TO0001PWS_AttachB_2013MEDCOMInteriorDesignMasterPlanVol_1-4.pdf

US ARMY MEDCOM

INTERIOR DESIGN MASTER PLAN - USA

2013 Issue

MISSION STATEMENT

“Create interiors which enhance the healing environment of medical facilities for the U.S. Army Medical Department.”

US ARMY MEDCOM Interior Design Master Plan – USA

The Interior Design Master Plan is a comprehensive and standardized approach for all US Army MEDCOM projects that require interior design services. The ID Master Plan is comprised of four volumes. Each Volume responds to earlier findings in specific interior elements. These responses include discussions, photos, drawings, design philosophy, recommendations and suggested products which illustrate the benchmark of quality desired for MEDCOM finishes, furnishings and accessories. The guidelines included in the ID Master Plan facilitate the design, procurement and maintenance processes by providing product information, specification and guidelines for replacement, remodeling and renovation space.

Each Volume is organized for ease of use and updating: Volume 1 addresses Materials, Finishes and Lighting; Volume 2 addresses Furniture and Furnishings; Volume 3 addresses Signage, Wayfinding, Accessories and Artwork; and Volume 4 addresses Specialty Areas and Issues. Each Volume contains the following: Introduction, Design Philosophy, Products with specifications, and Application Guidelines. The header and the footer of each page contain the following information: The Volume number and the name are located on the header and the section number is cited at the inside footer; the subcategory and page number are located at the outside footer. All Volumes begin with a new numbering system to facilitate future modifications.

The Interior Design Master Plan is intended for the use of the project teams (comprised of MEDCOM personnel, the A-E team and the appropriate HFPA/DHA team members).

Projects undertaken pursuant to the Master Plan will benefit greatly from a sense of ownership derived from inviting physician, nursing, administrative and housekeeping representatives, as well as Logistics, Facilities managers and designers, to contribute recommendations based on their unique knowledge and experience. The Interior Design Master Plan has been developed as a tool to assist with this process.

General Introduction to the 2013 US Army MEDCOM Interior Design Master Plan

2013 US Army MEDCOM Interior Design Master Plan - Design Considerations

The US Army MEDCOM Interior Design Master Plan provides a tool for planners and designers when developing world class healthcare facilities . The main objectives of the US Army MEDCOM Interior Design Master Plan:

•To ensure that the final design is appropriate for and in support of the function of the facility

•To create an environment that enhances the facility’s public image and promotes employee morale, while implementing solutions that are durable, cost effective, environmentally sensitive, easy to maintain and support life safety.

•To incorporate Evidence-Based Design principles into new and renovated US Army MEDCOM facilities.

•To create “world class” healthcare facilities for the US Army world-wide.

Resources are available for the design team or facility when planning a new or renovated space in US Army MEDCOM healthcare facilities:

•World Class Checklist, Military Health System, US Department of Defense (https://facilities.health.mil/home/).

•Facility Guidelines Institute (FGI) - Guidelines for Design and Construction of Health Care Facilities, Section 1.2-6 “Design Considerations and Requirements”

•Unified Facilities Criteria (UFC 4-510-01) Design: Medical Military Facilities, 1 November 2012

•“Furniture Design Features and Healthcare Outcomes”, authored by Eileen B.

Malone, RN MSN, MS, EDAC and Barbara Dellinger, MA, AAHID, IIDA, CID, EDAC, May 2011.

The color copies that appear in these Volumes may vary from actual product colors.

Product samples should be obtained by the facility to verify colors before procurement.

The manufacturer’s name and contact information are located at the end of each Product section (Section 3).

General Introduction to the 2013 US Army MEDCOM Interior Design Master Plan

US ARMY MEDCOM

INTERIOR DESIGN MASTER PLAN – USA

Materials, Finishes and Lighting

Furniture and Furnishings

Signage, Wayfinding, Accessories & Artwork

Specialty Areas and Issues

Volume 1

Volume 2

Volume 3

Volume 4

INFORMATION SECTION 1 VOL. 1

Introduction

Volume 1 of the MEDCOM Interior Design Master Plan addresses the planning, specifications and applications of interior building materials, finishes and lighting necessary to complete interior architecture features and is considered part of the Structural Interior Design (SID). The recommendations herein provide maximum flexibility, are environmentally friendly, support Evidence-Based Design principles whenever possible, and enhance the building architecture.

The design objectives for Volume 1 are:

•To introduce MEDCOM standards for interior building materials, finishes and lighting;

•To provide guidelines for enhancing the facility’s public image;

•To provide examples of products and typical finishes by space or room types;

•To provide troubleshooting guidance on recurring or pervasive problems.

All recommendations support a consistent and coordinated design approach as developed in Volumes 2, 3 & 4, and respond to the following deficiencies noted in MEDCOM facilities over the past several years:

• Lack of sense of space and place;

•Non-standardization of materials and finishes;

•Inappropriate use of finishes and design elements;

•Lack of visual organization;

•Outdated appearance;

•High maintenance requirements;

•Uncomfortable and unfriendly environment;

•Environment which does not support Evidence-Based Design principles;

•Materials and finishes in disrepair and in need of replacement.

Section 3 Introduction 1

Examples of Deficiencies

Section 3

Introduction 2

2013 Issue

Inappropriate Use of Materials and Finishes:

Privacy curtains as window treatments in a conference room setting is inappropriate.

Lack of Visual Organization: Random selection and application of signage, informational poster and other products contribute to the breakdown of visual organization.

Lack of Sense of Space & Place: The absence of wayfinding elements, such as color accent tiles in corridors, signage and artwork, makes it difficult to differentiate locations within the facilities.

Lack of Standards: The facility lacks a furniture and/or material finish standards program, creating visual clutter and inventory issues.

Outdated appearance & materials: Products used past their prime and poorly maintained will date the facility’s appearance.

Examples of Deficiencies

Materials, Finishes and Lighting

Section 3 Introduction 3

2013 Issue

Material finishes in need of repair and replacement:

Tile flooring has been patched numerous times and the tiles contain asbestos; new flooring produced from sustainable products and that supports Evidence-Based Design principles is needed.

Uncomfortable and Unfriendly Products Used:

Products in such disrepair appear unsafe and uncomfortable.

DESIGN PHILOSOPHY SECTION 2 VOL. 1

Design Philosophy

The design philosophy of Volume 1 establishes the standards for building finishes, supports the healthcare environment and Evidence-Based Design, enhances the facility’s public image, and promotes employee morale. The standards are established to meet the following criteria:

Durability

•Products meet all requirements in the Unified Facilities Criteria UFC 4-510-01 (latest edition dated 1 Nov 2012).

•Products can be easily cleaned using solvent-free, water-based cleaners.

•Products are selected for maximum longevity according to their intended use.

Cost

•Products are cost-effective over their anticipated life cycle.

•Consideration is given to sustainable products, and are to be specified where appropriate.

Aesthetics

•Color palettes are based on warm and cool color schemes using appropriately placed accents with neutral backgrounds.

•Permanent architectural features remain in neutral colors; color accents may be used in a limited, constrained capacity.

•Random small-scaled patterns are encouraged; avoid large geometric or rigid patterns.

•Wayfinding materials incorporate floor and wall finishes and lighting accents and are adapted to meet the needs of all patient populations.

Life Safety

•Products specified are Class A or Class 1, are in accordance with the NFPA 101 LSC and meet the requirements in the UFC 4-510-01.

•All adhesives are water-based, non-toxic and emit no or low-level VOCs.

•Application of materials and finishes comply with current ADA regulations.

Section 3 Design Philosophy

Flexibility

•Maximize flexibility by creating MEDCOM standards for interior finishes.

Sustainable or “Green” Design

"Sustainable Design (Green Building) is the design, construction, operation, and reuse/removal of the built environment (infrastructure as well as buildings) in an environmentally and energy efficient manner. Sustainable Design is meeting the needs of today without compromising the ability of future generations to meet their needs. Sustainable Design includes not only efficient use of natural resources, but it can also translate into better performance, desirability, and affordability." (Sustainable Design for Military Facilities Engineering Technical Letter 1110-3-491 dated 7 May 01).

•Select material finishes that are environmentally sensitive and that support sustainable design.

Evidence-Based Design

In 2008, The Center for Health Design defined Evidence –based Design as follows:

“Evidence-based design is the process of basing decisions about the built environment on credible research to achieve the best possible outcomes.”

The core principles for evidence-based design come from hundreds of laboratory and clinical studies; research has shown that material and finish selections for healthcare environments play a key role in the health and emotional well-being of staff, visitors, and patients. Material and product selections in the MEDCOM Interior Design Master Plan are based on evidence based design concepts and sustainability principles, as well as accessibility, ergonomics, durability, flexibility and cost.

Implementing Evidence-based Design (EBD) principles helps create a “therapeutic environment”, which is frequently defined as a health care environment that achieves three critical measures (according to an analysis of research completed by Ulrich and Zimring):

• Provides clinical excellence in the treatment of the body

• Meets the psycho-social needs of patients, families, and staff

• Produces measurable positive patient outcomes and staff effectiveness

Section 3

Evidence-based Design (continued)

To help increase knowledge and awareness of Evidence-based design issues, one tool known as the “EBD Wheel” graphically constructs 12 elements of the built environment which are impacted by EBD principles. More information on the EBD Wheel can be found in the published article entitled, “The Evidence-Based Design Wheel: A New Approach to Understanding the Evidence in Evidence-Based Design” by Lyn Geboy, PhD (Healthcare Design Magazine, March 2007).

Section 3 Design Philosophy

2013 Issue

6 7

1. Single Patient Rooms: Research supports that providing single patient rooms in lieu of semi-private bedrooms contributes to the following: a) shorter lengths-of-stay; b) fewer medication errors; c) lower rates of hospital-acquired infection; d) fewer patient transfers;

e) increased privacy - impacts HIPAA; f) creates less noise, therefore fewer sleep disturbances; g) more patient control; and g) higher patient satisfaction.

Ways to enhance the single patient room experience include:

•Create opportunities to create family-zones within space •Provide furnishings so that family member may spend the night •Reduce the amount of equipment and furniture to navigate around •Configure room to allow headwall to be near patient toilet •Ensure that every patient has access to window views

2. Noise: Research supports that a excessive or persistent noise within patient care areas contributes to the following: a) sleep disruption; b) confusion; c) impediment to healing;

d) creation of stress and anxiety; e) potential increase in the use of prescription medications;

and f) the possibility of increasing staff errors.

Ways to reduce noise within the patient care environment include:

•Select materials which deaden or absorb sound (carpet, rubber flooring, acoustical ceiling tiles) •Isolate noisy equipment away from patient areas •Eliminate overhead paging, intercom •Decentralize certain functions/activities to reduce the concentration of noise

3. Windows with Views of Nature: Research supports that providing patient care areas (and staff areas, as well) with physical access to nature, or by simply viewing nature through a window contributes to the following: a) reduction in recovery time; b) patient experiences fewer complications; c) patients request less pain medication; and d) patients have more control over the environment. Employees with access to windows/nature views experience less stress, better health, and higher job satisfaction

Ways to introduce access to nature in patient care environments:

•Provide windows in each patient care area with a view of nature •Provide opportunities for staff to have access to windows with nature views •Install photographic artwork of nature scenes within patient and staff zones“

Section 3

4. Daylighting and sufficient artificial lighting: Research supports that access to daylight in patient care and staff areas contributes to the following: a) improved patient outcomes; b) reduced depression, pain and agitation; c) improved sleep; d) balanced circadian rhythms; e) reduced the length of stay; and f) improved staff accuracy and effectiveness.

Ways to incorporate daylighting and sufficient artificial lighting within patient care areas include:

• Provide natural light integrated with electrical lighting •Provide dimmers for electrical light sources when possible •Provide access to areas where natural daylight can be observed and enjoyed •Provide wall sconces and decorative lighting fixture (less institutional)

5. Healing Gardens: Research supports that access to gardens (whether indoor or outdoor) contributes to the following: a) improves recovery time for patients; b) creates less stress, anxiety and pain; c) patients require less pain medication; and, d) offer patients/visitors/staff direct interaction with the restorative, calming effects of nature.

Ways to incorporate healing gardens within patient care areas include:

•Create healing gardens for patient & staff use •Include a water feature (exterior) when possible •Use natural materials (stone, wood, plants, etc.) in both interior and exterior design

6.Positive Distraction: Research supports that providing elements which introduce positive distraction contributes to the following: a) improved mood and stress relief; b) attention is attracted and sustained; c) positive reactions; and d) a lessened perception of pain.

Ways to incorporate various therapies and elements which provide positive distractions within the patient care areas include:

•Provide access to music – de-stresses, lessens pain •Pet therapy – allows touch, stimulation, socialization •Realistic art (preferred over abstract) and sculpture •Views to Nature - trees, flowers, and water

7. Furniture Arrangements: Research supports that furniture groupings which enhance conversation and social interaction contribute to the following: a) a more intimate (less institutional) feeling; b) promotes social interaction; c) encourages family members and friends to stay longer during visitation.

Ways to enhance the furniture arrangements within the patient environment include:

•Include comfortable, supportive furniture within waiting areas •Create more conversational and “activity” zones •Promote small, flexible groupings with furniture •Provide children’s furniture and interactive games where needed •Include dining tables (or table rounds) to encourage social interaction

8. Indoor Air Quality: Research supports that improved indoor air quality contributes to the following: a) less infection/transmission of bacteria; and, b) improved patient outcomes with respect to hospital-acquired infections (HAI).

Ways to enhance indoor air quality within the patient care environment include:

•Use of HEPA filters which reduce infection thru HVAC design/upkeep •Use low-toxicity, low-emitting materials (such as low VOC paints, stains, adhesives) to reduce indoor pollutants:

•Minimize use of solvent-based cleaners/cleaners with strong fragrances •Allow enough time for material finishes to off-gas before occupancy

9. Floor Finishes: Research supports that slip-resistant, sound-absorbing, anti-microbial, safe flooring contributes to the following: a) safer floors which reduce noise/slips/falls; b) improved noise reduction due to soft foot-fall; c) improved infection-control protection;

Ways to provide flooring which is safe, sound-absorbing and aesthetically-pleasing within the patient care environment include:

•CARPET - reduces noise, deadens sound, increases ease of walking, reduction in falls and resultant injuries, provides more homelike/non-institutional ambience as compared to vinyl •CERAMIC/PORCELAIN TILE – provides anti-bacterial coatings, prevents on development of new pathogens, odors are eliminated, requires minimum care, and is eco-friendly •RUBBER – provides slip-resistant, stain resistant, bacteriostatic & resistant to bacteria, fungi and micro-organisms, provides soft footfall (reduces noise and provides comfort underfoot); low maintenance (no-wax, no-stripping), and is easier to maintain than vinyl and carpet flooring

Note: Refer to the UFC 4-510-01 Appendix B to determine the appropriate floor finish for designated healthcare area

Design Philosophy

Materials, Finishes and Lighting

Section 3

10. Wayfinding: Research supports that providing effective wayfinding elements within the healthcare environment contributes to the following: a) enhanced patient orientation; b) reduced stress and time wasted while traveling to the desired destination; c) diminished staff time spent giving directions; and, d) a coordinated system that addresses human behavior, environmental design and hospital policies & practices.

Ways to incorporate effective wayfinding within patient care areas include:

•Use of signage, imagery, icons, patterning •Incorporating solutions which include cueing with lighting, architectural elements •Use of elements which convey movement through the space

11. Nursing Centers/Workstations: Research supports that providing the proper combination of decentralized and centralized nurses centers within the patient care environment contributes to the following: a) reduction in errors when nurses are close to patients; b) decreased nurses’ travel time/distance; c) increased nurses’ time spent caring for patients/families; and d) improved job satisfaction for nursing staff.

Ways to incorporate decentralized nurses stations (as appropriate) within patient care areas include:

•Provide flexible furniture (carts, workstations) •Locate computers outside patient rooms (WOWs)

12. Ergonomics: Research supports that providing improved ergonomic equipment and furnishing contribute to the following: a) patient and staff safety and comfort; b) decreased patient falls in ergonomically designed space; c) enhanced patient comfort during medical procedures; d) improved hospital stay with thoughtfully designed furnishings; and, e) reduced stress and injuries among staff.

Ways to incorporate ergonomic furnishings and elements within patient care areas include:

•Include comfortable waiting seating with easy entry/exit •Ensure that chair arms contour (no sharp corners) •Introduce specialty patient seating (hip chairs, bariatric seating) •Use of safe patient-handling devices (increases staff safety) •Ensure that staff areas are outfitted with fully adjustable task chairs and workstations

PRODUCTS SECTION 3 VOL. 1

3.1 Casework/Millwork

3.1.1 Plastic Laminates

3.1.2 Solid Surfaces

3.2 Ceilings

3.2.1 Acoustical Ceiling Tile

3.2.2 Gypsum Board

3.3 Curtains

3.3.1 Privacy Curtains

3.4 Flooring

3.4.1 Carpet

3.4.2 Hard Surface

3.4.2.1 Ceramic Tile Floor

3.4.2.2 Tile Grout

3.4.2.3 Quarry Tile

3.4.2.4 Epoxy Terrazzo

3.4.2.5 Terrazzo Tile

3.4.3 Resilient Flooring

3.4.3.1 Linoleum

3.4.3.2 Rubber Flooring

3.4.3.3 Vinyl Composition Tile

3.4.3.4 BioBased Tile

3.4.3.5 Flexible Tile

3.4.3.6 Homogeneous Sheet Vinyl

3.4.3.7 Heterogeneous Sheet Vinyl

3.4 Flooring

3.4.4 Transition Materials

3.4.4.1 Resilient Base

3.4.4.2 Transition Strips

3.4.4.3 Walk-Off Mats

3.4.5 Flooring Comparison Matrix

3.5 Finish Schedule/Index Codes

3.6 Walls

3.6.1 Paint

3.6.2 Interior Stain

3.6.3 Wall Protection

3.6.4 Handrails

3.6.5 Decorative Handrails

3.6.6 Anti-microbial Wall Covering

3.6.7 Wall Tile

3.6.7.1 Ceramic Wall Tile

3.6.7.2 Porcelain Wall Tile

3.6.8 Wall Finish Matrix

3.7 Window Treatments

3.7.1 Mini Blinds

3.7.2 Drapery

3.7.3 Window Top Treatments

3.7.4 Shades

3.8 Lighting

3.8.1 Direct Overhead

3.8.2 Patient and Task

3.8.3 Recessed and Decorative

3.9 Manufacturer’s Summary

Section 3 Products

Wilsonart, #D327-60 Pepperdust Bases and vertical surfaces

Wilsonart, #4811-60 Silicon EV Countertops (not for sink areas)

Wilsonart, # 7054-60 Wild Cherry Bases and vertical surfaces

Materials, Finishes and Lighting

Section 3

Casework/Millwork – Plastic Laminates

NEUTRAL

Color and Pattern Options

Wilsonart, #10776-60 Kensington Maple Bases and vertical surfaces

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

PL-1

PL-4 PL-3

PL-2

Denotes that product is GreenGuard certified.

WOODGRAINS

Description/Type Construction

• High Pressure Laminate is manufactured by pressing melamine resin impregnated pattern paper over layers of phenolic resin impregnated kraft paper. The back is then sanded to maintain a uniform thickness and to facilitate bonding.

• Laminate is suitable for use on built-in casework and millwork, and for architectural application on columns, wainscoting, valances, cornices, interior doors and divider systems.

• Laminates shown are available in fire-rated, High-Wear and Chem-surf performance surfaces.

• Sheet sizes: 36”W, 48”W, 60”W and 96”L, 120”L and 144”L; thickness is 0.030”- 0.050” nominal

• Available in a full range of solid colors and patterns

• High gloss, textured gloss, static dissipative and

• chemically resistant finishes.

• Laminate s for chalkboard and markerboard surfaces also available.

• The use of High Gloss finish laminate is strongly discouraged

• Solid color laminates to be used for base and vertical surfaces; speckled pattern to be used for countertop and horizontal surfaces only (non-wet areas). Countertops with sinks are to have solid surface countertops instead.

• Laminate should be bonded to core material such as plywood, particleboard, flake board or metal using adhesives and techniques as recommended by reliable adhesive manufacturers.

• Fire rated laminates cannot be post-formed.

• Formica, Nevamar

Dimensions

Accessories/Options

Installation

Comparable Products

Materials, Finishes and Lighting

Section 3 Casework/Millwork – Plastic Laminates

3.1.1 Guidelines for Plastic Laminates

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

Avonite “Studio Collection” Polyester/Acrylic Blend #K1-6637 Crushed Lava (Dark Neutral)

Avonite “Foundations” 100% Acrylic #F1-7710 Gulf Coast

Countertops with sink units.

Upgrade from plastic laminate Countertops.

NEUTRAL

RECYCLED CONTENT

Materials, Finishes and Lighting

Section 3

Casework – Solid Surfaces

Color and Pattern Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Denotes that product contains recycled content.

Avonite “Studio Collection” Polyester/Acrylic Blend #K1-6600 Cottonwood (Light Neutral)

Avonite “Foundations” 100% Acrylic #F1-4330 Honey Crunch

SS-1

SS-4 SS-3 SS-2

Product can contribute toward LEED.

2013 Issue http://americanolean.com/icon_description.cfm http://americanolean.com/icon_description.cfm http://americanolean.com/icon_description.cfm http://americanolean.com/icon_description.cfm

Section 3 Casework – Solid Surface

3.1.2 Guidelines for Solid Surfaces

• Solid surfaces are homogeneous, neither coated nor laminated and can be used to form a smooth, inconspicuous seam.

• Solid surface material can be easily repaired, and can be buffed smooth to remove burns and scratches. Solid surface resists chipping.

• Solid surface material is fungal/bacterial resistant and is nonporous (inhibiting the growth of dangerous bacteria and pathogens), and is hygienic.

• Solid surface material can be aggressively cleaned allowing the facility to maintain sterile operating rooms and healthy patient care facilities.

• Many solid surface materials are “eco-friendly”, and contain recycled content which supports sustainable design efforts and can contribute to LEED credit.

• Thicknesses range from ½” – ¾’ (recommended for horizontal surfaces) and ¼” thickness for vertical surfaces, such as backsplashes and wall cladding for surgical suites and shower enclosures.

• Some manufacturers offer 60” wide sheets to minimize seaming and reduce labor costs.

• Includes under mount or integral sink bowls and shower/bath accessories

• Solid surface material is to be used as a horizontal surface in “wet areas”, i.e, as a countertop where sink units are located (typically restrooms and staff lounges). Other horizontal surfaces include window sills, reception counters and millwork countertops.

• Vertical surfaces include wall panels (to include surgical suites and shower enclosures), toilet partitions, headboards, and wall protection.

• Corian, Formica, LG, Wilsonart

Description/Type Construction

Dimensions

Accessories/Options

Installation

Comparable Products

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product

Armstrong, Fine Fissured, Square Edge Ceramaguard, Non-Perforated #605

Armstrong, Ultima, Tegular Edge #1911 (Health Zone Ultima #1937 also available)

Materials, Finishes and Lighting

Section 3

Ceilings – Acoustical Ceiling Tile

Detail Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Denotes that product contains recycled content.

ACT-1

ACT-2

Product can contribute toward LEED.

Armstrong, Clean Room VL Square Edge, #868

ACT-3

STANDARD APPLICATION

SCRUBBABLE

VINYL FACE

2013 Issue http://www.armstrong.com/commceilingsna/scene7_popup.jsp?s=CP870_lightened&rs=RS870_CleanRoomVL+NEW&v=s&n=Clean+Room+VL&ln=Clean+Room+VL http://www.armstrong.com/commceilingsna/scene7_popup.jsp?s=CORE++Ultima+Hlth+Zn9-16teg&rs=RS_HZ-Ult_LGH_8C&v=s&n=Health+Zone+Ultima&ln=Health+Zone+Ultima http://www.armstrong.com/commceilingsna/scene7_popup.jsp?s=CP605PLAIN_2&rs=Ceramaguard&v=s&n=Fine+Fissured+Ceramaguard&ln=Fine+Fissured+Ceramaguard http://americanolean.com/icon_description.cfm http://americanolean.com/icon_description.cfm

Section 3 Ceilings – Acoustical Ceiling Tile

3.2.1 Guidelines for Acoustical Ceiling Tile

• Acoustical tile or lay-in tile are sound controlling tile units consisting of wet-formed mineral fiber with painted face. Tiles are mechanically mounted on a suspended ceiling system

• Edge Detail: Tegular Edge for General Use, square edge for scrubbable and vinyl face options

• Finish: Factory-applied standard white

• Suspension System: L-Standard, fire-resistive, exposed grid or concealed grid. Exposed surfaces shall be aluminum or steel with factory applied white baked enamel finish.

• Tiles contain recycled content and can contribute toward LEED credit.

• Nominal tile size: 24”W x 24”L x ¾” thickness (ACT-1) ; 24”W x 24”L x 5/8” thickness (ACT-2 & ACT-3). Standard grid size is 15/16”.

• Noise reduction/acoustics options.

• Anti-microbial treatments.

• Recycled Content.

• Soil, Scratch and Impact-resistance.

• Ceramaguard.

• High reflective finish

• Embossed designs for use in specialty areas like pediatrics, dental exam

• Alternative tile finishes: gypsumboard, metal & wood (Note: Reference local codes and regulations before using metal and wood in healthcare facilities; may not be appropriate for all applications and can be costly).

• Suspension systems and tiles to be installed in accordance with manufacturer’s recommendations and local regulations.

• All ceiling tiles shall be installed in accordance with locations shown in the UFC-4-510-01 Appendix B.

• 24” x 24” acoustical tile is recommended to reduce/eliminate potential for sagging

• Ten Year Warranty

• USG

Construction

Dimensions

Accessories/Options

Installation

Comparable Products

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product

Gypsum Board Ceiling

Section 3

Ceilings – Gypsum Board

Detail Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Section 3 Ceilings – Gypsum Board

3.2.2 Guidelines for Gypsum Board Ceilings

• Gypsum Board is an economical product for the walls and the ceiling, easily installed and accommodates a variety of decorative treatments.

It is appropriate for areas such as Main Building Entries and Main Lobbies, as well as certain clinical areas as identified in the UFC 4-510-01 Appendix B.

• Finish: Standard white finish.

• Dimensions: Available in 6’ to 16’L x 4’W sheets.

• Noise reduction/acoustic options.

• Water resistant treatments

• Sag-resistant.

• Noncombustible.

• Joint tape & EZ Strip expansion tape.

• Installation and finishing of gypsum board shall be in accordance with recommendations and industry standards as published by the Gypsum Association.

• Gypsum Board finishing to be Level 5.

• Not applicable.

Construction

Dimensions

Accessories/Options

Installation

Comparable Products

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product

Arc-Com “Med Arc” Gable #AC# 98937R “Bluegrass “ (use with cool palette)

Maharam, Moderate #511459 “Field” 004 (use with all accents)

Materials, Finishes and Lighting

Section 3

Privacy Curtains

Color and Pattern Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Arc-Com “Med Arc” Gable AC# 98936R “Spice “ (use with warm palette)

PC-1

WARM & COOL ACCENTS

ALL COLOR ACCENTS

Arc-Com “Med Arc” Kutcher #AC 98938R “Dawn” (use with all accents)

Denotes that product contains recycled content. Product can contribute toward LEED.

PC-2

PC-4 PC-3

2013 Issue http://americanolean.com/icon_description.cfm http://americanolean.com/icon_description.cfm http://americanolean.com/icon_description.cfm

Comparable Products

Section 3 Privacy Curtains

3.3.1 Guidelines for Privacy Curtains

• 100% Trevira CS Polyester is inherently fire retardant; top of curtain will have ½” nylon mesh for compliance with fire safety codes. Multi-colored curtains are recommended for exam rooms and patient rooms so that soiling is less visible.

• Privacy curtains contain post-consumer recycled content and can contribute toward LEED credit.

• Dimensions: 72”W; Top mesh treatment is approximately 20”H; fabricated curtain hangs approximately 14-16” above finished floor

• Curtains hang from mounted or suspended cubicle track.

• Curtain drop chains or hooks to extend length of privacy curtain are available.

• Curtain track systems (such as On the Right Track) offers a “hookless” track for easier curtain replacement and multiple entry points

• Privacy curtain construction to include rust proof nickel plated brass grommets on 6 inch centers located across the curtain header.

• Multiple, standard-sized curtain panels (in lieu of custom-sized privacy curtains) can be ordered and installed on the cubicle track, overlapping the last & first grommets of adjoining curtains for privacy.

• Architex, Interspec, Designtex, Source One

Construction

Dimensions

Accessories/Options

Installation

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product

Tandus Carpet “The Men of Fire Station 23” Style #5664-3500-9018 Cadet Color Name: Hammerin’ Hank

Tandus Carpet “The Men of Fire Station 23” Style #5664-3500-9008 Cadet Color Name: Beefy Billy

Materials, Finishes and Lighting

Section 3

Flooring - Carpet

NEUTRAL

Color and Pattern Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

CPT-2

CPT-1

Denotes that product meets NSF-140 Standard. Product is SCS-Certified.

2013 Issue

WARM ACCENTS

COOL ACCENTS

Both Warm and Cool palette carpets can be used as neutral

Carpet tile/roll goods http://logos.scscertified.com/Default.aspx http://logos.scscertified.com/Default.aspx http://logos.scscertified.com/Default.aspx

Section 3 Flooring - Carpet

3.4.1 Guidelines for Carpet

• Contract grade modular carpet tiles are preferred;

roll goods to be used in limited applications.

Carpet to be multi-color in medium to medium dark tones. Consider using carpet with recycled content in either yarn or backing.

• Face yarn to be yarn dyed with permanent stain resistance, solution dyed, or a combination of solution dyed/yarn dyed nylon. Nylon to be Type 6,6.

• Dimensions: Tile sizes available: 18” x 18”, 24” x 24”, 36” x 36”. Roll goods are 72”W.

• Protective treatments include soil/stain protection

• Carpet tiles can be installed in monolithic pattern, or quarter-turned or ashlar pattern, if preferred.

• Carpet installation is anticipated to last approximately 5-10 years in MEDCOM facilities when maintained in accordance with manufacturer’s cleaning recommendations. High traffic areas may require re-carpeting or repair more frequently.

• Direct glue-down method or “peel and stick” method is recommended; adhesives to have low VOCs and odors and must comply with applicable federal/state/local air quality requirements. Consult environmental health and safety codes.

• Install carpet tiles using manufacturer’s recommended release adhesive.

• Carpet tiles are preferred for ease of maintenance and when using under systems furniture.

• InterfaceFLOR, Mannington, Mohawk/Lees Comparable Products

Construction

Dimensions

Accessories/Options

Installation

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product

Dal-Tile “Keystone” Unglazed Mosaic #D200 Desert Gray Speckle, 2” x 2”

Materials, Finishes and Lighting

Section 3

Hard Surface Flooring – Ceramic Tile (Standard)

NEUTRAL

Color and Pattern Options

CFT-3 CFT-4

Dal-Tile “Keystone” Unglazed Mosaic #D050 Mottled Medium Brown, 2” x 2”

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Denotes that product contains recycled content .

Crossville, CS-Cross Colors, #A233 Sand Bisque (porcelain) 6” x 6”

CFT-2 CFT-1

Crossville, CS-Cross Colors, #A900 Mica (porcelain) 6” x 6”

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Section 3 Hard Surface Flooring – Ceramic Tile (Standard)

3.4.2.1 Guidelines for Ceramic Floor Tile (Standard)

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• Made of porcelain (unglazed has matte finish).

Color is consistent throughout and is suitable for a wide range of applications. All applications are to meet the DCOF (Dynamic Coefficient of Friction) of 0.42 for level interior spaces expected to be walked upon when wet.

• Porcelain tile products contain recycled material content.

• Porcelain tiles are scratch, stain and frost-resistant.

• Dimensions: Tile sizes vary: 21” square , 7”W x 21”L, 14”square , 1”x1” mosaics, 7” square, 3.5” square and 3.5”W x 21”L planks (Empire); 1” x 1” field tiles, 1” x 2” field tiles, 2” squares (Keystones).

• Cove Base, Bullnose, Outside Cove Corner, and other trims available.

• Install ceramic floor tiles with epoxy grout at locations where bacterial contamination and stain concerns are present. Epoxy grout eliminates the need to seal the grout. Use medium to dark neutral color grout for floors.

• Installation of ceramic floor tiles will be in accordance with TCNA Handbook installation guidelines and manufacturer’s recommendations.

• Agrob Buchtal , Marazzi, Trinity Tile Comparable Products

Construction

Dimensions

Accessories/Options

Installation

Crossville, “Wood Impressions” Gunstock AV-194 6” x 36” or 6 x 18” planks

Materials, Finishes and Lighting

Section 3

Hard Surface Flooring – Ceramic Tile (Upgrade)

NEUTRAL

Color and Pattern Options

CFT-7

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Denotes that product contains recycled content .

CFT-5 CFT-6

Crossville, Empire Series, # VS80 Corsican Crème (porcelain) 14” x 14”

Crossville, Empire Series # VS87 Empress Silver (porcelain) 14” x 14”

2013 Issue

WOOD PLANK

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Section 3 Hard Surface Flooring – Ceramic Tile (Upgrade)

3.4.2.2 Guidelines for Ceramic Floor Tile (Upgrade)

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• Made of porcelain stone. Color is consistent throughout and is suitable for a wide range of applications. All applications are to meet the DCOF (Dynamic Coefficient of Friction) of 0.42 for level interior spaces expected to be walked upon when wet.

• Hydrotect coating is available on the Empire product.

• Porcelain tile contains more than 20% recycled material content.

• Porcelain tiles are scratch, stain and frost-resistant.

• Porcelain tile is rectified and modular with a minimum of 4mm grout joint square and 3.5”W x 21”L planks (Empire); 3” square, 6” square, 3”W x 18”L, 6”W x 12”L, 6”W x 18”L and 6”W x 36”L (Wood Impressions) .

other trims available (Empire product); Bullnose (Wood Impressions).

• Install ceramic floor tiles with epoxy grout at concerns are present. Epoxy grout eliminates the need to seal the grout. Use medium to dark neutral color grout for floors.

• Installation of ceramic floor tiles will be in

• Agrob Buchtal , Marazzi, Trinity Tile Comparable Products

Construction

Dimensions

Accessories/Options

Mapei, “Kerapoxy” Epoxy grout #05 Chamois (For use with floor tile CFT-2, CFT-4 and CFT-6; for use with wall tile CWT-9)

Mapei, “Kerapoxy” Epoxy grout #00 White (For use with wall tile CWT-1)

Mapei, “Kerapoxy” Epoxy grout #19 Pearl Gray (For use with floor tile CFT-1, CFT-3 and CFT-5; for use with wall tile CWT-8)

Mapei “Kerapoxy” Epoxy grout #14 Biscuit (For use with wall tile CWT-7)

Materials, Finishes and Lighting

Section 3

Hard Surface Flooring - Tile Grout

Color and Pattern Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Product can contribute toward LEED.

GRT-1

GRT-2

GRT-3

GRT-4

Product contains anti-microbial treatment .

2013 Issue

Mapei “Kerapoxy” Epoxy grout #04 Bahama Beige (For use with floor tile CFT-7)

GRT-5

Section 3 Hard Surface Flooring – Tile Grout

3.4.2.3 Guidelines for Tile Grout

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• Water-cleanable, 100% solids, high strength epoxy mortar and chemical-resistant non-sagging efflorescence-free grout with no shrinkage;

provides color uniformity, stain resistance (no sealer required), easy to maintain.

• Product may contribute to LEED credit.

• Coverage varies.

• This product can be used as a mortar and grout.

• Wall grout to be lighter neutral in color.

• Floor grout to be the darker neutral for cleaning purposes.

• This product is impervious to water (non-porous) and does not support bacteria/fungus ; anti-microbial additives are not required with this product.

• Use epoxy grout with chemical and stain resistance wherever chemical/stain resistance is required.

• Mortar/grouts are to be installed per the manufacturer’s recommendation and in accordance with the TCNA Handbook installation guidelines.

• Laticrete, Bonsal, Quartz-Lock Grout Comparable Products

Construction

Color and Pattern Options

Quarry Tile

American Olean, Quarry Naturals, #N46 Shadow Gray

American Olean, Quarry Naturals, #N46 Shadow Gray, Abrasive Grain

Materials, Finishes and Lighting

Section 3

Hard Surface Flooring – Quarry Tile

NEUTRAL

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

QT-2 QT-1

Section 3 Hard Surface Flooring – Quarry Tile

3.4.2.4 Guidelines for Quarry Tile

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• Unglazed pavers are naturally stain- and slip-resistant, and are available with abrasive grain for even greater traction. Quarry tile tends to be more expensive than other materials and is usually set in mortar finished with grout seams.

• Quarry tile can be used in exterior environments.

• Quarry tile is to meet the DCOF (Dynamic Coefficient of Friction) of 0.42 for level interior spaces expected to be walked upon when wet.

• Dimensions: Quarry Tile: 3.875”W x 8”L x ½” thickness; 6”W x 6”L x ½” thickness, and 8”W x 8”L x ½” thickness.

• Quarry tile base and trim pieces

• 6x6 and 8x8 tiles can be ordered with abrasive finish.

• Installation of quarry tile is to be in accordance with manufacturer’s recommendations and TCNA installation guidelines.

• Flooring shall be cut to and fitted around all permanent fixtures, built-in furniture and cabinets, pipes and outlets.

• Not Applicable

Description/Type Construction

Dimensions

Accessories/Options

Installation

Neutral Epoxy Terrazzo

Section 3

Hard Surface Flooring – Epoxy Terrazzo

NEUTRAL

Color and Pattern Options

ET-1

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Examples of Wall base options for Terrazzo floors (integral coved, wood base & stone base)

Section 3 Hard Surface Flooring – Epoxy Terrazzo

3.4.2.5 Guidelines for Epoxy Terrazzo

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• An epoxy resin mix poured composite material that consists of a cementitious and chemical binder with chips of quartz, marble and granite. Epoxy terrazzo is poured, cured, ground and polished in order to product a textured surface that is even.

• Varies according to aggregate size and substrate conditions.

• Not Applicable.

• Inlaid cost is high.

• Materials furnished and installation methods shall meet National Terrazzo and Mosaic Association specifications/standards.

• Terrazzo floors in lobbies can incorporate an integral, wood, or stone base cove.

• Terrazzo is a custom product.

• Epoxy terrazzo floors shall be installed in accordance with locations shown in the UFC 4-510-01 Appendix B.

Dimensions

Accessories/Options Installation

Section 3

Hard Surface Flooring – Terrazzo Tile

Color and Pattern Options

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Dal-Tile Atmosphere Terrazzo #TZ69 “Optimistic Crystal Grain”

Dal-Tile Atmosphere Terrazzo #TZ68 “Radiance Pearlized Grain”

TT-1

TT-2

2013 Issue

Denotes that product contains recycled content. Product can contribute toward LEED.

NEUTRAL

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Section 3 Hard Surface Flooring – Terrazzo Tile

3.4.2.6 Guidelines for Terrazzo Tile

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• All Terrazzo products are delivered factory sealed

• Sizes and colors are available in Polished, Honed, or Brushed and have chamfered edges.

• Honed and brushed finish have a higher wet/dry C.O.F than polished finish.

• (All sizes Nominal): 12” square (1/2” thick);

16” square (5/8” thick); 18” square (5/8”thick);

24” square (7/8” thick).

• All Terrazzo is available in 62" X 96" Slab (1/25” thick).

• All Tile Bases are available in Polished or Honed finishes. Tile Base custom heights are available via Special Order.

• Use of a latex-modified thin-set is recommended for installation

• Sealer is recommended on field tile prior to installation, to avoid staining

• Large format tile installation requires proper substrate preparation, grout joint sizing, trowel selection, and mortar coverage. Large format tile to be installed on a level substrate, and have at least 90% mortar contact and a minimum grout joint of 3/16".

Dimensions

Accessories/Options

Installation

Product can contribute toward LEED.

Forbo Marmoleum “Real” Marly Grounds #3249

Forbo Marmoleum “Real” Van Gogh #3173

Forbo Marmoleum “Real” Fresco Blue #3055

Forbo Marmoleum “Real” Rust #2767

Forbo Marmoleum “Real” Pine Forest #3255

Forbo Marmoleum “Real” Purple #3244

Materials, Finishes and Lighting

Section 3

Resilient Flooring - Linoleum

NEUTRAL

WARM ACCENTS

COOL ACCENTS

Color and Pattern Options

LF-6

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Product SMART certified.

LF-5 LF-4

LF-3 LF-2

LF-1

Section 3 Resilient Flooring - Linoleum

3.4.3.1 Guidelines for Linoleum

Special Note

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product

• Homogenous on-layer linoleum on a natural jute backing. Pattern/color extends through the thickness to the jute backing. A natural product composed of wood flour, cork dust, linseed oil, natural resins and pigments.

• Some products have top finish that provides a stain shield

• Linoleum is not recommended for use in treatment or operating rooms.

• Dimensions: Sheet linoleum: 79”W x 105’L

• When installing sheet linoleum, it is necessary to provide welding rod product by the manufacturer of the resilient flooring as intended for hot welding of seams (not required for tiles). Color shall be compatible with field color of flooring as indicated.

• Incorporate an integral cove base when possible, or use in conjunction with resilient cove base.

• Heat weld seams to provide barrier against penetration of dirt and moisture.

• Flooring shall be fitted to the room by hand cutting, straight scribe in or pattern instructions.

• Flooring shall be cut and fitted around all permanent fixtures, built-in furniture and cabinets, pipes and outlets.

• This product is not to be used in a sterile or clinical treatment setting, but is only recommended for vending, selected public spaces, dining or other administrative or specialty spaces.

• Armstrong

Dimensions

Accessories/Options

Installation

Nora Rubber Noraplan Environcare #2953 Agave

Materials, Finishes and Lighting

Section 3

Resilient Flooring – Rubber Flooring

NEUTRAL

WARM ACCENTS

COOL ACCENTS

Color and Pattern Options

Nora Rubber Noraplan Environcare #2938 Bellflower

Nora Rubber Noraplan Sentica #6501 Prom

Nora Rubber Noraplan Environcare #2967 Moor Grass

Nora Rubber Noraplan Environcare #2958 Fallen Acorn

Environcare #2945 Lace Vine

RF-5

Environcare #2780 Phantom Mist

Printed representations of material /finish colors may vary from actual samples. Order samples prior to selection and installation.

Product is SCS Certified. Denotes that product is GreenGuard certified.

RF-4

RF-3 RF-2

RF-7 RF-1

RF-6

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Section 3 Resilient Flooring – Rubber Flooring

3.4.3.2 Guidelines for Rubber Flooring

Comparable Products

Products shown at left are representational of the “benchmark for quality” regarding product performance, product testing, product characteristics and color/pattern/texture of product required on MEDCOM projects.

• Rubber compound of synthetic butadiene-styrene type. Superior to vinyls in quality but less resistant to grease and alkalis.

• Buffing with recommended buffing pads will bring out the natural sheen of the rubber floor.

• Rubber flooring offers under foot comfort, noise absorption, ease of maintenance.

• Inherently resistant to bacteria, fungi and micro-organisms – offering improved infection control standards in the facility.

• Low environmental impact - based on rapidly renewable, sustainable raw materials; product may contribute toward LEED credit.

• Resists staining – especially by those chemicals most commonly used in healthcare facilities such as Betadine

• Dimensions: Tile: 24”W x 24”L and 2.0mm thick (3.0mm thickness also available); Roll goods are available.

• Matching feature strips are available for custom designs.

• Raised design, smooth finish, and other textures and patterns are available. Light or minimal texture is recommended as the most ideal raised surface design. Raised designs provide under foot traction; however, they should be carefully researched for proper installation to avoid tripping hazards and allow for easy movement of equipment and pedestrian traffic.

• Installs quickly over a clean and dry subfloor.

• Rubber flooring is not recommended for Servery or Dining areas.

•…