APPENDIX 3A CLINICAL SPECIFICATIONS AND FUNCTIONAL SPACE REQUIREMENTS APPENDIX 3A CLINICAL SPECIFICATIONS AND FUNCTIONAL SPACE REQUIREMENTS March 30, 2016 Page i TABLE OF CONTENTS EXECUTIVE SUMMARY .................................................................................................................... 1 Purpose ............................................................................................................................................................. 1 Project Scope .................................................................................................................................................... 1 Building & Site Development Strategies ........................................................................................................ 1 Programming Methodology ............................................................................................................................. 2 Space Summary ................................................................................................................................................ 2 1. INTRODUCTION ...................................................................................................................... 3 1.1 Background ........................................................................................................................................... 3 1.2 Project Scope ........................................................................................................................................ 4 1.3 Organization of Report.......................................................................................................................... 7 1.4 References ............................................................................................................................................. 8 2. WORKLOAD PROJECTIONS ................................................................................................. 9 2.1 Service Area and Population Projections ........................................................................................... 9 2.2 Workload Summary ............................................................................................................................. 13 3. SPACE SUMMARY ................................................................................................................ 15 4. FUNCTIONAL PROGRAMS .................................................................................................. 16 4.1 A. Ambulatory Care Centre................................................................................................................. 16 4.1.1 Overview .................................................................................................. 16 4.1.2 Functional Description ............................................................................. 17 4.1.3 Operational Considerations ....................................................................... 19 4.1.4 Design Criteria ......................................................................................... 19 4.1.5 External relationships .............................................................................. 21 4.1.6 External Relationships Diagram ................................................................ 22 4.1.7 Patient intake area ................................................................................... 23 4.1.7.1 Central Reception / Patient Intake Area .................................................................................... 25 4.1.7.2 Administration Area .................................................................................................................... 26 4.1.7.3 Summary of Central Reception/Patient Intake Area ................................................................. 26 4.1.8 General Clinics Area ................................................................................. 26 4.1.8.1 General Clinics Reception Area ................................................................................................. 27 4.1.8.2 Shared Clinic Module .................................................................................................................. 27 4.1.8.3 Maternal Child Clinic ................................................................................................................... 29 4.1.8.4 Shared Clinic Module and Maternal Child Clinic Internal Relationships ............................... 31 4.1.8.5 Neurology Diagnostics Clinic ..................................................................................................... 32 4.1.8.6 Internal Relationships ................................................................................................................. 33 4.1.8.7 Shared Support Area ................................................................................................................... 34 4.1.8.8 Summary of General Clinics Area .............................................................................................. 34 4.1.9 Diagnostic Clinic Area .............................................................................. 34 4.1.9.1 Diagnostic Clinic Reception Area .............................................................................................. 35 4.1.9.2 Outpatient Lab Specimen Collection ......................................................................................... 36 March 30, 2016 Page ii 4.1.9.3 Satellite Diagnostic Imaging ....................................................................................................... 38 4.1.9.3.1 Diagnostic Imaging ........................................................................... 42 4.1.9.3.2 Mammography .................................................................................. 43 4.1.9.3.3 MRI ...................................................................................................... 44 4.1.9.3.4 Nuclear Medicine .............................................................................. 45 4.1.9.3.5 NOT USED ......................................................................................... 46 4.1.9.3.6 Summary of Diagnostic Imaging ..................................................... 46 4.1.9.4 Cardiology Diagnostics Clinic .................................................................................................... 46 4.1.9.5 Respiratory Diagnostics Clinic .................................................................................................. 50 4.1.9.6 Orthopaedic Clinic....................................................................................................................... 52 4.1.9.7 Pre-Surgical Screening Clinic .................................................................................................... 54 4.1.9.8 Shared Support Area ................................................................................................................... 56 4.1.9.9 Summary of Diagnostic Clinics Area ......................................................................................... 57 4.1.10 Meeting & Clinical Video Conference Area ................................................. 58 4.1.11 Staff Support Area .................................................................................... 59 4.1.12 Foundation ............................................................................................... 60 4.1.13 Summary of Ambulatory Care Centre ......................................................... 60 4.2 B. Procedural Services Centre ........................................................................................................... 61 4.2.1 Overview .................................................................................................. 61 4.2.2 Functional Description ............................................................................. 62 4.2.3 Operational Considerations ....................................................................... 63 4.2.4 Workloads ................................................................................................ 67 4.2.5 Design Criteria ......................................................................................... 67 4.2.6 Space Requirements ................................................................................. 68 4.2.7 External Relationships .............................................................................. 74 4.2.8 Internal Relationships .............................................................................. 75 4.2.9 Schedule of Accommodation ..................................................................... 78 4.2.9.1 Reception & Discharge Lounge Area ........................................................................................ 78 4.2.9.2 Minor Procedures Area ............................................................................................................... 79 4.2.9.3 Minor Procedures Support Area ................................................................................................ 80 4.2.9.4 Infusion/Minor Procedures Recovery Area ............................................................................... 81 4.2.9.5 Pre-Op Prep/Post-Op Level II Recovery/Surgical Daycare Area ............................................. 82 4.2.9.6 Pre-Op Prep/Post-Op Level II Recovery/Surgical Daycare Area Support .............................. 83 4.2.9.7 Post-Op Level 1 Recovery Area (PARR) ...................................................................................