Add a Lesson Learned

Communications (Div 27)

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

Nurse Call Discrepencies

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: 168
Impact: Cost, Schedule, Scope


Lesson Learned/Best Practice

Facility and Division Nurse Call standards differed from HCA corporate standards.  There is no published document detailing division or specific facility standards.


Suggested Actions for Future Projects

Input from Division and Facility is required during design to determine which standard to follow.  Design team should confirm with HCA Telecommunications Manager prior to issuing drawings.  Consideration should be given to any future Nurse Call system replacement projects that may be done at the local level.


Keywords

Nurse Call, Telecommunications, Standards

Finish Upgrades Scope of Work

Facility name: Woman’s Hospital Of Texas

Project name: WMHOTX-122018P1-5th Floor Ante-Partum Buildout & Renovation
Location: HOUSTON, TX
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3431900010
Lesson Learned number: 167
Impact: Cost, Schedule, Scope


Lesson Learned/Best Practice

Scope not clearly defined on plans but required to perform specified activities; drywall touch up/finishing, removal of existing electrical devices to remain, plumbing fixtures needed to be removed prior to new flooring install, grab bars, mechanical grilles, sprinkler head relocations to accommodate new ceiling layout.

Finish plan shows new ceramic tile flooring and wall tile at existing patient room bathrooms. However, demo plan did not provide specific notes to remove all existing fixtures and division 10 items and reinstall for new finishes.


Suggested Actions for Future Projects

At a minimum, provide more detailed notes and callouts on construction documents, particularly on the demo drawings, where removal/reinstallation of existing items to remain should be picked up.  Best practice would be to walk each area and create a specific detailed plan showing all items and their locations for further detail and clarity.


Keywords

Finishes, Renovation, Demolition, Minor, Cosmetic, Fixtures, Existing to Remain

AHCA – Medical Equipment Cable Separation

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: 156
Impact: Cost


Lesson Learned/Best Practice

AHCA requires that all cabling located within an OR boom must be separated based on the voltage rating. 


Suggested Actions for Future Projects

Equipment vendor should provide jacketing for each type of cable within the boom to ensure all proper separation is maintained.


Keywords

AHCA, Medical Equipment

Evolving HCA standards

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: 148
Impact: Cost


Lesson Learned/Best Practice

With HCA’s ever evolving design standardization there needs to be a fixed point where design is frozen for each specific project. 


Suggested Actions for Future Projects

Document date and version of HCA standards utilized within CD drawing set,  validate HCA standards with planning manger, design manager, HCA engineering and construction manager.


Keywords

HCA Standards, MEP guidlines

Sign-off for Shutdown Process

Facility name: Aventura Hospital & Medical Center

Project name: AVENTU-New Tower
Location: AVENTURA, FL
Project classification: Hospital – Vertical Expansion
Project type: Acute Care
Project number: 3092000015
Lesson Learned number: 139
Impact: Quality, Safety, Scope


Lesson Learned/Best Practice

Ensuring that all existing utilities are up and fully functioning after shutdown is complete


Suggested Actions for Future Projects

Add line items on MOP form/paperwork for facility approval and completion of work. Prior to the shutdown occurring walk existing space with facility management personnel and have form signed at the beginning of the shutdown. After the work is complete and GC/sub believe the hospital should be back up and running re-walk all spaces with facility management personnel to confirm and have them sign off on the form saying they have walked and verified that the work is complete

Medical Equipment Data Requirements

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: 118
Impact: Cost


Lesson Learned/Best Practice

Imaging equipment vendors require live data drops immediately following mechanical installation to test and calibrate equipment.


Suggested Actions for Future Projects

Low voltage subcontractor should carry cost to patch in data drops for imaging equipment prior to all other drops.


Keywords

Medical Equipment, Data, Imaging

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


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