Design guidelines for hospitals and day procedure centres

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Issue 1 Release Notes, This release represents the first public issue of the new Victorian Guidelines for Hospitals and Day Procedure. Centres DGHDP All previous releases were marked DRAFT for review and comment only. Every effort has been made to check the new guidelines for errors and inconsistencies Many difference. stakeholders proof readers and reviewers have participated in this process Nevertheless As may be. expected of issue 1 of a comprehensive set of new guidelines errors and inconsistencies may still be found. These will be progressively corrected in future editions of the guidelines. Important Disclaimer, These Guidelines have been created as Stand alone documents Nothing in these Guidelines implies that. compliance with them will automatically result in compliance with other Legislative or Statutory requirements. Similarly nothing in these Guidelines implies compliance with the Australian Standards or the Building Code. of Australia Parts of these Guidelines such as Room Layout Sheets necessary show elements which may be. subject of those Legislative or Statutory requirements Every effort has been made to ensure such. compliance however no guarantees are made It is the responsibility of each user to check and ensure. compliance with other Stand alone Legislative and Statutory requirements. As the name suggests the documents provided are Guidelines Users are advised to seek expert opinion on. the important issue of Health Facility Design whilst considering these Guidelines Many of the concepts. covered by these Guidelines require a minimum level of knowledge of Health Facilities and Health Facility. Design Due to the generic nature of these Guidelines all the individual circumstances can not be anticipated. or covered Furthermore these Guidelines do not cover the operational policies of individual facilities. Delivery of excellence in health care as well as the provision of a safe working environment will depend on. appropriate operational policies The authors of these Guidelines as well as those involved in the checking or. approval of these Guidelines accept no responsibility for any harm or damage monitory of otherwise caused. by the use or misuse of these Guidelines,What is New. These guidelines were specifically prepared by Health Projects International for Victoria using a specially. customised database of health design knowledge Over the last few years thanks to a framework of. cooperation between different State Departments of Health the guidelines have been offered as the core of. the proposed future National Health Facility Design Guidelines The same database system is used to deliver. the new NSW Health Facility Guidelines over the next few years The delivery system the structure and. content database are shared whilst each State initially has its own version meeting legislative and policy. requirements Over time various State variations of the guidelines are expected to reduce to pave the way. towards the future unified Guidelines,Use of Other Guidelines. These Guidelines have been prepared after considering numerous other Guidelines available in Australia and. overseas Both words and concepts found in the other Guidelines have been used when appropriate. sometimes with changes to terminology or methods of measurement Since very similar concepts and. requirements are covered by many different guidelines a clause by clause reference to other guidelines would. be impractical A short list of other Guidelines reviewed for the preparation of these Guidelines can be found. under References and Further Reading in each section of the Guidelines Nothing in these Guidelines. implies or guarantees compliance with every requirement of those other Guidelines. These Design Guidelines as well as the Guidelines Web Site have been prepared by. Health Projects International Pty Limited HPI for the Department of Human Services Victoria DHS. Suite 1 Ground Floor 68 Alfred Street Milsons Point NSW 2061. Tel 02 9460 4199 Fax 02 9460 4299 www hpi net au healthpi ozemail com au. DHS The Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres.
Issue 1 Page 2 of 426,Index Page No,Part E Building Services and Environmental Design. 1 Engineering Services General 4,2 Electrical Systems 7. 3 Communications 11,4 Security Systems 12,5 Lifts and Escalators 13. 6 Heating Ventilation and Air Conditioning 15,7 Ancillary Mechanical Services 34. 8 Hydraulic Systems 35,9 Fire Systems 41,10 Medical Gas Systems 42.
11 Structural Design 44,Part E Building Services and Environmental Design. 1 ENGINEERING SERVICES GENERAL, 1 1 00 This Guideline is performance oriented for desired results It is assumed that. accepted engineering practice relevant codes and statutory regulations will be. observed as part of normal professional services and that these aspects. require no specific reference, This Guideline is not intended to restrict innovation In some circumstances it. may be desirable to exceed the prescribed minimum standard. 1 2 00 Engineering services in health care facilities shall satisfy general comfort. demands health procedure and patient care relevant requirements. 1 3 00 An important role of engineering services is controlling specific risks. characteristics within a particular Health Care Facility Engineering services. become part of the complex risk management environment which includes. many other factors such as maintenance and management The optimal. solution is the structuring of risk management to suit the potential risks. specifically for the facility and financial circumstances that will vary among. This guideline cannot cover all engineering options or define the requirements. of a risk management system for engineering services These systems should. be developed during the design phase of the project. 1 4 00 As energy efficient solutions are becoming increasingly important further. requirements are proposed for inclusion in the BCA in the near future Some. energy efficient solutions based on good engineering and general project. development approach do not necessarily increase capital costs. The provision of most energy recovery equipment does increase capital costs. of the project therefore life cycle cost analysis will be required to justify. additional expenditure and application of this equipment will depend on budget. 1 5 00 It is not the intention of the Guideline to cover every aspect of public and. private health facilities Project specific issues that are expected to be covered. in the project brief include,Involvement of affected stakeholders. Nomination listing of critical and sterile areas including unacceptable risks. Application of energy recovery systems life cycle cost analysis and other. financial requirements,Provisions for foreseeable modifications.
Emergency power distribution,Facility specific requirements. Specific risks and risk management policy,Trade wastes. Service requirements for health care equipment,Specific Management and Maintenance requirements. Critical safety and performance parameters required being included into the. maintenance regime, 1 6 00 Healthcare procedure specific equipment is excluded from the engineering. services as the service contractors usually do not provide them Engineering. services shall be provided as necessary to suit equipment. DHS The Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres.
Issue 1 Page 4 of 46,Part E Building Services and Environmental Design. 1 7 00 The engineering services are divided to the following main categories in. alphabetical order in the Guideline,Ancillary mechanical services. Communication,Electrical power,Fire Services, HVAC Heating Ventilation Air conditioning Services. Hydraulic services,Lift and escalator services,Medical gases. Structural, 1 8 00 Types of services shall be easily identifiable.
1 9 00 Engineering services shall comply with relevant applicable legislations and. this Guideline For a list of relevant legislation pertaining to HVAC Medical. Gases and Hydraulic Services refer to Enclosure E2. 1 10 00 Other guidelines are mandatory by other authorities For a comprehensive list. refer to Enclosure E2, 1 11 00 Services or their loss shall not cause any unacceptable hazard The. particular risks involved with patients and healthcare procedures shall be. considered Where loss of service could cause unacceptable risk including. post disaster function services shall be continuously available and provide. reliable operation, 1 12 00 All services shall satisfy the facility specific healthcare procedure. requirements patients and other occupants needs All services shall be. designed and installed in a manner that will minimise the opportunities for. patient self harm, All services shall satisfy comfort requirements as determined in Enclosure E1. including acceptable noise, 1 13 00 All services shall be designed for safe usage and maintenance. Maintenance shall only cause acceptable minimal disruption to healthcare. procedures and minimal disturbance to patients, 1 14 00 Access points are recommended to be located outside patient areas and.
thoroughfares to avoid patient disturbance and frequent traffic. 1 15 00 No services shall create a hazard to or damage the environment. 1 16 00 Services shall be designed for minimal dust collection and easy cleaning. DHS The Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres. Issue 1 Page 5 of 46,Part E Building Services and Environmental Design. 1 17 00 All services shall be energy and cost efficient within the budgetary limits of the. project The requirements of Energy Efficient Government Buildings. Sustainable Energy Authority Victoria should be incorporated into all aspects. of the design and construction whenever possible, 1 18 00 Operation monitoring and control of services shall suit the specific patient and. healthcare procedures needs of the area serviced Controls generally shall be. tamperproof, As built drawings and detailed Operation and Maintenance Manuals shall be. supplied at the end of a project The drawings shall be clearly marked AS. BUILT in large lettering and submitted to the health care facility. At the completion of the works or section of the works testing shall be carried. out to prove the suitability and operation of the works or section of the works. and that the installation complies in full with the requirements specified Tests. shall be conducted to NEBB or equivalent standard and complete and detailed. results shall be submitted for review, 1 19 00 All equipment shall be suitable for the environment where they are located.
and operate including temperature and pressure and for the material they. General acoustic requirements acceptable noise levels shall comply with. DHS The Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres. Issue 1 Page 6 of 46,Part E Building Services and Environmental Design. 2 ELECTRICAL SYSTEMS,Minimum Standards, 2 1 00 The minimum requirements for the provision of electrical installations in Health. Care Facilities shall be those listed in Enclosure E1. In addition to the minimum requirements and depending upon the type of the. facility and installed services the following Australian Standards shall apply. Energy Efficient Government Buildings Sustainable Energy Authority. AS 3011 Electrical Installations Secondary batteries installed in buildings. AS 2676 Guide to the installation maintenance and testing of secondary. batteries in or on buildings,AS 2430 Classification of hazardous areas. AS 2243 7 Safety in laboratories electrical aspects. AS NZS 1680 4 Maintenance of electric lighting systems. AS 1768 Lightning protection, AS 1169 Minimising of combustion hazards arising from the medical use of.
flammable anaesthetic agents, All clauses outlined in the following section shall be in addition to statutory. requirements,Submains for Critical Care Services, 2 2 00 Standby lighting and power systems to AS 3009 shall be provided in critical. care areas, Light and general purpose power outlets in critical care areas shall have. dedicated submains originating from the main switchboard The switchboard. and submains shall be configured to ensure continuous availability of. electrical supply by means of an essential section on the switchboard. Two dedicated submains circuits shall be provided for each critical care area. At least one of the circuits shall be connected to the emergency generator. supply where installed Critical care submains cables are not required to be. fire rated Protection against mechanical damage shall be provided. Emergency power shall be connected to all critical patient equipment involved. in invasive subcutaneous procedures and diagnostic procedures High load. diagnostic equipment shall be fitted with low power modes where possible to. enable connection to a UPS This will allow clinical personnel time to. complete or finalise an invasive procedure without risk to the patient. DHS The Department of Human Services Victoria, Design guidelines for hospitals and day procedure centres. Issue 1 Page 7 of 46,Part E Building Services and Environmental Design.
Standby Power,2 3 00 The following factors shall be consider. Part E Building Services and Environmental Design All services shall be energy and cost efficient within the budgetary limits of the project The requirements of Energy Efficient Government Buildings Sustainable Energy Authority Victoria should be incorporated into all aspects of the design and construction whenever possible 17 00 General 1

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