HomeMy WebLinkAboutA-012 - AIA CODE REVIEW PLAN
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MIN. DOOR SIZE
TABLE
ACCESS FLOOR
TABLE
MIN. DOOR SIZE
Condition 1
Condition 3
Condition 2
L6 -15
0.5 G*
1 G*
5 G*
3 G*
TABLE PARK
1
A
T
LF/30/42
T
T
T
TV
WAITING
102 VESTIBULE
101
REG.
103A
PUBLIC
TLT
104
OFFICE
105
X-RAY
108
CONTROL
121
CHANGE
126
CHANGE
MRI 125
COMPUTER
127
MRI
124
CT
SCANNER
122
BREAKROOM
123
WORK
AREA
103B
SUB
WAITING
106
RECEPTION
109
CIRC.
1 10
CIRC.
1 11
CIRC
107
OFFICE /
CONSULT
1 12
CIRC
1 13
CIRC
1 16
CIRC
1 15
9.2.A1
WHEELCHAIR
9.2.A2a
7.10.G2
9.2.A2b
9.2.A2e
9.2.A2f
9.2.A3
9.2.A4
9.2.A7
9.2.C3
9.2.A2c
9.2.A2c
7.10.G4
9.2.A4
9.2.A5
9.2.A7
9.2.C3
9.2.A2c
9.2.A6
9.2.A7
9.2.F
9.2.A8
9.2.A8
7.10.G11
9.2.A4
9.2.C3
7.10.G10
9.2.C3
9.2.C3
7.10.G16
9.2.E
7.10.A3
7.10.A4
7.10.D4
7.10.G17
9.2.A2c
7.10.G5
7.10.G5
7.10.G19
7.10.G20
DRAWING CONTENTS:
ISSUE DATE:
DRAWING NO.
PROJECT NO.
ST. VINCENT
MICHIGAN ROAD
HOPD
IMAGING POS22
COMPLIANCE
10801 N MICHIGAN RD,
ZIONSVILLE, IN 46077
MKM:
ASCENSION:
Certification:
Key Plan:
Consultant Logo:
119 West Wayne Street
Fort Wayne, Indiana 46802
p 260.422.0783
f 260.426.4561
www.MKMdesign.com
30329
02/12/2018 17088
A-012
AIA CODE REVIEW
PLAN
NORTH
3/32" = 1'-0"
FIRST FLOOR AIA CODE REVIEW PLAN
Guidelines for design and Construction of Hospital and Health Care Facilities, 2001 edition.
Chapter 7, General Hospital
7.10 Imaging Suite
7.10.A. General
*7.10.A1. Equipment and space shall be as necessary to accommodate the functional program. The
imaging department provides diagnostic procedures. It includes fluoroscopy, radiography, mammography,
tomography, computerized tomography scanning, ultrasound, magnetic resonance, angiography and other
similar techniques.
Adequate space will be provided for staff and equipment to be able to provide care.
7.10.A2. Most imaging requires radiation protection. A certified physicist or other qualified expert
representing the owner or appropriate state agency shall specify the type, location, and amount of radiation
protection to be installed in accordance with the final approved department layout and equipment
selections. Where protected alcoves with view windows are required, a minimum of 1 -6 (0.45 meter)
between the view window and the outside partition edge shall be provided. Radiation protection
requirements shall be incorporated into the specifications and the building plans.
Imaging limited to Diagnostic X-Ray, CT Scan and MRI, Wall in Diagnostic X-Ray was
modified to meet this requirement. Existing CT Scan and MRI are not part of scope of work.
See RF Vendor report
*7.10.A3. Beds and stretchers shall have ready access to and from other departments of the institution.
Existing doors into and out of the X-ray Room 108 are 4 to allow stretcher access
7.10.A4. Flooring shall be adequate to meet load requirements for equipment, patients, and personnel.
Provision for wiring raceways, ducts or conduits shall be made in floors, walls, and ceilings. Ceiling heights
shall be permitted to be higher than normal. Ceiling-mounted equipment shall have properly designed rigid
support structures located above the finished ceiling. A lay-in type ceiling shall be permitted to be
considered for ease of installation, service, and remodeling.
Floors to be healthcare grade to support all loads for equipment, patients, and personnel. X-
Ray Room 108 will have lay-in ceiling
7.10.C. Computerized Tomography (CT) Scanning
Existing in department. Not applicable, not part of scope of work.
7.10.D. Diagnostic X-ray
*7.10.D1. Radiography rooms shall be of a size to accommodate the functional program.
X-Ray Room 108
*7.10.D2. Tomography, radiography/fluoroscopy rooms.
Not Applicable, not part of scope of work
*7.10.D3. Mammography.
Not Applicable, not part of scope of work
7.10.D4. Each X-ray room shall include a shielded control alcove. This area shall be provided with a view
window designed to provide full view of the examination table and the patient at all times, including full view
of the patient when the table is in the tilt position or the chest X-ray is being utilized. For mammography
machines with built-in shielding for the operator, the alcove shall be permitted to be omitted when approved
by the certified physicist or state radiation protection agency.
Existing in X-Ray 108
7.10.E. Magnetic Resonance Imaging (MRI)
Existing in department. Not applicable, not part of scope of work
7.10.G. Support Spaces
The following spaces are common to the imaging department and are minimum requirements unless stated
otherwise:
7.10.G1. Patient waiting area. The area shall be out of traffic, under staff control, and shall have seating
capacity in accordance with the functional program.
If the suite is routinely used for outpatients and inpatients at the same time, separate waiting areas shall
be provided with screening for visual privacy between the waiting areas.
If so determined by the hospital Infection Control Risk Assessment, the diagnostic imaging waiting area
shall require special measures to reduce the risk of airborne infection transmission. These measures shall
include enhanced general ventilation and air disinfection techniques similar to inpatient requirements for
airborne infection isolation rooms (see Table 7.2).
See the CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health Care
Facilities.
Patients are escorted to the scan room via staff. This is an outpatient facility and no
inpatients are treated and no invasive procedures are conducted.
7.10.G2. Control desk and reception area.
Registration 103A
7.10.G3. Holding area. A convenient holding area under staff control shall be provided to accommodate
inpatients on stretchers or beds.
Not Applicable. This is an outpatient facility
7.10.G4. Patient toilet rooms. Toilet rooms with handwashing stations shall be provided convenient to the
waiting rooms and shall be equipped with an emergency call system. Separate toilets with handwashing
stations shall be provided with direct access from each radiographic/fluoroscopic room so that a patient can
leave the toilet without having to reenter the R&F room. Rooms used only occasionally for fluoroscopic
procedures shall be permitted to utilize nearby patient toilets if they are located for immediate access.
Existing Patient Toilets
7.10.G5. Patient dressing rooms. Dressing rooms shall be provided convenient to the waiting areas and X-
ray rooms. Each room shall include a seat or bench, mirror, and provisions for hanging patients clothing
and for securing valuables.
Existing Dressing Room. Not part of scope of work
7.10.G6. Staff facilities. Toilets and staff lounge with lockers shall be permitted to be outside the suite but
shall be convenient for staff use. In larger suites of three or more procedure rooms, toilets internal to the
suite shall be provided.
Existing Breakroom. Not part of scope of work.
7.10.G7. Film storage (active). A room with cabinet or shelves for filing patient film for immediate retrieval
shall be provided.
Images are digital, no active film storage required. A waiver request has been submitted to
omit the requirement.
7.10.G8. Film storage (inactive). A room or area for inactive film storage shall be provided. It shall be
permitted to be outside the imaging suite but must be under imagings administrative control and properly
secured to protect films against loss or damage.
Images are digital, no inactive film storage required. A waiver request has been submitted
to omit the requirement.
7.10.G9. Storage for unexposed film. Storage facilities for unexposed film shall include protection of film
against exposure or damage and shall not be warmer than the air of adjacent occupied spaces.
Images are digital, no unexposed film storage required. A waiver request has been
submitted to omit the requirement.
7.10.G10 . Offices for radiologist(s) and assistant(s). Offices shall include provisions for viewing, individual
consultation, and charting of film.
Office / Consultation 112
7.10.G11. Clerical offices/spaces. Office space shall be provided as necessary for the functional program.
Registration 103A, Work Area 103B, Office 105
7.10.G12 . Consultation area. An appropriate area for individual consultation with referring clinicians shall be
provided.
Consultations will occur in the private exam rooms
7.10.G13 . Contrast media preparation. This area shall be provided with sink, counter, and storage to allow
for mixing of contrast media. One preparation room, if conveniently located, shall be permitted to serve any
number of rooms. Where pre-prepared media is used, this area shall be permitted to be omitted, but
storage shall be provided for the media.
Not Applicable. Contrast imaging not required for functional program
7.10.G14 . Film processing room. A darkroom shall be provided for processing film unless the processing
equipment normally used does not require a darkroom for loading and transfer. When daylight processing is
used, the darkroom shall be permitted to be minimal for emergency and special uses. Film processing shall
be located convenient to the procedure rooms and to the quality control area.
Images are digital, no film processing required. A waiver request has been submitted to
omit the requirement.
7.10.G15 . Quality control area. An area or room shall be provided near the processor for viewing film
immediately after it is processed. All view boxes shall be illuminated to provide light of the same color
value and intensity for appropriate comparison of several adjacent films.
Images are Digital and are viewed on computer monitors immediately after the image is
taken. There is no need for illuminated view boxes views are compared on monitors,
monitors are capable of multi-view comparison.
7.10.G16 . Cleanup facilities. Provisions for cleanup shall be located within the suite for convenient access
and use. It shall include service sink or floor receptacle as well as storage space for equipment and
supplies. If automatic film processors are used, a receptacle of adequate size with hot and cold water
for cleaning the processor racks shall be provided.
Existing Janitor Room. There is no automatic film processing on-site.
7.10.G17 . Handwashing stations. Handwashing stations shall be provided within each procedure room
unless the room is used only for routine screening such as chest X-rays where the patient is not physically
handled by the staff. Handwashing stations shall be provided convenient to the MRI room, but need not be
within the room.
Existing handwashing station in X-ray Room. MRI / CT Scan room are not part of scope of
work
7.10.G18 . Clean storage. Provisions shall be made for the storage of clean supplies and linens. If
conveniently located, storage shall be permitted to be shared with another department.
Existing Clean, not part of scope of work
7.10.G19 . Soiled holding. Provisions shall be made for soiled holding. Separate provisions for contaminated
handling and holding shall be made. Handwashing stations shall be provided.
Existing Soil, not part of scope of work
7.10.G20. Provision shall be made for locked storage of medications and drugs.
Only provide is contrast for MRI and CT Scanning. It is locked up in secured storage room
and in located cabinets in the treatment rooms.
7.10.G21 . Details and finishes; mechanical; electrical. See Section 7.28 for details and finishes; 7.31 for
mechanical; and 7.32 for electrical.
This Radiology department is located in an off-site outpatient facility. No Invasive
procedures are conducted. Details and finishes; mechanical; and electrical are reviewed per
Chapter 9; Section 9.31 mechanical; Section 9.32 electrical.
7.10.H. Cardiac Catheterization Lab (Cardiology)
Not Applicable. Outpatient Facility does not have Cardiac Catheterization Lab (Cardiology)
Guidelines for design and Construction of Hospital and Health Care Facilities, 2001 edition.
Chapter 9 Outpatient Facilities
9.2 Common Elements for Outpatient
Facilities
The following shall apply to each outpatient facility described herein with additions and/or modifications as
noted for each specific type. Special consideration shall be given to the special needs of anticipated patient
groups/demographics as determined by the functional program.
9.2.A. Administration and Public Areas
9.2.A1. Entrance. Located at grade level and able to accommodate wheelchairs.
New entrance will be accessible and is located at grade.
9.2.A2. Public services shall include:
a. Conveniently accessible wheelchair storage.
Wheelchairs will be chair storage located in vestibule.
b. A reception and information counter or desk.
Reception and information located in Registration 103A
c. Waiting space(s).
Waiting areas provided in Waiting 102
d. Conveniently accessible public toilet(s).
Public Toilet 104 is accessible from waiting area.
e. Conveniently accessible public telephone(s).
Telephones will be available for local calls at registration desk Registration 103.
Waiver is requested for omission of the public telephone.
f. Conveniently accessible drinking fountain(s).
Bottled water shall be provided at Registration Area. A sign shall be posted inform
patients. Waiver is requested for omission of drinking fountain.
9.2.A3. Interview space(s) for private interviews related to social service, credit, etc., shall be provided.
Interviews will be handled in Registration 103A.
9.2.A4. General or individual office(s) for business transactions, records, administrative, and professional
staffs shall be provided.
Registration 103A and Work Area 103B will be available to staff for business use.
9.2.A5. Clerical space or rooms for typing, clerical work, and filing, separated from public areas for
confidentiality, shall be provided.
Work Area 103B will be available to staff for business use.
9.2.A6. Multipurpose room(s) equipped for visual aids shall be provided for conferences, meetings, and
health education purposes.
Breakroom 123 is used for meetings and educational purposes. Cork Board is used for
visual aids.
9.2.A7. Special storage for staff personal effects with locking drawers or cabinets (may be individual desks
or cabinets) shall be provided. Such storage shall be near individual work stations and staff controlled.
Storage available within offices, work areas and registration area at desks. Additionally,
there is a coat rack in the existing break room.
9.2.A8. General storage facilities for supplies and equipment shall be provided as needed for continuing
operation.
Existing Storage, not part of scope of work
9.2.A9. In new construction and renovation where hemodialysis or hemoperfusion are routinely performed,
there shall be a separate water supply and a drainage facility that do not interfere with handwashing.
Not applicable for this facility.
9.2.C. Radiology
Basic diagnostic procedures (these may be part of the outpatient service, off-site, shared, by contract, or by
referral) shall be provided, including the following:
9.2.C1. Radiographic room(s). See Section 7.10 for special requirements.
Responses for Section 7.10 shall follow after chapter 9.
9.2.C2. Film processing facilities.
Not Applicable, Radiology equipment is digital. A waiver request to omit darkroom has been
submitted.
9.2.C3. Viewing and administrative areas(s).
Office / Consultation 112, Registration 103a, Work Area 103b, Office 105
9.2.C4. Storage facilities for exposed film.
Not Applicable, Radiology equipment is digital. A waiver request to omit darkroom has been
submitted.
9.2.C5. Toilet rooms with handwashing stations accessible to fluoroscopy room(s), if fluoroscopic
procedures are part of the program
Not Applicable, Radiology equipment is digital. A waiver request to omit darkroom has been
submitted.
9.2.D Laboratory
Facilities shall be provided within the outpatient department, or through an effective contract arrangement
with a nearby hospital or laboratory service, for hematology, clinical chemistry, urinalysis, cytology,
pathology, and bacteriology. If these services are provided on contract, the following laboratory facilities
shall also be provided in (or be immediately accessible to) the outpatient facility.
Laboratory services are not applicable to this facility. This outpatient department is limited
to CT Scanning, Diagnostic X-ray and MRI imaging. No outpatient testing services are conducted on
site. Laboratory service is provided through the main hospital or via other neighborhood clinic (i.e.,
Redi-Med locations).
9.2.E. Housekeeping Room(s)
At least one housekeeping room per floor shall be provided. It shall contain a service sink and storage for
housekeeping supplies and equipment.
Housekeeping supplies and sink are located in Janitor Room.
9.2.F. Staff Facilities
Staff locker rooms and toilets shall be provided.
Staff storage and facilities are available in the existing breakroom and staff toilet.
9.2.H. Details and Finishes
9.2.H1. Details shall comply with the following standards:
a. Minimum public corridor width shall be 5 feet (1.52 meters). Staff-only corridors may be 44
inches (1.12 meters) wide.
All corridors are a minimum 5-0 wide.
b. Each building shall have at least two exits that are remote from each other. Other details relating
to exits and fire safety shall comply with NFPA 101 and the standards outlined herein.
There are multiple exits remote from each other from the department. There are
multiple exists within the facility
c. Items such as drinking fountains, telephone booths, vending machines, etc., shall not restrict
corridor traffic or reduce the corridor width below the required minimum. Out-of-traffic storage
space for portable equipment shall be provided.
Corridor widths will not be restricted by fixtures or items.
d. The minimum nominal door width for patient use shall be 3 feet (0.91 meter). If the outpatient
facility services hospital inpatients, the minimum nominal width of doors to rooms used by hospital
inpatients transported in beds shall be 3 feet 8 inches (1.12 meters).
Off-campus facility, no inpatient services offered. Existing doors are being used in
CT Scanning, Diagnostic X-ray and MRI imaging
e. Doors, sidelights, borrowed lights, and windows glazed to within 18 inches (457.2 millimeters) of
the floor shall be constructed of safety glass, wired glass, or plastic glazing material that resists
breakage and creates no dangerous cutting edges when broken. Similar materials shall be used in
wall openings of playrooms and exercise rooms unless otherwise required for fire safety. Glazing
materials used for shower doors and bath enclosures shall be safety glass or plastic.
Glazing within 18 of the floor will comply with safety standards.
f. Threshold and expansion joint covers shall be flush with the floor surface to facilitate use of
wheelchairs and carts.
There are no expansion joints with facilities. Threshold at entry will meet ADA
requirements
g. Handwashing stations shall be located and arranged to permit proper use and operation.
Particular care shall be taken to provide the required clearance for blade-type handle operation.
Existing hand wash station is located within x-ray room
h. Provisions for hand drying shall be included at all handwashing stations except scrub sinks.
Hand drying by means of disposable towels will be provided.
1. Radiation protection for X-ray and gamma ray installations shall comply with Section 7.10.
Radiation protect shall meet the requirements in X-ray room.
j. The minimum ceiling height shall be 7 feet 10 inches (2.39 meters) with the following exceptions:
(1) Boiler rooms shall have ceiling clearances not less than 2 feet 6 inches (762 millimeters) above
the main boiler header and connecting piping. (2) Radiographic and other rooms containing ceiling
mounted equipment shall have ceilings of sufficient height to accommodate the equipment and/or
fixtures. (3) Ceilings in corridors, storage rooms, toilet rooms, and other minor rooms shall not be
less than 7 feet 8 inches (2.34 meters). (4) Tracks, rails, and pipes suspended along the path of
normal traffic shall be not less than 6 feet 8 inches (2.03 meters) above the floor.
All ceiling are above 7-10
k. Rooms containing heat-producing equipment (such as boiler or heater rooms) shall be insulated
and ventilated to prevent occupied adjacent floor or wall surfaces from exceeding temperature 10
degrees above the ambient room temperature.
Not applicable to current scope of work
9.2.H2. Finishes shall comply with the following
standards:
a. Cubicle curtains and draperies shall be noncombustible or flame-retardant and shall pass
both the large- and small-scale tests required by NFPA 701.
Curtains to be provided by owner and will comply with NFPA 701.
b. The flame-spread and smoke-developed ratings of finishes shall comply with Section 7.29
and Table 9.1. Where possible, the use of materials known to produce large amounts of noxious
gases shall be avoided.
All finishes will comply with section 7.8 and table 9.1
c. Floor materials shall be readily cleanable and appropriately wear-resistant. In all areas
subject to wet cleaning, floor materials shall not be physically affected by liquid germicidal and
cleaning solutions. Floors subject to traffic while wet, including showers and bath areas, shall have
a nonslip surface.
Flooring will be cleanable and nonslip where required.
d. Wall finishes shall be washable and, in the proximity of plumbing fixtures, shall be smooth
and moisture resistant.
Wall paint will be epoxy and washable, or wall tile will be installed to provide wash
ability.
e. Wall bases in areas that are frequently subject to wet cleaning shall be monolithic and
coved with the floor; tightly sealed to the wall; and constructed without voids.
Cove base will be installed as required.
f. Floor and wall areas penetrated by pipes, ducts, and conduits shall be tightly sealed to
minimize entry of rodents and insects. Joints of structural elements shall be similarly sealed.
All penetrations will be sealed tightly
REVISION
No. Date Revision
04/12/18
Nick Mishler
04/12/18
Nick Mishler