Attachment 31 - Facility Technology Needs Report _FTNR_.pdf

APPENDIX 10

Facility Technology Needs Report

(FTNR)

Technology Systems Review and Assessment for Edward Hines Veterans Affairs Medical Center

Hines, Illinois VA Contract #36C77621C0075

100% CD Submittal Final

IMEG #21003861.00

31 May 2023

A. Project

1. Edward Hines VA Medical Center

2. 578-21-701 EHRM Infrastructure Upgrades - Phase 2 - Hines, IL.

B. Project Directory

1. Hines VA Medical Center Facilities Staff

a. Brandon Sidler - General Engineer, Planning Section

b. Maurice Williams - IT Specialist Supervisor

c. Hillary Groff, CHTM, MSBME - Chief Biomedical Engineer

d. Bimal Dholakia - Biomedical Engineer.

e. William Armstrong - Security Systems

2. IMEG Corp. staff

a. David Larson - Senior Technology Engineer

b. Joe Kowols - Technology Project Designer

c. Jayson Stickrod – Senior Technology Designer

C. Table of contents

D. Introduction

1. Purpose

a. The primary purpose of this report is to identify and document the existing

Office of Information and Technology (OI&T) Systems covering buildings 1, 2, 4, 7, 33, 8, 9, 12, 13, 16, 17, 18, 20, 45, 48, 100, 113, 128, 200, 205, 215, 217, 221, 228, 230 and the Joliet CBPC located at the Edward Hines Veterans Affairs

Hospital Center in Hines, Illinois. Included within this report is a summary of the existing conditions, identification of deficiencies and recommendations for remediation to comply with the Electronic Health Records Management (EHRM) project.

Technology Systems Review and Assessment for VA Hines VA Contract #36C77621C0075

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2. Project Site Description

a. The Edward Hines Veterans Affairs Hospital (Hines VA) Medical Center provides primary, extended and specialty care services to Veterans. This is a multi-building medical center consisting of a Main Hospital Building, several research/lab buildings, office/administrative buildings, and various other support buildings. The Medical Center utilizes a fiber optic and copper backbone cable network supporting data and voice as well as other systems. Technology systems used in buildings within the Medical Center include structured cabling networks supporting data and voice systems, Bio-Medical systems, and Security systems. The systems have been installed at different times over time and may not be fully integrated, may not adhere to VA standards or may be obsolete.

b. Site Plan

1) The Hines VA Medical Center is a multi-building 174-acre campus consisting of twenty-four buildings located 12 miles west of the city of

Chicago.

2) Refer to the Medical Center Site Plan in Appendix 1 for building locations.

3) Equipment for various technology systems including structured cabling

(voice and data distribution), wireless LAN, DAS, access control, video surveillance, nurse call, and other IT, security, and bio-medical systems are in Telecommunications Rooms and/or facility spaces throughout the site.

c. The goal for this assessment is to document existing Office of Information and

Technology (OI&T) systems within the EHRM scope of work and systems that are not within the EHRM scope of work but will be affected by the EHRM project.

1) Systems to be identified and documented include:

a) Provide a high-level review of Active Network Electronics (data switches) supporting voice, data, and video surveillance systems.

b) Structured Cabling (Data and Voice) Cabling and Distribution

(1) Site Telecommunications systems

(i) Incoming Telecommunications Services

(ii) Outside Plant (OSP) and indoor backbone cabling systems

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(2) Provide an inventory of existing campus infrastructure backbone cabling systems.

(3) Review the existing horizontal cabling and workstation system.

c) Review the Medical Center Wireless LAN (WLAN) Systems infrastructure and deployment.

(1) Employee WIFI

(2) Veteran Guest Internet Access (VGIA) Guest/Patient

WiFi

d) Critical Power (UPS and Generator services) supporting IT equipment and spaces.

e) Review existing technology space (data center, TR spaces)

(1) Physical size and clearances

(2) Cooling systems for IT spaces

f) Telecommunications grounding system

g) PABX Telephone system

h) Distributed Antenna System (DAS) and Radio.

i) Emergency Responder Radio Communications System

j) Emergency Responder Radio communications

k) Security

(1) Electronic Access control

(2) Video Surveillance Systems

l) Bio-Medical Systems

(1) Nurse Call System

(2) Cable Television (CATV) distribution and patient entertainment

(3) Patient Wandering System

d. Applicable Standards and Requirements.

1) Infrastructure Standard for Telecommunications Spaces, Version 3.1, July 1, 2021 (OIT) - U.S. Department of Veterans Affairs - Office of

Information and Technology -

2) OEHRM Site Infrastructure and End User Device (EUD) Requirements

Version 1.8, September 9, 2020 - U.S. Department of Veterans Affairs -

Office of Electronic Record Modernization

3) Physical Security and Resiliency Design Manual, October 1, 2020, Revised September 1, 2021 - U.S. Department of Veterans Affairs -

Office of Construction & Facilities Management

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E. Existing Systems Review

1. Active Network Electronics (Data Switches)

a. Data network systems for the Medical Center are manufactured by Cisco. Core network switches are located in Building 1. Layer 2/3 switches are in

Telecommunications Rooms and facility-shared spaces throughout the Medical

Center. The VA is in the process of refreshing the existing network switch infrastructure and replacing aging equipment which are approaching end-of-life.

b. Existing layer 2/3 switches are a mix of Cisco 3750 and 3850 models, as part of the VA’s planned refresh program existing switches will be replaced with Cisco

9300 switches. Core switches located in Building 1 are not planned to be upgraded at the time of this report.

2. Structured Cabling (Data and Voice) Cable and Distribution

a. Incoming Services

1) AT&T is the incumbent service provider for the medical facility. Services extend from the public right of way from two different directions into the site at a common entry point. Services consist of T1 and T3 digital transmission connections and Multiprotocol label switching (MPLS) to support Wide Area Network (WAN) connectivity. Primary services

(T1,T3,a dn MPLS) terminate in the Campus Support Room (G325) located in Building 1. Secondary T1 services terminate in room F107 located in Building 1..

2) The VA is evaluating current incoming services provided to verify that services are adequate to support the VA’s functions.

b. Technology Backbone Pathways and Cables

1) Outside Plant (OSP). Refer to the VA EHRM project documents for existing conditions, demolition, and proposed new conduit infrastructure.

2) The Inter and Intra building backbone cable system consists of fiber optic cable, multi-pair copper cable, and coaxial cable. Refer to the VA

EHRM project documents for existing conditions, demolition, and proposed new backbone infrastructure.

a) Existing Fiber optic cable

(1) All fiber optic cabling that supports the data network extends from the Campus Support Center located in

Building 1. Fiber optic cabling consists primarily of 62.5-

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31 May 2023 micron, multimode fiber optic cable terminated with ST-style connectors. The existing fiber type and connector do not comply with current VA OIT requirements.

b) New fiber optic cabling

(1) New fiber optic infrastructure will be installed as part of the VA EHRM upgrade project. Fibers will be installed in diverse pathways (primary and secondary).

c) Existing high-pair count copper backbone cables

(1) Existing copper cabling is distributed from the Primary

Branch Exchange (PBX) room located in building 1, underground, and/or within the building to each

Telecommunications Room. Copper cabling supports the existing PBX system. Cables terminate on wall-mounted 66-series termination blocks on both ends.

3) Refer to Appendix 2, Existing Medical Center Equipment Room

Inventory for the current fiber and copper backbone cable inventory.

c. Horizontal Structured Cabling System

1) Refer to the EHRM existing conditions and demolition package drawings for documentation of existing voice and data workstation locations.

2) Existing horizontal cable consists of a mix of category 5, category 5e, and category 6 cables and terminations that are not all compliant with current VA EHRM and VA OIT requirements.

3) New work area outlets (WAO) consist of two category 6A cables terminated on two category 6A modular jacks (RJ45), additional outlets will be provided as required for specific work areas.

d. Medical Center Wireless LAN (WLAN) Systems

1) Refer to the EHRM existing conditions and demolition drawings for the location of existing WAP (wireless access point) locations. Additionally, refer to Appendix 4 for Bio-Med equipment rooms with Veterans Guest

Internet Access (VGIA) terminations and network equipment.

2) The Medical Center currently distributes data over two separate wireless

LAN (WLAN) systems; one designated for VA official systems (employee

WLAN) and the VGIA for guest and patient internet access. The two

WLAN networks are isolated from each other and with separate access points (antennas), horizontal cables, horizontal terminations, and network switches.

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3) The employee WLAN network is maintained by the Medical Center IT staff, the VGIA WLAN network is maintained by the BioMed Staff.

4) The existing Employee WLAN will be replaced as part of the EHRM upgrade project. Refer to the EHRM new build telecommunications floor plans for locations to new WAP data outlets for the new Employee

WLAN system.

5) The VA intends for the Wi-Fi networks, Employee WLAN and VGIA, to be consolidated onto one data cable infrastructure system using the IT data network. The combined WLAN network system will share antennas, cables, terminations (workstations and patch panels), and network switches but will be separated virtually in OIT network switches and will be maintained by the Medical Center IT Staff.

e. Telecommunications Spaces and Support

1) As part of the EHRM upgrade project all Telecommunications Spaces shall conform to the VA most current Infrastructure Standard for

Telecommunications Spaces (OIT) requirements for room quantities, room dimensions, power, and cooling. Currently, many spaces currently used for telecommunications equipment in the Medical Center’s building do not meet the minimum standards set forth by OIT standards. As part of the work to be performed under the EHRM upgrades existing telecom spaces will be renovated and new telecom spaces will be created with proper interior dimensions, power, cooling, and other VA requirements.

Refer to the EHRM existing conditions and demolition package drawings for locations of existing TR spaces.

2) Refer to the EHRM Infrastructure Upgrades Phase II BOD document attachment 6, Existing Room Data Sheets, for survey information on existing IT spaces in the Medical Center Buildings. Information includes room dimensions, lighting, power, HVAC support, grounding, and IT equipment. Existing room locations are shown in the project EHRM project demolition package drawings.

3) EHRM new build floor plans show locations of new telecommunications spaces including TR spaces that will be added to adhere to VA OIT requirements. All spaces will have dimensions of power, HVAC and grounding in accordance with the VA’s most current requirements.

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f. PABX Telephone System

1) The Medical Center currently uses a centralized analog voice system distributed from a central NEC SV9500 Primary Branch Exchange (PBX) located in building 1.

2) The Medical Center plans on retiring the existing analog PBX and transitioning to Voice over IP (VoIP) system for the site that will utilize the data network fiber optic backbone system, network switches and horizontal cable.

g. Distributed Antenna System (DAS) System

1) There are currently two DAS systems in use in the Medical Center. A

Verizon DAS is used in buildings 1, 200 and part of 228. Sprint DAS system is used in part of building 228.

2) The VA is removing the Sprint DAS and installing a new T-Mobile DAS with an antenna located on building 200. The Verizon DAS will remain and will continue to be used.

3) The Sprint DAS will use the VA data fiber network for interbuilding distribution.

h. Emergency Responder Radio System (EMS)

1) The emergency responder radio system used by first responders is a sub-system of the Distributed Antenna System. As DAS systems are upgraded the EMS system will also be included.

3. Security

a. Electronic Access Control

1) Access control for the Medical Center is a mix of systems from different manufacturers including Softwarehouse, Keyscan, and Lenel.

Softwarehouse has the most equipment and distribution within the facility.

2) All new IT spaces shall be equipped with access control systems in compliance with the VA Physical Security and Resiliency Design Manual.

3) Refer to Appendix 2 Existing Medical Center Equipment Room Inventory for existing spaces that contain access control equipment. Access control equipment will be relocated into new Telecommunications

Rooms as part of the EHRM project. New cabling will be installed to each card reader.

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b. Video Surveillance

1) The existing video surveillance system is an analog solution. There are no plans to upgrade the existing cameras throughout the facility at the time of this report. However, all new Telecommunications Rooms will receive the latest IP-based megapixel cameras and video management system in accordance with the VA Physical Security and Resiliency

Design Manual. Once the new video management system is installed camera upgrades around the facility can be supported under separately funded projects.

4. Bio-Medical

a. Nurse Call System

1) The Biomedical department is responsible for maintaining the nurse call system.

2) The existing Nurse Call system consists of multiple manufacturers and many different software versions. Many of these systems are at end of life or are no longer supported. Nurse stations utilize a centralized approach where patient stations, staff assist buttons, call buttons, etc.

distribute the signal directly to the nearest nurse station.

a) Refer to Appendix 3 - Existing Nurse Call Systems Inventory for an inventory of existing nurse call systems in the Medical

Center.

3) Nurse call code blue notification is distributed via the nurse call systems and through the wireless network. The building overhead paging system does not support code calls. As wireless systems are upgraded the current plan is to distribute code calls via wireless.

4) There are plans to consolidate and standardize all nurse call systems to

Rauland Responder 5. The upgrade is scheduled to begin in 2022. No completion date has been provided.

5) Space for new nurse call components will be reserved in each new

Telecommunications Room. Nurse Call equipment to be installed by the

VA under a separately funded project.

b. Cable Television (CATV) Distribution and Patient Entertainment

1) The Biomedical department is responsible for maintaining the CATV and

Patient Entertainment system.

2) Direct TV is the Service Provider distributing content throughout the facility. The headend system is located in the Campus Support Room located in Building 1.

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3) Coaxial cable is used to distribute signal. Taps and splitters are in existing Telecommunications spaces and will be relocated as part of the

EHRM upgrade project.

4) There are no plans to upgrade the coaxial-based system with an IPTV system utilizing category cabling.

a) The existing CATV systems in buildings 128 and 221 are integrated with nurse call systems in each building. The existing combined systems will remain active but space will be reserved in new Telecommunications Rooms for the VA to relocate the systems at a later date.

5) Patient Entertainment

a) Buildings 128 and 217 utilize computer tablets that connect to the VGIA WiFi system. Tablets are provided to the patients for educational materials and entertainment.

c. Patient Wandering System

1) The Biomedical department is responsible for maintaining the Patient wandering system.

2) Accutech is the manufacturer, and it is integrated with several existing nurse call systems.

3) The system utilizes a combination of wired and wireless devices, exciters, and keypads that track patients and access in designated areas of buildings 200 and 217. Alarm notification is provided at the nurse station.

4) Refer to “Bio-Medical Systems Equipment Rooms” matrix in attachment

4.

5) There are no plans to add, upgrade or replace the existing Wandering system at the time of this report.

6) Space will be reserved for Wandering systems in each new

Telecommunications Room.

Prepared by: IMEG

IMEG/km \\files\Active\Projects\2021\21003861.00\Design\Technology\IT and Security System Assessment\1 Current Assessment\100% CD Submittal - FINAL\20230531 RPT 100% CD Final Technology Systems Assessment.docx

EHRM Infrastructure Upgrades - Hines, IL

Hines VA Medical Center

VA Contract #36C77621C0075

100% CD Submittal - Final

05/31/2023

Count Building Room Number Appendix 6

Page Fiber Optic Cable Copper Cable

C A

TV

C o ax

B io

M ed

R o o m

E q u ip m en t

A cc es s

C o n tr o l

1 1 F108G 1 12 Strand, 50um, OM3 None - - -

2 1 F108L 2 12 Strand, 50um, OM3 100PR UTP Copper - - -

3 1 F117A 3 None None - - -

4 1 F135 4 None 200PR UTP Copper - - -

5 1 G101E 5 12 Strand, 50um, OM3 None - - -

6 1 A232 6 24 Strand, 62.5um, OM1 150Pr UTP Copper - - -

7 1 B228a 7 12 Strand, 62.5um, OM1 100PR UTP Copper - - -

8 1 C236C 8 12 Strand, 62.5um, OM1 100PR UTP Copper - - -

9 1 D226B 9 12 Strand, 62.5um, OM1 75PR UTP Copper - - -

10 1 E227A 10 24 Strand, 62.5um, OM1 150Pr UTP Copper - - -

11 1 F237 11 24 Strand, 62.5um, OM1 150Pr UTP Copper - - -

12 1 G228 12 12 Strand, 62.5um, OM1 150Pr UTP Copper - - -

13 1 A330 13 None 100PR UTP Copper - - -

14 1 B330a 14 12 Strand, 62.5um, OM1 100PR UTP Copper - - -

15 1 C338B 15 12 Strand, 62.5um, OM1 100PR UTP Copper - - -

16 1 D332 (D331) 16 12 Strand, 62.5um, OM1 (D332) 150Pr UTP Copper (D331) - - -

17 1 E327A 18 12 Strand, 62.5um, OM1 150Pr UTP Copper - - -

18 1 F337 19 TBD TBA - - -

19 1

G301

2 x 12 Strand, Singlemode

4 x 6 Strand, Singlemode

12 Strand, 62.5um, OM1

6 Strand 50um OM3

50PR CAT3 COPPER

4 x 25PR CAT5 COPPER

20 1 G325 21 Fiber TBD 10 x 25PR Copper - - -

21 1 F161 NA Fiber TBD Copper TBD - -

22 1 G301 NA Fiber TBD Copper TBD - -

23 1 G325 NA Fiber TBD Copper TBD - -

24 2 213 23 12 Strand, 62.5um, OM1 None - - -

25 2 22 24 16 Strand, 62.5um, OM1 None - - -

26 3 100 25 24 Strand, 50um, OM4 None - - -

27 4 107 26 24 Strand, 50um, OM4 75PR UTP Copper - - -

28 7/33 100 27 12 Strand, 62.5um, OM1 Copper TBD - - -

29 8 114 28 Fiber TBD 25PR UTP Copper - - -

30 9 101E 29 16 Strand, 62.5um, OM1 175PR UTP Copper - -

31 12 116 30 12 Strand, 50um, OM3 200PR UTP Copper -

32 12 215 31 12 Strand, 50um, OM3 100PR UTP Copper - - -

33 12 314 32 12 Strand, 50um, OM3 100PR UTP Copper - - -

34 13 106 33 12 Strand, 50um, OM2 500PR UTP Copper - - -

35 13 205 35 12 Strand, 50um, OM2 200PR UTP Copper - - -

36 13 307 37 12 Strand, 50um, OM2 200PR UTP Copper - - -

37 16 116 39 28 Strand, 62.5um, OM1 None - - -

38 17 119 40 12 Strand, 50um, OM3 100PR UTP Copper - - -

39 18 203A 41 12 Strand, 62.5um, OM1 150Pr UTP Copper - - -

40 20 001IT (RCC117R) 42 24 Strand, 50um, OM3 None - - -

41 45 103 43 12 Strand, 62.5, OM1 25PR UTP Copper - - -

42 45 103 44 12 Strand, 62.5, OM1 None - - -

43 48 116R 45 12 Strand, 62.5, OM1 (from Blg 14) 75PR UTP Copper - - -

VA Hines Medical Center

Appendix 2

Existing Medical Center Equipment Room Backbone Cable Inventory

Facility Assessment Appendix 2

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44 100 100 46 04 Strand, 62.5, OM1 50PR CAT3 COPPER - -

45 113 A119 47 None 100PR UTP Copper - - -

46 113 A139 48 12 Strand, 62.5, OM1 300PR UTP Copper - - -

47 113 A233A 50 12 Strand, 62.5, OM1 100PR UTP Copper - - -

48 113 A234 52 12 Strand, 62.5, OM1 None - - -

49 128 A118 54 None 175PR UTP Copper - - -

50 128 A147 55 04 Strand, 62.5, OM1 150PR UTP Copper - - -

51 128

A151

12 Strand, 62.5, OM1 (DC)

12 Strand, 62.5, OM1 (Bldg 100?)

04 Strand, 62.5, OM1 (A147)

None

52 200 018A 57 12 Strand, 62.5, OM1 100PR UTP Copper - - -

53 200 1097 59 12 Strand, 62.5, OM1 250PR UTP Copper - - -

54 200 1144 60 24 Strand, 62.5, OM1 100PR UTP Copper - - -

55 200 1297 61 None 350PR UTP Copper - - -

56 200 1397 62 24 Strand, 62.5, OM1 100PR UTP Copper - - -

57 200 1497 63 None 100PR UTP Copper - - -

58 200 1559 64 24 Strand, 62.5, OM1 None - - -

59 200 1597 65 None 300PR UTP Copper - - -

60 200 A123E

24 Strand, 62.5, OM1

06 Strand, 50, OM3

None

61 200 B002A 68 24 Strand, 62.5, OM1 None - - -

62 200 B008P 72 02 Strand, 62.5, OM1 None - - -

63 200 B037 73 12 Strand, 62.5, OM1 None - - -

64 200 B101A 75 120 Strand, 62.5, OM1 300PR UTP Copper - - -

65 200 B128A

12 Strand, 62.5, OM1

12 Strand, 50, OM3

300PR UTP Copper

66 200 C121 78 24 Strand, 50, OM3 300PR UTP Copper - - -

67 200 C228 79 12 Strand, 50, OM3 None -

68 200 N/A 80 None 200PR UTP Copper -

69 200

D113

12 Strand, 62.5, OM1

12 Strand, 62.5, OM1

300PR UTP Copper

70 200 2035 82 None 200PR UTP Copper -

71 200 2221 83 12 Strand, 62.5, OM1 400PR UTP Copper -

72 200

96 Strand, 50, OM3

194 Strand, 50, OM3 None -

73 200 A2074

12 Strand, Singlemode, OS1

12 Strand, 50, OM3 None -

74 200 B2036 86 12 Strand, 62.5, OM1 None -

75 200 B2036 (B201A)

06 Strand, Singlemode, OS1

12 Strand, 62.5, OM1

200PR UTP Copper

400PR UTP Copper

76 200 3116 88 24 Strand, 62.5, OM1 None -

77 200 3141 89 None 200PR UTP Copper -

78 200 4113 (4100) 90 24 Strand, 62.5, OM1 None -

79 200 4130 91 24 Strand, 62.5, OM1 100PR UTP Copper -

80 200 559 92 24 Strand, 62.5, OM1 None -

81 200 597 93 24 Strand, 62.5, OM1 175PR UTP Copper -

82 200 659 94 24 Strand, 62.5, OM1 None -

83 200 697 95 24 Strand, 62.5, OM1 250PR UTP Copper -

84 200 795 96 24 Strand, 62.5, OM1 None -

85 200 797 97 24 Strand, 62.5, OM1 200PR UTP Copper -

86 200 859 98 24 Strand, 62.5, OM1 None -

87 200 897 99 None 300PR UTP Copper -

88 200 959 100 24 Strand, 62.5, OM1 None -

89 200 997 101 24 Strand, 62.5, OM1 200PR UTP Copper

90 200 1059 102 24 Strand, 62.5, OM1 None -

91 200 1136 103 24 Strand, 62.5, OM1 None -

92 200 1247 104 24 Strand, 62.5, OM1 None -

93 200 1359 105 12 Strand, 62.5, OM1 None -

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94 200 1459 106 12 Strand, 62.5, OM1 None -

95 205 118B

12 Strand, Singlemode, OS1

12 Strand, 50, OM2 None -

96 217

A137

N/A Strand, Singlemode, OS1

N/A Strand, Singlemode, OS2

N/A Strand, 62.5, OM1

N/A Strand, 50, OM2

N/A Strand, 50, OM3

N/A Strand, 50, OM4

15 x 25PR UTP Copper -

97 217 A226 (2A26)

N/A Strand, 62.5, OM1 None -

98 220 221A

16 Strand, 62.5, OM1 100PR UTP Copper -

99 221 C138

2 Strand, Singlemode, OS1

20 Strand, 50, OM3 100PR UTP Copper -

100 228 1011 114 None None -

101 228 1012 116 None 600PR UTP Copper -

102 228 1077 118 None 500PR UTP Copper -

103 228 1108 120 None 300PR UTP Copper -

104 228 2011 122 None 100PR UTP Copper -

105 228 2063 124 None 100PR UTP Copper -

106 228 2098 125 None 100PR UTP Copper -

107 228 3011 127 None 100PR UTP Copper -

108 228 3049 128 None 100PR UTP Copper -

109 228 3064 130 None 100PR UTP Copper -

110 228 3098 132 None 100PR UTP Copper -

111 228 2047 134 48 Strand, 62.5, OM1 None -

112 228 2048 136 None 100PR UTP Copper -

113 228 2097 138 12 Strand, 62.5, OM1 None -

114 228 3048 139 Fed from 2048 None -

115 228 3097 141 12 Strand, 62.5, OM1 None -

116 228 5009 143 12 Strand, 50, OM2 None -

117 228 5010 145 None 100PR UTP Copper -

118 228 B1006 146 12 Strand, 50, OM2 None -

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Building

Room

Number Floor Unit System Bed Count Year Installed

12 214 2nd floor N/A Rauland R4 N.I.U. 2002

12 214 3rd floor N/A Rauland R4 N.I.U. 2002

113 A139 1st floor Blind rehab unit Rauland R5 36 2019

113 A234 2nd floor Blind rehab unit Rauland R5 40 2019

128 A151 1st floor Spinal cord injury Rauland R5 67 2013

200 B026 Lower Level GU Clinic Rauland R4 N/A N/A

200 B026 Lower Level Ambulatory Surgery Rauland R4 N/A N/A

200 B026 Lower Level Pacemaker Clinic Rauland R5 N/A N/A

200 C136D 1st floor Radiology - X-Ray Rauland R4000 N/A N/A

200 C136D 1st floor Lab Rauland R4000 N/A N/A

200 A142 1st floor Emergency Department Rauland R4 N/A N/A

200 A142 1st floor Cath Lab Rauland R4 2 2011

200 C122 1st floor Radiology - MRI Rauland R5 N/A N/A

200 B211 2nd floor Surgery Rauland R4 N/A N/A

200 B211 2nd floor SICU Rauland R4 N/A N/A

200 B211 2nd floor MICU Rauland R4 N/A N/A

200 3089 & 3137 3rd floor Outpatient Clinics Rauland R3 N/A N/A

200 4083 & 4121 4th floor Outpatient Clinics Rauland R3 N/A N/A

200 567C 5th floor Outpatient Clinics Rauland R4 N/A N/A

200 667 & 687 6th floor Dialysis Rauland R4 N/A 2011

200 767 7th floor 7E - Med/Surge Rauland R4 N/A 2007

200 787 7th floor 7W- Step Down Rauland R4 N/A 2007

200 848 8th floor Med/Surge Inpatient Rauland R4 32 2009

200 967 & 987 9th floor Med/Surge Inpatient Rauland R4 N/A 2007

200 1067A 10th floor 10E - Outpatient Clinic Rauland R4 N/A N/A

200 1087A 10th floor 10W - Observation/UltrasoundRauland R3 N/A N/A

200 1151 & 1170 11th floor Inpatient Rehab Rauland R4 N/A 2010

200 1267 & 1287 12th floor Dental Rauland R4 N/A 2010

200 1267 & 1287 12th floor Woman's Health Rauland R3 N/A N/A

200 1367 13th floor GI Health Rauland R4 N/A N/A

200 1567 & 1587 15th Floor Vacant Rauland R3 N/A N/A

217 1B34 & 1C40 1st floor Spinal cord Rauland R5 67 2013

217 2A24 2nd floor Spinal cord Rauland R5 67 2013

221 C13C 1st floor N/A Rauland R4 67 2013

228 2010 2nd floor 2 south Rauland R3 N/A 19 years

228 2063 2nd floor 2 north Rauland R3 N.I.U. 2002

228 3010 3rd floor 3 south Rauland R3 N/A N/A

228 3063 3rd floor 3 north Rauland R3 N/A N/A

228 4010 4th floor 4 south Rauland R3 N/A N/A

228 4063 4th floor 4 north Rauland R3 N/A N/A

228 5045 5th floor N/A Rauland R4000 N/A 2019

Notes:

"N/A" - Not Available

"N.I.U" - Not In Use

VA Hines Medical Center

Appendix 3

Existing Nurse Call Systems Inventory

Facility Assessment Appendix 3