AIAGuidelines for

Design and Construction of

Hospital and Healthcare Facilities

Presented By:

Michael A. Rogers, PE

MAR@PETERSON-AE.COM

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

ConstructionExhaust

OutsideAir Intake

HVAC Criteria

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

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)

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)

Ventilation

• Table 7.2– Hospitals– Outpatient Facilities– Rehabilitation Facilities– Psychiatric Facilities

• Table 8.1– Nursing Facilities

Table 7.2Ventilation

Table 8.1Ventilation

Area Designation Pres

Outside Total Outside Total Outside Total

SURGURY & CRITICAL CAREOperating Room (recirc system) P 3 15 5 25 3 15 NOOperating Room (All outdoor system) P na na 15 15 na na NODelivery Room (recirc system) P 3 15 5 25 4 15 NODelivery Room (All outdoor system) P na na 15 15 na na NORecovery Room E 2 6 2 6 2 6 NONursery Suite P 2 6 5 12 2 6 NOTrama Room P 3 15 5 12 3 15 NOEndoscopy N 2 6 2 6 na na NOBronchoscopy N 2 12 2 10 na na YES NOAnasthesis Storage (Check codes) N - 8 - 8 - 8 YES NO

Room Recirculation

All Exhaust

AIA Table 7.2

ASHRAE Table 3

NC Table 1

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.

giving shape to healthcare

Questions ?