36C25025R0027 Exhibit C Conceptual Plan and Program for Design.pdf

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GENERAL

CARE/EXAM

VESTIBULE

W H

EE

LC

A

IR

S

W

EE

LC

IR

WOMEN CARE

UNISEX

TLT

Bariatric CARE

SHARED MEDICAL

APPOINTMENT

STORAGE

UNISEX TLT

PHLEBOTOMY

BIO-WASTE

ROOM VE

N D

IN

G refreshments

HEIGHT/

WEIGHT PHOTO ID

HEIGHT/

WEIGHT

LACTATION

HAC

CORRIDOR

CHECK-IN

227 SF

WORK

STATION

VOLUNTEER

DESK

WORK

ROOM

PODIATRY

CORRIDOR

B

PATIENT

COUNCELING

TELE-HEALTH

CARE

TRAINEE

COUNSELING

PHYSICAL THERAPY

TREATMENT

AREA

TREATMENT

AREA

Bariatric CARE

BREAK ROOM

LOCKER

ROOM

VEST A

STAFF

TLT/ SHWR

STAFF

CONSULT

PATIENT CARE

TRAINEE

COUNSELING

CONFERENCE

ROOMMECHANICAL ROOM MEDICAL

MEDICAL

EQUIPMENT

CLEAN

SUPPLY

LOGISTICS /

DELIVERY

TRAIN

SUPLY

EQUIPMENT/

FURNITURE

Hoteling Space

TEAM-LET /

HOTELING

AREA B

OFFICE

BREAK DOWN

VEST B

DMARC

FU

LL

C

YL

ER

EM

PT

Y

C

YL

ER

CHECK-IN

KIOSK

COVERED

VESTIBULE

VEST A

AutoCAD SHX Text

CONCEPTUAL FLOOR PLAN. MAY NOT INCLUDE ALL REQUIRED AREAS.

AutoCAD SHX Text

SCLAE: N.T.S.

Sheets and Views

Layout2

PROGRAM FOR DESIGN

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET)

REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT

DEFIANCE, OH

Projected Year: 2025 Midpoint Year: 2025

VISN: 11 State: IN State: 610A4 Station: NIHCS, Ft. Wayne

Installation: N. Indiana HCS-Ft. Wayne

Project Created: 3/3/2023 11:36:45 AM by David Flatjord Space Plan Last Edited: 1/9/2024 6:12:01 PM by Traci Peconge

Contents List Created: 3/3/2023 11:41:03 AM by David Flatjord Contents List Last Edited: 1/9/2024 6:17:52 PM by Traci Peconge

Report Generated: 29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Department: 01 - COMMUNITY BASED OUTPATIENT CLINIC (CBOC) (265)

Functional Area: 01 - OUTDOOR PUBLIC AREA

Qty Room Code Room Name Unit Area Net Area Const Phase Const Type

1 SB101 CBOC Veteran Drop-off, Bldg Sprt 0 0 1 2

1 SB102 CBOC Valet Parking Station, Bldg Sprt 0 0 1 2

1 SB103 CBOC Bicycle Rack Area, Bldg Sprt 0 0 1 2

1 SB104 CBOC Service Dog Walk Area, Bldg Sprt 0 0 1 2

FA Totals: Room Qty: 4 Net Area: 0 Gross Area: 0

Functional Area: 02 - INDOOR PUBLIC AREA

1 SB291 CBOC Vestibule / Indoor Buffer, Bldg Sprt 120 120 1 2

1 SC170 CBOC Public Health Kiosk, Clncl Sprt 20 20 1 2

FA Totals: Room Qty: 2 Net Area: 140 Gross Area: 210

Functional Area: 03 - VETERAN WELCOME AREA / MAIN STREET

1 CWV02 CBOC Lactation Room, Wm Vet Svc 80 80 1 2

1 OCB11 Interview Patient Care Room, CBOC 140 140 1 2

1 OCB16 Veteran Information / Welcome Area Storage Alcove, CBOC 20 20 1 2

1 SB003 CBOC Veteran / Guest Seating, Bldg Sprt 330 330 1 2

1 SB051 CBOC Family Seating, Bldg Sprt 60 60 1 2

1 SB105 CBOC Veteran Appreciation Area, Bldg Sprt 30 30 1 2

1 SB133 CBOC Veteran Information Station, Bldg Sprt 10 10 1 2

1 SB163 CBOC Bariatric Patient Toilet, Bldg Sprt 75 75 1 2

1 SB191 CBOC Universal Single Occupant Toilet, Bldg Sprt 65 65 1 2

1 SB244 CBOC Housekeeping Aides Closet (HAC), Bldg Sprt 60 60 1 2

Page 2 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Functional Area: 03 - VETERAN WELCOME AREA / MAIN STREET

1 SC005 CBOC Welcome Station, Clncl Sprt 100 100 1 2

1 SC165 CBOC Assisted Veteran Electronic Check-in, Clncl Sprt 35 35 1 2

1 SC274 CBOC Veteran Video Connect Station, Clncl Sprt 80 80 1 2

FA Totals: Room Qty: 13 Net Area: 1,085 Gross Area: 1,628

Functional Area: 04 - CAFE / REFRESHMENT AREA

1 SB207 CBOC Outdoor Seating, Bldg Sprt 0 0 1 2

1 SV381 CBOC Refreshment Station, Bldg Sprt 80 80 1 2

1 SV692 CBOC Vending Area, VC Svc 30 30 1 2

FA Totals: Room Qty: 3 Net Area: 110 Gross Area: 165

Functional Area: 05 - VETERAN EDUCATION / GROUP CARE AREA

1 OCB21 Shared Group / Multifunction Room, CBOC 240 240 1 2

1 OCB24 Shared Group / Multifunction Storage Room, CBOC 60 60 1 2

1 OCB27 Multifunction Room Assembly Area, CBOC 40 40 1 2

1 SC172 CBOC Patient Education Workstation, Clncl Sprt 56 56 1 2

FA Totals: Room Qty: 4 Net Area: 396 Gross Area: 594

Page 3 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Functional Area: 07 - LABORATORY MEDICINE AREA

1 CL821 CBOC Blood Draw Station, Path Svc 80 80 1 2

1 CL822 CBOC Bariatric Blood Draw Station, Path Svc 100 100 1 2

1 CL823 CBOC Laboratory Specimen Processing, Path Svc 120 120 1 2

1 CL831 CBOC Laboratory Clean Supply Storage Room, Path Svc 60 60 1 2

1 CL832 CBOC Laboratory Soiled Holding Room, Path Svc 60 60 1 2

1 SB198 CBOC Specimen Collection Toilet, Bldg Sprt 65 65 1 2

1 SC189 CBOC Handwashing Station, Clncl Sprt 10 10 1 2

1 SS218 CBOC Laboratory Lead Tech Workstation, Stff Sprt 56 56 1 2

FA Totals: Room Qty: 8 Net Area: 551 Gross Area: 827

Functional Area: 09 - PATIENT CARE AREA

1 CEY62 CBOC Tele Retinal Imaging Patient Care Room, Eye Clnc 140 140 1 2

1 CWV16 Women Veteran Patient Care Room, CBOC 140 140 1 2

1 OCB31 General Patient Care Room, CBOC 140 140 1 2

4 OCB31 General Patient Care Room, CBOC 140 560 1 0

1 OCB37 Multi-Use / Bariatric Patient Care Room, CBOC 210 210 1 2

1 OCB41 Podiatry Patient Care Room, CBOC 140 140 1 2

1 OCM05 CBOC Counseling Patient Care Room, CB MH 140 140 1 2

1 OCM05 CBOC Trainee Counseling Patient Care Room, CB MH 140 140 1 2

1 OCM05 CBOC Counseling Patient Care Room, CB MH 140 140 1 0

1 SB159 CBOC Women Veteran Patient Toilet, Bldg Sprt 75 75 1 2

1 SB201 CBOC Patient Toilet, Bldg Sprt 75 75 1 2

2 SC066 CBOC Accessible Patient Height & Weight Station, Clncl Sprt 60 120 1 2

1 SC249 CBOC Telehealth Patient Care Room, Clncl Sprt 140 140 1 2

1 SC271 CBOC Clinical Trainee Consult Patient Care Room, Clncl Sprt 140 140 1 2

1 SC271 CBOC Consult Patient Care Room, Clncl Sprt 140 140 1 2

Page 4 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Functional Area: 09 - PATIENT CARE AREA

1 SC271 CBOC Consult Patient Care Room, Clncl Sprt 140 140 1 0

FA Totals: Room Qty: 20 Net Area: 2,580 Gross Area: 3,870

Functional Area: 10 - TEAMWORK AREA

1 SC079 CBOC Point of Use Equipment Alcove, Clncl Sprt 50 50 1 2

1 SC083 Medication Preparation Room, Clncl Sprt 80 80 1 0

1 SC281 CBOC Point of Use Supply Alcove, Clncl Sprt 50 50 1 2

1 SS217 CBOC Hoteling Workstation, Stff Sprt 48 48 1 2

4 SS218 CBOC Clinical Staff Workstation, Stff Sprt 56 224 1 2

4 SS218 CBOC Clinical Staff Workstation, Stff Sprt 56 224 1 0

1 SS268 CBOC Team Copy / Supply Alcove, Stff Sprt 50 50 1 2

1 SS291 CBOC Huddle Space, Stff Sprt 180 180 1 2

1 SV581 CBOC Point of Use Medication Alcove, Phrm Svc 50 50 1 2

FA Totals: Room Qty: 15 Net Area: 956 Gross Area: 1,434

Functional Area: 11 - LOGISTICS AREA

1 SB106 CBOC Covered Drop-off / Pick-Up, Bldg Sprt 0 0 1 2

1 SB244 CBOC Housekeeping Aides Closet (HAC), Bldg Sprt 60 60 1 2

1 SB541 CBOC Full Gas Cylinder Storage Room, Lgstcs Svc 40 40 1 2

1 SB551 CBOC Empty Gas Cylinder Storage Room, Lgstcs Svc 40 40 1 2

1 SB721 CBOC Medical Equipment Storage Room, Lgstcs Svc 80 80 1 2

1 SB741 CBOC Clinical Supplies Storage Room, Lgstcs Svc 60 60 1 2

Page 5 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Functional Area: 11 - LOGISTICS AREA

1 SB763 CBOC Sterile Supplies Storage Room, Lgstcs Svc 60 60 1 2

1 SC391 CBOC Telecommunications Room (TR), OIT 100 100 1 2

1 SC393 CBOC Demarc Room, OIT 80 80 1 2

FA Totals: Room Qty: 9 Net Area: 520 Gross Area: 780

Functional Area: 13 - MANAGEMENT AREA

1 SC231 CBOC Staff Workroom / Storage Room, Clncl Sprt 140 140 1 2

1 SS101 CBOC Staff Conference Room, Educ Svc 240 240 1 2

1 SS209 CBOC Shared Leadership Office, Stff Sprt 140 140 1 2

1 SS218 CBOC Administrative Staff Workstation, Stff Sprt 56 56 1 2

FA Totals: Room Qty: 4 Net Area: 576 Gross Area: 864

Functional Area: 14 - STAFF WELLNESS AREA

1 CWV11 CBOC Staff Lactation Room, Wm Vet Svc 75 75 1 2

2 SB191 CBOC Universal Staff Toilet, Bldg Sprt 65 130 1 2

1 SB196 CBOC Universal Staff Toilet / Shower, Bldg Sprt 85 85 1 2

1 SS251 CBOC Staff Personal Property Locker Alcove, Stff Sprt 40 40 1 2

1 SS262 CBOC Clinical Neighborhood Staff Multipurpose Room / Breakroom, Stff Sprt 120 120 1 2

1 SS275 CBOC Staff Outdoor Eating Area, Stff Sprt 0 0 1 2

1 SS276 CBOC Staff Wellness / Fitness Room, Stff Sprt 120 120 1 2

FA Totals: Room Qty: 8 Net Area: 570 Gross Area: 855

Page 6 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Functional Area: 15 - MOBILE TECHNOLOGY AREA

1 SB003 CBOC Mobile Technology Patient Seating, Bldg Sprt 130 130 1 2

1 SB218 CBOC Mobile Technology Docking Area, Bldg Sprt 0 0 1 2

1 SB221 CBOC Mobile Technology Covered Walkway, Bldg Sprt 0 0 1 2

1 SB222 CBOC Mobile Technology Utility / Power Connection, Bldg Sprt 0 0 1 2

1 SB291 CBOC Mobile Technology Vestibule, Bldg Sprt 100 100 1 2

FA Totals: Room Qty: 5 Net Area: 230 Gross Area: 345

Dept Totals: Room Qty: 95 Net Area: 7,714 Gross Area: 11,571

Department: 02 - PHYSICAL MEDICINE AND REHABILITATION SERVICE (270) (COPIED 21 NOV 2023 01:49PM ET)

Functional Area: 03 - PMR SVC COMMON PATIENT AREA

1 CT012 Bariatric Exam Room, PMR Svc 170 170 1 0

1 SB163 PMR Svc Bariatric Patient Toilet, Bldg Sprt 75 75 1 0

FA Totals: Room Qty: 2 Net Area: 245 Gross Area: 331

Functional Area: 05 - PHYSICAL THERAPY (PT) AREA

1 CT034 PT Treatment Station D, PMR Svc 150 150 1 0

1 CT036 PT Treatment Station F, PMR Svc 150 150 1 0

1 CT041 PT Treatment Cubicle, PMR Svc 150 150 1 0

1 CT043 PT Veteran Wellness Station, PMR Svc 12 12 1 0

1 CT044 PT Equipment Storage Room, PMR Svc 120 120 1 0

1 CT045 PT Supply Storage Room, PMR Svc 100 100 1 0

FA Totals: Room Qty: 6 Net Area: 682 Gross Area: 921

Page 7 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET

FUTURE DEFIANCE VA CLINIC REPLACEMENT (COPIED 21 NOV 2023 01:44PM ET) (REPLACE DEFIANCE VA CLINIC W/ FULL TIME PT)

Functional Area: 13 - PMR SVC SUPPORT AREA

1 SC452 PMR Svc Soiled Linen Room, EMS 60 60 1 0

1 SC471 PMR Svc Clean Linen Room, EMS 40 40 1 0

FA Totals: Room Qty: 2 Net Area: 100 Gross Area: 135

Functional Area: 14 - PMR SVC STAFF AND ADMINISTRATIVE AREA

1 SS218 PMR Svc Administration Support Workstation, Stff Sprt 56 56 1 0

FA Totals: Room Qty: 1 Net Area: 56 Gross Area: 76

Dept Totals: Room Qty: 11 Net Area: 1,083 Gross Area: 1,462

Building Totals: Room Qty: 106 Net Area: 8,797 Sum of Dept Gross Area: 13,033 Gross Area: 17,595

Page 8 of 8FOR OFFICIAL USE ONLY29 Feb 2024 02:38PM ET