652-21-102 Drawings 20241014.pdf

Engineers Architects

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

PROJECT SITE MAP PROJECT LOCATION MAP

PROJECT IMAGE PROJECT IMAGE PROJECT IMAGE

/9 /2

:3

:3

P

M C

U s e rs \j lo n g h u rs t\ D o c u m e n ts

\A E

-1

-V

A R ic h m o n d N u rs e C a ll_ jlo n g h u rs tS M

A W

.r v t

G-001

COVER SHEET

1 6JNL

REPLACE NURSE CALL

SYSTEM

H.H. MCGUIRE VA MEDICAL CENTER

1201 BROAD ROCK BLVD

RICHMOND, VA 23249 OCTOBER 14, 2024

BID DOCUMENTS FOR CONSTRUCTION

652-21-10222-156

REPLACE NURSE CALL SYSTEM

H.H. MCGUIRE VA MEDICAL CENTER

1201 BROAD ROCK BLVD

RICHMOND, VA 23249

VA PROJECT #: 652-21-102

CLA

RICHMOND VA CLINIC RICHMOND VA CLINIC

DRAWING LIST

GENERAL

G-001 COVER SHEET 1 6

G-005 ICRA INFORMATION AND DETAILS 2 6

G-101 ENLARGED ICRA PLANS TYPICAL 3 6

G-102 ENLARGED ICRA PLANS TYPICAL 4 6

G-103 ENLARGED ICRA PLANS ATYPICAL 5 6

G-104 ENLARGED ICRA PLANS ATYPICAL 6 6

ARCHITECTURAL

A-001 ARCHITECTURAL NOTES, SYMBOLS AND ABBREVIATIONS 1 1

TECHNOLOGY

T-001 TECHNOLOGY GENERAL NOTES, SYMBOL LEGEND, AND ABBREVIATIONS 1 40

T-101 OVERALL FIRST FLOOR PLAN 2 40

T-102 OVERALL SECOND FLOOR PLAN 3 40

T-103 OVERALL THIRD FLOOR PLAN 4 40

T-104 OVERALL FOURTH FLOOR PLAN 5 40

T-105 OVERALL FIFTH FLOOR PLAN 6 40

1A.T-401 FIRST FLOOR PLAN- 1A SECURITY ROOM CONSOLE NURSE CALL PLAN 7 40

1B.T-401 FIRST FLOOR PLAN- 1B DERMATOLOGY AND OPTOMETRY NURSE CALL PLAN 8 40

1C.T-401 FIRST FLOOR PLAN- 1C EMERGENCY DEPARTMENT NURSE CALL PLAN 9 40

1F.T-401 FIRST FLOOR PLAN- 1F MENTAL HEALTH NURSE CALL PLAN 10 40

1G.T-401 FIRST FLOOR PLAN- 1G RADIOLOGY NURSE CALL PLAN 11 40

1H.T-401 FIRST FLOOR PLAN- 1H NUCLEAR MEDICINE NURSE CALL PLAN 12 40

1N.T-401 FIRST FLOOR PLAN- 1N CLC UNIT NURSE CALL PLAN 13 40

1N.T-402 FIRST FLOOR PLAN- 1N CLC EXPANSION UNIT NURSE CALL PLAN 14 40

1P.T-401 FIRST FLOOR PLAN- 1P CLC UNIT NURSE CALL PLAN 15 40

1Q.T-401 FIRST FLOOR PLAN- 1Q PALLIATIVE CARE UNIT NURSE CALL PLAN 16 40

1S.T-401 FIRST FLOOR PLAN- 1S PHYSICAL THERAPY NURSE CALL PLAN 17 40

1U.T-401 FIRST FLOOR PLAN- 1U SPINAL CORD INJURY UNIT NURSE CALL PLAN 18 40

1U.T-402 FIRST FLOOR PLAN- 1U SPINAL CORD INJURY UNIT NURSE CALL PLAN 19 40

1V.T-401 FIRST FLOOR PLAN- 1V SPINAL CORD INJURY UNIT NURSE CALL PLAN 20 40

1W.T-401 FIRST FLOOR PLAN- 1W SPINAL CORD INJURY UNIT NURSE CALL PLAN 21 40

1Y.T-401 FIRST FLOOR PLAN- 1Y RADIOLOGY NURSE CALL PLAN 22 40

1Z.T-401 FIRST FLOOR PLAN- 1Z RADIOLOGY NURSE CALL PLAN 23 40

2A.T-401 SECOND FLOOR PLAN- 2A PACU AND OR UNIT NURSE CALL PLAN 24 40

2B.T-401 SECOND FLOOR PLAN- 2B POLYTRAUMA NURSE CALL PLAN 25 40

2C.T-401 SECOND FLOOR PLAN- 2C PAIN AND NEUROLOGY NURSE CALL PLAN 26 40

2D.T-401 SECOND FLOOR PLAN- 2D SPECIALTY CARE NURSE CALL PLAN 27 40

2E.T-401 SECOND FLOOR PLAN- 2E MEDICAL/SURGICAL INPATIENT CARE NURSE CALL PLAN 28 40

2F.T-401 SECOND FLOOR PLAN- 2F MEDICAL/SURGICAL INPATIENT CARE NURSE CALL PLAN 29 40

2G.T-401 SECOND FLOOR PLAN- 2G SURGICAL ICU NURSE CALL PLAN 30 40

2H.T-401 SECOND FLOOR PLAN- 2H DIALYSIS UNIT NURSE CALL PLAN 31 40

3E.T-401 THIRD FLOOR PLAN- 3E MEDICAL ICU NURSE CALL PLAN 32 40

4A.T-401 FOURTH FLOOR PLANS- 4A CARDIAC CARE AND MEDICAL ICU NURSE CALL PLAN 33 40

4B.T-401 FOURTH FLOOR PLAN- 4B INPATIENT CARE NURSE CALL PLAN 34 40

4C.T-401 FOURTH FLOOR PLAN- 4C INPATIENT CARE NURSE CALL PLAN 35 40

4D.T-401 FOURTH FLOOR PLAN- 4D INPATIENT CARE NURSE CALL PLAN 36 40

5A.T-401 FIFTH FLOOR PLAN- 5A ENDOSCOPY NURSE CALL PLAN 37 40

5C.T-401 FIFTH FLOOR PLANS- 5C ONCOLOGY AND SLEEP LAB NURSE CALL PLAN 38 40

T-501 TECHNOLOGY DETAILS 39 40

T-502 TECHNOLOGY DETAILS 40 40

Docusign Envelope ID: A3C2311C-D011-4B97-9925-56C6DD9D4341

10/10/2024

INFECTION CONTROL RISK MITIGATION RECOMMENDATIONS MATRIX OF

PRECAUTIONS FOR CONSTRUCTION AND RENOVATION

INFECTION CONTROL RISK MITIGATION RECOMMENDATIONS MATRIX OF

PRECAUTIONS FOR CONSTRUCTION AND RENOVATION

D

TEMPORARY PREFABRICATED

ICRA WALL SYSTEM. BASIS OF

DESIGN: STARC WALL SYSTEM OR

EDGEGUARD SYSTEM OR EQUAL.

EXISTING CEILING

SYSTEM TO HAVE

INTEGRATED CEILING

SEAL.

ILSM TEMPORARY BARRIER TAG

PROJECT:

PRIME CONTRACTOR:

SUB CONTRACTOR:

EMERGENCY CONTACT NO.:

BARRIER INSTALLATION DATE:

BARRIER EXPIRATION DATE:

FIRE EXTINGUISHER ON

PORTABLE FLOOR

BRACKET (ILSM MAY

REQUIRE MORE THAN

ONE).

PROVIDE STICKY MATS

(CHANGED END OF

SHIFT OR MORE IF

NECESSARY TO

MAINTAIN

CLEANLINESS).

MOBILE HEPA

NEGATIVE AIR

CART

ISOLATE AND COVER ALL

SUPPLY DIFFUSERS NOT

IN OPERATION DURING

PROJECT - COORDINATE

W/ COR

COVER ALL RETURNS

AT THE

GRATE/DIFFUSERS

SUSPENDED PLASTIC

ZIPPER WALL

CURTAIN BARRIER

POST ICRA, ILSM, FIRE

INPECTION SHEETS

VISIBLE TO PUBLIC

EXISTING WALL

G-005

_____4

G-005

G-005

EXISTING DOOR

COVER ALL EQUIPMENT IN THE SPACE.

COORDINATE WITH COR.

FIRE PULL STATION

WITH AUDIO / VISUAL

COR & GC TO DETERMINE

WHEN A NEG. AIR UNIT IS

REQUIRED. FOLLOW ICRA

RECOMMENDATIONS.

ILSM SIGNAGE

INTERIM LIFE SAFETY MEASURES IN EFFECT FOR:

REPLACE NURSE CALL SYSTEM PROJECT

THIS EXIT IS CLOSED AND LEADS TO A

CONSTRUCTION AREA.

PLEASE USE ALL ALTERNATE EXITS AS MARKED.

1' - 5"

1/2"1/2"

/2

/2

/2

/2

/2

/2

EQ.EQ.

DUST CONTROL PLAN NOTES

1. AT THE BEGINNING OF CONSTRUCTION, THE VAMC INFECTION CONTROL GROUP SHALL

CONFIRM THE DESIGNATION FOR THIS PROJECT FOR THE CLASS OF PRECAUTIONS AND

LEVEL OF INFECTION CONTROL ACTIVITIES. THE ICRA CHART HAS BEEN COMPLETED BASED

ON THE DESIGN PARAMETERS AND CONVERSATIONS WITH THE VA COR AND/OR VAMC

INFECTION CONTROL GROUP. HARD SURFACE BARRIERS SHALL BE USED EXCEPT IN THE

AREA INDICATED ON THE PHASING PLAN WITH PLASTIC BARRIERS (MINIMUM 4MIL) TO SEAL

AREA FROM NON-WORK AREA AS LONG AS THE SPRINKLER SYSTEM REMAINS ACTIVE ON

BOTH SIDES OF THE BARRIER.

2. PROVIDE STICKY MATS AT THE PLASTIC BARRIER ENTRANCE SPACES AND CHANGE DAILY OR

MORE OFTEN AS NEEDED TO PREVENT THE SPREAD OF DUST AND DEBRIS INTO ADJACENT

CLEAN SPACE.

INTERNAL DEMOLITION AND CONSTRUCTION ACTIVITIES DUST AND DEBRIS CONTROL

1. USE CORRIDORS AS PRIMARY CONSTRUCTION ACCESS.

2. TRAFFIC CONTROL: DESIGNATED ENTRY AND EXIT PROCEDURES SHALL BE DEFINED. EGRESS

PATHS SHALL BE FREE OF DEBRIS; DESIGNATED ELEVATORS SHALL BE USED DURING

SCHEDULED TIMES; AND ONLY AUTHORIZED PERSONNEL SHALL BE ALLOWED TO ENTER

THE CONSTRUCTION ZONE. SIGNAGE SHALL DIRECT PEDESTRIAN TRAFFIC AWAY FROM THE

CONSTRUCTION AREA AND MATERIALS. CONTRACTOR TO PROVIDE A PEDESTRIAN TRAFFIC

CONTROL ACTION TO THE COR FOR REVIEW AND ADD USE.

3. CONTRACTOR SHALL USE TWO CARTS TO TRANSFER CONSTRUCTION MATERIAL IN AND OUT

OF THE PROJECT - A CLEAN CART SHALL BE USED; THE NOT-SO-CLEAN CART SHALL BE USED

BETWEEN THE MAIN ENTRY AND THE CONSTRUCTION STAGING/PREP AREA.

4. DEMOLITION DEBRIS: DEBRIS SHALL BE REMOVED IN CARTS WITH TIGHTLY FITTED COVERS, USING DESIGNATED TRAFFIC ROUTES. EFFORTS SHALL BE MADE TO MINIMIZE USE OF

ELEVATORS WITH AN EMPHASIS ON TRANSPORT DURING THE LOWEST PERIOD OF ACTIVITY.

DEBRIS SHALL BE REMOVED DAILY AND AT TIMES SPECIFIED BY THE VAMC. IF CHUTES ARE

USED TO DIRECT DEBRIS OUTSIDE, HIGH EFFICIENCY PARTICULATE AIR (HEPA) FILTERED

NEGATIVE AIR MACHINES SHALL BE USED, AND THE CHUTE OPENING SHALL BE SEALED WHEN

NOT IN USE. FILTERS SHALL BE BAGGED AND SEALED BEFORE BEING TRANSPORTED OUT OF

THE CONSTRUCTION AREA. THE CONTRACTOR SHALL NOT HAUL DEBRIS THROUGH PATIENT-

CARE AREAS WITHOUT PRIOR APPROVAL OF THE COR.

5. ALL EQUIPMENT TO REMAIN IN THE IMPACTED ROOMS SHALL BE COVERED AND PROTECTED

PRIOR TO STARTING EACH CONSTRUCTION PHASE. CONFIRM WITH COR PRIOR TO BEGINNING

DEMOLITION.

6. WORK IN THE CORRIDOR CEILINGS AND COMMON AREAS TO BE PERFORMED WITH THE USE

OF A MOBILE HEPA CART AND A SMALL, ISOLATED PLASTIC BARRIER.

VENTILATION AND ENVIRONMENTAL CONTROLS

1. AIR SYSTEM FLOW: THE COR TO VERIFY AND ACKNOWLEDGE TO THE CONTRACTOR THE

CONSTRUCTION AREA USES FRESH/OUTSIDE; FILTERS SHALL BE ADDED OR RETURN VENTS

COVERED AS NEEDED WITH FILTER MATERIAL OR PLASTIC. AIR MUST FLOW FROM CLEAN TO

DIRTY AREAS.

2. NEGATIVE AIR PRESSURE: THE AIR WITHIN THE CONSTRUCTION AREA SHALL BE NEGATIVE

WITH RESPECT TO SURROUNDING AREAS AND WITH NO DISRUPTION OF AIR SYSTEMS OF

ADJACENT AREAS. USE OF THE NEGATIVE AIR PRESSURE SYSTEM WITHIN THE ENCLOSURE

TO REMOVE DUST SHALL PASS AIR THROUGH AN INDUSTRIAL GRADE, PORTABLE HEPA FILTER

CAPABLE OF FILTRATION RATES OF 300-800 CUBIC FEET PER MINUTE (FT3/MIN), OR EXHAUST AIR DIRECTLY TO THE OUTSIDE IF APPROVED BY VAMC. IF EXHAUST SHALL BE TIED INTO A RE-

CIRCULATED AIR SYSTEM, A PRE-FILTER AND HEPA FILTER SHALL BE USED BEFORE EXHAUST

TO PREVENT CONTAMINATION OF THE DUCTS. COORDINATE WITH THE COR.

3. FOR EXHAUST DUCT ROUTING THRU CORRIDOR: INSTALL HARD DUCT WITH NON-FLANGE

HANGER HUNG FROM CEILING ABOVE, BOTTOM OF DUCT SHALL BE A MINIMUM OF 7'-2" A.F.F.

4. ADJACENT AREAS: THE STATUS OF SEALED PENETRATIONS AND INTACT CEILING SHALL BE

VERIFIED DAILY.

5. AIR EXCHANGE RATES AND PRESSURE RELATIONSHIPS: VAMC AND CONTRACTOR SHALL

VERIFY AND MAINTAIN PROPER RATES IN CRITICAL AREAS NEAR CONSTRUCTION ACTIVITY

AND ENSURE AIR IS NOT BEING RE-CIRCULATED WITHOUT FILTRATION FROM THE

CONSTRUCTION AREA ELSEWHERE. PROVIDE AIR PRESSURE TESTING THROUGHOUT THE

PROJECT IN THE FREQUENCY AS IDENTIFIED BY THE COR.

CONTAMINATION OF PATIENT ROOMS, SUPPLIES, EQUIPMENT AND RELATED AREAS

1. POST CONSTRUCTION: DO NOT REMOVE BARRIERS AND KEEP ALL HVAC ISOLATION UNTIL

CONTRACTOR HAS CLEANED CONSTRUCTION SITE, VA INFECTIOUS DISEASE CONTROL HAS

INSPECTED AND APPROVED THE CLEANING. VA EMS WILL FOLLOW UP WITH A TECHNICAL

CLEANING IS REQUIRED.

FIRE PROTECTION NOTES

1. COORDINATE WITH THE FACILITY COR PRIOR TO AND CONCURRENT WITH DESIGN.

2. THE EXISTING SPRINKLERS TO REMAIN OPERATIONAL ON BOTH SIDES OF THE TEMPORARY

PARTITION WHEREUPON THE PARTITION MAY BE PERMITTED TO TERMINATE AT THE CEILING

IN ACCORDANCE WITH NFPA 241.

3. CONTRACTOR TO PROVIDE AN ICRA ACTION PLAN TO THE COR 30 DAYS PRIOR TO BEGINNING

DEMOLITION.COR TO REVIEW AND APPROVE ICRA ACTION PLAN.

ICRA NOTES

IIILOW Risk Group 1

Class III

Note: Infection Control approval will be required when the Construction Activity and Risk Level indicate that

It is the Contractor's Responsibility to provide the following Infection Control Precautions depending upon the Area Class Designation

I

I

III

MEDIUM Risk Group 2

HIGH Risk Group 3

HIGHEST Risk Group 4 V

V

IV

V

IV

III

IV

II

III

Patient Risk Group Table

Infection Control Matrix - Class of Precautions: Construction Project by Patient Risk

TYPE A

Construction Project Type

Major demolition and construction projects Includes, but is not limited to:

• Removal or replacement of building system component(s).

• Removal/installation of drywall partitions.

• Invasive large-scale new building construction.

• Renovation work in two or more rooms.

Work that generates a moderate to high level of dust or requires demolition or removal of any fixed building components or assemblies Includes, but is not limited to:

• Removal of preexisting floor covering, walls, casework or other building components.

• New drywall placement.

• Renovation work in a single room.

• Nonexisting cable pathway or invasive electrical work above ceilings.

• The removal of drywall where a moderate amount of dust and debris is created.

• Dry sanding where a moderate amount of dust and debris is created.

• Work creating significant vibration and/or noise.

• Any activity that cannot be completed in a single work shift.

Small scale, short duration activities which create minimal dust Includes, but is not limited to:

• Work conducted above the ceiling (e.g., prolonged inspection or repair of firewalls and barriers, installation of conduit and/or cabling, and access to mechanical and/or electrical chase spaces).

• Fan shutdown/startup.

• Installation of electrical devices or new flooring that produces minimal dust and debris.

• The removal of drywall where minimal dust and debris is created.

• Controlled sanding activities (e.g., wet or dry sanding) that produce minimal dust and debris.

Inspection and Non-Invasive Activities Includes, but is not limited to:

• Removal of ceiling tile for visual inspection-limited to 1 tile per 50 square feet with limited exposure time.

• Limited building system maintenance (e.g., pneumatic tube station, HVAC system, fire suppression system, electrical and carpentry work to include painting without sanding) that does not create dust or debris.

• Clean plumbing activity limited in nature.

Type of Construction / Project Activity Table

Group 2 Medium Risk

Group 1 Low Risk

• Physical Therapy

• Radiology departments

• All patient waiting rooms

• All outpatient clinics

• Research Areas

• Respiratory Therapy

• Office areas (non-clinical)

• FES/EMS areas

I

Patient Risk Group

TYPE D

TYPE C

TYPE B

TYPE A

Group 4 Highest Risk

Group 3 High Risk

• Emergency Room

• Clinical Laboratories (specimen)

• Same Day Surgery

• Pharmacy

• Nutrition and Food

Service/Canteen

• Procedural Areas (GI)

• Inpatient Mental Health

• Any area caring for immunocompromised patients

• Cardiac Cath Lab/IR

• Central Sterile Supply

• Sterile Processing Service

• Intensive Care Units

IIII

TYPE DTYPE CTYPE B

Class IVor control procedures are necessary.

C

LA

S S

IV

During Construction Project Upon Completion of Project or Space

1. Includes all activities required by Class III

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities Management

Maintenance and Engineering department before construction begins.

3. Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

4. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

5. Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

6. Containment units or environmental containment units (ECUs) approved for Class IV precautions in small areas totally contained by the unit and that has HEPA-filtered exhaust air.

7. Remove or isolate return air diffusers to avoid dust entering the HVAC system.

8. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

9. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

10. Maintain negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

11. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

12. Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is not acceptable.

13. Install device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

14. Contain all trash and debris in the work area.

15. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

16. Worker clothing must be clean and free of visible dust before leaving the work area.

HEPA vacuuming of clothing or use of cover suites is acceptable.

17. Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be immediately changed.

18. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

19. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

• Medical/Surgical Units

• Negative pressure isolation rooms

• Outpatient Chemotherapy

Areas

• Operating rooms

• Post Anesthesia Care Unit

• Dialysis

• Dental

C

LA

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V

1. Includes all activities required by Class IV

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities Management

Maintenance and Engineering department before construction begins.

3. Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

4. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to ground and ceiling and secure from movement or damage. Apply tape that will not leave a residue to seal gaps between barriers, ceiling or floor.

5. Seal all penetrations in containment barriers, anteroom barriers, including floors and ceiling using approved materials (UL schedule firestop if applicable for barrier type).

6. Construct anteroom large enough for equipment staging, cart cleaning, workers. The anteroom must be constructed adjacent to entrance of construction work area.

7. Personnel will be required to wear coveralls at all times during Class V work activities.

Coveralls must be removed before leaving the anteroom.

8. Remove or isolate return air diffusers to avoid dust entering the HVAC system.

9. Remove or isolate the supply air diffusers to avoid positive pressurization of the space.

10. Negative airflow pattern must be maintained from the entry point to the anteroom and into the construction area. The airflow must cascade from outside to inside the construction area. The entire construction area must remain negatively pressurized.

11. Maintain negative pressurization of the entire workspace using HEPA exhaust air systems directed outdoors. Exhaust discharged directly to the outdoors that is 25 feet or greater from entrances, air intakes and windows does not require HEPA-filtered air.

12. If exhaust is directed indoors, then the system must be HEPA filtered. Prior to start of work, HEPA filtration must be verified by particulate measurement as no less than 99.97% efficiency and must not alter or change airflow/pressure relationships in other areas.

13. Exhaust into shared or recirculating HVAC systems, or other shared exhaust systems (bathroom exhaust) is not acceptable.

14. Install device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

15. Contain all trash and debris in the work area.

16. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

17. Worker clothing must be clean and free of visible dust before leaving the work area anteroom.

18. Workers must wear shoe covers prior to entry into the work area. Shoe covers must be changed prior to exiting the anteroom to the occupied space (non-work area).

Damaged shoe covers must be immediately changed.

19. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

20. Consider collection of particulate data during work to monitor and ensure that contaminates do not enter the occupied spaces. Routine collection of particulate samples may be used to verify HEPA filtration efficiencies.

Construction areas must be inspected by an infection preventionist or designee and engineering representative for discontinuation or downgrading of ICRA precautions.

Work Area Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

Removal of Critical Barriers:

1. Critical barriers must remain in place during all work involving drywall removal, creation of dust and activities beyond simple touch-up work. The barrier may NOT be removed until a work area cleaning has been performed.

2. All (plastic or hard) barrier removal activities must be completed in a manner that prevents dust release. Use the following precautions when removing hard barriers:

1. Carefully remove screws and painter tape.

2. If dust will be generated during screw removal, use hand-held HEPA vacuum.

3. Drywall cutting is prohibited during removal process.

4. Clean all stud tracks with HEPA vacuum before removing outer hard barrier.

5. Use a plastic barrier to enclose area if dust could be generated.

Negative Air Requirements:

1. The use of negative air must be designed to remove contaminates from the work area.

2. Negative air devices must remain operational at all times and in place for a period after completion of dust creating activities to remove contaminants from the work area and before removal of critical barriers.

HVAC systems:

1. Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed.

2. Verify that HVAC systems are clean and operational.

3. Verify the HVAC systems meets original airflow and air exchange design specifications.

It is the Contractor's Responsibility to provide the following Infection Control Precautions depending upon the Area Class Designation

During Construction Project

C

LA

S S

I

Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

1. Remove isolation of HVAC system in areas where work is being performed. Verify that HVAC systems are clean and operational.

2. Verify the HVAC systems meet original airflow and air exchange design specifications.

Upon Completion of Project

1. Execute work by methods to minimize raising dust from construction operations.

2. Perform noninvasive work activity as to not block or interrupt patient care.

3. Perform noninvasive work activities in areas that are not directly occupied with patients.

4. Perform noninvasive work activity in a manner that does not create dust.

5. Immediately replace any displaced ceiling tile before leaving the area and/or at end of noninvasive work activity.

C

LA

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II

Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

1. Remove isolation of HVAC system in areas where work is being performed. Verify that HVAC systems are clean and operational.

2. Verify the HVAC systems meet original airflow and air exchange design specifications.

1. Includes all activities required by Class I

2. Perform only limited dust work and/or activities designed for basic facilities and engineering work.

3. Perform limited dust and invasive work following standing precautions procedures approved by the organization.

4. This Class of Precautions must never be used for construction or renovation activities.

5. Provide active means to prevent airborne dust from dispersing into atmosphere.

6. Water mist work surfaces to control dust while cutting.

7. Seal unused doors with duct tape.

8. Block off and seal air vents.

9. Replace adhesive walk-off mats at entrance and exit of work area. Replace used mats in accordance with manufacturer's recommendations.

10. Remove or isolate HVAC system in area where work is being done to prevent contamination of duct system.

Construction areas must be inspected by an infection preventionist or designee and engineering representative for discontinuation or downgrading of ICRA precautions.

Work Area Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

Removal of Critical Barriers:

1. Critical barriers must remain in place during all work involving drywall removal, creation of dust and activities beyond simple touch-up work. The barrier may NOT be removed until a work area cleaning has been performed.

2. All (plastic or hard) barrier removal activities must be completed in a manner that prevents dust release. Use the following precautions when removing hard barriers:

1. Carefully remove screws and painter tape.

2. If dust will be generated during screw removal, use hand-held HEPA vacuum.

3. Drywall cutting is prohibited during removal process.

4. Clean all stud tracks with HEPA vacuum before removing outer hard barrier.

5. Use a plastic barrier to enclose area if dust could be generated.

Negative Air Requirements:

1. The use of negative air must be designed to remove contaminates from the work area.

2. Negative air devices must remain operational at all times and in place for a period after completion of dust creating activities to remove contaminants from the work area and before removal of critical barriers.

HVAC systems:

1. Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed.

2. Verify that HVAC systems are clean and operational.

3. Verify the HVAC systems meets original airflow and air exchange design specifications.

CONSTRUCTION ACTIVITIES SHALL BE CLASSIFIED AS FOLLOWS UNLESS NOTED OTHERWISE:

1. INSTALLATION OF CABLE TRAY IN CORRIDOR CEILINGS SHALL BE CONSIDERED CONSTRUCITON ACTIVITY TYPE B.

2. ALL CONDUIT SPECIFIED TO BE INSTALLED IN WALL SHALL BE CONSIDERED CONSTRUCTION ACTIVITY TYPE C.

C

LA

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II

I

1. Includes all activities required by Class II

2. Obtain Infection Control Permit from Hospital Safety Officer or Facilities

Management Maintenance and Engineering department before construction begins.

3. Provide active means to prevent airborne dust dispersion into the occupied areas.

4. Means for controlling minimal dust dispersion may include hand-held HEPA vacuum devices, polyethylene plastic containment, or isolation of work area by closing room door.

5. Remove or isolate return air diffusers to avoid dust from entering the HVAC system.

6. Remove or isolate the supply air diffusers to avoid positive pressurization of the space,

7. If work area is contained, then it must be neutrally to negatively pressurized at all times.

8. Seal all doors with tape that will not leave residue.

9. Contain all trash and debris in the work area.

10. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

11. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

12. Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces.

13. Clean construction area at the end of each shift by damp mopping or HEPA Vacuum.

For Type C activities, follow procedures for Class IV.

Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

1. Remove isolation of HVAC system in areas where work is being performed. Verify that HVAC systems are clean and operational.

2. Verify the HVAC systems meet original airflow and air exchange design specifications.

Highest risk that will need air scrubbers (HEPA filters):

• 1st Floor - Cath Lab, ER, IR

• 2G - ICU

• 2H - Dialysis

• 2A - OR/PACU

• 3E - ICU

• 4D - Oncology/Transplant Pts

• 5C - Oncology

• Clean Supply Rooms

THE USE OF A HEPA FILTER CART WILL BE AT THE DISCRETION OF THE VAMC ICRA DEPARTMENT. CONTRACTOR TO COORDINATE WITH THE COR.*

A

.F .F

A P

P R

O X

SUSPENDED

PLASTIC ZIPPER

WALL CURTAIN

BARRIER

POST ICRA, ILSM, FIRE

INSPECTION SHEETS

VISIBLE TO PUBLIC

CONSTRUCTION ZONE SIGN

PLASTIC

WINDOW

SWIVEL CASTERS

WITH TWO

LOCKING BRAKES

MOBILE CART

A D

J U

S T

A B

L E

H

E

IG

H T

MOBILE HEPA

NEGATIVE AIR UNIT

EXISTING

WALL

EXISTING

CEILING

COR & GC TO DETERMINE

WHEN A NEG. AIR UNIT IS

REQUIRED. FOLLOW ICRA

RECOMMENDATIONS.

Engineers Architects

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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G-005

ICRA INFORMATION AND DETAILS

2 6JNL

REPLACE NURSE CALL

SYSTEM

H.H. MCGUIRE VA MEDICAL CENTER

1201 BROAD ROCK BLVD

RICHMOND, VA 23249 OCTOBER 14, 2024

BID DOCUMENTS FOR CONSTRUCTION

652-21-10222-156

CLA

Scale: No Scale

ICRA BARRIER WALL TYPE

Scale: No Scale

TYPICAL CONSTRUCTION PLAN LAYOUT

Scale: No Scale

ILSM CONSTRUCTION EGRESS SIGNAGE

THIS MATRIX NEEDS TO BE VERIFIED WITH THE COR, PRIOR TO

IMPLEMENTATION, AS THE VAMC MAY HAVE THEIR OWN ICRA MATRIX.

Scale: No Scale

ICRA ROOM ELEVATION

Scale: No Scale

ICRA MOBILE HEPA CONTAINMENT CART

CONSTRUCTION HALL

AND ENTRANCE

PLASTIC BARRIER COVER SUPPLY

DIFFUSER

ICRA EXAMPLES*

*TYPICAL PHOTO REFERENCE - NOT SPECIFIC TO RICHMOND VA.

EXAM RM/

TREATMENT

EXAM RM EXAM RM/

TREATMENT

CASE

WORKER

CORRIDOR

CATH LAB

EQUIPMENT

RM

COMPUTER

RM

CONTROL

RM

CATH LAB

EXAM RM

1G-225

CLOSET

PATIENT

HOLDING

1G-224

CONTROL

RM

EQUIPMENT

RM

COMPUTER

RM

CONTROL

RM

CONTROL

RM

CATH LAB

EXAM RM

1G-225

CLOSET

PATIENT

HOLDING

1G-224

78 5

OBSERVATION

PRIVATE RM PRIVATE RM

PRIVATE RM

PRIVATE RM

CORRIDOR

TREATMENT

BAY 1

TREATMENT

BAY 2

1G-303

1G-140

CT EXAM RM

TOILET

CLOSET

1G-135

CLOSET

BREAK ROOM

TOILET

1F-135

MED

TOILET

1F-145

NOURISHMENT

KITCHEN

STAFF TOILET

CORRIDOR

TOILET

1F-141

TOILET

1F-139

STAFF

LOCKER RM

TOILET

C1U-6

TOILET

TOILET

CORRIDOR

STORAGE

SELF CARE

SHOWER/BATH

STORAGE

TOILET

TOILET

PROJECT AREA

WORKING HOURS

CORRIDORS AND COMMON SPACES

WORKING HOURS IN

PATIENT ROOMS

UNRESTRICTED WEEKEND

WORKING HOURS

WORKING HOURS FOR

NOISE PRODUCING

ACTIVITES

SAW CUTTING TO BE REQUIRED BY

HAND TOOLS WITHIN WORK AREA

YES

YES/NO YES/NO

1B DERMATOLOGY

1C EMERGENCY DEPT.

ICRA RISK GROUP

PROJECT AREA

WORKING HOURS

CORRIDORS AND COMMON SPACES

WORKING HOURS IN

PATIENT ROOMS

UNRESTRICTED WEEKEND

WORKING HOURS

WORKING HOURS FOR

NOISE PRODUCING

ACTIVITES

SAW CUTTING TO BE REQUIRED BY

HAND TOOLS WITHIN WORK AREA

3E MEDICAL ICU

PROJECT AREA

WORKING HOURS

CORRIDORS AND COMMON SPACES

WORKING HOURS IN

PATIENT ROOMS

UNRESTRICTED WEEKEND

WORKING HOURS

WORKING HOURS FOR

NOISE PRODUCING

ACTIVITES

SAW CUTTING TO BE REQUIRED BY

HAND TOOLS WITHIN WORK AREA

PROJECT AREA

WORKING HOURS

CORRIDORS AND COMMON SPACES

WORKING HOURS IN

PATIENT ROOMS

UNRESTRICTED WEEKEND

WORKING HOURS

WORKING HOURS FOR

NOISE PRODUCING

ACTIVITES

SAW CUTTING TO BE REQUIRED BY

HAND TOOLS WITHIN WORK AREA

NO YES/NO

5A ENDOSCOPY

5C ONCOLOGY

YES

YES/NO

YES/NO

YES/NO

4A CARDIAC CARE

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

4D INPATIENT CARE

YES

ICRA RISK GROUP

ICRA RISK GROUP

ICRA RISK GROUP

GROUP IYES/NO

GROUP II

GROUP II

GROUP II

GROUP II

GROUP II

GROUP II

GROUP II

GROUP II

GROUP II

YES/NO YES/NO

NO YES1N CLC UNIT (OLD)

1H NUCLEAR MEDICINE GROUP II

GROUP I

PROJECT AREA

2A PACU AND OR UNIT

2B POLYTRAUMA

WORKING HOURS

CORRIDORS AND COMMON SPACES

WORKING HOURS IN

PATIENT ROOMS

UNRESTRICTED WEEKEND

WORKING HOURS

WORKING HOURS FOR

NOISE PRODUCING

ACTIVITES

SAW CUTTING TO BE REQUIRED BY

HAND TOOLS WITHIN WORK AREA

YES

YES/NO

YES/NO

YES/NO

ICRA RISK GROUP

GROUP II

GROUP II

YES/NO

YES/NO

YES/NO

YES/NO

YES/NO

YES/NO

2D SPECIALTY CARE

2E MED SURG INPATIENT

2F MED SURG INPATIENT

2G SURGICAL ICU

2H DIALYSIS UNIT

GROUP II

GROUP II

GROUP II

GROUP II

GROUP II

7:00 am to 5:00 pm

9:00 am to 9:00 pm

7:00 am to 5:00 pm

10:00 am to 6:00 pm

8:00 am to 5:00 pm 8:00 am to 5:00 pm 8:00 am to 5:00 pm

Not open - anytime

Not open - anytime

8:00 am to 5:00 pm

8:00 am to 5:00 pm

8:00 am to 5:00 pm

Not open - anytime

Not open - anytime

8:00 am to 5:00 pm

8:00 am to 5:00 pm

8:00 am to 5:00 pm

Not open - anytime

Not open - anytime

8:00 am to 5:00 pm

8:00 am to 5:00 pm

8:00 am to 5:00 pm

NO

NO

NO

NO

NO

7:00 am to 5:00 pm 7:00 am to 5:00 pm 7:00 am to 5:00 pm

YES

YES

NO

NO

6:00 am to 8:00 pm

7:00 am to 5:00 pm

6:00 am to 8:00 pm

24 Hours

24 Hours

7:00 am to 5:00 pm

6:00 am to 8:00 pm

24 Hours

24 Hours

6:00 am to 8:00 pm

7:00 am to 5:00 pm

6:00 am to 8:00 pm

24 Hours

24 Hours

6:00 am to 8:00 pm

YES

YES

YES

YES

7:00 am to 5:00 pm

10:00 am to 6:00 pm

YES/NO1P CLC UNIT GROUP I

NO YES1Q PALLIATIVE CARE UNIT GROUP II

YES/NO

YES/NO

YES/NO

YES/NO

YES/NO

YES/NO

GROUP II

GROUP II

GROUP II

1U SCI INPATIENT UNIT

1V SCI INPATIENT UNIT

1Z RADIOLOGY

9:00 am to 9:00 pm 10:00 am to 6:00 pm 10:00 am to 6:00 pm

YES/NO

1N CLC UNIT (NEW) YES YES GROUP INot open - anytime Not open - anytime Not open - anytime

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined

To be determined To be determined To be determined

3 3 34 4 4

2 2 2 2

2 2 2 2

3 4

2 2

2 2

3 4

4 4 4 4

2 2 2 2

2 2 2 2

3 4

EXISTING OPENING FROM REMOVAL OF

EXISTING NC DEVICE

PROVIDE BACKER PLATE TO COVER

EXISTING OPENING. MATCH OUTLET AND

LIGHT SWITCH COLOR.

NEW NC DEVICE

NC DEVICE

METAL STUDS

5/8" GYP BD

SHIELDING

BACKWRAP SHIELDING OR

FIRE-RATED MATERIALS

BEHIND DEVICE.

SHIELDED ZONES INCLUDE:

1H NUCLEAR MEDICINE

1Z RADIOLOGY

2A OR UNIT

2E MED SURG

2F MED SURG

2G SURGICAL ICU

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

5A ENDOSCOPY

5C ONCOLOGY

4 3

2 2

2 2

2 2

SINGLE ROOM ICRA

FORMAT TYPICAL GROUP OF ROOMS ICRA FORMAT TYPICAL

2 2 2

2 2 2

STICKY MATS AT EVERY

ACCESSIBLE DOOR

INTO THE SPACE

STARC WALL SYSTEM W/ DOOR

PROVIDE TEMPORARY

ZIPPERED BARRIER AT

INSTALLATION

LOCATION.

• CONTRACTOR TO TAKE

POSSESSION OF THE ROOM

FOR THE DURATION OF THE

DEMOLITION / INSTALLATION

PROCESS

STICKY MATS AT EVERY

ACCESSIBLE DOOR

INTO THE SPACE

• ACTUAL SIZE & SHAPE OF EACH WORK ZONE WILL

VARY. CONTRACTOR TO ACCESS THE PROPOSED

INSTALLATION AND WORK ZONE BOUNDARY.

• AVAILABILITY OF ROOMS WILL BE AT THE

DISCRETION OF THE VAMC.

WORK

ZONE

GROUP OF ROOMS ICRA FORMAT TYPICAL

COORDINATE SIZE

W/ VAMC ICRA STAFF

COVER ALL EQUIPMENT IN THE SPACES.

COORDINATE WITH COR.

2 2

Engineers Architects

# KEY NOTES:

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

SHEET NOTES:

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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G-101

ENLARGED ICRA PLANS TYPICAL

3 6JNL

REPLACE NURSE CALL

SYSTEM

H.H. MCGUIRE VA MEDICAL CENTER

1201 BROAD ROCK BLVD

RICHMOND, VA 23249 OCTOBER 14, 2024

BID DOCUMENTS FOR CONSTRUCTION

652-21-10222-156

CLA

Scale: 1/8" = 1'-0"

EXAM ROOM TYPICAL (GROUP)

1 PROVIDE TEMPORARY PLASTIC PARTITION TO

CEILING. PARTITION SHALL BE INSPECTED AND

APPROVED BY VA ICRA OFFICER PRIOR TO

START OF DEMOLITION & CONSTRUCTION IN

THE SPACE. GC TO COORDINATE WITH THE

COR FOR QUARTER WIDTH WHERE A

TEMPORARY WALL IS BEING INSTALLED. (WALL

TYPE D)

2 PROVIDE STICKY MAT AT INSTALLATION

LOCATION. (MAT SHALL BE INSPECTED AND

CHANGED FREQUENTLY TO ENSURE

EFFECTIVENESS PER VA ICRA REQUIREMENTS)

3 PROVIDE MOBILE HEPA CART AT INSTALLATION

LOCATION. USE OF MOBILE HEPA CART WILL

BE ALLOWED AT THE DISCRETION OF THE

VAMC ICRA DEPARTMENT. CONTRACTOR TO

COORDINATE WITH THE COR.

4 CONTRACTOR SHALL COVER ALL FURNITURE

AND EQUIPMENT WITHIN ROOM WITH PLASTIC

PRIOR TO COMMENCING WORK IN A SPACE

AND REMOVE PRIOR TO POST-CONSTRUCTION

TERMINAL CLEANING.

5 PROVIDE TEMPORARY ZIPPERED BARRIER AT

INSTALLATION LOCATION.

6 INSTALL PLASTIC BARRIER. SEAL ALL EDGES

TIGHT. ADD CONSTRUCTION SIGN AND

CAUTION TAPE.

7 PROVIDE PLASTIC SHEET BARRIER AT

INSTALLATION.

Scale: 1/8" = 1'-0"

PATIENT BEDROOM TYPICAL

Scale: 1/8" = 1'-0"

PATIENT ROOM TYPICAL

Scale: 1/8" = 1'-0"

CONTROL ROOM TYPICAL (GROUP)

Scale: 1/8" = 1'-0"

PRIVATE ROOM TYPICAL (GROUP)

Scale: 1/8" = 1'-0"

RECOVERY ROOM TYPICAL (GROUP)

TYPICAL APPLIES TO:

1N CLC UNIT

1P CLC UNIT

1Q PALLATIVE CARE

1U SCI INPATIENT

1V SCI INPATIENT

2E MED/SURG INPATIENT CARE

2F MED/SURG INPATIENT CARE

TYPICAL APPLIES TO:

1U SCI INPATIENT

2B POLYTRAUMA

4B INPATIENT CARE

4C INPATIENT CARE

TYPICAL APPLIES TO:

1C EMERGENCY DEPARTMENT

2B POLYTRAUMA

TYPICAL APPLIES TO:

1C EMERGENCY DEPARTMENT

2A PACU

2G SURGICAL ICU

4A CARDIAC CARE

5A ENDOSCOPY

5C ONCOLOGY

TYPICAL APPLIES TO:

1B WOMEN'S HEALTH

1G RADIOLOGY

1P CLC UNIT

1V SCI INPATIENT UNIT

1Z RADIOLOGY

2D SPECIALTY CARE

5A ENDOSCOPY

5C ONCOLOGY

TYPICAL APPLIES TO:

1G RADIOLOGY

1H NUCLEAR MEDICINE

1Z RADIOLOGY

2A OR UNIT

4A CARDIAC CARE

Scale: No Scale

COVER PLATE ELEVATION

TYPICAL APPLIES TO:

1B DERMATOLOGY

1C ED

1G RADIOLOGY

1H NUCLEAR MED

1N CLC

1P CLC

1Q PALLIATIVE CARE UNIT

1Z RADIOLOGY

Scale: 1 1/2" = 1'-0"

SHIELDING / FIRE RATED WALLS

Scale: 1/8" = 1'-0"

CT EXAM ROOM TYPICAL

TYPICAL APPLIES TO:

1B WOMEN'S HEALTH

1B DERMATOLOGY

1H NUCLEAR MEDICINE

1P CLC UNIT

4A CARDIAC CARE

Scale: 1/8" = 1'-0"

LOUNGE / BREAK ROOM TYPICAL

TYPICAL APPLIES TO:

1C ED

1G RADIOLOGY

1H NUCLEAR MED

1N CLC UNIT

1P CLC UNIT

1Q PALLATIVE CARE

1U SCI INPATIENT UNIT

1V SCI INPATIENT UNIT

2E MED/SURG INPATIENT CARE

2G SURGICAL ICU

2H DIALYSIS

Scale: 1/8" = 1'-0"

MED TYPICAL

TYPICAL APPLIES TO:

1B DERMATOLOGY

1N CLC UNIT

1P CLC UNIT

1Q PALLATIVE CARE

1U SCI INPATIENT UNIT

2E MED/SURG INPATIENT CARE

2G SURGICAL ICU

2F MED/SURG INPATIENT CARE

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

Scale: 1/8" = 1'-0"

NOURISHMENT KITCHEN TYPICAL

TYPICAL APPLIES TO:

1N CLC UNIT

1P CLC UNIT

1U SCI INPATIENT UNIT

Scale: 1/8" = 1'-0"

STAFF LOCKER ROOM TYPICAL

TYPICAL APPLIES TO:

1G RADIOLOGY

1P CLC

4A CARDIAC CARE

Scale: 1/8" = 1'-0"

SELF CARE SHOWER/BATH TYPICAL (GROUP)

TYPICAL APPLIES TO:

1U SCI INPATIENT UNIT

1V SCI INPATIENT UNIT

SINGLE, GROUP, AND ISOLATED ICRA PLAN TYPICAL

TYPICAL PLANS SHOWN FOR REPRESENTATION ONLY. SHAPES AND SIZES

VARY BY DEPARTMENT.

NOTES:

1. THIS TABLE IS UPDATED AS OF 08/27/2024. CONTRACTORS SHALL CONFIRM THE HOURS LISTED

ABOVE WITH THE COR PRIOR TO STARTING THE PROJECT.

2. ROOM WORK AREA CONFIGURATIONS FOR ICRA PLANS WILL BE ON A CASE BY CASE BASIS AND UP

TO THE DISCRETION OF THE RICHMOND VA AND ITS STAFF.

Scale: 1/8" = 1'-0"

1C TOILET TYPICAL (GROUP)

1. ALL ICRA CONTRACTORS ARE TO WEAR PROPER

PPE IN ACCORDANCE WITH THE VAMC.

2. DEMOLISH ALL EXISTING NURSE CALL CABLING

TO BE REPLACED BACK TO THE NURSE CALL

EQUIPMENT CABINET.

3. FOLLOW ICRA REQUIREMENTS.

4. CONTRACTOR MAY USE THE EXISTING NURSE

CALL CABLE AS A PULL WIRE FOR THE NEW

NURSE CALL CABLING.

5. REUSE THE EXISTING NURSE CALL RACEWAY

SYSTEM FOR NEW NURSE CALL CABLING.

6. THE REMOVAL OF ANY EXISTING NURSE CALL

DEVICES SHALL NOT INTERRUPT THE NURSE

CALL DEVICES IN OTHER ROOMS. EXISTING

NURSE CALL SYSTEM SHALL REMAIN IN

OPERATION UNTIL NEW NURSE CALL SYSTEM IS

COMPLETELY OPERATIONAL ON EACH FLOOR.

7. PATCH AND PAINT AT THE LOCATION OF THE

EXISTING NURSE CALL EQUIPMENT CABINET.

8. ALL NURSE CALL SYSTEM LOCATIONS SHALL BE

COORDINATED WITH THE COR AND NURSE

MANAGER.

9. PATCH ALL PENETRATIONS AND OPENINGS IN

SMOKE AND FIRE WALLS WITH APPROVED UL

LISTED MATERIALS. SUBMIT APPLICATION PER VA.

SEE SPECIFICATIONS FOR FORM.

10. CONTRACTOR TO FACILITATE COLOR MATCH OF

PAINT, TILES, AND OTHER FINISH SELECTIONS

FOR THE PATCH, REPAIR AND REFINISHED

CONDITIONS WITH THE VAMC STAFF.

11. DEMOLISH ALL DEVICES SHOWN UNLESS NOTED

OTHERWISE. SEE TECHNOLOGY DRAWINGS.

12. THESE DRAWINGS ARE BASED ON FIELD SURVEY

AND EXISTING PLANS. VERIFY ALL FIELD

CONDITIONS.

13. COORDINATE WITH VA COR ABOUT OFF-HOURS

SCHEDULE AND TEMPORARY REROUTING

ACCESS FOR HOSPITAL STAFF/VISITORS PRIOR

TO ERECTING TEMPORARY BARRIER.

14. CONSULT WITH VA SAFETY DEPARTMENT TO

MAINTAIN A MINIMUM CLEARANCE IN HALLWAYS.

15. COORDINATE THE USE OF MOBILE HEPA CART

WITH ICRA DEPARTMENT. SEE SHEET G-005

16. ASSUME THERE ARE NO HEADWALLS IN CLC

BEDROOMS / AND PRIVATE ROOMS.

17. REMOVE ALL TRASH DAILY FROM THE WORK

AREA.

STAFF

TOILET

FC

TOILET

TELECOM

OBSERVATION/TREATMENT

NURSE

STATION

CORRIDOR

1C-125A

1U-143

CONGREGATE

BATH

CORRIDOR SOILED

UTILITY

STORAGE

SOILED

UTILITY

CONGREGATE

CLEAN

UTILITY CORRIDOR

WORK

AREA

6 2

3 4

3 4

2 2

4 3

Engineers Architects

# KEY NOTES:

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

SHEET NOTES:

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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P

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U s e rs \j lo n g h u rs t\ D o c u m e n ts

\A E

-1

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A R ic h m o n d N u rs e C a ll_ jlo n g h u rs tS M

A W

.r v t

G-102

ENLARGED ICRA PLANS TYPICAL

4 6JNL

REPLACE NURSE CALL

SYSTEM

H.H. MCGUIRE VA MEDICAL CENTER

1201 BROAD ROCK BLVD

RICHMOND, VA 23249 OCTOBER 14, 2024

BID DOCUMENTS FOR CONSTRUCTION

652-21-10222-156

CLA

1 PROVIDE TEMPORARY PLASTIC PARTITION TO

CEILING. PARTITION SHALL BE INSPECTED AND

APPROVED BY VA ICRA OFFICER PRIOR TO

START OF DEMOLITION & CONSTRUCTION IN

THE SPACE. GC TO COORDINATE WITH THE

COR FOR QUARTER WIDTH WHERE A

TEMPORARY WALL IS BEING INSTALLED. (WALL

TYPE D)

2 PROVIDE STICKY MAT AT INSTALLATION

LOCATION. (MAT SHALL BE INSPECTED AND

CHANGED FREQUENTLY TO ENSURE

EFFECTIVENESS PER VA ICRA REQUIREMENTS)

3 PROVIDE MOBILE HEPA CART AT INSTALLATION

LOCATION. USE OF MOBILE HEPA CART WILL

BE ALLOWED AT THE DISCRETION OF THE

VAMC ICRA DEPARTMENT. CONTRACTOR TO

COORDINATE WITH THE COR.

4 CONTRACTOR SHALL COVER ALL FURNITURE

AND EQUIPMENT WITHIN ROOM WITH PLASTIC

PRIOR TO COMMENCING WORK IN A SPACE

AND REMOVE PRIOR TO POST-CONSTRUCTION

TERMINAL CLEANING.

5 PROVIDE TEMPORARY ZIPPERED BARRIER AT

INSTALLATION LOCATION.

6 INSTALL PLASTIC BARRIER. SEAL ALL EDGES

TIGHT. ADD CONSTRUCTION SIGN AND

CAUTION TAPE.

7 PROVIDE PLASTIC SHEET BARRIER AT

INSTALLATION.

Scale: 1/8" = 1'-0"

STAFF/GUEST TOILET TYPICAL

Scale: 1/8" = 1'-0"

TELECOM ROOM TYPICAL

TYPICAL APPLIES TO:

1B DERMOTOLOGY

1C EMERGENCY DEPARTMENT

1G RADIOLOGY

1H NUCLEAR MEDICINE

1N CLC UNIT

1P CLC UNIT

1Q PALLIATIVE CARE

1U SCI INPATIENT UNIT

1V SCI INPATIENT UNIT

1Z RADIOLOGY

2A PACU

2B POLYTRAUMA

2C NEUROLOGY

2D SPECIALTY CARE

2E MED SURG INPATIENT CARE

2F MED SURG INPATIENT CARE

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

4D INPATIENT CARE

TYPICAL APPLIES TO:

1B DERMOTOLOGY

1C EMERGENCY DEPARTMENT

1N CLC UNIT

1P CLC UNIT

1U SPINAL

2A PACU

2B POLYTRAUMA

2D SPECIALTY CARE

2E MED/SURG INPATIENT CARE

2F MED/SURG INPATIENT CARE

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

TYPICAL APPLIES TO:

1B DERMATOLOGY

1C EMERGENCY DEPARTMENT

1N CLC UNIT

1P CLC UNIT

1Q PALLIATIVE CARE UNIT

1U SCI INPATIENT UNIT

1V SCI INPATIENT UNIT

2A PACU

2B POLYTRAUMA

2D SPECIALTY CARE

2E MED/SURG INPATIENT CARE

2F MED/SURG INPATIENT CARE

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

5A ENDOSCOPY

5C ONCOLOGY

Scale: 1/8" = 1'-0"

NURSE STATION TYPICAL

TYPICAL APPLIES TO:

1N CLC UNIT

1P CLC UNIT

1U SCI INPATIENT

UNIT

1V SCI INPATIENT UNIT

2E MED/SURG

2F MED/SURG

Scale: 1/8" = 1'-0"

CONGEGRATE BATH TYPICAL (GROUP)

TYPICAL APPLIES TO:

2A PACU

2B POLYTRAUMA

2F MED/SURG INPATIENT CARE

2G SURGICAL UNIT

2H DIALYSIS UNIT

3E MEDICAL ICU

Scale: 1/8" = 1'-0"

ANTE ROOM W/ ISOLATION ROOM TYPICAL

TYPICAL APPLIES TO:

1C EMERGENCY DEPARTMENT

1G RADIOLOGY

1N CLC

1P CLC UNIT

1Q PALLATIVE CARE

1U SCI INPATIENT UNIT

1V SCI INPATIENT UNIT

2A PACU

2B POLYTRAUMA

2D SPECIALTY CARE

2E MED/SURG INPATIENT CARE

2G SURGICAL ICU

2F MED/SURG INPATIENT CARE

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

Scale: 1/8" = 1'-0"

SOILED UTILITY TYPICAL

TYPICAL APPLIES TO:

1C EMERGENCY DEPARTMENT

1G RADIOLOGY

1N CLC

1P CLC UNIT

1U SPINAL

2A PACU

2B POLYTRAUMA

2D SPECIALTY CARE

2E MED/SURG INPATIENT CARE

2F MED/SURG INPATIENT CARE

2H DIALYSIS UNIT

3E MEDICAL ICU

4A MEDICAL ICU

4B INPATIENT CARE

4C INPATIENT CARE

Scale: 1/8" = 1'-0"

CLEAN UTILITY TYPICAL

1. ALL ICRA CONTRACTORS ARE TO WEAR PROPER

PPE IN ACCORDANCE WITH THE VAMC.

2. DEMOLISH ALL EXISTING NURSE CALL CABLING

TO BE REPLACED BACK TO THE NURSE CALL

EQUIPMENT CABINET.

3. FOLLOW ICRA REQUIREMENTS.

4. CONTRACTOR MAY USE THE EXISTING NURSE

CALL CABLE AS A PULL WIRE FOR THE NEW

NURSE CALL CABLING.

5. REUSE THE EXISTING NURSE CALL RACEWAY

SYSTEM FOR NEW NURSE CALL CABLING.

6. THE REMOVAL OF ANY EXISTING NURSE CALL

DEVICES SHALL NOT INTERRUPT THE NURSE

CALL DEVICES IN OTHER ROOMS. EXISTING

NURSE CALL SYSTEM SHALL REMAIN IN

OPERATION UNTIL NEW NURSE CALL SYSTEM IS

COMPLETELY OPERATIONAL ON EACH FLOOR.

7. PATCH AND PAINT AT THE LOCATION OF THE

EXISTING NURSE CALL EQUIPMENT CABINET.

8. ALL NURSE CALL SYSTEM LOCATIONS SHALL BE

COORDINATED WITH THE COR AND NURSE

MANAGER.

9. PATCH ALL PENETRATIONS AND OPENINGS IN

SMOKE AND FIRE WALLS WITH APPROVED UL

LISTED MATERIALS. SUBMIT APPLICATION PER VA.

SEE SPECIFICATIONS FOR FORM.

10. CONTRACTOR TO FACILITATE COLOR MATCH OF

PAINT, TILES, AND OTHER FINISH SELECTIONS

FOR THE PATCH, REPAIR AND REFINISHED

CONDITIONS WITH THE VAMC STAFF.

11. DEMOLISH ALL DEVICES SHOWN UNLESS NOTED

OTHERWISE. SEE TECHNOLOGY DRAWINGS.

12. THESE DRAWINGS ARE BASED ON FIELD SURVEY

AND EXISTING PLANS. VERIFY ALL FIELD

CONDITIONS.

13. COORDINATE WITH VA COR ABOUT OFF-HOURS

SCHEDULE AND TEMPORARY REROUTING

ACCESS FOR HOSPITAL STAFF/VISITORS PRIOR

TO ERECTING TEMPORARY BARRIER.

14. CONSULT WITH VA SAFETY DEPARTMENT TO

MAINTAIN A MINIMUM CLEARANCE IN HALLWAYS.

15. COORDINATE THE USE OF MOBILE HEPA CART

WITH ICRA DEPARTMENT. SEE SHEET G-005

16. ASSUME THERE ARE NO HEADWALLS IN CLC

BEDROOMS / AND PRIVATE ROOMS.

17. REMOVE ALL TRASH DAILY FROM THE WORK

AREA.

MOH'S

OFFICE

MOH'S

LAB

MENTAL HEALTH

MINOR

PROCEDURE

1C-122

SECY/HOLD

F.C.

OBSERVATIONISOLATION

EXAM

MINOR

PROCEDURE

TRAUMA/CARDIAC

OBSERVATION/TREATMENT

TRIAGETRIAGE

WOMENS HEALTH

TOILET

CORRIDOR

CLERK

SECRETARY

FILE

E.J. COVER

PLATE

HIGH LEVEL

IN-VITRO LAB

BLK

NUCLEAR IMAGING/

EXAM RM

EXAM RM

1H-136

CORRIDOR

CORRIDOR

PET/CT

RM#1

PET/CT

RM#2

READING

RM

STATIONARY

IMAGING

CORRIDOR

STATIONARY

IMAGING

CORRIDOR

STRESS

LAB

MULTIPURPOSE

ROOM

BATHING

SUITE

TLT

PANTRY

TLT

VISITOR

SOILED WORKROOM

CROSS CORRIDOR

SIMULATOR

CONTROL

NC

DEVICE

GYP BOARD

(PAINTED)

PATCH, REPAIR, & PAINT EXISTING WALL1

NC

TILE

CUT NEW TILE TO REPLACE DAMAGED TILES2

NC

DEVICE

MED

GASS

REPLACE DAMAGED PLASTIC LAMINATE3

NC

DEVICE

2 2

4 3

2 5

4 4

4 3

2 2

2 2

3 3

5 5

4 4

6 6

2 5

4 3

4 3

4 3

4 3

2 2

2 2

5 4

2 5

22 6

Engineers Architects

# KEY NOTES:

Revisions: Date

Drawing Title

Approved

Project Title

Location

VA PROJECT NUMBER

Building Number

Drawing Number

Dwg of

VA FORM 08-6231

Office of Construction and Facilities Management

CONSULTANTS: PROJECT MANAGER

SHEET NOTES:

Date Checked Drawn

FULLY SPRINKLERED

ACG Project Number

Headquarters:

Apogee Consulting Group, P.A.

1151 Kildaire Farm Road, Suite 120 Cary, North Carolina 27511 www.acg-pa.com 919-858-7420 U.S. Department of Veterans Affairs# © COPYRIGHT Apogee Consulting Group, P.A.

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G-103

ENLARGED ICRA PLANS ATYPICAL

5 6JNL

REPLACE NURSE CALL

SYSTEM

H.H. MCGUIRE VA MEDICAL CENTER

1201 BROAD ROCK BLVD

RICHMOND, VA 23249 OCTOBER 14, 2024

BID DOCUMENTS FOR CONSTRUCTION

652-21-10222-156

CLA

1 PROVIDE TEMPORARY PLASTIC PARTITION.

PARTITION SHALL BE INSPECTED BY VA ICRA

STAFF PRIOR TO START OF DEMOLITION &

CONSTRUCTION IN THE SPACE.GC TO

COORDINATE WITH THE COR FOR QUARTER

WIDTH WHERE A TEMPORARY WALL IS BEING

INSTALLED. (WALL TYPE D)

2 PROVIDE STICKY MAT AT INSTALLATION

LOCATION. (MAT SHALL BE INSPECTED AND

CHANGED FREQUENTLY TO ENSURE

EFFECTIVENESS)

3 PROVIDE MOBILE HEPA CART AT

INSTALLATION LOCATION. USE OF MOBILE

HEPA CART WILL BE ALLOWED AT THE

DISCRETION OF THE VAMC ICRA

DEPARTMENT. CONTRACTOR TO COORDINATE

WITH THE COR.

4 CONTRACTOR SHALL COVER ALL FURNITURE

AND EQUIPMENT WITHIN ROOM WITH PLASTIC

PRIOR TO COMMENCING WORK IN A SPACE

AND REMOVE PRIOR TO POST-CONSTRUCTION

TERMINAL CLEANING.

5 PROVIDE TEMPORARY ZIPPERED BARRIER AT

INSTALLATION LOCATION.

6 INSTALL PLASTIC BARRIER. SEAL ALL EDGES

TIGHT. ADD CONSTRUCTION SIGN AND

CAUTION TAPE.

GYP BD TILEHEADWALL WALL COVERING

Scale: 1/8" = 1'-0"

1B DERM MOH LAB AND OFFICE

Scale: 1/8" = 1'-0"

1C MENTAL HEALTH

Scale: 1/8" = 1'-0"

1C SECY / HOLD

Scale: 1/8" = 1'-0"

1C ISO - OBSERVATION RM (GROUP)

Scale: 1/8" = 1'-0"

1C MINOR PROCEDURE

Scale: 1/8" = 1'-0"

1C TRAUMA/CARDIAC

Scale: 1/8" = 1'-0"

1C TRIAGE

Scale: 1/8" = 1'-0"

1C WOMENS HEALTH

Scale: 1/8" = 1'-0"

1H CLERK/SEC

Scale: 1/8" = 1'-0"

1H HIGH LEVEL IN-VITRO LAB

Scale: 1/8" = 1'-0"

1H NUCLEAR IMAGING

Scale: 1/8" = 1'-0"

1H PET/CT EXAM

Scale: 1/8" = 1'-0"

1H STATIONARY IMAGING RM (GROUP)

Scale: 1/8" = 1'-0"

1H STATIONARY IMAGING

Scale: 1/8" = 1'-0"

1H STRESS LAB

Scale: 1/8" = 1'-0"

1N MULTI-PURPOSE ROOM

Scale: 1/8" = 1'-0"

1N BATHING SUITE

Scale: 1/8" = 1'-0"

1N PANTRY

Scale: 1/8" = 1'-0"

1N VISITOR TOILET

Scale: 1/8" = 1'-0"

1X SOILED WORK ROOM

Scale: 1/8" = 1'-0"

1Z SIMULATOR ROOM

1. ALL ICRA CONTRACTORS ARE TO WEAR PROPER

PPE IN ACCORDANCE WITH THE VAMC.

2. DEMOLISH ALL EXISTING NURSE CALL CABLING

TO BE REPLACED BACK TO THE NURSE CALL

EQUIPMENT CABINET.

3. FOLLOW ICRA REQUIREMENTS.

4. CONTRACTOR…