msum clinical sciences facility program sciences.pdfproject program & planning new clinical...

Project Program & Planning

New Clinical Sciences BuildingJanuary 29, 2013

Minnesota State University, MankatoMINNESOTA STATE COLLEGES AND UNIVERSITIES SYSTEMMANKATO, MINNESOTA

Sign-Off Sheet

Richard Davenport

Richard J Straka

Kristine Retherford

Paul Corcoran

Lisa Fleck

Julia Hebenstreit

Bonnie Lund

PRESIDENT

VP FINANCE & ADMINISTRATION

DEAN, COLLEGE OF ALLIED HEALTH & NURSING

PLANNING AND CONSTRUCTION DIRECTOR

CHAIRPERSON, DENTAL HYGIENE

CHAIRPERSON, SCHOOL OF NURSING

CHAIRPERSON, SPEECH, HEARING & REHABILITATION SERVICES

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Th is document represents the Programming, Planning, and Adjacency Analysis process for the Minnesota State University, Mankato Clinical Sciences Building. To the best of my knowledge this document is the consensus view of the department, program, college or institution which I represent and my signature below indicates a recommendation/authorization to move forward into Schematic Design.

VTable of Contents

Minnesota State University, Mankato | Clinical Sciences Building | Program and Planning

1. SUMMARYIntroduction 3

2. BUILDING PROGRAMProgram Description 9

Space Needs 11

Visual Program 16

Room Criteria 19

3. SPATIAL RELATIONSHIPSAdjacency Diagrams 65

Blocking & Stacking Diagrams 73

Table of Contents

Summary1

3Summary


To provide a facility that supports the College of Allied Health and Nursing’s vision to be recognized at the state, regional, and national level for excellence in providing innovative and fl exible high quality educational programs / models, responsive to student learning needs through service, education partnerships, and distance learning technology that meet the extraordinary challenges and opportunities in the allied health and nursing fi elds.

Th e new Clinical Sciences Building shall: • foster inter-professional interaction / collaboration• provide a welcoming image to the public and patients• provide space for program growth• provide fl exibility in the built environment• provide up-to-date technology and tele-medicine capabilities While the building focuses on clinical services and learning environments, the building will also provide shared educational and meeting space for the entire CAHN college, giving students a “home base” on campus and faculty members collaborative environments. It is critically important for the build-ing to provide facilities and opportunities for the entire college, including those departments whose offi ces and labs are not relocating.

Additionally, the building shall: • add distinction to the campus and signal what is central to MSUM’s identity

and mission• celebrate learning, enhance the experience of learning, and inspire learners

at all levels• be a laboratory for learning, modeling creative and cost-eff ective practices

A new College of Allied Health and Nursing building has gone through several iterations over the past two decades. An original, basic space program was created by the College and Paulsen Architects in the late 1990’s, establish-ing a basic project vision (including all departments) with space needs. In 2005, HGA prepared a pre-design report, developing the program from the initial space listing to a more comprehensive space needs summary and room criteria. However, due to construction cost restraints, the building program was narrowed to focus on clinical and laboratory spaces. HGA completed the pre-design report in 2010. In 2012, MSUM engaged Perkins+Will for complete design services, including program verifi cation, for the new Clinical Sciences Building.

Vision

Project Goals

Process

Introduction

4 Summary


Steinberg Architects, in conjunction with Perkins+Will, led a program verifi cation and planning eff ort from November 2012 to January 2013. Th is process included various programming workshops and meetings with the building users, campus facilities, and College leadership where design objec-tives, space needs, room criteria, and planning requirements were discussed and refi ned. Th is report documents the results, complimenting and updating the original HGA Pre-design report.

Minnesota State University Mankato (MSUM) Rick Straka, Finace & AdministrationWarren Sandmann, Academic AffairsFarhad Reza, Faculty AssociationJulie Snow, Disability Services

MSUM - College of Allied Health and Nursing (CAHN)Kristine Retherford, Dean

Lisa Meyer

Harry Krampf

Bonnie Hanson

Shirly Murray

MSUM CAHN Dental HygenieLisa Fleck, Chair

Terri Brown

Brigette Cooper

Julie Dittrich

Lynnette Engeswick

Laura Jackson

Angela Monson

MSUM CAHN School of NursingJulia Hebenstreit, Chair

Colleen Royle

Norma Krumwiede

Angela Christian

Cindy Larson

Nancy Miller

Stacey VanGeldern

MSUM CAHN Speech, Hearing and Rehabilitation ServicesBonnie Lund, Department Chair

H Sheen Chiou

Rebecca Fritz

Linda Hallen

Jessica Jones

Brian Kamnetz

Andy Phemister

Bruce Poburka

Renee Shellum

Participants

5Summary


MSUM CAHN Human Performance Mary Visser

MSUM Facilities Ron FieldsPaul Corcoran

MSUM Information Technology ServicesMatthew ClayPaul Cusick

South Central CollegeKaron Metz, Chair, Dental Hygenie Assisting Program

Jenny Dumdei

W.C. Sanders

Perkins + WillBob Novak

Tony Layne

Steinberg ArchitectsBob Lavey

Andrea Stalker

Paulsen ArchitectsBryan Paulsen

Building Program32

9Building Program


Th e overall goal for the Clinical Sciences Building is to create a welcoming and cohesive building that will provide high quality clinical and educational spaces for the College of Allied Health and Nursing (CAHN).

Th e new building is intended to be a “one stop shop” for CAHN clinical patients. A shared patient waiting area / check-in provides clinical visitors with a single entry point, simplifying way-fi nding and reducing duplicated spaces across departments. Shared consultation rooms not only provide departments located outside the building consult space but also create opportunities for interdisciplinary patient consultation.

Additionally, the new building strives to create an educational home for the College of Allied Health and Nursing on the campus. Shared classrooms, meeting rooms, and student/faculty interaction space will provide students from all CAHN departments with a variety of learning environments surrounded by both their peers and their mentors.

Th e new Clinical Sciences Building includes offi ces, labs, clinics, and classrooms.

Both Dental Hygiene and Speech, Hearing, and Rehabilitation Services (SHRS) will move their department offi ces, labs, and clinics into the new building. For CAHN faculty outside the new building, shared meeting rooms, hoteling space, and collaborative work areas are provided, allowing faculty to “touch-down” between classes or meetings.

Th e School of Nursing will move its clinical skills and simulation environments into the new building. Th e building will provide more simulation environments, larger skills instruction areas, and break-out learning areas called integration stations.

In the spirit of collaboration and increased effi ciency, a large portion of the program consists of shared spaces. Five new general classrooms will serve the entire college for lecture classes. A shared CPR / Skills lab and a Home Health Lab will provide multiple departments with fl exible, yet skill specifi c instructional spaces. Lastly, a variety of meeting spaces (student/faculty interaction spaces, break-out spaces, graduate student work room, etc.) will provide students with collaborative work environments to continue learning outside the traditional classroom.

In the following pages, the program is described as both a matrix of space needs as well as a visual program. Descriptions of individual specialized spaces follow in the Room Criteria Sheets. Th is section is not a stand-alone document and should be studied closely with the adjacency and blocking / stacking diagrams in Section Th ree to understand the full scope and requirements of the comprehensive building program.

Design Goals

Summary

Program Description

10 Building Program


In compiling a space summary, a number of terms are used to identify the appropriate area for the building. Th e subsequent sheets use the following terminology to generate the building’s space needs.

Stations*: the number of seats and/or occupants per room

ASF/Stations*: the assigned square footage of a space per station/occupant

Assignable Square Feet (ASF): the assigned square footage of space (equal to station times ASF/stations); typically described as “wall-to-wall”

Quantity: the number of rooms

Total ASF: equal to the assignable square feet (ASF) times the number of rooms

Suite Circulation: area for hallways/corridors within a department or cluster of spaces off of the main building circulation

Non-assignable Square Feet: the area in a building not accounted for in assigned square footage; includes area for wall thickness, structure, circulation, restrooms, etc.

Gross Square Feet: total square footage of the building measured from the outside walls

*Number of stations and ASF/stations are used to derive the size of many types of spaces, including classrooms, labs and clinical environments. In these cases, the number of stations and size per station are the driving factor behind room size. Where spaces do not have the number of stations listed, the room size is based on a diff erent factor (e.g. functional size requirements, industry standards, etc.).

Terminology

11Building Program


Space Needs

CAHN Department Chair / Faculty OfficesDental Hygiene 1,523 SFSpeech, Hearing, & Rehabilitation Services 2,061 SFShared CAHN Office Space 1,120 SF

Subtotal 4,704 SF

CAHN Department LabsDental Hygiene 1,200 SFSchool of Nursing 6,440 SFShared CAHN Simulation Center 1,700 SF

Subtotal 9,340 SF

Clinical Education CenterShared Administrative Space 1,086 SFDental Hygiene Clinic 7,128 SFSpeech, Hearing, & Rehabilitation Services Clinic 2,744 SFShared Interdiscplinary Consultation 400 SF

Subtotal 11,358 SF

CAHN ClassroomsShared Classrooms 5,100 SFShared Work Space 1,590 SF

Subtotal 6,690 SF

Support FunctionsGathering Spaces 1,650 SFIT 340 SF

Subtotal 1,990 SF

Total Assignable Square Feet: 34,082 SFNon assignable (39%): 21,790 SF

Total Gross Square Feet: 55,872 SF

Summary

12 Building Program


Room Name StationsASF/

Stations ASF Quantity Total ASF Notes

1.0 CAHN Department Chair / Faculty OfficesDental Hygiene

1.1 Chair Faculty Office 1 140 140 2 2801.2 DH Storage 100 1 1001.3 Faculty Offices 1 100 100 8 8001.4 SCC Dental Assisting Faculty Office 1 100 100 1 1001.5 Receptionist 1 80 80 1 80

Suite Circulation (12%) 1631,523

Speech, Hearing, & Rehabilitation Services1.6 Chair Faculty Office 1 140 140 1 1401.7 Receptionist 100 1 1001.8 Student Work Area 100 1 1001.9 SHRC Storage 200 1 2001.10 Faculty Office 1 100 100 11 1,1001.11 Adjunct Faculty Hoteling 200 1 200


Shared CAHN Office Space1.12 Large Conference Room 18 20 360 2 7201.13 Hoteling 200 1 2001.14 Collaborative Faculty Work Area 200 1 200 With counter and sink

1,120

Subtotal 4,704

2.0 CAHN Department LabsDental Hygiene

2.1 Biomaterials Lab 200 1 2002.2 Dental Hygiene Class Lab / Simulators 25 40 1,000 1 1,000

1,200School of Nursing

2.3 Multi Bed Skills Lab 4 150 600 2 1,200 8 beds total2.4 Skills / Demonstration Lab (low fidelty) 20 29 580 1 5802.5 Integration Stations 4 20 80 5 4002.6 Adult Simulation Rooms 300 4 1,2002.7 OB / PEDS Simulation Room 500 1 5002.8 Debrief Classrooms (for simulation) 12 25 300 3 9002.9 Med / Supply 80 2 1602.10 Control Rooms 200 3 600

2.11Simulation Storage 200 2 400 One room to have counter with sink,

microwave, power outlets, etc.2.12 Skills Lab / Simulation Storage 300 1 300 High density shelving2.13 Simulation Lab Coordinator Faculty Office 1 100 100 2 200


Shared CAHN Simulation Center2.14 Home Health Lab 500 1 500 Adjacent to control room2.15 First Aid / CPR / Skills / Demo Lab 20 35 700 1 700 Shared flexible, multi functional classroom

/ lab space; full height lockable cabinetstorage

2.16 Multi purpose Meeting Room 500 1 500 For family interviewing, alternativemedicine instruction, large group debriefing,SHRS group treatment, etc. Provide 3' 6"wide door.

1,700

Subtotal 9,340

Program Matrix

13Building Program




3.0 Clinical Education CenterShared Admin Space

3.1 Waiting Area 30 20 600 1 6003.2 Patient Check In 3 67 200 1 2003.3 Amentities / Office Supplies Alcove 50 1 503.4 Clinic Patient Toilets 60 2 120


Dental Hygiene Clinic3.5 Radiology Instruction 6 100 600 1 600 Open layout3.6 Panoramic 64 1 64 Located in Radiology Instruction3.7 Radiology Teaching / Diagnostics Center 12 20 260 1 260 Centrally located in Radiology Instruction

3.8 Resortative Clinic / Teaching Clinic 24 135 3,250 1 3,2503.9 Hoteling / Workstations 4 40 160 1 160 Located in resortative clinic3.10 Radiology / Faculty Practice 160 1 1603.11 Central Sterilization 350 1 3503.12 Compressor Room 100 1 1003.13 General Storage (MSUM) 250 1 250 With stacked residential washer/dryer3.14 General Storage (SCC) 150 1 1503.15 Gas Storage Room 40 1 403.16 Student Locker Room Men 10 6 60 1 603.17 Student Locker RoomWomen 100 5 500 1 500 1/2 full height size lockers3.18 Faculty Locker Room 16 8 120 1 1203.19 Patient Record Storage 100 1 1003.20 Admin. Assistant Office 1 100 100 1 1003.21 Insurance Management Office 1 100 100 1 100


Speech, Hearing and Rehab. Clinic3.22 Treatment Rooms 100 10 1,000 Group Treatment to occur in shared

meeting room3.23 Observation Area (Family & Student) 250 1 250 Combined Family & Student Areas. Provide

carrels for privacy3.24 Materials / Supply Room 400 1 4003.25 Speech and Language Analysis Lab 200 1 2003.26 Audiology Assessment Lab 500 1 5003.27 Patient Record Storage 100 1 100


Shared Interdiscplinary Consultation3.28 Exam / Consultation Rooms 100 4 400

400

Subtotal 11,358

For use by all CAHN departments, includingHuman Performance, Family ConsumerScience and Health Sciences. Tele medicinecapabilities

14 Building Program


5.0 Support FunctionsGathering Spaces

5.1 Atrium 1,200 1 1,2005.2 Breakout Meeting Spaces 6 25 150 3 450

1,650IT

5.3 A/V & Data closet 80 3 2405.4 IT Office 100 1 100 1 100

340

Subtotal 1,990

Total ASF: (61%) 34,082Non assignable: (39%) 21,790

Total GSF 55,872



4.0 CAHN ClassroomsShared Classrooms

4.1 80 Seat Classroom 80 18 1,500 1 1,500 Low slope, tiered configuration with twotables per tier

4.2 60 Seat Classroom 60 20 1,200 2 2,400 Flexible tables and chairs4.3 30 Seat Classroom 30 20 600 2 1,200 Flexible tables and chairs. Tele presence

capabilities5,100

Shared Work Space4.4 Graduate Student Resource / Teaming Room 240 1 2404.5 Student / Faculty Interaction Space 550 1 5504.6 Student / Faculty Interaction Space 400 2 800

1,590

Subtotal 6,690

16 Building Program


Visual Program

DENTAL HYGIENE: 9,851 ASF SPEECH, HEARING, & RS : 4,805 ASF

17Building Program


SCHOOL OF NURSING: 6,440 ASF SHARED SPACE: 12,646 ASF

A/V & IT A/V & IT A/V & IT

ATRIUM

BREAKOUTMEETINGSPACES



MEDROOM

MEDROOM

19Room Criteria


Th e Room Criteria, consisting of Room Data Sheets and Room Diagrams, identify the minimum by which each space must be designed. Please note that the diagrammed room layout does not represent the fi nal room layout but will act as a starting point for additional design development as project design progresses.

Room Criteria

20 Room Criteria


1.1/1.6 FACULTY CHAIR OFFICE, 1.3/1.10 FACULTY OFFICEDEPARTMENT: DENTAL HYGIENE & SHRS

ROOM TYPE: 310

PROPOSED ASF: 140 SF

CAPACITY: 1 STAFF STATION

USE Activities: General offi ce workAccess: Faculty, Staff & StudentsFrequency/Hours: TBDAdjacencies: Varies, See adjacency diagrams

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: RequiredCasework: NoneAccessories: Bulletin BoardHardware: TBDOther: Sidelight and/or glass door

TECHNOLOGY Audio/Visual: TBDNetwork: Wireless plus wall mounted network power; Data ports shown

in room diagram are the minimum required

Communications: Phone / Data

MECHANICAL, ELECTRICAL & PLUMBING

Ventilation: Heating and Cooling

Artifi cial Lighting: Fluorescent lighting; Task lighting at workstation

Plumbing: None

EQUIPMENT & FURNISHINGS Desk, Chair, and ComputerGuest ChairSmall table and chairs (where occurs, see room diagram)File Cabinet (where occurs, see room diagram)

REMARKS

21Room Criteria

Minnesota State University Mankato | Clinical Sciences Building | Program and Planning

1.1/1.6 FACULTY CHAIR OFFICE, 1.3/1.10 FACULTY OFFICE

22 Room Criteria


1.13 HOTELINGDEPARTMENT: SHARED

ROOM TYPE: 310


CAPACITY: 4 STATIONS

USE Activities: General Offi ce WorkAccess: CAHN Faculty & Staff Frequency/Hours: TBDAdjacencies: Collaborative Faculty Work Area

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: CarpetWall Finish: Painted Gypsum BoardNatural Lighting: RequiredCasework: Work Counter with open upper shelvingAccessories: Bulletin Board & White BoardHardware: TBDOther: Sidelight and/or glass door

TECHNOLOGY Audio/Visual: N/ANetwork: Wireless plus wall mounted network power; Data ports shown





Artifi cial Lighting: Fluorescent lighting; Task lighting at workstation

Plumbing: None

EQUIPMENT & FURNISHINGS Four ChairsComputerPrinter

REMARKS

23Room Criteria


1.13 HOTELING

24 Room Criteria


2.1 BIOMATERIALS LABDEPARTMENT: DENTAL HYGIENE

ROOM TYPE: 215


CAPACITY:

USE Activities: Instructional & Clinical workAccess: Dental Hygiene Faculty & StudentsFrequency/Hours: TBDAdjacencies: Dental Hygiene Class Lab & Clinic

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Painted gypsum boardFloor Finish: Resilient FlooringWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Upper and lower cabinetsAccessories: TBDHardware: TBDOther: Vision panel in door

TECHNOLOGY Audio/Visual: N/ANetwork: TBDCommunications: None



Artifi cial Lighting: Fluorescent lighting

Plumbing: Stainless steel sinks

EQUIPMENT & FURNISHINGS TBD

REMARKS

25Room Criteria


2.1 BIOMATERIALS LAB

26 Room Criteria


2.2 DENTAL HYGIENE CLASS LAB / SIMULATORSDEPARTMENT: DENTAL HYGIENE

ROOM TYPE: 210

PROPOSED ASF: 1,000 SF

CAPACITY: 25 STUDENT STATIONS, 1 INSTRUCTOR

USE Activities: Dental Instruction & SimulationAccess: Dental Faculty, Staff & StudentsFrequency/Hours: TBDAdjacencies: Biomaterials Lab

CHARACTERISTICS Ceiling Height: 10’-0” minimumCeiling Treatment: Painted gypsum boardFloor Finish: Resilient FlooringWall Finish: Painted gypsum boardNatural Lighting: PreferredCasework: Coordinate casework/workstation design with dental

simulator requirementsInstructor’s Demonstration StationSolid Upper and Lower Cabinets

Accessories: White Board; Soap and paper towel dispenser at sinks Hardware: TBDOther: Vision panel in doors

Blackout shades and sun shades at any exterior windows

TECHNOLOGY Audio/Visual: Ceiling mounted video/data projector; motorized projection screen; ceiling speakers; AV equipment racks and integrated control system with control panel at instructor station; ceiling mounted camera above instructor station

Network: Wireless plus wall mounted network power; Data ports shown in room diagram are the minimum required.

Communications: TBD



Artifi cial Lighting: Fluorescent downlights over student desks; Wall washers at front; Dimmable light zoned w/ front and back switching. Daylight controls recommendedTask lighting at each station

Plumbing: Stainless Steel Sinks; Air, Vacuum at stations; confi rm any additional requirements for dental simulators

EQUIPMENT & FURNISHINGS Dental Simulators - coordinate casework and infrastructure requirements with manufacturerStool with backrest and monitor at each stationSwing-arm light, mounted to casework, at each station

REMARKS

27Room Criteria


2.2 DENTAL HYGIENE CLASS LAB / SIMULATORS

28 Room Criteria


2.3 MULTI-BED SKILLS LABDEPARTMENT: SCHOOL OF NURSING

ROOM TYPE: 210


CAPACITY: 20 STUDENTS, 2 INSTRUCTORS

USE Activities: Lecture, Discussion, Skills Instruction & PracticeAccess: Nursing Students & FacultyFrequency/Hours: TBDAdjacencies: Storage, Nursing Skills Lab, Integration Stations

CHARACTERISTICS Ceiling Height: 10’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: Resilient FlooringWall Finish: Painted Gypsum Board; Wall protection at headwallsNatural Lighting: Preferred; Clerestory windows above headwallsCasework: Solid Lower CabinetsAccessories: White Board, Soap and Paper Towel Dispenser at sinks, gloves

dispensers, Sharps ContainersHardware: TBDOther: Wall-mounted horizontal headwalls with medical gases & slide

Ceiling-mounted operable partition (see room diagram)Cubicle Curtain & Tracks Sidelight and/or glass door; 3’-6” doorsBlackout shades and sun shades at any exterior windowsPatient Lift s (see room diagram for location)

TECHNOLOGY Audio/Visual: Ceiling mounted video/data projector; motorized projection screens; ceiling speakers; integrated control system, audio/visual equipment rack and control panel located at cabinet

Network: Wireless plus wall mounted network power; Data ports shown in room diagram are the minimum required

Communications: Simulated Nurse Call and Code Blue at each headwall



Artifi cial Lighting: Fluorescent lighting; Dimmable light zoned w/ front and back switching. Daylight controls recommended

Plumbing: Sink; Medical Gases, Air, and Vacuum at headwalls

EQUIPMENT & FURNISHINGS 18” x 60” TablesMoveable Stools with backrestHospital bed, mobile bedside cabinet, and mobile overbed tableWall-mounted monitor at each headwall

REMARKS Operable partition must provide acoustical separation, allowing two classes to run simultaneously within the divided space

Room layout is mirrored

29Room Criteria


2.3 MULTI-BED SKILLS LAB

30 Room Criteria


2.4 SKILLS / DEMONSTRATION LABDEPARTMENT: SCHOOL OF NURSING

ROOM TYPE: 210


CAPACITY: 20 STUDENTS, 1 INSTRUCTOR

USE Activities: Skills instruction & practiceAccess: Nursing Faculty, Staff , & StudentsFrequency/Hours: TBDAdjacencies: Multi-Bed Skills Lab

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: Resilient FloorWall Finish: Painted Gypsum BoardNatural Lighting: PreferredCasework: Upper and Lower Cabinets; AV CabinetAccessories: White BoardHardware: TBDOther: Sidelight and/or vision panel in door


TECHNOLOGY Audio/Visual: Ceiling mounted video/data projector; motorized projection screen; AV equipment rack and integrated control system at AV cabinet


Communications: TBD




Plumbing: None

EQUIPMENT & FURNISHINGS 30”x 48” Tables30”x 60” TablesDemonstration / Instruction TableStools with backrest

REMARKS

31Room Criteria


2.4 SKILLS / DEMONSTRATION LAB

32 Room Criteria


2.5 INTEGRATION STATIONDEPARTMENT: SCHOOL OF NURSING

ROOM TYPE: 110

PROPOSED ASF: 80 SF


USE Activities: Discussion, Skills Practice, StudyAccess: Faculty & StudentsFrequency/Hours: TBDAdjacencies: Multi-Bed Skills Lab

CHARACTERISTICS Ceiling Height: 8’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: Resilient FlooringWall Finish: Painted gypsum board; White Board Paint Natural Lighting: PreferredCasework: NoneAccessories: NoneHardware: TBDOther: Glazing at one wall with sliding glass door

TECHNOLOGY Audio/Visual: Wall-mounted TV monitorNetwork: Wireless plus wall mounted network power; Data ports shown


Communications: TBD




Plumbing: None

EQUIPMENT & FURNISHINGS 24” x 48” TableChairs

REMARKS Provide acoustical insulation from surrounding rooms

33Room Criteria


2.5 INTEGRATION STATION

34 Room Criteria


2.6 ADULT SIMULATION ROOMDEPARTMENT: SCHOOL OF NURSING

ROOM TYPE: 210


CAPACITY:

USE Activities: Simulation, Standardized PatientsAccess: Nursing Faculty & StudentsFrequency/Hours: TBDAdjacencies: Control Room, Debrief Classroom, Med Supply, Storage

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: Resilient FlooringWall Finish: Painted gypsum board; Wall protection at headwallNatural Lighting: Not requiredCasework: Counter with both solid and open storage below; 48” wide full

height cabinetAccessories: Soap and Paper Towel Dispenser at sink, Gloves Dispenser,

Sharps ContainerHardware: TBDOther: 3’-6” door with vision panel

Cubicle Curtain & TrackOne-way mirror at Control roomWall-mounted horizontal headwall with medical gases & slideSun shades at any exterior windows

TECHNOLOGY Audio/Visual: Ceiling video camera, microphone and speaker; Video cameras on ceiling track at room perimeter


Communications: Microphone, Simulated Nurse Call and Code Blue at headwall



Artifi cial Lighting: Fluorescent lighting suitable for video capturing; overbed light; low-level step light

Plumbing: Integral Sink; Medical Gases, Air, and Vacuum at headwall

EQUIPMENT & FURNISHINGS Wall-mounted equipment at headwall:• Monitor• Diagnostic Set • Th ermometer• Oxygen Flowmeter• Air Flowmeter• SphygmomanometerHospital bed, mobile bedside cabinet, and mobile over bed table, IV poleCouch and/or recliner (furniture to vary between adult simulation rooms)

REMARKS Provide acoustic insulation suitable for audio recordingCasework, fi nishes, equipment, etc. to replicate hospital environment

35Room Criteria


2.6 ADULT SIMULATION ROOM

36 Room Criteria


2.7 OB / PEDS SIMULATION ROOMDEPARTMENT: SCHOOL OF NURSING

ROOM TYPE: 210


CAPACITY:

USE Activities: Simulation, Standardized PatientsAccess: Nursing Faculty & StudentsFrequency/Hours: TBDAdjacencies: Control Room, Debrief Classroom, Med Supply, Storage

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: Resilient FlooringWall Finish: Painted gypsum board; Wall protection at headwalls, bassinet/

warmer locations Natural Lighting: Not RequiredCasework: CounterAccessories: Soap and Paper Towel Dispenser at sink; Gloves Dispensers,

Sharps ContainersHardware: TBDOther: 3’-6” doors with vision panel

Cubicle Curtain & TrackOne-way mirrors at Control roomWall-mounted & recessed horizontal headwall with medical gases & slideSun shades at any exterior windowsOperable partition with high acoustic insulation

TECHNOLOGY Audio/Visual: Ceiling video cameras, microphones, and speakers; Video cameras on ceiling track at room perimeter


Communications: Microphones, Simulated Nurse Call and Code Blue at headwalls



Artifi cial Lighting: Fluorescent lighting suitable for video capturing; overbed light; low-level step light; independent switching for both sides of divided room

Plumbing: Integral Sink; Medical Gases, Air, and Vacuum at headwalls

EQUIPMENT & FURNISHINGS Wall-mounted equipment at headwall:• Monitor• Diagnostic Set • Th ermometerHospital bed, mobile bedside cabinet, and mobile over bed table, IV pole, Bassinet, Warmer

• Oxygen Flowmeter• Air Flowmeter• Sphygmomanometer

REMARKS Operable partition must provide acoustical separation, allowing two simulations to run and be recorded simultaneously within the divided space. Provide overall acoustic insulation suitable for audio recording

37Room Criteria


2.7 OB / PEDS SIMULATION ROOM

38 Room Criteria


2.8 DEBRIEF CLASSROOMDEPARTMENT: NURSING

ROOM TYPE: 110



USE Activities: Debrief, DiscussionAccess: Nursing Faculty & StudentsFrequency/Hours: TBDAdjacencies: Adult Simulation, Peds/OB Simulation

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical Ceiling TileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: PreferredCasework: AV cabinetAccessories: White BoardsHardware: TBDOther: Vision panel in door


TECHNOLOGY Audio/Visual: Ceiling video cameras, microphones, and speakers; Video cameras on ceiling track at room perimeter; Ceiling mounted video/data projector; motorized projection screen; AV equipment rack and integrated control system at AV cabinet


Communications: Microphones



Artifi cial Lighting: Fluorescent lighting suitable for video capturing; Dimmable light zoned w/ front and back switching. Daylight controls recommended

Plumbing: None

EQUIPMENT & FURNISHINGS Table and Chairs

REMARKS Provide acoustic insulation suitable for audio / video recording

39Room Criteria


2.8 DEBREIF CLASSROOM

40 Room Criteria


2.10 SIMULATION CONTROL ROOMDEPARTMENT: SCHOOL OF NURSING

ROOM TYPE: 215



USE Activities: Simulation Monitoring & ExecutionAccess: Nursing FacultyFrequency/Hours: TBDAdjacencies: Simulation Rooms

CHARACTERISTICS Ceiling Height: 8’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: Not RequiredCasework: Counter / Work Surface

Low bookcase / open shelving Accessories: TBDHardware: TBDOther: Vision panel in door

One-way mirrors into simulation rooms

TECHNOLOGY Audio/Visual: Ceiling speaker, wall-mounted fl at panel displayRemote observation of simulation and debrief rooms


Communications: TBD



Artifi cial Lighting: Fluorescent Lighting, task lighting at workstationDimmable light zoned w/ side-to-side switchingLighting levels should prevent occupants in the simulation room from seeing into control room through the one-way mirror

Plumbing: None

EQUIPMENT & FURNISHINGS Computer systems, monitors, microphones, controllers, etc. for simulation monitor and sim-man operation

Chairs

REMARKS Provide acoustic insulation between simulation and control room

41Room Criteria


2.10 SIMULATION CONTROL ROOM

42 Room Criteria


2.14 HOME HEALTH LABDEPARTMENT: SHARED

ROOM TYPE: 210


CAPACITY:

USE Activities: Standardized Patients / Simulation, Speech, Hearing, Rehabilitation Services Individual and Group Treatment

Access: Students, Faculty, PatientsFrequency/Hours: TBDAdjacencies: Control Room, Shared Multi-purpose Meeting Room

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Painted gypsum boardFloor Finish: Resilient FlooringWall Finish: Painted Gypsum Board, Natural Lighting: Preferred, with viewsCasework: Upper and lower cabinets at kitchen; bathroom counter

Provide accessible clear space (30x48) below kitchen counterAccessories: Residential bathroom and kitchen accessoriesHardware: TBDOther: One-way mirror from control room

Sun shades at any exterior windows3’-6” door to public circulation

TECHNOLOGY Audio/Visual: Ceiling video cameras, microphones and speakers; Video cameras on ceiling track at room perimeter; AV equipment rack at cabinet

Network: Wireless

Communications: Microphones, Phone


Ventilation: Heating and Cooling, Hood above stove

Artifi cial Lighting: Residential light fi xtures; Provide lighting levels suitable for video recording

Plumbing: Kitchen Sink with garbage disposalBathroom SinkTub / ShowerToilet

EQUIPMENT & FURNISHINGS Double murphy bed with side cabinet (18” depth)Residential stove range and ovenResidential refrigerator / freezerCouch and reclinerMovable kitchen table and chairs

REMARKS Furnishings, fi nishes, equipment, etc. to replicate residential apartment

43Room Criteria


2.14 HOME HEALTH LAB

44 Room Criteria


2.15 FIRST AID / CPR / SKILLS LABDEPARTMENT: SHARED

ROOM TYPE: 210

PROPOSED ASF: 700


USE Activities: InstructionAccess: Students & FacultyFrequency/Hours: TBDAdjacencies: No critical adjacencies

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: Resilient FlooringWall Finish: Painted gypsum boardNatural Lighting: PreferredCasework: Full height lockable cabinets with whiteboard surfacesAccessories: NoneHardware: TBDOther: Vision panel in door and/or sidelight


TECHNOLOGY Audio/Visual: Ceiling mounted video/data projector; motorized projection screen; ceiling speakers; integrated control system; AV equipment rack at cabinet


Communications: TBD




Plumbing: None

EQUIPMENT & FURNISHINGS Movable adjustable height 30” x 60” tablesStools

REMARKS

45Room Criteria


2.15 FIRST AID / CPR / SKILLS LAB

46 Room Criteria


3.5 RADIOLOGY, 3.6 PANORAMIC, 3.7 RADIOLOGY TEACHINGDEPARTMENT: DENTAL HYGIENE

ROOM TYPE: 210


CAPACITY:

USE Activities: Radiology InstructionAccess: Dental Hygiene Faculty & StudentsFrequency/Hours: TBDAdjacencies: See adjacency diagram

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: Resilient FlooringWall Finish: Painted gypsum boardNatural Lighting: PreferredCasework: NoneAccessories: TBDHardware: TBDOther: Sun shades at any exterior windows

Vision panel in doors

TECHNOLOGY Audio/Visual: Wall-mounted computer at each x-ray stationNetwork: Wireless plus wall mounted network power; Data ports shown


Communications: TBD



Artifi cial Lighting: Fluorescent Lighting

Plumbing: None

EQUIPMENT & FURNISHINGS At each radiology station: • Exam/x-ray chair• Stool• Wall-mounted x-ray machine• Wall-mounted computer

30” x 60” tables with cable managementChairsPanoramic Machine

REMARKS

47Room Criteria


3.5 RADIOLOGY, 3.6 PANORAMIC, 3.7 RADIOLOGY TEACHING

48 Room Criteria


3.8 CLINIC, 3.9 HOTELING WORKSTATIONSDEPARTMENT: DENTAL HYGIENE

ROOM TYPE: 850


CAPACITY: 24 CLINICAL STATIONS,

4 STAFF WORKSTATIONS

USE Activities: Clinical Treatment; Radiology; InstructionAccess: Patients/Visitors, Faculty, StudentsFrequency/Hours: TBDAdjacencies: Central Sterilization, Biomaterials Lab, Storage

CHARACTERISTICS Ceiling Height: 10’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: Resilient FlooringWall Finish: Painted gypsum boardNatural Lighting: PreferredCasework: Central Console Dental Cabinets with sink and x-ray column

Work countersAccessories: TBDHardware: TBDOther: Sun shades at any exterior windows

Vision panel in doors or glass doors

TECHNOLOGY Audio/Visual: Ceiling mounted cameras; Computer station for each dental chair

Network: Wireless plus wall mounted network power; Data ports shown in room diagram are the minimum required; Data ports at each cabinet to support computers for each dental chair

Communications: TBD




Plumbing: Stainless steel sink at each cabinet

EQUIPMENT & FURNISHINGS Dental chairs with instrument armsWall-mounted lightStools and Chairs

REMARKS Room layout and acoustic separation must support running two classes (using 12 dental chairs each) simultaneously.

49Room Criteria


3.8 CLINIC, 3.9 HOTELING WORKSTATIONS

50 Room Criteria


3.10 RADIOLOGY / FACULTY PRACTICEDEPARTMENT: DENTAL HYGIENE

ROOM TYPE: 850

PROPOSED ASF: 160

CAPACITY: 1 CLINICAL STATION

USE Activities: Exam / Faculty Practice; RadiologyAccess: Patients/Visitors, Faculty, StudentsFrequency/Hours: TBDAdjacencies: Clinic

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: Resilient FlooringWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Upper and lower cabinetsAccessories: Paper towel and soap dispenser at sinkHardware: TBDOther: Vision panel in doors

Pocket door to clinic



Communications: TBD




Plumbing: Sink

EQUIPMENT & FURNISHINGS Dental chair with instrument arm and exam lightWall-mounted x-ray machineSterilization equipment?

REMARKS

51Room Criteria


3.10 RADIOLOGY / FACULTY PRACTICE

52 Room Criteria


3.11 CENTRAL STERILIZATIONDEPARTMENT: DENTAL HYGIENE

ROOM TYPE: 860


CAPACITY:

USE Activities: Instrument SterilizationAccess: Dental Hygiene Faculty & StudentsFrequency/Hours: TBDAdjacencies: Clinic, Radiology, Class Lab

CHARACTERISTICS Ceiling Height: 8’-0” minimumCeiling Treatment: Painted gypsum boardFloor Finish: Resilient fl ooringWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Upper and lower cabinets

Pass-thru instrument “cubbies”Accessories: TBDHardware: TBDOther: Pass-thru window with counter

TECHNOLOGY Audio/Visual: N/ANetwork: Wireless; Data ports shown in room diagram are the minimum

required

Communications: N/A




Plumbing: Stainless steel sinks

EQUIPMENT & FURNISHINGS Dental Hygiene Department to provide list of equipment

REMARKS

53Room Criteria


3.11 CENTRAL STERILIZATION

54 Room Criteria


3.22 TREATMENT ROOMSDEPARTMENT: SPEECH, HEARING, & REHABILITATION

SERVICES

ROOM TYPE: 850


CAPACITY:

USE Activities: Clinical Assessment and TreatmentAccess: Patients / Visitors, SHRS Faculty & StudentsFrequency/Hours: TBDAdjacencies: Observation Area

CHARACTERISTICS Ceiling Height: 8’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Upper and lower cabinetAccessories: TBDHardware: TBDOther: One-way mirror from observation area (where plan layout

permits)Blackout shades at one-way mirrorWide door (3’-6”) at two of the 10 treatment rooms

TECHNOLOGY Audio/Visual: Wall-mounted video cameras, ceiling mounted speaker and microphone (speaker required only at rooms with one-way mirror for observation)


Communications: Phone / Data, Microphone / Speaker




Plumbing: None

EQUIPMENT & FURNISHINGS Table and chairs

REMARKS Provide acoustic insulation suitable for audio recording

55Room Criteria


3.22 TREATMENT ROOMS

56 Room Criteria


3.23 OBSERVATION AREADEPARTMENT: SPEECH, HEARING, & REHABILITATION

SERVICES

ROOM TYPE: 860


CAPACITY:

USE Activities: Treatment Observation, InstructionAccess: Visitors, Faculty, StudentsFrequency/Hours: TBDAdjacencies: SHRS Treatment Rooms

CHARACTERISTICS Ceiling Height: 8’-0” minimumCeiling Treatment: Acoustical ceiling tileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Counter, carrelsAccessories: TBDHardware: TBDOther: One-way mirrors into treatment rooms (where plan layout

permits)3’-6” door with vision panel







Plumbing: None

EQUIPMENT & FURNISHINGS ComputersChairs

REMARKS Provide acoustic insulation from treatment rooms

57Room Criteria


3.23 OBSERVATION AREA

58 Room Criteria


3.25 SPEECH AND LANGUAGE ANALYSIS LABDEPARTMENT: SPEECH, HEARING, & REHABILITATION

SERVICES

ROOM TYPE: 850



USE Activities: Assesment, ResearchAccess: Patients, Faculty, StudentsFrequency/Hours: TBDAdjacencies: Treatment Rooms

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustic ceiling tileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Counter and open upper shelvingAccessories: White Board, Bulletin BoardHardware: TBDOther: Sidelight and/or vision panel in door



Communications: TBD




Plumbing: None

EQUIPMENT & FURNISHINGS ComputersChairsSHRS to provide specifi c equipment list for infrastructure coordination

REMARKS

59Room Criteria


3.25 SPEECH AND LANGUAGE ANALYSIS LAB

60 Room Criteria


3.26 AUDIOLOGY ASSESSMENT LABDEPARTMENT: SPEECH, HEARING, & REHABILITATION

SERVICES

ROOM TYPE: 850


CAPACITY:

USE Activities: Assessment, TreatmentAccess: Patients, Faculty, StudentsFrequency/Hours: TBDAdjacencies: Faculty Offi ce

CHARACTERISTICS Ceiling Height: 9’-0” minimumCeiling Treatment: Acoustic ceiling tileFloor Finish: CarpetWall Finish: Painted gypsum boardNatural Lighting: Not requiredCasework: Upper and lower cabinetsAccessories: TBDHardware: TBDOther: New sound booth with control booth

New and/or re-used independent sound booth



Communications: TBD




Plumbing: Sink

EQUIPMENT & FURNISHINGS Adjustable height audiology exam chairTable and chairs

REMARKS Sound booths and control booth to be recessed in fl oor for fl ush transition

61Room Criteria


3.26 AUDIOLOGY ASSESSMENT LAB

Spatial Relationships3

65Spatial Relationships


Adjacency Diagrams describe space/room groupings and their spatial relationships. Program pieces with specifi c, critical adjacencies are included in the following diagrams. Support spaces (such as restrooms) and program pieces with no critical adjacencies (such as a general classrooms) are not illustrated.

Within in each adjacency diagram, a room or space is represented by a colored block. Th is block shows the scaled size of the room/space in comparison to the other spaces. For specifi c room layout information, see the Room Criteria sheet in Section Two.

A graphic item (example: dotted line) between spaces or around spaces delineates diff erent types of relationships. A legend for these graphic items appears on each page.

Immediate adjacency: a physical connection between spaces allowing for direct access from one space to another

Close Proximity: located within the same general area where a physical connection is desired but not required

Grouped Program: room or spaces of a similar type/function which together form a suite or cluster

Operable Partition: a manufactured wall system consisting of movable panels which collapse into a designated area

Introduction

General Terms

Adjacency Diagrams



Central Clinic Adjacency Diagram

SHRS STUDENT WORKERS

DENTALHYGIENE

RECEPTIONIST

DENTAL CLINIC

AMENITY / SUPPLY

SPEECH AND HEARING CLINIC

DENTAL HYGIENE CLINIC

(SEE SHRS CLINICAL SPACES ADJACENCY DIAGRAM)

(SEE DH CLINICAL SPACES ADJACENCY DIAGRAM)

PATIENTRECORDS

PATIENTRECORDS

DENTAL FACULTYCHAIR OFFICE

SHRS FACULTYOFFICE

SSC DENTAL FACULTY

CHAIR OFFICE

- Immediate Adjacency

- Close Proximity

- Grouped Program

- Operable Partition

- Window and/or Pass-thru connection

LEGEND

68 Spatial Relationships


PUBLIC CIRCULATION

SHARED CLINICAL SPACE(WAITING AREA)

STUDENT CIRCULATION

CIRCULATION (”DIRTY”)

RADIOLOGY(OPEN PLAN, 6 CHAIRS)

PANAGRAPHIC

Dental Hygiene Clinic & Lab Adjacency Diagram


- Close Proximity

- Grouped Program



LEGEND



Speech, Hearing, & Rehabilitation Services Clinic Adjacency Diagram

SHARED CLINICAL SPACE(WAITING AREA)

CIRCULATION


- Close Proximity

- Grouped Program



LEGEND



Nursing Simulation Suite Adjacency Diagram

CIRCULATION

MEDROOM


- Close Proximity

- Grouped Program



LEGEND



Simulation Center Adjacency Diagram

SPEECH CLINICALPATIENTS

SPEECH CLINICALPATIENTS

CIRCULATIONCIRCULATION CIRCULATIONCIRCULATION CIRCULATIONCIRCULATION

SIMULATIONSTORAGE

SIMULATIONSTORAGE MED

ROOMMED

ROOM


- Close Proximity

- Grouped Program



LEGEND



Nursing Labs Adjacency Diagram


- Close Proximity

- Grouped Program



LEGEND

4

CIRCULATION

4



Th is section, Blocking & Stacking Diagrams, includes three preliminary options for organizing the program elements identifi ed within this report into a building layout. Each option explores a diff erent design concept--oft en referred to as the “big idea.” Each big idea, illustrated in its name and parti diagram, provides the rationale for how departments and program types are arranged in relation to each other and to the external environment. While these diagrams illustrate approximate fl oor plate sizes and proportions, they do not represent the fi nal building design.

Of the three options, options A and B are based on a three story building. Option C can work as either a two or three-story building. In all three options, the primary clinical environments occur on the ground fl oor for immediate patient/visitor access and entry.

Introduction

Blocking & Stacking Diagrams



Option A: Collaboration Spine Building Diagram

CORE PROGRAM

CIRCULATION SPINE / ATRIUM

COLLABORATION SPINE

Organized along an axial circulation path, the “collaboration spine” divides the building into two zones: (1) a formal “core program” zone and (2) an active collaboration zone. Th e collaboration zone, a three story high atrium and circulation space, could occur on the north or south side of the building, relating to either the southern public environment or the northern campus arboretum.

Within the core program zone, shared spaces--clinical, simulation, and work space--are stacked vertically adjacent to the building entry and elevator core.



NURSING LABS &

SIMULATION

COLLABORATION / INTERACTION SPACE

SHARED

CLASSROOMS

SHARED CAHN

SIMULATION

Open to

Below


SHARED

CLASSROOMS

OFFICES

SHARED OFFICE

SPACE

Open to

Below

DENTAL HYGIENE

CLINIC & LAB

SHARED CLINICAL

SPACE

SHRS CLINIC

Building

Lobby

Public

Students

Students

Ground Floor

Second Floor

Third Floor



Option B: Central Hub Building Diagram

CORE PROGRAM

CENTRAL HUB

CENTRAL HUB

Organized around a central atrium gathering space, “the hub” provides not only the building but also the campus with a center of activity for informal social and educational interaction. Th e multi-story space looks out onto (and relates to) the campus arboretum to the north. On upper levels, circulation and interaction space overlook the atrium, connecting to the activity while providing more secluded gathering areas.

Th is option places the shared central clinic space at the building exterior, allowing for a separate clinical “front door.” In addition to easing identity and way-fi nding issues, providing a separate clinical entry helps divide patients and visitors from the general student population.



OFFICES

SHARED OFFICESPACE

Open to Below

NURSING LABS

& SIMULATION

INTERACTION SPACE

INTERACTION SPACE

INTERACTION SPACE

SHAREDCLASSROOMS

SHAREDCLASSROOMS

SHAREDCLASSROOMS

SHARED CAHN

SIMULATION

Open to Below

DENTAL HYGIENE

CLINIC & LAB

SHARED CLINICALSPACE

SHRS CLINIC

BuildingLobby

Public

Students

Students

Ground Floor

Second Floor

Third Floor



Option C: Interactive Core Building Diagram

DEPARTMENTAL PROGRAM

COLLEGE USE PROGRAM

INTERACTIVE CORE

Organized as two program zones separated by an open gathering space, the “interactive core” seeks to connect diff erent users and functions through a common collaboration space. With department offi ces and instructional space on one side and shared college classrooms on the other side, visitors, students, and faculty meet in the middle, socializing, collaborating and learning together.

Option C has the potential to work as either a two-story or three-story scheme. (A two-story scheme is illustrated to the right.) In a three-story scheme, the second and third fl oors would have smaller fl oor plates but similar programmatic adjacencies.



NURSING LABS

& SIMULATION


SHARED

CLASSROOMS

SHARED

CLASSROOMS

OFFICES

SHARED OFFICE

SPACE

SHARED CAHN

SIMULATION

DENTAL HYGIENE

CLINIC & LAB

SHARED

CLINICAL

SPACE

SHRS CLINIC

Building

Lobby

Public

Students

Ground Floor

Second Floor

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