FINAL DRAFT- 10/31/95
REVISED January 1997
Diagrams do not correlate exactly to all the
Refer to VA Construction Standard CD-49,
rooms in criteria
"Physical Security Requirements and Options".
VA patient triage, induction, and
protocol
Interior Materials and FinishesFloors
:
require the following.
Floors in offices, conference rooms and waiting
areas should be carpet with a 100 mm (4") high
Triage is located between Emergency and
resilient base.
Clinic Facilities
Floors in toilet rooms should be ceramic tile with
Walk-in Patients
arrive
at
Triage/MAS
a ceramic tile base.
interview.
Floors in exam rooms, treatment rooms and
Organizational Concepts
most other spaces should be vinyl composition
tile with a 100 mm (4") high resilient base.
The guide plates and functional diagrams
address modular construction including 3050
Interior Materials and FinishesCeilings
:
mm (10') deep exam zones, 3660 mm (12')
Ceilings should primarily be lay-in acoustic
deep special/ treatment/support zones, and
ceiling tile. Certain areas, such as procedure
1830 mm (6') corridor widths.
rooms and chemotherapy treatment rooms,
should have lay-in acoustical ceiling tile with a
A Modular Clinic Concept is utilizes functional
washable sprayed plastic finish.
layering which includes spaces such as Waiting,
Reception, Exam, Special and Support Zones.
Interior Materials and FinishesProtection
:
Overlapping zones of control are provided in
Wall and corner guards should be used in
both
planning
and
to
corridors and other areas where wall damage
accommodate variable assignment of partial
from cart traffic is anticipate.
clinic modules, exam, and treatment facilities.
Interior Doors and Hardware
Utilization of modular concepts and functional
Interior doors should be 44 mm (1 3/4") thick
layering assists in facilitating wayfinding and
solid core flush panel wood doors or hollow
subsequent patient ease.
metal doors in hollow metal frames.
Space Allocation
Door jambs should have hospital type sanitary
Program Levels
stops that stop 205 mm (8") from the floor to
facilitate mopping. Hollow metal doors should
Net square footage requirements are based on
be used where high impact is a concern and
workload complexity levels as defined in
where fire rated doors are required. Kick/mop
Section 262 of Handbook 7610 (H - 08 - 9).
plates should generally be applied to both sides
Three program levels are defined S - M - L.
of the doors. Handicapped accessible hardware
Design Guide layouts are based on level M
should be used throughout.
facilities.
The door to the Agent Cashier is required to be
TECHNICAL CONSIDERATIONS
a steel security door.
Architectural
Interior Materials and Finishes: Partitions
Refer to VA Handbook PG-18-14, "Room
Finishes, Door and Hardware Schedule" for
Interior partitions should primarily be painted
additional information
gypsum wallboard on metal studs. Partitions
around physician offices, exam rooms and
treatment rooms should have sound attenuation
batts between the studs in accordance with VA
Construction
Standard
34-1,
"Noise
Transmission Control".
The partitions surrounding the Patients Funds
Clerk office and the Agent Cashier office have
special security requirements)
VA DESIGN GUIDE
AMBULATORY CARE (Hospital Based)
PAGE 2-4
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