Add a Lesson Learned

Month: March 2021

Shipping and Storage Fees

Facility name: CJW Medical Center

Project name: CJWJWC-122018M-ORTHO/NICU Expansion (Johnston Willis)
Location: RICHMOND, VA
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3463200010
Lesson Learned number: 177
Impact: Cost

Cost impact: $4,100


Lesson Learned/Best Practice

It is critical for the General Contractor to do a better job of communicating with the Vendors and the assigned HCA Medical Equipment Manager when they know there is going to be a construction delay.  In the case of this project, the General Contractor notified the Furniture Vendor the evening before the delivery/installation was to occur the site was still not ready to receive the Furniture.  The Furniture had already been loaded into the delivery trucks and resources had already been allocated.  Because of the delay, a $4,100 handling fee was accrued, which the General Contractor will have to pay.


Suggested Actions for Future Projects

 General Contractor should ensure all parties, including vendors, effected by construction delays are properly notified in a timely manner. GC is responsible for any shipping or storage fees that might be issued due to a lack of early communication. 


Keywords

Medical Equipment, ITS, Unified Communications, vendor , schedule, delays

Neopod Shut Off Valve Access

Facility name: Menorah Medical Center

Project name: MENORA-092018M-Bed Tower Expansion
Location: OVERLAND PARK, KS
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 0972300007
Lesson Learned number: 176
Impact:


Lesson Learned/Best Practice

It was identified during the installation of the Neopod Staff Toilet Rooms, that access to the shut off valves was missing. The shutoff valves are located on top of the Toilet Room and are inaccessible through the gyp board that goes to deck. All of the Neopod Patient Toilet Rooms have shut off valves located in the corridor and have adequate access.


Suggested Actions for Future Projects

Coordinate required access for shutoff valves, etc to be outside of any prefabricated unit foorprint and add access panels as required..


Keywords

Neopod, BLOX, coordination, shutoff valves, water, access panels

In Dapt Needs from Steris for Rough In

Facility name: Menorah Medical Center

Project name: MENORA-092018M-Bed Tower Expansion
Location: OVERLAND PARK, KS
Project classification: Hospital – Horizontal Expansion
Project type: Acute Care
Project number: 0972300007
Lesson Learned number: 175
Impact: Schedule


Lesson Learned/Best Practice

Prior to In-Dapt starting their initial prefab install for the OR ceilings the Steris mounting plates and med gas pigtails are needed onsite.  During install In-Dapt will attach the mounting plates and pigtails to their ceiling system.


Suggested Actions for Future Projects

By means of the OFE Delivery Schedule worksheet, add a line item to identify the “needed on site by” date for delivery prior to In-Dapt Installation and include in pull planning schedule.


Keywords

OR Ceiling, Steris, In-Dapt, Schedule, OFE

Sound Testing Renovation Space

Facility name: P-SL Medical Center

Project name: PRSTLK-022017M-Pre-Op & Recovery
Location: DENVER, CO
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 2720000019
Lesson Learned number: 174
Impact: Cost, Schedule, Quality


Lesson Learned/Best Practice

When renovating existing space, recommend walking area before starting and if there are any noisy areas, take pre-sounds readings to show it was existing issue so can be addressed before end of project


Suggested Actions for Future Projects

When renovating existing space, recommend walking area before starting and if there are any noisy areas, take pre-sounds readings to show it was existing issue so can be addressed before end of project

 If there are existing systems that feed a space, obtain air readings prior to the start of construction in order to have air comparisons after final TB is conducted. In addition to traverse readings, it is necessary to test the entire system at all diffusers, VAVs, and even AHU itself for pressure testing, air exchanges, and sound levels. This is inclusive of all areas associated with the same air system, even outside the construction space. This is an important step in Design Development but even more crucial throughout each Phase of a project to obtain readings in locations that would not have been accessible during EDI. 


Keywords

Sound, Testing, Renovation, Pre-testing, Noise

ITS Equipment List

Facility name: Angel Medical Center

Project name: ANGLMC-032019AR-25 Bed Replacement Hosp
Location: FRANKLIN, NC
Project classification: Hospital – New
Project type: Planning
Project number: 2762500001
Lesson Learned number: 173
Impact: Quality, Scope


Lesson Learned/Best Practice

The IT&S Manager provided an equipment list in schedule/matrix format that was generated from the Architectural Profile and demonstrated all of the pertinent IT&S equipment that needed to be located & coordinated on the plans. This list was extremely helpful in ensuring that all IT&S equipment was accounted for properly. It allowed our engineers to make sure that adequate power & data were provided in the appropriate locations and should help in procurement, delivery, and installation at the end of the project.

 

Please note: I have the file that I can share. I tried to upload it with my first attempted submission but it gave me an error message. I will not try that again. Please reach out to kennethb@esarch.com if you would like to see this file.


Suggested Actions for Future Projects

Consider providing a similar IT&S equipment list to the Design Team on all future projects.


Keywords

IT&S, Equipment List, OFE, Owner Furnished Equipment

Collaboration between TV Installaer and Hill Rom

Facility name: Brigham City Community Hospital

Project name: BRIGHA-112016P1-ED Renovation
Location: BRIGHAM CITY, UT
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3441000003
Lesson Learned number: 172
Impact:


Lesson Learned/Best Practice

I was told the Hill Rom  Pillow Speaker was not working correctly with the TV. Hill Rom stated it was the TV Vendor’s fault, and Remar stated it was Nurse Call Vendors fault. The problem was resolved without project delay.


Suggested Actions for Future Projects

Ensure coordination between Nurse Call Vendor and TV Vendor during installations. If possible, schedule installation dates during or near same time frame.


Keywords

Coordination between TV Vendor and Nurse Call Vendor