FGI Guidelines Outpatient 2018

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FGI Guidelines for Design and Construction of Outpatient Facilities

Published By	Publication Date	Number of Pages
FGI2018	2018	317

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Description

2018 Guidelines for Design and Construction of Outpatient Facilities

The 2018 edition introduces the new Outpatient Guidelines document. Flexible enough to address a wide variety of outpatient facility projects, this inaugural publication was conceived to meet the needs of the U.S. health care industry and address the evolving nature of outpatient facilities.

PDF Catalog

PDF Pages	PDF Title
1	Cover
6	Copyright
9	Contents
15	List of Tables
17	Preface
19	Acknowledgments
27	About the Guidelines
31	Major Additions and Revisions
37	Glossary
43	List of Acronyms
45	Part 1 General
47	1.1 Introduction 1.1-1 General 1.1-2 New Construction 1.1-3 Renovation
49	1.1-4 Government Regulations
50	1.1-5 Building Codes and Standards 1.1-6 Equivalency Concepts
51	1.1-7 English/Metric Measurements 1.1-8 Codes, Standards, and Other Documents Referenced in the Guidelines
57	1.2 Planning, Design, Construction, and Commissioning 1.2-1 General
58	1.2-2 Functional Program
59	1.2-3 Space Program
60	1.2-4 Safety Risk Assessment (SRA)
70	1.2-5 Environment of CareR equirements
73	1.2-6 Planning and Design Considerations and Requirements
83	1.2-7 Renovation
84	1.2-8 Commissioning
87	1.2-9 Record Drawings and Manuals
88	Table 1.2-1 Safety Risk Assessment (SRA) Components
89	Appendix Table A1.2-a Safety Risk Assessment Team Member Expertise
90	Table 1.2-2 Infection Control Risk Assessment Design Considerations
91	Table 1.2-3 Categorization of Outpatient Facility Sites by Exterior Ambient Sound with DesignCriteria for Exterior Shell for Sound Isolation in New Construction
92	Appendix Table A1.2-b Approximate Distance of Noise Sources for Use in Categorization of Outpatient Facility Sites by Exterior Ambient Sound
93	Table 1.2-4 Minimum Design Room-Average Sound Absorption Coefficients
94	Table 1.2-5 Maximum Design Criteria for Noise in Interior Spaces Caused by Building Systems
95	Table 1.2-6 Design Criteria for Minimum Sound Isolation Performance Between Enclosed Rooms
96	Table 1.2-7 Design Criteria for Speech Privacy for Enclosed Rooms and Open-Plan Spaces
97	Table 1.2-8 Maximum Limits on Floor Vibration Caused by Footfalls in Outpatient Facilities
99	1.3 Site 1.3-1 General 1.3-2 Location 1.3-3 Site Features
101	1.3-4 Environmental Pollution Control
103	1.4 Equipment 1.4-1 General
104	1.4-2 Equipment Classification 1.4-3 Equipment Requirements
105	1.4-4 Space Requirements for Equipment
107	Part 2 Outpatient Facility Types
109	2.1 Common Elements for Outpatient Facilities 2.1-1 General
111	2.1-2 Accommodations for Care of Patients of Size
113	2.1-3 Patient Care and Diagnostic Areas
146	2.1-4 Patient Support Facilities
153	2.1-5 Building Support Facilities
155	2.1-6 Public and Administrative Areas
157	2.1-7 Design and Construction Requirements
162	2.1-8 Building Systems
170	Table 2.1-1 Electrical Receptacles for Patient Care Areas in Outpatient Facilities
171	Table 2.1-2 Station Outlets for Oxygen, Vacuum, Medical Air, and Instrument Air Systems in Outpatient Facilities
172	Table 2.1-3 Locations for Nurse Call Devices in Outpatient Facilities
173	Table 2.1-4 Examination/Treatment, Procedure, and Operating Room Classification
174	Table 2.1-5 Classification of Room Types for Imaging Services
175	Appendix Table A2.1-a Waiting Area Seating Capacity
176	Appendix Table A2.1-b Maximum Length of Hot Water System Pipe or Tube
177	2.2 Specific Requirements for Generaland Specialty Medical Services Facilities 2.2-1 General 2.2-2 Accommodations for Care of Patients of Size 2.2-3 Patient Care and Diagnostic Areas
178	2.2-4 Patient Support Facilities
179	2.2-5 Building Support Facilities 2.2-6 Public and Administrative Areas
180	2.2-7 Design and Construction Requirements 2.2-8 Building Systems
183	2.3 Specific Requirements for Outpatient Imaging Facilities 2.3-1 General 2.3-2 Accommodations for Care of Patients of Size 2.3-4 Patient Support Facilities
184	2.3-5 Building Support Facilities 2.3-6 Public and Administrative Areas 2.3-7 Design and Construction Requirements 2.3-8 Building Systems
185	2.4 Specific Requirements for Birth Centers 2.4-1 General
186	2.4-2 Birth Center Facilities
188	2.4-3 Reserved 2.4-4 Patient Support Facilities 2.4-5 Building Support Facilities 2.4-6 Public and Administrative Areas
189	2.4-7 Design and Construction Requirements 2.4-8 Building Systems
191	2.5 Specific Requirementsfor Urgent Care Centers 2.5-1 General 2.5-2 Accommodations for Care of Patients of Size 2.5-3 Patient Care and Diagnostic Areas
193	2.5-4 Patient Support Facilities 2.5-5 Building Support Facilities 2.5-6 Public and Administrative Areas
194	2.5-7 Design and Construction Requirements 2.5-8 Building Systems
195	2.6 Specific Requirements for Infusion Centers 2.6-1 General 2.6-2 Accommodations for Care of Patients of Size 2.6-3 Patient Care and Diagnostic Areas
197	2.6-4 Patient Support Facilities
198	2.6-5 Building Support Facilities 2.6-6 Public and Administrative Areas 2.6-7 Design and Construction Requirements 2.6-8 Building Systems
199	2.7 Specific Requirements for Outpatient Surgery Facilities 2.7-1 General 2.7-2 Accommodations for Care of Patients of Size 2.7-3 Patient Care and Diagnostic Areas
205	2.7-4 Patient Support Facilities 2.7-5 Building Support Facilities 2.7-6 Public and Administrative Areas 2.7-7 Design and Construction Requirements
206	2.7-8 Building Systems
207	2.8 Specific Requirements for Freestanding Emergency Care Facilities 2.8-1 General 2.8-2 Accommodations for Care of Patients of Size 2.8-3 Patient Care and Diagnostic Areas
214	2.8-4 Patient Support Facilities 2.8-5 Building Support Facilities 2.8-6 Public and Administrative Areas
216	2.8-7 Design and Construction Requirements 2.8-8 Building Systems
217	2.9 Specific Requirements for Endoscopy Facilities 2.9-1 General 2.9-2 Accommodations for Care of Patients of Size 2.9-3 Patient Care and Diagnostic Areas
220	2.9-4 Patient Support Facilities
221	2.9-5 Building Support Facilities 2.9-6 Public and Administrative Areas
222	2.9-7 Design and Construction Requirements 2.9-8 Building Systems
223	2.10 Specific Requirements for Renal Dialysis Centers 2.10-1 General 2.10-2 Accommodations for Care of Patients of Size 2.10-3 Patient Care and Diagnostic Areas
225	2.10-4 Patient Support Facilities
226	2.10-5 Building Support Facilities 2.10-6 Public and Administrative Areas 2.10-7 Surfaces 2.10-8 Building Systems
229	2.11 Specific Requirements for Outpatient Psychiatric Centers 2.11-1 General 2.11-2 Reserved 2.11-3 Patient Care and Diagnostic Areas
233	2.11-4 Reserved 2.11-5 Building Support Facilities 2.11-6 Public and Administrative Areas
234	2.11-7 Design and Construction Requirements
235	2.11-8 Building Systems
237	2.12 Specific Requirements for Outpatient Rehabilitation Therapy Facilities 2.12-1 General 2.12-2 Accommodations for Care of Patients of Size 2.12-3 Patient Care and Diagnostic Areas
240	2.12-4 Reserved 2.12-5 Building Support Facilities 2.12-6 Public and Administrative Areas
241	2.12-7 Design and Construction Requirements 2.12-8 Building Systems
243	2.13 Specific Requirements for Mobile/Transportable Medical Units 2.13-1 General
246	2.13-2 Reserved 2.13-3 Patient Care and Diagnostic Areas
248	2.13-4 2.13-5 Reserved 2.13-6 Public and Administrative Areas 2.13-7 Design and Construction Requirements 2.13-8 Building Systems
253	2.14 Specific Requirements for Dental Facilities 2.14-1 General 2.14-2 Reserved 2.14-3 Dental Treatment Areas
254	2.14-4 Patient Support Services 2.14-5 Building Support Facilities 2.14-6 Public and Administrative Areas
255	2.14-7 Reserved 2.14-8 Building Systems
257	Part 3 Ventilation of Outpatient Facilities
259	Incorporation of Standard 170 into the FGI Guidelines
261	ANSI/ASHRAE/ASHE Standard 170-2017 – Ventilation o fHealth Care Facilities
263	CONTENTS
264	1. PURPOSE 2. SCOPE 3. DEFINITIONS
266	4. COMPLIANCE 5. PLANNING 6. SYSTEMS AND EQUIPMENT
268	Table 6.4 Minimum Filter Efficiencies
269	Table 6.7.2 Supply Air Outlets
270	7. SPACE VENTILATION-HOSPITAL SPACES
271	Table 7.1 Design Parameters-Hospital Spaces (Continued)
277	8. SPACE VENTILATION-OUTPATIENT SPACES
279	Table 8.1 Design Parameters-Outpatient Spaces
285	9. SPACE VENTILATION-NURSING HOME SPACES
287	Table 9.1 Design Parameters-Nursing Home Spaces
292	10. PLANNING, CONSTRUCTION, AND SYSTEM STARTUP
293	11. NORMATIVE REFERENCES
294	INFORMATIVE APPENDIX A-OPERATIONS AND MAINTENANCE (O&M) PROCEDURES A1. O&M in Health Care Facilities A2. Special Maintenance for HVAC Units A3. Air Intake Opening for Areaway Figure A3 Provisions for areaways.
295	INFORMATIVE APPENDIX B-INFORMATIVE REFERENCES AND BIBLIOGRAPHY
296	INFORMATIVE APPENDIX C-ADDENDA DESCRIPTION INFORMATION Table C-1 ANSI/ASHRAE Addenda to ANSI/ASHRAE Standard 170-2013
303	Index