Additional Key Words for Facility Suitability by Building Typology
The following are some overall key determining factors when considering a potential facility or typologies use an emergency treatment center:
Layout Factors
Life Safety
Healthcare Occupancies where patients will be sleeping or sedated have code requirements with respect to egress, sprinkler coverage, and fire alarm.
Clear Floor Space
Bed separation ranges from 5 feet per FGI and 6 feet per DPH guidelines.
Patient Privacy
Privacy between patients is a DPH requirement. Cubicle curtains or portable screens are potential solutions.
Soiled/Clean Separation
Separation of soiled and clean routes is important. Ideally, there is a service elevator to handle soiled waste streams and routes to disposal areas that are separate from clean routes and areas.
Width of Corridors
Bed and stretcher movement needs to be accommodated. PPE zones are ideally separate from patient bed areas.
Observation
Ideally the facility has the ability to accommodate observation through glass doors or cameras of patient treatment and centralized observation areas.
Support Staging
For Safe/secure rooms to prep and store medication and equipment
Building Infrastructure Factors
Medical Gases
1 Oxygen outlet*
1 Vacuum outlet (Or portable vacuum pump)
*Centralized oxygen delivery requires central storage in fire rated room and piping. Individual bottles with local connections are otherwise imagined.
Power
In-room power for medical equipment. Power for charging equipment is an alternative.
Backup generator or emergency power circuits are ideal.
Tel/Data connectivity is essential.
Sinks/Plumbing
The recommended frequency of sinks for PACU is 1 per 4 patient bay/cubicles. This could be waived with hand sanitizer.
Cleanability of Materials
Smooth, solid, non-porous surfaces are needed to maintain clean, disinfected facilities.
Other
Negative Airflow
Negative pressurization with air exhausted directly to the exterior enables more effective and safer separation of populations within healthcare facilities. If space allows, temporary vestibules can enable supplemental negative pressurization via HEPA filtration systems.
Typologies
Hospitals/Clinics (non-traditional inpatient)
Key Considerations
Clear Floor Space, Power
Notes: Includes Rehabilitation, Infusion/Dialysis, Recovery type spaces
Hospitality
Key Considerations
Gases, Power, Cleanability of Surfaces, Observation, Width of corridors (smaller hotels)
Notes: Possible temp negative pressure capability in private rooms
Retail
Key Considerations
Gases, Sinks/Plumbing, Clear Floor Space, Power, Soiled/Clean Separation, Support Staging, Life Safety, Patient Privacy
Laboratory/Science Building
Key Considerations
Clear Floor Space, Patient Privacy, Life Safety
Notes: Likely presence of exhaust/pressurization ability a benefit
Dormitory
Key Considerations
Cleanability of Materials, Supporting Staging, Sinks/Plumbing, Width of Corridors, Soiled/Clean Separation, Observation
Notes: Possible temp negative pressure capability in private rooms
School (K-12)
Key Considerations
Patient Privacy, Gases, Power, Sinks/Plumbing, Soiled/Clean Separation
