General Notes:
1. Supply Air Outlet - Perforated stainless steel panel centered over operating table with no obstructions. A/E is to design it. (Do not
scale.) This outlet is to provide 30 percent of supply air for the operating room. Air distribution is to be in a downward
vertical direction. See HVAC Design Manual for Hospital Projects, PG-18-10.
2. Supply Air Outlets - Stainless steel multiple slot panel diffusers to be located above the perimeter of the "clean air
zone". (See Functional Plan.) A/E is to design them. (Do not scale.) These outlets are to provide 70 percent of supply air
for the operating room. This air is to be discharged in a vertical air stream inclined at an outward angle of fifteen degrees
from the center of the room. See HVAC Design Manual for Hospital Projects, PG-18-10.
3. Mounting Plate for Utility Column - (Do not scale.) Size of mounting plate varies with manufacturer. Exact type, size,
type, and location are to be determined by the A/E in coordination with the VAMC and Central Office program officials.
4. Surgical Light Fixture - Note that the location of the mounting plate is not to be placed directly over the operating
table. That zone must be kept unobstructed for the supply air outlet and the plenum serving it above the ceiling. See
Electrical Design Manual for Hospital Projects, PG-18-10.
5. Surgical Microscope - If VAMC chooses a ceiling-mounted microscope in lieu of a floor-mounted microscope, it must be
supported by a fixed mounting plate. A ceiling track-mounted system is not to be used for the microscope due to concerns
regarding asepsis. The exact size of the mounting plate depends upon the microscope selection. (Do not scale the
guideplate.) Coordinate details and utilities requirements with the VAMC.
6. Fluorescent Light Fixtures - General illumination. Only 2 x 4 recessed fixtures are to be used in the operating room
because this size of fixture (with 6 lamps - Type D) is required in order to deliver enough ambient illumination
while also producing color corrected light in the operating room. The design is not to include 1 x 4 fluorescent fixtures.
7. General Illumination on Emergency Power - 50 percent of the fluorescent light fixtures above the operating table are to
be provided emergency power with battery backup (Type D1). The fluorescent fixtures above the head of the patient (where the
nurse anesthetist administers anesthesia and monitors the patient's vital signs) are to be provided emergency power.
8. Video Monitors (A proposal to be considered by the VAMC and the A/E) - Is to provide a fiber-optic connection
(enclosed in conduit) from the video monitors in the operating room to the microscope in the frozen section area of the clinical
laboratory. This would permit the surgical team in the operating room to see what the pathologist is talking about over the
intercom while examining the biopsy specimen. This installation would reduce the need for anatomical pathologist to leave a
contaminated area. Also, the surgical team would not have to wait for the pathologist to clean up, gown, and come to the
operating suite to examine the tissue specimen.
9. Sprinkler System - Coordinate the location of the sprinklers with other ceiling systems in accordance with MCS, Division
15 Mechanical and Plumbing Design Manual, Medical Centers for Hospital Projects.
10. Provide no ceiling tracks for intravenous solutions in the design. This restriction is based upon concerns for asepsis in
the operating room.
Design Guide - Surgical Service
Reflected Ceiling Plan Notes
Cystoscopy Room
Guide Plate:
6-1f
450 NSF (41.85 NSM)
Date: August 2005
Previous Page
