 16'
4-8
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL POWER
Ceiling Type: Acoustical Ceiling Tile (SP) Normal Power: To be connected to selected
Ceiling Height: 9’-0” (2700mm) receptacles and equipment.
Ceiling Finish: Emergency Power: Critical branch of the EES
to be connected to selected
Wall Finish: Gypsum Wallboard (SC)
receptacles and equipment.
Wainscot:
Base: WSF Integral Base (min. 6”/
152 mm)
Floor Finish: Welded Seam Sheet
Flooring
Slab Depression: None Special
Sound Protection: None
Doors: None
LIGHTING COMMUNICATIONS
Refer to the VA Lighting Design Manual section Data: Yes
4.2.15 - Pre-Operative and Post- Anesthetic Care Telephone: Yes
(PACU) - for lighting design consideration.
Cable Television: No
Duress Alarm: No
Electronic Access and Door No
Control:
Intercom: No
Motion Intrusion Detection No
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
Security Surveillance Televi- No
sion (SSTV):
VA Satellite TV: Yes
Video Teleconferencing No
(VTEL):
ROOM TEMPLATES 4-9


Room Data Sheet (continued)
HEATING, VENTILATING AND AIR

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

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

Fire Alarm: Yes
Sprinkler: Yes
Hazard Type: Light Hazard
ROOM TEMPLATES 4-10


Equipment List
JSN NAME QTY ACQ/INS DESCRIPTION

Telephone, Wall
A1012 1 C/C Telephone, wall mounted, 1 line.
Mounted, 1 Line
The headwall rail system shall consist of three hori-
zontal rails mounted to the patient room headwall
to provide utilities and patient services to support
ancillary equipment to include gas and vacuum.
Rail System , Utility,
A1107 1 C/C The rail system must be capable of quickly adding
Gas and Electric
or relocating medical gases services and be able to
accept new equipment, provide physical support to
equipment, brackets, shelves and other patient sup-
port items.
Disposable soap dispenser. One-handed dispensing
Dispenser, Soap,
A5075 1 V/V operation. Designed to accommodate disposable
Disposable
soap cartridge and valve.
A touch free wall-mounted hand sanitizer dispenser.
Dispenser, Hand For use throughout a healthcare facility. Unit does
A5077 1 V/V
Sanitizer, Hands-Free not include the sanitizing liquid. Units are battery
operated.
A surface mounted, sensor activated, automatic, roll
paper towel dispenser. The unit dispenses a paper
Dispenser, Paper towel automatically only when hands are place in
A5082 Towel, Sensor, Hands 1 C/C position below the dispenser for maximum sanitation
Free and hygiene. May include adjustable settings for
sheet length, time delay, and sensor range. Unit is
battery operated or with optional AC power adapter.
Examination glove dispenser box for wall mounting.
Dispenser, Glove,
Fabricated of either cold rolled steel with a white
A5107 Surgical/Examination, 1 V/V
baked enamel finish, plastic or acrylic. Provided with
Wall Mntd
wall bracket to facilitate mounting and demounting.
A container for collecting and transporting syringes
Waste Disposal Unit, and other sharps for decontamination and disposal.
A5108 1 V/V
Sharps Available in 2 gallon and 8 gallon with locking rotor.
Complies with OSHA regulations for handling sharps.
A surface mounted, satin finish stainless steel, double
Hook, Garment, garment hook. Equipped with a concealed mounting
A5145 Double, SS, Surface 1 C/C bracket that is secured to a concealed wall plate. For
Mounted general purpose use throughout the facility to hang
various items of apparel.
ROOM TEMPLATES 4-11


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


THIS TYPICAL INCLUDES:
1 Cart Body, Style-A Narrow, w/Raised Edge Top
Cart, General Stor-
2 Drawers, 3” H
E0948 age, Mobile, 42”H x 1 V/V
4 Drawers, 6” H
32”W x 22”D
1 Accessory Rail, Side
Drawer Organizer Bins
Upholstered side chair, 32” high X 21” wide X 23”
deep with arms, padded seats and padded backs.
F0205 Chair, Side With Arms 2 V/V
Seat height is a minimum of 17”. Available with or
without sled base.
Basket, Wastepaper, “Step-on” wastepaper basket with inner liner and foot
F2010 2 V/V
Step-On pedal activated flip top.
Clock, 12” diameter. Round surface, easy to read
numbers with sweep second hand. Wall mounted
Clock, Battery, 12”
F3200 1 V/V unit for use when impractical to install a fully synchro-
Diameter
nized clock system. Battery operated, (batteries not
included).
Flat screen television with approximately 32’” to 40’
diagonal screen size. The TV will have built-in speak-
Television, Flat
M0506 1 V/V ers, NTSC tuner, a 16:9 wide screen aspect ratio,
Screen
a minimum of 1280 x 768 resolution and a remote
control.
Air flowmeter. Unit has a stainless steel needle valve
with clear flowtube for connection to 50 PSI air outlet
from central pipeline system. Requires the appropri-
Flowmeter, Air, Con-
M0750 1 V/V ate adapter for connection to the wall outlet and fitting
nect w/50 PSI Supply
to connect to tubing. Database prices reflect fittings
with an attached DISS power outlet. Other outlet and
adapter configurations are available.
Oxygen flowmeter. Consists of a clear crystal
flowtube calibrated to 3.5 or 8 LPM depending on
Flowmeter, Oxygen, manufacturer. For oxygen regulation in hospital
M0755 1 V/V
Low Flow settings. Database pricing includes DISS fitting and
DISS power outlet and wall adapter. Other fitting and
Vacuum pressure regulator for connection to central
piped vacuum system. Standard display scale is
graduated at least from 0 to 200 mm Hg of vacuum.
Displays on specialized regulators may cover other
vacuum ranges. Regulator type (continuous, inter-
mittent, continuous/intermittent, surgical, pediatric,
M0765 Regulator, Vacuum 1 V/V
thoracic, etc.) as required. To be used in delivery,
neonatal, pediatrics or any area where suction is
required. Database pricing reflects continuous
regulators graduated to 200 mm Hg with a full line
vacuum selection switch and DISS configured inlets
and outlets.
ROOM TEMPLATES 4-13


Desk top microprocessing computer. The unit shall
consist of a central processing mini tower, flat panel
monitor, keyboard, mouse and speakers. The
system shall have the following minimum charac-
Computer, Micropro-
teristics: a 2.8 GHz Pentium processor; 512 MB
M1801 cessing, w/Flat Panel 1 V/V
memory; 80GB hard drive; 32/48x CD-ROMDVD
Monitor
combo; 1.44MB network interface card; video 32 MB
NVIDIA; a 18 inch flat panel monitor. The computer
is used throughout the facility to input, manipulate
and retrieve information.
A wall mounted computer workstation with height ad-
justable monitor and keyboard arms. Keyboard and
Workstation, Com- monitor can be stored within 8” to 10” of wall. Finger-
M1803 puter, Wall Mounted, 1 V/V tip adjustability for keyboard and monitor enable fre-
Adjustable quent position changes. Unit contains an integrated
cable management system to hide wires. A separate
wall-mounted CPU holder is included.
Mobile linen hamper with hand or foot operated lid.
Made of heavy tubular stainless steel with heavy
Hamper, Linen, Mo-
M3070 1 V/V gauge welded steel platform. Holds 25” hamper
bile, w/Lid
bags. Mounted on ball bearing casters. For linen
transport in hospitals and clinics.
Frame for an infectious waste collection bag. Made
of heavy tubular stainless steel with heavy gauge
Frame, Infectious welded steel platform. Adjust to hold 18” or 25” trash
M3072 1 V/V
Waste Bag w/Lid bags. Mounted on ball bearing casters and includes
permanently mounted hinged lid. Provides means of
bagging infectious waste at point of waste generation.
Adjustable IV stand with 4-hook arrangement. Stand
has stainless steel construction with heavy weight
base. It adjusts from 66 inches to 100 inches and is
M4255 Stand, IV, Adjustable 1 V/V
mounted on conductive rubber, ball bearing, swivel
casters. Stand is used for administering intravenous
solutions.
Volumetric infusion pump. Pump is self-regulating
with automatic sensor and adjustable rate. Equipped
with visual and audible alarms and up to 10 hour
Pump, Volumetric,
M4266 1 V/V capacity battery. For the administration of a wide
Infusion, Multiple Line
variety of therapeutic agents where precise control is
required. Unit provides individual control to IV lines
simultaneously.
ROOM TEMPLATES 4-14


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

of heavy gauge steel. Mounted on 2” diameter twin
swivel casters with bumper caps. Table top is con-
M7040 Table, Overbed 1 V/V structed with a high pressure plastic laminated sur-
face that resists chipping, scratching, and staining. It
includes a vanity tray and a mirror. Table is designed
for use over bed, wheelchair or large chair.
4 channel bedside physiological monitor. The unit
consist of a four-channel non-fade monochrome dis-
play monitor, an alarm system and printer-recording
capabilities. The monitor has color coded controls
Monitor, Physiologi-
and automatic calibration. The unit displays up to
M7845 cal, Bedside, 4 Chan- 1 V/V
four waveforms simultaneously. The parameters to
nel
be monitored are user selectable. The monitor may
be connected to a central monitoring station. The
unit monitors patients in most acute care areas, step-
down units, procedure rooms and emergency rooms.
ROOM TEMPLATES 4-15

4.3. PATIENT ROOM, PRE-OPERATIVE HOLDING /

Axonometric
140 NSF / 13,1 NSM
ROOM TEMPLATES 4-16


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

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

140 NSF / 13,1 NSM
ROOM TEMPLATES 4-17


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

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

140 NSF / 13,1 NSM
ROOM TEMPLATES 4-18

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

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

M1803 M7845
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR A1107
M4255 RAIL SYSTEM, UTILITY, GAS AND ELECTRIC
STAND IV M4665
M4266 STRETCHER, RECOVERY, SURGICAL
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
LINES
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-19
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL POWER
Ceiling Type: Acoustical Ceiling Tile (SP) Normal Power: To be connected to selected
Wainscot:
152 mm)
Flooring
Sound Protection: 35 STC
Doors: Sliding Glass Door, Size 8’-
0” x 7’-0” (2438 mm x 2133
mm)
LIGHTING COMMUNICATIONS
4.2.15 - Pre-Operative and Post - Anesthetic Telephone: Yes
Care (PACU) - for lighting design consideration.
Duress Alarm: No
Control:
Intercom: No
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
sion (SSTV):
VA Satellite TV: Yes
(VTEL):
ROOM TEMPLATES 4-20



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

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

Fire Alarm: Yes
Sprinkler: Yes
ROOM TEMPLATES 4-21


Equipment List

Telephone, Wall
Mounted, 1 Line
Gas and Electric
port items.
Dispenser, Soap, Dis-
posable
A5077 1 V/V
operated.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V
A surface mounted, satin finish stainless steel,
Hook, Garment, double garment hook. Equipped with a concealed
A5145 Double, SS, Surface 1 C/C mounting bracket that is secured to a concealed wall
Mounted plate. For general purpose use throughout the facility
to hang various items of apparel.
ROOM TEMPLATES 4-22


Wall mounted television bracket backing which pro-
vides additional support and strength for the instal-
A5220 1 C/C lation of the television bracket. Option available for
Wall Backing
interior or exterior plate and sized for 12” 16” or 24”
stud spacing.
CS140 Compartment, 1 C/C and sound deadened. Recommended for use in sus-
10x14x16 ID pended or U/C/B sink cabinets having a high plastic
laminate or Chemsurf laminate countertop/work
Countertop, Solid
Surface
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
ROOM TEMPLATES 4-23


Chair, Side With deep with arms, padded seats and padded backs.
F0205 2 V/V
Arms Seat height is a minimum of 17”. Available with or
without sled base.
F2010 1 V/V
Diameter
included).
Flat screen television with approximately 32’” to
40’ diagonal screen size. The TV will have built-in
Television, Flat
M0506 1 V/V speakers, NTSC tuner, a 16:9 wide screen aspect ra-
Screen
tio, a minimum of 1280 x 768 resolution and a remote
control.
Flowmeter, Air, from central pipeline system. Requires the appro-
M0750 Connect w/50 PSI 1 V/V priate adapter for connection to the wall outlet and
Supply fitting to connect to tubing. Database prices reflect
fittings with an attached DISS power outlet. Other
outlet and adapter configurations are available.
M0755 1 V/V
and outlets.
ROOM TEMPLATES 4-24


monitor, keyboard, mouse and speakers. The sys-
tem shall have the following minimum characteris-
Computer, Micropro-
tics: a 2.8 GHz Pentium processor; 512 MB memory;
80GB hard drive; 32/48x CD-ROMDVD combo;
Monitor
1.44MB network interface card; video 32 MB
A wall mounted computer workstation with height ad-
justable monitor and keyboard arms. Keyboard and
Workstation, Com- monitor can be stored within 8” to 10” of wall. Finger-
M1803 puter, Wall Mounted, 1 V/V tip adjustability for keyboard and monitor enable fre-
Adjustable quent position changes. Unit contains an integrated
cable management system to hide wires. A separate
wall-mounted CPU holder is included.
Hamper, Linen, Mo-
bile, w/Lid
welded steel platform. Adjust to hold 18” or 25” trash
Frame, Infectious
M3072 1 V/V bags. Mounted on ball bearing casters and includes
Waste Bag w/Lid
bagging infectious waste at point of waste genera-
tion.
solutions.
Pump, Volumetric,
simultaneously.
M4665 1 V/V
Surgical 10” conductive casters, with lock and brake, fold-
ing, tuck-away chrome side-rails and IV stand and a
flame retardant antibacterial mattress. Designed for
operating room transport or recovery applications.
ROOM TEMPLATES 4-25


nel
ROOM TEMPLATES 4-26

4.4. CLEAN WORKROOM, ANESTHESIA (ANCW2)
Axonometric
240 NSF / 22,3 NSM
ROOM TEMPLATES 4-27

Anesthesia Procedure Patient Area
F3200
E0220
WORKSURFACE, W
OVERHD CAB AND
DRWRS, WALL MTD 3a
T
M1825
PRINTER, COMPUTER
M1801
COMPUTER,
MICROPROCESSING, W/
FLAT PANEL MONITOR
F0230
CHAIR, DRAFTING,
ROTARY
A1015 M20
M2055
2055
55
5334mm
17' - 6"
TELEPHONE, DESK, SHELVING,
SHELV
SHELVIING, STORAGE,
STORAGE,
MULTIPLE LINE 12x12 WIRE, CRS,
WIRE, CRS, W
F2000 ADJ
ADJUSTABLE
ADJU
USTAB
STABLELE SHELVES
SHELVES
BASKET, WASTEPAPER,
ROUND, METAL
F3050
M2055
WHITE BOARD, DRY
ERASE SHELVING, STORAGE,
WIRE, CRS, W
ADJUSTABLE SHELVES
3a
13' - 8"
4166mm
SCALE: 3/16” = 1’-0”

240 NSF / 22,3 NSM
ROOM TEMPLATES 4-28

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

240 NSF / 22,3 NSM
ROOM TEMPLATES 4-29


Room Data Sheet
ARCHITECTURAL POWER
Ceiling Type: Gypsum Wallboard (SC) Normal Power: To be connected to selected
Wainscot:
Base: Resilient Base
Floor Finish: Rubber Flooring, Welded
Seam Sheet Flooring
Sound Protection: None COMMUNICATIONS
Doors: Single Door, Size 3’-8” x Data: Yes
7’-0” (1117 mm x 2133 mm)
Telephone: Yes
Wood
LIGHTING Duress Alarm: No
Anesthesia Work Room has similar lighting Electronic Access and Door
design consideration as Exam & Treatment Control:
Room. Refer to the VA Lighting Design Manual Intercom: No
section 4.2.1 - Examination and Treatment Room
- for lighting design consideration. Motion Intrusion Detection No
(MID):
Nurse Call: No
Code Blue: No
Public Address: Yes
sion (SSTV):
VA Satellite TV: No
(VTEL):
Notes:

CONDITIONING
General Requirement: Refer to Anesthesia Work-
room and Equipment Room data sheet in the
current version of the VA HVAC Design Manual
for room temperatures, humidity range, room air
change requirements, and pressurization.
ROOM TEMPLATES 4-30



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

Fire Alarm: Yes
Sprinkler: Yes
Hazard Type: Ordinary Hazard
Group 1
ROOM TEMPLATES 4-31


Equipment List

Telephone, Desk,
A1015 1 C/C Telephone, desk, multiple line.
Multiple Line
3 Vertical Hanging Strips
2 Lockable Flipper Units
Worksurface, w/ 2 Shelves, Storage/Display
E0220 Overhd Cab & Drwrs, 1 V/V 2 Lights
Wall Mtd, 72” W 1 Cantilevered Work Surface
4 Storage Frames
4 Drawers, 3”H
6 Drawers, 6”H
Drafting chair approximately 47” high X 20” wide X
Chair, Drafting, 20” deep with rotary stool and a 5 (five) star base
F0230 1 V/V
Rotary with casters. Padded seat and back. Foot ring ad-
justs with chair.
Round wastepaper basket, approximately 18” high X
16” diameter. This metal unit is used to collect and
Basket, Wastepaper,
F2000 1 V/V temporarily store small quantities of paper refuse in
Round, Metal
patient rooms, administrative areas and nursing sta-
tions.
Whiteboard unit, approximately 36” H x 48” W con-
sisting of a white porcelain enamel writing surface
Whiteboard, Dry with an attached chalk tray. Magnetic surface avail-
F3050 1 C/C
Erase able. Image can be easily removed with a standard
chalkboard eraser. For use with water color pens.
Unit is ready to hang.
Diameter
included).
Computer, Micropro-
Monitor
ROOM TEMPLATES 4-32


High resolution computer printer with a variety of type
styles and sheet/envelope feeder trays. Database in-
formation reflects network ready, medium duty office
M1825 Printer, Computer 1 V/V
style laser printers. Other types of printers (bubble
jet, dot matrix, line or plotter) as well as light or heavy
use capabilities are available.
Stationary, wire, shelving unit. Unit has fully ad-
justable shelves constructed of stainless steel. For
Shelving, Storage,
use in general purpose storage areas. Shelving is
M2055 Wire, CRS, w/Adjust- 7 V/V
provided in various sizes and configurations. Price
able Shelves
provided is for a unit approximately 74”H x 18”D x
48”W with four shelves.
ROOM TEMPLATES 4-33

4.5. ORGS1
SURGICAL AND ENDOVASCULAR SERVICES
(ORGS1) OPERATING ROOM, GENERAL
AXONOMETRIC
0' 4' 8' 16'
Plot Date: 8/31/2022 12:25:15 PM SCALE:
DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM
CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND
ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS. 4-34
4.5. ORGS1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.5. ORGS1
FLOOR PLAN
0' 4' 8' 16'
Plot Date: 8/31/2022 12:25:17 PM SCALE: 3/16" = 1'-0"
8' - 0" CLEAR

SEMI-RESTRICTED
CORRIDOR
24' - 0"
(7.32m)
STRETCHER ALCOVE DOORS TO BE ON
AUTOMATIC DOOR
A5107 OPENERS
SCRUB ALCOVE
A5108 RETURN AIR
DUCT (TYPICAL)
LOW WALL
GM T H
TV TV RETURN AIR
1 REGISTER
(TYPICAL)
M8910
4 2
A5212
M7802
12' - 0" 3
IPS
M8910 (3.66m) M4815
M3175
M8606 M5512
M4255 M8840
M4287 M8920 F3050
M8900 M8925 M8810 M8940
M8905 GM
M8950 F3200
M4816 A4015
M3072
M5030
M9110 M5030 F0355
(8.74m)
28' - 8"
M8825 A1014
(5.49m)
18' - 0"
M3070 M3150
M8970
GM
M3070
M8551
M8830 M4255
M4266
A1200 M4255
LIFT AND M4266
EXTENDER RAIL
E0954 M0630 M3080
M7650 M1801
M7845
M8800 S9755
A5108 M8920
MANIFOLD M8940
UNI-DIRECTIONAL
AIR DELIVERY IPS GM D D
ARRAY ABOVE
STERILE FIELD A5104 A5107
M4645
CLEAN CORE
OPERATING ROOM,
GENERAL
(ORGS1)
650 NSF
60.79 NSM
4.5. ORGS1
REFLECTED CEILING PLAN
0' 4' 8' 16'
Plot Date: 9/1/2022 10:14:56 AM SCALE: 3/16" = 1'-0"
8' - 0" CLEAR

SEMI-RESTRICTED
CORRIDOR
24' - 0"
(EQUIPMENT) M8606
M4280 (7.32m)
4V, 1 NITROGEN, 1C02,
M0765
10 EMERG DUPLEX,
A1130
4 DATA FACE PLATES A1122
DIMMABLE, LED, STRIP LIGHT
(TYPICAL)
FIN. CLG. 10' - 0" A.F.F.

A A A A
SEE LEGEND:
MANIFOLD
UNI-DIRECTIONAL
AIR DELIVERY
ARRAY ABOVE
STERILE FIELD A1122
LED LED LED LED LED LED
M1801
OUTLINE OF PROCEDURE (DOCUMENTATION)
TABLE
LED
LED
LED
LED LED LED LED LED

A
A
LED
LED
LED
LED
(8.74m)
28' - 8"
A
TABLE
A
M7490
LED
LED
LED
LED
A
LED LED LED LED LED

M7801
LED
LED
LED
M7490
M7801
A1200
LIFT AND
EXTENDER RAIL
GYPSUM BOARD
SOFFIT.
A A A A COORDINATE
HEIGHT WITH
EQUIPMENT.
(ANESTHESIA) A1120 TABLE

2O, 3V, 1A, WAGD, A1122 EQ EQ
NITROUS OXIDE, M0765
6 EMERG DUPLEX, M0755 CLEAN CORE
M1801 GENERAL NOTES:
4 DATA FACE PLATES
M0750 OPERATING ROOM, 1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S)
GENERAL 2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
(ORGS1) MANIFOLD AIR DELIVERY ARRAY
3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR)
650 NSF
60.79 NSM FIRE SPRINKLERS
4.5. ORGS1
REFLECTED CEILING PLAN (ALTERNATIVE OPTION)
Plot Date: 8/31/2022 4:01:46 PM SCALE: NOT TO SCALE
NOTE: REFER TO ROOM DATA SHEET FOR

M4280
ACCESS PANELS
M0765
4V, 1 NITROGEN, 1 CO2,
M8606 10 EMER DUPLEX,
A1130 4 DATA FACE PLATES
A1122 (EQUIPMENT)
10' - 0"
M1801
A1122
6' - 2" 5' - 10" (DOCUMEN
AIR 1877mm 1781mm TATION)
CURTAIN
LAMINAR AIR
ab ab ab
4927mm
FLOW
16' - 2"
DIFFUSER
2134mm
ab ab
7' - 0"
8738mm
28' - 8"
M7801
ab ab TABLE
M7490
M7475
2134mm
7' - 0"
ab ab
3811mm
12' - 6"
M7801
U0100
ab ab ab
6' - 2" 5' - 10"

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

OXIDE, 6 EMER DUPLEX, 4 M1801
DATA FACE PLATES M0765
(ANESTHESIA) TABLE
M0755
M0750
EQ EQ
23' - 5"
7137mm
Reflected Ceiling Plan

650 NSF / 60,4 NSM
NOTE: OPTIONAL REFLECTED CEILING PLAN IS AN ALTERNATIVE OPTION TO THE MANIFOLD UNI-DIRECTIONAL AIR DELIVERY SYSTEM.
EQUIPMENT TAGS & REFERENCE NOTES MAY NOT BE FULLY COORDINATED WITH THE EQUIPMENT LIST.
4.5. OPERATING ROOM, GENERAL (ORGS1)

JSN Legend
JSN DESCRIPTION M5030 STOOL, SURGEON, REVOLVING
M5512 LASER, SMOKE EVACUATOR
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M7490 LIGHT, SURG, CEILING MTD, DUAL,
WITH SPEAKER UNEQUAL DIA HEADS
A1120 COLUMN, SERVICE, PREFAB, M7650 DEFIBRILLATOR/MONITOR ACUTE CARE
SURGICAL, CEILING MOUNTED M7801 MONITOR, MEDICAL GRADE, 26”- 42”
A1122 COLUMN, EQUIPMENT ARM, CEILING M7802 MONITOR, MEDICAL GRADE, 55”- 65”
MOUNTED, SURGERY M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
A1130 CABINET, CONTROL, NITROGEN 4 CHANNEL
A1200 LIFT SYSTEM, OVERHEAD, PATIENT M8551 LIGHT SOURCE, FIBEROPTIC
ROOM HEADLAMP
A4015 ELAPSE TIME CLOCK, ELECTRIC M8606 ENDOSCOPY CART, FIBEROPTIC,
A5104 CART, WASTE DISPOSAL, MOBILE W/VIDEO ACCESSORY
W/FOOT PEDAL M8800 CART, ANESTHESIA
A5107 DISPENSER, GLOVE, SURGICAL/ M8810 STAND, MAYO
EXAMINATION, WALL-MTD M8825 TABLE, INSTRUMENT/DRESSING, CRS
A5108 WASTE DISPOSAL UNIT, SHARPS APPROX 36” x 20” x 34”
A5212 BRACKET, TELEVISION WALL MTD, M8830 TABLE, INSTRUMENT/DRESSING,
TILT/ANGLE MOBILE
E0954 CART, EMERGENCY, MOBILE, 66”H x M8840 TABLE, BACK, INSTRUMENT/DRESSING
32”W x 22” D M8900 CARRIAGE, PAIL, CRS WITHOUT PAIL
F0355 FOOTSTOOL, STRAIGHT M8905 PAIL, UTILITY, CRS WITH CARRIAGE
F3050 WHITE BOARD, DRY ERASE M8910 CART, SURGICAL CASE
F3200 CLOCK, BATTERY, 12IN DIAMETER M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M0630 ANESTHESIA APPARATUS, 3 GAS M8925 STAND, BASIN, CRS, MOBILE, SINGLE
M0750 FLOWMETER, AIR, CONNECT W/ 50 PSI M8940 STOOL, ANESTHESIA, WITH BACK
SUPPLY M8950 WARMER, BLOOD
M0755 FLOWMETER, OXYGEN, LOW FLOW M8970 WARMER, BLOOD, HIGH VOLUME
M0765 REGULATOR, VACUUM M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M1801 COMPUTER, MICROPROCESSING, TRAUMA
W/FLATPANEL MONITOR S9755 SUCTION SYSTEM, SURGICAL,
M3070 HAMPER, LINEN, MOBILE, W/LID MOBILE ROVER UNIT
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS
DOOR, 6 SHELF
M3150 DISTRIBUTION SYSTEM, MEDICATION,
AUTOMATIC
M3175 ELECTROSURGICAL UNIT, DUAL
OUTPUT
M4255 STAND IV
M4266 PUMP, VOLUMETRIC, INFUSION,
MULTIPLE LINE
M4280 PUMP, PNEUMATIC STOCKING/CUFF
M4287 IRRIGATION SYSTEM, SURGICAL
M4645 PATIENT TRANSFER DEVICE
M4815 HYPO/HYPERTHERMIA UNIT,
AUTOMATIC/MANUAL, MOBILE
M4816 WARMING UNIT, PATIENT, AUTOMATIC/
MANUAL, AIR
ROOM TEMPLATES 4-39

Surgical Service Patient Area
4.5. ORGS1
ELEVATIONS
0' 4' 8' 16'
M7802
Monitor, Medical Grade
55-65"
A5212
LOW WALL RETURN
Bracket, Television, T H
AIR REGISTER
Wall-Mounted, Tilt/Angle
(TYPICAL)
A5108
Waste Disposal Unit, Sharps
M8910
Cart, Surgical Case
A5107
Dispenser, Glove, ELEVATION 1
Surgical/Examination, Wall
Mntd
A1014
Telephone, Wall
Mounted, 1 Line, With
A4015 Speaker
Clock, Elapsed Time, Electric M3150
F3200 Distribution System,
Clock, Battery, 12" Diameter Medication, Automatic
F3050
Whiteboard, Dry Erase
ISOLATED POWER
SYSTEM
M3080
Cabinet, Instrument,
CRS, 2 Glass Door, 6
Shelf
LOW WALL RETURN
AIR REGISTER
(TYPICAL)
F0355 ELEVATION 2
Footstool, Straight
4.5. ORGS1
ELEVATIONS
0' 4' 8' 16'
A5107
Dispenser, Glove,
Mntd
M3080
Cabinet, Instrument, CRS, 2
Glass Door, 6 Shelf ISOLATED POWER
SYSTEM
LOW WALL RETURN
SD SD
AIR REGISTER
(TYPICAL)
M8920 A5104
Stand, Basin, CRS, Mobile, Cart, Medical Waste
Double Disposal, Mobile w/Foot
S9755
ELEVATION 3 Pedal
Suction System, Surgical, M4645
Mobile Rover Unit Patient Transfer Device
SURGICAL LIGHTING
CONTROL PANEL
M7650
Defibrillator/Monitor, Acute M8910
Care Cart, Surgical Case
E0954 LOW WALL RETURN
Cart, Emergency, Mobile, AIR REGISTER
66"H x 32"W x 22"D (TYPICAL)
M8830 M8905
Table, Instrument/Dressing, ELEVATION 4 Pail, Utility, CRS, With
Mobile Carriage
M3070 M8900
Hamper, Linen, Mobile, w/Lid Carriage, Pail, CRS,
Without Pail
M3072
Frame, Infectious Waste
Bag w/Lid
4.5 ORGS1
4.5 OPERATING ROOM, GENERAL (ORGS1)
Room Data Sheet
ARCHITECTURAL omitted subject to approval by clinical

leadership.
Ceiling Type: Gypsum Wallboard (SC) 8) Facility will select number and types of
Ceiling Height: 10’-0” (3048 mm) scopes and other instrumentation as
Ceiling Finish: necessitated by the unique case load.
Wall Finish: Gypsum Wallboard (SC) 9) Endoscopy equipment can be located on a
cart or on the equipment boom.
Wainscot:
10) NSF provided for this space is the minimal
Base: RF Integral Base (min. 6”/
acceptable NSF; contact Facilities Standards
152 mm)
Services for any deviations.
Floor Finish: Resinous Flooring (RF)
Res 4
Slab Depression: None
Sound Protection: 50 STC (to other room), 35 LIGHTING
STC (to corridor)
Refer to the VA Lighting Design Manual section
Doors: Double, Size 6’-0” x 7’-0” 4.2.13 - Surgery/Operating Room - for lighting
(1829 mm x 2133 mm)
design consideration.
Wood w/ Narrow View
Window; Single, Size 4’-0” x
7’-0” (1219 mm x 2133 mm)
Wood w/ Small View
POWER
Window
Special Requirement: Normal Power: Connect selected
receptacles and equipment
to Normal power IPS.
Notes: Emergency Power: Connect selected
1) Shielding is to be provided as it is receptacles and equipment
determined by the Physicist on a per project to Critical Branch
basis. emergency IPS.
2) Locate access panels as required to allow
for the maintenance of surgical booms and lights Notes:
in facilities without interstitial space. Min. size to
be 24” x 24”. 1) Provide IPS power & ground modules – 3
duplex receptacles & 3 ground jacks
3) Cabinetry can be built in or free-standing.
2) IPS Power & ground modules mounted at
4) Nominal wall thickness is shown at 8” (203
+24” AFF
mm) to account for a variety of wall-mounted
panels, such as isolation power unit panels, that 3) Provide Laser Receptacle Module. Module
require a thicker partition. shall be connected to Special Equipment IPS
located outside the Surgery Room.
5) Include wall extensions at both sides of the
scrub sink to protect the scrub sinks from cart 4) Provide power connections for articulating
and stretcher traffic in the semi-restricted utility columns.
corridor.
6) Coordinate structural supports, utility
connections and other requirements for surgical
lighting pendants with manufacturer.
7) Equipment and Anesthesia booms are
duplicated to provide maximum flexibility. If
duplicate booms are not desired, they can be
ROOM TEMPLATES 4-42

4.5 ORGS1
COMMUNICATIONS PLUMBING AND MEDICAL GASES

Data: Yes Cold Water: No
Telephone: Yes Hot Water: No
Cable Television: No Waste: No
Duress Alarm: No Reagent Grade Water: No
Electronic Access and Door Control: Yes Medical Air Yes
Intercom: Yes Medical Vacuum Yes
(Phone) Oxygen Yes
Motion Intrusion Detection (MID): No Special Requirement:
Nurse Call: Yes
Code Blue: Notes:
Public Address: No 1) Provide Waste Anesthesia Gas Disposal
Security Surveillance Television (SSTV): No (WAGD), Nitrogen, Nitrous Oxide, Carbon
Dioxide
VA Satellite TV: No
2) For gas quantities per boom refer to the
Video Teleconferencing (VTEL): No
reflected ceiling plan.
3) Nitrogen Control Cabinets are to be located
on the articulating utility columns as determined
Notes: by the project
1) Provide connections for articulating utility 4) Medical Gas Zone Valve Boxes are to be
columns. provided in accordance with NFPA 99. Locate
this cabinet in the semi-restricted corridor near
2) Provide connections for video monitor
the operating room it serves.
pendants. Video monitor pendants will be part of
the video integration system. The extent of the
system is to be selected on a project basis.
Fire Alarm: Yes
HEATING, VENTILATING AND AIR Sprinkler: Yes
CONDITIONING
Hazard Type: Ordinary Hazard Group 1
General Requirement: Refer to Operating Rooms
data sheet in the current version of the VA HVAC
Design Manual for room temperatures, humidity
range, room air change requirements, and
pressurization.
Notes:
1) Refer to the latest version of the VA HVAC
Design Manual for quantity and location of low
air return grilles and ceiling diffusers.
ROOM TEMPLATES 4-43

4.5 ORGS1
4.5 OPERATING ROOM, GENERAL (ORGS1)
Equipment List

A1014 Telephone, Wall Mounted, 1 Line, With 1 V/V Telephone, wall mounted, 1 line, with speaker.
Speaker
A1120 Column, Service, Prefab, Surgical, Ceiling 1 C/C Prefabricated surgical service column. Strong 18 gauge stainless
Mounted steel shell ceiling mounted unit with the following services: oxygen,
nitrous oxide, nitrogen, medical air, medical vacuum, gas
evacuation, electrical outlets, monitoring connectors, and IV
holders. Specify type of column (fixed or retractable) and number
of outlets required for each service. Size will vary with number of
service outlets required. Designed to be used in the operating
room, recovery and
ICU-CCU rooms.
A1122 Column, Equipment Arm, Ceiling Mounted, 3 C/C A ceiling mounted retractable equipment arm for use in the OR.
Surgery Designed to provide equipment placement support, power
receptacles including low-voltage panels, gas outlets and flat screen
mounting for a surgical suite. Unit will provide a range of motion of
up to 330 degrees with arm providing additional vertical movement.
Units are custom configured with multiple options available. Price
is based on a unit with two (double) retractable arms. Also
available are units for use in anesthesia, ICU and ER.
A1130 Cabinet, Control, Nitrogen 1 C/C Nitrogen control cabinet. Unit consists of supply cut-off valve,
supply pressure gauge, pressure regulator (adjustable 0 to 200
PSI), outlet pressure gauge, nitrogen outlet and connection to
surgical gas column. Specify recessed or surface mounting.
Designed for powering surgical pneumatic tools.
A1200 Lift System, Overhead, Patient Room 1 V/C An overhead rail system specifically designed for patient lifting and
movement for a single bed patient room. The system will consist of
recessed or ceiling mounted primary and secondary rails, lift motor
with rolling carriage, patient harness or seat, and a hand controller
or control box with charger. System will facilitate lifting and
movement of patient to and from bed to gurney, chair or other
requirement. Minimum lift capability is 550 pounds. Custom design
of track layout by manufacturer is essential to meet individual
facility requirements.
A4015 Clock, Elapsed Time, Electric 1 C/C Elapsed time digital electric clock. Single display time that can be
used either as a clock or elapsed time indicator. Clock consists of
buttons to set minutes, and hours for the time. For use in operating
and delivery room, and medical service columns. Analog or digital
displays may be provided as specified by the user.
A5104 Cart, Medical Waste Disposal, Mobile 1 V/V Mobile molded cart with foot pedal, to house 18-24 gal sharps
w/Foot Pedal disposal container. Lid lift or slide opens easily with foot-operated
pedal. Lid may remain closed when not in use to reduce exposure
to contents. Ergonomic handle is telescopic. Heavy containers can
be removed from the side with minimal lifting. Meets requirements
of OSHA 29 CFR 1910.130.
A5107 Dispenser, Glove, Surgical/Examination, 2 V/V Examination three (Small Medium, Large) glove dispenser box for
Wall Mntd wall mounting. Fabricated of either cold rolled steel with a white
baked enamel finish, plastic or acrylic. Hardware not included,
Option 3 powder coated steel.
ROOM TEMPLATES 4-42

4.5 ORGS1
A5108 Waste Disposal Unit, Sharps 2 V/V A container for collecting and transporting syringes and other
sharps for decontamination and disposal. Available in 2 gallon and 8
gallon with locking rotor. Complies with OSHA regulations for
handling sharps.
A5212 Bracket, Television, Wall-Mounted, 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount will
Tilt/Angle be a universal and VESA compliant unit with a load capacity of up
to 130 lbs.
E0954 Cart, Emergency, Mobile, 66"H x 32"W x 1 V/V THIS TYPICAL INCLUDES:
22"D 1 Cart body, style-A narrow, w/raised edge top
1 Accessory rail, side
1 Accessory rail, back
1 Defibrillator tray
1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Oxygen tank holder
1 Electrical box-4 outlet
1 Cord wrap
4 Drawer, 3"H
3 Drawer, 6"H
Drawer organizer bins.
F0355 Footstool, Straight 4 V/V Step stool. Used to assist patients getting on and off exam or
surgical tables. Fitted with electrically conductive rubber tips.
F3050 Whiteboard, Dry Erase 1 V/V Whiteboard unit, approximately 36" H x 48" W consisting of a white
porcelain enamel writing surface with an attached chalk tray.
Magnetic surface available. Image can be easily removed with a
standard chalkboard eraser. For use with water color pens. Unit is
ready to hang.
F3200 Clock, Battery, 12" Diameter 1 V/V Clock, 12" diameter. Round surface, easy to read numbers with
sweep second hand. Wall mounted unit for use when impractical to
install a fully synchronized clock system. Battery operated,
(batteries not included).
M0630 Anesthesia Apparatus, 3 Gas 1 V/V Three gas anesthesia apparatus. Basic unit consists of steel cabinet
with casters with one shallow, one medium, and one deep drawer,
seven long scale
eleven-inch flowmeters, five cylinder yokes, and telescoping
absorber post. It includes two-canister model carbon dioxide
absorber with inhalation and exhalation check valves, switch valve,
switch valve elbow, sidearm Vernitrol, flow calculator, mounting kit,
ventilator calculator, ventilator and an oxygen piping inlet. Also
features nitrous oxide fail safe valve kit, aspirator kit, gas evacuator
with vacuum and a flow meter safety cover. Used to dispense a
mixture of gases during surgical procedures.
M0750 Flowmeter, Air, Connect w/50 PSI Supply 1 V/V Air flowmeter. Unit has a stainless steel needle valve with clear
flowtube for connection to 50 PSI air outlet from central pipeline
system. Requires the appropriate adapter for connection to the wall
outlet and fitting to connect to tubing. Database prices reflect fittings
with an attached DISS power outlet. Other outlet and adapter
configurations are available.
M0755 Flowmeter, Oxygen, Low Flow 2 V/V Oxygen flowmeter. Consists of a clear crystal flowtube calibrated to
3.5 or 8 LPM depending on manufacturer. For oxygen regulation in
hospital settings.
Database pricing includes DISS fitting and DISS power outlet and
wall adapter. Other fitting and adapter configurations are available.
ROOM TEMPLATES 4-43

4.5 ORGS1
M0765 Regulator, Vacuum 7 V/V Vacuum pressure regulator for connection to central piped vacuum
system. Standard display scale is graduated at least from 0 to 200
mm Hg of vacuum. Displays on specialized regulators may cover
other vacuum ranges. Regulator type (continuous, intermittent,
continuous/intermittent, surgical, pediatric, thoracic, etc.) as
required. To be used in delivery, neonatal, pediatrics or any area
where suction is required. Database pricing reflects continuous
regulators graduated to 200 mm Hg with a full line vacuum selection
switch and DISS configured inlets and outlets.
M1801 Computer, Microprocessing, w/Flat Panel 2 V/V Desk top microprocessing computer. The unit shall consist of a
Monitor central processing mini tower, flat panel monitor, keyboard, mouse
and speakers. The system shall have the following minimum
characteristics: a 2.8 GHz Pentium processor; 512 MB memory;
80GB hard drive; 32/48x CD-ROMDVD combo; 1.44MB network
interface card; video 32 MB NVIDIA; a 18 inch flat panel monitor.
The computer is used throughout the facility to input, manipulate
M3070 Hamper, Linen, Mobile, w/Lid 2 V/V Mobile linen hamper with hand or foot operated lid. Made of heavy
tubular stainless steel with heavy gauge welded steel platform.
Holds 25" hamper bags. Mounted on ball bearing casters. For linen
M3072 Frame, Infectious Waste Bag w/Lid 1 V/V Frame for an infectious waste collection bag. Made of heavy tubular
stainless steel with heavy gauge welded steel platform. Adjust to
hold 18" or 25" trash bags. Mounted on ball bearing casters and
includes permanently mounted hinged lid. Provides means of
M3080 Cabinet, Instrument, CRS, 2 Glass Door, 6 2 V/V Non-magnetic stainless steel instrument cabinet with two glass
Shelf doors and six shelves (five adjustable). Cabinet body has a single
storage compartment and seamless welded face. Shelf heights are
adjustable on full length perforated strips mounted to the back and
inside front cabinet corners. Cabinet is mounted on glides or
casters. Cabinet may be covered by a sloping top.
M3150 Distribution System, Medication, Automatic 1 V/V An automated dispensing system that provides controlled
dispensing, inventory and security. Size and cost will vary
dependent on number of modules selected.
M3175 Electrosurgical Unit, Dual Output 1 V/V Dual output electrosurgical unit. Solid state power source with foot
switch jacks, monopolar and bipolar outputs, and four independent
modes of operation. Used in the operating room or surgicenter as
an alternative to the scalpel for cutting tissue.
M4255 Stand, IV, Adjustable 3 V/V Adjustable IV stand with 4-hook arrangement. Stand has stainless
steel construction with heavy weight base. It adjusts from 66 inches
to 100 inches and is mounted on conductive rubber, ball bearing,
swivel casters. Stand is used for administering intravenous
solutions.
M4266 Pump, Volumetric, Infusion, Multiple Line 3 V/V Volumetric infusion pump. Pump is self-regulating with automatic
sensor and adjustable rate. Equipped with visual and audible
alarms and up to 10 hour capacity battery. For the administration of
a wide variety of therapeutic agents where precise control is
required. Unit provides individual control to IV lines simultaneously.
M4280 Pump, Pneumatic Stocking/Cuff 1 V/V Pneumatic stocking/cuff pump. Pump provides alternating pressure
to pneumatic stockings for reduction of the threat of deep vein
thrombophlebitis in post operative patients. May also be used in the
CCU for rotating cuff therapy for reduction of peripheral circulation
in congestive heart failure patients.
M4287 Irrigation System, Surgical 1 V/V High flow surgical irrigation pump up 2.5l/min, available in single
and double flow.
ROOM TEMPLATES 4-44

4.5 ORGS1
M4645 Patient Transfer Device 1 V/V A patient transfer board designed to make lateral patient transfers
safer for staff and be more comfortable for the patients. The board
uses a smooth, low friction and static free surface to eliminate the
need for metal rollers. The board has a soft foam core that makes
them lightweight for ease of use and storage. The long board device
also enables the transfer of a patient in the seated or Fowler
position. The boards come in three sizes with the long board being
foldable. The dimensions and price are for the long wide board.
M4815 Hypo/Hyperthermia Unit, 1 V/V Automatic/manual hypo/hyperthermia unit. Sealed refrigeration
Automatic/Manual, Mobile system. Microprocessor controlled with multiple alarm system
constantly monitoring temperature and water levels. Cabinet type
unit. Designed to regulate body temperature by application of water-
filled hypothermia blankets.
M4816 Warming Unit, Patient, Automatic/Manual, 1 V/V Automatic/manual patient warming unit. Unit delivers a flow of
Air warmed air through a perforated plastic blanket. Used primarily for
postoperative patients to speed recovery of normal body
temperature.
M5030 Stool, Surgeon, Revolving 2 V/V Revolving stool. Consists of a padded upholstered seat with height
adjustment. Unit rotates and is mounted on ball bearing swivel
casters. Designed for use in examinations, treatment, and surgical
procedures.
M5512 Laser, Smoke Evacuator 1 V/V Filtration system used in conjunction with laser operations to
remove surgical laser plume. The unit includes a pneumatic foot
switch, disposable 0.12 micron HEPA primary filters, a secondary
0.12 micron ULPA/carbon filter, disposable funnels, reducer fittings
and connector hoses.
M7490 Light, Surg, Ceiling Mtd, Dual, Unequal Dia 2 V/C Dual head surgical light ceiling mounted from a single pole. Unit has
Heads two lamp heads of differing sizes mounted on individual swing arms.
Unit features multiple lighting pods in each lamp head, deep cavity
illumination, color-corrected light, intensity control and sterilizable
handles. Refer to the manufacturers' specifications for minimum
ceiling heights and installation data. The database height dimension
below refers to the height of the lamp head itself. The width and
depth measurements are the larger of the two sums of the swing
arm length and the head diameter. For use in general purpose
surgical suites.
M7650 Defibrillator/Monitor, Acute Care 1 V/V Portable defibrillator/monitor for acute care includes biphasic
defibrillator, pacing, SPO2, Interpretive 12-lead, NIBP monitoring,
EtCO2 monitoring, Invasive pressure monitoring, Vital Sign
monitoring, temperature probe, Fax transmission, PCMCIA Data
Cards, Paddle accessories, and a color LCD.
M7801 Monitor, Medical Grade 26 - 42" 4 V/V LED HD monitor capable of displaying medical grade images.
Monitor's size is 26-42".
M7802 Monitor, Medical Grade 55-65" 2 V/V LED HD monitor capable of displaying medical grade images.
Monitor' size is 55 - 65".
M7845 Monitor, Physiological, Bedside, 4 Channel 1 V/V 4 channel bedside physiological monitor. The unit consist of a four-
channel non-fade monochrome display monitor, an alarm system
and printer-recording capabilities. The monitor has color coded
controls and automatic calibration. The unit displays up to four
waveforms simultaneously. The parameters to be monitored are
user selectable. The monitor may be connected to a central
monitoring station. The unit monitors patients in most acute care
areas,
step-down units, procedure rooms and emergency rooms.
ROOM TEMPLATES 4-45

4.5 ORGS1
M8551 Light Source, Fiberoptic Headlamp 1 V/V Fiberoptic light source for surgical headlamps. This unit provides
color corrected light for surgical procedures where photography is
not required.
M8606 Endoscopy Cart, Fiberoptic, w/Video 1 V/V Endoscopy cart with video and print capabilities for use with
Accessories fiberoptic (direct vision) endoscopes. This cart does not work with
videoscopes. System takes optical images from a single endoscope
and directly records them or converts them to digital signals for
recording. A typical system cart includes the cart, a light source, an
insufflator, a suction unit, a heat probe unit, an electrosurgical
apparatus, a digital camera converter or color video camera, a
camera controller, a monitor, a video/DVD recorder and a color
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 information 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.
M8800 Cart, Anesthesia 1 V/V Mobile anesthesia cart. The cart shall be built of stainless steel or
other appropriate material and mounted on 4" casters for easy
mobility. It shall be capable of being equipped with bottle holders,
adjustable IV pole, storage drawers, shelves and a top bar/rail.
M8810 Stand, Mayo 1 V/V Adjustable instrument table. Table is corrosion resistant stainless
steel construction and is mounted on two casters with two skid rails.
It has telescopic upright adjusts from 39 inches to 60 inches with
automatic locking device, and removable 13"x19" instrument tray.
Designed for use in operating and procedure rooms.
M8825 Table, Instrument/Dressing, CRS, approx. 2 V/V Instrument and dressing table. Made of corrosion resistant stainless
36x20x34 steel with a sound deadened top. Includes guard rail, shelf and two
side-by-side drawers. The table is mounted on swivel, ball-bearing
casters.
M8830 Table, Instrument/Dressing, Mobile 1 V/V Mobile instrument/dressing table, approximately 34" H x 20" W x
16" D Corrosion resistant stainless steel mobile table with sound-
deadening shelf and drawer. Unit is mounted on 2" casters.
Designed for all purpose use in the hospital or clinic.
M8840 Table, Back, Instrument/Dressing 1 V/V A specialty back table for large cases such as orthopedics, spinal
fusions, neuro and craniotomies. The table has a pneumatic tuck-
away cantilevered shelf which can hold multiple trays and is angled
for clear observation of instruments. It comes with 4" diameter
heavy-duty ball bearing brake/swivel casters.
Construction is all stainless steel.
M8900 Carriage, Pail, CRS, Without Pail 2 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring
type carriage mounted on ball bearing casters. Includes circular
non-marring bumper. For use in the surgical operating room.
M8905 Pail, Utility, CRS, With Carriage 2 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart bucket
for use in surgical operating rooms.
M8910 Cart, Surgical Case 2 V/V Surgical case cart. Unit consists of two hinged cabinet sections,
each section equipped with two pull-out shelves with stops. The
entire unit is mounted on four heavy duty conductive swivel casters.
Used to transport surgical packs and supplies to surgery and soiled
items back to central supply.
M8920 Stand, Basin, CRS, Mobile, Double 2 V/V CRS, mobile, double basin stand with shelf. Stainless steel
corrosion resistant frame constructed from two continuous inverted
"U" shaped tubes, forming four legs and mounted on casters.
Circular rings welded to top receive two removable 8 quart stainless
steel basins. For open heart and other procedures.
ROOM TEMPLATES 4-46

4.5 ORGS1
M8925 Stand, Basin, CRS, Mobile, Single 1 V/V Mobile single basin stand with shelf. The stand shall be constructed
of tubular stainless steel and mounted on 2" swivel casters. Shall
include a shelf and an 8 quart stainless steel basin. Intended for use
in ORs and treatment areas.
M8940 Stool, Anesthesia, With Back 2 V/V Anesthesia stool with back. All stainless steel with well-curved back
panel and wide conductive seat. Designed for the anesthesiologist
during surgical procedures.
M8950 Warmer, Blood 2 V/V Unit consists of a temperature regulated water bath, circulating fluid,
or dry heat with controls and an audible high temperature alarm.
The warmer provides a stable environment for the controlled
warming of blood or other fluids prior to being transfused to a
patient.
M8970 Warmer, Blood, High Volume 1 V/V Unit contains a proportional controller to regulate temperature in the
heat exchanger and an audible high temperature alarm. Designed
to provide a stable temperature for the controlled warming of blood
or other fluids prior to being transfused to a patient. Unit may be a
cuff type or circulating water heat exchanger.
M9110 Table, Operating, 5 or 6 Section, Trauma 1 V/V Pedestal type, 5 or 6 section, operating table. Pedestal table,
mounted on a solid base with casters and locks. Table top surface
is fabricated from
radio-translucent and conductive panels and is equipped with
cassette tunnels in each of the table top sections. Table includes:
Electro-hydraulic controls, side rail locking system, grounding
receptacle and dual arm support section. It is designed for use in
the operating room in a variety of surgical procedures. Table is
configured to address the needs of trauma surgery.
S9755 Suction System, Surgical, Mobile Rover 1 V/V Surgical fluid waste management system with powered IV pole and
Unit smoke evacuation. Portable waste collection unit, for use with
Docking Station (specified separately). Dual canisters (one 4L and
one 20L), two levels of suction:
2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
ROOM TEMPLATES 4-47

4.6. OROS1
(OROS1) OPERATING ROOM, ORTHOPEDIC
AXONOMETRIC
0' 4' 8' 16'
4.6. OROS1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.6. OROS1
FLOOR PLAN
0' 4' 8' 16'
26' - 10"
(8.18m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
DOORS TO BE ON
AUTOMATIC DOOR
STRETCHER ALCOVE OPENERS
A5212 SCRUB ALCOVE
M7802 RETURN AIR
DUCT (TYPICAL)
LOW WALL
GM H T A4015 RETURN AIR
TV TV
F3200 REGISTER
A5107 (TYPICAL)
M8910 1
4 2 M4815
IPS
3 M8830
TABLE M8551
16' - 0" M8840
(4.88m) M8970
GM
GM
M8606 M4255 F3050
M8925 M4287 M8940
X4890 M8810 F0355
A1014
M8900 M5030
M8905 M8920
(4.27m)
(8.74m)
14' - 0"
28' - 8"
M3072 M3175
M8950 M3150
M4816
M8825
M5030
TABLE
M3070 M8840
M4255
M4266 M4255
M4266
A1200
LIFT AND M0630
EXTENDER RAIL M1801
M7845
E0954
M7650
M9110 M3080
M8800
A5104 A5108
M8940
MANIFOLD
UNI-DIRECTIONAL
AIR DELIVERY IPS GM D D
ARRAY ABOVE
STERILE FIELD M4645
M8920
S9755 A5107
CLEAN CORE
OPERATING ROOM,
ORTHOPEDIC
(OROS1)
750 NSF
69.62 NSM
4.6. OROS1
0' 4' 8' 16'
26' - 10"
(8.18m)
8' - 0" CLEAR FIN. CLG. 10' - 0" A.F.F.
SEMI-RESTRICTED
RETURN AIR
CORRIDOR
DUCT EACH
CORNER DIMMABLE, LED STRIP
(TYPICAL) LIGHT TYPICAL
A1122
A1130 A1120
M0765 M0750
M4280 M0755
(EQUIPMENT) M0765
4V, 1 NITROGEN, A A A A (ANESTHESIA)
1 CO2, 2O, 3V, 1A, WAGD,
10 EMERG DUPLEX, NITROUS OXIDE,
4 DATA FACE PLATES 6 EMERG DUPLEX,
4 DATA FACE PLATES,
OUTLINE OF
PROCEDURE
TABLE
A
A
LED LED LED LED
SEE LEGEND:
MANIFOLD A1122
A
A
LED
LED
LED
UNI-DIRECTIONAL M1801
LED
LED
LED
AIR DELIVERY (DOCUMENTATION)

ARRAY ABOVE
A
A
LED LED LED LED
(8.74m)
28' - 8"
STERILE FIELD
LED
LED
LED
LED
LED
M7490
LED
LED
LED
A
A
M7801 TABLE
LED LED LED LED
A1200
LIFT AND
LED
LED
LED
LED
LED
EXTENDER RAIL
LED
LED
LED
LED
LED
A1122 LED LED LED LED

M7490
A1130 M7801
M0765
(EQUIPMENT)
4V, 1 NITROGEN, 1 CO2,
10 EMER DUPLEX,
4 DATA FACE PLATES GYPSUM BOARD
A A A A SOFFIT.
COORDINATE
HEIGHT WITH
EQUIPMENT.
A1120
M0750
M0755
M0765 TABLE
M1801
(ANESTHESIA) CLEAN CORE
2O, 3V, 1A, WAGD, 1
OPERATING ROOM, GENERAL NOTES:
NITROUS OXIDE, 6
ORTHOPEDIC 1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S)
EMERG DUPLEX, 4
(OROS1) 2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
DATA FACE PLATES
MANIFOLD AIR DELIVERY ARRAY
750 NSF
69.62 NSM 3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR)
FIRE SPRINKLERS
4.6. OROS1
REFLECTED CEILING PLAN (ALTERNATE OPTION)
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"
8' - 0" 8' - 0"

2436mm 2440mm
AIR CURTAIN
LAMINAR AIR
ab ab ab ab
4927mm
16' - 2"
FLOW DIFFUSER
(DOCUMEN
TATION)
2134mm
ab ab
7' - 0"
A1122
M1801
8738mm
28' - 8"
M7475
M7490
ab ab TABLE
M7801
2134mm
7' - 0"
ab ab M7801
3811mm U0100
12' - 6"
ab ab ab ab

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

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

JSN Legend
JSN DESCRIPTION M4816 WARMING UNIT, PATIENT, ATUOMATIC/

MANUAL, AIR
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M5030 STOOL, SURGEON, REVOLVING
WITH SPEAKER M5512 LASER, SMOKE EVACUATOR
A1120 COLUMN, SERVICE, PREFAB, M7490 LIGHT, SURG, CEILING MTD, DUAL,
SURGICAL, CEILING MOUNTED UNEQUAL DIA HEADS
A1122 COLUMN, EQUIPMENT ARM, CEILING M7650 DEFIBRILLATOR/ MONITOR ACUTE
MOUNTED, SURGERY CARE
A1130 CABINET, CONTROL, NITROGEN M7801 MONITOR, MEDICAL GRADE, 26” - 42”
A1200 LIFT SYSTEM, OVERHEAD, PATIENT RM M7802 MONITOR, MEDICAL GRADE, 55” - 65”
A4015 CLOCK, ELAPSED TIME, ELECTRIC M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
A5104 CART, WASTE DISPOSAL, MOBILE 4 CHANNEL
W/FOOT PEDAL M8551 LIGHT SOURCE, FIBEROPTIC
A5107 DISPENSER, GLOVE, SURGICAL/ HEADLAMP
EXAMINATION, WALL-MTD M8606 ENDOSCOPY CART, FIBEROPTIC,
A5108 WASTE DISPOSAL UNIT, SHARPS W/VIDEO ACCESSORIES
A5212 BRACKET, TELEVISION WALL MTD, M8800 CART, ANESTHESIA
TILT/ANGLE M8810 STAND, MAYO
E0954 CART, EMERGENCY, MOBILE, 66”H x M8825 TABLE, INSTRUMENT/DRESSING, CRS,
32”W x 22”D APPROX 36x20x34
F0355 FOOTSTOOL, STRAIGHT M8830 TABLE, INSTRUMENT/DRESSING
F3050 WHITE BOARD, DRY ERASE M8840 TABLE, BACK, INSTRUMENT/DRESSING
F3200 CLOCK, BATTERY, 12” DIAMETER M8900 CARRIAGE, PAIL, CRS, WITHOUT PAIL
M0630 ANESTHESIA APPARATUS, 3 GAS M8905 PAIL, UTILITY, CRS, WITH CARRIAGE
M0750 FLOWMETER, AIR, CONNECT W/ 50 PSI M8910 CART, SURGICAL CASE
SUPPLY M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M0755 FLOWMETER, OXYGEN, LOW FLOW M8925 STAND, BASIN, CRS, MOBILE, SINGLE
M0765 REGULATOR, VACUUM M8940 STOOL, ANESTHESIA, WITH BACK
M1801 COMPUTER, MICROPROCESSING, M8950 WARMER, BLOOD
W/ FLAT PANEL MONITOR M8970 WARMER, BLOOD, HIGH VOLUME
M3070 HAMPER, LINEN, MOBILE, W/LID M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3072 FRAME, INFECTIOUS WASTE BAG TRAUMA
W/LID S9755 SUCTION SYSTEM, SURGICAL, MOBILE
M3080 CABINET, INSTRUMENT, CRS, ROVER UNIT
2 GLASS DOOR, 6 SHELF X4890 RAD/FLUORO UNIT, DIGITAL, MOBILE,
M3150 DISTRIBUTION SYSTEM, MEDICATION, C-ARM
AUTOMATIC
M3175 ELECTROSURGICAL UNIT,
DUAL OUTPUT
M4255 STAND IV, ADJUSTABLE
MULTIPLE LINE
ROOM TEMPLATES 4-55

4.6. OROS1
ELEVATIONS
0' 4' 8' 16'
M7802 F3200
Monitor, Medical Grade Clock, Battery, 12"
55-65" Diameter
A5212 A4015
Bracket, Television, Clock, Elapsed Time,
Wall-Mounted, Tilt/Angle Electric
H T
A5108
M8910
Cart, Surgical Case
LOW WALL RETURN
AIR REGISTER
(TYPICAL)
A5107
ELEVATION 1 Dispenser, Glove,
Surgical/Examination,
Wall Mntd
A1014
Telephone, Wall
F3050 Speaker
Whiteboard, Dry Erase M3150
ISOLATED POWER Distribution System,
SYSTEM Medication, Automatic
M3080
ELEVATION 2 Cabinet, Instrument, CRS, 2
F0355 Glass Door, 6 Shelf
Footstool, Straight LOW WALL RETURN
AIR REGISTER
(TYPICAL)
4.6. OROS1
ELEVATIONS
0' 4' 8' 16'
M3080 A5107
Cabinet, Instrument, Dispenser, Glove,
CRS, 2 Glass Door, 6 Surgical/Examination,
Shelf Wall Mntd
M4645
Patient Transfer Device
S9755
Suction System, Surgical,
Mobile Rover Unit
M8920
Stand, Basin, CRS,
Mobile, Double
ISOLATED POWER
SYSTEM
SD SD
LOW WALL RETURN
AIR REGISTER
(TYPICAL)
ELEVATION 3
M7650
Defibrillator/Monitor, Acute
Care
E0954 M3072 X4890 LOW WALL RETURN
Cart, Emergency, Mobile, Frame, Infectious Waste Bag Rad/Fluoro Unit, Digital, AIR REGISTER
66"H x 32"W x 22"D w/Lid Mobile, C-Arm (TYPICAL)
A5104 M8905
Cart, Medical Waste Disposal, Pail, Utility, CRS, With
Mobile w/Foot Pedal
ELEVATION 4 Carriage
M3070 M8900
Without Pail
4.6 OROS1
4.6 OPERATING ROOM, ORTHOPEDIC (OROS1)
Room Data Sheet
omitted subject to approval by clinical
ARCHITECTURAL leadership.
8) Facility will select number and types of
Ceiling Type: Gypsum Wallboard (SC)
scopes and other instrumentation as
Ceiling Height: 10’-0” (3048 mm)
necessitated by the unique case load.
Ceiling Finish:
9) Endoscopy equipment can be located on a
Wall Finish: Gypsum Wallboard (SC) cart or on the equipment boom.
Wainscot: 10) NSF provided for this space is the minimal
Base: RF Integral Base (min. 6”/ acceptable NSF; contact Facilities Standards
152 mm)
Floor Finish: Resinous Flooring
STC (to corridor)
Doors: Double, Size 6’-0” x 7’-0” Refer to the VA Lighting Design Manual section
(1829 mm x 2133 mm) 4.2.13 - Surgery/Operating Room - for lighting
Wood w/ Narrow View design consideration.
7’-0” (1219 mm x 2133 mm)
Wood w/ Small View
Window POWER
Normal Power: Connect selected
Notes: to Normal power IPS.
1) Shielding is to be provided as it is Emergency Power: Connect selected
determined by the Physicist on a per project receptacles and equipment
basis. to Critical Branch
emergency IPS.
for the maintenance of surgical booms and lights
in facilities without interstitial space. Min. size to Notes:
be 24” x 24”.
1) Provide IPS power & ground modules – 3
3) Cabinetry can be built in or free-standing. duplex receptacles & 3 ground jacks
4) Nominal wall thickness is shown at 8” (203 2) IPS Power & ground modules mounted at
mm) to account for a variety of wall-mounted +24” AFF
panels, such as isolation power unit panels, that
3) Provide Laser Receptacle Module. Module
require a thicker partition.
shall be connected to Special Equipment IPS
5) Include wall extensions at both sides of the located outside the Surgery Room.
scrub sink to protect the scrub sinks from cart
and stretcher traffic in the semi-restricted 4) Provide power connections for articulating
corridor. utility columns.
ROOM TEMPLATES 4-58

4.6 OROS1

Cable Television: No Drain: No
(Phone) Oxygen Yes
Nurse Call: Yes
Code Blue: Yes Notes:
Dioxide.
VA Satellite TV: No
Video Teleconferencing (VTEL): No reflected ceiling plan.
Special Requirement: 3) Nitrogen Control Cabinets are to be located
Notes: by the project.
2) Provide connections for video monitor the operating room it serves.

Fire Alarm: Yes
CONDITIONING Sprinkler: Yes
General Requirement: Refer to Operating Room
pressurization
Notes:
1) Refer to the HVAC Design Manual for number
and location of low air return grilles and ceiling
diffusers.
ROOM TEMPLATES 4-59

4.6 OROS1
4.6 OPERATING ROOM, ORTHOPEDIC (OROS1)
Equipment List

A1014 Telephone, Wall Mounted, 1 Line, 1 V/V Telephone, wall mounted, 1 line, with speaker.
With Speaker
A1120 Column, Service, Prefab, Surgical, 2 C/C Prefabricated surgical service column. Strong 18 gauge stainless
Ceiling Mounted steel shell ceiling mounted unit with the following services: oxygen,
holders. Specify type of column (fixed or retractable) and number of
outlets required for each service. Size will vary with number of
room, recovery and
ICU-CCU rooms.
A1122 Column, Equipment Arm, Ceiling 3 C/C A ceiling mounted retractable equipment arm for use in the OR.
Mounted, Surgery Designed to provide equipment placement support, power
receptacles including low-voltage panels, gas outlets and flat
screen mounting for a surgical suite. Unit will provide a range of
motion of up to 330 degrees with arm providing additional vertical
movement. Units are custom configured with multiple options
available. Price is based on a unit with two (double) retractable
arms. Also available are units for use in anesthesia, ICU and ER.
A1130 Cabinet, Control, Nitrogen 2 C/C Nitrogen control cabinet. Unit consists of supply cut-off valve, supply
pressure gauge, pressure regulator (adjustable 0 to 200 PSI), outlet
pressure gauge, nitrogen outlet and connection to surgical gas
column. Specify recessed or surface mounting. Designed for
powering surgical pneumatic tools.
A1200 Lift System, Overhead, Patient 1 V/C An overhead rail system specifically designed for patient lifting and
Room movement for a single bed patient room. The system will consist of
buttons to set minutes, and hours for the time. For use in
operating and delivery room, and medical service columns. Analog
or digital displays may be provided as specified by the user.
A5104 Cart, Medical Waste Disposal, 1 V/V Mobile molded cart with foot pedal, to house 18-24 gal sharps
Mobile w/Foot Pedal disposal container. Lid lift or slide opens easily with foot-operated
pedal. Lid may remain closed when not in use to reduce exposure to
contents. Ergonomic handle is telescopic. Heavy containers can be
removed from the side with minimal lifting. Meets requirements of
OSHA 29 CFR 1910.130.
A5107 Dispenser, Glove, 2 V/V Examination three (Small Medium, Large) glove dispenser box for
Surgical/Examination, Wall Mntd wall mounting. Fabricated of either cold rolled steel with a white
baked enamel finish, plastic or acrylic. Hardware not included,
ROOM TEMPLATES 4-60

4.6 OROS1
sharps for decontamination and disposal. Available in 2 gallon and
8 gallon with locking rotor. Complies with OSHA regulations for
handling sharps.
A5212 Bracket, Television, Wall-Mounted, 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount
Tilt/Angle will be a universal and VESA compliant unit with a load capacity of
up to 130 lbs.
E0954 Cart, Emergency, Mobile, 66"H x 1 V/V THIS TYPICAL INCLUDES:
32"W x 22"D 1 Cart body, style-A narrow, w/raised edge top
1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3"H
3 Drawer, 6"H
F3050 Whiteboard, Dry Erase 1 V/V Whiteboard unit, approximately 36" H x 48" W consisting of a
white porcelain enamel writing surface with an attached chalk tray.
Magnetic surface available. Image can be easily removed with a
standard chalkboard eraser. For use with water color pens. Unit is
ready to hang.
sweep second hand. Wall mounted unit for use when impractical
to install a fully synchronized clock system. Battery operated,
M0630 Anesthesia Apparatus, 3 Gas 1 V/V Three gas anesthesia apparatus. Basic unit consists of steel
cabinet with casters with one shallow, one medium, and one deep
drawer, seven long scale
eleven-inch flowmeters, five cylinder yokes, and telescoping
absorber post. It includes two-canister model carbon dioxide
absorber with inhalation and exhalation check valves, switch
valve, switch valve elbow, sidearm Vernitrol, flow calculator,
mounting kit, ventilator calculator, ventilator and an oxygen piping
inlet. Also features nitrous oxide fail safe valve kit, aspirator kit,
gas evacuator with vacuum and a flow meter safety cover. Used to
dispense a mixture of gases during surgical procedures.
M0750 Flowmeter, Air, Connect w/50 PSI 2 V/V Air flowmeter. Unit has a stainless steel needle valve with clear
Supply flowtube for connection to 50 PSI air outlet from central pipeline
system. Requires the appropriate adapter for connection to the
wall outlet and fitting to connect to tubing. Database prices reflect
fittings with an attached DISS power outlet. Other outlet and
M0755 Flowmeter, Oxygen, Low Flow 4 V/V Oxygen flowmeter. Consists of a clear crystal flowtube calibrated
to 3.5 or 8 LPM depending on manufacturer. For oxygen
regulation in hospital settings.
Database pricing includes DISS fitting and DISS power outlet and
wall adapter. Other fitting and adapter configurations are available.
ROOM TEMPLATES 4-61

4.6 OROS1
M0765 Regulator, Vacuum 14 V/V Vacuum pressure regulator for connection to central piped
vacuum system. Standard display scale is graduated at least from
0 to 200 mm Hg of vacuum. Displays on specialized regulators
may cover other vacuum ranges. Regulator type (continuous,
intermittent, continuous/intermittent, surgical, pediatric, thoracic,
etc.) as required. To be used in delivery, neonatal, pediatrics or
any area where suction is required. Database pricing reflects
continuous regulators graduated to 200 mm Hg with a full line
vacuum selection switch and DISS configured inlets and outlets.
M1801 Computer, Microprocessing, w/Flat 2 V/V Desk top microprocessing computer. The unit shall consist of a
Panel Monitor central processing mini tower, flat panel monitor, keyboard, mouse
Holds 25" hamper bags. Mounted on ball bearing casters. For
linen transport in hospitals and clinics.
M3072 Frame, Infectious Waste Bag w/Lid 1 V/V Frame for an infectious waste collection bag. Made of heavy
Adjust to hold 18" or 25" trash bags. Mounted on ball bearing
casters and includes permanently mounted hinged lid. Provides
means of bagging infectious waste at point of waste generation.
M3080 Cabinet, Instrument, CRS, 2 Glass 2 V/V Non-magnetic stainless steel instrument cabinet with two glass
Door, 6 Shelf doors and six shelves (five adjustable). Cabinet body has a single
storage compartment and seamless welded face. Shelf heights
are adjustable on full length perforated strips mounted to the back
and inside front cabinet corners. Cabinet is mounted on glides or
casters. Cabinet may be covered by a sloping top.
M3150 Distribution System, Medication, 1 V/V An automated dispensing system that provides controlled
Automatic dispensing, inventory and security. Size and cost will vary
M3175 Electrosurgical Unit, Dual Output 1 V/V Dual output electrosurgical unit. Solid state power source with foot
switch jacks, monopolar and bipolar outputs, and four independent
modes of operation. Used in the operating room or surgicenter as
an alternative to the scalpel for cutting tissue.
M4255 Stand, IV, Adjustable 3 V/V Adjustable IV stand with 4-hook arrangement. Stand has stainless
steel construction with heavy weight base. It adjusts from 66
inches to 100 inches and is mounted on conductive rubber, ball
bearing, swivel casters. Stand is used for administering
intravenous solutions.
M4266 Pump, Volumetric, Infusion, Multiple 3 V/V Volumetric infusion pump. Pump is self-regulating with automatic
Line sensor and adjustable rate. Equipped with visual and audible
alarms and up to 10 hour capacity battery. For the administration
of a wide variety of therapeutic agents where precise control is
simultaneously.
M4280 Pump, Pneumatic Stocking/Cuff 1 V/V Pneumatic stocking/cuff pump. Pump provides alternating
pressure to pneumatic stockings for reduction of the threat of deep
vein thrombophlebitis in post operative patients. May also be used
in the CCU for rotating cuff therapy for reduction of peripheral
circulation in congestive heart failure patients.
ROOM TEMPLATES 4-62

4.6 OROS1
and double flow.
M4645 Patient Transfer Device 1 V/V A patient transfer board designed to make lateral patient transfers
safer for staff and be more comfortable for the patients. The board
uses a smooth, low friction and static free surface to eliminate the
need for metal rollers. The board has a soft foam core that makes
them lightweight for ease of use and storage. The long board
device also enables the transfer of a patient in the seated or
Fowler position. The boards come in three sizes with the long
board being foldable. The dimensions and price are for the long
wide board.
unit. Designed to regulate body temperature by application of
water-filled hypothermia blankets.
M4816 Warming Unit, Patient, 1 V/V Automatic/manual patient warming unit. Unit delivers a flow of
Automatic/Manual, Air warmed air through a perforated plastic blanket. Used primarily for
postoperative patients to speed recovery of normal body
temperature.
adjustment. Unit rotates and is mounted on ball bearing swivel
casters. Designed for use in examinations, treatment, and surgical
procedures.
switch, disposable 0.12 micron HEPA primary filters, a secondary
0.12 micron ULPA/carbon filter, disposable funnels, reducer
fittings and connector hoses.
M7490 Light, Surg, Ceiling Mtd, Dual, 2 V/C Dual head surgical light ceiling mounted from a single pole. Unit
Unequal Dia Heads has two lamp heads of differing sizes mounted on individual swing
arms. Unit features multiple lighting pods in each lamp head, deep
cavity illumination, color-corrected light, intensity control and
sterilizable handles. Refer to the manufacturers' specifications for
minimum ceiling heights and installation data. The database
height dimension below refers to the height of the lamp head itself.
The width and depth measurements are the larger of the two sums
of the swing arm length and the head diameter. For use in general
purpose surgical suites.
M7650 Defibrillator/Monitor, Acute Care 1 V/V Portable defibrillator/monitor for acute care includes biphasic
defibrillator, pacing, SPO2, Interpretive 12-lead, NIBP monitoring,
EtCO2 monitoring, Invasive pressure monitoring, Vital Sign
monitoring, temperature probe, Fax transmission, PCMCIA Data
Cards, Paddle accessories, and a color LCD.
M7801 Monitor, Medical Grade 26 - 42" 4 V/V LED HD monitor capable of displaying medical grade images.
Monitor's size is 26-42".
M7802 Monitor, Medical Grade 55-65" 2 V/V LED HD monitor capable of displaying medical grade images.
Monitor' size is 55 - 65".
ROOM TEMPLATES 4-63

4.6 OROS1
M7845 Monitor, Physiological, Bedside, 4 1 V/V 4 channel bedside physiological monitor. The unit consist of a
Channel four-channel non-fade monochrome display monitor, an alarm
system and printer-recording
capabilities. The monitor has color coded controls and automatic
calibration. The unit displays up to four waveforms simultaneously.
The parameters to be monitored are user selectable. The monitor
may be connected to a central monitoring station. The unit
monitors patients in most acute care areas,
step-down units, procedure rooms and emergency rooms.
M8551 Light Source, Fiberoptic Headlamp 1 V/V Fiberoptic light source for surgical headlamps. This unit provides
color corrected light for surgical procedures where photography is
not required.
M8606 Endoscopy Cart, Fiberoptic, w/Video 1 V/V Endoscopy cart with video and print capabilities for use with
Accessories fiberoptic (direct vision) endoscopes. This cart does not work with
videoscopes. System takes optical images from a single
endoscope and directly records them or converts them to digital
signals for recording. A typical system cart includes the cart, a
light source, an insufflator, a suction unit, a heat probe unit, an
electrosurgical apparatus, a digital camera converter or color
video camera, a camera controller, a monitor, a video/DVD
recorder and a color 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 information
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.
steel construction and is mounted on two casters with two skid
rails. It has telescopic upright adjusts from 39 inches to 60 inches
with automatic locking device, and removable 13"x19" instrument
tray. Designed for use in operating and procedure rooms.
M8825 Table, Instrument/Dressing, CRS, 1 V/V Instrument and dressing table. Made of corrosion resistant
approx. 36x20x34 stainless steel with a sound deadened top. Includes guard rail,
shelf and two side-by-side drawers. The table is mounted on
swivel, ball-bearing casters.
M8830 Table, Instrument/Dressing, Mobile 1 V/V Mobile instrument/dressing table, approximately 34" H x 20" W x
16" D Corrosion resistant stainless steel mobile table with sound-
M8840 Table, Back, Instrument/Dressing 2 V/V A specialty back table for large cases such as orthopedics, spinal
fusions, neuro and craniotomies. The table has a pneumatic tuck-
away cantilevered shelf which can hold multiple trays and is
angled for clear observation of instruments. It comes with 4"
diameter heavy-duty ball bearing brake/swivel casters.
M8900 Carriage, Pail, CRS, Without Pail 2 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring
type carriage mounted on ball bearing casters. Includes circular
non-marring bumper. For use in the surgical operating room.
M8905 Pail, Utility, CRS, With Carriage 2 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart bucket
for use in surgical operating rooms.
ROOM TEMPLATES 4-64

4.6 OROS1
entire unit is mounted on four heavy duty conductive swivel
casters. Used to transport surgical packs and supplies to surgery
and soiled items back to central supply.
M8920 Stand, Basin, CRS, Mobile, Double 3 V/V CRS, mobile, double basin stand with shelf. Stainless steel
corrosion resistant frame constructed from two continuous
inverted "U" shaped tubes, forming four legs and mounted on
casters. Circular rings welded to top receive two removable 8
quart stainless steel basins. For open heart and other procedures.
M8925 Stand, Basin, CRS, Mobile, Single 1 V/V Mobile single basin stand with shelf. The stand shall be
constructed of tubular stainless steel and mounted on 2" swivel
casters. Shall include a shelf and an 8 quart stainless steel basin.
Intended for use in ORs and treatment areas.
M8940 Stool, Anesthesia, With Back 2 V/V Anesthesia stool with back. All stainless steel with well-curved
back panel and wide conductive seat. Designed for the
anesthesiologist during surgical procedures.
M8950 Warmer, Blood 2 V/V Unit consists of a temperature regulated water bath, circulating
fluid, or dry heat with controls and an audible high temperature
alarm. The warmer provides a stable environment for the
controlled warming of blood or other fluids prior to being
transfused to a patient.
M8970 Warmer, Blood, High Volume 1 V/V Unit contains a proportional controller to regulate temperature in
the heat exchanger and an audible high temperature alarm.
Designed to provide a stable temperature for the controlled
patient. Unit may be a cuff type or circulating water heat
exchanger.
M9110 Table, Operating, 5 or 6 Section, 1 V/V Pedestal type, 5 or 6 section, operating table. Pedestal table,
Trauma mounted on a solid base with casters and locks. Table top surface
is fabricated from
radio-translucent and conductive panels and is equipped with
Electro-hydraulic controls, side rail locking system, grounding
receptacle and dual arm support section. It is designed for use in
the operating room in a variety of surgical procedures. Table is
configured to address the needs of trauma surgery.
S9755 Suction System, Surgical, Mobile 1 V/V Surgical fluid waste management system with powered IV pole
Rover Unit and smoke evacuation. Portable waste collection unit, for use with
Docking Station (specified separately). Dual canisters (one 4L and
one 20L), two levels of suction:
2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.
X4890 Rad/Fluoro Unit, Digital, Mobile, C- 1 V/V This system is a high quality radiographic/fluoroscopic mobile
Arm digital C-arm for use in orthopedics, general surgery, urology,
vascular, neurosurgery, neurovascular and cardiovascular
procedures. This units characteristics and components include a
high frequency x-ray generator with single or dual focus
x-ray tube unit, 9â€ or 12â€ multi-field image intensifier, dual 16â€
monitors, real time digital imaging and last image hold capabilities.
The system shall be DICOM
3.0 or latest version, compatible, for easy linkage to filmless image
management systems and review stations.
ROOM TEMPLATES 4-65

4.7. ORCS1
(ORCS1) OPERATING ROOM, UROLOGY / CYSTOSCOPY
AXONOMETRIC
0' 4' 8' 16'
4.7. ORCS1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.7. ORCS1
FLOOR PLAN
0' 4' 8' 16'
23' - 5"
(7.14m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
DOORS TO BE ON
STRETCHER ALCOVE
AUTOMATIC DOOR OPENERS
A5212 SCRUB ALCOVE RETURN AIR
M7802 DUCT (TYPICAL)
LOW WALL
H T
RETURN AIR
GM TV TV
REGISTER
(TYPICAL)
A5107
1 M8910 A5108
MANIFOLD
4 2 14' - 0" UNI-DIRECTIONAL
M8830 IPS AIR DELIVERY
3 TABLE
M8900 A5108 EQ EQ ARRAY ABOVE
M8905 M8800 STERILE FIELD
M4266
GM
M3072
M4255
M8940
M4287 M8606
A1200 M4255
F3050
M5030
M3070 F3200
EQ
GM
A1014
(8.74m)
M4816
28' - 8"
F0355
C
M8940
TABLE
14' - 0"
M8825
M8925
A5104 M4255 A4015
X4890 M4266 M3150
M9110
M4815
M8810 M8840
M8950
EQ
M5512
M8810 M3175
DASHED LINE
REPRESENTS THE M8551
SURGICAL STERILE M8920
FIELD
M3080
M8825 M5030
M0630 M8920 S9755
M7845 M8830
M8970
GM
IPS D D
E0954 M4645 A5107

M7650
CLEAN CORE
OPERATING ROOM,
UROLOGY /
CYSTOSCOPY
(ORCS1)
650 NSF
60.39 NSM
4.7. ORCS1
0' 4' 8' 16'
23' - 5"
(7.14m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
FIN. CLG. 10' - 0" A.F.F.
LED STRIP LIGHT

DIMMABLE
(4.93m)
16' - 2"
TYPICAL A A
A1122
M7490 M1801
M7801 (DOCUMENTATION)
4V, 1 NITROGEN,
1 CO2,10 EMERG
DUPLEX, 4
DATA FACE
OUTLINE OF PLATES
PROCEDURE (EQUIPMENT)
EQ
TABLE LED LED LED LED
(ANESTHESIA) A1122
(8.74m)
LED
LED
LED
LED
A1130
28' - 8"
2O, 3V, 1A, WAGD, A1120
LED
LED
LED
LED
M0750 M0765
LED
A
A
1 NITROUS OXIDE, M4280
M0755 LED LED LED LED
6 EMERG DUPLEX, M0765 M8606

4 DATA FACE M1801
LED
LED
LED
LED
LED
TABLE
LED
LED
LED
LED
LED
PLATES
LED LED LED LED
A1120
M0750
(3.81m)
12' - 6"
(EQUIPMENT) M0755
LED
LED
LED
LED
LED
A
4V, 1 NITROGEN, A1122 M0765

LED
LED
LED
LED
EQ
A1130
1 CO2,10 LED LED LED LED
(ANESTHESIA)
M0765
EMERG DUPLEX, 2O, 3V, 1A, WAGD,
M4280
4 DATA FACE M8606 1 NITROUS OXIDE,
PLATES 6 EMERG DUPLEX,
4 DATA FACE
PLATES
GYPSUM BOARD
A A SOFFIT.
COORDINATE
HEIGHT WITH
M7490 EQUIPMENT.
M7801
EQ EQ SEE LEGEND:
A1200 MANIFOLD
UNI-DIRECTIONAL
LIFT AND
TABLE AIR DELIVERY
EXTENDER RAIL
ARRAY ABOVE
GENERAL NOTES: OPERATING ROOM, STERILE FIELD
1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S) UROLOGY /
2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
CYSTOSCOPY
MANIFOLD AIR DELIVERY ARRAY (ORCS1)
650 NSF
FIRE SPRINKLERS 60.39 NSM
4.7. ORCS1
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

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

JSN Legend
JSN DESCRIPTION M5030 STOOL, SURGEON, REVOLVING

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M7490 LIGHT, SURG, CEILING MTD, DUAL,
WITH SPEAKER UNEQUAL DIA HEADS
A1120 COLUMN, SERVICE, PREFAB, M7650 DEFIBRILLATOR/ MONITOR, ACUTE
SURGICAL, CEILING MOUNTED CARE
A1122 COLUMN, EQUIPMENT ARM, CEILING M7801 MONITOR, MEDICAL GRADE, 26” - 42”
MOUNTED, SURGERY M7802 MONITOR, MEDICAL GRADE, 55” - 65”
A1130 CABINET, CONTROL, NITROGEN M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
A4015 CLOCK, ELAPSED TIME, ELECTRIC 4-CHANNEL
A5104 CART, MEDICAL WASTE DISPOSAL, M8551 LIGHT SOURCE, FIBEROPTIC
MOBILE W/FOOT PEDAL HEADLAMP
A5107 DISPENSER, GLOVE, SURGICAL/ M8606 ENDOSCOPY CART, FIBEROPTIC,
EXAMINATION, WALL-MTD W/ VIDEO ACCESSORIES
A5108 WASTE DISPOSAL UNIT, SHARPS M8800 CART, ANESTHESIA
A5212 BRACKET, TELEVISION WALL MTD, M8810 STAND, MAYO
TILT/ANGLE M8825 TABLE, INSTRUMENT/DRESSING, CRS,
E0954 CART, EMERGENCY, MOBILE, 66”H x APPROX 36x20x34
32”W x 22”D M8830 TABLE, INSTRUMENT/DRESSING,
F0355 FOOTSTOOL, STRAIGHT MOBILE
F3050 WHITE BOARD, DRY ERASE M8840 TABLE, BACK, INSTRUMENT/DRESSING
F3200 CLOCK, BATTERY, 12” DIAMETER M8900 CARRIAGE, PAIL, CRS, WITHOUT PAIL
M0630 ANESTHESIA APPARATUS, 3 GAS M8905 PAIL, UTILITY, CRS, WITH CARRIAGE
M0750 FLOWMETER, AIR, CONNECT W/ 50 PSI M8910 CART, SURGICAL CASE
SUPPLY M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M0755 FLOWMETER, OXYGEN, LOW FLOW M8925 STAND, BASIN, CRS, MOBILE, SINGLE
M0765 REGULATOR, VACUUM M8940 STOOL, ANESTHESIA, WITH BACK
M1801 COMPUTER, MICROPROCESSING, M8950 WARMER, BLOOD
W/ FLAT PANEL MONITOR M8970 WARMER, BLOOD, HIGH VOLUME
M3070 HAMPER, LINEN, MOBILE, W/LID M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3072 FRAME, INFECTIOUS WASTE BAG TRAUMA
W/LID S9755 SUCTION SYSTEM, SURGICAL, MOBILE
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS ROVER UNIT
DOOR, 6 SHELF U0100 INTEGRATED OPERATING ROOM
M3150 DISTRIBUTION SYSTEM, MEDICATION, SYSTEM, ALLOWANCE
AUTOMATIC X4890 RAD/FLUORO UNIT, DIGITAL, MOBILE,
M3175 ELECTROSURGICAL UNIT, DUAL C-ARM
OUTPUT
MULTIPLE LINE
MANUAL, AIR
ROOM TEMPLATES 4-71

4.7. ORCS1
ELEVATIONS
0' 4' 8' 16'
M7802
55-65"
A5212
A5107
Dispenser, Glove,
Mntd
A5108
Waste Disposal Unit, Sharps LOW WALL RETURN
M8910 AIR REGISTER
Cart, Surgical Case
H T S
LOW WALL RETURN
AIR REGISTER
ELEVATION 1
F3200
Clock, Battery, 12"
Diameter
A4015
Clock, Elapsed Time,
Electric
A1014
Telephone, Wall
Speaker
F3050
ISOLATION M3080
POWER Cabinet, Instrument,
SYSTEM CRS, 2 Glass Door, 6
Shelf
LOW WALL RETURN
AIR REGISTER
LOW WALL RETURN

AIR REGISTER
M3150
ELEVATION 2 Distribution System,
F0355 Medication, Automatic
Footstool, Straight
4.7. ORCS1
ELEVATIONS
0' 4' 8' 16'
M4645
S9755
Mobile Rover Unit
A5107
Dispenser, Glove, M7650
Surgical/Examination, Wall Defibrillator/Monitor,
Mntd Acute Care
SD SD
M3080 ISOLATED POWER SYSTEM

Glass Door, 6 Shelf LOW WALL RETURN
AIR REGISTER
E0954
Cart, Emergency, Mobile,
M8830
ELEVATION 3 66"H x 32"W x 22"D
Table, Instrument/Dressing, M8920
Mobile Stand, Basin, CRS,
Mobile, Double
A5104
Cart, Medical Waste
Disposal, Mobile w/Foot
Pedal
M3070
Hamper, Linen, Mobile,
w/Lid
M3072
Frame, Infectious Waste
Bag w/Lid
X4890 M8830
Rad/Fluoro Unit, Digital, Table,
Mobile, C-Arm Instrument/Dressing,
Mobile
LOW WALL RETURN
AIR REGISTER LOW WALL RETURN
AIR REGISTER
M8900
ELEVATION 4 Carriage, Pail, CRS,
Without Pail
M8905
Pail, Utility, CRS, With
Carriage
4.7 ORCS1
4.7 OPERATING ROOM, UROLOGY/CYSTOSCOPY (ORCS1)
Room Data Sheet
ARCHITECTURAL 7) Equipment and Anesthesia booms are du-

plicated to provide maximum flexibility. If dupli-
Ceiling Type: Gypsum Wallboard (SC)
cate booms are not desired, they can be omitted
Ceiling Height: 10’-0” (3048 mm) subject to approval by clinical leadership.
Ceiling Finish: 8) Facility will select number and types of
Wall Finish: Gypsum Wallboard (SC) scopes and other instrumentation as necessi-
Wainscot: tated by the unique case load.
Base: RF Integral Base (min. 6”/ 9) Endoscopy equipment can be located on a
152 mm) cart or on the equipment boom.
Floor Finish: Resinous Flooring (RF) 10) NSF provided for this space is the minimal
Res 4 acceptable NSF; contact Facilities Standards
Slab Depression: None Services for any deviations.
Sound Protection: 50 STC (to other room), 35
STC (to corridor)
Doors: Double, Size 6’-0” x 7’-0” LIGHTING
(1829 mm x 2133 mm)
Wood w/ Narrow View Refer to the VA Lighting Design Manual section
Window; Single, Size 4’-0” x 4.2.13 - Surgery/Operating Room - for lighting
7’-0”(1219 mm x 2133 mm) design consideration.
Wood w/ Small View
Window
POWER
Notes: Normal Power: Connect selected

1) Shielding is to be provided as it is to Normal power IPS.
determined by the Physicist on a per project Emergency Power: Connect selected
basis. receptacles and equipment
2) Locate access panels as required to to Critical Branch
allow for the maintenance of surgical booms and emergency IPS.
lights in facilities without insterstitial space. Min.
size to be 24” x 24”. Notes:
3) Cabinetry can be built in or free- 1) Provide IPS power & ground modules – 3
standing. duplex receptacles & 3 ground jacks
4) Nominal wall thickness is shown at 8” (203 2) IPS Power & ground modules mounted at
mm) to account for a variety of wall-mounted +24” AFF
5) Include wall extensions at both sides of located outside the Surgery Room.
the scrub sink to protect the scrub sinks from 4) Provide power connections for articulating
utility columns.
cart and stretcher traffic in the semi-restricted
corridor.
ROOM TEMPLATES 4-74

4.7 ORCS1

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide.
VA Satellite TV: No
Fire Alarm: Yes
CONDITIONING
pressurization.
Notes:
ROOM TEMPLATES 4-75

4.7 ORCS1
4.7 OPERATING ROOM, UROLOGY/CYSTOSCOPY (ORCS1)
Equipment List

A1014 Telephone, Wall 1 V/V Telephone, wall mounted, 1 line, with speaker.
Speaker
A1120 Column, Service, Prefab, 2 C/C Prefabricated surgical service column. Strong 18 gauge stainless steel
Surgical, Ceiling Mounted shell ceiling mounted unit with the following services: oxygen, nitrous
oxide, nitrogen, medical air, medical vacuum, gas evacuation, electrical
outlets, monitoring connectors, and IV holders. Specify type of column
(fixed or retractable) and number of outlets required for each service.
Size will vary with number of service outlets required. Designed to be
used in the operating room, recovery and ICU-CCU rooms.
A1122 Column, Equipment Arm, 3 C/C A ceiling mounted retractable equipment arm for use in the OR.
Ceiling Mounted, Surgery Designed to provide equipment placement support, power receptacles
including low-voltage panels, gas outlets and flat screen mounting for a
surgical suite. Unit will provide a range of motion of up to 330 degrees
with arm providing additional vertical movement. Units are custom
configured with multiple options available. Price is based on a unit with
two (double) retractable arms. Also available are units for use in
anesthesia, ICU and ER.
A1130 Cabinet, Control, 2 C/C Nitrogen control cabinet. Unit consists of supply cut-off valve, supply
Nitrogen pressure gauge, pressure regulator (adjustable 0 to 200 PSI), outlet
pressure gauge, nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for powering surgical
pneumatic tools.
A1200 Lift System, Overhead, 1 V/C An overhead rail system specifically designed for patient lifting and
Patient Room movement for a single bed patient room. The system will consist of
recessed or ceiling mounted primary and secondary rails, lift motor with
rolling carriage, patient harness or seat, and a hand controller or control
box with charger. System will facilitate lifting and movement of patient to
and from bed to gurney, chair or other requirement. Minimum lift
capability is 550 pounds. Custom design of track layout by manufacturer
is essential to meet individual facility requirements.
A4015 Clock, Elapsed Time, 1 C/C Elapsed time digital electric clock. Single display time that can be used
Electric either as a clock or elapsed time indicator. Clock consists of buttons to
set minutes, and hours for the time. For use in operating and delivery
room, and medical service columns. Analog or digital displays may be
provided as specified by the user.
A5104 Cart, Medical Waste 1 V/V Mobile molded cart with foot pedal, to house 18-24 gal sharps disposal
Disposal, Mobile w/Foot container. Lid lift or slide opens easily with foot-operated pedal. Lid may
Pedal remain closed when not in use to reduce exposure to contents.
Ergonomic handle is telescopic. Heavy containers can be removed from
the side with minimal lifting. Meets requirements of OSHA 29 CFR
1910.130.
A5107 Dispenser, Glove, 2 V/V Examination three (Small Medium, Large) glove dispenser box for wall
Surgical/Examination, mounting. Fabricated of either cold rolled steel with a white baked
Wall Mntd enamel finish, plastic or acrylic. Hardware not included, Option 3 powder
coated steel.
A5108 Waste Disposal Unit, 2 V/V A container for collecting and transporting syringes and other sharps for
Sharps decontamination and disposal. Available in 2 gallon and 8 gallon with
locking rotor. Complies with OSHA regulations for handling sharps.
A5212 Bracket, Television, Wall- 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount will be
Mounted, Tilt/Angle a universal and VESA compliant unit with a load capacity of up to 130
lbs.
ROOM TEMPLATES 4-76

4.7 ORCS1
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES
66"H x 32"W x 22"D 1 Cart body, style-A narrow, w/raised edge top:
1 IV pole
1 Breakaway bar
1 Flip-up shelf
1 Wastebasket
1 Cord wrap
4 Drawer, 3"H
3 Drawer, 6"H
F0355 Footstool, Straight 4 V/V Step stool. Used to assist patients getting on and off exam or surgical
tables. Fitted with electrically conductive rubber tips.
porcelain enamel writing surface with an attached chalk tray. Magnetic
surface available. Image can be easily removed with a standard
chalkboard eraser. For use with water color pens. Unit is ready to hang.
F3200 Clock, Battery, 12" 1 V/V Clock, 12" diameter. Round surface, easy to read numbers with sweep
Diameter second hand. Wall mounted unit for use when impractical to install a
fully synchronized clock system. Battery operated, (batteries not
included).
M0630 Anesthesia Apparatus, 3 1 V/V Three gas anesthesia apparatus. Basic unit consists of steel cabinet
Gas with casters with one shallow, one medium, and one deep drawer,
seven long scale eleven-inch flowmeters, five cylinder yokes, and
telescoping absorber post. It includes two-canister model carbon dioxide
ventilator calculator, ventilator and an oxygen piping inlet. Also features
nitrous oxide fail safe valve kit, aspirator kit, gas evacuator with vacuum
and a flow meter safety cover. Used to dispense a mixture of gases
M0750 Flowmeter, Air, Connect 2 V/V Air flowmeter. Unit has a stainless steel needle valve with clear flowtube
w/50 PSI Supply for connection to 50 PSI air outlet from central pipeline system. Requires
the appropriate adapter for connection to the wall outlet and fitting to
connect to tubing. Database prices reflect fittings with an attached DISS
power outlet. Other outlet and adapter configurations are available.
M0755 Flowmeter, Oxygen, Low 4 V/V Oxygen flowmeter. Consists of a clear crystal flowtube calibrated to 3.5
Flow or 8 LPM depending on manufacturer. For oxygen regulation in hospital
settings. Database pricing includes DISS fitting and DISS power outlet
and wall adapter. Other fitting and adapter configurations are available.
system. Standard display scale is graduated at least from 0 to 200 mm
Hg of vacuum. Displays on specialized regulators may cover other
vacuum ranges. Regulator type (continuous, intermittent,
continuous/intermittent, surgical, pediatric, thoracic, etc.) as required. To
be used in delivery, neonatal, pediatrics or any area where suction is
required. Database pricing reflects continuous regulators graduated to
200 mm Hg with a full line vacuum selection switch and DISS configured
inlets and outlets.
ROOM TEMPLATES 4-77

4.7 ORCS1
M1801 Computer, 2 V/V Desk top microprocessing computer. The unit shall consist of a central
Microprocessing, w/Flat processing mini tower, flat panel monitor, keyboard, mouse and
Panel Monitor speakers. The system shall have the following minimum characteristics:
a 2.8 GHz Pentium processor; 512 MB memory; 80GB hard drive;
32/48x CD-ROMDVD combo; 1.44MB network interface card; video 32
MB NVIDIA; a 18 inch flat panel monitor. The computer is used
throughout the facility to input, manipulate and retrieve information.
M3070 Hamper, Linen, Mobile, 2 V/V Mobile linen hamper with hand or foot operated lid. Made of heavy
w/Lid tubular stainless steel with heavy gauge welded steel platform. Holds
25" hamper bags. Mounted on ball bearing casters. For linen transport
in hospitals and clinics.
M3072 Frame, Infectious Waste 1 V/V Frame for an infectious waste collection bag. Made of heavy tubular
Bag w/Lid stainless steel with heavy gauge welded steel platform. Adjust to hold
18" or 25" trash bags. Mounted on ball bearing casters and includes
permanently mounted hinged lid. Provides means of bagging infectious
waste at point of waste generation.
M3080 Cabinet, Instrument, 2 V/V Non-magnetic stainless steel instrument cabinet with two glass doors
CRS, 2 Glass Door, 6 and six shelves (five adjustable). Cabinet body has a single storage
Shelf compartment and seamless welded face. Shelf heights are adjustable
on full length perforated strips mounted to the back and inside front
cabinet corners. Cabinet is mounted on glides or casters. Cabinet may
be covered by a sloping top.
M3150 Distribution System, 1 V/V An automated dispensing system that provides controlled dispensing,
Medication, Automatic inventory and security. Size and cost will vary dependent on number of
modules selected.
M3175 Electrosurgical Unit, Dual 1 V/V Dual output electrosurgical unit. Solid state power source with foot
Output switch jacks, monopolar and bipolar outputs, and four independent
modes of operation. Used in the operating room or surgicenter as an
alternative to the scalpel for cutting tissue.
M4255 Stand, IV, Adjustable 3 V/V Adjustable IV stand with 4-hook arrangement. Stand has stainless steel
construction with heavy weight base. It adjusts from 66 inches to 100
inches and is mounted on conductive rubber, ball bearing, swivel
casters. Stand is used for administering intravenous solutions.
M4266 Pump, Volumetric, 2 V/V Volumetric infusion pump. Pump is self-regulating with automatic sensor
Infusion, Multiple Line and adjustable rate. Equipped with visual and audible alarms and up to
10 hour capacity battery. For the administration of a wide variety of
therapeutic agents where precise control is required. Unit provides
individual control to IV lines simultaneously.
M4280 Pump, Pneumatic 2 V/V Pneumatic stocking/cuff pump. Pump provides alternating pressure to
Stocking/Cuff pneumatic stockings for reduction of the threat of deep vein
CCU for rotating cuff therapy for reduction of peripheral circulation in
congestive heart failure patients.
M4287 Irrigation System, 1 V/V High flow surgical irrigation pump up 2.5l/min, available in single and
Surgical double flow.
M4645 Patient Transfer Device 1 V/V A patient transfer board designed to make lateral patient transfers safer
for staff and be more comfortable for the patients. The board uses a
smooth, low friction and static free surface to eliminate the need for
metal rollers. The board has a soft foam core that makes them
lightweight for ease of use and storage. The long board device also
enables the transfer of a patient in the seated or Fowler position. The
boards come in three sizes with the long board being foldable. The
dimensions and price are for the long wide board.
ROOM TEMPLATES 4-78

4.7 ORCS1
M4815 Hypo/Hyperthermia Unit, 1 V/V Automatic/manual hypo/hyperthermia unit. Sealed refrigeration system.
Automatic/Manual, Microprocessor controlled with multiple alarm system constantly
Mobile monitoring temperature and water levels. Cabinet type unit. Designed to
regulate body temperature by application of water-filled hypothermia
blankets.
M4816 Warming Unit, Patient, 1 V/V Automatic/manual patient warming unit. Unit delivers a flow of warmed
Automatic/Manual, Air air through a perforated plastic blanket. Used primarily for postoperative
patients to speed recovery of normal body temperature.
M5030 Stool, Surgeon, 2 V/V Revolving stool. Consists of a padded upholstered seat with height
Revolving adjustment. Unit rotates and is mounted on ball bearing swivel casters.
Designed for use in examinations, treatment, and surgical procedures.
M5512 Laser, Smoke Evacuator 1 V/V Filtration system used in conjunction with laser operations to remove
surgical laser plume. The unit includes a pneumatic foot switch,
disposable 0.12 micron HEPA primary filters, a secondary 0.12 micron
ULPA/carbon filter, disposable funnels, reducer fittings and connector
hoses.
M7490 Light, Surg, Ceiling Mtd, 2 V/C Dual head surgical light ceiling mounted from a single pole. Unit has two
Dual, Unequal Dia Heads lamp heads of differing sizes mounted on individual swing arms. Unit
features multiple lighting pods in each lamp head, deep cavity
handles. Refer to the manufacturers' specifications for minimum ceiling
heights and installation data. The database height dimension below
refers to the height of the lamp head itself. The width and depth
measurements are the larger of the two sums of the swing arm length
and the head diameter. For use in general purpose surgical suites.
M7650 Defibrillator/Monitor, 1 V/V Portable defibrillator/monitor for acute care includes biphasic
Acute Care defibrillator, pacing, SPO2, Interpretive 12-lead, NIBP monitoring,
EtCO2 monitoring, Invasive pressure monitoring, Vital Sign monitoring,
temperature probe, Fax transmission, PCMCIA Data Cards, Paddle
accessories, and a color LCD.
M7801 Monitor, Medical Grade 4 V/V LED HD monitor capable of displaying medical grade images. Monitor's
26 - 42" size is 26-42".
M7802 Monitor, Medical Grade 2 V/V LED HD monitor capable of displaying medical grade images. Monitor'
55-65" size is 55 - 65".
M7845 Monitor, Physiological, 1 V/V 4 channel bedside physiological monitor. The unit consist of a four-
Bedside, 4 Channel channel non-fade monochrome display monitor, an alarm system and
printer-recording capabilities. The monitor has color coded controls and
automatic calibration. The unit displays up to four waveforms
simultaneously. The parameters to be monitored are user selectable.
The monitor may be connected to a central monitoring station. The unit
monitors patients in most acute care areas, step-down units, procedure
rooms and emergency rooms.
M8551 Light Source, Fiberoptic 1 V/V Fiberoptic light source for surgical headlamps. This unit provides color
Headlamp corrected light for surgical procedures where photography is not
required.
ROOM TEMPLATES 4-79

4.7 ORCS1
M8606 Endoscopy Cart, 1 V/V Endoscopy cart with video and print capabilities for use with fiberoptic
Fiberoptic, w/Video (direct vision) endoscopes. This cart does not work with videoscopes.
Accessories System takes optical images from a single endoscope and directly
records them or converts them to digital signals for recording. A typical
system cart includes the cart, a light source, an insufflator, a suction
unit, a heat probe unit, an electrosurgical apparatus, a digital camera
converter or color video camera, a camera controller, a monitor, a
video/DVD recorder and a color 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 information management system; refer to
JSN M8600. Database physical information and pricing is for a higher
M8800 Cart, Anesthesia 1 V/V Mobile anesthesia cart. The cart shall be built of stainless steel or other
appropriate material and mounted on 4" casters for easy mobility. It shall
be capable of being equipped with bottle holders, adjustable IV pole,
storage drawers, shelves and a top bar/rail.
M8810 Stand, Mayo 2 V/V Adjustable instrument table. Table is corrosion resistant stainless steel
construction and is mounted on two casters with two skid rails. It has
telescopic upright adjusts from 39 inches to 60 inches with automatic
locking device, and removable 13"x19" instrument tray. Designed for
use in operating and procedure rooms.
M8825 Table, 2 V/V Instrument and dressing table. Made of corrosion resistant stainless
Instrument/Dressing, steel with a sound deadened top. Includes guard rail, shelf and two side-
CRS, approx. 36x20x34 by-side drawers. The table is mounted on swivel, ball-bearing casters.
M8830 Table, 2 V/V Mobile instrument/dressing table, approximately 34" H x 20" W x 16" D
Instrument/Dressing, Corrosion resistant stainless steel mobile table with sound-deadening
Mobile shelf and drawer. Unit is mounted on 2" casters. Designed for all
purpose use in the hospital or clinic.
M8840 Table, Back, 1 V/V A specialty back table for large cases such as orthopedics, spinal
Instrument/Dressing fusions, neuro and craniotomies. The table has a pneumatic tuck-away
cantilevered shelf which can hold multiple trays and is angled for clear
observation of instruments. It comes with 4" diameter heavy-duty ball
bearing brake/swivel casters. Construction is all stainless steel.
M8900 Carriage, Pail, CRS, 2 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type
Without Pail carriage mounted on ball bearing casters. Includes circular non-marring
bumper. For use in the surgical operating room.
M8905 Pail, Utility, CRS, With 2 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart bucket for
Carriage use in surgical operating rooms.
M8910 Cart, Surgical Case 2 V/V Surgical case cart. Unit consists of two hinged cabinet sections, each
section equipped with two pull-out shelves with stops. The entire unit is
mounted on four heavy duty conductive swivel casters. Used to
transport surgical packs and supplies to surgery and soiled items back
to central supply.
M8920 Stand, Basin, CRS, 2 V/V CRS, mobile, double basin stand with shelf. Stainless steel corrosion
Mobile, Double resistant frame constructed from two continuous inverted "U" shaped
tubes, forming four legs and mounted on casters. Circular rings welded
to top receive two removable 8 quart stainless steel basins. For open
heart and other procedures.
M8925 Stand, Basin, CRS, 1 V/V Mobile single basin stand with shelf. The stand shall be constructed of
Mobile, Single tubular stainless steel and mounted on 2" swivel casters. Shall include a
shelf and an 8 quart stainless steel basin. Intended for use in ORs and
treatment areas.
ROOM TEMPLATES 4-80

4.7 ORCS1
M8940 Stool, Anesthesia, With 2 V/V Anesthesia stool with back. All stainless steel with well-curved back
Back panel and wide conductive seat. Designed for the anesthesiologist
M8950 Warmer, Blood 2 V/V Unit consists of a temperature regulated water bath, circulating fluid, or
dry heat with controls and an audible high temperature alarm. The
warmer provides a stable environment for the controlled warming of
blood or other fluids prior to being transfused to a patient.
M8970 Warmer, Blood, High 1 V/V Unit contains a proportional controller to regulate temperature in the
Volume heat exchanger and an audible high temperature alarm. Designed to
provide a stable temperature for the controlled warming of blood or other
fluids prior to being transfused to a patient. Unit may be a cuff type or
circulating water heat exchanger.
M9110 Table, Operating, 5 or 6 1 V/V Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted
Section, Trauma on a solid base with casters and locks. Table top surface is fabricated
from radio-translucent and conductive panels and is equipped with
Electro-hydraulic controls, side rail locking system, grounding receptacle
and dual arm support section. It is designed for use in the operating
room in a variety of surgical procedures. Table is configured to address
the needs of trauma surgery.
S9755 Suction System, Surgical, 1 V/V Surgical fluid waste management system with powered IV pole and
Mobile Rover Unit smoke evacuation. Portable waste collection unit, for use with Docking
Station (specified separately). Dual canisters (one 4L and one 20L), two
levels of suction: 2-21in/Hg, fluid readout, 3 different port sizes for
smoke tubing.
U0100 Integrated Operating 1 V/V Allowance for Integrated System for each Operating Room, Hybrid
Room System, Allowance Operating Room. Cath Lab or EP room. Require- ments are defined on
a project by project basis. Integration provides visual image, patient
information and communication management. Integration can also
include the control of some equipment settings and environment settings
such as lighting.
X4890 Rad/Fluoro Unit, Digital, 1 V/V This system is a high quality radiographic/fluoroscopic mobile digital C-
Mobile, C-Arm arm for use in orthopedics, general surgery, urology, vascular,
neurosurgery, neurovascular and cardiovascular procedures. This units
characteristics and components include a high frequency x-ray
generator with single or dual focus x-ray tube unit, 9â€ or 12â€ multi-
field image intensifier, dual 16â€ monitors, real time digital imaging and
last image hold capabilities. The system shall be DICOM 3.0 or latest
version, compatible, for easy linkage to filmless image management
systems and review stations.
ROOM TEMPLATES 4-81

4.8. ORCT1
(ORCT1) OPERATING ROOM, CARDIOTHORACIC
AXONOMETRIC
0' 4' 8' 16'
4.8. ORCT1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.8. ORCT1
FLOOR PLAN
0' 4' 8' 16'
26' - 10"
(8.18m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR DOORS TO BE ON
AUTOMATIC DOOR
STRETCHER ALCOVE SCRUB ALCOVE OPENERS
RETURN AIR
DUCT (TYPICAL)
H T LOW WALL RETURN

A4015
TV TV AIR REGISTER
F3200 (TYPICAL)
1
A5107
M8910 MANIFOLD
A5104 A5108 4 2
A5212 UNI-DIRECTIONAL
M7802
M7802 16' - 0" AIR DELIVERY
3 IPS
M8900
M8 900 ARRAY ABOVE
M8905 M4815 (4.88m) STERILE FIELD
EQ EQ M8606
M3070 R4785 TABLE
A1014
M8925
M4255
M4287
M3109
M5512 M8920 M8840
(4.88m)
16' - 0"
M8825 L0221 F0355
EQ
M4816
M4280 M8810 F3050
(8.74m)
M3175
28' - 8"
M8810 M5030 M8940
M3070 M8825
M8950 M4811 M3150
M3072 M9080
TABLE
M5030
M8940
E0954 U0105
L1095
M4812 M8551
M7650 M8800
EQ
M8940
A1200
LIFT AND
M4250 M4810
EXTENDER RAIL
M4255
M4266 M8970
M0630 M3080
X2105 M7845
A5108
E0948
M7818
E0963 TO
CLEAN
IPS a b Dc
CORE
M8830 M4645 S9755
CLEAN CORE
A5107
OPERATING ROOM,
CARDIOTHORACIC
(ORCT1)
750 NSF
69.62 NSM
4.8. ORCT1
0' 4' 8' 16'

26' - 10" NOTE: REFER
(8.18m) M0765 (PERFUSION) TO ROOM DATA
8' - 0" CLEAR M0755 2O, 3V, 2A, 1 NITROUS SHEET FOR
SEMI-RESTRICTED M0750 OXIDE, 6 EMERG ACCESS PANELS
CORRIDOR A1130 DUPLEX, 4 DATA FACE
(ANESTHESIA) A1122 PLATES (EQUIPMENT)
DIMMABLE, LED STRIP LIGHT A1130
2O, 3V, 1A, WAGD, M0765 4V, 1 NITROGEN, 1
TYPICAL M0765
1 NITROUS OXIDE, M0755
M4280 CO2,10 EMERG
M0750
6 EMERG DUPLEX, A1122 DUPLEX, 4DATA FACE
A1120
4 DATA FACE PLATES PLATES
16' - 0"
(4.88m)
SEE LEGEND:
MANIFOLD A A A A
UNI-DIRECTIONAL EQ EQ
AIR DELIVERY
TABLE
ARRAY ABOVE
STERILE FIELD A1122
M1801
(DOCUMENTATION)
A
A
LED LED LED LED LED LED LED LED

EQ
M7490
A
A
LED
(8.74m)
M7801
28' - 8"
LED
TABLE
LED LED LED LED LED LED LED

(4.88m)
A
A
16' - 0"
LED
LED
LED
LED
LED
LED
A
A
LED LED LED LED LED LED LED

LED
LED
EQ
M7801 OUTLINE OF
M7490 LED LED LED LED LED LED LED LED
PROCEDURE
TABLE
GYPSUM BOARD
SOFFIT.
A1200
COORDINATE
LIFT AND
HEIGHT WITH
EXTENDER RAIL
A A A A EQUIPMENT.
DASHED LINE
REPRESENTS
THE SURGICAL
STERILE FIELD FIN. CLG. 10' - 0" A.F.F.
(ANESTHESIA) A1122 CLEAN CORE
2O, 3V, 1A, WAGD, A1120 (EQUIPMENT) M0765
1 NITROUS OXIDE, M0765 4V, 1 NITROGEN, 1 C02, A1130
M0755 GENERAL NOTES:
6 EMERG DUPLEX, 10 EMERG DUPLEX,
M0750 4 DATA FACE PLATES OPERATING ROOM, 1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S)
4 DATA FACE PLATES 2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
M1801 CARDIOTHORACIC
(ORCT1) MANIFOLD AIR DELIVERY ARRAY
750 NSF
4.8. ORCT1
2O, 3V, 1A, WAGD, 1 NITROUS

M0765 M0765 M4280
OXIDE, 6 EMER DUPLEX, 4
M0755 M0755 DATA FACE PLATES M0765
M0750 M0750 (ANESTHESIA) M8606 4V, 1 NITROGEN, 1 CO2, 10 EMER
2O, 3V, 2A, 1 NITROGEN, 6 EMER
DUPLEX, 4 DATA FACE PLATES A1130 A1120 A1130 DUPLEX, 4 DATA FACE PLATES
(PERFUSION) A1122 A1122 (EQUIPMENT)
10' - 0"
AIR CURTAIN 8' - 0" 8' - 0"

2436mm 2441mm M1801
LAMINAR AIR
A1122
FLOW DIFFUSER
(DOCUMENTATION)
ab ab ab ab
4927mm
16' - 2"
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
OXIDE, 6 EMER DUPLEX, 4 DATA TABLE A1122 4V, 1 NITROGEN, 1 CO2, 10 TO ROOM DATA
M0765 EMER DUPLEX, 4 DATA
FACE PLATES M0765 SHEET FOR
M0755 FACE PLATES ACCESS PANELS
EQ M0750 EQ
26' - 10"
8179mm

750 NSF / 69,7 NSM
4.8. OPERATING ROOM, CARDIOTHORACIC (ORCT1)
JSN Legend
JSN DESCRIPTION
M4810 HEART/ LUNG MACHINE, BYPASS,
MODULAR
A1014 TELEPHONE, WALL MOUNTED, 1 LINE,
M4811 PUMP, INTRA-AORTIC, BALLOON
WITH SPEAKER
M4812 PACEMAKER, SINGLE CHAMBER,
A1120 COLUMN, SERVICE, PREFAB,
EXTERNAL, TEMPORARY
SURGICAL, CEILING MOUNTED
A1122 COLUMN, EQUIPMENT ARM, CEILING
MOUNTED, SURGERY
A1130 CABINET, CONTROL, NITROGEN
MANUAL, AIR
A1200 LIFT SYSTEM, OVERHEAD, PATIENT
M5030 STOOL, SURGEON, REVOLVING
ROOM
A4015 CLOCK, ELAPSED TIME, ELECTRIC
M7490 LIGHT, SURG, CEILING MTD, DUAL,
A5104 CART, MEDICAL WASTE DISPOSAL,
UNEQUAL DIA HEADS
MOBILE W/FOOT PEDAL
M7650 DEFIBRILLATOR/ MONITOR, ACUTE
A5107 DISPENSER, GLOVE, SURGICAL/
CARE
EXAMINATION, WALL-MTD
M7801 MONITOR, MEDICAL GRADE, 26”-42”
A5108 WASTE DISPOSAL UNIT, SHARPS
M7802 MONITOR, MEDICAL GRADE, 55”-65”
A5212 BRACKET, TELEVISION, WALL-MTD,
M7818 MONITOR, TRANSPORT
TILT/ANGLE
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
E0954 CART, EMERGENCY, MOBILE, 66”H x
4 CHANNEL
32”W x 22”D
M8551 LIGHT SOURCE, FIBEROPTIC
E0963 CART, GEN. STORAGE, MOBILE
HEADLAMP
F0355 FOOTSTOOL, STRAIGHT
M8606 ENDOSCOPY CART, FIBEROPTIC,
F3050 WHITEBOARD, DRY ERASE
W/VIDEO ACCESSORIES
F3200 CLOCK, BATTERY, 12” DIAMETER
M8800 CART, ANESTHESIA
L0221 ANALYZER, BLOOD, PORTABLE, HAND
M8810 STAND, MAYO
HELD
M8825 TABLE, INSTRUMENT/DRESSING, CRS,
L1095 CELL SAVER,
APPROX 36”x20”x34”
M0630 ANESTHESIA APPARATUS, 3 GAS
M8830 TABLE, INSTRUMENT/DRESSING,
M0750 FLOWMETER, AIR, CONNECT W/50 PSI
MOBILE
SUPPLY
M8840 TABLE, BACK, INSTRUMENT/DRESSING
M0755 FLOWMETER, OXYGEN, LOW FLOW
M8900 CARRIAGE, PAIL, CRS, WITHOUT PAIL
M0765 REGULATOR, VACUUM
M8905 PAIL, UTILITY, CRS WITH CARRIAGE
M1801 COMPUTER, MICROPROCESSING,
M8910 CART, SURGICAL CASE
W/FLAT PANEL MONITOR
M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M3070 HAMPER, LINEN, MOBILE, W/LID
M8925 STAND, BASIN, CRS, MOBILE, SINGLE
M3072 FRAME, INFECTIOUS WASTE BAG W/LID
M8940 STOOL, ANESTHESIA, WITH BACK
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS
M8950 WARMER, BLOOD
DOOR, 6 SHELF
M8970 WARMER, BLOOD, HIGH VOLUME
M3109 ELECTROSURGICAL/COAGULATOR,
M9080 TABLE, OPERATING, PEDESTAL,
ARGON PLASMA
5 SECTION
R4785 ICE MAKER, SURGICAL SLUSH
AUTOMATIC
S9755 SUCTION SYSTEM, SURGICAL, MOBILE
ROVER UNIT
OUTPUT
U0105 EXTRACORPOREAL SUPPORT SYSTEM
M4250 PUMP, SYRINGE, INFUSION
X2105 SCANNER, ULTRASOUND, CARDIAC
M4255 STAND, IV, ADJUSTABLE
(ECHO)
MULTIPLE LINE
ROOM TEMPLATES 4-87

4.8. ORCT1
ELEVATIONS
0' 4' 8' 16'
F3200
Clock, Battery, 12"
A5107 Diameter
Dispenser, Glove, A4015
Surgical/Examination, Wall Clock, Elapsed Time,
A5212 Mntd Electric
M7802
55-65"
A5108
M8910
H T
Cart, Surgical Case
LOW WALL RETURN

ELEVATION 1 AIR REGISTER (TYPICAL)
A1014 F3050
Telephone, Wall Mounted, 1 Whiteboard, Dry Erase
Line, With Speaker M3150
ISOLATED POWER SYSTEM Distribution System, M3080
Medication, Automatic Cabinet, Instrument,
CRS, 2 Glass Door, 6
Shelf
F0355
Footstool, Straight LOW WALL RETURN
M8940
Stool, Anesthesia, With Back
4.8. ORCT1
ELEVATIONS
0' 4' 8' 16'
M7818
Monitor, Transport
E0948
Cart, General Storage,
Mobile, 42"H x 32"W x
22"D
M4645 E0963
Patient Transfer Device Cart, General Storage,
Mobile
Dc b a
A5107
Dispenser, Glove,
Mntd
S9755 LOW WALL RETURN
Suction System, Surgical, ELEVATION 3 AIR REGISTER (TYPICAL)
Mobile Rover Unit
M8830 ISOLATED POWER SYSTEM
Table, Instrument/Dressing,
Mobile
M4812
M7650 Pacemaker, Single
Defibrillator/Monitor, Acute Chamber, External,
Care Temporary
X2105 E0954
Scanner, Ultrasound, Cardiac Cart, Emergency, Mobile,
(Echo) 66"H x 32"W x 22"D
M3070
w/Lid
A5104
Cart, Medical Waste
Pedal
LOW WALL RETURN
AIR REGISTER (TYPICAL)
M3072 M8900
Frame, Infectious Waste Bag Carriage, Pail, CRS,
w/Lid
ELEVATION 4 Without Pail
M8905
Pail, Utility, CRS, With
Carriage
M3070
w/Lid
4.8 ORCT1
4.8 OPERATING ROOM, CARDIOTHORACIC (ORCT1)
Room Data Sheet
ARCHITECTURAL omitted subject to approval by clinical

leadership.
Ceiling Type: Gypsum Wallboard (SC) 8) Facility will select number and types of
Ceiling Height: 10’-0” (3048 mm) scopes and other instrumentation as
Ceiling Finish: necessitated by the unique case load.
Wall Finish: Gypsum Wallboard (SC) 9) Endoscopy equipment can be located on a
cart or on the equipment boom.
Wainscot:
152 mm)
Floor Finish: Resinous Flooring (RD)
Res 4
STC (to corridor)
Doors: Double, Size 6’-0” x 7’-0” 4.2.13 - Surgery/Operating Room - for lighting
(1829 mm x 2133 mm)
Wood w/ Narrow View
7’-0” (1219 mm x 2133 mm)
Wood w/ Small View
POWER
Window
Special Requirement: Normal Power: Connect selected
to Normal power IPS.
Notes: Emergency Power: Connect selected
determined by the Physicist on a per project to Critical Branch
basis. emergency IPS.
for the maintenance of surgical booms and lights Notes:
be 24” x 24”. 1) Provide IPS power & ground modules – 3
+24” AFF
scrub sink to protect the scrub sinks from cart 4) Provide power connections for articulating
and stretcher traffic in the semi-restricted utility columns.
corridor.
ROOM TEMPLATES 4-90

4.8 ORCT1

(Phone) Oxygen Yes
Nurse Call: Yes
Security Surveillance Television (SSTV): No (WAGD), Nitrogen, Nitrous Oxide Carbon
Dioxide
VA Satellite TV: No
Fire Alarm: Yes
CONDITIONING
pressurization.
Notes:
ROOM TEMPLATES 4-91

4.8 ORCT1
4.8 OPERATING ROOM, CARDIOTHORACIC (ORCT1)
Equipment List

A1014 Telephone, Wall Mounted, 1 1 V/V Telephone, wall mounted, 1 line, with speaker.
Line, With Speaker
A1120 Column, Service, Prefab, 2 C/C Prefabricated surgical service column. Strong 18 gauge stainless
Surgical, Ceiling Mounted steel shell ceiling mounted unit with the following services: oxygen,
holders. Specify type of column (fixed or retractable) and number
of outlets required for each service. Size will vary with number of
room, recovery and ICU-CCU rooms..
Ceiling Mounted, Surgery Designed to provide equipment placement support, power
arms. Also available are units for use in anesthesia, ICU and ER.
buttons to set minutes, and hours for the time. For use in operating
and delivery room, and medical service columns. Analog or digital
displays may be provided as specified by the user.
A5104 Cart, Medical Waste Disposal, 1 V/V Mobile molded cart with foot pedal, to house 18-24 gal sharps
Mobile w/Foot Pedal disposal container. Lid lift or slide opens easily with foot-operated
pedal. Lid may remain closed when not in use to reduce exposure
to contents. Ergonomic handle is telescopic. Heavy containers can
be removed from the side with minimal lifting. Meets requirements
of OSHA 29 CFR 1910.130.
A5107 Dispenser, Glove, 2 V/V Examination three (Small Medium, Large) glove dispenser box for
Surgical/Examination, Wall wall mounting. Fabricated of either cold rolled steel with a white
Mntd baked enamel finish, plastic or acrylic. Hardware not included,
sharps for decontamination and disposal. Available in 2 gallon and
8 gallon with locking rotor. Complies with OSHA regulations for
handling sharps.
ROOM TEMPLATES 4-92

4.8 ORCT1
A5212 Bracket, Television, Wall- 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount
Mounted, Tilt/Angle will be a universal and VESA compliant unit with a load capacity of
up to 130 lbs.
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES: 1 Cart body, style-A narrow,
66"H x 32"W x 22"D w/raised edge top; 1 Accessory rail, side; 1 Accessory rail, back;
1 Defibrillator tray;1 IV pole; 1 Breakaway bar;1 Flip-up
shelf;1 Wastebasket;1 Oxygen tank holder;1 Electrical box-4
outlet;1 Cord wrap;4 Drawer, 3"H;3 Drawer, 6"H;Drawer
organizer bins.
E0963 Cart, General Storage, Mobile 1 V/V Mobile General Storage Cart, approximately 72"H x 23"W x 22"D.
THIS TYPICAL INCLUDES; Locker Storage Container on
Wheels, w/Solid Door 3 Tray/Shelves; Drawers, 3"H; 4 Drawers,
6"H; 1 Tray/Shelf Divider Drawer Organizer Bins
white porcelain enamel writing surface with an attached chalk
tray. Magnetic surface available. Image can be easily removed
with a standard chalkboard eraser. For use with water color
pens. Unit is ready to hang.
F3200 Clock, Battery, 12" 1 V/V Clock, 12" diameter. Round surface, easy to read numbers
Diameter with sweep second hand. Wall mounted unit for use when
impractical to install a fully synchronized clock system.
Battery operated, (batteries not included).
L0221 Analyzer, Blood, Portable, 1 V/V Handheld point-of-care testing analyzer. Utilizes single-use,
Hand Held disposable cartridges for diagnostic testing to include: Blood
gases, electrolytes and chemistries, lactate, coagulation,
hematology, and cardiac markers.
L1095 Cell Saver 1 V/V Autologous blood recovery system, also known as a "Cell
Saver." Used in the operating room and laboratory to wash
extravascular blood free of debris, clots, etc., and to make the
blood safe for re-infusion into the patient.
cabinet with casters with one shallow, one medium, and one
deep drawer, seven long scale eleven-inch flowmeters, five
cylinder yokes, and telescoping absorber post. It includes two-
canister model carbon dioxide absorber with inhalation and
exhalation check valves, switch valve, switch valve elbow,
sidearm Vernitrol, flow calculator, mounting kit, ventilator
calculator, ventilator and an oxygen piping inlet. Also features
nitrous oxide fail safe valve kit, aspirator kit, gas evacuator with
vacuum and a flow meter safety cover. Used to dispense a
M0750 Flowmeter, Air, Connect 4 V/V Air flowmeter. Unit has a stainless steel needle valve with clear
w/50 PSI Supply flowtube for connection to 50 PSI air outlet from central pipeline
wall outlet and fitting to connect to tubing. Database prices
reflect fittings with an attached DISS power outlet. Other outlet
and adapter configurations are available.
M0755 Flowmeter, Oxygen, Low 6 V/V Oxygen flowmeter. Consists of a clear crystal flowtube calibrated
Flow to 3.5 or 8 LPM depending on manufacturer. For oxygen
regulation in hospital settings. Database pricing includes DISS
fitting and DISS power outlet and wall adapter. Other fitting and
ROOM TEMPLATES 4-93

4.8 ORCT1
vacuum system. Standard display scale is graduated at least
from 0 to 200 mm Hg of vacuum. Displays on specialized
regulators may cover other vacuum ranges. Regulator type
(continuous, intermittent, continuous/intermittent, surgical,
pediatric, thoracic, etc.) as required. To be used in delivery,
neonatal, pediatrics or any area where suction is required.
Database pricing reflects continuous regulators graduated to 200
mm Hg with a full line vacuum selection switch and DISS
configured inlets and outlets.
M1801 Computer, Microprocessing, 1 V/V Desk top microprocessing computer. The unit shall consist of a
w/Flat Panel Monitor central processing mini tower, flat panel monitor, keyboard,
mouse and speakers. The system shall have the following
minimum characteristics: a 2.8 GHz Pentium processor; 512 MB
memory; 80GB hard drive; 32/48x CD-ROMDVD combo; 1.44MB
network interface card; video 32 MB NVIDIA; a 18 inch flat panel
monitor. The computer is used throughout the facility to input,
manipulate and retrieve information.
M3070 Hamper, Linen, Mobile, w/Lid 2 V/V Mobile linen hamper with hand or foot operated lid. Made of
heavy tubular stainless steel with heavy gauge welded steel
platform. Holds 25" hamper bags. Mounted on ball bearing
casters. For linen transport in hospitals and clinics.
M3072 Frame, Infectious Waste Bag 1 V/V Frame for an infectious waste collection bag. Made of heavy
w/Lid tubular stainless steel with heavy gauge welded steel platform.
M3080 Cabinet, Instrument, CRS, 2 2 V/V Non-magnetic stainless steel instrument cabinet with two glass
Glass Door, 6 Shelf doors and six shelves (five adjustable). Cabinet body has a
single storage compartment and seamless welded face. Shelf
heights are adjustable on full length perforated strips mounted to
the back and inside front cabinet corners. Cabinet is mounted on
glides or casters. Cabinet may be covered by a sloping top.
M3109 Electrosurgical/Coagulator, 1 V/V An electrosurgical generator with an argon plasma coagulator
Argon Plasma and APC pulsed mode. This feature auto-regulates beam ignition
and provides automatic dosing of power for increased control.
The plug and play digital instrument recognition technology
automatically configures the entire system to preprogrammed
procedural parameters.
M3150 Distribution System, 1 V/V An automated dispensing system that provides controlled
Medication, Automatic dispensing, inventory and security. Size and cost will vary
M3175 Electrosurgical Unit, Dual 1 V/V Dual output electrosurgical unit. Solid state power source with
Output foot switch jacks, monopolar and bipolar outputs, and four
independent modes of operation. Used in the operating room or
surgicenter as an alternative to the scalpel for cutting tissue.
ROOM TEMPLATES 4-94

4.8 ORCT1
M4250 Pump, Syringe, Infusion 1 V/V The infusion syringe pump ensures highly accurate volume
delivery and consistent flow for small volumes (<50 ml) of
pharmacologic agents or thick feeding solutions. It shall be small,
lightweight construction, making it transportable. Shall have
menu-driven programming capable of flow rates (e.g. 0.1 or 1.0
mL/hr) that are intended for long-term bedside use and/or critical
care patient transport, plunger positioning sensor, LCD display
for easy viewing, volume limit programming to serve as a
convenient cue of volume or dose delivery completion and
multiple delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall have automatic
syringe size sensing which will give the flexibility to accept a
wide range of syringe sizes (up to 60 mL) from different
manufacturers. Shall be battery powered/AC adapter.
M4255 Stand, IV, Adjustable 2 V/V Adjustable IV stand with 4-hook arrangement. Stand has
stainless steel construction with heavy weight base. It adjusts
from 66 inches to 100 inches and is mounted on conductive
rubber, ball bearing, swivel casters. Stand is used for
administering intravenous solutions.
M4266 Pump, Volumetric, Infusion, 1 V/V Volumetric infusion pump. Pump is self-regulating with automatic
Multiple Line sensor and adjustable rate. Equipped with visual and audible
alarms and up to 10 hour capacity battery. For the administration
of a wide variety of therapeutic agents where precise control is
simultaneously.
M4280 Pump, Pneumatic 2 V/V Pneumatic stocking/cuff pump. Pump provides alternating
Stocking/Cuff pressure to pneumatic stockings for reduction of the threat of
deep vein thrombophlebitis in post operative patients. May also
be used in the CCU for rotating cuff therapy for reduction of
peripheral circulation in congestive heart failure patients.
and double flow.
M4645 Patient Transfer Device 1 V/V A patient transfer board designed to make lateral patient
transfers safer for staff and be more comfortable for the patients.
The board uses a smooth, low friction and static free surface to
eliminate the need for metal rollers. The board has a soft foam
core that makes them lightweight for ease of use and storage.
The long board device also enables the transfer of a patient in
the seated or Fowler position. The boards come in three sizes
with the long board being foldable. The dimensions and price are
for the long wide board.
M4810 Heart/Lung Machine, 1 V/V Modular by-pass heart lung machine. Unit consists of an arterial
Bypass, Modular pump, a backup arterial pump, one or two suction pumps, a
water mixer, and a backup battery pack. To include disposable
components: oxygenator/heater exchanger, cardiotomy
reservoir, blood filters, and tubing. Unit is designed to temporarily
replace the function of the patients heart and lungs during open-
heart surgery or any surgical procedure that requires isolation of
the heart.
ROOM TEMPLATES 4-95

4.8 ORCT1
M4811 Pump, Intra-Aortic, Balloon 1 V/V Intra-aortic balloon pump. Item is used to treat cardiogenic shock
resulting from extensive myocardial injury or damage. The pump
shall function from line or battery power and is to be a mobile
unit. It contains physiological monitoring, pacing, and pumping
capabilities. It requires minimal set-up time and has immediate
pumping capability. Adjustments can be accomplished without
interruption of pumping. The monitor can be mounted remotely
for the clinicians convenience and permits viewing of both
cardio-pulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the critical care
unit, operating room, cardiac cath lab and during transport.
M4812 Pacemaker, Single Chamber, 1 V/V A single chamber, external temporary pacemaker designed to
External, Temporary provide acute therapeutic, prophylactic, and diagnostic pacing
support. It is capable of operating in the demand or
asynchronous modes and includes adjustable rate, output, and
sensing controls. Battery operated.
unit. Designed to regulate body temperature by application of
water-filled hypothermia blankets.
Automatic/Manual, Air warmed air through a perforated plastic blanket. Used primarily
for postoperative patients to speed recovery of normal body
temperature.
M5030 Stool, Surgeon, Revolving 2 V/V Revolving stool. Consists of a padded upholstered seat with
height adjustment. Unit rotates and is mounted on ball bearing
swivel casters. Designed for use in examinations, treatment, and
surgical procedures.
switch, disposable 0.12 micron HEPA primary filters, a
secondary 0.12 micron ULPA/carbon filter, disposable funnels,
reducer fittings and connector hoses.
M7490 Light, Surg, Ceiling Mtd, 2 V/C Dual head surgical light ceiling mounted from a single pole. Unit
Dual, Unequal Dia Heads has two lamp heads of differing sizes mounted on individual
swing arms. Unit features multiple lighting pods in each lamp
head, deep cavity illumination, color-corrected light, intensity
control and sterilizable handles. Refer to the manufacturers'
specifications for minimum ceiling heights and installation data.
The database height dimension below refers to the height of the
lamp head itself. The width and depth measurements are the
larger of the two sums of the swing arm length and the head
diameter. For use in general purpose surgical suites.
M7650 Defibrillator/Monitor, Acute 1 V/V Portable defibrillator/monitor for acute care includes biphasic
Care defibrillator, pacing, SPO2, Interpretive 12-lead, NIBP
monitoring, EtCO2 monitoring, Invasive pressure monitoring,
Vital Sign monitoring, temperature probe, Fax transmission,
PCMCIA Data Cards, Paddle accessories, and a color LCD.
M7801 Monitor, Medical Grade 26 - 4 V/V LED HD monitor capable of displaying medical grade images.
42" Monitor's size is 26-42".
M7802 Monitor, Medical Grade 55- 2 V/V LED HD monitor capable of displaying medical grade images.
65" Monitor' size is 55 - 65".
ROOM TEMPLATES 4-96

4.8 ORCT1
M7818 Monitor, Transport 1 V/V A light weight, rugged patient monitor for use during transport.
Unit consists of a compact monitor with touchscreen display with
up to 3 waveforms on a on a bright non-fading display. The unit
measures ECG/respiration, NBP, SpO2, pressure, and
temperature and CO2. Data can be transferred seamlessly
throughout the continuum of care. Unit is approved for
aeromedical use (US Army Airworthiness Certification and
Evaluation (ACE) program. Battery run time of 3 hours before
recharge.
M7845 Monitor, Physiological, 1 V/V 4 channel bedside physiological monitor. The unit consist of a
Bedside, 4 Channel four-channel non-fade monochrome display monitor, an alarm
system and printer-recording capabilities. The monitor has color
coded controls and automatic calibration. The unit displays up to
four waveforms simultaneously. The parameters to be monitored
are user selectable. The monitor may be connected to a central
monitoring station. The unit monitors patients in most acute care
areas, step-down units, procedure rooms and emergency rooms.
M8551 Light Source, Fiberoptic 1 V/V Fiberoptic light source for surgical headlamps. This unit provides
Headlamp color corrected light for surgical procedures where photography
is not required.
M8606 Endoscopy Cart, Fiberoptic, 1 V/V Endoscopy cart with video and print capabilities for use with
w/Video Accessories fiberoptic (direct vision) endoscopes. This cart does not work
with videoscopes. System takes optical images from a single
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
information 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.
M8800 Cart, Anesthesia 1 V/V Mobile anesthesia cart. The cart shall be built of stainless steel
or other appropriate material and mounted on 4" casters for easy
mobility. It shall be capable of being equipped with bottle
holders, adjustable IV pole, storage drawers, shelves and a top
bar/rail.
steel construction and is mounted on two casters with two skid
rails. It has telescopic upright adjusts from 39 inches to 60
inches with automatic locking device, and removable 13"x19"
instrument tray. Designed for use in operating and procedure
rooms.
M8825 Table, Instrument/Dressing, 2 V/V Instrument and dressing table. Made of corrosion resistant
CRS, approx. 36x20x34 stainless steel with a sound deadened top. Includes guard rail,
swivel, ball-bearing casters.
M8830 Table, Instrument/Dressing, 2 V/V Mobile instrument/dressing table, approximately 34" H x 20" W x
Mobile 16" D Corrosion resistant stainless steel mobile table with sound-
ROOM TEMPLATES 4-97

4.8 ORCT1
M8840 Table, Back, 1 V/V A specialty back table for large cases such as orthopedics,
Instrument/Dressing spinal fusions, neuro and craniotomies. The table has a
pneumatic tuck-away cantilevered shelf which can hold multiple
trays and is angled for clear observation of instruments. It comes
with 4" diameter heavy-duty ball bearing brake/swivel casters.
M8900 Carriage, Pail, CRS, Without 3 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel
Pail ring type carriage mounted on ball bearing casters. Includes
circular non-marring bumper. For use in the surgical operating
room.
M8905 Pail, Utility, CRS, With 3 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart
Carriage bucket for use in surgical operating rooms.
entire unit is mounted on four heavy duty conductive swivel
casters. Used to transport surgical packs and supplies to surgery
and soiled items back to central supply.
M8920 Stand, Basin, CRS, Mobile, 1 V/V CRS, mobile, double basin stand with shelf. Stainless steel
Double corrosion resistant frame constructed from two continuous
casters. Circular rings welded to top receive two removable 8
quart stainless steel basins. For open heart and other
procedures.
M8925 Stand, Basin, CRS, Mobile, 2 V/V Mobile single basin stand with shelf. The stand shall be
Single constructed of tubular stainless steel and mounted on 2" swivel
casters. Shall include a shelf and an 8 quart stainless steel
basin. Intended for use in ORs and treatment areas.
M8940 Stool, Anesthesia, With Back 3 V/V Anesthesia stool with back. All stainless steel with well-curved
back panel and wide conductive seat. Designed for the
exchanger.
M9080 Table, Operating, Pedestal, 5 1 V/V Pedestal type major operating table with 5 sections. Table is
Section mounted on a solid base with casters and locks. Table top
surface is fabricated from radio-translucent, conductive panels
and the larger table sections are equipped with radiographic
cassette tunnels. Table includes Electro-hydraulic controls, side
rail locking system, kidney elevator, grounding receptacle and
dual arm support section. Designed for use in the operating room
in a variety of surgical procedures.
R4785 Ice Maker, Surgical Slush 1 V/V An automated surgical slush machine designed to produce a
velvet soft slush to limit the likelihood of damaging tissue due to
large or sharp ice particles during surgical procedures. Unit
operates with a temperature range of 30 degrees F to 32
degrees F. The unit is also designed to operate quietly to not
disrupt the OR environment. Casters allow for easy movement.
ROOM TEMPLATES 4-98

4.8 ORCT1
S9755 Suction System, Surgical, 1 V/V Surgical fluid waste management system with powered IV pole
Mobile Rover Unit and smoke evacuation. Portable waste collection unit, for use
with Docking Station (specified separately). Dual canisters (one
4L and one 20L), two levels of suction: 2-21in/Hg, fluid readout,
3 different port sizes for smoke tubing.
U0105 ExtraCorporeal Support 1 V/V ECHO is a device used to provide cardio pulmonary support on a
System temporary basis and assist oxygen to vital body systems.
Provides oxygenation and carbon dioxide removal from the
blood.
X2105 Scanner, Ultrasound, 1 V/V High definition, diagnostic ultrasound system for Radiology,
Cardiac (Echo) Cardiology, Vascular, ob-gyn, Perinatology, and Surgical
imaging applications. The unit employs curved, phased and
linear array imaging technology. The system supports colorflow,
pulse, continuous wave imaging modalities. On board software
measurement packages available for all imaging applications.
The system is DICOM 3.0 compatible, for easy linkage to
filmless image management systems and review stations. In
addition, a full line of probes and conventional recording devices
are available.
ROOM TEMPLATES 4-99

4.9. ORHL1
(ORHL1) PUMP ROOM, CARDIOTHORACIC / HYBRID OR
AXONOMETRIC
0' 4' 8' 16'
4.9. ORHL1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.9. ORHL1
FLOOR PLAN
0' 4' 8' 16'
9' - 0"
F3200 (2.74m)
Clock, Battery, 12" Diameter
A1014 SEMI-RESTRICTED
Telephone, Wall Mounted, 1
CORRIDOR
Line, With Speaker
E0703
Table, Process, Adj Height, 5
Drawer, 48"W x 24"D +54"
AFF T 4a
M1801 EPO
Computer, Microprocessing,
w/Flat Panel Monitor
D3295
Chair, Rotary, Laboratory,
Dental
M4810 U0105
Heart/Lung Machine, Bypass, ExtraCorporeal Support
Modular System
M0750
Flowmeter, Air, Connect w/50
PSI Supply
OPERATING
M0755
SUITE
Flowmeter, Oxygen, Low
Flow
4a
M0765
(8.84m)
Regulator, Vacuum
29' - 0"
M4810
Heart/Lung Machine, Bypass,
Modular 1
R4650
Ice Maker, Flaked, With
Dispenser E0948
Cart, General Storage,
F2000 Mobile, 42"H x 32"W x
Basket, Wastepaper, Fire 22"D
Resistant E0963
A5080 Cart, General Storage,
Dispenser, Paper Towel, SS, Mobile
Surface Mounted
CS230
Sink, SS, Double
Compartment, 10x14x16 ID
GFI
+6"AFC
A5075
Dispenser, Soap, Disposable
CT050
Countertop, Stainless Steel
4a
R7250
Refrigerator/Freezer, 20
Cubic Feet
PUMP ROOM,
CARDIOTHORACIC /
HYBRID OR
(ORHL1)
260 NSF
24.25 NSM
4.9. ORHL1
0' 4' 8' 16'
9' - 0"
(2.74m)
SEMI-RESTRICTED
CORRIDOR
(8.84m)
29' - 0"
A
DIRECT/INDIRECT
FIXTURE
A
PUMP ROOM,
CARDIOTHORACIC /
HYBRID OR
(ORHL1)
260 NSF
24.25 NSM
4.9. ORHL1
ELEVATIONS
0' 4' 8' 16'
M0765
R7250 Regulator, Vacuum
Refrigerator/Freezer, 20
A5075 M0755
Cubic Feet Flowmeter, Oxygen, Low
Dispenser, Soap, F3200
CD030 Disposable Flow Clock, Battery, 12" Diameter
Cabinet, W/H, 2 Shelf, 2 A5080 M0750 A1014
DO, Sloping Top, Dispenser, Paper Towel, Flowmeter, Air, Connect Telephone, Wall Mounted, 1
38x30x13 SS, Surface Mounted w/50 PSI Supply Line, With Speaker
CS230 R4650 M1801

Sink, SS, Double Ice Maker, Flaked, With Computer,
Compartment, 10x14x16 ID Dispenser Microprocessing, w/Flat
C0041 C04G0 Panel Monitor
Rail, Apron, 4x60x1 Cabinet, U/C/B, 2 Shelf, 2 E0703
CT050 Door, 36x36x22 Table, Process, Adj
Countertop, Stainless Steel F2000 Height, 5 Drawer, 48"W x
Basket, Wastepaper, Fire 24"D
Resistant M4810
Heart/Lung Machine,
Bypass, Modular
ELEVATION 1
4.9 ORHL1
4.9 PUMP ROOM, CARDIOTHORACIC/HYBRID OR (ORHL1)
Room Data Sheet
ARCHITECTURAL COMMUNICATIONS
Ceiling Type: Gypsum Wallboard (SC) Data: Yes
Ceiling Height: 9’-0” (2700 mm) Telephone: Yes
Ceiling Finish: Cable Television: No
Wall Finish: Gypsum Wallboard (SC) Duress Alarm: No
Wainscot: Electronic Access and Door Control: No
Base: RF Integral Base (min. 6”/ Intercom: No
152 mm) Motion Intrusion Detection (MID): No
Floor Finish: Resinous Flooring Nurse Call: No
Slab Depression: None Code Blue: No
Sound Protection: None Public Address: Yes
Doors: Single, Size 4’-0” x 7’-0” Security Surveillance Television (SSTV): No
(1219 mm x 2133 mm) VA Satellite TV: No
Wood
Special Requirement: No
LIGHTING HEATING, VENTILATING AND AIR

Refer to the VA Lighting Design Manual section CONDITIONING
7.10 - Equipment Room - for lighting design General Requirement: Refer to Instrument
consideration. Preparation and Storage room data sheet in the
change requirements, and pressurization
POWER
Normal Power: To be connected to selected
Emergency Power: Critical branch of the EES to Cold Water: Yes
be connected to selected Hot Water: Yes
receptacles and equipment. Waste: Yes
Notes: Medical Air Yes
1) Provide a duplex receptacle per computer Medical Vacuum Yes
and equipment location connected on Oxygen Yes
emergency.
2) Provide convenience duplex receptacle on
normal power. FIRE PROTECTION AND LIFE SAFETY
Fire Alarm: Yes
Sprinkler: Yes
ROOM TEMPLATES 4-105

4.9 ORHL1
4.9 PUMP ROOM, CARDIOTHORACIC/HYBRID OR (ORHL1)
Equipment List

Line, With Speaker
A5075 Dispenser, Soap, Disposable 1 V/V Disposable soap dispenser. One-handed dispensing operation.
Designed to accommodate disposable soap cartridge and valve.
A5080 Dispenser, Paper Towel, SS, 1 C/C A surface mounted, satin finish stainless steel, single-fold,
Surface Mounted paper towel dispenser. Dispenser features: tumbler lock; front
hinged at bottom; and refill indicator slot. Minimum capacity 400
single-fold paper towels. For general purpose use throughout
the facility.
C04G0 Cabinet, U/C/B, 2 Shelf, 1 C/C Standing height under counter base cabinet with two
2 Door, 36x36x22 adjustable shelves and two solid hinged doors. Also
referred to as a cupboard cabinet. For general purpose use
throughout the facility.
C0041 Rail, Apron, 4x60x1 1 C/C Apron rail. Also referred to as an apron front, apron panel, or
knee space rail. Used to close in front knee space area and/or
provide work surface support between two base cabinets or a
base cabinet and wall. Apron rails should be ordered in pairs to
provide both front and rear work surface support.
CD030 Cabinet, W/H, 2 Shelf, 2 DO, 2 C/C Wall hung steel cabinet with two adjustable shelves, solid hinged
Sloping Top, 38x30x13 doors, and sloping top. Also referred to as a solid hinged double
door wall case. For general purpose use throughout the facility.
CS230 Sink, SS, Double 1 C/C Double compartment stainless steel sink, drop-in, self-rimming,
Compartment, 10x14x16 ID ledge-type, connected with a drain and provided with a mixing
faucet. It shall also be provided with pre-punched fixture holes
on 4" center, integral back ledge to accommodate deck-
mounted fixtures, brushed/polished interior and top surfaces,
and sound deadened. Recommended for use in suspended or
U/C/B sink cabinets having a high plastic laminate or Chemsurf
laminate countertop/work surface. Coordinate actual outside
sink dimensions with the actual clear dimension of cabinet
specified to ensure that they are compatible. For general
purpose use throughout the facility.
CT050 Countertop, Stainless Steel 1 C/C Stainless steel countertop (composition of heavy-gauge Type
No. 304 stainless steel) having a smooth satin finish and integral
4" backsplash/curb. Also referred to as a corrosion-resistant
steel work surface or work top. Available in various depths.
Used in areas where excellent ease of cleaning, abrasion
resistance, bacteria resistance, impact resistance, load capacity
and moisture resistance, are of concern. Pricing based upon a
24" depth.
D3295 Chair, Rotary, Laboratory, 1 V/V Rotary dental laboratory chair. The chair is used by technicians
Dental while working at a bench. Chairs also have casters and an
adjustable backrest.
E0703 Table, Process, Adj Height, 5 1 V/V Height adjustable table. The table top is available in a plastic
Drawer, 48"W x 24"D laminate or chemical resistant material (Chem-Surf). Casters or
glides are options with some tables. All tables will accept
various storage components underneath. These work surfaces
are available in 24" or 30" depth. THIS TYPICAL INCLUDES: 1
height adjustable table; 1 storage frame; 3 drawers, 3"H; 1
drawer, 6"H; 1 drawer, 9"H; and drawer organizer bins.

4.9 ORHL1
E0948 Cart, General Storage, 1 V/V THIS TYPICAL INCLUDES: 1 Cart Body, Style-A Narrow,
Mobile, 42"H x 32"W x 22"D w/Raised Edge Top 2 Drawers, 3" H; 4 Drawers, 6" H; 1
Accessory Rail, Side Drawer Organizer Bins
E0963 Cart, General Storage, 1 V/V Mobile General Storage Cart, approximately 72"H x 23"W x 22"D.
Mobile THIS TYPICAL INCLUDES: Locker Storage Container on Wheels,
w/Solid Door 3 Tray/Shelves; Drawers, 3"H; 4 Drawers, 6"H; 1
Tray/Shelf Divider Drawer Organizer Bins
F2000 Basket, Wastepaper, Fire 1 V/V Wastepaper basket, fire resistant, approximately 40 quart
Resistant capacity. This unit is used to collect and temporarily store small
quantities of paper refuse in patient rooms, administrative areas
and nursing stations. Size and shape varies depending on the
application and manufacturer selected.
sweep second hand. Wall mounted unit for use when impractical
to install a fully synchronized clock system. Battery operated,
M0750 Flowmeter, Air, Connect w/50 1 V/V Air flowmeter. Unit has a stainless steel needle valve with clear
PSI Supply flowtube for connection to 50 PSI air outlet from central pipeline
wall outlet and fitting to connect to tubing. Database prices reflect
fittings with an attached DISS power outlet. Other outlet and
M0755 Flowmeter, Oxygen, Low 1 V/V Oxygen flowmeter. Consists of a clear crystal flowtube calibrated
Flow to 3.5 or 8 LPM depending on manufacturer. For oxygen
regulation in hospital settings. Database pricing includes DISS
fitting and DISS power outlet and wall adapter. Other fitting and
vacuum system. Standard display scale is graduated at least from
0 to 200 mm Hg of vacuum. Displays on specialized regulators
may cover other vacuum ranges. Regulator type (continuous,
intermittent, continuous/intermittent, surgical, pediatric, thoracic,
etc.) as required. To be used in delivery, neonatal, pediatrics or
any area where suction is required. Database pricing reflects
continuous regulators graduated to 200 mm Hg with a full line
w/Flat Panel Monitor central processing mini tower, flat panel monitor, keyboard, mouse
M4810 Heart/Lung Machine, Bypass, 2 V/V Modular by-pass heart lung machine. Unit consists of an arterial
Modular pump, a backup arterial pump, one or two suction pumps, a water
mixer, and a backup battery pack. To include disposable
components: oxygenator/heater exchanger, cardiotomy reservoir,
blood filters, and tubing. Unit is designed to temporarily replace
the function of the patients heart and lungs during open-heart
surgery or any surgical procedure that requires isolation of the
heart.

4.9 ORHL1
R4650 Ice Maker, Flaked, With 1 C/C Ice maker dispenser approximately 71" H x 19"D x 24"W. This unit
Dispenser provides flaked ice and cooled water automatically. The unit has a
daily capacity up to 650 pounds and a 100 pound capacity
stainless steel storage compartment with water station. Unit may
be free-standing or counter-mounted, automatic load ice
dispenser for food service and healthcare use. The unit is used in
healthcare institutions and various commercial food service
operations for dispensing ice.
R7250 Refrigerator/Freezer, 20 1 V/V Refrigerator/freezer unit. This type unit includes a food saver
Cubic Feet system that helps keep food fresher. It also includes roll out
wheels and is equipped for an optional automatic icemaker. This
unit is of commercial or residential design and use.
System temporary basis and assist oxygen to vital body systems. Provides
oxygenation and carbon dioxide removal from the blood.

4.10. ORNS1
(ORNS1) OPERATING ROOM, NEUROSURGICAL
AXONOMETRIC
0' 4' 8' 16'
4.10. ORNS1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.10. ORNS1
FLOOR PLAN
0' 4' 8' 16'
26' - 10"
(8.18m)
SEMI-RESTRICTED
CORRIDOR DOORS TO BE ON
STRETCHER ALCOVE AUTOMATIC DOOR
A5212 SCRUB ALCOVE OPENERS
M7802 RETURN AIR
DUCT (TYPICAL)
LOW WALL
H T RETURN AIR
TV TV
A4015 REGISTER
F3200 (TYPICAL)
1
A5107
A5108
4 2
M8910
IPS
M8830 3 M8840
16' - 0" M3109
M8900
M8905 (4.88m)
M8606 M4255
M8920 M8805 M4815 M4287
M8810 F3050
M3072 M8830
(4.27m)
F0355
14' - 0"
M3070 M8970
M8940
L0221
M8920 M8825
(8.74m)
28' - 8"
MANIFOLD M8925 M5512
M8551 A1014
M8495 M5030 M3150
AIR DELIVERY
ARRAY ABOVE M4816
STERILE FIELD M9110 TABLE
M5030
M3080
A5104
M8535 M0630
A1200 M1801
LIFT AND M7845
M8800
EXTENDER RAIL A5108
M4255
M4250
M7650
M4266
E0954
M4816 M8940
IPS a b Dc
X4200 S9755 TABLE M4645 A5107

CLEAN CORE
OPERATING ROOM,
NEUROSURGICAL
(ORNS1)
750 NSF
69.65 NSM
4.10. ORNS1
0' 4' 8' 16'
SEMI-RESTRICTED
CORRIDOR
RETURN AIR
DUCT EACH DIMMABLE, LED STRIP
CORNER LIGHT TYPICAL
(TYPICAL)
A1130
M0765 A1120
M4280 M0750
A1122 M0755
(EQUIPMENT) M0765
A A A A
4V, 1 NITROGEN, 1CO2, (ANESTHESIA)
10 EMERG DUPLEX, 2O, 3V, 1A, WAGD, 1
4 DATA FACE PLATES NITROUS OXIDE,
6 EMERG DUPLEX,
4 DATA FACE
PLATES,
OUTLINE OF
PROCEDURE
TABLE
A
A
SEE LEGEND:
LED LED LED LED
MANIFOLD A1122
A
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
LED
AIR DELIVERY (DOCUMENTATION)
(8.74m)
ARRAY ABOVE
28' - 8"
A
A
LED LED LED LED
STERILE FIELD
LED
LED
LED
LED
LED
A
A
TABLE
LED
LED LED LED LED
M7490
LED
LED
LED
LED
LED
M7801
LED
LED
LED
LED
LED
M7490
A1200 LED LED LED LED
M7801
LIFT AND
EXTENDER RAIL
A1120
M0750
M0755 GYPSUM BOARD
M0765 SOFFIT.
M1801 A A A A COORDINATE
(ANESTHESIA) HEIGHT WITH
2O, 3V, 1A, WAGD, EQUIPMENT.
1 NITROUS OXIDE,
6 EMERG DUPLEX,
4 DATA FACE A1122
PLATES TABLE A1130
M0765
CLEAN CORE FIN. CLG. 10' - 0" A.F.F. (EQUIPMENT)
GENERAL NOTES: 4V, 1 NITROGEN,
OPERATING ROOM,
1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S) 1 CO2, 10 EMER
2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE NEUROSURGICAL DUPLEX, 4 DATA
(ORNS1)
FACE PLATES
3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR) 750 NSF
69.65 NSM
FIRE SPRINKLERS
4.10. ORNS1
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
10' - 0"
AIR CURTAIN
8' - 0" 8' - 0"
LAMINAR AIR 2436mm 2441mm
FLOW DIFFUSER
4927mm
16' - 2"
ab ab ab ab
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

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

JSN Legend
JSN DESCRIPTION M4815 HYPO/HYPERTHERMIA UNIT,

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4816 WARMING UNIT, PATIENT, AUTOMATIC/
WITH SPEAKER MANUAL, AIR
A1120 COLUMN, SERVICE, PREFAB, M5030 STOOL, SURGEON, REVOLVING
SURGICAL, CEILING MOUNTED M5512 LASER, SMOKE EVACUATOR
A1122 COLUMN, EQUIPMENT ARM, CEILING M7490 LIGHT, SURG, CEILING MTD, DUAL,
MOUNTED, SURGERY UNEQUAL DIA HEADS
A1130 CABINET, CONTROL, NITROGEN M7650 DEFIBRILLATOR/ MONITOR, ACUTE
A1200 LIFT SYSTEM, OVERHEAD, PATIENT RM CARE
A4015 CLOCK, ELAPSED TIME, ELECTRIC M7801 MONITOR, MEDICAL GRADE, 26” - 42”
A5104 CART, MEDICAL WASTE DISPOSAL, M7802 MONITOR, MEDICAL GRADE, 55” - 65”
MOBILE W/ FOOT PEDAL M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
A5107 DISPENSER, GLOVE, SURGICAL/ 4 CHANNEL
EXAMINATION, WALL-MTD M8495 LARYNGOSCOPE, VIDEO GLIDESCOPE
A5108 WASTE DISPOSAL UNIT, SHARPS M8535 MICROSCOPE, OPERATING, PORTABLE
A5212 BRACKET/TELEVISION, WALL-MTD, TILT/ M8551 LIGHT SOURCE, FIBEROPTIC
ANGLE HEADLAMP
E0954 CART, EMERGENCY, MOBILE, 66”H x M8606 ENDOSCOPY CART, FIBEROPTIC,
32”W x 22”D W/ VIDEO ACCESSORIES
F0355 FOOTSTOOL, STRAIGHT M8800 CART, ANESTHESIA
F3050 WHITE BOARD, DRY ERASE M8805 TABLE, INSTRUMENT, STRADDLE
F3200 CLOCK, BATTERY, 12” DIAMETER M8810 STAND, MAYO
L0221 ANALYZER, BLOOD, PORTABLE, HAND M8825 TABLE, INSTRUMENT/DRESSING, CRS,
HELD APPROX 36x20x34
M0630 ANESTHESIA APPARATUS, 3 GAS M8830 TABLE, INSTRUMENT/DRESSING,
M0750 FLOWMETER, AIR, CONNECT W/ 50 PSI MOBILE
SUPPLY M8840 TABLE, BACK, INSTRUMENT/DRESSING
M0755 FLOWMETER, OXYGEN, LOW FLOW M8900 CARRIAGE, PAIL, CRS, WITHOUT PAIL
M0765 REGULATOR, VACUUM M8905 PAIL, UTILITY, CRS, WITH CARRIAGE
M1801 COMPUTER, MIRCOPROCESSING, W/ M8910 CART, SURGICAL CASE
FLAT PANEL MONITOR M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M3070 HAMPER, LINEN, MOBILE, W/LID M8925 STAND, BASIN, CRS, MOBILE, SINGLE
M3072 FRAME, INFECTIOUS WASTE BAG W/LID M8940 STOOL, ANESTHESIA, WITH BACK
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS M8970 WARMER, BLOOD, HIGH VOLUME
DOOR, 6 SHELF M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3109 ELECTROSURGICAL/COAGULATOR, TRAUMA
ARGON PLASMA S9755 SUCTION SYSTEM, SURGICAL, MOBILE
M3150 DISTRIBUTION SYSTEM, MEDICATION, ROVER UNIT
AUTOMATIC X4200 STEREOTACTIC SURGICAL SYSTEM
M4250 PUMP, SYRINGE, INFUSION
M4255 STAND, IV, ADJUSTABLE
MULTIPLE LINE

4.10. ORNS1
ELEVATIONS
0' 4' 8' 16'
F3200
Clock, Battery, 12"
Diameter
A4015
Electric
M7802
55-65"
A5212
A5108
A5107
Dispenser, Glove,
H T
Mntd
LOW WALL RETURN
AIR REGISTER
(TYPICAL)
M8910 ELEVATION 1
Cart, Surgical Case
A1014
Telephone, Wall
F3050 Speaker
Whiteboard, Dry Erase M3150
ISOLATED POWER Distribution System,
SYSTEM Medication, Automatic
F0355
Footstool, Straight ELEVATION 2
M3080 LOW WALL RETURN
Cabinet, Instrument, CRS, 2 AIR REGISTER
Glass Door, 6 Shelf (TYPICAL)
4.10. ORNS1
ELEVATIONS
0' 4' 8' 16'
M3080 A5107
Shelf Wall Mntd
M4645
S9755
Mobile Rover Unit
X4200
Stereotactic Surgical
System
ISOLATED POWER
SYSTEM
SD S S
LOW WALL RETURN
AIR REGISTER
(TYPICAL)
M8535 M3072
Microscope, Operating,
ELEVATION 3 Frame, Infectious Waste
Portable A5104 Bag w/Lid
E0954 Cart, Medical Waste M8920
Cart, Emergency, Mobile, Disposal, Mobile w/Foot Stand, Basin, CRS,
66"H x 32"W x 22"D Pedal Mobile, Double
M7650 M3070 M8905
Defibrillator/Monitor, Acute Hamper, Linen, Mobile, Pail, Utility, CRS, With
Care w/Lid Carriage
M4816 M8900
Warming Unit, Patient, Carriage, Pail, CRS, Without
Automatic/Manual, Air
ELEVATION 4 Pail
LOW WALL RETURN M8830
AIR REGISTER Table, Instrument/Dressing,
(TYPICAL) Mobile
4.10 ORNS1
4.10 OPERATING ROOM, NEUROSURGICAL (ORNS1)
Room Data Sheet
ARCHITECTURAL 7) Equipment and Anesthesia booms are

Ceiling Type: Gypsum Wallboard (SC) duplicate booms are not desired, they can be
Ceiling Height: 10’-0” (3048 mm) omitted subject to approval by clinical
leadership.
Ceiling Finish:
Wainscot: necessitated by the unique case load.
Slab Depression: None Service for any deviations.
STC (to corridor)
Doors: Double, Size 6’-0” x 7’-0”
(1829 mm x 2133 mm) LIGHTING
7’-0” (1219 mm x 2133 mm)
Wood w/ Small View
Window
POWER
determined by the Physicist on a per project to Normal power IPS.
basis. Emergency Power: Connect selected
2) Locate access panels as required to allow receptacles and equipment
for the maintenance of surgical booms and lights to Critical Branch
in facilities without interstitial space. Min. size to emergency IPS.
be 24” x 24”.
3) Cabinetry can be built in or free-standing. Notes:
4) Nominal wall thickness is shown at 8” (203 1) Provide IPS power & ground modules – 3
mm) to account for a variety of wall-mounted duplex receptacles & 3 ground jacks
+24” AFF
and stretcher traffic in the semi-restricted
corridor.
4) Provide power connections for articulating
utility columns.

4.10 ORNS1

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide.
VA Satellite TV: No
Fire Alarm: Yes
CONDITIONING
pressurization.
Notes:

4.10 ORNS1
4.10 OPERATING ROOM, NEUROSURGICAL (ORNS1)
Equipment List

A1014 Telephone, Wall Mounted, 1 Line, With 1 V/V Telephone, wall mounted, 1 line, with speaker.
Speaker
A1120 Column, Service, Prefab, Surgical, 2 C/C Prefabricated surgical service column. Strong 18 gauge
Ceiling Mounted stainless steel shell ceiling mounted unit with the following
services: oxygen, nitrous oxide, nitrogen, medical air,
medical vacuum, gas evacuation, electrical outlets,
monitoring connectors, and IV holders. Specify type of
column (fixed or retractable) and number of outlets
required for each service. Size will vary with number of
service outlets required. Designed to be used in the
operating room, recovery and ICU-CCU rooms.
A1122 Column, Equipment Arm, Ceiling 3 C/C A ceiling mounted retractable equipment arm for use in
Mounted, Surgery the OR. Designed to provide equipment placement
support, power receptacles including low-voltage panels,
gas outlets and flat screen mounting for a surgical suite.
Unit will provide a range of motion of up to 330 degrees
with arm providing additional vertical movement. Units are
custom configured with multiple options available. Price is
based on a unit with two (double) retractable arms. Also
available are units for use in anesthesia, ICU and ER.
A1130 Cabinet, Control, Nitrogen 2 C/C Nitrogen control cabinet. Unit consists of supply cut-off
valve, supply pressure gauge, pressure regulator
(adjustable 0 to 200 PSI), outlet pressure gauge, nitrogen
outlet and connection to surgical gas column. Specify
recessed or surface mounting. Designed for powering
surgical pneumatic tools.
A1200 Lift System, Overhead, Patient Room 1 V/C An overhead rail system specifically designed for patient
lifting and movement for a single bed patient room. The
system will consist of recessed or ceiling mounted
primary and secondary rails, lift motor with rolling
carriage, patient harness or seat, and a hand controller
or control box with charger. System will facilitate lifting
and movement of patient to and from bed to gurney,
chair or other requirement. Minimum lift capability is 550
pounds. Custom design of track layout by manufacturer
A4015 Clock, Elapsed Time, Electric 1 C/C Elapsed time digital electric clock. Single display time that
can be used either as a clock or elapsed time indicator.
Clock consists of buttons to set minutes, and hours for the
time. For use in operating and delivery room, and medical
service columns. Analog or digital displays may be
A5104 Cart, Medical Waste Disposal, Mobile 1 V/V Mobile molded cart with foot pedal, to house 18-24 gal
w/Foot Pedal sharps disposal container. Lid lift or slide opens easily with
foot-operated pedal. Lid may remain closed when not in
use to reduce exposure to contents. Ergonomic handle is
telescopic. Heavy containers can be removed from the
side with minimal lifting. Meets requirements of OSHA 29
CFR 1910.130.

4.10 ORNS1
A5107 Dispenser, Glove, Surgical/Examination, 2 V/V Examination three (Small Medium, Large) glove dispenser
Wall Mntd box for wall mounting. Fabricated of either cold rolled steel
with a white baked enamel finish, plastic or acrylic.
Hardware not included, Option 3 powder coated steel.
A5108 Waste Disposal Unit, Sharps 2 V/V A container for collecting and transporting syringes and
other sharps for decontamination and disposal. Available
in 2 gallon and 8 gallon with locking rotor. Complies with
OSHA regulations for handling sharps.
A5212 Bracket, Television, Wall-Mounted, 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs.
Tilt/Angle Mount will be a universal and VESA compliant unit with a
load capacity of up to 130 lbs.
E0954 Cart, Emergency, Mobile, 66"H x 32"W 1 V/V THIS TYPICAL INCLUDES: 1 Cart body, style-A narrow,
x w/raised edge top; 1 Accessory rail, side; 1 Accessory rail,
back; 1 Defibrillator tray; 1 IV pole; 1 Breakaway bar;1
Flip-up shelf; 1 Wastebasket; 1 Oxygen tank holder; 1
Electrical box-4 outlet; 1 Cord wrap; 4 Drawer, 3"H; 3
Drawer, 6"H; Drawer organizer bins. 22"D
F0355 Footstool, Straight 4 V/V Step stool. Used to assist patients getting on and off exam
or surgical tables. Fitted with electrically conductive rubber
tips.
F3050 Whiteboard, Dry Erase 1 V/V Whiteboard unit, approximately 36" H x 48" W consisting
of a white porcelain enamel writing surface with an
attached chalk tray. Magnetic surface available. Image
can be easily removed with a standard chalkboard eraser.
For use with water color pens. Unit is ready to hang.
F3200 Clock, Battery, 12" Diameter 1 V/V Clock, 12" diameter. Round surface, easy to read
numbers with sweep second hand. Wall mounted unit for
use when impractical to install a fully synchronized clock
system. Battery operated, (batteries not included).
L0221 Analyzer, Blood, Portable, Hand Held 1 V/V Handheld point-of-care testing analyzer. Utilizes single-
use, disposable cartridges for diagnostic testing to include:
Blood gases, electrolytes and chemistries, lactate,
coagulation, hematology, and cardiac markers.
M0630 Anesthesia Apparatus, 3 Gas 1 V/V Three gas anesthesia apparatus. Basic unit consists of
steel cabinet with casters with one shallow, one medium,
and one deep drawer, seven long scale eleven-inch
flowmeters, five cylinder yokes, and telescoping absorber
post. It includes two-canister model carbon dioxide
absorber with inhalation and exhalation check valves,
switch valve, switch valve elbow, sidearm Vernitrol, flow
calculator, mounting kit, ventilator calculator, ventilator and
an oxygen piping inlet. Also features nitrous oxide fail safe
valve kit, aspirator kit, gas evacuator with vacuum and a
flow meter safety cover. Used to dispense a mixture of
gases during surgical procedures.
M0750 Flowmeter, Air, Connect w/50 PSI 2 V/V Air flowmeter. Unit has a stainless steel needle valve with
Supply clear flowtube for connection to 50 PSI air outlet from
central pipeline system. Requires the appropriate adapter
for connection to the wall outlet and fitting to connect to
tubing. Database prices reflect fittings with an attached
DISS power outlet. Other outlet and adapter
configurations are available.

4.10 ORNS1
M0755 Flowmeter, Oxygen, Low Flow 4 V/V Oxygen flowmeter. Consists of a clear crystal flowtube
calibrated to 3.5 or 8 LPM depending on manufacturer.
For oxygen regulation in hospital settings. Database
pricing includes DISS fitting and DISS power outlet and
wall adapter. Other fitting and adapter configurations are
available.
vacuum system. Standard display scale is graduated at
least from 0 to 200 mm Hg of vacuum. Displays on
specialized regulators may cover other vacuum ranges.
Regulator type (continuous, intermittent,
continuous/intermittent, surgical, pediatric, thoracic, etc.)
as required. To be used in delivery, neonatal, pediatrics or
any area where suction is required. Database pricing
reflects continuous regulators graduated to 200 mm Hg
with a full line vacuum selection switch and DISS
M1801 Computer, Microprocessing, w/Flat 2 V/V Desk top microprocessing computer. The unit shall consist
Panel Monitor of a central processing mini tower, flat panel monitor,
keyboard, mouse and speakers. The system shall have
the following minimum characteristics: a 2.8 GHz Pentium
processor; 512 MB memory; 80GB hard drive; 32/48x CD-
ROMDVD combo; 1.44MB network interface card; video
32 MB NVIDIA; a 18 inch flat panel monitor. The computer
is used throughout the facility to input, manipulate and
retrieve information.
M3070 Hamper, Linen, Mobile, w/Lid 2 V/V Mobile linen hamper with hand or foot operated lid. Made
of heavy tubular stainless steel with heavy gauge welded
steel platform. Holds 25" hamper bags. Mounted on ball
bearing casters. For linen transport in hospitals and
clinics.
M3072 Frame, Infectious Waste Bag w/Lid 1 V/V Frame for an infectious waste collection bag. Made of
heavy tubular stainless steel with heavy gauge welded
steel platform. Adjust to hold 18" or 25" trash bags.
Mounted on ball bearing casters and includes
M3080 Cabinet, Instrument, CRS, 2 Glass 2 V/V Non-magnetic stainless steel instrument cabinet with two
Door, 6 Shelf glass doors and six shelves (five adjustable). Cabinet
body has a single storage compartment and seamless
welded face. Shelf heights are adjustable on full length
perforated strips mounted to the back and inside front
cabinet corners. Cabinet is mounted on glides or casters.
Cabinet may be covered by a sloping top.
M3109 Electrosurgical/Coagulator, Argon 1 V/V An electrosurgical generator with an argon plasma
Plasma coagulator and APC pulsed mode. This feature auto-
regulates beam ignition and provides automatic dosing of
power for increased control. The plug and play digital
instrument recognition technology automatically
configures the entire system to preprogrammed
procedural parameters.
M3150 Distribution System, Medication, 1 V/V An automated dispensing system that provides controlled
Automatic dispensing, inventory and security. Size and cost will vary

4.10 ORNS1
M4250 Pump, Syringe, Infusion 1 V/V The infusion syringe pump ensures highly accurate
volume delivery and consistent flow for small volumes
(<50 ml) of pharmacologic agents or thick feeding
solutions. It shall be small, lightweight construction,
making it transportable. Shall have menu-driven
programming capable of flow rates (e.g. 0.1 or 1.0 mL/hr)
that are intended for long-term bedside use and/or critical
care patient transport, plunger positioning sensor, LCD
display for easy viewing, volume limit programming to
serve as a convenient cue of volume or dose delivery
completion and multiple delivery modes for all applications
requiring precisely controlled infusion rates. The infusion
pump shall have automatic syringe size sensing which will
give the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
stainless steel construction with heavy weight base. It
adjusts from 66 inches to 100 inches and is mounted on
conductive rubber, ball bearing, swivel casters. Stand is
used for administering intravenous solutions.
M4266 Pump, Volumetric, Infusion, Multiple 1 V/V Volumetric infusion pump. Pump is self-regulating with
Line automatic sensor and adjustable rate. Equipped with
visual and audible alarms and up to 10 hour capacity
battery. For the administration of a wide variety of
therapeutic agents where precise control is required. Unit
provides individual control to IV lines simultaneously.
M4280 Pump, Pneumatic Stocking/Cuff 1 V/V Pneumatic stocking/cuff pump. Pump provides alternating
pressure to pneumatic stockings for reduction of the threat
of deep vein thrombophlebitis in post operative patients.
May also be used in the CCU for rotating cuff therapy for
reduction of peripheral circulation in congestive heart
failure patients.
M4287 Irrigation System, Surgical 1 V/V High flow surgical irrigation pump up 2.5l/min, available in
single and double flow.
transfers safer for staff and be more comfortable for the
patients. The board uses a smooth, low friction and static
free surface to eliminate the need for metal rollers. The
board has a soft foam core that makes them lightweight
for ease of use and storage. The long board device also
enables the transfer of a patient in the seated or Fowler
position. The boards come in three sizes with the long
board being foldable. The dimensions and price are for
the long wide board.
M4815 Hypo/Hyperthermia Unit, 1 V/V Automatic/manual hypo/hyperthermia unit. Sealed
Automatic/Manual, Mobile refrigeration system. Microprocessor controlled with
multiple alarm system constantly monitoring temperature
and water levels. Cabinet type unit. Designed to regulate
body temperature by application of water-filled
hypothermia blankets.
M4816 Warming Unit, Patient, 2 V/V Automatic/manual patient warming unit. Unit delivers a
Automatic/Manual, Air flow of warmed air through a perforated plastic blanket.
Used primarily for postoperative patients to speed
recovery of normal body temperature.

4.10 ORNS1
M5030 Stool, Surgeon, Revolving 2 V/V Revolving stool. Consists of a padded upholstered seat
with height adjustment. Unit rotates and is mounted on
ball bearing swivel casters. Designed for use in
examinations, treatment, and surgical procedures.
M5512 Laser, Smoke Evacuator 1 V/V Filtration system used in conjunction with laser operations
to remove surgical laser plume. The unit includes a
pneumatic foot switch, disposable 0.12 micron HEPA
primary filters, a secondary 0.12 micron ULPA/carbon
filter, disposable funnels, reducer fittings and connector
hoses.
M7490 Light, Surg, Ceiling Mtd, Dual, Unequal 2 V/C Dual head surgical light ceiling mounted from a single
Dia Heads pole. Unit has two lamp heads of differing sizes mounted
on individual swing arms. Unit features multiple lighting
pods in each lamp head, deep cavity illumination, color-
corrected light, intensity control and sterilizable handles.
Refer to the manufacturers' specifications for minimum
ceiling heights and installation data. The database height
dimension below refers to the height of the lamp head
itself. The width and depth measurements are the larger
of the two sums of the swing arm length and the head
M7650 Defibrillator/Monitor, Acute Care 1 V/V Portable defibrillator/monitor for acute care includes
biphasic defibrillator, pacing, SPO2, Interpretive 12-lead,
NIBP monitoring, EtCO2 monitoring, Invasive pressure
monitoring, Vital Sign monitoring, temperature probe, Fax
transmission, PCMCIA Data Cards, Paddle accessories,
and a color LCD.
M7801 Monitor, Medical Grade 26 - 42" 6 V/V
M7802 Monitor, Medical Grade 55-65" 2 V/V LED HD monitor capable of displaying medical grade
images. Monitor' size is 55 - 65".
M7845 Monitor, Physiological, Bedside, 4 1 V/V 4 channel bedside physiological monitor. The unit consist
Channel of a four-channel non-fade monochrome display monitor,
an alarm system and printer-recording capabilities. The
monitor has color coded controls and automatic
calibration. The unit displays up to four waveforms
simultaneously. The parameters to be monitored are user
selectable. The monitor may be connected to a central
monitoring station. The unit monitors patients in most
acute care areas, step-down units, procedure rooms and
emergency rooms.
M8495 Laryngoscope, Video Glidescope 1 V/V A video-assist laryngoscope system with a digital color
monitor and digital camera providing real-time view of the
airway enabling quick intubation. Unit is designed for first
pass success. The unit includes a reusable video baton
with digital camera and sterile single use GVL Stats in
various sizes.
M8535 Microscope, Operating, Portable 1 V/V Portable operating microscope complete with objectives
and stand. Unit consists of a binocular microscope body
equipped with a range of accessories for co-observation,
documentation and illumination. Control knobs equipped
with sterilizable handles. Mounted on a large swinging-
arm stand. For examinations and diagnosis in medical
consultancies and as a laboratory training instrument.
Configured for use primarily for eye and neuro surgery.

4.10 ORNS1
M8551 Light Source, Fiberoptic Headlamp 1 V/V Fiberoptic light source for surgical headlamps. This unit
provides color corrected light for surgical procedures
where photography is not required.
M8606 Endoscopy Cart, Fiberoptic, w/Video 1 V/V Endoscopy cart with video and print capabilities for use
Accessories with fiberoptic (direct vision) endoscopes. This cart does
not work with videoscopes. System takes optical images
from a single endoscope and directly records them or
converts them to digital signals for recording. A typical
system cart includes the cart, a light source, an insufflator,
a suction unit, a heat probe unit, an electrosurgical
apparatus, a digital camera converter or color video
camera, a camera controller, a monitor, a video/DVD
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 information 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.
M8800 Cart, Anesthesia 1 V/V Mobile anesthesia cart. The cart shall be built of stainless
steel or other appropriate material and mounted on 4"
casters for easy mobility. It shall be capable of being
equipped with bottle holders, adjustable IV pole, storage
drawers, shelves and a top bar/rail.
M8805 Table, Instrument, Straddle 1 V/V Instrument table to straddle an operating table. All
stainless steel welded construction, mounted on 3" ball-
bearing casters with foot brakes. Adjustable height from
approximately 40 to 60 inches. For instruments and
diagnostic equipment during surgery.
M8810 Stand, Mayo 1 V/V Adjustable instrument table. Table is corrosion resistant
stainless steel construction and is mounted on two casters
with two skid rails. It has telescopic upright adjusts from
39 inches to 60 inches with automatic locking device, and
removable 13"x19" instrument tray. Designed for use in
operating and procedure rooms.
M8825 Table, Instrument/Dressing, CRS, 2 V/V Instrument and dressing table. Made of corrosion resistant
approx. 36x20x34 stainless steel with a sound deadened top. Includes guard
rail, shelf and two side-by-side drawers. The table is
mounted on swivel, ball-bearing casters.
M8830 Table, Instrument/Dressing, Mobile 2 V/V Mobile instrument/dressing table, approximately 34" H x
20" W x 16" D Corrosion resistant stainless steel mobile
table with sound-deadening shelf and drawer. Unit is
mounted on 2" casters. Designed for all purpose use in
the hospital or clinic.
M8840 Table, Back, Instrument/Dressing 1 V/V A specialty back table for large cases such as
orthopedics, spinal fusions, neuro and craniotomies. The
table has a pneumatic tuck-away cantilevered shelf which
can hold multiple trays and is angled for clear observation
of instruments. It comes with 4" diameter heavy-duty ball
bearing brake/swivel casters. Construction is all stainless
steel.

4.10 ORNS1
M8900 Carriage, Pail, CRS, Without Pail 2 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless
steel ring type carriage mounted on ball bearing casters.
Includes circular non-marring bumper. For use in the
surgical operating room.
M8905 Pail, Utility, CRS, With Carriage 2 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart
bucket for use in surgical operating rooms.
M8910 Cart, Surgical Case 2 V/V Surgical case cart. Unit consists of two hinged cabinet
sections, each section equipped with two pull-out shelves
with stops. The entire unit is mounted on four heavy duty
conductive swivel casters. Used to transport surgical
packs and supplies to surgery and soiled items back to
central supply.
M8920 Stand, Basin, CRS, Mobile, Double 2 V/V CRS, mobile, double basin stand with shelf. Stainless
steel corrosion resistant frame constructed from two
continuous inverted "U" shaped tubes, forming four legs
and mounted on casters. Circular rings welded to top
receive two removable 8 quart stainless steel basins. For
open heart and other procedures.
M8925 Stand, Basin, CRS, Mobile, Single 1 V/V Mobile single basin stand with shelf. The stand shall be
constructed of tubular stainless steel and mounted on 2"
swivel casters. Shall include a shelf and an 8 quart
stainless steel basin. Intended for use in ORs and
treatment areas.
M8940 Stool, Anesthesia, With Back 2 V/V Anesthesia stool with back. All stainless steel with well-
curved back panel and wide conductive seat. Designed for
the anesthesiologist during surgical procedures.
M8970 Warmer, Blood, High Volume 1 V/V Unit contains a proportional controller to regulate
temperature in the heat exchanger and an audible high
temperature alarm. Designed to provide a stable
temperature for the controlled warming of blood or other
fluids prior to being transfused to a patient. Unit may be a
cuff type or circulating water heat exchanger.
M9110 Table, Operating, 5 or 6 Section, 1 V/V Pedestal type, 5 or 6 section, operating table. Pedestal
Trauma table, mounted on a solid base with casters and locks.
Table top surface is fabricated from radio-translucent and
conductive panels and is equipped with cassette tunnels
in each of the table top sections. Table includes: Electro-
hydraulic controls, side rail locking system, grounding
receptacle and dual arm support section. It is designed for
use in the operating room in a variety of surgical
procedures. Table is configured to address the needs of
trauma surgery.
S9755 Suction System, Surgical, Mobile Rover 1 V/V Surgical fluid waste management system with powered IV
Unit pole and smoke evacuation. Portable waste collection
unit, for use with Docking Station (specified separately).
Dual canisters (one 4L and one 20L), two levels of
suction: 2-21in/Hg, fluid readout, 3 different port sizes for
smoke tubing.
X4200 Stereotactic Surgical System 1 V/C Surgical instrument guided system used to track surgical
instruments in cranial procedures. Interfacing with CT and
MRI the device assists the surgeon in the cranial surgical
procedure by showing the precise location of the hand
instruments during a procedure. The device allows for
simulation surgery prior to the actual operation.

4.11. ORRB1
(ORRB1) OPERATING ROOM, ROBOTICS
AXONOMETRIC
0' 4' 8' 16'
4.11. ORRB1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.11. ORRB1
FLOOR PLAN
0' 4' 8' 16'
26' - 10"
(8.18m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
DOORS TO BE ON
OPENERS
A5212 A5108 SCRUB ALCOVE
M7802 RETURN AIR
DUCT (TYPICAL)
LOW WALL
GM TV H T A4015
TV RETURN AIR
F3200 REGISTER
1
A5107 (TYPICAL)
4 2
3 IPS
6' - 0" 14' - 0"
(1.83m) (4.27m)
M8560 M8606
M8910 M8920
F0355
M4815 M8840
M4255
M8830 M4287
M3175 M8810 M8940
GM
M5512 M8950 M8551
GM
M8810 M8825 F3050
(8.74m)
M8900
28' - 8"
M8925 M8970 M8560
M8905
M8560 A1014
M4816 M3150
M8830
M3072 M8825 TABLE
M5030
A1200
M4255
LIFT AND
M4266
(4.27m)
EXTENDER RAIL
14' - 0"
M4255
M4266 M0630
M1801
M9110 M7845
M3070 M3080
M8800
(1.83m)
6' - 0"
A5108 M8940
E0954
M7650
MANIFOLD
AIR DELIVERY
ARRAY ABOVE
IPS GM Da Db
STERILE FIELD
A5104 M4645 S9755
TABLE A5107
CLEAN CORE
SURGICAL AND
ENDOVASCULAR
SERVICES
(ORRB1)
750 NSF
69.69 NSM
4.11. ORRB1
0' 4' 8' 16'
26' - 10"
(8.18m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
RETURN AIR
DUCT EACH DIMMABLE, LED STRIP
CORNER
FIN. CLG. 10' - 0" A.F.F. LIGHT
(TYPICAL) TYPICAL
A1122
A1130 A1120
M0765 M0750
M4280 M0755
(EQUIPMENT) M0765
4V, 1 NITROGEN, 1 CO2, A A A A (ANESTHESIA)
10 EMERG DUPLEX, 2O, 3V, 1A, WAGD,
4 DATA FACE PLATES 1 NITROUS OXIDE,
6 EMERG DUPLEX,
4 DATA FACE PLATES,
OUTLINE OF
PROCEDURE
TABLE
LED LED LED LED
M7490
LED
LED
LED
LED
LED
M7801 A1122
A
A
LED
LED
LED
LED
LED
M1801
LED LED LED LED
(DOCUMENTATION)
(8.74m)
28' - 8"
A
A
LED
LED
LED
TABLE
LED
LED
LED
LED
LED
A
LED LED LED LED
A1200 M7490
LIFT AND
LED
LED
LED
LED
A
M7801
EXTENDER RAIL
LED
LED
LED
LED
LED
LED LED LED LED

SEE LEGEND:
MANIFOLD
UNI-DIRECTIONAL
AIR DELIVERY
ARRAY ABOVE
A1120
M0750 STERILE FIELD
M0755
M0765 GYPSUM BOARD
M1801 A A A A SOFFIT.
(ANESTHESIA) COORDINATE
2O, 3V, 1A, WAGD, HEIGHT WITH
1 NITROUS OXIDE, 6 EQUIPMENT.
EMERG DUPLEX, 4
DATA FACE PLATES A1122
A1130
TABLE M0765
CLEAN CORE (EQUIPMENT)
GENERAL NOTES: SURGICAL AND 4V, 1 NITROGEN, 1 CO2
1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S) 10 EMER DUPLEX, 4 DATA
ENDOVASCULAR
2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE FACE PLATES
SERVICES
(ORRB1) NOTE: REFER TO
3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR) ROOM DATA SHEET
750 NSF
FIRE SPRINKLERS 69.69 NSM FOR ACCESS PANELS
4.11. ORRB1

4.11. OPERATING ROOM, ROBOTICS (ORRB1)
M4280
M0765 M0765
2O, 3V, 1A, WAGD, 1 NITROUS OXIDE, M0755 M8606 4V, 1 NITROGEN, 1 CO2, 10 EMER
6 EMER DUPLEX, 4 DATA FACE PLATES M0750 A1130 DUPLEX, 4 DATA FACE PLATES
10' - 0"
AIR CURTAIN (DOCUMEN

7' - 0" 7' - 0" TATION)
LAMINAR 2132mm 2136mm M1801
AIR FLOW A1122
DIFFUSER
ab ab ab ab
4927mm
16' - 2"
M7490
2134mm
ab ab
7' - 0"
M7475
8738mm
28' - 8"
ab ab TABLE
M7801
2134mm
7' - 0"
ab ab
3811mm
12' - 6"
M7801
U0100 ab ab ab ab

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

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

JSN Legend
JSN DESCRIPTION M4816 WARMING UNIT, PATIENT, AUTOMATIC/

MANUAL, AIR
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M5030 STOOL, SURGEON, REVOLVING
WITH SPEAKER M5512 LASER, SMOKE EVACUATOR
A1120 COLUMN, SERVICE, PREFAB, M7490 LIGHT, SURG, CEILING MTD, DUAL,
SURGICAL, CEILING MOUNTED UNEQUAL DIA HEADS
A1122 COLUMN, EQUIPMENT ARM, CEILING M7650 DEFIBRILLATOR/ MONITOR, ACUTE
MOUNTED, SURGERY CARE
A1130 CABINET, CONTROL, NITROGEN M7801 MONITOR, MEDICAL GRADE, 26”-42”
A1200 LIFT SYSTEM, OVERHEAD, PATIENT RM M7802 MONITOR, MEDICAL GRADE, 55”-65”
A4015 CLOCK, ELAPSED TIME, ELECTRIC M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE, 4
A5104 CART, MEDICAL WASTE DISPOSAL, CHANNEL
MOBILE W/ FOOT PEDAL M8551 LIGHT SOURCE, FIBEROPTIC
A5107 DISPENSER, GLOVE, SURGICAL/ HEADLAMP
EXAMINATION, WALL-MTD M8560 SURGICAL SYSTEM, ROBOTIC
A5108 WASTE DISPOSAL UNIT, SHARPS M8606 ENDOSCOPY CART, FIBEROPTIC,
A5212 BRACKET, TELEVISION WALL MTD, W/ VIDEO ACCESSORIES
TILT/ANGLE M8800 CART, ANESTHESIA
E0954 CART, EMERGENCY, MOBILE, 66”H x M8810 STAND, MAYO
32”W x 22”D M8825 TABLE, INSTRUMENT/DRESSING, CRS,
F0355 FOOTSTOOL, STRAIGHT APPROX 36x20x34
F3050 WHITE BOARD, DRY ERASE M8830 TABLE, INSTRUMENT/DRESSING,
F3200 CLOCK, BATTERY, 12” DIAMETER MOBILE
M0630 ANESTHESIA APPARATUS, 3 GAS M8840 TABLE, BACK, INSTRUMENT/DRESSING
M0750 FLOWMETER, AIR, CONNECT M8900 CARRIAGE, PAIL, CRS, WITHOUT PAIL
W/ 50 PSI SUPPLY M8905 PAIL, UTILITY, CRS, WITH CARRIAGE
M0755 FLOWMETER, OXYGEN, LOW FLOW M8910 CART, SURGICAL CASE
M0765 REGULATOR, VACUUM M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M1801 COMPUTER, MICROPROCESSING, M8925 STAND, BASIN, CRS, MOBILE, SINGLE
W/ FLAT PANEL MONITOR M8940 STOOL, ANESTHESIA, WITH BACK
M3070 HAMPER, LINEN, MOBILE, W/LID M8950 WARMER, BLOOD
M3072 FRAME, INFECTIOUS WASTE BAG M8970 WARMER, BLOOD, HIGH VOLUME
W/ LID M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3080 CABINET, INSTRUMENT, CRS, TRAUMA
2 GLASS DOOR, 6 SHELF S9755 SUCTION SYSTEM, SURGICAL, MOBILE
M3150 DISTRIBUTION SYSTEM, MEDICATION, ROVER UNIT
AUTOMATIC
OUTPUT
M4255 STAND, IV, AJUSTABLE
MULTIPLE LINE
AUTOMATIC/MANUAL MOBILE

4.11. ORRB1
ELEVATIONS
0' 4' 8' 16'
F3200
Clock, Battery, 12"
Diameter
A5107
A4015
Dispenser, Glove,
M7802 Electric
Wall Mntd
55-65"
A5212
M8560
Surgical System, Robotic
LOW WALL RETURN
AIR REGISTER
(TYPICAL)
H T
A5108
Waste Disposal Unit, Sharps ELEVATION 1 F3050
M8840 M8940
Table, Back, Stool, Anesthesia, With
Instrument/Dressing Back
F0355 A1014
Footstool, Straight Telephone, Wall
ISOLATED POWER Mounted, 1 Line, With
SYSTEM Speaker
LOW WALL M3080

RETURN ELEVATION 2 Cabinet, Instrument,
AIR REGISTER CRS, 2 Glass Door, 6
(TYPICAL) Shelf
M3150
Distribution System,
Medication, Automatic
4.11. ORRB1
ELEVATIONS
0' 4' 8' 16'
M3080 A5107
Shelf Wall Mntd
S9755
Mobile Rover Unit
M4645
ISOLATED POWER
SYSTEM
SD SD
LOW WALL RETURN

AIR REGISTER
(TYPICAL)
A5104
Cart, Medical Waste
Pedal
ELEVATION 3 M8920
Stand, Basin, CRS,
Mobile, Double
M3072
LOW WALL RETURN Frame, Infectious Waste
AIR REGISTER Bag w/Lid
(TYPICAL)
M8830
M7650 Table,
Defibrillator/Monitor, Instrument/Dressing, M8910
Acute Care Mobile Cart, Surgical Case
E0954 M8905
Cart, Emergency, Mobile, ELEVATION 4 Pail, Utility, CRS, With
66"H x 32"W x 22"D Carriage
M3070 M8900
Without Pail
4.11 ORRB1
4.11 OPERATING ROOM, ROBOTICS (ORRB1)
Room Data Sheet

leadership.
Ceiling Finish:
Sound Protection: 50 STC (to other room),
35 STC (to corridor)
7’-0” (1219 mm x 2133 mm)
Wood w/ Small View
Window
POWER
be 24” x 24”.
+24” AFF
corridor.
utility columns.

4.11 ORRB1

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide.
VA Satellite TV: No
Fire Alarm: Yes
CONDITIONING
pressurization.
Notes:

4.11 ORRB1
4.11 OPERATING ROOM, ROBOTICS (ORRB1)
Equipment List

A1014 Telephone, Wall 1 V/V Telephone, wall mounted, 1 line, with speaker.
Speaker
Surgical, Ceiling shell ceiling mounted unit with the following services: oxygen, nitrous oxide,
Mounted nitrogen, medical air, medical vacuum, gas evacuation, electrical outlets,
monitoring connectors, and IV holders. Specify type of column (fixed or
retractable) and number of outlets required for each service. Size will vary
with number of service outlets required. Designed to be used in the
operating room, recovery and ICU-CCU rooms.
A1122 Column, Equipment Arm, 3 C/C A ceiling mounted retractable equipment arm for use in the OR. Designed to
Ceiling Mounted, Surgery provide equipment placement support, power receptacles including low-
voltage panels, gas outlets and flat screen mounting for a surgical suite. Unit
will provide a range of motion of up to 330 degrees with arm providing
additional vertical movement. Units are custom configured with multiple
options available. Price is based on a unit with two (double) retractable arms.
Also available are units for use in anesthesia, ICU and ER.
A1130 Cabinet, Control, 2 C/C Nitrogen control cabinet. Unit consists of supply cut-off valve, supply
Nitrogen pressure gauge, pressure regulator (adjustable 0 to 200 PSI), outlet
pneumatic tools.
Patient Room movement for a single bed patient room. The system will consist of recessed
or ceiling mounted primary and secondary rails, lift motor with rolling
carriage, patient harness or seat, and a hand controller or control box with
charger. System will facilitate lifting and movement of patient to and from
bed to gurney, chair or other requirement. Minimum lift capability is 550
pounds. Custom design of track layout by manufacturer is essential to meet
individual facility requirements.
A4015 Clock, Elapsed Time, 1 C/C Elapsed time digital electric clock. Single display time that can be used either
Electric as a clock or elapsed time indicator. Clock consists of buttons to set minutes,
and hours for the time. For use in operating and delivery room, and medical
service columns. Analog or digital displays may be provided as specified by
the user.
Pedal remain closed when not in use to reduce exposure to contents. Ergonomic
handle is telescopic. Heavy containers can be removed from the side with
minimal lifting. Meets requirements of OSHA 29 CFR 1910.130.
Surgical/Examination, mounting. Fabricated of either cold rolled steel with a white baked enamel
Wall Mntd finish, plastic or acrylic. Hardware not included, Option 3 powder coated
steel.
A5108 Waste Disposal Unit, 2 V/V A container for collecting and transporting syringes and other sharps for
Sharps decontamination and disposal. Available in 2 gallon and 8 gallon with locking
rotor. Complies with OSHA regulations for handling sharps.
A5212 Bracket, Television, Wall- 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount will be a
Mounted, Tilt/Angle universal and VESA compliant unit with a load capacity of up to 130 lbs.

4.11 ORRB1
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES: 1 Cart body, style-A narrow, w/raised edge
66"H x 32"W x 22"D top; 1 Accessory rail, side; 1 Accessory rail, back; 1 Defibrillator tray; 1 IV
pole; 1 Breakaway bar; 1 Flip-up shelf; 1 Wastebasket; 1 Oxygen tank
holder; 1 Electrical box-4 outlet; 1 Cord wrap; 4 Drawer, 3"H; 3 Drawer,
6"H; Drawer organizer bins.
F0355 Footstool, Straight 4 V/V Step stool. Used to assist patients getting on and off exam or surgical tables.
Fitted with electrically conductive rubber tips.
F3050 Whiteboard, Dry Erase 1 V/V Whiteboard unit, approximately 36" H x 48" W consisting of a white porcelain
enamel writing surface with an attached chalk tray. Magnetic surface
available. Image can be easily removed with a standard chalkboard eraser.
For use with water color pens. Unit is ready to hang.
F3200 Clock, Battery, 12" 1 V/V Clock, 12" diameter. Round surface, easy to read numbers with sweep
Diameter second hand. Wall mounted unit for use when impractical to install a fully
synchronized clock system. Battery operated, (batteries not included).
M0630 Anesthesia Apparatus, 3 1 V/V Three gas anesthesia apparatus. Basic unit consists of steel cabinet with
Gas casters with one shallow, one medium, and one deep drawer, seven long
scale eleven-inch flowmeters, five cylinder yokes, and telescoping absorber
post. It includes two-canister model carbon dioxide absorber with inhalation
and exhalation check valves, switch valve, switch valve elbow, sidearm
Vernitrol, flow calculator, mounting kit, ventilator calculator, ventilator and an
oxygen piping inlet. Also features nitrous oxide fail safe valve kit, aspirator
kit, gas evacuator with vacuum and a flow meter safety cover. Used to
dispense a mixture of gases during surgical procedures.
M0750 Flowmeter, Air, Connect 2 V/V Air flowmeter. Unit has a stainless steel needle valve with clear flowtube for
w/50 PSI Supply connection to 50 PSI air outlet from central pipeline system. Requires the
appropriate adapter for connection to the wall outlet and fitting to connect to
tubing. Database prices reflect fittings with an attached DISS power outlet.
Other outlet and adapter configurations are available.
M0755 Flowmeter, Oxygen, Low 4 V/V Oxygen flowmeter. Consists of a clear crystal flowtube calibrated to 3.5 or 8
Flow LPM depending on manufacturer. For oxygen regulation in hospital settings.
Database pricing includes DISS fitting and DISS power outlet and wall
adapter. Other fitting and adapter configurations are available.
M0765 Regulator, Vacuum 14 V/V Vacuum pressure regulator for connection to central piped vacuum system.
Standard display scale is graduated at least from 0 to 200 mm Hg of
vacuum. Displays on specialized regulators may cover other vacuum
ranges. Regulator type (continuous, intermittent, continuous/intermittent,
surgical, pediatric, thoracic, etc.) as required. To be used in delivery,
neonatal, pediatrics or any area where suction is required. Database pricing
reflects continuous regulators graduated to 200 mm Hg with a full line
Microprocessing, w/Flat processing mini tower, flat panel monitor, keyboard, mouse and speakers.
Panel Monitor The system shall have the following minimum characteristics: a 2.8 GHz
Pentium processor; 512 MB memory; 80GB hard drive; 32/48x CD-
ROMDVD combo; 1.44MB network interface card; video 32 MB NVIDIA; a
18 inch flat panel monitor. The computer is used throughout the facility to
input, manipulate and retrieve information.
M3070 Hamper, Linen, Mobile, 2 V/V Mobile linen hamper with hand or foot operated lid. Made of heavy tubular
w/Lid stainless steel with heavy gauge welded steel platform. Holds 25" hamper
bags. Mounted on ball bearing casters. For linen transport in hospitals and
clinics.
M3072 Frame, Infectious Waste 1 V/V Frame for an infectious waste collection bag. Made of heavy tubular
Bag w/Lid stainless steel with heavy gauge welded steel platform. Adjust to hold 18" or
25" trash bags. Mounted on ball bearing casters and includes permanently
mounted hinged lid. Provides means of bagging infectious waste at point of
waste generation.

4.11 ORRB1
M3080 Cabinet, Instrument, 2 V/V Non-magnetic stainless steel instrument cabinet with two glass doors and six
CRS, 2 Glass Door, 6 shelves (five adjustable). Cabinet body has a single storage compartment
Shelf and seamless welded face. Shelf heights are adjustable on full length
perforated strips mounted to the back and inside front cabinet corners.
Cabinet is mounted on glides or casters. Cabinet may be covered by a
sloping top.
modules selected.
M3175 Electrosurgical Unit, Dual 1 V/V Dual output electrosurgical unit. Solid state power source with foot switch
Output jacks, monopolar and bipolar outputs, and four independent modes of
operation. Used in the operating room or surgicenter as an alternative to the
scalpel for cutting tissue.
construction with heavy weight base. It adjusts from 66 inches to 100 inches
and is mounted on conductive rubber, ball bearing, swivel casters. Stand is
used for administering intravenous solutions.
M4266 Pump, Volumetric, 3 V/V Volumetric infusion pump. Pump is self-regulating with automatic sensor and
Infusion, Multiple Line adjustable rate. Equipped with visual and audible alarms and up to 10 hour
capacity battery. For the administration of a wide variety of therapeutic
agents where precise control is required. Unit provides individual control to
IV lines simultaneously.
Stocking/Cuff pneumatic stockings for reduction of the threat of deep vein thrombophlebitis
in post operative patients. May also be used in the CCU for rotating cuff
therapy for reduction of peripheral circulation in congestive heart failure
patients.
M4287 Irrigation System, 1 V/V High flow surgical irrigation pump up 2.5l/min, available in single and double
Surgical flow.
M4645 Patient Transfer Device 1 V/V A patient transfer board designed to make lateral patient transfers safer for
staff and be more comfortable for the patients. The board uses a smooth,
low friction and static free surface to eliminate the need for metal rollers. The
board has a soft foam core that makes them lightweight for ease of use and
storage. The long board device also enables the transfer of a patient in the
seated or Fowler position. The boards come in three sizes with the long
board being foldable. The dimensions and price are for the long wide board.
Automatic/Manual, Microprocessor controlled with multiple alarm system constantly monitoring
Mobile temperature and water levels. Cabinet type unit. Designed to regulate body
temperature by application of water-filled hypothermia blankets.
M4816 Warming Unit, Patient, 1 V/V Automatic/manual patient warming unit. Unit delivers a flow of warmed air
Automatic/Manual, Air through a perforated plastic blanket. Used primarily for postoperative
M5030 Stool, Surgeon, 1 V/V Revolving stool. Consists of a padded upholstered seat with height
Revolving adjustment. Unit rotates and is mounted on ball bearing swivel casters.
M5512 Laser, Smoke Evacuator 1 V/V Filtration system used in conjunction with laser operations to remove surgical
laser plume. The unit includes a pneumatic foot switch, disposable 0.12
micron HEPA primary filters, a secondary 0.12 micron ULPA/carbon filter,
disposable funnels, reducer fittings and connector hoses.

4.11 ORRB1
Dual, Unequal Dia lamp heads of differing sizes mounted on individual swing arms. Unit
Heads features multiple lighting pods in each lamp head, deep cavity illumination,
color-corrected light, intensity control and sterilizable handles. Refer to the
manufacturers' specifications for minimum ceiling heights and installation
data. The database height dimension below refers to the height of the lamp
head itself. The width and depth measurements are the larger of the two
sums of the swing arm length and the head diameter. For use in general
purpose surgical suites.
M7650 Defibrillator/Monitor, 1 V/V Portable defibrillator/monitor for acute care includes biphasic defibrillator,
Acute Care pacing, SPO2, Interpretive 12-lead, NIBP monitoring, EtCO2 monitoring,
Invasive pressure monitoring, Vital Sign monitoring, temperature probe, Fax
transmission, PCMCIA Data Cards, Paddle accessories, and a color LCD.
M7801 Monitor, Medical Grade 6 V/V
26 - 42"
M7802 Monitor, Medical Grade 2 V/V LED HD monitor capable of displaying medical grade images. Monitor' size
55-65" is 55 - 65".
M7845 Monitor, Physiological, 1 V/V 4 channel bedside physiological monitor. The unit consist of a four-channel
Bedside, 4 Channel non-fade monochrome display monitor, an alarm system and printer-
recording capabilities. The monitor has color coded controls and automatic
calibration. The unit displays up to four waveforms simultaneously. The
parameters to be monitored are user selectable. The monitor may be
connected to a central monitoring station. The unit monitors patients in most
acute care areas, step-down units, procedure rooms and emergency rooms.
Headlamp corrected light for surgical procedures where photography is not required.
M8560 Surgical System, Robotic 3 V/V Robotic, surgical navigation system. System consists of surgeon's console,
patient cart with four interactive robotic arms, vision cart with high definition,
3D vision system. Features dual-console capability to support training and
collaboration during minimally invasive surgery. 3D HD visualization with up
to 10x magnification and an immersive view of the operative field. Also
provides extensibility for digital OR integration, Boom compatibility and
expandable system architecture for upgrades and future OR technology
(dimensions and utilities shown are for the Patient cart).
M8606 Endoscopy Cart, 1 V/V Endoscopy cart with video and print capabilities for use with fiberoptic (direct
Fiberoptic, w/Video vision) endoscopes. This cart does not work with videoscopes. System takes
Accessories optical images from a single endoscope and directly records them or
converts them to digital signals for recording. A typical system cart includes
the cart, a light source, an insufflator, a suction unit, a heat probe unit, an
electrosurgical apparatus, a digital camera converter or color video camera,
a camera controller, a monitor, a video/DVD recorder and a color 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 information 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.
appropriate material and mounted on 4" casters for easy mobility. It shall be
capable of being equipped with bottle holders, adjustable IV pole, storage
drawers, shelves and a top bar/rail.
telescopic upright adjusts from 39 inches to 60 inches with automatic locking
device, and removable 13"x19" instrument tray. Designed for use in
operating and procedure rooms.

4.11 ORRB1
M8825 Table, 2 V/V Instrument and dressing table. Made of corrosion resistant stainless steel
Instrument/Dressing, with a sound deadened top. Includes guard rail, shelf and two side-by-side
CRS, approx. 36x20x34 drawers. The table is mounted on swivel, ball-bearing casters.
M8830 Table, 2 V/V Mobile instrument/dressing table, approximately 34" H x 20" W x 16" D
Instrument/Dressing, Corrosion resistant stainless steel mobile table with sound-deadening shelf
Mobile and drawer. Unit is mounted on 2" casters. Designed for all purpose use in
the hospital or clinic.
M8840 Table, Back, 1 V/V A specialty back table for large cases such as orthopedics, spinal fusions,
Instrument/Dressing neuro and craniotomies. The table has a pneumatic tuck-away cantilevered
shelf which can hold multiple trays and is angled for clear observation of
instruments. It comes with 4" diameter heavy-duty ball bearing brake/swivel
casters. Construction is all stainless steel.
M8900 Carriage, Pail, CRS, 2 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type
Without Pail carriage mounted on ball bearing casters. Includes circular non-marring
M8905 Pail, Utility, CRS, With 2 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart bucket for use in
Carriage surgical operating rooms.
M8910 Cart, Surgical Case 2 V/V Surgical case cart. Unit consists of two hinged cabinet sections, each section
equipped with two pull-out shelves with stops. The entire unit is mounted on
four heavy duty conductive swivel casters. Used to transport surgical packs
and supplies to surgery and soiled items back to central supply.
M8920 Stand, Basin, CRS, 3 V/V CRS, mobile, double basin stand with shelf. Stainless steel corrosion
Mobile, Double resistant frame constructed from two continuous inverted "U" shaped tubes,
forming four legs and mounted on casters. Circular rings welded to top
receive two removable 8 quart stainless steel basins. For open heart and
other procedures.
M8925 Stand, Basin, CRS, 1 V/V Mobile single basin stand with shelf. The stand shall be constructed of
Mobile, Single tubular stainless steel and mounted on 2" swivel casters. Shall include a
treatment areas.
M8940 Stool, Anesthesia, With 2 V/V Anesthesia stool with back. All stainless steel with well-curved back panel
Back and wide conductive seat. Designed for the anesthesiologist during surgical
procedures.
M8950 Warmer, Blood 2 V/V Unit consists of a temperature regulated water bath, circulating fluid, or dry
heat with controls and an audible high temperature alarm. The warmer
provides a stable environment for the controlled warming of blood or other
fluids prior to being transfused to a patient.
M8970 Warmer, Blood, High 1 V/V Unit contains a proportional controller to regulate temperature in the heat
Volume exchanger and an audible high temperature alarm. Designed to provide a
stable temperature for the controlled warming of blood or other fluids prior to
being transfused to a patient. Unit may be a cuff type or circulating water
heat exchanger.
M9110 Table, Operating, 5 or 6 1 V/V Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted on a
Section, Trauma solid base with casters and locks. Table top surface is fabricated from radio-
translucent and conductive panels and is equipped with cassette tunnels in
each of the table top sections. Table includes: Electro-hydraulic controls,
side rail locking system, grounding receptacle and dual arm support section.
It is designed for use in the operating room in a variety of surgical
procedures. Table is configured to address the needs of trauma surgery.
S9755 Suction System, 1 V/V Surgical fluid waste management system with powered IV pole and smoke
Surgical, Mobile Rover evacuation. Portable waste collection unit, for use with Docking Station
Unit (specified separately). Dual canisters (one 4L and one 20L), two levels of
suction: 2-21in/Hg, fluid readout, 3 different port sizes for smoke tubing.

4.12. ORTR1
(ORTR1) OPERATING ROOM, TRANSPLANT
AXONOMETRIC
0' 4' 8' 16'
4.12. ORTR1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.12. ORTR1
FLOOR PLAN
0' 4' 8' 16'

26' - 10"
(8.18m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
DOORS TO BE ON
A5212 A5108 OPENERS
SCRUB ALCOVE
M7802 RETURN AIR
DUCT (TYPICAL)
A4015 LOW WALL
T H
TV TV EPO F3200 RETURN AIR
REGISTER
A5107 (TYPICAL)
1
MANIFOLD
4 2
AIR DELIVERY IPS
ARRAY ABOVE 3 M8830
STERILE FIELD M3175 F0355
M4815 M5512 A1014
M5030
M8825 M8920
M8810
R4785 M4255
M4250
M4287
M8810 F3050
M8925 M8950
E0963 M8940
L0221
M8551 M8606 A5107
(8.74m)
M8825
28' - 8"
M4816 M3109
M8900
M8 900
M8905 M9110 M5030
M4255 M8970 TABLE

M3072
M4250 M3150
M4266 M0630
M1801
(4.27m)
14' - 0"
M3070 M7845
M4820
A1200
LIFT AND
EXTENDER RAIL L1095
M3080
M8800
A5108
M8830
M8940 MANIFOLD
UNI-DIRECTIONAL
AIR DELIVERY
E0954 ARRAY ABOVE
M7650 STERILE FIELD
M7818
IPS a b Dc
E0963 M4645 X2105

M8551 TABLE
A5104 S9755 A5107
U0105
CLEAN CORE
OPERATING ROOM,
TRANSPLANT
(ORTR1)
750 NSF
69.67 NSM
4.12. ORTR1
0' 4' 8' 16'
26' - 10"
(8.18m)
8' - 0" CLEAR
SEMI-RESTRICTED
CORRIDOR
SEE LEGEND: DIMMABLE, LED STRIP

MANIFOLD LIGHT
UNI-DIRECTIONAL TYPICAL
AIR DELIVERY
ARRAY ABOVE
STERILE FIELD A1120
M0750
A1122 M0755
A1130 M0765
M0765 LED LED
A A A A 2O, 3V, 1A, WAGD,

M4280 1 NITROUS OXIDE,
LED
LED
4V, 1 NITROGEN, 1 CO2, 6 EMERG DUPLEX,

LED
LED
10 EMERG DUPLEX, LED

4 DATA FACE PLATES,
4 DATA FACE PLATES (ANESTHESIA)
(EQUIPMENT)
M7490 LED LED LED LED LED LED

A
A
LED
LED
LED
LED
LED
LED
LED
LED
A1122
A
A
M1801
(DOCUMENTATION)
LED
LED
LED
LED
OUTLINE OF
(8.74m)
LED
LED
A
A
LED
LED
28' - 8"
PROCEDURE
TABLE LED LED LED LED LED LED
M7490 TABLE
A
A
LED
LED
LED
LED
M7801 M7490
LED
LED
LED
LED
M7801
A1200 LED LED LED LED LED LED
LIFT AND SEE LEGEND:

EXTENDER RAIL MANIFOLD
LED
LED
LED
LED
UNI-DIRECTIONAL
LED
LED
LED
LED
AIR DELIVERY
ARRAY ABOVE
A1120 STERILE FIELD
M0750
M0755 GYPSUM BOARD
M0765 SOFFIT.
M1801 COORDINATE
A A A A
2O, 3V, 1A, WAGD, HEIGHT WITH
1 NITROUS OXIDE, EQUIPMENT.
6 EMERG DUPLEX,
4 DATA FACE PLATES
(ANESTHESIA) RETURN AIR
DUCT EACH CORNER
TABLE (TYPICAL)
CLEAN CORE FIN. CLG. 10' - 0" A.F.F. A1122
GENERAL NOTES: A1130
1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S) OPERATING ROOM, M0765
2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE 4V, 1 NITROGEN,
TRANSPLANT
MANIFOLD AIR DELIVERY ARRAY (ORTR1) 1 CO2
3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR) 10 EMER DUPLEX,
750 NSF
FIRE SPRINKLERS 69.67 NSM
4 DATA FACE PLATES
(EQUIPMENT)
4.12. ORTR1
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
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

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

JSN Legend
JSN DESCRIPTION

A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4280 PUMP, PNEUMATIC STOCKING/CUFF
WITH SPEAKER M4287 IRRIGATION SYSTEM, SURGICAL
A1120 COLUMN, SERVICE, PREFAB, M4645 PATIENT TRANSFER DEVICE
SURGICAL, CEILING MOUNTED M4815 HYPO/HYPERTHERMIA UNIT,
A1122 COLUMN, EQUIPMENT ARM, CEILING AUTOMATIC/MANUAL, MOBILE
MOUNTED, SURGERY M4816 WARMING UNIT, PATIENT, AUTOMATIC/
A1130 CABINET, CONTROL, NITROGEN MANUAL, AIR
A1200 LIFT SYSTEM, OVERHEAD, PATIENT RM M4820 HEMODIALYSIS UNIT, MOBILE, W/
A4015 CLOCK, ELAPSED TIME, ELECTRIC REVERSE OSMOSIS SYSTEM
A5104 CART, WASTE DISPOSAL, MOBILE M5030 STOOL, SURGEON, REVOLVING
W/ FOOT PEDAL M5512 LASER, SMOKE EVACUATOR
A5107 DISPENSER, GLOVE, SURGICAL/ M7490 LIGHT, SURG, CEILING MTD, DUAL,
EXAMINATION, WALL-MTD UNEQUAL DIA HEADS
A5108 WASTE DISPOSAL UNIT, SHARPS M7650 DEFIBRILLATOR/MONITOR, ACUTE
A5212 BRACKET, TELEVISION, WALL-MTD, CARE
TILT/ANGLE M7801 MONITOR, MEDICAL GRADE, 26”-42”
E0954 CART, EMERGENCY, MOBILE, 66”H x M7802 MONITOR, MEDICAL GRADE, 55”-65”
32”W x 22”D M7818 MONITOR, TRANSPORT
E0963 CART, GEN. STORAGE, MOBILE M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
F0355 FOOTSTOOL, STRAIGHT 4 CHANNEL
F3050 WHITE BOARD, DRY ERASE M8551 LIGHT SOURCE, FIBEROPTIC
F3200 CLOCK, BATTERY, 12” DIAMETER HEADLAMP
L0221 ANALYZER, BLOOD, PORTABLE HAND M8606 ENDOSCOPY CART, FIBEROPTIC,
HELD W/ VIDEO ACCESSORIES
L1095 CELL SAVER M8800 CART, ANESTHESIA
M0630 ANESTHESIA APPARATUS, 3 GAS M8810 STAND, MAYO
M0750 FLOWMETER, AIR, CONNECT M8825 TABLE, INSTRUMENT/DRESSING, CRS,
W/50 PSI SUPPLY APPROX 36x20x34
M0755 FLOWMETER, OXYGEN, LOW FLOW M8830 TABLE, INSTRUMENT/DRESSING,
M0765 REGULATOR, VACUUM MOBILE
M1801 COMPUTER, MICROPROCESSING, M8900 CARRIAGE, PAIL, CRS, WITHOUT PAIL
W/ FLAT PANEL MONITOR M8905 PAIL, UTILITY, CRS, WITH CARRIAGE
M3070 HAMPER, LINEN, MOBILE, W/LID M8910 CART, SURGICAL CASE
M3072 FRAME, INFECTIOUS WASTE BAG M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
W/ LID M8925 STAND, BASIN, CRS, MOBILE, SINGLE
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS M8940 STOOL, ANESTHESIA, WITH BACK
DOOR, 6 SHELF M8950 WARMER, BLOOD
M3109 ELECTROSURGICAL/COAGULATOR, M8970 WARMER, BLOOD, HIGH VOLUME
ARGON PLASMA M9110 TABLE, OPERATING, 5 OR 6 SECTION,
M3150 DISTRIBUTION SYSTEM, MEDICATION, TRAUMA
AUTOMATIC R4785 ICE MAKER, SURGICAL SLUSH
M3175 ELECTROSURGICAL UNIT, DUAL S9755 SUCTION SYSTEM, SURGICAL, MOBILE
OUTPUT ROVER UNIT
M4250 PUMP SYRINGE, INFUSION U0105 EXTRACORPOREAL SUPPORT SYSTEM
M4255 STAND, IV, ADJUSTABLE X2105 SCANNER, ULTRASOUND, CARDIAC
M4266 PUMP, VOLUMETRIC, INFUSION, (ECHO)
MULTIPLE LINE

4.12. ORTR1
ELEVATIONS
0' 4' 8' 16'
F3200
Clock, Battery, 12"
Diameter
A5107
Dispenser, Glove, A4015
A5212 Surgical/Examination, Wall Clock, Elapsed Time,
Bracket, Television, Mntd Electric
M7802
55-65"
A5108
M8910
Cart, Surgical Case
LOW WALL RETURN
AIR REGISTER EPO
T H S
(TYP)
ELEVATION 1
ISOLATED POWER F3050
SYSTEM Whiteboard, Dry Erase
A1014 A5107
Telephone, Wall Dispenser, Glove,
Mounted, 1 Line, With Surgical/Examination,
Speaker Wall Mntd
F0355
Footstool, Straight ELEVATION 2 M3080 LOW WALL RETURN
M8940
Cabinet, Instrument, CRS, 2 AIR REGISTER
Stool, Anesthesia, With Back
Glass Door, 6 Shelf (TYP)
M3150
4.12. ORTR1
ELEVATIONS
0' 4' 8' 16'
M4645
S9755
M3080 A5107 Suction System, Surgical,
Cabinet, Instrument, Dispenser, Glove, Mobile Rover Unit
CRS, 2 Glass Door, 6 Surgical/Examination, E0963
Shelf Wall Mntd Cart, General Storage,
Mobile
M8551
Light Source, Fiberoptic
Headlamp
ISOLATED POWER
SYSTEM
U0105
ExtraCorporeal Support
System
A5104
Cart, Medical Waste
SD SD SD
Pedal
LOW WALL RETURN

AIR REGISTER
(TYPICAL)
X2105
Scanner, Ultrasound, Cardiac M7650 ELEVATION 3
(Echo) Defibrillator/Monitor,
Acute Care LOW WALL RETURN
E0954 E0963 AIR REGISTER
Cart, Emergency, Mobile, Cart, General Storage, Mobile (TYPICAL)
66"H x 32"W x 22"D M8551 OR SURGICAL LIGHTING
M7818 Light Source, Fiberoptic
CONTROL PANEL
Monitor, Transport Headlamp
M8830 M8905
Table, Instrument/Dressing, ELEVATION 4 Pail, Utility, CRS, With
Mobile Carriage
M3070 M8905
Hamper, Linen, Mobile, w/Lid Pail, Utility, CRS, With
M3072 Carriage
Frame, Infectious Waste Bag
w/Lid
4.12 ORTR1
4.12 OPERATING ROOM, TRANSPLANT (ORTR1)
Room Data Sheet

leadership.
Ceiling Finish:
7’-0” (1219 mm x 2133 mm)
Wood w/ Small View
Window
POWER
be 24” x 24”.
+24” AFF
corridor.
utility columns.

4.12 ORTR1

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide
VA Satellite TV: No
Fire Alarm: Yes
CONDITIONING
pressurization.
Notes:

4.12 ORTR1
4.12 OPERATING ROOM, TRANSPLANT (ORTR1)
Equipment List

Line, With Speaker
pneumatic tools.
A4015 Clock, Elapsed Time, Electric 1 C/C Elapsed time digital electric clock. Single display time that can be used
either as a clock or elapsed time indicator. Clock consists of buttons to
1910.130.
Surgical/Examination, Wall mounting. Fabricated of either cold rolled steel with a white baked
Mntd enamel finish, plastic or acrylic. Hardware not included, Option 3 powder
coated steel.
A5108 Waste Disposal Unit, Sharps 2 V/V A container for collecting and transporting syringes and other sharps for
decontamination and disposal. Available in 2 gallon and 8 gallon with
A5212 Bracket, Television, Wall- 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount will be
Mounted, Tilt/Angle a universal and VESA compliant unit with a load capacity of up to 130
lbs.

4.12 ORTR1
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES: 1 Cart body, style-A narrow, w/raised edge
66"H x 32"W x 22"D top; 1 Accessory rail, side; 1 Accessory rail, back; 1 Defibrillator tray; 1
IV pole; 1 Breakaway bar; 1 Flip-up shelf; 1 Wastebasket; 1 Oxygen
tank holder; 1 Electrical box-4 outlet; 1 Cord wrap; 4 Drawer, 3"H; 3
Drawer, 6"H; Drawer organizer bins.
E0963 Cart, General Storage, 2 V/V Mobile General Storage Cart, approximately 72"H x 23"W x 22"D. THIS
Mobile TYPICAL INCLUDES: Locker Storage Container on Wheels, w/Solid
Door 3 Tray/Shelves; Drawers, 3"H; 4 Drawers, 6"H; 1 Tray/Shelf
Divider Drawer Organizer Bins
F3200 Clock, Battery, 12" Diameter 1 V/V Clock, 12" diameter. Round surface, easy to read numbers with sweep
second hand. Wall mounted unit for use when impractical to install a
included).
L0221 Analyzer, Blood, Portable, 1 V/V Handheld point-of-care testing analyzer. Utilizes single-use, disposable
Hand Held cartridges for diagnostic testing to include: Blood gases, electrolytes and
chemistries, lactate, coagulation, hematology, and cardiac markers.
L1095 Cell Saver 1 V/V Autologous blood recovery system, also known as a "Cell Saver." Used
in the operating room and laboratory to wash extravascular blood free of
debris, clots, etc., and to make the blood safe for re-infusion into the
patient.
M0750 Flowmeter, Air, Connect w/50 2 V/V Air flowmeter. Unit has a stainless steel needle valve with clear flowtube
PSI Supply for connection to 50 PSI air outlet from central pipeline system. Requires
inlets and outlets.

4.12 ORTR1
M1801 Computer, Microprocessing, 2 V/V Desk top microprocessing computer. The unit shall consist of a central
w/Flat Panel Monitor processing mini tower, flat panel monitor, keyboard, mouse and
speakers. The system shall have the following minimum characteristics:
tubular stainless steel with heavy gauge welded steel platform. Holds
25" hamper bags. Mounted on ball bearing casters. For linen transport
M3072 Frame, Infectious Waste Bag 1 V/V Frame for an infectious waste collection bag. Made of heavy tubular
w/Lid stainless steel with heavy gauge welded steel platform. Adjust to hold
M3080 Cabinet, Instrument, CRS, 2 2 V/V Non-magnetic stainless steel instrument cabinet with two glass doors
Glass Door, 6 Shelf and six shelves (five adjustable). Cabinet body has a single storage
compartment and seamless welded face. Shelf heights are adjustable
M3109 Electrosurgical/Coagulator, 1 V/V An electrosurgical generator with an argon plasma coagulator and APC
Argon Plasma pulsed mode. This feature auto-regulates beam ignition and provides
automatic dosing of power for increased control. The plug and play
digital instrument recognition technology automatically configures the
entire system to preprogrammed procedural parameters.
modules selected.
M4250 Pump, Syringe, Infusion 2 V/V The infusion syringe pump ensures highly accurate volume delivery and
consistent flow for small volumes (<50 ml) of pharmacologic agents or
thick feeding solutions. It shall be small, lightweight construction, making
it transportable. Shall have menu-driven programming capable of flow
rates (e.g. 0.1 or 1.0 mL/hr) that are intended for long-term bedside use
and/or critical care patient transport, plunger positioning sensor, LCD
display for easy viewing, volume limit programming to serve as a
convenient cue of volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely controlled infusion
rates. The infusion pump shall have automatic syringe size sensing
which will give the flexibility to accept a wide range of syringe sizes (up
to 60 mL) from different manufacturers. Shall be battery powered/AC
adapter.
M4266 Pump, Volumetric, Infusion, 2 V/V Volumetric infusion pump. Pump is self-regulating with automatic sensor
Multiple Line and adjustable rate. Equipped with visual and audible alarms and up to

4.12 ORTR1
M4287 Irrigation System, Surgical 1 V/V High flow surgical irrigation pump up 2.5l/min, available in single and
double flow.
Automatic/Manual, Mobile Microprocessor controlled with multiple alarm system constantly
monitoring temperature and water levels. Cabinet type unit. Designed to
blankets.
M4820 Hemodialysis Unit, Mbl, 1 V/V Mobile renal dialysis system with a reverse osmosis water purification
w/Reverse Osmosis System unit. The system consists of three major components: the dialysate
delivery system, the extracorporeal blood delivery circuit (blood pump)
and the dialyzer. The system also has its own monitoring and control
circuits with temperature controls. An alarm system is automatically
activated when there is changes in pressure or in the existence of leaks.
Multiple electrical circuits (one for the dialyzer, one for the reverse
osmosis system) may be needed to power this equipment combination.
This dialyzer is intended for self-contained use in intensive care or step
down units which do not have the water purification machinery found in
a hemodialysis clinic. See JSN M1715 for units used in a hemodialysis
clinic.
adjustment. Unit rotates and is mounted on ball bearing swivel casters.
hoses.

4.12 ORTR1
Care defibrillator, pacing, SPO2, Interpretive 12-lead, NIBP monitoring,
M7801 Monitor, Medical Grade 26 - 6 V/V
42"
M7802 Monitor, Medical Grade 55- 2 V/V LED HD monitor capable of displaying medical grade images. Monitor'
65" size is 55 - 65".
M7818 Monitor, Transport 1 V/V A light weight, rugged patient monitor for use during transport. Unit
consists of a compact monitor with touchscreen display with up to 3
waveforms on a on a bright non-fading display. The unit measures
ECG/respiration, NBP, SpO2, pressure, and temperature and CO2.
Data can be transferred seamlessly throughout the continuum of care.
Unit is approved for aeromedical use (US Army Airworthiness
Certification and Evaluation (ACE) program. Battery run time of 3 hours
before recharge.
required.
M8606 Endoscopy Cart, Fiberoptic, 1 V/V Endoscopy cart with video and print capabilities for use with fiberoptic
w/Video Accessories (direct vision) endoscopes. This cart does not work with videoscopes.
System takes optical images from a single endoscope and directly
system cart includes the cart, a light source, an insufflator, a suction
unit, a heat probe unit, an electrosurgical apparatus, a digital camera
M8825 Table, Instrument/Dressing, 2 V/V Instrument and dressing table. Made of corrosion resistant stainless
CRS, approx. 36x20x34 steel with a sound deadened top. Includes guard rail, shelf and two side-
by-side drawers. The table is mounted on swivel, ball-bearing casters.

4.12 ORTR1
M8830 Table, Instrument/Dressing, 2 V/V Mobile instrument/dressing table, approximately 34" H x 20" W x 16" D
Mobile Corrosion resistant stainless steel mobile table with sound-deadening
shelf and drawer. Unit is mounted on 2" casters. Designed for all
M8900 Carriage, Pail, CRS, Without 3 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel ring type
Pail carriage mounted on ball bearing casters. Includes circular non-marring
to central supply.
M8920 Stand, Basin, CRS, Mobile, 2 V/V CRS, mobile, double basin stand with shelf. Stainless steel corrosion
Double resistant frame constructed from two continuous inverted "U" shaped
M8925 Stand, Basin, CRS, Mobile, 2 V/V Mobile single basin stand with shelf. The stand shall be constructed of
Single tubular stainless steel and mounted on 2" swivel casters. Shall include a
treatment areas.
heat exchanger and an audible high temperature alarm. Designed to
M9110 Table, Operating, 5 or 6 1 V/V Pedestal type, 5 or 6 section, operating table. Pedestal table, mounted
Section, Trauma on a solid base with casters and locks. Table top surface is fabricated
from radio-translucent and conductive panels and is equipped with
Electro-hydraulic controls, side rail locking system, grounding receptacle
and dual arm support section. It is designed for use in the operating
room in a variety of surgical procedures. Table is configured to address
the needs of trauma surgery.
R4785 Ice Maker, Surgical Slush 1 V/V An automated surgical slush machine designed to produce a velvet soft
slush to limit the likelihood of damaging tissue due to large or sharp ice
particles during surgical procedures. Unit operates with a temperature
range of 30 degrees F to 32 degrees F. The unit is also designed to
operate quietly to not disrupt the OR environment. Casters allow for
easy movement.
smoke tubing.

4.12 ORTR1
X2105 Scanner, Ultrasound, Cardiac 1 V/V High definition, diagnostic ultrasound system for Radiology, Cardiology,
(Echo) Vascular, ob-gyn, Perinatology, and Surgical imaging applications. The
unit employs curved, phased and linear array imaging technology. The
system supports colorflow, pulse, continuous wave imaging modalities.
On board software measurement packages available for all imaging
applications. The system is DICOM 3.0 compatible, for easy linkage to
filmless image management systems and review stations. In addition, a
full line of probes and conventional recording devices are available.

4.13. ORHY1
(ORHY1) OPERATING ROOM, MONOPLANE HYBRID
AXONOMETRIC
0' 4' 8' 16'
CONTROL
ROOM
SYSTEMS
COMPONENTS
ROOM
4.13. ORHY1
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.13. ORHY1
FLOOR PLAN
0' 4' 8' 16'
SEMI-RESTRICTED CORRIDOR
32' - 2"
DOORS TO BE ON
(9.8m) AUTOMATIC
A5107 DOOR OPENERS
STRETCHER ALCOVE M8940 A5108 SCRUB ALCOVE RETURN AIR
DUCT
(TYPICAL)
GM IPS A4015 LOW WALL
H T
EPO F3200 RETURN AIR
1
REGISTER
A1200 (TYPICAL)
4 2
LIFT AND
M8910
MANIFOLD 20' - 0" 3 EXTENDER RAIL
UNI-DIRECTIONAL TO CONTROL
(8.74m)
(6.1m)
28' - 8"
AIR DELIVERY ROOM
M8810 M8825
ARRAY ABOVE M3175
F3050 M4255 M8800 M8920 R4785
STERILE FIELD A5108
M4250 M8825
M4266
M8920
E0948
M8900
M8905
M8606
GM
EQ
M8925 BORROWED
M5030 LIGHT
M3070
(3.66m)
A5104
12' - 0"
TABLE
F0355
M3070 M4255
L1095 M8830
M4810 M4287
M4645
EQ
M3072 U0105 M4815 M8830

M8940 M4816 X2106
X6190
E0954 GM M9080
M4812 X3145
M7650 M0630
M7818 M1801
M4811
M7845 M8551 M8810 M8810 M8840 S9755
M8970 M8950 M3109 M5512
M8940
M5030 L0221
IPS
18' - 0"
A1014
(5.49m) M3080
A5107
GM D D
M3150 M3165 OPERATING ROOM, TABLE

MONOPLANE HYBRID
(ORHY1)
900 NSF
83.65 NSM
CLEAN CORE
4.13. ORHY1
0' 4' 8' 16'
32' - 2"
(9.8m)
(EQUIPMENT)
M7490
4V, 1 NITROGEN, 1 CO2, M7801
10 EMERG DUPLEX, 4 DATA FIN. CLG. 10' - 2" A.F.F.
FACE PLATES
A1122 A1200
A1130 LIFT AND
M0765 EXTENDER RAIL
(DOCUMEN-
TATION)
(EQUIPMENT)
A1122 4V,
M1801 A A A A
1 NITROGEN,
SEE LEGEND: 1 CO2,
MANIFOLD 10 EMERG
UNI- DUPLEX,
DIRECTIONAL 4 DATA
AIR DELIVERY FACE PLATES
EQ
ARRAY ABOVE A1122

STERILE FIELD A1130
M0765
M4280
(ANESTHESIA)
X6190 2O, 3V, 1A,
LED
LED
LED
LED
LED
LED
LED
LED
LED
M7860
WAGD,
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
LED
A
A5212 1 NITROUS
(8.74m)
28' - 8"
M7802
OXIDE,
ATV
A
6 EMERG
LED
LED
LED
LED
LED
LED
LED
LED
DUPLEX,
TABLE
LED
LED
LED
LED
LED
LED
LED
LED
4 DATA FACE
A TV
A
(EQUIPMENT) LED LED LED LED LED LED PLATES
4V, A1120
LED
1 NITROGEN, M0750
LED
LED
LED
LED
LED
LED
LED
LED
LED
A
1 CO2, M0755
LED
LED
LED
LED
LED
LED
LED
LED
LED
A
10 EMERG M0765
DUPLEX,
(PERFUSION)
4 DATA FACE
2O, 3V, 2A,
PLATES
1 NITROUS
EQ
A1122
OXIDE,
A1130
M0765 6 EMERG
DUPLEX,
(ANESTHESIA) 4 DATA FACE
2O, 3V, 1A, A A A A PLATES
WAGD, A1122
1 NITROUS A1130
OXIDE, M0750
6 EMERG M0755
DUPLEX, M0765
4 DATA FACE
PLATES TABLE
GYPSUM BOARD SOFFIT. M7490
A1120
M0750 COORDINATE HEIGHT WITH M7801
M0755 EQUIPMENT.
M0765 18' - 0"
GENERAL NOTES:
(5.49m) 1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S)
OPERATING ROOM,
MONOPLANE HYBRID 2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
(ORHY1) MANIFOLD AIR DELIVERY ARRAY
900 NSF
4.13. ORHY1
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 NITROUS 1 CO2,
4394mm
14' - 5"
OXIDE, 6 EMER ab ab ab ab ab ab 10 EMER DUPLEX,
DUPLEX, 4 DATA 4 DATA FACE
FACE PLATES PLATES
(ANESTHESIA)
A1120
A1120 M0765
M1801 M0755
M0765 M0750
M0755 (ANESTHESIA)
M0750 2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
15' - 8 3/4" 16' - 5 1/4" DUPLEX, 4 DATA
FACE PLATES
4797mm 5007mm
M7801
TABLE M7475

900 NSF / 83,7 NSM
4.13. OPERATING ROOM, MONOPLANE HYBRID (ORHY1)

JSN Legend
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4810 HEART/ LUNG MACHINE, BYPASS,
WITH SPEAKER MODULAR
A1120 COLUMN, SERVICE, PREFAB, M4811 PUMP, INTRA-AORTIC, BALLOON
SURGICAL, CEILING MOUNTED M4812 PACEMAKER, SINGLE CHAMBER,
A1122 COLUMN, EQUIPMENT ARM, CEILING EXTERNAL, TEMPORARY
MOUNTED, SURGERY M4815 HYPO/HYPERTHERMIA UNIT,
A1130 CABINET, CONTROL, NITROGEN AUTOMATIC/MANUAL MOBILE
A1200 LIFT SYSTEM, OVERHEAD, PATIENT RM M4816 WARMING UNIT, PATIENT, AUTOMATIC/
A4015 CLOCK, ELAPSED TIME, ELECTRIC MANUAL, AIR
A5104 CART, MEDICAL WASTE DISPOSAL, M5030 STOOL, SURGEON, REVOLVING
MOBILE W/ FOOT PEDAL M5512 LASER, SMOKE EVACUATOR
EXAMINATION, WALL MTND UNEQUAL DIA HEADS
A5108 WASTE DISPOSAL UNIT, SHARPS M7650 DEFIBRILLATOR/ MONITOR, ACUTE
A5212 BRACKET, TELEVISION WALL MTD, TILT/ CARE
ANGLE M7801 MONITOR, MEDICAL GRADE, 26”-42”
E0948 CART, GENERAL STORAGE, MOBILE, M7802 MONITOR, MEDICAL GRADE, 55”-65”
42”H x 32”W x 22”D M7818 MONITOR, TRANSPORT
E0954 CART, EMERGENCY, MOBILE, 66”H x M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
32”W x 22”D 4 CHANNEL
F0355 FOOTSTOOL, STRAIGHT M8551 LIGHT SOURCE, FIBEROPTIC
F3050 WHITE BOARD, DRY ERASE HEADLAMP
F3200 CLOCK, BATTERY, 12” DIAMETER M8606 ENDOSCOPY CART, FIBEROPTIC,
L0221 ANALYZER, BLOOD, PORTABLE, HAND W/ VIDEO ACCESSORIES
HELD M8800 CART, ANESTHESIA
L1095 CELL SAVER M8810 STAND, MAYO
M0630 ANESTHESIA APPARATUS, 3 GAS M8825 TABLE, INSTRUMENT/DRESSING, CRS,
M0750 FLOWMETER, AIR, CONNECT APPROX 36x20x34
W/ 50 PSI SUPPLY M8830 TABLE, INSTRUMENT/DRESSING,
M0755 FLOWMETER, OXYGEN, LOW FLOW MOBILE
M0765 REGULATOR, VACUUM M8840 TABLE, BACK, INSTRUMENT/DRESSING
M3070 HAMPER, LINEN, MOBILE W/LID M8910 CART, SURGICAL CASE
M3072 FRAME, INFECTIOUS WASTE BAG W/LID M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS M8925 STAND, BASIN, CRS, MOBILE, SINGLE
DOOR, 6 SHELF M8940 STOOL, ANESTHESIA, WITH BACK
M3109 ELECTROSURGICAL/COAGULATOR, M8950 WARMER, BLOOD
ARGON PLASMA M8970 WARMER, BLOOD, HIGH VOLUME
M3150 DISTRIBUTION SYSTEM, MEDICATION, M9080 TABLE, OPERATING, PEDESTAL,
AUTOMATIC 5 SECTION
M3165 CABINET, CATHETER STORAGE R4785 ICE MAKER, SURGICAL SLUSH
OUTPUT ROVER UNIT
M4255 STAND, IV, ADJUSTABLE X2106 SCANNER, ULTRASOUND, INTRA-
M4266 PUMP, VOLUMETRIC, INFUSION, CARDIAC, ECHO
MULTIPLE LINE X3145 SCREEN, X-RAY, PROTECTIVE, MOBILE
M4280 PUMP, PNEUMATIC STOCKING/CUFF X6190 RADIOGRAPHIC/FLUORO UNIT,
M4287 IRRIGATION SYSTEM, SURGICAL CARDIAC, 100 kW, DIGITAL

4.13. ORHY1
ELEVATIONS
0' 4' 8' 16'
A5107
Dispenser, Glove, F3200
Surgical/Examination, Wall Clock, Battery, 12"
Mntd Diameter
M8940 A5108 A4015
Stool, Anesthesia, With Back Waste Disposal Unit, Sharps Clock, Elapsed Time,
Electric
EPO
H T S
ELEVATION 1
M8910
Cart, Surgical Case ISOLATED POWER
SYSTEM
LOW WALL RETURN
A1014
Telephone, Wall
F0355 Speaker
Footstool, Straight A5107
E0948 Dispenser, Glove,
Cart, General Storage, Surgical/Examination,
Mobile, 42"H x 32"W x 22"D Wall Mntd
BORROWED
LIGHT
X2106 LOW WALL RETURN

Scanner, Ultrasound, ELEVATION 2 AIR REGISTER (TYPICAL)
Intra-Cardiac Echo S9755
M8830 Suction System, Surgical,
Table, Instrument/Dressing, Mobile Rover Unit
Mobile X3145
Screen, X-Ray,
Protective, Mobile
4.13. ORHY1
ELEVATIONS
0' 4' 8' 16'
A5107 M3165
Dispenser, Glove, Cabinet, Catheter Storage
Surgical/Examination, M3150
Wall Mntd Distribution System,
SD SD
M3080 LOW WALL RETURN

Cabinet, Instrument, ELEVATION 3 AIR REGISTER (TYPICAL)
CRS, 2 Glass Door, 6 M7802
Shelf Monitor, Medical Grade
55-65"
A5212
M7650 Bracket, Television,
Defibrillator/Monitor, Acute Wall-Mounted, Tilt/Angle
Care M4645
M4812 Patient Transfer Device
Pacemaker, Single Chamber, M3070
External, Temporary Hamper, Linen, Mobile,
M7818 w/Lid
Monitor, Transport M8920
ISOLATED POWER Stand, Basin, CRS,
SYSTEM Mobile, Double
M3150 F3050
Distribution System, ELEVATION 4
Medication, Automatic M8905
E0954 Pail, Utility, CRS, With
Cart, Emergency, Mobile, Carriage
66"H x 32"W x 22"D M8900
M3072 Carriage, Pail, CRS,
Frame, Infectious Waste Bag Without Pail
w/Lid
4.13 ORHY1
4.13 OPERATING ROOM, MONOPLANE HYBRID (ORHY1)
Room Data Sheet

leadership.
Ceiling Finish:
Slab Depression: As required by imaging Service for any deviations.
modality manufacturer
(1829 mm x 2133 mm) Refer to the VA Lighting Design Manual section
Wood w/Narrow View 4.2.13 - Surgery/Operating Room - for lighting
Window;
Single, Size 4’-0” x 7’-0”
(1219 mm x 2133 mm)
Wood w/ Small View
Window
POWER
1) Shielding is to be provided in all walls, Emergency Power: Connect selected
windows, and doors. receptacles and equipment
2) Locate access panels as required to allow to Critical Branch
for the maintenance of surgical booms and lights emergency IPS.
be 24” x 24”. Notes:
4) Nominal wall thickness is shown at 8” duplex receptacles & 3 ground jacks
(203 mm) to account for a variety of wall-
mounted panels, such as isolation power unit
+24” AFF
panels, that require a thicker partition.
corridor. 4) Provide power connections for articulating
utility columns.

4.13 ORHY1

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide
VA Satellite TV: No
Notes: on the articulating utility columns as determined
1) Provide connections for articulating utility by the project
columns. 4) Medical Gas Zone Valve Boxes are to be
2) Provide connections for video monitor provided in accordance with NFPA 99. Locate
pendants. Video monitor pendants will be part of this cabinet in the semi-restricted corridor near
the video integration system. The extent of the the operating room it serves.
HEATING, VENTILATING AND AIR FIRE PROTECTION AND LIFE SAFETY

CONDITIONING Fire Alarm: Yes
General Requirement: Refer to Operating Room Sprinkler: Yes
data sheet in the current version of the VA HVAC Hazard Type: Ordinary Hazard Group 1
pressurization.
Notes:
2) Room does not contain multiple slot
diffusers and uses laminar flow perforated face
outlets only for supply air
3) Suggested minimum laminar flow array over
the entire sterile field area as imaging equipment
gantry creates excessive turbulence. Mechanical
design engineer shall be responsible to design
the array in such manner as to minimize
turbulence and to maintain the sterile aseptic
field

4.13 ORHY1
4.13 OPERATING ROOM, MONOPLANE HYBRID (ORHY1)
Equipment List

Line, With Speaker
Specify recessed or surface mounting.; Designed for powering surgical
pneumatic tools.
room, and medical service columns.; Analog or digital displays may be
1910.130.
coated steel.

4.13 ORHY1
E0948 Cart, General Storage, 1 VV THIS TYPICAL INCLUDES:; 1 Cart Body, Style-A Narrow, w/Raised
Mobile, 42"H x 32"W x 22"D Edge Top 2 Drawers, 3" H; 4 Drawers, 6" H; 1 Accessory Rail, Side
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES:; 1 Cart body, style-A narrow, w/raised edge
included).
patient.
inlets and outlets.

4.13 ORHY1
25" hamper bags. Mounted on ball bearing casters. For linen transport in
hospitals and clinics.
modules selected.
M3165 Cabinet, Catheter Storage 2 V/V A cabinet to be used for the hanging storage of catheters. Cabinet
comes with adjustable laminate shelves, slide-out arms equipped with
hangers to hold various size catheters, and doors. Door locks are an
optional accessory.
rates (e.g. 0.1 or 1.0 mL/hr) that are intended for long-term bedside use
adapter.

4.13 ORHY1
double flow.
M4810 Heart/Lung Machine, Bypass, 1 V/V Modular by-pass heart lung machine. Unit consists of an arterial pump, a
Modular backup arterial pump, one or two suction pumps, a water mixer, and a
backup battery pack. To include disposable components:
oxygenator/heater exchanger, cardiotomy reservoir, blood filters, and
tubing. Unit is designed to temporarily replace the function of the
patients heart and lungs during open-heart surgery or any surgical
procedure that requires isolation of the heart.
resulting from extensive myocardial injury or damage. The pump shall
function from line or battery power and is to be a mobile unit. It contains
physiological monitoring, pacing, and pumping capabilities. It requires
minimal set-up time and has immediate pumping capability. Adjustments
can be accomplished without interruption of pumping. The monitor can
be mounted remotely for the clinicians convenience and permits viewing
of both cardio-pulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the critical care unit,
operating room, cardiac cath lab and during transport.
M4812 Pacemaker, Single Chamber, 1 V/V A single chamber, external temporary pacemaker designed to provide
External, Temporary acute therapeutic, prophylactic, and diagnostic pacing support. It is
capable of operating in the demand or asynchronous modes and
includes adjustable rate, output, and sensing controls. Battery operated.
blankets.

4.13 ORHY1
hoses.
42"
65" size is 55 - 65".
ECG/respiration, NBP, SpO2, pressure, and; temperature and CO2.
Data can be transferred seamlessly throughout the continuum of care.
before recharge.
required.
system cart includes the cart, a light source, an insufflator, a suction unit,
a heat probe unit, an electrosurgical apparatus, a digital camera
endoscope; refer to the endoscopes at JSNs; M8500-M8550. Each cart

4.13 ORHY1
to central supply.
treatment areas.

4.13 ORHY1
M9080 Table, Operating, Pedestal, 5 1 VV Pedestal type major operating table with 5 sections. Table is mounted
Section on a solid base with casters and locks. Table top surface is fabricated
from radio-translucent, conductive panels and the larger table sections
are equipped with radiographic cassette tunnels. Table includes Electro-
hydraulic controls, side rail locking system, kidney elevator, grounding
receptacle and dual arm support section. Designed for use in the
operating room in a variety of surgical procedures.
easy movement.
smoke tubing.
X2106 Scanner, Ultrasound, Intra- 1 V/V A portable cardiovascular ultrasound with full diagnostic and monitoring
Cardiac Echo capabilities. The unit employs phased-array transducer technology for
2D, color and Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an integrated EchoPAC with
data review, analysis, patient archive and reporting capabilities. It will
have full DICOM connectivity with embedded raw data speeds allowing
for post-exam quantitative analyses at the users convenience. The
rechargeable battery will provide up to 1 hour of full scan operation.
X3145 Screen, X-Ray, Protective, 1 V/V Mobile X-ray protective screen/barrier. The X-ray barrier provides
Mobile optically-clear visibility while shielding medical personnel from scatter
radiation. Its large clear Pb lead-plastic or acrylic window offers 0.5 mm
lead-equivalent protection to the user's head and upper body. The unit is
used for effective radiation protection of department personnel during
vascular or other procedures. This unit can fit any application with its
mobility.; Adjustable screens are also available.
X6190 Radiographic/Fluoro Unit, 1 V/C This system is specifically designed to perform biplane
Cardiac, 100 kW, Digital radiographic/fluoroscopic examinations in the Cardiology Department.
On-line digital cardiac image processing will provide instant availability of
images for review. This units characteristics and components include
100 kW micro-processor controlled X-ray generators, C-arm and U arm
with 9â€ multi-field Image Intensifier, integrated X-ray tube unit and cine
camera. The Digital Imaging for both the AP and Lateral planes shall
consists of a computer, keyboard with acquisition, viewing monitor, and
slave monitor. The system shall be DICOM 3.0 compatible, for easy
linkage to filmless image management systems and review stations. It is
recommended that the TV monitors be ceiling suspended. System to be
procured with Cardiac Cath Lab computerized analysis/monitoring
system.

4.14. ORHY2
(ORHY2) OPERATING ROOM, BIPLANE HYBRID
AXONOMETRIC
0' 4' 8' 16'
CONTROL
ROOM
SYSTEMS
COMPONENTS
ROOM
4.14. ORHY2
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.14. ORHY2
FLOOR PLAN
0' 4' 8' 16'
32' - 2"
MANIFOLD (9.8m) DOORS TO BE ON
UNI-DIRECTIONAL AUTOMATIC DOOR
AIR DELIVERY OPENERS
ARRAY ABOVE STRETCHER ALCOVE A5107 RETURN AIR
SCRUB ALCOVE
STERILE FIELD M8940 A5108 DUCT
(TYPICAL)
GM IPS A4015 LOW WALL
H T
EPO F3200 RETURN AIR
1 REGISTER
(TYPICAL)
4 2
M8910
20' - 0" 3 TO CONTROL
(8.74m)
28' - 8"
(6.1m) M8920 ROOM
F3050 R4785 A1200
M4255 LIFT AND
M4250 M5030 M8825 E0948
M8900
M8 900 EXTENDER RAIL M3175
M4266 M4280
M8905 M8551
M8825
M8810
GM M8800 M8606
GM
(3.66m)
M3070
12' - 0"
A5108 M8925
BORROWED
TABLE L1095
LIGHT
A5104 F0355
X6175
M3072 M9080 M4255 M8830
M4645 M4287
M4810 M4815 X2106
M8920 M8940 M4816
M5030
E0954
M4812 X3145
M7818
U0105
M7650
M0630 M4811
M1801 M8551 M8810 M8810 M8840 S9755
M8970 M8950 M3109 M5512
M7845
COMPONENT
EQUIPMENT
M8940 L0221
IPS
18' - 0"
A1014
IMAGE
ROOM
(5.49m)
A5107
GM D D
M3150 M3165 OPERATING ROOM, M3080

TABLE
BIPLANE HYBRID
(ORHY2)
900 NSF
83.67 NSM
CLEAN CORE
4.14. ORHY2
0' 4' 8' 16'
(EQUIPMENT) (EQUIPMENT)
4V, 32' - 2" 4V,
1 NITROGEN, (9.8m) 1 NITROGEN,
1 CO2, 1 CO2,
10 EMERG A1200 10 EMERG
DUPLEX, M7490 LIFT AND DUPLEX,
4 DATA M7801 EXTENDER RAIL 4 DATA FACE
FACE PLATES PLATES
A1122 A1122
A1130 A1130
M0765 M0765
A A A A
M4280
(DOCUMEN-
TATION)
A1122
M1801
(ANESTHESIA)
2O, 3V, 1A,
WAGD,
1 NITROUS
OXIDE,
X6175 LED LED LED LED LED LED
6 EMERG
DUPLEX,
LED
LED
LED
LED
LED
LED
LED
LED
LED
4 DATA FACE
A
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
LED
PLATES
A5212
A1120
M7802 M0750
(8.74m)
A
28' - 8"
A TV TV A
M0755
LED
LED
LED
LED
LED
LED
LED
TABLE M0765
LED
LED
LED
LED
LED
LED
LED
LED
A
M7802
LED LED LED LED LED LED (PERFUSION)
A5212 2O, 3V, 2A,
1 NITROUS
LED
LED
LED
LED
LED
LED
LED
LED
LED
LED
A
A
SEE LEGEND: OXIDE,

LED
LED
LED
LED
LED
LED
LED
LED
LED
MANIFOLD 6 EMERG
UNI- LED LED LED LED LED LED
DUPLEX,
DIRECTIONAL 4 DATA FACE
AIR DELIVERY PLATES
ARRAY ABOVE
A1122
STERILE FIELD A1130
M0750
(ANESTHESIA) M0755
2O, 3V, 1A, M0765
A A A A
WAGD,
1 NITROUS
OXIDE, M7490
6 EMERG M7801
DUPLEX,
4 DATA FACE
PLATES GYPSUM BOARD TABLE
FIN. CLG. 10' - 2" A.F.F.
A1120 SOFFIT. COORDINATE
M0750 HEIGHT WITH EQUIPMENT.
M0755 18' - 0"
GENERAL NOTES:
M0765 (5.49m) OPERATING ROOM, 1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S)
M1801
BIPLANE HYBRID 2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
(ORHY2) MANIFOLD AIR DELIVERY ARRAY
900 NSF 3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR)
4.14. ORHY2
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,
1 CO2, 10 EMER
4369mm
(ANESTHESIA)
14' - 4"
ab ab ab ab ab DUPLEX, 4 DATA
A1120 FACE PLATES
M1801
M0765 A1120
M0755 M0765
M0750 M0755
M0750
(ANESTHESIA)
2O, 3V, 1A, WAGD,
1 NITROUS
OXIDE, 6 EMER
DUPLEX, 4 DATA
13' - 8" 18' - 6" FACE PLATES
4165mm 5639mm
M7475
TABLE M7801

900 NSF / 83,7 NSM
4.14. OPERATING ROOM, BIPLANE HYBRID (ORHY2)

JSN Legend
JSN DESCRIPTION
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M4810 HEART/ LUNG MACHINE, BYPASS,
WITH SPEAKER MODULAR
A1120 COLUMN, SERVICE, PREFAB, M4811 PUMP, INTRA-AORTIC, BALLOON
SURGICAL, CEILING MOUNTED M4812 PACEMAKER, SINGLE CHAMBER,
A1122 COLUMN, EQUIPMENT ARM, CEILING EXTERNAL, TEMPORARY
MOUNTED, SURGERY M4815 HYPO/HYPERTHERMIA UNIT,
A1130 CABINET, CONTROL, NITROGEN AUTOMATIC/MANUAL MOBILE
A1200 LIFT SYSTEM, OVERHEAD, PATIENT RM M4816 WARMING UNIT, PATIENT, AUTOMATIC/
A4015 CLOCK, ELAPSED TIME, ELECTRIC MANUAL, AIR
A5104 CART, MEDICAL WASTE DISPOSAL, M5030 STOOL, SURGEON, REVOLVING
MOBILE W/ FOOT PEDAL M5512 LASER, SMOKE EVACUATOR
EXAMINATION, WALL MTND UNEQUAL DIA HEADS
A5108 WASTE DISPOSAL UNIT, SHARPS M7650 DEFIBRILLATOR/ MONITOR, ACUTE
A5212 BRACKET, TELEVISION WALL MTD, TILT/ CARE
ANGLE M7801 MONITOR, MEDICAL GRADE, 26”-42”
E0948 CART, GENERAL STORAGE, MOBILE, M7802 MONITOR, MEDICAL GRADE, 55”-65”
42”H x 32”W x 22”D M7818 MONITOR, TRANSPORT
E0954 CART, EMERGENCY, MOBILE, 66”H x M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
32”W x 22”D 4 CHANNEL
F0355 FOOTSTOOL, STRAIGHT M8551 LIGHT SOURCE, FIBEROPTIC
F3050 WHITE BOARD, DRY ERASE HEADLAMP
F3200 CLOCK, BATTERY, 12” DIAMETER M8606 ENDOSCOPY CART, FIBEROPTIC,
L0221 ANALYZER, BLOOD, PORTABLE, HAND W/ VIDEO ACCESSORIES
HELD M8800 CART, ANESTHESIA
L1095 CELL SAVER M8810 STAND, MAYO
M0630 ANESTHESIA APPARATUS, 3 GAS M8825 TABLE, INSTRUMENT/DRESSING, CRS,
M0750 FLOWMETER, AIR, CONNECT APPROX 36x20x34
W/ 50 PSI SUPPLY M8830 TABLE, INSTRUMENT/DRESSING,
M0755 FLOWMETER, OXYGEN, LOW FLOW MOBILE
M0765 REGULATOR, VACUUM M8840 TABLE, BACK, INSTRUMENT/DRESSING
M3070 HAMPER, LINEN, MOBILE W/LID M8910 CART, SURGICAL CASE
M3072 FRAME, INFECTIOUS WASTE BAG W/LID M8920 STAND, BASIN, CRS, MOBILE, DOUBLE
M3080 CABINET, INSTRUMENT, CRS, 2 GLASS M8925 STAND, BASIN, CRS, MOBILE, SINGLE
DOOR, 6 SHELF M8940 STOOL, ANESTHESIA, WITH BACK
M3109 ELECTROSURGICAL/COAGULATOR, M8950 WARMER, BLOOD
ARGON PLASMA M8970 WARMER, BLOOD, HIGH VOLUME
M3150 DISTRIBUTION SYSTEM, MEDICATION, M9080 TABLE, OPERATING, PEDESTAL,
AUTOMATIC 5 SECTION
M3165 CABINET, CATHETER STORAGE R4785 ICE MAKER, SURGICAL SLUSH
OUTPUT ROVER UNIT
M4255 STAND, IV, ADJUSTABLE X2106 SCANNER, ULTRASOUND, INTRA-
M4266 PUMP, VOLUMETRIC, INFUSION, CARDIAC, ECHO
MULTIPLE LINE X3145 SCREEN, X-RAY, PROTECTIVE, MOBILE
M4280 PUMP, PNEUMATIC STOCKING/CUFF X6190 RADIOGRAPHIC/FLUORO UNIT,
M4287 IRRIGATION SYSTEM, SURGICAL CARDIAC, 100 kW, DIGITAL

4.14. ORHY2
ELEVATIONS
0' 4' 8' 16'
A4015
Clock, Elapsed Time, Electric
F3200
ISOLATED POWER
SYSTEM
EPO
H T S
ELEVATION 1 A5107 LOW WALL RETURN

M8910 Dispenser, Glove, AIR REGISTER (TYPICAL)
Cart, Surgical Case Surgical/Examination,
M8940 Wall Mntd
Stool, Anesthesia, With Back A5108
Waste Disposal Unit,
M4280 Sharps
Pump, Pneumatic A1014
Stocking/Cuff Telephone, Wall
M8551 Mounted, 1 Line, With
Light Source, Fiberoptic Speaker
Headlamp
A5107
E0948 Dispenser, Glove,
Cart, General Storage, Surgical/Examination,
Mobile, 42"H x 32"W x 22"D Wall Mntd
BORROWED
LIGHT
F0355 LOW WALL RETURN

Footstool, Straight ELEVATION 2 AIR REGISTER (TYPICAL)
X2106 S9755
Scanner, Ultrasound, Suction System, Surgical,
Intra-Cardiac Echo Mobile Rover Unit
M8830 X3145
Table, Instrument/Dressing, Screen, X-Ray,
Mobile Protective, Mobile
4.14. ORHY2
ELEVATIONS
0' 4' 8' 16'
M3165
A5107 Cabinet, Catheter Storage
Surgical/Examination, Distribution System,
Wall Mntd Medication, Automatic
SD SD
LOW WALL RETURN

M3080
Glass Door, 6 Shelf
M8920
M7650 Stand, Basin, CRS,
Defibrillator/Monitor, Acute Mobile, Double
Care M4645
M4812 M7802 Patient Transfer Device
Pacemaker, Single Chamber, Monitor, Medical Grade M3070
External, Temporary 55-65" Hamper, Linen, Mobile,
M7818 A5212 w/Lid
Monitor, Transport Bracket, Television,
ISOLATED POWER Wall-Mounted, Tilt/Angle
SYSTEM
F3050
M3150 Whiteboard, Dry Erase
Distribution System, ELEVATION 4 M8905
Medication, Automatic Pail, Utility, CRS, With
E0954 Carriage
Cart, Emergency, Mobile,
M8900
66"H x 32"W x 22"D Carriage, Pail, CRS,
M3072 Without Pail
Frame, Infectious Waste Bag
w/Lid
4.14 ORHY2
4.14 OPERATING ROOM, BIPLANE HYBRID (ORHY2)
Room Data Sheet

leadership.
Ceiling Finish:
Window;
(1219 mm x 2133 mm)
Wood w/ Small View
Window
POWER
windows, and doors. receptacles and equipment
2) Locate access panels as required to allow to Critical Branch
for the maintenance of surgical booms and lights emergency IPS.
be 24” x 24”. Notes:
4) Nominal wall thickness is shown at 8” duplex receptacles & 3 ground jacks
+24” AFF
panels, that require a thicker partition.
corridor. 4) Provide power connections for articulating
utility columns.

4.14 ORHY2

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide.
VA Satellite TV: No

pressurization.
Notes:
field

4.14 ORHY2
4.14 OPERATING ROOM, BIPLANE HYBRID (ORHY2)
Equipment List

Line, With Speaker
A1120 Column, Service, Prefab, 2 C/C Prefabricated surgical service column. Strong 18 gauge
Surgical, Ceiling Mounted stainless steel shell ceiling mounted unit with the following
services: oxygen, nitrous oxide, nitrogen, medical air, medical
vacuum, gas evacuation, electrical outlets, monitoring
connectors, and IV holders. Specify type of column (fixed or
retractable) and number of outlets required for each service. Size
will vary with number of service outlets required. Designed to be
Ceiling Mounted, Surgery Designed to provide equipment placement support, power
arms. Also available are units for use in anesthesia, ICU and
ER.
A1200 Lift System, Overhead, 1 V/C An overhead rail system specifically designed for patient lifting
Patient Room and movement for a single bed patient room. The system will
consist of recessed or ceiling mounted primary and secondary
rails, lift motor with rolling carriage, patient harness or seat, and a
hand controller or control box with charger. System will facilitate
lifting and movement of patient to and from bed to gurney, chair
or other requirement. Minimum lift capability is 550 pounds.
Custom design of track layout by manufacturer is essential to
meet individual facility requirements.
A4015 Clock, Elapsed Time, Electric 1 C/C Elapsed time digital electric clock. Single display time that can
be used either as a clock or elapsed time indicator. Clock
consists of buttons to set minutes, and hours for the time. For
use in operating and delivery room, and medical service columns.
Analog or digital displays may be provided as specified by the
user.
A5104 Cart, Medical Waste 1 V/V Mobile molded cart with foot pedal, to house 18-24 gal sharps
Disposal, Mobile w/Foot disposal container. Lid lift or slide opens easily with foot-
Pedal operated pedal. Lid may remain closed when not in use to
reduce exposure to contents. Ergonomic handle is telescopic.
Heavy containers can be removed from the side with minimal
lifting. Meets requirements of OSHA 29 CFR 1910.130.
A5107 Dispenser, Glove, 2 V/V Examination three (Small Medium, Large) glove dispenser box
Surgical/Examination, Wall for wall mounting. Fabricated of either cold rolled steel with a
Mntd white baked enamel finish, plastic or acrylic. Hardware not
included, Option 3 powder coated steel.

4.14 ORHY2
sharps for decontamination and disposal. Available in 2 gallon
and 8 gallon with locking rotor. Complies with OSHA regulations
for handling sharps.
A5212 Bracket, Television, Wall- 2 V/V A wall mounted, tilt/angled TV bracket for 37" to 80" TVs. Mount
Mounted, Tilt/Angle will be a universal and VESA compliant unit with a load capacity
of up to 130 lbs.
E0948 Cart, General Storage, 1 VV THIS TYPICAL INCLUDES:; 1 Cart Body, Style-A Narrow,
Mobile, 42"H x 32"W x 22"D w/Raised Edge Top 2 Drawers, 3" H; 4 Drawers, 6" H; 1 Accessory
Rail, Side Drawer Organizer Bins
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES:; 1 Cart body, style-A narrow,
66"H x 32"W x 22"D w/raised edge top; 1 Accessory rail, side; 1 Accessory rail,
back; 1 Defibrillator tray; 1 IV pole; 1 Breakaway bar; 1 Flip-
up shelf; 1 Wastebasket; 1 Oxygen tank holder; 1 Electrical
box-4 outlet; 1 Cord wrap; 4 Drawer, 3"H; 3 Drawer,
6"H; Drawer organizer bins.
white porcelain enamel writing surface with an attached chalk
tray. Magnetic surface available. Image can be easily removed
with a standard chalkboard eraser. For use with water color
pens. Unit is ready to hang.
F3200 Clock, Battery, 12" 1 V/V Clock, 12" diameter. Round surface, easy to read numbers
Diameter with sweep second hand. Wall mounted unit for use when
impractical to install a fully synchronized clock system. Battery
operated, (batteries not included).
L0221 Analyzer, Blood, Portable, 1 V/V Handheld point-of-care testing analyzer. Utilizes single-use,
Hand Held disposable cartridges for diagnostic testing to include: Blood
gases, electrolytes and chemistries, lactate, coagulation,
hematology, and cardiac markers.
L1095 Cell Saver 1 V/V Autologous blood recovery system, also known as a "Cell Saver."
Used in the operating room and laboratory to wash extravascular
blood free of debris, clots, etc., and to make the blood safe
for; re-infusion into the patient.
cabinet with casters with one shallow, one medium, and one
deep drawer, seven long scale eleven-inch flowmeters, five
cylinder yokes, and telescoping absorber post. It includes two-
canister model carbon dioxide absorber with inhalation and
exhalation check valves, switch valve, switch valve elbow,
sidearm Vernitrol, flow calculator, mounting kit, ventilator
calculator, ventilator and an oxygen piping inlet. Also features
nitrous oxide fail safe valve kit, aspirator kit, gas evacuator with
vacuum and a flow meter safety cover. Used to dispense a
M0750 Flowmeter, Air, Connect 4 V/V Air flowmeter. Unit has a stainless steel needle valve with clear
w/50 PSI Supply flowtube for connection to 50 PSI air outlet from central pipeline
wall outlet and fitting to connect to tubing. Database prices
reflect fittings with an attached DISS power outlet. Other outlet
and adapter configurations are available.

4.14 ORHY2
M0755 Flowmeter, Oxygen, Low 6 V/V Oxygen flowmeter. Consists of a clear crystal flowtube
Flow calibrated to 3.5 or 8 LPM depending on manufacturer. For
oxygen regulation in hospital settings. Database pricing
includes DISS fitting and DISS power outlet and wall adapter.
Other fitting and adapter configurations are available.
vacuum system. Standard display scale is graduated at least
from 0 to 200 mm Hg of vacuum. Displays on specialized
regulators may cover other vacuum ranges. Regulator type
(continuous, intermittent, continuous/intermittent, surgical,
pediatric, thoracic, etc.) as required. To be used in delivery,
neonatal, pediatrics or any area where suction is required.
Database pricing reflects continuous regulators graduated to
200 mm Hg with a full line vacuum selection switch and DISS
w/Flat Panel Monitor central processing mini tower, flat panel monitor, keyboard,
mouse and speakers. The system shall have the following
minimum characteristics: a 2.8 GHz Pentium processor; 512 MB
memory; 80GB hard drive; 32/48x; CD-ROMDVD combo;
1.44MB network interface card; video 32 MB NVIDIA; a 18 inch
flat panel monitor. The computer is used throughout the facility to
input, manipulate and retrieve information.
M3070 Hamper, Linen, Mobile, 2 V/V Mobile linen hamper with hand or foot operated lid. Made of
w/Lid heavy tubular stainless steel with heavy gauge welded steel
platform. Holds 25" hamper bags. Mounted on ball bearing
casters. For linen transport in hospitals and clinics.
M3072 Frame, Infectious Waste Bag 1 V/V Frame for an infectious waste collection bag. Made of heavy
w/Lid tubular stainless steel with heavy gauge welded steel platform.
M3080 Cabinet, Instrument, CRS, 2 2 V/V Non-magnetic stainless steel instrument cabinet with two glass
Glass Door, 6 Shelf doors and six shelves (five adjustable). Cabinet body has a
single storage compartment and seamless welded face. Shelf
heights are adjustable on full length perforated strips mounted to
the back and inside front cabinet corners. Cabinet is mounted on
glides or casters. Cabinet may be covered by a sloping top.
M3109 Electrosurgical/Coagulator, 1 V/V An electrosurgical generator with an argon plasma coagulator
Argon Plasma and APC pulsed mode. This feature auto-regulates beam
ignition and provides automatic dosing of power for increased
control. The plug and play digital instrument recognition
technology automatically configures the entire system to
preprogrammed procedural parameters.
M3150 Distribution System, 1 V/V An automated dispensing system that provides controlled
Medication, Automatic dispensing, inventory and security. Size and cost will vary
M3165 Cabinet, Catheter Storage 2 V/V A cabinet to be used for the hanging storage of catheters.
Cabinet comes with adjustable laminate shelves, slide-out arms
equipped with hangers to hold various size catheters, and doors.
Door locks are an optional accessory.
M3175 Electrosurgical Unit, Dual 1 V/V Dual output electrosurgical unit. Solid state power source with
Output foot switch jacks, monopolar and bipolar outputs, and four
independent modes of operation. Used in the operating room or
surgicenter as an alternative to the scalpel for cutting tissue.

4.14 ORHY2
M4250 Pump, Syringe, Infusion 2 V/V The infusion syringe pump ensures highly accurate volume
delivery and consistent flow for small volumes (<50 ml) of
pharmacologic agents or thick feeding solutions. It shall be
small, lightweight construction, making it transportable. Shall
have menu-driven programming capable of flow rates (e.g. 0.1 or
1.0 mL/hr) that are intended for long-term bedside use and/or
critical care patient transport, plunger positioning sensor, LCD
convenient cue of volume or dose delivery completion and
multiple delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall have
automatic syringe size sensing which will give the flexibility to
accept a wide range of syringe sizes (up to 60 mL) from different
manufacturers. Shall be battery powered/AC adapter.
stainless steel construction with heavy weight base. It adjusts
from 66 inches to 100 inches and is mounted on conductive
rubber, ball bearing, swivel casters. Stand is used for
administering intravenous solutions.
M4266 Pump, Volumetric, Infusion, 2 V/V Volumetric infusion pump. Pump is self-regulating with
Multiple Line automatic sensor and adjustable rate. Equipped with visual and
audible alarms and up to 10 hour capacity battery. For the
administration of a wide variety of therapeutic agents where
precise control is required. Unit provides individual control to IV
lines simultaneously.
M4280 Pump, Pneumatic 2 V/V Pneumatic stocking/cuff pump. Pump provides alternating
Stocking/Cuff pressure to pneumatic stockings for reduction of the threat of
deep vein thrombophlebitis in post operative patients. May also
be used in the CCU for rotating cuff therapy for reduction of
peripheral circulation in congestive heart failure patients.
and double flow.
transfers safer for staff and be more comfortable for the patients.
The board uses a smooth, low friction and static free surface to
eliminate the need for metal rollers. The board has a soft foam
core that makes them lightweight for ease of use and storage.
The long board device also enables the transfer of a patient in
the seated or Fowler position. The boards come in three sizes
with the long board being foldable. The dimensions and price are
for the long wide board.
M4810 Heart/Lung Machine, Bypass, 1 V/V Modular by-pass heart lung machine. Unit consists of an arterial
Modular pump, a backup arterial pump, one or two suction pumps, a
water mixer, and a backup battery pack. To include disposable
components: oxygenator/heater exchanger, cardiotomy reservoir,
blood filters, and tubing. Unit is designed to temporarily replace
the function of the patients heart and lungs during open-heart
surgery or any surgical procedure that requires isolation of the
heart.

4.14 ORHY2
M4811 Pump, Intra-Aortic, Balloon 1 V/V Intra-aortic balloon pump. Item is used to treat cardiogenic
shock resulting from extensive myocardial injury or damage.
The pump shall function from line or battery power and is to be a
mobile unit. It contains physiological monitoring, pacing, and
pumping capabilities. It requires minimal set-up time and has
immediate pumping capability. Adjustments can be
accomplished without interruption of pumping. The monitor can
be mounted remotely for the clinicians convenience and permits
viewing of both cardio-pulmonary bypass and intra-aortic balloon
pump simultaneously. The pump is designed for use in the critical
care unit, operating room, cardiac cath lab and during transport.
M4812 Pacemaker, Single Chamber, 1 V/V A single chamber, external temporary pacemaker designed to
External, Temporary provide acute therapeutic, prophylactic, and diagnostic pacing
support. It is capable of operating in the demand or
asynchronous modes and includes adjustable rate, output, and
sensing controls. Battery operated.
constantly monitoring temperature and water levels. Cabinet
type unit. Designed to regulate body temperature by application
of water-filled hypothermia blankets.
Automatic/Manual, Air warmed air through a perforated plastic blanket. Used primarily
for postoperative patients to speed recovery of normal body
temperature.
M5030 Stool, Surgeon, Revolving 2 V/V Revolving stool. Consists of a padded upholstered seat with
height adjustment. Unit rotates and is mounted on ball bearing
swivel casters. Designed for use in examinations, treatment,
and surgical procedures.
switch, disposable 0.12 micron HEPA primary filters, a
secondary 0.12 micron ULPA/carbon filter, disposable funnels,
reducer fittings and connector hoses.
M7490 Light, Surg, Ceiling Mtd, Dual, 2 V/C Dual head surgical light ceiling mounted from a single pole. Unit
Unequal Dia Heads has two lamp heads of differing sizes mounted on individual
swing arms. Unit features multiple lighting pods in each lamp
head, deep cavity illumination, color-corrected light, intensity
control and sterilizable handles. Refer to the manufacturers'
specifications for minimum ceiling heights and installation data.
The database height dimension below refers to the height of the
lamp head itself. The width and depth measurements are the
larger of the two sums of the swing arm length and the head
Care defibrillator, pacing, SPO2, Interpretive 12-lead, NIBP
monitoring, EtCO2 monitoring, Invasive pressure monitoring,
Vital Sign monitoring, temperature probe, Fax transmission,
PCMCIA Data Cards, Paddle accessories, and a color LCD.
42"
M7802 Monitor, Medical Grade 55- 2 V/V LED HD monitor capable of displaying medical grade images.
65" Monitor' size is 55 - 65".

4.14 ORHY2
M7818 Monitor, Transport 1 V/V A light weight, rugged patient monitor for use during transport.
Unit consists of a compact monitor with touchscreen display with
up to 3 waveforms on a on a bright non-fading display. The unit
measures ECG/respiration, NBP, SpO2, pressure, and
temperature and CO2. Data can be transferred seamlessly
throughout the continuum of care. Unit is approved for
aeromedical use (US Army Airworthiness Certification and
Evaluation (ACE) program. Battery run time of 3 hours before
recharge.
M7845 Monitor, Physiological, 1 V/V 4 channel bedside physiological monitor. The unit consist of a
Bedside, 4 Channel four-channel non-fade monochrome display monitor, an alarm
system and printer-recording capabilities. The monitor has color
coded controls and automatic calibration. The unit displays up
to four waveforms simultaneously. The parameters to be
monitored are user selectable. The monitor may be connected
to a central monitoring station. The unit monitors patients in
most acute care areas, step-down units, procedure rooms and
emergency rooms.
M8551 Light Source, Fiberoptic 3 V/V Fiberoptic light source for surgical headlamps. This unit provides
Headlamp color corrected light for surgical procedures where photography
is not required.
M8606 Endoscopy Cart, Fiberoptic, 1 V/V Endoscopy cart with video and print capabilities for use with
w/Video Accessories fiberoptic (direct vision) endoscopes. This cart does not work
with videoscopes. System takes optical images from a single
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 information
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.
M8810 Stand, Mayo 3 V/V Adjustable instrument table. Table is corrosion resistant
stainless steel construction and is mounted on two casters with
two skid rails. It has telescopic upright adjusts from 39 inches to
60 inches with automatic locking device, and removable 13"x19"
instrument tray. Designed for use in operating and procedure
rooms.
M8825 Table, Instrument/Dressing, 2 V/V Instrument and dressing table. Made of corrosion resistant
CRS, approx. 36x20x34 stainless steel with a sound deadened top. Includes guard rail,
swivel,; ball-bearing casters.
M8830 Table, Instrument/Dressing, 2 V/V Mobile instrument/dressing table, approximately 34" H x 20" W
Mobile x 16" D Corrosion resistant stainless steel mobile table with
sound-deadening shelf and drawer. Unit is mounted on 2" casters.

4.14 ORHY2
Instrument/Dressing fusions, neuro and craniotomies. The table has a pneumatic tuck-
away cantilevered shelf which can hold multiple trays and is
angled for clear observation of instruments. It comes with 4"
diameter heavy-duty ball bearing brake/swivel casters.
M8900 Carriage, Pail, CRS, Without 3 V/V Carriage, pail (kick bucket) CRS. Consists of a stainless steel
Pail ring type carriage mounted on ball bearing casters. Includes
circular non-marring bumper. For use in the surgical operating
room.
M8905 Pail, Utility, CRS, With 3 V/V Utility pail (kick bucket). Shall be a stainless steel 12 quart bucket
Carriage for use in surgical operating rooms.
M8910 Cart, Surgical Case 2 V/V Surgical case cart. Unit consists of two hinged cabinet
sections, each section equipped with two pull-out shelves with
stops. The entire unit is mounted on four heavy duty
conductive swivel casters. Used to transport surgical packs
and supplies to surgery and soiled items back to central supply.
M8920 Stand, Basin, CRS, Mobile, 2 V/V CRS, mobile, double basin stand with shelf. Stainless steel
Double corrosion resistant frame constructed from two continuous
casters.; Circular rings welded to top receive two removable 8
quart stainless steel basins. For open heart and other
procedures.
M8925 Stand, Basin, CRS, Mobile, 2 V/V Mobile single basin stand with shelf. The stand shall be
Single constructed of tubular stainless steel and mounted on 2" swivel
casters. Shall include a shelf and an 8 quart stainless steel
basin. Intended for use in ORs and treatment areas.
M8940 Stool, Anesthesia, With 3 V/V Anesthesia stool with back. All stainless steel with well-curved
Back back panel and wide conductive seat. Designed for the
exchanger.
M9080 Table, Operating, Pedestal, 5 1 VV Pedestal type major operating table with 5 sections. Table is
Section mounted on a solid base with casters and locks. Table top
surface is fabricated from radio-translucent, conductive panels
and the larger table sections are equipped with radiographic
cassette tunnels. Table includes Electro-hydraulic controls, side
rail locking system, kidney elevator, grounding receptacle and
dual arm support section. Designed for use in the operating
room in a variety of surgical procedures.
R4785 Ice Maker, Surgical Slush 1 V/V An automated surgical slush machine designed to produce a
velvet soft slush to limit the likelihood of damaging tissue due to
large or sharp ice particles during surgical procedures. Unit
operates with a temperature range of 30 degrees F to 32
degrees F. The unit is also designed to operate quietly to not
disrupt the OR environment. Casters allow for easy movement.

4.14 ORHY2
S9755 Suction System, Surgical, 1 V/V Surgical fluid waste management system with powered IV pole
Mobile Rover Unit and smoke evacuation. Portable waste collection unit, for use
with Docking Station (specified separately). Dual canisters (one
4L and one 20L), two levels of suction: 2-21in/Hg, fluid readout, 3
different port sizes for smoke tubing.
X2106 Scanner, Ultrasound, Intra- 1 V/V A portable cardiovascular ultrasound with full diagnostic and
Cardiac Echo monitoring capabilities. The unit employs phased-array
transducer technology for 2D, color and Doppler imaging. It will
have multiple focal zones to optimize image quality. The unit will
have an integrated EchoPAC with data review, analysis, patient
archive and reporting capabilities. It will have full DICOM
connectivity with embedded raw data speeds allowing for post-
exam quantitative analyses at the users convenience. The
rechargeable battery will provide up to 1 hour of full scan
operation.
X3145 Screen, X-Ray, Protective, 1 V/V Mobile X-ray protective screen/barrier. The X-ray barrier
Mobile provides optically-clear visibility while shielding medical
personnel from scatter radiation. Its large clear Pb lead-plastic or
acrylic window offers 0.5 mm lead-equivalent protection to the
user's head and upper body. The unit is used for effective
radiation protection of department personnel during vascular or
other procedures. This unit can fit any application with its
mobility. Adjustable screens are also available.
Angio, Biplane, Digital radiographic/fluoroscopic examinations in the Special
Procedures Department. On-line digital angio image
processing will provide instant availability of images for
review. This units characteristics and components include:
100 kW micro-processor controlled X-ray generators, C-arm
and U arm with 9â€ multi-field Image Intensifier, integrated X-
ray tube unit. The Digital Spot Imaging for both the AP and
Lateral planes shall consist of a computer, keyboard with
acquisition and viewing monitor and a slave monitor.; The
system shall be DICOM 3.0 compatible, for easy linkage to
filmless image management systems and review stations. It is
recommended that the TV monitors be ceiling suspended.

SURGICAL AND ENDOVASCULAR SERVICES 4.15 ORHC1
(ORHC1) CONTROL ROOM, HYBRID OR, CATHETERIZATION LAB
ELECTROPHYSIOLOGY LAB, INTERVENTIONAL RAD LAB, VASCULAR LAB
AXONOMETRIC
0' 4' 8' 16'
INTERACTIVE 3D PDF
0' 4' 8' 16'
FLOOR PLAN
0' 4' 8' 16'
9' - 0"
(2.73m)
F3200 SEMI-RESTRICTED
Clock, Battery, 12" Diameter CORRIDOR
A5145
D
Hook, Garment, Double, SS,
Surface Mounted
TYP.
T
TO PROCEDURE
ROOM
X3150
Rack, Apron/Gloves, Wall
Mounted
A1012
CORRESPONDS WITH WIDTH OF PROCEDURE ROOM

Telephone, Wall Mounted, 1 F0275
Line Chair, Swivel, High Back
BORROWED LIGHT TYP.
A6110 F2000
Counter, Console, Basket, Wastepaper, Fire
NO LESS THAN 24' - 0"

Communications Resistant
(8.84m)
29' - 0"
M1801
1
w/Flat Panel Monitor
M7860 2
Monitoring System, Cardiac
Catheterization Lab
F3050
M1825
Printer, Computer
M1801
w/Flat Panel Monitor X4112
CT030 Console, PACS, Remote
Countertop, High Pressure View, w/Two 2MP
Laminate Monitors
X1425
Imager, Laser (1024 X
1024) (Din/PACS)
CONTROL ROOM,
HYBRID OR, CATH LAB,
EP LAB, IR LAB AND
VASCULAR LAB
(ORHC1)
260 NSF
CONSULT MANUFACTURE WALL REINFORCEMENT SPECIFICATIONS 24.16 NSM
FOR OBJECT: X3150 - RACK, APRON/GLOVES, WALL MOUNTED.
0' 4' 8' 16'
9' - 0"
(2.73m)
(8.84m)
29' - 0"
CONTROL ROOM,
HYBRID OR, CATH LAB,
EP LAB, IR LAB AND
VASCULAR LAB
(ORHC1)
260 NSF
24.16 NSM
ELEVATIONS
0' 4' 8' 16'
F3200
X3150
Mounted
S S SD
ELEVATION 1
X3150
Mounted
A5145
Hook, Garment, Double, SS,
A6110 A1012 Surface Mounted
Counter, Console, Telephone, Wall Mounted, 1 TYP.
Communications Line
BORROWED
BORROWED LIGHT
LIGHT
X4112 M1825
Console, PACS, Remote Printer, Computer F0275
View, w/Two 2MP Chair, Swivel, High Back
CT030
Monitors Countertop, High M1801
Pressure Laminate Computer,
ELEVATION 2 M1801
Microprocessing, w/Flat
Panel Monitor
Computer, M7860 F2000
Microprocessing, w/Flat Monitoring System, Basket, Wastepaper, Fire
Panel Monitor Cardiac Catheterization Resistant
Lab
4.15 ORHC1
4.15 CONTROL ROOM, HYBRID OR (ORHC1)
Room Data Sheet
ARCHITECTURAL COMMUNICATIONS
Ceiling Type: Gypsum Wallboard (SC) Data: Yes
Ceiling Height: 9’-0” (2700 mm) Telephone: Yes
Ceiling Finish: Cable Television: No
Wall Finish: Gypsum Wallboard (SC) Duress Alarm: No
Wainscot: Electronic Access and Door Control: No
Base: RF Integral Base (min. 6”/ Intercom: No
152 mm) Motion Intrusion Detection (MID): No
Floor Finish: Resinous Flooring Nurse Call: No
Slab Depression: None Code Blue:
Sound Protection: None Public Address: Yes
Doors: Single, Size 3’-0” x 7’-0” Security Surveillance Television (SSTV): No
(914 mm x 2133 mm) Wood VA Satellite TV: No
Special Requirement: Video Teleconferencing (VTEL): No
Notes:
1) Shielding is to be provided in the wall to the
hybrid operating room.
CONDITIONING
2) Consult with equipment manufacturer for
countertop requirements. General Requirement: Refer to Controls &
Communication Center Room data sheet in the
LIGHTING change requirements, and pressurization
4.2.13 – Surgery/Operating Room – Design PLUMBING AND MEDICAL GASES
Parameter – Control Room - for lighting design Cold Water: No
consideration.
Hot Water: No
Waste: No
POWER Medical Air No
Normal Power: To be connected to selected Medical Vacuum No
receptacles and equipment. Oxygen No
Emergency Power: Critical branch of the EES to
be connected to selected
receptacles and equipment. FIRE PROTECTION AND LIFE SAFETY
Notes: Fire Alarm: Yes
1) Provide a duplex receptacle per computer Sprinkler: Yes
and location connected to Emergency. Hazard Type: Light Hazard
2) Provide convenience duplex receptacle on
normal power.

4.15 ORHC1
4.15 CONTROL ROOM, HYBRID OR (ORHC1)
Equipment List

A1012 Telephone, Wall 1 V/V Telephone, wall mounted, 1 line.
Mounted, 1 Line
A5145 Hook, Garment, 4 C/C A surface mounted, satin finish stainless steel, double garment hook. Equipped
Double, SS, Surface with a concealed mounting bracket that is secured to a concealed wall plate. For
Mounted general purpose use throughout the facility to hang various items of apparel.
A6110 Counter, Console, 1 C/C Counter, console, communications. Consists of one 18â€ wide base cabinet
Communications with two drawers and file drawer, one 30â€ wide pencil drawer and one 18â€
wide base cabinet with four drawers. The countertop shall be a composition of
wood particle core with plastic laminate surface having a hard smooth surface
finish, standard thickness of 1â€ and a 4â€ butt backsplash/curb.
CT030 Countertop, High 2 C/C High pressure laminate countertop (composition of wood particle core with
Pressure Laminate plastic laminate surface) having a hard smooth surface finish, standard
thickness of 1", and a 4" butt backsplash/curb. Also referred to as a work
surface or work top. Available in a wide choice of colors, patterns, and depths.
Used in general purpose areas requiring a basic work surface arrangement with
limited heat resistance and poor chemical resistance. Pricing based upon a 24"
depth.
F0275 Chair, Swivel, High 5 V/V Highback contemporary swivel chair, 41" high X 23" wide X 23" deep with five
Back (5) caster swivel base and arms. Chair may be used at desks or in conference
rooms. Back and seat are foam padded and upholstered with either woven
textile fabric or vinyl.
F2000 Basket, Wastepaper, 1 V/V Wastepaper basket, fire resistant, approximately 40 quart capacity. This unit is
Fire Resistant used to collect and temporarily store small quantities of paper refuse in patient
rooms, administrative areas and nursing stations. Size and shape varies
depending on the application and manufacturer selected.
F3050 Whiteboard, Dry 1 V/V Whiteboard unit, approximately 36" H x 48" W consisting of a white porcelain
Erase enamel writing surface with an attached chalk tray. Magnetic surface available.
Image can be easily removed with a standard chalkboard eraser. For use with
water color pens. Unit is ready to hang.
F3200 Clock, Battery, 12" 1 V/V Clock, 12" diameter. Round surface, easy to read numbers with sweep second
Diameter hand. Wall mounted unit for use when impractical to install a fully synchronized
clock system. Battery operated, (batteries not included).
Microprocessing, processing mini tower, flat panel monitor, keyboard, mouse and speakers. The
w/Flat Panel Monitor system shall have the following minimum characteristics: a 2.8 GHz Pentium
processor; 512 MB memory; 80GB hard drive; 32/48x CD-ROMDVD combo;
1.44MB network interface card; video 32 MB NVIDIA; a 18 inch flat panel
monitor. The computer is used throughout the facility to input, manipulate and
retrieve information.
M1825 Printer, Computer 1 V/V High resolution computer printer with a variety of type styles and sheet/envelope
feeder trays. Database information reflects network ready, medium duty office
style laser printers. Other types of printers (bubble jet, dot matrix, line or plotter)
as well as light or heavy use capabilities are available.

4.15 ORHC1
M7860 Monitoring System, 1 V/V Computerized monitoring system for use in cardiac catheterization labs,
Cardiac electrophysiology labs and cardio-thoracic operating rooms. The system can
Catheterization Lab display up to 32 different waveforms simultaneously, perform calculations of
hemodynamic parameters, valve areas and cardiac output, archive procedure
results and accept inputs from a variety of monitoring devices. The installed
system can also include remote monitors/terminals and additional workstations
and may interface with hospital-wide physiological monitoring or clinical
information systems. The system includes several configurations in different
locations. Database physical dimensions reflect the largest of these work
centers. The estimated total 20 amp electrical requirements will be spread
across several circuits in several locations. The system price varies greatly on
the size and sophistication of the end user's requirements.
X1425 Imager, Laser (1024 1 V/V Laser imager. Solid state laser that provides high resolution images of superior
X 1024) (Din/PACS) quality and accuracy. An infrared laser beam is scanned across each film by a
precision rotating polygon, while correcting optics focus and control the beam's
intensity. Can be interfaced to as many as eight (8) modalities with interface kit.
For use with digital output imaging modalities.
X3150 Rack, Apron/Gloves, 3 C/C Apron and gloves rack. This is a wall unit which holds aprons and gloves. The
Wall Mounted body is heavy gauge steel finish in gray or green baked enamel, glove and
apron holding arms are aluminum. The unit's convenient on wall storage will
prolong the useful life of your protection aprons by helping prevent damage to
internal components.
X4112 Console, PACS, 1 V/V Two monitor remote viewing station for picture archiving and retrieval (PACS)
Remote View, w/Two system. This station is for use by providers inside or outside of radiology to
2MP Monitors review images. Station includes local image storage, image manipulation, and
simultaneous display of multiple images on two 1200 x 1600 image display
monitors. Images are stored on a resident hard disk and roll off the disk as more
recent images are sent to the station. Provider may request images from the
PACS. Unit must be connected to the PACS by LAN for image and result
receipt. This station is for use in areas like radiologist's offices and the E.R.
where a more comprehensive system is required. Console must be DICOM
compliant. Input may be by keyboard, mouse, trackball or voice activated
commands.

4.16. CARDIAC CATHETERIZATION LABORATORY (XCCE1)

INTERVENTIONAL RADIOLOGY (IR) LABORATORY (XACR1)
VASCULAR SURGERY LABORATORY (OPVL1)
Axonometric
850 NSF / 79,0 NSM

Endovascular Services

SEMI-RESTRICTED
CORRIDOR
M7802 SCRUB ALCOVE
F3200 A1014 A5212 RETURN AIR
DUCT (TYPICAL)
b GM TV
T H
A5077 C LOW WALL
RETURN AIR
A5107 L1085 REGISTER
X-RAY IN USE M3150 E0703 (TYPICAL)
IPS
SIGNAGE
TO R6200 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 1 NITROGEN
GM
M4266
8738mm
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
SCALE: 3/16” = 1’-0”

850 NSF / 79,0 NSM


M7480 LEAD SHIELD

(PART OF X6190)
(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
M0750
6' - 0"
M7860
A1122
8738mm
28' - 8"
A1130
(EQUIPMENT) ab
TABLE
LAMINAR
AIR FLOW
1829mm
6' - 0"
DIFFUSER
ab ab
4166mm
13' - 8"
ab ab ab ab ab ab
14' - 0"
4267mm
c c c c
30' - 4"
9245mm
SCALE: 3/16” = 1’-0”

850 NSF / 79,0 NSM


JSN Legend
JSN DESCRIPTION M7802 MONITOR, HD, LCD, FP, MEDICAL
GRADE, 55 INCH
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, M7818 MONITOR, TRANSPORT
WITH SPEAKER M7860 MONOTORING SYSTEM, CARDIAC
A1122 COLUMN, EQUIPMENT ARM, CEILING CATHETERIZATION LAB
MOUNTED, SURGERY M8800 CART, ANESTHESIA
A1130 CABINET, CONTROL, NITROGEN M8810 STAND, MAYO
A5077 DISPENSER, HAND SANITIZER, HANDS M8825 TABLE, INSTRUMENT/DRESSING
FREE M8826 TABLE, INSTRUMENT/DRESSING CRS,
A5104 CART, WASTE DISPOSAL, MOBILE W/ 60X24X34
FOOT PEDAL M8940 STOOL, ANESTHESIA, WITH BACK
A5107 DISPENSER, GLOVE, WALL-MTD R6200 REFRIGERATOR, U/C OR F/S, 5 CU FT
A5212 BRACKET, TELEVISION, WALL-MTD, U0100 OR INTEGRATION
TILT/ANGLE X2106 SCANNER, ULTRASOUND, INTRA-
E0703 TABLE, PROCESS, 5 DRAWERS CARDIAC ECHO
E0954 CART, EMERGENCY, MOBILE X2125 SCANNER, ULTRASOUND, PORTABLE
F0355 FOOTSTOOL, STRAIGHT X6190 RADIOGRAPHIC/FLOURO UNIT,
F2020 CAN, TRASH, 44 GALLON CARDIAC, 100kW, DIGITAL
F3050 WHITE BOARD, DRY ERASE X6195 INJECTOR, ANGIOGRAPHIC
F3200 CLOCK, BATTERY, 12IN
L0220 ANALYZER, HEMOGLOBIN, PORTABLE,
HAND HELD
L1085 ANALYZER, COAGULATION, AUTO
M0750 FLOWMETER, AIR”
M1801 COMPUTER, MICROPROCESSING
W/ FLAT PANEL MONITOR
M3070 HAMPER, LINEN
AUTOMATIC
M3155 CABINET, INVENTORY MANAGEMENT
SYSTEM
M3175 ELECTROSURGICAL UNIT, DUAL OUPUT
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
MULTIPLE LINES
M4812 PACEMAKER, SINGLE CHAMBER,
ETERNAL, TEMPORARY
M7480 LIGHT, SURGICAL, CEILING, SINGLE,
MEDIUM
M7650 DEFIBRILLATOR/ MONITOR/ RECORDER
AUTO
M7801 MONITOR, HD, LCD, FP, MEDICAL
GRADE, 26 INCH

A1014
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH 30' - 4"

SPEAKER
9245mm
F3200
A5077 M7802
DISPENSER, HAND MONITOR, HD, LCD, FP,
SANITIZER, HANDS MEDICAL GRADE, 55 INCH
FREE
A5107 L1085
Elevations 1 & 2
DISPENSER, GLOVE, ANALYZER,
WALL-MTD COAGULATION, AUTO
LOW WALL RETURN
850 NSF / 79,0 NSM

LOW WALL RETURN
AIR REGISTER AIR REGISTER
M3150
M3155
DISTRIBUTION SYSTEM,
CABINET, INVENTORY
MEDICATION,
MANAGEMENT SYSTEM
AUTOMATIC
M3150 E0703
MANAGER, TABLE, PROCESS, 5
MEDICATION, REMOTE DRAWERS
R6200
REFRIGERATOR, U-C OR
F-S, 5 CU FT
ELEVATION 1
M0765
REGULATOR, VACUUM 28' - 8"
M0755 8738mm
FLOWMETER, OXYGEN, M4645
ROOM TEMPLATES
LOW FLOW PATIENT TRANSFER
A1130 DEVICE
CABINET, CONTROL, M7818
NITROGEN MONITOR, TRANSPORT
ISOLATION POWER X2106
SYSTEM
SCANNER, ULTRASOUND,
M7650 INTRA-CARDIAC, ECHO
DEFIBRILLATOR/ M0750
MONITOR/ RECORDER
FLOWMETER, AIR
AUTO
M0755
E0954
FLOWMETER, OXYGEN,
CART, EMERGENCY, LOW FLOW
MOBILE
M0750
A1014
FLOWMETER, AIR
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
SPEAKER
4-205
April 2016 (rev 7/17)
4' 8' 16'

30' - 4"
9245mm
M3155 ISOLATION POWER

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

DISPENSER, GLOVE,
WALL-MTD
LOW WALL RETURN LOW WALL RETURN

ELEVATION 3
F2020
CAN, TRASH, 44 GALLON 28' - 8"
F3050 8738mm
WHITE BOARD, DRY A5107
ERASE DISPENSER, GLOVE,
ROOM TEMPLATES
WALL-MTD
A5107
DISPENSER, GLOVE, A5077
WALL-MTD DISPENSER, HAND
A5077 SANITIZER, HANDS FREE
DISPENSER, HAND BORROWED LIGHT
SANITIZER, HANDS
FREE LOW WALL RETURN
LOW WALL RETURN AIR REGISTER
AIR REGISTER
F0355
M3070 FOOTSTOOL, STRAIGHT

HAMPER, LINEN
M3072
FRAME, INFECTIOUS
WASTE BAG W/LID
4' 8' 16'
4-206
April 2016 (rev 7/17)
Room Data Sheet
ARCHITECTURAL 7) Wall-mounted gases are to be located away

Ceiling Type: Gypsum Wallboard (SC) from the parking space for the Radiograpic/Flou-
ro Unit. This location will vary by manufacturer
Ceiling Height: 10’-2” (3048 mm) and model.
Ceiling Finish: 8) A toe view of the table is most desirable
Wall Finish: Gypsum Wallboard (SC) from the control room. When space constraints
Wainscot: require a different configuration, a lateral view is
to be pursued. Care should be taken to locate
the monitor bank away from the view window.
152 mm)
In a typical equipment configuration this places
Floor Finish: Resinous Flooring the patient’s right side next to the window to the
Slab Depression: As required by imaging Control Room.
modality manufacturer 9) X-Ray in use signs are to be mounted
Sound Protection: 50 STC (to other room), 35 above all doors into the room.
STC (to corridor) 10) Lead apron storage is to be located in
Doors: Double, Size 6’-0” x 7’-0” the path of staff travel. Suggested locations are
(1829 mm x 2133 mm) Wood inside the control room and in the semi-restricted
w/ Narrow View Window; corridor just outside the room’s doors.
Single, Size 4’-0” x 7’-0” 11) NSF provided for this space is the minimal
(1219 mm x 2133 mm) Wood acceptable NSF; contact Facilities Standards
w/ Small View Window Services for any deviations.
LIGHTING
Notes:
1) Shielding is to be provided in all walls, 4.2.13 - Surgery/Operating Room - for lighting
windows and doors. design consideration.
be 24” x 24”.
4) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
corridor.
scopes and other instrumentation as necessi-
tated by the unique case load.

Intercom: Yes (Phone)

(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
sion (SSTV):
VA Satellite TV: No
POWER (VTEL):
Normal Power: Connect selected recep- Special Requirement:
tacles and equipment to Notes:
Normal power IPS.
1) Provide connections for articulating utility
Emergency Power: Connect selected recep- columns.
tacles and equipment to
Critical Branch emergency 2) Provide connections for video monitor
IPS. pendants. Video monitor pendants will be part of
Notes:
duplex receptacles & 3 ground jacks HEATING, VENTILATING AND AIR
2) IPS Power & ground modules mounted at CONDITIONING
+24” AFF General Requirement: Refer to data sheet in the
3) Provide Laser Receptacle Module. Module current version of the VA HVAC Design Manual
shall be connected to Special Equipment IPS for room temperatures, humidity range, room air
located outside the Surgery Room. change requirements, and pressurization
4) Provide power connections for articulating Notes:
utility columns. 1) Refer to the HVAC Design Manual for num-
ber and location of low air return grilles.
2) Room does not contain multiple slot diffus-
ers and uses laminar flow perforated face outlets
only for supply air.
COMMUNICATIONS design engineer shall be responsible to design
Data: Yes the array in such manner as to minimize turbu-
lence and to maintain the sterile aseptic field.
Telephone: Yes
Duress Alarm: No
Electronic Access and Door Yes
Control:


Cold Water: No
Hot Water: No
Waste: No
Medical Air Yes (4)
Oxygen Yes (4)
Notes:
2) Provide Nitrogen (2).
3) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate
the room it serves.

Fire Alarm: Yes
Sprinkler: Yes
Group 1

Equipment List

Telephone, Wall
A1014 Mounted, 1 Line, 1 C/C Telephone, wall mounted, 1 line, with speaker.
With Speaker
A ceiling mounted retractable equipment arm for use
in the OR. Designed to provide equipment placement
support, power receptacles including low-voltage
panels, gas outlets and flat screen mounting for a sur-
Column, Equipment
gical suite. Unit will provide a range of motion of up
A1122 Arm, Ceiling Mount- 2 C/C
to 330 degrees with arm providing additional vertical
ed, Surgery
movement. Units are custom configured with multiple
options available. Price is based on a unit with two
(double) retractable arms. Also available are units for
use in anesthesia, ICU and ER.
Nitrogen control cabinet. Unit consists of supply cut-
off valve, supply pressure gauge, pressure regulator
Cabinet, Control, (adjustable 0 to 200 PSI), outlet pressure gauge,
A1130 2 C/C
Nitrogen nitrogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
Dispenser, Hand For use throughout a healthcare facility. Unit does not
A5077 2 V/V
Sanitizer, Hands-Free include the sanitizing liquid. Units are battery oper-
ated.
Examination glove dispenser box for wall mount-
Dispenser, Glove,
ing. Fabricated of either cold rolled steel with a white
Wall Mntd
Height adjustable table. The table top is available in a
plastic laminate or chemical resistant material (Chem-
Surf). Casters or glides are options with some tables.
All tables will accept various storage components
underneath. These work surfaces are available in 24”
Table, Process, Adj
or 30” depth. THIS TYPICAL INCLUDES:
E0703 Height, 5 Drawer, 1 V/V
1 height adjustable table;
48”W x 24”D
1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H
and drawer organizer bins.


1 Cart body, style-A narrow, w/raised edge top
1 IV pole
Cart, Emergency, 1 Breakaway bar
E0954 Mobile, 66”H x 32”W 1 V/V 1 Flip-up shelf
x 22”D 1 Wastebasket
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Step stool. Used to assist patients getting on and off
F0355 Footstool, Straight 1 V/V exam or surgical tables. Fitted with electrically con-
ductive rubber tips.
Forty four (44) gallon trash can, 32” high X 24” diame-
ter, with lid. Used to collect and transport refuse from
Can, Trash, 44 Gal-
F2020 1 V/V a point of origin to point of disposal (example: from
lon
soiled utility or a nursing unit to the trash compactor at
housekeeping).
sisting of a white porcelain enamel writing surface with
Whiteboard, Dry an attached chalk tray. Magnetic surface available.
F3050 1 C/C
Erase Image can be easily removed with a standard chalk-
board eraser. For use with water color pens. Unit is
ready to hang.
Diameter
included).
A portable, hand held analyzer for testing hemoglo-
Analyzer, Hemoglo-
bin. The analyzer will achieve precision and accuracy
L0220 bin, Portable, Hand 1 V/V
comparable to a central laboratory. The unit will be
Held
battery operated.
Automatic coagulation analyzer. The unit performs
on-site blood coagulation tests, prothrombin time (PT),
Analyzer, Coagula-
L1085 1 V/V and partial thromboplastin time (PTT) tests on whole
tion, Automatic
blood or plasma samples. The analyzer employs both
single and duplicating or stat testing capabilities.


Flowmeter, Air, from central pipeline system. Requires the appropri-
M0750 Connect w/50 PSI 4 V/V ate adapter for connection to the wall outlet and fitting
Supply to connect to tubing. Database prices reflect fittings
Oxygen flowmeter. Consists of a clear crystal flow-
tube calibrated to 3.5 or 8 LPM depending on manu-
Flowmeter, Oxygen, facturer. For oxygen regulation in hospital settings.
M0755 4 V/V
Low Flow Database pricing includes DISS fitting and DISS
power outlet and wall adapter. Other fitting and adapt-
er configurations are available.
vacuum ranges. Regulator type (continuous, intermit-
M0765 Regulator, Vacuum 4 V/V tent, continuous/intermittent, surgical, pediatric, tho-
racic, etc.) as required. To be used in delivery, neona-
tal, pediatrics or any area where suction is required.
Database pricing reflects continuous regulators gradu-
ated to 200 mm Hg with a full line vacuum selection
switch and DISS configured inlets and outlets.
monitor, keyboard, mouse and speakers. The system
shall have the following minimum characteristics: a
Computer, Micropro-
2.8 GHz Pentium processor; 512 MB memory; 80GB
hard drive; 32/48x CD-ROMDVD combo; 1.44MB net-
Monitor
work interface card; video 32 MB NVIDIA; a 18 inch
flat panel monitor. The computer is used throughout
the facility to input, manipulate and retrieve informa-
tion.
Hamper, Linen, Mo-
M3070 1 V/V gauge welded steel platform. Holds 25” hamper bags.
bile, w/Lid
Mounted on ball bearing casters. For linen transport
Frame for an infectious waste collection bag. Made of
heavy tubular stainless steel with heavy gauge welded
Frame, Infectious steel platform. Adjust to hold 18” or 25” trash bags.
M3072 1 V/V
Waste Bag w/Lid Mounted on ball bearing casters and includes perma-
nently mounted hinged lid. Provides means of bagging
infectious waste at point of waste generation.
An automated dispensing system that provides
controlled dispensing, inventory and security. Size
M3150 Medication, Auto- 1 V/V
and cost will vary dependent on number of modules
matic
selected.


Inventory Management System Supply Cabinet con-
Cabinet, Inventory
M3155 6 V/V figurable, with or without wheels, half or full height
Management System
.
Dual output electrosurgical unit. Solid state power
source with foot switch jacks, monopolar and bipolar
Electrosurgical Unit,
M3175 1 V/V outputs, and four independent modes of operation.
Dual Output
Used in the operating room or surgicenter as an alter-
native to the scalpel for cutting tissue.
The infusion syringe pump ensures highly accurate
programming capable of flow rates (e.g. 0.1 or 1.0 mL/
hr) that are intended for long-term bedside use and/
or critical care patient transport, plunger positioning
Pump, Syringe, Infu-
M4250 1 V/V sensor, LCD display for easy viewing, volume limit
sion
programming to serve as a convenient cue of volume
or dose delivery completion and multiple delivery
modes for all applications requiring precisely con-
trolled infusion rates. The infusion pump shall have
automatic syringe size sensing which will give the flex-
ibility to accept a wide range of syringe sizes (up to
60 mL) from different manufacturers. Shall be battery
powered/AC adapter.
solutions.
Pump, Volumetric,
simultaneously.
A patient transfer board designed to make lateral
patient transfers safer for staff and be more comfort-
able for the patients. The board uses a smooth, low
friction and static free surface to eliminate the need
for metal rollers. The board has a soft foam core that
Patient Transfer
M4645 2 V/V makes them lightweight for ease of use and storage.
Device
The long board device also enables the transfer of a
patient in the seated or Fowler position. The boards
come in three sizes with the long board being fold-
able. The dimensions and price are for the long wide
board.


A single chamber, external temporary pacemaker de-
signed to provide acute therapeutic, prophylactic, and
Pacemaker, Single
diagnostic pacing support. It is capable of operating
M4812 Chamber, External, 2 V/V
in the demand or asynchronous modes and includes
Temporary
adjustable rate, output, and sensing controls. Battery
operated.
Single ceiling mounted surgical light with a light head
diameter generally between 21” and 30” depending
on the manufacturer. The light is mounted from a
pole extending down from the ceiling and then from
a pivotal arm assembly that rotates 360 degrees. It
Light, Surgical, Ceil- includes a variable intensity control and sterile focus
M7480 ing Mounted, Single, 1 C/C handle. The minimum ceiling height for most models
Medium is 8’-9”; check the manufacturers’ specific recommen-
dations. The database height dimension below refers
to the lamp head housing itself. Width and depth are
the length of the swing arm plus the diameter of the
light head. This light can be used for both minor and
major surgical procedures.
Portable defibrillator/monitor for acute care includes
biphasic defibrillator, pacing, SPO2, Interpretive 12-
Defibrillator/Monitor, lead, NIBP monitoring, EtCO2 monitoring, Invasive
M7650 1 V/V
Acute Care pressure monitoring, Vital Sign monitoring, tempera-
ture probe, Fax transmission, PCMCIA Data Cards,
Paddle accessories, and a color LCD.
High Definition Monitor for Integration into OR Sys-
tem. Located as part of Light or Boom system or to be
Monitor, HD, LCD,
wall mounted. 26” Monitor mounted on boom arms or
M7801 FP, Medical Grade, 4 V/V
off of Ceiling mounted arms. Exact configuration of
26 inch
the Monitor, inputs and outputs should be verified that
it meets project requirements.
Monitor, HD, LCD, tem. Located as part of Light or Boom system or to
M7802 FP, Medical Grade, 1 V/V be wall mounted. 55” Monitor Wall Mounted. Exact
55 inch configuration of the Monitor, inputs and outputs should
be verified that it meets project requirements.
A light weight, rugged patient monitor for use during
transport. Unit consists of a compact monitor with
touchscreen display with up to 3 waveforms on a on
a bright non-fading display. The unit measures ECG/
respiration, NBP, SpO2, pressure, and tempera-
M7818 Monitor, Transport 1 V/V
ture and CO2. Data can be transferred seamlessly
throughout the continuum of care. Unit is approved
for aeromedical use (US Army Airworthiness Certifica-
tion and Evaluation (ACE) program. Battery run time
of 3 hours before recharge.


nel
be connected to a central monitoring station. The unit
monitors patients in most acute care areas, step-down
units, procedure rooms and emergency rooms.
Computerized monitoring system for use in cardiac
catheterization labs and cardio-thoracic operating
rooms. The system can display up to 32 different
waveforms simultaneously, perform calculations of
hemodynamic parameters, valve areas and cardiac
output, archive procedure results and accept inputs
from a variety of monitoring devices. The installed
Monitoring System, system can also include remote monitors/terminals
M7860 Cardiac Catheteriza- 1 V/V and additional workstations and may interface with
tion Lab hospital-wide physiological monitoring or clinical infor-
mation systems. The system includes several con-
figurations in different locations. Database physical
dimensions reflect the largest of these work centers.
The estimated total 20 amp electrical requirements
will be spread across several circuits in several loca-
tions. The system price varies greatly on the size and
sophistication of the end user’s requirements.
Mobile anesthesia cart. The cart shall be built of stain-
less steel or other appropriate material and mounted
M8800 Cart, Anesthesia 1 V/V on 4” casters for easy mobility. It shall be capable of
being equipped with bottle holders, adjustable IV pole,
Adjustable instrument table. Table is corrosion
resistant stainless steel construction and is mounted
on two casters with two skid rails. It has telescopic
M8810 Stand, Mayo 1 V/V upright adjusts from 39 inches to 60 inches with
automatic locking device, and removable 13”x19”
instrument tray. Designed for use in operating and
procedure rooms.
Instrument and dressing table. Made of corrosion re-
Table, Instrument/
sistant stainless steel with a sound deadened top. In-
M8825 Dressing, CRS, ap- 1 V/V
cludes guard rail, shelf and two side-by-side drawers.
prox. 36x20x34
The table is mounted on swivel, ball-bearing casters.
Table, Instrument/
Stainless steel instrument table with shelf and 3” rub-
M8826 Dressing CRS, ap- 1 V/V
ber, double ball bearing casters.
prox 60 x 24 x 34


Anesthesia stool with back. All stainless steel with
Stool, Anesthesia, well-curved back panel and wide conductive seat.
M8940 3 V/V
With Back Designed for the anesthesiologist during surgical
procedures.
Utility refrigerator approximately 35” H x 24” W x 26”
D. The unit has a two tray ice cube cooling system.
Refrigerator, U/C or The refrigerator fits standard architectural dimensions
R6200 1 V/V
F/S, 5 Cu Ft for undercounter installation. The unit is perfect for
use in nurses’ station, wards, and laboratories, phar-
macies or wherever space is limited.
One-handed disposal. Lids lift or slide open easily with
foot-operated pedal. Lids may remain closed when
not in use to reduce exposure to contents and Type
Suction System, 1 violations. Ergonomic handle is telescopic when
S9755 Surgical, Mobile 1 V/V transporting and retractable when stationary. Heavy
Rover Unit containers can be removed from the side with minimal
lifting. OSHA 29 CFR 1910.130, “During use, sharps
disposal containers must be maintained upright
throughout use”.
Allowance for Integrated System for each Operating
Room, Hybrid Operating Room. Cath Lab or EP room.
Integrated Operating Requirements are defined on a project by project ba-
U0100 Room System, Allow- 1 V/V sis. Integration provides visual image, patient informa-
ance tion and communication management. Integration can
also include the control of some equipment settings
and environment settings such as lighting.
A portable cardiovascular ultrasound with full diag-
nostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an inte-
Scanner, Ultrasound,
X2106 1 V/V grated EchoPAC with data review, analysis, patient
Intra-Cardiac Echo
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.
A portable diagnostic ultrasound scanner system con-
figured for various applications, ease-of-use and high
performance for enhanced efficiency and accuracy.
Scanner, Ultrasound, The scanner is applicable for use in a wide variety of
X2125 1 V/V
Portable hospital and office environments including ER, breast
surgery, anesthesia, vascular, interventional radiology
and critical care. The system features a high quality
color doppler ultrasound for imaging.


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

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

Interventional Cardiology Patient Area
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
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM

(PART OF SYSTEM) M7860

M7475
M7862 LEAD SHIELD
(EQUIPMENT - EP) A1122 (PART OF X6175)
2O, 3V, 1A,

U0100 WAGD, 1
c c c c NITROUS
M7801 M0765
OXIDE, 6
M1801 M0755 EMER
A1122 M0750 DUPLEX, 4
(DOCUMENTATION) A1120 DATA FACE
PLATES
4572mm
M1801
15' - 0"
(ANESTHESIA)
ab ab ab ab ab ab
ab ab
1829mm
(PART OF
6' - 0"
SYSTEM)
X6175
8738mm
28' - 8"
LAMINAR AIR ab TABLE
FLOW DIFFUSER
1829mm
6' - 0"
ab ab
4166mm
13' - 8"
ab ab ab ab ab ab
c c c c
10' - 2"
A1122
A1130
M0765
(EQUIPMENT - DEVICES) M0755 MONITOR BANK (PART OF X6175)
2O, 2V, 2A, 1 NITROGEN, M0750 M7475
6 EMER DUPLEX, 4 M3190
DATA FACE PLATES M7801 32' - 0"
9754mm
SCALE: 3/16” = 1’-0”

900 NSF / 83,7 NSM


JSN Legend
JSN DESCRIPTION M4806 CONTROLLER, HEART PUMP

CATHETER
A1012 TELEPHONE, WALL MOUNTED, 1 LINE M4812 PACEMAKER, SINGLE CHAMBER,
A1014 TELEPHONE, WALL MOUNTED, 1 LINE, EXTERNAL, TEMPORARY
WITH SPEAKER M7480 LIGHT, SURGICAL, CEILING MTD,
A1120 COLUMN, SERVICE, PREFAB, SINGLE, MEDIUM
SURGICAL, CEILING MOUNTED M7650 DEFIBRILLATOR/ MONITOR/ RECORDER
A1122 COLUMN, EQUIPMENT ARM, CEILING AUTO
MOUNTED, SURGERY M7801 MONITOR, HD, LCD, FP, MEDICAL
A1130 CABINET, CONTROL, NITROGEN GRADE, 26 INCH
A5077 DISPENSER, HAND SANITIZER, M7802 MONITOR, HD, LCD, FP, MEDICAL
HANDSFREE GRADE, 55 INCH
A5104 CART, WASTE DISPOSAL, MOBILE W/ M7818 MONITOR, TRANSPORT
FOOT PEDAL M7860 MONITORING SYSTEM, CARDIAC
A5106 WASTE DISPOSAL UNIT, SHARPS W/ CATHETERIZATION LAB
GLOVE DISPENSER M7862 NAVIGATION SYSTEM,
A5107 DISPENSER, GLOVE, WALL-MTD ELECTROPHYSIOLOGY MAPPING
A5212 BRACKET, TELEVISION, WALL-MTD, M8800 CART, ANESTHESIA
TILT/ANGLE M8825 TABLE, INSTRUMENT/DRESSING
E0954 CART, EMERGENCY, MOBILE M8826 TABLE, INSTRUMENT/DRESSING CRS,
F0355 FOOTSTOOL, STRAIGHT 60X24X34
F2020 CAN, TRASH, 44 GALLON M8940 STOOL, ANESTHESIA, WITH BACK
F3050 WHITE BOARD, DRY ERASE R6200 REFRIGERATOR, U-C OR F-S, 5 CU FT
F3200 CLOCK, BATTERY, 12IN U0100 OR INTEGRATION
L0220 ANALYZER, HEMOGLOBIN, PORTABLE, X2106 SCANNER, ULTRASOUND, INTRA-
HAND HELD CARDIAC ECHO
L1085 ANALYZER, COAGULATION, AUTO X2125 SCANNER, ULTRASOUND,PORTABLE
M0630 ANESTHESIA APPARATUS, 3 GAS X3145 SCREEN, X-RAY, PROTECTIVE, MOBILE
M0750 FLOWMETER, AIR X6175 RADIOGRAPHIC/FLUORO UNIT, ANGIO,
M0755 FLOWMETER, OXYGEN, LOW FLOW BIPLANE, DIGITAL
M0765 REGULATOR, VACUUM X6195 INJECTOR, ANGIOGRAPHIC
M1801 COMPUTER, MICROPROCESSING
W/FLAT PANEL MONITOR
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG WLID
AUTOMATIC
M3155 CABINET, INVENTORY MANAGEMENT
SYSTEM
OUTPUT
M3190 GENERATOR, RF CARDIAC ABLATION
M4250 PUMP SYRINGE, INFUSION
M4255 STAND IV
MULTIPLE LINES

32' - 0"
F3200 9754mm
M7802
MONITOR, HD, LCD, FP, MEDICAL
A5107 GRADE, 55 INCH
DISPENSER, GLOVE, L1085
WALL-MTD ANALYZER,
A5077 COAGULATION, AUTO
DISPENSER, HAND M3155
SANITIZER, HANDS CABINET, INVENTORY
Elevations 1 & 2
FREE MANAGEMENT SYSTEM
900 NSF / 83,7 NSM

M3150 E0703
DISTRIBUTION SYSTEM, TABLE, PROCESS, 5
MEDICATION, DRAWERS
AUTOMATIC M3150
A1014 DISTRIBUTION SYSTEM,
TELEPHONE, WALL MEDICATION, AUTOMATIC
MOUNTED, 1 LINE, WITH R6200
SPEAKER ELEVATION 1 REFRIGERATOR, U-C OR
F-S, 5 CU FT
28' - 8"
A1014 8738mm
TELEPHONE, WALL
MOUNTED, 1 LINE, WITH
M0755
SPEAKER
ROOM TEMPLATES
FLOWMETER, OXYGEN,
M7650 LOW FLOW
DEFIBRILLATOR/ M0765
MONITOR/ RECORDER
REGULATOR, VACUUM
AUTO
M4645

ISOLATION POWER SYSTEM

PATIENT TRANSFER
E0954 DEVICE
CART, EMERGENCY,
MOBILE
X3145 M7818
SCREEN, X-RAY, MONITOR, TRANSPORT
PROTECTIVE, MOBILE
A1130 M0750
CABINET, CONTROL, FLOWMETER, AIR
NITROGEN M0765
ELEVATION 2 REGULATOR, VACUUM
4-222
April 2016 (rev 2/17)
SCALE: 3/16” = 1’-0”
4' 8' 16'

32' - 0"
9754mm
ISOLATION
X6195 POWER SYSTEM
INJECTOR, A5077
ANGIOGRAPHIC
DISPENSER, HAND
M3155 SANITIZER, HANDS FREE
Elevations 3 & 4
CABINET, INVENTORY A5107
MANAGEMENT SYSTEM DISPENSER, GLOVE,
900 NSF / 83,7 NSM

WALL-MTD
ELEVATION 3
28' - 8"
8738mm
F3050
M3072
WHITE BOARD, DRY
ROOM TEMPLATES
ERASE FRAME, INFECTIOUS
WASTE BAG W/LID
A5107
A5077
DISPENSER, GLOVE,
WALL-MTD DISPENSER, HAND
A5077 SANITIZER, HANDS FREE

BORROWED LIGHT A5107

DISPENSER, HAND
SANITIZER, HANDS DISPENSER, GLOVE,
FREE WALL-MTD
F2020 F0355
CAN, TRASH, 44 GALLON FOOTSTOOL, STRAIGHT
M3070
HAMPER, LINEN
ELEVATION 4
4-223
April 2016 (rev 2/17)
SCALE: 3/16” = 1’-0”
4' 8' 16'


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

Ceiling Type: Gypsum Wallboard (SC) and devices separate. The facility can choose to
locate both of these on the same boom if de-
Ceiling Height: 10’-2” (3048 mm)
sired; a single boom is to be located for reach to
Ceiling Finish: either side of the table.
Wall Finish: Gypsum Wallboard (SC) 8) Consideration for cable management is
Wainscot: to be given in locating connection boxes and
Base: RF Integral Base (min. 6”/ outlets. Cables coiled on the floor shall be mini-
152 mm) mized to ease cleaning and maintain the aseptic
environment.
9) Wall-mounted gases are to be located away
Slab Depression: As required by imaging from the parking space for the Radiograpic/Flou-
modality manufacturer ro Unit. This location will vary by manufacturer
Sound Protection: 50 STC (to other room), 35 and model.
STC (to corridor) 10) A toe view of the table is most desirable
Doors: Double, Size 6’-0” x 7’-0” from the control room. When space constraints
(1829 mm x 2133 mm) Wood require a different configuration, an angled view
w/ Narrow View Window; is to be pursued. Care should be taken to locate
Single, Size 4’-0” x 7’-0” the monitor bank away from the view window.
(1219 mm x 2133 mm) Wood In a typical equipment configuration this places
w/ Small View Window the patient’s right side next to the window to the
Special Requirement: Control Room.
Notes: 11) X-Ray in use signs are to be mounted
above all doors into the room.
1) Shielding is to be provided in all walls,
windows and doors. 12) Lead apron storage is to be located in
the path of staff travel. Suggested locations are
inside the control room and in the semi-restricted
corridor just outside the room’s doors.
be 24” x 24”. 13) This room supports implant cases and EP
procedures. If additional procedures are pro-
jected for this room consideration shall be given
to any additional equipment that may become
necessary, for example a perfusion boom.
4) Include wall extensions at both sides of
the scrub sink to protect the scrub sinks from
corridor.


LIGHTING Notes:
Refer to the VA Lighting Design Manual section 1) Provide IPS power & ground modules – 3
4.2.13 - Surgery/Operating Room - for lighting duplex receptacles & 3 ground jacks
design consideration. 2) IPS Power & ground modules mounted at
+24” AFF
utility columns.
COMMUNICATIONS
Data: Yes
Telephone: Yes
Duress Alarm: No
Control:
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
sion (SSTV):
VA Satellite TV: No
POWER (VTEL):
Normal Power: Connect selected recep- Special Requirement:
Notes:
Normal power IPS.
1) Provide connections for articulating utility
Emergency Power: Connect selected recep-
columns.
Critical Branch emergency 2) Provide connections for video monitor
IPS. pendants. Video monitor pendants will be part of



Group 1
range, room air change requirements, and pres-
surization
Notes:
1) Refer to the HVAC Design Manual for num-
ber and location of low air return grilles.
2) Room does not contain multiple slot diffus-
ers and uses laminar flow perforated face outlets
only for supply air.
the array in such manner as to minimize turbu-
lence and to maintain the sterile aseptic field.

Cold Water: No
Hot Water: No
Waste: No
Medical Air Yes (5)
Oxygen Yes (6)
Notes:
1) Provide Waste Anesthesia Gas Disposal
(WAGD), Nitrogen (2), Nitrous Oxide (1).
by the project
4) Medical Gas Zone Valve Boxes are to be
provided in accordance with NFPA 99. Locate


Equipment List

Telephone, Wall
A1014 Mounted, 1 Line, 2 C/C Telephone, wall mounted, 1 line, with speaker.
With Speaker
Prefabricated surgical service column. Strong 18
gauge stainless steel shell ceiling mounted unit
with the following services: oxygen, nitrous oxide,
nitrogen, medical air, medical vacuum, gas evacu-
Column, Service,
ation, electrical outlets, monitoring connectors, and
A1120 Prefab, Surgical, 1 C/C
IV holders. Specify type of column (fixed or retract-
Ceiling Mounted
able) and number of outlets required for each service.
Size will vary with number of service outlets required.
Designed to be used in the operating room, recovery
and ICU-CCU rooms.
A ceiling mounted retractable equipment arm for use
in the OR. Designed to provide equipment placement
support, power receptacles including low-voltage
panels, gas outlets and flat screen mounting for a
Column, Equipment
surgical suite. Unit will provide a range of motion
A1122 Arm, Ceiling Mount- 3 C/C
of up to 330 degrees with arm providing additional
ed, Surgery
vertical movement. Units are custom configured with
multiple options available. Price is based on a unit
with two (double) retractable arms. Also available are
units for use in anesthesia, ICU and ER.
Nitrogen control cabinet. Unit consists of supply cut-
off valve, supply pressure gauge, pressure regulator
Cabinet, Control, (adjustable 0 to 200 PSI), outlet pressure gauge, ni-
A1130 2 C/C
Nitrogen trogen outlet and connection to surgical gas column.
Specify recessed or surface mounting. Designed for
A5077 2 V/V
operated.
One-handed disposal. Lids lift or slide open easily
with foot-operated pedal. Lids may remain closed
when not in use to reduce exposure to contents and
Type 1 violations. Ergonomic handle is telescopic
Cart, Waste Disposal,
A5104 1 V/V when transporting and retractable when stationary.
Mobile w/Foot Pedal
Heavy containers can be removed from the side with
minimal lifting. OSHA 29 CFR 1910.130, “During
use, sharps disposal containers must be maintained
upright throughout use”.


Dispenser, Glove,
Wall Mntd
A5108 1 V/V
Height adjustable table. The table top is available
in a plastic laminate or chemical resistant material
(Chem-Surf). Casters or glides are options with
some tables. All tables will accept various storage
components underneath. These work surfaces are
Table, Process, Adj available in 24” or 30” depth. THIS TYPICAL IN-
E0703 Height, 5 Drawer, 1 V/V CLUDES:
48”W x 24”D 1 height adjustable table;
1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
Step stool. Used to assist patients getting on and
F0355 Footstool, Straight 1 V/V off exam or surgical tables. Fitted with electrically
conductive rubber tips.
Forty four (44) gallon trash can, 32” high X 24” diam-
eter, with lid. Used to collect and transport refuse
Can, Trash, 44 Gal-
F2020 1 V/V from a point of origin to point of disposal (example:
lon
from soiled utility or a nursing unit to the trash com-
pactor at housekeeping).


sisting of a white porcelain enamel writing surface
Whiteboard, Dry with an attached chalk tray. Magnetic surface avail-
F3050 1 C/C
Erase able. Image can be easily removed with a standard
chalkboard eraser. For use with water color pens.
Unit is ready to hang.
Diameter
included).
A portable, hand held analyzer for testing hemoglo-
Analyzer, Hemoglo-
bin. The analyzer will achieve precision and accu-
L0220 bin, Portable, Hand 1 V/V
racy comparable to a central laboratory. The unit will
Held
be battery operated.
Automatic coagulation analyzer. The unit performs
on-site blood coagulation tests, prothrombin time
Analyzer, Coagula- (PT), and partial thromboplastin time (PTT) tests
L1085 1 V/V
tion, Automatic on whole blood or plasma samples. The analyzer
employs both single and duplicating or stat testing
capabilities.
Three gas anesthesia apparatus. Basic unit consists
of steel cabinet with casters with one shallow, one
medium, and one deep drawer, seven long scale
eleven-inch flowmeters, five cylinder yokes, and
telescoping absorber post. It includes two-canister
model carbon dioxide absorber with inhalation and
Anesthesia Appara-
M0630 1 V/V exhalation check valves, switch valve, switch valve
tus, 3 Gas
elbow, sidearm Vernitrol, flow calculator, mounting kit,
ventilator calculator, ventilator and an oxygen piping
inlet. Also features nitrous oxide fail safe valve kit,
aspirator kit, gas evacuator with vacuum and a flow
meter safety cover. Used to dispense a mixture of
gases during surgical procedures.
M0755 6 V/V


and outlets.
Computer, Micropro-
Monitor
Hamper, Linen, Mo-
bile, w/Lid
M3072 1 V/V
matic
selected.
Cabinet, Inventory
Management System
.
Dual output electrosurgical unit. Solid state power
source with foot switch jacks, monopolar and bipolar
Electrosurgical Unit,
M3175 1 V/V outputs, and four independent modes of operation.
Dual Output
Used in the operating room or surgicenter as an alter-
native to the scalpel for cutting tissue.
Generator, RF Radio-Frequency Generator for use in Cardiac Abla-
M3190 1 V/V
Cardiac Ablation tion


The infusion syringe pump ensures highly accurate
programming capable of flow rates (e.g. 0.1 or 1.0
mL/hr) that are intended for long-term bedside use
and/or critical care patient transport, plunger position-
Pump, Syringe, Infu-
M4250 1 V/V ing sensor, LCD display for easy viewing, volume
sion
limit programming to serve as a convenient cue of
volume or dose delivery completion and multiple
delivery modes for all applications requiring precisely
controlled infusion rates. The infusion pump shall
have automatic syringe size sensing which will give
the flexibility to accept a wide range of syringe sizes
(up to 60 mL) from different manufacturers. Shall be
battery powered/AC adapter.
solutions.
Pump, Volumetric,
simultaneously.
A patient transfer board designed to make lateral
patient transfers safer for staff and be more comfort-
able for the patients. The board uses a smooth, low
friction and static free surface to eliminate the need
for metal rollers. The board has a soft foam core that
Patient Transfer
M4645 2 V/V makes them lightweight for ease of use and storage.
Device
The long board device also enables the transfer of a
patient in the seated or Fowler position. The boards
come in three sizes with the long board being fold-
able. The dimensions and price are for the long wide
board.
Control console for percutaneous ventricular assist
system. Features a 10 Inch high resolution display.
It controls the special catheter performance, moni-
tors for alarms, and displays real time hemodynamic
Controller, Heart
M4806 1 V/V and catheter position information. Integrated purge
Pump Catheter
system automatically sets the purge flow to maintain
the purge pressure. Can be powered by AC power or
can operate on internal battery power for at least 60
minutes when fully charged.


A single chamber, external temporary pacemaker de-
signed to provide acute therapeutic, prophylactic, and
Pacemaker, Single
diagnostic pacing support. It is capable of operating
M4812 Chamber, External, 2 V/V
in the demand or asynchronous modes and includes
Temporary
adjustable rate, output, and sensing controls. Battery
operated.
Ceiling mounted surgical light generally 30-34” or
larger in diameter depending on manufacturer. Light
head is suspended from the ceiling by a mounting
plate and pole. Light head contains several individual
pods each with its own light source. Unit also has
Light, Surgical, Ceil-
a detachable sterilizable handle. Minimum ceiling
M7475 ing Mounted, Single, 2 C/C
height for most models is 8’-9”; check the manufac-
Large
turers’ specific recommendations. Height dimension
below refers to the height of the lamp housing. Width
and depth are the length of the swing arm plus the
light head diameter. This light is suitable for dual site
surgery.
M7650 2 V/V
tem. Located as part of Light or Boom system or to
Monitor, HD, LCD,
be wall mounted. 26” Monitor mounted on boom arms
M7801 FP, Medical Grade, 4 V/V
or off of Ceiling mounted arms. Exact configuration
26 inch
of the Monitor, inputs and outputs should be verified
that it meets project requirements.
Monitor, HD, LCD, tem. Located as part of Light or Boom system or to
M7802 FP, Medical Grade, 1 V/V be wall mounted. 55” Monitor Wall Mounted. Exact
55 inch configuration of the Monitor, inputs and outputs
should be verified that it meets project requirements.
A light weight, rugged patient monitor for use during
transport. Unit consists of a compact monitor with
touchscreen display with up to 3 waveforms on a on
a bright non-fading display. The unit measures ECG/
respiration, NBP, SpO2, pressure, and tempera-
M7818 Monitor, Transport 1 V/V
ture and CO2. Data can be transferred seamlessly
throughout the continuum of care. Unit is approved
for aeromedical use (US Army Airworthiness Certifi-
cation and Evaluation (ACE) program. Battery run
time of 3 hours before recharge.


nel
EP/Hemodynamic Cardiac Cath Lab computer infor-
mation System. Multiple component system com-
prised of workstation, CPU, CD Rom drive, Floppy
disc drive, Magnetic Optical disc drive for storage of
Monitoring System,
patient data, Integrated Electronic Box (IEB) for the
M7860 Cardiac Catheteriza- 1 V/V
distribution of wall power to peripherals, Laser Jet
tion Lab
Printer, 2-Local Monitors, 1 or more remote Monitors
for Patient bedside, CLab plus amplifiers, modem
keyboard, mouse, isolation tansformer and patient
stimulator.
Electrophysiology Mapping and Surgical Navigation
System. Visualization of individual anatomic varia-
tions via 3D scans or maps, continuously visible cath-
Navigation System, eter icon, visual assessment of ablation line of block
M7862 Electrophysiology 1 V/V and gap. System consists of computer workstation &
Mapping monitor, COM unit, Patient Interface Unit, foot pedal,
grounding cable, power supply cord, optical and
patient cables. Configuration and Pricing may vary
depending on system actually purchased.
Mobile anesthesia cart. The cart shall be built of
stainless steel or other appropriate material and
mounted on 4” casters for easy mobility. It shall be
M8800 Cart, Anesthesia 1 V/V
capable of being equipped with bottle holders, adjust-
able IV pole, storage drawers, shelves and a top bar/
rail.
Adjustable instrument table. Table is corrosion
resistant stainless steel construction and is mounted
on two casters with two skid rails. It has telescopic
M8810 Stand, Mayo 1 V/V upright adjusts from 39 inches to 60 inches with
automatic locking device, and removable 13”x19”
instrument tray. Designed for use in operating and
procedure rooms.
Instrument and dressing table. Made of corrosion
Table, Instrument/ resistant stainless steel with a sound deadened
M8825 Dressing, CRS, ap- 1 V/V top. Includes guard rail, shelf and two side-by-side
prox. 36x20x34 drawers. The table is mounted on swivel, ball-bearing
casters.
Table, Instrument/
Stainless steel instrument table with shelf and 3” rub-
M8826 Dressing CRS, ap- 1 V/V
ber, double ball bearing casters.
prox 60 x 24 x 34


Anesthesia stool with back. All stainless steel with
Stool, Anesthesia, well-curved back panel and wide conductive seat.
M8940 3 V/V
With Back Designed for the anesthesiologist during surgical
procedures.
R6200 1 V/V
Allowance for Integrated System for each Operat-
ing Room, Hybrid Operating Room. Cath Lab or
EP room. Requirements are defined on a project
Integrated Operating
by project basis. Integration provides visual image,
U0100 Room System, Allow- 1 V/V
patient information and communication manage-
ance
ment. Integration can also include the control of some
equipment settings and environment settings such as
lighting.
A portable cardiovascular ultrasound with full diag-
nostic and monitoring capabilities. The unit employs
phased-array transducer technology for 2D, color and
Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an inte-
X2106 1 V/V grated EchoPAC with data review, analysis, patient
Intra-Cardiac Echo
archive and reporting capabilities. It will have full
DICOM connectivity with embedded raw data speeds
allowing for post-exam quantitative analyses at the
users convenience. The rechargeable battery will
provide up to 1 hour of full scan operation.
A portable diagnostic ultrasound scanner system con-
figured for various applications, ease-of-use and high
performance for enhanced efficiency and accuracy.
Scanner, Ultrasound, The scanner is applicable for use in a wide variety of
X2125 1 V/V
Portable hospital and office environments including ER, breast
surgery, anesthesia, vascular, interventional radiology
and critical care. The system features a high quality
color doppler ultrasound for imaging.
Mobile X-ray protective screen/barrier. The X-ray
barrier provides optically-clear visibility while shield-
ing medical personnel from scatter radiation. Its large
clear Pb lead-plastic or acrylic window offers 0.5 mm
Screen, X-Ray, Pro- lead-equivalent protection to the user’s head and
X3145 1 V/V
tective, Mobile upper body. The unit is used for effective radiation
protection of department personnel during vascular
or other procedures. This unit can fit any application
with its mobility. Adjustable screens are also avail-
able.


This system is specifically designed to perform
biplane radiographic/fluoroscopic examinations in
the Special Procedures Department. On-line digital
angio image processing will provide instant avail-
ability of images for review. This units characteristics
and components include: 100 kW micro-processor
Radiographic/Fluoro controlled X-ray generators, C-arm and U arm with
X6175 Unit, Angio, Biplane, 1 V/V 9” multi-field Image Intensifier, integrated X-ray tube
Digital unit. The Digital Spot Imaging for both the AP and
Lateral planes shall consist of a computer, keyboard
with acquisition and viewing monitor and a slave
monitor. The system shall be DICOM 3.0 compat-
ible, for easy linkage to filmless image management
systems and review stations. It is recommended that
the TV monitors be ceiling suspended.
Angiographic injector. This unit is a specialized radio-
graphic procedure that provides sharp, well-defined
visual images of the vascular anatomy. The injector
introduces a vision radiopaque fluid (contrast me-
dium) into an artery or vein through a small catheter,
making vessels contrast with their more radiolucent
surrounding. The unit incorporates an electrome-
X6195 Injector, Angiographic 1 V/V
chanical or pneumatic driven syringe to deliver the
contrast medium. The syringe assemblies consist
of an electric motor connected to a jackscrew that
moves the syringe piston into or out of the syringe
barrel. The unit is used in hospitals with radiographic
procedures. Specify if unit is to be pedestal, ceiling,
wall or table mounted when ordering.

4.18. TRANSESOPHAGEAL ECHOCARDIOGRAPH (TEE)

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


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

350 NSF / 32,6 NSM


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

350 NSF / 32,6 NSM


JSN Legend
JSN DESCRIPTION M3155 CABINET, INVENTORY MANAGEMENT

SYSTEM
A1015 TELEPHONE, DESK, MULTIPLE X2105 SCANNER, ULTRASOUND, CARDIAC
LINE12x12
A1132 RAIL, ACCESSORY MOUNTING
A5075 DISPENSER, SOAP
A5077 DISPENSER, HAND SANITIZER, HANDS
FREE
A5082 DISPENSER, PAPER TOWEL, SENSOR,
HANDS FREE
A5107 DISPENSER, GLOVE, WALL-MTD
A5145 HOOK, GARMENT, DOUBLE
A5180 TRACK, CUBICLE, SURFACE MOUNTED,
WITH CURTAIN
E0210 WORKSURFACE, W/OVERHEAD CAB,
WALL MTD, 48” W
E0948 CART, GENERAL STORAGE, MOBILE
E0954 CART, EMERGENCY, MOBILE
F0206 CHAIR, SIDE, BARIATRIC, WITH ARMS
F0280 CHAIR, SWIVEL, LOW BACK
F0355 FOOTSTOOL, STRAIGHT
F2010 BASKET, WASTEPAPER, STEP-ON
F2017 WASTE RECEPTACLE, 24 GAL
M0750 FLOWMETER, AIR
M3070 HAMPER, LINEN
AUTOMATIC
M4116 MONITOR, VITAL SIGNS
M4255 STAND IV
MULTIPLE LINES
M4701 LIGHT, EXAM, MOBILE, SPOTLIGHT,
MOBILE STAND
M7650 DEFIBRILLATOR/ MONITOR/ RECORDER
AUTO
P3100 LAVATORY, VITREOUS CHINA, SLAB
TYPE
R6200 REFRIGERATOR, U-C OR F-S, 5 CU FT
AUTOMATIC

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

WASTE BAG W/LID WALL-MTD
M3070 P3100
HAMPER, LINEN LAVATORY, VITREOUS
CHINA, SLAB TYPE
ELEVATION 1
20' - 0"
6096mm
ROOM TEMPLATES
M7401
E0210
LIGHT, EXAM, MOBILE
WORKSURFACE,

A5077 W/OVERHEAD CAB, WALL
DISPENSER, HAND MTD, 48" W
SANITIZER, HANDS
F0355
FREE
FOOTSTOOL, STRAIGHT
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-240
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
350 NSF / 32,6 NSM

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

BACK
ELEVATION 3
M4266
PUMP, VOLUMETRIC,
INFUSION, MULTIPLE
M0755 LINES
FLOWMETER, OXYGEN, M0755
LOW FLOW
20' - 0"
6096mm FLOWMETER, OXYGEN,
M0750
ROOM TEMPLATES
LOW FLOW
FLOWMETER, AIR M0750
M0765
FLOWMETER, AIR
REGULATOR, VACUUM
M0765
M4116

REGULATOR, VACUUM
MONITOR, VITAL SIGNS
A1132
A5108
RAIL, ACCESSORY MOUNTING
WASTE DISPOSAL UNIT, SHARPS
X2105
E0948
SCANNER, ULTRASOUND, CARDIAC
CART, GENERAL STORAGE, MOBILE
M3072
M4255
FRAME, INFECTIOUS WASTE BAG W/LID
STAND IV
M9006
SCALE: 3/16” = 1’-0” ELEVATION 4 STRETCHER, RECOVERY, SURGICAL
4' 8' 16'
4-241
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL LIGHTING
Ceiling Type: Acoustical Ceiling Tile (SP) Refer to the VA Lighting Design Manual section
Ceiling Height: 9’-0” (2700mm) 4.2.5 - Procedure Room - for lighting design
consideration.
Ceiling Finish:
Wainscot:
152 mm)
Flooring
STC (to corridor)
(1829 mm x 2133 mm) Wood
w/ Narrow View Window;
(1219 mm x 2133 mm) Wood
w/ Small View Window
Notes:
2) Scope Cleaning can occur in SPD or in the
Equipment Cleaning Room. Facility to select
adjacency of this room to either the Equipment
Cleaning Room or a Soiled Hold Room, where
scopes can be stored until pick-up and process-
ing by SPD. POWER
Emergency Power: Critical branch of the
EES to be connected to
selected receptacles and
equipment.



Fire Alarm: Yes
Sprinkler: Yes
COMMUNICATIONS
Data: Yes
Telephone: Yes
Duress Alarm: No
Control:
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
sion (SSTV):
VA Satellite TV: No
(VTEL):
Notes:

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

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


Equipment List

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


2 Vertical Hanging Strips
Worksurface, w/Over-
1 Lockable Flipper Unit
E0210 head Cab, Wall Mtd, 1 V/V
1 Shelf, Storage/Display
48” W
1 Light
1 Cantilevered Work Surface
Cart, General Stor-
2 Drawers, 3” H
4 Drawers, 6” H
32”W x 22”D
1 IV pole
1 Cord wrap
4 Drawer, 3”H
3 Drawer, 6”H
A bariatric side chair with arms for use in a waiting
Chair, Side, Bariatric, room, lobby or other patient area. Chair will have a
F0206 1 V/V
With Arms padded seat and back and have a capacity of 800
pounds.
Low back contemporary swivel chair, 37” high X 25”
Chair, Swivel, Low wide X 31” deep with a five (5) caster swivel base,
F0280 1 V/V
Back arms and foam padded seat and back upholstered
with either woven textile fabric or vinyl.
Step stool. Used to assist patients getting on and
F0355 Footstool, Straight 1 V/V off exam or surgical tables. Fitted with electrically
conductive rubber tips.
F2010 1 V/V


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


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


Mobile exam table designed for ultrasound and echo-
cardiology examinations. Table has an extra wide
top with a 500 lb patient capacity, suitable for bariatric
Table, Ultrasound,
patients. Height range from 23” low to accommo-
M9006 Mobile, Echocardiol- 1 V/V
date wheelchair transfers and those with ambulatory
ogy
difficulties to a high of 39”. Table includes motorized
height adjustment, Fowler position, Trendelenburg
and auto level adjustment.
Wall mounted, slab type, vitreous china, lavatory
(approximate bowl size 7”x15”x10”) with: faucet holes
Lavatory, Vitreous
P3100 1 C/C on 4” centers; gooseneck spout; wrist blade handles;
China, Slab Type
and grid strainer. It shall be suitable for use in clinics,
offices, washrooms or patient care area.
R6200 1 V/V
High definition, diagnostic ultrasound system for Ra-
diology, Cardiology, Vascular, ob-gyn, Perinatology,
and Surgical imaging applications. The unit employs
curved, phased and linear array imaging technology.
The system supports colorflow, pulse, continuous
X2105 1 V/V wave imaging modalities. On board software mea-
Cardiac (Echo)
surement packages available for all imaging applica-
tions. The system is DICOM 3.0 compatible, for easy
linkage to filmless image management systems and
review stations. In addition, a full line of probes and
conventional recording devices are available.

4.19. DECONTAMINATION, TEE PROBE (TRTE2)

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


A5082
9' - 6"
DISPENSER, PAPER
A5107 2896mm TOWEL, SENSOR, HANDS
DISPENSER, GLOVE, FREE
WALL-MTD P3100
LAVATORY, VITREOUS
A5077 CHINA, SLAB TYPE
DISPENSER, HAND A5075
SANITIZER, HANDS
6" AFC GFI DISPENSER, SOAP
FREE
2286mm
F2010
7' - 6"
CT050 CLEAN
STORAGE BASKET, WASTEPAPER,
COUNTER, STAINLESS 3 STEP-ON
STEEL
OSa
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"
DISPENSER, GLOVE, A5075

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

165 NSF / 15,5 NSM


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

165 NSF / 15,5 NSM

9' - 6"
2896mm
S1905
SLIDING SERVICE WINDOW
Elevations 1 & 2
165 NSF / 15,5 NSM
M2100
CART, SHELVING, STORAGE, MOBILE, SS
A1195
COUNTER, CLEAN-UP, WITH 2 OR 3 SINKS
ELEVATION 1
10' - 0"
3048mm
CD030
CABINET, W-H, 2 SHELF,
2 DO
ROOM TEMPLATES
A5082
DISPENSER, PAPER
TOWEL, SENSOR, A5075
HANDS FREE DISPENSER, SOAP

A1195
COUNTER, CLEAN-UP, F2020
WITH 2 OR 3 SINKS CAN, TRASH, 44 GALLON
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-252
April 2016 (rev 2/17)

CABINET, STORAGE, ULTRASOUND

SLIDING SERVICE WINDOW
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


Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Floor Finish: Rubber Flooring, Welded
Seam Sheet Flooring
Slab Depression: None COMMUNICATIONS
Data: No
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
Refer to the VA Lighting Design Manual section Control:
4.2.14 - Surgical Corridor and Scrub Area - for Intercom: No
lighting design consideration. Motion Intrusion Detection No
(MID):
Nurse Call: No
Code Blue: No
Public Address: Yes
sion (SSTV):
VA Satellite TV: No
(VTEL):

CONDITIONING
General Requirement: Refer to Soiled Holding/
Disposal Room data sheet in the current ver-
sion of the VA HVAC Design Manual for room
temperatures, humidity range, room air change
requirements, and pressurization
Notes:
1) Provide exhaust for each room.
2) Both rooms are negative pressure relative
to semi-restricted corridor.



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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Two or three sink cleanup counter. Unit is constructed of
type 304 corrosion resistant stainless steel. It consists
of three sinks 14”W X 16”H X 10”D, hot and cold water
Counter, Cleanup, With
A1195 1 C/C faucet, and pre-rinse spray hose. Equipped with channel
2 or 3 Sinks
reinforced drainboards, and backsplash, and supported
by tubular stainless steel legs. Unit is designed for use in
control sterile supply decontamination areas.
A5075 1 V/V operation. Designed to accommodate disposable soap
posable
cartridge and valve.
A touch free wall-mounted hand sanitizer dispenser. For
Dispenser, Hand Sani-
A5077 1 V/V use throughout a healthcare facility. Unit does not include
tizer, Hands-Free
the sanitizing liquid. Units are battery operated.

paper towel dispenser. The unit dispenses a paper towel
automatically only when hands are place in position below
Dispenser, Paper Towel,
A5082 1 C/C the dispenser for maximum sanitation and hygiene. May
Sensor, Hands Free
include adjustable settings for sheet length, time delay,
and sensor range. Unit is battery operated or with optional
AC power adapter.
Examination glove dispenser box for wall mounting. Fabri-

Dispenser, Glove, Sur-
cated of either cold rolled steel with a white baked enamel
A5107 gical/Examination, Wall 1 V/V
finish, plastic or acrylic. Provided with wall bracket to
Mntd
facilitate mounting and demounting.
Wall hung steel cabinet with two adjustable shelves, solid
Cabinet, W/H, 2 Shelf,
hinged doors, and sloping top. Also referred to as a solid
CD030 2 DO, Sloping Top, 2 C/C
hinged double door wall case. For general purpose use
38x30x13
throughout the facility.
Forty four (44) gallon trash can, 32” high X 24” diameter,
with lid. Used to collect and transport refuse from a point
F2020 Can, Trash, 44 Gallon 2 V/V
of origin to point of disposal (example: from soiled utility or
a nursing unit to the trash compactor at housekeeping).
Mobile storage shelving cart 72” X 48” X 24” with four

shelves. Constructed with corrosion resistant stainless
steel and mounted on swivel casters. Designed for large
Cart, Shelving, Storage, carrying capacity and distribution of items from a central
M2100 1 V/V
Mobile, SS source. Options include wire or solid shelves, oversize
casters, ledges, rods, tabs, dividers, drawers and bins
as well as back and side enclosures. Casters add 6” to
equivalent standing shelf height.

4.19. STORAGE, CLEAN TEE PROBE (TRTE3)

Equipment List

A5075 1 V/V operation. Designed to accommodate disposable soap
posable
cartridge and valve.
A touch free wall-mounted hand sanitizer dispenser. For
Dispenser, Hand Sani-
A5077 1 V/V use throughout a healthcare facility. Unit does not include
tizer, Hands-Free
the sanitizing liquid. Units are battery operated.
paper towel dispenser. The unit dispenses a paper towel
automatically only when hands are place in position below
Dispenser, Paper Towel,
A5082 1 C/C the dispenser for maximum sanitation and hygiene. May
Sensor, Hands Free
include adjustable settings for sheet length, time delay,
and sensor range. Unit is battery operated or with optional
AC power adapter.
Examination glove dispenser box for wall mounting. Fabri-
Dispenser, Glove, Sur-
cated of either cold rolled steel with a white baked enamel
A5107 gical/Examination, Wall 1 V/V
finish, plastic or acrylic. Provided with wall bracket to
Mntd
facilitate mounting and demounting.
Stainless steel countertop (composition of heavy-gauge
Type No. 304 stainless steel) having a smooth satin finish
and integral 4” backsplash/curb. Also referred to as a
Countertop, Stainless corrosion-resistant steel work surface or work top. Avail-
CT050 4 C/C
Steel able in various depths. Used in areas where excellent
ease of cleaning, abrasion resistance, bacteria resistance,
impact resistance, load capacity and moisture resistance,
are of concern. Pricing based upon a 24” depth.
Basket, Wastepaper, “Step-on” wastepaper basket with inner liner and foot pedal
F2010 1 V/V
Step-On activated flip top.
TEE probe storage cabinet is designed for storing disin-
Cabinet, Storage, Ultra-
M3161 1 V/V fected TEE probes. Specially designed cabinet has the
sound, TEE Probe
capacity to hold 3 TEE probes.
Wall mounted, slab type, vitreous china, lavatory (ap-
proximate bowl size 7”x15”x10”) with: faucet holes on 4”
Lavatory, Vitreous
P3100 1 C/C centers; gooseneck spout; wrist blade handles; and grid
China, Slab Type
strainer. It shall be suitable for use in clinics, offices, wash-
rooms or patient care area.
A pass-through window assembly for moving decontami-
nated products between the decontaimination area and
S1905 Sliding Service Window 1 C/C
the clean area. The assembly consists of a verticle sliding
pass-through window.
Disinfector provides high level disinfection of transesopha-
Disinfector, Automated, geal (TEE) echocardiogram ultrasound probe. Micropro-
S2610 1 V/V
Probe, TEE cesssor-controlled and with printout verifying cycle informa-
tion.

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

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

185 NSF / 17,2 NSM

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

185 NSF / 17,2 NSM

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

CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x48x22
COUNTER, STAINLESS STEEL
ROOM TEMPLATES
C03F0
CABINET, U-C-B, 1 SHELF, 2 HALF DR, 2 DO, 36x30x22
ELEVATION 1
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-261
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Notes:
1) Connect sterilizer to emergency power -
152 mm)
Critical Branch of the EES.
Doors: Single Door, Size 3’-8” x COMMUNICATIONS
7’-0” (1117 mm x 2133 mm) Data: Yes
Wood w/ Half View Window
Telephone: Yes
LIGHTING Cable Television: No
Refer to the VA Lighting Design Manual section Duress Alarm: No
7.6 - Sterile Processing and Distribution Clean Electronic Access and Door No
Side - for lighting design consideration. Control:
Intercom: No
(MID):
Nurse Call: No
Code Blue: No
Public Address: Yes
sion (SSTV):
VA Satellite TV: No
(VTEL):
Notes:

CONDITIONING
General Requirement: Refer to Sub-Sterile
Room data sheet in the current version of the VA
HVAC Design Manual for room temperatures,
humidity range, room air change requirements,
and pressurization.

Clean Core Area

Notes:
1) Canopy hood exhaust provided at sterilizer.

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

Fire Alarm: Yes
Sprinkler: Yes

Clean Core Area

Equipment List

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

Clean Core Area

provided with pre- punched fixture holes on 4” center,
fixtures, brushed/polished interior and top surfaces,
Sink, SS, Single
and sound deadened.
CS150 Compartment, 2 C/C
Recommended for use in suspended or U/C/B sink
10x19x16 ID
cabinets having a high plastic laminate or Chem-
surf laminate countertop/work surface. Coordinate
actual outside sink dimensions with the actual clear
dimension of cabinet specified to ensure that they are
compatible. For general purpose use throughout the
facility.
Stainless steel countertop (composition of heavy-
gauge Type No. 304 stainless steel) having a smooth
satin finish and integral 4” backsplash/curb. Also
referred to as a corrosion-resistant steel work surface
Countertop, Stainless
CT050 11 C/C or work top. Available in various depths. Used in
Steel
areas where excellent ease of cleaning, abrasion re-
sistance, bacteria resistance, impact resistance, load
capacity and moisture resistance, are of concern.
Pricing based upon a 24” depth.
F2010 1 V/V
Hamper, Linen, Mo-
bile, w/Lid
Lavatory, Vitreous
China, Slab Type
A cabinet mounted, single power door (vertical
sliding), vacuum, sterilizer utilizing facility supplied
steam. The unit is controlled by a microcomputer that
monitors and controls all unit operations and func-
tions and provides both audible and visual indications
Sterilizer, Stm, VAC,
of deviations. A printer-recorder documents and re-
S0125 1DO, CAB, 16x16x26 1 C/C
cords each cycle performance. For general purpose
Chamber
pre-vacuum or gravity steam sterilization of hospital
and laboratory supplies at temperatures in the range
from 110°C to 135°C (230°F to 275°F). A liquid cycle
is also provided at temperatures in the range from
100°C to 121°C (212°F to 250°F).

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

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

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

110 NSF / 10,3 NSM

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

110 NSF / 10,3 NSM

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

SCALE: 3/16” = 1’-0”
4' 8' 16'
4-269
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL
Ceiling Type: Acoustical Ceiling Tile (SP)
Ceiling Height: 9’-0” (2700mm)
Ceiling Finish:
Wainscot:
152 mm)
Flooring
Sound Protection: 35 STC (Room)/ None (Bay) POWER
Doors: Sliding Glass Door, Size 8’- Normal Power: To be connected to selected
0” x 7’-0” (2438 mm x 2133 receptacles and equipment.
mm) ; Single, Size 3’-0” x Emergency Power: Critical branch of the EES
7’-0” (914 mm x 2133 mm) to be connected to selected
Wood w/ Half View Window receptacles and equipment.
Notes:
1) Verify with life safety requirements that sliding
glass doors can break out of the room
2) Sliding door and footwall can be omitted to
create an open patient cubicle if desired by the
facility
LIGHTING
COMMUNICATIONS
4.2.15 - Pre-Operative and Post-Anesthetic Care Telephone: Yes
(PACU) - for lighting design consideration.
Duress Alarm: No
Control:
Intercom: No
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No



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

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

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

Fire Alarm: Yes
Sprinkler: Yes
Hazard Type:


Equipment List

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


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


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

4.22. AIRBORNE INFECTION ISOLATION (AII), PATIENT ROOM

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


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

150 NSF / 14,0 NSM


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

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

150 NSF / 14,0 NSM


JSN Legend
JSN DESCRIPTION

A1012 TELEPHONE, WALL MOUNTED, 1 LINE
A1107 RAIL SYSTEM, UTILITY, GAS
AND ELECTRIC
A5077 DISPENSER, HAND SANITIZER,
HANDS FREE
A5080 DISPENSER, PAPER TOWEL
A5107 DISPENSER, GLOVE, WALL-MTD
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
M3070 HAMPER, LINEN
M3072 FRAME, INFECTIOUS WASTE BAG
W/LID
MULTIPLE LINES
M7040 TABLE, OVERBED
M7845 MONITOR, PHYSIOLOGICAL, BEDSIDE,
4 CHANNEL
P3100 LAVATORY, VITREOUS CHINA,
SLAB TYPE

A5077 12' - 0"
DISPENSER, HAND 3658mm
SANITIZER, HANDS
FREE
A5107
A5080
DISPENSER, GLOVE,
DISPENSER, PAPER TOWEL WALL-MTD
A5075
Elevations 1 & 2
DISPENSER, SOAP
E0948
CART, GENERAL STORAGE, MOBILE
150 NSF / 14,0 NSM

LOW WALL RETURN AIR REGISTER
P3100
LAVATORY, VITREOUS CHINA, SLAB TYPE A5108
F2010 WASTE DISPOSAL UNIT,
SHARPS
BASKET, WASTEPAPER,
STEP-ON
ELEVATION 1
12' - 6"
M0755 3810mm M0755
ROOM TEMPLATES
FLOWMETER, OXYGEN, LOW FLOW FLOWMETER, OXYGEN, LOW FLOW
M0765 M0765
REGULATOR, VACUUM REGULATOR, VACUUM

A1107
RAIL SYSTEM, UTILITY, GAS AND ELECTRIC M0750

PUMP, VOLUMETRIC, INFUSION, MULTIPLE LINES M7845
MONITOR M3072
STAND IV
SCALE: 3/16” = 1’-0” M4665
ELEVATION 2 STRETCHER, RECOVERY, SURGICAL
4' 8' 16'
4-279
April 2016 (rev 2/17)
Elevation 3
150 NSF / 14,0 NSM
6' - 6"
1981mm
CB020
CABINET, W-H, 2 SHELF, 1 DO, 38x24x13 LH A5075
DISPENSER, PAPER TOWEL CT020
CS140 COUNTER, SOLID SURFACE
SINK, SS,GENERAL, SINGLE X, 10X14X ID M3070
C0036 HAMPER, LINEN
ROOM TEMPLATES
RAIL, APRON, 4x30x1 C01D0
F2010 CABINET, U-C-B, 4 DR, 36x18x22
BASKET, WASTEPAPER, STEP-ON

ELEVATION 3
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-280
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL
Ceiling Type: Acoustical Ceiling Tile (SP)
Ceiling Height: 9’-0” (2700mm)
Ceiling Finish:
Wainscot:
POWER
152 mm)
Emergency Power: Critical branch of the EES
Flooring
Slab Depression: None receptacles and equipment.
Sound Protection: 35 STC (Room)/ None (Bay)
Doors: Sliding Glass Door, Size 8’-
0” x 7’-0” (2438 mm x 2133
mm) ; Single, Size 3’-0” x
7’-0” (914 mm x 2133 mm)
Wood w/ Half View Window
Notes:
1) Verify with life safety requirements that sliding COMMUNICATIONS
glass doors can break out of the room Data: Yes
LIGHTING Telephone: Yes
Refer to the VA Lighting Design Manual section Cable Television: No
4.2.15 - Pre-Operative and Post-Anesthetic Care Duress Alarm: No
(PACU) - for lighting design consideration. Electronic Access and Door No
Control:
Intercom: No
(MID):
Nurse Call: Yes
Code Blue: Yes
Public Address: No
sion (SSTV):
VA Satellite TV: No
(VTEL):



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

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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
Mounted, 1 Line
Gas and Electric
port items.
posable
A5077 1 V/V
operated.
A surface mounted, satin finish stainless steel, single-
Dispenser, Paper fold, paper towel dispenser. Dispenser features: tum-
A5080 Towel, SS, Surface 1 C/C bler lock; front hinged at bottom; and refill indicator
Mounted slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
Dispenser, Glove,
Wall Mntd
A5108 1 V/V


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


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


nel
Lavatory, Vitreous
China, Slab Type


Equipment List (Anteroom)

Telephone, Wall
Mounted, 1 Line
posable
A5077 1 V/V
operated.
A surface mounted, satin finish stainless steel, single-
Dispenser, Paper fold, paper towel dispenser. Dispenser features: tum-
A5080 Towel, SS, Surface 1 C/C bler lock; front hinged at bottom; and refill indicator
Mounted slot. Minimum capacity 400 single-fold paper towels.
For general purpose use throughout the facility.
Dispenser, Glove,
Wall Mntd
C0036 Rail, Apron, 4x30x1 1 C/C tween two steel base cabinets or a steel base cabinet
and wall. Apron rails should be ordered in pairs to
Constructed of steel.
Standing height under counter base cabinet with four
Cabinet, U/C/B, 4 full width drawers of equal height. Also referred to as
C01D0 1 C/C
Drawer, 36x18x22 a drawer cabinet. For general purpose use through-
out the facility.
Wall hung cabinet with two adjustable shelves, solid
right or left-hinged door (appropriate door hinge
Cabinet, W/H, 2
configuration to be indicated on equipment eleva-
CB020 Shelf, 1 DO, Sloping 3 C/C
tion drawings), and sloping top. Also referred to as a
Top, 38x24x13
solid hinged single door case. For general purpose
use throughout the facility.


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

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

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

120 NSF / 11,2 NSM

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

120 NSF / 11,2 NSM

Elevation 1
120 NSF / 11,2 NSM
CE050 12' - 0"
CABINET, W-H, 2 SHELF, 3658mm
2 GDO, 38x48x13 L9025
A5075 FREEZE-DRYER, TISSUE
DISPENSER, SOAP L3400
MICROTOME, ROTARY,
P1965
TILT, BENCH MOUNTED
EYEWASH, EYE-FACE,
L8590
SINK MOUNTED,
HANDS-FREE STAINER, SLIDE,
AUTOMATIC,
CS140
HEMATOLOGY
SINK, SS,GENERAL,
SINGLE X, 10X14X ID L4200
F2000 BATH, WATER,
SEROLOGY, ELECTRIC
BASKET, WASTEPAPER,
ROOM TEMPLATES
ROUND, METAL E0721
C0036 TABLE, PROCESS, 5
RAIL, APRON, 4x30x1 DRAWERS
CT060 C01D0

COUNTER, MODIFIED CABINET, U-C-B, 4 DR,
EPOXY RESIN 36x18x22
ELEVATION 1
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-292
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL POWER
Wainscot:
Notes:
1) Connect lab equipment to Critical Branch of
Floor Finish: Resinous Flooring, Welded the EES.
Seam Sheet Flooring
Doors: Single Door, Size 3’-0” x COMMUNICATIONS
7’-0” (914 mm x 2133 mm) Data: Yes
Wood
Telephone: Yes
LIGHTING Cable Television: No
Refer to the VA Lighting Design Manual Duress Alarm: No
section 4.2.4 - Laboratory - for lighting design
consideration.
Control:
(MID):
Nurse Call: No
Code Blue: No
Public Address: No
sion (SSTV):
VA Satellite TV: No
(VTEL):

CONDITIONING
General Requirement: Refer to Frozen Section
Laboratories room data sheet in the current ver-



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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

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


Modified epoxy resin countertop (composition of
molded epoxy resins and inert materials) having a
low sheen surface finish, standard thickness of 1”,
Countertop, Modified
CT060 4 C/C and a 4” butt backsplash/curb. Also referred to as
Epoxy Resin
a work surface or work top. Available in a choice of
colors and depths. Used in lab areas requiring opti-
mum physical and chemical resisting properties.
Rotary dental laboratory chair. The chair is used by
Chair, Rotary, Labo-
D3295 1 V/V technicians while working at a bench. Chairs also
ratory, Dental
have casters and an adjustable backrest.
Height adjustable table. The table top is available
in a plastic laminate or chemical resistant material
(Chem-Surf). Casters or glides are options with
some tables. All tables will accept various storage
components underneath. These work surfaces are
Table, Process, Adj available in 24” or 30” depth. THIS TYPICAL IN-
E0703 Height, 5 Drawer, 1 V/V CLUDES:
48”W x 24”D 1 height adjustable table;
1 storage frame;
3 drawers, 3”H;
1 drawer, 6”H;
1 drawer, 9”H
1 Height Adjustable Table
Table, Process, Adj 4 Storage Frames
E0721 Height, 10 Drawer, 1 V/V 2 Drawers, 3”H;
72”W x 36”D 6 Drawers, 6”H;
2 Drawers, 9”H;
Drawer organizer bins
Round wastepaper basket, approximately 18” high X
16” diameter. This metal unit is used to collect and
Basket, Wastepaper,
F2000 1 V/V temporarily store small quantities of paper refuse in
Round, Metal
patient rooms, administrative areas and nursing sta-
tions.


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


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

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

F2010 A1012
BASKET, WASTEPAPER, TELEPHONE, WALL
STEP-ON MOUNTED, 1 LINE
A5082
A5077
DISPENSER, PAPER 54" AFF DISPENSER, HAND
TOWEL, SENSOR,
HANDS FREE
A5075 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
SCALE: 3/16” = 1’-0”

120 NSF / 11,2 NSM

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

120 NSF / 11,2 NSM

12' - 0"
3658mm
Elevations 1 & 2
120 NSF / 11,2 NSM
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
VALVE, MIXING, A5075

ROOM TEMPLATES
THERMOSTATIC, EYEWASH DISPENSER, SOAP
P2000 A5082
EYEWASH, WALL MOUNTED, HANDS-FREE DISPENSER, PAPER

A5107 TOWEL, SENSOR, HANDS
DISPENSER, GLOVE, WALL-MTD FREE
P3100
F2010
LAVATORY, VITREOUS CHINA, SLAB TYPE
BASKET, WASTEPAPER,
M3070 STEP-ON
HAMPER, LINEN
M3072
FRAME, INFECTIOUS WASTE BAG W/LID
ELEVATION 2
SCALE: 3/16” = 1’-0”
4' 8' 16'
4-302
April 2016 (rev 2/17)

Room Data Sheet
ARCHITECTURAL POWER
Ceiling Finish: Emergency Power: Not required.
Wall Finish: Gypsum Wallboard (Epoxy)
Wainscot:
COMMUNICATIONS
Floor Finish: Resinous Flooring, Welded
Seam Sheet Flooring Data: Yes
Slab Depression: None Special Telephone: Yes
Sound Protection: None Cable Television: No
Duress Alarm: No
Doors: Single Door, Size 3’-0” x
7’-0” (914 mm x 2133 mm) Electronic Access and Door Yes
Wood Control:
LIGHTING
Refer to the VA Lighting Design Manual section (MID):
7.3 - Soiled Utility Room - for lighting design
consideration. Nurse Call: Yes
Code Blue: No
Public Address: No
sion (SSTV):
VA Satellite TV: No
(VTEL):

CONDITIONING
General Requirement: Refer to Soiled Holding/
Disposal Room data sheet in the current ver-
termperatures, humidity range, room air change
requirements and pressurization.



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

Fire Alarm: Yes
Sprinkler: Yes


Equipment List

Telephone, Wall
Mounted, 1 Line
Disposable soap dispenser. One-handed dispens-
A5075 1 V/V ing operation. Designed to accommodate disposable
posable
A5077 1 V/V
ated.
Dispenser, Glove,
Wall Mntd
Wall hung steel cabinet with two adjustable shelves,
Cabinet, W/H, 2
solid hinged doors, and sloping top. Also referred to
CD030 Shelf, 2 DO, Sloping 1 C/C
as a solid hinged double door wall case. For general
Top, 38x30x13
purpose use throughout the facility.
F2010 1 V/V
Hamper, Linen, Mo-
bile, w/Lid
Frame, Infectious
Waste Bag w/Lid
tion.


Wall mounted emergency eye wash station. The flow
of water from the unit is activated by hand. Upon
initiation of water flow the unit will operate hands free
Eyewash, Wall
to provide streams of water to clear foreign particles
P2000 Mounted, Hands- 1 C/C
or dilute caustic liquids from the eyes in emergency
Free
situations. Used in laboratories and areas of the hos-
pital where employees are subject to foreign bodies
or liquid material to the eyes.
Emergency tempering valve thermostatically mixes

Valve, Mixing, Ther- hot and cold water to provide a safe fluid supply for
P2451 1 C/C
mostatic, Eyewash a single emergency eye/face wash with a flow rate of
10 gpm (38.8L)

Lavatory, Vitreous
China, Slab Type
Flushing rim sink approximately 18” H x 26” D x 22”
W. Also called a clinic service sink. Unit is construct-
ed of vitreous china with an integral flushing rim. It
includes: faucet with a fork brace; 6 inch wrist control
Sink, Flushing Rim,
P6350 1 C/C handles; plain end spout with bucket hook; stainless
China
steel spring type front rim guard; and grid drain. If
it is to be floor mounted, a base must be provided.
Unit is used in utility rooms to clean equipment and
materials.
Surgical fluid waste management system with pow-
ered IV pole and smoke evacuation. Portable waste
Suction System,
collection unit, for use with Docking Station (specified
S9755 Sugical, Mobile 2 V/V
separately). Dual canisters (one 4L and one 20L),
Rover Unit
two levels of suction: 2-21in/Hg, fluid readout, 3 dif-
ferent port sizes for smoke tubing.
Docking station for Neptune 2 surgical fluid waste
disposal system. Interfaces with the Rover to empty
Suction System, and rinse the Rover’s canister(s) of fluid waste. A
S9756 Sugical, Rover 2 V/V detergent dispenser is connected to the docker to
Docking Station release detergent into the Rover’s canister system
automatically. The docker is typically installed in a
utility closet or disposal area.

4.25 ORHY3
(ORHY3) OPERATING ROOM, HYBRID OR ROBOTIC
AXONOMETRIC
0' 4' 8' 16'
CONTROL
ROOM
IMAGING EQUIPMENT
COMPONENT ROOM
4.25 ORHY3
INTERACTIVE 3D PDF
0' 4' 8' 16'
4.25 ORHY3
FLOOR PLAN
0' 4' 8' 16'
32' - 2"
DOORS TO BE ON
(9.8m)
AUTOMATIC DOOR
A5107 OPENERS
STRETCHER ALCOVE A5108 SCRUB ALCOVE RETURN AIR
M8940 DUCT
(TYPICAL)
GM IPS
TV T H A4015 LOW WALL
EPO
F3200 RETURN AIR
1 REGISTER
M8900
M8 900 (TYPICAL)
M8905 M8910 4 2
25' - 6"
MANIFOLD (7.77m)
(8.74m)
X6190 3 A1200 TO CONTROL
28' - 8"
UNI- DIRECTIONAL M4255 LIFT AND
M8920 M8810 ROOM
AIR DELIVERY
(4.62m)
M4250 EXTENDER RAIL

15' - 2"
R4785
ARRAY ABOVE M4266
STERILE FIELD M8825
E0948
M8606
GM
(3.66m)
12' - 0"
M8925
M8825
M3175 BORROWED
M5030
M3070 LIGHT
A5104 F0355
TABLE M4645 M8800 M4255 M8830
A5108 M4287
M3072 M4810
U0105 M4815 M8830
E0954
M4812 M8940 M4816 X2106
M7818 M9080
GM M7650 X3145
F3050 M0630 M8970 L1095

M1801 M4811 M8551 M8810 M8810 M8840 S9755
M7845 M5030 M8950 M3109 M5512
COMPONENT
EQUIPMENT
M8940 L0221
IPS
18' - 0"
A1014
IMAGE
ROOM
(5.49m)
A5107
GM D D
TABLE
M3150 M3165 M3080
OPERATING ROOM,
HYBRID OR ROBOTIC
(ORHY3)
900 NSF
83.67 NSM
CLEAN CORE
4.25 ORHY3
0' 4' 8' 16'
(EQUIPMENT) 32' - 2"

4V, (9.8m)
1 NITROGEN,
1 CO2, FIN. CLG. 10' - 2" A.F.F.
DIMMABLE, LED STRIP LIGHT
10 EMERG
TYPICAL
DUPLEX,
4 DATA A5212 M7490
FACE PLATES M7802 M7801 A1200
A1122 LIFT AND
A1130 EXTENDER RAIL
M0765 (EQUIPMENT)
4V,
(DOCUMENTATION) 1 NITROGEN,
A1122 1 CO2,
M1801 10 EMERG
A A A A DUPLEX,
4 DATA FACE
PLATES
A1122
A1130
M0765
M4280
COMPONENT
EQUIPMENT
2O, 3V, 1A,

WAGD,
IMAGE

ROOM
1 NITROUS
(8.74m)
28' - 8"
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
OXIDE,
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
6 EMERG
LED
DUPLEX,
A
4 DATA FACE
A
TABLE PLATES
LED
LED
LED
LED
LED
LED
LED
LED
LED
(ANESTHESIA)
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
A1120
A
M0750
A
M0755
LED
LED
LED
LED
LED
LED
LED
LED
LED
LED
(EQUIPMENT) M0765
A
LED
LED
LED
LED
LED
LED
LED
LED
LED
4V,
1 NITROGEN, (PERFUSION)
1 CO2, 2O, 3V, 2A,

10 EMERG 1 NITROUS
DUPLEX, OXIDE,
4 DATA FACE 6 EMERG
PLATES DUPLEX,
4 DATA FACE
A1122
A A A A PLATES
A1130
M0765 A1122
A1130
(ANESTHESIA) M0750
2O, 3V, 1A, M0755
WAGD, M0765
1 NITROUS
OXIDE, TABLE
SEE LEGEND: GYPSUM BOARD SOFFIT. M7490
6 EMERG
M7801
DUPLEX, MANIFOLD UNI-DIRECTIONAL COORDINATE HEIGHT WITH
4 DATA FACE AIR DELIVERY ARRAY ABOVE EQUIPMENT.
PLATES STERILE FIELD
GENERAL NOTES:
A1120 OPERATING ROOM, 1.) PROVIDE EMERGENCY LIGHTING AS REQUIRED BY CODE(S)
M0750 HYBRID OR ROBOTIC 2.) REFER TO THE LEGEND FOR ADDITIONAL INFORMATION FOR THE
M0755 (ORHY3) MANIFOLD AIR DELIVERY ARRAY
M0765 900 NSF 3.) ROOM IS TO BE PROTECTED WITH QUICK RESPONSE (QR)
83.67 NSM
FIRE SPRINKLERS
4.25 ORHY3
JSN LEGEND
0' 4' 8' 16'
JSN NAME JSN NAME
X M4811 Pump, Intra-Aortic, Balloon

A1014 Telephone, Wall Mounted, 1 Line, With Speaker M4812 Pacemaker, Single Chamber, External, Temporary
A1120 Column, Service, Prefab, Surgical, Ceiling Mounted M4815 Hypo/Hyperthermia Unit, Automatic/Manual, Mobile
A1122 Column, Equipment Arm, Ceiling Mounted, Surgery M4816 Warming Unit, Patient, Automatic/Manual, Air
A1130 Cabinet, Control, Nitrogen M5030 Stool, Surgeon, Revolving
A1200 Lift System, Overhead, Patient Room M5512 Laser, Smoke Evacuator
A4015 Clock, Elapsed Time, Electric M7490 Light, Surg, Ceiling Mtd, Dual, Unequal Dia Heads
A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal M7650 Defibrillator/Monitor, Acute Care
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd M7801 Monitor, Medical Grade 26 - 42"
A5108 Waste Disposal Unit, Sharps M7802 Monitor, Medical Grade 55-65"
A5212 Bracket, Television, Wall-Mounted, Tilt/Angle M7818 Monitor, Transport
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D M7845 Monitor, Physiological, Bedside, 4 Channel
E0954 Cart, Emergency, Mobile, 66"H x 32"W x 22"D M8551 Light Source, Fiberoptic Headlamp
F0355 Footstool, Straight M8606 Endoscopy Cart, Fiberoptic, w/Video Accessories
F3050 Whiteboard, Dry Erase M8800 Cart, Anesthesia
F3200 Clock, Battery, 12" Diameter M8810 Stand, Mayo
L0221 Analyzer, Blood, Portable, Hand Held M8825 Table, Instrument/Dressing, CRS, approx. 36x20x34
L1095 Cell Saver M8830 Table, Instrument/Dressing, Mobile
M0630 Anesthesia Apparatus, 3 Gas M8840 Table, Back, Instrument/Dressing
M0750 Flowmeter, Air, Connect w/50 PSI Supply M8900 Carriage, Pail, CRS, Without Pail
M0755 Flowmeter, Oxygen, Low Flow M8905 Pail, Utility, CRS, With Carriage
M0765 Regulator, Vacuum M8910 Cart, Surgical Case
M1801 Computer, Microprocessing, w/Flat Panel Monitor M8920 Stand, Basin, CRS, Mobile, Double
M3070 Hamper, Linen, Mobile, w/Lid M8925 Stand, Basin, CRS, Mobile, Single
M3072 Frame, Infectious Waste Bag w/Lid M8940 Stool, Anesthesia, With Back
M3080 Cabinet, Instrument, CRS, 2 Glass Door, 6 Shelf M8950 Warmer, Blood
M3109 Electrosurgical/Coagulator, Argon Plasma M8970 Warmer, Blood, High Volume
M3150 Distribution System, Medication, Automatic M9080 Table, Operating, Pedestal, 5 Section
M3165 Cabinet, Catheter Storage R4785 Ice Maker, Surgical Slush
M3175 Electrosurgical Unit, Dual Output S9755 Suction System, Surgical, Mobile Rover Unit
M4250 Pump, Syringe, Infusion U0105 ExtraCorporeal Support System
M4255 Stand, IV, Adjustable X2106 Scanner, Ultrasound, Intra-Cardiac Echo
M4266 Pump, Volumetric, Infusion, Multiple Line X3145 Screen, X-Ray, Protective, Mobile
M4280 Pump, Pneumatic Stocking/Cuff X6190 Radiographic/Fluoro Unit, Cardiac, 100 kW, Digital
M4287 Irrigation System, Surgical
M4810 Heart/Lung Machine, Bypass, Modular
4.25 ORHY3
ELEVATIONS
0' 4' 8' 16'
M7802 M8940 F3200

Monitor, Medical Grade Stool, Anesthesia, With Clock, Battery, 12"
55-65" Back Diameter
A5212 A5108 A4015
Bracket, Television, Waste Disposal Unit, Clock, Elapsed Time,
Wall-Mounted, Tilt/Angle Sharps Electric
EPO
T H S
ELEVATION 1 A5107
Dispenser, Glove,
M8910
Cart, Surgical Case
Wall Mntd
LOW WALL RETURN
ISOLATED POWER
SYSTEM
F0355 A1014
Footstool, Straight Telephone, Wall
E0948 Mounted, 1 Line, With
Cart, General Storage, Speaker
Mobile, 42"H x 32"W x 22"D
A5107
Dispenser, Glove,
Wall Mntd
BORROWED
LIGHT
X2106 LOW WALL RETURN

Scanner, Ultrasound, ELEVATION 2 AIR REGISTER (TYPICAL)
Intra-Cardiac Echo S9755
M8830 Suction System, Surgical,
Table, Instrument/Dressing, Mobile Rover Unit
Mobile X3145
Screen, X-Ray,
Protective, Mobile
4.25 ORHY3
ELEVATIONS
0' 4' 8' 16'
M3165
A5107 Cabinet, Catheter Storage
Surgical/Examination, Distribution System,
Wall Mntd Medication, Automatic
SD SD
LOW WALL RETURN

M3080
Cabinet, Instrument, CRS, 2 ELEVATION 3 AIR REGISTER (TYPICAL)
Glass Door, 6 Shelf
M7650
Defibrillator/Monitor, Acute
Care M4645
Pacemaker, Single Chamber, M3070
External, Temporary Hamper, Linen, Mobile,
M7818 w/Lid
Monitor, Transport X6190
ISOLATED POWER F3050 Radiographic/Fluoro Unit,
SYSTEM Whiteboard, Dry Erase Cardiac, 100 kW, Digital
M3150 M8905
Distribution System, ELEVATION 4 Pail, Utility, CRS, With
Medication, Automatic Carriage
E0954 M8900
Cart, Emergency, Mobile, Carriage, Pail, CRS,
66"H x 32"W x 22"D Without Pail
4.25 ORHY3
4.25 OPERATING ROOM, HYBRID OR ROBOTIC (ORHY3)
Room Data Sheet

leadership.
Ceiling Finish:
Window;
(1219 mm x 2133 mm)
Wood w/ Small View
Window
POWER
windows, and doors, as determined by the receptacles and equipment
Physicist on a per project basis. to Critical Branch
2) Locate access panels as required to allow emergency IPS.
in facilities without interstitial space. Min. size to Notes:
be 24” x 24”.
4) Nominal wall thickness is shown at 8”
+24” AFF
panels, that require a thicker partition. 3) Provide Laser Receptacle Module. Module
and stretcher traffic in the semi-restricted 4) Provide power connections for articulating
corridor. utility columns.

4.25 ORHY3

(Phone) Oxygen Yes
Nurse Call: Yes
Dioxide
VA Satellite TV: No

pressurization.
Notes:
field.

4.25 ORHY3
4.25 OPERATING ROOM, HYBRID OR ROBOTIC (ORHY3)
Equipment List

Line, With Speaker
A1120 Column, Service, Prefab, 2 C/C Prefabricated surgical service column. Strong 18 gauge stainless
Surgical, Ceiling Mounted steel shell ceiling mounted unit with the following services: oxygen,
nitrous oxide, nitrogen, medical air, medical vacuum, gas evacuation,
electrical outlets, monitoring connectors, and IV holders. Specify type of
column (fixed or retractable) and number of outlets required for each
service. Size will vary with number of service outlets required. Designed
to be used in the operating room, recovery and; ICU-CCU rooms.
pneumatic tools.
and from bed to gurney, chair or other requirement.; Minimum lift
1910.130.
coated steel.

4.25 ORHY3
E0948 Cart, General Storage, 1 VV THIS TYPICAL INCLUDES:; 1 Cart Body, Style-A Narrow, w/Raised
Mobile, 42"H x 32"W x 22"D Edge Top 2 Drawers, 3" H; 4 Drawers, 6" H; 1 Accessory Rail, Side
E0954 Cart, Emergency, Mobile, 1 V/V THIS TYPICAL INCLUDES:; 1 Cart body, style-A narrow, w/raised edge
included).
patient.
required.; Database pricing reflects continuous regulators graduated to
inlets and outlets.

4.25 ORHY3
25" hamper bags. Mounted on ball bearing casters. For linen transport in
hospitals and clinics.
cabinet corners. Cabinet is mounted on glides or casters.; Cabinet may
modules selected.
M3165 Cabinet, Catheter Storage 2 V/V A cabinet to be used for the hanging storage of catheters. Cabinet
comes with adjustable laminate shelves, slide-out arms equipped with
hangers to hold various size catheters, and doors. Door locks are an
optional accessory.
rates (e.g. 0.1 or 1.0 mL/hr) that are intended for; long-term bedside use
adapter.

4.25 ORHY3
double flow.
M4810 Heart/Lung Machine, Bypass, 1 V/V Modular by-pass heart lung machine. Unit consists of an arterial pump, a
Modular backup arterial pump, one or two suction pumps, a water mixer, and a
backup battery pack. To include disposable components:
oxygenator/heater exchanger, cardiotomy reservoir, blood filters, and
tubing. Unit is designed to temporarily replace the function of the
patients heart and lungs during open-heart surgery or any surgical
procedure that requires isolation of the heart.
resulting from extensive myocardial injury or damage. The pump shall
function from line or battery power and is to be a mobile unit. It contains
physiological monitoring, pacing, and pumping capabilities. It requires
minimal set-up time and has immediate pumping capability. Adjustments
can be accomplished without interruption of pumping. The monitor can
be mounted remotely for the clinicians convenience and permits viewing
of both cardio-pulmonary bypass and intra-aortic balloon pump
simultaneously. The pump is designed for use in the critical care unit,
operating room, cardiac cath lab and during transport.
M4812 Pacemaker, Single Chamber, 1 V/V A single chamber, external temporary pacemaker designed to provide
External, Temporary acute therapeutic, prophylactic, and diagnostic pacing support. It is
capable of operating in the demand or asynchronous modes and
includes adjustable rate, output, and sensing controls. Battery operated.
blankets.

4.25 ORHY3
hoses.
42"
65" size is 55 - 65".
ECG/respiration, NBP, SpO2, pressure, and temperature and CO2.
Data can be transferred seamlessly throughout the continuum; of care.
before recharge.
required.
system cart includes the cart, a light source, an insufflator, a suction unit,
a heat probe unit, an electrosurgical apparatus, a digital camera

4.25 ORHY3
to central supply.
treatment areas.

4.25 ORHY3
M9080 Table, Operating, Pedestal, 5 1 VV Pedestal type major operating table with 5 sections. Table is mounted
Section on a solid base with casters and locks. Table top surface is fabricated
from radio-translucent, conductive panels and the larger table sections
are equipped with radiographic cassette tunnels. Table includes Electro-
hydraulic controls, side rail locking system, kidney elevator, grounding
receptacle and dual arm support section. Designed for use in the
operating room in a variety of surgical procedures.
easy movement.
smoke tubing.
X2106 Scanner, Ultrasound, Intra- 1 V/V A portable cardiovascular ultrasound with full diagnostic and monitoring
Cardiac Echo capabilities. The unit employs phased-array transducer technology for
2D, color and Doppler imaging. It will have multiple focal zones to
optimize image quality. The unit will have an integrated EchoPAC with
data review, analysis, patient archive and reporting capabilities. It will
have full DICOM connectivity with embedded raw data speeds allowing
for post-exam quantitative analyses at the users convenience. The
rechargeable battery will provide up to 1 hour of full scan operation.
X3145 Screen, X-Ray, Protective, 1 V/V Mobile X-ray protective screen/barrier. The X-ray barrier provides
Mobile optically-clear visibility while shielding medical personnel from scatter
radiation. Its large clear Pb lead-plastic or acrylic window offers 0.5 mm
lead-equivalent protection to the user's head and upper body. The unit is
used for effective radiation protection of department personnel during
vascular or other procedures. This unit can fit any application with its
mobility. Adjustable screens are also available.
Cardiac, 100 kW, Digital radiographic/fluoroscopic examinations in the Cardiology Department.
On-line digital cardiac image processing will provide instant availability of
images for review. This units characteristics and components include
100 kW micro-processor controlled X-ray generators, C-arm and U arm
with 9â€ multi-field Image Intensifier, integrated X-ray tube unit and cine
camera. The Digital Imaging for both the AP and Lateral planes shall
consists of a computer, keyboard with acquisition, viewing monitor, and
slave monitor. The system shall be DICOM 3.0 compatible, for easy
linkage to filmless image management systems and review stations. It is
recommended that the TV monitors be ceiling suspended. System to be
procured with Cardiac Cath Lab computerized analysis/monitoring
system.


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Surgical and

1.0 GENERAL Page

3.0 FUNCTIONAL DIAGRAMS

4.0 DESIGN STANDARD PLATES – FLOOR PLANS, REFLECTED CEILING

4.12. Operating Room, Transplant (ORTR1) 4-141

The material contained in the Surgical and Endovascular Services Design

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

• Department of Veterans Affairs - Veterans Health Administration

Mark A. Wilson, MD, PhD National Director of Surgery

John Sum-Ping, MD Director, Anesthesia Services,

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

Rick Shunk, MD Director, Interventional Cardiology,

Grit A. Adler, MD Chief, Interventional Radiology,

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

Lisa Warner, Clinical Nurse Advisor for Perioperative

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

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

Melissa Batt, RN Nurse Manager, Cardiology, VA Medical Center,

April Dierickx Assistant Nurse Manager, Cardiology, W. G.

Daniel Pap, CCT, RCIS,RCES Certified Cardiographic Technician,

• Office of Construction & Facilities Management (003C)

Michael Brennan, PhD, AIA Executive Director,

Ross Davidson, Assoc. AIA Associate Executive Director,

Donald L. Myers, AIA, Director, Facilities Standards Service

Zoltán John Nagy, RA Senior Healthcare Architect

Elizabeth Yo, RA, NCARB Architect Planner

Jacob J. Brown Senior Medical Equipment Planner,

Lam Vu, PE, MBA Senior Electrical Engineer,

Michael Taylor, PE Senior Mechanical Engineer,

Don Walden Senior Mechanical Engineer,

Ronald Villasante, RA, MA Principal in Charge, Space and Equipment

This Design Guide is not intended to be project-specific. It addresses the

1.4. VA Policies/Standards, and Industry Codes/Standards

11. Consensus Information from various VA medical centers

• Industry Codes/ Standards

• The Healthcare Insurance Portability and Accountability Act of 1996 (HIPAA)

• Disaster Planning: Situations can arise in which it may not be feasible to

A, MA Air, Medical Air

MCS Master Construction Specifications

2.1.1. Clinical and Operational Summary

reason, additional space is required in the Surgical Operating and

2. Staff Lockers and Lounge, Toilets and Showers (LLTS) including

“Assistant-in-Surgery”: Clinical professionals such as nurses, operating

procedures, such as angioplasty, and stenting utilizing TAVR and Mitral

history and physical is on the patient chart, and confirming that a

• Consultant: Should the operating surgeon desire a consultation for

• Housekeeping Staff (Operating and Endovascular Procedure

Triple scrub sink configuration shown, vision lights into surgical

Double scrub sink configuration shown at entry to Surgical

Phase I Recovery - Patient Prep - Phase II Recovery Diagram

Pre-Operative Holding / Phase II Recovery: The inpatient or outpatient is

• Internal Fixation – a method to hold the broken pieces of bone in

Room. Particular attention should be given to the width of the doorway

Floor Plan: Heart–lung Machine Room or “the pump room”

Cardiopulmonary Bypass (CPB) Machine

pinpoint the site of surgical intervention much more precisely with

ENDOVASCULAR PROCEDURE ROOM

Endovascular Procedure Rooms: The term endovascular procedure room

Additionally, Cardiac Catheterization rooms must adhere to the same

and vertically and live loads whether from ceiling-supported equipment or

2.1.2. VA Trends in Surgical and Interventional Service

initial pandemic can be reviewed and responses can be considered.