Carpeting is also used to a limited extent in the acute care facility in such areas as administrative offices, dining rooms, physical therapy, and in a few corridors. The third most widely used flooring material is concrete, which is used in mechanical spaces, heavy work areas, and all unfinished space in the hospital. The unfinished square footage represents nearly a quarter of the total concrete flooring, which accounts for the high percentage of this material. All toilets and shower areas have ceramic tile floors, the kitchen has a quarry tile floor, and the lobby has a terrazzo floor. The operating room also has a terrazzo floor. Table 4 summarizes the total square footage, excluding partitions and exterior cladding, for each of the different materials. For the expansion of the reference hospital in 1981, over 60,000 square feet of space plus 14,300 square feet of unfinished space will be added. The choice of floor covering for the additional space was determined by what was previously used in the existing facility. Table 5 shows how different floor coverings are allotted for the planned expansion. The clinical laboratory at the reference hospital incorporates highly automated, state-of-the-art techniques. Its current workload is 254,562 tests per year in all areas. Ninety percent of these tests are performed in the chemistry and hematology laboratories and these areas account for the bulk of the hospital's laboratory equipment and personnel. The laboratory workload is handled with the following equipment, personnel, and space configuration: Equipment current purchase value of laboratory equipment is $247,500 broken down by area as follows: • Personnel 19.6 full-time equivalent (FTE) technicians are employed in the laboratory department (excluding students). Technicians are paid $12,014 per year, including fringe benefits. • Space 6,770 square feet, including service areas and administration. Radiology System The reference hospital currently operates two general procedure rooms, two special procedure rooms, and two fluoroscopic rooms. room is operated by an individual generator/control unit. portable x-ray units are available. Each In addition, two About seventy-five procedures per day are performed in the general and special procedure rooms; about 12 fluoroscopic examinations are performed per day; and about 10 procedures are performed per day on the portable units. The outpatient workload, most of which is scheduled, makes up about 20 percent of the total workload. In four years of operation, the reference hospital has experienced four generator/control failures, each of which temporarily shut down one room. The longest period a unit has been down is twenty-four hours. Outpatient Surgery System The reference hospital currently performs "come and go" surgery for which the patient arrives in the morning, is operated upon, and leaves the same day. However, such surgery is generally limited to only those procedure typically performed in physicians' offices or in special treatment rooms, such as vasectomies and excision of cysts or moles, and does not include the full range services performed in most outpatient surgery units. Construction System The site and construction system of the reference hospital are described as follows: The facility is constructed on a hillside with rock The acute care wing is framed in structural steel Exterior cladding is architecturally finished poured For the improved hospital - which serves as the basis for comparing construction alternatives for this report - RTKL, Inc., architects and planners, designed a structural system similar to that of the reference hospital using a conventional steel framing system with bay sizes 25 feet by 25 feet and 25 feet by 31 feet. Private Rooms Versus Conventional Bed Mix The reference hospital houses a total of 410 beds, excluding 15 intensive care beds, for three types of patient care rehabilitative care. - acute care, extended care, and The 244 acute care beds are located in one four-level tower in the following configuration: 10 pediatric beds, 17 four-bed rooms, 56 semi-private rooms, and 54 private rooms. *MDA, construction cost consultants. Construction Costs" of this report. See page A-7 of "Appendix A, 86-379 072-33 A second tower houses 166 extended care and rehabilitative care beds. The 128 extended care beds are on the first two levels with the following mix: 11 four-bed rooms, 40 semi-private rooms, and 4 private rooms. The rehabilitative care facilities on the third level include 9 fourbed rooms and two private rooms for a total of 38 rehabilitative care beds. These beds, however, are not used due to insufficient demand. The improved hospital's total bed mix is 70 private rooms, 118 semi-private rooms, and 26 four-bed rooms. upper two floors is 460 feet; its width is 64 feet. The core is 41 feet wide The total space for the The area and includes two 8-foot corridors and all other non-patient room space (nursing stations, utility rooms, support services). inpatient area is 124,600 square feet. The area for each private bed, considering only the patient room and toilet, is 306 square feet. for each semi-private bed or ward bed, considering only the patient room and toilets, is 153 square feet. Thus, of the total 124,600 square feet allocated for the inpatient area, 73, 440 square feet, or 58.9 percent, are allocated for patient rooms. 1 |