Notes:
1.
The surgical light fixtures are (CC) unless the VAMC chooses to select a specific surgical light fixture during design
development. If the VAMC chooses the fixtures, they should be either (VV) or (CF). Coordination involving structural support,
utility connections, and other details are the responsibility of the A/E.
2.
Nominal thickness of walls should be shown as 8 inches (203 mm) through design development. This is based upon the need
to accommodate a variety of panel boards, return air ducts, and miscellaneous elements of construction that require a thicker
partition than in other areas of a hospital building. Partitions other than the operating room enclosure should be nominally 6
inches through design development unless a special requirement dictates otherwise.
3.
Inclusion of x-ray shielding, consisting of a lead membrane in the partition, lead lined doors, and leaded glass observation
windows, is determined on a project basis. According to the VA policy, the final determination of whether or not lead lined
walls and other protective measures are required is the responsibility of the hospital's radiation staff officer and VA's National
Health Physics Program Official (PH: 501-257-1571).The need for radiation protection is based upon the degree to which
portable x-ray equipment is to be used in each of the operating rooms, and continuous occupancy of adjacent spaces. Once it
is determined that a lead membrane is required, the exact location of that membrane and details related to it are the designer's
responsibility.
4.
An automatic door is to be provided between the operating room and the semi-restricted corridor. A wall-mounted switch for
the automatic door opener is preferred.
5.
Modular Casework - The VAMC has the option of choosing modular casework in lieu of built-in casework. However, this
decision must be made during the design development phase of the project. If modular casework that is wall mounted is
selected by the VAMC, the partitions must be designed to support the casework. It should be noted that the standard studs
found in the master specifications are insufficient to carry this added weight; therefore, the equipment manufacturer's
recommendations for supporting partitions should be followed where appropriate.
6.
Elapsed Time Clock: Flush Mounted Clock above, with wall mounted accessible controls below. For more information
regarding clocks in the operating room see MCS, Division 16, Electrical. (CC)
7.
Clock With Sweep Second Hand: Flush mounted clock above, with wall mounted accessible controls below. For more
information regarding clocks in the operating room see MCS, Division 16, Electrical. (CC)
8.
See Chapter 286 of the Equipment Guide List, PG-7610, Technical Information Library (TIL).
Design Guide - Surgical Service
Equipment Plan Notes
Special Purpose Operating Rm
Guide Plate:
4-2b
MAX: 800 NSF (74.40 NSM)
MIN: 600 NSF (55.80 NSM)
MIN: 700 NSF (65.10 NSM) CARDIAC
Date: August 2005