Hospital HVAC Design

New Jahra Hospital

HVAC Design
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Design According to ASHRAE 170 STD Page 2

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Traditional AHU Design Page 3

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ASHRAE 170 does NOT require 100% O.A. units. However, air must be exhausted directly
to the outside from some areas like:

– Airborne infection isolation – Nursing bathing rooms

– Dialyzer reprocessing – Radiology waiting rooms
– Emergency room decontamination – Soiled or decontamination room
– Endoscope cleaning rooms – Soiled linen sorting and storage
– Hazardous material storage – Sterilizer equipment rooms
– Lab (non-general) spaces, except media transfer – Triage
– Laundry, general – Warewashing
– Linen and trash chute room
– Medical/anesthesia gas storage
– Non-refrigerated body holding rooms
– Nuclear medicine “hot” labs
– Nuclear medicine treatment rooms

Where odors are not being diluted and contamination risks are low, air can be re-circulated within healthcare spaces not
listed, reducing energy usage.

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Top 10 U.S,. Hospitals following ASHRAE 170 (from: U.S. News and World Reports, 2015)

1. Mayo Clinic, Rochester, Minnesota

2. Massachusetts General Hospital, Boston

3. Johns Hopkins Hospital, Baltimore

4. Cleveland Clinic

5. UCLA Medical Center, Los Angeles

6. New York-Presbyterian University Hospital of Columbia and

Cornell, New York

7. Hospitals of the University of Pennsylvania-Penn

Brigham and Women’s Hospital, Boston
Presbyterian, Philadelphia

8. UCSF Medical Center, San Francisco

9. Brigham and Women’s Hospital, Boston

10. Northwestern Memorial Hospital, Chicago

Massachusetts General Hospital, Boston

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Impact of 100% OA Using a Typical Healthcare Facility Page 6

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Typical U.S. Hospital Design Building Air Riser Diagram Page 7

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Typical Kuwait Hospital Design Building Air Riser Diagram Page 8

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Multiple AHU's with Common Header Schematic (Typical U.S. Hospital Design)

Multiple AHU's With Stand-by Unit Schematic (Typical Kuwait Design) Page 9

U.S. Design
Advantages:
– Fewer components yields reduced
maintenance and higher level of reliability.
– Less duct leakage reduces fan energy.
– Larger fans are more efficient.
– Redundancy is easier to build into system
and can serve entire system.
– Less complex smoke exhaust sequencing.
– Uses less energy following ASHRAE
standards.
U.S. / Kuwait Hospital Design
Hospital HVAC Design
Kuwait Design
Disadvantage:
– More components yield increased
maintenance and lower reliability.
– More duct leaking due to greater duct
surface area
– Smaller fans are not as efficient
– Redundant unit can only back up one duct
system. If another unit fails there is no
back up.
– Complex smoke exhaust sequencing.
– Substantially higher energy usage.
– More frequent filter changes.
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Examples of hospitals within the Middle East with installed and operating air handling
systems in excess of 25,000 cfm, with some exceeding 100,000 cfm:

– Jaber Hospital Kuwait

– Cleveland Clinic Abu Dhabi
– Cleveland Clinic – Dubai
– King Fahad Specialty Hospital Riyadh, KSA
– King Khalid Medical City Dammam, KSA
– Security Forces Medical City Riyadh, KSA

Jaber Hospital, Kuwait

In Jaber Hospital, Total number of AHU
exceeding capacity of 25,000 CFM is 60 units.
In New Jahra Hospital, Total number of AHU
exceeding capacity of 25,000 CFM is 64 units.

King Khalid Medical City Dammam, KSA

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Isolation System Schematic Page 12

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Advisory Page 13
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Advisory Page 14
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Advisory - Generic Architectural and Engineering Requirements Page 15

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ANSI/ASHRAE/ASHE STANDARD 170-2008 Page 16

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ANSI/ASHRAE/ASHE STANDARD 170-2008 Page 17

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ANSI/ASHRAE/ASHE STANDARD 170-2008 Page 18

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ANSI/ASHRAE/ASHE STANDARD 170-2008 Page 19

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Room Data Sheet: Tower‐A, Zone‐B Page 20

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Symbols and Abbreviations Page 21

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Space Ventilation Analysis Table Page 22

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Top 10 U.S,. Hospitals following ASHRAE 170 (from: U.S. News and World Reports, 2015)

Thermostats and Zone Data: Reheat Coil Source Hot Water

Zone All Reheat Coil Schedule JFMAMJJASOND
Cooling T-stat: Occ. 75.0 °F
Cooling T-stat: Unocc. 80.0 °F Zone Heating Units:
Heating T-stat: Occ. 70.0 °F Zone All
Heating T-stat: Unocc. 65.0 °F Zone Heating Unit Type None
T-stat Throttling Range 0.10 °F Zone Unit Heat Source Hot Water
Diversity Factor 100 % Zone Heating Unit Schedule JFMAMJJASOND
Direct Exhaust Airflow 0.0 CFM
Direct Exhaust Fan kW 0.0 kW
Thermostat Schedule Sample Schedule
Unoccupied Cooling is Available

Supply Terminals Data:

Zone Terminal Type Min. Airflow Fan Performance Fan Efficiency Design Supply
Temperature
1 VAV box with RH 4.00 ACH - - -
2 VAV box with RH 6.00 ACH - - -
3 VAV box with RH 10.00 ACH - - -

Space Ventilation Analysis Table Page 23

 Hospital HVAC Design

Type A Type B
Single Deck Hygienic Double Deck Hygienic Both Working
LVL-14 Patient Tower AHUs and LVL-14 Patient Tower AHUs
D&T Level-04 AHUS and D&T Level-04 AHUS

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Type C Type D
Double Deck Hygienic UPS Rooms
One Deck Working One Desk Standby
D&T Level-04 or AHUS

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Thank You