PEDIATRIC AND MATERNAL HOSPITAL

Georgetown, Cooperative Republic of Guyana

PROJECT BRIEF
Version 01

2nd of November 2021

Author: VAMED Engineering GmbH
VAMED Engineering GmbH Page 1/45
Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

7.3 Climate 27
7.4 Preliminary Studies 27

TABLE OF CONTENT 8 CONSTRUCTION BRIEF 28

8.1 Building Envelope 28
8.2 Finishes 29
TABLE OF CONTENT 2
8.3 Internal Partition system 32
1 INTRODUCTION 3
9 MEDICAL EQUIPEMENT, FITTINGS AND FURNITURE 33
2 PROJECT VISUALIZATION 4 9.1 List of Equipment 33
9.2 Medical Equipment references 35
3 VAMED’S PROJECT DELIVERY METHODOLOGY 5
3.1 VAMED’s Organization 5 10 MECHANICAL, ELECTRICAL AND PLUMBING 38
3.2 FAST TRACK 7 10.1 Summary 38
3.3 BIM 7 10.2 Definition of Standards 38
10.3 Principles and Concepts 38
4 FUNCTIONAL BRIEF 8
4.1 Functional & Operational Brief 8 11 IT CONCEPT 40
4.2 Guyana Healthcare Overview 8 11.1 IT INFRASTRUCTURE 40
4.3 Ministry of Health Briefing 8 11.2 LIS & RIS / PACS 41
4.4 Project mission statement 8
12 SIGNAGE AND WAYFINDING 42
Kitchen 9
12.1 Design Basis 42
4.5 VAMED Functional description 9
12.2 Wayfinding Methodology 42
4.6 Functional Overview 10
12.3 Directories and Finger Pointing 42
4.7 VAMED Core concepts and Principles 14
12.4 Design Principles 43
5 DESIGN APPROACH 16
13 PLANNING AND DESIGN STAGES 44
5.1 Design Principles 16
13.1 Phase 1. Basic Design (BD) 44
5.2 First level of decisions 18
13.2 Phase 2. Concept Design (CD) 44
5.3 Second level of decisions 19
13.3 Phase 3. Detail Design (DD) 44
5.4 Third level of decisions 19
13.4 Phase 3. Construction documentation (SD) 44
6 BUILDING CONCEPT 20
14 SAMPLE ROOMS 45
6.1 Organisational Concept 21

7 PROJECT LOCATION 26
7.1 The City 26
7.2 The plot 27

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

1 INTRODUCTION

This document is part of the Engineering and Design Phase for the Pediatric and Maternal Hospital Project in Georgetown,
Guyana. It is issued in alignment with VAMED’s strategy to achieve the scope of works further explained within this document.

The purpose of this document, within the frame above described, is to give a comprehensive and preliminary brief of the
Planning, Design approach and engineering strategy for the completion of the Pediatric and Maternal Hospital Project, with some
insights of the solution planned.

This document is issued as a revision “01” and supersedes the version 00 issued in the 05th of October 2021.

This updated version captures the comments and feedback received from the MOH representatives during our last meeting in
Georgetown, held on the first week of October 2021.

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

2 PROJECT VISUALIZATION
The following images are part of the Project Visualization, corresponding to virtual images generated using a 3D model and
mixed editing techniques to simulate the building. Therefore are subject to variation with the real construction once
executed.

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PEDIATRIC AND MATERNAL HOSPITAL
Georgetown, Cooperative Republic of Guyana

This is a render image to simulate the building. Subject to variation with the real construction. Main Access. Pedestrian View
PEDIATRIC AND MATERNAL HOSPITAL
Georgetown, Cooperative Republic of Guyana

This is a render image to simulate the building. Subject to variation with the real construction. West facade. Pedestrian View
PEDIATRIC AND MATERNAL HOSPITAL
Georgetown, Cooperative Republic of Guyana

This is a render image to simulate the building. Subject to variation with the real construction. Aerial View
Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

3 VAMED’S PROJECT DELIVERY METHODOLOGY The VAMED Engineering technical team is therefore focused on a ‘joined up’ comprehensive design approach where all
functional aspects from patient pathways, staff workflow, main medical technology and supporting building services systems are
VAMED Engineering is a world leader in delivering Healthcare Projects, and is set up in a very particular way to serve the client’s considered in parallel.
needs for high quality healthcare facilities.
This results in seamless engineering over all interfaces and throughout all design phases including execution. A consistent
The organization structure, interdisciplinary and integrated design, engineering and delivery all are key components in achieving approach and coordinated design understanding of all aspects for example pre-installation for the equipment that will be in place
these goals, as well as the wide ranging experience in purchasing, logistics and especially financial engineering. to receive the equipment without delays in the construction phase, reduces the challenges often encountered by isolated
planning teams.
Finally, in order to achieve the scope of works within the challenging time frame expressed by the client, VAMED’S strategic
planning is to appeal to the FAST TRACK strategy to manage the project. This method will be further explained in this chapter. This approach is also reflected in the equipment & furniture planning which considers all required equipment (main medical
equipment, medical and non-medical furniture) to enable full functionality.

3.1 VAMED’s Organization Much of the equipment for cutting edge hi-tech facilities, including the related workflows, would be new to many of the staff
working in the building, and the medical equipment team supports the installation and operational training for these systems and
how the equipment is used.
The Guyana Pediatric and Maternal Hospital shall serve as a centre of excellence reference point for Maternal and Child health
for the whole country and further reduce the rates of child death and maternal mortality.

VAMED Engineering specialises only in healthcare projects and with over 50 years’ experience in delivering our unique approach Technical Coordination between Disciplines
for the industry recognised “design & build” across our 900 plus international projects. Our track record in completed projects An important factor for VAMED Engineering in the successful delivery of complex projects, are the coordination of the various
consistently demonstrates the ability to deliver. streams within the project.
The structure of the VAMED team is part of this unique approach. The ability to manage these are significant in streamlining the process and securing the delivery on time, and within budget, to
the full functional expectation.
Design and Engineering Team (Building and Equipment)
The coordination has a number of layers to enable this streamlined project flow:
The internal VAMED Engineering technical teams is a specific competence centre of Integrated Design specialists for healthcare
facilities.  Coordinating Integrated interdisciplinary design and engineering

The design team incorporates:

It is necessary in all projects that all of Engineering disciplines are involved with the project and the number of specialised
companies that bring the various inputs, at various design stages into the project.
 Functional Planners (responsible for the space program, based on the understanding of modern clinical workflow
towards patient focused care, staff related processes in modern surroundings, as well as all supporting
Very often there is a large discrepancy in the approach of the Engineering or Design groups that would lead to either problems
processes including infection control and waste management;
in functionality (and architectural form or layout that is forcing a certain workflow) or a technical problem (the pre-installation
information for a certain piece of equipment is not available) that ultimately will result in both time and cost overruns (very
 Healthcare architects with experience to deliver the built environment to serve the functional processes and the
common in many large complex projects).
healing process. All aspect of Civil Engineering, Structural and Architectural design are managed towards the
optimal healthcare facility.
VAMED Engineering has all these engineering specialties in-house, and even if they are working with external partners our in-
house technical specialist would manage those partners.
 Mechanical and Electrical Engineers with time served experience within modern hospitals realize the specific
challenges in terms of the special systems required. Our MEP engineers are specialized in these and the
VAMED Engineering has a technical project manager (Project Manager Engineering) that is tasked with the coordination of all
associated MEP systems required to maintain patient safety, operational quality standards and the necessary
engineering disciplines.
national regulatory standards for Radiology, Medical gas & Pharmacy for example.
VAMED Engineering has a very specific workflow of process (also found in the internal quality accredited process system) which
 Biomedical Engineers with expertise in Medical Equipment planning incorporates all equipment & furniture
exactly defines how the different disciplines are working and aligning constantly amongst each other.
defined from conception and delivered to enable full functionality. Biomedical engineering works closely with
functional and MEP planners to ensure the electrical, functional and data connections are complete and
VAMED Engineering has also developed its own internal planning systems for all disciplines to allow this process within a BIM
operational.
environment.
 IT Engineers are responsible for the digital integration of equipment and infrastructure into the modern
This engineering approach is the key to VAMED Engineering being able to develop concepts and efficiently deliver complex
healthcare facility. Specialist IT systems for Radiology, Laboratory and the associated patient registration
facilities within the parameters set at the outset.
software and services.

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PROJECT BRIEF

 Coordinating international technology into local environment The VAMED Engineering interdisciplinary teams (including the Engineering teams, the procurement teams and the logistics
teams) under the responsibility of the project manager will ensure that these requirements are optimally fulfilled.
VAMED Engineering is specialised in working in international and diverse environments with modern technologies, developed
in Europe requiring to be implemented in the local environment (technical, linguistic, cultural).

VAMED Engineering work with various local partners ensuring that the proposed technical facility is according to local standards,
norms, and engage all necessary local experts (e.g. structural engineers etc.)

Furthermore, by operating in European markets and subject to increased regulation in terms of energy, efficiency, waste
management as well as ESG principles, VAMED Engineering ensures that these best practices are implemented in projects
outside of Europe.

Coordination of Purchasing
VAMED Engineering offers a full design & build proposal that will result in the entire design, construction of a fully equipped
building being handed over to the client.

This process includes the responsibility to procure (tender, evaluate, negotiate, award, manage and record) of all services
(including design teams, construction companies etc.) as well as all equipment, furniture, and fittings for the new hospital.

VAMED Engineering’s specialized purchasing department have during the course of delivering 900 projects, developed a vast
network of verified suppliers. These mutual relationships benefit the client, by ensuring trustworthy, efficient, qualitative, and
crisis-proof supply chains through-out the project.

Coordination of Logistics
VAMED Engineering delivers projects globally (from Papua New Guinea to Trinidad & Tobago) and therefore has vast
experience in the necessary processes and resources to organise the various components of a design & build facility from the
countries of origin logistically to the site.

The VAMED Engineering logistics department is coordinating all aspects of this task, including shipping, warehousing, and
custom clearance for the various equipment packages, especially the high-end technology that will be delivered from Europe.

Coordination of Export Finance Credit

Realization of healthcare infrastructure projects requires considerable investment.

VAMED Engineering, through its presence in many European countries, and excellent contacts to leading European banks and
Export Credit Agencies is in the unique position to offer not only the delivery of a healthcare facility, but also support the
organisation of favourable financing terms.

Financing terms agreed for the given contract, are some of the best terms on the commercial financing market and would be
difficult to find equivalence or improved terms, in the international capital markets.

ECA financing brings many advantages to the client but has a requirement for a defined percentage of value to be “sourced”
from the country that is lending. This aspect is generally well covered by the high technology components within a healthcare
facility (for example MEP plant and Radiology medical equipment).

VAMED, as the exporter, must coordinate with the various trades to ensure the relevant sourcing plan has been conceptualized
and reflected in the overall project definition and execution stages, and is monitored through the project with appropriate
documents issued towards the financial institutions.

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
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3.2 FAST TRACK On the daily business is very easy to lose perspective and the overall picture, therefore is very important for all the team players
to visualize that big goal and keep focused on its achievement. VAMED project delivery team together with the Client project
FAST TRACK is an advanced project management strategy focused in compressing the time schedule identifying all possible delivery team, provides a written common vision at the start of the project. This is used and referred to during the project delivery
opportunities on the critical path that has the potential to be performed in parallel, which requires a deep understanding of the period.
project and a highly qualified and experienced group of professionals to manage all the risks that this strategy implies.
Confidence
The biggest difference of this technique against the traditional model is the time saving, and is explained with the following
graphic: Due to the nature of the model, a lot of design & engineering decisions have to be made almost at the same time as execution.
It is crucial not only highly experienced technicians are involved but also strong decision makers to drive the process without
having a detailed picture of the problem. This is only possible with “Confidence” to take decisions and also confidence of all the
parties in each other’s decision, commonly taken in conjunction between client, management and the technical team.

Flexibility
As experienced in the historical and traditional models, where the construction starts after the design is fully completed, this
model overlaps both activities. Consequently within the design process flexible solutions have to be considered to give room to
accommodate some decisions in a later stage. Equally, the construction strategies have to embrace this flexibility arranging the
execution activities with a comprehensive level of definition but not fully detailed.

Risk Management
FAST TRACK model requires a progressive and permanent risk management, as consequence of the multiple and changing
scenarios demanded by the flexibility. The project team has to be aware and prepared to manage the outcomes as the project
progresses by acting proactively rather than reactively.

Risks must be identified, tabled, assessed, and managed by priority, given not only for the time schedule but also by the level
of task’s complexity.
The application of this model requires a particular set of conditions to be successful, listed below the most important:
Information management is crucial for a proper risk evaluation, receiving it on time but also in quality and by proper sourcing.
Partnership and Engagement
All of the stakeholders have to perceive themselves as team players, where, despite the different responsibilities all should have Effective risk management offers the potential to reduce both the possibility of a risk occurring and its potential impact(s) of time,
the same goal, it is a common success or a common failure. cost, quality & coordination.

A proper communication is the foundation to create this partnership, but also the understanding of each other’s role. In this way 3.3 BIM
everyone will be able to understand the “What” and therefore work together in the “How”. Building Information Modeling (BIM) is the holistic process of creating and managing information for a built asset. Based on an
intelligent model and enabled by a cloud platform. BIM integrates structured, multi-disciplinary data to produce a digital
Consequently, to bring everyone on board, VAMED’s initiative and strategy has been to involve all stakeholders and end users representation of an asset across its lifecycle, from planning and design to construction and operations
in this journey, since the early stages of the project, to tighten up the communication channels and ensure the delivery of the
project in alignment not only with our contract but also with the end user’s expectation and vision of future. BIM (Building Information Modelling) tools will be used in this project only for the Engineering development from the early stages
of the design up to Detail Design phase.
The level of engagement will increase proportionally to the level of understanding the project, fostering to “buying into” the final
product since conception. It is not the intent of this chapter to list the different software that VAMED Engineering has adopted for this project.
This model, also requires a high and efficient level of interaction of all parties that very often goes beyond the “post-race” of the One of the main goals and benefits of incorporating this into our methodology is to minimize the risks of potential clashes during
traditional model, meaning that all parties shall embrace the responsibility for the “whole” and not for the single portion of job the construction phase and anticipate solutions feasible to be implemented during the construction process, in alignment with
within the role. the principles of the FAST TRACK.

Common vision
As well the previous condition of Partnership and engagement, the basis for the vision alignment within the team is the
communication and the good understanding of the “What” within the timeline frame, its critical path and awareness of the risks
to achieve the milestones.

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

4 FUNCTIONAL BRIEF
The Government of Guyana is interested in constructing a Pediatric and Maternal hospital which will offer state-of-the-art
services from the time of conception to newborns, infants, children, adolescents and will draw greater attention to the holistic
4.1 Functional & Operational Brief approach with psycho-social support of children as well as their families during the treatment programs.
The basis for the development of the new Pediatric and Maternal Hospital is the definition of the functional and operational brief
Thus, the new hospital will meet the unique physical, emotional, and developmental needs of Guyanese families from conception
that will determine the exact content of the project. This functional brief is informed by the Guyana health care system, the vision
through young adulthood. This Guyana Pediatric and Maternal hospital will significantly strengthen healthcare services in
by the Ministry of Health (MoH), as well as further detailed definitions that resulted from a number of discussions held with the
Guyana by providing a technological knowledge transfer to the health professionals. Besides, the project will contribute to
MoH. The following chapter captures these aspects as well as define the Functional Brief that is the basis of our current proposal.
sustainably achieving the strategic goal of improving health care services in the country on a long-term basis.
4.2 Guyana Healthcare Overview Project goals & objectives
In Guyana's health care system, there are five levels of care: Level 1:Health Posts providing basic primary health care services
 To reduce the Mortality occurrence for Maternal, Neonatal, Prenatal, Postnatal patients in Guyana
at the community-level; Level 2: Health Centres providing primary health care at the community level; Level 3: District Hospitals,
 To improve the management of medical & surgical Pediatric patients in Guyana
with in-patient beds, providing secondary-level health services to a catchment area comprising several communities; Level 4:
 To improve the management of subspecialty medical and surgical care in Guyana
Regional Hospitals providing a higher level of secondary health care and introducing a level of tertiary care services and Level
5: National Referral Hospitals, providing a wide range of tertiary care services and also serving as teaching hospitals.
Project functions
Guyana has made significant improvement in Maternal and Child Health in the last three decades. Despite this improvement, The project shall consist of the following key functions and services:
maternal mortality continues to be above the regional average and far above the goals the GoG had previously established. In
addition, a Level 5 Hospital dedicated to Pediatric and Maternal Health will provide significant training opportunities for Registrar  Pediatric section
level doctors, experienced GMOs, Pediatric nurses, and midwives. The overall objective is to improve health equity, increase  The Hospital will have an Inpatient & Out-Patient service
access to quality health care and increase life-expectancy in Guyana. In addition to this, a primary objective shall be to meet the  General and Subspecialty Pediatric
below 5 national objectives through the project development of the Pediatric and Maternal hospital by the Ministry of Health as  General and Subspecialty Surgical
the key stakeholder and project champion.  Neonatal Intensive Care Unit (NICU)
 Pediatric Intensive Care (PICU) and Step-Down Unit (SDU)
Objectives  Operating Suite
a) Reduce maternal and child mortality rates in Guyana  High- Risk Prenatal and Post-Natal Clinic
b) Improve equity through access to secondary and tertiary health care services  General and Subspecialty Pediatric and Surgical Clinics
c) Improve access to quality diagnostic services  Pediatric Emergency Room
d) Expand training opportunities for doctors, nurses, technologists  Immunization centre
e) Reduce need for traveling outside of region for health care and reduce traveling internationally for health care
 Maternal section
4.3 Ministry of Health Briefing  Antenatal Ward
 Birthing Suites
As part of the Ministry of Health national strategy for healthcare and the delivery of healthcare countrywide, a briefing document
 Operation Rooms
has been created to set a framework of ideas, concepts, employer’s requirements and key project drivers to “shape” the functions
 Post Natal Ward
and associated building(s) with infrastructure. Any proposed solution must as a minimum meet these requirements. A robust
 Adult high dependency/critical care
and iterative project process, through a series of clinical meetings and operational understanding will contribute and inform
 Bereavement support
further adaptions to these requirements, resulting in a stronger and detailed plan and engineered solution.
 Antenatal Clinic High-Risk
 Pre-Natal Clinic Ultrasound services
4.4 Project mission statement  Post-Natal
The Guyana Pediatric and Maternal Hospital will serve as the national specialist referral hospital for children and would assist in  Clinic/ Neonatal Follow up Clinic
the management of complicated pediatric, gynecology and obstetrics cases. We strongly believe that the services that these Ancillary & Administration services
facilities will provide an significant impact towards the improvement of maternal and child health in Guyana therefore MAKING  Radiology MRI, CT, X-rays
A BIG DIFFERENCE IN THE LIVES OF THE PEOPLE.  Laboratory
 Pharmacy
Project description  Laundry and sterilization
 Medical waste management
The Guyana Ministry of Health created a project brief for several priority projects across the zones ranging from small health  Kitchen
centres to the large Pediatric and Maternal hospital. Included in the project brief is the starting point identifying the clinical  Administration Offices
functions together the project objects and strategic national objectives. Below is an extract from the Ministry of Health project  IT Services/ Records
brief.  Lecture Rooms for teaching.

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PROJECT BRIEF

4.5 Kitchen VAMED Functional description

Bases on the vision and situation described above, and on the various discussions held, VAMED has defined the understanding
of the facility in order to create a schedule of services, space and equipment. The following is a description of this understanding.

Clinical services
The Guyana Pediatric & Maternal Hospital (GPMH) project will serve the national population as a specialist referral hospital and
is planned to reduce Maternal and Child mortality rates and in to increase Health equity and life expectancy by providing access
to dedicated Mother & Child Clinical services in a comprehensive building.

The VAMED proposal whilst focusing on the new facility and its new operational services and workflows, is cognisant of the
existing GPHC facility and the interactions and connections between the two facilities. Other upcoming healthcare facilities
conceptualized through the MoH briefing paper and other active / in place independent providers, are excluded from this process
and description.

This facility will serve Mothers throughout all stages of pregnancy and after care. Neonates, new born’s, young babies will be
cared for, and the facility will also care for infants, children and adolescents up to the age of 18 for all ranges of physical, skeletal
and socio mental conditions within a holistic and multi-disciplinary team approach. An adjusted Gynaecology service for complex
and intensive cases is provided together with Pediatric Oncology care including Chemotherapy, Diagnostics and defined
Surgery.

A Clinical strategy is required to create a dedicated Pediatric and Maternal health service with a clinical focus on the care &
treatment for specific conditions associated with this patient group. The new building provides for:

 Medical & surgical Pediatric patients

 Maternal care mothers
 Critical care Pediatric, Mother and Neonatal patients
 Oncological care for Pediatrics
 Dialysis care for Pediatrics
 Specialist Gynaecology care

Access to the facility is through private car, public transport including bus and private taxi. All cars from staff, patients and visitors
can have access to car parking and drop off zones. Parking spaces will be limited and are available on a first come first served
basis.

All cars from staff, patients and visitors can have access to car parking and drop off zones. Parking spaces will be limited and
are available on a first come first served basis.

Service allocation
GPMH and the existing GPHC healthcare facilities provide healthcare to the population of region 4 and surrounding regions,
currently the GPHC accepts all patients regardless of simplicity or complexity of healthcare need. With this burden, there is an
operational difficulty to expand the current and develop future services with subsequent access to care by the patient. In the
figure below provides a small overview of the initial vison and conception of service allocation and its subsequent patient
pathways.

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PROJECT BRIEF

4.6 Functional Overview

During the project definition phase, functional requirements and operational matters are discussed and developed to provide the
basis for the engineers to engineer safe and operational solutions. Included within the operational briefing is a functional
description and a visual illustration of the services, both medical and non-medical, that are required in the project.

The VAMED functional planning team, during the early stages of the briefing will create functional diagrams illustrating the
departments or services. The Architecture team, based on the mentioned diagrams, will organize the space and functions and
shape the building in coordination with the whole technical team.

The CORE clinical services proposed for the Pediatric and Maternal Hospital is as follows over the next pages. The facility is
conceptualized as a complete “stand-alone” facility consisting of:

 Clinical services CLINICAL SERVICES CLINICAL AND NON CLINICAL SUPPORT SERVICES NON HOSPITAL SERVICES
 Clinical and non-clinical Support Services and
Outpatient, Diagnostic & Inpatient services Administration, Public Amenities, Staff Medical and Non Medical Research, Education & Supporting services Non Hospital functions Support functions
 Non Hospital Services Treatment services Management & facilities services Training
Technology
1.0 2.0 3.0 4.0 5.0 6.0 7.0

RND
EME GEW ADM PUB PHA AMBU PAR SPEC
Research and
Emergency Gynaecology Executive Management Public Facilities Pharmacy Ambulance Services Car parking PV / Solar
Development

MPW REL CSS CTE

OPD REC SEC SPEC
Antenatal, Pre birth & Religious Central Sterilisation Clinical Training and
Outpatient services Medical records External security STP
Post Partum & Welfare Services Services Education

IMT
FDI PAW SCH BME LAND SPEC
Information Management
Functional Diagnostics Paediatric Ward Staff Change FM Support Remberance garden Backup electrical
& Technology

IDW OCA
ENDO KIT GREEN SPEC
Paediatric Infection Clinical On Call
Endoscopy Kitchen Energy reduction Backup MGPS
control ward Accomodation

AHDU
LAB LAU GREEN
Adult High Dependency
Laboratory Laundry services Electrical & Solar
ward

PICU
IMG LOG
Paediatric Intensive Care
Imaging Logistics
Unit

PIMCU
SUR FM
Paediatric Intermediate
Surgical Facility Management
Care Unit

NICU
OBS WAS
Neonatal Intensive Care
Obstetrics Waste management
Unit

NIMCU PTC
DIA
Neonatal Intermediate Portering, Transport &
Dialysis
Care Unit Cleaning services

MOR SEC
Mortuary Security Services

CHEMO
Chemotherapy

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PROJECT BRIEF

Outpatients, diagnostics and treatment services  Laboratory. Small scale service with necessary comprehensive lab tests functions, investigative diagnostics,
and support systems for all types of samples

 Imaging service. For tissue, bone and vascular diagnostics of the upper, lower body and extremities. The
service provides coverage for basic imaging for typical pediatric related injuries and follow up treatments
following admission. Ultrasound for both patient groups for conditions of vascular, abdominal, cardiac,
neurological and muscular. All maternal ultrasound is located within the Maternity Antenatal service and consists
of Fetal Heart and Obstetric ultrasound.

 Surgical service. For all both patient groups and the range of Maternal, Pediatric and Obstetric caseloads. This
service excludes male related surgeries except for Male Paediatrics, Maternal, Male Neonate and Female
gynaecology related procedures. The service consists of the following functions and configuration:

4x multifunctional OTs organised with equipment and generic spacing for flexible scheduling of patient
procedures. Any dedicated OT need to be determined by the MoH.
Admissions and patient preparation area
Patient recovery area for Paediatrics and Adult females
Endoscopy Procedure room for all purpose procedures incl. UGI, LGI and general diagnostics and biopsies
Endoscopy shared recovery area

 Mortuary and pathology. It is not foreseen to be a large service in this facility. Patients are transported to a
small, short-term outside waiting area before onward transit to the larger existing hospital. All post-mortems are
carried out at the GPHC existing site facility and have access to Cytology / Histology from the main hospital lab
service. The service is configured as follows:

o 6x Body chambers (4x Normal, 2x Obese)

These services will provide: o 1x Washing area
o 1x Viewing area
 Mother, Female & child emergency service. For resuscitation of both patient groups through 2 dedicated
treatment rooms. The service is not a full comprehensive and general ER service. This is provided for within the  Endoscopy service. An Endoscopy diagnostic service primarily concerned with the provision of diagnostics for
GPHC system and forms part of the national Emergency system coordinating across all the emergency rooms. ONCOLOGY / CARDIAC / GASTROINTESTINAL. The service operates as a sedation service for routine
Patients are expected to be referred to this facility if their condition is complex and they have been assessed investigations and in limited cases for the more complex treatments. All other forms of endoscope procedures
and referred by a physician in advance. Paediatrics will attend with a wide range of conditions from fractures to associated with Gynaecology or Keyhole procedures are delivered from the OT system.
infections, to pulmonary conditions and more complex conditions of multiple conditions incl. oncology, heart and
ENT conditions. o 1x Multipurpose Endoscopy procedure room
o 1x Washer / Disinfection room
 Outpatient service. With integrated diagnostics and Consultation, Examination and Treatment rooms for both o 2x Recovery spaces
patient groups and associated clinical disciplines. Community integration into the Outpatient service supports a
strategic operation policy for Obstetric care. Comprising of the following:  Renal care / Hemodialysis service. A standalone service for visiting short term OPD based patients receiving
regular dialysis care in a friendly and calm workstation environment. The service is configured to provide care
Zone 1 – General physiological screening for the traditional CRRT therapies together with a focus on the future care model of PD therapy.
Zone 2 – Paediatrics incl. Child health, Surgical, Medical, Eyes, ENT, Hearing, Nutrition
Zone 3 – Maternal & Obstetrics incl. Antenatal, Family planning, Mental health, Postpartum, Community o 4x workstations
midwifery o 1x Water treatment system
Zone 4 – Gynecology incl. Medical, Surgical, Ultrasound
• Critical Care Service. See Inpatient Services below for description
 Oncology service. Consists of a distributed across the 3 OPD zones and reflective of a small screening and
investigation service. All radiotherapy treatments are off site however basic biopsies, surgical interventions and • Maternity and Delivery service See Inpatient Services below for description
chemotherapy treatments are delivered on site. Basic diagnostic investigation is located on site and comprises
of Fluoroscopy, CT, MRI and Endoscopy

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Inpatient services
These inpatient services providing overview is:

 156 inpatient beds.

Arranged to provide overnight care for Female adults, Pediatric and Neonates, and across the specialties of
Critical Care and comprising of the following configuration

1x 13b GYNAE ward for women with complicated / specialist surgeries for OBS related and ONCO related and
GYNE related
1x 13b Antenatal ward for admissions during the 40 weeks
1x 13b Pre-birth ward for labor admissions
2x 13b Post-Partum wards
1x 5 bed PAEDIATRIC ONCO / CHEMO ward
2x 20 bed PAEDIATRIC General wards (MoH to configure services)
1x 8 bed PAEDIATRIC INFECTIOUS diseases ward

Critical Care services are:

1x 2 bed Female HDU spaces
1x 14 beds PAEDIATRIC distributed across ICU and HDU functions
1x 22x beds NEONATE distributed across ICU and HDU functions.

Maternity and Delivery service. Providing mother with high quality care during the pregnancy, pre-birth phase,
delivery rooms and post birthing care and community midwifery care through the community obstetric network.

Within the Obstetric service, the patient pathway consists of referred mothers from the GPHC and other private
clinics. The referred pregnant patient enters antenatal care period and will be in constant monitoring until the due
date of birth. During this period if there is a complication, the patient can be admitted for monitoring or further
treatment.

As the trimester ends, birthing may start, and the mother can attend the pre birthing ward and be monitored and care
for up until the moment where it is safe to start delivery. All mothers are transferred to the post-partum ward following
successful and safe birth.

In the event of complications, the mother has access to C section birthing, Intensive care facilities or general surgery.

The maternal service is configured as follows and demonstrates a hierarchical patient pathway:

o 1x Outpatient based Antenatal service (See OPD)

o 1x 13 bed Antenatal ward
o 1x 13 bed Pre birthing ward
o 4x Labour delivery rooms
o 1x C Section OT and recovery (See SUR)
o 2x Resuscitation area for baby
o 2x 13 bed post-Partum wards

Access to intensive care for the mother and new-born baby consists of intensive 24hr/7d care and step-down care
to ensure appropriate availability of cot and incubator spaces.

o 12x NICU Incubator spaces

o 6x NIMCU cot spaces
o 4x SCBU Cot spaces

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Clinical and Non-clinical Support Services

The following overview illustrates the main departments and functions:

 Central Sterilization service. To support all invasive procedures with instruments and sterile products

 Support services. Are the key to completing an operational centre of excellence with a “back of house” and a
comprehensive set of hidden operational services.

 Administration. Provides the business operations of the facility and includes offices for executive management
and key services including procurement, finance, and other operational functions.

 Clinical Training and Education. A partner service collaboration to provide facilities for Nurse, Doctors to follow
their academic career through attendance of workshops and seminars in the onsite Auditorium and seminar
rooms. Through local nursing schools, this facility is central to providing nurses their basic training and career
development through onsite lectures and collaboration with other institutes.

 Information Management & Technology. Supports all hardware, infrastructure, and software for the service.
A workshop maintains and repairs the IT equipment and offers a helpdesk function too.

 Kitchen / Catering service. Serves nutritionally balanced meals and drinks to all Inpatient each day. Food is
also delivered to the small public café.

 Laundry. Is an onsite service including repair stations, washing, and drying stations. All patient linen e.g.,
Bedsheets and surgical linen is managed by this service.

 Logistics & Central stores. Act as a centralized deliver point for all materials on site including Pharmacy.
Kitchen supplies will be direct to the Kitchen stores. All materials, equipment & products are stored until delivered
by the logistics team. This service works closely with procurement and finance to ensure correct fulfilment of the
purchase orders.

 Maintenance service. Covers all medical equipment, furniture, building, electrical and mechanical plant, and IT
equipment. This service re-pairs and maintains either at the ward or in an equipped workshop. It coordinates
across all external suppliers and OEM’s. A helpdesk is provided for the FM, BIOMEDICAL and IM&T trades.

 Pharmacy service. A comprehensive service for Inpatients and Outpatients providing general medicines,
pharmaceuticals, and anesthetic’s. TPN can be assembled in this facility with pre constructed components.

 Public facilities. They represent the front of house and will be the first contact for many patients. A friendly
open plan space with high atrium provides a location for public waiting and reception services. To sup-port the
public and users, an ATM service, a small café, and clusters of waiting areas are available.

 Staff Changing. A centralized and supports the infection control policy and provides a secure location for all
medical and non-medical staff to change from their street clothes to a corporate branded uniform.

 Waste Management. It is an onsite service, self-contained responsible for the receiving of all on site waste. A
shredder sterilizer will process all clinical hazardous waste and render this neutral and safe for burial at a landfill
or other processing site.

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4.7 VAMED Core concepts and Principles  A centralized Staff Change area shall for 80% of the staff, provided the facilities to change from civil ‘street’
clothes into hospital uniform thus providing the step to reduce infections inside and taking infections outside into
The VAMED experienced project team during the initial project definition phases (Sales, Briefing, Contract) undertakes with the the street and home. Shower and toileting facilities are to be included in the centralized changing area. Local
client a series of meetings and discussions to elaborate more detail from the original Client (MoH) briefing documents and departments incl. Surgery, Maternity, Critical Care and CSSD have their own changing facilities.
vision(s). Part of the discussion is to set out the Functional & partial operational understanding that the solution will provide ,
using VAMED internal healthcare functional planning team, who in turn informs the Design and Engineering team with  Construction site management plan shall manage the Control of Infection and contamination using the Clinical
descriptions, flow concepts and area requirements. The next sections provide high level concepts to inform the principles established above and to follow international guidelines and managed under the VAMED HSSE tool
detail(performance criteria) in later phases of the planning, design and engineering. kit.

 On site destruction of waste using Sterilizer shredder including separation of Hazardous waste incl. chemical,
Disaster and Major incident concept oncological, electrical etc within a dedicated building.
 3 day Power, Medical Gas, Water, Sewage treatment plant, Waste management plant & Diesel supply is
 Local licensed disposal contractor for removal of deactivated hazardous waste and specialist waste e.g. Pharma,
protected to ensure continuous supply. Local electricity provider shall assign the hospital a Priority 1 status to
Oncological and Radioactive
guarantee availability of 100% high quality (no brown outs) power. UPS backup for uninterrupted supply for key
& sensitive equipment only. General and non-critical equipment maintained by electrical generator only.

 Flood avoidance measures are integrated into the building design and building position on the plot. To Waste Management
accommodate 1:25 year events, the building is designed to avoid excessive flooding impact and to allow the  Is in accordance with EU / UK color coding waste standard and projected for 6kg per day per bed. Waste follows
building to operate during times of crisis. ‘at source’ separation on wards & departments and transported to the waste treatment centre in closed
containers for further separation and neutralizing treatment. Recycling is promoted for waste that cannot be
 Evacuation for major incident planning e.g., Fire or Weather alert follows in the 1st stages as a “Defend in Place” destroyed and rendered harmless by the local on-site sterilizer / shredder system.
plan coordinated through a centralized hospital room for all emergency services and under the direction of the
day Site director.  Waste is treated in accordance with local EPA guidelines and will not introduced high pollution levels to the local
environment. A local licensed contractor shall remove the neutralized waste and process any small amounts of
hazardous waste in licensed and documented manner.
Fit for the future planning
 A standalone sewage treatment plant is required for solid / soiled waste and avoids the expensive and frequent
 The Architecture shall allow for additional ‘modules’ to be constructed at a logical connection point to the building
removal of septic tank emptying. All waste to be neutralized and safe before discharge. The local EPA will require
for future clinical service expansion e.g., Woman’s Outpatient or extended Imaging services. All Engineering is
measurement and monitoring for end user & award of operational license of the water output and any
zoned and isolation connection interfaces to allow future connections and modifications.
surrounding air measurement. All water discharge is to be CLEAN Water discharge into local canal
 A 10% capacity shall be allowed in the design and engineering capacity calculations e.g., water, power, and
medical gas. Vertical expansion is fixed in accordance with local planning regulations. • Construction HSSE plan for construction waste management and ensuring there is no harmful waste or liquids
discharged into the local environment
 To accommodate 1:25 year events, the building is designed to avoid excessive flooding impact and to allow the
building to operate during times of crisis. Environment protection
 National EPA agency standards for AIR, WATER & LAND pollution limits are adopted by the project and
 Space planning is based on mobility e.g. less fixed in situ items and standardized spaces e.g. geometrically implemented before the national project is given approval by the town and country planning agency and other
even and reduction in pockets of “white noise” space local government agencies e.g. fire, water and environment. All licenses regarding waste treatment and hospital
operational licensing shall be assured and valid by the local health authority.

Infection control  No incineration on site; safe destruction only. Licensed service provider of destruction of all waste types e.g.
 During clinical operations the waste has ‘at source’ separation on wards & departments, coupled with local chemical, oncological, electrical and specialist waste e.g. Pharma, Oncological and Radioactive
disinfection stations in clinical, public & waiting areas. A local team is responsible for cleaning floors, shelves,
wards, spaces and transport the waste in closed containers. COVID awareness ensure intense cleaning and
monitoring by the local housekeeping team. Traffic concept
 Patients arrive by Taxi, Bus and Car via new constructed highway under the responsibility of the government
 The building is to be designed with separate workflows in mind including clean, dirty, FM & Logistics to guide transport and roads highway agency. Onsite separation of pedestrian flows from FM / Logistic flows shall ensure
the users through their day to day to reduce cross spreading and to dispose of waste* in an organized manner. protection, safety and noise screening. Car parking on grade and situated away from the building to provide high
All patient areas operate under a one-way principle and system of Clean in and Dirty out and to avoid cross quality environment of less noise and pollution in the location of the main entrance.
over.

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 Security control and management of car parks will ensure traffic noise, congestion is to a minimum. Separate
entrances and screened entrances are to be provided for privacy, ease of flow and to limit noise to the patients.

Maintenance concept
 Local workshops are provided for local on-site teams to maintain the equipment across the building, general
equipment, medical equipment, lifesaving equipment and infrastructure services within the building.

 Preventative, & reactive maintenance is operationally managed by a centralized helpdesk for staff to raise job
requests and associated documentations.

 Maintenance falls under the responsibility of the operator and the building, its equipment and infrastructure shall
be covered by a 12-month manufacturer warranty support only.

 A supply chain network with training, spare parts and call out capabilities is researched and established

Medical Tourism concept

 The building shall provide a clinical service to attraction of oversee / out of country patients with high disposable
income or insurance backed. Example services are Dental, Imaging, Maternal and Critical Care services.

Support nonclinical accommodation concept

 All Data environments transmitted data encrypted, securely and with high bandwidth and capacity to minimize
delay for user access
 Imaging equipment and complex clinical equipment are networked together.
 Equipment is latest technology and high quality for long life cycle
 Telemedicine functionality and 2nd opinion technology supports best clinical practice

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5 DESIGN APPROACH
This chapter defines and describes the conceptual frame of the Design solution, bearing in mind that the Design activity is a
continuous and progressive process of understanding the “problem”, its nature, and approach a solution from different
perspectives but within a hierarchy of decisions, leading the project towards the final solution in a structured way.

5.1 Design Principles

A hospital is one of the most complex building typologies, due to the integration of a wide range of disciplines, its stretch relation
and sensitivity to healthcare strategies and technological development in medical equipment and treatment. Therefore the
planning and construction of such a facility has to fulfill certain parameters to stand the test of time.

The main principles that have been considered within this project are as follows:

Flexibility

As mentioned above a hospital building is very sensitive to changes, and with a high financial investment, and to ensure the
building embraces the future is to make it flexible, suitable to be changed in time without missing the DNA that was conceived
with.

The concept of flexibility co-exists in a symbiotic relationship with the concept of modularity. A modular system fosters different
uses within the same component, this brings standardization but also flexibility to the whole facility.

The selection of materials or construction systems that are designed to be easily upgradable or replaced are aligned with this
concept, for example: Drywall systems allows the re-configuration of the rooms to repurpose their use or adjusting them to the
future needs without compromising the integrity of the structural systems or the operations of the service due to demolition
works.

The standardization of room sizes is an important planning strategy to achieve this concept, studying and finding a pattern within
the different functions to support the modularization of the system. For example: the DIN system of paper sizes, one A0 can be
folded into two A1 or four A2 sheets.

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Modularity

Modularity means using the same component in multiple configurations enabling a large variety of designs without using many
specific component types.

Modular architecture is a function based solution towards design problems and its advantage relies on the fact you can replace
or add any module without affecting the rest of the system.

In healthcare architecture, using a modular design approach enables the building to be upgradable and flexible, but the module
dimensioning has to be based on the spatial needs of the different functions and furthermore merged into the construction
strategy.

Scalability (Future Growth)

In Healthcare building planning it is essential to consider the future expansion of the proposed facility from small, medium and
large scale.
New outpatient service. Future Growth possibility
For the small and medium scale, some critical services have been identified and designed with growth possibilities:

Radiology service - It is one the services in a hospital that due to the continuous upgrades in technology and the high cost of For the large scale, the concept of future growth is to extend the hospital services to the other portion of the plot designated for
the equipment, it is suitable to be extended, incorporating new equipment or services. Therefore, since the planning we are the project.
enabling the building to accommodate these changes in the future without hindering the DNA of the building.
Efficiency and Humanization

The design of a healthcare building must be strongly focused in its functionality driven by the medical processes and its demands
in of access, zoning, integration between the different medical procedures and space requirements. Combined with an industrial
construction approach that supports the other concepts explained above: flexibility, modularity and scalability; will result in an
overall efficient building.

However, a healthcare building must be “Human”, with a focus on the patient experience and staff comfort. To achieve this goal
the use of natural light, green spaces and courtyards, and the use of color play a key roles.

Radiology. Future Growth possibility

Outpatient services - It has been foreseen the space for an additional building that could relocate services in the event of the
expansion of radiology or allocate additional outpatient services.

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5.2 First level of decisions  Grid definition

These set of decisions are the ones that has a big impact in the design development due to the cost implication, will determine To define the grid it is important to understand and apply the concept of modulation, identifying the pattern between the various
the lifetime of the project, and are not possible to change after its implementation. Therefore all the stakeholders are aligned to space units and dimension it bearing in mind the multiple constructions systems (structure, elevators, façade, transportation
these decisions but guided by the design team. vehicles space requirements, etc.).

A hospital building contains various building typologies, for example:

 Masterplan
The project has been developed within the constraint of a tight plot of 21.000 sqm. and its location close to the planned highway  Hotel typology: Inpatient areas
brings challenges of access and expansion. These constraints drive one of the key decisions, to position the building in a way  Office typology: Administration
that allows an appropriate integration into the plot and incorporate the concept of future growth.  Technical building typology: Main MEP Components building (Generators, water pumps, storage areas, etc.)
 Housing: On call areas, Medical staff residence
 Building typology Therefore, the grid or structural system shall respond differently in each typology and follow the design principles described in
The selection of the typology is driven by the size of the plot, the level of complexity of the new facility and the possibility of chapter Error! Reference source not found.
future expansion. Subsequently, a compressed solution, the typology that best fulfill these conditions is the “Street type in
horizontal scheme” or also called “Linked pavilion or finger plan”, which also supports a scalability principle. The Schedule of Accommodation (SoA) is not defined yet and therefore the grid system at this early stage cannot established.
However, the conceptual solution that we present is based on our experience in similar projects, with a first approach of a
combined grid of 8.40x8.40 m for the clinics and 7.20x10.80x7.20 for the Core building.

Hospital building typologies based on the form

 Building Integration. Access definition

The plot has one major access road from the highway. The different accesses to the facility have been defined as follows:

a) Dedicated EMERGENCY entrance for Ambulances

b) Dedicated LOGISTICs entrance for delivery and collection vehicles
c) A public and “curb side” entrance for visitors, patients and drop off

There is a possibility of a second access road to the west side, but this is subject to further discussions with the Housing & Town
planning ministry.

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5.3 Second level of decisions A steel structure frame system is foreseen for this project, in correspondence with the FAST TRACK strategy, compressing the
execution time due to the nature of the system and the overlapping of activities, manufacturing the system off site whilst other
These set of decisions are the ones that have a deep impact in the functionality of the building and are not suitable to change in activities are completed for example earthworks, civil engineering and concrete works.
the future without a big significant influence to the budget and possible disruption in the operations of hospital. All the trades /
disciplines follow these decisions as rules in order to keep the coherence of the DNA of the building.  Building Envelope
The building envelope is the skin of the building and provides protection from the exterior conditions, regulating the temperature
 Circulation systems. Vertical and horizontal between interior and exterior and brings a comfortable environment to the occupants; and beyond the functionality, it conveys
the character of the building.
These systems are very much integrated in the typology defined in the first level of decisions. Analogically we can call them “the
streets” within “the hospital city”. In this project two main streets or corridors organize and integrate all the flows: Therefore, the design of the envelope becomes one of the most challenging and complex tasks due to:

- The main corridor, combines a double circulation horizontally on the ground and first floor (red and blue lines), and integrates a) Constructability - tailoring industrial and standardized solutions to the purpose of the building
vertical circulation cores (lifts and staircases) b) Functionality - oriented to respond to the weather conditions and potential hazards like fire.
c) Aesthetics - integrating the new building within the landscape, positioning it without disturbing or as a
- The single one floor horizontal circulation (light blue line) situated at the edge of the Outpatient areas on the ground floor is to landmark
be used as a public corridor to access the clinics from the Main Lobby, and eventually could be designed with natural ventilation. d) Economics - understanding the impact of the system in the construction schedule and budget, but
furthermore bearing in mind its maintenance

The conceptualized system is described in the chapter 8 within this document.

 Zoning
A method of the urban planning to organize the different types of use in a town or city. Bringing this concept to healthcare design,
it defines the location of the different services within the building, in the shape of “containers” interacting in coordination with
their functional demands, establishing a law of proximity, dependency and integration.

5.4 Third level of decisions

This last set of decisions are suitable to be changed or amended in the future with a moderated cost impact and without the risk
of interference with the Hospital operation. They are a consequence of the previous decision levels, and nonetheless some of
them have a “give-and-take” relationship with the second level of decisions and therefore should be considered in the decision-
making process for example MEP and MEQ systems.

The systems included in this group are:

 Partitions system
 MEP systems
 MEQ and Furniture
 Landscaping
Circulation system

Analogous to a city, the streets become the system that keeps the order, integrates the plots, departments and “fingers” and
leads the future growth of the hospital. Therefore the streets cannot be invaded.

 Structural System
This system analogous to the bone structure of our body, not only in terms of support but also shape, it is strongly related to the
principle of modulation and leaded by the grid definition previously established.

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6 BUILDING CONCEPT

The plot geometry (size and shape) will define the building configuration together with the medical services. Our proposal
responds to the design principles expressed in the chapter 5.1 of this document with a four storey building and internal
courtyards, in order to optimize the footprint, achieve the medical service demands and foster the future growth of the facility.
As it can be appreciated in the renders, the main access and the outpatient functions are placed in a one storey building with
the intention to be naturally ventilated. There will a separate Technical building to the west side of the plot, to accommodate the
Generators, Logistics area, Waste management, etc.

The main building has been designed as a series of volumes integrated horizontally and vertically by a main double corridor
placed in the middle of the building as a central spine. There is a secondary corridor towards south connecting the main public
access with the clinics and administrative functions, mainly for public use. In order to avoid floods the main building will be raised
and constructed at least 1.20m above the external road level. This assumption will be confirmed after the Hydrologic Study.

Main Building Plot. Access definition

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6.1 Organisational Concept

The following points are considered to organise the flows for operational services and the end users:

 The movement of staff

 The separation of dirty and clean flows
 Patient experience for access to the clinical areas and services
 Security, safety, privacy and dignity of the patient
 Clinical pathways

All routes around and between the departments e.g., circulation consider the possibility of infection transmission. Building
Engineering and equipment solutions help to reduce the ability for infection to be transmitted during use of the corridors, doors,
furniture and clinical spaces. Managing patient and user flows in a co-ordinated and thoughtful way helps with noise, litter,
congestion and general feeling of the facility and ultimately the patient experience.

Within the VAMED proposed building and clinical functional description, the vertical and horizontal arrangement is predicated
on the above principles and the following logical statements.

 Keep patient & general foot movements on the lower levels to reduce noise and congestion
 Upper floors allocated for less foot traffic and sensitive clinical areas
 Grouping clinical wards and departments based on reducing the steps for the patient during their care pathway
 Fast access for hospital safety teams e.g., Code blue Resuscitation and bed movement

General adjacencies using close horizontal connections and groupings with logical clinical pathways and users, provides the
benefit in way finding and identification of the services through colours, names, art installations to help the user, staff and the
visitor to locate the service. The example of Neonatal and Obstetric could see the use of shades of lavender or pink to guide
the user through different stages of pregnancy and birth, with the added benefit of the colours soothing. Equally the use of bold
colours for Paediatrics could be used for Level 3.

Vertical transportation and elevators may use numbers to identify the horizontal direction e.g., group 1, group 2 and group 3.
These methods combine in a clear way how to move through the building without long sentences or words that may be confusing
and help meet the principle of accessibility for the visually impaired or mobility impaired.

Corridors or communication space, help to provide security to the patient and staff. Across the levels 1 – 3 it is planned the upper
(back) corridor is the staff corridor and the lower (front) corridor is the public. This segregation reduces noise and provides clear
communication to the location of services and departments whilst limiting unwanted access.

Our first functional diagram, in alignment with the Functional and Operational brief described in the chapter 4.1 of this document,
is described in the following floor plans schemes.

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Ground floor

It is seen as the first point of call for the patient and the relatives and end users. The importance of a welcoming and congestion
free entrance is vital to give a sense of confidence, organisation and to give a positive emotional response to remove fear and
anxiety. Over time the facility will gain a reputation of reliability, safety and excellence in clinical care for the patient.

Registration, Information points and the social spaces for the public and patients to share, thus providing an atmosphere of clear
communication is focussed to the main entrance and atrium area. All Outpatient services are located on the ground floor to limit
the movement of foot traffic and absorb possible behavioural habits of the patients arriving in clusters and the associated
congestion.

Connected with the Outpatient services, in a short distance to access Diagnostic services of Imaging and Functional testing.
This connection both physically and within the patient pathway allows the physician to either proactively plan a visit or as part of
the OPD consultation, to send the patient for and ECG or XRAY as a walk-in or emergency appointment and avoid multiple visits
for the patient. If due to reduced availability of appointments, the improvised visit elicits a positive response through making a
future appointment in person.

Elevators located in the central spine, provides several elevator banks to transport goods, bed & pedestrian patients, staff and
visitors to the upper levels. These are located at congestion points and where the flows should connect for good patient
pathways. The small local key emergency service is located at the rear of the building and close enough to the Imaging diagnostic
service for Fracture, Ultrasound and ECG appointments.

Back of house services including waste, kitchen and laundry are located away from the public flows and will use the dedicated
elevators located at the rear of the building closer to the Emergency service. A benefit shall be to keep short distances between
the outside back of house building with waste management and logistics. This arrangement follows the principle of Clean IN and
Dirty OUT in a one-way system.

Having the lower floor imaging service provides the opportunity to remove and maintain high technology equipment easily.
Providing ground floor access to remove structurally significant equipment without the use of cranes and specialist equipment,
contributes to a lower lifecycle costing for the CT, MRI and Gen X Ray equipment.

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Central
Waste

Kitchen

Medical Records
Staff Change
Technical

Medical
Pharmacy
Imaging
Laundry

Future Expansion
Tech. Bio. Eng. Tech.
Logistics

+1.20 m
A&E

IT
Outpatient

Outpatient
Laboratory

Mortuary

Lobby
Dyalisis

Admin.
Security
+1.20 m +0.00 m

Facility
Management Main Access

Ground floor
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First floor
Consists of the surgical and maternal clinical services and patient pathways. Being one level high the access time for the patients
of the Emergency service, Delivery mothers and Critical Care services is reduced and faster to access. Patients requiring elective
care arrive from level 2 and Level 3. A priority has been allocated for the birthing deliveries and after caring post-Partum in a
short distance access from Level 0. Locating 90% of the Maternity pathway on Level 1 provides fast and efficient access for the
bedded patient and an easy to access for the Antenatal Outpatient with Maternity service located at the front of the building.

Visiting Endoscopy patients have access to the middle OT block with short distances from the main entrance. The co-location
of Endoscopy within the surgical environment provides and a surgical opportunity for the patient with a critical condition and
possible trauma. Affording a sterile environment to the Endoscopy procedure room and the pathway to the room, also contributes
to a good working practice in reducing the transmission of contamination and possible infection.

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Endoscopy
Surgical Surgical
Obstetrics
Division Division

ICU
Support areas

Antenatal, Pre-Birth, Post Partum Ward

First floor
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Second floor
Is organised as a Critical Care and sensitive set of areas. All Paediatric and Neonatal patients are located within the service as
separated departments with independent and secure access points. Having security engineered into the design prevents and
deters theft, in appropriate access and safety of the clinical teams. Access from the OT is quick and efficient with key override
elevators and avoids the traditional location of top floor location of OTs and increased travel times.

A chemotherapy treatment service is located on this level and within a short access distance of the Paediatric critical care
complex and to the below level OT for any patient crash event that may occur. CSSD is located above the OT area with a direct
vertical connection to transport the sterilised instruments between the two locations by a dedicated elevator and thus avoids the
clinical elevators and associated potential risks of contamination.

Training and Education service provides training rooms and an Auditorium for visiting users and with a high usage forecast by
internal clinical staff and physicians, the location is closer to the front of the building to avoid the unnecessary noise and travel
distances seen with other locations. Staff also have hands on access to the Surgical and Critical Care departments during their
rotations within the specialities of Paediatrics and Neonatal care.

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Central Training and

Chemotherapy Sterilisation Education

Support areas

Neonatal and Pediatric Intensive Care Units

Second floor
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Third floor
Is the final level and comprises of most of the non-critical inpatient care for the Paediatrics and Gynaecology patients. The ward
configurations consist of a modular and geometric approach to the open plan bed wards with configurations of 6 beds and
isolation rooms for infected e.g., MRSA patients. A Paediatric infectious disease ward is located on this level to connect the
Paediatric service and associated staff and physicians on one level.

A woman’s specialist gynaecology ward is located on this level too.

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Infectious Gynaecology
Disease Ward Ward

Support areas

Pediatric Ward

Third floor
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7 PROJECT LOCATION
This section is the starting point for the building planning, understanding the physical conditions and constraints of the plot and
its surroundings.

7.1 The City

The project is located in Georgetown, the capital and largest city of Guyana. Georgetown is situated in Demerara-Mahaica,
region 4, on the Atlantic Ocean coast, at the mouth of the Demerara River. It is nicknamed the "Garden City of the Caribbean."

The city recorded a population of 118,363 in the 2012 census.

All executive departments of Guyana's government are located in the city, including Parliament Building, Guyana's Legislative
Building and the Court of Appeals, Guyana's highest judicial court. The State House (the official residence of the head of state),
as well as the offices and residence of the head of government, are both located in the city. The CARICOM headquarters is also
based in Georgetown.

Georgetown is also known for its British and Dutch colonial architecture

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7.2 The plot

The previous project site proposed by the client, with 20.000 sqm for the future development of the project, is under review,
since it has been explained and understood that the proposed site conditions are not suitable for the project.

Therefore the client will propose an alternative location with the following minimum requirements:

 Usable plot size 40.000 sqm

 Regular shape
 Adequate topography, without big depressions or accidents.
 Access roads available
 Availability of supply services such as: Electricity, Potable Water, Sewage, Internet
 The plot should be free of contamination
 No flooding risk

7.3 Climate
Guyana has a tropical climate with almost uniformly high temperatures, humidity and rainfall. Georgetown which is located on
the coast has quite constant temperatures with an average high of 32 and an average low of 24. Locations in the interior which
are not subject to the moderating effect of the ocean experience slightly wider variations in daily temperature where night-time
readings have been recorded as low.

The entire area is under the influence of the northeast trade winds where sea breezes also bring relief to the coast. Guyana lies
south of the path of the Caribbean hurricane belt and no hurricanes are known to have affected the country.

There are two marked rainy seasons during the year which are characterized as a long rainy season from April to August and a
short rainy season from November to January. Annual rainfall varies from about 90 inches (2,286mm) on the coat to as much
as 140 inches (3556mm) in the rain-forest areas. The Savannahs where the dry periods are more prolonged receives
approximately 60 inches (1524mm) of rainfall with the most rainfall occurring during the months of May to August. Figure 4-6
depicts the distribution of rainfall for the month of May of the country.

There are also two dry seasons from March to April and from September to November which is influenced by the movement of
the Inter Tropical Convergence Zone (ITCZ) across the equator. The Southern Oscillation Index (SOI) also has an effect on the
rainfall distribution where high positive values cause reduced rainfall in the secondary rainy season while high negative values
result in prolonged and extensive rainfall.

7.4 Preliminary Studies

In order to start the planning and design of the Pediatric and Maternal hospital in the location proposed, a series of preliminary
studies are required, and will be part of the First Design Phase, as described in the chapter 13.1

These studies shall include as a minimum:

 Geotechnical Study
 Topographic survey
 Hydrological Study
 Traffic Impact Study
 Preliminary Environmental Impact Assessment
 Cadastral map review and confirmation.
 Land deeds assessment

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8 CONSTRUCTION BRIEF

8.1 Building Envelope

The building envelope is the “skin” of the building. It has a very complex and important role to protect the internal spaces and
occupants of the building from the surrounding environment (rain, sun, wind, etc.), and has a critical role to energy performance,
and define the character of the building. Completion of the façade commences the detailed internal building systems (MEP,
partitions, false ceilings, etc.) fit out in a protected environment.
Kingspan KS series, Cross section Kingspan KS series, Joint detail
In addition to these factors, and in alignment with the Methodology explained at the beginning of this document, the envelope
system should bear in mind the compressed timeline for construction. Therefore, we have envisioned a single layer façade The interior and exterior facings are made of hot-dip zinc coated steel and offer an outstanding durability and weather resistance
system with steel coated SIP panels. performance, excellent corrosion and UV-resistance including high colour & gloss retention characteristics. Its superior flexibility
enables high resistance against mechanical damages. The surface of this µm thick polymer coating is non-toxic and resistant
System description to mould, durable and easy to clean.

Due to the hot climate environment and high humidity of the region and also related to the fact that the hospital building will
be air conditioned, a thermal insulated exterior wall will contribute in meeting the environmental requirements.

The proposed façade system is composed from high-quality insulated panels fixed on a steel substructure and covered on the
inside of the building by a layer of gypsum board.
Kingspan KS series, Profilation M (micro)
The chosen product has to have a good U-Value, sound insulation factor and fire resistance to meet the local standards and
regulations for this building typology. The insulation core is made of Class A mineral wool or polyurethane foam. The thermal insulation provides good noise insulation
and fire protection. Mineral wool will not burn or release toxic gases or smoke when exposed to high heat.
The below images provide a reference type of panel for a better understanding of the solution.

System advantages

As a single component wall, this system has the advantage of an accelerated construction speed which reduces execution times;
an important factor to consider in a FAST TRACK model project.

Another advantage is the durability of the product, having a lifetime performance. While other wall systems require constant
maintenance, they lose their technical and aesthetical properties with time, the insulated panel has a long durability.

It is a high performance system with high U-Values, very good fire resistance and noise insulation making it ideal for air-
conditioned spaces and for use in healthcare buildings.

The exterior metal skin is a perfect weather barrier, making the building water-tight while the internal metal skin is the perfect
vapour barrier, preventing the insulation to absorb moisture and lose its efficiency.

Kingspan KS series, Axonometric view. Only for reference

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8.2 Finishes
The finishes listed below are indicative and they will be confirm within the design process and in alignment with the regulations
and requirements of the different operational services of the hospital.

Floor finishes
In order to meet the extremely specific requirements of surface covering for the hospital interiors we have chosen a range of
products, based on the function of each room. An important criteria taken into consideration for all floor finishes is durability in
order to ensure that the products are wear-resistant over a long period of time under high transit. All chosen products are stable,
firm, slip-resistance and easy to clean which facilitates a safe walking surface for the users and reduces cross infection.

Vinyl floor, high transit meets the above mentioned criteria and is used in hospital interiors around the world. Exposed to
heavy pedestrian traffic 24 hours a day, vinyl floor is proven to be durable and strong, safe and shock absorbent and comfortable
to walk on. With a thickness of 2.00 mm and a slip-resistance of R9, the vinyl floor comes in lengths that are fused together
seamlessly using heat, creating a monolithic surface.

Following room types will be finished with vinyl floor, high transit: Consultation, examination and treatment rooms, clean utilities,
corridors, dirty utilities, linen rooms, janitor rooms, nurse stations, offices, on-call rooms, pantries, patient rooms, patient toilets, Vinyl floor reference image Screed + resin floor reference image
patient showers, staff change rooms, patient change rooms, staff lounges, departmental stores, departmental offices, lounge
areas. Porcelain tile, high transit is a clay-based and kiln-fired product. It is fired longer and at a higher temperature than ceramic
tiles, therefore it is denser and has an increased durability.
Vinyl floor, conductive, high transit is a special type of vinyl floor with anti-static proprieties that has 1.0 x 10E6 ohms or more
to protect sensitive hospital equipment from electro shock. Porcelain tiles are planned for the lobby area and outpatient waiting areas along the main corridor as well as for the public toilets
in the ground floor and second floor.
Following rooms were identified to be finished with anti-static vinyl floor: MRI procedure room, Fluoroscopy procedure room,
General X-Ray procedure room, Pharmacy preparation areas, BME Workshop, Plaster Rooms, Resuscitation area, Minor Technical raised floor is a floating floor designed to meet different needs of working areas with high concentration of plant
procedure room, Autopsy room, Medical gas stores, Operation Theaters, Endoscopy procedure room, Equipment workshops, engineering systems. It creates a space that can be used for cooling, electrical and mechanical services.
ICU, NICU, PICU and Laboratories.
Technical raised floor will be used in the main electrical room and in the server rooms.
Vinyl floor, wet rooms, high transit is a special type of vinyl with a slip-resistance of R10 used in areas with wet floors. This
type of vinyl is used in: patient shower rooms, and staff change shower areas.

Screed + resin is an epoxy floor placed on a screed layer which is commonly used in commercial properties for example
restaurants and industrial spaces. The nonslip topcoat applied on the epoxy surface makes the floor slip-resistant and very safe.

This type of floor with a smooth finish is used in the kitchen area, laundry area, main store, and technical rooms. Further, the
same type of floor but with a textured finish is used for the circulation stairs.

Porcelain tiles floor reference image Technical raised floor reference image

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Bolon is a handmade, industrial flooring with architectural sensibilities and a linear design that amplifies special geometry. It We are proposing this material for the public washrooms situated near the main entrance and for those in the training center.
has an anti-slip property of R9, a thickness of 2,3 mm and it is designated for heavy commercial use.
Raw concrete (Exposed concrete) is concrete that is left unfinished after being cast, displaying the patterns and seams imprinted
This type of floor is proposed for the teaching areas: training center, conference room, library, etc. on it by formwork. The concrete surface doesn’t require maintenance. It can be simply wiped with a damp cloth and warm water.

Acoustic tiles are sound-absorbing tiles used to mitigate noise and reduce reverberation and echo in a space. They are usually
used in large spaces with little or no furniture, where an echo effect might occur, as well as in theaters, cinemas, conference
rooms for a better speech clarity.

We propose acoustic tiles for the double-height wall in the main lobby. Together with acoustic ceiling panels, they will ensure
the desired noise reduction.

Ceiling finishes
Ceilings have following functions: they create an installation void for placing ducts and cables, they provide a clean and easy to
maintain finish for the rooms and they insure sound absorption for better room acoustics. Ceilings in hospital rooms shall be
cleanable with routine housekeeping equipment and disinfectants. Certain rooms for example kitchen, laundry, surgery areas
have special requirements. In order to fulfil these requirements we have chosen a range of ceiling finishes described below.

Ceiling tiles, mineral fiber, clinical are acoustic tiles specially created for healthcare environments with average or severe risk
of infection. They combine antimicrobial performance, excellent cleanability, resistance to disinfectants and sound absorption.

This type of ceiling is planned for most of the clinical areas in the hospital like: consultation / treatment areas, clean utilities, dirty
Bolon floor reference image
utilities, pharmacy, and laboratories.
Wall finishes and wall protections
The interior walls of a hospital are exposed to accidental rubs, spills and hits that may cause damage. For this reason it is
important the wall surface is easy to clean, washable and wall protection is in corridors for example where trolleys and bed traffic
are used and where excessive spills are expected.

In silicate paint, the binder consists mainly of mineral constituents. The special characteristic of mineral paints is their diffusivity
(water-vapor permeability), allowing the substrate to “breathe” and preventing so the formation of condensation. This type of
paint prevents dirt particles and bacteria to adhere to the walls, is “self-disinfecting” and suitable for use in healthcare buildings.

Most of the hospital interior walls will be painted with silicate paint except for areas that require special protection.

Latex paint is a special paint that uses latex as a binder which makes it extremely hard-wearing. Its main properties are water
resistance and water vapor impermeability. Surfaces painted with latex paint can be wiped wet in order to remove dirt and is
therefore used in kitchen, bathrooms, and stairwells.

We use latex paint for bathrooms walls (in combination with vinyl wall protections), pantries, kitchen, laundry, laboratories,
pharmacy preparation areas, CSSD working areas.
Ceiling tiles, mineral fiber, clinical reference image
Vinyl wallcovering offer a great level of protection, is monolithic, durable, smooth, scrubbable, water-resistant and easy to clean
wall protection. It is suitable for high traffic areas, for wet rooms and rooms with high demand of cleanness.

Vinyl wallcovering will be used for surgery restricted areas, shower rooms as well as a wall protection around the wash stations.

Porcelain tiles are high quality, durable tiles, which give elegance to the space. They are very commonly used for washrooms
in public buildings, hotels and similar.

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Ceiling tiles, perforated metal tiles, are another type of ceiling tiles made of perforated metal executed without grid work. This Gypsum board is a light-weight ceiling type with high strength, fire proofing and sound insulation capability. It provides a smooth
allows for quick installation and removal of tiles for void access which makes it suitable for areas with many ventilation ducts. surface on which different types of paint can be applied.

We recommend this type or ceiling tiles for the public main corridors. It is ideal for rooms which require a smooth ceiling without joints and for small rooms (bathrooms, changing units) where ceiling
tiles are more difficult to install.
Ceiling tiles, metal, 600 x 600 mm are unperforated metal tiles that comply with very rigorous standards. They are non-
perforated, smooth, cleanable, scrubbable, non-absorptive, well suited for industrial spaces such as kitchen and laundry. This type of ceiling in combination with a silicate paint is proposed for the patient rooms, some waiting areas and small changing
rooms.
This type of tiles applied on a non-corrosive grid are proposed for the kitchen area and the laundry area of the hospital.
A moisture resistant gypsum board in combination with latex paint it will be used for sanitary rooms.

Ceiling tiles, perforated metal, corridor reference image Ceiling tiles, metal, smooth reference image

Ceiling tiles, deco, acoustic are special tiles with an excellent acoustic performance, that can be customized in different shapes
and colors which allows design flexibility. This type of tiles are proposed for the main lobby.

Acoustic ceiling tiles, deco hexagons, Carondelet stem innovation centre, Concord CA

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8.3 Internal Partition system

All Internal walls are of light gauge cold steel stud framing cladded with gypsum or concrete board where applicable. Internal
wall construction exceptions include:

a) Staircases (Insitu concrete)

b) Elevator shafts (Insitu concrete)
c) Medical gasses storage (Hollow concrete block)

The interior drywall partitions are composed of varying thickness and construction, specifically to comply with the fire code
requirements and sound insulation standards (for transmission & absorption). Typical assembly descriptions are as follows:

 2hrs. Steel framed fire-rated partition:

 SHEETROCK Fire code Core Panels
 SHEETROCK Ultralight Panels Fire code X, or equivalent (both sides).
 92mm 25 gauge steel studs 600mm o.c
 25mm Earthwool Acoustic Roll within the cavity, or equivalent (where applicable)
 Approximate acoustical property: 53 - 54 STC, based on insulation type

 1hr. Steel framed fire rated partition:

 SHEETROCK Ultralight Panels Fire code 30, or equivalent (both sides).
 92mm 25 gauge steel studs 600mm o.c
 25mm Earthwool Acoustic Roll within the cavity, or equivalent (where applicable)
 Acoustical property: 52 STC based, on R-11 fiberglass sound bat

 1/2hr. Steel framed fire-rated partition:

 1 layer of 15mm SHEETROCK Ultralight Panels Fire code 30, or equivalent (both sides).
 92mm 25 gauge steel studs 600mm o.c
 RC-1 Resilient channel on one side spaced @ 600mm o.c., or equivalent
 25mm Earthwool Acoustic Roll within the cavity, or equivalent (where applicable)
 Approximate acoustical property: 44 - 49 STC based, on insulation type

 Steel framed X-Ray shielding partition:

 2 layer of 12.5mm Gypsum board with X-ray protection
 92mm 25 gauge double frame steel studs 600mm o.c
 1 layer of 15mm SHEETROCK Ultralight Panels Fire code 30, or equivalent (both sides)
 25mm sound insulation L019-01.09, or equivalent in both cavities

 Steel framed partition for wet areas:

 1 layer of 12.5 Permabase cement board or equivalent
 1 layer of 12.5mm SHEETROCK Ultralight Panels Fire code 30, or equivalent (both sides)
 92mm 25 gauge steel studs 600mm o.c
 2 layer of 12.5mm SHEETROCK Ultralight Panels Fire code 30, or equivalent (both sides)
 25mm Earthwool Acoustic Roll within the cavity, or equivalent (where applicable)

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9 MEDICAL EQUIPEMENT, FITTINGS AND FURNITURE  Low Complexity

In alignment with the methodology and in order to achieve the milestones for the execution of the MEQ and F&F project as This items could be approved in a third level of decision; it is not anticipated they will affect the construction sequence or have
recorded in the Project Schedule is crucial to have the stakeholder’s approvals. special pre-installation requirements.

Two set of documents needs to be revised in combination: Within this list are the rest of the items like accessories, trolleys, beds, medical furniture, laboratory equipment, etc.
 Furniture
a) The List of Equipment with the technical specifications
b) The Sample rooms These items could be approved in a third level of decision; it is not anticipated they will affect the construction sequence or have
special pre-installation requirements.

9.1 List of Equipment

The approval and purchasing processes are driven by the impact of the equipment within the construction process in terms of
pre-installation requirements, but also the manufacturing time of the equipment. Therefore the MEQ and F&F package has been
divided into four groups:

 High Complexity
To be approved and purchased with first level of priority. Comprised in this list are the equipment that fulfils the following criteria:

a) Special construction demands on the structural system of the building or preparation works needed to be
done in the foundation of the building.
b) High technology items that require special configuration according to the service demands and functionality
c) Manufacturing, due to the amount of time required for fabrication or the schedule in the production line of
the manufacturers.
d) High cost

Within this list are the following items:

 Medical Imaging equipment (MRI, CT, Fluoroscope and X-Ray)
 CSSD (Sterilizers and Washer disinfectors)
 Anesthetic machines
 Patient Monitoring systems
 Pendants (medical gases, endoscopy tower, etc.)

 Medium Complexity
Ideally should be approved and purchased at the same time with the High complexity, but due the less impact in the construction
they can be considered in a second level of decision. Comprised in this list are the equipment that fulfils the following criteria:

a) Special construction demands on the MEP systems, partitions or the necessity of secondary supporting
structures or fixations to the main structural system.
b) Items that require some configuration adjustments due to the service demands and functionality

Within this list are the following items:

 Operating Tables
 Bed head units
 Cialitic Lamps
 Autopsy table
 Cold chamber - body storage
 Bedpan washers
 Endoscope disinfector

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A revised version of the Main List of Equipment is displayed below:

Pediatric and Maternal Hospital, Guyana Pediatric and Maternal Hospital, Guyana
ITEM DESCRIPTION QTY ITEM DESCRIPTION QTY
listed quantities are only indicative and will be adapted in detailed planning phase listed quantities are only indicative and will be adapted in detailed planning phase

AM00 ANAESTHESIA MACHINE 4 MB00 MONITOR, BASIC NONINVASIVE, BEDSIDE 15

AM01 ANAESTHESIA MACHINE, NON-MAGNETIC (MRI) 1 MB01 MONITOR, NON-MAGNETIC (MRI) 1
AV00 VENTILATOR, EMERGENCY, PORTABLE 2 MB02 MONITOR, TRANSPORT 3
AV01 VENTILATOR, INTENSIVE CARE, ADULT/CHILDREN 9 MB03 MONITOR, MULTIPARAMETER ICU 16
AV02 VENTILATOR, INTENSIVE CARE, NEONATAL 12 MB04 MONITOR, MULTIPARAMETER OT 4
CC00 STERILISER, LOW TEMPERATURE 1 MB05 MONITOR, NEONATAL, ICU 22
CS00 STERILISER, STEAM 2 MB06 MONITOR, RECOVERY 8
CW00 WASHER/DISINFECTOR 2 MC00 MONITORING CENTRAL STATION 3
EF02 COLONOSCOPE VIDEO 1 MJ00 MONITOR, ANTE/INTRA PARTUM (CTG) 7
EF03 DUODENOSCOPE VIDEO 1 MK00 ECG UNIT 2
EF04 GASTROSCOPE VIDEO 1 MV00 DEFIBRILLATOR 8
ES02 VIDEO SYSTEM, ENDOSCOPY OPD 1 NI00 INCUBATOR, INFANT, INTENSIVE CARE 12
EW00 WASHER/DISINFECTOR, ENDOSCOPES 1 NI02 INCUBATOR, INFANT, OPEN CARE SYSTEM 10
FB00 BED, HOSPITAL, ELECTRIC 108 NI03 INCUBATOR, INFANT, TRANSPORT 2
FB02 BED, HOSPITAL, INTENSIVE CARE 16 NR03 RESUSCITATION UNIT, NEONATAL 5
FD00 BED, DELIVERY, ELECTRICAL 4 TD00 ELECTROSURGICAL UNIT 4
FE00 COUCH, EXAMINATION 30 TL01 LAMP, OPERATING, MAJOR 4
FP00 COT, PEDIATRIC 10 TT00 TABLE, OPERATING, ELECTRIC 4
FP01 BASSINET, BABY 32 VC00 COLD CHAMBER, BODY STORAGE, 3x2 BODIES 1
GA00 TREATMENT UNIT, ENT 1 XA01 X-RAY C-ARM 1
GD00 HAEMODIALYSIS UNIT, STANDARD 4 XA03 MOBILE X-RAY UNIT, DIGITAL 1
GD01 HAEMODIALYSIS UNIT, CRRT, ACUTE 2 XB00 RADIOGRAPHY UNIT, DIGITAL 1
GL00 LAMP EXAMINATION 30 XD00 FLUOROSCOPY UNIT, FLAT PANEL 1
GO00 EXAMINATION UNIT, OPHTHALMIC, 2 INSTRUMENTS 1 XG01 COMPUTER TOMOGRAPHY UNIT, 64 SLICES 1
GP01 PUMP, SYRINGE 80 XI00 ULTRASOUND UNIT GENERAL 2
GP02 PUMP, VOLUMETRIC INFUSION 40 XI02 ULTRASOUND UNIT, UROLOGY 1
IS00 SURGICAL INSTRUMENT PACKAGE 1 XI03 ULTRASOUND, MOBILE 1
LA00 ANALYSER BIO CHEMISTRY AUTO 1 XI04 ULTRASOUND UNIT, GYN/OBSTETRIC 2
LA01 ANALYSER BLOOD GAS + ISE 1 XJ00 MRI 1.5 T 1
LA98 POINT OF CARE TESTING DEPARTMENT 1 YG00 PENDANT, THEATRE, ANAESTHESIA 4
LA99 POINT OF CARE TESTING ICU DEPARTMENT 2 YG01 PENDANT, THEATRE, SURGICAL 3
LB00 ANALYSER BLOOD GROUPING/CROSS MATCHING 1
LH00 ANALYSER HAEMATOLOGY 1
LL00 EQUIPMENT FOR MICROBIOLOGY 1

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9.2 Medical Equipment references

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10 MECHANICAL, ELECTRICAL AND PLUMBING Waste management (Destruction)

Waste management is key to managing contamination on site and the control of infection through the collection and destruction
10.1 Summary of clinical waste and hazardous materials. A centralised-on site collection service is conceptualised to allow collection, recycling
and destruction of the solid and semi solid waste.
Conceptual planning for integrated Mechanical & Electrical equipment and systems organises the strategies for providing and
not limited to Air conditioning, Alarms and signals, Fire detection and management, Medical Gas generation & supply, Ventilation The basis for sizing the above ground Waste management is 150 beds.
of patient and public spaces, Water distribution and sewage collection, Waste management, Nurse call and patient safety
systems, Electrical distribution systems and back-up systems. Pathological and hazardous waste will be managed that no dangerous waste remains, or emissions are created. The system is
configured with a capacity to ensure the waste can be eliminated during a normal working time of up to 12 working hours per
The MEP planning is broken down into several larger topics for the Guyana Pediatric and Maternity Hospital and its ground plot. day. The waste is treated, destroyed and any output waste will be removed by the local municipality by arrangement.
It is not foreseen existing healthcare facilities are required to share MEP services or have connections to the MEP systems; a
small exception is in the more common of MEP systems involving Data, Alarms and Network connections which require a The Waste Sewerage Treatment Plant is based on a capacity of 150 beds
national connection and interface strategy through a common secure ISP connection and Policy.
Any emission values will met the local municipality Guyana EPA standards as required by the pre project assessment by the
national EPA agency and Housing Planning Authority.
10.2 Definition of Standards
MEP is defined as Mechanical & Electrical plant, services, systems, and software to provide the technical and engineering
solutions to deliver patient care in a safe, environmentally conditioned, and clean environment. Water supply
The conceptual planning comprises of cold and hot water supply systems, sanitary equipment, soil, waste, and rainwater
Standards, guidelines, and codes are based on the ability to source MEP plant and equipment from countries who provide disposal systems to support all workflows, functions and safety requirements for the Guyana Pediatric and Maternity hospital.
finance. European and American codes of safety for MEP plant & devices are observed and local standards are adopted for Included systems are integrated with necessary calorifiers, storage tanks and connecting pipes, filters, distribution pump sets
equipment supplied locally. and isolation valves.
All MEP plant, equipment and systems complies with hygiene and cleaning standards ensuring the equipment remains reliable,  Cold Water Service
able to withstand the hospital environment and normal clinical use.  Hot Water Service
 Water treatment
MEP plant, equipment and systems supplied are planned to accept the USA electrical supply voltage of 480v, 120 vac 60 Hz  Potable Water service
and the building electrical systems are designed to support the power demand and electrical / alarm connections required to
delivery healthcare.
Sewage & Drainage services
10.3 Principles and Concepts These are planning and engineered to ensure all hazardous waste, and non-hazardous waste is removed from the departments,
patient areas and external spaces in a controlled, regulated and safe method. Conceptual planning includes the following:

Infection control  Soil and Waste water drainage systems

All MEP equipment, plant & systems will withstand the hospital cleaning processes. A local standard of cleaning plant &  Surface rain water drainage system
equipment before the returning to the repair service / agent is integrated into the facility management & technical departments  Roof rain water drainage system
SoP’s. All Technical hospital staff are trained in techniques to minimise the transmission of contamination to the technical support
teams in Biomedical, Facilities management and IMT trades.
Sanitary Fittings
All items will be defined by usage requirement, clinical locations, infection control and planning standards. Material specifications
Maintenance are based on European qualities as required by the conditions of the project financing. The following items represent types and
All MEP plant and equipment will be selected to ensure repair, maintenance and longevity is achievable through a network of tools to manage the control of infection.
local agents, where possible OEM and suppliers who can support the equipment technically, operationally, training and through
onsite regular maintenance and repair.  Hand wash basin (standard size, e.g. Cleaner room, Pantry)
 Hand wash basin (small size, e.g. WC)
 Lab Sinks and Medical equipment with water connections
 Toilets WC
 Urinals
 Showers
 Floor-gullies

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 Roding eyes, access fittings, inspection chambers and manholes  Nurse Call System
 Vent pipes  Isolated Power Supplies (IPS)
 Clock System
 TV Antenna
Air conditioning and ventilation system  IM&T
Basis of design is to provide optimum, aseptic, and comfortable environments. The design for each department with air
movement minimizes the spread of airborne bacterial contamination. Air distribution design will maintain positive, negative, or
equal pressure within the conditioned spaces as appropriate. The planning, design, engineering, and installation are in
Building Management System (BMS)
accordance with the local codes and standards required by the project definition. The control system provides and conveys alarm signals from the HVAC systems, sanitary mechanical plant, Boiler(s), Fire
detection systems, Temperature control and water systems from the local indication panels to a centralised control panel (BMS).
With the conceptual planning the following systems provide the necessary protection and distribution of controlled environments.
The BMS shall control these feedback signals to ensure control of temperature, ventilation control and sequencing are managed
 Naturally ventilated environments e.g. Laundry, Logistics, Workshop areas efficiently and to reduce energy consumption.
 Conditioned environments e.g. corridors, offices, public areas
 Ventilated environments e.g. Patient areas
 Enhanced Air Conditioning e.g. Specialist areas, OT, Laboratory Elevators
 Chilled water generation and distribution systems
 Ventilation distribution systems Inc. dampers, filters, balancers Vertical transportation is planned to ensure compliance with local fire regulations and to meet the needs of moving patients,
staff, and visitors in efficient and safe routes. The elevators form part of the infection control strategy and movement of goods
and people.
Fire protection  Goods & soft FM transportation
The fire system will be designed in accordance to the relevant and latest standards in Guyana and under the guidance of the  Waste & soft FM transportation
local fire authorities. Protection is provided through detection and extinguishing plant and equipment.  Patient transportation
 Visitor transportation
 Fire detectors and local call points  Deceased transportation
 Centralized fire alarm panel and fireman’s override
 Local fire extinguishers
 Fire Alert and Reporting system

Medical Gas Systems

Medical Gases are provided to designated areas including resuscitation rooms, operating theatres and ICU. Medical gas outlets
are provided in accordance to the medical equipment requirements.

 Centralized Medical gas generation plant

 Backup medical gas generation
 Storage

Electrical and Low voltage signal systems

The socket outlets, wiring, calculations, installation shall be in accordance with local standards and project defined standards
and conceptualised as follows:

 High voltage system (s)

 Emergency Power Supply System (Backup generators)
 Uninterruptable Power Supply System (UPS)
 480V / 277V Main Distribution System
 Sub Distribution Board (SDB)
 Lighting
 Lightning protection and Grounding system(s)
 Telephone

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

11 IT CONCEPT All VMWare Servers and the Backup Server are connected to the storage appliance. All data is stored on the storage appliance
either as files or in a dedicated database.

The network used between the storage appliance and the servers is distinguished from the communication network. It is based
11.1 IT INFRASTRUCTURE on low level access methods making it very fast.

Communication between the storage system and the servers is based on the iSCSI protocol or SAS proto-col.
Network

The network in the hospital will be a star-shaped Ethernet having the Core Switches in the Data Center and the Access Switches 11.1.2.5 Backup System
in the Data Rooms. All Data Center Hardware (please refer to chapter 11.1.2) will be connected directly and redundant to the
Backup refers to the copying of data so that these additional copies may be restored after a data loss event. Backups are useful
Core Switches whereas all Client Hardware (please refer to chapter 11.1.2.1) as well as the medical equipment, will be connected
primarily for two purposes: to restore a server to an operational state following a disaster (called disaster recovery) and to restore
to the Access Switches. The Access Switches will be connected redundantly to the Core Switches via fiber optic connection.
small numbers of files after they have been accidentally deleted or corrupted.
The network will be secured against the outside world (internet) via firewall.
A full backup will be performed on weekends and an incremental backup will be performed on weekdays.
There is no provision for Wireless LAN (Wi-Fi) foreseen.

Data Center Hardware Client hardware

The basic design concept for the hospital is virtualizing the software services based on VMWare. This design offers redundancy
and high availability of software services within the hospital and allows easy scaling the IT landscape for the future requirements. 11.1.3.1 Computers
Based on this design we can identify two types of servers: For access to the network and use of provided services such as RIS & PACS but also file and print services a computers and
cleanroom computers will be used. Local peripherals (such as printers and scanners) will be connected mainly via USB port to
the computers. Users will authenticate via Active Directory to the network. All computers will be supplied with a min. 21,5” flat
11.1.2.1 VMWare Servers screen monitor, mouse and keyboard.
The VMWare Servers (physical devices) will be used as hardware for virtualizing IT services such as file services or print services
but also the clinical systems (RIS & PACS) in the hospital. The VMWare Servers will boot the hypervisor from built-in hard disks 11.1.3.2 Printers and Scanners
or SD Cards and the hypervisor will boot the respective virtual machine that provides the service from the Storage Area Network There is always a requirement to produce paper output to satisfy external requirements (labels, medical reports, etc.) and internal
(SAN). users who prefer to work with management reports and analyses on paper.

11.1.2.2 Backup Server 11.1.3.3 PACS Diagnostic Workstation

The Backup Server (physical device) will be used to perform daily and weekly backups of all data on the SAN (files, database, Specialized PACS Diagnostic Workstations shall be located in the Imaging Department for review of and diagnosis on radiology
Active Directory, server images). images. These dedicated workstations will be equipped with two 3 MP Megapixel (MP) medical grade monitors and dedicated
DICOM Viewer.
The Backup Server itself will provide storage capacity to perform a backup of data located on the SAN. A tape library will copy
to tape the backup to have a copy of the backup off site. 11.1.3.4 OT Cameras
In each OT a 360° HD dome camera will be installed that will enable the streaming of live images from the OT to the Lecture
11.1.2.3 Equipment racks Hall or Seminar Room. The transmission of these images will be secured against unauthorized access by the use of a VLAN.

The server room will be furnished with equipment racks housing the servers, the storage, the network switches and the Operating systems
Uninterruptible Power Supply (UPS).
VMWare Version 7 will be used as platform for virtualizing several services. Microsoft Windows Server 2019 or newer and Linux
Servers will be used as Server Operating System for services.
11.1.2.4 Storage Area Network The computers will use Microsoft Windows 10 and Office 2019 Home and Business.

An external storage system shall be installed to consolidate data of the hospital and to simplify backup concepts and strategies.
The storage must be able to be expandable as business needs grow (scalable) and protected against failure (redundancy). The
storage will be located in the server room.

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

VoIP Telephone system

For the implementation of a Radiology Information System (RIS) integration of demographic data into the PACS is possible and
A Voice over IP (VoIP) Telephone System will be installed as virtual server on the IT Infrastructure (please refer to chapter therefore reduces the necessity to enter the patient ID and other details more than once.
11.1.2). The VoIP Telephone System will use the same network infrastructure as the IT net-work (please refer to chapter 11.1.1)
and will be connected via separate VLAN. The VoIP telephone end-points will be powered via Power over Ethernet (PoE).  Benefits of the RIS
 Manage Patient Demographic Data via Patient Registration
 Avoid double entry of Patient Data at the modality by providing worklist information
11.2 LIS & RIS / PACS  Manage Patient Check In and Check Out
 Manage Appointments per modality
The following chapters describe the general functions of the Laboratory Information System (LIS) and gives an overview of the
 Create a Radiology order and send it to the modality
Radiology Information System (RIS) and Picture Archive and Communication System (PACS) including benefits and workflow.
 Display the DICOM images taken by the modality and link to the Radiology Order
Other clinical systems are provided by others.

Laboratory Information System Workflow

The following picture depicts the proposed workflow for the RIS/PACS:
The Laboratory Information System (LIS) is responsible for managing, storing and recording data for clinical laboratories.
Examples for this data are instruments, samples, users and patient information. Furthermore, the LIS enables to manage all the
workflows of a laboratory, such as receiving samples, entering results, verifying results, writing reports or tracking samples.
Being used in the clinical context, the LIS is further capable of storing relevant clinical data, such as patient information or the
ordering provider.

Radiology Information System and Picture Archive and Communication

system
The initial intention of PACS is to digitize the areas of the hospital that produce vast quantities of film and paper to make a more
efficient and reliable flow of information within the medical environment.

The most obvious area for this digitization is within the imaging department, where thousands of films are produced every year
to support the diagnostic results needed for further patient treatment. This media is becoming more and more costly as well as
problematic for handling and storage. Therefore, by eliminating the X-ray film and replacing it by workstation based “soft copy
reporting”, tremendous benefits are immediately realized. Figure 1: Workflow for the RIS/PACS

In a modern imaging department a digital luminance plate or a flat detector is utilized. The image can be sent directly to a digital
archive and stored in digital format.

The introduction of a PACS environment leads to several benefits to the hospital.

 Benefits of the PACS

 Filmless operation and safe storage of digital patient images
 Compact storage area for image archival
 No lost films
 No repeated exposures
 Reduction of personnel needed for filing, archival and transportation of images
 Reductions of patients stay within the hospital (due to faster access to the diagnostic information creating an
earlier commencement of patient treatment)
 Reduction of costs for radiological consumables
 Post Processing of images possible for easier and correct diagnosis
 “Soft copy” Reporting on high quality diagnosis workstations

As can be seen from the above description, the benefits are numerous for the implementation of such a network and in
conjunction with the Radiology Information System (RIS) the benefits for overall paper-less and filmless operation are virtually
unlimited.

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

12 SIGNAGE AND WAYFINDING  Locate various rooms and areas per department
 Identify the floor level while navigating vertically
This chapter describes the guidelines and the approach to signage and wayfinding. The Wayfinding and Signage package  Always understand one’s position and location within the building
contains the methodology and solutions in addressing navigational challenges users (the public, outpatient, service workers,  Identify and locate emergency exists and locations of interest
emergency response, staff, etc.) may encounter on the NSGH compound.

12.1 Design Basis 12.2 Wayfinding Methodology

This Wayfinding approach is based on the National Health Service (NHS) Wayfinding for Healthcare Facilities Guidelines, Internal and External signage are covered with three basic Signage types:
Published 1999 (ISBN 0 11 3221401)
 Directories
The design principles included outlines:  Location/Identification
 Directional Signage
 Wayfinding methodology
 Sign sizes
 Font styles and text heights 12.3 Directories and Finger Pointing
 Use of color and its execution
 Signage types and locations Directories will help the user find their position in 3-dimensional space and their relation to other locations. These directories
give more information than the typical signage. Users are expected to stop at these signs for a while prior to moving on. The
The Wayfinding design, will address various users up to and including: information present will be concise and designed to not overwhelm a user with too many options in navigation. They will have
enough clearance room to receive multiple users to read at once.
 Medical staff
 Service workers and vehicles They will be found at major decision points and intersections to aid in wayfinding decisions. For instance:
 Medical Emergency response units
 Fire Emergency response.  Footpath intersections
 General public use  Carriage way intersections.
 Inpatients  The Main Lobby Entrance
 Outpatients  Along internal Corridors

The design takes into consideration various accessibility challenges for users including the visually impaired. The information displayed will include maps, typography, and colour codes to differentiate different areas. The user will pick a
location and head into the direction visually shown on the map.
The aim of the wayfinding is to ensure all users can navigate the compound fully and with confidence.

The signage strategy is split between the main building and the external signage. Directional Signage
In tandem users will be able to achieve the following in the designated areas: Directional signage works in tandem with the directories to reinforce the information presented. They will be positioned along
pathways and other means of access. They will act as “breadcrumbs” along these paths. They will be positioned along sightlines
and have concise information that can be read at a glance. Directional signage will also use colour codes where suitable to
 External Areas: denote the zone/department.
 Enter the site using the correct entry (public, staff, or emergency/service)
 Locate the various parking locations i.e. (staff parking, general parking, ambulance parking, service loading bays
etc.) Location Markers
 Locate pedestrian entrances and easily navigate along foot paths Location Markers will use typography, glyphs, symbols and colour codes to denote the area you are in. Location Signage will be
 Locate and navigate to the Entrance Plaza place over key architectural features to clearly highlight areas of interest. For instance, signage for reception desks or waiting
 Locate the Main Entrance to the hospital main lobby areas will have signage directly above. Locations that are entered via a doorway, for example bathrooms, stairs etc. will have
 Location of Service areas wall mounted signage perpendicular to line of sight.
 Locate Emergency Zones

 Main Building:
 Locate and navigate to various departments
 Locate public facilities such as stairs, lifts, washrooms, the café, etc.
 Locate information and reception desks per department

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

12.4 Design Principles

Visibility
 Signs must be located along sight lines so that they can be read at a glance.
 Door names and icons are to be located above door opening so that the door leaf does not obstruct the view.
No signs are to be mounted on the door leaf itself. When door in open or closed, the sign will not be able to be
read as easily.
 Except where there are no other obstructions, external road signage must be placed 1500mm above grade to
prevent being obscured from moving and parked vehicles.
 External signage is to have accompanied lighting to improve visibility at night

Readability
 All information is to be written in sentence case, i.e., the first letter of each word is to be capitalized.
 Similar directions are to be grouped together
 How the color of signs contrasts against their background environments are to be considered individually and
prototyped and tested on site:

a) Landscaped green areas such as grass and trees

b) Surrounding wall colors
c) Ceilings colors
d) Transparent materials such as glass
e) Distant vistas and the sky

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

13 PLANNING AND DESIGN STAGES  Architecture

 Landscaping
The Design Stages will be divided in three phases, with the following scope:  Structural Engineering. Full package Detail Design
 MEP
13.1 Phase 1. Basic Design (BD)  Medical Equipment, Furniture and Fixtures
 Calculation Reports
Corresponding to the Basic Design with the following content:
 Technical Specifications
 Sample Rooms / Room Data Sheets
 Location and Plot assessment
 Final Project visualization
 Statutory permits mapping
 Approvals (Client, Authorities, etc.)
 Building parameters mapping
 Preliminary Studies
 User’s Brief. Hospital Services Portfolio 13.4 Phase 3. Construction documentation (SD)
 SOD – Schedule of Departments The construction documents (SD) phase of the project provides the final documentation and coordination of the base building
 Building configuration engineering. Based upon the approved design, budget and schedule from the Detail Design phase and directions on any value
 Initial Site plan with Site Circulation strategy engineering options, the design team will prepare final construction contract drawings, specifications and other documents
 Zoning. Floor plans necessary for bidding and contracting the construction. It may occur that some of these documents are the same as the ones
 Internal circulation definition. Main corridors, staircases location and lifts presented in the Detail Design phase.
 MEQ. Definition of Main Equipment in alignment with the SOD previously mentioned
 Project Visualization At this stage any further changes either from the Client or the Engineer will incur in a variation, as determined under the Contract
 Approvals (Client, Authorities, etc.) Documents. On this regard, a cost and risk matrix will be required prior to changes implementation.

13.2 Phase 2. Concept Design (CD) This design stage does not require any further approval unless a significant change in the footprint of the building, functionality
or construction method is required.
The objective of this design phase is to further develop the approved Basic design and incorporate the other disciplines as a
continue approach to the construction phase. The Concept design deliverable will serve as the basis for all future phases. Listed
Listed below the documents for this phase:
below the deliverables:
 Drawings (All disciplines)
 Project Brief. Design Approach (Preliminary Studies, Functional Planning, Architecture, MEP, MEQ and IT)
 Technical Specifications
 Functional Description. Schedule of Accommodation
 C-Sheets
 Concept Master plan
 Construction materials or finishing product samples only.
 Concept Architecture Layouts, Sections and Elevations drawings in scale
 Sample rooms
 Structural Engineering Concept Design
 Structural Engineering. Foundation Detail Design
 Project Visualization
 Approvals (Client, Authorities, etc.)

13.3 Phase 3. Detail Design (DD)

Corresponding to the Design Development (Detail Design), and Tender documentation. The development of this stage requires
the approval of the Phase 2 (Concept Design). The goal is to provide adequate project documentation to obtain accurate and
enough documents for tendering. At the conclusion of the Detail Design phase the project documentation should be overlapping
with the Construction documentation, representing a portion of the Construction documentation.

At this stage is not foreseen any substantial changes or variations in any of the disciplines. If any substantial changes or
variations exercises after the presentation of this phase due to client’s or FIDIC Engineer’s requests, it will be treated as a
variation as determined under the Contract Documents.

Listed below the deliverables for this phase:

 Project Brief (All disciplines)

 Drawings in scale:
 Civil

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Project: PEDIATRIC AND MATERNAL HOSPITAL, Guyana
PROJECT BRIEF

14 SAMPLE ROOMS
The sample rooms are part of the standardization design principle explained at the beginning of this document, and a powerful
supporting tool to facilitate the approval process, summarizing the room list in a set of key rooms that give shape to the 90% of
the hospital because of its importance or number.

These documents are a combination of drawings and a set of design parameters and qualities defined in “Room Data Sheets”

Within this document the following rooms are presented as an example:

 Operating Theatre
 Outpatient clinic
 Inpatient room
 ICU room
 Nurse station
 Administrative office

Note that the drawings shown below are only for reference, as well as the list of equipment described within the drawings

Page 45/45
 SUR 008 OT

PEDIATRIC AND MATERNAL HOSPITAL

Room equipment list
Georgetown, Cooperative Republic of Guyana
Item Item description Qty Item Item description Qty
AA0001 LARYNGOSCOPE, INTUBATION, ADULT SET 1
TD0010 ELECTROSURGICAL UNIT, STANDARD 1
AA0002 LARYNGOSCOPE, INTUBATION, INFANT & NEONATAL SET 1
TF0005 KICK BUCKET, S/S 1
AA0003 LARYNGOSCOPE, INTUBATION, PAEDIATRIC SET 1
TF0010 STAND BOWL, SINGLE 1
AA0040 MANOMETER, CUFF PRESSURE, ENDOTEST 1
TF0014 STAND BOWL, HEATED 1
TF0020 STEP, SURGEON, TWO STEP, ANTISTATIC 1
AA0150 TUBE ENDOTRACHEAL, SET OF 1
TF0032 STOOL, THEATRE W/ BACK REST 2
AM0030 ANAESTHESIA MACHINE, MOBILE, O2/AIR, 2 VAP 1
TF0050 TABLE, MAYO 2
FT0015 TROLLEY, ANAESTHESIA 1
TF0062 TROLLEY, INSTRUMENT, LARGE, S/S 2
GP0020 PUMP, SYRINGE 2
TF0071 TROLLEY, SUTURES 1
GP0030 PUMP, VOLUMETRIC INFUSION 1
TI0100 VIDEO INTEGRATION, OPERATING ROOM (OR), BASIC 1
GP0070 PRESSURE INFUSOR, BAG 1
TL0032 LAMP, OPERATING MAIN & SATELLITE W/ CAMERA & DISPLAY 1
GV0002 SUCTION UNIT, VACUUM, C/W BOTTLE, RAIL MTD 1
TT0022 TABLE, OPERATING, ELECTRICAL 1
GV0090 SUCTION UNIT, SURGICAL, ELECTRICAL 1
WT0100 TROLLEY, SOILED LINEN, SINGLE 1
GZ0010 STAND IV, STANDARD 2
YF0320 MEDICAL GAS OUTLET, CONSOLE, OT 1
GZ0111 WARMER, BLOOD AND INFUSION FLUIDS 1
YG0110 PENDANT, THEATRE, ANAESTHESIA, ELECTRICAL, HEIGHT ADJ 1
HW0013 TROLLEY, WASTE BAG SINGLE 2
YG0120 PENDANT, THEATRE, SURGICAL, ELECTRICAL, HEIGHT ADJ 1 R/ID Ch/ID Change Descript
MB0060 MONITOR, MULTIPARAMETER OT, STANDARD 1
01 01A Drawing submission u
YO0001 PANEL, THEATRE CONTROL, STANDARD 1
MV0030 DEFIBRILLATOR, CLINICAL, INT/EXT PADDELS 1 Visualisation

LEGEND :

ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFOR

PROPERTY OF VAMED ENGINEERING AND CANNOT BE
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHE
DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN
ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL
PROTECT OUR RIGHTS.
ALWAYS DOUBLE-CHECK MEASUREMENTS!

TF0062 TF0062
AM0030
TF0050 New San
GV0090
Ho
CLIENT:
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38 - 40 Sackville S
Trinidad, West Ind
SUR 008 SUR 008 T: +1 868 225 400
OT #2 OT #2 www.udecott.com
A: 43.78 m2 A: 43.78 m2
C: 3.00 m YG0120 C: 3.00 m CLIENT:
O: 1 O: 1
ERHA

SUR corridor

SUR corridor
TF0010 Eastern
Supercare Buildin

A: 34.70 m2

A: 34.70 m2
C: 3.00 m

C: 3.00 m
COR 054

COR 054
Sangre Grande, T
TF0005

O: ---

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GZ0010 T: +1 868 668-110
4.300

TF0032 2.111 2.487 2.102 E:corpcomm@erh

www.erha.co.tt
CONTRACTOR:

VE Vamed Engine
TT0022 Sterngasse 5, A-1
TL0032 T: +43 1 60 127 2
YG0120 E: officeVE-CSA@
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TF0020
ISSUED FOR: Construction / Tender / App

APPROV
6.700

6.750

6.150 0.600
CH: 3.000

3.000
AM0030

TF0032
01 WT0100
HW0013 HW0013
04 02
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TF0062 GV0090 TF0010
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DISCIPLINE: DESIGN STAGE:

HW0013 ELECDAT 046 ELECDAT 046

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2.400

Electrical Closet Electrical Closet

A: 1.24 m2 A: 1.24 m2
C: 3.00 m C: 3.00 m
O: --- O: ---
SHEET NAME:

SUR 008 OT
GZ0010 Elevation 01 Elevation 02
01 FT0071 02 SHEET CONTENT:
Scale: 1:25 WT0100
Scale: 1:25 SUR 008 Floor plan, Visualisation, SUR 008 R

ALL RIGHTS RESERVED. THIS

PROPERTY OF VAMED ENGIN
MODIFIED IN WHOLE OR IN PA
DRAWING HAS BEEN MADE, W
ENGINEERING. FAILURE TO C
PROTECT OUR RIGHTS.
TTO.NSGH.DD.MB-20.12.08.pln

ALWAYS DOUBLE-CHECK MEA

TF0050

BUILDING ID: SHEET NUMBER:

MB AR-4-01
FILE NAME:

TTO-NSGH-DD-MB-AR-4-01-03-SUR
SUR 008 Floor plan SUR 008 Reflected ceiling plan
01 02 DATE DESIGN BY FO
Scale: 1:25 Scale: 1:25
Sample Rooms. Operating Theatre
15/12/2020 VE 841
 OPD 025 CET Room
BN0035

PEDIATRIC AND MATERNAL HOSPITAL

GL0030
Georgetown, Cooperative Republic of Guyana
Room equipment list
01

04 02
FZ0001
03

Item Item description

Qty
BC0011 CHAIR, STACKABLE, PLYWOOD 1

BC0030 CHAIR, OFFICE, WITH ARMREST 1

LEGEND :

3.750
BD0032 DESK, RECTANGULAR WITH PEDESTAL, 1600x800 MM 1
OPD 025
BN0035 BOARD, CHARTING WRITING/MAGNETIC 1 CET #12 HW0302
A: 13.24 m2
C: 3.00 m

OPD 025 TABLE,

FE0200 CET Room2 SECTION, W/ DRAWER CABINET
EXAMINATION, 1 F: Vinyl Standard
O: 1

BN0035
FY0001 FUNCTIONAL CABINET, BASIC 1

GL0030
3.848
FZ0001 STOOL, MEDICAL 1
Room equipment list
HW0040
GG0030 STETHOSCOPE, STANDARD 1 01

04 02
GG0051 THERMOMETER, TYMPANIC 1 03
FZ0001

WBC01
Item
GG0061 Item description
HAMMER, PERCUSSION, BUCK 1 YD0028
XY0001
Qty
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GG0065 CHAIR,
TORCH, STACKABLE, PLYWOOD
DIAGNOSTIC 1 1

BC0030 CHAIR, OFFICE, WITHOTO/OPH,

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GG0113 DIAGNOSTIC STATION,
OPD 025 Floor plan
01

3.750
BD0032
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EXAMINATION, LED,WITH
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Scale: 1:25 OPD 025
BN0035
GS0004 BOARD,
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ELECTRONIC, W/ HEIGHT MEASUREMENT 1 1 CET #12 HW0302
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F: Vinyl Standard
FE0200
GS0049 TABLE,
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01 01A Drawing submission u
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GG0065
YF0315 TORCH,GAS
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YJ0001 DIAGNOSTIC
CURTAIN STATION,
& TRACK, OTO/OPH,
HOSPITAL, WALL MTD, 3 UNITS
STRAIGHT 1 1
OPD 025 Floor plan
GL0030 LAMP EXAMINATION, LED, WALL MTD 1 01 ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFOR
Scale: 1:25 OPD 025
CET #12
PROPERTY OF VAMED ENGINEERING AND CANNOT BE
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHE
A: 13.24 m2 DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN
GS0004 SCALE PATIENT, ELECTRONIC, W/ HEIGHT MEASUREMENT 1 C: 3.00 m ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL
PROTECT OUR RIGHTS.
F: Vinyl Standard
O: 1 ALWAYS DOUBLE-CHECK MEASUREMENTS!

GS0049 TAPE, MEASURE, CIRCUMFERENCE & LENGTH 1

R/ID Ch/ID Change Desc
GZ0020 TOURNIQUET, QUICK RELEASE 1
01 01A New San
Drawing submissi

HW0040 BIN, RECYCLING, PLASTIC, MODULAR, 2 COMPARTMENTS 1

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HW0302 BIN, WASTE, CLINICAL 1 CLIENT:
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XV0001 ILLUMINATOR, X-RAY, SINGLE 1 38 - 40 Sackville S
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T: +1 868 225 400
YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD 1 www.udecott.com
CLIENT:

YF0315 MEDICAL GAS OUTLET, CONSOLE, O2/VACUUM 1 ERHA Eastern

Supercare Buildin

YJ0001 CURTAIN & TRACK, HOSPITAL, STRAIGHT 1 OPD 025 Reflected ceiling plan Sangre Grande, T
T: +1 868 668-110
02 E:corpcomm@erh
Scale: 1:25 OPD 025
www.erha.co.tt
ALL RIGHTS RESERVED. THIS DRAWING AND ALL IN
CONTRACTOR:
PROPERTY OF VAMED ENGINEERING AND CANNOT
MODIFIED IN WHOLE OR IN PART FOR PURPOSES
CET #12
A: 13.24 m2
VE
DRAWING HAS BEEN MADE, WITHOUT Vamed
PRIOREngine
WRIT
ENGINEERING. FAILURE TO COMPLY WITH ABOVE
C: 3.00 m
PROTECT OUR RIGHTS.
Sterngasse 5, A-1
F: Vinyl Standard T: +43 1 60 127 2
O: 1 ALWAYS DOUBLE-CHECK MEASUREMENTS!
E: officeVE-CSA@
www.vamed.com

ISSUED FOR: Construction / Tender / App

New S
Visualisation APPROVH
CLIENT:

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OPD 025 Reflected ceiling plan Sangre Grand

YJ0001

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02 E:corpcomm@

1.250 1.300
Scale: 1:25 www.erha.co.t
CONTRACTOR:
GL0030
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T: +43 1 60 12
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BN0035 XY0001 ISSUED FOR: Construction / Tender /
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CH: 2.700

CH: 2.700
CH: 2.800
CH: 2.800

SHEET NAME:

1.090 0.862 1.438

OPD 025 CET Room
SHEET CONTENT:
WBC01 OPD 025 Floor plan, OPD 025 Reflected ceilin
1.500

02, Elevation 03, Elevation 04, Visualisation

1.508
HW0302 HW0302
FZ0001 HW0040 HW0040
YJ0001

0.950
TTO.NSGH.DD.MB-20.12.08.pln

1.250 1.300 GL0030 BUILDING ID: SHEET NUMBER:

GL0030 MB AR-4-01
FILE NAME:

BN0035 TTO-NSGH-DD-MB-AR-4-01-07-OP
Elevation 01 Elevation 02 Elevation 03
XY0001
YD0028 MIR01 Elevation 04
03 04 05 06 DISCIPLINE:
DATE DESIGN STAGE:
DESIGN BY FO
Scale: 1:25 Scale: 1:25 Scale: 1:25 Scale: 1:25
Sample Rooms. Outpatient Clinics
AR Detailed D

CH: 2.700

CH: 2.700
15/12/2020 VE 841
CH: 2.800
CH: 2.800

SHEET NAME:

1.090 0.862 1.438

OPD 025 CET Room
SHEET CONTENT:
WBC01 OPD 025 Floor plan, OPD 025 Reflected c
00

02, Elevation 03, Elevation 04, Visualisatio

 PEDIATRIC AND MATERNAL HOSPITAL
Georgetown, Cooperative Republic of Guyana LEGEND :

GEW A014 4 bed Patient suite

Room equipment list

Item Item description Qty LEGEND :

AA0050 FLOWMETER, O2 C/W HUMIDIFIER, DIRECT 4

GEW A014 4 bed Patient suite
BC0011 CHAIR, STACKABLE, PLYWOOD 4

Room equipment list

BL0020 LOCKER, PATIENT 4

BT0001 TABLE, SQUARE 1

Item Item description FB0024 BED, HOSPITAL, ELECTRICAL,

Qty 4 SECTION 4
AA0050 FLOWMETER, O2 C/W HUMIDIFIER, DIRECT
FL0002 CABINET, BEDSIDE, 4
C/W OVERBED TABLE 4
BC0011 CHAIR, STACKABLE, PLYWOOD 4
GV0002 SUCTION UNIT, VACUUM, C/W BOTTLE, RAIL MTD 4
BL0020 LOCKER, PATIENT 4

BT0001 TABLE, SQUARE

HW0040 BIN, RECYCLING, PLASTIC,
1
MODULAR, 2 COMPARTMENTS 1

FB0024 BED, HOSPITAL,HW0302 BIN,

ELECTRICAL, 4 SECTION WASTE, CLINICAL
4 1
FL0002 CABINET, BEDSIDE, C/W OVERBED TABLE 4
YB0002 BED HEAD UNIT, 2 BEDS 2
GV0002 SUCTION UNIT, VACUUM, C/W BOTTLE, RAIL MTD 4
YB0301 EQUIPMENT RAIL, WALL MTD, 1000MM 4
HW0040 BIN, RECYCLING, PLASTIC, MODULAR, 2 COMPARTMENTS 1

HW0302 YD0028
BIN, WASTE, CLINICAL DISPENSER, GLOVE/APRON/MASK,
1 WALL MTD 1
YB0002 BED HEAD UNIT,YJ0024
2 BEDS 2
CURTAIN & TRACK, HOSPITAL, 4-BED ROOM 1
YB0301 EQUIPMENT RAIL, WALL MTD, 1000MM 4

YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD 1

R/ID Ch/ID Change Descript
YJ0024 CURTAIN & TRACK, HOSPITAL, 4-BED ROOM 1
01 01A Drawing submission u

R/ID Ch/ID Change Description Issue Date

01 01A Drawing submission updated 15/12/2020

Visualisation
Visualisation
YJ0024
0.150

YJ0024

YB0301 YB0301
ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFOR
YB0002
YJ0024
0.150

YJ0024

YB0301 YB0301 WCD01 PROPERTY OF VAMED ENGINEERING AND CANNOT BE

ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFORMATION HEREIN CONTAINED, IS
YB0002 WCD01 PROPERTY OF VAMED ENGINEERING AND CANNOT BE COPIED, REPRODUCED, UTILIZED OR MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHE
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHER THAN THOSE FOR WHICH DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN
DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN AUTHORIZATION BY VAMED ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL
ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL RESULT IN TAKING LEGAL ACTION TO
PROTECT OUR RIGHTS. PROTECT OUR RIGHTS.
BL0020 BL0020 BL0020 BL0020 ALWAYS DOUBLE-CHECK MEASUREMENTS! ALWAYS DOUBLE-CHECK MEASUREMENTS!

FL0002 FL0002 FL0002 FL0002

New Sangre Grande

Hospital
New San
Ho
2.500

CLIENT:
Urban Development Corporation
udecott

2.500
of Trinidad and Tobago Ltd.

38 - 40 Sackville Street, Port of Spain CLIENT:

Trinidad, West Indies Urba
GEW A015
Patient WC
A: 4.30 m2
WBA01
GEW A015
Patient WC
A: 4.30 m2
T: +1 868 225 4004 udecott of Tr
C: 3.00 m C: 3.00 m www.udecott.com
O: --- O: ---
CLIENT:
38 - 40 Sackville S
WBC01 Trinidad, West Ind
GEW A015
Patient WC WBA01 ERHA Eastern Regional Health Authority Ltd. GEW A015
Patient WC
A: 4.30 m2
Supercare Building, Eastern Main Rd.
A: 4.30 m2
T: +1 868 225 400
BC0011 C: 3.00 m Sangre Grande, Trinidad, West Indies C: 3.00 m www.udecott.com
BC0011 O: --- T: +1 868 668-1105 O: ---
CLIENT:
WBC01 E:corpcomm@erha.co.tt
www.erha.co.tt ERHA Eastern
CONTRACTOR: Supercare Buildin
BC0011 VE Vamed Engineering Sangre Grande, T
BC0011 Sterngasse 5, A-1232, Vienna, Austria T: +1 868 668-110
FB0024 FB0024
T: +43 1 60 127 215 E:corpcomm@erh
Surface Finish: --- E: officeVE-CSA@vamed.com Surface Finish: ---
www.vamed.com www.erha.co.tt
YD0028
CONTRACTOR:
Surface Finish: Paint - Titanium White ISSUED FOR: Construction / Tender / Approval / Review / Information
BT0001
Surface Finish: Gypsum Board Standard
VE Vamed Engine
Sterngasse 5, A-1
FB0024
GEW A014
4 bed Patient suite 01
FB0024
GEW A014
4 bed Patient suite
APPROVAL Surface Finish: Paint - Titanium White
T: +43 1 60 127 2
A: 46.39 m2
1.548 A: 46.39 m2
4.550
Surface Finish: Paint - Titanium White E: officeVE-CSA@
C: 3.00 m C: 3.00 m
04 02 YD0028 www.vamed.com
1.800

O: 4 O: 4
6.975

03 BL0020 BL0020
ISSUED FOR: Construction / Tender / App
BT0001 6.098 1.950 YB0002
YD0028 MIR01 YD0028
APPROV

CH: 2.999

CH: 2.999
GEW A014 GEW A014
4 bed Patient suite 01 4 bed Patient suite
A: 46.39 m2 YB0301 YB0301 A: 46.39 m2
C: 3.00 m C: 3.00 m
04 02

CH: 2.400
1.800

CH: 2.400
O: 4 O: 4
6.975

FB0024 FB0024
0.450
03
FB0024 FL0002 FB0024 FL0002
6.098 WBA01 1.950
BC0011 WBC01
BC0011

1.499
1.500

BC0011

0.899
DISCIPLINE: DESIGN STAGE: DESIGN STAGE CODE:

FB0024 FB0024
GEW A016 GEW A016
AR Detailed Design DD
Patient shower Patient shower
2.250

A: 3.74 m2 A: 3.74 m2 SHEET NAME:

C: 3.00 m C: 3.00 m
O: ---

WBA01
O: ---
GEW 014 Patient Room
BC0011 BC0011 Elevation 01 SHEET CONTENT:
Elevation 02
GEW A014 Floor plan, Visualisation, GEW A014 Reflected ceiling plan
SHA01 01 02
FL0002 FL0002
Scale: 1:25 Scale: 1:25
BL0020 BL0020
TTO.NSGH.DD.MB-20.12.08.pln

DISCIPLINE: DESIGN STAGE:

YJ0024

YJ0024

YB0002 BUILDING ID: SHEET NUMBER: INDEX:

YB0301 YB0301
AR Detailed De
GEW A016
Patient shower
MB AR-4-01-08 01 GEW A016
Patient shower
2.250

A: 3.74 m2 A: 3.74 m2 SHEET NAME:

FILE NAME:

GEW A014 Floor plan GEW A014 Reflected ceiling plan

C: 3.00 m C: 3.00 m

01 02
O: ---
TTO-NSGH-DD-MB-AR-4-01-08-GEW 014 Patient Room-01
O: ---
GEW 014 Patient Room
Scale: 1:25 Scale: 1:25 DATE DESIGN BY FORMAT SCALE SHEET CONTENT:
GEW A014 Floor plan, Visualisation, GEW A0
15/12/2020 VE 841 x 594 1:25
SHA01

FL0002 FL0002

Sample Rooms. Inpatient room

BL0020 BL0020
.MB-20.12.08.pln

YJ0024

YJ0024

YB0002 BUILDING ID: SHEET NUMBER:

YB0301 YB0301
MB AR-4-01
FILE NAME:
PEDIATRIC AND MATERNAL HOSPITAL
Georgetown, Cooperative Republic of Guyana
LEGEND :

ICU 025 ICU bed

Room equipment list

Item Item description Qty

AA0055 FLOWMETER, O2 C/W HUMIDIFIER, RAIL MTD 1

AV0120 VENTILATOR, INTENSIVE CARE, ADULT/CHILDREN 1

BC0011 CHAIR, STACKABLE, PLYWOOD 1

BT9001 WORKTOP, WALL MOUNTED WORKING PLACE 1

0.150
YJ0005

YJ0005

YJ0005
FB0100 BED, HOSPITAL, INTENSIVE CARE 1

FL0002 CABINET, BEDSIDE, C/W OVERBED TABLE 1

GL0050 LAMP EXAMINATION, LED, CEILING MTD 1

1.600
GL0300 LAMP, RAIL MTD 1

GP0001 DOCKING STATION, 4 PUMPS 1

CH: 2.999
3.000
GP0020 PUMP, SYRINGE 3

GP0030 PUMP, VOLUMETRIC INFUSION 2

GP0001 0.809 0.500
FL0002
GP0050 PUMP, ENTERAL FEEDING 1

GV0002 SUCTION UNIT, VACUUM, C/W BOTTLE, RAIL MTD 1

1.250

1.034
GZ0010 STAND IV, STANDARD 1 BC0011

HW0013 TROLLEY, WASTE BAG SINGLE 1 R/ID Ch/ID Change Descript

01 01A Drawing submission u

MB0040 MONITOR, MULTIPARAMETER ICU, STANDARD 1

SF0103 BASKET, CATHETER, RAIL MTD 1

YB0211 CEILING SUPPLY UNIT, ICU, 1 BED 1

Elevation 01 Elevation 02
YB0301 EQUIPMENT RAIL, WALL MTD, 1000MM 2 01 02
Scale: 1:25 Scale: 1:25
YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD 1

YJ0005 CURTAIN & TRACK, HOSPITAL, U-SHAPE 1

ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFOR

PROPERTY OF VAMED ENGINEERING AND CANNOT BE
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHE
DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN
ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL
PROTECT OUR RIGHTS.
ALWAYS DOUBLE-CHECK MEASUREMENTS!

Visualisation
New San
Ho
CLIENT:
Urba
udecott of Tr

38 - 40 Sackville S
Trinidad, West Ind
T: +1 868 225 400
www.udecott.com
CLIENT:
ERHA Eastern
Supercare Buildin
Sangre Grande, T
T: +1 868 668-110
E:corpcomm@erh
www.erha.co.tt
CONTRACTOR:

VE Vamed Engine
Sterngasse 5, A-1
T: +43 1 60 127 2
E: officeVE-CSA@
www.vamed.com
FL0002 GL0300
BR9005B GL0300 ISSUED FOR: Construction / Tender / App
GP0001 YB0211
YJ0005

YB0211
BC0011
APPROV
YB0211

GL0300 YB0211
01
FB0100
04 02
GZ0010
03
3.450

CH: 3.000

AV0120

FB0100
AV0120

FL0002

ICU 025 ICU 025

ICU bed #2 ICU bed #2
2 2
A: 17.72 m A: 17.72 m
C: 3.00 m C: 3.00 m
O: 1 O: 1 DISCIPLINE: DESIGN STAGE:

GZ0010
AR Detailed De
SHEET NAME:
WBC01

YD0028
ICU 025 Patient room
SHEET CONTENT:
ICU 025 Floor plan, Visualisation, ICU 025 Re
TTO.NSGH.DD.MB-20.12.08.pln

ICU 025 Floor plan ICU 025 Reflected

Elevation 03 ceiling plan Elevation 04
01 0203 04
Scale: 1:25 Scale:
Scale:1:25
1:25 Scale: 1:25

Sample Rooms. ICU room

.DD.MB-20.12.08.pln

BUILDING ID: SHEET NUMBER:

MB AR-4-01
FILE NAME:

TTO-NSGH-DD-MB-AR-4-01-15-ICU
 LEGEND :

PEDIATRIC AND MATERNAL HOSPITAL

Georgetown, Cooperative Republic of Guyana
019 Clean Utility / Clean Linen

quipment list LEGEND :

ItemICU 018 Nurse base

description Qty ICU 019 Clean Utility / Clean Linen

BASKET, WIRE, STERILE GOODS, 1 STU, WITH ACCESS

Room equipment list
2 Room equipment list

TROLLEY, TREATMENT/DRESSING 1
ICU 018 Nurse base ICU 019 Clean Utility / Clean Linen
FUNCTIONAL
Item CABINET, CLEAN UTILITY
Item description Qty 1 Item Item description Qty

BC0020 CHAIR, OFFICE, WITHOUT ARMREST 3 CA0006 BASKET, WIRE, STERILE GOODS, 1 STU, WITH ACCESS
Room equipment list 2 Room equipment list
TROLLEY, WASTE BAG SINGLE 1
BN0032 BOARD, CHARTING PATIENT 1 FT0012 TROLLEY, TREATMENT/DRESSING 1
WARD,OPD
BR0021A ### DRESSING SETSTATION TYPE 2
COUNTER, NURSE 1 2 FY0020 FUNCTIONAL CABINET, CLEAN UTILITY 1
Item Item description Qty Item Item description Qty

FT0001 TROLLEY, WARD ROUND 1 HW0013 TROLLEY, WASTE BAG SINGLE BC0020 CHAIR, OFFICE,1WITHOUT ARMREST 3 CA0006 BASKET, WIRE, STERILE GOODS, 1 STU, WITH ACCESS 2
WARD,OPD ### SUTURE SET 2
BN0032 BOARD, CHARTING PATIENT 1 FT0012 TROLLEY, TREATMENT/DRESSING 1
FT0025 TROLLEY, MEDICATION 1 IX0015 WARD,OPD ### DRESSING SET 2
WARD,OPD ### SUTURE REMOVING SET 2 BR0021A COUNTER, NURSE STATION TYPE 2 1 FY0020 FUNCTIONAL CABINET, CLEAN UTILITY 1
FY0040 FUNCTIONAL CABINET, NURSE STATION 1 IX0020 WARD,OPD ### SUTURE SET 2
FT0001 TROLLEY, WARD ROUND 1 HW0013 TROLLEY, WASTE BAG SINGLE 1

DISHGG0030
KIDNEY, S/SSTETHOSCOPE, STANDARD 1 6 IX0025 WARD,OPD ### SUTURE REMOVING SET FT0025 2
TROLLEY, MEDICATION 1 IX0015 WARD,OPD ### DRESSING SET 2

GG0051 THERMOMETER, TYMPANIC 1 QS0009 DISH KIDNEY, S/S FY0040 FUNCTIONAL CABINET,
6 NURSE STATION 1 IX0020 WARD,OPD ### SUTURE SET 2
REFRIGERATOR, MEDICAL, UNDERBENCH 1 GG0030 STETHOSCOPE, STANDARD 1 IX0025 WARD,OPD ### SUTURE REMOVING SET 2
GG0065 TORCH, DIAGNOSTIC 1 RP0001 REFRIGERATOR, MEDICAL, UNDERBENCH 1
GG0051 THERMOMETER, TYMPANIC 1 QS0009 DISH KIDNEY, S/S 6
RAIL,HW0040
PAIR OF, 4 HOOKS WALLPLASTIC,
BIN, RECYCLING, MTD MODULAR, 2 COMPARTMENTS 1 1 SF0003 RAIL, PAIR OF, 4 HOOKS WALL MTD
GG0065
1
TORCH, DIAGNOSTIC 1 RP0001 REFRIGERATOR, MEDICAL, UNDERBENCH 1

HW0302 BIN, WASTE, CLINICAL 1 YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD

HW0040 1 PLASTIC, MODULAR, 2 COMPARTMENTS
BIN, RECYCLING, 1 SF0003 RAIL, PAIR OF, 4 HOOKS WALL MTD 1
DISPENSER, GLOVE/APRON/MASK, WALL MTD 1
HW0302 BIN, WASTE, CLINICAL 1 YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD :
LEGEND 1
MC0005 MONITORING CENTRAL, 6 PATIENTS, 1 DISPLAY 1 BF0250 CUPBOARD, STORAGE LINEN, CUSTOM-MADE 1
MC0005 MONITORING CENTRAL, 6 PATIENTS, 1 DISPLAY 1 BF0250 CUPBOARD, STORAGE LINEN, CUSTOM-MADE 1
CUPBOARD,
YD0028 STORAGE LINEN,
DISPENSER, CUSTOM-MADE
GLOVE/APRON/MASK, WALL MTD 1 1 WT0030 TROLLEY, LINEN CHANGE WARD, BASIC 1
YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD 1 WT0030 TROLLEY, LINEN CHANGE WARD, BASIC 1
GE0015 CRASH CART, EMERGENCY, W/O EQUIPMENT 1
TROLLEY, LINEN CHANGE WARD, BASIC 1 GE0015 CRASH CART, EMERGENCY, W/O EQUIPMENT 1
R/ID Ch/ID Change Description Issue
GE0018 EQUIPMENT SET FOR CRASH CART, EMERGENCY 1 GE0018 EQUIPMENT SET FOR CRASH CART, EMERGENCY 1
Visualisation
ICU 019 Clean Utility / Clean Linen MV0020
Visualisation
DEFIBRILLATOR, CLINICAL, EXTERNAL PADDELS 1
01 01A Drawing submission updated 15/12

MV0020 DEFIBRILLATOR, CLINICAL, EXTERNAL PADDELS 1

R/ID Ch/ID Change Description

Room equipment list Visualisation 01 01A Drawing submission updated

Qty Item Item description Qty

0.600
3 CA0006 BASKET, WIRE, STERILE GOODS, 1 STU, WITH ACCESS 2 BF0250
ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFORMATION HEREIN CONTAINE
1 FT0012 TROLLEY, TREATMENT/DRESSING 1 GE0015 FT0001 FT0025
PROPERTY OF VAMED ENGINEERING AND CANNOT BE COPIED, REPRODUCED, UTI
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHER THAN THOSE FOR WHICH
0.600

DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN AUTHORIZATION BY VAMED

ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL RESULT IN TAKING LEGAL A
1 FY0020 FUNCTIONAL CABINET, CLEAN UTILITY 1 BF0250 PROTECT OUR RIGHTS.
ALWAYS DOUBLE-CHECK MEASUREMENTS!

SF0003
1.200
1 HW0013 TROLLEY, WASTE BAG SINGLE FT0001 FT0025
1
GE0015

1 IX0015 WARD,OPD ### DRESSING SET 2 CA0006

New Sangre Gran
1 IX0020 WARD,OPD ### SUTURE SET 2
Hospital
FY0040
SF0003
1.200

CLIENT: AND ALL INFORMATION HEREI

ALL RIGHTS RESERVED. THIS DRAWING
1 IX0025 WARD,OPD ### SUTURE REMOVING SET 2 Urban Development Corporation
PROPERTY OF VAMED ENGINEERING udecott
AND CANNOT BE COPIED,
of Trinidad REPRO
and Tobago Ltd.
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHER THAN THOSE
0.600

38 - 40 Sackville Street, Port of Spain

1 QS0009 DISH KIDNEY, S/S 6 CA0006 DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN AUTHORIZATIO
Trinidad, West Indies
ENGINEERING. FAILURE TO COMPLYT:WITH ABOVE
+1 868 225 4004WILL RESULT IN TAK
BC0020
PROTECT OUR RIGHTS.
F0250 1 RP0001 REFRIGERATOR, MEDICAL, UNDERBENCH 1 www.udecott.com
ALWAYS DOUBLE-CHECK MEASUREMENTS!
FY0040 CLIENT:
ERHA Eastern Regional Health Authority Lt
1 SF0003 RAIL, PAIR OF, 4 HOOKS WALL MTD 1 Supercare Building, Eastern Main Rd.
FT0012 Sangre Grande, Trinidad, West Indies
T: +1 868 668-1105
1 YD0028 DISPENSER, GLOVE/APRON/MASK, WALL MTD 1
ICU 018
Nurse Base
A: 34.79 m2
01
ICU 018
Nurse Base
A: 34.79 m2
C: 3.00 m
New Sangre G
E:corpcomm@erha.co.tt
www.erha.co.tt
CONTRACTOR:
1 BF0250 CUPBOARD, STORAGE LINEN, CUSTOM-MADE 1 7.050

3.450
C: 3.00 m
MC0005

O: 3
O: 3

VE
Hospita

BN0032
04 02 Vamed Engineering
BC0020
Sterngasse 5, A-1232, Vienna, Austria
1 WT0030 TROLLEY, LINEN CHANGE WARD, BASIC 1 BC0020 03
T: +43 1 60 127 215
SF0003

E: officeVE-CSA@vamed.com
1.200

www.vamed.com
1 CLIENT: ICU 019
ICU 019
Clean Utility incl. Clean Linen R/ID Ch/ID Change Description Issue Date ISSUED FOR: Construction / Tender / Approval
Urban/ Review
Development / Inform
Clean Utility incl. Cle

udecott
2
A: 21.57 m
A: 21.57 m2 C: 3.00 m
1 FT0012 C: 3.00 m
of Trinidad
O: 0 and Toba

Visualisation O: 0
01 01A Drawing submission updated 15/12/2020

1 CA0006 ICU 018

WT0030
APPROVAL
38 - 40 Sackville Street, Port o
ICU 018
Nurse Base
Nurse Base
A: 34.79 m2
Trinidad, West Indies
A: 34.79 m2
01 C: 3.00 m T: +1 868 225 4004
7.050

3.450

C: 3.00 m
MC0005

O: 3
O: 3
www.udecott.com
BN0032

04 02 BC0020 FY0020
CLIENT:
03
BC0020 HW0013 ERHA Eastern Regional Health
Supercare Building, Eastern M
Sangre Grande, Trinidad, Wes
ICU 019
BR0021A ICU 019 T: +1 868 668-1105

1.200
Clean Utility incl. Clean Linen
Clean Utility incl. Clean Linen
A: 21.57 m2 01 A: 21.57 m2
C: 3.00 m
E:corpcomm@erha.co.tt
C: 3.00 m
O: 0 04 02
O: 0
www.erha.co.tt
WT0030 03 4.950 0.800 CONTRACTOR:
ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFORMATION HEREIN CONTAINED, IS
PROPERTY OF VAMED ENGINEERING AND CANNOT BE COPIED, REPRODUCED, UTILIZED OR
MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHER THAN THOSE FOR WHICH VE Vamed Engineering
0.600

DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN AUTHORIZATION BY VAMED

Stationary Sterngasse 5, A-1232, Vienna,
TTO.NSGH.DD.MB-20.12.08.pln

HW0302 PTS Station ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL RESULT IN TAKING LEGAL ACTION TO
HW0040 BF0250
PROTECT OUR RIGHTS.
T: +43 1PTS60 127 215
0.600

BF0250 Stationary ALWAYS DOUBLE-CHECK MEASUREMENTS!

Stationary

PTS
E: officeVE-CSA@vamed.com
WBC01

Station
YD0028 Station
BC0020 FY0020
T0025 www.vamed.com
HW0013 New Sangre Grande DISCIPLINE:
ISSUED DESIGN STAGE:
FOR: Construction / Tender / Approval DESIGN
/ RevieSTA

ICU 018 Floor plan ICU 018 Reflected ceiling plan

Hospital
FT0012 01 02 AR Detailed Design DD
Sample Rooms. Nurse station
Scale: 1:25 Scale: 1:25
SF0003

APPROVAL
1.200

SHEET NAME:
BR0021A CLIENT:
Urban Development Corporation
ICU 018 Nurse base ICU 019 CU
1.200

ICU 018 udecott of Trinidad and Tobago Ltd.

01 Nurse Base 38 - 40 Sackville Street, Port of Spain
CA0006 A: 34.79 m2 SHEET CONTENT:
04 02 C: 3.00 m Trinidad, West Indies
01 ICU 018 Floor plan, Visualisation, ICU 018 Reflected ceiling plan
.450

O: 3 T: +1 868 225 4004

03 4.950 0.800 www.udecott.com
FY0040 CLIENT:
PEDIATRIC AND MATERNAL
ADM 007 Office HOSPITAL
Georgetown, Cooperative Republic of Guyana
Room equipment list

Item Item description Qty

BC0035 CHAIR, OFFICE, WITH ARMREST, EXECUTIVE 1

BC0043 CHAIR, VISITOR, WITHOUT ARMREST, EXECUTIVE 2

BD0043 DESK, L-SHAPED WITH PEDESTAL, EXECUTIVE, 1600x800 MM 1

BF0021 CUPBOARD, SLIDING DOORS, 1 SHELF, EXECUTIVE 1

BF0027 CUPBOARD, SLIDING DOORS, 4 SHELVES, EXECUTIVE 1

BN0035 BOARD, CHARTING WRITING/MAGNETIC 1

HW0004 BIN, WASTE PAPER EXECUTIVE 1

BC0043

HW0004
R/ID Ch/ID Change Descript

01 01A Drawing submission u

01

04 02

03
2.850

BC0043
BC0035
BD0043

4.260

ADM 007 ADM 007

Office Office
A: 12.11 m2 A: 12.11 m2 ALL RIGHTS RESERVED. THIS DRAWING AND ALL INFOR
C: 3.00 m C: 3.00 m PROPERTY OF VAMED ENGINEERING AND CANNOT BE
F: : Vinyl, high transit F: : Vinyl, high transit MODIFIED IN WHOLE OR IN PART FOR PURPOSES OTHE
DRAWING HAS BEEN MADE, WITHOUT PRIOR WRITTEN
ENGINEERING. FAILURE TO COMPLY WITH ABOVE WILL
BF0021 BF0027 PROTECT OUR RIGHTS.
ALWAYS DOUBLE-CHECK MEASUREMENTS!

BN0035 New San

Ho
ADM 007 Floor plan ADM 007 Reflected ceiling plan Visualisation CLIENT:

01 02 udecott
Urba
of Tr
Scale: 1:25 Scale: 1:25 38 - 40 Sackville S
Trinidad, West Ind
T: +1 868 225 400
www.udecott.com
CLIENT:
ERHA Eastern
Supercare Buildin
Sangre Grande, T
T: +1 868 668-110
E:corpcomm@erh
www.erha.co.tt
CONTRACTOR:

VE Vamed Engine
Sterngasse 5, A-1
T: +43 1 60 127 2
E: officeVE-CSA@
www.vamed.com

ISSUED FOR: Construction / Tender / App

APPROV

2.548 1.700

1.200
BF0027 BF0027

BN0035

CH: 2.800
CH: 2.700

CH: 2.700

CH: 2.700
DISCIPLINE: DESIGN STAGE:

AR Detailed De
SHEET NAME:
BF0021

1.500
BD0043 ADM 007 Office
BC0035

HW0004 SHEET CONTENT:

ADM 007 Floor plan, ADM 007 Reflected ceili
BC0043 02, Elevation 03, Elevation 04, Visualisation
TTO.NSGH.DD.MB-20.12.08.pln

BUILDING ID: SHEET NUMBER:

Elevation 01 Elevation 02 Elevation 03 Elevation 04 MB AR-4-01

03 04 05 06
Scale: 1:25 Scale: 1:25 Scale: 1:25 Scale: 1:25
FILE NAME:

TTO-NSGH-DD-MB-AR-4-01-01-ADM

DATE DESIGN BY FO

Sample Rooms. Administrative Office

15/12/2020 VE 841
create. health . manage. care. enjoy. vitality