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Department of Veterans Affairs

Office of Acquisition and Materiel ManagementDistribution Programs Division

Office of Construction ManagementFacilities Quality Office

Standards Service

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VA Design Guide Supply, Processing, & Distribution Foreword

ForewordThe material contained in the Supply,

Processing, and Distribution (SPD) Design Guide

is the culmination of a partnering effort by the

Department of Veterans Affairs Office of

Acquisition and Materiel Management and the

Facilities Quality Office. The goal of the Design

Guide is to ensure the quality of VA facilities

while controlling construction and operating

costs.

This document is intended to be used as aguide and a supplement to current technical

manuals and other VA criteria in the planning of

SPD facilities. The Design Guide is not to be

used as a standard design, and use of this

Design Guide does not limit the project

Architects' and Engineers' responsibilities to

develop a complete and accurate project design

that best meets the users' needs and applicable

code requirements.

Lloyd H. Siegel, FAIA

Director, Facilities Quality Office

________________________________________

Charles E. Roberson

Associate Deputy Assistant Secretary for

Materiel

________________________________________

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VA Design Guide Supply, Processing, & Distribution Contents

Contents

Section 1 ............. Acknowledgments,Introduction,Abbreviations, andLegend of Symbols

Section 2 ............. Narrative

Section 3 ............. Relationship Diagramsand Generic Layout

Section 4 ............. Design Guide Platesand Design Standards:General Rooms

Section 5 ............. Design Guide Platesand Design Standards:Areas Specific to SPD

Section 6 ............. Satellite OutpatientClinic

Section 7 ............. Miscellaneous

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VA Design Guide Supply, Processing, & Distribution Contents - Section 1

Section 1Acknowledgments,Introduction,Abbreviations, andLegend of Symbols

Page

Acknowledgments .............................1 - 1

Introduction .......................................1 - 3

Abbreviations ....................................1 - 5

Legend of Symbols ...........................1 - 7

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VA Design Guide Supply, Processing, & Distribution Page 1-1

Acknowledgments

Credit is due to the following individuals whoseguidance, advice, and effort made this publicationpossible:

OFFICE OF CONSTRUCTIONMANAGEMENT

C. V. Yarbrough Associate Chief MedicalDirector for ConstructionManagement

Robert L. Neary, Jr. Deputy Associate ChiefMedical Director forConstructionManagement

Lloyd H. Siegel, FAIA Director, FacilitiesQuality Office

Leo A. Phelan, AIA Committee Co-chair;Director, StandardsService

Joel Cadiz Design Guide Developer,Standards Service

William H. Cable Architect, StandardsService

Mark G. Hall Architect, StandardsService

Debra Bonarti, Architect, StandardsAssoc. AIA Service

Elizabeth Bunn, CIPE Engineering Technician,Standards Service

Sheila C. Jackman Secretary, StandardsService

Dan Colagrande, RA Architecture

Don Walden Mechanical Engineering

E.T. Minter Plumbing and SanitaryEngineering

Evaldo Guillama Electrical Engineering

Barry Woods Equipment

Dave Armstrong Equipment

OFFICE OF ACQUISITION AND MATERIEL

MANAGEMENT

Gary Krump Deputy Assistant Secretaryfor Acquisition and MaterielManagement

DISTRIBUTION PROGRAMS DIVISION

Charles E. Roberson Associate Deputy AssistantSecretary for Materiel

Robert T. McKenna Chief, DistributionPrograms Division

Charles D. Paige Distribution FacilitiesSpecialist; CommitteeCo-Chair

Bobby Osburn Distribution FacilitiesSpecialist

SUPPLY, PROCESSING & DISTRIBUTIONADVISORY COMMITTEE

Tom Smith Chief, Acquisition &Materiel Management,VAMC Beckley, WV

Raymond T. Trail Chief, SPD, VAMCBeckley, WV

Lee Doran Chief, Acquisition &Materiel Management,VAMC Dayton, OH

James Lambert Chief, SPD, VAMC Dayton,OH

Tim Dacy Chief, Acquisition &Materiel Management,VAMC Minneapolis, MN

William Stewart Chief, SPD, VAMC

Minneapolis, MN

CRITERIA, POST OCCUPANCYEVALUATION, AND PLANNING SUPPORTSERVICE

Yvonne Kirscht Space Planning Criteria

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Introduction

The SPD Design Guide is intended to be a

graphic consolidation of existing Department of

Veterans Affairs standards and criteria. It

contains data from the following sources:

H-7610 Space Planning Criteria

H-08-3 Construction Standards

H-08-4 Standard Details

H-08-13 Barrier-Free Design Handbook

PG-7610 Equipment Guide List

PG-08-1 Master Construction

Specifications

PG-08-6 List of Equipment Symbols

PG-08-10 Design Manuals

PG-08-14 Room Finish and Door

Hardware Schedule

Consensus information from SPD Chiefs of

various VA Medical Centers.

Distribution Programs Division

The Design Guide refers to the above

mentioned sources when data is either too

detailed or too broad to be included in this guide.

The Design Guide for Supply, Processing,

and Distribution was developed as a design tool

to assist health care professionals in better

understanding the choices that designers ask

them to make, and to help designers understand

the functional requirements necessary for proper

operation of SPD.

The guide plates contained in the SPD

Design Guide are intended as illustrations of

VA's space needs (e.g., furniture, equipment,

personnel, etc.). They are not meant to limit

design opportunities.

ThisDesign Guide is not intended to be

project specific. While it does contain the

majority of spaces that now are required in SPD,

it is not possible to encompass all possible futurerequirements. Therefore, it is recommended that

the project-specific space program be the

starting point for an individual project design. In

addition, it is important to note that the guide

plates are a generic graphic representation

only. Equipment manufacturers should be

consulted for actual dimensions and utility

requirements. Use of this Design Guide does

not compromise the project Architects' and

Engineers' responsibilities to develop a complete

and accurate design that meets the user's needs

and appropriate code requirements.

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Abbreviations

A....................Amperes

AC/HR ...........Air Changes Per Hour

ADA...............Americans with Disabilities Act

AFF ...............Above Finished Floor

AI...................Acquisition and Installation

A&MM............Acquisition and MaterielManagement

AR .................As Required

AT..................Acoustical Ceiling Tile

C....................Degrees CelciusCC.................Contractor Furnished and

Installed Construction Fundsfor Equipment and Installation

CF .................Construction Funds For VAFurnishing of Equipment and/orInstallation

CFM...............Cubic Feet per Minute

CLG...............Ceiling

CM.................Office of Construction

Management

CMU..............Concrete Masonry Unit

CP .................Carpet (without cushionbroadloom)

CS .................Construction Standard

CT .................Ceramic Tile

DISC SW.......Disconnect Switch

EtO................Ethylene Oxide Gas

EXH ..............ExhaustF....................Degrees Fahrenheit

FC .................Foot-candle

FD .................Floor Drain

FIXT ..............Fixture

FLUOR ..........Fluorescent

GFI................ Ground Fault Interrupter

GWB ............. Gypsum Wallboard

HAC .............. Housekeeping Aids Closet

HVAC............ Heating, Ventilation, and AirConditioning

HP................. Horsepower

HR................. Hour

ICU................ Intensive Care Unit

KW................ Kilowatt

LB ................. Pound/PoundsLLTS ............. Lounge, Lockers, Toilets, and

Showers

MCS.............. Master ConstructionSpecifications

MTD.............. Mounted

NA................. Not Procured with ActivationFunds

NFPA ............ National Fire ProtectionAssociation

NSF............... Net Square Feet

NSM.............. Net Square Meters

OSD.............. Open Site Drain

PCP .............. Portland Cement Plaster

PH................. Phase

PL ................. Plaster

PREP............ Preparation

PSIG ............. Pounds per Square Inch Gauge

QT................. Quarry Tile

RB................. Resilient Base

SC................. Special Coating (High BuildGlazed Coating)

SD................. Standard Detail

SF ................. Square Feet, Square Foot

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SPD...............Supply, Processing, andDistribution

SOPC ............Satellite Outpatient Clinic

SS..................Stainless Steel

TELEC...........TelecommunicationsUFAS.............Uniform Federal Accessibility

Standards

V....................Volts

VA..................Department of Veterans Affairs

VACO ............Veterans Affairs Central Office

VAMC ............Veterans Affairs Medical Center

VC .................VA Furnished and ContractorInstalled Medical Care

Appropriation for Equipment,and Construction Funds forInstallation

VCT ...............Vinyl Composition Tile

VHA...............Veterans Health Administration

VV..................VA Furnished and Installed Medical Care Appropriation forEquipment and Installation

W...................Watts

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Section 2Narrative

Page

Narrative............................................2 - 1

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Narrative

MissionSupply, Processing, and Distribution (SPD)

is organizationally aligned under Acquisition and

Materiel Management Service. The mission of

SPD is to provide a steady flow of patient care

supplies and equipment to points of need, and to

return contaminated items to a central

decontamination area. The accomplishment of

this mission requires quick and efficient service

to all departments dependent on SPD for indirect

patient care.

SPD is the first line of defense againstharmful microorganisms. Contamination

prevention is achieved by closely monitoring the

following elements:

Air Flow: To minimize microorganism

movement from dirty to clean areas. In

clean areas there is a positive air flow.

Staff Flow: Personnel work either on the

clean side or the dirty side of the SPD unit

to avoid cross contamination.

Work Flow: Refers to the movement of

clean (sterile) supplies and the return of

contaminated items for decontamination

and sterilization.

Communication

The single most frequent source of user

dissatisfaction during both the design and

construction phases is failure of communication

and interaction among parties with an interest in

and responsibility for the project. The Office ofConstruction Management selects the

architect/engineer (A/E) with VA medical center

representation on the Selection Board. The A/E

bases the design on VA criteria. Costs are fixed

at the end of design development; therefore,

extensive changes must be avoided beyond this

point. Plans should be reviewed by the Chief of

Acquisition and Materiel Management, the Chief

of SPD, the Hospital Administrative Officer, and

the VA Central Office during the design phases.In each instance, the reviews must thoroughly

examine the plans. Planning changes and

design errors must be addressed as early as

possible to avoid costly change orders during

construction.

Processing and Distribution

Methods

SPD is divided into three main units/areas.The first unit is Decontamination, where all

reusable medical and surgical items are sent for

cleaning. It is important to keep in mind that

contaminated materials do not use the same

path as the clean materials. The second unit is

Preparation. In this unit items are inspected and

packaged for sterilization. Most sterilization is

accomplished by using steam; or, in the case of

materials that cannot withstand intense

temperatures, ethylene oxide (EtO) gas (or

another suitable chemical) is used. Materials

undergoing EtO sterilization must be adequatelyaerated to ensure no hazardous traces are left

on devices. The final unit in SPD involves the

Distribution Process, including distributing

surgical case carts. This unit is further

subdivided into Primary Stock and Secondary

Stock. Primary Stock are all the supplies that

are stored within the confines of the SPD

department. Secondary Stock are materials in

user areas such as wards, clinics, nursing care

units, and intensive care units.

Trends In SPD

One trend impacting SPD is the increasing

complexity of many surgical procedures such as

laparoscopy, endoscopy, laser, micro vascular,

and more complex surgeries. SPD's role has

become more technical in nature, by the

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expansion of its supply, processing, and

distribution role to include inventory control,

equipment cleaning and testing, and other duties

which have not traditionally been SPD functions.

Other trends include stricter protection of

healthcare workers. Since pathogenic organisms(serum hepatitis, AIDS and HIV) have become

known, protection for SPD staff has become

more of an issue for concern.

Architectural Aspects

Location

Many architectural considerations play a role

in deciding the ideal location for SPD. In order

for SPD to provide fast and efficient service, it

must be located in an area which will facilitate

the delivery of supplies throughout the medical

center in a minimum amount of time. In addition

to issuing supplies and equipment, SPD receives

soiled reusables back for reprocessing to

complete the cycle. SPD accepts fresh supplies

to store, issue, and inventory, as well as issue

replacements for damaged, useless items. If

SPD is not adjacent to the hospital warehouse

and loading dock, a simplified route from these

areas must be carefully planned.Easy accessibility to SPD is key and is

determined by the materials handling system

within the facility. Halls, ramps, and elevators of

sufficient capacity need to accommodate carts

used to distribute supplies. SPD should be

located where some degree of high speed

automation of delivery (direct line cart lift,

conveyor, dumbwaiter, tube system) can be

maintained where emergency situations most

commonly occur (operating rooms, recovery, and

intensive care units). It is important that SPD

have two separate and dedicated cart lifts or

dumbwaiters (one for soiled and one for clean) to

transport patient care items.

Environmental Requirements

The processing of medical and surgical

equipment, linens, and case carts requires

facilities that provide precise environmental

control yet are flexible to accommodate future

needs. Environmental considerations most

critical to SPD are: temperature, humidity,

ventilation, light, and protection from

contaminants.

Facility design is crucial to the efficiency and

effectiveness with which these needed

environmental conditions are met. Design

features deserving particular attention include:

Separation of soiled areas from sterile

areas

Restricted areas

Containment area for EtO gas

Heating, ventilation, and air conditioning

(HVAC Systems)

Room relationships (regarding function and

staff utilization)

Modularity of design/flexibility

Interior surfaces and finishes

Space Planning Criteria

Space planning for the SPD facility is

addressed in VA Handbook H-7610, which is the

basis for developing all VA projects. Thishandbook outlines the space requirements

needed to design a functionally effective SPD

department. In multidivisional medical centers,

total space for SPD is based on the combined

workload of all divisions.

The following means of increasing the

efficiency of space utilization should be

addressed:

Sufficient amount of floor space for parking

returned soiled carts adjacent to sorting

work stations is important to achieveefficient work flow. Space for cart queuing

is determined using verified workload

figures. The cart and equipment wash area

must be immediately adjacent and

interconnected to the soiled receiving and

decontamination area.

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Work stations and equipment for cleaning

soiled items must be located in a manner to

facilitate unidirectional flow of work towards

the clean side of SPD.

The decontamination area is totally

separated from the clean area and its staffis confined to this space; therefore, the

staff must be provided with its own lounge,

lockers, toilets, and shower facilities

(LLTS). Space for this function is

determined by staffing and workload

projections on a project by project basis.

If an automatic cart wash is required, an

additional 5 NSM (53.8 NSF) is required for

the integrated drying chamber.

In the Preparation, Assembly & Sterilization

Area sufficient space must be provided infront of the sterilizers for loading and

unloading the sterilizer carriages and for

cooling after the sterilization cycle.

The EtO sterilizers/aerators, should be in

an enclosed room inside the Preparation,

Assembly & Sterilization Area.

Loading/unloading zone access to the

sterilizers must be included in this room.

Room Relationships & AdjacenciesAn efficient and functional work flow must

determine spatial arrangements for all SPD

activities. Soiled materials (medical and surgical

instruments) are returned to SPD via a vertical

transport system (case cart lifts, elevators, or

dumbwaiters) directly to the Soiled Receiving

and Decontamination Room to be reprocessed.

This room should be adjacent to the Preparation,

Assembly & Sterilization Area. These two rooms

are separated by a wall, with pass-through

sterilizer chambers installed within the wall. A

pass-through window must be available for small

items proceeding from decontamination to the

prep area. Maintenance access doors to the

sterilizer must also be available.

Materials that have been cleaned are placed

into the washer/sterilizer, processed, and the

instruments retrieved at the Preparation,

Assembly & Sterilization Area (clean side of

SPD). The instruments are thoroughly

inspected, assembled, packaged, and sterilized

(using the appropriate sterilizer; either steam or

EtO gas), and then stored in the

Sterile/Nonsterile Storage Room adjacent to the

Preparation, Assembly & Sterilization Area for

future use.

Refer to Section 3, Room Relationship

Diagrams for examples of suggested room

relationships, recognizing however, that the

needs of individual healthcare facilities may

determine deviations from the diagrams.

Functions of Areas Within SPD

Clean Receiving and Breakout Area: This

is where supplies enter the SPD from theclean side of the loading dock and are

removed from their shipping containers

prior to entry into the clean/sterile storage

area.

Bulk Storage Area: Incoming containers

that remain sealed are stored temporarily in

the Bulk Storage Area.

Clean/Sterile Storage Area: Supplies are

stored here prior to being delivered to

users. These items consist of reusables

and disposables, and may already besterilized or awaiting sterilization.

Receiving, Cleaning, and Decontamination

Area: Contaminated reusable instruments

and supplies are received, sorted, cleaned,

decontaminated, and presterilized in this

area. The room must be physically

separated from the other SPD areas. This

area should be provided with direct access

to locker, lounge, toilet, and shower

facilities where personnel assigned to this

area can change clothing before

entering/exiting.

Manual Equipment Wash Area: Equipment

and carts are decontaminated in the

manual equipment wash area.

Automatic Cart Wash Area: This area

houses a cart washer that must have drying

capabilities.

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Preparation, Assembly & Sterilization Area:

Decontaminated, clean instruments and

other reusable medical devices are

inspected, assembled onto trays and sets,

and wrapped or packaged for terminal

sterilization.

Linen Processing Area: Clean reusable

linens are inspected, patched, folded, and

assembled into packs. This area is to be

provided only if the function is not

delegated to Environmental Management

Service, Laundry Division.

Equipment Testing and Storage Area:

Clean medical equipment is tested and

stored here until issued. This area must be

located so as not to interfere with the work

flow traffic of the clean/sterile storage area.

Dispatch Area: Control of receiving and

issuing of supplies and equipment is

maintained at the Dispatcher's Control

Station.

Volunteers Work Area and Technician

Training Room: This dual purpose room

serves as a working space for SPD

volunteers, as well as a retraining area for

SPD technicians, and new equipment

demonstrations.

Housekeeping Aids Closet: Cleaningsupplies need to be maintained in dedicated

closets; one for the decontamination area,

and another for the clean areas.

Administrative Area: This area contains

office space for the Chief of SPD,

supervisors, and clerical staff.

Engineering Considerations

Mechanical (Heating, Ventilating,

and Air Conditioning)

An adequate heating and ventilating and air

conditioning (HVAC) system is a critical element

in planning for SPD and requires careful

evaluation. The mechanical engineer should

coordinate with the architect and equipment

specialists in order to accommodate sterilizing

equipment specified for the project. Any request

for deviation from HVAC design criteria must be

approved by the VA and occur no later than the

design development stage. The following

represents the highlights of the mechanical

system design for SPD. Refer to the VA HVAC

Design Manual for further design requirements.

HVAC System

The entire SPD area should be under

negative pressure with respect to adjoining

areas. See the HVAC Design Manual for

Hospital Projects for additional requirements.

A dedicated 100% outside air handling unit

with constant volume reheat should be provided

for SPD to serve each of the following areas:

Soiled Receiving and Decontamination

Room (Negative Air Pressure)

Preparation, Assembly & Sterilization Area

(Positive Air Pressure)

EtO Gas Enclosure (Negative Air Pressure)

Steam Sterilizer Enclosure (Negative Air

Pressure)

Preparation and Inspection of Surgical

Linens and Packs (Positive Air Pressure)

Sterile/Nonsterile Storage (Positive Air

Pressure)

Separate dedicated exhaust systems should

be provided for each of the following spaces:

EtO Sterilizers

Cart and Manual Equipment Wash

General Exhaust of entire SPD suite,

including steam sterilizers.

Since air is a very good carrier of

contaminating agents, air in the Soiled Receiving

and Decontamination unit should never mix with

air in the Preparation and Inspection unit. It is

imperative that the soiled areas have a negative

air pressure and the clean areas have a positive

air pressure. Conditioned air should be supplied

to all SPD areas at a minimum rate of 10 air

changes per hour (10 AC/HR).

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Reconditioning of the medical and surgical

instruments and utensils is dependent upon the

temperature and humidity. The Soiled Receiving

and Decontamination Area, and the Preparation,

Assembly & Sterilization Area should have

individual room temperature and humidity

controls to maintain 24C (76F), 50% relative

humidity (RH) in the summer and 22C (72F),

30% relative humidity (RH) in the winter months.

Utilities

When SPD is located on the ground floor,

some experience problems with wet packs in

their steam loads. It has been determined that

this is due to steam pipes feeding from above the

sterilizers. It is advisable that steam pipes

should enter from below the sterilizer.

Floor Drains

The Manual Equipment Wash Area requires

a floor drain. A floor drain for this area should

have a minimum 100 mm (4 inch) diameter

outlet, and be covered by a grid or strainer.

Location of the drain should be at the center of

the room with the floor sloping toward the drain

at a rate of no less than 3 mm per 25 mm (1/8

inch per foot), and no more than 6 mm per 25

mm (1/4 inch per foot). The floors outside both

doors of the Manual Equipment Wash Area

should slope back toward the drain.

Electrical

SPD processes pumps, monitors, and other

electronic devices that are used in patient care.

These devices are rechargeable and must be

calibrated in the Equipment Testing and Storage

Area. A sufficient amount of power strips must

be provided to handle the amount of electronic

equipment brought down to SPD.

Computer (ADP) outlets should be installed

in the Administrative Offices, Computer Room,

and the Dispatch Area for use of the computers.

Refer to the VA Electrical Design Manual and H-

08-4, Vol. 4, for further information.

Lighting

Lighting in SPD is dependent on the

functions associated with the various rooms.

Lighting should be uniform, automatic, and

individually controlled to ensure consistency.

Task lighting is needed where specific tasks areperformed. Separate switches should be used

so that during off hours task lighting may be

turned off. Furthermore, lights in the Preparation

and Sterilization area and in the Soiled Receiving

and Decontamination area should be recessed to

facilitate cleaning. Light fixtures in the Auto Cart

Wash and the Manual Equipment Wash should

be waterproof, and surface mounted. Dust and

moisture resistant fixtures must be used where

humid conditions are present.

Emergency Power

Since ventilation and adequate temperature

are integral in the function of SPD, the

mechanical system must always be connected to

the emergency electrical system to insure a

constant source of electrical supply. Airflow is

crucial to SPD, thus ventilation must always be

operational to prevent cross contamination.

Because EtO is flammable, extremely reactive,

highly explosive, and a potential carcinogen,

every sterilizer and aerator must have a

dedicated exhaust system to the outside of thebuilding. Vents must not terminate close to any

air induction systems. EtO gas release monitors

should be placed outside of the EtO Sterilizer

room in both the Soiled Receiving and

Decontamination Area and the Sterile

Preparation Area, as a warning system for

potential EtO leaks. The EtO gas release

monitors must be connected to the emergency

power supply, ensuring that the monitors are

operational at all times. All sterilization

equipment should be connected to emergency

power.

Telecommunications (intercom

system)

An interdepartmental intercom system is a

convenient way for SPD employees to

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communicate with personnel in other sections of

SPD.

Intercom outlets should be placed in the

Soiled Receiving & Decontamination Area;

Preparation, Assembly & Sterilization Area; and

Dispatchers Control Station. Exact location ofthe outlets in those areas depends on the floor

plan of individual SPD sections, and should be

coordinated with the Chief, SPD.

Concerns Specific to Supply,

Processing & Distribution

Equipment

Fixed equipment may be purchased andinstalled by the contractor (CC), or purchased

by the user and installed by the VA or the

contractor (CF), or purchased and installed by

the user (VV). If purchased by the contractor,

specifications must be clearly written. Certain

items are obtained as "initial portable equipment"

or "activation equipment."

The Chief of SPD operations at each VA

medical center, or an SPD technician, are

knowledgeable about equipment styles and types

that best meet the needs of the facility, andshould guide the selection of equipment. In

purchasing equipment not listed in GSA catalogs,

specifications must be sufficiently detailed to

assure quality acquisition.

The selection of equipment should proceed

along with facility design in order that utility and

space requirements are considered during

design development. Careful attention must be

given to the location and capacity of electric

outlets, water and steam supply, drains, vacuum,

exhaust ducts and other utilities to insure

compatibility with the equipment to be installed.

Utilities and their locations are shown on the

Guide Plates and are not project specific. It is

the responsibility of the person selecting the

equipment and the project designers to

determine the adequacy of utilities in each

space.

Equipment operation manuals should always

be retained for future consultations by SPD

technicians, and maintenance personnel.

NOTE: Refer to PG-7610, VA Equipment Guide

List and PG-08-6, VA Equipment Symbol

List for further information.

CONSTRUCTION NOTE: Frequent reviews of

the VA Equipment Guide List should be

made by a Project Coordinator and the Chief

of SPD, to ensure that equipment

specifications correspond with existing

requirements. Furthermore, it is imperative

that the equipment selected and installed by

the user conforms to the voltage and phase

supplied during construction. Thus, the

Architect/Engineer (A/E) should note on the

construction documents the voltage and

phase at each special outlet to insure

compatibility with equipment to be used by

SPD.

Sanitation Equipment

Frequent and thorough cleaning of shelves

and room surfaces is essential to prevent build

up of dust and unwanted particles which may

contaminate medical and surgical supplies.

Room walls are manually scrubbed witheither a detergent and/or disinfectant. Thus, to

facilitate cleaning, walls are typically treated with

a smooth finish. Floors in the Soiled Receiving

and Decontamination room may be damp

mopped or cleaned with an electric floor

scrubber. In the Sterile/Nonsterile storage room

however, cleaning with a damp mop will suffice.

Generally, storage shelves in the Sterile/

Nonsterile storage room are kept 200 to 250 mm

(8 to 10 inches) above the floor to facilitate

cleaning.

The Manual Equipment Wash Area, because

of its function, is an enclosed room and

accessible by a pair of swinging doors at either

end. A high pressure sprayer is to be used in

cleaning equipment in this area.

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Sonic Cleaner

When surgical instruments and similar

hospital type hardware are brought to SPD for

decontamination and sterilization, they are

placed in the sonic cleaner. Sonic cleaners are

single or double chamber devices using sonicenergy to clean instruments in a water-soap

solution.

Washer/Sterilizer

After the instruments have undergone

ultrasonic cleaning, they are placed into the

washer/sterilizer. The instruments are washed a

second time before final sterilization. Again it

should be noted that after the secondary wash

cycle, the instruments are decontaminated, butnot sterilized. It is at this point that the

instruments can now be sterilized in the washer/

sterilizer. The difference between a washer/

sterilizer and a typical sterilizer is that the

washer/ sterilizer is for decontaminating as well

as terminal sterilization. The steam sterilizer is

solely for terminal sterilization.

Sterilizers (Steam)

After surgical instruments and utensils arecleaned, either manually or through a sonic

cleaner, they are decontaminated, but not sterile.

Steam is often used as a sterilizing agent

because it is the most effective and efficient way

of sterilizing equipment.

Sterilizers (Ethylene Oxide)

Although steam sterilizers are cost effective

and efficient, certain equipment is not suitable for

sterilization in steam sterilizers because they are

not able to withstand intense heat. In this case,

ethylene oxide gas is used. EtO sterilization

however can cause skin irritation and severe

burns to SPD staff. Proper aeration must

therefore follow the process.

A dedicated exhaust system should be

provided to exhaust air from EtO sterilizer

mechanical chase to the outdoors. Consult the

VA HVAC Design Manual for EtO exhaust

system design requirements.

Auto Transport System

Distribution of medical and surgical suppliesand equipment is accomplished by a combination

of manual vertical and horizontal transport

systems. The distribution process is often

cumbersome, time consuming, and requires

many personnel (as with nurses) whose primary

responsibilities pertain to patient healthcare.

This has prompted the VA to explore the

possibilities of installing an automatic transport

system. An automatic system replaces a portion

of the manual labor involved in materials

handling with one of a number of varieties of

electromechanically controlled apparatusdesigned to transport supplies between where

they are stored or cleaned and where they are

needed.

The carts for the system are equipped with

container modules where supplies can be sealed,

therefore eliminating the possibility of cross

contamination. From a central control station,

the carts can be guided to make one or a series

of stops throughout the hospital. When it has

completed its distribution cycle, it can be used to

return soiled items to the hospital's centralprocessing area. After the cart has been

emptied, it goes through an automatic washer-

sterilizer, where the carts are decontaminated

and sterilized.

There are several VA medical centers that

have installed an automatic distribution system in

their hospitals. The first one to have done so is

the medical center in San Diego, California,

which was installed in the early 1970s. Since

then some other VA medical centers that have

followed suit are: Minneapolis, Minnesota;

Houston, Texas; and Bay Pines, Florida. The

installation of an automatic transport system is

not standard for newly constructed or newly

renovated medical centers and should be

considered on a project by project basis.

It must be noted however, that the

installation of an automatic transport system is

not the sole decision of SPD, although SPD

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benefits from it a great deal. Hospital

administrators assess the needs of all

departments and decide whether the installation

of an automatic transport system would be

advantageous. Other departments that could

greatly benefit are Dietetics, Administration,

Pharmacy, Environmental Management Service,

and the various Laboratories.

Materials and Finishes

Interior finishes of SPD must be smooth,

impermeable to moisture and capable of

withstanding the impact of carts and equipment.

Concrete Masonry Unit (CMU) walls should have

flush joints with a 3 mm (1/8 inch) thick Portland

cement plaster skim coat finish and sealed with

epoxy paint. Bumper rails or curbing are neededto prevent wall damage throughout SPD and

surrounding areas. Bases should be coved to

allow for ease of cleaning. Walls of the Manual

Equipment Wash must withstand periodic

washing with detergents and high pressure water

and steam.

Interior Doors and Hardware

Hospital type door jambs should be used

throughout the interior spaces of SPD with doorstops located 200 mm (8 inches) from the floor to

permit mopping. Doors in corridors to offices in

heavy traffic areas should have windows of

shatter proof glass. They should fit the frames

tightly, be mounted without a sill and be

equipped with self sealing, externally mounted

sweep strips if the space between the closed

door and the floor exceeds 5 mm (3/16 inch).

Storage areas for supplies require double doors

each measuring 1070 mm (3'-6") and should not

be less than 2135 mm (84") high, to facilitate the

moving of carts and other equipment. Theyshould be metal or metal clad, with small viewing

windows, and should have full width kick plates

and bumper guards at the height that protects

them against movable equipment. If fire doors

require kick plates over 381 mm (16 inches) a

certificate from the manufacturer is required

stating that the oversized kick plates will not

jeopardize the doors fire rating NOTE: See VA

Program Guide PG-08-14, Room Finishes, Door,

and Hardware Schedule.

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Section 3Relationship

Diagrams andGeneric Layout

Page

Standard Spaces...............................3 - 1

Work Flow .........................................3 - 2

Material Flow.....................................3 - 3

Personnel Circulation........................3 - 4

Air Flow.............................................3 - 5

Decontamination/Preparation............3 - 6

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Section 4

Design Guide Platesand Data Sheets:General Rooms

GuidePlateSeries

4 - 1 .......Administrative Offices

Equipment & Utility Plan4-1a....... Chief of SPD

Design StandardsEquipment Guide List

4-1b....... Assistant Chief of SPDDesign StandardsEquipment Guide List

4-1c....... Clerical StaffDesign StandardsEquipment Guide List

4 - 2 .......Lockers, Toilet, & Shower Room(Soiled Area, Unisex)Equipment & Utility PlanDesign StandardsEquipment Guide List

4 - 3 .......Lockers, Toilet, & Shower Room(Clean Area, Women)Equipment & Utility PlanDesign StandardsEquipment Guide List

4 - 4 .......Lockers, Toilet, & Shower Room(Clean Area, Men)Equipment & Utility PlanDesign StandardsEquipment Guide List

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-1a

Design StandardsChief of SPD

ARCHITECTURALCeiling AT Wainscot -

Ceiling Height 2700 (9'-0") Base RB

Wall Finish GWB/W/PL (SC) Floor Finish CP/VCT

Notes: Slab Depression -

SPECIAL EQUIPMENT

ELECTRICAL

Lighting PowerGeneral 70 FC - 4 W/SF General 2000 W RECEPTACLES

Special - Emergency -

Notes:

COMMUNICATIONSADP YES Telephone YES

Radio - Intercom -

Notes: Public Address -

HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling 50%

Dry Bulb Temp Heating F 72 Relative Humidity/Heating 30%

Minimum % Outside Air 100 Minimum Air Changes/Hr 10

100% Exhaust Air YES Room Pressure (0)

Noise Criteria NC 40 AC Load - Equipment 0.4645 W/SM

Steam - Number of People 5

Notes: Special Exhaust -

PLUMBING AND MEDICAL GASESCold Water - Sanitary Drain -Hot Water - Reagent Grade Water -

Laboratory Air - Medical Air -

Laboratory Vacuum - Medical Vacuum -

Other - Oxygen -

Notes:

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-1a

Equipment Guide ListChief of SPD

SYMBOL AI QUANTITY DESCRIPTIONA B C D

OFFICE, CHIEF, SPD

VV 1 DESK, DOUBLE PEDESTAL, APPROX., 1524 MM X 762

MM X 749 MM (60" X 30" X 29-1/2")

VV 1 CHAIR, ROTARY, WITH ARMS

VV 3 CHAIR, STRAIGHT, WITH ARMS

VV 1 BOOKCASE, SECTIONAL, EACH SECTION, 838 MM X 330

MM X 381 MM (33" X 13" X 15") WITH 254 MM (10") BASE

VV 1 TABLE, OFFICE, 1524 MM X 762 MM X 749 MM (60" X 30"

X 29-1/2")

VV 1 HOOK, COAT, WALL MOUNTED

VV 1 CRT, COMPUTER SYSTEM, WITH KEYBOARD

VV 1 PRINTER, COMPUTER SYSTEM

VV 1 STAND, COMPUTER PRINTER, APPROX., 610 MM X 610

MM X 660 MM (24" X 24" X 26")

CC 1 RECEPTACLE, ELECTRICAL, QUADRAPLEX, FOR

COMPUTER EQUIPMENT ITEMS (PG-08-1, MCS 16140;

H-08-3, CS 866-1)

VV 1 CLOCK, BATTERY OPERATED

CC AR RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20

AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-1b

Design StandardsAssistant Chief of SPD





SPECIAL EQUIPMENT

ELECTRICAL



Notes:


Radio - Intercom -






Noise Criteria NC-40 AC Load - Equipment 0.4645 W/SM






Other - Oxygen -

Notes:

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-1b

Equipment Guide ListAssistant Chief of SPD


OFFICE, ASSISTANT CHIEF, SPD


MM X 749 MM (60" X 30" X 29-1/2")


VV 1 CHAIR, STRAIGHT, WITH ARMS

VV 1 BOOKCASE, SECTIONAL, EACH SECTION, 838 MM X 330

MM X 381 MM (33" X 13" X 15") WITH 254 MM (10") BASE





MM X 660 MM (24" X 24" X 26")



H-08-3, CS 866-1)



AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-1c

Design StandardsClerical Staff





SPECIAL EQUIPMENT

ELECTRICAL



Notes:


Radio - Intercom -












Other - Oxygen -

Notes:

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-1c

Equipment Guide ListClerical Staff


CLERICAL STAFF

VV 2 1 1 DESK, TYPEWRITER, DOUBLE PEDESTAL


MM X 749 MM (60" X 30" X 29-1/2")


VV 2 1 1 CHAIR, ROTARY, WITHOUT ARMS

VV 4 3 2 CHAIR, STRAIGHT, WITHOUT ARMS

VV 3 2 1 CABINET, FILING (LETTER SIZE) 5 DRAWER, APPROX.,

381 MM X 635 MM X 1524 MM (15" X 25" X 60")

VV 2 1 1 CABINET, FILING (LEGAL SIZE) 5 DRAWER, 457 MM X

635 MM X 1524 MM (18" X 25" X 60")





MM X 660 MM (24" X 24" X 26")



H-08-3, CS 866-1)

VV AR CLOCK, BATTERY OPERATED


AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)

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VA Design Guide Supply, Processing, & Distribution Guide Plate 4-2

Design StandardsLockers, Toilet, & Shower Room (Soiled Area)

ARCHITECTURALCeiling PCP/AT Wainscot CT 1200 (4'-0")*

Ceiling Height 2700 (9'-0") Base CT

Wall Finish CT/GWB Floor Finish CT/VCT


UNISEX FACILITY, ENCLOSED TOILET

*WAINSCOT FOR TOILET AREA ONLY

ELECTRICALLighting Power

General 30 FC - 2 W/SF General 400 W


Notes:

COMMUNICATIONSADP - Telephone -

Radio - Intercom -


HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling -

Dry Bulb Temp Heating F 72 Relative Humidity/Heating -


100% Exhaust Air YES Room Pressure NEGATIVE




PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES

Hot Water YES Reagent Grade Water -



Other - Oxygen -

Notes:

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Equipment Guide ListLockers, Toilet, & Shower Room (Soiled Area)

SYMBOL AI QUANTITY DESCRIPTION

A B C D

LOCKERS, LOUNGE, TOILET AND SHOWER FACILITIES

- MALE

NOTE: CONTIGUOUS TO SOILED RECEIVING AND DECONTAMINATION AREA.

T-B CC AR LOCKER, STEEL, SLOPING TOP, 12"W X 21"D X 72"H

(PG-08-1, MCS 10500; H-08-4, SD 61)

P-415 CC 1 2 2 1 LAVATORY, STRAIGHT BACK (PG-08-1, MCS 15450; H-

08-4, SD 53)

CC 1 2 2 1 MIRROR, 406 MM X 508 MM (16" X 20"), WITH INTEGRAL

SHELF, OVER LAVATORY (PG-08-1, MCS 10800; H-08-4,

SD 15)

VV 1 2 2 1 DISPENSER, SOAP, LIQUID, WALL MOUNTEDCC 1 2 2 1 DISPENSER, PAPER TOWEL AND DISPOSAL

COMBINATION UNITS (PG-08-1, MCS 10800)

CC 1 2 2 1 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20

AMP, WITH GROUND FAULT INTERRUPTER, ADJACENT

TO LAVATORY (PG-08-1, MCS 16140; H-08-3, CS 801-3)

WHEELCHAIR WATER CLOSETS WILL BE IN

ACCORDANCE WITH THE APPROPRIATE SPACE

PROGRAM, P-103 WILL BE USED FOR BOTH

CONVENTIONAL AND WHEELCHAIR INSTALLATIONS.

P-103 CC 1 WATER CLOSET, WALL HUNG (PG-08-1, MCS 15450; H-

08-4, SD 4)

CC 1 ENCLOSURE, TOILET, CEILING HUNG (PG-08-1, MCS

10162; H-08-3, CD 13; H-08-4, SD 12)

CC 1 BAR, GRAB FOR WATER CLOSET (PG-08-1, MCS 10800;

H-08-4, SD 12, 14B & 14F)

CC 1 DISPENSER, TOILET TISSUE, DOUBLE ROLL (PG-08-1,

MCS 10800; H-08-4, SD 12)

P-201 CC 1 URINAL, WALL HUNG (PG-08-1, MCS 15450; H-08-4, SD

4)

CC 1 STALL, SHOWER (PG-08-1, MCS 10170; H-08-4, SD 13A)

P-702 CC 1 SHOWER, BATH FIXTURE, WALL MOUNTED,

CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4,SD 13A)

CC 1 ROD, CURTAIN, TUB OR SHOWER (PG-08-1, MCS 10800)

CC 1 DISH, SOAP, SURFACE MOUNTED (PG-08-1, MCS 10800)

CC 1 2 2 1 HOOK, TOWEL (PG-08-1, MCS 10800)

CC 1 HOOK, CLOTHES (PG-08-1, MCS 10800)

VV 1 HAMPER, SOILED LINEN, WITH HINGED SELF CLOSING

TOP, 20" DIA.

VV 1 RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16"

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Equipment Guide ListLockers, Toilet, & Shower Room (Soiled Area)


A B C D


FEMALE



(PG-08-1, MCS 10500; H-08-4, SD 61)


08-4, SD 53)



SD 15)











08-4, SD 4)


10162; H-08-3, CD 13; H-08-4, SD 12)


H-08-4, SD 12, 14B & 14F)


MCS 10800; H-08-4, SD 12)



CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4,

SD 13A)

CC 1 ROD, CURTAIN, TUB OR SHOWER (PG-08-1, MCS 10800)CC 1 DISH, SOAP, SURFACE MOUNTED (PG-08-1, MCS 10800)




TOP, 20" DIA.


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Design StandardsLockers, Toilet, & Shower Room (Clean Area)

ARCHITECTURALCeiling PCP/AT Wainscot CT 1200 (4'-0")

Ceiling Height 2700 (9'-0") Base CT

Wall Finish CT/GWB Floor Finish CT/VCT


SEPARATE FACILITIES FOR MEN AND WOMEN

ENCLOSED TOILET


General 30 FC - 2 W/SF General 400 W


Notes:


Radio - Intercom -


HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F 76 Relative Humidity/Cooling -











Other - Oxygen -

Notes:

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Equipment Guide ListLockers, Toilet, & Shower Room (Clean Area)


A B C D


FEMALE



(PG-08-1, MCS 10500; H-08-4, SD 61)


08-4, SD 53)



SD 15)

VV 1 2 2 1 DISPENSER, SOAP, LIQUID, WALL MOUNTED

CC 1 2 2 1 DISPENSER, PAPER TOWEL AND DISPOSAL










08-4, SD 4)CC 1 ENCLOSURE, TOILET, CEILING HUNG (PG-08-1, MCS

10162; H-08-3, CD 13; H-08-4, SD 12)


H-08-4, SD 12, 14B & 14F)


MCS 10800; H-08-4, SD 12)



CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4,

SD 13A)






TOP, 20" DIA.


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Equipment Guide ListLockers, Toilet, & Shower Room (Clean Area)


A B C D


- MALE



(PG-08-1, MCS 10500; H-08-4, SD 61)


08-4, SD 53)



SD 15)











08-4, SD 4)


10162; H-08-3, CD 13; H-08-4, SD 12)


H-08-4, SD 12, 14B & 14F)


MCS 10800; H-08-4, SD 12)

P-201 CC 1 URINAL, WALL HUNG (PG-08-1, MCS 15450; H-08-4, SD

4)



CONCEALED SUPPLIES (PG-08-1, MCS 15450; H-08-4,SD 13A)






TOP, 20" DIA.


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Section 5Design Guide Platesand Data Sheets:Areas Specific to

SPD

GuidePlateSeries

5 - 1 .......Soiled Receiving &Decontamination AreaEquipment & Utility PlanDesign StandardsEquipment Guide List

5 - 2 .......Preparation, Assembly &Sterilization AreaEquipment & Utility PlanDesign StandardsEquipment Guide List

5 - 3 .......EtO Sterilizer/Aerator RoomEquipment & Utility PlanDesign StandardsEquipment Guide List

GuidePlateSeries

5 - 4 .......Manual Equipment Wash AreaEquipment & Utility PlanDesign StandardsEquipment Guide List

5 - 5 .......Equipment Storage & TestingRoomEquipment & Utility PlanDesign StandardsEquipment Guide List

5 - 6 .......Dispatcher's Control StationEquipment & Utility PlanDesign StandardsEquipment Guide List

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Design StandardsSoiled Receiving & Decontamination Area

ARCHITECTURALCeiling PL (SC) Wainscot -

Ceiling Height 2700 (9'-0") Base QT

Wall Finish PL (SC) Floor Finish QT

Slab Depression -

SPECIAL EQUIPMENTVS-503: WASHER/STERILIZER

VS-210: STEAM STERILIZERS

HW-546: AUTOMATIC CART WASH

ELECTRICAL

Lighting PowerGeneral 30 FC - 2 W/SF General *

Special - Emergency *

Notes: *VS-210: POWER DOOR - 15A, 120V; CONTROL - 1.0A, 120V

*VS-503: CONTROL - 10A, 120V; PUMP - 10A, 208V, 3 PH;

*COMPRESSOR - 3/4 HP, 208V, 3 PH

*HW-546: 20A, 480V, 3PH, 3 WIRE


Radio YES** Intercom EMPTY CONDUIT


**CONNECT TO HOSPITAL SYSTEM






Steam YES*** Number of People 3

Notes: Special Exhaust YES***

***VS EQUIP: SEE PG-08-6 FOR STEAM, HEAT GAIN, EXHAUST CAPACITY

HW-546: 1400 CFM EXH; 30-60 PSIG, 40 LB/HR STEAM


Hot Water YES Reagent Grade Water YES

Laboratory Air YES Laboratory Vacuum -

Notes: ****FOR VS EQUIP Other SHOP AIR****

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Equipment Guide ListSoiled Receiving & Decontamination Area


A B C D

-OR-

VS503 CC 1 WASHER/STERILIZER, SURGICAL INSTRUMENT,

SINGLE DOOR, RECESSED THROUGH ONE WALL,

(CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDE

STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC

AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS

11710)

VV 1 TABLE, TRANSFER, CRS, MOBILE FOR

WASHER/STERILIZER, WITH (CHAMBER SIZES: 16" X

16" X 26")

VC 1 CLEANER, ULTRASONIC, WITH RINSER AND DRYER,

TYPE DETERMINED ON INDIVIDUAL PROJECT BASIS

CC AR HOOD, EXHAUST, PROVIDE ONE HOOD OVER THE

ENTIRE WASHER AND LOADING DOOR (PG-08-1, MCS

15822)

VV AR TABLE, WORK, PORTABLE, CORROSION RESISTING

STEEL, 24" X 48" X 36"H

VV 2 2 1 CART, UTILITY, CORROSION RESISTING STEEL, 36"W X

18"D X 30"H

P-418 CC 1 LAVATORY, STRAIGHT BACK, SENSOR CONTROL (PG-

08-1, MCS 15450; H-08-4, SD 380)

P-505 CC 2 1 1 SINK, SERVICE, CLINIC, FLUSHING RIM, WALL HUNG

(PG-08-1, MCS 15450; H-08-4, SD 379)

P-708 CC 1 EMERGENCY EYE AND FACE WASH, WALL MOUNTED,

(PG-08-1, MCS 15450)

CC 1 2 1 1 DISPENSER, SOAP, WITH FOOT CONTROL, WALL

MOUNTED OVER SINK (PG-08-1, MCS 10800)

VV 1 2 1 1 DISPENSER, BIFOLD PAPER TOWEL, SURFACE

MOUNTED

VV 1 DRIER, TUBING, 120 VOLT, 20 AMP

VV 1 BULLETIN BOARD, APPROX., 1219 MM X 914 MM (48" X

36")

CC AR STATION, SOILED RETURN FROM AUTOMATIC EJECT

AT DOWN CONVEYOR (PG-08-1, MCS 14125)

P-802 CC AR HOSE BIBB, COMBINATION FAUCET, WALL MOUNTED,

CONCEALED SUPPLY PIPES (PG-08-1, MCS 15450; H-08-

4, SD 4.2)

CC AR DRAIN, FLOOR (PG-08-1, MCS 15400)

NOTE: PROVIDE FLOOR DRAIN ONLY IN AREA

HOUSING THE STERILIZERS AND NOT IN THE

RECEIVING-DECONTAMINATION AREA

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A B C D

VV 7 5 3 RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16"

CC 1 SPEAKER, WALL WITH VOLUME CONTROL,

CONNECTED TO STATION RADIO SYSTEM (TO BE

DETERMINED BY VETERANS HEALTH ADMINISTRATION

FOR EACH PROJECT WHEN THERE IS NOT AN

EXISTING PUBLIC ADDRESS AND/OR RADIO SYSTEM)

(PG-08-1, MCS 16771)

VS-508 CC AR WASHER/STERILIZER, AUTOMATED, PROVIDE STEAM,

WATER, COMPRESSED AIR, MINERAL FREE-WATER,

FLOOR DRAIN, ELECTRIC AND EXHAUST AS REQUIRED

(PG-08-1 & PG-08-6, MCS 11710)

-OR-

VS-505 CC 2 2 1 WASHER/STERILIZER, SURGICAL INSTRUMENT,

DOUBLE DOOR, RECESSED THROUGH ONE WALL,

(CHAMBER SIZE: 16" X 16" X 26"/3.8 CU. FT.), PROVIDE

STEAM, WATER, COMPRESSED AIR, DRAIN, ELECTRIC

AND EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS

11710)

CC AR MODULAR WALL, ENCLOSURE PANELS, CRS, FROM

FLOOR TO FINISHED CEILING, WITH EXHAUST LOUVER

IN MODULAR PANEL ABOVE DOORS OF STERILIZERS

(PG-08-1 & PG-08-6, MCS 11710)

CC AR RACK/BASKET RETURN, PASS-THRU, CONVEYOR ORFLOOR LEVEL, SPRING-LOADED BI-SWING DOORS (PG-

08-1, MCS 11710)

CC AR CART, LOADING, FOR USE WITH PASS THRU

STERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X

1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS

11710)

CC AR CARRIAGE, TRANSFER, FOR USE WITH PASS-THRU

STERILIZERS, CHAMBER SIZES: 610 MM X 914 MM X

1219 MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS

11710)

VV 1 REAGENT GRADE OR MINERAL FREE WATER SYSTEM,SIZE AND TYPE DETERMINED ON INDIVIDUAL PROJECT

BASIS

CC 1 OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-

08-1, MCS 16111)

CC 1 MASTER STATION, FOR INTRASERVICE INTERCOM

(PG-08-1, MCS 16760)


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A B C D


AMP, STRIP MOLD WITH OUTLETS, WIRED

ALTERNATELY ON SEPARATE CIRCUITS ON 610 MM

(24") CENTERS ABOVE COUNTER (PG-08-1, MCS 16140;

H-08-3, CS 801-3)


AMP, 2 PER WALL, MINIMUM (PG-08-1, MCS 16140; H-

08-3, CS 801-3)


A B C D

AUTOMATIC CART WASH

NOTE: VAPOR REMOVAL, DRYING CAPABILITIES AND

TILT RAMP.

CC AR GRATE, FLOOR, CRS, PROVIDE ON EXIT END OF CART

WASHER (PG-08-1, MCS 05500)

HW-546 CC AR NOTE: VAPOR REMOVAL, DRYING CAPABILITIES AND

TILT RAMP.

CC AR HOOD, EXHAUST, PROVIDE ONE HOOD OVER THEENTIRE WASHER AND LOADING DOOR (PG-08-1, MCS

15822)

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Design StandardsPreparation, Assembly & Sterilization Area

ARCHITECTURALCeiling AT (SP) Wainscot -


Wall Finish PL (SC) Floor Finish QT*


*EXTEND QT 10' BEYOND STERILIZERS

SPECIAL EQUIPMENT


General 50 FC - 3 W/SF General 1800 W RECEPTACLES


Notes:


Radio YES Intercom EMPTY CONDUIT





100% Exhaust Air YES Room Pressure POSITIVE

Noise Criteria NC-40 AC Load - Equipment 0.4645.W/SM







Other - Oxygen -

Notes:

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Equipment Guide ListPreparation, Assembly & Sterilization Area


A B C D

PREPARATION, ASSEMBLY AND STERILIZATION

NOTE: PROVIDE EMERGENCY POWER SYSTEM FOR THE STEAM AND ETO STERILIZERS,

WASHER/STERILIZERS, ETO EXHAUST AND ETO MONITORING EQUIPMENT.

VV AR TABLE, WORK, PORTABLE, CORROSION RESISTING

STEEL, 42"W X 72"L X 36"H

CC AR CABINET, WITH PLASTIC LAMINATE TOP, DRAWERS

WITH ADJUSTABLE DIVIDERS (PG-08-1, MCS 12301)


08-1, MCS 15450; H-08-4, SD 380)

CC 2 DISPENSER, SOAP, WALL MOUNTED WITH FOOT

CONTROL (PG-08-1, MCS 10800)VV 2 DISPENSER, PAPER TOWEL, SURFACE MOUNTED

VV AR RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16"

VV 1 BULLETIN BOARD, APPROX., 1219 MM X 914 MM (48" X

36")

VV AR STOOL, REVOLVING, APPROX., 330 MM (13") DIA. SEAT,

495 MM (19-1/2") BASE

VV AR CART, WIRE, ADJUSTABLE SHELVES, 4 SWIVEL

CASTERS, 24"W X 72"L X 72"H

VV 1 CENTRIFUGE, LABORATORY, FOR THERMOMETER

PREPARATION

VV 1 HAMPER, SOILED LINEN, WITH HINGED SELF CLOSINGTOP, 20" DIA.

VV AR HANDCART, WITH 2 REMOVABLE BASKETS, 38" X 24" X

42-1/2"

CC 1 OUTLET, CENTRAL PAGING OR BROADCAST SYSTEM TO

BE DETERMINED BY VHA FOR EACH PROJECT WHEN

THERE IS NOT AN EXISTING PUBLIC ADDRESS AND/OR

RADIO SYSTEM) (PG-08-1, MCS 16770)

VS-351 CC 2 3 AERATOR, ETHYLENE OXIDE, CABINET ENCLOSED,

(CHAMBER SIZE: 24" X 36" X 48"/60"), PROVIDE

ELECTRIC AND EXHAUST AS REQUIRED (PG-08-1 & PG-

08-6, MCS 11710)-OR-

VC 1 AERATOR, FOR 100% ETHYLENE OXIDE GAS

STERILIZER, SINGLE DOOR, RECESSED THROUGH ONE

WALL OR FREE STANDING UNIT, FOR RECESSED UNIT

PROVIDE MOUNTING RACK, FOR FREE STANDING UNIT

PROVIDE STACKING RACK, PROVIDE ELECTRIC AND

EXHAUST AS REQUIRED

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Design StandardsEtO Sterilizer/Aerator RoomARCHITECTURALCeiling PCP Wainscot -

Ceiling Height 2700 (9'-0") Base -

Wall Finish PRE-FAB PANEL Floor Finish C

Slab Depression -

SPECIAL EQUIPMENTVS-325: ETO STERILIZER

VS-360: ETO DISPOSER SYSTEM


General 50 FC - 3 W/SF* General ***

Special 30 FC-2 W/SF** Emergency ***

Notes: *LOBBY

**SERVICE AREA

***VS-325: POWER DOOR - 17A, 120V; CONTROL - 3A, 120V; VS-360: 40A, 208V, 3 PH

***VACUUM PUMP - 8A, 208V, 3 PH; RECEPTACLES: 800 W


Radio - Intercom -

Public Address -

HEATING, VENTILATING AND AIR CONDITIONING

Dry Bulb Temp Cooling F 76 Relative Humidity/Cooling -






Notes: Special Exhaust YES****

****DEDICATED ETO EXHAUST SYSTEM PER HVAC DESIGN MANUAL

VS-360 WHERE REQ'D TO MEET STATE CODES

PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES*****

Hot Water - Reagent Grade Water -



Other SHOP AIR****** Oxygen -

Notes: *****4" OSD FOR EACH STERILIZER

******FOR VS EQUIP

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Equipment Guide ListEtO Sterilizer/Aerator RoomEquipment Guide List for this area reprinted from 5-2 Preparation, Assembly & Sterilization Area.


A B C D

NOTE: PROVIDE EMERGENCY POWER SYSTEM FOR THE ETO STERILIZER/AERATOR, ETO EXHAUST AND

ETO MONITORING EQUIPMENT.

VC 1 AERATOR, FOR 100% ETHYLENE OXIDE GAS

STERILIZER, SINGLE DOOR, RECESSED THROUGH ONE

WALL OR FREE STANDING UNIT, FOR RECESSED UNIT

PROVIDE MOUNTING RACK, FOR FREE STANDING UNIT

PROVIDE STACKING RACK, PROVIDE ELECTRIC AND

EXHAUST AS REQUIRED

CC AR ENCLOSURE PLENUM, CRS, BETWEEN TOP OF

AERATOR AND CEILING, PROVIDE EXHAUST LOUVER IN

PLENUM ENCLOSURE PANEL ABOVE DOOR (PG-08-1,MCS 11710)

VS-325 CC 2 STERILIZER/AERATOR, ETHYLENE OXIDE GAS, SINGLE

DOOR, RECESSED THROUGH ONE OR TWO WALLS,

(CHAMBER SIZE: 24" X 36" X 48"/24 CU. FT.), PROVIDE

STEAM, WATER, DRAIN, ELECTRIC AND EXHAUST AS

REQUIRED (PG-08-1 & PG-08-6, MCS 11710)

VC 2 STERILIZER/AERATOR, 100% ETHYLENE OXIDE GAS,

SINGLE DOOR, RECESSED THROUGH ONE WALL OR

FREE STANDING UNIT, FOR RECESSED UNITS PROVIDE

MOUNTING RACK, FOR FREE STANDING UNIT PROVIDE

STACKING RACK, PROVIDE COMPRESSED AIR,

ELECTRIC AND EXHAUST AS REQUIRED

VS-360 CC AR ETHYLENE OXIDE DISPOSER SYSTEM, 838 MM X 889 MM

X 2083 MM (33" X 35" X 82"), PROVIDE ELECTRIC AND

EXHAUST AS REQUIRED (PG-08-1 & PG-08-6, MCS 11710)

VV 1 CONTINUOUS MONITORING DEVICE, ETHYLENE OXIDE

GAS WITH ADDITIONAL SENSORS/ALARMS, ETO

SPECIFIC TO .01 PARTS-PER-MILLION

NOTE: PROVIDE ONE EMISSION CONTROL DEVICE FOR

NO MORE THAN TWO ETO STERILIZERS

CC AR MODULAR WALL, ENCLOSURE PANELS, CRS, FROM

FLOOR TO FINISHED CEILING, WITH EXHAUST LOUVER

IN MODULAR PANEL ABOVE DOORS OF STERILIZERS(PG-08-1 & PG-08-6, MCS 11710)

CC AR CART, LOADING, FOR USE WITH STERILIZER/AERATOR,

CHAMBER SIZES: 610 MM X 914 MM X 1219 MM/1524 MM

(24" X 36" X 48"/60") (PG-08-1, MCS 11710)

CC AR CARRIAGE, TRANSFER, FOR USE WITH STERILIZER/

AERATOR, CHAMBER SIZES: 610 MM X 914 MM X 1219

MM/1524 MM (24" X 36" X 48"/60") (PG-08-1, MCS 11710)

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Equipment Guide ListEtO Sterilizer/Aerator RoomEquipment Guide List for this area reprinted from 5-2 Preparation, Assembly & Sterilization Area.


A B C D

CC AR 8 7 6 RECEPTACLE, ELECTRICAL, DUPLEX, 120 VOLT, 20 AMP

(PG-08-1, MCS 16140; H-08-3, CS 801-3)

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Design StandardsManual Equipment Wash Area

ARCHITECTURALCeiling PCP Wainscot -


Wall Finish CT* Floor Finish QT


*MOUNT CT ON CONCRETE BACKER BOARD





Radio - Intercom -


HEATING, VENTILATING AND AIR CONDITIONINGDry Bulb Temp Cooling F - Relative Humidity/Cooling -

Dry Bulb Temp Heating F - Relative Humidity/Heating -

Minimum % Outside Air - Minimum Air Changes/Hr 10


Noise Criteria NC-40 AC Load - Equipment -

Steam YES Number of People 0

Notes: Special Exhaust YES**

**DEDICATED EXHAUST SYSTEM, SS CONSTRUCTION, FOR SATURATED WET EXHAUST AIR

PLUMBING AND MEDICAL GASESCold Water YES Sanitary Drain YES***




Other SHOP AIR**** Oxygen -

Notes:

***DRAIN AT ROOM CENTER; SLOPE FLOOR AT 1/8" PER FT

****TO ROOM

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Design StandardsEquipment Storage & Testing Room

ARCHITECTURALCeiling AT (SP) Wainscot -


Wall Finish AT (SP) Floor Finish VCT


0.35 X STERILE/NONSTERILE STORAGE

MUST BE SITUATED CLOSE TO PREP AREA

SPECIAL EQUIPMENT




Notes:

COMMUNICATIONSADP - Telephone YES

Radio - Intercom -











Laboratory Air - Medical Air YES

Laboratory Vacuum - Medical Vacuum YES

Other - Oxygen YES

Notes:

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Equipment Guide ListEquipment Storage & Testing Room


EQUIPMENT STORAGE AND TESTING ROOM

CC AR PEGBOARD, HEAVY DUTY, WALL HUNG (FOR HANGING

BED RAILS, ORTHOPEDIC EQUIPMENT, ETC.) (PG-08-1,

MCS 06200)

VV AR EQUIPMENT ASSEMBLY/INSPECTION STATION, WOOD,

STORAGE DRAWERS, 762 MM X 1524 MM X 914 MM (30"

X 60" X 36") WITH 203 MM (8") BACKSPLASH

CC 1 OUTLET, MEDICAL VACUUM (PG-08-1, MCS 15491

CC 1 OUTLET, OXYGEN, (PG-08-1, MCS 15491)

CC 1 OUTLET, MEDICAL AIR (PG-08-1, MCS 15491)


08-1, MCS 15450; H-08-4, SD 380)

VV 1 DISPENSER, PAPER TOWEL, SURFACE MOUNTED

VV AR RECEPTACLE, WASTE, WITH SWINGING TOP, 16" X 16"

CC 1 DISPENSER, SOAP, WALL MOUNTED WITH FOOT

CONTROL (PG-08-1, MCS 10800)

VV 1 DESK, SINGLE PEDESTAL, APPROX., 1219 MM X 762

MM X 749 MM (48" X 30" X 29-1/2")

VV 1 CHAIR, ROTARY, WITHOUT ARMS

VV AR CABINET, STORAGE, SMALL PARTS



AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)

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Equipment Guide ListDispatcher's Control Station


DISPATCHER'S CONTROL STATION/OFFICE


MM X 749 MM (60" X 30" X 29-1/2")

VV AR CHAIR, ROTARY, WITHOUT ARMS


CC AR STATION, CLEAN TRANSPORT, SIZE AND TYPE TO BE

DETERMINED FOR EACH PROJECT, COMPATIBLE WITH

SOILED RETURN LIFT (PG-08-1, MCS 14125)

VV 1 BULLETIN BOARD, 40"W X 30"H

CC 1 OUTLET, CENTRAL PAGING OR BROADCAST SYSTEM

TO BE DETERMINED BY VHA FOR EACH PROJECT

WHEN THERE IS NOT AN EXISTING PUBLIC ADDRESS

AND/OR RADIO SYSTEM) (PG-08-1, MCS 16770)

VV AR BOXES, TOTE FOR CONVEYOR SYSTEM

VV AR SHELVING, STORAGE, MOBILE, STEEL, ROD SHELF,

OPEN STYLE WITH 5 ADJUSTABLE SHELVES

CC 1 OUTLET, INTERCOM (EMPTY CONDUIT SYSTEM) (PG-

08-1, MCS 16111)

CC 1 MASTER STATION, FOR INTRASERVICE INTERCOM

(PG-08-1, MCS 16760)




MM X 660 MM (24" X 24" X 26")



H-08-3, CS 866-1)



AMP (PG-08-1, MCS 16140; H-08-3, CS 801-3)

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Satellite Outpatient Clinic (SOPC)

Recommended Space Criteriafor SPD

Supply, Processing, and Distribution (SPD)

is responsible for the processing and issuing of

medical and surgical supplies and equipment

used in the delivery of patient care. An SPD

section may be required for a stand-alone SOPC

that operates as an off-site satellite facility that is

administratively attached to a VAMC. In some

cases, depending on the distance and frequency

of supply deliveries, the VAMC may consider it

economically sound to use the parent facility'sSPD rather than duplicating the function at the

SOPC.

Soiled Receiving

Decontamination Area: Minimum 18.6 NSM

(200 NSF), 12.3 NSM (132 NSF) each

additional sterilizers; Max. 46.5 NSM (500

NSF) Space in this area is based on the

number of sterilizers required to process

reusable supplies and equipment. Theminimum of 18.6 NSM (200 NSF) provides

space for loading zone/access to 3 pass-

through sterilizers (1 washer/ sterilizer/

sanitizer, 1 steam, and 1 ethylene oxide

[EtO] sterilizer) and 1 ultrasonic washer and

sink.

Manual Equipment Wash: 7.4 NSM (80

NSF) This room is used to decontaminate

carts and equipment used in delivery of

patient care.

Housekeeping Aids Closet: 3.7 NSM (40NSF) For safety reasons this HAC will be

used only for the decontamination area.

Locker, Toilet, Shower: 7.4 NSM (80 NSF).

Space provided will accommodate two

lockers and a bench (2.3 NSM, 25 NSF),

toilet with lavatory and water closet (2.8

NSM, 30 NSF), and a shower at 2.3 NSM

(25 NSF). This area is to be used by

personnel assigned to the Soiled Receivingand Decontamination Area.

Clean Areas

Preparation Area: Minimum 18.6 NSM (200

NSF), Add 12.3 NSM (132 NSF) for each

additional sterilizer, Maximum 46.5 NSM

(500 NSF) As in the decontamination area,

space is based on the number of sterilizers

needed to process reusable supplies and

equipment. The minimum of 18.6 NSM (200NSF), will provide space for loading

zone/access to 3 pass-through sterilizers (1

washer/ sterilizer/ sanitizer, 1 steam, and

one EtO gas sterilizer) and an ultrasonic

washer and sink.

Ethylene Oxide Gas Cylinder Storage: 2.8

NSM (30 NSF) If all 100% EtO sterilizers

(which use a cartridge), are to be used,

space for cylinder storage is unnecessary.

Sterile/Clean Storage Area: Minimum 22.3

NSM (240 NSF) Maximum 46.5 NSM (500NSF) Total annual SOPC visits (not

including psychiatric visits) x .0035 + 200

Clean Receiving and Bulk Storage Area:7.4

NSM (80 NSF) This space is provided for

receipt, breakdown, and temporary holding

of bulk sterile/clean supplies.

Dispatch Area: The issuing and control of

medical-surgical supplies and equipment is

accomplished in this area. A visual register

(quantity and location) of issued supplies

and equipment is maintained in theDispatcher's Control Station/Office. Space

for this area should be computed as follows:

A) Sterile/Clean Areax 0.1

PLUS

B) Dispatcher's Control Station/Office: 6.5

NSM (70 NSF)

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PLUS (Include only if they will use computerized

data handling equipment)

C) Work Station: 7.8 NSM (84 NSF) This

enclosed area will accommodate the

computerize data handling equipment and

personnel. A running inventory of allsupplies entering and leaving SPD and the

initiation of the reordering process will be

accomplished at this work station.

Equipment Storage and Testing Room:

Maximum 7.4 NSM (80 NSF) Equipment,

after decontamination, is tested and stored

in this room. This equipment is used for

patient care and is

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