586-22-105 Drawings edited tl.pdf

CONTRACTOR ACCESS AREA

LIMITED PARKING

WASTE CONTAINER LOCATION

LAY-DOWN IF REQUIRED

CONTRACTOR ACCESS TO

STORAGE A-121A

UNDER COVERED DOCK

WAITING A-121

NO ACCESS - FIRE EXIT ONLY

DELIVERY ACCESS

DIRECTLY OFF E. WOODROW

WILSON

MAIN ENTRY

PEDESTRIAN CROSSWALK

MUST REMAIN CLEAR AT ALL

TIMES

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

CONSULTANTS

321 4 5 6 7 8 9 10

NO. DESCRIPTION DATE

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER

o n e e ig h th i n c h o n e f o o t o n e q u a rt e r in c h o n e f o o t th re e e ig h th s i n c h o n e f o o t o n e h a lf i n c h o n e f o o t th re e q u a rt e rs i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a lf i n c h e s o n e f o o t th re e i n c h e s o n e f o o t

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECTENGINEER OF RECORD

M-R PROJECT NO:

Architect:

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECT

MABBETT & ASSOCIATES, INC.

Hazardous Materials: BID DOCUMENTS

C U s e rs

\d e m e tr iu s k \D o c u m e n ts

\5

-M

S

J a c k s o n V

A P h a rm a c ie s S e c u ri ty

U p g ra d e R

V T d e m e tr iu s k F

V

B G

.r v t

/2

/2

:3

:2

P

M

G100

ARCHITECTURAL

CONTRACTOR SITE ACCESS PLAN

SITE

PHARMACY PHYSICAL SECURITY

UPGRADE

586-22-105

Project Director

2024-07-24 REF MKL

FULLY SPRINKLERED

G.V. (SONNY) MONTGOMERY VAMC

JACKSON, MISSISSIPPI 39216

0499-0159

1" = 100'-0" F1

CONTRACTOR ACCESS PLAN

E

D

F

C

G

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

PhaseCONSULTANTS

321 4 5 6 7 8 9 10

PHARMACY PHYSICAL SECURITY

UPGRADE

586-22-105

Project Director

2024-07-24

NO. DESCRIPTION DATE

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER

6" 6"

6" 6" on e ei gh th in ch o ne fo ot on e qu ar te r i nc h on e fo ot th re e ei gh th s in ch o ne fo ot on e ha lf in ch o ne fo ot th re e qu ar te rs in ch o ne fo ot on e in ch o ne fo ot on e an d on e ha lf in ch es o ne fo ot th re e in ch es o ne fo ot

BID DOCUMENTS

FULLY SPRINKLERED

G.V. (SONNY) MONTGOMERY VAMC

JACKSON, MISSISSIPPI 39216

ENGINEER OF RECORD

Hazardous Materials:

MABBETT & ASSOCIATES, INC.

Architect:

OCULUS, INC.

NORTH

KEYPLAN

HAZARDOUS MATERIALS

ABATEMENT PLAN

1ST FLOOR OUTPATIENT PHARMACY

HA111

PEHMFD

3 4

E

D

F

C

2 5 6

G

B

A

OUTPATIENT PHARMACY

A-119

HAC

A-125

TLT

A-124

TLT

A-123

COMM. CARE

A-122

SUPPLIES

A-122A

CONFERENCE

A-119A

OFFICE

A-126

OFFICE

A-127

PICK UP

A-129

CHECK IN

A-120

WAITING

A-121

PROJECT LIMIT LINE

PROJECT LIMIT LINE

DISPENSING

A-121B

156' - 1"

PT1

84' - 3"

PT2

156' - 1"

PT1

56' - 3"

CPT1

77' - 6"

PT1.1

EXIT

EXIT

EXIT

0908 10 11 13 1412

E.

D.

F.

PROJECT LIMIT LINE

PROJECT LIMIT LINE

INPATIENT PHARMACY

A-40

WAITING

A-38

VAULT

A-40D

VAULT

A-40E

ONCOLOGY

A-40G

IV ADMIXTURE

A-40F

PICK UP

A-40H OFFICE

A-40I

SUPPLIES

A-40J

ELECTRICAL

A-40K

115' - 5"

PT3

55' - 6"

PT4

103' - 6"

PT5

81' - 9"

CPT-2

EXIT

EXIT

EXIT

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

CONSULTANTS

321 4 5 6 7 8 9 10

NO. DESCRIPTION DATE

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER

o n e e ig h th i n c h o n e f o o t o n e q u a rt e r in c h o n e f o o t th re e e ig h th s i n c h o n e f o o t o n e h a lf i n c h o n e f o o t th re e q u a rt e rs i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a lf i n c h e s o n e f o o t th re e i n c h e s o n e f o o t

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECTENGINEER OF RECORD

M-R PROJECT NO:

Architect:

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECT

MABBETT & ASSOCIATES, INC.

Hazardous Materials: BID DOCUMENTS

C U s e rs

\d e m e tr iu s k \D o c u m e n ts

\5

-M

S

J a c k s o n V

A P h a rm a c ie s S e c u ri ty

U p g ra d e R

V T d e m e tr iu s k F

V

B G

.r v t

/2

/2

:3

:2

P

M

LS100

ARCHITECTURAL

LIFE SAFETY PLAN

BASEMENT & 1ST FLR PHARMACIES

PHARMACY PHYSICAL SECURITY

UPGRADE

586-22-105

Project Director

2024-07-24 REF MKL

FULLY SPRINKLERED

G.V. (SONNY) MONTGOMERY VAMC

JACKSON, MISSISSIPPI 39216

0499-0159

NORTH

1/8" = 1'-0" F1

PARTIAL 1ST FLOOR LIFE SAFETY PLAN

OCCUPANCY LOADS (NFPA 101 7.3.1.2)

FLOOR

LEVEL NAME AREA

LOAD

FACTOR

OCCUPANT

LOAD

01 OUTPATIENT

PHARMACY

3,718 SF 150 25

01 HAC 29 SF 150 1

01 TLT 44 SF 150 1

01 TLT 32 SF 150 1

01 COMM. CARE 180 SF 150 2

01 SUPPLIES 107 SF 500 1

01 CONFERENCE 165 SF 150 2

01 OFFICE 116 SF 150 1

01 OFFICE 87 SF 150 1

01 PICK UP 197 SF 150 2

01 CHECK IN 664 SF 150 5

01 WAITING 799 SF 15 54

01 STORAGE 155 SF 500 1

01 DISPENSING 259 SF 150 2

01: 14 6,552 SF 97

BSMT WAITING 247 SF 15 17

BSMT INPATIENT PHARMACY 3,037 SF 150 21

BSMT IV ADMIXTURE 387 SF 150 3

BSMT ONCOLOGY 189 SF 150 2

BSMT VAULT 129 SF 500 1

BSMT VAULT 76 SF 500 1

BSMT OFFICE 87 SF 150 1

BSMT PICK UP 120 SF 150 1

BSMT SUPPLIES 188 SF 500 1

BSMT ELECTRICAL 31 SF 150 1

BSMT CORRIDOR 330 SF 150 3

BSMT: 11 4,821 SF 51

Grand total: 25 11,373 SF 148

1/8" = 1'-0" F6

PARTIAL BASEMENT LIFE SAFETY PLAN

PATH OF TRAVEL SCHEDULE (NFPA 21.2.6 MAX. DIST. = 200ft)

MARK FLOOR FROM TO ROOM TRAVEL DISTANCE

PT1 FIRST FLOOR CONFERENCE A-119A WAITING A-121 156' - 1"

PT2 FIRST FLOOR CONFERENCE A-119A OUTPATIENT PHARMACY

A-119

84' - 2 7/8"

PT3 BSMT IV ADMIXTURE A-40F WAITING A-38 115' - 5 1/4"

PT4 BSMT IV ADMIXTURE A-40F INPATIENT PHARMACY A-40 55' - 6 1/2"

PT5 BSMT IV ADMIXTURE A-40F INPATIENT PHARMACY A-40 103' - 6"

PT1.1 FIRST FLOOR OUTPATIENT

PHARMACY A-119

STORAGE A-121A 77' - 6 1/16"

NORTH

1. ALL FIRE WALLS, FIRE BARRIERS, FIRE PARTITIONS & SMOKE BARRIERS AND SMOKE PARTITIONS OR ANY OTHER WALL REQUIRED TO HAVE PROTECTED OPENINGS OR PENETRATIONS SHALL BE EFFECTIVELY AND PERMANENTLY IDENTIFIED WITH SIGNS OR STENCILING. THE ARE TO BE LOCATED IN ACCESSIBLE CONCEALED FLOOR, FLOOR-CEILING OR ATTIC SPACES; BE LOCATED WITHIN 15 FEET OF THE END OF EACH WALL AND AT INTERVALS NOT EXCEEDING 30' MEASURED HORIZONTALLY ALONG THE WALL OR PARTITION; AND INCLUDE LETTERING NOT LESS THAN 3" IN HEIGHT WITH A MINIMUM 3/8" STROKE IN A CONTRASTING COLOR INCORPORATING THE SUGGESTED WORDING. "FIRE AND/OR SMOKE

BARRIER-PROTECT ALL OPENINGS" OR OTHER WORDING.

2. PENETRATIONS OF A FLOOR, FLOOR/CEILING ASSEMBLY OF THE CEILING MEMBRANE OR A ROOF/CEILING ASSEMBLY

SHALL COMPLY WITH NFPA 101-8.3.5.

3. PROVIDE PORTABLE FIRE EXTINGUISHERS EVERY 75-FEET AT JOB SITE DURING CONSTRUCTION.

4. REFER TO ELECTRICAL DRAWINGS FOR STROBE, FIRE ALARM AND CARBON MONOXIDE DETECTORS, EMERGENCY

LIGHTS, PULL STATIONS, FIRE PANEL LOCATIONS, OTHER AUDIO AND VISUAL DEVICES, INCLUDING LOCATIONS AND MOUNTING HEIGHT. BUILDING UNDER EMERGENCY GENERATOR POWER AS WELL AS UPS. REFER TO GOVERNMENT-

PROVIDED INFORMATION FOR EXISTING SYSTEM REQUIREMENTS.

SHEET NOTES

COMMON PATH OF TRAVEL (MAX. DIST. = 200ft) Copy 1

MARK FLOOR FROM TO ROOM TRAVEL DISTANCE

CPT-2 BSMT IV ADMIXTURE A-40F INPATIENT PHARMACY A-40 81' - 9 1/16"

BSMT: 1

CPT1 FIRST FLOOR CONFERENCE A-119A OUTPATIENT PHARMACY

A-119

56' - 2 3/4"

FIRST FLOOR: 1

LIFE SAFETY - BUILDING CODE ANALYSIS

PROJECT NAME: JACKSON VA PHARMACIES SECURITY UPGRADE

CITY: JACKSON

COUNTY: MADISON

STATE: MISSISSIPPI

AUTHORITY HAVING JURISDICTION: VETERANS AFFAIRS

APPLICABLE CODES AND STANDARDS 2024 IBC - INTERNATIONAL BUILDING CODE (WITH AMENDMENTS)

2024 IEBC - INTERNATIONAL EXISTING BUILDING CODE (WITH AMENDMENTS)

2021 IPC - INTERNATIONAL PLUMBING CODE

2021 IECC - INTERNATIONAL ENERGY CONSERVATION CODE

2018 NFPA 10, STANDARD FOR PORTABLE FIRE EXTINGUISHERS

2019 NFPA 13 -STANDARD FOR THE INSTALLATION OF SPRINKLER SYSTEMS

2021 NFPA 54, NATIONAL FUEL GAS CODE

2023 NFPA 70, NATIONAL ELECTRICAL CODE

2022 NFPA 72, NATIONAL FIRE ALARM CODE

2018 NFPA 90A, STANDARD FOR INSTALLATION OF AIR-CONDITIONING AND VENTILATION SYSTEMS

2021 NFPA 99, HEALTHCARE FACILITIES CODE

2024 NFPA 101, LIFE SAFETY CODE (LSC)

2024 NFPA 220, STANDARD ON TYPES OF CONSTRUCTION

2022 FACILITY GUIDELINES INSTITUTE, GUIDELINES FOR DESIGN AND CONSTRUCTION OF HOSPITALS

PG 18-3 - DESIGN AND CONSTRUCTION PROCEDURES

PG 18-10 VA ELECTRICAL DESIGN MANUAL - 2019

PG 18-10 VA LIGHTING DESIGN MANUAL - 2022

PG 18-10 VA HVAC DESIGN MANUAL

PG 18-10 VA TELECOMMUNICATIONS SYSTEM INFRASTRUCTURE STANDARDS - 2016

PG 18-10 VA FIRE PROTECTION DESIGN MANUAL - 2021

PG 18-10 VA PLUMBING DESIGN MANUAL - 2018

PG 18-13 - VA BARRIER FREE DESIGN STANDARD

PG 18-14 - ROOM FINISHES, DOOR, & HARDWARE SCHEDULE

2022 PHARMACY SERVICE DESIGN GUIDE

2024 PHYSICAL SECURITY & RESILIENCY DESIGN MANUAL

ASHREA STANDARDS: 62. 1-2019, 90. 1-2019, 170-2017

BASIC BUILDING INFORMATION

CONSTRUCTION TYPE (NFPA 220 SECTION 4.3) TYPE II (222)

OCCUPANCY CLASSIFICATION HEALTHCARE

IBC PHARMACY SUITE: B-BUSINESS

NFPA 101 CHAPTER 18 & APPENDIX D OF FIRE PROTECTION DESIGN

GUIDE

HEALTHCARE

SESMIC DESIGN CATEGORY A

FIRE-RESISTANT BUILDING ELEMENTS (IBC TABLE 601 & NFPA 220

TABLE 4.1.1))

STRUCTURAL FRAME: 2 HOURS

EXTERIOR BEARING WALLS: 2 HOURS

INTERIOR BEARING WALLS: 2 HOURS

INTERIOR NONBEARING WALLS: 0 HOURS

FLOOR CONSTRUCTION & ASSOCIATED SECONDARY MEMBERS: 2 HOURS

ROOF CONSTRUCTION & ASSOCIATED SECONDARY MEMBERS: 1 HOURS

EXTERIOR OPENINGS: PROTECTED: NOT REQUIRED

UNPROTECTED: UNLIMITED

SHAFT ENCLOSURE CONSTRUCTION 2 HR CONSTRUCTION

ACTIVE FIRE SAFETY FEATURES

AUTOMATIC SPRINKLER SYSTEM: REQUIRED, PROVIDED THROUGHOUT THE BUILDING

FIRE ALARM SYSTEM: PROVIDED

DETECTION SYSTEM: REQUIRED (NFPA 90A, ASME 17.1)

SMOKE CONTROL SYSTEM: NOT REQUIRED, NOT PROVIDED.

PORTABLE FIRE EXTINGUISHERS: PROVIDED PER NFPA 10. 75' TRAVEL DISTANCE . MAX TRAVEL DISTANCE TO FIRE EXTINGUISHERS WITHIN SUITE IS 60'.

EXIT IDENTIFICATION: REQUIRED, PROVIDED

EXIT ILLUMINATION: REQUIRED, PROVIDED

3 4

E

D

F

C

2 5 6

G

B

A

OUTPATIENT PHARMACY

A-119

HAC

A-125

TLT

A-124

TLT

A-123

COMM. CARE

A-122

SUPPLIES

A-122A

CONFERENCE

A-119A

OFFICE

A-126

OFFICE

A-127

PICK UP

A-129

CHECK IN

A-120

WAITING

A-121

PROJECT LIMIT LINE

PROJECT LIMIT LINE

PHARMACISTS

STOR. PROCUREMENT

CALL CENTER

NARCOTICS

WINDOW

OPS

FILLING

PHASE I

PHASE III

PHASE IV

PHASE V

PHASE VI

PHASE II

CHECK-IN

0908 10 11 13 1412

E.

D.

F.

G.

WAITING

A-38 INPATIENT PHARMACY

A-40

IV ADMIXTURE

A-40F

ONCOLOGY

A-40G

VAULT

A-40D

VAULT

A-40E OFFICE

A-40I

PICK UP

A-40H

SUPPLIES

A-40J

ELECTRICAL

A-40K

PROJECT LIMIT LINE

PROJECT LIMIT LINE

MEDICATION

CAROUSEL

PHASE B-I

PHASE B-II

F7

AE101

PHASE I (OUTPATIENT)/ PHASE B-I (INPATIENT)

PHASE II (OUTPATIENT)/ PHASE B-II (INPATIENT)

PHASE III (OUTPATIENT)

PHASE IV (OUTPATIENT)

PHASE V (OUTPATIENT)

PHASE VI (OUTPATIENT)

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

CONSULTANTS

321 4 5 6 7 8 9 10

NO. DESCRIPTION DATE

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER

o n e e ig h th i n c h o n e f o o t o n e q u a rt e r in c h o n e f o o t th re e e ig h th s i n c h o n e f o o t o n e h a lf i n c h o n e f o o t th re e q u a rt e rs i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a lf i n c h e s o n e f o o t th re e i n c h e s o n e f o o t

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECTENGINEER OF RECORD

M-R PROJECT NO:

Architect:

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECT

MABBETT & ASSOCIATES, INC.

Hazardous Materials: BID DOCUMENTS

C U s e rs

\d e m e tr iu s k \D o c u m e n ts

\5

-M

S

J a c k s o n V

A P h a rm a c ie s S e c u ri ty

U p g ra d e R

V T d e m e tr iu s k F

V

B G

.r v t

/2

/2

:3

:3

P

M

PH-101

ARCHITECTURAL

PHASING PLANS

BASEMENT & 1ST FLR PHARMACIES

PHARMACY PHYSICAL SECURITY

UPGRADE

586-22-105

Project Director

2024-07-24 REF MKL

FULLY SPRINKLERED

G.V. (SONNY) MONTGOMERY VAMC

JACKSON, MISSISSIPPI 39216

0499-0159

1/8" = 1'-0"

ARCHITECTURAL PHASING PLAN - 1ST FLOOR OUTPATIENT PHARMACY

NORTH

OUTPATIENT PHARMACY PHASING PLAN

A. SCHEDULE WORK WITH COR/COTR: MINIMUM ADVANCE NOTICE OF 14 DAYS REQUIRED PRIOR TO COMMENCING

WORK.

B. PREPARE ICRA AND INTERIM LIFE SAFETY MEASURES FORMS AND FILE WITH VA.

C. CLEAR ALL PHARMACY EQUIPMENT TO BE TEMPORARILY RELOCATED OR STORED WITH VA BIOMEDICAL ENGINEER.

COORDINATE WITH EQUIPMENT SERVICE CONTRACTOR AND VA.

D. CASEWORK AND WORKSTATIONS WITHIN THE PHARMACY IS IN THE SCOPE OF WORK. HANDLING, MOVING, RELOCATING, DISASSEMBLY, REASSEMBLY, AND STORAGE OF THESE UNITS WILL BE BY THE VA'S FURNITURE VENDOR. The contractor will coordinate and hire the vendor.

a. PROVIDE 14 DAYS NOTICE TO VA PRIOR TO NEEDING PHARMACY CASEWORK ALTERED OR REMOVED.

b. VA'S FURNITURE VENDOR CONTACT INFORMATION:

• MOLLIE CARDWELL, SALES & DESIGN, MONCORPORATE AS MUCH WORK AS POSSIBLE FROM OTHER PHASES

INTO CURRENT PHASE.DULAR PHARMACY SOLUTIONS,LLC.

• MOBILE: 662-448-0974

• EMAIL: mcardwell@modularpharmacy.com

E. MAINTAIN PATHS OF EGRESS AND LIFE SAFETY REQUIREMENTS WHERE FEASIBLE.

a. WHERE UNABLE TO MAINTAIN COMPLIANCE, IMPLEMENT INTERIM LIFE SAFETY MEASURES.

F. PHARMACY FILLING TO REMAIN IN PLACE WITH NO DISRUPTIONS TO DAILY OPERATIONS.

G. INCORPORATE AS MUCH WORK AS POSSIBLE FROM OTHER PHASES INTO CURRENT PHASE.

H. HVAC SYSTEM DISTRIBUTION WITHIN THE PHARMACY MAY ALTER ACTUAL BOUNDARIES.

I. HAZARDOUS ABATEMENT/SECURITY BAR INSTALLATION SHALL BE DONE BEFORE PHASE I IN AFTER HOURS SHIFTS.

COORDINATE TIMING WITH COR/COTR REFER TO SHEET HA111 FOR ADDITIONAL INFORMATION.

a. CONSTRUCT ICRA BARRIERS. REMOVE HAZARDOUS DUCT SECTION(S); WHEN AIR SAMPLES TEST CLEAR, SHEETMETAL CONTRACTOR INSTALLS NEW DUCT SECTION WITH SECURITY BARS.

b. REMOVE IRCA BARRIERS.

J. AT ENTRIES TO ALL PHASES OF CONSTRUCTION. PROVIDE DUST BARRIER SEPARATIONS FROM FLOOR TO CEILING AND CEILING TO DECK WITH HEAVY DUTY ZIPPERS ON BOTH SIDES OF OPENINGS TO ACCESS THE SPACE. PROVIDE

STICKY FLOOR PADS ON BOTH SIDES OF OPENINGS.

1. PHASE I - PARTIAL PHARMACY RENOVATION

A. CALL CENTER AND PROCUREMENT MOVE TO INPATIENT PHARMACY IN BASEMENT

a. PROVIDE 2-WEEKS LEAD TIME BEFORE RELOCATING

B. RELOCATE OR STORE FURNITURE AND EQUIPMENT

a. COORDINATE FF&E TO REMAIN IN OUTPATIENT AND MOVE REMAINING TO NEW TEMPORARY LOCATION

C. INSTALL TEMPORARY PARTITIONS

D. DEMOLITION START

a. REMOVE DOORS AND FRAMES

b. INSTALL NEW DOORS AND FRAMES

c. REMOVE CEILINGS, FIXTURES, HVAC, AND ELECTRICAL

d. REMOVE FLOORING

e. REMOVE PLUMBING

E. NEW WORK START

a. INSTALL NEW FLOORING & TILE

b. INSTALL NEW PLUMBING, ELECTRICAL, AND HVAC

c. INSTALL NEW CEILING AND FIXTURES

d. REMOVE TEMPORARY PARTITIONS

e. MOVE RELOCATED FF&E BACK HOME

f. CALL CENTER AND PROCUREMENT REMAIN IN BASEMENT

2. PHASE II

A. COMPLETE CHECK-IN AREA WORK FIRST, THEN COMMENCE WITH PHARMACY WORK. CONSOLIDATE STEPS

WHERE POSSIBLE

B. CHECK-IN STAFF RELOCATE TO SWING SPACE

a. PHARMACY TO COORDINATE CHECK-IN SWING SPACE LOCATION

b. FF&E REMAINS IN PLACE

C. CHECK-IN DEMOLITION START

a. PREPARE FOR NEW EQUIPMENT

D. CHECK-IN NEW WORK START

a. INSTALL NEW ELECTRICAL

b. MOVE CHECK-IN STAFF BACK HOME

E. PHARMACISTS RELOCATE TO AVAILABLE SPACE

a. PHARMACY TO COORDINATE PHARMACISTS SWING SPACE LOCATION

F. RELOCATE OR STORE PHARMACISTS FF&E

a. NEW TEMPORARY LOCATION TBD

G. INSTALL TEMPORARY PARTITIONS

H. DEMOLITION START

a. REMOVE CEILINGS, FIXTURES, HVAC, AND ELECTRICAL

b. REMOVE FLOORING IN PHARMACY WORK AREA

I. NEW WORK START

a. INSTALL NEW FLOORING

b. INSTALL NEW ELECTRICAL AND HVAC

c. INSTALL NEW CEILING AND FIXTURES

d. REMOVE TEMPORARY PARTITIONS

e. MOVE RELOCATED FF&E BACK HOME

f. PHARMACISTS REMAIN IN TEMPORARY LOCATION

3. PHASE III

A. WINDOW OPS RELOCATES TO CHECK-IN, OFFICES RELOCATE TO PROCUREMENT

a. RELOCATE ALL FF&E IN OFFICES 126 AND 127A TO CALL CENTER AREA OR STORE AT ALTERNATE LOCATION

B. DEMOLITION START

a. INSTALL TEMPORARY PARTITION AND DOOR TO MANTAIN 1-HOUR RATED BARRIER

b. REMOVE DOOR C-100 & INSTALL TEMPORARY PARTITION IN MAIN CORRIDOR

c. REMOVE GYP. BD. AND OTHER ITEMS TO PREPARE FOR NEW SECURITY MESH INSTALLATION

d. REMOVE CEILINGS, FIXTURES, HVAC, AND ELECTRICAL

e. REMOVE LIMITED CEILING, HVAC, AND ELECTRICAL IN PICK UP AND OFFICE A-126

f. REMOVE TRANSACTION WINDOW IN OFFICE A-127 AND PACKAGE TRANSFER UNIT IN WINDOW OPS

• INFILL PARTITION AT OFFICE A-127 WHERE WINDOW WAS REMOVED

C. NEW WORK START

a. INSTALL SECURITY MESH IN CORRIDOR AND CHECK IN A-120; FINISH AS SCHEDULED

• REINSTALL CHECK IN DOOR

b. INSTALL BULLET RESISTANT PANELS AND SECURITY MESH PARTITION TO DECK IN PICK UP A-129

c. INSTALL NEW PACKAGE TRANSFER UNIT IN WORK OPS, REFINISH OFFICE A-127 PATCHED PARTITION AND

OPPOSING CORRIDOR

d. INSTALL NEW ELECTRICAL, EQUIPMENT, AND HVAC

e. INSTALL NEW CEILING AND FIXTURES IN WORK OPS; REINSTALL CEILING IN PICK UP AND OFFICES

f. REMOVE TEMPORARY PARTITION AND DOOR IN CORRIDOR

g. REMOVE TEMPORARY PARTITION IN CORRIDOR & REPLACE DOOR C-100

h. MOVE FF&E BACK HOME

i. MOVE OFFICES AND WINDOW OPS BACK HOME

j. MOVE CALL CENTER AND PROCUREMENT BACK HOME

4. PHASE IV

A. NARCOTICS MAY ONLY RELOCATE TO FILLING FOR TWO DAYS MAXIMUM; THEREFORE, PHASE SHOULD BE

SCHEDULED TO BEGIN LATE IN THE WEEK AND CONTINUE THROUGH THE WEEKEND.

B. NARCOTICS RELOCATES TO FILLING

C. RELOCATE FF&E WITHIN PHARMACY

D. INSTALL TEMPORARY PARTITIONS

E. DEMOLITION START

a. REMOVE CEILINGS, FIXTURES, HVAC, AND ELECTRICAL

b. REMOVE FLOORING

F. NEW WORK START

a. INSTALL NEW FLOORING

b. INSTALL NEW ELECTRICAL AND HVAC

c. INSTALL NEW CEILINGS AND FIXTURES

d. REMOVE TEMPORARY PARTITIONS

e. MOVE FF&E BACK HOME

f. MOVE NARCOTICS BACK HOME

5. PHASE V

A. FILLING RELOCATES TO TBD (CONFIRM W/ COR)

B. RELOCATE FF&E WITHIN PHARMACY

C. INSTALL TEMPORARY PARTITIONS

D. DEMOLITION START

a. REMOVE CEILINGS, FIXTURES, HVAC, AND ELECTRICAL

b. REMOVE FLOORING

E. NEW WORK START

a. INSTALL NEW FLOORING

b. INSTALL NEW ELECTRICAL AND HVAC

c. INSTALL NEW CEILINGS AND FIXTURES

d. REMOVE TEMPORARY PARTITIONS

e. MOVE FF&E BACK HOME

f. MOVE FILLING BACK HOME

6. PHASE VI

A. COMM CARE RELOCATES TO TBD

B. RELOCATE FF&E WITHIN PHARMACY OR STOR

C. DEMOLITION START

a. REMOVE FIXTURES, HVAC, AND ELECTRICAL AS INDICATED

b. REMOVE FLOORING

D. NEW WORK START

a. INSTALL NEW FLOORING

b. INSTALL NEW ELECTRICAL AND HVAC

c. INSTALL NEW FIXTURES

d. REMOVE TEMPORARY PARTITIONS

e. MOVE FF&E BACK HOME

f. MOVE COMM CARE BACK HOME

1/8" = 1'-0"

PHASING PLAN - BASEMENT INPATIENT PHARMACY

NORTH

INPATIENT PHASING PLAN

A. MAINTAIN PATHS OF EGRESS AND LIFE SAFETY REQUIREMENTS WHERE FEASIBLE.

a. WHERE UNABLE TO MAINTAIN COMPLIANCE, IMPLEMENT INTERIM LIFE SAFETY MEASURES.

B. INCORPORATE AS MUCH WORK AS POSSIBLE FROM OTHER PHASES INTO CURRENT PHASE.

C. ACCESS TO CEILING ABOVE THE MEDICATION CAROUSEL IS NOT ANTICIPATED AND ALL WORK ABOVE IT

SHOULD BE CONDUCTED ON THE PROSTHETICS SIDE; HOWEVER, IF PLENUM ACCESS IS REQUIRED, COORDINATE WITH PHARMACY TO DISMANTLE TOP ADJUSTABLE SKIRT OR RELOCATE MEDICATION

CAROUSEL AND SCHEDULE WORK ACCORDINGLY.

D. CASEWORK AND WORKSTATIONS WITHIN THE PHARMACY IS NOT INCLUDED IN THE SCOPE OF WORK.

HANDLING, MOVING, RELOCATING, DISASSEMBLY, REASSEMBLY, AND STORAGE OF THESE UNITS WILL BE

BY THE VA'S FURNITURE VENDOR.

a. PROVIDE 14 DAYS NOTICE TO VA PRIOR TO NEEDING PHARMACY CASEWORK ALTERED OR REMOVED.

b. VA'S FURNITURE VENDOR CONTACT INFORMATION:

• MOLLIE CARDWELL, SALES & DESIGN, MODULAR PHARMACY SOLUTIONS,LLC.

• MOBILE: 662-448-0974

• EMAIL: mcardwell@modularpharmacy.com

E. PHASE B-I

A. INSTALL TEMPORARY PARTITIONS

B. DEMOLITION START

a. REMOVE DOORS AND FRAMES

b. INSTALL NEW DOORS AND FRAMES

c. REMOVE PACKAGE TRANSFER UNIT

d. REMOVE CEILINGS AND LIGHT FIXTURES AND SALVAGE FOR REUSE

e. REMOVE ELECTRICAL AND HVAC

C. NEW WORK START

a. INSTALL NEW PACKAGE TRANSFER UNIT

b. INSTALL NEW ELECTRICAL AND HVAC

c. INSTALL SALVAGED CEILING AND FIXTURES

d. REMOVE TEMPORARY PARTITIONS

F. PHASE B-II

A. DEMOLITION START

a. INSTALL TEMPORARY PARTITIONS

b. COORDINATE WORK AROUND MEDICATION CAROUSEL WITH VA

c. REMOVE CEILING AND SALVAGE FOR REUSE

B. NEW WORK START

a. INSTALL NEW ELECTRICAL AND HVAC

b. INSTALL SALVAGED CEILING

c. MOVE MEDICATION CAROUSEL BACK HOME

d. REMOVE TEMPORARY PARTITIONS

PHASING PLAN LEGEND

Remove ceiling and light fixtures. Salvage fixture to be reused. Grid to be modified for all new 2x2 ceiling tiles. (By VA 3/2/2026)

Install salvaged led lights . modify the ceiling grid and install all new 2x2 ceiling tiles (By VA 3/2/2026)

Remove ceiling and light fixtures. Salvage fixture to be reused. Grid to be modified for all new 2x2 ceiling tiles. (By VA 3/2/2026) install salvaged led lights . modify the ceiling grid and install all new 2x2 ceiling tiles (By VA 3/2/2026)

VHAJACLangsT Cross-Out

VHAJACWilliK6 Cross-Out

VHAJACWilliK6 Cross-Out

VHAJACWilliK6 Cross-Out

Project Number

Building Number

Drawing Number

Project Title

Location

Issue Date Checked Drawn

Drawing Title

Approved:

VA FORM 08 - 6231

A

Office of Construction and Facilities Management

U.S. Department of Veterans Affairs

B

C

D

E

F

A

B

C

D

E

F

21 4 5 6 7 8 9 10

Phase

CONSULTANTS

321 4 5 6 7 8 9 10

NO. DESCRIPTION DATE

PRINTS OF THIS DRAWING SHALL NOT BE USED FOR ANY PURPOSE

WHATSOEVER WITHOUT THE SEAL AND SIGNATURE OF THE

PROFESSIONAL ENGINEER

o n e e ig h th i n c h o n e f o o t o n e q u a rt e r in c h o n e f o o t th re e e ig h th s i n c h o n e f o o t o n e h a lf i n c h o n e f o o t th re e q u a rt e rs i n c h o n e f o o t o n e i n c h o n e f o o t o n e a n d o n e h a lf i n c h e s o n e f o o t th re e i n c h e s o n e f o o t

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECTENGINEER OF RECORD

M-R PROJECT NO:

Architect:

OCULUS ARCHITECTURE, PC

RONALD REIM, ARCHITECT

MABBETT & ASSOCIATES, INC.

Hazardous Materials: BID DOCUMENTS

C U s e rs

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IC101

INFECTION CONTROL NOTES AND

DETAILS

PHARMACY PHYSICAL SECURITY

UPGRADE

586-22-105

Project Director

2024-07-24 RF DK

FULLY SPRINKLERED

G.V. (SONNY) MONTGOMERY VAMC

JACKSON, MISSISSIPPI 39216

0499-0159

Table 1 - Construction, Renovation, and/or Maintenance Activity Category

NOTE: If any of the bulleted criteria in a higher activity category pertains to the work that will be done (even if the other criteria are in a lower category), use the higher activity category for the VHA ICRA.

Activity Category determined from Table 1 (A, B, C, or D): D

Category A

Inspection and/or facility upkeep generally defined as follows:

• Work can be completed in a single shift, not to exceed 10 hours.

• Patients and/or employees may be in the area depending on the activity.

• Work that does not create dust or debris.

• Removal of ceiling tile or access to mechanical or electrical chase for visual inspection limited to 1 tile per 50 square feet with limited exposure time (not to exceed an hour for each tile) within the shift.

• Minor interior updates (e.g., replacing floor or ceiling tiles, carpentry work to include hanging signage, and painting without sanding) that do not create dust or debris.

• Limited building system maintenance such as plumbing on potable systems limited to faucet replacement etc. and electrical work such as replacement of bulbs, receptacles, or switches.

Category B

General maintenance and repair work generally defined as follows:

• Prolonged inspection and work that may take longer than a single shift but not exceeding a week.

• Patients and employees are not to be in the area until activity is completed.

• Work that creates minimal dust and debris.

• Interior finish or surface repairs, updates, or modifications such as repair of firewalls and barriers, and new flooring that produces minimal dust and debris. Controlled sanding activities (e.g., wet or dry sanding) that produce minimal dust and debris.

• Plumbing work such as installation or replacement of a single fixture or piping for a single fixture. Any work on sanitary plumbing including snaking of drains.

• Electrical work such as installation of cabling/wiring/conduit for a single device, installation of new device such as a light fixture that produces minimal dust and debris.

• Air Handler and/or fan shutdown/startup and HVAC work such as replacement of a single diffuser, single terminal unit or a single device that produces minimal dust and debris.

Category C

Small-scale construction, renovation, or maintenance generally defined as follows:

• Work requiring longer than a single week to complete but not exceeding 6 months.

• Patients and employees are not to be in the area until activity is completed.

• Demolition/removal of preexisting floor covering, casework, lay-in ceiling, or other architectural elements.

• Demolition/removal of more than 32 ft2 of drywall/framing, hard ceilings, and doors/framing and minimal infrastructure such as electrical circuits and branch piping.

• Installation of new walls, ceilings and doors including framing, drywall/plaster and associated work.

• Plumbing work such as the installation of new sinks, showers and toilets and associated plumbing.

• Shut down of sections of potable water systems.

• Electrical work such as installation of conduit and wire for lighting, receptacles and switches for an area, the installation of conduit and wire for new devices such as terminal units, fans etc.

• Modification of existing fire alarm and suppression systems.

• Mechanical work such as the installation of ductwork, diffusers, and terminal units for an area.

Category D

Large-scale construction, renovation, or maintenance generally defined as follows:

• Work exceeding 6 months in duration.

• Patients and employees are not to be in the area until activity is completed.

• Large-scale demolition of building components and infrastructure including removal of multiple doors, walls, framing, ceilings, flooring, piping, electrical and HVAC.

• The installation building components such as new walls, ceilings and doors including framing, drywall and associated plaster work.

• Plumbing work such as the installation of:

• new medical gas systems,

• steam/heating hot water, condensate systems,

• multiple sinks, showers and toilets including associated plumbing.

• Shutdown of potable water, steam/heating hot water, condensate, and medical gas systems.

• Electrical work such as installation of electrical feeders, distribution panels, conduit and wire for lighting, receptacles and switches for an area, the installation of conduit and wire for new devices such as terminal units, fans etc.

• Installation of fire alarm and suppression systems.

• Electrical shutdown of multiple panels.

• Mechanical work such as the installation of air handling equipment, associated ductwork, diffusers, heat exchangers, terminal units and controls.

Table 2 - Affected Area Assessment

Area Service(s)/Type(s) of Area(s) (e.g., OR, Unit/Ward, Sterile

Processing, Administrative, etc.)*

Point of Contact (POC) POC Contact Information

Activity Area**

Activity Above

Activity Below

Adjacent Area 1

Adjacent Area 2

Adjacent Area 3

Adjacent Area 4

Table 3 - Patient Risk Category Using Table 3, identify the patient risk category for each area listed in Table 2. Of the patient risk categories identified, select the one with the greatest risk as the overall Patient Risk Category for the activity.

Overall Patient Risk Category determined from Table 3 (Low, Medium, High, or Highest):

Low Risk

Non-patient care areas such as:

Medium Risk

Patient care support areas such as:

High Risk

Patient care areas such as:

Highest Risk

Procedural, invasive, sterile support and highly compromised patient care areas such as:

• Public hallways and gathering areas not in clinical areas

• Office areas not in clinical areas

• Breakrooms not in clinical areas

• Bathrooms or locker rooms not in clinical areas

• Mechanical/electricl rooms not in clinical areas

• Waiting areas

• Clinical engineering (biomedical)

• Materials management

• Sterile processing department – dirty side

• Kitchen, cafeteria, gift shop, coffee shop, and food kiosks

• Patient care rooms and areas, including spinal cord injury units

• All acute care units, including mental health

• All outpatient units and clinics

• Emergency department

• Community Living Centers, domiciliaries, and transitional residences

• Employee health

• Pharmacy – general work zone

• Medication rooms and clean utility rooms

• Imaging suites – diagnostic imaging

• Laboratory

• All transplant units

• All intensive care units

• All oncology units and chemotherapy/infusi on centers

• OR theaters and restricted areas

• Hemodialysis units

• Procedural rooms*

• Pharmacy compounding area

• Sterile processing department – clean side

• Transfusion services

• Imaging suites – interventional imaging

• Dedicated isolation wards/units for infectious diseases

* Procedural Rooms are designated for the performance of patient care activities that may require high-level disinfected or sterile instruments and some environmental controls but is not required to be performed with the environmental controls of an operating room (OR). The room is intended for procedures that are performed in an aseptic surgical field and penetrates the protective surfaces of a patient’s body (e.g., subcutaneous tissue, mucous membranes, cornea) or entry into or opening of a sterile body cavity. Examples of these spaces include, and are not limited to, Cardiac Catheterization Suites, Electrophysiology Suites, Endovascular/GI Suites, Angio Suites and other spaces which may have high risk patient populations

Table 4 - Level of Infection Prevention and Control Precautions Match the Overall Patient Risk Category (Low, Medium, High, Highest) determined from Table 3 with the planned Construction/Renovation/Maintenance Activity Category (A, B, C, D) from Table 1 to determine the minimum Level of Infection Prevention and Control Precautions (I, II, III, or IV) using Table 4 below.

Level of Precautions determined from Table 4 (I, II, III, or IV): High

Unique permit number:

Location of construction/renovation/maintenance

An infection prevention and control permit is required for Level III and Level IV.

Table 5 - Required Infection Prevention and Control Measures, by Level of Precautions Controls defined below for the Level of Precautions identified for the activity must be in place before the activity begins and maintained until work is completed and the area is activated. Control measures for each Precaution Level must also include the control measures in the preceding Level(s).

As the activity progresses, a full re-evaluation of remaining activity type and patient risk is required prior to downgrading the Level of Precautions.

Level of Precautions

Level I

Control Measures

1. Perform work activity in a manner that does not create dust.

2. Immediately replace any ceiling tile, close access panels, etc., upon completion of work.

3. Amy materials and equipment being brought into the facility must be free of contaminants and loose material.

Level II All control measures in Level I and the following:

1. Provide active means to control airborne dust from dispersing into occupied areas and/or water mist surface to control dust (e.g., Mobile Dust Containment Cart or some other system).

2. Ensure worker clothing is clean and free of visible dust before leaving the work area.

3. Remove or isolate air diffusers (supply and return) to protect the HVAC system from dust and reduce air turbulence. Rebalance system to address diffuser isolation.

4. When the work involves or impacts potable water systems including stagnation due to reduced usage, the piping shall be flushed twice a week or isolated from the main system.

5. Seal doors to prevent dust migration.

6. Contain all trash and debris in the work area. Perform daily cleaning and disposal of trash (covered) from work area using an identified exit route.

7. Any equipment, tools, or materials removed from the work area must be in sealed containers and/or cleaned of dust and debris prior to removal from the area.

8. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas. These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

9. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

10. Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces at least daily.

Level III All control measures in Levels I and II and the following:

1. Ensure availability of equipment for cleaning hands.

2. Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

3. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to floor and ceiling (or floor/roof deck above) and secure from movement or damage.

4. Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

5. Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors (unless a work specific waiver is approved by VHA’s Office of Healthcare Engineering); this must be maintained continuously 24/7 for the duration of the project. HEPA filtered exhaust must be discharged directly to the outdoors at a distance of 25 feet or greater from entrances, air intakes and operable windows. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

Install a differential pressure sensing device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor and document negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

Level IV All control measures in Levels I, II and III and the following:

1. Barriers must be hard barriers unless temporary to install final barrier.

2. Containment must include an anteroom to ensure pressure control. Anteroom must be large enough for equipment staging, cart cleaning, workers’ PPE and cleaning.

3. Worker clothing and/or PPE must be removed or clean and free of visible dust before leaving the work area anteroom. HEPA vacuuming of clothing or use of cover suits is acceptable.

Workers must wear shoe covers or have a method to clean shoes in anteroom. Shoe covers must be removed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be changed immediately.

Table 6 - Minimum Infection Prevention and Control Measures Required Upon Completion of the Activity

Controls defined below shall be completed upon completion of the activity and inspected prior to terminating measures defined in Table 5.

Level of Precautions

Levels I - II

Measures

Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

HVAC Systems:

1. Remove isolation of HVAC system in areas where work is being performed.

Verify that HVAC systems are clean and operational.

2. Verify the HVAC systems meet original airflow and air exchange design specifications.

Water systems:

1. Until the potable water system is activated and in use, flushing shall continue at least twice per week in accordance with VHA Directive 1061.

Levels III - IV Construction areas must be inspected by an infection preventionist and engineering representative (and others as determined by the facility) for final activity/project close out and removal of infection prevention and control measures.

Work Area Cleaning:

1. Clean work areas including all environmental surfaces, high horizontal surfaces and flooring materials.

2. Check all supply and return air registers for dust accumulation on upper surfaces as well as air diffuser surfaces.

Removal of Critical Barriers:

1. Critical barriers must remain in place during all work involving drywall removal, creation of dust and activities beyond simple touch-up work. The barrier may NOT be removed until a work area cleaning has been performed. Additional cleaning may be needed after removal of barrier.

2. All (plastic or hard) barrier removal activities must be completed in a manner that prevents dust release. Use the following precautions when removing hard barriers:

1. Carefully remove screws and painter tape.

2. If dust will be generated during screw removal, use hand-held HEPA vacuum.

3. Drywall cutting is prohibited during removal process.

4. Clean all stud tracks with HEPA vacuum before removing outer hard barrier.

5. Use a plastic barrier to enclose area if dust could be generated.

Negative Air Requirements:

1. The use of negative air must be designed to remove contaminants from the work area.

2. Negative air devices (fans, filters, monitoring and documentation equipment) must remain operational at all times and in place for a period after completion of dust creating activities to remove contaminants from the work area and before removal of critical barriers.

HVAC systems:

1. Upon removal of critical barriers, remove isolation of HVAC system in areas where work is being performed.

2. Verify that HVAC systems are clean and operational.

3. Verify and document through a TAB the HVAC systems meets original airflow and air exchange design specifications.

Water systems:

1. Until the potable water system is activated and in use, flushing shall continue at least twice per week in accordance with VHA Directive 1061.

Infection Prevention and Control Construction/Renovation/Maintenance Permit

Level of Precautions

Levels I

Control measures to be in place for the duration of the activity (Check the box for the activity’s Level of Precautions to indicate the Control Measures)

1. Perform work activity in a manner that does not create dust.

2. Immediately replace any ceiling tile, close access panels, etc., upon completion of work.

3. Any materials and equipment being brought into the facility must be free of contaminants and loose material.

Levels II All control measures in Level I and the following:

1. Provide active means to control airborne dust from dispersing into occupied areas and/or water mist surface to control dust (e.g., Mobile Dust Containment Cart or some other system).

2. Ensure worker clothing is clean and free of visible dust before leaving the work area.

3. Remove or isolate air diffusers (supply and return) to protect the HVAC system from dust and reduce air turbulence. Rebalance system to address diffuser isolation.

4. When the work involves or impacts potable water systems including stagnation due to reduced usage, the piping shall be flushed twice a week or isolated from the main system

5. Seal doors, to prevent dust migration.

6. Contain all trash and debris in the work area. Perform daily cleaning and disposal of trash (covered) from work area using an identified exit route.

7. Any equipment, tools, or materials removed from the work area must be in sealed containers and/or cleaned of dust and debris prior to removal from the area.

8. Nonporous/smooth and cleanable containers (with a hard lid) must be used to transport trash and debris from the construction areas.

These containers must be damp-wiped cleaned and free of visible dust/debris before leaving the contained work area.

9. Install a sticky (dust collection) mat at entrance of contained work area based on facility policy. Sticky mats must be changed routinely and when visibly soiled.

10. Maintain clean surroundings when area is not contained by damp mopping or HEPA vacuuming surfaces at least daily.

This page must be posted at the entrance to the project area for Level III and Level IV activities.

Project manager Contact phone number

Project start date Completion date Permit expiration dateContractor

Activity Category (A, B, C, or D)

Overall Patient Risk Category (Low, Medium, High, or Highest)

Level of Infection Prevention and Control Precautions (I, II, III, or IV)

Levels III All control measures in Levels I and II and the following:

1. Ensure availability of equipment for cleaning hands.

2. Construct and complete critical barriers meeting NFPA 241 requirements. Barriers must extend to the ceiling or if ceiling tile is removed, to the deck above.

3. All (plastic or hard) barrier construction activities must be completed in a manner that prevents dust release. Plastic barriers must be effectively affixed to floor and ceiling (or floor/roof deck above) and secure from movement or damage.

4. Seal all penetrations in containment barriers, including floors and ceiling, using approved materials (UL schedule firestop if applicable for barrier type).

5. Maintain .01 inches /water gauge negative pressurization of the entire workspace by use of HEPA exhaust air systems directed outdoors (unless a work specific waiver is approved by VHA’s Office of Healthcare Engineering); this must be maintained continuously 24/7 for the duration of the project. HEPA filtered exhaust must be discharged directly to the outdoors at a distance of 25 feet or greater from entrances, air intakes and operable windows. Exhausting discharged air into shared or recirculating HVAC systems, or other shared exhaust systems (e.g., bathroom exhaust) is prohibited.

6. Install a differential pressure sensing device (e.g., magnehelic, manometer, or digital monitoring) on exterior of work containment to continually monitor and document negative pressurization. The “ball in the wall” or similar apparatus are not acceptable.

Levels IV All control measures in Levels I, II and III and the following:

1. Barriers must be hard barriers unless temporary to install final barrier.

2. Containment must include an anteroom to ensure pressure control, Anteroom must be large enough for equipment staging, cart cleaning, workers’ PPE and cleaning.

3. Worker clothing and/or PPE must be removed or clean and free of visible dust before leaving the work area anteroom. HEPA vacuuming of clothing or use of cover suits is acceptable.

Workers must wear shoe covers or have a method to clean shoes in anteroom Shoe covers must be removed prior to exiting the anteroom to the occupied space (non-work area). Damaged shoe covers must be changed immediately.

Additional requirements:

Project Manager signature

Infection Preventionist signature

Date

Date

Low Risk

A

Patient Risk Category

Activity Category

Medium Risk

High Risk

Highest Risk

B C D

I

I

I

II

II

II

II

III

II

III

IV

IV

III

IV

IV

IV

Area Service(s)/Type(s) of Area(s) (e.g., OR, Unit/Ward, Sterile

Processing, Administrative, etc.)*

Point of Contact (POC) POC Contact Information

Activity Area**

Activity Above

Activity Below

Adjacent Area 1

Adjacent Area 2

Adjacent Area 3

Adjacent Area 4

1st Floor Outpatient Pharmacy

Basement Inpatient Pharmacy

Ambulatory Surgery

Library

Prosthetics

Mechanical Spaces

Outpatient Clinic

Outpatient Clinic

Mechanical Spaces

High

ILSM TEMPORARY BARRIER TAG

PROJECT:

PRIME CONTRACTOR:

SUB CONTRACTOR:

EMERGENCY CONTACT NO.:

BARRIER INSTALLATION DATE:

BARRIER EXPIRATION DATE:

ICRA NOTES

DUST CONTROL PLAN NOTES

1. THE VAMC INFECTION CONTROL GROUP HAS CONFIRMED THE DESIGNATION FOR THIS

PROJECT IS LEVEL IV FOR THE CLASS OF PRECAUTIONS OF LEVEL OF INFECTION CONTROL

ACTIVITIES. HARD SURFACE BARRIERS SHOULD BE USED EXCEPT IN THE AREA INDICATED ON

THE PHASING PLAN WITH PLASTIC BARRIERS (MINIMUM 4MIL) TO SEAL AREA FROM NON- WORK

AREA AS LONG AS THE SPRINKLER SYSTEM IS INTACT AND ACTIVE.

2. THIS PROJECT NEEDS AN ENTRY VESTIBULE FOR CLOTHING CHANGES (PROVIDE AND LOCATE

A STAGING AREA FOR HAZMAT SUITS NEAR THE PLASTIC BARRIER ENTRANCE SPACES -

CONSTRUCTION ANTEROOM. THEY SHALL BE USED WHEN GOING INTO CONSTUCTION AREA

AND LEAVING THE CONSTRUCTION AREA) AND TOOL STORAGE AND TIGHT SEALS SHALL BE

MAINTAINED AT THE FULL PERIMETER OF WALLS AND WALL PENETRATIONS. ANY DUST SHALL

BE IMMEDIATELY CLEANED IF TRACKED OUTSIDE OF THE CONSTRUCTION BARRIER. UPON

COMPLETION OF THE CONSTRUCTION PHASE, DUST BARRIERS SHALL BE REMOVED

CAREFULLY TO MINIMIZE SPREADING OF DUST AND THE CONTRACTOR SHALL HAVE

TEMPORARY DUST PROTECTION IN PLACE BEFORE REMOVAL OF A PERMANENT BARRIER.

[AFTER EACH PHASE, PERFORM TASKS STATED IN CONTAMINATION OF PATIENT ROOMS,

SUPPLIES, EQUIPMENT AND RELATED AREAS NOTE 2.

3. PROVIDE STICKY MATS AND BLANKET AT THE PLASTIC BARRIER ENTRANCE SPACES

(CONSTRUCTION ANTEROOM) AND CHANGE DAILY OR MORE OFTEN AS NEEDED TO PREVENT

THE SPREAD OF DUST AND DEBRIS INTO ADJACENT CLEAN SPACE.

INTERNAL DEMOLITION AND CONSTRUCTION ACTIVITIES DUST AND DEBRIS CONTROL

1. USE CORRIDORS AS PRIMARY CONSTRUCTION ACCESS.

2. TRAFFIC CONTROL: DESIGNATED ENTRY AND EXIT PROCEDURE SHALL BE DEFINED. EGRESS

PATHS SHALL BE FREE OF DEBRIS; DESIGNATED ELEVATORS SHALL BE USED DURING

SCHEDULED TIMES; AND ONLY AUTHORIZED PERSONNEL SHALL BE ALLOWED TO ENTER THE

CONSTRUCTION ZONE. SIGNAGE SHALL BE DIRECT PEDESTRIAN TRAFFIC AWAY FROM THE

CONSTRUCTION AREA AND MATERIALS.

3. CONTRACTOR SHALL USE TWO CARTS TO TRANSFER CONSTRUCTION MATERIAL IN AND OUT

OF THE PROJECT - A CLEAN CART SHALL BE USED; THE NOT-SO-CLEAN CART SHALL BE USED

BETWEEN THE MAIN ENTRY AND THE CONSTRUCTION STAGING/PREP AREA.

4. DEMOLITION DEBRIS: DEBRIS SHALL BE REMOVED IN CARTS WITH TIGHTLY FITTED COVERS, USING DESIGNATED TRAFFIC ROUTES. EFFORTS SHALL BE MADE TO MINIMIZE USE OF

ELEVATORS WITH AN EMPHASIS ON TRANSPORT DURING THE LOWEST PERIOD OF ACTIVITY.

DEBRIS SHALL BE REMOVED DAILY AND AT TIMES SPECIFIED BY THE VAMC. IF CHUTES ARE

USED TI DIRECT DEBRIS OUTSIDE, HIGH EFFICIENCY PARTICULATE AIR (HEPA) FILTERED

NEGATIVE AIR MACHINES SHALL BE USED, AND THE CHUTE OPENING SHALL BE SEALED WHEN

NOT IN USE. FILTERS SHALL BE BAGGED AND SEALED BEFORE BEING TRANSPORTED OUT OF

THE CONSTRUCTION AREA. THE CONTRACTOR SHALL NOT HAUL DEBRIS THROUGH PATIENT-

CARE AREAS WITHOUT PRIOR APPROVAL OF THE COR.

5. EXTERIOR WINDOWS: WINDOWS SHALL BE SEALED TO MINIMIZE INFILTRATION FROM ANY

ADJACENT EXCAVATION DEBRIS.

VENTILATION AND ENVIRONMENTAL CONTROLS

1. AIR SYSTEM FLOW: THE COR VERIFY AND ACKNOWLEDGE CONTRACTOR WHETHER THE

CONSTRUCTION AREA USES FRESH/OUTSIDE OR RE-CIRCULATED AIR; FILTERS SHALL BE

ADDED OR RETURN VENTS COVERED AS NEEDED WITH FILTER MATERIAL OR PLASTIC. AIR

MUST FLOW FROM CLEAN TO DIRTY AREAS.

2. NEGATIVE AIR PRESSURE: THE AIR WITHIN THE CONSTRUCTION AREA SHALL BE NEGATIVE

WITH RESPECT TO SURROUNDING AREAS AND WITH NO DISRUPTION OF AIR SYSTEMS OF

ADJACENT AREAS. USE OF THE NEGATIVE AIR PRESSURE SYSTEM WITHIN THE ENCLOSURE

TO REMOVE DUST SHALL PASS AIR THROUGH AN INDUSTRIAL GRADE, PORTABLE HEPA FILTER

CAPABLE OF FILTRATION RATES OF 300-800 CUBIC FEET PER MINUTE (FT3/MIN), OR EXHAUST AIR DIRECTLY TO THE OUTSIDE OF APPROVED BY VAMC. IF EXHAUST SHALL BE TIED INTO A RE-

CIRCULATED AIR SYSTEM, A PRE-FILTER AND HEPA FILTER SHALL BE USED BEFORE EXHAUST

TO PREVENT CONTAMINATION OF THE DUCTS.

3. FOR EXHAUST DUCT ROUTING THRU CORRIDOR: INSTALL HARD DUCT WITH NON-FLANGE

HANGER HUNG FROM THE CEILING ABOVE, BOTTOM OF DUCT SHALL BE MINIMUM OF 7'-2" A.F.F

4. ADJACENT AREAS: THE STATUS OF SEALED PENETRATIONS AND INTACT CEILING SHALL BE

VERIFIED DAILY.

5. AIR EXCHANGE RATES AND PRESSURE RELATIONSHIPS: VAMC AND CONTRACTOR SHALL

VERIFY AND MAINTAIN PROPER RATES IN CRITICAL AREAS NEAR CONSTRUCTION ACTIVITY

AND ENSURE AIR IS NOT BEING RE-CIRCULATED WITHOUT FILTRATION FROM THE

CONSTRUCTION AREA ELSEWHERE. PROVIDE AIR PRESSURE TESTING THROUGHOUT THE

PROJECT IN THE FREQUENCY AS IDENTIFIED BY THE COR.

CONTAMINATION OF PATIENT ROOMS, SUPPLIES, EQUIPMENT AND RELATED AREAS

1. WORKSITE CLOTHING: CONTRACTOR PERSONNEL CLOTHING SHALL BE FREE OF LOOSE SOIL

AND DEBRIS BEFORE LEAVING THE CONTRUCTION AREA. IF PROTECTIVE APPAREL IS NOT

WORN (E.G., COVERALLS, FOOTGEAR, AND HEADGEAR) A HEPA-FILTERED VACUUM SHAL BE

USED TO REMOVE DUST FROM CLOTHING BEFORE LEAVING THE BARRICADE. IF PROTECTIVE

APPAREL IS UTILIZED, THE CONTRACTOR SHALL CONSTRUCT A SPACE OR ANTEROOM FOR

CHANGING CLOTHING AND STORING EQUIPMENT (DESIGNATED AREA. ALL EQUIPMENT, TOOLS,

TOOL CARTS, AND MATERIALS TRANSPORTED THROUGH OCCUPED AREAS SHALL BE MADE

FREE FROM DUST AND MOISTURE BY VACUUMING AND WET WIPING BEFORE THEIR REMOVAL

FROM THE CONSTRUCTION ZONE OR WORK AREA.

2. POST CONSTRUCTION: DO NOT REMOVE BARRIERS AND KEEP ALL HVAC ISOLATION UNTIL

CONTRACTOR HAS CLEANED CONSTRUCTION SITE, VA EMS STAFF HAS DONE A TERMINAL

CLEANING, AND VA INFECTIOUS DISEASE CONTROL HAS INSPECTED AND APPROVED THE

CLEANING.

/3

/8

7'-0 1/32"

F.E.C.

F.E.C.

F .E

.C

F .E

.C

F .E

.C

F .E

.C

F.E.C.

F.E.C.

F .E

.C

F .E

.C

POD D

Clean

Soiled

Storage

Conference

A/V

Storage

Electrical

Entry

Corridor

3D

RR

Electrical

2D

1D

RR

Nurse Check-in /

Vitals

Registration

2A135

1A

POD A

4A

3A

1B

2B

POD B

4B

3B

2C

POD C

1C

3C

4C

Physician Office

Physician Office

Care Coordinators114

Physician Office

Physician Office

Physician Office

Lockers

Break Room

Janitor

A n te R o o m

Vestibule

Mixing

Clean

Infusion Suite

H/C RR

Blood Draw

Sub Wait

Staff Tlt.

Meds. Rm.

Nurse Station

Corridor B

Corridor A

Corridor C

PR 4

PR 2

Bariatric

AIIR PR8

PR 6

N o u ri s h m e n t

Physician Workrm.

Staff Workrm.

Ante. Rm.

Clean Linen Storage

Clean Supply Sto.

PR 3

Bariatric PR

Female LKR

Staff Tlt.

Hskpg.

Staff Lounge

Male Lkr.

Medgas Stor.

Equipment Storage

Exist.

Consult/

Conf.

Exist. Elect.

Biohaz./ Soil Hold

113B

Stretcher Alcove

Head Nurse Office

RT Work Storage

Ante Rm.

PR 7

AIR PR 5

UP

Ref.

NIC

Ice

Pick up Window

FI

L

LE

R

O M N I C E

LL

S

SIGNAL

SIGNAL

SIGNAL

SIGNAL

SIGNAL

SIGNAL

SWITCH ROOM

DESK

DESK

FILE

FILE

BOOK

CASE

LATERALCREDENZA

B C

E F

K L

J

C-36

4'-0" X 7"-0"

10.89'

.2

SIGNAL

SIGNAL

LINEN

SCOPE CLEANING

SOILED

UTILITIES

SECRETARY/FI LES

LARGE ENDO

DICTATION

LARGE ENDO

SOILED

UTILITIES

CLEAN SUPPLIES

ELEC.

LARGE ENDO

B-7

L-13M

L-33

B-19

M

M-16M-36

M-26

M-27 M-35

M-33 M-44

M-42

M-32

M-34

M-29 M-10

M-12

M

M-17

M-13

M-15

M-14

M-05

M-07

M-04

M-03

M-21

M-38

M-41

M-39 M-23

M-22

M-19

M-21

K-12BK-16K-27B

K-27 K-29

K-27B

K-29A

L-37

K-28

L-36

L-35

L-35A

L-13N

A-40

A-2

A-7

A-8

A-7

A-8A

K-5

A-6

A-5

A-4 A-3

K-4

D-1F

A-38

A38A A-38B

E-23 E-24

B-2

K-1

K-15 K-14

K-3 K-2

K-1A

K-1C

K-1B

L-39

B-18

A-40E

A-40D

A-1 B-1

A-40G

A-40F

E-25B E-24A

E-25 E27

B-17

A-40I

A-40H

A-40J

A-40K

B-16

D-3

D-5

D-6

D-3B

D-1A

D-55

D-3A

D-4 D-2

D-1

E-19A

D-1D

D-1B

D-1C E-22

D-51B

E-19

E-19E

E-19C

E-19B

E-20

E-19F

E-21

E-18

E-17

D-51

D-51A

D-51B

D-51A

E-11C

E-11

E-25A

E-26

E-10

E-9

E-1D

E-11E

E-11F

E-12

E-14

E-16

E-13

E-15

E-11H

E-11B

B-13A

B-14A

B-13

B-12

E-11A

E-11I B-6A

B-6

E-11G

E-3

E-17A

B-7A B-7

E-9A

E-9

L-31

L-32

L-13L

L-29

L-30

L-25 L-24

L-27

L-28

L-23

L-26 L-15

L-18 L-17

L-16

L-20A

L-21 L-20

L-22

L-14

L-12A

C-40L-8L-5

L-2

L-1

L-13

L-3

L-10

L-9 L-6

L-13C

L-13G

L-13B

L-13F

L-11

L…