Attachment A - Salisbury VAMC TeleICU Site Assessment.pdf

© Philips HealthTech

Subject: eICU Site Assessment Report

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: D

Status: Final

Site Assessment Report Salisbury VAMC

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final Salisbury VAMC Hospital and ICU Locations

Facility Details

Name Units

W.G. (Bill) Hefner VA Medical Center (Salisbury VAMC) 1

Unit Details

Facility Unit Location # of Room Systems # of Mobile Carts

Salisbury VAMC ICU 4th Floor 10 1

Address

1601 Brenner Avenue Salisbury, NC 28144

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

FACILITY TOTALS

ProMCS-1500: 10 AV Server Wall Mounts: 10

MediaLink IV: 0 AV Server Ceiling Mounts: 0

UHE All-in-One: 0 AV Server Surface Stands: 0

Standard (60601 cert) Monitors: 0 Monitor Wall Mounts: 0

Medical Grade Monitors: 0 Monitor Ceiling (Other) Mounts: 0

Monitor Extender Pairs: 0 Monitor Enclosure Flat Mounts: 10

Monitor Enclosure P/T Mounts: 0

HD (SRG-300): 10 Camera Hard Ceiling Mounts: 0

SD (EVI-D90): 0 Camera Drop Ceiling Mounts: 0

Camera Enclosure Mounts (Left): 10

Camera Enclosure Mounts (Right): 0

Camera Wall Mounts: 0

Ceiling (JBL): 0 Speaker Hard Ceiling Mounts: 2

Wall (JBL): 0 Speaker Drop Ceiling Mounts: 8

Soundbar: 0 Speaker Wall Mounts: 0

AiO (JBR): 10 Integrated: 0

Shure MX202B/C: 0 Microphone Ceiling Mounts: 0

N/A; Integrated: 10 Microphone Wall Mounts: 0

N/A; Integrated: 10

Blue eLert Buttons: 0

Red eLert Buttons: 0

Green eLert Buttons: 10 eLert Buttons

Camera Mounts

W.G. (Bill) Hefner VA Medical Center (Salisbury VAMC)

AV Server Type AV Server Mounts

Monitors Monitor Mounts

Speakers Speaker Mounts

Cameras

Microphones Microphone Mounts

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Pictures eLert Location: Mounted below status board.

Notes

Speaker Location: Mounted above patient, head of bed.

Microphone Location:

Location:Monitor

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above soiled laundry bin.

Camera Location:

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

Salisbury VAMC

ICU

The unit is located on the 4th floor of the hospital. There are 10 beds being assessed for monitoring in this report.

General Comments

Emergency power is needed in all rooms, duplex outlet should be place near the AV enclosure mounting location.

Ensure curtains do not interface with the camera view.

Adjust stops on patient lift if needed to ensure it does not interfere or contact the AV endpoint.

Unit Install Layout A

4054 (1)

AV Server

Speaker eLert

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Hard Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Pictures eLert Location: Mounted below status board.

Notes

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

Microphone Location:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above and to the left of the window.

Camera Location:

Unit Install Layout B

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

4053 (2)

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Hard Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Pictures eLert Location: Mounted next to status board.

Notes

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

Microphone Location:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above the window.

Camera Location:

Unit Install Layout C

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

4051 (3)

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4050 (4)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Microphone Location:

Pictures eLert Location: Mounted next to status board.

Notes

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above thermostat, angle enclosure toward bed.

Camera Location:

Unit Install Layout D

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4048 (5)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Microphone Location:

Camera Location:

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

Unit Install Layout E

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above and to the right of the window.

eLert Location: Mounted next to status board.

Notes

Pictures

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4047 (6)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Notes

Pictures

Unit Install Layout F

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above and to the right of the window.

Camera Location:

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

eLert Location: Mounted next to status board.

Microphone Location:

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4045 (7)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Unit Install Layout G

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above and to the left of the window.

Camera Location:

Monitor Location:

AV Server Location:

Speaker Location: Mounted above patient, head of bed.

eLert Location: Mounted next to status board.

Microphone Location:

Notes

Pictures

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4044 (8)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Microphone Location:

eLert Location: Mounted next to status board.

Notes

Pictures

Unit Install Layout H

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above hand sanitizer, angle enclosure toward bed.

Camera Location:

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4042 (9)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Microphone Location:

Unit Install Layout I

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above status board.

Camera Location:

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

eLert Location: Mounted next to status board.

Notes

Pictures

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

4041 (10)

ICU

New

N/A

Server Type: ProMCS-1500

Power: Needed

Data: Needed

Mount: Wall

Camera Type: HD (SRG-300)

Mount: Enclosure (Left)

Monitor Type: N/A; Integrated

Power: Needed

Mount: Enclosure Flat

Extender Pair: No

Distance:

Speaker Type: AiO (JBL)

Mount: Drop Ceiling

Mic Type: N/A; Integrated

Mount: N/A; Integrated

Color: Green

Notes

Pictures

Unit Install Layout J

Applies to:

Count:

Wall Plates and

Terminations

Acuity:

Install Type:

Retrofit LCD Connection:

AV Server Location:

Wall Mount 7"GCX rail with 8" GCX articulating arm.

Mounted on footwall above status board.

Camera Location:

Monitor Location:

Speaker Location: Mounted above patient, head of bed.

eLert Location: Mounted below to status board.

Microphone Location:

AV Server

Function: Installation and Servicing

A-Q2966-00012-F4 Rev: C

Status: Final

UNIT TOTALS

ProMCS-1500: 10 AV Server Wall Mounts: 10

MediaLink IV: 0 AV Server Ceiling Mounts: 0

UHE All-in-One: 0 AV Server Surface Stands: 0

Standard (60601 cert) Monitors: 0 Monitor Wall Mounts: 0

Medical Grade Monitors: 0 Monitor Ceiling (Other) Mounts: 0

Monitor Extender Pairs: 0 Monitor Enclosure Flat Mounts: 10

Monitor Enclosure P/T Mounts: 0

HD (SRG-300): 10 Camera Hard Ceiling Mounts: 0

SD (EVI-D90): 0 Camera Drop Ceiling Mounts: 0

Camera Enclosure Mounts (Left): 10

Camera Enclosure Mounts (Right): 0

Camera Wall Mounts: 0

Ceiling (JBL): 0 Speaker Hard Ceiling Mounts: 2

Wall (JBL): 0 Speaker Drop Ceiling Mounts: 8

Soundbar: 0 Speaker Wall Mounts: 0

AiO (JBR): 10 Integrated: 0

Shure MX202B/C: 0 Microphone Ceiling Mounts: 0

N/A; Integrated: 10 Microphone Wall Mounts: 0

N/A; Integrated: 10

Blue eLert Buttons: 0

Red eLert Buttons: 0

Green eLert Buttons: 10

Speakers Speaker Mounts eLert Buttons

Camera Mounts

Salisbury VAMC

ICU

AV Server Type AV Server Mounts

Monitors Monitor Mounts

Cameras

Microphones Microphone Mounts