FSU Primary Health Center

Page 1

HEALING SOUNDSCAPE

A HARMONIOUS design solution for FSU Primary Health Center. Studio IV Healthcare Design Package Designer: Reghan Elliott


TABLE OF CONTENTS


PRE-DESIGN RESEARCH STAKEHOLDERS SITE IMPLICATIONS SUITE IMPLICATIONS DESIGN GOALS & CONCEPT COLOR JUSTIFICATION ART & WAYFINDING PROGRAM MATRIX PRELIMINARY DIAGRAMS CODE STUDY VISUAL ANALYSIS ANNOTATED FLOOR PLAN

1-2 3 4 5 6 7 8-9 10-11 12-13 14-15 16 17

DESIGN FLOOR PLAN FURNITURE LEGEND REFLECTED CEILING PLAN LIGHTING LEGEND CUSTOM MILLWORK ELEVATIONS

18 19 20 21 22-23 24-25

WAITING AREA COMMUNITY ROOM HALLWAY EXAM ROOM

26-27 28 29 30-32


Wherever the art of medicine is loved, there is also a love of humanity. - Hippocrates


ASPLUNDH CANCER PAVILION JEFFERSON HEALTH - SYDNEY KIMMEL CANCER CENTER PERSON-ENVIRONMENT THEORY Person-environment theory explores how a person connects with their environment. Furthermore, this concept states that a person is heavily influenced by their environment which means their actions and well-being can be largely understood by environmental influences.

THEORY WITHIN STUDY Exterior view

Exterior wall provides abundant daylight and views of nature

A cool color scheme and nature inspired finishes throughout the interior

DESIGN IMPLICATIONS - Use biophilia design as inspiration by utilizing natural elements, such as, abundant natural light and views of exterior greenery. - Provide local sources for materials like stone, indigenous plants, and local contractors. - Use alternative materials, such as, finished aluminum. Finished aluminum components are less costly than real wood, provide superior performance while retaining the natural aesthetic, and offer long-term durability.

WORKS CITED

“This design theme is translated seamlessly indoors... very elegant interior design that emphasizes research and nature in this healing environment.” 1

Silvis, J. (2019, August 19). 2019 Design Showcase Honorable Mention: Holistic Healing. Retrieved from https://www.healthcaredesignmagazine.com/news/ awards-events/2019-design-showcase-honorable-mention-holistic-healing/#slide-2 (2018, November 8). Biophilic design of Philadelphias Asplundh Cancer Pavilion features Linetecs wood grain finish. Retrieved from https://linetec-blog. com/2018/11/08/biophilic-design-of-philadelphias-asplundh-cancer-pavilion-features-linetecs-wood-grain-finish/

PRECEDENT STUDY

The LEED-certified pavilion, located in Willow Grove, Pennsylvania, was completed in July 2018 by the designer, Ewing Cole. The 86,000 GSF pavilion brings provider’s cancer treatment program under one roof which is based on a model of treating cancer recovery as a holistic process rather than a medical issue. Services include: medical oncology, infusion and radiology, a retail pharmacy, massage, palliative care, nutritional programs, a resource center, counseling, and more (Silvis, 2019). The integration of these services inspired an extensive biophilic design approach, influencing elements ranging from site layout to exterior envelope to interior aesthetics (2018, November 8).

This hospital’s program is one of the busiest cancer centers in the region with at least 2,000 new patients each year. Therefore, it was imperative to create a peaceful and serene healing environment. “Research shows that the environment has an effect on the burden of disease and healing times, so we were sure to make each choice carefully,” said Peg O’Grady, Asplundh’s administrative director (Silvis, 2019). The interaction between nature and humans inspired the biophilia design for this space (2018, November 8). The use of natural elements and local resources creates an overall sense of peace.


VISUAL COLLAGE

POSITIVE ASSOCIATIONS WITH HEALTHCARE DESIGN INTERVIEWEES: TRACEY ELLIOTT (HEALTHCARE PROVIDER) AND ALY SNOWDEN (PATIENT) DESCRIPTION A healthcare provider and a patient was interviewed in order to reveal human-centered insight to aspects that support them in healthcare environments. Both the provider and the patient were asked to describe their role, day-to-day responsibilities and the environment in which they perform these responsibilities. These images and design implications both literally and figuratively represent these qualities.

DESIGN IMPLICATIONS - Recognize the importance of the patient’s supporter’s role by putting furniture in the rooms for family members and friends. - Provide positive distractions by creating a space for children of all ages to play and interact while waiting. - Create a sense of tranquility throughout the space by using a light color scheme, abundant light and interior elements that emulate nature. - Minimize thresholds in order to maneuver wheelchairs and other adaptive medical equipment quickly and efficiently. - Provide ample storage space for equipment to eliminate distracting clutter and items are easy to retrieve.

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FSU PRIMARY HEALTH CENTER 2911 ROBERTS AVE, TALLAHASSEE, FL PHYSICIAN/MEDICAL ASSISTANT Education: MD or MSN Age: Late 20s - 65 State of mind: Stable, possibly stressed, empathetic Fine and gross motor skills: strong; sore joints Socio-economic status: High-income Design Implications: Provide adequate lighting to perform tasks, resilient flooring for comfort, and easy access to private offices, exam rooms, lab and storage.

Education: GED equivalent or higher Age: 18+ State of mind: Neutral Fine and gross motor skills: Strong Socio-economic status: Low/Middle-income Design Implications: Provide security system, access to entire space and adequate storage for equipment and cleaning supplies.

PATIENT

PHARMACEUTICAL REP/MEDICAL SUPPLIES

Education: Varied Age: Infant to Geriatric State of mind: Dependant on reason for visit Fine and gross motor skills: Possibly limited Socio-economic status: Varied

Education: High education Age: Mid 20s - 65 State of mind: Stable, social, energetic Fine and gross motor skills: Strong Socio-economic status: High-income

Design Implications: Incorporate universal design principles, such as, flexible furniture selection and intuitive way-finding; provide quick turnaround, positive distractions, privacy and access to natural light and views of nature.

Design Implications: Provide touchdown space , intuitive way-finding and accessibility to storage.

FAMILY/CAREGIVER

OFFICE MANAGEMENT/RECEPTIONIST

Education: Varied Age: Varied State of mind: Dependant on reason for visit Fine and gross motor skills: Varied Socio-economic status: Varied

Education: College degree Age: Early 20s - 65 State of mind: Moderate, service-oriented, organized Fine and gross motor skills: Strong Socio-economic status: Mid-income

Design Implications: Provide comfortable seating at each checkpoint, positive distractions, privacy and access to natural light and views of nature.

Design Implications: Incorporate resilient flooring for comfort and adequate lighting, storage and desk space to perform tasks; provide clear sight lines for receptionist, privacy, ergonomic seating and lockable storage.

STAKEHOLDERS

3

CUSTODIAL/MAINTENANCE STAFF


SITE IMPLICATIONS

FSU PRIMARY HEALTH CENTER 2911 ROBERTS AVE, TALLAHASSEE, FL DESIGN IMPLICATIONS - Use either engineered wood or indigenous wood flooring with an underlay. Furthermore, heat absorbing materials, such as, cement and stone products could be used as alternative flooring options. - The placement of windows is key to managing natural light, ventilation and heat gain. Main windows should face North and South and smaller windows should be placed on the West side of the building to minimize heat gain. Exterior view of the current FSU Primary Health Center’s facade.

Exterior view of the ambulance pick-up at the current FSU Primary Health Center.

The current staff parking lot is located in the same area where the new parking lot will be placed.

KEY: Eisenhower St. Roberts Ave.

SITE INFORMATION The new building proposed for the FSU Health Center is located at 2911 Roberts Ave, Tallahassee, Florida. The building will have three stories. The proposed design will be for the first floor which is the clinical area. The sun rises at about 7 AM to the East and sets at about 8 PM to the West. With this and the location of the parking in mind, the entrance will be placed on the North side of the building.

Current location of FSU Primary Health Center.

Proposed location of new FSU Primary Health Center parking lot.

CLIMATE The health center is located in Tallahassee, Florida which has a subtropical climate. It is primarily warm and humid with significant rainfall throughout the year. The average temperature during the summer time is 92 F and the average temperature during the winter can drop down as low as 32 F. Average annual rainfall is about 59�.

Proposed location of new FSU Primary Health Center.

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FSU PRIMARY HEALTH CENTER 2911 ROBERTS AVE, TALLAHASSEE, FL SITE VISIT

Collaboration table placed in the middle of the staff area allows for meetings or learning opportunities for the medical students.

Children’s play area adjacent to the waiting room provides clear sightlines for the caregivers who are waiting.

The reception desk is open to the waiting room which creates a sense of availability between the patients and staff members .

DESIGN IMPLICATIONS

A Dutch door is used to enter the lab provides both privacy and easy access for patients and staff members.

5

A sit to stand desk is versatile and preferred by the physicians for different uses in exam and procedural rooms.

- Allocate space for exam rooms that are larger than normal in order to allow space for five people in the room at a time. - Create a waiting area that exudes a sense of ease by providing positive distractions, such as a children’s play area and interactive art displays. - Patients and caregivers should feel equal within this space so there will be no separation of the “sick” and “healthy” patients in the waiting room. - There will be two procedural rooms in each wing with no natural light in order to provide a space for a patient who may need a dark space. - Promote participation by providing the care providers a space that allows for collaboration while remaining acoustically sound. - Provide safety and privacy by creating two separate pathways within the space, one for the patients and one for the physicians, nurses and staff.

SUITE IMPLICATIONS

The FSU Primary Health Center is an outpatient medical facility, which opened on May 13, 2019. This facility is not like other academic medical facilities because they are not directly on campus and they wanted to be located in an area where a medical facility was needed. The design of the facility focuses on 21st century healthcare design with the intent to collaborate and integrate both behavioral and bio-medical health. Their goal is to double in size in order to provide more space and opportunities to connect with the surrounding community. The medical staff pride themselves on being a community oriented medical facility, and believe that medical assistance is best provided by a team. Furthermore, organization among the medical staff area is imperative for an efficient collaboration space. Currently, the signage is not clear so in order to prevent confusion or frustration in the new space, wayfinding should be prioritized throughout the design process.


DESIGN GOALS & CONCEPT

DESIGN GOALS Doctor Van Durme, the director of the FSU Primary Health Care Clinic, is seeking an innovative design solution that houses an integrated care-team and an interdisciplinary, instructional facility for the medical students. A few successful design solutions include strategically placed wayfinding, spaces that evoke collaboration while protecting the patients’ HIPAA rights, and controlled acoustics in each area. Providing access to the right tools is critical to the success for those in the stressful field of medicine. Primary-care teams build long-standing relationships with entire families, therefore, a sense of community and availability is one of the many important goals for this design. The community room will be located close to the reception area to provide convenient access and to decrease potential pedestrian traffic in each of the two clinical wings. An inviting yet practical arrangement is essential for the design of the clinic. Together, the FSU College of Medicine staff determined that their work is best when delivered by a team. It is crucial to integrate both the behavioral and bio-medical health teams. By doing so, the design will include a large meeting room with a variety of flexible seating and work surface options for the medical team to discuss and learn in each clinical wing. In order to protect private information in these collaborative areas, the acoustically zoning will be controlled with flooring transitions and ceiling heights. Ideally, the final design will create spaces that promote collaboration at the same time still allow for successful assessments while respecting patient privacy.

CONCEPT The concept of this melodious design is the musical term homophony. It is a musical texture in which a primary part is supported by one or more notes that create rhythmic contrast. Together the many different notes work together to create a beautiful, unified tune. The concept influences macro decisions such as spatial arrangements and zoning atmospherics by dividing the clinic into two clinical wings, a reception area, and community learning spaces. Although each space serves different purposes, together they contribute to the ultimate goal of the clinic just as distinctive notes create a melody. Furthermore, Doctor Van Durme could not stress enough the importance of teamwork among his diverse staff. They provide cutting edge medical assistance when collaborating with one another, just as the notes blend together to produce a pleasant tune. Mobile furniture will be used in the medical staff communication rooms and in the community rooms allowing the staff to freely arrange the room which will maximize teamwork and communication. Graphic designs used throughout the space for wayfinding will provide visual comfort for the community as they pass through the halls of the facility. The circulation of the floor plan will include a variety of pathways and sharp angles which will reduce the patients’ anxiety about finding their way. All in all, the homophony of design features orchestrates a harmonious unity of the medical staff, students, and community residents.

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COLOR JUSTIFICATION

Wolf Gordon - Vapor VRL005 Field Paint Color

Wolf Gordon - Vapor VR004 Accent Paint Color

Wolf Gordon - Vapor VR010 Accent Paint Color

WORKS CITED Anderson, Mary. (1975). Colour Healing: Chromotherapy and How it Works. New York: Samuel Weiser, Inc. Silva, M. P. (2018, November 7). Psychological Effects Of Color In Healthcare Spaces. Retrieved from https://lahealthcaredesign.com/psychology-of-colors-in-healthcare-spaces/ 7

COLOR JUSTIFICATION

“It is pure science when we say colors are infused with healing power, and they could influence patient’s response towards medical care and their actual recovery too.” (Silva, 2018) This assertion is evidence suggesting that the color selection is highly influential and crucial to a healthcare design. Under normal situations, when people feel uncomfortable they can leave or change their environment but not in healthcare situations. Patients are held in their environment and have no control over leaving or changing their environment. The extreme white of typical healthcare facilities contributes to that unsettled feeling. However, chromotherapy, or color healing, is the application of beams of colored light to the body to restore imbalance (Anderson, 1975) . The theory of colorology states that colors help assess the level of care, contribute to patient health and help improve overall productivity of the hospital staff. This evidence suggests that colors will not only benefit patients, but caregivers, physicians, nurses and staff as well. For example, the waiting rooms, corridors and reception areas could be painted with cooler tones and accent colors to elicit a feeling of hope and strength whereas rooms where high-energy, stressful interactions take place should have neutral color tones to help create a sense of peace and calming. The paint colors of the design will be a combination of warm and cool toned colors. The field color will be tan while the accent colors will include a variety of blues and greens. Due to the findings above, the color palette, pictured to the right, will be integrated throughout the next phase of this healing space. All in all, the overall blue and green color scheme of the design will help alleviate stress and tension while creating balance within the body and the more neutral colors evoke vitality within the body. (Silva, 2018). The purposeful and creative application of colors within this design will create hopeful spirits in patients and families alike. Staff morale will improve and feelings of welcoming, happiness, stability, and calmness will form. Lastly, the vitalizing colors used in the community service rooms, corridors, and reception area will support the desired atmosphere of positive energy throughout the center.


Clean-out

8

ART & WAYFINDING


ARTWORK JUSTIFICATION

- Accessible signage which will include a high contrast level between text and background, a low gloss finish on the materials, legible font, and ample sized text/icons. This will reduce confusion and allow the users to navigate the facility quickly and efficiently. - Code required signage must include braille located on the swing side of the door in order for the visually impaired can easily locate it. - Wall mounted signs should protrude no more than 4� from the wall. - Visual strain will be less likely to occur when messages that are at a great distance will consist of large text and have more contrast against the background. - Wayfinding will be supported through implied wayfinding, such as, strategic flooring material changes throughout the space.

One must consider the audience when selecting the artwork for a design. In this instance, the viewers are likely under stress due to their own health concerns or that of a family member or friend. Therefore, the goal is to select art pieces that reduce stress, anxiety and decrease the perception of pain. The art may serve as a distraction from the healthcare issues and instead evoke feelings of hope, strength, and courage. Canvas art using a loose brush stroke to depict healthy and lively foliage will meet this desired goal. The wall art will be in a variety of sizes but none larger than a medium sized canvas. All in all, the art package will essentially aim to alleviate worry and concern while inducing feelings of confidence and bravery. At the same time, the wall hangings will support the design concept and color palette with the combination of warm and cool toned colors and a variety of textures.

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ART & WAYFINDING

WAYFINDING DESIGN ELEMENTS


RIX PROGRAM MAT

QTY

ROOM

USES

FURNITURE

EQUIPMENT

1

Community Room

Members of the community will meet here for gatherings and courses, such as, cooking classes.

Provide flexible tables and seating for up to 25-40 people.

Include two microwaves, a sink, large refrigerator, stove, dishwasher, ample counter space, trash, recycle, functioning audio and video conferencing equipment, projector and viewport.

1

Waiting Room

Area for patients and caregivers to sit while waiting to see the nurse/physician.

Provide bariatric seating for up to 20, side tables and magazine rack.

Include television.

1

Consultation Room

A consultation room is a designated area for doctors to examine and discuss medical problems with the patients and caregivers.

Provide desk, ergonomic task chair, and 2 guest chairs.

Include copier, computers, office supplies, etc.

1

Children’s Play Area

Positive distractions for children in the waiting area.

Provide games, toys, child-size furniture and bookshelf/storage.

Include television.

1

Reception

Patient check-in and check-out.

Provide 1-2 Check-in kiosks and check-out desk with ergonomic seating for 3-4 staff members and storage.

Include copier, computers, office supplies, etc.

1

Business Work Area

Semi-private area that allows patients to access their account with the clinic.

Provide desk, ergonomic task chairs, and storage furniture.

Include copier, computers, office supplies, etc.

3

Family Restroom

Private restroom.

Provide grab bars, storage, and diaper changing station.

Include sink and toilet.

36

Exam Room

Area for patient diagnosis.

Provide an adjustable exam table with storage underneath, sit to stand desk, exam stool, guest seating and counter space with storage.

Include integrated diagnostic system, desk charger, spot vitals, exam lights, EGD devices, a sink, scale and other miscellaneous items.

4

Behavioral Counseling

Area for patient, caregivers, and providers to privately talk amongst one another.

Provide desk, ergonomic task chair, and 4 guest chairs.

Include copier, computers, office supplies, etc.

4

Procedural Room

Procedure rooms are considered constricted areas and can be defined as a room for the performance of procedures that do not require an aseptic field but may require use of sterile instruments or supplies.

Provide an adjustable exam table with storage underneath, sit to stand desk, exam stool, guest seating and counter space with storage.

Include integrated diagnostic system, desk charger, spot vitals, exam lights, EGD devices, a sink, scale and other miscellaneous items.

2

Clean Supply

Storage of all medical equipment and tools and prevents cross-contamination with solid supplies.

Provide storage, closed cupboards or covered bins for containing clean supplies. Include sink, hospital approved cleaning products, trash and recycle.

2

Soiled Supply

Disposal of soiled materials.

Provide storage and space for waste receptacle and soiled linen respectable; provision for storing and transporting linen in covered leak proof containers.

Include sink, hospital approved cleaning products, trash, and recycle.

2

Medical Team Staff Area

Dedicated space for both collaboration and individual work.

Provide open office seating for 18-20 staff each with central island for student and care team meetings, storage and white boards.

Include computer and docking stations and printer.

1

Lab

Samples are tested and analyzed.

Provide counter space with storage, blood draw chair, and stool.

Include sink, microscope, biohazard waste disposal and centriguge.

2

Specimen Collection Restroom

Private restroom adjacent to the lab in order for the providers to collect the samples.

Provide grab bars and storage.

Include sink and toilet, specimen cabinet and specimen cup storage.

2

Custodial Room

Storage for maintenance equipment and products.

Provide storage.

Include mop sink and cart.

1

Server Room

Location of the server, generator and breaker.

Provide server rack and cabinets.

Include computer and docking stations.

1

Electrical Room

Stores breaker panel and other electrical equipment.

Provide storage.

Include electrical equipment, such as, power distribution and communications, and computer and docking stations.

1

Operations Director’s Office

The Operations Director is responsible for the direction and coordination for the health Provide executive desk with meeting table for 2-4 guests and storage. center. This office will be used by the OD in order to complete his/her work efficiently.

Include computer and docking stations and printer.

1

Medical Director’s Office

The Medical Director plays an important role, ensuring the delivery of quality longterm health care. This office will be used by the OD in order to complete his/her work efficiently.

Provide executive desk with meeting table for 2-4 guests and storage.

Include computer and docking stations and printer.

1

Portable Equipment Area

Adjacent to the ambulance pick-up.

Provide easy access to gurney and wheelchairs and storage.

Include portable equipment cart.

1

Conference Room

Classroom style conference used for seminars and other learning opportunities.

Provide conference table and seating for 8-10 people, white boards, and ample storage space.

Include functioning audio and video conferencing equipment, projector and viewport.

1

Staff Break Room

Place of refuge for staff members to eat, drink, or socialize with co-workers.

Provide seating for 6-8 people, tables, and counter space with storage.

Include two microwaves, a sink, large refrigerator, ample counter space, trash and recycle. (dishwasher is optional)

1

Staff Locker Room

Space for staff members to store their personal items during their shift.

Provide locker storage.

Include shower for LEED.

3

Staff Restroom

Private restrooms used by staff only.

Provide grab bars and storage.

Include sink and toilet.

COMMUNITY ROOM WAITING AREA CLINICAL AREA BUILDING SERVICES & STAFF AREA

10


ELECTRICAL

LIGHTING

SF REQ.

SF PROVIDED

OTHER

30 - 50 Footcandles; indirect-direct pendant, wall-wash downlights, wall slot fixture, under cabinet lighting and recessed can ambient lighting.

1,500 SF

1,500 SF

Adjacent closet or niche for seating and chair storage when not in use. Provide double doors for easy access.

Convenience outlet and child protective cover.

Indirect ambient lighting and LED fixtures; aim to use sources with a CRI higher than 80.

1,400 SF

1,450 SF

Include bariatric seating and space for wheelchairs.

Convenience outlet and child protective cover.

Indirect ambient and task lighting.

120 SF

115 SF

Book area.

Convenience outlet and child protective cover.

Indirect ambient and task lighting.

150 SF

175 SF

Convenience and dedicated outlet and child protective cover.

Indirect ambient and task lighting.

200 SF

300 SF

Convenience and dedicated outlet and child protective cover.

Indirect ambient and task lighting.

60 SF

60 SF

Convenience and dedicated outlet, GFCI, and child protective cover.

Recessed can, indirect ambient, under cabinet and task lighting.

60 SF

60 SF

Convenience and dedicated outlet, GFCI, and child protective cover.

75 - 100 Footcandles, under cabinet lighting, task lighting, compact and moving examination lights are required.

120 SF

120 SF

Should accommodate five people (patient, family, clinician, resident and medical assistant).

Convenience outlet and child protective cover.

Indirect ambient and task lighting.

150 SF

150 SF

Adjacent to exam room. Should accommodate six people (patient, two family members, clinician, resident and medical assistant).

Convenience and dedicated outlet, GFCI, and child protective cover.

75 - 100 Footcandles, under cabinet lighting, task lighting, night light, emergency lighting and compact and moving examination lights are required.

150 SF

180 SF

Convenience outlet.

Indirect ambient, under cabinet and task lighting.

120 SF

120 SF

Convenience outlet.

Indirect ambient, under cabinet and task lighting.

120 SF

120 SF

Convenience and dedicated outlet.

Indirect ambient and task lighting.

1,200 SF

900 SF

Convenience outlet.

75 - 100 Footcandles, under cabinet lighting, task lighting, compact and moving examination lights are required.

300 SF

140 SF

Convenience outlet and GFCI.

Recessed can, indirect ambient, under cabinet and task lighting.

60 SF

60 SF

Convenience outlet and GFCI.

Indirect ambient and task lighting.

60 SF

80 SF

See IT Consultant

Indirect ambient and task lighting.

50 SF

50 SF

See Electrical Engineer

Indirect ambient and task lighting.

50 SF

50 SF

Convenience and dedicated outlet.

Indirect ambient and task lighting.

100-150 SF

175 SF

Convenience and dedicated outlet.

Indirect ambient and task lighting.

125-150 SF

200 SF

Convenience outlet.

Indirect ambient and task lighting.

150 SF

200 SF

Convenience and dedicated outlet and child protective cover.

30 - 50 Footcandles; indirect-direct pendant, wallwash downlights, wall slot fixture and recessed can ambient lighting.

1,000 SF

900 SF

Convenience and dedicated outlet and GFCI.

Indirect ambient, under cabinet and task lighting.

300 SF

300 SF

Convenience outlet.

Indirect ambient, under cabinet and task lighting.

200 SF

145 SF

Convenience outlet and GFCI.

Recessed can, indirect ambient, under cabinet and task lighting.

60 SF

60 SF

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Adjacent restroom for sample collection.

Supply storage.

TOTAL SF: 14,980 SF TOTAL CIRCULATION: 5, 948 SF TOTAL GSF (PROVIDED): 20,928 SF TOTAL GSF (REQ): 20,780 SF

PROGRAM MATRIX

Convenience and dedicated outlet, GFCI, and child protective cover.


PRELIMINARY DIAGRAMS

COMMUNITY ROOM

ADJACENCY MATRIX

WAITING ROOM

CRITICAL

RECEPTION

NEUTRAL

CONSULTATION ROOM

UNDERSIREABLE

CHILDREN’S PLAY AREA BUSINESS WORK AREA FAMILY RESTROOM NEG. PRESSURE EXAM ROOM EXAM ROOM BEHAVIORAL COUNSELING PROCEDURAL ROOM CLEAN SUPPLY SOILED SUPPLY MEDICAL TEAM STAFF AREA LAB SAMPLE RESTROOM SERVER ROOM ELECTRICAL ROOM CUSTODIAL ROOM DIRECTOR’S OFFICE MEDICAL DIRECTOR’S OFFICE PORTABLE EQUIPMENT AREA CONFERENCE ROOM STAFF BREAK ROOM STAFF LOCKER ROOM STAFF RESTROOM AMBULANCE PICK-UP STAFF ENTRANCE PATIENT ENTRANCE

DESIGN IMPLICATIONS - Prioritize areas that have critical and undesirable relations prior to placement of neutral areas. - Reduce noise level in larger public areas, including: waiting area, community room and medical staff areas. - The medical staff areas should be centrally located in each clinical wing. - The staff break room should not be near the lab due to patient privacy and sanitary purposes. - The lab will be provided at least one adjacent restroom for specimen collection. - The community room will be located adjacent to or near the reception and waiting area but seperate from the clinical areas. 12


BUBBLE DIAGRAM

BLOCKING DIAGRAM

COMMUNITY ROOM

COMMUNITY ROOM STAFF ENTRANCE

WAITING AREA

STAFF ENTRANCE

WAITING AREA

STAFF BREAK

STAFF RESTROOM

BUILDING SERVICES & STAFF AREA

CLINICAL AREA

CUSTODIAL SERVER/ DIR. OFFICE ELECTRICAL

DIRECTOR SERVER/ OFFICE ELECTRICAL DIRECTOR STAFF OFFICE `RESTROOM

CUSTODIAL

STAFF BREAK

DIR. OFFICE

BUILDING SERVICES & STAFF AREA

CONFERENCE

CONFERENCE

STAFF LOCKER

BEHAVIORAL

STAFF LOCKER

EXAM EXAM

BEHAVIORAL

STAFF AREA

EXAM

STAFF AREA

EXAM BEHAVIORAL

PROCEDURAL

CLINIC ENTRANCE

STORAGE

EXAM PROCEDURAL

CLEAN SUPPLY

CLEAN/ SOILED

CLINIC ENTRANCE

LAB LAB CONSULTATION RESTROOM

EXAM

SOILED SUPPLY CONSULTATION

LAB RR

LAB

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

LAB RR

EXAM EXAM

CLEAN/ BEHAVIORAL SOILED

PORTABLE EQUIP.

FAMILY RESTROOM

CHECK-IN KIOSKS EXAM RECEPTION

PROCEDURAL WAITING

STAFF AREA

CHILDREN PLAY AREA COMMUNITY EXAM

AMBULANCE PICK-UP

AMBULANCE PICK-UP

EXAM

EXAM EXAM PORTABLE EQUIP.

BEHAVIORAL FAMILY RESTROOM

CHECK-IN KIOSKS

EXAM EXAM

RECEPTION

NEG. PRESSURE EXAM EXAM

PROCEDURAL

EXAM

WAITING

STAFF AREA EXAM

EXAM

EXAM

EXAM

CHILD’S PLAY AREA COMMUNITY

PROCEDURAL EXAM

13

CLEAN/ SOILED

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

EXAM

PRELIMINARY DIAGRAMS

CLINICAL AREA


CODE

SUITE SPECIFICS

CHAPTER/ SECTION

Occupancy Type Classification

Business Group B

302.1

Occupancy Load Factor

210

1004

Required Water Closets

6

Table 2902.1

Required Lavatories

4

Table 2902.1

*Per programming requirements, the clinic will have 6*

Required Drinking Fountains

3

Table 2902.1

Minimum Egress Width

42”

1005.3.2

*44” minimum for accessibility*

Door Swing Encroachment

1005.3.2

Common Path of Travel

Doors, when fully opened, shall not swing into the path of egress by more than 7”. 100’ - 0”

Maximum Travel Distance

250’ - 0”

1006.2.1

Maximum Dead End Corridor

50’ - 0”

1020.4

Exit Count

2

1006.2 & 1006.3.1

Exit Doorway Configuration

Minimum of 85’ - 0” apart.

1007.1.1

Interior Wall and Ceiling Finish per Fire Code

Interior exit stairways/ ramps/ and exit passageways: B Corridors/ enclosures for exit access stairways and ramps: C Rooms and enclosed spaces: C

803.11

UP

KEY PLAN EXISTING ENTRANCES AND EXITS BUILDING PERIMETER

EXIT ARRANGEMENT *1/3 = 85’ - 0” *The separation distance between two exits shall not be less than one-third of the length of the maximum overall diagonal dimension of the area given. For this particular space, the total diagonal dimension equals 255’ - 0”, therefore, one-third equals 85’ - 0”. UP

1006.2.1

*Requirements for rooms and enclosed spaces shall be based upon spaces enclosed by partitions. Where a fire-resistance rating is required for structural elements, the enclosing partitions shall extend from the floor to ceiling. Partitions that do not comply with this shall be considered enclosing spaces and the room or spaces on both sides shall be considered one. In determining the applicable requirements for rooms and enclosed spaces, the specific occupancy thereof shall be the governing factor regardless of the group classification of the building or Level 1 Key Plan 2 structure.* 1" = 20'-0"

Building Footprint Option A

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The FSU Primary Health Center is 20,928 SF outpatient facility located in the city of Tallahassee, Florida and the proposed three-story building for new construction is categorized as Type 1 Construction. The following codes are applicable: - Florida Building Code, Accessibility (FBC-A; 6th edition 2017) - Florida Building Code, Mechanical (FBC-M; 6th edition 2017) - Florida Building Code, Plumbing (FBC-P; 6th edition 2017) - Florida Building Code, Building (FBC-B; 6th edition 2017) - Florida Fire Protection (FFPC; 6th edition 2017) - National Electrical Code (NEC; 2014)

180’ - 0”

CODE STUDY

BUILDING PARAMETERS

180’ - 0”

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LEGEND

6' - 0"

The measurements below illustrate how code requirements are met.

TRAVEL DISTANCE: 180’ - 0” COMMON PATH OF TRAVEL: 57’ - 6”

DEAD END CORRIDORS: 32’ - 8”

MINIMUM HALLWAY WIDTH: 6’- 0”

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CODE PLAN

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STAFF ENTRANCE

MAJOR CIRCULATION

LEGEND COMMUNITY ROOM LANDMARK

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UP 6' - 0"

MINOR CIRCULATION

6' - 0"

WAITING AREA LANDMARK

PROVIDER SIGHTLINES

CLINICAL AREA LANDMARK

EXTERIOR SIGHTLINES

BUILDING SERVICES AND STAFF AREA LANDMARK

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CIRCULATION AND SIGHTLINES Level 1

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1 diagram indicates how users would approach and navigate the space with major and minor This 1" = 20'-0" pathways and access to both exterior and interior sightlines.

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AMBULANCE PICK-UP

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CLINIC ENTRANCE

FOCAL POINT

CLINIC ENTRANCE

VISUAL ANALYSIS

LEGEND

DESTINATIONS AND FOCAL POINTS Level 1

The 1destinations 1" = 20'-0" are locations where users are likely headed due to their needs or function of the space. Furthermore, the focal points are areas of visual interest that will be used in wayfinding. 16


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Check-in Kiosks Reception Waiting Area Business Area Children Play Area Family Restroom Procedural Room Medical Staff Area Exam Room Behavioral Room Soiled Supply Clean Supply Portable Equipment Room Community Room Negative Pressure Exam Room Consultation Room Lab Specimen Collection Restroom Conference Room Staff Break Area Staff Locker Room Staff Restroom Custodial Closet Server Room Electrical Room Executive Office Storage

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PLAN KEY:

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FLOOR PLAN STAFF ENTRANCE

The staff will provided a break room near the entrance, restrooms and locker room, which are all designated for staff use. In the break room, a community board will accommodate relevant news and messages, enhancing communication among the staff.

In addition to the graphic wayfinding, simple, yet effective, flooring transitions will be used to assist the users experience through each clinical wing. Consistent exam room sizes throughout both clinical wings.

CLINIC ENTRANCE

Carpet flooring will be used for sound absorption purposes in rooms where private information will be discussed, such as, the behavioral rooms and medical staff area.

An ample amount of space will be provided near the ambulance pick-up due to the fast pace nature of this space. Additionally access to exam rooms and the portable equipment room is crucial to place near the pick-up.

AMBULANCE PICK-UP

A room designated for soiled supplies and a room for clean supplies will be placed in both clinical wings.

Each procedural room that is adjacent to the medical staff area will have a window so that the providers are able to observe a patient after a procedure. Clinical Wing Two

A negative pressure exam room is used to contain airborne contaminants within the room in a case of an emergency. This room was placed in Clinical Wing Two due to the close proximity to the reception area. The three different flooring materials used throughout the design are shown below:

Clinical Wing One

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FURNITURE LEGEND SEATING Viccarbe - Sistema Lounge Seating

Playscapes - NOVUM - Wooden Stackable Children’s Chair

Arcadia Contract - Savina - Two-seat Lounge Seating

Steelcase Coalesse - Enea - Cafe Stool

Arcadia Contract - Savina - Bariatric Lounge Seating

OFS Carolina - Physicians Stool - Mobile Stool

Steelcase Coalesse - Bob - Lounge Seating

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TABLE

OTHER Steelcase Coalesse - Exponents Credenza Bookshelf Restroom Baby Changing Station

OFS Carolina - Voyage - Bariatric Guest Seating

Steelcase Coalesse - Potrero 415 - Work Surface Table

Waste Basket

Midmark - Blood Drawing Chair

Steelcase Coalesse - Ology - Height Adjustable Bench

Bernhardt Design - Apel - Seating Benches

Steelcase Coalesse - Montana 650 - Lounge Seating

OFS Carolina - Stray - Mobile Tray

Steelcase - Leap 462 Series - Reception Task Chair

Steelcase Coalesse - Enea Lottus - Table

Hospital Bed

Steelcase Coalesse - Lox - Task Chair

Steelcase Coalesse - Montana 650 - Work Height Table

Wheelchair

Steelcase - Gesture - Task Chair

Playscapes - Duty Bound Round Activity Children’s Table

Midmark - Barrier Free - Exam Table

Steelcase Coalesse - Enea Lottus - Armless Side Chair

Arcadia Contract - Savina - Round Side Table

SPECIALTY EQUIPMENT


REFLECTED CEILING PLAN 10’ - 6” AFF White - USG Acoustical Drywall Ceiling

The illuminated exit signs are visible at all times and, in an event of an emergency, they provide a clear, easy way out for all users.

The use of acoustical ceiling tiles in the grid locations will not only reduce the cost but the sound absorbing properties help control acoustics, they decrease echos and provide for ease of accessibility if remodeling or repairs are necessary. 10’ - 2” AFF White - USG Acoustical Drywall Ceiling

9’ - 6” AFF White - USG Acoustical Ceiling Tile

Not in project scope.

Custom ceiling feature in each of the exam and procedure rooms will be made of USG Drywall Acoustical Panels, which help sound absorption. Recessed downlights will be used within these ceiling features due to the light fixture’s easy-dimming and installs and low glare. The micro-prismatic diffusion lens optimizes lumen output and delivers smooth, uniform illumination. Under-cabinet LED lights and procedural floor lamps will be used in order to reduce the shadows from the down-lights. Task lighting will be provided in both of the two medical staff areas.

Custom wood ceiling feature will integrate linear recessed lights throughout. The Lumination LED Linear Recessed Luminaires provide the flexibility and freedom to create imaginative environments, while cutting electricity and maintenance costs along the way.

White painted gypsum suspended ceiling above the main seating areas will help visitors best navigate the space.

The suspended light fixture that will be placed above the reception area are the simplest of cylinders. The pendant accentuates the simple yet elegant design of the reception desk.

Felt ceiling blades are a will be used as sound absorbers in the busy community space. The blades redefine the visual plane while adding warmth to the interior space.

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LIGHTING LEGEND PLAN VIEW

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NAME

INSTALLATION

ILLUMINATION TYPE

JUSTIFICATIONS

Eureka - 72” Diameter Cycle

Ceiling suspended

Direct/indirect LED illumination

Adjustable cable length, 80+CRI and 4000K color temperature.

Eureka - 54” Diameter Cycle

Ceiling suspended

Direct/indirect LED illumination

Adjustable cable length, 80+CRI and 4000K color temperature.

Eureka - 36” Diameter Cycle

Ceiling suspended

Direct/indirect LED illumination

Adjustable cable length, 80+CRI and 4000K color temperature.

GE Current - Lumination LED Luminaire Recessed

Direct/indirect LED illumination

Custom lengths throughout the space, 80+ CRI and 4000K color temperature.

RAB - 6” LED Downlights

Recessed

Direct/indirect LED illumination

Energy Star V2.0 certified, 90+ CRI and 4000K color temperature.

Eureka - Scout

Ceiling suspended

Direct/indirect LED illumination

Adjustable cable length, 80+CRI and 4000K color temperature.

Eaton - EUX Series

Ceiling suspended, Exit Sign LED illumination recessed, and wall-mounted

Eagle Eye self-diagnostics.

Airzone - AirQ Supply

Recessed

Long-range linear diffuser intensifies the air supply.

Meant to be installed in HVAC duct networks.

Airzone - AirQ Return

Recessed

Long-range linear diffuser intensifies the air supply.

Meant to be installed in HVAC duct networks.


CUSTOM MILLWORK

RECEPTION DESK

Transaction top finish: 1/8” Laminate - Carolina (Frosty White) Work surface finish: 1/8” Laminate - Carolina (Frosty White)

Fabric laminated to tackable core - meant for practical purposes.

1/2” Horizontal support

1 1/2” Tube steel

1/2” Plywood

Mobile pedestals for flexible storage will be placed near each staff member in the reception area.

Transaction Top Wire management grommets

In order for accurate and quick turnarounds between staff and patients, there will be multiple scanners and printers available.

STAFF ENTRY

1/2” Plywood Metal bracket, typ.

Wire management grommet

4 1/2” Tube steel

Both upper and lower cabinets will be placed in this area to provide the staff with ample storage space.

BUSINESS AREA *Only accessible to staff members.

Exposed surfaces finish: 1/8” Laminate - Carolina (Burnished)

1/8” Laminate - Carolina (Frosty White)

2 1/2” Tube steel

Stainless steel band to protect plywood edge Toe Kick finish: 1/8” Laminate - Carolina (Frosty White)

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SECTION CUT 1 1/2” = 1’ - 0”

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A custom glass wall provides both acoustical and visual privacy between the reception area and waiting room.

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ENLARGED PLAN VIEW 1/2” = 1’ - 0”

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CUSTOM MILLWORK RECEPTION DESK

FF&E

Mobile furniture and storage provides flexibility and allows staff to move freely among the reception area. 4’-0” wide ADA accessible transaction top (34” tall)

Custom Tempered Glass Panel Name: Organic Branches Manufacturer: Skyline Design Starphire low-iron tempered safety glass.

High-Pressure Laminate Color: Burnished Manufacturer: Carolina OFS Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents.

Acoustical Ceiling Tile Name: Mars Healthcare High-CAC Manufacturer: USG Mold & mildew resistance. .60 NRC 40 CAC

High-Pressure Laminate Color: Frosty White Manufacturer: Carolina OFS Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents.

Wall Paint Name: Vapor VRL005 Collection: Scuffmaster Manufacturer: Wolf Gordon Durability: 2,000 scrubs

Modular Carpet Name: Creased Paper Color: Washi Manufacturer: Mannington Bleach Resistant Warranty: ColorSafe Stain Resistant Warranty: XGAURD

Ergonomic Reception Chair Name: Leap Manufacturer: Steelcase Innovation in Design and up to 94% recyclable.

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AXONOMETRIC VIEW NTS

Reception Chair Upholstery Name: Kaleidoscope Manufacturer: Carnegie Durability: 1 million double rubs EOC info: C2C certified, low VOC’s and no topical finishes.

Wall Base Name: Health Design Wall Base Color: Arctic White Manufacturer: Flexco Designed to be heat-welded. Color remains homogeneous throughout entire thickness of wall base.


ELEVATION

CHILDREN’S AREA

Custom feature created with poured rubber incorporates nature and biophilia design within the interior. The nonabrasive material was chosen due to the durability and shock absorbing quality that decrease risk of injury.

The circular light fixture is suspended from the ceiling by aircraft cable wires. The texture of the wall covering is one of the foremost focal points by creating depth and warmth to the play space.

Various sized niches will be placed along the back wall. Each cubby contains an upholstered circular bench that can be taken out, presenting the children with an array of seating options. The use of manipulative toys and furniture appropriate for a wide age range, encourages the children to remain engaged while in the space

A cove wall base will prevent any damages to the wall and facilitates comprehensive maintenance.

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ELEVATION DONOR WALL

Custom ceiling feature throughout entire waiting space will have a laminate finish.

Suspended gypsum board ceiling above seating in waiting area will have recessed linear light fixtures. Custom wall-mounted feature created with bronze and glass material. The names of each donor will be etched in the glass. The donors will be divided into categories based on donation amount. Furthermore, the size and style of font will designate each of these categories. The wall will be painted using Wolf Gordon’s scuffmaster paint. A few different seating options, including single-seat, two-seat, and bariatric lounge chairs are available in the waiting area. It is important for the user’s initial experience of the center to have supportive seating for individuals of different shapes and sizes.

A cove wall base will prevent any damages to the wall and facilitates comprehensive maintenance.

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PERSPECTIVE WAITING ROOM

Upon entering, the reception area should be easily identified. A dropped ceiling above the custom reception desk and the contrast of the light and dark laminate finishes of the desks create an impressionable focal point. In order to avoid confusion and decrease stress, the signage will remain uniform throughout the clinic. Furthermore, the integration of communication technology continues to influence clinic design. Patients will use electronic notepads to input their personal data. The monitors are located near the reception desk, mounted to the wall on a flexible arm so that they can be controlled easily by all users. Additionally, each monitor will have a privacy screen in order to ensure patient’s privacy. The design of the reception and waiting area provides an opportunity for a positive impression.

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FF&E

WAITING AND CHILDREN’S AREA Drywall Acoustical Ceiling Name: Ensemble Manufacturer: USG Mold & mildew resistance. .80 - .85 NRC Acoustically transparent USG Ensemble Spray-Applied finish.

Single Seat Name: Savina Lounge Manufacturer: Arcadia Contract Under seat power units. Clean-out

Upholstery Name: Nature Walk Color: Butterfly Wing Manufacturer: KnollTextiles Ink and stain resistant. Durability: 100,000 double rubs

Resilient Sheet Flooring Collection: Realities II Name: Persian Walnut Color: Balsam Manufacturer: Mannington FloorScore Certified; Quantum Guard Rolling Resistance: 25,000 cycles

High-Pressure Laminate Color: Burnished Manufacturer: Carolina OFS Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents.

Round Side Table Name: Savina Manufacturer: Arcadia Contract Back painted glass available for top and can be used as a writable surface with dry-erase markers.

Upholstery Name: Moto Color: #8 Manufacturer: Carnegie Clean slate - Dry Erase Durability: 250,000 double rubs

Resilient Sheet Flooring Collection: Realities II Name: Persian Walnut Color: Myrrh Manufacturer: Mannington FloorScore Certified; Quantum Guard Rolling Resistance: 25,000 cycles

Field Paint Name: Vapor VRL005 Collection: Scuffmaster Manufacturer: Wolf Gordon Durability: 2,000 scrubs

Upholstery Name: Tandem Color: #4 Manufacturer: Carnegie Stain repellent finish Durability: 100,000 double rubs

Upholstery Name: Moto Color: #w Manufacturer: Carnegie Clean slate - Dry Erase Durability: 250,000 double rubs

Health Design Wall Base Color: Arctic White Manufacturer: Flexco Location: Waiting Area Designed to be heat-welded. Color remains homogeneous throughout entire thickness of wall base.

Accent Paint Name: Vapor VR004 Collection: Scuffmaster Manufacturer: Wolf Gordon Application: Donor Wall Durability: 2,000 scrubs

Upholstery Name: Saville Color: #43 Manufacturer: Carnegie Clean slate - Dry Erase Durability: 250,000 double rubs

Wall Covering Name: Manufacturer: Carnegie Water and bleach cleanable. Durability: Meets or exceeds requirements for Type II wall covering under CCC-408D.

Health Design Wall Base Color: Medium Gray Manufacturer: Flexco Location: Children’s Play Area Designed to be heat-welded. Color remains homogeneous throughout entire thickness of wall base.

Double Seat Name: Savina Lounge Manufacturer: Arcadia Contract Under seat power units. Clean-out

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Ottoman Name: Apel Manufacturer: Bernhardt Design Lightweight Bleach cleanable


PERSPECTIVE COMMUNITY ROOM

The community area will be just as unique to the primary health center, as the individuals’ situations, hopes and needs are to the community. The room is centrally located near the reception which allows users to find it quickly and avoid confusion. The transition of ceiling materials delineates the front of the room from the back, as well as, controls the acoustics. Moreover, the use of mobile furniture enables the users with the flexibility to utilize the space in many ways featuring health-related programs, such as, a cooking class or a self defense class. All in all, the center’s community room will evoke a feeling of unity among the unique individuals of the community by promoting a healthy lifestyle through teaching and learning.

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HALLWAY

ELEVATION AND FF&E The wall will be painted using Wolf Gordon’s scuffmaster paint. Each exam room will have a surface mounted ADA accessible signage placed on the latch side of the adjacent door. (4’-4” AFF)

Tempered glass back-lit LED panel.

1” thick surface mounted room number. Anodized door frame.

Handrails help users maneuver throughout the space and are useful in preventing accidents. The texture of the wall covering creates depth and encourages movement throughout the hallways. A cove wall base will prevent any damages to the wall and facilitates comprehensive maintenance.

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Custom Tempered Glass Panel Name: Organic Branches Manufacturer: Skyline Design Starphire low-iron tempered safety glass.

Custom Wall Covering Manufacturer: Carnegie Water and bleach cleanable. Durability: Meets or exceeds requirements for Type II wall covering under CCC-408D.

High-Pressure Laminate Color: Linen Manufacturer: Carolina OFS Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents.

Resilient Sheet Flooring Collection: Realities II Name: Persian Walnut Color: Myrrh Manufacturer: Mannington FloorScore Certified; Quantum Guard Rolling Resistance: 25,000 cycles

Wall Paint Name: Vapor VRL005 Collection: Scuffmaster Manufacturer: Wolf Gordon Durability: 2,000 scrubs

Handrail Manufacturer: Acroyn Cradle 2 Cradle PVC-free LEED Compliant

Resilient Sheet Flooring Collection: Realities II Name: Persian Walnut Color: Balsam Manufacturer: Mannington FloorScore Certified; Quantum Guard Rolling Resistance: 25,000 cycles

Health Design Wall Base Color: Arctic White Manufacturer: Flexco Designed to be heat-welded. Color remains homogeneous throughout entire thickness of wall base.


EXAM ROOM

ZONING DIAGRAM AND ELEVATION PROVIDER PATIENT FAMILY

The Steelcase millwork will be complete with a laminate finish and stone countertop, both from the company, Carolina OFS. The ample amount of storage space allows the facility to store frequently used medical equipment and remain organized.

The equipment rail is thoughtfully placed directly next to the exam chair which gives the opportunity for the provider to administer immediate assessment and treatment.

The circular ceiling suspended feature not only adds aesthetic value to the exam room but serves a practical purpose as well, acoustical control. Each circle is made of drywall acoustical panel material and hung at different heights, ranging from 9’-0” AFF to 9’-6” AFF. The variety of height and circle arrangement creates visual depth. Although each exam room will have different artwork, all art will be displayed on canvas’s that are relatively the same size. The image depicted is a photograph of a tree in Maclay Gardens State Park in Tallahassee. The monitor will be mounted with a flexible arm which allows the provider to share information with the patient and/or caregiver(s) without any visual obtrusions.

Guest seating will provided in all exam rooms.

The ergonomically designed Physicians Stool ensures optimal physical alignment for the provider and allows for swift movements around the exam room. A cove wall base allows for quick and efficient cleaning.

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EXAM ROOM AXONOMETRIC VIEW

Motion activated sharp object disposal.

Motion activated, wall-mounted waste baskets are easily accessible to providers, as well as patients and caregivers.

The equipment rail allows facilities to customize spaces to their needs. Easy snap on components make updating tools to work with in specific areas simple without damaging wall panels. The mobility and adjustability of both the tray and stool allows for conversation and exploration between providers and patients. The mobility empowers providers with flexibility and efficiency in their daily delivery of care.

The Midmark exam table is designed to offer low and high positioning heights so the provider can provide the best care to all patients.

28� Samsung LED Smart Healthcare Monitor is mounted with a flexible arm which allows the provider to move the screen for patient and care viewing. Hooks for patients and caregivers to hang bags, jackets, or hats to eliminate tripping over any items placed on the floor.

Bariatric seating for guests will be placed in each exam room.

Hand sanitizer dispensers are placed directly next to each door so that the provider has the ability to sanitize their hands before introducing themselves to the patients and/or caregivers.

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EXAM ROOM

FF&E

Drywall Acoustical Ceiling Name: Ensemble Manufacturer: USG Mold & mildew resistance. .80 - .85 NRC Acoustically transparent USG Ensemble Spray-Applied finish.

Exam Table Name: Ritter 224 Barrier Free Manufacturer: Midmark Adjust in height 18� - 37� Patient weight capacity: 500 lb

Wall Paint Name: Vapor VRL005 Collection: Scuffmaster Manufacturer: Wolf Gordon Durability: 2,000 scrubs

Physician Stool Manufacturer: Carolina OFS Easy-glide durable casters Height adjustable

Millwork Name: Convey Manufacturer: Steelcase Soft-close hinges preven pinches and keep noise levels low.

Upholstery Name: Buff Color: #48 Manufacturer: Carnegie Application: Exam table and stool Clean slate - Dry Erase Durability: 250,000 double rubs

High-Pressure Laminate Color: Grey Manufacturer: Carolina OFS Application: Exam room millwork Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents.

Bariatric Guest Seating Name: Voyage Manufacturer: Carolina OFS Ergonomically designed for ease and mobility. Clean-out

Stone Countertop Name: Lyra Manufacturer: Carolina Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents.

Upholstery Name: Basket Color: #1 Manufacturer: Carnegie Application: Guest chair Clean slate - Dry Erase Durability: 250,000 double rubs

High-Pressure Laminate Color: Ebony Manufacturer: Carolina OFS Application: Guest chair Euroluxe finish Highly resistant to industrial strength alcohol-based cleaning agents. Resilient Sheet Flooring Collection: Realities II Name: Persian Walnut Color: Balsam Manufacturer: Mannington FloorScore Certified; Quantum Guard Rolling Resistance: 25,000 cycles

Resilient Sheet Flooring Collection: Realities II Name: Persian Walnut Color: Myrrh Manufacturer: Mannington FloorScore Certified; Quantum Guard Rolling Resistance: 25,000 cycles Health Design Wall Base Color: Arctic White Manufacturer: Flexco Designed to be heat-welded. Color remains homogeneous throughout entire thickness of wall base.

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