Exhibit D 36C25025R0002 Conceptual Floor Plan and Finishes AMENDED 3.17.2025.pdf
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- Solicitation number
- 36C25025R0002
About this file
This document is a conceptual floor plan and room content listing for the Medina Outpatient Clinic, a Department of Veterans Affairs (VA) facility designed to provide comprehensive medical services. The floor plan details a 19,999 square foot single-story clinic with multiple functional areas including a lobby/reception area, eye clinic, laboratory service, mental health clinic, dermatology, podiatry, patient aligned care team (PACT) spaces, and various support areas. The design includes 10 PACT exam rooms, 5 eye clinic exam rooms, 7 mental health consult rooms, 3 dermatology exam rooms, 3 podiatry exam rooms, and specialized spaces such as a procedure room, conference room, staff lounge, and utility rooms.
The room contents are meticulously documented with specific equipment and furnishings for each space, including medical diagnostic equipment, computer workstations, examination tables, storage cabinets, sinks, dispensers, and specialized medical technology. Each room is assigned a functional classification (patient treatment, staff support, patient circulation) and includes detailed specifications for telecommunications outlets, medical equipment, furniture, and ancillary items. The design emphasizes functionality, accessibility, and efficient workflow, with careful consideration of space allocation and equipment placement to support various medical specialties and patient care needs.
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Text version
VHACLEWaltoB Highlight
Program for Design (20 Jun 2023 01:57PM ET)
Functional Area Room Qty Area Room Code
Program
Area
Area
(NonLeasable)
LOBBY / RECEPTION AREA Vending Machine Area 1 80 BX002 80
LOBBY / RECEPTION AREA Alcove, Volunteer 1 80 NCWD4 80
LOBBY / RECEPTION AREA Alcove, Police Service 1 100 OFA09 100
LOBBY / RECEPTION AREA Kiosk, Patient Check-In 1 30 RCHK2 30
LOBBY / RECEPTION AREA Reception 1 500 RCP03 500
LOBBY / RECEPTION AREA Alcove, Wheelchair 1 50 SRLW1 50
LOBBY / RECEPTION AREA Waiting, PACT 1 1 1660 WTPC1 1660
5 Totals: 2,500
FACILITY SUPPORT AREA VA Tech TR Room 1 120 COMC1 120
FACILITY SUPPORT AREA Lactation Room 1 75 LAC01 75
FACILITY SUPPORT AREA Office, operations room 1 70 OFA09 70
FACILITY SUPPORT AREA Alcove, Medication 2 5 RCA06 10
FACILITY SUPPORT AREA Universal Patient Toilet 2 60 SB201 120
FACILITY SUPPORT AREA Storage, Equipment 1 240 SRE01 240
FACILITY SUPPORT AREA Storage, Medical Equipment 1 150 SRE01 150
FACILITY SUPPORT AREA Storage Area, Logistics PACT 1 1 250 SRLG1 250
FACILITY SUPPORT AREA Toilet, Family 1 80 TNPFM 80
FACILITY SUPPORT AREA Toilet, Staff 3 60 TNPG1 180
14 Totals: 1,295
EYE CLINIC Eyeglass Adjust and Fit 1 150 EYFD1 150
EYE CLINIC Exam / Eye / Opthalmology 5 135 EYOT2 675
EYE CLINIC Visual Fields Room 1 120 EYVF1 120
EYE CLINIC Imaging 1 240 EYVS1 240
EYE CLINIC Pre-Testing Room 1 120 EYVS1 120
EYE CLINIC Photocoagulation Laser Room 1 150 OPLS2 150
EYE CLINIC Sub-Waiting, Dilation Patient 1 80 WTG03 80
13 Totals: 1,535
LABORATORY SERVICE Laboratory, General 1 150 LBGM1 150
LABORATORY SERVICE Blood Specimen Collection Room 2 80 LBVP1 160
LABORATORY SERVICE Toilet, Specimen Collection 1 60 TPSP1 60
4 Totals: 370
MENTAL HEALTH CLINIC Consult Room, Mental Health 7 120 OFDC1 840
7 Totals: 840
DERMATOLOGY Exam Room, Dermatology 3 120 EXPA1 360
Totals: 360
Exam Room, Prosthetics 1 120 EXPA1 120
PODIATRY Exam Room, Podiatry 3 120 EXPA1 360
Totals: 360
SPECIALTY CARE GENERAL Vitals/Intake 1 120 EXPA1 120
Totals: 120
PROGRAM FOR DESIGN
MEDINA CBOC
Privacy Act - FOR OFFICAL USE ONLY
140 140
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Program for Design (20 Jun 2023 01:57PM ET)
PATIENT ALIGNED CARE TEAM (PACT) Conference Room 1 150 CFR01 150
PATIENT ALIGNED CARE TEAM (PACT) Exam Room SMA 1 200 EXPA1 200
PATIENT ALIGNED CARE TEAM (PACT) Exam Room, (PACT) 10 120 EXPA1 1200
PATIENT ALIGNED CARE TEAM (PACT) Workstation, Extended Team 5 50 OFA07 250
PATIENT ALIGNED CARE TEAM (PACT) Workstation, PACT PC-MHI 3 50 OFA07 150
PATIENT ALIGNED CARE TEAM (PACT) Office, Facility Director 1 100 OFA09 100
PATIENT ALIGNED CARE TEAM (PACT) Office, Nurse Manager + Assist Man 1 120 OFA09 120
PATIENT ALIGNED CARE TEAM (PACT) Office, Patient Rep 1 100 OFA09 100
PATIENT ALIGNED CARE TEAM (PACT) Consult Room, PACT PC-MHI 2 125 OFDC2 250
PATIENT ALIGNED CARE TEAM (PACT) Consult Room, (PACT) 2 125 OFDC2 250
PATIENT ALIGNED CARE TEAM (PACT) Alcove, Height / Weight Station 2 30 PEHW1 60
PATIENT ALIGNED CARE TEAM (PACT) Lounge, Staff 1 200 SL001 200
PATIENT ALIGNED CARE TEAM (PACT) Toilet,Procedure Room Patient 1 75 TPB01 75
PATIENT ALIGNED CARE TEAM (PACT) Procedure Room, General 1 180 TRPR1 180
PATIENT ALIGNED CARE TEAM (PACT) Clean Supply 2 120 UCCL1 240
PATIENT ALIGNED CARE TEAM (PACT) Soiled Holding 1 80 USCL1 80
PATIENT ALIGNED CARE TEAM (PACT) Team Work Area PACT Core 4 250 WRTM1 1000
48 Totals: 4,605
NON LEASABLE SUPPORT AREA Communications Room 1 80 COMC1 80
NON LEASABLE SUPPORT AREA Receiving / Shipping Dock 1 100 DOCK1 100
NON LEASABLE SUPPORT AREA Housekeeping Aides Closet (HAC) 1 60 JANC1 60
NON LEASABLE SUPPORT AREA Vestibule 1 200 LOB02 200
NON LEASABLE SUPPORT AREA Electrical 1 120 SB401 120
NON LEASABLE SUPPORT AREA Toilet, Female 1 80 TNPF1 80
NON LEASABLE SUPPORT AREA Toilet, Family 1 100 TNPFM 100
NON LEASABLE SUPPORT AREA Toilet, Male 1 80 TNPM1 80
9 Totals: 820
Progam Total: 11,865
ABOA 1.2 14,238
Circulation 5,761
TOTAL ABOA 19,999
Privacy Act - FOR OFFICAL USE ONLY
541-47218
11/27/2024
Room Floor WALLS BASE CEILING MILLWORK NOTES
LOBBY/RECEPTION AREA
Vending LVT-1 & LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1/ACT-2 LVT will have patterns in floor design
Volunteer LVT-1 & LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1/ACT-2 LVT will have patterns in floor design
Police LVT-1 & LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1/ACT-2 LVT will have patterns in floor design
Kiosk LVT-1 & LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1/ACT-2 LVT will have patterns in floor design
Reception/Admin CAR-1 PT-1/PT-2 RB-2 ACT-1, ACT -4 SSM-2/PL-1
ACT-4 extend into lobby area,SSM transaction counter with tempered glass partition
Alcove: Wheelchair LVT-1 & LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1/ACT-2 LVT will have patterns in floor design
Waiting/Commons
WOM-2/LVT-1 & LVT-2 PT-1/PT-2/CT-2/WP-1 RB-1 ACT-1/ACT-2/ACT-4 SSM-2/PL-1
Walk off Carpet approx. 25%/ LVT 75% - will have patterns in floor design, CT-
2 check in window areas
Intake Vitals LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Lactation Room LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Office Operations CAR-1 PT-1/PT-2 RB-2 ACT-1
Alcove, Medication CAR-1/LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Toilet, PACT 1 CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1
Storage, Equipment LVT-1 PT-1/WP-1 RB-2 ACT-1
Storage, Medical Equipment LVT-1 PT-1/WP-1 RB-2 ACT-1
Storage Area, Logistics PACT 1 LVT-1/LVT-2 PT-1/WP-1 RB-2 ACT-1
Toilet, Family CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1
Patient and Staff Corridors LVT-1/LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1/ACT-2
Eye Fitting Room LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Eye Exams LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Eye Visual Fields LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Imaging LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Pre-Testing LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Retinal Photocoagulation Laser Room LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Sub-Waiting, Dialation LVT-1 PT-1/PT-2/WP-1 RB-1 ACT-1 SSM-1/PL-1
Laboratory, General LVT-1/LVT-2 PT-1/PT-2/WP-1 RB-1 ACT-1 SSM-1/PL-1
Blood Specimen Collection Rooms LVT-1 PT-1/PT-2/WP-1 RB-1 ACT-1 SSM-1/PL-1
Toilet, Specimen Collection CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1
Consult Rooms, Mental Health LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Exams Dermatology LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Exams Podiatry / Prosthetics LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Conference Room LVT-1/ LVT-2 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Shared Medical Appointment Room LVT-1/LVT-2 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Exam Rooms LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Workstation: Extended Team CAR-1/LVT-1 PT-1/PT-2 RB-2 ACT-1 within PACT+MHI+Extended Work Area
Workstation: PACT PC-MHI CAR-1/LVT-1 PT-1/PT-2 RB-2 ACT-1 within PACT+MHI+Extended Work Area
Office, Facility Director CAR-1 PT-1/PT-2 RB-2 ACT-1
Office, Nurse Manager CAR-1 PT-1/PT-2 RB-2 ACT-1
Consults PC-MHI LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Consults Room LVT-1 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Alcove, Height / Weight Station LVT-1 PT-1/WP-1 RB-1 ACT-1
Lounge, Staff LVT-1/ LVT-2 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Toilet, General Procedure Room Patient CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1
Procedure Room, General LVT-1/LVT-2 PT-1/PT-2 RB-1 ACT-1 SSM-1/PL-1
Utility Room, Clean LVT-1 PT-1/WP-1 RB-2 ACT-1
Utility Room, Soiled LVT-1 PT-1/WP-1 RB-2 ACT-1
PACT+MHI+Extended Work Area CAR-1/LVT-1 PT-1/PT-2 RB-2 ACT-1 SSM-1/PL-1
VA Tech OIT CONC PT-1 RB-2 EXP/P-4 3/4" fire treated and painted plywood on all 4 walls to 8'-0" height
Communications Room CONC PT-1 RB-2 EXP/P-4
Receiving / Storage CONC PT-1/WP-1 RB-2 EXP/P-4
Housekeeping Aides Closet (HAC) LVT-1 PT-1/WP-1 RB-2 ACT-1
Vestibule WOM-1 PT-1/WP-1 RB-1 ACT-1/ACT-2 Walk off Mat to have drainage under
Electrical CONC PT-1 RB-2 EXP/P-4
Toilet - Female CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1 Stainless Steel Toilet Partitions
Toilet - Family CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1
Toilet - Male CT-1 CT-1/CT-2 CT-3 GWB/PT-4 SSM-1/PL-1 Stainless Steel Toilet Partitions
General Notes :
All outside corners to have stainless steel corner guards from top of wall base to 6" off ceiling standard
All windows to have blinds by lessor - Must be similar to MechoShade - Shade Cloth material with 1-3% openness and manual breakaway chain- no mini blinds accepted
Lessor to provide all signage to include code, directional, safety and regulatory
MEDINA OUTPATIENT CLINIC
FINISH SCHEDULE
GWB Board Bulkheads to be added to design - provide 25% of lineal ft for bulkheads - locations TBD
Lessor to coordinate with VA provided cubicle tracks in all exam rooms at all doors and curtains
Casework for exam rooms to have upper cabinet qty: 1 that is customized with cutouts and holders inside cabinet for the following: 4 glove boxes, paper towel holder/ dispenser & cutout for cup holder
LVT 1 & LVT -2
Sheet flooring with welded seems and integral base in the lab.
Sheet flooring with welded seems and integral base in the lab.
RSF-1
RSF-1
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Material Legend : Basis of Design
ACT-1
ACT-2
ACT-3
ACT-4
CAR-1
CT-1
CT-2
CT-3
LVT-1
LVT-2
PL-1
PT-1
PT-2
PT-3
PT-4
SV-1
SSM-1
SSM-2
RB-1
RB-2
RT-1
WC-1
WP-1
WOM-1
WOM-2
GWB
CONC
EXP
Walk Off Carpet
PT-4 CEILING PAINT
NOT USED
SSM-1 SOLID SURFACE - Cambria, Everligh, Luxury Series, Polished
SSM-2 SOLID SURFACE - Cambria, Accent Color TBD, Luxury Series, Polished
RB-1 JOHNSONITE MILLWORK profile to be selected
LVT-1 LUXURY VINYL TILE: Patcraft, Style 1543V, Anew 5mm, 00700 Vicuna-V2, 20 mil wear layer
PL-1 PLASTIC LAMINATE Wilsonart
PT-1 SHERWIN WILLIAMS ProMar 200
PT-2 SPECIAL COATING or Accent Color
PT-3 ACCENT COLOR 1
LVT-2 LUXURY VINYL TILE: Patcraft, Style 1543V, Anew 5mm, Accent Color TBD, 20 mil wear layer
ACCOUSTIC WOOD CEILING SHEET - SURFACE MATERIALS AKUPANEL CAROLINA OAK/BLACK
CT-1 12X24 CERAMIC TILE - Thomas Brick, Iris Brand, Stone Peak Ceramics, EcoCrete Collection, Melted Ice Colorway, 8mm thickness, Honed Finish (IRG1224129)
GWB GYPSUM WALL BOARD
CONC SEALED CONCRETE
EXP EXPOSED
RB-2 JOHNSONITE 4" Cove base
NOT USED
WC-1 P-3tec/Rampart TYPE III
WC-4 CS ACROVYN or Similar - plan on 60" AFF typical unless indicated otherwise
Walk Off GRID with drainage
2X2 ARMSTRONG OPTIMA
ARMSTRONG METAL WORKS / Bulkheads
MILAR; CLEANABLE
CAR-1 CARPET TILE: Patcraft 10637 Unhemmed, 00570-Braid, Collection-On Neutral Ground 18x36
CT-2 MOSAIC ACCENT - Daltile, Bee Hive Medley, Multiplex Blue / Taupe P045 White
CT-3 CERAMIC TILE BASE - cove base to match CT-1
RSF-1 Polyflor Palettone PUR
Room Name Opening
Width
Opening
Height
Door
Material
Frame
Material
Glazing Notes
Blood Draw 3'-8" 7'-0" Wood HM Classroom set
Clean Supply 3'-8" 7'-0" Wood HM Storeroom set, EAC, closer
Communications Room 3'-0" 7'-0" Wood HM Storeroom set, EAC, closer
Conference Room 3'-0" 7'-0" Glass Alum. Temp, film Classroom, EAC, closer, Storefront System
Consult Rooms 3'-6" 7'-0" Wood HM Sliding Classroom set
Dermatology Rooms 3'-6" 7'-0" Wood HM Sliding Classroom set
Entry Vestibule (Interior) 6'-0" 7'-0" Glass Alum. Temp. Powered, pair sliding, photo cell, Entry Vestibule (Exterior) 6'-0" 7'-0" Glass Alum. Insul. Temp. Powered, pair sliding, photo cell, EAC
Exterior Exits 3'-0" 7'-0" Glass Alum. Insul. Temp. Panic, Flushbolt always locked ,Closer QTY 2
Eye\Fitting and Dispensing 4'-0" 7'-0" Glass Alum. Temp. Rolling overhead door with lock
Eye\Imaging 3'-8" 7'-0" Wood HM Sliding, Classroom set
Eye\Pretesting 3'-8" 7'-0" Wood HM Sliding, Classroom set
Eye\Exam Laser 3'-8" 7'-0" Wood HM Sliding, Classroom set, EAC
Eye\Visual Fields 3'-8" 7'-0" Wood HM Sliding, Classroom set, EAC
Eye\Exam 3'-8" 7'-0" Wood HM Sliding, Classroom set, EAC
Housekeeping 3'-0" 7'-0" Wood HM Storeroom set
HVAC\Electrical Room 3'-0" 7'-0" Wood HM Storeroom set, EAC, closer
Lab 3'-0" 7'-0" Wood HM EAC, Closer
Lactation Room 3'-6" 7'-0" Wood HM Privacy set w\ indicator
MH Consult Rooms 3'-6" 7'-0" Wood HM Sliding, Classroom set, EAC
Offices 3'-0" 7'-0" Wood HM Office set
PACT Exam Rooms 3'-6" 7'-0" Wood HM Sliding, Classroom set
PACT Team Area - Entry 3'-0" 7'-0" Glass Alum. Temp. film Classroom set, Closer, EAC, sidelite, QTY 8
Podiatry/Prosthetics Exam Rooms 3'-8" 7'-0" Wood HM Sliding, Classroom set
Procedure Room 3'-8" 7'-0" Wood HM Classroom set, EAC
Public Toilet (Male\Female) 3'-6" 7'-0" Wood HM Privacy set w\ indicator
Receiving\Storage (Exterior) 7'-0" HM\Insul HM Flushbolt always locked ,Closer, EAC
Receiving\Storage (Interior) 4' 0" 7'-0" Wood HM Classroom set, EAC, closer
Reception\Admin 3'-0" 7'-0" Wood HM Storeroom, EAC, QTY 2
Shared Medical Appointment 3'-6" 7'-0" Wood HM Classroom set
Soiled 3'-6" 7'-0" Wood HM Storeroom set, EAC, closer
Staff Lounge (Exterior) 3'-0" 7'-0" Glass Alum. Insul. Temp. Flushbolt always locked ,Closer EAC
Staff Lounge (Interior) 3'-0" 7'-0" Glass Alum. Temp, film Classroom, EAC, closer, Storefront System
Storage Rooms 3'-8" 7'-0" Wood HM Storeroom set, EAC, closer
Technology Room (TR) 3'-0" 7'-0" Wood HM Storeroom set, EAC (2 factor ID), closer
Toilet (Staff) 3'-0" 7'-0" Wood HM Privacy set w\ indicator
Toilet (Family) 3'-6" 7'-0" Wood HM Privacy set w\ indicator
Toilet (Patient Specimen) 3'-6" 7'-0" Wood HM Privacy set w\ indicator
Toilet (Patient) 3'-6" 7'-0" Wood HM Privacy set w\ indicator
Toilet (Procedure) 3'-6" 7'-0" Wood HM Privacy set
Waiting\Commons 3'-6" 7'-0" Glass Alum. Temp. EAC, sidelite, QTY 4
EAC = Electronic Access Control
Medina Outpatient Clinic (541-47218)
DOOR SCHEDULE
All doors single swinging unless noted otherwise
This schedule is to provide general requirements for the various types of doors, frames and hardware functions and is not intended to include all required hardware such as hinges, door stops, kickplates and other miscellaneous hardware.
(two doors) 3'0" (single door)
Door with 180 degree swing.
Project Room Contents (02 Jul 2024 02:13PM ET)
FOR OFFICIAL USE ONLY (Page 2)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 80 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: BX002 - Vending Machine Area Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A6030 Machine,Vending 2 EA L_RE . A
F0225 Chair,Dining Room 2 EA VV
F0795 Table,Dining 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 80 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: NCWD4 - Alcove, Volunteer Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
C02Q0 Cabinet,Sink,U/C/B,1 Door,36x24x22 1 EA CC
CB020 Cabinet,W/H,2 Shelf,1 DO,Sloping Top,38x24x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT030 Countertop,High Pressure Laminate 1 LF CC
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3025 Board,Bulletin,Wood Framed 1 EA VV
K1552 Brewer,Coffee,Auto,Elect,3 Burner,Front/Back 1 EA VV J A
Power outlet to support Volunteer Alcove 2 EA
FOR OFFICIAL USE ONLY (Page 3)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 80 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: OFA09 - Police Service Desk Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
A1015 Telephone,Desk,Multiple Line 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
E0120 Workstation,Straight,Free Standing,60" W 1 EA VV . A
F0205 Chair,Side With Arms 1 EA VV
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3050 Whiteboard,Dry Erase 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
Duress Alarm Primary Panel 1 EA CC . A
Duress Call
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 30 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: RCHK2 - Kiosk, Patient Check-In Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA CC
M1890 Kiosk,Educational,Stand-Up 2 EA VV . A
FOR OFFICIAL USE ONLY (Page 4)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 340 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: RCP03 - Reception Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 6 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 5 EA VV
E0130 Workstation,Documentation,OR,L-Shaped 5 EA VV . A
Transaction counter with security window 5 EA CC
F0205 Chair,Side With Arms 2 EA VV
F0275 Chair,Swivel,High Back 5 EA VV
F0421 Pedestal File,Mobile 3 EA VV
F2000 Basket,Wastepaper,Fire Resistant 5 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 5 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 5 EA VV . A
Duress Alarm Secondary Panel 1 EA CC . A
Nurse Alarm Secondary Panel 1 EA CC . A
Duress Call 5 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 50 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: SRLW1 - Alcove, Wheelchair Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
M4705 Wheelchair,Patient Transport,Folding 3 EA VV
M4710 Wheelchair,Patient,Bariatric,Transport,Folding 1 EA VV
FOR OFFICIAL USE ONLY (Page 5)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 1,600 Functional Area: LOBBY / RECEPTION AREA Staff: 0 Room: WTPC1 - Waiting, PACT 1 Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA CC
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 2 EA VV
A5220 Bracket,Television,Wall Backing 2 EA VV
A6046 Artwork,Decorative,With Frame 2 EA VV
F0206 Chair,Side,Bariatric,With Arms 6 EA VV
F0305 Chair,Waiting Room,Single 45 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F2300 Rack,Magazine,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0512 Television,HDTV,Large Screen,60" 4 EA VV . A
A0915 Power Supply,725 W,for LAN Switch 1 EA VV . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 75 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: LAC01 - Lactation Room Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1080 Mirror,Posture,Wall Mounted 1 EA CC
A4995 Table,Diaper Changing,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
C0035 Rail,Apron,4x24x1 2 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
(each TV to have Lessor provided power and data)
FOR OFFICIAL USE ONLY (Page 6)
CS040 Sink,SS,Single Compartment,7.5x14x14 ID 1 EA CC D
CT020 Countertop,Solid Surface 6 LF CC
F0255 Chair,Easy 1 EA VV
F0740 Table,Occasional,Lamp 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
R6200 Refrigerator,U/C or F/S,5 Cu Ft 1 EA VV . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 5 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: RCA06 - Alcove, Medication (x 2) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A
M3150 Distribution System,Medication,Automatic 1 EA VV . A . . . T 6530
R6200 Refrigerator,U/C or F/S,5 Cu Ft 1 EA VV . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 60 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: SB201 - Universal Patient Toilet, Bldg Sprt (x 2) Blueprint #:
FOR OFFICIAL USE ONLY (Page 7)
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
CT025 Countertop,Solid Surface with Sink Combination 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV
P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Nurse Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 125 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: SRE01 - Storage, Equipment Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
M2055 Shelving,Storage,Wire,CRS,w/Adjustable Shelves 4 EA VV
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 120 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: SRE01 - Storage, Medical Equipment Blueprint #:
FOR OFFICIAL USE ONLY (Page 8)
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA CC
M2055 Shelving,Storage,Wire,CRS,w/Adjustable Shelves 4 EA VV
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 250 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: SRLG1 - Storage Area, Logistics PACT 1 Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA CC
A1015 Telephone,Desk,Multiple Line 1 EA VV
E0078 Workstation,L-Shaped w/Peninsula,Free Std,78x72 1 EA VV . A
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2700 Reader,Bar Code,Hand Held,With Interface 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1840 Printer/Copier/Fax Combination 1 EA VV . A
M2005 Cabinet,Storage,Acid,Floor Standing,Shelves 1 EA VV
M2020 Cabinet,Storage,Safety,Built-In,Vented 1 EA CC . . . . . E 7125
M2055 Shelving,Storage,Wire,CRS,w/Adjustable Shelves 1 EA VV
M2070 Shelving,Storage,77hx36wx18d 5 EA VV
M2085 Shelving,Storage,Pallet 3 EA VV
M2090 Shelving,Storage,Warehouse 3 EA VV
M2115 Truck,Hand,2 Wheel 1 EA VV
M2130 Truck,Hydraulic Lift,Electric 1 EA VV . A
M7780 Scanner,Document 1 EA VV . A
P2450 Valve,Mixing,Thermostatic 1 EA CC A
P5210 Shower,Safety,Freestanding,With Eye/Face Wash 1 EA CC B
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 80
FOR OFFICIAL USE ONLY (Page 9)
Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: TNPFM - Toilet, Family Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A4995 Table,Diaper Changing,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV
P3000 Lavatory,Vitreous China,Straight Back 1 EA CC D
P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Nurse Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 60 Functional Area: FACILITY SUPPORT AREA Staff: 0 Room: TNPG1 - Toilet, Staff (x 3) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
FOR OFFICIAL USE ONLY (Page 10)
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2010 Basket,Wastepaper,Step-On 1 EA VV
P3200 Lavatory,Vitreous China,Slab Type w/Sens Op Fauc 1 EA CC D
P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Nurse Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 150 Functional Area: EYE CLINIC Staff: 0 Room: EYFD1 - Eyeglass Adjust and Fit Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
E0078 Workstation,L-Shaped w/Peninsula,Free Std,78x72 1 EA VV . A
E0906 Locker,Supply,General,Wall Mtd,23"W x 20"D 2 EA VV
E0912 Locker,Supply,Med Surg,Wall Mtd 2 EA VV
E1500 Rail,MOD,W/MNTD,HX144XD 2 EA VV
F0275 Chair,Swivel,High Back 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5520 Lensometer 1 EA VV . A
M5705 Gauge,Distance,Pupillary 1 EA VV
M5735 Warmer,Spectacle,Plastic 1 EA VV . A
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
Duress Call 1 EA CC . A
FOR OFFICIAL USE ONLY (Page 11)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 130 Functional Area: EYE CLINIC Staff: 0 Room: EYOT2 - Exam / Eye (x 5) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 3 EA CC television 1 EA CC
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
E0945 Cart,Computer,Mobile 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5016 Desk,Refraction w/console,w/o Sink 1 EA VC . F
M5025 Table,Instrument,Ophthalmic,Adjustable 1 EA VV . A
M5530 Lamp,Slit,w/Applanation Tonometer 1 EA VV . A
M5535 Ophthalmoscope,Binocular,Indirect 1 EA VV . A
M5536 Ophthalmoscope,Direct 1 EA VV . A
M5545 Ophthalmometer/Keratometer 1 EA VV . A
M5562 Tester,Visual Acuity,Video/Microprocessor Based 1 EA VV . A
M5575 Tonometer,Noncontact 1 EA VV . A
M5600 Unit,Exam,Eye,w/Motor Chair,Phoropter 1 EA VV . A
M5705 Gauge,Distance,Pupillary 1 EA VV
M6040 Pachymeter,Ultrasound,Corneal 1 EA VV . A
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
Nurse Call 1 EA CC . A
FOR OFFICIAL USE ONLY (Page 12)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 130 Functional Area: EYE CLINIC Staff: 0 Room: EYVF1 - Visual Fields Room Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
C02Q0 Cabinet,Sink,U/C/B,1 Door,36x24x22 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0210 Worksurface,w/Overhead Cab,Wall Mtd,48" W 1 EA VV . A
F0300 Chair,Task,Swivel,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 2 EA VV . A
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M5500 Autorefractor,Ophthalmic 1 EA VV . A
M5510 Camera,Fundus,Digital 1 EA VV . A
M5520 Lensometer 1 EA VV . A
M5555 Perimeter,Automated 1 EA VV . A
M6040 Pachymeter,Ultrasound,Corneal 1 EA VV . A
Nurse Call 1 EA CC . A
Duress Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 130 Functional Area: EYE CLINIC Staff: 0 Room: EYVS1 - Imaging Blueprint #:
FOR OFFICIAL USE ONLY (Page 13)
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 4 EA CC
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A6046 Artwork,Decorative,With Frame 1 EA VV
E0945 Cart,Computer,Mobile 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 2 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5025 Table,Instrument,Ophthalmic,Adjustable 1 EA VV . A
M5027 Table,Multiple Instrument,Ophthalmic 1 EA VV . A
M5500 Autorefractor,Ophthalmic 1 EA VV . A
M5570 Armed Forces Vision Tester 1 EA VV . A
M5575 Tonometer,Noncontact 1 EA VV . A
M6045 Corneal Topography Unit 1 EA VV . A
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
Nurse Call 1 EA CC . A
Duress Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 130 Functional Area: EYE CLINIC Staff: 0 Room: EYVS1 - Pre-Testing Room Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
FOR OFFICIAL USE ONLY (Page 14)
A1066 Mirror,Float Glass,With SS Frame 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A6046 Artwork,Decorative,With Frame 1 EA VV
E0945 Cart,Computer,Mobile 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0340 Stool,Self Adjusting 2 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M5025 Table,Instrument,Ophthalmic,Adjustable 1 EA VV . A
M5027 Table,Multiple Instrument,Ophthalmic 1 EA VV . A
M5500 Autorefractor,Ophthalmic 1 EA VV . A
M5570 Armed Forces Vision Tester 1 EA VV . A
M5575 Tonometer,Noncontact 1 EA VV . A
M6045 Corneal Topography Unit 1 EA VV . A
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
Room: WTG03 - Sub-Waiting, Dilation Patient Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA CC
A6046 Artwork,Decorative,With Frame 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0305 Chair,Waiting Room,Single 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F2300 Rack,Magazine,Wall Mounted 1 EA VV
FOR OFFICIAL USE ONLY (Page 15)
F3200 Clock,Battery,12" Diameter 1 EA VV
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 150
Room: OPLS2 - Retinal Photocoagulation Laser Room, Ophthalmology Blueprint #:
Issue
Acq Code
A5048 Cabinet,Medication,Security,Wall Mounted 1 EA VV . . . . . J
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5106 Waste Disposal Unit,Sharps w/Glove Dispenser 1 EA VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
A6046 Artwork,Decorative,With Frame 1 EA VV
E0204 Worksurface,w/Overhd Cab & Drwrs,Wall Mtd,24" W 1 EA VV . A
E0224 Worksurface,Computer,O/H Cab,Wall Mtd,60" W 1 EA VV . A
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1825 Printer,Computer 1 EA VV . A
M4915 Chair,Exam/Treatment,ENT,w/Adjustable Light 1 EA VV . A
M5025 Table,Instrument,Ophthalmic,Adjustable 1 EA VV . A
M5517 Laser,Photocoagulation,Dual Fiber,Ophthalmology 1 EA VV . B
P3200 Lavatory,Vitreous China,Slab Type w/Sens Op Fauc 1 EA CC D
FOR OFFICIAL USE ONLY (Page 16)
Functional Area: LABORATORY SERVICE Staff: 0 Room: LBGM1 - Laboratory, General Blueprint #:
Issue
Acq Code
A1010 Telecommunication Outlet 3 EA CC
A5075 Dispenser,Soap,Disposable 2 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 2 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
C04F0 Cabinet,U/C/B,1 Shelf,2 Half DR,2 DO,36x36x22 1 EA CC
C04Q0 Cabinet,ADA Sink,Wall-Mounted 1 EA CC
C05P0 Cabinet,Sink,U/C/B,2 Door,36x48x22 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CS150 Sink,SS,Single Compartment,10x19x16 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
F0230 Chair,Drafting,Rotary 2 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3050 Whiteboard,Dry Erase 1 EA VV
L0990 Analyzer,Urine,Basic 1 EA VV . A
L1115 Analyzer,Hematology,Differential,Automatic 1 EA VV . A
L1502 Centrifuge,Tabletop 1 EA VV . A
L2570 Incubator,Bacteriological,Single 1 EA VV . A
L8520 Shaker,Rotating,12 Standard Tubes 1 EA VV . A
L8580 Stainer,Slide,Automatic,Hematology 1 EA VV . A
M1800 Monitor,Computer 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 17)
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1830 Printer,Label,Pharmacy 1 EA VV . A
M1840 Printer/Copier/Fax Combination 1 EA VV . A
M3072 Frame,Infectious Waste Bag w/Lid 1 EA VV
P1965 Eyewash,Eye/Face,Sink Mounted,Hands-free 1 EA CC A
P2451 Valve,Mixing,Thermostatic,Eyewash 1 EA CC A
R6070 Refrigerator/Freezer,Biological,Upright,18 Cu Ft 1 EA VV . A . . . C 4110
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 70 Functional Area: LABORATORY SERVICE Staff: 0 Room: LBVP1 - Blood Specimen Collection Room (x 2) Blueprint #:
Issue
Acq Code
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 1 FT VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 2 EA VV
F3025 Board,Bulletin,Wood Framed 1 EA VV
M1410 Chair,Laboratory,Blood Drawing,w/Storage 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1803 Workstation,Computer,Wall Mounted,Adjustable 1 EA VV . A
M1830 Printer,Label,Pharmacy 1 EA VV . A
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
FOR OFFICIAL USE ONLY (Page 18)
Duress Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 60 Functional Area: LABORATORY SERVICE Staff: 0 Room: TPSP1 - Toilet, Specimen Collection Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1067 Mirror,Float Glass,ADA Accessible 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5082 Dispenser,Paper Towel,Sensor,Hands Free 1 EA CC
A5090 Disposal,Sanitary Napkin,SS,Surface Mounted 1 EA CC
A5109 Grab Bar,ABA Compliant,SS,2-Wall,W/C Accessible 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5200 Dispenser,Toilet Tissue,SS,2-Roll,Surface Mntd 1 EA CC
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
L1200 Cabinet,Specimen,Pass Thru,CRS 1 EA CC
P3100 Lavatory,Vitreous China,Slab Type 1 EA CC D
P9050 Toilet,Wall Hung,Siphon Jet 1 EA CC B
Nurse Call 1 EA CC . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 125 Functional Area: MENTAL HEALTH CLINIC Staff: 0 Room: OFDC1 - Consult Room, Mental Health (x 7) Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 2 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5077 Dispenser,Hand Sanitizer,Hands-Free 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 1 EA VV
FOR OFFICIAL USE ONLY (Page 19)
A5220 Bracket,Television,Wall Backing 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
E0063 Workstation,L-Shaped w/Peninsula,Wall Mtd,72x72 1 EA VV . A
F0120 Bookcase,Executive,3 Shelf,Wood 1 EA VV
F0205 Chair,Side With Arms 1 EA VV
F0210 Chair,Side,Without Arms 2 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3065 Whiteboard/Bulletin Board,Combination 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 125 Functional Area: DERMATOLOGY Staff: 0 Room: EXPA1 - Exam Room, Dermatology (x 3) Blueprint #:
Issue
Acq Code
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN CC . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VV . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
FOR OFFICIAL USE ONLY (Page 20)
A5075 Dispenser,Soap,Disposable 1 EA VV
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 12 FT VV
C01Q0 Cabinet,Sink,U/C/B,1 Door,36x18x22 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0506 Television,Flat Screen 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M1825 Printer,Computer 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
M9025 Table,Examination/Treatment,With Cabinet 1 EA VV . A
Functional Area: SPECIALTY CARE Staff: 0 Room: EXPA1 – PROSTHETICS Blueprint #:
FOR OFFICIAL USE ONLY (Page 21)
Issue
Acq Code
A1131 Rail,Accessory Mounting,Exam,Side A 1 IN VV . . . . . J
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VC . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 12 FT VV
C01Q0 Cabinet,Sink,U/C/B,1 Door,36x18x22 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0506 Television,Flat Screen 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M1825 Printer,Computer 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 22)
Functional Area: PODIATRY Staff: 0 Room: EXPA1 - Exam Room, Podiatry (x 3) Blueprint #:
Issue
Acq Code
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VC . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 12 FT VV
C01Q0 Cabinet,Sink,U/C/B,1 Door,36x18x22 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0506 Television,Flat Screen 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 23)
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M1825 Printer,Computer 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M7401 Light,Exam,Mobile,Spotlight,Mobile Stand 1 EA VV . A
M9025 Table,Examination/Treatment,With Cabinet 1 EA VV . A
Nurse Call 1 EA CC . A
Duress Call 1 EA CC . A
Guldmann Ceiling Lift with structural support and hardwired above ceiling. 1 EA CC
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 150 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Staff: 0 Room: CFR01 - Conference Room Blueprint #:
JSN Content Name Qty Unit of Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1020 Telephone,Conferencing System 1 EA VV . A . . . T
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 1 EA VV
A5220 Bracket,Television,Wall Backing 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
F0220 Chair,Conference 8 EA VV
F0700 Table,Computer,Medium Size 1 EA VV
F0765 Table,Folding / Nesting 4 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0507 Video Teleconferencing System 1 EA VV . A
M0512 Television,HDTV,Large Screen,60" 1 EA VV . A
M1800 Monitor,Computer 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 200 Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Staff: 0 Room: EXPA1 - Exam Room SMA Blueprint #:
Floor box with power and data; as well as an HDMI port in the floor connected to an adjacent wall display 1 EA
FOR OFFICIAL USE ONLY (Page 24)
Issue
Acq Code
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VC . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 12 FT VV
C01Q0 Cabinet,Sink,U/C/B,1 Door,36x18x22 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M1825 Printer,Computer 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
FOR OFFICIAL USE ONLY (Page 25)
Functional Area: SPECIALTY CARE Staff: 0 Room: EXPA1 – INTAKE / VITALS Blueprint #:
Issue
Acq Code
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VC . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 12 FT VV
C01Q0 Cabinet,Sink,U/C/B,1 Door,36x18x22 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
FOR OFFICIAL USE ONLY (Page 26)
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M1825 Printer,Computer 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
M9025 Recliner chair, power operated 1 EA VV . A
Functional Area: PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1 Staff: 0 Room: EXPA1 - Exam Room, Patient Aligned Care Team (PACT) (x 10) Blueprint #:
Issue
Acq Code
A1132 Rail,Accessory Mounting,Exam,Side B 1 IN VC . . . . . J 6530
A1133 Rail,Accessory Mounting,Handwashing Station 1 IN VV . . . . . J
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5107 Dispenser,Glove,Surgical/Examination,Wall Mntd 1 EA VV
A5108 Waste Disposal Unit,Sharps 1 CS VV
A5145 Hook,Garment,Double,SS,Surface Mounted 2 EA CC
A5180 Track,Cubicle,Surface Mounted,With Curtain 12 FT VV
C01Q0 Cabinet,Sink,U/C/B,1 Door,36x18x22 1 EA CC
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
FOR OFFICIAL USE ONLY (Page 27)
CT020 Countertop,Solid Surface 1 LF CC
E0948 Cart,General Storage,Mobile,42"H x 32"W x 22"D 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0340 Stool,Self Adjusting 1 EA VV
F2010 Basket,Wastepaper,Step-On 1 EA VV
F2310 Rack,Pamphlet,Wall Mounted 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M0506 Television,Flat Screen 1 EA VV . A
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M1802 Work Station,Computer,Retractable,Wall Mounted 1 EA VV . B . . . D 7110
M1825 Printer,Computer 1 EA VV . A
M4100 Sphygmomanometer,Aneroid,Wall Mounted 1 EA VV
M4116 Monitor,Vital Signs 1 EA VV . A
M4200 Otoscope/Ophthalmoscope,Wall Mounted 1 EA VV . A
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 50
Room: OFA07 - Workstation, Extended Team (x 5) Blueprint #:
Issue
Acq Code
E0123 Workstation,Straight,Free Standing,72" W 1 EA VV . A
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
FOR OFFICIAL USE ONLY (Page 28)
Nurse Call Primary Panel (1 in team room) 1 EA CC . A
Nurse Call Secondary Panel (1 in team room) 1 EA CC . A
Television for scheduling (1 in team room)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 50
Room: OFA07 - Workstation, PACT PC-MHI (x 3) Blueprint #:
Issue
Acq Code
E0123 Workstation,Straight,Free Standing,72" W 1 EA VV . A
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 100
Room: OFA09 - Office, Facility Director Blueprint #:
Issue
Acq Code
E0090 Workstation,L-Shaped,Free Standing,72x72 1 EA VV . A
F0205 Chair,Side With Arms 1 EA VV
FOR OFFICIAL USE ONLY (Page 29)
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
Room: OFA09 - Office, Nurse Manager Blueprint #:
Issue
Acq Code
F0205 Chair,Side With Arms 1 EA VV
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
Room: OFA09 - Office, Patient Rep Blueprint #:
Issue
Acq Code
FOR OFFICIAL USE ONLY (Page 30)
F0205 Chair,Side With Arms 1 EA VV
F0275 Chair,Swivel,High Back 1 EA VV
F0420 Cabinet,Filing,Lateral,Half Height 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
Nurse call
Duress call
Room: OFDC2 - Consult Room, PACT PC-MHI (x 2) Blueprint #:
Issue
Acq Code
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 1 EA VV
A5220 Bracket,Television,Wall Backing 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CT020 Countertop,Solid Surface 1 LF CC
E0063 Workstation,L-Shaped w/Peninsula,Wall Mtd,72x72 1 EA VV . A
F0205 Chair,Side With Arms 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0300 Chair,Task,Swivel,With Arms 1 EA VV
FOR OFFICIAL USE ONLY (Page 31)
F3065 Whiteboard/Bulletin Board,Combination 1 EA VV
Room: OFDC2 - Consult Room, Patient Aligned Care Team (PACT) (x 2) Blueprint #:
Issue
Acq Code
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
A5145 Hook,Garment,Double,SS,Surface Mounted 1 EA CC
A5212 Bracket,Television,Wall-Mounted,Tilt/Angle 1 EA VV
A5220 Bracket,Television,Wall Backing 1 EA CC
A5225 Bracket,Dual Computer Monitor,Desk-Mounted 1 EA VV
CD040 Cabinet,W/H,2 Shelf,2 DO,Sloping Top,38x36x13 1 EA CC
CT020 Countertop,Solid Surface 1 LF CC
E0063 Workstation,L-Shaped w/Peninsula,Wall Mtd,72x72 1 EA VV . A
F0205 Chair,Side With Arms 1 EA VV
F0206 Chair,Side,Bariatric,With Arms 1 EA VV
F0300 Chair,Task,Swivel,With Arms 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3065 Whiteboard/Bulletin Board,Combination 1 EA VV
FOR OFFICIAL USE ONLY (Page 32)
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 30
Room: PEHW1 - Alcove, Height / Weight Station (x 2) Blueprint #:
Issue
Acq Code
A1010 Telecommunication Outlet 1 EA CC
E0222 Worksurface,Computer,O/H Cab,Wall Mtd,48" W 1 EA VV . A
F0210 Chair,Side,Without Arms 1 EA VV
F0275 Chair,Swivel,High Back 1 EA VV
F2000 Basket,Wastepaper,Fire Resistant 1 EA VV
F3200 Clock,Battery,12" Diameter 1 EA VV
M1801 Computer,Microprocessing,w/Flat Panel Monitor 1 EA VV . A
M4040 Scale,Weighing,300 Pound Capacity 1 EA VV
Duress call
Department: OUTPATIENT / PACT CLINIC (265) Room Area: 200
Room: SL001 - Lounge, Staff Blueprint #:
Issue
Acq Code
Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1010 Telecommunication Outlet 1 EA CC
A1012 Telephone,Wall Mounted,1 Line 1 EA VV
A1080 Mirror,Posture,Wall Mounted 1 EA CC
A5075 Dispenser,Soap,Disposable 1 EA CC
A5080 Dispenser,Paper Towel,SS,Surface Mounted 1 EA CC
FOR OFFICIAL USE ONLY (Page 33)
A5210 Bracket,Television,Wall Mounted,w/Adjust Arm 1 EA VV
A5220 Bracket,Television,Wall Backing 1 EA CC
C02C0 Cabinet,U/C/B,1 Shelf,1 Drawer,1 DO,36x24x22 1 EA CC
C02D0 Cabinet,U/C/B,4 Drawer,36x24x22 1 EA CC
C04P0 Cabinet,Sink,U/C/B,2 Door,36x36x22 1 EA CC
CB020 Cabinet,W/H,2 Shelf,1 DO,Sloping Top,38x24x13 2 EA CC
CS010 Sink,SS,Single Compartment,7.5x12x12 ID 1 EA CC D
CT020 Countertop,Solid Surface 7 LF CC
F022…
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