36A77619Q0133-0009001.pdf
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36A77619Q0133 0009 ATTACHMENT C - Lincoln CBOC FFE as of 12 Aug 19.pdf
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Lincoln CBOC US Department of Veterans Affairs - Nebraska-Western Iowa
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Alcove, Height / Weight Accessible Station Room#: 1315, 1415, 1515 Room Sign: PEHW2 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Fire Resistant UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 3 _________________ Project Validated Unassigned
F2000
1 Chair, Side, Bariatric, With Arms UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 5 _________________ Project Validated Unassigned
F0206
1 Dispenser, Glove, Triple Box UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
1 Dispenser, Hand Sanitizer, Wall Mount UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
A5077
1 Height Measuring Device, Precision UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
M4050
1 Monitor, Vital Signs UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 2 _________________ Project Validated Unassigned
M4116
1 Scale, Wheelchair, Portable, 1000 lb Capacity
UGM1 (3-12-14.2019): - not recessedUnassigned
O/O 2
Project Validated Unassigned
M4045
1 Thermometer, Temporal UGM1 (3-12-14.2019): - Added per user requestUnassigned
O/O 3 _________________ Project Validated Unassigned
M4110
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 1 of 47 Sorted by Department, Room, Room #, Item Description
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Alcove, Medication Room#: 1318B, 1518B, Room Sign: RCA06 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Dispenser, Glove, Triple Box UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
1 Distribution System, Medication, Automatic, 6dwr
UGM1 (3-12-14.2019): - Edit to 6 drawer per user request
Unassigned
O/O 2
Project Validated Unassigned
M3150-x6dwr
1 Monitor, Temperature, Refrigerator/Freezer
UGM1 (3-12-14.2019): - Add per user requestUnassigned
O/O 6
Project Validated Unassigned
-UJSN
1 Refrigerator, U/C or F/S, 5 Cu Ft UGM1 (3-12-14.2019): - Add refridgeratorUnassigned
O/O 2 _________________ Project Validated Unassigned
R6200
1 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Waste Disposal Unit, Sharps UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
A5108
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 2 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Conference Room Room#: 1324, 1525 Room Sign: CFR01 Area/Phase: Room Qty: 2
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Artwork, Decorative, With Frame UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Validated Unassigned
A6046
1 Basket, Wastepaper, Fire Resistant UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Validated Unassigned
F2000
1 Board, Scheduling, Magnetic Unassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Bracket, Television, Wall Backing UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1 _________________ Project Validated Unassigned
A5220
1 Bracket, Television, Wall-Mounted, Tilt/Angle
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1
Project Validated Unassigned
A5212
8 Chair, Conference, Nesting UGM1 (3-12-14.2019): - Changed from high back chairs to 8 stacking and 8 nesting conference chairs
Unassigned
O/O 5 _________________ Project Validated Unassigned
F0220-xnesting
8 Chair, Stacking UGM1 (3-12-14.2019): - per user request, chanved high back chairs to 8 stacking and 8 nesting conference chairs
Unassigned
O/O 5 _________________ Project Validated Unassigned
F0295
1 Clock, Battery, 12" Diameter UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Credenza, Performance UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Validated Unassigned
F0601
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 3 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Conference Room Room#: 1324, 1525 Room Sign: CFR01 Area/Phase: Room Qty: 2
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
2 Table, Conference, Wood UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Validated Unassigned
F0755
2 Table, Folding / Nesting UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Validated Unassigned
F0765
1 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Conferencing System UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6 _________________ Project Validated Unassigned
A1020
1 Television, HDTV, Large Screen, 60" UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 2 _________________ Project Validated Unassigned
M0512
1 Video System, Conferencing, Telepresence
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 2
Project Validated Unassigned
M0507
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 4 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Consult Room Room#: 1313, 1413, 1513 Room Sign: OFDC2 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Fire Resistant UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Draft (New) Unassigned
F2000
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Draft (New) Unassigned
CD040
3 Chair, Side With Arms UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Draft (New) Unassigned
F0205
1 Clock, Battery, 12" Diameter UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Draft (New) Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6
Project Draft (New) Unassigned
M1801
3 Countertop, High Pressure Laminate UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1 _________________ Project Draft (New) Unassigned
CT030
1 Dispenser, Paper Towel, SS, Surface Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Draft (New) Unassigned
A5080
1 Dispenser, Soap, Disposable UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Draft (New) Unassigned
A5075
1 Hook, Garment, Double, SS, Surface Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Draft (New) Unassigned
A5145
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 5 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Consult Room Room#: 1313, 1413, 1513 Room Sign: OFDC2 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Draft (New) Unassigned
CS010
1 Stool, Self Adjusting UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Draft (New) Unassigned
F0340
1 Table, Occasional, Lamp UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Draft (New) Unassigned
F0740
2 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Draft (New) Unassigned
A1010
1 Telephone, Desk, Multiple Line UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6 _________________ Project Draft (New) Unassigned
A1015
1 Work Station, Computer, Retractable, Wall Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1
Project Draft (New) Unassigned
M1802
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 6 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Consult Room Womens Health Room#: 2435 Room Sign: OFDC2 Area/Phase: Room Qty: 1
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Fire Resistant UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Validated Unassigned
F2000
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Validated Unassigned
CD040
3 Chair, Side With Arms UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Validated Unassigned
F0205
1 Clock, Battery, 12" Diameter UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6
Project Validated Unassigned
M1801
3 Countertop, High Pressure Laminate UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1 _________________ Project Validated Unassigned
CT030
1 Dispenser, Paper Towel, SS, Surface Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Validated Unassigned
A5080
1 Dispenser, Soap, Disposable UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Hook, Garment, Double, SS, Surface Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Validated Unassigned
A5145
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 7 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Consult Room Womens Health Room#: 2435 Room Sign: OFDC2 Area/Phase: Room Qty: 1
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Validated Unassigned
CS010
1 Stool, Self Adjusting UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Validated Unassigned
F0340
1 Table, Occasional, Lamp UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Validated Unassigned
F0740
2 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Desk, Multiple Line UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6 _________________ Project Validated Unassigned
A1015
1 Work Station, Computer, Retractable, Wall Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1
Project Validated Unassigned
M1802
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 8 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Follow standards of exam room for Omaha ACC - 1303, ,1305, 1306, 1308, 1309, 1310, 1311, 1312, 1403, 1405 - 1406, 1412, 1411, 1410, 1409, 1408, 1503, 1505, 1506, 1508 - 1509, 1510, 1511, 1512 - edit qty 23 to 24 per drwings
Room: Exam Room, Patient Aligned Care Team (PACT) Room#: 1303, 1305, 1305..... Room Sign: EXPA1 Area/Phase: Room Qty: 24
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Allowance, Signage UGM1 (3-12-14.2019): - Add per user requestUGM1 (3-12-14.2019): - Add per user requestUGM1 (03.12.19 - 03.14.19)
Unassigned
O/O 1 _________________ Project Validated Unassigned
-UJSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Board, Scheduling, Magnetic Unassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Validated Unassigned
CD040
1 Cart, General Storage, Mobile, 42"H x 32"W x 22"D
UGM1 (3-12-14.2019): - Remove per user meeting
Unassigned
O/O 3
Project Validated Unassigned
E0948
1 Chair, Folding UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 5 _________________ Project Draft (New) Unassigned
F0210-xFolding
1 Chair, Side, Bariatric, With Arms Unassigned
O/O 5 _________________ Project Validated Unassigned
F0206
1 Clock, Battery, 12" Diameter UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor, Laptop
UGM1 (3-12-14.2019): - Lpatop with web cam - Dual monitors - Telehealth capable
Unassigned
O/O 6
Project Validated Unassigned
M1801-xLaptop
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 9 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Follow standards of exam room for Omaha ACC - 1303, ,1305, 1306, 1308, 1309, 1310, 1311, 1312, 1403, 1405 - 1406, 1412, 1411, 1410, 1409, 1408, 1503, 1505, 1506, 1508 - 1509, 1510, 1511, 1512 - edit qty 23 to 24 per drwings
Room: Exam Room, Patient Aligned Care Team (PACT) Room#: 1303, 1305, 1305..... Room Sign: EXPA1 Area/Phase: Room Qty: 24
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
3 Countertop, High Pressure Laminate UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1 _________________ Project Validated Unassigned
CT030
1 Dispenser, Glove, Triple Box UGM1 (03.12.19 - 03.14.19): - edit all Glove Dispensers to Triple - Separate all combined Glove Dispenser/Sharps
Unassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
1 Dispenser, Paper Towel, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5080
1 Dispenser, Soap, Disposable UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
2 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5145
1 Light, Exam, Mobile, Spotlight, Mobile Stand
Unassigned
O/O 2
Project Validated Unassigned
M7401
1 Mirror, Float Glass, With SS Frame UGM1 (3-12-14.2019): - ADA accessible (A1067)Unassigned
C/C 1 _________________ Project Validated Unassigned
A1066
1 Monitor, Vital Signs UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 2 _________________ Project Validated Unassigned
M4116
1 Otoscope/Ophthalmoscope, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M4200-xRailMtd
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 10 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Follow standards of exam room for Omaha ACC - 1303, ,1305, 1306, 1308, 1309, 1310, 1311, 1312, 1403, 1405 - 1406, 1412, 1411, 1410, 1409, 1408, 1503, 1505, 1506, 1508 - 1509, 1510, 1511, 1512 - edit qty 23 to 24 per drwings
Room: Exam Room, Patient Aligned Care Team (PACT) Room#: 1303, 1305, 1305..... Room Sign: EXPA1 Area/Phase: Room Qty: 24
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Printer, Computer, Desktop UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6 _________________ Project Validated Unassigned
M1825
1 Rack, Pamphlet, Wall Mounted Unassigned
O/O 1 _________________ Project Validated Unassigned
F2310
1 Scale, Weighing, 1000 Pound Capacity Unassigned
O/O 3 _________________ Project Validated Unassigned
M4040-x1000lbs
1 Scanner, Ultrasound, Portable, urinary Retention
UGM1 (3-12-14.2019): - Add per user requestUnassigned
O/O 2
Project Validated Unassigned
X2126
1 Signature Pad, Electronic UGM1 (3-12-14.2019): - Add per user request- M1870 description includes capturing signature but is a photo ID systemUGM1 (03.12.19 - 03.14.19) - M1870 description includes capturing signatures but is a photo ID system.
Unassigned
O/O 6 _________________ Project Validated Unassigned
-UJSN
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Validated Unassigned
CS010
1 Sphygmomanometer, Aneroid, Wall Mounted
UGM1 (3-12-14.2019): - to be on railUnassigned
O/O 1
Project Validated Unassigned
M4100-xRailMtd
1 Stool, Self Adjusting UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Validated Unassigned
F0340
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Follow standards of exam room for Omaha ACC - 1303, ,1305, 1306, 1308, 1309, 1310, 1311, 1312, 1403, 1405 - 1406, 1412, 1411, 1410, 1409, 1408, 1503, 1505, 1506, 1508 - 1509, 1510, 1511, 1512 - edit qty 23 to 24 per drwings
Room: Exam Room, Patient Aligned Care Team (PACT) Room#: 1303, 1305, 1305..... Room Sign: EXPA1 Area/Phase: Room Qty: 24
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Table, Treatment, Hi-Lo UGM1 (3-12-14.2019): - changed to electric hi/low
Unassigned
O/O 2 _________________ Project Validated Unassigned
M8320
1 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Wall Mounted, 1 Line Unassigned
O/O 6 _________________ Project Validated Unassigned
A1012
1 Television, Flat Screen UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 2 _________________ Project Validated Unassigned
M0506
12 Track, Cubicle, Surface Mounted, With Curtain
UGM1 (3-12-14.2019): - qt 1, 10-12ftUGM1 (3- 12-14.2019): - 3 or 4 gal
Unassigned
O/O 1
Project Validated Unassigned
A5180
1 Waste Disposal Unit, Sharps UGM1 (3-12-14.2019): - 3 or 4 galUnassigned
O/O 1 _________________ Project Validated Unassigned
A5108
Herman Miller, Inc. ( )
1 Work Station, Computer, Retractable, Wall Mounted
UGM1 (3-12-14.2019): - change to herman miller wall mounted system w/ laptop dock w/ webcam (telehealth capable)
Unassigned
O/O 1
Project Validated Unassigned
M1802
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 12 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Exam Room, Women's Health Room#: 2431, 2432, 2433, 2434 Room Sign: EXW01 Area/Phase: Room Qty: 4
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Board, Scheduling, Magnetic UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
Unassigned
C/C 1
Project Validated Unassigned
CD040
1 Cart, General Storage, Mobile, 42"H x 32"W x 22"D
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3
Project Validated Unassigned
E0948
1 Chair, Side With Arms UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Validated Unassigned
F0205
1 Clock, Battery, 12" Diameter UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor
Unassigned
O/O 6
Project Validated Unassigned
M1801
3 Countertop, High Pressure Laminate UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1 _________________ Project Validated Unassigned
CT030
1 Dispenser, Glove, Triple Box UGMI - edit all Glove Dispensers to Triple - Separate all combined Glove Dispenser/Sharps
Unassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Exam Room, Women's Health Room#: 2431, 2432, 2433, 2434 Room Sign: EXW01 Area/Phase: Room Qty: 4
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Dispenser, Paper Towel, SS, Surface Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
C/C 1
Project Validated Unassigned
A5080
1 Dispenser, Soap, Disposable Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Frame, Infectious Waste Bag w/Lid UGM1 (3-12-14.2019): - delete, confirm if using disposables
Unassigned
O/O 3 _________________ Project Validated Unassigned
M3072
2 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5145
1 Light, Exam, Mobile, Spotlight, Mobile Stand
Unassigned
O/O 2
Project Validated Unassigned
M7401
1 Monitor, Vital Signs UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 2 _________________ Project Validated Unassigned
M4116
1 Otoscope/Ophthalmoscope, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M4200-xRailMtd
1 Rack, Pamphlet, Wall Mounted Unassigned
O/O 1 _________________ Project Validated Unassigned
F2310
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Validated Unassigned
CS010
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 14 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Exam Room, Women's Health Room#: 2431, 2432, 2433, 2434 Room Sign: EXW01 Area/Phase: Room Qty: 4
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Sphygmomanometer, Aneroid, Wall Mounted
UGM1 (03.12.19 - 03.14.19) - add allowance for adapter to rail accessory if required
Unassigned
O/O 1
Project Validated Unassigned
M4100-xRailMtd
1 Stool, Self Adjusting Unassigned
O/O 3 _________________ Project Validated Unassigned
F0340
1 Table, Examination/Treatment, With Cabinet
Unassigned
O/O 2
Project Validated Unassigned
M9025-xCabinet
1 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Wall Mounted, 1 Line UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6 _________________ Project Validated Unassigned
A1012
12 Track, Cubicle, Surface Mounted, With Curtain
Unassigned
O/O 1
Project Validated Unassigned
A5180
1 Waste Disposal Unit, Sharps UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A5108
1 Work Station, Computer, Retractable, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M1802
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Locker, Staff Personal Property Room#: 1325, 1425, 1524 Room Sign: LR004 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Fire Resistant Unassigned
O/O 3 _________________ Project Validated Unassigned
F2000
1 Bench, Locker Room, Floor Mounted UGM1 (3-12-14.2019): - add per user requestUnassigned
C/C 1 _________________ Project Validated Unassigned
A5020
8 Hook, Garment, Double, SS, Surface Mounted
UGM1 (3-12-14.2019): - Add per user requestUnassigned
C/C 1
Project Validated Unassigned
A5145
10 Locker, 2 Person, Over/Under UGM1 (3-12-14.2019): - changed from A1040 to A1030 - changed from 15 to 10
Unassigned
O/O 1 _________________ Project Draft (New) Unassigned
A1030
1 Mirror, Posture, Wall Mounted UGM1 (3-12-14.2019): - add per user requestUnassigned
C/C 1 _________________ Project Validated Unassigned
A1080
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: PACT & Extended Team WorkArea Room#: 1317, 1319,1417,1419,1517,1519 Room Sign: WRTM1 Area/Phase: Room Qty: 6
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
12 Basket, Wastepaper, Fire Resistant Unassigned
O/O 3 _________________ Project Validated Unassigned
F2000
12 Cabinet, File, Pedestal Unassigned
O/O 5 _________________ Project Validated Unassigned
F0420-xPedestal
12 Chair, Swivel, High Back Unassigned
O/O 5 _________________ Project Validated Unassigned
F0275
1 Clock, Battery, 12" Diameter Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
12 Computer, Microprocessing, w/Flat Panel Monitor, Dual
Unassigned
O/O 6
Project Validated Unassigned
M1801-xDual
1 Monitor, Physiological, Central, 8 Bed, Color
UGM1 (3-12-14.2019): - add wall mounted monitor / visibility board to see kiosk queueing info (2 per PACT module)
Unassigned
O/O 2
Project Validated Unassigned
M7850
12 Telecommunication Outlet Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
12 Telephone, Desk, Multiple Line Unassigned
O/O 6 _________________ Project Validated Unassigned
A1015
12 Workstation, Straight, Free Standing, 48"
UGM1 (3-12-14.2019): - change to 48 inch from 72 - sit to stand - laptop docking station
Unassigned
O/O 1
Project Validated Unassigned
E0123-x48"
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Procedure Room, General Room#: 1307, 1407, 1507, Room Sign: TRPR1 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Fire Resistant Unassigned
O/O 3 _________________ Project Validated Unassigned
F2000
1 Board, Scheduling, Magnetic Unassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1 _________________ Project Validated Unassigned
C02Q0
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
Unassigned
C/C 1
Project Validated Unassigned
CD040
1 Cart, General Storage, Mobile, 42"H x 32"W x 22"D
Unassigned
O/O 3
Project Validated Unassigned
E0948
1 Chair, Folding UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 5 _________________ Project Draft (New) Unassigned
F0210-xFolding
1 Chair, Side, Bariatric, With Arms UGM1 (3-12-14.2019): - change to bariatricUnassigned
O/O 5 _________________ Project Validated Unassigned
F0206
1 Clock, Battery, 12" Diameter Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor, Laptop
UGM1 (3-12-14.2019): - laptop - web cam - dual monitors - telehealth capable
Unassigned
O/O 6
Project Validated Unassigned
M1801-xLaptop
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Procedure Room, General Room#: 1307, 1407, 1507, Room Sign: TRPR1 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Countertop, Solid Surface Unassigned
C/C 1 _________________ Project Validated Unassigned
CT020
1 Dispenser, Glove, Triple Box UGMI - edit all Glove Dispensers to Triple - Separate all combined Glove Dispenser/Sharps
Unassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
1 Dispenser, Paper Towel, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5080
1 Dispenser, Soap, Disposable Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Electrocardiograph, 12 Lead, Portable Unassigned
O/O 2 _________________ Project Validated Unassigned
M7710
1 Flowmeter, Air, Connect w/50 PSI Supply
UGM1 (3-12-14.2019): - confirm med gas runs in this room
Unassigned
O/O 3
Project Validated Unassigned
M0750-xAir
1 Flowmeter, Oxygen, Low Flow UGM1 (3-12-14.2019): - confirm med gas runs in this room
Unassigned
O/O 3 _________________ Project Validated Unassigned
M0755-xO2
1 Frame, Infectious Waste Bag w/Lid UGM1 (3-12-14.2019): - Confirm, using disposables?
Unassigned
O/O 3 _________________ Project Validated Unassigned
M3072
1 Hamper, Linen, Mobile, w/Lid UGM1 (3-12-14.2019): - Confirm, using disposables?
Unassigned
O/O 3 _________________ Project Validated Unassigned
M3070
1 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5145
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Procedure Room, General Room#: 1307, 1407, 1507, Room Sign: TRPR1 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Lift System, Overhead, Bariatric UGM1 (3-12-14.2019): - verify locationUnassigned
C/C 1 _________________ Project Validated Unassigned
A1203
1 Light, Exam, Ceiling Mounted Unassigned
C/C 1 _________________ Project Validated Unassigned
M7405
1 Monitor, Vital Signs UGM1 (3-12-14.2019): - to be mobileUnassigned
O/O 2 _________________ Project Validated Unassigned
M4116
1 Otoscope/Ophthalmoscope, Wall Mounted
UGM1 (3-12-14.2019): - on railUnassigned
O/O 1
Project Validated Unassigned
M4200-xRailMtd
1 Patient Transfer Device UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 3 _________________ Project Validated Unassigned
M4645
1 Rail, Accessory Mounting, Length As Required
Unassigned
O/C 1
Project Validated Unassigned
A1132
2 Regulator, Vacuum UGM1 (3-12-14.2019): - confirm vacuum in this room
Unassigned
O/O 3 _________________ Project Validated Unassigned
M0765
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Validated Unassigned
CS010
1 Sphygmomanometer, Aneroid, Wall Mounted
UGM1 (3-12-14.2019): - add allowance for adapter rail accessory
Unassigned
O/O 1
Project Validated Unassigned
M4100-xRailMtd
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Procedure Room, General Room#: 1307, 1407, 1507, Room Sign: TRPR1 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Stand, IV, Adjustable Unassigned
O/O 3 _________________ Project Validated Unassigned
M4255
1 Stand, Mayo Unassigned
O/O 3 _________________ Project Validated Unassigned
M8810
1 Stool, Self Adjusting Unassigned
O/O 3 _________________ Project Validated Unassigned
F0340
1 Stretcher, Mobile, SCI UGM1 (3-12-14.2019): - CHANGED FROM CRS, 9 POSITION TO SCI
Unassigned
O/O 3 _________________ Project Validated Unassigned
M4655-xSCI
1 Table, Examination/Treatment, With Cabinet
UGM1 (3-12-14.2019): - REMOVE PER USER
REQUEST
Unassigned
O/O 2
Project Validated Unassigned
M9025-xCabinet
2 Telecommunication Outlet Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Desktop, Digital, Single Line Unassigned
O/O 6 _________________ Project Validated Unassigned
A1011
14 Track, Cubicle, Surface Mounted, With Curtain
UGM1 (3-12-14.2019): - VALIDATE QTY 1, 14
FT
Unassigned
O/O 1
Project Validated Unassigned
A5180
1 Waste Disposal Unit, Sharps UGM1 (3-12-14.2019): - 3 OR 4 GALLONS?Unassigned
O/O 1 _________________ Project Validated Unassigned
A5108
Herman Miller, Inc. ( )
1 Work Station, Computer, Retractable, Wall Mounted
UGM1 (3-12-14.2019): - CHANGE TO HERMAN
MILLER - TELEHEALTH CAPABLE
Unassigned
O/O 1
Project Validated Unassigned
M1802
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Procedure Room, General Room#: 1307, 1407, 1507, Room Sign: TRPR1 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Shared Medical Appointment Room Room#: 1529 Room Sign: CLSC4 Area/Phase: Room Qty: 2
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Bracket, Television, Wall-Mounted, Tilt/Angle
UGM1 (3-12-14.2019): - ADD BRACKET FOR
TELEVISION
Unassigned
O/O 1
Project Validated Unassigned
A5212
1 Cabinet, Storage, Multi Media Unassigned
O/O 5 _________________ Project Validated Unassigned
F0435
1 Cart, Computer, Mobile UGM1 (3-12-14.2019): - CHANGE QTY TO 1Unassigned
O/O 6 _________________ Project Validated Unassigned
E0945
16 Chair, Stacking Unassigned
O/O 5 _________________ Project Validated Unassigned
F0295
1 Computer, Microprocessing, w/Flat Panel Monitor
UGM1 (3-12-14.2019): - CHANGE QTY TO 1Unassigned
O/O 6
Project Validated Unassigned
M1801
4 Table, Mobile Unassigned
O/O 3 _________________ Project Draft (New) Unassigned
F0860
1 Telephone, Conferencing System UGM1 (3-12-14.2019): - NEED FULL
TELECONF CAPABILITIES
Unassigned
O/O 6 _________________ Project Validated Unassigned
A1020
1 Television, Flat Screen Unassigned
O/O 2 _________________ Project Validated Unassigned
M0506
1 Whiteboard, Projection Screen Combination
Unassigned
O/O 1
Project Validated Unassigned
F3060
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Shared Medical Appointment Room Room#: 1529 Room Sign: CLSC4 Area/Phase: Room Qty: 2
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Storage, Medical Equipment Room#: 1323, 1423, 1522 Room Sign: SRE01 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
4 Shelving, Storage, Wire, CRS, w/Adjustable Shelves
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3
Project Validated Unassigned
M2055
1 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Storage, Shared Medical Appointments Room#: 1529A Room Sign: SRE01 Area/Phase: Room Qty: 2
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
4 Shelving, Storage, Wire, CRS, w/Adjustable Shelves
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3
Project Validated Unassigned
M2055
1 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Team Work Area, Multi-Specialty Room#: Room Sign: WRTM1 Area/Phase: Room Qty: 1
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
4 Basket, Wastepaper, Fire Resistant UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3 _________________ Project Draft (New) Unassigned
F2000
2 Cabinet, File, Pedestal UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Draft (New) Unassigned
F0420-xPedestal
4 Chair, Swivel, High Back UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 5 _________________ Project Draft (New) Unassigned
F0275
1 Clock, Battery, 12" Diameter UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Draft (New) Unassigned
F3200
4 Computer, Microprocessing, w/Flat Panel Monitor
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6
Project Draft (New) Unassigned
M1801
4 Telecommunication Outlet UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1 _________________ Project Draft (New) Unassigned
A1010
2 Telephone, Desk, Multiple Line UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 6 _________________ Project Draft (New) Unassigned
A1015
4 Workstation, Straight, Free Standing, 72" W
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1
Project Draft (New) Unassigned
E0123-x72"
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - add room per user request/drawings Room: Team Work Pod Room#: 1318, 1418, 1518 Room Sign: Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Metal/Plastic,2 Swinging Doors
Unassigned
O/O 3
Project Validated Unassigned
F2015
1 Bin, Mail Sorting, Table Mount UGM1 (3-12-14.2019): - add mailboxesUnassigned
O/O 3 _________________ Project Validated Unassigned
F0100
1 Bin, Shredding, Secure UGM1 (3-12-14.2019): - Add per user requestUnassigned
O/O 3 _________________ Project Validated Unassigned
F2540-xBIN
1 Board, Scheduling, Magnetic UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Bracket, Television, Wall-Mounted, Tilt/Angle
UGM1 (3-12-14.2019): - Add per user requestUnassigned
O/O 1
Project Validated Unassigned
A5212
1 Chair, Conference UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 5 _________________ Project Validated Unassigned
F0220
1 Clock, Battery, 12" Diameter Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
4 Table, Conference, Circular UGM1 (3-12-14.2019): - Add circular conf tableUnassigned
O/O 5 _________________ Project Validated Unassigned
F0755-xCircular
1 Television, HDTV, Large Screen, 60" Unassigned
O/O 2 _________________ Project Validated Unassigned
M0512
1 Waste Can, Recycle UGM1 (3-12-14.2019): - Add per user requestUnassigned
O/O 3 _________________ Project Validated Unassigned
F2025
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Match exam rooms FFE with addition of telehealth items (wall doc) Room: Tele - Health Room Room#: 1304, 1411, 1504 Room Sign: WRTM2 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Board, Scheduling, Magnetic UGM1 (3-12-14.2019): - Changed to magnetic board
Unassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
Unassigned
C/C 1
Project Draft (New) Unassigned
CD040
1 Cart, General Storage, Mobile, 42"H x 32"W x 22"D
UGM1 (3-12-14.2019): - mobile cart for telehealth accessories and supplies
Unassigned
O/O 3
Project Validated Unassigned
E0948
1 Chair, Side With Arms Unassigned
O/O 5 _________________ Project Validated Unassigned
F0205
1 Clock, Battery, 12" Diameter Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor
Unassigned
O/O 6
Project Validated Unassigned
M1801
3 Countertop, High Pressure Laminate Unassigned
C/C 1 _________________ Project Validated Unassigned
CT030
1 Dispenser, Glove, Triple Box UGMI - edit all Glove Dispensers to Triple - Separate all combined Glove Dispenser/Sharps
Unassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Match exam rooms FFE with addition of telehealth items (wall doc) Room: Tele - Health Room Room#: 1304, 1411, 1504 Room Sign: WRTM2 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Dispenser, Hand Sanitizer, Wall Mount Unassigned
O/O 1 _________________ Project Validated Unassigned
A5077
1 Dispenser, Paper Towel, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5080
1 Dispenser, Soap, Disposable Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Frame, Infectious Waste Bag w/Lid UGM1 (3-12-14.2019): - remove if going to disposables
Unassigned
O/O 3 _________________ Project Validated Unassigned
M3072
2 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Draft (New) Unassigned
A5145
1 Light, Exam, Mobile, Spotlight, Mobile Stand
Unassigned
O/O 2
Project Validated Unassigned
M7401
1 Otoscope/Ophthalmoscope, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M4200-xRailMtd
1 Rack, Pamphlet, Wall Mounted Unassigned
O/O 1 _________________ Project Validated Unassigned
F2310
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Validated Unassigned
CS010
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (3-12-14.2019): - Match exam rooms FFE with addition of telehealth items (wall doc) Room: Tele - Health Room Room#: 1304, 1411, 1504 Room Sign: WRTM2 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Sphygmomanometer, Aneroid, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M4100-xRailMtd
1 Stool, Self Adjusting Unassigned
O/O 3 _________________ Project Validated Unassigned
F0340
1 Table, Examination/Treatment, With Cabinet
UGM1 (3-12-14.2019): - discussion around using a strectcher chair instead of exam table
Unassigned
O/O 2
Project Validated Unassigned
M9025-xCabinet
1 Telecommunication Outlet Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Wall Mounted, 1 Line Unassigned
O/O 6 _________________ Project Validated Unassigned
A1012
12 Track, Cubicle, Surface Mounted, With Curtain
Unassigned
O/O 1
Project Validated Unassigned
A5180
1 Waste Disposal Unit, Sharps UGM1 (3-12-14.2019): - 3 or 4 gallonsUnassigned
O/O 1 _________________ Project Validated Unassigned
A5108
1 Work Station, Computer, Retractable, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M1802
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Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Tele - Retinal Room Room#: 2406 Room Sign: WRTM3 Area/Phase: Room Qty: 1
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Board, Scheduling, Magnetic UGM1 (3-12-14.2019): - changed to white board per user request
Unassigned
O/O 1 _________________ Project Validated Unassigned
F3030
1 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13
Unassigned
C/C 1
Project Validated Unassigned
CD040
1 Cart, General Storage, Mobile, 42"H x 32"W x 22"D
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 3
Project Validated Unassigned
E0948
1 Chair, Side With Arms Unassigned
O/O 5 _________________ Project Validated Unassigned
F0205
1 Clock, Battery, 12" Diameter Unassigned
O/O 1 _________________ Project Validated Unassigned
F3200
1 Computer, Microprocessing, w/Flat Panel Monitor
Unassigned
O/O 6
Project Validated Unassigned
M1801
3 Countertop, High Pressure Laminate Unassigned
C/C 1 _________________ Project Validated Unassigned
CT030
1 Dispenser, Glove, Triple Box UGMI - edit all Glove Dispensers to Triple - Separate all combined Glove Dispenser/Sharps
Unassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 32 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Tele - Retinal Room Room#: 2406 Room Sign: WRTM3 Area/Phase: Room Qty: 1
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Dispenser, Paper Towel, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5080
1 Dispenser, Soap, Disposable Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Frame, Infectious Waste Bag w/Lid UGM1 (3-12-14.2019): - remove if using disposables
Unassigned
O/O 3 _________________ Project Validated Unassigned
M3072
2 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5145
1 Light, Exam, Mobile, Spotlight, Mobile Stand
Unassigned
O/O 2
Project Validated Unassigned
M7401
1 Otoscope/Ophthalmoscope, Wall Mounted
Unassigned
O/O 1
Project Validated Unassigned
M4200-xRailMtd
1 Rack, Pamphlet, Wall Mounted Unassigned
O/O 1 _________________ Project Validated Unassigned
F2310
1 Retinal Imaging System, Fluoroscein/Indocyanine
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 2
Project Validated Unassigned
M6050
1 Sink, SS, Single Compartment, 7.5x12x12 ID
UGMI (date) - Confirm Sensor operated FaucetUnassigned
C/C 1
Project Validated Unassigned
CS010
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 33 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Tele - Retinal Room Room#: 2406 Room Sign: WRTM3 Area/Phase: Room Qty: 1
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Sphygmomanometer, Aneroid, Wall Mounted
UGM1 (3-12-14.2019): - add allowance for adapter to rail accessory if required
Unassigned
O/O 1
Project Validated Unassigned
M4100-xRailMtd
1 Stool, Self Adjusting Unassigned
O/O 3 _________________ Project Validated Unassigned
F0340
1 Table, Examination/Treatment, With Cabinet
Unassigned
O/O 2
Project Validated Unassigned
M9025-xCabinet
2 Telecommunication Outlet Unassigned
O/O 1 _________________ Project Validated Unassigned
A1010
1 Telephone, Wall Mounted, 1 Line Unassigned
O/O 6 _________________ Project Validated Unassigned
A1012
12 Track, Cubicle, Surface Mounted, With Curtain
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1
Project Draft (New) Unassigned
A5180
1 Waste Disposal Unit, Sharps UGM1 (3-12-14.2019): - 3 or 4 gallonsUnassigned
O/O 1 _________________ Project Validated Unassigned
A5108
1 Work Station, Computer, Retractable, Wall Mounted
UGM1 (03.12.19 - 03.14.19)Unassigned
O/O 1
Project Validated Unassigned
M1802
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 34 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Toilet, General Procedure Room Patient Room#: 1307A, 1407A, 1507A Room Sign: TPB01 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Dispenser, Glove, Triple Box UGM1 (3-12-14.2019): - add per user requestUnassigned
O/O 1 _________________ Project Validated Unassigned
A5107-xTriple
1 Dispenser, Paper Towel, Sensor, Hands Free
Unassigned
C/C 1
Project Validated Unassigned
A5082
1 Dispenser, Sanitary Napkin UGM1 (3-12-14.2019): - add per user requestUnassigned
O/C 1 _________________ Project Validated Unassigned
-UJSN
1 Dispenser, Soap, Disposable Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd
Unassigned
C/C 1
Project Validated Unassigned
A5200
1 Disposal, Sanitary Napkin, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5090
2 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible
Unassigned
C/C 1
Project Validated Unassigned
A5109
1 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5145
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 35 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Toilet, General Procedure Room Patient Room#: 1307A, 1407A, 1507A Room Sign: TPB01 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Lavatory, Vitreous China, Bariatric UGMI (date) - Confirm Sensor operated FaucetUGM1 (03.12.19 - 03.14.19) - Confirm Sensor operated Faucet
Unassigned
C/C 1 _________________ Project Validated Unassigned
P3005
1 Mirror, Float Glass, ADA Accessible Unassigned
C/C 1 _________________ Project Validated Unassigned
A1067
1 Toilet, Floor Mounted, Bariatric Unassigned
C/C 1 _________________ Project Validated Unassigned
P9056
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 36 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Toilet, PACT Patient Room#: 1304A, 1404A, 1504A Room Sign: TPG01 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Basket, Wastepaper, Step-on, Beige Unassigned
O/O 3 _________________ Project Validated Unassigned
F2010-xBeige
1 Dispenser, Paper Towel, Sensor, Hands Free
Unassigned
C/C 1
Project Validated Unassigned
A5082
1 Dispenser, Sanitary Napkin UGM1 (3-12-14.2019): - added per user requestUnassigned
O/C 1 _________________ Project Validated Unassigned
-UJSN
1 Dispenser, Soap, Disposable Unassigned
O/O 1 _________________ Project Validated Unassigned
A5075
1 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd
Unassigned
C/C 1
Project Validated Unassigned
A5200
1 Disposal, Sanitary Napkin, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5090
1 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible
Unassigned
C/C 1
Project Validated Unassigned
A5109
1 Hook, Garment, Double, SS, Surface Mounted
Unassigned
C/C 1
Project Validated Unassigned
A5145
1 Lavatory, Vitreous China, Straight Back UGM1 (03.12.19 - 03.14.19): - Confirm Sensor operated Faucet
Unassigned
C/C 1 _________________ Project Validated Unassigned
P3000
06/03/2019 01:33 PMPLAN Powered by Attainia.com Page 37 of 47
Room By Room Detail Report Department: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 3
Comments: UGM1 (03.12.19 - 03.14.19) Room: Toilet, PACT Patient Room#: 1304A, 1404A, 1504A Room Sign: TPG01 Area/Phase: Room Qty: 3
Building:
Qty Model Vendor
ManufacturerDescription F/I
Custom1Funding Source Item Notes AC Item Status Custom2
JSN
1 Mirror, Float Glass, ADA Accessible Unassigned
C/C 1 _________________ Project Validated…
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