Table of Contents
The SpaceMed Guide includes Preface, What's New in the Third Edition, Introduction, and Using This Workbook chapters followed by the sixteen facility component sections as described below. The workbook contains 362 pages and is spiral bound:
Preface
What's New in the Third Edition
Current Facility Planning Issues
The Functionally Obsolete Hospital
Rethinking the Facility Planning Process
Developing the Functional and Space Program
Optimizing Future Flexibility
Planning the Healthcare Campus
Using This Workbook
Functional Components
Organization of Each Section
Unique Space Planning Approach
Common Spaces
Space Conversion Factors
Building Codes
Estimating Construction Costs
Facility Components
Section 1: Emergency and Urgent Care Services
Section 2: Surgery and Special Procedures
Section 3: Imaging and Other Diagnostic Services
Section 4: Women and Infants Services
Section 5: Oncology Services
Section 6: Cardiovascular Services
Section 7: Rehabilitation Services
Section 8: Behavioral Health Services
Section 9: Patient Care Units
Section 10: Ambulatory Care
Section 11: Customer Services and Amenities
Section 12: Pharmacy
Section 13: Clinical Laboratory
Section 14: Central Administrative Services
Section 15: Building Support Services
Section 16: Shared Staff Support Services
Appendices
Appendix A: List of Common Spaces
Appendix B: Summary of Space Conversion Factors
Appendix C: Department Index
Section 1: Emergency and Urgent Care Services addresses the space requirements of a traditional hospital-based emergency department or trauma center. This section also addresses adjacent or contiguous space for a non-urgent care or a fast-track component as well as space for an optional observation/holding unit or a freestanding urgent care center, as follows:
1.1 Patient Intake Area
1.2 Emergent/Urgent Care Area
1.3 Nonurgent Care/Fast Track Area
1.4 Observation/Holding Unit
1.5 Urgent Care Center
1.6 Shared Support Space
1.7 Staff/Administrative Space
Section 2: Surgery and Special Procedures addresses the space requirements for a hospital-based surgery suite, including hybrid operating rooms, as well as facilities for outpatient surgery and special procedures requiring conscious sedation, as follows:
2.1 Patient Intake Area
2.2 Preoperative Care Unit/Phase II Recovery
2.3 Post-Anesthesia Care Unit/Phase I Recovery
2.4 Operating Rooms
2.5 Operating Room Support
2.6 Special Procedure Rooms/Support
2.7 Staff/Administrative Space
Section 3: Imaging and Other Diagnostic Services includes space templates for diagnostic imaging, nuclear medicine, interventional imaging, and other diagnostic services — pulmonary functional testing, respiratory therapy support, neurodiagnostics, and sleep disorders testing) — along with contiguous facilities for preparation and recovery, as follows:
3.1 Patient Intake Area
3.2 Diagnostic Imaging
3.3 Nuclear Medicine
3.4 Interventional Imaging
3.5 Other Diagnostic Services
3.6 Common Procedure Room Support Space
3.7 Staff/Administrative Space
Section 4: Women and Infants Services addresses the space requirements for a birthing unit, delivery/surgery suite, antepartum/postpartum nursing unit, and special care nurseries, as follows:
4.1 Common Family/Visitor Support Space
4.2 Birthing Unit
4.3 Delivery/Surgical Suite
4.4 Special Care Nurseries
4.5 Antepartum/Postpartum Nursing Unit
4.6 Shared Clinical Support Space
4.7 Staff/Administrative Space
Section 5: Oncology Services addresses the space requirements for medical oncology/chemotherapy infusion and radiation therapy, as follows:
5.1 Patient Intake and Support Services
5.2 Medical Oncology/Chemotherapy Infusion
5.3 Radiation Oncology
5.4 Staff/Administrative Space
Section 6: Cardiovascular Services addresses the space requirements for invasive cardiology, noninvasive cardiac diagnostic services, cardiac rehabilitation, and multidisciplinary physician practice space. The space planning template is organized as follows:
6.1 Patient Intake and Support Services
6.2 Noninvasive Cardiovascular Diagnostics
6.3 Interventional Cardiology
6.4 Cardiac Rehabilitation
6.5 Common Procedure Room Support Space
6.6 Staff/Administrative Space
Section 7: Rehabilitation Services addresses the space requirements for physical therapy, occupational therapy, speech-language pathology, and audiology services. This section can be used for planning hospital-based services as well as freestanding facilities, as follows:
7.1 Patient Intake and Support Services
7.2 Physical Therapy
7.3 Occupational Therapy
7.4 Speech-Language Pathology/Audiology
7.5 Staff/Administrative Space
Section 8: Behavioral Health Services addresses the space requirements for outpatient behavioral health services, inpatient behavioral health units, and partial hospitalization/day programs, as follows:
8.1 Patient Intake Area
8.2 Outpatient Behavioral Health Services
8.3 Inpatient Behavioral Health Unit
8.4 Patient Activity/Therapy Space
8.5 Staff/Administrative Space
Section 9: Patient Care Units addresses the space requirements for traditional and acuity-adaptable medical/surgical nursing units, an intensive care unit for high-acuity patients, a pediatric nursing unit, a hospital-based skilled nursing/rehabilitation unit, and an observation unit, as follows:
9.1 Common Family/Visitor Support Space
9.2 Medical/Surgical Nursing Unit
9.3 Intensive Care Unit
9.4 Pediatric Nursing Unit
9.5 Skilled Nursing/Rehabilitation Unit
9.6 Observation Unit
9.7 Shared Clinical Support Space
9.8 Staff/Administrative Space
Section 10: Ambulatory Care includes space planning templates for planning physician practice space or an outpatient clinic, an express testing center, a medical procedure unit, an ophthalmology suite, a dental suite, and a renal dialysis center, as follows:
10.1 Physician Practice Space/Outpatient Clinic
10.2 Express Testing Center
10.3 Medical Procedure Unit
10.4 Ophthalmology Suite
10.5 Dental Suite
10.6 Renal Dialysis Center
10.7 Staff/Administrative Space
Section 11: Customer Services and Amenities includes space templates for a central patient reception/intake area; admitting, registration, and financial services; a patient resource center; spiritual/pastoral care; a coffee shop; a gift shop; and support space for volunteers, as follows:
11.1 Central Reception/Intake Area
11.2 Admitting/Registration/Financial Services
11.3 Patient Resource Center
11.5 Spiritual/Pastoral Care
11.6 Outpatient/Retail Pharmacy
11.7 Coffee Shop
11.8 Gift Shop
11.9 Volunteer Support Space
Section 12: Pharmacy addresses the space needs of a central hospital-based pharmacy, a satellite pharmacy, and an outpatient/retail pharmacy, as follows:
12.1 Hospital Pharmacy
12.2 Satellite Pharmacy
12.3 Outpatient/Retail Pharmacy
Section 13: Clinical Laboratory addresses the space requirements for all components of a clinical laboratory, including central specimen processing, the core laboratory, transfusion services/blood bank, microbiology, and anatomic pathology, as well as outpatient specimen collection. This section can be used to plan a hospital-based or freestanding laboratory using automated instrumentation and analyzers or manual workstations, as follows:
13.1 Outpatient Specimen Collection
13.2 Central Specimen Processing
13.3 Core Laboratory
13.4 Transfusion Services/Blood Bank
13.5 Microbiology
13.6 Common Laboratory Support Space
13.7 Anatomic Pathology
13.9 Staff/Administrative Space
Section 14: Central Administrative Services addresses the space needs for a central administrative office suite, health information management, and human resources, as follows:
14.1 Central Administrative Office Suite
14.2 Health Information Management
14.3 Human Resources
14.4 Common Support Space
Section 15: Building Support Services addresses the space requirements for materials management, central sterile processing, food and nutrition services (dining, food preparation, warewashing, and storage), environmental and building maintenance services, and technology and communications equipment, as follows:
15.1 Materials Management
15.2 Central Sterile Processing
15.3 Food and Nutrition Services
15.4 Environmental and Building Maintenance Services
15.5 Technology/Communications Equipment
15.5 Staff/Administrative Space
Section 16: Shared Staff Support Services addresses the space requirements for a conference/education center, medical library, physician lounge/on-call suite, child day care center, employee fitness center, and staff lockers/toilet facilities, as follows:
16.1 Conference/Education Center
16.2 Medical Library
16.3 Physician Lounge/On-call Suite
16.4 Child Day Care Center
16.5 Employee fitness Center
16.6 Staff Lockers/Toilet Facilities
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