Documente Academic
Documente Profesional
Documente Cultură
September 5, 2005
Table of Contents
Table of Contents
Page Executive Summary Introduction Acknowledgements Space Summary Functional Program
AD-01 AD-02 AD-03 AD-04 AD-05 AD-06 AD-07 AD-08 AD-09 AD-10 AD-11 AD-12 AD-13 AD-14 AD-15 IP-01 IP-02 IP-03 IP-04 IP-05 IP-06 IP-07 AC-01 AC-02 APS-01 AC-03 AC-04 AC-05 DT-01 DT-02 DT-03 DT-04 DT-05 DT-06 DT-07 DT-08 DT-09 Administration Registration / Communications Health Records Quality & Decision Support Education Medical Staff Infection Control / Staff Health Volunteer Resources Spiritual Care Auxiliary Financial Services Human Resources Information & Comm Systems Foundation Physician Offices Medical Inpatient Unit A Medical Inpatient Unit B Surgical Inpatient Unit Intensive / Intermediate Care Inpatient Mental Health Maternal Child Unit Palliative Care Unit Emergency Services Ambulatory Care Services Ambulatory Procedure Services Renal Dialysis Outpatient Mental Health Diabetes Centre Laboratory Services Diagnostic Imaging CIU Day Surgery / Same Day Admission Surgical Suite Rehabilitation Services Respiratory Therapy Social Work & Continuing Care Pharmacy i
1 4 7 16 18
Table of Contents
SS-01 SS-02 SS-03 SS-04 SS-05 SS-06 SS-07 SS-08 SS-09 CS-01 CS-02 CS-03
Public Facilities Dietary / Nutrition Services Materiel Management Plant Maintenance Environmental Services Sterile Processing Biomedical Engineering Child Day Care Porter Service Public Health Addiction Services Hearing & Speech
Cost Estimate
581
ii
Executive Summary
EXECUTIVE SUMMARY
In November 2004, the Board of CEHHA approved a Functional Program for the replacement of Colchester Regional Hospital, which was consistent with the services and master plan identified in the Master Program/Master Plan (revision October, 2003). The functional program was forwarded to the department of health with a request that the program and subsequent capital budget be approved and an order in council be issued for the project. A meeting with the Department of Health staff was requested and held on December 13, 2004. As a result of this meeting a number of questions and follow up items were identified. The Senior Leadership Team and consultants committed to following up on these items and providing a response and adjusted functional program and capital budget (if required). The original Functional Program submission indicated that a two building facility would be constructed with a total size of 402,510 sq feet (Acute Care 314,307 sq feet Admin/Ambulatory 88,203 sq feet). This facility is to be constructed on a new site. The total project cost associated with this submission was $126,507,417, which included site purchase, a space contingency, an adjustment for SRI recommendations, an adjustment for Leeds Certification and the cost of demolition of the current facility. This was considered a full estimate of the project cost. As a result of the meeting with the Department of Health staff on December 13th, the following areas were reviewed and noted adjustments have been made: 1. Physician Office Space requested to investigate other space sharing opportunities for the physicians rental space. This was completed as part of 6 below (ambulatory space review) with the intent of combining medical staff and ambulatory clinical space. Although some space savings could be realized, this did not translate into a project cost reduction, as the medical staff space would be moved to the higher cost, acute care building, as part of this amalgamation. Therefore, the space is recommended to remain as originally proposed. 2. Inpatient Units requested we complete a review of the number of single patient rooms and isolation rooms. The ratio of single room numbers to double rooms on the patient units will be adjusted to reflect comments from the Nova Scotia Department of Health. Isolation rooms are to be located in the Emergency, ICU, Inpatient Units and other areas as deemed necessary the proposed 12 isolation rooms will not be changed. 3. Intensive / Intermediate Care the size of the intermediate care rooms was questioned. Upon further review these rooms are to be reduced in size to adjust for the patient washroom sizes. This will not impact the functionality of the space. 4. Inpatient Mental Health Questioned the need for the smoking room and the admissions office. The smoking room has been removed from the revised program. The admissions office is a patient/family interview room, attached to an exam room, used for meetings with patients during the admissions process. This room is required and has been supported by the Executive Director of Mental Health and Addictions Services. 5. Emergency Department a number of areas were reviewed in the Emergency Department including the size of the pre-triage area, trauma/resuscitation rooms, and critical care rooms. In addition, the use of a second stream of care was investigated. The planning team, consultants and Health Authority continues to support the need for the program as proposed. The development of the emergency room service is reflective of planning team members experiences, research and site visits in New Brunswick, PEI, Nova Scotia, Ontario and the United States. 6. Ambulatory Care Services Question rose as to whether there was an opportunity to reduce the number of specialty rooms / clinic rooms in this area. This was reviewed with the issue identified in
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Executive Summary
1 above (physician office space) to determine if medical offices/exam rooms could be combined with the ambulatory setting. Although some space savings could be realized, this did not translate into a project cost reduction, as the medical staff space would be moved to the higher cost, acute care building, as part of this amalgamation. Therefore, the space is recommended to remain as originally proposed. 7. Ambulatory Care Procedures Services Area The health authority was asked to identify the staffing implications for the Ambulatory Care Procedures Services area. 8. Public Facilities the size of the lobby (1,500 square feet) was questioned. This was reviewed with respect to the flow of patients/visitors and in comparison to other facility construction. No adjustments are recommended. 9. Lounges DoH questioned the number of staff lounges, suggesting that additional space may be required for this. The health authority and planning teams have allowed for staff lounges on all units where staff are not able to leave the unit for breaks. In other areas a report room and kitchenette are available should staff need to remain on the unit however, all staff will be encouraged to, where possible, leave the unit to take breaks. 10. Space Contingency The Department has requested that all space contingency be removed from the program. This has been completed and has reduced the project budget by $2M. 11. Inflation The Department of Health has recommended that the Health Authority submit the project budget using the cost of construction as of October 2005. Currently the project cost is estimated to the mid-point of the project (October, 2007). If the cost of construction as of October 2005 is used and no escalation is allowed for, the project budget would not be sufficient to complete the project. Additional information is required from the Department prior to proceeding with this. In addition to these issues, the Health Authority is including the following adjustments: 12. Public Facilities - Reduction of size of staff education/auditorium space - The size of the main lecture room has been reduced to accommodate 75 people and be two rooms rather than three reducing the area for this space by 1,125 NSF and reducing the chair storage room by 120 NSF. 13. Child Day Care Although this space does provide a valuable service to staff, it is not a requirement for service delivery and will be removed from the current capital project cost. Other options for the development of a day care will be investigated. 14. Locum Apartment - Although this space does provide a valuable resource for physician services, physician education and clinical education/placements (nursing, rehab services, laboratory services, etc), it is not a requirement for service delivery and will be removed from the current capital project cost. Other options for the development of a suitable locum apartment or residence for visiting clinicians/placements will be investigated. 15. Physician Office Space - Fund construction of physician office space through a capital loan which would be offset by revenue generated through rental income this will result in a loss of operating revenue for the Health Authority of approximately $203,000 per year. Total cost associated with the construction of this space is $2,500,000. 16. Utilize co-generation opportunities for the provision of facility power/steam. This will result in some reduction in infrastructure requirements. Projected capital savings through this initiative would be $4,000,000. 17. Land Purchase Based on current negotiations the budgeted land purchase cost will be reduced to $1,500,000 from $2,000,000.
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Executive Summary
18. Land Sale Based on current negotiations for the site purchase, the projected sale price for land currently owned by the Health Authority will be increased from $198,000 to $319,000. Colchester East Hants Health Authority will now proceed with approval from the Department of Health proceed with the development of this project based on the revised Functional Program for CRH identified above. These changes will result in a revised projected capital project cost of $110,805,485. Incorporating the proposed recovery items saving an estimated $6,500,000 the total project budget would be $104,305,485.
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Introduction
INTRODUCTION
The Colchester East Hants Health Authority (CEHHA) has a vision of Healthy People, Healthy Communities, Quality Health Services. The CEHHA Board and Senior Leadership Team identified the need to engage in a planning process with its staff, community, partners in service provision and government (Nova Scotia Department of Health) to develop strategies that will support this vision and its mandate of delivering services that meet the health needs of Colchester County and East Hants residents. Over the past three years, CEHHA established a development strategy that confirmed and identified its role and service provision for the districts population, developed a Master Program and Master Plan for the districts acute secondary services facility (Colchester Regional Hospital and the community hospital, Lillian Fraser Memorial Hospital) and completed a Functional Program for Colchester Regional Hospital. William Nycum & Associates Limited was contracted to facilitate all phases of the development strategy. Together with the Planning Team established for this project and consultation with over 43 programming groups (composed of district health authority staff, managers and physicians and key external stakeholders) the departmental space requirements for each service and preferred interdepartmental relationships were established. This was completed first through the Master Program development, and then reviewed, and where necessary re-developed through the Functional Program process. Key components of the project are as follows: The proposed development is for a new Acute Care building and a separate Administrative / Ambulatory Care Services building on a new site. The first draft Functional Program recommends that a total space program of 402,510 building gross square feet (BGSF) will need to be constructed in order to support the space requirements of programs delivered by the CEHHA from this site. This has been adjusted to 368,013 as a result of a number of changes proposed by either the Department of Health or the Health Authority. The new Acute Care facility will provide 140 patient beds, including surgical, medical, palliative care, mental health, intensive care, maternal child services, diagnostic and treatment services, emergency and ambulatory care services. In addition, to support these acute care services, an Administrative / Ambulatory Care Services building would accommodate the administrative services, some ambulatory services, such as outpatient mental health, and community services. This strategy will support the integration of services and enhance the continuum of care. The third phase of the Development Strategy was the completion of a Functional Program for Colchester Regional Hospital (guided by the work completed in the Master Program/Master Plan phase). William Nycum & Associates, in partnership with James Torbert and Virginia MacDonald were engaged for the completion of the Functional Program. The purpose of this stage of the project was to develop a functional program/narrative document that would expand on the information contained in the Master Program and provide required information to allow for future planning and approval by the Health Authority and the Department of Health. Specifically, this phase would allow for tracking and resolution for any changes to building areas required between the Master Program and Functional Program thereby establishing the size and detailed requirements to enable the project to proceed with architectural design. The Functional Program contains three distinct components. These are:
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Introduction
Descriptions of overall systems such as food service, communications, information technology, patient flow, laundry, materials management, registration etc. that impact many departments. Identification of room interrelationships within each department and where appropriate with other departments Room data sheets identifying specific requirements for each room: function, people, time of use, equipment / furnishings, medical gases, power etc. Each room is coded noting whether it should be wheelchair accessible (W), stretcher accessible (S) or barrier free (BF).
To complete the Functional Program the consultants met with 213 staff (including 26 physicians) utilizing over 150 hours of meeting time. A summary of the Functional Program document is as follows: Services: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Medical Inpatient: 47 Medical beds; 8 Intensive care; 7 Intermediate care; 6 Palliative care Surgical Services: Surgical suite; Day surgery; Pre-op clinic; 32 surgical beds Maternal / Child: Peri-natal services; Neonatal services; 11 Obstetrical beds; 5 Pediatric beds Mental Health: 20 Adult beds; 4 Short stays childrens beds Ambulatory Care: Ambulatory Procedures; Outpatient and specialty clinics; Diabetes Education; Renal Dialysis; Diagnostic Imaging; Laboratory; Rehabilitation Emergency Services Community Health: Public Health; Addictions; Mental Health; Hearing and Speech; Pharmacy Social Work Support Services Administrative Services Medical Staff / Offices
Proposed Facility: Two Buildings Total size of 368,013 sq feet (Acute Care 288,518 sq feet Admin/Ambulatory 79,495 sq feet). Facility to be new construction/green site. Operating Budget: Space allotment would allow for expansion of staffing by 197 FTEs (as compared to 2004-05 operating budget). In 2004-05 salaries this was an estimated $10,711,317 increase in budget. It should be noted that it is not the intention of the Health Authority to adjust its operations to this level on the date of the opening of a new facility. This FTE level represents the opportunities and growth potential associated with the facility and deemed to be a future requirement (year 2015) as determined through service level planning. Additional detail on program level staffing analysis can be found later in this report. Key components of the completed Functional Program, which should be noted, include: Development of programs and environment that will support integration of services (primary, secondary, community based). This is potentially one of the only health care facilities in Nova Scotia that supports the integration of inpatient and outpatient mental health services, addictions services, public health services and primary health care with acute and ambulatory programs.
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Introduction
Re-design of Ambulatory & Ambulatory Procedure Services Ambulatory care represents approximately 80% of service delivered within the health authority. When the Master Program/Plan was reviewed by the Department of Health it was noted that this space appeared to be underdeveloped. Extensive investigation and analysis of ambulatory programs and service delivery options was completed during the development of the Functional Program. This included program reviews from other facilities, literature reviews/analysis and site visits in Ontario, PEI, Nova Scotia, Florida and Washington. The result is improvements/expansion to allow for improved access, service delivery, efficiencies and cost effectiveness in the delivery of ambulatory care and minor procedures. Severe Respiratory Infection Precautions changes in locations, increased isolation rooms and single patient rooms is in keeping with recommendations for facility construction as a result of the recent Canadian experiences in responding to SARS (Recommendations for Acute Care Facility Planning and Infection Control, Nova Scotia Department of Health), has resulted in some increase in space requirements. Moving forward with these recommendations would establish this facility as the first health care facility in Nova Scotia to have responded to these issues
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Acknowledgements
ACKNOWLEDGMENTS
William Nycum & Associates Limited would like to acknowledge the following individuals who contributed to the development of the CEHHA Functional Program. We would like to express our appreciation to the Steering Committee, staff, physicians and public representatives from the following groups: STEERING COMMITTEE Executive of Board Karen Casey, Board Chair Vernon McCully, Board Vice Chair Ancel Langille, Board Treasurer Irene Wotherspoon, Board Secretary Krista Canning, Chair, Quality Management of Board Peter MacKinnon, CEO Colin Stevenson, VP Operations Sue MacEachern, VP Patient Care Eleanor MacDougall, VP Community Health Shaun MacCormick, Chief of Staff Krista Wood, Public Relations Pat Dunn, Manager, Plant Operations and Maintenance Dan Rice, Information and Communication Services Karen Smith, Employee Health and Infection Control Heather Wolfe, Quality/Decision Support Barry Lampier, Facility Services Representative, Department of Health Brenda Payne, Acute Care Services Representative, Department of Health Dr. Helen Bell, Medical Staff Dr. Masis Perk, Medical Staff Dr. Michael Cook, President, Medical Staff Barbara Goit, Executive Director, CRH Foundation Barb MacKinnon, CRH Foundation Board Member ADMINISTRATION AD-01 Peter MacKinnon, CEO Colin Stevenson, VP Operations Sue MacEachern, VP Patient Care Shaun MacCormick, Chief of Staff Krista Wood, Public Relations Sheri Ansems, Administrative Assistant Gladie McNutt, Executive Assistant Judy MacKay, Administrative Assistant PATIENT REGISTRATION, COMMUNICATIONS AD-02 Lori Murray, Telco Coordinator DHA Carolyn Bartlett, Nurse Manager, ICU/CCU/ER Brenda Soutar, Manager, Lab Services Barry Stride, Director, Ambulatory Services Charlotte Smith, Director, Health Records & Admitting Doreen Green, Pre-Op Clinic Lorraine McKiel, Central Scheduling Clerk Bonnie L. Ross, RN, OPD Clinic Area
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Acknowledgements
HEALTH RECORDS AD-03 Carolyn Bartlett, Nurse Manager, ICU/CCU/ER Charlotte Smith, Director, Health Records Carol Smith, Health Records Clerk Doreen Green, Pre-Op Clinic QUALITY & DECISION SUPPORT AD-04 Gayle MacRae, Secretary, Quality & Decision Support Ruth Ann McOnie, Health Records Analyst Heather Wolfe, Manager, Quality & Decision Support Krista Canning, Chair, Quality Management of Board Shaun MacCormick, Chief of Staff Gayle Matheson, Financial Analyst EDUCATION AD-05 Kristine Carr, Clinical Practice Development Educator Heather Wolfe, Manager, Quality & Decision Support Shirley Russel, Clinical NS Specialist, Maternal / Child Tracey Ungar, Manager, Human Resources Linda Jobe, Telehealth Coordinator Pat Hartling, Director, Human Resources MEDICAL STAFF AD-06 AND PHYSICIAN OFFICES AD-15 Dr. Jamie Rogers, Ophthalmology Dr. David Aylmer, Anesthesia Dr. Robert Boutilier, Laboratory Medicine Dr. Shaun MacCormick, Chief of Staff Dr. Trevor Locke, Family Medicine Dr. Sushil Sharma, Family Medicine Dr. Suraiya Rafiq, Family Medicine Dr. Catherine Folinsbee, Obstetrics Dr. Fred Carpenter, Ophthalmology Dr. Jay Singh, Otolaryngology Dr. David Henderson, Palliative Care Dr. Marilyn MacPherson, Pediatrics Dr. Michael Cook, Surgery & President of Medical Staff INFECTION CONTROL & STAFF HEALTH AD-07 Karen R. Smith, Employee Health & Infection Control Coordinator Heather Wolfe, Manager, Quality & Decision Support Norma MacKenzie, Nurse Manager, Surgery Debbie Fury, Public Health Services Tom White, Manager, Environmental Services VOLUNTEER S AD-08 AND SPIRITUAL CARE AD-09 Don McQueen, Spiritual Care Lynn Yetman, Coordinator, Volunteer Services Judy Carpenter, Vice Chair Pastoral Care Committee, Lay Anglican Visitor Andy Crowell, Baptist Minister Wendy Mosher, CHB Assistant / Volunteer Coordinator Margaret Sagar, Chair, Pastoral Care Committee Bob Lumsden, Volunteer
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AUXILIARY AD-10 Marie Benedict, President, Auxiliary FINANCIAL SERVICES AD-11 Bruce Hennigar, Director of Finance Cathy Pickard, Operations Director, Finance HUMAN RESOURCES AD-12 Tracey Ungar, Manager, Human Resources Heather MacPherson, Coordinator, Human Resources Pat Hartling, Director, Human Resources Jodi Briggs, Coordinator, Human Resources Brenda Arnold, Consultant, Human Resources Lynn Hoeg, Secretary, Human Resources INFORMATION AND COMMUNICATION SERVICES AD-13 Lori Murray, Telco Coordinator Shelley Stronge, Help Desk Specialist Jamie Tobin, Manager, IS Dan Rice, Director, Information & Communication Services FOUNDATION AD-14 Barbara Goit, Executive Director MEDICAL INPATIENT UNIT A IP-01 AND UNIT B IP-02 Beckey Walsh, Occupational Therapist Chantel Bishop, Geriatric Consult Nurse Beth Langille, Rehab Manager Kristin Gray, Inpatient Physiotherapist Denise Patriquin, RPN 4E Ruth Lively, RN 4E Sherry Cummings, Ward Clerk Brenda White, 4E RN Rhonda Sudsbury, Pharmacy Technician Donna MacLean, Nursing Medicine Heather MacGregor, Nurse Manager, Medicine Shaun MacCormick, Chief of Staff SURGICAL INPATIENT UNIT B IP-03 Maria Campbell, RN Elaine Tattrie, RN, BSN, ET Cheryl Rhind, LPN Karen Smith, Employer Health & Infection Control Coordinator Shauna Allen, BN, RN Pre-op Clinic Norma MacKenzie, Nurse Manager Surgery Linda Archibald, LPN Dr. Jamie Rogers, Ophthalmology Dr. Michael Cook, Surgery Shaun MacCormick, Chief of Staff Jill Skinner, Pharmacy Sonya Bond, Ward Clerk
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INTENSIVE AND INTERMEDIATE CARE UNIT IP-04 Brenda Soutar, Manager, Laboratory Services Jason Slaney, Biomedical Technologist Kenda MacCallum, CCU Heather Cooper, Pharmacy Technician Linda Crossman, Staff Nurse CCU Kristine Carr, Clinical Practice Development Educator Carolyn Bartlett, Nurse Manager, ICU / CCU / Emergency Al Illsley, Bio-Med Manager Brian Connick, Manager, Respiratory Erin White, ICU Reta Crowie, ICU Dr. Michael Cook, Surgery Dr. Shaun MacCormick, Chief of Staff Dr. J. Singh, Otolaryngology Dr. Duane Sheppard, Internal Medicine Dr. Masis Perk, Internal Medicine Jill Skinner, Pharmacy MENTAL HEALTH INPATIENT UNIT IP-05 Dianna Fortnum, Director Mental Health Services Valerie Taylor, Staff Nurse (Inpatient) Heather MacEachern, Nurse (Inpatient) Sterling Hubley, Pharmacy Dept. Pam Swainson, Child & Youth Services Manager Krista Stott-Jones, Occupational Therapist (Inpatients) Tony Storer, RN Dr. Gina Hofner, Psychiatrist Dr. Bill Curley, Psychiatrist Mark Scales, Manager, Adult Mental Health Services Dr. Cornelis de Boer, Psychiatry Dr. Hugh Maguire, Psychiatry PALLIATIVE CARE INPATIENT IP-07 Heather MacGregor, Nurse Manager, Medicine Ruth Lively, RN 4E Denise Patriquin, LPN 4E Brenda White, RN 4E Karen Smith, Employer Health & Infection Control Coordinator Bob Lumsden, Volunteer, Palliative Care Lynn Yetman, Manager Volunteer Services Dr. David Henderson, Palliative Care Sherry Cummings, Ward Clerk 4E MATERNAL CHILD PROGRAM IP-08 Shauna MacDonnell, Nurse Manager, Mat/Child Holly Kennedy, Respiratory Therapy Susanne Rushton, Prenatal Clinic Glenda Cameron, Staff Nurse Karen Unicomb, Public Health Nurse Anne Chiasson, Ward Clerk Mat Child Shirley Russell, CNS
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Elizabeth Chapman, Staff Nurse Elizabeth Cooper, Pharmacist Eleanor Marsters, Staff Nurse Tom White, Manager, Environmental Services Dr. Catherine Folinsbee, Ob/Gyn EMERGENCY SERVICES AC-01 Brenda Soutar, Manager, Laboratory Services Heather Jack, RN Emergency Linda Jobe, DI Dept, RTR Mark Scales, Manager, Adult MH. Services Lori Atwater, Pharmacy Technician Carolyn Bartlett, Nurse Manager, ICU/CCU/ER John Inch, Biomedical Engineering Technologist Dr. Mike Howlett, Emergency Tanya Mire, ER Jason Slaney, Bio-Medical Engineering Raj Makkar, Respiratory Therapy Coleen Dean, Pharmacy Tech Bud Sanford, EHS Supervisor Shaun MacCormick, Chief of Staff AMBULATORY CARE / MEDICAL DAY UNIT / UROLOGY AC-02 Peggy Kibyuk, Chemotherapy Bonnie Ross, OPD Norma MacKenzie, Nurse Manager, Surgery Barry Stride, Director, Ambulatory Services Kevin Turnbull, Manager, CSPD / Porter Karen Smith, Employee Health & Infection Control Coordinator Dr. Jamie Rogers, Ophthalmology Brian Connick, Manager, Respiratory Shaun MacCormick, Chief of Staff Eleanor MacDougall, VP Community Health Brenda Soutar, Manager, Laboratory Services Tracey Martin, Manager, Primary HealthCare Carolyn Bartlett, Nurse Manager, ICU/CCU/ER PRIMARY CARE AC-02 Tracey Martin, Manager, Primary HealthCare Shaun MacCormick, Chief of Staff Barry Stride, Director, Ambulatory Services Sue MacEachern, VP Patient Care Eleanor MacDougall, VP Community Health Peter MacKinnon, CEO RENAL DIALYSIS AC-03 Susan MacNeil, Manager, Provincial Dialysis Program David Riggs, Chief Dialysis Technologist, QE II Health Sciences Centre Ann Marie Rose, R.N. for Satellite Clinic, Truro
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MENTAL HEALTH OUTPATIENT UNIT AC-04 Dianna Fortnum, Director, Mental Health Services Pam Swainson, Child & Youth Services Manager Mark Scales, Manager, Adult Mental Health Services Sterling Hubley, Staff Pharmacist Arlene Allen McCarthy, Occupational Therapist, Mental Health Frances MacDonald, Secretary Sandra Brown Tiller, RN Community Mental Health Nurse Steve Gleich, Psychologist Dr. Bill Curley, Psychiatrist Dr. Hugh Maguire, Psychiatrist Elaine Campbell, Adult Services, Social Work Professional Leader Dr. Cornelis de Boer, Psychiatrist DIABETES CENTRE AC-05 Cheryl Hominick, Secretary Maureen Topley, Program Coordinator Angie MacIntyre, Program Coordinator Leanne Patriquin, RN Janice Terry, Dietitian Outpatient Nutrition Services Barry Stride, Director, Ambulatory Services Elsbeth Weatherhead, Dietitian LABORATORY SERVICES DT-01 Barry Stride, Director, Ambulatory Services Jane Kinsman, Medical Laboratory Technologist Margaret Ann Dauphinee, Specific Duty Technologist Hematology Sue Russell, Lab Assistant Heather Archibald, Specific Duty Technologist Micro Deborah Geldart, Senior Laboratory Technologist Margie Bernasconi, Senior Technologist Dr. Bob Boutillier, Pathologist Darlene Gilby, Medical Laboratory Technologist Brenda Soutar, Manager, Laboratory Services DIAGNOSTIC IMAGING DT-02 Barry Stride, Director, Ambulatory Services Georgie White, EKG Dept Team Leader Paul Menhennett, X-Ray Tech Veronica Pettipas, Receptionist Susan Miller, X-Ray Tech Joyce McKarney, Breast Screening Coordinator Sandra McQuillan, Team Leader, Nuclear Medicine Linda Jobe, DI Tech Dr. Nancy McNeil, Radiologist CIU DT-03 Linda Jobe, DI Dept Tech Sandra McQuillan, Team Leader, Nuclear Medicine Joyce McKarney, DI QA Tech Dr. Jagmohan Singh, Internal Medicine Georgie White, EKG Department
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Lynn Cormier, EKG Department Barry Stride, Director, Ambulatory Services Dr. Masis Perk, Internal Medicine DAY SURGERY DT-04 Diane Matheson, Endoscopy clinic nurse Susan Glinz, OR Nurse Norma MacKenzie, Nurse Manager, Surgery Kelly Lynds, OR Nurse Shirley Fraser, RN Judy Maguire, Manager, Supply Distribution Kevin Turnbull, Manager, CSPD/Porters Shauna Allen, BN / Pre-Op Nurse Alta Fanning, Patient Care Leader Surgery Gail Huelin, O.R. Booking Clerk Connie Lumsden, ORT Dr. Nick Clague, Ob/Gyn Dr. Dave Smith, Anesthesiologist Karen Smith, Employee Health and Infection Control Dr. Michael Cook, Surgery Kathy Burgess, Recovery Room Nurse Lynn Knight, LPN Endoscopy Clinic SURGICAL SUITE DT-05 Diane Matheson, Endoscopy clinic nurse Susan Glinz, OR Nurse Norma MacKenzie, Nurse Manager Kelly Lynds, OR nurse Shirley Fraser, RN Judy Maguire, Manager, Supply Distribution Kevin Turnbull, Manager, CSPD/Porters Shauna Allen, BN / Pre-Op Nurse Alta Fanning, Patient Care Leader Surgery Gail Huelin, O.R. Booking Clerk Connie Lumsden, ORT Dr. Nick Clague, Ob/Gyn Dr. Dave Smith, Anesthesiologist Karen Smith, Employee Health and Infection Control Dr. Michael Cook, Surgery Kathy Burgess, Recovery Room Nurse REHABILITATION SERVICES DT-06 Nancy Smith, Physiotherapist Jennifer Mullin, Physiotherapist Ruby Duguay, Physiotherapist Paula Sutherland, Physio Assistant Natalie Wood, Physiotherapist Beth Langille, Manager, Rehab Beckey Walsh, OT Kristin Gray, Physiotherapist John Mosher, Physio Assistant Barry Stride, Director, Ambulatory Services
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Michelle Gould, Physiotherapist Karen Smith, Employee Health and Infection Control Arlene Allen McCarthy, Occupational Therapist, Mental Health RESPIRATORY THERAPY DT-07 Raj Makkar, Respiratory Therapy Holly Kennedy, Respiratory Therapy Lesley Grant, Respiratory Therapy Brian Connick, Manager, Respiratory Therapy Barry Stride, Director, Ambulatory Services SOCIAL WORK AND CONTINUING CARE DT-08 Michele Rigby, Social Worker Barry Stride, Director, Ambulatory Services Cathy Porter, Continuing Care Jan Dearing, Continuing Care Pattie MacEwan, Manager, Social Work/Continuing Care Ruby Knowles, Regional Director, Continuing Care Lisa Grandy, Supervisor of Assessments, Continuing Care Helen Ingraham, Administrative Coordinator, Continuing Care Sue MacEachern, VP Patient Care Tracey Martin, Manager, Primary Health Care PHARMACY DT-09 Elizabeth Cooper, Staff Pharmacist Jill Skinner, Director of Pharmacy Allie Blaikie, Pharmacy Technician Coleen Dean, Pharmacy Tech Lou Harrington, Pharmacist Pieter Vreugdenhil, Staff Pharmacist Heather Cooper, Pharmacy Technician Lori Atwater, Pharmacy Technician Rhonda Sudsbury, Pharmacy Technician Sterling Hubley, Staff Pharmacist PUBLIC FACILITIES SS-01 Collin Stevenson, VP Operations Don McQueen, Spiritual Care Lynn Yetman, Coordinator, Volunteer Services Tom White, Manager, Environmental Services Judy Carpenter, Spiritual Care Pat Dunn, Manager, Plant Operations and Maintenance Barbara Goit, Executive Director, Foundation Marie Benedict, President, Auxiliary DIETARY AND NUTRITION SERVICES DT-02 Monica Krauch, Director, Food Service MATERIEL MANAGEMENT SS-03 Karl Stevens, Director, Materiel Management Alta Fanning, Patient Care Leader Surgery Kevin Turnbull, Manager, CSPD / Porters
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Hazel Parker, Shipping / Receiving Mike Turner, Shipping Receiving Paul Ferguson, Shipping Receiving Al Illsley, Bio-Medical Engineering Pat Dunn, Manager, Plant Operations and Maintenance Judy Maguire, Manager, Supply Distribution Tom White, Manager, Environmental Services Department PLANT MAINTENANCE SS-04 Robin Hill, Electrician Glen Toole, Carpenter Tom White, Environmental Services Carolyn Bartlett, Nurse Manager, ICU/CCU/ER Patrick Dunn, Manager, Plant Operations and Maintenance Judy Maguire, Manager, Supply Distribution ENVIRONMENTAL SERVICES SS-05 Tom White, Manager, Environmental Services Lewis Lynds, Supervisor, Environmental Services Jonathan Hiltz, Environmental Services Team Leader Carolyn Bartlett, Nurse Manager, ICU/CCU/ER Judy Maguire, Manager, Supply Distribution CSPD SS-06 Kevin Turnbull, Manager, CSPD / Porters Judy Maguire, Manager, Supply Distribution Alta Fanning, Patient Care Leader Surgery Julie Farrell, Porter BIOMEDICAL ENGINEERING SS-07 Al Illsley, Biomedical Engineering Manager Jason Slaney, Biomedical Technologist Judy Maguire, Supply Distribution Manager Patrick Dunn, Manager, Plant Operations and Maintenance CHILD DAY CARE SS-08 Sarah Hazel, Director, Near to Me Day Care PUBLIC HEALTH CS-01 Lu Bourque, Director, Public Health Services Dianne Vaughan, Manager, Public Health Services ADDICTION SERVICES CS-02 Mark Scott, Clinical Therapist Steve Currie, Manager IP Services HEARING & SPEECH CS-03 Hal Boon, VP Finance / Operations for NS Hearing & Speech Centres
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Administrative Services AD-01 AD-02 AD-03 AD-04 AD-05 AD-06 AD-07 AD-08 AD-09 AD-10 AD-11 AD-12 AD-13 AD-14 AD-15 Administration Registration / Communications Health Records Quality & Decision Support Education Medical Staff Infection Control / Staff Health Volunteer Resources Spiritual Care Auxiliary Financial Services Human Resources Information & Comm Systems Foundation Physician Offices Subtotal Inpatient Services IP-01 IP-02 IP-03 IP-04 IP-05 IP-06 IP-07 Medical Inpatient Unit A Medical Inpatient Unit B Surgical Inpatient Unit Intensive / Intermediate Care Inpatient Mental Health Maternal Child Unit Palliative Care Unit Subtotal Ambulatory Care Services AC-01 AC-02 AC-03 AC-04 AC-05 Emergency Services Ambulatory Care Services Renal Dialysis Outpatient Mental Health Diabetes Centre Subtotal Diagnostic & Treatment Services DT-01 DT-02 DT-03 Laboratory Services Diagnostic Imaging CIU 8,690.0 10,470.0 2,160.0 1.30 1.50 1.30 11,297.0 15,705.0 2,808.0 Page 16 13,870.0 8,035.0 7,365.0 3,265.0 13,620.0 2,110.0 48,265.0 Var 1.50 1.50 1.40 1.30 1.30 20,469.0 12,052.5 11,047.5 4,571.0 17,706.0 2,743.0 68,589.0 7,822.0 7,553.0 9,553.0 7,250.0 10,254.0 10,178.0 2,939.0 55,549.0 1.50 1.50 1.50 1.50 1.50 1.50 1.50 11,733.0 11,329.5 14,329.5 10,875.0 15,381.0 15,267.0 4,408.5 83,323.5 2,295.0 740.0 3,330.0 1,060.0 2,350.0 850.0 560.0 665.0 515.0 1,730.0 1,930.0 1,325.0 3,180.0 920.0 8,620.0 30,070.0 2,983.5 962.0 4,329.0 1,378.0 3,055.0 1,105.0 728.0 864.5 669.5 2,249.0 2,509.0 1,722.5 4,134.0 1,196.0 11,206.0 39,091.0
Day Surgery Surgical Suite Rehabilitation Services Respiratory Therapy Social Work & Continuing Care Pharmacy Subtotal
3,509.0 6,335.0 5,370.0 1,390.0 1,540.0 2,825.0 42,289.0 3,305.0 6,090.0 4,765.0 3,450.0 2,260.0 3,825.0 570.0 0.0 120.0 Subtotal 24,385.0 4,830.0 3,310.0 2,510.0 Subtotal Total DGSF 10,650.0 211,208.0
Support Services SS-01 SS-02 SS-03 SS-04 SS-05 SS-06 SS-07 SS-08 SS-09 Public Facilities Dietary / Nutrition Services Materiel Management Plant Maintenance Environmental Services Sterile Processing Biomedical Engineering Child Day Care Porter Service 1.30 1.20 1.20 1.15 1.15 1.50 1.30 1.30 1.30 4,296.5 7,308.0 5,718.0 3,967.5 2,599.0 5,737.5 741.0 0.0 156.0 30,523.5 1.30 1.30 1.30 6,279.0 4,303.0 3,263.0 13,845.0 294,410.5
Community Services CS-01 CS-02 CS-03 Public Health Addiction Services Hearing & Speech
Page 17
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to the administrative suite with the waiting space nearby. 2. Locate the boardroom and kitchenette next to but outside the administrative suite for access by the public, staff and board in the evenings and weekends. The kitchenette will be accessed from the Board Room and the corridor. 3. The copier and conference room should be accessible from just inside the administrative suite for access by other administrative departments. 4. One secretarial office should be located between two Vice President offices, one between the CEO and one Vice President and one between the Medical Director and Public Relations Director. 5. The administrative suite should be located with Human Resources, Finance, and Quality and Decision Support departments.
PLANNING CHANGES
1. AD-01 Offices will be reduced from 160 to 140 and 140 to 120 respectively. 2. AD-01.07 Decision support office will be located in AD-04. 3. AD-01.10 Office reduced from 100 to 80 nsf. 4. AD-01.12 File storage will be reduced from 120 NSF to 100 NSF. 5. AD-01.13 Photocopier room will be increased from 80 NSF to 120 NSF. 6. AD-01.15 Increase Kitchenette area from 60 NSF to 80 NSF. 7. AD-01.15 Decrease conference room 260 NSF to 180 NSF to accommodate 12 people. 8. AD-01.17 The staff washroom will be reduced from 40 NSF to 25 NSF. 9. AD-01.18 The coatroom will be increased from 20 to 30 NSF 10. AD-01.19 Delete the visitor washroom reducing the area by 40 NSF
Summary
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Administration Office, CEO Office, VP Patient Care Services Office, Community Health Services Office, Medical Director Office, VP Operations W W W W W 140 120 120 120 120 1 1 1 1 1 140 120 120 120 120
Page 18
AD-01.06 AD-01.07 AD-01.08 AD-01.09 AD-01.10 AD-01.11 AD-01.12 AD-01.13 AD-01.14 AD-01.15 AD-01.16 AD-01.17 AD-01.18 AD-01.19
Office, Director of Public Relations Office, Decision Support Office, multipurpose Waiting (4 people) Reception / clerical Office, Secretary / admin. Assistant Storage, files Photocopier / fax / layout area Boardroom (30 people) Kitchenette Conference room (12 people) Washroom, staff Closet, coat Washroom, visitor (deleted)
W W W W W W W W
1 0 1 1 1 3 1 1 1 1 1 1 1 0
120 0 100 60 80 330 100 120 450 80 180 25 30 0 2,295 1.30 2,983.5
NSF: 140
This office will be used for administrative duties and meetings with staff, physicians, board members and the public.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Recycle bin Waste receptacle 4 chairs
NSF: 120
This office will be used for administrative duties and meetings with staff, physicians and the public.
Page 19
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Recycle bin 4 chairs Waste receptacle
NSF: 120
This office will be used for administrative duties and meetings with staff, physicians and the public.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Recycle bin Waste receptacle 4 chairs
ROOM NAME: Medical Director / Chief of Staff Office ROOM NO: FUNCTION:
AD-01.04
NSF: 120
This office will be used for administrative duties and meetings with staff, physicians and the public.
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Whiteboard Recycle bin Waste receptacle 4 chairs Page 20
Desk chair
This office will be used for administrative duties and meetings with staff and the public.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Recycle bin 4 chairs Plan rack Waste receptacle
NSF: 120
This office will be used for administrative duties and meetings with staff, board members, physicians and the public.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Recycle bin Waste receptacle 4 chairs
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Whiteboard Recycle bin Waste receptacle 1 chair
NSF: 60
Space for four people to wait for appointments with one or more of the administrative staff.
1 side table
Pamphlet rack
NSF: 80
To greet individuals coming to meetings with administrative staff, receive and distribute mail and provide clerical support to the administrative staff.
FURNISHINGS
Workstation Waste receptacle Steno chair Recycle bin
Page 22
ROOM NAME: Office, Secretary / Admin. Assistant ROOM NO: AD-01.11 FUNCTION: OCCUPANCY: 1 Person FURNISHINGS
Desk Steno chair Waste receptacle 1 chair 2 filing cabinets Bookcase
Recycle bin
NSF: 100
Enclosed, secure resource room for senior leadership team for files and record storage, stationery and office supplies.
NSF: 120
Enclosed room for the photocopier, fax machine and layout space for assembling documents.
MAJOR EQUIPMENT
Photocopier Fax machine Colour printer
FURNISHINGS
Shelving for supplies Laminator Shredder collection bin Binding machine Paper recycling bin
Extra outlets
NSF: 450
Meeting space for the board and staff. This room will also serve as the control centre for disaster planning.
MAJOR EQUIPMENT
White boards AV equipment on cart Sound system
FURNISHINGS
Conference table (for 20) with integrated wiring 30 chairs Layout table
NSF:
80
Space from which to prepare and distribute food and / or refreshments during meetings in the Boardroom.
MAJOR EQUIPMENT
Refrigerator Microwave Coffee maker
FURNISHINGS
Soap dispenser Paper towel dispenser
Page 24
NSF: 180
Meeting room for Senior leadership team and staff. Resource manuals will be kept in this room.
FURNISHINGS
Meeting table for 12 with integrated wiring 12 chairs White board
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF: 30
Closet for coats and boots for staff and guests in the administrative suite. This will be located inside the Boardroom.
Page 26
INTERRELATIONSHIPS
1. To be located adjacent to emergency registration, but convenient to main entrance of the hospital. 2. Scheduling office needs public access.
PLANNING CHANGES
1. 2. 3. 4. 5. 6. AD-02.01 Eliminate Reception, provided in SS-01. AD-02.02 Eliminate. Share in Health Records with AD-03.09. AD-02.05 Switchboard. Increase from 100 NSF to 120 NSF. AD-02.06 Lounge, Staff. Reduce from 180 NSF to 60 NSF. AD-02.08 Replace janitor closet with a closet for coats. Reduce from 30 NSF to 20 NSF. AD-02.09 Add Admitting booth increasing area by 60 NSF and located with AC-02.
ISSUES
1. This department does inpatient registration, so will be renamed Admitting / Communications. 2. It is assumed outpatient registration is to be decentralized. Ambulatory care will be a combination of centralized and decentralized registration. 3. This department should be combined with emergency registration. 4. Health Records should be adjacent to share lounge. However, Health Records does not need to be adjacent. 5. Central scheduling can be located almost anywhere as long as it has patient access for booking requisition drop off.
Summary
Room Summary
ROOM AREA
NSF
ID N0.
ROOM NAME
CODE
NO. OF ROOMS
TOTAL AREA
NSF
Admitting / Communications Reception (Incl in SS-01) Photocopy, Supplies (shared w AD-02.03) Office, scheduling (5 people) Office, Bed Utilization / Admitting Switchboard (2 people) Lounge, staff (reduced to kitchenette) Washroom, staff Closet, coats W W W W W W 0 0 400 100 120 60 40 20 0 0 1 1 1 1 1 1 0 0 400 100 120 60 40 20
Page 27
MAJOR EQUIPMENT
Photocopier
FURNISHINGS
4 workstations 1 registration booking booth 5 chairs Lockable filing cabinet (3 drawer) Shelving 2 Bookshelves
NSF: 100
Page 28
FUNCTION:
Computer table
MAJOR EQUIPMENT
Switchboard Monitor gate control Computer Security monitor Pager system
FURNISHINGS
2 chairs Waste receptacle
NSF:
60
Page 29
MAJOR EQUIPMENT
Undercounter refrigerator Water cooler Microwave Kettle Toaster
FURNISHINGS
Table (small) Paper towel dispenser Waste receptacle 2 chairs Soap dispenser
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
20
Varies
Page 30
INTERRELATIONSHIPS
1. Adjacent to Medical Staff. 2. Convenient to Registration/Communications, Emergency, Ambulatory Care and elevators.
PLANNING CHANGES
1. AD-01 Office changed from 140 to 120 nsf. 2. AD-03-03 Office reduced to be 180 nsf from 200 nsf. 3. AD-03.04 Change analysis to abstracting and increase to 5 people increasing area from 240 NSF to 300 NSF 4. AD-03.07 Increase active storage from 920 NSF to 1,000 NSF 5. AD-03.08 Workstation, File Clerk Decrease from 80 NSF to 60 NSF 6. AD-03.11 Relocate outside department nearby 7. AD-03.12 Coat room to coat closet. 8. AD-03.13 Alcove Nourishment reduce from 60 NSF to 30 NSF 9. AD-03.14 Add pneumatic tube station at 20 nsf. 10. AD-03.15 Eliminate meeting room. Shared with AD. 11. AD-03.16 Add room to store binders in at 60 nsf. Add AD-03.14 AD-03.16 Pneumatic Tube Storage, binders, reports, etc. 4,205.5 DGSF 4,329.0 DGSF + 123.5 DGSF 20 NSF 60 NSF
Summary
ROOM SUMMARY
ID N0. ROOM NAME CODE TOTAL ROOM NO. OF AREA AREA ROOMS
NSF NSF
AD-03 AD-03.01 AD-03.02 AD-03.03 AD-03.04 AD-03.05 AD-03.06 AD-03.07 AD-03.08 AD-03.09 AD-03.10 AD-03.11
Health Records Office, director Office, HRA Reception / clerical (3 people) Workstation, coding and abstracting (5 people) Transcription area (2 people) Physician, dictation (3 people) Storage, active patient records Workstation, file clerk Photocopier / fax / layout area Storage, inactive patient records Washroom, staff (deleted) W W W W W W W W W 120 100 180 60 160 120 1,000 60 100 1,050 0 1 1 1 5 1 1 1 1 1 1 0 120 100 180 300 160 120 1,000 60 100 1,050 0
Page 31
Coat closet, staff Alcove, nourishment Pneumatic Tube (new) Meeting room (5 people) (shared AD) Storage, binders, reports (new)
30 30 20 0 60 Sub-total NSF
1 1 1 0 1
NSF: 120
Director of Health Records and Admitting providing management, leadership and direction for the operations of Health Records and Registration/Communications
FURNISHINGS
Desk Computer side table Bookcase Small meeting table 4 meeting chairs Waste receptacle Filing cabinet Credenza Desk chair
NSF: 100
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Computer side table 2 chairs Waste receptacle
Page 32
FURNISHINGS
2 workstations 3 waste receptacles 1 filing cabinet 3 chairs
5 waste receptacles
Printer table
2 waste receptacles
Bookcase
FURNISHINGS
3 chairs Small table 12 of fixed shelving 6 shelves high
Floor loading for mobile shelving must be greater than 95 pounds/sq. foot Layout for mobile shelving and fixed shelving to be developed depending on final layout during design
MAJOR EQUIPMENT
Mobile shelving 3,704 linear feet of shelving or 529 linear feet of mobile shelving, 7 shelves high
FURNISHINGS
2 chart carts
NSF:
60
Page 34
FURNISHINGS
Workstation Waste receptacle Chair Filing cart
FURNISHINGS
Shelving for Supplies Sort table
FURNISHINGS
Standard fixed file shelving 7 shelves high
NSF:
30
NSF:
30
Page 35
FUNCTION:
MAJOR EQUIPMENT
Coffee machine Undercounter refrigerator Microwave Water cooler
FURNISHINGS
Soap dispenser Towel dispenser
NSF:
20
ROOM NAME: Storage, Binders, Report ROOM NO: FUNCTION: OCCUPANCY: FURNISHINGS
Bookshelves Storage cabinets
60
Page 36
INTERRELATIONSHIPS
1. The Quality and Decision Support departments should be located with the administrative suite, Human Resources and Finance. 2. Locate the Patient Representative office next to the Resource Room in SS-01 Public Facilities.
PLANNING CHANGES
1. The staff for this department has been increased as follows: Health Record Analyst (0.8 FTE in Quality & Decision Support and 0.2 FTE for Health Records), Finance Analyst (0.5 FTE in Q&DS and 0.5 in Finance located in Finance), Community Health Planner (0.5 in Q&DS and 0.5 Primary Care). The Utilization Coordinator / Discharge Planner is being proposed to move to this department from Continuing Care. Additional office space is being added for the following future positions: Risk Manager and Quality Manager / Accreditation Coordinator. 2. AD-04.04 The staff washroom will be deleted. Staff will use the washrooms located with Administration AD-01. 3. AD-04.06 New office for the Utilization Coordinator / Discharge Planner at 120 NSF. 4. AD-04.07 Office for Health Record Analyst included in AD-04.09 reducing area by 120 NSF. 5. AD-04.08 New office for the Risk Manager included in AD04.03. 6. AD-04.09 New office for the Health Record analyst increasing area from 100 NSF to 160 NSF. 7. AD-04.10 New office for the Community Health Planner and the Community Health Planner increasing the area from 100 NSF to 160 NSF. 8. AD-04.11 New file storage room has been added at 60 NSF. 9. AD-04.12 and .13 A new office was added for the primary health care manager and related clerical support. Summary Master Program Functional Program Difference 520.0 DGSF 1,378.0 DGSF + 858.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Quality & Decision Support Office, quality manager Office, secretary Office, patient representative / risk manager Washroom, staff (deleted share with AD-01)) Conference (12 people) (shared with AD-01) Office, utilization coord. / discharge planner (new) W W W 120 100 120 0 0 120 1 1 1 0 0 1 120 100 120 0 0 120
Page 37
Office, health record analyst (incl. in AD-04.09) Office, risk manager (new) (incl. in AD-04.03) Office, health record analyst / comm health planner Office, project manager / accred. coord. (new) Storage, file (new) Primary health care manager Clerical staff Sub-total NSF
0 0 1 1 1 1 1
FURNISHINGS
Desk Desk chair 4 chairs Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Shelving Waste receptacle Recycle bin
NSF: 100
The secretary provides administrative support to the Quality & Decision Support staff. This space will include an area for two people to wait before seeing the Quality and Support staff.
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle Recycle bin Filing cabinet Shelving for supplies
Page 38
NSF: 120
This office will be used for administrative duties and meetings with patients and families. This room will be located next to the Family Resource Centre SS-01.07 included in the Public Facilities departmental program.
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Recycle bin Whiteboard 2 chairs Waste receptacle
ROOM NAME: Utilization Coordinator / Discharge Planner Office ROOM NO: FUNCTION:
AD-04.06 This office will be used for administrative duties and meetings with staff.
FURNISHINGS
Desk Desk chair 2 chairs Filing cabinet Bookcase Whiteboard Shelving Recycle bin Waste receptacle
Page 39
ROOM NAME: Health Record Analyst / Community Health Planner Office ROOM NO: FUNCTION:
AD-04.09
NSF: 160
The Health Record Analyst and the Community Health Planner will use this office for administrative duties and meetings with staff.
FURNISHINGS
2 desks 2 desk chairs 2 chairs 2 filing cabinets 2 bookcases 2 workstations with acoustic separation 2 whiteboards Shelving 2 recycle bins 2 waste receptacles
ROOM NAME: Project Manager / Accreditation Coordinator Office ROOM NO: FUNCTION:
AD-04.10
NSF: 160
The Community Health Planner and Project Manager / Accreditation Coordinator will use this office for administrative duties and meetings with staff.
FURNISHINGS
2 desks 2 filing cabinets 2 whiteboards 2 recycle bins Page 40
Shelving
2 waste receptacles
NSF:
60
ROOM NAME: Primary Health Care Managers Office ROOM NO: FUNCTION:
AD-04.12 This office will be used for administrative duties and meetings with staff.
FURNISHINGS
Desk Desk chair 4 chairs Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Shelving Waste receptacle Recycle bin
NSF: 100
The clerical support provides administrative support to the Primary Health Care manager and as required to the Quality & Decision Support staff.
Page 41
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle Recycle bin Filing cabinet Shelving for supplies
Page 42
INTERRELATIONSHIPS
1. Education will have access to the kitchenette in AD 01 Administration. 2. The library needs to be accessible by staff at night without entering the education department. 3. As the gatekeeper, the clerical position should be at the entrance to the education department. 4. Locate the conference room, nursing skills lab and public washrooms close to the entrance to the education department for access by staff without walking through the rest of the education department. The conference room will also be used on weekends. 5. The photocopier room should be located close to the clerical office.
PLANNING CHANGES
1. AD-05.05 This office was reduced from 120 to 100 nsf. Summary Master Program Functional Program Difference 3,081.0 DGSF 3,055.0 DGSF -26.0 DGSF
ROOM AREA
NSF
ROOM SUMMARY
ID N0. ROOM NAME CODE NO. OF ROOMS TOTAL AREA
NSF
AD-05 AD-05.01 AD-05.02 AD-05.03 AD-05.04 AD-05.05 AD-05.06 AD-05.07 AD-05.08 AD-05.09 AD-05.10 AD-05.11 AD-05.12
Education Conference (20 people) Lab, nursing skills Lab, computer training (shared with AD-13) Office, education coordinator Office, telehealth coordinator Office, nurse educator Office, clerical Library Photocopy / stationary supply Storage, telehealth equipment Storage, filing & training manuals Washroom, public W W W W W W W W 300 300 0 120 100 120 100 450 80 80 80 160 2 1 0 1 1 1 1 1 1 1 1 2 600 300 0 120 100 120 100 450 80 80 80 320 2,350 1.30 3,055.0
W Sub-total NSF
NSF: 300
Page 43
FUNCTION:
Meeting room for continuing education programs. The room will be flexible to accommodate a variety of seating arrangements and will be used occasionally for computer training.
There will be a moveable sound proofed partition located between the two conference rooms in order to be able to create one large meeting room for 40 people.
FURNISHINGS
4 meeting tables Waste receptacle 20 chairs White board
Lower Cabinets
MAJOR EQUIPMENT
2 stretchers
FURNISHINGS
15 chairs Soap dispenser Waste receptacle Whiteboard Toilet paper dispenser Paper towel dispenser Tackboard
FUNCTION:
This space is included in the AD-13 Information and Communication Services program.
FURNISHINGS
Desk Desk chair Waste receptacle Filing cabinet Bookcase Whiteboard Small table to seat 3 Tackboard 2 chairs
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase Small table 2 chairs Waste receptacle Tackboard
OCCUPANCY: 1 to 3 People
Page 45
FURNISHINGS
Desk Credenza Desk chair 2 chairs Filing cabinet Bookcase Waste receptacle Tackboard Whiteboard Small table
NSF: 100
This office will be used to provide clerical and admistrative support to the Education staff, coordinates conference room bookings and AV equipment booking.
FURNISHINGS
Desk Desk chair Bookcase Filing cabinet Waste receptacle
NSF: 450
Library for staff research and staff orientation with medical texts, journals and computers to access the Internet and workspace for the librarian. Emphasis will be on on-line access for research.
OCCUPANCY: 1 to 12 people.
FURNISHINGS
2 study carrels Shelving for journals Waste receptacle Desk 10 chairs Shelving for texts Filing cabinet Desk chair
NSF:
80
Upper cabinets
MAJOR EQUIPMENT
Photocopier Waste receptacle
FURNISHINGS
Laminator
NSF:
80
Storage room for the mobile teleconference and televideo equipment, portable slide projectors, overhead projectors etc. This room will also be used to do videoconferencing.
FURNISHINGS
Shelving
Page 47
ROOM NAME: Filing & Training Manuals Storage ROOM NO: FUNCTION:
AD-05.11 Storage room for training manuals, CPR models and filing cabinets.
NSF:
80
FURNISHINGS
Shelving
FURNISHINGS
Soap dispensers Waste receptacles Sharps containers Paper towel dispensers Toilet paper dispensers
Page 48
INTERRELATIONSHIPS
1. The shower, washroom and coatroom will be accessed from the physician lounge. The washroom will be reduced from 35 NSF to 25 NSF and the shower from 40 NSF to 15 NSF. 2. The kitchenette will be located between the lounge and the conference room. 3. The locum apartment will be located in a separate building with Child Day Care.SS-08. 4. The Medical Staff suite will be located close to and on the same floor as the Surgical Suite.
PLANNING CHANGES
1. The washroom will be reduced from 35 NSF to 25 NSF and the shower from 40 NSF to 15 NSF. 2. Two physician administrative offices have been added. 3. The locum apartment has been deleted. Summary Master Program Functional Program Difference 1,645.0 DGSF 1,105.0 DGSF -539.5 DGSF
ROOM AREA
NSF
Room Summary
ID N0. ROOM NAME CODE NO. OF ROOMS TOTAL AREA
NSF
AD-06 AD-06.01 AD-06.02 AD-06.03 AD-06.04 AD-06.05 AD-06.06 AD-06.07 AD-06.08 AD-06.09 AD-06.10 AD-06.11 AD-06.12
Medical Staff Lounge (15 people) Kitchenette Washroom Shower Coat room / mail slots On call rooms (see ER, Mat / Child programs) Library ( see Education program) Conference (10 people) Apartment, living / dining (deleted) Apartment, bedroom (deleted) Bathroom (deleted) Office, physician administration W 300 60 25 15 100 0 0 150 0 0 0 100 1 1 1 1 1 0 0 1 1 1 1 2 300 60 25 15 100 0 0 150 0 0 0 200 850 1.30 1,105.0
Page 49
NSF: 300
Space for medical staff to relax and have informal meetings with each other. This space will include computer workstations for physicians.
FURNISHINGS
15 lounge chairs 4 side tables 3 chairs TV / DVD 2 coffee tables 3 computer workstations
NSF:
60
MAJOR EQUIPMENT
Under counter refrigerator Microwave
FURNISHINGS
Soap dispenser Paper towel dispenser
NSF:
25
Privacy lock
Page 50
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
15
Towel bar
ROOM NAME: On Call Rooms (see ER, Mat / Child Programs) ROOM NO: FUNCTION:
AD-06.06 Included in the AC-01 ER and IP-06 Mat / Child departmental programs.
Meeting space for physicians, staff and medical staff departmental meetings.
OCCUPANCY: 10 people
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Meeting table 10 Chairs White board
FURNISHINGS
Desk Desk chair 2 chairs Filing cabinet Bookcase Whiteboard Shelving Waste receptacle Recycle bin
Page 52
INTERRELATIONSHIPS
1. Central in hospital 2. Convenient to Human Resources
PLANNING CHANGES
It is assumed there will be one full-time Infection Control Nurse, one full-time Staff Health Nurse, and one full-time Occupational Health and Safety person. 1. AD-07.02 Waiting/Resource Reduce from 80 NSF to 60 NSF 2. Add AD-07.05 Office for Infection Control Nurse 120 NSF 3. Add AD-07.06 Office for Occupational Health and Safety 120 NSF 4. Eliminate AD-07.07 Meeting Room (4 People), shared with AD
Summary
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Infection Control/Staff Health AD-07 Office, Staff Health Nurse Waiting / resource Exam / consult / immunization Washroom, staff Office, Infection Control Nurse Office, Occupational Health & Safety (new) Meeting Room (4 people) (new) (shared with AD) W W S,W W W 120 60 100 40 120 120 0 1 1 1 1 1 1 0 120 60 100 40 120 120 0 560 1.30 728.0
Page 53
FURNISHINGS
1 desk 1 desk chair 1 bookcase 1 waste receptacle 2 chairs 2 lateral filing cabinets Recycle receptacle
NSF:
60
Side table
MAJOR EQUIPMENT
Weigh scale Exam table BP unit Otoscope
FURNISHINGS
2 chairs Coat stand Towel dispenser Waste receptacle Step stool Soap dispenser
Page 54
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
FURNISHINGS
1 desk 1 desk chair 2 bookcases 1 waste receptacle 2 side chairs 1 filing cabinet
OCCUPANCY: 13 People
Page 55
FURNISHINGS
1 desk 1 desk chair 1 bookcase 1 waste receptacle 2 chairs 2 lateral filing cabinets Recycle receptacle
Page 56
INTERRELATIONSHIPS
1. The coat storage room will be located in the new Spiritual Care / Volunteer staff room. 2. The new Spiritual Care / Volunteer staff room will be accessible 24 hours a day by keypad access and be located between the volunteer suite and the spiritual care office. 3. The volunteer suite will have the receptionist, workroom and managers office. 4. The volunteer suite should be close to the Lobby SS-01 to be easily found by volunteers and the chaplains.
PLANNING CHANGES
1. AD-08.03 The coat storage room will become a coat closet in the new volunteer / spiritual care staff room. 2. AD-08.05 The staff washroom will be reduced from 40 NSF to 25 NSF. 3. AD-08.06 A new staff room will be created for the volunteers and spiritual staff adding 160 NSF. 4. AD-08.07 Add a new office at 100 NSF for the Community Health Boards. Summary Master Program Functional Program Difference 650.0 DGSF 864.5 DGSF + 214.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Volunteers Reception / clerical (shared with AD-09) Workroom, volunteer (10 people shared with AD-09) Storage, coats (incl. in AD-08.06) Office, manager Washroom, volunteers / staff Volunteer / spiritual care staff room (new) Community health board office (new) W W W W W Sub-total NSF Net-to-gross conversion Total DGSF 80 180 0 120 25 160 100 1 1 0 1 1 1 1 80 180 0 120 25 160 100 665 1.30 864.5
NSF:
80
Page 57
FUNCTION:
Greet volunteers; chaplains; and supports volunteer coordination and planning. The receptionist / clerical position will also book the use of the volunteer workroom. This function is shared with Spiritual Care services, AD-09.
Provide a notice board in the corridor outside the Reception / Clerical office.
FURNISHINGS
Workstation Bookcase Waste receptacle File cabinet Steno chair Pamphlet rack
NSF: 180
This space will be used for volunteer activities, spiritual care staff meetings, activity planning, volunteer orientation training and is shared with Spiritual Care services AD09.
MAJOR EQUIPMENT
AV equipment on cart
FURNISHINGS
Table for ten people 10 chairs Waste receptacle Soap dispenser Shelving for manuals Paper towel dispenser
FUNCTION:
This space will become a coat closet for volunteers and spiritual care services chaplains within the volunteer / spiritual care staff room AD-08.06and will be shared with Spiritual Care services AD-09.
NSF: 120
The Manager of Volunteer Resources who is also the Palliative Care Volunteer Coordinator will use this space. This office will be used for administrative duties and meetings with volunteers and staff.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase Table 4 chairs Waste receptacle Tackboard
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 59
ROOM NAME: Volunteer / Spiritual Care Staff Room ROOM NO: FUNCTION:
AD-08.06
NSF: 160
The volunteers will use this space and spiritual care services staff to meet and rest between duties, get their tags, hand up their coats etc. This space will be shared with Spiritual Care Services AD-09.
FURNISHINGS
Couch seating two people 4 chairs Shelving for manuals Waste receptacle Soap dispenser Pamphlet rack Rack for ID tags Tackboard Paper towel dispenser
NSF: 100
Space for Community Health Board members to meet and use for administrative duties. This will also be shared with the Nova Scotia Palliative Care Association.
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Table 2 chairs Waste receptacle Tackboard
Page 60
INTERRELATIONSHIPS
1. The chapel should be located so that family in emergency and the inpatient units can access this space. This should be located near an elevator to address this need. 2. The chaplain office will be located with AD-08 Volunteers as they are sharing reception, staff room, clerical and workroom space.
PLANNING CHANGES
1. AD-09.03 The chaplain office will be increased in area from 120 NSF to 140 NSF. Summary Master Program Functional Program Difference 643.5 DGSF 669.5 DGSF + 26.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Spiritual Care Reception / clerical (shared with AD-08) Coatroom (shared with AD-08) Office, chaplain (including alcove) Workroom, volunteers (shared with AD-08) Spiritual room (25 people) Staff room (shared with AD-08) Staff workroom (shared with AD-08) 0 0 140 0 375 0 0 0 0 1 0 1 0 0 0 0 140 0 375 0 0 515 1.30 669.5
W W W
Page 61
NSF: 140
Work space for the coordinating Chaplain to meet with other chaplains and for administrative duties.
There will be an alcove located just outside the chaplain office with a computer for clergy to sit at to retrieve list of patients, their location and their assignments.
FURNISHINGS
Desk Tackboard 4 chairs Filing cabinet Bookcase 1 chair in alcove Desk chair Table for 4 people Waste receptacle
NSF: 375
A multi-denominational room to be used for worship, meditation and prayer. When not in use by visitors, patients or families the staff may use this space for debriefings.
FURNISHINGS
25 Chairs Pamphlet rack Table Bookcase
Page 62
ROOM NAME: Volunteer / Spiritual Care Staff Room ROOM NO: FUNCTION:
AD-09.06 This space is included in the AD-08 Volunteer Resources department program.
Page 63
INTERRELATIONSHIPS
1. Convenient to main entrance, public facilities and volunteers. 2. Dietary (SS-02) will continue to order and carry products for Auxiliary and store such in the Dietary walk-in freezer and refrigerators. The Auxiliary freezer will be relocated to the Coffee Shop Storage room.
PLANNING CHANGES
1. AD-10.01 Gift shop increase from 300 NSF to 550 NSF (to encourage revenue generation for hospital funds) and to include storage space in closets. 2. AD-10.02 Storage. Eliminate and incorporate in AD-10.05 and AD.06. 3. AD-10.05 Storage, equipment and supplies increase from 100 NSF to 200 NSF in long-term storage area. 4. AD-10.06 Storage, coffee shop. Separate number and increase to 80 NSF. 5. AD-10.07 Auxiliary art gallery assumed in corridors. Change gross up factor from 1.3 to 1.15 Summary Master Program Functional Program Difference 1,846.0 DGSF 2,249.0 DGSF + 403.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Auxiliary Gift shop Storage, gift & coffee shop (Incl. In AD-10.05/.06) Coffee shop / seating area (35 people) Workroom, auxiliary Storage, equipment supplies Storage, coffee shop (new) Auxiliary art gallery W W W 550 0 700 200 200 80 0 1 0 1 1 1 1 0 550 0 700 200 200 80 0 1,730 1.30 2,249.0
Page 64
MAJOR EQUIPMENT
Beverage cooler Florist cooler Cash register Vault
FURNISHINGS
Display shelving Magazine racks Stool White slat wall board Book racks Card racks Paper rack
MAJOR EQUIPMENT
Refrigerator Coffee machine Hot water dispenser Microwave Refrigerated display cabinet Beverage cooler Deep freeze cabinet Chip rack Soup bowl 4 slice toaster Pizza warmer Cash register
Page 65
FURNISHINGS
Work counter & display Plants Filing cabinet 40 chairs 10 tables
Work space for auxiliary and volunteers, and to count money for bank deposits
Storage cupboards
MAJOR EQUIPMENT
Microwave Coffee machine Hot water dispenser Small fridge
FURNISHINGS
Meeting tables (foldable) 20 chairs (stackable) 2 filing cabinets 4 purse lockers
NSF: 200
To store supplies, paintings and equipment for Auxiliary to be located in long-term storage
TIME OF USE:
Varies
FURNISHINGS
Shelving (adjustable) Art shelving Stackable chairs Patient gift cart Drawers for storage Folding table Coat rack Fireproof filing cabinet
Page 66
NSF:
80
FURNISHINGS
Closet for coats/purses Filing cabinet Chair Shelving Step ladder
OCCUPANCY: Varies
Varies
Page 67
INTERRELATIONSHIPS
1. Adjacent to Human Resources and Administration.
PLANNING CHANGES
The organization of finance has changed since the master program to the following: 1 Finance Director 1 Operations Finance Director 2 Financial Analysts 1 Payroll Manager Plus support staff 1. AD-11 Reduce main offices from 140 to 120 nsf and 120 to 110 nsf respectively. 2. AD-11.03 Provide two separate offices at 110 NSF 3. AD-11.06 Reduce office from 350 to 240 NSF. 4. AD-11.09 Reduce from 350 NSF to 220 NSF 5. AD-11.10 Reduce office from 280 to 140 NSF. 6. AD-11.11 Conference to be shared with AD decreasing area by 120 NSF 7. AD-11.13 Reduce from 100 NSF to 80 NSF 8. AD-11.14 and AD-11.15 Janitor Closet and Staff Washroom were deleted reducing the area by 120 NSF. Summary Master Program Functional Program Difference 3,562.0 DGSF 2,509.0 DGSF - 1,053.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AD-11 AD-11.01 AD-11.02 AD-11.03 AD-11.04 AD-11.05 AD-11.06 AD-11.07 AD-11.08 AD-11.09 AD-11.10 AD-11.11 AD-11.12
Finance Office, Director of Finance Office, Operations Finance Director Office, Financial Analyst Office, Payroll Manager Machine room, Payroll Workroom, Payroll (3 people) Office, Multi-Task Accounting Clerk Mail Room Workroom, accounts receivable (2 people) Workroom, accounts payable (2 people) Conference / auditors (8 people) (shared with AD) Storage, dead file, for payroll, a/p, a/r W W W W W 120 120 110 120 80 240 0 90 220 140 0 500 1 1 2 1 1 1 0 1 1 1 0 1 120 120 220 120 80 240 0 90 220 140 0 500
Page 68
W W W
AD-11.13 Photocopy, supplies AD-11.14 Closet, janitor (deleted) AD-11.15 Washroom, staff (deleted)
W W Sub-total NSF
80 0 0
1 0 0
FURNISHINGS
Desk and run off Credenza Waste receptacle Filing cabinet Bookcase Tackboard 1 Meeting table (4) Desk chair 4 chairs
FURNISHINGS
Desk and run off Credenza Waste receptacle Filing cabinet Bookcase Tackboard 1 Meeting table (4) Desk chair 4 chairs
NSF: 110
Page 69
FUNCTION:
FURNISHINGS
2 workstations 2 desk chairs 2 bookcases 2 waste receptacles 2 side chairs 2 filing cabinets
NSF:
80
MAJOR EQUIPMENT
Computer terminal Burster Fax machine Dedicated modem High speed printer
Page 70
FURNISHINGS
Work table
FURNISHINGS
4 workstations 4 desk chairs 6 five drawer lateral filing cabinets 4 waste receptacles 4 side chairs 1 bookcase 4 computer binder cabinets
NSF:
90
To sort incoming mail, place in mail slots and pick up centre for mail. Prepare outgoing mail.
MAJOR EQUIPMENT
Postage machine Fax machine
FURNISHINGS
1 chair
Page 71
FURNISHINGS
2 workstations 2 desk chairs 4 filing cabinets 2 waste receptacles 2 side chairs
FURNISHINGS
2 workstations 2 desk chairs Supplies cabinet 2 waste receptacles 2 side chairs 4 filing cabinets
ROOM NAME: Storage, Dead File for Payroll, A/P, A/R ROOM NO: FUNCTION:
AD-11.12 For long-term storage of payroll, A/P, A/R documents
Page 72
Subdivide area into 3 areas, one for payroll, one for A/P and one for A/R
FURNISHINGS
Shelving
NSF:
80
FURNISHINGS
Shelving for supplies
Page 73
INTERRELATIONSHIPS
1. Adjacent to Finance and convenient to Administration.
PLANNING CHANGES
1. The management and organization of human resources has changed to as follows: Director of HR HR Manager 3 Project Coordinators (one new position for Health / Safety) Attendance Manager As a result, the offices, space and titles have been changed on AD-12.02, .04, .03, .06 and .09. 2. AD-12.05 Waiting reduced from 60 to 45 NSF. 3. A non-shared photocopier is required located in the storage files. AD-12.07 has been increased from 120 NSF to 180 NSF. 4. Require 2 interview/meeting rooms in AD-12.08 deleted AD-12.13 and AD-12.14. 5. AD-12.10 Staff Washroom and AD-12.11 Photocopier room were deleted. Summary Master Program Functional Program Difference 1,885.0 DGSF 1,722.5 DGSF -162.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AD-12 AD-12.01 AD-12.02 AD-12.03 AD-12.04 AD-12.05 AD-12.06 AD-12.07 AD-12.08 AD-12.09 AD-12.10 AD-12.11 AD-12.12 AD-12.13 AD-12.14
Human Resources Office, Director of Human Resources Office, HR Manager Office, HR Consultant Reception / Secretarial Waiting (3 people) Project Coordinator Storage, files/photocopy Interview / conference (6 people) Office, Attendance Manager Washroom, staff (deleted) Photocopier / paper supplies (included in AD-12.07) Alcove, photo ID Conference / Meeting (12 people) (new) (deleted) Small Meeting (4 people) (new) (deleted) W W W W W W W W W 120 120 100 80 45 100 180 100 120 0 0 60 0 0 1 1 1 1 1 3 1 2 1 0 0 1 0 0 120 120 100 80 45 300 180 200 120 0 0 60 0 0 1,325
Page 74
Sub-total NSF
William Nycum & Associates Limited September 5, 2005
1.30 1,722.5
FURNISHINGS
Desk Credenza Meeting round table Filing cabinet Bookcase Desk chair 4 chairs Waste receptacle Tackboard
FURNISHINGS
Desk Credenza Meeting table Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
Page 75
FURNISHINGS
Desk Tackboard Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle
NSF:
80
1 filing cabinet
Bookcase
NSF:
45
Small cubicle
NSF:
100
2 desk chairs
2 side chairs
Page 76
NSF:
180
FURNISHINGS
Filing shelving to be developed
NSF:
100
White board
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle 3 chairs Filing cabinet Tackboard
FUNCTION:
Deleted
NSF:
60
FURNISHINGS
Chair
Page 78
INTERRELATIONSHIPS
1. The entry to the Information suite should be close to the computer training room, training director office and the directors office. 2. There should be a separate restricted entrance directly from a corridor into the equipment storage room, which would be adjoining the staging area workroom. 3. Information and Communication Services should be located next to Education AD-05 to share computer-training space. This occurs when there is a major upgrade from Meditech for all applications and all staff need updated training.
PLANNING CHANGES
1. AD-13.01 The office is reduced from 140 to 120 NSF. 2. AD-13.07 This will become the administrative assistant office increasing the area from 60 NSF to 100 NSF. 3. AD-13.09 The equipment storage room will be increased from 80 NSF to 260 NSF. 4. AD-13.10 The equipment server room will be increased from 400 NSF to 580 NSF. 5. AD-13.11 The staff washroom will be deleted and shared with AD-01. 6. AD-13.12 This is a new office for three application specialists adding 240 NSF. 7. AD-01.13 This is a new coatroom adding 20 NSF. 8. AD-01.14 A new kitchenette will be provided for staff adding 20 NSF. 9. AD-015 All cabling closets in the new acute care portion of the building and in the office building will need to be 100 NSF each. It is estimated that there will be 4 of these, one in the second building and three in the acute care building. This area is included in the Departmental to Building Gross conversion factor. Ideally these would be located close to the elevators on each floor and must be a maximum of 300 feet for the most distant computer on a given floor. These will serve up to 100 computers each and one Telco rack. These will be included in this program and located during the Master Planning process. Summary Master Program Functional Program Difference 2,678.0 DGSF 4,134.0 DGSF +1,456.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AD-13
Information and Communication Systems W W W 120 100 240 1 1 1 120 100 240
Page 79
AD-13.01 Office, director AD-13.02 Office, training coordinator AD-13.03 IS coordinator office
William Nycum & Associates Limited September 5, 2005
AD-13.04 AD-13.05 AD-13.06 AD-13.07 AD-13.08 AD-13.09 AD-13.10 AD-13.11 AD-13.12 AD-13.13 AD-13.14 AD-13.15
Workroom, staging area Staff workstations (3 people) Help desk office Admin. Assistant office Computer training room Storage, equipment Equipment / server room / telco room Washroom, staff (shared with AD-01) NSIHS application specialist office (3 people) Coat room Kitchenette alcove Cabling closets
W W W W W
1 1 1 1 1 1 1 0 1 1 1 5
200 240 160 100 400 260 580 0 240 20 20 500 3,180 1.30 4,134.0
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Whiteboard Recycling container Waste receptacle 4 chairs
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 80
NSF: 240
Office and workroom for the 3 IS Coordinators. This will include 3 workstations and shelving for equipment, manuals and binders.
FURNISHINGS
Shelving 3 chairs 3 tack boards 3 bookcases 3 desk chairs File cabinet Recycling container 3 waste receptacles
NSF: 200
A workbench and staging area for the IS Coordinators. IS equipment to be repaired, have new software installed etc. is first logged in and located in this staging room.
MAJOR EQUIPMENT
Workbench
FURNISHINGS
Shelving File cabinet 3 adjustable chairs
AD-13.05
NSF: 240
Office and workroom for the 3 Systems Analysts, visiting staff and students. This will include 3 workstations and shelving for manuals, equipment and binders.
FURNISHINGS
Shelving 3 chairs 3 desk chairs 3 tackboards Waste receptacle Recycling container Bookcase File cabinet
NSF: 160
An office for the two Help Staff who answer calls from staff about computer questions / problems and shelving for manuals.
FURNISHINGS
Desk chair File cabinet Shelving Bookcase Waste receptacle Recycling container Tackboard Chair
Office for the administrative assistant providing support to the Information staff.
Page 82
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Waste receptacle Recycling container Shelving for supplies Chair
MAJOR EQUIPMENT
Overhead projector
FURNISHINGS
13 chairs Mobile workstation White board Notice board
NSF: 260
Space for receiving and storing computer equipment and peripherals before being worked on.
Access to this room from corridor separate from main entrance to this suite. This room will have a door into the staging area.
Page 83
FURNISHINGS
12 feet of shelving 100 stacked computer boxes
NSF: 580
Storage room for the Hospital main computer servers, network switches, related telephone company equipment and computer equipment for various departments.
This room will need to be approximately 18 feet x 28 feet to accommodate the equipment and counters. Racks need at least 4 feet clearance in front and back to the counters or other racks.
MAJOR EQUIPMENT
5 Telco equipment racks (2x2) 6 server racks (2x4) 5 Telco data racks (2.5x2.5)
FURNISHINGS
Shelving 2 desk chairs
NSF: 240
Office and workroom for the 3 NSHIA Application Specialists. This will include 3 workstations and shelving for equipment, manuals and binders.
OCCUPANCY: 1 to 6 People
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Shelving 3 chairs 3 tack boards 3 bookcases File cabinet 3 desk chairs 3 waste receptacles Recycling container
NSF:
20
NSF:
20
FURNISHINGS
Microwave Half-height refrigerator Paper towel dispenser Soap dispenser
NSF: 100
Closet for computer servers, network switches, related telephone company equipment for each floor of the acute care building and one floor of the second building.
OCCUPANCY: 1 to 2 People
William Nycum & Associates Limited September 5, 2005
MAJOR EQUIPMENT
4 equipment / server racks (2x2)
FURNISHINGS
Shelving 2 desk chairs
Page 86
INTERRELATIONSHIPS
1. Close to main entrance and public facilities.
PLANNING CHANGES
1. AD-14.01 Has been reduced from 140 to 120 NSF. 2. AD-14.03 Waiting was reduced from 60 to 45 NSF. 3. AD-14.05 Conference/meeting/multipurpose reduce from 150 NSF to 120 NSF. 4. AD-14.07 Expand inactive storage from 80 NSF to 150 NSF. 5. Add AD-14.08 Parking coin sort room 60 NSF Summary Master Program Functional Program Difference 1,111.5 DGSF 1,196.5 DGSF + 84.5.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Foundation Office, executive director Office, clerical Waiting (3 people) Office, planned giving & events (3 people) Conference /meeting/multipurpose (8 people) Storage, equip & supplies Storage, inactive files Parking coin sort room (new) W W W W W 120 100 45 225 120 100 150 60 1 1 1 1 1 1 1 1 120 100 45 225 120 100 150 60 920 1.30 1,196.0
Page 87
FURNISHINGS
Desk Credenza Waste receptacle Filing cabinet Bookcase 1 Meeting table (4) Tackboard Recycling bin Desk chair 4 chairs
ROOM NAME: Office, Clerical ROOM NO: FUNCTION: OCCUPANCY: MAJOR EQUIPMENT
Electric paper folder Secure cabinet Work table
FURNISHINGS
Workstation Steno chair Waste receptacle 2 filing cabinets Bookcase
NSF:
45
ROOM NAME: Office, Planned Giving and Events (3 People) ROOM NO: FUNCTION:
AD-14.04 For staff engaged in planned giving and special events
NSF:
225
Page 88
3 workstations 3 chairs
Tack board
NSF:
120
For meetings with volunteers, staff, groups of donors, etc. when working on campaigns
ROOM NAME: Storage, Equipment and Supplies (Active) ROOM NO: FUNCTION: OCCUPANCY: SPECIAL DESIGN REQUIREMENTS
1 Privacy lock
AD-14.06
NSF:
100
For storage of equipment, signage, banners, decorations, etc. and active files within suite
FURNISHINGS
Ladder
ROOM NAME: Storage, Equipment and Supplies (Inactive) ROOM NO: FUNCTION: OCCUPANCY: ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
William Nycum & Associates Limited September 5, 2005 Page 89
AD-14.07 For storage of inactive files, equipment and supplies at basement level
NSF:
150
60
Periodically
MAJOR EQUIPMENT
Safe Coin sorter (electric) Parking coin collector on wheels
FURNISHINGS
Chair Shelving for supplies
Page 90
INTERRELATIONSHIPS
1. The Physician Offices will be located in the second building. 2. The Physician Offices are sub-divided into individual practice suites for Obstetrics, Pediatrics, ENT, Internal Medicine, Ophthalmology and Surgery. Family Medicine and Urology will be located within Ambulatory Care Services AC-02. Surgery will be further divided into three suites. 3. The Pediatric suite should be at one end of the Office area due to reduce the impact of noise on the other suites. 4. There will be no conscious sedation in the physician offices.
PLANNING CHANGES
1. 2. 3. 4. 5. 6. Active storage was increased to be similar for each clinic area of 140 NSF Office / exam rooms were increased from 120 to 130 NSF. Family medicine rooms will be accommodated in Ambulatory Care. Staff washrooms were revised to include two. One new OBS office and two new PED offices were added. INT medicine waiting was reduced to hold 15 people. Chart storage was combined with the reception areas in INT. 7. Waiting in OPH was reduced to hold 10 people 8. Surgery waiting was increased to hold 30 people with an increase in the reception area to suit. 9. AD-15.57 A physician / exam room for ENT in pediatrics will add 120 NSF. 10. AD-41 to AD-47 Surgery Suite, create three individual suites sharing a Janitor Closet and Barrier Free Public Washroom. This will add 1,680 NSF. 11. Urology offices and reception / waiting were added from Ambulatory Care. 12. The patient washrooms in Urology were reduced to two. 13. Transcription offices for PED and OBS were added. 14. A soiled utility room was added to OBS. 15. 3 exam rooms were added to Surgery. 16. The Urodynamics Room was relocated to APS-01. Summary Master Program Functional Program Difference 7,416.0 DGSF 11,206.0 DGSF + 3,790.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AD-15
AD-15.01 Obstetrics, waiting (20 seats) AD-15.02 Reception / clerical (2 people) OBS AD-15.03 Active chart storage OBS
William Nycum & Associates Limited September 5, 2005
AD-15.04 AD-15.05 AD-15.06 AD-15.07 AD-15.08 AD-15.09 AD-15.10 AD-15.11 AD-15.12 AD-15.13 AD-15.14 AD-15.15 AD-15.16 AD-15.18 AD-15.19 AD-15.20 AD-15.21 AD-15.22 AD-15.23 AD-15.24 AD-15.25 AD-15.26 AD-15.27 AD-15.28 AD-15.29 AD-15.30 AD-15.31 AD-15.32 AD-15.33 AD-15.34 AD-15.35 AD-15.36 AD-15.37 AD-15.38 AD-15.39 AD-15.40 AD-15.41 AD-15.42 AD-15.43 AD-15.44 AD-15.45 AD-15.46 AD-15.47
Alcove, assessment OBS Exam room OBS Office/exam, physician OBS Washroom, patient OBS Washroom, staff OBS (deleted) Storage, clean supplies OBS Kitchenette, staff Pediatric, waiting (12 people) Reception / clerical PEDS Active chart storage PEDS Office / exam, physician PEDS Family room PEDS Storage, supplies PEDS Waiting, Family Med - See AC-02 Reception / clerical - See AC-02 Active chart storage - See AC-02 Office / exam, physician - See AC-02 Exam / consult room - See AC-02 Washroom, patient - See AC-02 Storage, clean supplies - See AC-02 Internist, waiting (15 people) Reception / clerical INT Active chart storage INT (incl. in AD-15.26) Exam / consult INT (deleted) Office / exam, physician INT Washroom, patient INT Ophthalmology, waiting (20 people) Reception / clerical (2 people) OPH Active chart storage OPH Exam, ophthalmic OPH Exam, field OPH Waiting, pre treatment (10 people) OPH Office, physician OPH Pre assessment, technician OPH Washroom, staff OPH (deleted) Waiting, surgery (30 people) Reception / clerical / records SUR Office / exam room, physician SUR Storage, clean supplies SUR (deleted) Washroom, patient SUR Washroom, public Washroom, public Closet, janitor
W W W
W W W
W W
W W W W W W W W W W W W W BF W
50 80 130 40 0 60 80 180 80 140 130 80 60 0 0 0 0 0 0 0 225 80 0 0 130 40 300 120 60 160 150 150 100 100 0 450 300 130 0 40 60 40 40
1 3 4 1 0 1 1 1 1 1 4 1 1 0 0 0 0 0 0 0 1 4 0 0 4 1 1 1 1 3 1 1 2 1 0 1 1 3 0 1 1 1 1
50 240 520 40 0 60 80 180 80 140 520 80 60 0 0 0 0 0 0 0 225 320 0 0 520 40 300 120 60 480 150 150 200 100 0 450 300 390 0 40 60 40 40
Page 92
AD-15.48 AD-15.49 AD-15.50 AD-15.51 AD-15.52 AD-15.53 AD-15.54 AD-15.55 AD-15.56 AD-15.57 AD-15.58 AD-15.59 AD-15.60 AD-15.61 AD-15.62 AD-15.63 AD-15.64 AD-15.65 AD-15.66
Waiting, Urology (15 people) Reception / clerical Urology Office, physician Urology Exam room, Urology Storage, clean supplies Urology Washroom, patient Urology Washroom, public (See AC-02) Washroom, public (See AC-02) Closet, janitor (See AC-02) Office / exam room ENT PEDS (new) Transcription office (3 people) OBS / PED (new) Office / exam, palliative care (incl. in Hospital) Soiled utility OBS (new) Washroom, patient PED (new) Exam room SUR (new) Washroom, staff (new) Procedure Room, Urodynamic (incl in APS-01) Urology Nurse Office (new from AC-02) Urology exam with ultrasound (new from AC-02)
W W
W W
1 1 3 3 1 2 0 0 0 1 1 0 1 1 3 2 0 1 1
225 120 360 240 80 80 0 0 0 130 180 0 60 40 240 50 0 100 120 8,620 1.30 11,206.0
Space for 20 patients and family to wait for appointments with the obstetrics staff.
FURNISHINGS
20 chairs 4 side tables Pamphlet display rack Magazine rack Waste receptacle
NSF: 120
To greet patients and family with appointments with the obstetrical staff, receive and distribute mail and provide clerical support to the obstetrics staff.
Page 93
FURNISHINGS
Workstation for two 2 steno chairs Waste receptacle 2 filing cabinets Bookcase
NSF:
50
An alcove in which to weigh patients and take blood pressure before an exam.
MAJOR EQUIPMENT
Patient scale Blood pressure cuff
FURNISHINGS
2 chairs
NSF:
80
Page 94
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Waste receptacle 1 chair Soap dispenser Paper towel dispenser
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Soap dispenser Waste receptacle 1 chair Desk Bookcase Filing cabinet Paper towel dispenser Desk chair
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
60
FURNISHINGS
Shelving
80
MAJOR EQUIPMENT
Undercounter refrigerator Ice machine Microwave Kettle
FURNISHINGS
Soap dispenser Paper towel dispenser
Page 96
Space for 10 patients and family to wait for appointments with the pediatricians.
FURNISHINGS
12 chairs 2 side tables Pamphlet display rack Magazine rack Waste receptacle
NSF:
80
To greet patients and family with appointments with the pediatricians, receive and distribute mail and provide clerical support to the physicians.
FURNISHINGS
Workstation 1 steno chair Waste receptacle 1 filing cabinets Bookcase
Page 97
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Soap dispenser Waste receptacle 1 chair Desk Bookcase Filing cabinet Paper towel dispenser Desk chair
NSF:
80
FURNISHINGS
2 rocking chairs 3 side tables 1 lounge chair
NSF:
60
OCCUPANCY: 1 Person
Page 98
FURNISHINGS
Shelving
FURNISHINGS
15 chairs 4 side tables Pamphlet display rack Magazine rack Waste receptacle
NSF:
80
To greet patients and family with appointments with the internists, receive and distribute mail and provide clerical support to the physicians.
FURNISHINGS
Workstation 1 steno chair Waste receptacle 1 filing cabinets Bookcase
FUNCTION:
Incl. in AD-15.26
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Soap dispenser Waste receptacle 1 chair Desk Bookcase Filing cabinet Paper towel dispenser Desk chair
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle Page 100 William Nycum & Associates Limited September 5, 2005
Space for 20 patients and family to wait for appointments with the ophthalmologists.
FURNISHINGS
20 chairs 4 side tables Pamphlet display rack Magazine rack Waste receptacle
NSF: 120
To greet patients and family with appointments with the ophthalmology staff, receive and distribute mail and provide clerical support to the staff.
FURNISHINGS
Workstation for two 2 steno chairs Waste receptacle 2 filing cabinets Bookcase
NSF:
60
Page 101
This room needs to be 20 feet long to accommodate standard eye chart exam. This room must be able to be completely darkened for exams.
MAJOR EQUIPMENT
Exam chair Slit lamp Screen for acuity test Autorefractor Ophthalmoscope Acuity test projector Lensometer Trial frame lens set
FURNISHINGS
Adjustable stool Waste receptacle Soap dispenser Paper towel dispenser 1 chair
Instrument cabinet
MAJOR EQUIPMENT
Trial frame lens set Slit lamp
FURNISHINGS
Adjustable stool Waste receptacle Soap dispenser Paper towel dispenser 1 chair
Page 102
NSF: 150
Space for 10 patients to wait for treatment by ophthalmology staff after receiving eye drops for dilation.
Magazine rack
Waste receptacle
NSF: 100
This office will be used for administrative duties by the ophthalmologists and meetings with staff and / or patients.
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Tackboard 1 chair Waste receptacle
Page 103
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase 1 chair Tackboard Waste receptacle
FURNISHINGS
30 chairs 3 side tables Pamphlet display rack Magazine rack Waste receptacle
NSF: 300
To greet patients and family with appointments with the physicians, receive and distribute mail and provide clerical support to the physicians and store medical records.
FURNISHINGS
Workstation Bookcase Waste receptacle 1 steno chair 1 filing cabinets
Page 104
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Soap dispenser Waste receptacle 1 chair Desk Bookcase Filing cabinet Paper towel dispenser Desk chair
NSF:
80
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 105
NSF:
60
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
40
Hanging hooks
Page 106
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
FURNISHINGS
Chairs
MAJOR EQUIPMENT
Computer
FURNISHINGS
Chair Shelving
OCCUPANCY: 1 to 3People
Page 107
FURNISHINGS
Desk 2 chairs Filing cabinet Waste receptacle Desk chair Tackboard Bookcase
NSF:
80
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Waste receptacle 1 chair Soap dispenser Paper towel dispenser
ROOM NAME: Clean Supply Storage Urology ROOM NO: FUNCTION: FURNISHINGS
Shelving
NSF:
80
ROOM NAME: Urology Washroom (Adjoining Each Exam Room) ROOM NO: FUNCTION:
AD-15.53 Patient Washroom
Page 108
NSF:
40
Privacy lock
MAJOR EQUIPMENT
Uroflow with open bucket
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
ROOM NAME: Public Washrooms and Janitor Closet ROOM NO: FUNCTION:
AD-15.54 and 55 and 56 Included in AC-02
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Paper towel dispenser Waste receptacle 1 chair Desk chair Bookcase Soap dispenser Filing cabinet Desk
Page 109
MAJOR EQUIPMENT
3 computers
FURNISHINGS
3 chairs Shelving
ROOM NAME: Soiled Utility room for OBS ROOM NO: FUNCTION:
AD-015.60 Cleaning space for soiled OBS equipment
NSF:
60
FURNISHINGS
Paper towel dispenser Soap dispenser Garbage containers
NSF:
40
OCCUPANCY: 1 Person
Page 110
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Adjustable stool Waste receptacle 1 chair Soap dispenser Paper towel dispenser
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 111
Office for Urology Nurse to meet with patients and complete administrative duties
FURNISHINGS
Desk 2 chairs Bookcase Filing cabinet Desk chair Waste receptacle
ROOM NAME: Urology Exam / Consult with Portable Ultrasound ROOM NO: FUNCTION:
AD-15.66 Exam room for urology patients
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus Small lines cart Portable Ultra Sound Uroflow with open bucket
FURNISHINGS
Exam table or stretcher Soap dispenser Waste receptacle Paper towel dispenser Adjustable stool Linen hamper
Page 112
Page 113
PLANNING CHANGES
1. IP-01.01, 02, 03, 04 Increased numbers of singles and reduced number of doubles for same total capacity. 2. IP-01.11 Delete assisted shower. Use shower in patient ensuite bathroom. 3. IP-01.13 Medication preparation. Reduce to 80 NSF. Carts not being used. Will have servers in patient rooms. 4. IP-01.15 Increased dictation / physician work to 2 stations. 5. IP-01.17 Patient Lounge. Reduce to seat 10. 6. IP-01.20 Linen Storage reduced size and provides 2 in convenient locations. 7. IP-01.21 Nourishment centre. Increase size to accommodate 2 retherm food carts 8. IP-01.26 Clerical nurse specialist office. Reduce to 100 NSF. 9. IP-01.30 Washroom, staff. Reduce to 25 NSF per standard. 10. IP-01.33 Add multipurpose office. 11. IP-01.34 Add night cupboard. 12. One of the medical units may be designated for ward isolation. 13. The following fixtures should be motion sensored: faucets, soap dispensers, hand sanitizer dispensers and paper towel dispensers. Summary Master Program Functional Program Difference 11,671.5 DGSF 11,733.0 DGSF +61.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
IP-01 IP-01.01 IP-01.02 IP-01.03 IP-01.04 IP-01.05 IP-01.06 IP-01.07 IP-01.08 IP-01.09 IP-01.10 IP-01.11 IP-01.12 IP-01.13 IP-01.14 IP-01.15
Medical Inpatient Unit A (24 Beds) 1-Bed room, medical Bathroom, ensuite 2-Bed room, medical Bathroom, ensuite 3-Bedroom, medical (included in IP-01.01 and .03) Bathroom, ensuite (included in IP-01.02 and .04) Isolation, 1 Bed Bathroom, ensuite Ante room, isolation Bath, assisted tub Shower, assisted (deleted) Workstation, care team (6 people) Medication preparation Conference, report (12 people) Dictation / physician work S,W W S,W W 186 60 280 60 0 0 186 60 80 160 0 310 120 180 80 10 10 6 6 0 0 2 2 2 1 0 1 1 1 1 1,860 600 1,680 360 0 0 372 120 160 160 0 310 120 180 80
Page 114
IP-01.16 IP-01.17 IP-01.18 IP-01.19 IP-01.20 IP-01.21 IP-01.22 IP-01.23 IP-01.24 IP-01.25 IP-01.26 IP-01.27 IP-01.28 IP-01.29 IP-01.30 IP-01.31 IP-01.32 IP-01.33 IP-01.34
Quiet room, family (6 people) Lounge, patient (10 people) Utility, clean Utility, soiled Storage, linen (alcove) Nourishment centre Storage, equipment Alcove, wheelchair / stretchers Alcove, emergency cart Office, manager Office, clinical nurse specialist Locker room, staff (shared with IP-02) Shower, staff Kitchenette, staff Washroom, staff Closet, janitor Washroom, public Office, multipurpose Night cupboard
W W W W W W W W W S,W W W W
W W W Sub-total NSF
120 200 140 120 15 120 200 30 20 120 100 210 40 60 25 40 60 100 60
1 1 1 1 2 1 1 1 1 1 1 1 1 1 2 1 1 1 1
120 200 140 120 30 120 200 30 20 120 100 210 40 60 50 40 60 100 60 7,822 1.50 11,733.0
Wheelchair/stretcher accessible Track system (into bathroom as well) One room will be close to Workstation for observation with window and privacy curtains. Shorter corridors with central NSG station
Page 115
MAJOR EQUIPMENT
Electrical bed 8 long with multi-alarm functions
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair Visitors chair (2) Non-tilt step stool Television wall mounted Paper towel dispenser Soap dispenser Mirror Tackboard Waste receptacle Sharps container Glove dispenser Clock fan
NSF:
60
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
FURNISHINGS
Antibacterial hand sanitizer dispenser Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 116
Beds to be located on longer wall One 2-bed room will be close to Workstation for observation with window and privacy curtains. Track system for transferring patients
MAJOR EQUIPMENT
2 Electrical beds 8 long On wall hand sanitizer waterless, alcohol based handwash dispenser (staff / visitors)
FURNISHINGS
2 Overbed tables 2 Bedside cabinets 2 Non-tilt step stool 2 Televisions wall mounted 2 Patient lounge chairs 4 Visitors chairs
Internet access
NSF:
60
Page 117
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
FURNISHINGS
Hand sanitizer dispenser Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 118
2 3 4 5
Viewing window between ante-room and patient rooms Natural lighting (windows) Intercom between ante room and patient room Track system within room
MAJOR EQUIPMENT
Electrical bed 8 long
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair 2 Visitors chairs Non-tilt step stool Television wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Fan Clock Soap dispenser
NSF:
60
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
Intravenous hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
Window between ante room and patient room blinds controlled in ante room. Intercom between ante room and patient room
FURNISHINGS
2 foot pedal garbage cans 2 foot pedal laundry bins
Page 120
Combines visibility of patient bedrooms with confidentiality Central at entrance to unit Glassed in Two entry points Designated ward clerk work station facing corridor
MAJOR EQUIPMENT
Computers
FURNISHINGS
8 Chairs
ROOM NAME: Medication Preparation (locked, swipe-card accessible) ROOM NO: FUNCTION:
IP-01.13 To prepare and control medications for patients
MAJOR EQUIPMENT
Full size refrigerator (no freezer compartment) alarm and interior lock box
FURNISHINGS
Garbage (step on) Bulletin board IV cart
FURNISHINGS
Meeting table 12 chairs White board Projector screen
Page 122
NSF:
80
FURNISHINGS
3 Chairs
FURNISHINGS
Sofa bed Sofa chair Lamp recliner 2 side tables
Page 123
FURNISHINGS
2 Chairs Sofa bed TV (ceiling hung DVD) End tables Recliner 2 lamps
Next to and accessible from the medication preparation room Close to nurses station Access from 2 sides
FURNISHINGS
Medical/surgical supply cart (7 feet) Respiratory supply cart Dressing cart Oxygen tank cart Sterile supply cart (5 ft.) IV cart (3-4 ft.)
Page 124
MAJOR EQUIPMENT
Shelving lots Under counter refrigerator (for collection of 24 hour urine specimens)
FURNISHINGS
Garbage bag stands or Carts with foot pedals Hand sanitizer Soiled linen stands or carts step on Large sharps container Paper towel dispenser Soap dispenser foot pedal
15
Counter
MAJOR EQUIPMENT
Refrigerator (full size) 1 Retherm cart Ice machine Toaster Coffee maker Microwave Kettle
FURNISHINGS
Paper towel dispenser Soap dispenser Hand sanitizer
To store the medical equipment and furniture used in the department or on the unit
Wide doors to move equipment Square (versus long and narrow) easier to remove equipment
MAJOR EQUIPMENT
Infusion pumps
FURNISHINGS
Scale
30
20
Page 126
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
An office for the CNS to plan and perform administrative duties and meet with staff.
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
ROOM NAME: Staff Locker Room (Shared with IP-02 and IP-07) ROOM NO: FUNCTION:
IP-01.27 For staff to store personal belongings
Page 127
FURNISHINGS
Half-height lockers Coat and shoe racks Mirrors Bench shelving Waste receptacles
40
FURNISHINGS
Mirrors Shelves for towels
60
Page 128
1 2
Adjoining locker room / shower by door Entry to hallway with swipe lock
MAJOR EQUIPMENT
2 full-size refrigerators 3 Microwaves Drawers Kettle Coffee pot Toaster (4 slice)
FURNISHINGS
Table 6 chairs Waste receptacle TV / Cable Comfortable chairs Paper towel dispenser Sofa Beds (storms) Soap dispenser
25
Close to nurses station (toilet / sink added to shower / lounge) Cupboard over toilet for storage of personal items
FURNISHINGS
Soap dispenser foot pedal Hand sanitizer Paper towel dispenser Toilet paper dispenser Waste receptacle
40
OCCUPANCY: 1 Staff
Page 129
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
60
Privacy lock
FURNISHINGS
Soap dispenser foot pedal Hand sanitizer Paper towel dispenser Toilet paper dispenser Waste receptacle
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
NSF:
60
Page 130
FUNCTION:
TIME OF USE:
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 131
PLANNING CHANGES
1. IP-02.01, 02, Increased to 13. 2. IP-02 One private and one double room close to workstation for observation. 3. IP.02.03, 04 2 bed rooms reduced to 4 4. IP-02.05 Increased size of room to be consistent with Medical Unit A. 5. IP.02.06 Shower, assisted. Delete. Use showers in ensuite. 6. IP.02.08 Workstation, care team. Increased to 250 nsf. 7. IP-02.09 Increased size of room to be consistent with Medical Unit A. 8. IP-02.13, 14 Clean and soiled increased to be consistent with Medical Unit A. 9. IP-02.15 Changed to 2 alcoves for linen carts. 10. IP-02.16 Increased to accommodate 2 dietary retherm carts. 11. IP-02.17 Dining / lounge. Reduced to 200 NSF to serve as lounge only and mirror impatient unit A. 12. IP-02.18-19 Therapy rooms and office should be located central to Units A, B and Palliative Care. 13. IP-02.20 Bathroom ADL deleted. Use main rehab dept. 14. IP-02.21 Storage increased in size to store wheelchairs, geri-chairs, walkers etc. and be consistent with Medical Unit A. 15. IP.02.33 Treatment room added. 16. IP.02.34 Alcove, emergency cart added. 17. IP-02.36 Public washroom added. 18. IP.02.35, 36,37 Isolation room added. 19. IP.02.38 Public washroom added. Summary Master Program Functional Program Difference 11,042.0 DGSF 11,329.5 DGSF +287.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
IP-02 IP-02.01 IP-02.02 IP-02.03 IP-02.04 IP-02.05 IP-02.06 IP-02.07 IP-02.08 IP-02.09 IP-02.10
Medical Inpatient Unit B (23 Beds) 1-Bed room, medical Bathroom, ensuite 2-Bed room, medical Bathroom, medical Bath, assisted tub Shower, assisted (deleted) Washroom, patient (deleted) Workstation, care team (6 people) Medication preparation Dictation / physician workstation S,W W S,W W S,W 186 60 280 60 160 0 0 310 120 80 11 11 5 5 1 0 0 1 1 1 2,046 660 1,400 300 160 0 0 310 120 80
Page 132
IP-02.11 IP-02.12 IP-02.13 IP-02.14 IP-02.15 IP-02.16 IP-02.17 IP-02.18 IP-02.19 IP-02.20 IP-02.21 IP-02.23 IP-02.24 IP-02.25 IP-02.26 IP-02.27 IP-02.28 IP-02.29 IP-02.30 IP-02.31 IP-02.32 IP-02.33 IP-02.34 IP-02.35 IP-02.36 IP-02.37 IP-02.38
Conference, report (10 people) Quiet room Utility, clean Utility, soiled Storage, linen Nourishment centre Dining / Lounge (10 people) Therapy room (with kitchenette) Office, therapist (2 people) Bathroom, ADL (incl. in DT-06) Storage, equipment Locker room, staff (shared with IP-01) Shower, staff (shared with IP-01) Lounge, staff (shared with IP-01) Alcove, wheelchair / stretchers Office, geriatric consultant nurse (deleted) Exam, consult (deleted) Waiting (3 people) (deleted) Office, stroke program (deleted) Washroom, staff Closet, janitor Isolation, 1-Bed (new) Bathroom, isolation (new) Anteroom, isolation (new) Washroom, public (new) Treatment room (new) Alcove, emergency cart (new)
W W W W W W W
150 120 140 120 15 120 200 350 120 0 200 0 0 0 30 0 0 0 0 25 40 186 60 80 40 120 20
1 1 1 1 2 1 1 1 1 0 1 0 0 0 1 1 0 0 0 1 1 2 2 2 1 1 1
150 120 140 120 30 120 200 350 120 0 200 0 0 0 30 0 0 0 0 25 40 372 120 160 40 120 20 7,553 1.50 11,329.5
Wheelchair/stretcher accessible Track system (into bathroom as well) One room will be close to Workstation for observation with window and privacy curtains. Shorter corridors with central NSG station
Page 133
MAJOR EQUIPMENT
Electrical bed 8 long with multi-alarm functions
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair Visitors chair (2) Non-tilt step stool Television wall mounted Paper towel dispenser Soap dispenser Mirror Tackboard Waste receptacle Sharps container Glove dispenser Clock fan
NSF:
60
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
FURNISHINGS
Antibacterial hand sanitizer dispenser William Nycum & Associates Limited September 5, 2005 Toilet paper dispenser Waste receptacle Page 134
Soap dispenser
Beds to be located on longer wall One 2-bed room will be close to Workstation for observation with window and privacy curtains. Track system for transferring patients
MAJOR EQUIPMENT
2 Electrical beds 8 long On wall hand sanitizer waterless, alcohol based handwash dispenser (staff / visitors)
FURNISHINGS
2 Overbed tables 2 Bedside cabinets 2 Non-tilt step stool 2 Televisions wall mounted 2 Patient lounge chairs 4 Visitors chairs
Internet access
NSF:
60
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
FURNISHINGS
Hand sanitizer dispenser Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 136
Combines visibility of patient bedrooms with confidentiality Central at entrance to unit Glassed in Two entry points Designated ward clerk work station facing corridor
MAJOR EQUIPMENT
Computers
FURNISHINGS
8 Chairs
ROOM NAME: Medication Preparation (locked, swipe-card accessible) ROOM NO: FUNCTION:
IP-02.09 To prepare and control medications for patients
OCCUPANCY: 1 3 Staff
William Nycum & Associates Limited September 5, 2005
MAJOR EQUIPMENT
Full size refrigerator (no freezer compartment) alarm and interior lock box
FURNISHINGS
Garbage (step on) Bulletin board IV cart
NSF:
80
FURNISHINGS
3 Chairs
NSF: 150
FURNISHINGS
Meeting table 12 chairs White board Projector screen
FURNISHINGS
Sofa bed Sofa chair Lamp recliner 2 side tables
Next to and accessible from the medication preparation room Close to nurses station Access from 2 sides
Page 139
FURNISHINGS
Medical/surgical supply cart (7 feet) Respiratory supply cart Dressing cart Oxygen tank cart Sterile supply cart (5 ft.) IV cart (3-4 ft.)
MAJOR EQUIPMENT
Shelving lots Under counter refrigerator (for collection of 24 hour urine specimens)
FURNISHINGS
Garbage bag stands or Carts with foot pedals Hand sanitizer Soiled linen stands or carts step on Large sharps container Paper towel dispenser Soap dispenser foot pedal
NSF:
15
Page 140
Counter
MAJOR EQUIPMENT
Refrigerator (full size) 1 Retherm cart Ice machine Toaster Coffee maker Microwave Kettle
FURNISHINGS
Paper towel dispenser Soap dispenser Hand sanitizer
FURNISHINGS
2 Chairs Sofa bed TV (ceiling hung DVD) End tables Recliner 2 lamps
Page 141
MAJOR EQUIPMENT
Staircase Parallel bars Stationary bicycle Gym mats Treadmill height refrigerator Wall pulleys
FURNISHINGS
2 Chairs Paper towel dispenser Soap dispenser
FURNISHINGS
2 Desks Waste receptacle 2 Desk chairs Filing cabinet Bookcase Whiteboard Recycling container Tackboard 2 chairs
To store the medical equipment and furniture used in the department or on the unit
Wide doors to move equipment Square (versus long and narrow) easier to remove equipment
MAJOR EQUIPMENT
Infusion pumps
FURNISHINGS
Scale
ROOM NAME: Staff Locker Room (Shared with IP-01) ROOM NO: FUNCTION:
IP-02.23 This space is included in the IP-01 Inpatient Unit A departmental program
ROOM NAME: Staff Shower (Shared with IP-01) ROOM NO: FUNCTION:
IP-02.24 This space is included in the IP-01 Inpatient Unit A departmental program
ROOM NAME: Staff Lounge (Shared with IP-01) ROOM NO: FUNCTION:
IP-02.25 This space is included in the IP-01 Inpatient Unit A departmental program
NSF:
30
Page 143
FUNCTION:
NSF:
25
FURNISHINGS
Soap dispenser foot pedal Hand sanitizer Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 144
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
MAJOR EQUIPMENT
Electrical bed 8 long
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair 2 Visitors chairs Non-tilt step stool Television wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Fan Clock Soap dispenser
Page 145
NSF:
60
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
Page 146
Window between anteroom and patient room blinds controlled in anteroom. Intercom between ante room and patient room
FURNISHINGS
2 foot pedal garbage cans 2 foot pedal laundry bins
60
Privacy lock
FURNISHINGS
Soap dispenser foot pedal Hand sanitizer Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 147
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher- hi-low Adjustable stool Hand sanitizer Waste receptacle Step stool Glove dispenser Soap dispenser Sharps dispenser Paper towel dispenser
20
Page 148
INTERRELATIONSHIPS
1. The team workstation is the centre of the surgical inpatient unit. The day surgery postoperative space and the observation rooms (2 single rooms) should be located close to the workstation. This will also be close to the public entry point to the surgical inpatient unit. 2. The surgical unit will be divided into two 16-bed units. 3. Locate the utility rooms and other support spaces centrally to the two inpatient wings. 4. The patient lounge will be located at the end of one of the patient wings. 5. The public washroom will be located next to the patient lounge. 6. The staff bathroom and coatroom will be accessed from the staff lounge. 7. The Surgical Inpatient Unit will be located close to the Surgical Suite for transfer of patients after surgery and close to Day Surgery for transfer of patients who need further observation after hours.
PLANNING CHANGES
1. IP-03.14 Increase workstation area for pneumatic tube station from 350 NSF to 370 NSF. 2. IP-03.19 Clean utility room will be increased from 160 NSF to 180 NSF. 3. IP-03.20 Soiled utility room will be increased from 150 NSF to 180 NSF. 4. IP-03.22 Equipment storage will be increased from 150 NSF to 160 NSF. 5. IP-03.25 Nourishment centre will be increased from 80 NSF to 120 NSF. 6. IP-03.30 Changed to be a bathroom with shower. 7. IP-03.31 Combined with IP-03.30 deleting 40 NSF. Summary Master Program Functional Program Difference 14,247.0 DGSF 14,329.5 DGSF +82.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Surgical Inpatient Unit (32 Beds) 1-Bed room, patient Bathroom, ensuite 2-Bed room, patient Bathroom, ensuite 3-Bedroom, patient Bathroom, ensuite Isolation, 1 bed S,W S,W S,W S,W S,W W S,W 186 60 280 60 400 60 186 12 12 8 8 1 1 1 2,232 720 2,240 480 400 60 186
Page 149
IP-03.08 IP-03.09 IP-03.10 IP-03.11 IP-03.12 IP-03.13 IP-03.14 IP-03.15 IP-03.16 IP-03.17 IP-03.18 IP-03.19 IP-03.20 IP-03.21 IP-03.22 IP-03.23 IP-03.25 IP-03.26 IP-03.27 IP-03.28 IP-03.29 IP-03.30 IP-03.31 IP-03.32 IP-03.33 IP-03.34 IP-03.35
Bathroom, ensuite Ante room, isolation Extended, day surgery stay (4 sites) Washroom, ensuite extended day Assisted tub Assisted shower Workstation, team (8 people) Medication, preparation (2 carts) Dictation station Conference (10 people) Exam / consult Utility, clean Utility, soiled Storage, linen Storage, equipment Quiet room, family (6 people) Nourishment centre Alcove, emergency cart Alcove, Stretcher (1), wheelchair (2) Closet, janitor Lounge, patient (10 people) Bathroom, staff Shower, staff (incl. in IP-03.30) Coat / boot room, staff Kitchenette, staff Office, manager Washroom, public
W S,W S,W W W W W
W W W W W W W W
W W Sub-total NSF
60 80 400 40 160 80 410 120 20 150 120 180 180 80 160 120 120 20 50 40 200 40 0 135 60 120 40
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 0 1 1 1 1
60 80 400 40 160 80 410 120 20 150 120 180 180 80 160 120 120 20 100 40 200 40 0 135 60 120 40 9,553 1.50 14,329.5
Locate the bathroom on the outside wall. Two single rooms will be used for observation. These will have windows between the corridor and bedrooms for staff to see in and be visible from the team workstation.
Page 150
MAJOR EQUIPMENT
Electrical bed 8 long
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair Non-tilt step stool Television wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Sharps container Soap dispenser Visitors chair
NSF:
60
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF: 280
MAJOR EQUIPMENT
2 electrical beds 8 long
FURNISHINGS
2 overbed tables 2 bedside cabinets 2 patient lounge chairs Non-tilt step stool 2 televisions wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Sharps container Soap dispenser 2 visitors chairs
NSF:
60
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
Toilet
Shower unit
MAJOR EQUIPMENT
3 electrical beds 8 long
FURNISHINGS
3 overbed tables 3 bedside cabinets 3 patient lounge chairs Non-tilt step stool 3 televisions wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Sharps container Soap dispenser 3 visitors chairs
NSF:
60
Page 153
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
Electrical bed 8 long
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair Non-tilt step stool Television wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Sharps container Soap dispenser Visitors chair
NSF:
60
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
FURNISHINGS
Soap dispenser Waste receptacle Paper towel dispenser
NSF: 400
This is an extended day surgery recovery room to foster one-day stays for patients who could be discharged from day surgery in 12 16 hours.
Page 155
MAJOR EQUIPMENT
4 stretchers
FURNISHINGS
4 overbed tables 4 bedside cabinets 4 visitors chairs Non-tilt step stool 4 wall mounted televisions Paper towel dispenser Mirror Tackboard Waste receptacle Sharps container Soap dispenser
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
William Nycum & Associates Limited September 5, 2005 Page 156
Patient lift
NSF:
80
Combines visibility of patient bedrooms with confidentiality Visible at entrance to unit and into the two observation bedrooms. One area segregated for the ward clerk and a shared space for the clinical pharmacist
MAJOR EQUIPMENT
Addressograph
FURNISHINGS
Filing cabinets Recycling bin White board Bulletin board Waste receptacle
Page 157
MAJOR EQUIPMENT
3 medication carts Refrigerator with alarm and internal lock box. IV Cart (3x5)
FURNISHINGS
Soap dispenser Whiteboard Paper towel dispenser Tackboard Toilet paper dispenser Waste receptacle
NSF:
20
Page 158
FURNISHINGS
Chair
FURNISHINGS
Meeting table White board 10 Chairs
MAJOR EQUIPMENT
Diagnostic set wall mtd Blood pressure apparatus
FURNISHINGS
Exam table Paper towel dispenser Waste receptacle Adjustable stool Soap dispenser
Page 159
FURNISHINGS
Medical/surgical supply cart (3x5) Sterile supply cart (3x5) Shelving for disposable items Dressing cart Soap dispenser Paper towel dispenser 4 utility carts (3x2) IV cart (3x5)
This room will be rectangular in shape to optimize on use of wall space for carts and stands.
FURNISHINGS
2 garbage bag stands 6 soiled linen stands 3 recyclable containers Soap dispenser Shelving dirty supplies 3 commode chairs Paper towel dispenser 10 IV pumps
Page 160
NSF:
80
FURNISHINGS
Shelving
To store the medical equipment and furniture used in the department or on the unit
This room will be rectangular in shape to optimize on use of wall space for equipment.
MAJOR EQUIPMENT
10 IV pumps 2 rollaway cots 4 floor fans 2 geri chairs
FURNISHINGS
Scale Patient lift 4 folded wheelchairs
2 side tables
Coffee table
Page 161
This room will be rectangular in shape to optimize on use of wall space for carts.
MAJOR EQUIPMENT
Refrigerator 2 rethermalization carts (2x3) Toaster
FURNISHINGS
Soap dispenser Paper towel dispenser
NSF:
20
NSF:
50
OCCUPANCY: 1 Person
Page 162
MAJOR EQUIPMENT
2 stretchers
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
FURNISHINGS
7 chairs Sofa 2 end tables Coffee table
NSF:
40
OCCUPANCY: 1 Person
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
FURNISHINGS
40 half-height lockers Coat and shoe racks Bench Waste receptacles
NSF:
60
40 mail slots
MAJOR EQUIPMENT
Refrigerator Microwave Toaster
Page 164
FURNISHINGS
Table 7 chairs Waste receptacle Sofa (for 3) Soap dispenser Paper towel dispenser Whiteboard Tackboard
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase Waste receptacle Whiteboard Table Recycling container Tackboard 3 chairs
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
Page 165
Page 166
INTERRELATIONSHIPS
1. The quiet family room & family lounge should be close to the entrance of the unit. 2. Clean & Soiled Utility rooms should be accessible from the outside corridor for stocking of supplies & removal of soiled items without staff needing to traverse the unit. 3. The staff lounge should be located close to, but possible outside, the unit. 4. There must be a direct elevator or corridor to quickly move patients from the ER, surgical suite and inpatient units, to the ICU. 5. A pneumatic tube station is required to the lab and pharmacy. If located within the unit it should not be shared. If located outside the ICU it should be immediately accessible TO ICU. 6. Respiratory therapy should be very close to ICU.
PLANNING CHANGES
1. IP.04.01. The size of the ICU rooms has been increased to 260 NSF to reflect current standards & provide adequate space for staff, patient & equipment. 2. IP.04.08. Bathroom, Ensuite. Reduced from 45 NSF to 40 NSF to be consistent with the other 2 piece patient washrooms. 3. IP.04.09. Shower, Assisted. Intermediate Care. Deleted 1 shower should serve the entire unit. 4. IP.04.18. Nourishment Centre. Increased to 120 NSF to accommodate dietary food carts. 5. IP.04.21. Storage, Equipment. Increased to ensure adequate space for equipment. 6. IP.04.24. Shower, Assisted. Deleted. 7. IP.04.25. Washroom, staff. Reduced to 25 NSF to be consistent with other staff WCs. 8. IP.04.29. Lounge, Staff. Reduced from 200 NSF to 160 NSF for 8 people. 9. IP.04.31. Alcove, Linen Cart. 2 spaces at 15 NSF each added to accommodate linen carts. 10. IP.04.32. Physician Work. An enclosed area of 50 NSF added for quiet physician work & dictation. Summary Master Program Functional Program Difference 10,080.0 DGSF 10,875.0 DGSF +795.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Intensive Care / Intermediate Care (15 Beds) 1-Bed room, Combined ICU Isolation, 1-bed Combined ICU Anteroom, isolation Shower, assisted Combined ICU (deleted) 1 Bed room, Intermediate Care S,W S,W S,W S,W S,W 260 260 80 0 220 6 2 2 0 5 1,560 520 160 0 1,100
Page 167
IP-04.06 IP-04.07 IP-04.08 IP-04.09 IP-04.10 IP-04.11 IP-04.12 IP-04.13 IP-04.14 IP-04.15 IP-04.16 IP-04.17 IP-04.18 IP-04.19 IP-04.20 IP-04.21 IP-04.22 IP-04.23 IP-04.24 IP-04.25 IP-04.26 IP-04.27 IP-04.28 IP-04.29 IP-04.30 IP-04.31 IP-04.32
Isolation, 1-bed, Intermediate Care Anteroom, isolation Bathroom, ensuite, 2 piece Shower, assisted, Intermediate Care (deleted) Bedroom, on-call Bathroom, ensuite Workstation, nursing (8 people) Combined ICU Workstation, nursing (5 people) Intermediate Care Medication preparation Conference, report (12 people) Quiet room, family (8 people) Lounge, family (14 people) Nourishment centre Utility, clean Utility, soiled Storage, equipment Alcove, stretcher / wc (2) Alcove, emergency cart Shower, assisted, Combined ICU Washroom, staff Office, research Locker room, staff Shower, staff Lounge, staff (8 people) Closet, janitor Alcove, linen cart (new) Physician workstation (new)
S,W W
W W W
W S,W W W
220 80 40 0 100 60 410 250 120 180 120 280 120 160 150 400 30 20 60 25 100 85 30 160 40 15 50
2 2 7 0 1 1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 1 1 1 1 1 2 1
440 160 280 0 100 60 410 250 120 180 120 280 120 160 150 400 60 40 60 25 100 85 30 160 40 30 50 7,250 1.50 10,875.0
Glazing and mini blinds to provide visual supervision and privacy Clear width and depth from corridor to window of 15ft and 17ft along corridor Breakaway doors to room to open to a minimum of 10ft Page 168
MAJOR EQUIPMENT
Electrical intensive care bed Monitoring equipment Ventilator Ceiling hung TV
FURNISHINGS
Overbed table Visitors chair Mirror Tackboard Bedside table Waste receptacle Paper towel dispenser Soap dispenser
Dimmer switches
ROOM NAME: Combined ICU 1-Bed Room Isolation ROOM NO: FUNCTION:
IP-04.02 To provide a private bedroom for an isolation inpatient
Glazing and mini blinds Clear width and depth from corridor and window of 15ft & 17ft & along corridor Breakaway doors to room to open to a minimum of 10ft Room to allow 360 degree access to patient
MAJOR EQUIPMENT
Electrical bed 8 long Ventilator Monitoring equipment Ceiling hunt TV Page 169
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair Non-tilt step stool Television wall mounted Visitors chair Mirror Tackboard Waste receptacle Paper towel dispenser Soap dispenser
Dimmer switches
NSF:
80
FURNISHINGS
Soiled linen hamper Garbage hamper
Page 170
MAJOR EQUIPMENT
Electrical intensive care bed Monitoring equipment Wall or ceiling mounted TV
FURNISHINGS
Overbed table Visitors chair Mirror Tackboard Paper towel dispenser Soap dispenser Waste receptacle Bedside cabinet
MAJOR EQUIPMENT
Electrical intensive care bed Monitoring equipment
FURNISHINGS
Overbed table Visitors chair Mirror Tackboard Paper towel dispenser Soap dispenser Waste receptacle
Overbed light
NSF:
80
FURNISHINGS
Soiled linen hamper Garbage hamper
NSF:
40
OCCUPANCY: 1
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
TV Computer
FURNISHINGS
Bed Chair Desk
NSF:
60
Towel bar
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
ROOM NAME: Nursing Workstation, Combined ICU ROOM NO: FUNCTION: IP-04.12
Space for staff to chart etc
MAJOR EQUIPMENT
Central monitor Nurse call main panel Computer
FURNISHINGS
Chairs
ROOM NAME: Nursing Workstation, Intermediate care ROOM NO: FUNCTION: IP-04.13
Space for staff to chart etc.
MAJOR EQUIPMENT
Central monitor Nurse call main panel Computer
FURNISHINGS
Chairs
Page 174
MAJOR EQUIPMENT
Full height refrigerator alarm and interior lock box Automated medication dispenser IV cart
White board
Projector screen
Page 175
1 2
Home like decor Accessible to back ICU & IMCU, close to entrance
FURNISHINGS
Chesterfield sofa chair Lamp Coffee table side tables
MAJOR EQUIPMENT
Refrigerator Microwave Computer hookup TV Hot water dispenser Phone
FURNISHINGS
Sofas Chairs Coffee Tables Reading Lamps
NSF: 120
Space for staff to store and prepare light nourishments for patients as well as for rethermalization or dietary trays on carts
MAJOR EQUIPMENT
Refrigerator Retherm cart Microwave Ice dispenser
FURNISHINGS
Medical/surgical supply cart (7 feet) Dressing cart Sterile supply cart (5 ft.) IV cart (3-4 ft.)
FUNCTION: Space to dispose and/or hold soiled items for pickup OCCUPANCY: 1 SPECIAL DESIGN REQUIREMENTS
1 2 2 entrances May be subdivided into 2
FURNISHINGS
Garbage bag stands or carts Soiled linen stands or carts Carts for soiled trays
NSF: 400
To store the medical equipment and furniture used in the department or on the unit
Page 177
MAJOR EQUIPMENT
Infusion pumps Ventilators. Transport monitors Defibrillator carts Blood warmers Pacemaker insertion cart
FURNISHINGS
Scale
NSF:
30
OCCUPANCY: 1 FURNISHINGS
2 wheelchairs Stretcher
NSF:
20
MAJOR EQUIPMENT
Emergency cart
NSF:
60
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle 2 chairs Filing cabinet
NSF:
85
Page 179
40 f-height lockers
Bench
Waste receptacles
NSF:
30
MAJOR EQUIPMENT
Full height refrigerator Hot water dispenser Microwave Toaster
FURNISHINGS
Table Soap dispenser Waste receptacle Paper towel dispenser Bulletin Board Chairs
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
15
NSF:
50
MAJOR EQUIPMENT
Dictating equipment
FURNISHINGS
Chair
Page 181
INTERRELATIONSHIPS
1. 2. 3. 4. 5. 6. Bedrooms to be grouped in pods of 4 or 5 with visibility from care station. Bedrooms to be grouped in one area and therapy spaces in another. Unit to be close to outpatient mental health to share space and staff. Convenient access to ECT Convenient access to ambulatory care for diagnostic and treatment Convenient access to ER
PLANNING CHANGES
1. IP.05.01. Care station increased to include chart storage & workstations for charting. 2. IP-05.03. Medication education room was deleted. 3. IP-05.04. 1-Bed rooms reduced in size to reflect philosophy of care that patients should spend limited time in the bedroom other than sleep time. Provide home-like environment. 4. IP.05.04 & .05. All bedrooms to be singles with ensuite toilet & sink. Shower/tub to be shared on basis of 1 per pod of 4 or 5. 16 of the bedrooms have been reduced to 140 NSF. 4 of the bedrooms will remain at 186 nsf to allow for standard hospital bed and assisted care. The larger rooms have been added as IP. 05.43 & washroom ensuite IP.05.44. 5. IP-05.08 and .11. The two bedrooms and consult room have been deleted. 6. IP.05.14. Conference room was deleted. 7. IP.05.20. Psychology office testing becomes a nurse report room. 8. IP.05.33. Smoke room was deleted. 9. IP-05.34. Room reduced to a kitchenette. 10. IP.05.40. Bedroom, child/adolescent. Reduced to 140 nsf. 11. IP-05.40 Reduce size of bedroom to be consistent with adult size philosophy. 12. IP.05.42. Bathroom to be sink & toilet only. Shower shared between 4 beds. 13. A shared shower/tub has been added to each pod as IP.05.45 14. An assisted shower has been added for the whole 24 beds-IP.05.46. Summary Master Program Functional Program Difference 17,355.0 DGSF 15,381.0 DGSF - 1,974.0 DGSF
ROOM AREA
NSF
ROOM SUMMARY
ID N0. ROOM NAME CODE NO. OF ROOMS TOTAL AREA
NSF
Inpatient Mental Health (24 beds) Workstation, care team (5 people) Medication preparation Medication education (deleted) 1-Bedroom, adult mental health, standard Washroom, ensuite W 250 100 0 140 40 1 1 0 16 16 250 100 0 2,240 640
Page 182
S,W W
IP-05.06 IP-05.07 IP-05.08 IP-05.09 IP-05.10 IP-05.11 IP-05.12 IP-05.13 IP-05.14 IP-05.15 IP-05.16 IP-05.17 IP-05.18 IP-05.19 IP-05.20 IP-05.21 IP-05.22 IP-05.23 IP-05.24 IP-05.25 IP-05.26 IP-05.27 IP-05.28 IP-05.29 IP-05.30 IP-05.31 IP-05.32 IP-05.33 IP-05.34 IP-05.35 IP-05.36 IP-05.37 IP-05.38 IP-05.39 IP-05.40 IP-05.41 IP-05.42 IP-05.43 IP-05.44 IP-05.45 IP-05.46
Therapeutic Quiet (TQ) Room (secure) Washroom, ensuite TQ room 2-Bedroom, adult mental health (deleted) Bathroom (deleted) Exam room Consult room Group Therapy (15 people) Interview / consult (6 people) Conference / multipurpose (25 people) Family room (5 people) Reading / resource room Office, manager Office, pharmacy specialist Office, psychiatry Office, nursing / report Office, social worker Office, OT Utility, clean Utility, soiled Closet, linen Laundry, personals Dining / kitchenette patient (20 people) Activity room Exercise, client Kitchen, ADL Lounge, patient (12 people) Kitchenette / dining (adolescent) Smoke room (1 person) Lounge, staff (reduced to kitchenette) Locker room, staff Washroom, staff Washroom, Public Storage, client Closet, janitor Bedroom, child/adolescent short stay Office, Recreation Therapist Washroom, ensuite 1 Bedroom, large (new) Washroom, ensuite (new) Shared shower / tub (new) Shower, assisted (new)
S,W W
S,W W W W W W W W W W W W W
W W W W W W
W BF
120 40 0 0 80 0 400 120 0 160 140 120 100 140 220 140 140 120 100 80 120 340 300 300 150 270 140 0 60 210 25 60 80 40 140 140 40 186 40 60 60
2 2 0 0 1 0 1 2 0 1 1 1 1 2 1 2 1 1 1 1 1 1 1 1 1 1 1 0 1 1 2 1 1 1 4 1 4 4 4 5 1
240 80 0 0 80 0 400 240 0 160 140 120 100 280 220 280 140 120 100 80 120 340 300 300 150 270 140 0 60 210 50 60 80 40 560 140 160 744 160 300 60 10,254
Page 183
1.50 15,381.0
MAJOR EQUIPMENT
Computer terminal 1 fax machine
FURNISHINGS
4 chairs with wheels
lockable Adjacent to patient care station and Nursing office Adjacent to a small medication education room to meet with the patient and administer medication. Page 184
MAJOR EQUIPMENT
Full height refrigerator alarm and interior lock box
MAJOR EQUIPMENT
Stationary bed unit
FURNISHINGS
Fold down table Waste receptacle Beside cabinet Patient lounge chair Shatter proof mirror
sink
NSF:
40
FURNISHINGS
Soap dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
Video monitoring system Sound/communication monitoring system Key pad access to room
FURNISHINGS
Floor mattress only Weighted blankets Weighted gowns
Page 186
NSF:
40
NSF:
80
OCCUPANCY: 1-4
Page 187
MAJOR EQUIPMENT
Exam table or stretcher Weight scales BP machine Privacy curtain
FURNISHINGS
2 chairs Foot stool Desk or counter workspace
MAJOR EQUIPMENT
Large white board TV incorporated into cupboards VCR/CD ROM installed in cupboards Flip chart
FURNISHINGS
20 stackable chairs
Page 188
NSF: 120
For use by care team members including dietary, pharmacy, PT and OT to consult with clients and families
FURNISHINGS
Coffee table 4 chairs comfortable 2 side tables
FURNISHINGS
5 Comfortable chairs 1 coffee table 2 side tables
FURNISHINGS
6 comfortable chairs 2 small side tables
MAJOR EQUIPMENT
1 computer
FURNISHINGS
Desk Bookcase Waste receptacle Filing cabinet Desk chair Tackboard 1 Meeting table (4) Credenza 4 chairs
Page 190
MAJOR EQUIPMENT
1 computer
FURNISHINGS
Desk 2 chairs Bookcase Filing cabinet Desk chair Waste receptacle
MAJOR EQUIPMENT
1 computer
FURNISHINGS
4 chairs 1 desk 1 desk chair 1 small table 1 filing cabinet 1 waste receptacle 1 credenza 1 bookshelves
Page 191
MAJOR EQUIPMENT
Computer
FURNISHINGS
Chairs
FURNISHINGS
4 chairs 1 bookcase 1 desk chair 1 filing cabinet 1 desk 1 small meeting table
Page 192
MAJOR EQUIPMENT
1 computer
FURNISHINGS
4 chairs 1 bookcase 1 desk chair 1 filing cabinet 1 desk 1 small meeting table
FURNISHINGS
Linen cart
OCCUPANCY: 1
William Nycum & Associates Limited September 5, 2005
MAJOR EQUIPMENT
Bed pan flusher
FURNISHINGS
Garbage bag stands or Carts Soiled linen stands or
80
MAJOR EQUIPMENT
Front load washer Iron 6 collapsible hooks Front load dryer Ironing board
Page 194
MAJOR EQUIPMENT
Refrigerator Microwave Retherm cart Spring water dispenser Stove exhaust Heat top unit White board Hot water dispenser Dishwasher Stove/oven
FURNISHINGS
5 tables 20 chairs
FUNCTION: Space for patients to participate in activities such as crafts and woodworking. OCCUPANCY: 8 ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
Built in shelves Drying racks Built in locked cupboards Built in cupboards
MAJOR EQUIPMENT
TV- built in cupboard VCR/CD ROM build in 1 phone 1 computer built into Page 195
cupboard
cupboard
FURNISHINGS
3 tables 12 chairs White board
1 computer hook up
MAJOR EQUIPMENT
Treadmill Stationary bicycle Balls Mats Safe weight machine i.e.: bio flex machine Rubber bands Rowing machine
FURNISHINGS
Spring water dispenser
NSF: 150
Page 196
FUNCTION:
MAJOR EQUIPMENT
Domestic stove Full size refrigerator freezer on the bottom Dishwasher Microwave Built in recycle bins Spring water dispenser
FURNISHINGS
Table 2 chairs
Visible to staff of unit Home like decor This space could be used to accommodate a small sitting/social area in each pod
MAJOR EQUIPMENT
TV VCR/CD ROM Sound system
FURNISHINGS
3 glider rocking chairs 4 lounge chairs 2 coffee table 4 side tables
MAJOR EQUIPMENT
Undercounter refrigerator Microwave Ice dispenser
FURNISHINGS
Dining table- seats 6 6 chairs
60
Page 198
MAJOR EQUIPMENT
Full size refrigerator Toaster 1 phone 2 microwaves Kettle
FURNISHINGS
Paper towel dispenser Waste receptacle Recycling bins Soap dispenser
FURNISHINGS
Full height lockers Bench Coat and shoe racks Recycling bins
25
OCCUPANCY: 1 Staff
Page 199
MAJOR EQUIPMENT
Pedestal sink Toilet
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
60
Toilet
Unbreakable mirror
NSF:
80
Page 200
FURNISHINGS
24 lockers
40
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
ROOM NAME: Child / Adolescent Short Stay Bedroom ROOM NO: FUNCTION:
IP-05.40 To provide a private bedroom for an inpatient
MAJOR EQUIPMENT
Bed
FURNISHINGS
Bedside cabinet Patient lounge chair Waste receptacle Soap dispenser Mirror Visitors chair Overbed table
Overbed light
Night light
NSF: 140
Office for recreation therapist to meet privately with patient and support person and to plan programs
FURNISHINGS
Desk 1 Meeting table (4) Filing cabinet 4 chairs Tackboard Waste receptacle 1 Desk chair
40
FURNISHINGS
Soap dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
Stationary bed unit
FURNISHINGS
Fold down table Waste receptacle Beside cabinet Patient lounge chair Shatter proof mirror
NSF:
40
FURNISHINGS
Soap dispenser Toilet paper dispenser Waste receptacle
No shower unit
NSF:
60
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle
NSF:
60
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle
Page 204
INTERRELATIONSHIPS
1. 2. 3. 4. 5. 6. 7. LBRP must be adjacent to the surgical suite for caesarian sections. The Stabilization Nursery needs to be located close to the nursing station, staff washroom and blanket warmer alcove. Two single rooms will be located close to the nursing station for observation of ill patients by the staff. A pediatric medical day unit (IP.06.31) will be located close to entrance to the maternal/child unit and nest to the pediatric treatment room. Located one staff washroom close to the staff lounge. The department needs convenient access to a pneumatic tube station. An additional on call room is required somewhere in the building to be shared.
PLANNING CHANGES
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. IP-06.03 Pediatric observation converted to pediatric medical day unit (MDU). Observation to occur in inpatient bed. IP-06.04. 34, 35, 36. All patient rooms to be identical. Not designated maternity or pediatric. Bedrooms changed to all privates. A scrub area with 3 sinks has been added for each LBRP. If design allows, these could be shared between 2 -3 rooms. IP-06-10 Early assessment was changed from one room with three stretchers to two rooms increasing area from 350 NSF to 400 NSF and adding a second washroom for the second room. IP-06.15. Washroom, fetal assessment. Increased from 30 to 40 NSF per other patient washrooms. IP-06.19. Storage, linen. Changed from 80 nsf to 3 alcoves x 15 nsf or 45 NSF. IP-06.20. Kitchenette, nourishment. Changed to 1 and increased in size to accommodate dietary carts. IP-06.21. Washroom, staff. Reduced from 30 nsf to 25 nsf per other staff washrooms. IP-06.22. Workstation, care team. Increased from 250 NSF to 300 NSF to reflect equipment & staff. IP-06.23 Medication prep was increased to be 100 NSF. IP-06.33. Treatment/exam pediatrics. Increased from 100 to 120 NSF. IP-06.39. 40. Delete separate pediatric clean & soiled utility. IP-06.44. Changed function from exam room to breastfeeding room. IP-06.49. Changed to locker room with full lockers for change to scrubs. IP-06.51. The staff lounge was reduced from 160 NSF to 120 NSF. IP-06.60. A pediatric medication storage room was added. Master Program Functional Program Difference 15,354.0 DGSF 15,267.5 DGSF -87.0 DGSF
Summary
Page 205
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
IP-06 IP-06.01 IP-06.02 IP-06.03 IP-06.04 IP-06.05 IP-06.06 IP-06.07 IP-06.08 IP-06.09 IP-06.10 IP-06.11 IP-06.12 IP-06.13 IP-06.14 IP-06.15 IP-06.16 IP-06.17 IP-06.18 IP-06.19 IP-06.20 IP-06.21 IP-06.22 IP-06.23 IP-06.24 IP-06.25 IP-06.26 IP-06.27 IP-06.28 IP-06.29 IP-06.30 IP-06.31 IP-06.32 IP-06.33 IP-06.34 IP-06.35 IP-06.36 IP-06.37
Maternal Child Unit LBRP Bathroom, patient Storage, equipment 1-Bed room (maternal / pediatric swing) Bathroom, patient (maternal / pediatric swing) 2-Bed room, antepartum / postpartum (deleted) Bathroom, patient (deleted) Alcove, blanket warmer Alcove, baby scales (2) Early labour assessment / triage (2 stretchers) Washroom, patient Washroom, public Early labour lounge / family waiting (8 seats) Fetal assessment room Washroom, ensuite fetal assessment Nursery, stabilization (3 sites) Utility, clean Utility, soiled Alcove, linen storage Kitchenette, nourishment Washroom, staff Workstation, care team (8 people) Medication preparation Report, conference (10 people) Storage, equipment Alcove, emergency cart Alcove, stretcher (1) / wheelchair (2) 1-Bed room, isolation Ante room, isolation Bathroom, patient Pediatric MDU (2 places) Washroom, patient Treatment / exam, pediatrics 1-Bed room, pediatric (deleted) Bathroom, patient (deleted) 2-Bed room, pediatric (deleted) Bathroom, pediatric (deleted) S,W W S,W W S,W W 280 60 30 200 60 280 60 20 25 233 40 30 160 120 40 400 120 150 15 120 25 410 100 150 350 20 40 200 80 60 240 40 120 0 0 0 0 7 7 7 6 6 1 1 1 1 1 1 1 1 1 1 1 1 1 3 1 2 1 1 1 1 2 1 1 1 1 1 1 1 0 0 0 0 1,960 420 210 1,200 360 280 60 20 25 233 40 30 160 120 40 400 120 150 45 120 50 410 100 150 350 40 40 200 80 60 240 40 120 0 0 0 0
Page 206
IP-06.38 IP-06.39 IP-06.40 IP-06.41 IP-06.42 IP-06.43 IP-06.44 IP-06.45 IP-06.46 IP-06.47 IP-06.48 IP-06.49 IP-06.50 IP-06.51 IP-06.52 IP-06.53 IP-06.54 IP-06.55 IP-06.56 IP-06.57 IP-06.58 IP-06.59 IP-06.60
Playroom, pediatric (6 people) Utility, soiled pediatric (deleted) Utility, clean pediatric (deleted) Quiet room (8 people) Clinic, teaching, prenatal / postnatal Office / assessment nurse Exam / treatment Washroom, patient Change room, physicians (3 people) On-call room, staff Washroom, on-call staff Locker / change room, staff (6 staff) Shower, staff Lounge, staff (6 people) Closet, janitor Alcove, recycling Waiting, family with play area (10 people) Washroom, family (with change table) Office, nurse manager Office, CNS Conference, education (12 people) (deleted) Scrub up (new) Pediatric medication storage (new)
W W S,W W W W
W W W W
200 0 0 160 120 120 120 40 80 100 50 150 25 180 40 40 300 60 120 120 0 60 60
1 0 0 1 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 0 3 1
200 0 0 160 120 120 120 40 80 100 50 150 25 180 80 40 300 60 120 120 0 180 60 10,178 1.50 15,267.0
NSF: 280
Space in which women can be supported during labour, birthing, recovery and postpartum
Free access to foot of bed Separate area for care of infant with gases and electrical outlets separated with sliding wall Natural light Home-like environment Sound deadened
Page 207
MAJOR EQUIPMENT
Birthing bed Bassinet Case cart Soiled cart Garbage can Incubator Fetal monitor Infant Warmer Neonatal monitor Diagnostic set Refrigerator Phone TV
FURNISHINGS
Bedside table Paper towel dispenser Overbed table Stool Soap dispenser Side chair Sleeper / recliner chair Undercounter refrigerator Rocking chair Microwave
NSF:
60
MAJOR EQUIPMENT
Garbage can
FURNISHINGS
Soap dispenser Paper towel dispenser Towel bar Infant change table Toilet paper dispenser Waste receptacle
Page 208
NSF:
30
NSF: 200
Room for expectant mothers requiring antenatal hospital care as well as well as postpartum mother/ baby pairs and children
FURNISHINGS
Electric bed Infant bassinet Side table Paper towel dispenser Chairs Soap dispenser Over-bed table
NSF:
60
Page 209
FUNCTION:
FURNISHINGS
Soap dispenser Waste receptacle Infant change table Paper towel dispenser Toilet paper dispenser
NSF: 280
Room for two expectant mothers requiring antenatal hospital care as well as well as postpartum mother/ baby pairs and children
FURNISHINGS
2 electric beds 2 infant bassinets 2 side tables Paper towel dispenser Chairs Soap dispenser 2 over-bed tables
NSF:
60
FURNISHINGS
Soap dispenser Waste receptacle Infant change table Paper towel dispenser Toilet paper dispenser
NSF:
20
ROOM NAME: Baby Scales Alcove for OBS ROOM NO: FUNCTION:
IP-06.09 Counter for baby scales
NSF:
25
MAJOR EQUIPMENT
Scales
NSF: 233
Page 211
MAJOR EQUIPMENT
Electric bed Fetal heart monitor
FURNISHINGS
Side table Paper towel dispenser Chairs Over-bed table Soap dispenser
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
30
OCCUPANCY: 1 Person
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Soap dispenser Paper towel dispenser Infant change table Waste receptacle Toilet paper dispenser
ROOM NAME: Early Labour Lounge / Family Waiting ROOM NO: FUNCTION:
IP-06.13 Lounge for women in early labour and their partners
MAJOR EQUIPMENT
TV
FURNISHINGS
8 chairs 2 coffee tables 2 side tables Water cooler
Casework with sink, storage above and below and a sitdown work area
MAJOR EQUIPMENT
Fetal monitor Ultrasound machine Electric bed Diagnostic set Exam light
Page 213
FURNISHINGS
Stool File cabinet Chair Paper towel dispenser Soap dispenser
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Infant change table Waste receptacle Toilet paper dispenser
Space for observing ill newborns post delivery and acute medical intervention
MAJOR EQUIPMENT
3 Isolettes 3 Monitors Infant scale Bilirubin light Radiant warmer Bassinette Computer X-ray viewer
FURNISHINGS
Garbage can Side chair Rocking chair Soap dispenser Page 214
Laundry hamper
Stool
Desk chair
MAJOR EQUIPMENT
2 Supply carts
FURNISHINGS
Garbage can Paper towel dispenser Soap dispenser
MAJOR EQUIPMENT
Hopper Soiled linen hamper Garbage can
NSF:
15
Page 215
FUNCTION:
MAJOR EQUIPMENT
Refrigerator Kettle Microwave Toaster Ice machine Retherm cart
FURNISHINGS
Soap dispenser Paper towel dispenser
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF: 410
Page 216
FUNCTION:
Space for staff to chart, direct visitors and perform related duties
MAJOR EQUIPMENT
Computer Dictation equipment Fax Nurse call main panel Photocopier
FURNISHINGS
8 Chairs File cabinets
MAJOR EQUIPMENT
Medication cart (3 or less) Full height refrigerator alarm and interior lock box IV cart
Page 217
Meeting table
10 Chairs
White board
Projector screen
To store the medical equipment and furniture used in the department or on the unit
MAJOR EQUIPMENT
5 Infusion pumps 5 Cribs 5 Bassinets Pediatric and adult crash carts
FURNISHINGS
Scale
NSF:
20
NSF:
40
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MAJOR EQUIPMENT
Electrical bed 8 long
FURNISHINGS
Overbed table Bedside cabinet Paper towel dispenser Non-tilt step stool Television wall mounted Soap dispenser Mirror Tackboard Waste receptacle Patient lounge chair Visitors chair
NSF:
80
FURNISHINGS
Soiled linen hamper Garbage hamper
NSF:
60
FURNISHINGS
Soap dispenser Waste receptacle Infant change table Paper towel dispenser Toilet paper dispenser
Room to perform booked treatments & procedures & for short term assessment
FURNISHINGS
2 cribs / stretchers Chairs, side Rocking chairs Sleeper chair / cot for parents
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NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Infant change table Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
Exam table Cart
FURNISHINGS
Stool Chair Garbage can
Nurse call
Exam light
FURNISHINGS
Reclining chair Rocking chair Child table with 4 chairs
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FURNISHINGS
Chesterfield Side tables Lamp sofa chair Coffee table
Shelving
FURNISHINGS
Desk Bookcase Filing cabinet 2 chairs Desk chair Tackboard Waste receptacle
Lazyboy chair
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
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FUNCTION:
FURNISHINGS
Lockers-6
MAJOR EQUIPMENT
TV Computer
FURNISHINGS
Bed Chair Night table Desk
NSF:
50
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
IP-06.49 Room for staff to change from street clothes into uniforms
MAJOR EQUIPMENT
30 full size lockers
FURNISHINGS
Chair
NSF:
25
Bench
MAJOR EQUIPMENT
Undercounter refrigerator Microwave Toaster
FURNISHINGS
Table 4 chairs Waste receptacle TV / DVD / VCR Soap dispenser 2 recliner chairs Paper towel dispenser
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
40
ROOM NAME: Family Waiting with Play Area ROOM NO: FUNCTION:
IP-06.54 Waiting area for families and children
2 child chairs
Side table
ROOM NAME: Family Washroom (with change table) ROOM NO: FUNCTION:
IP-06.55 Washroom for adult and infant changing with other siblings present
NSF:
60
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FURNISHINGS
Soap dispenser Paper towel dispenser Infant change table
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
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60
This space will be in an alcove just outside the entrance to the LDRPs Shelving for extra surgical gloves, masks, alcohol etc.
FURNISHINGS
Shelving Waterless hand sanitizer Foot operated stainless steel waste receptacle Paper towel dispenser
60
MAJOR EQUIPMENT
Full height refrigerator alarm and interior lock box
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INTERRELATIONSHIPS
1. Palliative cares should be located adjacent to 1 or both medical units to facilitate sharing but should not be thoroughfare to other units. 2. There should be glass doors at the entrance to the unit. 3. The family washroom should be adjacent to the quiet room.
PLANNING CHANGES
1. IP-07.19. Bedroom changed to isolation room for reverse isolation. Includes anteroom and ensuite bathroom. 2. IP.07.07. Nourishment centre changed into kitchen where families can eat and socialize in a home-like environment. 3. IP-07.09. Office, consult nurses, moved to ambulatory care. 4. Access to outdoor deck or solarium is needed. 5. IP.07.10. Office, Social Worker. Changed to Multi-Purpose Office. 6. IP.07.05. Increased in size to accommodate 15 people 7. IP.07.03. Workstation. Increased to 175 NSF, to accommodate 4 people. 8. IP.07.08. Conference room increased to seat 10 people. 9. IP.07.13. Workroom, volunteers. Changed to storage closet & reduced to 20 NSF. 10. IP.07.23. A family washroom has been added. 11. IP.07.24. A staff washroom has been added. 12. IP-07.25 Showers have been removed from patient bathrooms & replaced with an assist tub & shower. Summary Master Program Functional Program Difference 4,740.0 DGSF 4,408.5 DGSF -331.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA NSF NO. OF ROOMS TOTAL AREA NSF
IP-07 IP-07.01 IP-07.01 IP-07.02 IP-07.03 IP-07.04 IP-07.05 IP-07.06 IP-07.07 IP-07.08 IP-07.09 IP-07.10 IP-07.11
Palliative Care Unit (6 beds) 1-Bed room, palliative (with double bed) S,W 1-Bed room, palliative (with single bed) S,W Washroom, ensuite W Workstation, care team (4 people) Medication preparation Family room (15 people) W Quiet room (6 people) (deleted) Kitchen W Conference, consultation (10 people) Office, consult nurse (4 people) (moved to amb care) Office, multipurpose S,W Utility, clean W 210 186 40 175 60 225 0 180 150 0 120 100 1 4 5 1 1 1 0 1 1 0 1 1 210 744 200 175 60 225 0 180 150 0 120 100
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IP-07.12 IP-07.13 IP-07.14 IP-07.15 IP-07.16 IP-07.17 IP-07.18 IP-07.19 IP-07.20 IP-07.21 IP-07.22 IP-07.23 IP-07.24 IP-07.25
Utility, soiled Storage closet, volunteers Lounge, staff (shared with IP-01) Locker, staff (shared with IP-01) Shower, staff (shared with IP-01) Storage, equipment (shared with IP-01) Storage, equipment (shared with IP-01) 1-Bed room, isolation (new) Anteroom (new) Bathroom, isolation (new) Deck / Solarium (outdoors) (new) Bathroom, family (new) Washroom, staff (new) Assisted tub / shower (new)
80 20 0 0 0 0 0 210 80 60 0 60 25 240
1 1 0 0 0 0 0 1 1 1 0 1 1 1
ROOM NAME: Palliative 1-Bed Room (one with double bed the rest with single bed) ROOM NO: FUNCTION:
IP-07.01 To provide a private bedroom for an inpatient.
NSF: 210 /
186
Wheelchair/stretcher accessible 1 to accommodate double bed One room with observation potential with glass in wall with privacy curtain
MAJOR EQUIPMENT
Electrical bed 8 long with multi function system Double bed
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair 2 Visitors chairs Hand sanitizer Non-tilt step stool Television wall mounted Paper towel dispenser Soap dispenser Mirror Tackboard on wall at end of bed Waste receptacle Sharps container Glove boxes Clock / radio Lamp Fan (bedside)
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Night light
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Glove box Toilet paper dispenser Shelves for personal items Hand sanitizer Waste receptacle
Page 232
MAJOR EQUIPMENT
Computer terminal Phone Printer Fax machine
FURNISHINGS
4 Chairs Filing cabinet or hanging file drawers
NSF:
60
MAJOR EQUIPMENT
Full height refrigerator alarm and interior lock box
FURNISHINGS
Bulletin board Paper towel dispenser Hand sanitizer Soap dispenser foot pedal Sharps container Glove holder
FURNISHINGS
2 sofa beds 2 recliner chairs Lamps 6 folding chairs Coffee table 2 side tables
FUNCTION: Space for staff and visitors to make light snacks and to return dietary carts OCCUPANCY: 1 to 6 people SPECIAL DESIGN REQUIREMENTS
1 2 Home-like 2 entrances
MAJOR EQUIPMENT
Refrigerator, full size Coffee pot Water cooler Toaster
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Kettle
Ice machine
FURNISHINGS
Soap, paper towel dispensers Towel bars Table & chairs for 6 people Hand sanitizer
White board
Projector screen
Locate office at entrance to unit between medical unit & palliative unit
FURNISHINGS
Desk Bookcase Lamp 3 chairs Page 235
Desk chair
Waste receptacle
Filing cabinet
MAJOR EQUIPMENT
Paper towel dispenser Waterless handwash Glove dispenser Soap dispenser Sharpes container
FURNISHINGS
Medical/surgical supply cart (7 feet) Dressing cart Sterile supply cart (5 ft.) IV cart (3-4 ft.)
NSF:
80
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FURNISHINGS
Garbage bag stands or carts (with foot pedals) Soiled linen stands or carts (with foot pedals)
NSF:
20
FUNCTION:
ROOM NAME: Staff Lounge (Shared with IP-01) ROOM NO: FUNCTION:
IP-07.14 This space is included in the IP-01 Inpatient Unit A departmental program
ROOM NAME: Staff Locker (Shared with IP-01) ROOM NO: FUNCTION:
IP-07.15 This space is included in the IP-01 Inpatient Unit A departmental program
ROOM NAME: Staff Shower (Shared with IP-01) ROOM NO: FUNCTION:
IP-07.16 This space is included in the IP-01 Inpatient Unit A departmental program
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MAJOR EQUIPMENT
Electrical bed 8 long
FURNISHINGS
Overbed table Bedside cabinet Patient lounge chair 2 Visitors chairs Non-tilt step stool Television wall mounted Paper towel dispenser Mirror Tackboard Waste receptacle Fan Clock Soap dispenser
NSF:
80
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FURNISHINGS
2 foot pedal garbage cans 2 foot pedal laundry bins
NSF:
60
Toilet accessible on both sides for nurses Grab bars on toilets Sloped floor for drainage Track system over toilet and shower Showers large enough for patient and nurse assisting and use shower chair No lip on floor to accommodate shower chain
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
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ROOM NAME: Deck / Solarium (outdoors) ROOM NO: FUNCTION: OCCUPANCY: SPECIAL DESIGN REQUIREMENTS
1 Door - wide enough to accommodate wheelchair / geri chair and with awning
NSF:
ROOM NAME: Family Washroom (with change table) ROOM NO: FUNCTION:
IP-07.23 Washroom for adult and infant changing with other siblings present
NSF:
60
FURNISHINGS
Soap dispenser Paper towel dispenser Infant change table Hand sanitizer
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Hand sanitizer Paper towel dispenser Toilet paper dispenser Waste receptacle
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MAJOR EQUIPMENT
Patient lift Hand sanitizer
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INTERRELATIONSHIPS
1. 2. 3. 4. 5. The ER must be adjacent to DI & specifically CT scanning & general radiology If pediatric observation remains within the inpatient area it is essential that there be quick and easy access from the ER to this area since ER physicians are responsible for these patients. The ER should be self-contained with separate ambulance & walk in entrances. It should not be a thoroughfare to other departments. The ER lobby/entrance will also serves as a pre- triage area where patients will be asked to mask and handwash if they believe they may be infectious. A 4 bay drive through ambulance garage should be located to enable immediate entrance through automatic double doors & vestibule directly to the decontam area, trauma room and isolation room. Triage should also be close. This garage is to be used only for ambulances. It should also be capable of serving as a decontam area in a disaster situation. Portable showers should be included as well as switch controlled sewage containment. The walk in entrance includes staged automated doors, vestibule and open area that could be used for expanded triage in infectious disease outbreaks or disaster situations. The triage desk should be highly visible to all persons entering the ER area. It should be obvious that the triage desk is the first place to report when entering the ER. A separate waiting area with 10 seats should be provided adjacent to the triage area for patients waiting to be triaged. Waiting space should be subdivided to allow separation for isolation, mental health patients, major/minor, etc. Following triage patients will be asked to register and either: be admitted directly to a major treatment area; be admitted directly to a minor treatment area; and be asked to take a seat in the waiting area of either the major or minor treatment area. The triage desk must have a view of all waiting areas, yet waiting areas must be capable of being separated so that patients & families from one area do not see the other. A play area should be provided in both waiting rooms. It must be visible from the triage desk. The security desk/ office should be located adjacent to the ER entrance & waiting area in a highly visible location. Room(s) for families should be located within the ER but in a quiet location & preferably near the entrance to the department. Mental health crisis/interview/quiet room should be located near the entrance to the department in a relatively quiet area of the major treatment area. A washroom should be located in this area. Within the major treatment area beds will be clustered in groups as follows; critical care monitored beds, highly visible from the staff work areas. Two of these will be fully set up for isolation-one with positive and one with negative pressure. specialized rooms for gynecology, EENT & fracture that may be shared with the minor treatment area if adjacencies permit. The fracture room should be adjacent to the general radiology room in DI. 13. A properly designed decontamination room with ventilation, drainage, etc. should be located with direct entry from the ambulance garage. It must accommodate a stretcher & staff change area. 14. The ambulance garage should be located with convenient access to the helipad. 15. The ER should be designed in such a way as to facilitate each of the following situations:
William Nycum & Associates Limited September 5, 2005 Page 242
6. 7. 8.
9.
high volume hours when patients will be separated into major and minor treatment areas. lower volume hours when the minor treatment area will not be operational & all patients will be treated in the major treatment area. potential outbreak or disaster events that triage patients at the entrance & direct immediately to either an isolation or standard area. A separate entrance should be provided for removal of bodies. The entire minor treatment area should be designed to serve as an isolation unit in the event of an outbreak. It will therefore be designed to the same space standards as critical care to enable this level of care for patients during an outbreak. AC.01.02, triage /assessment requires convenient access to a pneumatic tube station. AC-01.29 should be in a quiet area of the department.
16. 17.
18. 19.
PLANNING CHANGES
1. 2. AC 01.01, Entrance, emergency pedestrian. Increased to 400 NSF to allow for pre-triage activities. AC.01.02, Triage, assessment. Increased to 200nsf. To accommodate staff, patient in private exam space, family member, sink, stretcher, workspace, computer, and diagnostic equipment. AC-01.04 Reception should be located close to triage. AC.01.03, Waiting, triage. Changed to 10 seats at 15 NSF each plus 1/3 to be 3 feet apart for infection control for a total of 200 NSF. AC.01.05, Waiting main. This space needs to be subdivided to allow separation into major & minor. In an infectious disease outbreak situation it will also be used for initial triage. Therefore it is proposed that there be 4 groupings of waiting space for the major area as follows: Triage, of which 1/3 of the seats will be sized to accommodate recommended space for infectious patients. Major, of which 1/3 of the seats will be designed to accommodate infectious patients. Minor, of which 1/3 of the seats will be designed to accommodate infectious patients. AC.01.09. Washroom, family change. Increased to 2 to accommodate projected volumes. Major and minor space for infectious disease patients can be grouped together. A minor treatment waiting area of 300 NSF to accommodate 15 seats has been deleted. (AC.01.53) An alcove for vending machines, pay phones & drinking fountains has been added near both waiting rooms (AC.01.54) AC.01.10. Trauma/Resuscitation. Each of these rooms has been increased is size to 600 NSF to accommodate 2 patient spaces & associated staff & equipment. This size was used & approved for Cobequid Community Health Centre & has been demonstrated to be appropriate at Dartmouth General Hospital. CRH receives more trauma workload than either of these sites. AC.01.11. This is the main critical care monitored bed area for the ER. Current recommendations have increased the size of the individual patient cubicles to permit appropriate separation of respiratory and infectious diseases & to incorporate flexibility to access appropriate equipment & supplies & allow for staff & family members as required. Therefore, the size of each space has been increased to 150 NSF to allow for individual patient rooms with solid dividers between & ventilation from each cubicle. 16 such spaces all monitored & with standardized gases, lighting, cart set-ups, diagnostic equipment, etc. are required.
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3. 4.
5. 6. 7. 6. 7.
8.
In addition to the 16 critical care spaces, 2 rooms are required for isolation with associated anterooms. 1 will have positive & 1 will have negative pressure to accommodate both infectious and immuno-suppressed patients. These rooms have been added as AC.01.55 & 56 10. AC.01.12. Washroom, patient. Increased to 5 and should be located close to the patient spaces. 11. AC.01.13. Observation room, private deleted. Included in critical care area. 12. AC.01.14. Deleted. Included in AC.01.12 13. AC.01.15. Exam treatment. Increased in size to 150 NSF and increased to 5 to accommodate projected workload. These are located within the minor treatment area but will be used for critical care during an outbreak of infectious disease. 14. AC.01.16. Exam treatment pediatric. Deleted. Multipurpose exam treatment rooms to serve all age groups. 15. AC-01.21 Procedure room. Deleted. Procedures to be performed in other spaces in critical care or minor treatment. Specialized carts to be set up & wheeled into patient locations. Patients to be moved as little as possible while in the ER. 15. AC-01.22 Alcove, X-ray machine. Reduced to 20 NSF. 16. AC-01.23 Shower, decontamination has been increased to 120 NSF to accommodate stretcher and staff change area. 17. AC.01.24. Secure room has been replaced with a "safe room" with heavy furniture and reduced in size. Must have 2 doors. 18. AC.01.25. Ensuite washroom for secure room. Deleted. However, a washroom should be close to the mental health area. 19. AC.01.26. Interview/consult, Mental health. Increased to 120 NSF. 20. AC.01.27. Workstation, care team. Two areas of 255 NSF each are required to serve the critical care area. A separate workstation is provided for the minor treatment area (AC.01.57) 21. AC.01.28. Medication Preparation. Increased in size to accommodate automated drug dispensing. A second room with satellite automated dispenser added to minor treatment area (AC.01.58) 22. AC.01.32. Utility, clean and linen. Increased to a total of 3, 2 for the major area and 1 for the minor area. 23. AC.01.33. Utility, soiled. Increased to 3 with 2 for the major area and 1 for the minor area. May be further subdivided to allow convenient access for staff working in all parts of the department. 24. AC. 01.35 Alcove, stretcher/ wheelchairs. Increased to 2 spaces to hold appropriate number 25. AC.01.37 Storage, equipment. Increased to 300 NSF to accommodate equipment. May be subdivided. 26. AC.01.41. Conference room. Replaced with report room and reduced to 225 NSF to accommodate 15 people 27. AC.01.44 Ambulance bay. Increased to 4 spaces. 28. AC.01.47. Washroom, staff. Increased to 2 and reduced in size to be consistent with all other staff washrooms. 29. AC.01.48. Locker room was reduced to 150 NSF and the Lounge AC-01.49 was reduced to 120 NSF. 30. AC.01.51. Office, social worker. Increased to 140 NSF to accommodate families. 31. AC.01.52. Night Cupboard. Replaced with minor treatment medication room. 32. AC.01.53. Minor treatment waiting. New space added. 33. AC.01.54 Alcove, vending machines. Space for 4 machines and pay phone added.
William Nycum & Associates Limited September 5, 2005 Page 244
9.
34. AC.01.55 and 56. Isolation rooms with anteroom added to major treatment area in accordance with new infection control guidelines. 35. AC.01.57 and 58. Workstation, minor treatment and medication prep. New workspace for staff in minor area. 36. AC.01.59. Office, discharge planner added. This is a new position and is dedicated to the ER. 37. AC.01.60. Pneumatic Tube station added. 38. AC.01.61. Server room added. 39. AC.01.64 Family waiting alcove. Three spaces to accommodate 3 seats each have been added to the major treatment area. Should be close to, but separate from patient treatment spaces. 40. AC.01.65 Mental health exam room has been added to be convertible to regular treatment space. 41. AC.01.66. 2 washrooms have been added ensuite to the isolation rooms. Planning assumptions Pediatric observation will continue to occur in mat child and psychiatric observation will occur in the psychiatric inpatient unit An electronic inventory management system will be used by materials management to ensure adequate supplies at all times. If this is not provided additional storage space will be required. Summary Master Program Functional Program Difference 13,005.0 DGSF 19,125.0 DGSF +6,120.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AC-01 AC-01.01 AC-01.02 AC-01.03 AC-01.04 AC-01.05 AC-01.06 AC-01.07 AC-01.08 AC-01.09 AC-01.10 AC-01.11 AC-01.12 AC-01.13 AC-01.14 AC-01.15 AC-01.16 AC-01.17
Emergency Services Entrance, emergency pedestrian / pre-triage Triage, assessment Waiting, triage (10 people) Reception / clerical Waiting, main (30 people) Waiting, child play Desk, security Office, security Washroom, family change Trauma / resuscitation Critical care Washroom, patient Observation room, private (deleted) Washroom, patient (deleted) Exam, minor treatment Exam, pediatric (deleted) Exam, ENT / eye W S,W W W W 400 200 200 80 600 60 60 100 50 600 150 40 0 0 150 0 120 1 1 1 1 1 1 1 1 2 2 16 5 0 0 5 0 1 400 200 200 80 600 60 60 100 100 1,200 2,400 200 0 0 750 0 120
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W W S,W S,W W
S,W S,W
AC-01.18 AC-01.19 AC-01.20 AC-01.21 AC-01.22 AC-01.23 AC-01.24 AC-01.25 AC-01.26 AC-01.27 AC-01.28 AC-01.29 AC-01.30 AC-01.31 AC-01.32 AC-01.33 AC-01.34 AC-01.35 AC-01.36 AC-01.37 AC-01.38 AC-01.39 AC-01.40 AC-01.41 AC-01.42 AC-01.43 AC-01.44 AC-01.45 AC-01.46 AC-01.47 AC-01.48 AC-01.49 AC-01.50 AC-01.51 AC-01.52 AC-01.53 AC-01.54 AC-01.55 AC-01.56 AC-01.57 AC-01.58 AC-01.59 AC-01.60
Exam, gynecology / urology Washroom, patient Procedure room (deleted) Cast room Alcove, x-ray machine Shower, decontamination Safe room Ensuite washroom (deleted) Interview / consult, mental health Workstation, care team, major treatment (5 people) Medication preparation, major treatment Dictation station, patient review Nourishment centre Quiet room, family (8 people) Utility, clean and linen Utility, soiled Alcove, blanket / solution warmer Alcove, stretcher / wc Alcove, transport equipment Storage, equipment Closet, janitor Office, physician director Office, clerical (3 people) Report room (15 people) Bedroom, on-call Bathroom, on-call Ambulance bay (4 vehicles) (see below) Storage, ambulance equipment (see below) Office, ambulance (see below) Washroom, staff Locker room, staff Lounge / kitchenette, staff (6 people) Office, nurse manager Office, social worker Night cupboard, medication (deleted) Minor treatment waiting (15 people ) Alcove, vending machines Isolation room Ante room, isolation Workstation, minor treatment (3 people) Medication preparation, minor treatment Office, discharge planner Pneumatic tube station
W W W S,W W W W W
W W W S,W W S,W
120 40 0 150 20 120 100 0 120 255 120 40 60 160 150 120 20 50 40 300 40 120 240 225 80 60 0 0 80 25 150 230 120 140 0 300 80 150 80 150 80 100 20
1 1 0 1 1 1 1 0 1 2 1 1 1 1 3 3 1 2 1 1 1 1 1 1 1 1 0 0 1 2 1 1 1 1 0 1 1 2 2 1 1 1 1
120 40 0 150 20 120 100 0 120 510 120 40 60 160 450 360 20 100 40 300 40 120 240 225 80 60 0 0 80 50 150 230 120 140 0 300 80 300 160 150 80 100 20
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Server room Pediatric observation room (2 beds) Washroom, pediatric observation Family waiting alcove Mental health exam room Isolation washroom
0 300 60 45 150 40
0 1 1 3 1 2
Net-to-gross conversion Sub-Total DGSF Ambulance Bay AC-01.44 Ambulance bay (4 vehicles) AC-01.45 Storage, ambulance equipment AC-01.46 Office, ambulance 1,000 40 80 Sub-total NSF Net-to-gross conversion Sub-Total DGSF Total NSF Total DGSF 1 1 1
NSF: 400
Entrance for walk-in and wheelchair patients and persons assisting them. Also serves as pre- triage for infectious patients to mask and wash hands. May also serve as triage during outbreak.
Area must be heated Automatic transparent doors Double doors to prevent cold air entering ER (staggered access) Triage desk to be clearly visible from entrance Stretcher and wheelchair alcove adjacent Family washroom nearby Security readily accessible
NSF: 200
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FUNCTION:
OCCUPANCY: 1-2 staff 1-2 patients 1-2 family SPECIAL DESIGN REQUIREMENTS
1 2 3 4 5 6 7
Stretcher accessible Triage nurse has clear view of waiting room and walk in entrance through window but public cannot see in Adjacent to ER registration Clear signage indicating patients should go there first Front and rear exits Sub assessment area Can accommodate 2 triage nurses at peak times
MAJOR EQUIPMENT
Ice machine Stretcher Telephone Scales- adult, infant, peds Computer terminal Vital signs monitors Diagnostic set Small tracking board
FURNISHINGS
Garbage can Chairs-3 Supply cart Med cupboard
Under full view of triage nurse. Easily recognizable as pre triage for public
FURNISHINGS
10 chairs
NSF:
80
Provides privacy for patient and family providing confidential information Adjacent to triage Away from general waiting for patient privacy
MAJOR EQUIPMENT
Computer terminal Addressograph Phone/fax Printer
FURNISHINGS
Chairs
NSF: 600
Space for patients and families to wait for treatment in major area following triage and registration
Provides for some separation of spaces into groups (infectious/not) Clearly visible from triage desk and security station Persons in waiting room should not be able to see into patient care areas Washrooms /baby change/vending adjacent
MAJOR EQUIPMENT
Vending machines Ceiling mounted TV connected to education channel/cable/DVD Clock Pay phone Taxi phone
FURNISHINGS
Built in chairs, end tables Volunteer desk
Page 249
NSF:
60
Child friendly Separate from main waiting but clearly visible from triage office
MAJOR EQUIPMENT
Wall mounted play centre
NSF:
60
Has clear visibility of waiting room and entrance as well as ability to hear what is going on in the waiting area
MAJOR EQUIPMENT
Phone
FURNISHINGS
Desk- low for wheelchairs Chair
Has visibility of ER waiting area and inside main ER and can hear waiting room
Page 250
MAJOR EQUIPMENT
Security control panel
FURNISHINGS
Desk Chair
NSF:
50
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
2 rooms adjoining to permit free flow of staff but ability to separate by glass doors Close to ambulance entrance through non public area Stretcher accessible X-ray and CT should be very close wide doors- breakaway glass Overbed lift Ceiling hung service columns- moveable Family waiting nearby
Narcotics cupboard
Cubicle curtain track plus main door curtain track or fogged glass
Shelving
MAJOR EQUIPMENT
Crash carts-2 2 diagnostic sets 2 ventilators Level1 infusers-2 Defibrillators-2 Stool Computer Bear hugger warmer 2 trauma stretchers Telehealth cart Refrigerator Instrument carts PAC monitor Medication cart
FURNISHINGS
Chair Charting surfaces-2
Individual rooms with visibility from work station Glass doors-breakaway- at foot of bed. Solid walls between patient rooms Patient washroom close
MAJOR EQUIPMENT
Patient monitor Computer IV pump Hamper Diagnostic set Equipment cart Stretcher high low
FURNISHINGS
Stool Supply cart Chair Garbage can Overbed table
Cardiac monitor
NSF:
40
Privacy lock
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
Suture cart/equipment cart Diagnostic set PACS monitor
FURNISHINGS
Stretcher high low Chair Stool Page 253
NSF: 120
Room for assessing and treating patients with disease or injury to eyes, ears, nose and throat.
Capable of complete darkness Located to enable shared use by major and minor treatment areas
MAJOR EQUIPMENT
Dental chair Slit lamp Eye cart; wall mounted, lighted ENT and dental carts
FURNISHINGS
Stool Chair
MAJOR EQUIPMENT
High low gyn stretcher with stirrups GYN cart
FURNISHINGS
Chair Stool
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 255
MAJOR EQUIPMENT
Stretcher Supply cart
FURNISHINGS
Stool Chair
NSF:
20
Direct access from ambulance entrance then into ER Accommodates patient in wheelchair or stretcher plus staff Page 256
MAJOR EQUIPMENT
Bathing stretcher Shower hose
Lead lined
NSF: 100
Provide a safe environment for disturbed patients who may pose a danger to themselves or others.
OCCUPANCY: 1 patient in secure room 1 attendant outside in alcove TIME OF USE: 7 Days a Week 0000-2400
MAJOR EQUIPMENT
Ceiling mounted video camera
FURNISHINGS
Weighted chairs
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FURNISHINGS
Chairs Desk or table
Mechanical
Medical gases Vacuum
ROOM NAME: Care Team Workstation, Major Treatment ROOM NO: FUNCTION:
AC-01.27
NSF: 255
Workspace for nurses, physicians and others to chart, receive reports, make phone calls.
Centrally located in the ER with good visibility of all patient care areas Way to deaden noise between patient area and workstation
MAJOR EQUIPMENT
Computerized patient tracking system Laser printer Addressograph Fax Computer terminals PACs monitor Photocopier Central monitor
FURNISHINGS
Chairs Paper towel dispenser Soap dispenser
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MAJOR EQUIPMENT
Full height refrigerator alarm and interior lock box Automated drug dispenser IV cart
FURNISHINGS
Paper towel dispenser Soap dispenser
NSF:
40
FURNISHINGS
1 chair
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NSF:
60
MAJOR EQUIPMENT
Refrigerator Microwave Hot water dispenser Ice machine
FURNISHINGS
Chesterfield Side tables Lamp Sofa chair Coffee table
NSF: 150
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FURNISHINGS
Wall hung bin system IV cart (3-4 ft.) Dressing cart Cart (7 feet) Sterile supply cart (5 ft.)
FURNISHINGS
Garbage bag stands or Carts Soiled linen stands or carts
NSF:
20
NSF:
50
OCCUPANCY: 1 FURNISHINGS
2 wheelchairs Stretcher
NSF:
40
To store the medical equipment and furniture used in the department or on the unit
MAJOR EQUIPMENT
Infusion pumps Lifts, geri chairs, etc
FURNISHINGS
Scale
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket Page 262
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
FURNISHINGS
3 work stations
White board
Projector screen
Page 263
NSF:
80
MAJOR EQUIPMENT
TV
FURNISHINGS
Bed Chair Desk
NSF:
60
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:1,000
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FUNCTION:
Space for ambulance to transfer patient clean interior of ambulance and restock supplies
Drive through Height to accommodate ambulance- 12 ft wide per ambulance and 12 ft high Automatic garage doors with glass panels/safety eyes Heated
MAJOR EQUIPMENT
Ambulances
FURNISHINGS
Chairs Storage cabinet
NSF:
40
OCCUPANCY: 1 FURNISHINGS
Shelving Narcotic cupboard
NSF:
80
OCCUPANCY: 2 FURNISHINGS
Desk Chairs
Narcotics cupboard
Page 265
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Bench
Waste receptacles
Mechanical
Shower Well ventilated
MAJOR EQUIPMENT
Full size refrigerator Dishwasher Microwave Kettle or hot water dispenser Toaster
Page 266
FURNISHINGS
Table Paper towel dispenser Waste receptacle Ceiling mounted TV Chairs Computer access Soap dispenser
FURNISHINGS
Desk and small table Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
Pamphlet Rack
4 side tables
NSF:
80
Individual room with visibility from workstation. Glass doors at foot of bed. Solid walls between patient rooms. Patient washroom close. Anteroom adjoining
MAJOR EQUIPMENT
Patient monitor Computer IV pump Hamper Diagnostic set PACS Stretcher high low
FURNISHINGS
Stool Supply cart Chair Garbage can Overbed table
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NSF:
80
FURNISHINGS
Soap dispenser Waste receptacle Paper towel dispenser
NSF: 150
Workspace for nurses, physicians and others to chart, receive reports, make phone calls.
Centrally located in the Minor Treatment area with good visibility of patient care areas. Access to pneumatic tube station
MAJOR EQUIPMENT
Computerized patient tracking system Addressograph Computer terminals Photocopier
Page 269
Laser printer
Fax
PACs monitor
FURNISHINGS
Chairs Paper towel dispenser Soap dispenser
NSF:
80
MAJOR EQUIPMENT
Above counter refrigerator Automated drug dispenser
FURNISHINGS
Paper towel dispenser Soap dispenser
NSF: 100
Page 270
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
NSF:
20
MAJOR EQUIPMENT
2 patient monitors Hamper 2 IV pumps 2 diagnostic sets 2 stretchers high low
FURNISHINGS
Stool Supply cart 2 chairs Garbage can 2 overbed tables
2 nurse calls
Clock
NSF:
60
Privacy lock
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
45
ROOM NAME: Mental health exam ROOM NO: AC-01.65 FUNCTION: Exam room for mental health patients OCCUPANCY: 1 to 3 People SPECIAL DESIGN REQUIREMENTS
1 Hide medical gases
MAJOR EQUIPMENT
Suture cart/equipment cart Diagnostic set PACS monitor
Page 272
FURNISHINGS
Stretcher high low Chair Stool
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 273
INTERRELATIONSHIPS
1.
Ambulatory Procedure Services (APS) includes the following procedure services previously located with Ambulatory Care and Day Surgery: Urology Urodynamics and Cystology; Special procedures; Colposcopy; Endoscopy; and Ophthalmology. In addition, this will enable the scope cleaning and storage to be centralized in one location within this service suite including urology scope cleaning. The medication prep room should be located centrally in this suite. One soiled utility room should be located close to the Urology rooms. The scrub station will be located close to the following procedure rooms: urodynamic, cysto, special, colposcopy and the ophthalmology OR. APS suite should be located adjacent to the Day Surgery service such that they can share the reception function. The APS suite should also be located such that the scope cleaning and scope storage rooms are conveniently located for easy access by the Surgery staff. The APS staff will first utilize the conference space included in Day Surgery. The PACS viewing station will be shared between APS and Day Surgery.
2. 3. 4. 5. 6.
7. 8. 9.
PLANNING CHANGES
1. APS-01.44, A PACS viewing station was added 80 NSF. Master Program Functional Program Difference 00,000.0 DGSF 11,047.5 DGSF +11,047.5 DGSF
Summary
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Ambulatory Procedure Services Reception (Incl in DT-04) Waiting (30 people) Washroom, family Waiting, stretcher (2) Preparation / recovery area, stretcher (10 sites) Preparation / recovery area, recliner (10) Patient change cubicle
W W S S,W S,W
1 1 1 1 1 1 3
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APS-01.08 APS-01.09 APS-01.10 APS-01.10 APS-01.11 APS-01.12 APS-01.13 APS-01.14 APS-01.15 APS-01.16 APS-01.17 APS-01.18 APS-01.19 APS-01.20 APS-01.21 APS-01.22 APS-01.23 APS-01.24 APS-01.25 APS-01.26 APS-01.27 APS-01.28 APS-01.29 APS-01.30 APS-01.31 APS-01.32 APS-01.33 APS-01.34 APS-01.35 APS-01.36 APS-01.37 APS-01.38 APS-01.39 APS-01.40 APS-01.41 APS-01.42 APS-01.43 APS-01.44 APS-01.45 APS-01.46 APS-01.47
Patient change cubicle W Patient lockers (20 half / 6 purse) W Washroom, patient W, BF Washroom, patient W Procedure Rooms Procedure room, urodynamic / cysto S,W Urology washroom W Procedure room, cysto S,W Special procedure S,W Colposcopy procedure room W GYN exam room Washroom, colposcopy / GYN W Endoscopy procedure room S,W Washroom, endoscopy W Ophthalmology operating room S,W Ophthalmology clean utility room Scrub station Support Space Scope storage Scope cleaning room Scope cleaning room Workstation, nursing - endoscopy (Incl. in APS-01.27) Workstation, nursing (6 people) Team leader office Medication Preparation Physician dictation Bathroom, male staff (w/ shower) W Locker room, male staff (8) W Bathroom, female (w/ shower) W Lockeroom, female staff (20) W Nourishment station Utility, soiled Utility, clean Linen alcove Equipment storage Staff kitchenette Alcove, emergency cart Alcove, wc (6) W Closet, janitor Washroom, staff PACS Viewing Station Blanket warmer Washroom, staff
45 80 60 40 210 40 160 160 200 120 40 200 40 400 30 50 220 200 100 0 310 120 60 80 120 110 150 220 60 120 120 20 80 60 20 40 40 25 80 20 40
1 1 1 1 1 1 1 2 2 1 2 2 2 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 2 2 2 2 1 1 1 1 1 1 1 1
45 80 60 40 210 40 160 320 400 120 80 400 80 400 30 50 220 200 100 0 310 120 60 80 120 110 150 220 60 240 240 40 160 60 20 40 40 25 80 20 40
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NSF:
MAJOR EQUIPMENT
Ceiling mounted TV
FURNISHINGS
30 Chairs 5 End tables
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle Page 276
MAJOR EQUIPMENT
3 Stretchers
NSF: 800
Patient preparation / recovery cubicles utilized by patients requiring stretcher access prior to and after receiving a procedure.
A fixed wall will separate each cubicle with the end of each cubicle open with a cubicle curtain. One family member may be with a patient during preparation workup.
MAJOR EQUIPMENT
10 stretchers 5 overbed tables
FURNISHINGS
10 chairs 10 pulse oximeters
Intercom
NSF: 600
Recliners for patients requiring minimal preparation prior to their procedure. These recliners will also be used for recovering patients.
One family member may be with a patient during preparation workup or recovery.
FURNISHINGS
10 recliners 10 pulse oximeters 10 side tables 10 chairs
NSF:
15
3 robe hooks
NSF:
45
3 robe hooks
NSF:
80
Lockers for patients to store their clothes and other personal items after they change in preparation for their Day Surgery procedure.
6 purse lockers
NSF:
and 60
40
Privacy lock
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 279
MAJOR EQUIPMENT
Stretcher or exam table with stirrups Cystoscopes Urodynamic equipment X-ray view box
FURNISHINGS
Stool Linen hamper Soap dispenser Garbage can Paper towel dispenser
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
Stretcher or exam table with stirrups Cystoscopes X-ray view box
Page 280
FURNISHINGS
Stool Linen hamper Soap dispenser Garbage can Paper towel dispenser
MAJOR EQUIPMENT
Stretcher Instrument stands PACS monitor
FURNISHINGS
Stool Linen hamper Chair Soap dispenser Paper towel dispenser
Page 281
MAJOR EQUIPMENT
Gyn exam table Gyn cart Instrument table Colposcopy unit Computer terminal
FURNISHINGS
Chair Stool Soap dispenser Paper towel dispenser
MAJOR EQUIPMENT
Gyn exam table Instrument table Gyn cart Computer terminal
FURNISHINGS
Chair Stool Soap dispenser Paper towel dispenser
Page 282
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Narcotic cabinet
MAJOR EQUIPMENT
Stretcher Endoscopy table Equipment cart
FURNISHINGS
Soap dispenser Paper towel dispenser Chair 2 waste receptacles Wall mounted battery clock 2 adjustable stools Linen hamper IV pole Desk 3 glove dispensers
Page 283
NSF:
40
Washroom for Endoscopy patients and for Endoscopy patients to receive enemas.
FURNISHINGS
Soap dispenser Waste receptacle Gloves dispenser Paper towel dispenser Toilet paper dispenser
This room should be close to square in shape. One ceiling mounted service column will be located at the head of the table and the other closer to the foot of the table and on the side opposite the entrance to the room. One stainless steel cabinet will be used for nursing supplies and one for anesthesia staff.
MAJOR EQUIPMENT
Anesthesia machine and cart Kick bucket Cautery cart Instrument cart Covered stainless steel garage can Soiled linen cart IV pole Mayo stand Operating table 2 physiological monitors Pressure cuff Patient bear hugger warmer Cataract machine Pulse oximeter
FURNISHINGS
4 adjustable stools Work table Page 284
NSF:
30
FURNISHINGS
Shelving for supplies
NSF:
50
This space will be in an alcove just outside the entrance to the Ophthalmology Operating Room. Shelving for extra surgical gloves, masks, alcohol etc.
FURNISHINGS
Shelving Waterless hand sanitizer Foot operated stainless steel waste receptacle Paper towel dispenser
Page 285
This room should be rectangular in shape with the drying cabinets along one wall and shelving along the opposite wall.
FURNISHINGS
18 Deep shelving for supplies 2 utility carts
Upper cabinets
MAJOR EQUIPMENT
3 scope cleaners (medavaters) 2 utility carts
FURNISHINGS
Soap dispenser Glove dispenser Paper towel dispenser Waste receptacle
OCCUPANCY: 1 to 2 People
Page 286
MAJOR EQUIPMENT
2 scope cleaners 1 utility cart
FURNISHINGS
Soap dispenser Glove dispenser Paper towel dispenser Waste receptacle
MAJOR EQUIPMENT
4 Computers Fax Photocopier
FURNISHINGS
6 Chairs Garbage cans
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
NSF:
60
MAJOR EQUIPMENT
Medication cart (3 or less) Undercounter refrigerator
FURNISHINGS
Soap dispenser Paper towel dispenser
NSF:
80
Page 288
FURNISHINGS
4 chairs
FURNISHINGS
2 paper towel dispensers 2 soap dispensers 2 waste receptacles
Locker room for male staff to change into surgical scrubs and store street clothes.
FURNISHINGS
Linen hamper
Page 289
FURNISHINGS
2 paper towel dispensers 2 soap dispensers 2 waste receptacles
Locker room for male staff to change into surgical scrubs and store street clothes.
FURNISHINGS
Linen hamper
NSF:
60
Nourishment station for staff to prepare hot and cold snacks and beverages for patients.
OCCUPANCY: 1 Person
Page 290
MAJOR EQUIPMENT
Ice machine Refrigerator
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle
FURNISHINGS
Soap dispenser Garbage bag stands or Paper towel dispenser Recycling containers Carts Soiled linen stands or carts
FURNISHINGS
Medical/surgical supply cart Dressing cart IV cart (3-4 ft.) Sterile supply cart (5 ft.)
Page 291
NSF:
20
NSF:
80
To store the medical equipment and furniture used in the department or on the unit
MAJOR EQUIPMENT
4 infusion pumps etc. Wheeled monitor Scale Commode chair Portable exam light
NSF:
60
FURNISHINGS
Microwave Refrigerator Paper towel dispenser Soap dispenser
Page 292
NSF:
20
NSF:
40
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
25
Page 293
Coat hook
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
MAJOR EQUIPMENT
PACS computer
FURNISHINGS
Chair
NSF:
20
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 294
Page 295
INTERRELATIONSHIPS
1. 2. 3. Ambulatory Care in general needs to be close to Diagnostic Imaging and the Emergency Department. Laboratory specimen collection will be located in the area of ambulatory care with adjoining waiting room and washrooms. The main waiting area will be shared by all ambulatory services. Some sub waiting areas will also be provided within the service delivery pods. The waiting area for specimen collection will also be shared by ambulatory care services. The medication preparation room will be close to the Medical Day Unit and Chemotherapy. The nutritionist office requires access to one of the storage rooms for supplies. The PACs viewing station should be close to the Cast Room. Spaces within the department will be clustered in the following pods or groups: General, shared exam/consult areas. These will be booked for various clinics & will be generic. Special treatment areas including medical day & chemotherapy Eye clinics. Support spaces such as utility & storage areas will be shared & conveniently accessible to all patient care areas. If possible medical day and chemotherapy should be located on an outside wall with natural light. These areas should also be capable of being separated from other ambulatory care facilities, as it is possible they will be in operation when other clinics are closed.
4. 5. 6. 7.
8. 9.
PLANNING CHANGES
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. AC-02.01. Reception increased to accommodate four staff. AC-02.05. Waiting, stretcher. Reduced to 80 NSF. AC-02.12. Office, nutritionist. Increased to 200 NSF to accommodate desk for intern. AC-02.14. Special procedure. Moved to APS-01. AC-02.15. Cast room. Increased to 150 NSF. AC-02.18. Waiting, laser. Increased to accommodate 6 people being prepared for treatment. AC-02.20, 21, 22 Exam, colposcopy and gyn exam with washroom. Moved to APS-01. AC-02.27. Chemotherapy. Increased in size to 6 patient spaces including 1 separate room for isolation and small staff workstation with storage. AC-02.31. Added a second soiled utility room. AC-02.33. Storage, equipment. Increased to 150 NSF. AC-02.35. Alcove stretcher/wheelchairs. Increased to 90 NSF. AC-02.37. Washroom, staff. Reduced to standard size of 25 NSF. AC-02.39. Lounge, staff, deleted. AC-02.40 and 41. Urology physician offices and reception/ waiting moved to AD-15 AC-02.42. Urology patient waiting. Moved to APS-01. AC-02.43. Delete separate urology public washroom.
Page 296
17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47.
AC-02.44. Urology stretcher storage moved to DT-04 AC-02.45, 46,47. Urology exam/consult and washroom. Moved to AD-15 AC-02.48. Urology washroom. Moved to APS-01 AC-02.49. Included in DT-05 AC-02.50. Patient washroom deleted AC-02.51. Urology clean utility/catheter storage. Moved to APS-01. AC-02.52 and 53. Procedure room/cystoscopy & urodynamics with lockers. Moved to APS-01. AC-02.54. Urology nurse office reduced to 110 nsf and moved to AD-15. AC-02.55. Urology physician workroom deleted. AC-02.56. Urology dirty utility moved to DT-04. AC-02.57. Urology scope cleaning moved to APS-01. AC-02.58 & .59. Urology staff room & washroom deleted. Share with other staff. AC-02.60. Conference room deleted. Shared with AC-02.24 AC-02.61. Urology janitor closet deleted. AC-02.62-68 Primary Care Offices deleted AC-02.69. Offices for stroke & geriatric consult nurses transferred from inpatient medical unit B AC-02.70. Office, community palliative care. 4 offices transferred from inpatient palliative care. AC-02.71 and 72. Exam, gynecology and adjacent waiting space added as part of gyn suite and moved to APS-01. AC-02.72. Staff kitchenette added AC-02.73. Cardiac nurse office added AC-02.74. Respiratory disease office added AC-02.75 Palliative care physician office added AC-02.76 Geriatrician office added AC-02.77-80 Isolation room, anteroom and washroom plus a shower added to medical day AC-02.81 Nourishment centre added AC-02.82 Blanket warmer added to chemotherapy AC-02.83, 84. Single room with washroom added to chemo AC-02.85. Wig room was deleted. AC-02.86. Breastfeeding room added to waiting area AC-02.87. Office, ambulatory care director added AC-02.88 90 Offices added for visiting oncologist, pharmacist and admin support. Master Program Functional Program Difference 14,385.0 DGSF 12,052.5 DGSF -2,332.5 DGSF
Summary
Page 297
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AC-02 AC-02.01 AC-02.02 AC-02.03 AC-02.04 AC-02.05 AC-02.06 AC-02.07 AC-02.08 AC-02.09 AC-02.10 AC-02.11 AC-02.11 AC-02.12 AC-02.13 AC-02.14 AC-02.15 AC-02.16 AC-02.17 AC-02.18 AC-02.19 AC-02.20 AC-02.21 AC-02.22 AC-02.23 AC-02.24 AC-02.25 AC-02.26 AC-02.27 AC-02.28 AC-02.29 AC-02.30 AC-02.31 AC-02.32 AC-02.33 AC-02.34 AC-02.35 AC-02.36
Ambulatory Care Services Reception, clerical (4 people) Waiting (30 people) Child play (4 children) Washroom, family Waiting, stretcher Workstation, nursing (3 people) PACs viewing station Medication preparation Office, chronic disease coordinator Office / exam, ostomy nurse Washroom, patient Washroom, patient Office, nutritionist Exam / consult Special procedure (incl in APS-01) Cast room Exam, ophthalmic Laser clinic Waiting, laser (6 people) IVF/ photography room Exam, colposcopy (incl in APS-01) Washroom, GYN (incl in APS-01) Washroom, patient (incl APS-01) Consultation, teaching (4 people) Conference, education (12 people) Medical day (5 stretchers+4 chairs) Washroom, medical day ensuite Chemotherapy delivery (4 C) & (2S) Washroom, ensuite chemotherapy Office, patient navigator Waiting, chemo (3 seats) Utility, soiled Utility, clean & linen storage Storage, equipment Alcove, emergency cart Alcove, stretcher /wc (6) Closet, janitor W W W S W 240 450 60 50 80 150 20 60 120 140 40 60 200 120 0 150 170 170 90 200 0 0 0 120 200 800 60 560 40 120 45 120 150 150 20 90 40 1 1 1 1 1 1 1 1 1 1 1 1 1 6 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 2 1 1 1 1 1 240 450 60 50 80 150 20 60 120 140 40 60 200 720 0 150 170 170 90 200 0 0 0 120 200 800 60 560 40 120 45 240 150 150 20 90 40
Page 298
W W W W, BF W S,W S,W W W W
W W S,W W, BF W W W W W
S,W
AC-02.37 AC-02.38 AC-02.39 AC-02.40 AC-02.41 AC-02.42 AC-02.43 AC-02.44 AC-02.45 AC-02.46 AC-02.47 AC-02.48 AC-02.49 AC-02.50 AC-02.51 AC-02.52 AC-02.53 AC-02.54 AC-02.55 AC-02.56 AC-02.57 AC-02.58 AC-02.59 AC-02.60 AC-02.61 AC-02.62 AC-02.63 AC-02.64 AC-02.65 AC-02.66 AC-02.67 AC-02.68 AC-02.69 AC-02.70 AC-02.71 AC-02.72 AC-02.73 AC-02.74 AC-02.75 AC-02.76 AC-02.77 AC-02.78 AC-02.79
Washroom, staff Lockers, staff W Lounge, staff (incl. AC-02.38) Urology, Physicians Offices (see AD-15) Urology Reception / Charge Holding (see AD-15) Urology Patient Waiting (8) (incl in APS-01) Urology Washroom, public (deleted) Urology Stretcher Storage Alcove (see DT-04) Urology Exam / Consult with Ultrasound (see AD-15) Urology Washroom (adjoining) (see AD-15) Urology Exam / Consult (AD-15) Urology Washroom (incl in APS-01) Minor Procedure w/ Fluoroscopy (see DT-05) Patient washroom (deleted) Urology Scope Storage (incl in APS-01) Urology Patient Change, lockers (4) (incl in APS-01) Procedure Urodynamic / Cysto (incl in APS-01) Urology Nurse Office (see AD-15) Urology Physician Work Room (deleted)) Urology Dirty Utility (incl. in DT-04) Urology Scope Cleaning Room (incl in APS-01) Urology Staff Room (deleted) Urology Washroom, staff (deleted) Conference (shared w AC-02-24) Janitor closet Urology (deleted) Primary Care Group Office / consult Primary Care Group Waiting (20) Primary Care Group Reception / clerical Primary Care Group Active chart storage Primary Care Group Exam / consult Primary Care Group Washroom, patient Primary Care Group Storage, clean supplies Office, geriatric & stroke program Palliative care staff (2 cubicles) GYN exam (incl in APS-01) Staff kitchenette (Incl. AC-02.38) Cardiac nurse office Respiratory disease coordinator office Palliative care physician office W Geriatrician office W Isolation room, medical day S,W Ante-room for medical day isolation W Ensuite isolation washroom W
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1 1 1 1 1 1 1
AC-02.80 AC-02.81 AC-02.82 AC-02.83 AC-02.84 AC-02.85 AC-02.86 AC-02.87 AC-02.88 AC-02.89 AC-02.90
Medical day patient shower Nourishment centre Blanket warmer alcove (in chemo) Chemotherapy single room Ensuite chemo single room washroom Wig room with chemo Breastfeeding room with waiting Director ambulatory care office Visiting oncologist office (with chemo) Clinical pharmacist office Admin. support office
1 1 1 1 1 0 1 1 1 1 1
FURNISHINGS
Workstation for four Bookcase 4 waste receptacles 4 steno chairs 1 filing cabinet
Page 300
Washroom adjacent
MAJOR EQUIPMENT
Ceiling mounted TV
FURNISHINGS
Chairs End tables
NSF:
60
MAJOR EQUIPMENT
Play centre
NSF:
50
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 301
NSF:
80
MAJOR EQUIPMENT
1 Stretcher
MAJOR EQUIPMENT
Computer Fax Photocopier
FURNISHINGS
Chairs Garbage can
NSF:
20
Page 302
FURNISHINGS
1 chair
NSF:
60
MAJOR EQUIPMENT
Medication cart (3 or less) Undercounter refrigerator
FURNISHINGS
Soap dispenser Paper towel dispenser
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
Page 303
MAJOR EQUIPMENT
Exam table
FURNISHINGS
Chairs
NSF:
40 and 60
Privacy lock
Coat hook
FURNISHINGS
Soap dispenser Recliner Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 304
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Paper towel dispenser Waste receptacle Adjustable stool Soap dispenser
Page 305
MAJOR EQUIPMENT
Stretcher X-ray viewing box
FURNISHINGS
Stool Chair Soap dispenser Paper towel dispenser
MAJOR EQUIPMENT
IVF Ultrasound Eye chart and projector Slit lamp Eye exam chair Eye exam stand Ophthalmoscope Ophthalmology unit Stool
FURNISHINGS
Chair Soap dispenser Paper towel dispenser
MAJOR EQUIPMENT
Lasers-argon and yag Computer terminal Chair- eye exam Stool
FURNISHINGS
Soap dispenser Paper towel dispenser
AC-02.18 Space for prepared patients to wait for eye exam and treatment
NSF:
90
OCCUPANCY: 6 people
Side table
Page 307
MAJOR EQUIPMENT
Digital IVF
FURNISHINGS
Eye exam chair Soap dispenser Paper towel dispenser
MAJOR EQUIPMENT
Computer terminal TV
FURNISHINGS
Chairs
White board
Projector screen
NSF: 800
Space to administer medical procedures such as blood transfusions, IV therapy, dressing changes, etc
MAJOR EQUIPMENT
Stretchers- 5 Recliner chairs- 4 Ceiling mounted TV Computer terminal
FURNISHINGS
Chairs
NSF:
60
OCCUPANCY: 1
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
MAJOR EQUIPMENT
6 recliner chairs Medication cart
FURNISHINGS
Chairs Soap dispenser Paper towel dispenser
Page 310
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
NSF:
45
FURNISHINGS
3 chairs Magazine rack Side table
Page 311
FURNISHINGS
Soap dispenser Garbage bag stands or Paper towel dispenser Recycling containers Carts Soiled linen stands or carts
ROOM NAME: Clean Utility & Linen Storage ROOM NO: FUNCTION:
AC-02.32 For storage of clean/sterile supplies and minor equipment
FURNISHINGS
Medical/surgical supply Dressing cart IV cart (3-4 ft.) Sterile supply cart (5 ft.)
To store the medical equipment and furniture used in the department or on the unit
MAJOR EQUIPMENT
8 infusion pumps Wheeled monitor Scale Portable exam light Geri Chair Commode chair
Page 312
NSF:
20
NSF:
90
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
40
OCCUPANCY: 1 Staff
Page 313
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
ROOM NAME: Urology Physician Offices (Shared w AD-15) ROOM NO: FUNCTION:
AC-02.40 This space is included in AD-15 Physician Offices.
ROOM NAME: Urology Exam / Consult with Portable Ultrasound ROOM NO: FUNCTION:
AC-02.45 This space is included in AD-15 Physician Offices.
ROOM NAME: Urology Clean Utility / Catheter Storage ROOM NO: FUNCTION:
AC-02.51 This space is included in APS-01
ROOM NAME: Urology Patient Change, Waiting, and Lockers ROOM NO: FUNCTION:
AC-02.52 This space is included in APS-01
Page 315
ROOM NAME: Urology Physician Work Room / chart holding ROOM NO: FUNCTION:
AC-02.55 This space has been deleted
Page 316
ROOM NAME: Primary Care Group Office / Consult ROOM NO: FUNCTION:
AC-02.62 This has been deleted.
ROOM NAME: Primary Care Group Reception / clerical ROOM NO: FUNCTION:
AC-02.64 This has been deleted.
ROOM NAME: Primary Care Group Active Chart Storage ROOM NO: FUNCTION:
AC-02.65 This has been deleted.
ROOM NAME: Primary Care Room Exam / Consult ROOM NO: FUNCTION:
AC-02.66 This has been deleted.
ROOM NAME: Primary Care Group Patient Washroom ROOM NO: FUNCTION:
AC-02.67 This has been deleted.
ROOM NAME: Primary Care Group Clean Supplies Storage ROOM NO: FUNCTION:
AC-02.68 This has been deleted.
ROOM NAME: Geriatric & Stroke Program Office ROOM NO: FUNCTION:
AC-02.69 Office space for geriatric and stroke program staff to meet with patients and administrative duties.
NSF: 120
Page 317
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
FURNISHINGS
4 Workstations 4 Desk chairs 4 Filing cabinets 4 Waste receptacles 4 chairs Bookcase 4 Tackboards
Office space for cardiac nurse to meet with patients and administrative duties.
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard Page 318
NSF: 120
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
NSF: 120
Office space for palliative care physician to meet with patients and administrative duties.
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 2 chairs Bookcase Tackboard
Office space for the geriatrician to meet with patients and administrative duties.
Page 319
Casework
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 4 chairs Bookcase Tackboard
MAJOR EQUIPMENT
Patient monitor Computer IV pump Hamper Diagnostic set PACS Stretcher high low
FURNISHINGS
Stool Supply cart Chair Garbage can Overbed table
NSF:
80
FURNISHINGS
Soap dispenser Waste receptacle Paper towel dispenser
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
Privacy lock
Bench
FURNISHINGS
Soap dispenser Towel bar Waste receptacle
NSF:
60
Nourishment station for staff to prepare hot and cold snacks and beverages for patients.
MAJOR EQUIPMENT
Ice machine Refrigerator
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle
ROOM NAME: Blanket Warmer Alcove (in Chemotherapy) ROOM NO: FUNCTION:
AC-02.82 Alcove for the blanket warmer.
NSF:
20
MAJOR EQUIPMENT
Patient monitor Computer IV pump Hamper Diagnostic set PACS Stretcher high low
FURNISHINGS
Stool Supply cart 2 chairs Garbage can Overbed table
NSF:
40
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 323
Soap dispenser
Waste receptacle
NSF:
80
FURNISHINGS
Soap dispenser Magazine rack Paper towel dispenser 2 side tables Waste receptacle 4 lounge chairs
FURNISHINGS
Desk Desk chair Meeting table Filing cabinet Waste receptacle Credenza 4 chairs Bookcase Tackboard / whiteboard
Telephone
Computer
Printer
Electrical receptacles
Office space for visiting oncologists to meet with staff and administrative duties.
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Tackboard 2 chairs Bookcase
Office space for the clinical pharmacist to meet with staff and administrative duties.
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Tackboard 2 chairs Bookcase
NSF: 100
Office space for future visiting specialists to meet with patients and administrative duties.
Page 325
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Tackboard 2 chairs Bookcase
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Tackboard 2 chairs Bookcase
Page 326
INTERRELATIONSHIPS
1. The waiting area and patient washroom will be the entry point into the Renal Dialysis suite. 2. The wheelchair weigh station and treatment room will be located just after the waiting area with the Nursing Station in the main treatment area providing a gatekeeper role. 3. The isolation room will be located on the opposite side of the entry point into the main treatment area. 4. The Renal Dialysis suite should be located within the Ambulatory Care area of the main building with the other acute care services. A ground floor location would be best to minimize the impact of equipment leaks on services below Renal Dialysis.
PLANNING CHANGES
1. AC-03.01 The waiting room will be increased to accommodate 15 people increasing the area from 150 NSF to 225 NSF. 2. AC-03.02 This will become the clean linen room and be increased from 30 NSF to 40 NSF. 3. AC-03.04 The isolation room will have an anteroom increasing the area of this room from 120 NSF to 160 NSF. 4. AC-03.05 The soiled utility room will be increased from 80 NSF to 120 NSF to accommodate dumping bicarb rinse jugs. 5. AC-03.06 The Bicarb mixing room will be increased from 60 NSF to 90 NSF. 6. AC-03.10 The staff washroom will be made into a staff bathroom. 7. AC-03.11 The patient washroom will be decreased from 60 NSF to 40 NSF. 8. AC-03.12 Storage and supplies will be combined in one room with no area increase. 9. AC-03.14 The water treatment room will be increased from 80 NSF to 150 NSF. 10. AC-03.15 The wheelchair storage will be increased to accommodate 2 wheelchairs and a stretcher increasing the space from 40 NSF to 50 NSF. 11. AC-03.17 A new wheelchair weigh area will be provided adding 30 NSF. 12. AC-03.18 A new patient washroom will be added to the isolation room adding 40 NSF. 13. AC-03.19 A new dialysis machine test alcove for three machines will be provided adding 50 NSF. 14. AC-03.20 A new tech workroom will be provided adding 200 NSF. Summary Master Program Functional Program Difference 3,870.0 DGSF 4,571.0 DGSF +701.0 DGSF
Page 327
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AC-03 AC-03.01 AC-03.02 AC-03.03 AC-03.04 AC-03.05 AC-03.06 AC-03.07 AC-03.08 AC-03.09 AC-03.10 AC-03.11 AC-03.12 AC-03.13 AC-03.14 AC-03.15 AC-03.16 AC-03.17 AC-03.18 AC-03.19 AC-03.20 AC-03.21
Renal Dialysis Waiting (15 people) Alcove, clean linen Treatment stations (9 stations) Treatment, isolation / ante room Utility, soiled Bicarb Mixing Room Office, staff Locker room, staff Lounge, staff Bathroom, staff Washroom, patient Storage, equipment / supplies Storage, supplies (incl. in AC-03.12) Water treatment room Storage, 2 wheelchairs / stretcher Closet, janitor Weigh, wheelchair Washroom, isolation Dialysis testing alcove Medication preparation room Tech workroom S,W S,W S,W 225 40 1,400 160 120 90 120 50 160 40 40 200 0 150 50 40 30 40 50 60 200 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 225 40 1,400 160 120 90 120 50 160 40 40 200 0 150 50 40 30 40 50 60 200 3,265 1.40 4,571.0
W W W W
W W
FURNISHINGS
15 chairs Pamphlet display rack 2 side tables Magazine rack Page 328
Waste receptacle
NSF:
40
This room must have natural light for all treatment stations. Every 3rd treatment station will have a computer station with chair for staff. Locate utility carts below the counter of the nursing workstation facing the treatment cubicles.
MAJOR EQUIPMENT
9 dialysis machines 6 supply utility carts Emergency cart Ph testing station
FURNISHINGS
9 reclining chairs Shelving for supplies Waterless soap dispensers 3 soap dispensers 9 chairs for staff 9 overchair tables 9 sharps containers 3 paper towel dispensers 2 eyewash stations
NSF: 160
Treatment room and ante room for one client to receive dialysis in isolation who have Hepatitis B, MRSA infections etc.
This room must have natural light. The ante room will have a sink, dispensers, cupboards for gowns etc.
MAJOR EQUIPMENT
Dialysis machine
FURNISHINGS
Reclining chair Chair 2 soap dispensers 2 sharps containers Overchair table Eyewash stations 2 paper towel dispensers @ Waterless soap dispensers
OCCUPANCY: 1 Person
Page 330
MAJOR EQUIPMENT
Undercounter sanitizer
FURNISHINGS
4 large garbage containers Paper towel dispenser Soiled linen cart Eyewash station Soap dispenser 3 Recycling container
NSF:
90
FURNISHINGS
Soap dispenser Paper towel dispenser 2 carts for bicarb jugs Eyewash station Waste receptacle
NSF: 120
This office will be used by the staff and visiting RN for patient interview, counseling, staff education and administrative duties.
OCCUPANCY: 1 to 3 People
Page 331
FURNISHINGS
Desk 2 chairs Filing cabinet Waste receptacle Desk chair Tackboard Bookcase
NSF:
50
Bench
FURNISHINGS
Waste receptacles Waterless soap dispenser
MAJOR EQUIPMENT
Undercounter refrigerator Microwave
FURNISHINGS
Table Paper towel dispenser Waste receptacle 6 chairs Soap dispenser
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
4 supply carts
Page 333
FURNISHINGS
Chairs
NSF: 150
RO water treatment machine room that provides RO water for all of the dialysis machines.
NSF:
50
NSF:
40
Page 334
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket Shop vac
NSF:
30
FURNISHINGS
Waterless soap dispenser
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
50
OCCUPANCY: 1 Person
Page 335
MAJOR EQUIPMENT
3 dialysis machines
NSF:
60
FURNISHINGS
Paper towel dispenser Soap dispenser Sharps container
MAJOR EQUIPMENT
3 dialysis machines
FURNISHINGS
Paper towel dispenser Soap dispenser Shelving Eyewash station
Page 337
INTERRELATIONSHIPS
1. One of the washrooms should be located in the waiting room area. 2. There should be a division between the waiting space and the offices and treatment areas. 3. Staff facilities should be remote from patient waiting 4. In addition to space program, outpatient mental health services require access to large meeting rooms, gymnasium, telehealth & library with Internet access. 5. Outpatient mental health services should be located very close to MH inpatient services to support functional integration & resource sharing where possible. 6. Area to be self contained & not used as thoroughfare to other departments or services. 7. Space should be located in the following functional groupings: Admin & support Group rooms & ADL kitchen Testing, observation, play & family rooms Community treatment teams (compass, family first, treatment rooms & crisis) Adult outpatient Child, family & adolescent
PLANNING CHANGES
AC-04.43 A medication cupboard has been added. AC.04.04. Reception. Name changed to registration & space increased to 120 NSF to provide for confidentiality. AC.04.05. Storage, active files. Increased to accommodate current files. AC.04.06. Photocopy,/mailroom. Changed to staff work/incomplete charts & increased to 200 NSF. AC.04.09. Office, intake clerk. Reduce to 1 office. AC-04.16 Revise this space to be two offices for two staff each, reducing this area by 420 NSF. AC.04.19. Therapy, group (25). Increase to 600 NSF to allow adequate space. AC.04.20 Therapy, group (10). Deleted. Program does not use this size groups. AC.04.21 Therapy, group (15). Increased to 400 NSF & number of rooms increased to 2. AC-04.38 Reduce staff lounge to become a kitchenette reducing the area from 300 NSF to 60 NSF. AC.04.46. Crisis program was not in place when master program prepared. 600 NSF will be added to include the project team leader office 140 NSF, family interview room 160 NSF and an office shared by four staff 300 NSF. AC.04.49. Psychology testing - add 100 NSF for testing near child & adolescent program. AC.04.50. Add 4 x 80 NSF storage for toys, educational & testing materials, AV equipment etc. Summary Master Program Functional Program Difference 16,562.0 DGSF 17,706.0. DGSF + 1,144.0 DGSF
Page 338
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AC-04 AC-04.01 AC-04.02 AC-04.03 AC-04.04 AC-04.05 AC-04.06 AC-04.07 AC-04.08 AC-04.09 AC-04.10 AC-04.11 AC-04.12 AC-04.13 AC-04.14 AC-04.15 AC-04.16 AC-04.17 AC-04.18 AC-04.19 AC-04.20 AC-04.21 AC-04.22 AC-04.23 AC-04.24 AC-04.25 AC-04.26 AC-04.27 AC-04.28 AC-04.29 AC-04.30 AC-04.31 AC-04.32 AC-04.33 AC-04.34 AC-04.35 AC-04.36 AC-04.37
Outpatient Mental Health Waiting, adult (12 people) Waiting, quiet adult (5 people) Waiting, children with play area (15 people) Registration Storage, active files Staff work / incomplete charts Storage, inactive files Office, clerical (3 people) Office, intake clerk Office, director Office, admin secretary Office, statistics Office, manager Office, psychiatry Office, clinicians in-house Office, clinician community Office, LEAP Office, multipurpose Therapy, group (25 people) Therapy, group (10 people) (deleted) Therapy, group (15 people) Therapy, group (play) Observation room Storage, play therapy Therapy, family Observation, family therapy Testing / assessment, adult Testing / assessment, child Observation room, child testing Storage, testing Recreation, dining (12 people) Library / resource client Kitchen, ADL Solarium (outside space) Library, staff Exam / treatment room Storage, adult & child / adolescent W W W W 180 75 225 120 350 200 150 240 100 120 100 100 120 140 140 150 150 120 600 0 400 225 90 80 160 90 150 200 90 60 300 200 200 0 200 120 80 1 1 1 1 1 1 1 2 1 1 1 1 2 10 24 2 2 2 1 0 2 1 2 1 2 1 1 1 1 1 1 1 1 0 1 1 2 180 75 225 120 350 200 150 480 100 120 100 100 240 1,400 3,360 300 300 240 600 0 800 225 180 80 320 90 150 200 90 60 300 200 200 0 200 120 160
Page 339
W W W W W W W W W W W W W W W W W W W W W W W W W
AC-04.38 AC-04.39 AC-04.40 AC-04.41 AC-04.42 AC-04.43 AC-04.44 AC-04.45 AC-04.46 AC-04.47 AC-04.48 AC-04.49 AC-04.50
Lounge, staff (reduced to kitchenette) Washroom, client Washroom, client Washroom, staff Closet, janitor Medication preparation room (replaced by AC-044) Medication cupboard LEAP (deleted) Office, team leader Crisis Interview, family Crisis Office, shared Crisis Psychology testing Storage
W BF W W
1 1 3 6 3 0 1 0 1 1 1 1 4
60 60 120 240 90 0 15 0 140 160 300 100 320 13,620 1.30 17,706.0
Environment to promote calm atmosphere Seating to allow at least 5 feet between clients facing each other Visible and audible from reception
FURNISHINGS
Chairs, fixed to floor or heavy chairs with washable surfaces Side Tables Water cooler
OCCUPANCY: 4 People
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Chairs Side table
ROOM NAME: Children waiting with play area ROOM NO: FUNCTION:
AC-04.03 Space for children and families to wait for appointments
FURNISHINGS
Chairs- adult Chairs- child Large graffiti area Play centre Water cooler Table
Privacy / confidentiality for clients giving registration information similar to admitting area
Page 341
2 3 4
Open and welcoming quality Visible from waiting area Phone privacy receives all incoming calls makes appointments, changes booked appointments
FURNISHINGS
Workstation Steno chair Waste receptacle 1 filing cabinet Wall cabinet Bookcase / shelving
Close to clinical areas 2 entrances to be accessible to clinical staff without traversing clerical area Must be lockable Must have room accommodate current 1,200 files plus room for growth
MAJOR EQUIPMENT
File cabinets Mobile Health Record System on tracks
FURNISHINGS
Table for chart assembly Receptacle waste 2 Desk / workstations Recycle receptacle Confidential waste Book shelves
OCCUPANCY: 1-3
Page 342
MAJOR EQUIPMENT
Photocopier Telephone Laser Printer Fax
FURNISHINGS
Office supply storage Bulletin board Water cooler Waste receptacle File boxes Recycling receptacle Shelves Confidential recycling
MAJOR EQUIPMENT
Record shelving or file cabinets
3 workstations with privacy for each Located close to active files and photocopy area and adjoining receptionist Kitchen alcove adjoining the clerical spaces
Page 343
MAJOR EQUIPMENT
3 Computer terminals Printer
FURNISHINGS
3 Workstations 3 desk type chairs Table for assembly of mat Microwave Fridge Waste receptacle Small cupboard Recycle receptacle File cabinets
MAJOR EQUIPMENT
2 Computers
FURNISHINGS
Workstation Steno chair Bookcase Waste receptacle Recycle receptacle 2 filing cabinets Side chair
MAJOR EQUIPMENT
Computer Printer
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Tackboard Recycle receptacle 4 chairs Hutch over desk Waste receptacle
FURNISHINGS
Workstation / desk Steno chair Bookcase Waste receptacle Side chair 2 filing cabinets 4 drawer Recycle Receptacle
Page 345
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase Recycle receptacle 2 chairs Tackboard Waste receptacle
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 4 chairs Tackboard Recycle receptacle 1 Meeting table (4) Waste receptacle
Page 346
3 4
FURNISHINGS
Desk chair 3 Comfortable chairs File cabinet Hutch/cupboard/shelves Desk
MAJOR EQUIPMENT
Computer Printer
FURNISHINGS
Desk Hutch/bookshelves 3 comfortable chairs File cabinet Desk chair
Close to Psychiatry, treatment room, crisis team, inpatient unit Good soundproofing This space will be divided into two private workstations.
Page 347
FURNISHINGS
2 workstations 2 desk chairs 2 filing cabinets 2 chairs Whiteboard 2 waste receptacles 2 bookcases 2 tackboards
FURNISHINGS
2 workstations 2 desk chairs 2 filing cabinets 2 chairs Whiteboard 2 waste receptacles 2 bookcases 2 tackboards
Page 348
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tack board
Comfortable environment with good soundproofing All group spaces are collocated & close to the ADL kitchen and the recreation/dining area Client WR close by Client coat room close but secure
MAJOR EQUIPMENT
Secure TV/DVD mounted Sound system
FURNISHINGS
White board/flip chart wall mounted Chairs Table
Page 349
FURNISHINGS
White board/flip chart wall mounted Chairs TV/DVD wall mounted Sound system Table
Page 350
MAJOR EQUIPMENT
Monitoring system Bug in ear Camera & microphone
FURNISHINGS
3-4 chairs child size Table adjustable height Floor mats
One way glass x 2 Between the play room and a family room double usage One of these observation rooms could be used as storage for OT instead of observation
MAJOR EQUIPMENT
Video and sound monitoring system Sound system Bug in ear
FURNISHINGS
Chairs Telephone
OCCUPANCY: 1 Person
Page 351
Living room environment Good soundproofing Adjacent to an observation room Next to child testing space with observation room in between
FURNISHINGS
Chairs Coffee table
MAJOR EQUIPMENT
Video monitoring
FURNISHINGS
Chairs
Page 352
MAJOR EQUIPMENT
Computer Scanner Printer File cabinets 4 drawer
FURNISHINGS
2 Chairs Table adjustable Computer desk/hutch
Quiet environment good soundproofing Access to storage out of sight but from within room Neutral non-stimulating dcor Computer etc. in a separate room next to the child testing space
MAJOR EQUIPMENT
Video camera Remote control in Observation room
FURNISHINGS
4 Chairs Table- child
Page 353
MAJOR EQUIPMENT
Video monitoring Audio amplification
FURNISHINGS
4 chairs
OCCUPANCY: 1 to 12 People
Page 354
MAJOR EQUIPMENT
TV/DVD/Stereo - wall mounted White board Flip chart wall mounted
FURNISHINGS
12 stackable folding chairs Tables on rollers Storage cabinets
MAJOR EQUIPMENT
Computer AV equipment
FURNISHINGS
Chairs Table Workstation Shelving
NSF: 200
Page 355
FUNCTION:
Located in the center of the group spaces with access from each of the 4 spaces including the dining area Access from hall Sitting area Workable traffic flow to maximize layout Washroom nearby Non-slip flooring
MAJOR EQUIPMENT
Stove and oven Microwave Dishwasher heavy duty Ice maker Refrigerator 23
FURNISHINGS
Table 4 chairs Water cooler
Page 356
Quiet location
MAJOR EQUIPMENT
Computer terminal with internet access
FURNISHINGS
2 Study cubicles 2 Lounge chairs 4 Round tables Reading lamps Side table
Adjacent to mental health nurse office COPASS team space Designed for both adults & children Near patient washroom Close to storage for psychiatric med samples Close to staff library/resource room
MAJOR EQUIPMENT
Refrigerator small Computer An exam table BP machine Weigh scales
FURNISHINGS
Chairs Workstation Foot stool Dispenser
Page 357
ROOM NAME: Adult & Child / Adolescent Storage ROOM NO: FUNCTION:
AC-04.37 Storage
MAJOR EQUIPMENT
Refrigerator Microwave
FURNISHINGS
Soap dispenser Paper towel dispenser
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF: 30
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket Vacuum cleaner
NSF:
NSF:
15
NSF:
Office for the team leader to meet with staff, family and carry out administrative duties
Page 360
MAJOR EQUIPMENT
Computer Printer
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Tackboard Recycle receptacle 4 chairs Hutch over desk Waste receptacle
FURNISHINGS
Coffee table 8 chairs comfortable 2 side tables
NSF: 300
Office for four crisis staff. This space will be used to organize referrals and facilitate patient follow-up.
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 361
4 bookcases 4 tackboards
FURNISHINGS
2 Chairs Table adjustable Computer desk/hutch
NSF:
80
Page 362
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
INTERRELATIONSHIPS
1. Clerical Workstation. Located close to patient files, photocopier, waiting area & coordinators office.
PLANNING CHANGES
1. AC.05.01 Increased clerical from 100 NSF to 150 NSF to allow for 2 people. 2. AC.05.03. Reduced size from 150 NSF to 120 NSF to be consistent with other offices. 3. AC.05.05. Added another dietitian office increasing area from 240 NSF to 360 NSF. 4. AC.05.06. Deleted consult room reducing area by 120 NSF. This will be included in Ambulatory Care. 5. AC.05.08. Classroom space increased from 400 NSF to 500 NSF to accommodate 25 people and supplies. 6. AC.05.09. Deleted kitchenette reducing area by 80 NSF. Summary Master Program Functional Program Difference 2,743.0 DGSF 2,743.0 DGSF +0.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
AC-05 AC-05.01 AC-05.02 AC-05.03 AC-05.04 AC-05.05 AC-05.06 AC-05.07 AC-05.08 AC-05.09 AC-05.10 AC-05.11 AC-05.12 AC-05.13
Diabetes Centre Workstation, clerical (2 people) Waiting (10 people) Office, diabetes coordinator Office, nurse educator Offices, dietitian educator Exam, consult (incl. in Ambulatory Care AC-02) Washroom, patient / family change Conference/classroom (25 people) Kitchenette Conference room Photocopy / fax / paper supplies Storage, patient files Storage, equipment W W W W W W W W 120 150 120 140 120 0 40 500 0 140 60 120 80 1 1 1 3 3 0 1 1 0 1 1 1 1 120 150 120 420 360 0 40 500 0 140 60 120 80 2,110 1.30
Page 363
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
Total DGSF
2,743.0
MAJOR EQUIPMENT
Computer Fax Printer
FURNISHINGS
Work station Phone
MAJOR EQUIPMENT
Computer / printer
FURNISHINGS
10 chairs End tables Coffee table
OCCUPANCY: 1-5
Page 364
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
MAJOR EQUIPMENT
Computer terminal / printer Diagnostic set
FURNISHINGS
table Bookshelves chairs credenza Desk Filing cabinets
MAJOR EQUIPMENT
Refrigerator Computer Paper towel dispenser Diagnostic set Soap dispenser
FURNISHINGS
Desk / computer work station Chairs Filing cabinet Table Bookshelves
NSF: 120
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
MAJOR EQUIPMENT
Computer / printer Scale Balance scale
FURNISHINGS
Table Filing cabinets Desk / computer work station Chairs
OCCUPANCY: 1-2
NSF: 500
Space for teaching patients diagnosed with diabetes or impaired glucose tolerance and their partners how to manage their disease
Page 366
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
FURNISHINGS
Table Chairs (26) Shelves Coat rack
NSF: 140
Space for Diabetic Centre staff for small group work with newly diagnosed children / family, team conferences, department manuals / journals.
MAJOR EQUIPMENT
Computer terminals- 2 TV / VCR
FURNISHINGS
Table or desk/carrel Chairs
MAJOR EQUIPMENT
Photocopier Fax
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 367
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3 Worktable
FURNISHINGS
Worktable
To store the medical equipment and patient resource material used in the department.
Page 368
INTERRELATIONSHIPS
1. As the gatekeeper, the specimen receiving area should be at the entrance to the main laboratory. 2. The main lab should be designed so that the following areas are closest to the specimen receiving area for convenient access in the evenings: Chemistry and Hematology first, Microbiology and Blood Bank second, Histology third. 3. Blood Bank and Hematology need to be next to each other. 4. An alcove for a stat printing, fax machine will be located by Chemistry and Hematology. 5. The offices and staff lounge will be accessible from within the main lab area as well as from a secondary corridor. This secondary access will be a controlled access point. 6. There will be pneumatic tube stations connected to the lab in the following departments: at nursing stations in IP-01 Medical Inpatient A, IP-02 Medical Inpatient B, IP-03 Surgical Inpatient Unit, IP04 ICU, IP-06 Maternal Child, IP-07 Palliative; AC-01 Emergency; Blood Collection, DT-05 Surgical Suite; AC-02 Ambulatory Care Medical Day Unit / Chemotherapy. 7. Blood Collection will be located on the ground floor with easy access by the public; near Emergency; and next to Ambulatory Care. The waiting area should be close to an ambulatory care waiting area for overflow capability in the mornings. The blood collection suite will be organized with the collection rooms first when entering this area, followed by the staff workroom and then the patient washrooms. 8. The morgue will be located on the ground floor close to an exterior door for transport of cadavers in and out of the building. This area needs to be close to an elevator for transport of cadavers from the IP units and Emergency. 9. The main lab area will be located close to an elevator serving the inpatient units.
PLANNING CHANGES
1. DT-01.05 There will be 3 washrooms at 40 NSF and one new Barrier Free washroom DT-01.43 at 60 NSF. 2. DT-01.06 This will become a phlebotomy workroom and increased in area from 40 NSF to 100 NSF. 3. DT-01.07 The Chief Tech Office will be increased from 120 NSF to 140 NSF. 4. DT-01.11 The Clerks Office will be increased from 160 NSF to 180 NSF. 5. DT-01.12 The Photocopier room will be increased from 80 NSF to 100 NSF. 6. DT-01.13 Requisition Storage will be increased from 40 NSF to 80 NSF. 7. DT-01.16 The staff lounge will be decreased from 200 NSF to 120 NSF for 6 staff. 8. DT-01.17 The Staff Locker Room will be increased from 110 NSF to 150 NSF. The staff washroom DT-01.19 will be decreased to from 40 NSF to 25 NSF and a new one added at 40 NSF DT-01.44. 9. DT-01.20 Specimen Receiving will be increased from 300 NSF to 400 NSF. 10. DT-01.20 Specimen Collection will be increased from 80 NSF to 100 NSF. 11. DT-01.30 Gross Cutting / Frozen Section will be increased from 120 NSF to 200 NSF.
William Nycum & Associates Limited September 5, 2005 Page 369
12. DT-01.31 Microscope Reading will be decreased from 100 NSF to 80 NSF. 13. DT-01.32 Hematology / Serology will be increased from 600 NSF to 875 NSF. 14. DT-01.35 Microbiology Workroom will be increased from 900 NSF to 1,020 NSF. 15. DT-01.37 Special Tests Workroom will be kept as a separate room adding 80 NSF. 16. DT-01.43 A new Zylene Recycling Room will be provided adding 20 NSF. 17. Revise the net to departmental gross to be 1.3 in lieu of 1.4. Summary Master Program Functional Program Difference 11,564.0 DGSF 11,297.0 DGSF -267.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-01 DT-01.01 DT-01.02 DT-01.03 DT-01.04 DT-01.05 DT-01.06 DT-01.07 DT-01.08 DT-01.09 DT-01.10 DT-01.11 DT-01.12 DT-01.13 DT-01.14 DT-01.15 DT-01.16 DT-01.17 DT-01.18 DT-01.19 DT-01.20 DT-01.21 DT-01.22 DT-01.23 DT-01.24 DT-01.25 DT-01.26
Laboratory Services Reception, clerical (2 people) phlebotomy Waiting, phlebotomy (30 people) Phlebotomy room, chair (6) Phlebotomy room, stretcher Washroom, phlebotomy patient Workroom, phlebotomy Office, chief technologist Office, senior technologist Office, pathologist Office, secretary (2 people) Office, clerks (3 people) Photocopy / stationary Storage, requisition Conference room (10 people) (shared with DT-04) Office, quality Control Staff lounge (10 people) (reduced to kitchenette) Locker room, staff Alcove, dirty laundry Washroom, staff Specimen receiving / processing Specimen collection room Washroom, ensuite Morgue autopsy room Morgue change room / shower Morgue viewing room (expired patients) Alcove, morgue stretcher storage (2) W W,S W,S W,S W W W W W W 120 450 480 100 40 100 120 100 120 160 180 60 80 0 100 60 150 30 25 400 100 40 380 80 60 60 1 1 1 1 3 1 1 2 3 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 120 450 480 100 120 100 120 200 360 160 180 60 80 0 100 60 150 30 50 400 100 40 380 80 60 60
Page 370
W W W W
DT-01.27 DT-01.28 DT-01.29 DT-01.30 DT-01.31 DT-01.32 DT-01.33 DT-01.34 DT-01.35 DT-01.36 DT-01.37 DT-01.38 DT-01.39 DT-01.40 DT-01.41 DT-01.42 DT-01.43
Closet, janitor morgue Workroom, histology Storage, histology Gross cutting room / frozen sections Reading, microscope Workroom, hematology / serology Workroom, blood bank Workroom, clinical chemistry Workroom, microbiology Media preparation Workroom, special tests Utility, dirty Storage, chemical / specimen Storage, pathology specimens Closet, janitor Washroom, phlebotomy Zylene recycling room
W W W W W W W W W W
BF
30 400 150 200 80 850 300 900 1,020 60 80 100 200 150 30 60 40
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
30 400 150 200 80 850 300 900 1,020 60 80 100 200 150 30 60 40 8,690 1.30 11,297.0
Privacy must be provided between the two registration cubicles. Privacy must be provided between the cubicles and the waiting area. After hours the cubicle registration area must be securable.
FURNISHINGS
2 chairs / wheelchairs 2 chairs 1 filing cabinet Waste receptacle
Page 371
This will be located adjacent and visible to one of the ambulatory care waiting areas for overflow during the mornings when the phlebotomy service is busy.
FURNISHINGS
30 chairs 6 side tables Pamphlet display rack 3 coffee tables Magazine rack Waste receptacle 3 wheelchairs
FURNISHINGS
6 blood drawing recliners 6 adjustable stools 2 soap dispensers 2 paper towel dispensers 6 chairs 6 side tables Waste receptacle
OCCUPANCY: 1 to 3 People
William Nycum & Associates Limited September 5, 2005
MAJOR EQUIPMENT
Stretcher
FURNISHINGS
Adjustable stool Chair Soap dispenser Side table Paper towel dispenser Waste receptacle Shelving
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
OCCUPANCY: 1 2 People
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Undercounter refrigerator Shelving for supplies Chair
FURNISHINGS
Desk Credenza Desk chair 2 filing cabinets Bookcase Waste receptacle Whiteboard Table Tackboard 3 chairs
FURNISHINGS
Desk Desk chair Filing cabinet 2 bookcases Chair Tackboard Waste receptacle Shelving Page 374
NSF: 120
This office will be used for completing lab studies, administrative duties and meetings with staff.
MAJOR EQUIPMENT
Microscope
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Shelving 2 chairs Tackboard Waste receptacle
NSF: 160
This office will be used for two secretaries providing administrative support to the Lab staff.
FURNISHINGS
2 workstations 2 desk chairs Bookcase Waste receptacle 2 chairs 2 filing cabinets Shelving for reports and binders
NSF: 180
Page 375
FUNCTION:
This office will be used for two clerks providing clerical support to the Lab staff.
Requisition slots
FURNISHINGS
2 workstations 2 desk chairs 2 filing cabinets Bookcase Waste receptacle Shelving
NSF:
60
MAJOR EQUIPMENT
Photocopier
FURNISHINGS
Shelving Shredder container Shredder
NSF:
80
OCCUPANCY: 1 Person
Page 376
FURNISHINGS
4 filing cabinets Shelving
FURNISHINGS
Desk Desk chair Tackboard Filing cabinet 2 bookcases Shelving Chair Shelving Waste receptacle
NSF:
60
MAJOR EQUIPMENT
Refrigerator Microwave
FURNISHINGS
Paper towel dispenser Waste receptacle Soap dispenser
Page 377
50 half-height lockers
NSF:
30
NSF:
25
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF: 400
Page 378
FUNCTION:
Reception area to receive inpatient and outpatient specimens. First stage processing of these specimens including sorting, centrifuging and distributing to the applicable lab testing area.
Shelving will be provided for requisitions, manuals etc. Shelving will be provided for trays, tubes etc. Adequate shelving space is needed for specimen collection trays and supplies
MAJOR EQUIPMENT
Biohazard hood (6) Refrigerator Freezer (3) Water bath Tackboard (10) Whiteboard 2 centrifuges (2 each)
FURNISHINGS
2 soap dispensers 2 paper towel dispensers Recycling bin Shelving (10) requisition Waste receptacle Shelving (12) for trays etc.
MAJOR EQUIPMENT
Stretcher
FURNISHINGS
Blood drawing recliner Chair Soap dispenser Waste receptacle Adjustable stool Side table Paper towel dispenser
Page 379
NSF:
40
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Casework will be used to store instruments and supplies. Autopsies will be performed on the gurneys on which the cadavers are stored. The gurneys will hook onto the wall mounted stainless steel drain and work station. Cadavers will be stored on the gurneys in the walk-in refrigerator, which will have shelving for specimens. One half of the refrigerator will be lockable.
MAJOR EQUIPMENT
4 gurneys Ceiling mounted scale
Page 380
FURNISHINGS
Adjustable stool Covered large garbage can Soap dispenser Paper towel dispenser Wall mounted formalin holder close to cadaver Linen hamper
NSF:
80
Coat hook
FURNISHINGS
Linen hamper Soap dispenser Paper towel dispenser
NSF:
60
Provide window with covering from corridor into viewing room. This room will have a door to the corridor and one into the autopsy area.
MAJOR EQUIPMENT
Gurney Chair
Page 381
NSF:
60
NSF:
30
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
Adequate counter space with lower cabinets and knee space for lab staff is required to accommodate the histology work areas and equipment. This will be an enclosed room with adequate ventilation. A separate histology / cytology tissue specimen examination area is required. Sit down counter space is required for the slide staining work area, embedding and admin.
MAJOR EQUIPMENT
Fume hood (6) Cyto centrifuge Microscope Undercounter refrigerator Page 382
FURNISHINGS
Soap dispenser 3 adjustable chairs 2 Tackboards 1 Whiteboard Paper towel dispenser 3 file cabinets
NSF: 150
Storage of active specimens in formalin, supplies, hazardous materials, paraffin blocks, slides and refrigerated storage of reagents, media and solutions.
FURNISHINGS
Shelving Hazardous storage cabinet (5 vented) Soap dispenser Paper towel dispenser Slide storage cabinet
ROOM NAME: Gross Cutting Room / Frozen Sections ROOM NO: FUNCTION:
DT-01.30 Space for gross cutting of tissue samples and frozen section work
OCCUPANCY: 1 Person
Page 383
MAJOR EQUIPMENT
Cryostat Fume hood (4) Chemical dispensing system tap system for alcohol, formalin and xylene (10)
FURNISHINGS
2 adjustable chairs Shelving Tackboard 2 paper towel dispensers 2 soap dispensers 1 Whiteboard Desk 3 utility carts Desk chair Waste receptacle
NSF:
80
MAJOR EQUIPMENT
Microscope Fume hood (3)
FURNISHINGS
2 adjustable chairs Paper towel dispenser File cabinet 1 Tackboard Soap dispenser Shelving
Page 384
3 sit down counters (6 each) with overhead shelving for differentials Sit-down counter for bone marrows (5) Sit-down counter for two coagulators (20) Centrifuges need to be on isolated sit-down height counters
Standup counter for staining and ESR analyzer (10) Sit-down counter for hood and Cytocentrifuge (10) Counter for ESR Vidas Analyzer (8)
MAJOR EQUIPMENT
2 hematology analyzers Serology centrifuge 2 coagulators ESR Vidas Analyzer 3 microscopes Slide stainer 3 lab mixers / rockers 2 biohazard hoods (4 each) Reagent refrigerator (5) Dry incubator bath Cytocentrifuge Water bath Manual cell counters
FURNISHINGS
6 adjustable chairs 2 soap dispensers File cabinet 2 stools 2 paper towel dispensers 5 tackboards 2 whiteboards
OCCUPANCY: 1 to 3 People
Page 385
MAJOR EQUIPMENT
Centrifuge 2 serofuges Cross match equipment Platelet Mixer Blood bank refrigerator (3) Cell washer Reagent refrigerator (3) Two dry incubator baths Biohazard hood (4) Plasma freezer (5) Plasma thawer Water bath Microscope
FURNISHINGS
4 adjustable chairs Soap dispenser 2 file cabinets Whiteboard 3 tackboards Shelves Paper towel dispenser
The large analyzers should be located around the perimeter of the room. Sound reduction required around the analyzers.
MAJOR EQUIPMENT
2 blood gas analyzers (10) 4 chemistry analyzers (10 Centrifuge Walk-in refrigerator (70 sf) Dry bath Biohazard hood (4) Hemoglobin analyzer (8) Osmo analyzer (6) Page 386
Rocker
Refrigerator (5)
FURNISHINGS
4 adjustable chairs 4 soap dispenser 4 paper towel dispenser 2 file cabinets Shelving for supplies (12) 8 tackboards Whiteboard 2 stools Shelving for binders (6)
Urinalysis will be located close to the entrance to Microbiology and Chemistry for easy access by staff at night. Chlamydia analyzer requires an enclosed room (60 NSF) within the microbiology room to prevent contamination of tests.
MAJOR EQUIPMENT
Biohazard hood (7) 3 microscopes Urinalysis analyzer Micro albumin analyzer (urinalysis) Stainer Bacteriology analyzer Chlamydia analyzer Centrifuge 3 incubators (3 each) Walk-in refrigerator (70 sf) 2 freezers (3 each) Blood culture incubator Biohazard hood (4) water testing 3 CO2 gas tanks Undercounter refrigerator Water bath Stereoscope
Page 387
FURNISHINGS
6 adjustable chairs 3 paper towel dispensers 2 file cabinets 6 tackboards 3 soap dispensers 2 stools Whiteboard 5 foot operated garbage cans
NSF:
60
MAJOR EQUIPMENT
Autoclave
FURNISHINGS
Soap dispenser Paper towel dispenser 2 stools
NSF:
80
MAJOR EQUIPMENT
Half-height refrigerator Biohazard hood (4) Sealer Incubator
Page 388
FURNISHINGS
Soap dispenser Shelving Paper towel dispenser 2 chairs File cabinet Stool Tackboard for charts Whiteboard
The large double sink will be used to soak and clean glassware. Storage of clean glassware will be provided
MAJOR EQUIPMENT
Automatic glassware washer and dryer Pipette washing and distilled water/ionized water system Drying racks
FURNISHINGS
Shelving Linen hamper Soap dispenser Paper towel dispenser
NSF: 200
Storage space for supplies and freezer storage of Cytology, Hematology and Biochemistry specimens.
Page 389
MAJOR EQUIPMENT
Double door freezer Double door refrigerator
FURNISHINGS
Shelving Soap dispenser Paper towel dispenser
NSF: 150
Storage room for inactive pathology blocks and slide specimens, kept for up to 20 years.
NSF:
30
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
60
OCCUPANCY: 1 Person
Page 390
FURNISHINGS
Soap dispenser Toilet paper dispenser Paper towel dispenser Waste receptacle
NSF:
40
Page 391
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to the Diagnostic Imaging suite with the pre-registration waiting space nearby. After patients are registered they proceed on their own to the specific service sub-waiting area. 2. The tech workroom, stretcher / wheelchair alcove and new dry laser room should be located behind the Receptionist area. 3. The supply storage room should be located close to MRI, CT and Nuclear Medicine. 4. The diagnostic imaging services should be located such that the highest volume services are closest to the pre-registration area. The Diagnostic Services should be organized into two groups with the order noted reflecting those services closest and furthest from the pre-registration area: 1) Breast Screening, Ultrasound and Fluoroscopy. Fluoroscopy needs to be located next to Ambulatory Care Urology service; and 2) General Radiography, Bone Densitometry, CT, Nuclear Medicine and MRI. 5. The radiologist offices, transcription cubicle, PAC server room and staff lounge should be located together. These areas should be accessible to both imaging service areas and separate from patient treatment areas. 6. One of the clean linen alcoves should be located close to Nuclear Medicine and CT. 7. Nuclear medicine should be convenient to the stress lab in DT-03 CIU. 8. Diagnostic Imaging should be located next to Emergency for patient transfer, have good vertical connection (elevator access) to the Inpatient Units for patient transfer (about 10% walk-in, 60% by stretcher and 30% by wheelchair), and be convenient to ambulatory care area. The elevator used by Diagnostic Imaging could be shared with Emergency and Laboratory. The access point from Emergency into Diagnostic Imaging should be close to the Tech workroom and receptionist area and be for staff and patient only.
PLANNING CHANGES
1. DT-02.04 The change cubicles were revised from 15 to be 3 regular change cubicles reducing the area from 675 NSF to 45 NSF and adding one new wheelchair accessible change cubicle (DT02.74) 45 NSF. 2. DT-02.05 The number of lockers was reduced from 15 to 8, reducing the area from 75 NSF to 40 NSF. 3. DT-02.08 The soiled linen room is changed to be two clean linen rooms, increasing the area from 20 NSF to 40 NSF. 4. DT-02.11 Bone Densitometry waiting will be combined with CT waiting. 5. DT-02.12 Fluoroscopy rooms were reduced by one. 6. DT-02.13 Patient washrooms were reduced to 40 NSF from 60 NSF. 7. DT-02.16 Patient waiting stretcher alcove will be increased from 95 NSF to 100 NSF. 8. DT-02.19 One additional general radiography room was added and the server room was deleted. 9. DT-02.22 The Mammography room was increased from 175 NSF to 200 NSF.
William Nycum & Associates Limited September 5, 2005 Page 392
10. DT-02.25 The Mammography reading room has been changed to be the clerks office and file storage room and will be increased in area from 80 NSF to 100 NSF. 11. DT-02.28 / .29 An additional ultrasound room and washroom was added. 12. The following spaces will be added to the Fluoroscopy treatment suite: a waiting room for 15 people (DT-02.65) 200 NSF, 4 regular change cubicles (DT-02.66) 60 NSF, 2 wheelchair accessible change cubicles (DT-02.67) 90 NSF, and 15 lockers (DT-02.68) 75 NSF. 13. DT-02.69 A new washroom for patients (40 NSF) will be added to the Mammography suite. 14. DT-02.26 The mammography change cubicles were revised from 4 to become 3 regular change cubicles reducing the area from 180 NSF to 45 NSF. One new wheelchair accessible change cubicle (DT-02.70) at 45 NSF will be added to the mammography suite. 15. DT-02.28 The two ultrasound rooms will be increased in area from 130 NSF to 150 NSF. 16. DT-02.30 The change cubicles for Ultrasound will be revised from 4 to be 1 regular change cubicle (DT-02.30) reducing this area from 180 NSF to 15 NSF and one new wheelchair accessible change cubicle (DT-02.71) 45 NSF. 17. DT-02.31 Waiting space in ultrasound will be increased to accommodate 10 people increasing the area from 90 NSF to 150 NSF. 18. DT-02.32 Nuclear Medicine emergency shower area was reduced from 60 NSF to 40 NSF. 19. DT-02.33 The change cubicles were revised from 45 NSF to be one regular change cubicle reducing the area from 90 NSF to 15 NSF and adding one new wheelchair accessible change cubicle (DT-02.76) 45 NSF. 20. DT-02.34 Nuclear Medicine waiting area will be combined with the ultrasound waiting. 21. DT-02.35 Nuclear Medicine stress testing area will be increased in area from 160 NSF to 300 NSF. 22. DT-02.37 Patient stretcher waiting increased in area from 80 NSF to 100 NSF. 23. DT-02.44 and DT-02.45 Echocardiography has been moved to DT-03 CIU. 24. DT-02.50 Office team leader has become two offices and each office will be 100 NSF increasing the area from 160 NSF to 200 NSF. 25. DT-02.51 The conference room will be shared with AC-02. 26. DT-02.55 Storage for files has been reduced by half. 27. DT-02.58 The mobile x-ray unit alcove was reduced from 100 NSF to 40 NSF. 28. DT-02.59 The staff washroom was reduced from 40 NSF each to 25 NSF. 29. DT-02.60 The locker room will be increased in area from 100 NSF to 120 NSF. 30. DT-02.61 The lounge was changed to be a kitchenette. 31. DT-02.63 The clean utility room has been deleted reducing the area by 100 NSF. 32. DT-02.72 A new area for 4 lockers will be added to the ultrasound suite adding 20 NSF. 33. DT-02.73 Add a new copier / dry laser room 80 NSF. 34. DT-02.75 / .76Add a new mammography reading room at 120 NSF and clerk reading room at 65 NSF. 35. DT-02.77 / .78 Add new cubicle change and locker area for nuclear medicine patients.
William Nycum & Associates Limited September 5, 2005 Page 393
36. DT-02.79 - .83 Add cubicle change, lockers, waiting and stretcher waiting for the MRI unit. Summary Master Program Functional Program Difference 17,190.0 DGSF 15,705.0 DGSF -1,485.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-02 DT-02.01 DT-02.02 DT-02.03 DT-02.04 DT-02.05 DT-02.06 DT-02.07 DT-02.08 DT-02.08 DT-02.09 DT-02.10 DT-02.11 DT-02.12 DT-02.13 DT-02.14 DT-02.15 DT-02.16 DT-02.17 DT-02.18 DT-02.19 DT-02.20 DT-02.21 DT-02.22 DT-02.23 DT-02.24 DT-02.25 DT-02.26 DT-02.27 DT-02.28 DT-02.29 DT-02.30
Diagnostic Imaging Reception / clerical (2 people) Cubicle, transcription (2 people) Waiting for DI (15 people) Cubicles, change Alcove, lockers (8) Waiting, CT / Bone Densitometry etc. (15 people) Washroom, change cubicles Alcove, clean linen Alcove, clean linen Alcove, wheelchairs (2) Bone densitometry, procedures Waiting, Bone Densitometry (incl. in DT-02.06) Fluoroscopy, routine / procedures Washroom, patient Supply room, catheter / set-up CT scanner room Alcove, stretcher (2 stretchers) CT Alcove, ER cart MRI room General radiology room Server room Storage room Mammography room Mammography screening Mammography processing Clerk's office and file storage, mammography Cubicle, change mammography Waiting, mammography (6 people) Ultrasound room Washroom, patient Cubicle, change ultrasound W W S,W W S,W W 120 120 225 15 40 225 40 20 30 30 160 0 400 40 100 450 100 20 550 260 0 80 200 120 100 100 15 90 150 40 15 1 1 1 3 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 3 0 1 1 1 1 1 3 1 3 3 1 120 120 225 45 40 225 40 20 30 30 160 0 400 40 100 450 100 20 550 780 0 80 200 120 100 100 45 90 450 120 15
S,W S,W W W S,W S,W S,W S,W 0 S,W S,W W W S,W S,W W
Page 394
DT-02.31 DT-02.32 DT-02.33 DT-02.34 DT-02.35 DT-02.36 DT-02.37 DT-02.38 DT-02.39 DT-02.40 DT-02.41 DT-02.42 DT-02.43 DT-02.44 DT-02.45 DT-02.46 DT-02.47 DT-02.48 DT-02.49 DT-02.50 DT-02.51 DT-02.52 DT-02.53 DT-02.54 DT-02.55 DT-02.56 DT-02.57 DT-02.58 DT-02.59 DT-02.60 DT-02.61 DT-02.62 DT-02.63 DT-02.64 DT-02.65 DT-02.66 DT-02.67 DT-02.68 DT-02.69 DT-02.70 DT-02.71 DT-02.72 DT-02.73
Waiting, ultrasound / nuclear med (12 people) Alcove, emergency shower nuclear medicine Cubicle, change nuclear medicine Waiting, nuclear medicine (Incl. DT-02.31) Stress testing, nuclear medicine Preparation, patient - nuclear medicine Stretcher, patient waiting Invivo / wet lab Imaging / procedure room Washroom, patient nuclear medicine Isotope room Dictation, nuclear medicine Office, safety officer / team leader Echocardiography room (moved to DT-03) Office, echo dictating (moved to DT-03) Stress test lab (shared DT-03) Workroom, physician and technologist Office, radiologist / viewing Office, manager DI Office, team leader, breast screening Conference (12 people) (share with AC-02) Service room, equipment Storage, generator Storage, supplies Storage, files Storage, files long term Alcove, stretcher (2) / wheelchair (2) Alcove, mobile x-ray units Washroom, staff Locker / changing room (10 people) Lounge, staff (20 people) (reduced to kitchenette) Utility, soiled Utility, clean (deleted) Closet, janitor Waiting, Fluoroscopy (10 people) Cubicle, change Fluoroscopy Cubicle, change Fluoroscopy Alcove, lockers Fluoroscopy (15) Washroom, patient Mammography Cubicle, change Mammography Cubicle, change Ultrasound Alcove, lockers Ultrasound (4) Copier / dry laser room
W W W W W W
S,W
W W W
W W W W W
180 40 45 0 300 100 100 140 400 40 130 80 100 0 0 0 120 120 120 100 0 120 100 100 270 850 100 40 25 120 60 80 0 40 150 15 45 75 40 45 45 20 80
1 1 1 0 1 1 1 1 1 1 1 1 1 0 0 0 1 4 1 2 1 1 1 1 1 1 1 1 3 1 1 1 0 1 1 4 2 1 1 1 1 1 1
180 40 45 0 300 100 100 140 400 40 130 80 100 0 0 0 120 480 120 200 0 120 100 100 270 850 100 40 75 120 60 80 0 40 150 60 90 75 40 45 45 20 80
Page 395
DT-02.74 DT-02.75 DT-02.76 DT-02.77 DT-02.78 DT-02.79 DT-02.80 DT-02.81 DT-02.82 DT-02.83
Cubicle, change bone density / CT Reading room, mammography Mammography reading room, clerk Cubicles, change nuclear medicine Alcove, lockers Nuclear Medicine (4) Cubicle, change MRI Cubicle, change MRI Alcove, lockers MRI (2) Waiting for MRI (6 people) Stretcher, patient waiting MRI
W S Sub-total NSF
45 120 65 15 30 45 15 15 90 80
1 1 1 1 1 1 1 1 1 1
NSF: 120
To greet individuals with Diagnostic Imaging appointments, register patients, receive and distribute mail and provide clerical support to the Radiology staff.
The two patient cubicles must provide privacy for registration. Shelving will be provided for paper supplies
FURNISHINGS
2 chairs Bookcase Waste receptacle Shelving Number system 1 filing cabinet Tackboard Whiteboard
OCCUPANCY: 1 to 2 People
Page 396
FURNISHINGS
2 chairs Book case File cabinet
NSF: 225
Area for clients to check in or be registered for Diagnostic procedures before proceeding to the appropriate imaging treatment area.
3 side tables
Magazine rack
NSF:
15
Cubicles for patients to change into hospital gowns before the diagnostic procedure. These will serve the Bone Densitometry, General Radiology and CT Scan suites. The wheelchair accessible cubicle is new DT-02.74.
FURNISHINGS
Shelving
Page 397
NSF:
40
Lockers for patient who have changed to store their clothes and personal belongings while they are having their diagnostic procedure. These will serve the Bone Densitometry, General Radiology and CT Scan suites.
ROOM NAME: CT / General Radiology / Bone Densitometry Waiting ROOM NO: FUNCTION:
DT-02.06
NSF: 225
Waiting area for patients prior to receiving General Radiography, CT Scan or Bone Densitometry diagnostic procedures.
Waste receptacle
Magazine rack
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 398
NSF:
20
NSF:
30
MAJOR EQUIPMENT
Bone densitometer table Bone densitometer computer / printer / cart
FURNISHINGS
Soap dispenser Paper towel dispenser Tackboard File cabinet Adjustable stool Chair Waste receptacle Scale
Page 399
This room requires appropriate lead shielding. Digital imaging capability will be provided for this procedure. This will be a square room to ensure good access to equipment and procedure areas.
MAJOR EQUIPMENT
Fluoroscopy table 5 lead aprons 3 half size aprons Lead aprons holder Ceiling mounted Fluoroscopy arm Panel console Power cabinet Transformer Barium flow pump Wall bucky IV pole Cassette storage Portable exam light
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Tackboard Side chair Step stool Sharps disposal container Gloves dispenser Linen hamper Adjustable stool Utility cart
Page 400
NSF:
40
This room needs to be accessible from the Fluoroscopy procedure room and the sub-corridor linking the two procedure rooms and the setup room. This will enable patients to leave the procedure area from the washroom without having to back through the procedure room.
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
This space will be located between the two Fluoroscopy procedure rooms and accessible to them from a connecting sub-corridor.
FURNISHINGS
Soap dispenser Utility cart Paper towel dispenser Waste receptacle
Page 401
This room requires appropriate lead shielding. Digital imaging capability will be provided for this procedure.
MAJOR EQUIPMENT
CT Scanner 3 lead aprons Lead aprons holder Portable exam light Panel console Power cabinet Ceiling mounted injection system Immobilizer IV pole CCTV monitor Transformer Portable monitor and control
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Tackboard File cabinet Side chair Step stool Sharps disposal container Gloves dispenser Linen hamper 2 adjustable stools Utility cart
MAJOR EQUIPMENT
2 stretchers 2 chairs
NSF:
20
MAJOR EQUIPMENT
Emergency cart
This room requires appropriate magnetic shielding. Digital imaging capability will be provided for this procedure.
MAJOR EQUIPMENT
MRI machine Power cabinet Transformer Panel console Immobilizer
Page 403
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Tackboard Side chair 2 adjustable stools Step stool Sharps disposal container Gloves dispenser Linen hamper Utility cart
This room requires appropriate lead shielding. Digital imaging capability will be provided for this procedure.
MAJOR EQUIPMENT
Radiography table 5 lead aprons 3 half size aprons Lead aprons holders Ceiling mounted radiography arm Panel console Power cabinet Transformer Wall bucky Immobilizers Cassette storage Portable exam light Pig-o-stat
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Tackboard File cabinet Side chair Step stool Sharps disposal container Gloves dispenser Linen hamper Utility cart Adjustable stool
Page 404
NSF:
80
Digital imaging capability will be provided for this procedure. The patient will be interviewed in this room before the procedure.
MAJOR EQUIPMENT
Mammography unit 1 lead apron Mammography chair Panel console Lead aprons holder X-ray view box Cassette storage 1 half size apron
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Tackboard 2 side chairs Adjustable stool Step stool Sharps disposal container Gloves dispenser Linen hamper Utility cart
Page 405
Digital imaging capability will be provided for this procedure. The patient will be interviewed in this room before the procedure.
MAJOR EQUIPMENT
Portable Mammography unit 1 lead apron 1 half size apron Lead aprons holder X-ray view box Cassette storage
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Tackboard Side chair Adjustable stool Step stool Sharps disposal container Linen hamper Gloves dispenser
This room needs to be accessible from both the Mammography screening and procedure rooms. Ceiling must be solid, no acoustic tiles.
Page 406
MAJOR EQUIPMENT
Replenishing chemical tank X-ray view box Mammography processor
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle
ROOM NAME: Mammography Clerk Office and File Room ROOM NO: FUNCTION:
DT-02.25 Workspace for clerks and file storage for mammography.
The computer workstation will be connected to the Nova Scotia Breast Screening Program.
FURNISHINGS
Computer workstation 3 file cabinets 3 chairs Shelving
NSF:
15
Cubicle for patients to change into hospital gowns before Mammography procedures. The mammography wheelchair change cubicle is located in DT-02.70.
3 cubicles
3 clothes hooks
Mirror
3 benches
FURNISHINGS
Shelving
NSF:
90
2 side tables
Magazine rack
Digital imaging capability will be provided for this procedure. The patient will be interviewed in this room before the procedure.
MAJOR EQUIPMENT
Ultrasound machine and cart Stretcher
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle Step stool Side chair Sharps disposal container Gloves dispenser Linen hamper Adjustable stool
NSF:
40
Grab bars
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
15
Cubicle for patients to change into hospital gowns before Ultrasound procedures. The wheelchair accessible cubicle change room is in DT-02.71.
FURNISHINGS
Shelving
ROOM NAME: Ultrasound and CT Scan Waiting (12) ROOM NO: FUNCTION:
DT-02.31 Waiting area for patients prior to receiving Ultrasound / CT procedures.
2 side tables
Magazine rack
Page 409
ROOM NAME: Emergency Shower Alcove for Nuclear Medicine ROOM NO: FUNCTION:
DT-02.32 Emergency shower for Nuclear Medicine staff and patients.
NSF:
40
Non-porous unit. This room should be located close to nuclear medicine and the hot lab / wet lab.
NSF:
45
Cubicles for patients in wheelchairs to change into hospital gowns before Nuclear Medicine procedures. The regular change cubicle for Nuclear Medicine will be in room DT-02.77.
FURNISHINGS
Shelving
NSF: 300
Page 410
FUNCTION:
MAJOR EQUIPMENT
Life pack Stretcher Monitoring equipment
FURNISHINGS
Soap dispenser Paper towel dispenser Sharps container Gloves dispenser Step stool 2 side chairs Battery wall clock Linen hamper Adjustable stool 1 full size lead apron Waste receptacle Lead apron holder IV pole
NSF: 100
Nuclear Medicine patient preparation / injection room. Patients will also be interviewed in this room.
MAJOR EQUIPMENT
Reclining injection chair Mobile injection cart (lead lined)
Page 411
FURNISHINGS
Soap dispenser Paper towel dispenser Shelving for supplies Linen hamper Side chair Sharps container Waste receptacle Adjustable stool Biohazard container Tackboard Battery wall clock Gloves dispenser
An alcove for post injection patients waiting on stretchers for Nuclear Medicine testing
MAJOR EQUIPMENT
2 stretchers 2 wheelchairs
FURNISHINGS
2 chairs 2 mobile patient trays
OCCUPANCY: 1 to 2 People
Page 412
MAJOR EQUIPMENT
Laminar flow hood Centrifuge Geiger counter
FURNISHINGS
Soap dispenser Paper towel dispenser Sharps container Linen hamper Adjustable stool Biohazard container Waste receptacle Shelving for supplies Gloves dispenser Whiteboard Tackboard
ROOM NAME: Nuclear Medicine Imaging / Procedure Room ROOM NO: FUNCTION:
DT-02.39 Nuclear Medicine patient preparation / injection room.
MAJOR EQUIPMENT
Nuclear medicine machine Procedure table 2 collimator carts Portable exam light Console
FURNISHINGS
Soap dispenser Paper towel dispenser Computer workstation Tackboard Coat hook Linen hamper Side chair Whiteboard Battery wall clock Waste receptacle 2 desk chairs IV pole 2 full size lead aprons Step stool Utility cart Lead apron holder Glove dispenser
Page 413
NSF:
40
Privacy lock
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
This room requires appropriate lead shielding (suitable for PET). This room will be next to the wet lab. Restrict access to this room. This room needs to be close to an exterior entrance for generator receiving.
MAJOR EQUIPMENT
Biohazard hood Geiger counter Microwave Centrifuge Lead lined refrigerator Lab monitor Dose calibrator 10 lead pots 10 eluate vials 4 syringe shields Microscope Radiochromatogram scanner
FURNISHINGS
Soap dispenser Paper towel dispenser Hot plate Adjustable chair Transport cart (lead lined) Lead lined waste receptacle 2 lead lined sharps containers Sharps container Gloves dispenser
NSF:
80
Space for physicians to review Nuclear Medicine images and dictate patient record notes.
MAJOR EQUIPMENT
Nuclear Medicine imager
FURNISHINGS
2 desk chairs Bookcase
ROOM NAME: Safety Officer and Team Leader Office ROOM NO: FUNCTION:
DT-02.43 This office will be used for administrative duties and meetings with staff.
OCCUPANCY: 1 to 3 People
Page 415
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle Tackboard Whiteboard 2 chairs Filing cabinet
NSF: 120
Office space for radiologist to review film / images, dictate notes and provide administrative duties.
OCCUPANCY: 1 to 3 People
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Desk chair X-ray View box Filing cabinet Bookcase Tackboard High density mammo viewer Waste receptacle
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Tackboard Waste receptacle 4 chairs 1 Meeting table (4)
ROOM NAME: Team Leader / Breast Screening Coordinator Office ROOM NO: FUNCTION:
DT-02.50
NSF: 100
Office space for the Team Leader and/or Breast Screening Coordinator to perform administrative duties and meet with staff.
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 417
Bookcase Desk
Tackboard
NSF:
Workroom to work on imaging equipment, store spare parts and servicing tools.
Shelving will be for manuals, parts, QA test tools and service equipment
FURNISHINGS
Shelving
This room will have appropriate lead shielding (adequate for PET). Restricted area.
Page 418
MAJOR EQUIPMENT
Shelving Lab monitor
The shelving will be sized to accommodate x-ray films as well as patient records. One room will be used to file death, children and repeat files. The second file room will be for breast screening records.
FURNISHINGS
Shelving Counter space Desk chair Computer
The shelving will be sized to accommodate x-ray films as well as patient records.
FURNISHINGS
Shelving Counter space Desk chair Computer
NSF: 100
Page 419
FUNCTION:
NSF:
40
NSF:
25
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 420
30 purse lockers
Mirror
FURNISHINGS
Waste receptacles Linen hamper
NSF:
60
MAJOR EQUIPMENT
Full height refrigerator Microwave
FURNISHINGS
Paper towel dispenser Soap dispenser
NSF:
80
Room to store and / clean instruments and to hold garbage and soiled linens.
FURNISHINGS
Garbage carts Waste receptacle Soap dispenser Paper towel dispenser Soiled linen carts
FUNCTION:
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
3 side tables
Magazine rack
NSF:
15
Cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the Fluoroscopy suite. The wheelchair accessible change cubicle is in DT-02.67.
Page 422
FURNISHINGS
Shelving
NSF:
45
Wheelchair accessible cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the Fluoroscopy suite. The regular change cubicles are in DT-02.66.
FURNISHINGS
Shelving
NSF:
75
Lockers for patient who have changed to store their clothes and personal belongings while they are having their diagnostic procedure. These will serve the Fluoroscopy suite.
NSF:
40
Page 423
Coat hook
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
45
Wheelchair accessible cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the Mammography suite. The regular change cubicles are in DT-02.26.
NSF:
45
Wheelchair accessible cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the Ultrasound suite. The regular change cubicles are in DT-02.30.
FURNISHINGS
Shelving
NSF:
20
Lockers for patient who have changed to store their clothes and personal belongings while they are having their diagnostic procedure. These will serve the Ultrasound suite.
NSF:
80
MAJOR EQUIPMENT
Photocopier Dry view laser imager
FURNISHINGS
Shelving
ROOM NAME: Bone Densitometer / CT / General Radiology Change Cubicle ROOM NO: FUNCTION:
DT-02.74
NSF:
45
Wheelchair accessible cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the Bone Densitometry, General Radiology and CT Scan suites. The regular change cubicles are in DT-02.04.
OCCUPANCY: 1 Person
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Shelving
FURNISHINGS
Open shelving Computer workstation
NSF:
65
NSF:
15
Page 426
FUNCTION:
Regular cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the Nuclear Medicine suite. The wheelchair change cubicle is in DT-02.33.
FURNISHINGS
Shelving
ROOM NAME: Nuclear Medicine Lockers Alcove (4) ROOM NO: FUNCTION:
DT-02.78
NSF:
30
Lockers for patient who have changed to store their clothes and personal belongings while they are having their diagnostic procedure.
NSF:
45
Wheelchair accessible cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the MRI unit.
FURNISHINGS
Shelving William Nycum & Associates Limited September 5, 2005 Page 427
NSF:
15
Regular change cubicle for patients to change into hospital gowns before the diagnostic procedure. This will serve the MRI unit.
FURNISHINGS
Shelving
NSF:
15
Lockers for patient who have changed to store their clothes and personal belongings while they are having their diagnostic procedure.
NSF:
90
1 side table
Magazine rack
ROOM NAME: MRI Patient Waiting Stretcher Alcove ROOM NO: FUNCTION:
DT-02.83 An alcove for patients on stretchers waiting for MRI Scans
NSF:
80
MAJOR EQUIPMENT
Stretcher Chair
Page 429
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to the Cardiac Investigation Unit (CIU) suite with the pre-registration waiting space nearby. 2. The CIU staff go to Emergency and the inpatient units to provide testing services. 3. The stress testing lab and EKG testing rooms should be located closest to the corridor leading from the waiting area with Echocardiography behind these and staff space beyond that. The changed waiting area will be located between the stress testing preparation room and the stress testing room so that patient do not have to go into to the corridor to go between these spaces. 4. CIU should be located next to Diagnostic Imaging suite for easy patient access between the stress testing in Nuclear Medicine and the CIU and other Diagnostic Imaging procedure rooms.
PLANNING CHANGES
1. DT-03.01 The waiting room will be increased to include a coat closet and 20 people increasing this area from 225 NSF to 300 NSF. 2. DT-03.03 The tech workroom will be increased from 120 NSF to 160 NSF. 3. DT-03.04 File storage will be increased from 200 NSF to 240 NSF. 4. DT-03.06 This room has been changed to become the Echocardiography testing room increasing the area from 80 NSF to 200 NSF. 5. DT-03.09 The changed waiting area is for six people increasing the area from 60 NSF to 90 NSF. 6. DT-03.10 The crash cart will be kept in DT-03.07 deleting this space of 40 NSF. 7. DT-03.12 The wheelchair alcove will be reduced from 40 NSF to 30 NSF. 8. DT-03.13 The physician dictation room will be reduced from 60 NSF to 50 NSF. 9. DT-03.14 The equipment supply room was increased from 80 NSF to 100 NSF. 10. DT-03.15 The patient washroom will be reduced from 60 NSF to 40 NSF. 11. DT-03.13 The staff washroom will be reduced from 40 NSF to 25 NSF. 12. DT-03.17 This room has been deleted. 13. DT-03.18 A new echo viewing room and workstation will add 100 NSF. 14. DT-03.19 A new echo probe cleaning room will add 40 NSF. Summary Master Program Functional Program Difference 2,411.5 DGSF 2,808.0 DGSF + 396.5 DGSF
ROOM AREA
NSF
ROOM SUMMARY
ID N0. ROOM NAME CODE NO. OF ROOMS TOTAL AREA
NSF
DT-03
DT-03.02 DT-03.03 DT-03.04 DT-03.05 DT-03.06 DT-03.07 DT-03.08 DT-03.09 DT-03.10 DT-03.11 DT-03.12 DT-03.13 DT-03.14 DT-03.15 DT-03.16 DT-03.17 DT-03.18 DT-03.19
Reception Workroom, technical Storage, files EKG exam room Echocardiography room Lab, stress testing (2 patients) Preparation, stress testing Changed waiting (6 people) Alcove, crash cart (incl. in Dt-03.07) Alcove, linen Alcove, wheelchair Dictation, physician Storage, equipment / supplies Washroom, patient (Incl. in DT-07) Washroom, staff (Incl. in DT-07) Kitchenette (Incl. in DT-07) Echo viewing room Echo probe cleaning room (new)
W W
1 1 1 2 1 1 2 1 0 1 1 1 1 0 0 0 1 1
80 160 240 240 200 400 100 90 0 30 30 50 100 0 0 0 100 40 2,160 1.30 2,808.0
NSF: 300
Area for patients and families to wait before their stress test, echocardiography test, Holter or EKG tests.
FURNISHINGS
20 chairs Waste receptacle Pamphlet display rack 3 side tables Magazine rack
NSF:
80
To greet individuals with EKG / stress test / echocardiography appointments, receive and distribute mail and provide clerical support to the CIU staff.
Page 431
FURNISHINGS
Workstation Bookcase Waste receptacle Steno chair 2 filing cabinets
NSF: 160
Workspace for four staff to perform administrative charting duties, event recording and Holter monitoring.
6 purse lockers
MAJOR EQUIPMENT
Holter monitor
FURNISHINGS
4 chairs Filing cabinet Waste receptacle Shelving Tackboard Whiteboard
NSF: 240
Storage room for Echo, EKG, Holter and Stress Test patient records, death files, and administrative files.
NSF: 120
Page 432
FUNCTION:
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus EKG machine on stand
FURNISHINGS
Exam table Adjustable stool Waste receptacle Chair Soap dispenser Paper towel dispenser
RF shielding required
MAJOR EQUIPMENT
Echocardiography machine Echo stretcher
FURNISHINGS
Soap dispenser Paper towel dispenser Linen hamper Side chair Waste receptacle Adjustable stool Step stool
Page 433
This room will be rectangular to create two stress test areas. A wall will be provided between the two test areas.
MAJOR EQUIPMENT
2 treadmills 2 pacemaker machines 2 stretchers Crash cart
FURNISHINGS
2 adjustable stools Soap dispenser Paper towel dispenser 4 chairs
NSF:
50
Clothes hook
FURNISHINGS
Soap dispenser Chair Shelving Paper towel dispenser Full height locker
Page 434
NSF:
90
Space for patients to wait for their stress test after changing and being prepped.
Side table
Magazine rack
NSF:
30
NSF:
30
NSF:
50
Area for physicians to dictate information to patient records and interpret EKGs, Holter and stress testing results.
Page 435
FURNISHINGS
2 chairs
FURNISHINGS
Shelving
NSF: 100
Page 436
MAJOR EQUIPMENT
Holter monitor
FURNISHINGS
2 chairs
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser
Page 437
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to the Day Surgery suite with the waiting space nearby. This will also serve as the reception area for APS-01. 2. The family-waiting alcove will be located close to the preparation area. 3. The pre-operative clinic should be close to the waiting areas and includes the pre-exam clinic, anesthesia office, nurse consultant office and conference teaching room. 4. The patient lockers and change areas will be located between the waiting areas and the preparation areas. 5. The patient washroom will be located close to the preparation areas. 6. The nursing workstation will have line of sight into the preparation areas. 7. The clean and soiled utility, nourishment alcove, medication preparation, emergency cart will be located close to the nursing workstation. 8. The entrance to Day Surgery should be close to an elevator for recognizable access by patients. Day Surgery will also be located with the Surgical Suite for transfer of patients into the operating theatres and back to Day Surgery after first stage recovery.
PLANNING CHANGES
1. DT-04.01 The reception area will be increased from 100 NSF to 120 NSF. 2. DT-04.02 The OR booking clerk will be moved to the Surgical Suite DT-05. 3. The patient change cubicles will be changed to be 2 regular cubicles at 15 NSF each reducing the area from 80 NSF to 30 NSF. A new wheelchair accessible cubicle DT-04.29 will be added at 45 NSF. 4. DT-04.07 Patient lockers will be reduced to 12 lockers. 5. DT-04.09 / DT-04.10 The preparation areas will be reduced to 13 with a reduction in space from 1,120 NSF to 1,020 NSF. A new preparation room with ante room DT-04.30 at 140 NSF. A new washroom for the isolation room DT-04.31 will be added at 40 NSF. 6. DT-04.13 Medication room was increased to 100 NSF. 7. DT-04.18 4.21, 4.33 The Endoscopy services will be relocated to APS-01. As a result of this move, the waiting area DT-04.05 will be reduced to 20 people, the patient change rooms DT-0408 will be reduced to two change cubicles, the stretcher recovery area DT-04-09 will be reduced to 7 beds and the recliner recovery area DT-04.10 will be reduced to 6 chairs. 8. DT-04.22 The exam room will be decreased from 100 NSF to 80 NSF. 9. DT-04.23 The anesthesia office will be increased from 100 NSF to 120 NSF. 10. DT-04.24 The nurse consultant office will be increased from 120 NSF to 150 NSF. 11. DT-04. 32 A new equipment storage room will add 80 NSF. Summary Master Program Functional Program Difference 6,922.5 DGSF 5,263.5 DGSF -1,659.0 DGSF
Page 438
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-04 DT-04.01 DT-04.02 DT-04.03 DT-04.04 DT-04.05 DT-04.06 DT-04.07 DT-04.08 DT-04.09 DT-04.10 DT-04.11 DT-04.12 DT-04.13 DT-04.14 DT-04.15 DT-04.16 DT-04.17 DT-04.18 DT-04.19 DT-04.20 DT-04.21 DT-04.22 DT-04.23 DT-04.24 DT-04.25 DT-04.26 DT-04.27 DT-04.28 DT-04.29 DT-04.30 DT-04.31 DT-04.32 DT-04.33 DT-04.34
Day Surgery / Same Day Admission Reception / registration (2 people) Office, OR booking (moved to DT-05) Quiet room Alcove, family waiting (3 seats) Waiting (20 people) Waiting, private (5 people) Lockers, patient (12) Change, patient Preparation area, stretcher (7) Preparation / post op area, recliner (6) Washroom, patient Workstation, nursing (4 people) Medication preparation Alcove, emergency cart Alcove, nourishment Utility, clean Utility, soiled Endoscopy procedure room (incl in APS-01) Scope cleaning (incl in APS-01) Scope storage (incl in APS-01) Washroom, endoscopy (incl in APS-01) Exam, pre-admission clinic Office, anesthesia Office, nurse consultant Conference/ teaching (20 people) Locker room, staff (shared with DT-05) Lounge, staff (shared with DT-05) Closet, janitor Change, patient Prep area, stretcher isolation / ante room Washroom, patient isolation Storage, equipment Endo prep recovery (8 beds) (incl in APS-01) Urology Patient wtg / lkr (incl in APS-01) S,W W W W 120 0 80 45 300 75 84 15 560 360 40 210 100 20 60 120 80 0 0 0 0 80 120 150 300 0 0 40 45 140 40 80 0 0 1 0 1 1 1 1 1 2 1 1 3 1 1 1 1 1 1 0 0 0 0 1 1 2 1 0 0 1 1 1 1 1 0 0 120 0 80 45 300 75 84 30 560 360 120 210 100 20 60 120 80 0 0 0 0 80 120 300 300 0 0 40 45 140 40 80 0 0 3,509
S W W W
W W W W
W S W
Sub-total NSF
Page 439
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
1.50 5,263.5
NSF: 120
Greet and answer questions from pre-operative / day surgery / same day admission / endoscopy patients and family, register patients and provide administrative support to the Day Surgery / Same Day Admission staff. Shared with APS-01.
FURNISHINGS
Workstation 1 filing cabinet Waste receptacle Bookcase 2 chairs Wheelchair Desk Side chair
NSF:
80
Families who need to meet with the Surgeon post-surgery will also use this room.
2 sofa chairs
Coffee table
NSF:
45
Page 440
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
FUNCTION:
A small waiting area for one family who is in crisis or stress will use this waiting area.
Coffee Table
NSF: 300
Main waiting area for patients and families who are going to have day surgery, endoscopy procedures, same day admission consultations, pre-op consultations or waiting for a family members during surgery. Individuals attending group teachings sessions will be directed to the teaching conference room.
Magazine rack
Pamphlet rack
NSF:
75
Patients with infectious conditions awaiting their day surgery appointment, consultation etc will use this waiting area.
NSF:
84
Lockers for patients to store their clothes and other personal items after they change in preparation for their Day Surgery procedure.
Page 441
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
NSF:
15
Change cubicles for patients in preparation for their Day Surgery procedure.
2 robe hooks
A fixed wall will separate each cubicle with the end of each cubicle open with a cubicle curtain. One family member may be with a patient during preparation workup.
MAJOR EQUIPMENT
7 stretchers 3 overbed tables
FURNISHINGS
7 chairs 7 pulse oximeters
NSF: 360
6 recliners for patients requiring minimal preparation prior to their procedure. These recliners will also be used for recovering patients.
OCCUPANCY: 1 to 12 people
William Nycum & Associates Limited September 5, 2005
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
FURNISHINGS
6 recliners 6 pulse oximeters 6 side tables 6 chairs
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3 2 Visible at entrance to unit.
MAJOR EQUIPMENT
Addressograph
FURNISHINGS
Filing cabinet Recycling bin White board Bulletin board Waste receptacle
MAJOR EQUIPMENT
Full height refrigerator alarm and interior lock box
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle IV Cart
NSF:
20
OCCUPANCY: 1 Person
Page 444
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
MAJOR EQUIPMENT
Emergency cart
NSF:
60
Nourishment station for staff to prepare hot and cold snacks and beverages for patients.
MAJOR EQUIPMENT
Ice machine Refrigerator Toaster Coffee machine
FURNISHINGS
Soap dispenser Paper towel dispenser Waste receptacle
FURNISHINGS
Supply cart Clean linen cart Waste receptacle
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
DT-04.17 Soiled utility room for dirty linens, garbage and soiled equipment.
NSF:
80
FURNISHINGS
Garbage bag carts Paper towel dispenser Soiled linen carts Waste receptacle Soap dispenser Recycling bins
NSF:
80
X-ray viewer
Page 446
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Exam table or stretcher Soap dispenser Waste receptacle Chair Adjustable stool Paper towel dispenser
X-ray viewer
MAJOR EQUIPMENT
Diagnostic set wall mounted Blood pressure apparatus
FURNISHINGS
Desk Desk chair Soap dispenser Chair Adjustable stool Exam table or stretcher Paper towel dispenser Waste receptacle
NSF: 150
This office will be used for pre-op education and teaching and administrative duties.
Page 447
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
FURNISHINGS
Desk Desk chair Tackboard Filing cabinet Bookcase Wall mounted cuff 5 chairs Table seating 3 people Waste receptacle
NSF: 300
Conference / teaching room for Day Surgery / Same Day Admission patients / families, video-conferencing with other health centres such as Lillian Fraser Memorial Hospital, surgical team conferences and staff meetings.
FURNISHINGS
2 meeting tables 20 chairs White board
NSF:
40
Page 448
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
FUNCTION:
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
45
Change cubicles for wheelchair patients in preparation for their Day Surgery procedure.
1 robe hook
ROOM NAME: Stretcher Preparation Area with ante room ROOM NO: FUNCTION:
DT-04.30
NSF: 140
1 isolation patient preparation cubicle utilized prior to receiving a day surgery procedure.
The anteroom will have a counter, sink and dispensers. One family member may be with a patient during preparation workup.
MAJOR EQUIPMENT
1 stretcher 1 overbed table
FURNISHINGS
1 chair 1 pulse oximeter Soap dispenser Paper towel dispenser
Page 449
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
NSF:
40
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
Monitors
Shelving
ROOM NAME: Endoscopy Preparation / Recovery Area and Urology Waiting ROOM NO: FUNCTION:
DT-04.33 and 4.34 These spaces have been relocated to APS-01.
Page 450
INTERRELATIONSHIPS
1. As the gatekeeper, the control centre station should be located at the entrance to the Surgical Suite to manage who enters and leaves the suite. 2. The Team Leader office, OR Booking Clerks and Surgical Staff Office should be located close to the Control Centre. 3. The patient holding alcove should be located next to the Operating Rooms. 4. The LDRPs in the Maternal Child Inpatient Unit IP-06 should be located the shortest distance possible to the Operating Suite for quick transfer of mothers requiring urgent C-sections. 5. The Flash Sterilizer DT-05.17 needs to be connected to the Sub-Sterile Core DT-05.07. 6. The Surgical Suite will be located next to SS-06 Sterile Processing, DT-04 Day Surgery, APS-01 Ambulatory Procedure Services, IP-03 Inpatient Surgical Unit, and IP-06 Maternal Child Inpatient Unit.
PLANNING CHANGES
1. DT-05.01 The control centre is enlarged for a pneumatic tube station adding 20 NSF. 2. DT-05.06 Anesthesia workroom included in Equipment Storage DT-05.19. 3. DT-05.13 Soiled Utility was increased to 140 NSF. 4. DT-05.15 The clean utility room becomes a medication preparation room with no change in area. 5. DT-05.17 Create two flash sterilizer rooms at 30 NSF each with no change in total area. 6. DT-05.19 Equipment Storage was increased to 520 NSF from 400 NSF. 7. DT-05.23 Decrease the female locker room from 310 NSF to 260 NSF. 8. DT-05.24 The team leader office will be increased from 100 NSF to 120 NSF. 9. DT-05.25 The surgical staff office will be increased from 100 NSF to 120 NSF. 10. DT-05.26 Decrease the staff lounge for 20 people. 11. DT-05.28 A new staff washroom will be included within the recovery area adding 25 NSF. 12. DT-05.29 Delete the physician work area reducing the area by 30 NSF. 13. DT-05.30 Relocate the scope cleaning room to APS-01. 14. DT.05.31 relocated the Ophthalmology operating room to APS-01. 15. DT-05.32 The OR booking clerk moved from DT-04 to the Surgical Suite adding 160 NSF. 16. DT-05.33 Added a clean utility room for urology supplies and catheter storage adding 110 NSF. 17. DT-05.34 Added an alcove for the clean linen exchange cart adding 20 NSF. Summary Master Program Functional Program Difference 8,955.0 DGSF 9,502.5 DGSF + 547.5 DGSF
Page 451
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-05 DT-05.01 DT-05.02 DT-05.03 DT-05.04 DT-05.05 DT-05.06 DT-05.07 DT-05.08 DT-05.09 DT-05.10 DT-05.11 DT-05.12 DT-05.13 DT-05.14 DT-05.15 DT-05.16 DT-05.17 DT-05.18 DT-05.19 DT-05.20 DT-05.21 DT-05.22 DT-05.23 DT-05.24 DT-05.25 DT-05.26 DT-05.27 DT-05.28 DT-05.29 DT-05.30 DT-05.31 DT-05.32 DT-05.33 DT-05.34
Surgical Suite Workstation, control centre (2 people) Operating room - general Operating room - cysto Operating room - special services Scrub station Anesthesia work room (incl. in DT-05.19) Sub - sterile core area Alcove, patient holding Alcove, c-arm x-ray unit Post-operative recovery (8 sites) Workstation, nursing (2 people) Dictation station Utility, soiled Utility, soiled recovery Medication preparation Utility, clean recovery Flash sterilizer Alcove, emergency cart Storage, equipment Bathroom, male staff (w/ shower) Locker room, male staff (25) Bathroom, female (w/ shower) Lockeroom, female staff (30) Office, team leader Office, surgical staff Lounge / kitchenette, staff (20 people) Closet, janitor Washroom, recovery staff Work area, physician (deleted) Scope cleaning room, cysto (incl. In APS-01) Ophthalmology operating Room (incl in APS-01) OR booking office Urology clean utility / catheter storage Clean linen exchange cart W S,W S,W S,W 100 400 400 600 50 0 600 80 40 640 110 15 140 80 80 120 30 20 520 120 220 150 260 120 120 370 60 25 0 0 0 160 110 20 1 2 1 1 2 0 1 2 1 1 1 2 1 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 100 800 400 600 100 0 600 160 40 640 110 30 140 80 80 120 60 20 520 120 220 150 260 120 120 370 60 25 0 0 0 160 110 20 6,335 1.50
Page 452
S,W S S,W W
W W W W W W W
Total DGSF
9,502.5
Lower cabinets
FURNISHINGS
Shelving Chair Filing cabinet
This room should be close to square in shape. One ceiling mounted service column will be located at the head of the table and the other closer to the foot of the table and on the side opposite the entrance to the room. One stainless steel cabinet will be used for nursing supplies and one for anesthesia staff.
MAJOR EQUIPMENT
Anesthesia machine and cart Kick bucket Cautery cart Instrument cart Covered stainless steel garage can Soiled linen cart IV pole Single / double ring stands Operating table 2 physiological monitors Pressure cuff Patient bear hugger warmer Pulse oximeter Mayo stand
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 453
4 adjustable stools
Work table
This room should be close to square in shape. One ceiling mounted service column will be located at the head of the table and the other closer to the foot of the table and on the side opposite the entrance to the room. One stainless steel cabinet will be used for nursing supplies and one for anesthesia staff.
MAJOR EQUIPMENT
Anesthesia machine and cart Kick bucket Cautery cart Instrument cart Covered stainless steel garage can Soiled linen cart IV pole Single / double ring stands Cysto table 2 physiological monitors Pressure cuff Patient bear hugger warmer Pulse oximeter Mayo stand
FURNISHINGS
4 adjustable stools Work table
Page 454
This room should be close to square in shape. One ceiling mounted service column will be located at the head of the table and the other closer to the foot of the table and on the side opposite the entrance to the room. One stainless steel cabinet will be used for nursing supplies and one for anesthesia staff.
MAJOR EQUIPMENT
Anesthesia machine and cart Kick bucket Cautery cart Instrument cart Covered stainless steel garage can Soiled linen cart IV pole Single / double ring stands Operating table 2 physiological monitors Pressure cuff Patient bear hugger warmer Pulse oximeter Mayo stand
FURNISHINGS
4 adjustable stools Work table
NSF:
50
OCCUPANCY: 2 People
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Shelving Waterless hand sanitizer Foot operated stainless steel waste receptacle Paper towel dispenser
NSF:
80
MAJOR EQUIPMENT
Stretcher
Page 456
NSF:
40
One recovery station will be separated from the other beds by a fixed wall for isolation capability.
MAJOR EQUIPMENT
8 stretchers 8 diagnostic sets wall mounted Instrument cart Blanket warmer 8 physiological monitors Bear hugger 8 IV poles, pumps 3 IV pumps 8 blood pressure apparatuses
FURNISHINGS
2 paper towel dispensers 2 soap dispensers 4 chairs Storage units
Lower cabinets
FURNISHINGS
4 chairs Bulletin board White board
NSF:
15
FURNISHINGS
Chair
NSF: 140
Room to hold soiled items such as linens, instrument trays etc. from the operating rooms and holding specimens before transfer to the Lab.
MAJOR EQUIPMENT
Fume hood (4)
Page 458
FURNISHINGS
Formalin containers Soiled linen hamper Paper towel dispenser Soap dispenser
NSF:
80
Room to hold soiled items such as linens, instrument trays etc. from the recovery room.
FURNISHINGS
Covered garbage can Soiled linen hamper Paper towel dispenser Soap dispenser
NSF:
80
MAJOR EQUIPMENT
Ice machine Refrigerator with freezer
FURNISHINGS
Paper towel dispenser Soap dispenser
NSF: 120
For storage of clean/sterile supplies and minor equipment for the recovery room.
Page 459
FURNISHINGS
Paper towel dispenser Soap dispenser Supply cart
NSF:
30
MAJOR EQUIPMENT
Flash sterilizer
NSF:
20
OCCUPANCY: 1 to 3 People
William Nycum & Associates Limited September 5, 2005
MAJOR EQUIPMENT
8 Infusion pumps Orthopedic bed 3 Cylinder carts Microscope 6 light sources Surgical hand table Tourniquet Laparascope Insufflators Anesthesia machine
FURNISHINGS
Shelving Waste receptacle File cabinet
FURNISHINGS
2 paper towel dispensers 2 soap dispensers 2 waste receptacles
NSF: 220
Locker room for male staff to change into surgical scrubs and store street clothes.
Page 461
FURNISHINGS
Linen hamper
FURNISHINGS
2 paper towel dispensers 2 soap dispensers 2 waste receptacles
Locker room for male staff to change into surgical scrubs and store street clothes.
Page 462
FURNISHINGS
Linen hamper
NSF: 120
This office will be used for administrative duties and meetings with staff, surgical staff and consultations.
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle 4 chairs Filing cabinet
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle 3 chairs Filing cabinet
NSF: 370
MAJOR EQUIPMENT
Double door refrigerator Microwave
FURNISHINGS
Table 20 chairs Waste receptacle Toaster Soap dispenser Coffee machine Paper towel dispenser TV / DVD player
NSF:
60
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
Coat hook
Page 464
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
FURNISHINGS
2 workstations 2 desk chairs 2 filing cabinets 2 bookcases 2 waste receptacles Tackboard
ROOM NAME: Urology Clean Utility / Catheter Storage ROOM NO: FUNCTION:
DT-05.33 For storage of clean/sterile urology supplies and catheters.
Page 465
NSF: 110
FURNISHINGS
Supply cart Shelving
ROOM NAME: Clean Linen Exchange Cart Alcove ROOM NO: FUNCTION:
DT-05.34 For storage of clean linen exchange cart
NSF:
20
Page 466
INTERRELATIONSHIPS
1. The Rehabilitation Services should be located convenient to Medical Inpatient Unit B, Ambulatory Care Services and Diagnostic Imaging.
PLANNING CHANGES
1. The space for occupational therapy needs to be expanded. 2. A light activity work area of 560 NSF has been added to include ADL Kitchen for OT, DT-06.27. 3. The ADL bathroom is provided in rehab as DT-06.22. A physiotherapy treatment area and two workstations are included on Inpatient Unit B IP-02. 4. The Exercise / Therapy area was increased by 300 NSF to accommodate the cardio-pulmonary rehab program. 5. We are assuming OT share reception, waiting, conference room, consult/exam room, and pediatric treatment room with physiotherapy. 6. Summary of space changes: DT-06.03 Office, Manager 140 NSF to 120 NSF DT-06.04 Conference Deleted DT-06.05 Lounge to Kitchenette 180 NSF to 60 NSF DT-06.06 Workroom 80 NSF to 120 NSF DT-06.12 Treatment, Pediatrics 120 NSF to 140 NSF DT-06.13 Barrier Free Washroom 65 NSF to 60 NSF DT-06.14 Alcove, Clean Linen (2 carts) 60 NSF to 30 NSF DT-06.15 Exercise / Therapy 950 NSF to 1,250 NSF DT-06.16 Workroom Deleted DT-06.17 Storage, Equipment 100 NSF to 200 NSF DT-06.19 Splinting Room 120 NSF to 150 NSF DT-06.25 Utility, Soiled 80 NSF to 60 NSF 7. Add DT-06.22 DT-06.27 DT-06.28 DT-06.18 DT-06.23 DT-06.26 ADL Bathroom 80 NSF Light Activity Room/ADL Kitchen, OT 560 NSF Charting/Study Room (8), PT/OT 180 NSF Shower, Assisted Washroom, Patient Closet, Janitor (Served from housekeeping) 6,295.5 DGSF 6,981.0 DGSF +721.5 DGSF
8. Eliminate:
Summary
Page 467
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-06 DT-06.01 DT-06.02 DT-06.03 DT-06.04 DT-06.05 DT-06.06 DT-06.07 DT-06.08 DT-06.09 DT-06.10 DT-06.11 DT-06.12 DT-06.13 DT-06.14 DT-06.15 DT-06.16 DT-06.17 DT-06.18 DT-06.19 DT-06.20 DT-06.21 DT-06.22 DT-06.23 DT-06.24 DT-06.25 DT-06.26 DT-06.27 DT-06.28 DT-06.29
Rehabilitation Services Reception, clerical (2 people) Waiting (10 people) Office, manager Conference (10 people) (shared with AC) Lounge, staff (6 people) (reduced to kitchenette) Workroom / study (2 people) Consult / exam room Treatment / cubicles (10) Treatment, preparation Treatment, hydrotherapy Cubicle, change Treatment, pediatric Washroom, patient Alcove, clean linen Exercise / Therapy Workroom, PT & OT (2 people) Storage, equipment Shower, assisted 9 (shared w IP-02) Splinting room Alcove, stretcher and wheelchair storage ADL room, kitchen (incl. in DT-06.27) ADL Bathroom Washroom, patient (waiting) (deleted) Washroom, staff Utility, soiled Closet, janitor (deleted) Light Activity work area Charting / Study Room Add Workstation (OT) (new) (incl. in IP-02) W S,W W W W S,W S,W W S,W W W BF S,W 120 150 120 0 60 120 100 1,620 100 120 45 140 60 30 1,250 0 200 0 150 60 0 80 0 0 60 0 560 180 0 1 1 1 0 1 1 1 1 1 1 2 1 1 1 1 0 1 0 1 1 0 1 0 0 1 0 1 1 0 120 150 120 0 60 120 100 1,620 100 120 90 140 60 30 1,250 0 200 0 150 60 0 80 0 0 60 0 560 180 0 5,370.0 1.30 6,981.0
BF S,W
BF
Page 468
ROOM NAME: Reception/Clerical ROOM NO: FUNCTION: OCCUPANCY: ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
Reception counter
NSF:
120
FURNISHINGS
Workstation Steno chair Waste receptacle Tackboard 2 filing cabinets Bookcase
NSF:
150
Waste receptacle
Tackboard/white board
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle 2 chairs Filing cabinet
Page 469
NSF:
60
MAJOR EQUIPMENT
Undercounter refrigerator Microwave Coffee machine Toaster Kettle
NSF:
120
2 Waste receptacles
FURNISHINGS
Adjustable exam table Adjustable stool Waste receptacle 1 chair Soap dispenser Paper towel dispenser
Page 470
FURNISHINGS
8 treatment tables 1 traction table 14 chairs 2 small tables for hand treatment 8 treatment stools Shelf for supplies in each cubicle 1 high mat Sharps disposable unit in each cubicle 5 workstations
MAJOR EQUIPMENT
Ice machine Hot pack unit 2 Hydrocolators Wax bath
Page 471
MAJOR EQUIPMENT
Arm whirlpool bath Leg whirlpool bath 2 bath high stools Lift (patient)
FURNISHINGS
2 chairs
NSF:
45
Wall facing treatment area will have a window (one way in, not out)
Page 472
FURNISHINGS
Treatment table 2 chairs
NSF:
60
Intravenous hook
FURNISHINGS
Soap dispenser Paper towel dispenser Mirror Change table Toilet paper dispenser Waste receptacle
ROOM NAME: Alcove, Clean Linen (2 carts) ROOM NO: FUNCTION: OCCUPANCY: MAJOR EQUIPMENT
2 linen carts
NSF:
30
To provide exercise therapy space to patients and the cardiac rehab program.
Page 473
MAJOR EQUIPMENT
Staircase Parallel bars Treadmill Low exercise table Gym mats Quad table 2 stationary bicycles Wall pulleys Others to be discussed
FURNISHINGS
Chairs
MAJOR EQUIPMENT
Oven Hydrocallator
Page 474
FURNISHINGS
4 chairs Storage shelves 2 tables
ROOM NAME: Alcove, Stretcher and Wheelchair Storage ROOM NO: FUNCTION: OCCUPANCY: MAJOR EQUIPMENT
1 stretcher 2 - 3 wheelchairs
60
80
Infrequently
Soap dispenser
Page 475
60
FURNISHINGS
Garbage bag stands or carts Soiled linen stands or carts
ROOM NAME: Light Activity Work Area/ADL Kitchen ROOM NO: FUNCTION:
DT-06.27 To treat OT patients
MAJOR EQUIPMENT
Therapy equipment Kettle Stove Coffee machine Refrigerator Dishwasher Microwave
FURNISHINGS
2 work tables (hand) 8 chairs Storage cupboard Filing cabinet Bookcase Dining table Paper towel dispenser 2 plinths Waste receptacle Soap dispenser
FURNISHINGS
6 work cubicles 2 filing cabinets 5 waste receptacle
ROOM NAME: Therapy Room with Kitchenette (PT/OT) ROOM NO: FUNCTION:
DT-06.29 This room is included in the Medical Inpatient Unit IP-02.
Page 477
INTERRELATIONSHIPS
1. Respiratory Therapy equipment etc. should ideally be located adjacent to Intensive Care/Coronary Care and convenient to Medical Inpatient Unit, Emergency, and Ambulatory Care Services by being close to an elevator. 2. Pulmonary Function Lab, Asthma/COPD and Treatment rooms will be located in Ambulatory Care Services.
PLANNING CHANGES
1. Increase DT-07.05 Pulmonary Functional Lab from 200 NSF to 250 NSF. 2. Combine DT-07.11 Storage Equipment with DT-07.02. Change title of DT-07.02 from Storage Files to Storage, Small Equipment and Supplies. 3. Add COPD to title Asthma/COPD Clinic Room. DT-07.06 4. Reduce DT-07.12 Lounge, Kitchenette, Staff (6 people) to Kitchenette only from 180 NSF to 60 NSF. 5. Delete DT-07.15 Closet, Janitor. 6. Add shower unit DT-07.16 7. Summary 40 NSF. 2,132.0 DGSF 1,807.0 DGSF -325.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-07 DT-07.01 DT-07.02 DT-07.03 DT-07.04 DT-07.05 DT-07.06 DT-07.07 DT-07.08 DT-07.09 DT-07.10 DT-07.11 DT-07.12 DT-07.13 DT-07.14
Respiratory Therapy Reception, clerical (Incl. in DT-03) Storage, small equipment & supplies * Waiting (8 people) (Incl. in DT-03) Office, respiratory manager Pulmonary Function Lab * Asthma Clinic Room * Treatment room * Alcove, clean linen Alcove, soiled linen * Workroom, respiratory & supplies (Incl. 8 lockers) Storage, equipment (transfer to DT-07.02) Lounge, staff (6 people) (reduced to kitchenette) * Washroom, public * Washroom, staff * 0 140 0 120 250 150 100 0 30 400 0 60 60 40 0 1 0 1 1 1 1 0 1 1 0 1 1 1 0 140 0 120 250 150 100 0 30 400 0 60 60 40
Page 478
W S,W W S,W
W W BF W
0 40
0 1
ROOM NAME: Storage, Small equipment and supplies ROOM NO: FUNCTION:
DT-07.02 To store the files used in the department or on the unit
NSF:
140
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase Whiteboard 2 chairs Waste receptacle Tackboard
Page 479
OCCUPANCY: 1 Patient, 2 Staff and 1 Family Member ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
Countertop with single sink at end, space on one side, cupboards above and below
MAJOR EQUIPMENT
Pulmonary function equipment Treadmill EKG machine Plethysmography box Gas cylinders Stretcher
FURNISHINGS
Workstation Desk chair Scale Waste receptacle Side chair
FURNISHINGS
Table 6 chairs Library/pamphlet shelving White board Waste receptacle
Page 480
ROOM NAME: Alcove, Soiled Linen ROOM NO: FUNCTION: OCCUPANCY: MAJOR EQUIPMENT
2 soiled linen hampers
30
ROOM NAME: Workroom, Office, Respiratory and Supplies ROOM NO: FUNCTION:
DT-07.10 Workroom and office, and storage of supplies
OCCUPANCY: Up to 4 staff
FURNISHINGS
Workstation White board 2 bookcases 6 side chairs Meeting table for 6 Desk chair Workbenches Tackboard
NSF:
60
MAJOR EQUIPMENT
Undercounter refrigerator Microwave Coffee machine Toaster
FURNISHINGS
Paper towel dispenser Waste receptacle Soap dispenser
NSF:
60
OCCUPANCY: 1 Person
Page 482
FURNISHINGS
Soap dispenser Paper towel dispenser Mirror Change table Toilet paper dispenser Waste receptacle
NSF:
40
Cabinet (supplies)
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
40
Page 483
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to Social Work and Continuing Care services and nearby waiting area. 2. The conference resource room and public washroom should be located close to the waiting area. 3. The Social Work and Continuing Care services should be located convenient to Emergency, easy to find by family and frail elderly and with direct access to an elevator to the inpatient units. Social Work and Continuing Care staff requires access to a photocopier. 4. The Master Program description of this service will be modified as follows: a. Access to these services is primarily by referral from nursing staff on behalf of identified patients. These referrals can and sometimes do occur in consultation with a multidisciplinary team. b. Currently, social work has limited shared space with CRH. c. The mandate and key functions of Continuing Care are to asses referred patients for unmet needs in preparation for a patients discharge. This includes assessment for nursing, support through Chronic or Adult Care programs, assessment for placement in long-term care and home oxygen. Within CRH patients are referred to the Hospital based Continuing Care coordinator (HBCC) for assessment. The HBCC works within the context of a multi-disciplinary healthcare team and is responsible for assessment, identification of unmet needs, care / service planning, implementation, determining financial eligibility and appropriate discharge of patients. d. These services delivered byContinuing Care programcontracted with VON, LTC facilities and various O2 vendors. Devolution of the Continuing Care program to the DHA is planned but no definite timeframe has been established. e. Key Functions: add support the discharge planner when required, act as the case manager when appropriate, liaise with Childrens Aid Society for intervention when necessary, support and counsel staff when requested, participate on Geriatric multi-disciplinary team.
PLANNING CHANGES
1. DT-08.04 There will be five social work / continuing care offices with two staff each. This increases this area from 160 NSF to 800 NSF. 2. DT-08.05 and DT-08.06 will be deleted reducing the area by 400 NSF. 3. DT-08.08 staff lounge, DT-08 public washroom and DT-08.11 janitor closet will be deleted reducing the area by 290 NSF. 4. DT-08.10 The staff washroom was reduced from 40 NSF to 25 NSF. 5. DT-08.11 and 12 These rooms will be deleted reducing the area by 2,101 NSF. 6. DT-08.13 A new interview room will be provided adding 80 NSF. 7. DT-08.14 A new intake room will be included adding 60 NSF.
Page 484
Summary
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-08 DT-08.01 DT-08.02 DT-08.03 DT-08.04 DT-08.05 DT-08.06 DT-08.07 DT-08.08 DT-08.09 DT-08.10 DT-08.11 DT-08.12 DT-08.13 DT-08.14 DT-08.15 DT-08.16
Social Work & Continuing Care Reception, clerical Waiting (5 people) Office, Manager Office, social / cont. care workers (2 people) Workroom, social worker (3 people) (incl. DT-08.04) Workroom, cont. care coordinators (incl. DT-08.04) Resource / conference (20 people) Lounge, staff (10 people) (deleted) Washroom, public (incl. in SS-01 Public Facilities) Washroom, staff Closet, janitor (deleted) Office, continuing care assessment (incl. DT-08.04) Interview room Intake room Office, social worker (incl. in IP-07 Palliative IP) Office, social worker (incl. in AC-01 Emergency) W W W W 80 75 120 160 0 0 300 0 0 25 0 0 80 60 0 0 1 1 1 5 0 0 1 0 0 1 0 0 1 1 0 0 80 75 120 800 0 0 300 0 0 25 0 0 80 60 0 0 1,540 1.30 2,002.0
W 0
W W
NSF:
80
Receptionist to greet patients and families meeting with Social Workers or Continuing Care Coordinators. Clerical support for the Social Workers and Continuing Care Coordinators.
Page 485
NSF:
75
FURNISHINGS
5 chairs Pamphlet rack Waste receptacle Side table Magazine rack
NSF: 120
Office for the Manager of the Social Work and Continuing Care department. This office will be used for administrative duties and meetings with clients and staff.
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Credenza 3 chairs Bookcase Tackboard
ROOM NAME: Social Worker / Continuing Care Coordinator Office ROOM NO: FUNCTION:
DT-08.04
NSF: 160
Office for two Social Workers / Continuing Care Coordinators. This space will be used to organize referrals and facilitate patient follow-up.
Page 486
FURNISHINGS
2 workstations 2 desk chairs 2 filing cabinets 2 chairs Whiteboard 2 waste receptacles 2 bookcases 2 tackboards
NSF: 300
Conference / resource room for Social Work and Continuing Care staff as well as for use by other Hospital departments when not in use.
This room will have moveable acoustic partitions to sub-divide this room into two spaces seating 10 each.
FURNISHINGS
2 meeting tables 20 chairs 2 white boards
NSF:
25
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
80
White board
Page 488
NSF:
60
White board
Page 489
INTERRELATIONSHIPS
1. Pharmacy should be located convenient to Inpatient Units, Emergency and Ambulatory Care. 2. The Night cupboard will be located on IP-01 Unit A.
PLANNING CHANGES
1. The original master program was generally planned using conventional drug dispensing and distribution. The new process proposed is described briefly as follows: - A 24-hour unit does system. In a traditional unit-dose system, a 24 hr. supply of medication is dispensed directly to the patient bedside in ready to administer form. - A comprehensive CIVA service, Pharmacy prepares all IV admixtures under aseptic conditions in a hepa-filtered laminar airflow environment. CIVA preparations are delivered to the nursing unit for each patient daily. - The unit dose and CIVA systems are based on the principle that all medication doses are compounded and dispensed by Pharmacy. - Consider use of automated drug dispensing stations such as Pyxis. This along with Pharmacists being located on the floors to provide advice should reduce medication related adverse incidences. Pharmacy is planning for a traditional 24-hour bedside unit dose/CIVA medication delivery system in the new hospital. Some planning points which will need consideration: 1. Wall space in patient rooms to accommodate the patient server for drugs 2. Adequate lighting to illuminate the patient server during daytime and nighttime hours 3. Space at bedside for either a stationary or mobile computer cart 4. Adequate refrigeration storage space in the medication preparation room to accommodate the increased volume of CIVA medication doses. A full-sized fridge with a temperature sensitive alarm will be required on each nursing unit 5. Method and process for deliveries of drugs, narcotics, wardstock, etc. to the server and units. Consideration should be given to automate dispensing cabinets in critical care nursing units such as ER and ICU/CCU where a relatively large selection of wardstock medications needs to be available on short notice. Other areas could be surgical suite, L&D, day surgery. However, these units are expensive. 1. DT-09.05 Chemotherapy prep reduce from 120 NSF to 100 NSF 2. DT-09.06 IV Admixture Room increase from 120 NSF to 140 NSF 3. DT-09.13 Washroom, Staff reduce from 35 NSF to 30 NSF 4. DT-09.16 Eliminate Conference Room to share with IP Services 5. DT-09.17 Eliminate Janitor Closet. Serve from Housekeeping 6. Add DT-09.18 Pharmacist work study room 180 NSF with 6 cubicles 7. Add DT-09.19 Order Data Entry 100 NSF 8. Add DT-09.20 Pneumatic Tube 20 NSF Summary Master Program Functional Program Difference 3,666.0 DGSF 3,672.5 DGSF -6.5 DGSF
Page 490
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
DT-09 DT-09.01 DT-09.02 DT-09.03 DT-09.04 DT-09.05 DT-09.06 DT-09.07 DT-09.08 DT-09.09 DT-09.10 DT-09.11 DT-09.12 DT-09.13 DT-09.14 DT-09.15 DT-09.16 DT-09.17 DT-09.18 DT-09.19 DT-09.20
Pharmacy Waiting (4 people) Reception, clerical Workroom, dispensing (14 people) Anteroom Chemotherapy preparation IV admixture room Storage, stock medication Vault, narcotics Office, receiving Office, director Office, management Washroom, staff Washroom, staff Locker room, staff (20 lockers) Lounge, staff (6 people) (reduced to kitchenette) Conference (10 people) (shared with IP Services) Closet, janitor (deleted) Pharmacists work/study room Order Data Entry Pneumatic Tube W W W W W W 60 80 925 80 100 140 450 80 80 120 100 40 30 80 60 0 0 180 100 20 1 1 1 1 1 1 1 1 1 1 2 1 1 1 1 1 0 1 1 1 60 80 925 80 100 140 450 80 80 120 200 40 30 80 60 0 0 180 100 20 2,825 1.30 3,672.5
W W W W W W W
NSF:
60
NSF:
80
MAJOR EQUIPMENT
Photocopier
FURNISHINGS
Workstation Steno chair Waste receptacle 1 filing cabinet Bookcase
NSF:
925
Prepare and package medications, manufacturing/ compounding and dispensing into patient cassettes for inpatients.
OCCUPANCY: 14 People
TIME OF USE:
MAJOR EQUIPMENT
2 alarmed double door refrigerators Microwave ? 3 Medication carts Packaging equipment ATC dispensing machine 4 Distribution carts Flammable cupboard
FURNISHINGS
3 picking stations with bins for drug storage 1 packing station Bin storage shelves Waste receptacle 3 chairs 3 workstations Bookshelf 1 floor stock station
Page 492
NSF:
80
For staff to dress before entering chemotherapy preparation and IV additive preparation rooms, to store supplies and print labels.
MAJOR EQUIPMENT
Refrigerator
FURNISHINGS
Coat rack Waste receptacle Linen hamper Shelving for linen and supplies
NSF:
100
MAJOR EQUIPMENT
Biohazard hood Refrigerator Eye wash station
FURNISHINGS
Supply carts Chemical waste bin Waste receptacle
NSF:
140
Page 493
FUNCTION:
OCCUPANCY: 1 person
TIME OF USE:
MAJOR EQUIPMENT
2 laminar flow hoods TPN flow hood
FURNISHINGS
2 supply carts Waste receptacle
ROOM NAME: Storage, Stock Medication & Packaging ROOM NO: FUNCTION:
DT-09.07 To store bulk medication and general supplies, and to pack drugs
450
OCCUPANCY: 1 to 2 Staff
MAJOR EQUIPMENT
Unit dose high speed strip packager Freezer Refrigerators Packaging equipment ATC dispensing equipment
FURNISHINGS
Mobile shelving Fixed shelving
80
OCCUPANCY: 1 Staff
Page 494
MAJOR EQUIPMENT
Heat sealer Refrigerator Fire cabinet
FURNISHINGS
Shelving Cart Waste receptacle
80
FURNISHINGS
Filing cabinet Garbage cart Waste receptacle
120
Filing cabinet
Page 495
ROOM NAME: Office, Management ROOM NO: FUNCTION: OCCUPANCY: FURNISHINGS (EACH OFFICE)
Workstation Desk chair Bookcase Waste receptacle 2 side chairs Filing cabinet
DT-09.11 2 offices for Clinical Coordinator and Drug Use Evaluation Coordinator
100
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
30
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 496
80
FURNISHINGS
20 half lockers Bench Waste receptacle Boot rack
60
OCCUPANCY: 10 People
MAJOR EQUIPMENT
Refrigerator (full size) Microwave Kettle Coffee machine
Page 497
FURNISHINGS
6 chairs 2 waste receptacles Filing cabinet
FURNISHINGS
2 data entry stations 2 desk chairs 2 side chairs
ROOM NAME: Pneumatic Tube ROOM NO: FUNCTION: OCCUPANCY: MAJOR EQUIPMENT
Pneumatic tube station
NSF:
20
Page 498
INTERRELATIONSHIPS
1. The main lobby will have the reception area be the first thing seen by people entering the Hospital. 2. On either side of the entry vestibule will be an alcove for wheelchair storage and the waiting area. 3. The Family Resource Centre should be located next to the waiting area. The patient representative would be located next to this room. 4. The rest of the functions (retail pharmacy, lecture rooms, washrooms) should be visible from the lobby. 5. Volunteers and Spiritual Care offices should be located close to the lobby for easy access by pastoral care workers and new / existing volunteers. 6. The vending area, cafeteria, auxiliary coffee shop and the foundation office should be easy to find from the lobby. 7. Access into the Hospital from the lobby should be able to be restricted at night for security reasons.
PLANNING CHANGES
1. SS-01.04 Increase wheelchair storage space from 50 NSF to 80 NSF. 2. SS-01.05 Reduce reception from 100 NSF to 80 NSF. 3. SS-01.07 Move Family Resource library to AD-05. 4. SS-01.08 Family Rep included in AD-04. 5. SS-01.09 Delete retail Pharmacy. 6. SS-01.10 Reduce lecture room to accommodate 30 people. 7. SS-01.11 The public washrooms will be provided with a privacy entry corridor without doors increasing the area of each washroom from 160 NSF to 230 NSF. 8. SS-01.13 Add a new chair / table storage at 200 NSF. Summary Master Program Functional Program Difference 6,870.5 DGSF 4,296.5 DGSF -2,574.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Public Facilities Vestibule Lobby Waiting (15 people) Alcove, wheelchair storage S,W W S,W 200 1,500 225 80 1 1 1 1 200 1,500 225 80
Page 499
Reception Storage, special even kiosk Family resource centre (Incl. in AD-05.08) Office, patient representative (see AD-04) Retail pharmacy Lecture / special event (30 people) Washroom, public Washroom, family change Table / chair storage room
W S,W
S,W W
1 1 0 0 0 1 2 1 1
Area must be designed to prevent cold air from entering the main lobby area when the entry doors are opened.
Main circulation area for visitors and patients entering and leaving the Hospital
Phones and Taxi Phone located close to the entry vestibule and waiting area.
MAJOR EQUIPMENT
Parking pay machine in vestibule Change machine near vending machines ATM machine
Page 500
NSF: 225
Area for visitors and patients waiting to be picked-up and / or who were dropped-off and are waiting to go to a clinic or an inpatient unit etc.
Patients and family should be able to see the cars at the front entrance to know when their family / friends are there to pick them up. Additional waiting for Lab / DI patients waiting to be picked up after testing? To 20 places?
FURNISHINGS
Plants Side tables Waste receptacle Pamphlet rack 15 chairs Magazine rack
NSF:
80
Storage area for wheelchairs that patients can use if required when they first enter the Hospital and for staff to park wheelchairs after use by a patient leaving the Hospital.
NSF:
80
Location of receptionist who will greet patients and visitors when they enter the Hospital and direct them to their destination and / or answer questions etc.
Located in direct line of sight to the entry vestibule. This will have storage space for patients dropping off items for inpatients like a suitcase, flowers etc.
FURNISHINGS
Workstation Chair Waste receptacle Shelving Pamphlet holder of map of hospital 1 filing cabinet Bookcase Locked cabinet
Page 501
NSF:
80
NSF: 500
This room will be used for a variety of purposes: education courses for public and staff, special events and public meetings.
This room will be divided into two spaces by good sound insulated moveable partitions. The two spaces will be divided to accommodate 15 people each. Separate access into each sub-divided room will be provided.
Page 502
MAJOR EQUIPMENT
Undercounter refrigerator Microwave VCR / DVD player Sound system and microphone
FURNISHINGS
50 Chairs Folding tables 2 white boards
Each washroom will have one handicapped toilet stall. Each washroom will have a privacy entrance corridor that will not require doors.
FURNISHINGS
Soap dispensers Paper towel dispensers Toilet paper dispensers Waste receptacles
NSF:
60
Washroom for family with children to change diapers on infants and have one other child present.
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
ROOM NAME: Table and Chair Storage Room ROOM NO: FUNCTION:
SS-01.13
Storage space for the carts holding folding tables, chairs, AV equipment and flip charts.
FURNISHINGS
2 carts for chairs 2 carts for tables Flip charts AV equipment
Page 504
DIETARY SERVICE
Meal Service: Combination of Ready Prepared, cook chill production with a centralized cold tray assembly and decentralized plated re-thermalization. System Flow: As outlined in the flow chart, the red boxes and arrows show the direct path of the flow of food. Alternate routes are identified but not common. Procurement / Production: The right ratio of prepared vs. produced foods will be determined based on menu and staffing allocation. Foods procured will go directly in storage until needed in the production schedule. Raw foods will go directly into storage until needed in the production schedule. A production schedule will include preparation, blast chilling/ freezing and tempering of menu items to ensure product safety and quality. Production schedule will allow for an inventory of menu items to be produced in advance of service (typically 3-5 days). Assembly: Ready prepared and produced items would be tempered day prior to service. The trays would be assembled the day of service in a temperature-controlled environment in order to protect menu items safety and quality. Transportation: Trays would be transported to nursing unit areas and product temperature would be regenerated in a nutrition center on the unit. Final additions to the tray would be added at that time i.e. coffee, tea, possibly toast etc. This reduced delivery and service times of hot food dramatically resulting in a superior food quality. Advantages of System: Food Safety o Patient / Resident food will reside shorter periods of time in the temperature danger zone therefore reducing the risk of food borne pathogen growth Enhanced Quality o Food will not be exposed to long hot holding temperatures or hot transport therefore decreasing the time for food quality to break down. o Aromas from food heating in the nutrition centres will enhance patient / resident appetites. Enhanced Flexibility o A combination ready-prepared / cook chill system will allow the production staff to focus on what products they do well and source products that are more difficult to produce quality / safety wise i.e. Texture modified foods o A combination ready-prepared / cook-chill will add greater flexibility and variety in menu offerings due to reduced pressure in production to service times. o Meal service timing is at the discretion of food service management
Page 505
o o o o o o
The meal period could be scheduled to accommodate particular clinical service requirements and nursing schedules Separating production from service will allow Colchester Regional to provide for a menu tailored to the preferences of the patient/ resident population. Enhanced meal service will improve patient / resident intake and overall resident wellbeing. Increased ease of staff scheduling as production is completed in advance to service delivery. Increase safety in times of extraordinary measures i.e. Blizzards, hurricanes etc. due to production completed in advance. EASY expansion of meal service delivery to satellite sites within Colchester County.
PLANNING CHANGES
1. SS-02.07 Freezer will be decreased from 400 NSF to 300 NSF. 2. SS-02.28 A new Production area will be provided adding 175 NSF. Summary Master Program Functional Program Difference 7,218.0 DGSF 7,308.0 DGSF +90.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
SS-02 SS-02.01 SS-02.02 SS-02.03 SS-02.04 SS-02.05 SS-02.06 SS-02.07 SS-02.08 SS-02.09 SS-02.10 SS-02.11 SS-02.12 SS-02.13 SS-02.14 SS-02.15 SS-02.16 SS-02.17 SS-02.18 SS-02.19
Dietary / Nutrition Services Preparation, food Preparation, nourishment Assembly, tray Pot wash Holding, panning, tempering, & refrig Stores, nourishment / storage, vending Freezer Storage, refrigerated Storage, non-food Office, director Office, supervisor / menu area Office, dietary assist & team leader Office, dietitian Compressor room Blast chiller Dishwashing Garbage (refrigerated) Closet, janitor Cart washing 200 50 340 150 200 300 300 150 250 120 160 180 120 100 50 580 120 50 130 1 1 1 1 3 1 1 3 1 1 1 1 1 1 1 1 1 1 1 200 50 340 150 600 300 300 450 250 120 160 180 120 100 50 580 120 50 130
Page 506
W W W W
Storage, chemical / soap Cafeteria, (60 seats) Servery Vending Washroom, public Washroom, staff Lounge, staff (shared with SS-03) Locker room, staff (shared with SS-03) Production area
W W W W
1 1 1 1 2 1 0 0 1
MAJOR EQUIPMENT
Mobile utility stand Salad spinner Mobile pot racks Wall shelves
NSF:
50
Page 507
MAJOR EQUIPMENT
Wall shelf
FURNISHINGS
Stool Paper towel dispenser Soap dispenser
MAJOR EQUIPMENT
Roll-in refrigerator Patient tray trucks Tray conveyor Cup/glass/bowl dispenser Angle racks Toaster stand Toaster Coffee urn Hot water dispenser Urn stand Hot food cart Cold cart Frozen food cart Tray dispensers Plate dispensers Misc. carts
NSF: 150
Page 508
FUNCTION:
MAJOR EQUIPMENT
Wall shelf Mobile pot racks
FURNISHINGS
Paper towel dispenser Soap dispenser
ROOM NAME: Panning, Tempering and Refrigerator Holding ROOM NO: FUNCTION:
SS-02.05 Room to pan, refrigerate food from production area.
MAJOR EQUIPMENT
Walk-in coolers Walk-in freezer Work counter w/sink Blender Angle carts Mobile shelf units
FURNISHINGS
Paper towel dispenser Soap dispenser
OCCUPANCY: 1 to 3 People
Page 509
MAJOR EQUIPMENT
Mobile shelf units Security shelf units
MAJOR EQUIPMENT
Walk-in freezer Mobile shelf units
MAJOR EQUIPMENT
Walk-in cooler Shelving
SS-02.10 This office will be used for administrative duties and meetings with staff.
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase Fax machine 2 chairs Tackboard Waste receptacle
FURNISHINGS
2 desks Desk chair Tackboard Filing cabinet Bookcase Fax machine 2 chairs Shelving Waste receptacle
ROOM NAME: Dietary Assistant and Team Leader Office ROOM NO: FUNCTION:
SS-02.12 Office space for two dietary staff.
FURNISHINGS
2 desk chairs 2 chairs 2 filing cabinets Bookcase Fax machine Photocopier Safe 2 waste receptacles Page 511
Tackboard
FURNISHINGS
Desk Desk chair Filing cabinet Bookcase 2 chairs Tackboard Waste receptacle
NSF:
50
Page 512
MAJOR EQUIPMENT
Blast chiller
MAJOR EQUIPMENT
Conveyor assembly Waste cans Mobile shelf units
MAJOR EQUIPMENT
Walk-in cooler
Page 513
NSF:
50
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
OCCUPANCY: 1 Person
NSF:
50
MAJOR EQUIPMENT
Mobile shelf units Dunnage rack
Page 514
60 chairs
Glass racks
MAJOR EQUIPMENT
Beverage section Cup/glass dispensers
FURNISHINGS
Paper towel dispenser Soap dispenser
OCCUPANCY: 1 to 4 People
NSF:
40
Coat hook
FURNISHINGS
Soap dispenser Waste receptacle Wall mounted change table 2 waste receptacles Paper towel dispenser Toilet paper dispenser
NSF:
35
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser 2 waste receptacles
NSF: 175
Page 516
FUNCTION:
MAJOR EQUIPMENT
Floor pan Service wall
FURNISHINGS
Stool Paper towel dispenser Soap dispenser
Page 517
INTERRELATIONSHIPS
1. Materiel Management must be located on ground floor with direct access to loading docks. 2. Located close to service elevators to service the floors. 3. Conveniently located to Dietary Services.
PLANNING CHANGES
1. Change SS-03.03 Waiting, Vendor to Visitors Office. Increase from 60 NSF to 80 NSF. 2. SS-03.05 Receiving dock expanded from 300 NSF to 540 NSF to allow for leveling device and more holding space. Receiving office separated out to SS-03.16. 3. Combine post receiving/holding SS-03.06, stores, bulk SS-03.07 and storage, cart holding SS03.14 into one large area. 4. Reduce SS-03.13 Washroom, Staff from 35 NSF to 30 NSF standard. 5. There is real concern re size of general stores to allow for growth over the next 20 years in new materials, Vernacare material, etc. Increase from 2,000 NSF to 2,750 NSF. 6. SS-03.11 Reduce lounge to kitchenette only. 60 NSF. 7. SS-03.15 Delete public washroom. Summary Master Program Functional Program Difference 4,722.0 DGSF 5,718.0 DGSF + 996.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
SS-03 SS-03.01 SS-03.02 SS-03.03 SS-03.04 SS-03.05 SS-03.06 SS-03.07 SS-03.08 SS-03.09 SS-03.10 SS-03.11 SS-03.12 SS-03.13
Materiel Management Office, manager Office, clerical Visitor's Office (3 people) Conference / meeting room (10 people) Receiving dock (2 bays) Post receiving / holding area Stores, bulk Storage, flammable Storage, medical gas Mail room Lounge, staff (15 people) (reduce to kitchenette) Locker, staff Washroom, staff W 120 100 80 150 540 300 2,750 80 100 80 60 175 30 1 1 1 1 1 1 1 1 1 1 1 1 1 120 100 80 150 540 300 2,750 80 100 80 60 175 30
Page 518
SS-03.14 Storage, cart holding SS-03.15 Washroom, public (deleted) SS-03.16 Receiving desk Sub-total NSF
100 0 100
1 0 1
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
NSF:
80
OCCUPANCY: 3 People
Page 519
FURNISHINGS
Desk Filing cabinet Desk chair Waste receptacle Bookcase 2 side chairs
150
White board
Projector screen
MAJOR EQUIPMENT
Hand pallet truck Dolly Forklift ?
NSF: 300
Holding, checking and break out area of supplies and equipment received, and for supplies to be shipped
Entrance doors from receiving need to be about 8 feet high Page 520
MAJOR EQUIPMENT
Refrigerator, floor model
FURNISHINGS
Metal shelving
Ceiling must be high enough to meet two pallet shelving high plus space required to meet fire regulations
MAJOR EQUIPMENT
Hand pallet truck Dolly
FURNISHINGS
2 high pallet shelving Standard shelving Filing cabinet Bookcase Desk Chair
ROOM NAME: Storage, Flammable ROOM NO: FUNCTION: OCCUPANCY: SPECIAL DESIGN REQUIREMENTS
1 Room to be built for flammable storage specifications
NSF:
80
FURNISHINGS
Shelving
Page 521
ROOM NAME: Storage, Medical Gas ROOM NO: FUNCTION: OCCUPANCY: MAJOR EQUIPMENT
Cylinder carts
SS-03.09 For storage of medical gas cylinders (35 small and 24 large cylinders)
NSF:
80
MAJOR EQUIPMENT
4 Distribution carts
FURNISHINGS
Chair
NSF:
60
MAJOR EQUIPMENT
Refrigerator (floor model) Microwave Kettle Toaster
FURNISHINGS
2 chairs Waste receptacle Soap dispenser Paper towel dispenser
Page 522
ROOM NAME: Locker Room, Staff ROOM NO: FUNCTION: OCCUPANCY: FURNISHINGS
50 half-height lockers Coat and shoe racks Bench Waste receptacles
175
NSF:
30
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
ROOM NAME: Storage, Cart Holding ROOM NO: FUNCTION: OCCUPANCY: FURNISHINGS
Med/surg delivery carts Exchange carts Supplies delivery carts
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
Page 524
INTERRELATIONSHIPS
1. Plant Maintenance should be adjacent to boiler plant and convenient to receiving docks, Biomedical Engineering and close to service elevators.
PLANNING CHANGES
1. Change internal relationship with SS-03 Materiel Management from adjacent to convenience. 2. SS-04.03 Workroom, Staff (2 rooms) has been separated into SS-04.03 Workroom Office, Staff; and SS-04.22 Workroom, Resources. 3. Adjust title for SS-04.07 to Shop, Plumbing/Mechanical/Welding. 4. SS-04.10 Alcove, Lockers to 8 people and lockers. 5. Reduce SS-04.15 and SS-04.20 Washroom, Staff from 35 NSF to 30 NSF to meet standard size. 6. Add new storage room, SS-04.23, for pressure equipment 250 NSF. 7. Salt storage in external garage storage. 8. Add Key Closet, SS-04.24 30 NSF. Note: SS-04.19 to SS-04.21 to be part of plant. Consideration should be given to provide some longterm storage for beds, mattresses, etc. in long-term storage area.
Summary
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
SS-04 SS-04.01 SS-04.02 SS-04.03 SS-04.04 SS-04.05 SS-04.06 SS-04.07 SS-04.08 SS-04.09 SS-04.10 SS-04.11 SS-04.12
Plant Maintenance Office, manager Office, clerical Workroom, staff Shop, carpentry / wood storage Shop, electrical Shop, paint Shop, plumbing Workroom, general Alcove, handwash station Alcove, lockers Storage, general Storage, hospital equipment W W W 120 100 160 600 200 250 350 250 20 60 250 300 1 1 1 1 1 1 1 1 1 1 1 1 120 100 160 600 200 250 350 250 20 60 250 300
Page 525
SS-04.13 SS-04.14 SS-04.15 SS-04.16 SS-04.17 SS-04.18 SS-04.19 SS-04.20 SS-04.21 SS-04.22 SS-04.23 SS-04.24
Generator, emergency Storage, grounds equip Washroom, staff Shower, staff (incl. In SS-03) Lounge, staff (incl. In SS-03) Conference room (incl. In SS-03) Plant, workroom Plant, washroom staff Plant, shower staff Workroom, resources Storage, pressure equipment Key closet Sub-total NSF
0 0 1 0 0 0 1 1 1 1 1 1
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
Side chair
2 filing cabinets
Page 526
NSF: 160
One room will have two workstations for building management computer station and one for planned maintenance workstation
2 side chairs
1 filing cabinet
Bench saws
Band saw
FURNISHINGS
Workbench Wood storage rack Storage shelving
OCCUPANCY: 1 Staff
Page 527
MAJOR EQUIPMENT
To discuss Electrical testing tools
FURNISHINGS
Workbench (stand up) Storage shelving
FURNISHINGS
Flammable storage cabinet Workbench Storage shelves
Page 528
MAJOR EQUIPMENT
Welding equipment Pipe threader Drill press
FURNISHINGS
Workbench Pipe rack Shelving
FURNISHINGS
Workbench Storage shelving
NSF:
20
Mirror
Waste receptacle
NSF:
60
Page 529
FUNCTION:
ROOM NAME: Storage, Hospital Equipment ROOM NO: FUNCTION: OCCUPANCY: ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
Double entrance doors
NSF:
30
Privacy lock
Page 530
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
30
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF:
40
Page 531
FURNISHINGS
Drafting table Drawings/plans cabinet 2 filing cabinets
NSF:
30
MAJOR EQUIPMENT
Key machine
FURNISHINGS
Key workbench (5 ft.)
Page 532
INTERRELATIONSHIPS
1. Environmental Services should be located adjacent to dispatch docks for disposal of waste, adjacent to receiving docks for linen services and close to service elevators to serve the floors.
PLANNING CHANGES
1. SS-05.04 Storage, Equipment increase from 200 NSF to 300 NSF 2. SS-05.05 Cart wash room increase from 80 NSF to 100 NSF 3. SS-05.09 Holding, soiled linen reduce from 430 NSF to 300 NSF 4. SS-05.11 Holding, clean linen reduce from 580 NSF to 440 NSF Add SS-05.14 SS-05.15 Wet garbage holding (refrigerated) Housekeeping registration area 100 NSF 80 NSF
Use conference/meeting room in SS-03 (Materiel Management) for meetings of up to 10-12 people. Recommend 7-day delivery of linen carts. The recycling space and garbage removal has still to be addressed. The existing compactor should be relocated to the new hospital. A recycled garbage dispatch ramp should be provided with a garbage/recycled items exit door provided. It may be necessary to increase SS-05.07 Holding, Dry Garbage to accommodate the compactor and holding of recycled and other dry garbage internally. The recycling process needs to be developed further. Summary Master Program Functional Program Difference 2,564.5 DGSF 2,599.0 DGSF +34.5 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
SS-05 SS-05.01 SS-05.02 SS-05.03 SS-05.04 SS-05.05 SS-05.06 SS-05.07 SS-05.08 SS-05.09 SS-05.10
Environmental Services Office, manager Office, supervisor Storage, supplies Storage, equipment Cart wash Storage, recycling Holding, dry garbage Bio-hazardous waste (refrigerated) Holding, soiled linen (14 carts) Washing, drying W 120 100 200 300 100 200 100 120 300 100 1 1 1 1 1 1 1 1 1 1 120 100 200 300 100 200 100 120 300 100
Page 533
Holding, clean linen (18 carts) Locker room, staff (incl in SS-03) Lounge, staff (incl in SS-03) Wet garbage holding Housekeeping registration area Conference/Meeting room (incl. in SS-03) Sub-total NSF
440 0 0 100 80 0
1 0 0 1 1 0
ROOM NAME: Office, Manager ROOM NO: FUNCTION: OCCUPANCY: ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
Privacy lock on door
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle Filing cabinet 4 chairs Tackboard
FURNISHINGS
Desk Desk chair Bookcase Waste receptacle 2 side chairs Filing cabinet
Polishers Burnishers
Vacuum
FURNISHINGS
Lockable cabinet
Page 535
FURNISHINGS
Storage bins
FURNISHINGS
Garbage bins ?
FURNISHINGS
Carts (7-8) (To discuss)
Page 536
To wash and dry housekeeping mops and rags and other miscellaneous items
ROOM NAME: Wet Garbage Holding (Refrigerated) ROOM NO: FUNCTION: OCCUPANCY: FURNISHINGS
Garbage bins
outside
NSF:
80
Tackboard (large)
Page 538
INTERRELATIONSHIPS
1. Sterile Processing should be adjacent to the Surgical Suite, convenient to Inpatient Units, Emergency and Ambulatory Care Services. 2. Should be located adjacent to surgical suite. 3. Ideally, room/area number SS-06.05, 07, 09 and 18 should be all in one room or area.
PLANNING CHANGES
1. SS-06.03 Processing work area reduce from 1,000 NSF to 800 NSF. 2. SS-06.05 Eliminate ETO and use gas sterilization reduce from 225 NSF to 80 NSF. 3. SS-06.06 Linen/Prep Room eliminate. 4. SS-06.08 Storage, Supplies increase from 100 NSF to 160 NSF. 5. SS-06.09 Holding, Central Equipment increase from 100 NSF to 200 NSF. 6. SS-06.11 Washroom, Staff, consider centralizing externally, reduce from 35 NSF to 30 NSF. 7. SS-06.14 Closet, Janitor, located in decontamination, reduce from 40 NSF to 30 NSF. Add SS-06.15 SS-06.16 SS-06.17 SS-06.18 Closet, Uniform Conference Room (incl. in SS-03) Change Room, Decontamination Cart Marshalling & Dispatch for case carts 20 NSF 80 NSF 400 NSF
Change gross-up from 1.3 to 1.5. Summary Master Program Functional Program Difference 5,297.5 DGSF 5,737.5 DGSF - 375.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
Sterile Processing Receiving, decontamination Cart wash Processing, work area Sterilizer, steam (3) Sterilizer, sterrad Linen / prep room (deleted) 800 80 800 225 80 0 1 1 1 1 1 0 800 80 800 225 80 0
Page 539
SS-06.07 SS-06.08 SS-06.09 SS-06.10 SS-06.11 SS-06.12 SS-06.13 SS-06.14 SS-06.15 SS-06.16 SS-06.17 SS-06.18
Storage, sterile & clean Storage, supplies Holding, central equipment Office, manager Washroom, staff Locker room, staff (incl in DT-05) Lounge, staff (incl in DT-05) Closet, janitor Closet, Uniforms Conference room (incl. In SS-03) Change room, decontamination Cart marshalling & dispatch Sub-total NSF
1 1 1 1 1 0 0 1 1 0 1 1
NSF: 800
For receiving of soiled items and case carts, sort and prepare items for cleaning and decontamination
OCCUPANCY: 2 Staff
TIME OF USE:
MAJOR EQUIPMENT
2 decontam washers 2 sonic machines Endoscope washer ? Flush hopper 1 washer/pasteurmatic 2 pass thro dryers Cidex (fume hood)
FURNISHINGS
1 SS sort table Garbage bin Soiled linen bin
Page 540
80
OCCUPANCY: 2 Staff
MAJOR EQUIPMENT
Cart washer
Clean items removed from washers, dried, sorted and assembled ready for sterilization
MAJOR EQUIPMENT
Sterilizer loading carts Mobile shelving units
FURNISHINGS
2 large SS preparation tables 1 wrapping table for linen
OCCUPANCY: 1 Staff
MAJOR EQUIPMENT
2 large steam sterilizers 1 small steam sterilizer
80
OCCUPANCY: 1 Staff
MAJOR EQUIPMENT
Gas sterilizer
ROOM NAME: Storage, Sterile & Clean ROOM NO: FUNCTION: OCCUPANCY: ARCHITECTURAL ELEMENTS (BUILT-IN ITEMS)
Counter for assembly of items
SS-06.07
NSF: 800
Storage of sterile and clean supplies and packs; preparation of distribution and case carts
TIME OF USE:
MAJOR EQUIPMENT
Storage shelving on wheels
Page 542
NSF: 200
To hold hospital standard equipment, IV pumps, etc. used in patient care areas, and controlled by sterile processing
OCCUPANCY: 1 Staff
TIME OF USE:
FURNISHINGS
Desk Credenza Filing cabinet Bookcase Desk chair 2 chairs Waste receptacle Tackboard
30
Privacy lock
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 543
30
OCCUPANCY: 2 Staff
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
80
Page 544
FURNISHINGS
Workstation Chair Waste receptacle
Page 545
INTERRELATIONSHIPS
1. Biomedical Engineering should be located adjacent to Plant Maintenance, close to receiving docks and service elevators, and convenient to ICU/CCU, Surgical Suite and Emergency.
PLANNING CHANGES
1. Serving two Districts including Amherst. 2. Require office space for two technologists (Increase office from 80 NSF to 120 NSF). 3. Will probably operate 5 days per week in the future. 4. Gross-up factor reduced from 1.3 to 1.2. Summary Master Program Functional Program Difference 689.0 DGSF 741.0 DGSF +52.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
SS-07
Biomedical Engineering W W 120 250 200 1 1 1 120 250 200 570 1.30 741.0
2 bookcases
2 telephones 2 computers
Electrical receptacles
Printer
MAJOR EQUIPMENT
Grinder Drill Hand tools Vice
FURNISHINGS
3 workbenches (8 ft. each) 1 mechanical 1 electrical 3 feet deep & 3 feet high Shelving for catalogues with manuals above workbenches Shelving off floor
Page 547
PLANNING CHANGES
This program has been deleted.
Page 548
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3
INTERRELATIONSHIPS
1. Porter Service should be adjacent to Diagnostic Imaging, close to service elevators and convenient to Emergency.
PLANNING CHANGES
1. We do not need 3 workstations when Porters should be on the floors using an automated porter system using IVR (integrated voice recognition) system. 2. SS-09.01 Office, Control Centre reduced from 200 NSF to 120 NSF. 3. SS-09.02 Closet, Coat include in SS-09.01. Summary Master Program Functional Program Difference 312.0 DGSF 156.0 DGSF - 156.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
SS-09
SS-09.01 Office, control centre SS-09.02 Closet, coat (deleted) SS-09.03 Lounge, staff (incl. In SS-03)
FURNISHINGS
William Nycum & Associates Limited September 5, 2005 Page 549
Colchester Regional Hospital Functional Program Project No. 0400 Draft No. 3 1 workstation 1 desk chair 3 full lockers 2 side chairs
Waste receptacle
Page 550
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to the public health suite and nearby to the waiting. 2. The teaching, immunization clinic and public washrooms should be close to the waiting room. Access to the teaching room should be from the main corridor as well as from within public health suite. The prenatal storage should be located between the teaching and immunization clinic with access directly into the teaching room. The interview consult room should be close to the receptionist area. 3. The managers office and conference room should be the first set of spaces after the interview consult room. 4. The staff washroom, staff lounge and library resource room should be located at the back of the public health suite. 5. The Public Health should be on the ground floor.
PLANNING CHANGES
1. CS-01.02 Copy room was reduced by 50 NSF to 150 NSF. 2. CS-01.07 The washroom will be decreased from 65 NSF to 60 NSF. 3. CS-01.10-11 Both offices were reduced by 20 NSF to 120 NSF. 4. CS-01.13 The manager office will be changed to be the CDC office and a new office CS-01.26 for two field staff at 160 NSF will be added. 5. CS-01.15 The washroom will be deleted and included CS-01.23 decreasing the area by 40 NSF. 6. CS-01.16 There will be four field staff offices increasing the area from 960 NSF to 1,280 NSF. 7. CS-01.19 The interview room will be reduced to 80 NSF each. 8. CS-01.20 The Library / resource room will become a resource room reducing the area from 200 NSF to 60 NSF. 9. CS-01.21 The project storage room will be reduced from 300 NSF to 200 NSF. 10. CS-01.22 This room will become a kitchenette reducing the area from 200 NSF to 60 NSF. 11. CS-01.19 The staff washroom will be decreased from 40 NSF to 25 NSF. Summary Master Program Functional Program Difference 6,818.5 DGSF 6,279.0 DGSF -539.5 DGSF
Page 551
ROOM SUMMARY
ID N0. ROOM NAME CODE TOTAL ROOM NO. OF AREA AREA ROOMS
NSF NSF
CS-01 CS-01.01 CS-01.02 CS-01.03 CS-01.04 CS-01.05 CS-01.06 CS-01.07 CS-01.08 CS-01.09 CS-01.10 CS-01.11 CS-01.12 CS-01.13 CS-01.14 CS-01.15 CS-01.16 CS-01.17 CS-01.18 CS-01.19 CS-01.20 CS-01.21 CS-01.22 CS-01.23 CS-01.24 CS-01.25 CS-01.26
Public Health Reception, clerical (4 people) Workroom, photocopy / mailing Waiting (20 people) Clinic, immunizations Teaching, group Storage, prenatal teaching etc. Washroom, family change Washroom, male public Washroom, female public Office, medical officer of health Office, director Office, secretary (CDC) Office, CDC Conference / resource (12 people) Washroom, staff (incl. in CS-01.23) Office, field staff (4 people) Office, lay visitor Workroom, student / visiting staff (2 people) Interview / consult room Resource room Storage, project Kitchenette, staff Washroom, staff Closet, janitor Office, manager Office, field staff (2 people) W W W W W BF W W W W W W W W W W W 240 150 300 150 600 80 60 120 120 120 120 100 120 180 0 320 120 120 80 60 200 60 25 40 120 160 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 4 1 1 2 1 1 1 2 1 1 1 240 150 300 150 600 80 60 120 120 120 120 100 120 180 0 1,280 120 120 160 60 200 60 50 40 120 160 4,830 1.30 6,279.0
W W
Page 552
NSF: 240
To greet individuals coming to meetings with Public Health staff, receive and distribute mail and provide clerical support to the Public Health staff.
The three clerical workstations will be acoustically separate from one another The three staff need to be able to see if someone has come to the reception counter.
FURNISHINGS
Workstation for reception 3 chairs 4 waste receptacles 3 recycling bins 6 filing cabinets 3 bookcases
NSF: 150
Space for staff to use the photocopier, layout space, mail collection, postage meter and access stationary supplies
MAJOR EQUIPMENT
Photocopier
FURNISHINGS
Paper cutter Shelving Recycling bin Shredder Waste receptacle
Page 553
NSF: 300
Space for clients to wait for appointments with the Public Health staff or education sessions.
4 side tables
Magazine rack
MAJOR EQUIPMENT
Exam table
FURNISHINGS
Soap dispenser Paper towel dispenser Recycle bin 3 chairs Adjustable stool
Page 554
1 2 3 4
Room should be 30 x 20 feet This room does not require exterior windows Use a sound insulated moveable partition to divide this space into two equal sized rooms with doors into each. One room will have a counter and sink.
MAJOR EQUIPMENT
Undercounter refrigerator Large whiteboard opposite projection screen
FURNISHINGS
Soap dispenser 30 chairs Shelving Paper towel dispenser 6 tables on castors (5x3)
NSF:
80
MAJOR EQUIPMENT
AV equipment
FURNISHINGS
Shelving Mats Pillows
NSF:
60
Page 555
Privacy lock
FURNISHINGS
Soap dispenser Waste receptacle Paper towel dispenser Toilet paper dispenser
1 toilet stall
FURNISHINGS
2 soap dispensers 2 paper towel dispensers 2 toilet paper dispensers Waste receptacle
2 toilet stalls
FURNISHINGS
2 soap dispensers Waste receptacle 2 toilet paper dispensers 2 paper towel dispensers
Page 556
NSF: 120
This office will be by the Medical Office of Health for administrative duties and meetings with staff.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase 1 Meeting table (4) Tackboard Recycle bin Waste receptacle 4 chairs
FURNISHINGS
Desk Credenza Desk chair Filing cabinet 2 bookcases 1 Meeting table (4) Tackboard Recycle bin Waste receptacle 4 chairs
This office will be used to provide administrative support to Public Health staff.
Page 557
FURNISHINGS
Desk Desk chair 2 bookcases Waste receptacle Filing cabinet Chair Recycle bin Tackboard
NSF: 120
This office will used by the CDC nurse, tobacco coordinator and CHB support for administrative duties and meetings with staff.
FURNISHINGS
Desk Desk chair 2 filing cabinets Bookcase Recycle bin 2 chairs Tackboard Waste receptacle
FURNISHINGS
4 tables on casters Whiteboard 12 chairs
FURNISHINGS
4 modular workstations with sound partitions 4 desk chairs 4 bookcases 4 waste receptacles 4 file cabinets 4 recycle bins
Early childhood development lay visitor meeting room and staff workstations.
Shelving
2 desk chairs
Waste receptacle
Page 559
NSF:
80
Space for staff to have private meetings with clients for consults or teaching.
FURNISHINGS
5 comfortable chairs Whiteboard 2 side tables
NSF:
60
FURNISHINGS
Shelving
NSF:
60
OCCUPANCY: 1 to 2 People
Page 560
MAJOR EQUIPMENT
Refrigerator Microwave
FURNISHINGS
Paper towel dispenser Waste receptacle Soap dispenser Recycle bin
NSF:
25
Coat hook
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
NSF:
40
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
Page 561
FURNISHINGS
Desk Desk chair Credenza 2 filing cabinets 3 bookcases 4 chairs Recycle bin Table Tackboard Waste receptacle
FURNISHINGS
2 modular workstations with sound partitions 2 desk chairs 2 bookcases 2 waste receptacles 2 file cabinets 2 recycle bins
Page 562
INTERRELATIONSHIPS
1. As the gatekeeper, the two reception positions (addictions and the methadone clinic) should be located at the entrance to the addictions suite and nearby to each waiting area. 2. Addiction Services will be divided into two sections behind the two receptionists and waiting areas: General Addiction Services and the Methadone Clinic. The two reception areas will be side by side with clients being directed to either the Methadone or Addictions waiting areas. 3. The public washrooms will be located next to their respective waiting area. 4. The file storage rooms will be located behind the reception areas. 5. The group therapy room in addictions and the group counseling room in the clinic will be accessible for evening classes. The offices should be separated from these rooms to be secure at night. 6. The addictions supervisor office, secretary and community health worker should be located next to each together. 7. The photocopier room will be shared by addictions and the methadone clinic. 8. Addictions Services should have at grade access.
PLANNING CHANGES
1. CS-02.05 The Community Worker offices have been increased from 100 NSF to 140 NSF. 2. CS-02.06 The Reception area has been increased from 80 NSF to 100 NSF. 3. CS-02.08 File Storage will be increased from 80 NSF to 100 NSF. 4. CS-02.09 Group Therapy will be increased from 300 NSF to 315 NSF. 5. CS-02.10 and CS-02.19 The staff washrooms will be decreased from 40 NSF to 25 NSF. 6. CS-02.11 The public washroom will be decreased from 60 NSF to 40 NSF. 7. CS-02.15 Physician Office space will be increased from 100 NSF to 120 NSF. 8. CS-02.18 Group Counseling will be increased from 225 NSF to 240 NSF. 9. CS-02.22 A new photocopier supply room will be provided adding 60 NSF. Summary Master Program Functional Program Difference 4,017.0 DGSF 4,303.0 DGSF + 286.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
CS-02
CS-02.02 CS-02.03 CS-02.04 CS-02.05 CS-02.06 CS-02.07 CS-02.08 CS-02.09 CS-02.10 CS-02.11 CS-02.12 CS-02.13 CS-02.14 CS-02.15 CS-02.16 CS-02.17 CS-02.18 CS-02.19 CS-02.20 CS-02.21 CS-02.22
Office, supervisor Office, secretary Office, clinical therapist (Truro) Office, community health worker, prevention Reception / secretary Waiting (15 people) Storage, files Group therapy room (20 seats) Washroom, staff Washroom, public Reception, methadone clinic Storage, files Waiting (6 people) Office, physician Office / dispensing Washroom, monitoring Group counseling (15 people) Washroom, staff Washroom, public Closet, janitor Photocopier room
W W W W W W W W W W W W W W W
120 100 140 140 80 225 100 315 25 40 80 80 90 120 120 40 240 25 40 30 60
1 1 5 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
120 100 700 560 80 225 100 315 25 40 80 80 90 120 120 40 240 25 40 30 60 3,310 1.30 4,303.0
NSF: 120
Office space for visiting addiction staff to complete administrative tasks including meeting space for four people.
FURNISHINGS
Desk Desk chair 4 chairs Bookcase Waste receptacle Table Tackboard File cabinet Whiteboard
This office will be used for administrative duties and meetings with staff and the public.
For confidentiality purposes, this room must have good sound separation from adjoining spaces.
FURNISHINGS
Desk Credenza Desk chair Filing cabinet Bookcase Whiteboard 3 chairs Waste receptacle Table
NSF: 100
To provide administrative support to the addictions team and collect confidential information from addiction clients.
Side chair
Filing cabinet
NSF: 140
Therapist office space for counseling sessions with clients and families and completing administrative duties.
For confidentiality purposes, this room must have good sound separation from adjoining spaces. Sidelights are required next to the entry door for staff to see into this room for security reasons. Page 565
FURNISHINGS
Desk Desk chair 1 sofa seating two people Side table Coffee table Bookcase Filing cabinet Waste receptacle 1 chair Whiteboard
ROOM NAME: Community Health Worker / Prevention Office ROOM NO: FUNCTION:
CS-02.05
NSF: 140
Office space for counseling sessions with clients and families and completing administrative duties.
For confidentiality purposes, this room must have good sound separation from adjoining spaces. Sidelights are required next to the entry door for staff to see into this room for security reasons.
FURNISHINGS
Desk Desk chair 1 sofa seating two people Side table Coffee table Bookcase Filing cabinet Waste receptacle 1 chair Whiteboard
NSF:
80
To greet individuals coming to meetings with addictions staff, receive and distribute mail and provide clerical support to the addictions staff.
The receptionist area must be separated from the entry lobby with safety glass for security reasons.
Page 566
FURNISHINGS
Workstation Waste receptacle Steno chair 2 filing cabinets
4 side tables
Magazine rack
NSF: 100
Enclosed and secure space for file and record storage related to the work of the addictions staff.
This room will have to entry points: one from the reception area and the other from the office corridor.
FURNISHINGS
Client record shelving 25 Work table
NSF: 315
Space for the addictions services staff to facilitate group therapy sessions and for staff meetings
Page 567
MAJOR EQUIPMENT
AV equipment on cart
FURNISHINGS
Flip charts White board 20 chairs
NSF:
25
Coat hook
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
NSF:
40
Staff will need to be able to open this room when locked for emergencies.
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
Page 568
NSF:
80
To greet individuals coming to meetings with methadone clinic staff and provide clerical support to the clinic staff.
The receptionist area must be separated from the entry lobby with safety glass for security reasons.
FURNISHINGS
Workstation Waste receptacle 2 filing cabinets Chair
NSF:
80
Enclosed and secure space for file and record storage related to the work of the methadone clinic.
NSF:
90
1 side table
Magazine rack
OCCUPANCY: 1 to 4 People
William Nycum & Associates Limited September 5, 2005
FURNISHINGS
Desk Desk chair Filing cabinet Waste receptacle Bookcase Tackboard 3 chairs
NSF: 120
Room for the RN to dispense the methadone treatments to a client and office space for administrative duties.
MAJOR EQUIPMENT
Lockable refrigerator
FURNISHINGS
Desk 2 chairs Bookcase Tackboard Desk chair Filing cabinet Waste receptacle
NSF:
40
Privacy lock
Page 570
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
NSF: 240
Space for the methadone clinic staff to facilitate group therapy sessions and for staff meetings
MAJOR EQUIPMENT
AV equipment on cart
FURNISHINGS
Flip charts 15 chairs White board
NSF:
25
Coat hook
FURNISHINGS
Soap dispenser Waste receptacle Paper towel dispenser Toilet paper dispenser
NSF:
40
Page 571
FUNCTION:
Staff will need to be able to open this room when locked for emergencies.
FURNISHINGS
Soap dispenser Waste receptacle Toilet paper dispenser Paper towel dispenser
NSF:
30
Hanging hooks
MAJOR EQUIPMENT
Housekeeping cart Floor cleaning bucket
NSF:
60
MAJOR EQUIPMENT
Photocopier
Page 572
Page 573
INTERRELATIONSHIPS
1. As the gatekeeper, the receptionist clerical position should be at the entrance to the Hearing & Speech clinic, close to the file storage room and nearby to the waiting area. 2. One observation room will be located between two speech therapists office. There will be one-way glass for viewing into each speech therapist office from the observation room. 3. The audiology rooms should be at the back of the clinic in the quietest location as possible.
PLANNING CHANGES
1. CS-03.01 Reception was reduced to 80 NSF from 100 NSF. 2. CS-03.04 The number of speech therapists was increased from 4 to 6 increasing the office area from 640 NSF to 960 NSF. 3. CS-03.06 The number of observation rooms was increased to match the increase in speech therapist offices increasing the area from 80 NSF to 240 NSF. 4. CS-03.08 The number of audiologists was increased from 1 to 2 increasing the office area from 120 NSF to 240 NSF. 5. CS-03.12 A storage room for supplies and equipment was added increasing the area by 80 NSF. 6. CS-03.13 A washroom for staff and patients was added increasing the area by 40 NSF. Summary Master Program Functional Program Difference 2,509.0 DGSF 3,263.0 DGSF +754.0 DGSF
ROOM SUMMARY
ID N0. ROOM NAME CODE ROOM AREA
NSF
NO. OF ROOMS
TOTAL AREA
NSF
CS-03 CS-03.01 CS-03.02 CS-03.03 CS-03.04 CS-03.05 CS-03.06 CS-03.07 CS-03.08 CS-03.09 CS-03.10 CS-03.11
Hearing & Speech Reception, clerical Storage, file Waiting (10 people) Office, speech therapist Treatment / assessment area Observation room Group therapy room Office, audiologist Audiology booth room Evoke potential room (audiology) Testing area / workstation (audiology) W W W W W W W W W W 80 80 150 140 150 80 150 120 230 130 100 1 1 1 6 1 3 1 2 1 1 1 80 80 150 840 150 240 150 240 230 130 100
Page 574
CS-03.12 Storage, supplies / equipment (new) CS-03.13 Washroom, patient / staff (new)
W Sub-total NSF
80 40
1 1
NSF:
80
To greet individuals with Hearing and Speech appointments, receive and distribute mail and provide clerical support to the Therapist staff.
FURNISHINGS
Workstation Bookcase Waste receptacle Chair 1 filing cabinet
NSF:
80
Enclosed and secure space for file and record storage related to the work of the Hearing and Speech clinic.
2 side tables
Waste receptacle
NSF: 140
Speech Therapist office with space for assessment and treatment and completing administrative duties.
FURNISHINGS
Desk Desk chair 2 childrens chairs Filing cabinet 2 chairs Bookcase Waste receptacle Coat hook White board Tackboard 1 childs table
FURNISHINGS
3 chairs File Cabinet Testing table Shelving Soap dispenser Paper towel dispenser Toilet paper dispenser Waste receptacle
Page 576
NSF:
80
Space for students to learn by observing treatments and for parents to see the treatments when they may be a distraction for their child.
FURNISHINGS
4 chairs
FURNISHINGS
Soap dispenser Paper towel dispenser Toilet paper dispenser Tackboard White board File cabinet Child table 4 chairs 3 child chairs Waste receptacle
NSF: 120
Audiologist office with space for assessment with clients and completing administrative duties.
Page 577
MAJOR EQUIPMENT
Hearing aid analyzer
FURNISHINGS
Desk Desk chair Bookcase Tackboard 2 chairs Filing cabinet White board Waste receptacle
One double audiology booth for testing and documentation by the Audiologists.
MAJOR EQUIPMENT
ABR machine Swivel magnifying glass Hearing aid analyzer Amplifier Middle ear analyzer Audiometer Swivel vise Ultrasonic cleaner Video otoscope Dremel drill Ear light OAE machine Otoscope
FURNISHINGS
1 desk Mirror 4 chairs Soap dispenser Paper towel dispenser
Sink
FURNISHINGS
Testing table Shelving to store hearing aid materials 3 chairs
Testing table
Desk
NSF:
80
NSF:
40
OCCUPANCY: 1 Person
Page 579
FURNISHINGS
Soap dispenser Waste receptacle Paper towel dispenser Toilet paper dispenser
Page 580
Cost Estimate
COST ESTIMATE
Program Name Ground Level
AC-01 Emergency Services AC-02 Ambulatory Care Services AC-03 Renal Dialysis DT-01 Laboratory (Phlebotomy) DT-02 Diagnostic Imaging DT-03 CIU AC-05 Diabetes Centre DT-06 Rehabilitation Services DT-08 Social Work / Continuing Care AD-02 Admitting / Communications AD-08 Volunteer Resources AD-09 Spiritual Care AD-10 Auxiliary AD-14 Foundation SS-01 Public Facilities SS-09 Porter Service Sub Total (dgsf) x1.14 Sub Total (fgsf) 90,081.1 13,870 8,035 3,265 1,370 10,470 2,160 2,110 5,370 1,540 740 665 140 1,730 920 3,305 120 Var 1.50 1.40 1.30 1.50 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 20,469.0 12,052.5 4,571.0 1,781.0 15,705.0 2,808.0 2,743.0 6,981.0 2,002.0 962.0 864.5 182.0 2,249.0 1,196.0 4,296.5 156.0 79,018.5 79,019 Total NSF Net to Gross Total DGSF Building A Acute Care Building B Medical Arts
Level 3
IP-01 Medical Inpatient Unit A IP-02 Medical Inpatient Unit B IP-04 Intensive Care IP-05 Inpatient Mental Health IP-07 Palliative Care Unit DT-07 Respiratory Therapy DT-09 Pharmacy Services AD-09 Spiritual Care Sub Total (dgsf) x1.14 Sub Total (fgsf) 68,051.2 7,822 7,553 7,250 10,254 2,939 1,390 2,825 375 1.50 1.50 1.50 1.50 1.50 1.30 1.30 1.30 11,733.0 11,329.5 10,875.0 15,381.0 4,408.5 1,807.0 3,672.5 487.5 59,694.0 59,694
Level 2
AD-06 Medical Staff IP-03 Surgical Inpatient Unit IP-06 Maternal Child Unit APS-01 Ambulatory Procedures 850 9,553 10,178 7,365 1.30 1.50 1.50 1.50 1,105.0 14,329.5 15,267.0 11,047.5 Page 581
Cost Estimate
DT-01 Laboratory Services (Lab) DT-04 Day Surgery DT-05 Surgical Suite SS-06 Sterile Processing Sub Total (dgsf) x1.14 Sub Total (fgsf)
Level 1 / 2 - Building B
AC-04 Outpatient Mental Health AD-01 Administration AD-03 Health Records AD-04 Quality & Decision Support AD-05 Education AD-07 Infection Control / Staff Health AD-11 Financial Services AD-12 Human Resources AD-13 Info Systems AD-15 Physician Offices CS-01 Public Health CS-02 Addiction Services CS-03 Hearing & Speech Sub Total (dgsf) x1.14 Sub Total (fgsf) 72,499.4 13,620 2,295 3,330 1,060 2,350 560 1,930 1,325 3,180 8,620 4,830 3,310 2,510 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 1.30 17,706.0 2,983.5 4,329.0 1,378.0 3,055.0 728.0 2,509.0 1,722.5 4,134.0 11,206.0 6,279.0 4,303.0 3,263.0 63,596.0 63,596
Support Services
DT-01 Laboratory Services (Morgue) SS-02 Dietary / Nutrition Services SS-03 Material Management SS-04 Plant Maintenance SS-05 Environmental Services SS-07 Biomedical Engineering Sub Total (dgsf) x1.14 Sub Total (fgsf) 610 6,090 4,765 3,450 2,260 570 1.30 1.20 1.20 1.15 1.15 1.30 793.0 7,308.0 5,718.0 3,967.5 2,599.0 741.0 21,126.5 24,084.2 21,127
Cost Estimate
230,815
63,596
MECHANICAL/ELECTRICAL
Sub-TOTAL (bgsf) Space Contingency (deleted) TOTAL (bgsf) (22,986 less than Oct 29 Submission)
25,390 288,518 288,518 $232.21 66,996,794 27,298,718 94,295,511 108,624,485 $1,000,000 -$319,000 $1,500,000 $0 $110,805,485 -$2,500,000 -$4,000,000 $104,305,485
Construction Cost /sq ft in January 2005 dollars * Probable Construction Cost (January 2005 Dollars) Soft Costs @ 40% of Construction Cost Sub-Total Project Cost Sub-Total Bldg. A + B Estimated cost to demolish existing buildings Estimated value of existing property Cost of new land Contingency to Enhance Building Energy Efficiency Total Project Cost Cost Recovery Items Physician Offices Cogeneration
Total Project Cost After Cost Recoveries Note: Prices include HST Burden
* The projected cost per square foot of $232.21 was calculated by applying the Statistics Canada index of inflation to the cost per square foot of the completed Cumberland Regional Health Care Centre.
Page 583