Exhibit O - Bismarck Sample Floor Plans.pdf

One-PACT Community Based Outpatient Clinic (CBOC) Sample Floor Plan 1 2 3 4

A

B

C

D

E

31' - 10" 31' - 10" 31' - 10"

A 126 SF

TRAINING/

FLEX

P 125 SF

A 152 SF

MEDICAL

EQUIPMENT

P 120 SF

A 125 SF

HEARING

AID PRG

P 125 SF

A 125 SF

CONSULT 4

P 125 SF

A 130 SF

FLEX

OFFICE

P 0 SF

A 303 SF

GROUP

ROOM

P 300 SF

A 72 SF

PROC. TLT

P 75 SF

A 180 SF

PROCEDURE

P 180 SF

A 125 SF

ELEC

P 0 SF

A 125 SF

FIRE

P 0 SF

A 125 SF

TELEHEALTH

EXAM

P 125 SF

A 125 SF

TELEHEATH

EXAM

P 125 SF

A 125 SF

LOCKERS

P 60 SF

A 125 SF

CONSULT 3

P 125 SF

A 254 SF

LOUNGE

CLINIC STAFF

P 220 SF

A 125 SF

MH

CONSULT

P 125 SF

A 415 SF

SHARED

MEDICAL

APPOINTMENTS

P 400 SF

A 222 SF

ADMIN

WORK AREA

P 225 SF

A 41 SF

STOR.

P 30 SF

A 20 SF

STOR.

P 30 SF

A 68 SF

STAFF TLT

P 60 SF

A 69 SF

J.C.

P 40 SF

A 270 SF

CONFERENCE

P 180 SF

A 183 SF

RECEIVING/

STORAGE

P 300 SF

A 22 SF

BIO H.

P 30 SF

A 125 SF

COMM

P 110 SF

A 50 SF

H&W

P 40 SF

A 100 SF

ADDS

PHARM

P 100 SF

A 60 SF

STAFF TLT

P 60 SF

A 167 SF

RECEPTION

P 120 SF

A 125 SF

FLEX

P 0 SF

A 75 SF

TLT

P 75 SF

A 75 SF

TLT

P 75 SF

KIOSKS

A 29 SF

MED

P 20 SF

A 29 SF

EQUIP

P 0 SF

F

VOLUNTEER

A 28 SF

EQUIP

P 0 SF

A 104 SF

POLICE

P 125 SF

A 187 SF

VESTIBULE

P 150 SF

A 129 SF

EXAM 7

P 125 SF

A 126 SF

EXAM 6

P 125 SF

A 129 SF

EXAM 5

P 125 SF

A 128 SF

EXAM 4

P 125 SF

A 64 SF

SPEC.

TLT

P 60 SF

A 60 SF

PAT. TLT

P 60 SF

A 81 SF

BLOOD

DRAW

P 80 SF

A 81 SF

BLOOD

DRAW

P 80 SF

A 145 SF

LAB

P 150 SF

A 125 SF

EXAM 8

P 125 SF

A 128 SF

EXAM 2

P 125 SF

A 125 SF

EXAM 3

P 125 SF

A 128 SF

EXAM 1

P 125 SF

A 129 SF

WOMEN'S

HEALTH 2

P 125 SF

A 57 SF

WH TLT

P 60 SF

A 57 SF

WH TLT

P 60 SF

A 132 SF

WOMEN'S

HEALTH 1

P 125 SF

A 130 SF

CONSULT 1

P 125 SF

A 125 SF

CONSULT 2

P 125 SF

A 125 SF

TELERETINAL

P 125 SF

A 52 SF

WHEEL

CHAIRS

P 60 SF

A 1002 SF

PACT + EXTENDED

CARE TEAM WORK AREA

P 1260 SF

A 28 SF

CC/

EQUIP

P 20 SF

A 75 SF

CLEAN

P 60 SF

FAMILY

WAITING

PATIENT

EDUCATION

VENDING

97' - 1"

2'

- 6

0"

30' - 6"

COMMONS

LEGEND - FUNCTION

TEAM WORK AREA

OFFICES

STAFF SUPPORT

CLASSROOM/CONFERENCE

RECEPTION/WAITING/PUBLIC SPACE

EXAM/CONSULT ROOMS

TREATMENT/PROCEDURE ROOMS

CLINIC SUPPORT

MECH, ELEC, PLUMB, COMM

CIRCULATION

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/28/2018 10:59:30 AM

OUTPATIENT / PACT CLINIC - LEASE MODULE

DISCLAIMER

DISCLAIMER:

ROOM TEMPLATES ARE A CRITICAL COMPONENT TO VA TECHNICAL INFORMATION LIBRARY (TIL) WHICH PROVIDES STANDARDS FOR ALL VA PLANNING, DESIGN, AND CONSTRUCTION PROJECTS. ROOM TEMPLATES ARE DEPARTMENT AND ROOM ALIGNED CRITERIA DESCRIBING SPACE, ROOM CONTENTS, AND OTHER TECHNICAL REQUIREMENTS FOR THE DEVELOPMENT OF VA PROJECTS. ROOM TEMPLATES COMMUNICATE THE BASIS OF DESIGN (BOD) AND ARE REQUIRED TO BE UTILIZED BY PROJECT TEAMS WORKING ON NEW CONSTRUCTION AND RENOVATIONS OF EXISTING FACILITIES. THE MATERIAL CONTAINED IN THE ROOM TEMPLATE CONSTITUTES A STANDARD FOR VA PLANNING, DESIGN, AND CONSTRUCTION. ANY SUBSTANTIAL VARIANCE FROM STANDARDS SHALL BE CONSIDERED ONLY AS REQUIRED TO ACCOMMODATE SPECIFIC SITE, FUNCTIONAL, AND OPERATIONAL CONDITIONS. EACH SUBSTANTIAL VARIANCE SHALL HAVE A BASIS OF RATIONALE AND BE DOCUMENTED IN THE PROJECT RECORD.

CLINICIANS, PROVIDERS, PRIMARY USERS, AND OTHER STAKEHOLDERS SHALL BE INVOLVED IN PROJECT SPECIFIC DEVELOPMENT OF ROOM TEMPLATES AND BIM TEST-FITS TO BEST ADAPT STANDARDS FOR SPECIFIC FUNCTIONAL, OPERATIONAL , AND SITE CONDITIONS AND TO PROVIDE OPTIMUM SERVICES ENVIRONMENTS FOR VETERANS.

STAKEHOLDER INVOLVEMENT AND REQUIREMENTS SHALL BE DOCUMENTED IN THE PROJECT RECORD.

ROOM TEMPLATES ARE NOT PROJECT-SPECIFIC BUT HAVE RECIEVED SOME FARHCS COMMENTS TO HELP CREATE THE PLANNED DESIGN. SITE SPECIFIC ISSUES MUST BE ADDRESSED WITH THE CONTEXT OF VA STANDARDS AND APPLIED TO EACH INDIVIDUAL PROJECT. USE OF THIS ROOM TEMPLATE DOES NOT PRECLUDE THE NEED FOR , NOR ABSOLVE PLANNERS, DESIGNERS, AND CONSTRUCTORS OF THEIR RESPONSIBILITY TO PROVIDE COMPLETE, FUNCTIONAL, SAFE, AND SECURE DESIGNS SUITED TO THE UNIQUE REQUIREMENTS OF EACH PROJECT.

EQUIPMENT AND SYSTEMS ARE SHOWN IN AN ILLUSTRATIVE, PERFORMANCE-BASED FORMAT AND ARE NOT INTENDED TO DEPICT, SUGGEST, OR OTHERWISE CONSTITUTE ENDORSEMENT OF ANY SPECIFIC PRODUCT OR MANUFACTURER.

MANUFACTURERS SHOULD BE CONSULTED FOR ACTUAL DIMENSIONS, CONFIGURATIONS, AND UTILITY REQUIREMENTS.

CBOC Narrative:

• The layout for the CBOC is heavily dependent on the space provided by the lease.

o The ideal layout shows a central PACT Team Work Area with staff functions in the rear of the clinic.

• There should be a combination of Exam Rooms and Consult Rooms that are accessible directly from the PACT Team Work

Area and not just Exam Rooms as shown above.

• One of the tele-health rooms will be built as an audiology/specialty tele-health room.

Notes:

1. There are rooms on this sample floor plan that are not identified on the Detailed Space Plan. The space plan is the guiding document for total space and room quantities.

2. Room Templates for Leased Spaces can be found at (https://www.cfm.va.gov/til/rTemplate/LeasingCBOCw.asp)

3. The Prototype for Standardized Design and Construction of Community Based Outpatient Clinics should also be referenced for guidance when designing the CBOC layout. (https://www.cfm.va.gov/til/prototypes.asp#CBOC)

4. Room, floor, and door finishes/sizes that are not detailed in this document are detailed in PG 18-14 Room Finishes, Door, and Hardware Schedule and can be found at (https://www.cfm.va.gov/til/room/RoomFinishes.pdf)

a. Provide three distinct color pallets for the VA choose from at the 65% review stage. These selections shall be incorporated into the 95% design drawings.

5. Door hardware is detailed in Attachment A7 Door Hardware Groups

6. Handrail in the patient corridors is not detailed in this document. This item shall be included in the project design and accounted for in contract costs.

7. Lessor shall provide guest Wi-Fi in areas where veterans wait or are seen for appointments.

8. Lessor shall provide data drops in the ceiling back to telecommunications room for VA network Wi-Fi meeting EHRM next gen Wi-Fi requirmenets.

9. Additional equipment guidance can be found from the Prototype for Standardized Design and Construction of

Community Based Outpatient Clinics referenced above as well as the VA Equipment Guide List (PG-18-5) Outpatient/PACT Clinic (265) and can be found at (https://www.cfm.va.gov/TIL/equip.asp)

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/28/2018 10:59:30 AM

OUTPATIENT / PACT CLINIC - LEASE MODULE

DISCLAIMER

DISCLAIMER:

EDITS HAVE BEEN MADE ON THIS DOCUMENT TO ASSIST THE DEVELOPMENT OF A LAYOUT THAT ACCOMODATES THE MINNEAPOLIS VA HEALTH CARE SYSTEM (MVAHCS) PLANNING OF THIS CLINIC. DEVELOPMENT OF THE FLOORPLANS SHALL INCORPORATE THESE COMMENTS AS WELL AS ALL OTHER DOCUMENTS IN THE LEASE PACKAGE.

TOTAL AREA OF EACH SPACE IS PROVIDED ON THE "DETAILED SPACE PLAN" DOCUMENT

DETAILED QUANTITIES OF POWER AND DATA ARE PROVIDED ON THE "DETAILED SPACE PLAN" DOCUMENT

COORDINATE ALL QUESTIONS THROUGH THE VA

CONTRACTING OFFICER (CO) OR THEIR REPRESENTATIVE

(COR).

BA C

D2

CENTERLINE

EQUIPMENT JSN

NUMBER & NAME

ELEVATION

REFERENCE

2X2 TROFFER LIGHT

FIXTURE

2X4 TROFFER LIGHT

FIXTURE

EXHAUST REGISTER RETURN REGISTER SUPPLY DIFFUSER

2X2 ACOUSTIC CEILING

SYSTEM

RECESSED CAN

LIGHT FIXTURE

CLEARANCE LINESOVERHEAD LINES

COMPOUND CEILING,

GYPSUM BOARD ON

METAL STUD

ROOM TAG

SINGLE SWITCH DIMMER SWITCH

WALL-MOUNTED

QUADRAPLEX OUTLET

FLOOR-MOUNTED

DUPLEX OUTLET

WALL-MOUNTED

DUPLEX OUTLET

FLOOR-MOUNTED

DATA OUTLET

WALL-MOUNTED

DATA OUTLET

Type Comments

JSN#

SPRINKLER HEAD

MULTIPLE SWITCH

(SUBSCRIPT INDICATES

QUANTITY)

FLOOR-MOUNTED

QUADRAPLEX OUTLET

ROOM NAME

(ROOM CODE)

AREA NSF

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/28/2018 10:59:31 AM

OUTPATIENT / PACT CLINIC - LEASE MODULE

LEGEND

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/28/2018 10:57:48 AM

AXONOMETRIC

T O

IL

E

T T

N P

G

P R

O C

E D

U R

E T

R P

R

T O

IL

E

T T

N P

G

E X

A M

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P A

C L

E A

N U

C C

L

E X

A M

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P A

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A M

E X

P A

E X

A M

E X

P A

STAFF CORRIDOR

S T

A F

F C

O R

R

ID

O R

.5 m

E X

A M

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P A

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A M

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P A

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A M

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P A

W O

M E

N 'S

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T O

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P G

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IP

R C

A

M E

D A

L C

O V

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C A

.8 m

(3.05m)

10'-0"

(3.05m)

10'-0"

(4.27m)

14'-0"

(1.83m)

6'-0"

(1.83m)

6'-0"

(3.05m)

10'-0"

(3.05m)

10'-0"

(3.05m)

10'-0"

(3.05m)

10'-0"

(3.05m)

10'-0"

(3.05m)

10'-0"

(1.83m)

6'-0"

.5 m

.1 m

.5 m

(1.83m)

6'-0"

STAFF CORRIDOR

STAFF CORRIDOR

STAFF CORRIDOR

F L

E X

O F

F

IC

E F

A

P A

C T

T E

A M

W O

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P A

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A L

C O

V E

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C A

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P E

H W

C O

P Y

A L

C O

V E

R C

A

PATIENT CORRIDOR

PATIENT CORRIDOR

S Y

S T

E M

S

F U

R N

IT

U

R E

P

A R

T

IT

IO

N

S

(1.37m)

4'-6"

(1.22m)

4'-0"

(1.37m)

4'-6"

(0.91m)

3'-0"

(0.91m)

3'-0"

(1.37m)

4'-6"

(1.22m)

4'-0"

(2.74m)

9'-0"

(1.22m)

4'-0"

(1.22m)

4'-0"

.6 m

P A

C T

T E

A M

W O

R K

S P

A C

E W

R T

M

(3.05m)

10'-0"

(3.05m)

10'-0"

(1.83m)

6'-0"

.0 m

.6 m

.5 m

.8 m

S Y

S T

E

R N

IT

U

R

T

IT

IO

N

S

S Y

S T

E

R N

IT

U

R

T

IT

IO

N

S

(1.52m)

5'-0"

E Q

U

IP

R C

A

(1.83m)

6'-0"

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/8" = 1'-0"

6/28/2018 10:57:50 AM

FLOOR PLAN

X

A M

E X

P A

T O

IL

E

T T

N P

G

P R

O C

E D

U R

E T

R P

R

T O

IL

E

T T

N P

G

F L

E X

O F

F

IC

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A

E X

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P A

C L

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C C

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E X

A M

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P A

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P A

P A

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T E

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W O

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S P

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IP

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M E

D A

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C A

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M E

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IL

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P A

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P A

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P A

W O

M E

N 'S

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A M

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W

T O

IL

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T T

P G

T O

IL

E

T T

P G

P A

C T

T E

A M

W O

R K

S P

A C

E W

R T

M

A L

C O

V E

S

C A

L E

P E

H W

C O

P Y

A L

C O

V E

R C

A

E Q

U

IP

R C

A

P A

C T

T E

A M

W O

R K

S P

A C

E W

R T

M

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/8" = 1'-0"

6/28/2018 10:57:51 AM

REFLECTED CEILIING PLAN

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 1:47:06 PM

CONFERENCE ROOM (CFR01)

DISCLAIMER

DISCLAIMER:

ROOM TEMPLATES ARE A CRITICAL COMPONENT TO VA TECHNICAL INFORMATION LIBRARY (TIL) WHICH PROVIDES STANDARDS FOR ALL VA PLANNING, DESIGN, AND CONSTRUCTION PROJECTS. ROOM TEMPLATES ARE DEPARTMENT AND ROOM ALIGNED CRITERIA DESCRIBING SPACE, ROOM CONTENTS, AND OTHER TECHNICAL REQUIREMENTS FOR THE DEVELOPMENT OF VA PROJECTS. ROOM TEMPLATES COMMUNICATE THE BASIS OF DESIGN (BOD) AND ARE REQUIRED TO BE UTILIZED BY PROJECT TEAMS WORKING ON NEW CONSTRUCTION AND RENOVATIONS OF EXISTING FACILITIES. THE MATERIAL CONTAINED IN THE ROOM TEMPLATE CONSTITUTES A STANDARD FOR VA PLANNING, DESIGN, AND CONSTRUCTION. ANY SUBSTANTIAL VARIANCE FROM STANDARDS SHALL BE CONSIDERED ONLY AS REQUIRED TO ACCOMMODATE SPECIFIC SITE, FUNCTIONAL, AND OPERATIONAL CONDITIONS. EACH SUBSTANTIAL VARIANCE SHALL HAVE A BASIS OF

RATIONALE AND BE DOCUMENTED IN THE PROJECT RECORD.

CLINICIANS, PROVIDERS, PRIMARY USERS, AND OTHER STAKEHOLDERS SHALL BE INVOLVED IN PROJECT SPECIFIC DEVELOPMENT OF ROOM TEMPLATES AND BIM TEST-FITS TO BEST ADAPT STANDARDS FOR SPECIFIC FUNCTIONAL, OPERATIONAL , AND SITE CONDITIONS AND TO PROVIDE OPTIMUM SERVICES

ENVIRONMENTS FOR VETERANS. STAKEHOLDER INVOLVEMENT AND REQUIREMENTS SHALL BE

DOCUMENTED IN THE PROJECT RECORD.

ROOM TEMPLATES ARE NOT PROJECT-SPECIFIC. SITE SPECIFIC ISSUES MUST BE ADDRESSED WITH THE CONTEXT OF VA STANDARDS AND APPLIED TO EACH INDIVIDUAL PROJECT. USE OF THIS ROOM TEMPLATE DOES NOT PRECLUDE THE NEED FOR , NOR ABSOLVE PLANNERS, DESIGNERS, AND CONSTRUCTORS OF THEIR RESPONSIBILITY TO PROVIDE COMPLETE, FUNCTIONAL, SAFE, AND SECURE DESIGNS SUITED TO THE

UNIQUE REQUIREMENTS OF EACH PROJECT.

EQUIPMENT AND SYSTEMS ARE SHOWN IN AN ILLUSTRATIVE, PERFORMANCE-BASED FORMAT AND ARE NOT INTENDED TO DEPICT, SUGGEST, OR OTHERWISE CONSTITUTE ENDORSEMENT OF ANY SPECIFIC PRODUCT

OR MANUFACTURER. MANUFACTURERS SHOULD BE CONSULTED FOR ACTUAL DIMENSIONS,

CONFIGURATIONS, AND UTILITY REQUIREMENTS.

LEASING

CENTERLINE

EQUIPMENT JSN

NUMBER & NAME

ELEVATION

REFERENCE

2X2 TROFFER LIGHT

FIXTURE

2X4 TROFFER LIGHT

FIXTURE

EXHAUST REGISTER RETURN REGISTER SUPPLY DIFFUSER

2X2 ACOUSTIC CEILING

SYSTEM

RECESSED CAN

LIGHT FIXTURE

CLEARANCE LINESOVERHEAD LINES

COMPOUND CEILING,

GYPSUM BOARD ON

METAL STUD

ROOM TAG

SINGLE SWITCH DIMMER SWITCH

WALL-MOUNTED

QUADRAPLEX OUTLET

FLOOR-MOUNTED

DUPLEX OUTLET

WALL-MOUNTED

DUPLEX OUTLET

FLOOR-MOUNTED

DATA OUTLET

WALL-MOUNTED

DATA OUTLET

Type Comments

JSN#

SPRINKLER HEAD

MULTIPLE SWITCH

(SUBSCRIPT INDICATES

QUANTITY)

FLOOR-MOUNTED

QUADRAPLEX OUTLET

ROOM NAME

(ROOM CODE)

AREA NSF

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:47:06 PM

CONFERENCE ROOM (CFR01)

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 1:47:07 PM

CONFERENCE ROOM (CFR01)

DD

COMPUTER WITH FLAT

PANEL MONITOR

M1801

(5.84m)

19'-2"

TELEVISION, HDTV, LARGE

SCREEN, 60"

M0512

BRACKET, TELEVISION,

WALL-MNTD, TILT ANGLE

A5212

240 NSF

CONFERENCE ROOM

(CFR01)

WORKSTATION,

COMPUTER, ENCLOSED,

WITH LOCK

F0690

5' -6

.8 m

CONFERENCE CHAIR

F0220

TELEPHONE,

CONFERENCING SYSTEM

A1020

BASKET, WASTEPAPER

F2000

CLOCK, BATTERY, 12"

F3200

TO STAFF

CORRIDOR

VIDEO CONFERENCE

M0507

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:47:07 PM

CONFERENCE ROOM (CFR01)

FLOOR PLAN (240 NSF / 22.30 NSM)

C C C

B BB

(5.84m)

19'-2"

240 NSF

CONFERENCE ROOM

(CFR01)

.8 m

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:47:08 PM

CONFERENCE ROOM (CFR01)

REFLECTED CEILING PLAN

WORKSTATION,

COMPUTER, ENCLOSED,

WITH LOCK

F0690

BASKET, WASTEPAPER

F2000

TELEVISION, HDTV, LARGE

SCREEN, 60"

M0512

WORKSTATION,

COMPUTER, ENCLOSED,

WITH LOCK

F0690

COMPUTER WITH FLAT

PANEL MONITOR

M1801

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:47:08 PM

CONFERENCE ROOM (CFR01)

ELEVATIONS

ELEVATION 1

ELEVATION 2

VIDEO CONFERENCE

M0507

CLOCK, BATTERY, 12"

F3200

BASKET, WASTEPAPER

F2000

CONFERENCE CHAIR

F0220

CLOCK, BATTERY, 12"

F3200

TELEPHONE,

CONFERENCING SYSTEM

A1020

TELEVISION, HDTV, LARGE

SCREEN, 60"

M0512

BRACKET, TELEVISION,

WALL-MNTD, TILT ANGLE

A5212

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:47:09 PM

CONFERENCE ROOM (CFR01)

ELEVATIONS

ELEVATION 4

ELEVATION 3

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 1:47:09 PM

CONFERENCE ROOM (CFR01)

ROOM DATA

ARCHITECTURAL & INTERIOR DESIGN

Ceiling Type:

Ceiling Height:

Wall Finish:

Base:

Floor Finish:

Special Requirement:

Sound Protection:

Ceiling Finish:

Wainscot:

Slab Depression:

Doors:

Notes:

TELECOMMUNICATION / SPECIAL SYSTEMS

Data:

Telephone:

Duress Alarm:

Intercom:

Motion Intrusion Detection (MID):

Security Surveillance Television (SSTV):

Code Blue:

Cable Television:

Electronic Access and Door Control:

Nurse Call:

Public Address:

VA Satellite TV:

Video Teleconferencing (VTEL):

Special Requirement:

Notes:

1) Nurse call signal lights shall be mounted on the ceiling outside the room.

LIGHTING

Special Requirement:

Luminaire Type:

Notes:

POWER

Electrical system design to comply with the latest NFPA 70 and 99

Design in accordance with project requirements.

Emergency Power:

Normal Power:

Special Requirement:

Notes:

HEATING, VENTILATING, AND AIR CONDITIONING

Refer to HVAC Design Manual.

Design in accordance with project requirements.

Refer to the current version of PG-18-10 Chapter 6 Table 5 – "Mechanical Room Data Sheets" for room temperatures, humidity range, room air change requirements, and pressurization

Notes:

PLUMBING AND MEDICAL GASES

Design in accordance with project requirements.

Cold Water:

Drain:

Medical Air:

Medical Vacuum:

Special Requirement:

Hot Water:

Reagent Grade Water:

Oxygen:

Notes:

1) Thermostatic mixing valve for sink.

FIRE PROTECTION AND LIFE SAFETY

Design in accordance with project requirements.

Alarm Detection:

Sprinkler:

Alarm Annunciator:

Notes:

Ref. Door Type Detail #SD080000-01 for door types Ref. Door Sizes Detail #SD080000-02 for door sizes

General Requirement: Lighting system design shall be based on the guidance of applicable Illuminating Engineering Society North America (IESNA) Standards.

9'-0" (2700mm)

AT

m: GWB f:P m: RWC at 4’ - 0” m: RB at h: 4" (100mm)

LVT

STC 40

m:Wood t:19 (Note 2) s:S

Yes

Yes

Yes Yes

Yes

Yes

Design in accordance with project requirements.

1) Provide dimmable lighting for a variety of tasks (meetings, A/v presentations, & conferences).

Connect to receptacles and equipment

Not Required

Yes Yes

Visual (15cd), center of tile

Recessed pendant, center of tile

1) Provide acoustical/tackable wall covering on one wall.

2) 40 STC rated acoustical door

3) Exterior windows shall have privacy film installed to prevent people from looking into the CBOC.

4) Exterior windows shall have 100% blackout curtains installed to control light and glare into the room.

2) Consider placement and optics to mitigate glare and ceiling reflections

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 1:59:18 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

DISCLAIMER

DISCLAIMER:

ROOM TEMPLATES ARE A CRITICAL COMPONENT TO VA TECHNICAL INFORMATION LIBRARY (TIL) WHICH PROVIDES STANDARDS FOR ALL VA PLANNING, DESIGN, AND CONSTRUCTION PROJECTS. ROOM TEMPLATES ARE DEPARTMENT AND ROOM ALIGNED CRITERIA DESCRIBING SPACE, ROOM CONTENTS, AND OTHER TECHNICAL REQUIREMENTS FOR THE DEVELOPMENT OF VA PROJECTS. ROOM TEMPLATES COMMUNICATE THE BASIS OF DESIGN (BOD) AND ARE REQUIRED TO BE UTILIZED BY PROJECT TEAMS WORKING ON NEW CONSTRUCTION AND RENOVATIONS OF EXISTING FACILITIES. THE MATERIAL CONTAINED IN THE ROOM TEMPLATE CONSTITUTES A STANDARD FOR VA PLANNING, DESIGN, AND CONSTRUCTION. ANY SUBSTANTIAL VARIANCE FROM STANDARDS SHALL BE CONSIDERED ONLY AS REQUIRED TO ACCOMMODATE SPECIFIC SITE, FUNCTIONAL, AND OPERATIONAL CONDITIONS. EACH SUBSTANTIAL VARIANCE SHALL HAVE A BASIS OF

RATIONALE AND BE DOCUMENTED IN THE PROJECT RECORD.

CLINICIANS, PROVIDERS, PRIMARY USERS, AND OTHER STAKEHOLDERS SHALL BE INVOLVED IN PROJECT SPECIFIC DEVELOPMENT OF ROOM TEMPLATES AND BIM TEST-FITS TO BEST ADAPT STANDARDS FOR SPECIFIC FUNCTIONAL, OPERATIONAL , AND SITE CONDITIONS AND TO PROVIDE OPTIMUM SERVICES

ENVIRONMENTS FOR VETERANS. STAKEHOLDER INVOLVEMENT AND REQUIREMENTS SHALL BE

DOCUMENTED IN THE PROJECT RECORD.

ROOM TEMPLATES ARE NOT PROJECT-SPECIFIC. SITE SPECIFIC ISSUES MUST BE ADDRESSED WITH THE CONTEXT OF VA STANDARDS AND APPLIED TO EACH INDIVIDUAL PROJECT. USE OF THIS ROOM TEMPLATE DOES NOT PRECLUDE THE NEED FOR , NOR ABSOLVE PLANNERS, DESIGNERS, AND CONSTRUCTORS OF THEIR RESPONSIBILITY TO PROVIDE COMPLETE, FUNCTIONAL, SAFE, AND SECURE DESIGNS SUITED TO THE

UNIQUE REQUIREMENTS OF EACH PROJECT.

EQUIPMENT AND SYSTEMS ARE SHOWN IN AN ILLUSTRATIVE, PERFORMANCE-BASED FORMAT AND ARE NOT INTENDED TO DEPICT, SUGGEST, OR OTHERWISE CONSTITUTE ENDORSEMENT OF ANY SPECIFIC PRODUCT

OR MANUFACTURER. MANUFACTURERS SHOULD BE CONSULTED FOR ACTUAL DIMENSIONS,

CENTERLINE

EQUIPMENT JSN

NUMBER & NAME

ELEVATION

REFERENCE

2X2 TROFFER LIGHT

FIXTURE

2X4 TROFFER LIGHT

FIXTURE

EXHAUST REGISTER RETURN REGISTER SUPPLY DIFFUSER

2X2 ACOUSTIC CEILING

SYSTEM

RECESSED CAN

LIGHT FIXTURE

CLEARANCE LINESOVERHEAD LINES

COMPOUND CEILING,

GYPSUM BOARD ON

METAL STUD

ROOM TAG

SINGLE SWITCH DIMMER SWITCH

WALL-MOUNTED

QUADRAPLEX OUTLET

FLOOR-MOUNTED

DUPLEX OUTLET

WALL-MOUNTED

DUPLEX OUTLET

FLOOR-MOUNTED

DATA OUTLET

WALL-MOUNTED

DATA OUTLET

Type Comments

JSN#

SPRINKLER HEAD

MULTIPLE SWITCH

(SUBSCRIPT INDICATES

QUANTITY)

FLOOR-MOUNTED

QUADRAPLEX OUTLET

ROOM NAME

(ROOM CODE)

AREA NSF

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:59:19 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 1:59:19 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

D

D

+48"

+48"

125 NSF

EXAM ROOM-PATIENT

ALIGNED CARE TEAM

(EXPA1)

LIGHT, EXAM, MOBILE

M7401

OTOSCOPE /

OPHTHALMOSCOPE

M4200

SPHYGMOMANOMETER,

ANEROID

M4100

WORKSTATION,

COMPUTER

M1803

CHAIR, SIDE WITH ARMS

F0205SINK, SS, SINGLE

CS010

COUNTERTOP, SOILD

SURFACE

CT020

HOOK, GARMENT

A5145

BOARD, BULLETIN

F3025

HOOK, GARMENT

A5145

TRACK, CUBICLE, WITH

CURTAIN

A5180

CLOCK, BATTERY, 12"

F3200

TELEPHONE, WALL-MNTD,

1 LINE

A1012

RAIL, ACCESSORY

A1132

TABLE, EXAM/TREATMENT

M9025

DISPENSER, GLOVE,

SURGICAL-EXAMINATION

A5107

.0 m

(3.81m)

12'-6"

5' -6

CHAIR

EXTENSION

CLEARANCE

BASKET, WASTEPAPER

F2000

DISPENSER, PAPER

TOWEL

A5080

CART, STORAGE

E0948

DISPENSER, SOAP

A5075

WASTE DISPOSAL UNIT,

SHARPS

A5108

COMPUTER WITH FLAT

PANEL MONITOR

M1801

STOOL, SELF-ADJUSTING

F0340

T O

S T

A

C

R R

ID

O

R

T O

P A

T

IE

N

R R

ID

O

R

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:59:20 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

FLOOR PLAN (125 NSF / 11.61 NSM)

125 NSF

EXAM ROOM-PATIENT

ALIGNED CARE TEAM

(EXPA1)

(3.81m)

12'-6"

.0 m

TRACK, CUBICLE, WITH

CURTAIN

A5180

LIFT SYSTEM, OVERHEAD

A1203

TRACK, CUBICLE, WITH

CURTAIN

A5180

OPTIONAL PATIENT LIFT

NON-BARIATRIC PATIENT LIFT

OCCURS IN FIRST EXAM ROOM IN

PACT MODULE. SUBSEQUENT

EXAM ROOMS IN PACT MODULE

SHALL NOT HAVE A PATIENT LIFT

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:59:20 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

REFLECTED CEILING PLAN

LEASING

VHAMINFleckD Text Box There are no patient lifts within this clinic

RAIL, ACCESSORY

A1132

OTOSCOPE /

OPHTHALMOSCOPE

M4200

SPHYGMOMANOMETER,

ANEROID

M4100

DISPENSER, GLOVE,

SURGICAL-EXAMINATION

A5107

BOARD, BULLETIN

F3025

TRACK, CUBICLE, WITH

CURTAIN

A5180

HOOK, GARMENT

A5145

CART, STORAGE

E0948

TRACK, CUBICLE, WITH

CURTAIN

A5180

TABLE, EXAM/TREATMENT

M9025

LIGHT, EXAM, MOBILE

M7401

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:59:21 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

ELEVATIONS

ELEVATION 1

CABINET

CD040

COUNTERTOP, SOILD

SURFACE

CT020

SINK, SS, SINGLE

CS010

TRACK, CUBICLE, WITH

CURTAIN

A5180

HOOK, GARMENT

A5145

CHAIR, SIDE WITH ARMS

F0205

CLOCK, BATTERY, 12"

F3200

COMPUTER WITH FLAT

PANEL MONITOR

M1801

WORKSTATION,

COMPUTER

M1803

TELEPHONE, WALL-MNTD,

1 LINE

A1012

STOOL, SELF-ADJUSTING

F0340

TRACK, CUBICLE, WITH

CURTAIN

A5180

CABINET

CD040

DISPENSER, SOAP

A5075

COUNTERTOP, SOILD

SURFACE

CT020

BASKET, WASTEPAPER

F2000

WASTE DISPOSAL UNIT,

SHARPS

A5108

SINK, SS, SINGLE

CS010

DISPENSER, PAPER

TOWEL

A5080

HOOK, GARMENT

A5145

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 1:59:21 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

ELEVATIONS

ELEVATION 3

ELEVATION 4

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 1:59:22 PM

EXAM ROOM, PATIENT ALIGNED CARE TEAM (EXPA1)

ROOM DATA

ARCHITECTURAL & INTERIOR DESIGN

Ceiling Type:

Ceiling Height:

Wall Finish:

Base:

Floor Finish:

Special Requirement:

Sound Protection:

Ceiling Finish:

Wainscot:

Slab Depression:

Doors:

TELECOMMUNICATION / SPECIAL SYSTEMS

Data:

Telephone:

Duress Alarm:

Intercom:

Motion Intrusion Detection (MID):

Security Surveillance Television (SSTV):

Code Blue:

Cable Television:

Electronic Access and Door Control:

Nurse Call:

Public Address:

VA Satellite TV:

Video Teleconferencing (VTEL):

Special Requirement:

Notes:

1) Nurse call signal lights shall be mounted on the ceiling outside the room.

LIGHTING

Special Requirement:

Luminaire Type:

Notes:

POWER

Electrical system design to comply with the latest NFPA 70 and 99

Design in accordance with project requirements.

Emergency Power:

Normal Power:

Special Requirement:

Notes:

HEATING, VENTILATING, AND AIR CONDITIONING

Refer to HVAC Design Manual.

Design in accordance with project requirements.

Refer to the current version of PG-18-10 Chapter 6 Table 5 – "Mechanical Room Data Sheets" for room temperatures, humidity range, room air change requirements, and pressurization

Notes:

PLUMBING AND MEDICAL GASES

Design in accordance with project requirements.

Cold Water:

Drain:

Medical Air:

Medical Vacuum:

Special Requirement:

Hot Water:

Reagent Grade Water:

Oxygen:

Notes:

1) Thermostatic mixing valve for sink.

FIRE PROTECTION AND LIFE SAFETY

Design in accordance with project requirements.

Alarm Detection:

Sprinkler:

Alarm Annunciator:

Notes:

General Requirement: Lighting system design shall be based on the guidance of applicable Illuminating Engineering Society North America (IESNA) Standards.

9'-0" (2700mm)

AT

m: GWB f:P m: RB at h: 4" (100mm)

LVT

STC 40

m:Wood t:19 (Note 1) s:S

Yes

Yes

Yes

Yes

Design in accordance with project requirements.

Connect to receptacles and equipment

Yes

Yes

Visual (15cd), center of tile

Recessed pendant, center of tile

Notes:

Ref. Door Type Detail #SD080000-01 for door types Ref. Door

Sizes Detail #SD080000-02 for door sizes

1) 40 STC rated acoustical door

2) Exterior windows shall have privacy film installed to prevent people from looking into the CBOC.

3) Exterior windows shall have 100% blackout curtains installed to control light and glare into the room.

Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner lamp(s) on first switch and outer lamps on second switch.

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 2:24:21 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

DISCLAIMER

DISCLAIMER:

ROOM TEMPLATES ARE A CRITICAL COMPONENT TO VA TECHNICAL INFORMATION LIBRARY (TIL) WHICH PROVIDES STANDARDS FOR ALL VA PLANNING, DESIGN, AND CONSTRUCTION PROJECTS. ROOM TEMPLATES ARE DEPARTMENT AND ROOM ALIGNED CRITERIA DESCRIBING SPACE, ROOM CONTENTS, AND OTHER TECHNICAL REQUIREMENTS FOR THE DEVELOPMENT OF VA PROJECTS. ROOM TEMPLATES COMMUNICATE THE BASIS OF DESIGN (BOD) AND ARE REQUIRED TO BE UTILIZED BY PROJECT TEAMS WORKING ON NEW CONSTRUCTION AND RENOVATIONS OF EXISTING FACILITIES. THE MATERIAL CONTAINED IN THE ROOM TEMPLATE CONSTITUTES A STANDARD FOR VA PLANNING, DESIGN, AND CONSTRUCTION. ANY SUBSTANTIAL VARIANCE FROM STANDARDS SHALL BE CONSIDERED ONLY AS REQUIRED TO ACCOMMODATE SPECIFIC SITE, FUNCTIONAL, AND OPERATIONAL CONDITIONS. EACH SUBSTANTIAL VARIANCE SHALL HAVE A BASIS OF

RATIONALE AND BE DOCUMENTED IN THE PROJECT RECORD.

CLINICIANS, PROVIDERS, PRIMARY USERS, AND OTHER STAKEHOLDERS SHALL BE INVOLVED IN PROJECT SPECIFIC DEVELOPMENT OF ROOM TEMPLATES AND BIM TEST-FITS TO BEST ADAPT STANDARDS FOR SPECIFIC FUNCTIONAL, OPERATIONAL , AND SITE CONDITIONS AND TO PROVIDE OPTIMUM SERVICES

ENVIRONMENTS FOR VETERANS. STAKEHOLDER INVOLVEMENT AND REQUIREMENTS SHALL BE

DOCUMENTED IN THE PROJECT RECORD.

ROOM TEMPLATES ARE NOT PROJECT-SPECIFIC. SITE SPECIFIC ISSUES MUST BE ADDRESSED WITH THE CONTEXT OF VA STANDARDS AND APPLIED TO EACH INDIVIDUAL PROJECT. USE OF THIS ROOM TEMPLATE DOES NOT PRECLUDE THE NEED FOR , NOR ABSOLVE PLANNERS, DESIGNERS, AND CONSTRUCTORS OF THEIR RESPONSIBILITY TO PROVIDE COMPLETE, FUNCTIONAL, SAFE, AND SECURE DESIGNS SUITED TO THE

UNIQUE REQUIREMENTS OF EACH PROJECT.

EQUIPMENT AND SYSTEMS ARE SHOWN IN AN ILLUSTRATIVE, PERFORMANCE-BASED FORMAT AND ARE NOT INTENDED TO DEPICT, SUGGEST, OR OTHERWISE CONSTITUTE ENDORSEMENT OF ANY SPECIFIC PRODUCT

OR MANUFACTURER. MANUFACTURERS SHOULD BE CONSULTED FOR ACTUAL DIMENSIONS,

CENTERLINE

EQUIPMENT JSN

NUMBER & NAME

ELEVATION

REFERENCE

2X2 TROFFER LIGHT

FIXTURE

2X4 TROFFER LIGHT

FIXTURE

EXHAUST REGISTER RETURN REGISTER SUPPLY DIFFUSER

2X2 ACOUSTIC CEILING

SYSTEM

RECESSED CAN

LIGHT FIXTURE

CLEARANCE LINESOVERHEAD LINES

COMPOUND CEILING,

GYPSUM BOARD ON

METAL STUD

ROOM TAG

SINGLE SWITCH DIMMER SWITCH

WALL-MOUNTED

QUADRAPLEX OUTLET

FLOOR-MOUNTED

DUPLEX OUTLET

WALL-MOUNTED

DUPLEX OUTLET

FLOOR-MOUNTED

DATA OUTLET

WALL-MOUNTED

DATA OUTLET

Type Comments

JSN#

SPRINKLER HEAD

MULTIPLE SWITCH

(SUBSCRIPT INDICATES

QUANTITY)

FLOOR-MOUNTED

QUADRAPLEX OUTLET

ROOM NAME

(ROOM CODE)

AREA NSF

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 2:24:21 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 2:24:21 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

+44"

+48"

+48"

CLOCK, BATTERY, 12"

F3200

SPHYGMOMANOMETER,

ANEROID

M4100

OTOSCOPE /

OPHTHALMOSCOPE

M4200

RAIL, ACCESSORY

A1132

TABLE, EXAM/TREATMENT

M9025

HOOK, GARMENT

A5145

BOARD, BULLETIN

F3025

CHAIR, SIDE WITH ARMS

F0205

125 NSF

WOMENS HEALTH

EXAM ROOM

(EXW01)

LIGHT, EXAM, MOBILE

M7401

CHAIR EXTENSION

CLEARANCE

TO PATIENT

TOILET

T O

S T

A

R R

ID

O

R

T O

S T

A

R R

ID

O

R TRACK, CUBICLE, WITH

CURTAIN

A5180

(3.81m)

12'-6"

5' -6

.0 m

TELEPHONE, WALL-MNTD,

1 LINE

A1012

BASKET, WASTEPAPER

F2000

WASTE DISPOSAL UNIT,

SHARPS

A5108

COMPUTER WITH FLAT

PANEL MONITOR

M1801

HOOK, GARMENT

A5145

CART, STORAGE

E0948

STOOL, SELF-ADJUSTING

F0340

COMPUTER WITH FLAT

PANEL MONITOR

M1801

WORKSTATION,

COMPUTER

M1803

DISPENSER, SOAP

A5075

SINK, SS, SINGLE

CS010

COUNTERTOP, SOLID

SURFACE

CT020

DISPENSER, PAPER

TOWEL

A5080

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 2:24:22 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

125 NSF

WOMENS HEALTH

EXAM ROOM

(EXW01)

(3.81m)

12'-6"

.0 m

"LIFT SYSTEM, OVERHEAD

A1203

TRACK, CUBICLE, WITH

CURTAIN

A5180

TRACK, CUBICLE, WITH

CURTAIN

A5180

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 2:24:22 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

CLOCK, BATTERY, 12"

F3200

LIGHT, EXAM, MOBILE

M7401

RAIL, ACCESSORY

A1132

TABLE, EXAM/TREATMENT

M9025

OTOSCOPE /

OPHTHALMOSCOPE

M4200

BOARD, BULLETIN

F3025

HOOK, GARMENT

A5145

CART, STORAGE

E0948

SPHYGMOMANOMETER,

ANEROID

M4100

STOOL, SELF-ADJUSTING

F0340

TRACK, CUBICLE, WITH

CURTAIN

A5180

TRACK, CUBICLE, WITH

CURTAIN

A5180

BOARD, BULLETIN

F3025

RAIL, ACCESSORY

A1132

DISPENSER, GLOVE,

SURGICAL-EXAMINATION

A5107

HOOK, GARMENT

A5145

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 2:24:23 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

ELEVATIONS

ELEVATION 1

COMPUTER WITH FLAT

PANEL MONITOR

M1801

TRACK, CUBICLE, WITH

CURTAIN

A5180

DISPENSER, SOAP

A5075

TELEPHONE, WALL-MNTD,

1 LINE

A1012

CHAIR, SIDE WITH ARMS

F0205

WORKSTATION,

COMPUTER

M1803

COUNTERTOP, SOLID

SURFACE

CT020

SINK, SS, SINGLE

CS010

HOOK, GARMENT

A5145

DISPENSER, PAPER

TOWEL

A5080

WASTE DISPOSAL UNIT,

SHARPS

A5108

COUNTERTOP, SOLID

SURFACE

CT020

SINK, SS, SINGLE

CS010

DISPENSER, SOAP

A5075

BASKET, WASTEPAPER

F2000

TRACK, CUBICLE, WITH

CURTAIN

A5180

HOOK, GARMENT

A5145

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 2:24:23 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

ELEVATIONS

ELEVATION 3

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 2:24:24 PM

EXAM ROOM, WOMEN'S HEALTH (EXW01)

ROOM DATA

ARCHITECTURAL & INTERIOR DESIGN

Ceiling Type:

Ceiling Height:

Wall Finish:

Base:

Floor Finish:

Special Requirement:

Sound Protection:

Ceiling Finish:

Wainscot:

Slab Depression:

Doors:

TELECOMMUNICATION / SPECIAL SYSTEMS

Data:

Telephone:

Duress Alarm:

Intercom:

Motion Intrusion Detection (MID):

Security Surveillance Television (SSTV):

Code Blue:

Cable Television:

Electronic Access and Door Control:

Nurse Call:

Public Address:

VA Satellite TV:

Video Teleconferencing (VTEL):

Special Requirement:

Notes:

1) Nurse call signal lights shall be mounted on the ceiling outside the room.

LIGHTING

Special Requirement:

Luminaire Type:

Notes:

POWER

Electrical system design to comply with the latest NFPA 70 and 99

Design in accordance with project requirements.

Emergency Power:

Normal Power:

Special Requirement:

Notes:

HEATING, VENTILATING, AND AIR CONDITIONING

Refer to HVAC Design Manual.

Design in accordance with project requirements.

Refer to the current version of PG-18-10 Chapter 6 Table 5 – "Mechanical Room Data Sheets" for room temperatures, humidity range, room air change requirements, and pressurization

Notes:

PLUMBING AND MEDICAL GASES

Design in accordance with project requirements.

Cold Water:

Drain:

Medical Air:

Medical Vacuum:

Special Requirement:

Hot Water:

Reagent Grade Water:

Oxygen:

Notes:

1) Thermostatic mixing valve for sink.

FIRE PROTECTION AND LIFE SAFETY

Design in accordance with project requirements.

Alarm Detection:

Sprinkler:

Alarm Annunciator:

Notes:

General Requirement: Lighting system design shall be based on the guidance of applicable Illuminating Engineering Society North America (IESNA) Standards.

9'-0" (2700mm)

AT

m: GWB f:P m: RB at h: 4" (100mm)

LVT

STC 40

m:Wood t:19 (Note 1) s:U

Yes

Yes

Yes

Yes

Design in accordance with project requirements.

Connect to receptacles and equipment

Not Required

Yes

Yes

Yes

Visual (15cd), center of tile

Recessed pendant, center of tile

Notes:

Ref. Door Type Detail #SD080000-01 for door types Ref. Door Sizes Detail #SD080000-02 for door sizes

1) 40 STC rated acoustical door

2) Exterior windows shall have privacy film installed to prevent people from looking into the CBOC.

3) Exterior windows shall have 100% blackout curtains installed to control light and glare into the room.

Provide ballasts per fixture for desired switching configuration. To provide a uniform lighting level, switch inner

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 3:08:16 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

DISCLAIMER

DISCLAIMER:

ROOM TEMPLATES ARE A CRITICAL COMPONENT TO VA TECHNICAL INFORMATION LIBRARY (TIL) WHICH PROVIDES STANDARDS FOR ALL VA PLANNING, DESIGN, AND CONSTRUCTION PROJECTS. ROOM TEMPLATES ARE DEPARTMENT AND ROOM ALIGNED CRITERIA DESCRIBING SPACE, ROOM CONTENTS, AND OTHER TECHNICAL REQUIREMENTS FOR THE DEVELOPMENT OF VA PROJECTS. ROOM TEMPLATES COMMUNICATE THE BASIS OF DESIGN (BOD) AND ARE REQUIRED TO BE UTILIZED BY PROJECT TEAMS WORKING ON NEW CONSTRUCTION AND RENOVATIONS OF EXISTING FACILITIES. THE MATERIAL CONTAINED IN THE ROOM TEMPLATE CONSTITUTES A STANDARD FOR VA PLANNING, DESIGN, AND CONSTRUCTION. ANY SUBSTANTIAL VARIANCE FROM STANDARDS SHALL BE CONSIDERED ONLY AS REQUIRED TO ACCOMMODATE SPECIFIC SITE, FUNCTIONAL, AND OPERATIONAL CONDITIONS. EACH SUBSTANTIAL VARIANCE SHALL HAVE A BASIS OF

RATIONALE AND BE DOCUMENTED IN THE PROJECT RECORD.

CLINICIANS, PROVIDERS, PRIMARY USERS, AND OTHER STAKEHOLDERS SHALL BE INVOLVED IN PROJECT SPECIFIC DEVELOPMENT OF ROOM TEMPLATES AND BIM TEST-FITS TO BEST ADAPT STANDARDS FOR SPECIFIC FUNCTIONAL, OPERATIONAL , AND SITE CONDITIONS AND TO PROVIDE OPTIMUM SERVICES

ENVIRONMENTS FOR VETERANS. STAKEHOLDER INVOLVEMENT AND REQUIREMENTS SHALL BE

DOCUMENTED IN THE PROJECT RECORD.

ROOM TEMPLATES ARE NOT PROJECT-SPECIFIC. SITE SPECIFIC ISSUES MUST BE ADDRESSED WITH THE CONTEXT OF VA STANDARDS AND APPLIED TO EACH INDIVIDUAL PROJECT. USE OF THIS ROOM TEMPLATE DOES NOT PRECLUDE THE NEED FOR , NOR ABSOLVE PLANNERS, DESIGNERS, AND CONSTRUCTORS OF THEIR RESPONSIBILITY TO PROVIDE COMPLETE, FUNCTIONAL, SAFE, AND SECURE DESIGNS SUITED TO THE

UNIQUE REQUIREMENTS OF EACH PROJECT.

EQUIPMENT AND SYSTEMS ARE SHOWN IN AN ILLUSTRATIVE, PERFORMANCE-BASED FORMAT AND ARE NOT INTENDED TO DEPICT, SUGGEST, OR OTHERWISE CONSTITUTE ENDORSEMENT OF ANY SPECIFIC PRODUCT

OR MANUFACTURER. MANUFACTURERS SHOULD BE CONSULTED FOR ACTUAL DIMENSIONS,

CENTERLINE

EQUIPMENT JSN

NUMBER & NAME

ELEVATION

REFERENCE

2X2 TROFFER LIGHT

FIXTURE

2X4 TROFFER LIGHT

FIXTURE

EXHAUST REGISTER RETURN REGISTER SUPPLY DIFFUSER

2X2 ACOUSTIC CEILING

SYSTEM

RECESSED CAN

LIGHT FIXTURE

CLEARANCE LINESOVERHEAD LINES

COMPOUND CEILING,

GYPSUM BOARD ON

METAL STUD

ROOM TAG

SINGLE SWITCH DIMMER SWITCH

WALL-MOUNTED

QUADRAPLEX OUTLET

FLOOR-MOUNTED

DUPLEX OUTLET

WALL-MOUNTED

DUPLEX OUTLET

FLOOR-MOUNTED

DATA OUTLET

WALL-MOUNTED

DATA OUTLET

Type Comments

JSN#

SPRINKLER HEAD

MULTIPLE SWITCH

(SUBSCRIPT INDICATES

QUANTITY)

FLOOR-MOUNTED

QUADRAPLEX OUTLET

ROOM NAME

(ROOM CODE)

AREA NSF

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 3:08:16 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 3:08:16 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

+44"

+44"+48"

+48"

210 NSF

LABORATORY,

GENERAL

(LBGM1)

ANALYZER

L0990

STAINER, SLIDE, AUTO,

HEMATOLOGY

L8580

CENTRIFUGE

L1502

SHAKER, ROTATING

L8520

COPIER/FAX COMBO

M1840

COMPUTER WITH FLAT

PANEL MONITOR

M1801

PRINTER, LABEL,

PHARMACY

M1830

DISPENSER, PAPER

TOWEL

A5080

SINK, SS, SINGLE

COMPARTMENT

CS150

DISPENSER, SOAP

A5075

ANALYZER, HEMATOLGOY

L1115

TELEPHONE, DESK,

CONFERENCE

A1011

.6 m

HOOK, GARMENT

A5145

BASKET, WASTEPAPER

F2000

BOARD, BULLETIN

F3010

INFECTIOUS WASTE BAG

M3072

DISPENSER, GLOVE,

SURGICAL-EXAMINATION

A5107

DISPENSER, SOAP

A5075

SINK, SS, SINGLE

CS010

DISPENSER, PAPER

TOWEL

A5080

COUNTERTOP, SOLID

SURFACE

CT020

REFRIGERATOR-FREEZER,

BIOLOGICAL UPRIGHT

R6070

(4.27m)

14'-0"

5' -6

"WASTE DISPOSAL UNIT,

SHARPS

A5108

EYEWASH, HANDS-FREE

P1965

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 3:08:17 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

FLOOR PLAN (210 NSF / 19.51 NSM)

LEASING

VHAMINFleckD Text Box FARHCS lab layout includes a minimum of 15 LF of chemical resistant countertop not including workstations or sinks to accommodate equipment. It is beneficial to have the lab at the front of the clinic with access both from the reception area and clinic space.

Lab toilet adjacent to lab with specimen pass-thru to sink.

B B

B

BB

B

210 NSF

LABORATORY,

GENERAL

(LBGM1)

(4.27m)

14'-0"

.6 m

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 3:08:17 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

STAINER, SLIDE, AUTO,

HEMATOLOGY

L8580

ANALYZER, HEMATOLGOY

L1115

REFRIGERATOR-FREEZER,

BIOLOGICAL UPRIGHT

R6070

CABINET, U-C-B, 1 SHELF,

2 HALF DR, 2 DO

C04F0

STAINER, SLIDE, AUTO,

HEMATOLOGY

L8580

ANALYZER

L0990

SHAKER, ROTATING

L8520

DISPENSER, SOAP

A5075

SINK, SS, SINGLE

COMPARTMENT

CS150

DISPENSER, PAPER

TOWEL

A5080

CENTRIFUGE

L1502

CABINET, U-C-B, 1 SHELF,

2 HALF DR, 2 DO

C04F0

CABINET, SINK, U-C-B, 2

DOOR

C05P0

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 3:08:17 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

ELEVATIONS

ELEVATION 1

ELEVATION 2

LEASING

VHAMINFleckD

Overhead Cabinets Above All Base Cabinets

DISPENSER, PAPER

TOWEL

A5080

DISPENSER, SOAP

A5075

COPIER/FAX COMBO

M1840

TELEPHONE, DESK,

CONFERENCE

A1011

COMPUTER WITH FLAT

PANEL MONITOR

M1801

PRINTER, LABEL,

PHARMACY

M1830

CABINET, U-C-B, 1 SHELF,

2 HALF DR, 2 DO

C04F0

CABINET, ADA, SINK

SUPPORT

A1018

EYEWASH, HANDS-FREE

P1965

DISPENSER, PAPER

TOWEL

A5080

CABINET, SINK, U-C-B, 2

DOOR

C05P0 DISPENSER, GLOVE,

SURGICAL-EXAMINATION

A5107

HOOK, GARMENT

A5145

BASKET, WASTEPAPER

F2000

INFECTIOUS WASTE BAG

M3072

BOARD, BULLETIN

F3010

SINK, SS, SINGLE

CS010

DISPENSER, PAPER

TOWEL

A5080

DISPENSER, GLOVE,

SURGICAL-EXAMINATION

A5107

WASTE DISPOSAL UNIT,

SHARPS

A5108

CABINET, ADA, SINK

SUPPORT

A1018

COUNTERTOP, SOLID

SURFACE

CT020

EYEWASH, HANDS-FREE

P1965

0' 4' 8' 16'

SCALE:

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

1/4" = 1'-0"

6/27/2018 3:08:17 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

ELEVATIONS

ELEVATION 3

SKETCH TITLE

Plot Date:

DISCLAIMER: ROOM TEMPLATES ARE GRAPHICAL REPRESENTATIONS OF SELECTED ROOM TYPES THAT ILLUSTRATE VA PLANNING REQUIREMENTS FOR SPACE, ROOM

CONTENTS, AND ROOM SPECIFIC ENGINEERING SYSTEMS. THEY PROVIDE TYPICAL CONFIGURATIONS, PLANNING CRITERIA, AND GENERAL TECHNICAL GUIDANCE, AND

ARE NOT INTENDED TO BE PROJECT SPECIFIC REQUIREMENTS.

6/27/2018 3:08:18 PM

LABORATORY, GENERAL OUTPATIENT CLINIC (LBGM1)

ROOM DATA

ARCHITECTURAL & INTERIOR DESIGN

Ceiling Type:

Ceiling Height:

Wall Finish:

Base:

Floor Finish:

Special Requirement:

Sound Protection:

Ceiling Finish:

Wainscot:

Slab Depression:

Doors:

TELECOMMUNICATION / SPECIAL SYSTEMS

Data:

Telephone:

Duress Alarm:

Intercom:

Motion Intrusion Detection (MID):

Security Surveillance Television (SSTV):

Code Blue:

Cable Television:

Electronic Access and Door Control:

Nurse Call:

Public Address:

VA Satellite TV:

Video Teleconferencing (VTEL):

Special Requirement:

Notes:

1) Nurse call signal lights shall be mounted on the ceiling outside the room.

LIGHTING

Special Requirement:

Luminaire Type:

Notes:

POWER

Electrical system design to comply with the latest NFPA 70 and 99

Design in accordance with project requirements.

Emergency Power:

Normal Power:

Special Requirement:

Notes:

HEATING, VENTILATING, AND AIR CONDITIONING

Refer to HVAC Design Manual.

Design in accordance with project requirements.

Refer to the current version of PG-18-10 Chapter 6 Table 5 – "Mechanical Room Data Sheets" for room temperatures, humidity range, room air change requirements, and pressurization

Notes:

PLUMBING AND MEDICAL GASES

Design in accordance with project requirements.

Cold Water:

Drain:

Medical Air:

Medical Vacuum:

Special Requirement:

Hot Water:

Reagent Grade Water:

Oxygen:

Notes:

1) Thermostatic mixing valves for sinks.

2) Eyewash station required

FIRE PROTECTION AND LIFE SAFETY

Design in accordance with project requirements.

Alarm Detection:

Sprinkler:

Alarm Annunciator:

Notes:

General Requirement: Lighting system design shall…