San Francisco General Hospital Medical Center

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SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTERSPACE PROGRAM

MAY 31, 2007

City and County of San FranciscoDepartment of Public Health

Fong & Chan Architects


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SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTERSPACE PROGRAM


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SFGHMC|Space Program May 2007

Table of Contents

Section 1 Executive Summary

Introduction

Overview

Development Process

Space Program Objectives and Assumptions

Findings

Recommendations

Program Summary

Section 2 Site ReviewIntroduction

Site Review

Stacking

Floor Plans

Section 3 Space Program Tables

Introduction

Program Summary

Inpatient

Medical/Surgical

ICU/Step-Down

Obstetrics

Pediatrics

NICU

Diagnostic and Treatment

Perioperative

Diagnostic Imaging

Ancillary Services

Emergency

Support

Administration and Public

Auxiliary SupportPlant Services

Program Allocation by Floor


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Section 4 Statement of Probable Construction Cost

(Issued under separate cover)

Section 5 Acknowledgments

Steering Committee

Inpatient

ICU/Step-down

Women & Children

Diagnostic

Emergency

Perioperative

Ancillary Support

DPH Program Management/AdministrationDPW Project Management

Fong & Chan Architects

Forell/Elsesser Engineers, inc.

Gayner Engineers

TBD Consultants

Herrero Contractors

Section 6 Appendices

Appendix A Space Program Work Plan

Appendix B Bed ProjectionsAppendix C Meeting Minutes


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SFGHMC|Space Program May 2007 1-1


Introduction

This space program report provides the basis for the

development of the design and eventual construction of the

new acute care hospital building at San Francisco Genera

Hospital Medical Center (SFGHMC).

The report includes a comprehensive written space program

and a preliminary site review.

Overview

Fig. 1-1

Aerial View of SFGHMC

In 1994, California Senate Bill (SB) 1953 was passed as anamendment to and furtherance of the Alfred E. Alquist Hospita

Seismic Safety Act (Alquist Act) enacted in 1973. The intent of

the original act was to ensure that acute care hospitals remain

functional shortly after a major earthquake. The Alquist Act

requires all general acute care hospital buildings to mee

explicit seismic safety standards by either retrofitting existing

buildings or electing the option, provided by SB 1801 (Speier

adopted in 2000, to rebuild a new hospital building by 2013.

In 2000, SFDPH commissioned a seismic evaluation study

which concluded that the Main Hospital building at SFGHMChas significant seismic deficiencies and that it may not be

capable of providing health care services to the public after a

major seismic event.1 The SFGHMC Main Building was

categorized as a Structural Performance Category 1 (SPC-1)

Buildings categorized as a SPC-1 pose a significant risk of

partial or total collapse and a danger to the public.

In 2001 the San Francisco Health Commission adopted

resolution 1-01 supporting the construction of a new genera

acute care hospital by 2013.

In May 2005, Mayor Gavin Newsom and Public Health Directo

Mitch Katz established a Blue Ribbon Committee to study San

Francisco General Hospitals future location. In October 2005

the Blue Ribbon Committee issued a report to Mayor Newsom

recommending rebuilding the new hospital on the existing

Potrero Campus instead of at the new UCSF Mission Bay

Campus as had been suggested.2The Blue Ribbon Committee

found that the Mission Bay Campus was not feasible from a

cost, long-term financing or site acquisition perspective. In


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addition, the Committee found that coordinating care between

the Mission Bay Campus and the Potrero Campus would create

operational challenges not readily overcome.

In the final Blue Ribbon report issued to Mayor Gavin Newson

two locations within the Potrero Campus were acknowledged as

potential viable sites to build the new acute care hospital. One

option was to locate the new acute care hospital to the north

and abutting the existing hospital, the other option was to

locate the new acute care hospital west of the existing hospita

on the west lawn in between two existing masonry buildings

the site of a former hospital building demolished in 1972.

* North option requires the demolition of

Bldg 100 and M-wing

Fig. 1-2

Aerial View of SFGHMC showing thevarious building site options

The Blue Ribbon Committee recognized that the option to build

to the north would require the demolition of Building 100 and

M-wing which currently houses the majority of the ambulatory

services and the clinical lab. The option to build to the wes

would have significantly less overall impact on the existingacute care hospital and would not likely require the demolition

of existing structures.

Even though the Blue Ribbon Committee did not consider where

on Potrero Campus the new acute care hospital should be built

it suggested that the west option should be further examined

as a potential alternative to the more disruptive North option. 3

Of note, prior to the establishment of the Blue Ribbon

committee the option to build the new acute care hospital on

the existing south parking lot adjacent to the existing hospitawas reviewed. This option was rejected by the members of the

Community Advisory Committee due to the sites proximity to

the nearby residential neighborhood, specifically highlighted

were both noise and bulk concerns. In addition, the ongoing

operations of the existing emergency and psychiatric emergency

services would be severely impacted by the construction due to

their direct adjacency to the site. Relocation of these services

was considered not to be a workable or practical option.

In Spring 2006 the San Francisco Department of Public Health

(DPH) commissioned a site feasibility study to determine if anew hospital building could be constructed on the west lawn.

The site feasibility study prepared by Anshen + Allen and issued

on September 25, 2006 concluded that a compliant 428,003

sq. ft. hospital building could be constructed on the west lawn

without demolishing any buildings. The study also stressed tha

the assumed program could be accommodated within the

existing zoning height limits but the bulk limits may be

exceeded.

Proposed site for west option

Proposed site for north option*

Proposed site for southparking lot


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In November 2006, Fong & Chan Architects started the

programming effort to determine the space requirements fo

the new acute care hospital and to validate the feasibility of the

west lawn site. The contents of these items are described in

detail in this report.

Development Process

The essential data used to develop the space program was

collected through the implementation of a work plan. This work

plan involved a series of workshops and meetings with hospita

staff and Fong & Chan Architects under the guidance of the

Steering Committee.

Hospital staff participated in seven distinct user groups

Inpatient, Women & Children, Diagnostic, ICU/Step-down

Emergency, Perioperative and Ancillary Support representing abroad cross section of healthcare expertise at SFGHMC.

Refer to Appendix A for a copy of the Work Plan.

Space Program Objectives and Assumptions

In the course of the planning process the Hospita

Administration and the Steering Committee identified the

following space programming objectives and assumptions:

OBJECTIVES

To develop and submit a space program for a new acute

care Hospital to fit within the West Lawn of San Francisco

General Hospital Medical Center (SFGHMC)

To maximize the number of patient rooms and exam rooms

within the building envelope

To increase the number of ICU/CCU patient rooms to reflect

current demand and to meet future projections

To look for cost saving opportunities throughout the

development of the space program, including balancing the

allocation of space between existing and new Hospitals to

the extent that is practical in accomplishing established

goals


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To maximize facility flexibility by programming multi-

functional spaces and flexible step-down nursing units

To update and submit a Statement of Probable Construction

Cost reflecting the findings and conclusions reached in the

space program

ASSUMPTIONS

Fig. 1-3

Site Plan showing building site

The building site will be located directly west of the existing

main hospital building, over the West Lawn between

Building 20 and Building 30

Demolition of existing buildings will not be required

The San Francisco Planning Code limits the overall mass of

a building. If required, these bulk limitations can beexceeded by applying for a conditional use permit

The San Francisco Planning Code also limits the overal

height of a building, however the height of the new acute

care building should not exceed these limits

Allocation of space in the new Hospital will be limited to

those functions that are required to be in a new acute care

hospital and to those functions that are required to meet

operational adjacency requirements

The following major departments (not an complete list) wil

not be part of the new hospital program, but will stay in the

existing hospital building:

Acute Psych

SNF

Clinical Labs (except for the blood bank and specific

functions that by code are required to be in a compliant

acute care facility)

Cafeteria

KitchenRehab

Nuclear Medicine

Departmental gross square footages (DGSF) will be derived

from the examination and analysis of SFGH census data

regulatory requirements; best practices in Health Care

design; and suggestions from user groups, administrative

personnel and industry leaders

N

Potrero

Avenue


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Space Program will be developed with the assumption that the

new acute care hospital will begin providing services to the

public in the year 2015.

Findings

Fig. 1-4

Aerial view looking south of building site

This report describes a space program for a 284 bednew acute

care hospital to be located in the west lawn of SFGHMC with an

assumed building massing of 8 stories (including basements)

and an area of 420,260 square feet. The principal findings of

the space program study are as follow:

A code compliant acute care hospital can be built on the

west lawn without demolishing any existing buildings

The assumed building massing as described in this report

can be accommodated within the established zoning heightlimits however the portion of the building massing above 65

feet in elevation will likely exceed the bulk limits. A

conditional use permit may be required

The new acute care hospital should be linked to the existing

hospital building by means of a 2nd floor bridge connection

and a basement tunnel connection to improve the

movement of supplies and personnel

The total number of acute care beds can be expanded from

230 to 284 without significantly increasing the total buildinggross square footage. The assignable square footage of

each patient room was thoroughly discussed with each

respective user group and the final agreed upon area was

deemed appropriate for a public teaching hospital


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Recommendations

In the course of the space programming effort the various User

Group Committees and the Steering Committee identified

project goals and objectives to be considered in the design

phase of this project. These committees envisioned the

creation of a modern healthcare facility that embodied the

Hospitals Mission to deliver humanistic, cost-effective, and

culturally competent health services to the residents of the City

and County of San Francisco. The following recommendations

should be used as a foundation for the development of the

design of the new acute care Hospital:

Design a state-of-the-art acute care hospital with safe

secure, efficient and user-friendly patient and work

environments to promote access to services, quality of care,

patient safety, customer satisfaction, staff morale, resourcemanagement, effective partnership, and academic

excellence

Design flexible and efficient spaces able to handle

technological advances and allow for program changes

Incorporate emerging green building technologies and

sustainable design principles

Consider the architectural context of the existing campus in

the development of the new acute care hospital

Create spaces that support collegial professiona

interchange and discussion and promotes educationa

interaction

Perform cost management studies such as earn-value

analysis, life-cycle costs analysis and value engineering

throughout the planning and design process to improve the

performance of the new acute care hospital without

exceeding the budget

1Degenkolb Engineers/ Structus Inc., SB1953 Seismic Evaluation Report,

December 20002Blue Ribbon Committee on San Francisco General Hospitals Future

Location, October, 20053Blue Ribbon Committee on San Francisco General Hospitals Future

Location, October, 2005


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PROGRAM SUMMARY

Inpatient

Acute Medical

Medical/Surgical 144 72,466 4 units - each 36 beds

Medical/Surgical - Forensic Unit 8 6,744

ICU/CCU 40 31,086 4 units - each 10 beds

Step-Down 46 27,287 20 beds flex up & 26 beds flex down

Obstetrics 22 21,427 13 postpartum + 9 LDRP beds

Pediatrics 12 9,194

NICU 12 7,830

Subtotal 284 176,032

Diagnostic & Treatment

Perioperative

Surgery 15 23,369 14 OR & 2 IRGastroenterology 5 4,158

Patient Intake and Recovery 57 17,914

Diagnostic Imaging

Cardiology 6 4,606

Radiology 8 15,425

Ancillary Services

Sterile Processing - 6,774

Pharmacy - 6,139 Inpatient only

Clinical Laboratory - 2,344 Blood bank + Urinalysis

Pulmonary Function - 2,071Biomed - 1,019

Morgue and Autopsy - 1,920

Subtotal 91 85,738

Emergency

Emergency

Clinical Care 60 36,668 54 exam + 6 trauma rooms

Beds/Rm DGSF Remarks

1-7


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PROGRAM SUMMARY Beds/Rm DGSF Remarks

Support


Entry Area - 5,755

Admitting - 2,801Administration - 621

Auxiliary Support

Material Management - 8,250

Messenger/Mailroom - 2,544

Environmental Services - 1,294

Information Technology - 2,731

PBX - 719

Dietary - 828 Most Dietary Services to remain in Bldg. 5

Subtotal - 25,544

DGSF Total 323,982

Circulation/ Exterior Wall 18% 58,317

Plant Services 9% 34,407

BGSF Total 416,706

1-8


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Section 2 Site Review

Introduction

San Francisco General Hospital Medical Center is located in thesoutheast quadrant of San Francisco, at the junction between

the Mission and Potrero Hill Districts.

Fig. 2-1

Map of San Francisco

Fig. 2-2

Enlarged map of San Francisco

1

280

101

SFGHMC

101

SFGHMC

101

Potrero

Hill

Mission

District

208

Financial

District


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EXISTING CAMPUS DESCRIPTION

The hospital campus occupies an area of approximately 24

acres bordered on the west by Potrero Avenue, on the south by

23rd street, and on the east and north by U.S. Highway 101

and Vermont Street. The existing buildings were constructedthroughout the last century.

Dept. of Public Health (Built after 1987)

Dept. of Public Health (Built before 1987)

Dept. of Parking and Traffic

Behavioral Health Rehabilitation A

Building 80 B

Building 90 C

Service Building D

Building 1 E

Avon Center (Building 4) F

Volunteer Center G

Building 3 H

Building 10/20 I

Building 5 (Main Hospital Building) J

Building 100 K

Building 30/40 L

Building 9 Trailer M

Building 9 N

Parking Structure O

Fig. 2-3Existing campus

21st Street

22nd Street

23rd Street

23rd StreetVermontStree

t

SanBrunoAve

nue

UtahStreet

PotreroAvenu

e

U

.S.Highway1

01

22nd Street

On its north-south axis the campus is approximately 1700 feet

long, and from the east to west about 750 feet wide. Moving

east from Potrero Avenue, the terrain slopes upward by

approximately 20 feet over street level, while the portion of the

site occupied by the main hospital building is relatively level.

Approaching the northeast, the campus continues to slope

upwards, gaining another 25 feet in elevation as it reaches the

freeway.

I

A

BC

D

E F H

K

M

L

J

G

N

O


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Site Review

BUILDING SITE

The West Lawn building site was established by SFGHMC prior

to this space program study. The buildable area on this buildingsite is approximately 72,100 square feet, defined on the west

by Potrero Avenue, on the north by Building 20, on the south by

Building 30 and on the east by Building 5. The buildable area

was determined using planning and building code best

practices.

Fig. 2-4

Aerial photo of SFGHMC campus map

Fig. 2-5

SFGHMC campus map

Buildable area

21st Street

22nd Street

23rd Street

23rd StreetVermontStreet

SanBrunoAvenue

UtahStreet

PotreroAvenue

U.S.H

ighw

ay1

01

22nd Street

WestDrive


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SETBACKS

The following assumptions were made in determining the

extents of the buildable area:

Along the west the buildable area is defined by a plane createdby the alignment of Buildings 20 and 30.

Along the north/south/east the buildable area is defined by an

assumed property line located 20-feet from existing adjacent

structures to eliminate the need to fire rate the exterior walls

and windows of these existing structures.

Fig. 2-6

Site plan indicating location of assumedproperty line

Buildable area

Assumed property line

Alignment plane

20'

20'

20'

Building 2

Building 3

Building 5


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Similarly the distance between the assumed property lines and

the new acute care hospital is greater than 20-feet, eliminating

the need to fire rate exterior walls and windows of the new

acute care hospital, except at the first floor along the east side

where the exterior wall is aligned with the assumed property

line.

The first floor east exterior wall will be of 4-hour fire resistive

construction and openings within that wall assembly will not be

allowed.

Fig. 2-6

Site plan indicating location of assumed

property line

Assumed property line

Alignment plane

20'

20'

20'

20'

20'

20'

20'

20'

The below grade basement floors are not limited by setback

requirements and extend to within 21-feet of Building 20, 20-

feet of Building 5 and 34-feet of Building 30. These distances

were determined by balancing the need to maximize the

program area and the need to protect these existing structures

during construction.

Building 2

Building 3

Building 5


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Fig. 2-7

Aerial photo highlighting the 40

separation between the new acute care

hospital and adjacent buildings 20 & 30

Along the first floor the east exterior wall is aligned with the

assumed property line, on the floors above the east exterior

wall shifts 20-feet west to avoid opening protection

requirements due to proximity to assumed property line.

Fig. 2-8

Perspective sketch showing the property

line plane between the new acute care

hospital & the existing hospital

Assumed Property Line Plane


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ASSUMED BUILDING MASSING

The assumed building massing derived from the 2006 Site

Feasibility Study was developed to determine the constraints on

the space program resulting from site, planning and code

limitations. The assumed building envelope was exercised withthe space program in an iterative process to validate the

feasibility of the space program assumptions.

The assumed building massing descends one floor and rises

7 floors below and above grade respectively along Potrero

Avenue. Along West Drive, which is at a higher elevation the

building descends 2 floors and rises 6 floors below and

above grade respectively

The designation of first floor was assigned to the floor that is

level with grade along West Drive to match the floor

designation of the existing hospital building. The footprint of

the first floor is 53,092 square feet which represents

approximately 78% of the buildable area

To reduce the bulk of the building massing the footprint of

all floors above the first floor has been further reduced

Fig. 2-9

View of SFGHMC looking northeast


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SITE CIRCULATION

The suggested circulation on the SFGHMC campus is shown on

the plan below. In general, ambulance and service vehicle

access is from 22nd Street. Public vehicle access is from 23rd

Street. Pedestrian access is from Potrero Avenue, 22nd Streetand 23rd Street.

Fig. 2-10

View of SFGHMC looking northeast

Fig. 2-11

Suggested site circulation

Ambulance

Service

Auto for public

Pedestrians

Bus stop

21st Street

22nd Street

23rd Street

VermontStreet

SanBrunoAvenue

UtahStreet

PotreroAvenue

U.S.H

ighway1

01

22nd Street


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ZONING CONSIDERATION

Property line

Grade line

Building height limit

Elevator/mechanical

penthouse height limit

Helipad

New hospital massing

Existing hospital building

Mechanical penthouse

Fig. 2-12

Section showing height of new acute carehospital massing and existing hospital

building

The SFGHMC campus is zoned as 105 E, this zoning

designation reveals building height and bulk limits. The

height limit for the new acute care hospital is 105 feet

with the following exemptions:

Mechanical equipment and appurtenances necessary

to the operation of the building itself, together with

visual screening, limited to the top 16 feet of any suchfeatures.

Elevator, stair, and mechanical penthouses, fire

towers, and skylights, limited to the top 16 feet of

such features. Further exemptions for elevator

penthouses may be granted if necessary to meet

state or federal laws or regulation.

Unroofed recreation facilities with open fencing,

including tennis and basketball courts at roof level,

swimming pools with a maximum height of four feet

and play equipment with a maximum height of 10

feet.

The suggested new acute care hospital massing is within

the prescribed height limit.

MED/SURG

MED/SURG

ICU/STEP-DOWN

STEP-DOWN/ MED/SURG FORENSIC UNIT/PHARMACY

OBSTETRICS/PEDIATRICS/NICU

ADMITTING/EMERGENCY

PERIOPERATIVE/CLINICAL LABORATORY

CARDIOLOGY/RADIOLOGY/AUXILIARY SUPPORT/PLANT SERVICES

43,428

43,428

45,588

45,588

47,096

53,092

59,547

69,303

CLINIC/PSYC

CLINIC

CLINIC

CLINIC

CLINIC

CLINIC LAB/C

RADIOLOGY

NUCLEAR ME

69' 69'

56'51'

159'

BGSF

PLANT SERVICES

16'

105'

103'

12,000

EXISTING HOSPITANEW HOSPITAL


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Property line

Grade line

Helipad

Building massing above 65

Building massing below 65



Fig. 2-13

Section showing bulk of new acute care

hospital massing and existing hospitalbuilding

The E Bulk district designation limits the bulk of the new

acute care hospital above 65 feet in elevation to a

maximum plan dimension of 110 feet in length and a

maximum diagonal dimension of 140 feet in length.

Exemptions from the prescribed bulk requirements may be

granted via a variance application under the following

conditions:

Achievement of a distinctly better design, in both apublic and a private sense, than would be possible

with strict adherence to the bulk limits, avoiding an

unnecessary prescription of building form while

carrying out the intent of the bulk limits and the

principles and policies of the Master Plan.

Development of a building or structure with

widespread public service benefits and significance to

the community at large, where compelling functional

requirements of the specific building or structure

make necessary such a deviation.

The suggested new acute care hospital massing exceeds

the prescribed bulk limit, however a variance could begranted based on the exemptions listed above.

MED/SURG

MED/SURG

ICU/STEP-DOWN



ADMITTING/EMERGENCY



43,428

43,428

45,588

45,588

47,096

53,092

59,547

69,303

CLINIC/PSYC

CLINIC

CLINIC

CLINIC

CLINIC

CLINIC LAB/C

RADIOLOGY

6

1

B1

B2

15'-0"

15'-0"

16'-0"

16'-0"

15'-0"

15'-0"

15'-0"

15'-0"

15'-0"

NUCLEAR ME

BGSF

PLANT SERVICES

65'

12,000

EXISTING HOSPITALNEW HOSPITAL


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MEDICAL HELIPAD

Helipad transitional

surfaces

Helipad

New hospital massing



Fig. 2-15

Section showing suggested helipad location

SFGHMC is proposing to construct and operate a medical

helipad on the roof of the existing hospital building in

order to provide timely access to and from their Trauma

Center.

Because the helipad's proximity to trauma is critical, the

City will be studying, as part of the SFGHMC Environmental

Impact Report (EIR) effort, whether or not the helipadshould be relocated to the new acute care hospital or

whether it's adequate to just link the two buildings. If a

decision is made to move the helipad to the new acute

care hospital, the original helipad location would be

decommissioned. There will only be one operational

helipad at the SFGHMC Potrero Campus.

If the helipad is to be relocated to the roof the new acute

care hospital this report suggests locating it along the east

side of the building closer to the center of the campus.

Assuming a north-south approach/departure path it

appears that neither the transitional surface nor the

approach/departure surface will be punctured by nearby

structures.

2:1 transitional surface

8:1 approach/departure surface

Helipad

Illustration showing approach/depart

and transitio

MED/SURG

MED/SURG

ICU/STEP-DOWN



ADMITTING/EMERGENCY



43,428

43,428

45,588

45,588

47,096

53,092

59,547

69,303

CLINIC/PSYC

CLINIC

CLINIC

CLINIC

CLINIC

CLINIC LAB/

RADIOLOGY

NUCLEAR M

BGSF

PLANT SERVICES 12,000

EXISTING HOSPITANEW HOSPITAL


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Stacking

Fig. 2-17

Stacking diagram


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Basement 2 Floor Plan

Basement 2 is located one story below grade along Potrero

Avenue and has a footprint of approximately 69,300 square

feet. This floor does not have direct access to grade. The floo

plan below suggests one possible arrangement of the spacesprogrammed on basement 2:

Radiology (8 Imaging Rooms Total)

Cardiology

Environmental Services

Material Management

Morgue and Autopsy

Messenger/Mailroom

Plant Services

Sterile Processing

Dietary

Pulmonary Function Lab

10'

20'

30'

40'


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Basement 1 Floor Plan

Basement 1 is located one story below grade along West Drive

and has a footprint of approximately 59,500 square feet. This

floor has a Potrero Avenue grade level entrance, a tunne

connection to existing hospital and a small loading dock. Thefloor plan below suggests one possible arrangement of the

spaces programmed on basement 1:

Surgery (14 OR Total)

PACU (35 Beds Total)

Gastroenterology Unit (5 Rooms Total)

Pre-OP Unit (22 Beds Total)

Administrative/Staff Areas

Entry Area

Bronchoscopy

Clinical Laboratory

Loading Dock

10'

20'

30'

40'


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First Floor Plan

First floor is located one story above grade along Potrero Avenue

and has a footprint of approximately 53,100 square feet. This

floor has separate entrances for public, ambulance and loading

to the grade. The floor plan below suggests one possiblarrangement of the spaces programmed on the first floor:

ER - Shared Support Areas

ER - Exam Unit (54 Rooms Total)

ER - Trauma Unit (6 Rooms Total)

Entry Area

Admitting

10'

20'

30'

40'


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Second Floor Plan

Second floor has a footprint of approximately 47,100 square

feet. This floor has a bridge connection to existing hospita

building 5. The floor plan below suggests one possible

arrangement of the spaces programmed on the second floor:

Obstetrics Unit (22 Beds Total)

Pediatrics Unit (12 Beds Total)


Administration

Public Areas

NICU Unit (12 Bassinets Total)

10'

20'

30'

40'


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Third Floor Plan

Third floor has a footprint of approximately 45,600 square feet

The floor plan below suggests one possible arrangement of the

spaces programmed on the third floor:

ICU Step-Down (26 Beds Total)

ICU Step-Down (10 Beds Total)

Information Technology

Inpatient Pharmacy

Med/Surg - Forensic Unit (8 Beds)

10'

20'

30'

40'


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Fourth Floor Plan

Fourth floor has a footprint of approximately 45,600 square

feet. The floor plan below suggests one possible arrangement o

the spaces programmed on the fourth floor:

ICU/CCU Unit ( 30 Beds Total)

Trauma ICU Unit (10 Beds Total)

Biomed

Public Areas


Step-Down Unit (10 Beds Total)

PBX

10'

20'

30'

40'


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Fifth and Sixth Floor Plans

Fifth and sixth floors each have a footprint of approximately

43,500 square feet. The floor plan below suggests one possible

arrangement of the spaces programmed on the fifth and sixth

floor:

Med/Surg Unit (36 Beds Total)

Med/Surg Unit (36 Beds Total)

Courtyard

Public Areas

10'

20'

30'

40'


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Penthouse Floor Plan

Excluding the Helipad the Penthouse floor has a footprint o

approximately 12,000 square feet. The floor plan below

suggests one possible arrangement of the spaces programmed

on the penthouse floor:

Helipad

Plant Services

Elevator Hoistway

Sixth Floor Roof

Courtyard

10'

20'

30'

40'


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Section 3 Space Program Tables

Introduction

The following space program tables detail the programrequirements for a new acute care hospital at SFGHMC. Each

program space is listed in the table along with the type and

number of rooms and the assignable square footage (ASF)

required. The following definitions are used in these program

tables:

ASF represents the net assignable area measured from inside

of walls and partitions.

Department gross square footage (DGSF) is the sum of the

total department ASF plus the estimated area for

departmental infrastructure, such as interior partitions and

intra-department circulation which are estimated based on a

percentage of the total ASF.

Building gross square footage (BGSF) is the sum of the total

DGSF and estimated building services and building

infrastructure, such as exterior walls and inter-department

circulation which are estimated based on percentages of the

total DGSF


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Section 3 Space Program

PROGRAM SUMMARY

Inpatient

Acute Medical

Medical/Surgical 144 72,466 4 units - each 36 beds


ICU/CCU 40 31,086 4 units - each 10 beds

Step-Down 46 27,287 20 beds flex up & 26 beds flex down

Obstetrics 22 21,427 13 postpartum + 9 LDRP beds

Pediatrics 12 9,194

NICU 12 7,830

Subtotal 284 176,032

Diagnostic & Treatment

Perioperative

Surgery 15 23,369 14 OR & 2 IRGastroenterology 5 4,158

Patient Intake and Recovery 57 17,914

Diagnostic Imaging

Cardiology 6 4,606

Radiology 8 15,425

Ancillary Services

Sterile Processing - 6,774

Pharmacy - 6,139 Inpatient only

Clinical Laboratory - 2,344 Blood bank + Urinalysis

Pulmonary Function - 2,071Biomed - 1,019

Morgue and Autopsy - 1,920

Subtotal 91 85,738

Emergency

Emergency

Clinical Care 60 36,668 54 exam + 6 trauma rooms

Beds/Rm DGSF Remarks

3-2


35/214


PROGRAM SUMMARY Beds/Rm DGSF Remarks

Support


Entry Area - 5,755

Admitting - 2,801Administration - 621

Auxiliary Support



Environmental Services - 1,294

Information Technology - 2,731

PBX - 719

Dietary - 828 Most Dietary Services to remain in Bldg. 5

Subtotal - 25,544

DGSF Total 323,982

Circulation/ Exterior Wall 18% 58,317

Plant Services 9% 34,407

BGSF Total 416,706

3-3


36/214


SERVICE

Inpatient - Summary

Acute Medical

Medical/SurgicalMedical/Surgical Unit 144 42,280

Support Areas - 500

Administrative/Staff Areas - 2,080

Public Areas - 1,880

ASF Total 144 46,740

DGSF 72,466

Medical/Surgical - Forensic Unit


Administrative/Staff Areas - 1,350ASF Total 8 4,350

DGSF 6,744

ICU/CCU

ICU/CCU Unit 10 3,290



Trauma ICU Unit 10 3,990

Shared Support Areas - 2,480

Administrative/ Staff Area - 2,510


ASF Total 40 20,050

DGSF 31,086

Step-Down

Step-Down Unit - Flex Up 20 6,760

Step-Down Unit - Flex Up 10 3,370

Step-Down Unit - Flex Down 26 6,540

Support Areas - 2,000

Administrative/ Staff Areas - 1,300


ASF Total 46 17,600

DGSF 27,287

RemarksBeds/Rm ASF

3-4


37/214


SERVICE

Inpatient - Summary

RemarksBeds/Rm ASF

Acute Medical

ObstetricsTriage 3 650

Post-Partum 13 3,150

LDRP 9 3,270

C-Section 2 1,420


Administrative/Staff Area - 2,210

Public Areas - 880

ASF Total 22 13,820

DGSF 21,427

Pediatrics

Pediatrics Unit 12 4,440


Public Areas - 460

ASF Total 12 5,930

DGSF 9,194

NICU

NICU unit 12 3,670


Public Areas - 120

ASF Total 12 5,050

DGSF 7,830

DGSF Total 176,032

3-5


38/214


SERVICE

Inpatient

Acute Medical

Medical/SurgicalMedical/Surgical Unit

Patient Room 19 180 3,420 3 negative pressure rooms

Toilet 17 30 510

Toilet - ADA 2 50 100

Patient Room - Double Occupancy 4 280 1,120

Toilet 2 30 60


Patient Room - Isolation 9 180 1,620

Toilet 7 50 350 w/ shower

Toilet - ADA 2 70 140 w/ shower

Anteroom 5 100 500

Support

Nursing Station 1 300 300

Auxiliary Nursing Station 2 150 300

Physician Workroom/Charting 1 200 200

Medication 2 120 240

Clean Supply 1 100 100 Automated dispensing units

Clean Utility 1 100 100

Nourishment 1 100 100

Linen 2 30 60

Equipment/Storage 2 200 400

Soiled Utility 1 100 100

Soiled Linen 1 60 60

Patient Shower - ADA 2 50 100

Custodian Closet 1 40 40


Office - Unit Manager 1 100 100

Office - Head Nurse 1 100 100

Office - Clinical Nurse Specialist 1 100 100


Conference Room 1 200 200 Exterior window if possible

Medical/Surgical Unit ASF10,570

Medical/Surgical Unit Total ASF 4 10,570 42,280

Support Areas

Procedure Room 2 250 500 1 per Floor

Support Areas ASF 500

No. of Units ASF RemarksASF/ Unit

Wall between two rooms to have an

opening to allow for multiple patient

observation

3-6


39/214


SERVICE

Inpatient


Acute Medical

Medical/SurgicalAdministrative/Staff Areas

Office - Social Worker 2 200 400 Team based

Office - Chief Medical Resident 1 100 100

Medicine Resident Room 1 250 250 Common room

Dayroom 1 250 250

Staff Lounge 2 200 400 1 per floor

Women's Locker 2 120 240 40 Lockers (full height)


Men's Locker 2 120 240 40 Lockers (full height)


Administrative/Staff Areas ASF 2,080

Public Areas

Waiting 2 200 400 1 per floor

Multipurpose Room 2 200 400

Consultation 3 120 360

Women's Toilet 2 180 360 Multi accommodation - 3 fixtures

Men's Toilet 2 180 360 Multi accommodation - 3 fixtures

Public Areas ASF 1,880

Total Department ASF 46,740

Intra-Department Circulation 36% 16,826

Partition & Structures 14% 8,899

Medical/Surgical DGSF 72,466

w/ divider-can serve as waiting room/rounds

and as Emergency Response Center

3-7


40/214


SERVICE

Inpatient


Acute Medical

Medical/Surgical - Forensic (Jail)Medical/Surgical - Forensic Unit

Patient Room 5 180 900

Toilet 5 30 150



Patient Room - Isolation 2 180 360


Anteroom 1 100 100

Support



Physician Workroom/Charting 1 150 150


Equipment/ Storage 1 120 120

Linen 1 30 30

Clean Utility/Supply 1 120 120

Nourishment 1 50 50





Medical/Surgical - Forensic Unit ASF 3,000

3-8


41/214


SERVICE

Inpatient


Acute Medical

Medical/Surgical - Forensic (Jail)Administrative/Staff Areas


Office - Social Worker 1 100 100

Office - Sheriff 1 100 100

Interview Room 2 80 160

Visiting 2 60 120

Command Center 1 150 150

Conference Room 1 150 150


Staff Lounge 1 150 150








Partition & Structures 14% 828

Medical/Surgical - Forensic (Jail) DGSF 6,744

3-9


42/214


SERVICE

Inpatient


Acute Medical

Step-DownStep-Down Unit - Flex Up

Patient Room 8 210 1,680

Toilet 3 30 90




Anteroom 1 80 80

Support

Nursing Station/Charting 1 300 300

Viewing Alcove 1 30 30



Linen 1 30 30

Nourishment 1 50 50



Step-Down Unit - Flex Up ASF 3,390

Step-Down Unit - Flex Down


Toilet 12 30 360

Patient Room - Double Occupancy 4 280 1,120

Toilet 2 30 60


Patient Room - Isolation 6 180 1,080



Anteroom 3 80 240

Support


Auxiliary Nursing Station 1 150 150

Viewing Alcove1 30 30



Linen 1 30 30

Nourishment 1 50 50



Step-Down Unit - Flex Down ASF 6,540

Sliding glass doors between two

rooms for multiple patient observation

3-10


43/214


SERVICE

Inpatient


Acute Medical

Step-DownSupport Areas

Physician Workroom/Charting 2 150 300 w/ 2 PACS stations in each room

Medical Equipment 1 200 200

Mobile Imaging 1 150 150

Biomed 1 150 150

Respiratory Therapy 2 150 300

Pharmacy 1 150 150

Physical Therapy 1 150 150

Storage 2 200 400




Support Areas ASF 2,000

Administrative/ Staff Areas

Office - Unit Manager 1 100 100



Office - Social Worker 1 150 150 Team based


Conference Room 1 150 150 w/ 1 PACS station


Locker 1 250 250 50 Lockers (full height)

Women's Toilet 1 70 70 w/ Shower

Men's Toilet 1 70 70 w/ Shower

Changing Room 2 30 60

Administrative/ Staff Areas ASF 1,300

Public Areas

Waiting 2 200 400


Women's Toilet1 180 180

Multi accommodation - 3 fixturesMen's Toilet 1 180 180 Multi accommodation - 3 fixtures





Step-Down DGSF 22,062

3-11


44/214


SERVICE

Inpatient


Acute Medical

ICU/CCU/Step-DownICU/CCU Unit

Patient Room 9 210 1,890 1 Negative Pressure Room

Hopper Room 5 30 150


Hopper Room 1 30 30

Anteroom 1 80 80

Support





Linen 1 30 30

Nourishment 1 50 50



ICU/CCU Unit ASF 3,290

ICU/CCU Unit Total ASF 3 3,290 9,870

Trauma ICU Unit

Patient Room 9 280 2,520 1 Negative Pressure Room

Hopper Room 5 30 150


Hopper Room 1 30 30

Anteroom 1 80 80

Support





Linen 1 30 30

Nourishment 1 50 50

Equipment/Storage1 200 200


Trauma ICU ASF 3,990

3-12


45/214


SERVICE

Inpatient


Acute Medical

ICU/CCU/Step-DownStep-Down Unit - Flex Up


Toilet 3 30 90





Anteroom 1 80 80

Support





Linen 1 30 30

Nourishment 1 50 50



Step-Down Unit - Flex Up ASF 3,370

Shared Support Areas

Mobile Imaging 2 150 300

Biomed 1 150 150


Satellite Pharmacy 1 300 300

Medical Equipment 1 150 150

Provider Workroom/Charting 3 150 450 w/ 2 PACS stations in each room

Quiet Room 2 80 160

Storage 2 200 400



Custodian Closet 2 50 100 One cart per ICU unit

Shared Support Areas ASF2,480

3-13


46/214


SERVICE

Inpatient


Acute Medical

ICU/CCU/Step-DownAdministrative/ Staff Area

Office - Director 1 100 100


Office - Clinical Nurse Specialist 1 150 150 Shared


On-Call Sleep Room 8 80 640


Conference Room 2 150 300 w/ 1 PACS station in each room



Women's Toilet 1 70 70 w/ Shower

Men's Toilet 1 70 70 w/ Shower



Public Areas

Waiting 3 200 600








ICU/CCU/Step-Down DGSF 36,310

3-14


47/214


SERVICE

Inpatient


Acute Medical

ObstetricsTriage


Toilet 2 30 60


Triage ASF 650

Post-Partum







Anteroom 1 80 80

Post-Partum ASF 3,150

LDRP


Toilet 7 60 420 w/ tub


Toilet - ADA 1 80 80 w/ tub


Toilet - ADA 1 80 80 w/ tub

Anteroom 1 80 80

LDRP ASF 3,270

C-Section

Operating Room 2 400 800

Resuscitation Room 1 200 200 Included in NICU

Sterile Supply 1 100 100

Clean Supply/Utility 1 120 120

Sub-Sterile1 120 120


C-Section ASF 1,420

During high census use Postpartum

rooms

3-15


48/214


SERVICE

Inpatient


Acute Medical

ObstetricsSupport Areas


Well Baby 1 400 400 Five bassinets (80 SF per bassinet)


Provider Workroom/Charting 1 200 200

Anesthesia/Respiratory 1 120 120

Equipment/ Storage 2 300 600

Linen 2 30 60




Pantry 1 100 100



Administrative/Staff Area


Toilet 1 40 40



Office - Lactation Specialist 1 100 100

Office - Nurse Manager 1 100 100

Conference Room 1 300 300 w/ divider


Staff Lounge 1 400 400 Shared w/ Pediatrics and NICU

Locker 1 250 250 250 total staff





3-16


49/214


SERVICE

Inpatient


Acute Medical

ObstetricsPublic Areas

Waiting 1 400 400




Public Areas ASF 880




Obstetrics DGSF 21,427

3-17


50/214


51/214


SERVICE

Inpatient


Acute Medical

PediatricsPublic Areas

Waiting - - - Shared w/ Obstetrics and NICU


Parent Lounge 1 200 200






Pediatrics DGSF 9,194

3-19


52/214


SERVICE

Inpatient


Acute Medical

NICUNICU unit

Patient Room - Level II 7 150 1,050 w/ bathing sink and counter

Patient Room - Level III 4 170 680

Patient Room - Level III Isolation 1 190 190

Anteroom 1 100 100

Support




Treatment Room 1 100 100


Scrub 1 60 60

Linen 1 30 30


Breast Feeding 1 100 100 w/ sink





NICU Unit ASF 3,670

Administrative/Staff Area



Family Sleep Room 1 100 100


Mother Boarding Room 1 400 400 4 beds with visual separation & sink


Office - Nurse Manager 1 100 100


Office - Neonatologist 1 100 100

Conference Room - - -Shared w/ Pediatrics


Staff Lounge - - - Shared w/ Obstetrics and Pediatrics

Locker w/ Toilets - - - Shared w/ Obstetrics and Pediatrics

Administrative/Staff Area ASF 1,260

3-20


53/214


SERVICE

Inpatient


Acute Medical

NICUPublic Areas

Waiting - - - Shared w/ Obstetrics and Pediatrics


Toilet - - - Shared w/ Obstetrics and Pediatrics





NICU DGSF 7,830

3-21


54/214


SERVICE

Diagnostic and Treatment - Summary

Perioperative

SurgerySurgery Unit 14 9,130

Interventional Radiology Unit 1 2,670

Shared Support Areas - 3,000

Administrative/Staff Areas - 320

SF Total 15 15,120

DGSF 23,369

Gastroenterology

Gastroenterology Unit 5 2,440


SF Total 5 2,690DGSF 4,158

Patient Intake and Recovery

Pre-OP Unit 22 2,820

PACU 35 4,220

Shared Support Areas - 200



SF Total 57 11,590

DGSF 17,914

Diagnostic Imaging

Cardiology

Cath/EP Lab Unit 1 730

Echo Lab Unit 5 930

Support Areas - 970


SF Total 6 2,980

DGSF 4,606

RadiologyX-ray Unit 3 900

CT Scan Unit 2 1,180

MRI Unit 1 850

Angiography Unit 2 1,310

Ultrasound Unit 1 400 Can accommodate 3 cubicles



SF Total 9 9,980

DGSF 15,425

RemarksBeds/Rm ASF

3-22


55/214


SERVICE

Diagnostic and Treatment - Summary

RemarksBeds/Rm ASF

Ancillary Services

Sterile ProcessingDecontamination Area - 1,270

Assembly/Sterilization - 2,360


SF Total - 4,480

DGSF 6,774

Pharmacy

Storage Areas - 640

Manufacturing Areas - 1,230

Dispensary - 970

Administrative/Staff Areas - 1,220SF Total - 4,060

DGSF 6,139

Clinical Laboratory - 1,550

DGSF - 2,344

Pulmonary Function Lab 4 1,340

DGSF 4 2,071

Biomed - 700

DGSF - 1,019

Morgue and Autopsy

Morgue - 600

Autopsy - 400


SF Total - 1,270

DGSF 1,920

DGSF Total 85,738

3-23


56/214


SERVICE


Perioperative

SurgerySurgery Unit

Operating Room - Large 4 540 2,160 One OR to be fluro capable

Operating Room - Medium 6 500 3,000

Operating Room - Small 4 420 1,680

Support

Clean Core 2 1,000 2,000

Scrub 7 30 210


Surgery Unit ASF 9,130

Interventional Radiology Unit

IR Operating Room 1 550 550

Computer Storage 1 60 60

IR Operating Room 1 700 700 w/ CT scan capability

Computer Storage 1 60 60

Support

Control 2 200 400

PACS Viewing 1 200 200

Workroom 1 200 200

Sterile Supply 1 100 100

Scrub1 30 30

Equipment/Tube Storage 1 250 250

Electrical Room 1 120 120

Interventional Radiology Unit ASF 2,670


Anesthesia Workroom 1 350 350

Storage 1 150 150

Anesthesia Induction 1 220 220

Surgery Control Station 1 150 150 Scheduling


Graft Freezer 1 60 60

Frozen Section Lab 1 100 100

Control/Video Equipment 1 100 100

Biomed 1 200 200

Equipment/Storage 4 250 1,000

Housekeeping Supplies 1 80 80

Decontamination 1 200 200 w/ tray-veyor


Shared Support Areas ASF 3,000

ASF/ UnitNo. of Units ASF Remarks

3-24


57/214


SERVICE



Perioperative

SurgeryAdministrative/Staff Areas

Office - Surgery Manager 1 100 100

Office - Anesthesia 1 100 100


Administrative/Staff Areas ASF 320




Surgery DGSF 23,369

3-25


58/214


59/214


SERVICE



Perioperative

Patient Intake and RecoveryPre-OP Unit

Holding Cubicle 22 80 1,760

Support




Linen 2 30 60




Patient Toilet - ADA 2 50 100

Patient Toilet 2 30 60


Pre-OP Unit ASF 2,820

PACU

Recovery Cubicle 34 80 2,720

Recovery Patient Room - Isolation 1 140 140

Toilet - Accessible 1 70 70 w/ shower

Support




Nourishment 1 80 80


Linen 2 30 60




Patient Toilet - ADA 2 50 100

Patient Toilet - ADA 1 70 70 w/ shower

Custodian Closet 1 40 40PACU ASF 4,220


Stretcher/Wheelchair 2 100 200

Shared Support Areas ASF 200

3-27


60/214


SERVICE



Perioperative

Patient Intake and RecoveryAdministrative/Staff Areas

Office - PACU Manager 1 100 100

Office - Medical Director 1 100 100

Office - Nursing Director 1 100 100

Office - IS Clinical Staff 1 100 100

Office - CNS/Educator 1 140 140 Shared


On-Call Sleep Room 4 80 320 Anesthesia (3 residents, 1 faculty)

Toilet 1 30 30 Shared

Toilet - ADA 1 50 50 Shared

On-Call Sleep Room 1 80 80 Surgery



Staff Lounge - Anesthesia 1 300 300


Women's Locker 1 300 300 75 Lockers (full height/purse)

Toilet 1 210 210 Multi accommodation - 3 fixtures w/ shower

Men's Locker 1 300 300 75 Lockers (full height/purse)




Public Areas

Reception 1 120 120

Waiting 2 200 400








Patient Intake and Recovery DGSF 17,914

3-28


61/214


SERVICE


Diagnostic Imaging

CardiologyCath/EP Lab Unit

Cath/EP Lab Room 1 500 500 Includes POCT

Control Room 1 150 150 w/ PACS station

Equipment 1 80 80

Cath/EP Lab Unit ASF 730

Echo Lab Unit

Echo Bays 4 150 600

Stress Echo Room 1 250 250 w/ treadmill and crash cart

Equipment 1 80 80

Cath Lab Unit ASF 930

Support Areas

Imaging Reading/Workroom 1 300 300

Equipment/Computer Storage 1 200 200

Stat Lab 1 100 100


Linen 3 30 90

Soiled 1 80 80


Contrast Media Storage 1 40 40

PACS Workroom - - - Shared w/ Radiology

Support Areas ASF 970

dministrative/Staff Areas

Office - Cardiology Manager 1 100 100

Office - Chief Sonographer 1 100 100

Office - Tech 1 100 100


Conference Room - - - Shared w/ Radiology

Locker - - - Shared w/ Radiology





Cardiology DGSF 4,606


3-29


62/214


SERVICE



Diagnostic Imaging

Radiology-ray Unit

X-ray Room 2 250 500

Control Room 1 50 50

Fluoroscopy Room 1 250 250


Toilet 1 50 50 ADA accessible

X-ray Unit ASF 900

CT Scan Unit

CT Scan Room 1 450 450

CT/Angio Scan Room 1 550 550


CT Scan Unit ASF 1,180

MRI Unit

MRI Room 1 520 520


Equipment 1 150 150

MRI Unit ASF 850

ngiography UnitAngiography Room 2 500 1,000


Equipment 2 80 160

Angiography Unit ASF 1,310

Ultrasound Unit

Ultrasound Room 1 350 350 Three cubicles


Ultrasound Unit ASF 400

3-30


63/214


SERVICE



Diagnostic Imaging

RadiologySupport Areas

Reading Room 1 150 150

Holding/Recovery 1 1,360 1,360 17 Gurneys

Reception 1 60 60

Waiting 1 150 150

Changing 2 40 80

Workroom 1 500 500

Imaging Control Station 1 150 150 Scheduling

PACS Workroom 1 300 300

Linen 3 30 90


Soiled 1 80 80


Equipment/Computer Storage 1 400 400

Contrast Media Storage 1 60 60

Patient toilet 2 50 100 ADA accessible




Office - Imaging Director 1 100 100

Office - Radiology Manager 1 100 100

Office - Tech 2 100 200

Conference Room 1 350 350 w/ divider



Women's Locker 1 150 150 50 day use Lockers (full height)

Toilet 1 180 180 Multi accommodation - 3 fixtures

Men's Locker 1 150 150 50 day use Lockers (full height)

Toilet 1 180 180 Multi accommodation - 3 fixtures





Radiology DGSF 15,425

3-31


64/214


65/214


SERVICE



Ancillary Services

PharmacyStorage Areas

Active Storage 1 400 400

Refrigerated Storage 3 30 90

Narcotics Vault 1 150 150

Storage Areas ASF 640

Manufacturing Areas

Bulk Compounding 1 400 400 2 auto compounders

I.V. Prep Room (Chemo) 1 300 300 Positive air pressure

Anteroom/Storage 1 300 300

Walk-in Refrigerator 1 80 80

Packaging and Labeling 1 150 150

Manufacturing Areas ASF 1,230

Dispensary

Pick-Up 1 120 120

Discharge 1 150 150

Compounding 1 300 300

Reviewing and Recording 1 320 320 8 Workstations

Cart Staging 1 80 80

Dispensary ASF 970


Office - Director 1 100 100

Office 1 100 100

Open Office 1 320 320 4 Workstations






Toilet - ADA1 50 50





Pharmacy DGSF 6,139

3-33


66/214


SERVICE



Ancillary Services

Clinical LaboratoryClinical Laboratory

Blood Bank 1 1,200 1,200 6" Pneumatic Tube

Urinalysis Lab 1 150 150

Office - Senior Supervisor 1 100 100

Office - Supervisor 1 100 100

Clinical Laboratory ASF 1,550 Code min. 180 SF


Intra-Department Circulation 35% 543


Clinical Laboratory DGSF 2,344

3-34


67/214


SERVICE



Ancillary Services

Pulmonary FunctionPulmonary Function Lab

Procedure Room 3 200 600

Equipment 1 80 80

Special Procedure Room 1 200 200

Equipment 1 80 80

Pulmonary Function Lab ASF 960

Bronchoscopy

Procedure Room 1 250 250 Negative pressure

Equipment 1 80 80


Bronchoscopy ASF 380


Clean Supply/Utility - - - Shared w/ Cardiology & GI

Linen - - - Shared w/ Cardiology & GI

Soiled - - - Shared w/ Cardiology & GI

Soiled Linen - - - Shared w/ Cardiology & GI

Support Areas ASF 0


Toilet - - - Shared w/ Cardiology & GI

Conference Room - - - Shared w/ Cardiology & GI

Locker - - - Shared w/ Cardiology & GI





Pulmonary Function DGSF 2,071

3-35


68/214


SERVICE



Ancillary Services

BiomedBiomed

Workshop 1 400 400

Storage 1 200 200

Office - Manager 1 100 100

Biomed ASF 700

Total Department ASF 700



Biomed DGSF 1,019

3-36


69/214


SERVICE



Ancillary Services

Morgue and AutopsyMorgue

Viewing Room 1 200 200

Mortuary Refrigerator 1 400 400 16'x25' can accommodate 6 gurneys

Vestibule 1 200 200

Morgue ASF 600

Autopsy

Autopsy 1 300 300

Tissue Storage 1 100 100

Autopsy ASF 400










Morgue and Autopsy DGSF 1,920

3-37


70/214


SERVICE

Emergency - Summary

Emergency

Clinical CareExam Unit 54 10,780

Trauma Unit 6 3,510




SF Total 60 22,975

DGSF 36,668

Exam rooms are equipped w/

additional med gas consoles and

are sized to accommodate two

gurneys to handle mass casualty

events

Beds/Rm ASF Remarks

3-38


71/214


SERVICE

Emergency

Emergency

Clinical CareExam Unit

Exam Room 46 140 6,440

Exam Room - Behavioral Health 4 140 560 w/ sound isolation control

Exam Room - RTC 1 180 180 Adjacent to consultation room


Exam Room - Isolation 3 140 420

Toilet 2 30 60


Support


Provider Charting 4 150 600


Clean Utility/Supply/Equipment 4 170 680



Exam Unit ASF 10,780

Trauma Unit

Resuscitation Room 6 350 2,100 w/ X-ray capability

Equipment Storage 3 120 360

SupportNursing Station 1 200 200

Provider Charting 1 250 250


Clean Utility/Supply/Equipment 1 200 200



Consultation/Quiet Room 1 100 100


Trauma Unit ASF 3,510


3-39


72/214


SERVICE

Emergency


Emergency

Clinical CareSupport Areas

Central Triage 1 350 350 Including reception

Triage Room 2 120 240

POCT 1 100 100

CT Scan Room 2 450 900


Workroom 1 100 100

X-ray Room 2 250 500




Provider Workroom 1 200 200


Toilet 5 35 175

Shower/Decontamination 1 260 260 ADA accessible w/ washer & dryer

Storage 1 40 40




Office - Nursing Director 1 100 100Office - Nurse Manager 2 100 200

Office - CNS 1 150 150 Shared

Office - Social Worker 1 150 150 Shared

Admitting/Registration 1 500 500 6 Workstations

Interview 1 80 80

Radio Room 1 80 80

Conference Room 2 200 400 w/ divider to accommodate 20 staff








Administrative/ Staff Areas ASF 2,780

3-40


73/214


SERVICE

Emergency


Emergency

Clinical CarePublic Areas

Waiting 2 400 800

Waiting - Pediatrics 1 200 200

Consultation/Quiet Room 2 120 240







Clinical Care DGSF 36,668

3-41


74/214


SERVICE

Support Services - Summary


Entry AreaMain Lobby - 3,360

Lobby - 1,000

SF Total - 4,360

DGSF 5,755

Admitting - 2,030

DGSF - 2,801

Administration - 450

DGSF 621

Auxiliary Support


DGSF - 8,250


DGSF - 2,544

Environmental Services - 900

DGSF - 1,294

Information Technology - 1,900DGSF - 2,731

PBX - 500

DGSF - 719

Dietary - 600

DGSF - 828

DGSF Total 25,544

RemarksBeds/Rm ASF

3-42


75/214


SERVICE

Support Services


Entry AreaMain Lobby

Waiting 1 3,000 3,000



Main Lobby ASF 3,360 To be located in First Floor

Lobby

Waiting 1 1,000 1,000

Lobby ASF 1,000 To be located in Ground Floor




Entry Area DGSF 5,755


Admitting


Interview/ Admitting Room 12 80 960Reception 1 250 250

Registration 1 200 200

Cashiers 1 300 300

Vault 1 40 40

Supply 1 200 200

Toilet 1 80 80






Admitting DGSF 2,801


3-43


76/214


SERVICE

Support Services



AdministrationAdministrative Offices

Office 1 200 200 Director of Nursing

Open Office 1 200 200 Including Reception

Toilet 1 50 50 ADA accessible

Administrative Offices ASF 450




Administration DGSF 621

3-44


77/214


SERVICE

Support Services

Auxiliary Support

Material ManagementMaterial Management

Storage 1 6,000 6,000 Code Min. 20 SF per Licensed Bed

Medical Gas Storage 2 100 200


Material Management ASF 6,250




Material Management DGSF 8,250


3-45


78/214


SERVICE

Support Services


Auxiliary Support

Messenger/MailroomMessenger


Open Office 1 600 600 12 Workstations w/ 12 Lockers (half height)


Changing 1 40 40

Specimen Storage 1 80 80 Two Refrigerators

Mailroom 1 200 200

Clothes Storage 1 300 300 One Workstation

Gurneys/Wheelchair Storage 1 350 350 10 Gurneys and 10 Wheelchairs

Messenger ASF 1,770




Messenger DGSF 2,544

3-46


79/214


SERVICE

Support Services


Auxiliary Support

Environmental ServicesEnvironmental Services


Supply 1 400 400

Equipment 1 200 200

Linen 1 200 200

Environmental Services ASF 900




Environmental Services DGSF 1,294

3-47


80/214


SERVICE

Support Services


Auxiliary Support

Information TechnologyInformation Technology

Computer Server Room 1 800 800

Lab/Test 1 800 800

Operator 1 300 300

Information Technology ASF 1,900




Information Technology DGSF 2,731

Auxiliary Support

PBX

PBX

PBX Room 1 300 350



PBX ASF 500




PBX DGSF 719

3-48


81/214


SERVICE

Support Services


Auxiliary Support

DietaryDietary

Storage 1 500 500

Refrigerator 1 50 50

Freezer 1 50 50 Code Min. 2 Cu FT per Licensed Bed

Dietary ASF 600




Dietary DGSF 828

Code Min. 400 sf + 1 sf per Licensed Bed

over 200

3-49


82/214


83/214

P

Department Beds ASF Department Beds ASF Department Beds ASF De

Acute Medical Acute Medical Acute Medical Pl

ICU/CCU/Step-Down Medical/Surgical Medical/Surgical

ICU/CCU Unit 10 3,290 Medical/Surgical Unit 36 10,570 Medical/Surgical Unit 36 10,570

ICU/CCU Unit 10 3,290 Medical/Surgical Unit 36 10,570 Medical/Surgical Unit 36 10,570

ICU/CCU Unit 10 3,290 Support Areas - 250 Support Areas - 250

Trauma ICU Unit 10 3,990 Administrative/Staff Areas - 1,040 Administrative/Staff Areas - 1,040

Step-Down Unit - Flex Up 10 3,370 Public Areas - 940 Public Areas - 940

Shared Support Areas - 2,480 ASF Total 23,370 ASF Total 23,370

Administrative/ Staff Area - 2,510 DGSF 36,233 DGSF 36,233


ASF Total 23,420 Plant Services (For Reference Only) Plant Services (For Reference Only)

DGSF 36,310 Plant Services Plant ServicesDGSF 562 DGSF 562

Auxiliary Support

Biomed - 700

DGSF 1,019

PBX - 500

DGSF 719

Plant Services (For Reference Only)

Plant Services

DGSF 562

DGSF Total 38,610 DGSF Total 36,795 DGSF Total 36,795 DG

18% 6,950 18% 6,623 18% 6,623

BGSF Total (For this floor only) 45,560 BGSF Total (For this floor only) 43,418 BGSF Total (For this floor only) 43,418 BG

BGSF Available (For this floor only) 45,588 BGSF A vailable (For this floor only) 43,922 BGSF A vailable (For this floor only) 43,922 BG

BGSF Available/ Total Delta 28 BGSF Available/ Total Delta 504 BGSF Available/ Total Delta 504 BG

BGSF Delta % 0% BGSF Delta % 1% BGSF Delta % 1% BG

FOURTH FLOOR FIFTH FLOOR SIXTH FLOOR

Interdepartmental & Vertical

Circulation/ Exterior Wall






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Section 4 Statement of Probable Construction Cost

A statement of probable construction cost based on this space

program will be issued under separate cover.


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The following people participated in the development of the

San Francisco General Hospital Medical Center space program

report and provided their labor, time and expertise toward the

preparation of the final document:

Steering Committee

Gene Marie O'Connell, MSN

Roland Pickens

Sue Currin, RN, MS, CNS

Delvecchio Finley, MPP, FACHE

Andre Campbell, MD

Jeff Critchfield, MD

John Luce, MD

Sue Carlisle, MD

Kathy Jung, MPH

Carlos Villalva, RA

Ron Alameida, RA

Mark Primeau

Sharon Kotabe, PharmD

Inpatient


Yuhum Digdigan, RN, MSAna Sampera, RN, MS

Michael Daly, RN

Lettie Miller, RN

Leslie Dubbin, RN

Sharon Wicher, RN, MS

Piera Wong, RN, MS, CNS

Bill Schecter, MD

Jeff Critchfield, MD

Talmadge King, MD

Kevin Grumbach, MD

Todd May, MDElena Fuentes-Afflick, MD

Richard Price, MD

Morris Schambelan, MD

Pat Skala


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ICU/Step-down


Terry Dentoni, RN

Vivian Curd, RN

Genevieve Farr, RNPaul Koo, RN, MS, CNS

Leslie Dubbin, RN

Lettie Miller, RN

Sue Carlisle, MD

Jim Marks, MD

John Luce, MD

Shirley Stiver, MD

Sheryl Calson, RN, MS, CNS

Nora Goldschlager, MD

Andre Campbell, MD

Courtney Broaddus, MD

Documents

San Francisco General Hospital Medical Center