AIA Guidelines for Design and Construction of Hospital and Healthcare Facilities Presented By: Michael A. Rogers, PE

It’s not a Code or Standard, why do I need to use it?

LAWYERS!

Facilities Covered Hospitals (chapter 7) Nursing Facilities (chapter 8) Outpatient Facilities (chapter 9) Rehabilitation Facilities (chapter 10) Psychiatric Hospitals (chapter 11)

When do I need to use it? Additions and Renovations Medical Equipment Addition or Replacement Roof Replacement Room Function Change Equipment Replacement

Provisions for Disaster Wind Loading / Earthquake Supplies Storage –Capacity of the following for 4 days of continuous operation : Food and drinking water Sterile supplies Pharmacy supplies Linens Water for sanitation

Energy Conservation Energy Conservation efforts shall not adversely affect patient health, safety, or comfort levels

Pollution Control Boilers Waste incinerators Sterilizers Storage tanks Storm water control Hazardous materials Medical waste

Construction Protection of patients Infection control Construction barriers Traffic flow Disruption of utility services Air flow control

Construction Exhaust

Outside Air Intake

HVAC Criteria

Redundant Steam Capacity Hospitals –Hot water for clinical, dietary and patient use –Steam for sterilization and dietary –Heating for operating, LDR, ICU, nursery, and general patient rooms

Redundant Steam Capacity Nursing Facilities –Hot water for clinical, dietary and resident use –Steam for dietary –Heating for general patient rooms (unless ASHRAE 99% design heating dry bulb is above 25 degrees F)

Redundant Steam Capacity Outpatient and Rehabilitation Facilities –Hot water for clinical, dietary and patient use –Steam for sterilization and dietary –Heating for operating, LDR, ICU, and general patient rooms (unless ASHRAE 99% design heating dry bulb is above 25 degrees F)

Ventilation Table 7.2 –Hospitals –Outpatient Facilities –Rehabilitation Facilities –Psychiatric Facilities Table 8.1 –Nursing Facilities

Table 7.2Ventilation

Table 8.1Ventilation

Air Change Comparison

Air Filtration Table 7.3 –Hospitals –Rehabilitation Facilities Table 8.2 –Nursing Facilities Table 9.1 –Outpatient Facilities Table 11.1 –Psychiatric Facilities

Table 7.3 Filtration

Plumbing Criteria

Medical Gases Table 7.5 –Hospitals –Rehabilitation Facilities –Psychiatric Facilities Table 9.2 –Outpatient Facilities

Table 7.5 Gas Outlets

Table 9.2 Gas Outlets

Electrical Criteria

Normal Electrical Install per NFPA 70 and 99 Lighting Levels per IES Reading light in all patient rooms Special Lighting for procedures and examination on separate circuit from general lighting

Emergency Electrical Install per NFPA 99, 101, and 110 Minimum 24 hours fuel storage.

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