06 EQUIPMENT LAYOUTS CBOC Final - cfm.va.gov · Offi ce of Construction & Facilities Management...

493
Final Submittal May 16, 2014 CBOC Prototype Equipment Layouts Office of Construction & Facilities Management Department of Veterans Affairs Prototype for Standardized Design and Construction of Community Based Outpatient Clinics 6.1 6.0 CBOC Prototype Equipment Layouts Overview e equipment lists for the each of the CBOC prototypes were generated in the VA Space and Equipment Planning System (SEPS). is system produces the Project Room Contents Lists (PRCR), or room by room equipment lists, that represent the most likely set of equipment for each room type identified in the Program For Design (PFD). e lists have been generated and refined from a combination of sources such as the VA Technical Information Library (TIL), any current applicable VA Design Guides, and the Interim Design Guide for PACT. Additionally, these equipment lists and subsequent equipment layouts have been discussed and reviewed with the VA Steering Group for PACT as well as receiving input from attending members of the VA CBOC Prototype meetings and charrettes. Some of the general exam spaces have been included as enlarged plans to better understand how they are impacted be the column grid or component design as well as to review the layout based on the developing PACT Criteria. e enlarged plans provided in Section 6.1 include the typical exam room, women’s health exam room, procedure room and typical consult room. For all other room layouts refer to the overall equipment plans that have been provided for the preferred One-PACT CBOC, Two-PACT CBOC and ree-PACT CBOC schemes. For the One-PACT CBOC refer to Section 6.2, Project Rooms Contents Report + Layout. For the Two-PACT CBOC refer to Section 6.3, Project Rooms Contents Report + Layout. For the ree-PACT CBOC refer to Section 6.4, Project Rooms Contents Report + Layout.

Transcript of 06 EQUIPMENT LAYOUTS CBOC Final - cfm.va.gov · Offi ce of Construction & Facilities Management...

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.1

6.0 CBOC Prototype Equipment Layouts

Overview Th e equipment lists for the each of the CBOC prototypes were generated in the VA Space and Equipment Planning System (SEPS). Th is system produces the Project Room Contents Lists (PRCR), or room by room equipment lists, that represent the most likely set of equipment for each room type identifi ed in the Program For Design (PFD). Th e lists have been generated and refi ned from a combination of sources such as the VA Technical Information Library (TIL), any current applicable VA Design Guides, and the Interim Design Guide for PACT. Additionally, these equipment lists and subsequent equipment layouts have been discussed and reviewed with the VA Steering Group for PACT as well as receiving input from attending members of the VA CBOC Prototype meetings and charrettes.

Some of the general exam spaces have been included as enlarged plans to better understand how they are impacted be the column grid or component design as well as to review the layout based on the developing PACT Criteria. Th e enlarged plans provided in Section 6.1 include the typical exam room, women’s health exam room, procedure room and typical consult room. For all other room layouts refer to the overall equipment plans that have been provided for the preferred One-PACT CBOC, Two-PACT CBOC and Th ree-PACT CBOC schemes.

For the One-PACT CBOC refer to Section 6.2, Project Rooms Contents Report + Layout.

For the Two-PACT CBOC refer to Section 6.3, Project Rooms Contents Report + Layout.

For the Th ree-PACT CBOC refer to Section 6.4, Project Rooms Contents Report + Layout.

6.2

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.3

Th e Typical Exam Room has been refi ned during the course of this project, following several basic principles. Patient encounter rooms should have two doors whenever possible; patient privacy is to be maintained; patient encounter rooms are to be arranged as right handed rooms, with the computer station to the right as the care provider enters the room; and the room should not be cluttered with equipment deemed not necessary.

Figure 6.1 and 6.2 both illustrate a typical exam room. Th e only diff erence is the relationship between staff and patient doors. Figure 6.1 is the preferred option, with the two doors placed diagonally, and is the base used to develop the other exam rooms and orientation of the universal room. A swing door is shown off the patient corridor with a reverse swing for patient privacy. Additionally the door allows for a handrail to be installed along the patient corridor. A sliding door is provided from the staff corridor to maximize clear fl oor space and ease of moving carts and equipment into the exam space. A reverse swinging door is shown as an alternative to the slider. Refer to the Project Room Contents Report for an itemized list.

6.1.1 Typical Rooms Prototype

Exam Room

Figure 6.1

Preferred Exam Room Layout

GUEST CHAIR

CUBICLE CURTAINAND TRACK

PORTABLE EXAM LIGHT

HI-LOW POWEREXAMINATION TABLE

WALL MOUNTEDOPTHALMOSCOPE/ OTOSCOPE

GLOVE DISPENSER

SHARPS DISPOSAL

SPECIALTY CART

PAPER TOWELDISPENSER

SOAP DISPENSEREXAM STOOL

OPTIONAL GROMMETPASS THRU FOR TRASHRECEPTACLE BELOW

COMPUTER/ PERSONALWORKSTATION

BULLETIN BOARD/ MAGAZINE/LITERATURE RACK

STAFFCORRIDOR

PATIENTCORRIDOR

COAT HOOK

MIRROR

CUBICLE CURTAINAND TRACK

HAND RAIL

INFECTIOUS WASTEBAG WITH LID

UPPER STORAGECABINET

OPTIONAL SWING DOOR

10' -

2 1/

2"

12' - 3 1/2"

125 SFEXAM

SLIDING DOOR

SCALE: 1/4" = 1'-0"EXAM OPTION 1A

COMPUTER/ PERSONAL WORKSTATION

WALL MOUNTEDOPTHALMOSCOPE/ OTOSCOPEWITH VITAL SIGNS MONITOR(PROVIDE DATA OUTLET)

Figure 6.2

Alternate Exam Room Layout

6.4

Th e typical exam room by room equipment list and the enlarged equipment plan on the previous page include the traditional case work. Th is is illustrated in Figure 6.3 below. Th e typical exam room can also be developed utilizing a prefabricated modular system as illustrated in Figure 6.4. A prefabricated system is a more fl exible alternative to

Figure 6.3

Typical Exam Room Built-in Casework

Figure 6.4

Typical Exam RoomRail-hung Componentry

Figure 6.5

Herman Miller Compass System

traditional casework. Th e rail-hung components are modular and interchangeable, allowing facilities to reconfi gure their spaces over time without undergoing extensive and costly renovations. Th e images shown below are the Herman Miller Compass System, Figure 6.5.

125 SFEXAM

1' - 9"

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.5

Th e Women’s Health Exam Room equipment list and layout is illustrated below. It is designed to be the same as the typical exam room with the doors placed diagonally allowing it to fl ex as necessary. Th e required patient toilet rooms are nested between the two women’s health rooms and occupy the same foot print as a single exam room. Th is allows this small component to easily be placed along the column grid within any bank of universal rooms.

Refer to the Project Room Contents Report for an itemized list.

6.1.2 Typical Rooms Prototype

Women’s Health Room

PATIENTCORRIDOR

STAFFCORRIDOR

BULLETIN BOARD/MAGAZINE RACK

GUEST CHAIR

PORTABLE EXAM LIGHTHI-LOW POWEREXAMINATION TABLEWALL MOUNTEDOPTHALMOSCOPE/OTOSCOPE

CUBICLE CURTAINAND TRACK

ADA TURNING RADIUS

PAPER TOWEL DISPENSER

SOAP DISPENSER

SHARPS DISPOSAL

GLOVE DISPENSERSPECIALTY CART

PAPER TOWELDISPENSER

SOAP DISPENSER

EXAM STOOL

COMPUTERWORK STATION

UPPER STORAGECABINET

INFECTIOUS WASTE BAGWITH LID

UNDER COUNTERWASTE RECEPTACLE

6' - 11 3/4"

5' - 3 1/4"

9' - 2

1/2

"

57 SFWH TLT

129 SF

WOMEN'SHEALTH 2

57 SFWH TLT

134 SF

WOMEN'SHEALTH 1

7"

45.000°

10' -

2 1/

2"

COAT HOOK

Figure 6.6

Typical Women’s HealthRoom Layout

6.6

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.7

Th e Procedure Room Equipment List and Layout are illustrated below. Similar to the typical exam room, the procedure room is designed as a right-handed room with doors placed diagonally across from each other. It does include a patient lift which facilitates this space being utilized as a bariatric exam room. Th e procedure room can also be utilized as a women’s health exam room since it includes the adjacent toilet.

6.1.3 Typical Rooms Prototype

Procedure Room

AUTOMATED SUPPLYSTORAGE/ DISPENSINGCELL

COMPUTER WORKSTATIONEXAM STOOL

CUBICLE CURTAINAND TRACK

COAT HOOK

GUEST CHAIR

OPTHALMOSCOPE/OTOSCOPE

EXAM/ TREATMENT TABLE

PORTABLE EXAM LIGHT

BARIATRIC PATIENT LIFT

GLOVE DISPENSER

SOAP DISPENSER

PAPER TOWELDISPENSER

SHARPS DISPOSAL

SPECIALTY CART

OPTIONAL GROMMETPASS-THRU FOR TRASHRECEPTACLE BELOW

SOAP DISPENSER

PAPER TOWELDISPENSER

ADA TURNING RADIUS

STAFFCORRIDOR

PATIENTCORRIDOR

LINEN HAMPER/DISPOSABLE

BULLETIN BOARD

IV STAND

OPTIONAL SWING DOOR

UTILITY TABLE WITHDRAWERS

HANDRAILUPPER STORAGECABINET

SINGLE PROCEDURE LIGHT

VITAL SIGNS MONITOR

179 SF

PROCEDUREROOM

73 SF

PROCEDURETLT

SWING UP RAIL

Figure 6.7

Typical Procedure Room Layout

Designed within the modular grid, the procedure room with attached toilet are the same dimension as two universal rooms. Th is allows the room to be located anywhere along the exam and consult corridors, for maximum fl exibility.

Refer to the Project Room Contents Report for an itemized list.

6.8

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.9

Th e Consult Room Equipment List and Layout are illustrated below. Th e consult room is designed as a universal room. Th e entrance door, sink and computer station are located in the same location as the right-handed exam room. Th is allows for future fl exibility.

Th e room equipment supports patient encounters of a conversational nature. Comfortable chairs are provided for

6.1.5 Typical Rooms Prototype

Consult Room

1' - 1 3/4"

125 SFCONSULT

CONSULT - ALTERNATE WITHMODULAR MILLWORK

Figure 6.8

Typical Consult Roomand Alternate Layouts

Veterans and family members, and the computer station rotates, so the provider does not turn his/her back to the patient while using the computer. Th is room can also be utilized for private staff conversations inappropriate for the team work area.

Refer to the Project Room Contents Report for an itemized list.

125 SFCONSULT

1' - 1 3/4"

CONSULT - TYPICAL WITH MODULARMILLWORK

125 SFCONSULT

10' -

2 1/

2"

CONSULT - ALTERNATE

EXAM STOOL

COMPUTERSTATION

PAPER TOWELDISPENSER

SOAP DISPENSER

OPTIONALGROMMET PASSTHRU FOR WASTERECEPTACLEBELOW

GUEST CHAIRS

SIDE TABLE

COAT HOOK

10' -

2 1/

2"

125 SFCONSULT 1

CONSULT - TYPICAL

6.10

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.11

Th e Project Rooms Contents Report (PRCR) was generated on 8 April 2014 and is included on the CD-ROM found in the back of this Final Submittal.

Refer to the following pages for the One-PACT CBOC Equipment Layout.

6.2 Project Rooms Contents Report + Layout

One-PACT CBOC Prototype

6.12

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.13

Figure 6.9

One-PACT CBOC PrototypeEquipment Layout

Equipment Layout

1 2 3 4

A

B

C

D

E

126 SF

TRAINING/FLEX

152 SF

MEDICALEQUIPMENT

125 SF

HEARINGAID PRG

125 SFCONSULT 4

130 SF

FLEXOFFICE

303 SF

GROUPROOM

72 SFPROC. TLT

180 SFPROCEDURE

125 SFELEC

125 SFFIRE

125 SF

TELEHEALTHEXAM

125 SF

TELEHEATHEXAM

125 SFLOCKERS

125 SFCONSULT 3

254 SF

LOUNGECLINIC STAFF

125 SF

MHCONSULT

415 SF

SHAREDMEDICAL

APPOINTMENTS 222 SF

ADMINWORK AREA

41 SFSTOR.

20 SFSTOR.

68 SFSTAFF TLT

69 SFJ.C.

167 SFRECEPTION

270 SFCONFERENCE

FOLDINGPARTITION

125 SFCOMM

22 SFBIO H.

183 SF

RECEIVING/STORAGE

F

125 SFFLEX

75 SFTLT

75 SFTLT

29 SFMED

29 SFEQUIP

60 SFSTAFF TLT

50 SFH&W 100 SF

ADDSPHARM

COMMONS

KIOSKS

VOLUNTEER

TEAMLET 3 TEAMLET4

28 SFEQUIP

TEAMLET 1 TEAMLET2

104 SFPOLICE

187 SFVESTIBULE

129 SFEXAM 7

75 SFCLEAN

126 SFEXAM 6

125 SFEXAM 8

128 SFEXAM 4

129 SFEXAM 5

132 SF

WOMEN'SHEALTH 1

57 SFWH TLT

57 SFWH TLT

129 SF

WOMEN'SHEALTH 2

128 SFEXAM 1

125 SFTELERETINAL

125 SFCONSULT 2

130 SFCONSULT 1

128 SFEXAM 2

125 SFEXAM 3

145 SFLAB

64 SF

SPEC.TLT

81 SF

BLOODDRAW

81 SF

BLOODDRAW

52 SF

WHEELCHAIRS

1002 SF

PACT + EXTENDEDCARE TEAM WORK AREA

60 SFPAT. TLT

28 SF

CC/EQUIP

FAMILYWAITING

PATIENTEDUCATION

VENDING

One-PACT Community Based Outpatient Clinic Prototype

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 32'8'

This page has been left blank intentionally.

6.14

(Publish date for Contents: 2/4/2013 9:13:29 AM)(Publish date for Rooms/Contents Assignments: 2/4/2013 9:13:29 AM)

Project originated by: Chris Phillips on 4/2/2014 5:55:50 PM9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX [email protected]

Project Name: VA CBOC (ONE PACT) UNIQUE ROOMSProject Description: PROTOTYPE

Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENTState: DCVISN: 5Midpoint Year: 2014Project ID:

Installation: VA MEDICAL CENTER, WASHINGTON, D.C.Station ID & Name: 688 - WASHINGTON, DC

Projected Year: 2014

Space Plan last updated by: Chris Phillips on 4/3/2014 9:49:07 AM

Contents List originated by: Chris Phillips on 12/5/2013 10:56:01 AM9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX [email protected]

Contents List last updated by: Chris Phillips on 4/3/2014 9:48:04 AM

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

MMRP1

Receiving and Issue area

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2700 Reader, Bar Code, Hand Held, With Interface V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V1

M2115 Truck, Hand, 2 Wheel V/V1

M2130 Truck, Hydraulic Lift, Electric V/V1

M7780 Scanner, Document V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRE01

Storage, Equipment

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

MMGS1

Storage, Medical and General

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2085 Shelving, Storage, Pallet V/V3

M2090 Shelving, Storage, Warehouse V/V3

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRHM1

Storage, Bio-hazard Waste

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2005 Cabinet, Storage, Acid, Floor Standing, Shelves V/V1

M2020 Cabinet, Storage, Safety, Built-In, Vented C/C1

M2070 Shelving, Storage, 77hx36wx18d V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

RECP1

FA1: Reception

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V4

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TLTU1

FA1: Toilet, General

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WRC01

FA1: Waiting, PACT Module

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WRF01

FA1: Waiting, Family

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0215 Chair, Child's V/V4

F2045 Furniture, Playroom, Assorted V/V1

M0430 Recorder/ Player, Digital, Video, DVD V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TLTB1

FA2: Toilet, General Procedure Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

EXPA1

FA2: Exam Room, Patient Aligned Care Team (PACT)

Project: VA CBOC One PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

EXW01

FA2: Exam Room, Womens Health

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

OFDC2

FA2: Consult Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

PEHW1

FA2: Height/Weight Station

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TRPR1

FA2: Procedure Room, General

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TRPR1

FA2: Procedure Room, General

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

CLSC4

FA2: Shared Medical Appointment Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

SRSE1

FA2: Storage, Shared Medical Appointments

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TLTU1

FA2: Toilet, Women's Health Exam Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TLTU1

FA2: Patient Toilet

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

RCA02

FA3: Alcove, Medication

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

CRA01

FA4: Conference Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

LR004

FA4: Locker Area, Clinical Staff Personal Property

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V15

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

OFA03

FA4: Extended Team Area

Project: VA CBOC One PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V1

Department Name : Functional Area :

Room Code :

Room Name :

220 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

SL001

FA4: Lounge, Clinical Staff

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0225 Chair, Dining Room V/V8

F0795 Table, Dining V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

F3050 Whiteboard, Dry Erase C/C1

F3200 Clock, Battery, 12" Diameter V/V1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

K4665 Oven, Microwave, Consumer V/V1

K8250 Toaster, Pop-Up, 4 Slice, Electric V/V1

M0506 Television, Flat Screen V/V1

R7000 Refrigerator, 14 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WRTM1

FA4: Shared Documentation Area

Project: VA CBOC One PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WRTM2

FA4: Tele-Health Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WKTM1

FA4: Workroom

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

F0415 Cabinet, Filing, Lateral, Full Height, 5 Drawer V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

M1810 Copier, Floor Standing, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WRTM1

FA5: Training Room/Flex

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

WRTM2

FA4: Tele-Retinal Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M6050 Retinal Imaging System, Fluoroscein/Indocyanine V/V1 include table or stand

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

OFA02

FA4: Administrative Office

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE

RCA01

FA3: Resuscitation Cart Alcove

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

M8770 Aspirator/Pressure Unit, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

HAFR1

Hearing Aid Programming/Fitting

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0210 Chair, Side, Without Arms V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0020 Hearing Aid Analyzer V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4915 Chair, Exam/Treatment, ENT, w/Adjustable Light V/V1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC CANTEEN

BX001

Vending Machine Area and Seating

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A6030 Machine, Vending V/C2

F0225 Chair, Dining Room V/V2

F0795 Table, Dining V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

RECP3

Volunteer Alcove

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C2

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CT030 Countertop, High Pressure Laminate C/C6

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

SRLW1

Wheelchair Storage

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4705 Wheelchair, Patient Transport, Folding V/V4

Department Name : Functional Area :

Room Code :

Room Name :

110 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

COMC1

Communications Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A0900 Relay Rack, Aluminum C/C1

A0901 Cable Management, Horizontal Base Unit C/C1

A0902 Rear Wire Frame C/C1

A0903 Rear Hinged Cover, for LAN Rack C/C1

A0904 Fiber Optic Cabinet, 36 Port, Rack Mounted C/C1

A0905 Adapter Panel With Couplers, Blue, 6 Port, SM/MM C/C1

A0906 Adapter Panel With Couplers, Yellow, 6 Port, SM/MM C/C1

A0907 Patch Panel, Copper, UTP C/C1

A0908 Patch Panel, 110 Block/RJ-45, Cat 5E, 48 Port,568A C/C1

A0910 Patch Panel, 110 Block/RJ-45, Cat 5E, 96 Port,568A C/C1

A0911 Power Supply, Uninterruptable, Rack Mounted C/C1

A0912 Battery Pack, Extended for use with UPS (A0911) C/C1

A0913 Switch, Local Area Network (LAN) C/C1

A0914 Management Processor Module for LAN Switch C/C1

A0915 Power Supply, 725 W, for LAN Switch C/C1

A0916 Switching Module, Desktop, Fast Ethernet C/C1

A0917 Switching Module, MM Fiber,Gigabit Ethernet Server C/C1

A0918 Switching Module, SM, Gigabit Ethernet Server C/C1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

JANC1

Janitors Closet

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5135 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd C/C1

F0500 Cart, Janitor's V/V1 service may be provided by lessor

F0505 Bucket, Mop, With Wringer, 26 Quart V/V1 service may be provided by lessor

F2525 Burnisher, Floor V/V1 service may be provided by lessor

P4700 Sink, Mop, Molded Stone C/C1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

WRC01

Waiting Area

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V4

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OPMH1

Group Therapy Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OFDC1

Counseling Office, Mental Health

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0275 Chair, Swivel, High Back V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

SRS01

Storage Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBVP1

Blood Specimen Collection Room

Project: VA CBOC One PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1 optional

M1410 Chair, Laboratory, Blood Drawing, w/Storage V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBGM1

Laboratory, General, Outpatient Clinic

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1013 Telephone, Wall Mounted, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0512 Module, Lab, Work Surface, O/H Cab, 60" W V/V1

E0533 Module, Lab, Work Surf, O/H Cab, Hvy Storage, 48"W V/V1

F0230 Chair, Drafting, Rotary V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

L0990 Analyzer, Urine, Basic V/V1

L1115 Analyzer, Hematology, Differential, Automatic V/V1

L1502 Centrifuge, Tabletop V/V1

L8520 Shaker, Rotating, 12 Standard Tubes V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1830 Printer, Label, Pharmacy V/V1

M1840 Printer/Copier/Fax Combination V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free C/C1

P2450 Valve, Mixing, Thermostatic C/C1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R6280 Refrigerator, Lab, SS, 2 Door, 6 Shelves V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

TLTU1

Toilet, Urine Specimen Collection

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

L1200 Cabinet, Specimen, Pass Thru, CRS C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

WRC01

Waiting Area

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V2

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD2

Automated Drug Dispensing System (ADDS)

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1 Automated Drug Dispensing System (ADDS)

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

OFA02

Office, Police/Security

Project: VA CBOC One PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.15

6.3 Project Rooms Contents Report + Layout

Two-PACT CBOC PrototypeTh e Project Rooms Contents Report (PRCR) was generated on 8 April 2014 and is included on the CD-ROM found in the back of this Final Submittal.

Refer to the following pages for the Two-PACT CBOC Equipment Layout.

6.16

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.17

L-Shaped Equipment Layout

Figure 6.10

Two-PACT CBOC PrototypeL-Shaped Equipment Layout

A B

C D

Two-PACT Community Based Outpatient Clinic Prototype

A

B

C

D

E

F

H

G

MOBILE TECH PAD

TEAMLET 3 TEAMLET4

TEAMLET1 TEAMLET 2

KIOSKSKIOSKS

COFFESHOPSEATING AREA

C.C

TEAMLET 8TEAMLET7

TEAMLET6TEAMLET5

C.C

FAMILY WAITING

A 65 SFP TLT

P 60 SF

A 125 SF

EXAM/CONSULT

P 125 SF

A 247 SF

AUDIOEXAM 2

P 260 SF

A 125 SF

HEARINGAID

P 125 SF

A 247 SF

AUDIOEXAM 1

P 260 SF

A 125 SF

EXAM/CONSULT

P 125 SF

A 133 SFPRE-TEST

P 125 SF

A 139 SFDILATION

P 60 SFA 177 SFPHOTO

P 180 SF

A 129 SF

VISUALFIELDS

P 125 SF

A 513 SF

ANCILLARY DIAGNOSTICTEAM WORK AREA

P 500 SF

A 275 SFCONFERENCE

P 250 SF

A 126 SF

TRAINING /FLEX

P 125 SF

A 133 SF

PHARMACYCONSULT

P 120 SF

A 255 SFFEMALE TLT

P 200 SFA 264 SF

MALE TLT

P 200 SF

A 114 SF

A&MMSUPERVISOR

P 100 SFA 175 SF

CANTEENOFFICE/

STORAGE

P 175 SFA 100 SF

ISSUE

P 100 SF

A 191 SFMAIN ELEC

P 0 SF

A 130 SFDOCK

P 130 SF

A 661 SFMEP

P 0 SF

A 130 SF

TRAINING /FLEX

P 125 SF

A 125 SFEXAM 1

P 125 SF

A 156 SFCONSULT 3

P 125 SF

A 129 SF

TELEHEALTHEXAM

P 125 SF

A 129 SF

TELEHEALTHEXAM

P 125 SF

A 129 SFTELERETINAL

P 125 SF

A 133 SFCONSULT 1

P 125 SF

A 129 SFEXAM 4

P 125 SF

A 129 SFLOCKERS

P 120 SFA 265 SF

CONFERENCE

P 180 SF

A 250 SF

LOUNGECLINICAL STAFF

P 220 SF

A 101 SFH&W

P 40 SF

A 463 SFRECEPTION

P 240 SF

A 125 SFEXAM 8

P 125 SF

A 129 SFEXAM 7

P 125 SF

A 128 SFEXAM 6

P 125 SF

A 129 SFEXAM 5

P 125 SF

A 125 SF

TELEHEALTHEXAM

P 125 SF

A 125 SFCONSULT 2

P 125 SF

A 130 SFCONSULT 1

P 125 SF

A 125 SF

TELEHEALTHEXAM

P 125 SF

A 120 SF

FLEXOFFICE

P 0 SF

MED ALCOVE

A 125 SF

NURSEMGR

P 125 SF

A 125 SF

RADOFFICE

P 125 SF

A 368 SF

GENERALRADIOLOGY

P 300 SF

A 64 SFDRESSING

P 50 SFA 64 SF

DRESSING

P 50 SF

A 122 SF

MULTIPURPOSE/ VIEWING

P 125 SF

A 139 SFTELEHEALTH

P 125 SF

A 59 SFTOILET

P 60 SF

A 125 SFEXAM 1

P 125 SFA 125 SFEXAM 2

P 125 SFA 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 4

P 125 SFA 129 SFEXAM 5

P 125 SF

A 125 SFCOMM

P 110 SFA 71 SFP TLT

P 60 SF

A 71 SFP TLT

P 60 SF A 177 SF

LOW VISION /BLIND REHAB

P 180 SF

A 125 SFCMO

P 125 SF

A 125 SF

MENTALHEALTH 4

P 125 SF

A 125 SF

MENTALHEALTH 3

P 125 SF

A 130 SF

MENTALHEALTH 1

P 125 SF

A 125 SF

MENTALHEALTH 5

P 125 SF

A 125 SF

MENTALHEALTH 6

P 125 SF

A 125 SF

MENTALHEALTH 8

P 125 SF

A 125 SF

MENTALHEALTH 2

P 125 SF

A 125 SF

MENTALHEALTH 7

P 125 SF

A 335 SFMH TEAM WORK AREA

P 480 SF

A 125 SFCONSULT 4

P 125 SFA 125 SFCLEAN

P 60 SFA 125 SF

FLEXOFFICE

P 0 SF

A 260 SFOIT

P 0 SF

A 195 SFBIO MED

P 200 SF

A 124 SF

FLEXOFFICE

P 0 SF

A 68 SFP TLT

P 60 SF

A 125 SFEXAM 1

P 125 SF

A 125 SFCONSULT 3

P 125 SF

A 266 SFCONFERENCE

P 180 SFA 130 SF

TRAINING /FLEX

P 125 SF

A 1039 SF

PACT + EXTENDEDCARE TEAM WORK AREA

P 1260 SF

A 32 SF

EQUIPALCOVE

P 0 SF

A 129 SFCONSULT 2

P 125 SF

A 124 SFCOMM

P 110 SF

A 129 SFFIRE

P 0 SF

A 80 SFMED GAS

P 80 SFA 60 SFBIO H.

P 60 SF

A 67 SFS TLT

P 60 SF

A 76 SF

JANCLOSET

P 40 SF

A 126 SF

FLEXOFFICE

P 0 SF

A 126 SF

FLEXOFFICE

P 0 SFA 121 SFADMIN

P 125 SF

A 125 SF

ADMINWORKROOM

P 100 SF

A 223 SFRECEPT

P 140 SF

A 111 SFADMIN

P 125 SFA 97 SF

ADMINWORKROOM

P 100 SF

A 124 SFNEURO

P 125 SF

A 165 SF

CONSULTWINDOWS

P 135 SF

A 101 SFH&W

P 40 SF A 120 SF

FLEXOFFICE

P 0 SF

MED ALCOVE

A 1039 SF

PACT + EXTENDEDCARE TEAM WORK AREA

P 1260 SF

A 32 SF

EQUIPALCOVE

P 0 SF

A 187 SFVESTIBULE

P 150 SFA 104 SFPOLICE

P 120 SF

A 111 SF

FLEXOFFICE

P 0 SF

A 152 SFCONSULT 4

P 125 SF

A 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 4

P 125 SF

A 72 SFPROCED. TLT

P 75 SF

A 180 SFPROCEDURE

P 180 SF

A 67 SFS TLT

P 60 SF

A 114 SF

PROSOFFICE

P 125 SF

A 344 SF

PMR + PROSTHSTORAGE

P 350 SF

A 126 SFSPECTACLE

P 125 SF

A 711 SFPMR GYM

P 690 SF

A 121 SF

PMROFFICE

P 125 SF

A 60 SFTLT

P 60 SF

A 51 SFDRESSING

P 35 SF A 249 SF

SHAREDSTAFF

LOUNGE

P 220 SF

A 125 SFLOCKERS

P 60 SF

A 126 SF

FLEXOFFICE

P 0 SF

A 125 SF

FLEXOFFICE

P 0 SF

A 122 SF

FLEXOFFICE

P 0 SF

A 356 SFGROUP ROOM

P 240 SF

A 120 SF

FLEXOFFICE

P 0 SF

A 129 SFCLEAN

P 125 SF

A 121 SF

HBPCSTORAGE

P 120 SF

A 126 SFCONSULT

P 125 SF

A 387 SF

HBPC + ADDITIONALTEAM WORK AREA

P 360 SF

A 126 SF

POLICELOCKER

P 125 SF

A 68 SFHOLDING

P 60 SFA 50 SFSAFE

P 40 SF

A 122 SFELEC

P 0 SFA 125 SFELEC

P 0 SFA 125 SFCOMM

P 110 SF

A 123 SFLAB

P 150 SF

A 158 SF

BULKSTORAGE

P 145 SF

A 99 SFCLEAN

P 0 SF

A 82 SF

BLOODDRAW 3

P 80 SFA 81 SF

BLOODDRAW 2

P 80 SFA 134 SF

BD 4 BARIATRIC+ ACCESSIBLE

P 80 SF

A 55 SFTLT

P 60 SFA 49 SF

SPEC.TLT

P 60 SF

A 82 SF

BLOODDRAW 1

P 80 SF

A 254 SF

BUSINESSSERVICES

P 240 SFA 344 SF

SHAREDMEDICAL APPT

ROOM

P 400 SF

A 303 SF

GROUPROOM

P 300 SF A 374 SF

SHAREDMEDICAL APPT

ROOM

P 400 SF

A 74 SFFAMILY TLT

P 75 SF

A 117 SF

FLEXOFFICE

P 0 SF

A 75 SFFAMILY TLT

P 75 SF

A 129 SF

WOMEN'SHEALTH 2

P 125 SF

A 57 SFWH TLT

P 60 SF

A 57 SFWH TLT

P 60 SF

A 132 SF

WOMEN'SHEALTH 1

P 125 SF

A 128 SF

WOMEN'SHEALTH 2

P 125 SF

A 57 SFWH TLT

P 60 SFA 57 SFWH TLT

P 60 SF

A 133 SF

WOMEN'SHEALTH 1

P 125 SF

A 129 SFEXAM 6

P 125 SF

A 128 SFEXAM 5

P 125 SF

A 71 SFPROCED. TLT

P 75 SF

A 180 SFPROCEDURE

P 180 SF

A 129 SFEXAM 2

P 125 SF

A 125 SF

STAFFWELLNESS

P 100 SF

A 125 SFELEC

P 0 SF

A 125 SF

FLEXOFFICE

P 0 SF

A 125 SF

FLEXOFFICE

P 0 SF

A 59 SFS TLT

P 60 SF

A 67 SFS TLT

P 60 SF

A 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 2

P 125 SFA 68 SFP TLT

P 60 SF

A 125 SFEXAM 7

P 125 SF

A 129 SFEXAM 8

P 125 SF

A 52 SF

WHEELCHAIRS

P 90 SF

A 61 SF

SHIPPING/RECEIVING

P 100 SF

PHAMACYA 890 SFP 815 SF

5 6 7 8 94 102 31 11

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.16

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

TEAMLET 3 TEAMLET4

TEAMLET1 TEAMLET 2

C.C

TEAMLET 8TEAMLET7

TEAMLET6TEAMLET5

C.C

A 65 SFP TLT

P 60 SF

A 130 SF

TRAINING /FLEX

P 125 SF

A 125 SFEXAM 1

P 125 SF

A 156 SFCONSULT 3

P 125 SF

A 129 SF

TELEHEALTHEXAM

P 125 SF

A 129 SF

TELEHEALTHEXAM

P 125 SF

A 129 SFTELERETINAL

P 125 SF

A 133 SFCONSULT 1

P 125 SF

A 129 SFEXAM 4

P 125 SF

A 129 SFLOCKERS

P 120 SFA 265 SF

CONFERENCE

P 180 SF

A 250 SF

LOUNGECLINICAL STAFF

P 220 SF

A 101 SFH&W

P 40 SF

A 125 SFEXAM 8

P 125 SF

A 129 SFEXAM 7

P 125 SF

A 128 SFEXAM 6

P 125 SF

A 129 SFEXAM 5

P 125 SF

A 125 SF

TELEHEALTHEXAM

P 125 SF

A 125 SFCONSULT 2

P 125 SF

A 130 SFCONSULT 1

P 125 SF

A 125 SF

TELEHEALTHEXAM

P 125 SF

A 120 SF

FLEXOFFICE

P 0 SF

MED ALCOVE

A 125 SF

NURSEMGR

P 125 SFA 125 SF

CMO

P 125 SF

A 125 SF

MENTALHEALTH 4

P 125 SF

A 125 SF

MENTALHEALTH 3

P 125 SF

A 130 SF

MENTALHEALTH 1

P 125 SF

A 125 SF

MENTALHEALTH 5

P 125 SF

A 125 SF

MENTALHEALTH 6

P 125 SF

A 125 SF

MENTALHEALTH 8

P 125 SF

A 125 SF

MENTALHEALTH 2

P 125 SF

A 125 SF

MENTALHEALTH 7

P 125 SF

A 335 SFMH TEAM WORK AREA

P 480 SF

A 125 SFCONSULT 4

P 125 SFA 125 SFCLEAN

P 60 SFA 125 SF

FLEXOFFICE

P 0 SFA 124 SF

FLEXOFFICE

P 0 SF

A 68 SFP TLT

P 60 SF

A 125 SFEXAM 1

P 125 SF

A 125 SFCONSULT 3

P 125 SF

A 266 SFCONFERENCE

P 180 SFA 130 SF

TRAINING /FLEX

P 125 SF

A 1039 SF

PACT + EXTENDEDCARE TEAM WORK AREA

P 1260 SF

A 32 SF

EQUIPALCOVE

P 0 SF

A 129 SFCONSULT 2

P 125 SF

A 126 SF

FLEXOFFICE

A 126 SF

FLEXOFFICE

A 121 SFADMIN

A 124 SFNEURO

P 125 SF

A 101 SFH&W

P 40 SF A 120 SF

FLEXOFFICE

P 0 SF

MED ALCOVE

A 1039 SF

PACT + EXTENDEDCARE TEAM WORK AREA

P 1260 SF

A 32 SF

EQUIPALCOVE

P 0 SF

A 152 SFCONSULT 4

P 125 SF

A 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 4

P 125 SF

A 72 SFPROCED. TLT

P 75 SF

A 180 SFPROCEDURE

P 180 SF

A 67 SFS TLT

P 60 SF

A 125 SFELEC

P 0 SFA 125 SFCOMM

P 110 SF

A 123 SFLAB

A 55 SFTLT

A 49 SF

SPEC.TLT

BUSINESSA 75 SF

FAMILY TLT

P 75 SF

A 129 SF

WOMEN'SHEALTH 2

P 125 SF

A 57 SFWH TLT

P 60 SF

A 57 SFWH TLT

P 60 SF

A 132 SF

WOMEN'SHEALTH 1

P 125 SF

A 128 SF

WOMEN'SHEALTH 2

P 125 SF

A 57 SFWH TLT

P 60 SFA 57 SFWH TLT

P 60 SF

A 133 SF

WOMEN'SHEALTH 1

P 125 SF

A 129 SFEXAM 6

P 125 SF

A 128 SFEXAM 5

P 125 SF

A 71 SFPROCED. TLT

P 75 SF

A 180 SFPROCEDURE

P 180 SF

A 129 SFEXAM 2

P 125 SF

FLEXOFFICE

A 67 SFS TLT

P 60 SF

A 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 2

P 125 SFA 68 SFP TLT

P 60 SF

A 125 SFEXAM 7

P 125 SF

A 129 SFEXAM 8

P 125 SF

A 6

SHIPRECE

6.19

Two-PACT Community Based Outpatient Clinic Prototype L-Shape Equipment Layout

Area A

Figure 6.11

Two-PACT CBOC PrototypeL-Shaped Equipment LayoutArea A

A B

C D

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

5 6 742 31

A

B

C

D

This page has been left blank intentionally.

6.18

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.21

Two-PACT Community Based Outpatient Clinic Prototype L-Shape Equipment Layout

Area B

Figure 6.12

Two-PACT CBOC PrototypeL-Shaped Equipment LayoutArea B

A B

C D

MOBILE TECH PAD

A 114 SF

A&MMSUPERVISOR

P 100 SFA 175 SF

CANTEENOFFICE/

STORAGE

P 175 SFA 100 SF

ISSUE

P 100 SF

A 191 SFMAIN ELEC

P 0 SF

A 130 SFDOCK

P 130 SF

A 661 SFMEP

P 0 SF

A 125 SFEXAM 1

P 125 SF

A 156 SFCONSULT 3

P 125 SF

A 129 SF

TELEHEALTHEXAM

P 125 SF

A 129 SF

TELEHEALTHEXAM

P 125 SF

A 129 SFTELERETINAL

P 125 SF

A 133 SFCONSULT 1

P 125 SF

A 129 SFEXAM 4

P 125 SF

A 129 SFLOCKERS

P 120 SF

A 250 SF

LOUNGECLINICAL STAFF

P 220 SF

A 64 SFDRESSING

P 50 SFA 64 SF

DRESSING

P 50 SFMULTIPURPOSE

/ VIEWINGTOILET

A 260 SFOIT

P 0 SF

A 195 SFBIO MED

P 200 SF

A 129 SFCONSULT 2

P 125 SF

A 124 SFCOMM

P 110 SF

A 129 SFFIRE

P 0 SF

A 80 SFMED GAS

P 80 SFA 60 SFBIO H.

P 60 SF F

E

FLEXOFFICE

A 120 SF

FLEXOFFICE

P 0 SF

HBPCSTORAGE

A 126 SF

POLICELOCKER

P 125 SF

A 68 SFHOLDING

P 60 SFA 50 SFSAFE

P 40 SF

A 122 SFELEC

P 0 SF

A 123 SFLAB

A 99 SFCLEAN

A 55 SFTLT

A 49 SF

SPEC.TLT

A 129 SF

WOMEN'SHEALTH 2

P 125 SF

A 57 SFWH TLT

P 60 SF

A 57 SFWH TLT

P 60 SF

A 132 SF

WOMEN'SHEALTH 1

P 125 SF

A 67 SFS TLT

P 60 SF

A 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 2

P 125 SF

SHIPPING/RECEIVING

6 7 8 9 10 11

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

A

B

C

D

This page has been left blank intentionally.

6.20

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.23

Two-PACT Community Based Outpatient Clinic Prototype L-Shape Equipment Layout

Area C

Figure 6.13

Two-PACT CBOC PrototypeL-Shaped Equipment LayoutArea C

A B

C D

KIOSKSKIOSKS

COFFESHOPSEATING AREA

FAMILY WAITING

A 133 SF

PHARMACYCONSULT

P 120 SF

A 255 SFFEMALE TLT

P 200 SFA 264 SF

MALE TLT

P 200 SF

A 463 SFRECEPTION

P 240 SF

A 126 SF

FLEXOFFICE

P 0 SF

A 126 SF

FLEXOFFICE

P 0 SFA 121 SFADMIN

P 125 SF

A 125 SF

ADMINWORKROOM

P 100 SF

A 223 SFRECEPT

P 140 SF

A 97 SF

ADMINWORKROOM

P 100 SF

A 165 SF

CONSULTWINDOWS

P 135 SF

A 187 SFVESTIBULE

P 150 SFA 104 SFPOLICE

P 120 SF

A 114 SF

PROSOFFICE

P 125 SF

A 344

PMR + PRSTORA

P 350

A 123 SFLAB

P 150 SF

A 82 SF

BLOODDRAW 3

P 80 SFA 81 SF

BLOODDRAW 2

P 80 SFA 134 SF

BD 4 BARIATRIC+ ACCESSIBLE

P 80 SF

A 55 SFTLT

P 60 SFA 49 SF

SPEC.TLT

P 60 SF

A 82

BLOODRAW

P 80

A 254 SF

BUSINESSSERVICES

P 240 SFA 344 SF

SHAREDMEDICAL APPT

ROOM

P 400 SF

A 303 SF

GROUPROOM

P 300 SF A 374 SF

SHAREDMEDICAL APPT

ROOM

P 400 SF

A 74 SFFAMILY TLT

P 75 SF

A 117 SF

FLEXOFFICE

P 0 SF

A 75 SFFAMILY TLT

P 75 SF

A 125 SF

FLEXOFFICE

P 0 SF

A 125 SF

FLEXOFFICE

P 0 SF

A 52 SF

WHEELCHAIRS

P 90 SF

A 61 SF

SHIPPING/RECEIVING

P 100 SF

E

F

H

G

5 6 742 3

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.22

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.25

Two-PACT Community Based Outpatient Clinic Prototype L-Shape Equipment Layout

Area D

Figure 6.14

Two-PACT CBOC PrototypeL-Shaped Equipment LayoutArea D

KIOSKS

MILY WAITING

A 125 SF

EXAM/CONSULT

P 125 SF

A 247 SF

AUDIOEXAM 2

P 260 SF

A 125 SF

HEARINGAID

P 125 SF

A 247 SF

AUDIOEXAM 1

P 260 SF

A 125 SF

EXAM/CONSULT

P 125 SF

A 133 SFPRE-TEST

P 125 SF

A 139 SFDILATION

P 60 SFA 177 SFPHOTO

P 180 SF

A 129 SF

VISUALFIELDS

P 125 SF

A 513 SF

ANCILLARY DIAGNOSTICTEAM WORK AREA

P 500 SF

A 275 SFCONFERENCE

P 250 SF

A 126 SF

TRAINING /FLEX

P 125 SF

A 133 SF

PHARMACYCONSULT

P 120 SF

SF TLT

SF

A 133 SFP 125 SF

A 125 SF

RADOFFICE

P 125 SF

A 368 SF

GENERALRADIOLOGY

P 300 SF

A 64 SFDRESSING

P 50 SFA 64 SF

DRESSING

P 50 SF

A 122 SF

MULTIPURPOSE/ VIEWING

P 125 SF

A 139 SFTELEHEALTH

P 125 SF

A 59 SFTOILET

P 60 SF

A 125 SFEXAM 1

P 125 SFA 125 SFEXAM 2

P 125 SFA 125 SFEXAM 3

P 125 SF

A 129 SFEXAM 4

P 125 SFA 129 SFEXAM 5

P 125 SF

A 125 SFCOMM

P 110 SFA 71 SFP TLT

P 60 SF

A 71 SFP TLT

P 60 SF A 177 SF

LOW VISION /BLIND REHAB

P 180 SF

A 67 SFS TLT

P 60 SF

A 76 SF

JANCLOSET

P 40 SF

A 223 SFRECEPT

P 140 SF

A 111 SFADMIN

P 125 SFA 97 SF

ADMINWORKROOM

P 100 SF

A 165 SF

CONSULTWINDOWS

P 135 SF

A 111 SF

FLEXOFFICE

P 0 SF

A 114 SF

PROSOFFICE

P 125 SF

A 344 SF

PMR + PROSTHSTORAGE

P 350 SF

A 126 SFSPECTACLE

P 125 SF

A 711 SFPMR GYM

P 690 SF

A 121 SF

PMROFFICE

P 125 SF

A 60 SFTLT

P 60 SF

A 51 SFDRESSING

P 35 SF A 249 SF

SHAREDSTAFF

LOUNGE

P 220 SF

A 125 SFLOCKERS

P 60 SF

A 126 SF

FLEXOFFICE

P 0 SF

A 125 SF

FLEXOFFICE

P 0 SF

A 122 SF

FLEXOFFICE

P 0 SF

A 356 SFGROUP ROOM

P 240 SF

A 120 SF

FLEXOFFICE

P 0 SF

A 129 SFCLEAN

P 125 SF

A 121 SF

HBPCSTORAGE

P 120 SF

A 126 SFCONSULT

P 125 SF

A 387 SF

HBPC + ADDITIONALTEAM WORK AREA

P 360 SF

A 123 SFLAB

P 150 SF

A 158 SF

BULKSTORAGE

P 145 SF

A 99 SFCLEAN

P 0 SF

A 82 SF

BLOODDRAW 3

P 80 SFA 81 SF

BLOODDRAW 2

P 80 SFA 134 SF

BD 4 BARIATRIC+ ACCESSIBLE

P 80 SF

A 55 SFTLT

P 60 SFA 49 SF

SPEC.TLT

P 60 SF

A 82 SF

BLOODDRAW 1

P 80 SF

A 132 SFP 125 SF

A 125 SF

STAFFWELLNESS

P 100 SF

A 125 SFELEC

P 0 SF

A 59 SFS TLT

P 60 SF

A 61 SF

SHIPPING/RECEIVING

P 100 SF

PHAMACYA 890 SFP 815 SFA B

C D

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

6 7 8 9 10 11

D

E

F

H

G

This page has been left blank intentionally.

6.24

(Publish date for Contents: 2/4/2013 9:13:29 AM)(Publish date for Rooms/Contents Assignments: 2/4/2013 9:13:29 AM)

Project originated by: Chris Phillips on 4/2/2014 6:14:54 PM9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX [email protected]

Project Name: VA CBOC (TWO PACT) UNIQUE ROOMSProject Description: PROTOTYPE

Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENTState: DCVISN: 5Midpoint Year: 2014Project ID:

Installation: VA MEDICAL CENTER, WASHINGTON, D.C.Station ID & Name: 688 - WASHINGTON, DC

Projected Year: 2014

Space Plan last updated by: Chris Phillips on 4/8/2014 2:52:07 PM

Contents List originated by: Chris Phillips on 12/5/2013 11:02:20 AM9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX [email protected]

Contents List last updated by: Chris Phillips on 4/3/2014 10:26:33 AM

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

MMRP1

Receiving and Issue area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2700 Reader, Bar Code, Hand Held, With Interface V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V1

M2115 Truck, Hand, 2 Wheel V/V1

M2130 Truck, Hydraulic Lift, Electric V/V1

M7780 Scanner, Document V/V1

Department Name : Functional Area :

Room Code :

Room Name :

130 Room Area :

OUTPATIENT CLINIC LOGISTICS

DOCK1

Receiving and Shipping Dock

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A6125 Leveler, Dock C/C1

K0450 Curtain, Air C/C1

M2105 Pallet Lift, Hydraulic, Manual, 48" Pallet V/V1

M2115 Truck, Hand, 2 Wheel V/V1

M2120 Truck, Platform, 4 Wheel V/V1

M4025 Scale, Roll On, Freestanding, 2000 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRHM1

Storage, Bio-hazard Waste

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2005 Cabinet, Storage, Acid, Floor Standing, Shelves V/V1

M2020 Cabinet, Storage, Safety, Built-In, Vented C/C1

M2070 Shelving, Storage, 77hx36wx18d V/V1

P2450 Valve, Mixing, Thermostatic C/C1

P5210 Shower, Safety, Freestanding, With Eye/Face Wash C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRE01

Storage, Equipment

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC LOGISTICS

MMGS1

Storage, Medical and General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2085 Shelving, Storage, Pallet V/V8

M2090 Shelving, Storage, Warehouse V/V8

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRGC1

Storage, Medical Gas

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2025 Rack, Storage, Cylinder, Gas C/C2

M2115 Truck, Hand, 2 Wheel V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

OFA02

Office, Supervisor, Supply Management Section

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RECP1

FA1: Reception

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA1: Toilet, General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRC01

FA1: Waiting, PACT Module

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRF01

FA1: Waiting, Family

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0215 Chair, Child's V/V4

F2045 Furniture, Playroom, Assorted V/V1

M0430 Recorder/ Player, Digital, Video, DVD V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTB1

FA2: Toilet, General Procedure Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

EXPA1

FA2: Exam Room, Patient Aligned Care Team (PACT)

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

EXW01

FA2: Exam Room, Womens Health

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

OFDC2

FA2: Consult Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

PEHW1

FA2: Height/Weight Station

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

CLSC4

FA2: Shared Medical Appointment Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

SRSE1

FA2: Storage, Shared Medical Appointments

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA2: Toilet, Women's Health Exam Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA2: Patient Toilet

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RCA02

FA3: Alcove, Medication

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

CRA01

FA4: Conference Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

LR004

FA4: Locker Area, Clinical Staff Personal Property

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V15

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

OFA03

FA4: Extended Team Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V1

Department Name : Functional Area :

Room Code :

Room Name :

220 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

SL001

FA4: Lounge, Clinical Staff

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0225 Chair, Dining Room V/V8

F0795 Table, Dining V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

F3050 Whiteboard, Dry Erase C/C1

F3200 Clock, Battery, 12" Diameter V/V1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

K4665 Oven, Microwave, Consumer V/V1

K8250 Toaster, Pop-Up, 4 Slice, Electric V/V1

M0506 Television, Flat Screen V/V1

R7000 Refrigerator, 14 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM1

FA4: Shared Documentation Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM2

FA4: Tele-Health Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WKTM1

FA4: Workroom

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

F0415 Cabinet, Filing, Lateral, Full Height, 5 Drawer V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

M1810 Copier, Floor Standing, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM1

FA5: Training Room/Flex

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM2

FA4: Tele-Retinal Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M6050 Retinal Imaging System, Fluoroscein/Indocyanine V/V1 include table or stand

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

OFA02

FA4: Administrative Office

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RCA01

FA3: Resuscitation Cart Alcove

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

M8770 Aspirator/Pressure Unit, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RECP1

FA1: Reception

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA1: Toilet, General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRC01

FA1: Waiting, PACT Module

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRF01

FA1: Waiting, Family

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0215 Chair, Child's V/V4

F2045 Furniture, Playroom, Assorted V/V1

M0430 Recorder/ Player, Digital, Video, DVD V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTB1

FA2: Toilet, General Procedure Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

EXPA1

FA2: Exam Room, Patient Aligned Care Team (PACT)

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

EXW01

FA2: Exam Room, Womens Health

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

OFDC2

FA2: Consult Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

PEHW1

FA2: Height/Weight Station

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

CLSC4

FA2: Shared Medical Appointment Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

SRSE1

FA2: Storage, Shared Medical Appointments

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA2: Toilet, Women's Health Exam Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA2: Patient Toilet

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RCA02

FA3: Alcove, Medication

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

CRA01

FA4: Conference Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

LR004

FA4: Locker Area, Clinical Staff Personal Property

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V15

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

OFA03

FA4: Extended Team Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V1

Department Name : Functional Area :

Room Code :

Room Name :

220 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

SL001

FA4: Lounge, Clinical Staff

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0225 Chair, Dining Room V/V8

F0795 Table, Dining V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

F3050 Whiteboard, Dry Erase C/C1

F3200 Clock, Battery, 12" Diameter V/V1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

K4665 Oven, Microwave, Consumer V/V1

K8250 Toaster, Pop-Up, 4 Slice, Electric V/V1

M0506 Television, Flat Screen V/V1

R7000 Refrigerator, 14 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRTM1

FA4: Shared Documentation Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRTM2

FA4: Tele-Health Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WKTM1

FA4: Workroom

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

F0415 Cabinet, Filing, Lateral, Full Height, 5 Drawer V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

M1810 Copier, Floor Standing, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRTM1

FA5: Training Room/Flex

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

OFA02

FA4: Administrative Office

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RCA01

FA3: Resuscitation Cart Alcove

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

M8770 Aspirator/Pressure Unit, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

OPMH1

AUD: Group Therapy Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0220 Chair, Conference V/V8

F0755 Table, Conference, Wood V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

EXOS1

AUD: Exam/Consult

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1016 Telephone, Desk, With Speaker C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0020 Hearing Aid Analyzer V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

TLTU1

AUD: Patient Toilet

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

260 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

PEHS4

AUD: Suite, Audiometric Exam

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V2

F0280 Chair, Swivel, Low Back V/V2

F0860 Table, Mobile V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0010 Recorder, Tape, w/Delayed Audio Feedback V/V1

M0025 Audiometer, Diagnostic, Middle Ear, Impedance V/V1

M0030 Audiometer, Diagnostic V/V1

M0041 Booth, Audio, Double Wall, Suite C/C1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

50 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

SRSE1

Equipment Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2070 Shelving, Storage, 77hx36wx18d V/V2

Department Name : Functional Area :

Room Code :

Room Name :

140 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

RECP1

Office, Reception / Control Clerk

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

HAFR1

Hearing Aid Programming/Fitting

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0210 Chair, Side, Without Arms V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0020 Hearing Aid Analyzer V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4915 Chair, Exam/Treatment, ENT, w/Adjustable Light V/V1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC CANTEEN

BX001

Vending Machine Area and Seating

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A6030 Machine, Vending V/C2

F0225 Chair, Dining Room V/V2

F0795 Table, Dining V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC HOME-BASED PRIMARY CARE

SRE01

Storage Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC HOME-BASED PRIMARY CARE

SL002

Team Room, Home-Based Primary Care

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1015 Telephone, Desk, Multiple Line C/C3

F0275 Chair, Swivel, High Back V/V6

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V6

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V6

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V6

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC CLINIC MANAGEMENT

OFA02

Office, Nurse Manager

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC CLINIC MANAGEMENT

OFA02

Office, CMO

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC ENGINEERING

BMER1

Biomedical Engineering Repair Shop

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

C01C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x18x22 C/C1

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 C/C1

CS150 Sink, SS, Single Compartment, 10x19x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C4

F0230 Chair, Drafting, Rotary V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V1

T0005 Electrical Safety Analyzer V/V1

T0015 Defibrillator Analyzer, Automatic, Portable V/V1

T0020 Stand, Test, Radiological Compliance V/V1

T0030 Radiation-Light Field Analyzer V/V1

T0801 Workbench, Electric, Pedestal Base V/V1

T8015 Calibrator, Audiometer V/V1

T8020 Generator, Pulse V/V1

T8025 Generator, Function V/V1

T8040 Meter, Sound Level V/V1

T8045 Oscilloscope, With Accessories V/V1

T8055 Wattmeter, Ultrasonic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Treatment Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

F0210 Chair, Side, Without Arms V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1 two monitors

M1825 Printer, Computer V/V1

M4116 Monitor, Vital Signs V/V1

M5016 Desk, Refraction w/console, w/o Sink C/C1 auto lights on/off; lockable medication storage

M5520 Lensometer V/V1 manual

M5530 Lamp, Slit, w/Applanation Tonometer V/V1 with teaching tube attachment

M5535 Ophthalmoscope, Binocular, Indirect V/V1 wireless

M5536 Ophthalmoscope, Direct V/V1

M5545 Ophthalmometer/Keratometer V/V1

M5562 Tester, Visual Acuity, Video/Microprocessor Based V/V1

M5575 Tonometer, Noncontact V/V1 tonopen

M5600 Unit, Exam, Eye, w/Motor Chair, Phoropter V/V1 wheel chair glide

M5700 Frame Set, Lens, Trial V/V1 full-field

M5705 Gauge, Distance, Pupillary V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Treatment Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

M6040 Pachymeter, Ultrasound, Corneal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYFD1

Fitting and Dispensing Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C2 One mirror for frame selection

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3080 Case, Display, Eyewear, Wall Mounted V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

M5010 Desk, Fitting/Dispensing, Optical V/V1

M5520 Lensometer V/V2 one manual and one automated

M5700 Frame Set, Lens, Trial V/V1

M5705 Gauge, Distance, Pupillary V/V1

M5735 Warmer, Spectacle, Plastic V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYVS1

Photography/Imaging Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0222 Worksurface, Computer, O/H Cab,Wall Mtd, 48" W V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0210 Chair, Side, Without Arms V/V1

F0300 Chair, Task, Swivel, With Arms V/V2

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M5027 Table, Multiple Instrument, Ophthalmic V/V1 hydraulic/rotating

M5510 Camera, Fundus, Digital V/V1

M6040 Pachymeter, Ultrasound, Corneal V/V1

M6045 Corneal Topography Unit V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

U0001 Optical Coherence Tomography V/V1

U0002 Ultrasound, A/B Scan V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYVF1

Visual Fields Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

F0300 Chair, Task, Swivel, With Arms V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M5025 Table, Instrument, Ophthalmic, Adjustable V/V1

M5555 Perimeter, Automated V/V1

M5700 Frame Set, Lens, Trial V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC EYE CLINIC

WRC01

Waiting Area (Dilation)

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V4

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Training Room, Low Vision

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0210 Chair, Side, Without Arms V/V4

F0340 Stool, Self Adjusting V/V1 with back support

F0820 Table, Office, Round V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2435 Lamp, Desk, Fluorescent V/V1 low vision lamp

F3200 Clock, Battery, 12" Diameter V/V1

M0435 Monitor, CCTV, Small, 9" (Color) V/V1 low vision system

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2 large screen monitor

M5016 Desk, Refraction w/console, w/o Sink C/C1

M5520 Lensometer V/V1

M5530 Lamp, Slit, w/Applanation Tonometer V/V1

M5535 Ophthalmoscope, Binocular, Indirect V/V1 wireless

M5536 Ophthalmoscope, Direct V/V1

M5545 Ophthalmometer/Keratometer V/V1

M5562 Tester, Visual Acuity, Video/Microprocessor Based V/V1 on rollers

M5600 Unit, Exam, Eye, w/Motor Chair, Phoropter V/V1 wheel chair glide

M5700 Frame Set, Lens, Trial V/V1 full field

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Training Room, Low Vision

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYVS1

Pre-Testing Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0222 Worksurface, Computer, O/H Cab,Wall Mtd, 48" W V/V1

F0210 Chair, Side, Without Arms V/V1

F0300 Chair, Task, Swivel, With Arms V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M5025 Table, Instrument, Ophthalmic, Adjustable V/V1

M5027 Table, Multiple Instrument, Ophthalmic V/V1

M5500 Autorefractor, Ophthalmic V/V1

M5520 Lensometer V/V1 automated

M5575 Tonometer, Noncontact V/V1 also include a tonopen

M5735 Warmer, Spectacle, Plastic V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

WRTM1

Team Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

310 Room Area :

OUTPATIENT CLINIC EYE CLINIC

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V6

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

RECP3

Volunteer Alcove

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C2

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CT030 Countertop, High Pressure Laminate C/C6

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

Department Name : Functional Area :

Room Code :

Room Name :

90 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

SRLW1

Wheelchair Storage

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4705 Wheelchair, Patient Transport, Folding V/V4

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

TLTF2

Female Toilet, Multiple

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1085 Mirror, SS, With SS Frame, 36x18 C/C1

A4995 Table, Diaper Changing, Wall Mounted C/C1

A5075 Dispenser, Soap, Disposable V/V2

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C2

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C2

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C2

C0041 Rail, Apron, 4x60x1 C/C1

CT030 Countertop, High Pressure Laminate C/C5

F2000 Basket, Wastepaper, Round, Metal V/V2

P3070 Lavatory, Vitreous China, Under or Counter Top Mtd C/C2

P9050 Toilet, Wall Hung, Siphon Jet C/C2

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

TLTM2

Male Toilet, Multiple

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1085 Mirror, SS, With SS Frame, 36x18 C/C1

A4995 Table, Diaper Changing, Wall Mounted C/C1

A5075 Dispenser, Soap, Disposable V/V2

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C2

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C2

C0041 Rail, Apron, 4x60x1 C/C1

CT030 Countertop, High Pressure Laminate C/C5

F2000 Basket, Wastepaper, Round, Metal V/V2

P3070 Lavatory, Vitreous China, Under or Counter Top Mtd C/C2

P9050 Toilet, Wall Hung, Siphon Jet C/C2

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

LAC01

Employee Wellness

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C10

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 C/C1

C04J0 Cabinet, U/C/B, 8 Half Drawer, 36x36x22 C/C1

CS140 Sink, SS, Single Compartment, 10x14x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0270 Chair, Rocking, High Back V/V1

F0740 Table, Occasional, Lamp V/V1

F2420 Lamp, Table, With Shade V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0510 TV/DVD Combination V/V1

M2605 Pump, Breast V/V1

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

110 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

COMC1

Communications Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 3

JSN JSN Nomenclature Acq/InsQty Comment

A0900 Relay Rack, Aluminum C/C1

A0901 Cable Management, Horizontal Base Unit C/C1

A0902 Rear Wire Frame C/C1

A0903 Rear Hinged Cover, for LAN Rack C/C1

A0904 Fiber Optic Cabinet, 36 Port, Rack Mounted C/C1

A0905 Adapter Panel With Couplers, Blue, 6 Port, SM/MM C/C1

A0906 Adapter Panel With Couplers, Yellow, 6 Port, SM/MM C/C1

A0907 Patch Panel, Copper, UTP C/C1

A0908 Patch Panel, 110 Block/RJ-45, Cat 5E, 48 Port,568A C/C1

A0910 Patch Panel, 110 Block/RJ-45, Cat 5E, 96 Port,568A C/C1

A0911 Power Supply, Uninterruptable, Rack Mounted C/C1

A0912 Battery Pack, Extended for use with UPS (A0911) C/C1

A0913 Switch, Local Area Network (LAN) C/C1

A0914 Management Processor Module for LAN Switch C/C1

A0915 Power Supply, 725 W, for LAN Switch C/C1

A0916 Switching Module, Desktop, Fast Ethernet C/C1

A0917 Switching Module, MM Fiber,Gigabit Ethernet Server C/C1

A0918 Switching Module, SM, Gigabit Ethernet Server C/C1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

JANC1

Janitors Closet

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5135 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd C/C1

F0500 Cart, Janitor's V/V1 service may be provided by lessor

F0505 Bucket, Mop, With Wringer, 26 Quart V/V1 service may be provided by lessor

F2525 Burnisher, Floor V/V1 service may be provided by lessor

P4700 Sink, Mop, Molded Stone C/C1

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V6

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OPMH1

Group Therapy Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OPMH3

Biofeedback / Neuropsych

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C1

E0123 Workstation, Straight, Free Standing, 72" W V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E0912 Locker, Supply, Med Surg, Wall Mtd V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0265 Chair, Recliner V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8180 Biofeedback Analysis System V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OFDC1

Counseling Office, Mental Health

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0275 Chair, Swivel, High Back V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

SRS01

Storage Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F2000 Basket, Wastepaper, Round, Metal V/V1

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

TLTU1

Toilet, Patient

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

480 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

WRTM1

Team Room, Mental Health

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1015 Telephone, Desk, Multiple Line C/C4

F0275 Chair, Swivel, High Back V/V8

F0420 Cabinet, Filing, Lateral, Half Height V/V8

F2000 Basket, Wastepaper, Round, Metal V/V8

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V8

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V8

Department Name : Functional Area :

Room Code :

Room Name :

445 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V8

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBVP1

Blood Specimen Collection Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1 optional

M1410 Chair, Laboratory, Blood Drawing, w/Storage V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

50 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

SRS01

Storage, Bulk

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V4

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

TLTU1

Toilet, Urine Specimen Collection

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

L1200 Cabinet, Specimen, Pass Thru, CRS C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBGM1

Laboratory, General, Outpatient Clinic

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1013 Telephone, Wall Mounted, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0512 Module, Lab, Work Surface, O/H Cab, 60" W V/V1

E0533 Module, Lab, Work Surf, O/H Cab, Hvy Storage, 48"W V/V1

F0230 Chair, Drafting, Rotary V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

L0990 Analyzer, Urine, Basic V/V1

L1115 Analyzer, Hematology, Differential, Automatic V/V1

L1502 Centrifuge, Tabletop V/V1

L8520 Shaker, Rotating, 12 Standard Tubes V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1830 Printer, Label, Pharmacy V/V1

M1840 Printer/Copier/Fax Combination V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free C/C1

P2450 Valve, Mixing, Thermostatic C/C1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R6280 Refrigerator, Lab, SS, 2 Door, 6 Shelves V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBSS1

Shipping & Receiving, Minimal

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0573 Workstation, Shipping/Receiving Lab, Minimal V/V1

F0230 Chair, Drafting, Rotary V/V1

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

L1502 Centrifuge, Tabletop V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1830 Printer, Label, Pharmacy V/V1

P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free C/C1

P2450 Valve, Mixing, Thermostatic C/C1

R5135 Freezer, Undercounter, 5 Cubic Feet V/V1

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

TLTU1

Toilet, Unisex

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V2

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PHARMACY

OFA02

Office, Pharmacist / Consultation Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PHARMACY

OFA03

Prescription Receiving

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A6105 Counter,Reception Control, Built-In C/C1

F0205 Chair, Side With Arms V/V1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PHARMACY

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V8

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

135 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD2

Dispensing

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A6105 Counter,Reception Control, Built-In C/C1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

L1200 Cabinet, Specimen, Pass Thru, CRS C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

95 Room Area :

OUTPATIENT CLINIC PHARMACY

PHBS1

Drug Receiving

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0978 Cart, Wire, Mobile, 72"H x 48"W x 24"D V/V1

F0530 Cart, Trash V/V1

F2026 Container, Recycling, Large V/V1

Department Name : Functional Area :

Room Code :

Room Name :

160 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD1

Filling and Assembly

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0648 Station, Picking, Pharm, U-Shape, Free Std, 144x72 V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

F3200 Clock, Battery, 12" Diameter V/V1

M1830 Printer, Label, Pharmacy V/V2

M7280 Dispensing System, Prescription, Robotic V/V2

P1960 Eyewash, Counter Top C/C1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R7050 Refrigerator, 25 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PHARMACY

SRR01

Refrigeration

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

R6060 Refrigerator, Biological, SS, 2 Door, 40 Cu Ft V/V1

R6100 Freezer, Food, Upright, CRS, 23 CUFT C/C1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD2

Storage, Active

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0612 Shelf Unit, Pharmacy, Wall Mtd, 88"Hx48"Wx16"D V/V6

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PHARMACY

SRCS1

Storage, Medical Supplies

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V4

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PHARMACY

TLTU1

Toilet, Staff

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

35 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

DR001

Dressing Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1030 Locker, 2 Person, Over/Under V/V1

A1080 Mirror, Posture, Wall Mounted C/C1

A5025 Bench, Locker Room, Portable V/V1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

OFA02

Office

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

TLTU1

Toilet, Patient

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

690 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

PTEA1

Treatment Exercise Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A1080 Mirror, Posture, Wall Mounted C/C4

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12 Private Treatment Area

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1 Private Treatment Area

F0340 Stool, Self Adjusting V/V1 Private Treatment Area

F0355 Footstool, Straight V/V1 Private Treatment Area

F2000 Basket, Wastepaper, Round, Metal V/V2

F3200 Clock, Battery, 12" Diameter V/V1

G0144 Ergometer, Recumbent Stepper V/V1

G1007 Ergometer, Stationary, Stair V/V1

G1026 Exercise Apparatus, Weight Training, Multi-Station V/V1

G1037 Weight Set, Exercise, Dumbbell V/V1

G1040 Rack, Dumbbell V/V1

G1043 Ergometer, Recumbent Bicycle, Computer Assisted V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1 Private Treatment Area

M8085 Lift, Patient, Electric, 600 Lb Cap, Bariatric V/V1

M8105 Bath, Paraffin, Hand/Foot V/V1 Private Treatment Area

M8110 Fluidotherapy Unit, Double Extremity V/V1 Private Treatment Area

M8125 Ergometer, Bicycle, Stationary V/V1

Department Name : Functional Area :

Room Code :

Room Name :

690 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

PTEA1

Treatment Exercise Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M8133 Ergometer, Upper Body V/V1

M8145 Exerciser, Staircase, Convertible V/V1

M8200 Ultrasonic Treatment Unit V/V1 Private Treatment Area

M8210 Cart, Weight, Physical Therapy, w/Weights V/V1

M8240 Parallel Bars, Physical Therapy V/V1

M8245 Platform, Exercise, w/Mat V/V1

M8305 Platform, Exercise, w/Mat, Powered V/V1

M8320 Table, Treatment, Hi/Lo V/V1 Private Treatment Area

M8330 Treadmill, Electric V/V1

M8335 Exerciser, Continuous Passive Motion (CPM) V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

SRE01

Storage, Equipment

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

XXYYC

Holding Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5020 Bench, Locker Room, Floor Mounted C/C1 Bolted to the floor

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

XXYYC

Operations Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5120 Window, Observation, One Way C/C2 one into Holding Room; one into Clinic

C0045 Frame, Apron, 1 Drawer, 4x36x22 C/C1

C0046 Frame, Apron, 2 Drawer, 4x48x22 C/C1

C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 C/C1

C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W C/C1

C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22 C/C1

CG040 Cabinet, W/H, 2 SH, 2 SGDO, Sloping Top, 38x36x13 C/C1

CG050 Cabinet, W/H, 2 SH, 2 SGDO, Sloping Top, 38x48x13 C/C1

CT030 Countertop, High Pressure Laminate C/C1

F0280 Chair, Swivel, Low Back V/V3

F0425 Cabinet, Filing, Security, Full Height V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3050 Whiteboard, Dry Erase C/C1

F3105 Safe, F/S , Class 5 V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0435 Monitor, CCTV, Small, 9" (Color) V/V1 quad CCTV capability

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V3

M1840 Printer/Copier/Fax Combination V/V1

M4125 Radio Communication System V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

SSS01

Secure Storage, Safe

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1032 Locker, Box, Personal Effects V/V1

F3100 Safe, Collection Agent V/V1 Gun safe

M2070 Shelving, Storage, 77hx36wx18d V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

LR001

Locker Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V4

A5025 Bench, Locker Room, Portable V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

OFA02

Office, Dispensing Prosthetic Clerk

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

SRCS1

Pros. Appl. Sto.: Mailing Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0048 Workcenter, Computer, Free Standing, 72" W V/V1

F0230 Chair, Drafting, Rotary V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V2

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

SRCS1

Pros. Appl. Sto.: Storage Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V4

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

RECP1

Reception and Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XVC01

Multi-Purpose/Viewing

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0045 Workcenter, Computer, Free Standing, 60" W V/V1

F0275 Chair, Swivel, High Back V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F2455 Transcription Unit, Standalone V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

X4122 Console, PACS, Remote View, 2k X 2k, 2 Monitors V/V1

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDR01

General Purpose Radiology Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F0355 Footstool, Straight V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

M4255 Stand, IV, Adjustable V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

X1405 Stand, Bucky, Vertical, Tilt, Automatic V/V1

X3150 Rack, Apron/Gloves, Wall Mounted C/C1

X5900 Radiographic Unit, 80 kW, Non-Tilt Table V/V1

Department Name : Functional Area :

Room Code :

Room Name :

50 Room Area :

OUTPATIENT CLINIC RADIOLOGY

DR001

Dressing Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1030 Locker, 2 Person, Over/Under V/V1

A1080 Mirror, Posture, Wall Mounted C/C1

A5025 Bench, Locker Room, Portable V/V1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC RADIOLOGY

OFDR1

Office, Staff Radiologist/Tech

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC RADIOLOGY

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V8

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

140 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

RECP1

FA1: Reception

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

SRE01

FA3: Storage, Equipment

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

250 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

CRA01

FA4: Conference Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

500 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

WRTM1

FA4: Team Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C12

A1015 Telephone, Desk, Multiple Line C/C6

F0275 Chair, Swivel, High Back V/V12

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V12

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V12

M1840 Printer/Copier/Fax Combination V/V2

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V12

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

WRTM2

FA4: Tele-Health Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

TLTU1

FA4: Toilet, Staff

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

WRTM1

FA5: Training Room/Flex

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC ANCILLARY DIAGNOSTIC SERVICES

OFDC2

FA2: Consult Room

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC BUSINESS SERVICES

WRTM1

Business Services Office

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC BUSINESS SERVICES

WRC01

Waiting Area

Project: VA CBOC Two PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V4

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.27

Th e Project Rooms Contents Report (PRCR) was generated on 8 April 2014 and is included on the CD-ROM found in the back of this Final Submittal.

Refer to the following pages for the Th ree-PACT CBOC Equipment Layout.

6.4 Project Rooms Contents Report + Layout

Three-PACT CBOC Prototype

6.28

This page has been left blank intentionally.

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.29

Three-PACT Community Based Outpatient Clinic Prototype L-Shaped Equipment Layout5 6 7 8

A

B

C

D

E

9 102 31

F

G

H

I

12 13

J

K

MOBILE TECH PAD

125 SF

MENTALHEALTH 3

125 SF

MENTALHEALTH 4

130 SF

MENTALHEALTH 1

125 SF

MENTALHEALTH 8

125 SF

MENTALHEALTH 6

125 SF

MENTALHEALTH 5

125 SF

MENTALHEALTH 2

125 SF

MENTALHEALTH 7

MH TEAM

125 SFEQUIP

203 SFPHOTO

125 SFEXAM 1

125 SF

BLINDREHAB

129 SF

CHIEFOFFICE

125 SFEXAM 1

125 SFEXAM 2

130 SFEXAM 3

125 SFEXAM 4

125 SFEXAM 5

125 SF

PODIATRYEXAM

125 SFTELEHEALTH

125 SFCLEAN

204 SFCAST ROOM

126 SFCONSULT

267 SFCONFERENCE

254 SF

EXERCISEROOM

70 SFDRESS

125 SF

BONEDENSITY

180 SFMAMMO

130 SFPRETEST 1

125 SFEXAM 8

125 SFEXAM 3

209 SF

LOW VISIONTHERAPY

125 SFEXAM 4

125 SFEXAM 2

125 SFEXAM 5

125 SFEXAM 6

125 SFEXAM 7

384 SF

GENERALRADIOLOGY

125 SF

RADIOLOGISTOFFICE

59 SFDRESSING

125 SFVIEWING 384 SF

R/F ROOM62 SF

P TOILET

182 SFULTRASOUND

62 SFTOILET

59 SFDRESSING

48 SFDRESSING 59 SF

TLT

122 SF

SHAREDTECH

OFFICE

139 SFDILATION

121 SF

FEMALESUB-WAIT

125 SFELEC

125 SFCOMM

467 SFRECEPT

122 SF

ADMINWORKROOM

125 SFELEC

125 SFCOMM

121 SFADMIN

125 SF

MENTALHEALTH 9

125 SF

MENTALHEALTH 10

125 SF

MENTALHEALTH 11

130 SFNEUROPSYCH

130 SFCONSULT 1

125 SFCONSULT 2

125 SFEXAM 8

125 SF

TELEHEALTHEXAM

97 SFH&W

130 SFCONSULT 1

125 SFCONSULT 2

125 SF

TELEHEALTHEXAM

125 SF

TELEHEALTHEXAM

124 SF

FLEXOFFICE

125 SF

CHIEFOFFICE

125 SF

NURSEMGR

125 SF

FLEXEXAM

125 SFEQUIP

125 SFCLEAN

125 SFCONSULT 3

152 SFCONSULT 4

266 SFCONFERENCE

130 SF

TRAINING/FLEX

TEAMLET 6 TEAMLET 5

TEAMLET 8 TEAMLET 7

TEAMLET 1TEAMLET 2

TEAMLET 3TEAMLET 4

75 SFS TLT

97 SFH&W

124 SF

FLEXOFFICE

130 SF

TRAINING/FLEX

123 SFLOCKERS

265 SFCONFERENCE

406 SF

LOUNGECLINICAL STAFF

125 SFEQUIP

125 SFCLEAN

TEAMLET 1TEAMLET 2

TEAMLET 3TEAMLET 4

97 SFH&W

124 SF

FLEXOFFICE

125 SFDTR

129 SFDTR

125 SFDTR

130 SF

DENTISTRYCONSULT

261 SF

TEAMCOLLAB

129 SFDTR

133 SFDTR

128 SFDTR

109 SF

SOILEDCART

129 SF

CLEANCART

230 SFLAB

125 SF

DENTISTRYMECH

96 SFSTORAGE

150 SFX-RAY 69 SF

P TLT

130 SFPRETEST 2

130 SFCONSULT 1

125 SFCONSULT 2

125 SF

TELEHEALTHRETINAL

125 SF

TELEHEALTHEXAM

125 SFCONSULT 4

65 SFP TLT

125 SFCONSULT 3

458 SFRECEPT

121 SFADMIN

122 SF

ADMINWORKROOM

126 SF

FLEXOFFICE

126 SF

FLEXOFFICE

131 SFH&W

125 SF

VISUALFIELDS 1

125 SF

VISUALFIELDS 2

130 SF

FITTING &DISP

125 SFEXAM 9

126 SF

FLEXOFFICE

126 SF

FLEXOFFICE

129 SF

STAFFWELLNESS

124 SF

CMOOFFICE124 SF

LOCKERS

125 SFELEC

125 SFCOMM

124 SFPROS

148 SF

PHARMACYCONSULT

1979 SFPHARMACY

MED ALCOVE

254 SF

LOUNGECLINICAL

STAFF

123 SFLOCKERS

125 SFEQUIPMENT

124 SF

FLEXOFFICE

129 SF

PHARMACYOFFICE

130 SF

FLEXOFFICE

283 SFCONSULT WINDOWS

MENTAL HEALTHTEAM WORK AREA

245 SF

FEMALETLT

221 SFMALE TLT

303 SFGROUP ROOM

375 SF

SHAREDMEDICAL APPT

ROOM

125 SF

FLEXOFFICE

229 SF

BUSINESSSERVICES

258 SFMALE TLT

258 SF

FEMALETLT

129 SFEXAM 4

125 SFEXAM 3

68 SFP TLT

125 SFEXAM 1

129 SFEXAM 2

128 SF

WOMEN'SHEALTH 2

57 SFWH TLT

57 SFWH TLT

134 SF

WOMEN'SHEALTH 1

25 SFMED ALCOVE

80 SF

FAMILYTLT

80 SF

FAMILYTLT

120 SF

FLEXOFFICE

120 SF

FLEXOFFICE 403 SF

SHAREDMEDICAL APPT

ROOM

34 SFSTOR.

37 SFSTOR.

303 SF

GROUPROOM

68 SFS TLT

125 SFEXAM 8

129 SFEXAM 7

129 SFEXAM 4

125 SFEXAM 3

68 SFP TLT

128 SFEXAM 6

129 SFEXAM 5

73 SFPROCED. TLT

180 SFPROCEDURE

180 SFPROCEDURE

128 SFEXAM 1

129 SFEXAM 2

72 SFPROCED. TLT

26 SFMED ALCOVE

33 SFEQUIP

1041 SF

PACT + EXTENDEDCARE TEAM WORK AREA

1041 SF

PACT + EXTENDEDCARE TEAM WORK AREA

66 SFJ.C.

125 SFEXAM 7

129 SFEXAM 6

125 SF

TELEHEALTHEXAM

68 SFS TLT

125 SFEXAM 3

129 SFEXAM 4

125 SFCOMM

129 SFEXAM 2

1041 SF

PACT + EXTENDEDCARE TEAM WORK AREA

128 SFEXAM 1

180 SFPROCEDURE

99 SFCLEAN

158 SF

BULKSTORAGE

64 SFTLT

69 SF

SPECTLT

28 SFMED ALCOVE

132 SF

WOMEN'SHEALTH 1

132 SF

WOMEN'SHEALTH 1

57 SFWH TLT 57 SF

WH TLT

129 SF

WOMEN'SHEALTH 2

128 SFEXAM 5

72 SFPROCED. TLT

57 SFWH TLT

57 SFWH TLT

129 SF

WOMEN'SHEALTH 2

128 SFEXAM 5

133 SF

FLEXOFFICE

129 SFCONSULT 3

129 SF

TELEHEALTHEXAM

129 SFEXAM 8 195 SF

BIO MED

116 SF

A&MMSUPERVISOR

129 SF

FLEXOFFICE

129 SF

FLEXOFFICE

155 SFCONSULT 467 SF

S TLT

125 SFEXAM 7

129 SFEXAM 6

125 SF

FLEXOFFICE

119 SFELEC

122 SFCOMM

69 SFHOLDING

51 SFSAFE

262 SFOIT

126 SF

POLICELOCKER

363 SFSTORAGE 130 SF

DOCK

80 SFMED GAS

60 SFBIO H.

??

661 SFMEP

129 SFFIRE

191 SFMAIN ELEC

118 SF

BLOODDRAW 5

79 SF

BLOODDRAW 4

79 SF

BLOODDRAW 3

78 SF

BLOODDRAW 2

79 SF

BLOODDRAW 1

77 SFTLT

247 SFAUDIO EXAM 2

242 SFAUDIO EXAM 3

67 SFS TLT

174 SFPROCEDURE

65 SF

PROCTLT

125 SF

HEARINGAID

125 SF

EXAM /CONSULT

67 SFTLT

125 SFELECTRO

209 SFVESTIBULOGRAPHY

129 SF

SECTIONCHIEF

247 SFAUDIO EXAM 1

247 SFAUDIO EXAM 2

125 SF

EXAM /CONSULT

125 SF

EXAM /CONSULT

380 SF

HBPC TEAMWORK AREA

18 SFEQUIP

18 SFEQUIP130 SF

PMROFFICE

121 SF

HBPCSTORAGE

914 SFPMR GYM

155 SFPMR STORAGE

64 SFDRESSING

63 SFTLT

379 SF

PROS FITTING /STORAGE

29 SFSTOR.

307 SF

SHAREDMEDICAL APPT

ROOM

121 SF

FLEXOFFICE

121 SF

FLEXOFFICE

104 SFPOLICE

187 SFVESTIBULE

52 SF

WHEELCHAIRS

25 SFC.C. ALCOVE

24 SFC.C. ALCOVE

22 SFC.C. ALCOVE

73 SFJ.C.

125 SFEXAM 10

70 SFTLT

70 SFTLT

300 SFGROUP

58 SFSTORAGE

11

31' - 10" 31' - 10" 63' - 8" 31' - 10" 31' - 10" 31' - 10" 31' - 10" 32' - 5" 31' - 3" 31' - 10" 31' - 10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

31' -

10"

351' - 9"

319'

- 11"

507 SF

ANCILLARY DIAGNOSTICSERVICES TEAM WORK AREA

125 SF

FLEXOFFICE

19 SFSTOR.

29 SFSTOR.

93 SF

SHIPPING/RECEIVING

33 SFEQUIP33 SF

EQUIP

4

COMMONS

KIOSKS

KIOSKS

CANTEEN

CANTEEN SEATING

PATIENTEDUCATION

FAMILYWAITING

172 SF

CANTEENOFFICE/

STORAGE100 SFISSUE

Figure 6.15

Th ree-PACT CBOC Prototype L-Shaped Equipment Layout

A

B

C

D

E

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.26

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.31

Three-PACT Community Based Outpatient Clinic Prototype L-Shaped Equipment Layout

Area A

125 SF

MENTALHEALTH 3

125 SF

MENTALHEALTH 4

130 SF

MENTALHEALTH 1

125 SF

MENTALHEALTH 8

125 SF

MENTALHEALTH 6

125 SF

MENTALHEALTH 5

125 SF

MENTALHEALTH 2

125 SF

MENTALHEALTH 7

MH TEAM

125 SF

MENTALHEALTH 9

125 SF

MENTALHEALTH 10

125 SF

MENTALHEALTH 11

130 SFNEUROPSYCH

130 SFCONSULT 1

125 SFCONSULT 2

125 SFEXAM 8

125 SF

TELEHEALTHEXAM

97 SFH&W

130 SFCONSULT 1

125 SFCONSULT 2

125 SF

TELEHEALTHEXAM

125 SF

TELEHEALTHEXAM

124 SF

FLEXOFFICE

125 SF

CHIEFOFFICE

125 SF

NURSEMGR

125 SF

FLEXEXAM

125 SFEQUIP

125 SFCLEAN

125 SFCONSULT 3

152 SFCONSULT 4

266 SFCONFERENCE

130 SF

TRAINING/FLEX

TEAMLET 6 TEAMLET 5

TEAMLET 8 TEAMLET 7

TEAMLET 1TEAMLET 2

TEAMLET 3TEAMLET 4

75 SFS TLT

97 SFH&W

124 SF

FLEXOFFICE

123 SFLOCKERS

406 SF

LOUNGECLINICAL STAFF

125 SFEQUIP

12 CL

1CON

1CON

1

TELERE

12

TELEE

12CON

6P

12CON

121 SFADMINFLEX

OFFICE

FLEXOFFICE

124 SFLOCKERS

125 SFELEC

125 SFCOMM

MENTAL HEALTHTEAM WORK AREA

129 SFEXAM 4

125 SFEXAM 3

68 SFP TLT

125 SFEXAM 1

129 SFEXAM 2

128 SF

WOMEN'SHEALTH 2

57 SFWH TLT

57 SFWH TLT

134 SF

WOMEN'SHEALTH 1

25 SFMED ALCOVE

FAMILYTLT FLEX

OFFICE34 SFSTOR.

37 SFSTOR.

68 SFS TLT

125 SFEXAM 8

129 SFEXAM 7

129 SFEXAM 4

125 SFEXAM 3

68 SFP TLT

128 SFEXAM 6

129 SFEXAM 5

73 SFPROCED. TLT

180 SFPROCEDURE

180 SFPROCEDURE

128 SFEXAM 1

129 SFEXAM 2

72 SFPROCED. TLT

26 SFMED ALCOVE

33 SFEQUIP

1041 SF

PACT + EXTENDEDCARE TEAM WORK AREA

1041 SF

PACT + EXTENDEDCARE TEAM WORK AREA

66 SFJ.C.

125 SFEXAM 7

129 SFEXAM 6

125 SF

TELEHEALTHEXAM

64 STL

132 SF

WOMEN'SHEALTH 1

57 SFWH TLT 57 SF

WH TLT

129 SF

WOMEN'SHEALTH 2

128 SFEXAM 5

25 SFC.C. ALCOVE

24 SFC.C. ALCOVE

70 SFTLT

FLEXOFFICE

19 SFSTOR.

29 SFSTOR.

33 SFEQUIP

A

B

C

D

E

Figure 6.16

Th ree-PACT CBOC PrototypeL-Shaped Equipment LayoutArea A

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

A

B

C

D

5 6 72 31 4

This page has been left blank intentionally.

6.32

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.33

Three-PACT Community Based Outpatient Clinic Prototype L-Shaped Equipment Layout

Area B

130 SF 130 SFU O S C

130 SF97 SF130 SF 124 SF 97 SF 124 SF

458 SFRECEPT

121 SFADMIN

122 SF

ADMINWORKROOM

126 SF

FLEXOFFICE

126 SF

FLEXOFFICE

245 SF

FEMALETLT

221 SFMALE TLT

303 SFGROUP ROOM

375 SF

SHAREDMEDICAL APPT

ROOM

125 SF

FLEXOFFICE

229 SF

BUSINESSSERVICES

134 SFHEALTH 1

80 SF

FAMILYTLT

80 SF

FAMILYTLT

120 SF

FLEXOFFICE

120 SF

FLEXOFFICE 403 SF

SHAREDMEDICAL APPT

ROOM

34 SFSTOR.

37 SFSTOR.

303 SF

GROUPROOM

180 SF72 SF

PROCED. TLT

6

132 SF

104 SFPOLICE

187 SFVESTIBULE

52 SF

WHEELCHAIRS

70 SFTLT

70 SFTLT

125 SF

FLEXOFFICE

19 SFSTOR.

29 SFSTOR.

COMMONS

KIOSKS

CANTEEN

CANTEEN SEATING

PATIENTEDUCATION

FAMILYWAITING

Figure 6.17

Th ree-PACT CBOC PrototypeL-Shaped Equipment LayoutArea B

A

B

C

D

E

5 62 31 4

D

E

F

G

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.34

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.35

Three-PACT Community Based Outpatient Clinic Prototype L-Shaped Equipment Layout

Area C

MOBILE TECH PAD

70 SFDRESS

MAMMO

GENERALRADIOLOGY

59 SFDRESSING

R/F ROOM62 SF

P TOILET62 SF

TOILET59 SF

DRESSING

48 SFDRESSING 59 SF

TLT

122 SF

SHAREDTECH

OFFICE 121 SF

FEMALESUB-WAIT

125 SFELEC

125 SFCOMM

SFULT 1

SFULT 2

SFM 8

SF

EALTHAM

SF

EXAM

130 SF

TRAINING/FLEX 265 SF

CONFERENCE

5 SFQUIP

125 SFCLEAN

TEAMLET 1TEAMLET 2

TEAMLET 3TEAMLET 4

97 SFH&W

124 SF

FLEXOFFICE

130 SFCONSULT 1

125 SFCONSULT 2

125 SF

TELEHEALTHRETINAL

125 SF

TELEHEALTHEXAM

125 SFCONSULT 4

65 SFP TLT

125 SFCONSULT 3

129 SF

STAFFWELLNESS

124 SF

CMOOFFICE

SFC.

SF

EALTHAM

68 SFS TLT

125 SFEXAM 3

129 SFEXAM 4

125 SFCOMM

129 SFEXAM 2

1041 SF

PACT + EXTENDEDCARE TEAM WORK AREA

128 SFEXAM 1

180 SFPROCEDURE

99 SFCLEAN

BULK

64 SFTLT

69 SF

SPECTLT

28 SFMED ALCOVE

132 SF

WOMEN'SHEALTH 1

72 SFPROCED. TLT

57 SFWH TLT

57 SFWH TLT

129 SF

WOMEN'SHEALTH 2

128 SFEXAM 5

133 SF

FLEXOFFICE

129 SFCONSULT 3

129 SF

TELEHEALTHEXAM

129 SFEXAM 8 195 SF

BIO MED

116 SF

A&MMSUPERVISOR

129 SF

FLEXOFFICE

129 SF

FLEXOFFICE

155 SFCONSULT 467 SF

S TLT

125 SFEXAM 7

129 SFEXAM 6

125 SF

FLEXOFFICE

119 SFELEC

122 SFCOMM

69 SFHOLDING

51 SFSAFE

262 SFOIT

126 SF

POLICELOCKER

363 SFSTORAGE 130 SF

DOCK

80 SFMED GAS

60 SFBIO H.

??

661 SFMEP

129 SFFIRE

191 SFMAIN ELEC

22 SFC.C. ALCOVE

31' -

10"

31' -

10"

31' -

10"

31' -

10"

93 SF

SHIPPING/RECEIVING

33 SFEQUIP

172 SF

CANTEENOFFICE/

STORAGE100 SFISSUE

Figure 6.18

Th ree-PACT CBOC PrototypeL-Shaped Equipment LayoutArea C

A

B

C

D

E

7 8 9 10 1211

A

B

C

D

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.36

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.37

Three-PACT Community Based Outpatient Clinic Prototype L-Shaped Equipment Layout

Area D

125 SFEXAM 1

125 SFEXAM 1

125 SFEXAM 2

130 SFEXAM 3

125 SFEXAM 4

125 SFEXAM 5

125 SF

PODIATRYEXAM

125 SFTELEHEALTH

125 SFCLEAN

204 SFCAST ROOM

126 SFCONSULT

267 SFCONFERENCE

254 SF

EXERCISEROOM

70 SFDRESS

125 SF

BONEDENSITY

180 SFMAMMO

130 SFPRETEST 1

125 SFEXAM 3

125 SFEXAM 4

125 SFEXAM 2

125 SFEXAM 5

125 SFEXAM 6

384 SF

GENERALRADIOLOGY

125 SF

RADIOLOGISTOFFICE

59 SFDRESSING

125 SFVIEWING 384 SF

R/F ROOM62 SF

P TOILET

182 SFULTRASOUND

62 SFTOILET

59 SFDRESSING

48 SFDRESSING 59 SF

TLT

122 SF

SHAREDTECH

OFFICE 121 SF

FEMALESUB-WAIT

467 SFRECEPT

122 SF

ADMINWORKROOM

121 SFADMIN

130 SFPRETEST 2

131 SFH&W

126 SF

FLEXOFFICE

126 SF

FLEXOFFICE

MED ALCOVE

125 SFEQUIPMENT

124 SF

FLEXOFFICE

99 SFCLEAN

158 SF

BULKSTORAGE

64 SFTLT

69 SF

SPECTLT

118 SF

BLOODDRAW 5

79 SF

BLOODDRAW 4

79 SF

BLOODDRAW 3

78 SF

BLOODDRAW 2

79 SF

BLOODDRAW 1

77 SFTLT

247 SFAUDIO EXAM 2

242 SFAUDIO EXAM 3

67 SFS TLT

174 SFPROCEDURE

65 SF

PROCTLT

125 SF

HEARINGAID

125 SF

EXAM /CONSULT

67 SFTLT

125 SFELECTRO

209 SFVESTIBULOGRAPHY

129 SF

SECTIONCHIEF

247 SFAUDIO EXAM 1

247 SFAUDIO EXAM 2

125 SF

EXAM /CONSULT

125 SF

EXAM /CONSULT

29 SFSTOR.

307 SF

SHAREDMEDICAL APPT

ROOM

121 SF

FLEXOFFICE

121 SF

FLEXOFFICE

73 SFJ.C.

0 SFTLT

0 SFTLT

300 SFGROUP

58 SFSTORAGE

507 SF

ANCILLARY DIAGNOSTICSERVICES TEAM WORK AREA

93 SF

SHIPPING/RECEIVING

KIOSKS

Figure 6.19

Th ree-PACT CBOC PrototypeL-Shaped Equipment LayoutArea D

A

B

C

D

E

7 8 9 10 1211

E

F

G

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.38

Final Submittal May 16, 2014 CBOC Prototype Equipment LayoutsOffi ce of Construction & Facilities Management

Department of Veterans Aff airs

Prototype for Standardized Design and Construction of Community Based Outpatient Clinics

6.39

Three-PACT Community Based Outpatient Clinic Prototype L-Shaped Equipment Layout

Area E

125 SFEQUIP

203 SFPHOTO

125 SF

BLINDREHAB

129 SF

CHIEFOFFICE

267 SFCONFERENCE

125 SFEXAM 8

209 SF

LOW VISIONTHERAPY

125 SFEXAM 4

125 SFEXAM 5

125 SFEXAM 6

125 SFEXAM 7

139 SFDILATION

125 SFELEC

125 SFCOMM

125 SFDTR

129 SFDTR

125 SFDTR

130 SF

DENTISTRYCONSULT

261 SF

TEAMCOLLAB

129 SFDTR

133 SFDTR

128 SFDTR

109 SF

SOILEDCART

129 SF

CLEANCART

230 SFLAB

125 SF

DENTISTRYMECH

96 SFSTORAGE

150 SFX-RAY 69 SF

P TLT

130 SFPRETEST 2

125 SF

VISUALFIELDS 1

125 SF

VISUALFIELDS 2

130 SF

FITTING &DISP

125 SFEXAM 9

124 SFPROS

148 SF

PHARMACYCONSULT

1979 SFPHARMACY

254 SF

LOUNGECLINICAL

STAFF

123 SFLOCKERS

129 SF

PHARMACYOFFICE

130 SF

FLEXOFFICE

283 SFCONSULT WINDOWS

258 SFMALE TLT

258 SF

FEMALETLT

380 SF

HBPC TEAMWORK AREA

18 SFEQUIP

18 SFEQUIP130 SF

PMROFFICE

121 SF

HBPCSTORAGE

914 SFPMR GYM

155 SFPMR STORAGE

64 SFDRESSING

63 SFTLT

379 SF

PROS FITTING /STORAGE

29 SFSTOR.

307 SF

SHAREDMEDICAL APPT

ROOM

121 SF 121 SF

125 SFEXAM 10

507 SFSERVICES TEAM WORK AREA

Figure 6.20

Th ree-PACT CBOC PrototypeL Shaped Equipment LayoutArea E

A

B

C

D

E

7 8 9 10 1211

H

I

J

K

GRAPHIC SCALE:

0'

1/16" = 1'-0"

16' 16' 32'8'

This page has been left blank intentionally.

6.40

(Publish date for Contents: 2/4/2013 9:13:29 AM)(Publish date for Rooms/Contents Assignments: 2/4/2013 9:13:29 AM)

Project originated by: Chris Phillips on 4/2/2014 6:13:33 PM9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX [email protected]

Project Name: VA CBOC (THREE PACT) UNIQUE ROOMSProject Description: PROTOTYPE

Project Location: OFFICE OF CONSTRUCTION & FACILITY MANAGEMENTState: DCVISN: 5Midpoint Year: 2014Project ID:

Installation: VA MEDICAL CENTER, WASHINGTON, D.C.Station ID & Name: 688 - WASHINGTON, DC

Projected Year: 2014

Space Plan last updated by: Chris Phillips on 4/8/2014 2:57:13 PM

Contents List originated by: Chris Phillips on 10/18/2013 3:47:58 AM9442 Capital of Texas Highway North, Arboretum Plaza I, Suite 325

Austin, TX [email protected]

Contents List last updated by: Chris Phillips on 4/3/2014 10:07:04 AM

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

MMRP1

Receiving and Issue area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2700 Reader, Bar Code, Hand Held, With Interface V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V1

M2115 Truck, Hand, 2 Wheel V/V1

M2130 Truck, Hydraulic Lift, Electric V/V1

M7780 Scanner, Document V/V1

Department Name : Functional Area :

Room Code :

Room Name :

130 Room Area :

OUTPATIENT CLINIC LOGISTICS

DOCK1

Receiving and Shipping Dock

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A6125 Leveler, Dock C/C1

K0450 Curtain, Air C/C1

M2105 Pallet Lift, Hydraulic, Manual, 48" Pallet V/V1

M2115 Truck, Hand, 2 Wheel V/V1

M2120 Truck, Platform, 4 Wheel V/V1

M4025 Scale, Roll On, Freestanding, 2000 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRHM1

Storage, Bio-hazard Waste

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2005 Cabinet, Storage, Acid, Floor Standing, Shelves V/V1

M2020 Cabinet, Storage, Safety, Built-In, Vented C/C1

M2070 Shelving, Storage, 77hx36wx18d V/V1

P2450 Valve, Mixing, Thermostatic C/C1

P5210 Shower, Safety, Freestanding, With Eye/Face Wash C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRE01

Storage, Equipment

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC LOGISTICS

MMGS1

Storage, Medical and General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2085 Shelving, Storage, Pallet V/V8

M2090 Shelving, Storage, Warehouse V/V8

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC LOGISTICS

SRGC1

Storage, Medical Gas

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2025 Rack, Storage, Cylinder, Gas C/C2

M2115 Truck, Hand, 2 Wheel V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOGISTICS

OFA02

Office, Supervisor, Supply Management Section

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RECP1

FA1: Reception

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA1: Toilet, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRC01

FA1: Waiting, PACT Module

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRF01

FA1: Waiting, Family

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0215 Chair, Child's V/V4

F2045 Furniture, Playroom, Assorted V/V1

M0430 Recorder/ Player, Digital, Video, DVD V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTB1

FA2: Toilet, General Procedure Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

EXPA1

FA2: Exam Room, Patient Aligned Care Team (PACT)

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

EXW01

FA2: Exam Room, Womens Health

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

OFDC2

FA2: Consult Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

PEHW1

FA2: Height/Weight Station

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

CLSC4

FA2: Shared Medical Appointment Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

SRSE1

FA2: Storage, Shared Medical Appointments

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA2: Toilet, Women's Health Exam Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA2: Patient Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RCA02

FA3: Alcove, Medication

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

CRA01

FA4: Conference Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

LR004

FA4: Locker Area, Clinical Staff Personal Property

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V15

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

OFA03

FA4: Extended Team Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V1

Department Name : Functional Area :

Room Code :

Room Name :

220 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

SL001

FA4: Lounge, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0225 Chair, Dining Room V/V8

F0795 Table, Dining V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

F3050 Whiteboard, Dry Erase C/C1

F3200 Clock, Battery, 12" Diameter V/V1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

K4665 Oven, Microwave, Consumer V/V1

K8250 Toaster, Pop-Up, 4 Slice, Electric V/V1

M0506 Television, Flat Screen V/V1

R7000 Refrigerator, 14 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM1

FA4: Shared Documentation Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM2

FA4: Tele-Health Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WKTM1

FA4: Workroom

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

F0415 Cabinet, Filing, Lateral, Full Height, 5 Drawer V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

M1810 Copier, Floor Standing, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM1

FA5: Training Room/Flex

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

WRTM2

FA4: Tele-Retinal Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M6050 Retinal Imaging System, Fluoroscein/Indocyanine V/V1 include table or stand

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

OFA02

FA4: Administrative Office

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #1

RCA01

FA3: Resuscitation Cart Alcove

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

M8770 Aspirator/Pressure Unit, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RECP1

FA1: Reception

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA1: Toilet, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRC01

FA1: Waiting, PACT Module

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRF01

FA1: Waiting, Family

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0215 Chair, Child's V/V4

F2045 Furniture, Playroom, Assorted V/V1

M0430 Recorder/ Player, Digital, Video, DVD V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTB1

FA2: Toilet, General Procedure Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

EXPA1

FA2: Exam Room, Patient Aligned Care Team (PACT)

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

EXW01

FA2: Exam Room, Womens Health

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

OFDC2

FA2: Consult Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

PEHW1

FA2: Height/Weight Station

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

CLSC4

FA2: Shared Medical Appointment Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

SRSE1

FA2: Storage, Shared Medical Appointments

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA2: Toilet, Women's Health Exam Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA2: Patient Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RCA02

FA3: Alcove, Medication

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

CRA01

FA4: Conference Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

LR004

FA4: Locker Area, Clinical Staff Personal Property

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V15

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

OFA03

FA4: Extended Team Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V1

Department Name : Functional Area :

Room Code :

Room Name :

220 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

SL001

FA4: Lounge, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0225 Chair, Dining Room V/V8

F0795 Table, Dining V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

F3050 Whiteboard, Dry Erase C/C1

F3200 Clock, Battery, 12" Diameter V/V1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

K4665 Oven, Microwave, Consumer V/V1

K8250 Toaster, Pop-Up, 4 Slice, Electric V/V1

M0506 Television, Flat Screen V/V1

R7000 Refrigerator, 14 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRTM1

FA4: Shared Documentation Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRTM2

FA4: Tele-Health Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WKTM1

FA4: Workroom

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

F0415 Cabinet, Filing, Lateral, Full Height, 5 Drawer V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

M1810 Copier, Floor Standing, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

WRTM1

FA5: Training Room/Flex

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

OFA02

FA4: Administrative Office

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #2

RCA01

FA3: Resuscitation Cart Alcove

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

M8770 Aspirator/Pressure Unit, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

RECP1

FA1: Reception

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TLTU1

FA1: Toilet, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

WRC01

FA1: Waiting, PACT Module

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

WRF01

FA1: Waiting, Family

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0215 Chair, Child's V/V4

F2045 Furniture, Playroom, Assorted V/V1

M0430 Recorder/ Player, Digital, Video, DVD V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TLTB1

FA2: Toilet, General Procedure Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

EXPA1

FA2: Exam Room, Patient Aligned Care Team (PACT)

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 8

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

EXW01

FA2: Exam Room, Womens Health

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 Wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

OFDC2

FA2: Consult Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

PEHW1

FA2: Height/Weight Station

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TRPR1

FA2: Procedure Room, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

CLSC4

FA2: Shared Medical Appointment Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

SRSE1

FA2: Storage, Shared Medical Appointments

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0295 Chair, Stacking V/V5

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TLTU1

FA2: Toilet, Women's Health Exam Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TLTU1

FA2: Patient Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

RCA02

FA3: Alcove, Medication

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

CRA01

FA4: Conference Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0115 Bookcase, Open, 5 Shelf V/V1

F0220 Chair, Conference V/V12

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F0755 Table, Conference, Wood V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

F3230 Rack, Hat / Coat, Wall Mounted C/C1

M0385 Projector, Multimedia/Data V/V1

M0400 Screen, Projection, 144x144, Remote Control C/C1

M0506 Television, Flat Screen V/V2

M0507 Video Teleconferencing System V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

LR004

FA4: Locker Area, Clinical Staff Personal Property

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V15

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

OFA03

FA4: Extended Team Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V1

Department Name : Functional Area :

Room Code :

Room Name :

220 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

SL001

FA4: Lounge, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0225 Chair, Dining Room V/V8

F0795 Table, Dining V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

F3050 Whiteboard, Dry Erase C/C1

F3200 Clock, Battery, 12" Diameter V/V1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

K4665 Oven, Microwave, Consumer V/V1

K8250 Toaster, Pop-Up, 4 Slice, Electric V/V1

M0506 Television, Flat Screen V/V1

R7000 Refrigerator, 14 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

WRTM1

FA4: Shared Documentation Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

WRTM2

FA4: Tele-Health Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

WKTM1

FA4: Workroom

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

F0415 Cabinet, Filing, Lateral, Full Height, 5 Drawer V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

M1810 Copier, Floor Standing, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

WRTM1

FA5: Training Room/Flex

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

OFA02

FA4: Administrative Office

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC PATIENT ALIGNED CARE TEAM (PACT) MODULE #3

RCA01

FA3: Resuscitation Cart Alcove

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

M8770 Aspirator/Pressure Unit, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

OPMH1

AUD: Group Therapy Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0220 Chair, Conference V/V8

F0755 Table, Conference, Wood V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

EXOS1

AUD: Exam/Consult

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 3

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1016 Telephone, Desk, With Speaker C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0020 Hearing Aid Analyzer V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

TLTU1

AUD: Patient Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

260 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

PEHS4

AUD: Suite, Audiometric Exam

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 3

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V2

F0280 Chair, Swivel, Low Back V/V2

F0860 Table, Mobile V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0010 Recorder, Tape, w/Delayed Audio Feedback V/V1

M0025 Audiometer, Diagnostic, Middle Ear, Impedance V/V1

M0030 Audiometer, Diagnostic V/V1

M0041 Booth, Audio, Double Wall, Suite C/C1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

SRSE1

Equipment Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2070 Shelving, Storage, 77hx36wx18d V/V2

Department Name : Functional Area :

Room Code :

Room Name :

140 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

RECP1

Office, Reception / Control Clerk

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

EXEN1

AUD: Electrophysiology Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C1

E0222 Worksurface, Computer, O/H Cab,Wall Mtd, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

F3200 Clock, Battery, 12" Diameter V/V1

M0035 Analyzer, Auditory, Evoked Potential V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M8830 Table, Instrument/Dressing, Mobile V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

EXOS1

Office, Therapy Room, Speech Pathologist

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1016 Telephone, Desk, With Speaker C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

EXVE1

AUD: Vestibulography Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0222 Worksurface, Computer, O/H Cab,Wall Mtd, 48" W V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0210 Chair, Side, Without Arms V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7730 Electronystagmograph w/Accessories V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

225 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

OPMH1

Group Therapy Room, Speech Pathology

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0220 Chair, Conference V/V8

F0755 Table, Conference, Wood V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC AUDIOLOGY AND SPEECH PATHOLOGY

HAFR1

Hearing Aid Programming/Fitting

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0210 Chair, Side, Without Arms V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0020 Hearing Aid Analyzer V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4915 Chair, Exam/Treatment, ENT, w/Adjustable Light V/V1

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC CANTEEN

BX001

Vending Machine Area and Seating

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A6030 Machine, Vending V/C2

F0225 Chair, Dining Room V/V2

F0795 Table, Dining V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC HOME-BASED PRIMARY CARE

SRE01

Storage Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC HOME-BASED PRIMARY CARE

SL002

Team Room, Home-Based Primary Care

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1015 Telephone, Desk, Multiple Line C/C3

F0275 Chair, Swivel, High Back V/V6

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V6

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V6

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V6

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC CLINIC MANAGEMENT

OFA02

Office, Nurse Manager

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC CLINIC MANAGEMENT

OFA02

Office, CMO

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC DENTISTRY

DNTG2

FA #2: Operatory, Multi-Functional

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 6

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5150 Hook, Garment, Triple, Surface Mounted C/C1

D0675 Console, Central, Dual Access, Dental Operatory C/C1

D0680 Console, Accessory/Side, Dental Operatory C/C2

D0685 Cabinet, Storage, Dental Operatory, Wall MNTD C/C2

D2520 Cabinet, Mobile, Storage/Assistant, Dental V/V1

D3320 Chair, Operating, Dental V/V1

D3380 Stool, Operating, Dental, Doctor V/V1

D3390 Stool, Operating, Dental, Assistant V/V1

D3565 Resin Curing Unit, Visible Light V/V1

D6050 Light, Dental, Operating, Ceiling, Track CF1

D6570 Bath, Water, Impression V/V1

D7090 Utility Center, Dental, Wall or Floor Mounted V/C1

D8250 Delivery System, Dental Operating V/V1

D8850 Amalgamator, Dental V/V1

D9060 Prophylaxis Unit, Ultrasonic V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2 1 for imagining purposes

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC DENTISTRY

DNTG2

FA #2: Operatory, Multi-Functional

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 6

JSN JSN Nomenclature Acq/InsQty Comment

M4116 Monitor, Vital Signs V/V1

X6600 Radiographic Unit, Dental, Wall Mounted, 7 mA V/V1

X6610 Sensor, Dental Imaging System V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC DENTISTRY

DNPL1

FA #5: Dental Prosthetic Laboratory

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

C01D0 Cabinet, U/C/B, 4 Drawer, 36x18x22 C/C1

C02B0 Cabinet, U/C/B, 2 Shelves, 1 Door, 36x24x22 C/C1

C03F0 Cabinet, U/C/B, 1 Shelf, 2 Half DR, 2 DO, 36x30x22 C/C1

C03G0 Cabinet, U/C/B, 2 Shelf, 2 Door, 36x30x22 C/C1

C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W C/C1

C04F0 Cabinet, U/C/B, 1 Shelf, 2 Half DR, 2 DO, 36x36x22 C/C1

C04G0 Cabinet, U/C/B, 2 Shelf, 2 Door, 36x36x22 C/C1

C05P0 Cabinet, Sink, U/C/B, 2 Door, 36x48x22 C/C1

C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 C/C1

CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 C/C1

CE040 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x36x13 C/C1

CE050 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x48x13 C/C1

CS090 Sink, SS, Single Compartment, 7.5x19x16 ID C/C1

CS200 Sink, SS, Single Compartment, 12x28x16 ID C/C1

CT050 Countertop, Stainless Steel C/C23

D0666 Cabinet, Wall Hanging, Dental Laboratory, 30x48x12 C/C1

D0755 Tank Assembly, Boilout/Curing, Double C/C1

D0795 Sink, CRS, 18 Gauge, With Faucet, 11x18x14 C/C1

D0820 Cleaner, Ultrasonic, 6 Quart Capacity V/V1

D0900 Workstation, Dental Lab, Receiving C/C1

D0942 Workstation, Dental Lab, Microblasting V/V1

D0960 Workstation, Dental Lab, Plaster C/C1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC DENTISTRY

DNPL1

FA #5: Dental Prosthetic Laboratory

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

D0980 Workstation, Dental Lab, Polishing, Single C/C1

D3295 Chair, Rotary, Laboratory, Dental V/V3

D3565 Resin Curing Unit, Visible Light V/V1

D4100 Cleaner, Steam, Dental V/V1

D4260 Handpiece, Laboratory, Dental, Electric V/V4

D4320 Press, Flask, Hydraulic, Single Flask V/V1

D4510 Furnace, Laboratory, Porcelain Glazing V/V1

D4560 Engine, Dental, Bench, Electric V/V1

D4590 Chisel, Dental, Pneumatic V/V1

D6600 Mixer / Investor, With Vacuum V/V1

D6650 Former, Vacuum, With Motor, Vacuum Pump, Heater V/V1

D8540 Sandblaster, Complete V/V1

D8620 Bin, Plaster, 3 Compartment C/C1

D8650 Chute, Waste, Plaster, Counter Mounted C/C1

D8950 Vibrator, Dental, Heavy Duty V/V1

D9015 Microfinisher, Dental, Counter Mounted C/C1

D9035 Driver, Model Indexing Pins V/V1

D9050 Trimmer, Model, Dental, 1/4 HP V/C1

D9280 Legs, Rail, Apron C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

L2255 Canopy, Hood, Exhaust Stack, Individual C/C1

M1210 Balance, Electronic, Laboratory/Pharmacy V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M2020 Cabinet, Storage, Safety, Built-In, Vented C/C1

P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free C/C1

P7650 Trap, Plaster, Small C/C1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC DENTISTRY

DNPL1

FA #5: Dental Prosthetic Laboratory

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

T0280 Drill Press, Bnch/Mntd V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC DENTISTRY

LCCL1

FA #3: Linen Room and Clean SPD Cart

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0515 Cart, Supply, Linen V/V2

M2070 Shelving, Storage, 77hx36wx18d V/V2

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC DENTISTRY

MECH1

FA #3: Dental Equipment Mechanical Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

L2000 Purification System, Water C/C1 To supply purified water to the dental operatories

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC DENTISTRY

OFC01

FA #4: Consult Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC DENTISTRY

WRCH1

FA #4: Team Collaboration Room, Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC DENTISTRY

RECP1

FA #1: Reception

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC DENTISTRY

TLTU1

FA #2: Patient Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC DENTISTRY

LCSL1

FA #3: Soiled SPD Cart Holding

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

C01D0 Cabinet, U/C/B, 4 Drawer, 36x18x22 C/C1

C03H0 Cabinet, U/C/B, 2 Half Drawers, 3 DR, 36x30x22 C/C1

C04F0 Cabinet, U/C/B, 1 Shelf, 2 Half DR, 2 DO, 36x36x22 C/C1

C04P0 Cabinet, Sink, U/C/B, 2 Door, 36x36x22 C/C1

CE040 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x36x13 C/C1

CS180 Sink, SS, Single Compartment, 12x22x16 ID C/C1

CT050 Countertop, Stainless Steel C/C10

F0510 Cart, Linen, Soiled V/V1

F2020 Can, Trash, 44 Gallon V/V1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC DENTISTRY

SRE01

FA #3: Storage Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

335 Room Area :

OUTPATIENT CLINIC DENTISTRY

WRC01

FA #1: Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V15

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC DENTISTRY

DNXD1

FA #2: X-Ray, Panoramic / Cephalometric

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0836 Module, Storage, Shelves, Wall Mtd, 72"W x 16"D V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1 monitor should be HD

P3100 Lavatory, Vitreous China, Slab Type C/C1

X3150 Rack, Apron/Gloves, Wall Mounted C/C1

X6505 Radiographic Unit, Dental, Panographic & Cephalo. V/V1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC ENGINEERING

BMER1

Biomedical Engineering Repair Shop

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

C01C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x18x22 C/C1

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 C/C1

CS150 Sink, SS, Single Compartment, 10x19x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C4

F0230 Chair, Drafting, Rotary V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V1

T0005 Electrical Safety Analyzer V/V1

T0015 Defibrillator Analyzer, Automatic, Portable V/V1

T0020 Stand, Test, Radiological Compliance V/V1

T0030 Radiation-Light Field Analyzer V/V1

T0801 Workbench, Electric, Pedestal Base V/V1

T8015 Calibrator, Audiometer V/V1

T8020 Generator, Pulse V/V1

T8025 Generator, Function V/V1

T8040 Meter, Sound Level V/V1

T8045 Oscilloscope, With Accessories V/V1

T8055 Wattmeter, Ultrasonic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Treatment Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 10

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

F0210 Chair, Side, Without Arms V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1 two monitors

M1825 Printer, Computer V/V1

M4116 Monitor, Vital Signs V/V1

M5016 Desk, Refraction w/console, w/o Sink C/C1 auto lights on/off; lockable medication storage

M5520 Lensometer V/V1 manual

M5530 Lamp, Slit, w/Applanation Tonometer V/V1 with teaching tube attachment

M5535 Ophthalmoscope, Binocular, Indirect V/V1 wireless

M5536 Ophthalmoscope, Direct V/V1

M5545 Ophthalmometer/Keratometer V/V1

M5562 Tester, Visual Acuity, Video/Microprocessor Based V/V1

M5575 Tonometer, Noncontact V/V1 tonopen

M5600 Unit, Exam, Eye, w/Motor Chair, Phoropter V/V1 wheel chair glide

M5700 Frame Set, Lens, Trial V/V1 full-field

M5705 Gauge, Distance, Pupillary V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Treatment Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 10

JSN JSN Nomenclature Acq/InsQty Comment

M6040 Pachymeter, Ultrasound, Corneal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYFD1

Fitting and Dispensing Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C2 One mirror for frame selection

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3080 Case, Display, Eyewear, Wall Mounted V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

M5010 Desk, Fitting/Dispensing, Optical V/V1

M5520 Lensometer V/V2 one manual and one automated

M5700 Frame Set, Lens, Trial V/V1

M5705 Gauge, Distance, Pupillary V/V1

M5735 Warmer, Spectacle, Plastic V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

OFA02

Office, Blind Rehabilitation (VIST) Counselor

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

OFD03

Office, Supervisor

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYVS1

Photography Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0222 Worksurface, Computer, O/H Cab,Wall Mtd, 48" W V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0210 Chair, Side, Without Arms V/V1

F0300 Chair, Task, Swivel, With Arms V/V2

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M5027 Table, Multiple Instrument, Ophthalmic V/V1 hydraulic/rotating

M5510 Camera, Fundus, Digital V/V1

M6040 Pachymeter, Ultrasound, Corneal V/V1

M6045 Corneal Topography Unit V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

U0001 Optical Coherence Tomography V/V1

U0002 Ultrasound, A/B Scan V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYVF1

Visual Fields Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

F0300 Chair, Task, Swivel, With Arms V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M5025 Table, Instrument, Ophthalmic, Adjustable V/V1

M5555 Perimeter, Automated V/V1

M5700 Frame Set, Lens, Trial V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC EYE CLINIC

WRC01

Waiting Area (Dilation)

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V8

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Training Room, Low Vision

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0210 Chair, Side, Without Arms V/V4

F0340 Stool, Self Adjusting V/V1 with back support

F0820 Table, Office, Round V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2435 Lamp, Desk, Fluorescent V/V1 low vision lamp

F3200 Clock, Battery, 12" Diameter V/V1

M0435 Monitor, CCTV, Small, 9" (Color) V/V1 low vision system

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2 large screen monitor

M5016 Desk, Refraction w/console, w/o Sink C/C1

M5520 Lensometer V/V1

M5530 Lamp, Slit, w/Applanation Tonometer V/V1

M5535 Ophthalmoscope, Binocular, Indirect V/V1 wireless

M5536 Ophthalmoscope, Direct V/V1

M5545 Ophthalmometer/Keratometer V/V1

M5562 Tester, Visual Acuity, Video/Microprocessor Based V/V1 on rollers

M5600 Unit, Exam, Eye, w/Motor Chair, Phoropter V/V1 wheel chair glide

M5700 Frame Set, Lens, Trial V/V1 full field

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYOT2

Exam / Training Room, Low Vision

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC EYE CLINIC

EYVS1

Pre-Testing Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0222 Worksurface, Computer, O/H Cab,Wall Mtd, 48" W V/V1

F0210 Chair, Side, Without Arms V/V1

F0300 Chair, Task, Swivel, With Arms V/V1

F0340 Stool, Self Adjusting V/V1 with back support

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M5025 Table, Instrument, Ophthalmic, Adjustable V/V1

M5027 Table, Multiple Instrument, Ophthalmic V/V1

M5500 Autorefractor, Ophthalmic V/V1

M5520 Lensometer V/V1 automated

M5575 Tonometer, Noncontact V/V1 also include a tonopen

M5735 Warmer, Spectacle, Plastic V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1 hands free

Department Name : Functional Area :

Room Code :

Room Name :

360 Room Area :

OUTPATIENT CLINIC EYE CLINIC

WRTM1

Team Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1015 Telephone, Desk, Multiple Line C/C4

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V4

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

595 Room Area :

OUTPATIENT CLINIC EYE CLINIC

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V12

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

RECP3

Volunteer Alcove

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

C02C0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 1 DO, 36x24x22 C/C1

C02D0 Cabinet, U/C/B, 4 Drawer, 36x24x22 C/C2

CB020 Cabinet, W/H, 2 Shelf, 1 DO, Sloping Top, 38x24x13 C/C2

CT030 Countertop, High Pressure Laminate C/C6

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1

K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

SRLW1

Wheelchair Storage

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4705 Wheelchair, Patient Transport, Folding V/V4

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

TLTF2

Female Toilet, Multiple

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1085 Mirror, SS, With SS Frame, 36x18 C/C1

A4995 Table, Diaper Changing, Wall Mounted C/C1

A5075 Dispenser, Soap, Disposable V/V2

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C2

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C2

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C2

C0041 Rail, Apron, 4x60x1 C/C1

CT030 Countertop, High Pressure Laminate C/C5

F2000 Basket, Wastepaper, Round, Metal V/V2

P3070 Lavatory, Vitreous China, Under or Counter Top Mtd C/C2

P9050 Toilet, Wall Hung, Siphon Jet C/C2

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

TLTM2

Male Toilet, Multiple

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1085 Mirror, SS, With SS Frame, 36x18 C/C1

A4995 Table, Diaper Changing, Wall Mounted C/C1

A5075 Dispenser, Soap, Disposable V/V2

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C2

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C2

C0041 Rail, Apron, 4x60x1 C/C1

CT030 Countertop, High Pressure Laminate C/C5

F2000 Basket, Wastepaper, Round, Metal V/V2

P3070 Lavatory, Vitreous China, Under or Counter Top Mtd C/C2

P9050 Toilet, Wall Hung, Siphon Jet C/C2

Department Name : Functional Area :

Room Code :

Room Name :

110 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

COMC1

Communications Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A0900 Relay Rack, Aluminum C/C1

A0901 Cable Management, Horizontal Base Unit C/C1

A0902 Rear Wire Frame C/C1

A0903 Rear Hinged Cover, for LAN Rack C/C1

A0904 Fiber Optic Cabinet, 36 Port, Rack Mounted C/C1

A0905 Adapter Panel With Couplers, Blue, 6 Port, SM/MM C/C1

A0906 Adapter Panel With Couplers, Yellow, 6 Port, SM/MM C/C1

A0907 Patch Panel, Copper, UTP C/C1

A0908 Patch Panel, 110 Block/RJ-45, Cat 5E, 48 Port,568A C/C1

A0910 Patch Panel, 110 Block/RJ-45, Cat 5E, 96 Port,568A C/C1

A0911 Power Supply, Uninterruptable, Rack Mounted C/C1

A0912 Battery Pack, Extended for use with UPS (A0911) C/C1

A0913 Switch, Local Area Network (LAN) C/C1

A0914 Management Processor Module for LAN Switch C/C1

A0915 Power Supply, 725 W, for LAN Switch C/C1

A0916 Switching Module, Desktop, Fast Ethernet C/C1

A0917 Switching Module, MM Fiber,Gigabit Ethernet Server C/C1

A0918 Switching Module, SM, Gigabit Ethernet Server C/C1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

JANC1

Janitors Closet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A5135 Shelf, Utility W/ Mop/Broom Holders, SS, Surf Mntd C/C1

F0500 Cart, Janitor's V/V1 service may be provided by lessor

F0505 Bucket, Mop, With Wringer, 26 Quart V/V1 service may be provided by lessor

F2525 Burnisher, Floor V/V1 service may be provided by lessor

P4700 Sink, Mop, Molded Stone C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

LAC01

Employee Wellness

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C10

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 C/C1

C04J0 Cabinet, U/C/B, 8 Half Drawer, 36x36x22 C/C1

CS140 Sink, SS, Single Compartment, 10x14x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

F0270 Chair, Rocking, High Back V/V1

F0740 Table, Occasional, Lamp V/V1

F2420 Lamp, Table, With Shade V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0510 TV/DVD Combination V/V1

M2605 Pump, Breast V/V1

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC LOBBY / COMMON AREAS

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V8

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OPMH1

Group Therapy Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 3

JSN JSN Nomenclature Acq/InsQty Comment

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V2

F0295 Chair, Stacking V/V16

F0435 Cabinet, Storage, Multi Media V/V1 Consider built-in storage credenza

F0860 Table, Mobile V/V4 folding tables

F2010 Basket, Wastepaper, Step-On V/V1

F2250 Camcorder, Hand Held, HD, Zoom, w/Microphone V/V1

F3060 Whiteboard, Projection Screen Combination C/C1 Smart Interactive Board

M0506 Television, Flat Screen V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OPMH3

Biofeedback / Neuropsych

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1011 Telephone, Desk, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C1

E0123 Workstation, Straight, Free Standing, 72" W V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E0912 Locker, Supply, Med Surg, Wall Mtd V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0265 Chair, Recliner V/V1

F0280 Chair, Swivel, Low Back V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8180 Biofeedback Analysis System V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OFDC1

Office, Mental Health Provider/Coordinator

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 11

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0275 Chair, Swivel, High Back V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

SRS01

Storage Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F2000 Basket, Wastepaper, Round, Metal V/V1

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

OFDC1

Office, Supervisor

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

480 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

WRTM1

Team Room, Mental Health

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1015 Telephone, Desk, Multiple Line C/C6

F0275 Chair, Swivel, High Back V/V12

F0420 Cabinet, Filing, Lateral, Half Height V/V12

F2000 Basket, Wastepaper, Round, Metal V/V12

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V12

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V12

Department Name : Functional Area :

Room Code :

Room Name :

665 Room Area :

OUTPATIENT CLINIC MENTAL HEALTH

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V14

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBVP1

Blood Specimen Collection Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3025 Board, Bulletin, Wood Framed C/C1 optional

M1410 Chair, Laboratory, Blood Drawing, w/Storage V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

SRS01

Storage, Bulk

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V4

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

TLTU1

Toilet, Unisex

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LBSS1

Shipping & Receiving, Minimal

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0573 Workstation, Shipping/Receiving Lab, Minimal V/V1

F0230 Chair, Drafting, Rotary V/V1

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

L1502 Centrifuge, Tabletop V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1830 Printer, Label, Pharmacy V/V1

P1965 Eyewash, Eye/Face, Sink Mounted, Hands-free C/C1

P2450 Valve, Mixing, Thermostatic C/C1

R5135 Freezer, Undercounter, 5 Cubic Feet V/V1

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

LMCH1

Clinical Chemistry

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C3

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0570 Workstation, Chemistry Lab, Minimal V/V1

F0230 Chair, Drafting, Rotary V/V3

F2000 Basket, Wastepaper, Round, Metal V/V3

F3200 Clock, Battery, 12" Diameter V/V1

L1035 Analyzer, Chemistry, Stat V/V1

L1182 Refractometer V/V1

L1502 Centrifuge, Tabletop V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V3

M1825 Printer, Computer V/V1

R6070 Refrigerator/Freezer, Biological,Upright, 18 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

50 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

SRR02

Storage, Refrigerated

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

R6080 Refrigerator/Freezer, Biological, SS, 2 Door V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

TLTU1

Toilet, Urine Specimen Collection

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

L1200 Cabinet, Specimen, Pass Thru, CRS C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PATHOLOGY AND LABORATORY MEDICINE (PLM)

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V4

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PHARMACY

OFA02

Office, Consultation Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PHARMACY

OFA03

Prescription Receiving

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A6105 Counter,Reception Control, Built-In C/C1

F0205 Chair, Side With Arms V/V1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

205 Room Area :

OUTPATIENT CLINIC PHARMACY

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V8

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD2

Dispensing

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A6105 Counter,Reception Control, Built-In C/C1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

L1200 Cabinet, Specimen, Pass Thru, CRS C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R6200 Refrigerator, U/C or F/S, 5 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD1

Filling and Assembly

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0648 Station, Picking, Pharm, U-Shape, Free Std, 144x72 V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

F3200 Clock, Battery, 12" Diameter V/V1

M1830 Printer, Label, Pharmacy V/V2

M7280 Dispensing System, Prescription, Robotic V/V2

P1960 Eyewash, Counter Top C/C1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R7050 Refrigerator, 25 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

70 Room Area :

OUTPATIENT CLINIC PHARMACY

SRR01

Refrigeration

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

R6060 Refrigerator, Biological, SS, 2 Door, 40 Cu Ft V/V1

R6100 Freezer, Food, Upright, CRS, 23 CUFT C/C1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PHARMACY

PHOD2

Storage, Active

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0612 Shelf Unit, Pharmacy, Wall Mtd, 88"Hx48"Wx16"D V/V6

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PHARMACY

SRCS1

Storage, Medical Supplies

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V4

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PHARMACY

TLTU1

Toilet, Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC PHARMACY

OFA02

NS: Office, Pharmacist

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

144 Room Area :

OUTPATIENT CLINIC PHARMACY

OFA03

Data Processing Space

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

E0120 Workstation, Straight, Free Standing, 60" W V/V1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC PHARMACY

PHBS1

Drug Receiving, Breakdown and Verification Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

E0978 Cart, Wire, Mobile, 72"H x 48"W x 24"D V/V2

F0530 Cart, Trash V/V1

F2026 Container, Recycling, Large V/V1

Department Name : Functional Area :

Room Code :

Room Name :

135 Room Area :

OUTPATIENT CLINIC PHARMACY

PHMP2

Prepackaging

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

E0674 Pharmacy Manuf & Prepack Medium Volume V/V1

F0230 Chair, Drafting, Rotary V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1830 Printer, Label, Pharmacy V/V1

M7265 Counter, Pill/Tablet, Automated, Counter Mounted V/V1

R7050 Refrigerator, 25 Cubic Feet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PHARMACY

SSS01

Storage, Controlled Substance / Secured Dispensing

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

M7280 Dispensing System, Prescription, Robotic V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

R6060 Refrigerator, Biological, SS, 2 Door, 40 Cu Ft V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC PHARMACY

SRHM1

Storage, Flammable

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2005 Cabinet, Storage, Acid, Floor Standing, Shelves V/V1

M2020 Cabinet, Storage, Safety, Built-In, Vented C/C1

Department Name : Functional Area :

Room Code :

Room Name :

35 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

DR001

Dressing Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1030 Locker, 2 Person, Over/Under V/V1

A1080 Mirror, Posture, Wall Mounted C/C1

A5025 Bench, Locker Room, Portable V/V1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

OFA02

Office

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

TLTU1

Toilet, Patient

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

1000 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

PTEA1

Treatment Exercise Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1014 Telephone, Wall Mounted, 1 Line, With Speaker C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A1080 Mirror, Posture, Wall Mounted C/C4

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12 Private Treatment Area

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1 Private Treatment Area

F0340 Stool, Self Adjusting V/V1 Private Treatment Area

F0355 Footstool, Straight V/V1 Private Treatment Area

F2000 Basket, Wastepaper, Round, Metal V/V2

F3200 Clock, Battery, 12" Diameter V/V1

G0144 Ergometer, Recumbent Stepper V/V1

G1007 Ergometer, Stationary, Stair V/V1

G1026 Exercise Apparatus, Weight Training, Multi-Station V/V1

G1037 Weight Set, Exercise, Dumbbell V/V1

G1040 Rack, Dumbbell V/V1

G1043 Ergometer, Recumbent Bicycle, Computer Assisted V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1 Private Treatment Area

M8085 Lift, Patient, Electric, 600 Lb Cap, Bariatric V/V1

M8105 Bath, Paraffin, Hand/Foot V/V1 Private Treatment Area

M8110 Fluidotherapy Unit, Double Extremity V/V1 Private Treatment Area

M8125 Ergometer, Bicycle, Stationary V/V1

Department Name : Functional Area :

Room Code :

Room Name :

1000 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

PTEA1

Treatment Exercise Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M8133 Ergometer, Upper Body V/V1

M8145 Exerciser, Staircase, Convertible V/V1

M8200 Ultrasonic Treatment Unit V/V1 Private Treatment Area

M8210 Cart, Weight, Physical Therapy, w/Weights V/V1

M8240 Parallel Bars, Physical Therapy V/V1

M8245 Platform, Exercise, w/Mat V/V1

M8305 Platform, Exercise, w/Mat, Powered V/V1

M8320 Table, Treatment, Hi/Lo V/V1 Private Treatment Area

M8330 Treadmill, Electric V/V1

M8335 Exerciser, Continuous Passive Motion (CPM) V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

Department Name : Functional Area :

Room Code :

Room Name :

400 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

SRE01

Storage, Equipment

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2070 Shelving, Storage, 77hx36wx18d V/V4

Department Name : Functional Area :

Room Code :

Room Name :

100 Room Area :

OUTPATIENT CLINIC PHYSICAL MEDICINE AND REHABILITATION (PMR)

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

XXYYC

Holding Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5020 Bench, Locker Room, Floor Mounted C/C1 Bolted to the floor

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

XXYYC

Operations Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5120 Window, Observation, One Way C/C2 one into Holding Room; one into Clinic

C0045 Frame, Apron, 1 Drawer, 4x36x22 C/C1

C0046 Frame, Apron, 2 Drawer, 4x48x22 C/C1

C06M0 Cabinet, U/C/B, 1 PBD, 2 DR, 1 File DR, 30x18x22 C/C1

C09F0 Cabinet, U/C/B, 2 Half Drawer, 2 Door, 36" W C/C1

C09G0 Cabinet, U/C/B, 1 Shelf, 2 Door, 30x36x22 C/C1

CG040 Cabinet, W/H, 2 SH, 2 SGDO, Sloping Top, 38x36x13 C/C1

CG050 Cabinet, W/H, 2 SH, 2 SGDO, Sloping Top, 38x48x13 C/C1

CT030 Countertop, High Pressure Laminate C/C1

F0280 Chair, Swivel, Low Back V/V3

F0425 Cabinet, Filing, Security, Full Height V/V1

F0465 Cabinet, Storage, 2 Door, 5 Shelf V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3050 Whiteboard, Dry Erase C/C1

F3105 Safe, F/S , Class 5 V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0435 Monitor, CCTV, Small, 9" (Color) V/V1 quad CCTV capability

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V3

M1840 Printer/Copier/Fax Combination V/V1

M4125 Radio Communication System V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

SSS01

Secure Storage, Safe

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1032 Locker, Box, Personal Effects V/V1

F3100 Safe, Collection Agent V/V1 Gun safe

M2070 Shelving, Storage, 77hx36wx18d V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC POLICE AND SECURITY

LR001

Locker Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1040 Locker, 2 Person, Side by Side, 72x15x18 V/V4

A5025 Bench, Locker Room, Portable V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

OFA02

Office, Dispensing Prosthetic Clerk

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

80 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

SRCS1

Pros. Appl. Sto.: Mailing Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0048 Workcenter, Computer, Free Standing, 72" W V/V1

F0230 Chair, Drafting, Rotary V/V1

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V2

Department Name : Functional Area :

Room Code :

Room Name :

150 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

SRCS1

Pros. Appl. Sto.: Storage Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M2055 Shelving, Storage, Wire, CRS, w/Adjustable Shelves V/V8

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC PROSTHETICS AND SENSORY AIDS

RECP1

Reception and Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

OPPF5

FA2: Exercise Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C10

C02Q0 Cabinet, Sink, U/C/B, 1 Door, 36x24x22 C/C1

C03J0 Cabinet, U/C/B, 8 Half Drawers, 36x30x22 C/C1

C04E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x36x22 C/C1

CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 C/C1

CS150 Sink, SS, Single Compartment, 10x19x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C8

E0210 Worksurface, w/Overhead Cab, Wall Mtd, 48" W V/V1

E0954 Cart, Emergency, Mobile, 66"H x 52"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0210 Chair, Side, Without Arms V/V1

F0275 Chair, Swivel, High Back V/V1

F0340 Stool, Self Adjusting V/V1

F0355 Footstool, Straight V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1100 Resuscitator, Bag-Mask, Hand Operated V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M7660 Defibrillator/Monitor/Recorder, Portable V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

OPPF5

FA2: Exercise Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M8185 System, Stress Exercise, w/Treadmill V/V1

X2105 Scanner, Ultrasound, Cardiac (Echo) V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

EXPA1

FA2: Exam Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 5

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

EXP01

FA2: Podiatry Exam Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1 wall mounted preferred; data jack access

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4920 Chair, Exam/Treatment, Podiatry, w/Motor V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

OPCR1

FA2: Cast Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

C04E0 Cabinet, U/C/B, 1 Shelf, 1 Drawer, 2 DO, 36x36x22 C/C1

C05P0 Cabinet, Sink, U/C/B, 2 Door, 36x48x22 C/C1

CE090 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 41x36x16 C/C1

CS180 Sink, SS, Single Compartment, 12x22x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C7

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V1

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V1

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0942 Cart, Cast, Mobile, 36"H x 46"W x 22"D V/V1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

E1500 Rail, MOD, W/MNTD, HX144XD V/V1

F0230 Chair, Drafting, Rotary V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2020 Can, Trash, 44 Gallon V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

OPCR1

FA2: Cast Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M1620 Holder, Chart, Patient, Wall or Door Mounted C/C1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4255 Stand, IV, Adjustable V/V1

M4835 Cutter, Cast, w/Vacuum V/V1

M7420 Light, Exam, Mobile V/V1

M8810 Stand, Mayo V/V1

M9055 Table, Exam, Orthopedic V/V1

P7650 Trap, Plaster, Small C/C1

X4112 Console, PACS, Remote View, 1k X 1k, 2 Monitors V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

TRPR1

FA2: Procedure Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A1132 Rail, Accessory Mounting, Length As Required V/V1

A1200 Lift System, Overhead, Patient Room C/C1 lift system should extend into attached toilet

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1 PPE station - 3 boxes of gloves and face masks

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C14

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0915 Locker, Supply, Medication, Wall Mtd, 23"W x 20"D V/V1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3010 Board, Bulletin, 48 x 48 C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M0750 Flowmeter, Air, Connect w/50 PSISupply V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

TRPR1

FA2: Procedure Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4116 Monitor, Vital Signs V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M4255 Stand, IV, Adjustable V/V1

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M7405 Light, Exam, Ceiling Mounted C/C1

M7710 Electrocardiograph, 12 Lead, Portable V/V1

M8810 Stand, Mayo V/V1

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

WRTM1

FA4: Team Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

WRTM2

FA2: Tele-Health Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5108 Waste Disposal Unit, Sharps V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F2010 Basket, Wastepaper, Step-On V/V1

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3025 Board, Bulletin, Wood Framed C/C1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4100 Sphygmomanometer, Aneroid, Wall Mounted V/V1

M4200 Otoscope/Ophthalmoscope, Wall Mounted V/V1

M7401 Light, Exam, Mobile, Spotlight, Mobile Stand V/V1

M9025 Table, Examination/Treatment, With Cabinet V/V1

U0019 Telemedicine Cart V/V1

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

RECP4

FA1: Kiosk, Patient Check-In

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 2

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1 Placeholder for Kiosk

Department Name : Functional Area :

Room Code :

Room Name :

30 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

CLSC1

FA1: Workstation, Patient Education

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

E0042 Workcenter, Computer, Free Standing, 48" W V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

RECP1

FA1: Reception

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

A6105 Counter,Reception Control, Built-In C/C1

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V3

F2000 Basket, Wastepaper, Round, Metal V/V2

F2540 Shredder, Paper, Security V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

TLTU1

FA1: Toilet, General

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

270 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

WRC01

FA1: Waiting

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V12

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

40 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

PEHW1

FA2: Height/Weight Station

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4040 Scale, Weighing, 300 Pound Capacity V/V1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

TLTU1

FA2: Patient Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

20 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

RCA02

FA3: Alcove, Medication

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

M3150 Distribution System, Medication,Automatic V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

SRE01

FA3: Storage, Medical Equipment

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

M2070 Shelving, Storage, 77hx36wx18d V/V4

M4116 Monitor, Vital Signs V/V2

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

UCCL1

FA3: Utility Room, Clean

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

E0903 Locker, Supply, w/Shelves, Wall Mtd, 23"W x 20"D V/V2

E0906 Locker, Supply, General, Wall Mtd, 23"W x 20"D V/V2

E0912 Locker, Supply, Med Surg, Wall Mtd V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

P8710 Utility Center, Plumbing Connection C/C1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

TLTU1

FA4: Toilet, Clinical Staff

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

75 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

TLTB1

FA2: Toilet, Procedure Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC MULTI-SPECIALTY CARE / ANCILLARY DIAGNOSTIC SERVI

OFDC2

FA2: Consult Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1015 Telephone, Desk, Multiple Line C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C1

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1

CT030 Countertop, High Pressure Laminate C/C3

F0205 Chair, Side With Arms V/V3

F0340 Stool, Self Adjusting V/V1

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XVC01

Multi-Purpose/Viewing

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1011 Telephone, Desk, 1 Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0045 Workcenter, Computer, Free Standing, 60" W V/V1

F0275 Chair, Swivel, High Back V/V2

F2000 Basket, Wastepaper, Round, Metal V/V1

F2455 Transcription Unit, Standalone V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1840 Printer/Copier/Fax Combination V/V1

X4122 Console, PACS, Remote View, 2k X 2k, 2 Monitors V/V1

Department Name : Functional Area :

Room Code :

Room Name :

300 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDR01

General Purpose Radiology Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F0355 Footstool, Straight V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

M4255 Stand, IV, Adjustable V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

X1405 Stand, Bucky, Vertical, Tilt, Automatic V/V1

X3150 Rack, Apron/Gloves, Wall Mounted C/C1

X5900 Radiographic Unit, 80 kW, Non-Tilt Table V/V1

Department Name : Functional Area :

Room Code :

Room Name :

50 Room Area :

OUTPATIENT CLINIC RADIOLOGY

DR001

Dressing Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 4

JSN JSN Nomenclature Acq/InsQty Comment

A1030 Locker, 2 Person, Over/Under V/V1

A1080 Mirror, Posture, Wall Mounted C/C1

A5025 Bench, Locker Room, Portable V/V1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC RADIOLOGY

OFDR1

Office, Staff Radiologist

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C2

E0078 Workstation, L-Shaped w/Peninsula, Free Std, 78x72 V/V1

F0110 Bookcase, 3 Shelf V/V1

F0205 Chair, Side With Arms V/V2

F0275 Chair, Swivel, High Back V/V1

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1825 Printer, Computer V/V1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC RADIOLOGY

WRC01

Main Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V8

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC RADIOLOGY

OFDR1

Shared Office, Tech

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C2

A1015 Telephone, Desk, Multiple Line C/C1

E0120 Workstation, Straight, Free Standing, 60" W V/V2

F0275 Chair, Swivel, High Back V/V2

F0420 Cabinet, Filing, Lateral, Half Height V/V1

F2000 Basket, Wastepaper, Round, Metal V/V2

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V2

M1840 Printer/Copier/Fax Combination V/V1

Department Name : Functional Area :

Room Code :

Room Name :

320 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDRF1

Radiographic / Fluoroscopic (R/F) Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

CD040 Cabinet, W/H, 2 Shelf, 2 DO, Sloping Top, 38x36x13 C/C2 Just outside entrance

CS010 Sink, SS, Single Compartment, 7.5x12x12 ID C/C1 Just outside entrance

CT030 Countertop, High Pressure Laminate C/C6 Just outside entrance

E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F0355 Footstool, Straight V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M3070 Hamper, Linen, Mobile, w/Lid V/V1

M4255 Stand, IV, Adjustable V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

X1405 Stand, Bucky, Vertical, Tilt, Automatic V/V1

X3150 Rack, Apron/Gloves, Wall Mounted C/C1

X6185 Rad/Fluoro Unit, Remote, 80 kW, 90/90 Table V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDM01

Mammography Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5107 Dispenser, Glove,Surgical/Examination, Wall Mntd V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

E0930 Locker, Supply, 6 Drawers, Mobile, 29"W x 20"D V/V1

F0205 Chair, Side With Arms V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

X3150 Rack, Apron/Gloves, Wall Mounted C/C1

X5430 Radiographic Unit, Mammography, Digital V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC RADIOLOGY

TLTU1

Ultrasound Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDUS1

Ultrasound Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5106 Waste Disposal Unit, Sharps w/Glove Dispenser V/V1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5180 Track, Cubicle, Surface Mounted, With Curtain C/C12

C03F0 Cabinet, U/C/B, 1 Shelf, 2 Half DR, 2 DO, 36x30x22 C/C1

C03P0 Cabinet, Sink, U/C/B, 2 Door, 30" W C/C1

CE030 Cabinet, W/H, 2 SH, 2 GDO, Sloping Top, 38x30x13 C/C1

CS150 Sink, SS, Single Compartment, 10x19x16 ID C/C1

CT030 Countertop, High Pressure Laminate C/C5

E0930 Locker, Supply, 6 Drawers, Mobile, 29"W x 20"D V/V1

E0945 Cart, Computer, Mobile, 36"H x 32"W x 22"D V/V1

F0205 Chair, Side With Arms V/V1

F0340 Stool, Self Adjusting V/V1

F0355 Footstool, Straight V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M0755 Flowmeter, Oxygen, Low Flow V/V1

M0765 Regulator, Vacuum V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M3072 Frame, Infectious Waste Bag w/Lid V/V1

M4255 Stand, IV, Adjustable V/V1

M4266 Pump, Volumetric, Infusion, Multiple Line V/V1

Department Name : Functional Area :

Room Code :

Room Name :

180 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDUS1

Ultrasound Room

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

M4655 Stretcher, Mobile, CRS, 9 Position V/V1

M8810 Stand, Mayo V/V1

X2100 Scanner, Ultrasound, General Purpose V/V1

Department Name : Functional Area :

Room Code :

Room Name :

125 Room Area :

OUTPATIENT CLINIC RADIOLOGY

XDBD1

Diagnostic Bone Densitometer

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C1

A1012 Telephone, Wall Mounted, 1 Line C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

F0205 Chair, Side With Arms V/V1

F0280 Chair, Swivel, Low Back V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F3200 Clock, Battery, 12" Diameter V/V1

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V1

M1802 Work Station, Computer,Retractable, Wall Mounted V/V1

X2120 Scanner, Bone Density, Full Body V/V1

Department Name : Functional Area :

Room Code :

Room Name :

60 Room Area :

OUTPATIENT CLINIC RADIOLOGY

TLTU1

R/F Toilet

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1066 Mirror, Float Glass, With SS Frame C/C1

A5075 Dispenser, Soap, Disposable V/V1

A5080 Dispenser, Paper Towel, SS, Surface Mounted C/C1

A5090 Disposal, Sanitary Napkin, SS, Surface Mounted C/C1

A5109 Grab Bar, 1-1/4" Dia., SS, 2 Wall, W/C Accessible C/C1

A5145 Hook, Garment, Double, SS, Surface Mounted C/C1

A5200 Dispenser, Toilet Tissue, SS, 2-Roll, Surface Mntd C/C1

F2000 Basket, Wastepaper, Round, Metal V/V1

P3100 Lavatory, Vitreous China, Slab Type C/C1

P9050 Toilet, Wall Hung, Siphon Jet C/C1

Department Name : Functional Area :

Room Code :

Room Name :

120 Room Area :

OUTPATIENT CLINIC RADIOLOGY

WRC01

Sub-Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A5210 Bracket, Television, Wall Mounted, w/Adjust Arm C/C1

A5220 Bracket, Television, Wall Backing C/C1

F0305 Chair, Waiting Room, Single V/V8

F0740 Table, Occasional, Lamp V/V1

F2000 Basket, Wastepaper, Round, Metal V/V1

F2300 Rack, Magazine, Wall Mounted C/C1 optional

F2310 Rack, Pamphlet, Wall Mounted C/C1 optional

F3200 Clock, Battery, 12" Diameter V/V1

M0506 Television, Flat Screen V/V1

Department Name : Functional Area :

Room Code :

Room Name :

230 Room Area :

OUTPATIENT CLINIC RADIOLOGY

WRC01

Waiting Area, Diagnostic Rooms

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V4

Department Name : Functional Area :

Room Code :

Room Name :

240 Room Area :

OUTPATIENT CLINIC BUSINESS SERVICES

WRTM1

Business Services Office

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

A1010 Telecommunication Outlet C/C4

A1015 Telephone, Desk, Multiple Line C/C2

F0275 Chair, Swivel, High Back V/V4

F0420 Cabinet, Filing, Lateral, Half Height V/V2

F2000 Basket, Wastepaper, Round, Metal V/V4

M1801 Computer, Microprocessing, w/Flat Panel Monitor V/V4

M1840 Printer/Copier/Fax Combination V/V1

U0075 Workstation, L-Shaped, Freestanding, 60x54 V/V4

Department Name : Functional Area :

Room Code :

Room Name :

200 Room Area :

OUTPATIENT CLINIC BUSINESS SERVICES

WRC01

Waiting Area

Project: VA CBOC Three PACT Prototype

Qty of Rooms : 1

JSN JSN Nomenclature Acq/InsQty Comment

F0305 Chair, Waiting Room, Single V/V4