AIA Guidelines for Design and Construction of Hospital and Healthcare Facilities

1. AIAGuidelines for Design and Construction of Hospital and Healthcare Facilities Presented By: Michael A. Rogers, PE MAR@PETERSON-AE.COM

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

3. LAWYERS!

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

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

6. 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

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

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

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

10. Construction Exhaust

11. Outside Air Intake

12. HVAC Criteria

13. Redundant SteamCapacity • Hospitals • Hot water for clinical, dietary and patient use • Steam for sterilization and dietary • Heating for operating, LDR, ICU, nursery, and general patient rooms

14. Redundant SteamCapacity • 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)

15. Redundant SteamCapacity • 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)

16. Ventilation • Table 7.2 • Hospitals • Outpatient Facilities • Rehabilitation Facilities • Psychiatric Facilities • Table 8.1 • Nursing Facilities

17. Table 7.2Ventilation

18. Table 8.1Ventilation

19. Air Change Comparison

20. Air Filtration • Table 7.3 • Hospitals • Rehabilitation Facilities • Table 8.2 • Nursing Facilities • Table 9.1 • Outpatient Facilities • Table 11.1 • Psychiatric Facilities

21. Table 7.3 Filtration

22. Plumbing Criteria

23. Medical Gases • Table 7.5 • Hospitals • Rehabilitation Facilities • Psychiatric Facilities • Table 9.2 • Outpatient Facilities

24. Table 7.5 Gas Outlets

25. Table 9.2 Gas Outlets

26. Electrical Criteria

27. 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

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

29. Questions ? giving shape to healthcare