Add a Lesson Learned

IT&S – Design

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

Security Camera Placement

Facility name: Brandon Regional Hospital

Project name: BRADON-052017M-Lakeland FSER
Location: BRANDON, FL
Project classification: Free Standing Emergency Room
Project type: FSED
Project number: 3091700021
Lesson Learned number: 108
Impact: Safety


Lesson Learned/Best Practice

Final placement of the security cameras with the generator yard was not ideal.  The view of the entrance door was blocked by the height of the generator itself.  Camera had to be shift toward the center of the enclosure to get a better view.


Suggested Actions for Future Projects

Review the security camera placement with HCA.  Then double check that there are no obstructions to that view (generators, trees, other large landscaping items, ceiling bulkheads, etc).  


Actions Taken / Current Status

HCA comment:  The best practice is to have HCA’s Physical Security staff to check the cameras after placement for obstructions.


Related files. Click to view/download.

File 1:
49743SecurityPlan.jpg

File 2:
94053ViewfromCamera.jpg

File 3:
60238ViewofCamera.jpg

Behavioral Health Card Reader

Facility name: Tristar Division Office

Project name: TRISTR-032018M-New Freestanding Behavioral Health Hospital (Maury)
Location: BRENTWOOD, TN
Project classification: Hospital – New
Project type: Psych
Project number: 3103000003
Lesson Learned number: 92
Impact: Cost, Quality, Safety


Lesson Learned/Best Practice

Team worked to identify a product during construction that was a vandal resistant, ligature resistant card reader and keypad combo unit. The keypad adds an additional layer of security if a card reader is stolen or grabbed from a staff member.


Suggested Actions for Future Projects

Include critical design decisions, lessons learned and HCA approved specs as part of the Behavioral Health Guidelines currently under development


Keywords

behavioral health, card reader


Related files. Click to view/download.

File 1:
49679bhcardreader.jpg

Coordination of project plans with facility low voltage system vendors

Facility name: Rose Medical Center

Project name: ROSEMC-032018M-Women’s Center Renovations
Location: DENVER, CO
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 2730000012
Lesson Learned number: 90
Impact: Cost, Schedule


Lesson Learned/Best Practice

There should be early front-end coordination with Vendors and Elect/LV trade partners.  With the “minor renovation” scopes, identifying all low-voltage systems and who is responsible can be challenging and lack of early front-end coordination can impact schedule and costs when bringing systems back online.


Suggested Actions for Future Projects

Existing equipment coordination would need to be managed between the GC and the facility DFM/ Director of IT&S.  Sugguested action would be a site walk of the area being renovated with the GC PM/Super and the Facility DFM/ITS Director.


Keywords

coordination, low voltage, rework, demo, renovation, medical equipment