06 equipment layouts cboc final - cfm.va.gov · offi ce of construction & facilities management...
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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.
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
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.
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
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
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'
(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.
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'
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
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
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'
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
(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
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'
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
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'
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'
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'
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'
(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