36C77618R0092-096.pdf

Comment Furniture Architecture Mechanical Electrical Equipment OIT Other Comments Mock up Goals

Ability to see through the med room- staff really like the large window.

X

2 The locked cabinet drawers. X 3 Sound proofing X 4 Color scheme X 5 Patient storage with locks X 6 Electric ergonomic workstations X X 7 Electric Window shades X X 8 Sink location in patient rooms X X 9 Double door arrangement on patient rooms X

Patients in general love 3E. I have yet to hear a negative comment from a patient or family member

X

Copper wire was installed from the Riser Pairs into Patch Panel to prepare jacks for future VOIP Telephony implementation.

X

We were able to re-utilize Avaya Digital and Analog Phones, new patient phones and additional phones into 3E-Ward were installed (significant cost savings)

X

Cisco 7925 wireless phone were re-used from 4E-Ward to 3E-Ward (cost savings)

X

The initial placement of the sharp box/glove box.

Could improve.

X Resolve at mock up on 3E soon. Temporarily mount to ID location

Provide line-of-sight from bed to bathroom. Provide handrails from bed to bathroom to limit fall risk.

X

This comes from research on best practices. Bed selection should consider the ability of the patient to hold onto something as they navigate to the bathroom.

The initial set-up for oxygen/suction canister placement. Did not accommodate suction equipment.

X Locate bracket to provide adequate room for suction equipment. Mock up with suction equipment installed.

Headwall congestion or equipment issue?

Congestion of computer, monitor and other equipment at patient beds

X This is the bedside monitor - Locate desired position during mock up.

ID location and desired equipment. Once understood, purchase and mount for mock up

Decentralized nurse work stations (would be better if had 2 stations/pod to encourage team nursing & you can’t see staff sitting at them down the hall)

X

Provide space for a 2nd work station at the decentralized nurse stations.

Review requirements for storage located by station to make room for this 2nd station. Review should include drawer and cupboard layouts. Review elevation drawings at 65% review.

The locked drawers- when the batteries die or the locks break and no one knows how to fix them. The Locksmith shop said they can’t fix them.

X Review product options for securing patient belongings.

7 Only one staff bathroom. X Evaluate during 35% design

8 Telemetry placed in break room. X Separate telemetry room from break area.

Equipment storage room - Add shelves & power strips for small equipment storage)

X X Add shelves and power in design

Pros

Cons

Lessons Learned Ward 3E, Staff Input

Keys for locked rooms (equipment, SPS, dirty linen, clean linen)- cipher locks or PIV badge access would be amazing for these locked rooms. Plus Nutrition Room

X Use Card Readers

Provide larger staff lockers in back for jackets/boots/bags & not enough for # of staff (love the lockers)

X Balance size of lockers with quantity of lockers. Review at 65% design.

At times, the decentralized lay out is challenging. Staff have recommended a hybrid lay out.

X Provide 2-person stations at 35% design.

Integrated garbage can is too small (has specialized size bags too)

X These are in the patient rooms.

Review product options at 65% review.

Windows still have blinds in them some are up & some are down

X Replace existing windows - new windows will use mecho-shades like

SCI.

Combined workroom/breakroom (no sink in this room either)

X Does this mean to provide a sink?

16 Cabinets outside of rooms are too big X Consider height and shelf location…review elevations at 65% review

Evaluate and determine size. Draw on elevation sheet

17 Location of Pyxis B is not optimal. X

Centrally locate pyxis machines. One in centrally located med room and the other nearby. Review med room location at 35% design.

18 No Red outlet for Front Crash cart X identify crash cart location at 35% design.

The type of Hopper in dirty utility does not work for inpt nsg staff

X Add flush to hopper. Define requirement and ID new hopper

20 Need dual grab bars in bathrooms X These are the drop down rails we are providing in patient bathrooms on current NRM project.

Family seating – would be nice to have pull out couch (converts to bed)

X available space could be limiting factor.

Review during 35% design.

Placement of O2/Suction/Air along with Monitor, COW, & ceiling lift docking station

X Review at patient room mock up.

Watch contact with other equipment.

ID issues and brainstorm options

Privacy Curtains – order extras (only had 19 & lost many due to laundering)

X

Placement of communication boards was challenging in some rooms due to configuration & makes it difficult for patients to read

X X Review at patient room mock up. Temporarily mount to ID location

Like the concept of Windows between hallway & rooms in the back but should have a mini blind that can open/close by staff both inside & outside instead of a curtain.

X X These are the patient obs rooms in the back of 3E. Provide blinds and review at 65% design

Positive/Negative pressure rooms would be helpful as a combo (not just 1 or the other)

X Dual pressure rooms are not allowed by VA. Plan is to provide negative isolation on wards.

EMS effort to clean the surfaces (ceiling & bathroom tiles are really difficult)

X EMS to review specs and product submittals.

Patient room ability to change heating & cooling (heat mostly) isn’t optimal

X

3E patient rooms have individual controls and so will the new designs.

Common causes of cold calls are due to windows (will be replaced), perimeter radiant heat performance (new windows will minimize impact), or issues with air handler performance that affects the entire ward.

Placement of the gloves on the wall – ideally would be easier to access and closer to the door

X Correct during mock up Temporarily mount to ID location

I would recommend a REAL door between the two clinician work rooms. Though the opaque sliding door is pretty, it is not really functional. Sound travels unimpeded through it making HIPPA violations easy.

X Will include in 35% design

The staff room in the back has only one computer and the majority of the time is empty and unused. It would be useful to have a few more work stations back there or an overall more functional space.

X Make Family conf room dual use by installing more computers.

Decision was not made regarding going to VoIP in our facility at that time (initially)

X install VOIP infrastructure

Copper wire from Riser Pairs to Patch Panel were improperly labeled by the low voltage contractors. OIT Telecom had to follow-up with corrections to the panels. (unnecessary rework burden on OIT staff)

X Include OIT during pre-installation meetings with contractor/sub-contractor and during QC inspections.

Tray table needs to have a pull-out option so when they are full of personal things we still can place the tray in front of the patient

X Add to equipment purchase specs Evaluate COTS options. Bring in models to test

Supervision only and isolation trays need space identified that are easy to see by nursing so quick delivery will happen.

X

Consider adding shelving for food delivery/pick up. Maybe an alcove for food delivery carts. Pull out shelves?

Near front of ward. Review and 35% design.

ID alcove location on drawing

NFS staff on tray delivery should have a walkie talkie that can be also held in the kitchen so communication can be better b/w ward and kitchen

X review at equipment list development

Ice machine and coffee machine should be standard and fit on the counter, water filtration should be below the counter

X see powerpoint. Review with elevation drawings at 65% design

Ice maker should have a water only/ice only choice.

Staff want a cup holder on the side

X Review with elevation drawings at 65% design

39 Provide full size refrig/freezer X Review with elevation drawings at 65% design

40 Drawer space is less necessary than cupboard space. X nourishment kitchen - more cupboards fewer drawers. Review with elevation drawings at 65% design

More cupboards and lockable feature. Low cupboards should have pull out drawers for ergonomics and ease of cleaning.

X Lock nourishment kitchen or cupboards. Install classroom lock?

Decide at 35% design.

Decision on locking cabinets or nourishment kitchen

42 Ideally sink would be automatic on/off X

This is the nourishment kitchen -allowable? Check Infection Control.

Maybe knee activated sink? Review at 65% design

43 Soap dispenser should be to the left of the sink X Review with elevation drawings at 65% design

Temporarily mount to ID location wider alcove in corridor sinks. Separation from waste container to prevent water intrusion

X consider eyewash location vs cupboard location

45 put microwaves on shelf not on countertop X Review with elevation drawings at 65% design

46 Provide deeper nurse station countertop X weigh option of deeper desk to need for MSA reaching to hand paperwork to patient. Look at options to minimize equipment on the desktop.

47 Add sit-stand desk at nurse station X design separate work area from customer service area. Work area can have sit-stand but customer service area needs fixed counter.

48 Provide copier at MSA station X Copier will be included in BIZHUB features

49 Provide printer location at MSA desk X BIZHUB will be provided. No desktop printers in design. Review work flow at 35% review

Note computer tower size and bracket on equipment list

X

Micro towers may be available and limit undercounter space requirements. ID tower and associated tower mounting bracket on equipment list.

51 Adjust panic alarm location to prevent accidental alert X Work with clinic manager during activation to ID location.

Last Revised: 9/21/2018 Minneapolis VAMS Design Standards Printed: 9/21/2018

1. Purpose: Document Minneapolis VAMS design best practices and specific design requirements to ensure consistency between project designs. In addition to this document, the Minneapolis VAMS Projects Section has modified and maintains several specification sections that shall be a starting point for design rather than the specification sections found on the TIL. A list of Minneapolis modified specification sections and the specification sections can be obtained from any COR.

2. Product Names: The product names specified in this Design Standard shall be used as reference only. Specific products listed in this standard are only indicative of the quality expected unless noted as a sole source item, no substitutions. All products equal in quality and providing the best value to the VAMC will be considered. If a product is specified by name AND is not a sole source item, add “or COR approved equal” after the product name.

DIVISION 00 – SPECIAL SECTIONS (This section is used to document any local clarifications to VA design direction found on the TIL)

1. Special Construction Requirements (Supplemental Information to VA Program Guide 18-14, Room Finishes, Door, and Hardware Schedule)

a. Linen Closets (linen closets typically house stocked linen carts)

i. Door hardware shall be HW-SH-9 (a.k.a. Card Reader) or HW-SH-9A (a.k.a. Store

Room Lockset) based of COR direction.

ii. Inpatient – 8’x10’ ideal, 8’x8’ minimum

iii. Clinics with high linen usage (e.g. Dialysis, PT, spinal Cord, ED, Imaging) 5.5’x7’ with door on 5.5’ side. This allows for a cart to enter, be rotated to the back wall and allow doors to remain open for staff to pull linen.

iv. Clinics with low linen usage (e.g. Dermatology, GI, ENT, Dental, Nuc Med, RAD) can either be design for a cart (5.5’x7’) or with shelves for EMS to physically load.

DIVISION 01 – GENERAL REQUIREMENTS

1. Temporary Construction Partitions/Barriers – Hard walls floor to interstitial unless another construction barrier is approved by the COR. Hard walls are typically steel studs with gypsum board on one side, taped but not mudded or painted, use fiberglass batt insulation if the architect expects significant construction noise.

2. Guarantees:

a. All materials and labor shall be guaranteed for at least one year following project acceptance by the Minneapolis VAMC Contracting Officer.

b. Roofs shall be guaranteed, with consequential damages included, for a minimum of 15 years following project acceptance by the Minneapolis VAMC Contracting Officer.

DIVISION 02 – EXISTING CONDITIONS

DIVISION 03 – CONCRETE

DIVISION 04 – MASONRY

DIVISION 05 – METALS

DIVISION 06 – WOOD, PLASTICS AND COMPOSITES

1. Rough Carpentry

a. Wall Backing

i. Standard Wall Backing Heights

1. Smart Board – immediately above chief box. Chief box is mounted 55”

AFF to the center of the box.

2. Standard TV (4:3) - (diag. screen size + 5” (for frame)) X 0.3 + 55”

3. Widescreen TV (16:9) = (diag. screen size + 5” (for frame)) X 0.245 + 55”

DIVISION 07 – THERMAL AND MOISTURE PROTECTION

DIVISION 08 – OPENINGS

1. Frames

a. Mesker Prep Locations

b. Welded

c. Equal rabbets not required

2. Doors

a. Plain Sliced Red Oak Finished Doors

b. Sliding

i. Stanley Dura-Glide 2000/3000 Door, no substitute.

1. Note, on Dura-Glide 2000, only the doors break away; on dura-Glide

3000, all glass panels break away ii.

3. Door Hardware

a. A/E to start with Program Guides 18-14, Room Finishes, Door and Hardware Schedules

b. Door kick plates: Use InPro corp. color: Beige 0117, .060 thickness or Acrovyn color: 104

Beige, .060 thickness

c. Door Closers: LCN #4040xp with or without hold open.

d. Door Electronic Hold Open: LCN Sentronic 120V

e. Exit Device: Von Duprin.

f. Lock Sets: Schlage L series mortise lock sets.

i. L9010: Non-Keyed Passage

ii. L9040: Non-Keyed Privacy

iii. L9050P: Keyed Offices

iv. L9070: Keyed Classrooms

v. L9080P: Keyed Storerooms

vi. Best Mortise Cylinder 1E74-C265-RP3 with 626 cylinder.

vii. Best 6-pin cores

viii. Keyway “J or K”

ix. Lever=03, Finish=626, Rose=B

4. Automatic Door Operators

a. Automatic Door Operators shall be Stanley, no substitute

DIVISION 09 – FINISHES

1. Non-Structural Metal Framing (see DIVISION 01 – GENERAL REQUIREMENTS for Temporary Construction Partitions)

a. Studs – Steel, 20 gage, 16” O.C.

2. Gypsum Board

a. Type X, 5/8” – minimum thickness.

3. Sound-Absorbing Wall Units

a. The following list is in order of least expensive and effective to most expensive and effective. If noise within the space is a concern and standard sound absorbing materials (e.g. carpet, ACT) is not sufficient, consider a sound masking acoustical system.

i. Type X gyp board with mineral fiber. Example: ED

ii. CertainTeed Silent FX Noise Reducing Gyp Board with mineral fiber insulation.

Example: 3S and 3R

iii. Acoustiblok 3mm (1/8”) thick with mineral fiber insulation. Example: 1Q123 plan north wall.

4. Acoustical Ceiling

a. Ceiling Grid

i. Armstrong Prelude XL Grid for #755 Fissured or Clean Room tile

ii. Armstrong 15/16” Prelude Grid for Armstrong Ultima Beveled Tegular

b. Ceiling Tile

i. Administrative/clerical/clinical areas

1. Armstrong #755 Fissured, 24”x48”x5/8”, White

ii. Public Areas (waiting/corridors)

1. Armstrong Ultima Beveled Tegular, 24”x24”x ¾”, White

iii. When a washable ceiling is needed

1. Armstrong Clean Room VL Unperforated Square Lay-in, 24” X 48” x 5/8”, White, Stock number 870

5. Paint

a. Interior

i. Walls: Sherwin Williams, eggshell finish, or approved equal.

ii. Floors, except Building 70 Warehouse: Sherwin Williams Armor Seal Floor Plex 7100, partA-B70A400, Part B- B70V400, 1 oz. black, 4/32 blue.

iii. Door Frames: Sherwin Williams, eggshell finish

1. Base: B31, W2253

2. Colorant: Black: 24/32 oz, Dark Gold: 1-11/32 oz, Maroon: 7/32 oz, White: 1-4/32 oz,

b. Exterior

i. Avoid surfaces that require painting.

DIVISION 10 – SPECIALTIES

DIVISION 11 – EQUIPMENT

1. Ceiling Mounted Patient Lift System

a. All lifts are to be sole sourced with MedCare.

2. AED and Cabinet

a. LifeStart AED Cabinet 1400 Series ordered through JL Industries

b. Philips FRx Model

DIVISION 12 – FURNISHINGS

DIVISION 13 – SPECIAL CONSTRUCTION

DIVISION 14 – CONVEYING EQUIPMENT

DIVISION 21 – FIRE SUPRESSION

1. Mechanical T’s shall be specified as Grulock, Victaulic, or approved equal. U-bolt style clamps are not allowed.

DIVISION 22 – PLUMBING

1. General-Duty Valves for Plumbing Piping

a. 0.5” – 2” Water Valves: Ball, full port 600 wog Walworth, Apollo, or approved equal.

b. 2” – 6” Water Valves: Gate, butterfly, 150 psi min., Walworth, Apollo, or approved equal.

c. 3” – 6” Water Valves: Pro Press, Victaulic, or approved equal.

2. Facility Water Distribution

a. Stops (water supply shut-offs), BrassCraft Multi-Turn Angle Stop w/ Loose Key –

Compression x Compression (BrassCraft SCR19X C)

3. General Service Compressed-Air Systems

a. Air Compressors: Atlas Copco

4. Plumbing Fixtures

a. Sink Faucets

i. Do NOT install automatic water sensor faucets

ii. Patient and general staff: T&S paddle hand

iii. Doctors’ Offices: T&S foot valves, wall mounted.

iv. Laboratories: T&S water savers, foot valves.

b. Flushometers: Sloan Royal 1.6 gpf or less.

c. Urinals: Sloan Royal 1.0 gpf or less.

d. Showers: American Standard

e. Hose Bibbs: Woodford Hose Bibb Co. model #65 up to 24” wall thickness.

f. Ice Machines: Scotsman, Meridian Series. Should be installed with filter #10 Blue VIH w/pressure release.

5. Gas Systems for Laboratory and Healthcare Facilities

a. Master alarm panels are located in the Energy Center and Bldg 70, Telephone Operator Room.

b. Medical Gas Materials and Equipment

i. BeaconMedaes

ii. OHMEDA connectors

iii. Provide On/Off indicators for all gas valves

DIVISION 23 – HVAC

1. HVAC and Boiler Plant Insulation

a. Ductwork

i. Insulate exteriors of supply and return. Exhaust ductwork not insulated.

2. Direct-Digital Control System

a. Johnson Controls Communications Protocol: All equipment connected to the Building Automation System (BAS) shall use BACnet MS/TP communications protocol.

b. Thermostats: Electronic thermostat with pre-set adjustment range. Johnson Controls Inc. to interface with existing Metasys building automation system.

3. Steam and Condensate Piping

a. Valves

i. 0.5” – 2” Steam Valves: Gate valves, WSP 300 psi.

ii. 2” – 12” Steam Valves: Gate valves or gear-actuated triple offset valves, WSP

300 psi, Walworth or approved equal.

b. Steam Traps: Armstrong

4. Air Terminal Units

a. VAV – Titus VAVs with Johnson Control Inc. control valves.

b. VAV shall have reheat coil and digital controls

c. VAV Equipment Tag: Label VAV boxes as “Building#.”VAV”.AHU#.Room#” For example, the VAV box that serves room 1C104 in Building 70 would be labeled: 70.VAV.44.1C104.

If one VAV box serves more than one room, the room number is where the controlling thermostat is located. If more than one VAV box serves a room, add “.#” after the room number, for example, 70.VAV.44.1C104.2, would be the second VAV box that serves room 1C104.

5. Air Outlets and Inlets

a. Titus or approved equal

6.

DIVISION 25 – INTEGRATED AUTOMATION

DIVISION 26 – ELECTRICAL

1. Raceway and Boxes for Electrical Systems

a. Recessed Receptacle Box

i. Wall mounted monitor (non-Smart Board) recessed outlet box

1. Arlington TVBS507, 3-Gang steel box with white non-metallic trim plate.

ii. Wall mounted Smart Board recessed outlet box

1. Chief PAC511 (http://www.chiefmfg.com/Products/PAC511)

2. Mount Chief box 55” AFF to the center of the box.

2. Motor Controllers

a. Variable Frequency Drives: ABB

DIVISION 27 – COMMUNICATIONS

DIVISION 28 – ELECTRONIC SAFETY AND SECURITY

1. Fire Detection and Alarm: Must integrate and connect with existing building 70 fire alarm system.

DIVISION 31 – EARTHWORK

DIVISION 32 – EXTERIOR IMPROVEMENTS

1. Landscaping

a. Plants

i. Use native Minnesota trees and perennials when possible.

ii. Grass

1. Seed Mix – 27% creeping red fescue, 27% perennial rye, 46% Kentucky bluegrass

2. No Mow – 100% fescue blend

b. Irrigation

i. Existing irrigation system extends around VAMC to the fire lane.

ii. Include irrigation system for any trees, shrubs, and plants that extend beyond the fire lane.

iii. Employ water efficient irrigation systems that match existing.

DIVISION 33 – UTILITIES

DIVISION 34 – TRANSPORTATION

DIVISION 48 – ELECTRICAL POWER GENERATIONS

http://www.chiefmfg.com/Products/PAC511

Minneapolis VA BIM Management Plan Worksheet

Date: _______________________

Project Information:

List project name and number provided by VA.

Project Name: __________________________

Project Number: __________________________

Designate BIM Team Members:

The individuals listed here are expected to remain engaged for the entirety of the project.

Design Team BIM Manager

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Discipline Lead BIM Coordinators

Architectural

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Mechanical

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Electrical

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Structural

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Interior Design

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Civil

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Other

Name: ______________________________ Title: ___________________________

Firm: ______________________________ Phone: __________________________

Email: ______________________________

Software Checking this box indicates the design team with use the approved software and version.

This project will be developed natively using Autodesk Revit 2015.

Clash Detection List the project milestones in which Clash Detection reports will be provided (95% & 100% required).

95% 100%

BIM Uses List ways in which your firm will leverage the BIM for advanced scheduling, analysis, design, etc.

Required by VA Yes Lighting analysis

Mechanical Systems Analysis (e.g. heating and cooling loads) Walking Distances Sightlines Photorealistic imagery Other: ________________________

File Sharing How and when will files be shared between disciplines.

• How will files be shared: ______________________________ (n/a for multi-discipline firm) Data Security: Files will only be accessible to relevant design team.

• How often will files be shared: _____________________________

Return Model Procedure Checking this box indicates that you are familiar with the Return Model Procedure outlined in the Minneapolis VA Revit Model Standards document.

Returned Revit model(s) will be properly processed, or cleaned, according to the Minneapolis VA BIM Standards.

The Minneapolis VA BIM Standards – v1.0

1. Introduction

The goal of implementing Building Information Modelling (BIM) is to deliver higher value and maximize lifecycle building performance to support VA’s mission to deliver excellent medical services.

This document includes the following key BIM standards:

• Implementation

• BIM Management Plan (BMP)

• BIM Roles and Responsibilities

• Model Sharing

• Collaboration Procedures

• BIM Uses

• 3-D Models, Formats, and Model Structures

• Technology Platform and Software

• Modeling Requirements

• Files, Security, Waivers

• Drawing, Requirements for Paper Printing

1.1 Standards

Projects contractually required to be completed using Building Information Modeling (BIM) authoring software shall adhere to:

• The VA BIM Guide; v1.0

• The Minneapolis VA BIM Standards (this document - 15 pages)

1.1.1 The VA BIM Guide

This document is the national standard issued by U.S. Department of Veterans Affairs (VA) Office of Construction & Facilities Management (CFM).

The current version can be downloaded from: http://www.cfm.va.gov/til/bim/BIMGuide/

1.2.1 The Minneapolis VA BIM Standards

This document expands upon the generalized national standard, The VA BIM Guide, to define more specific standards for VISN 23. The requirements in this document supersede those found in the national standard.

http://www.cfm.va.gov/til/bim/BIMGuide/

2. Implementation

2.1 Acquisition Strategy

All work shall be completed in Autodesk® Revit® software. This section provides an overview of the master model structure and A/E model acquisition process for a new project.

2.2 Revit® Model Organization

The Minneapolis VA Revit model organization:

• 140583 VA Master Composite.rvt o BLDG 49_Arch.rvt o BLDG 70_Core and Shell.rvt o BLDG 70_Level 00.rvt

BLDG 70_Level 00_Area A.rvt BLDG 70_Level 00_Area B.rvt Etc.

o BLDG 70_Level 01.rvt BLDG 70_Level 01_Area A.rvt BLDG 70_Level 01_Area B.rvt Etc.

o BLDG 70_Level 02.rvt BLDG 70_Level 02_Area A.rvt BLDG 70_Level 02_Area B.rvt Etc.

o BLDG 70_Level 03.rvt BLDG 70_Level 03_Area A.rvt BLDG 70_Level 03_Area B.rvt Etc.

o BLDG 70_Level 04.rvt BLDG 70_Level 04_Area A.rvt BLDG 70_Level 04_Area B.rvt Etc.

o BLDG 70_ Pneumatic Tube System_Master.rvt o BLDG 70_Hydronics.rvt o BLDG 70_Med Gas.rvt o BLDG 70_MEP Master.rvt

Note: the Core and Shell model contains building elements which rarely change;

structural floor, columns, stair and mechanical shafts, etc. Changes required to the Core and Shell model must be coordinated with MSP VA Engineering

Model Accuracy: Each of the models state that “no guarantee is implied as to the accuracy of dimensions or building features shown and users of the models assume full responsibility for verifying its accuracy.”

All Revit Worksets in the provided Revit models are to be maintained and used.

2.3 Revit® Model Check-out Process

Projects must be developed using the provided Minneapolis VA Revit® models. MSP VA Engineering will provide the necessary files and mark those files as being checked out. All elements in the provided models represent the most accurate electronic information. The design team will update the model if any discrepancies are found within the specific work area. Generic elements, such as walls, doors, etc., should be updated when needed within the context of the specific work being performed.

Level of Detail (LOD) shall be 300-350.

Important: When possible, do not delete an element to create a new element in the same place.

Rather, select the element and swap it out via the Type Selector. Deleting an element will cause hosted elements to become unhosted in linked models.

3. BIM Management Plan (BMP)

To simplify this requirement the MSP VA has created a form to be filled out.

3.1 Design BMP

Per the National VA BIM Guide, a Design BMP shall be submitted to MSP VA Engineering at the beginning of the project. Through this process, the team members and VA project management shall jointly agree on how, when, why, to what level, and for which project outcomes BIM will be used. The BMP should be considered a living document and shall be continually developed and refined throughout the project development lifecycle.

The Design Team shall submit the BMP to VA for review and approval before the start of schematic design. At a minimum, the BMP shall contain the following:

a. The project acquisition strategy (DBB, DB, IDC) and how the Design BIM will support the project delivery activity

b. Overall plan for achieving VA BIM requirements

c. Strategy for hosting, transfer, and access of data between technical disciplines (use of model server, extranet, access, security, etc.) A technical evaluation of the options to match the IT technical needs of the size and complexity of the project, and to provide access by the Design/Construction Team and various VA stakeholders, peer reviewers, etc.

d. Animations/graphics showing major building equipment and medical equipment space clearance reservations for operations, repair, maintenance, replacement

e. Animations/graphics showing functionality of medical staff issues (nurses’ walking distances, nurse-patient sightlines, etc), patient queuing and pharmacy deliveries, supply, processing, and delivery, etc.

f. Proposed BIM software to be used by each technical discipline team member

g. Energy modeling strategies

h. Project schedule aligned to BIM development and progress submittals per VA Submission

Standards. Schedule to include:

• Software compatibility testing schedule (if required)

• Proposed BIM workshops and training as needed

• Progress BIMs per Design Document Submission

i. Strategy for import of PFD VA-SEPS information and data export for Facility Management.

j. File formats used for project submittal and file exchange

k. File exchange protocol

l. Strategy for establishing and managing shared file server4, if used

m. Strategy for COBIE integration

n. Documentation of any proposed deviation from VA BIM Standards for VA approval

o. Legal status of the Design Model will have for construction (Binding, Informational, Reference, Reuse)

p. Strategy for updating and coordinating changes during construction into the final BIM model deliverable files

q. BIM qualifications, experience, and contact information for the following: BIM Manager; Technical

Discipline Lead BIM Coordinators for all major disciplines (Architect, Civil, MEP, Structural, etc.)

r. Model cleanup procedures shall be performed prior to project closeout.

3.2 Construction BMP

At this time, the Minneapolis VA does not require the contractor to engage in the Building Information Modeling process. Therefore a Construction BMP is not required by the contractor.

3.3 Software Compatibility

The Revit® model version shall not change, i.e. be upgraded, from the version in which it was provided at project acquisition unless written permission is given from Minneapolis VA Engineering. The Minneapolis VA master model dataset must remain in the same version for compatibility. It will be the responsibility of the AE Firms to reconstruct the model in the proper version before final project close out will be approved.

4. BIM Roles and Responsibilities

4.1 Design Team BIM Manager

Per the National VA Guidelines, an individual will be assigned the role of “Design Team BIM Manager” for the entire project. This person will be the primary contact person for BIM related questions. This person will have sufficient Revit experience to ensure the approved BIM Management Plan (BMP) is carried out.

See the National VA Guidelines for specific duties.

4.2 Technical Discipline (Design) Lead BIM Coordinators

Per the National VA Guidelines, each discipline must designate an individual as lead Revit BIM technician. This person will be responsible for coordination and BIM management within their specific discipline.

4.3 Construction BIM Manager

The Minneapolis VA does not currently require a Construction BIM Manager. The design team will update the model using the as-built drawings provided by the contractor.

4.4 Team Continuity

The MSP VA requires that the same individuals work on the project throughout its duration for efficiency and consistency in design and communication. It is understood that sometimes this is out of the control of an AE firm if, for example, a person leaves the firm. Any changes to the design team roster must be submitted in writing and approved by the MSP VA Project Manager.

5. Model Sharing

5.1 Design

Prior to project close out, separate copies of each technical Revit model will be provided to Minneapolis VA Engineering.

5.1.1 Revit Model Check-in Process

At the end of the project, the Revit model must be processed and prepared such that the detail level is the same as the model originally received. All of the following shall be removed:

• Sheets

• Drafting Views

• Schedules

• Legends

• Elements to be deleted:

o Free-standing furniture; e.g. chairs, tables, file cabinets, etc.

o Free-standing Medical Equipment; e.g. crash cart, ???

o All demolished elements

For clarity, the following elements shall remain in the model:

• Crash rails on walls

• Built-in casework

• Headwalls

• Large medical equipment; e.g. CT, MRI, Dental X-Ray, Etc.

The model shall be Purged and all elements shall be set to Phase: Existing.

5.2 Construction Bidding

The BIM data will not be accessibly by contractors during bidding at this time.

5.3 Construction Phase

The BIM data will not be accessible by contractors during bidding at this time.

6. Collaboration Procedures

This section will not be required by the MSP VA as it is expected quality of service required to fulfil the requirements of these standards.

7. BIM Uses

7.1 Space and Medical Equipment Validation

The VA-SEPS tools are not currently employed at the Minneapolis VA. This process/benefit may be rolled into the new Maximo FM toolset. Thus, the VA-SEPS parameters and data will not be required at this time.

7.2 Architecture – Spatial and Material Design Models

See national standard.

7.3 Energy Analysis

At this time Energy Analysis will not be required. AE Firms are encouraged to perform Energy Analysis as the opportunity arises to improve project performance and decrease lifecycle costs.

7.4 Design Visualization for Communication, Functional Analysis, & Constructability

During design, special consideration may be given to medical staff and maintenance issues. BIM may be used to validate:

● Nurses’ walking distances

● Nurse-station sightlines

● Process areas where timing and volume may be problemmatic (such as patient queuing for waiting rooms and pharmacy, pharmacy delivery routes/timing

● Supply, Processing, & Distribution (SPD)

● Animations/graphics showing major building equipment and medical equipment space clearance reservations for operations, repair, maintenance, replacement

● Color coding of floorplates for determining medical room/department locations and square footages, and circulation

● Constructability

7.5 Building System Models – Structural, MEPF, and Interiors

Structural, MEPF, and interior design information is required to be developed in BIM.

Note: The structural elements are contained within the architectural “core and shell” model given the existing nature of the facilities. A/E firms must work with VA Engineering to incorporate any new structural elements into the “core and shell” model.

Fire mains should be added to as-builts.

7.6 Masterplan Space Scheduling and Sequencing – 4D

This is item not required at this time.

7.7 Communication of Construction Scheduling and Sequencing - 4D

This is item not required at this time.

7.8 COBIE/Commissioning

Per the national VA BIM Standards, COBie is required; see section 10.9, Final Deliverables.

This information will be exported from Revit based on a forthcoming IBM Maximo workflow.

7.9 Clash Detection/Coordination

a) The design BIM shall be free of major interferences between building components. Given the Minneapolis VA requires all design BIM work to be carried out in Revit, it is acceptable to do clash detection within Revit. Using another, more sophisticated tool, such as Autodesk Navisworks or Bentley Navigator, is also acceptable.

Clash reports shall be provided at 95% CD and 100% CD. The report shall indicate the model is clash free—and acceptable clashes flagged as such. Note: an acceptable clash is where elements clash due to standard modeling practices; for example, a duct passing through a wall—walls are not usually modified for duct routes.

Color coding by trades is not required in the models.

b) Consider the following during the clash detection process:

1. Architecture + Structural: Below-grade spaces, proposed floor plates with major penetrations, floor-to-floor heights, beam clearances, heavy utilities locations, floor loads, core, and vertical shafts, beam depths and required clearances, patient lift mechanisms, slab thickness, columns, column caps, and seismic bracing. Provide adequate space for construction and maintenance access to structural elements, building equipment, and distribution systems.

2. Architecture + MEPF: Structural and space elements, flow and isolation requirements, proposed functional area configurations, floor-to-floor heights, fire containment, vertical and horizontal transportation. Possible future expansions shall be considered and shall be clash-free.

3. MEPF/HVAC + Architecture, Structure, and Telecommunications: Main distribution and collection systems, configurations and sizes for piping, duct, conduit, power wiring, blowers; diffusers; intakes, large compressors. Clearance reservations for equipment maintenance filter removal, and equipment removal and replacement shall be modeled with the equipment, and sign-off on the adequacy of the space reservations shall be obtained from the facility Chief Engineer.

4. Architecture + Life Safety Fire Protection: Safe zone and fire suppression pipe location, egress paths and exit distance requirements, equipment, and pipe penetrations.

5. Medical Equipment + Architecture, MEPF, HVAC, Structural: Medical major equipment positioning and location requirements, medical gases distribution and waste collection, cryogen supply piping for MRI and labs, and cryogen cooling compressors, nurse call systems, public communications, and building controls. This includes major medical equipment adjacencies and shielding barriers, pipes, and venting and air intake locations and other limitations.

6. Architecture/HVAC + Interiors: Clash analysis shall include ductwork and piping + ceilings and FF&E

+ HVAC.

7. Space Validation: All usable areas shall have a Room (Architecture model) or Space (MEP models). These shall match with architectural requirements and data values, and all shall be coordinated with values given in the PFD.

8. General Model Quality Checking: All walls shall be properly joined to prevent “space leaks” in areas defined by enclosing walls. Rooms/Spaces shall not conflict. Use Room/Space Separation Lines to segregate in open areas.

9. Security: Security setbacks + structure + site.

10. Accessibility Compliance: Wheelchair pathways and clearances + structure. (If using

Solibri Model Checker or other rules-based model checking software, accessibility compliance can be checked automatically.)

7.10 Virtual Testing and Balancing

We will require the actual loads from commissioning and these values will replace the design loads (no need to maintain the original design load information separately).

7.11 Additional BIM Uses

The design team is encouraged to use additional tools to design and analysis a given project. However, do not use tools or add-ins that are required to be purchased/owned by the VA or other A/E firms. See the nationally VA BIM Guide for some suggestions on how to further leverage the BIM within your design process.

8. BIM Uses3D Models, Formats, and Model Structures

8.1 General

The BIM(s) shall consist of objects and elements that represent the actual dimensions of the building elements and the building equipment that will be installed on the project. BIM coordination requires the following model structure and features:

a) The floor elevation protocol has been established in the provided models. The main Core and

Shell model is the basis for all Copy/Monitored levels. New projects shall Copy/Monitor the Structural BIMs levels.

b) Clearance Reservations: All Revit content shall include any required clearances for equipment access and maintenance.

c) The granularity of elements in the model shall correspond with the proposed sequence of the installation at the site. For example, if a wall is interrupted at each level by a floor, the wall shall start and stop at each level and not just continue through it.

d) Omit this item; models are not “submitted” for clash detection. Clash detection is the responsibility of the A/E firm.

e) When emailing notification of file uploads or for any other email correspondence pertaining to the project, all email subject line headings must be prefaced with the acronym for the Project Name.

8.2 Subcontractor coordination

The BIM aspects of this requirement are not required. However, subcontractor coordination is an expected quality of service.

8.3 Digital Fabrication

See national standard.

9. Technology Platform and Software

9.1 Approved BIM Software for VA Projects

The Minneapolis VA requires all projects be completed natively in Autodesk Revit. No other BIM authoring tool or conversion will be accepted.

TYPE (These are general categories. Listed software can be used for more than one “Type.”)

SOFTWARE (no order of preference)

Planning/Preliminary Cost Estimates VA-SEPS, Onuma Planning System (OPS), DProfiler, Tokmo, CodeBook

Authoring – Design (Architecture, Structural)

Revit

Authoring – MEPF (Engineering & Construction)

Revit

Authoring – Civil Bentley Inroads and Geopak, Autodesk Civil 3D Coordination (clash detection) NavisWorks Manage, Bentley Navigator, Solibri

Model Checker, Autodesk BIM360 Glue, EPM Model Server, BIMServer

4D Scheduling Synchro, Vico, NavisWorks Simulate, Primavera, MS Project, Bentley Navigator, Revit

5D Cost Estimating Innovaya, Vico, Tokmo Specifications Speclink-e, E-Specs Model Checking Validation, IFC File Optimizer Solibri or equal COBIE Tokmo COBIE exchange Energy Analysis

EcoDesigner, Ecotect, eQuest, Green Building

Studio, EnergyPlus, Sefaira, Insight & Revit.

10. Modeling Requirements

10.1 General

10.2 Types of Model Elements

Model elements should be optimized for use in the BIM. Content must not be copyrighted. The VA owns all models, including content. Revit families are to be created using native Revit geometry – not imported from other programs such as DWG, DNG or SKP. Note that Autodesk FormIt geometry is considered native Revit geometry and therefore may be used within the Revit model.

If new model elements are required, they should be modified to include shared parameters needed to appear in the VA provided schedules. A standard Shared Parameters file is available from the MSP VA. If new shared parameters are required, coordinate with the MSP VA to update the master file. Requests must be made in writing and approved prior to implementation due to the importance of maintaining a master shared parameter file in Revit.

10.3 Model Geographic Location

The model’s geographic location is defined in the provided model(s) and should not be changed. For new projects, Revit’s Project Base Point shall correspond to the intersection of structural grids A and 1.

The Survey Base Point shall be adjusted to align with a Geo-referenced survey DWG file.

10.4 Points of Reference

Omit this section as it is not relevant in Revit.

10.5 Requirements for Modeling Space

Omit this section as the MSP VA does not utilize the VA-SEPS workflow.

10.6 Meta Data

The BIM model(s) shall carry the following information (via Project Information):

a. Project ID – VA Construction Project Number

b. Station ID – VA Station Number

c. Project Name – VA Project Name

10.7 Space Naming and Coding

The room name and number for existing rooms shall not be changed unless instructed otherwise. New rooms shall conform to the Minneapolis VA Standard.

a. Building ID – VA Building Number

b. Wing

c. Floor

d. Department

e. Sub-department

f. Space Name – English Name & Abbreviation

g. Room Number – VA Wayfinding Room Number

h. Room Number – Construction Document Number (used on large complex projects for builder use)

i. Space Code – VA-SEPS Room Code

j. Unique Space Number – GUID17

k. Space Function - OmniClass18

l. Space Type - Uniformat

m. Space Measurement - Net Square Footage (NSF),19 Department Net Square Footage (DNSF), Department Gross Square Footage (DGSF), and Building Gross Square Footage (BGSF)

10.8 Medical and Mechanical Equipment, etc. Coding

Per the national standard, each individual piece of medical equipment and building mechanical equipment shall include the following attributes (via provided Shared Parameters) and be maintained throughout the Design and Construction BIM models:

a. Item Name – English Name & Abbreviation

b. Item Code - VA-SEPS Joint Services Number (JSN)20

c. Unique Item Number - GUID

d. Item Function – OmniClass

e. Item Tracking Number – Category Stock Number (CSN) [for medical equipment]

f. Blank field for ECRI code or other (to come later)

g. Other data available from VA-SEPS that is accommodated by the COBIE21spreadsheet and is appropriate to the LoD for the submission phase.

10.9 Final BIM Deliverables

It is VA’s intention to use the BIM model for Facilities Management upon Occupancy. As previously stated, the Revit model shall be “cleaned” and returned to the VA prior to project close-out.

The following files shall be submitted:

• Cleaned Revit models

• Composite IFC file

• COBIE database containing room/space data and product information

Electronic documents/files required by this document shall be provided on CD/DVD.

11. Files, Security, Waivers

11.1 Project Folder Structure

The A/E firm is free to use a custom folder structure. However, the Revit models provided shall not be renamed.

11.2 Data Security

Please refer to the national standard for this topic.

11.3 Waivers

Please refer to the national standard for this topic.

12. Drawing Requirements for Paper Printing

12.1 General

Sheets shall be created within the Revit model. Revit’s view placement and cross-referencing features shall be employed. The sheet index shall be a live view of all sheets in the host model and for all linked models.

12.2 Diffuser Symbols

Only use the diffuser content provided with the Revit MEP models. If additional types are required, follow the pattern established for name, graphics, LOD and sub-categories.

12.3 Font

Only use the text types provided within the Revit model. Remove all additional fonts that may be added to the model when external content is loaded. These text styles, in conjunction with each view’s scale, define the font and size.

12.4 Line Styles and Line Weights

These are defined in the provided Revit models and should not be changed.

12.5 MEP Details

Omit this item as it does not apply to Revit.

12.6 Room Naming Abbreviations

See national standard.

12.7 Titleblock

Use provided MSP VA Revit titleblock and predefined parameters.

12.8 Uniform Parameters for Objects

See national standard.

12.9 VA Standard Details

See national standard.

12.10 Casework / Millwork Finishes

Assign appropriate Revit materials s to casework content.

12.11 Casework / Millwork Finish Legend

See national standard.

12.12 Doors

Only use the provided Revit door library on MSP VA projects.

12.13 Interior Partition Types

Use the provided Revit wall types. If new types are required, the pattern implied should be followed for naming and structure definition.

12.14 Model Integrated Text

Use tags and text styles provided within the model

12.15 Room Finishes

Room finished shall be entered into the provided parameters associated with Room elements.

12.16 Finish Legend (aka Finish Schedule)

The provided Room Finish Schedule shall be used in the construction documents to define the finishes for the project.

12.17 Room Numbering

Follow the room numbering pattern in the provided model. Coordinate with the MSP VA is an area to be remodeled does not have enough available numbers relative to the existing adjacent rooms. The room name and number shall be entered into the built-in Revit Room Name and Room Number parameters.

Spaces, in the MEP model, shall be adjusted so the Space Name and Space Number match the corresponding Room properties. TIP: Use the Space Renaming Utility provided by Autodesk to automate this task.

12.18 Wayfinding

16. Glossary

Refer to the national VA BIM Guidelines for this item.

MEDICAL/SURGICAL

INPATIENT UNITS

INTENSIVE CARE

NURSING UNITS

design

Department of Veterans Affairs Office of Construction & Facilities Management

NOVEMBER 29, 2011

MEDICAL / SURGICAL INPATIENT UNITS & INTENSIVE CARE NURSING UNITS NOVEMBER 29, 2011

MEDICAL / SURGICAL INPATIENT UNITS &

INTENSIVE CARE NURSING UNITS

SECTION 1 - FOREWORD

FOREWORD 3

ACKNOWLEDGMENTS 4

SECTION 2 - NARRATIVE

GENERAL CONSIDERATIONS 7

GENERAL INDUSTRY TRENDS 11

VETERAN-CENTERED CARE DESIGN TRENDS 15

REFERENCES 19

SECTION 3 - FUNCTIONAL CONSIDERATIONS

FUNCTIONAL ORGANIZATION 23

FUNCTIONAL AREAS AND RELATIONSHIPS:

MEDICAL / SURGICAL INPATIENT UNITS 25

FUNCTIONAL AREAS AND RELATIONSHIPS:

INTENSIVE CARE NURSING UNITS 31

FUNCTIONAL AREAS AND RELATIONSHIPS:

GENERAL 37

FUNCTIONAL DIAGRAMS 41

UNIT CONFIGURATIONS 43

RELATIONSHIP MATRIXES 44

SECTION 4 - DESIGN STANDARDS

TECHNICAL CONSIDERATIONS 48

GUIDE PLATES 63

PATIENT ROOM (BRMS1) 65

PATIENT ROOM, ISOLATION (BRIT1) 73

PATIENT ROOM, INTENSIVE CARE (BRIC1) 81

NURSE STATION (NSTA1) 89

MEDICATION ROOM (MEDP1) 95

NOURISHMENT STATION (NCWD2) 101

TEAM WORK ROOM (WRCH1) 107

GUIDE PLATE SYMBOLS LEGEND 111

SECTION 5 - APPENDIX

TECHNICAL REFERENCES 115

ABBREVIATIONS & ACRONYMS 116

SECTION 1 - PAGE 3FOREWORD

SECTION 1 - FOREWORD

FOREWORD

The material contained in the Medical / Surgical Inpatient Units & Intensive Care Units Design Guide is the culmination of a coordinated effort between the Department of Veterans Affairs (VA), the Veterans Health Administration, the Office of Construction & Facilities Management, the Strategic Management Office, and the Capital Asset Management, Planning Service Group and Hellmuth, Obata & Kassabaum, P.C. The goal of this Design Guide is to maximize the efficiency of the design process for VA facilities and ensure a high level of design, while controlling construction and operating costs.

This document is intended to be used as a guide and is supplementary to current technical manuals, building codes and other VA criteria in planning Healthcare Facilities. The Design Guide is not to be used as a standard design; it does not preclude the need for a functional and physical design program for each specific project.

The Medical / Surgical Inpatient Units & Intensive Care Units Design Guide was developed as a design tool to assist the medical center staff, VACO Planners, and the project team in better understanding the choices that designers ask them to make, and to help designers understand the functional requirements necessary for proper operation of this Patient Care Unit.

This Design Guide is not intended to be project-specific. It addresses the general functional and technical requirements for typical VA Healthcare Facilities. While this Guide contains information for the key space types required in a Medical / Surgical Inapatient Unit and Intensive Care Unit, it is not possible to foresee…