Performance Work Statement (PWS)
Convert a Convention Center into an Alternate Care Site (ACS)
Target Audience: NFPA 99 Category 2 “Plus” Patient Space, which is defined as “activities, systems, or equipment whose failure is likely to cause minor injury of patients, staff, or visitors” (NFPA 99 para. 4.1.2) plus additional Category 1 provisions (Critical Care – risk of major injury or death) as relates to the specific needs of a COVID-positive patient on the ventilator (NFPA 99 para. 4.1.).
*USACE: Italicized fonts within this PWS are for directions or recommendations unique to the Government. They generally precede or follow bracketed sections or statements of the PWS. These bracketed sections can be left remaining in the PWS, or removed depending on the site specific conditions and needs. Please remove all brackets and italicized font before issuing to the Contractor.
1. GENERAL
This PWS provides minimum criteria for “sufficiency of care” to provide a rapid response to the expected need, therefore, it is critical that local authorities and/or Area Fire Marshal are involved in the development of the design and acceptance of this site.
The Contractor shall retrofit the selected space into an Alternate Care Site (ACS) to serve acute care (COVID-19) patients. This effort is to provide an Alternate Care Site meeting basic healthcare functions with an emphasis on patient isolation, infection control, fire protection and life safety. Advantages to the user of this space are greater patient density enabling a reduction in healthcare workers and faster construction time as well as greater use of prefabricated construction (e.g. portable bathroom trailers, conex for patient & support service spaces etc.). The ACS shall serve as a satellite patient ward supported by a nearby full service hospital. The local full service hospital would provide the logistics, materials and waste management support, nutrition care etc.
[The Contractor shall be responsible for the demobilization and removal/disposal of all facilities and equipment upon completion of this work and the restoration of the permanent site as necessary in order to return it to its original state.] This paragraph can be removed or edited as contract and site lease agreements dictate.
2. FUNCTIONAL REQUIREMENTS
2.1 Concept of Operations
The space shall serve as an Alternate Care Site (ACS) serving COVID-19 with isolation rooms in a suite configuration for acute care COVID-19 patients. Spaces are considered to be Category 2 “Plus”. Category 2 “Plus” is defined as NFPA 99 Category 2 (patient care “activities, systems, or equipment whose failure is likely to cause minor injury of patients, staff, or visitors”) (Reference NFPA 99 para. 4.1.2) PLUS additional Category 1 provisions (Critical Care – risk of major injury or death) as relates to the specific needs of a COVID-positive patient on the ventilator (NFPA 99 para. 4.1.). This Alternate Care Site (ACS) would act as a temporary satellite Ward supported by a nearby full service hospital. The Contractor shall divide the space into “zones” as such: Zone 1 - Utility zone at perimeter, Zone 2 – Support at Perimeter, Zone 3 – (Center) – Patient Care Area. The Contractor shall provide all temporary facilities in order to execute a fully functional ACS within the arena/convention center space. This includes facilities such as: toilets, showers, medical waste, pharmacy, general waste, hand-washing facilities, and other requirements included herein. Isolation tents shall be provided with dedicated exhaust in accordance with the following requirements.
2.2 Site Modifications Required
The following are the anticipated site modifications needed to convert a convention area space to an ACS. Site selection should be based on confirming the critical technical features to achieve minimum life safety and infection control standards.
The Contractor shall provide all necessary labor, materials, and equipment to provide the following equipment and temporary/portable facilities in order to convert the selected space into an ACS.
2.2.1 Patient Isolation Units for each Patient:
*Note: Multiple Patient Isolation Unit Options are available depending on availability and lead times of materials, labor, and pre-fabricated products. One of these solution types per site is preferable.
Prefabricated or Constructed
These units shall be Individual Treatment Room/ Pod Designs and conform, at a minimum, to the following requirements: Non-combustible or limited combustible structures or fire or flame retardant tent structures that conform to NFPA 701. Medical tents are permitted, but shall conform to the aforementioned NFPA and flammability requirements. The Contractor may elect to construct the isolation rooms. Floor area (size) of patient isolation units shall be approximately 100 square feet and have dimensions of 10’(width) x 10’ (depth). Units shall have a large single or double access door (sliding doors preferred) with vision window to accommodate a mobile bed. Floor and wall surfaces shall be cleanable and washable for disinfection. Each room/pod shall be ducted and connected to a negative isolation exhaust system. The Contractor shall provide a free-standing headboard or wall area for each patient isolation room/pod for the installation of receptacles, ductwork, and wall-mounted equipment. Wall materials shall be non-combustible or limited combustible. Wall and ceiling finishes for room/pods constructed on-site or with solid surfaces shall have a Class-A rating.
2.2.2 Temporary/Portable Facilities to Support Patients & Medical Staff:
Hand washing sinks should be provided within patient areas for hand-washing: The Contractor shall provide 1 sink per 2 or 3 patient isolation room/pods. Temporary/portable hand-washing station shall have the ability to maintain hot water in accordance with all applicable codes/requirements. The Contractor shall either utilize the site’s potable water/wastewater utilities and tap into these utilities where practicable OR provide the services to provide potable water and wastewater disposal services at a rate of 15 L/per day per Patient & Caregiver. Temporary/portable structures shall be comprised of non-combustible materials and shop drawings/product data sheets shall be submitted to the Government for review and approval. Contractor shall take care that potable/sanitary lines do not interfere with ingress/egress and shall utilize means and methods (e.g. lift stations, etc.) as required by the site-specific conditions in order to achieve this.
Entrance and exit vestibules: Dedicated vestibule to be constructed for staff donning and doffing (PPE) with one designated on the “DIRTY” side and another on the designated “CLEAN” side of the block or module layout. The vestibule size, arrangement and door locations must be capable of accommodating a bed/gurney or stretcher. Other entrances shall also be provided for designated patient and delivery entrance.
Temporary/portable toilet rooms (Staff Only): The Contractor shall provide and install temporary/portable toilets with sinks to be located within the site in close proximity to the patient areas. The number of toilets shall be 1 per 20 people and ADA compliance as required. The total number of temporary/portable units is based on the Contractor’s selection per the International Plumbing Code (IPC) with respect to the design/construction of the individual units (i.e. 2 toilets/sink per trailer, etc.). These temporary/portable facilities shall be tied into the existing potable/wastewater utilities where practicable. If this is not practicable, then the Contractor shall provide the services to maintain adequate potable water and waste disposal services for the duration of this requirement. Contractor shall take care that potable/sanitary lines do not interfere with ingress/egress and shall utilize means and methods (e.g. lift stations, etc.) as required by the site-specific conditions in order to achieve this.
Temporary/Portable Showers (Staff Only): The Contractor shall provide and install temporary/portable showers and locker rooms to be located within the site in close proximity to the patient areas. The total quantity of individual showers shall be based on a need of 3 people per hour for 24 hours and ADA compliance is required per IPC. The total number of temporary/portable units (i.e. 4 showers per trailer/conex, etc.) is based on the Contractor’s selection of the design/construction of the individual units. Contractor shall take care that potable/sanitary lines do not interfere with ingress/egress and shall utilize means and methods (e.g. lift stations, etc.) as required by the site-specific conditions in order to achieve this.
*Note – The following paragraphs may need to be edited contingent on the agreement with the supporting medical care facilities for the operation of laundry/linens/medical waste/general waste. They may be supported by the site and their existing service contracts OR operated by the Contractor.
[Temporary/Portable Laundry: The Contractor shall provide and install a temporary/portable laundry facilities to be located within the site in close proximity to the patient areas. Laundry facilities shall include automatic washer & dryer (separate or two-in-one style units) and be able to service 250 sets of clothes daily for all patients and caregivers. Water & sanitary sewer shall be tied into the site’s existing potable and sewer utilities where practicable. If not practicable, the Contractor shall provide services for potable water provision and wastewater disposal as necessary to allow for full functionally as described above. Contractor shall take care that potable/sanitary lines do not interfere with ingress/egress and shall utilize means and methods (e.g. lift stations, etc.) as required by the site-specific conditions in order to achieve this.
Temporary/Portable Soiled Linen Room: The Contractor shall provide and install temporary/portable soiled linen storage to be located inside the treatment space in close proximity to the patient areas. Storage facilities shall be considered hazardous areas per NFPA 101. Provisions shall be provided for protection.
Temporary/Portable Clean Linen Room: The Contractor shall provide and install temporary/portable clean linen storage to be located inside the treatment space in close proximity to the patient areas.
Temporary/Portable Soiled Utility: The Contractor shall provide and install temporary/portable soiled utility with a bedpan washer and service sink inside the treatment space in close proximity to the patient areas.
Temporary/Portable Clean Utility: The Contractor shall provide and install temporary/portable clean utility to be located inside the treatment space in close proximity to the patient areas.
Temporary/Portable Bio Hazard Waste Storage: The Contractor shall provide and install temporary/portable Hazardous Material Storage area. This storage area will be used to hold the following but not limited to highly infectious material and substances, low level radioactive waste, cytotoxic waste, chemical and pharmaceutical waste. This storage space must be leak proof and puncture proof. This storage space must be lockable and away from food prep and/or storage. Refer to ICRC Publication on medical waste for more information.
Temporary/Portable Gas Cylinder Storage (Med Stg): The Contractor shall provide and install temporary/portable medical gas storage to support the patient areas. Temporary/portable structure shall be fabricated from non-combustible materials and conform to all applicable local/state/federal transportation and utilization criteria and laws. Medical gases required for this ACS will be: Oxygen (O2). Med gas storage facilities shall be considered hazardous areas per NFPA 101. Provisions shall be provided for protection based on quantity. Separation of full / empty tanks with appropriate signage, tank restraints or holding container per code.
Temporary/Portable Ice Machines: The Contractor shall provide and install temporary/portable ice machines in order to provide ice at a rate of 5 lbs./day per patient, not to exceed 3,100 lbs./day. The Contractor shall tie the temporary/portable ice machine into the site potable water utility where practicable. If not practicable, the Contractor shall supply the ice machine with potable water in order to fulfill the requirements above. Contractor shall take care that potable/sanitary lines do not interfere with ingress/egress and shall utilize means and methods (e.g. lift stations, etc.) as required by the site-specific conditions in order to achieve this.
Temporary/Portable Medical Waste: The Contractor shall provide and install temporary/portable medical waste facilities for the collection, storage, and removal of medical waste generated by this ACS. Medical waste storage facilities shall be considered hazardous areas per NFPA 101. Provisions shall be provided for protection.
Temporary/Portable General Waste: The Contractor shall provide and install temporary/portable general waste facilities for the collection, storage, and removal of all general waste generated by this ACS.
Temporary/Portable Medication Room: The Contractor shall provide and install temporary/portable general storage and assembly space for nurses to distribute medication required for patients in isolation care pods located directly behind nurse station.
Temporary/Portable Nourishment Room: The Contractor shall provide and install temporary/portable general storage and assembly space for nurses to assemble meals and nourishment for isolation care pods located directly behind nurse station.
Temporary/Portable Alcove Space: The Contractor shall provide and install temporary/portable general equipment alcove space for nurses and doctors to have access to necessary equipment (Crash Cart, AED, Stretcher/litter, Wheelchair, Blanket Warmer and Portable X-Ray - Provide by others) within the treatment care area.
Temporary/Portable Break Area: The Contractor shall provide and install temporary/portable designated area for nurses and doctors to take breaks located directly behind nurse station.
Temporary/Portable Team Collaboration Room. The Contractor shall provide and install temporary/portable designated area for nurses and doctors to have meetings to be located within treatment space in close proximity to the patient areas.
Temporary/Portable Staff Toilet Room: The Contractor shall provide and install temporary/portable single occupancy toilet room with ante room (for donning & doffing) to be located inside treatment space in close proximity to patient areas.
Temporary/Portable Hand Washing Stations: The Contractor shall provide and install temporary/portable hand washing stations to be placed in required locations with Site. Provide one (1) hand washing station per 2 or 3 rooms/pods for staff use inside treatment space.
Temporary/Portable Equipment Room: The Contractor shall provide and install temporary/portable general storage room for medical equipment with shelves to be located inside the treatment space in close proximity to patient areas.
Temporary/Portable Respiratory Therapy Decontamination Room: The Contractor shall provide and install temporary/portable decontamination space for the cleaning and disinfection of ventilators, to be located inside the treatment space in close proximity to patient areas.
Temporary/Portable Point of Care Laboratory: The Contractor shall provide and install temporary/portable laboratory to be located inside treatment space in close proximity to patient areas.
Temporary/Portable Janitor Closet: The Contractor shall provide and install temporary/portable janitor’s closet with mop sink, shelf and custodial equipment rack to be dedicated and located inside the treatment space in close proximity to patient areas.
Nurse’s Stations: The Contractor shall provide and install centralized nurse’s stations that can be fully equipped (by others) to accept all required equipment and materials for full-functionality of a typical primary-care site Nurses Station IAW NFPA 99.
All temporary/portable facilities listed above can be, but are not limited to, prefabricated units (“off the shelf”), “conex”-type units converted for the uses required above, custom-build units for the applications required above, or a combination thereof. The units shall be fire-rated and comprised of sturdy, non-combustible, washable, materials that can be maintained and disinfected.
3.0 Architectural
The Contractor shall, prior to mobilization and execution of the facilities and spaces described above, place rubber, sheet vinyl, or other acceptable material that has the ability to be seamless (welded seams or other method of achievement) as the flooring for the entire space, including temporary/portable support facilities. Floor covering materials shall not be of the highly combustible nature. The proposed flooring material shall be washable and cleanable while maintaining a safe, non-slip surface.
The Contractor shall provide individual room arrangements meeting patient room criteria. Arrangement of Patient care shall be such that each patient isolation pod maintains full visibility from the nurse’s station. This could be, but is not limited to, a layout where there is a centralized nurse’s station surrounded by patient isolation pods on three sides to form a patient “block.” The Contractor shall propose a layout that maximizes patient density while maintaining ingress/egress requirements, NFPA 101 Life Safety Code Requirements, patient access and visibility requirements, and ensures temporary/portable support facilities can be maintained in close proximity to the patient zone. The minimum corridor/walkway widths shall be 8 feet. An approved vision panel (s) shall be required in all doors. These patient care modules can be aligned/configured/ arranged in rows or larger groupings to create multiple and larger capacity patient care.
Each patient area or “block” shall contain pods/tents for isolation patients, nurse station with monitoring station, team collaboration room, laboratory, medication room, decontamination, gas cylinder storage, clean utility, break room (respite area) , janitors closet and all necessary equipment (Crash cart, Blanket warmer, wheelchair, patient lift, portable x-ray and circulation, hand washing stations and vestibule for donning and doffing. Acute patient beds need to have the capability to raise/elevate both the head and feet of the acute patient.
Contractor must provide Isolation pods that have HVAC ducting and HEPA filtering (See Mechanical Section for more information)
Contractor must include designated space(s) for Mechanical, Electrical and Tele-communication services.
Contractor shall provide headwalls for each isolation patient room/pod sized for the full width and height of rear/wall for the installation of electrical outlets, data outlets, equipment, and optional wall mounted light fixture and mechanical ductwork (support).
Provide a full size mockup of an isolation pod to establish the configuration of all other pods. Include the headwall and all disciplines (electrical, mechanical, communication, fire protection etc.) along with temporary furnishing to validate the space configuration and functional intent. Lighting and HVAC (exhaust) must be functional in order to validate the transfer air inlet configuration and exhaust configuration to maximize ventilation effectiveness and achieve the negative pressure required. Internal heat loads of 500 watts should be simulated.
4.0 Mechanical
Provide, install, and maintain all labor, equipment, and materials as described herein: Isolation pods (grouped in suites) must be served by an isolation exhaust fan unit with HEPA filter discharging to the outside of the site. Alternatively, HEPA filtration at each pod/unit may also be utilized through the use of a fan filter unit or similar device (without the fan). Consider the supply chain for HEPA filters in the configuration selected as manufacturers are advising that the panel style filters (for fan filter units at the room level) may be more readily available than box style filters for AHU’s. The Contractor must achieve the ASHRAE 170 requirement of 0.01 inches water gauge to meet patient isolation requirement. Each patient pod must be provided with 12 air changes per hour of exhaust but not less than 200 cfm to maintain space conditions and negative pressurization. Make-up air to the pods may be provided from the site’s central systems as transfer air. Provide transfer air through an adjustable intake damper(s) in each pod mounted opposite the exhaust in a location(s) to maximize ventilation effectiveness. Provide an adjustable/lockable intake damper to facilitate TAB ensuring both minimum air changes and the required space pressurization are provided for.
The isolation exhaust fan unit should be located as close to the building exterior as possible to minimize any positively pressurized duct in the building and discharge a minimum of 25 feet away from air intakes, doors and other building openings. Where short runs of positively pressurized duct need to be within the site, they must be sealed IAWS MACNA duct leakage Seal Class A. Duct to the isolation suites should be supported at least 10ft above the finished floor level or as needed to facilitate egress and utility corridors. At the isolation pods, the exhaust intake shall be installed in the patient headboard to optimize capture and ventilation effectiveness.
The Contractor shall validate and, if necessary, adjust, test, and balance the existing site HVAC systems to ensure patient comfort considering the number of patients and caregivers in the site. Space temperature requirements are 68 deg. F winter and 72 deg. F, with maximum relative humidity of 60% summer. Lower than standard space temperatures are required as the pods rely solely upon transfer air for pod ventilation and conditioning. Provide supplementing space cooling as needed to achieve the temperature requirements.
The Contractor shall adjust, test, and balance the existing Arena AHU systems to minimize exhaust/relief air and maximize outside air to ensure sufficient make-up air is available to account for the additional exhaust at the isolation pods (100% outside air is to be achieved). This shall be performed by qualified HVAC specialist and a certified and accredited TAB specialist. The Contractor shall provide mechanical exhaust in order to route any shower, toilet, and laundry, and other applicable temporary/portable support site exhaust to the exterior or other exhaust system. The isolation exhaust system shall not be used for any wet exhaust (e.g. shower or laundry) as the moisture may degrade the HEPA filters.
The maintenance of the existing site AHU’s is the responsibility of others.
5.0 Electrical
This section establishes site requirements for patient care in pod tents and beds within open bays, including nurse stations open to the super-structure above. These are patient care spaces defined by NFPA 70 article 517.2, and not buildings or structures defined by NFPA 70 article 100. Where buildings or structures are utilized, for example panel/structural/containerized pods, temporary showers/laundry/storage, etc.; adjust requirements below to comply with NFPA 70, Chapter 2, Outside Circuits and Feeders, Services, Grounding and Bonding. Minimum conductor sizes, the addition of service panels, and special grounding may be required to comply with code depending upon the design. Intent of this PWS is to provide a cost effective, quickly constructible electrical system, in compliance with all national/state/municipal codes; if conflicts, codes govern.
The Contractor shall provide and install the electrical system for the period of performance. The Contractor shall provide an NFPA 110, type 10, level 1, emergency generator on a flatbed or on pad with skid mounted tank. Contractor to provide fuel supply in order to maintain continuous operation of generator for 24 hours before refueling. Contractor must meet state and local fuel containment requirements. The Contractor shall provide exterior switch board with automatic transfer switches; and connect switch board to generator power and site normal power to create an NFPA 99, chapter 6, type 2, essential electrical system. If the site does not have normal power, normal power has insufficient capacity, or normal power does not have the required versatility; upgrade normal power as required, including the service transformer and medium voltage service to the service transformer. Depending upon existing, a separate normal power switch board may be required. The Contractor shall comply with all municipal codes, including NFPA 70, 99, and 110. The electrical system must be installed to operate for the duration of the emergency and may be installed under NFPA 70 article 590, Temporary Installations, if code compliant. The generator may be configured as a second service as allowed by NFPA 70 article 230.2A, for “special conditions”.
If the existing site is an NFPA 101 assembly occupancy, for example an arena, it should have an existing emergency generator supplying NFPA 101 emergency lighting and NFPA 70 alarm and alerting systems. If this system qualifies as part of the life safety branch, it may remain as is. If the site does not have a life safety branch, or if the branch is insufficient to connect new loads, the branch must be provided as part of the essential electrical system within the site with panels located as needed. Confirm and or connect all life safety loads to life safety branch panels.
The Contractor shall provide two power distribution panels in each “pod” block, to supply patient beds in accordance with NFPA 70 article 517.18A. One shall be connected to building normal power, which is the normal branch. One shall be connected to the second generator switch board, which is the equipment branch. Panels shall be keyed to limit access. Provide a connection between ground busses in the two panels serving patient care areas, as required by NFPA 70, article 517.14.
Provide a circuit from each panel (normal and equipment branches) to each pod or bed. For NFPA 99 category 2, general care, patient beds, the circuits must be dedicated and provided with mechanical protection and redundant grounding in accordance with NFPA 70 article 517.13A. Medical grade armored cable may be considered. For NFPA 99 category 3, basic care, patient beds, the circuit connected to equipment branch need not be dedicated and both circuits need not include redundant grounding; therefore other NFPA 70 temporary wiring methods may be considered.
The Contractor shall provide patient bed “head boards”, for mounting of receptacles, switches, and boxes. Provide 8 receptacles for each category 2, general care, patient bed; 4 connected to normal power and 4 connected to equipment power. For each category 3, basic care, patient bed, provide 4 receptacles connected to normal power. In each patient pod with category 2, general care, patient bed, provide three light fixtures connected to equipment branch; one fixture shall be a night light, one a task light (300 lux) and one shall be an examination light (1100 lux). For category 3, basic care beds, provide the task light and night light only connected to equipment branch.
Type of light fixture and mounting depends on location, e.g. tent pod, hard surface pod or temporary structure, open bay beds against wall, free standing nurse station open to super-structure.
All other temporary and or portable facilities and or containers shall be provided with power and lighting. Free standing personnel stations, which are illuminated from the super-structure above, must also be provided with task lights and receptacles. Provide nurse stations with task lights (700lux) and receptacles circuited to equipment branch. Provide medication and laboratory with task lights (1100 lux) and receptacles connected to equipment branch. Showers and toilets shall be provided with general illumination connected to normal power, and with task lights connected to equipment branch. Temporary structures shall have lighting in hallway corridors and fixtures at exterior entrances connected to the equipment branch, except emergency lighting circuited to life safety. Connect laundry, if provided, to normal power.
Provide electrical connections to equipment in place and mechanical equipment, including heating and cooling equipment, water heaters, pumps, and isolation exhaust AHU’s. Connect isolation exhaust AHU’s to the equipment power. Connect other mechanical equipment to normal power.
Provide connection to life safety branch for fire detection and alarm system, emergency lighting, and other alarm and alerting systems. If a fire pump is required for the sprinkler system, it shall be provided with own listed controller.
Receptacles shall be duplex 20 ampere. Minimum size #12 branch circuits. No more than 6 receptacles in patient care areas shall be connected to a single circuit. Light fixtures shall be 90 CRI minimum. Illumination levels shall comply with IESNA unless more stringent levels are specified herein. Egress and emergency illumination shall be provided as required by NFPA 101. Provide independent switching for general, task, examination, and night lights.
Temporary power plan. The Contractor shall prepare a Temporary Power Plan, before beginning work, and make the plan available to the Government. Contractor is responsible for design, selection, and sizing of equipment to meet this PWS and municipal codes. Contractor shall prepare drawing(s) showing locations of all new equipment, connections to existing equipment, one-line diagrams with sizes, supporting calculations, and proposed installation methods for wiring and equipment.
6.0 Plumbing / Medical Gas
The Contractor shall provide and install water and sanitary services to serve the temporary/portable facilities as required and in accordance with the International Plumbing Code. Provide piped sanitary vent to the exterior. Provide sanitary collection tanks and lift stations as needed to continuously pump waste to a sanitary sewer connection, to avoid the need for gravity drainage, enabling routing of utilities without obstruction of egress areas.
Medical gas needs will be met for some duration utilizing only portable bottles and therefore hazardous storage areas shall be provided. Patient daily demands for storage and logistics considerations is estimate at 25,000 liters per patient per day.
Provide piped oxygen systems to all patient pods/units compliant with NFPA 99 as a Category 1 system. Separate systems must be provided for clusters of pods, with each system serving no more than 100 patients. Each system must be piped to an outside connection point where it is feasible to site a bulk oxygen tank with vaporizer (coordinate connection styles and location with a bulk oxygen supplier). Provide one oxygen outlet per patient bed at 20 liters/min. Connection style to be coordinated with the State Health department. No diversity should be applied to the design demand. Medical gas verifier must not be hired by the installing contractor but shall be hired directly by the prime contractor. Provide an emergency oxygen supply connection on the building exterior near a loading dock or other logical connection point. Valves and pressure control devices must be in accordance with NFPA 99. A zone valve box with area alarm must be provided for each block of single patient spaces (approximately 16 patients). Master alarm must be provided at the main Nurse Station. Area alarms must be both at the Nurse Station (serving the block) and at the master alarm panel.
7.0 Fire Protection / Life Safety
This is a conceptual design, therefore, it is critical that local authorities and/or Area Fire Marshal must be involved in the development of the final design and acceptance of this site.
The following items must be coordinated with the local authorities and/ or Area Fire Marshal prior to acceptance of this site.
• Provide a Fire Safety Plan in compliance with NFPA 101 or with local/State/Federal Regulations for each site.
• Dedicated fire watch must be provided 24/7 on-site. This fire watch person cannot be part of the medical staff.
• Medical staff and fire watch personal must be trained to the Fire Safety Plan.
• Fire department Operations
A life safety plan shall be provided prior to the beginning of work for review and approval by the Area Fire Marshall.
Fire extinguishers shall be provided in circulation corridors throughout the arena floor area IAW NFPA 10.
Manual fire alarm stations shall be extended into the arena floor area and located near nurses stations IAW NFPA 101.
Provide 120 Vac smoke alarm within each patient isolation pod with a remote visual/audible notification appliance on the exterior of the pod. This will assist nursing staff with identifying fire emergencies within the patient pods.
Provide 120 Vac smoke alarms within each hazardous room.
Contractor shall properly firestop all penetrations within the floor/ceiling assemblies and the corridor walls.
Circulation corridors shall be constructed and maintained to allow egress and circulation of patients. Equipment cannot block or inhibit egress. Travel distances from patient areas shall not exceed 100’ from any point to an exit access or to an adjacent module.
Not less than two exits shall be accessible from patient areas, and egress shall be permitted through adjacent patient areas modules, provided that the two required egress paths are arranged so that both do not pass through the same adjacent modules. Marking of means of egress shall be provided IAW NFPA 101. Dead ends are prohibited.
Nurse’s station shall be arranged to provide a direct line of sight of the patients and minimize staff travel distances and increase efficiency during code emergencies.
All plastic and tent fabric shall meet the flame propagation performance criteria contained in NFPA 701.
The Contractor shall provide the means to shut down the HVAC serving the tent pods, readily available to the nurse’s station.
Hazardous areas shall be separated from adjacent areas via 1 hour fire barrier and provided with ¾ hour fire rated doors and the room shall be less than 100 square feet.( i.e. central/bulk laundries, soiled linen, pharmacy, and bio-hazard waste.
Medical gas storage shall comply with NFPA 99.
8.0 Communications
The Contractor shall utilize broadband capabilities for clinicians to VPN into their regional center for health record accessibility and other needs. This VPN connection will enable leveraging the main hospital's cybersecurity posture. The Contractor shall provide and install wireless cameras throughout the floor for viewing at nurse stations. Existing outside plant cabling shall consist of 12 strand fiber optic cabling upgradable to at least 1 Gbps otherwise it shall be provided as part of the contract.
The open space will require enhanced wireless communications on the newly established clinical spaces. At least two lockable, breathable cabinets house PoE switches connecting to Wireless Access Points into existing power and data. Two RU, 48 port patch panels shall be provided to terminate ports from telecommunication outlets, WAPs, RTLS, VOIP phones and other devices. Additional cabinets are required per design for larger open spaces to meet actual port counts.
The Contractor shall provide a nurse call tone visual (NCTV) system with basic functions at each patient location and in bathrooms stalls. The NCTV system shall allow each patient to communicate with/signal to the nurse’s station and allows the nurse’s station to identify the specific patient/location of the call. The NCTV system shall be UL 1069 listed.
The Contractor shall provide VOIP telephones at each nurse work station and a fully populated Cat6A, RJ-45, 4 port telecommunication outlet. The Contractor shall install Cat6A, RJ-45, 4 port telecommunication outlet immediately adjacent to all patient bed locations. All ports will be terminated and ran back to the telecommunication cabinet patch panels. A non-essential outlet should include an internal USB charging port similar to hotels for patient devices at all bed locations. All category cabling shall be physically protected within conduit and/or cable trays.
The Contractor shall provide Real-Time Locating System (RTLS) system. RTLS provides location of patients, equipment and clinicians. Radio Frequency Identification (RFID) tags are placed on assets and their location can be pinpointed. The Contractor shall design RTLS and WAP antenna placement dependent upon architectural footprint. Install WAPS on no less than a grid of 500 square feet on supports at least 10’ above the floor. Cabling will be run so they are not a tripping hazard. RTLS accuracy shall be within 3 meters throughout the open floor patient space.
9.0 Schedule
The Contractor shall submit a schedule to the Government within 24 hours of Notice-To-Proceed (NTP).