Add a Lesson Learned

Specialties (Div 10)

Long Lead Items on Accelerated Schedule

Facility name: Ogden Regional Medical Center

Project name: OGDNMC-012020M-New Rehab Unit
Location: OGDEN, UT
Project classification: Hospital – Shell Buildout
Project type: MOB
Project number: 3441500009
Lesson Learned number: 178
Impact: Schedule

Schedule impact: 25 days


Lesson Learned/Best Practice

For Projects with Accelerated Schedules and no time for Early Release of Long Lead Time Materials, verify materials can be obtained in time to meet the required schedule during Preconstruction.


Suggested Actions for Future Projects

Plan for Early Release of Long Lead Time Materials, Equipment (Contractor and Owner Provided including Equipment , IT&S and Unified Communications), review the need for these items early in the project development to review options for obtaining items in time to meet the required accelerated schedule.  Ensure to review these potential early items with DM and CM during RFP and design phases.


Keywords

Accelerated Schedule, Review Long Lead Material Items during Preconstruction, Request Substitutions during Preconstruction, Rehab

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

Helipad Fire Extinguisher

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: 152
Impact: Scope


Lesson Learned/Best Practice

The requirement for a fire extinguisher at the Helipad is often not included in the fire suppression or architectural drawings resulting in it being missed by the construction team.


Suggested Actions for Future Projects

The helipad fire extinguisher should be shown on the fire protection drawings.


Keywords

Helipad, Fire Extinguisher

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

Anti Ligature Toilet Accessories

Facility name: JFK Medical Center North Campus

Project name: WESTPL-032018M-Behavioral Health Expansion
Location: WEST PALM BEACH, FL
Project classification:
Project type: Psych
Project number: 3092300007
Lesson Learned number: 132
Impact: Cost, Scope


Lesson Learned/Best Practice

Anti-ligature toilet accessories (paper towel dispenser, toilet paper dispenser, soap dispenser) were listed as “owner furnish, contractor install” in the design specifications. While it is typical for the facility (owner) to provide toilet accessories, they usually have an agreement through their EVS department to get the accessories at no cost from the vendor who supplies the material goods (paper towels, toilet paper, soap). JFK North’s vendor does not carry anti-ligature accessories, therefore they had to shop around for them. The brought on an unforeseen expense the facility did not account for within their budget.  


Suggested Actions for Future Projects

On Behavioral Health projects, have all anti-ligature accessories be provided by the contractor in lieu of owner furnished, contractor install. 


Keywords

Behavioral Health

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

Fire Extinguisher Signage Details

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: 120
Impact: Cost, Scope

Cost impact: $2,100


Lesson Learned/Best Practice

Most local AHJ’s require the identification of all fire extinguishers throughout a facility. This detail is often missed or obscure during design resulting in added cost at the end of a project.


Suggested Actions for Future Projects

A standard detail should be provided for signage above fire extinguishers for all projects.


Keywords

Fire Extinguisher

City of Orlando – Signage Permitting

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: 119
Impact: Schedule

Schedule impact: 60 days


Lesson Learned/Best Practice

The City of Orlando permitting process for exterior signage is a minimum of 60 days often resulting in delays to signage installation.


Suggested Actions for Future Projects

A permit expediter should be utilized for any signage permits in the City of Orlando.


Keywords

City of Orlando, Signage

Sheet vinyl flooring installations

Facility name: Trident Regional Medical Center

Project name: TRIDET-102017M-Cardiovascular Stroke Addition
Location: CHARLESTON, SC
Project classification: Hospital – Renovation
Project type: Acute Care
Project number: 3400100016
Lesson Learned number: 52
Impact: Quality


Lesson Learned/Best Practice

Sheet vinyl flooring was installed and then wall protection added afterwards.  This showed gaps in between the cove base and the wall protection, which aesthetically, looked like poor workmanship.  To correct this, we had the flooring contractor pull back the cap and cove and reapply to the wall protection’s straight edge.


Suggested Actions for Future Projects

Before installing sheet vinyl floors and the cove base associated with it, install the Acrovyn Impact Sheet Wall Protection first.  This will eliminate gaps between the cove base and the wall protection.  The cove base is never level, while sheet goods have factory level cuts and are laid out by a laser in the field for precision.


Actions Taken / Current Status

Sent to Design Management team for follow-up action.