Add a Lesson Learned

Vendors

ADA Shower Pans

Facility name: Mercy Hospital

Project name: MERCYH-032019M-Inpatient Rehab Expansion
Location: MIAMI, FL
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 2611000022
Lesson Learned number: 183
Impact: Cost, Schedule, Quality


Lesson Learned/Best Practice

1. The existing dimensions in the contract drawings were incorrect for the bathroom walls. By the time we set the shower bases the walls were framed and hung. We had to add an additional ½” layer of tile backer to accommodate, and now we have a bump out detail that had to fill with thinset in order to hide the error in dimensions. 2. The tile substrate specified was 3/8” thick instead of the ¼” as on the Inpro details. This caused some issues with the alignment of the tile finish face and the finish of the vertical barriers of the shower base. We had to leave the tile backer further back and have our tile guys build out the delta in order to have the 3/8” material line up flush. 3. Inpro has a unique detail on their installation instructions showing a 1” air gap from the bottom of the tile backer to the receiver on the shower bases. Only the wall finish extends down to sit on the tile ledge of the shower pan. We had to reach out to Inpro to confirm if the air gap was needed and question if this could be an intrusion point for moisture. They advised us to disregard the air gap and said that that detail was only to be followed if we were using the solid surface paneling provided by Inpro as a wall finish material.


Suggested Actions for Future Projects

Conduct infield coordination meeting with all of the trades. Vendor (i.e. Inpro) to provide specific specs to the project. 


Keywords

Shower Pans, Inpro

Keying and Coring

Facility name: Woman’s Hospital Of Texas

Project name: WMHOTX-122018M-LDR, C-Section & Support Space Renovations
Location: HOUSTON, TX
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3431900019
Lesson Learned number: 169
Impact: Cost, Schedule, Scope


Lesson Learned/Best Practice

Existing facilities keying/coring system did not match the Allegion master specs. Required replacing levers and cylinders to integrate with facility’s existing keying system.


Suggested Actions for Future Projects

Review with facility during design prior to issuing Construction Documents. Design team to confirm with Design Manager direction.  Incorporate existing keying requirements in the specs on the front end should HCA determine that is the best course of action.


Keywords

Doors, Hardware, Keying, Schedule, Allegion

Oxygen Park Vendor Coordination

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: 166
Impact: Quality


Lesson Learned/Best Practice

Design team is typically asked to work with the O2 vendor when replacing the existing O2 park. However, the vendor does not work for the design team and is not typically willing to assist in a timely manner. 


Suggested Actions for Future Projects

If there is a need to replace the O2 park and the design team and facility are not getting timely responses from the vendor, HCA Engineering and DFM should be asked to step in and help facilitate the process.


Keywords

O2 park

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

Resinous Flooring in Coolers/Freezers

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: 155
Impact: Scope


Lesson Learned/Best Practice

On projects where a resinous flooring is specified for a kitchen space, typically the same product is specified for the coolers/freezers if these units do not come with flooring installed. The standard flooring product will not adhere properly in a cooler environment.


Suggested Actions for Future Projects

A separate product should be specified for cooler/freezer floors to prevent cracking and delamination in cooler temperatures.


Keywords

Flooring, Kitchen

Need better facilities move in coordination

Facility name: Medical City McKinney

Project name: MCMKNY-102017M-BH & Rehab Relocation
Location: MCKINNEY, TX
Project classification: Hospital – Horizontal Expansion
Project type: Psych
Project number: 3833300011
Lesson Learned number: 149
Impact: Schedule


Lesson Learned/Best Practice

Needed to have conducted a more comprehensive equipment/material move in plan/review


Suggested Actions for Future Projects

Conduct with construction and facility teams move in pull plan to go over all actions associated with equipment/material/personnel move in.


Keywords

Move in, equipment/materal delivery, pull plan

Existing Security review

Facility name: North Austin Medical Center

Project name: NRTAUS-022019M-Rehab/Peds Relocation
Location: AUSTIN, TX
Project classification:
Project type: Acute Care
Project number: 0822400025
Lesson Learned number: 128
Impact: Cost, Scope


Lesson Learned/Best Practice

Perform Site-Walk / Audit to determine adequacy of infant abduction system, door hardware, and security shown on drawings.


Suggested Actions for Future Projects

Owner’s infant abduction vendor needs to get involved during design phase if possible or as early as possible and verify that all systems integrating to the system are designed to function with the system. Coordination with facility to verify that each door is secured as needed would be beneficial.


Keywords

security, infant abduction system

OFE Schedule

Facility name: North Austin Medical Center

Project name: NRTAUS-022019M-Rehab/Peds Relocation
Location: AUSTIN, TX
Project classification:
Project type: Acute Care
Project number: 0822400025
Lesson Learned number: 127
Impact: Schedule


Lesson Learned/Best Practice

Keep lead time for OFE items in mind when planning projects. Typical 120 day lead time should be considered during initial planning phase. Notification to equipment vendors needs improvement for coordination with construction schedule. 


Suggested Actions for Future Projects

Notification of construction kickoff to equipment vendors needs improvement for coordination of long lead time items with construction schedule. Include OFE vendors in initial schedule development.


Keywords

owner furnished, equipment

Med Gas Capacity

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: 102
Impact: Cost, Schedule, Safety


Lesson Learned/Best Practice

Design/facility/vendor review of capacity of med gas tank farm to accommodate expansion per projects.


Suggested Actions for Future Projects

Confirm vendor (Airgas/PraxAir) will certify the system at current capacity with the addition of med gas added per project.


Actions Taken / Current Status

HCA comment: When adding additional service to the existing medical gas system  the design engineer is to review the scope of project with vendor to verify capacities.


Keywords

expansion, oxygen, addition

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