Add a Lesson Learned

Medical Equipment – Design

Kitchen Exhaust Hoods

Facility name: Orange Park Medical Center

Project name: ORPKMC-102018M-Kitchen Expansion & Renovation
Location: ORANGE PARK, FL
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3091300034
Lesson Learned number: 165
Impact: Quality


Lesson Learned/Best Practice

Careful attention should be considered regarding the design of the exhaust hoods for kitchen equipment. Typically this scope of work is handled by an outside vendor that designs the system. We have experienced one of our hoods over the serving line Grill, that does not fully exhaust the heavy hamburger smoke, causing small amounts of smoke to roll out of the corners of the exhaust hood and out into the open serving area. Months of investigative efforts have resulted in adjustments/modifications to the system to correct this.


Suggested Actions for Future Projects

Any large smoke producing equipment should be kept against a perimeter wall that goes full height up to the exhaust hood. This approach is likely to reduce the possibility of a similar issue. 


Keywords

kitchen exhaust, smoke producing equipment

AHCA – Medical Equipment Drawings

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 150
Impact: Cost


Lesson Learned/Best Practice

AHCA requirements for Imaging equipment varies with each “team”. Typically, the specific details required by AHCA are not included in the site specific vendor drawings resulting in added scope and rework during the inspection process.


Suggested Actions for Future Projects

Medical Equipment vendors should incorporate known AHCA requirements for each specific team in the vendor documents for the project. 


Keywords

Medical Equipment, AHCA

Improved Lab Equipment Information

Facility name: Swedish Medical Center

Project name: SWEDIS-052018M-Hybrid OR Renovation
Location: ENGLEWOOD, CO
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 2710000029
Lesson Learned number: 133
Impact: Cost, Quality, Scope


Lesson Learned/Best Practice

The existing Lab Equipment (model numbers, infrastructure hook-ups, technical requirements, etc.) has to be assessed with a view to the new layout and design. This exercise is best performed by a Lab Equipment expert. At Swedish, ESa was asked to perform this equipment accounting function. It was not efficient, and it could have been more effective were a consultant or the Facility/Owner involved. 


Suggested Actions for Future Projects

HCA Equipment Manager shall quantify existing equipment and coordinate with the Architect/Engineer on the new layout. 


Keywords

Specialty Consultant, Lab Equipment, Equipment Layout

MRI Closet Ventilation

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 125
Impact: Scope


Lesson Learned/Best Practice

MRI closets require adequate ventilation between the penetration panel and the MRI space. Louvers were cut into the door after installation to meet this requirement.


Suggested Actions for Future Projects

Design documents should include louvers at MRI closet doors.


Keywords

MRI Ventilation

POU Cabinets near Door Openings

Facility name: UCF Lake Nona Medical Center

Project name: Lake Nona-102018M- New Hospital
Location: TALLAHASSEE, FL
Project classification: Hospital – New
Project type: Acute Care
Project number: 2689500001
Lesson Learned number: 124
Impact: Quality


Lesson Learned/Best Practice

POU cabinets are typically shown at doorways to clean supply rooms. When these are installed, they often conflict with the door swing pathway when the POU cabinet is open.


Suggested Actions for Future Projects

POU cabinet locations should be reviewed by design team and contractor to confirm these locations do not conflict with the door swing.


Keywords

OFE

Equipment Vendor Coordination on Long-Lead Time Projects

Facility name: Regional Medical Center Of San Jose

Project name: RMCSAJ-052017M-ASC(OP Surgery)
Location: SAN JOSE, CA
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 0838500026
Lesson Learned number: 44
Impact: Cost, Schedule


Lesson Learned/Best Practice

Need earlier coordination with Stryker.  We used the Stryker vendor drawings in the plans for initial planning/coordination, but once we brought Stryker into the conversation we found that some things had changed after the vendor drawings were issued, and this required some redesign, re-do of BIM coordination, and adjusting of some walls to meet the new standards/clearances.


Suggested Actions for Future Projects

Open up the conversation with vendors at the earliest stages of construction.  Have the design team update the vendor drawings when project is finally released for permitting on jobs with a long OSHPD lead time.


Actions Taken / Current Status

Sent to HCA Design Management and Equipment Management teams for follow-up action.

OFE Typical Master

Facility name: Medical Equipment Lessons Learned

Project name: Medical Equipment Lessons Learned
Location: ,
Project classification:
Project type: Other
Project number: 0000000000
Lesson Learned number: 10
Impact: Schedule


Lesson Learned/Best Practice

Develop OFE typicals to include standard item spec sheets and place under medical equipment area in e-Builder so that information can be accessed by Design teams during early design process


Suggested Actions for Future Projects

This typcial OFE spec sheet information should assist architects and engineers can access spec sheet information.

Hybrid Room Design Coordination

Facility name: Medical Equipment Lessons Learned

Project name: Medical Equipment Lessons Learned
Location: ,
Project classification:
Project type: Other
Project number: 0000000000
Lesson Learned number: 9
Impact: Quality, Scope


Lesson Learned/Best Practice

Begin design coordination of Hybrid rooms where multiple vendors are involved earlier in the process during SD 


Suggested Actions for Future Projects

Need to identify all vendors prior to schematic design and have detailed coordination lead by ME Manager with Design team, facility and vendors