Healthcare Architecture Analysis

New Orleans East Hospital5620 Read Boulevard, New Orleans, LA 70127

Manning Architects \ Eskew+Dumez+Ripple

WHLC Architecture

Architect

Associate Architect

Laura MartinLSU Healthcare Architecture

Fall 2012

TABLE OF CONTENTS

Site DiagramsFirst Floor Circulation

Second Floor Circulation

Program Space ListEmergency Services

Diagnostic Imaging Services

Patient Care Areas

Surgical Services

Total Area

Programmatic DiagramSecond Floor

Third Floor

Individual Room PlansEmergency Exam Room

Magnetic Resonance Imaging Suite

Private Patient Room

Nurse Station

Operating Room

Post-Anesthetic Care Unit

Project Timeline

Project Cost Estimate

Precedent Studies

11.1

1.2

22.1-2.2

2.3

2.4

2.5-2.6

2.7

33.1

3.2

44.1-4.2

4.3-4.5

4.6-4.8

4.9-4.10

4.11-4.12

4.13-4.14

5

6

77.1-7.4

1

SITE

DIA

GRA

MS

1.1

Scal

e:

100

050

100

CITR

US

CAN

AL

PATI

ENT

PAVI

LIO

N

LOA

DIN

G D

OCK

TO REA

D B

LVD

.

UP

DOWN WATERFEATURE

MA

IN E

NTR

Y &

VEH

ICU

LAR

DRO

P-O

FFRA

MP

TO

EMER

GEN

CY

PARK

ING

& E

NTR

Y

PED

ESTR

IAN

ENTR

YWAY

HEL

IPA

D

DET

ENTI

ON

ARE

A

DET

ENTI

ON

ARE

AEA

ST

TOW

ER

STA

FFPA

RKIN

G

STA

FFPA

RKIN

G

VISI

TOR

PARK

ING

FIRST FLOOR CIRCULATION

Han

dica

pped

Par

king

Park

ing

Cut L

ine

Prop

erty

Lin

eVe

hicu

lar C

ircul

atio

n

Key

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

SITE

DIA

GRA

MS

Key

Han

dica

pped

Par

king

Park

ing

Prop

erty

Lin

eVe

hicu

lar C

ircul

atio

n

Scal

e:

100

050

100

SECOND FLOOR CIRCULATION

HEL

IPA

D

CITR

US

CAN

AL

EAST

TO

WER

LOA

DIN

G D

OCK

HEL

IPA

D

DET

ENTI

ON

ARE

A

DET

ENTI

ON

ARE

A

UP

DOWN EAST

TO

WER

MEC

H.

STA

FFPA

RKIN

G

STA

FFPA

RKIN

G

VISI

TOR

PARK

ING

VISI

TOR

PARK

ING

EMER

GEN

CY E

NTR

Y

AM

BULA

NCE

EN

TRY

LAKE

FO

REST

BLV

D.

DW

YER

RD

REA

D B

LVD

1.2

2

PRO

GRA

M S

PACE

LIS

T

2.1EMERGENCY SERVICES

Spaces

Waiting Room

Security Communications

Triage

Reception

Cashier

Work Area

Admittance

Nurse Manager

On-Call Room

Mens Restroom

Womens Restroom

Clean Utility

Toilet Room

Exam/Trt Room 1

Exam Room 2-8

Secure holding room

Secure holding room

Nurse Station

Doctor Dictation

Exam Room 9

Exam Room 10

Isolation Exam Room

Observation Exam Room

Toilet Rm

Environmental Services

Medications

Nourishment Area

Nurse Station

Med Dir

Equipment

Decontamination Shower

Hazardous Material

Ambulance Vestibule

Staff Lounge

Toilet Room

Required SF

120

120

60

60

120

120

120

120

10/bed

80

100

Existing SF

1057.8

508.2

198.6

89.7

97.8

221.0

54.3

90.6

130.4

99.2

108.4

147.0

50.8

174.3

130.0

114.1

125.0

498.7

498.7

142.3

153.3

130.1

147.2

39.8

61.4

121.3

44.5

270.2

138.8

204.0

82.8

102.4

199.7

144.1

40.9

Quantity

1

1

1

1

1

1 2

1

1

1

1

1

1

7 1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Total

1057.8

508.2

198.6

89.7

97.8

221.0

108.5

90.6

130.4

99.2

108.4

147.0

50.8

174.3

910.0

114.1

125.0

498.7

498.7

142.3

153.3

130.1

147.2

39.8

61.4

121.3

44.5

270.2

138.8

204.0

82.8

102.4

199.7

144.1

40.9

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

GRA

M S

PACE

LIS

T

2.2EMERGENCY SERVICES

Spaces

Trauma Room

Trauma Room

Pediatric Exam Room 1

Pediatric Exam Room 2 &5

Pediatric Exam Room 3-4

Toilet Room

Soiled Utility

Isolation Exam Room

Isolation Toilet Room

Clean Utility

Nurse station/Nourishment

Toilet Room

Medications

Required SF

250

250

120

120

120

120

Existing SF

291.6

301.0

183.0

140.0

134.7

47.1

116.5

127.6

56.3

141.1

90.4

44.0

91.5

Quantity 1

1

1 2

2 1

1

1

1

1

1

1

1

Total

291.6

301.0

183.0

365.9

280.0

47.1

116.5

127.6

56.3

141.1

90.4

44.0

91.5

SF Subtotal

9,387

SF Subtotal

7,267

2.3DIAGNOSTICIMAGING SERVICES

Spaces

Hot Lab

Nuclear Medicine

Control Room

Computerized Tomography

CT Equipment

QC Workroom

Patient Dressing Rooms

Patient Dressing Rooms

Patient Holding Area

Consultation Area

Radiography Room

Radiography and Fluoroscopy

Rad Tech

Toilet Room

Intake Room

Reading Room

Clean Utility

Soil Holding

Manager

Chief Tech

Waiting Room

Reception

Workroom

Sub-waiting Area

Tech Work

Toilet/Dressing Room

Bone Density

Mammography Rooms

Ultrasound

Toilet Room

Patient Dressing Room

Information Technology

Environmental Services (EVS)

Electrical

Toilet Room

Break Room

Wait/Ante room

Magnetic Resonance Imaging

MRI Control Room

MRI Equipment

Waiting Room

Required SF

180

250

100

120

100

100

Existing SF

118.2

323.7

152.5

405.2

103.7

330.1

47.3

32.2

211.9

159.9

277.7

315.7

68.1

44.9

81.5

303.7

97.8

104.7

73.6

79.3

355.5

135.2

125.5

276.0

75.6

37.2

146.0

191.1

214.2

67.9

33.2

131.7

61.5

161.0

39.8

189.7

278.0

443.0

108.8

201.9

662.6

Quantity 1

1

1

1

1

1 1

1

1

1

1

1

1

1

1 1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Total

118.2

323.7

152.5

405.2

103.7

330.1

47.3

32.2

211.9

159.9

277.7

315.7

68.1

44.9

81.5

303.7

97.8

104.7

73.6

79.3

355.5

135.2

125.5

276.0

75.6

37.2

146.0

191.1

214.2

67.9

33.2

131.7

61.5

161.0

39.8

189.7

278.0

443.0

108.8

201.9

662.6

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

GRA

M S

PACE

LIS

T

SF Subtotal

3,307

2.4PATIENT CARE AREAS

Spaces

Patient Room

Patient Toilet

Semi Private Patient Room

Semi Private Patient Room

H/C Toilet Room

Soil Holding

Private Patient Room

Toilet Room

Unlabeled Room

Medications

Nurse Manager

Nurse station/Nourishment Area

Doctor Dictation

Required SF

120

Existing SF

250.0

41.7

306.8

349.4

44.3

76.9

272.1

47.7

104.6

116.1

84.9

319.8

42.9

Quantity 4

4

1

1

2

1

2

2

1

1

1

1

1

Total

1000

166.8

307.6

359.4

88.5

76.9

544.1

95.3

104.6

116.1

84.9

319.8

42.9

2.5SURGICAL SERVICES

Spaces

Cardiac Catheterization Lab

Catheterization Equipment

Decontamination/Soiled

Sterile prep and Rack

Sterilizers

Clean Core

Substerile Room

Scrub Facility

Operating Room 1

Anethesia Storage

Anethesia Workroom

Equipment

Operating Room 2

Scrub Facility

Operating Room 3

Substerile Room

Scrub Facility

Operating Room 4 Hybrid

Control Room

Scrub Facility

Isolation Room

Alcove

Staff Toilet Room

Physician Dictation

Medications

Team Station

Environmental Services (EVS)

Tanks

Scrub Facility

Soiled Utility

Frozen Section

Storage

Endoscopy Procedure Suite

Hall

Toilet Room

Scrub Facility

Endoscopy Procedure

Required SF

400

400

300

400

400

600

100

10

200

350

Existing SF

713.6

171.6

484.0

666.4

171.5

914.8

131.6

57.6

660.3

219.0

135.0

219.0

638.8

26.3

637.1

101.8

69.8

636.9

184.5

51.3

219.8

24.5

48.6

85.4

91.6

145.1

92.9

50.4

101.4

123.4

123.4

90.8

546.2

29.6

52.1

20.5

275.9

Quantity

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

Total

713.6

171.6

484.0

666.4

171.5

914.8

131.6

57.6

660.3

219.0

135.0

219.0

638.8

26.3

637.1

101.8

69.8

636.9

184.5

51.3

219.8

24.5

48.6

85.4

91.6

145.1

92.9

50.4

101.4

123.4

123.4

90.8

546.2

29.6

52.1

20.5

275.9

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

GRA

M S

PACE

LIS

T

2.6SURGICAL SERVICES

Spaces

GI Support Zone

GI Process Zone

Post-Anesthetic Care Unit

Soiled Utility

Clean Utility

Electrical

Mechanical

On-Call Room

Staff Toilet Room

Conference Room

pre-op holding

IT/Communication

Nurse Station

Women's Locker Room

Toilet Room

Men's Locker Room

Staff Lounge

Office Supplies

Secretarial Area

Director's Office

MD Women's Locker Room

Toilet Room

MD Men's Locker Room

Physicians Lounge

Waiting Room

Required SF

80/bed

80

100

100

Existing SF

206.3

314.7

1335.6

101.9

125.8

154.7

812.0

92.5

53.9

237.7

74.2

96.2

418.2

265.1

52.0

100.0

222.6

26.8

112.8

132.0

99.9

52.4

199.6

209.7

838.8

Quantity

1

1

1

1

1

1

1

1

1

1

1

1

1

1

2

1

1

1

1

1

1

2

1

1

1

Total

206.3

314.7

1335.6

101.9

125.8

154.7

812.0

92.5

53.9

237.7

74.2

96.2

418.2

265.1

104.0

100.0

222.6

26.8

112.8

132.0

99.9

104.8

199.6

209.7

838.8

SF Subtotal

14,739

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

GRA

M S

PACE

LIS

T

2.7TOTAL AREA

Departments

Emergency

Diagnostic Imaging

Patient Care

Surgical

Net Usable SF

Circulation/walls/etc

Gross SF

SF Subtotal

9,387

7,267

3,307

14,739

22,833

Total

34,700

65.8%

57,533

3

PRO

GRA

MM

ATIC

DIA

GRA

M

3.1SECOND FLOOR

Key

Emer

genc

yIn

patie

ntIm

agin

gCo

mm

on

Stru

ctur

al G

rid

Scal

e: 1

’=1/

32”

Conn

ectio

n to

exi

stin

g ho

spita

l

ED. E

ntra

nce

Am

bula

nce

Entr

y

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

GRA

MM

ATIC

DIA

GRA

M

3.2THIRD FLOOR

Scal

e: 1

’=1/

32”

NOURISH

Key

Surg

ical

Re

stric

ted

Stru

ctur

al G

rid

4

IND

IVID

UA

L RO

OM

PLA

NS

PHYSIOLOGICAL MONITOR

SMALL EXAM LIGHT

DIAGNOSTIC SET

THREE TIER HEADWALL13’6

10’6

HAND WASHING STATION

4.1EMERGENCY EXAM ROOM

CAREGIVERCIRCULATION

PATIENT AREA

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

IND

IVID

UA

L RO

OM

PLA

NS

4.2GUIDELINES

2.2-3.1.2.6

2.1-3.2

2.1-3.2.1

2.1-3.2.1.1

2.1-3.2.1.2

2.1-3.2.1.3

Treatment Room At least one treatment room shall be provided in accordance with Section 2.1-3.2 (Examination/Treatment Room or Area)

(1) Multiple-bed treatment rooms shall have cubicle curtains for privacy.(2) Each treatment room shall contain the following in addition to the requirements of Section 2.1-3.2:(a) a work counter(b) Space for medical equipment as specified in the functional program(c) Cabinets(d) Medicine storage(e) Adequate electrical outlets above floor level

Examination/Treatment Room or AreaAn examination/treatment room or area may be required in many locations in a health care facility. When this room or area is required by the functional program, it shall meet the following requirements.

Single-Bed Examination/Treatment Room or Area

Each single-patient examination/treatment room shall have a minimum clear floor area of 120 square feet (11.15 square meters).

Provision shall be made to preserve patient privacy from observation from outside the examination/treatment room through an open door.

The examination/treatment room shall contain the following:(1) An examination light(2) A hand-washing station(3) Storage facilities for supplies(4) A desk, counter, or shelf space for writing or electronic documentation

Guidelines for the Design and Construction of Health Care Facilities: 2010 Edition

4.3MAGNETIC RESONANCE IMAGING SUITE

22’

10’9

25’

10’

10’ WAIT/ANTE ROOM

MRI CONTROL

MRI PHYSIOLOGICAL MONITOR

MR SYSTEM INJECTOR

MRI SYSTEM

MRI EQUIPMENT

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

IND

IVID

UA

L RO

OM

PLA

NS

4.4GUIDELINES

2.2-3.4.4

2.2-3.4.4.1

2.2-3.4.4.2

2.2-3.4.4.3

2.2-3.4.4.4

2.2-3.4.4.5

Magnetic Resonance Imaging (MRI)

Space requirements

(1) Space within the overall MRI suite shall be provided as necessary to accommodate the functional program and to meet the minimum technical siting requirements provided by the MRI equipment manufacturer.(2) MRI suites as well as spaces around, above, and below (as applicable) shall be designed and configured to facilitate adherence to U.S. Food and DrugAdministration requirements established to prevent unscreened individuals from entering the 5-gauss (0.5 millitesla) volume around the MRI equipment.*(3) The MRI scanner room shall be large enough to accommodate equipment and to allow clearance in accordance with manufacturers’ recommendations.

Design configuration of the MRI suite

(1) Suites for MRI equipment shall be planned to conform to the four-zone screening and access control protocols identified in the American College of Radiology’s “Guidance Document for Safe MR Practices.”(2) The layout shall include provisions for the following functions:(a) Patient interviews and clinical screening(b) Physical screening and changing areas (as indicated)(c) Siting of ferromagnetic detection systems(d) Access control(e) Accommodation of site-specific clinical and operational requirements(3) An anteroom visible from the control room shall be located outside the MRI scanner room so that patients, health care personnel, and other employeesmust pass through it before entering the scanning area and control room. This room shall be outside the restricted areas of the MRI’s magnetic field.*(4) Any area in which the magnetic field strength is equal to or greater than 5 gauss (0.5 millitesla) shall be physically restricted by the use of key locks or pass-key locking systems.

Control room

(1) A control room shall be provided with a full view of the patient within the MRI scanner.(2) The control console shall be positioned so the operator has a full view of the approach and entrance to the MRI scanner room.

Hand-washing station. Hand-washing stations shall be provided convenient to the MRI scanner room, but need not be within the room.

Patient preparation, holding, and recovery area or room. This shall comply with Section 2.2- 3.5.4, requirements for the same area or room underSection 2.2-3.5 (Interventional Imaging Services).


4.5

2.2-3.4.4.6

2.2-3.4.4.8

Computer room. A computer room shall be provided.

Special design elements for the MRI scanner room

(1) General. Use of ferromagnetic materials that may interfere with the operation of the MRI scanner shall be avoided or minimized in MRI scanner rooms.(2) Architectural details(a) The floor structure shall be designed to support the weight of MRI scanner equipment and to prevent disruptive environmental vibrations. Floor loading along the pathway required for equipment removal and replacement shall also be considered.(b) Wall, floor, and ceiling assemblies shall accommodate the installation of required radio frequency (RF)-shielded assemblies. All doors, windows, and penetrations into the RFshielded enclosure shall be RF-shielded.(c) In addition to RF shielding, individual sites may also require magnetic shielding on some or all surfaces to contain portions of the magnetic field not contained by the RF shield. (d) A knock-out panel or roof hatch is recommended for delivery and removal of the MRI scanner.(e) MRI rooms shall be marked with a lighted sign with a red light to indicate when the magnet is on.(3) Surfaces, fixtures, and equipment(a) Because of the dangers of magnetic fields, servicing finishes, fixtures, and equipment within the MRI scanner room is potentially hazardous. Finishes, fixtures, and equipment should be selected to minimize the need for maintenanceand servicing.(b) Facilities may wish to use finishes or markings to identify the critical values of the magnetic field surrounding the MRI scanner, including the 5-gauss exclusion zone or other magnetic field strength values that may impair the operationof equipment.(c) Because MRI scanners are increasingly being used as an interventional platform for imageguided biopsies and procedures, changes in infection control provisions, equipment, and finishes brought about by changes in clinical use shall be considered. (3) Ventilation requirements. An insulated cryogen quench exhaust pipe as well as room exhaust and pressure equalization shall be provided where superconducting MRI scanners are installed to protect occupants in the event of a cryogen breach.

GUIDELINES CONT’D

4.6PRIVATE PATIENT ROOM

OVERBED TABLE

PATIENT BED

SPHYGMOMANOMETER

HYGIENE

PATIENT AREA

FAMILY

CARE

GIV

ER C

IRCU

LATI

ON

16’4

21’4

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

IND

IVID

UA

L RO

OM

PLA

NS

4.7GUIDELINES

2.2-2.2.2

2.2-2.2.2.1

2.2-2.2.2.2

*2.2-2.2.2.3

2.2-2.2.2.4

*2.2-2.2.2.5

Patient Room

Capacity

(1) The maximum number of beds per room shall be one unless the functional program demonstrates the necessity of a two-bed arrangement. Approval of a two-bed arrangement shall be obtained from the licensing authority.(2) Where renovation work is undertaken and the present capacity is more than one patient, maximum room capacity shall be no more than the present capacity, with a maximum of four patients.

Space requirements

*(1) Area(a) Patient rooms shall be constructed to meet the needs of the functional program.(b) Patient rooms shall have a minimum clear floor area of 120 square feet (11.15 square meters) in single-bed rooms and 100 square feet (9.29 square meters) per bed in multiplebed rooms.(2) Clearances (See “bed size” in the glossary.)(a) The dimensions and arrangement of rooms shall be such that there is a minimum clear dimension of 3 feet (91.44 centimeters) between the sides and foot of the bed and any wall or any other fixed obstruction.(b) In multiple-bed rooms, a minimum clear dimension of 4 feet (1.22 meters) shall be available at the foot of each bed to permit the passage of equipment and beds.(3) Where renovation work is undertaken, every effort shall be made to meet the above minimum standards. If it is not possible to meet the above minimum standards, authorities having jurisdiction shall be permitted to grant approval to deviate from this requirement. In such cases, patient rooms shall have a minimum clear floor area of 100 square feet (9.29 square meters) in single-bed rooms and 80 square feet (7.43 square meters) per bed in multiple-bed areas.

Windows. Each patient room shall be provided with natural light by means of a window to the outside. For further requirements, see 2.1-7.2.2.5.

Patient privacy. For requirements, see 2.1-2.2.4

Hand-washing stations

(1) Location(a) A hand-washing station shall be provided in the toilet room.(b) A hand-washing station shall be provided in the patient room in addition to that in the toilet room.(i) This hand-washing station shall be convenient for use by health care personnel and others entering and leaving the room.


4.8

2.2-2.2.2.6

2.2-2.2.2.7

2.2-2.2.2.8

(ii) When multi-patient rooms are permitted, this station shall be located outside the patients’ cubicle curtains.(2) Design requirements(a) For hand-washing station design details, see 2.1-7.2.2.8.(b) For sinks, see 2.1-8.4.3.2 (Hand-washing stations).(3) In renovations of existing facilities, a hand sanitation dispenser shall be permitted in patient roomswhere existing conditions prohibit installation of an additional hand-washing station.

Patient toilet room. For requirements, see 2.1-2.2.6.

Patient bathing facilities

(1) Access shall be provided to bathing facilities in the toilet room directly accessed from each patientroom or in a central bathing facility.(2) Central bathing facilities(a) Number(i) Where individual bathing facilities are not provided in toilet rooms directly accessed from patient rooms, at least one shower or bathtub shall be provided for each 12 beds without such facilities.(ii) If required by the functional program, at least one special bathing facility, including space for an attendant, shall be provided for patients on stretchers, carts, and wheelchairs.(b) Location(i) Each bathtub or shower shall be in an individual room or enclosure that provides privacy for bathing, drying, and dressing.(ii) If convenient for use, special bathing facilities may be located on a floor separate fromthe nursing unit.(c) Toilet. A toilet in a separate enclosure, a handwashing station, and storage for soap andtowels shall be provided within each central bathing facility or directly accessible to it withoutthe need to enter the corridor.(3) As required by the functional program, the following requirements shall be met:(i) Doorways shall be designed to allow entry of portable/mobile mechanical lifts and shower gurney devices.(ii) Thresholds shall be designed to facilitate use and prevent tipping of wheelchairs and other portable wheeled equipment.(iii) Patient shower rooms shall be designed to allow entry of portable/mobile mechanical lifts and shower gurney devices.(iv) Floor drain grates shall be designed to facilitate use and prevent tipping of wheelchairsand other portable wheeled equipment used by patients and staff.

Patient storage. Each patient shall have within his or her room a separate wardrobe, locker, or closet suitable for hanging full-length garments and for storing personal effects.

GUIDELINES CONT’D

SUCTION PUMPCART, RESUSCITATION

CORRIDOR

EQU

IPM

ENT

MED

. DIR

.

MEDS NOURISH

NURSE STATION

4.9NURSE STATION

16’4

17’

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

IND

IVID

UA

L RO

OM

PLA

NS

4.10GUIDELINES

2.1-2.6.1

2.1-2.6.1.1

2.1-2.6.1.2

2.1-2.6.2

Administrative Center or Nurse Station

This area shall provide the following:(1) Space for counters(2) Space for storage(3) Convenient access to hand-washing stations

This area shall be permitted to be combinedwith or include centers for reception and communication.

Documentation AreaCharting facilities shall have sufficient work surfaceto ensure that staff and physicians can simultaneouslychart and access information and communication systems.


ORTHOPEDIC/NEUROLOGICAL OPERATING ROOM 4.11

SCRUB

SEMI-RESTRICTEDCORRIDOR

CLEAN COREMEDS

26’10

25’2

OR MONITOR

SURGICAL SUCTION PUMP

ENDOSCOPY SYSTEM W/ SCOPES

RECESSED CABINET

ANESTHESIA UTILITY ARM

ANESTHESIA DISPENSER CART

INSTRUMENT TABLE

ANESTHESIA DELIVERY SYSTEM

INSTRUMENT TABLE

SURGICAL INSTRUMENT TABLE

SURGICAL TABLE

UTILITY ARM

LIGHT


ELECTROSURGICAL UNIT

DOCUMENTATION STATION

ANESTHESIA

TECHNICIAN

SURGEON

CIRCULATIO

N

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

IND

IVID

UA

L RO

OM

PLA

NS

4.12GUIDELINES


2.2-3.3.2.1

2.2-3.3.2.2

2.2-3.3.2.3

General Operating room

(1) Space requirements

(a) Each operating room shall have a minimum clear floor area of 400 square feet (37.16square meters) with a minimum clear dimension of 20 feet (6.10 meters) between fixedcabinets and built-in shelves.(b) Where a general operating room is also used for cesarean and other delivery procedures,space for infant resuscitation shall be provided as required in 2.2-2.11.9.2 (1).*(c) Renovation. Where renovation work is undertaken, every effort shall be made to meet the above minimum standards. If it is not possible to meet the above square-footage standards, each room shall have a minimum clear floor area of 360 square feet (33.45 square meters) with a minimum clear dimension of 18 feet (5.49 meters) between fixed cabinets and built-in shelves.(2) Communication system. Each room shall have a system for emergency communication with the surgical suite control station.(3) X-ray viewers. X-ray film viewers for handling at least four films simultaneously or digital image viewers shall be provided.(4) Architectural details. Operating room perimeter walls, ceiling, and floors, including penetra-tions, shall be sealed. (See Glossary.)

Room for surgical procedures that require additional personnel and/or large equipment (e.g., some cardiovascular, orthopedic, and neurological procedures)

(1) Space requirements (a) When included, these room(s) shall have, in addition to the above requirements for general operating rooms, a minimum clear floor area of 600 square feet (55.74 square meters) with a minimum clear dimension of 20 feet (6.10 meters).(2) Pump room. Where open-heart surgery is performed, an additional room in the restricted area of the surgical suite, preferably adjoining this operating room, shall be designated as a pump room where extra corporeal pump(s), supplies, and accessoriesare stored and serviced.(3) Equipment storage rooms. Where complex orthopedic and neurosurgical surgery is performed, additional rooms shall be in the semi-restricted area of the surgical suite, preferably adjoining the specialty operating rooms, which shall be designated asequipment storage rooms for the large equipment used to support these procedures.(4) Plumbing and electrical connections. Appropriate plumbing and electrical connections shall be provided in the cardiovascular, orthopedic, neurosurgical, pump, and storage rooms.

Additional requirements for orthopedic surgery

(1) Equipment storage. Where included, this room shall, in addition to the above requirements, have enclosed storage space for splints and traction equipment. Storage may be outside the operating room but must be conveniently located.(2) Plaster trap. If a sink is used for the disposal of plaster of paris, a plaster trap shall be provided.

4.13POST-ANESTHETIC CARE UNIT (PACU)

CAREGIVER CIRCULATION

PATIENT AREA

33’612’

12’

GENERAL STRETCHER


OVERBED TABLE

SPHYGMOMANOMETER

SUPPLY CART

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

IND

IVID

UA

L RO

OM

PLA

NS

4.14GUIDELINES


2.2-3.3.3.3 Post-anesthetic care unit (PACU)

(1) Space requirements

(a) Area. The design shall provide a minimum clear floor area of 80 square feet (7.43 squaremeters) for each patient bed with space for additional equipment described in the functional program.(b) Clearances. A minimum clear dimension of 5 feet (1.52 meters) shall be provided between the sides of patient beds and 4 feet (1.22 meters) between the sides of patient beds and adjacent walls or partitions.

(2) In new construction, at least one door to the recovery room shall provide access directly from the surgical suite without crossing public hospital corridors.

(3) Patient privacy. Provisions for patient privacy such as cubicle curtains shall be made.

(4) Each PACU shall contain the following:(a) A medication station(b) Hand-washing stations. At least one handwashing station with hands-free or wrist-bladeoperable controls shall be available for every four beds, uniformly distributed to provideequal access from each bed.(c) Nurse station with charting facilities(d) Clinical sink(e) Provisions for bedpan cleaning(f ) Storage space for stretchers, supplies, and equipment(g) Staff toilet. A staff toilet shall be located within the working area to maintain staff availability to patients.(5) Provisions shall be made for the isolation of infectious patients.(6) An airborne infection isolation room (AIIR) is not required in a PACU. Provisions for the recovery of a potentially infectious patient with an airborne infection shall be determined by an ICRA.

5

PRO

JEC

T TI

MEL

INE

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr 2012 2013 2014

TIMELINE

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

JEC

T TI

MEL

INE

5.1

Schematic Design

Design Development

Construction Documents

Bidding Negotiation

Construction

2 months

2.5 months

2 months

4 months

15 months

+/- 25.5 MONTHS

6

PRO

JEC

T CO

ST E

STIM

ATE

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PRO

JEC

T CO

ST E

STIM

ATE

6.1GUARANTEEDMAXIMUM PRICE

Divisions

Existing Conditions

Concrete

Masonry

Metals

Woods, Plastics, & Composites

Thermal & Moisture Protection

Openings

Finishes

Specialties

Equipment

Furnishings

Special Construction

Conveying Equipment

Fire Suppression

Plumbing

Heating, Ventilating, & Air Conditioning

Integrated Automation

Electrical

Communication

Electronic Safety & Security

Earthwork

Exterior Improvements

Utilities

Total All Divisions

Cost of Work

$ 371,150

5,157,871

228,066

2,901,949

1,216,315

7,015,936

3,631,450

7,212,456

330,931

791,191

730,618

57,235

1,023,805

969,232

4,500,000

15,400,000

Not Used

7,860,000

1,226,000

1,414,000

1,931,810

1,783,843

568,326

$66,322,185

7

PREC

EDEN

T ST

UD

IES

BANNER GATEWAY MEDICAL CENTER: NBBJ

NBBJ architects in association with Orcutt|Winslow

Gilbert, Arizona

383,000-sf

Obstetrics, Pediatrics, General Surgery, and Emergency Services

7 operating suites 30-bed Emergency Department.

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PREC

EDEN

T ST

UD

IES

7.1

SmithGroup JJR Architects

Bethesda, Maryland

72,000-sf

Facility for traumatic brain injury (TBI) patients

Includes clinics, imaging facilities, spaces for physical therapy, outdoor rehabilitation, and virtual-reality-assisted rehab

NATIONAL INTREPID CENTER OF EXCELLENCE: SMITHGROUP JJR

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PREC

EDEN

T ST

UD

IES

7.2

NORTH OAKS MEDICAL OFFICE BUILDING: WHLC

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PREC

EDEN

T ST

UD

IES

7.3

Left:

WHLC Architects

Hammond, LA

89,000-sf

Medical O�ce Building

Right:

NBBJ Architects

Boston, MA

535,000-sf

Houses procedural programs, 150 inpatient beds, progressive tech-nologies, and new emer-gency and radiation oncology departments

MASSACHUSETTS GENERAL HOSPITAL-THE LUNDER BUILDING: NBBJ

MILLER FAMILY PAVILION & GLICKMAN TOWER: NBBJ

New

Orle

ans

East

Hos

pita

lN

ew O

rlean

s, La

PREC

EDEN

T ST

UD

IES

7.4BANNER MD ANDERSON CANCER CENTER: CANNON DESIGN

Left:

NBBJ Architects

Cleveland, OH

1.3 million-sf

Heart hospital and urology and kidney institute

128 exam rooms, 79 procedure rooms, 278 private patient rooms, 4 ICUs, 16 operating rooms, and 155 physician o�ces

Right:

Cannon Design

Phoenix, AZ

131,000-sf

Includes inpatient and outpatient oncology services, including radia-tion oncology, outpatient imaging, multi-specialty clinics, infusion therapy and support services

Healthcare Architecture Analysis

Documents

Transcript of Healthcare Architecture Analysis