P09 - SOW Attachment - Appendix B - Conceptual Space Program - Fresno VACCHCS.pdf

Expand and Renovate Laboratory VA Fresno, California

APPENDIX B – Conceptual Space Program

EXPAND AND RENOVATION LABORATORY

VA FRESNO, CALIFORNIA

CONCEPTUAL SPACE PROGRAM

100 PATIENT RECEPTION/ SPECIMEN COLLECTION

ROOM/

AREA CODE

FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

Base allocation: 25 to 150 Patients Add'l 55 NSF per 50 Patients 120

(325-150) x 55

325 Daily; 20 min. churn rate;

7:00 AM-7:00 PM (12 Hrs.) + Family/Guest (25%)

325/12 (60/20) x 25 sf/ occ

RECP1 Reception Patient Registration and queing process One per specimen collection area 40 3 120

Alcove, Kiosk Check-In Alcove space accommodates check-in kiosk stations.

Two kiosks can replace one RECEP for long term flexibility.

Allows conversion from staffed reception to kiosk 40 1 40

Queing Area Patient staging 5 ft. away from reception station to maintain privacy.

LBBD1

Phlebotomy, Blood Draw Station

Space for access on patient side. Screen from waiting and reception area

4 stations required; Plan for 6 expansion (see below for 2 add'l sta.) 150 1 150

Accessible Phlebotomy, Blood Specimen

Space for patient draws similar to the typical station plus space to the side for drawing a member in a wheelchair

One space required

50 1 50

Phlebotomy, Blood Draw for Nausea Patient/s

Space for patient recliner, visually separated One space required 80 1 80

TLTU1

TLTU2

Toilet, Urine Specimen Separate from public toilets, per gender, with specimen pass-thru/ collection; May each be Unisex.

50 2 100

XXYYC Gross Specimen Storage Storage of patient specimens Provde an additional 100 NSF for

Level L Laboratory 100 1 200

200 RECEIVING/ CENTRAL PROCESSING

ROOM/

AREA CODE FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

LBBD2 Specimen Processing Central receiving point for all specimens and requests;

Pneumatic Tube system should be located in this area.

Base Allocation; provide additional 250 NSF for Level L Laboratory 350 1 600

Outpatient ServicesWaiting RoomWRC01

CONCEPTUAL SPACE PROGRAM

Receiving- Pre-analytical Work Station

Temporary docking station for cataloging/ processing specimens, with digital data entry posts (keyboard, monitor, etc.).

XXYYC

Automated Data Processing, Control Area

Digital ADP data storage/ retrieval central processing work room, separate from Clinical Lab; contaminated specimen processing area; includes hardware used to connect laboratory instrumentation on-line with the medical center central processing unit.

One space per Core Laboratory Work Area.

120 1 120

300 CHEMISTRY WORK AREA

ROOM/

AREA CODE FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

LMCH3 Clinical Chemistry Work area for basic chemical analyses Base Allocation; provide additional

1,600 NSF for Level L Laboratory 500 1 2100

LMCH4 Special Chemistry Work area for special and unique diagnostic procedures

Base Allocation; provide additional 320 NSF for Level L Laboratory 580 1 900

LBRI1 Radioimmunoassay One space for Level L Laboratory

250 1 250

LMU03 Urine (Urinalysis) and Feces Primary biochemical analysis and microscopic examination of urine; Testing feces for normal and abnormal constituents.

Base Allocation; provide additional 150 NSF for Level L Laboratory 50 1 200

LMHI3 Hematology, Routine

Work area for electrophoresis and diagnostic cellular immunopathology studies (flow cytometry) includes an 80 NSF administrative work area for a supervisory medical technologist

Base Allocation; provide additional 900 NSF for Level L Laboratory

200 1 1100

LMHI3 Hematology, Coagulation Base Allocation; provide additional 50 NSF for Level L Laboratory 100 1 150

LMBB2

Blood Bank, Blood Product Storage

Facility organized principally to store, cross match and issue blood for transfusion to patients; includes an 80 NSF administrative work area for supervisory medical technologists

Base Allocation; provide additional 350 NSF for Level L Laboratory

150 1 500

LMBB3

Blood Bank, Blood Product Preparation

Work area and counter for core functions, includes analyzer, plasma thaw and platelet warming.

Base Allocation; provide additional 60 NSF for Level L Laboratory 120 1 180

400 MICROBIOLOGY WORK AREA

CONCEPTUAL SPACE PROGRAM

ROOM/

AREA CODE FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

LMM02 Clinical Microbiology

Primary work area/s for automated microbiology systems as well as traditional manual microbiology techniques;

includes a 80 NSF administrative work area for a supervisory medical technologist and a 100 NSF office for clinical laboratory scientists.

Base Allocation; provide additional 1,400 NSF for Level L Laboratory

200 1 1600

LMM03 Biosafety Laboratory

Handling of biologically hazardous specimens and should be environmental separated (negative pressure) for the main laboratory.

Base Allocation; provide additional 100 NSF for Level L Laboratory 150 1 250

LMM03 Mycology Laboratory Routine microbiology exclusively with the identification of fungi.

One space for Level L Laboratory 150 1 150

LMM03 Mycobacteriology (TB) Work area for TB culture and susceptibility testing;

environmentally separated (negative pressure) from the main laboratory

One space for Level L Laboratory

150 1 150

LMHC1 Immunopathology (Serology) Diagnostic work area for immunologic (antigen-antibody) reactions using tissues, cells, and fluids;

diagnostic identification of antibodies in the serum

Base Allocation; provide additional 200 NSF for Level L Laboratory 400 1 600

LMM02 Microbiology, Sterilization Sterilation and solution preparation room for medial preparation.

One space fo Level L Laboratory

100 1 100

Send Our Area Area to prepare specimens which are being sent out to third party labs. One space 120 1 120

Instrument Set-up, Simulation Temporary Alcove, eserved space for interim insrument & equipment set-up, testing and fine-tuning (prior to final placement in Clinical Lab)

One space for Equipment, personnel and maneuvering around instruments for calibration. Provide sink and power.

120 1 120

000 HYSTOLOGY WORK AREA

ROOM/

AREA CODE FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

CONCEPTUAL SPACE PROGRAM

LMHS2 Histology Laboratory includes an 80 NSF administrative work area for a supervisory medical technologist

Base Allocation; provide additional 450 NSF for Level L Laboratory 150 1 600

XXYYC

Frozen and Gross Section Laboratory

Work Area for examining tissues from the operating room for rapid (frozen section) diagnostic assistance;

Large volumes of surgical specimens are examined routinely;

must be adjacent to the histology laboratory.

Base Allocation; provide additional 100 NSF for Level L Laboratory

100 1 200

LMCY3 Cytology Laboratory

Work area for area gynecological and non-gynecological cytological specimens are processed, mounted on slides, stained and examined microscopically. Adequate ventilation must be provided. This area should have walls to provide a quiet work area.

Base Allocation; provide additional 50 NSF for Level L Laboratory

150 1 200

SRL01

Slide, Block and Records Files

Adequate storage for slides, tissue blocks, autopsy records, indexing facilities, etc., for 25 years of slides and reports.

Base Allocation; provide additional 200 NSF for Level L Laboratory

200 1 400

000 STAFF & ADMINISTRATIVE AREAS

ROOM/

AREA CODE FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

OFC02 Office, Chief of Service This office provides space for a workstation, a microscope workstation, and a small conference area.

One space per Pathology and Laboratory Medicine Service 150 1 150

OFA01 Office, Lab Manager This office provides space for a workstation with standard office furniture.

One space per each Pathology and Laboratory Medicine Service Section Chief

120 1 120

OFA01 Office, Staff Pathologist This office provides space for a workstation with standard office furniture.

One space per each Staff Pathologist FTE position 120 1 120

SEC01 Office, Secretary / Waiting Workstation with accommodation for storage of laboratory service files, records, inspection and quality control manuals, etc.

One space per Pathology and Laboratory Medicine Service 120 1 120

CONCEPTUAL SPACE PROGRAM

OFA03

Office, Administrative Assistant

One space per each Administrative Assistant FTE position 80 1 80

OFA01

Office, Chief Medical Technologist

This office provides space for a workstation with standard office furniture.

One space per each Chief Medical Technologist FTE position 120 1 120

OFA01 -

OFA07

Office, Clinical Laboratory Scientist

This office provides space for a workstation with standard office furniture.

One space per each Clinical Laboratory Scientist FTE position 120 7 840

CRA01 Conference Room Dedicated space for Laboratory Service only One space per Pathology and Laboratory Medicine Service. 175 2 350

SL001 Lounge, Staff

Include seating and amenities such as multiple refrigerators for personal meals, microwave and sink to support the number of staff using this lounge.

Base Allocation for up to 5 FTE;

provide an additional 15 NSF per each projected FTE greater than 5; maximum 210 NSF (approx 42)

(42 - 5) x 15 210

LR001 Locker Room, Female

Space accommodates two half-size lockers, access space in front of the lockers, and bench, with alcove area for clean lab coat hanging rack; Prefer separated from the lounge.

Base Allocation for up to 13 FTE;

Provide an additional 6 NSF per FTE greater than 13 (approx 18) Provide locker space only for those FTE without assigned office or cubicle space.

(18 - 13) x 6 110

TLTU1

Separate Women's Toilet and Handwashing facility;

Min 15 NSF per fixture

Minimum one; provide an additional staff toilet for each increment of 5 FTE > 13 (approx 21). 50

(21 - 13) x 15 74

LR002 Locker Room, Male

Space accommodates two half-size lockers, access space in front of the lockers, and bench, with alcove area for clean lab coat hanging rack; Prefer separated from the lounge.

Base Allocation for up to 13 FTE;

Provide an additional 6 NSF per FTE greater than 13 (approx 18) Provide locker space only for those FTE without assigned office or cubicle space.

(18 - 13) x 6 110

TLTU2 Toilet, Male Staff

Separate Men's Toilet and Handwashing facility; Min 15 NSF per fixture

Minimum one; provide an additional staff toilet for each increment of 5 FTE > 13 (approx 21). 50

(21 - 13) x 15 74

ENVIRONMENTAL SERVICES/ SUPPORT AREAS

ROOM/

AREA CODE FUNCTION NAME DESCRIPTION ALLOCATION RULE NSF QTY

PROGRAM

AREA

CONCEPTUAL SPACE PROGRAM

CSSS2

Storage, Sterilization and Preparation Room

Sterilization (autoclaving) worstation for blood or body fluid contaminated items; and, large volume solution preparation, distilled water preparation and for washing large contaminated items

Base Allocation; provide an additional 350 NSF for Level L Laboratory

250 1 600

SRS01 Storage, Bulk

Storage for dry, non-biological supplies and consumables/ disposables; Storage of instruments & equipment (microscopes, small analyzers, typewriters, dictating machines, calculators, etc).

Base Allocation; provide an additional 400 NSF for Level L Laboratory

800 1 1200

SRR01 Storage, Refrigerated Controlled temperature storage space Base Allocation; provide an additional 50

NSF for Level L Laboratory 100 1 150

SRGC2

Storage, Flammable and Toxic Substance

Bulk storage of acetone, formalin, xylene, acids, gas cylinders and any toxic substances which are used in the laboratory; Storage within FR Cabinet/s.

Space includes cabinet and maneuvering space access to cabinet/s

100 1 100

JANC1 Housekeeping Aides Closet One space per Pathology and Laboratory Medicine Service. 40 1 40

TOTALS 16,124