S02 Attachment 9 - Space Requirement.docx

SPACE REQUIREMENTS: Contractor’s Physical Facility:

The Contractor's facility must be in compliance with National Fire Protection Association (NFPA) Life/Safety requirements and the Americans with Disabilities Act. VA shall inspect the Contractor's facility before contract start date and retains a rite of inspection throughout the period of performance during normal business hours of 8:00 AM – 4:30 PM, Monday through Friday. Contractor must be in compliance with these requirements prior to contract start date. A list of any deficiencies identified during an inspection will be provided to the Contractor along with a required date for correction of the deficiencies. Any planned changes in the physical environment at the Outpatient Site of Care must be reviewed and approved by the VA to ensure that all life safety codes are met. Parking should be adequate enough to accommodate veteran patients and shall include at least 10% handicapped parking spaces. A minimum of 30 parking spaces shall be provided and reserved for the VA contract clinic patients and visitors.

The space plan listed below is the recommended space plan based on VA standards and representative of VA’s expectations for room quantities, sizes, and functions. The offeror may deviate from this space plan as needed to meet other requirements of this contract. The rooms listed also focus on patient care rooms with additional storage and support spaces which are expected to be required.

The Dickinson, ND and Williston, ND contract clinic sites shall be ONE PROVIDER/TEAMLET PACT spaces, not the ONE PACT MODULE noted in the VA PACT Design Criteria. This equates to less required space and staff at these VA contract clinics. It is expected that the contractor’s layout shall meet VA PACT Design Criteria, but it shall be modified to a ONE PROVIDER/TEAMLET PACT set up. Information on the ONE PACT MODULE criteria is available under the “CBOC Prototype” section of: http://www.cfm.va.gov/til/spclRqmts.asp#CBOC . This design guide includes information on recommended rooms, sizes, adjacencies, clinic layout, individual room layouts, equipment, furniture, and expected mechanical, electrical, and low voltage requirements. VA will expect the contract site to generally comply with this design guide.

NOTE: ALL WALLS AROUND THE PERIMETER AND WITHIN THE CLINIC (ALL ROOM WALLS) SHALL BE CONSTRUCTED FROM STRUCTURAL FLOOR SLAB/DECK TO STRUCTURAL DECK ABOVE WITH ALL WALL PERIMETERS AND PENETRATION SEALED. THE WALL CAVITY SHALL BE FILLED FULL HEIGHT, WIDTH AND DEPTH WITH MINERAL WOOL INSULATION. MINIMUM ROOM TO ROOM STC SHALL BE 45.

The space plans are currently broken out by recommended rooms for the Dickinson, ND and Williston, ND sites. The VA staff space listed is mandatory, but the other rooms may be split between VA and other site staff as the contractor feels is appropriate.

All building, room and directory signage shall be provided (both building interior and building exterior signs). Please refer to the VA Signage Design Guide found on the VA Technical Information website.

Dickinson, ND / Williston, ND Required VA Space Plan

[X] Description: Waiting and Patient Transition Area Minimum Quantity: 1 Size: 400-550 SF Purpose/Details: Reduce need for waiting room usage and use space gained for My HealtheVet and other value-added activities for Veterans. Create a calm pleasant environment.

Requirements:

1. Smooth workflow, communication and scheduling to reduce waiting.

2. Room the veteran and bring care to the Veteran in the patient care room.

3. Provide privacy from the reception/check in area but maintain visibility for reception area staff to observe the waiting room and public spaces from the reception desk.

4. Provide a TV in the waiting room connected to a cable TV provider service.

5. Include space for a coffee area to include a sink and casework.

6. Include space for two accessible restrooms

7. Include space for wheelchair storage

8. Include space for self-check-in at Veteran’s Self Service Kiosks.

9. Include space for patient education materials. Include space for patient education workstations.

Other General Room Requirements for Waiting, Veteran’s Self Service Kiosks and Education Areas:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be carpet.

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 30 FC, LED

· Provide automatic door operators on the main entrance door(s) to the space, at the restrooms, at the doors leading to the clinic space.

· HVAC – DB Cooling 72 degrees, DB heating 72 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Other General Room Requirements for the accessible restrooms:

· Acoustical ceiling tile and grid

· Ceiling Height – 9 ft.

· Ceramic tile walls

· Walls shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base cove shall be ceramic tile

· Floors shall be ceramic tile (slip resistant)

· Doors shall be solid core wood construction and have a toilet room type lock capable of being overridden by a master key.

· Lighting shall be 30 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 75 degrees, 100% exhausted, RH Cooling 50%, RH Heating 30%, room shall be negative pressure when compared to adjacent space, 10 air changes per hour minimum.

All necessary furniture to activate the space, to include, but shall not limited to:

Waiting Room, Veteran’s Self Service Kiosk and Education Areas:

· Waiting room chairs (mix of bariatric and standard) for a total of 20 people

· Television with wall mount

· Magazine rack(s)

· Wheelchairs in wheel chair alcove

· Modular furniture (workstation shall be 5 ft. wide minimum, 30 inches deep minimum, with tack board, task lighting and two flipper drawer storage units above) and two fully adjustable, rolling, office type chairs for the education area.

· Education literature display rack(s)

· A water fountain with a paper cup dispenser wall mounted near the water fountain.

· Sink at coffee area with gooseneck faucet and wrist blade faucet controls. There shall be a thermostatic temperature control device to prevent scalding and a laminar flow device on the outlet.

· Power outlets as required by NEC, to include, but not limited to an outlet (GFCI) for the coffee area, for the television, for the Veteran’s Self Service Kiosks, a quad-outlet at the education desk area and convenience outlets around the room.

· CATV outlet for the television.

· Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited to the Veteran’s Self Service Kiosks (1 phone/data outlet per Veteran’s Self Service Kiosk), at the education desk and a minimum of 3 others within the space.

Accessible Restrooms:

· Grab bars per ADA

· Soap dispenser

· Paper towel dispenser

· Mirror (24” x 36”) with stainless steel shelf below

· Wall mounted light over the mirror

· Water closet, wall hung

· Lavatory, gooseneck faucet and wrist blade faucet controls. There shall be a thermostatic temperature control device to prevent scalding and a laminar flow device on the outlet.

· Toilet Paper dispenser

· Feminine product disposal in women’s restroom

· Sharps disposal container

· Baby changing station

· Nurse call reporting to nurse station head end, with local call light and signal mounted in corridor ceiling outside each door to each restroom.

· Coat hook.

· Waste receptacle

· Receptacles as required by NEC

Kiosk

Description: Reception Desk and Staff Work Area Minimum Quantity: 1 Size: 250-350 SF Purpose/Details: Patient check in and reception area, near the main entrance to the clinic and patient/visitor waiting room but separated from the waiting room to ensure HIPPA patient privacy, yet still allow staff to visually observe the waiting room, education and Veteran’s Self Service Kiosk area. Create a calm pleasant environment.

Requirements:

1. Smooth workflow, communication and scheduling to reduce waiting

2. Room the veteran and bring care to the Veteran in the patient care room

3. Place minimal staff at front of clinic and limit their activities to assisting the patients in the reception area (on-stage work).

4. Move telephone, remote scheduling and paperwork off-stage to the more private, and not visible to the patients, staff work area.

5. Set up or layout the area so that patients and visitors cannot access the area beyond the reception desk interaction areas and the remainder of the space is out of the patient view.

Other General Room Requirements for Reception Desk and Staff Work Areas:

· The reception desk and staff work area must be able to be isolated and locked up when no one is present in order to prevent the loss of patient information.

· An automatic door release button shall be placed adjacent to the reception desk workstations so the reception area staff may open the door(s) to the clinic area for the nursing staff who are assisting patients.

· Acoustical ceiling tile and grid

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be carpet

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 30 FC, LED

· Provide automatic door operators on the main entrance door(s) to the space, at the restrooms, at the doors leading to the clinic space.

· HVAC – DB Cooling 72 degrees, DB heating 72 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

All necessary furniture to activate the space, to include, but shall not limited to:

Reception Desk:

A minimum of two adjacent but staggered, modular furniture reception desk workstations (minimum 6 ft. wide, 30 inches deep) with a fully adjustable, rolling, office type chair at each workstation shall be provided to create the reception desk area. Provide one with a raised height standard transaction counter above one reception desk work surface and the other workstation shall be provided with a handicap accessible height transaction counter. Provide a keyboard tray with mouse pad at each workstation. A tall, windowed divided shall be installed between the reception work stations to help ensure patient HIPPA privacy at check in.

Power outlets as required by NEC, to include, but not limited to a quad-outlet and a duplex outlet at each modular workstation desk and convenience outlets around the room per NEC.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited two each at each modular workstation reception desk area within the space.

The nurse call system head-end alarm panel shall be located within the reception desk area.

Trash receptacles for each workstation.

Computer system with monitors (dual screens), mouse, keyboard at each workstation.

Staff Work Area:

Provide a minimum of two modular furniture workstations with flipper doors (2 at each workstation, 5 ft. wide minimum, 30 inches deep minimum), a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation.

Provide millwork/casework with a countertop, plastic laminate finishes with interiors a white melamine. The countertop shall be long enough to allow for both a fax and a printer to sit on top and still allow for at least 5 ft. of workspace for assembling documents. There shall be upper and lower cabinets with doors and at least two adjustable shelves per cabinet.

Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, a dedicated 20-amp power outlet for a copier, outlets for the fax and printer above the casework countertop and convenience outlets around the room as required by NEC.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: copier, fax and printer with the outlets for the fax and printer being above the casework countertop.

Trash receptacles for each workstation

Facsimile machine

Colored printer

Copier

File cabinets, quantity = 5 minimum

Description: PACT Exam Room Minimum Quantity: 2 Size: 125 - 140 sf Purpose/Details: Provides a private room for patients (and family) to meet confidentially with providers for an exam.

Requirements: Room the veteran on presentation whenever practical and in the best interest of the Veteran. Room must be located in a space where they do not open into a public waiting room or a high-traffic public corridor. When doors are closed, all healthcare personnel must knock, WAIT and enter only after invited in.

1. Generally, VHA and most private practices studied allow a minimum of two to three patient care (exam) rooms per primary care provider excluding staff office or teamwork areas.

2. Standardized rooms with no personal items improve efficiency and support a professional appearance for these on-stage spaces.

3. Mobile computing supports smooth and efficient staff transition from room to room.

4. Avoid using “exam” rooms for off-stage-office functions. This will help smooth workflow and aid rooming the Veteran.

5. Appropriate locks (either electronic or manual) for examination room doors are required (allowing staff to have key or code access in the case of emergency).

6. Exam Tables must be hidden behind the door to the patient corridor. Privacy curtains must be present and functional in examination rooms at each door to the room from a corridor. Privacy curtains must encompass adequate space for the healthcare provider to perform the examination unencumbered by the curtain. A changing area must be provided behind a privacy curtain.

7. Exam and procedure rooms have entrances on two sides, allowing direct access from both the patient corridors and the PACT team work area. Doors may either be sliding or swing.

Other General Room Requirements for PACT Exam Rooms:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be vinyl composition tile (VCT).

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 50 - 100 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 78 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Lavatory, wrist blade faucet controls, goose neck spout with laminar flow device, thermostatic temperature control valve to prevent scalding.

Mirror (24” x 36”) with stainless steel shelf below.

Cubicle curtain tracks, hangers and curtain.

Nurse call reporting to nurse station head end, with local call light and signal mounted in corridor ceiling outside each door to each exam room.

Provide a modular furniture workstation with flipper doors (2 above the workstation), 5 ft. wide minimum by 30 inches deep minimum workstation, a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation.

Visitor chair, vinyl covered, bariatric chair with arms

Visitor chair, vinyl covered, without arms

Coat hooks, 2 minimum

Waste receptacle

Infectious waste/biohazard disposal container with lid (step on lever for lid operation type)

Soap dispenser

Paper towel dispenser

Exam table (hi/low electrically adjustable type that may be used like a chair also), padded

Ophthalmoscope, wall mounted

Otoscope, wall mounted

Portable vital sign monitor

Supply/instrument cart

Exam light (portable or wall mounted)

Clock

Sharps disposal container

Paper cup dispenser

Chart holder, fully enclosed, equal to Carsten’s Half-A-Roo 2000 with cipher lock

Safety equipment such as gloves, masks, eye shields or face guards

Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, a dedicated 20-amp power outlet for the exam table, duplex outlets (2 minimum at the supply/instrument cart), a GFCI duplex outlet near the lavatory and convenience outlets around the room as required by NEC. Designer shall determine heights.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited to two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: one per remaining wall without a phone/data jack (one of these should be placed between the instrument/supply cart and the exam table). Designer shall determine heights.

Description: Female PACT Exam Room with Connecting Restroom Minimum Quantity: 1 Size: 200 – 225 sf Purpose/Details: Provides privacy for women during examinations. Patients who are undressed or wearing examination gowns must have proximity to restrooms that can be accessed without going through hallways or waiting rooms. Restroom must be directly connected to the Female PACT Exam Room.

Requirements: Room the veteran on presentation whenever practical and in the best interest of the Veteran. Room must be located in a space where they do not open into a public waiting room or a high-traffic public corridor. When doors are closed, all healthcare personnel must knock, WAIT and enter only after invited in.

1. Generally, VHA and most private practices studied allow a minimum of two to three patient care (exam) rooms per primary care provider excluding staff office or teamwork areas.

2. Standardized rooms with no personal items improve efficiency and support a professional appearance for these on-stage spaces.

3. Mobile computing supports smooth and efficient staff transition from room to room.

4. Avoid using “exam” rooms for off-stage-office functions. This will help smooth workflow and aid rooming the Veteran.

5. Appropriate locks (either electronic or manual) for examination room doors are required (allowing staff to have key or code access in the case of emergency).

6. Exam Tables must be hidden behind the door to the patient corridor. Privacy curtains must be present and functional in examination rooms at each door to the room from a corridor. Privacy curtains must encompass adequate space for the healthcare provider to perform the examination unencumbered by the curtain. A changing area must be provided behind a privacy curtain.

7. Exam and procedure rooms have entrances on two sides, allowing direct access from both the patient corridors and the PACT team work area. Doors may either be sliding or swing.

8. Sanitary napkin and tampon dispensers and disposal bins must be available in women’s restrooms. Tampons and sanitary pads should also be available in examination rooms where pelvic examinations are performed and in the attached restroom.

Other General Room Requirements for Female PACT Exam Room:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be vinyl composition tile (VCT).

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 50 - 100 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 78 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Other General Room Requirements for the connected accessible restroom:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Ceramic tile walls.

· Walls shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base cove shall be ceramic tile.

· Floors shall be ceramic tile (slip resistant)

· Doors shall be solid core wood construction and have a toilet room type lock capable of being overridden by a master key.

· Lighting shall be 30 FC, LED.

· HVAC – DB Cooling 72 degrees, DB heating 75 degrees, 100% exhausted, RH Cooling 50%, RH Heating 30%, room shall be negative pressure when compared to adjacent space, 10 air changes per hour minimum.

Female PACT Exam Room:

· Lavatory, wrist blade faucet controls, goose neck spout with laminar flow device, thermostatic temperature control valve to prevent scalding.

· Mirror (24” x 36”) with stainless steel shelf below.

· Cubicle curtain tracks, hangers and curtain.

· Nurse call reporting to nurse station head end, with local call light and signal mounted in corridor ceiling outside each door to each exam room.

· Provide a modular furniture workstation with flipper doors (2 above the workstation), 5 ft. wide minimum by 30 inches deep minimum workstation, a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation.

· Visitor chair, vinyl covered, bariatric chair with arms

· Visitor chair, vinyl covered, without arms

· Coat hooks, 2 minimum

· Waste receptacle

· Infectious waste/biohazard disposal container with lid (step on lever for lid operation type)

· Soap dispenser

· Paper towel dispenser

· Exam table (hi/low electrically adjustable type that may be used like a chair also), padded

· Ophthalmoscope, wall mounted

· Otoscope, wall mounted

· Portable vital sign monitor

· Supply/instrument cart

· Exam light (portable or wall mounted)

· Clock

· Sharps disposal container

· Paper cup dispenser

· Chart holder, fully enclosed, equal to Carsten’s Half-A-Roo 2000 with cipher lock.

· Safety equipment such as gloves, masks, eye shields or face guards

· Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, a dedicated 20-amp power outlet for the exam table, duplex outlets (2 minimum at the supply/instrument cart), a GFCI duplex outlet near the lavatory and convenience outlets around the room as required by NEC. Designer shall determine heights.

· Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited to two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: one per remaining wall without a phone/data jack (one of these should be placed between the instrument/supply cart and the exam table). Designer shall determine heights.

Accessible Restrooms:

· Grab bars per ADA

· Soap dispenser

· Paper towel dispenser

· Mirror (24” x 36”) with stainless steel shelf below

· Wall mounted light over the mirror

· Water closet, wall hung

· Lavatory, gooseneck faucet and wrist blade faucet controls. There shall be a thermostatic temperature control device to prevent scalding and a laminar flow device on the outlet

· Toilet Paper dispenser

· Feminine product disposal in women’s restroom

· Sharps disposal container

· Nurse call reporting to nurse station head end, with local call light and signal mounted in corridor ceiling outside each door to each restroom.

· Coat hooks

Description: Telehealth Rooms Minimum Quantity: 3 Size: 175 sf Purpose/Details: Provides a private room for patients (and family) to meet confidentially with providers for a telehealth consultation.

Requirements: Room the veteran on presentation whenever practical and in the best interest of the Veteran. Room must be located in a space where they do not open into a public waiting room or a high-traffic public corridor. When doors are closed, all healthcare personnel must knock, WAIT and enter only after invited in.

1. Standardized rooms with no personal items improve efficiency and support a professional appearance for these on-stage spaces.

2. Mobile computing supports smooth and efficient staff transition from room to room.

3. Avoid using rooms for off-stage-office functions. This will help smooth workflow and aid rooming the Veteran.

4. Appropriate locks (either electronic or manual) for examination room doors are required (allowing staff to have key or code access in the case of emergency).

5. Exam tables must be hidden behind the door to the patient corridor. Privacy curtains must be present and functional in examination rooms at each door to the room from a corridor. Privacy curtains must encompass adequate space for the healthcare provider to perform the examination unencumbered by the curtain. A changing area must be provided behind a privacy curtain.

6. Telehealth rooms have entrances on two sides, allowing direct access from both the patient corridors and the PACT team work area. Doors may either be sliding or swing.

Other General Room Requirements for PACT Exam Rooms:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be vinyl composition tile (VCT).

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 50 - 100 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 78 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Lavatory, wrist blade faucet controls, goose neck spout with laminar flow device, thermostatic temperature control valve to prevent scalding.

Mirror (24” x 36”) with stainless steel shelf below

Cubicle curtain tracks, hangers and curtain

Nurse call reporting to nurse station head end, with local call light and signal mounted in corridor ceiling outside each door to each exam room.

Provide a modular furniture workstation with flipper doors (2 above the workstation), 5 ft. wide minimum by 30 inches deep minimum workstation, a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation

Visitor chair, vinyl covered, bariatric chair with arms

Visitor chair, vinyl covered, without arms

Coat hooks, 2 minimum

Waste receptacle

Infectious waste/biohazard disposal container with lid (step on lever for lid operation type)

Soap dispenser

Paper towel dispenser

Exam table (hi/low electrically adjustable type that may be used like a chair also), padded

Ophthalmoscope, wall mounted

Otoscope, wall mounted

Portable vital sign monitor

Supply/instrument cart

Exam light (portable or wall mounted)

Clock

Sharps disposal container

Paper cup dispenser

Chart holder, fully enclosed, equal to Carsten’s Half-A-Roo 2000 with cipher lock

Safety equipment such as gloves, masks, eye shields or face guards

Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, a dedicated 20-amp power outlet for the exam table, duplex outlets (2 minimum at the supply/instrument cart), a GFCI duplex outlet near the lavatory and convenience outlets around the room as required by NEC. Designer shall determine heights.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited to two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: one per remaining wall without a phone/data jack (one of these should be placed between the instrument/supply cart and the exam table). Designer shall determine heights.

Description: Alcove height/weight station, handicap accessible.

Minimum Quantity: 1 Size: 30-40 SF Requirements:

1. Purpose/Details: Alcoves will be used to take initial patient stats on height and weight before rooming.

Other General Room Requirements for Vitals Alcove:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be vinyl composition tile (VCT).

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting –70 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 78 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Scale, electronic, handicap accessible (recessed into floor for wheelchair access or provided with a ramp).

Wall mounted scale with attached adjustable device to place on the head of the patient to allow for staff to read their height.

One duplex power outlet for the scale. Other power outlets as required by NEC.

One Phone/Date outlet (3 data and 1 phone jack in the standard outlet).

Description: Multipurpose Group Conference Room Minimum Quantity: 1 Size: 250-300SF Purpose/Details:

1. Multi-use room for staff or patient meetings

2. Equipped with V-tel and projection capabilities

3. Equipped with Smart Board Other General Room Requirements:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be carpet.

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 70 - 100 FC, LED (dimmable)

· HVAC – DB Cooling 72 degrees, DB heating 72 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 10 air changes per hour minimum.

Provide a minimum of one modular furniture workstations with flipper doors (2 at each workstation, 5 ft. wide minimum, 30 inches deep minimum), a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation. This work station shall be used for the computer system provided with the Smart Board and V-Tel systems.

Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, a dedicated 20-amp duplex power outlet for the Smart Board. A dedicated 20-amp duplex power outlet for the V-Tel system, convenience outlets around the room as required by NEC.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: Smart Board and V-tel locations. One phone/data outlet on each remaining wall without a phone/data outlet.

Trash receptacles for workstation and one placed by the entrance door.

Clock

A minimum of eight fully adjustable, rolling, office type chairs.

A conference room table, sized to fit 4 chairs per side with the ends of the table open.

[ X ] Description: PACT Team Work Area Minimum Quantity: 1 Size: 300 sf Purpose/Details:

1. Collaborative work area for the one PACT teamlet.

2. This room shall include workstations for each PACT team member (four workstations minimum).

3. It is recommended that each PACT teamlet have a segregated area within the work area as discussed in section 2.9 of the Project Narrative section of the VA PACT design manual.

4. The work area design should include staff support services such as printer/fax/copy spaces, supply area, equipment alcoves, and medication alcoves.

5. Noise control shall be included while designing the space and selecting furniture.

Other General Room Requirements:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be carpet.

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 70 FC, LED (dimmable)

· HVAC – DB Cooling 72 degrees, DB heating 78 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 8 air changes per hour minimum.

Provide a minimum of four modular furniture workstations with flipper doors (2 at each workstation), a work surface 5 ft. wide minimum by 30 inches deep minimum, a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation.

Provide millwork/casework with a countertop, plastic laminate finishes with interiors a white melamine. The countertop shall be long enough to allow for both a fax and a printer to sit on top and still allow for at least 5 ft. of workspace for assembling documents. There shall be upper and lower cabinets with doors and at least two adjustable shelves per cabinet.

Under cabinet lighting.

Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, a dedicated 20-amp power outlet for a copier, outlets for the fax and printer above the casework countertop and convenience outlets around the room as required by NEC.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: copier, fax and printer with the outlets for the fax and printer being above the casework countertop.

Trash receptacles for each workstation

Facsimile machine

Colored printer

File cabinets, quantity = 4 minimum

Coat hooks, quantity = 4 minimum

Clock

Description: Restrooms (above and beyond those restrooms already listed to support other spaces) Minimum Quantity: As required by local code, but not less than one additional staff restroom and one additional patient restroom.

Size: 75 SF Purpose/Details:

Requirements: Handicap accessible

Other General Room Requirements for the accessible restrooms:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Ceramic tile walls.

· Walls shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base cove shall be ceramic tile.

· Floors shall be ceramic tile (slip resistant)

· Doors shall be solid core wood construction and have a toilet room type lock capable of being overridden by a master key.

· HVAC – DB Cooling 72 degrees, DB heating 75 degrees, 100% exhausted, RH Cooling 50%, RH Heating 30%, room shall be negative pressure when compared to adjacent space, 10 air changes per hour minimum.

Accessible Restrooms:

· Grab bars per ADA

· Soap dispenser

· Paper towel dispenser

· Mirror (24” x 36”) with stainless steel shelf below

· Wall mounted light over the mirror

· Water closet, wall hung

· Lavatory, gooseneck faucet and wrist blade faucet controls. There shall be a thermostatic temperature control device to prevent scalding and a laminar flow device on the outlet.

· Toilet Paper dispenser

· Feminine product disposal in women’s restroom

· Sharps disposal container

· Baby changing station (in patient restroom only)

· Nurse call reporting to nurse station head end, with local call light and signal mounted in corridor ceiling outside each door to each restroom.

· Coat hooks

Description: Communications/Technology Closet Minimum Quantity: 1 Size: 100 SF (minimum) Purpose/Details: This room shall provide space for the data rack, servers, telephone blocks, etc. that serve the VA clinic space. The space should serve the VA space only and not be shared with other building services or occupants. The exterior phone and data lines serving the VA clinic shall be brought to this room for connection to the VA area network.

Requirements:

1. Air Conditioned with its own stand-alone air conditioning system backed up by the building general air conditioning system.

2. Fire Suppression

3. Solid Core Door

4. Protection from up and over access, wall constructed full height deck to deck. Any HVAC ducts passing through a wall shall have security grating in the duct at the wall location.

5. Provided with camera monitoring.

6. Protected by security system with separate motion detector zone.

7. Emergency / backup power provided if available.

8. No windows, outside / open vents or other gaps.

9. Double locked and keyed separately with copy of key provided to the VA Office of Information & Technology department and the site manager. One lock shall be an electronic access card reader compatible with the VA PIV cards and the second lock shall be a deadbolt. Hinges shall be inside the room, and if that is not possible the hinges shall be pinned or welded in place.

10. Access to this space shall be strictly controlled to ensure adequate information security.

Other General Room Requirements:

· Ceiling shall be open and exposed to deck above.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45. Walls shall have a with ½ thick (minimum) painted plywood board mounted from 12 inches AFF to a minimum of 84 inches AFF around the interior perimeter of the room for mounting telecommunications, phone, data and other equipment on that are required to be in a secure room (i.e.: the head end panels and equipment for the electronic access control system).

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be Vinyl Composition Tile (VCT) with static electricity dissipation.

· Doors shall be solid core wood construction and have electronic access control that reads a VA PIV proximity card. The door shall have a keyed override system to allow access in the event the electronic access control system fails. The door shall also have a secondary deadbolt lock and welded or pinned hinges. The hinges should be mounted inside the OI&T closet room.

· HVAC – DB Cooling 72 degrees, DB heating 72 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 8 air changes per hour minimum. Design HVAC systems (stand alone and Main Building HVAC system used as a backup system) for the expected heat load.

Power outlets - 120V, 20 AMP Double Duplex Receptacles – Individual circuits required for each receptacle location, minimum 3 locations and circuits. Other outlets shall be per the requirements document, NEC and local codes. Power outlets will likely be required for the Access Control System head-end unit to be located within this room, as well as general outlets at the electrical panels which may be located within this room

Provide a wall mount phone in the room near the door to the room.

Provide electronic access control that reads a VA PIV proximity card. The door shall have a keyed override system to allow access in the event the electronic access control system fails. The door shall also have a deadbolt lock and welded or pinned hinges. The hinges should be mounted inside the OI&T closet room.

Provide telephone system 110 punch down blocks.

Provide data hubs, patch panels, cable management, etc. as required for the number of data jacks required for the VA clinic space plus an additional 30% more.

Addendum to Communications/Technology Closet:

WIRES AND CABLES:

0. General Requirements: All telecommunications cabling, and telecommunications physical space must conform to established industry standards (NEC, NFPA, OSHA, IEEE, EIA/TIA, etc.) including the following practices:

0. Only, access control, data and telecommunications equipment may be located in wiring closets.

0. Electrical service panels, HVAC equipment, natural gas or water control valves, etc. must be located elsewhere.

0. Length of any UTP cable run from patch panel in wiring closet to RJ-45 data jack at wall plate must not exceed 90 meters. If contractor cannot meet this requirement with a centrally located wiring closet, contractor must provide additional wiring closets conforming to the specifications outlined in this document.

0. The Contractor shall provide all RJ-45 connectors, termination, punch-down and labeling. Descriptions used for labeling must be approved by Fargo Facility Chief Information Officer (FCIO). All labeling descriptions not conforming to approved plan shall be relabeled at Contractor's expense.

0. In addition, the following requirements shall be followed or provided for by the Contractor:

· There shall be 3 data and 1 voice jacks at each outlet location.

· All cabling for phone and data jacks shall be Cat 6e.

· Provide a locked and secure data cabinet for equipment.

· Provide access to the LEC D-Mark for telephone lines/data circuits.

· Phone jacks punched down on a patch panel NOT a 110 block.

· Panel Jacks shall be Panduit Corporation (Black Color)

· Cables labeled on both ends

· Jacks labeled on both ends

· See data and patch panel labeling details below.

0. The Contractor shall provide a rack to house VA owned equipment. VA OI&T staff will be responsible for the purchase and installation of network electronics and uninterruptible power supplies. The requirements for the rack are:

0. Hoffman Engineering Co, Open 4 Post Rack, Catalog Number: E4DR19FM38U, or equivalent. The rack must be bolted to the floor for stability and oriented for easy access from front and back (ideally this would be at least 4-foot clearance, front and back). It must also be connected by grounding strip to the building ground.

0. Chatsworth Products Incorporated, Horizontal wire management system, Catalog Number: 30S30-719, HORZ MGR DBL UNN 2U 19 IN., or equivalent.

0. Panduit Corporation, Vertical wire management system, Catalog Number: WMPV22E, VTR CBL MGT 4X FRT/REAR 22RU, or equivalent,

0. Panduit Corporation, 48-port Patch panels, Catalog Number: DP 48688TGY, CAT 6 PATCH PANEL, 48 PORT, or equivalent

Description: Laboratory Minimum Quantity: 1 Size: 150 sf Purpose/Details/Requirements: Should be near the front of the clinic space, but not directly accessible to patients or visitors without being escorted behind the locked doors separating the clinic area from the patient/visitor waiting and reception area spaces.

Other General Room Requirements for Laboratory:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be vinyl composition tile (VCT).

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 50 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 72 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Laboratory:

· Lavatory, wrist blade faucet controls, goose neck spout with laminar flow device, thermostatic temperature control valve to prevent scalding., QUANTITY = 1 located near door to specimen collection toilet.

· Sink, wrist blade faucet controls, goose neck spout with laminar flow device, thermostatic temperature control valve to prevent scalding. One shall be provided with an eyewash system. QUANTITY = 2, one for specimen waste disposal and one for clean work, typically located one at each end of the casework.

· Provide millwork/casework with a countertop, plastic laminate finishes with interiors a white melamine. The countertop shall be chemical and stain resistant suitable for a laboratory area and shall be all along the perimeter walls (to the extent possible) with and island (if possible) to allow for adequate space for equipment and working with specimens. There shall be upper and lower cabinets with doors and at least two adjustable shelves per cabinet. All upper and lower cabinet doors to include drawers (except for the cabinets with the sinks mounted in them) require locks.

· Under cabinet lighting.

· Mirror (24” x 36”) with stainless steel shelf below mounted above the lavatory.

· Cubicle curtain tracks, hangers and curtain to isolate the blood specimen collection area from the remainder of the space.

· Provide a modular furniture workstation with flipper doors (2 above the workstation), 6 ft. wide minimum by 30 inches deep minimum workstation, a tack board and task light at each and a keyboard tray with mouse pad at each along with a fully adjustable, rolling, office type chair for each workstation.

· Coat hooks, 2 minimum

· Waste receptacle

· Infectious waste/biohazard disposal container with lid (step on lever for lid operation type)

· Soap dispenser. Quantity = 3

· Paper towel dispenser. Quantity = 3

· Supply/instrument cart

· Clock

· Sharps disposal container

· Safety equipment such as gloves, masks, eye shields or face guards

· Refrigerator/freezer, domestic type.

· All required lab equipment, for example a centrifuge, etc.

· Power outlets as required by NEC, to include, but not limited to, a quad-outlet and a duplex outlet at each staff area modular workstation desk, numerous duplex outlets along above the casework countertop to plug in equipment (minimum eight duplex outlets), a GFCI duplex outlet near the lavatory and convenience outlets around the room as required by NEC. Designer shall determine heights.

· Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited to two each at each staff area modular workstation desk within the space, 1 phone/data jack at each of the following equipment locations: 8 (near each duplex outlet) above the casework countertop, one per remaining wall without a phone/data jack (one of these should be placed between the instrument/supply cart and the exam table). Designer shall determine heights.

Description: Blood Specimen Collection Area Minimum Quantity: 1 Size: 80 sf Purpose/Details/Requirements: Adjacent/connected to laboratory.

Other General Room Requirements for Laboratory:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Walls shall be painted GWB and shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base Cove shall be a resilient base of rubber or vinyl.

· Flooring shall be vinyl composition tile (VCT).

· Doors shall be solid core wood construction and have a keyed lock system.

· Lighting – 70 - 100 FC, LED

· HVAC – DB Cooling 72 degrees, DB heating 72 degrees, 15% outside air minimum, RH Cooling 50%, RH Heating 30%, room shall be neutral pressure when compared to adjacent space, 6 air changes per hour minimum.

Blood Specimen Collection:

· Cubicle curtain tracks, hangers and curtain to isolate the blood specimen collection area from the remainder of the space.

· Bariatric sized, blood specimen collection chair

· Coat hooks, 2 minimum

· Waste receptacle

· Infectious waste/biohazard disposal container with lid (step on lever for lid operation type)

· Supply/instrument cart

· Sharps disposal container

· Safety equipment such as gloves, masks, eye shields or face guards

· Power outlets as required by NEC, to include, but not limited to, a duplex outlet behind the specimen collection chair, and convenience outlets around the room as required by NEC. Designer shall determine heights.

Phone/data outlets (3 data and 1 phone jack per outlet) as required, to include, but not limited to one behind the specimen collection chair.

Description: Toilet, Specimen Collection Minimum Quantity: 1 Size: 60 sf Purpose/Details/Requirements:

1. Contains specimen pass-through to general laboratory.

2. There shall be no lavatory within the room. The lavatory shall be out in the main lab and near the door to the specimen collection toilet.

Other General Room Requirements for the accessible restrooms:

· Acoustical ceiling tile and grid.

· Ceiling Height – 9 ft.

· Ceramic tile walls.

· Walls shall be minimum 20 ga. steel studs, constructed from floor to deck above with all perimeter and penetrations sealed and the cavity filled with mineral wool insulation. Room shall have a minimum STC rating of 45.

· Base cove shall be ceramic tile.

· Floors shall…