Table of Contents

The SpaceMed Guide includes Preface, What's New in the Fourth Edition, Introduction, and Using This Workbook chapters followed by the fifteen facility component sections as described below:

Preface

What's New in the Fourth Edition?

Introduction

Current Facility Planning Issues
The Functionally Obsolete Hospital
Integrated Healthcare 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
Planning for Special Patient Populations
Space Conversion Factors
Building Codes

Facility Components

Section 1:   Emergency and Urgent Care Services

Section 2:   Surgical and Endovascular Services

Section 3:   Imaging and Other Diagnostic Services

Section 4:   Patient Care Units

Section 5:   Maternal and Infant Services

Section 6:   Behavioral Health Services

Section 7:   Rehabilitation Services

Section 8:   Oncology Services

Section 9:   Ambulatory Care

Section 10: Pharmacy

Section 11: Clinical Laboratory

Section 12: Customer Access Services

Section 13: Central Administrative Services

Section 14: Building Support Services

Section 15: Shared Staff Support Services


Appendices

Appendix A:  List of Common Spaces
Appendix B:  Summary of Space Conversion Factors
Appendix C:  Department Index

Description of Facility Components

Section 1: Emergency and Urgent Care Services can be used to plan a traditional hospital-based emergency department or trauma center, and adjacent or contiguous space for a nonurgent care/fast-track area, observation unit, and behavioral health crisis unit:

1.1   Patient Intake Area
1.2   Emergent/Urgent Care Area
1.3   Nonurgent Care/Fast Track Area
1.4   Observation Unit
1.5   Behavioral Health Crisis Unit
1.6    Common Clinical Support Space
1.7   Staff/Administrative Space

Section 2: Surgical and Endovascular Services can be used to plan integrated or separate hospital-based surgery and endovascular procedure suites, or an ambulatory surgery center, including traditional operating rooms, hybrid operating rooms, and interventional procedure rooms:

2.1   Patient Intake Area
2.2   Pre-Procedure Care Unit/Phase II Recovery Area
2.3   Post-Anesthesia Care Unit/Phase I Recovery Area
2.4   Surgery Suite (Hospital)
2.5   Surgery Suite (Ambulatory Surgery Center)
2.6   Endovascular Procedure Suite
2.7   Common Clinical Support Space
2.8   Staff/Administrative Space

Section 3: Imaging and Other Diagnostic Services can be used to plan space for general radiology, nuclear medicine/molecular imaging, and other diagnostic services — noninvasive cardiology, vascular studies, pulmonary functional testing, respiratory therapy, neurodiagnostics, and sleep disorders testing:

3.1   Patient Intake Area
3.2   General Radiology Area
3.3   Nuclear Medicine/Molecular Imaging Area
3.4   Other Diagnostic Services
3.5   Common Clinical Support Space
3.6   Staff/Administrative Space

Section 4: Patient Care Units can be used to plan traditional and acuity-adaptable medical/surgical nursing units, an intensive care unit for high-acuity patients, an intermediate care (stepdown) unit, and a hospital-based skilled nursing/rehabilitation unit:

4.1   Common Family/Visitor Support Space
4.2   Medical/Surgical Patient Care Unit
4.3   Intensive Care Unit
4.4   Intermediate Care Unit
4.5   Skilled Nursing/Rehabilitation Unit
4.6   Staff/Administrative Space

Section 5: Maternal and Infant Services can be used to plan a birthing unit, a cesarian delivery suite, an antepartum/postpartum nursing unit, and special care nurseries:

5.1   Common Family/Visitor Support Space
5.2   Birthing Unit
5.3   Antepartum/Postpartum Unit
5.4   Special Care Nurseries
5.5   Staff/Administrative Space   

Section 6: Behavioral Health Services can be used to plan outpatient behavioral health services, an intensive outpatient/partial hospitalization program (IOP/PHP), and an inpatient behavioral health unit:

6.1   Patient Intake Area
6.2   Outpatient Behavioral Health Services
6.3   Intensive Outpatient/Partial Hospitalization Program (IOP/PHP)
6.4   Inpatient Behavioral Health Unit
6.5   Staff/Administrative Space

Section 7: Rehabilitation Services can be used to plan hospital-based or freestanding physical therapy, occupational therapy, and speech and hearing services:

7.1   Patient Intake Area
7.2   Physical Therapy
7.3   Occupational Therapy
7.4   Speech and Hearing Services
7.5   Staff/Administrative Space

Section 8: Oncology Services can be used to plan medical oncology/infusion therapy and radiation therapy:

8.1   Patient Intake Area
8.2   Medical Oncology/Infusion Therapy
8.3   Radiation Therapy Suite
8.4   Staff/Administrative Space

Section 9: Ambulatory Care can be used to plan physician practice space or an outpatient clinic, a medical procedure unit (including space for endoscopy/special procedures and hyperbaric oxygen therapy), an ophthalmology/optometry suite, a dental suite, and a renal dialysis center:

9.1   Physician Practice/Outpatient Clinic
9.2   Medical Procedure Unit
9.3   Ophthalmology/Optometry Suite
9.4   Dental Suite
9.5   Renal Dialysis Center

Section 10: Pharmacy can be used to plan a hospital-based pharmacy, outpatient pharmacy, or a satellite pharmacy:

10.1  Hospital Pharmacy
10.2  Outpatient Pharmacy
10.3  Satellite Pharmacy

Section 11: Clinical Laboratory can be used to plan all components of a clinical laboratory, including outpatient specimen collection, a satellite laboratory, the core laboratory, transfusion services/blood bank, microbiology, molecular testing suite, anatomic pathology, electron microscopy suite, and a morgue/autopsy suite:

11.1  Outpatient Specimen Collection/Satellite Laboratory
11.2  Core Laboratory
11.3  Microbiology
11.5  Molecular Testing Suite
11.6  Electron Microscopy Suite
11.7  Anatomical Pathology
11.8  Morgue/Autopsy Suite
11.9  Common Laboratory Support Space
11.10  Staff/Administrative Space

Section 12: Customer Access Services can be used to plan a central reception area, patient intake services, a patient resource center, spiritual/pastoral care, a coffee shop, a gift shop, and support space for volunteers:

12.1  Central Reception Area
12.2  Patient Intake Services
12.3  Patient Resource Center
12.4  Spiritual/Pastoral Care
12.5  Coffee Shop
12.6  Gift Shop
12.7  Volunteer Support Space

Section 13: Central Administrative Services can be used to plan a central administrative office suite, health information management, and human resources:

13.1  Central Administrative Office Suite
13.2  Health Information Management
13.3  Human Resources
13.4  Common Support Space

Section 14: Building Support Services can be used to plan materials management, central sterile processing, food and nutrition services (dining, food preparation, warewashing, and storage), environmental and building maintenance services, and telecommunications equipment:

14.1  Materials Management
14.2  Central Sterile Processing
14.3  Food and Nutrition Services
14.4  Environmental and Maintenance Services
14.5  Telecommunications Equipment
14.6  Staff/Administrative Space

Section 15: Shared Staff Support Services can be used to plan a conference/education center, medical library, physician lounge/on-call suite, child daycare center, employee fitness center, and staff lockers/changing facilities, as follows:

15.1  Conference/Education Center
15.2  Medical Library
15.3  Physician Lounge/On-call Suite
15.4  Child Daycare Center
15.5  Employee fitness Center
15.6  Staff Lockers/Changing Facilities